National Consultancy for Scaling Up The Adoption of

2 weeks ago

مصر, Egypt World Health Organization Full time

**Contractual Arrangement***: External consultant

**Contract Duration (Years, Months, Days)***: From 50 - 55 working days

**Job Posting***: Jun 19, 2023, 6:20:15 AM

**Closing Date***: Jun 29, 2023, 4:59:00 PM

**Primary Location***: Egypt-Cairo

**Organization***: EM_EGY WHO Representative's Office, Egypt

**Schedule***: Part-time

..

**1.** **Purpose of consultancy**

The main objective of this consultancy is to provide technical advice to the MOHP and University hospitals in scaling up the WHO caesarean Section ten group classification system - implementation and adoption at hospital level in Egypt

**2.** **Background**

Caesarean section (CS) was introduced in clinical practice as a lifesaving procedure both for the mother and the baby. As other health procedures, its use follows the health care inequity pattern of the world including underuse in low-income settings, and adequate or even unnecessary use in middle
- and high-income settings. Several studies have shown an inverse association between low CS rates and maternal and infant mortality at population level in low-income countries where large sectors of the population lack access to basic obstetric care. On the other hand, CS rates above the WHO recommended rates (10 to15%) have not shown additional benefit for the mother or the baby, and some studies have even shown that high CS rates could be linked to negative consequences in maternal and child health. WHO guidelines (2015) indicate that Caesarean section rates above 10-15 percent were not associated with improved maternal or foetal outcomes. However, the recent studies indicate that caesarean section rate in Egypt is 52% which is considered among the highest three countries in the world. The Survey of Young People in Egypt, 2014 shows that just over a third of respondents (32.5%) indicated that their last delivery was by caesarean.

This rate of caesarean section in Egypt is twice as high as the 10-15% that is recommended by the World Health Organization (World Health Organization, 2015). When examined regionally, half of respondents from the Urban Governorates reported caesarean delivery (49.9%), compared to respondents from rural Upper Egypt who had the lowest percentage (26.5%). A slight increase has been noted in rates of C-section among young women 15-29 between 2009 and 2014 (32.6% versus 34% respectively).

Purpose of the activity

Developing capacities of health professionals, about the high CS rate in Egypt and adopting the WHO ten group classification system of CS for optimization of CS use towards better maternal and child health outcomes

**3.** **Work to be performed**

**Output 1**:1.1 WHO ten group classification system for CS (TGCS-CS) training expansion within the already started trained governorates and expansion in other governorates,

**Deliverable 1.1 **Train 30 participants representing six hospitals on TGCS-CS and submit the training workshop report

**Output** **2: 2.1** Follow -up on status of implementation of Robson Classification system through the digital platform (The developed Excel sheet)

**Deliverable 2.1 **Develop status report on Robson classification implementation at hospitals level

**Output 2: 2.2** Establish a clear data reporting structural governance

**Deliverable 2.2 **Develop** **data reporting system within health system information along with reports

**4.** **Qualifications, experience, skills and languages**

**Educational Qualifications**:
**Essential**:University degree in Medicine and master’s degree in public health or medicine specializing in Gynaecology and Obstetrics

**Desirable**: Additional experience in developing training packages and coordination of teams

**Experience**:
**Essential**:

- At least five years’ work experience in the relevant field /Public Health in Egypt and experience of working with government.

**Desirable**:

- Proven experience in writing reports and drafting policy documents related to health
- Experience in national or international organizations or agencies, or non-governmental organizations providing technical assistance at the national level

**Skills/Technical skills and knowledge**:

- Proven knowledge of health and reproductive health issues and good understanding of Gynaecology and obstetrics
- Demonstrated capacity to work in challenging circumstances
- Flexibility to work under pressure to meet deadlines
- Demonstrated ability to work on culturally sensitive topics
- Excellent inter-personal skills.

**Desirable**:

- Additional experience in training schemes

**Languages and level required**:

- Fluent in English (reading, speaking, and writing)
- Knowledge of local languages for effective communication at field level.
- Arabic native with excellent knowledge of English both written and spoken.

**5.** **Location**

Cairo, Egypt

**6.** **Planned timelines (Subject to confirmation)**

From 50 - 55 working days during the following period:
Start date: 2/07/2023

End date: 31/10/2023

**7.**

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