Funded by the US Agency for International Development (USAID), the Medicines, Technologies, and Pharmaceutical Services (MTaPS) Program provides pharmaceutical system strengthening assistance for sustained improvements in health system performance and to advance USAID’s goals of preventing child and maternal deaths, controlling the HIV/AIDS epidemic, and combatting infectious disease threats, as well as expanding essential health coverage. The goal of the global, five-year (2018–2023) MTaPS Program is to enable low- and middle-income countries (LMICs) to strengthen their pharmaceutical systems to ensure sustainable access to and appropriate use of safe, effective, quality-assured, and affordable essential medicines and medicine-related pharmaceutical services. To achieve this goal, the USAID MTaPS Program has objectives related to improving governance, human and institutional resources capacity, information for decision making, financing, and services. The last objective on ‘services’ has a separate sub-objective focused on supporting antimicrobial resistance (AMR) containment.
With USAID funding, MTaPS and its predecessors have supported diverse sets of AMR-related interventions in multiple LMICs at various levels of health systems, including antimicrobial stewardship activities in Jordan. Through core funding, MTaPS is currently supporting 10 African countries to improve their Global Health Security Agenda (GHSA)/AMR capacities. Through field support, MTaPS is also supporting AMR-related activities in Bangladesh, Mozambique, and Rwanda. Recently, USAID/Jordan asked MTaPS to support AMR containment actions in the country, and this scope of work (SOW) is for bringing on board a country-based consultant who will work with MTaPS headquarter (HQ) staff to advance that process.
The Hashemite Kingdom of Jordan has shown strong commitment to containing AMR by finalizing and publishing the National Action Plan (NAP) for Combating Antimicrobial Resistance (2018-2022). The plan emphasizes a multi-sectoral (One Health) approach to addressing the problem. The Jordanian Government has designated its National Focal Point in the Ministry of Health to lead and coordinate national efforts. A high-level, multi-sectoral steering committee has also been established to facilitate and coordinate operationalization of actions recommended in the NAP. The steering committee has established five sub-committees to address the specific NAP objectives such as those on surveillance, antimicrobial stewardship (AMS), and infection prevention and control (IPC).
However, a recent in-country scoping assessment by a USAID/Washington team found challenges and limitations in the actions of the steering committee and its sub-committees in terms of oversight capacity, functionality, operational strategies and prioritization, expertise, availability of time from members, and efficient coordination between various AMR-related actors. Also, a 2016 Joint External Evaluation showed some critical gaps in international health regulation/GHSA capacities, for example the score for AMS indicator was only 1, on a scale of 1 to 5. Through USAID/Jordan Mission support, MTaPS has an opportunity to help address some of these gaps and help operationalize the NAP.
Scope of Work
The consultant will support all MTaPS technical activities related to AMR. The consultant will also be expected to provide some management/operational support as needed.
Objective of the Consultancy
- In effective coordination and guidance from the MTaPS team, provide technical support to help identify and operationalize MTaPS activities to improve AMR containment in Jordan
- Provide support for local coordination, stakeholder engagement, effective MTaPS Jordan Portfolio management, effective communication, and reporting
Detailed Scope of Work for the Consultant
Work Plan Development and Technical Activity Implementation
- Closely collaborate with the assigned HQ technical staff to effectively participate in an upcoming MTaPS scoping visit to Jordan to identify the scope of MTaPS AMR work in Jordan. Work with the traveling HQ technical staff to help with the scheduling of appointments, setting agenda and other aspects of the scoping visit.
- With facts and information obtained from the scoping exercise, participate in: (a) the design of the overall MTaPS technical strategy and specific interventions, remaining within the scope of MTaPS/Jordan work; and (b) the development of the workplan.
- Conduct appropriate desktop research to support strategy and interventions
- Closely and effectively collaborate with related national counterparts, including the AMR focal person and the NAP steering committee and its subcommittees, to identify AMR-related gaps and priorities, and help address them
- Work with MTaPS technical staff and/or individually to conduct stakeholder meetings, presentations, and training activities (formal workshops, small group practical training, individual training), as appropriate
- Work with MTaPS program staff and relevant Jordanian counterparts to prepare technical approaches, tools, and other technical guidance documents and participate in data collection, analysis, and interpretation, as needed
- Participate and work together, as needed, in various technical and management activities conducted by MTaPS technical staff when they are in short-term duty travels to Jordan
- Work with MTaPS technical staff and/or individually to support any additional technical tasks that are identified as work progresses in order to meet the objectives of MTaPS/Jordan workplan
Technical Documentation, Management Support, and Communications
- Participate in effective communications with in-country and external stakeholders that are related to MTaPS activities.
- Participate in the preparation of technical report(s) on program activities and interventions
- In coordination with, and as authorized by MTaPS Program, participate and represent MTaPS in national pharmaceutical sector/AMR-related stakeholder meetings
- In coordination with, and as authorized by MTaPS Program, maintain regular/periodic communication with national and institutional AMR stakeholders and, as needed, with other international bodies, donors and countries contributing to AMR containment in Jordan such as WHO, Germany, and South Korea. Besides USAID, collaborate also with other US Government bodies supporting Jordan, when needed.
