Ended Health & Nutrition Program Manager
Job Title HEALTH AND NUTRTION PROGRAM MANAGER
Duty Station YEMEN – HODEIDA (FIELD VISIT TO HODEIDA AND RAYMAH)
Reports to (hierarchical link) FIELD COORDINATOR
Announcing Date : 27.12.2018
Closing Date : 12.01.2019
General Information on the Mission
Throughout the first decade of the 21st century, Yemen has been ranked as the poorest country in the Middle East and North Africa region and one of the poorest in the world. In 2011, it was ranked 154 out of 187 countries in the UNDP Human Development Index and held to be “off track” or “seriously off track” in four of the Millennium Development Goals (MDG) targets. UNDP Country Programme Document (2012 2014) noted 41.8% of Yemenis live below the national poverty line, and 84% are dispersed over rural settlements, resulting in a higher proportion of rural poor.
Yemen is amongst the most water-deprived countries in the world: according to some estimates, the ground water reserves of the most critical aquifers will be exhausted within 20 years.
Access to good quality water remains a major problem where about 50% don’t have access to safe potable water, contributing to a number of water-related epidemics including diarrhoea. The prevalence of diarrhoea (as well as ARI and fever) was found to be significantly higher than the national figures, with nearly one in two children reported to have had diarrhoea in the two weeks preceding the survey. Diarrhoea was significantly associated with malnutrition.
Yemen is also blighted by persistently high levels of food insecurity and malnutrition. The 2012 Global Hunger Index, based on data from 2005 to 2010, concluded that the country was the 10th most food insecure in the world, ranking 70 out of 79 countries and experiencing levels of hunger described as “alarming”. Yemen Humanitarian Dashboard Aug. 2012 noted that food insecurity doubled over the last 2 years, over 10 million people are food insecure, 5 Million are severely food insecure and in need of immediate lifesaving assistance. As per CFSS 2012, nearly half of all children U5 are chronically malnourished (47%) and 13% suffer from acute malnutrition, which is serious. Maternal, infants, and child mortality and morbidity are amongst the main public health problems in Yemen. The latest reports indicated that Maternal Mortality Rate (MMR) was 210 per 10,000 and U5 Mortality Rate was 66/1,000 live birth with the majority in the rural areas.
Al Hodeidah Governorate having 2.15 million population is located on coast of the Red Sea. It is Yemen’s seventh largest governorate and about two thirds of its population live in rural areas. Administratively, the governorate consists of 26 districts, 135 sub-districts and 2,304 villages. The governorate has a huge potential for investments in agriculture, livestock and fisheries. It is considered among the most important agricultural locations in Yemen. Despite of potentialities, advantages and the opportunities to support local livelihoods, poverty is widespread. The latest SMART survey by UNICEF /MoPHP says that the prevalence of acute malnutrition is above the critical emergency threshold (=15%), GAM, SAM, and MAM rates are 31.7%, 9.9% and 21.8% respectively.
Raymah is the most newly created governorate in Yemen, bordered by governorates of Hodeidah, Dhamar and Sana’a, with population size of about 500,000. Administratively, Raymah is comprised of 6 districts, characterized by rugged nature and high mountains. Agriculture in forms of cultivation of fruits, vegetables, cereals and coffee as well as breeding animals and honey production are the main activities practiced by people there. The 2012 WFP-CFSS survey reported the moderate and severe food insecurity of 50.6% that is close to the survey conducted in 2009. The SMART survey in Raymah indicates that GAM rate is 10.8%, which is above the WHO serious threshold. The MUAC cut offs of 115 mm and 125 mm estimated that proxy GAM 13.1% and proxy SAM is 3%, which classifies as critical according to FAO.
PU’s strategy/position in the country
PU-AMI intervenes in Yemen in Governorates of Hodeida, where PU-AMI is historically active since 2007, and Raymah, which is a new administrative division of Yemen, taken apart from the humanitarian assistance up to now.
The core field of intervention for PU-AMI in these Governorates is nutrition (severe acute malnutrition and moderated acute malnutrition) on a community-based approach (OTP/SFP and community mobilization as a strong component of the program, within health facilities, but also within an outreached approach and mobile clinics).
In addition, PU-AMI covers the needs in targeted districts as an integrated approach. Thus food security, mostly consisting in food distribution interventions, primary health care, water, hygiene and sanitation are part of PU-AMI intervention in the focused area.
History of the mission and current programs
The Yemen mission is a former AMI mission that operated in Yemen from 2007 to June 2011. Implemented projects were to support the primary health system, mainly in Hodeidah Governorate with a special focus on fighting against malnutrition.
