Tenders Are Invited For Consultant For Integrated Management Of Childhood Illness Imci

Tenders Are Invited For International Consultant For Integrated Management Of Childhood Illness Imci Vanuatu Unicef Works In Some Of The WorldS Toughest Places To Reach The WorldS Most Disadvantaged Children To Save Their Lives To Defend Their Rights To Help Them Fulfill Their Potential Across 190 Countries And Territories We Work For Every Child Everywhere Every Day To Build A Better World For Everyone And We Never Give Up For Every Child Quality Health And Nutrition ServicesVanuatu Consists Of About 82 Geologically Newer Islands Of Volcanic Origin And 65 Of Them Inhabited Vanuatus Total Area Is Roughly 12 274 Square Kilometers Of Which Its Land Surface Is Roughly 4 700 Square Kilometers Vanuatu Is A Lower Middle Income Country According To The World Bank 2018 1 Vanuatu Has A Total Population Of 270 000 Half Of Its Population Is Aged Under 24 Years Old And Its Annual Birth Cohort Is About 9 000 VanuatuS Infant Mortality Rate Is 28 Per 1 000 Live Births In 2013 2 With An Under Five Mortality Rate U5mr Of 31 1 000 Live Births 3 The Country Did Not Achieve Its 2015 Mdg Targets Either For Infant Mortality Or For U5mr 4 In Response The Vanuatu Government Set New Targets For Child Mortality Under The National Reproductive Maternal Newborn Child And Adolescent Health Rmncah Policy And Implementation Strategy 2017 2020 At 20 For Imr And 25 For U5mr Per 1000 Live Births Respectively To Be Met By 2020 The Global Action Plan On Pneumonia And Diarrhea Gappd Set Specific Targets For Imr And U5mr Due To Pneumonia And Diarrhea Through Improving Coverage For Key Interventions To Be At Or Above At 90 5 Coverage For Life Saving Interventions For Pneumonia And Diarrhea Are Low In Vanuatu For Example The Proportion Of Children With Diarrhea Who Are Given Oral Rehydration Therapy Ort Increased From 54 In 2007 To 62 In 2013 And The Proportion Of Children With Suspected Pneumonia Treated With Antibiotics Also Decreased From 48 In 2007 To 29 In 2013 6 In 2016 Ari Visits Of Under 5 Years Old Was 1136 And Diarrhea Was 381 According To The Moh Highest Number Of Diarrhea Was Reported In May June And July Other Life Saving Key Intervention Coverage Are Low Including Nutrition Interventions 7 While U5 Mortality Due To Pneumonia And Diarrhea Takes 27 13 6 Each Percent Of U5mr 8 According To Dhs 2013 Data Both Imr And U5mr Is High Among Rural Poor And Less Educated Population Of Vanuatu Child Mortality Estimates By The Who And Maternal And Child Epidemiology Estimation Group Mcee 2017 Report Showed That Approximately 30 Of Under 5 Deaths Are Due To Pneumonia And Diarrhea Imci Is A Core Component Of The Gappd Which Consists Of Three Key Elements 1 Improving Case Management Skills Of Health Care Staff 2 Improving Overall Health Systems And 3 Improving Family And Community Health Practices Evidence Suggests Imnci Was Significantly Associated With A 15 Reduction In Child Mortality When Activities Were Implemented In Health Facilities And Communities 9 In 2016 Who Conducted A Global Review Of Imci Implementation And Revealed That Imci Implementation Was Uneven With Coverage At Scale Rarely Achieved Failure To Agree On Sustainable Funding And Fragmentation Of Support Led To A Loss Of Built In Synergy Around ImnciS Three Components While Implementation Focused On Health Worker Training More Than Health Systems And Family Community Practices Insufficient Attention Was Paid To Programme Monitoring Targets And Operational Research Who And Unicef Did Not Provide Sustained Focused Leadership As Time Went On Interest And Funding For Imnci Waned Imnci Suffered From Blind Spots In The Lack Of Explicit Emphasis On Equity Community Engagement And Linkages To Other Sectors Education Wash 10 Vanuatu Was Not Exempt From The Situation Described Above Health Systems Are Weak And Offer Limited Support To Child Health And Other Health Targets According To The Moh Planning Unit 24 Per Cent Of Provincial Phc Facilities Have No Clinical Staff 53 Per Cent Do Not Meet Minimum Staffing Requirements And 70 Per Cent Do Not Have The Recommended Number Of Health Staff 11 Health Facility Visits Show That Some Essential Commodities Are Not Available For Example Low Osmolality Ors Is Not Available 12 With Health Facilities Still Using The Old Ors Formula Amoxicillin Dispersible Tablets Were Not Available At Any Health Facilities As Per New Who Standard 13 Aid Posts Have Benzyl Penicillin And Co Trimoxazole While Health Center And Dispensaries Have Amoxicillin Tablets And Syrups For Treatment Of Pneumonia Zinc Is Available In Dispersible Form Counselling Materials On Pneumonia And Diarrhea Including Use Of Dispersible Tablets Were Not Available At All Health Facilities While Aid Posts Are Close To The Community There Is No Clear Strategy For The Skilled Health