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PORT-AU-PRINCE, le 27 juin 2017 – Selon un nouveau rapport publié par la Banque mondiale aujourd’hui, le secteur de santé a besoin de plus d’investissements publiques et d’une meilleure allocation des dépenses pour améliorer l’accès aux soins pour tous les Haïtiens. Le rapport « Mieux dépenser pour mieux soigner : un regard sur le financement de la santé en Haïti» souligne que les dépenses publiques de santé par habitant n’atteignent que 13 dollars par an ce qui est inférieur à la moyenne de 15 dollars des pays à faible revenu, et bien en dessous de la moyenne des pays voisins comme la République Dominicaine (180 dollars) ou Cuba (781 dollars). Par ailleurs, une hausse importante de financement des ONG et de la communauté internationale a fait suite au tremblement de terre, mais ce financement baisse de façon significative, mettant en question la durabilité des investissements dans le secteur. Dans le contexte de succession de situations d’urgence auquel fait face le pays, plus de la moitié des dépenses totales de santé correspondent à des soins curatifs plutôt que préventifs. Par ailleurs, 38% des dépenses totales de santé sont consacrées au secteur hospitalier, notamment dû au nombre élevé d’hôpitaux – bien plus que dans d’autres pays comme le Burundi (23%) ou la Tanzanie (26%). Cependant, ces hôpitaux ne sont souvent pas suffisamment équipés pour le niveau de soins requis et donc ce niveau de dépenses ne se traduit pas par une augmentation des prestations de services.  Les coûts de traitement en milieu hospitalier sont bien supérieurs à ceux des centres de santé primaire et le pays ne dispose que de 0,3 dispensaires pour 10,000 habitants, un ratio bien inférieur à la norme établie par le Ministère de la santé et de la population d’Haïti. « Avec le déclin de l’aide internationale, une couverture sanitaire universelle ne peut être atteinte qu’en priorisant les soins de santé primaires et en étendant l’accès aux traitements essentiels pour les plus pauvres», a déclaré Eleonora Cavagnero, économiste de la santé pour Haïti à la Banque mondiale et auteure principale du rapport. Malgré des progrès observés au travers de l’augmentation de l’espérance de vie et de la diminution de la mortalité infantile et maternelle de moitié entre 1990 et 2015, Haïti fait face à de nombreux défis en matière de santé : la mortalité infantile et maternelle reste quatre à cinq fois plus élevée que pour l’ensemble de la région Amérique latine et Caraïbes. Seul 68% des enfants de moins de 24 mois ont reçu les trois doses du vaccin contre la diphtérie, le tétanos et la coqueluche, alors que ce chiffre est de 80% dans les pays de niveau économique similaire. « Les investissements n’ont pas été réalisés là où ils étaient les plus nécessaires, » a déclaré Mary Barton-Dock, Envoyée spéciale de la Banque mondiale en Haïti. « En ces temps de lourdes contraintes budgétaires, il faut passer à un mécanisme de financement fondé sur les résultats pour rendre le système de santé plus efficient et plus équitable. » Le rapport propose plusieurs options afin de « mieux dépenser pour mieux soigner » et offrir une meilleure couverture sanitaire pour les plus pauvres: ·       Accroitre les ressources publiques pour la santé : Malgré les besoins en matière de santé, la part du budget de l’état haïtien alloué à la santé n’a cessé de diminuer au cours de 12 dernières années, baissant de 16.6% du budget national en 2004 – un chiffre supérieur à la moyenne de la région d’Amérique latine et Caraïbes – à 4.4% du budget national actuel. Avec la forte diminution du financement des bailleurs de fonds de ces dernières années, le gouvernement doit planifier d’urgence un relèvement du financement public pour la santé et une meilleure coordination de l’aide internationale. L’élaboration de taxes spéciales pour la santé, telles qu’une taxe sur le tabac et l’alcool, pourrait permettre de mobiliser des fonds dans le secteur. ·       Prioriser les soins de santé primaires et préventifs : Cela implique rediriger une partie du financement vers les soins de santé primaires, et prioriser et chiffrer le Plan Directeur de santé actuel. Le renforcement de la prestation de services de soins de santé préventifs et primaires contribuerait à maximiser la réduction des principales causes de mortalité en Haïti. Les partenaires de développement devraient financer une assistance technique pour aider la pérennisation financière des hôpitaux, consolider l’infrastructure existante et mettre en place une politique d’octroi de licences. Cette réorientation des investissements dans le secteur santé devrait être guidée par des données objectives. ·       Accroitre l’accès équitable à des soins de qualité : Cela demande de mettre en œuvre une cartographie des institutions sanitaires en les reclassifiant afin d’améliorer leur capacité opérationnelle et de faciliter la mise en œuvre d’un réseau de référence pratique. Cette reclassification devrait permettre une meilleure répartition des équipements médicaux et médicaments. Une politique favorisant un accès géographique aux services de santé primaires de qualité plus équitable doit être mise en œuvre. Parmi les ménages qui n’ont pas consulté de professionnel de santé, 49% répondent ne pas l’avoir fait pour des raisons financières.  Cela devrait être accompagné par une amélioration de l’efficience et de la rentabilité de la prestation de services en liant le financement du personnel et des institutions sanitaires aux résultats. ———————————————————————————————————————————Contacts : À Washington : Christelle Chapoy, (202) 361 4255, cchapoy@worldbank.org Pour en savoir plus sur les activités de la Banque mondiale en Amérique latine et dans les Caraïbes : www.worldbank.org/lac Rejoignez-nous sur Facebook : http://www.facebook.com/worldbank Suivez notre actualité :          Sur Twitter : @WBCaribbean Sur YouTube : http://www.youtube.com/worldbank  

