National Consultants to Conduct an MNCH Client Flow Analysis and Development of Health Worker Inter Personal Communication Skills Module

• Country: Zimbabwe
• Summary: National Consultants to Conduct an MNCH Client Flow Analysis and Development of Health Worker Inter Personal Communication Skills Module
• ZWT Ref No: 33495118
• Deadline: 12 Jun 2019
• Financier: United Nations Secretariat
• Purchaser Ownership: Government
• Tender Value: Refer Document
• Notice Type: Tender
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• Description:
• Tenders are invited for Zimbabwe: UNICEF Zimbabwe is Inviting Applications from Qualified National Consultants to Conduct an MNCH Client Flow Analysis and Development of Health Worker Inter Personal Communication Skills Module. UNICEF works in some of the world’s toughest places, to reach the world’s 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, a healthy start! How can you make a difference 1. Background Globally over 200 million children do not reach their developmental potential in the first 5 years of life because they live in poverty, and have poor health services, nutrition and nurturing care. These disadvantaged children do poorly in school and subsequently have low incomes, high fertility, high criminality, and provide poor care for their own children (WHO 2015). The health sector can play a vital role in the field of early child development (ECD) because the health interventions from pregnancy through the first five years of life present opportunities for ensuring optimal development and prevention of risk of long-term damage. Encouraging women to give birth in health facilities, where there are skilled birth attendants, is essential and has helped reduce global new born and maternal mortality rates. However, women are reporting disrespect and non-dignified care during facility-based childbirth in all regions and cultures including in Zimbabwe. ÂThere is room for improvement on the quality of care provided in health facilities through improved communication, respectful and responsive care. The World Health Organization (WHO) believes "high quality care" should encompass both service delivery and the woman's experience. The process of care should place the woman and her baby at the centre of the responsive and nurturing care model, to achieve the best possible physical, emotional and psychological outcomes. Health professionals should therefore be able to effectively communicate with pregnant women, assist new mothers with nurturing care to promote early childhood development. Statement of the problem: Maternal and perinatal deaths audits have revealed that poor attitude of health care workers coupled with limited communication skills are contributory factors to maternal and perinatal mortality. Capacity to provide patient centred and responsive care giving is generally limited as health workers are task oriented without considering individual needs of pregnant women especially adolescents and new-borns. Early childhood development (ECD) and nurturing are new concepts among health workers as they are not taught in pre-service training. Health workers have indicated that poor communication and inadequate quality of care in maternity units is related to shortage of health workers and work overload. The Ministry of Health and Child Care (MOHCC) acknowledges responsive care giving and effective IPC and nurturing care are not being implemented due to limited skills among health workers. Rationale: The MOHCC with financial and technical support from UNICEF and other partners would like to develop interpersonal communication modules to assist health workers to develop skills to be able to talk and counsel pregnant women during antenatal care and in labour, in a responsive and respectful manner for a positive pregnancy experience. Likewise, health workers need to be trained on responsive care giving for new-borns and ECD which are critical in early years of life. Currently there are no national in-service guidelines to strengthen health workers skills in IPC and counselling skills, nurturing care and ECD. 2. Objectives Broad objective: To conduct an MNCH Client flow analysis and develop for health workers an interpersonal communication skills module and a module on responsive care giving/early childhood development that can be integrated throughout the various MNCH services across the continuum of care. that can be integrated throughout the various MNCH services across the continuum of care. Specific Objectives To conduct an MNCH client flow analysis to determine the movement of clients as they receive MNH services in maternity units and determine constraints for allocating adequate time for quality counselling. Conduct a IPC and nurturing care skills need assessment among health workers to determine gaps in communication and responsive care Develop an IPC modules to be used by health workers in counselling and communicating with pregnant women during ante natal care (ANC), labour and postpartum as well as with caregivers through the various touch points of new born and child health service provision. Develop a training of trainer and training modules on early childhood development (ECD); to include psychomotor stimulation, responsive care giving and early learning for health workers to be integrated in maternity and Kangaroo mother care (KMC) units, as well as other child health services such as immunizations and integrated management of neonatal and childhood illnesses. Make recommendations for an on-job training (OJT) programme to develop IPC and nurturing skills for health workers. Conduct a training of trainers on IPC and ECD modules 3. Methodology and expected outputs Conduct a brief desk review on IPC and responsive care skills among health workers in Zimbabwe including a skill needs assessment. Conduct client flow analysis for MNCH services in selected health facilities at all levels to determine impact on IPC, nurturing care and responsive care giving. Develop IPC skills and responsive care modules for managing pregnant women during ANC, labour and postpartum as well as with caregivers through the various touch points of new born and child health service provision. Develop the ECD module in consultation with relevant partners and as informed by the skills and needs assessment, to include psychomotor stimulation, responsive care giving and early learning as per the nurturing care framework. Share the draft modules with MOHCC, UNICEF and other partners for review and comments. Incorporate comments and produce final draft modules to be prepared for printing. 