Capacity Building & Technical Supervision of MHPSS Activities Consultant-Première Urgence Internationale  عودة إلى الفرص

Capacity Building & Technical Supervision of MHPSS activities Summary of the ACTIVITY ToR for capacity building and technical supervision of the psychosocial support  activities implemented in the framework of the project.  

1. BACKGROUND 

Première Urgence Internationale (PUI) is a non-governmental, non-profit, non-political and non-religious  international aid organization. Our teams are committed to supporting civilians’ victims of marginalization and  exclusion, or hit by natural disasters, wars and economic collapses, by answering their fundamental needs.  Our aim is to provide emergency relief to uprooted people in order to help them recover their dignity and  regain self-sufficiency.  

2.OVERVIEW 

PUI Libya mission is seeking support for mental health and psychosocial (MHPSS) capacity building and  technical supervision activities for staff, based in Libya. The staff are responsible to conduct individual or  group sessions, in order to accompany patients with non-communicable diseases and their families; at  health centre level. Indeed, chronic illnesses (asthma, hypertension, diabetes, etc) can be caused or  aggravated by emotional and stress-related issues and have a significant impact on the patients’ lives or  their relatives who may require psychological support. In the framework of this project, PUI aims at  supporting the targeted health facilities to integrate MHPSS into primary health care through fostering health  workers listening skills and clinical sensitivity. 

2.1. PROJECT SUMMARY  

Poor mental health exacerbates physical health problems (‘No health without mental health’) and people with  Non Communicable Diseases (NCD) are two to three times more likely to experience mental health  problems than the general population. Co-morbid mental health problems have several serious implications  including poorer clinical outcomes, lower quality of life and reduced ability to manage physical symptoms  effectively. PUI takes a holistic approach to strength NCD services care, MHPSS activities are currently 

being used by PUI to support patients managing NCDs in the East of Libya through the project “Supporting  quality and dignified health care for vulnerable Libyan and non-Libyan populations in Cyrenaica region,  Libya” (Centre De Crise et de Soutien – CDCS funding). These activities have been highly beneficial and  have received positive feedback from participants due the added value they serve as they emphasize  management of psychological effects of NCDs and not only the physical effects. 

PUI MHPSS officer will conduct training targeting healthcare employees on the following topics:

What is MHPSS 

 Mental health as NCD  

Psychological trauma 

Mental health and stigma  

Detection of mental health disorder 

Use of existing screening tools (WHO-5 assessment, SRQ-20, SLAPP Assessment, PTSD  assessment) 

Effective support for those who have mental health needs 

Psychological First Aid (PFA) 

Self-care and stress management.  

The aim of the training is to improve health workforce’s knowledge and understanding of mental disorders,  reduce stigmatising attitudes; and equip people with simple skills to help those with mental disorders to  assess risk of suicide or self-harm, listen non-judgmentally, give reassurance and information, encourage  help-seeking from professionals and use self-help techniques. The premise is that everybody should have  these skills to use in mental health emergencies, in the same way that people learn how to apply basic first  aid to medical emergencies. Moreover, it will be promoted the creation of spaces for the analysis of practices  among the health care professionals to share experiences handling clinical situations and ultimately to build  a clinical team culture.  

PUI MHPSS officer will build the capacity of social workers and nurses to conduct psychoeducation session  for NCD patients and their relatives at supported health facility. Psychoeducation is an intervention for  patients and caregivers designed to improve their understanding of the mental disorder, its treatment, and  the measures the affected person can take to maximize their chances of recovery. The aim is to contribute to  stimulate behavioural changes, such as improving adherence to medication, which is associated with better  outcomes in NCD treatment. 

Furthermore, the MHPSS officer will train the psychologist working in the PHCC on structured, brief  psychological therapies through a patient-centred approach, with the support of the Medical Coordinator and  MHPSS Technical advisor.  

This TOR details the clinical supervision expected to guarantee the quality of care provided through this  activity in compliance with PUI MHPSS framework and other principles. 

3. TECHNICAL SUPPORT NEEDED 

To implement quality activities, PUI is currently seeking technical support for the provision of capacity building trainings and technical supervision follow-up to PUI MHPSS staff.  

The objectives are: 

Build the capacities of the MHPSS provider (PUI staff) 

Support the MHPSS provider in her clinical practice

Support the MHPSS provider in training other medical staff in PUI supported primary health care facilities, through cascade trainings 

Ensure quality MHPSS services are delivered to the beneficiaries 

Ensure the clinical approach and tools used are in line with the defined MHPSS framework  and SOPs for PUI Libya mission  

Address concerns related to clinical work that includes giving the alert in case of a critical or  dangerous practice or situation (for both the client and the clinician). 

Liaise with the focal points at PUI coordination level in case such alert rises.

This support should include: 

Bilateral capacity building and training sessions  

Clinical case discussions (individual, according to relevance and need) 

Revision of the tools, clinical approach and strategies used (should be in line with SOPs  and Intervention Framework) and suggestions for improvements 

Advice and orientation on clinical response and strategies, including internal and external  referrals.  

Supervision can also include discussions and information on common psychopathologies,  psychological issues and other related topics 

Means of support: 

This support will be provided through online sessions (such as Skype) conducted in Arabic. PUI  will ensure the clinician will have proper access to internet connection and a computer, the weekly  supervision sessions will be integrated to their schedule and specific slots will be dedicated. The  provider will ensure its own materials and internet network. 

Duration: 

60 hours initial capacity building trainings (to be planned in a suitable manner along with  PUI field staff) 

Regular technical support and follow-up for the MHPSS officers for 3 hours/month, for 6  months. 

This might be reassessed according to the needs during the partnership.

4.DELIVERABLES: 

The support provided will lead to the elaboration of: 

– A supervision follow-up form that should be only used between the supervisor and the  clinician 

– A monthly report to be shared with PUI Libya mission and HQ in Paris. Minding that no confidential information on the beneficiary is communicated, tThe monthly report should list  the number of sessions and main topics covered, the support and main inputs provided, as  well as the progress of the clinician as a result of the supervision when relevant. Alerts on  any matter (complex cases, dangerous practice or else) should be communicated as soon  as possible and should appear in the monthly report. A feedback on the skills and  competencies of the clinician is also expected. It would be appreciated if recommendations  on the necessary support, on clinical tools and the relevance of the interventions can also  be provided. The report should also include a detail of the hours spent reviewing technical 

material. (PUI can provide document templates as per need). 

– In the case of the review of technical material, finalised power point presentations, pre-post  tests should be shared. 

5.SKILLS, EXPERIENCE AND EXPECTATIONS The supervisor should have: 

– A masters (MD) in clinical psychology or equivalent 

– At least 3 years direct experience in clinical psychology and previous experience in the  provision of clinical supervision 

– Knowledge and experience in humanitarian and emergency contexts 

– Desirable experience in MHPSS support for NCD clinical management and  social/behavourial change activities  

– Fluent in Arabic and English (spoken and written) 

– Access to reliable internet; ability to review word documents and power point by computer

6.APPLICATION PROCEDURE 

Applicants are required to submit the following: 

• Technical and financial detailed offer  
• CV in English 
• Copy of Diploma  

Deadline of the proposal submission: 01/06/2022 

Application to be addressed to: lby.tender@premiere-urgence.org