Level: equivalent to NOC
1. Purpose of the Consultancy
The purpose of this consultancy is to provide the national and the provincial TB control programs with technical assistance to ensure adequate strategic planning and measure implementation of national and the provincial strategic plans.
The consultant will work closely with the WCO national professional officers for HIV/Hepatitis and Malaria and WHO Provincial Offices for an integrated response to communicable disease.
Pakistan is currently ranked fifth among high-burden Tuberculosis countries worldwide, with an estimated 510,000 new TB cases emerging each year and approximately 15,000 developing drug resistant TB cases every year. It contributes to approximately 5% of the national disease burden.
Despite, availability of care and treatment services, across the country, an estimated 160,000 TB patients, are reported missed to be notified and subsequently not treated. Thus a substantial number of TB patients are deprived of their right to health and consequently contribute to spread of TB to their nearby.
The struggle against Multi Drug Resistant is more challenging as Pakistan has managed to enroll around 3000 DR-TB cases in 2016, just above 20% among the total cases notified. However, there are 27000 cases of MDR TB annually in Pakistan and unfortunately thousands remain undiagnosed and untreated.
Tuberculosis (TB) still remains a major global public health challenge. TB is an impediment to the human development and it’s included in the targets to be achieved for Sustainable Development Goals (SDGs). More than one third of the estimated TB cases are not diagnosed and are source of TB transmission.
Pakistan endorsed the 67th World Health Assembly resolution to achieve a health-related target under the United Nations SDG 3 that calls for ending the TB epidemic. 194 Member States endorsed “The End TB Strategy” for the period 2016–2035 with the aim to end the global TB epidemic. Targets set in the End TB Strategy include a 90% reduction in TB deaths and an 80% reduction in TB incidence by 2030, compared with 2015. Pakistan is also the signatory to the WHO Moscow declaration and agreed to end TB under the current Sustainable Development era.
The main objective of the consultancy is to support implementation of the WHO’s End TB Strategy, adopted by member states at the World Health Assembly in 2014, and designed to drive action in three key areas: integrated patient-centred TB care and prevention for all in affected, including children; bold policies and supportive systems; and intensified research and innovation.
3. Planned timelines (subject to confirmation)
Start date: 1st June, 2018
End date: 30th November, 2018
4. Work to be performed
Output 1: Adapting National TB Polices, Guidelines and Strategies, to align with the WHO Global ‘End TB Strategy’
Deliverable 1: In collaboration with the national and provincial TB Control Programmes, align TB control strategies with WHO Global “End TB Strategy” and adapt the policies and guidelines to reach the 2020 milestones;
Deliverable 2: Plan human resource development activities and ensure participation of relevant programme staff in national and regional training programmes organized by WHO support;
Deliverable 3: Develop project proposals for donor and domestic resource mobilization and participate in policy maker’s advocacy for enhanced political commitment at all levels.
Deliverable 4: Assess the national policy and strategy for intensified/active case finding and screening of high risk groups and promote expansion to meet End TB 2020 milestone targets
Deliverable 5: Provide technical advice for introduction and expansion of new diagnostics and drugs and of a shorter regimen
Output 2: Integrated Response to HIV/TB/ and Malaria in the country
Deliverable 6: Develop an outline of integrated response to HIV, Hepatitis/ TB and Malaria and of ONE stop service delivery at PHC and Hospital level;
Deliverable 7: Design and organize capacity building activities of human Resources in line with Integrated approach;
Deliverable 8: Develop and promote, approaches and operational plans for finding missing cases to reach the first milestone of End TB Strategy 2020 for public and private sectors.
Deliverable 9: Monitor and assist in strengthening Public- Private Partnership for notification of TB and to ensure that WHO treatment protocols are used.
Output 3: Evaluation and Surveillance for TB Control Interventions, in the country
Deliverable 10:Participate in harmonized planning & evaluation of TB control interventions funded by Global Fund in coordination with the nationals, implementing Principal Recipients (PRs), Sub Recipients (SRs) and provincial TB Programmes;
Deliverable 11:Develop a report on active TB case finding initiative in High Prevalent districts
Deliverable 12:Review WHO and other donor supported research activities and design the research agenda of NTP;
Deliverable 13:Review the development of periodical surveillance reports for regional office and Global TB Programme.
Output 4: Development of Coordination Plan for Management of TB/HIV Co-infection, among people living with HIV/AIDS
Deliverable 14:Participate in the development of coordination plan between NTP and National AIDS Control Programme (NACP), collaboration with other comorbidities including diabetes mellitus, child health care, nutrition, tobacco control etc. ;
Deliverable 15:Review and analyse HIV/TB co-infection data generated by NTP & NACP programs.
Output 5: Roll out of District Health Information System 2 implementation
Deliverable 16:Expand the roll out of DHIS throughout the country, with active engagement of provincial TB control programs;
Deliverable 17:Develop an integrated module for three diseases (HIV/TB/Malaria) under DHIS 2.
5. Technical Supervision
The selected Consultant will work on the supervision of:
- Manager: Mohammed Assai, Head of Office WHO Pakistan | Email:
- Responsible Officer: Muhammad Safdar Kamal Pasha, National Professional Officer | Email:
6. Specific requirements
- Qualifications required:
University Degree in Medicine
Master’s degree in Public health is an asset.
- Experience required:
At least 5 years of relevant experience at the national/ provincial level in TB control.
- Skills / Technical skills and knowledge:
· Demonstrated knowledge in area of TB Control;
· Proven skills in project planning, budgeting and implementation;
· Data analytical skills;
· Experience / familiarity of DHIS 2 implementation;
· Ability to work closely in harmony with government and other partners.
- Language requirements:
English (Read - Write - Speak / Expert or Intermediate).
7. Place of assignment
WHO Country Office, Islamabad
8. Medical clearance
The selected Consultant will be expected to provide a medical certificate of fitness for work.
All travel arrangements will be made by WHO – WHO will not be responsible for tickets purchased by the Consultant without the express, prior authorization of WHO. While on mission under the terms of this consultancy, the Consultant will receive subsistence allowance.
Visas requirements: it is the consultant’s responsibility to fulfil visa requirements and ask for visa support letter(s) if needed.