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International Consultancy: Development of Child Health Programme for the Ministry of Health in The Kingdom of Eswatini

Mbabane (Swaziland)

The purpose of this consultancy is to assist the Ministry of Health in developing a child health programme document that will facilitate the delivery of integrated and holistic package of child survival and development services along the continuum of care aligned with the context of global strategy for women, children and adolescent health at national, and decentralised levels.

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Background and Justification

The Kingdom of Eswatini has made significant progress in reducing under five mortality rates from 104 per 1,000 live births in 2010 to 67 per 1,000 in 2014. Health Management Information System figures correlated this fall, with institutional deaths declining from 371 in 2014 to 270 in 2017.   However, minimal progress and stagnation has been observed in reduction of neonatal and infant mortality rates. The Ministry of Health child health and SRH reports of 2017 have revealed child health concerns that would significantly affect progress towards reduction of neonatal, infant and under-five mortality and affect achievement of the SDGs. National BCG coverage declined from 98% in 2014 to 77% in 2017 and yet 88% of the mothers deliver in health facilities. Penta 3 is at 87% while MR1 is at 78% both below the WHO recommended 90% threshold. The number of confirmed malaria cases in under five has increased from 6 in 2013 to 105 in 2017. A declining trend in exclusive breast feeding from 71% in 2015 to 65% in 2017 was reported and an increase in number of wasted children from 73 in 2015 to 834 in 2017 was observed. The number of fresh still births has increased from 62 in 2015 to 101 in 2017 while macerated still births have increased from 105 in 2015 to 135 in 2017.
 The Ministry of Health is currently implementing a number of programmes that tackle newborn and children issues through several vertical programmes but there is no as such a child health programme in the MOH to coordinate the child health related programmes and intervention packages. The vertical programmes that address specific child health areas are: SRH, MNH, Nutrition, EPI, IMNCI, TB, HIV/AIDS etc. This has led to uncoordinated planning, implementation and monitoring of the programmes targeting the same health facilities and children which eventually has led to inefficiency in resource utilisation and health outcomes. This has also led to lack of a holistic a child-centred, life course approach yet child survival and development requires a holistic and integrated approach within the health sector.
Furthermore, the child survival strategy of the MoH expired in 2015 and there is no guiding document with clear targets for child health programme. In addition, currently the Ministry of Health has not put adequate emphasise on nurturing care for early childhood development which is critical for child’s development from conception to the first 1,000 days of life. Due to the absence of a costed child health strategy/strategic plan, resource requirements for the child health programme are not known and this may contribute to inadequate resource allocation to child health. The nonexistence of financial resource needs to achieve children’s related SDG targets and objectives (results) will have an impact on advocacy for resource allocation for a child health program.
It is within this line that the Ministry of Health would like to address the noted gaps affecting children and institute a programme that will comprehensively and holistically address the issues of children. Noting that the first 1,000 days of life has a tremendous effect on a child’s future; health, education, wellbeing and financial success as an adult, the MoH would like to ensure that a standard package of interventions for children during that period is provided holistically at health facility and community levels.  The MoH would, therefore, like to develop a child health programme with clear strategies, targets, delivery and accountability systems that will facilitate delivery of the holistic package of services for under five children.
 
Scope of Work

The purpose of this consultancy is to assist the Ministry of Health in developing a child health programme document that will facilitate the delivery of integrated and holistic package of child survival and development services along the continuum of care aligned with the context of global strategy for women, children and adolescent health at national, and decentralised levels.
The objectives of the consultancy include to;
• Conduct analysis of child health status to identify deprivations and disparities that will guide development of a targeted child health programmes
• Assess existing child related programmes and identify strengths and gaps in provision of comprehensive and holistic child health services within the health sector and define programme needs
• Analyse the existing child health delivery platforms within MoH and identify strengths and gaps in facilitating delivery of integrated holistic package of service for children
• Develop a child health programme document with an integrated package of interventions for children by typology (clear package for age groups e.g. the first 1,000 days, targeted population)
• Propose service delivery strategies, implementation modalities (costing scenario options) and accountability systems at national, regional, health facility and community level
• Develop a results framework for the implementation of child health programme with clear activities that would facilitate costing of the programme
 
1) Provide details/reference to AWP areas covered:
 
This activity is in line with output 1.1 and activity 1.1.2 on support to the development of strategies and guidelines for improved delivery of integrated ECD services.
 
2) Activities and Tasks:

a. Conduct a desk review of all relevant documents and identify key information and conduct at national, regional, facility and community levels to get inputs on proposed child disparity and deprivations analysis
b. Hold consultative meetings with child health programme managers to identify strengths, opportunities and gaps on the existing child health service provision
c. Hold meetings with the Senior Management and child health forum to present inception report and reach consensus on proposed process guided by the results from desk review.
d. Hold consultative meetings with various stakeholders at national, regional, facility and community levels to get in puts on proposed child health programme
e. Develop draft child health programme
f. Present draft health programme with proposed service delivery systems and results framework to child health forum and relevant stakeholders for inputs.
g. Present final draft Child health programme with proposed service delivery systems and implementation/results framework to Senior Management.
h. Finalise and submit a comprehensive integrated child health package for the health sector with service delivery systems and implementation/results framework.
 
3) Work relationships: 

The consultant will report to the UNICEF Chief CSD and will work closely with Ministry of Health Deputy Director, Public Health. The consultant will also work closely and report regularly on progress to the Child Health Forum of the Ministry of Health which is responsible for implementation of the child health related programmes.
 
