TERMS OF REFERENCE FOR CONSULTANT TO DEVELOP FACTSHEETS, POSITION PAPERS, POLICY BRIEFS ON THE LINK OF NUTRITION TO CHILDREN VACCINATION, CHILDHOOD KILLER DISEASES, FAMILY PLANNING AND HUMAN CAPITAL DEVELOPMENT: REFERENCE: CS-SUNN/2022 – 01/004

ABOUT CS-SUNN:

The Civil Society Scaling-Up Nutrition in Nigeria (CS-SUNN) is a non-governmental, non-profit making alliance, made up of organizations with a shared vision to transform Nigeria into a country where every citizen has food and is nutrition secured. We pursue this lofty goal by engaging government and non-state actors to raise awareness, sustain commitment and actions to effectively tackle under-nutrition in Nigeria. The alliance was birthed in November, 2013 at Ilorin, Kwara State, Nigeria, and formally inaugurated on the 7th of August, 2014.

ABOUT PINNS 2.0 PROJECT

The Partnership for Improving Nigeria Nutrition Systems (PINNS 2.0) is a project designed to strengthen the Nigeria nutrition systems to be more Result-driven, Effective, Serviceable, Efficient and Transparent (RESET). This is to facilitate the delivery of nutrition interventions and to hold government accountable on commitments made to allocate, release and use funds transparently for implementation of high-impact nutrition interventions in Nigeria through evidence-based advocacy**.**

Several factors, including lack of food, improper feeding and caring practices, economic and political structures, low status and lack of education among women, and others, cause malnutrition in Nigeria. Therefore, a multi-sectoral approach is required for reduction and eventual eradication of the scourge. The UNICEF conceptual framework (UNICEF 2013) brings to the fore the need for multi-actors, disciplines, sectors and systems in this effort as evidence increasingly suggests that solving malnutrition can benefit from a systems approach (WHO 2009; Hammond & Dube’ 2012).

The project is a continuation of the just completed PINNS 1.0 and connects the importance of optimal nutrition to attaining Nigeria’s Human Capital Development goal by 2025. The project will continue to support the Nigeria nutrition system to be more Result-Driven, Effective, Serviceable, Efficient and Transparent (RESET).

PINNs project adopts a systems approach to strengthening bodies burdened with the responsibility of reducing malnutrition in Nigeria. It pays attention to the unpredictable interaction among factors, sectors, disciplines and determinants of nutrition, bringing to the table key tools and technical support required for the effective coordination and implementation of programs. PINNs seek to focus on strengthening governance, policy implementation, effective coordination, financing, building the capacity of state actors, generation and effective communication of evidence, and promoting accountability. This collective effort will contribute to a reduction in malnutrition, improving the nutritional status of Nigerians, particularly women and children. The organizational capacity of CS-SUNN to become a leading voice on nutrition advocacy in Nigeria by deepening expertise gained from the Partnership for Advocacy in Child and Family Health (PACFaH) project and building new ones is also one of the goals the project intends to achieve.

THE ASSIGNMENT

CS-SUNN requires the services of a consultant to produce factsheets in infographic format, position papers and policy briefs on the link between nutrition, and children's vaccination, childhood killer diseases, family planning, Human capital development, and other relevant issues. CS-SUNN believes that the documents will contribute to establishing a shared and accepted understanding among various stakeholders on the importance of adequate nutrition. We expect the document to show the role adequate nutrition plays in promoting efficacy of vaccines given to children, preventing child-hood killer diseases, family planning (in the context of child-spacing), and Human Capital Development (HCD).

SPECIFIC OBJECTIVES OF THE ASSIGNMENT

  1. To show the role nutrition plays in promoting the efficacy of children vaccination, prevention of childhood killer diseases, HCD and family planning.
  2. To undertake an in-depth study on how nutrition impacts vaccination responses, averts childhood killer diseases, supports birth-spacing and attainment of HCD.
  3. To get the support of stakeholders in "non-nutrition core sectors" (non-nutrition professional bodies, academia, health associations, state-and non-state actors, health advocates, media etc) on the relevance of nutrition to the aforementioned related sectors.
  4. To identify and establish the roles of these stakeholders in integrating nutrition in decisions and actions related to health interventions for women and children.
  5. To provide recommendations on both immediate and long-term approaches/strategies that CS-SUNN and other nutrition stakeholders can use to ensure transformative advocacy agendas to bridge the existing gaps in the links between nutrition and other relevant issues.

