Position: Consultancy: Development of Person‑Centered Counseling Tools and Training for Health Workers and VHSGs in Cambodia (Helen Keller)__Deadline:15-March

Location:  Phnom Penh
 
I.    BACKGROUND
Health services are essential for improving maternal and child health outcomes. In Cambodia, sociocultural and gender-related factors influence women’s and caregivers’ access to and use of services. Understanding how gender dynamics, household roles and responsibilities, and socio‑cultural norms shape care‑seeking behaviors—particularly for optimal breastfeeding and for early screening and treatment of acute malnutrition—is critical. Limited attention has been paid to how counseling practices at the provider level interact with these dynamics.
The counseling approach is a critical lever for improving both the experience of care and continuity of service use. Women often face barriers such as limited counseling time (due to provider workloads), inconsistent use of job aids by health workers, and a lack of respectful communication. Evidence shows that person‑centered (women‑centered) counseling, grounded in respect, autonomy, dignity, emotional safety, and shared decision‑making, can improve service uptake and satisfaction, ultimately strengthening maternal and child health outcomes (Afulani et al., 2019).
The Transforming Lives with Nutrition Actions (TLNA) program, implemented by Helen Keller and funded by Global Affairs Canada, is a multi-year initiative that identifies barriers and opportunities to improve access to essential health and nutrition services and co-creates solutions with women, caregivers, influential household members, and communities in Cambodia, Kenya, and Senegal. Earlier phases mapped barriers and opportunities with health workers, women caregivers, fathers and mothers-in-law (“Action Committees”), as well as community leaders (Phase 2), and generated actionable ideas (Phase 3), including improvements to counseling tools and training for health workers.
This assignment aligns with Cambodia’s Second Fast Track Nutrition Road Map (2023– 2030), which prioritizes nutrition counseling for breastfeeding and integration of IMAM into routine health services, and with the MIYCN SBCC Strategy, which emphasizes family-centered counseling and behavior change for optimal feeding practices. Using a community-based participatory action research approach, TLNA centers women within health systems, supporting national priorities to strengthen maternal and child nutrition services and foster gender equity.
As part of TLNA Phase 4, this assignment will develop practical counseling tools (e.g., counseling cards, job aids) for health workers and Village Health Support Groups (VHSGs) and deliver a structured 2‑day, skills‑based training, aligned with national guidelines and the local cultural context to ensure consistent, high‑quality, person‑centered counseling. In Cambodia, the focus is on improving counseling tools for health center staff and VHSGs during ANC/PNC/BFHI and acute malnutrition services.

Prioritized nutrition services:
1.    Optimal breastfeeding counseling (integrated within antenatal and postnatal care trajectories).
2.    Screening and treatment of acute malnutrition among children under five years old.

II.    OBJECTIVES Overall objective:
Design person-centered (women-centered) counseling tools and job aids and a practical, skills-based training to strengthen health workers’ competencies in person-centered counseling, aligned with national guidelines and informed by TLNA Phase 2–3 findings, to improve the quality and consistency of nutrition counseling services and increase client engagement.

Specific objectives:
1.    Review TLNA Phase 2 (barrier/opportunity analysis) and Phase 3 (co‑creation of solutions) reports to inform the design of person‑centered counseling tools and training.
2.    Review existing counseling tools and materials currently in use in Cambodia (provided by the team).
3.    Develop a stand‑alone counseling tool component (e.g., counseling cards, job aids) integrating person‑centered care principles, aligned with national guidelines and the cultural context.
4.    Design a 2‑day practical training for health staff and VHSGs in Cambodia, incorporating role‑plays, demonstrations, and micro‑skills practice emphasizing respectful care, shared decision‑making, and autonomy‑supportive communication. Include trainer’s guide, participant manual/materials, and supportive supervision checklist.
5.    With the program team, present the developed counseling tools to the Technical Steering Committee (TC) and gather feedback for finalization.
6.    Provide actionable recommendations for post‑training mentorship/coaching (remote and/or on‑site), and a structured refresher session (“come‑back day”) several months post‑training (to support scale‑up).
7.    Facilitate a 1‑day Training of Trainers (ToT) for the Helen Keller team to cascade training to health workers.

III.    SCOPE OF WORK & KEY TASKS (LINKED TO OBJECTIVES)
The independent consultant or consultancy firm will lead the design of person‑centered counseling tools and training materials across two prioritized nutrition services in Cambodia:
•    Optimal breastfeeding counseling, integrated within the 3rd and 4th ANC visits and the 1st PNC visit.
•    Management of moderate and severe acute malnutrition (MAM/SAM) among children under five.

Development will follow an iterative, co‑creation process. The consultant/firm will collaborate weekly with the Helen Keller program team via virtual or in‑person working sessions.

Task 1 (Obj. 1 & 2): Document review & inception
Review Transforming Lives with Nutrition Actions program documentation; analyze Phase 2 (barrier/opportunity analysis) and Phase 3 (co-creation solutions) to inform tool and training design focused on person-centered counselling:

a)    Review TLNA Phase 2 and Phase 3 reports; extract actionable barriers, opportunities, and co‑creation ideas relevant to improving person‑centered counseling and training tools.
b)    Conduct a rapid review of counseling tools/materials currently used in Cambodia; map existing tools against identified barriers/opportunities to assess alignment and confirm opportunities for improvement.
c)    Hold at least one inception meeting with the program team to validate/clarify priorities and context.
d)    Prepare a brief inception note with an outline for tools and training, including assumptions and foreseen constraints.

Task 2 (Obj. 3): Tool design for Health Workers
Develop a stand‑alone component to existing counseling tools (e.g., counseling cards, job aids) integrating respectful care, shared decision‑making, and autonomy‑support prompts; ensure cultural and guideline alignment:
a)    In collaboration with the program team, draft person-centered counseling cards/job aids covering priority aspects (to be confirmed), such as: shared decision‑making, respectful communication, motivational interviewing; ensure plain language, cultural suitability, pictorial/low‑literacy design, and layout optimized for quick use at point of care.
b)    Finalize print‑ready and digital files (Khmer and English)

Task 3 (Obj. 4-6): Training curriculum for Health Workers
Design a 2‑day Training for Health Workers and VHSGs focused on the new counseling tools, using participatory learning (role‑plays, demonstrations, micro‑skills practice):
a)    Develop a full 2-day training curriculum for Health Workers and VHSGs including session plans, slides, facilitator notes, case studies, role plays, and checklists.

o    Integrate micro‑skills (active listening, empathy, informed consent, handling sensitive disclosures, working under time constraints).
o    Address inclusivity, intersectionality, cultural safety, confidentiality, and safeguarding.
b)    Produce a Trainer’s Guide and Participant Manual, aligned to national guidance and local context.
c)    Develop supportive supervision tools (observation rubrics, feedback forms, coaching tools).
d)    Provide post‑training mentorship guidance and a refresher session plan such as:
o    A brief mentorship plan (virtual/on‑site options) with cadence, roles, and communication channels.
o    A structured refresher (“come‑back day”) 2–3 months post‑training to reinforce skills and address challenges.
e)    With the program team, participate in a Technical Steering Committee (TSC) meeting to present tool prototypes and training approach; collect and integrate structured feedback.
f)    Package all materials for print and digital dissemination, conforming to TLNA branding (file naming, version control, formatting standards).

Task 4 (Obj. 7): Training of Trainers (ToT)
Facilitate a 1‑day ToT in Cambodia using participatory adult learning methods (e.g., small groups, demonstrations, role plays) to equip Helen Keller trainers to cascade the training.

IV.    DELIVERABLES
1.    Inception note & outline of tools
a)    Map of existing tools vs. barriers/opportunities (max 2 pages).
b)    Draft outline for counseling tool add‑ons and training curriculum (max 8 pages).
2.    Draft counseling tools/aids
a)    Counseling cards/job aids covering agreed priority topics (e.g., person- centered communication, shared decision-making, respectful care).
b)    Style guide (e.g., layout, language, pictorial elements).
3.    Training curriculum & materials
a)    2-day training curriculum on use of tools (including session plans, slides, facilitator notes, case studies, role plays, checklists etc.).
b)    Integration of micro‑skills practice (active listening, empathy, informed consent, handling sensitive disclosures).
4.    Trainer’s guide & participant manual
a)    Comprehensive Trainer’s Guide and Participant Manual aligned with national guidance and local context.
5.    Supportive supervision tools
a)    Such as observation rubrics, feedback forms, coaching tips.
6.    Post-training mentorship & refresher plan
a)    Brief mentorship plan (virtual/on‑site options) with cadence, roles, channels and/or structured refresher (“come‑back day”) plan/agenda.
7.    TC presentation & feedback integration
a)    PowerPoint presentation deck (objectives, tool prototypes, training approach)
– prepared with the program team.
b)    Feedback summary and integration report – with the program team.
8.    Finalized tools & materials
a)    Incorporating at least 2-3 rounds of consolidated feedback from TC and Helen Keller staff.
b)    Final clean, print‑ready and digital files (Khmer and English) for all counseling tools, training resources, and supervision tools.
9.    Training of Trainers (ToT)
a)    1‑day ToT completed; agenda and brief session report (2 pages).

V.    TIMELINE
Total LOE: up to 45 days from contract signature.
Indicative schedule:
•    Week 1: Inception (review Phase 2 & 3, consultations, rapid review of existing tools & gap analysis) ~ 5 days.
•    Week 2-4: Develop counseling tool; iterative feedback ~ 15 days.
•    Week 5-6: Design training curriculum & materials; TC presentation & feedback integration ~15 days.
•    Week 7-8: Finalize materials; prepare ToT; deliver 1‑day ToT ~10 days.
•    Final deliverables: expected by end of April 2026 (subject to contract start date).

VI.    REQUIRED QUALIFICATIONS & EXPERIENCE
•    Minimum 5 years (10+ preferred) designing counseling tools and delivering trainings for health workers in Cambodia.
•    Advanced degree in public health, nursing/midwifery, social work, psychology, or a related field.
•    Proven experience codesigning pictorial/low‑literacy job aids and skills‑based trainings (role plays, simulations).
•    Familiarity with person‑ or family‑centered counseling and respectful maternity care frameworks; knowledge of national health systems and MoH guidelines in Cambodia.
•    Strong facilitation skills; excellent written and spoken Khmer; working proficiency in English.
•    Experience with supportive supervision and quality improvement.
•    Consultant/organization based in Cambodia
•    Technical proposal (max 2 pages): understanding of assignment, approach and workplan, team composition (if any), relevant experience, and sample tools
•    Financial proposal: itemized budget in KHR and USD.
•    CV(s) of key personnel.

VII.    REPORTING & MANAGEMENT
•    The consultant reports to Helen Keller’s Global Gender Research Lead and Research Lead in Cambodia, coordinating with designated colleagues as required.
•    Weekly check‑ins and milestone reviews (inception, draft tools, draft curriculum, pre‑training).
•    All materials submitted in editable formats (e.g., Word, PPT, SVG) and print‑ready PDFs, as applicable.

VIII.    ETHICS, SAFEGUARDING & DATA PROTECTION
•    Adhere to Helen Keller’s safeguarding policy and applicable national ethical standards.
•    Ensure confidentiality and secure storage/transfer of data and files.

IX.    INTELLECTUAL PROPERTY & ATTRIBUTION
•    All outputs produced under this contract are the property of Helen Keller Intl
and Transforming Lives with Nutrition Actions
•    Consultant/firm may be acknowledged in materials; prior written permission
is required for any reuse beyond this assignment.

X.    BUDGET & PAYMENT TERMS
•    The consultant or consultancy firm is required to submit a realistic detailed, itemized financial proposal, including professional fees and all anticipated costs (e.g., design/layout, translation, printing of prototypes, and any other relevant expenses)
•    Applicants are expected to propose a realistic and cost‑efficient budget that aligns with the scope of work and local market rates.
•    All costs must comply with Helen Keller’s policies and relevant national regulations.
•    The financial proposal should be presented in both KHR and USD.
•    Payment terms: A single payment will be issued upon the satisfactory submission and acceptance of all deliverables, unless otherwise agreed in the final contract.

XI.    EVALUATION PROCESS
This RFP is open to all persons or entities capable of implementing the scope of work and demonstrating a strong record of integrity and business ethics. The award will be given to the offeror representing best value to the project and Helen Keller. For this RFP, price, technical approach, delivery capacity (timeline), and past performance are of equal importance for evaluating and selecting the awardee.

XII.    SUBMISSION REQUIREMENTS:
Eligible Service Provider may submit their quotation in one of two ways:
•    Electronically: Sign, stamp, scan, and send the quotation as an attachment in PDF format to the email address cambodia.procurement@hki.org and copy to hkroeun@hki.org.
•    Hard copy: Submit the quotation with a cover letter signed and stamped to Helen Keller’s office, addressed to Mr. Hou Kroeun, Country Director. The office is at address #40, Street 348, Sangkat Toul Svay Prey 1, Khan Boeung Keng Kang, Phnom Penh, Cambodia. 
 
Please send CV and cover letter to
Email:      cambodia.procurement@hki.org , hkroeun@hki.org
Phone:    
Website: https://helenkellerintl.org/careers/us-international
Please mention "www.Cambodiajobs.Biz" where you saw the ad when you apply! 

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Cambodia Jobs: Position: Consultancy: Development of Person‑Centered Counseling Tools and Training for Health Workers and VHSGs in Cambodia (Helen Keller)__Deadline:15-March
Position: Consultancy: Development of Person‑Centered Counseling Tools and Training for Health Workers and VHSGs in Cambodia (Helen Keller)__Deadline:15-March
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