Terms of Reference for consultancy on capacity building At Action Against Hunger USA

About Us.

Action Against Hunger (ACF), a humanitarian and development leader combating hunger, has served Somalia for three decades. Action Against Hunger provides lifesaving malnutrition treatment, creates innovative solutions to hunger, and partners with communities to foster resilience and lasting change. Our Multisectoral hunger prevention programs increase access to water, sanitation, and hygiene, strengthen health systems, improve livelihoods, and empower women. In Somalia, we have been on the frontlines of treating and preventing malnutrition for three decades. We respond to humanitarian crises, meeting the urgent humanitarian and development needs of the most vulnerable sections across the country in the three main sectors of health and nutrition, WASH and Food Security and Livelihoods.

Action Against Hunger has been operational in Somalia for more than 30 years, with operational presence in Banadir, Lower Shabelle, Bakool, Bay, and Nugaal regions with recent expansion to Hiraan, Middle Shabelle, Gedo, Lower Juba and Sool regions. In Somalia, we have been implementing both humanitarian and development programming through Integrated Health, Nutrition, WASH, Food Security, Livelihoods and Resilience projects. Through the years, we have garnered lessons through our interactions with stakeholders (including Communities), reinvented our approaches, brought on board innovative approaches to save lives, and left no one behind.

In 2023 Action Against Hunger reached 2.6 million people in Somalia in 28 (38%) of the districts in the country with lifesaving support. Our main donors are the World Bank, the UN, Global Affairs Canada, GFFO, FCDO, EU and SIDA.

Background

Action Against Hunger has been contracted by the Federal Ministry of Health of Somalia to implement the Damal Caafimaad Project, delivering the essential health services package in the Bakool and Bay regions of the Southwest state of Somalia. Through the project, Action Against Hunger is supporting 11 hospitals, 65 health centres, and 17 PHUs, providing support for health services, technical support, capacity building, information management, resources, and supplies. The Damal Caafimaad project is being implemented with the general objective of improving the health status of people in target regions (Bakool and Bay) of Somalia through expanding access to high-impact health and nutrition services and strengthening the stewardship and systems of the government. The project’s specific objectives include reducing maternal and newborn mortality, reducing under-5 mortality and improving child health and nutrition, reducing excess mortality due to communicable and non-communicable diseases, strengthening the health system (information and logistic systems), and increasing the coverage of the package.

Action Against Hunger plans to conduct capacity building on different topics across all facilities as part of the project deliverables. The detailed list of the planned training and the number of participants is shown

in the table below. Action Against Hunger seeks to acquire trainers and facilitators for the scheduled training.

OBJECTIVES OF THE TRAINING

• Strengthen the capacity of the MOH front-line health staff and district management officers to deliver Quality health and nutrition programming and leadership.

SPECIFIC OBJECTIVE of the assignment.

• To conduct technical training for doctors, nurses, auxiliary nurses, midwives, facility administrators, and DHMTs with up-to-date treatment guidelines on different topics.
• To provide training information management systems, including HMIS, EWARNS/surveillance reports and LMIS for health facility staff and DHMTs for better health information management.

SCOPE OF THE WORK

1. Training Delivery:

   • Conduct the planned training sessions across all targeted facilities and districts.
     • Ensure all training sessions are interactive, practical, and relevant to the participants’ roles and responsibilities.

   • Training Materials Preparation:

     • Develop and prepare training materials in collaboration with and under the approval of the technical managers.
     • Ensure materials are tailored to the specific needs of the participants and aligned with project objectives.

   • Training Schedule and Work Plan:

     • Design and produce a detailed training schedule/work plan for each topic.
     • The schedule should include each session’s comprehensive agenda and time breakdowns.
     • Ensure the training schedule accommodates the needs of the participants at the different levels of health facilities.

   • Reporting:

     • Submit a comprehensive report detailing the training conducted, including methodologies, outcomes, and any challenges faced.
     • Provide pre- and post-training assessment reports to evaluate the effectiveness of the training and measure participant learning.
     • Include a complete participant list, with signatures or attendance verification, for all training sessions conducted.

EXPECTED TRAINING PARTICIPANTS

The training targets per training item and region is listed in the below table. The list of targeted facilities and district are attached in Annex1.

