Bophelo Ka Mosebeletsi System (BKM) (Community Health Information System) Consultant \(International/National)120 Days over period of 5 Months

Contract

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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, Health

Community Health is a public health component whose primary objective is to promote family and community-level health promotion and disease prevention, ensuring universal access to primary health care as close to the population as possible. Community health services make important contributions toward achieving the universal health coverage (UHC) targets and the health-related sustainable development goals (SDGs). Community-based health information is an essential component of the system, to monitor the performance of community health services.

In Lesotho, community health care workers (CHW) remain a critical link between community and health facilities by fostering trust, improving children services for preventable diseases to reduce morbidity and mortality. CHW have also played a critical role in the COVID-19 vaccination rollout and routine immunization, through community mobilization, outreach campaigns, patient follow-up and community surveillance of adverse event following immunization (AEFI). Further, the CHW collect data on the vaccination rollout and other variables at community level, that are intended to inform programmatic progress and decision making.

Although community level data is collected by CHW, data systems for community health remain a challenge. There is inconsistent reporting (not reporting routinely, lack of standardised tools and reporting system) and only available at health facility or district level, hence not informing decision making process and planning for vaccination rollout and other healthcare services. The information captured by CHW is not being entered into the DHIS2 platform routinely, which has limited the Ministry of Health ability to access, utilize and monitor/feedback data. There is an urgent need that surveillance and administrative data collected by CHW are digitalized and incorporated into health management information system (HMIS).

There is an urgent need for establishment of Community health information system to ensure high-performing HMIS by fully harnessing the role of CHW in collecting data at community level. Routine community health data provide a picture of the services delivered in communities. The data can be used to assess community-facility linkage, the performance of individual facilities and to assess service utilization and coverage of interventions in defined populations.

It is against this background that UNICEF is seeking consultancy services to assist the Ministry of Health of health to develop Community Health Information System that will enhance collection, reporting, storage and management of community health data as delivered by VHW/CHW.

How can you make a difference?

Objective:

To develop a point of care system that facilitates the operational day to day work of the Village Health Worker.

• The system that will cover the full information cycle, including data collection, analysis, dissemination (feedback loops) to ensure data-driven decision making for improved and equitable community-based health services.

Scope of Work:

Under the overall supervision of the UNICEF Health Officer and in consultation with C4D Specialist, RCCE technical team and MOH Team (Community Based Health Services (CHBS) manager, IT manager and Chief Statistician) the consultant will:

1. Take stock/assess current Community Health Information Systems (CHIS) including Community COVID RCCE feedback structures: summarizing data follow and processes/standard operating procedures, current reporting rates/availability in the various information systems that capture community health data at present.

2. Construct CHIS that will manage highly sensitive patient/client level information on services provided and with appropriate security standards for protecting personal patient information at community level. The system should be on global goods open-source solutions that uses standards to allow the access, exchange, integration and use of data between information systems (including DHIS2) and provide real time data.

3.Develop community feedbacks mechanisms modules including RCC, Social accountability Module, community engagement and EENC module 3.

4. Support the Ministry of Health in operationalizing plans to improve the CHIS to ensure interoperability with DHIS2.

5. Take stock after pilot implementation in 2 districts (Leribe and Maseru) including: changes in CHIS reporting rates; data availability, timeliness, and use; and make recommendations for expansion to routine immunization and other community health care services across the country.

Tasks/Milestone:****Deliverables/Outputs:****Timeline (period/deadline):- Inception meeting with UNICEF from CO and RO and MOH and Workplan Development & Agile Development Organization & Setup - Digitalisation of developed tools and modulesOpenSRP/BKM Workflow & System Architecture Analysis (Taking into consideration the RCCE, Social accountability, EENC tools)

• Mapping of functionality between BKM & OpenSRP, acquire all documentation related to OpenSRP including supported BP and Map to BKM and Existing Environment

• Workflow Analysis and Information Flow Analysis at VHW Level and Installation (Solution and Development Environment including GitHub

• Inception Report

• Project Scoping & Setup of development environment
• Digitalised Community tools

15 Days- Migration of digitized tools to Open SRP -Open MRS Data Model (This include the RCCE, Social accountability, EENC and newly developed community tools) - Customization of Android App, Customization of Web App and Installation & Setup of DHIS2 Interoperability module

• All digitalized tools migrated to Open SRP-Open MRS data Module
• Customization and Configurations

25 Days- Development of Open MRS Period Indicators, Mapping to DHIS2 Datasets and Customize DHIS2 Metadata for CHIS reporting - Configuration of automated aggregate reporting of key indicators to DHIS2and Develop & Publish preliminary CHIS dashboards, RCCE, Social accountability and EENC

