State Maternal Health Consultant

Last date of application
 27-May-21 23:59 HR

JOB DESCRIPTION
State Maternal Health Consultant,
International Development Agency, Bhopal, Madhya Pradesh

1. POSITION(S) VACANT: State Maternal Health Consultant, International Development Agency, Bhopal, Madhya Pradesh

2. ORGANIZATION BACKGROUND:
Our client is a respected, International Development Agency (IDA), that works across the globe to promote children's survival, protection and development.

PROJECT BACKGROUND:
Maternal Mortality remains a huge public health priority to be addressed in Madhya Pradesh. Although, over the years, MP has shown improvement in many of the health and nutrition indicators, however, Maternal Mortality Ratio (MMR) in Madhya Pradesh is currently at 173 per 1,00,000 live births (as per MMR Bulletin 2015-17). Overall maternal mortality is closely linked with new-born mortality with 35 per 1000 live births (SRS 2018). Data from Special New-born Care Units (SNCUs) MIS, reveals that of the 100,000 sick new-borns treated at SNCUs in 2019, 17% die due to infections. 20-27% due to birth asphyxia and over 44% due to Low birth weight and preterm complications.  India New born Action Plan (INAP) 2016, LaQshya guidelines 2017-18, reports that day of birth is most critical for both mothers and new-borns. Moreover, to further reduce maternal and new-born mortality, key high impact interventions need to be focused on which include Quality of care at birth in the labour room; including management of third stage of labour, new-born resuscitation, improving access to caesarean deliveries where needed,  CeMONC, BeMONC skills, infection prevention and control measures, WASH practices, skin to skin contact, early initiation of breast feeding, use of antenatal cortico-steroids during pre-term labour, maternal and new born , still birth and perinatal death audits among other interventions. Moreover, other high impact interventions include quality of Ante-natal care, management of high-risk pregnancies including teenage pregnancies and quality post-natal care of mothers. Madhya Pradesh has strengthened the availability of labour rooms up to sub health centre delivery points with New born care corners (NBCCs). MP also has the BeMONC CeMONC facilities at CHCs, Civil Hospitals and District hospitals, with NFHS 4 reporting 70% deliveries at public health facility and around 10-11 % at private health facilities. However, access to caesarean deliveries is less than 7% in public health facilities.

As per NFHS-4 (2015-16), 53% women had antenatal check-up in the first trimester while only 35.7% had 4 ANC visits and 11.7% had taken full package of ante-natal care. 80.8% deliveries are being conducted at the institutions and 69.5% in the public health institutions. Average 19.2% deliveries are being conducted at home and only 2.3% of them are conducted in presence of Skilled Birth Attendants. About 55% mothers received Post-natal Care (PNC) within 48 hours of delivery. There are high disparities between the districts for achievement of service delivery indicators. In low-income countries, 25% of low birth weight is attributable to maternal anaemia during pregnancy. SNCU MIS data also reveals, 80% of the sick new-borns including low birth weight/ pre-terms are born to mothers who married at less than 21 years of age, with less than 3 years of birth spacing and repeated pregnancies.

National Health Mission-Madhya Pradesh has been working to strengthen the institutional deliveries through Skilled Birth Attendances (SBA) and BeMONC services in the state. Additionally, they are now improving Maternal Obstetric Intensive Care units (OICU) and model labour rooms in the state. Over the years Madhya Pradesh has also been improving referral transport for pregnant women and documenting the same through the state-based referral transport online MIS system. Similarly, maternal nutrition package has been expanded to include newer supplements like calcium and deworming as well as focused nutrition counselling for at-nutrition risk mothers. Batching-Matching to improve quality of ANC service delivery and identification and management of high-risk pregnant women. These concentrated efforts are necessary to make an impact on pregnancy outcome. 

IDA in Madhya Pradesh has been supporting the National Health Mission (NHM) Government of Madhya Pradesh (GoMP) to strengthen referral transport monitoring mechanisms, model labour rooms, LaQshya, Water Sanitation and Hygiene (WASH) in Health facilities, Pradhan mantra Surakshit Matritwa Yojana (PMSMA) and other RMNCH+ A interventions. There is a need to also strengthen peri-natal death reviews in the state along with LaQSHYA. In late 2019, GoI has launched the Surakshit Matritwa Ashwasan (SUMAN) scheme to improve quality of ante-natal care. IDA MP will also be supporting GoMP in launch and implementation of SUMAN program. GoMP is soon rolling out Mid-wifery program with National Mid-wifery Training Institutes (NMTIs) being supported by JHPEIGO and State Midwifery Nursing Training Institutes (SMTIs) being supported by IDA MP.  IDA will also be part of steering and state task force committee to roll out Mid wifery in MP, for selection of nursing educators, and nurse midwifery committee as well as SMTI gap assessments for nominated SMTI for roll out.

IDA MP is also supporting the GoMP, NHM and Department of Women & child Development (WCD) to develop the state strategy for addressing maternal nutrition and anaemia in pregnancy and prevention and management of high-risk pregnancies.

