Indonesia: Emergency Medical Teams Lessons Learnt Consultant

Background

The International Federation of Red Cross and Red Crescent Societies (IFRC) is the world's largest humanitarian organization, with 190 member National Societies. As part of the International Red Cross and Red Crescent Movement, our work is guided by seven fundamental principles; humanity, impartiality, neutrality, independence, voluntary service, unity and universality.

Organizational Context

The earthquake, tsunami, and land liquefaction affected Palu City, Donggala Regency, and Sigi Regency of Central Sulawesi Province. The earthquake and tsunami have generated large volumes of disaster waste, comprised of a mixture of soil and sediments, building rubble, fallen trees, fishing boats, municipal waste, hazardous materials, as well as human and animal remains. The most common diseases presenting to health facilities have been skin conditions, diarrhea, fever, influenza-like illnesses (ILI) and injuries. Diseases with outbreak potential include Acute Flaccid Paralysis (AFP), measles, bloody diarrhea, watery diarrhea, jaundice, hemorrhagic fever, and malaria. Malaria in Palu is eliminated, however, Parigi Montoung and Sigi have low level malaria transmission (WHO). Water-borne diseases and vector-borne diseases (malaria, dengue, and chikungunya) are expected to increase, especially as rains are expected in the next few weeks. According to report from Health Crisis Centre, there are a total of 45 health facilities suffering various degrees of damages. Health facilities which suffered damages are functional and continuing care either in temporary structures or non-damaged structures. The Ministry of Health informed that national capacity for medical personnel and health logistics are enough to cope with the demands in quake-struck Palu, Donggala and other areas in Central Sulawesi, and does not require international emergency medical teams (EMTs). Significant number of local medical personnel from the hospitals and health facilities have left Central Sulawesi and MOH has deployed medical personnel from other provinces to fill the gaps. General capacity of health facilities in trauma care and Comprehensive Emergency Obstetrics and New-born Care is limited across all health centres except very few referral hospitals. Though the number of deployed health workers is increasing, the types of health workers, their expertise and skills and how the health workforce is distributed across the affected areas are also vital considerations to ensure that health services are delivered where they are needed. Based on the previous assumptions, The PMI has deployed a total number of 4 clinics (1 fixed and 3 mobile) to support the access to basic healthcare for the population affected by the earthquake/tsunami. The fixed clinic is intended to cover the Sirenja area in Donggala district as their Puskesmas was heavily damaged. The 3 mobile clinics are intended to provide healthcare services to affected population and IDP camps in Sigi, Kota Donggala and Kota Palu.

Job Purpose

The purpose of the Systematization of Experiences, herein after called “Systematization”, for the PMI response to the earthquake/tsunami in Central Sulawesi through its Emergency Medical Teams is to assess and provide lessons to inform both the ongoing response operation and future emergencies of this type. It will focus on national and local strategic issues faced by the PMI, the IFRC, and relevant partners, during the emergency medical response.

Job Duties and Responsibilities

Inception Report
The inception report will be a scoping exercise for the Systematization and will include the proposed methodologies, data collection and reporting plans with draft data collection tools such as interview guides, the allocation of roles and responsibilities within the team, a timeframe with firm dates for deliverables, and the travel and logistical arrangements for the team.

Debriefings / feedback to management at all levels

The team will report its preliminary findings to the PMI/IFRC in Jakarta and Palu, in a timely manner and will adhere to the above-mentioned review process. When possible, field visits will also be debriefed in the field with relevant stakeholders to better support the real-time use of initial findings, while also serving as a further opportunity for the Systematization consultancy to check accuracy and gain further input and opinion.

Draft and final Systematization report The Systematization report should address the stated purpose and evaluative questions in this ToR, and any additional, emergent questions identified. The specific report content can vary, but at a minimum it should include a profile (background) of the Central Sulawesi operation and the RCRC role in supporting the emergency medical care, why it is being evaluated, a description of the methods and limitations, and key findings, conclusions, lessons learned, and recommendations. An executive summary should provide a succinct and clear overview of the report, highlighting key findings, conclusions, recommendations and lessons learned. The report should also have appropriate appendixes, including a copy of the TOR. The draft report, identifying key findings, conclusions, recommendations and lessons for the current and future operation, will be submitted by the team leader within two weeks of the evaluation team’s return from the field.

Systematization summary
In addition, the consultant would be asked to produce a short document to communicate the key lessons and recommendations in short and easily accessible format. This will be done to improve communication of the results to the widest possible audience and to help the IFRC and PMI to share and apply the key findings in an appropriate and timely manner. Rather than just a re-write of the executive summary, this deliverable is expected to utilize data visualization and format to effectively convey information.

Recommendations for a Lessons Learned workshop
The Systematization consultancy will provide inputs and recommendations to develop a Lessons Learned workshop that includes all the stakeholders involved in the process. Recommendations needs to be provided in terms of approach, list of potential participants, terms of reference, agenda, etc.

Job Requirements

Education

• University degree in health or social sciences.
• Graduate certificate in public health, epidemiology or sociology
• Training in health or social research

Experience

• Over 2 years-experience in Systematization of experiences or project evaluation.
• Over 2 years-experience in public health or disaster response research.
• At least one example of a Systematization report most similar to that described in this TOR
• Experience working with the RCRC Movement/International NGO
• Experience working with health disaster response Knowledge, skills and languages

Knowledge in health research

• Knowledge of the EMT strategy
• Strong analytical skills and ability to clearly synthesize and present key findings and draw practical conclusions
• Skills on personal and group communication
• Familiar with the Indonesian context
• Knowledge on Focus Group Discussions and Structured Interviews
• Skills for quantitative and qualitative data analysis
• Knowledge and Skills to work on computer and programs like MS word, excel, ppt, etc
• Fluency in spoken and written English
• Fluency in spoken and written Bahasa

Competencies and values

• Results focus and accountability
• Professional mastery
• Teamwork
• Effective communication
• Flexibility and adaptability
• Initiative and direction
• Interpersonal skills

HOW TO APPLY:

Please submit your application letter addressing the above qualifications and experience with your curriculum vitae to: I**ndonesia.HRD@ifrc.org**

Please indicate on the subject heading: Emergency Medical Teams Consultant