Purpose of assignment:
UNICEF in cooperation with the provincial governments is looking for a senior consultant policy development for the nutrition sector for each of the following locations: Sindh, Punjab, Balochistan, Khyber Pakhtunkhwa, AJ&K and Gilgit Baltistan. The consultant will closely collaborate with the Provincial governments, nutrition stakeholders and an international consultant. The objective of the consultancy is to support the Government in the development of the "Provincial Integrated Nutrition Strategy and Resource Mobilization. The consultancy is planned for a duration of about 60 days.
In 2011, the first National Nutrition Survey (NNS) in a decade was conducted. It found that more than 40 per cent of the children suffer from chronic malnutrition and over 15 per cent from acute malnutrition. These high rates are among the highest in region and have not shown any improvement over the decades. Infant and young child feeding practices are poor and inappropriate. Micronutrient deficiencies are highly prevalent. While iodine deficiency disorders have been reduced over the past ten years, other micronutrient deficiencies had actually worsened.
Although some practices around breast feeding improved, there are serious shortfalls in the quality and quantity of complementary food provided to young children with only 8 per cent of the 6 to 24 months old children receiving a sufficiently diverse diet to meet their nutritional requirements. Over two-thirds of mothers do not exclusively breastfeed their children, as recommended, up to six months, and Maternal malnutrition, a key factor in early childhood malnutrition, is also very high. About 15 per cent of mothers are underweight and more than half of all women suffer from anaemia. Causality of malnutrition are multi-sectoral; Hygiene practices, access to safe water and sanitation and health services are major determinants of malnutrition. A household’s food security, access to a diversified diet, socioeconomic situation and level of literacy are among the lead causes of malnutrition in Pakistan.
In order to address malnutrition effectively, and informed by the findings of the nutrition survey, UNICEF, and its UN and non-UN partners supported the development of the Pakistan Integrated Nutrition Strategy (PINS), which aims to ensure an effective, coherent multi-sectoral approach to address malnutrition and its root causes.
The Pakistan Integrated Nutrition Strategy (PINS) operates in three action areas, addressing direct and indirect causes of malnutrition in an intersectoral manner as well as supporting the development of adequate leadership, and the technical and managerial capacities to plan and implement effective nutrition programmes.
The Pakistan Integrated Nutrition Strategy was developed in 2011 at the federal level. Following the 18th amendment of the constitution and the devolution of the national Government, UNICEF worked closely with major stakeholder at the provinces/regions to initiate a provincial integrated nutrition planning process. This process requires further attention and facilitation to be completed and transferred into operational actions and facilitation to start the implementation of an integrated package in selected areas.
The need for additional UNICEF support was expressed by the Government authorities during the initial start-up of the planning process at the provincial level, and furthermore, suggested by the various UNICEF provincial offices discussing priority needs during the recent UNICEF nutrition review workshop.
During the last year, the political attention to nutrition increased, in addition new challenges arise due to the transfer of responsibilities to the province governments. WB, with donor funds provided by the “South Asian Initiative for Food Insecurity and Nutrition’ (SAFANSI), will simultaneously with the mission ToRs, provide support to provinces for the formulation of brief nutrition policy notes. Those policy notes are a basis for the federal level policy development and budget allocations. Hence, the consultant is requested to undertake the above mentioned actions by working hand in hand with the planned World Bank mission.
Major tasks to be accomplished:
1) In collaboration with the international consultant, review the progress in supporting provinces towards the development of a Provincial Integrated Nutrition Strategy and Operational Plan. Discuss with the provincial government, define and agree on the way forward in the finalisation of their provincial integrated nutrition strategy, operational plan and intervention package. Support the drafting of a generic strategy. (Location: province, timing: 5 days).
2) Work in close cooperation with the Provincial Government, in particular the Department of Planning and Development, the chair and the members of the provincial nutrition steering committees, technical advisory teams and line Departments, in particular the Department of Health, but also Agriculture, Food, Education, Social Welfare etc. supporting them in the development and the operationalize of their provincial integrated nutrition strategy. This will be done through stakeholder bi-lateral and multi-lateral planning meetings, an opening workshop and a final dissemination workshop at the respective province. The national consultant will have the possibility to work with the international consultant together, supporting the initial workshop at one selected province. After that, he/she will transfer the approach and start this planning process at his/her respective province. (in conjunction with ToR 3; timing: 15 days; location: respective provinces, a three day mission to Sindh)
3) Work closely with the provincial government facilitating the development of and agree on the a) the package for integrated nutrition activities, consisting of high impact and intersectoral interventions, covering the three action areas described in the PINS (direct nutrition interventions, indirect and multi-sectoral interventions, and building technical and managerial capacities for nutrition) and b) on selection criteria on where to implement the model. (in conjunction with ToR 2; timing: 7 days, location: respective province)
4) Facilitate finalisation of the provincial strategy, operational plan, and intervention packages to be documented in one modal report; support the design of presentations and format for donor and stakeholder meetings; Contribute to the development of funding proposals, etc. In cooperation with the Government and the International Consultant, finalised recommendations and the way forward. If needed, support the provincial Governments to apply for becoming a SUN recognised country. (timing: 10 days home location).
5) Support the presentation of finalised strategy and operational plan at province level. In cooperation with the International Consultant, support UNICEF Pakistan to mobilise local donor resources for direct nutrition interventions. This includes identification of possible donors and other fund raising options and requires stakeholder, donor, counterpart meetings to generate political and financial support; Support the preparation of an action plan (incl human and financial resources) and support the finalisation of the funding proposals (7 days, 5 days at respective province, 2 days mission to ISB).
The national consultant will closely coordinate and complete all tasks in agreement with the international consultant as well as the supervisor. The national consultant will be supervised and be supported by an international consultant.
The entire team, one international consultant and five provincial consultants will start together in one selected province (initial meetings, start-up workshop, preferably Sindh). This is to agree and harmonise the schedule, approach and methodology to complete the tasks at respective provinces. Thereafter every consultant will start and facilitate the work at their respective province. At the end of the assignment, the final strategies will be presented at provincial dissemination workshops and a presentation at federal level. The national consultants are to be selected competitively through consultation with the provincial DoHs.
- Frist week of June: Provincial review report, mission work plan, mission schedule, draft generic strategy (ToR 1),
- Mid July: Draft provincial strategies, operational plan and model package (ToR 2 to 3)
- End July: Draft funding proposals to be submitted to donors (minimum 2)
- End August: Final provincial strategies, operational plans, model package and completion of one dissemination workshop per province.
- Mid September: final funding proposals (ToR 5).
- End September: final mission report for the respective province (including brief description of the mission but focusing on recommendations, next steps and way forward supporting the implementation of the provincial PINS (ToR 1 to 5).
Respective province (preferably of residence), with missions to on other province and missions to Islamabad.