ABH PARTNERS PLC

About Washington Medical Center (WMC)&nbsp;Washington Medical Center (WMC)&nbsp;is a specialized Secondary healthcare facility managed and staffed by Ethiopian, American, and other foreign doctors who are committed to providing expert, high quality, and affordable medical services to&nbsp;all Ethiopians, residents, and&nbsp;visitors of Ethiopia, including International Organizations, Embassies, Business Firms, and Insurance Companies.WMC has been established under Washington Healthcare PLC, which by itself is a subsidiary of Washington Healthcare LLC incorporated in Washington D.C. (USA).&nbsp;WMC is certified by the New Ethiopian Government Standard Authority Health Facility Minimum Standard Requirement (Ethiopian Standard ES 36192012) for specialty medical centers and is licensed to operate accordingly.Washington Medical Center (WMC)&nbsp;is looking to hire a Midwife who has passion and competency with hands on experience.&nbsp; As a Midwife, you should be very caring and professional. You are also expected to have a strong work ethic and demonstrate excellent communication with clients.&nbsp;Post title:&nbsp;MidwifeRequired number:&nbsp;ThreePlace of Work: Addis AbabaSalary: &nbsp;Attractive and Negotiable&nbsp;Type: Full time&nbsp;Duties and Responsibilities<ul style="list-style-type:disc;"><li>Risk identification and stratification in pregnant women.</li><li>Health education on antepartum and postpartum follow-up care.</li><li>ANC Follow-up.</li><li>Labor follow up and attending and also assisting Deliveries.</li><li>Giving essential newborn care.</li><li>Data keeping and recording of follow-up and delivery service.</li><li>Taking and recording patients' vital signs</li></ul>

Midwife 

Responsible in providing  high quality, culturally sensitive care during labor, conduct a clean, safe delivery, give care to the newborn, and manage/refer emergencies effectively to prevent maternal and neonatal mortality and morbidity issues.

