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Vacancy

Position titleNutrition Facilitator
Place of performanceHodeidah, Yemen North
Apply by22/06/2021
Start date01/07/2021
Durationup to 6 months (@22days/month)
QualificationBachelor's degree in Medicine, Health Sciences, Public Health Nutrition, Food Science or Social Sciences related qualifications..
Sector experienceMinimum of 5 years of demonstrable relevant Healthcare experience and/or minimum of 5 years of demonstrable relevant Medical experience.
Geographical experienceMinimum of 5 year of experience in Middle East (essential).
LanguageFluency in Arabic and English are essential.
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Job description

CTG OverviewCTG stands for Committed To Good. With an ethical approach at the heart of all that we do, it is a description that makes us proud. Respect for the fundamental human rights of our staff, and those our staff encounter, is a cornerstone of our values. We strive for gender equality, inclusion and diversity, providing fair and equal opportunities for all. We take a zero tolerance approach to corruption and stay true to local labour laws and all local statutory requirements.
In operation since 2006, today we are honoured to serve clients in 15 fragile and conflict-affected states assisting with disaster relief, peace building, humanitarian aid and development programmes through our specialised recruitment, HR management and operational services.
Overview of position
  • Given the dire humanitarian situation & needs, our client supports a wide range of Health & Nutrition (H&N) responses across Yemen. This ranges from preparedness & reporting to the immediate needs of responding to the risk of famine, disease epidemics / pandemics (ongoing COVID19 pandemic, cholera, diphtheria & measles among other potential outbreaks), to preservation of the collapsing health system at all levels.  
  • The food security situation in Yemen is alarming with the country at the brink of famine. The first IPC acute malnutrition showed that from October to December 2020, 13.5 million people (45% of the total population analyzed) are facing high levels of acute food insecurity (IPC phase 3 or above), despite ongoing Humanitarian Food Assistance (HFA). This includes 9.8 million people (33%) in IPC phase 3 (crisis), 3.6 million (12%) in IPC phase 4 (emergency) & of greatest concern, approximately 16,500 people in IPC phase 5 (catastrophe). The projection for the period between January & June 2021 indicates that the number will increase by nearly 3 million to 16.2 million people (54% of the total population analyzed) who are likely to experience high levels of acute food insecurity (IPC phase 3 or above). Out of these, an estimated 11 million people will likely be in crisis (IPC phase 3), 5 million in emergency (IPC phase 4) & the number of those in catastrophe (IPC phase 5), will likely increase to 47,000. Food insecurity is more severe in areas with active fighting or bordering areas with limited access and is particularly affecting IDPs & marginalized groups. The caseload in catastrophe (IPC phase 5) is mainly found in Al Jawf, Hajjah & Amran governorates.
  • Acute Malnutrition (AMN) is a major public health concern in several parts of the country, with 80% of the zones in IPC AMN phase 3 or above during the analysis period of January – July 2020. Critical levels (IPC AMN phase 4 in period Jan - July 2020) of acute malnutrition were identified in Taiz Lowland & Hajjah Lowland.
  • The AMN situation was projected to deteriorate further moving from IPC AMN phase 3 to phase 4 for the period January - March 2021 in the following 11 zones - Abyan Lowland, Lahj Lowland, Al Jawf, Al-Mahweet Lowland, Hodeidah Highland, Hodeida Lowland, Marib Rural, Raymah, Sa’ada Highland, Sa’ada Lowland, Taiz Highland & West Dhamar.
  • The 2020 IPC AMN analysis identified several contributing factors to AMN. These include a deterioration in food insecurity, reduced access to WASH & health services, poor infant & young feeding practices, a high prevalence of comorbidities (malaria, diarrhoea, respiratory infections among children under age 5), ongoing conflict & economic shocks. These factors have been compounded by the impact of COVID-19 pandemic on the use of H&N services & challenges in sustaining the delivery of essential H&N services.
  • Primary objective of our clients nutrition programs in Yemen is to prevent malnutrition in all its forms across the life cycle, throughout early childhood, middle childhood & adolescence. Our client advocates for & supports policies, strategies & programs that prevent malnutrition & ensure healthy growth for infants & children. These policies, strategies & programs aim to protect, promote & support recommended breastfeeding practices for infants & young children from birth, promote & support age appropriate complementary foods & feeding practices in the 1st 2 years of life & support the use of micronutrient supplements to prevent all forms of malnutrition in early childhood.
