Background & Description

The Nutrition International is supporting the Government of Pakistan’s efforts in saving precious lives and improving women and children’s health through its global initiative, the Right Start, a 4-year project for Pregnant Women, Newborns, Infants and Young children. Through an integrated approach of MNCH with IYCN, the project aims to reach the communities, both in covered and non-covered areas, supporting the department of health through gap filling. The geographical coverage will spread across 3 provinces in 7 districts across Pakistan.


Therefore, based on evidence that has reiterated the criticality of using the initial 1000 days’ window of opportunity for the good health and survival of the pregnant woman and her newborn, the Right Start aims to provide that very right start to them, aiming to prevent anemia, and reduce maternal morbidity and mortality, while also preventing birth defects and low birth weight in newborns and stunting in infants and young children.  The RS Program has 2 intervention areas, namely, a) pregnant women and newborns and b) of Infant and Young Child Nutrition (IYCN).

Under the interventions for pregnant women and newborns, the package encompasses antenatal care, safe deliveries, postnatal care, optimal cord clamping, Kangaroo Mother Care and promotion of early initiation of breast feeding. The pregnant women are being provided by Iron and Folic Acid, procured through Unicef, conforming to WHO standards and Government’s recommendations. The Community Midwives are being supported by provision of Clean Delivery Kits, Delivery Tables and Delivery Lights for them to conduct safe deliveries in hygienic conditions in their setups in the communities. The Nutrition International has also committed towards furthering government efforts in ensuring quality services by supporting extensive comprehensive trainings for Lady Health Workers and Community Health Workers and Competency Based Trainings with exclusive hands on for Community Midwives to improve their skills and knowledge. 

The other component of Infant and Young Child Nutrition (IYCN) component is completely in line with the National IYCN Strategy recently launched on 20 January, 2017, supporting all critical interventions that will help these target populations at the community levels. The children aged 6-23 months are being provided with Multi Micronutrient Powders, procured through UNICEF, while also advocating, encouraging, sensitizing and teaching the women residing in the far flung rural areas in ways to improve their children’s health through exclusive breastfeeding, complimentary feeding and ensuring diet diversity in children under 5 years of age.


Right Start - Implementation Strategy

The strategic approach adopted by the RIGHT START (RS) project relies primarily on piggybacking on a major strength of healthcare services, outreach via community-based health workers, thus enabling provision of 100% coverage to the district. Consequently, the project aims to implement the project interventions through two existing government programs, namely, the Lady Health Workers and the Maternal, Neonatal, Child Health.


In non-covered areas, on the other hand, the RS strategy is to engage an implementing partner that has relevant experience with engagement at the community level and able to provide services through community health workers (CHWs) who will be trained on the RS project activities. As per directives of the Punjab government, the NI is to support the district government of Lodhran in creating a cadre of community health workers (CHWs) similar to the Lady Health Workers. The CHWs are to be recruited and trained similar to the existing Lady Health Workers and provide all services similar to the LHWs  



The key objective of this assignment is to support NI and Shifa Foundation in development of training manual based on existing manuals that can be used by the newly created cadre of community health workers able to provide LHW-like services in uncovered areas of Lodhran. 

Scope of Services


The Shifa Foundation requires services of a consultant/s:


1.       with relevant experience and capacity to review existing manuals developed by the Punjab health department and develop a training manual with modifications with inclusions of newer initiatives undertaken by the Punjab government such as the rural ambulance service, e-reporting, referral for pneumonia and diarrhoea, referral for complicated SAM cases, etc

2.       who shall be responsible for developing Training Schedule for both, a) ToTs for 6 days to create Master Trainers and b) Master Trainers to conduct 45 days CHW trainings on revised Manual/Training guide

3.       should be able to ensure that 6 days 6 days ToT for Identified LHW Master Trainers/ CHW Supervisors is conducted  on newly developed Manual

4.       should be able to ensure quality of cascade trainings for the CHW/S through shadowing for 12 days in field for the ongoing trainings of filed staff Supervisors


Major tasks and responsibilities

The consultant(s) shall be responsible for:

1.       Review of existing training manuals

2.       Meetings with the IRMNCH&N Program relevant staff for preliminary discussion on the required content for the training manual

3.       Development of training manual based on existing manuals as well as new changes / updates recently made by the program such as rural ambulance service, e-reporting, referral for pneumonia and diarrhoea, referral for complicated SAM cases, etc.

4.       Training of one batch of master trainers ( ToTs)

5.       Monitoring/ Shadowing of trickle down trainings at district level for 12 days



July 2018- October, 2018




A comprehensive narrative of the module development and training process to be followed by the consultant/s. This will include:

·         Detailed Plan of activities to be carried out along with deliverables

·         Training Plans for ToTs and Cascade training

·         Coordination Plans

·         Monitoring and Supervision Plans

Proposed Payment Schedule for Development of Training Manual   



Level of Effort

(working days)




Signing of contract

0 days

Signed contract



Review and study the already available manuals (induction manual of LHWs, revised induction manual, refresher training manual)

5 days

Inception report



Development of training manual and sharing of first draft by email

20 days

First draft of manual



Revision of first draft of manual in light of comments from stakeholders

3 days

Second draft of manual



Revision of second draft in light of comments and finalization of manual

2 days

Final draft of manual



30 Working days



Payment Schedule for ToTs and Shadowing of Cascade Trainings

Will depend on the trainings plan submitted by the consultant/s.

Requirements and Skills

Consultant/s requirements


The selected consultant/s should have:

·          Master’s in Public Health

·         Five years of experience in MNCH/Family Planning/ nutrition related projects/ assignments

·         At least 3 years of post- qualification experience

·         Experience in developing trainings manuals

·         Experience in conducting ToTs at provincial level

·         Should have worked extensively with the Punjab government


·          Master’s in Public Health

·         Five years of experience in MNCH/Family Planning/ nutrition related projects/ assignments

How to Apply

If you meet the above criteria, please share your profile at

About Organization

Established in 1991, Shifa Foundation is a Not-for-Profit organization that focuses on MNCH, management of malnutrition, Child Protection & GBV, Food Security & Livelihood, DRR, Rehabilitation of Healthcare facilities, Water Sanitation & Hygiene (WASH), Education & humanitarian. We truly believe that standard health, education and nutrition facilities lead to elimination of poverty from a nation. Since our existence, we have developed our technical expertise along with better understanding of community engagement, health and hygiene practices and nutrition. Furthermore, by using our experience and research, we have also advocated and influenced the policy makers and practitioners to invest on health and food security for the marginalized segments of our country.