Consultancy: Review of Community Health Services in Kenya, Nairobi, Kenya 177 views0 applications


Background and Justification

The previous review of Community Health in Kenya was conducted in 2010. Since 2010, a lot of changes have happened in the country. At the policy level, there has been development of a number of guidelines and policy documents that include the training guidelines for CHVS and CHEWs, The Scheme of Service for Community Health Personnel, Development of Community Health Services Standards among others. It is therefore prudent to look at whether the presence of a better policy and guidelines framework has resulted to better implementation of services at the community level. Another major event since the last review is devolution where health was devolved to the county governments. There is need therefore to examine how the county governments have been embraced community health services, supported it and implemented the services in the different contexts. There is a need to examine how we have progressed since then. Now is also an opportune time to review progress of the 2014-19 Strategy for Community Health, which is half-way through. It would be beneficial to review progress and understand both what is going well and also where we are slipping behind. The completed review report will be a valuable tool for focusing attention on Community Health and its needs in Kenya.

The review also creates a baseline for the Community Health policy that is expected to be launched and in use my mid-year 2017 and the CHEW Curriculum pre-tested in Kenya Medical Training College (KMTC) in February 2017. The results of the review shall also inform the process of the development of the community component in the next Kenya Health Sector Strategic and Investment Plan, a process expected to begin before the end of the year. In addition, the County Integrated Development Plans (CIDP) and the Health sector Strategic plans are coming to an end. The review report shall provide a useful resource to the health sector in the development of the new CIDPs and Sector Strategic Plans at the County level.

Scope of Work

Goal and Objective: The overall goal of conducting the community health services review is to demonstrate the relevance, efficiency, effectiveness and responsiveness of the Tier 1 level of the health care system in Kenya

There are two specific objectives for the review:

  • To examine and document the current state of Community Health Services in Kenya post-devolution
  • Assess implementation progress of the 2014-19 Community Health Strategy, identifying any course corrections required.
  • To document various contextualization models implemented by counties due to devolution.
  • To document case studies and best practices and lessons learnt adopted by counties for the implementation of community health.

Similar to the 2010 review, the results of this review will inform policy and planning decisions by the national government, county governments, and partners.

  1. Provide details/reference to RWP areas/UNDAF output covered: Output two of the health outcome supports the scaling up of community health services and improving the quality of community health services in various focus counties. Scaling up of community health services is based on the Community Health Strategy (CHS) which was launched in 2006 as a mechanism through which households and communities take an active role in health and health related issues.
  2. Activities and Tasks:

The review shall involve collection of quantitative and qualitative data to document in details the current state of Community Health Services in all counties of Kenya, and shall adopt methodological approaches that ensure that the views of the beneficiaries and stakeholders at the different levels are adequately captured The documentation will also review and show five year trends of indicators most likely to be affected by the presence (or lack thereof) of robust community health services.

To ensure a comprehensive review, the documentation will be grouped into various health systems domains as below.

  • Leadership, governance, coordination
  • Health Care Financing
  • Human Resources of Health
  • Service Delivery
  • Commodities and supplies
  • Health Information Systems/Research

iii. Work relationships

The consultant is expected to forge very close relationships with the Ministry of Health and specifically the Community Health Services and unit and the Community Health Strategy County and Sub-county focal points. He will work closely with key implementing partners active in community health such as AMREF, Redcross, Concern, Save the Children and others. The consultation will report to the Chief of Health but will work closely with the Health Specialist – Community. He will also have regular consultations with other health specialists specifically the Health Specialist – MNH and Child Health. He will also work in a similar capacity with UNICEF health officers and focal persons in the field.

  1. Outputs/Deliverables:
  • Inception report
  • Desk and literature review report
  • National CHDU consultation report
  • County consultation including information on case studies; What is working? What is not working?
  • Schedule of field visits
  • Presentation to CHS Taskforce
  • Report on status and effectiveness of CHS in Kenya
  • Report on ICC and dissemination
  • Consultancy final report

A table may be used to summarize the tasks, deliverables, specific timeline and milestones (Sample below). Please state when and whether or not timeframes are negotiable – and if so under what circumstances.

Deliverables

Duration (Estimated # of days)

Timeline/Deadline

Schedule of Payment

Inception report

2 days

03 May 17

12 May 17

Desk and literature review report

3 days

08 May 17

National CHDU and partners consulatation report including information on case studies, best practises. Information fom partners on CHS; their investments? Support from govt? What is working? What is not working?