PORT-AU-PRINCE, June 27, 2017 – A new report issued today by the World Bank reveals that the health sector needs more public investments and better allocation of resources to improve access to health care for all Haitians. The report, titled “Better Spending, Better Care: A Look at Haiti’s Health Financing”, highlights that public spending on health care per capita is US$13 per year, which is below the average of US$15 in low-income countries and substantially lower than the average in neighboring countries, such as the Dominican Republic (US$180) and Cuba (US$781). In addition, there was a significant increase in funding from NGOs and the international community followed the earthquake, but this funding is falling significantly, calling into question the sustainability of investments in the sector. In the context of repeated emergencies faced by the country, more than half of total health expenditure goes toward curative rather than preventive health care. In fact, 38 percent of total health expenditure is devoted to the hospital sector, owing primarily to the large number of hospitals, which is significantly higher than in countries such as Burundi (23 percent) and Tanzania (26 percent). The hospitals are often under-equipped to provide the level of care required, and the current level of expenditure has not led to increased service delivery. Costs for in-patient care are much higher than those in primary health centers. The nationwide ratio of clinics to inhabitants is 0.3 per 10,000, significantly below the standard set by Haiti’s Ministry of Public Health and Population. “The decline in international assistance means that unless primary health care is prioritized with greater access to essential treatment for the people most in need, universal health coverage will not be possible,” said Eleonora Cavagnero, Health Economist for Haiti at the World Bank and lead author of the report. Life expectancy increased and infant and maternal mortality were halved between 1990 and 2015. However, Haiti remains vulnerable to many heath challenges: infant and maternal mortality rates are four or five times higher than those of Latin America and the Caribbean. Only 68 percent of children under 24 months have received the three vaccines to prevent diphtheria, tetanus, and pertussis, compared to 80 percent in countries in a similar economic bracket. World Bank Special Envoy to Haiti, Mary A. Barton-Dock, points out that “investments have not been made in areas crying out for them. In the current environment of severe budgetary constraints, what is required is a results-based financing mechanism to make the health care system more efficient and more equitable.” The report proposes options to achieve better care through better spending, and improve health coverage for the poorest: ·       Increase public spending in health: Despite the country’s health needs, the government’s budget allocation for health declined significantly over the past twelve years, dropping from 16.6 percent of the national budget in 2004 (above the average for Latin America and the Caribbean) to 4.4 percent of the current budget. Given the sharp reduction in donor funding in recent years, the government must plan for an immediate increase in public expenditure in health and improved coordination of international assistance. The creation of special taxes—on tobacco and alcohol, for example—could help raise funds for the health sector. ·       Prioritize primary and preventive health care: This will involve redirecting funds to primary care, while prioritising and calculating the cost within the current Health Master Plan. Bolstering service delivery in primary and preventive health care will greatly assist in reducing the leading causes of mortality in Haiti. Development partners should finance technical assistance to help hospitals achieve financial sustainability, strengthen existing infrastructure, and put in place a licensing policy. This shift in investments in the heath sector should be evidence-based. ·       Improve equitable access to quality health care: This will be achieved by mapping health facilities and reclassifying them to improve their operational capacity and establish a functioning referral network. This reclassification exercise will help improve the distribution of medical equipment and medicines. A policy that promotes a more equitable geographic access to primary health services needs to be implemented. Among households that did not consult a health professional, 49% responded that they did not do so for financial reasons. This policy also promises to increase efficiency and cost-effectiveness in service delivery at the primary health care level by linking funding of health personnel and institutions to results. Contact: In Washington: Christelle Chapoy, (202) 361 4255, cchapoy@worldbank.org ———————————————————————————————————————————————– For more information on the World Bank in Latin America and the Caribbean, visit: www.worldbank.org/lac Follow us on Facebook: http://www.facebook.com/worldbank Twitter: @WBCaribbean YouTube: www.youtube.com/worldbank

