World Health Organization (WHO)
WHO South Sudan
Institutionalization of Maternal and Perinatal Death Surveillance and Response (MPDSR) Implementation and Development of Emergency Obstetrics and Newborn Care (EmONC) Guidelines (NOC)
( 2206422 )
Contractual Arrangement : Special Services Agreement (SSA)
Contract Duration (Years, Months, Days) : Three months
Job Posting: Jul 13, 2022, 7:38:48 AM
Area of expertise:
Maternal and Child Health
Purpose of consultancy
To provide technical assistance and support the Ministry of Health and Partners to institutionalize Maternal and Perinatal Death Surveillance and Response (MPDSR) Implementation and support development of Emergency Obstetrics and Newborn Care (EmONC) Guidelines.
Every year more than 585,000 women die worldwide from pregnancy and childbirth related complications. More than 99% of these deaths occur in developing countries. South Sudan’s current maternal mortality rate is 1150/100,000 (UN Estimates, 2017) which is among the highest in world. Evidence shows that every pregnancy faces risks and it is not always possible to tell which pregnant women will face complications. Each mother’s death or deterioration of health while giving life, diminishes the society at large, yet, nearly all of these deaths are preventable and should be averted .
A vital component of any elimination strategy is a surveillance system that not only tracks the numbers of deaths but provides information about the underlying factors contributing to the deaths and which effective and real time response mechanism can be put in place to prevent such similar Maternal Deaths. Maternal and Perinatal Death Surveillance and Response(MPDSR) was initiated by the Ministry of Health, Republic of South Sudan in 2012 in an attempted to improve the quality of obstetric and newborn care and reduce maternal and perinatal mortalities and morbidities. The following progress has been achieved: Development of the MPDSR implementation guidelines June 2015-including MPDSR data collection/Review tools ; formation of review committees Juba and Wau teaching hospitals and Bor, Yambio state hospitals ; capacity building of health workers and hospital administrators on MPDSR (Yambio, Juba, Bor and Wau) and a draft ministerial order to support review of any maternal death in health facilities and communities.
Since the initiation MPDSR in country the implementation and expansion has stagnated mainly due to staff turnover and limited funding among other factors.
The Ministry of Health(MOH) in collaboration with partners have therefore, started efforts to revitalize MPDSR, which has included: a national MPDSR steering committee being established as well as a road map developed and a MOH focal person designated for MPDSR.
What is also clearly known is that 90% of these women could be saved with quality obstetric care. Skilled assistance antenatally, during labour, delivery and the post-partum period represents the most important surveillance service period during the lives of women of reproductive health age. When skilled assistance is available complications are more likely to be detected early, its progress avoided and averted and managed properly for healthier outcomes to the mother and child.
While some efforts have been put in place by MoH and partners including WHO through support from Department of Foreign Affairs Trade Development (DFATD) established and supported 6 CEmONC centres in six state capitals in South Sudan from 2011 to 2017. These centres were handed over in 2018 to the government and partners to provide 24-hour CEmONC services.
However, 55% of the hospitals provided caesarean section services compared to only 2% of PHCCs and PHCUs. No PHCCs or PHCUs provided CEmOC services. The mean availability of comprehensive obstetric care tracer items was 50%. Within South Sudan, the following former states/counties had the highest availability of CEmOC services: Ruweng (11%), Jubek (10%), and Northern Leich (9%) while the following states had no availability of CEmOC services: Latjor, Abyei, Terekeka, Lol, Aweil, Twic, and Fashoda. Only 49% of facilities offering caesarean section services had guidelines on CEmOC. (SARA report 2020).
As for BEmONC; availability of delivery services was 39%, the mean availability of obstetric signal functions offered was 25%. Urban facilities had a higher mean availability of newborn and obstetric functions compared to rural facilities. The mean availability of basic obstetric and newborn care tracer items was 47%, (SARA Report 2020).
