The experience of AFHS initiated the policy level dialogue and advocacy to develop strategic documents for adolescent health in Bangladesh. Based on these experiences the MOHFW has developed the National Strategy for Adolescent Health 2017-30 and multisectoral national plan of action focusing four strategic directions with two cross cutting issues (health systems strengthening and Social and Behavior Change Communication) and special focused on vulnerable adolescent. A costed action plan is in final stages of development and dissemination, and advocacy is ongoing to integrate the required budget and plan in PIP under upcoming health sector program. UNICEF is directly involved with all policy level activities through Adolescent Health and Rights Enhancement through Innovation and System Strengthening (ADOHEARTS) projects which supported by the Netherlands Embassy.
To better advise the government of Bangladesh, the feasibility scale up the AFHS model country-wide is critical to review the ‘best-buy’ for AFHS. This analysis may include the adequacy of the service readiness, including HR and their training, delivery and outreach gender responsive models through MoHFW (AFHS), MoE (schools), MOWCA (adolescent clubs), as well as the demand generation strategies.
The feasibility study will mainly focus the operational and technical feasibility of the government initiatives in expanding the AFHS all over the country from the ADOHEARTS project. The study will also investigate the additional efforts required to reaching the most vulnerable adolescent girls and boys in the country.
- Assess operational feasibility of AFHS within the Bangladesh health system for efficiency of resources, service timing and utilization, gender responsiveness of the services and staff capacity for delivering as well as service provision and quality of services, taking in consideration comprehensive AH
- Required staffing level by level of the health system and availability of health workers both male and female in Bangladesh, implications in staffing (HR) posting needs and cost implications. This includes the review of the technical capacity required for SRHR, psychosocial counselling to address mental health and violence including referral (esp. for mental health and GBV).
- Required suitable rooms, furniture, equipment for AFHS by level of health system (MCH/DH, UHC, UHFWC) and physical availability in the facilities, and availability of budget in OP.
- Demand side of the adolescent health and continuous availability supplies for services
- Requirements for capacity building (pre-service and in-service) and availability of budget in OP
- Required commodities for AFHS review cost, availability, procurement modalities and inclusion in operational plans
- Requirements for IEC materials and awareness raising through innovative practices, and availability of budget in OP.
- Review the good best practices to increase demand for AH among both girls and boys (outreaches in schools, outreaches in adolescent clubs and other community initiatives)
- Compile and analyse the good practices of the national and international Adolescent/Youth Friendly Health
- Service models and related document along with budget/unit cost for services
- Compare the costing and sustainability model of AFHS in NGOs/private and Government Health facilities
- Master’s in public health with at least 15 years working experience with government and UN partners.
- Working experience in developing countries specially in research/study.
- Field experience in adolescent health program implementation is highly required.
- Developing country work experience and/or familiarity with emergency is considered an asset.
- Fluency in English is required. Knowledge of another official UN language (Arabic, Chinese, French, Russian or Spanish) or a local language is an asset.