Analysis on the prevalence and risk factors of Non-Communicable Diseases (NCDs) among children, and the guidance on the prevention and management of childhood onset NCDs in East Asia Pacific    UNICEF East Asia and Pacific (EAP) is seeking for an institutional contractor to lead a study on the prevalence and drivers/ risk factors of NCDs among children. In addition, this will elicit country experiences, lessons learned, good practices and innovations in the prevention and management of childhood onset NCDs in East Asia Pacific countries building upon the recommendations from the global guidance  Background UNICEF East Asia Pacific region (EAPRO) is experiencing a rapid rise in non-communicable diseases (NCDs), alongside the persistent burden of communicable diseases, raising significant concerns about the readiness and resilience of current health systems to manage this dual burden effectively1. Injuries such as road accidents, drowning, and self-harm are increasingly becoming significant causes of mortality among children andadolescents2. The increasing prevalence of overweight and obesity, and incidence of NCDs such as mental health diseases, diabetes, and asthma among children is seen globally in which children are particularly vulnerable due tothe related environmental and behavioral risk factors. The environmental factors contributing to the rise in obesity and NCDs across the region include but are not limited to urbanization, air pollution, lack of regulation of food environments, and lack of safe spaces for physical activity. The behavioral factors # including diet, physical activity, use of digital devices, and exposure to unhealthy processed foods and beverages, tobacco and alcohol are also critical determinants of NCDs and are on the rise. The socioeconomic status of children also influences their access to healthcare, optimal nutrition, and education and protection against NCDs. National investment cases have shown that integration of selected adolescent services for NCDs risk modification within the health sector alone yields high return of investment5. Early intervention can also mitigate the long-term consequences including high costs to health care system as well as high out of pocket expenditures by families. Analyzing the prevalence of NCDs and addressing environmental, behavioral, and socioeconomic factors among children in the local context is essential for reducing the burden of NCDs to inform public health policies and design of effective prevention strategies and targeted interventions to protect children within PHC. Analyzing the prevalence of NCDs and addressing environmental, behavioral, and socioeconomic factors among children in the local context is essential for reducing the burden of NCDs to inform public health policies and design of effective prevention strategies and targeted interventions to protect children within PHC. UNICEF EAPRO is currently supporting countries to improve their PHC health systems for the delivery of integrated services and timely referral when requiring specialized care for women and children with focus on vulnerable populations. UNICEF supports countries in integrating and optimizing what is already available and possible, so that children have access to screening and care through facility and community level. Objectives, Purpose & Expected results The primary purpose of the assignment outlined  is to conduct research and analysis on the NCD prevalence and guidance on the prevention and management of severe childhood onset NCDs in East Asia Pacific with following specific objectives: - Understand the prevalence and drivers of NCDs among children and young people, and the existing policies, programmes, and preventions strategies to include school environments, health systems and community.  - Assess the capacity, sustainability and service readiness (including laboratory readiness), and the equitable priority setting in the management of severe childhood-onset NCDs, including type 1 diabetes mellitus, congenital heart disease, rheumatic heart disease, and child cancers in selected countries.  - Assess capacity and service readiness for early intervention to address modifiable risk factors such as elevated BMI, early substance use, and physical inactivity (particularly screening and early intervention in well care visits and school health visits).  - Identify sources and level of financing for current programmes, policies and prevention strategies, including implications for accessibility, financial inclusion and sustainability.  - Make regional and country level policy and programme recommendations for the prevention and response to NCDs among children and young people based on the above study findings.  The expected outputs of research will include prevalence and drivers/ risk factors of NCDs among children and young people, and the existing policies, programmes, and prevention strategies, and the capacity and service readiness in management of severe childhood onset NCDs.  Expected results of the research include the following:  - Policy makers, government sectors, and UNICEF global, regional and country offices will be provided with guidance on the prevention and management of severe childhood onset NCDs in East Asia Pacific.  - Good practices, lessons learned, innovations, models of care and priority setting in the prevention NCDs and management of severe childhood-onset NCDs , including diabetes mellitus, obesity, congenital heart disease, rheumatic heart disease, hypertension, child cancers in selected countries will be presented.  Location and Duration  - The contract starting date is estimated with April 2025, or as early as possible, upon counter signature of the contract. All deliverables are expected to be completed by end of November 2025.  - The assignment will be completed partially at the institute’s premises (desk review, methodology, data gathering, data analysis, development of reports, presentations, and virtual meetings and dissemination) and in the countries in EAP region, as well as at the EAP office location in Bangkok, upon agreed and approved workplan.  - The institute will be responsible for acquiring resources and facilities required for its completion.  For full details, please refer to the attached Terms of Reference This tender will be run through the UNICEF e-submissions system (UNGM). By clicking on the blue ‘Express Interest’ button in the UNGM tender notice, the full UNICEF e-submission system instructions to bidders document (including instructions on how to access the tender documents and submit an Offer) will be automatically emailed to the ‘contact persons’ included in your UNGM registration. Alternatively, the full UNICEF e-submission system instructions to bidders document is publicly available on the UNICEF supply internet pages here: https://www.unicef.org/supply/index_procurement_policies.html . In the tender management site, if you navigate to the documents tab and opt in to confirm your intention to submit a Bid – you will then see the mandatory placeholders for documents that must be attached prior to submitting your Offer (you will also see if there are any mandatory questionnaires to complete). As such, you are recommended to `opt in` well before the submission deadline so you are clear exactly what documents are required to be uploaded prior to completing your submission. Please note that in order to access the full-set of tender documents through UNICEF’s e-submissions system, vendors must: (1) be registered with UNICEF in UNGM as a company/NGO; (2) have successfully completed all mandatory information currently required by UNGM when registering. Please ensure that any files submitted as part of your bid are not corrupt or damaged in any way. Please exercise caution when using compressed files. Any corrupt or damaged files may lead to your Bid being invalidated. All vendors are strongly recommended to regularly log-in to the UNICEF e-submissions system to check for any deadline extensions, new clarifications, new correspondence or updated tender documents relating to this tender. Should you have any questions against this solicitation, please submit your queries to [email protected] no later than 28th February 2025 so that all queries could be clarified and circulated to all bidders before the deadline. We look forward to receiving your proposals within the given timeline. Best regards, UNICEF Supply team