State Special Newborn Care Unit (SNCU) Clinical Care and Follow up Coordinator - International Development Agency

1. POSITION VACANT: State Special Newborn Care Unit (SNCU) Clinical Care and Follow up Coordinator, International Development Agency, Bhopal, Madhya Pradesh

2. ORGANIZATION BACKGROUND:

Our client is a respected, International Development Agency, that works across the globe to promote children's survival, protection and development.

Project Background:

Government of Madhya Pradesh with technical support of IDA has invested heavily in strengthening facility based new born care in the State in last five years. This has resulted in establishment of 54 Special new born care units across the State. This rapid scale up has resulted in more than 94,000 new borns getting treated at these units in the year 2017. Currently the Clinical parameters are being recorded in the SNCU MIS. Key clinical areas like use of oxygen, antibiotics, and resuscitation protocols used need be observed through clinical case reviews and hands on mentoring support to improve quality of clinical care. Similarly, after discharge the Sick newborns are supposed to come back to facility for 5 facilities follow ups at 7th day, 28th Day, 3 months, 6 months and 12 months of discharge. The ASHAs are also supposed to provide priority home visits (at least 6 visit) to sick newborns post discharge. Currently the facility follows up rate is 50% for first follow up and it drops to less than 1% at 1 year follow up. Similarly, first home-based care visit is reported at 40% and drops to 33% for the last community visit by ASHAs post-discharge from SNCUs.

IDA has been the technical partner of the state in setting up these units since the establishment of first unit in Guna and Shivpuri in December 2007. Though the scale up and operational cost of each of these SNCUs is managed by Government of MP under National Health Mission, there is a need to support the State Government for monitoring the performance of these units to focus on better survival of new-borns. The state needs support to improve the quality of clinical case management and care of SNCUs, promote use of standard treatment protocols as well as ensure correct clinical data entry in case record sheets and SNCU online software. In addition, it is also important to ensure a system of regular clinical follow up of the newborn discharged from SNCUs and ensure the quality of follow up visits at the SNCU facility follow up and strengthen quality of community follow up visits. In addition, linkages between SNCU discharges and RBSK program need to be established to ensure a continuity of services for early childhood development. This requires strengthening of Clinical protocols, facility follow up OPDs and home-based care protocols, capacity building of SNCU staff and ASHAs to strengthen the clinical care, facility and home-based visit follow up protocols.

3. JOB DESCRIPTION/ RESPONSIBILITIES:

Under the direct supervision of Mission Director, NHM, MP, and in coordination with the Deputy Director Child Health and technical coordination with Health Specialist, IDA, Bhopal Office of the International Development Agency, theState Special Newborn Care Unit (SNCU) Clinical Care and Follow up Coordinator (SNCUFC) shall be responsible for providing necessary monitoring and management support to ensure monitoring to strengthen quality of care of facility-based interventions provided in the units as well as to strengthen quality of facility and community follow up as per quality Standards.

Key Deliverables:

