WASH in Health Specialist via DevNetJobsIndia

International Development Agency

Bhopal, , IN


WASH in Health Specialist
International Development Agency, Bhopal, Madhya Pradesh

1. POSITION VACANT: WASH in Health Specialist, International Development Agency, Bhopal, Madhya Pradesh


Our client is a respected, International Development Agency (IDA), that works across the globe to promote children’s survival, protection and development.


Water, Sanitation and Hygiene (WASH) in health care facilities are fundamental to the provision of quality, people-centred care. Such services also reduce health care-related infections, increase trust and uptake of services, increase efficiency and decrease cost of service delivery and improve staff morale. All major initiatives to improve global health depend on basic WASH services in health care facilities.

It is obvious that major health goals cannot be achieved without a strong focus on quality care. This is especially true in health areas where progress has been slow, such as reducing maternal and neonatal mortality and preventing infectious disease outbreaks such as cholera, SARS Cov-2 etc. The health focused Sustainable Development Goal (Goal 3-Good Health and Goal 6-Clean Water and Sanitation) provides an important platform by which to address quality on global strategies, including those on Universal Health Coverage and every newborn every mother.

As per SRS 2016, in Madhya Pradesh 85,023 children die within the first year. Around 64,000 new born die and among the new borns most of them die within the first seven days and among those who die within the first seven days, 70% die within the first 24 hours. Maternal mortality at 227 per 100000 live births annually, is also a major contributor of new born deaths. If action is taken at the time of birth within first 24 hours period of intrapartum care and immediate post-natal care, maternal, new born sepsis and linked morbidity can be reduced.

Data from Specialized Newborn Care Units (SNCUs) MIS from 53 units in Madhya Pradesh and from six states suggests that 17% of the new born deaths are caused because of sepsis, 70% of the IMR is due to neo natal mortality and sepsis being the major cause for these deaths, and also potential Health Care Associated Infections (HCAIs) directly associated with infection due to poor WASH in health care institutions. As per Lancet 2000, up to 50% of total Health Care Associated Infection (HCAIs) could be prevented, majorly through effective WASH in Health intervention.

Lack of access to water and sanitation in health care facilities may discourage women from giving birth in these facilities or cause delays in care-seeking (Velleman et al.,2014), Conversely, improving WASH conditions can help establish trust in health services and encourage mothers to seek prenatal care and deliver in facilities rather than at home, important elements of the strategy to reduce maternal mortality (Russo et al., 2012). Although role of WASH in preventing diseases is not new, yet the attention on this critical determinant of health has received from health sector is significantly appreciated everywhere. Diarrhea, largely caused by a lack of safe water, sanitation and hygiene, and is a leading cause of death in children under-five globally, its constant presence in low-income settings may contribute significantly to under nutrition and may be a reason of stunting.

The provision of WASH in health care facilities serves to prevent infections and spread of disease, protect staff and patients, and uphold the dignity of vulnerable populations including pregnant women and the disabled. In addition, Nutritional Rehabilitation Centres (NRCs) provide opportunity of safe and clean environment to severely Acute malnourished children and their mother. Yet, many health care facilities in low resource settings lack basic WASH services, compromising the ability to provide safe care and presenting serious health risks to those seeking treatment.

Amid COVID-19 situation, promoting safe hygiene and handwash with soap practices and maintaining physical distancing has been at the forefront at in Urban and Rural settings. Infection prevention control measures and WASH in health care facilities focusing on quarantine and isolation facilities is one of the most important components that needs be strengthen in a bid to stop the spread of infection of SARS-COV2 (COVID-19). Health care staff members possess a greater risk of infection while providing treatment infected patients. Their capacity building and handholding in IPC is critical in sustaining the health services.

WASH in Health and NRC Initiative in Madhya Pradesh:

In a bid to create infection free environment in health care settings and prioritization of WASH as critical determinant of effective health care services, IDA and National Health Mission, initiated WASH in health and NRCs project in the year 2016. The project covered over 196 high delivery load health care facilities including NRCs of 9 high priority districts in Madhya Pradesh. The WASH in health assessment, improvement planning capacities also scale-up to additional 114 Open defecation free blocks of 24 districts of the State under Swachha Swastha Sarvatra and Kayakalp initiatives. In past 4 years under the WASH in health and NRCs Interventions around 1700 state, district and facility level health care functionaries skilled on WASH protocols, systematic WASH assessment and improvement planning, implementation of WASH plans and monitoring system. In addition to that WASH assessment and improvement plans developed for 196 high delivery load facilities covering 95% of delivery load in 9 high priority districts (7 HPDs and 2 tribal districts) (Guna, Sheopur, Shivpuri, Mandla, Anuppur, Shahdol and Umaria, Alirajpur and Jhabua). Under the project online WASH monitoring system developed to ensure the WASH improvements are monitored on regular based and corrective actions can be initiated at each level viz. state, district and block. As per resent WASH grading 71% of high delivery load facilities in 9 HPDs achieved 75% of WASH compliance (4 star and above). The rapid assessment in the intervention facilities reveals that 75% visitors are satisfied with the water facilities and 63% visitors are satisfied with the toilet facilities in the health care facilities. IDA also supported capacity building and handholding support at facility level with support of resource agency in identification of key bottlenecks and facilitation of solutions, leveraging of funds and guideline from state, district and block level for WASH improvements.