5 days

15 May 17

19 May 17

County consultations and schedule of field visits

20 days

13 Jun 17

23 Jun 17

Conduct field visits

20 days

11 Jul 17

21 Jul 17

Draft Report on status and effectiveness of CHS in Kenya

5 day

18 Jul 17

Presentation to CHS Taskforce

1 days

19 Jul 17

Finalise

2 days

21 Jul 17

Report to the CHS ICC and dissemination

1 day

24 Jul 17

Consultancy final report

1 day

25 Jul 17

28 Jul 17

Total Working Days

60 days

Qualifications of Consultant

The consultant should have a Master’s Degree in Public Health or a related field, with at least five years of experience working for a development organization in the area of community health systems development and M&E. The consultant should have demonstrated ability to understand and process public health data and perform basic calculations and quantitative analyses. The consultant must have experience and organizational knowledge on Kenya’s Community Health Strategy and its current implementation and expereince in conducting qualitative studies (past work will be shared). The consultant should also have expereince in accessing data from Kenya’s DHIS, excellent (English) writing skills and knowledge of Microsoft Office (Word, PowerPoint, Excel).

In addition, the consultant should have the following personal attributes:

  • Excellent interpersonal skills, diplomacy, and conflict resolution skills (essential for working with partners and donors and diverse UNICEF staff)
  • A proactive attitude: notes problems and seeks to address them in a positive manner
  • Independence: provided with a clear Terms of Reference and regular supervisor feedback, the consultant should be able to work independently, whether in the office or in the field, and know when to ask for support and inputs.
  • Drive for results: the consultant should have a clear commitment to achieving results, and to maintaining the highest quality standards

Conditions

*The TOR must state that “As per UNICEF DFAM policy, payment is made against approved deliverables. No advance payment is allowed unless in exceptional circumstances against bank guarantee, subject to a maximum of 30 per cent of the total contract value in cases where advance purchases, for example for supplies or travel, may be necessary”.

*The TOR must mention that “the candidate selected will be governed by and subject to UNICEF’s General Terms and Conditions for individual contracts.”

Risks

All reasonable and likely risks should be identified and a relevant risk response and possible mitigating action defined.

Interested consultants to indicate ability, availability and all inclusive rate (daily? Monthly fee?) for expected deliverables to undertake the terms of reference.

Applications submitted without a fee/ rate will not be considered.

Please indicate your ability, availability and daily/monthly rate (in US$) to undertake the terms of reference above (including travel and daily subsistence allowance, if applicable). Applications submitted without a daily/monthly rate will not be considered.

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organisation.

More Information

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0 USD Nairobi CF 3201 Abc road Consultancy , 40 hours per week United Nations Children’s Fund (UNICEF)

Background and Justification

The previous review of Community Health in Kenya was conducted in 2010. Since 2010, a lot of changes have happened in the country. At the policy level, there has been development of a number of guidelines and policy documents that include the training guidelines for CHVS and CHEWs, The Scheme of Service for Community Health Personnel, Development of Community Health Services Standards among others. It is therefore prudent to look at whether the presence of a better policy and guidelines framework has resulted to better implementation of services at the community level. Another major event since the last review is devolution where health was devolved to the county governments. There is need therefore to examine how the county governments have been embraced community health services, supported it and implemented the services in the different contexts. There is a need to examine how we have progressed since then. Now is also an opportune time to review progress of the 2014-19 Strategy for Community Health, which is half-way through. It would be beneficial to review progress and understand both what is going well and also where we are slipping behind. The completed review report will be a valuable tool for focusing attention on Community Health and its needs in Kenya.

The review also creates a baseline for the Community Health policy that is expected to be launched and in use my mid-year 2017 and the CHEW Curriculum pre-tested in Kenya Medical Training College (KMTC) in February 2017. The results of the review shall also inform the process of the development of the community component in the next Kenya Health Sector Strategic and Investment Plan, a process expected to begin before the end of the year. In addition, the County Integrated Development Plans (CIDP) and the Health sector Strategic plans are coming to an end. The review report shall provide a useful resource to the health sector in the development of the new CIDPs and Sector Strategic Plans at the County level.

Scope of Work

Goal and Objective: The overall goal of conducting the community health services review is to demonstrate the relevance, efficiency, effectiveness and responsiveness of the Tier 1 level of the health care system in Kenya

There are two specific objectives for the review:

  • To examine and document the current state of Community Health Services in Kenya post-devolution
  • Assess implementation progress of the 2014-19 Community Health Strategy, identifying any course corrections required.
  • To document various contextualization models implemented by counties due to devolution.
  • To document case studies and best practices and lessons learnt adopted by counties for the implementation of community health.

Similar to the 2010 review, the results of this review will inform policy and planning decisions by the national government, county governments, and partners.

