District RMNCHA - Tiruchirapalli, Ariyallur, Perambalur, Tamil Nadu
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 data Tamil Nadu has under five mortality rate of 27 and has a Maternal Mortality Ratio of 97. SRS 2012 reports an Infant Mortality Rate (IMR) of 21 per 1000 live births.
Tamil Nadu has 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 state 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.
In Tamil Nadu and Kerala, 10 districts have been identified as High Priority Districts under Call To Action.
The 7 High priority districts in Tamil Nadu are: Krishnagiri, Madurai, Vellore, Tiruchirappalli, Thirunelveli, Thiruvannamalai and Virudhunager. Recently at the state RMNCHA launch on 22nd November 2013 the trifurcated districts of Trichy who car Ariyalur and Perambalur have been included as part of High Priority Districts as per the criteria of selection.
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 10 High priority districts in the states. 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 District level monitor/ consultant to be placed in Tiruchirappalli to monitor Perambalur, Ariyalur and Tiruchirappalli districts under RMNCHA interventions.
2. Duty Station:
Consultant 1- To be placed in DPH/NRHM Tiruchirappalli District RMNCHA Unit (DRU) to monitor the progress of RMNCHA interventions in Trichy, Perambalur and Ariyalur.
Travel within the High Priority Districts of Trichy, Perambalur and Ariyalur and if needed to travel to DPH/NRHM/ and UNICEF Chennai or other HPDs in TN.
3. Supervisor: DDHS Trichy for day to day monitoring and 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. To be jointly monitored by UNICEF and NRHM.
4. Basic Project Objectives:
The consultancy will support the following High Priority Districts of Trichy, Ariyalur and Perambalur in Tamil Nadu 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).
ii. To facilitate district level gap analysis and block monitoring as per RMNCHA guidelines of GOI.
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 SRU Chennai.
iv. To facilitate evidence and need-based dissemination of RMNCHA guidelines.
v. To coordinate with Civil Society partners like SEUF to conduct WASH facility assessment.
vi. To coordinate with private sector like IMA, IAP and FOGSI to disseminate and develop district specific actions under RMNCHA.
vii. To develop district level HMIS based score cards based on GOI guidelines on a quarterly basis under RMNCHA
viii. To support UNICEF in conducting the EVM assessment and monitoring of cold chain management for strengthening Routine Immunisation.
ix. To support UNICEF in strengthening capacity building of Facility and Home Based New Born Care.
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.
xi. To support UNICEF in monitoring the implementation of IMNCI and perinatal, infant and maternal death audits.
xii. To support UNICEF in implementation and monitoring specific child and adolescent interventions in coordination with Health and ICDS.
xiii. To support UNICEF in mapping private sector services for Maternal and Newborn Care and supporting NRHM in PPP initiatives.
5. Major tasks to be accomplished- in Trichy, Perambalur and Ariyalur districts:
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 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 RMNCHA interventions in Trichy, Perambalur and Ariyalur:
*Additional tasks under RMNCHA will 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 Trichy, Perambalur and Ariyalur and if needed to Chennai UNICEF and SRU/NRHM DPH and for cross learning to other HPDs in Tamil Nadu.
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.
(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 email@example.com by COB 29 January 2014 with subject line "District RMNCHA - Tiruchirapalli, Ariyallur, Perambalur, Tamil Nadu" in separate files:
a) An application letter, CV and P11 form in PDF format (which can be downloaded from our website at http://www.UNICEF.org/india/overview_1440.htm)
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.