ABH Partners PLC

BackgroundOver the last decade, Ethiopia has shown impressive progress in improving the nutritional status of children and tackling the main causes of morbidity and mortality. Part of the success is attributed to support being provided in improving the quality of care, especially at the service delivery point level and through the health extension programmer (HEP).The HEP as the Government's flagship program providing preventative and curative health and nutrition services at the community level throughout the country, therefore, warrants continued support. As one of the main interventions, the community-based management of acute malnutrition (CMAM) program to treat and manage severe acute malnutrition, is embedded within the HEP and is delivered through more than 18,000 health facilities nationwide. Again, the government has recently approved the acute malnutrition guidelines to align with the international standards that have been proven locally and elsewhere to improve the quality of care and survival of children. The CMAM approach includes four components: Community Mobilization, outpatient therapeutic feeding program (OTP) where 90-95 % of all cases are managed through health posts or health centers at Kebele and woreda level; inpatient care for children with severe acute malnutrition suffering from complications, treated at stabilization centers (SC) at health centers or referral hospitals; and Targeted Supplementary Feeding Program (TSFP) to manage and treat moderate acute malnutrition among children under five years and pregnant and lactating women. While service ex pension is impressive across the country, in Developing Regional States (DRS) ensuring the quality of CMAM services remains a challenge, largely due to high staff turnover, especially in remote/hard-to-reach areas, and requires continued attention and support. Also, service delivery challenges have been placed on the program due to climate change-induced displacements and displacements due to insecurity caused by inter-community strife. The internally displaced persons placed a burden on the already fragile service delivery program through the HEP across many areas in the regions. These circumstances provide a big challenge for the human resource needs for an optimal nutrition response to vulnerable children.Methodology<ol><li>The contractor will recruit, in consultation with the RHB and UNICEF Hawassa&nbsp;Field office, One Emergency nutrition Officer (ENO) for&nbsp; South West Ethiopia Region. The consultant will work closely with UNICEF regional office.&nbsp;</li><li>UNICEF Hawassa FO will assign the ENOs to emergency zones and the ENOs will be stationed at respective ZHD offices.</li><li>Monitoring visits, on-the-job training, and other monthly activities should adhere to the agreed standard operating procedures which should be developed in consultation with the RHB and UNICEF regional office.</li><li>The ENOs will be responsible to ensure close liaison with the UNICEF Nutrition team in the region to enable a healthy nutrition supply pipeline.&nbsp;</li></ol>Specific Tasks&nbsp;Monitoring and field visit:Conduct regular monitoring visits and assess the quality of nutrition services in HPs, HCs, and Hospitals &nbsp;(SAM treatment outcomes, Nutrition Screening, IYCF-E counseling, and micronutrients). Each ENO is expected to visit on average, 24 HFs (Hospital, HCs &amp; HPs) using the EUM/ODK, and in the case of the special assignment given by Hawassa FO, a minimum of 15 HF is required.<ol><li>Situation monitoring: The ENO is responsible to monitor emergency nutrition situations, through various methods and reporting to RHB and UNICEF Hawassa FO. If required, visit IDP sites, preferably with the woreda and kebele officials and health personnel as well as NGO counterparts, to assess needs and identify the best way to reach out to them for the provision of nutrition and health services (outreach activities in campaigns, establishment of additional facilities, or NGO operation of MHNT).&nbsp;</li><li>OJT: Provide mentoring and on-the-job training to HEWs on Nutritional Screening, IYCF counseling, and adherence to SAM treatment protocols. Much more emphasis will be placed on supporting regular nutrition screening of IDP children and women for early detection of SAM as well as MAM.&nbsp;</li><li>Data: To improve nutrition data recording, reporting, and utilization, including conducting data quality assurance. Data of interest are nutritional screening, and SAM admissions and performance.&nbsp;</li><li>For nutrition screening: ensure the data is compiled in a timely manner and is of quality by the woreda health office and support communicating the screening information with the woreda disaster risk management (DRM) to facilitate TSF allocation.&nbsp;</li><li>For SAM: ensure case management is as per the standard and quality Keep close communication with the NGO partners supporting the MHNT to ensure SAM program data through MHNT operations is captured.&nbsp;</li><li style="text-align:justify;">CMAM Facility expansion: Identify and update the (1) health facilities operational/functional that can provide services to the community including IDPs in each kebele/woreda, (2) facilities with SAM treatment services, and (3) health personnel providing SAM treatment and training needs. Conduct capacity assessment and work closely with the woreda health office and NGO partners operating in the woreda in establishing new SAM treatment centers, considering all operating options such as static facility, and mobile outreach through MHNT.</li></ol>Nutrition supplies:&nbsp;&nbsp;Closely monitor supply needs, and gaps at the HF level, and alert the WoHo and ZHD immediately if there is any supply gap.&nbsp;Also, ensure a proper supply management system is in place (request, distribution, storage, and utilization) and misuse/abuse is not practiced at all levels. Train the health personnel on supply stock management and prepositioning at zonal, woreda, and facility levels. Ensure bin cards are kept for nutrition supplies, RUTF, routine drugs, and therapeutic milk.&nbsp;Coordination: To support and strengthen Nutrition sub-cluster coordination at the zonal level, regularly take minutes and share to Regional Nutrition Cluster (ENCU) and UNICEF Hawassa FO. &nbsp;Build a close working relationship with the local line bureaus, UN and NGO partners supporting the region/zones/woredas to ensure the stakeholders keep themselves abreast of, and have the same understanding of, the latest situational updates and actions being undertaken.Support region, zones, and woredas for the successful conduct of nutrition review meetings and supportive supervisions.Emergency-Development nexus: Support UNICEF-supported Nutrition Programme in targeted Woredas for its proper implementation of CINUS and multi-sectoral coordination/integration for sustainable reduction of under-nutrition (wasting and stunting).Expected Deliverables<ul style="list-style-type:disc;"><li style="text-align:justify;">Monthly Travel Plans (last week of each month for the next month). (It must be prepared in consultation with the respective ZHD Nutrition FP).</li><li style="text-align:justify;">Submission of weekly (Every Wednesday COB) and monthly Sitrep (Each month from 25th-28th) to UNICEF Hawassa FO&nbsp;</li><li style="text-align:justify;">Monthly activity and Progress Report (on nutrition screening, IYCF-E, and multi-sectoral coordination, and treatment outcomes for SAM management) to National Coordinator, and CC to Hawass FO.</li><li style="text-align:justify;">Submission of monthly nutrition supply status in woredas of the assigned zone.</li></ul>

