TERMS OF REFERENCE FOR THE DEVELOPMENT OF TRAINING PACKAGE WITH SOPs FOR TRAINING OF EXPERT PATIENTS IN ZIMBABWE

Consultant Human Rights

Contract

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Background

Project Description

Zimbabwe’s national HIV care and treatment program has seen vast improvement as the country scaled up and decentralized HIV treatment since 2004. Decentralization and integration of HIV prevention, care and treatment activities across all levels of the health system has required a critical review of the roles and responsibilities of health care workers. With the further scale up of ART demanded by the 2016 Guidelines for Antiretroviral Therapy for the Prevention and Treatment of HIV in Zimbabwe and the introduction of “Treat All”, further review of the tasks and working practices of health workers was required. Reviewing the scope of practice of health workers, not only had the potential of improving access and retention, but could also allow clinicians (doctors and nurses) to spend more time with clients with more complex medical needs. Evidence from the literature has demonstrated that there is no difference in clinical outcomes, including mortality or losses to follow up, when nurses initiate or manage people on ART relative to physician-led care. Quality of care is ensured through adequate training, ongoing mentorship, and clear indications for referral to higher levels of care, and monitoring and evaluation systems that are utilized for improving client management. Together with the reviewing of roles for HCWs, roles for community health workers, expert clients and other community-based cadres were reviewed and elaborated in the 2016 Operational and Service Delivery Manual (OSDM). These roles include the following:

• Conducting community mobilization to increase uptake of HIV testing and counselling, care and treatment

• Acting as a link between outreach and community-based activities and the facility to support linkage and retention to treatment services

• Providing community-based treatment literacy to support adherence and retention, including supporting clients with high viral load

• Linking with the facility to provide defaulter tracing for clients utilizing the AIDS and TB referral form to support effective communication

• Facilitating the formation and running of community-based ART delivery models where implemented

• Ensuring that monitoring and evaluation of community-based activities is linked to the respective facility.

A preliminary assessment into the work and capacities of the current community health workers showed marginal to significant differences between cadres depending on who provided the capacity building. Further analysis revealed a lack of standardization in the capacity building tools, especially a curriculum for training expert patients as their offer HIV related services. Clear and concise curricular exists for facility health workers but none for expert clients. With this background, the MoHCC will like to develop a curriculum for training expert patients, equipping them for their designated tasks as elaborated in the operational and service delivery manual so that comprehensive HIV services are provided with the same quality standards across the country.

Broad Objective: To develop a training package with SOPs for expert patients with focus on adherence and retention in care for PLHIV on ART through provision of psychosocial support, defaulter tracking, client education, facility navigation, and bi-directional facility - community linkages

Specific Objectives:

• Facilitate stakeholder consensus on the development of a training package for expert patients
• Share a work outline and inception report for the task at hand
• Review current training curricular used by different stakeholders
• Share progress updates at specified intervals
• Develop standardised curriculum complete with participant handbook, workbook and facilitator guide
• Develop SOPs for facility navigation and bidirectional facility - community linkages
• Make recommendations for the national roll out of the trainings
• Develop a protocol and plan to evaluate the roll out and effectiveness of the training programme
• Zimbabwe Operational and Service Delivery Manual, page 19

Duties and Responsibilities

Scope of Work

The consultant will be responsible for:

• Content development
• Working in collaboration with MoHCC to adapt content used by various stakeholders and come up with a standardised curriculum
• Identifying learning approaches to be used for the training
• Creating pre and post-test quizzes and cases scenarios to support the content
• Provide guidance on administration of training (facilitation, using discussion groups)
• Finalization of the training package complete with participant handbook, workbook and facilitator guide
• Make recommendations for roll out of the trainings
• Develop a protocol and plan to evaluate the roll out and effectiveness of the training programme

Expected Outputs and Deliverables

Deliverables/ Outputs

Estimated Duration to Complete

Target Due Dates

Review and Approvals Required (Indicate designation of person who will review output and confirm acceptance)

Weight

Identification of Consultant, finalization of TORs and signing of contracts

Signed contract

Week 1

1st week

MoHCC

Training and Mentorship TWG

AIDS & TB Programmes

UNDP

Presentation of work outline and inception report

Week 1

1st week

Consultant

MoHCC

Training and Mentorship TWG

AIDS & TB Programmes

10%

Field work for key informant interviews x 5 days

Field Work Report outlining findings

Week 2

2nd week

MoHCC

Consultant

Draft training curriculum with SOPs for facility navigation and bidirectional facility to community linkages

Week 3

3rd week

Consultant

MoHCC

20%

Finalized training curriculum for Expert Patients complete with participant handbook, workbook and facilitator guide and SOPs for facility navigation and bidirectional facility to community linkages

Week 3

3rd week

Consultant

MoHCC

70%

Evaluation Plan for the roll out of the training curriculum

Week 3

3rd week

Consultant

MoHCC

Approved training curriculum delivered and payment of consultancy fees by UNDP

Week 3

3rd week

MoHCC

UNDP

Consultant

Institutional Arrangement

MoHCC:

• Provide training curriculum used by different stakeholders, ensuring that the content are appropriate and aligned to the Operational and Service Delivery Manual, Ministry Policies and Guidelines.
• Ensure the development of the training manual is done timeously against set road map.
• Provide overall leadership and direction.

