State Nutrition Consultant-Integrated Management of SAM, Bhopal, Madhya Pradesh
Duration of this assignment: 11.5 months (Starting from 16th January 2017)
Duty Station: Bhopal, Madhya Pradesh
Closing date: 12th January 2017, Thursday
As per the Rapid Survey pf Children (WCD-UNICEF, 2013), prevalence of severe wasting in MP stands at 5.4%. Severe and acute malnutrition (SAM) not only compromises the ability of children to grow to their full potential but also puts them at a higher risk of dying. Severely wasted children are more susceptible to the risk of dying (9 times higher than a normal child). In response to the nutritional crisis, National Rural Health Mission (NRHM) launched the Bal Shakti Yojna- a pioneer intervention in facility-based nutritional rehabilitation for children with SAM. The programme follows treatment protocols adapted from WHO and GOI guidelines on treatment of SAM. The programme was initiated in 2006-07 with eight NRCs, through technical support from UNICEF; currently, the programme spans across all 51 districts. In the year 2014-15, a total of 68,428 children were managed through a network of 314 NRCs, across the state.
However, to address SAM both facility and community based care and treatment components are essential. It is important to establish and strengthen the continuum of care for such children, by ensuring effective linkages and convergence between the Department of Health and Family Welfare and Department of Women and Child Development. Therefore, to maximize access, coverage, effectiveness and impact of the initiatives, a community-based management of children with SAM (CMAM) is being proposed, in Madhya Pradesh. Initially, the strategy and operational guideline will be piloted in the state. The proposed CMAM pilot will involve timely detection of children with SAM in the community and provision of appropriate home-based therapeutic care for children with SAM without medical complications. Simultaneously, children with medical complications, will be initially managed at the NRCs, once stabilized, the major part of rehabilitation would take place at home through community-based programme.
In addition to the abovementioned, improving the quality of service delivery and outcomes at the NRCs are an integral part of the F-SAM programme. The Department of Health (NHM) is committed to address the quality and standardization issues, at NRC, through various initiatives. UNICEF supports the state government to improve outcomes for children with SAM; this consultancy is proposed to provide technical support to the Department of Health for scaling up of NRCs with quality, support pilots to improve quality of diet and care at NRCs which conforms to the WHO recommendations and parameters, as well as roll-out and establish linkages with the community based programmes (along with DWCD).
2. Purpose of Assignment:
The aim of this assignment is to provide techno-managerial support to state government for: Strengthening the management of children with Severe Acute Malnutrition (SAM) both within facilities as well as at community level,
3. Basic objectives of the Assignment:
The aim is to provide technical and programmatic support to NHM towards management of Severe and Acute Malnutrition; the sub-objectives are:
4. Programme Area and Specific Project involved
PCR 1: Infants, young children and mothers have equitable access to and utilize quality services for child survival, growth and development
Intermediate Result 1.3: Governments and partners can scale up programmes to provide essential nutrition care and support for children who are severely undernourished, sick and/or affected by disasters, particularly in the most deprived
Activity 2: Support and build capacity of NHM and ICDS to maintain/strengthen scale up care of children with severe acute malnutrition (SAM) using IM SAM package (Technical Assistance through consultant)
5. Major outputs, activities/tasks and deliverables with timeline:
(Performance indicators – Quarterly- reporting)
Deadline for completion of deliverable
Support govt. departments for training for FLWs (ASHAs and AWWs) in select district on community based follow-up of children admitted at NRC
Gap assessment report of poor performing block and NRC
Training plan and guidelines drafted
Support concurrent monitoring/ Supportive Supervision at poor performing NRCs
· 12Consolidated Supportive supervision and Field Monitoring checklists on outcome indicators
· Action taken and follow-up report
Provide technical support for the establishment of Centre of Excellence at medical college and inclusion of SAM in pre-service curriculum
Proposal for the CoE
Operational guidelines for CoE
Progress report on CoE
Training reports of providers at CoE
Meeting minutes with DME
Need assessment report (for the curriculum)
Protocol and guideline for pre-service
Support knowledge management activities on pilot/assessments undertaken to improve quality of service delivery for the SAM management programme
Documentation report draft
Support the proposal development for piloting IMAM
Draft concept note prepared for IMAM
Jan - Mar 2017
Coordinate with ICDS & health and other stakeholders for planning and roll-out of the CSAM pilot
Provide technical input & support to ICDS & for ensuring preparations for the implementation of the CMAM pilot
Facilitate meeting to review CMAM
Roles and responsibility matrix for the functionaries, to roll-out CSAM, developed
Review meeting minutes (3) on the CSAM pilot.
Pilot document and analysis
Feb, June, Dec
Support the capacity building of the field workers on community-based management of children with SAM
Training plan for CMAM
Training reports submitted
Support in SMART surveys
SMART training plan
SMART training report
Technical support to conduct a follow-up study on children discharged from NRC
Planning document for the follow-up study
Training plan for the follow up study
Training and factual report on the follow-up
Any other activity that NHM, MP or UNICEF may feel necessary within the scope of the programme.
There could be overlap in some of the tasks for the above deliverables. If deliverables are delayed due to extraneous circumstances (in extra ordinary cases and satisfaction of the supervisor) monthly payments can be claimed against submission of a Progress Report
6.Duty station: Bhopal, Madhya Pradesh
7. Estimated duration of contract and deadline for submission of end product:
16th January 2017 to 31st December 2017
8.Official travel involved
The consultant would be based in Bhopal. Travel is required within the state and in special cases, may need to travel outside the state if it contributes to the achievement of the assignment, as approved by the Supervisor. The consultant will be on travel approximately for 8 days a month. The consultant would be required to make own arrangement for travel and stay during travel, and bear the cost for the same.
9. Estimated cost of consultancy and payment:
The total cost of consultancy should include all charges towards the consultancy including professional fee, travel cost, DSA, contingency and any other expenses. The consultant is required to have her/his own equipment such as laptop, internet connectivity and other communication facilities, etc. that are critical to achieve the deliverables.
Payments are made against the deliverables and shall be made on satisfactory completion of set of deliverables as mentioned above under the head Deliverables.
10.Qualifications or specialized knowledge/experience required for the assignment :
11. Application Procedures
(1) Qualified female/male candidates are requested to please indicate their ability and availability to undertake the above assignment.
(2) Your application should be sent to firstname.lastname@example.org by 12th Jan 2017, Thursday with subject line "State Nutrition Consultant-IM-SAM, Bhopal”in two separate files consisting of:
(3) Only short-listed candidates will be called for written test/interview.
(4) The selection will be on the basis of technical evaluation & financial proposal in the ratio of 70:30 respectively. The technical evaluation educational qualification, relevant experience, comprise of CV, written test & interview. In the technical evaluation, candidate must score a minimum of 70% to technically qualify.
(5) Financial proposals of only those candidates, who are found technically qualified, will be considered.
(6) Any attempt to unduly influence UNICEF’s selection process will lead to automatic disqualification of the applicant.
(7) Joint applications of two or more individuals are not accepted.
(8) Please note, UNICEF does not charge any fee during any stage of the process.
(9) Candidates who had applied earlier for this assignment/consultancy are requested not to re-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.
Job Email id:
Financial Proposal_CDN SAM Consultant.docx-DEFANGED.doc