Jhpiego is an International non-profit health organization affiliated with Johns Hopkins University, USA. For more than 50 years and in over 150 countries, Jhpiego has worked to prevent the needless deaths of women and their families. Jhpiego is dedicated to improving the health of women and families in developing countries.

 

Jhpiego intends to call for a sealed technical and financial proposal along with sample documentaries (USB) for the development of a documentary film latest by 13 November 2024, and would like vendors/service providers to submit their detailed profile along with a proposal. The proposal must include information as per below details.

 

Background

Pakistan faced a historic flood crisis in 2022, leaving around 33 million people homeless, including 16 million children. Over 7.9 million were displaced, with significant damage to homes, public health facilities, and infrastructure. In Sindh, the hardest-hit province, nearly 242,000 displaced individuals were in 45 government camps or on roadsides. Amid this crisis, there was an urgent need for comprehensive healthcare, including immunization.

 

Southern Sindh, including Kamber, Shikarpur, Larkana, and Dadu, saw severe flood damage. With weak infrastructure exacerbated by the floods, there was a critical gap created in essential primary health care, especially immunization services.  Immunization coverage was below 50%, placing children at high risk for preventable diseases and increasing the risk of maternal and child health morbidity and mortality  especially in the flood affected marginalized and unreached or hard to reach populations.

 

Jhpiego took swift action and has since been reaching out to the most vulnerable population through an integrated health service delivery model which has also served sustainable support for the government of Sindh and the people residing in the areas as part of our project “Integrated Immunization Approach for Reaching Children in Flood Affected Areas in Sindh (FED)”.  Develop referral linkages with government, CBOs and private sector for continuum of care and sustainability of the intervention model beyond the life of this project through community inclusion and empowerment.

 

 

 

 

Interventions:

Mobile Services:

• Objective: Reach unserved populations in hard-to-access areas.
• Approach: Deploy mobile teams for immunization, maternal and child health, mental health, nutrition, WASH and other curative services. Collaborate with governments, private sector and NGOs. Scope includes providing essential health care, psychosocial support, data collection and reporting, VPD surveillance, participation in emergencies and community mobilization.

Mental Health Screening:

• Objective: Address mental health needs of displaced populations.
• Approach: Conduct initial mental health assessments using PHQ-9 assessment tool. Train staff, social mobilizers, CBOs on the standard tool to sustain this identification and referral mechanism  for appropriate quality care.

Capacity Building for CSOs/CBOs:

• Objective: Strengthen community support for immunization.
• Approach: Empower CBOs for sustaining this referral mechanism. Picking youth champions from communities to take on the role of leaders for this function.

Supportive Supervision:

• Objective: Ensure quality of immunization services.
• Approach: Conduct supportive supervision of fixed and outreach vaccination sites using digital checklists to monitor and enhance service delivery.

Integrated Services at Fixed Sites:

• Objective: Enhance existing vaccination services.
• Approach: Strengthen integrated health care: immunization delivery at high-level facilities with priority for referred cases for immunization of children, malnourished children, ante-natal care and post-natal care of pregnant women, mental health issues. Link with local CSOs / communities and private sector creating a sustainable intervention model and referral mechanism.

 

Purpose of assignment

 

The purpose of the assignment is to document the accomplishments, learnings and outcomes of the FED Project. In line with this, Jhpiego Pakistan office is seeking a documentary filmmaker/agency to direct and produce a high quality, eye-catching 5-7 minutes documentary and 2-3 minutes short video clip with a storyline theme that packages all the interventions across all the 4 locations in an emotional/inspirational tone capturing, from inception to implementation, the services rendered and the results obtained in the target populations. The documentary is aimed for important external stakeholders including donors, government partners, international NGOs, UN agencies, Community Based Organizations (CBOs), and other such audiences. Therefore, it needs to be of high quality, with the latest technology used to capture various shots, testimonials, stories, and produced as a holistic package covering the project’s impact extensively and highlighting Jhpiego as a successful Humanitarian player in the industry. The videos need to have human plus animation shots. Frames with numbers and animation drawings in areas where impact is being highlighted. It should also have a top-quality captivating voice over.

