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Consultant: Community Management of Acute Malnutrition (CMAM) Bottleneck Analysis Islamabad, Pakist

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N.G.O./Social Services
Total Position:
Job Type:
Apply By:
Dec 8, 2019
Posted On:
Dec 3, 2019
Job Description

UNICEF works in some of the worlds toughest places, to reach the worlds 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

Pakistan was the sixth country in the world to sign and ratify the Convention on the Rights of the Child, less than one year after it was adopted by the United Nations General Assembly in 1989. However, children and adolescents living in Pakistan still face acute challenges.

UNICEF supports the Government of Pakistan to accelerate progress for children, work to achieve the Sustainable Development Goals (SDGs) and help children realize their rights under the Convention on the Rights of Children. This will be made through, among others things, strong partnerships with provincial authorities, teachers and health professionals, frontline workers and social mobilisers, communities and families, and of course the children and adolescents themselves. 

In particular, UNICEF will work so that:

  • Every child survives and thrives -- being in good health, immunized, protected from polio and accessing nutritious food.
  • Every child learns.
  • Every child is protected from violence and exploitation and registered at birth.

Every child lives in a safe and clean environment, with access to safe drinking water and adequate sanitation.

To learn more about UNICEFs work in Pakistan, please visit the country website www.unicef.org/pakistan and videos on YouTube and Vimeo

How can you make a difference?

Community Management of Acute Malnutrition (CMAM) programme has emerged has single comprehensive actions to cater for both moderate and severe acute malnutrition with and without complications and has been implemented in Pakistan since 2007 with varying scales. The programme has also inspired Government wasting treatment programmes as well and has been a source of capacity building for health providers as well. However, the programme has only seen considerable pace in 2010-11 with donor support and has scaled down considerably in later years and has been conveniently linked with emergency response mainly. It is also important to note that by design the elements of CMAM had to be integrated in primary health care(PHC) system but only SAM (Severe acute malnutrition) treatment has been partially integrated in PHC  and on limited scale . To look into all the bottlenecks and boasters around CMAM in Pakistan UNICEF Pakistan along with UNICEF Regional of South Asia (ROSA) plans to conduct a bottle neck analysis for CMAM in Pakistan to provide insight to all relevant stakeholders to make informed decision for investments in treatment of malnutrition in Pakistan.

To make a difference, you will be accountable for the following tasks and deliverables:

Objectives for Assignment:

Conduct a detailed national CMAM Bottleneck Analysis for identifying bottlenecks to scale up quality SAM treatment services and improve its uptake, to inform CMAM programme in Pakistan.

Methodology of the Assignment:

A consultant will be engaged through competitive process to conduct the CMAM Bottleneck to Improve Access and Effective Coverage of CMAM  Services

The CMAM bottleneck analysis (BNA) will be based on health and nutrition coverage evaluation model to capture main determinants from bigger determinants framework.

For this assignment, following approach will be adopted with the consultancy time frame;

Step 1:

  • Define Indicators
  • Identify information sources and collect data

Step 2

  • Identify bottlenecks

Step 3

  • Analyze root causes of bottlenecks

Step 4

  • Find solutions and corrective actions at national, provincial and district levels

Step 5

  • Develop Action Plan

To achieve these objectives, following tasks will be assigned to the selected Individual Consultant.

  1. Prepare inception report. The Inception report should include a detailed work plan with clear timelines.
  2. Conduct Desk reviews for the available documents on CMAM programs in Pakistan Final CMAM bottleneck analysis report containing country specific recommendations & strategies with provincial implementation plan is submitted.
  3. Conduct interviews (IDIs) with key national policy makers (e.g. DG Health of MoNHSR & C and Nutrition Director of Nutrition Wing of MoNHSR & C) and other key implementers.
  4. Conduct Focus Group Discussion (FGDs) with LHVs/Female medical doctors and LHWs /CMWs and community (Mothers & Fathers etc.)
  5. Provincial and Federal stakeholders will be engaged through a workshop to finalize bottleneck analysis tool based on initial desk review IDIs and FDGs by the consultant.
  6. CMAM bottleneck analysis report with recommendations is prepared and submitted to UNICEF for review and finalization.
  7. CMAM bottleneck report refined based on the comments and finalized for final submission to UNICEF


  1. Inception Report and Work Plan with clear timelines and responsibilities is submitted.
  2. Assessment/Situational analysis report on CMAM submitted; findings presented to Federal Nutrition Working Group.
  3. Federal CMAM Bottleneck analysis workshop conducted, and report submitted to UNICEF for review.
  4. Final CMAM bottleneck analysis report containing country specific recommendations & strategies with provincial implementation plan is submitted.

Ethical consideration:

The bottleneck analysis will be conducted up to the highest ethical standards. This includes ensuring that expectations are not raised, confidentiality is maintained, and respondents are informed about the purpose of the study and asked to participate voluntarily.

The participants will be informed about the purpose, methods and benefits and intended possible uses of the study. Informed verbal consent will then be obtained.

Quality Assurance mechanism:

Quality Assurance Mechanism will be ensured through the process of CMAM bottleneck analysis, starting from selection of consultant, development of tools, study process and report writing. Effective measures will be taken for impartiality. Nutrition programme section will be responsible for ensuring the quality assurance.


The proposed consultancy will be completed in 3 months starting from 15th December 2019.

To qualify as an advocate for every child you will have

  • Master's in Human Nutrition, MBBS/MD with Master's public health nutrition.
  • Previous working experience of conducting the same nature of study work in Pakistan or similar setting.
  • Capacity to manage and implement the activities as per the term of reference.
  • Demonstrable capacity and research/study experience of 5-7 years in public health/nutrition with sound understanding of bottleneck analysis tools.
  • Familiarity with local social and cultural context.
  • Good understanding of national and provincial level nutrition specific polices, plans and programs currently under implementation.
  • Technical expertise to lead and implement.
  • Experience in Nutrition related study.
  • Expereince in Bottleneck analysis.
  • Communication and report writing skills.
  • Financial proposal.
  • Written and spoken fluency in English is essential.

For every Child, you demonstrate

  • UNICEFs core values of Care, Respect, Integrity, Trust and Accountability and core competencies in Communication, Working with People and Drive for Results.
  • Functional competencies required: Able to communicate effectively to varied audience, including during formal public speaking.  Can work effectively in a multi-cultural environment.  Sets high standards for quality of work and consistently achieves project goals.  Identifies urgent and potentially difficult decisions and acts on them promptly.  Demonstrates, applies and shares expert technical knowledge across the organization. View our competency framework at: Here
  • 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.


  • Estimated Duration: 3 months, starting from 15 December 2019 .
  • Official Travel within the country involved.
  • Applicants are requested to submit a financial quotation indicating monthly fee as part of the application against each deliverable.
  • HEC Attested and verified degrees are a pre-requisite for employment at UNICEF. During the recruitment process candidates will be required to present attested and verified degrees.
  • At the time the contract is awarded, the selected candidate must have in place current health insurance coverage.
  • Payment of professional fees will be based on submission of agreed satisfactory deliverables.
  • UNICEF reserves the right to withhold payment in case the deliverables submitted are not up to the required standard or in case of delays in submitting the deliverables on the part of the consultant.
  • Only shortlisted candidates will be contacted and advance to the next stage of the selection process.
  • 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.

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