Nutrition Facilitators

Country: Yemen
Organization: CTG
Closing date: 10 Jun 2021

Overview of position

Given the dire humanitarian situation and needs, CLIENT supports a wide range of health and nutrition responses across Yemen. This ranges from preparedness and reporting to the immediate needs of responding to the risk of famine, disease epidemics/pandemics (ongoing COVID19 pandemic, cholera, diphtheria and measles among other potential outbreaks), to preservation of the collapsing health system at all levels.

The food security situation in Yemen is alarming with the country at the brink of famine. The first IPC acute malnutrition showed that from October to December 2020, 13.5 million people (45 per cent of the total population analyzed) are facing high levels of acute food insecurity (IPC Phase 3 or above), despite ongoing humanitarian food assistance (HFA). This includes 9.8 million people (33 percent) in IPC Phase 3 (Crisis), 3.6 million (12 percent) in IPC Phase 4 (Emergency), and of greatest concern, approximately 16,500 people in IPC Phase 5 (Catastrophe). The projection for the period between January and June 2021 indicates that the number will increase by nearly 3 million to 16.2 million people (54 percent of the total population analyzed) who are likely to experience high levels of acute food insecurity (IPC Phase 3 or above). Out of these, an estimated 11 million people will likely be in Crisis (IPC Phase 3), 5 million in Emergency (IPC Phase 4), and the number of those in Catastrophe (IPC Phase 5), will likely increase to 47,000. Food insecurity is more severe in areas with active fighting or bordering areas with limited access and is particularly affecting Internally Displaced Persons (IDPs) and marginalized groups. The caseload in Catastrophe (IPC Phase 5) is mainly found in Al Jawf, Hajjah, and Amran governorates

Acute malnutrition (AMN) is a major public health concern in several parts of the country, with 80% of the zones in IPC AMN Phase 3 or above during the analysis period of January – July 2020. Critical levels (IPC AMN Phase 4 in period Jan to July 2020) of acute malnutrition were identified in Taiz Lowland and Hajjah Lowland.

The acute malnutrition situation was projected to deteriorate further moving from IPC AMN Phase 3 to

Phase 4 for the period January to March 2021 in the following 11 zones; Abyan Lowland, Lahj lowland, Al Jawf, Al-Mahweet Lowland, Hodeidah Highland, Hodeida Lowland, Marib Rural, Raymah, Sa’ada Highland, Sa’ada Lowland, Taiz Highland, and West Dhamar.

The 2020 IPC AMN analysis identified several contributing factors to acute malnutrition. These include a deterioration in food insecurity, reduced access to WASH and health services, poor infant and young feeding practices, a high prevalence of co-morbidities (malaria, diarrhoea, respiratory infections among children under age 5), ongoing conflict, and economic shocks. These factors have been compounded by the impact of COVID-19 pandemic on the use of health and nutrition services and challenges in sustaining the delivery of essential health and nutrition services.

Primary objective of CLIENT nutrition programs in Yemen is to prevent malnutrition in all its forms across the life cycle: throughout early childhood, middle childhood and adolescence. CLIENT advocates for and supports policies, strategies and programs that prevent malnutrition and ensure healthy growth for infants and children. These policies, strategies and programs aim to protect, promote and support recommended breastfeeding practices for infants and young children from birth; promote and support age-appropriate complementary foods and feeding practices in the first two years of life; and support the use of micronutrient supplements to prevent all forms of malnutrition in early childhood.

Therefore, CLIENT Yemen approach to scale up preventative & Therapeutic nutrition programming is guided by the conviction that reducing inequities is right in both principle and practice aiming at building resilient services, especially in high risk areas where inequities prevent the most marginalized children and women from having access and adequate nutrition services and practices through multisectoral accelerated plan.

CLIENT has already initiated a multi-sectoral accelerated response to addressing the deteriorating nutrition situation following the release of the IPC Acute Malnutrition analysis. This has supported closer interaction and collaboration with other sections internally and thus the identification and acceleration of nutrition related interventions in WASH, C4D, education, child protection and social policy in priority districts. CLIENT leverages its comparative advantage as a multisectoral agency to ensure a timely and coordinated response to prevent and treat malnutrition in humanitarian contexts, including via services by the nutrition, health, water and sanitation, education, and social protection programs.

