Consultant to Develop a Monitoring Framework for SRMH Self-Care at John Snow Inc - JSI

Background

• The World Health Organization (WHO) describes self-care as ‘the ability of individuals, families and communities to promote health, prevent disease, maintain health, and cope with illness and disability with or without the support of a healthcare provider”. Nigeria was one of the first countries to adapt the WHO Consolidated Guideline on Self-Care Interventions for Health, in support of its goal towards universal health coverage.
• The National Guideline on Self-Care in Sexual, Reproductive and Maternal Health in Nigeria outlines four intervention areas relevant to self-care.
• These include Maternal Health, Family Planning and Infertility, Safe Abortal Care, Combatting Sexually Transmitted Infections (including HIV, reproductive tract infections), breast cancer screening and other gynecological morbidities. In addition, the Guideline contains a costed implementation plan to guide its execution across four thematic areas.
• Measurement of self-care interventions in SRMH is critical to monitoring progress and strengthening the evidence base for effective programming. This is especially important considering the need to extend quality of care outside the formal health system. The Self-Care interventions covered by the National Self-Care Guideline have benefited from varying levels of programmatic support. As such, the indicators to support these interventions are also at varying development stages.
• JSI is looking for a Consultant to support the Federal Ministry of Health in the development of a self-care monitoring framework for Nigeria.
• This will be conducted with the aim of building consensus on priority indicators to be tracked, in line with the range of self-care interventions covered by the National Self-Care Guideline for SRMH.
• The ideal candidate/organization will have a strong background in monitoring, evaluation and learning, public health, and good understanding of the policy and service delivery environment as it relates to self-care in sexual, reproductive, and maternal health programs in Nigeria.
• In addition, the consultant must have proven experience in developing monitoring and evaluation plans for public health programs in Nigeria, an in-depth knowledge on data management systems relevant to the sexual, reproductive, and maternal health programs in Nigeria and ability to engage in user consultations with stakeholders across relevant ministries, agencies, donors, and other organizations.

Goal

• To develop a robust monitoring framework for SRMH Self-Care in Nigeria, which will serve as a practical, adaptable resource for self-care stakeholders engaged in monitoring and evaluating SRMH self-care programs.

Objectives

• Work with multi-level stakeholders in the public and private sector to gain consensus on the indicators to be included in the monitoring framework for SRMH Self-Care in Nigeria.
• Develop a monitoring framework for Self- Care, in collaboration with other stakeholders relevant to SRMH programming in Nigeria.
• Categorize data sources to aid in determining the best route of data collation/collection (DHIS, NHLMIS, UNFPA MICS survey, NDHS etc).
• Provide recommendations for how to support the integration of data collection on self-care into data collection systems, with the aim of improving harmonization of the tool across the intervention areas.     

Specific Tasks and Responsibilities
In close collaboration with the Director/Head Reproductive Health Division, Family Health Department, FMOH and any other officer/person so designated by the Director, carry out the following tasks and responsibilities:

• In-brief with FmoH counterpart and self-care stakeholders to clarify expectations, share self-care vision, guideline and priorities in line with the national guideline on self-care for SRMH.
• Develop and obtain consensus on the criteria for indicator selection based on feasibility of data collection, availability of reporting mechanism and relevance to monitoring progress in support of the self-care agenda. 
• Identify indicators from the global SRMH self-care measurement tool and other relevant resources that have been prioritized for adaptation/inclusion in the monitoring framework.
• Clearly delineate and document the limitations and risks with collecting the selected indicators.
• Conduct a desk review to identify and obtain all other relevant information on existing data sources, means of verification and targets for measuring self-care interventions across public and private sectors in Nigeria.
• Develop and apply a tool to document feedback from user consultations with stakeholders across relevant ministries, agencies, donors, and other organizations.
• Collaboratively develop a self-care monitoring framework based on priority indicators agreed upon by national stakeholders.
• Facilitate meetings with relevant stakeholders to:
  • Validate the measurement framework tool.
  • Presentbarriers and recommendations to the integration of data collection of self-care indicators into routine health data systems.
• Routinely check in with JSI and FMOH counterparts to provide progress updates, plan for meetings etc.
• Develop a report that clearly articulates:
  • Method and approach to developing the measurement framework.
  • Feedback from consultative meetings
  • The scope and intervention areas that are covered by the measurement framework.
  • Limitations of the tool.
  • Barriers and recommendations to support expansion of the tool to include other data sources/intervention areas.

Key Deliverables

• In-brief meeting with FMoH and relevant stakeholders (agenda, participants list, documented notes with any agreed next steps).
• List of Criteria for Indicator Selection developed following consensus from stakeholders.
• Harmonized list of indicators obtained from the global self-care measurement tool and other resources that have been prioritized for adaptation/inclusion in the monitoring framework.
• Results of desk review detailing relevant information on existing data sources, means of verification and targets for measuring self-care interventions across public and private sectors in Nigeria.
• Documented feedback from consultative meetings
• Documented feedback from validation meetings.
• Routine check in meetings with JSI and FMoH counterparts (agenda, participants list, documented notes on progress updates and any agreed next steps)
• An approved monitoring framework for Self-Care that has been validated by national stakeholders and approved by the Federal Ministry of Health.
• A report that clearly articulates:
  • Method and approach to developing the measurement framework.
  • Feedback from consultative meetings
  • The scope and intervention areas that are covered by the measurement framework.
  • Limitations of the tool.
  • Barriers and recommendations to support expansion of the tool to include other data sources/intervention areas.     

Timeline
The development of the monitoring framework is expected to take approximately 30 days starting mid-April  2023. The timeframe is as follow:

• Phase 1: April 18, 2023 to May, 30, 2023
• Phase 2: June 1, 2023 to June 30, 2023.

Mode of Payment

• The consultant will be paid based on an estimate of days worked for each phase, following the completion of the deliverables.