Facilitator at John Snow Inc - JSI

DMPA-SC Access Collaborative

• Subcutaneous DMPA Access Collaborative (the Access Collaborative) is a six-year project led by PATH. JSI is a sub-grantee to PATH. Subcutaneous depo medroxyprogesterone acetate (DMPA-SC) is an innovative subcutaneous injectable contraceptive that is currently being introduced in many countries, with a focus on increasing women’s access to safe, effective contraception.
• The Access Collaborative works with country stakeholders and facilitates coordination of DMPA-SC introduction and scale-up planning in several countries in sub-Saharan Africa, including Nigeria within the context of strengthening the existing health system.

Background

• Integrated Supportive Supervision (ISS) is a process which encourages the delivery of quality service for optimal outcomes through better communication, team spirit to resolve identified problems, and mentoring to motivate health workers to supervise, monitor and improve their individual and collective performance.
• It improves the knowledge and skills of peripheral health workers in order to ensure the delivery of quality health services through direct contact with health workers for an on-site observation of health delivery processes, reviewing of registers and other documents, immediate orientation of health workers on observed gaps in knowledge and or skills and the provision of documented feedback on issues, challenges and jointly agreed action points. ISS involves inspecting, controlling and giving support to health workers, to improve their skills and performance, and ultimately, health service delivery. Supportive supervision plays a critical role to ensure high-performing health workers have the appropriate knowledge, skills, and motivation to deliver quality family planning (FP) services and informed choice counseling.
• In Nigeria, there has poor coordination of the various supportive supervisions happening in various states in the country and with partner support. This may have led to a huge multiplicity of efforts and a waste of limited resources by health partners, states ministry of health (MOH) and the Federal Ministry of Health (FMOH). To curb this, the Federal Ministry of Health collaborated with health partners to develop comprehensive national ISS tools/checklist to be used at the primary, secondary and tertiary health levels.
• The last version of these tool was updated over 5 years ago and may not include information on new and emerging diseases, new contraceptive methods or other tracer products.  The FMOH is currently leading the revision of the ISS tools and checklist to resolve these challenges.

Context:

• To ensure an effective supportive supervision at all levels that enables health workers to have appropriate knowledge, skills, and motivation to deliver quality MNCH services, the Nigerian government is revising the ISS tools/checklists
• In order to evaluate the cost, duration and tryout if the proposed instrument will work for actual data collection, the Federal Ministry of Health seeks to field test these tools in two states (Oyo and Plateau).
• To ensure smooth implementation of this exercise, it is pertinent to engage a facilitator that will support the team with some logistic arrangement.                                               

Objectives:

• The Access Collaborative project seeks to engage a facilitator that will support smooth implementation of the field testing exercise

Key Activities:

• To facilitate the implementation of ISS field testing.

Deliverables:
The key deliverables for the state facilitator will be:

• Delivery of the letter of introduction to the appropriate persons in the State Ministry of Health and elicit approval with signed and stamped acknowledgement copy returned (Commissioner for Health, Director of Public health/ director of Family health etc.)
• Delivery of the letter of introduction to the appropriate persons in the State Primary Health Care Board and elicit approval with signed and stamped acknowledgement copy returned (Executive Secretary, Director of Administration etc.)
• Delivery of the letter of introduction to the appropriate persons University of College Hospital and elicit approval with signed and stamped acknowledgement copy returned (Chief Medical Director, Chairman Medical Advisory Committee, Director of Administration etc.)
• Facilitate the selection of two participants from the state level preferably 1 each from the Ministry of health and primary health care board.
• Facilitate the selection of a Primary Health Care center with functional Ward Development Committee (WDC) structure
• Identify the WDC chairman and secure commitment for participation
• Facilitate the selection of one accessible preferably urban Local Government Area Council and secure the commitment of the Director of health for participation (this can be achieved through the support of State Primary health care board)
• Carryout feasibility and obtain information on the logistics for the transportation for the team
• Contingency arrangement for a secondary Health facility (general hospital e.g. Adeoyo etc.) should be made with the State Ministry of Health for the exercise. 

Required Skills and Experience

• Good interpersonal relationship with the SMOH/SPHCDA

Remuneration

• N10,000 per day (Daily rate determined by experience)
• Mode of Payment: Payment will be done after the exercise