Health Cluster Guidance on Identifying and Filling Gaps in the Health Sector Duration: 10 weeks

 Terms of Reference Health Cluster Consultant  

ORGANIZATIONAL CONTEXT

WHO is the lead agency of the IASC Global Health Cluster.  The mission of the Global Health Cluster is to: provide health leadership in emergency and crisis preparedness, response and recovery; prevent and reduce related morbidity and mortality; ensure evidence-based actions, gap filling and sound coordination; and enhance accountability, predictability and effectiveness of humanitarian health actions.

 One of the core commitments of the Global Health Cluster is to develop operational guidance on coordination and management of humanitarian health action to support the implementation of the cluster approach at the country level. A Subgroup has been established to develop such guidance on behalf of the Health Cluster.  Within the subgroup, individual partners take on the role of ensuring the realization of specific agreed upon products.  All related and agreed costs are covered by the Health Cluster funds.  Overall management of this consultancy will be provided by Merlin with additional support from UNICEF where necessary. 

SPECIFIC OBJECTIVES

In this context, under the supervision of Merlin, an international consultant will be recruited to lead and undertake the required work in collaboration with local health cluster staff (and local consultants as necessary, to be engaged by international consultant) with the following objectives:

· Using available evidence from country case studies (chronic and acute emergency), to identify effective methods for identifying gaps, identify recurring gaps in the health response (e.g.  assessment gaps, geographic, operational, thematic , vulnerable groups etc) in cluster and non-cluster countries and identify effective and appropriate responses

· To support consultations about lesson learning above, arrange for additional data collection in selected countries as needed to cover both chronic and emergency contexts)

· To look into  gaps identified  in others sectors relevant to health (Nutrition, Watsan) and how  these gaps have been filled

· To document lessons learnt to date on how to identify gaps in health, how to effectively address those gaps, and how to effectively serve as provider of last resort; include in guidance lists of recurring gaps and standard or innovative methods for addressing them, and present in a manner which can be incorporated into the work on-going on needs assessment and tools to support

The incumbent will deliver the following three products:

- guidance on how to identify and address gaps, including a generic list of frequent health gaps reported in previous crises and actions aimed at filling them, and the practicalities of serving as provider of last resort,

- an interim report at the end of week 4 of the consultancy

- a final report on the process of achieving the result (no more than one week after the completion of the consultancy).

The guidance will be comprehensive, taking into consideration both acute emergencies and complex chronic crises and any relevant cross-cutting issues such as gender, environment, human rights, etc.  It will allow country level health clusters to identify and address gaps in health response, in both chronic and acute emergency contexts, and to satisfactorily act as provider of last resort.

METHODOLOGY

The desired output will be achieved through a product-driven process of a comprehensive review of current available materials, review of lessons learnt and best practices, selection, improvement, consensus-building and standardization.  Therefore, in carrying out this assignment, the incumbent will interact with a range of individuals and institutions in WHO, the UN systems, NGOs and academia, as active in, or relevant to health action in crises, as well as country-based health cluster stakeholders, and to work with a degree of independence in technical decision making, while keeping the Chair and the rest of the Subgroup appraised of progress towards planned activities and outputs.

 Learning from this work component will be fed in to the work of the Subgroup on Assessments and into the Health Cluster guidance on Strategy Development and Action Plan Formulation as appropriate to help ensure the equitable distribution of programmes to address the needs of vulnerable groups and/or gaps in programming to date.

 SUMMARY OF ASSIGNED DUTIES

The incumbent will actively engage with, solicit input from members of the Global Health Cluster Subgroup on Coordination and Management while carrying out the following tasks:

· Conduct a comprehensive review of data already available (qualitative and quantitative) from country programme case studies

· oversee the collection of additional data on lessons learnt in a selection of countries if considered appropriate/necessary which builds on the lessons leant to date.    

· Analyze information and ensure consistent consolidation of lessons learnt. The analysis will incorporate perspectives from the service providers (cluster lead and partners), local government and beneficiaries.

·  Identify likely gaps and put forward recommendations for the identification and filling of gaps across a range of contexts

· Present recommendations in a manner which allows for their incorporation into the needs assessment guidance and tools (under development)

·  Develop a proposal for addressing the issue of last resort at country level

·  Recruit, develop TORs and manage local consultants as necessary.

·  Ensure compliance on reporting to the cluster sub-group (interim and final)

· Coordinate with  consultants and focal points responsible for other products  within  the Subgroup on Coordination and Management and  with  entities outside the health cluster looking for similar gap identification filling and last resorts

·  Inform  the members of the Subgroup, the co-chairs and the focal agency on the progress of the work and reporting on the semifinal and final products

EDUCATION

University post-graduate degree in public health with a focus on epidemiology and disaster management, including a background in health (MD, RN with MPH) or a related field. Social anthropology skills would be desirable.

COMPETENCIES

In depth knowledge of health assessment principles, methods and tools in humanitarian emergencies; capacity for team work; leadership; good interpersonal skills with excellent communication, facilitation and negotiation skills, ability to work with multiple partners to build consensus; strategic vision and judgement; ability to prioritize, organize, manage, and adapt management style according to need; ability to build and motivate teams; ability to convene stakeholders and facilitate a policy process between UN and NGOs; well developed problem solving skills.

EXPERIENCE

Extensive experience in emergency and crisis contexts and development context at the international level; recognized technical skills in the area of assignment; extensive field experience in developing countries; a minimum of five years experience in field-based humanitarian response within the United Nations system or with a non-governmental organization; familiarity with the health  sector and stakeholders, cluster approach and computer-based information systems;  proven skills in information gathering and analysis.

LANGUAGES

Excellent knowledge of spoken and written English

DUTY STATION

Preferably London or Geneva based.   If not, must have access to excellent internet connections with facilities for video conferencing, net meetings, etc. Field trips to countries where cluster has been activated and or is being rolled out in a pilot fashion.

TO APPLY FOR THIS POSITION

Merlin will be processing applications on behalf of the IASC Health Cluster.  Please submit your application in the form of a CV and covering letter to alice.gilbert@merlin.org.uk The closing date for applications is 31st January 2007.

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