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Project Overview and Role
The Nauru Health System Support Project is a three-year, Department of Foreign Affairs &Trade (DFAT)-funded project aiming to achieve a strengthened health system that supports the reduction of Non-Communicable Disease (NCDs) in Nauru. The project team will work alongside Nauru's Ministry of Health and Medical Services to support Health Information Systems, Health Planning, Health Administration and Management, and Community-Based Primary Health Care Services. The project will also involve close collaboration with WHO who are implementing complementary objectives of the project in improvement management and detection of NCDs. The NHSSP is managed by Palladium on behalf of DFAT.
The overall purpose of the position is to support MHMS's Public Health to strengthen integrated community-based primary health care services. The role is a Long-Term Adviser role for 24 months, based in Nauru.
o Develop a comprehensive integrated model of care for community-based primary health services that includes an agreed and costed primary care essential package, linked to human resources requirements
o Support MHMS to operationalise the Community Health Project Plan for integrated community- based primary health services and monitor and evaluate steps towards achieving a functioning community health system in Nauru. This will involve supporting the implementation of the agreed model of care including any required policies or protocols.
o Ensure that the community-based primary health services provided address disability and mental health needs in the community, including through outreach, and that all services provided are gender sensitive. In close consultation with the Gender Based Violence Adviser, integrate with the gender-based violence services being led by the Department of Women's Affairs. Health services will be improved if there is more consideration of gender, equity and social inclusion, including disability inclusion.
o Support the development and implementation of job descriptions and person specifications for the MHMS staff involved in provision of community care in line with the agreed model of care. This will include the accountability structure (reporting relationships), roles, and responsibilities including between the community zone nurses and the District Health Workers.
o Support managers in the implementation of the performance management system (individual objective setting linked to the AOP).
o Support staff induction, training and professional development working with the PEN Adviser over training in NCD protocols.
o In consultation with MHMS, undertake a feasibility and costing exercise on how the cervical cancer screening program can be scaled up and rolled out through the community health system. Advise on the appropriateness and cost effectiveness of building the capacity of the laboratory at the RON Hospital to process its own samples. This should look at gender- appropriate staffing and the requirement for any additional equipment, such as liquid based cytology equipment. If appropriate, facilitate any associated training requirements and short term technical inputs.
o In consultation with MHMS, consider the best approach to scale up early diagnosis of breast cancer for inclusion in the model of care, and support implementation.
o Support efforts to develop common patient-based medical records spanning the hospital, Public Health and the 'Wellness Clinics' with a unique national health number. It will be important to ensure integrated health records across the continuum of care for patients attending different settings, especially for those with NCDs or at high risk. This will include the interim patient-held record for NCDs.
o Provide support for NCD-related work in primary care focusing Provide support for NCD-related work in primary care focusing on primary and secondary prevention, risk factor management, detection of emerging end-organ disease requiring specialised assessment and treatment, and continuity of care. All support to be provided in close liaison with the WHO to ensure coordination and integration with the WHO PEN rollout. This will include working closely with the WHO in-country TA who will be working to train staff and embed PEN systems and processes.
o As far as possible, work in support of integrated primary health care service delivery rather than in support of parallel focused programs.
o Support the design and implementation of any patient satisfaction survey for the 'Wellness Clinics'.
o Contribute to the Management Development Program, including through being a mentor or coach to the participants and delivering monthly sessions as appropriate.
This assignment will require an international or regional consultant with:
o A professional health qualification (preferably medical or nursing background)
o Extended qualifications in Public Health, preferably a master's degree
o Knowledge of PEN
o A track record of developing essential health packages at primary/community level
o Experience in supporting the delivery of community-based primary health services in a development context, including experience of progressing gender equality and social inclusion in health service provision
o Experience of developing staff and engendering a learning environment
o Experience working in delivering change in a health environment, including for health systems improvements, especially with government ministries
o Strong communication and interpersonal skills, with a commitment to teamwork, coaching and mentoring.
o Experience in working in resource-poor and resource challenged environments.
o An understanding of the working environment in the Pacific.