Emergency Nutrition Officer South West Ethiopia Region

Purpose: Support capacity development, monitoring CMAM / IYCF-E program (Screening, SC, OTP, TSFP and IYCF-E, Micronutrient) and strengthen/Establish/ regional/ zonal and Woreda coordination platform to nutrition emergency response in South West Ethiopia Region. 

Background and JustificationEthiopia is experiencing multiple emergencies and humanitarian situations that need to respond to in a proper way through evidence-based planning, monitoring and implementation. These situations include severe drought, disease outbreaks including the pandemic of COVID-19, flood, and displacements. A significant proportion of Ethiopia’s population is highly vulnerable to different forms of hazards and emergencies – a product of a fragile environment, climate change, intense demographic pressure, a predominantly rain-fed agricultural/ pastoral economy, weak decentralized governance, and inadequate social services. In addition to threatening the livelihoods of whole communities, these environmental, social and institutional weaknesses compromise the health and wellbeing of children and women, especially on malnutrition and hygiene-related diseases. The region is facing a complex emergency of flooding, covid-19 and desert locust invasion. In September 2020, due to the heavy rainfall in the highlands of Amhara, Oromo and Tigray the overflow of the Awash river near to 240,425 individuals in 17 woredas and 80 kebele are affected by the flood, of which 144,255 individuals are internally displaced in 14 woreda and reside in 47 IDPs. Apart from the people’s displacement, the flooding caused damage on property, livestock, and health infrastructure. Due to the flood 7 health Facilities have been completely damaged and basic health services are not provided. There is no human disease outbreak that has been yet confirmed, there is a growing threat to the potential outbreak of waterborne diseases and due to the consumption of stagnant/contaminated water and poor hygiene, there are seasonal diarrheal diseases in 5 woredas. The most prevalent risks of diseases are cholera, malnutrition, pneumonia, malaria, skin diseases including scabies, COVID 19, intestinal parasite, and Measles. In all visited IDP sites people are living in highly overcrowded conditions which aggravate the communicable disease, high movement, and poor COVID 19 preparedness and prevention activities in the IDP site. in addition to this, there is a shortage of essential medical. Furthermore, Afar regional state is also struggling with COVID 19, from March 2020, to date. As of March 26th, 2021, there are 29,428 lab tests were performed so far, and out of the daily test of 215 done by then, a total of 11 cases were found to be positive. Plus, a total of 152 cases were active cases in treatment centers and/or at home-based care, with a total of recoveries of 1,919 and with total confirmed cases of 2,116. As per the first assessment done by Afar PHI, Public Health Institute, done in January 2021, using various pillars of COVID-19 prevention and management, there was a significant gap with all pillars including RCCE, Case Management, IPD, coordination, surveillance and laboratory logistic management. Plus, COVID-19 also, directly and indirectly, affected essential service provision at health facilities. The Deployment of the TA are to provide support to RHBs and UNICEF field office in Afar regions in the planning, implementation and monitoring Health Emergencies affecting the region in both accessible and hard-to-reach areas of woredas of Afar regions.2. PurposeThe purpose is to ensure that health emergency preparedness and response in Afar regional states are timely and promptly supported and monitored. Planning and implementation of COVID-19 prevention and management using training of health workers on COVID-19 protocols and guidelines. It ensures that UNICEF commitments, guided by Core Commitments for Children in Humanitarian Action (CCC), are fulfilled particularly in the current context of multiple ongoing and challenging health emergencies. The consultants will provide support to RHB and partners in planning, coordination, implementing, and monitoring of health emergencies. Having the complexity of the humanitarian