Save the Children
Terms of Reference
Counselling Debriefing and Supervision for Paediatric Counsellors
Location: Daadab
Duration: 6 Months
Counselling Debriefing and Supervision for Paediatric Counsellors
Location: Daadab
Duration: 6 Months
The task is to work together to
ensure and develop the efficiency of the counsellor/client relationship.
Professional supervision is a process
to maintain adequate standards of counselling and a method of consultancy to
widen the horizons of an experienced practitioner.
Counselling exposes counsellors to
situations that impose a great demand on practitioner’s emotional and
professional well-being. This demand leads to one becoming enmeshed and
over-involved leading to ineffective practice. These results to counsellors
cannot in all cases be objective about their own abilities, agendas and
practices.
A supervisor will have to be
objective and help the counsellor to grow and learn. The supervisor will ensure
that the counsellor is meeting the needs of their clients and keeping to
ethical and professional standards.
Supervisors will also help
counsellors relate practice to theory and visa versa. Supervisors are most
likely to identify potential mental health issues in the Supervisee before they
become a problem.
Supervision process will provides clinical companionship. It is an opportunity for paediatric counsellors to have a confidential space to share, reflect and explore solutions in order to assist their ability to manage clients and further develop their counselling skills.
Supervision process will provides clinical companionship. It is an opportunity for paediatric counsellors to have a confidential space to share, reflect and explore solutions in order to assist their ability to manage clients and further develop their counselling skills.
Supervision is an ethical requirement
for those working in the counselling field as stipulated by the Kenya
Counsellors and Psychologists Association (KCPA) and it therefore follows that
the counselling supervisors need to be accredited by the association for the
counsellors to earn their counselling supervision accreditation.
Project Background
The child Protection programme currently has 4 counsellors who serve an estimated population over 200,000 refugee in the 4 refugee camps of Hagadera, Dagahaley, Ifo main and Ifo 2.
Project Background
The child Protection programme currently has 4 counsellors who serve an estimated population over 200,000 refugee in the 4 refugee camps of Hagadera, Dagahaley, Ifo main and Ifo 2.
The clients receiving counselling
support include vulnerable children, mainly unaccompanied and separated
children together with their caregivers.
All the clients receiving support
present different levels of psychological distress This situation predisposes
the counsellors to vicarious stress since they have to listen to various
concerns around neglect, trauma which equally traumatizing and emotionally
draining.
Vicarious traumatization is a transformation
in the self of a trauma worker or helper that results from empathic engagement
with traumatized clients and their reports of traumatic experiences. Its
hallmark is a disruption in the trauma workers' perceived meaning and hope.
The 4 pediatric counselors will be supported on a quarterly basis with professional counselling supervision during their Rest and Recuperation (R&R) trips to Nairobi.
The 4 pediatric counselors will be supported on a quarterly basis with professional counselling supervision during their Rest and Recuperation (R&R) trips to Nairobi.
This will help to offer them the
space to not only rest physically but also emotionally and to be able to come
back to work rejuvenated and able to fully engage in their roles better.
Objectives of the Consultancy
The supervisors’ primary role is to ensure that their counsellor’s are receiving appropriate therapeutic counselling.
Objectives of the Consultancy
The supervisors’ primary role is to ensure that their counsellor’s are receiving appropriate therapeutic counselling.
By ensuring the counsellor
continually develops their professional practice in all areas, the supervisor
ensures a counsellor remains psychologically healthy and well-tuned for the
support they are going to offer to the clients.
The supervisor is also responsible
for detecting any symptoms of burn out, transference, hidden agendas that might
be causing distress among in the counsellors.
Objective 1: To support the overall professional wellbeing of the counsellors.
Objective 2: To provide an ongoing technical support to the counsellors to allow them the space to proactively enhance the care to themselves even as they support others.
Timing / Approach to the Supervision
Objective 1: To support the overall professional wellbeing of the counsellors.
Objective 2: To provide an ongoing technical support to the counsellors to allow them the space to proactively enhance the care to themselves even as they support others.
Timing / Approach to the Supervision
The consultant will be required to be
available during the periods when the counsellors will be around for their R
and R.
It will be expected that the presence
of the supervisor is guaranteed at all times when the counsellors are on the R
and R as this will be the stipulated timings for their sessions.
