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27 Sep 2023

Consultant- Lead Consultant at Helen Keller International

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Job Description

Helen Keller International


Consultant- Lead Consultant Bottle Neck Analysis Study

Vitamin A Supplementation Project-Tanzania

(Dar es Salaam, Tanzania)

Co-founded in 1915 by Helen Keller, Helen Keller International is dedicated to saving and improving the sight and lives of the world’s vulnerable. We combat the causes and consequences of blindness, poor health and malnutrition with more than 120 programs in 20 African and Asian countries, as well as in the United States. Renowned for our reliability, efficiency and high level of technical expertise, Helen Keller International promotes the development of large-scale, sustainable solutions to some of the most pressing issues in public health.

HKI is a global leader in developing and promoting evidence-based approaches to prevent and treat blindness, malnutrition and neglected tropical diseases. We build programs based on scientific knowledge and local situational analyses, and rely on ongoing program monitoring and evaluation, as well as operations research, to maximize our impact and develop new scientific and programmatic knowledge. We place high value on documentation and sharing our work particularly through peer-reviewed publications and presentations at scientific fora.


In Tanzania children aged 6-59 months are supplemented by VAS twice annually during child health and nutrition months (CHNM) every June and December. During those specific events a comprehensive package of services beyond VAS is provided to children including immunization, provision of deworming tablets, growth monitoring, and nutrition counseling and education to caregivers. This service is mainly provided in health facilities and through outreach services specifically in hard-to-reach areas. VAS data are collected by health providers in the health management information system (HMIS) tools including tally sheets that feed into the national DHIS2 database.

Despite consistently high VAS coverage reported through administrative tally sheets, the persistent low-trends-survey-coverage data raised concerns on the reliability and validity of the tally sheet administrative coverage data among stakeholders, thus requiring a standardized methodology to assess coverage following distribution of Vitamin A. Further, evidence suggests that once the routine immunization services is completed by the age of nine months most caregivers do not take their children to a health facility to be supplemented with vitamin A. On the other hand, it is difficult to supplement children ages 36-59 months because they are enrolled/attending school as per the government education policy. All these arguments are in line with the Post Event Coverage Survey (PECS) that was jointly implemented by

Helen Keller Tanzania Office and Ministry of Health (MoH) completed in October 2022. Results of the assessment indicated all in all the three regions visited including Dar es Salaam, Mara and Kigoma had the coverage of less than 50%. To support improvements and ensure more children are covered, starting February 2023 Helen Keller International is supporting Mara Region to effectively implement CHNM through capacity building of healthcare providers, supporting micro planning sessions, supportive supervision, and distribution activities. On the other hand, we are also working with the government and nutrition stakeholders to explore ways to integrate VAS into the routine health and nutrition services. Given we are already supporting Mara region, we plan to conduct a two phased research studies that will support implementation of routine VAS.

Scope of Work

This term of reference focuses in seeking technical leadership to support Identifying bottlenecks in health service delivery that affect implementation of VAS.

Consultants will work closely with the Regional Secretariat and local government under the overall guidance and oversight from Helen Keller INTL through a consultative process and will be specifically responsible for the following:

  1. Conduct detailed bottleneck analysis based on WHO analytical framework which disaggregates the health system into six core components also referred to as building blocks, leadership, and governance (stewardship), service delivery, health workforce, health information system, medical products, vaccines and technologies, and health system financing.
  2. The consultant will liaise with all the district government and partners involved in VAS implementation to identify the bottlenecks in implementing Child Health and Nutrition Month (CHNM).
  3. Draft the report identifying all bottle necks in the health systems. The report shall inform the resource needs, scope and government capacity to implement strategy, including Human Resources, financing, supplies, governance, information systems, M&E and capacity building.
  4. Based on the findings, the draft report shall include recommendations on the scope of coverage, package content, targets as well as assumptions and risks.
  5. Share findings with the Regional Health Management Team and Helen Keller INTL

Level of effort:

  • Maximum number of Days: 50 days
  • Period of Performance: October 2023 – March 2024

Expected Deliverables

  • Protocol and approved IRB
  • Data Collection Report
  • An organized Data Set including all original transcripts.
  • Detailed BNA Report
  • A set of Practical Recommendation to inform Implementation of Pilot Routine VAS


  • At least a Master’s Degree in Nutrition, Health System and Public health or a related field (PhD is an added advantage).
  • At least 5 years of professional experience working on multi-faceted projects including activities related to the development of government policies, strategies, budgets, and/or plans
  • Experience in carrying out similar studies in Tanzania/East Africa
  • Excellent analytical, conceptual, communication, presentation, facilitation and writing skills.
  • Strong experience coordinating activities with multiple stakeholders to optimize use of limited resources.
  • Experience working effectively in partnership with collaborating organizations including government officials, international donors and agencies, and other relevant stakeholders.
  • Strong knowledge of multi-sectoral nutrition is a plus
  • Ability to respond rapidly to shifting implementation scenarios.
  • Excellent English language skills
  • This position is based in Dar es Salaam; he/she must be willing to be in Mara during data collection.
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Method of Application

Qualified candidates should submit a Cover Letter, Resume and a 5-page concept Note detailing how they will carry out the assignment, plan of work and high-level budget to [email protected] by 7th October 2023.


– DOES NOT CHARGE A FEE AT ANY STAGE OF THE RECRUITMENT PROCESS (APPLICATION, TEST, INTERVIEW, MEETING, PROCESSING, OR TRAINING) – DOES NOT ASK FOR INFORMATION ON APPLICANTS’ BANK ACCOUNTS – DOES NOT RECRUIT THROUGH ANY RECRUITMENT AGENCY Helen Keller is dedicated to building an inclusive workforce where diversity of all types is fully valued – All qualified applicants will receive consideration for employment without regard to ethnicity, race, caste, color, religion, sex, national origin, age, disability, or any other characteristic that has no bearing on the ability to perform the required job duties.

– We are committed to providing reasonable accommodation to individuals with disabilities. – If you are a qualified individual with a disability and need to request an accommodation during the application or interview process, please contact us at the email above.

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