and health emergencies in the region, in addition to the current context of COVID-19 preparedness and response, its critical for UNICEF and other stakeholders to ensure that provision of health care services is continuous and that health emergencies are responded to effectively.3. Specific Tasks<ul><li>Under the guidance of the Health officer- the UNICEF Afar field office, the consultants will perform and support the below tasks and responsibilities:</li><li>Coordinate and regularly monitor emergency Health interventions (assessment, prioritization, program design, capacity building, prepositioning of emergency supplies, immunization, monitoring and supporting implementing partners, reporting) as well as develop a joint plan of action for the findings within a time frame.</li><li>Provide technical support in planning, implementation, and reporting of COVID-19 response activities reflected in IGAD-funded projects. Provide technical support to RHB, woredas, and health facilities in the continuation of essential health services.</li><li>Conduct follow-up visits to check the progress made by the teams on the supervision findings</li><li>Regularly provide on-job support and mentoring &amp; capacity building of health workers on handling emerging outbreaks.</li><li>Support and improve documentation of best practices including Human interest stories during and after health emergency responses.</li><li>Forward and follow up gaps with health facilities and woredas during emergency responses for addressing and timely response</li><li>working in collaboration with Regional/zonal and woreda Authorities and NGO partners, strengthening Health Cluster group / Emergency Task Force in priority one woredas, focusing on Emergency Health interventions in hard-to-reach areas.</li><li>Work in close collaboration with the Health and Nutrition team and other sectors (WASH etc) implementing partners focusing on disease prevention and control and health promotion activities directly involved in pre-positioning of health supplies and provision of primary health care services through mobile health and nutrition team.</li><li>Provide regular updates to UNICEF Afar field office / UNICEF Health Section in Addis Ababa detailing the current health situation, the status of cluster activities, and the status of UNICEF-supported interventions.</li><li>Provide additional technical support to woreda Health offices and NGOs as requested through the UNICEF Field Unit in Afar especially in capacity building, compiling weekly progress updates and convening of coordination meetings as required.</li><li>Provide technical inputs to emergency supply-related items and follow up on the utilization and reporting through coordination with Afar RHB and the UNICEF Regional Office in Afar and Addis a timely and efficient manner.&nbsp;</li><li>Provide special support to MHNTs during this situation to respond and cope with the increased demand.</li><li>Conduct any additional assignment given by his immediate supervision, the UNICEF Afar Field office health program officer, and deliver it in a timely manner. 4. Expected Deliverables and Time frame</li></ul>Deliverables Deadline Monthly Work/ Travel plan 3-5 days before the beginning of each Monthly Detailed supportive Supervision and monitoring report for health emergency response intervention., Monthly Progress updates of the follow-up action points from preceding supervision and from review meetings As relevant Monthly analysis of key indicators of IGAD budget projects Monthly Monthly emergency response matrix indicating what has been the observed gaps, bottlenecks actions taken with an outbreak tracking tool, Monthly Human-interest story and contribute to donor reports. Quarterly Input to weekly health emergency sitrep Weekly5. ReportingThe consultant will be directly recruited by ABH Partners Plc. and will report to the health office at AFAR UNICEF Field Office.6. Payment Modality and ScheduleThe fees for this contract shall be paid on monthly basis based on the submission of monthly reports against the deliverables indicated above. &nbsp;

Regional Health Emergency Technical Assistants Afar 

Purpose: To provide close field-based technical support to Health emergencies, including COVID-19 responses.

