Back Anesthesiologist Consultant Trainer in Comprehensive Emergency Obstetrics and Newborn Care, (CEmONC)

Position: Anesthesiologist Consultant Trainer in Comprehensive Emergency Obstetrics and Newborn Care, (CEmONC)

Location: Bauchi, Kebbi, Sokoto, Ebonyi and FCT

Slot: 2 - 3 trainers per state and FCT

Position Reports to: Technical Lead, Maternal and Newborn Health/Family Planning and Reproductive Health

Project: USAID-funded Integrated Health Program being implemented in Bauchi (Task Order 3), Kebbi (Task Order 4), Sokoto (Task Order 5), Ebonyi (Task Order-6) and FCT (Task Order-7)

Subject RFP #

o TO3/217727/Consultancy/Fixed Price Contract-2021-0003

o TO4/217727/Consultancy/Fixed Price Contract-2021-0003

o TO5/217727/Consultancy/Fixed Price Contract-2021-0003

o TO6/217727/Consultancy/Fixed Price Contract-2021-0003

o TO7/217727/Consultancy/Fixed Price Contract-2021-0003

Anticipated Consultancy Period:** The anticipated performance period for the consultancy is September 2021 to January, 2022

Purpose

Jhpiego invites applications from qualified Anesthesiologist to organize and facilitate two days trainings on provision of safe obstetrics anesthesia as a core component of CEmONC training for doctors, midwives and nurse anesthetists from selected Secondary hospitals in the Bauchi, Kebbi, Sokoto, FCT and Ebonyi

IHP is seeking 2 - 3 consultant Anesthesiologists per State with each consultant conducting 5 - 6 batches of 2-day trainings (depending on the number of general hospitals per State/FCT).

Additional details on background, scope and terms of the consultancy, applicant eligibility and proposal instructions are included below.

Brief Background

USAID Integrated Health Program in Bauchi, Kebbi, Sokoto, Ebonyi and FCT The USAID Integrated Health Program (IHP) task orders 3, 4, 5, 6 and 7 are multi-year, reproductive health/family planning, maternal, newborn and child health, nutrition, and malaria (RMNCH+NM) programs being implemented in Bauchi, Kebbi, Sokoto, Ebonyi and FCT respectively. As briefly summarized below, Bauchi, Kebbi, Sokoto, Ebonyi and FCT have poor maternal and perinatal health indices due in part to low coverage and poor quality of antenatal, intrapartum and postnatal routine and complications care.

IHP aims to contribute to State level reductions in maternal and child morbidity and mortality and to increase the capacity of health systems (public and private) to sustainably support quality primary health care (PHC) services for RMNCH+NM, including linkages to high quality secondary healthcare services for women, newborns and children with complications requiring higher level care.

The three objectives of IHP are to:

1. Strengthen systems supporting primary health care services

2. Improve access to primary health care services

3. Increase quality of primary health care services

To improve quality of primary health care services (objective 3), IHP is supporting the State Government, SPHCDA and other partners in the four states and FCT to implement a range of activities in selected Primary Health Centers, including building capacity of PHC providers (training, mentoring, supervision) to provide essential RMNCH care including prompt recognition, stabilizing measures and referral of women and newborns with complications. As a complement to provider capacity building, IHP is also supporting local health system strengthening and QI efforts to improve RMNCH care in PHCs, including linkages to secondary care for women and newborns with complications.

In collaboration with Bauchi, Kebbi, Sokoto, Ebonyi state governments, and FCT Administration, IHP intends to conduct onsite competency-based CEmONC training for medical officers, nurse/midwives, and an aesthetic nurses (approximately 80 per state) working at selected general hospitals, Mission Hospitals and Comprehensive Health Center, with a special focus on safe Caesarean surgeries (including emergency caesarean hysterectomy) and safe anesthesia. The training will take place in 6 GHs in Bauchi, 10 GHs in Kebbi, 12 GHs in Sokoto, 10 referral hospitals in Ebonyi States and 15 GHs in FCT respectively.

