Careers at UNICEF

Careers at UNICEF


State RMNCHA - Maternal & New Born Care, Trivandrum, Kerala

1.         Background and Purpose:


1.1 The global movement ‘A Promise Renewed’ for Child Survival was launched in Washington almost a year ago, by UNICEF and USAID, to advance child survival in countries with the largest child mortality globally. India being one of the countries with the largest burden of Child Mortality, Government of India launched “Call To Action” for Child Survival and Development in early February 2013, calling every state in the country to set clear objectives for significant reduction in child mortality within a three year horizon to be able to reach the global targets (MDG 4: U5MR of 38).


Over a two decade period, the country also saw a 63 point decline in child mortality from 118 to 55, between 1990 and 2011. India has seen no polio cases in the past 2 years. However, the progress is not shared by everyone in the country. Despite India's impressive progress, disparities remain between States, within States, between districts and between different castes and religions with a particular disadvantaged situation for Scheduled Castes, Scheduled Tribes and Muslim communities. 


GoI has elaborated a comprehensive RMNCH+A strategy (Reproductive, Maternal, Neonatal, Child Health + Adolescent Strategy) to guide action to accelerate reduction of maternal and child mortality, with focus on the most deprived population.


Call to Action envisages that all children in high priority districts will have full access to Water and Sanitation, Nutrition, HIV and Health Services.


Call to Action also prioritizes catalysing and ensuring improved Household Practices to increase uptake of the above services. A key thrust would be around changing social norms and social practices, empowering the most at risk communities to realize their right to quality services and practices.


Call to action envisions three continuum of care themes for action:


•           Along the life cycle- Adolescents, Mother, Neonate and Child.

•           Community- Outreach-Facility Continuum

•           Continuum of Care- (Promotive-Preventive- Curative Interventions)


According to SRS 2010 Kerala Under Five Mortality Rate of 15 per 1000 live births and a Maternal Mortality Ratio at 81 per 100,000 live births. The Infant Mortality rate of Kerala is 13 per 1000 live births.


Kerala have shown considerable progress in the key Maternal, infant, newborn and child mortality indicators compared to other high focus states in India. However, there are disparities within the states with the presence of back ward tribal blocks and poor performing districts. There is a need to further bring down the neo natal and perinatal mortality rates by improving quality and coverage of services to most deprived populations and addressing tribal and back ward blocks. Recent Infant Deaths in Attappady call for block and district specific action plans to bring about a further  reduction in Kerala.


In Tamil Nadu and Kerala, 10 districts have been identified as High Priority Districts under Call To Action. The 3 High Priority Districts (HPDS) in Kerala are: Pallakkad, Kasargod and Mallapuram. In a recent meeting on 21st June 2013 GOI agreed to add Wayanad to the list of HPDs in Kerala.

These districts have been selected based on key indicators from the National Child Survival Score Card, Health Management Information System (HMIS) data on maternal, infant, neonatal, and Under five mortality, performance of key antenatal, Intrapartum and post natal, family planning and adolescent health and nutrition services for Maternal and Child Health (MCH) Care and presence of blocks with hard to reach areas, most vulnerable populations and pockets of multiple deprivation in terms of access, coverage of services and quality of services.


1.2 Ministry of Health and Family Welfare (MOHFW), Government of India (GOI)  has developed the Strategy document for Reproductive Maternal New Born Child Health plus Adolescent (RMNCH+A). Under Call to Action the states need to ensure the implementation of RMNCH+A strategy across the state with focus on the Key high Priority districts. UNICEF is responsible as a lead partner to provide technical assistance to 81 high priority districts in 10 states in the country. UNICEF office for Tamil Nadu and Kerala is the lead partner to provide technical assistance to the 3 High priority districts in Kerala. Furthermore MOHFW has provided the states with detailed guidance notes on following key steps for the state to ensure the implementation of the RMNCHA strategy in the high priority districts. 


These include:


i.          Development of State and District RMNCHA Unit(SRU)

ii.         Development of State Unified Team (SUT) including participation from Academia, Development Partners and State and district counterparts.

iii.        Conducting District Level Gap Analysis in all High Priority Districts (HPDs).

iv.        Developing District profiles and identifying high priority blocks.

v.         Conducting quarterly block monitoring and supportive supervision for key MCH care services at facility and community level.

vi.        Developing district and block level score cards based on HMIS data on a quarterly basis.

vii.       Fostering intersectoral convergence under the leadership of district collector to achieve key indicators for the districts and blocks for Health, Nutrition, HIV and Water and Sanitation programmes.

viii.      Identifying and fostering partnerships with Development partners active in the state to be part of State and district monitoring units.


