Save the Children New Job Opening [2 Positions]

Save the Children is the world’s leading independent organisation for children. We work in 120 countries. We save children’s lives; we fight for their rights; we help them fulfill their potential. We work together, with our partners, to inspire breakthroughs in the way the world treats children and to achieve immediate and lasting change in their lives.

We are recruiting to fill the vacant position below:

Job Title: Consultant – Training of Service Providers for Integrated Management of Newborn and Childhood Illnesses (IMCI)
Location: Kaduna

Background

• Every year, about six million children die globally before they reach their fifth birthday, many during the first year of life (UNICEF, 2016). Half of these deaths are due to acute respiratory infections, diarrhoea, measles, malaria, malnutrition; or often to a combination of these conditions which are largely preventable and treatable conditions
• The IMCI guidelines which was developed by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) promotes prompt identification of childhood illnesses in the outpatient settings and provides appropriate treatment and referrals when necessary
• The guideline also helps to improve the quality of care of sick children at the referral level by providing an effective link between the care provided at the community and the management approach in the facility and promotes the rational use of resources.
• The risk of a child dying before completing five years of age is highest in the WHO African Region (81 per 1000 live births), about 7 times higher than in the WHO European Region (11 per 1000 live births) according to statistics from WHO (2005). Various factors bordering on socioeconomic determinants of health have been proposed as possible underlying factors for these outcomes. Reducing these inequities across countries and saving more children’s lives by ending preventable child deaths are therefore important priorities
• As part of efforts to address these challenges, Save the Children with funding from GSK is currently building the capacity of frontline health workers in the delivery of MNCH interventions
• The project aligns with the National Strategic Health development plan (2010–2016), the Integrated Management of Maternal, New-born and Child Health Strategy (IMNCH) 2013, and IMCI and ICCM guidelines and implementation strategies

Purpose of Activity

• The purpose of this activity is to build the capacity of frontline health workers across Secondary health facilities in Kaduna state on IMCI.

Objective

• To build/strengthen the capacity of health workers to manage common childhood illnesses at secondary heath care facilities in Kaduna state.

Specific Tasks
The specific tasks for the consultants to include:

• Review of the current FMoH IMCI course guide and materials for training health providers in order to ensure the incorporation of new-born care component (first week of life);
• Review current facilitator guide for IMCI and adapt accordingly;
• A representative of the FMOH should participate/be involved in the review of IMCI training materials. Note: Process for formalisation and approval of revised training materials by FMOH will be done at later date;
• Advise Save the Children on the selection criteria of participants to be trained;
• Plan and conduct a 6-day IMCI course for the participants from Kaduna;
• Identify with help of MNCH Advisor and /State Focal person for MNCH appropriate practicum sites for IMCI training;
• Prepare a follow up plan of the service providers for IMCI that would have been trained;
• Conduct a follow up for the trained providers to ensure proper use of training skills they learnt while on the job;
• Debrief with programme staff in Kaduna;
• Prepare and submit a draft summary report of the activity not later than one week after the completion of the activity.

Methodology

• An IMCI objective-structured clinical assessment checklist will be used in the conduct of a Training Needs Assessment. All the secondary health facilities would be visited and the assessment checklist administered to assess the skills gap observed. The gaps observed would be used in the design of the training intervention;
• The training will involve the use of low technology and highly effective teaching methods: simulation, role play, drills, skills practice and practical demonstration amongst others. The training would be a combination of both classroom and practical sessions with participants scheduled to visit selected hospitals for the practical sessions. The training will also be conducted using mannequins for practice;
• Pre-test and Post-test evaluation would be used in assessing knowledge gained by trainees;
• Facilitators would conduct a post-training follow-up and supportive supervision to facilities where selected health workers have been trained within 6-8 weeks of the training.
• The training will be led by a Lead Consultant along with 5 other resource persons (including the MNCH Advisor);
• The participants will be trained for 6 days on IMCI with mixed classroom sessions and practical sessions;
• The IMCI chart booklet and exercise booklets would be used as manuals and materials for the training;

Expected Output
By the end of the assignment the following outputs will be expected:

• Trained health workers with knowledge and skills to assess and classify the sick child;
• Trained health workers with enhanced skills in identifying common childhood illness at the facility level;
• Trained Health workers with skills in managing common childhood illnesses using the IMCI guidelines;
• Trained Health workers with adequate knowledge and skills in counselling the mother;
• A comprehensive report of the Training reports developed by the consultants and shared with SCI office.

Type of Consultants Required

• The desired Consultant should be an experienced Paediatrician (a fellow of West African Medical College/NPMCN) with a minimum of 5 years’ post-fellowship experience;
• Experienced facilitators of IMCI training;
• Familiarity with SCI reporting systems in conducting consultancy will be an added advantage.
• He/she should have undertaken a TOT course on IMCI;
• He/she should be able to mobilize 4 other facilitators (Doctors/Midwives) with a minimum of 5 years’ experience as well as experience in the delivery of IMCI training;

 

Job Title: Consultant – Training on Essential New-born Care (ENCC) and Improving Health Workers Capacity
Location: Kaduna

The Organization
We employ approximately 25,000 people across the globe and work on the ground in over 100 countries to help children affected by crises, or those that need better healthcare, education and child protection. We also campaign and advocate at the highest levels to realise the right of children and to ensure their voices are heard.

