Job Opening

Posting Title: Consultant: Lead Trainer for the dissemination of the OAT/MAT Training package and building capacity of a critical mass of master trainers across Kenya,
Department/Office: United Nations Office on Drugs and Crime
Duty Station: VIENNA
Posting Period: 23 March 2022 - 30 March 2022
Job Opening Number: 22-United Nations Office on Drugs and Crime-177165-Consultant
Staffing Exercise N/A
United Nations Core Values: Integrity, Professionalism, Respect for Diversity
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Result of Service

3. Purpose of the assignment:
The assignment shall focus on dissemination of the MAT training package by;

a) Conducting a National Training of Master Trainers of Trainers (TOTs) for both the biomedical and the psychosocial modules.
b) Providing coaching and supervision for the TOTs in the dissemination of the package through county level trainings
c) Compiling and disseminating training outcome, reports, and recommendations to relevant stakeholders

Work Location

Kenya

Expected duration

Proposed period: 19 April- 18 November 2022
Actual work time: 80 working days

Duties and Responsibilities

1. Background of the assignment:
Injecting drug use and heroin use have been documented in Kenya for more than two decades. According to the UNODC World Drug Report 2013, prevalence of heroin use was 0.22%, with approximately 49,000 users among the population aged 15 to 64 years. A 2012 Rapid Situation Assessment (RSA) of the Status of Drug and Substance Abuse in Kenya by the National Authority for the Campaign against Alcohol and Drug Abuse (NACADA) revealed an increase in lifetime use of heroin among persons aged 15-65 years from 0.4% in 2007 to 0.7% in 2012. Although the Kenya Consensus Report estimates about 18,327 People Who Inject Drugs (PWID) for all regions, there is paucity of data on Injecting Drug Use (IDU) for other parts of Kenya. Both the UNODC/ICHIRA RSA of PWID in Nairobi and Mombasa and Population Council’s Integrated Bio-Behavioural Survey (IBBS) conducted in 2011 established that HIV prevalence for PWIDs in Nairobi and Mombasa was 18%, and significantly higher the 6.3% for the general population (KDHS 2008/09). Although females comprise only about 10% of all PWIDs, their HIV prevalence 44.5% compared to 16.0% for males should be of great concern to public health.

Studies indicate that opioid dependence results in significant costs to society through major health consequences and premature death, unemployment, homelessness, family disruption, loss of economic productivity, social instability, and criminal activities. (WHO 2004).


Kenya has embarked on an ambitious plan to rapidly scale-up high impact interventions to prevent new HIV and hepatitis infections among people who inject drugs (PWID) and enhance their well-being and quality of life through introduction of four core elements of the United Nations and USG/PEPFAR guidance on HIV prevention among PWID, namely: i) Medically Assisted Therapy (MAT alias Opioid Substitution Therapy - OST), ii) Needle and Syringe programmes (NSPs), together with iii) HIV Testing and Counselling and the provision of Antiretroviral Therapy (ART) for those in need. Thanks to USAID/PEPFAR funding, UNODC as part of the Kenya United Nations Joint Team for HIV is supporting the Ministry of Health’s National AIDS and STI Control Programme (NASCOP) and selected County governments in Nairobi and Coast regions to implement a unique and comprehensive HIV combination prevention programme for people who use drugs. This has facilitated MAT initiation at 7 public health facilities since December 2014 to date and one within the prison setting, vis: Mathari National Teaching and Referral Hospital in Nairobi County, Malindi Sub-County Hospital in Kilifi County, Coast General Hospital in Mombasa County, Ngara health Centre in Nairobi, Kombani Health Centre in Kwale County, Jaramogi Oginga Odinga Teaching & Referral Hospital in Kisumu County, Karuri Health Centre in Kiambu County and Shimo la Tewa Prison in Mombasa County .

