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Is looking for
Consultancy on Water, Sanitation and Hygiene (WASH)
in Health Care Facilities
1. SNV Netherlands Development Organisation
SNV is an international not-for-profit development organisation that focuses on
increasing people's incomes and access to basic services in Water, Sanitation
and Hygiene (WASH), Agriculture, and Renewable Energy. By connecting our global
expertise with longstanding in-country presence, we help realise locally-owned
solutions in more than 25 countries in Asia, Africa, and Latin America.
Established in 1965 in the Netherlands, our projects directly benefit millions
of people (4.4M in 2018). SNV specializes in supporting the resourcefulness of
development actors by developing local capacities, improving performance and
services, strengthening governance systems, helping to create access for
excluded groups and by making markets work for the poor.
2. the WASH SDGs for sustainable and inclusive cities programme
SNV understands safe sanitation and hygiene services as a pre-condition for
health and economic development in cities. With Indonesia's urbanization rate
at 2.3% (World Bank, 2018), a failure to invest in urban sanitation will become
a barrier for almost any development in the country. Access to sanitation is a
human right and governments are the duty bearers of progressive realisation of
this right. With the Sustainable Development Goals (SDGs), notably SDG 6 and
the 2020-2024 RPJMN, Indonesia is committed to work towards universal access to
safely managed sanitation services, this means services for all and addressing
the safety of the entire sanitation chain from access to safe disposal or
re-use.
Through the Dutch Government funded WASH SDGs programme, SNV supports local
governments of Bandar Lampung & Metro Cities in Lampung Province and
Tasikmalaya City in West Java Province in achieving sustainable and inclusive
city-wide sanitation services, in line with national programmes and targets.
Together, we change the way human waste is managed by addressing different
needs among the population, different parts of the sanitation service chain,
and different geographical areas with appropriate service delivery models.
3. background
Indonesia still faces a number of challenges concerning the issues around Water
Sanitation and Hygiene (WASH) in Health Care Facility (HCF). Indonesia accounts
for the eighth largest number of neonatal deaths in the world[1]. According to
the Ministry of Health's national health survey[2], sepsis accounted for 12%
and 21% of mortality of 0 - 6 days and 7 - 28 days age groups, respectively.
Interventions such as handwashing and clean birth practices, in both homes and
HCF, significantly reduce the risks of neonatal mortality[3]).
Despite the multiple regulatory tools issued by the Government of Indonesia, in
particular the Ministry of Health (including UU36/2009 and PMK75/2014,
PMK13/2015 and PMK46/2015, amongst others), a recent data analysis jointly
conducted by the Government of Indonesia and UNICEF found that one quarter of
primary health centres (23.6%) did not have access to a combination of minimum
basic water and sanitation services with significant regional variation
observed (10.6% - 59.8%)[4].
The importance of adequate WASH conditions in health facilities is well
established and the need for its global improvement was further enhanced
through the Sustainable Development Goals (SDGs). Through Presidential Decree
59/2017, Indonesia has committed with the achievement of the SDGs and dedicated
Health Care facilities objectives are reflected in the forthcoming RPJMN
2020-2024. Further, the country has committed with conducting HC facilities
surveys (ASPAK) and has started web-based data reporting on HCF, including on
WASH conditions. A country baseline is to be established soon.
4. general objective
Through this consultancy, SNV's WASH SDGs programme aims to assist the
governments of Bandar Lampung, Metro and Tasikmalaya to improve WASH conditions
in Health Care facilities, with the findings also aiming to support evidence
based advocacy efforts at the national level.
5. specific objectives and scopes of consultancy work
The specific objectives and the scopes of the consultancy work are:
1. To examine the comprehensiveness of the existing regulations and
parameters for WASH in Health Care facilities in Indonesia, in comparison with
the good practices established internationally. These should take as primary
reference the JMP/WHO definitions of indicators for water, sanitation, hygiene,
waste management and environmental cleaning as well as the national parameters
as stated in RIFASKES and other relevant documents. A mapping of the existing
gaps is to be provided.
2. Using available data and collecting additional one with key stakeholders,
examine the constraints preventing good conditions to be in place.
Opportunities are also to be identified. This examination should include
regulations, institutional arrangements, technical parameters, financial and
human capacity, monitoring mechanisms and pay attention to issues of gender and
social inclusion.
