National expert to support scale-up of perinatal death surveillance and response system in the Republic of Uzbekistan
Job no: 539453
Contract type: Consultancy
Categories: Health, Consultancy
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.
While a considerable reduction in under-five mortality recorded in Uzbekistan, 57% per cent of under-five deaths occur in the neonatal period, and the rate of early neonatal mortality has stalled at levels that are almost unchanged since the year 2000. Analysis of newborn survival rates across all weight groups has revealed an increase in survival of babies born with 500-999 grams of body weight from 14% in 2015 to 25% in 2018. A slight increase in survival is observed in the weight group of 1000-1499 grams from 55.5% to 59.2%. Survival in the weight group of 1500-2499 grams in 2018 exceeded 94%. However, this weight group has enormous potential for reducing neonatal mortality, as effective and affordable nursing technologies can save the lives of such newborns.
UNICEF partners with the Government of Uzbekistan on projects to improve the survival rate of newborns in the country, but measures to protect babies need a stronger focus if more lives are to be saved. UNICEF provides technical support to MoH in introduction of perinatal death surveillance and response to address avoidable factors identified through such reviews.
UNICEF supported the adaptation and implementation of perinatal audit in 2019 and in 2020. The national team of experts established. Six facilities started implementation of perinatal audit, 56 health care providers trained on the methodology in 2019. The supportive supervision (SS) guideline for perinatal death audit (PDA) is developed and scale-up in 7 tertiaries and 3 secondary-level perinatal facilities in 2020. A total of 132 health care providers have gained knowledge and skills in PDA. 60 per cent of facilities demonstrated acceptable audit quality. Supportive supervision visits helped teams develop a SMART recommendation to improve the quality of care to newborns.
In order to continue technical support to implement perinatal audit, to support scale-up of audit in new selected facilities and to build the capacity of national partners, the national expert will be recruited.
The objective of the assignment is to build capacity of national partners and provide technical support to perinatal care institutions in implementation of perinatal death surveillance and response system and ensure monitoring oriented towards examining progress focused on results.
Timeline & Deliverables
Start day of the assignment: 20 April 2021
End day of the assignment: 25 December 2021
The selected consultant will be hired for 105 working days.
Tasks - Deliverables - Duration - Timeline
1. Support capacity building of health care providers on perinatal audit methodology. 4 perinatal centres (Syrdarya, Samarkand, Kashkadarya, Denau, Surkhandarya region) - Training report - 14 working days - May-June
2. Co-facilitate training on interpersonal communication skills and interviewing women - Training report - 4 working days -June
3. Build capacity of specialists from National Center for Professional Development of Medical Professionals on PDA - Report - 10 working days - May-June
4. Jointly with representatives of national perinatal institutions conducting supportive supervision visits to 20 facilities started implementing perinatal audit. 2 visits in each facility (one face to face and one online). Coach national team (neonatologist, obstetrician-gynaecologist and nurse) on SS visits methodology - Supportive supervision reports with recommendations - 45 working days - May-October
5. Support national team in development ToT training materials and support establishing a team of experts on perinatal audit. ToT will include a supportive supervision methodology - Training report and list of trainers - 10 working days - October
6. Provide technical support to national partners to develop annual perinatal death surveillance and response report - National perinatal death surveillance report - 15 working days - October
7. Provide support to national team in preparation to national meeting to present report findings, share experience and develop recommendations for the national scale-up plan. Co-facilitate meeting with national partners - Meeting report with lessons learned and recommendations for scale-up - 7 working days
Total working days - 105
- Support capacity building of health care providers on perinatal audit methodology. 4 perinatal centers (Syrdarya, Samarkand, Kashkadarya, Denau, Surkhandarya region). This task includes the following actions:
- Selection of co-facilitators from national partners;
- Co-facilitating 4 trainings for perinatal facilities (15 participants per training). Each training is 3 days;
- Preparation of training reports.