Workers At Health Facilities Health Centers And Dispensaries To Engage With Communities 14 The Moh Vanuatu Seeks Technical Assistance In Defining Its National Strategy On Imci Through Reviewing The Imci Program National Guidelines Training Modules Packages And Developing A Costed Multi Year Action Plan For The Next Five Years Inclusive Of The Recent Who Recommendations How Can You Make A Difference Purpose Of Assignment The Overall Purpose Of The Assignment Is To Work In Collaboration With The Ministry Of Health In Developing A Country Specific Imci Plan Of Action And Tailored Guidelines And Tools To Meet Vanuatu Specific Needs To Health Services And Respond To The High Infant And Under 5 Mortality Rates The Assignment Will Inform VanuatuS Current Situation In Managing Childhood Illness The Barriers That Impede A Sustainable Imci Implementation And The Steps In Moving Forward The Deliverables Will Ensure Vanuatu Has In Place Standard Guidelines To Address The Case Management Of Sick Children Under The Conditions Typical Of Peripheral Facilities Focusing On The Most Common Serious Conditions Such As Ari Diarrheal Diseases Malaria And Malnutrition 1 In A Resource Constrained Setting Integrated Combined Guidelines Will Optimize Health Service Delivery To Children Instead Of Separate Guidelines For Each Illness Which Can Affect A Child The Imci Guidelines And Tools Will Guide The Health Workers To Treat Sick Children Appropriately Hence Reducing Mortality And Morbidity Associated With The Major Causes Of Childhood Illness Be Used By Supervisors For Onsite Training Of Health Workers During Supportive Supervision Inform The Planning And Procurement Of Essential Drugs And SuppliesThe Deliverables Will Inform Mohms To Establish And Scale Up The Implementation Of Imci Coverage In All Health Care Facilities Strengthen The Healthcare System Through Increasing Access To Essential Medicines Vaccines Strengthening Supply Chain Management Increasing Healthcare Financing Improving Leadership Management Strengthen A Referral Patient Oriented System Strengthening Coverage Of Curative And Preventative Measures For Sick ChildrenThis Assignment Will Provide A Road Map To The Moh On How To Build Capacity Of The Health Sector To Provide Quality Imci Services At Phc Facilities Key Deliverables Will Assist The Government To Approve And Implement Costed 5 Year Action Plan Evidence Based High Impact Child Survival Interventions Through Imci And Imci Training Modules Specifically Designed For Vanuatu The Deliverables Should Be Able To Answer The Following Three Questions What Is The Current Status Of Imci Implementation In Vanuatu What Are The Barriers That Impede Sustainable Imci Implementation In Vanuatu What Needs To Be Done Differently To Scale Up Imci How Much Will Be The Cost For Scaling Up Imci Nationwide Scope Of Work Work Assignments Under The Moh Task Force Close Guidance And Supervision The Consultant Will Undertake The Following Assignments In Vanuatu Conduct A Comprehensive Review Of Current Imci Practices Facility Based And Community Based Imci And Implementation To Identify Successes And Gaps This Will Include Targeted Interviews With Stakeholders In Government And Partners With Field Visits To Select Sites Or Clinics Identify Gaps Of Health System Component Of Imci Through Field Visits To Urban And Rural Health Facilities And Meeting Relevant Focal Points Of The Moh Identify Opportunities To Remove Bottlenecks And Possibilities To Align Imci With Anticipated Developments Of Leadership Governance Human Resource Information Monitoring Communication And Essential Supplies Identify Opportunities To Strengthen Community Components Of Imci In Order To Reach Every Child Develop A Costed Multi Year Imci Action Plan Which Will Encompass Among Other Things A Improving Case Management Skills Of Health Staff B Improving The Health System C Improving Family And Community Practices Based On Recent Who Unicef Global Review Findings Develop A Clear Monitoring And Evaluation Matrix For The Multi Year Imci Action Plan Review The Currently Used Imci Training Curriculum Develop Training Modules And Job Aid Package Through Adapting Standard Who Unicef Guidelines Into Vanuatu Context Each Guideline Should Not Exceed More Than 20 Pages Explore Options For Scaling Up Icatt And Using Distance Imci D Imci Modules And Community Based Imci In The Country Review Current Pre Service Imci Training Curriculum Revise And Make Recommendations For Improvement Conduct A Training Of Trainers Tot With The Finalized Training Package Prepare A Brief 3 Pager Reflection Observations Document On This Consultancy Conduct End Of Assignment Briefing With Moh The Imci And Unjp Partners And Unicef Pacific Suva To Qualify As An Advocate For Every Child You Will Have Qualifications

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