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Switzerland: Consultancy: Producing a report on Inequity in Maternal, Newborn and Child Health and Nutrition in the context of continuum of care in Europe and Central Asia Region (Home based)

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Jun 222018
 

Organization: UN Children’s Fund
Country: Switzerland
Closing date: 05 Jul 2018

UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.

Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.

And we never give up.

1. Background

The ECA Region has seen significant developments related to child rights. Despite those developments however, the most marginalized, vulnerable and disadvantaged groups still fall behind. There are significant/widened equity gaps in realizing rights for all children (children in the poorest income quintile, children with disabilities, children from ethnic minorities, from migrant families and children living in certain geographic areas). These challenges are also seen in the areas of Maternal, Newborn, Child Health and nutrition (MNCHN) dimensions. There is a need to better understand inequity across the region but unfortunately, no regional inequity analysis in MNCHN has conducted in the recent past.

With the emergence of SDGs and the new vast set of indicators under MNCHN, as well as the newly adopted Strategic Plan, and common strategy that builds on the Regional Knowledge and Leadership Agenda (RKLA) in Health and Nutrition by late 2016, running an inequity analysis in MNCHN is needed. Further, undertaking this exercise will fulfill one of the recommendations of the regional MCE evaluation. To respond to this need, a region-wide analysis has been conducted using the findings of recent MICS and DHS surveys from 19 countries in ECAR. This analysis was aiming at identifying the inequities in health and nutrition for all eligible countries in the region and disaggregated by gender, geographical, socio-economic (quantiles of wealth) and in the context of continuum of care.

Following the completion of the analysis and development of all graphs and tables, A consultancy is needed for the development of a regional report to convey the findings around inequities in MNCHN and to develop country profiles for the listed countries in the analysis.

2. Objective

To develop a regional report and several country profiles on equities in MNCHN

Specific objectives:

  • To narrate a regional report on equities in MNCHN in the context of continuum of care
  • To develop country profiles on equities in MNCHN in the context of continuum of care
  • Outputs of the consultancy

  • A regional Report on inequities in MNCHN and a country profile for every eligible country;
  • A visual report on regional specific conceptual framework for MNCH poor results
  • Outcomes of the consultancy

  • The study will support the RO on monitoring of SDGs goals and indicators and positively influence the regional, COs and also their partners’ policies and programs under MNCHN.
  • The results will also enable RO and COs better shape prioritization of MNCHN equity gaps which will also have a ripple effect on the identification of resource allocation at regional and country level.
  • Potential Impacts of the consultancy:

  • As a result of the mentioned upgraded policies and programs, more equitable, targeted and quality services will reach the most marginalized children ad mothers to fulfil their MNCHN rights.
  • 3. Methodology and Technical Approach

    The consultant will review similar reports produced by other UNICEF ROs, all analysis undertaken based on MICS and DHS data will be provided to the consultant. In addition, other sources of information like SOWC database, WHO country profiles and other related materials can be used for reference. Based on the review of existing analysis, the regional report and country by country profile on inequity in MNCHN will be developed using graphs, tables and Composite graphs/charts should also be used where possible to determine compounding effect of multiple deprivation. The graphs will be interpreted based on significant observed inequities and the gaps across the continuum of care.

    Deliverable 1: Regional Report on inequities in MNCHN Below headlines are suggested for the regional report;

  • Executive summary
  • Methodology and limitations of the report
  • Key findings on health inequity;
  • 1. Key findings on inequity in Maternal and Newborn health (including mortality and immunization)

    2. Key findings om inequity in child health (including child mortality and immunization)

    3. Key findings on inequity in nutritional wellbeing

    4. Key findings on inequity in WASH

    5. Key findings on correlation of dependent (impact) and independent indicators (drivers)

    6. Key findings on gaps across the continuum of care

  • Conclusions

  • Indicators recommended to measure health inequity
  • Areas in which more research on health inequity is needed
  • Priority areas and priority countries in the implementation of equitable policies to improve MNCHN

  • Deliverable 2: Country profiles on inequities in MNCHN Below headlines are suggested for the regional report;

    In addition to the regional report, country by country profile on inequity in MNCHN across the continuum of care will be developed. A harmonized template will be developed and agreed upon. In addition, the use of infographics and a summary of the main findings around MNCHN inequity issues in the featured countries and related policy recommendations, should be included.

    4. Activities, Deliverables, Indicators, Timeframe, and Schedule of Payment

    Activity

    Corresponding Deliverable

    Indicator

    timeframe

    Payment

    %

    Preparation and submission of the 1st draft report on regional inequities in MNCHN

    1st draft report on regional inequities in MNCHN

    The report is submitted for review

    15 days

    30%

    Submission of the template for country profiles on MNCHN equities

    Template for country profile on MNCHN equities

    The template is submitted for review

    2 days

    Submission of the final regional report inequities in MNCHN

    Final report on regional inequities in MNCHN

    The report is submitted

    5 days

    30%

    Submission of the first draft of country profiles on MNCHN equities

    Draft country profiles on MNCHN

    The country profiles are submitted for review

    10 days

    Submission of the finalized country profiles on MNCHN equities

    Final country profiles on MNCHN

    The country profiles are submitted

    5 days

    40%

    Total number of required working days

    37 working days

    N.B. All reports and presentations should be submitted in English

    5. Management and Organization

    5.1. Management: The consultant will work under the direct supervision of UNICEF ECARO Health and Nutrition Specialist

    5.2. Travel: No travels are forecasted, ad hoc trips if authorized will be covered by UNICEF as per the regulations

    5.3. The Consultant will be responsible for organizing and coordinating all meetings with the counterparts as required.

    7. Conditions of Work

    This is a home-based consultancy. The consultant shall use his/her own facilities to manage the work, but, where circumstances demand otherwise, shall be allowed to make use of available UNICEF office space, computer and internet facilities with prior notification and arrangement with the supervisor and UNICEF Admin/ICT. The provision of these facilities by UNICEF shall be subject to their availability.

    8. Qualifications

    The consultancy should possess the following qualifications:

  • Experts with post-graduate degree in or public health, epidemiology, of social sciences
  • Minimum 10 years of working experience in writing similar report
  • Previous working experience with UNICEF/UN is an asset
  • Fluency in English both written and verbal is essential
  • Knowledge of Russian language is an asset
  • Remarks:

    Please indicate your ability, availability and daily rate in US dollars to undertake the terms of reference above.Applications submitted without a daily rate will not be considered. Only shortlisted candidates will be contacted and advance to the next stage of the selection process.

    How to apply:

    UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=514004

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