American Refugee Committee International BCC Consultant (TTC adaptation) Careers in South Sudan
BCC Consultant (TTC adaptation)
Terms of Reference (TOR)
Position title: BCC Consultant (TTC adaptation)
Project name: Health Pooled Fund
Location: Kapoeta East and Kapoeta North Counties, South Sudan
Length of assignment: 2 months
Start date: March 6, 2017
End date: May 5, 2017
Background and main objective
The South Sudan Ministry of Health (MoH) has drafted the Health Sector Development Plan (HSDP), a national strategy which focuses on maternal and child health, with the overall objectives to increase utilization and quality of health services, scale up on health promotion and protection, and strengthen the institutional functioning of the health system.
The American Refugee Committee (ARC) is the primary recipient of funding from the Health Pooled Fund (HPF) to support the implementation of a county-based health service delivery model in Kapoeta East and Kapoeta North counties in Namorunyang State.
ARC South Sudan is looking for a consultant to adapt the Timed and Targeted Counselling (TTC) approach to the South Sudan context. TTC—originally developed by World Vision International—delivers maternal, newborn, and child health messages to a woman and her family during a woman’s pregnancy and the first 1000 days of her child’s life, starting at conception.
TTC messages are carefully timed so a woman has sufficient time to act on the given messages, but not so early that the messages seem irrelevant or are forgotten. Understanding that women often have little agency to make health decisions for themselves, TTC intentionally engages key decision-makers in the family, including male partners, mothers-in-law, and grandmothers.
By focusing on the critical period of pregnancy through a child’s second birthday, by delivering messages specific to the developmental time period a woman/her child is in, and by discussing specific barriers to implementing the recommended behaviors, TTC has proven to significantly reduce maternal and infant/young child morbidity and mortality.
Introducing TTC is intended to extend the reach, scope, and effectiveness of current community health worker (called Home Health Promoters, or HHPs, in South Sudan) efforts by providing an organizing framework for conducting community outreach and health education.
It is a more effective alternative to mass community health education sessions. The carefully timed messages are communicated through storytelling, followed by a dialogue with the family about which positive behaviors they already engage in and which are new to them.
HHPs trained in TTC are trained to work with the family to negotiate a feasible shift in the family’s behaviors towards the preferred practices based on their individual circumstances.
ARC will pilot TTC in
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