DIFFICULT CONTRACEPTIVE IMPLANT REMOVAL TRAINING CONSULTANCY – IHP- NIGERIA (KEBBI, SOKOTO AND BAUCHI)
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The USAID Integrated Health Program (IHP) is an expanded effort by the United States Agency for International Development (USAID) with the Government of Nigeria (GON) to identify and provide technical support for rapid scale-up of proven interventions through improvement of service delivery and strengthening of health systems. The activity will facilitate seven core intervention areas: health system strengthening (HSS), reproductive health/family planning, child health, maternal health, newborn health, nutrition and malaria (RMNCH +NM). Cross-cutting areas including gender and social inclusion, sustainability and country ownership.
IHP aims to support the rapid scale-up of proven interventions appropriate to each stage of life through improvement of service delivery and strengthening of health systems and optimizing each contact with a client. IHP works closely with state government in Bauchi, Kebbi and Sokoto states to support established health and development plans, build capacity and ensure ownership of interventions, systems and results. Part of that include the increase in uptake of Family planning services provision by ensure method mix.
Use of contraceptive implants has surged in recent years, yet emerging data show a deficit in service delivery capacity and coverage for implants removals. The number of projected removals needed in the 69 FP2020 focus countries in 2018 (4.9 – 5.8 million) Nigeria inclusive, is more than twice that estimated for 2015 (2.2 million). We must proactively plan and execute high-quality removal services in order to fulfill the exceptional promise of implants in meeting clients’ needs and advancing towards FP2020 goals
Implants removal is an essential component of contraceptive implant scale-up, critical to offering high-quality services and continuity of care that meets women’s and families’ family planning needs and fertility goals. Inadequate access to quality implant removal services leaves some clients on contraception even when they would prefer not to be, whether the intention is to conceive or change or discontinue the method for other reasons. This inability to access removal services within a reasonable time-frame consistent with access to other services compromises clients’ right and choices
Removal of implants is dependent on access to skilled providers. When implant users reach the end of the implant’s effectiveness or decide to discontinue the method for any reason, it is of paramount importance to ensure these users have access to quality removal services with competent providers, including removal of difficult-to-remove implants. Although most implants can be successfully removed by trained front-line health workers working in PHCs (nurses, midwives, CHEWs), a proportion of implants will be difficult to remove and will require referral and access to providers with specialized skills to remove difficult-to-remove implants. Typically, these specialized providers are located in hospitals.
One of the specific activities under the IHP is to build the capacity of health care workers to provide high-quality FP services and method mix, including the insertion and removal of implants (both routine removal and removal of deeply inserted implants using evidence-based approaches). This will increase access to quality Implants services.
In view of the above, one consultant is required to facilitate six 2 ½ days skills trainings (2 batches per State) on difficult-to-remove implants for family planning service providers from selected Secondary and Tertiary hospitals in Bauchi, Kebbi and Sokoto states.
Scope of the Consultancy
The scope of the consultancy is to build the capacity of 20 – 24 family planning service providers per state. The 20 -24 participants in each state would be trained in two batches. Each batch will consist of 10-12 participants who will be trained over 21/2 days for each batch. The participants will be selected from IHP supported secondary facilities in Bauchi, Kebbi and Sokoto States and at least 1 or 2 participants from 1 tertiary referral health facility in each state will also be included in the training.
To build the capacity of family planning providers on identification and management of difficult contraceptive implant removals.
By the end of the training learners are expected to:
- Provide pre-removal counseling with respect and care, answer any questions the woman may have, and ensure she understands the removal process, including potential adverse events
- Recognize the variations of implant placement according to visibility, arrangement and palpability (VAP) and correctly assess what type of difficult removal is needed and is possible
- Remove deeply positioned implants using the modified-U technique or refer to a higher-level facility
- Apply knowledge of the variations of difficult implant placement for successful removal.
Scope of work – Key Tasks:
- Work with IHP to develop Operational Training Plan (as per the deliverable requirements below). Work closely with the technical IHP staff (Integrated PHC Advisor, Integrated Supportive Supervision and Quality Improvement Specialists and State Focal Persons) to develop the Operational Training Plan and any follow-on support.
- Use the IHP training preparation checklist to support advance preparation for the training
- Go with IHP to an advance visit to clinical training site the day before the training.
- Set up simulation stations using the guidance provided in the trainers’ manual.
- Facilitate the clinical skills training using ‘hands-on’, interactive, competency based, training approaches and methodology.
- Identify peer practice coordinator(s) (1-2 high performing specialist) from the Tertiary Hospital in each State who can provide continuing post-training support.
- Administer pre and post knowledge, questionnaire and skills’ assessment to assess knowledge and skills of learners before and after the training.
- Carry out any other related tasks that may be necessary to facilitate the training activity.
- Sokoto State: February 24th to 28th
- Kebbi State: March 2nd to 6th 2020.
- Bauchi State: To be determined, subject to availability of funds.
Sokoto, Kebbi and Bauchi States.
Number of Consultant: One needed to cover the 3 states
Link to full Request for Proposal (RFP) and other applications document:
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The closing date and time for all proposals submission is February 14, 2020 7: 11.59pm (WAT). No late proposals will be accepted.