Purpose of assignment:
Pakistan is amongst the three most populous countries in South Asia. It has made steady progress towards MDG 4 & 5 but is still not on track for achieving the targets by 2015. The rate of change in infant and under five mortality need to be accelerated to meet the targets. Majority of under five deaths occur in the first year (infants deaths) and two thirds of these infant deaths occur in neonatal period. Pakistan has a high Maternal Mortality ratio of 276 per 100,000 live births. Low percentages of births attended by skilled health personnel are one of the key contributing factors to high maternal and neonatal mortality. There is an urgent need to improve birth attendance by skilled health workers.
A Country Specific Strategic Analysis (CSSA) was developed for Pakistan in 2008 to assist the government to review current situation and explore possibilities of increasing technical and allocative efficiencies of the existing programmes. What emerged as an outcome of the CSSA is an advocacy tool for highlighting the fact that continuance of the current practices will not improve the situation of mothers and children and that rethinking is required in the choice of technical interventions and allocative decisions. The evidence from the CSSA is being used to influence the process of planning and budgeting for health programmes. The Pakistan, Country Specific Strategic Analysis (CSSA) stimulated the realization that a similar province specific analysis can be instrumental towards the “Development of an Investment case for MDG 4 & 5”. At the concluding session of Workshop on sharing investment case process in Pakistan Organized by MNCH Program on April 13, 2011 at Islamabad, the representatives of Khyber Pakhtunkhwa requested UNICEF for support in introducing MBB and initiate working towards Provincial SSA.The purpose of the current assignment is to provide a consultant’s support to the DoH Khyber Pakhtunkhwa for relevant data compilation, organizing consultative workshops and developing the final report of RSSA.
The outcome of this consultancy assignment will thus be a document which can show the pathways to accelerating the achievement of MDG targets for reducing maternal, neonatal and child morbidity and mortality through modifications and refinements in strategic interventions and allocative changes. The PSSA will identify models of strategic choices by showing what the choices are, and what the government can expect to get as returns on its investment in each choice.
Duty station: Peshawar Pakistan
Duration: 24 weeks.
Major tasks to be accomplished:
Attend an orientation session with UNICEF staff on MBB to know the tool and understand the scope of work to complete the assignment.
Develop a work plan with timeline, methodology and identify resources required for different activities to complete the assignment. The work plan would include broad information requirements of the assignment. Data will be collected from primary sources of information i.e. Human Resource section, HMIS, LHWs MIS, MNCH data source, Programme data like EPI, TB, HIV AIDS, Malaria etc
Detailed review of existing secondary data source of data including MICS Khyber Pakhtunkhwa 2008, PDHS 2006-07, PSLM, NNS 2010/11, DevInfo and different annual status reports of UNICEF, UNDP, WHO, World Bank, etc and collect required data from these sources. Also identify data gaps and develop plan to collect missing data from sources like PAIMAN, PRIDE etc.
Facilitate consultative meeting/ workshop with the health programmes / selected health system managers and other stakeholders and reach uniform understanding on tracer interventions/ inputs and indicators for inputs in the tool and measurement of progress.
Enter all collected data into the model and do preliminary analysis of the outputs.
Organize and conduct a three day provincial consultative workshop to discuss progress with all provincial stakeholders that would cover strategy development including bottleneck analysis, listing possible options and evaluating rational choices.
Based on the findings of the above workshops, develop draft of PSSA for Khyber Pakhtunkhwa and share it with the stakeholders for review and inputs.
Develop final report of RSSA and submit to Health Department Khyber Pakhtunkhwa.
Organize and facilitate Dissemination workshop for Provincial SSA
- Work plan of the assignment
- Report of orientation workshop
- Report on bottleneck identification and data verification workshop
- Draft PSSA report
- Final PSSA report
Final report on dissemination workshop
·All travel related expenditure outside of Peshawar would be according to UN entitlements and rules
·All local travel within Peshawar will be the responsibility of the consultant
·Any expenditure on workshops/seminars/meetings will not be the responsibility of the consultant