Consultant - Documentation of motivation, attitudes and capacities of front line workers towards counselling during VHNDs
Location: Bhubaneswar with travel to regions
Duration: 12 weeks
Closing Date: 3 September 2013
Purpose of the Assignment
The purpose of this assignment is to document the motivation, attitudes and capacity of the front line workers to carry out community mobilization and communication sessions during VHNDs, identify barriers and areas for improvement. It also aims to find out how community mobilization and counselling sessions are planned and implemented during VHNDs and the best opportunities available to frontline workers for delivering a communication related service.
The Village Health and Nutrition Day (known as Mamata Divas in Odisha) has been launched as a primary health care strategy applied periodically in a community to deliver a specific integrated package of preventive public health interventions for children under five years old. It is a convergent platform since it is managed by workers from both health and WCD departments and seeks the support of community institutions like GKS or VHSC, SHGs, Youth Clubs and Adolescent girls groups. The ANM responsible for service provision takes a lead during the VHND while the ASHA and AWW facilitate in organizing the event at the community level.
The VHND guidelines highlight that “the key objective is to provide universal access to equitable, affordable and quality health care, with an emphasis on women’s and children’s health and universal immunization as also nutrition, water, sanitation and hygiene through monthly service delivery in each village providing multiple services on a fixed day, fixed time and at a fixed place”.
In India, VHND is a priority intervention under the National Rural Health Mission (NRHM), Government of India which emerged from attempts to increase coverage of basic health and nutrition services in rural areas not served by health facilities.
A rapid assessment on VHND was carried out by UNICEF in 2011. The following key observations were highlighted by the rapid assessment that:
While counselling is considered to be one of the most vital of all services provided during the VHND, it has been seen that counselling and communication for social and behaviour change are two of the weakest links during the VNHD. SBCC is “outcome oriented” and includes the role of participatory methods and motivation in the behaviour change process. The process of participation and improved utilisation of health behaviours is dependent upon creating a supportive environment that ushers in social and behaviour change.
Though reports indicate that VHNDs are conducted on a designated day; however discussions and feedback from the community and functionaries show that quality of interaction during VHND sessions is not up to the mark. This has an impact on the participation of the community in VHND. Quality entails a number of aspects – a) involvement of the organizers (frontline workers from health, ICDS, panchayat functionaries and involvement of community institutions), b) common understanding amongst all stakeholders about how VHND is to be organized and services that are to be offered, c) pre-service mobilization and post service follow up, d) publicity and preparation for the VHND and e) instruments and required equipment for VHND f) motivation amongst FLWs due to over worked schedules g) information shared during sessions etc.
The purpose of this assignment is to document the motivation, attitudes and capacity of the front line workers to carry out community mobilization and communication sessions during VHNDs, identify barriers and areas for improvement.
Major tasks with deliverables
All the tasks will be carried out under the close supervision of C4D Officer with periodic inputs from Director SIHFW. The tasks and the key deliverables are listed as under:
Payment Schedule linked to Milestone/Deliverable
1. 1st Payment: On submission of Inception Report (by end of week 2): 20%
2. 2nd Payment: Completion of field work and submission of draft report (by end of week 8): 50%
3. 3rd & Final Payment: Submission of final report (by end of week 12): 30%
Qualification or specialized knowledge/experience required for the assignment
Additional requirements would include:
(1) Qualified female/male candidates are requested to please indicate their ability and availability to undertake the terms of reference above.
(2) Your application should be sent to firstname.lastname@example.org by COB 3rd September 2013 with subject line "Consultancy for VHND Documentation Consultant, Orissa" in separate files:
a) A cover letter, CV and P11 form (which can be downloaded from our website at http://www.unicef.org/india/overview_1440.htm)
b) A financial proposal indicating deliverable based fee as per template attached.
(3) The financial proposals of only those candidates, who are found technically responsive, will be opened.
(4) Please note, offers without financial proposal will not be considered.
(5) Only short-listed candidates will be called for test/interview (if applicable). Any attempt to unduly influence UNICEF’s selection process will lead to automatic disqualification of the applicant.
(6) Joint applications of two or more individuals are not accepted.