PU-AMI is currently implementing malnutrition management project (severe and moderated) with the support from Unicef and WFP in Ad Durayhimi, Al Mansureah and As Sukhnah districts in Hodeidah Governorate and in Al Jabeen and Al Jafareah districts in Raymah Governorate. Modus operandi include support to existing primary health care centers, mobiles clinics and close cooperation with CHW. In addition, a food distribution program is implemented to support 55 000 IDPS in the two governorates. To complement the impact of our programs, some WASH activities are realised.
PU-AMI current activities focused on:
• Treatment of Severely Acute Malnourished children under 5 (SAM) through OTP services.
• Treatment of Moderate Acute Malnourished children under 5 (MAM) through SFP services
• Treatment of Moderate Acute Malnourished Pregnant and lactating women (MAM-PLW) through SFP services
• Treatment Severely Acute Malnourished children under 5 (SAM) with medical complications in a Stabilization Centre.
• Malnutrition prevention for children under 2 through plumpy doz distribution, education to mothers and caregivers, etc.
• General Food distribution
• Community mobilization through Community Health Volunteers, health nutrition education
• Capacity building through training, workshops
• Networking, coordination, advocacy and lobbying
The Health and Nutrition Project Manager supervises and supports health and nutrition activities of PU-AMI in Hodeidah and Raymah Governorates.
Tasks and Responsibilities
Programs: He/She ensures proper assessment, implementation and monitoring of health and nutrition program(s) falling under his/her responsibility, while observing PU-AMI’s health policy.
Human Resources: He/She supervises the Health and Nutrition Team (PU-AMI salaried employees and, as the case may be, daily paid workers). He/She is in charge of the training of the staff.
Logistics and Administration: He/She ensures compliance of activities falling under his/her responsibility with logistical and administrative procedures.
Representation: He/She represents the association before partners, authorities and local actors involved in the implementation of medical programs.
Safety: He/She contributes to efforts aimed at ensuring compliance with safety rules at the site, and transmits all information relating to safety concerns to his/her immediate supervisor.
Strategy: He/She contributes to the development of new interventions on the basis of identified needs. He/She does the necessary preparations for an eventual handover of the PHCCs to the local health authorities.
Specific objectives and linked activities
1. ENSURE IMPLEMENTATION AND MONITORING OF MEDICAL AND NUTRITION PROGRAM/S
He/She ensures that beneficiaries and local populations understand the project objectives and participate actively in their implementation.
He/She plans activities and ensures that activity timelines are met. In the event of serious delays in project implementation, he/she immediately informs his/her supervisor and proposes solutions to remedy the situation.
He/She works in close collaboration with the Medical coordinator (and Head of Base/Field Coordinator) on the health strategy for projects, the quality of activities, the technical choices to be made, and reporting obligations.
He/She ensures the proper functioning of health and nutrition programs falling under his/her responsibility, and ensures compliance with goals defined in the project proposal/s. Notably, with the support of the M&E Officer, he/she tracks the performance indicators defined, reports on progress to his/her immediate supervisor, signals any difficulties encountered in project implementation, and proposes improvements or reorganization on an as needs basis.
He/She ensures follow-up and analysis of epidemiological data, in collaboration with the Medical coordinator.
He/She undertakes needs assessments of programs in relation to medical equipment, medications and medical consumables;
He/She ensures the implementation of monitoring and/ or evaluations, according to the defined needs of the project/s. He/She undertakes analyses and transmits the data collected to his/her immediate supervisor, and to the Medical coordinator. Depending on the needs of the projects and/or the data collected, he/she produces and disseminates reports of the monitoring and evaluation exercises to the relevant people.
He/She ensures proper archiving of all the documents, tools and training materials produced in the context of project/s and ensures the availability of the verification sources mentioned in the proposals.
He/She transmits the internal and external reports to his/her immediate supervisor and to the Medical coordinator while making sure to meet the internal deadlines for endorsement (Situation Report) and the external contractual deadlines (project reports). He/she contributes to the monthly report of the mission and to the quarterly report of medical activities to be transmitted to the Medical Department.
He/She must guarantee the appropriateness of programs and their respect for the health policy and framework of operations of PU-AMI. He/she submits any requests for advancement into new medical activities to the Medical Coordinator or to the Medical Department at Headquarters.
2. SUPERVISE THE MEDICAL/NUTRITION TEAM AND COMMUNITY HEALTH WORKERS
He/She familiarizes himself/herself with the Internal Rules of Procedure of PU-AMI for the mission, and ensures that they are known and respected by the team.
He/She prepares job profiles for members of the team, has them endorsed by the Field- and Medical Coordinators, and participates actively in the hiring process (interviewing, testing, etc), as well as in any decisions related to the termination of employment contracts of team members.
He/She ensures that each person is subject to a written evaluation at least once per contract period and per year, and at a minimum before leaving office.
He/She creates coordination mechanisms specific to the team, and ensures proper management of all the medical staff and Daily Workers.
