Tenders Are Invited For Consultant To Support The Strengthening Of The Health System And Support For The Coordination Of The Implementation Of The Project To Improve Nutrition Outcomes

Tenders Are Invited For Consultant To Support The Strengthening Of The Health System And Support For The Coordination Of The Implementation Of The Project To Improve Nutrition Outcomes Unicef Works In Some Of The Most Difficult Places In The World To Reach The Most Disadvantaged Children To Save Their Life To Defend Their Rights To Help Them Realize Their Potential In 190 Countries And Territories We Work For Every Child Everywhere Every Day To Build A Better World For All And We Never Give Up For Every Child A HopeDespite The Very Significant Advances In Child Health With A Mortality Rate For Children Under 5 Years Of Age Which Decreased From 159 Live Births In 1997 Eds Ii 1997 To 62 In 2013 Enomd 2012 2013 Madagascar Did Not Achieve Any Of The Millennium Development Goals Mdgs In 2015 Of The Deaths 47 Are Still Attributable To Communicable Maternal Neonatal And Nutritional Diseases That Could Largely Be Avoided Mortality Rates Remain High For Children Infant Mortality At 42 Nv And Neonatal Mortality At 26 O Nv In 2012 And For The Mother Maternal Mortality Rate 478 Per 100 000 Nv In 2012 In The Area Of Nutrition The Government Has Successfully Tackled Acute Malnutrition Over The Last 20 Years Despite The Context Of Cyclical Climate Vulnerability And Food Insecurity Chronic Malnutrition Stunting However Continues To Be The Biggest Blocking Factor For Each Childs Cognitive Potential And For The Long Term Development Of The Country Indeed Madagascar Is Ranked 4Th In The World In Terms Of Chronic Malnutrition Rates Stunting Chronic Malnutrition Stunting Is Indeed The Result Of A Cumulative Process That Begins During Pregnancy And Continues During Infancy And Childhood With Repetitive Episodes Of Diseases Such As Diarrhea Malaria Or Malaria Acute Respiratory Infections Associated With Food Insufficiency The Underlying Causes Of Chronic Malnutrition Stunting Are Then Multifactorial Related To The Care And Feeding Practices Of Mothers And Children Infants And Young Children To Food Security Access Availability And Food Preparation Water Sanitation And Hygiene Malagasy Children Also Have High Levels Of Micronutrient Vitamin And Mineral Deficiencies Such As Iodine Vitamin A And Iron So Far Health And Nutrition Are Two 2 Distinctly Managed Sectors In Madagascar I Health Policy And Strategies As Well As The Provision Of Services And Health Care Provided To Health Facilities Hospitals Csb Community Agents Ca Health Component Are Under The Responsibility Of The Ministry Of Public Health Msanp Ii National Nutrition Policy And Strategy As Well As Multi Sectoral Coordination Implementation Monitoring And Evaluation And Nutrition Research Are The Responsibility Of The National Office Of Nutrition Nsb The Onn Oversees The National Community Nutrition Program Pnnc Which Is Responsible For The Delivery Of Community Based Nutrition Services Delivered By Community Agents Cas Of The Nutrition Component The Management Of These Two Sectors And The Provision Of Health And Nutrition Services Are Thus Fragmented From The Central Level Msanp And Onn To The Level Of The Community Innovative Arrangements Are Then Put In Place For Cross Sectoral Coordination Between These Two 2 Institutions To Focus On A Common Vision And Improve Maternal And Child Health And Nutrition Outcomes And To Guide A Gender Sensitive Approach Unified Service Delivery And Ensure Complementarity Between The Ac Health And Ac Nutrition Activities The Government Of Madagascar Has Thus Agreed With The World Bank Which Has Agreed To Finance And Implement The Multi Staged Program Nap Appm Nutrient Performance Improvement Project The Objective Of The Parn Is To I Increase The Use Of An Integrated Package Of Sr Snme Reproductive Health And Mother And Child Health And Nutrition Interventions Including The Recommended Package Of 10 Interventions High Impact Nutrition Based On The First 1 000 Days Using A Life Cycle Approach And Provided Across A Continuum Of Services During The Various Stages Of Pregnancy During And After Delivery And Early In Life A Child Ii Improve The Key Nutritional Behaviors Recognized For Their Ability To Reduce Stunting In Targeted Areas And Iii Provide An Immediate And Effective Response To An Eligible Crisis Or Emergency In Accordance With Pnan Iii 2017 The Scaling Up Of This Sr Snme Package Will Be Complemented By Other Multisectoral Interventions Such As Social Protection And Wash The Country Is Now Aiming To Reduce The Rate Of Chronic Malnutrition Stunting From 47 To 38 For Children Under 5 Years Of Age Nationally By 2021 The Purpose Of This Consultation Is To Continue Provide Support For The Strategic Dialogue And Technical Support For Strengthening The Health System Ssr Already Well Underway And Coordinating