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A stable and prosperous Pakistan is a top priority in international development efforts of the UK Government. Empowerment and voice of women, girls and marginalized social groups is vital for these efforts to succeed. Therefore, enabling them to articulate their needs and influence legislation, policies and practices which affect them is at the heart of the UK’s development assistance. Better access to reproductive, maternal, new-born and child health and nutrition is an important entry point to achieve this objective.

Pakistan is off-track to achieve the health Millennium Development Goals (MDGs). DFID Pakistan (DFIDP) therefore is focusing on reproductive, maternal, new-born and child health (RMNCH) including nutrition to support effective implementation of health sector strategies that will lead to achievement of the health MDGs. DFIDP has signed a Memorandum of Understanding (MOU) with the Government of Pakistan on Provincial Health and Nutrition Programme (PHNP) to achieve RMNCH and nutrition results in KPK and Khyber Pakhtunkhwa provinces over four years (2013 to 2017).

These TORs relate to a role on one of the components of PHNP programme - Empowerment, Voice and Accountability for Better Health and Nutrition (EVA-BHN).

EVA-BHN is a four-year project, primarily focused on the ‘demand side’ of RMNCH services and will complement the ‘supply side’ activities under the broader PHNP framework through:

  • Enhancing Communities’ understanding of their health rights, entitlements and engagement in monitoring the planning and delivery of services
  • Facilitating opportunities at all levels for citizens and civil society to engage with duty bearers to hold them to account for the delivery of services
  • Innovative & out-of-box solutions for supply and demand of RMNCH and nutrition services

OVERVIEW OF GRIEVANCE REDRESS MECHANISM

EVA –BHN will implement a pilot to contribute towards successful and sustainable Grievance Redress Mechanisms (GRM) that allows citizens to constructively engage with the health system. The pilot is designed to facilitate the use of an effective community based grievance redress mechanism (CBGRM) that  serves as a platform for women, children, and men of KP and Punjab to address their grievances primarily around concerns of the community ensuring accountability and reducing risks without enforcing inequities. 

The pilot intends to enhance outreach to the most vulnerable population including poor,  women and citizens belonging to other excluded sections of society. The initiative will simultaneously play an advocacy role for making the existing complaint and redress mechanisms at the government health facilities more responsive to the needs of intended beneficiary groups. EVA-BHN team has been working with groups of volunteers in the targeted union councils of districts Layyah and Nowshera to promote utilization of existing GRM mechanism among the communities.

Scope of Work

This technical assistance is targeted to

  • Prepare brief summary of existing GRM mechanism within the health system. The summary shall also include all other state mechanisms introduced to launch grievances such as PITB, Ombudsman etc. The process shall be visible and easy to use in the shape of flow charts that facilitate the citizens in launching complaints either verbally or in writing.
  • Develop the materials in simple language (translated in Urdu) to help GRM promoters conduct awareness session in the community.
  •  Prepare/Revise the existing GRM module and ensure that it includes all the relevant details including definition of a grievance, consequences of Expressed and Unexpressed Grievances, Relation of GRM to human rights/women’s rights, existing Public GRM mechanisms in health and their use, importance of confidentiality in GRM, essential communication skills, Conflict resolution and problem solving skills

Reports to:                        

Senior CE Advisor

Key Tasks

In order to accomplish the above SOW the STTA will perform the following tasks

  • Coordinate with the EVA,V&A team to identify the existing Public GRM mechanism in Health service delivery
  • Collect the IEC materials or other material developed for the relevant departments
  • Develop a 1-2 pager brief summarizing the key steps of using existing GRM in Health.
  • Revise and update the training curriculum for Community GRM including the lesson plans, pre and posttest, Presentations, participants  handouts , Guidelines for role plays , case studies etc

Duration of the Assignment

  13 days

Deliverables

  1. 1-2 page brief of the assignment at the inception
  2. List of contents of GRM briefing kit
  3. Detailed materials for the GRM briefing kit
  4. Revised  training curriculum for community based GRM
  5. Revised and updated relevant workshop materials including lesson plan, methodologies, handouts, guidelines, pre and posttest etc.

Qualifications and experience

  • Demonstrated experience of working in the public health sector with a focus on RMNCH
  • Demonstrated experience of working on GRM in health sector
  • Experience of developing training materials and conducting trainings
  • Post-Graduate qualification in Public Health, with at least 10 years’ experience preferably a medical 
  • The interested individual shall possess excellent interpersonal communication skills
  • Ability to travel to travel to the target districts in KP and Punjab