4) Outputs/Deliverables:  

o A validated inception report on analysis of deprivations, disparities in access to services by children; strengths, opportunities and gaps in delivery of integrated child health services and a work plan
o A child health and development programme document with
 -Package of integrated child health service by typology to be delivered at health facilities and community levels
 -Proposed delivery options, implementation modalities and accountability system for the integrated child health package at national, regional, health facility and community levels. Clear linkages with other sectors to be included.
 -Results framework with clear goals, objectives, targets, priority interventions and activities
 
     

Key tasks

Duration

 

Timeline/Deadline

Deliverables

  • Conduct a desk review of all relevant documents and identify key information and conduct at national, regional, facility and community levels to get inputs on proposed child disparity and deprivations analysis
  • Hold individual consultative meetings with child health programme managers to identify strengths, opportunities and gaps on the existing child health service provision
  • Hold meetings with the Senior Management and child health forum to present inception report and reach consensus on proposed process guided by the results from desk review.

4 days

 

 

 

 

 

 

2 days

 

 

 

 

1 day

7 to 12 Sept

 

 

 

 

 

13 to 14 Sept

 

 

 

17 Sept

A validated inception report on analysis of deprivations, disparities in access to services by children; strengths, opportunities and gaps in delivery of integrated child health services and a work plan

 

  • Hold consultative meetings with various stakeholders at national, regional, facility and community levels to get in puts on proposed child health programme
  • Develop draft child health programme
  • Present draft health programme with proposed service delivery systems and results framework to child health forum and relevant stakeholders for inputs.

3 days

 

 

6 days

 

5 days

18 to 20 Sept

 

 

21 to 28 Sept

 

1 to 5 Oct

 

A Draft child health and development programme document

  • Present final draft Child health programme with proposed service delivery systems and implementation/results framework to Senior Management.
  • Finalise and submit a comprehensive integrated child health package for the health sector with service delivery systems and implementation/results framework.

1 day

 

 

 

 

 

3 days

8 Oct

 

 

 

 

 

12 Oct

 

 

 

 

 

 

A child health and development programme document with:

  • Package of integrated child health service by typology to be delivered at health facilities and community levels
  • Proposed delivery options, implementation modalities and accountability system for the integrated child health package at national, regional, health facility and community levels. Clear linkages with other sectors to be included.
  • Results framework with clear goals, objectives, targets, priority interventions and activities

 

Payment Schedule

Schedule of payment

Deliverables

Amount

Timeline/Deadline

25%

A validated inception report on analysis of deprivations, disparities in access to services by children; strengths, opportunities and gaps in delivery of integrated child health services and a work plan

 

21 September, 2018

50%

Upon submission of a final child health and development programme document with:

  • Package of integrated child health services by typology to be delivered at health facilities and community levels
  • Proposed delivery options, implementation modalities and accountability system for the integrated child health package at national, regional, health facility and community levels. Clear linkages with other sectors to be included.
  • Results framework with clear goals, objectives, targets, priority interventions and activities

 

14 October, 2018

25%

Upon submission of a validated child health and development programme document with Package of integrated child health services, proposed delivery options, implementation modalities and accountability system and Results framework

 

19 October, 2018

 

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

• Advanced University Degree or higher in public health, including HIV and nutrition;
• At least 10 years of professional experience in public health programming, related research or planning and management in relevant areas of maternal, infant and child nutrition, at the international level, especially in a developing country;
• Experience in developing Policy, Strategy and guidelines for the management maternal and child health programmes at country level;
• Experience developing reports, case-studies and policy briefs, for a range of audiences including practitioners in the field and policy makers;
• Excellent written and spoken English is required.

Administrative issues
 
The work of the Consultant will be supported by the Ministry of Health key officials. A work station at the Ministry of Health will be provided to Consultant. During the assignment, meetings with UNICEF will be held as required.
The consultant will be required to work in country during the duration of the assignment and undertake at least 3 days field travels within Eswatini as a part of this assignment. Field travel related transport for the assignment will be provided by Ministry of Health and UNICEF, as a part of the field mission.
 
Conditions
 
The Consultant is expected to conduct the assignment work with provision of his/her computer and administrative/communications support.
The Consultant is expected to be present in and work from Eswatini for the period of the assignment. All travel required for this TOR should be quoted for in the financial proposal based on economy class fares. However, costs for internal field visit travel should not be included in the consultant’s quote.
As per UNICEF DFAM policy, payment is made against approved deliverables. No advance payment is allowed unless in exceptional circumstances against bank guarantee, subject to a maximum of 30 per cent of the total contract value in cases where advance purchases, for example for supplies or travel, may be necessary.
UNICEF shall be entitled to all property rights, including but not limited to patents, copyrights and trademarks, with regard to material which bears a direct relation to, or is made in consequence of, the services provided to the Organization by the consultant. In certain cases, UNICEF would be prepared to share intellectual property rights, requiring at a minimum,
UNICEF must be acknowledged in all use and publications of the data generated under the present consultancy, and retains the right to use the data for further analysis and publication with acknowledgement of the research institution concerned.
The candidate selected will be governed by and subject to UNICEF’s General Terms and Conditions for individual contracts.
 
How to Apply
 
Qualified candidates are requested to complete an application including profile to the respective advertisement on  https://www.unicef.org/about/employ/. Please indicate your ability, availability and financial proposal/quote to complete the terms of reference above.
Rates must include all expenses related to the assignment (including administration and logistics).
Applications submitted without a fee/ rate will not be considered.

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.

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.
Apply

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  • Organization: UNICEF - United Nations Children’s Fund
  • Location: Mbabane (Swaziland)
  • Grade: Consultant - Contractors Agreement - Consultancy
  • Occupational Groups:
    • Public Health and Health Service
    • Children's rights (health and protection)
    • Project and Programme Management
  • Closing Date: 2018-08-21

What does it mean?

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