Historique

Project Description 

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:

• Conducting community mobilization to increase uptake of HIV testing and counselling, care and treatment
• Acting as a link between outreach and community-based activities and the facility to support linkage and retention to treatment services
• Providing community-based treatment literacy to support adherence and retention, including supporting clients with high viral load
• Linking with the facility to provide defaulter tracing for clients utilizing the AIDS and TB referral form to support effective communication
• Facilitating the formation and running of community-based ART delivery models where implemented
• Ensuring that monitoring and evaluation of community-based activities is linked to the respective facility.

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

Specific Objectives:

• Facilitate stakeholder consensus on the development of a training package for expert patients
• Share a work outline and inception report for the task at hand
• Review current training curricular used by different stakeholders
• Share progress updates at specified intervals
• Develop standardised curriculum complete with participant handbook, workbook and facilitator guide
• Develop SOPs for facility navigation and bidirectional facility - community linkages
• Make recommendations for the national roll out of the trainings
• Develop a protocol and plan to evaluate the roll out and effectiveness of the training programme

Devoirs et responsabilités

Duty Station

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:

• Content development of the expert clients training curriculum
• Working in collaboration with MoHCC to adapt content used by various stakeholders and come up with a standardised curriculum
• Identifying learning approaches to be used for the training
• Creating pre and post-test quizzes and cases scenarios to support the content
• Provide guidance on administration of training (facilitation, using discussion groups)
• Finalization of the training package complete with participant handbook, workbook and facilitator guide
• Make recommendations for roll out of the trainings
• Develop a protocol and plan to evaluate the roll out and effectiveness of the training programme

Expected Outputs and Deliverables

Institutional Arrangement

MoHCC: 

• Provide training curriculum used by different stakeholders, ensuring that the content are appropriate and aligned to the Operational and Service Delivery Manual, Ministry Policies and Guidelines.
• Ensure the development of the training manual is done timeously against set road map.
• Provide overall leadership and direction.

Training and Clinical Mentorship Technical Working Group: Sub working group on blended learning

• Vet the material to ensure technical accuracy
• Provide all up to date content to be included
• Review and give feedback on design drafts
• Adapt, edit or revise training content
• Ensure appropriate flow of content and activities
• Ensure the quality of the training content meets the learning objectives
• Ensure the necessary reviews are done timeously according to set milestones

Consultancy

• Facilitate stakeholder consensus on the training package to be developed
• Collaborate with relevant stakeholders 
• Meet with technical working group to incorporate feedback from MoHCC and stakeholders
• Conduct field work for key informant interviews
• Make recommendations for the national roll out of the trainings
• Work with MoHCC to create the complete package
• Develop a protocol and plan to evaluate the roll out and effectiveness of the training programme

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. 

Compétences

FOUNDATIONAL COMPETENCIES:

• Commitment,                                             
• Drive for Results
• Embracing Diversity,                                
• Integrity
• Self-awareness and Self-regulatiion  
• Teamwork

FUNCTIONAL COMPETENCES

• Leading Vision and Change
• Coaching
• Communication
• Setting Standards, and Monitoring Work
• Strategic and Global Thinking
• Group Facilitation
• Team Leadership

Any existing experience in curriculum development for public health systems

Qualifications et expériences requises

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

• Duly accomplished Letter of Confirmation of Interest and Availability using the template provided by UNDP;
• Personal CV or P11, indicating all past experience from similar projects, as well as the contact details (email and telephone number) of the Candidate and at least three (3) professional references;
• Brief description of why the individual considers him/herself as the most suitable for the assignment, and a methodology, if applicable, on how they will approach and complete the assignment. A methodology is recommended.
• Financial Proposal that indicates the all-inclusive fixed total contract price, supported by a breakdown of costs, as per template provided.  If an Offeror is employed by an organization/company/institution, and he/she expects his/her employer to charge a management fee in the process of releasing him/her to UNDP under Reimbursable Loan Agreement (RLA), the Offeror must indicate at this point, and ensure that all such costs are duly incorporated in the financial proposal submitted to UNDP. 

          Criteria for Selection of the Best Offer 

• Combined Scoring method – where the qualifications and methodology will be weighted a max. of 70%, and combined with the price offer which will be weighted a max of 30%; or