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Comparative Assessment of RUTF Supply Chain studies to inform transitional Nutrition Supply Chain Strategies for UNICEF Country Offices in Africa

Africa subsarienne
Project description
The 2013 joint child malnutrition estimates (published 2014) indicates that 17.3 million children 6-59 months are affected by severe wasting globally and close to a million child death occur annually due to severe acute malnutrition. It is estimated that in Sub-Saharan Africa, 5.2 million2 children 6-59 months old are suffering from severe wasting. East and Southern Africa (ESA) region counts for 1.7 million of severely wasted children and West and Central Africa (WCA) region for 3.5 million.

The management of acute malnutrition is critical for child survival, and the management of Severe Acute Malnutrition (SAM) is a key component of global and regional nutrition priorities and actions. Programmes to manage severe acute malnutrition in Sub Saharan Africa (SSA) have demonstrated the potential to successfully treat large numbers of children. Intensified during the last five years, UNICEF has worked closely with partners to implement activities particular in Africa in support of the scale up programmes for Community-based Management of Acute Malnutrition (CMAM). The scale up of CMAM has contributed substantially to improved child survival and created better conditions for the development of the children affected by malnutrition.
One of the important challenges institutionalising CMAM is directly related to the supply chain of some of the key inputs required to be able to treat SAM, in particular Ready to Use Therapeutic Food (RUTF). It has become increasingly apparent that issues related to the Supply Chain Management of products needed in the CMAM programme have a significant impact on the success of the programme.

At the same time, the fact that the introduction of some of these inputs (RUTF) is relatively recent (compared to other primary healthcare supplies) and in general have not been integrated fully into existing national supply systems in the health sector, have resulted in a lack of clarity on what the national approach is to ensure effective and efficient supply of these products in the future. The prevailing procurement and distribution channels of key nutritional commodities inputs (such as RUTF, F-75, F- 100, Resomal and anthropometric equipment) are implemented via parallel supply chain systems, involving both UNICEF and other partners. In general, the flow of commodities to the last mile points of care is largely driven by a mix of push and pull distribution mechanisms, sometimes improvised, with varied transportation arrangements from central warehouses through districts and to service delivery points.
A number of studies have been initiated by individual UNICEF Country Offices in the last 12-24 months to assess and optimise the functioning of the Nutrition/RUTF supply chains where UNICEF has been directly involved in such. The focus for these studies has varied between supply chain optimisation reviews, assessment of leakage problems and quality issues, and broader consideration related to health supply chain integration.
As the CMAM activities are increasing, there is a need to consolidate the key findings from these supply chain reviews to inform broader policy and strategic guidance to UNICEF Country Offices, partners and relevant national ministries.

Expert in Public Health Supply Chain

Public Health
Short term
End recruitment
Job description
The purpose of this assignment is to:
• Review existing UNICEF facilitated Nutrition/RUTF supply chain studies and analysis and make comparative analysis of methodology, findings and recommendations.
• Identify key partner studies on the subject including identification of commonalities and differences in findings and approaches.
• Identify internal and external bottlenecks that are causing delay in implementation of proposed recommendations and actions.
• Provide recommendations and guidance on key supply chain issues identified including principles for gradual transition from direct vertical delivery of key nutrition products to integration in national supply chains.
• Summarise parallel partner supply chain initiatives (global/regional) and provide milestone based suggestions on how UNICEF can leverage these at regional and country level to inform and accelerate the country based nutrition supply chain strategies.
• Present findings and facilitate internal discussion including UNICEF Supply and Nutrition staff on identified implementation bottlenecks and how to overcome these.
Job qualification
• Master degree in Public Health or related field
• Minimum 10 (ten) years' experience in public health supply chain evaluation or similarly related field
• Experience in designing and using data collection tools, data collection and data analysis, report writing and presentation
• Experience with international projects and multi-cultural environments.
• Qualified UN or humanitarian enterprise experience in developing countries, especially sub-Saharan Africa is an added advantage.
• Knowledge and experience of supply chain and logistics management in the health sector in the region is an added advantage
Mission duration and start date
Expected start date: February 2015
Expected Completion date: End May 2015
Location: the assignment includes several days of home-based work. A list of Sub-Saharan countries to be assessed is under definition.

Interested candidates should submit their CV to by latest Wednesday, January 7th, before 10 am (Brussels time).

Please include a daytime contact number and your e-mail. Interviews and inquiry about the candidate’s experience will be carried out on a rolling basis, as applications are submitted.
Please note that CVs must be filled in in English using the standard EC format (in attachment), shall mention the contact details of your reference persons (Name, Surname, daytime phone number or functioning e-mail) for at least three recent professional experiences that are relevant to the assignment. AEDES reserves itself the right to contact your reference persons.
C.V. model
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