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Term of Reference for Province Coordinators

Better Investment for Stunting Alleviation (BISA) project in Indonesia

Date: 13 September 2019


Grant: 5601- PON - BISA

1. Background

The Better Investment for Stunting Alleviation (BISA) programme is an integrated nutrition-specific
and nutrition-sensitive programme designed jointly by Save the Children (SC) and Nutrition
International (NI) to assist the Government of Indonesia (GoI) to realise the goal of the National
Strategy to Accelerate Stunting Prevention (2018-2024). BISA targets two Provinces – West Java
and East Nusa Tenggara Timur.

To support the GoI’s ambition to reduce stunting, BISA will:


1. Implement a Social and Behaviour Change Communication (SBCC) Package focused on
improved maternal, infant, and young child nutrition (MIYCN) and water, sanitation, and
hygiene (WASH) practices of adolescents, pregnant and lactating women (PLW), and
caregivers of children under two;
2. Provide technical assistance to District and Provincial government and health service
providers to improve the delivery and enhance access to and use of Iron-Folic Acid for
pregnant women and pregnant adolescent girls; Weekly Iron Folic Acid for adolescent girls;
vitamin A supplementation, zinc, and oral rehydration salts for children under five, and
MIYCN counselling for pregnant and lactating women, adolescent girls and caregivers;
3. Provide technical assistance to the National, Provincial and District government to improve
the allocation and effective use of funding and human resources at Provincial, District, and
Village levels.

Over five years (2019-2024), BISA will enable 3.3 million people, including 734,100 women, 489,343
children under two, and 1.45m adolescent girls to access high impact nutrition services. BISA will
test, and scale-up two packages of interventions: (1) The ‘Essential’ Package focused on
strengthening the supply side of nutrition service delivery; and (2) The ‘Essential+’ Package that
combines supply-side services with demand-side services through the provision of direct support to
communities. The two packages will be tested in four districts (two per Province) in the first two years
to assess the impact and generate evidence, and at the end of year three the package will be scaled-
up to an additional eight districts (total of 12 Districts).

Scope of Work:

Province Coordinators will be placed at the selected intervention provinces with frequent travel to
the intervention districts to implement BISA program activities (one province coordinator per
province). NI Province Coordinators will provide technical assistance to Provincial government and
will work together with the District Coordinators in providing technical assistance to District
government and health service providers. The Provincial Coordinator will supervise the work of the
District Coordinator.

The Province Coordinator will provide technical assistance to Provincial government and two districts
at a time through the District Coordinator in the initial phase of the project and six districts at a time
in the scale up phase to strengthen the capacity of the Provincial Health Office (PHO) and District
Health Offices (DHOs) in delivering Vitamin A Supplementation (VAS) for children age 6 to 59
months; zinc and LO-ORS in the treatment of childhood diarrhoea; Iron and Folic Acid (IFA)
supplementation for pregnant adolescents and women. The Province Coordinator will also provide
technical assistance to provincial education office, provincial religious office, district health offices,
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district education offices and district religious offices on Weekly Iron and Folic Acid (WIFA) for
adolescent girls’ supplementation programs and the District Government Officer in improving the
allocation and effective use of funding and human resources at district and village levels.

The Province Coordinator will report to the Deputy Chief of Party and work closely with NI’s Technical
Advisors of Adolescent Nutrition and Maternal, Infant and Young Child Nutrition, and Monitoring,
Evaluation, Accountability and Learning (MEAL) Officer. Monthly technical and progress reports will
be required for the deliverables described below.

2. Province Coordinator Role

Coordination
o Coordinate the District Coordinator on the implementation of BISA’s project activities and the
provision of technical assistance.
o Coordinate with SC on operational aspects of the BISA project at provincial and district level
o Coordinate with the District Coordinator on the compilation of BISA project progress reports

Planning
o Facilitate the process in the province and each district to identify barriers to the progress of the
VAS, zinc and LO-ORS and IFA programs for pregnant women and pregnant adolescent and
WIFA program for school-going adolescent girls;
o Provide technical assistance to the PHO to develop a province-level action plan for each
intervention which clearly states what needs to be addressed to improve program delivery, by
when and who will be responsible for tasks.
o Support the District Coordinator in the provision of technical assistance to the DHOs to develop
a district-level action plans for each intervention that clearly states what needs to be addressed
to improve program delivery, by when and who will be responsible for tasks.

Deliverable: Plan of action for PHO and each DHO to improve VAS, zinc and LO-ORS, IFA and
WIFA supplementation coverage of the two districts at the initial phase and six districts at the
scale up phase of the project, with more focus in prioritized Puskemas by the first quarter of MoH’s
fiscal year (January – March). Implementation of the action plan will be evaluated by DHO
annually at the end of each year.

Capacity building
o Provide technical assistance to the PHO to implement provincial level action plans
o Support the District Coordinator in the provision of technical assistance to the DHOs to
implement district level action plans
o Provide technical assistance to the PHO to analyse province and district levels coverage data
for VAS, zinc and LO-ORS, IFA for both pregnant women and pregnant adolescents and WIFA
school-going adolescent girls’ supplementation programs as well as provide support for the
corrective actions required during the course of program implementation
o Support the District Coordinator in the provision of technical assistance to the DHOs, in each
district to analyse district and health centre level coverage data for VAS, zinc and LO-ORS,
IFA for pregnant women and pregnant adolescents and WIFA school-going adolescent girls’
supplementation programs as well as provide support for the corrective actions required during
the course of program implementation
o Provide technical assistance to PHO to implement the standardized processes for supply chain
management, micro planning, monitoring and reporting of the VAS, zinc and LO-ORS, WIFA
and IFA supplementation programs at province level.
o Support the District Coordinator in the provision of technical assistance to PHO and DHOs to
implement the standardized processes for supply chain management, micro planning,
monitoring and reporting of the VAS, zinc and LO-ORS, WIFA and IFA supplementation
programs at district level.
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o Support PHO to train DHO’s staff on analyzing coverage data and forecasting supplies for VAS,
zinc and LO-ORS, IFA and WIFA programs during review meetings and workshops.
o Support the District Coordinator in the provision of assistance to the DHO in training health
centre staff on analyzing coverage data and forecasting supplies for VAS, zinc and LO-ORS,
IFA and WIFA programs during review meetings and workshops.

Expected Outcome:
PHO and DHO staff have adequate understanding and knowledge of key processes for the VAS,
zinc and LO-ORS, and IFA and WIFA supplementation programs for stunting alleviation.

Deliverables:
Compiled monthly reports that will include details of activities undertaken such as number of field
visits, places visited, number of program review meetings attended, observations, feedback
provided and/or corrective actions taken as well as any critical issues for NI and SC etc.

Supply chain
o Liaise with the Pharmacist Officer in the PHO and advocate for the need to develop the link
between the PHO and DHO to monitor the logistics and supply chain management in each
district to ensure adequate amounts of vitamin A, zinc and LO-ORS, IFA and WIFA
supplements are delivered in a timely manner to district level.
o Support the District Coordinator in liaising with the Pharmacist Officer in the DHOs to advocate
for the need to develop the link between the PHO, DHO and the health centres to monitor
logistics and supply chain management in each district and health centre to ensure adequate
amounts of vitamin A, zinc and LO-ORS, IFA and WIFA supplements are delivered in a timely
manner to health centers (Puskemas) and secondary schools.
o Provide technical assistance to PHO to develop province level procurement plans for vitamin
A, zinc and LO-ORS, IFA and WIFA supplements.
o Support the District Coordinator in the provision of technical assistance to DHOs to develop
district level procurement plans for vitamin A, zinc and LO-ORS, IFA and WIFA supplements.

Expected Outcome:
Supply chain is streamlined between PHO and District Health Office and to health centers at sub
district level to ensure no stock outs at the delivery points (Puskesmas and secondary schools).

Deliverables:
Annual procurement plans for province and each district to ensure adequate supply of Vitamin A,
zinc and LO-ORS, IFA and WIFA supplements.

