Community Health Intern, Dar es Salaam, Tanzania
If you are a committed, creative professional and are
passionate about making a lasting difference for children, the world's
leading children's rights organization would like to hear from you.
If you are a committed, creative professional and are
passionate about making a lasting difference for children, the world's
leading children's rights organization would like to hear from you.
For 70 years, UNICEF has been working on the ground in 190
countries and territories to promote children's survival, protection and
development. The world's largest provider of vaccines for developing
countries, UNICEF supports child health and nutrition, good water and
sanitation, quality basic education for all boys and girls, and the
protection of children from violence, exploitation, and AIDS. UNICEF is
funded entirely by the voluntary contributions of individuals,
businesses, foundations and governments.
Background
Tanzania has achieved Millennium Development Goal 4 for
child survival but more needs to be done, under-five child mortality
continued to decline over the last 25 years. Infant mortality has
decreased from 92 deaths per 1,000 live births in 1991/1992 to 43 deaths
per 1,000 live birth in 2015/2016, thus, achieving the MDG 4 targets.
Despite of these achievements, about 270 children under-five die every
day mainly from preventable and treatable conditions, such as malaria,
pneumonia and diarrhea. Between the years 2000 and 2010, under five
mortality decreased by 43%, whereas the rate of reduction of neonatal
mortality during the same period was 21%. Neonatal mortality in 2013 was
at 21 per 1000 live births and contributes to 39% of under-five deaths,
with nearly 40,000 new-born deaths every year.
Tanzania failed to achieve the Millennium Development Goal 5
of improved maternal survival: The reduction of maternal mortality has
been slow. In 2015, the maternal mortality rate slightly increased from
432 in 2013 to 455 in 2016. Neonatal deaths are inextricably linked to
the conditions of the mother, services utilization and the quality of
care received during pregnancy, delivery and postpartum. The slow
decline of both maternal and newborn mortality makes a compelling case
for strategic prioritization of maternal and newborn care, especially
around the time of delivery.
Even though antenatal care (ANC) coverage is high (98%) for
the first visit, only 1 in 4 women had their first ANC visit in the
first trimester as recommended and only 51% of women make the
recommended four visits. Sixty-three percent (63%) of the deliveries
occur in the health facilities and 37% of births occur at home. Women
with no education, those living in rural areas and those in the poorest
households are the most likely to deliver at home. However, there is
some improvement as only 50% of deliveries were reported to take place
at health facility in 2004-2005. Overall 64% of births are assisted by
skilled provider. Only 34% of women receive postnatal care within 48
hours. There is high fertility rate (5.2%) as well as high rate of
adolescent pregnancy, with 27% of girls aged 15-19 beginning
childbearing. This strongly indicate the importance of family planning
and adolescent health services as a prerequisite for reducing maternal
deaths.
UNICEF continues to work closely with Ministry of Health
Community Development Gender Elderly and Children (MOHCDGEC) and Local
Government Authorities (LGAs) to support delivery of high quality health
services. These services include reproductive and maternal health,
immunization, child health, prevention of mother to child transmission
of HIV, early childhood development services. However, having quality
services available is not enough. There is a need to ensure that the
services are fully utilized by the target population. Utilization of the
services is currently not at optimal and desired level. Antenatal care
(ANC) coverage is high (98%) for first visit, despite high and quality
antenatal services only 1 in 4 women had their first ANC visit in the
first trimester as recommended and only 51% of women make the
recommended four visits. This is majorly attributed to late booking for
antenatal care. Sixty-three percent (63%) of the deliveries occur in
the health facilities and 37% of births occur at home. Wo
men with no education, those living in rural areas and
those in the poorest households are the most likely to deliver at home.
However, there is some improvement as only 50% of deliveries were
reported to take place at health facility in 2004-2005. Overall 64% of
births are assisted by skilled provider. Women who have attended 4 ANC
visits, those living in urban areas and the wealthiest households and
those with secondary or higher education are most likely to receive
delivery assistance by skilled provider. Additionally, only 34% of women
receive postnatal care within 48 hours. According to the Health Sector
Strategic Plan July 2015-June 2020 high community engagement is
required. However, relatively few communities are reached with
comprehensive set of interventions.
Tanzania is currently developing a formal cadre of
Community Health Workers (CHWs) through the Community Based Health
Program (CBHP). The CHWs will be responsible to link health facilities
to community; and support community led health promotion activities.
The CBHP envisions communities with improved health that contribute to
socio-economic development. Mission of program is to empower communities
and build capacity through sustainable and integrated CBHP to respond
to local health needs.
Justification
Successful development of functional and effective CHWs
depends on collaborative efforts of stakeholders including UNICEF. The
process demands adequate number of human resources within UNICEF.
However, UNICEF for this moment has no plan to hire core staff to
support community health activities.
Specific tasks
The intern will work under directive and guidance of the chief of health to complement execution of the following tasks:
i. Contribute to UNICEF’s processes of building capacity of the partners implementing CBHP.
ii. Contribute in monitoring of UNICEF’s partners implementing community health.
iii. Contribute in documentation reporting and sharing information on community health activities.
Expected background and Experience
The intern is expected to have the following background and experience:
• Bachelor’s Degree in the public health, social/behavioral
sciences, (Sociology, Anthropology, Psychology, Health Promotion,
community Development) with emphasis on strategic communication planning
for behavior development, social mobilization, participatory
communication, and research.
• Be fluent in English.
• Have excellent academic performance as demonstrated by recent university or institutions records.
• Additional consideration will be given for any past relevant experience.
UNICEF is committed to diversity and inclusion within its
workforce, and encourages qualified female and male candidates from all
national, religious and ethnic backgrounds, including persons living
with disabilities, to apply to become a part of our organization.
Before applying, please make sure that you have read the requirements for the position and that you qualify.
Applications from non-qualifying applicants will most likely be discarded by the recruiting manager.
Hello, my name is MOSES MPEKESA. I'm a 26 year old self-employed Pirate from the TANZANIA.
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