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Médecins du Monde Belgique recruits 01 External Expert

Médecins du Monde Belgique recruits 01 External Expert – Trainer for the training of Roma community workers and healthcare professionals

Description

Position information

Post title: Consultant – External Expert

Programme: RIGHTS, EQUALITY AND CITIZENSHIP PROGRAMME

Project: PRO Health for Roma

Duration of the position: 22 working days within the period of 5 months (November 2019 to March 2020)

Location: City of Zagreb and Međimurje County, Croatia

Employer: MdM – BE (MÉDECINS DU MONDE ASBL – BELGIQUE / DOKTERS VAN DE WERELD VZW)

Background Information

Medecins du Monde Belgique, through its office in Croatia and in cooperation with 7 partners from Croatia and Serbia, is implementing the project „PRO Health for Roma“ (hereinafter: the Project) in the two target areas: Međimurje County (Croatia) and Sremska Mitrovica (Serbia).

The Project is financed by the European Commission Directorate General Justice and Consumers.

The overall aim is to support Roma communities in their efforts to integrate into society and maintain dignity. The specific aim is to enhance Roma people’s access to healthcare services in the target areas. These regions have high concentrations of Roma people (cca. 15000 persons) living in impoverished conditions due to their remote location from major centres, lack of access to public services, discrimination and stereotypes.

Direct beneficiaries are:

  • 1400 Roma people taking part in preventive workshops/ individual consultations,
  • 50 healthcare professionals,
  • 6 Roma community workers,
  • 10 CSO representatives and 40 representatives of local/regional government.

The foreseen results are: i) Roma people understand their rights, how healthcare systems functions and how to access specific, services; ii) Improved capacities among health care providers to provide Roma communities and vulnerable groups access to medical facilities and services in a respectful and non-discriminatory manner; and iii) Developed frameworks for the social inclusion of Roma people in the wider community with the emphasis on healthcare.

Rationale

The main barriers preventing integration of Roma people in the community and their access to healthcare are mostly low socioeconomic conditions, living in excluded settlements and language barriers. Consequentially, lack of access to health care exacerbates their poor health status. Roma may not have adequate access to care because they lack identity cards or other documents required to obtain health insurance, do not have sufficient funds to pay for transport to health facilities or other healthcare related costs, or, because they have experienced or heard about discrimination in health care settings.

The Project foresees engagement of Roma community workers who will act as the mediators between healthcare (and other public) professionals and Roma residents. Community workers will work with Roma people and healthcare workers so that communications are clear and both sides understand each other’s needs. They will co-operate directly with healthcare and other public professionals in providing information and medical (public) services to Roma people. As a result of the work of the Roma community workers, patients will be aware of their rights, how to access public (healthcare) services, healthcare procedures, and will understand the instructions provided by healthcare professionals. Likewise, healthcare professionals will be able to provide treatment to patients in an effective and non-discriminatory manner. This in turn will contribute to combating stereotypes and discrimination towards Roma patients.

Roma community workers will be a part of the field teams that will travel directly to Roma communities daily informing Roma persons about their rights (access to healthcare and other rights), supporting them individually in accessing a range of services (mostly health but also related services such as welfare, housing, employment and education). This support will mainly consist in supporting Roma people filling in administrative forms (such enrolment for health insurance, registration as unemployed person, etc.); informing them/supporting them in accessing (medical) services and preventive measures they can take to ensure healthy living and early detection of specific illnesses/ailments. In addition, Roma community workers will also be present in medical institutions when needed to act as mediators and will accompany Roma patients to specific appointments. They will also accompany Roma persons when requiring similar services, such as registering for public health insurance etc.

Healthcare professionals in the target region (Međimurje County) will be trained to facilitate their daily work with patients from Roma communities. It has been cited that the socio-economic and language barriers between healthcare professionals and Roma patients lead to stereotypes toward the Roma minority and often make the doctor-patient relation defensive and discriminatory from the beginning. As a result of this training, healthcare professionals will improve their capacities to provide effective medical care to Roma people and build cooperation with the Roma population. This in turn will contribute to the integration of the Roma population in the wider community.

Description of Responsibilities and Outputs

The consultant – external expert will work closely with the social worker / mentor for Roma community workers, nurse and other project team members in order to create and deliver training for Roma community workers and for healthcare professionals in the target region of Međimurje County, Croatia.  These actions will eventually facilitate Roma access to healthcare and other services at the regional level in the target regions.

She/he will be expected to perform the following tasks:

  • Prepare training materials and training programme for Roma community workers – the training’s main focus will be on healthcare system procedures, patients’ rights to healthcare, and the registration process of patients (tailored to relevant situations and specific regions). Training materials should be prepared in a format that will allow distribution of hand-outs after the training for future reference and should include all relevant background information (such as legislative framework, information regarding right to healthcare and how to exercise this right, step-by-step procedures, and any other information that Roma community workers might be needing in the course of their day-to-day work).
  • Deliver training for Roma community workers in Međimurje County –

Three (3) Roma community workers will be recruited to work in Međimurje County. The total of 2 one-day workshops are foreseen.

  • Prepare and conduct a post-training evaluation with the Roma community workers to assess the efficiency of the training to ensure that they have gained the knowledge and skills required to be effective in the field, and produce an evaluation report, 2 pages max.
  • Prepare and carry out a survey among healthcare professionals – The purpose is to determine where miscommunication occurs and what messages should be communicated to Roma patients. The survey will be distributed in an electronic version amongst the healthcare professionals – participants of the training programme – prior to the training. The results of the survey will directly feed into the training programme for healthcare professionals.
  • Prepare training materials and training programme for healthcare professionals – the topics of the workshops include: 1) Understanding the socioeconomic status of Roma patients and language barriers – to be tailored to situation in Croatia relating to healthcare system characteristics; and 2) Equality and human rights of Roma patients – with emphasis on the provision of healthcare services in an inclusive manner.

