Consultant (NUT)


Job Description


TORs Classified at a level equivalent to NO-B

1. Purpose of the Consultancy

To provide technical input to provision of the implementation of the nutrition activities in Stabilization centers and hospitals for BFHI/ IYCF, nutrition surveillance and sharing of data from SCs on shared templates.


2. Background

There is Nutrition Emergency across the provinces, whereby most of nutrition indicators are surpassing emergency thresholds as per WHO sphere standards. The facts around nutritional status of the children and mothers over the years have deteriorated supported by the SMART Surveys of 2018/ 19, MICS 2018 and NNS 2018. The periodic assessments carried out reported a prevalence above/ equal to 17.7% of the acute malnutrition (severe acute malnutrition (SAM) with inter district variation going up to 22% in some population pockets} in most parts pf Pakistan.


According to the Pakistan National Nutrition Surveys, early initiation of breastfeeding, exclusive breast feeding and continue breast feeding show an upward trend from 2011. The NNS results show steady increase in early initiation of breast feeding from 26% in 2001, 45% in 2011 and 45.8% in 2018, while exclusive breast feeding is not linear from 50% 2001, 37.7% in 2011 and 48.4% in 2018. The trend in bottle-feeding rates is also changed from (32% in 2006, 41% in 2012 & 28.5% in 2018). According to the PDHS that Infant mortality rate 62/1000, Neonatal mortality rate 42/1000 and Child mortality rate 74/1000 live birth in Pakistan is still high compare to other South Asia countries. According to the NNS prevalence of low birth weight in Pakistan is an estimated 22.7%, with higher 27% proportion among the rural compared to urban areas 17.8%. It is also important to note that infants who are not breastfed are 15 times more likely to die from pneumonia and 11 times more likely to die from diarrhea than those who are exclusively breastfed for the first 06 months of life. There is a dire need to make concerted efforts for improving breastfeeding in the country and saving newborns and children from preventable causes of mortality.

In 1989, WHO and UNICEF published the Ten Steps to Successful Breastfeeding, within a package of policies and procedures that facilities providing maternity and newborn services should implement to support breastfeeding. The Innocenti Declaration on the Protection, Promotion and support of breastfeeding, adopted in Florence in 1990, called for all government to ensure that every facility providing maternity and newborn services fully practices all 10 of the Ten Steps. In 1991, WHO and UNICEF launched Baby-Friendly Hospital Initiative (BFHI), to help motivate facilities providing maternity and newborn services worldwide to implement the Ten Steps. Facilities that documented their full adherence to the Ten Steps, as well as their compliance with the International Code of Marketing of Breast-milk Substitute and relevant World Health Assembly (WHA) resolution (the Code), could be designated as “Baby-friendly”.

WHO is playing its vital role in providing life-saving nutrition interventions for vulnerable population throughout Pakistan and nutrition consultant will be contracted for taking WHO interventions forward in the respective provinces.


Tasks and Responsibilities:

1. Provide technical inputs for implementation of nutrition project activities and exchange info to establish and strengthen of nutrition stabilization centres (NSCs) and outpatient therapeutic centres (OTPs) in selected health facilities of selected districts supported by WHO.
2. Brief health care providers on NSC and OTP protocols.
3. Assist in quality inputs to capacity building activities of health care providers on MIYCN (Maternal Infant & Young Child Nutrition) promotion and BFHI (Baby Friendly Hospital Initiative) activities and integrated nutrition surveillance in selected health facilities wherever needed
4. Keep effective liaison with local health institutions, key agency health authorities and partners.
5. Identify problems and provide recommendation related to field activities of the project staff (healthcare providers) at the facility level and partner organizations [I/NGOs] involved in the implementation of Nutrition program in the target health facilities.
6. Assist in establishing referral mechanism for early detection and treatment of severe malnourished children.
7. Analyse and interpret collected data for reporting and feedback mechanisms for partners and other reporting sites.
8. Reports fortnightly to Hub In-charge and Nutrition/MNCH Officer at Sindh and focal point nutrition at Country Office level on activities performed.


3. Planned timelines (subject to confirmation)

Start date: as soon as possible

End date: 15 Nov 2021


4. Work to be performed

Output 1: Strengthened Nutrition Stabilization Centres (NSCs) and extended OTPs in the intervention province

Deliverable 1.1: Reports around NSCs/ extended OTP Review on monthly performance indicators/ as requested by supervisor (4 reports) - during period of appointment

Deliverable 1.2: A final report on the cumulative progress & performance of NSCs, OTP sites, integrated nutrition surveillance where applicable, MIYCN activities, success stories / bulletins Reports around MIYCN (Maternal Infant & Young Child Nutrition) counselling and BFHI (Baby Friendly Hospital Initiative) activities in selected health facilities of various districts of intervention province


Output 2: Strength Baby Friendly Hospitals Initiative (BFHI) implementation

Deliverable 2.1: Baby Friendly Hospitals Initiative (BFHI) implementation report

Deliverable 2.2: Monitoring reports for certification

Deliverable 2.3: Success stories on the implementation of BFHI.


5. Technical Supervision

The selected Consultant will work on the supervision of:

Responsible Officer:

National Professional Officer (Nutrition), WHO Islamabad

National Professional Officer (NPO RMNCH &N) Baluchistan

Head of WHO Sub-office, Balochistan

Technical Officer (SHRH), WHO Islamabad


Manager: WR Pakistan


6. Specific requirements



7. Place of assignment

The selected candidate will be placed at WHO Sub Office Quetta and will have to perform duties specially in intervention sites or any other place as directed by the supervisor


8. Medical clearance

The selected Consultant will be expected to provide a medical certificate of fitness for work.

  • Qualifications required: Degree in Medical Sciences, Nutrition, MPH or equivalent, Health related field
  • Experience required: At least two 2 years work experience in nutrition interventions, especially sound experience of nutrition stabilization centre management services
  • Skills / Technical skills and knowledge:
  • Sound interpersonal and communication skills
  • Working experience with WHO in nutrition intervention and closely working with DOH will be preferred.
  • Ability to show activeness and creativity in working environment
  • Excellent reports writing and analytical skills
  • Ability to work in the intensive care settings and willingness to travel to intervention sites, frequently.
  • Sound monitoring and supervision skills
  • Language requirements: Excellent spoken and written skills of local and English languages.


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