The Danish Red Cross is looking for a consultant to conduct a feasibility study to explore the potential for integrating NCD interventions into existing interventions in Sudan, South Sudan, Ethiopia and Somalia, with a focus on areas such as disaster preparedness and response , health, resilience, mental health and psychosocial support and migrant/refugee projects.
Non-communicable diseases (NCDs), including cardiovascular diseases, cancers, respiratory diseases, diabetes and mental health problems, currently represent the fastest growing burden of disease in Africa, adding to the burden already high levels of communicable diseases such as malaria and HIV/AIDS.. It is estimated that 34% of all deaths in Africa are caused by NCDs (WHO 2015). By 2030, NCDs will be the leading cause of death in sub-Saharan Africa, rising from 28% to 46% of the total disease burden. In the East African countries of Burundi, Rwanda, Kenya, Tanzania, South Sudan and Uganda, 40% of all deaths on average are attributable to NCDs. Most of these deaths occur when people are of working age, causing economic hardship for families and countries. In addition, every year 703,000 people commit suicide and many more people attempt suicide. Every suicide is a tragedy that affects families, communities and entire countries and has lasting effects on those left behind. Suicide occurs across the lifespan and was the fourth leading cause of death among 15-29 year olds globally in 2019. (WHO, 2021) In sub-Saharan Africa, cases of suicide and other mental health issues are increasing and have become a major concern.
Migrants, refugees and internally displaced persons (IDPs) may face additional risks as they often lack or have limited access to basic services, including healthcare and NCDs . It is estimated that East Africa and the Great Lakes region currently host over 4.7 million refugees and asylum seekers, with nearly 4 million residing in Uganda, Sudan, Ethiopia, Kenya and South Sudan (2021).2 The region thus hosts some 67% of refugees on the African continent and 20 percent of the global refugee population. The largest number come from South Sudan, with significant arrivals from Burundi, the Democratic Republic of Congo, Eritrea, Somalia and Sudan. Most governments have generally continued to maintain open-door asylum policies by adopting progressive national refugee frameworks and promoting the inclusion of refugees in national health, education and social protection/security systems. .
Disasters, particularly those associated with weather-related hazards such as floods, storms and drought, caused 2.6 million new displacements during the year (2018). Conflict and disaster events caused by climate change in 2019 suggest that the number of displacements is likely to continue to increase. Disaster and conflict-related risks and vulnerabilities, exacerbated by the COVID-19 pandemic, have highlighted the importance of addressing health risks holistically while integrating comprehensive NCD management, both in humanitarian response and in efforts to strengthen health systems and reduce risk, particularly in crisis and disaster-affected contexts. There is an urgent need to ensure continuity of NCD care for vulnerable and marginalized populations affected by the crisis who do not have access to NCD care in Africa.
The Danish Red Cross, with funding from the Novo Nordisk Foundation, plans to implement a project that aims to replicate the experiences of Kenyan NCD projects and integrate them into relevant NCD interventions in supported programs by DRC in East and Horn of Africa, including RC Ethiopia (ERCS) RC South Sudan (SSRC), RC Sudan (SRCS) and RC Somalia (SRCS). The unique access and mandate of RC/RC National Societies to provide life-saving assistance to migrant and displaced populations and health care and MHPSS in emergencies will form the basis for integration, but target groups and specific interventions will depend on the needs and opportunities in the country. selected contexts.
Based on the feasibility assessment carried out, this project will support the four countries in East Africa and the Horn of Africa in the planning, design and integration of NCD activities in the ongoing programs supported by the DRC. This will involve providing technical support, staff and National Society capacity building and resources for the implementation of pilot interventions for 1-2 years. As part of the evaluation, the DRC will support the development of case studies of the pilots, which will feed into the documentation and learning objectives of the projects.
Task will involve the compilation and desk review of existing documents and information on existing services for the target group, the review of real-time program data from health facilities and the review of Red Crescent program documents from Sudan, the South Sudan Red Cross, the Ethiopian Red Cross and the Somali Red Cross. Crescent on the services offered so far on current health facilities and other relevant documents. The desk study will focus on the health care systems of Sudan, South Sudan, Somalia and Ethiopia and access to NCD care and MHPSS services in these countries. More data and information will be collected from focus group discussions, key informant interviews and household/individual questionnaires.
We are waiting whether you are applying as a firm or as a team of consultants with the following areas of expertise: Public health with additional training/experience in managing NCDs, counseling psychology and Social science with additional training/experience in migration/movement/population shifts. The team should also have relevant knowledge of the African region. Familiarize yourself with the Red Cross and Red Crescent Movement. Perfect command of English is a requirement for this consultation.
The consultation is expected to take place in July and August 2022.
How to register
Please contact Sylvia Khamati Anekha, [email protected], if you need more information about the consultation.
The application deadline is July 15, 2022.