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Consultancy - To support the establishment of NICUs in UNICEF supported districts ( open to both National & International professionals) for 11.5 months

Kampala (Uganda)

UNICEF Uganda is looking for a consultant to support development of operational guideline for care of sick new-born in Uganda, standardize the training curriculum, job aids and other technical documents for care of sick new-born; support the upgrading the NICUs in designated hospitals, facilitate Training of Trainers (ToT) for the national level trainers on NICUs/care of sick new-born, develop plan for supply chain management, develop reporting and post-discharge follow up systems for NICUs.

UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.

Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.

And we never give up.

For every child, a fair chance

Uganda is one of the over 190 countries and territories around the world where we work to overcome the obstacles that poverty, violence, disease, and discrimination place in a child’s path. Together with the Government of Uganda and partners we work towards achieving the Millennium Development Goals, the objectives of the Uganda National Development Plan, and the planned outcomes of the United Nations Development Assistance Framework.

Visit this link for more information on Uganda Country Office https://www.unicef.org/uganda/

How can you make a difference?

Under the supervision of the MNH Specialist, consultant will support development of operational guideline for care of sick new-born in Uganda, standardize the training curriculum, job aids and other technical documents for care of sick new-born; support the upgrading the NICUs in designated hospitals, facilitate Training of Trainers (ToT) for the national level trainers on NICUs/care of sick new-born, develop plan for supply chain management, develop reporting and post-discharge follow up systems for NICUs.

 Background

A Neonatal Mortality Rate of 27 per 1000 live births (UDH 2016) in Uganda is unacceptably high and accounts for almost 45 per cent of the infant mortality – a trend not changed over last ten years. The major causes of neonatal deaths in Uganda are preventable which include: Asphyxia 26 per cent, preterm 25 per cent and infections 31 per cent.  Despite of increase in the institutional deliveries from 57 to 73 per cent in 2016, the newborn mortality remains high.

The quality of newborn care in Uganda remains poor at all levels of health care system from HCIII to tertiary hospitals. MOH has developed standards of hospital care of newborns to address the major drivers of mortality; infection, birth asphyxia, and complications of low birth weight, hypoglycemia, hypothermia, birth defects and birth injuries. However, majority of the tertiary health facilities/institutions function below the standards for tertiary care for newborns as articulated in the above standards. The designated newborn care units in HC IV and hospitals can only provide basic newborn care with minimal capacity to provide care for sick newborns including care for the high-risk newborns such as pre-term and term babies with complications.  preterm and term babies with complications.

Since majority of the causes of newborn mortality and morbidity in Uganda requires systems for care of sick newborns at all levels of health facilities. Reference to the 5th edition of perinatal care for USA reports that introduction of NICU/ high dependency units in secondary/tertiary care settings significantly improved the situation of the newborns at high risk.  A recent DELPHI exercise estimated that optimal supportive care in a hospital Special Care Baby Unit (SCBU) could avert 70 percent of neonatal deaths due to preterm birth complications, and that 90 per cent could be averted with availability of hospital Neonatal Intensive Care Units.

With all these justifications including the urgent need for Uganda to strengthen the coverage and quality of the care for sick newborn at HCIV and hospitals, UNICEF plans to recruit an expert neonatologist on consultancy terms to support Ministry of Health and districts in standardizing the care of sick newborn system as described below in the key tasks/deliverables.