Communications with MTaPS Program and USAID
Qualifications and Experience
- In coordination with, and following guidance of, MTaPS HQ staff, maintain liaison and regular verbal reports to the USAID technical officer
- Maintain MTaPS staff informed of all communications with USAID/Jordan through regularly scheduled teleconference calls and/or emails
- Prepare and submit monthly brief structured written reports to MTaPS HQ staff
- Prepare reports for MTaPS quarterly reporting and send to related MTaPS staff each quarter before the deadlines for the specific quarters
- Work with MTaPS technical staff to prepare necessary reports for USAID/Jordan, including semi-annual and annual reports
- Graduate degree in a health-related field
- Physician, nurse, or pharmacist with masters in public health or pharmaceutical management qualification preferred
- Three plus years of relevant experience in public health or other health fields.
- (a) Specialized training and/or practical experience related to antimicrobial stewardship, infection control, and/or other areas of AMR containment;
- (b) Pharmaceutical management and health systems strengthening;
- (c) Experience with programs supported by bilateral agencies such as USAID, CDC or international agencies such as the Global Fund, UNITAID, WHO and World Bank;
- (d) Technical consultancy experience through development partners or other organizations;
- (e) Experience in developing technical reports and documents including in the field of AMR;
- (f) Experience and ability to work effectively and productively with multiple stakeholders maintaining an environment of team spirit;
- (g) Skills in collecting, analyzing, interpreting and presenting data;
- (h) Proficiency in English with strong verbal and written communication skills; and
- (i) Proficiency in Arabic language.
Location and Timeline/Duration of assignment
- Location: Amman with ability to travel internally in Jordan as needed
- Period of performance: August 2019 – September 2020
- Total number of days: ……………………….
- Number of days per week (8 hours per day): 3 days a week
About the Organization
Management Sciences for Health, an international nonprofit organization, is dedicated to closing the gap between what is known and what is done about public health problems. MSH saves lives and improves health by helping public and private organizations throughout the world to effectively manage people, medicines, money, and information. Working from more than 30 country offices and our US headquarters, our staff from 65 nations is highly regarded for its technical expertise, integrity, and commitment to making a lasting difference in health.
Management Sciences for Health (MSH) is a nonprofit international health organization composed of more than 2,000 people from 73 nations. Their mission is to save lives and improve the health of the world’s poorest and most vulnerable people by closing the gap between knowledge and action in public health. Together with their partners, they are helping managers and leaders in developing countries to create stronger management systems that improve health services for the greatest health impact.
MSH takes an integrated approach to building high-impact sustainable programs that address critical challenges in leadership, health systems management, human resources, and medicines. Simply put, they support stronger health systems for greater health impact.
Their expertise in these areas falls into the broad categories of management functions—for example, leadership and governance or pharmaceutical management—and health areas like tuberculosis or maternal, newborn, and child health. They apply their expertise by
- Partnering with governments, local organizations, and communities in developing nations to build their own capacity for long-term health impact;
- Providing global leadership in critical areas of health management and health care delivery;
- Bringing the best of MSH from around the globe to the people we serve, working as One MSH with a focus on lasting health system improvements.
Leadership, Governance, & Management
They work with in-country partners to build stronger health systems to improve:
- the management and leadership of priority health programs, health organizations, and multisectoral partnerships such as The Global Fund to Fight AIDS, Tuberculosis and Malaria, developing a critical mass of managers at all levels of the health system who can lead and inspire teams to achieve results;
- the management systems of health organizations in the public and private sector, transferring practical approaches and skills to ensure that management structures contribute to sustainable organizational success;
- the governance and management of health organizations and multisectoral partnerships, facilitating change and transferring knowledge to enable organizations to administer their resources efficiently and scale up their services.
Health Service Delivery
MSH combines extensive public health expertise, proven service delivery approaches, and evidence-based interventions in five critical areas:
- HIV & AIDS
- Maternal, newborn, and child health
- Family planning and reproductive health
- Other communicable diseases, including malaria and pandemic and avian influenza
Human Resources for Health
MSH helps governments develop multisectoral strategies and policies to plan and manage their health workforces. We use a comprehensive approach that addresses all the facets of human resources for health needed to achieve an adequate supply of well-trained and motivated health workers. MSH offers capabilities in leadership, human resource management, education, partnerships, policy, and finance to achieve these goals.
Vital to our success is a participatory approach to project design and implementation, which cultivates broad-based support from all stakeholders. We also build and improve infrastructure and local capacity to effectively purchase, store, deliver, and use quality essential medicines.
Health Care Financing
MSH helps governments and NGOs assess their current financial situation and systems, understand service costs, and develop initiatives to use existing funds more effectively and generate additional revenue—all with the goal of supporting a nation’s health priorities.
MSH has developed proven methods for rapidly strengthening the analysis and use of existing health data—normally at the province, district, and facility levels—without revising existing recording and reporting requirements. With an emphasis on learning through action, district teams undertake assessments of health services, identify gaps in performance, and design solutions to support better decision-making and, therefore, better management of improved services.
MSH has worked closely with the Health Metrics Network of the WHO to develop a comprehensive approach for enhancing the performance of health information systems and data by employing a practical, strategic planning process that can be carried out by national working groups.