The Implementation Of The Ncr How Can You Make A Difference Target ObjectivesThe Objective Of This Consultancy Is To Provide Technical Assistance To The Ministry Of Population For Social Protection And Promotion Of Women Mppspf To Clarify The Structure And Objectives Of The Register Targeting Planning Policy Monitoring National Another Objective To Be Defined The Consultant Will Work With The Mppspf And Other National And International Stakeholders To Identify The Elements The Modules Of The Registry And The Needs Financial And Human That Will Be Needed For Its Implementation The Consultant Will Work On The Basis Of The Documents Produced By The Mppspf Namely I The Concept Note Ii The Procedural Manual Iii The Data Sharing Convention Iv The Indicators And V The Questionnaires Assigned TasksFor This In Coordination With The Technicians Of The Health Section And Those Of The Nutrition Section Particularly In The Framework Of The Parn Project And Possibly The Other Sections Related To Actions For The Integrated Health And Nutritional Development Of Children And Mothers The Consultant Will Be Responsible For 3 1 For The Mission To Support Strategic Dialogue For The Development And Or Updating And Implementation Of Policy And Strategic Framework Documents For The Health Sector Related To The United Nations Development System Undaf Framework Document And Of The Madagascar Health Sector Development Plan Pdss 3 1 1 Support The Update Of Strategic Plans For Implementing Policies In Place Ncsp Strategic Implementation Plan Nsnmi Investment Framework Newborn Essential Care Strategy Etc 3 1 2 Support Measures For Dissemination And Appropriation Of Sectoral Framework Documents And Operationalization Plans For Health And Nutrition Policies And Strategies3 1 3 Support The 2015 2019 Pdss Review And Identify Future Strategic Directions And Perspectives For Sector Development 3 1 4 Support The Implementation And Implementation Of Interventions As Well As The Follow Up Of The Results Of The Joint Annual Work Plan Snu Msanp For The Year 2019 Framed On The Undaf And The Pdss 3 1 5 Contribute To The Development And Or Updating Of National Health Strategies And Priorities Rss Components And Nutrition For The Coordination And Orientation Of Planned Actions And Interventions3 1 6 Support The Development And Or Revision Of Manuals Tools And Normative Documents For The Rational And Documented Management Of Resources Human Resources Infrastructures Inputs Equipment Materials Finances And Related To The Strengthening Of The Health System Organizational Management Manual Hr Management Strategies Infrastructure And Equipment Standards And Plan Updated Guide And Texts For Health Input Supply And Fanome Community Health Implementation Guide Etc 3 2 For The Health System Strengthening Hss Part Of The Mission That Integrates Nutrition Both Strategically At The Central Level And At The Operational Level At The Decentralized And Peripheral Levels According To The Dhss 3 2 1 Continue To Support The Operationalization Of The National Hss Platform Crss Focused On Its Goal Of Orienting Sectoral Strategies And Interventions Towards Synergy And Complementarity Through The 6 Pillars Of The Rss And The 7Th Pillar Constituted By The Community Health For The Long Term Strengthening Of The Health Systems Capacity To Provide Quality And Equitable Health Care At The Level Of Health Facilities And Community Sites3 2 2 Support The Development And Or Revision Of Budgeted Micro Planning Bmp Bottom Up And Integrated Budgeted Annual Work Plan Awpb Tools And Guides And Their Tiered Compilation 3 2 2 Technically Support Capacity Building On The Use Of Tools And The Monitoring Evaluation Mechanism For The Implementation Of Bottom Up Integrated Planning Health And Nutrition 3 2 3 Support The Documentation And Dissemination Of National Health And Nutrition Strategic Objectives And Priorities Sr Snme That Can Be Used At The Decentralized Level To Strengthen Their Capacity To Coordinate The Partnership In The Implementation Of Planned Interventions3 2 4 Support The Development And Or Revision Dissemination And Ownership Of Manuals Tools And Normative Management Documents As Well As Capacity Building In The Application Of Rational Efficient And Documented Resource Management At The Health System Level Human Resources Infrastructures Inputs Equipment Materials Finances Organizational Management Manual Management And Material Account Tools Service And Maintenance Guide3 2 5 Support The Development And Or Updating Of Data Collection Analysis And Data Mining Documents Of The Integrated Health Information System Inss At Each Level Of The Health System Manual Of Integrated Indicators In Health And Nutrition Monitoring Dashboards Data Collection Tools And Guides Tools And Guides For Analysis And Exploitation Of Information 3 2 6 Support The Development And Or Updat

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