Key Tasks: 

  1. Support MoH to standardize the key technical and operational documents in regard to care of sick and small newborns:
    • Develop and finalize the operational guideline for care of sick and small newborn in Uganda
    • Develop and finalize the in-service training package for care of sick and small newborn
    • Develop job aids and SOPs for the health staff working in NICUs
  2. Assess the current situation of the care of sick newborn in 8 districts of West Nile and 7 districts of Karamoja in terms of:
    • Infrastructure including the waiting space, space for each newborn, space for mother /care taker, space for the staff, ventilation etc
    • Equipment, Medicines and supplies
    • Health workers’ capacity (delivery room midwives/nurse, neonatal nurse, and newborn care staff)
    • Quality of care of early essential newborn care and sick newborn care
    • Data management
  3. To support the 8 districts in West Nile and 7 districts in Karamoja to establish system for care of sick newborns
    • Development of Newborn Intensive Care Unit improvement plans based on the NICU need assessment report (the need assessment is carried out in West Nile).
    • Monitoring the implementation of the NICU improvement plan
    • Carry out learning need assessment of the NICU and delivery room staff of the above health facilities
    • Facilitate the initial training for the NICU staff with involvement of the national trainers Recommendations/plan for establishment of Kangaroo mother care in the 7 hospitals of West Nile.
  4. Support development of guideline and recommendations for the real-time monitoring of the NICUs including monitoring of the post-discharged newborns
    • Recommendation for the development of NICU real time monitoring (content/indicators)
    • Recommendations and development of the system for community based post-discharge follow up of the NICU graduates (newborns discharged from NICUs)
    • Assist MoH in development of guideline for the real- time monitoring of the key NICU indicators
  5. Continued – hand holding and on the job coaching for the newly established/upgraded NICUs
    • Develop the learning plan for the NICU and delivery room staff based on the learning need assessment
    • Support to learning/exchange visit from the West Nile and Karamoja to National hospitals in Kampala
  6. Document good practices and learning from the above experiences
    • Policy and programme briefs
    • Organize one national level forum linked to world prematurity day for high level advocacy
    • Document at least 3 good practices and learning
    • Develop protocol for the retrospective assessment of the NICUs in Uganda

 

To qualify as an advocate for every child you will have…

  • Bachelor’s degree in area of health, development or related field.
  • An advanced university degree required in Neonatology. Additional trainings in quality assurance, health system strengthening and management as an added advantage.
  • At least 5 years of professional experience working in pediatrics and NICUs at hospital level, including the development of strategies and QI approaches in clinical setting.
  • Experience in supporting and coordinating capacity building activities across different levels of the health system and working with other international partner organizations.
  • Experience in data collection, analysis, and monitoring and evaluation.
  • Experience working with the national and district local governments in Uganda, and a strong understanding of the health system
  • Proven ability to manage relationships with UNICEF partners, including UN organizations, NGOs and the private sector
  • Proven skills in communication, networking, strategic thinking, advocacy and fundraising
  • Proven ability to conceptualize, plan and execute ideas as well as to transfer knowledge and skills.
  • Strong writing and communication skills and the aptitude to handle competing messages and priorities with multiple audiences
  • Ability to travel and work in remote and sometimes insecure locations
  • Fluency in written and verbal English is essential.

For every Child, you demonstrate…

Our core values of Commitment, Diversity and Integrity and core competencies in Communication, Working with People and Drive for Results.

 For every Child, you demonstrate…

UNICEF’s core values of Commitment, Diversity and Integrity and core competencies in Communication, Working with People and Drive for Results.

The technical competencies required for this post are….

View our competency framework at

http://www.unicef.org/about/employ/files/UNICEF_Competencies.pdf

UNICEF is committed to diversity and inclusion within its workforce, and encourages all candidates, irrespective of gender, nationality, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of the organization.

Remarks:

Mobility is a condition of international professional employment with UNICEF and an underlying premise of the international civil service.

Only shortlisted candidates will be contacted and advance to the next stage of the selection process.

Before applying, please make sure that you have read the requirements for the position and that you qualify.
Applications from non-qualifying applicants will most likely be discarded by the recruiting manager.
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  • Organization: UNICEF - United Nations Children’s Fund
  • Location: Kampala (Uganda)
  • Grade: Consultant - Contractors Agreement - Consultancy
  • Occupational Groups:
    • Public Health and Health Service
    • Children's rights (health and protection)
  • Closing Date: 2018-08-03

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