1. Purpose of the Consultancy
The purpose of this assignment is to work closely with Department of Health, the Maternal and Child Program to draft the PC1 document. This is in response to the official request from MCH Program Balochistan to support their Programming document for resource mobilization to support the maternal and child services in the provinces at PHC facilities. The consultant will review the existing policy documents and health systems to align the proposed PC1 for MCH Program. The PC1 must be in line with the Provincial needs and comprehensively address all components of Health Systems Strengthening to ensure required resource mobilization and optimize quality maternal and child health services in the PHC facilities. The PC1 document should consider equity based Universal Health Coverage, Private Sector Regulation, inter-sectoral coordination and concomitant humanitarian and development approaches to augment quality maternal and child health services. The purpose of the PC1 is to earmark funds for upcoming fiscal year from within Provincial Public Sector Development Program (PSDP) through Planning & Development Department.
The Maternal and Child Health Program as a regular feature of the Department of Health Balochistan renders maternal and child health services across the province at Primary Health Care level. The Program extends essential maternal and child health care services through a network of 100 MCH Centres at the Primary Health Care level. These MCH services entails antenatal, intranatal and postnatal care to the pregnant women. Additionally, they also provide Family Planning service to Health Spacing and Timing of Pregnancy, Growth monitoring and nutrition screening, health education, Immunization and other curative treatment for minor ailments. The MCH centres also plays important role in referral of complicated pregnancy cases to secondary and tertiary health care levels.
The main objectives of MCH Program are to ensure the following services:
- Essential Basic EMONC services at MCH centres
- PHC and family planning services at the MCH Centres
- Serve as a Hub for referrals from the community to Secondary and Tertiary care level
- Improve the linkage with community through LHWs, TBAs and other outreach workers to the nearest PHC referral service
The MCH is program is responsible to ensure availability of skilled Human Resource to enable provision uninterrupted Basic EMONC services. This is done through qualified cadre of LHVs, who are deployed after a 2-years extensive training and certification. Moreover, provision of essential supplies, medicines and equipment, and monitoring and supervision of the services at MCH Centres is also under the domain of MCH Program. The MCH Centres serves as first contact at PHC level for Basic EMONC services and also provide linkage from community to specialized care for maternal, new-born and child health care.
To develop PC1 document for MCH program Balochistan, whilst considering the ground realities and adopting the approaches of UHC for MNCH services, equity, inclusion, integration of services at PHC and adopting Health System strengthening approach for MNCH services; to be approved and endorsed by the Government of Balochistan by 31st December 2019
4. Planned timelines (subject to confirmation): 20th January 2020 to 29th February 2020
5. Work to be performed
a. Desk Review
- Review of available documents on MCH at Provincial/National level even at Sister Provinces
- Review existing MCH protocols, Job Description (JDs), Guidelines, IEC material MCH Centre’s checklist. List of MCH Centres in the Province. To see if it fits into new concepts, ideas and innovations with global development, to promote good practices in MCH in the health system of Balochistan.
- Perform stakeholder analysis at policy, planning and implementation level.
- Review secondary data provided by MCH Program
b. Stake Holder Meetings
- Conduct Preliminary meetings with PC/MCH Staff to discuss JDs, activities and progress of Program.
- Conduct a round of meetings/in depth interviews at the Provincial Level with Minister of Health, Health Secretary, DG Health Services, Divisional Director, DHO, Principals Public Health School, Midwifery School, Head of OBGYN/Paediatric Departments of all Tertiary Hospitals in the Province. Agenda would be to discuss the Maternal Child Health Situation in Balochistan and functioning of MCH centres.
- Conduct meetings with relevant stakeholders at the District as well as the Community level.
- Meetings with Development Partners/UN Agencies in particular to assess their role in contribution to MCH Services in Balochistan and their support for improving MCH Services in the Province.
- Joint Meetings with ACS, Chief of Section Health, Secretary Finance, Secretary Women Development Department, Secretary Social Welfare Department, Secretary Education, Secretary PWD, Chief Planning Officer DOH. Discussion would be around the existing MCH Indicators and overall Health/Economic and social conditions of Women in Balochistan and role/support of various line departments for MCH. The purpose is to emphasize on a Multisectoral approach for improving MCH Services in the Province.