He/She identifies the training needs of the team and addresses them (organizational and medical support, methodology, organization of training sessions…).
He/She constructs the organizational chart of the team, and has it endorsed by the Field Coordinator.
He/She ensures technical supervision of the medical staff, and provides advice/guidance to improve the practices.
3. ENSURE LOGISTICAL AND ADMINISTRATIVE SUPPORT FOR MEDICAL/NUTRITION PROGRAMS
He/She addresses his/her needs for medications, medical consumables and equipment to the Field Coordinator, and in line with available budgets. He/she takes into account the time and logistical constraints of the mission, as well as the purchasing rules specific to the programs, in order to ensure that his/her requests are realistic in light of procurement timelines.
He/She contributes to the analysis of supplier of bids for purchases with highly technical specifications.
He/She participates actively in the preparation of calls for tender, as the case may be, in collaboration with the logistic manager of the base, the Logistics Coordinator and the procurement officer at Headquarters.
In coordination with the logistics department, he/she ensures, appropriate storage of medications, medical consumables or equipment specific to his/her programs.
He/She communicates to the Logistic manager on a weekly basis his/her needs related to vehicles and communication equipment for the implementation of program/s.
In coordination with the Logistic manager, he/she organizes the logistical components of his/her programs (delivery, distribution, on-site storage, etc).
On a monthly basis he/she provides the Administrator with all information necessary for the development of cash flow estimates specific to his/her program(s).
He/She ensures that the monthly budget tracking of the program(s) falling under his/her responsibility is up-to-date, participates in analyses, detects possible anomalies, and proposes adjustments.
He/She ensures that HR documents (attendance sheet, leave request, etc) are communicated to the Administrative Manager on time.
4. ENSURE THE REPRESENTATION OF PU-AMI BEFORE HEALTHCARE AND NUTRITION SERVICES PROVIDERS
He/She represents the association before local actors involved in the implementation of medical and nutrition programs, and ensures that good relations are maintained with each of them, (consistent with the principles of neutrality and independence of PU-AMI).
When necessary, he/she participates in Health and Nutrition Clusters meetings and reports on highlights to the Medical Coordinator and Field Coordinator. He/she also participates in other coordination meetings, representing PU-AMI, with local authorities and Health/Nutrition partners.
In the event of visits from Donors, he/she participates actively in the preparation and the smooth organization of the visit.
5. ENSURE THE SAFETY OF PROPERTY AND PEOPLE
He/She ensures that the safety plan is known by the team falling under his/her responsibility, and that safety rules are respected.
He/She contributes to data collection on safety issues in his/her field of operations and disseminates them to the Field Coordinator regularly or on an ad-hoc basis if urgent.
He/She must ensure that project/s, methodologies, or selection criteria do not place beneficiaries, PU-AMI staff or any other persons in harm’s way. He/she alerts the Head of Mission without delay, in case of impending danger to teams or beneficiaries.
He/She ensures that members of his/her team and daily paid workers as the case may be, are provided with safety gear adapted to their activities (for example: PEP kits[post-exposure treatment kits], gloves…).
6. CONTRIBUTE TO THE DEVELOPOMENT OF NEW PROPOSALS
He/She participates in identifying health and nutrition needs in coordination with the Medical coordinator and the Field Coordinator (and/or the Technical Department at Headquarter).
In the context of identifying new operations, he/she contributes to the preparation of project proposals for the Health and Nutrition sectors.
He/She participates in the strategy development of the mission.
Under line management of the Head of Base/Field Coordinator
Number of people to manage and their position (expatriate/local staff)
Direct management: 4 staffs
Indirect management: approximately 70 staffs (MHT staffs, SCs staff, Health Facilities staffs etc.)
Internal: Field Coordinator, Program and Medical coordinator, work in collaboration with administration, logistics
External : Health and Nutrition stakeholders in the area
Required Skills and Know-How
KNOWLEDGE AND SKILLS
ENA, Epi Info
Ability to work independently while taking initiatives and showing a sense of responsibility
Ability to withstand pressure
Ability for capacity building
Sense of diplomacy and mind openness
Capacity of organization and management of priorities
Good brainstorming and trouble-shooting skills, good analytical skills
Stamina to be able to work in several settings and constant travel between bases
To be able to work and manage affairs professionally and with maturity
Ability to integrate the local environment into operations, in its political, economic and historical dimensions
Reliable and punctual
• If you believe that you have the qualifications and skills to excel in this position, please send an one-page cover letter and CV in English by email to firstname.lastname@example.org with the subject heading "HEALTH AND NUTRITION PROGRAM MANAGER’’ no later than 12th JANUARY 2019.,
• (incomplete applications will be not considered), in addition to contact details for minimum 2 reference persons (include position and relation)
• Do not Apply unless you meet minimum application requirements, otherwise you will not be considered, Only short-listed candidates will be contacted.