Ministry of Public Health, Multi Location
As part of the Sustainable Development Goals (SDGs) 2030, there is a renewed commitment to Universal Health Coverage (UHC). The Government of Afghanistan is a part of this global drive to achieve UHC with highest level political commitment to the shared aspiration contained in the Astana Declaration on Primary Health Care (PHC) through building an equitable, resilient, and sustainable health system. The county health policy emphasis on improving access to a full spectrum of quality essential health services while protecting the population from financial hardship. The country launched the Community health Roadmap on July 2019.
Establishing and maintaining a strong community-based PHC delivery system is a cost–effective strategy for UHC and is an entry point to improving quality coverage of health services. For this reason, UNICEF does this within the framework of its country Programme 2015-2021 where UNICEF aims to provide support for the health system strengthening at community through addressing different health system building blocks, including:
• Health workforce, particularly the further integration of community health workers (CHWs) into health system, and strengthening linkage between CHWs and other community resources;
• Health information system, including strengthening and integration of Community Health Information System (CHIS) into DHIS2;
• Access to essential medicine and nutrition supplies;
• Service delivery capacity with focus on quality of care;
• Financing, particularly sustainable financing for the community health system;
• Leadership and enhancing governance at all levels, including community engagement / empowerment for voice and accountability;
· Individual and community practices and Behaviours.
Overarching strategy which UNICEF adopts in this process is Community Health System Strengthening (CHSS) approach – assisting MoPH in strengthening equity-focused planning, budgeting and public financial management at decentralized level, by building capacity of community health management teams to go through a holistic approach to local level planning, implementation and monitoring to ensure provision of quality health services and adoption of optimal family care practices.
In this context, UNICEF seeks a national consultant to support MoPH in developing, piloting, documenting and assessing a comprehensive, PHC model, at community level along with introducing a holistic approach to local level planning, implementation and monitoring.
The purpose of consultancy is to strengthen PHC system at community level toward achieving UHC in Afghanistan.
The purpose of consultancy is to strengthen PHC system at community level toward achieving UHC in Afghanistan.
The specific objectives of the assignment are to:
• Help develop a conceptual model for a scalable and sustainable comprehensive community based health care system by strengthening community health team with clearly defined governance structure and strong accountability framework
• Help introduce PHC approach focusing on: i) improving availability, timeline and quality of health information at the subnational level; ii) improving MoPH capacity to analyse data (including coverage and equity assessment, bottleneck analysis) and use it to inform equity-focused planning, decision making, monitoring, and budgeting; iii) ensuring citizens’ voice is incorporated into planning, monitoring, and budgeting process and that functional feedback loops exist between the health system and communities; iv) supporting continuous quality improvement at the facility level as well as community service delivery by CHWs
• Monitor, assess and document the process of implementing pilot PHC model, including good practices, challenges, and the lessons learned
1. Specific Tasks
Develop and document a scalable and sustainable comprehensive PHC model, at community level including:
- Brief analysis of current CBHC model situation – opportunities and challenges
- Theory of change
- Service package at different level
- Community engagement strategy
- Priority interventions with estimated cost
- Clearly defined governance structure with roles and responsibilities of stakeholders and accountability framework with measurable indicators for performance tracking
- Other sectors (ministry of education, ministry of higher education, ministry of labor and social affairs and other related national and international organizations) role and responsibilities to the developing and implementing CBPHC
Introduce PHC approaches in the national and subnational levels through:
- Building a strong community health team who provide quality PHC with will defined links specially at subnational level (CHW +couple CHS +Community Nurse +community Med wife +community health shura + FHAG …..)
- Technical assistance and capacity building support in evidence-based planning, which incorporates equity assessment and bottleneck analysis
- Technical assistance and capacity building support in resource allocation/budget formulation and in budget monitoring with a view to improving the linkage between policies, budgets and performance and increasing the budget allocation to essential reproductive, maternal, neonatal, child and adolescent health and nutrition (RMNCAH+N) and NCDs control and treatment at the district level
- Technical assistance and capacity building support in monitoring of health service delivery and outcomes, which will feed into the planning process
- Technical assistance in building a quality assurance and continuous quality improvement system at PHC level. and community service delivery and introduction of ‘Business Planning’ process at PHC level.
- Technical assistance and capacity building support in a performance monitoring system that links the programme inputs, outputs and outcomes, through rapid assessment using lot quality assurance sampling (LQAS).
- Capacity building and system strengthening support to establish sustainable social accountability framework with community feedback mechanism, using the existing community structures such as Community Development Committee (CDC), Health Shura committee (HSC) and existing key stakeholders.