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Bien que l’espérance de vie ait augmenté entre 1990 et 2015, Haïti reste confronté à de nombreux défis pour le système de santé. L’accès aux soins de santé primaires et préventifs demeure faible, en particulier parmi les plus démunis. La mortalité infantile et maternelle est encore 3 à 5 fois supérieure à la moyenne régionale, et seulement 68 pour cent des enfants de moins de 24 mois ont reçu les trois vaccins pour prévenir la diphtérie, le tétanos et la coqueluche, comparé à 80 pour cent dans les pays de revenu économique similaire.À 13 $ par habitant par an, les dépenses publiques en santé sont inférieures à la moyenne des pays à faible revenu. Par ailleurs, plus de la moitié de toutes les dépenses de santé sont allouées à des soins curatifs plutôt que préventifs : Haïti possède de nombreux hôpitaux sous-équipés, mais seulement 0,3 dispensaires pour 10 000 personnes. Le rapport propose plusieurs options afin de « mieux dépenser pour mieux soigner » : Une meilleure couverture sanitaire pour les plus démunis va requérir une augmentation des dépenses publiques pour la santé et une meilleure utilisation des ressources existantes. Les soins de santé primaires doivent être priorisés et l’élimination des barrières financières et géographiques permettront d’accroître l’accès à des soins de qualité.Lire le rapport complet

While life expectancy has increased between 1990 and 2015, Haiti remains vulnerable to many heath challenges. Access to primary and preventive health care is low, particularly among the poorest. Infant and maternal mortality are still 5 and 3 t…

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Organization: UN High Commissioner for Refugees
Country: Ecuador
Closing date: 05 Jul 2017

Ecuador hosts the largest refugee population in Latin America, with over 54,800 refugees officially recognized by the Government as of September 2013. An estimated 160,000 individuals have requested asylum in the country since 2000. The vast majority of refugees in Ecuador (98 per cent) are Colombians who have left their country over the last decade due to the internal conflict. New arrivals continue to reach Ecuador at a rate of 1,000 per month. Sixty per cent of refugees and asylum-seekers settle in marginal and poor urban areas, mainly in Quito and Guayaquil and other cities, while around 40 per cent reside in isolated regions with limited basic services and infrastructure, along the northern border.

Description of activities:

Under the supervision of the Protection Unit, the intern will be asked to perform the following activities:

· Assist the protection team with individual case management, and identification of specific needs for the promotion of durable solutions.

· Active participation in the weekly Durable Solutions Committee.

· Support the interview process with Asylum Seekers and Refugees, providing guidance on asylum procedures and humanitarian assistance.

· Support with daily inquiries related to domestic and international protection, and accompaniment of interviews.

· Systematize information to monitor protection activities and procedures.

· Support with the translation of UNHCR documents.

· Performs other duties as required.

Requirements:

· University Degree in Law, Social Sciences or International Relations.

· Good Knowledge of Spanish and English.

· Availability for 6 months from August 2017.

· Capacity to adapt to the requirements of the operation and to be a good team player.

· Respect for diversity and capacity to work in stressful contexts.

Remarks:

· United Nations interns are not paid. All costs related to travel, insurance, accommodation, and living expenses must be borne by either the interns or their sponsoring institutions.

· Visa: The intern will be responsible for obtaining and financing the necessary visas.

· Travel: The intern will arrange and finance the travel to the United Nations location where the internship will be completed.

· Medical insurance: The intern will be responsible for costs arising from accidents and/or illness incurred during the internship and must show proof of a valid medical insurance coverage.

How to apply:

Applicants must send their application by email to RODRIANA@unhcr.org with copy SUNTAXI@unhcr.org, indicating the dates proposed for the internship, with “Internship Protection Unit Ibarra-Ecuador” in the subject line, or physically to: ACNUR, Calle Juan de la Roca 3-56 y Avda. José Tobar y Tobar, Sector Pilanquí, Ibarra, Imbabura – Ecuador. Only those shortlisted shall be contacted and interviewed.

