In-Depth Sectorial Assessment (DSA)
TERMS OF REFERENCE
Service Provision (Companies or Individuals)
In-Depth Sectorial Assessment (DSA)
- Context
Handicap International is running its programs under the new name of Humanity & Inclusion (HI). Outraged by the injustice faced by people with disabilities and by vulnerable populations, we aspire to a world of solidarity and inclusion, enriched by our differences, where everyone can live in dignity. HI is an international, independent and impartial non-profit organization that intervenes in situations of poverty and exclusion, conflict and disaster. Working alongside people with disabilities and vulnerable populations, HI takes action and takes notice, to meet their basic needs, improve their living conditions and promote respect for their dignity and fundamental rights.
HI in Occupied Palestinian Territory (OPT)
Since 1996, HI has implemented various actions with local partners in the West Bank and the Gaza Strip. In a territory beset by chronic crises, political instability, and a declining economic and social situation since the second intifada in 2000, HI aims to respond to the needs of persons with disabilities and to make structural improvements to their lives.
Great Return of March (GRM) crisis
Since 30th of March 2018, Gaza nationals protested at the border fence of the Gaza Strip to commemorate their return right and Palestinian day of earth. Based on a World Health Organization (WHO) situation report, a cumulative trauma analysis (since 30th March 2018 until 31st January 2019) shows the following breakdown:
Deaths: From 30 March until 31 December 2018, 255 people have been killed.
Injuries: The total figure of people injured stands at 26,405.
Trauma Stabilization Points (TSPs): Out of 26,405 people injured, 12,333 were treated at the TSPs and immediately discharged. This has reduced the burden of casualties arriving at the hospitals by an average of 47%. The TSPs are managed by Ministry of Health (MoH) and Palestinian Red Crescent Society (PRCS); the breakdown of treated and discharged is as follows:
o MoH TSPs treated and discharged 57% of the casualties.
o PRCS TSPs treated and discharged 23% of the casualties.
Hospital caseload: The remaining 14,072 casualties were stabilized and transferred for treatment at the emergency departments (ED) of MoH and NGOs hospitals.
Live ammunition gunshot injuries: Out of a total of 14,072 referred to emergency departments (ED) at hospitals, 6,239 cases were live ammunition gunshot injuries. This is 44% of the total casualties arriving at the hospitals. Out of the (6,239) gunshot injuries, 5,429 are limb gunshot injuries (87%). Refer to figure 3 for a breakdown of gunshot wounds by affected body part.
Permanent disability:
o Amputations: As a result of the conflict, 113 amputations have taken place since the start of the mass demonstrations. This includes 20 children and one female. Out of this total, 98 were lower limb amputations and 15 upper limb amputations.
o Paralysis: 21 patients are currently paralyzed due to spinal cord injuries.
o Eye injuries: 9 people have permanent loss of vision as a result of injuries caused during the mass demonstrations.
- Project Background
The mass demonstrations along Israel’s perimeter fence since 30 March 2018, as part of the “Great March -of Return” have resulted into a significant number of Palestinian casualties in the Gaza Strip. As such Humanity & Inclusion through its project, entitled “Emergency Intervention to address post-operative and rehabilitation care needs for persons injured in the Gaza border clashes”. The project was launched by a grant from CDC-France to implement an emergency intervention of six months (5 months for outreach) towards the casualties and persons with injuries. HI succeeded to secure another fund from Humanitarian fund HF (9 months for outreach activities) to enable HI and partners to carry on the activities and scale up the teams and target. HI as well is approached by Global Affairs Canada to be able to deploy centre-based teams and maximize the provision of assistive devices and increase wound dressing capability. The project seeks to enhance the trauma pathway, by specifically responding to the urgent care and rehabilitation needs of children and adults with injuries- many of them having been discharged prematurely from hospitals due to the lack of care capacity - so that they can recover and where possible prevent the onset of disabilities due to their injuries. The project focused on rehabilitation and post-operative service provision to bridge the gap and continue delivering services to the injured persons to improve their conditions and enhance their capability to perform daily life activities; in order to reach community participation.
- Project Summary:
Project: Emergency intervention to address post-operative and rehabilitation care needs of persons injured in the Gaza border clashes.
Global Project ltifetime: 15th May 2018 – 30th September 2019 (17 months & half).
Duration funded by Global Affairs Canada (GaC): 05th October 2018 – 30th September 2019 (12 months).
Ultimate Outcome: Lives saved, suffering alleviated and human dignity maintained in countries experiencing humanitarian crisis or that are food insecure.
Intermediate Outcome: Reduced vulnerability of crisis-affected people, especially women and children.
Interested applicants should send a copy of their CV /profile including two contact details of reference,
their proposed methodologies and financial offers no later than 28/02/2019
It should be addressed to It should be addressed to the following e-mail with reference to the title of the
service provision: [email protected]
Handicap International is an equal opportunity employer and particularly welcomes applications from
persons with disabilities
