Background and purpose:

The Government of Timor-Leste is committed to expand coverage and improve the quality of the health services. All national development plans and strategies, the National Strategic Development Plan 2011-2030, National Health Sector Strategic plan 2011-2030, Reproductive Health Policy and Reproductive Health Strategy identify Family Planning as one of the core components of health services. 

Government’s continued efforts to expand the coverage and improve the quality of health services have yielded significant positive results. Total Fertility Rate had dropped from 7.8 (DHS-2003-04) to 5.7 (DHS 2009-10). Contraceptive use for modern methods has increased from 10% (DHS 2003-04) to 21% (DHS 2009-10).  However, there is still a high unmet need for family planning, with 10% unmet need for limiting and 21% for spacing.

Availability of safe and quality FP commodities in right quantities at service delivery points is crucial for the success of the FP programme. Functional logistics management information system and proper supply chain management along with skilled health personnel are key to ensure that all individuals who desire to practice family planning have access to good quality services.

UNFPA remains the main source of contraceptives and works in close liaison with the MCH Department and National Health Institute  (INS) for provision of commodities and for building competencies of the health personnel. 

UNFPA Timor-Leste has been a recipient of funds through the Global Program to enhance Reproductive Health Commodity Security (GPRHCS), being managed by UNFPA headquarters, along with 45 other countries across the world, for the period of 2013-2017(GPRHCS Phase II). This thematic fund aims to strengthen the availability of reproductive health (RH) commodities and provision of quality Family Planning (FP) services by fulfilling gaps in areas such as supply chain management, staff training and supervision, availability of national guidelines and protocols and Information Communication Technology. 

To monitor the progress towards ensuring achievement of the fund’s objectives, a facility based assessment for reproductive health commodities and services is being conducted on an annual basis, through a survey employing mixed methodology. This is a mandatory reporting requirement for the continuation of GPRHCS funding. To establish a baseline in Timor-Leste, an assessment was conducted for 2013 in five districts namely, Oecussi, Covalima, Ainaro, Bobonaro and Baucau covering all health facilities. The 2014 assessment in addition to these five districts will cover the remaining districts of the country.

Programme context:

Project: ZZT05TLS Activity: Conduct health facility audit.

IP: UNFPA (PU0074).

Purpose of the consultancy: 

The objective of this survey is to assess the availability and stock-outs of essential lifesaving RH commodities, including contraceptives, and other key issues related to family planning service delivery at public, private and NGO sectors health facilities across the country

Specific objectives:

The specific objectives are:

1.  To assess the number of health facilities at primary, secondary and tertiary level offering at least three modern contraceptive methods.

2.  To assess the availability and stock outs of seven life-saving maternal/RH medicines – which must include Magnesium Sulphate and Oxytocin plus any other five drugs from the WHO essential maternal medicine list. 

3. To assess the number of health facilities with ‘no stock outs’ of contraceptives within last 6 months.

4. To assess the issues around supply chain management (including cold chain).

5.  To identify gaps in staff training and supervision for provision of quality RH services.

6. To assess the availability of national guidelines, protocols, standards and job-aids on provision of quality RH services in the health facilities.

7.  To assess the issues around availability and use of Information Communication Technology.

8.  To assess the issues around infection control including waste disposal.

9.  To assess clients’ perception and appraisal about the family planning services and of the cost for family planning services. 

Profile of the consultant:

Advanced degree in medicine or public health preferably with expertise in RH and health systems

Expertise in epidemiology and research methodologies, data analysis 

Possesses computer skills in analysis and producing tables

Experience in conducting similar assessment in the country 

Proven track record of working with government and other counterparts

Familiar with UNFPA policies and priorities

Fluency in English

Work setting:

The consultant will work under the overall guidance of MCH Department and in close liaison with RH Specialist of UNFPA. S/he is expected to regularly brief the MCH Department and UNFPA and will work according to an agreed time bound plan. And also will undertake field visits as and when necessary and will participate in the dissemination meeting.  

Work plan: 

1. Review national protocols, guidelines and laws which underline the provision of contraceptive and maternal/RH commodities in the different categories of SDPs.

2. Consultation with relevant stakeholders at the national level

3. Preparation of the sampling frame and selection of sample 

4. Finalization of the adapted questionnaire and pretesting (adapted questionnaire will be provided upon signing of the contract)

5. Training of enumerators and field staff 

6. Oversee the data collection including verification of the filled questionnaires

7. Data entry, analysis (dummy tables will be provided to the consultant/institution upon signing of the contract)

8. Preparation of the report

DELIVERABLES

1.  A summary report on the national protocols, guidelines and laws which underline the provision of contraceptive and maternal/RH commodities in the different categories of SDPs.

2.  Final study instruments

3.  Draft report of findings  

4.  Final, language edited and print-ready report  in word and PDF format

5.  The clean dataset in SPSS and/or Stata format

6.  The completed questionnaire forms and other study tools.

Time period:
From 06 October until 15 December 2014


Please submit the proposals by 30 September to the following address:

Representative
United Nations Population Fund
UN House
Caicoli Street
Dili