About Washington Medical Center (WMC)Washington Medical Center (WMC)&nbsp;is a specialized Secondary healthcare facility managed and staffed by Ethiopian, American, and other foreign doctors who are committed to providing expert, high quality, and affordable medical services to&nbsp;all Ethiopians, residents, and&nbsp;visitors of Ethiopia, including International Organizations, Embassies, Business Firms, and Insurance Companies.WMC has been established under Washington Healthcare PLC, which by itself is a subsidiary of Washington Healthcare LLC incorporated in Washington D.C. (USA).&nbsp;WMC is certified by the New Ethiopian Government Standard Authority Health Facility Minimum Standard Requirement (Ethiopian Standard ES 36192012) for specialty medical centers and is licensed to operate accordingly.Washington Medical Center (WMC)&nbsp;is looking for a detail-oriented senior accountant to perform and coordinate accounting duties within our organization. The senior accountant's responsibilities include preparing financial reports, performing account reconciliations, maintaining the general ledger, preparing tax returns, assisting with audit preparations, and performing other accounting duties as assigned.To be successful as a senior accountant, you should have a solid working knowledge and strong financial analysis skills. An outstanding senior accountant should also possess strong Excel skills, be detail-oriented, highly organized, and able to work with little to no supervision and perform under pressure.Post title:&nbsp;Senior Accountant&nbsp;&nbsp;&nbsp;Required number:&nbsp;OnePlace of Work: Addis AbabaEmployment Status: Full TimeSalary: Attractive&nbsp;Expected Start Date: Immediately after concluding the Recruitment ProcessDuties and Responsibilities &nbsp; &nbsp;<ul style="list-style-type:disc;"><li style="text-align:justify;">Prepare accurate financial information with the help of inputs from the finance team on time.</li><li style="text-align:justify;">Ensure the integrity of accounting information by verifying, allocating, posting and entering transactions.</li><li style="text-align:justify;">Prepare error-free accounting reports and their results.</li><li style="text-align:justify;">Conduct account reconciliation regularly on a monthly or quarterly basis.</li><li style="text-align:justify;">Analyze the financial statements for any discrepancies and issues.</li><li style="text-align:justify;">Identify errors and take actions for improvement.</li><li style="text-align:justify;">Analyze intercompany transactions, bank statements and generate invoices.</li><li style="text-align:justify;">Review accounting systems and make suggestions for improvements.</li><li style="text-align:justify;">Manage bookkeepers and other accountants.</li><li style="text-align:justify;">Assist in the department’s goal-setting process.</li><li style="text-align:justify;">Provide support in the month-end and year-end closing process.</li><li style="text-align:justify;">Provide support in tax returns and tax audit.</li><li style="text-align:justify;">Plan and assign duties to staff members.</li><li style="text-align:justify;">Manage and maintain general ledgers.</li><li style="text-align:justify;">Reconcile accounts payable and receivable.</li><li style="text-align:justify;">Develop financial procedures to improve efficiency.</li><li style="text-align:justify;">Prepare and summarize all the transaction reports and financial status which includes a balance sheet, profit &amp; loss statement.</li><li style="text-align:justify;">Present financial reports to higher management and Accountants.</li><li style="text-align:justify;">Stay up to date knowledge of the latest business trends.</li><li style="text-align:justify;">Any other related activities ordered by the immediate supervisor&nbsp;</li></ul>

Senior Accountant   

Responsible for the preparation of accurate financial information with the help of inputs from the finance team on time and ensure the integrity of accounting information by verifying, allocating, posting and entering transactions timely.