- Co-facilitate training on interpersonal communication skills and interviewing women. This task includes the following actions:
- Co-facilitate training with psychologist and national partners;
- Prepare training report.
- Build capacity of specialists from National Center for Professional Development of Medical Professionals on PDA. This task includes the following actions:
- train team from the centre on PDA;
- Support development of PDA online and offline training course based on neonatology department of National Center for Professional Development of Medical Professionals;
- Guide team from the centre on supportive supervision and monitoring of perinatal audit implementation.
- Jointly with representatives of national perinatal institutions conduct supportive supervision visits to 20 facilities started implementation of perinatal audit. 2 visits in each facility (one face to face and one online). Coach national team (neonatologist, obstetrician-gynecologist and nurse) on SS visits methodology. This task includes the following actions:
- Support national team developing supportive supervision visits plan;
- Co-facilitate supportive supervision visits to 20 facilities, 2 visits in each facility (one face to face and one online);
- Guide national team on preparation of SS visit’s report.
- Support national team in development ToT training materials and support establishing a team of experts on perinatal audit. This task includes the following actions:
- Jointly with the national team, prepare ToT agenda, presentations and hand-outs;
- Co-facilitate ToT training on perinatal death surveillance and response system;
- Prepare training report.
- Provide technical support to national partners to develop annual perinatal death surveillance and response report. This task includes the following actions:
- Couch national team on data analysis;
- Based on WHO recommendation and available perinatal death surveillance reports, guide national working group on drafting of the report;
- Facilitate discussion of drafted documents with national, regional and facility-level partners and representatives of UN organization;
- Ensure finalization of the report with lessons learned and recommendations based on feedback.
- Provide support to the national team in preparation for a national meeting to present report findings, share experience, and develop future scale recommendations. Co-facilitate meeting with national partners. This task includes the following actions:
- Jointly with national team draft agenda of the national meeting;
- Provide technical support in the development of presentations and hand-outs;
- Co-facilitate national meeting;
- Prepare meeting report.
The expert will work under the supervision of health and nutrition specialist in collaboration with national partners at national and regional levels.
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.
The contract will be issued for 10 months. 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…
1. University degree in health/ public Health, maternal, pediatric Health or other relevant fields
2. At least 5 years of progressive professional experiences in the field of mother, newborn and child health or Public Health
3. Proven 5-year experience of capacity building of health care providers
4. Proven 5-year experience of supportive supervision of MNCH programs implementation
5. At least five-year experience in implementation of activities focused on maternal and perinatal death surveillance and response system
6. Proven experience in technical support to MoH in adaptation and implementation of MCH programs
7. Good command of written Russian
8. Knowledge of English will be an asset
Procedures and Working Conditions
A consultant is expected to work from home but, on occasion, may have to work from the offices of UNICEF. The applicants shall be required to submit a statement of good health prior to commencement of work and 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. Travel expenses will be paid according to UNICEF rules and regulations.
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 the copyright of all developed materials and own primary data collected through this assignment. The materials cannot be published or disseminated without the 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.
For every Child, you demonstrate…
UNICEF's values of Care, Respect, Integrity, Trust, and Accountability (CRITA) 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 be expected to adhere to these standards and principles and will therefore undergo rigorous reference and background checks. Background checks will include the verification of academic credential(s) and employment history. Selected candidates may be required to provide additional information to conduct a background check.
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.
Individuals engaged under a consultancy or individual contract will not be considered “staff members” under the Staff Regulations and Rules of the United Nations and UNICEF’s policies and procedures, and will not be entitled to benefits provided therein (such as leave entitlements and medical insurance coverage). Their conditions of service will be governed by their contract and the General Conditions of Contracts for the Services of Consultants and Individual Contractors. Consultants and individual contractors are responsible for determining their tax liabilities and for the payment of any taxes and/or duties, in accordance with local or other applicable laws.
Advertised: West Asia Standard Time
Deadline: West Asia Standard Time