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.
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:
Start date: as soon as possible
End date: 15 Nov 2021
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.
The selected Consultant will work on the supervision of:
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
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
The selected Consultant will be expected to provide a medical certificate of fitness for work.
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