SN	Technical area/ Subject	Activity	Timeline	Report Submission
1	SNCU quality of clinical Care practices at SNCUs based on standard Clinical protocols and guidelines	Monitor Monthly SNCU Staff status of Skills based Trainings – Doctors, Nurses, Data Entry operators for telephonic counseling for SNCU follow up. Review Clinical Parameters of key dashboard, Worst performing districts Female Admissions among newborns data analysis- Review Worst performing districts	Monthly report Friday of every week/ Monthly Monthly	Field trip reports, Field mentoring reports Clinical Round reports at SNCUs with Paediatrican/MOs to review Clinical dashboard
2	Monitor quality of Skills based FBNC trainings at state level and PGIMER observership	Provide Support to SNCU staff with onsite mentoring post and PGIMER Chandigarh FBNC on management as per SNCU guidelines	Monthly and Quarterly (March, June, )	Training reports. Feedback on training reports, Hands on training reports
3	SNCU Clinical Care practices	Field Visit to monitor placement of FBNC trained staff in SNCUs, Monitor SNCU functioning as per Guidelines on Vitamin K1, KMC, ANC Steroids, CPAP, Referral for ROP, Infection control and management practices	Monthly	Field visit reports Hands On Clinical Monitoring reports
4	Field visits to Medical College SNCUs	Field visits for mentoring SNCU nurses and staff in Medical College SNCUs	Monthly	Field visit reports
5	Skills based training reports	Inj Vit K, ANC Steroids, KMC, Oxygen use, Antibiotic use, treatment of Extreme low birth weight, NSSK, CPAP, infection management – Needs based skills trainings at state, division and districts	Friday of every week/ Monthly	Updates and Weekly check reports Labour Room reports on ANC steroids and WASH practices cross valIDAted with SNCU data reports ANC training reports – LR and SNCU staff and sub district – LR and NBSU, NBSU staff training reports
6	Birth dose of SNCU graduates, KMC, Labour Room, Paediatric care, Facility follow up	Coordination with RI, NBCC teams, Paediatirc teams, ROP and RBSK teams to ensure quality referral and tracking on key essential practices Vit K1, ANC steroids, Birth dose, facility follow up	Monthly	Share with RI cell and NHM data on 0 dose
7	SNCU graduates follow up-Community	Coordinate with SNCU staff, ASHAs and ANMs to share line list of discharged infants for follow up of SNCU graduates post discharge at community Tele-counseling follows up	Monthly Monthly	SNCU data Field Monitoring reports Impact assessment to compare baseline of SNCU follow up Jan –Dec 2017 vs Endline 2018 Dec
8	SNCU graduates follow up facility	Monitor Facility follow up of SNCU discharged graduates in SNCU OPDs Family care counseling package implementation reports from IDA 7 HPDs IEC BCC posters on SNCU follow up, Discharge and referral slip, Develop position paper for Wage compensation for SNCU for PIP admissions to strengthen duration of stay, maternity leave and IEC on JSSK referral transport up-to 1 year of age	Monthly Monthly Quarterly (March, June, Sep, Dec) March	Same as above Facility and Follow up reports – Baseline and end-line and Monthly progress reports
9	Infection Control and Sepsis management practices at SNCUs	Provide reports on Infection Control and WASH assessments in SNCUs and Labor Rooms – Assessment and Improvement reports.	Quarterly (March, June,)
10	SNCU death analysis	Facilitate SNCU death analysis at Facility and Community and provide Cause of death analysis. Including Still birth and perinatal death reviews.	Monthly/ Quarterly (March, June,)	State, division and IDAsupported district reports Death Review reports, Causality analysis reports at facility level
11	Field Monitoring of data management and data issues at SNCUs	Conduct field visits to various districts mainly poor performing districts for supportive supervision, monitoring data management, shorting out any data/software issues, validation checks, on job mentoring, etc.	Monthly	Field visit reports
12	SNCU Accreditation visit reports	Review NNF accreditation visit reports regularly and provide feedback to the states. SNCU monitoring checklist-based monitoring	Quarterly (March, June,) Monthly	Analyzed Accreditation field visit reports
13	Labour Room Newborn Corners (NBCCs) monitoring reports for co-located NBCCs in the SNCU for Inborn admissions clinical care data	NBCC monitoring reports from Labour Rooms Feedback of Inborn babies shared with Maternal Health and OBGY team of district hospitals through regular review committee meetings	Monthly Monthly	Field visit reports, Committee Meeting reports ANC steroids use rate, Clinical case records, reports for pre-term births at LRs- cross validated  with SNCU data reports
14	SNCU Facility Follow up Training and mentoring and ROP progress reports	SNCU Facility Follow up Training reports, Mentoring Field Visit Reports SNCU Facility Follow up Clinical protocols to be strengthened in 54 SNCUs- Draft SOP and Checklist – growth and nutrition screening and development delay assessment ROP training and referral progress reports from the state. Screening Assessment of SNCU admitted newborns in first 28 days linked with pre-discharge and post discharge with 28 days follow up	Monthly March and June March and June	Training Reports Mentoring Reports Field visits reports Draft SOP SOP consultative review meeting reports with state pediatricians State Ophthalmology society – partnership for ophthalmologists skills trainings with Blindness control programme Retinal screening case reviews and monthly reports and link with DEIC
15	State Perinatal Resource Centre	Identify Case management of State Perinatal resource centres in Bhopal- through series of technical meetings with AIIMS, Medical Colleges and JP Hospital, NHM and IDA	June	Meeting Minute reports Field visits to identify space and staff allocation Protocols for State Perinatal resource centres Training reports for State perinatal resource centre staff State coordination committee reports
16	The Consultant will submit the monthly report of deliverables to the Third-Party Agency (TPA) with a copy to the Technical and immediate supervisor, by the 25th of every month, along with relevant field trip training/activity reports annexed.  Monthly travel plan to be submitted to Third Party Agency (TPA) based on joint agreement of NHM and IDA MP by the 25th of every month for the subsequent month. Any change in deliverable, due to change in government priorities, needs to be informed in advance to the IDA Health Specialist.

4. QUALIFICATIONS, EXPERIENCE AND COMPETENCIES:

Qualification:
Applicants must be MD Pediatrics/ DCH Pediatrics/ MD Community Medicine.

Experience:
Minimum eight years' experience of working in MCH programmes/ SNCU/Newborn care/ MCH program management at district/state level.

Skills and Competencies:
(1) Good understanding of National Health Mission (NHM) programme planning process, Facility Based New Born care guidelines and experience of working with NRHM at District/State level is desirable.
(2) Knowledge and experience of Data Management and MIS Systems, Data Analysis, SPSS/Epi- Info and other systems would be an asset.
(3) Must be willing to travel extensively in the State. 
(4) Proficiency in English and Hindi and MS Office related computers is essential.

5. NATURE OF ENGAGEMENT:

The SNCUFC shall be hired on a consultancy contract through Strategic Alliance Management Services P Ltd. (SAMS), a respected HR Agency.

6. PROFESSIONAL FEES:

Professional fees of the selected candidate shall be Rs. 177,400/- per month for the period of the consultancy assignment. (Note: Subsistence, Mobility and Contingency support shall be separately provided, to address field travel and related costs incurred by the SNCUFC).

7. LOCATION: Bhopal with need base travel to field.

8. DURATION: The consultancy assignment will be effective from the date of joining till June 30, 2018.

9. REFERENCE: SNCUFC

10. CONTACT INFORMATION:

Senior Consultant
Strategic Alliance Management Services P Ltd.
1/1B, Choudhary Hetram House, Bharat Nagar
New Friends Colony, New Delhi 110 025
Phone Nos.: 011- 2684 2162; 4165 3612
Email:  sncufc@sams.co.in

11. APPLICATION PROCESS:

Eligible candidates interested in this position are requested to apply to  sncufc@sams.co.in with a cover letter, discussing their interest in and suitability for the position, along with an updated resume, giving details of three references, current cost to organization and expected compensation, by February 12, 2018.