Strengthening Medical Oxygen System and Services Technical Advisor

ABH Partners PLC

To provide technical support to the Clinical Service Directorate to strengthen the national medical oxygen ecosystem, production, distribution, use and management.

Salary Not Available


Addis Ababa

Career Level
Senior Level
Type of corporation
Company size

 Summary

Title: Strengthening Medical Oxygen System and Services Technical Advisor

Purpose: To provide technical support to the Clinical Service Directorate to strengthen the national medical oxygen ecosystem, production, distribution, use and management.

Location Addis Ababa, Ministry of Health 

Duration : 11 months 

No. of consultants: 01 through ABH

Start date:16 May 2022

Reporting to ; Clinical Service Directorate

  1. Background

The World Health Organization (WHO) added oxygen to its Model List of Essential Medicines (EML) and List of Essential Medicines for Children (EMLc) underscoring the importance of oxygen as a medicine essential for the management of hypoxemia. There are currently a little over 20 oxygen plants in Ethiopia. However, the distribution of oxygen plants is unequal with most located in few major cities of Ethiopia. The challenges related to inefficiencies in the oxygen supply system include limitations in supply chain systems and logistics, poor maintenance and spare parts availability, huge demand for oxygen as compared to the number of oxygen plants, low awareness among health care workers and unreliability of grid power. All of these challenges limit the reliability of the oxygen supply system making oxygen not readily available when and where it is needed. The national oxygen production capacity remains low and is estimated to be one-third of the actual demand. This huge supply and demand mismatch has worsened and sensed clearly due to the COVID-19 pandemic as the number of patients requiring medical oxygen increased dramatically over the past three months. 

 

  1. Justification

 

MoH has received financial support from the World Bank to scale-up the medical oxygen production and to establish sustainable oxygen access to COVID 19 treatment facilities. In addition, UNICEF has received a grant from the Ministry of Commerce (MOFCOM) People’s Republic of China to improve maternal, new-born and child health outcomes through strengthened oxygen supply systems and response to the CVOID-19, and another grant under the Humanitarian Action for Children (HAC) 2022 for the oxygen system strengthening in Ethiopia. For the effective implementation of these activities, MOH is looking for medical oxygen service technical advisor with strong qualifications and experience. The objective of this post is to provide technical support to the Clinical Service Directorate to strengthening the national medical oxygen production, distribution, use and management system. 

  1. Specific Tasks

The Medical Oxygen Service Technical Advisor will work closely with the project’s team, MOH Medical Service General Directorate, Clinical Service Directorate, MCH Directorate, PMED Directorate  and EPHI case management and facility readiness team to assist in the scaling up the medical oxygen production nationally by improving the supply chain system of oxygen, increasing awareness in the rational use of medical oxygen, closely following the national medical oxygen actual production, sustainably maintaining non-functional medical oxygen plants, procuring spare parts and accessories of plants, and increasing the efficiency of plants.

The technical advisor is expected to carry out the following tasks under the guidance and support of the specialty and sub-specialty case team and the national medical oxygen coordinator, and Medical Oxygen Ecosystem Technical Working Group (TWG):

The roles and responsibilities of the incumbent include but not limited to the following:

  • Prepare a detailed plan of action/inception report based on the Terms of Reference (TOR) and share to the clinical service Directorate and TWG for inputs, and endorsement;
  • Coordinate the revitalization and functionality of the national medical oxygen technical working group (TWG) through developing terms of references (TOR) and establishing regular TWG meetings; 
  • Conduct a rapid needs assessment and desk review on the medical oxygen supply system to identify needs and obstacles, provide situation analysis and increase access to medical oxygen across the health system at all levels, and prioritize the investment in medial oxygen including, for maternal, new-borns and child health; 
  • Coordinate the dissemination of the key findings of the end line evaluation on the implementation of the “National Medical Oxygen and Pulse Oximeter Roadmap” and identify strengths and gaps for the revision;
  • Develop a procurement plan and facilitate the procurement of medical oxygen equipment, spares and consumables, and identify priority health facilities for innovative oxygen plants and/or oxygen piping/manifold systems; 
  • Assist and co-lead the revision of the 5-year National Medical Oxygen and Pulse Oximetry implementation road map, including designing the next phase of the road map;
  • Facilitate workshops to finalize the revised National Medical Oxygen and Pulse Oximetry implementation road map;
  • Facilitate the finalization of the online training material and advocate on its usage on the rational use of medical oxygen and monitoring the utilization by health care providers;
  • Provide and coordinate on-site mentorship for hypoxia management in children and adults, and training to public hospitals on the rational use of medical oxygen;
  • Provide and coordinate onsite mentorship to support private and public health medical oxygen-producing plants to increase their efficiency;
  • Undertake regular mentorship, supportive supervision and review meetings to monitor the implementation of the oxygen system; 
  • Develop guidelines for supply chain management of the national medial oxygen system;
  • Create a system (real-time) to monitor the daily usage and demand for medical oxygen by health facilities and oversee the end-to-end execution of the oxygen especially in low performing regions.
  • Provide technical support in oxygen service standardization, and establish quality management and improvement strategies for oxygen systems at regional, sub-regional and health facility levels;
  • Monitor the national and regional oxygen capacity and utilization regularly and give feedback accordingly;
  • Coordinate the technical assistance from Chinese counterparts to strengthen national management capacity on oxygen supply system’s setup, commissioning, maintenance, monitoring and evaluation; 
  • Strengthen oxygen systems program coordination and integration at regional and national levels;
  • Liaise with MCH directorate and other supporting partners for oxygen service scale-up, including UNICEF-supported biomed technical assistant (TA) working with PMED and MCH on strengthening MNCH equipment maintenance;
  • Ensure skill and knowledge transfer to co-workers and in particular the oxygen focal at the specialty and sub-specialty and MNCH case team;
  • Develop and execute a weekly plan and performance report regularly submitted to the Specialty and subspecialty case team and national medical oxygen coordinator; and 
  • Undertake any other relevant activities as deemed necessary by the Clinical service directorate 
  1. Expected Deliverables 

