Health Consultants for Rapid Results Health Project (RRHP) Tender, South Sudan - 25003629

Procurement Summary

Country : South Sudan

Summary : Health Consultants for Rapid Results Health Project (RRHP)

Deadline : 20 Jul 2018

Other Information

Notice Type : Tender

TOT Ref.No.: 25003629

Document Ref. No. :

Competition : NCB

Financier : United Nations Secretariat

Purchaser Ownership : -

Tender Value : Refer Document

Purchaser's Detail

Purchaser : UNITED NATIONS CHILDREN'S FUND
Behind Totto Chan Building Central Equatoria State, Bahar El Jabal, Juba City Tel: +211-820054 / 820283 / 820248 Fax: +211.811.820 088
South Sudan
Email :yhaque@unicef.org
URL :http://www.unicef.org/

Tender Details

Tenders are invited for Health Consultants for Rapid Results Health Project (RRHP), Bor and Malakal, South Sudan (Open to nationals of South Sudan).

UNICEF works in some of the world’s toughest places, to reach the world’s 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.

Background and Justification

After decades of conflict, massive displacement of the population, widespread insecurity, and lack of public funding, the health care system as well as the health status of the people of South Sudan has suffered enormously. After gaining independence in 2011, South Sudan enjoyed relative peace and progress till December 2013 when internal conflict arose between government and opposition. This further worsened in 2016 leading to massive displacement of population especially in the two former States of Upper Nile and Jonglei. Though incomplete, health status indicators are grim. The under-five mortality rate and maternal mortality ratio are among the highest in the world. According to the Ministry of Health (SSHS 2010 survey), malnutrition among children is widespread (stunting = 31%, wasting = 23%, and severe underweight = 12.5%), and tropical diseases, largely controlled in other countries, account for a considerable proportion of the total burden of disease. Infectious disease epidemics are common. The available information suggests that HIV prevalence estimates from location-specific surveys are as high as 8% among adults in some areas. Adult HIV/AIDS prevalence in many areas has exceeded 1%. The annual incidence of tuberculosis in South Sudan is among the highest in the world, estimated at 325 per 100, 000 people.



The high child mortality is due mainly to limited coverage of low cost, high impact interventions that prevent and treat common childhood illnesses, despite large amounts of external assistance and relative peace and security after the signing of the Comprehensive Peace Agreement (CPA). According to the SSHHS 2010, less than half of children under 6 months were exclusive breastfed and one in five children aged 6-8 months received complementing feeding. When children under five were sick with diarrhoea and fever, only about a quarter of them got adequate care: 23% of children with diarrhoea received oral rehydration therapy with continued feeding and 24% of children with fever took anti-malarial drug on the same or next day. Less than 7% of children aged 12-23 months were fully immunised and 4% children aged 6-59 month received a vitamin A supplementation. According to the UN Interagency Group for Child Mortality Estimation, in 2016, under five mortality rate remained relatively high at 91 per 1000 live births with infant mortality rate at 59 per thousand – far off the SDG target of less than 12 for all countries. According to 2017 MOH administrative data, the proportion of children immunised with Penta3 and Measles at 12 months is only 59% and 75% respectively.



Low coverage of key maternal health interventions, early marriage and high fertility rate have caused the highest maternal mortality in the world. According to MOH HMIS data for 2016, only 50% received at least one antenatal care and 9% were assisted by skilled personnel during delivery. Caesarean section rate remains at less than 1% of all deliveries – far lower than the WHO recommendation of between 10-15%.



What is more worrisome is that, according to the last two available population based surveys, there has been little improvement in service delivery in South Sudan for the last five years and coverage of some essential services notably Vitamin A supplementation and immunisation appear to have even deteriorated

The MOH has appointed UNICEF to work as Coordination and Service Delivery Organisation (CSDO) of the Rapid Result Health Programme (RRHP) funded by the World Bank, to be responsible at state level (Jonglei and Upper Nile) to coordinate service delivery and strengthen the capacity of State Ministry of Health (SMOH) and county health departments (CHDs) for a period of three months.

In this context, several SSA of 3 months are highly needed to fill the gap and allow UNICEF to achieve the objectives expected by end of its agreement with MOH.

