Terms of Reference for Development of Preconception Care Guidelines
The USAID Ingobyi Activity is a five-year cooperative agreement to improve the quality of reproductive, maternal, newborn, and child health (RMNCH) and malaria services, in a sustainable manner with the goal of reducing infant and maternal mortality in Rwanda. The USAID Ingobyi Activity builds upon the tremendous gains Rwanda has made as well as previous USAID investments in the health sector. USAID Ingobyi Activity aims to contribute to the reduction of infant and maternal mortality and incidence of malaria in Rwanda. The Activity partners with the Government of Rwanda to build on the country’s considerable achievements, guided by national health strategies, goals, objectives, and data. The Activity is not just building capacity and capability but aims to achieve a shared understanding of the patterns and systemic structures that underlie the health system and where and how to bring about measurable, sustainable improvements. It is expected that efforts will generate a virtuous cycle that produces a stronger health system through increased access, skills, standards, and institutions.
As a key member of the RMNCH technical and associated sub-technical working groups, Ingobyi Activity works in close collaboration with the MOH/RBC and other partners to ensure innovative interventions to improve RMNCH activities are introduced. Recently, preconception care was approved by the RMCNH Technical Working Group to be integrated within the RMNCH package to accelerate the reduction of maternal and newborn mortality.
Rationale for incorporating preconception care into RMCNH package
Preconception care is the provision of biomedical, behavioral, and social health interventions to women and couples before conception occurs. It is aimed at improving their health status and reducing behaviors and individual and environmental factors that could contribute to poor maternal and child health outcomes. Effective preconception care programs can only be realized by establishing a systematic strategy that reflects national and local dimensions, including social and legal issues. Such programs must be evidence based, to advocate for resources and assure sustainability, and flexible enough to be adaptable to accommodate local priorities. Over the past five years, there has been slight
improvements in maternal and neonatal mortality rates from 213 to 203 per 100,000 live births and 20 to 19 per 1000 live birth, respectively between 2015 to 2020. Unfortunately, these deaths have been attributed to preventable causes in both mothers or newborns, such as anemia during pregnancy, chronic medical conditions, delayed health seeking behavior, and unspaced pregnancies, among others. Thus, preconception care offers health care providers and their clients an opportunity to discuss these risk factors, so they can be minimized or prevented.
Therefore, the incorporation of preconception consultation care as part of RMNCH services in Rwanda is expected to improve RMNCH outcomes and accelerate the reduction of maternal and neonatal deaths and the push to attain the SDGs. Based on this need, Intrahealth International, through USAID Ingobyi Activity, in collaboration with RBC/MCCH Division is seeking a consultant to support the development of the preconception guidelines.
Purpose of the consultancy
The purpose of this consultancy is to develop the preconception guidelines and related tools, with an implementation plan and costing, to be used across health facilities in Rwanda.
Scope of Work
Supervision: The consultant will work closely with Ingobyi Activity’s and RBC/MCCH technical teams under the direct supervision of the Maternal, Neonatal, and Child Health Technical Advisor.
Timeframe: This consultancy is expected to be implemented within a timeframe of 45 working days starting from the date the contract is signed and must be completed by November 15th, 2021.
Selection criteria: Applications will be assessed on cost reasonableness (30%) and technical competence (70%).
Interested applicants are requested to submit electronic copies of their technical and financial proposals (in English), by September 9,2021 at 23:45 to firstname.lastname@example.org. with the subject ‘Preconception care guideline development consultancy’
In the proposal, the applicant should explain how s/he intends to carry out the work and should include the following: