Consultancy - Review of Integrated Community Case Management (ICCM) National Framework and Plan of Action, M&E Plan and Training Guidelines

Consultant Medical & Health Programme & Policy

Contract

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TERMS OF REFERENCE

Title

Review of Integrated Community Case Management (ICCM) National Framework and Plan of Action, M&E Plan and Training Guidelines

Purpose

To provide Technical Assistance to the Ministry of Health (MOH) in the Review of the Integrated Community Case Management (iCCM) National Framework and Plan of Action, M&E plan and Training Guidelines and tools

Location

At national level and with field travel

Duration

54 Days (Spread over 6 months)

Start Date

25th January 2021

Reporting to

Health Specialist-Epi and Child Health

1. Background

Since 2004, the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) recommended community-level treatment for pneumonia and in 2008, published the Global Action Plan on Pneumonia (GAPP), which called for effective case management at the community and health facility levels and expansion of adequate case management to achieve 90% coverage. In the 2012 Joint Statement on iCCM, WHO and UNICEF confirmed their recommendation that suitably trained, supervised and equipped Community Health Workers (CHWs) should deliver iCCM of pneumonia, malaria and diarrhea to children in hard-to-reach areas. The Joint Statement recommends that all countries adopt enabling policies to authorize trained non-medical health workers to administer antibiotics.

as part of the governments commitment to achieving Child Health goals as outlined in the Kenya Health Sector Strategic Plan 2014-2018, Vision 2030 and Sustainable Developed Goals (SDGs) 3, the Ministry of Health through Neonatal, Child and Adolescent Health Unit), in collaboration with Partners has been implementing the Kenya Action Plan for Pneumonia and Diarrhea (KAPPD) since 2012 through Integrated Management of Childhood and Newborn Illness (IMNCI) and integrated Community Case Management (iCCM) for children below five years of age. Through this, significant gains have been made towards reduction of under five deaths.

The Kenya National Framework and Plan of Action for Implementation of Integrated Community Case Management (iCCM) 2013 -2018 which is due for review, is the national guideline for management of childhood pneumonia, diarrhea, malaria, neonatal conditions and malnutrition at the community level. The integrated community case management (iCCM) algorithm provides clear guideline on the Assessment, classification, treatment and referral to health facility of children with common childhood illnesses. In some counties, Community Health Volunteers (CHVs) have been trained and are already treating sick children under 5 years for malaria and diarrhea, while referring to the health facility those with pneumonia, malnutrition and Newborn danger signs.

2. Justification The Ministry of Health through the Division of Neonatal and Child Health (DNCH) is seeking to review the iCCM implementation framework with a view to developing a new framework that is aligned to the current global and in-country evidence. The framework will also be anchored within the community health policy, Neonatal, Child and Adolescent health policy, Neonatal and Child health strategy, as well as the PHC strategy. The Framework is part of efforts aimed at addressing policy gaps around treatment of childhood pneumonia at community level, a panel of experts was constituted to review evidence and give recommendations to inform policy. The experts have finalized review of evidence and their recommendation accepted by the Director General of Health. The recommendations will inform the planned review of the following National iCCM policy, training guidelines and tools. 1. Review of the National Framework and Plan of Action for Implementation of the Integrated Community Case Management (iCCM) 2013-2018 and the iCCM M&E Plan 2013-2018. 2. Review of the iCCM training guidelines including; Facilitators manual, participants manual 3. Review of the iCCM tools; The Sick Child Recording form, the Newborn Danger signs checklist, treatment tracking and other registers/data tools

The main objective of this consultancy is to provide technical support to the MOH-DNCH and Partners to undertake the following: 1. The New/revised National Framework and Plan of Action for Implementation of the Integrated Community Case Management (iCCM) 2021-2025 2. Revise the National iCCM M&E Plan 2021-2025. 3. Revise iCCM Training guidelines (2021)

All this will be anchored in the national health community policy, Neonatal, Child and Adolescent health policy (2018- 2025), the Neonatal and Child Health strategy, as well as the PHC

