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TERMS OF REFERENCE (TOR)

Community Engagement and PHC activities in UHC Demonstration districts

PURPOSE:

The main purpose of the assignment is to assist WHO CO and the Government of Pakistan, for the pilot implementation of the UHC benefit package through a PHC-oriented Model of Care in two districts (ICT and Charsada). The person will mainly facilitate in community engagement and Family Practice approach implementation.

The broad areas in the scope of work will include the following:

1. To facilitate the interventions of PHC model of care in ICT and district Charsada specifically Family Practice Approach and Community Engagement including piloted UHC demonstration districts of other provinces

2. Capacity building of health care providers on Family Practice Approach

3. Capacity building of Union Council Community Health Committees on Community engagement and empowerment

4. To facilitate information of UC Health committees

5. To submit all conducted interventions report

BACKGROUND:

In March 2021, the Department of Universal Health Coverage/Health Systems at EMRO/WHO conducted a ‘PHC for UHC mission’ in Pakistan along with seven partner organizations of Global Action Plan for Healthy Lives and Well Being. The multi-agency team, in its end-of-the-mission joint statement identified six areas to support Government of Pakistan (GoP) to achieve its target for Service Coverage Index (SCI): 65 out of 100 by 2030. The mission specifically reviewed the status of PHC and health financing in the country. While proposing the ‘UHC Vision’ for Pakistan, one of the strategic directions suggested by the mission is development of a ‘Model of Care’ for effective implementation of UHC Benefits Package (UHC- BP), which has been recently endorsed by the Inter-Ministerial Health & Population Council.

Through this initiative and for the pilot phase of implementation of UHC BP through a PHC oriented model of care, two districts are selected in consultation with MoNHSR&C and provincial departments of health. ICT is one of the proposed districts and 2nd is Charsadda (KP). As ICT has some unique features being the federally administered district, the selection of the 2nd district from a province will allow for a provincial comparison and might serve as a better model for later expansion into the provinces.

A well thought out catalytic approach can help accelerate development of a PHC-oriented Model of Care that is appropriate for advancing essential health care for all in the country, especially for disadvantaged sub-populations to promote equity. This can have a far-reaching impact.

Integrated service delivery at the point of care has been suggested, as one way to improve efficiency and ensure that health services are people cantered. Implementing this approach will, however, require a shift across the health system – from the way services are organized and delivered at the facility-level to the way national / sub-national disease programs are planned, funded and implemented at the national / sub-national level.

The WHO Framework on Integrated People-Centered Health Services (IPCHS) is an effective and efficient approach to reach the interlinked targets of 3.8 and 3.3 by addressing key issues such as: leaving no one behind; adopting an integrated approach towards sustainable development through interlinkages between infrastructure; addressing inequality and resilience of services; promoting geographic equity in the provision of need-based services; cross-disciplinary collaboration and engagement; and the inclusion and participation in the social, political and economic spheres of all societal groups. IPCHS helps to empower people and communities to ensure that the needs of the most vulnerable populations are taken into consideration while moving towards UHC. It underscores the importance of considering how health services are planned, delivered, monitored, and evaluated together, particularly primary health care (PHC).

The LICA holder will facilitate in community engagement and empowerment interventions for strong linkages building among communities and PHC services

TIMELINES: 01 October 2021 to 31 December 2021

RESPONSIBILITIES:

The selected individual, under the supervision of the Coordinator (Health Systems Development) and working closely with relevant team members in HSD team and other relevant Government offices and stakeholders, will be expected to produce the following deliverables:

1. Support HSD team WCO in the implementation of PHC Oriented Model of Care in Pakistan.

a) Undertake key monitoring activities to the project site by filed visits, support to organize meetings to discuss the implementation and address any bottlenecks in the implementation of planned activities.

b) Accompany missions / travel to provinces to oversee the implementation of planned activities of the roadmap for PHC Oriented Model of Care.

c) Documentation of activities

2. Provide technical support for PHC strengthening in model districts through community Engagement and Family Practice Approach in Pakistan

a) Update or maintain information database, of community organizations/Civil society organizations and non-governmental organizations working on health issues in model districts & Create networking opportunities, between WHO country office and community organizations working on health.

b) Capacity building of PHC staff and community health committees through trainings on family practice approach and community engagement

c) Provide technical support for digitization of family folders in Model UHC districts

d) Monitoring of implementation of family Practice approach / community engagement in model districts.

3. Work with the WCO team and District Health department on the implementation of Refurbishment of PHC health facilities in selected districts and provision of supplies to PHC facilities

a) Assessment / baseline for the refurbishment of PHC health facilities in selected districts and provision of supplies to PHC facilities

b) Rigorous monitoring of refurbishment work in implementation districts and reporting.

4. Technical support for health promotion activities in targeted districts selected schools and other places

a) Support in the assessment of health promotion activities in selected schools and other places including for improvement of toilet facilities, Installation of equipment for safe drinking water and disposal of garbage

b) Monitoring and reporting of health promotion activities of selected schools and other places

CHARACTERISTICS OF SUPPLIER:

Education: First-level university degree in health-related fields related to humanitarian work. An advanced university degree in public health is desirable.

Experience: At least 5 years of experience in community-level program / project, preference will be given to candidates with:

• Knowledge about community-level health interventions.

• Strong training skills and experience

• Demonstrated knowledge in community empowerment / engagement

• Experience of working and collaborating with stakeholders including governments, development partners, civil society, and communities

• Demonstrated ability to work effectively in a team with multiple disciplines