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Nov 1, 2017

MdM Sexual and Reproductive Health Workshop Training Consultancy

Vacancy Announcement - Somalia
Médecins du Monde (MdM) is an international humanitarian organization whose mission is to provide medical care for the most vulnerable populations when they are faced with crisis or exclusion from society, the world over, including France, to stimulate voluntary commitment from doctors, other health care providers, and from those whose expertise in other fields is needed for its activities.

MDM is seeking to hire a training organization or trainer who can provide Training of Trainers in Bosaso and the Terms of Reference are as follows:
Sexual and Reproductive Health Workshop
Term of reference 

1. Context
Sexual and Reproductive Health (SRH) projects have existed at MdM for many years and are currently being developed in more than 25 countries. 

Since 2010, SRH is one of the five priority themes, and benefits from the continuous creation of tools to reinforce the adopted strategies, the modalities of intervention and thus respond better to the needs of the populations.
Because of limited human, financial and infrastructure resources, many developing countries such as Somalia are only able to offer a core package of basic SRH services, usually focused around maternal, newborn and child health, including family planning.
The full package of SRH is yet partially available in Bosaso district and MdM as implementing partner of the health project is seeking to develop a full essential packages of SRH services that meet the most pressing needs and are most likely to accelerate progress towards sustainable development Goal 3 maternal and child health-related through trained master Trainers. 

In Bosaso, the level of turnover of the health staff is high according to the previous study on the health system diagnosis undertake by MdM in 2016 with a lack of health human resources personnel.
Moreover, well-trained midwives could help avert roughly two thirds of all maternal and newborn deaths, according to the most recent State of the World’s Midwifery report.

 They could also deliver 87 per cent of all essential sexual, reproductive, maternal and newborn health services. Yet only 42 per cent of people with midwifery skills work in the 73 countries where more than 90 per cent of all maternal and newborn deaths and stillbirths occur.
Those master trainers will be health personnel from BGH, the regional and district health office, the support health facilities able to train and mentor new staff working in sexual and reproductive health areas upon request of the health official of Bosaso within and outside their supported facilities.
The purpose of the training-of-trainers (ToT) on comprehensive SRH is for trainers to be able to build professional skills of national staff to provide quality services to the targeted populations according to recognized standards and to disseminate knowledge in the region.
Audience: Gynecologist midwives and nurses.
Participants will be selected by MdM, the regional and district health office with the support of Puntland MOH based on the following criteria:
  • Ensuring a diverse group of participants – selected from a range of health facilities;
  • High-level English (written and spoken);
  • Strong likelihood of being involved in training after completion of the training
2. Training Objectives and expected results
General Objectives
To ensure that the participants are empowered with the knowledge and skills of the key concepts of comprehensive SRH services (including GBV and FGM prevention) to ensure quality SRH services and being involved in capacity building of their medical colleagues on quality SRH services.
Specific Objectives:
To increase staff competencies on clinical SRH, FP, community reproductive health, STIs treatment and SGBV management
Pedagogical objectives of the training part:
The participants will gain knowledge and skills as trainers and ensure that the staff in the health facilities are empowered on:
- Introduction to SRH
- Family planning/child spacing
- Clinical SRH
- GBV(including sexual violence)
- STIs prevention and treatment
- Community reproductive health
Expected result of the training
The TOT will ensure that the trainers are equipped with the key skills to ensure that all the above mentioned objectives are met and transmitted to the medical staff working in the health facilities who can implement these activities with good quality practices.
3. Proposition of modules
1. Introduction to Sexual and reproductive health
a. Component of SRH
b. SRH policies and guidelines
2. Family planning/birth spacing services
a. General concept of family planning
b. Overview of counselling for informed choice in family planning
c. Hormonal contraceptives
d. Emergency contraception
f. Barrier methods
g. Natural/Modern methods of Family planning
h. Lactation amenorrhea method (LAM)
i. Permanent Family planning methods
3. Prevention and Management of Gender based Violence
3.1. Understanding sexual and gender-based violence basic management steps
a. Basic ideas / definitions / Different forms of GBV
b. Identification of GBV victims and clinical management including PSS support
c. Coordination and referral for PPS, legal…)
3.2. Psychosocial support for survivors of gender-based violence
a. The survivor-centered approach in practice
b. Supportive communication skills and other non-verbal communication
c. Referrals
4. Clinical SRH
a. Clinical diagnosis
b. Interpersonal communication and counselling
c. Infection prevention
d. Safe motherhood
e. Preconception care
f. Focused antenatal care
g. Essential obstetric care
h. Comprehensive abortion care (CAC)
5. SRH infections and conditions
a. Reproductive tract infections-sexually transmitted diseases (STIs)
b. Reproductive tract infections-Non sexually transmitted infections
d. Infertility
e. Ectopic pregnancy
f. Menstrual disorders
g. Reproductive tract Fistulae
h. Reproductive tract cancers
6. Antenatal care, skilled attendance at delivery, and postnatal care
a. Focused ANC (four visits) to ensure wellbeing of mother and baby.
b. Screening for syphilis, HIV, anemia, diabetes and other underlying disorders related to pregnancy.
c. Preventive measures like TT immunization, deworming, prophylaxis with iron and folic acid.
d. Ensure that delivery is done in HF with a skilled birth attendant
e. Ensure postnatal care for the mother( including birth spacing and family planning ) and for the new born
f. Promotion of exclusive breast feeding
g. New born immunization
7. Management of obstetric and neonatal complications and emergencies
a. Basic essential obstetric care services BEMONC at the health center level should include at least the following parenteral antibiotics, parenteral oxytocic drugs, parenteral sedatives for eclampsia, manual removal of placenta and manual removal of retained product
b. Comprehensive emergency obstetric and newborn care CEMONC, typically delivered in hospitals, includes all the basic functions above, plus capabilities for performing Caesarean sections, safe blood transfusion, provision of care to sick and low-birth weight newborns, including resuscitation.
c. Management of obstetric and neonatal emergencies.
8. Prevention of abortion and management of complications resulting from unsafe abortion
a. Overview of abortion care
b. Methods and complications of abortion
Management of complications of abortion
9. Prevention and treatment of reproductive tract infections and sexually transmitted infections including HIV/AIDS
a. Key principles and methods of prevention for RTIs and STIs.
b. Syndromic management for STIs
c. Complications of STIs and RTIs.
10. Early diagnosis and treatment for breast and cervical cancer
Key principles and the importance of self-examination and the importance of health seeking behavior in the early stages.
11. Promotion, education and support for exclusive breast feeding
Benefits of exclusive breast-feeding for both mother and baby.
Information on IYCF and other initiatives.
12. Prevention of sub-fertility and infertility
Key concepts on the issues of infertility and treatment options available.
13. Active discouragement of harmful practices such as female genital cutting
The different types of FGM and the consequences of FGM and the complications.
14. Adolescent sexual and reproductive health
To be aware of the needs of Adolescents and to provide education, provide services to treat STIs and counselling on family planning.
6 Community Involvement in Reproductive health
a) Networking and coalition
b) Information, education and communication for behavior change in the community
c) Community involvement and mobilization
d) Advocacy 

4. Organization of the training
Location: Bosaso, Somalia
Proposed tentative dates: November
Duration of the training: 3-4 weeks
Interested candidates are requested to send their resumes and the cover letters in English in electronic format with reference Training of Trainers to the following email addresses: [email protected]
Deadline: 15th November at 7:00pm 

Only short-listed applicants will be contacted by phone or email.

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