The goal of the MAT program is to improve the health of people who use drugs (PWUD) by preventing and reducing the health, social and economic harms associated with use of opioid drugs such as heroin. Specific objectives of the MAT program are to:
• Reduce the spread of infectious diseases associated with injecting drug use, especially HIV/AIDS, and hepatitis B and C
• Reduce the mortality and morbidity resulting from the misuse of opioid drugs
• Contribute to improving the health, psychological and social functioning and wellbeing of clients, their families and their dependent children
• Assist individuals to achieve a successful withdrawal from non-prescribed opioids
• Reduce episodes of other harmful drug use
• Reduce criminality associated with opioid use

Despite these achievements, each county and implementing partner has been using different training manuals and approaches due to lack of a standard national MAT training package for Kenya.
To this end, the United Nations Office on Drugs and Crime (UNODC) in collaboration with the Ministry of Health has developed a national training package for MAT service providers to ensure delivery of quality comprehensive services from clinical patient management, psychosocial support as well as programme management
A consultative Brainstorming meeting for Development of a National MAT Training Package was held on
September 21st -22nd 2015 in Mombasa. A draft MAT training package was developed by a National and
International consultant in 2018, and validation done with a team from the coast region.
Stakeholders from coastal counties, MAT health facilities, CSOs and key partners attended a validation
workshop and reached consensus on the overall design, core learning objectives and content, training
methodology and relevant resource materials.
Further consultations with the National Training Subcommittee recommended separate packages for the Biomedical (Clinical) and Psychosocial MAT training packages targeting various levels of staff at community and MAT facility level. Stakeholders from coastal counties, MAT health facilities, CSOs and key partners attended a validation workshop and reached consensus on the overall design, core learning objectives and content, training methodology and relevant resource materials.

A national Consultant was engaged in 2020 to review the package into separate biomedical and psychosocial modules. Subsequently, stakeholders in Harm reduction programs drawn across the counties, national government, CSO and Implementing partners attended a hybrid validation workshop on May 12th-14th 2021 in Machakos.
The Training Package was adopted by the national harm reduction committee of experts, and it was recommended for immediate dissemination through training of trainers and the service providers at national and county level.
This assignment will involve dissemination of the Training Package through a series of trainings conducted at National level and subsequently cascaded to facility level.

2. Specific tasks to be performed by the consultant:
The assignment will be carried out under the overall guidance and supervision of the Head, Health and Social Development Pillar Sector, UNODC ROEA. The consultant will be responsible for designing a training schedule/program in consultation with the relevant stakeholders and subsequently facilitating the Training using the MAT Training Package. The consultant will be responsible for identifying and recommending TOTs to deliver the subsequent regional trainings from the trained cohort of master trainers.
He/she will also develop a mentorship schedule/program and provide in person coaching to trainers, supporting them, and supervising them to conduct county level trainings/dissemination of the package. The Consultant will also attend a National Harm Reduction COE and a Training Committee meeting to provide feedback on the training outcomes.

Qualifications/special skills

• Advanced University Degree (Masters or equivalent) in Medicine, psychiatry or related field or related field is required. A first-level university degree in combination with two years of qualifying work experience may be accepted in lieu of the advanced university degree.
• A minimum of 7 years of relevant working experience in implementation of PWID programs including Medically Assisted Therapy (OST/MAT) in Kenya is required.
• Proven experience in conceptualization, development and delivery of quality training on substance abuse and HIV including both field and clinical experiences is required.
• Have worked with and understands local drug use context in Kenya is desirable.
• English and French are the two working languages of the United Nations Secretariat. For the post advertised, fluency in oral and written English is required. Knowledge and communication in Kiswahili is an added advantage.

No Fee

THE UNITED NATIONS DOES NOT CHARGE A FEE AT ANY STAGE OF THE RECRUITMENT PROCESS (APPLICATION, INTERVIEW MEETING, PROCESSING, OR TRAINING). THE UNITED NATIONS DOES NOT CONCERN ITSELF WITH INFORMATION ON APPLICANTS’ BANK ACCOUNTS.

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