Consultancy: Support The Updating Of District Health Managament Team (Dhmt) Supervision Guide
Introduction
USAID Ingobyi Activity seeks an experienced consultant to lead a consultative process that will ultimately lead to the updating of the current District Health Management Team (DHMT) Supervision Guide. 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.
Ingobyi Activity seeks to strengthen performance of the health system at central and decentralized levels to improve capacity for district planning, reporting, and evaluation. Together with the Ministry of Health (MoH), USAID Ingobyi Activity supports district health units (DHUs) to: organize regular district health management team (DHMT) meetings to prioritize and respond to key health challenges; strengthen the referral system to improve case management; conduct advocacy for improved infrastructure, human resources for health, and equipment maintenance; contribute to the development of policies and guidelines; and integrate quality improvement across all services. Over the past four years, USAID Ingobyi Activity has supported DHMTs in 20 supported districts to conduct supervision in health facilities using a tool developed in 2012. This tool needs updating to align with the DHMT Guide developed in 2018 and to reflect the current realities of the health system.

Purpose Of The Consultancy
The purpose of this consultancy is to support the updating of the current DHMT supervision tool into a comprehensive supervision guide to reflect the prevailing healthcare context. The consultant is expected to lead a consultative process involving key health sector partners, including MoH and DHMTs, to review the supervision tool against the DHMT Guide and current realities in the health sector.

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Key Tasks
The consultant is responsible for the following tasks:
• Meeting with the Ingobyi Activity and MoH team to discuss the scope of work and other expectations for the assignment.
• Develop and present a draft inception report clearly showing how the consultant plans to carry out the work, incorporate feedback provided and submit the final version for approval.
• Engage key health and non-health stakeholders, including MoH, RBC, Ministry of Local Government (MINALOC), USAID, Enabel, CHAI, USAID implementing partners (such as Ingobyi Activity and its relevant consortium members and RIHSA), Partners in Health, and Gikuriro Kuri Bose, among others, to collect information and inputs to use in updating the existing tool. The consultant shall collect information related to four pillars of the DHMT mandate, namely: planning, monitoring and evaluation, coordination ad supervision of health activities; resources management; and enforcement of health-related policies and regulations (norms and standards).
• Develop the required tools for collecting the necessary information from key stakeholders at district and national level to inform changes to the current DHMT supervision tool.
• Conduct field visits to the districts and hold interviews/meetings with stakeholders, including vice mayors of social affairs, district directors of health, director generals of hospitals, members of the District Joint Action Forum (DJAF), and private health practitioners, among others. The consultant shall collect information on the following areas: planning, monitoring and evaluation, coordination ad supervision of health activities; resources management; and, enforcement of health-related policies and regulations (norms and standards).
• Synthesize collected information into a summary report for deliberation with central level stakeholders.
• Based on the key findings and recommendations in the information gathering report, update the current DHMT supervision tool into a comprehensive DHMT supervision guide, in collaboration with MoH and Ingobyi Activity, while incorporating feedback throughout the process.
• Facilitate a consultative workshop to present the draft DHMT Supervision Guide and incorporate further input from participants.
• Produce and submit the final, edited, and formatted draft of the updated DHMT Supervision Guide for approval.

Deliverables
The consultant is responsible for the following deliverables aligned to the tasks above:
1. Inception report outlining key tasks, methods, timeline, and key milestones to be achieved.
2. A summary report of central and district-level engagements outlining priority areas to be covered by the DHMT supervision guide.
3. Presentations, including PowerPoint slides on priority areas for consideration in the DHMT supervision guide to key stakeholders at a consultative workshop.
4. Draft DHMT supervision guide submitted to Ingobyi Activity, MoH, RBC and other key stakeholders for review.
5. Final, edited, and formatted draft of DHMT supervision guide submitted to MoH and Ingobyi Activity.

Level Of Effort And Timeline
The estimated level of effort is 23 working days from October through November 30, 2022.
# Activities/Tasks Estimated number of days Timeline
1 Meeting with the Ingobyi Activity and MoH team to discuss the scope of work and other expectations for the assignment 1 24/10/2022
2 Develop and present a draft inception report 2 26/10/2022
3 Engage key health and non-health stakeholders to collect required information 3 31/10/2022
4 Develop the required tools for collecting the necessary information from key stakeholders at district and national level 1 01/11/2022
5 Conduct field visits to the districts and hold interviews/meetings with stakeholders 7 10/11/2022
6 Synthesize collected information into a summary report 3 15/11/2022
7 Update the current DHMT supervision tool into a comprehensive supervision guide 3 18/11/2022
8 Facilitate a consultative workshop to present draft supervision guide 1 21/11/2022
9 Produce and submit the final, edited, and formatted draft of the updated DHMT Supervision Guide 2 30/11/2022

Location
Preparation of information gathering instruments, analysis and documentation of findings, preparations for field visits and workshops can all be completed remotely. Consultative workshop and district meetings will require the consultant’s presence.

Required Qualifications And Experience
It is envisaged that the consultant selected to implement this assignment will have the requisite combination of skills and expertise as follows:
• Medical degree with solid clinical background; additional MPH training preferred.
• At least ten (10) years of experience in the planning, implementation, monitoring and evaluation of public health programs, and/or the designing and conducting public health research.
• Understanding of the Rwanda health system and the core functions and structure of the DHMTs.
• Understanding of Rwanda’s primary healthcare, health systems strengthening activities, and familiarity with the 4th Rwanda Health Sector Strategic Plan (HSSP IV).
• Understanding of the reproductive, maternal, newborn, child health, malaria services and prevention landscape in Rwanda.
• In-depth knowledge of participatory approaches, stakeholder engagement and governance practices.
• Familiarity with conducting supervision, including supportive supervision and/or program monitoring of health activities.
• Good writing and synthesis skills.
• Strong knowledge of methods of collecting and analyzing information/data, presenting results, and facilitating stakeholder workshops with high level national level staff and partners.
• Familiarity with the local cultural contexts.
• Fluency in French and proficiency in English is required.

Submission Procedure
Interested applicants are requested to submit electronic copies of their technical and financial proposals (in English), by Friday September 30th,2022, before 5:00pm, Kigali time to ingobyiprocurement@intrahealth.org with “DHMT Supervision Guide Consultant” in the subject line.
The application file should include:
• Motivation letter and updated CVs.
• At least 3 professional references with full names, phone number and email address.
• Technical proposal (3 pages maximum) including applicant understanding of intended scope of work.
• Consultancy fee - daily rate in Rwandan francs.
• At least 3 referrals/certificates from previous similar work.
IntraHealth International is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law, and requires affirmative action to ensure equality of opportunity in all aspects of employment and consultancies.
Only applicants fulfilling the above requirements will be contacted. If you do not hear from us within one week from the submission deadline, consider your application unsuccessful.