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State Consultant - Call to Action - RMNCH+A, Bihar

Location: Patna

Duration: 3 months

Closing Date: 23 October 2013

Purpose of Assignment & Background

Improving the maternal and child health and their survival are central to the achievement of national health goals under national rural health mission as well as Millennium Development Goals 4 and 5. In order to bring greater impact, it is important to recognize that reproductive, maternal and child health cannot be addressed in isolation as these are closely linked to the health status of the population in various stages of life cycle.   

As a follow up to the ‘Call to Action (CTA) Summit’ on 7-9 February 2013 by the Government of India, the Ministry of health and Family Welfare is launching a 3 year national campaign- the “1000 day campaign” to provide a special focus on health and health-related system strengthening to influence key interventions for the prevention and treatment of diseases that result in unacceptably high levels of under-five mortality and morbidity in India’s high-risk and vulnerable communities.  

The overarching goal of the campaign is ensure that India, while securing existing progress,  achieves the 12th  five year plan goal set of 33 deaths for 1000 live births  for Under- five mortality rate by 2017 and on a longer term as per “A promise renewed” in Washington, June 2013, achieve the goal set of 20/1000 by 2035. This initiative which comprises of interventions and a robust communication campaign will be implemented in all states with a specific focus on 184 high priority districts, selected on the basis of the health and social indicators for children and their mothers. 82 districts have been allocated to UNICEF lead, where we need to provide technical support to accelerate implementation of the RMNCH+A strategy. This will require capacity building at district and state level of Government, partners and UNICEF to evidence based planning and programming.

To provide technical support in the implementation of this campaign in the State of Bihar, it is proposed to appoint a Consultant for the period of three months.

Objective


UNICEF as Key Technical Support agency, will provide technical assistance to the HPDs in the form of staff time, consultants or district monitors – as appropriate and relevant. This specific support will aim at building capacity of the district health managers/supervisors to:

  1. Support district level process – gap analysis and decision for strategic shift and design for block level monitoring

  2. Carry out regular data/bottleneck analysis,

  3. Better plan and budget based on evidences,

  4. Supportive Supervision and on the job coaching

Major Tasks


The following major tasks will need to be completed:


Provide Technical support to State and District team in the district monitoring process.

I. Support district and block level process- gap analysis and decision for strategic shifts, and design for block level monitoring

The above mentioned key activity includes the following sub-activities:

  • Data  completion and validation, initiation of bottleneck identification jointly with RPMU, DPMU, District M&E Officer and DPs and their CTA Technical Focal Point/Consultants

  • Support DPMU, District M&E Officer and DPs and their CTA Technical Focal Point/CTA Technical Focal Point/Consultants to identify district and block level bottlenecks

  • Support to design strategies to overcome district and block bottlenecks

  • Assist in developing district feedback to district collectors and district officials and state level feedback on district exercise to validate methodology and outcomes

  • Support to district consultation of all HPDs gap analysis

  • Planning activity implementation aligned with district action plan


  1. Routine/regular Data/bottleneck analysis:


Support district DPMU, District M&E Officer, DPs and partners to regularly map, collect, and update health data using various sources including HMIS, surveys, MCTS, SABLA etc.

Using the available information/data, periodic support will be provided to district level Health Managers/Supervisors and partners to carry out gap/bottleneck analysis at block and district level. In addition, district level officers and health care providers will be supported to improve quality of data (HMIS data entry at health facility level and analysis at district level). The assigned consultant will work for improving the reporting system and performance of the frontline workers through suggesting corrective measures. Regular feedback will be provided to state on the results of the gap/bottleneck analysis.

In addition, adequate support will be provided to district Health Mangers/Supervisors to plan, implement and monitor capacity building sessions on data management and analysis to health care providers, data entry staff, frontline workers supervisors, and health supervisors.

  1. Contribute to Evidence based planning and budgeting of district PIPs

Using the results of the gap/bottleneck analysis, supportive supervision and consultation with experts, evidence based planning and budgeting in the context of developing Programme Implementation Plans (PIPs) of the related district/districts will be supported.

  1. Contribution to Supportive Supervision and on the job coaching


Support will be provided to district Supervisors and partners in planning; carrying out supportive supervisions of the health facilities at all levels specially the ones with poor health indicators (coverage and quality) on quarterly or monthly basis as per requirement. In addition, adequate District Health Supervisors will be supported in compilation, reporting and dissemination of the supportive supervision results at all levels and using these results in improving the planning and budgeting process. In addition, on the job training and coaching to health care providers will be integral part of supportive supervisory visits to health facilities and front line workers. The assigned focal point/staff or monitor will periodically participate in district and block level review meetings to connect the results of the supportive supervision with the perspective of the staff members and ensure capacity building.


DELIVERABLES:

  1. For state/district level preparation and initial gap analysis stage:


    1. Data compilation and validation done; initiation of bottleneck identification jointly with DPMU, District M&E Officer and DPs and their CTA Technical Focal Point/Consultants.

    2. In collaboration with DPMU, District M&E Officer and DPs and their CTA Technical Focal Point/Consultants, block and district level bottlenecks identified

    3. Strategies to overcome district bottlenecks identified/available

    4. District feedback developed/presented to district collectors and district officials and state level feedback on first district exercise to validate methodology and outcomes

    5. State consultation of all HPDs gap analysis (district profiles available, score cards prepared up to block levels, presentations for CTA consultations developed, bottleneck analysis carried out in consultation with WASH, Nutrition and C4D)

    6. Validation of block gap analysis and consensus building on district action plan and monitoring framework


  1. Regular/periodic  reports on results of gap/bottleneck analysis presented to district collectors, state level health authorities and partners - quarterly basis

  2. PIPs including district budget reflect the results/recommendations of gap/bottleneck analysis- six monthly basis

  3. Evidence available on improved quality of services at health facilities and by frontline workers (analysis of “before” and “after” indicators for health facilities) – on quarterly basis


Estimated duration of assignment


The assignment would be for a period of 3 months.

Duty Station & Travel:


Patna, Bihar with official travel to HPDs of Bihar and other districts


End Product


  • Bottleneck Analysis report including process documentation for each district

  • Separate District Plan of Action as per High Priority District (HPD) guideline developed for 3 HPD districts

  • Block/district monitoring report- Implementation of key intervention along the life cycle approach

  • Monthly progress report on support provided to State RMNCH+A Unit (SRU)


Payment Terms


Full payment on receipt of deliverables/end products.

Qualifications & Experience required


  • Medical Graduate with a Master’s degree in Community Medicine

  • Familiarity with RMNCH+A interventions

  • At least Five years of professional experience in management of public health programs

  • At least Two years of experience of implementation and management of Public Health programmes at state level position in Bihar.

  • Good Knowledge and understanding of Govt Health system of Bihar

  • Past experience of conducting Bottleneck Analysis and Strategic planning

  • Good Experience of monitoring and evaluation.  

  • Evidence based experience in research activities with publications in outstanding journals

  • Prior experience in Quality Assurance would be preferred

  • Experience and familiarity with Indian health systems

  • Excellent communication skill; and proven expertise to write analytical reports

  • Excellent command of English, written and spoken;

  • Team builder and player

  • Computer skills proficiency, both in usual MS Office application, data analysis


Application Procedures


(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 indconsultants@unicef.org by COB 23rd October 2013 with subject line "State Consultant for Call to Action - RMNCH+A, Bihar" 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. (download)

(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.



 

 
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