D.  TOPICS OF TRAININGS FOR HEALTH WORKERS:

Main Topics to be Covered During the One-Day Training Session (TOT and Cascade):

1.      Understanding Anaemia and its effect on well-being:

• Provide an overview of anaemia, including its causes and prevalence in adolescent girls, with a key focus on nutrition of adolescent girls.
• Impact of anaemia on health, particularly in adolescent girls.

·        Raising Awareness of Anaemia Reduction:

• Strategies for raising community awareness about anaemia.
• Addressing misconceptions and promoting healthy practices.
• The role of the influencers particularly health workers addressing anaemia.

2.       Weekly Iron Folic Acid Supplementation (WIFAS):

• Overview of WIFAS and its significance in preventing anaemia.
• Guidelines for WIFA management, administration, and storage.

3.      Nutrition Education:

• Key nutritional components which are essential for a balanced diet and especially preventing anaemia
• Dietary recommendations and locally available, affordable food sources rich in iron and folic acid, tailored to the local food system.
• Importance of balanced diets for overall health and performance.

4.      Role of Lady Health Workers (LHWs):

• Responsibilities of LHWs in anaemia reduction and community awareness.
• Building trust and engaging with the community on different aspects of health and iron deficiency anaemia.
• Providing guidelines as per cultural context for the best use of the supplementation.

5.      Practical Skills and Techniques:

• Effective communication strategies for sensitizing the community.
• Tools and resources for educating and motivating community members.

6.      Monitoring and Evaluation:

• Identifying anaemic girls in communities and schools and referring them for treatment at nearby health facilities.
• Reporting and feedback mechanisms for continuous improvement.

E.  TOPICS OF TRAININGS FOR TEACHERS:

Main Topics to be covered during the One-Day Training session for Teachers (TOT and Cascade):

1.      Understanding Anaemia:

• Provide an overview of anaemia, including its causes and prevalence among adolescents in public schools and overall, in the community (through SMCs/PTCs).
• Impact of anaemia on health, academic performance, and overall development.

2.      Raising Awareness of Anaemia Reduction:

• Strategies for raising awareness about anaemia within the school community.
• Addressing misconceptions and promoting healthy practices among students.

The importance of iron and folic acid for girls in supporting optimal school performance and cognitive development.

3.       Weekly Iron Folic Acid Supplementation (WIFAS):

• Overview of WIFAS and its significance in preventing anaemia.
• Guidelines for WIFA management, administration, and storage.
  • Skills to sensitize adolescent girls for the supplementation.

4.      Administering WIFAS under Directly Observed Therapy (DOT) in Schools:

• Best practices for administering WIFAS to students under DOT.
• Ensuring compliance and monitoring consumption.

5.      Nutrition Education:

• Key nutritional components are essential for preventing anaemia.
• Dietary recommendations and locally available, affordable food sources rich in iron and folic acid, tailored to the local food system.
• Importance of balanced diets for overall health in girls.

6.      Organizing Peer Education Training for Adolescent Girls:

• Strategies for empowering adolescent girls to educate their peers about anaemia and nutrition.
• Developing leadership and intergenerational communication skills among students.

7.      Role of Teachers:

• Responsibilities of teachers in anaemia reduction and health promotion.
• Engaging students, PTAs/SMCs and parents in health initiatives.

8.      Practical Skills and Techniques:

• Effective communication strategies for sensitizing students and their families.
• Tools and resources for educating and motivating the school community.

9.      Monitoring and Evaluation:

• Maintain records of WIFAS consumption, dropout cases, and referral cases.
• Identifying anemic girls in schools and referring them for treatment at nearby health facilities.
• Reporting and feedback mechanisms for continuous improvement.
• Ensuring the adequate supply of WIFAs in the schools.

F.  DETAILS OF TASK AND RELATED ACTIVITIES:

Plan to deliver training sessions (TOTs and cascade), for teachers and health workers in Khyber Pakhtunkhwa, Punjab, Sindh, Baluchistan, and the regions of Islamabad, AJK, and GB. Each session will incorporate pre- and post-training questionnaires to assess knowledge gained and training impact. These sessions will be conducted simultaneously across all provinces and regions from December 2024 to March 2025. Maintaining good attendance through attendance sheet.

F1. Selection criteria of Participants:

Teachers and health workers will be nominated by their respective district and tehsil departments, in close collaboration with BISP and Nutrition International.

F2. Details of Trainings and Participants:

* Tentative Training Plan with estimated trainee numbers; final figures will be confirmed in consultation with the District Health and Education Department upon implementation.

