BACKGROUND AND JUSTIFICATION
Malawi has faced multiple weather-related hazards in the recent past such as floods, drought, stormy rains and hailstorms among others. Seasonal food insecurity is closely related to low nutritional intake and low dietary diversity in Malawi, with the number of households consuming 4 or more food groups increasing by 35% in the harvest season compared to the lean season in Malawi (DHS, 1992-2015). In addition, child morbidity also peaks during the lean season contributing to the increased child wasting during this period. Wasting increases by 80% in the growing season in Malawi compared to the post-harvest season (3.6% to 6.5%). These finding are consistent with admissions to the community management of acute malnutrition (CMAM).
The Malawi Vulnerability Assessment Committee (MVAC) through the integrated phase classification (IPC) analysis estimated that 2,617,986 people faced acute food insecurity in the period October 2020 to March 2021 and were therefore reached with humanitarian support. Undernutrition such as wasting remains public health issue with >150,000 children under five are still at high risk of acute malnutrition (source: acute malnutrition burden estimate based on SMART survey 2020). According to the 2015 Cost of Hunger in Africa (COHA) study in Malawi, 23 percent of all child mortality cases in Malawi are associated with under-nutrition. Children with severe acute malnutrition (SAM) are up to nine times more likely to die than a well-nourished child, especially those below the age of two. Furthermore, children with moderate acute malnutrition (MAM) are four times more likely to die than well-nourished children. The deprivations experienced by children in Malawi endured regardless of the havoc wreaked by the COVID-19 pandemic. While admissions for child malnutrition declined, as parents avoided clinics fearing virus contraction, late presentations to nutrition units contributed to under-5 mortality rates climbing well above accepted minimum standards.
Malnutrition in Malawi is also compounded by the high prevalence of HIV among malnourished children. Thirty percent of children living with HIV who are not on antiretroviral treatment are likely to die before their first birthday; most of these deaths occur within the first few months of life. Diagnosing and initiating treatment in children before three months of age will significantly increase their likelihood of survival.
It is against this background that UNICEF would like to engage field monitors to support districts in preparatory activities for the lean season response and strengthen monitoring, supervision, and reporting of nutrition activities to ensure smooth implementation.
PURPOSE OF THE ASSIGNMENT
The field monitor will provide technical support to the coordination, planning, implementation, monitoring, and supervision of nutrition activities to strengthen resilience building at district and community levels. Additionally, the zonal field monitor will back-stop the district nutritionists and work closely with the Principal Nutrition, HIV and AIDS Officers (PNHAO) with the aim of systems strengthening.
How can you make a difference?
SCOPE OF WORK/OBJECTIVES
A Support Coordination of Nutrition interventions including CMAM, IYCN, ECD, Maternal and Adolescent Nutrition
- Provide technical support to the overall implementation of the CMAM program including mentoring frontline workers, conducting monitoring and supportive supervision in conjunction with the District Nutritionist and the PNHAOs
- Assess the capacity of frontline workers on the CMAM program (quality, data, supplies management) and identify key gaps
- Provide technical support in CMAM data management including supporting monthly data quality audits, collection, compilation, and submission of CMAM data.
- Support and coordinate NRU death audit whenever death occurs and ensure availability of death audit reports with action points and follow up on the action points.
- Support the implementation of IYCN, ECD, Maternal and Adolescent nutrition activities at the district level.
- Support the CMAM/ICCM integration processes in the target districts
- Actively participate in DNCC and DHMT meetings and report to the national level
- Support and supervise field activities, follow-up on action points, facilitation of donor visits
- Support DNCC in the district reporting and utilization of multisectoral National Nutrition Information System (NNIS).
B Support Roll Out of family MUAC, Active Case finding and Social Behavioural Change Activities at District level
- Support roll-out of family MUAC interventions in the target districts
- Support district stakeholders in the integration of active case finding into the care group, integrated community case management (ICCM), growth monitoring and promotion (GMP) sessions, and other structures at the community level.
- Support community mobilization, sensitization of key stakeholders on active case finding, and referral of children with malnutrition to health facilities.
- Coordinate the compilation of active case finding data at the district level
- Support the referral of children identified as SAM in the community through existing structures at the district level
C Support Supply Chain Systems Strengthening at District Level
- Support capacity strengthening efforts in supply chain integration and End-user monitoring including pieces of training, mentorship, and supervision
- Support the district teams in Stock management including reviewing Distribution plans, stock reports in LMIS, and timely repositioning of nutrition supplies wherever necessary to avoid stockouts
- Conduct physical counting of stock (IFA, RUTF, F75, F100, ReSoMal, Vitamin A, and MNPs) to verify reported figures against admissions and reported beneficiaries.
- Support the District Nutritionist and Pharmacy teams in weekly tracking of stock status and provide updates to the national level for timely distribution
- Inspecting and enforcing the standards on the keeping of stock to ensure effective inventory management FEFO, proper stacking)
- Conduct joint end-user monitoring with district teams (DN/Pharmacy) and provide timely reports to national level
To qualify as an advocate for every child you will have…
- A minimum of a degree in public health and nutrition, or International Health and Nutrition, Family health and Nutrition, or related field.
- Previous experience in field monitoring implementing CMAM and nutrition in emergency programs including infant and young child feeding in emergencies (IYCFe).
- More than 5 years of work experience, experience in health systems strengthening and working with the government of Malawi will be an added advantage.
- Experience and knowledge of micronutrient supplementation programs including VAS, deworming, IFA, MNPs etc.
Technical skills and knowledge:
- Previous experience in documentation of best practices in nutrition programs.
- Strong and high-level experience in building and maintaining partnerships and drive to achieve results for impact.
- Strong English skills both oral and written. Strong oral skills in Chichewa and any other local language will be an added advantage
- Knowledge of UNICEF or any other UN organization operational procedures is an advantage.