1.3 UNICEF Office for Tamil Nadu and Kerala provides Technical Assistance to the governments of Tamil Nadu and Kerala in various sectors to improve the quality of life of children in the two states.  The Health RWP 2013-14 reflects TA to the governments for MNCH continuum of care, specifically under the Call to Action Agenda for Child Survival. This includes supporting the state in conducting District and Block Level Gap Analysis, Block monitoring visits, developing district level profiles and HMIS based score cards.


1.4: With the above background in mind UNICEF office for Tamil Nadu and Kerala is looking for one District Level consultant to be located at Pallakkad District RMNCHA Unit (DRU) in Kerala to monitor implementation of RMNCHA interventions in Pallakkad.


2.         Duty Station:   NRHM District RMNCHA Unit  (DRU) Mallapuram


District Level Consultant – To be located at District Programme Management Unit for RMNCHA in Mallapuram. To be jointly monitored by NRHM and UNICEF Chennai.

Travel within the districts of Mallapuram and Wayanad and if needed to other RMNCHA districts in Kerala and other UNICEF focus states for cross learning.


3.         Supervisor:   Quarterly Monitoring by Health Specialist UNICEF office for Tamil Nadu & Kerala located at Chennai (for technical issue of Health & Nutrition) and PCR 1 Manager/ Chief of office UNICEF Chennai. Day to Day Monitoring District Programme Manager NRHM to be jointly monitored by UNICEF and NRHM.


4.         Basic Project Objectives:


The consultancy will support the following High Priority Districts of Mallapuram and Wayanad in Kerala to achieve key results under RMNCHA programme;


i.          To coordinate with District Collectors, District Programme Manager NRHM, other district stakeholders from HIV, ICDS, WASH programmes, Civil society partners, Medical colleges to conduct and document quarterly progress monitoring meetings of District RMNCHA Unit (DRU) in Mallapuram and Wayanad.


ii.         To facilitate district level gap analysis and block monitoring as per RMNCHA guidelines of GOI in Mallapuram and Wayanad.


iii.        To facilitate evidence based block specific action plans and incorporate them at state NRMH PIP in coordination with UNICEF and State RMNCHA consultant in Trivandrum.


iv.        To facilitate evidence and need-based dissemination of RMNCHA guidelines in Mallapuram and Wayanad district.


v.         To coordinate with Civil Society partners like SEUF to conduct WASH facility assessment in Mallapuram and Wayanad District.


vi.        To coordinate with private sector like IMA, IAP and FOGSI to disseminate and develop district specific actions under RMNCHA in Mallapuram and Wayanad district.

vii.       To develop district level HMIS based score cards based on GOI guidelines on a quarterly basis for Mallapuram and Wayanad districts under RMNCHA/


viii.      To support UNICEF in conducting the EVM assessment and monitoring of cold chain management for strengthening Routine Immunisation in Mallapuram and Wayanad.


ix.        To support UNICEF in strengthening capacity building of Facility and Home Based New Born Care in Mallapuram and Wayanad districts.


x.         To support UNICEF in identifying evidence based actions for improving quality of Ante-natal Intrapartum and Post- Partum Interventions with focus on equity in most vulnerable blocks of Mallapuram and Wayanad districts.


xi.        To support UNICEF in monitoring the implementation of IMNCI and perinatal, infant and maternal death audits in Mallapuram and Wayanad.


xii.       To support UNICEF in implementation and monitoring specific child and adolescent interventions in coordination with Health and ICDS in Mallapuram and Wayanad.


xiii.      To support UNICEF in mapping private sector services for Maternal and Newborn Care in Mallapuram and Wayanad districts and supporting NRHM in PPP initiatives.



5.         Major tasks to be accomplished- in Mallapuram & Wayanad in line with the above:


         Facilitate and document Dissemination of RMNCHA guidelines in coordination with UNICEF, NRHM/DPH and State RMNCHA Unit (SRU) consultants.


         Facilitate and document formal meetings of District RMNCHA Unit (DRU).


         Facilitate and monitor District Gap analysis and block monitoring based on RMNCHA GOI guidelines.


         To foster convergence and linkages for key RMNCHA interventions between Health, HIV Nutrition and WASH programmes across the continuum of care at the district and block level.


         To coordinate with other development partners, stakeholders like Panchayati raj institutions, tribal welfare, Civil society organisations, international and local NGOs working and private sector ( IAP, IMA, FOGSI)  Health, Nutrition, HIV and Water and Sanitation  for implementation of RMNCHA at district and block level.


         To document the good practices and develop cross learning visits between the HPDs of TN in consultation with UNICEF for RMMCHA strategy.


         To support UNICEF in implementation of Facility and Home based New Born Care including IMNCI interventions.


         To support UNICEF and DPH/NRHM to strengthen Routine Immunisation through Cold Chain Management Monitoring, Monitoring of Adverse Effects following Immunisation (AEFI) at district and block level.