F3. Profile of Participants/Trainees:

a)     Schools:

1)     Teachers from schools

2)     Tehsil Education Officer

3)     Deputy Education Officer at Tehsil Level

4)     Adolescent Girls

5)     BISP District officials

b)     Health:

6)     Deputy Health Officer at Tehsil level

7)     Tehsil Health Officer

8)     Lady Health Supervisors

9)     Lady Health Workers

10)  Medical Officers

c)      Nutrition International:

11)  District Coordinators

F4. Activities:

1)     Organize and facilitate training sessions (TOTs and cascade) in 7 Tehsils in coordination with NI and relevant departments/authorities. The training sessions will be coordinated by the District Coordinators and Zonal Managers hired by NI; and relevant staff of Shifa Foundation.

2)     Oversee all necessary logistics, including the selection of facilitators, their travel arrangements to the venue, and other related support requirements.

3)     Write training reports including pre-and-post training assessments and submit the final report of these training courses to Shifa Foundation and Nutrition International.

G.  DELIVERABLES:

1) Comprehensive Reports for Each Tehsil: Submission of separate financial and narrative technical reports for each tehsil within 10 days of completing all trainings. Each report should include:

• Detailed topics covered during the training sessions.
• Key highlights and feedback from participants.
• The total number of participants (with designations) invited and trained.
• Signed attendance sheets of participants.
• Analysis of pre- and post-training questionnaire results with supporting evidence.

Measuring knowledge improvement as a percentage by comparing pre- and post-assessment results from the training.

2) Pre and Post-Training Assessment: Development, administration, and analysis of pre- and post- training questionnaires to assess participant knowledge and measure training effectiveness. Results should be included in the final training report.

3) High-Resolution Photographs: About 15 high-resolution photographs from each training session.

4) Comprehensive Financial Reporting: Submission of a detailed financial report covering all expenses in line with the approved financial proposal, including trainer fees, travel expenses, boarding and lodging, and any other approved administrative costs incurred.

5) Summary Technical Report: A concise (3-4 pages) summary report synthesizing key findings from all tehsil reports, to be submitted within 10 working days of the final training.

H.  ROLE OF NI

• Coordinate with the concerned District Departments/Authorities for nominations to attend capacity building training.
• District Coordinators and Zonal Managers would coordinate with Shifa Foundation (admin/ logistics agency) to facilitate smooth implementation of activities.

F. TIMELINE

• Start Date: 1^st January 2025
• End Date: 31^st March 2025

G. ELIGIBILITY CRITERIA

The consulting firm and individual consultants must meet the following requirements:

• Have a team of qualified (master’s degrees in nutrition, Dietetics, Public Health, Health Communication) trainers with experience in conducting similar training sessions.
• A minimum of 10 years of experience in delivering training on health and nutrition.
• The ability to convey complex scientific and nutritional information in simple, relatable terms and, necessarily, in local languages to effectively engage community health workers and schoolteachers.
• Strong familiarity with Pakistan’s health and nutrition landscape, particularly in adolescent health.
• Familiarity with the development projects and their requirements

H. REQUIRED SUBMISSIONS FOR THE RFP: (Deadline: December 14, 2024):

1.      Technical Proposal:

• Approach & Methodology: Provide an outline for conducting Training of Trainers (TOT) and cascade sessions, including the development of training/travel plans, testing of the TOT methodology, and strategies for engaging participants effectively.
  • Work Plan & Timeline: Key milestones and project timeline (December 2024 - March 2025).
  • Team Profiles: Resumes of team members with relevant training experience.
  • Past Performance: Brief examples of similar health and nutrition projects.

2.      Administrative and Logistical Support:

• Logistics Strategy: Plan for venue setup, materials, travel, and recordkeeping.

3.      Financial Proposal:

• Budget & Cost Justification: Detailed budget and explanation of costs.

4.      Firm’s Profile and Experience:

• Overview & References: Brief profiles of the firm or individual consultants (having teams of trainers), accompanied by evidence of prior experience with similar projects.

5.      Compliance Documents:

• Registration & Tax Compliance: Proof of legal and tax standing.

6.      Monitoring and Evaluation (M&E):

• M&E Plan: Methods for tracking progress, participant feedback, and session quality.

Deadline: All submissions are due by December 15, 2024.

Note: Adhere to the Government's safety protocols for physical meetings during outbreaks when conducting training sessions. Demonstrate commitment to ethical standards, including strict data confidentiality to protect participant information, and uphold the principles of Protection from Sexual Exploitation and Abuse (PSEA) throughout all training and data collection activities.