WASH in Health and NRC initiative in Madhya Pradesh has been considered as a good model for India. This has been appreciated at many forums including meetings with NHM and partners, WASH/ Health/ CDN networks and other States. The MP WASH in health project is selected to be presented at “Water and Health Conference 2018” at the University of North Carolina (UNC).


Reporting to the Joint Director, QA Cell, NHM Bhopal, the WASH in Health Specialist shall be responsible for providing technical assistance to National Health Mission, Department of Health and Family Welfare QA Cell, Govt. of Madhya Pradesh for key strategic WASH interventions with an aim to reduce early neonatal mortality, IMR and MMR through specific contribution in line with Kayakalp, Laqshya and Swacchh Swasth Sarvatra programme of government.

S/he shall also be responsible for capacity building of institutions to further access of programme theme and support MoICs and development of state wise scale-up strategy, protocols and SOPs. The Incumbent shall also support NHM in strengthening WASH in health monitoring system for effective feedback and correctives measures and integration in key flagships programs viz. Kayakalp, Swachh Swasth Sarvatra and Laqshya.

Key Deliverables:
(1) Provide support in state level review of WASH improvement in focussed HPDs through data or evidences and progress updates including preparedness on IPC for COVID-19;
(2) Develop check list for quarantine and Isolation wards in line with available guidelines and orientation of hospital administrators and quality managers on district hospital preparedness;
(3) Facilitate state level workshop of District Collectors/ state NHM officials/ Chief Medical & Health officials, Civil Surgeons, RMOs/ DPMs and selected NRCMOs to share progress updates of intervention districts;
(4) Capacity building of MOICs of 100 plus delivery load health centers of focus districts on WASH assessment and improvement planning;
(5) Bimonthly monitoring of WASH interventions in all focussed HPDs by using SGT and report accordingly;
(6) Support to RHFWTCs in developing and implementing WIH Capacity building plans and technical support for improving WASH in Health Centres;
(7) Re-orientation of faculty members of RHFWTCs at all three institution level (Indore, Gwalior and Jabalpur) on WASH in health in line with Kayakalp, SSS and Laqshya programmes and ensure all kind of related training material is available with faculty members;
(8) Kayakalp Assessor’s orientation on WASH in health and IPC for COVID-19 protocols and monitoring mechanism during Kayakalp assessment;
(9) Facilitate directives from state to districts to improve WASH in Health and NRC based on gaps identified;
(10) Develop standard operating procedures for WASH in Health and share with NHM for review


Qualification and Experience:
(1) Applicant must have Graduate degree in Engineering/ Post Graduate Degree in Public or Business Administration/ Social Work/ Social Science/Public Health, or any other relevant field with minimum 10 years of experience in community water supply, health and sanitation programmes at managerial or mid/ senior implementation levels;
(2) Minimum three years relevant WASH in Health and NRC’s field experience, including ability to undertake capacity building for WASH in health care centers;
(3) Clear understanding of government structures, and processes especially in Madhya Pradesh;
(4) Familiarity with the GoI flagship programmes of NHM, Nutrition Missions, SBM;
(5) In-depth knowledge of sector policy and practice, in particular, relating to Water Sanitation and Hygiene in Health Centres, Nutritional Rehabilitation Centres and its status in the state;
(6) Familiarity with GoI led Call to Action initiative, Kayakalp and Swacchh Swachh Sarvatra guidelines and other emerging initiatives on child survival and development;
(7) Proven ability to communicate and advocate effectively with state and district level officers of counterpart and other departments;
(8) Prior experience of working with UN or bilateral agency will be an advantage.

Skills and Competencies:
(1) Good verbal and written communication skills (English and Hindi), including presentational skills;
(2) Excellent analytical, report writing and presentation skills including basic skills of developing workable designs of rural WASH;
(3) Ability to use computer software such as Windows, MS Office, MS Excel, PowerPoint and Internet programmes;

5. ESTIMATED TRAVEL: Approximately 9 days in a month for the achievement of the listed deliverables.

The WHS shall be hired on a consultancy contract through Strategic Alliance Management Services P Ltd. (SAMS), a respected HR Agency.


Remuneration payable to the selected candidate in the form of professional fees shall be attractive and in alignment with market norms.

Applicants are required to provide details of salary history, as well as expected remuneration for the position, in the online application form.

(1) The above elements shall be a key input into the selection and negotiation process;
(2) Candidates are expected to have their own laptops and be internet connected and these items shall not be provided.

8. LOCATION: Bhopal, Madhya Pradesh

9. DURATION: The successful candidate shall be issued a consultancy contract from the date of joining till December 31, 2020.



Strategic Alliance Management Services P Ltd.
1/1B, Choudhary Hetram House, Bharat Nagar
New Friends Colony, New Delhi 110 025
Phone Nos.: 011- 2684 2162; 4165 3612


Eligible candidates interested in the position are requested to apply using the https://recruitment.samshrm.com/Jobs/ida by or before April 30, 2020.