The application consists of an introductory letter, addressed to the Head of UNHCR Field Office in Ibarra, indicating their specific personal and professional interest, expectations and objectives pursued, as well as the possible contributions and inputs they would like to make during the internship period. A Curriculum Vitae should be attached, along with letters of recommendation or references, if available.

Organization: UN Children’s Fund
Country: Panama
Closing date: 15 Jul 2017

At country level, UNICEF supports governments and community-based initiatives that guarantee access to school and provide training on strategies to improve the quality of education and improve learning, reduce repetition and dropout rates and help increase the participation of families and communities in schools.

UNCEF LAC RO contributes to ensuring that every girl, boy and adolescent in LAC benefits from policies, programmes and interventions that guarantee their access to education and learning opportunities from early childhood, through primary and secondary education. Programming efforts prioritize delivering results for children who are most at risk of not fulfilling their right to education, particularly, out-of-school children, children with disabilities, children who suffer discrimination because of their ethnicity, and those affected by armed violence, and emergencies. Strategic areas of work include improving transitions between education levels (e.g. early education to primary school and primary school to lower secondary), preventing/reducing school dropout, improving access, completion, and the relevance and flexibility of the education systems, and the identification and strengthening of innovative responses to improve learning environments and learning outcomes for all children.

To support Country Offices to achieve these goals the Education Section at the Regional Office sustains key partnerships with other international agencies, regional inter-governmental organizations, research centers, and other relevant partners to create regional dynamics, agendas and policies aligned to country priorities to respond to children and adolescents needs.

Purpose of the Assignment

To provide technical support needed for the implementation of the Education work plan, as well as to provide strategic support with key partnerships and communication products related to the education agenda for LACRO.

Assignment Tasks

Within delegated authority, the Contractor will be responsible for the following duties within the

Education Section in UNICEF LAC Regional Office:

• Support the establishment, implementation, reporting, and oversight of agreements with key partners, mainly CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR and other relevant partners.

• Provides support to coordinate the production and publication of the Inclusive Education Booklets.

• Provides support to the drafting on the Guidance Note on Children with Disabilities.

• Provides support in the preparation of presentations and/or graphic materials such as infographics, using appropriate technology/software, ,

• Provides support in the launching and coordination of the disability/inclusive education cluster: supports the drafting of ToRs, the facilitation of meetings, keeps updates and maintains distribution lists; creates and updates an online repository of materials

• Facilitate and coordinate the completion and publication of publications/documents on education,

• Support in the inter-sectoral coordination between Education and other sections in LACRO.

• Support the Education Section in the preparation and facilitation of information for PFP.

• Support the yearly LACRO reporting process on Education

Expected Deliverables

The consultant is expected to develop the following products:

Write monthly monitoring notes on the implementation and advancement of the agreements between LACRO and CECC-SICA, UNESCO, MERCOSUR and CLADE. These monitoring notes should include relevant email exchanges and documents such as FACE and ICE forms, and progress reports.

Write Terms of Reference for pending products in the work plan for the Education and ECD specialists to review. Support the processes of recruitment of consultants for undertaking such products and the quality assurance of the products.

Coordinate the production and publication of the Inclusive Education Booklets.

Coordinate the edition and publication of the Guidance Note on Children with Disabilities.

Coordinate the launching and meeting of the disability/inclusive education cluster

Draft the preparation of briefing notes related to Education for PFP: on the priorities and expectations of the Education Section, examples of experiences at the regional/country levels, how strategies are measured, etc.

Design power point presentations and graphic materials such as infographics, using appropriate technology/software, including –but not limited to- one presentation (in English and Spanish) of the Secondary Education Strategy.

Coordinate the layout, copy editing and other publishing aspects of the Secondary Education Strategy.

Collect information from the Education and ECD specialists and draft inputs for the Education and ECD newsletter -monthly.

Date:

Deliverables:

15 Aug 2017

– Report on current partnerships developed

– Revised Inclusive Education Booklets no. 1 and 2

– Coordinated the edition of the Inclusive Education Booklets no. 1 and 2

– Prepared ToRs for the disability/inclusive education cluster

– Coordinated the preparation of a funding proposal for a partnership with SAMSUNG

– Prepared inputs for the Education and ECD newsletter

– Prepared a progress report on partner agreements with CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR

– Provided inputs for the Education RTF package

15 Sep 2017

– Revised Inclusive Education Booklets no. 3-6

– Coordinated the edition of the Inclusive Education Booklets no. 3-6

– Created an online repository of materials for the disability/inclusive education cluster

– Coordinated the revision of the documents on good practices and experiences on working with children with disabilities in the LAC region

