Consultant - Conduct of Training Of Frontline Health Workers from Secondary Health Facilities in Gombe State on Full Essential New-born Care at Save The Children

The Organisation
We employ approximately 25,000 people across the globe and work on the ground in over 100 countries to help children affected by crises, or those that need better healthcare, education and child protection. We also campaign and advocate at the highest levels to realise the right of children and to ensure their voices are heard.

We are working towards three breakthroughs in how the world treats children by 2030:

• No child dies from preventable causes before their 5th birthday
• All children learn from a quality basic education and that,
• Violence against children is no longer tolerated

We know that great people make a great organization, and that our employees play a crucial role in helping us achieve our ambitions for children. We value our people and offer a meaningful and rewarding career, along with a collaborative and inclusive workplace where ambition, creativity, and integrity are highly valued.

Background
Nigeria, Africa’s most populous country with a population of over 180 million people, is ranked the second largest contributor to the under–five mortality rate in the world and the largest contributor in Africa. Nigeria’s newborn death rate (neonatal mortality) is put at 528 newborn deaths per day (one of the highest in the world). More than a quarter of the estimated 1 million children who die under the age of 5 years annually in Nigeria die during the first 28 days of life (neonatal period).

The majority of these deaths are caused by conditions that are preventable or treatable. In fact, 9 of every 10 new-born deaths are preventable. While some progress has been made to reduce these deaths over the past decade, the rate of change is not fast enough for Nigeria to meet the Sustainable Development Goals.

Key interventions and packages that could prevent 70% of new-born deaths in Nigeria exist, but coverage is low. The policies are in place; however action is needed at state and local levels to increase coverage and quality of life-saving interventions while closing the equity gap for the poorest families.

Save the Children, through the Health workers’ capacity building project, is committed to improving quality Maternal, New-born and child health services through capacity building of frontline health workers and advocating to influence policy changes related to MNCH indices.

Essential Newborn Care
Essential Newborn Care (ENC) is care that every newborn baby needs regardless of where it is born or its size. ENC should be applied immediately after the baby is born and continued for at least the first 7 days after birth. Many ENC interventions are simple and can be provided by a Skilled Birth Attendant (SBA) or a trained Community Health Worker (CHW).

• Early initiation and exclusive breastfeeding
• Thermal care (including prompt drying and covering at birth, maximizing skin-to-skin contact, delayed bathing, maintaining “warm chain”)
• Hygiene practices (including cord-care and hand washing)

• The goal of this training is to improve the skills of select frontline health workers (Doctors/Nurses/Midwives) from secondary health facilities in Gombe state on Essential New-born Care package using standard national training guidelines.

• Build the capacity of 22 Health workers on the concept of Helping Babies Breathe (HBB)
• Improve the skills of the trainees on routine cares of all babies (ECEB)
• Improve knowledge and skills of health workers on essential care for small babies (ECSB).
• Improve knowledge of health workers on referrals of babies identified to be in severe situation that requires referral.

• An ENCC objective-structured clinical assessment checklist will be used in the conduct of a Training Needs Assessment. All the secondary health facilities would be visited and the assessment checklist administered to assess the skills gap observed. The gaps observed would be used in the design of the training intervention. The TNA would be conducted in 3 zones in Gombe over a period of 5 days.
• The training will be led by a Lead Consultant along with 4 other resource persons (including the MNCH Advisor)
• Training slides and manuals would be drawn from FMOH approved guidelines for ENCC
• The training will involve the use of low technology and highly effective teaching methods: simulation, role play, drills, skills practice and practical demonstration amongst others.
• The training will also be conducted using mannequins for practice
• The training would be a combination of both classroom and practical sessions with participants scheduled to visit selected hospitals for the practical sessions.
• Pre-test and Post-test evaluation would be used in assessing knowledge gained by trainees.
• Facilitators would conduct a post-training follow-up and supportive supervision to facilities where selected health workers have been trained within 6-8 weeks of the training.

• The training will be for a single batch of 22 health workers from all secondary health facilities in Gombe state.

• The required consultant should be an experienced Paediatrician (a fellow of West African Medical College/NPMCN) or with a minimum of 5 years’ post-fellowship experience.
• He or she should have undertaken a TOT in ENCC.
• He or she should be able to mobilize 3 other facilitators (Doctors/Midwives) who have a minimum of 5 years’ experience and have also undertaken a TOT in ENCC training).

• Trained Health workers who are capable of providing improved and quality Essential Newborn care in secondary health facilities in Gombe state.
• A comprehensive report on the training of health workers on the Essential Newborn Care training.