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Background
Lagos State boasts of 15, 000 health workers in its public service providing care at different levels and approximately 15,000 in the private sector. The State health worker ratio to the population continues to show a decline with increasing vacancy levels, attrition, pressure on fiscal space for Human Resources for Health (HRH) and challenges based on embargo on recruitment of health workers, thereby increasing shortages at most levels and maldistribution within the urban/local locations of health systems. This has affected the availability, accessibility and quality of care delivered at various points of services especially essential services. The Lagos State Government has proactively strengthened its HRH has implemented various strategies to address the impending challenges as documented in its HRH policy (2011- 2016) and the HRH strategic plan (2011- 2016). These strategies include redeployment of personnel, introduction of new cadres such as that of carers, and deepening its relationship with the private health sector.
With the introduction of Task Shifting Task Sharing (TSTS) at the Federal level, the Lagos State Government participated actively in the consultation and understanding of the arrangement of this national policy. The development of the National Task Shifting and Task Sharing Policy in 2014 is a major progress made in improving and scaling up access to effective and evidence- based health care packages for the Nigerian population, especially the vulnerable within communities in an effort to significantly reduce Nigeria’s unacceptably high mortality ratio and to achieve set Sustainable Development Goals’ (SDGs) targets and other national development goals. The pursuit of the TSTS initiative in Lagos State enables the preparedness of the State staffing for the achievement of Universal Health Coverage (UHC) goals with its drive for the implementation of social health insurance scheme.
The Lagos state Government has since 2012 commenced the facilitation of engagement processes on the need to implement the TSTS initiative in the state. This engagement has presented task shifting and task sharing as a short- term strategic move to bridge, extensively, the gap in shortages, move and create more time for highly qualified personnel, and empower those with less training to handle less and easier tasks. Consultations and sensitizations have commenced with the various health workers associations and the HRH Technical Working Group (TWG) engaged on the issue. Making progress, a committee on TSTS has been constituted with terms of reference to guide the work.
Rationale of this Assignment
The rationale for the development of the TSTS policy is based on the following needs:
The Purpose
The purpose of this consultancy is to support the Lagos State Ministry of Health (LSMOH) in strengthening its HRH planning and management capabilities through the development of its Task Shifting Task Sharing policy. This will support the standardization of HRH utilization, promote compliance to ethical guidance on tasks shared or transferred.
Scope of Work
The Consultant will conduct rapid assessment of TSTS situation in Lagos state, facilitate the development of a TSTS policy for the state’s health sector, in line with the National TSTS policy. This assignment will provide evidence on the current situation and practice, and articulate policy to guide the standardization of the use of HRH, shifting and sharing of tasks and quality of care. Critical organizations to be involved include the State Ministry of Health (SMOH) and its agencies, private medical and nursing associations and other allied health workers associations.
Methodology
The Consultant will:
Specific Tasks
Key Deliverables and Expected Results
Profile of Consultant Required – 1 Consultant
Reporting and Timing of this Assignment
The consultancy is planned for 15 days only.
Duty station and Location
Within the period of this assignment, the Consultant will work collaboratively with the HRH focal Person in Lagos SMOH and report to the advocacy team of Save the Children International, Lagos. This consultancy will take place in Lagos State, Nigeria.
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