Hematology - CEmONC Capacity Building for Healthcare Workers Consultancy at Jhpiego - John Hopkins University

Background

• Maternal and Perinatal Mortality are Obstetric and neonatal tragedies worldwide. Of the global Maternal Mortality occurrences, the vast majority occur in low-resource settings and Nigeria accounts for nearly 20% of the global death. 
• The lifetime risk of dying in Nigeria is 1 in 22 during pregnancy, childbirth or postpartum period compared to 1 in 4,900 in most developed countries. The causes of maternal mortality include Pre-eclampsia /Eclampsia (PEE), obstructed labor, postpartum hemorrhage, puerperal sepsis and abortion complications.
• These causes are treatable and preventable when labour is supervised by Skilled Birth Attendants (SBAs). Perinatal morbidity and mortality are closely related to events during pregnancy and labor. 
• The high rate in Nigeria is a result of poor maternal health, sub -optimal care during pregnancy and childbirth, and lack of newborn care. The major causes of newborn deaths are birth asphyxia, neonatal sepsis and prematurity. 
• Universal access to Comprehensve Emergency Obstetrics and Neonatal Care (CEmONC) services is one of the strategies that can reduce these deaths and sufferings along with the ten core signal functions of the services. 
• Improving access to quality comprehensive emergency obstetrics and newborn care is critical to reducing these preventable maternal and newborn deaths and is a top priority of the Government of Nigeria. 
• Therefore, as part of the commitment of the Federal Ministry of Health and Social Welfare (FMOHSW) to ensure that there are well equipped CEmONC facilities throughout the country to provide quality healthcare services, a nationwide CEmONC health facility assessment was conducted. to identified existing gaps. 
• As part of the efforts to bridge the identified gaps in healthcare workers competencies, Jhpiego, in collaboration with the FCT, Ebonyi and Kebbi State Governments, through funding from USG in Nigeria, provides technical assistance to GoN to bridge the capacities of doctors, nurses, midwives, anaesthetic nurses, laboratory scientists/assistants inselected health facilities inthethree states.

Purpose of the CEmONC interventions

• This intervention aims to bridge existing gaps in the identified competencies of healthcare workers to provide quality CEmONC services during the recently concluded health facility assessment in at least one CEmONC public facility per LGA in the selected states to improve
• quality services for women during pregnancy, labour, childbirth and postnatal period.

Specific Objectives:

• By the end of the training learners are expected to improve in their:
• Ability to setup a 24-hour safe blood transfusion services in their health facility.
• Competencies to manage patients requiring transfusion services in obstetrics.
• To prevent and manage likely complications that may arise from blood transfusion.

Scope of the competencies will include the following:

• Blood group system
• Blood transfusion and Transmittable infection.
• Prevention of blood transmittable infections.
• Blood screening and cross matching.
• Blood transfusion procedure blood quality.
• Complications of blood transfusion including blood transfusion reaction.
• Blood donation processes.
• Blood storage: functional and reliable 24-hour blood transfusion banking system.

Responsibilities
In collaboration with Jhpiego staff:

• Each consultant will participate inaonedayvirtual skills standardization workshop tobe organize by Jhpiego.
• Conduct an on-site capacity building of an average of 8 healthcare care workers, which would include doctors, nurses and midwives.
• Conduct follow upmentoring of the trained healthcare workers to strengthen their confidence and competence inusing the newly acquired knowledge and skills.
• Conduct pre- and post-test assessment for each of the modules of the training package.
• Compile and submit acomprehensive report ofthetraining within 5working days after completion of the training.
• Participate in a one day post-training debrief meeting with key stakeholders in the state.

Deliverables:

• Detailed and analysed pre- and post- training scores for each of the trainee for each module of the training package.
• Detail report ofthetraining tobesubmitted within 5 working days ofcompletion of the training.

Required Qualifications
The preferred candidate should posse the following qualifications and experiences:

• Registered and practicing Haematologist with at least 5 years post-qualification working experience.
• Evidence of previous and ongoing work experience in a facility delivering CEmONC services.
• Evidence of previous experience conducting training onsafe blood transfusion component ofCEmONC orasimilar training especially withinthelast 24months or Evidence of provision of ongoing training inhaematology residency training or training ofmedical officers undergoing rotation in haematolopgy till date.
• Evidence ofhaving up-to-date annual practicing license with Medical andDental Council of Nigeria.
• Evidence of strong coaching, mentoring and facilitation skills
• Evidence of strong analytical and communication skills.
• Travel: Ability to travel _70%, particularly to Facilitiesin the work location.
• Evidence ofhaving up-to-date annual practicing license with Medical andDental Council of Nigeria.
• Evidence of strong coaching, mentoring and facilitation skills.
• Evidence of strong analytical and communication skills.