Nutrition and Prevention of 50% of Childhood Killer Diseases:

Malnutrition contributes to about 45% of deaths among children under 5 years of age in developing countries, predominantly because of infections. Over 50% of these deaths are attributed to diarrhea, acute respiratory illness, malaria, or measles, conditions that are preventable or treatable with low-cost interventions like adequate infant and Young Child Feeding practices.

Although recent estimates suggest that malnutrition is associated with about 50% of all deaths among children, the association between malnutrition and all-cause mortality is not fully documented and malnutrition-related risk of death associated with specific diseases is less well described.

Specific Tasks:

ü Produce report on critical reviews of factual published knowledge, gaps, and promising opportunities for learning related to the interactions among nutrition, nutritional interventions, and childhood killer diseases.

ü Develop simplified factsheets in infographic format, position papers and policy briefs on nutrition and its contribution to prevention of 50% of childhood killer diseases.

ü Design and layout 15 minutes multi-media presentation on above.

The factsheets, infographics, position papers and brief should clearly:

-establish the trend of how about 50% of malnourished children die from childhood killer diseases like diarrhea, acute respiratory illness, malaria, or measles among others; and vice versa. (i.e., how these deaths could have been prevented or treated with low-cost interventions like adequate Infant and Young Child Feeding practices)**

-Show evidence on risk of death of malnourished children associated with infectious disease–malaria, diarrhoea, measles, HIV/AIDS, etc.

Nutrition and efficacy of children's vaccination:

Sufficient nutrient status supports immunity and reduce the risk and impact of infections (by supporting immune cells that destroy harmful pathogens and produce antibodies) the same cells that help to generate an effective vaccine response. Nutritional status plays an important role in immune responses to vaccination. However, over the years, studies have produced conflicting evidence. The nutritional status of a child influences its immune responses in varied and complex ways that are far from fully understood. The specific effects on vaccine efficacy have not been extensively reviewed.

Specific Tasks:

ü Produce report on critical reviews of factual published knowledge, gaps, and promising opportunities for learning related to the interactions among nutrition, nutritional interventions, and vaccine responses.

ü Develop simplified factsheets in infographic format, position papers, briefs on nutritional status of children and immunization responses.

ü Design and layout 15 minutes multi-media presentation on above

The factsheets, infographics, position papers and brief should clearly:

-for instance, place side-by-side nutrients like vitamins A and D, iron, zinc, and protein-energy among others and how deficiencies in them impact on effectiveness of vaccines like tetanus, pneumococcal and meningococcal diseases, poliomyelitis, measles, hepatitis A and B, rotavirus infection, tuberculosis, yellow fever among others.

-Portray potential adverse outcomes of simultaneous administration of vaccines on malnourished child

-Show how nutrient status supports immunity and generates an effective vaccine response.

-Uphold immunization and improved nutrition are among the key factors in reducing childhood mortality.

Family Planning and Nutrition:

Breastfeeding is associated with many maternal and child health benefits, including a delay in fertility return postpartum, regarded by many as the family planning method.**

Specific tasks:

ü show evidence that women's nutritional status has a significant relationship with planning of births.

ü Develop simplified factsheets in infographic format, position papers, briefs on Breastfeeding as natural and safe birth-control method that can be used as a form of family planning and the interrelationship between planning for timing, spacing and limiting of births and promotion of better nutritional status in women.

The factsheets, infographics, position papers and brief should clearly accurately, persuasively and with evidence provide answers to questions like: How does breastfeeding prevent pregnancy? Does a woman's body stop ovulating naturally if she is breastfeeding exclusively? Is breastfeeding a method of birth spacing/control? It should further clear misconceptions that while the mother is still breastfeeding her child, she will or will not conceive.

Human Capital Development and Nutrition:

A well-nourished, healthy workforce is a pre-condition for sustainable development. This is because, deficiencies in essential nutrients lead to malnutrition, which affects cognitive development, resulting in low Intelligent quotient and poor work performance at a later stage in life. In addition, a malnourished child is prone to developing mild to serious learning disabilities, this results in poor school performance; a sick, poorly nourished individual will not respond well to treatment, could lose many working hours and may continue to drain family and national resources. Nutrition plays a critical role in human capital development since deficiencies in essential nutrients lead to malnutrition, which affects an individual's mental and physical state, resulting in poor health and poor work performance.

Specific tasks:

ü show evidence that nutritional status has a significant relationship with Human Capital Development.

ü Develop simplified factsheets in infographic format, position papers, briefs on the importance of nutrition to attaining Human Capital Development and attaining Nigeria’s HCD Targets.

EXPECTED OUTPUTS

ü Report on critical reviews of factual published knowledge, gaps, and promising opportunities for learning related to the interactions among nutrition, nutritional interventions, and childhood killer diseases.

