INTERNATIONAL CONSULTANT – CONTEXT SPECIFIC DHMT TRAINING PACKAGE 39 views0 applications

TERMS OF REFRENCE FOR INTERNATIONAL CONSULANT TO SUPPORT THE TAILORING AND DELIVERY OF A CONTEXT SPECIFIC DHMT TRAINING PACKAGE IN SOMALILAND AND SOMALIA

1. Introduction and background

DFID implements a large range of programmes in Somalia and Somaliland in the areas of governance, economic and private sector development, humanitarian and conflict response, health, nutrition and overall social development. The Somalia Health & Nutrition Programme – SHINE Supply Component aims at providing access to basic health and nutrition services as defined by the Essential Package of Health Services (EPHS) to 2 million inhabitants of Somalia and Somaliland and strengthen the capacity of Somalia and Somaliland’s Health Authorities to oversee, coordinate, plan and manage the implementation of essential health service provision as defined in the Essential Package of Health Service framework. SHINE is a 5-year programme to reduce mother and child deaths in Somalia by improving the supply and demand for improved health and nutrition services. The programme aims to strengthen Somali Health Authorities (SHAs) oversight of basic service delivery and contribute to the wider state building agenda.

The SHINE programme comprises four components:

· The CHANGE component – essentially the successor of the HCS programme. CHANGE is implemented in three regions, previously covered by HCS, i.e. Sahil Region in Somaliland, Karkaar Region in Puntland and Gedo Region in Central South Somalia. The implementation of the CHANGE programme started in 2017.

· The SHINE Commodity Security component that should ensure the provision of adequate essential medicines and supplies for EPHS delivery in selected SHINE Supply regions. The provision of key EPHS commodities started in 2017.

· The SHINE Supply component, which comprises the Fund Management for provision of EPHS services (90%) and support to Health System Strengthening (HSS) (10%). Mott MacDonald was awarded the contract as Fund Manager of the SHINE Supply component, which is being implemented from 1^st July 2018 – 30^th June 2021.

· The Demand Creation component, that aims at strengthening uptake of available health services through the development, piloting, testing and scaling up (through partners) of appropriate behaviour change interventions across Somalia. This programme is implemented by PSI.

This assignment is to contribute to the Health System Strengthening of the SHINE supply component.

1. SHINE Supply – Health System strengthening priorities:

National health sector reform has been defined as a sustained process of fundamental change in national policy and institutional arrangements led by government and designed to improve the functioning and performance of the health sector and ultimately the health status of the population (WHO/SHS/96.1). The countries of Africa differ considerably in their historical, economic and political contexts, though they also share a number of important problems and specific policy instruments in approaching health sector reform. Therefore, there is no single formula, recipe or agenda for national health sector reform. However, it is clear that economic and political circumstances as well as good leadership are most important for a reform movement and the implementation of change.

The district is the level where health policies and health sector reforms are interpreted and implemented. In the whole policy and reform process, success or failure depends on the ability of district health management teams (DHMTs) to interpret and implement what is required. Inadequate management skills among health teams at the implementation level is one of the main constraints to health service delivery.

To address this priority, one of the health system strengthening priorities of SHINE supply, is the strengthening of District Health Management Teams through the roll out of a tailored package of training for District Health Management Teams – for instance the package developed and published by WHO Afro in 2004^[1]. In consultation with DFID, the FMoH and the MoHs of Galmudug and Somaliland, SHINE Supply proposes to include the tailoring of the DHMT training modules and the facilitator guide^[2], the training of facilitators and the organisation of the actual training for newly established DHMTs in the four regions where SHINE Supply has contracted Implementing Partners (IPs) to support the local health authorities in managing the implementation of the EPHS.

1. THET

THET is a specialist global health organization that educates, trains and supports health workers through partnerships, strengthening health systems and enabling people in low and middle income countries to access essential healthcare. THET has worked in Somaliland in conjunction with Kings Health Partners since 2000 and has built strong, successful, mutually beneficial relationships with partners in the health sector. In recent years THET has also been contributing to the strengthening of the Health workforce and health system in Somalia.

4. Main Goal of this assignment.

The purpose of this assignment is to strengthen the capacity of District Health Management Teams in order to be able to oversee the implementation and monitoring of the Essential Package of Health Services, as guided by the health sector strategic plan and district implementation plans.

1. Objectives

The objectives of this consultancy is to provide expert technical assistance to the development and delivery of training to DHMTs, using internationally recognized training resources, adapted to the Somali/Somaliland context and to the Terms of Reference for the DHMTs.

1. Deliverables

Key Deliverables Expected:

Ø Clear agreed ToRs for RHMTs and DHMTs to ensure clear separation of responsibilities of the regional and district health management teams.

Ø Recommendation of which training package should be used for the training of DHMTs and how it should be adapted to meet the Somali/Somaliland context and the requirements of the agreed ToRs for the DHMT.

Ø On the basis of the findings, tailor recommended DHMT training modules to the Somali context

Ø Prepare and conduct facilitator training sessions to equip facilitators to deliver DHMT training to DHMTs in their regions.

Ø Draft and compile a final report of the training of facilitators and recommend a training plan for the 16 DHMT Training.

Ø Remote mentorship of facilitators in the delivery of the training modules

7. Required Education Skills and Experience

· At least 10 years’ experience in the development and delivery of training materials targeting DHMTs or similar entities at decentralised levels.

· A minimum of 5 years in-depth knowledge and experience of the Somalia health sector or similar country setting.

· Proven knowledge of broader health system strengthening approaches.

· Excellent writing and communication skills.

• Broad knowledge and understanding of health sector reform and District health systems in Africa.
• Sound understanding and application of training and mentorship concepts, methodologies and tools.
• Fluent in spoken and written English.
• Good leadership, communication and facilitation skills.
• Requirements and working relationships
• The consultant will need to be able to travel to Somaliland and Somalia, and spend periods in Nairobi. Some of the work can be delivered remotely from the consultant’s home location.
• The project will benefit from the input of a National team, including Technical Assistance in Hargeisa and Mogadishu and a support team who will organise the logistics and undertake preparatory and follow-up work in between the inputs of the Senior International Technical Assistant.
• The consultant will work closely with THET Senior Health Coordinator and THET Country Director and Focal people from the MoHs

9. Consultancy Timeline

The work is to begin in June and will be completed by February 2020. Total level of effort anticipated to be 70 days.

Description of Activities

Timeframe

1. Review Management, Planning and decision making roles and responsibilities assigned to regional and to District Health Management Teams

Last week of June

1. Revise/develop the TOR of RHMR and DHMT to ensure clear separation of roles and responsibilities

July

1. Draft /DHRM, Tailored the generic WHO DHA training package in to Somali context shared and validated.

First week August

1. Develop Capacity Development Program using appropriate capacity development methods

August

1. Conduct training session for MOHs facilitators (FMOH, Somaliland and Galmudug)

First and second week of October