  • Therefore, our client Yemen approach to scale up preventative & therapeutic nutrition programming is guided by the conviction that reducing inequities is right in both principle & practice aiming at building resilient services, especially in high risk areas where inequities prevent the most marginalized children & women from having access & adequate nutrition services & practices through multisectoral accelerated plan. 
  • Our client has already initiated a multi sectoral accelerated response to addressing the deteriorating nutrition situation following the release of the IPC AMN analysis. This has supported closer interaction & collaboration with other sections internally & thus the identification & acceleration of nutrition related interventions in WASH, C4D, education, child protection & social policy in priority districts. Our client leverages its comparative advantage as a multisectoral agency to ensure a timely & coordinated response to prevent & treat malnutrition in humanitarian contexts, including via services by the nutrition, health, water & sanitation, education & social protection programs. 
  • Despite the significant investments & scale up of nutrition programs in Yemen, coverage gaps remain across all program areas especially preventative measure & system strengthening. Our client & their partners have activated a multi sectoral acceleration & scale up response to the impending nutrition crisis in Yemen starting with a preparatory & planning phase of about 4 months starting in December 2020. Our client is scaling up support to the poorest, excluded & most marginalized households across all of Yemen’s 22 governorates & 333 districts based at greatest risk of malnutrition & having children with SAM. Bottlenecks & gaps identified include local insecurity, import restrictions on supplies, limited number of health facilities & health workers including Community Health Nutrition & Volunteers (CHN&V) & unpaid health workers. These factors contribute to the low coverage of services in addition to inadequate follow up of nutrition programs particularly at the lower levels (district & community). These have all been compounded by the recent introduction of the decentralization strategy & risk pivot measures which has placed a heavy burden on Field Office (FO) teams. 
  • There is an immediate need to support and facilitate FO's to ensure more efficient delivery of the acceleration plan in respective GHO’s & districts through the recruitment of Nutrition Facilitators. It is anticipated that this will meet immediate service delivery gaps particularly in accessing & supporting lower levels of program implementation. Meanwhile, the ongoing strategic moment of reflection & program strategic note development will make medium to longer term recommendations for strengthening the H&N team structure at national & field levels. 
  • Therefore, is a continued need to support & facilitate FO's to ensure more efficient delivery of nutrition services. This is even more apparent during this period of acceleration to ensure FO’s implement the multi sectoral actions articulated in their FO multi sectoral accelerated nutrition response plans.
  • Additional Nutrition Facilitators are required to support FO’s liaise with & work alongside respective GHO’s & districts through. It is anticipated that this will meet immediate service delivery gaps particularly in accessing & supporting lower levels of program implementation. Meanwhile, the ongoing strategic moment of reflection & program strategic note development will make medium to longer term recommendations for strengthening the H&N team structure at national & field levels.
Role objectives
Description of Tasks:   
  • The Nutrition Facilitator will have a broad role but his / her main role will be to provide a facilitative role in ensuring the delivery of nutrition programs in various locations (GHO’s & districts) across Yemen. In addition, the role & tasks will be adapted as required based on the location & needs within a specific location.  
  • The functions below are cognizant of the existing H&N section program structures & nutrition cluster & sub cluster coordination structures in YCO. Therefore, the facilitators recruited are expected to work alongside staff & structures already in place & play a facilitative & supportive role across all key nutrition program functions. The central level facilitators will be given more specific roles & tasks depending on program areas to be assigned.
Planning, coordination & partnerships:
  • Support with multisectoral micro planning & strengthening H&N planning at all system levels including at community level. 
  • Support FO coordination efforts with other UN agencies & NGO’s in delivering coordinated nutrition services in respective GHO’s & districts.
  • Support FO to plan for & conduct monthly / quarterly progress meetings with IP’s (govt. & NGO partners) at the various levels, where appropriate & as required.
  • Support GHO’s & districts to document & follow up action points / recommendations from regular nutrition related program meetings or reviews. 
  • Participate in nutrition cluster coordination meeting to improve links between the cluster & YCO nutrition program at all levels.  
  • Support FO staff with any of H&N Program Cooperation Agreements (PCA’s) at field or country office level. There is currently inadequate capacity at FO level to support the implementation of the recent YCO decentralization strategy which empowers FO’s to develop their own PCA’s. Nutrition Facilitators recruited will be expected to play a role in supporting these processes. 
