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TERMS OF REFERENCE FOR THE DEVELOPMENT OF TRAINING PACKAGE WITH SOPs FOR TRAINING OF EXPERT PATIENTS FOR HIV TREATMENT, CARE AND SUPPORT, MINISTRY OF HEALTH AND CHILD CARE IN ZIMBABWE
|Location :||Harare, ZIMBABWE|
|Application Deadline :||16-Sep-21 (Midnight New York, USA)|
|Additional Category :||Gender Equality|
|Type of Contract :||Individual Contract|
|Post Level :||National Consultant|
|Languages Required :||English|
|Starting Date :|
(date when the selected candidate is expected to start)
|Duration of Initial Contract :||21 days|
|Expected Duration of Assignment :||21 days|
UNDP is committed to achieving workforce diversity in terms of gender, nationality and culture. Individuals from minority groups, indigenous groups and persons with disabilities are equally encouraged to apply. All applications will be treated with the strictest confidence.
UNDP does not tolerate sexual exploitation and abuse, any kind of harassment, including sexual harassment, and discrimination. All selected candidates will, therefore, undergo rigorous reference and background checks.
Zimbabwe’s national HIV care and treatment program has seen vast improvement as the country scaled up and decentralized HIV treatment since 2004. Decentralization and integration of HIV prevention, care and treatment activities across all levels of the health system has required a critical review of the roles and responsibilities of health care workers. With the further scale up of ART demanded by the 2016 Guidelines for Antiretroviral Therapy for the Prevention and Treatment of HIV in Zimbabwe and the introduction of “Treat All”, further review of the tasks and working practices of health workers was required. Reviewing the scope of practice of health workers, not only had the potential of improving access and retention, but could also allow clinicians (doctors and nurses) to spend more time with clients with more complex medical needs. Evidence from the literature has demonstrated that there is no difference in clinical outcomes, including mortality or losses to follow up, when nurses initiate or manage people on ART relative to physician-led care. Quality of care is ensured through adequate training, ongoing mentorship, and clear indications for referral to higher levels of care, and monitoring and evaluation systems that are utilized for improving client management. Together with the reviewing of roles for HCWs, roles for community health workers, expert clients and other community-based cadres were reviewed and elaborated in the 2016 Operational and Service Delivery Manual (OSDM). These roles include the following:
A preliminary assessment into the work and capacities of the current community health workers showed marginal to significant differences between cadres depending on who provided the capacity building. Further analysis revealed a lack of standardization in the capacity building tools, especially a curriculum for training expert patients as their offer HIV related services. Clear and concise curricular exists for facility health workers but none for expert clients. With this background, the MoHCC will like to develop a curriculum for training expert patients, equipping them for their designated tasks as elaborated in the operational and service delivery manual so that comprehensive HIV services are provided with the same quality standards across the country.
Broad Objective: To develop a training package with SOPs for expert patients with focus on adherence and retention in care for PLHIV on ART through provision of psychosocial support, defaulter tracking, client education, facility navigation, and bi-directional facility - community linkages
Duties and Responsibilities
Consultative work will be done locally in Zimbabwe and include field work for key informant interviews. Physical meetings will be called for where necessary and under observation of COVID infection prevention and control measures if the situation permits. Virtual meetings will be conducted depending on the COVID situation.
Scope of Work
The consultant will be responsible for:
Expected Outputs and Deliverables
Training and Clinical Mentorship Technical Working Group: Sub working group on blended learning
Duration of the Work
The development of the training curriculum is expected to be done for a total of 21 days in September 2021.
The IC modality is expected to be used only for short-term consultancy engagements. If the duration of the IC for the same TOR exceeds twelve (12) months, the duration must be justified and be subjected to the approval of the Director of the Regional Bureau, or a different contract modality must be considered. This policy applies regardless of the delegated procurement authority of the Head of the Business Unit.
Any existing experience in curriculum development for public health systems
Required Skills and Experience
Scope of Price Proposal and Schedule of Payments
An agreement will be signed between the UNDP and the consultant.
The consultant will be paid as a daily rate as proposed/accepted for 21 days all inclusive.
Time Sheet will be attached and verified by the direct supervisor, and Final tranche upon performance evaluation from the direct supervisor.
Recommended Presentation of Offer
Criteria for Selection of the Best Offer