Somalia: Consultancy for health staff on management of acute malnutrition and Micronutrient supplementation, ZINC and ORS in Mogadishu

Terms of Reference for a short Consultancy for health staff on management of acute malnutrition and Micronutrient supplementation, ZINC and ORS in Mogadishu- Somalia.

1. Background/IRC Summary

The International Rescue Committee responds to the world’s worst humanitarian crises and helps people to survive and rebuild their lives. Founded in 1933 at the request of Albert Einstein, the IRC offers help to people whose lives and livelihoods are shattered by conflict and disaster to survive, recover, and gain control of their future. IRC is currently working in Mogadishu supporting health facilities implementing nutrition programs. Malnutrition rates have soared in Somalia because of poor health conditions, suboptimal maternal and child feeding and care practices, and food insecurity. This has been compounded by high rates of poverty and illiteracy, long years of civil conflict and recurrent environmental shocks (e.g., floods, droughts and famine).

These Terms of Reference relate to management of acute malnutrition including micro-nutrient training on multiple micronutrient (MMN) supplementation, zinc and ORS. The training targets qualified health staff and community health workers (CHWs) who are involved in nutrition activities. Community outreach is an essential part of the integrated approach since the success of the service relies on early detection and referral of cases with micro nutrient deficiencies like iron and folic acid and zinc, through community participation, with an aim to reach children pregnant and lactating women early in the development of the micro-nutrient deficiency, hence the reason for including CHWs in this training. The training will contribute in strengthening the nutrition program by providing technical guidelines on management of acute malnutrition and multiple micronutrient supplementation.

2. Main Goal

The main objective of this training is to assess the capacity of health care workers (HCWs) and CHWs in the management of acute malnutrition and micronutrients and strengthen the capacity of staff to identify and manage acute malnutrition and multiple micro-nutrient deficiency.

3. Scope of work

The training on management of acute malnutrition and on multiple micro-nutrient supplementation will focus on qualified heath staff and community health workers. The training will be done in two parts

Part 1: Training participants will include 15 HCW (doctors, nurses, midwives nutrition, and EPI staff) working in IRC supported health facilities. The training should take place over a period of three (3) days and be in line with WHO guidelines and related protocols with special focus on acute malnutrition and management of micronutrients deficiency and control which will include vitamin A deficiency, iron deficiency anemia, iodine deficiency disorders, oral rehydration salts and Zinc in management of diarrhea. The training should incorporate adequate practical demonstration of the theoretical knowledge learned and include the appropriate training aid materials.

Part 2: The training for community health workers will include 35 CHWs and 5 traditional birth attendants and will take three (3) days. For the community based health workers the main aim will be to: empower the community by increasing knowledge on multiple micronutrient deficiency; to increase access and service uptake (coverage) of IMAM services; strengthen early case-finding, referral of new SAM cases, and follow-up of problem cases; and provide nutrition education and counselling.

4. Objectives

a. To quip health care workers with skills and knowledge necessary to deliver high-quality management of acute malnutrition and micro-nutrient supplementation for children under five and pregnant and lactating women (PLW) who have shown signs of micro-nutrient deficiency in line with the recommended guidelines.

b. To train health staff and community based health workers (CHWs & TBAs) on identification of micronutrient deficiency in children under five years and pregnant and lactating mothers.

c. To accurately conduct assessments and classifications of acute malnutrition and micro-nutrient deficiency

d. To improve staff capacity on nutrition programming, supervision, on the job training and reporting,

5. Key Deliverables Expected:

Specific activity plan and inception report provided upon signing of the contract.

A comprehensive report that covers a brief description of the training methodologies including a summary of any challenges encountered/lessons learned; and a thorough description of the training outcomes that mentions the methods/tools used to evaluate participants’ knowledge and skills gained. The report should be submitted to IRC within two days from the completion of the training.

  • An inception report
  • Day to day detailed feedback on the outcome of the training
  • A detailed document on how the follow up of the participants will be conducted following the training
  • A supervision checklist for continuous supervision and monitoring of the knowledge gained

6. Education Required Skills and Experience

  • Qualification as a Nutritionist or Public health expert with extensive experience and knowledge on Nutrition
  • Knowledge of main nutrition guidelines (with emphasis on IMAM and BNSP) is essential.
  • Good understanding of nutrition programming in general and emergency nutrition response in particular.
  • Good analytical and communication skills.
  • At least 3 years’ experience in field work and training.

7. Minimum criteria for submission of the proposal for the bid

The training consultant /institution should submit a technical and a financial proposal and is expected to demonstrate that it has a track record of not less than three (3) years of experience executing similar assignments. Qualifications are as specified in section (6) and proven experience in conducting such assignments should be demonstrated.

Consultants should include the following considerations in their technical and financial proposals

a. No costs associated with preparing the application including proposal submission will be met by the IRC

b. Contractual issues :

  • The IRC will provide the following at no cost to the consultant, in addition, the consultants are urged to consider the following during the application process:
  • Travel costs – that is Nairobi-Mogadishu-Nairobi and within Somalia.
  • Accommodation will be provided at the field level but the consultant will take care of his/her meals
  • The consultant/team must comply with the IRC rules and procedures related to security and relations with the media.
  • Security would be provided and organized by the IRC team

c. Others

The consultant will work closely with the Senior Health and Nutrition Coordinator, Senior Health Manager in Mogadishu and liaise with the MoH and IRC partners in Mogadishu.

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