FINAL TERMS OF REFERENCE

National Consultant - Develop the National Policy on Health Promotion (Namibian Nationals Only)

1\. Background Health Promotion is the process of enabling people to increase control over, and to improve, their health. The Ottawa charter for health promotion (1986) identifies five action areas for health promotion which includes: 1. building healthy public policy; 2. creating supportive environments; 3. strengthening community actions; 4. developing personal skills and reorienting health services through advocacy; 5. enabling mediation for effective practice. Health Promotion can support communities and individuals to make healthier choices easier choices and avert behavioural risk factors such as unhealthy alcohol consumption, tobacco use, lack of physical activity and consumption of unhealthy foods.

The Charter remains a source of global guidance and continues to shape the development of health promotion, alongside other important documents including the... Jakarta Declaration (WHO, 1997), the Bangkok Charter (WHO, 2005) and the Shanghai Declaration on promoting health in the 2030 Agenda for Sustainable Development (WHO 2016).

In principle, health promotion goes beyond health care and services. It puts health on the agenda of policy makers in all sectors and at all levels, directing them to be aware of the health consequences of their decisions and to accept responsibilities including taking action. It addresses determinants of health or conditions that affect people including social, economic, and environmental.
Government public policies are structural determinant of health and there is need to advocate to policy makers of the health consequences of their decisions. Health promotion requires an inter-disciplinary approach to empower people and communities while focusing on equity and broader determinants of health that contribute to health and development particularly in the implementation of sustainable development goals (SDGs). Health promotion can be instrumental in engaging other sectors to address health inequities, protect people from discrimination, stigmatization and mitigate potential negative impacts from unintended consequences of social and economic development. Health promotion thus can accelerate achievement towards the SDGs if the right approach, adequate resources, and capacities are available at country level. Health Promotion resonates with SDGs as it promotes inclusive sustainable and equitable social, political, and economic development that protects environment and respect human dignity.

Health Promotion and Sustainable Development Goals
Health promotion compellingly contributes to the Sustainable Development Agenda by:
• addressing the interdependence between sustainable health and well-being and the health of the planet.
• empowering people to increase control over their health and ensuring inclusiveness and voice.
• reducing health inequities caused by the unequal distribution of funds, power, and resources.
• acting on the cross-cutting political, economic, social, cultural, and environmental determinants of health.
• ensuring societal co-benefits by working across and with sectors, at different levels of governance, and with a wide range of societal actors.

Why Health Promotion?
Health promotion works. It has delivered impressive results. Policy approaches range from rights-based approaches to a focus on the social determinants of health. Policy tools include health impact assessments, regulatory measures, fiscal measures, and new methods for measuring equity. Evidence shows that health promotion strategies have been successfully applied to a broad spectrum of health challenges, ranging from condom use, breastfeeding, prevention of road traffic crashes, tobacco control, HIV/AIDS prevention, working with disadvantaged populations and controlling health emergencies. Impact can be shown not only in terms of health and well-being, but also in reduction of inequities and significant economic gains. Where health promotion strategies were not applied, we have seen setbacks, such as in alcohol and drug control, at a great monetary cost to individuals, families, and societies.

National Policy on Health Promotion
The National Policy on Health Promotion in Namibia was for 2013-2017 and there is need to review or redraft a new policy to guide health promotion strategies in the country. The vision of the policy was to "place health promotion at the centre of development in Namibia.". It aimed to create a sustained policy framework that guides the establishment of health promotion within the national health system.
Its objectives were to:
• Foster a conducive environment for individual and community empowerment;
• Provide a framework for leadership to coordinate and manage health promotion activities at all levels;
• Facilitate the mainstreaming of health promotion across health and non-health sectors, priority public health programmes and population groups in order to reduce causes of ill-health, disability and premature death;
• Ensure that a sustainable financing mechanism for health promotion is in place;
• Promote collaboration with institutions of higher learning and other training centres to build the national capacity for health promotion practice;
• Support capacity development of health promotion personnel to meet the needs of communities;
• Strengthen the gathering of evidence regarding the effectiveness of health promotion through monitoring, evaluation and research; and
• widely disseminate the findings and experience widely.