Currently, there is no harmonized training package for CEmONC and BEmONC for in-service training of medical doctors, midwives and clinical officers manning maternity centres. Only 45% of facilities had at least one trained staff for newborn resuscitation and Only 45% of facilities had at least one trained staff for essential childbirth care. Partners are using different training packages with different training duration and approaches. To address the gap in CEmONC services provision, the Ministry of Health and partners plan to developed a harmonized training package for the country to improve the skills of skilled birth attendants (SBA).
The consultant will provide technical assistance and support the Ministry of Health and partners to institutionalize the implementation of Maternal and Perinatal Death Surveillance and Response(MPDSR) as well as review, update and/or develop a comprehensive and harmonized Emergency Obstertric and Newborn Care (CEmONC and BEmONC) guidelines . The consultant will conduct the following tasks:
- Review and update the South Sudan June 2015, MPDSR implementation guideline in line with the ‘2021, WHO MPDSR: materials to support implementation’ document.
- Conduct a Training of Trainers (TOTs) on the updated/developed MPDSR tools (drawn from the MPDSR implementation guideline) to constitute a team/pool of MPDSR National Master Trainers from obstetricians and gynaecologists, medical doctors, hospital administrators, midwives and facility in-charges drawn from the main referral hospitals to cascade the MPDSR trainings to health facilities level.
- Plan, coordinate, oversee and support the MPDSR training and/or orientation of the peripheral/health facility health workers by the MPDSR National Master Trainers.
- Establish, train/orient and facilitate the functionality of State MPDSR committees in selected States.
- Develop a comprehensive and harmonized Emergency Obstertric and Newborn Care (CEmONC and BEmONC) guidelines and training package for medical doctors, clinical officers and midwives through review and update of the current Country CEmONC/BEmONC training materials .
- Conduct a Training of Trainers (TOTs) on the updated/developed harmonized EmONC guidelines and training package to constitute a team/pool of EmONC National Master Trainers from obstetricians and gynaecologists, medical doctors, and midwives drawn from the main referral hospitals to cascade the MPDSR trainings to health facilities level.
- Plan, coordinate, oversee and support the EmONC training and/or orientation of the peripheral/health facility health workers by the EmONC National Master Trainers
- Inception report
- Reviewed and updated MPDSR implementation guideline
- Comprehensive EmONC training package/materials
- A team/pool of MPDSR and EmONC National Master Trainers
- Capacity building/Training Reports for MPDSR and EmONC
- Functional MPDSR review committees established
- MPDSR review reports
- Final consultancy report
Qualifications, experience, skills and languages
Essential: Advanced university degree (Masters level or above) in a health-related field (medicine, public health) with a specialization in reproductive health, obstetrics or other related field from an accredited/recognized institute.
- Desirable: Post-graduate degree in public health. Degree or Training in any one or more of the following areas: Reproductive Health, Obstetrics & Gynecology, Pediatrics, Adolescent Health, Programme Management and Epidemiology .
Essential: A minimum of five (5) years of progressively responsible professional experience in reproductive health, developing capacity and policies linked to high quality newborn and child health care programmes. Within this experience, demonstrated professional experience working within the country providing technical advice and services to communities, national counterparts, Ministries of Health, and other external partners on newborn and child health programmes.
Desirable: Relevant work experience with WHO and/or UN agencies, health cluster partners; experience managing diverse teams; experience working in relevant nongovernmental or humanitarian organizations.
Knowledge and Skills
- General knowledge of UN system policies, rules, regulations and procedures governing administration.
- Excellent communication, facilitation and interpersonal skills.
- Computer skills, including word processing and publisher, spreadsheet and other standard software packages and systems.
Languages and level required (Basic/Intermediate/Expert):
Essential: Excellent knowledge of English.
Desirable: Working knowledge of another UN Language.
WCO South Sudan
State WHO offices – 50%
There will be 50% field travels to states
DSA will be provided for the field visits as per the UN rate for the location
Remuneration and budget (travel costs are excluded):
The payment shall be on monthly basis at NOC rate at 4758 USD per month.
Expected duration of contract: 3 months.
N.B: Women are strongly encouraged to apply
Additional Information (For HR use only):
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