1.Training: Basic Emergency Maternal, Obstetric and Newborn Care(BeMONC) and FP Training

Target Group: CS, GPs, and Qualified midwives

No of Staff – Bakool: 72 No of Staff – Bay: 112 Total staff: 184

2. Training: Comprehensive Emergency Maternal, Obstetric, and Newborn Care (CeMONC) Training

Target Group: GPs, Clinical officers, and Qualified Midwives

No of Staff – Bakool: 25 No of Staff – Bay: 25 Total staff: 50

3. Training: Basic and Advanced Life Support (First Aid) Training

Target Group: GPs, Qualified Nurse, Midwives, Auxiliary Nurse

No of Staff – Bakool: 108 No of Staff – Bay: 168 Total staff: 276

4. Training: Integrated Management of Childhood Illness (IMCI) Training

Target Group: GPs, Clinical officers, and Qualified Midwives

No of Staff – Bakool: 108 No of Staff – Bay: 168 Total staff: 276

5. Training: Somali Treatment Guideline (STG III) Training

Target Group: CS, GPs, and Qualified Nurses & Midwives

No of Staff – Bakool: 25 No of Staff – Bay: 25 Total staff: 50

6. Training: Somali Treatment Guideline (STG II) Training

Target Group: GPS, Clinical officers, and Qualified Nurses and Midwives

No of Staff – Bakool: 75 No of Staff – Bay: 120 Total staff: 195

7. Training: Somali Treatment Guideline (STG I) Training

Target Group: GPs, Clinical officers, Qualified Nurses, Midwives, Aux Nurses, Dental and pharmacy technician

No of Staff – Bakool: 21 No of Staff – Bay: 30 Total staff: 51

8. Training: Immunization in Practice Training

Target Group: Qualified Nurses, GPS, and Midwives

No of Staff – Bakool: 108 No of Staff – Bay: 168 Total staff: 276

9. Training: Logistics Management Information System

Target Group: Hospital admins, GPs, LMIS and RH

No of Staff – Bakool: 72 No of Staff – Bay: 112 Total staff: 184

10. Training: Clinical Care of Sexual Assault Survivors (CCSAS) Training

Target Group: GPs and Midwives

No of Staff – Bakool: 108 No of Staff – Bay: 168 Total staff: 276

11. Training: Data Management and Reporting (HMIS) Training

Target Group: Data clerks, GPs, Qualified Nurses

No of Staff – Bakool: 108 No of Staff – Bay: 168 Total staff: 276

12. Training: Waste Management and Infection Prevention and Control (IPC) Training

Target Group: GPs, Clinical officers, Qualified Nurses, Midwives, Aux Nurses, Dental and pharmacy technician

No of Staff – Bakool: 108 No of Staff – Bay: 112 Total staff: 184

13. Training: IDS Training for RH, DH & HC (EWARNS and surveillance reports timely)

Target Group: GPS, Clinical officers, and Qualified Nurses and Midwives

No of Staff – Bakool: 72 No of Staff – Bay: 112 Total staff: 184

14. Training: IMAM & IYCF training

Target Group: GPs, Qualified Nurse, Midwives, Auxiliary Nurse

No of Staff – Bakool: 108 No of Staff – Bay: 108 Total staff: 216

CONSULTANT QUALIFICATIONS:

• Proven experience in conducting training in the health sector, preferably in similar contexts.
• Strong background in developing and delivering interactive and practical training sessions.
• Excellent communication and organizational skills.
• Ability to work collaboratively with technical managers and other ACF staff and adapt training materials to meet specific needs.
• TOT certification from MOH, WHO, UNICEF, or other reputable organizations.
• Higher education degree in medicine, nursing, nutrition, public health, pharmacy, or similar background
• Strong English and Somali language written and spoken skills

TIMELINE:

• The consultancy will be conducted over a period of 5 months (December, 2024 – April, 2025).
• Tentative schedule has been proposed by ACF team and specific dates and times for training sessions will be outlined in the training schedule/work plan.

EXPECTED DELIVERABLES

• A comprehensive report including a description of the training methodology, a summary, the pedagogic tools, the challenges encountered, lessons learned and recommendations.
• A thorough description of the training outcomes with a comparative analysis of the pre- and post-training knowledge and skills assessment, as a group and individually.
• The list of training participants per facility.

PROPOSED TRAINING METHODOLOGY

The facilitator will conduct the training in a participatory approach where all participants actively contribute to discussions. The facilitator will be expected to apply the following Methods, tools & materials for this training

• Demonstration
  • Lectures
  • Group discussions followed
  • Roleplay
  • Brainstorming
  • Powerpoint presentation
  • Questions and answers
  • Recap- Giving Summary of previous day’s sessions
  • Participants reading an extract of the lesson
  • Pre and post-test
  • Participants will complete the training evaluation forms.

Teaching aids to be used during this training will be:

• Flipchart
  • Notebook
    • Biro and pens
    • Hand out
    • LCD projector