– Prepared inputs for the Education and ECD newsletter

– Prepared a progress report on partner agreements with CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR

15 Oct 2017

– Revised Inclusive Education Booklets no. 7-10

– Coordinated the edition of the Inclusive Education Booklets no. 7-10

– Updated distribution list for the disability/inclusive education cluster

– Updated online repository of materials for the disability/inclusive education cluster

– Prepared inputs for the Education and ECD newsletter

– Prepared a progress report on partner agreements with CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR

– Provided inputs for the Education RTF package

– Designed a power point presentations and graphic materials such as infographics, using appropriate technology/software, including –but not limited to- one presentation (in English and Spanish) of the Secondary Education Strategy.

– Coordinated the layout, copy editing and other publishing aspects of the Secondary Education Strategy.

15 Nov 2017

– Revised Inclusive Education Booklets no. 11-14

– Coordinated the edition of the Inclusive Education Booklets no. 11-14

– Coordinated and organized the cluster meeting 1.

– Coordinated the revision of the Guidance Note on Children with Disabilities.

– Prepared inputs for the Education and ECD newsletter

– Prepared a progress report on partner agreements with CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR

15 Dec 2017

– Coordinated the publication of the Inclusive Education Booklets

– Coordinated the edition and publication of the Guidance Note on Children with Disabilities.

– Prepared inputs for the Education and ECD newsletter

– Prepared a progress report on partner agreements with CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR

– Provided inputs for the Education RTF package

30 Dec 2017

– Updated distribution list for the disability/inclusive education cluster

– Updated online repository of materials for the disability/inclusive education cluster

– Prepared inputs for the Education and ECD newsletter

– Prepared a final report on partner agreements with CECC-SICA, CLADE, UNESCO, CELAC, MERCOSUR

Qualifications of Successful Candidate

Education: Completed undergraduate degree (Bachelor) in an Education field. A Master’s degree in Education applied to International Organizations is desirable, but not mandatory.

Experience: At least one year of working experience supporting education teams in an international organization.

Language skills: Written and spoken proficiency in English and Spanish

Skills and Experience

· Demonstrated interest in the field of development and the work of international organizations.

· Previous experience in:

o Organization of workshops/ events

o Partnership management and building and stakeholder consultations

TORs Technical support Education Program.pdf

Please indicate your ability, availability and daily/monthly rate (in US$) to undertake the terms of reference above (including travel and daily subsistence allowance, if applicable). Applications submitted without a daily/monthly rate will not be considered.

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organisation.

How to apply:

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=505616

Organization: World Vision
Country: Guatemala
Closing date: 14 Jul 2017

World Vision is a humanitarian, development and advocacy organisation devoted to improving the lives of children, families and their communities around the world. Our 42,000+ staff members working in more than 90 countries are united through our ethos, mission and shared desire for all individuals, especially children, to overcome poverty, inequality and injustice.

Here’s where you come in:

As Chief of Party – Guatemala, you will be responsible for the overall implementation providing supervisory and administrative oversight to the project. You will oversee coordination with key stakeholders (including Government of Guatemala (GOG), civil society, the private sector and others) and lead preparation and oversight of any subcontract. Additionally, the COP will be responsible for communications with USAID for publicly representing the project and for liaising with the GOG and other institutions /stakeholders on issues related to rural and community development in Guatemala, particularly in the Western Highlands.

Requirements include:

• At least a Master´s degree in public policy, political science or other related fields.
• 5 years of senior management experience with progressively increasing responsibilities managing development projects. Familiarity with USG programs, their history and their development; mastery of USAID regulations governing such programs; ability to integrate teams of professionals around common goals; demonstrated accomplishment in working with host-country professionals, ministries and with donor colleagues in country; leadership of large and diverse teams; diplomacy, strong presentation skills, speaking and writing.
• Bachelor degree in public policy, political science or other related fields and 5 years of senior management experience with progressively increasing responsibilities managing development projects or 10 years of senior management experience to substitute the education requirement.
• Experience managing USG complex contracts and agreements required.
• Speaking and writing fluency in English and Spanish.

How to apply:

Is this the job for you?

World Vision is dedicated to our team members’ development and their success. We aspire for all employees to be fulfilled through their work and their contributions to an organisation working to provide long-term sustainable solutions to the world’s most vulnerable people.

Find the full responsibilities and requirements for this position online and apply by the closing date 14 Jul 2017. For more information on World Vision International, please visit our website: www.wvi.org. Due to the number of applications received, only short-listed candidates will be contacted.