  1. Provide details/reference to RWP areas/UNDAF output covered: Output two of the health outcome supports the scaling up of community health services and improving the quality of community health services in various focus counties. Scaling up of community health services is based on the Community Health Strategy (CHS) which was launched in 2006 as a mechanism through which households and communities take an active role in health and health related issues.
  2. Activities and Tasks:

The review shall involve collection of quantitative and qualitative data to document in details the current state of Community Health Services in all counties of Kenya, and shall adopt methodological approaches that ensure that the views of the beneficiaries and stakeholders at the different levels are adequately captured The documentation will also review and show five year trends of indicators most likely to be affected by the presence (or lack thereof) of robust community health services.

To ensure a comprehensive review, the documentation will be grouped into various health systems domains as below.

  • Leadership, governance, coordination
  • Health Care Financing
  • Human Resources of Health
  • Service Delivery
  • Commodities and supplies
  • Health Information Systems/Research

iii. Work relationships

The consultant is expected to forge very close relationships with the Ministry of Health and specifically the Community Health Services and unit and the Community Health Strategy County and Sub-county focal points. He will work closely with key implementing partners active in community health such as AMREF, Redcross, Concern, Save the Children and others. The consultation will report to the Chief of Health but will work closely with the Health Specialist - Community. He will also have regular consultations with other health specialists specifically the Health Specialist – MNH and Child Health. He will also work in a similar capacity with UNICEF health officers and focal persons in the field.

  1. Outputs/Deliverables:
  • Inception report
  • Desk and literature review report
  • National CHDU consultation report
  • County consultation including information on case studies; What is working? What is not working?
  • Schedule of field visits
  • Presentation to CHS Taskforce
  • Report on status and effectiveness of CHS in Kenya
  • Report on ICC and dissemination
  • Consultancy final report

A table may be used to summarize the tasks, deliverables, specific timeline and milestones (Sample below). Please state when and whether or not timeframes are negotiable - and if so under what circumstances.

Deliverables

Duration (Estimated # of days)

Timeline/Deadline

Schedule of Payment

Inception report

2 days

03 May 17

12 May 17

Desk and literature review report

3 days

08 May 17

National CHDU and partners consulatation report including information on case studies, best practises. Information fom partners on CHS; their investments? Support from govt? What is working? What is not working?

5 days

15 May 17

19 May 17

County consultations and schedule of field visits

20 days

13 Jun 17

23 Jun 17

Conduct field visits

20 days

11 Jul 17

21 Jul 17

Draft Report on status and effectiveness of CHS in Kenya

5 day

18 Jul 17

Presentation to CHS Taskforce

1 days

19 Jul 17

Finalise

2 days

21 Jul 17

Report to the CHS ICC and dissemination

1 day

24 Jul 17

Consultancy final report

1 day

25 Jul 17

28 Jul 17

Total Working Days

60 days

Qualifications of Consultant

The consultant should have a Master's Degree in Public Health or a related field, with at least five years of experience working for a development organization in the area of community health systems development and M&E. The consultant should have demonstrated ability to understand and process public health data and perform basic calculations and quantitative analyses. The consultant must have experience and organizational knowledge on Kenya's Community Health Strategy and its current implementation and expereince in conducting qualitative studies (past work will be shared). The consultant should also have expereince in accessing data from Kenya's DHIS, excellent (English) writing skills and knowledge of Microsoft Office (Word, PowerPoint, Excel).

In addition, the consultant should have the following personal attributes:

  • Excellent interpersonal skills, diplomacy, and conflict resolution skills (essential for working with partners and donors and diverse UNICEF staff)
  • A proactive attitude: notes problems and seeks to address them in a positive manner
  • Independence: provided with a clear Terms of Reference and regular supervisor feedback, the consultant should be able to work independently, whether in the office or in the field, and know when to ask for support and inputs.
  • Drive for results: the consultant should have a clear commitment to achieving results, and to maintaining the highest quality standards

Conditions

*The TOR must state that "As per UNICEF DFAM policy, payment is made against approved deliverables. No advance payment is allowed unless in exceptional circumstances against bank guarantee, subject to a maximum of 30 per cent of the total contract value in cases where advance purchases, for example for supplies or travel, may be necessary".

*The TOR must mention that "the candidate selected will be governed by and subject to UNICEF's General Terms and Conditions for individual contracts."

Risks

All reasonable and likely risks should be identified and a relevant risk response and possible mitigating action defined.

Interested consultants to indicate ability, availability and all inclusive rate (daily? Monthly fee?) for expected deliverables to undertake the terms of reference.

Applications submitted without a fee/ rate will not be considered.

Please indicate your ability, availability and daily/monthly rate (in US$) to undertake the terms of reference above (including travel and daily subsistence allowance, if applicable). Applications submitted without a daily/monthly rate will not be considered.

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organisation.

2017-05-02

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