         To monitor District implementation to improve quality of services monitoring of New Born Care Corners (NBCC), New-Born stabilisation Units (NBSU) and Specialised New Born Care Units (SNCUs) and Labour Rooms at the district and block facilities.


         To coordinate with Panchayati Raj and monitor implementation of Village Health Nutrition Sanitation Committees(VHNSC) and Village Health Nutrition Days in most vulnerable blocks.


         To monitor the quality of Antenatal, Intrapartum and Post Natal Care at District and Sub District facilities.


         To monitor the implementation of Reproductive Child and Adolescent Health schemes and interventions in the districts.


         To monitor the implementation of Facility and community based IMNCI and Home Based New Born Care in select blocks in HPDs.


         To monitor referral transport and linkages in hard to reach blocks for accessing services.


         To monitor the district level processes and data on Maternal and Infant Death Review and provide recommendations to strengthen the same.



6.         Deliverables (End Product)/ Reports on tasks in Mallapuram and Wayanad for payment schedule of consultant:


Month/ Quarter



Quarter -1 - First Month



Advocacy meeting with key stakeholders - Health, HIV, CDN and WASH under chairpersonship of District Collector to disseminate key actions under RMNCHA for the district

Meeting minutes highlighting status of district and follow up action points under RMNCHA


Meeting with Development Partner District level -Key interventions identified by Development partners outlining Plan of Action for Development  Partners on CTA RMNCHA - under Chairmanship of District collector

Meeting minutes highlighting thematic interventions  for RCHA and plan of action of development partners for CTA in select HPD


Plan for Gap Analysis in select HPD  with support from State RMNCHA Consultant, UNICEF programme specialists , District Collector and DDHS/ DMCHO and Developing partners

Document the plan of action for gap analysis for Select HPD with timelines , methodology and steps and implementing partners


Identify suitable private sector / corporate partners like IAP,FOGSI, IMA and corporates to support RMNCHA implementation in the district

List and mapping of Private sector partners including corporates with key focus area and block wise presence documented.

Quarter -1- Second Month



Develop a Plan of Action for dissemination of RMNCHA guidelines in the HPD along with DDHS/DMCHO and Development partners

Micro plan for Training and capacity building of District officials on RMNCHA guidelines and action points


Secondary data review of HMIS/ MCTS, HIV, Nutrition and WASH  data for  district- to develop Block Wise HMIS Score cards

Draft Block Wise HMIS Score Card available for select HPD


To Develop District level profile using district and block data in GOI formats

Block wise District profile report available


 Field Monitoring

Field Visit reports to review  status in select blocks

Quarter -1- Third Month



Coordinate with development partner conducting Gap Analysis in select HPD and monitor progress in Blocks and facilities

Progress report of Gap analysis in self HPD block wise


Corporates sensitized on CTA to focus on evidence based RMNCHA strategic plans

Minutes on Sensitization meeting  for corporates on RMNCHA


District RMNCHA Unit (DRU) meeting held - with key recommendations of actions on way forward for RMNCHA implementation, block monitoring and gap analysis in select HPD

Minutes of SRU meeting available. Final first quarter block wise score card published.


 Field Monitoring

Field Visit reports to select blocks within the HPD to review status of Gap Analysis

Quarter -2- Fourth Month



Develop plan of action to conduct Block Monitoring and Supportive supervision to facilities- jointly with District Collector, DDHS, DMCHO and HIV and ICDS PO/CDPOs to select facilities and blocks

Plan of action for quarterly block monitoring visits with micro plan developed and endorsed by DDHS/District Collector


Monitor and review he status of implementation of Village Health Nutrition and Sanitation Committee (VHNSC) and Village Health and Nutrition Day in the select blocks in HPD

Review report on status of VHNSC and VHND  block wise


Field monitoring

Field visit reports to monitor VHNSC and VHND in blocks within HPD

Quarter -2- Fifth Month



Capacity building plan for Medical Officers/ Staff nurses/ frontline workers outlined based on gap analysis recommendations

Plan document on HR and Capacity building available for HPDs with focus on key RMNCHA interventions


System Strengthening Plan - Supportive Supervision for facility based and community based interventions planned

Document revised guidelines to conduct Adolescent Friendly Reproductive Sexual Health Clinics in HPDs


Field monitoring

Field Visit reports to select HPDs to review status of capacity building plans

Quarter -2- Sixth Month



Review status of implementation of schemes like  JSY, JSSK, RBSK at district and block level

Brief Status report on Review of implementation of key schemes block wise


Review status of implementation of  Facility Based New Born Care - through monitoring of SNCU, NBSU and NBCC block wise

Monitoring reports of SNCU, NBSU and NBCC block wise


review status of implementation of F-IMNCI and Home Based New Born care

Monitoring & Status reports of F-IMNCI and Home Based new born care programmes


monitor status of Cold Chain monitoring, AEFI monitoring and surveillance of coverage of Hep B birth dose, Pentavalent vaccine and Measles 2 in select blocks and review of micro plans for out- reach immunization

Block Monitoring and status reports on Routine Immunization at facility and outreach level.


