Terms of Reference

Quality Control Specialist for Multiple Micronutrients Product

Community-based Health and Nutrition to Reduce Stunting Project

A. Introduction and Background

The Millennium Challenge Corporation (MCC) signed a Compact in November 2011 with the
Government of Indonesia (GoI). The goal of the Compact is to reduce poverty through economic growth in
Indonesia. The Compact consists of three projects: (1) Green Prosperity; (2) Community-based Health and
Nutrition to Reduce Stunting; and (3) Procurement Modernization. The total grant to implement the
Compact is USD 600 million.
MCA Indonesia is the Accountable Entity (AE) for the management and oversight of Compact
implementation. It is responsible for ensuring the achievement of the goals and objectives of the Compact
program through the delivery of program results.
MCA-Indonesia is in charge of the following: allocation of program resources; preparation; implementation
and monitoring of program financial plans; approvals of expenditures; procurement; monitoring; reporting;
and being accountable for both the financial and physical performance of the program.
Stunting in Indonesia
Although Indonesia has had much success in combating poverty by reducing the poverty rate of its
population from 16.6% to 12.5% in 2011, child malnutrition remains troublesome. Statistics indicate that
35.6% of Indonesian children suffer from stunted growth, which is defined by UNICEF as below minus
two standard deviations from median height for age of referenced population. Currently Indonesia ranks
number five among countries with the largest number of stunted children under the age of five. An
estimated 7,688,000 Indonesian children suffer from this condition, with over 50% living in the four
provinces of East, West, and Central Java and North Sumatra.
Growth stunting in a child can begin when a child is still in utero, and the physical and cognitive damage
caused by stunting is largely irreversible after the age of two. Consequently, the health and dietary
behaviors of pregnant mothers are vital in preventing stunting in children. Stunting is the result of chronic
and often intergenerational malnutrition, coupled with frequent illness due to various factors such as a
caregivers lack of education, use of unsafe water, an unsanitary environment, limited access to food, and
poverty. Stunted growth is associated with impaired cognitive development and lower productivity.
Children who suffer from stunted growth often grow into adults with physical limitations, high
susceptibility to communicable and non-communicable diseases, and low cognitive capabilities that hinder
education and skill development capacities, productivity, employment or income generating opportunities,
and may also lead to higher fertility rates. All of these work together to minimize lifetime productivity and
earning potential.
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Community-based Health and Nutrition Project (CBHNP)

The GoI, with the support of the MCC, will undertake a new initiative to eradicate stunting among children
less than two years of age. The new initiative is the Community-based Health and Nutrition to Reduce
Stunting Project. The project objectives are to prevent low birth weight babies; to prevent childhood
stunting; to prevent malnourishment of children and women in project areas; and to increase household
income through cost savings, improved productivity, growth, and higher lifetime savings. The project has
three activities as defined in the compact:
1. Demand Side Activity: Community block grants and participatory technical assistance to
communities through an expansion of the Program Nasional Pemberdayaan Masyarakat Generasi
Sehat dan Cerdas or the National Community Empowerment Program, Healthy and Smart
Generation (PNPM GSC or PNPM Generasi) to new locations;
2. Supply Side Activity: Training to service providers, sanitation and hygiene activities, provision of
multiple micronutrient supplements for pregnant women and children aged 6-24 months, materials
to measure childrens height, service-provider incentives, and possible private sector interventions;
and
3. Communications, Project Management and Evaluation Activity: This activity includes work to
develop and implement a National Nutrition Communications Campaigna national effort aimed
at increasing awareness of both women and men, and communities about childhood stunting, its
causes, its consequences, and its prevention, including a focus on healthy families that emphasizes
nutritional behavior change of women and men, health seeking behavior of the family, safe water
and sanitation practices, and shared decision making between women and men, especially about
nutrition security within the household.
The total budget for the 3 activities of this project is USD 129.5 million. The project is to be implemented
from April 1, 2013-April 1, 2018 in 11 provinces, (West and East Java, West and East Nusa Tenggara,
Gorontalo, Maluku, North and West Sulawesi, West and Central Kalimantan, and South Sumatra).
For the implementation of the project, MCA-Indonesia has developed Implementing Entity Agreements
(IEA) with Project Support Facility Ministry of Villate (PSF MOV) for Activity 1 Program Nasional
Pemberdayaan Masyarakat (PNPM Generasi) and with the Ministry of Health (MoH) for Activities 2 and
3 of this project. The implementing ministries will assist MCA-Indonesia in ensuring that the goals and
objectives of the three activities are achieved.
Provision of Micronutrients
In the first two years, the project will provide micronutrients to children and pregnant women. After the
first two years, the project aims to engage the private sector to provide micronutrients to the market.
Micronutrients for children Multiple Micronutrients Powder (Taburia) will be given to children of the age
of 6 to 24 months, following the specifications stated in the Ministry of Healths regulation No 41, 2013 on
Micronutrient Standard. The micronutrients will be made available in sachets, and to be given to children
in the project locations every other day (15 sachets per child per month). The micronutrients will be
distributed to the community through the District-level Pharmaceutical Warehouse, the Puskesmas and
Posyandu at project locations.
Micronutrients for pregnant women Pregnant women in project locations will be given iron pills (Tablet
Tambah Darah/TTD), containing Folic acid 400 mcg and Iron 60 mg elemental equivalent dose of Ferrous
fumarate, in accordance with WHOs latest recommended dosage. Every pregnant woman is expected to
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consume 90 tablets during her pregnancy. The pills will be distributed to the community through the
District-level Pharmaceutical Warehouse, the Puskesmas and Posyandu at project locations.

