TERMS OF REFERENCE (TOR) For the Development of Hand-Book on disability Inclusive SRH Service Delivery

TERMS OF REFERENCE (TOR)

For the Development of Hand-Book on  disability Inclusive SRH Service Delivery

1. Background

Blind Youth Association Nepal (BYAN) is a youth-led, rights-based organization established in 2012, led by and working for and with blind, partially sighted and other children and youth with disabilities in Nepal. With a nationwide presence through 10 dedicated chapters, BYAN promotes the rights, inclusion, leadership and meaningful participation of children and young people with disabilities.

BYAN works through advocacy, capacity strengthening, research, community engagement, partnerships and policy dialogue, with a focus on inclusive education, sexual and reproductive health and rights, employment and livelihoods, leadership and civic participation, climate and disaster resilience, and disability-inclusive development. BYAN works with government, organizations of persons with disabilities, civil society, youth networks and development partners to build an inclusive and equitable society where children and young people with disabilities can exercise their rights and lead change.

BYAN is currently implementing the Advancing Rights for Inclusive Sexual and Reproductive Health and Education (ARISE) Project which promotes inclusive access to Comprehensive Sexuality Education (CSE) and Sexual and Reproductive Health and rights (SRHR) information and services, with a focus on youth with disabilities.

Persons with disabilities have the same sexual and reproductive health (SRH) needs and rights as persons without disabilities; however, these rights are often overlooked. There is evidence that persons with disabilities often encounter grave barriers when accessing sexual and reproductive health services. They face multiple barriers to accessing SRH services, including physically inaccessible facilities, lack of suitable transportation and assistive devices, inaccessible information and communication, and long waiting times. In addition, negative attitudes and limited knowledge among health service providers about the SRH needs of persons with disabilities can further restrict access to appropriate services.

Therefore, there is a need for a practical, disability-inclusive SRHR guideline and job aid for health care providers (HCPs) to address the limited availability of practical guidance on responding to the diverse SRHR needs of persons with disabilities. The proposed handbook will translate rights-based and disability-inclusive SRHR principles into simple, user-friendly guidance that HCPs can apply in routine service delivery. It will cover disability types and related SRHR needs, respectful terminology and communication, informed consent, privacy and confidentiality, reasonable accommodation, accessibility, and non-discriminatory service provision.

The handbook will include practical tools such as checklists, key messages, do’s and don’ts, communication tips, accessibility considerations, disability-specific service delivery guidance, and referral information. It will primarily be used by HCPs and SRHR service providers, while also serving as a reference for health facility managers, health educators, government stakeholders, CSOs/development partners, and OPDs. The handbook will be developed in coordination with National Health Education, Information and Communication Center (NHEICC) and other relevant stakeholders to ensure alignment with Nepal’s national SRHR policies, guidelines, and standards. BYAN intends to engage a qualified expert to lead its development.

2. Objective of the Assignment 

To develop a comprehensive, practical, adolescence-friendly, and disability-inclusive handbook that provides guidance on inclusive SRHR and accessible service delivery for health service providers and other relevant actors.

3. Scope of Work

The expert/consultant will:

• Review relevant national SRHR policies, laws, guidelines, standards, and existing resources, particularly those related to disability inclusion, accessible health services, and SRHR of persons with disabilities, to identify existing guidance, gaps, and areas requiring practical tools.
• Consult with BYAN and relevant stakeholders including persons with disabilities/OPDs, health service providers, SRHR experts to identify key content, needs, and priorities (if required)
• Develop a comprehensive, practical, adolescence-friendly, and disability-inclusive handbook on SRHR and inclusive service delivery.
• Include guidance on different types of disabilities and their SRHR-related needs, appropriate and respectful disability-related terminology and language, respectful communication and interaction, and approaches for providing services to persons with diverse disabilities.
• Ensure integration of human rights, gender responsiveness, disability inclusion, accessibility, reasonable accommodation, confidentiality, informed consent, privacy, and non-discrimination. 
• Develop practical guidance and job aids for HCPs, including disability-inclusive SRHR checklists, key messages, do’s and don’ts, communication tips, accessibility and reasonable accommodation considerations, disability-responsive service delivery guidance, referral pathways/service information, and other relevant practical tools.
• Ensure the content is contextually relevant to Nepal, technically accurate, accessible, easy to read and understand, and use by health service providers and relevant stakeholders.
• Engage with National Health Education, Information and Communication Centre (NHEICC) and other relevant stakeholders to consult on and validate the draft handbook, document key feedback and recommendations, and incorporate relevant agreed feedback into the revised version.
• Finalize and submit the handbook in editable electronic and print-ready formats, incorporating agreed revisions and including recommendations for dissemination, use, and periodic review and updating.

