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Consultancy Title: Documenting lessons learned and recommendations in the implementation of simplified approaches in relation to the new WHO Guideline on Child Wasting
Section/Division/Duty Station: Nutrition and Child Development Programme Group, Programme Division, NYHQ
Duration: April 15 2025 to October 31 2025
Home/ Office Based: NYHQ / Remote
About UNICEF – DO NOT EDIT
If you’re a dedicated, inventive skilled and are enthusiastic about making a long-lasting difference for kids, the world’s main kids’s rights group would really like to hear from you. For 70 years, UNICEF has been working on the floor in 190 nations and territories to promote kids’s survival, safety and improvement. The world’s largest supplier of vaccines for creating nations, UNICEF helps child well being and diet, good water and sanitation, high quality fundamental training for all boys and women, and the safety of kids from violence, exploitation, and AIDS. UNICEF is funded totally by the voluntary contributions of people, companies, foundations and governments. UNICEF has over 12,000 workers in greater than 145 nations.
BACKGROUND
Purpose of Activity/ Assignment:
In 2023, an estimated 45 million kids beneath 5 years previous nonetheless undergo from losing, of which 13.6 million are estimated to undergo from its most extreme type. While remedy protection has elevated with an estimated 9.3 million of kids beneath 5 handled for extreme losing in 2023 and 9.4 million supplemented for reasonable losing, appreciable efforts are nonetheless wanted to attain the most weak kids. WHO acknowledges that in order to maximize the quantity of malnourished kids cared for, interventions want to be as possible and low-cost as potential with out compromising the well being of kids—and these rules have been integrated into the improvement of the WHO Guideline for the prevention and administration of Child losing (2023).
The 2023 WHO guideline has a broader scope than the 2013 guideline and goals to combine care throughout inpatient and outpatient/neighborhood settings. New areas akin to the inclusion of recommendations akin to the identification and administration of losing by Community Health Workers, administration of reasonable acute malnutrition (MAM), administration of infants in danger of poor development and improvement, post-exit interventions and prevention will consequence in nationwide governments updating their nationwide insurance policies and tips. Understanding the feasibility and sensible concerns, together with challenges and options, will inform UNICEF’s technique when it comes to supporting nations in scaling up these interventions in line with the new WHO recommendations, and studying from earlier programme implementations.
The package deal of the ‘simplified approaches’ has been instrumental in testing new methods of delivering companies to kids and their households in a spread of contexts. While the Simplified Approaches weren’t adopted in the new tips, there are parts from some of the approaches which can be (e.g., Delivery of Treatment by Community Health Workers) mirrored in the tips. Efforts to-date on documentation of the simplified approaches have largely targeted on proof era and analysis outcomes, and not essentially on operational features of implementing these variations, significantly in gentle of the new WHO Guidelines.
Supporting nations to undertake the new tips is a precedence for UNICEF, and a method to present this assist is to doc experiences of nations who’ve rolled out variations, in order to inform scale- up of these interventions inside the context of the new WHO Guidelines. Some of the interventions of focus (however not solely) are the supply of remedy by community-health staff, “lowered “dosage of RUTF when child transitions from SAM to MAM, and the administration of MAM with RUTF. Understanding the feasibility, challenges, and options to these challenges will assist inform UNICEF’s technique on the subsequent stage of the new WHO guideline implementation.
Scope of Work:
The function of this project to evaluation and collect lessons learned from nations who’ve expertise in operationalizing these interventions and to doc these operational learnings in the type of sensible recommendations in order to assist future implementation and roll out of current programmatic shifts associated to the new WHO Guideline recommendations.
This evaluation ought to discover boosters and challenges in the implementation of these interventions and will draw similarities, strengths throughout contexts in order to present sensible options and recommendations on how these interventions might be taken to scale as soon as tailored to the newest WHO Evidence-based recommendations. These recommendations/options ought to focus on the brief, medium and long run and ought to span throughout completely different programmatic features and ranges of the nationwide well being system.
Example of questions to discover (non-exhaustive checklist):
– What does it imply for a CHW to spend important quantity of their time on losing actions in phrases of supply of different child well being actions?
– How do CHWs when each SAM and MAM kids are managed beneath similar program?
– Considerations when deciding between CHWs weighing kids vs. assessing utilizing MUAC Only
– What can be the necessities to guarantee all kids with losing are weighed and peak measured in line with the new WHO recommendations?
– How was the determination to cut back dose of RUTF made?
– What instruments have been the most helpful for CHWs and well being staff?
– What are the programmatic and logistical challenges when introducing the “reduced” dosage of RUTF when child transitions from SAM to (and the place related)?
– What are the programmatic and logistical challenges when utilizing one single product (RUTF) for each SAM and MAM with increased danger administration?
Key areas of focus:
– Process of introduction and roll-out of intervention (e.g., how was the determination made to introduce this adaptation?)
– Programmatic parts: supportive supervision; trainings; different operational concerns (e.g., monitoring, logistics/tools).