Counselling supervision works best when the counsellor is offered support away from the area where they work. This approach serves to ensure that the environment where the supervision takes place is not the same as where the processes of emotional stress take place.
Counselling supervision works best when the counsellor is offered support away from the area where they work. This approach serves to ensure that the environment where the supervision takes place is not the same as where the processes of emotional stress take place.
A change of environment is the first
among the healing processes and this is what ensures that the process takes
place during the R and R vacation when the counsellor is normally away from the
work station.
Deliverables / Expected Outcomes
Benefits that counselling supervision offers to the counsellors include but is not limited to the following:
Deliverables / Expected Outcomes
Benefits that counselling supervision offers to the counsellors include but is not limited to the following:
- Debriefing challenges
- Understanding and working with resistance to
change
- Case conceptualization and management
- Support with ethical issues such as
confidentiality, contracting and referring on.
- Development of self-care, stress management
and burn out prevention
- Counselling skill development and mastery
- Assertive communication and professional boundaries
- Managing work place issues and team
communication
It is expected that the counselling
supervision process will be able to allow the counsellors to achieve these and
many more through their engagement in the process.
Duration and Time: The entire assignment will be expected to last until March 2016 to cover the duration of the funding.
Duration and Time: The entire assignment will be expected to last until March 2016 to cover the duration of the funding.
The invoices are expected to be fully
paid by close of the project period in March 2016.
Desirable Qualifications:
Desirable Qualifications:
It is widely accepted that all
counsellors, whether experienced or just starting out, will benefit from having
regular professional supervision.
A supervisor acts in a mentoring
role, providing emotional support as well as information and guidance.
Technical competencies required:
Technical competencies required:
- Adequate knowledge of the child counselling
methodologies, and experience in parenting/ family therapy skills will be
an advantage.
- Skills and excellent experience in counselling
and supervision.
- Ability to work well within a short period of
appointment, since there are times the R and R timings might be affected
by work schedules which might not allow for long term planning.
- Previous experience of conducting counselling
supervision will be desirable.
- Accreditation as a counselling supervisor by
the Kenya Counsellors and Psychologists Association mandatory.
Administrative / Logistical Support
Budget: The consultant should submit to Save the Children forecast of the budget including his/her consultancy fees. All other administrative and logistic costs for the evaluation including transport from Nairobi to field and back (flight) and field accommodation will be covered by Save the Children or as per the contract.
Schedule of payment: The supervisors will be required to prepare and share a log for the counselling supervision sessions conducted to accompany their invoices which shall be presented to Save the Children and paid on a bi-monthly basis.
Budget: The consultant should submit to Save the Children forecast of the budget including his/her consultancy fees. All other administrative and logistic costs for the evaluation including transport from Nairobi to field and back (flight) and field accommodation will be covered by Save the Children or as per the contract.
Schedule of payment: The supervisors will be required to prepare and share a log for the counselling supervision sessions conducted to accompany their invoices which shall be presented to Save the Children and paid on a bi-monthly basis.
All payments will be made to the
consultant through cheque to a validly agreed institution under which the
contract was signed.
Expression of Interest
All interested consultants/firms are requested to write an expression of interest following the attached EOI format ONLY (CLICK HERE to download) by email to: Kenya.jobapplications@savethechildren.org with a copy to Kenyadadaabjobs@savethechildren.org by 27th Oct. 2015.
Expression of Interest
All interested consultants/firms are requested to write an expression of interest following the attached EOI format ONLY (CLICK HERE to download) by email to: Kenya.jobapplications@savethechildren.org with a copy to Kenyadadaabjobs@savethechildren.org by 27th Oct. 2015.
Please indicate “CONSULTANCY –
Counselling Debriefing and Supervision for Paediatric counsellors
- (BPRM)’’ as the subject heading.
- (BPRM)’’ as the subject heading.
Consultancy Terms of Reference
Linking Nutrition and Integrated Community Case Management (iCCM) in Kenya
Location: Nairobi, Kenya
Background
Linking Nutrition and Integrated Community Case Management (iCCM) in Kenya
Location: Nairobi, Kenya
Background
Global perspective ICCM and Nutrition
‘Nutrition is crucial to both
individual and national development. Recent estimates suggest that improving
access and coverage of specific nutrition interventions could save hundreds of
thousands of lives every year.
