erms of Reference for Developing Antenatal Care (anc) Guideline for Ministry of Health Ethiopia Vacancy at Jhpiego Ethiopia Country Office

Jhpiego Ethiopia Country Office hereby invites applications from Ethiopia for recruitment to a Terms of Reference for Developing Antenatal Care (anc) Guideline for Ministry of Health Ethiopia Position at Jhpiego Ethiopia Country Office. The application will close on Oct 17, 2020.

Location: Gambella & Assosa, SNNPR

Jhpiego Ethiopia Country Office advertised posts are as follows:

Job Description

TERMS OF REFERENCE FOR DEVELOPING ANTENATAL CARE (ANC) GUIDELINE for MINISTRY of HEALTH ETHIOPIA               

October, 2020 

 BY MATERNAL AND CHILD HEALTH DIRECTORATE MINISTRY of HEALTH 

Project title  

Development of National ANC guideline

 

 

Name of implementing organization(s)

 

Federal Ministry of Health Ethiopia

 

Funding requested

JPHIEGO
Major activities

 

1.      Work plan submission

2.      Situation analysis

3.      Draft Outline

4.      Consultative workshops

5.      Draft ANC guideline, share for discussion and incorporate inputs/feedbacks

6.      Submit final guideline

Project out come Final ANC guideline
 

Funding secured from other sources (BIRR OR US$)

 
 

Project duration

6 months
 

Proposed project start date

October,  2020
Contact person Zenebe Akale

Maternal health team coordinator

Email: zenebe.akale@moh.gov.et

Tel:+251910121065



Background

Over the past decade, the Ministry of Health of Ethiopia has made huge strides in reducing the Maternal Mortality (MMR) of the country.  In 2000, the MMR of the country was 871 per 100,000 (EDHS), major causes include hemorrhage (25%) hypertension (16%), sepsis (10%) and unsafe abortion which accounted for 10%.  According to the WHO estimates in 2019, the MMR went down to 401 per 100,000 lives and annual 42, 000 maternal deaths. The MMR and NMR ( 30/1000 LB)  are very high and requires effective coverage of high impact interventions to end preventable maternal and newborn deaths as well as stillbirths.

Proper care during pregnancy and delivery is important for the health of the mother and child.  Skilled care during pregnancy, childbirth, and the postpartum period are important interventions in reducing maternal and neonatal morbidity and mortality. Improving the quality of Antenatal Care  (ANC) as well as providing a positive experience is directly linked  with maternal and child survival. For example, the recent Every Newborn Coverage Targets and Milestones for 2025 (WHO 2020) emphasizes and promotes the importance of high quality ANC.  The Mini EDHS 2019 highlights the importance of monitoring pregnancy on reduction of morbidity and mortality of the mother and child and shows that 74% and 43 % of women who gave birth in the previous 5 years had at least one and four or more visits from a skilled provider during their last pregnancy. In addition to the importance of monitoring, the survey also showed that there are geographical and economical inequities when it comes to coverage.  In addition, the 2016 EDHS stresses that even among mothers who received regular checkup that the quality of ANC service needs to improve very much. All these challenges in ANC implementation indicates the need for more specific guidance in ANC implementation.

Over the years, MCHD has developed different strategies and guidelines; however, this is the first time that the department will be focusing and developing an ANC guideline. The development of this guideline comes at a time where there have been, multiple developments, evidences and global guidelines that have made this a necessity for Ethiopia. This guideline reaffirms the Ministry’s continued commitment to take the momentum forward by showing the way to effective coverage of high quality ANC and settings this agenda as a top priority.

Rationale

Over the past few years, there are many national and global changes and evidence in the area of ANC intervention. It is imperative that the ANC guideline incorporate evidence based interventions that will support effective implementation efforts to improve the coverage and quality of ANC and pregnancy outcomes in Ethiopia. Guidelines are an important input for service provision in laying out expected standards of care; how care should be provided including principles of quality, equity and dignity and how ANC can be monitored and measured. They also serve as a key resource for supporting compliance with evidence-based care and standardization of practices across the continuum of care from community to health facility.

Objectives

To develop a comprehensive national ANC guideline to be used as a standard for all levels of health facilities.

The development process/approach

National ANC guideline development process will be undertaken by the leadership of the FMOH and through the technical advice of national SMH –TWG members.  In order to develop a thorough guideline, a consultant will be hired to guide the development of the National ANC guideline.