4. Methodology:

The expert consultant will use a participatory and collaborative methodology to develop a practical Handbook on Inclusive SRHR and Service Delivery, working closely with BYAN throughout the process.

5. Key Deliverables

The consultant/firm will be responsible for the following deliverables:

1. Inception Plan: A brief inception plan outlining the proposed methodology, work plan, consultation approach, and proposed structure/outline of the handbook.
2. Draft Handbook on Disability Inclusive SRHR and Service Delivery: A practical and user-friendly guideline to address the existing gap in disability-inclusive SRHR knowledge, guidance, and service delivery tools among HCPs. The guideline will provide practical guidance on disability-inclusive SRHR service provision, including understanding different types of disabilities, appropriate and respectful disability-related terminology and language, rights-based and gender-responsive SRHR approaches, accessibility, reasonable accommodation, effective communication, informed consent, confidentiality, and respectful interaction with persons with disabilities including practical tools and resources such as disability-inclusive SRHR checklists, key messages, accessibility and reasonable accommodation considerations, service delivery guidance, referral pathways, and other job aids that HCPs can directly use in providing accessible, respectful, and non-discriminatory SRHR services to persons with disabilities in Nepal.
3. Consultation and Validation: Facilitation of consultation and validation of the draft handbook with NHEICC and other relevant stakeholders, including persons with disabilities/OPDs, SRHR experts, health service providers, and other relevant stakeholders, as appropriate. The consultant will document key feedback and recommendations and revise the draft accordingly to ensure that the handbook is technically sound, practical, accessible, disability-responsive, and contextually relevant to Nepal.
4. Final Handbook: A finalized handbook incorporating agreed feedback and revisions, submitted in editable electronic and print-ready formats, along with practical recommendations for its dissemination, use, and periodic review and updating.

6. Timeline

The assignment will be completed within the mutually agreed timeframe between BYAN and the selected expert. The assignment will require a total of 15 working days and is expected to be completed by mid-October 2026.

7. Required Qualifications and Experience

• Minimum bachelor's degree in any field, disability, Public Health,  or social science.
• At least 5 years of relevant professional experience in SRHR, health service delivery, disability inclusion, or related areas.
• Proven experience in developing handbooks, manuals, guidelines, or similar technical documents.
• Good understanding of inclusive and disability-responsive SRHR services in Nepal.
• Strong technical writing and communication skills.

8. Budget and Payment

The budget will be determined based on the technical and financial proposals submitted. Payments will be made in installments upon delivery of key milestones.

9. Application Procedure

Interested individual consultants or consulting firms should submit:

• A technical proposal describing their understanding of the assignment, proposed methodology, and work plan.
• A detailed financial proposal.
• Updated CVs of key personnel.
• PAN/VAT registration documents (for firms)
• Samples of previous similar assignments.

Applications should be submitted electronically to:

Blind Youth Association Nepal (BYAN)

Email: procurement@byanepal.org

Deadline: 4th Sept. 2026

Only shortlisted applicants will be contacted for further process.

Note: The TOR is subject to revision/change based on discussion and mutual agreement with the selected consultant/consulting firm. Only shortlisted applicants will be invited for further selection processes, including interview/presentation if required.