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Consultancy for Integration of E-Motive Approaches to RMNCAH Strategies in South Sudan

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theirc logoTheirc · Juba, South Sudan
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The International Rescue Committee (IRC) responds to the world's worst humanitarian crises, helping to restore health, safety, education, economic wellbeing, and power to people devastated by conflict and disaster. Founded in 1933 at the call of Albert Einstein, the IRC is one of the world's largest international humanitarian non-governmental organizations (INGO), at work in more than 40 countries and 29 U.S. cities helping people to survive, reclaim control of their future and strengthen their communities. A force for humanity, IRC employees deliver lasting impact by restoring safety, dignity and hope to millions. If you're a solutions-driven, passionate change-maker, come join us in positively impacting the lives of millions of people world-wide for a better future. Background: South Sudan faces an extremely high maternal mortality rate, estimated at 1,223 per 100,000 live births, and a neonatal mortality rate of around 40 per 1,000 live births, with limited progress in recent years ( WHO, 2025 ). These poor outcomes are driven by limited skilled workforce with 80% of births occurring at home without a skilled attendant and a fragile health system weakened by conflict and limited infrastructure ( WHO, 2025 ). Complications of pregnancy and childbirth (especially postpartum hemorrhage ( PPH ) ) remain a leading cause of death among South Sudanese women ( UNICEF, 2017 ) . Only 3.5 health workers serve per 10,000 people and 56% of the population lives more than 5 km from a health facility leaving many women without access to lifesaving care According to the Healthy Newborn Network (2023 ) . Teenage pregnancy remains highly prevalent in South Sudan, with approximately 30% of girls aged 15-19 having begun childbearing ( UNFPA ; FP2030 ) and this further poses risk of increase maternal mortality rate among these pregnant teenage mothers in South Sudan. This high rate is driven by a combination of structural and socio-cultural factors, including poverty, a high prevalence of child marriage (approximately 52%) ( UNICEF, 2023 ), limited access to contraceptives (contraceptive prevalence rate of about 6% and inadequate provision of sexual and reproductive health education and services ( WHO, 2025 ). T he Safer Births in Crises (SBC) Initiative , in partnership with the Ministry of Health (MoH) and a consortium comprising of the International Rescue Committee (IRC) , International Medical Corps (IMC), UNFPA and Jhpiego will implement targeted strategies for the prevention, detection and treatment of PPH in Malakal (Upper Nile State) and Juba (Central Equatoria State), including heat-stable carbetocin for PPH prevention, and E-MOTIVE for early detection and rapid management of PPH in health facilities. Effective management of PPH is critical to reducing preventable maternal deaths. Recent evidence supports the E-MOTIVE approach (Early detection using calibrated drapes, Massage of uterus, Oxytocic drugs, Tranexamic acid, IV fluids, and Examination/escalation) as an effective bundle for timely and standardized PPH management. The consortium is therefore seeking a consultant to review policies, guidelines, training curricula and other related national documents pertaining to PPH and EmONC protocols to align with current global evidence and incorporate the E-MOTIVE approach. Objective of the Assignment To review, update, and harmonize national policies, guidelines, training curricula pertaining to PPH and EmONC protocols and guidelines to reflect current evidence-based practices, including in corporation of the E-MOTIVE approach. Specific Objectives Assess existing national guidelines, protocols, and training materials pertaining to PPH and EmONC . Identify gaps, inconsistencies, and outdated practices. Engage with SBC Consortium and TAG on which protocols to priorities to integrate the E-MOTIVE bundle into national protocols in a feasible and context-appropriate manner. Ensure alignment with WHO recommendations and other global standards. Develop user-friendly, implementable updated protocols and job aids. Propose an implementation and dissemination strategy. Scope of Work The consultant will: Submit an inception report which will include understanding the terms of reference and methodology , workplan and proposed timeline to undertake the assignment. Develop appropriate tools and instruments for undertaking the assignment. Conduct desk review relevant in line with the assignment . Engage all SBC Consortium members, SBC TAG (when relevant), and key stakeholders and f acilitate consultative meetings/workshops to gather input. Update agreed upon protocols incorporating early detection methods (e.g., calibrated blood collection drapes) as well as s tandardized treatment bundle (E-MOTIVE) as well as any other documents identified by the consortium. Update clinical guidelines, standard operating procedures (SOPs) as well as Job aids. Develop a costed dissemination and implementation plan Prepare a dra


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