3. Specific Tasks The consultant will be responsible for ensuring the accomplishment of the following specific tasks related to the review of the Integrated Community Case Management (iCCM) National Framework and Plan of Action, M&E plan and training guidelines and tools. • Take cognizance of the experts’ recommendation on antibiotic use for treatment of uncomplicated childhood pneumonia at community level and incorporate the same in the review • Lead the process of development of data collection tools for the review of the current iCCM implementation process, data collection, analysis, report writing and presentation to the iCCM TWG. • Review the lessons learnt at global, regional and country levels on iCCM implementation to inform the review. • Examine existing commodity management system for iCCM commodities that support implementation to inform the way forward in the revised documents. • Facilitate review workshops and meetings and consolidate outputs from the engagements to inform finalization of the documents and tools • Facilitate the validation meetings and finalization of the documents/tools based on inputs from the validation process in readiness for signing and printing of the revised documents

1. Expected Deliverables The consultant will work both virtually and physically to undertake the tasks and deliverables outlined in the table below. Note: payment is on satisfactory completion of all the deliverables duly authorized by the Supervisor of the contract. UNICEF will seek feedback from the MoH on quality of work of the post holder.

Tasks

Deliverables

Timelines

% of time Spent on Assignment

Conduct assessment of iCCM implementation (Desk review, KII, FGD with stakholders and partner at National and County level)

Debrief report on the review findings

3 days

5.5%

Field visits to selected counties implementing iCCM, to asses implementation status, including case observations and County consultative meetings ( Review iCCM implementation status, lessons learnt , challanges) ( 3 counties- Turkana/Isiolo, Muranga’ Siaya/ Homabay, Nairobi informal settlement- Mukuru kwa Njenga)

Field visit report

7 days

12 %

Analyse data, prepare report, Share review findings in a stakeholder’s meeting/ workshops

Status of iCCM implementation report

3 days

5.5%

Lead / facilitate workshop to review and develop the zero draft of ICCM implementation framework and plan of Action 2021- 2025

Zero (0) draft of the iCCM implementation framework and Plan of Action 2021-2025

5 days

9%

Consultant to circulate and share the Zero draft to partners / stakeholder for inputs, consolidate inputs from partners

1st Draft of the iCCM implementation framework and Plan of Action 2021- 2025

2 days

4%

Lead/ facilitate second development workshop

2nd Draft of iCCM implementation framework and plan of action 2021- 2025

4 days

7%

Consultant to circulate and share the 2nd draft to partners / stakeholder for inputs, consolidate inputs from partners

3rd Draft of iCCM implementation framework and plan of action 2021- 2025

2 days

4%

Lead/facilitate a third (3rd) workshop to review M&E plan 2013-2018, in line with the iCCM national framework and NCH strategy

Updated M&E framework 2921- 2025

4 days

7%

Consultant to circulate and share the M&E framework with partners / stakeholder for inputs, consolidate inputs from partners

Final draft of iCCM implementation framework and plan of action 2021- 2025 & M&E Framework

2 days

4%

Facilitate 2 stakeholders’ validation meetings

Validation report and revised final iCCM framework and M&E plan

2 days

4 %

Lead/facilitate 2 workshops to revise the iCCM training manuals and tools

Draft revised iCCM training manuals and tools

10 days

19 %

Support pre- test and review of iCCM training manuals and tools including the Expert recommendation on pneumonia treatment at community level

Gaps in training materials identified

5 days

9%

Lead/ facilitate validation of the training manuals and tools

Final draft training materials availed

2 days

4%

Lead/ facilitate a National dissemination stakeholders’ meeting

Dissemination meetings

1 day

2%

Report writing of the review process

Final review process report submitted

2days

4%

Total

54 days

100 %

2. Reporting a. Consultant will work under the overall supervision of the Head Division of Neonatal and Child Health (DNCH) and UNICEF Child Health Specialist b. Consultancy will be for a maximum period of 54 days staggered for a period of 5 months c. Consultant will be stationed at MOH (National) and share regular updates with the Head Division of Neonatal and Child Health (DNCH) as requested d. The Head of DNCH with support from the iCCM secretariat and UNICEF Child Health Specialist will support the coordination of the consultant’s work. e. MOH will provide additional visual aids as needed for the assignment by the consultant

