Maternal Neonatal Health at the Workplace
Rapid Program Assessment
USAID Jalin: In September 2017, the United States Agency for International Development (USAID)/Indonesia initiated the USAID Jalin Project, a five-year activity contributing to the reduction of preventable maternal and newborn deaths—a priority recently reconfirmed by the President of Indonesia. The overarching problem that Jalin strives to resolve is that the quality of care accessible to mothers and newborns is uneven across the country, in both public and private facilities, and at both primary and secondary levels of care. Jalin uses a whole of market approach to improve maternal and newborn health (MNH) quality of care in public and private, and primary and secondary facilities and to strengthen efficiency and effectiveness of the emergency referral system at community and facility levels. In close collaboration with the Ministry of Health (MOH), the Jalin Project works in the following provinces: Banten, Central Java, East Java, North Sumatra, South Sulawesi, and West Java.
Women in the Workplace: In 2018, Central Statistics Indonesia recorded an increase in women’s participation rate in the labor force to 55.4 percent. There are 46 million female laborers in Indonesia, of which 35.3% work in Garment, Textiles and Footwear. Central Java, East Java, Banten and West Java have the highest proportion of female workers in Indonesia.
Factory jobs are a preferred option for young women from low-income families. For working pregnant women, however, these jobs can limit their access to health services as regular antenatal (ANC) and postnatal (PNC) check-ups are usually offered in health centers (Puskesmas) during working hours. Women are often dismissed from work for matters related to family planning, and following childbirth or maternity leave. Workplace programs can address and raise awareness of these issues and help protect women workers’ rights which can improve worker productivity and retention rates for the businesses. Additionally, these programs can improve access to essential health services which can contribute to better MNH outcomes, a finding of the CCPHI Case Study ‘Working Together to improve the health of workers and the community in Indonesia’.
USAID Jalin Solutions: USAID Jalin contributes to improving MNH in the Workplace aiming to protect women’s rights – especially with regard to their reproductive health (menstruation, pregnancy, delivery, and breastfeeding) and to further protect them from high-risk conditions that might put their fertility, pregnancies and newborns at risk. As a part of broader private sector engagement approaches, and as local solutions derived from co-creation with stakeholders in the provinces in which USAID Jalin works, the Project is supporting three MNH in the Workplace programs in Central and West Java. Each of these programs aims to improve female workers’ awareness and knowledge about MNH. However, the three USAID Jalin pilot programs are implemented in collaboration with different partners and leverage different approaches. Jalin plans to collaborate with VF Cooperations (VFC) to expand the MNH at the Workplace program into their factories. A rapid assessment of the different Jalin approaches is needed to help inform and ultimately tailor a program for VFC.
To support the development of this program, Jalin will contract a team of two consultants to collaborate and review the status of the three MNH at the Workplace programs currently administered (including strategy, stakeholder engagement and tools). This assessment will review their similarities, differences, strengths and weaknesses. The assessment takes varying needs and circumstances of the different program settings into account to document the tailored implementation strategies. At the end of the assessment, recommendations for a strengthened MNH at the Workplace are to be developed.
The assessment will cover three different program models in West and Central Java and includes site visits to the respective factories at several different locations. Consultants will work in close collaboration with Jalin’s regional teams under the guidance of the Senior Technical Advisor.
Duties and Responsibilities
The consultant is tasked to assess the status of Jalin MNH at the Workplace programs in West and Central Java. The consultant is responsible for the following specific tasks:
- Co-lead the assessment conjointly with the second program evaluator
- Develop assessment methodology and tools conjointly with the second program evaluator and the Jalin team (Jakarta, and as appropriate regional teams)
- Conduct a rapid literature review (with a focus on available literature in Indonesia) to be familiar with the subject matter of MNH at the Workplace
- Visit Jalin’s regional offices, gather available material about the MNH at workplace program. This includes, but is not limited to:
- Strategy and management documents: roadmaps, technical briefs, Mini- MELA plans, etc.
- Clinical tools: training curricula, checklists, clinical assessment and counseling tools
- Budgeting tools: proposed budgets, actual expenditure, forecasts
- Stakeholder mapping: as part of the Roadmap or other documents
The consultant is expected to collaborate closely with relevant staff member of Jalin’s regional office to obtain program information that is not yet captured in documents to develop a comprehensive program description.
- Visit implementing factories and gain first- hand understanding about the situation inside the factories and the level of program implementation to date.
- Conduct key informant interviews with factory stakeholders, female factory worker (current beneficiaries, and non-beneficiaries), clinical staff and other relevant partners as advised by the Jalin Jakarta and regional team.
- Develop a report that outlines the various approaches; describes the differences and similarities between the MNH at the workplace strategies, backgrounds, factories, locations and needs; lays out strengths, weaknesses, opportunities and threats (SWAT) of the respective MNH at workplace models; and offers recommendations for strengthening each of the models in respect to their respective focus and goals.
Period of Performance and LOE
Period of performance: early December – 6 March 2020
LOE: up to 60 days
- 9 & 10 December: document review of MNH at the workplace; briefings with the Jakarta team about Jalin, and available program information; develop an outline of activities and timeline for the program assessment in the two provinces and tools (especially questionnaire for key informant interviews)
- 11- 20 December: visit Jalin’s regional offices and respective factories in West and Central Java
- 21 Dec. 2019- 3 Jan. 2020: develop draft report and ppt presentation that describe assessment findings including problem statement and SWAT analysis of each of the MNH at Workplace models and provide recommendations for strengthening of each of the models.
- Week January 6th: present assessment findings to Jalin Jakarta and respective regional teams (if needed remotely)
- Until end January 2020: Support preparations for co- creation workshop with USAID, VFC and Jalin which is likely to take place end of January and present findings and recommendations during this workshop
- February 2020: Support Jalin in development of an MHN at the Workplace model (including strategy, management and tools) that is most appropriate to VFCs vision
- Draft outline of MNH at Workplace Assessment methodology and tools as required (for Key Informant Interviews) | 9 &10 Dec. 2019
- Draft report and ppt presentation develop that describe assessment findings including problem statement and SWAT analysis of each of the MNH at Workplace models and provide recommendations for strengthening of each of the models. | 3rd January 2020
- Final assessment report that addresses comments and suggestions from reviewers. The report describes background, methodology, results, findings and discussion of the different MNH at workplace models. It provides actionable recommendations for strengthening each of the currently implemented models. | End of January 2020
- Co-Creation workshop supported through preparations and during the event | End of Jan – early Feb 2020
- Strategy and tool recommendation developed for MNH at the workplace for VFC. Attend face-to-face meetings as required. | End Feb 2020
The Consultant will report to the Senior Technical Advisor.
Interested and qualified applicants should send a cover letter and CV by December 8th, 2019 to firstname.lastname@example.org with “MNH at Workplace Rapid Program Assessment” in the subject line.