IHP is seeking the services of 2-3 Anesthesiology training consultants in the four States and FCT. As a member of a team, the consultants will lead on-site 2-day training on safe anesthesia component of CEmONC to build the capacity of medical officers, midwives, nurses, and anesthetic nurses to provide safe anesthesia services as a core element of CEmONC in selected IHP supported general hospitals in Bauchi, Kebbi, Sokoto, Ebonyi and FCT. Each consultant trainer will conduct 2-day training on the anesthesia component of CEmONC trainings in 2-3 GHs/referral medical centers (depending on the number per state/FCT). There will be approximately 5-8 participants in each CEmONC training; thus each of the 2 - 3 CEmONC training consultants per state will train approximately 25 - 40 doctors, nurse/midwives and anesthetic nurses in each state.

Scope of Work

Purpose: The scope of the consultancy is to build the capacity of 80 doctors, midwives, nurses and laboratory scientists/technicians to provide safe blood transfusion for women with severe anemia and uncontrolled bleeding as a core component of CEmONC services. Trainees will be trained onsite at their health facilities (secondary/referral hospitals) in a cohort of 5-8 trainees. The participants will be selected from IHP supported secondary facilities in the Bauchi, Kebbi, Sokoto, Ebonyi States, and FCT.

Specific Objectives:

By the end of each 2-day safe obstetric anesthesia training session, learners will demonstrate competency at a minimum standard in the following areas:

1. Evidence-based management of anesthesia and analgesia for planned/emergency caesareans and emergency caesarean hysterectomies, including pre-operative assessment, planning and care, anesthesia management and monitoring during surgery and post-operative care
2. Evidence-based management of anesthesia for women with specific obstetric complications including pre-eclampsia/eclampsia and severe obstetric hemorrhage.
3. Appropriate use of Lignocaine and Ketamine in obstetric analgesia and anesthesia resp.
4. Appropriate technique for the following clinical procedures:
   a. High and total spinal anesthesia.
   b. Difficult airway management, including failed intubation.
   c. Maternal life support.
5. Use of Lignocaine with or without adrenaline in obstetrics.
   a. Preparation of lignocaine.
   b. Prevention of complications.
   c. Diagnosis of lignocaine allergy and toxicity.
   d. Management of lignocaine allergy.
   e. Management of lignocaine toxicity.
6. General principles of analgesia and anesthesia in obstetrics, including:
   a. Team-based pre-operative assessment and care.
   b. Anesthesia management and monitoring during surgery and postoperative care
7. Anesthetic considerations in special obstetrics conditions:
   a. Pre-eclampsia/Eclampsia
   b. Major obstetrics hemorrhage.
8. High and total spinal anesthesia.
9. Difficult airway management, including failed intubation.
10. Maternal life support.

Key Tasks:

• Actively participate in an IHP organized two-day training-of trainers’ competencies standardization workshop.
• Work with IHP to develop Operational Training Plan (as per the deliverable requirements below). Work closely with the technical IHP staff (RMNH/FP technical lead, State Technical Directors, Integrated PHC Advisors, Integrated Supportive Supervision and Quality Improvement Specialists) to develop the Operational Training Plan and any follow-on support.
• Use the IHP training preparation checklist to support advance preparation for the training
• In conjunction with IHP, conduct an advance visit to clinical training site the day before the training.
• Set up simulation stations as required for the training.
• Facilitate the clinical and laboratory skills training using ‘hands-on’, interactive, competency based, training approaches and methodology.
• Identify a peer practice coordinator (a high performing participant in each health facility who can provide continuing post-training support.
• Administer pre and post knowledge, questionnaire, and skills’ assessment to assess knowledge and skills of learners before and after the training.
• Carry out any other related tasks that may be necessary to facilitate the training activity.

IHP Responsibilities

• IHP will provide technical guidance towards preparation of power point slides, checklists, pre- and post-tests.
• IHP with State Ministry of Health will identify trainees at the selected health facilities in advance of the training.

Required Qualifications:

1. Registered and practicing Anesthesiologists with at least 5 years post-qualification working experience.

2. Evidence of previous and ongoing work experience providing comprehensive oversight of safe anesthetic services for pregnant and postpartum women in a facility delivering CEmONC services.

3. Evidence of previous experience conducting training on safe anesthetic services as a key component of CEmONC or a similar training especially within the last 24 months and/or evidence of provision of ongoing training to obstetricians/ anesthetists undergoing residency training or training of medical officers undergoing rotation in anesthesia till date.

4. Evidence of having up-to-date annual practicing license with Medical and Dental Council of Nigeria.

5. Evidence of strong coaching, mentoring and facilitation skills

6. Evidence of strong analytical and communication skills.