Justification

Despite the significant investments and scale up of nutrition programmes in Yemen, coverage gaps remain across all programme areas especially preventative measure and system strengthening. CLIENT and the partners have activated a multi-sectoral acceleration and scale up response to the impending nutrition crisis in Yemen starting with a preparatory and planning phase of about 4 months starting in December 2020. CLIENT is scaling-up support to the poorest, excluded and most marginalized households across all of Yemen’s 22 governorates and 333 districts based at greatest risk of malnutrition and having children with SAM. Bottlenecks and gaps identified include local insecurity, import restrictions on supplies, limited number of health facilities and health workers including Community Health and Nutrition Volunteers and unpaid health workers. These factors contribute to the low coverage of services in addition to inadequate follow up of nutrition programmes particularly at the lower levels (district and community). These have all been compounded by the recent introduction of the decentralization strategy and risk pivot measures which has placed a heavy burden on Field Office teams.

There is an immediate need to support and facilitate Field Offices to ensure more efficient delivery of the acceleration plan in respective GHO’s and districts through the recruitment of Nutrition Facilitators. It is anticipated that this will meet immediate service delivery gaps particularly in accessing and supporting lower levels of programme implementation. Meanwhile, the ongoing Strategic Moment of Reflection and Programme Strategic Note development will make medium to longer term recommendations for strengthening the health and nutrition team structure at national and field levels.

Therefore, is a continued need to support and facilitate Field Offices to ensure more efficient delivery of nutrition services. This is even more apparent during this period of acceleration to ensure FO’s implement the multi-sectoral actions articulated in their FO multi-sectoral accelerated nutrition response plans.

Additional Nutrition Facilitators are required to support FO’s liaise with and work alongside respective GHO’s and districts through. It is anticipated that this will meet immediate service delivery gaps particularly in accessing and supporting lower levels of programme implementation. Meanwhile, the ongoing Strategic Moment of Reflection and Programme Strategic Note development will make medium to longer term recommendations for strengthening the health and nutrition team structure at national and field levels

Role objectives

Description of Tasks:

The Nutrition Facilitator will have a broad role but his/her main role will be to provide a facilitative role in ensuring the delivery of nutrition programmes in various locations (GHO’s and districts) across Yemen. In addition, the role and tasks will be adapted as required based on the location and needs within a specific location.

The functions below are cognizant of the existing Health and Nutrition Section Program structures and Nutrition Cluster and sub-Cluster Coordination structures in YCO. Therefore, the Facilitators recruited are expected to work alongside staff and structures already in place and play a facilitative and supportive role across all key nutrition programme functions. The central level Facilitators will be given more specific roles and tasks depending on programme areas to be assigned.

20% Planning, Coordination and Partnerships

• Support with multisectoral micro-planning and strengthening Health & Nutrition Planning at all system levels including at community level.

• Support FO coordination efforts with other UN agencies and NGO’s in delivering coordinated nutrition services in respective GHO’s and districts.

• Support FO to plan for and conduct monthly/quarterly progress meetings with IP’s

(Government and NGO partners) at the various levels, where appropriate and as required.

• Support GHO’s and districts to document and follow up action points/recommendations from regular nutrition related program meetings or reviews.

• Participate in Nutrition Cluster Coordination meeting to improve links between the cluster and YCO nutrition programme at all levels.

• Support FO staff with any of H&N Programme Cooperation Agreements (PCA’s) at field or country office level. There is currently inadequate capacity at Field Office (FO) level to support the implementation of the recent CLIENT YCO decentralization strategy which empowers FO’s to develop their own PCA’s. Nutrition Facilitators recruited will be expected to play a role in supporting these processes.

• Support FO and central level Nutrition staff or focal points to develop clear expenditure plans aligned to the Annual Work Plans and facilitate their implementation and monitoring. This will include any nutrition related cash transfers, Direct Payments, reimbursements and follow up of any outstanding accountabilities among others.