– Development of coaching supplies/job aids
– Integration into current well being construction (e.g., planning, finances, nationwide protocols/tips)
Methods for amassing data will embrace a desk evaluation and Key Informant Interviews (KIIs) with related stakeholders in completely different contexts and nations. Deliverables will embrace an inception report, 2-3 displays on findings, a last report and a potential article/summary for exterior publication.
The improvement of this work might be a collaborative method, and would require shut session with UNICEF nation, regional and HQ places of work and implementing companions.
Terms of Reference / Key Deliverables:
Work Assignment Overview, Deliverables/ Outputs, Delivery deadline
The function of this project to evaluation and collect lessons learned from nations who’ve expertise in operationalizing these interventions and to doc these operational learnings in the type of sensible recommendations in order to assist different nations in introducing and/or scaling these interventions in line with the new WHO Guideline recommendations.
- Inception Report, together with proposed nation choice –May 31 2025
- 2-3 displays on findings developed for particular audiences – October 1 2025
- Article/summary for exterior publication October 1 2025
- Final Report (s) October 31 2025
Education:
Masters in a science associated area (e.g. public well being, diet, well being science), with 5 years of related expertise.
Work expertise:
Knowledge/Expertise/Skills required *:
Masters in Nutrition or related public-health self-discipline
• At least 5 years skilled expertise in diet programming.
• Firsthand information and expertise in the implementation of new programmatic approaches (Family MUAC, CHW-led remedy, Simplified Protocol, and so on.) in the remedy of child losing
• Experience in offering programmatic and technical steering associated to acute malnutrition for program workers delivering public well being interventions in resource-limited setting.
Outstanding communication abilities, with skill to write and converse in a transparent and sensible method in English is necessary, French and/or Portuguese is an added benefit.
Requirements:
Completed profile in UNICEF’s e-Recruitment system and
– Upload copy of tutorial credentials
– Financial proposal that can embrace/ mirror :
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- the prices per every deliverable and the whole lump-sum for the entire project (in US$) to undertake the phrases of reference.
- journey prices and day by day subsistence allowance, if internationally recruited or journey is required as per TOR.
- Any different estimated prices: visa, medical health insurance, and residing prices as relevant.
- Indicate your availability
– Any emergent / unexpected obligation journey and associated bills might be lined by UNICEF.
– At the time the contract is awarded, the chosen candidate should have in place present medical health insurance protection.
– Payment of skilled charges might be based mostly on submission of agreed passable deliverables. UNICEF reserves the proper to withhold fee in case the deliverables submitted are usually not up to the required customary or in case of delays in submitting the deliverables on the part of the guide.
U.S. Visa data:
With the exception of the US Citizens, G4 Visa and Green Card holders, ought to the chosen candidate and his/her family members reside in the United States beneath a special visa, the guide and his/her family members are required to change their visa standing to G4, and the guide’s family members (partner) would require an Employment Authorization Card (EAD) to have the ability to work, even when he/she was approved to work beneath the visa held prior to switching to G4.
Only shortlisted candidates might be contacted and advance to the subsequent stage of the choice course of
For each Child, you display…
UNICEF’s core values of Commitment, Diversity and Integrity and core competencies in Communication, Working with People and Drive for Results. View our competency framework at: Here
UNICEF presents reasonable accommodation for consultants/particular person contractors with disabilities. This might embrace, for instance, accessible software program, journey help for missions or private attendants. We encourage you to disclose your incapacity throughout your application in case you want affordable lodging throughout the choice course of and afterwards in your project.
UNICEF has a zero-tolerance coverage on conduct that’s incompatible with the goals and targets of the United Nations and UNICEF, together with sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF additionally adheres to strict child safeguarding rules. All chosen candidates might be anticipated to adhere to these requirements and rules and will subsequently bear rigorous reference and background checks. Background checks will embrace the verification of tutorial credential(s) and employment historical past. Selected candidates could also be required to present extra data to conduct a background check.
Remarks:
Individuals engaged beneath a consultancy won’t be thought of “staff members” beneath the Staff Regulations and Rules of the United Nations and UNICEF’s insurance policies and procedures and won’t be entitled to advantages offered therein (akin to depart entitlements and medical insurance coverage protection). Their situations of service might be ruled by their contract and the General Conditions of Contracts for the Services of Consultants. Consultants are accountable for figuring out their tax liabilities and for the fee of any taxes and/or duties, in accordance with native or different relevant legal guidelines.
The chosen candidate is solely accountable to make sure that the visa (relevant) and medical health insurance required to carry out the duties of the contract are legitimate for the whole interval of the contract. Selected candidates are topic to affirmation of fully-vaccinated standing in opposition to SARS-CoV-2 (Covid-19) with a World Health Organization (WHO)-endorsed vaccine, which should be met prior to taking over the project. It doesn’t apply to consultants who will work remotely and are usually not anticipated to work on or go to UNICEF premises, programme supply areas or immediately work together with communities UNICEF works with, nor to journey to carry out capabilities for UNICEF for the length of their consultancy contracts.
Documenting lessons learned and recommendations in the implementation of simplified approaches in relation to the new WHO Guideline on Child Wasting- Req #575978
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