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Field Monitoring Consultant

Kabul, Afghanistan

Short summary of the job: The field monitoring consultant will conduct programmatic spot check to TBRSSH, HIV/AIDS and malaria programmes in all provinces of Afghanistan. For the first round Jawzjan, Faryab, Saripul, Samangan, Takhar, Baghlan, Kunduz, Badghis, Ghor, Zabul, Urozgan, Helmand, Paktika and Daikundi provinces will be monitored by the IC. Additionally, the consultant will conduct training spot check for the three disease programmes and report on timely basis.

About Project     

The UNDP is a partner of Global Fund to Fight AIDS, Tuberculosis and Malaria and serves as interim Principal Recipient (‘PR’) at the request of the Country Coordinating Mechanism (‘CCM’) or GF. The Afghanistan CCM selected UNDP Afghanistan to assume the PR’ role for the HIV, TBRSSH and Malaria grants. The Ministry of Public Health (MoPH) is the principal implementing partner and a number of non-governmental organizations implementing the grant activities as Sub-recipients (‘SR’) in targeted areas. The PR, UNDP is responsible for the financial and programmatic management of the Global Fund grants as well as procurement of pharmaceutical and non-health items and the quality of the services provided under the Programmes. In all areas of implementation, UNDP provides support to national partners to strengthen health systems to assume the PR’ role when capacities permit. The UNDP’s working to strengthening partnerships between MoPH, other government agencies, affected communities, development partners and UN agencies to ensure more effective and inclusive governance of the response against the three diseases. The UNDP Afghanistan has a Programme Management Unit (‘PMU’) that coordinates and oversees the implementation of the Programmes and ensure compliance of the terms and conditions of the grant agreements with the GF and UNDP rules, policies and procedures.  UNDP implements program activities in partnership with sub-recipients (NGOs) in the country and provides general guidance on UNDP/Global Fund rules and procedures to all SRs participating in the implementation of program activities. 

Job Details 

Overall Objective of the Consultancy:

In the 2021-2023 grant cycle 4 sub-recipients (SRs) for HIV, 4 SRs for TBRSSH, 19 SRs for malaria grant are implementing TB, HIV and Malaria services in the provinces, and some SRs are working in three of the TBRSSH, HIV and Malaria grant.  Based on the grant budget and work plan, the SRs are implementing various services all over the country. SR agreements and SR budgets with partners are typically signed for 1 year with possible extension given satisfactory performance by SRs. UNDP has been working with the SRs for the smooth implementation of grant activities to maximize the efficient use of donor resources. As part of its routine monitoring, UNDP as a PR is conducting monitoring visit to the provinces, districts, health facilities and communities to verify services provided to the end users. However, the PR couldn’t cover all areas of intervention due to restriction of movement in insecure provinces, for instance, UNDP staffs are not able to visit some provinces through routine monitoring for TB RSSH, HIV and Malaria activities. To this end UNDP GF project is seeking services to conduct verification of program activities performed by SRs at all levels of implementation in provinces. The overall objective is to provide support to GF PMU (under the supervision of M&E specialist) in conducting follow up verification of programmatic interventions implemented and reported by SRs on monthly basis to UNDP, and to do spot check of three grants activities in the provinces.

Expected Output/Deliverables;

·        Monthly spot check reports from 3 provinces on TBRSSH, HIV/AIDS and malaria grants activities submitted to GF-PMU Program and M&E team.

Work Arrangements:

Institutional Arrangement

1.      The focal point will be reporting to the office daily during office working hours, reporting to the direct supervisor M&E specialist, and will submit monthly report to supervisor on activities supported during the period. The GF PMU will provide with office space, IT equipment (sim card and laptop) and access to copy machine and other equipment. 

2.      The Individual consultant will travel to all Provinces of Afghanistan (3 provinces per month for a maximum of 15 working days).

Duration of the Work:

The monitoring consultant shall work for maximum of 88 working days (4 months) on 5 days a week, 40 hours’ maximum per week.  The duration of the consultancy may be extended based on the satisfactory completion of the tasks at the end of this consultancy.

