Friday, April 21, 2017

National Contractors for IDSR System Evaluation in Refugee Camps

Terms of Reference for the 3 National Contractors to conduct the Integrated Diseases Surveillance and Response (IDSR) system in six refugee camps in Rwanda (May 2017): one contractor for 2 refugee camps.
1. Background
Rwanda is hosting six sites of refugee camps including five for Congolese (Gihembe, Kigeme, Kiziba, Mugombwa, Nyabiheke) and one for Burundian (Mahama) with more than 50,000 refugees. Kiziba refugee camp has been a home of Congolese refugees since more than 20 years while Maha
ma refugee camp was opened in April 2015. Mahama refugee camp is growing as new arrivals continue to be registered every day.
The refugee response in Rwanda is led by the Ministry of Disaster Management and Refugee Affairs (MIDIMAR) and United Nations High Commission for Refugees (UNHCR) and health response is the responsibility of the Ministry of Health, United Nations High Commission for Refugees (UNHCR) and World Health Organization.
The World Health Organization (WHO) as the one overseeing all health related aspects in general and, especially in refugee camps in Rwanda, in collaboration with UNHCR and the Ministry of Health would like to conduct an evaluation of the of epidemic surveillance and response system in the six refugee camps in order to collect information reflecting the reality which should guide in strengthening epidemic surveillance in these camps.
While conducting this exercise, the focus will be the effectiveness and usefulness of the IDSR system in refugee camps.
Overall Objective
The overall objective is to determine whether the IDSR system is meeting its objectives by allowing early detection and response to potential epidemics in refugee setting areas.
Specific objectives:
  1. To describe the system to be evaluated
  2. To document the quality of the surveillance data reported
  3. To assess the IDSR in refugee camps capacity in preparedness and rapid response to outbreaks and other public health threats
  4. To evaluate extend to which laboratory services contribute to timely detect and confirm priority diseases and outbreaks;
  5. To determine the level of usefulness by describing actions taken based on data from the surveillance system.
2. Methodology:
Relevant documents (surveillance reports, consultation and laboratory registers, investigation reports, action plans, and supervision reports) will be reviewed and individual interviews using elaborated questionnaire will be conducted.
In order to achieve the intended objectives, the work will include the collection, analysis and interpretation of primary and secondary data on IDSR system and HIS. Data collection will use a questionnaire entered into tablets and will focus on the following:
  1. Structure (Package, Reporting system, how is referral system in case of any potential
    diseases under notification, supervisions conducted and their reports, Sample transportation flow, Internal information flow related to notifiable diseases (community, routine consultation, laboratory, hospitalization, data management)
  2. : case detection, registration, case confirmation, data analysis and reporting, feedback, supervision, outbreak investigation, epidemic preparedness and response at all levels of the health system in refugee camps.
  3. Priority diseases (notifiable ones)
  4. Capacity
  5. Laboratory: laboratory capacities in the camps, turn- around time for referred specimens
  6. Write Report: Present final report
Scope of the work
This evaluation will be conducted from 22nd to 26th May 2017 and will cover a period of 21 months: From 1st June 2015 up to 28th February 2017.
One consultant will be in charge of the IDSR evaluation in two camps as follow:
-     1st consultant: Mahama and Nyabiheke refugee camps
-     2nd consultant: Kiziba and Gihembe refugee camps
-     3rd consultant: Kigeme and Mugombwa refugee camps
Expected deliverables
Prior to the evaluation, a two day training of data collectors from the Ministry of Health/RBC/ESR Division to support in this work will be organized. The questionnaire will be entered into three portable tablets, which will be provided by the hired consultants. Double entry will be done by each team and consultants will ensure the immediate crosschecking of data entered for immediate correction of errors. Data analysis, report with clear recommendations will be required to each consultant at the end of the assignment.
The contractor will be reporting to DPC/WHO on daily basis and to WHO Representative for the final approval.
Timeline of the assignment.
-     18-19 May 2017: Training of data collectors
-     22-26 May 2017: Data collection
-     29 May – 2 June 2017: Data cleaning, analysis and report writing WHO is expected to have a comprehensive final report on 2nd June 2017.
The work station for contractor will be based at WCO with one week of field activities.
Payment modalities
After the training, each contractor will submit a training report to WCO and will receive 25% of the consultation fees. 75% will be paid after submission of the final report.
Profile for the consultant
This assignment is classified at the level of NOB function.
Essential: Master’s degree in Field Epidemiology or Public Health
Desirable: specialized training in IDSR system.
Skills and Competences:
  • Good understanding of health delivery, health systems and emergency context, policies, planning and management issues in Rwanda;
  • Excellent oral and written communication (report writing), computer and data analysis skills with ability to use MS Word, Epi Info, Excel and PowerPoint;
  • Excellent interpersonal, cross cultural and negotiation skills; ability to convene and work with all relevant national and international stakeholders and partners involved in the emergency response;
  • Organized and flexible with working hours and ready to work for long hours when required;
  • Energetic and able to work in basic conditions
  • At least five years’ experience working in the field of diseases surveillance, emergency public health and communicable diseases;
  • Experience in outbreak investigations and response, data quality; and previous work experience as a public health officer with the MOH, UN or a reputable international NGO will be an added advantage;
  • Excellent knowledge of English, Good working knowledge of French and Kinyarwanda.
How to apply:
Written application accompanied by a detailed CV including three referees should be addressed to the WHO Representative Country Office/Rwanda, Kacyiru, Ebenezer House, KACYIRU Boulevard de l’Umuganda; or send an e-mail , not later than 26th April 2017 before 5:30 PM.
-     Motivation Letter,
-     Detailed CV,
-     Copies of Education qualification,
-     Copy of ID card.
Applications without all the above requirements will not be considered.
All application materials will not be returned.
The deadline for application is 26st April 2017 before 5:30 PM
Dr Olushayo OLU
WHO Representative/Rwanda

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