Palladium Group Policy/Regulatory Scan Of Contraception Provision By Multiple Cadres Jobs in Kenya

Palladium Group Policy/Regulatory Scan Of Contraception Provision By Multiple Cadres Jobs in Kenya


Overview

  • The World Health Organization (WHO) provides international, evidence-based guidance on use and provision of contraceptive methods (family planning).

  • In particular, WHO provides guidance on which cadre of health care worker can safely provide which contraceptive method, and also provides guidance on which methods can be safely provided through trained community volunteers, through drug shops (including “over the counter”), or by the client (self-care).

  • Expanding what health care cadres can provide which contraceptive methods is termed “Task Sharing” and in 2017, WHO issued guidance on Task Sharing to Improve Access to Family Planning/Contraception.

  • In June 2019, WHO also released Consolidated Guideline on Self-Care Interventions for Health, which recommends pills be available over the counter, and women be supported to self-inject subcutaneous DMPA (known as DMPA-SC or Sayana Press).

  • The USAID-funded project HRH2030, through its partner Palladium, conducted a multi-country desk review of countries’ national FP policies and guidelines, to explore how closely they align with current global evidence and WHO guidelines.

  • The full report is available here: https://hrh2030program.org/family-planning-and-task-sharing/

  • In Kenya, HRH2030 reviewed the 2018 National Family Planning Guidelines for Service Providers (6th ed) and its Task Sharing Policy Guidelines 2017-2030.

  • Through these documents, Kenya was found to be fairly aligned with WHO recommendations, such as allowing for self-injection of DMPA-SC, provision of DMPA-SC by pharmacies/drug shops, clinical officers to provide sterilization, community health workers to provide pills, and ECPs over the counter.

  • However, HRH2030 would like to do more extensive information-gathering to understand what additional policies, guidelines, and/or SOPs are or need to be in place for full implementation of task sharing to occur, as well as obtain information from select key government stakeholders and project implementors to understand to what degree implementation has occurred.

  • As such, HRH2030 is seeking a locally-based consultant to obtain and analyse additional relevant scopes of practice, protocols, pharmaceutical (or other) regulations, and/or training curricula to validate whether the national FP guidelines are supported or contradicted by other national government documents.

  • The consultant will then meet with select national-level FP stakeholders and practitioners to gather information on the degree of implementation of task sharing for family planning.

  • Findings from this analysis will contribute to a global report on the status of country alignment with WHO guidance on task sharing and self-care for family planning, thus identifying policy and advocacy opportunities and challenges.
  • The main audience for this analysis is government representatives, USAID, and implementing partners.

    Key Responsibilities

  • Palladium is seeking an experienced consultant to assist in compiling and reviewing relevant policy documents, scopes of practices, regulations, and/or training curricula that address which contraceptive methods can be provided by which health care cadre in the country (community volunteers, nurses, midwives, clinical officers, physicians) and locations where methods can be provided.

  • The consultant will also set up phone or in-person interviews with select key FP implementors, such as Ministry of Health staff responsible for FP, quality improvement, pharmacy, etc., and heads of major FP service delivery programs (e.g., local IPPF or Marie Stopes affiliates, donor-funded FP/RH programs providing support to public sector facilities, etc.) to explore the extent to which these policies are being implemented.

  • She/he may also need to speak to professional councils or associations.

  • The ideal candidate will have in-depth understanding of the regulations protocols, and norms that guide human resources for health in the country, understand contraception/family planning service delivery and which methods can be safely provided by which health cadre, including those that can be provided over the counter.

  • She/he should have experience working on or advocating for FP-related policies, and a strong network with a range of FP stakeholders at all levels (including high-level government officials and decentralized levels).

  • The successful applicant will be responsible for completing the following tasks:

  • Orientation: Participate in an orientation by Palladium staff on global activity and findings from a desk review of Kenya’s national policies and guidelines for family planning, as they relate to task sharing
    and self-care (approximately 2 hours, with documents shared by email).

  • The consultant should ask any clarifying questions regarding the assignment and with Palladium, mutually agree on timeline in alignment with deliverables table below and communications.

  • Implementation plan/protocol development: With technical input from Palladium, the consultant will develop an implementation plan/protocol to guide this work.

  • This will include the tasks to be completed, the documents to be sourced and reviewed a list of people or organizations to speak with and a timeline to include periodic check-ins with Palladium.

  • Paperwork on this activity will also need to be submitted to Palladium’s Internal Research Review team to receive ethical review, given some portion of this work includes interviews with human subjects.

  • The consultant will also need to advise Palladium on whether local IRB is required, and/or any other protocols to be observed (e.g., presentation to MOH).

  • Document collection: With technical oversight from Palladium, the consultant will identify additional policy documents, beyond what the global review uncovered, that will provide information on degree of implementation of task sharing and self-care in the country.

  • The consultant will be required to produce a policy inventory summary (Palladium will provide the template), and scan/share electronically any documents obtained.

  • Palladium will provide the task sharing and self-care benchmarks against which the consultant should analyse the documents, as well as provide a summary of the desk review findings and key questions it evoked.

  • The consultant will be requested to resolve questions emerging from the desk review, note inconsistencies between different policies/guidelines/regulations, and provide an assessment as to which policies/guidelines take precedence.

  • Palladium will provide a template for analysis of these documents against the benchmarks to ensure proper documentation of the analysis. This should be 2-5 pages.

  • Key Informant Interviews (KII): In collaboration with Palladium, the consultant will develop a list of questions for select key stakeholder (e.g., Ministry of Health FP Coordinator, head of nursing council, National Drug Authority contacts, etc.), and undertake semi-structured phone or in-person interviews.

  • The consultant will record individual interviews and provide these recordings alongside interview notes (transcriptions will be requested if any interviews are not done in English).

  • The consultant will then summarize the interviews, noting any inconsistent or conflicting information. Estimated number of key informant interviews required might be 5-15.

  • Final write-up: Building on the analysis produced under Task #4, and the KII summary under Task #5, the consultant will provide a final write-up with conclusions on the status of task sharing and self-care for FP in Kenya, including what is allowed through policies/guidelines (including any conflicting or inconsistent policies/guidelines in effect), This should be 6-8 pages + annexes if relevant.

  • Provide updates on tasks outlined in the SOW twice a week via email or Skype/MS Teams.

    Deliverables

  • Full deliverables and timeline will be finalized when the consultant contract is drafted. All deliverables must be approved by the technical monitor.

  • Multiple drafts may need to be submitted before the technical monitor approves the deliverable. Payments based on final approval of deliverables.

    Qualifications

  • The applicant must be a recognized expert in Family Planning service delivery programming in Kenya with significant contacts among government and non-government stakeholders implementing FP programs in the country.



  • A Master’s degree in social sciences, public health, development studies (or a related field) is preferred. Educational background in research and qualitative methods required.

  • Staff working on the assignment must be proficient in spoken and written English.

    How to Apply

  • For more information and job application details, see; Palladium Group Policy/Regulatory Scan Of Contraception Provision By Multiple Cadres Jobs in Kenya



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