 

 

Along with the FED project, the documentary should also package other projects under the same donor – GAVI. This can be packaged at the end of the documentary, after showcasing the entire FED project, it can close with interventions in other areas with GAVI. Video shots from the other projects will be captured in Sindh as well. Other projects include:

 

1. 1.      Cervical Cancer Prevention and HPV Vaccine Introduction in Pakistan:

Jhpiego, is a global leader in cervical cancer prevention and HPV vaccination efforts. As a member of the Gavi-WHO Global HPV Sub-Team and the BMGF Global HPV Council, Jhpiego has supported HPV vaccine introductions across seven countries, including Liberia, Côte d'Ivoire, Zambia, India, Ethiopia, and Tanzania.

In Pakistan, where there are 73.8 million women aged 15 and older at risk for cervical cancer, Jhpiego is spearheading efforts to introduce the HPV vaccine. Current statistics reveal that 5,008 women are diagnosed with cervical cancer annually, with 3,197 succumbing to the disease. Cervical cancer is the third most prevalent cancer among women in Pakistan and the second most common among women aged 15 to 44. HPV types 16 and 18 account for 88.1% of invasive cervical cancers. The disease burden is exacerbated by a lack of comprehensive surveillance, which likely underestimates the true extent of the problem.

Jhpiego, in collaboration with the Federal Directorate of Immunization, the Ministry of Health, and provincial stakeholders, has developed a detailed roadmap for cervical cancer prevention and HPV vaccine introduction in Pakistan. This roadmap includes a thorough analysis of gaps, impediments, and a cost analysis for the HPV vaccine roll-out. The Government of Pakistan is committed to supporting this initiative in partnership with Gavi and Jhpiego, reaffirming its support for the Expanded Program of Immunization.

Key recommendations from the expert group include the development of a comprehensive national policy on cervical cancer elimination, the integration of the HPV vaccine into national immunization plans, and improved cancer screening and treatment facilities. The roadmap emphasizes the need for formative research to address operational and community acceptance issues, mobilization of resources, and advocacy efforts. It also highlights the importance of capacity building for health professionals and increased resource allocation for immunization programs.

Jhpiego’s partnership with the Council to Strengthen the HPV Immunization Community (CHIC) has been pivotal in advocating for the HPV vaccine’s introduction. The government of Sindh, under the leadership of the Minister for Health and Population Welfare, has already established a taskforce to strategize on cervical cancer prevention, create a cancer registry, and revive school health programs to include HPV vaccination.

Looking ahead, Jhpiego is engaged with Gavi to integrate HPV vaccination into the Full Portfolio Planning for 2022-2027. The HPV Vaccine Acceleration Program Partners Initiative (HAPPI) aims to support the Federal Directorate of Immunization in preparing a Gavi Vaccine Introduction Grant application for 2024, with implementation expected in 2025. This initiative focuses on identifying barriers to vaccine uptake, particularly in regions with historical resistance and gender inequities, such as South KP and Balochistan.

The HAPPI initiative includes several key activities: analyzing and strengthening systems for consensus and implementation, building a multisectoral approach to create demand, and developing tailored communication strategies to address local barriers. The program will also involve monitoring and evaluation to track progress and document effective approaches for integrating HPV vaccination into broader cervical cancer elimination strategies.

 

1. 2.      GAVI MENS’S ENGAGEMENT

Background of the Project:

According to an Ethiopian study, mothers who have autonomy over financial resources were more likely to fully or partially immunize their children than mothers who did not have. But in comparison of women who made financial decisions in tandem with their husbands were even more likely to vaccinate their children, signifying the role males may play in enhancing the health of children. 1 (J.O Ebot, 2018) The varying societal roles attributed to men and women impact the extent to which women possess authority and control over health-related decisions for themselves and their offspring.2 (WHO-EMRO, 2001). In the gendered (with the male head) and generational (with elderly women and men) power dynamics of the household, mothers' negotiating power may be restricted.0 3 (Feletto M. et al., 2019 & L. Sanneving, et al., 2013) Numerous studies have demonstrated the ability of well-crafted programs for male involvement to influence the attitudes and behaviors of men. The main challenges were not knowing what to do and what not to do throughout pregnancy, childbirth, and the postpartum period. Other commonly mentioned impediments include societal stigma, shyness and shame, work demands, and inadequate husband-and-wife communication. 7 (Story WT et al., 2012)