In spite of this potential, the reach
of many of these interventions remains limited. Integrated Community Case
Management (iCCM) of childhood illnesses may be a logical platform, perhaps
currently a missed opportunity, for increasing the reach and coverage of
treating malnourished children, and potentially for preventing malnutrition.’ {Friedman, L.& Wolfheim, C.(2014) Linking
Nutrition and (integrated) Community Case Management (iCCM/CCM): A Review of
Operational Experiences (London, 2014)}
In 2014 round table meetings, conferences and global evidence review, a number of agencies came together to explore existing operational experience, evidence and potential linkages between ICCM and Nutrition.
In 2014 round table meetings, conferences and global evidence review, a number of agencies came together to explore existing operational experience, evidence and potential linkages between ICCM and Nutrition.
This evidence review classified
existing experience of linking and integrating nutrition and ICCM into 4
typologies:
1.
Typology 1 Advising on “feeding the
sick child” within existing Health system iCCM services.
2.
Typology 2 Linkages with Social &
Behaviour Change activities on child nutrition.
3.
Typology 3 Linkages between iCCM
activities and acute malnutrition treatment through assessment and referral.
4.
Typology 4 Treatment at community
level of uncomplicated Severe Acute Malnutrition.
In contrast to the abundant evidence
supporting the need to integrate or link, and the equally abundant evidence for
each of the two domains separately, the paucity of hard evidence of how
linkages could be done confirms the limited experience.
The recommendation of the evidence
review was that future work will need to examine the best combination of
actions – probably crossing over the proposed typologies - to ensure better
coverage of interventions that identify and ensure treatment and prevention of childhood
illness and acute malnutrition {Friedman,
L.& Wolfheim, C.(2014) Linking Nutrition and (integrated) Community Case
Management (iCCM/CCM): A Review of Operational Experiences (London, 2014)}.
Kenya ICCM and Nutrition/SAM
Kenya ICCM and Nutrition/SAM
In 2013, Kenya developed a national
framework and plan of Action for implementation of iCCM (2013-2018) that
outlined the scope and scale of child survival, growth and development
interventions.
The scope of iCCM includes pneumonia,
diarrhoea, malaria, new-born health and positive healthy behaviours and
practices and Malnutrition (identification and referral using MUAC, use of RUTF
at community level).
However, the use of RUTF at community
level has not been implemented. iCCM has been introduced in 13 counties and
research is ongoing in Homa-Bay (for inclusion of use of antibiotics for
pneumonia) and Narok (increasing access for ORS and Zinc for management of
diarrhoea).
ICCM is anchored on the community
health services, that are offered by community health volunteers (CHVs)
supervised by community health extension workers (CHEWs).
Given that coverage of high impact nutrition interventions (HiNi) like OTP and SFP is below 30%, preventive interventions such as IYCF and micronutrient supplementation (Vitamin A at 30%) are largely sub-optimal.
Given that coverage of high impact nutrition interventions (HiNi) like OTP and SFP is below 30%, preventive interventions such as IYCF and micronutrient supplementation (Vitamin A at 30%) are largely sub-optimal.
Community approaches and integration
of interventions (such as nutrition and ICCM) have the potential to increase
the coverage in a cost-effective manner.
The increasing call by donors and
implementing partners for county governments to take up and support outreaches
sustainably has seen less resources being allocated for outreach
services.
If measures such as iCCM are not taken,
coverage of SAM treatment may deteriorate further.
Overall Objective: To develop an implementation research proposal to generate evidence on integration of nutrition and iCCM geared towards initiation of uncomplicated Severe Acute Malnutrition treatment at community level.
Overall Objective: To develop an implementation research proposal to generate evidence on integration of nutrition and iCCM geared towards initiation of uncomplicated Severe Acute Malnutrition treatment at community level.
Specifically, the proposal will examine:
- Review current iCCM structures in Kenya and
propose the best combination of actions – probably crossing over the
proposed typologies - to ensure better coverage of interventions that
identify and ensure treatment and prevention of childhood illness and
acute malnutrition
- Review current IMAM services at community
level
- Define requirements of an implementation
research project which will support community health volunteers to
identify and initiate treatment of uncomplicated SAM within current iCCM
framework.
- Define criteria for identification of
potential geographical areas and health service delivery locations to
implement nutrition and iCCM during the implementation research.
