Save the Children

Consultancy - Domestication of National Task Shifting and Task Sharing (TSTS) Policy in Lagos State

Subscribe to Free Job Alert
Job Description

Save the Children is the world's leading independent organisation for children. We work in 120 countries. We save children's lives; we fight for their rights; we help them fulfil their potential.

We work together, with our partners, to inspire breakthroughs in the way the world treats children and to achieve immediate and lasting change in their lives.

We have over two million supporters worldwide and raised 1.9 billion dollars last year to reach more children than ever before, through programmes in health, nutrition, education, protection and child rights, also in times of humanitarian crises.

Following a major transition, our international programmes are now delivered through a merged operation with c15,000 staff, managed through seven regional hubs and reporting to a relatively small, central office. We're changing to become more efficient, more aligned, a better partner, a stronger advocate, a magnet for world-class people and relevant for the 21st century.

Job Title:Consultancy - Domestication of National Task Shifting and Task Sharing (TSTS) Policy in Lagos State

Lagos State boasts of 15, 000 health workers in its public service providing care at different levels and approximately 15,000 in the private sector. The State health worker ratio to the population continues to show a decline with increasing vacancy levels, attrition, pressure on fiscal space for Human Resources for Health (HRH) and challenges based on embargo on recruitment of health workers, thereby increasing shortages at most levels and maldistribution within the urban/local locations of health systems. This has affected the availability, accessibility and quality of care delivered at various points of services especially essential services. The Lagos State Government has proactively strengthened its HRH has implemented various strategies to address the impending challenges as documented in its HRH policy (2011- 2016) and the HRH strategic plan (2011- 2016). These strategies include redeployment of personnel, introduction of new cadres such as that of carers, and deepening its relationship with the private health sector.

With the introduction of Task Shifting Task Sharing (TSTS) at the Federal level, the Lagos State Government participated actively in the consultation and understanding of the arrangement of this national policy. The development of the National Task Shifting and Task Sharing Policy in 2014 is a major progress made in improving and scaling up access to effective and evidence- based health care packages for the Nigerian population, especially the vulnerable within communities in an effort to significantly reduce Nigeria’s unacceptably high mortality ratio and to achieve set Sustainable Development Goals’ (SDGs) targets and other national development goals. The pursuit of the TSTS initiative in Lagos State enables the preparedness of the State staffing for the achievement of Universal Health Coverage (UHC) goals with its drive for the implementation of social health insurance scheme.

The Lagos state Government has since 2012 commenced the facilitation of engagement processes on the need to implement the TSTS initiative in the state. This engagement has presented task shifting and task sharing as a short- term strategic move to bridge, extensively, the gap in shortages, move and create more time for highly qualified personnel, and empower those with less training to handle less and easier tasks. Consultations and sensitizations have commenced with the various health workers associations and the HRH Technical Working Group (TWG) engaged on the issue. Making progress, a committee on TSTS has been constituted with terms of reference to guide the work.

Rationale of this Assignment
The rationale for the development of the TSTS policy is based on the following needs:

  • To review efforts made on task shifting and task sharing in the health sector in Lagos State.
  • To understand the peculiarities of task shifting and task sharing in Lagos state.
  • To agree on its scope for essential health services such as child health, maternal health, HIV, malaria and TB.
  • To articulate policies to guide the implementation and standards of task shifting and task sharing in both the public and private sectors.

The Purpose

  • The purpose of this consultancy is to support the Lagos State Ministry of Health (LSMOH) in strengthening its HRH planning and management capabilities through the development of its Task Shifting Task Sharing policy. This will support the standardization of HRH utilization, promote compliance to ethical guidance on tasks shared or transferred.

Scope of Work:

  • The Consultant will conduct rapid assessment of TSTS situation in Lagos state, facilitate the development of a TSTS policy for the state’s health sector, in line with the National TSTS policy. This assignment will provide evidence on the current situation and practice, and articulate policy to guide the standardization of the use of HRH, shifting and sharing of tasks and quality of care. Critical organizations to be involved include the State Ministry of Health (SMOH) and its agencies, private medical and nursing associations and other allied health workers associations.

