1. PURPOSE OF THE CONSULTANCY
To tackle Non-communicable diseases (NCDs) and risk factors, Ministry of National Health Services, Regulation and Coordination (MoNHSRC) intends to develop a National NCD strategic plan for prevention and control of NCDs in consultation with all stakeholders including provincial and area health departments.
At global level as well in Pakistan, the health systems are facing double burden of disease which is resulting in poor health outcomes. During last two decades’ morbidity and mortality due to communicable diseases and RMNCAH is on the decline, while on the rise due to NCDs. In 2017, the burden of disease due to NCDs was more than 47% while that of injuries is around 9.1%. Transition to NCDs including mental health and injuries is occurring in LMIC due to rapid unplanned urbanization, globalization of unhealthy life styles, ageing of population and global spread of three major NCD risk factors i.e. tobacco, unhealthy life style and unhealthy diet.
Almost 60.3% of the deaths in Pakistan are due to NCD with a major share of cardio-vascular diseases (27% of total deaths in Pakistan).Increasing burden of NCD has led to increase in health care cost, pushing poor patients further below poverty line.
In response to the growing concern due to NCDs, a non-communicable diseases and mental health unit has been established at the federal level in the Ministry of National Health Services, Regulation and Coordination as well as at the provincial levels. AGATTS and STEP Survey was conducted which has been the basis for planning and implementation of control and preventive measures for non-communicable diseases. Based on global strategy on NCDs, EMRO came up with framework for all member states to implement through Primary Health Care approach.
Globally and at regional levels cost effective interventions are available to reduce the NCD burden. These interventions include early detection, inexpensive diagnostic technology, modification of risk factors and affordable medications for prevention and treatment of NCDs; the WHO Package of Essential Non communicable (PEN) Diseases interventions for primary health care is a tool for assessment of health facilities capacities to prevent and control NCDs.
NCDs and their shared behavioural risk factors (tobacco use, insufficient physical activity, harmful use of alcohol and unhealthy diet) and metabolic risk factors (raised blood pressure, overweight/obesity, raised cholesterol and raised blood sugar) are highly prevalent in Pakistan.
Pakistan has been selected as DCP 3 country in which process to develop a generic UHC Benefit Package which would be implemented through Family Practice initially in pilot districts in all provinces/areas.
Tasks and Responsibilities:
The consultancy sought will support the MoNHSRC and the provincial health departments to:
1. Review the situation Analysis covering the following areas:
- Cardio-vascular diseases
- Diabetes and Chronic kidney diseases
- Chronic respiratory diseases
- Mental disorders
- Substance use
- Neurological disorders
- Digestive diseases
- Musculoskeletal disorders
- Sense organ diseases
- Skin disorders
- Other NCD
2. Development of a situation analysis template;
3. Carryout the situation analysis with the Technical Working Group of NCDs
4. Development of policy framework and options based on the challenges identified in the situation analysis;
5. Coordinate and work closely with the National Task Force and Technical Working Group of NCDs
A draft National Action plan will be developed and subsequently discussed with the stakeholders during National “Consensus Building Workshop”.
3. PLANNED TIMELINES: 01 Jun 2019 (tentative) until 31 July 2019
Work to be performed
- Develop an “Inception Report” along with proposed plan for carrying out the consultancy
- Review of literature/secondary data
- Develop a “Situation Analysis “report for all provinces / areas
- Carry out provincial consultative meetings and field visits relevant to the task which will assist in completion of the situation analysis
- Work closely with the National Focal point for NCDs, National Task Force for NCDs and National Technical Working Group (NCD)for further discussions on the policy options
- Facilitate with the M/o NHSR&C to conduct a “Consensus Building Workshop “for NAP on NCDs
- Produce the final draft National Action plan in corporating the feedback given by WHO and M/o NHSR&C.
- An inception report
- Situation analysis of the Non-Communicable Diseases & Mental Health in the country
- Background discussion policy papers with policy options
- Final Draft National Action plan for Non-Communicable Diseases & Mental Health
4. TECHNICAL SUPERVISION:
The selected Consultant will work on the supervision of:
Responsible Officers: National Professional Officer (NCDs / Mental Health & Tabacco Control)
Manager: WHO Representative / Head of WHO Country Office, Pakistan
5. SPECIFIC REQUIREMENTS
Skills / Technical skills and knowledge:
- Sound interpersonal and communication skills
- Working experience with WHO in nutrition intervention and closely working with DOH will be preferred.
- Ability to show activeness and creativity in working environment
- Excellent reports writing and analytical skills
- Ability to work in the intensive care settings and willingness to travel to intervention sites, frequently.
- Sound monitoring and supervision skills
Language requirements: Excellent spoken and written skills of local and English languages.
6. MEDICAL CLEARANCE: The selected Consultant will be expected to provide a medical certificate of fitness for work.