Overview
- Nigeria continues to bear one of the highest burdens of maternal, newborn and child mortality globally.
- Many of these deaths are preventable through the provision of high-quality, evidence-based reproductive, maternal, newborn, child and adolescent health plus nutrition (RMNCAH+N) services, timely referral, and functional emergency obstetric and newborn care.
- To support the Government of Kebbi State in improving the quality of RMNCAH+N services, UNICEF, through Jhpiego, is implementing the project titled: "Strengthening Reproductive, Maternal, Newborn, Child and Adolescent Health plus Nutrition (RMNCAH+N) Quality of Care in Primary Health Care Facilities of Kebbi State."
- The project will strengthen the quality of maternal and newborn healthcare services across 10 MAMII-priority Local Government Areas (LGAs) through health system strengthening, quality improvement (QI), supportive supervision, mentorship, Maternal and Perinatal Death, Surveillance and Response (MPDSR), emergency referral systems, and capacity building of healthcare workers. As part of the project inception activities, Jhpiego will conduct a comprehensive baseline Health Facility Assessment (HFA) to determine the readiness of participating facilities to deliver quality RMNCAH+N services.
The assessment will cover:
- 108 Primary Health Care Centres (one PHC per ward)
- 10 General Hospitals (one per participating LGA)
- Kalgo Medical Centre (KMC)
- A total of 119 health facilities will therefore be assessed.
Responsibilities
- Under the supervision of Jhpiego, the Health Facility Assessors will conduct standardized assessments of assigned health facilities using the approved electronic Health Facility Assessment Tool.
The consultants shall:
- Conduct comprehensive assessments of assigned health facilities.
- Verify infrastructure, equipment, medicines and commodities.
- Observe service delivery areas.
- Review facility registers and records.
- Interview facility managers and healthcare workers.
- Verify implementation of RMNCAH+N Quality Improvement structures.
- Assess emergency obstetric and newborn care readiness.
- Assess referral systems and emergency transport arrangements.
- Assess MPDSR committee functionality.
- Assess infection prevention and control measures.
- Assess availability of adolescent-friendly services.
- Assess nutrition service readiness.
- Upload complete and accurate electronic assessment data daily.
- Participate in daily debriefing meetings.
- Ensure confidentiality and integrity of all data collected.
Specific Responsibilities:
The adhoc shall work closely with Jhpiego Technical Staff to:
Participate in Training:
- Attend a one-day Health Facility Assessment training.
Participate in field pre-testing of assessment tools.
- Demonstrate competency before deployment.
Conduct Facility Assessments:
- Visit assigned facilities and complete all assessment modules, including:
Facility Profile:
- Ownership
- Level of care
- Catchment population
- Staffing.
Infrastructure:
- Buildings
- Electricity
- Water supply
- WASH facilities.
Human Resources:
- Skilled Birth Attendants
- Medical Officers
- Midwives
- CHEWs
- Laboratory personnel.
RMNCAH+N Services
Assess availability and quality of:
- ANC
- Labour and Delivery
- EmONC
- Postnatal Care
- Family Planning
- Child Health
- Nutrition
- Adolescent Health.
Equipment Assessment:
- Verify availability and functionality of:
- Delivery beds
- Oxygen
- Suction machines
- Sterilizers
- Newborn resuscitation equipment
- Blood pressure machines
- Weighing scales
- Ultrasound (where available).
Medicines and Commodities:
Assess availability of:
- Oxytocin
- Magnesium Sulphate
- Misoprostol
- Antibiotics
- IV fluids
- Iron/Folic Acid
- Family Planning commodities
- Nutrition commodities.
Laboratory:
Assess availability of:
- Hemoglobin testing
- Urinalysis
- Blood grouping
- Cross-matching
- Malaria testing.
Quality Improvement:
Assess:
- Facility Quality Improvement Teams
- QI meetings
- QI projects
- Clinical audits.
MPDSR
Assess:
- MPDSR Committee
- Meeting frequency
- Review documentation
- Action tracking.
Referral System
Assess:
- Ambulance availability
- Referral protocols
- Referral documentation
- Emergency transport linkages
- Communication systems.
Digital Readiness
Assess:
- Computers
- Internet access
- Tablets
- HMIS functionality
Electricity reliability.
- Data Quality Assurance
- The consultants shall:
- Complete all electronic forms.
- Validate data before submission.
- Resolve inconsistencies immediately.
- Upload data daily.
Maintain confidentiality.
- Daily Debriefings
- Participate in daily review meetings with Jhpiego Technical Team to:
- Review progress.
- Discuss challenges.
- Resolve data quality issues.
Required Qualifications
- Bachelor’sDegree in Medicine, Nursing, Midwifery, Public Health, Health Sciences,
- Health Information Management or related field.
- Minimum three years' experience in health facility assessments, RMNCAH+N
- programmes, surveys, monitoring and evaluation, or quality improvement.
- Experience using electronic data collection platforms (ODK, KoboCollect,
- SurveyCTO or REDCap).
- Experience in maternal and newborn health programmes.
Preferred Qualifications:
- Excellent interviewing skills.
- Knowledge of EmONC and RMNCAH+N.
- Good analytical skills.
- Ability to work in remote communities.
- Strong report-writing skills.
- Familiarity with Kebbi State health system is an advantage.
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