The Consultant will:

  • Adopt participatory and collaborative techniques to facilitate stakeholder leadership, engagement and ownership in the planning process and its outcomes.
  • Conduct rapid assessment of the task shifting task sharing situation in Lagos State. This will entails administering questionnaire to selected facilities in the state and work with selected Lagos State Ministry of Health personnel and Primary Health care development board
  • Develop a state TSTS Policy , the process will involve facilitation of a participatory workshop with the State Ministry of Health and its agency, HRH critical stakeholders in the state , relevant medical associations and the State HRH Technical Working Group (TWG)
  • Facilitate a validation meeting with larger HRH stakeholders in the state and key policy makers to secure ownership and acceptance.
  • Document the process and support the collation and submission of the following validated documents: rapid assessment findings; the TSTS policy, and the process report of the assignment.

Specific Tasks:

  • For this piece of work, the consultant will provide technical support to the SMOH in Lagos State on the development of a TSTS Policy. Based on the nature of this assignment, the following specific tasks are required:
  • Facilitate planning meetings with the SMOH and Save the Children International (SCI) and other stakeholders as identified throughout the assignment.
  • Conduct desk review and rapid assessment of task shifting task sharing situation in Lagos state. This will through deployment of questionnaire, key informant interviews and meetings with stakeholders.
  • Facilitate a 3-day policy drafting workshop with stakeholders.
  • Facilitate a validation meeting for the TSTS policy
  • Document the final TSTS policy and report on the rapid assessment.
  • Debrief on the outcome of the assignment.
Job Requirements
Minimum years of experience


Other Requirements

Key Deliverables and Expected Results:

  • Report on rapid assessment of Task Shifting and Task Sharing in Lagos
  • A validated Lagos State Task Shifting and Task Sharing policy
  • Final Report of the assignment
  • A slide presentation of the process.
  • Profile of Consultant Required – 1 Consultant
  • Higher relevant academic degrees (Masters, PhD/ Fellowship): Health Policy, Public Health, Development Studies, Medical Sociology, Social Sciences, or any other relevant discipline.
  • Experience in International Development with at least 12 years especially in Health.
  • Grounded experience in managing HRH interventions and varieties of Health Systems Strengthening (HSS) areas.
  • Grounded experience in working in Lagos State Health Sector will be an advantage.
  • Experience in facilitating consultations on shifting and task sharing in a complex state such as Lagos.
  • Experience in organizational development and management.
  • Experience in supporting institutional systems policy, and a clear understanding of health workforce issues in Lagos.
  • Experienced in working with various donors, private sector, partners, private and public sector.
  • Excellent research, analytical and writing skills.
  • Excellent skills in team management.
  • Excellent facilitation skills.
  • Excellent people skills.
  • Reporting and Timing of this Assignment
  • The consultancy is planned for 15 days only.
  • Duty station and Location
  • Within the period of this assignment, the Consultant will work collaboratively with the HRH focal Person in Lagos SMOH and report to the advocacy team of Save the Children International, Lagos. This consultancy will take place in Lagos State, Nigeria.

Method of Application:
Use the email(s) below to apply.

This job is no longer accepting applications.

View More Jobs at Save the Children

If any company or recruiter demands money from you, please report to us immediately. View how to detect fake recruiters/companies Here

Don't miss relevant job opportunities again!
Subscribe to our push notification service for FREE
  • Get notified of job openings based on your preferences.
  • Works on any device (laptop/desktop, mobile phone or tablet)
  • Fast, convenient, easy and FREE

Subscribe Now

About Save the Children
Save the Children works in 120 countries. We save children’s lives. We fight for their rights. We help them fulfil their potential. Save the Children is working in Nigeria because one in five children in Nigeria dies before their fifth birthday. About 40% of children miss out on school and have to work to survive while nearly 2 million children have lost one or both parents to an AIDS-related disease.Save the Children has had a permanent presence in Nigeria since 2001, and is today a stron...
See more
Job Summary
November 17, 2016
Offer Type
Minimum of 12years
Salary Range
N0.00 - N0.00K
November 30, 2016
NGO / International Agencies
Career Resources

Thinking about how to get to the top of your Career?

  • Insights and career advice
  • Knowledge center and mentorship

Get Started

Similar Jobs