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3. Project Numrnhr and TIr
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4. Review critically the experience of public, private and PVO's
in the training, employment, supervision of TBA's. The review
should comment on political and social advisability of USAID
support of these agencies in activities with the TBA.
5. Present a set of recomendations to USAID which will guide
decisions regarding resource allocation to activities which
promote involvement of TBA's in the Guatemalan health system.
These recommendations should b6 as specific and cperational as
possible, ie. not "strengthen the training of traditional
midwives" and rather, "increase the relative amo ts of
practical training for midwives in sterile technique for
cutting the umbilical cord, using locally available cutting
instruments."
The recommendations should clearly delineate the parameters of
the risks involved and the necessary prior conditions to taking
a decision to fund a particular activity related to the TEA.
III. Level of Effort
This assignment can be accomplished by qualified consultants (as*
described below) in approximately 84 person-days, over 1-2 calendar
months with 6-day workweeks authorized.
IV. Qualifications
The incumbents should have qualifications:
A. Chief of Party: Medical degree or adiranced degree in
'Iedical Anthropology, Sociology or Public Healtb (DrPH, PhD,
asters), or related fields. He/she should have experience in the
5tudy of implementation of rural outreach health programs, rural
,ommnity organization, introduction of Innovations in traditional
3ocieties, preferably in Latin America. The incumbent should also
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