B. Scope of Work
MCA-Indonesia is seeking a Quality Control Specialist to perform the following:

Monitor the performance and the delivery of the micronutrients (Iron folic acid and multiple
micronutrients powder) which MCA-Indonesia will procure during the following two years, to
ensure that the products distributed are in good quality that relate to production, packaging, quality
control, storage, distribution, consumption and post consumption disposal (product life cycle and
traceability) are met by the selected Supplier.

Design a multiyear micronutrients socialization strategy at regional, district and sub-district level
to enhance the capacity of health services in the implementation of nutrition programs.

The assignment will principally provide support to the MCA-Indonesia Nutrition Team to meet specific
project needs related to production, packaging, quality control, storage, distribution, consumption, post
consumption disposal (product life cycle and traceability) and monitor of Micronutrient products to be
distributed in project areas as well as to enhance the capacity of health services in the implementation of
micronutrient intervention programs.
Several concerns emerge from the above sequence of events related to micronutrients:

Potential for contamination, tampering or damage of individual strips or sachets at each point of
storage and delivery route.
Traceability. The ability to trace each product from the bulk product imported from overseas
(production) to the sachet distributed to mothers (end users).
Awareness of health service providers of tablets safety, storage concerns, transportation issues.
Awareness of pregnant women and mothers on the proper storage of micronutrients including
proper preparation of Taburia mixture.
Disposal of sachet packaging after consumption.

The following provides a description of the required actions and compliance measures associated with each
stage of the micronutrient production process and distribution:
Stage
Description of compliance measures
PRODUCTION & PACKAGING
1 Manufacture of ingredients
International pharmaceutical standards applied.
overseas.
2 Shipment to Indonesia.
Chain of custody confirmed, tracked and enforced.
International environmental standards for shipping applied
(related to ballast water, greenhouse gases, waste management,
oil spill, etc.).
3 Bulk storage/fractioning in
QA/QC to ensure materials are free from contamination and
facilities in Jakarta.
tampering.
ISO 22000:2009 applied.
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Stage
Packaging in facilities in Jakarta.

DISTRIBUTION
5 Transportation (road, sea, air).
6 Distribution to district-level at
pharmaceutical warehouses.
7 Transportation to Puskesmas.
8 Storage at Puskesmas.

Transportation to Posyandu.

CONSUMPTION
10 Monthly allocation to mothers.
11 Feeding to babies and children.

Description of compliance measures

ISO 22000:2009 applied.
Environmentally-friendly packaging material selected.
QA/QC to ensure no contamination and tampering.
Batch identification/ marking (bar code) enforced.
Ministry of Health standards for Iron Folic acid tablets & Taburia
packaging applied.
Preparation for shipment (bulk packaging).
Environmental assessments and permitting applied, if new
facilities are involved.
Proper solid waste management applied.
ISO 22000:2009 applied.
QA/QC to ensure no contamination and tampering.
ISO 22000:2009 applied.
ISO 22000:2009 applied.
Storage facility designed to prevent contamination and
tampering.
ISO 22000:2009 applied.
Personnel assigned to receive, release and supervise storage.
Chain of custody enforced.
ISO 22000:2009 applied.
Personnel assigned to receive, release and supervise storage.
Chain of custody enforced.
Hygienic porridge or other food utilized (ex: Taburia mixed into
porridge).
Chain of custody enforced.

12 Periodical allocation to pregnant

women.
DISPOSAL of POST-CONSUMER PACKAGING
13 Collection for proper disposal or
Mechanism for collection designed and integrated into
re-use.
Community Empowerment Activity.
14 Disposal or re-use.
Official disposal sites or re-use centers identified or established.

C. Tasks
The selected Consultant will review the sequence of activities related to the provision and distribution of
micronutrients from producers/distributors down until the beneficiaries and the micronutrient program
orientation from regional until sub-districts level.

