Introduction:

World Vision International is a humanitarian aid, development, and advocacy organization, working in about 100 countries around the world to serve all people regardless of ethnicity, gender or religion. We work in Health, Education, and Resilience (Economic Development, Disaster Risk Reduction and Emergency Response). Our Cross-cutting themes are child protection, gender and social harmony.

World Vision International has been working on emergency relief and development programs in Pakistan since 2005. Our relief responses include the earthquake in 2005, floods in 2007, 2010, 2011 and 2012, the internally displaced persons (IDPs) Crisis in 2009 and 2012 and the 2013 measles outbreak in Sindh. Through its various projects, World Vision is focusing on health and maternal & newborn child health (MNCH), education access and quality and resilience through Disaster Risk Reduction (DRR) and economic development. These are achieved through cross-cutting themes of child protection, gender and social harmony. We work with civil society and government partners in parts of KPK, North Sindh and South Punjab and urban projects in Rawalpindi and Lahore.

World Vision Pakistan is implementing various projects on child protection, youth empowerment and education, health & nutrition, disaster risk reduction, water, sanitation and hygiene and advocacy. During the above mentioned emergencies and through our development projects, we have also implemented projects in the areas of food security and livelihoods by partnering with agencies like World Food Programme (WFP) and Food and Agriculture Organization (FAO).

World Vision Pakistan is targeting most vulnerable children, their families and communities directly and indirectly to provide them with access to education, protection, sustainable income generation, health care, food and better care within their homes and communities.

1.    Assessment Summary

Background:

World Vision aimed at contributing improved mother and child health indicators by addressing malnutrition among children and mothers. The proposed project will focus on “Strengthening Health systems” and “Improving nutrition”. Pakistan, in the pursuit of achieving Millennium Development Goals (MDGs), in lagging behind particularly in MDG-4 and MDG-5 marked by 74 children die out of 1000 (IMR) and 276 mothers die out 100000 (MMR); on the contrary, it has committed itself to reduce IMR to 40/1000 and MMR to 140 by 2015, respectively. The alarming rate of IMR is directly linked with malnutrition marked by stunting rate among children is 43%, nearly 32% of the children are underweight and wasting rate in 15%. Malnutrition not only contributes to rife in child and infant mortality, it also exacerbates MMR provided that 76% of the women suffer from iodine deficiency and 39% of the women are anaemic.

The Project:

World Vision keeping the dire context in view has proposed to initiate an integrated mother and child health and nutrition program in the sub-district/talukas of Sukkur district in Sindh including Saleh Pat, Pano Aqil and Rohri. The overall objective of the initiatives is to contribute to the reduction in MMR and IMR by addressing malnutrition in the targeted regions. The program will adopt a synchronized approach that includes strengthening and enhancing service delivery capacity of 43 Basic Health Units (BHU) which operate under department of health, which in turn will benefit directly 443,059 people and 455,850 indirectly. The initiative aims to improve the capacity of health management team at district and sub-district levels, build community level capacity to implement key maternal and child nutrition initiatives, influence policies and guidelines around maternal and child nutrition, improve access to and utilization of improved health and nutrition services, enhance capacity of service providers and increase consumption of nutritious food.

The initiative will be working closely with provincial, district and sub-district health authorities and with other relevant stakeholders that directly and indirectly impact on maternal and child nutrition outcomes such as department of Food, department of fisheries and livestock, civil society and the community.

Specifically, the project is trying to address the following issues;

• Improved delivery of gender-responsive essential nutrition services for mothers, PW, newborns, & CU2
• Increased production, consumption and utilization of nutritious foods & micronutrient supplements by mothers, PW, new-borns, & CU2
• Strengthened gender-responsive governance, policy and public engagement of MNCH in Pakistan

1.    Target Audiences (i.e., for whom is the training intended?)

Target audience and respective purpose reports serves include:

• ENRICH project staff
• Health care providers from DoH

 2.    Training Type

• Capacity Building training on WASH & Baby WASH

1.    Legal Framework

In the event that there is non-performance, defective performance or late performance due to causes beyond control and occurring without fault or negligence, including without limitation, natural disasters (such as floods, earthquakes, fire), acts of any state or government, fire explosions, epidemics, quarantine restrictions, blackout, or embargoes, neither party will be held responsible. If the consultant fails to provide the services required hereunder as a result of above listed force majored and such failure continues for a period of 10 calendar days, WVI Pakistan shall have the right to terminate this agreement without any further liability resulting from such termination. The consultants will be paid for all services satisfactorily performed and accomplished up to the date of termination as determined by WVI Pakistan.

