National Consultant - UN Agency

Job Type	Full Time
Job Sector	NGO/Development
Deadline	28 December, 2021

E-Zone HRM Limited is a management consulting group providing one-stop solutions to clients who seek improved and sustainable profitability through the effective use of their people and resources. We specialize in delivering innovative and value added services that promote revenue growth and cost containment.

E-Zone HRM Limited has a formal agreement with one of the United Nations Agency to provide outsourcing services under a third party contract.

E-Zone HRM Limited is now accepting applications from Bangladeshi Nationals for the following vacancies under third party outsourcing contract modality:

National Consultant (Newborn, Child and Adolescent Health)

Duty Station: DGHS and DGFP of MOH&FW
Contract Duration: 11 months period (1st Jan 2022- 30 Nov 2022)
Number of Vacancies: 1 (One)
Contract Type: Contract with E-Zone
Contract Start Date: 1st January 2021
Reporting to: Health Specialist UN Agency, Bangladesh

A. Purpose:

The purpose of hiring national consultant is to provide technical assistance to MOH&FW/DGHS/DGFP for accelerating the activities of newborn and child health including Adolescent Friendly Health services and supporting the zonal offices to guide in monitoring and mentoring of the key services for newborn & Child health and adolescent. The consultant will work for the UN Agency supported districts and supporting routine newborn, child and Adolescent Health activities including the new intervention like Day care approach for pneumonia, ECCD, NCD, ROP in other projects in coordination with other ministries.

This consultancy will contribute to incorporate findings from MTR review and operationalize essential newborn, child and adolescent service related key activities like Essential newborn care, small and sick newborn management in SCANU and KMC, IMCI with special focus on Pneumonia, oxygen ROP etc component of National newborn health strategy and Bangladesh every newborn action plan and AFHS and psychosocial counselling for adolescent under National Adolescent action plan to achieve the results of 4th HPNSP for the ultimate improvement of the quality of care in NB, CH and AH services.

B. Background :

UN Agency Bangladesh Country Office is supporting the Ministry of Health and Family Welfare (MOH&FW) for the implementation of the National Newborn Health programme (NNHP) and initiating Strengthening IMCI and Newborn Services by Improving Small and Sick Newborn and Paediatric Quality of Care. With support from UN Agency and other partner, DGHS has introduced EMEN QI standards for mother and newborn. To strengthen the skill and capacity of newborn and paediatric health staff, country wide ETAT and IMCI training has been provided. But still the major challenges are Skilled health workforce for proper assessment and case management of hypoxemia among sick newborn and child as per WHO protocol and Proper monitoring of hypoxemia management of the Newborn and Under-five to prevent "HARM".

Recently DGHS has developed the National newborn health strategy and under development of National newborn action plan. Though, Bangladesh is a globally recognized case of success in achieving progress in maternal and child health, the Neonatal mortality has stagnated with a very slow reduction and contributing to 70% of under-five mortality. Also still Pneumonia is the biggest killer for under five death in which the care seeking behaviour is still low. The major challenges are inadequately equipped facilities, including energy, water supply and hygiene requirements, insufficient availability of skilled human resources, lack of accountability and poor quality of care. There is no evidence-based action by the health managers to improve the situation. The out of pocket expenditure is significantly high as the private sector plays key role to serve majority of the population. The proven effective interventions for maternal health are not implemented systematically, and the delivery of service package by level remains unclear, whereby efficient use of health care force is suboptimal. There is an urgent need of an implementable action plan for executing the national strategy by different level of health care facilities, with 'rightsizing' of care and health workers is practiced.

The Government of Bangladesh, with support from UN Agency, started a joint programme with icddr,b in 2015 to test the Day Care Approach (DCA) as a safe and more affordable alternative to hospital management of severe childhood pneumonia with or without malnutrition. The trial provided solid evidence that children with severe pneumonia can be successfully treated through DCA in both rural and urban settings in Bangladesh by comparing the quality of care and treatment outcomes between hospital (control) and DCA (treatment) group. Based on the positive evidence, the initiative is going to be implemented in two districts and three city corporation. This result will support to generate evidence for further scale up of the DCA for children with severe pneumonia with or without severe malnutrition within the health system of Bangladesh in the country through MNCAH operational plan. To provide the services in the selected day care facilities, the capacity of health service providers must have clear knowledge and skills on management and supervision. Therefore, GoB is taking steps to develop protocols and guidelines for management of severe pneumonia with or without severe malnutrition in line with existing IMCI module. UN Agency will provide technical assistance for development of these protocols and guidelines and training modules for health service providers and health facilities and will provide technical support for implementation of DCA through capacity building of service providers and health managers, monitoring and mentoring of services.

