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Home General Health Term of Reference - Project Coordinator, JSDF Project

Term of Reference - Project Coordinator, JSDF Project

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Terms of Reference:  Program Coordinator

Ministry of Health


The Government of Belize with the support of a Grant from Japan under the Japanese Social Development Fund being administered by the International Bank for Reconstruction and Development (The World Bank) is undertaking the JSDF Grant for Improving Children’s Health and Nutrition in Local Mayan Communities of Toledo District Project.  The main objective of this Project is to improve the health and nutrition of children in local Mayan communities in Toledo, Belize through an early childhood development approach focusing on prenatal care, nutrition monitoring in the critical window of opportunity, and school health interventions at the primary school level.  The Project has a four-year execution period. In general, the activities of the Project include but are not limited to: community, individual and institutional development; information dissemination; infrastructure upgrading and renovation of existing facilities; the procurement of pharmaceutical supplies, information communication technology equipment; and grant funds administration.

To support the achievement of the project’s development objectives, the services of a Program Coordinator (PC) are required.  After summarizing the design and components of the program, this document describes the roles, responsibilities and qualifications of the PC.
Component 1 - Prevent and address malnutrition in children under 5 years of age by empowering the local community aiming to empower the local community to address malnutrition afflicting Toledo's Mayan children 5 and under through community-based Early Childhood Development (ECD) interventions. This component activities would include: (i) Promote good nutrition in pregnant women through healthy weight gain in their regular accessing of pre-natal care through their community health worker; (ii) Promote sound infant and young child feeding through optimal breastfeeding practices, adequate introduction and consumption of complementary foods and responsive feeding; (iii) Develop an easily understandable nutrition monitoring tool based on internationally recognized World Health Organization (WHO) growth standards; iv) Hold a consultative, technical workshop with community health promoters, educators, parents, and local government officials to increase understanding of WHO Growth Standards and nutrition monitoring tool at the community level; and (v) Increase knowledge on nutrition growth and monitoring within the community and among health workers though a roll-out a training-of-trainers (TOT) program.

Component 2 - Develop Healthy Lifestyles Programs for Primary School Children in their eight years of primary education. This component is made up of activities that aim to empower local primary schools to encourage "Healthy Lifestyle" practices targeting Toledo's Mayan children 5 and above. The specific activities are: (i) Introduce a Health Day throughout primary schools in Toledo that would include weekly iron supplementation and deworming every 6 months; (ii) Develop a plan to scale up school feeding at the regional level in Toledo, and coordinate and standardize the implementation of school feeding programs with balanced menus that include daily consumption of vegetable and fruits; (iii) Strengthen school health messages focusing on proper nutrition, healthy weight maintenance, regular physical activity, and overall healthy lifestyles; and (iv) Ensure functioning and well-maintained toilet and hand washing facilities in all 21 Toledo primary schools, and ensure separate toilets for boys and girls.

Component 3 - Strengthen access and quality of community-based health services in support of maternal and child health. This component is designed to give voice to the community to participate in the design and vetting process of identifying and surfacing key health service areas (technical and geographic) that require improvements in order to provide the community with the health services they require and are lacking.  Specific activities would include: (i) develop a training curriculum to strengthen capacity of Community Nurse Aides (CNAs) and community-based health care workers to include sensitization training on Mayan culture and practices; (ii) provide the community with health technical expertise through tele-health approaches that will connect CNAs and community-based health care workers with the latest clinical knowledge and training opportunities, in line with developed curriculum, to increase local capacity and the quality of services; (iii) Strengthen the community's access to timely health knowledge by providing the CNAs and community-based health care workers with information communication technology (ICT) tools; and iv) undertake a technical assessment (landscape) of the 51 satellite (remote) clinics in the Toledo district healthcare facilities(one clinic for each village) to determine the equipment, supplies, and refurbishing required to ensure all 51 satellite clinics are able to provide essential maternal and child health services needed.

Component 4 – Promote behavior change in communities by increasing understanding of community's attitude and perception towards health. This component aims to promote behavior change in communities by increasing understanding of community's attitude and perception towards health and develop culturally adapted health promotion interventions. Specific activities would include:  (i) Take stock of behavioral practices of the Mayan community in relation to seeking health services and health education based on community-based sentiments identifying the marginalization of the Mayan community of Toledo; (ii) Identify key behavioral bottlenecks affecting the Mayan children's ability to access health services and to health education; (iii) Develop culturally sensitive communications tools, incorporating findings of the stocktaking as well as internationally accepted research; and (iv) Conduct informational education sessions with parents, village leaders, and CNAs and community-based health care workers directly serving Mayan communities.

Component 5 - Strengthen monitoring and evaluation, project management, and project administration. This component aims to strengthen the Toledo District Health Council’s capacity to monitor project activities, supporting the gathering of quantitative and qualitative data for evaluation purposes, design and development of the participatory M&E program at the community/village level. The activities under this component are: (i) Monitoring and Evaluation and (ii) Management and Administration of the Grant.