Emergency Nutrition Officer- Oromia RegionPurpose: Support capacity development, monitoring CMAM / IYCF-E program (screening, SC, OTP, TSFP and IYCF-E, Micronutrient) and strengthen zonal and Woreda coordination related to nutrition emergency response in Oromia.BackgroundOver the last decade, Ethiopia has shown impressive progress in improving the nutritional status of children and tackling the main causes of morbidity and mortality. Part of the success is attributed to support being provided in improving the quality of care, especially at the service delivery point level and through the health extension programmer (HEP).The HEP as the Government's flagship program providing preventative and curative health and nutrition services at the community level throughout the country, therefore, warrants continued support. As one of the main interventions, the community-based management of acute malnutrition (CMAM) programmer to treat and manage severe acute malnutrition, is embedded within the HEP and is delivered through more than 18,000 health facilities nationwide. Again, the government has recently approved the acute malnutrition guidelines to align with the international standards that have been proven locally and elsewhere to improve the quality of care and survival of children. The CMAM approach includes four components: Community Mobilization, outpatient therapeutic feeding program (OTP) where 90-95 % of all cases are managed through health posts or health centers at the Keble and woreda level; inpatient care for children with severe acute malnutrition suffering from complications, treated at stabilization centers (SC) at health centers or referral hospitals; and Targeted Supplementary Feeding Program (TSFP) to manage and treat moderate acute malnutrition among children under five years and pregnant and lactating women. While service ex pension is impressive across the country, in Developing Regional States (DRS) ensuring the quality of CMAM services remains a challenge, largely due to high staff turnover, especially in remote/hard-to-reach areas, and requires continued attention and support. Also, service delivery challenges have been placed on the program due to climate change-induced displacements and displacements due to insecurity caused by inter-community strife. The internally displaced persons placed a burden on the already fragile service delivery program through the HEP across many areas in the regions. These circumstances provide a big challenge for the human resource needs for an optimal nutrition response to vulnerable children.Methodology<ol><li>The contractor will recruit, in consultation with the RHB and UNICEF Oromia regional office, Two Emergency nutrition officers (ENO) for Oromia. The consultant will work closely with UNICEF regional office.&nbsp;</li><li>UNICEF Oromia FO will assign the ENOs to emergency zones and the ENOs will be stationed at respective ZHD offices.</li><li>Monitoring visits, on-the-job training, and other monthly activities should adhere to the agreed standard operating procedures which should be developed in consultation with the RHB and UNICEF regional office.</li><li>The ENOs will be responsible to ensure close liaison with the UNICEF Nutrition team in the region to enable a healthy nutrition supply pipeline.&nbsp;</li></ol>Specific Tasks&nbsp;Monitoring and field visit:Conduct regular monitoring visits and assess the quality of nutrition services in HPs and HCs (SAM treatment outcomes, Nutrition Screening, IYCF-E counseling). Each ENO is expected to visit on average, 24 HFs (Hospital, HCs &amp; HPs) using the EUM/ODK, and in the case of the special assignment given from Oromia FO, a minimum of 15 HF is required.