 

S.No

Activity 

 

 

Deliverable  

 

Time frame of follow up (approximate) 

I

  1. Prepare and submit inception report; 
  2. Desk review and rapid assessment; 
  3. Coordinate the revitalization and functionality of the national medical oxygen technical working group (TWG) through developing terms of references and establishing regular TWG meetings;
  4. Coordinate the dissemination of the key findings of the end line evaluation on the implementation of the “National Medical Oxygen and Pulse Oximeter Roadmap” and identify strengths and gaps for the revision; and 
  5. Develop a procurement plan and facilitate the procurement of medical oxygen spares and consumables, and identify priority health facilities for oxygen plants.
  • Inception report
  • Assessment report
  • Functional TWG with ToR
  • Strategic recommendation report based on the end line evaluation 
  • Procurement plan

 

25% of the deliverables

 

Two months 

II

  1. Assist and co-Lead the revision of the 5-year National Medical Oxygen and Pulse Oximetry implementation road map and designing the next phase of the road map; and 
  2. Facilitate workshops to finalize the revised National Medical Oxygen and Pulse Oximetry implementation road map.

Draft 5-year National Medical Oxygen and Pulse Oximetry implementation road map

25% of the deliverables

 

Three months

 

III

  1. Facilitate the finalization and advocacy work of the online training material on the rational use of medical oxygen and monitoring the utilization by health care providers;
  2. Provide on-site mentorship for hypoxia management in children and adults and training to public hospitals on the rational use of medical oxygen;
  3. Provide onsite mentorship to support private and public health medical oxygen-producing plants to increase their efficiency;
  4. Undertake regular mentorship, supportive supervision and review meetings to monitor the implementation of oxygen system, and 
  5. Develop guidelines for improving the supply chain management of the national medial oxygen system.
  • Online training job-aids,
  • Cascaded training report to health care providers on the rational use of oxygen
  • Mentorship/supportive supervision/review meeting reports
  • Draft Guideline on supply chain management 

25% of the deliverables

 

Three months 

 

IV

  1. Create a system (real-time) to monitor the daily usage and demand for medical oxygen by health facilities and oversee the end-to-end execution of the oxygen especially in low performing regions.
  2. Provide technical support in oxygen service standardization, and establish quality management and improvement strategies for oxygen systems at regional, sub-regional and health facility levels;
  3. Monitor the national and regional oxygen capacity and utilization regularly and give feedback 
  4. Coordinate the technical assistance from Chinese counterparts to strengthen national management capacity on oxygen supply system’s setup, commissioning, maintenance, monitoring and evaluation 
  • Real time monitoring system on the daily usage and demand for oxygen
  • Oxygen service standardization and quality management implementation guidelines/strategies
  • Dashboard on the national and regional oxygen capacity and utilization
  • Report on the support provided by Chinese counterparts

25% of the deliverables

 

Three months

  1. Methodology

The technical advisor will be hired through ABH. S/he will be deployed at Clinical Service Directorate, MoH. She/he reports and is supervised by Clinical service Directorate.

  1. Reporting 

The technical advisor will report to the MOH Clinical Service Directorate in particular the specialty and sub-specialty case team and the national medical oxygen coordinator.

  1. Time Frame and Mode

The consultant will be hired for 11 months with possible extension starting from 15 April 2022 with third party (ABH), human resource hiring firm.

  1. Payment terms

Payment will be on monthly bases with approved deliverables noted below. Follow up schedule linked to deliverables as described in section IV by CSD director and UNICEF responsible team lead: 

Follow up schedule

Expected deliverables

First-phase (25%)

1-5

Second phase (25%)

6-7

Third phase (25%)

8-12

Fourth phase (25%)

13-16

 

  1. Qualification and experience

Education level: Medical doctor with specialty preferably Paediatrics and child health with clinical background and expertise of strengthening medical oxygen ecosystem (Health system)

Experience

  • At least 10 years of proven experience in health services and system strengthening 
  • Proven track record of supporting, advising and collaborating with health ministries and institutions.
  • Experience to collaborate with different sectors on issues demanding collaborative efforts for medical oxygen ecosystem
  • Experience working with Development Partners in health system strengthening, resource mobilization and utilization, project proposals, implementations 
  • Excellent understanding of the Ministry’s National medical oxygen and pulse oximetry scale-up road-map,
  • Ability to work independently and as part of a team; organize and prioritize work to meet deadlines, 
  • Ability to work on weekends when emergencies arise, 
  • Strong interpersonal skills and ability to work effectively with internal/external partners in a multicultural environment, 
  • Excellent oral and written communications skills and the ability to communicate at all levels of management, 
  • Demonstrated experience working within a complex organizational structure,
  • Excellent organizational and problem-solving skills,
  • Willingness to travel to regions and health facilities,
  • Proven experience in mentorship and/or facilitation of trainings,
  • Proven experience in preparation of various documents I.e., roadmaps, strategies, and guidelines
  • Proficient in using Excel, PowerPoint, SPSS, Microsoft Word, and other tools,
  • Ability to think critically and creatively,
  • Fluency in English and Amharic and
  • Preference will be given to candidates with prior experience working in MoH and who know the Ethiopian Health system.
  1. General condition 
  1. The consultant will be managed under the direct formal supervision of the MOH. 
  2. Abh Partners Plc.  will pay the consultancy fee on monthly bases and follow up on the submission high quality and approval of the deliverables 
  3. The consultant should provide his/her own materials, i.e., computer, etc.