Terms of Reference

Review The Existing Behavior Change Intervention (BCI) Strategy for Iron Folic Acid (IFA) Supplementation for Pregnant Women, Vitamin A Supplementation for Children under five and Zinc and Oral Rehydration Salts (ORS) in the treatment of childhood

diarrhea programs

1. Background The Micronutrient Initiative (MI) is implementing a project entitled “Reducing Iron Deficiency Anaemia in pregnant women and reducing mortality and morbidity in children under five in Indonesia in two selected provinces in Indonesia” which is funded by Department of Foreign Affairs and Trade (DFAT) Australia.

To improve the uptake of key interventions, MI proposes to develop a BCI strategy on the basis of its experience in the demonstration districts. A BCI plan will be developed and appropriate messages and channels identified for creating awareness amongst pregnant mothers and caregivers. In consultation with MoH and other stakeholders the development/modification of existing communication materials will also be undertaken that can be used by the health service providers for counseling and problem solving. It is expected that use of an appropriate BCI strategy and supporting BCI interventions will build capacity of health staff, midwives and cadres for creating awareness on the benefits of these interventions to care givers and consumers on the one hand and to health workers on the other including the need for effective counselling to caregivers and proper administration of the interventions. Hence, MI seeks a consultant to develop a comprehensive BCI strategy for the proposed integrated micronutrient program.

2. Objectives

Develop an integrated BCI strategy for the integrated micronutrient program for East Java and East Nusa Tenggara Provinces.

3. Scope of Work

The consultancy will be done in two parts as mentioned below: a. Development of integrated BCI strategy

• Review the BCI strategies developed by MI/ government during the previous demonstration programs to increase the coverage of IFA for pregnant women, vitamin A supplementation for children under five, and zinc and ORS for children under five with diarrhea.

• Conduct consultation meetings with the Directorate of Nutrition and Directorate of Maternal Health, Directorate of Child Health, Diarrhea Section, Health Promotion Division and other key stakeholders who are engaged in IFA for pregnant women, vitamin A supplementation for children under five, and zinc and ORS for children under five with diarrhea program at national and province levels.

• Develop a draft of an integrated BCI strategy including specific key messages, materials and channels user etc.

• Present and discuss with the MI, MoH, East Java and East Nusa Tenggara Provincial Health Office (PHO) and other key stakeholders.

• Finalize the integrated BCI strategy after incorporation of feedback.

b. Pre-test prioritized BCI materials • Review the existing BCI materials available with MI/MoH. • Identify priority BCI materials for the project in discussion with MI, the Directorate of Nutrition

and Directorate of Maternal Health, Directorate of Child Health, Diarrhea Section, Health Promotion Division and others key stakeholders.

• Pre-test the prioritized BCI materials in East Java and East Nusa Tenggara. • Revise materials, if required.

4. Deliverables • Integrated BCI strategy including identified appropriate messages, channels and materials. • Revised and pre-tested BCI materials.

5. Period of the assignment

The total consultancy will be for 40 working days i.e. 23 days for Part a and 15 days for Part b.

The consultant will be responsible for developing an expanded timeline of activities for the assessment implementation and managing the scope of work so the timeline is adhered to and the work completed in a timely manner. For Part A, the first draft of integrated BCI strategy should be completed no later than twenty days after the contract signed For Part B, the draft of pre-test result should be submitted no later than ten days after the submission of final BCI strategy. Final version of prioritized BCI materials will be due 35 days after the start of assignment.

Below is detail timeline that expected need to be fulfilled:

No. Activity Number of working days

Part a: Development of integrated BCI strategy 1 Review the BCI strategies and materials 6 days 2 Conduct consultation meetings with MoH 3 days 3 Develop draft of integrated BCI materials including specific key

messages, channels, frequency, , etc. 8 days

4 Present and discuss the draft of BCI strategy proposed 1 day 5 Submit final integrated BCI strategy 5 days Part b: Pre-test and finalize prioritized BCI materials 1 Review the existing BCI materials available with MI/MoH 4 days 2 Prioritize BCI materials in discussion with MI, MoH and PHO 1 day 3 Pre-test the prioritized BCI materials in East Java and East

Nusa Tenggara 7 days

4 Presentation and discussion of pre-test result with MoH and MI

1 day

5 Submit final version of prioritized BCI materials 4 days Total working days 40 days

6. Consultant requirements

• Post graduate degree in public health, nutrition or related fields. • At least 5-10 years of experience in the field of public health and behavior change intervention

program. • Experience in the mentioned programs - IFA supplementation for pregnant women, Vitamin A for

children under five, Zinc and ORS for children under five with diarrhea is prefered. • Competent in written and spoken English. • Previous experience working with MI is an asset.