The current COVID-19 has further hampered the implementation process of the routine activities. The utilization of the services has decreased by 50% or more in many services. While the impact of COVID-19 pandemic and suppression measures like lockdowns may have reduced the transmission, it has affected the economic and social activities in the country. It has caused reduced access and utilization of essential services, especially for the vulnerable populations of women, newborns, children and adolescents and persons with disability. Due to indirect adverse effects of COVID-19 on both the supply and demand of critical and essential health services, there is a clear risk of an increase in maternal, newborn and child mortality as predicted by the experts. The Lancet medical journal estimates that if there is a further reduction in health services in Bangladesh, more than 28,000 children under the age of five could die within the next six months.

UN Agency's global Gender Action Plan, 2014-2017 and UN Agency Global Health Strategy 2016-2030 has identified adolescent health as emerging priority and calls for 'Promoting gender-responsive adolescent health'. Adolescent Health is one of the priority in UN Agency country program 2017-2022. In this backdrop, UN Agency Bangladesh has designed and implemented a comprehensive gender-responsive adolescent health program for the first time in UN Agency Bangladesh in consultation with MOH&FW (DGFP & DGHS), City Corporations and other partners since mid – 2014. Under the project, UN Agency supported MOH&FW to develop SOP on Adolescent Friendly Health Services (AFHS), initiated comprehensive Adolescent Health Strategy, developed evidence based AFHS plans in four districts and two city corporations, provided TOT to 65 MOH&FW managers from sub national levels, trained 300 public service providers on AFHS and initiated AFHS readiness in 100 government health facilities as well as established model AFHS clinic in one urban NGO in Dhaka city. To implement AFHS, a multisectoral approach is recommended including the other important ministries like MOWCA, MOI and MOE. The consultant needs to liaison with the important stakeholders to have the maximize the impact.

As such, this TOR has been developed to engage a consultant at National level to supplement capacity of the respective operational plan to strengthen and initiate he services for newborn, Child and adolescent health.

C. Objectives, Purpose and Expected Results:

The objective of hiring national MNCAH consultant is to provide technical assistance to MoH&FW/DGHS/DGFP/ MOE/ MOWCA for smooth implementation of the newborn, Child and adolescent health activities and its linkage with the other ministry.

This consultancy will contribute for operationalization of the key activities of National newborn action plan and action plan of National Strategy for Adolescent Health along with the other ministry and ultimately achieve the results for improving the quality of care for newborn, Child and adolescent health services.

D. Description of Assignment:

The newborn, Child and Adolescent consultant will perform the specific tasks from the operational plan of MNCH and MCRAH. The consultant will be based in the DGHS and partly in DGFP. He/she will be responsible for coordinating with the MOLGRD, DGFP, Health Service Management, Upazila Health care, MIS and DGNM to facilitate implementation and collaboration with MOH&FW/DGHS/DGFP, UN Agency, UNFPA, WHO, professional bodies and other partners.

The consultant will help the program managers in identifying the key effective intervention and provide technical assistance for effective implementation of the newborn, Child and adolescent health interventions. The consultant will mainly work operationalizing DCA for pneumonia, IMCI, oxygen management for hypoxemia, ECCD and AFHS along with the DGHS and DGFP. The second key activities are implementation and monitoring of routine SCANU/KMC and AFHS implementation in the other regular districts. The consultant will collaborate with the BPA, BNF, Society pf Ophthalmology, OGSB and other key partners to strengthening the Newborn and child health intervention and adolescent accreditation system and monitoring of the progress and introduce regular monitoring and coordination mechanism between operational plan and program managers.

