PMTCT Operational Framework and Implementation Toolkit Consultancy,TANZANIA – July 2020

PMTCT Operational Framework and Implementation Toolkit Consultancy


Deadline: Aug 7, 2020
Location: Tanzania

Sectors: Health


Date posted:Jul 22, 2020
Deadline: Aug 7, 2020
Location: Tanzania

Sectors: Health
Work experience: From 7 years

Background and Purpose

In October 2019, USAID/Tanzania engaged mothers2mothers (m2m) through the Reducing Infections through Support and Education II (RISE II) award for assistance on PMTCT programming. This USAID award enables m2m to continue and expand its work to support healthy, thriving communities to achieve an AIDS-free generation and end preventable maternal and child deaths. m2m’s goal in collaboration with USAID/Tanzania is to foster self-sufficiency and the self-sustaining ability to improve prevention of mother-to-child transmission of HIV interventions in Tanzania.

The Ministry of Health, Community Development, Gender, Elderly, and Children (MoHCDGEC) through the national PMTCT program, implements diverse interventions to eliminate new HIV infections in children resulting from vertical HIV transmission. To reduce new HIV infection in children and improve maternal survival, MoHCDGEC adopted the WHO recommended testing and starting all people living with HIV including pregnant women regardless of immunological or clinical stage (Option B+), with the assumption that this approach increases access to ARVs among women, and significantly reduces the risk of mother to child transmission of HIV infection. The success of this new policy, is hinged on not only improved access but also on higher retention in the PMTCT care continuum from the time of conception to the end of breastfeeding.

Other notable programs include the [1]Partnership for HIV-Free Survival (PHFS) that was launched by the World Health Organization (WHO) and the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR). This initiative sought to assist six countries in their national efforts to improve PMTCT, maternal and infant care, and nutrition support for HIV-positive women and their exposed infants using a collaborative quality improvement (QI) approaches to implement changes that lead to lasting improvement. In Tanzania the PHFS initiative specifically aimed to improve enrollment in and retention of HIV-positive pregnant and lactating women on antiretroviral therapy (ART), strengthen access to early infant diagnosis (EID), and increase the number of women practicing safe infant and young child feeding (IYCF) measures (including exclusive breastfeeding for the first six months of life).

As part of the Reducing Infections through Support and Education II (RISE II) award, m2m is seeking to recruit a qualified and experienced firm consultant for a short term technical support to develop a PMTCT Operational Framework and implementation guidelines, aligned to the MoHCDGEC policy, and informed by MOH recommended interventions, best practices from various implementing partners in Tanzania.

The standardized operational framework on continuum of care should include various best practices models (for example PHFS QI interventions, service integration, peer mentorship, support groups, appointment tracking and client follow up, proactive community follow up for high risk, linkages to OVC and other platforms, etc). Interventions included in the framework will be based on recommendations from MoH and the PMTCT Sub Community TWG.

The development will be a collaborative process with MoHCDGEC, Regional Health Management Teams, the PMTCT TWG, and USAID with ongoing input from implementing partners. The outcome of the documentation will also serve as a knowledge product to be shared across a wider audience and to inform future program undertakings.

Work To Be Accomplished

The overall objective of the consultancy is:

  • Develop a national PMTCT Operational Framework and implementation toolkit for optimal continuum of care between facilities and communities
  • Integrate lessons learned from mothers2mothers technical assistance programmes and the best practices assessment that highlight the role of peer-to-peer approaches in improving retention in care and treatment adherence.
  • Support a national training workshop on the PMTCT Operational Framework and implementation toolkit

Scope of Work

Under the overall management of m2m, the consultant will carry out the following functions:

  • Develop a standardized operational framework on continuum of care that includes various best practices models from the Landscape Analysis
  • Develop minimum standards and practices across the PMTCT continuum of care
  • Review and adapt existing training materials
  • Review and adapt client education and psychosocial support tools
  • Review and adapt client management tools with specific focus on appointment tracking and tracing of clients missing appointments along the PMTCT cascade
  • Agree on common custom indicators for performance monitoring especially for the EID and infant cascade
  • Adapt/integrate QA/QI indicators and for the tested changes package
  • Develop an M&E plan
  • Conduct national workshops to disseminate the operational framework and train key stakeholders



  • An inception report with a clear methodology, time frame and final checklist and the content of themes and topics to be documented in the operational framework.
  • Conduct operational framework and implementation toolkit design meetings with key stakeholders
  • The draft report incorporating rrecommendations on summary approach(es) for integration into standardized operational framework for PMTCT continuum of care
  • Power-point presentations for use during the national training workshops
  • A ready to print final report comprising of operational framework and implementation toolkit


The consultancy is expected to be undertaken between August 1 – September 15th, 2020. Key deliverables for this assignment include the following:

Stages Deliverables
Consultations on TORs Final Terms of Reference
Development of Inception report Inception Report
Conduct review key documents / literature review Documents for desk review identified
Conduct operational design meetings with key stakeholders Consultation & design  meetings
Development of draft operational framework and implementation toolkit Finalization of operational framework and implementation toolkit
National Training Workshop on  operational framework and implementation toolkit Stakeholders trained
Submission of final operational framework and implementation toolkit Final document


  1. The consultant should have demonstrable/verifiable expertise in developing quality improvement plans or operational frameworks. The consultant should have at least 8 years of relevant experience.
  2. Masters or doctoral-level qualifications in Public Health, Development Studies or Social Science preferred. Sound technical experience in HIV programming, particularly Treatment/Prevention of Mother To Child Transmission.
  3. Proven track record and solid understanding of community-facility linkage strategies and community-based approaches.

Place of Performance – Dar Es Salaam & Dodoma, Tanzania



Total: Up to 30 days (1 day = 8 working/productive hours)


Fees – to be determined after briefing session

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