Monitor, assess and document the process of implementing pilot PHC model, including tools / guidelines developed to facilitate the systematic implementation, good practices identified, challenges encountered, lessons learned, and future recommendations for adjustment / scale-up.
2. Duration of the Contract
81 working days
3. Planned Budget and Funding Source
NOC -Laval, OR
4. Proposed Schedule for Deliverables and Payment Scheme:
a) Schedule of Output Submissions and Payment Scheme:
Description of Deliverables
Target Delivery Date
Currency / Estimated Amount
Scalable and sustainable comprehensive community based PHC model (PowerPoint and report)
(19 consultancy days)
20% of the total consultancy amount
Tools and guidelines for evidence-based local level planning, monitoring and budgeting, including ‘Business Planning’ tool at PHC level.
(17 consultancy days)
20% of the total consultancy amount
Planning, organization and facilitation of the local level planning (LLP) orientation meetings at national level
(5 consultancy days)
10 of the total consultancy amount
Planning, organization and facilitation of data collection and analysis (incl. equity assessment and bottleneck analysis) in two selected districts.
(16 consultancy days)
10% of the total consultancy amount
PHC business plans and costed local level plans (with funding source) with performance monitoring framework
(12 consultancy days)
10 of the total consultancy amount
Monthly debriefing with key government stakeholders and UNICEF, and monitoring report of the implementation process of PHC model
(12 consultancy days)
10 of the total consultancy amount
Full report of the consultancy
20 of the total consultancy amount
Estimated Total Professional Fee XXXX
b) Estimated Travel-Related including Accommodation Costs (List travel required for the assignment):
Destination
Dates / No. of Days
Currency / Estimated Amount
Estimated Total Travel-Related Costs XXXX
Total Estimated Contractual Value (a +b) XXXXX
Note: Accommodation and travel costs (both in-country and international) and eligibility for Rest and Recuperation (in case of international consultant/contractor) shall as far as possible be paid as a lump sum on a reimbursable basis, provided that these are clearly stated in the approved TORs and included in the terms and conditions of the contract.
5. Working Conditions
a) Location: Office-based/
b) Logistic Support Requirements: IT equipment, IT access, office space, accommodation, etc.
1. Contract Supervision
Dick Chamla Chief of health
2. Endorsement and Approval of Terms of Reference
Function
Name
Signature
Date
Comment
Submitted by
Hiring Unit
Dick Chamla
Reviewed by
Human Resources
Approved by
Representative /
Deputy Representative / Deputy Representative Operations
I) Electronic applications will be sent to: sub e-mail which corresponds if any of following 2 items is missing, your application will be considered as ineligible/incomplete.
1. In your emails please specify the title of the position as well as vacancy number for electronic submissions and please do the same in the hardcopy submissions.
2. Updated Curriculum vitae (CV)/Resume (Please attached your recent photo and mention in your CV exact date/periods of your work experience, graduation Day, Month, and Year).
If you are shortlisted and invited for written test/interview you will be required to present the original, the following:
A. Education Documents: Your recent education degree/diploma
ÿ Copy of verified Baccalaureate (12 passed) degree by Ministry of Education
ÿ Copy of verified 14 or 15 passed degree by related Ministries
ÿ Copy of verified Bachelor Degree by Ministry of Higher Education
ÿ Copy of verified Medical Doctor Degree by Ministry of Higher Education
ÿ Copy of verified Master degree by Ministry of Higher Education
B. Copy of National Identity Card (Tazkira: Only the pages that show picture and Tazkira number, pages, place of issue and date of issue)
(II)
• Electronic applications will be sent to: sub e-mail
• Hard copies will be sent to: HR Container, Second floor, at the Ministry of Public Health, Great Masoud Square Kabul Afghanistan.
• The Contact Person at Human Resources is: Mr. Ahmad Nawid Barekzai, HR Officer, MoPH-GD HR. Phone number: 0093- (0)-202312422
•
Note:
Only shortlisted candidates will be invited to written test/interview and subsequent process. Please contact the person in charge (Mr. Ahmad Nawid Barekzai ) for confirmation.
• No CVs will be accepted after the closing date.
• Any persuade will be threat as disqualification.
• Fraudulent documents and or fraudulent claims in CVs and or documents will result in disqualification at any stage of the recruitment process.
Post Date
Jun 28, 2021
Closing Date
Jul 08, 2021
Reference
Technical assistance for Community health system strengthening (CHSS)
Number of Vacancies
1
Salary Range
As per NTA salary scale
Years of Experience
4 years
Probation Period
3 month
Contract Type
Contractor
Contract Duration
Not Specified
Contract Extensible
false
Minimum Education
Bachelor's Degree
Gender
Any
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