E. Deliverables:

Technical support to NNHP&IMCI for capacity development of service providers on Oxygen therapy for hypoxemia management and monitoring of oxygen therapy at facilities
Technical assistance to NNHP&IMCI to finalize the guideline and training module of DAC for pneumonia and roll out training on DCA
Implementation and monitoring of Day Care approaches for management of Pneumonia in selected districts and urban facilities
Technical support to DGHS for implementation of ECCD in model districts and support the implementation research on ECCD
Technical support to DGHS and respective SCANUs for implementation, reporting and monitoring on ROP.
Technical support to HSM and MNCAH for implementation and strengthening of pediatric quality of care
Routine support to HSM and Newborn knowledge centers for quality services in UN Agency supported SCANU
Technical support to implementation of gender-responsive adolescent friendly health services in UN Agency intervention districts and scale up of the AFHS including SRHR services, GBV, mental health and nutrition
Liaison with other ministry (MOWCA and MOE) to integrate other activities related schools and adolescent clubs
Provide support to the DGFP and DGHS to provide training of health workers on the national guideline on AFHS and teacher
Provide technical assistance in development of evidence-based adolescent districts plans to improve demand generation linking with the schools and adolescent clubs
Support to integrate Psychosocial training of the health worker in liaison with the NCDC program of DGHS

Deliverables/Outputs:	Reporting requirement
Deliverable: 1 (1st month) Finalize national guideline and training module for DCA for pneumonia management Initiate DCA implementation in two districts and 3 city corporation Finalize the procurement plan for DCA centres in coordination with DGHS Finalize DCA training plan with NNHP&IMCI and urban health Coordinate with NNHP& IMCI for organizing oxygen therapy training in selected districts Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Finalize the list of the health facilities to establish AFHS in the UN Agency districts Organize TOT training of the all districts on AFHS Organize TOT on Psychosocial training at national level Finalize the procurement list of the AFHS in 68 HF Organize coordination meeting with other ministry (MOWCA and MOE)	DCA guideline and training module finalized Facility prepared in 24 centers for DCA Procurement for DCA center initiated Final Training plan for DCA for pneumonia Training report on oxygen therapy and adolescent training RRT visit and clinical session report Final list of the AFHS Processed the procurement for UN Agency districts Develop activities integrating with other ministries
Deliverable: 2 (2nd month) Support NNHP& IMCI for endorsement of national guideline and training module on DCA for pneumonia Facilitate TOT on DCA at national level Facilitate NNHP&IMCI for training of service providers for 24 DCA centres Support District ZHO and Urban health officer for facility readiness and initiate implementation DCA for pneumonia Support district MNH officers to conduct training of oxygen therapy and monitoring checklist for oxygen Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Support District MNH officer for Conduct training on AFHS at the Districts level and upazila level to enable AFHS services Establish the HMIS for adolescent at the districts and upazila for reporting Organize psychosocial training of the HW to provide counselling on mental health Ensure the logistics for the DCA center and AFHS and organize DEPB workshops and developed plan for all upazilas	Status report on training of DCA, oxygen therapy and AFHS Training on HMIS for Newborn, IMCI, DCA and AH reporting in DHIS-2 RRT visit and clinical session report Report on facility readiness on DCA and AFHS readiness DEPB on adolescent health
Deliverable: 3 (3rd month) Support NNHP&IMCI to organize a progress review meeting with implementing facility managers from districts and Urban facilities on DCA for pneumonia management Facilitate NNHP&IMCI to organize quarterly divisional progress review meeting on newborn and child health Organize monitoring visit to the pilot districts with NNHP&IMCI Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Support MNH officers to ensure initiation of Oxygen monitoring checklist at UN Agency supported districts and in SCANU and paediatric ward Organize AHCC coordination meeting at national level Support the DGHS and DGFP to scale up AFHS in other districts Provide training for teachers and peer leaders on AFHS Finalize DEPB plan and release fund from the zone office Organize MOE for teachers training for improving sensitization among schools	Meeting reports on DCA coordination meeting Meeting report on divisional progress review meeting on NB & CH Field monitoring report RRT visit and clinical session report Report on the AHCC Status report on the training DEPB plan for adolescent health Training of teachers on AFHS
Deliverable: 4 (4th month) Support NNHP to organize technical committee meeting to update national IMCI guideline and protocol for inclusion of DCA Coordinate with Urban health managers and Upazila managers for mentoring and implementation of DCA Support NNHP to organize training of Community Health Workers (HA/FWA) for early detection and referral of pneumonia cases to DCA center Coordinate with NNHP& IMCI and NNS for implementation of ECCD in pilot districts Mentoring and monitor NB, DCA and AFHS activities through field visit Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Organize field visit with the government officials Organize progress monitoring of the Adolescent HMIS at the national level Conduct AFHS accreditation visits in the new districts Review activities related to ECM and coordinate		Report on updated of national IMCI guideline Implementation report on DCA Report on ECCD implementation RRT visit and clinical session report # of monitoring visit conducted with field report # of accreditation assessment done Coordinating at national level partners to converse ECM, GVB and schools with the program office.
Deliverable: 5 (5th month) Support ZHO and MNH consultant for implementation of DCA Support NNHP to organize training of Community Health Workers (HA/FWA) for early detection and referral of pneumonia cases to DCA center Organize joint Supervision and monitoring visits with DGHS to DCA center and ECCD pilot area Support NNHP for organizing training of service provider on ECCD and nurturing care Support MNH consultant on timely reporting on NB, IMCI and DCA in DHIS 2 Coordinate with technical partners to finalize the updated IMCI protocol with DCA Organize technical committee meeting for ECCD implementation and progress review Data analysis from DHIS 2 on overall NB, IMCI and DCA reporting and support NNHP&IMCI to take action Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Organize data analysis workshop at the districts and reaching the milestone of UN Agency districts for adolescent client's flow Organize AHCC coordination meeting at districts level Support the DGHS and DGFP to scale up AFHS in other districts Provide training for teachers and peer leaders on AFHS		Training report on community management of pneumonia and nurturing care Progress report on oxygen monitoring and DCA implementation RRT visit and clinical session report NB and Child health analytical report submitted Status report on AHC workshop # of newly established AFHS # of Training of teachers conducted

