Cholera Community Engagement Specialist

United Nations Children's Fund (UNICEF)
Dakar, Senegal
Position Type: 
Consultancy
Organization Type: 
International Organization
Experience Level: 
Mid-Level (5-7 Years)
Degree Required: 
Bachelor's (Or Equivalent)
Languages Required: 
English and French
Apply By: 
20 February 2019
3 days remaining

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Background

Between 2014 and 2018, an average of 57,360 cholera cases per year and 1,150 deaths per year were (officially) reported in West and Central Africa (WCA) representing around 31% of the global number of cholera cases per year, and 50% of the global number of cholera deaths per year as West and Central Africa is one of the most affected area in the world (Cholera Platform, 2019).

Based on recent studies, by focusing on the highest incidence districts first (called hotspots), effective targeted interventions could eliminate 50% Africa’s cholera by covering 35.3 million people (Lessler, March 2018).

Therefore, more and more actors are approaching cholera in those hotspots from a WASH point of view or health point of view (surveillance; cholera treatment; vaccination) based on their own technical expertise. Community engagement against cholera in those hotspots have been poorly integrated into current programs and could represent an integrated approach at affordable costs.    

Unfortunately, there is no existing technical guidelines on community engagements in the long-term fight against cholera and impact studies of such community based approach has not yet been demonstrated. Currently, UNICEF is leading global interagency efforts to develop quality standards and indicators in community engagement. The objective is to support implementation of high quality, evidence-based community engagement in the development and humanitarian sector. This framework provides a core reference for any community engagement related work within UNICEF programmes.

Liberia has faced serious Ebola outbreak in 2014-2015 that has been overcome through community engagement programs that could be partly applied to cholera. Niger has strong community-based health programs (focusing on Polio, measles and meningitis) and CLTS programs that could integrate cholera in the future. The consultant will therefore focus on those two countries to carry out field studies.

How can you make a difference?

Objectives

The objective of the consultancy is to:

  1. Analyse lessons learnt of community-based approaches related to cholera (aligned with below modules) through literature review and field visits in Niger and Liberia (2 months)
  2. Develop technical orientations on community approaches in the long-term fight against cholera in West & Central Africa developing following modules (2 months):
    • Areas of intervention for community engagement against cholera:
      • Prevention of cholera at community level
      • Promotion of key family hygiene practices and social and behaviour change as barriers to cholera
      • Early management and referral of cases at community level
      • Community surveillance
      • Facilitate Oral Cholera Vaccine (OCV) acceptation within communities
    • Cholera prevention within CLTS approach
    • Cholera prevention with School Programming
    • Another module according to need identified during assignment
  3. An analysis of CLTS approach against cholera in Maradi (Niger) which includes (1 month):
    • Comparing epidemiological data for CLTS certified and no-certified villages
    • Analysis of past outbreaks in the same areas
    • Assessing impact of CLTS as community-based approach against cholera

Scope of work

Consultant will be in touch with key informant at community level, country level and regional level. He/She will study existing literature review on community engagement against cholera (but not limited to cholera: e.g Ebola, Polio…) as well as the new global community engagement framework (quality standards and indicators), existing guidance on community engagement and on social and behaviour change programming.

Consultant will have bilateral discussions with experts (working closely with WASH, Health, Education and C4D Specialists).

Consultant will organise 2 weeks field visits in Liberia and 3 weeks in Niger to 1) Analyse lessons learnt / findings of community-based approaches and 2) Develop Technical Guidances/orientations adapted to both urban and rural context (clearly highlight context within technical orientations provided). Those field trip will be field support based to develop main deliverables: technical orientations should be developed in a participatory manner, involving stakeholders in order to build a product that is of immediate use in response to their needs. No field trip reports are formally expected but debriefing (possibly through skype) with supervisor and country office team will be necessary.

Technical orientations should fit within existing program from UNICEF or Governmental counterparts through multisectorial approach at community level.

Please note that list of Key Informants Interviews and list of main literature resources used will need to be provided within Analyses of findings.

Regarding technical orientations, please note that module related to “CLTS” or “School programming” could be including within one module related to “prevention of cholera at community level”.

Modules related to “promotion of key hygiene practices and OCV” should also include an annex with all “community-based questions on cholera” and their appropriate answers (identified during field visits or through literature review or provided by Regional platform secretariat). As an example: «if I had cholera, am I immune?”; «Can we do ablutions with chlorinated water?».

Participatory M&E will be included for each module.

Analysis of CLTS approach could be done through cross-sectorial analysis (or case control studies).

The analysis will be carry-out in the Maraka Health Zone of Madaroufa District (Niger) providing epidemiological data per village, population data, CLTS certification data as well as basic environmental and structural information (such as access to safe water that may be confirmed through field visit).  

Focus of the assignment will be on cholera but may be adapted to any diarrheal diseases.

The consultant will be in charge to provide all the deliverables and will lead those activities.

He/She will report on progress to Cholera Specialist in Dakar.

Deliverables and Schedules

The following deliverables are expected in English:

  • 1st month progress report
  • Report: Analyse lessons learnt of Cholera community-based approaches
  • Publication on cross-sectorial analysis (Niger) of CLTS approach against cholera
  • Develop technical orientations on community approaches in the long-term fight against cholera in West & Central Africa developing following modules (2 months):
  • Areas of intervention for community engagement against cholera:
    • Prevention of cholera at community level
    • Promotion of key family hygiene practices and social and behaviour change as barriers to cholera
    • Early management and referral of cases at community level
    • Community surveillance
    • Facilitate Oral Cholera Vaccine (OCV) acceptation within communities
  • Cholera prevention within CLTS approach
  • Cholera prevention with School Programming
  • Another module according to need identified during assignment

Reporting Requirements

Consultant will submit reports and deliverable according to estimated deadline of the assignment. This report will be used for administrative purpose and payment.

Consultant will report to Cholera Specialist in WCARO (within WASH section)

Administrative Issues

  • UNICEF will support the consultant in carrying out the duties outlined above, including but not limited to all background documents on the programme.
  • Consultant will use his/her own laptop and softwares
  • Regular progress meeting (weekly basis) will be done with line-manager
  • The assignment is home based duty station with field visits including 6 days in Dakar; 4 days in Monrovia; 10 days elsewhere in Liberia; 7 days in Niamey and 14 days elsewhere in Niger
  • Applicants have to submit a financial proposal to include fees, International travel costs (Home – Dakar / Dakar – Niger / Niger – Liberia / Liberia – Home) and subsistence.
  • UNICEF will cover local transport (excluding airport transfers)

To qualify as an advocate for every child you will have…

  • At least Degree in public health ideally or environmental sciences or social sciences, health geography.
  • At least 5 years’ experience in related sectors
  • Proven experience working in health-related fields in the West and Central Africa Region
  • Technical skills should include Research; cholera expertise; and community-based programming in Africa
  • Knowledge of community engagement strategies and social and behaviour change developments/trends.
  • Experience in CLTS projects/programming is an asset.
  • Strong analytical skills and ability to clearly synthesize findings and draw practical conclusions and tools.
  • Fluency or Advanced level in English and French (both speaking and writing).
  • Understanding of institutional mandates and operations of UNICEF preferred;