Thinking of a Career in Emergency Management?
- BY Nicole Pelette
Public healthcare in Nigeria has suffered from years of under funding, ranking in 2016 as one of the lowest healthcare expenditures in Africa and the world. This has contributed to Nigeria having the second highest total maternal mortality, second highest child mortality and some of the highest global rates of malaria, HIV, TB and neglected tropical diseases. Immunization coverage is dangerously low and while many health interventions are donor funded, the country is expected to be ineligible for a range of foreign health financing, including from the Global Fund and World Bank, over the next two decades
Outcome 1: Quality primary health and nutrition services are available and accessible: The partners will support the delivery of comprehensive health and nutrition services in selected LGAs, in accordance with National Guidelines and in conjunction with state government priorities. By increasing access to and demand for health and nutrition services for children, pregnant and lactating women, the HeRoN project will contribute towards reduction of infant and under five mortality rates, and reduction in the maternal mortality ratio. The increased access and availability of health and nutrition services will result in an increase in the number of clients utilizing health services, increase the percentage of births attended by skilled health personnel in health facilities. Further integration of nutrition and immunization components will lead to an increase in the percent of infants 0-5 months receiving exclusive breastfeeding, increase in the percentage of children 0-12 months who receive their third dose of DTP-containing vaccine among others. The project will improve the quality of health and nutrition services in target locations. Through improved quality assurance systems, the project will contribute towards an increase in the percentage of health facilities achieving improvements in quality services. Investment in improved technical competencies will result in an increase in percentage of human resource capacity enhancement required for improved primary health care and nutrition services.
Outcome 2: People seek timely services and take informed actions to prevent new disease, and spread of existing disease including malnutrition: We will support the roll out of the national Community Health Influencers, Promoters and Services (CHIPS) program strategy, which aims to create demand for health services by working with community health care workers. Technical support will be provided to the SMOH, SPHCDA, and LGAs to fully roll out the CHIPs program in Yobe while supporting the Borno SPHCDA to plan the introduction of the CHIPS program. In Borno we will work with LGA authorities to utilize existing community health work schemes, including community oriented resource persons (CORPs). We will also coordinate with SPHCDA and SMOH, and planned intervention under the MCRP to ensure aligned support to the CHIPS program in Borno to support the health system and align community interventions with national policy.
Outcome 3: Services are effectively planned, managed and budgeted (facility and community level): The project aims to sustainably strengthen the health system so that in the long run it is able to prevent and respond to shortfalls such as drug availability problems, low/unreliable salaries and key equipment shortages. Using a conflict sensitive approach, we will support facilities to self-assess their organizational capacity in leadership; strategic planning; management; and outreach, and to develop and implement organizational development plans (these could include supporting facilities to develop job descriptions, training staff on drug management or financial management, developing stock management procedures, etc.). We will follow the phased five-stage approach to support each targeted LGA with their organizational development (OD).
The purpose of the Health Facility Assessment (HFA):
Specific objectives of the HFA:
Scope of work and deliverables
Desk review of HeRoN documents, the results framework and recent health facility assessments in all target LGAs already carried out by other stakeholders (for example those conducted under the Basic Health Care Provision Fund (BHCPF) framework, or the Health Resources Availability Mapping System (HeRAMS)).
Production of a matrix of health facilities, as outlined above
Detailed health facility assessment
in a sample of around half of the targeted health facilities, working closely with the IRC health team to develop/review Health Facility Assessment Tools. The assessment includes (but is not limited to):
Knowledge, Attitudes and Practice survey
in sample locations from target LGAs in Borno and Yobe states (likely to be in the region of 20-25 LGAs), to provide insights to outcome 2: People seek timely services and take informed actions. This task will include (but is not limited to):
Produce one comprehensive report that includes presentation of findings and insights for all three components (desk review, matrix, Health Facility Assessment and Knowledge, Attitudes and Practice Survey), identification of cross-cutting themes, and presentation of corresponding baseline values. This task will include:
For both the health facility assessment and the survey, the IRC suggests a mixed methods approach, integrating quantitative and qualitative methods, ensuring collection and reporting of corresponding baseline data. Data triangulation and integration including Key Informant Interviews, Focus Group Discussions (FGDs) with beneficiaries, observations of existing infrastructure, and service delivery components at the facilities will be essential. The consultant is free to suggest an appropriate methodology that fully addresses all ToR requirements with reference to the following:
Indicative timeframe and budget
Profile of consultant(s)
The Health Facility Assessment and Knowledge, Attitudes and Practices survey call is open to all interested and qualified national and/or international consultants meeting the under-listed criteria: