Duration 120 man-days (over 12 calendar months)
Background of the Project
The European Union in Afghanistan has recruited a Technical Assistance to Kabul University of Medical Sciences (KUMS) and Ghazanfar Institute of Health Sciences (GIHS) Kabul with the aim to provide technical assistance to upgrade the nutrition curricula in the existing diplomas of health professionals & to create specific nutrition diplomas in the said academic institutions. The overall objective of the project is to build the capacity of health professionals and training institutions to address malnutrition in Afghanistan.
As part of the need for establishing appropriate conditions for hosting the practicum of finishing students, the project propose the establishment of nutrition units in four hospitals. The selected hospitals will be Ali abad, Maiwand hospitals related to KUMS and Rabia balkhi complex hospital and Indira Gandi hospitals witch are related to MoPH.
Rationale for establishing Hospital Nutrition, Dietician Units and Kitchen
In all government maternity hospitals and Family Clinics in Kabul the foundation for a nutrition unit for mothers, newborns and children under 5 can be led by the graduates of the nutrition project upon return to Kabul. This would include the nature and extent of nutrition services to be offered by nutrition counsellors and practitioners. Indeed, a nutrition unit at hospital level should be able to offer clinical services (for severely malnourished children in priority and adult patients in need of nutritional rehabilitation care) and counselling services (for children care givers). In addition to providing services to their patient, the Nutrition Units also would receive intern nutrition students for practical training.
A dietician Unit will be established in the tertiary hospitals where children are referred for treatment and resuscitation. Role of the dietician unit will serve for designing regimes and ensuring quality control and follow-up of hospital catering services. These units will be coupled with kitchens where appropriate meals will be prepared.
Offering such services requires trained specialized staff, light equipment and adequate commodities/supplies. The project is currently offering training to an identified pool of clinical staff of selected hospitals. This is being implemented with the Nutrition Departments of both KUMS and GIHS.
In the same time, the project will offer counselling materials, small clinical equipment, essential kitchen kits, refurbishment and light rehabilitation support to enable establishment of the nutrition units, dietician units and kitchens with minimum standards.
Lastly, MoUs are under discussion with the UN agencies (WFP, WHO and UNICEF) to support those units with commodities (food, nutritional and therapeutic commodities, vitamins and minerals, dugs, etc.). A dedicated working group has been established for supporting the present activity and for securing those MoUs and seeking external supports from EU or other donors (WB, USAID, etc.).
MoPH and MoHE will also be called for supporting the link between KUMS and GIHS and teaching hospitals to secure the internship process for finishing students.
Overall objective of the assignment
The NKE will support the selected four hospitals in establishing Hospital Nutrition, Dietician Units and Kitchen. Hospital nutrition units are basic parts of hospitals in modern world. In modern hospitals big multifunctional nutrition wards exists and a lot of medical personal including specialists of nutrition, dietitians, nurses and other personnel work there and they can treat all nutrition related problems and diseases. At these units a medical doctor with nutrition experience i.e a graduate of one year post graduate nutrition teaching program will work. He/she will give advice for patients of IPD and OPD parts for solving their nutrition related problems and nutrition trained nurse in the unit will give information about diets in different diseases for patients.
Major tasks and responsibilities
The NKE will work generally on strategy improvement in nutrition Lab., improvement of SOPs and trainings of nutrition laboratory staff. The NKE will have main task to provide technical assistance in support to the process of establishment of Hospital Nutrition, Dietician Units and Kitchen in selected hospitals to prepare the ground for practicum (internship) of the next batch of graduate students from KUMS (and GIHS). Precisely, the NKE will:
· Liaise with the Key Experts and the Technical Working Group for finalising the strategy for establishing Hospital Nutrition, Dietician Units and Kitchen;
· Propose and make approved a working plan;
· Coordinate with Hospital managers and hospital staff being trained at GIHS for establishing Hospital Nutrition, Dietician Units and Kitchen, including:
o Selection of the most appropriate locations/spaces for establishing those units,
o Defining the type and scope of services provided by each unit,
o Drafting associated local guidelines and SOPs;
· Advising the Technical Working Group on the minimum list of equipment required (also taking into account the budget available);
· Supporting and technically advising the KE team in the procurement of equipment;
· Working with the Hospital managers and hospital staff for equipment commissioning;
• Training related personnel on Hospital Nutrition, Dietician Units and Kitchen local guidelines and SOPs, and in the use of the procured equipment.
Results to be achieved by the NKE
· Four Hospital Nutrition Unit (HNU), Hospital Dietician Unit (HDU) and Hospital Kitchen (HK) are established and refurbished in selected Kabul teaching hospitals;
· A pool of selected clinical staff (minimum 6 per hospital) of targeted hospitals are trained in clinical, community nutrition and dietetics;
• Hospital cooks and catering team in selected Kabul teaching hospitals are trained in preparation of specific meals for special regimes and catering services.
Results to be achieved with the participation of the NKE
· MoUs are promoted between targeted hospitals and UN agencies (WFP, WHO and UNICEF) to secure food and nutritional commodities (food, nutritional and therapeutic commodities, vitamins and minerals, dugs, etc.);
· MoUs are promoted between KUMS/GIHS and teaching hospitals to secure the internship process for finishing students;
• The project is supporting internships within the selected teaching hospitals.
· The NKE will prepare an inception report by the end of the first week of his/her arrival in Kabul (including a strategy and workplan to perform his/her assignment);
· The NKE will produce a progress report for each mission in Kabul;
· The NKE will submit a final report by the end of his/her mission.
The NKE will be recruited by the Project and as such will be under the responsibility of the Key Experts 1 and 2. He/she will also refer to the technical working group.
· The NKE will perform all its working days in Kabul spanned throughout the whole contractual period (number of travels to be defined according to the agreed strategy and workplan);
· While in Kabul, the NKE will be authorized to work only five days in a week (Thursdays and Fridays excluded, as well as local public holidays);
· In exceptional cases, the NKE may be requested to work irregular hours;
• Competitive salary and package according to experience.