Sudan/Khartoum/NOB level

1. Purpose of the Consultancy

The main objective is to support FMOH and other PHC actors to measure the PHC situation in Sudan systematically, utilizing the PHCMI initiative and the progression model tools, and subsequently propose adaptation to the visualization tools and progressions interventions to be utilized.

Background:

The Global Conference on Primary Health Care (PHC) held in Astana, Kazakhstan in October 2018 marked the 40th anniversary of the Declaration of Alma-Ata, the 1st global political commitment to PHC. In the Astana Declaration, Member States called for a renewal of PHC, reaffirming their commitment to the fundamental right of every human being to the enjoyment of the highest attainable standard of health without distinction of any kind. Sudan has again joined the international community in renewing this important commitment that is critical to its people.

To support Member States in fulfilling their commitments of the Astana Declaration and move into actions, the WHO EMRO Regional Director announced the PHC Measurement and Improvement Initiative (PHCMI) during World Health Day (PHC for UHC) on April 7th, 2019. The PHCMI is built on global gains from the PHC Performance Initiative (PHCPI), the PHC Operational Framework, preexisting regional efforts on the Family Practice (FP) approach, PHC quality indicators, and EMRO Health System Profiles. This initiative is hoped to build national capacity for assessment based PHC improvement, with emphasis on the family practice approach.

As a formal start to the initiative, a workshop on PHCMI was held in Cairo in August 2019, with high level of participation from Sudan FMOH (both PHC DG and the M&E focal point ), National Health Insurance Fund director of health services and WHO Sudan CO focal point. As well similar presence from the 22 Member States, members of the PHCMI Advisory Group, UNICEF, BMGF and EMR WONCA representatives, WHO EMRO and WHO HQ staff. During this meeting, member states have expressed commitment to ruling out this initiative in their respective countries and a roadmap with a timeline is to be agreed at countries level, with follow up plan being supervised at EMR level. Sudan has gone further to finalize the preliminary assessment by December 2019 where it reported in a second workshop the Main Indicators List with the available data back then and identified strengths and weaknesses with priority interventions agreed upon by the country team.

Having passed two years now, it is crucial to revise the progress so far in PHC improvement with emphasis on the progression model, building on existing data in the country and technical information from various partners and stakeholders. This comes as part of a regional commitment.

2. Planned timeline

Start date: 15 August 2021

End date: 30 September 2021

3. Work to be performed

To achieve the below mentioned tasks and responsibilities, the national consultant will conduct measurement and documentation process of PHC situation in the country utilizing the PHCMI indicators list and the progression model tools through:

Output 1: Mapping of PHC sources of information

Deliverable 1.1: Undertake key monitoring activities to the PHC situation, sources of information and the role of stakeholders of relevance to the measurement, using tools provided by WHO

Deliverable 1.2: Conduct stakeholder analysis and provide recommendation on stakeholders’ engagement methods and roles in the measurement of PHC and the progression model

Output 2: PHCMI indicators list

Deliverable 2.1: Compile and analyse results of monitoring and assessment of country data and accordingly fill revised PHCMI Indicators list.

Deliverable 2.2: Conduct sessions with the WHO team and Sudan MOH to validate and document agreement on the most recent and appropriate information/indicators values.

Output 3: Report of PHCMI and the progression model through validated consultative process

Deliverable 3.1: Collect data for the progression model indicators and aspects

Deliverable 3.2: Conduct meetings and sessions with key stakeholders for the progression model validation and compile feedback.

Deliverable 3.3: Report and propose adaptations to the visualization tools and progressions interventions for Sudan to be utilized and submit report on the PHCMI

4. Technical Supervision

The selected Consultant will work under the supervision of:

Responsible Officer:	Dr Huzeifa Aweesha	Email:	aweeshah@who.int
Manager:	Dr Ni’ma Saeed	Email:	abidn@who.int

5. Specific requirements

- Qualifications required:

• Essential: University degree in public health or equivalent
• Desirable: Higher postgraduate qualifications in PHC, M&E and planning is an asset.

- Experience required:

• Essential: 2 years’ experience in public health and health system strengthening
• Desirable: focused experience in PHC and M&E

- Skills / Technical skills and knowledge:

• Excellent analytical and strong communication skills
• Excellent organizational and administrative skills
• Preferable proven knowledge and practical experience in assessments and development of progression strategies
• Ability to work with multiple stakeholders and partners

Language Requirements: Fluency in Arabic and English with excellence in verbal and written skills.

6. Place of assignment

Khartoum

7. Medical clearance

The selected Consultant will be expected to provide a medical certificate of fitness for work.

8. Travel

This Consultancy may include travel to states for consultation and/or attending meetings with stakeholders at sub-national level, depending on agreement on the stakeholders to be interviewed in the stage of agreeing indicators and data sources. Yet majority of this work is planned to be at the national level, so focus in Khartoum.

All travel arrangements will be made by WHO when agreed to be necessary – WHO will not be responsible for tickets purchased by the Consultant without the express, prior authorization of WHO. If on mission under the terms of this consultancy, the Consultant will receive subsistence allowance.

Visas requirements: it is the consultant’s responsibility to fulfil visa requirements and ask for visa support letter(s) if needed.