Deliverable: 6 (6th month) Support NNHP&IMCI to organize a progress review meeting with implementing facility managers from districts and Urban facilities on DCA for pneumonia management Facilitate NNHP&IMCI to organize quarterly divisional progress review meeting on newborn and child health Support NNHP to organize training of Community Health Workers (HA/FWA) for early detection and referral of pneumonia cases to DCA center Support NNHP for organizing training of service provider on ECCD and nurturing care Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Ensure full functional of DCA in selected facilities Ensure full implementation of ECCD in pilot districts Initiate implementation research in DCA centers Ensure full functionality of the 68 AFHS and linking schools with the AFHS Organize meeting at DGHS with full report on the AFHS coverage Field visit for monitoring of activities in adolescent demand generation with the government Accreditation assessment of the AFHS and HMIS workshop on progress monitoring	Review meeting report Progress status of NB, oxygen monitoring, SCANU, DCA and ECCD implementation RRT visit and clinical session report Status report of COVID Response AFHS # of field visits and report in UN Agency districts Status report on HMIS workshop # of AFHS accreditation assessment
Deliverable: 7 (7th month) Organize coordination meeting for Review of Essential Service Package and Essential Medicine List and inclusion of drugs and logistics for Day- care of severe pneumonia Mentoring and monitoring f full functioning of DCA Mentoring and monitoring of full functioning of ECCD Support MNH consultants for ensuring use on oxygen monitoring checklist and online reporting Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Support research organization on implementation research on DCA Organize joint Supervision and monitoring visits with DGHS to DCA center and ECCD pilot area Ensure full functionality of the 68 AFHS and linking schools with the AFHS Organize meeting at DGHS with full report on the AFHS coverage Field visit for monitoring of activities in adolescent demand generation with the government Accreditation assessment of the AFHS and HMIS workshop on progress monitoring	Report on oxygen monitoring, DCA and ECCD status RRT visit and clinical session report Implementation research initiated Status report of COVID Response AFHS # of field visits and report in UN Agency districts Status report on HMIS workshop # of AFHS accreditation assessment
Deliverable: 8 (8th month) Organize coordination meeting for finalize the plan by LD-MNCH for updating Essential Service Package and Essential Medicine List and inclusion of drugs and logistics for Day-care of severe pneumonia Mentoring and monitoring of full functioning of DCA Mentoring and monitoring of full functioning of ECCD Support MNH consultants for ensuring use on oxygen monitoring checklist and online reporting Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Mentoring and monitor AFHS activities through field visit Organize field visit with the government officials Organize progress monitoring of the Adolescent HMIS at the national level Conduct AFHS accreditation visits in the new districts Review activities related to ECM and coordinate	Final draft plan for updated ESP ready with DCA Report on oxygen monitoring, DCA and ECCD status RRT visit and clinical session report # of monitoring visit # of visit conducted # of accreditation assessment done Coordinating at national level partners to converse ECM, GVB and schools with the program office.
Deliverable: 9 (9th month) Support NNHP&IMCI to organize a progress review meeting with implementing facility managers from districts and Urban facilities on DCA for pneumonia management Facilitate NNHP&IMCI to organize quarterly divisional progress review meeting on newborn and child health Support NNHP to organize ECCD coordination committee meeting Support NNHP to organize Mentoring and monitoring of full functioning of DCA Mentoring and monitoring of full functioning of ECCD Support MNH consultants for ensuring use on oxygen monitoring checklist and online reporting Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU Finalize the list of the health facilities to establish AFHS in the UN Agency districts Organize TOT training of the all districts on AFHS Organize TOT on Psychosocial training at national level Finalize the procurement list of the AFHS in 68 HF Organize coordination meeting with other ministry (MOWCA and MOE)	Review meeting report Progress status of NB, oxygen monitoring, SCANU, DCA and ECCD implementation RRT visit and clinical session report Final list of the AFHS Status report on the 2 training Processed the procurement for UN Agency districts Develop activities integrating with other ministries