3. Expected background and Experience a. A medical doctor with master’s in public health or community health. PHD as an added advantage b. At least 8 years’ experience in child Health policy and strategy development c. Demonstrable significant experience in Integrated Management of Neonatal and childhood Illness & Integrated Community Case Management (IMNCI & iCCM) implementation and guidelines review/ development d. Demonstrable significant experience in development/ review of policies and guidelines for iCCM implementation, locally and internationally, preferably with Kenyan experience e. To have at least 5 references from well recognized institutions f. To have led similar strategic documents revision assignments as lead writer and share at least 3 examples g. Demonstrable significant experience in strategic thinking, drafting/writing strategic documents, working with government, development partners and other stakeholders in child health

4. Experience and Competence a. Critical appraisal of the public health policy and programming literature at post graduate level, evident by at least one relevant project b. Evidence of critical insight into priority policy questions in child health in Kenya c. Child health policy and advocacy d. Development/ technical assistance in development of iCCM/ child health and nutrition policies and guidelines e. Capacity development in iCCM and other child health and nutrition high impact interventions f. ICCM implementation expertise g. Child health quality of care assessments h. Working in a multi-disciplinary team i. A good understanding of Kenyan system under devolved governance j. A good understanding of the implementation of Kenyan model of community health strategy, as it is the structure within which iCCM is implemented.

5. Strong Preference a. Evidence of previous support in implementation of iCCM in Kenya b. Previous / current work in Maternal Newborn and child Health c. Knowledge of the Kenyan health system d. Previous experience working with counties and tiers/ level 1, 2, and above of the Kenya health system

6. Additional qualities a. Excellent presentation skills with ability to effectively convey technical ideas to expert and lay audiences b. Ability to work as part of a team as well as independently c. Computer literate with working knowledge of MS office applications d. Excellent time management and organizational skills e. Fastidious attention to details f. Enthusiastic approach to work g. Ability to work collaboratively.

7. General Conditions: Procedures and Logistics a. Consultant will work under the overall supervision of the UNICEF Kenya Health Specialist (Immunization and Child Health) with support from child health officer b. Consultancy will be for a maximum period of 54 days staggered for a period of 6 months c. MOH will provide documents as needed for the assignment by the consultant d. Consultant must provide own workstation and software. e. Consultant must be willing work virtually and be able to travel for extended periods of time in rural Kenya. f. Interested applicants should send their detailed CVs and evidence of previous related work. They should also send a technical proposal not exceeding 5 pages, which should include: i. The applicant’s understanding of the task ii. Proposed methodology/approach to the task iii. Summary work plan and consultancy fee for conducting the assignment. iv. Interested applicants should submit as well a detailed financial offer. v. Availability for assignment

8. Policy both parties should be aware of:  Under the consultancy agreements, a month is defined as 30 working days, and fees are prorated accordingly. Consultants are not paid for weekends or public holidays.  Consultants are not entitled to payment of overtime. All remuneration must be within the contract agreement.  No contract may commence unless the contract is signed by both UNICEF and the consultant or Contractor.  For international consultants outside the duty station, signed contracts must be sent by fax or email. Signed contract copy or written agreement must be received by the office before Travel Authorization is issued.  No consultant may travel without a signed travel authorization prior to the commencement of the journey to the duty station.  Unless authorized, UNICEF will buy the tickets of the consultant. In exceptional cases, the consultant may be authorized to buy their travel tickets and shall be reimbursed at the “most economical and direct route” but this must be agreed to beforehand.  Consultants will not have supervisory responsibilities or authority on UNICEF budget.  Consultant will be required to sign the Health statement for consultants/Individual contractor prior to taking up the assignment, and to document that they have appropriate health insurance, including Medical Evacuation.  The Form 'Designation, change or revocation of beneficiary' must be completed by the consultant upon arrival, at the HR Section.

Languages required: English is required language.

Payment will be made upon receipt of the following: • Successful completion of the tasks and submission of the deliverables to the satisfaction of UNICEF and MoH, in line with the expected deliverables table on pages 3-5 of this ToR.

How to Apply

Interested and qualified candidates should apply online using the button below. As part of their application, candidates should provide: 1. Expression of Interest/cover letter that specifies how you meet the desired competencies, technical background and experience (no more than 2 pages) 2. A short CV (no more than 4 pages) 3. A financial proposal that should include daily rate and the total fees for the assignment 4. 3 Referees

Candidates with questions about the opportunity should send an email to pokoth@unicef.org

Apply now

Added 3 years ago - Updated 2 years ago - Source: unicef.org