Closing Date : 2019-09-05
Duty Station : Tashkent, Uzbekistan
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Organization: UN Children's Fund
Country: Uzbekistan
Closing date: 05 Sep 2019

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

Although important gains have been made over the past two decades in child survival in Uzbekistan, progress in newborn mortality (deaths in the first month of life) has lagged substantially. As a result, neonatal deaths now account for more than half of child deaths in Uzbekistan. The leading causes of newborn mortality include complications of preterm birth, birth asphyxia, and neonatal infections. A high proportion of these conditions are preventable and treatable with basic, affordable, and practical solutions, particularly during childbirth and the first days after birth.

The facility-based birth in Uzbekistan reaches almost universal. However, evidence shows that giving birth in a health facility with a skilled attendant is not sufficient to reduce maternal and newborn deaths and severe morbidity. Many women and their babies die as a result of poor care, even after reaching a health facility. UNICEF Uzbekistan's research also showed that poor quality of perinatal health is one of the main bottlenecks for health system. Every Newborn Action Plan envisions a world in which "every pregnant woman and newborn receives quality care throughout pregnancy, childbirth and the postnatal period" . This vision is supported by complementary global action agenda: Strategies towards Ending Preventable Maternal Mortality (EPMM). Improving the quality of care and patient safety is therefore critical to ending preventable maternal and newborn deaths, and stillbirth.

Improving quality of care during labour and childbirth and right after the postnatal period is a key aspect of the technical support that UNICEF provides to government. Now, quality improvement (QI) approach has not introduced in Uzbekistan. Therefore, an international consultant is required to support to introduce and implement QI project.

Objectives

The objective of this consultancy is to provide technical support to Ministry of Health of Republic of Uzbekistan and Department of Health in Republic of Karakalpakstan to introduce and support the implementation of quality improvement (QI) initiatives, with a focus on organizing training workshops, providing on-site monitoring and mentoring on implementation of QI projects.

Timeline & Deliverables

The selected consultant will be hired for 36 working days.

#

Tasks

Deliverables

Duration

Timeline

Payment

2019

1

Support adaptation of QI manuals and prepare training materials for training on quality improvement

Training agendaPresentationPreparing training aids including posters of successful quality improvementDevelop pre and post- test questionnaire

5 days

Oct. 2019

First payment for 13 working days

3

Conduct training on quality improvement

Report on training includes:

selected aim statements at facilitiesfeedback from participantsrecommendations for follow up

7 days (in country)

Nov. 2019

4

First training webinar with QI facilities

Report on progress and recommended next steps

1 day

Dec. 2019

2020

5

First coaching visit to provide ongoing support in applying QI methods

Report on progress and recommended next steps

7 days (in country)

March. 2020

Last payment for 23 working days

6

Second training webinar with QI facilities

Report on progress and recommended next steps

1 day

May 2020

7

The Second coaching visit to provide ongoing support in applying QI methods

Report on progress and recommended next steps

7 days (in country)

July 2020

8

The third training webinar with QI facilities

Report on progress and recommended next steps

1 day

Sept. 2020

9

The third coaching visit to provide ongoing support in applying QI methods

Report on progress and recommended next steps

7 days (in country)

Nov. 2020

Total working days

36 days

Methodology/Activities

The assignment seeks to provide technical support to Uzbekistan country office to implement quality improvement project. In particular, the technical support will focus the following items:

Prepare training materials to build capacity of a national team of neonatal experts and health providers in targeted facilities. This task includes following actions:

Support national experts to adapted QI manual into Uzbek contextPrepare presentations and hand-outsDevelop training agendaPreparing training aids including posters of successful quality improvementDevelop pre and post- test questionnaire

Build capacity of national team on facilitating and coaching QI project implementation and conduct training workshops on quality improvement. Main task is to facilitate training including following topics:

basic concepts of Quality care,steps of conducting quality improvement projectguide participants to develop quality improve projectfacilitating and coaching skill on QI project implementation.

Provide three on-site coachings and mentorings on implementation of quality improvement through working with health facility. Tasks include:

Visit at least two health facilitiesReview progress on quality improvement project in all facilitiesFind problems in implementation of quality improvement projectCoach and mentor the health providers on each step of quality improvement projectMentor the health providers on how to develop indicators to measure progress or a short training based on findingsDevelop case studies on implementation of quality improvement

Conduct three learning webinars to coach health providers on implementation of quality improvement. Tasks include:

Review presentations by each health facilityProvide comments and suggestions on implementation of quality improvement projectMentor health providers on issues found andGuide the health provider to develop next quality improvement project

Management

The consultant will work under the supervision of Chief of Health and Wellbeing in collaboration with health officer, national partners and experts.

Resource requirements and payments

The basis for calculation of consultancy fee based on the complexity of work, level of expertise and the Administrative Instruction (ST/AI/2013/4) on Consultants and individual contractors. The final fees will be set up based on the "best value for money" principle.

Payments might be partially or fully withheld in case of unsatisfactory performance of duties or failure to provide the quality deliverables.

The fees will be paid by bank transfer upon acceptance of deliverables.

To qualify as an advocate for every child you will have

University degree in health/ public Health, maternal, newborn, child health or other relevant fields with training in quality improvement.At least 5 years of progressive professional experiences in the field of improving quality of care including capacity building of health care providers on improving quality of care, coaching and mentoringFamiliar with Manuals on Point of Care Quality ImprovementExperience in documentation of quality improvement approachGood command of English (Examination of a previous authentic written work in English)Proven experience of working in CIS countries will be an assetKnowledge of Russian will be an asset

For every Child, you demonstrate

UNICEF s core values of Commitment, Diversity and Integrity and core competencies in Communication, Working with People and Drive for Results.

UNICEF is committed to diversity and inclusion within its workforce, and encourages all candidates, irrespective of gender, nationality, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of the organization.

UNICEF has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF also adheres to strict child safeguarding principles. All selected candidates will, therefore, undergo rigorous reference and background checks, and will be expected to adhere to these standards and principles.

Procedures and Working Conditions

The assignment will be performed partly as home-based and partly in Uzbekistan. Four in-country visits are expected. Travel expenses will be paid according to UNICEF rules and regulations. The consultancy is responsible for obtaining entry visa to Uzbekistan, however, UNICEF, within its means, shall facilitate the process. UNICEF will extend administrative/logistical support to facilitate meetings with national partners. The applicants shall be required to submit a statement of good health prior of commencement of work and to take full responsibility for the accuracy of that statement. Consultants are not eligible to participate in the life or health insurance available to UN staff members.

Reservations

UNICEF reserves the right to withhold all or a portion of payment if performance is unsatisfactory, if deliverable(s) incomplete, not finalized or for failure to meet deadlines. UNICEF will reserve copyright of all developed materials and own primary data collected through this assignment. The materials cannot be published or disseminated without prior written permission of UNICEF. UNICEF will be free to adapt and modify them in the future. The contractor must respect the confidentiality of the information handled during the assignment. Documents and information provided must be used only for the tasks related to these terms of reference.

UNICEF undertakes no liability for taxes, duty or other contribution payable by the consultant on payments made under this contract.

Remarks:

Mobility is a condition of international professional employment with UNICEF and an underlying premise of the international civil service.

Only shortlisted candidates will be contacted and advance to the next stage of the selection process.


How to apply:

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=525855

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