Purpose of the Consultancy
In collaboration with the Pacific Climate Change and Environment (PCE) unit, the WHO Division of Pacific Technical Support (DPS) office, and the Kiribati Ministry of Health and Medical Services (MHMS), the consultant will prepare the Kiribati Health National Adaptation Plan (HNAP) for climate change and emergency preparedness.
Kiribati is one of the most vulnerable countries in the world to the health impacts of climate change. Climate change threatens not only the health and well-being of the nation but its very existence. The combination of exposure to climatic hazards, limited capacity of the health system, including inadequate basic infrastructure such as communication, water and sanitation and electricity, human resources, and supplies, as well as communities that are remote and hard to reach provide significant challenges in reducing climate change-related morbidity and mortality. Without substantial and proactive investment in adaptation in the health sector and community levels, the current and projected climatic changes will increase health risks through direct and indirect pathways.
The Kiribati Ministry of Health and Medical Services has requested an update of its current National Environmental Health and Climate Change and Health Action Plan (NEHCCHAP) 2020-2023. The proposed new Health National Adaptation Plan (HNAP) will include more specific actions and a robust implementation plan that will incorporate emergency preparedness and response.
Two WHO health adaptation projects funded by KOICA, “Making Health Adaptation for the Future Resilient Islands – Kiribati Outer Islands for Climate Health Action (Te Mamauri KOICA)” and funded by the Global Environment Facility (GEF), “Building Resilience of Health Systems in Pacific Least Developed Countries to Climate Change” are explicit on improving and implementing the Health National Adaptation Plan (HNAP). The current HNAP for climate change adaptation which is part of the expanded Kiribati National Environmental Health, Climate Change and Health Action Plan (NEHCCHAP) expires in 2023 and its renewal is impending. The general objective of developing a climate change and health plan is to establish a plan as a tool that enables health workers and stakeholders to incorporate climate change into their work, hence building climate resilience into their programs and workplaces.
The specific objectives are:
1. To review the progress of the current NEHCCHAP in enhancing health system resilience to climate change.
2. To collate, analyze, and utilize information and data from vulnerability assessments and other studies to inform the proposed HNAP development.
3. To review the reporting template/tool for the monitoring and evaluation process.
4. To develop an implementation roadmap and a monitoring and evaluation framework including draft indicators for climate change and health.
5. To ensure integration of more robust health-related co-benefits of climate mitigation actions and evidence into the plan.
6. To facilitate the alignment of the HNAP to the National Adaptation Plan of Kiribati.
The development of the Kiribati Health National Adaptation Plan for climate change will involve:
o Assembling and analyzing relevant sources of data and information to guide and inform the development of the Kiribati HNAP for climate change and emergency preparedness;
o Conducting consultations with internal and external stakeholders (national and operational) to review the existing plan;
o Developing a plan to develop an integrative approach to achieve both climate resilience and environmental sustainability; and
Finalizing HNAP and presenting to the government.
Output 1: The work plan to identify relevant Kiribati-specific climate change and health documents and instruments, stakeholders, and activities.
Deliverable 1.1: The list of stakeholders, agencies, and departments who are working on CCH, and with whom to engage.
Deliverable 1.2: The list of relevant instruments for the CCH plan e.g., National Adaptation Plan, National Adaptation Programs of Action, Nationally Determined Contributions, Kiribati Climate Vulnerability Assessment Report, and other Health Vulnerability reports, etc.
Deliverable 1.3: The drafted work plan that includes information from 1.1 and 1.2 with potential dates for consultation events and key informant interviews.
Output 2: The Kiribati National Environmental Health, Climate Change and Health Action Plan (NEHCCHAP) review
Deliverable 2.1: Conducted the review of the NEHCCHAP.
Deliverable 2.2: Undertake the first round of consultation meetings and key informant interviews
Deliverable 2.3: Drafted the new HNAP content structure.
Output 3: Kiribati Health National Adaptation Plan (HNAP) for climate change
Deliverable 3.1: Conducted consultations to finalize the CCH plan and submitted report.
Deliverable 3.2: Submitted the first draft of the HNAP with the monitoring and evaluation framework for review by Kiribati MHMS, followed by the second round of consultation events.
Deliverable 3.3: Submit a second draft for MHMS to finalize and publish through its government mechanism.
Deliverable 3.4: Finalise HNAP Implementation Roadmap and M&E framework with draft indicators for climate change and health.
Qualifications, experience, skills, and languages
Advanced degree (Master’s or Doctoral) in public health or environmental health or related field
7 to 10 years of experience in public health or environmental health or related field
· Must have work experience and advanced knowledge of climate change and health impacts and adaptation in the context of Pacific Island countries or small island developing states
· Experience in undertaking evaluation/review of national policies, plans, guidance, or guidelines required.
· Work experience in the WHO Western Pacific Region including Pacific Island countries or Small Island Developing States (SIDS) is desirable.
Specific technical knowledge on undertaking evaluation/review of national policies/plans/guidance/guidelines; strong analytical skills and general knowledge of health sector stakeholders, climate change adaptation, and mitigation planning and implementation.
An expert level of written and spoken English is required.
The consultant will be stationed in South Tarawa, Kiribati, with travel to outer islands (dependent on travel restrictions related to COVID-19).
WHO will provide flights to/from Kiribati and will assist in the arrangements of any domestic travel.
The consultant will be engaged for 3 months.
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