Monitoring and reporting


o Monitor Vitamin A Capsules (VAC) distribution every 6 months (February and August) in
collaboration with the PHO and DHO Officers to ensure that sufficient amounts of the VAC are
supplied in a timely manner to health centers, identify gaps in supply of VAC and areas of
support in the project targeted districts
o Monitor all components of zinc and LO-ORS, IFA and WIFA supplementation programs in two
BISA targeted districts during initial phase and six BISA targeted districts during scale-up phase;
ensure that IFA supplements are delivered on time and in adequate supply as well as identify
areas of support.
o Provide technical assistance to PHO Officers to improve reporting on the VAS for
children age 6 to 59 months, zinc and LO-ORS for childhood diarrhoea, IFA for pregnant women
and pregnant adolescents and WIFA school-going adolescent girls supplementation programs,
including HMIS coverage reports of VAS, zinc and LO-ORS and IFA with province and district
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level analysis.
o Support the District Coordinator in the provision of technical assistance to DHO Officers to
improve reporting on VAS for children age 6 to 59 months, zinc and LO-ORS for childhood
diarrhoea, IFA for pregnant women and pregnant adolescents and WIFA school-going adolescent
girls supplementation programs, including HMIS coverage reports of VAS, zinc and LO-ORS and
IFA with district and health centre level analysis.
o Support the District Coordinator in the provision of technical assistance to DHOs on the
implementation of Quality Reporting Self-Assessment (QRS) of the VAS program to ensure data
quality.

Expected outcomes:
Quality data on coverage of the VAS, zinc and LO-ORS, WIFA and IFA programs are available.

Deliverables:
Monthly report that includes:
a. Completed province level NI monitoring reports on program performance using checklists/tools
b. Description of the gaps identified and solutions proposed during field visits
c. Monthly province and compiled district-level HMIS data on zinc and LO-ORS, IFA and WIFA
as well as VAS for the months of February and August.

Additional Technical Assistance


o Facilitate and support province and district-level advocacy meeting/activities to increase budget
allocation for VAS, zinc and LO-ORS, WIFA school-going adolescent girls and IFA for pregnant
women and pregnant adolescents’ supplementation programs.
o Provide assistance as needed during technical or programmatic workshops related to VAS, zinc
and LO-ORS, and/or IFA and WIFA being held at the province level.
o Work closely with key players at province and district levels including UNICEF, other UN/NGOs,
universities and relevant tasks forces or committees and act as resource person for the VAS,
zinc and LO-ORS, and IFA and WIFA supplementation programs.
o Provide technical support as needed for the formative research and baseline survey to be
conducted.
o Facilitate and support PHO and DHO Officers in the use of the QRS tools and evaluation of
the supplementation programs.

Expected Outcomes:
i. Budget is adequately allocated by PHO and DHOs for key components of the VAS, zinc and
LO-ORS, WIFA and IFA programs, such as commodity procurement, training of health workers,
outreach services (home visits) and routine monitoring.

ii. Good collaboration and networking with other partners is facilitated, ensuring that NI Province
Coordinators are recognized as resource person in VAS, zinc and LO-ORS, WIFA and IFA
supplementation programs at the district level.

Deliverables:
a. Compiled monthly reports that include details on the number of meetings held at the province
and district level, key discussion points and description of technical assistance provided by
the Province Coordinator and District Coordinator on VAS, zinc and LO-ORS, WIFA and IFA
supplementation programs

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3. Number of Districts to be covered

At Initial phase (Year 1 and 2 of the project)


o District Coordinator of West Java Province: 2 districts
o District Coordinator of East Nusa Tenggara Province: 2 districts

At Scale-u phase (Year 3 to 5 of the project)


o District Coordinator of West Java Province: 6 districts
o District Coordinator of East Nusa Tenggara Province: 6 districts

4. Province Coordinator Qualification


o At least a Bachelor’s degree in any of the following disciplines: Public Health, Nutrition,
Medicine
o A minimum of five years nutrition program experience at district or province level with
government or NGOs (experience in health systems management is an advantage)
o Proficient in MS Word, Excel and PowerPoint and use the internet to browse and research
o Possess analytical skills and strong attention to detail
o Willing to travel extensively

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