Responsibilities 

UNDP cooperation and relationship with SRs is governed within framework of signed SR agreements and its annexes (SR budget work plan, SR performance framework and other annexes as deemed necessary). Within the framework of these SR agreements, UNDP makes quarterly advances to SRs dedicated bank accounts, after carrying out program activities and making expenditures, SRs report on the status of the program implementation on quarterly basis. According to the SR agreement; activities are implemented according to the approved work plan and budget and reported to the PR on quarterly basis with supporting documents. UNDP verifies the accuracy of the reported results by conducting quarterly visit to the SRs; visit to the provinces, visit to health facilities and communities; cross verification of supporting documents and second layer verification including phone call with the beneficiaries. Despite all these efforts; verification of reported results at the health facility and community level is challenging in some of the provinces and most of the districts due to insecurity, inaccessibility and lack of transportation.

The UNDP Global Fund project requires the services to conduct spot-check as part of the project work plan. The purpose of conducting the spot-check and verification is to provide UNDP-GFP and stakeholders with evidence/assurance regarding the status of project implementation compared to the project work plan and TBRSSH, HIV and Malaria SRs reports at field level. Under the supervision of M&E specialist carry out planned and surprise spot checks on program activities at SR level; the focal point will perform spot check for the verification of programmatic interventions of TBRSSH, HIV and Malaria grants, which provides evidence regarding the status of the project implementation and use of Global Fund resources. Through the proposed spot check, the UNDP-Global Fund Project is aiming to find out the following:

Malaria Project

LLIN distribution: Verify LLIN distribution in targeted area and check that the LLIN distribution is conducted in accordance with the LLIN distribution SOP. This includes but not limited to:

o   Review the availability of original vouchers and registers in the NGO field office: voucher is used by the beneficiary for collecting their LLINs from distribution point. It is important that the information on the voucher matches the information on the distribution register because the register is used to verify the information on the voucher (vouchers of 5% of distributed LLINs will be reviewed and cross checked with LLIN register).

o   LLIN distribution through mass campaign: Selecting villages and household by using LLIN distribution register/vouchers and conduct door to door visit by asking the households whether they are received LLIN according to the family size/LLIN register. (Review and cross check of 5% of distributed LLINs in selected sites).

o   Verification of data: The monitoring consultant is expected to verify the accuracy of reported results from the health facilities to the provincial focal persons and compare with SR reported results for all indicators in the SRs performance framework. Additionally, data should be compared with the MLIS and DHIS 2 summary for the reporting period. The monitoring consultant will check on the number of suspected malaria cases, # tested by microscopy/RDT, # confirmed/clinical cases, # of confirmed malaria cases who received first line anti-malaria drugs by cross checking OPD/lab register/prescription and compare with MIAR as well as quarterly of SR reports.

o   Trainings spot check of malaria trainings conducted by the SRs

·        Review the approved training plan and check that selection is done based appropriate criteria
·        Review and cross check the participant’s attendance register and conduct physical verification
·        Review and cross check payment sheet with participant attendance register 

TBRSSH Project

Verification of data

The monitoring consultant is expected to verify the accuracy of reported results from the health facilities to the provincial focal persons and compare with SR reported results for all indicators in the SRs performance framework. Additionally, data should be compared with the TBIS and DHIS 2 summary for the reporting period. The monitoring consultant will check # of all forms of TB cases notified, MDR-TB cases notified, # of TB cases detected among IDPs, children, HHC, prison, treatment success rate, # of supervisions, etc.

Household Contact (HHC)

In this activity, as soon as a person is diagnosed with TB and is registered with an Index No; the CHW/doctor in the HF where the patient is diagnosed shall visit house of the patient to check his/her family members for any symptoms of TB and do the necessary checkups. This is an active case finding method for which the CHW/doctor who is visiting the patient’s house is paid an AFN 676 for each visit as reimbursement of his/her transportation cost.

o   The accuracy of the data of all patients registered in the HFs with an index number to find discrepancy if there is any

o   Physical meeting with at least 10% of index TB cases and find out if doctor/CHW has made a visit to the patient’s house.

o   Compare number of household contact payments claimed by SR and number of patients with index numbers at HF level to find the discrepancy if there is any

MDR Patients Support

This activity is to support the Multi Drug Resistant TB patients for their visit to MDR wards for re-check-ups and getting medicines on periodic basis. For each visit program is providing AFN 2027 as transportation cost/cash incentive to encourage the patients to visit the health facility.