- Meeting with Provincial Managers of MCH Vertical Program Partners. Health Education Unit at the Provincial Health Directorate. INGOs/NGOS, CBOs and other organizations which share objectives on improving MCH Services in the Province.
c. Field visits
- To conduct field visits, in consultation with director MCH, of at least two districts of one or more divisions in the Province.
- Introductory meeting to be held with DHMT team; DC, DHO, Principal of PHS &CMW schools, DDHO, PHS, EPI and any other relevant cadre in the district.
- Visit DHQ Hospital to observe MCH service delivery.
- Meeting with LHVs, CMWS, Vaccinators, LHWs at the PHC facility, adolescent girls/ PLWs in the community who seek PHC services in the districts.
- To conduct gap analysis of MCH centres in terms of Service delivery, supplies and equipment, HR availability, Infrastructure, availability of utilities such as water, electric, gas and availability of other physical infrastructure with respect service to be provided at MCH.
- Review of existing IEC material at the MCH Centre. Check for relevant BCC messages in the form of brochures, flyers, posters, charts, mounts, counselling cards, illustrative manuals. The purpose of this activity would be to ensure the availability of MCH messages at the facility level as well as dissemination of messages to the community through CMWs, LHWs supported by Social Organizers.
d. Report Writing/Sharing
- To share initial draft developed for PC-1 of MCH program with PC MCH and staff for review and input, after one month into the consultancy.
- Primary report of PC-1 to be shared with main stakeholders such as Minister & Secretary Health, DG Health, Chief of Section Health P&D, PC MCH Program, and other relevant stakeholders.
- To share final document of PC1 with costing and monitoring framework before the end date of assignment.
Output 1: Developed and submitted for approval MCH Program Pc1 document
Output 2: Developed and submitted for approval MCH Program PC1 with action plan, costing and monitoring mechanism and evaluation framework.
· An inception report of 3 to 5 pages outlining the findings from Programmatic documents (PC1) of other provinces and Baluchistan’s documents, literature review and best practices it must recommend what is applicable to circumstances in Balochistan. Where appropriate some references may be cited or National Plans referred to, although an extensive literature review is not expected.
· Detailed methodology and Gant Chart with timeline to complete the assignment.
· A synthesis report containing the evidence presented and main discussion points raised and agreed at the stakeholder’s consultation meeting and in depth interviews. It serves to ensure agreement from all parties on the scope of the drafts documents.
· An outline of the draft PC1 informed by recent evidences and draft of PC1.
· A completed, formatted and edited final PC1 Draft and reviewed.
· Assignment duration and management arrangements
This assignment is for 20 working days, the consultant will work from the office of Department of Health Balochistan in close coordination with Head of WHO Sub Office Balochistan and NPO RMNCAH/Nutrition with field work if necessary will be supported by WHO in consultation with EMRO.
6. Technical Supervision
The selected Consultant will work on the supervision of:
Responsible Officer: Dr. Asfandyar Sherani
Manager: Dr. Muhammad Babar Alam
7. Specific requirements
- Qualifications required:
· Required: Bachelor’s Degree in social sciences.
· Desirable: Master’s Degree in Public Health or Social Sciences and Doctorate in Public Health/Policy and Planning/Health sector Reforms/Health Management & Governance.
- Experience required:
· At least 5 years- of progressive professional experience in development, design, and implementation of health Systems at National or International level.
· Demonstrated successful experience in developing of evidence based publications, strategies, guidelines and reports.
· Demonstrated successful experience of developing research papers on qualitative research.
· Experience of working within the context of Pakistan on Health Systems related assignments with Governments or UN systems will be an asset.
Experience in the management of county or national level Health related programmes particularly in the areas of Health Systems.
- Skills / Technical skills and knowledge:
· Knowledge of Health Systems of Pakistan in general and Balochistan in particular.
· Knowledge of socio-cultural variances and health seeking behaviour of people of Balochistan.
· Appropriate computer skills with use of analytical softwares.
· Fluency in English with excellent writing, analytical and communication skills
- Language requirements:
· Expert in reading, writing and speaking English
· Understanding and speaking Urdu will be an added qualification
8. Place of assignment
The consultant will be based at Quetta at the Department of Health MCH Program Balochistan with travel to districts or Divisional headquarters if required.
9. Medical clearance
The selected Consultant will be expected to provide a medical certificate of fitness for work.
The Consultant is expected to travel as per need in consultation with the WHO and DOH focal points. Required Skills