Deliverable: 10 (10th month)

Support NNHP to organize ECCD coordination committee meeting
Support NNHP to organize Mentoring and monitoring of full functioning of DCA
Mentoring and monitoring of full functioning of ECCD
Support MNH consultants for ensuring use on oxygen monitoring checklist and online reporting
Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU
Mentoring and monitor AFHS activities through field visit
Organize field visit with the government officials
Organize progress monitoring of the Adolescent HMIS at the national level
Conduct AFHS accreditation visits in the new districts
Review activities related to ECM and coordinate

Progress status of NB, oxygen monitoring, SCANU, DCA and ECCD implementation
RRT visit and clinical session report
# of monitoring visit
# of visit conducted
# of accreditation assessment done
Coordinating at national level partners to converse ECM, GVB and schools with the program office.

Deliverable: 11 (11th month)

Support with preparation on World pneumonia day observation
Organize national experience sharing meeting on DCA for pneumonia
Organize national experience sharing meeting on rational use of oxygen for hypoxemia management
Coordinate with BSMMU and HSM on RRT visit plan and clinical session plan with SCANU
Mentoring and monitor newborn, child and AFHS activities through field visit
Organize field visit with the government officials
Organize progress monitoring of the Adolescent HMIS at the national level
Conduct AFHS accreditation visits in the new districts
Review activities related to ECM and coordinate

Workshop report
Progress status of NB, oxygen monitoring, SCANU, DCA and ECCD implementation
World pneumonia day observation report shared with CAP section
RRT visit and clinical session report
Monitoring visit report
# of accreditation assessment done
Coordinating at national level partners to converse ECM, GVB and schools with the program office.

F. Consultancy Costs:

The Consultant will get BDT 225,000 per month consolidated; inclusive all expenses.
The Consultant will be responsible to pay all taxes as per government rules and regulations. E-Zone will make statutory deductions towards income tax as per government rules and regulations.

G. Profile Requirements & Qualification Skills:

Master's in public health or any related subject with at least 5 years working experience with government and UN partners. Working experience in developing countries specially in Newborn, Child and adolescent programming, implementation, gender-based programming, providing training on Child, Newborn and adolescent health.

This position is open for Bangladeshi Nationals only. All candidates, irrespective of gender, religious and ethnic backgrounds can apply for the vacancies.

The UN Agency prides itself as fostering a multicultural and harmonious work environment, guaranteed by a zero-tolerance policy on sexual exploitation and abuse, and on any kind of harassment, including sexual harassment and discrimination. All selected consultants will undergo rigorous reference and background checks.

Candidates with the required profile and proven experience, who meet these qualifications, are invited to submit their application in English clearly mentioning the Job Title along with a meaningful cover letter, updated CV, recent PP size photographby email to: [email protected]

Last Date of Application: 28th December, 2021

Please mention the Applied Position Name on the subject line of your email. No phone calls please. Only short-listed candidates will be contacted. All applications will be treated according to the merit and with strict confidentiality.

Source: bdjobs.com

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National Consultant - UN Agency