Training materials should be prepared in a format that will allow distribution of hand-outs after the training for future reference

  • Deliver training for healthcare professionals in Međimurje County– 1 one-day training session. The training will include 25 participants. The participants in the workshop will be healthcare professionals (i.e. doctors, nurses, specialists, etc.) that provide healthcare services to Roma patients. As earlier explained, the training will focus on Roma socioeconomic living conditions, and equality and human rights in healthcare (focus on Roma persons). Workshop will also include simulations and case studies in order to understand and address the issues/situations Roma patients face. Roma community workers, trained earlier, will contribute to the training by providing first hand overview of Roma socio-economic situation and issues they are facing such as exclusion and discrimination, and the basics of Roma language. By applying such methods to training, mutual learning, exchange of best practices, interactions and cooperation are facilitated.
  • Prepare and conduct a post-training evaluation and produce an evaluation report

Deliverables and Timeframe

# Deliverable Location Timeframe
1 Prepare training materials and training programme for Roma community workers and post-training evaluation questionnaire Home based 5 days, Nov 2019 – Jan 2020
2 Delivery of 1st one-day workshop for Roma community workers in Međimurje County Field work 1 day, Jan 2020
3 Delivery of 2nd one-day workshop  for Roma community workers  in Međimurje County incl. post-training evaluation Field work 1 day, Jan 2020
4 Prepare evaluation report on training of Roma community workers (in English, 2 pages max) Home based 1 day, Jan 2020
5 Prepare a survey for the healthcare professionals Home based 2 days, Jan – Feb 2020
6 Prepare training materials and training programme for healthcare professionals (including dissemination of the survey and analysis of the results to feed into training programme) and post-training evaluation questionnaire Home based 10 days, Jan – Feb 2020
7 Delivery of training for healthcare professionals in Međimurje County incl. post-training evaluation Field work 1 day, Mar 2020
8 Prepare evaluation report on training for healthcare professionals (in English, 2 pages max) Home based 1 day, Mar 2020

 

Ville City of Zagreb and Međimurje County
Expériences / Formation du candidat

Competencies

Functional Competencies

  • Comprehensive knowledge of teaching/training methodologies;
  • Understanding and compassion for the issues associated with marginalized groups in general and Roma communities in particular.
  • Excellent training, facilitation and communication skills;
  • Ability to communicate clearly and convincingly to a broad range of audiences;
  • Ability to participate effectively in a team-based, information-sharing environment, collaborate and cooperate with others;
  • Ability to work under pressure and to meet required deadlines;
  • Good understanding and practice of capacity development;
  • A flexible work approach will be required as the task might require travel to specific Roma settlements.

Qualifications and experience

Education                 

  • Advanced university degree in a relevant field, such as medicine, social sciences, political science, international relations or a related field

Experience       

  • At least 5 years of working experience which includes working with vulnerable groups and/or marginalized communities incl. Roma
  • Excellent knowledge of national legislative, institutional and financial framework related to socioeconomic policies and access to health
  • Knowledge of national public health system and its procedures
  • Proven experience of coaching and training

Language Requirements: Excellent drafting/writing abilities and skills in Croatian language. Good command of English language will be considered an advantage.

Evaluation Criteria

The consultant will be evaluated against a combination of technical and financial criteria.

Maximum score is 100.

Out of the maximum score, the score for technical criteria equals 70% – maximum 70 points, and for financial criteria 30% – maximum 30 points.

The technical evaluation (70%, or max 70 points) will take into account the following as per the scoring provided:

Education: 4 pts

Understanding and compassion for the issues associated with marginalized groups in general and Roma communities in particular: 15 pts

Excellent training, facilitation and communication skills with proven experience of coaching and training: 18 pts

Experience which includes working with vulnerable groups and/or marginalized communities incl. Roma: 18 pts

Excellent knowledge of national legislative, institutional and financial framework related to socioeconomic policies and access to health: 10 pts

Knowledge of national public health system and its procedures: 5 pts

Financial proposal – 30% of total evaluation – max 30 pts

Only the highest ranked candidates who would be found qualified for the job will be considered for the Financial Evaluation.

Experience 0 à 3 ans
Fonctions Gestion de projets/programmes, RH et Finances
Secteurs d’activité Santé
Pays Europe, Croatie
Salaire / Indemnité

Contracting and payment

The following modalities will be possible for this position:

(i) Payment as per invoice issued by the consultant’s trade or the company

(ii) Payment as per service contract if the successful candidate/consultant does not own a trade or a company (in which case due taxes and contributions will be added to the total amount from the financial proposal  for the financial evaluation purposes)

Payment Conditions

This is a lump sum contract that should include costs of consultancy required to produce the above deliverables. The final schedule will be agreed upon in the beginning of consultancy.

Payment will be released in one instalment upon timely submission of respective deliverables and their acceptance by the Project Team.

Comment postuler

Submission of applications

Interested individual consultants must submit the following documents/information to demonstrate their qualifications:

  • Cover letter explaining why they are the most suitable candidate for the assignment
  • Updated CV
  • A brief methodology on how they will approach and conduct the work
  • Financial proposal: All applicants shall submit a detailed, carefully considered and justified financial statement based on a lump sum specifying (1) a daily fee for the tasks and an estimated duration as specified in this announcement and (2) any other possible costs (including travel to and from the mission, dwelling, etc.).

Link for application

Date de fin de validité 24/12/2019

A propos de l'auteur

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