International Medical Corps (IMC) provides capacity building training for its implementing staff and partners to provide Clinical Management of Rape (CMR)/Intimate Persons Violence (IPV) for Healthcare workers and other stakeholders working for Internally Displaced Population (IDP) and in the host community in East Hararghe Zone of three Woredass; namely; Babile, Kumbi and Meyu Muluke Woredas in Ethiopia. Health care providers must be equipped with the right tools and attitudes to treat physical injuries, prevent unintended pregnancies, prevent sexually-transmitted infections, and HIV, and provide psychosocial support. Competent care, delivered with compassion and confidentiality is essential to begin the survivor’s physical and emotional healing. Good quality care can also engender community confidence in the services provided and in seeking help in the event of a sexual assault.

Training healthcare workers is recognized as a key component of improving the delivery of care for sexual assault survivors including rape. The Basic Training of CMR/IPV will prepare senior level health and GBV staff from International Medical Corps and frontline Healthcare providers working in the East Hararghe Zone of the above mentioned three Woredas to provide appropriate care in the facilities. The training will be conducted in Harar Town from 23 – 27 November 2020. The five-day training will be facilitated by a consultant with support from International Medical Corps staff as a Co-facilitator.

Scope of Work

The consultant will take the lead in facilitating the five-day training using the IRC Multimedia Training Tool, International Medical Corps’ Clinical Management of Rape (CMR) guide and National SGBV guidelines. Time will be set aside for participants to develop an action plan and things to be improved in their specific working sites. The topics to be covered in the training will be divided into six sections:

1. What Every Clinic Worker Needs to Know
2. Responsibilities of Non-Medical Staff
3. Direct Patient Care
4. Preparing Your Clinic
5. Forensic Examination
6. Preparing an action plan

The first two sections are intended for a general (non-clinician) audience. Section 3 and Section 5 are intended for clinical care providers. Section 4 is intended to guide participants through the process of assessing the current situation and developing an action plan for the improvement of services for sexual assault survivors. Section 6 is intended to prepare participants to develop an action plan to seek improvement in their clinic.

Methodology

The training will be interactive and will utilize multiple methods including: video elements, discussion cards, case studies, text cards, and group exercises.

§   Video elements: Video is used in a variety of ways to convey information that is both accessible and compelling. Documentary style videos are used to discuss and depict concepts and subject matter such as the impact of sexual assault and the treatment needs of survivors.

§   Discussion Cards: Discussion cards are included to allow the group to share their reactions to what they are learning and to share their experiences. Each discussion card lists several general talking points, more talking points are suggested in the Content Notes section of this guide. The Content Notes also include the important points that the facilitators should emphasize or explain to the group. Facilitators should encourage discussion among the group, but should also keep the discussions focused and on track. The recommended time to spend on each activity is included for each section of the training.

§   Case Studies: Case studies are presented as a series of animated images with voice-over describing a particular scenario trainee may face. At the end of the animated series of images, a question is posed to the group. These questions are in multiple-choice format. The answer is provided on the slide following the question. The questions are another opportunity for group discussion.

§   Text Cards: A great deal of information is presented in the form of simple text. In general, these text cards repeat or reinforce messages also found elsewhere. These cards should be read out loud by either a facilitator or one of the participants.

Deliverables

§   The consultant will provide International Medical Corps (IMC) with a training outline

§   Conduct Five days trainings for health professionals on CMR/IPV and GBV survivors.

§   Clinical Management of rape (CMR) trainings should meet UNFPA requirement which include but not limited to the syndromic management of Sexually Transmitted Illnesses (STIs) and should give specific attention for treatment and care including for child survivors.

§   Strengthening skills and positive attitudes for providing support and services, including referral to GBV survivors in adherence of the guiding principles and compassionate care.

§   Provide guidance on patient flow, privacy, security of patient files and ensure patient confidentiality.

§   Provide guidance on health facility readiness including the required resources to provide direct patient care and set the responsibilities of every clinic workers.

§   Develop an action plan (with IMC staff contribution) to improve CMR/IPV in every health facility.

§   Document results of the training through pre and post tests

§   Submit a training report due in 10 days following the completion of the training conclusive report detailing the pre-and post-test results, daily training evaluation and final course evaluation and lessons learnt and recommendations for future training.

§   The Consultant must use its own laptop and training materials

International Medical Corps Inputs

International Medical Corps shall provide the following:

§   Consultancy fees as agreed upon by International Medical Corps and the Consultant

§   Accommodation in Harar Town during the training days

§   Round trip flight from Addis – to Diredewa and from Diredewa to Addis

§   Vehicle arrangement from Diredewa to Harar and from Harar to Diredewa Towns

Timeline (Specific dates to be agreed with the consultant)

The training will take place from 23-27 November 2020 in Harar Town

• Minimum BA in Nursing with specialization in Gynecology, Obstetrics or Sexual and Reproductive Health is required.
• Previous Training experience in the Clinical Management of Rape (CMR)
• ToT training certificate of CMR/CCSAS
• Relevant experience training using IASC guidelines on Gender-based Violence and UNFPA Clinical Management of Rape guidelines or the IRC Clinical Care for Sexual Assault Survivors facilitation guide and Experience in use of the IRC multimedia tool would be an added advantage.
• Familiarity with the following materials; any relevant MoH guidelines, the WHO guideline on reproductive health training; IASC’s Minimum Initial Service Package (MISP); and IASC guidelines for HIV/AIDS and PEP; UNFPA Clinical Management of Rape manuals
• Prior clinical experience providing care for survivors of sexual assault preferred
• Strong training facilitation and report writing skills
• Thorough understanding of the guiding principles and compassionate care
• English (fluent) and Afan Oromo (fluent)