International consultant in peri- & neonatal care - Neonatologist, Tbilisi, Georgia, Health & Nutrition section, 6 Months, Office based with travel to Sukhumi

Contract Duration - 6 Months

Working arrangement - Office based, Health & Nutrition Section, Tbilisi with travel to Sukhumi

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                                                         TERMS OF REFERENCE

The healthcare system in Abkhazia region, Georgia, remains rooted in an inpatient‑oriented model. Services are delivered across central, district/urban, and rural levels; however, primary healthcare (PHC) facilities - including antenatal care clinics - are often underequipped and face shortages of qualified personnel. These gaps lead to frequent referrals to higher levels of care. Significant disparities in the distribution of healthcare workers further constrain service availability, with urban areas comparatively better staffed than rural and remote regions.

Despite the sustained efforts of UNICEF and other international development partners, notable gaps persist across the health sector. Limited availability of essential medicines, shortages of trained personnel, inadequate health data, and constrained capacities for planning and managing health interventions continue to affect access to essential services. These challenges are especially evident in maternal and child health - an essential pillar of public health. In Abkhazia region perinatal services are delivered through one main maternity hospital in Sukhumi and maternity wards within seven district hospitals. However, several facilities operate at reduced capacity due to low delivery numbers and resource constraints. Seven women’s consultation (antenatal) clinics operate in the same seven districts , but coordination between primary and secondary levels of care (antenatal clinic – maternity – PHC) remains limited, with many services following vertical structures and not suf...