<ol><li>Situation monitoring: The ENO is responsible to monitor emergency nutrition situation, through various methods and reporting to RHB and UNICEF Oromia FO. If required, visit IDP sites, preferably with the woreda and kebele officials and health personnel as well as NGO counterparts, to assess needs and identify the best way to reach out to them for the provision of nutrition and health services (outreach activities in campaigns, establishment of additional facilities, or NGO operation of MHNT).&nbsp;</li><li>OJT: Provide mentoring and on-the-job training to HEWs on Nutritional Screening, IYCF counseling and adherence to SAM treatment protocols. Much more emphasis will be placed on supporting regular nutrition screening of IDP children and women for early detection of SAM as well as MAM.&nbsp;</li><li>Data: To improve nutrition data recording, reporting and utilization, including conducting data quality assurance. Data of interest are nutritional screening, and SAM admissions and performance.&nbsp;</li><li>For nutrition screening: ensure the data is compiled in a timely manner and is of quality by the woreda health bureau and support communicating the screening information with the woreda disaster risk management (DRM) to facilitate TSF allocation</li><li>For SAM: ensure case management is as per the standard and quality Keep close communication with the NGO partners supporting the MHNT to ensure SAM program data through MHNT operations captured.&nbsp;</li><li style="text-align:justify;">CMAM Facility expansion: Identify and update the (1) health facilities operational/functional that can provide services to community including IDPs in each kebele/woreda, (2) facilities with SAM treatment services, and (3) health personnel providing SAM treatment and training needs. Conduct capacity assessment and work closely with the woreda health office and NGO partners operating in the woreda in establishing new SAM treatment centers, considering all operating options such as static facility, mobile outreach through MHNT.</li></ol>&nbsp;Nutrition supplies:&nbsp;&nbsp;Closely monitor supply need, gaps at HF level, alert the WoHo and ZHB immediately if there is any supply gap.&nbsp;Also, ensure proper supply management system is in place (request, distribution, storage, and utilization) and misuse/abuse is not practiced at all level. Train the health personnel on supply stock management and prepositioning at zonal, woreda and facility levels. Ensure bin cards are kept for nutrition supplies, RUTF, routine drugs and therapeutic milks.&nbsp;Coordination: To support and strengthen Nutrition sub-cluster coordination at zonal level, regularly take minute and share to Regional Nutrition Cluster (ENCU) and UNICEF Oromia FO. &nbsp;Build a close working relationship with the local line bureaus, UN and NGO partners supporting the zones/woredas to ensure the stakeholders keep themselves abreast of, and have the same understanding on, the latest situational updates and actions being undertaken.Support zones and woredas for the successful conduct of nutrition review meetings and supportive supervisions.Emergency-Development nexus: Support UNICEF supported Nutrition Programme in targeted Woredas for its proper implementation of CINUS and multi-sectoral coordination/integration for sustainable reduction of under-nutrition (wasting and stunting).Expected Deliverables<ul style="list-style-type:disc;"><li style="text-align:justify;">Monthly Travel Plans (last week of each month for the next month). (It must be prepared in consultation with respective ZHD Nutrition FP).</li><li style="text-align:justify;">Submission of weekly (Every Wednesday COB) and monthly Sitrep (Each month from 25th-28th) to UNICEF Oromia FO&nbsp;</li><li style="text-align:justify;">Monthly activity and Progress Report (on nutrition screening, IYCF-E, and multi-sectoral coordination, and treatment outcomes for SAM management) to National Coordinator, and CC to Oromia FO.</li><li style="text-align:justify;">Submission of monthly nutrition supply status in woredas of the assigned zone.</li></ul>