Participate in any meetings with MCA-Indonesia, MCC, the Procurement Agent and any other
stakeholder related to the MMP and IFA.
Participate and act as Panel Member for evaluation of any procurement related to MMP and IFA.
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Provide advice to MCA-Indonesia in any issues related to MMP and IFA production, quality control
systems and distribution.
Monitor indicators that MCA-Indonesia can track to assess the quality and the quality control in the
IFA & MMP production and distribution process. These would be indicators that MCA-Indonesia
will require the Supplier of MMP and IFA to report on.

Oversee the processes for monitoring and enforcing quality standards, including relationships with
other bodies such as BPOM or other quality check at the Suppliers premises or Laboratory to
ensure that product specifications are fulfilled.

Document and report the results and findings of monitoring (problems and complaints) to the
Supplier and MCA-Indonesia team as appropriate.

Provide orientation to provincial, district and sub-district project consultants and health staff in the
project areas on micronutrient quality control, storage, distribution, traceability and monitoring.

Perform such other duties assigned by the Director of Community-based Health and Nutrition
Project.

D. Deliverables
MCA-Indonesia expects the following deliverables from the Selected Consultant:
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Monthly report
- IFA and MMP Quality Control, Storage, Distribution, Traceability and Monitoring Report.
This report shall be written in English. This report shall be submitted to CBHN Project Director
of MCA Indonesia in hard copy (2 copies) and soft file format.

Special Reports/Deliverables
- Multiyear Micronutrients Socialization Strategy including regional, district and sub-district
levels to enhance the capacity of health services in the implementation of this activity in the
Nutrition Program.
-

Orientation activities report. This report shall describe the implementation of quality control
orientation for Provincial/District consultants and Health Staff. This report shall be written in
English. This report shall be submitted to CBHN Project Director of MCA-Indonesia in hard
copy (2 copies) and soft file format.

Final Report.
- This report shall explain the activities that have been carried out during the contract period, the
lessons learned and recommendations to implement this activity in next period. This report
shall be written in English and submitted to CBHN Project Director of MCA-Indonesia in hard
copy (2 copies) and soft file format.

The value of the Contract will be paid on monthly basis after the approval of the Monthly reports and Final
Report. Final Report must be presented two weeks prior the end of the contract. The Special Reports
delivery dates will be agreed with the Consultant during the developing of the work plan.
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E. Period of performance
The contract term will be for one year and with the option to be extended up to 12 additional months. The
contract will be on a full time basis and the Consultant will be based in MCA Indonesia Office, Jl. Menteng
Raya No 21 Jakarta.
During the supervision of the MM and IFA delivery and program orientation implementation, the
Consultant will be required to travel to all project areas in 11 provinces namely West and East Java, West
and East Nusa Tenggara, Gorontalo, Maluku, North and West Sulawesi, West and Central Kalimantan, and
South Sumatra.

F. Coordination
The Director of the Community-based Health and Nutrition Project of MCA-Indonesia or his delegated
person will serve as the contract manager. The selected Consultant will work closely with Nutrition
Specialist of MCA-Indonesia and the National Secretariat Team, MOH and other related staff in MCAIndonesia. The Consultants reports and deliverables will be submitted to the Community-based Health
and Nutrition Project Director of MCA-Indonesia.

G. Qualifications
The Consultant shall have the following minimum qualifications:
Mandatory
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Bachelors degree in any of the following: Pharmacy, Nutrition, Food Technology, Food Science
or a related field.
A minimum of 5 years work experience in the inspection of pharmaceutical products, food or food
products.
Demonstrated knowledge of GOI and/or international standards for food or pharmaceutical
production.
Demonstrated knowledge and experience with the implementation of quality control and safety
standards and procedures related to food and/or pharmaceutical production in Indonesia and/or
abroad.
Strong oral and written communication skills in Bahasa Indonesia.

Desirable
-

Previous work experience in observing physical conditions of micronutrient to conform with

established guidelines.
Good English language skills (speaking, reading and writing). This will be confirmed during the
interview phase.

H. Services and Facilities to be provided by MCA-Indonesia and MoH to the Consultant

Cost for travelling (tickets, airport tax, local transport, per-diem and lodging outside Jakarta and
surrounding areas) in connection with project activities will be covered by MCA-Indonesia in
accordance with the Fiscal Accountability Plan (not include the travel to and from Jakarta on any kind
home leave). All field visits and travels will be instructed and approved by MCA-Indonesia.
Office equipment, excluding laptop or personal computer.
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Reference materials, including MoH specifications for Taburia and iron and folic acid, the Final Report
Market Survey of pre-packed Multiple Micronutrient (MMN) Products available locally and
internationally, Guideline on the Management of IFA Distribution, Guideline on the Management of
Taburia Distribution, MCA-Indonesia Community-based Health and Nutrition Project Implementation
Plan, and the Tier 2 ESMS will be provided to the Consultant as references for this assignment.

I. Services and facilities to be provided by the Consultant

Laptop or personal Computer.

Day-to day transportation from home/hotel to the Office.
Living costs in Jakarta (MCA-I not provide home allowance).