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Background: Job Title: International Consultants to establish a national accreditation system for healthcare facilities in order to improve the quality of health care services ( Budget line: 318) Supervisor: Director General of Quality Directorate Duty Station: Khartoum No of consultants: 2 Duration of assignment: 28 days
Closing Date: 10 days after the announcement Background: The Global Fund to Fight AIDS, Tuberculosis and Malaria (Global Fund funds for HSS based on the World Health Organization (WHO) health systems framework that identifies ‘six building blocks’: governance, financing, information, human resources, medicines and technology, and service delivery. In the context of the Global Fund's mandate, HSS refers to activities and initiatives that improve the underlying health systems of countries in any of the ‘six building blocks ‘identified above. Inadequate health systems are one of the main obstacles to scaling-up interventions to secure better health outcomes for HIV, tuberculosis, and malaria. Improvement in the quality of hospital care is a fundamental aspect of health system strengthening that is directly linked to the service delivery dimension of the World Health Organization (WHO) building blocks of a health system. While the monitoring of hospital performance is a key ingredient to such improvement. Quality improvement is considered a permanent obligation and a priority for health service development. Following the Declaration of the International Conference on Primary Health Care, held in Alma-Ata, USSR (now Almaty, in 1978 (3), World Health Organization invited its Member States to act individually in formulating national policies, strategies and plans of action for attaining the goal of Health for all by the year 2000 and collectively in formulating regional and global strategies. Regional Committee resolution passed in required Member States to install a national quality programme, supported by WHO’s for the continuous improvement of the quality of care provided. Member States were urged to establish a national quality of care programme designed as one of the main components of health sector reforms, given its impact on the outcome expected of other programme. Promotion of equitable coverage and accessibility of quality integrated primary health care through provision of quality secondary and tertiary care services are emphasized under ministry of health priority goal of Sudan. Sudan health system is based on the district health system approach, which emphasizes the principles of primary health care (PHC). In addition Hospital is one of an integral part of health system for continuation of cares. Nevertheless, lack of access to high quality primary health care services is evident in Sudan particularly in rural and peripheral areas due to lack of financial resources and managerial capacities. Access to high quality PHC services is one of the major problems of Sudan’s health system. Among others, below the standard health care package and delivery practices are found to affect quality of care AS it was stated in the policy option, proper access to high quality PHC services is promoted by strengthening the quality of primary healthcare through establishing and implementation of health care accreditation system. Accreditation is a formal process by which a recognized body assesses and recognizes that a health care organization meets applicable pre-determined and published standards. Accreditation standards are usually regarded as optimal and achievable, and are designed to encourage continuous improvement efforts within accredited organizations. An accreditation decision about a specific health care organization is made following a periodic on-site evaluation by a team of peer reviewers, typically conducted every two to three years. Accreditation is often a voluntary process in which organizations choose to participate, rather than one required by law and regulation. Sudan health facility accreditation system has been established by Quality Directorate – Federal Ministry of Health in consultation with many stakeholders. The ministry demonstrated commitment for quality improvements and Important steps has been taken under this directorate in this regard Conducted an initial surveys for accreditation (using the Arab tool) in five states hospitals; Drafted the national healthcare accreditation council Law; Develop and endorsement of hospitals and PHC accreditation standards; Conduct training and study tour on basics of accreditation system in collaboration of HCAC (Jordan). Establishing and implementation of national accreditation system will help to ensure health care facilities including hospitals (private or public) provided evidence based quality health care for the nation .However accreditation is not an end process, there has t be continuous monitoring of performances against the standards and sustain the high quality. The Quality Directorate unit of SMOH, identified under project implementing unit, manage the implementation of quality health care services need to hire a consultant in order to support the Directorate General of Quality, Development and Accreditation (DGQDA) in hospitals accreditation processes. The costs of the assignment will be covered by grant from the Global fund HSS.
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Objective of the consultancy work: The purpose of the consultancy service is to assist The Federal Ministry in fulfilling its responsibilities to ensure the quality of patient-centered care and equitable access to health services by conducting survey for as preliminary hospital accreditation process using standardized quality assessment method guidelines and policies established by national and international body. TORs:
Scope of the work: As major part of their accreditation process is the consultant / Surveyors conduct unannounced hospital inspection. Reviews documents in all or selected functional area of health care delivery from admission and assessment to patient rights—and involve an intensive process of reviewing documents, medical records and conducting site tours, observations while serviced is provided and observe the structure and functioning of the system, and conduct staff and patient interviews .The surveyors also compile and analyze the collected data on performance indicators and present the result on appropriate format.
Deliverables:
Qualifications of the International /national Consultant Education
Experience
Language Proficiency
Competencies:
Institutional Arrangement The consultants will work under the overall supervision of the head of The Quality Directorate unit of SMOH . For functional matters, the consultants will be guided by the Director General of International Health and the Senior Program Advisor at the PMU. Duration of the Consultancy It is anticipated that the assignment will be completed within a total of twenty eight days from the date of the signing of the contract. All work must be completed by the date which will be decided on signing of the contract between the consultant and the head of the health information unit. How to apply: Interested applicants should submit their CVs along with brief work plan to the DG of Quality on this E-mail:reemhealth@gmail.com |
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