Libya: Short-term expert to develop guideline and protocol to screen and manage patients with diabetes mellitus and metabolic syndrome
Country: Libya
Closing date: 20 Sep 2013
As a federal enterprise, GIZ supports the German Government in achieving its objectives in the field of international cooperation for sustainable development.
For our operations in Libya/Tripoli, we are looking for a/an
Short-term expert to develop guideline and protocol to screen and manage patients with diabetes mellitus and metabolic syndrome and conduct an as-sessment in 6 pilot PHC centres
Field of activity
Within the framework of EUNIDA, a grouping of EU Member State implementing agencies, GIZ International Services is managing the EU Libya Health Systems Strengthening Programme.
1) Background
The Libyan health care delivery system reflects past systemic imbalances and the impact of the civil war. Weakened health services are largely deficient in their capacity to attend to the needs of the population. The increased prevalence of mental disorders and physical disabilities –a consequence of the conflict– further exacerbate the situation.
The overall objective of the EU-LHSS programme is to improve efficiency, effectiveness and quality of health service delivery in Libya. The purpose of this action is to strengthen strategic planning, financing as well as management and quality of health service delivery through targeted reforms and pilot interventions.
2) The EU-LHSS programme is articulated around three result areas:
Result One Strategic Planning, Health Financing and Capacity Strengthened: National health strategy, related policies and action plans developed; health financing options identified; provider payment mechanisms reviewed; and capacity of the Ministry of Health and Health Professionals Associations strengthened at all levels.
Result Two Health Service Delivery and Quality of Health Care: Health Service Package successfully rolled out in pilot areas; options for public private partnerships identified; quality of outcomes framework and accreditation standards developed and selected quality improvements reported.
Result Three Workforce Planning, Development and Management: Recruitment and retention targets in place; pre-service and in-service training needs assessed and partially addressed through targeted training and partnerships with training institutions; curricula upgraded and standardised; licensing standards and management tools developed and rolled out in pilot areas.
3) Objectives of the mission
3.1 General Objective of the Mission
The Short-Term Expertise (STE) described in these Terms of Reference is complementary to the tasks of Long Term Experts and the Short Term Expert for Quality of Care and responds to a request articulated by the Chair, Co-chair and members of the Working Group for Quality of Care.
The expertise mobilised will support the Chair, Co-chair and members of the Working Group for Quali-ty of Care to:
- Develop national guidelines for diabetes mellitus and metabolic syndrome; and
- Develop a plan to strengthen the capacity of health professionals to screen and provide effective care for patients with diabetes.
3.2 Specific objectives of the Mission
i) Develop national guidelines and protocols for diabetes mellitus and metabolic syndrome.
ii) Design an in-service training programme in order to train health professionals in use of national guidelines and protocol for diabetes mellitus and metabolic syndrome.
iii) Prepare a report based on assessment of six pilot PHC centres to introduce best practices relat-ed to the national guidelines and protocols for diabetes mellitus and metabolic syndrome.
iv) Present at a Consultative Workshop to elicit feedback on draft national guidelines and protocols and a plan to strengthen the capacity of health professionals in PHC centres.
3.3 Expected results and deliverables
- Final draft of national guidelines and protocols developed for diabetes mellitus and metabolic syndrome.
- Proposed in-service training plan developed to strengthen capacity of physicians, nurses and other staff to screen and provide care to diabetic patients at 6 pilot PHC centres.
- Consultative Workshop of Stakeholders organised.
- Feedback solicited and integrated into the proposal.
- Final report submitted two days prior to the end of the mission.
4) Management of the Mission
4.1 Work language
The work language is English.
4.2 Responsibilities
The expert will report directly to the Chair and Co-chair of the Working Group on Quality of Care.
The expert will also ensure close consultation with the Short Term Expert for Quality of Care, the Team Leader/Health Economist, the Consultant (EUNIDA) and the Project Manager (the European Union) and the members of the Consultative Working Group assembled to develop the national guidelines for diabetes mellitus and metabolic syndrome.
4.3 Timetable
The duration of the mission will be of 18 person/days and take place during the period of time be-tween 15 October to 1st December. There may be follow-up missions identified according to the re-sults of the STE. The tasks are as follows:
- Gather information in order to strengthen capacity of health professionals at six primary health care centres to screen and manage the care to patients with diabetes.
- Develop national guidelines and protocols for diabetes mellitus and metabolic syndrome.
- Plan to strengthen the capacity of health professionals.
- Organisation of a Consultative Workshop of Stakeholders.
- Report writing.
4.4 Location of the Mission
The location of the work is based on the decision of which 6 PHC centres are identified for strengthening capacity of health professionals to screen for and manage care of patients with diabetes mellitus.
5) The Expertise Required
5.1 Number of experts and working days
1 STE for 18 working days including travel. 5.2 Profile of the Expert
Experience
- Minimum 10 years demonstrated experience with diabetes management in general practice
- Proven experience in developing clinical guidelines, protocols, algorithms, dosing guides, and other clinical support tools (work published or submitted for publication)
- Proven experience in curriculum design and training of master trainers and service providers
- Proven experience in developing and mentoring health professionals
- Minimum 5 years experience working in developing countries or related field
- Leadership experience in the strategic planning and implementation of programmes
- Ability to work in a complex environment with multiple tasks and short deadlines
- Proven experience working and living in conflict and/or post-conflict settings
- Demonstrated strong ability to build team capacity among host country partners and counter-parts.
- Proven experience introducing a Family Medicine approach for physicians and nurses working in primary health care
Qualifications
- Master’s degree and/or doctoral degree in Public Health (MPH) or other related field
- Physician with specialty in Family Medicine with 10 years clinical experience
- Strong clinical skills in managing patients with diabetes and obesity and assessing risk factors and counselling patients with these health conditions. Clinical skills in the context of low to medium resource countries strongly preferred.
- Knowledge of best practices and how to assist others to evaluate evidence for best practices related to diabetes mellitus and metabolic syndrome
- Strong decision-making skills and results-oriented approach
- Strong ability to lead team of staff and/or consultants in design, implementation and follow-up of multi-site programme
- Demonstrated experience working in and managing technical teams, as well as, working inde-pendently with minimum supervision
Demonstrated experience public speaking on clinical care issues in a manner which reflects sub-ject matter expertise
Knowledge of Libyan health care landscape at national and local level desirable
- Regional experience in the Middle East and North Africa desirable
- Fluent in English and knowledge of Arabic an asset
6) Reports
6.1 Format and contents
The report should specifically address subheadings i) – iv) outlined under section 3.2.
The report shall also summarise the main activities implemented, potential constraints encountered, the measures taken or to be taken to ensure the achievement of the objectives and the expected re-sults. Further, the report shall deliver an analysis of potential gaps with regards to the expected results as well as recommendations for the implementation of the EU/LHSS programme related to strengthening the capacity of health professionals to provide care for patients with diabetes mellitus and metabolic syndrome.
6.2 Delivery and approval of reports
A draft report will be delivered electronically to the Technical Assistance Team. All documents deliv-ered by the expert shall receive prior approval by the Chair and Co-chair of the Working Group on Quality of Care, working in close consultation with the Short Term Expert on Quality of Care and other Working Group members. The report will further be approved by the Project Manager (the European Union) and the Consultant (EUNIDA/GIZ).
How to apply:
If you are interested, please do not hesitate to apply until 20th September 2013 via email (CV and letter of motivation).
Email: matthieu.david@giz.de ;
Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH
