Terms of Reference (TORs)

Provincial Field Coordinator – Integrated Service Delivery (ISD)

Position Title:

Provincial Field Coordinator – ISD

Duty Station:

Karachi (with frequent field travel to targeted Union Councils)

Reporting Line:

Reports to ISD Project Director / Provincial ISD Lead

Contract Type:

Full-time (Monday to Saturday)

Working Hours:

9:00 AM – 5:00 PM

Monthly Salary:

PKR 200,000 (All inclusive)

1. Position Purpose

The Provincial Field Coordinator – ISD will lead and oversee the field-level implementation of Integrated Service Delivery (ISD) interventions across targeted Union Councils. The role ensures effective operationalization of quality service delivery, gender-responsive programming, coordination with government stakeholders (DEOCs, PEOC, PPHI, PERU), frontline worker supervision, and real-time monitoring for improved immunization, nutrition, MNCH, WASH, and community engagement outcomes.

2. Key Responsibilities

A. Program Implementation & Field Oversight (Output 1 & 4)

• Oversee deployment and functioning of 5 multidisciplinary outreach teams across 15 UCs.
• Ensure monthly zonal service cycles are implemented as per microplan.
• Supervise delivery of:
• Routine Immunization (RI)
• ANC/PNC services
• Nutrition screening and OTP referrals
• IMNCI support
• Basic treatment services
• Monitor identification and tracking of:
• Zero-dose children
• Refusal cases
• Defaulters
• Lost-to-follow-up OTP cases
• Ensure referral flow chart adherence from screening to OTP and EPI.
• Coordinate with PPHI OTP sites to ensure treatment completion.
• Ensure door-to-door female outreach in mobility-restricted households.
• Strengthen post-campaign follow-up and missed-children tracking.

B. Social & Behavior Change

• Supervise 20 Social Mobilizers (10 male, 10 female).
• Ensure SBC plans are:
• UC-specific
• Gender-responsive
• Tailored to local social dynamics
• Not repetitive from previous SIAs
• Shift strategy from reactive refusal-focused planning to proactive community engagement.
• Ensure integration of:
• IMNCI messaging
• Polio & RI messaging
• PSEA awareness
• MR & OPV HCD behavioral interventions
• Coordinate influencer engagement:
• Female elders
• Religious leaders
• UC chairmen
• Women support groups
• Monitor digital and geo-targeted awareness campaigns.

C. Nutrition & ECD Integration

• Oversee screening quality and referral tracking for SAM/MAM cases.
• Monitor MNP, MMS, and WIFA distribution to missed cases.
• Ensure active follow-up of children missing OTP appointments.
• Supervise continuity of 15 ECD Play & Learning Labs.
• Ensure quality implementation of:
• Theatre sessions
• Cooking demonstrations
• School health sessions
• International day observances

D. WASH & Water ATM Oversight

• Supervise technical assessment coordination of 5 water schemes.
• Facilitate BoQ review and submission to UNICEF.
• Ensure formation and strengthening of 5 Water Management Committees (minimum 40% women representation).
• Monitor rehabilitation quality and community engagement.
• Oversee installation and operationalization of 3 Water ATMs:
• Ensure academic/technical supervision
• Ensure proper operator selection & training
• Monitor revenue tracking and sustainability model
• Track gender-disaggregated WASH impact indicators.

E. Coordination & Governance (Output 5)

• Lead district-level coordination meetings.
• Ensure alignment with:
• PEOC
• DEOCs
• PERU
• PPHI
• Health, Nutrition & WASH sectors
• Participate in TWG and Provincial Task Force meetings.
• Ensure integration with PEI–EPI synergy platforms.
• Channel technical inputs through approved task teams.

F. Monitoring, Reporting & Quality Assurance

• Supervise Monitoring Officers and Reporting Officer.
• Ensure:
• Weekly & monthly reporting compliance
• Sex, age, disability disaggregated data
• Supply utilization tracking
• Conduct regular field verification visits.
• Simplify data burden per audit recommendations.
• Ensure data-driven adaptive learning.
• Support baseline and end-line surveys.
• Monitor service quality, community satisfaction, and referral completion rates.

G. Capacity Building & Staff Supervision

• Conduct orientation for new staff (CP, GBV, PSEA, Gender).
• Ensure frontline workers strengthening:
• CM, AIC, Vaccinators
• Health Kit utilization
• Monitor performance of outreach teams and mobilizers.
• Conduct monthly performance reviews.
• Ensure staff accountability and ethical compliance.

3. Expected Deliverables

• Monthly ISD field implementation report
• UC-wise service coverage dashboard
• Referral tracking report (OTP & RI)
• Gender-disaggregated performance analysis
• SBC microplan review and improvement tracker
• Water scheme rehabilitation progress report
• Quarterly coordination summary
• Documentation of HCD interventions impact

4. Key Performance Indicators (KPIs)

• ≥90% adherence to monthly outreach schedule
• ≥80% OTP referral completion rate
• Reduction in zero-dose children in targeted UCs
• Improved MR & OPV coverage trends
• Functional WMCs with ≥40% female participation
• UC-specific SBC plans operationalized
• Timely submission of 100% required reports
• Evidence of improved caregiver awareness indicators

5. Required Qualifications & Experience

• MBBS / MPH / Master’s in Public Health, Health Management, or relevant field
• Minimum 5–7 years’ experience in:
• Immunization programs
• Polio/PEI
• Nutrition programming
• Field coordination
• Experience working with government health systems in Sindh
• Strong understanding of:
• RI & Polio
• IMNCI
• OTP/Wasting Management
• SBC/SBCC
• Gender-responsive programming
• Strong coordination and leadership skills

6. Competencies Required

• Strategic thinking and operational execution
• Field problem-solving
• Data-driven decision-making
• Partnership building
• Gender and PSEA sensitivity
• Ability to manage multi-sector teams
• Strong reporting and documentation skills

7. Travel Requirement

Frequent field travel (minimum 40% of time) across targeted UCs and districts.

8. Ethical Compliance

The Provincial Field Coordinator must:

• Adhere to Child Protection, PSEA, and GBV policies
• Ensure do-no-harm approach
• Maintain confidentiality and community trust
• Uphold UNICEF and national ethical standards