Finalize 2nd Quarter Block wise HMIS based Score Card

2nd Quarter Score Card block wise published

Quarter -3- Seventh Month



Review status of Maternal and Infant Death review implementation block wise

Block wise status report on Maternal and Infant Death review updated to state NRHM/DPH and UNICEF


Review of implementation of Rashtriya Bal Swasthya Karyakram ( RBSK)  and JSSK at HPD

Status review report on RBSK with key recommendations for strengthening select HPD


Mapping of most at risk vulnerable adolescents block wise in Tamil Nadu

Documenting the mapping of most at risk vulnerable adolescents in select HPD


review status of Adolescent Anemia prevention programme, Adolescent Reproductive Sexual health Clinics (ARSH)  and Menstrual Hygiene Management programme in select HPD

Status review report on Adolescent Anemia and MHM programme in select HPD block wise

Quarter -3- Eighth Month



Review the status of PPTCT , EID and RCH linkages block wise in select HPD

status report of  PPTCT and RCH linkages block wise in select HPD


status review of Children Living with HIV on ART block wise

Status report of Children living with HIV block wise


Meeting with Panchayati Raj Institutions, CDN , WASH and Social welfare to monitor community feedback on key RMNCHA interventions


Block Monitoring Visits

Block monitoring Field Trip Reports

Quarter -3- Ninth Month



Update District- Block Wise Score Card using HMIS/PICME data

Block Wise score Card  published for the quarter


Quarterly District RMNCHA unit Meeting held under chairperson ship of collector

Minutes with key action points updated


Block Monitoring reports on Key actions of Development partners

Field Visit reports for Block Monitoring reports with development partners




Quarter -4- Tenth Month



Follow up on Capacity Building Plan under RMNCHA

Follow up report on Action plan select HPDs


Follow up System Strengthening Plan under RMNCHA

Follow up on block monitoring reports for RMNCHA


Follow up on area specific block plans documented in District and state PIP

Documented areas specific block plan  in state PIP

Quarter -4- Eleventh Month



District RMNCHA meeting

District RMNCHA meeting


Block level score card updated

Block Level score card updated for 4 quarters


Final Report with action plan and recommendations for state and UNICEF for 2015 plan on RMNCHA

Final report


Cross learning visits between Tamil Nadu/ Kerala and other RMNCHA districts with UNICEF Lead partner on sharing progress

Cross learning visit reports


Additional Tasks if needed under RMNCHA can be carried out in consultation with UNICEF

7.         Estimated duration of the contract: Duration 11 months


8.   Official travel involved  (Itinerary and duration)


Maximum of 7-10 days travel in a month within the High Priority Districts of Mallapuram and Wayanad and when needed to Trivandrum and Chennai and for cross learning to other HPDs in Kerala/TN and other UNICEF RMNCHA focus states.


9.   Qualifications/Specialized knowledge/Experience required


•     Bachelors of Medicine and Surgery (MBBS) along with Advanced degree in Community medicine, Paediatrics, Obstetrics, Masters in Public Health. Additional fellowship Programme management, research and evaluation will be an asset.

•     For district level MBBS with MPH or MSW with Masters in Public Health/ Programme management, Research and evaluation will be considered.

•     A minimum of 5 years of experience at district level of programme management for key Health interventions specifically facility and community based maternal new born care, Routine immunisation, IMNCI, HIV PPTCT and Anaemia prevention and control

•     Experience on coordination with district level officials, nodal departments of health, nutrition, HIV and WASH, tribal departments, district collector, and communities and civil society is an asset.

•     Knowledge of RMNCHA interventions, Call to Action for Child Survival agenda is a must.

•     Knowledge of national guidelines on Maternal New Born Care, Routine Immunisation is essential.

•     Knowledge and understanding of research methodologies will be an asset.

•     Good track record demonstrating managerial skills and experience in administration of Public Health programs.

•     Good analytical skills and ability to draw lessons learned and apply them to take corrective steps in project implementation when required.

•     Good knowledge of the NRHM, ICDS and HIV and WASH programmes Kerala.

•     Excellent participatory training and orientation skills.

•     Excellent inter personal communication and advocacy skills.

•     Excellent documentation and reporting skills.

•     Excellent knowledge of computer MS office and data management skills.

•     Knowledge of local languages would be an asset.


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 by COB 29 January 2014 with subject line "District RMNCHA, Mallapuram, Wayanad, Kerala" in separate files:


a)         An application letter, CV and P11 form in PDF format (which can be downloaded from our website at


b)         A financial proposal in PDF format 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)        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.


(5)        Joint applications of two or more individuals are not accepted.





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