The Project will be implemented by the Toledo District Health Council with the Ministry of Health, the Grant Recipient, providing overall oversight of the implementation process.

Basic Responsibilities:

The Program Coordinator shall be responsible for the overall project coordination including meeting local, regional, national and international dimensions when planning, executing, coordinating, evaluating, and reporting of the JSDF Grant for Improving Children’s Health and Nutrition in Local Mayan Communities of Toledo Project.  The responsibilities of the Program Coordinator include essentially bring into line the requirements identified from all stakeholders of the project when preparing, updating, and monitoring the Project Annual Operating Plan and budget.  The Program Coordinator shall be thoroughly familiar and conduct all activities in line with the Grant Agreement signed by the GOB and the funding agency.


The duties of the Program Coordinator shall include:

1.    Provide leadership, coordination and guidance on all matters pertaining to the smooth implementation of the Project, in accordance with procedures and obligations specified in the World Bank Grant Agreement and implementation arrangements detailed in the Project Operational Manual.

2.    Serve as the principal point of contact between the relevant operational staff of the Bank and the Ministry of Health on Grant implementation; this will include cooperating with project supervision missions of the Bank.

3.    Ensure that Project activities are being performed adequately, on schedule and in accordance with contractual documents, the Project Operational Manual, the respective Grant Agreement, and other relevant documents.

4.    Liaise and coordinate activities with the Ministry of Health and each agency responsible for the implementation of various elements of the project, including MOH, PMU/MOH, TDHC, and MOE and represent the interests of the project before other Government agencies.

5.    Liaise with MOH-PMU to ensure that all projects tendering for works, goods and consulting services is done in accordance with WB and GOB requirements. Furnish to the Bank a full explanation of the occurrence and circumstances of any misprocurement of goods, works or services, (should this occur inadvertently or otherwise), or any misapplication of the proceeds of the Grant, promptly upon learning of the event(s).

6.    Monitor the deliverables of consulting services (individuals & firms) and provide the necessary feedback to the consultants on a timely basis. Submit appropriate written comments and recommendation to the TDHC management, MOH CEO, MOH PMU and the World Bank.  

7.    Ensure that appropriate procedures are established and implemented for the inspection and monitoring of the work of consultants and contractors, so as to be able to certify that works and services are satisfactorily accomplished in compliance with Terms of Reference and evaluate performance considering the different levels of responsibilities of the Project and synchronize key components to ensure the right results.

8.    Collaborate with the TDHC, MOH, and Ministry of Education (MoEdu) in monitoring compliance with the performance indicators established for the Project and prepare quarterly reports on project implementation progress, including progress on sector policy implementation as that pertains to the achievement of project objectives.

9.    Communicate with World Bank staff responsible for project implementation support on the status of project implementation activities with previous appropriate guidance by the MOH-PMU.

10.    Organize periodic evaluation meetings with the relevant stakeholders regarding the progress of the activities, the difficulties encountered and possible solutions.

Specific Responsibilities:

1.    Manage all project implementation, monitoring and evaluation, particularly with respect to all component activities of the JSDF Grant.

2.    Lead the preparation of the Annual Operating Plan and quarterly progress reports in collaboration with the TDHC and MOH.

3.    Lead the preparation of the project Implementation Completion Report (ICR) in collaboration with the TDHC, MOH, and World Bank.

4.    Liaise with MOH-PMU to seek necessary Bank clearance on grant activities that require such clearance and ensure that proper clearance is received before authorizing execution of the related activities.

5.    Collaborate with the TDHC and MOH-PMU on the preparation of Terms of Reference and identify potential experts to carry out grant activities.

6.    Manage, monitor and report on all activities being carried out by the Project Implementing Unit (TDHC).


Interested candidates should possess a minimum of a bachelor degree (master degree or equivalent preferable) in economics or social sciences, regional planning, management, or health related field.  Candidates should have at least 3 years experience as a project manager in a related field, preferably in the Toledo District of Belize.  Previous experience in project management; knowledge of procurement guidelines of the World Bank; and/or health administration would be an asset.  Strong planning, communication and writing skills and a demonstrated ability to build consensus and work with inter-disciplinary teams are required. Human resources management skills, such as demonstrated capacity to lead, coordinate, recruit, motivate and supervise others, would be important.  


The Program Coordinator shall report to the Chief Executive Officer, Ministry of Health and shall maintain direct communication with the MOH-PMU who will facilitate coordination of implementation activities with the World Bank team. He/she would also work in close liaison with the Toledo District Health Council.

Selection Process:

Interested individuals are hereby invited to submit a cover letter and resume by January 27, 2012.

Applications without a cover letter will not be considered. Only individuals who are short listed will be contacted.

Consultants will be selected in accordance with the procedures set out in the current edition of the World Bank's Guidelines: Selection and Employment of Consultants under IBRD and IDA Credits and Grants by World Bank Borrowers (revised January 2011).

Duration of the assignment:

The assignment will initially be for a period of 2 years and may be renewed yearly.