Consultancy: Pediatric Health Needs Assessment and Strategy Revision

" Terms of Reference (TOR) I. Presentation of CDE and context La Chaîne de l’Espoir (CDE) is an international NGO working to strengthen pediatric healthcare systems and expand access to specialized services. CDE works in 25 countries with a global approach, focusing on the child but also on mothers and vulnerable communities: - Prevention and screening from the earliest age, particularly in the context of school health programs. - Care and surgery to meet the most urgent needs of children and their mothers. - Training and capacity building of local teams through our international network of experts in all areas of surgery. - Construction and equipment of hospital structures adapted to local needs. Humanitarian crises to provide aid in situations of conflict, natural disasters and economic collapse. - Improving maternal health through medical care to prevent risks due to pregnancy and childbirth. Brief presentation of CDE’s work in Jordan La Chaîne de l’Espoir (CDE) in Jordan works to strengthen pediatric and healthcare systems while expanding access to specialized cardiac and orthopedic services for vulnerable children. Under its previous multi-year strategy, CDE combined early detection and screening, medico-surgical care for congenital anomalies, rehabilitation services, and psychosocial support to improve the continuum of care. The organization reinforced national capacity through accredited training, and structured skills transfer to Ministry of Health teams. It also supported the primary health care department with medical equipment, protocol activation, and referral network development. This approach laid the foundation for a progressive transition from humanitarian surgical response toward sustainable system strengthening and institutional anchoring. CDE seeks to recruit an external consultant to lead and conduct this integrated analytical and strategic planning process. II. Objectives and purposes of the Consultancy Principal aim The purpose of the consultancy is to build a comprehensive and updated picture of the pediatric and maternal health system needs in Jordan, particularly in relation to specialized cardiac and orthopedic services, as well as to identify strategic opportunities for future program development. This consultancy is particularly relevant at this stage as CDE Jordan is transitioning from predominantly humanitarian surgical interventions toward a more structured, system-strengthening and development-oriented approach, in line with its previous three-year strategy. Over the past years, CDE has laid the foundations for institutional capacity building, referral network strengthening, and specialization pathways; however, evolving national priorities, funding landscapes, and health system pressures require an updated, evidence-based assessment to inform the next strategic cycle. The needs assessment will therefore ensure continuity with the previous strategy while refining CDE’s positioning, priorities, and partnership appro