FHI 360, an international NGO, requests applications from qualified individuals to work as a consultant for a range of activities relating to Quality Improvement (QI) on nutrition services.
Nutrition, one of the priority programs of the government, aims to achieve nutritional well‐being of all people to maintain a healthy life to contribute in the socio‐economic development of the country, through improved nutrition program implementation in collaboration with relevant sectors. There are several projects that aims to improve the nutrition status of women and children in the country under the Multi sector Nutrition Plan framework. The USAID Suaahara II “Good Nutrition” program is a five-year integrated nutrition program, designed in consultation with the Government of Nepal (GoN) and other stakeholders to contribute towards achieving the goals set by Nepal’s Multi-Sector Nutrition Plan (MSNP). The program aims to improve the nutritional status of women and children in 40 underserved districts of Nepal. This will be achieved through partnerships with the GoN, private sector entities, and other USAID-funded initiatives. Family Health International is one of the consortium partners providing technical assistance to NACS, IMAM and FP services.
Ministry of Health and Population (MoHP) has implemented several interventions under the national nutrition program scale or piloting in few districts. However, the nutrition program in Nepal is encountering common implementation challenges like low coverage, poor compliance rates, lacks adequate knowledge and skills among health workers, breaks in the supply chain, poor recording &reporting, sub-optimal counselling, poor coaching and mentoring, and turn-over of trained healthcare providers. Additionally, structural barriers like cultural norms, family structure, poverty perpetuates malnutrition. Poor maternal nutrition and infant and young child feeding (MIYCN) practices, including insufficient dietary diversity and quantity and low consumption of animal source foods are key determinants of under-nutrition and vary by geographic zones. Gender disparity is another contributing factor in under-nutrition among women and children, including intra-familial food distribution favoring men, women’s heavy workload, and early pregnancies. Similarly, insufficient access to water, sanitation, and hygiene (WASH) facilities and related poor practices contribute to illness, which also contributed to under-nutrition, particularly among young children. Importantly, nutrition is not included in the essential health care package of the country. The QI module that the government has developed for reproductive health, maternal and child health services but has not included integrated nutrition module for quality assurance.
Quality has been a much-overlooked agenda in the nutrition landscape in the country. The Quality improvement demonstration effort is planned based on the initial consultation with the Family Welfare Division (FWD)/Nutrition Section which aims to identify the practical and scalable solutions to the key bottlenecks to improve the quality and coverage of nutrition programs. Aligning with the existing government architecture, the technical assistance will support to develop the quality improvement (QI) guideline and tools (standards & indicators) and test QI module in some selected health facilities in consultation with the FWD/Nutrition Section and document the learnings for possible scale up in other areas. The QI efforts will continue till be launched in the first week of February through July 2020 and will require documentation for future scaling up depending on the lesson learned and challenges.
The local consultant will be hired to accomplish the following tasks under the overall guidance of the Nutrition Advisor:
• Data entry and analysis of the SLEAC survey
• Translation of the QI charter, monitoring forms and other documents related to QI as necessary
• Support in launching the QI demonstration effort in 4 municipalities
• Support the QI teams in Rupendehi for implementing the change ideas and maintaining robust monitoring database
• Field visit to support coaching visit (along with QI coaches) and support in QMC team meeting
• Support the QI teams in developing ppt or storyboard for the learning session
• Support in monitoring the Family Planning compliance and other FP related documentation.
• Master’s degree in Public health with working experience in areas of quality improvement
• Experienced working in IMAM program
• A minimum of 4 years of working experience in the related field
• Past working experience with the Reproductive Health will be an asset
• Closely worked with government actors at the province and local level
• Hands on skills on Nepali typing
Interested consultants are requested to send a cover letter, updated CV with proposed consultancy daily rates and list of two references by January 31, 2020 to GPO Box: 8803, Kathmandu, Nepal or Nepal.email@example.com