• Reports configurations and Automation into DHIS2
• Dashboards

20 Days- Installation of Live and Staging Servers for OpenSRP - Configuration & Testing of live and staging environments

• Installation and configuration of Staging and Live environment

10 Days- Develop user manuals and Final testing and release

• User Acceptance Testing & Review (Central TOT)

10 Days- Phased District Level Rollout & Training (Leribe &Maseru) and Adhoc Support & Handholding

• Pilot Implementation: Collaborative schedule with program

10 Days- Technical Backstopping and Adhoc System Customizations & Updates

• Technical Back stopping - 1 week/month - System Updates & Adhoc Customizations

10 Days- Digitalisation of all tools to be used on the system

• All Community tools uploaded
• Social accountability module uploaded
• EENC module uploaded
• RCCR dashboards installed
• Dashboards, Maps Scorecards dashboards developed

10 Days- Training of the end user

Training Manual and end Users trained10 Days 120 Days

To qualify as an advocate for every child you will have…

Minimum Qualifications required:

Secondary Certificate

Bachelors x Masters PhD Other

Enter Disciplines:

• Master’s in engineering, Information Technology

Work experience:

• More than 10 Years’ experience in IT and opensource systems development and implementation (Global Goods)
• More than 5 Years’ Experience in Health Informatics and eHealth systems development.

Language:

• Fluency in English

Knowledge/Expertise/Skills required:

• Excellent communication and working with people
• Knowledge or familiarity with DHIS2 and its interoperability with open sources systems
• Knowledge Experience with Health Interoperability standards: HL7 V2, V3 and FHIRE.
• Knowledge and Experience of Java & Node. Js.
• Knowledge of Distributed Computing Architecture.
• Knowledge of SOAP and REST web services.
• Knowledge and Experience of Open HIMS mediator development. Open EMPI, and Open SHR
• Knowledge of CIEL dictionary.
• Knowledge of coding standards like SNOMED and LOINC
• Knowledge with development of a National Georeferenced Community Health Worker Master List Hosted in a Registry
• Experience in Community Health Services
• Previous working experience with UN agencies is an added advantage

How to Apply:

Interested candidates should submit an online application through the Talent Management System (TMS) that consists as a minimum of the following:

• TMS Profile/ Curriculum Vitae
• Financial proposal must be ‘all inclusive’ of all expenses related to the assignment
• Incomplete applications will not be considered.

If you have not been contacted within 2 months of the closing date, please accept that your application was unsuccessful. Regret emails will be sent only to shortlisted/contacted candidates.

For every Child, you demonstrate…

UNICEF's values of Care, Respect, Integrity, Trust, Accountability, and Sustainability (CRITAS).

To view our competency framework, please visit here.

UNICEF is here to serve the world’s most disadvantaged children and our global workforce must reflect the diversity of those children. The UNICEF family is committed to include everyone, irrespective of their race/ethnicity, age, disability, gender identity, sexual orientation, religion, nationality, socio-economic background, or any other personal characteristic.

UNICEF offers reasonable accommodation for consultants/individual contractors with disabilities. This may include, for example, accessible software, travel assistance for missions or personal attendants. We encourage you to disclose your disability during your application in case you need reasonable accommodation during the selection process and afterwards in your assignment.

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 be expected to adhere to these standards and principles and will therefore undergo rigorous reference and background checks. Background checks will include the verification of academic credential(s) and employment history. Selected candidates may be required to provide additional information to conduct a background check.

Remarks:

Only shortlisted candidates will be contacted and advance to the next stage of the selection process.

Individuals engaged under a consultancy or individual contract will not be considered “staff members” under the Staff Regulations and Rules of the United Nations and UNICEF’s policies and procedures, and will not be entitled to benefits provided therein (such as leave entitlements and medical insurance coverage). Their conditions of service will be governed by their contract and the General Conditions of Contracts for the Services of Consultants and Individual Contractors. Consultants and individual contractors are responsible for determining their tax liabilities and for the payment of any taxes and/or duties, in accordance with local or other applicable laws.

The selected candidate is solely responsible to ensure that the visa (applicable) and health insurance required to perform the duties of the contract are valid for the entire period of the contract. Selected candidates are subject to confirmation of fully-vaccinated status against SARS-CoV-2 (Covid-19) with a World Health Organization (WHO)-endorsed vaccine, which must be met prior to taking up the assignment. It does not apply to consultants who will work remotely and are not expected to work on or visit UNICEF premises, programme delivery locations or directly interact with communities UNICEF works with, nor to travel to perform functions for UNICEF for the duration of their consultancy contracts.