• Specifically, as part of our new risk strengthening measures (HACT+) as reflected in newly introduced CLIENT SOPs, the Facilitators will assist the nutrition program in the verification of direct payments, verification of beneficiary or payee lists and any other related tasks.

30% Nutrition technical programme support

• In consultation with FO and National level H&N Specialists or Officers, provide support across all nutrition programme areas as and when required specifically;

a. Community based Management of Acute Malnutrition (CMAM): support delivery of services through the more than 3900 treatment sites across the country at national and district levels in collaboration with government and IP’s.

b. Infant and Young Child Feeding programme; provide oversight of the IYCF counselling services through IYCF corners and at various health service delivery points.

c. Micronutrients; support the follow up of ongoing micronutrient supplementation activities, vitamin A supplementation, deworming, micronutrient supplementation of children 6-23 months and iron folate supplementation of pregnant and lactating women.

d. CHNV; support to liaise with GHO’s, DHO’s and or MOPH to streamline CHNV lists, follow up CHNV activities (screening of malnutrition, micronutrient supplementation, IYCF counselling among others, review meetings, support supervision) in close collaboration with the CHNV GHO/DHO focal points and support regular and timely submission of reports. Identify programme bottlenecks and seek local solutions in consultation with CLIENT Nutrition staff or focal points.

• Support and monitor nutrition capacity building activities across all nutrition programme areas.

• Support the supervision and monitoring of nutrition related activities. Note that COVID19 restrictions may limit movements and the ability to rigorously oversee nutrition programmes thus, the Consultants will need to devise alternative or remote approaches to ensuring oversight of the nutrition programmes.

• Support donor requested Third Party Monitoring as and when required.

Nutrition information management, assessments and reporting

• In collaboration with Nutrition Information Specialists and IMO’s support the submission of timely and quality nutrition related information through DHO’s, GHO’s and PCA partners.

• Participate in and support regular nutrition assessments or SMART surveys/FSLA and IPC analysis among others.

• Support information management systems including innovations (RapidPro, LMIS and other mHealth interventions, DHIS 2), as necessary.

• Support to follow up the availability and appropriate use of HMIS registers and other nutrition data tools in health facilities.

• Support program monitoring, reporting and lessons learned documentation;

• Support the development of program documents and planning tools for nutrition programming.

• Participate in and support nutrition related program evaluations.

• Support Knowledge management and evidence generation.

Nutrition supplies management

• Support Nutrition Programme staff to appropriately define the supply needs, to forecast and procure nutrition supplies in an efficient and timely manner to avoid stock outs.

• Support the preparation and follow up of nutrition supply distribution plans in consultation with IP’s (Government and PCA partners) according to the needs of the various delivery platforms; HFs, CHVs, Mobile Teams (MT’s) among others.

• Provide monthly updates on nutrition supply stock levels including end user monitoring at HF’s, district and governorate levels to ensure a more efficient nutrition supply chain system including ensuring the contingency stock at all levels.

• Conduct at least one visit per quarter to the nutrition warehouses at the governorate level and conduct on the job training for the storekeepers on nutrition supply management including storage conditions

Project reporting

Monthly nutrition progress report based on agreed up on parameters and indicators

Other reports in line with work plan key tasks articulated in scope of work (includes donor reports, other thematic reports)

Real-time flagging of issues (e.g. nutrition supply stock outs, pending payments or accountabilities etc.)

Final consultancy report

Key competencies

At least five year’s work experience in public health or nutrition related

programs, health and nutrition services delivery in Yemen.

· Demonstrated experience in fieldwork especially rural and hard to re

· areas.

· Practical program management experience.

· Experience in training and development of training materials

· Experience in report writing in English for UN and donor audiences

· Strong analytical skills, communication, and negotiation skills

Further information

Core values

· Commitment

· Diversity and inclusion

· Integrity

Core competencies

· Communication

· Working with people

· Drive for results

How to apply:

Candidates interested in applying for this role need to register on CTG website as a candidate & apply for this role using this link:

https://recruitmentctg.force.com/xcdrecruit__Site_ExternalPositionDetails?id=a113W000001G2XW



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