SWEAT is seeking an experienced consultant who can design an integrated low cost model for a public health facility based intervention for sex workers that will emerge from a pilot project currently being implemented in the Eastern Cape. This is expected to be a participatory process involving the staff on the project as well as health facility staff and district officials involved in the project.


A comprehensive service model that is costed and that includes the following aspects:

  1. Start- up processes including the negotiation phase between potential partners;
  2. Overall management and coordination; including practicalities of negotiating space and conducting activities within health facilities;
  3. Recommended minimum comprehensive services that should be offered;
  4. Practical integration of the activities and services at the facility, with a peer education component;
  5. Peer education materials specific to health facility based work;
  6. Referral paths for health and human rights issues;
  7. Clinical flow charts and reporting;
  8. Mentoring processes within the facility and minimum criteria for the facilities readiness to begin services;
  9. Sensitisation training integration to ensure readiness to accept sex workers;
  10. Monitoring and evaluation, qualitative and quantitative measures of impact, and
  11. Sustainability measures for facilities.

The model must reflect

  • A phased approach of planning, readiness assessment, implementation, monitoring and evaluation
  • A minimum and value added package of services recommended for different population dynamics

We are seeking to cost this model as it presents as a cost effective, sustainable and viable model for the Department of Health to adopt and report on in respect of integrated and accessible services to sex workers.

This Model needs to be practice based and lend itself to replication across other health facilities in South Africa. To this end, the consultant will study the pilot intervention that began in June 2017, and will use the lessons learned in this project, to inform the development of the model. The consultant will have access to those participating in the pilot, and will use these participants as key informants.

Proposed Model

This model presents as a more sustainable approach within resource poor areas where sex workers might operate in high numbers but are fairly diffuse, a low cost model that ensures that sex workers in these communities access a range of comprehensive SRHR and HIV services available to them from which many are seen as being alienated from.

A peer led model is integral towards ensuring a holistic service focussed on sexual health and rights in that peers will be linking and supporting sex workers in accessing clinical services, ensuring follow up and retaining linkage to health care. In addition peers will be empowering sex workers, building support networks and resilience, addressing psycho-social needs, addressing and/or referring in instances of human rights violations and focussing on gender based violence.

The Pilot Project

This pilot project is funded by UNFPA for the period April 2017 to December 2017. The project is focussed on the following activities:

  • Design a facility based model, in which peers are attached to clinics, with their role to conduct outreach and to link sex workers to care at the clinics;
  • Mentoring to selected facilities in the Buffalo City Metro, Chris Hani and Amathole District where the concentration of sex workers is high towards ensuring increased linkage to care and successful referrals;
  • Sensitisation training by SWEAT to district health officials and clinic staff.

Resources allocated to the development of the Model

  • A peer coordinator has been funded and appointed to manage the project
  • Four part time peer educators have been funded and recruited to work in the Chris Hani District
  • Outreach costs secured for peers to reach sex workers and bring them into public health facilities and follow up on link to care with the facilities
  • Funding secured for groups/risk reduction workshops to be run at facilities.
  • Travel costs secured for the Area Manager to network, forge relationships with district health facilities and support staff within the project.
  • For the costs of a consultant to design the model and for printing thereof.
  • SWEAT has secured other funding to provide sensitisation training to Health facility staff.

Present Context

The pilot project started in June. SWEAT has negotiated access to six health facilities in and around Queenstown, Chris Hani District, Eastern Cape and the relevant staff have been appointed and are undergoing orientation and training.

 Applications must include:

  1. A detailed CV
  2. An application letter highlighting relevant experience
  3. Include a brief proposal on how they would develop the proposal

Consultants must:

  • Either be based in the Eastern Cape or be willing to travel (must be located in South Africa)
  • Have at least 3 years’ experience in working with key populations and public health imperatives
  • Must be available immediately, and must conclude the consultancy by end of November 2017.

Applications must be received by cob 31st July 2017, and must be sent to with the subject line “Application for Consultancy: Model”. Enquiries can be sent to the same email address, with the subject line “Application for consultancy: Enquiry”


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