Training and Clinical Mentorship Technical Working Group: Sub working group on blended learning

• Vet the material to ensure technical accuracy
• Provide all up to date content to be included
• Review and give feedback on design drafts
• Adapt, edit or revise training content
• Ensure appropriate flow of content and activities
• Ensure the quality of the training content meets the learning objectives
• Ensure the necessary reviews are done timeously according to set milestones

Consultancy

• Facilitate stakeholder consensus on the training package to be developed
• Collaborate with relevant stakeholders
• Meet with technical working group to incorporate feedback from MoHCC and stakeholders
• Conduct field work for key informant interviews
• Make recommendations for the national roll out of the trainings
• Work with MoHCC to create the complete package
• Develop a protocol and plan to evaluate the roll out and effectiveness of the training programme

Duration of the Work

The development of the training curriculum is expected to be done for a total of 21 days in September 2021.

The IC modality is expected to be used only for short-term consultancy engagements. If the duration of the IC for the same TOR exceeds twelve (12) months, the duration must be justified and be subjected to the approval of the Director of the Regional Bureau, or a different contract modality must be considered. This policy applies regardless of the delegated procurement authority of the Head of the Business Unit.

Competencies

Competences:

Existing experience in developing training manuals and SOPs used for facility navigation and defaulter tracking by community lay cadres supporting HIV programming

Scope of Price Proposal and Schedule of Payments

An agreement will be signed between the UNDP and the consultant.

The consultant will be paid a lumpsum for 21 days all inclusive.

Time Sheet will be attached and verified by the direct supervisor; and Final tranche upon performance evaluation from the direct supervisor.

Recommended Presentation of Offer

For purposes of generating Offers whose contents are uniformly presented and to facilitate their comparative analysis, it is best to recommend the preferred contents and presentation of the Offer to be submitted, as well as the format/sequencing of their presentation. The following documents may be requested:

1. Duly accomplished Letter of Confirmation of Interest and Availability using the template provided by UNDP;
2. Personal CV or P11, indicating all past experience from similar projects, as well as the contact details (email and telephone number) of the Candidate and at least three (3) professional references;
3. Brief description of why the individual considers him/herself as the most suitable for the assignment, and a methodology, if applicable, on how they will approach and complete the assignment. A methodology is recommended for intellectual services, but may be omitted for support services [Note: this is optional for support services];
4. Financial Proposal that indicates the all-inclusive fixed total contract price, supported by a breakdown of costs, as per template provided. If an Offeror is employed by an organization/company/institution, and he/she expects his/her employer to charge a management fee in the process of releasing him/her to UNDP under Reimbursable Loan Agreement (RLA), the Offeror must indicate at this point, and ensure that all such costs are duly incorporated in the financial proposal submitted to UNDP.

Criteria for Selection of the Best Offer

This section should indicate all the criteria which shall serve as basis for evaluating offers, which may be done in either of the following manner:

1. Combined Scoring method – where the qualifications and methodology will be weighted a max. of 70%, and combined with the price offer which will be weighted a max of 30%; or
2. Lowest price method – where the award will be made to the qualified/responsive individual who offered the lowest price.

Option (a) is ideal for intellectual services where the methodology or approach to the work may differ from one individual to another and directly impacts the quality of the result. Option (b) is ideal for standard type of services where there are not many possible ways of undertaking/performing the work.

If Option (a) is chosen, the key criteria for rating the qualification and methodology must be stated together with their equivalent percentage weight, so that Offerors can craft their offer appropriately.

Required Skills and Experience

Qualifications of the Successful Individual Contractor

The consultant should be a Medical Practitioner with Masters in Public Health, or a Social Scientist with Masters in Social Work and experienced in curriculum development. Must possess interdisciplinary knowledge and should have a proven expertise in public health and community work. Must understand the Zimbabwean context with community health experience with a minimum of 10 years’ experience in the field.

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Added 2 years ago - Updated 2 years ago - Source: jobs.undp.org