Consultancy – Tobacco cessation services in Nauru

BACKGROUND

NCDs are the leading cause of death in Nauru. According to the 2016 STEPS survey, the current smoking (includes both daily and non-daily smokers) prevalence rate among adults age 18-69 years is 46.0%.

Nauru has made significant strides in strengthening tobacco control since becoming a Party to the WHO Framework Convention on Tobacco Control such as increasing taxes on tobacco products, implementing smoke free public places, and prohibiting tobacco advertisement.

While some limited tobacco cessation services are provided they are ad hoc, and no tobacco cessation system or structured referral mechanisms currently exist.

Planed timelines –

• • Start date: 02 March 2020
• • End date: 28 August 2020

PURPOSE/SPECIFIC OBJECTIVE OF THE ACTIVITY

The purpose of this activity is to develop tobacco cessation services standard operating procedures (including forms and other necessary materials) for clinical settings in Nauru as well as to provide hands-on training for, and implementation of, the protocols and guidelines in Nauru.

DESCRIPTION OF ACTIVITIES TO BE CARRIED OUT

• • Key informant interviews in Nauru to inform tobacco cessation standard operating procedures (SOPs), guidelines for clinical settings development
• • Drafting of clinical SOPs as well as tracking and assessment tools
• • Facilitation of in-person training to health professionals for implementation of the protocols in Nauru
• • Facilitation of implementation of pilot tobacco cessation services
• • Work closely with WHO consultant based in Nauru and WHO staff based in Fiji

METHODS TO CARRY OUT THE ACTIVITY

Output 1: Tobacco cessation services standard operating procedures for public health settings (including primary health care) settings in Nauru developed consistent with WHO guidance integrated into the Nauru Package of Essential NCD interventions, consulted with MOH and WHO, drafted and finalized (after Output 2 is delivered).

Deliverable 1.1: Standard operating procedures for public health (specifically primary health care) (including selective nicotine replacement therapy use)

Output 2: Training for implementation of the protocols and guidelines in Nauru delivered.

Deliverable 2.1: Tobacco cessation practical-based training conducted for at least 2 health promotion staff and at least 2 NCD management staff involved in NCD screening and management in Nauru and assessment of skills.

Deliverable 2.2: A tobacco cessation training summary report describing the training delivered.

Output 3: Final report of the pilot of tobacco cessation services conducted for at least 24 weeks to at least 20 tobacco smokers

Deliverable 3.1: A plan for delivering tobacco cessation services based in Nauru to at least 20 people including tracking of patients/services, gathering data, interviewing health workers and patients (as appropriate)

Deliverable 3.2: A study report detailing the findings from the tobacco cessation services pilot and recommendations for refinement of the Nauru tobacco cessation protocols and service delivery

QUALIFICATIONS & EXPERIENCE

EDUCATION

Essential:  A degree in public health, medicine, nursing, psychology, sociology, anthropology, or related field.

EXPERIENCE

Essential: At least 2 years of experience related to tobacco cessation.

Desirable: Experience with providing intensive tobacco cessation training, preferred.

Experience working in a Pacific island on tobacco control or tobacco cessation preferred.

TECHNICAL SKILLS & KNOWLEDGE

LANGUAGES

• • Fluent in written and spoken English
• • Spoken Nauruan an advantage

ADDITIONAL INFORMATION:

Place of assignment

Up to 8 (not necessarily consecutive) weeks in Nauru

Deliverable(s) to be submitted during and after the period of the assignment including manner of delivery and payment

Receipt of countersigned contract (to cover initial travel costs) / Due by 9 March 2020 / 20%

Delivery and acceptance of standard operating procedures and tobacco cessation services recruitment and implementation plan / 15 April 2020 / 45%

Delivery and acceptance of final tobacco cessation training and service delivery (pilot) report / 30 September 2020 / 35%

APPLICATIONS

Qualified and interested specialists should submit their application letter with an expected quotation and portfolio of previous works in relation to TOR to wpfjidpsprocurement@who.int. Only short-listed applicants will be contacted.

The cover letter should outline how their experience and qualifications make them a suitable candidate for this position and should include their proposed daily consultancy fee and availability.

Applications close on 17 February 2020. Please use Tender Notice No. 103457 as subject to all submission.