Purpose of Activity/Assignment
Nigeria has shown the occurrence of high wastage rates of vaccine and essential medicines in its public health program. This maybe contributed in part by the large and often sparse population (in certain parts of the country), coupled with logistical difficulties in reaching hard to reach communities including those with difficult terrains. Identifying the key drivers and influencers of wastage will assist efforts for increased program efficiency especially as Nigeria transits from Gavi support, thereby ensuring more guaranteed vaccines and lifesaving interventions to reach all children.
The consultancy will involve providing technical guidance to Nigeria’s National Primary Health Care Development Agency in improving vaccine supply and supply chain management and reducing vaccines wastage in the country; through conducting a comprehensive vaccine wastage assessment, developing a comprehensive vaccine wastage reduction strategy (without impacting service delivery goals), and drafting a multi-year action plan to reduce vaccine wastage in Nigeria.
Scope of Work
Under the joint supervision of UNICEF Health Manager (Immunization) and Health Specialist (Vaccine Management), working under the guidance of the National Primary Health Care Development Agency and the wastage rate study PMT, the focus of the assignment will include
Draft a vaccine wastage assessment protocol and methodology covering all vaccine antigens used in Nigeria. UNICEF Nigeria Health Specialist, UNICEF Regional Office and NPHCDA will sign off the assessment protocol and methodology
Coordinate and provide technical assistance to conduct a vaccine wastage assessment collecting at least three-year retrospective data and/or possible 3 months prospective wastage or as may be determined by the PMT data from the national, states, LGA, health facilities, and outreach locations. Data collected for each vaccine and commodity should include stocks received, distributed and balances at each level as per developed protocol.
In a statistically selected (e.g., using EVM sampling) subset of supply chain locations (i.e., National, States, LGAs, Health Facilities and outreach locations), embed stakeholders (without disrupting service deliveries) to identify, collect and record real-time vaccine wastage data for a minimum of two vaccine requisition and receipt cycles at each supply chain location, or a frequency as determined by the PMT at national, stated, LGA and health facilities.
Analyze collected data, computing closed vial wastage, open vial wastage, and avoidable and non-avoidable wastage for each of the vaccines. Compare wastage rates with both historically used ones as well as with international standards and make appropriate recommendations.
Draft a comprehensive report on the findings from the wastage assessment, which summarizes the findings, methodology and analysis showing the vaccine wastage rates and wastage factors for each individual vaccine antigen and dose presentation being used in Nigeria.
Draft a costed 5-year action plan to reduce vaccines wastage (adapted to context for the four supply chain levels), with clear accountabilities and, M&E framework. Emphasis should be placed on the 1st and 2nd year priority activity planning.
The consultant will identify competent hands from within the public service in the state for skills and technical knowhow transfer to engender sustainability of the support beyond the engagement period.
if you would like to know more about this position, please review the complete Job Description here Terms of Reference_Wastage rate study_Consultancy.pdf
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