ifa-tor for implementing agency_dec 5

8/3/2019 IFA-ToR for Implementing Agency_Dec 5

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STRENGTHENING THE IRON AND FOLIC ACID SUPPLEMENTATION (IFA) PROGRAMTO REDUCE IRON DEFICIENCY ANAEMIA AMONG PREGNANT WOMEN IN

INDONESIA

1. Background and rationale

Micronutrient Initiative (MI) Indonesia proposes to demonstrate pilots in selected districts for IFAsupplementation for pregnant mothers in West Java and Banten provinces. The program strategy willbe on a) strengthening the supply chain for supplements b) capacity building of the health staff andfrontline workers c) behaviour change communication interventions for increasing utilization d)modifying the monitoring system to monitor and track intervention delivery and supportive supervisione) building government commitment and sustainability through ensuring adequacy of budgets at thelocal level and directives to service providers to provide supplements in the recommended quantitiesand follow-up and f) program evaluation. This model will serve as a basis of replication and scale-up.

The proposed assignment is for an agency to support the Government and MI to prepare for theproject roll out.

The specific objective of the project is to:

To increase the coverage from 57% to 90% and utilization to at least 60% for Iron Folic Acidsupplements among pregnant women to reduce iron deficiency and iron deficiency anaemia amongpregnant women in select districts1 in Indonesia.

2. Objectives

The key objectives of this assignment are:

(1) To develop a Behaviour Change Communication (BCC) plan for strengthening the IFA program(2) To advocate to policy makers from central, provincial, and district levels to strengthen IFA

program implementation.

(3) To conduct sensitization workshop and trainings on the programmatic intervention to programplanners and stakeholders2 at each administrative level (province, district, sub-district, village,sub-village levels) and delivery of IEC materials.

(4) To review and modify the training materials of the IFA program(5) To develop a monitoring framework for the IFA program

3. Methodology

a. Design the BCC strategy

Review findings of the formative research.

Develop a BCC plan for the IFA program through consultations/workshops. Attached is aframework for the BCC plan (annex 1)

Develop appropriate BCC messages.

Review existing communication materials on the IFA supplementation program to reduce irondeficiency anaemia among pregnant women.

Develop and adapt materials for the program.

Pre-testing the IEC materials among health staff and caregivers

Refining/ revision of the IEC materials

Discuss/ share with Government and relevant partners.

Incorporate feedback.

Prepare the final version of IEC materials.

Develop users guide for using the IEC materials in English and Indonesia.Reproduction of the IEC materials will be done by MI.

b.Advocacy meeting to the policy makers

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2 Stakeholders include health providers, local leaders, and cadres

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At least one advocacy meeting to the policy makers to undertaken with central, provincial anddistrict level participants in which participants from other relevant sectors Religion, WomenWelfare Organization, MoH, BAPPEDA, District Authority and Parliament will be participate.

c. Sensitization workshop and training of the program at district levelsThe sensitization of the program and training (interactive discussion and group work) will

be delivered to: orogram planners (at least 1 session in each district), Health providers atcommunity level (at least 1 session for each health center), Cadres (at least 1 session foreach health post), Midwives (at least 1 session for each sub-district/sub-villages)

d. Review and modify the training materials

Review existing training manual/ materials on the IFA program for pregnant mothers andother relevant materials.

Develop/modify training manual.

Pretest training content with the government field functionaries, para medics and theirsupervisors.

Develop users manual for training materials.

Consult/ share with the stakeholders.

Incorporate feedback. Facilitate a meeting to share and get approval by the Government.

e IEC materials will be delivered to all health posts in the two districts

f. Review, and develop the monitoring tools for the IFA programThe review on the current monitoring tools (forms, book recording, report system,logistic books) Suggest modifications and revisions to ensure key indicator informationbecomes available. This will also include development of supportive supervisiontool/checklists. A framework is provided at annex 2.

4. Deliverables

BCC workshop report BCC plan

Final version of IEC materials

Advocacy meeting report

Sensitization workshop and training report

Training manual

Monitoring framework/plan

5. Management Arrangements

The preparation of BCC strategy including development of IEC materials, advocacy meetings,trainings and delivery of IEC materials will be coordinated by the implementing Agency incollaboration with Sub-Division Micronutrient, Directorate of Community Health, Ministry of Health(MoH) at Central Level, Provincial Health Office (PHO), the relevant District Health Offices (DHO),health center and local government at all levels (province to sub-village levels) and supported by MIdistrict extender in each district.

The role of MI is to provide the technical and financial support through the implementing agency andsupport the Sub-Division Micronutrient, Directorate of Community Health, MoHto develop the BCC strategy , undertake advocacy and capacity building and in the development ofthe monitoring plan

6. Time Schedule

Duration of activities will be from 1 January 2012 to July 2012

7. Qualifications

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Organization (NGO/INGO/Yayasan or others) has complete legal status.

Organization has at least 5 years previous experiences in health/nutrition related programsand field experience with similar types of intervention programs.

Organization staff has good networking and collaboration with Government/Department andother relevant stakeholders.

Organizational capacity in terms of professionals and resources.

Organization staff has fluent capability in English (written and oral).

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Annex 1 : Suggested Behavior Matrix

IdealBehavior

CurrentBehavior

FeasibleBehavior

Barriers Audience Messages Channels Activity/ies

Monitoringindicator

Responsibleinstitution

Budget

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Annex 2: Suggested Monitoring Framework

Program Component Indicator Frequency Source

Outcome

Process

Capacity building

Behaviour ChangeCommunication

Monitoring

Supply chain andplanning

Sustainability

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ifa-tor for implementing agency_dec 5

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