This agreement shall be deemed terminated automatically without further liability or obligation of WVI Pakistan if the consultant, is adjudicated as bankrupt, petitions or consents to any relief under bankruptcy, reorganization, receivership, liquidation or similar arrangements or makes an assignment for the benefit of creditors.

2.    Limitations

All of the data of the participants will be guided by World Vision Pakistan MOU with relevant government authorities; it will be consultant responsibility to ensure the get maximum understanding of limitations and constraints from World Vision Pakistan. These trainings has to be concluded before the end of May, 2018.

3.    Ethical Consideration:

All interaction with the participants will be only made after their consent. Consultant will strictly avoid indulging into any conversation of political or religious nature, and will not use any jargons, words or gestures those can be offensive on religious, ethnic, gender, age or any other ground.  Consultant will strictly avoid any sexual advances, offers or favours to beneficiaries, neither will promise any favor’s to training participants. Consultant will not guide/or instigate respondents to provide specific answers, consultants will not misinterpret training participant inputs or distort these. Safety and security of the training participants is of the paramount importance consultant will not act in any manner putting security & safety of the training participant at risk. Interaction with the children will be guided by World Vision Child Protection Policy and protection protocols.

4.    Authority and Responsibility

4.1.        Team Members and Roles

1.    Team Advisors

        PM ENRICH

        Monitoring Evaluation and Accountability Officer (MEAL)

        Area Development Manager Sukkur

1.    Logistics

All of the logistics arrangement related to assignment will be the responsibility of the consultant. World Vision Pakistan team will extend support to the consultant through providing Training Venue, Refreshment & Lunch during training time and stationary required during training period.

ENRICH team will provide help in the nomination of the project and DoH staff for training.

During the course of the assignment consultant will arrange accommodation from his/her own resources. In case of use World Vision facilities all the relevant policies, SOPs and procures will be binding.

2.    Product/Deliverables/Responsibilities

Products expects of this assignment include:

1. To strengthen the capacities of the DoH staff working in the respected health facilities to adopt and recommended the hygiene and sanitation practices in three Taluka Rohri, Saleh Pat and Pano Aqil of district Sukkur.
2. Leading role in the capacity building training for smooth conduction of the event
3. Consultant will assess the mind of the participants for timely decision and overall event management
4. Consultant will be responsible for provision of friendly and learning environment to the participants
5. Training to be organized activity and bilateral discussion based, so that participants enhance their knowledge.
6. Consultant will conduct training in district Sukkur. The training will be conducted in four batches each of three days. The total participants will be 100 (86 DoH staff while the rest will be ENRICH staff)
7. Conduct a Training Workshop for ENRICH and Department of health staff. The training will develop skills and understanding on WASH and Baby WASH ensuring all the sub topics
8. To train the staff for further trickle down trainings to the LHWs and other care providers
9. Agenda to be share one week before conduction of the training with World Vision PM.
10. Consultant will be responsible for compilation of the training report and further sharing with Concern of the World Vision Pakistan

3.    Documents

All outputs created/ made under this end line will be the sole property of WVP and consultant has to abstained from exercising any rights on such outputs, furthermore, the consultant shall keep the confidentiality of all information including documents provided to him/her OR output produced under this study and shall not disclose those to others without prior written consent from WVP. Documents which consultant will review during the research phase include:

• Project proposal. 
• Baseline report.
• IEC Materials on WASH
• Formative research
• Performance Measurement Framework

1.    Education and Experience required: