Libya: Short-term expert to develop National Emergency Obstetrics and Newborn Care (EmONC) Protocols
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 National Emergency Obstetrics and Newborn Care (EmONC) Protocols and conduct an assessment of Maternity and new-born services in two hospitals
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.
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.
2) Emergency Obstetrics and Newborn Care (EmONC)
The overall objective of EmONC support to the Ministry of Health (MoH) through the EU/LHSS pro-gramme is to improve the efficiency, effectiveness and quality of in-service education to physicians, midwives and nurses who provide maternal and neonatal health care.
The purpose of this action would be to establish a sustainable and focused in-service education pro-gramme in Emergency Obstetrical and Neonatal Care based on updated evidence-based government guidelines and protocols.
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:
- To develop national guidelines and protocols for Emergency Maternal Obstetrics and Newborn Care (EmONC)
- To develop a plan to strengthen the capacity of health professionals to provide Emergency Obstetrics and Newborn Care
- To conduct one two-day OJT (on-job-training) on a relevant topic (e.g. Helping Babies Breathe or AMTSL (Active Management of the Third Stage of Labor) to demonstrate new processes in train-ing staff.
3.2 Specific Objectives of the Mission
i) Design an EmONC in-Service Training Programme ii) Develop National Emergency Obstetric and Neonatal Guidelines and Protocols iii) Prepare a report based on the assessment of two hospitals to introduce best practices related to the EmONC guidelines and protocols iv) Organise a National Consultative Workshop to present the Draft National Emergency Obstetric and Neonatal Guidelines and Protocols and an action plan for implementation using two as a plat-form for implementation v) Conduct one two-day training on a topic related to the new Emergency Obstetric and Neonatal Guidelines and Protocols (e.g. Helping Babies Breathe or Active Management of the Third Stage of Labour)
Expected Results and Deliverables
- National Emergency Obstetric and Neonatal Guidelines and Protocols developed
- Proposed plan to strengthen capacity of physicians, midwives, and nurses to provide emergency maternal and neonatal care at two hospitals delivered
- Consultative Workshop organised
- OJT on a topic from EmONC guidelines and protocols to demonstrate new procedures and pro-cesses in training and develop competency in one content area.
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).
A Task Force may be established to guide the development of national guidelines and protocols for emergency obstetrics and newborn care and related training curriculums. The Task Force will report to the Chair of the Working Group on Quality of Care.
4.3 Timetable
The duration of the mission will be of 24 person/days and take place during the period of time from 21 October to 30 November 2013. There may be follow-up missions identified according to the re-sults of the STE. The tasks for the expert are as follows:
- Conduct assessment visits to two hospitals.
- Gather information needed to strengthen capacity of health professionals to provide emergency obstetrics and newborn care and submit the outline of the report. The outline will be validated by the Chair of the Working Group on Quality of Care and address tasks outlined under the subhead-ings i) – v) described under section 3.2. The outline will assist all parties in clarifying deliverables and expectations.
- Develop draft national guidelines for Emergency Obstetrics and Neonatal Care.
- Participate in a National Consultative Workshop to present the draft guidelines and protocols.
- Incorporate feedback gathered into the draft guidelines and protocols and conduct one two-day OJT training on a topic from EmONC Guidelines and Protocols.
- At least one day prior to the end of the mission the expert shall deliver a final report, which should have incorporated feedback from the Chair of the Working Group on Quality of Care.
4.4 Location of the Mission
The location of the work is based on the decision of which two hospitals are identified for strengthen-ing capacity of health professionals to provide emergency obstetrics and newborn care and potentially become EmONC training centres. In all likelihood, one hospital will be the Maternity Hospital in Tripoli and the other will be the new maternity hospital in Benghazi.
5) The Expertise Required
5.1 Number of experts and working days
1 STE for 24 working days .
5.2 Profile of the Expert
Experience
- At least 10 years clinical experience with 5 years working experience in developing and mentor-ing health professionals and at least 3 years leadership experience in the strategic planning and implementation of Sexual and Reproductive Health (SRH) programmes
- Proven experience in developing SRH and EmNOC quality and rights-based service standards self-assessment tools, clinical guidelines, protocols, algorithms and other clinical support tools (work published or submitted for publication)
- Demonstrated solid experience in curriculum design including adult learning theory and training of master trainers and service providers in field of Sexual and Reproductive Health (SRH) and emergency obstetric care
- Proven experience in leading knowledge sharing and knowledge management activities in the field of Sexual and Reproductive Health (SRH) and emergency obstetric care and/or in process, impact, and outcome evaluations of SRH programmes
Qualifications
- University degree in Midwifery, Nursing or Medical Sciences (MD, MBBS) with a focus on repro-ductive health, obstetric, public health, social medicine or equivalent
- Master’s degree and/or doctoral degree in Public Health (MPH) or other related field
- Strong clinical skills in midwifery, nursing or obstetrics and gynaecology including management of complicated and normal birth, counselling, antenatal care, postpartum, management of infectious diseases including HIV, post-partum and post-abortion care, post-abortion care and primary care. Clinical skills in the context of low to medium resource countries strongly preferred
- Recognized expertise in curriculum development, training techniques and performance evaluation
- Demonstrated capacity building skills including coaching, mentoring and training stakeholders
- Proven facilitation and collaboration skills working with multi-level stakeholders, including tech-nical and subject matter experts, local partners and researchers
- Capacity to articulate and address issues that facilitate implementation and sustainability of effective SRH programmes
- Strong decision-making skills and results-oriented approach
- Expert knowledge of SRH/EmONC best practices
Strong decision-making skills and results-orientation
Excellent communication and negotiation skills
Knowledge of the 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) – v) outlined under section 3.2. The report shall include a list of background documents gathered, copy of the National Emergency Obstetric and Neonatal Guidelines and Protocols, the assessment of two hospitals, the analysis of feedback gathered from the consultative workshop, and the outline of a curriculum for training physicians and midwives in the use of the newly developed EmONC guideline as an appendix.
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 emergency obstetrics and newborn care.
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).
A Task Force may be established to guide the development of national guidelines and protocols for emergency obstetrics and newborn care and related training curriculums. The Task Force will also review and comment on the report. Feedback will be transmitted through the Chair of the Working Group on Quality of Care.
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
