Optimizing the Maternal & Newborn Health Workforce in Indonesia
Human Resources for Health in 2030: HRH2030 | Chemonics International seeks an experienced Senior Technical Advisor (“Consultant”) to lead and support HRH2030 activities in Indonesia.
BACKGROUND – As a global cooperative agreement, Human Resources for Health (HRH2030) supports USAID/Washington and field missions in strengthening human resources for health (HRH) across 42 priority countries to increase the accessibility, availability, acceptability, and quality of the health workforce needed to improve health outcomes and advance universal health coverage. HRH2030 is designed to 1) increase performance and productivity of the health workforce, 2) increase the number, skill mix, and competency of the health workforce, 3) strengthen HRH/HSS leadership and governance capacity and, 4) increase sustainability of investment in the health workforce. With Chemonics International as the prime implementing partner, HRH2030 consortium partners include: Palladium, URC, ThinkWell, AIHA, Amref Health Africa, and Open Development.
Supporting a diverse population of more than 260 million people living across 17,000 archipelagos and an estimated 4.2 million births annually, the Government of Indonesia (GOI) is committed to ending preventable maternal and child deaths (EPMCD). However, challenges to achieve optimal maternal and newborn health (MNH) outcomes in Indonesia remain. Despite significant investments to ensure that pregnant mothers deliver with the support of a skilled health professional (83% in 2012), newborn mortality has effectively stagnated from 2002 to 2012, at 20 deaths and 19 deaths per 1,000 live births, respectively (GOI BPS 2015), though the 2017 Demographic and Health Survey results show reductions to 15 deaths per 1,000 live births. Socioeconomic determinants and inequities affect neonatal health outcomes, with rural, poorer, and less educated families nearly three times more likely to experience neonatal death (GOI BPS 2013). The maternal mortality rate (MMR) in Indonesia was estimated at 305 deaths per 100,000 live births (GOI BPS 2015), which is higher than many other countries in the region with similar economic status (EMAS 2015).
These outcomes implore attention to the human resources for health (HRH) who drive the health systems for MNH outcomes, including midwives, nurses, and doctors, such as obstetrician- gynecologists (OB-GYNs) and pediatricians. Action is needed to build quality clinical skills, address inefficient planning, deployment, tracking and management approaches, and ensure the availability, accessibility and accountability of a well-qualified and well-trained workforce that has the skills mix necessary to respond to the MNH needs of the population.
ACTIVITY PURPOSE AND OVERVIEW – To respond to the maternal and newborn health needs of Indonesia, USAID/Indonesia has requested HRH2030 to develop and implement a scope of work aimed at building, managing, and optimizing the MNH workforce.. Adapting the HRH2030 Health Workforce Lifecycle Approach, HRH2030 conducted a scoping assessment in September 2018 to better inform the activities, as well as to provide recommendations to USAID for future investments.
Based on the assessment and resulting recommendations, HRH2030 has proposed a scope of work that has the following objectives, deemed as priority for responding to the identified issues and needs:
- Improve management, tracking and distribution of the midwife
- Develop/test a model for deployment to help inform policy that ensures appropriate assignments of HRH to facilities
- Develop a model for improving midwives’ clinical competent
- Improve the quality of registration, licensing, accreditation and CME for practitioners
RESPONSIBILITIES – Chemonics seeks an experienced Senior Technical Advisor (“Consultant”) to lead and support HRH2030 activities in Indonesia. The Consultant will work in close coordination with the Ministry of Health, USAID/Indonesia and HRH2030’s Technical Director to spearhead all HRH MNH activities, including technically advising and managing both the day to day and strategic direction of activities. In addition, s/he will provide general management and oversight support to NHWA and HRH-HIV activities, as these activities will be led by the HRH2030 Home Office Core team.
- Serve as the main point of contact for HRH2030 in Indonesia with USAID, the Ministry of Health and other stakeholders, representing HRH2030 in meetings with stakeholders, as well as attending USAID partners meetings.
- Coordinate and lead meetings with stakeholders related to advancing HRH2030 activities..
- Support oversight and management of consultants and/or firms that are engaged to support HRH2030 activities in Indonesia.
- Provide inputs to reports, workplans, and requests from USAID on HRH2030’s work in Indonesia.
Building, Management and Optimization of the MNH workforce
- MNH activity planning and preparation, including providing inputs for local project registration
- A literature review on deployment and incentivization models (from Indonesia as well as global models) to document and identify health worker motivations, best practices and processes, impact on quality and other challenges
- Limited technical assistance to Nusantara Sehat evaluation including developing a costed evaluation scenario for review by USAID
- With clinical partners, adapt rapid task analysis for key MNH interventions as a method to document a baseline, monitor progress and institutionalize clinical competency development activities
- Participate in coordination and detailed workplan development with international midwifery firm with a focus on engaging expert midwife trainers to provide intensive skills support for midwives in key maternal newborn health interventions
NHWA: HRH Policy, Management and Decision Making
- Support NHWA stakeholder discussions, including supporting coordination of the NHWA TWG and on the ground oversight to the implementation of the NHWA Joint Implementation Plan.
- Support stakeholder discussions around secondary data analysis of MNH-focused cadres in priority provinces to understand distribution and skill mix.
- Serve as in country point of contact for requests related to technical assistance provided to the HRH Directorate (BPPSDM) related to strengthening of human resource information systems, including SI-SDMK.
- Support activities for the HIV-HRH site level assessment, including data use support and data collection in Papua
TIME PERIOD – It is expected to start December 17, 2018 with the possibility of extension through May 2019. Contingent upon the workplan finalization and availability of funding, it is anticipated that this scope of work will be expanded both in terms of time and responsibilities in accordance with local labor laws, continuing until approximately early 2020.
QUALIFICATIONS – The Consultant must have demonstrated experience conducting similar assignments in Indonesia. In particular, the Consultant must demonstrate the following:
- Technical expertise in maternal and newborn health and human resources for health (HRH), with demonstrated experience with the development, implementation and monitoring of HR management, capacity building and/or quality improvement interventions.
- Experience coordinating and collaborating with key stakeholders such as the Ministry of Health, professional councils, and other health stakeholders to design, develop, implement, and evaluate activities, as well as to promote institutionalization for long-term sustainability.
- Experience in the development of literature reviews, evaluation design and/or costing.
- Experience in overseeing and/or conducting site-level data collection (quantitative and qualitative) in health care service delivery settings in Indonesia.
- Familiarity with health information systems and best practices for data use for decision making, with experience promoting and building capacity on data use.
- Experience working on USAID-funded activities strongly preferred.
- A master’s degree in public health, social sciences, economics, development studies or a related field. Educational background in nursing, midwifery, or other medical field is strongly preferred, but not required.
- Strong communication, analytical, and writing skills.
- Working proficiency in English and Bahasa.
- Availability to perform scope of work in the immediate term strongly preferred.
APPLICATION INSTRUCTIONS – Please send your updated curriculum vitae to HRH2030 Indonesia HR with the position title in the subject line, at email@example.com. Applications will be reviewed on a rolling basis.