3. Based on the data and related analysis, develop a strategy to improve the
WASH conditions in health facilities. The strategy is to have two levels: i) a
high level, longer term strategy, targeting the elements that require
improvement at the national level; ii) a localized strategy for each of the
targeted cities, identifying short term, medium term and long term initiatives
to improve WASH conditions in health care facilities
4. Specifically for point 3.ii) design and pilot a HCF audit/monitoring
approach (tool to be agreed on with SNV team and related DHOs) that mobilizes
DHO/puskesmas to improve WASH conditions in HCF in line with JMP indicators and
Gender and Social Inclusion principles and that also includes internationally
established protocols for epidemic situations across the 5 indicators
5. Report and discuss on findings of the pilot, with clear guidance on how
to move forward also at the national level (drawing on the cities' experience)
6. CONSULTANCY locations (all done remotely during COVId outbreak)
* The consultancy will include assessments and consultation meetings at
the national level (Jakarta)
* The consultancy will include assessments and consultation meetings in
Bandar Lampung and Metro (Lampung province) and Tasikmalaya (West Java province)
* Data analysis and report writing can be done remotely though regular
meetings are expected with SNV's team in Jakarta (Kemang)
7. consultant's team requirements
It is expected that the team of consultants is constituted by a research expert
and by a monitoring/local governance expert. Given the recent introduction of
the JMP indicators for health care facilities (established only in 2019,
through the latest RIFASKES survey), experience with this issue is valued but
not mandatory.
The following requirements are expected from the team of consultants:
Researcher (estimated LoE: 25 days)
1) Masters level (minimum) in the field of water, sanitation and hygiene
(environmental health, environmental engineering, public health or relevant
related domains)
2) Proven track record (at least 3 years) in comprehensive research methods,
both quantitative and qualitative, including guiding structured interviews,
assessments and consultation processes with different types of stakeholders
3) Ability to write comprehensive reports with brevity and clarity,
distinguishing essential from secondary information and in a language
accessible to non academic audiences
4) Previous experience in consulting/collecting information from local
government counterparts
5) Fluent in Bahasa Indonesia and strong command of written/spoken English
Monitoring/local governance expert (estimated LoE: 45 days)
1) Master level (minimum) in the field of governance/public administration
(regional/local planning, local governance/financing, local development and
administration or relevant related domains)
2) Proven track record in the WASH sector (at least 7 years), preferably
including the WASH in health care facilities topic
3) Demonstrated ability to design monitoring/audit tools/frameworks tailored
to existing institutional and regulatory arrangements and to institutionally
embed them sustainably
4) Demonstrated ability to advocate and mobilize local government
counterparts for innovative WASH related initiatives
5) Proven knowledge of national government dynamics and decentralized
government arrangements in the Indonesian context
6) Fluent in Bahasa Indonesia and good command of spoken/written English
8. Deliverables
The research period is approximately 17 weeks and may be started from the 30th
April 2020 (or as soon as possible upon consultant appointment and contract
assignment).
9. Responsibilities
SNV
* Advise on the assessment set up and design, provide feedback as
required;
* Pay the fee and costs related to the research;
* Assist with arranging contact with relevant stakeholders (interview,
meetings, etc.) as required.
Consultants Team
* Lead the assessment and produce the deliverables;
* Involve SNV and relevant local government in the process.
* Conduct the works with outmost responsibility and respect for local
contexts, including the do no harm principle
* Comply with SNV's Code of Conduct
10. Implementation Arrangement
Consultants will report to SNV's WASH SDGs team leader and will work closely
with SNV advisors assigned to support the consultancy in each targeted city.
12. Application Process
Please send the application documents as follow:
* Preliminary technical and financial proposal
* CV of the team members
* Research references
to indonesia-procurement@xxxxxxx<mailto:indonesia-procurement@xxxxxxx> by
latest 30th April 2020 with the subject "WASH in Health Care Facilities".
For more information on SNV please refer to our website:
www.snv.org<http://www.snvworld.org>
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[1] Lawn JE, Blencowe H, Oza S, You D, Lee AC, et al. (2014) Every Newborn:
progress, priorities, and potential beyond survival, pp. 4.
[2] Riskesdas, National Health Survey, Ministry of Health, Government of
Indonesia (2007), pp. 279, Table 3.210
[3] Blencowe H, Cousens S, Mullany LC, Lee AC, Kerber K, et al. (2011) Clean
birth and postnatal care practices to reduce neonatal deaths from sepsis and
tetanus: a systematic review and Delphi estimation of mortality effect. BMC
Public Health 11 Suppl 3: S11
[4] Odagiri et al. (Under review). Water, sanitation and hygiene services in
public health care facilities in Indonesia: Adoption of UNICEF/WHO service
ladders to national data sets for a Sustainable Development Goal baseline
assessment.
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