Scope of Work



§ Goal and Objective:





Technical Support to the Health Officers in Jonglei and Upper Nile States, including planning, implementation, coordination, supportive supervision of Health activities under the RRHP project.



§ Reference to work plan





?This assignment fulfils the South Sudan Annual Work Plan (AWP) 2017-2018, Program Outcome: Improved and equitable use of health and HIV/AIDS services by infants, children, adolescents and pregnant women, especially the poor and marginalized by December 2018

?Output 1: Immunizations systems strengthened to deliver routine and supplementary services across the country.

Output 2: Improved capacity to provide integrated case management services for common childhood illnesses in emergency and non-emergency settings

Output 3: Strengthened systems to deliver integrated MNH/PMTCT/EID and Birth Registration services to pregnant and lactating women and new-born in emergency and non-emergency settings.

Output 4 : Respond to disease outbreak and humanitarian needs as per the UNICEF core commitment for children and HCT Plan.

Output 5: Enhanced enabling policy and institutional environment is enhanced for effective scaling up and implementation of MNCH services and humanitarian response

Output 6 : provide technical support to the UN Coherence and Country Programme sitting by December 2018.

?Activities and Tasks



?

The Consultants will provide technical Support to the health Officer in Bor or Malakal field office for the implementation of the RRHP in the following areas:

?

Support to program development and planning

Participate in UNICEF field office strategic discussion for the planning of the RRPH health program and activities.

Program management, monitoring and delivery of results

§ Work closely and collaboratively with internal and external colleagues and partners in the field to discuss operational and implementation issues, provide solutions, recommendations and/or alert appropriate officials and stakeholders for higher-level intervention and/or decision.



§ Keep record of reports for easy reference and/or to capture and institutionalize lessons learned.



§ Participate in monitoring activities and RRPH program reviews with government and other counterparts to assess programs and report on required action/interventions at the higher level of program management.



Technical and operational support to program implementation

§ Conduct regular program field visits to assess progress and ensure that results are achieved by implementing partners and verified at County and State level. Provide technical support, take appropriate action to resolve issues and/or refer to relevant officials for resolution. Report to supervisor on critical issues, bottlenecks and potential problems for timely action to achieve results.



§ Perform frequent supervision visits to implementing partners, health facilities and communities targeted by the project as per agreed planning and using MOH’s quantitative supervisory checklist (QSC):



§ to assess and monitor the delivery of high impact PHC services in health facilities and counties targeted by the project



§ to improve quality of care provided in health facilities targeted by the project, by providing technical support and in-service training/mentorship to existing health workers based on assessed needs; by disseminating and enforcing the MOH’s written protocols and technical standards and by identifying gaps in skilled health workers at facility level



§ to report any misuse of pharmaceuticals, essential drugs and medical supplies observed during supervision visits



§ Elaborate and submit supervision visit reports, highlighting findings of each supervision visit and corrective actions to be taken to ensure effective delivery of quality PHC services



§ Strengthen the management capacity of the State Ministry of Health (SMOH) and County Health Departments (CHDs) in providing the delivery of high impact PHC services and in carryout out their key stewardship functions, specifically:



§ the conduct of systematic and supportive supervision of service delivery at all health facilities using the quantitative supervisory checklist (QSC);



§ the effective coordination of all health partners at County and State level to harmonize activities



§ the implementation of the MOH's standard recording and reporting systems, including the health management information system (HMIS) and the Integrated Disease Surveillance and Response (IDSR).?



§ Coordinate with relevant implementing partners to provide a timely and adequate response to epidemics or other health emergencies, if needs arise.?



§ On a monthly basis, collect and analyse all relevant data and information to gauge the progress of achievement of ?results under the agreement. The data will come from various sources (i) the MOH’s health management information system (HMIS); (ii) the MOH’s quantitative supervisory checklist (QSC);? and (iii) internal monitoring, spot check, auditing and verification mechanisms currently used by UNICEF or newly designed for this activity.?



?Networking and partnership building

§ Build and sustain effective close working partnerships with health government counterparts and stakeholders ?at State and County level through active sharing of information and knowledge to enhance program implementation and bui

Documents

 Tender Notice