Consultancy on ToT and Supervision on NCDs including Cancer for Female Health Workers

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Qualifications

 1.      Purpose of the Consultancy:

Training of Female doctors and other healthcare workers on NCDs and early detection and referral of common cancers 

2. Background

Non-Communicable Diseases (NCDs) are a growing public health concern in Afghanistan, contributing significantly to morbidity and mortality. Among these, breast and cervical cancers are leading causes of cancer-related deaths among women. Early detection and timely referral are essential to improving outcomes. However, there is a critical need to build the capacity of frontline healthcare providers, including Community Health Workers (CHWs), midwives, nurses and doctors, including General Practitioners (GPs), to recognize early signs and symptoms, provide appropriate counseling, and facilitate timely referrals.

To address this gap, WHO is initiating two SIX-day training programs aimed at strengthening the knowledge and skills of healthcare providers in NCD prevention and control, with a special focus on breast and cervical cancer.

2.      Planned timeline:

3.      8 months (including preparation, delivery, and reporting).

4.      Training Duration: 2 training courses each consisting of 6 consecutive days.

5.      The trainings will run with a parallel with 6- day trainings for female nurses, midwives, doctors and CHW trainers

The consultancy will span 8 months part-time with possible extension based on performance and evolving needs .Date

 Working hours or days

No. of Hours

Remarks

January 2026

8 working days x 8 hours a day

64 hours

February 2026

8 working days x 8 hours a day (one week in person in Kabul)

64 hours

13.02.26-20.02.26

March/ April 2026

all 8 weeks; 3 working days x 8 hours a day

24 hours

May

all 4 weeks; 8 working days x 8 hours a day (one week in person in Kabul)

64 hours

June

first week; 3 working days x 8 hours a day

24 hours

July/ August 2026

all 8 weeks; unspecified – as needed to complete agreed deliverables if there is any delay in above timescale

TTOTAL number:    30 days of work over 8 months or 240 hours

240 hours

4. Work to be performed

The primary objectives of this consultancy are:

Output:

To design and deliver a 6-day training of trainers program for trainers of female midwives and doctors. This will take the form of two separate modules:

NCD Module: Two days refresher ToT on Guidelines for NCDs prevention and Control

Cancer Module: Four days ToT on screening, early detection and referral of breast and cervical cancers as well as the early symptoms for the other most common cancer such as Esophageal, Gastric and Colorectal and lung cancers as the most common cancers reported in Afghanistan.

1.      To design and deliver two modules of training of trainer’s program for female nurses and Community Health Worker trainers. This will take the form of four days of training on NCDs and TWO days on cancer, with an emphasis on screening and early detection of breast and cervical cancers as well as Esophageal, Gastric and Colorectal and lung cancers as the most common cancers.

2.       To develop culturally appropriate and evidence-based training materials tailored to the Afghan context.

3.      To enhance the capacity of healthcare providers in patient education including breast self-examination, raising awareness, clinical evaluation, screening, referral, and follow-up for NCDs and breast and cervical cancer.

5. Deliverables:

The consultant will be responsible for:

·         Conducting a rapid assessment of needs to tailor the training content.

·         Designing a comprehensive training curriculum covering:

o   Overview of NCDs and their burden in Afghanistan.

o   Risk factors, prevention, and management of major NCDs.

o   Early detection and referral pathways for breast, cervical cancers as well as Esophageal, Stomach and Colorectal and lung cancers as the most common Cancers.

o   Communication and counseling skills for community engagement.

·         Developing training materials, including presentations, handouts, and job aids.

·         Facilitating two 6-day in-person training of Trainers workshops in four modules as above-detailed, in Afghanistan.

·         Conducting pre- and post-training assessments to evaluate knowledge improvement.

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