The Policy NPHP further made provision for the establishment of a National Health Promotion Advisory Panel with regional and district implementation committees on health promotion. It proposed that this coordination mechanism be multi-sectoral under the leadership of the Ministry of Health and Social Services (MoHSS). The Policy also included individual and community empowerment, partnerships and inter-sectoral- action and capacity building amongst its key domains.

Additionally, MoHSS drafted a Health Promotion Strategy with the aim of operationalizing the health promotion policy, but this remained a draft and may need to be revised simultaneously with the review of the policy.

Overall Objective
To review and redraft the National Policy on Health Promotion and implementation plan. 2. Deliverables 1. Scope of work
The scope of work for the consultancy is as follows:
1\. Inception report that includes an overall approach, conceptual framework to carrying out the expected tasks; these include the identification of key issues which the new/revised National Policy on Health Promotion ought to address and latest developments in Health Promotion which will inform the review process.
2\. A Review Report of the implementation of the National Policy on Health Promotion and assessment of opportunities and bottlenecks (status quo).
3\. Consultations with key stakeholders at national, regional, and sub-regional levels on what the revised Policy should address.
4\. Based on the information from the consultations at national and regional level, submit a revised and revised Policy on Health Promotion for Namibia. The scope of consultation at regional level will be determined in consultation with MOHSS and WHO.
5\. A costed strategic Implementation Plan including an M&E framework (to be developed concurrently with the revised text of the Policy).
6\. Validation workshop with key stakeholders to review and validate the deliverables 4 and 5 (draft Policy and Implementation Plan)
7\. Final draft Policy and Implementation Plan submitted to MOHSS for approval.
The consultant will be expected to deliver the following deliverables:
1\. Inception Report, including desktop review - 5 June
2\. Stakeholder consultations Report - 30 June
3\. Validation workshop on draft 0 of the revised Health Promotion Policy and Implementation Strategy - 30 July
4\. Final draft of the Health Promotion Policy and Implementation Strategy - 20 August
3\. Qualifications, experience, skills and languages
Identify the educational qualifications and expertise needed for the terms of reference outlined above.

Educational Qualifications
Essential
\* A minimum of a Master's degree in public health or related health programme

Experience
\* Proven experience in policy and strategy applied in the Namibian context;
\* Minimum 5 years' experience in and understanding of the field of health promotion.
\* Experience working with Government Ministries, ideally in document development and review.
\* Experience in conducting stakeholder consultations and engagements.
\* Excellent written English

Skills/Knowledge
\* Good knowledge and experience of the Namibia Health System

Languages and level required
\* Very good command of written and spoken English.
\* Very good presentation and report writing skills.
4\. Technical Supervision Indicate the name and title of the supervisor with email address.
Mrs. Celia Kaunatjike, Health Promotion and Social Determinants Officer, [email protected] 5. Location Please specify where the consultant will work:
On site: Ministry of Health and Social Services Head Office (IEC Division)

On site for insurance purposes :\_\_\_\_\_\_\_\_Windhoek, Namibia (This is where a duty travel is planned during the course of the consultancy but the consultant is being hired to work from home)
6\. Travel - If travel is involved, full medical clearance is required
Please specify any expected travel(s): dates, location and purpose.

\* 12-23 June 2023, travel to facilitate stakeholder consultations - location still to be determined, however it will be local travel.
\* 17 July -21 July 2023 travelling to facilitate validation workshop - location still to be determined, however it will be local travel.

A living expense is payable to on-site consultants
7\. Remuneration and budget (travel costs excluded)
Rate: 266,979.24 over a period of 3 months

Currency: NAD

The payment will be made in three instalments as follows:

\* 20% upon submission of the Inception Report;
\* 30% upon submission of the Review Report;
\* 30% upon submission of the Final Draft of the National Policy on Health Promotion and the corresponding costed Implementation Plan;
\* 20% upon approval of the Final Draft.

Work schedule (if applicable 1 June - 31 August 2023
Windhoek Namibia

Salary Criteria