Tanzanian Training Centre for International Health (TTCIH)

Consultancy – Terms of reference (TOR)

TERMS OF REFERENCE

CONSULTANCY FOR DOCUMENTATION OF TANZANIA’S SUCCESS IN REDUCTION OF MATERNAL MORTALITY

Background

Improving women’s health and reducing morbidity and mortality remains the global agenda as it is stipulated by the United Nations (UN) Sustainable Development Goals (SDGs 2030). The UN team including UNFPA, envisions a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled with the goal of ending preventable maternal deaths. The SDG targets reducing the global burden of maternal mortality to less than 70 per 100,000 livebirths and neonatal deaths to less than 12 per 1,000 livebirths by 2030 among other goals.

Tanzania development vision 2020-2025 calls for improvement of the quality of reproductive health services and three-quarters reduction of maternal and infant mortality. In the same vein, the commitment for reduction of Maternal Mortality is articulated by Tanzania Five Years’ Development Plan (2021- 2025), the Health sector strategic plan V (HSSP V, 2021-2026) and the National Plan for Reproductive, Maternal, Newborn, Child and Adolescent Health & Nutrition (One plan III-2021-2026).

Several high impact interventions have been implemented countrywide at varying scales to respond to these targets across the six WHO’s health systems strengthening blocks.  These efforts have yielded promising results as the burden of maternal mortality has declined substantially. The 2023 report of UN-Interagency group for maternal mortality estimation (UN-MMEIG) capturing the trend of 2000-2020, reports that maternal Mortality in Tanzania declined by about 70% to 238 deaths per 100,000 livebirths. The report further highlights that, for the previous two decades, the annual maternal mortality reduction rate (ARR) in Tanzania has averaged 6% which is nearly three-times faster than the global rate (2.1%). Furthermore, the recent Tanzania Demographic Health Survey have reported unprecedented decline of maternal mortality from 556 to 104 per 100,000 live births in 2015/2016 and 2022 respectively.

This calls for a well-designed process to document, describe and disseminate a package of interventions that contributed to these achievements. The documentation will contribute to defining a set of interventions for sustaining the current gains and accelerate efforts towards SDG in Tanzania and other similar low-resource settings globally. The Ministry of Health in collaboration with the Tanzanian Training Centre for International Health (TTCIH) is seeking exceptional candidates who can transform, inspire and deliver high impact and sustained results. We need candidates who are transparent, and skilled in documenting Maternal Health interventions that relate in the reduction of morbidity and mortality.

Purpose of Consultancy

To undertake documentation of Tanzania’s success in reduction of Maternal Mortality.

Scope of Work

• Prepare inception report: desk review to map the existing documents and related guidelines on maternal and newborn deaths. This will include reports from the Tanzania Demographic Health Survey, Census report and UN estimate reports.
• Review implementation reports on Reproductive, Maternal, Neonatal, Child and Adolescent Health (RMNCAH) interventions, focusing on those implemented by both the Government and Non-Governmental organizations.
• Conduct a needs assessment from at least two representative health facilities to identify critical issues and existing challenges faced by the healthcare work force, particularly in relation to opportunities available for further reduction of maternal m
• Employ a participatory approach throughout the task by engaging key strategic stakeholders, including Ministry of Health (MoH) and (President’s Office, Regional Administration and Local Government) PO-RALG, United Nations Population Fund (UNFPA) and World Health Organization (WHO) to address issues related to the implementation of key interventions.
• Present the draft document on reduction of Maternal Mortality, accompanied with PowerPoint slides and a high-quality documentary video, to key stakeholders during validation meetings and collect inputs and feedback for improvement during these meetings.
• Incorporate the inputs and feedback received from stakeholders into the final version of the document.

Location, Duration & Logistic
The consultant will be based in Dodoma, with scheduled travel to Dar es salaam and other regions in Tanzania mainland as necessary. The contract’s validity period will be 28 days.

Methodology

The documentation will adopt a mixed-method approach which may include the following components:

1. Desk review: Conduct an extensive review of documents related to the maternal mortality in Tanzania including the inputs from the Maternal and Perinatal Death Surveillance and Response (MPDSR). Review of reports from different stakeholders, including the government, that highlights the milestones of health system building blocks.
2. Stakeholder consultations: Engage with key stakeholders both public and private stakeholders through meetings, interviews, and focus group discussions (FGDs) during preparation of a documentary video.

Duration and Working Schedule

This work will require 28 working days. The contract will start on 20^th June to 23^rd July 2024.

Evaluation Criteria

The consultant selected will be based on the quality of the technical and financial proposals and track record of similar work undertaken and education profile submitted. The weight allocated between the two will be 70 points for technical proposal and 30 points for the financial proposal.

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How to Apply

All applicants should send the following documents via email.

• Detailed technical and financial proposals.
• Curricula Vitae (CVs) of the Team Lead, Assistant Team Lead and members.
• Two copies of previous similar tasks conducted.

All applicants should send their applications and CVs via email addressed to the following:

Procurement Officer,

Tanzanian Training Centre for International Health,

Po Box 39,

Ifakara, Morogoro.

Tanzania.

Email: procurement@ttcih.ac.tz

Disclaimer:

TTCIH does not charge any application, processing, training, interviewing, testing or other fee in connection with the application or recruitment process. Fraudulent notices, letters or offers may be submitted to the TTCIH fraud hotline http: info@ttcih.ac.tz

Job Posting: June 7^th, 2024

Closing Date: June 14^th, 2024, 11:59 PM

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*Only shortlisted candidates will be contacted