Emergency Nutrition Officer- Oromia Region

Emergency Nutrition Officers Support capacity development, monitoring CMAM / IYCF-E program (screening, SC, OTP, TSFP and IYCF-E, Micronutrient) and strengthen zonal and Woreda coordination related to nutrition emergency response in Oromia.

BackgroundOver the last decade, Ethiopia has shown impressive progress in improving the nutritional status of children and tackling the main causes of morbidity and mortality. Part of the success is attributed to support being provided in improving the quality of care, especially at the service delivery point level and through the health extension programmer (HEP).The HEP as the Government's flagship program providing preventative and curative health and nutrition services at the community level throughout the country, therefore, warrants continued support. As one of the main interventions, the community-based management of acute malnutrition (CMAM) programmer to treat and manage severe acute malnutrition, is embedded within the HEP and is delivered through more than 18,000 health facilities nationwide. Again, the government has recently approved the acute malnutrition guidelines to align with the international standards that have been proven locally and elsewhere to improve the quality care and survival of children. The CMAM approach includes four components: Community Mobilization, outpatient therapeutic feeding program (OTP) where 90-95 % of all cases are managed through health posts or health centers at Keble and woreda level; inpatient care for children with severe acute malnutrition suffering from complications, treated at stabilization centers (SC) at health centers or referral hospitals; and Targeted Supplementary Feeding Program (TSFP) to manage and treat moderate acute malnutrition among children under five years and pregnant and lactating women. While service ex pension is impressive across the country, in Developing Regional States (DRS) ensuring the quality of CMAM services remains a challenge, largely due to high staff turnover especially in remote/ hard to reach areas, and requires continued attention and support. Also, service delivery challenges have been placed on the program due to climate change-induced displacements and displacements due to insecurity caused by inter-community strife. The internally displaced persons placed a burden on the already fragile service delivery program through the HEP across many areas in the regions. These circumstances provide a big challenge for the human resource needs for an optimal nutrition response to vulnerable children.Methodology<ol><li>The contractor will recruit, in consultation with the RHB and UNICEF Somali regional office, One Emergency nutrition monitor for Somali. The consultant will work closely with UNICEF regional office.&nbsp;</li><li>One of the monitors will serve as the focal person/coordinator. The ENO will be responsible for the performance of the team and will also take the field monitor role. The coordinator will work based in the regional capital.&nbsp;</li><li>The contractor will provide all the necessary logistics support such as vehicles. The vehicles should be appropriate for the landscapes of the different zones and woredas.&nbsp;</li><li>Monitoring visits, on-the-job training, and other monthly activities should adhere to the agreed standard operating procedures which should be developed in consultation with the RHB and UNICEF regional office.</li><li>Each monitor is expected to provide a brief narrative report on recommendations reached through woreda consensus. Monthly narratives from the monitors need to be consolidated into one and submitted each month by the coordinator.&nbsp;</li><li>The contractor will be responsible to ensure close liaison with the UNICEF Nutrition team in the region to enable a healthy nutrition supply pipeline.&nbsp;</li></ol>Specific TasksField monitoring:&nbsp;Conduct regular monitoring visits and assess the quality of nutrition services in HPs and HCs (SAM treatment outcomes, Nutrition Screening, IYCF-E counseling).<ol><li>If required, visit IDP sites, preferably with the woreda and kebele officials and health personnel as well as NGO counterparts, to assess needs and identify the best way to reach out to them for the provision of nutrition and health services (outreach activities in campaigns, establishment of additional facilities, or NGO operation of MHNT).&nbsp;</li><li>OJT: Provide mentoring and on-the-job training to HEWs on Nutritional Screening, IYCF counseling and adherence to SAM treatment protocols. Much more emphasis will be placed on supporting regular nutrition screening of IDP children and women for early detection of SAM as well as MAM.&nbsp;</li><li>Data: To improve nutrition data recording, reporting and utilization, including conducting data quality assurance. Data of interest are nutritional screening, and SAM admissions and performance.&nbsp;</li><li>For nutrition screening: ensure the data is compiled in a timely manner and is of quality by the woreda health bureau and support communicating the screening information with the woreda disaster risk management (DRM) to facilitate TSF allocation</li><li>For SAM: Keep close communication with the NGO partners supporting the MHNT to ensure SAM program data through MHNT operations captured.&nbsp;</li><li style="text-align:justify;">Facility expansion: Identify and update the (1) health facilities operational/functional that can provide services to IDPs in each kebele/woreda, (2) facilities with SAM treatment services, and (3) health personnel providing SAM treatment and training needs. Conduct capacity assessment and work closely with the woreda health office and NGO partners operating in the woreda in establishing new SAM treatment centers, considering all operating options such as static facility, mobile outreach through MHNT.</li></ol>Nutrition supplies:&nbsp; &nbsp;Alert the WoHo and ZHB immediately if there is any supply gap.&nbsp;Train the health personnel on supply stock management and prepositioning at zonal, woreda and facility levels. Ensure bin cards are kept for nutrition supplies, in particular RUTF and therapeutic milks.&nbsp;Coordination: To support and strengthen platforms for multi-sectoral coordination at the operational cluster levels.&nbsp;Until the zonal nutrition coordinators are on-board, support the nutrition cluster coordination by attending coordination meetings. Share the minutes and any other updates to UNICEF (to FO and cc-ing CO) and the international nutrition zonal cluster coordinator based in the UNICEF field office assigned area within the region.Build a close working relationship with the local line bureaus (health and DRM), WFP, WHO and NGOs supporting the woredas to ensure the stakeholders keep themselves abreast of, and have the same understanding on, the latest situational updates and actions being undertaken.Support zones and woredas for the successful conduct of nutrition review meetings and supportive supervisions.Expected DeliverablesMonthly Travel Plans (last week of each month for the next month)Monthly activity and Progress Report (on nutrition screening, IYCF-E, and multi-sectoral coordination and treatment outcomes for SAM management)&nbsp; &nbsp;Submission of monthly nutrition supply status in woredas of the assigned zoneSubmission of bi-weekly updatesReporting&nbsp;The coordinator of the CMAM monitors will submit a consolidated report to the UNICEF team in the region and to the RHB on monthly basis&nbsp;for the national consultant

Emergency Nutrition Officers Somali Region

Purpose: Support capacity development, monitoring CMAM and IYCF-E program (SC, OTP, TSFP and IYCF-E), zonal and woreda coordination related to nutrition emergency response in Somali.

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