In response to the COVID-19 pandemic, Government of India has undertaken a pan-India approach to address COVID-19 in country, involving various line Ministries and all States/UT. In line with IDA Country Office programme guidance for response, IDA MP will work to support the State Government of India in minimizing morbidity and mortality due to COVID in the State, and to minimize the disruption of essential services for women and children that may be caused by it. It is envisaged that most of the support to be provided by IDA will rely on existing ‘service delivery platforms’, and that it will be delivered through existing government initiatives therefore contributing not only to COVID-19 preparedness and response, but also to longer term health systems strengthening agenda of GoMP, institutions such as SDMA and partners.

The consultant is proposed to support NHM for Maternal Health interventions to strengthen the continuum of care during pregnancy by focusing on evidence-based health and nutrition actions.

3. JOB DESCRIPTION/ RESPONSIBILITIES:
Reporting to the Deputy Director, Maternal Health, NHM Bhopal, the State Maternal Health Consultant (SMHC) will be responsible to provide support to NHM for Maternal Health interventions to strengthen the continuum of care during pregnancy by focusing on evidence-based health and nutrition actions.

Key Deliverables:
(1) Strengthen quality of Antenatal, Intrapartum and Postnatal Care at facility and community level in select districts including tracking management of high-risk pregnancies (including teenage pregnancies);
(2) Strengthen Quality of care through LaQshya, WASH in Health, SUMAN, ANC service delivery, PMSMA, SBA, BeMONC training sites & facilities, obstetric ICUs and other maternal health programs;
(3) Provide support to the state to roll out Mid-wifery program & Safe delivery App in the state;
(4) Provide support to the state for supportive supervision of COVID-19 preparedness in Labor Rooms and obstetric OT in IDA supported LaQshya health facilities and other facilities;
(5) Strengthen documentation and reporting of perinatal death reviews, intrapartum, antenatal and postnatal facility and community-based health services.

4. QUALIFICATIONS, EXPERIENCE AND COMPETENCIES:

Qualification and Experience:
(1) MBBS with Post Graduate degree or Diploma (MD/ Diploma) in Gynaecology / Public health (MPH) / (MD) Community Medicine/ Health or Hospital Administration/Public Health Post Graduate degree or Diploma in Public health or health administration or RCH management with three to five years’ experience of working closely with RCH/ NHM/ Nutrition program at division or state level;
OR
(2) BAMS/ BHMS/ BDS/ BHA with Post graduate degree or diploma in Nutrition or Public Health Nutrition or Master’s in Health Administration or Master’s in Public Health or Master’s in Health/ Hospital Administration with four to eight years of experience in RCH program management at district/ state level;
OR
(3) Any graduate with Post Graduate Degree or Diploma in Nutrition/ Public Health Nutrition or Master’s in Health Administration or Master’s in Public Health or Master’s in Health/ Hospital Administration or Masters in Health MIS/ Data management with four to eight years of experience in RMNCH+A program management at district/ state level;

(4) Good understanding and experience of NHM/RCH planning process and Continuum of Care/MH interventions;
(5) District/ Divisional or State level experience would be desirable;
(6) Experience of essential health data management will be an asset (Real Time Apps, ASMAAN, Safe Delivery app etc).

Skills and Competencies:
(1) Ability to plan and execute activities at district /divisional and level;
(2) Should possess good negotiation and communication skills (both written and oral) as well as analytical skills;
(3) Proficiency in using computer skills, data analysis, report writing, and documentation would be essential;
(4) Good track record of credibility, trust and honesty;
(5) Knowledge of English and Hindi is essential.

5. ESTIMATED TRAVEL: Approximately 14 days in a month for the achievement of the listed deliverables.

6. NATURE OF ENGAGEMENT:
The SMHC shall be hired on a consultancy contract through Strategic Alliance Management Services P Ltd. (SAMS), a respected HR Agency.

7. REMUNERATION:
Remuneration payable to the selected candidate in the form of professional fees shall be attractive and in alignment with market norms.

Applicants are required to provide details of salary history, as well as expected remuneration for the position, in the online application form.

Notes:
(1) The above elements shall be a key input into the selection and negotiation process;
(2) Candidates are expected to have their own laptops and be internet connected and these items shall not be provided.

8. LOCATION: Bhopal, Madhya Pradesh

9. DURATION: The successful candidate shall be issued a consultancy contract from the date of joining till December 31, 2021, extendable thereafter, on the basis of performance and approval by IDA

10. REFERENCE: SMHC-MP

11. CONTACT INFORMATION:
Team SAMS
Strategic Alliance Management Services P Ltd.
1/1B, Choudhary Hetram House, Bharat Nagar 
New Friends Colony, New Delhi 110 025
Phone Nos.: 011- 2684 2162; 4165 3612 

12. APPLICATION PROCESS:
Eligible candidates interested in the position are requested to apply using the https://recruitment.samshrm.com/Jobs/ida by or before May 27, 2021.