The monitoring consultant will conduct spot check and will verify the following:

o   Compare the actual number of patients with NTP database and verify if they are MDR patients who are on treatment by MDR sites

o   Meet a certain 30% of patients and phone verification for the rest of the MDR patients

o   Find out the amount of transportation payment each patient has received Vs payment sheet submitted by the SR on quarterly basis for the last one year or so.

o   Compare the SR payments sheets for transportation with actual number of patients and the amount each patient has received.

o   Trainings spot check of malaria trainings conducted by the SRs

·        Review the approved training plan and check that selection is done based appropriate criteria
·        Review and cross check the participant’s attendance register and conduct physical verification
·        Review and cross check payment sheet with participant attendance register 

HIV Project

Verification of data

The monitoring consultant is expected to verify the accuracy of reported results from DICs to the provincial focal persons and compare with SR reported results for all indicators in the SR performance framework. Additionally, data should be compared with national/provincial summary for the reporting period. The monitoring consultant will check # of PWIDs/MHRBs/WHRBs/prisoners reached and tested for HIV, needle and syringe distributed, PWIDs on OST therapy and # of PLHIVs on ARV therapy.

Reaching People Who Inject Drugs in the community

Verify number of PWIDs who are reached in the community. For this activity the outreach workers are going to the field for provision of services to PWIDs. The outreach supervisor is providing map of all hotspots already identified to the outreach workers, where outreach workers are going to the identified hotspots and providing HIV preventive services to PWID clients.

The third-party agent should review the Drop in Center (DIC) register and verify the 10% of PWIDs reached once per the reporting period in the selected sites (clients visiting health facilities in a month).

Testing People Who Inject Drugs at Drop in Center (DIC)

Those PWIDs who are already reached in community are registered in the field and after counselling and client’s willingness and they refer the clients to DIC for testing. At the DIC the counselor is providing pre-test and post- test counselling and HIV awareness to the clients. The DICs are conducting rapid diagnostic tests: HIV first, second and third test according to the national algorithm.

The consultant will not be limited for verification of the above list of intervention and the consultant will conduct spot check of any other additional activities for the three grants based on the programme need and emerging priorities.

Requirements

Academic Qualifications: 

Experience:

  • 3 to 7 years’ experience of public health, monitoring and evaluation as well as reporting and data management.

  • Experience of working in Tuberculosis, HIV/AIDS and malaria would be an asset.

  • Demonstrated experience and professionalism in previous work.

Language:

·        Fluency in English and local languages of Dari/Pashtu is required;

Special skills requirements:

·        Good knowledge of monitoring, spot check and reporting writing

·        Proficient in Microsoft office applications including Excel, Outlook, Power Point and Word;

Competencies:

Functional Competencies:

·        Building strategic partnerships with relevant national stakeholders;
·        Ability to identify needs and interventions required to achieve set goals;
·        Must have excellent communication skills both verbal and written;

Team Work and Communication skills:

·        Excellent time management skills;
·        Openness to change and ability to receive/integrate feedback;
·        Creating and promoting enabling environment for open communication;
·
        Excellent interpersonal and communication skills.

Management and Leadership:

·        Builds strong relationships with clients, focuses on impact and result for the client and responds positively to feedback;

·        Consistently approaches work with energy and a positive, constructive attitude;

·        Demonstrates openness to change and ability to manage complexities;

·        Ability to conflict resolution;

·        Demonstrates strong oral and written communication skills;

·        Remains calm, in control and good humored even under pressure;

·        Proven networking, team-building, organizational and communication skills.

Job Location: UNDP CO, Kabul, Afghanistan and regular travel to provinces and districts.

 

Contract Type:

Short Term

Probationary Period:

3 Months

Sales Scale:

As per company salary scale

Extension Possibility:

YEs

Job Location:

Kabul, Afghanistan