ü factsheets in infographic format, position papers, briefs on nutrition and its contribution to prevention of 50% of childhood killer diseases

ü 15 minutes power-point presentation on nutrition and its contribution to prevention of 50% of childhood killer diseases

ü report on critical reviews of factual published knowledge, gaps, and promising opportunities for learning related to the interactions among nutrition, nutritional interventions, and vaccine responses.

ü factsheets in infographic format, position papers, briefs on nutritional status of children and immunization responses.

ü 15 minutes power point presentation on nutritional status of children and immunization responses

ü report on critical reviews of factual published knowledge, gaps, and promising opportunities for learning related to the interactions among nutrition, nutritional interventions, family planning/child-spacing.

ü factsheets in infographic format, position papers, briefs on breastfeeding as natural and safe birth-control method

ü Report on critical reviews of factual published knowledge, gaps, and promising opportunities for learning related to the interactions among nutrition, nutritional interventions, and Human Capital Development.

ü factsheets in infographic format, position papers, briefs on nutrition and its impact on Human Capital Development.

ü 15 minutes power-point presentation on nutrition and its contribution to attainment of Human Capital Development.

OTHER SPECIFICATIONS:

· Report for each thematic area (Family Planning, Vaccination or Childhood killer diseases and Human Capital Development) should not exceed 10 pages, excluding annexes and references to be submitted on an agreed deadline.

· Position papers should not exceed 3 pages.

· Policy briefs should not exceed 2 pages.

· Infographics should not exceed 1 pager (front and back pages)

· PowerPoint presentation should not exceed 20 slides that can be presented in 15 minutes or less

CONFIDENTIALITY OF INFORMATION: All documents and data collected should be treated as confidential and used solely to facilitate analysis. Interviewees should not be quoted in the reports, position paper, briefs etc. without their permission.

CONTENT: All the required documents and reports in their draft and final versions shall be submitted to CS-SUNN within agreed timelines and shall remain the explicit property of CS-SUNN.

TYPE OF CONSULTANTS REQUIRED

Education:

Master's degree in public health, Health Planning, policy and management, Health Economics and financing, Public Policy, nutrition, sociology and related disciplines nutrition and or related field. Degree in Data Journalism, Graphics Design, Infographics Design and Digital Marketing.

Experience:

At least 7 years' experience of working in and or managing immunization, family planning, nutrition or related field projects/programmes. **

For specialty and quality delivery of the dual component of this consultancy; public health issues (nutrition, vaccine, family planning, child health and Human Capital Development) and graphics design, we expect the team of consultant (s) brings to the table essential skills and experience in public health programming on one hand and a team of professional graphics, infographic/digital design experts on the other as these are key to attaining the deliverables for the tasks.

Proven experience developing briefs, position papers, infographics. Journalistic writing, excellent simple, persuasive writing skills in English, ability to extract critical facts from written sources and collating them in a coherent and creative manner, knowledge of visualization, and graphic design are critical. (an example of relevant previous work mandatory and will be kept confidential if required).

Proven experience working with government authorities, stakeholders in the immunization, family planning and nutrition circle, as well as civil society organizations, academia, media, health associations/groups.

Proven experience in coordinating or leading similar projects.

Understanding the Terms of Reference:

Shows a clear understanding of the TOR and the outputs expected from the assignment.

Time management: Shows ability to work autonomously and to deliver the task in a timely fashion.

DURATION OF CONSULTANCY:

The period of this consultancy will be approximately 25 pro-rated working days, starting in January 2021 and ending on March 2022.

Management

All reports are subject to review and authorization by CS-SUNN's PINNS 2.0 project manager**.**

CONSULTANCY REQUIREMENTS:

Consultants who meet the requirements of this assignment should submit an Expression of Interest of which should include;

  1. Suitability statement that expresses commitment to availability for the entire period of the assignment.
  2. Cover letter of only one page- attached separately.
  3. CV of lead consultant (s) totaling no more than 3 pages- Attached separately.
  4. Contact details of at least three referees.
  5. Preliminary proposed factsheets (in infographic format), position papers, policy briefs development process, including basic context analysis, methodology, report structure and timeline informed by this ToR.
  6. A phased out indicative budget of including all expected costs but broken down to demonstrate what each cost covers.
  7. All text in size 12 font, single-spaced and with standard margins.

Anti-Sexual Exploitation and Abuse

CS-SUNN has a zero-tolerance for sexual exploitation and sexual abuse in all ramifications as its considered gross misconduct. ‘Sexual abuse’ means the actual or threatened physical intrusion of a sexual nature, whether by force or under unequal or coercive conditions **

This vacancy is archived.

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