4. Outputs Major tasks, Deliverables, Timeframes and Payment Schedule Major Task - Deliverable - Timeframe - Payment Plan 1. In consultation with MOHCC, UNICEF and other relevant partners the methodology and timelines for the assessment will be determined. Deliverable: Inception report detailing understanding of TORs, methodology to be employed, activity plan and resource needs with a detailed workplan. Timeframe: 4 days - 25% upon submission of inception report - Presentation of desk review, client analysis and skills need assessment reports to the MOHCC-Department of Family health (DFH), UNICEF and relevant partners for comments. Deliverables: Three reports: - Desk review report, - Client flow analysis report and - Health workers skills needs assessment reports Timeframe: 15 days - 25% upon submission of three reports 2. Development of IPC and ECD modules and sharing for comments with MOHCC, UNICEF and other relevant partners Deliverables: 2 draft modules: a) IPC skills module and b) ECD module Timeframe: 10 days Final payment (50%) Upon presentation and submission of final modules (x 2) 3. Finalization of the modules incorporating relevant comments and inputs from the stakeholders. Presentation of the modules to MOHCC DFH, UNICEF and stakeholders Deliverable: Final draft of the modules Timeframe: 5 days 4. Presentation of the modules to stakeholders for final consultation in preparation for printing. Deliverable: Presentation (PPT) of key content in the modules and half day availability to facilitate consultation. Timeframe: 5. Conduct a TOT for national, provincial and district trainers on IPC, nurturing care and ECD. Deliverables: At least 30 trainers trained Timeframe: 5 days All deliverables will have to meet expected quality and standards as assessed by the supervisor of the assignment. Should the consultant fail to deliver as per expected quality and standards, UNICEF reserves the right to amend the payouts accordingly, or to delay them until satisfactory submission has been received. 5. Consultancy Time frame: The consultant is expected to work for a total of thirty days (30) days spread over a period of three months. Based on the agreement, the consultant will develop his/her workplan indicating the distinct types of support to be provided at various stages. The consultancy will begin on date of signing contract and end after three months. 6. Supervision: The consultancy will be supervised directly by the Health Specialist in consultation with Health Manager and Chief of Health and Nutrition, in close collaboration with the Director of the Family Health department in the MOHCC. Consultancy Costs and Payment Modalities Consultancy fees will be paid depending on satisfactory delivery of task as highlighted in the contract. There will be no costs to be paid other than the costs that will be highlighted in the contract. It is expected that there will be at least 5 days of travel and transport will be provided by UNICEF for any travel outside Harare. Additional costs to be paid separately from contract e.g. transport mileage for Harare visits to local travel to meet stakeholders. specifying rates and mode of payment. DSA will, if necessary be paid at the agreed rate according to the financial proposal or the UN approved rate, whichever is lower. 7. Consultancy Classification:This is an upper mid-level professional consultancy. The competitive market rates to apply. To qualify as an advocate for every child you will have Advanced university degree in Development studies, Communication or MP At least 8 years of field experience in health-related interpersonal communication including development of modules and training. The person must be well informed about issues around respectful maternity care and responsive early childhood development. Has experience in conducting client flow analysis, training needs assessment and development of training modules or materials and training in ECD and IPC. Good understanding of RMNCAH and ECD services in Zimbabwe including labour, delivery, neonatal care and early childhood development Experience in working with multiple health sector stakeholders Strong writing and presentation skills; and Understanding of the Zimbabwe health system. Financial Proposal Assessment/review will include: - Overall Price. - Completeness of the Financial Proposal (ensure that all costs, including professional fees, costs of travel and subsistence allowances are included in the price offered). - Payment terms/schedule of payment proposed. Competitive market rates will apply, and the consultant should submit an all-inclusive fee (lump sum) in his/her proposal. For every Child, you demonstrate… UNICEF’s core values of Commitment, Diversity and Integrity and core competencies in Communication, Working with People and Drive for Results. View our competency framework at http://www.unicef.org/about/employ/files/UNICEF_Competencies.pdf UNICEF is committed to diversity and inclusion within its workforce, and encourages all candidates, irrespective of gender, nationality, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of the organization. UNICEF has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF also adheres to strict child safeguarding principles. All selected candidates will, therefore, undergo rigorous reference and background checks, and will be expected to adhere to these standards and principles. Remarks: Only shortlisted candidates will be contacted and advance to the next stage of the selection process. How to apply: UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=522724
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