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Term of Reference

for
Improving the coverage and adherence of IFA supplements among pregnant mothers for
reducing iron deficiency anaemia in Riau and West Nusa Tenggara Provinces

1. Background
MI has supported the Government of Indonesia to demonstrate a model for increasing
coverage and adherence of Iron Folic Acid supplements among pregnant women to reduce
iron deficiency and iron deficiency anemia among pregnant women between 2011 and 2014
in one district each of Banten (Lebak) and West Java (Purwakarta) provinces.
Based on the findings of the demonstration project, MI is replicating the elements of the
processes which have worked to improve coverage and adherence of the IFA program in 4
provinces (West Java, Banten, West Nusa Tenggara and Riau). During the first 2 years, MI
scaled up the program in West Java and Banten province, which will be followed by West
Nusa Tenggara and Riau in years 3 and 4.
The key program components are:
Strengthening government commitment and integrate with other programs.
Tailored capacity building and BCI interventions for health staff, midwives and cadres to
provide effective counseling to ensure high utilization rates.
Streamlining the supply chain of IFA program at district, province and national levels.
Streamlining program monitoring and supervision from national until district levels.
National level technical assistance on improving the IFA supplements re-formulation,
HMIS and revision of national guidelines.
In order to scale up the project in Riau and West Nusa Tenggara provinces, MI seeks support
of a local agency to facilitate the implementation of project component activities.
2. Objectives
The objective is to facilitate MI for the implementation of following activities related to IFA
scale up in Riau and West Nusa Tenggara:
1. Advocacy meetings among stakeholders at province level.
2. Training of the trainers (ToT) by MoH (Ministry of Health) Central Officers to the Province
Health Officers.
3. Training on systems, tools and product specifications for planning, delivery, monitoring,
and supply chain management of the program for District Health Officers
3. Scope of work
3.1. Facilitate in conducting 2 advocacy meetings at province level (one each in Riau and
West Nusa Tenggara provinces
Advocacy meetings for the policy makers will be undertaken with stakeholders at province
level in two provinces (Riau and West Nusa Tenggara).
In each province, approximately 50 participants will be invited incuding:
MoH officers
PHO officers
DHO officers
Province Secretary/Parliament staff
Womens organizations Province Planning Board (Bappeda),
Bureau of Religious Affairs (KUA),
Community Empowerment Office
Community leaders
Nation Wide Community Program (PNPM),
Midwives Association
MI extenders

ToR for trainings on IFA supplementation program for pregnant women in WNT and Riau

The meetings will sensitize stakeholders on the issues related to anemia and IFA
supplementation among pregnant women, propose recommendations to improve program
monitoring and reporting for better decision making at province and district levels. In addition,
the meeting will focus to strengthen the integration with inter-sectoral programs to improve
IFA program implementation
3.2 Facilitate in conducting 2 TOTs for PHO staff from MoH trainers (one each in Riau and
West Nusa Tenggara).
MoH staff (as a trainer) will deliver trainings for nutrition officers of PHO staff. There will be 12
participants from each PHO of Riau and West Nusa Tenggara which will include officers from
the divisions of nutrition, MCH, health promotion, surveillance and pharmacy, and MI
extenders.
The training will focus on methodology for training DHO staff on forecasting targets,
estimating requirement for procurement of IFA tablets, how to monitor, track, correct
recording and reporting, undertake regular supervision of the IFA supplementation program,
and on importance of IPC with regards to the IFA program. In addition, there will a session
where participants will be trained how to deliver contents mentioned above by established
trainers, Interactive techniques like role play for delivering content will be conducted during
the training. The distribution of communication materials will be done during the training. Pre
and post-tests will be administered to assess the training quality.
3.3. Facilitating the trainings by the PHO staff to the DHOs staff on systems, tools
and product specifications for planning, delivery and monitoring of the
program, and supply chain management
Province Health Office staff (as a trainer) will deliver trainings for DHOs staff (nutrition, MCH,
health promotion and pharmacy officers) in two provinces (12 districts in Riau and 10 districts
in West Nusa Tenggara). Total number of participants will be 112 participants (24 trainers and
88 trainees).
The training will focus on methodology for forecasting targets, estimating requirement for
procurement of IFA tablets, how to monitor, track, correct recording and reporting, undertake
regular supervision of the IFA supplementation program, and on importance of IPC with
regards to the IFA program. In addition, there will a session where participants will be trained
how to deliver contents mentioned above by established trainers, Interactive techniques like
role play for delivering content will be conducted during the training. The distribution of
communication materials will be done during the training. Pre and post-tests will be
administered to assess the training quality.
4. Deliverables

Organization of venue and other logistics as required including payment of honorariums


in consultation with MI for each activity.
Minutes of the advocacy meetings
Highlights of trainings for ToTs in Riau and Banten
Highlights of training report for DHO staff

5. Management Arrangements
The proposed assignment will be done through the selected agency that will facilitate the
above mention activities.
MI will provide the technical and financial support through this agency. The activities will also
be coordinated together with DHO, PHO and Sub-Division Nutrition Problems Management,
Directorate of Community Health, MoH.

ToR for trainings on IFA supplementation program for pregnant women in WNT and Riau