We are working towards three breakthroughs in how the world treats children by 2030:

• No child dies from preventable causes before their 5th birthday
• All children learn from a quality basic education and that,
• Violence against children is no longer tolerated

We know that great people make a great organization, and that our employees play a crucial role in helping us achieve our ambitions for children. We value our people and offer a meaningful and rewarding career, along with a collaborative and inclusive workplace where ambition, creativity, and integrity are highly valued.

Background
Nigeria, Africa’s most populous country with a population of over 180 million people, is ranked the second largest contributor to the under–five mortality rate in the world and the largest contributor in Africa. Nigeria’s newborn death rate (neonatal mortality) is put at 528 newborn deaths per day (one of the highest in the world). More than a quarter of the estimated 1 million children who die under the age of 5 years annually in Nigeria die during the first 28 days of life (neonatal period).

The majority of these deaths are caused by conditions that are preventable or treatable. In fact, 9 of every 10 new-born deaths are preventable. While some progress has been made to reduce these deaths over the past decade, the rate of change is not fast enough for Nigeria to meet the Sustainable Development Goals.

Key interventions and packages that could prevent 70% of new-born deaths in Nigeria exist, but coverage is low. The policies are in place; however action is needed at state and local levels to increase coverage and quality of life-saving interventions while closing the equity gap for the poorest families.

Save the Children, through the Health workers’ capacity building project, is committed to improving quality Maternal, New-born and child health services through capacity building of frontline health workers and advocating to influence policy changes related to MNCH indices.

Essential New-born Care
Essential Newborn Care (ENC) is care that every newborn baby needs regardless of where it is born or its size. ENC should be applied immediately after the baby is born and continued for at least the first 7 days after birth. Many ENC interventions are simple and can be provided by a Skilled Birth Attendant (SBA) or a trained Community Health Worker (CHW).

Essential newborn care includes:

• Early initiation and exclusive breastfeeding;
• Thermal care (including prompt drying and covering at birth, maximizing skin-to-skin contact, delayed bathing, maintaining “warm chain”);
• Hygiene practices (including cord-care and hand washing).

There is good evidence that adherence to recommended essential newborn care practices substantially reduces mortality risk, especially for very small newborns.

Nigeria in 2008 adopted the WHO Essential Newborn Care Course package. In adapting the generic course to the country, it has undergone several adaptations and updates. The training package is aimed towards the acceleration of progress towards achieving significant reduction in infant and Under-five mortality.

Purpose of the Training

• The goal of this training is to improve the skills of 50 select frontline health workers (Doctors/Nurses/Midwives) from secondary health facilities in Kaduna state on Essential New-born Care package using standard national training guidelines.

Objectives

• Build the capacity of 50 Health workers on the concept of Helping Babies Breathe (HBB);
• Improve the skills of the trainees on routine cares of all babies (ECEB);
• Improve knowledge and skills of health workers on essential care for small babies (ECSB);
• Improve knowledge of health workers on referrals of babies identified to be in severe situation that requires referral.

Approach & Methodology

• An ENCC objective-structured clinical assessment checklist will be used in the conduct of a Training Needs Assessment. All the secondary health facilities would be visited and the assessment checklist administered to assess the skills gap observed. The gaps observed would be used in the design of the training intervention. The TNA would be conducted in 3 zones in Kaduna over a period of 5 days;
• The training will be led by a Lead Consultant along with 4 other resource persons (including the MNCH Advisor);
• Training slides and manuals would be drawn from FMOH approved guidelines for ENCC;
• The training will involve the use of low technology and highly effective teaching methods: simulation, role play, drills, skills practice and practical demonstration amongst others;
• The training will also be conducted using mannequins for practice;
• The training would be a combination of both classroom and practical sessions with participants scheduled to visit selected hospitals for the practical sessions;
• Pre-test and Post-test evaluation would be used in assessing knowledge gained by trainees;
• The consultant/facilitators would conduct a post-training follow-up and supportive supervision to facilities where selected health workers have been trained within 6-8 weeks of the training.

Specific Tasks

• Review of the current FMoH ENCC course guide and materials for training health providers in order to ensure the incorporation of new-born care component (first week of life);
• Review current facilitator guide for ENCC and adapt accordingly
• Advise Save the Children on the selection criteria of participants to be trained;
• Plan and conduct a 4-day ENCC course for the participants from Kaduna. This will include conduct of pre and post-tests;
• Identify with help of MNCH Advisor and /State Focal person for ENCC appropriate practicum sites for the ENCC training;
• Prepare a follow up plan of the service providers for ENCC that would have been trained;
• Conduct post training follow up visits to trained health workers at their respective places of work;
• Debrief meeting with project team in Kaduna;
• Prepare and submit a report of the training not later than 14 days after the completion of the activity.

Expected Outputs:

• Analyses of pre and post-tests results of trained Health workers;
• A comprehensive report of the training (both the class room training and the post training follow-up visits).

Consultant Specification

• The required consultant should be an experienced paediatrician (a fellow of West African Medical College/NPMCN) or with a minimum of 5 years’ post-fellowship experience;
• He or she should have undertaken a TOT in ENCC;
• He or she should be able to mobilize 3 other facilitators (Doctors/Midwives) who have a minimum of 5 years’ experience and have also undertaken a TOT in ENCC training);
• He/she should have expertise in Essential New-born care training and programming;
• Experienced facilitators of training.

Application Deadline  15th March, 2018.

Note: We need to keep children safe so our selection process, which includes rigorous background checks, reflects our commitment to the protection of children from abuse.