Request for Proposal (RFP) for partnership on the “Improving Diarrhea Treatment Outcome in Northern Nigeria” project 2023/2024– job is currently going on for all interested and qualified candidate should kindly apply below.
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Nutrition international (NI) invites proposals for the purpose of “Improving Diarrhea Treatment Outcome in Northern Nigeria” from reputable non-governmental organizations.
Nutrition International (NI) is a global organization dedicated to delivering proven nutrition interventions to those who need them most. Working in partnership with countries, donors and implementers, our experts conduct cutting-edge nutrition research, support critical policy formulation, and integrate nutrition into broader development agenda. In more than 60 countries, primarily in Asia and Africa, NI nourishes people to nourish lives.
Childhood diarrhoea remains a threat to child survival in Nigeria; 10% of deaths in children under five are due to this disease. The country still records national prevalence as high as 13%. State specific variations in prevalence of diarrhoea are also recognised; the prevalence in the north-western states is considerably higher at 20.7% in Kano, 37% in Sokoto,18.6% in Katsina, and 21.7% in Zamfara.
Diarrhoea is a recognised cause of poor nutrition among children particularly in more serious and prolonged cases, due to loss or reduced intake of nutrients associated with episodes of diarrhoea.
Conversely, pre-existing malnutrition is known to prolong episodes of diarrhoea and increase mortality due to childhood diarrhoea. These, and many other undesirable consequences make it vital to integrate diarrhoea management into comprehensive nutrition programming for under five children.
Therefore, Nutrition International seeks to contribute to reducing the number of deaths due to diarrhoea among children under five In Nigeria. Nutrition International will work with implementing partners to provide both technical and financial support to Kano and Sokoto to address key factors associated with increased diarrhoea morbidity and mortality.
Specifically, Nutrition International’s project will support these states to promote prompt care- seeking behaviors among caregivers of children with diarrhoea as well as adherence to standard treatment (zinc and low-osmolarity oral rehydration solution [LO-ORS]). Project states will receive targeted technical and financial support to improve the capacity (knowledge, skill and attitude) of health care providers to implement quality Zinc and LO-ORS interventions and appropriate interpersonal communications for the treatment of all diarrhoea cases seen at health facility or community level service points.
In addition, NI will work to improve the commitment of state actors, such as health managers and policy makers, to implement complementary drug revolving fund (DRF) schemes for effective availability and sustainability of health commodities, including Zinc and LO-ORS.
NI through implementing partners earlier updated the IFA and Zinc Lo ORS Behaviour Change Intervention (BCI) strategy that had been developed in 2017. This was achieved through a desk review of literature on existing SBC materials to explore the knowledge, attitudes and practices of care givers and their influencers with respect to Zinc supplements and LO-ORS for the treatment of childhood diarrhoea. Knowledge and practices of healthcare workers on nutrition counselling were also reviewed.
The qualitative inquiry study based on project specific information was conducted to further inform the BCI strategy. This explored care givers care seeking behaviors, channels of communications, and their experiences in accessing health services including Zinc and Lo-ORS supplies. Other themes such as cultural and social norms, gender barriers, knowledge, attitude and practices of community health workers and community volunteers were also explored.
Nutrition International’s approach to addressing the aforementioned problems is holistic and integrative. Hence it aims to support the target States to better manage diarrhoeal diseases in under-five children, by improving the provision of appropriate information to caregivers and influencers, developing the capacity of and improving the supportive supervision for health workers, and supporting the states to increase and sustain availability and access to Zinc and LO-ORS commodities via support to strengthening their DRF schemes.
NI’s Zinc Lo-ORS project titled “Improve Childhood Diarrhoea treatment outcome in Northern Nigeria”, aims to improve care seeking behavior for diarrhoea and quality of diarrhoea treatment, as a strategy to enhance child nutrition and survival in the states. The overall goal of the project is to contribute to reducing mortality due to diarrhoea in under-five children
Goals and Objectives: The aim of the project is to increase the proportion of children with diarrhoea who receive Zinc and LO-ORS treatment (improve coverage). This is expected.
Specific Objectives
The implementation of the child health and survival improve childhood diarrhea treatment outcome in Northern Nigeria will be conducted in Two states- Sokoto and Kano
The project will focus on 3 key areas, as follows:
i. Improving quality of care: Improving the capacity (knowledge and skills) and motivation of frontline health workers to provide quality care (treatment, counselling and support) to children with diarrhoea and their care givers. This will be accomplished through targeted training, supportive supervision and increasing access to needed commodities.
ii. Improving supply of Lo-ORS and zinc to health facilities to improve availability of the commodities in a sustainable manner. NI will focus on improving state procurement systems for the commodities and support the states to implement or strengthen Drug Revolving Fund (DRF) scheme that incorporate L-ORS and zinc to complement existing health commodity procurement system in the state. The project plans to strengthen the capacity of the state SPHCDA and other line managers at different levels to be able to manage the DRF scheme.
iii. Increasing care seeking for children with diarrhea by their care givers.
Expected outputs, activities and deliverables for the project vary slightly between the two target states. Thus, the outputs, activities and deliverables for the project have been outlined by states for the third year of the project.
i. Output: Conduct Meetings with State Policy makers to increase financial commitment for zinc and LO-ORS supply within the DRF scheme in the state.
Activities:
Deliverables:
ii. Output: Work with the State Primary Healthcare Management Board and State Drug Consumption Supply Chain Management Agency (DSCMA) to ensure support on the DRF scheme operation with states, DRF committee establishment, capacity building of staffs, and strengthen M&E systems.
Activities:
Deliverables:
iii. Output: Workshops conducted with state health managers to develop management plans and tools to strengthen the DRF at state, LGA, and PHC facility levels
Activities:
Deliverables:
iv. Output: Learning conducted by managers and decision makers in project states to one state with high performing DRF scheme.
Activities:
Deliverables:
Output: SPHCDA Team (Health committee & Appropriate authority) in Kano and Sokoto improve DRF Scheme and Logistic Management Information System (MIS)operation via regular monitoring and supervision.
Activities:
Deliverables:
v. Output: Work with the states DRF HFs in Kano & Sokoto state to ensure availability of zinc and LO-ORS using DRF scheme
Activities:
Deliverables:
vi. Output: Work closely with the State and LGA SPHCDA teams, NI and Partners to implement regular and effective monitoring and supportive supervision at the health facilities
Activities:
Deliverables:
The implementing partner is expected to submit to NI a 9-month implementation proposal (ideally not more than ten pages – excluding Annexes, team members’ resumes, previous reports, description of roles, timeline, and the financial proposal), which should have the following outline:
a) A Technical implementation plan (max 10 Pages) detailing:
b) Qualifications of the key personnel of the team. This shall include:
c) Plan with a timeline for the objectives and activities: Timeline, which includes specific deadlines for each of the implementation activities, milestones, and deliverables.
d) Financial Proposal (up to 2 pages): Submit a Financial Proposal with a narrative for your budget on a separate sheet. Your budget should include the following details:
e) Budget Cap:
An electronic copy of the technical and financial proposals in MSWord and MS Excel should be submitted to NI by 16th June, 2023 to bidsNIGERIA@nutritionintl.org
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