Terms Of Reference - Review and Development of Sokoto State Gender Responsive Guidelines Training Manuals and Refferal Guides Strenghtening Health Outcomes for Women and Children (SHOW) at Plan International

Purpose of the Consultancy Assignment:
Plan International Nigeria is implementing the Global Affairs Canada funded Strengthening Health Outcomes for Women and children (SHOW) project with support from Plan International Canada. The project seeks to contribute to the reduction of maternal and child mortality in targeted regions broadly through: 1) Improved utilization of essential health services by WCBA, adolescent girls, new-borns& children <5 living in poverty, with high vulnerability; 2) Improved delivery of quality essential health services to WCBA, adolescent girls, new-borns and children <5 living in poverty, with high vulnerability;
3) Increased dissemination & use of data by project, communities, health committees, service providers,
planners & decision makers As part of the processes for ensuring the realization of the intermediate outcomes, the SHOW project in
partnership with the SMoH, SPHCDA and other stakeholders, plans to review training manuals that will be used to facilitate trainings and capacity building on the delivery of key MNCH/SRH/ASRH in the state. To this end, Plan International Nigeria is recruiting for a consultant to facilitate the review of health care service providers training manuals and curriculum. Specifically, the objectives for the Consultant are to act as the lead in the review of referral guidelines and referral cards. The consultant’s tasks include but not limited to the following activities:
Obtain copies from FMOH, SMOH and other relevant organization (eg UDUTH) of referral cards
and guidelines.
Conduct a 2-day desk review of national and state referral policies, guidelines and cards
Work with the SMoH, SPHCDA and MOWA to identify existing national and state referral policies, guidelines and cards in the State
Conduct 5-day workshop on the review of national and state referral policies, guidelines and cards
with relevant stakeholders
Develop additional gender responsive and Adolescent friendly contents to training Service Providers, CBHVs, Drivers and other relevant Individuals to facilitate referral from households,
PHC and Secondary HFs.
Develop a referral policy, protocol/guide and card for the state.
Conduct a 1-day meeting for the validation and adoption of the state referral policies, guidelines and cards
Write and submit the technical report of all processes to Plan International Nigeria.
The Consultant will report directly to National Program Manager. The Head of Heath programs wlill provide support in addition to support from the Gender advisor and Service Delivery Facilitators in Sokoto state

2. Roles and Responsibilities of Consultant:
Responsibilities of the Consultant:

• Review the project documents under the guidance of Plan International Nigeria Head of Health programs.
• Conduct a desk review of identified and existing national and state referral policies, guidelines and cards
• Engage with the SMoH, SPHCDA and MOWA for the validation of the methodology and processes that will be used for the review.
• Conduct a workshop on review of national and state referral policies, guidelines and cards with
• relevant stakeholders and develop additional gender responsive contents to the guide.
• Produce State referral implementation guideline, referral card, training manuals (including pre and post test and other quality assurance guide) and presentation slides for training of CBHVs, Health Care Providers and Drivers.
• Conduct field testing and updating of the referral cards.
• Facilitate a stakeholder validation workshop
• Facilitate a capacity building workshop for stakeholders using the developed training manual and
• presentation
• Submit progress reports on desk review process, review of national and state referral policies, guidelines and cards workshop and adoption of additional contents and meeting report
• Submit a final report of the review of national and state referral policies, guidelines and cards and all developed documents to Plan International Nigeria

Specific Scope:
As part of the process of rolling out the demand creation, service delivery and accountability phase of the project, specific gender responsive training manuals will be developed and used for the capacity building of health care providers and CHEWs, which will serve as a means to improving knowledge, attitude and practice in the area of service provision to the beneficiaries and improve positive care seeking behaviour and quality gender responsive service delivery for Women of Reproductive Age, adolescent girls and boys and men in the 23 LGAs of Sokoto State. This activity will help to compliment efforts of: Improved gender responsive referral systems at community, primary and secondary facilities
CBHVs, health providers & drivers trained on referral protocols The following are the areas that the review will cover. THEMATIC AREA TYPE OF MATERIAL EXPECTED TARGET

AUDIENCE
Maternal Neonatal Child Health/ Sexual Reproductive Health

National referral guidelines and policies
State referral guidelines and cards

Health care providers and drivers

Deliverables, Time Frame and Level of Effort
The period of the contract will be expected to cover a maximum of 23 days as per agreed upon timeline. The Consultant is expected to conduct all the preparation required to facilitate the review of training manuals and guidelines as suggested in the time frame below:
DELIVERABLES EXPECTED TIME FRAME
Review of project document and understanding of roles and responsibilities

2th to 3rd October 2017

Identification and desk review of national and state referral policies, guidelines and cards and production of draft zero referral implementation guideline (skeletal framework)

4 to 6th October 2017

Workshop on review and development of national and state referral implementation guidelines draft 0, and referral cards with relevant stakeholders, including content for training manuals and additional gender responsive referral contents..

