Overview

TERMS OP REFERENCE FOP DEVELOPMENT OF NATIONAL STANDARDS FOR IMPROVING THE QUALITY OF CARE FOR CHILDREN AND YOUNG ADOLESCENTS IN HEALTH FACILITIES

Background

Globally, the health of mothers, newborns, children and adolescents is a public health priority. Investing more in women’s and children’s health is an indicator of national development, contributing to the realization of the right to health. The Global Strategy for Women’s, Children’s and Adolescents’ Health 2016 – 2030 and the Sustainable Development Goals for 2030, calls for a reduction of maternal mortality to less than 70 per 100 000 live births, NMR and under-five mortality to less than 12/1000 and 25/1000 respectively.

Although the Kingdom of Eswatini has made some slide improvement in reducing the MMR, it is still very high at 420/100,000 live births (National Census, 2017) from 593/100 000 live births (Inter-census demographic and housing survey, 2012). Even though a slight reduction (from 22.1% to 16.7%, MICS 2010 and 2014 respectively) has been observed over the years, Adolescent Fertility Rate also remains high. Whilst under five mortality rate (U5MR) showed some improvement dropping from 104 per 1000 live births in 2010 to 67 per 1000 live births in 2014 and infant mortality rate (IMR) declined from 79 to 50 /1000 Live births, Neonatal Mortality Rate (NMR) remained high at 20 per 1000 live births (MICS 2014). Most of these deaths are due to preventable causes.

The quality of care assessment (maternal and newborn health) conducted in 2015, did not assess the quality of care for children, the assessment only covered maternal and newborn health. The RMNCAH-N program review conducted in 2018 and the service availability and reliability assessment (SARA) also reported the existence of a quality of care gap as the most likely explanation for the slow progress towards ending preventable maternal, newborn, child deaths in Eswatini. SARA explicitly reported that there were no guiding documents for child health care including quality of care standards. This indicates a need for aggressive efforts to develop and or adapt national treatment guidelines and standards to improve the quality of care for children and young adolescents to halt preventable deaths among children and adolescents.

It is in this regard that the MOH has found it necessary to develop National treatment guidelines and Standards for improving the Quality of health Care for Children and Young Adolescents in Health Facilities. Improving the quality of care will strongly contribute to reducing preventable mortal-ity which is in line with the objectives and targets of the Global Strategy for Women’s, Children’s and Adolescents’ Health as well as the Sustainable Development Goals for 2030.

Purpose

The purpose of this consultancy is to assist the Ministry of Health in developing the National treatment guidelines and Standards for improving the Quality of Care (QOC) for Children and Young Adolescents (CYA) in Health Facilities through adaptation of the WHO recommendations on these standards and development of tools that enhance starting the quality improvement process.

Specific tasks

  • Adapt WHO Quality of Care standards for Children and Young Adolescents to be usable in the Kingdom of Eswatini
  • Develop a national pediatric treatment guideline
  • Adapt the quality of care tools to start the quality of care process
  • Develop a slide presentation of the national pediatric treatment guideline and standards and present it during the task team debrief
  • Present adapted CYA standards and national pediatric treatment guideline to MOH senior management
  • Present final CYA standards and national pediatric treatment guideline to relevant stakeholders for their input
  • Support dissemination of the CYA standards and national pediatric treatment guideline to stakeholders

Expected deliverables

1. A validated inception report

2. Adapted Quality of Care standards for Children and Young Adolescents for Eswatini

3. A national pediatric treatment guideline developed quality of care tools (tools for conducting a baseline assessment, Pocket book, IMNCI, ETAT but these can be done in phases) developed.

5. Slide presentation of quality standards and treatment guidelines

Required Qualifications

  • Doctor of Medicine with specialization pediatrics and child health or Master’s degree in Public Health or Maternal and child health

Experience

  • 10 years’ or more

Skills

  • Experience in adapting/developing QOC standards/guiding documents
  • Excellent writing skills
  • Excellent computer skills

Duration

The consultancy will be for 30 calendar days (30 days).

Remuneration

Remuneration will be corresponding with experience and specified level of qualification in line with the harmonized UN rates for Eswatini.

SUBMISSION OF Applications

Prospective consultants are requested to deliver a detailed Curriculum vitae to:

The Representative World Health Organizations 2nd Floor, UN House

Or e-mail to: dlaminip@who.int / nkambuleg@who.int

The Address should be clearly marked “Reference: SWZ/AP-W/19/11/01”.

The closing date for receiving all applications is Tuesday 12 November 2019. Only shortlisted candidates will be contacted.