Aim and Objective:

Aim: To promote gender equity and enhance immunization outcomes, the operations research seeks to determine whether it is feasible and successful to use Civil Society Organizations (CSO) in Pakistan to implement gender transformative interventions with male caregivers.

Objective: The study has three major objectives

• Examine how gender transformative involvement at the household and community levels by community leaders and caregivers, either alone or in pairs, might change power dynamics and gender roles in Pakistani households.
• Examine how community leaders and caregivers, whether in a partnership or alone, may shift gender norms at the home and community levels to improve immunization rates for children under a year old in Pakistan.
• Evaluate the viability, acceptability, and suitability of utilizing CSO employees or volunteers to carry out gender-transforming interventions on childhood immunization and child health with caregivers and community leaders.

Our Intervention:

Without randomization, the study will use a quasi-experimental design with non-equivalent groups, a mixed method study that include both quantitative and qualitative assessments. Community-level group assignments will be given according to predetermined standards e.g. sites are chosen matched pair-controlled groups in other communities within the same district or region. The intervention site will be one of two districts: Karachi East and UC-11 Garden East - Jamshed Town; the control site will be UC-10 Pehalwan Goth - Gulshan Town. The Quetta UC-13/A - Satellite Town study district is the second one, while UC-10/B - Spini Road has been selected as the control site. Similar population sizes, ethnic and cultural practices, rates of zero-dose children, practices involving high levels of gender disparity, and the likelihood of eligible families being available will all be taken into consideration when pairing intervention and control sites.

The Gender Transformative Intervention Addresses Immunization and Gender Inequality Indicators:

There are two types of gender-responsive immunization strategies: "gender-specific," which targets a particular group of men or women without questioning gender norms and roles, or "gender-transformative," which tackles the underlying causes of gender inequality and tries to change harmful gender norms and roles.

The research study will work on reducing following barriers and obstacles for increasing immunization uptake:

• Obstacles resulting from a lack of autonomy and the dynamics of the home that prevent women and their children from timely accessing health care services, such as delays caused by a male's approval.
• Time, money, and transportation are examples of barriers to mobility and resources that can affect immunization and health outcomes.
• The high frequency of harmful practices and gender-based violence creates barriers that negatively impact the results of vaccinations. GBV may make it less likely for mothers to seek medical attention for their children or themselves because of concerns about telling others outside the family about the abuse

1. CDS III

Background

Pakistan, despite struggling with the inherent challenges of fragile health infrastructure, responded amicably to the COVID-19 pandemic by adopting strategies learned from anglophone countries. The nation quickly recognized the critical role of technology, timely interventions, and coordinated efforts in combating the crisis. Over the four years following the pandemic’s onset, Pakistan's success was largely due to the rapid coordination among various departments, including the Federal Directorate of Immunization (FDI) and provincial EPI programs, which ensured the continuation of essential health services and the widespread vaccination campaigns. These efforts were supported by the rapid deployment of technology and mass media campaigns to raise awareness and increase the uptake of COVID-19 vaccination.

Project Purpose – CDS III

With the support of GAVI, the vaccine alliance, in collaboration with FDI and provincial EPI programs, Jhpiego an affiliate of Johns Hopkins University, is leading the current project, under COVAX CDS-III grant.  This project involves conducting a lessons learned activity with key stakeholders to identify the best practices adopted during COVID-19 response and integrate these practices within the routine immunization (RI) system in Pakistan.  The goal is enhancing immunization coverage across all levels and strengthening country`s preparedness for future pandemics.

