Médecins du Monde Participative Health System Diagnosis and Programing Consultancy in Bosaso, Somalia

Bosaso District, Participative Health System Diagnosis and Programing
 

Terms of Reference

Title: Assessment

of the health system with a focus on sexual and reproductive health

department and proposed intervention strategy in collaboration with the

MoH in Bosaso, Somalia

Origins of Request

 
Médecins du Monde (MdM) is an international humanitarian organization whose mission is:

• to
  
  provide medical care for the most vulnerable populations when they are
  
  faced with crisis or exclusion from society, the world over, including
  
  France, 


• to
  
  stimulate voluntary commitment from doctors, other health care
  
  providers, and from those whose expertise in other fields is needed for
  
  its activities, 


• to enlist all competent support required for the achievement of its projects, 


• to seek at all times to encourage close working relationships with populations in its care.

Somalia

is most widely known for its political instability and chronic health

crises. Because of extended periods of conflict and instability, Somalia

has become the quintessential fragile state. As a result of this

prolonged fragility, existing health infrastructures have been destroyed

and effective institutional investment in quality health services has

been prevented.  

This

breakdown of health service provision is a symptom of a dysfunctional

health system, which is in turn characterized by poor infrastructure; an

inability of governments to deliver services; an absence of equity,

incoherent, or non-existent policies; a scarcity of actionable

information; and poor management.  

These

characteristics have meant that, in many regions of Somalia, health

services are largely non-existent, exposing an already vulnerable

population. 

Throughout

the years of fragmentation and near total collapse, various efforts

have been undertaken in a bid to reconstruct a functioning and dynamic

health system. The recent Joint Health and Nutrition Programme (JHNP) is

one such effort.  

Somalia

is divided into three administrative regions— Somaliland in the

northwest, south-central regions, and Puntland state in the northeast. 

The

goal of MdM in the region of Puntland in Somalia is to strengthen

health care services to the civilian and internal displaced people’s

(IDP’s) in Bosaso with a specific focus on sexual and reproductive

health, Puntland.

During

the Health System Strengthening (HSS) workshop conducted by WHO (World

Health Organization) in August 2015 and afterward during the Ministry of

Health (MoH) annual review meeting, the needs of decentralization of

the MoH health services has been recognized as a major priority. 

Indeed,

MdM intervention takes place in a fragile health system, continuously

struggling to operate effectively and to deliver accessible standard

quality care. 

Therefore,

in 2016, Somalia MdM project proposed to support a health system

strengthening analysis and programming in Bosaso town (Puntland), after

discussion with regional health office of Bari region. 

The

main objective of this diagnosis is to identify what are the main

strengths and weaknesses at of Bosaso district health system in relation

to the 6 blocks of the health system

A

specific diagnosis of Bosaso district health system will be

instrumental in providing clear information on the main challenges to

the MOH and decision makers. 

The

health system strengthening is also a prerequisite to a sustainable

integration of specific sexual and reproductive health and gender-based

violence services and migrant’s reception into the public health system,

as transversal issues.
 

CLICK HERE for a detailed terms of reference

How to Apply

Applications must be received by Sunday 26th of June 2016. 

MdM will communicate its final decision not later than Friday 1st of July 2016.