WHO has a smoke–free environment and does not recruit smokers or users of any form of tobacco


TERMS OF REFERENCE FOR RECRUITMENT OF CONSULTANT FOR THIRD GENERATION COUNTRY COOPERATIVE STRATEGY REVIEW

BACKGROUND

The Kingdom of Eswatini WHO Country Office developed the third generation of the Country Cooperation Strategy in 2014 to run for a period of six years (2014-2019). This was a continuum of the previous strategies; conducted by the WHO in consultation with the Ministry of Health of Eswatini, Development Partners including the UN Family, Civil Society and the Private Sector to harmonize and align all country processes with the National Development Strategy, the Health Sector Medium Term Strategic Plan and the Biennial Work plan in WHO.

The Country Cooperation Strategy defines a strategic framework for working with the Kingdom in improving the stewardship function of the health sector, reducing morbidity and mortality due to high disease burden and improving the responsiveness of the WHO Country Office. It is the key instrument for guiding the work of the WHO in Eswatini and the main instrument for harmonizing the WHO’s cooperation with that of other UN agencies and development partners.

OBJECTIVE

The Overall Objective Overall, a lot of progress has been made with the implementation of the 2014-2019 CCS in Eswatini. However, considering that the CCS comes to the end in at the end of 2019 as well as the advent of the 13th GPW of WHO introducing the triple billion, it is essential that a review of the current CCS be conducted and the results of the review feed into the development of the 4th Generation CCS that is well aligned with the GPW13, Universal Health Coverage and SDGs

Specific Objectives

1. To identify opportunities, achievements and challenges encountered in implementing the CCS during the first two biennial (2014-2015 and 2016-2018) of its implementation cycle

2. To review the appropriateness/relevance of the 3rd CCS, in terms of meeting Eswatini health development priorities.

3. To review the relevance of the 3rd CCS and country operations within the WHO Global and Regional priorities including the Transformation Agenda for WHO in the African Region and the UN Sustainable Development Cooperation Framework

4. To review the WHO response to changing country needs over the period 2014-2016.

5. To assess the country office use of the 3rd CCS as the main strategic document guiding the priorities for the biennium plans of action (2014-15 and 2016-17) including for determining allocation of resources within the technical categories and in feeding into the UN Common Country Analysis

6. To carry out a SWOT analysis of the WHO Country Office and identify mechanisms for addressing the weaknesses and threats while at the same time sustaining existing strengths and nurturing the opportunities into strengths for the effective implementation of the remaining period of the strategy.

7. To identify and propose adjustments to the current strategy taking into account the prevailing environment in health at country, regional and global level including requirements for the implementation of measures to address the health Sustainable Development Goal and other associated goals.

8. To propose the nature and level of support needed from the regional and headquarters of the WHO in order to address the areas of focus for the remaining period of the 3rd CCS.

9. Come up with a set of recommendations to inform development of the 4th
Generation CCS and gear its implementation towards supporting Kingdom of Eswatini to achieve the millennium targets and Universal Health Coverage.

SCOPE OF WORK

Both secondary and primary data will be collected concurrently using qualitative and quantitative data collection methods. Secondary data will be collected through desk review of relevant literature, reports, policy documents and the CCS. Primary data will be collected during a stakeholder consultative forum where participants will be required to respond to a set of questionnaire to provide an understanding of the WHO’s contributions to enhancing national ownership, stewardship; alignment with national health priorities; limitations; and role as a member of the UNCT as well as a broker for health among partners and across sectors.

KEY DELIVERABLES

The following deliverables are expected from this exercise:

• Report on the review of 2014 – 2019 which would have incorporated views and comments from stakeholders in the health sector.

• Recommendations on emerging issues that should be incorporated into the current strategy including issues pertaining to the Transformation Agenda in WHO Africa Region and the SDG priorities for ESwatini and the UN Sustainable Development Framework

REQUIRED QUALIFICATIONS

The assignment requires a post graduate degree in any of the fields of health, planning or economics with previous involvement in the assessment and development of strategic plans. Knowledge on WHO and UN operations. Other requirements are:

• Have an excellent command of both written and spoken English.

• Be result oriented and have a strong initiative in getting things done.

• Have good interviewing techniques.

• Have good inter-personal relationships.

DURATION OF WORK

The entire process is scheduled to run for three weeks. A detailed work breakdown schedule will be elaborated by a consultant who will be engaged for the review when submitting his/her inception report.

SUBMISSION OF Applications

Prospective consultants are requested to deliver a detailed Curriculum vitae to:

The Representative World Health Organizations 2nd Floor, UN House

Or e-mail to: dlaminip@who.int / nkambuleg@who.int

The Address should be clearly marked “Reference: SWZ/AP-W/19/11/01”.

The closing date for receiving all applications is Tuesday 12 November 2019. Only shortlisted candidates will be contacted.

WHO has a smoke–free environment and does not recruit smokers or users of any form of tobacco