Proposed Activities:

• Focused Group Discussions (FGDs) at national and provincial levels with policymakers, implementers, and other key stakeholders to gather insights on the COVID-19 pandemic preparedness, response and best practices.
• Key Informant Interviews (KIIs) at national and provincial levels with policymakers, implementers, and other key stakeholders to gather insights on the COVID-19 pandemic preparedness, response and best practices.

Expected Outcomes:

• A comprehensive report detailing the lessons learned from the COVID-19 pandemic preparedness, response and best practices in Pakistan.
• Practical recommendations for strengthening the routine immunization system in Pakistan.
• A framework for incorporating pandemic learnings into routine immunization and enhancing preparedness for future pandemics in Pakistan.

  

 

Scope of work for bidding company

• Draft a synopsis and script setting/storyboard that sets the essence of film. After completing the draft get it approved by Jhpiego’s concerned staff
• Establish a plan and schedule to conduct interview with key stakeholders and film clips and images of key meeting/interview with Jhpiego key staff. Also accompany field staff, where necessary, on visits to sites where Jhpiego is currently implementing the FED project and film any other relevant clip and images based on approved synopsis
• Multiple shots; close ups, drone shots, B rolls, and other relevant shots angles required by the Jhpiego staff in subsequent meetings
• Travel to the four program areas of Sindh district; Kamber, Shikarpur, Larkana, and Dadu of Pakistan
• Narrate, edit and produce a high-quality documentary on the crux of FED, inception to implementation, and share the draft version with Jhpiego for review and consent
• Providing 5-7 minutes Digital Video Disk (DVD) of the final and 2-3 minutes short video clip, approved documentary with adequate background music in finest and high-quality video formats including HD, Mpeg, TS and MP4
• In addition to the documentary, capture at least 50-60 high quality images of FED in 4 locations.
• Include impactful pictures from previous months work (to be shared by Jhpiego)
• Obtain written consent from the participants for making video or pictures and to share these with larger audience at any forum or through media.Cover video on:
• Jhpiego outreach mobile Camps and their routineDoor-to-door work, mental health assessment through PHQ-9 assessment tool, seeking defaulters, due date RI children, social mobilization, and mobile camps (Jhpiego field teams)
• Doctor
• Vaccinator,
• LHV
• Social mobilizer
• Immunizations, Mental Health Services, hygiene, ANC/PNC, malnutrition, curative services, referral services and other events (Participation in world immunization week, measles outbreak, IPV in malnourished children under five years of age, sehat mela and others).
• Zindagi Mehfooz software / KOBO data capturing and reporting software
• CBOs
• Private doctors and government hospitals / health care providers
• Community volunteers /youth champions
• Religious leaders (mosque announcements)
• Feedback from community
• Feedback from CBOs.
• Feedback from deputy commissioners.
• Hardships of the tough terrain
• Testimonial from Program Director EPI, Sindh
• Testimonial from respective EDOs
• Testimonials from respective DHOs
• Testimonials from social welfare organizations.
• Jhpiego team testimonials (regional office and Islamabad office staff)

Expected Deliverable/Output

The main outcome of the consultant/firm’s work is to direct, edit and produce a 5-7 minutes documentary and 2-3 minutes short video clip with sub-titles film, on the accomplishment and key outcomes of FED. The documentary will include footage of the areas shared above. The documentary should be suitable for public screening and posting on digital media.

• Hard and soft copies of the final script
• Submission of HD quality raw footage of shooting from the field (Video testimonials and other shots)
• First draft of the edited version of the documentary and short video
• Provide high quality 50 -60 images
• Submission of final edited version of the documentary and short video

 

 

Payment Schedule
Sr. #	Task Completed	Range %
1	Hard and soft copies of the final script	20%
2	Submission of HD quality raw footage of shooting from the field	20 %
3	First draft of the edited version of the documentary and short video	30 %
4	Provide high quality 50 -60 images	10%
5	Submission of final edited version of the documentary and short video	20 %

Note: Travel, boarding lodging will be on the vendor/service provider/firm.