10th to 13th October 2017

Production of first draft gender responsive state referral implementation guideline, referral cards, training manuals and presentation

16th to 20th October 2017

Field testing of the referral cards 23rd October 2017 Update of the referral cards and other necessary documents

24th October 2017

Meeting for the validation and adoption of the reviewed national and state referral policies, guidelines and cards

26th October 2017

Training of Plan Staff, CSO partners and Government officials on referral guideline, and manuals

3rd and 4th November 2017

Submission of final report, including all other
materials to Plan International Nigeria (4 days)

10th November 2017

5. Qualifications of Consultant(s)

• BSC in Public Health or other related courses. MSC will be preferred.
• Minimum of 5 years’ experience in development and or review of health care service provider’s policies and guidelines.
• Demonstrated understanding of Gender and how it affects health care seeking behaviour of women, girls, boys and men.
• A good understanding of the Nigerian Primary Health Care system especially the health referral
• policies, guidelines and issues.
• Demonstrated experience in facilitating training and community participatory development processes.
• Experience in working with low literacy communities especially in low resource settings
• Fluency in English and the local language (spoken and written);
• Ability to produce high quality work under tight timeframes;
• Ability to establish a good working relationship with State stakeholders and integrate feedback as required.
• Excellent skills in documentation and reporting

Application Package and Procedures
A completed application should contain the following:
i. Detailed CV demonstrating technical expertise and previous experience in coordinating and facilitating activities of a similar nature
Availability to commence consultancy immediately
A financial statement of consultancy fee per day.

A graphic artist where necessary will be sourced from Sokoto to support.
ii. Names and contact information of three references who can be contacted regarding relevant experience.
iii. A copy of a previous report of a similar nature undertaken on review of training manuals and material development.
The proposal will be scored on both technical and financial aspects weighted at 70% and 30% respectively.


ANNEX 1: PROJECT SUMMARY

Project Subject Strengthening Health Outcomes for Women and Children (SHOW)
Project Background

Plan Canada and Plan International Nigeria have developed an MNCH project to address the high rates of maternal, and child issues in Nigeria through a participatory proposal development process that involved key stakeholders, including Ministries of Health and partner Non- Governmental Organizations (NGOs), to ensure that the project is implemented in high-need areas where there are gaps in MNCH service provision. The ultimate outcome of the project is to contribute to the reduction of maternal and child mortality in Nigeria, specifically in Sokoto state. By increasing the quality, availability, utilization of essential MNCH/ASRH/GE services, and local health governance mechanisms, the
project implemented over the next 4 years will scale-up improved health outcomes in underserved areas.

Overall Project nObjectives

• To contribute to the reduction of maternal and child mortality in targeted regions among marginalized and vulnerable women, especially adolescent girls and their children Ultimate Outcome
• Improved utilization of essential health services by women of child bearing age (WCBA), adolescent girls, newborns & children under 5 living in poverty, with high vulnerability.
• Improved delivery of quality essential health services to WCBA, adolescent girls, newborns and children under 5 living in poverty, with high vulnerability.
• Increased dissemination & use of data by project, communities, health committees, service providers, planners & decision makers. Immediate Outcomes
• Increased knowledge of basic maternal, newborn and child health (MNCH) issues & services among women, adolescents, & male community members
• Increased ability of women & adolescent girls to make decisions on MNCH services utilization
• Improved social capital & network of women & adolescent girls
• Enhanced capacity of government health officials, service providers, health committees & community health workers (CHWs)to provide gender & adolescent responsive, and environmentally safe MNCH services
• Improved gender responsive referral systems at primary & secondary health care facilities
• Improved availability of environmentally safe essential MNCH resources & client focused, quality, gender responsive clinic management techniques including waste disposal at primary health facilities
• Improved Health Management Information System (HMIS) integrated with accountability cycle & technology
• Improved capacity in sharing results & learning locally, nationally, internationally