Job Requirements

Scope of work

  • Prepare a detailed Plan of Action based on the Terms of Reference and share with TWG for input within one week of recruitment. The plan of action is expected to outline details activities and timeframe. In addition of plan of action, consultant is also expected to share ideas and or suggestions how best to enhance the National ANC guideline development process with the TWG.
  • Review and identify list of key documents (in-country and global) on ANC guideline for situation analysis
  • Conduct a quick situational assessment on ANC implementation, to date, in Ethiopia.
  • The situational assessment will include a thorough desk review of different national interventions, various global guidelines, national RH strategy, and relevant assessments.     The review should also include key global documents including 2016 ANC model for a positive pregnancy experience (WHO), and for M&E WHO ANC framework as well as regional and local resources to identify best practices and research.  Additionally, review should also include examples of successful programs, gaps, and challenges which will strengthen the evidence base for the guidelines. This can also include different pilot models across all levels of the health systems.
  • Produce a thorough report based on this assessment. In addition, analyze and package the area of interest National ANC guideline and discuss with the MOH focal person followed by  preparation of  an outline for the ANC guideline to be presented at the first consultative workshop with the situation analysis.
  • Once assessment is finalized, organize  a consultative workshop with support from FMOH and TWG. During the workshop present and hold in-depth discussion on the draft National ANC guideline outline, actively participate in the discussions and debates that shape the National ANC guideline and organize relevant inputs and feedbacks
  • Prepare a zero draft of the ANC implementation guideline and share with the TWG.
  • Incorporate the comments provided and develop a first draft of the ANC guideline
  • Prepare and deliver presentations of the draft National ANC guideline at external consultation and validation workshop
  • Prepare a final draft and submit to FMOH for final review

MOH responsibilities

  • MOH will assign a relevant expert from the maternal case team to coordinate and lead the process of the development of the National ANC guideline
  • MOH will establish a core team among the TWG members to technically lead the process of the development of the National ANC guideline
  • Closely work with the core team in preparing plans and setting timelines for the development of the National ANC guideline.
  • Mobilize resources to organize and conduct consultative meetings and workshops to facilitate the development of National ANC guideline
  • Set schedules and agendas of such consultative meetings and workshops
  • Organize and conduct the consultative meetings and workshops
  • Facilitate approval process of the final National ANC guideline by relevant MOH

Responsibilities of the core team

  • Map relevant source documents
  • Come up with a provisional outline of the National ANC guideline and refine the outline in consultation with the larger TWG
  • Advice the development of zero draft to the National ANC guideline and share to the larger SMH TWG
  • Plan and support facilitations of workshops
  • Conduct regular core group meetings as per the call from the MOH focal point

Responsibilities of the SMH TWG members

  • Provide expert advice to the MOH, core group and subgroups regarding coordination of the development of the National ANC guideline
  • Assign responsible members based on relevant experience and organizational mandate to take assignments and provide technical assistance
  • Actively participate throughout the development process of the National ANC guideline
  • Solicit potential funding options with in the respective organizations to host the workshop and printing
  • Attend meetings and actively participate in the discussions and debates
  • Take time to read relevant documents and share their insights

Timeline of the development of the National ANC guideline

 

Activity

Time frame

October  2020

November

2020

Dec

2020

Jan  2020

Feb  2020

March  2020

April 2020

Have the first  SMH TWG meeting and  form the core team X            
Finalize the TOR X            
Hire a consultant X            
Review and identify list of key documents (in-country and global) relevant to the RH strategy   x          
Review, analyze key learning from Ethiopia’s implementation of National ANC interventions over the past years and organize and document the information   x X        
Consultation workshop to present, hold in-depth discussion on the draft National ANC guideline outline and proposed work plan receive and organize inputs and feedback     x        
Prepare and share zero draft of the National ANC guideline       x      
Prepare and deliver presentations of the National ANC guideline at external consultation and validation workshop         x    
Deliver the final National ANC guideline accommodating inputs from the validation workshop.           x x

 

How to Apply

Qualification and Experience:

  • A minimum of master degree MPH/MSC/RH and a degree in medical sciences
  • Practical work experience on planning, implementation, monitoring and evaluation of reproductive, maternal, newborn and child health programs;
  • Extensive knowledge of MNCH issues and actors specifically at community level
  • Knowledge and experience of the Ethiopian health system
  • Excellent English report writing
  • Good skill in communicating, organizing group discussion, and presentation
  • Prior experience as a consultant in development of similar documents
  • Flexible, capable of working under pressure and in tight timelines

Duration & Time frame:

  • The full period for technical assistance will be 6 months and the consultant is expected to start assignment as of October 2020.

Deliverable

  1.  Draft work plan outlining detail activity with corresponding timeline within one week of signing the contract
  2. Draft ANC guideline documents for review and discussions
  3. The final product of this assignment –an ANC implementation guide –  final document in Microsoft word electronic copy and hard copy by the end of the contract period
  4. Summary Power Point Presentation of the implementation guide same time as the final document submission.

Expected outcome

The final outcome at the end of activity will be a well prepared and finalized Federal Ministry of Health National ANC guideline document.

Proposal submission

While applying to this task, the consultant is requested to submit a full technical and financial proposal separately sealed in an envelope to the address below.

The technical proposal should include CV with previous experience/qualification, proposed work plan and should include examples of previous similar experience and references.

The financial proposal should include detailed cost plan as per proposed work plan.

Please note that the final payment agreed upon will be subjected to 30% income tax if the consultant does not hold relevant business license.


Evaluation Criteria

Proposals will be evaluated based on experience and qualification of the candidates, price/cost effectiveness, and conceptual understanding and suggested task. The weight for technical and financial proposals shall be 70 % and 30% respectively. The financial proposal will be considered when only the technical assessment is above 80%.

Jhpiego-Ethiopia

Wollo Sefer, Next to Mina Building, House no. 693,

P.O.Box 2882 code 1250 Tel: +251-11 5536864/115-553686, Addis Ababa

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