Terms of Reference (ToR) for Training on Clinical Management of Rape Survivors (CMRS)
Project Title
Provision of protection assistance to vulnerable population (including women and girls) in Pakistan
Training Title
Clinical Management of Rape Survivors (CMRS)
Category of Participants
Doctors, LHVs, Nurses, Midwives, Medico-Legal/Forensic staff, and other relevant frontline healthcare providers
Training Location
Karachi, Sindh
Number and Duration of Trainings
Two trainings; each training will be conducted over five (5) days
Facilitators
Two consultants, jointly facilitating both training batches
1. Brief Justification and Objective for the Training
The Clinical Management of Rape Survivors (CMRS) training is intended to strengthen the capacity of public healthcare providers and relevant frontline staff in Karachi to deliver safe, timely, confidential, and survivor-centred services to rape survivors in line with internationally recognized standards and the applicable national guidance. Through two separate five-day training batches, the programme will enhance providers’ knowledge and practical skills on first-line support, informed consent, clinical examination, essential treatment, documentation, referrals, and follow-up care.
The specific objectives of the training are to:
- Improve participants’ understanding of the principles of survivor-centred care, confidentiality, dignity, and non-discrimination.
- Build practical competency in the clinical assessment and management of rape survivors, including emergency medical interventions and documentation.
- Strengthen safe and ethical referral pathways for health, psychosocial, protection, legal, and other specialized services.
- Enhance readiness of supported facilities and service providers to respond appropriately to women, adolescent girls, children, male survivors, and persons with disabilities.
- Establish a trained pool of healthcare providers in Karachi who can support quality CMRS service delivery within nominated public health facilities.
2. JOB SUMMARY
The consultant will develop, adapt, and conduct two five-day trainings on Clinical Management of Rape Survivors (CMRS) for frontline healthcare providers in Karachi, Sindh. The trainings will strengthen participants’ knowledge, clinical competencies, and survivor-centred attitudes for the safe, confidential, and compassionate management of rape survivors in line with WHO guidance, relevant national protocols, and International Medical Corps standards. The assignment will support improved readiness of health facilities and service providers to deliver quality clinical care, ensure informed consent, maintain confidentiality, provide first-line support, manage referrals, and strengthen coordination with protection, psychosocial, and legal services, where applicable.
2. ESSENTIAL RESPONSIBILITIES
The consultant will work closely with International Medical Corps, which will coordinate with the Department of Health and other relevant stakeholders for participant nominations and training arrangements. Two consultants will jointly facilitate both five-day trainings and will be responsible for the end-to-end technical delivery of the assignment with minimal supervision.
Responsibilities:
- Develop or adapt comprehensive CMRS training materials aligned with WHO guidance, national clinical protocols, and IMC standards, and submit them to IMC for prior review and approval within five (5) working days of contract signing.
- Design a participatory training methodology tailored to the learning needs of healthcare providers, combining presentations, case discussions, role plays, clinical scenarios, and practical exercises.
- Develop a detailed five-day agenda for each training, covering core concepts of sexual and gender-based violence, survivor-centred care, informed consent, history taking, physical examination, forensic and medico-legal considerations, treatment and prophylaxis, documentation, referral pathways, follow-up care, confidentiality, and safety.
- Ensure the training includes focused guidance on compassionate and appropriate care for child survivors, adolescent survivors, and other vulnerable groups, in accordance with ethical and clinical standards.
- Prepare and administer pre- and post-training evaluations to assess knowledge and skills gained by participants.
- Maintain accurate daily attendance records and document participant engagement throughout both trainings.
- Conduct end-of-training evaluations and compile a brief analysis of participant performance, feedback, and key recommendations within two (2) working days after each training.
- Provide participants with relevant handouts, job aids, reference materials, and practical tools to support post-training application in clinical settings.
Other Duties as Assigned:
The responsibilities outlined above may expand as necessary.
3. QUALIFICATIONS AND SKILLS
Qualifications:
- MBBS required; postgraduate qualification in Gynecology/Obstetrics, Emergency Medicine, Public Health, Family Medicine, or a related field preferred.
- Demonstrated technical expertise in clinical management of rape survivors, gender-based violence response, and survivor-centred healthcare service delivery.
- Strong facilitation skills, particularly in adult learning, clinical capacity building, and sensitive-topic training delivery.
Experience:
- Minimum five years of experience in conducting similar capacity-building trainings for healthcare providers.
- Proven familiarity with CMRS protocols, medico-legal considerations, referral systems, and multi-sectoral coordination for survivor care.
- Field experience in humanitarian, public health, hospital, or primary healthcare response settings.
Competencies:
- Excellent interpersonal, facilitation, and communication skills.
- Proficiency in Urdu and English; familiarity with Sindhi or other local languages is an asset.
- Strong written English skills, especially for technical reporting and training documentation.
- Understanding of local culture, service delivery context, and sensitivities related to GBV and survivor care.