  • Support FO & central level nutrition staff or focal points to develop clear expenditure plans aligned to the Annual Work Plans (AWP's) & facilitate their implementation & monitoring. This will include any nutrition related cash transfers, direct payments, reimbursements & follow up of any outstanding accountabilities among others. 
  • Specifically, as part of our new risk strengthening measures (HACT+) as reflected in newly introduced SOPs, the facilitators will assist the nutrition program in the verification of direct payments, verification of beneficiary or payee lists & any other related tasks. 
Nutrition technical program support:
  • In consultation with FO & national level H&N Specialists or Officers, provide support across all nutrition program areas as & when required specifically.
  • Community Based Management of Acute Malnutrition (CMAM) - Support delivery of services through the more than 3900 treatment sites across the country at national & district levels in collaboration with govt. & IP’s.
  • Infant & Young Child Feeding program (IYCF) - Provide oversight of the IYCF counselling services through IYCF corners & at various health service delivery points.
  • Micronutrients - Support the follow up of ongoing micronutrient supplementation activities, Vitamin A supplementation, deworming, micronutrient supplementation of children 6 - 23 months & iron folate supplementation of pregnant & lactating women.
  • CHNV - Support to liaise with GHO’s, DHO’s & or MOPH to streamline CHNV lists, follow up CHNV activities (screening of malnutrition, micronutrient supplementation, IYCF counselling among others, review meetings, support supervision) in close collaboration with the CHNV GHO / DHO focal points & support regular & timely submission of reports. Identify program bottlenecks & seek local solutions in consultation with our clients nutrition staff or focal points.
  • Support & monitor nutrition capacity building activities across all nutrition program areas.
  • Support the supervision & monitoring of nutrition related activities. Note that COVID - 19 restrictions may limit movements & the ability to rigorously oversee nutrition programs thus, the consultants will need to devise alternative or remote approaches to ensuring oversight of the nutrition programs.
  • Support donor requested Third Party Monitoring (TPM) as & when required.
  • Nutrition information management, assessments & reporting.
  • In collaboration with Nutrition Information Specialists & IMO’s support the submission of timely & quality nutrition related information through DHO’s, GHO’s & PCA partners.
  • Participate in & support regular nutrition assessments or SMART surveys / FSLA & IPC analysis among others.
  • Support information management systems including innovations (RapidPro, LMIS & other mHealth interventions, DHIS 2), as necessary.
  • Support to follow up the availability & appropriate use of HMIS registers & other nutrition data tools in health facilities.
  • Support program monitoring, reporting & lessons learned documentation.
  • Support the development of program documents & planning tools for nutrition programming.
  • Participate in & support nutrition related program evaluations.
  • Support knowledge management & evidence generation.
  • Nutrition supplies management.
  •  Support nutrition program staff to appropriately define the supply needs, to forecast & procure nutrition supplies in an efficient & timely manner to avoid stock outs.
  • Support the preparation & follow up of nutrition supply distribution plans in consultation with IP’s (govt. & PCA partners) according to the needs of the various delivery platforms, HFs, CHVs, Mobile Teams (MT’s) among others.
  • Provide monthly updates on nutrition supply stock levels including end user monitoring at HF’s, district & governorate levels to ensure a more efficient nutrition supply chain system including ensuring the contingency stock at all levels.
  • Conduct at least 1 visit per quarter to the nutrition warehouses at the governorate level & conduct on the job training for the storekeepers on nutrition supply management including storage conditions.
Project reporting
  • Monthly nutrition progress report based on agreed up on parameters & indicators.
  • Other reports in line with work plan key tasks articulated in scope of work (includes donor reports, other thematic reports).
  • Real time flagging of issues (e.g. nutrition supply stock outs, pending payments or accountabilities etc.).
  • Final consultancy report.
Key competencies- Bachelors Degree in Medicine, Health Sciences, Public Health Nutrition, Food Science or Social Sciences related qualifications.
- At least 5 year’s work experience in public health or nutrition related programs, H&N services delivery in Yemen.
- Demonstrated experience in fieldwork especially rural & hard to reach areas.
- Practical program management experience.
- Experience in training & development of training materials.
- Experience in report writing in English for UN & donor audiences.
- Strong analytical skills, communication & negotiation skills.
Team management
This role has no team management responsibility.
Further information
Qualified female candidates are encouraged to apply for this role.