- Identify the role of actors to be involved in
the iCCM implementation research. Identify potential barriers /
facilitating factors and opportunities for linking/integrating iCCM and
CMAM interventions at community level. This should include a review of current
analysis, motivation and performance of CHVs, CHVs incentives, supply
management in consultation with KEMSA and partners.
- Address key questions needing to be addressed
to define how best to link/integrate iCCM and nutrition interventions in
the Kenyan context with reference to:
1.
General recommendations for
improvement.
2.
Proposal development for an
implementation research.
Proposed Activities
It is envisaged that the proposal roadmap development process will involve the following activities:
It is envisaged that the proposal roadmap development process will involve the following activities:
- Identify approaches / methods for developing
an integrated implementation research proposal to be shared and agreed by
nutrition/iCCM Steering Group.
- Lead technical consultation / workshop(s) with
key stakeholders.
- Work with MOH/ Action Against Hunger/ Save the
Children/ UNICEF / other stakeholders to review possible nutrition/iCCM
bottlenecks to implementation.
- Conduct a technical review of Kenyan existing
iCCM policies and CMAM guidelines on treatment of malnutrition. Review
existing iCCM and CMAM protocols and propose a process for development of
a single protocol suitable in the Kenyan context. Learn from
nutrition/iCCM protocols that have been successful elsewhere in other
countries.
- Design appropriate implementation research
questions identified by nutrition/iCCM Taskforce.
- Scope and identify potential donors to fund
operational iCCM/nutrition implementation research.
Outputs / Deliverables
- Present the draft implementation research
proposal to iCCM and nutrition task force
- Consultancy report and recommendations.
- Stakeholder consultation workshop report(s)
for external audience at iCCM and nutrition task force
- Present final costed proposal document with
M&E framework for implementation research.
Timeframe: The consultancy is expected to take 30 days and
complete assignment (including workshops and presentations) not longer than 1.5
months.
Accountability: Save the Children will act as the prime contract holder for this consultancy and will be responsible for the administrative and financial oversight of the consultancy.
Accountability: Save the Children will act as the prime contract holder for this consultancy and will be responsible for the administrative and financial oversight of the consultancy.
Save the Children and ACF will
coordinate and serve as the primary focal points for this consultant(s).
The consultant(s) will work with
nutrition/iCCM task force on linking nutrition and iCCM for the timely and
successful completion of the deliverables.
The task force will consist of:
- Kenya MoH(NCAHU, Nutrition, CHS)
- UNICEF (nutrition and health)
- Action Against Hunger
- Save the Children
Personal Specification
Essential
- Direct experience of conducting iCCM /
community health and nutrition related programs and research. Sound
understanding of the international standards on ICCM and CMAM.
- Good and highly developed writing skills –
both at a programmatic level (assessment reports, proposals, budgets) and
at policy level (policy papers, guidance notes)
- Strong analytical and communications skills
(both written and verbal) and ability to tailor communications to
different audiences.
- Flexible approach to managing and prioritising
a high and diverse workload in a fast paced environment with tight
deadlines.
- Track record of success in applying good
project management practices (including project governance, resource
management, activity scheduling).
- Demonstrated ability to work with a range of
actors and cultures with working experience within Kenya health system.
- Commitment to humanitarian principles values
and approach.
- Computer literate.
- An academic/professional qualification
at post graduate level or equivalent in nutrition health and health
systems.
- Previous experience in implementation research
- Broad understanding of rights and development
issues, international relations and the international humanitarian
systems.
Desirable
- Working knowledge of Kiswahili.
- Involvement in the development of the Kenya
iCCM framework
- Prior experience in Kenya iCCM/nutrition
programming.
How to Apply
All interested Individuals/firms are requested to express interest following the attached EOI format ONLY (CLICK HERE to download) by email to: Kenya.jobapplications@savethechildren.org with a copy to caroline.njogu@savethechildren.org by 27th Oct 2015 indicating the Assignment Title on the subject line.
All interested Individuals/firms are requested to express interest following the attached EOI format ONLY (CLICK HERE to download) by email to: Kenya.jobapplications@savethechildren.org with a copy to caroline.njogu@savethechildren.org by 27th Oct 2015 indicating the Assignment Title on the subject line.
