Deadline of this Job:
17 June 2021
Within Uganda , Kampala , East Africa
Date Posted: Thursday, June 03, 2021 , Base Salary: Not Disclosed
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Project Overview and Role:
Uganda has made significant progress in addressing the health needs of its population as part of the move towards achievement of Universal Health Coverage (UHC). To improve access to health care, the Government of Uganda (GOU) has implemented a number of reforms that include establishment of the Uganda National Minimum Health Care Package (UNMHCP) in 1990, abolition of user fees in public health facilities, providing PHC grant to Private Not-For Profit health facilities to enable them lower costs of services, and developing policies and strategies to address some of the pressing healthcare needs in the country.
The World Health Organisation (WHO) recommends that each country should have an essential health care package, which is not only cost-effective and affordable to the country, but also addresses the highest burden of disease in the country. Uganda has had a minimum health care package (UNMHCP) since 1999. The UNMHCP comprises services that have been classified into four clusters: (1) health promotion, environmental health, and community health initiatives; (2) maternal and child health; (3) communicable disease control; and (4) prevention and control of non-communicable diseases (NCDs), disabilities and injuries, and mental health problems. Uganda is however unable to provide universal access to its minimum package as the resources required to deliver all the services exceed resources available.
The current UNMHCP was designed over two decades ago (since 1999) yet the Second National Health Policy (NHP II, 2010-2020) spelt out that the package shall be reviewed from time to time to match changes in disease burden, availability of new interventions, changes in cost effectiveness, resource availability, equity, vulnerable populations and continuum of care. There is urgent need to adapt the package to the current duo burden of disease (NCDs and communicable diseases), as well as epidemics arising from international health security factors and in line with Universal Health Coverage (UHC) aiming at ensuring all citizens access needed services of good quality without suffering financial hardships.
Primary Duties and Responsibilities:
The overall objective of the consultancy is to lead and provide technical support to the process of defining and costing a Uganda National Minimum Health Care Package (UNMHCP) for UHC taking into consideration Uganda’s Road Map Towards Universal Health Coverage 2019-2030. This will consider changes in the various factors comprising of social, economic, and epidemiological pattern of diseases among others to improve the quality, availability, and breadth of essential, and increasingly specialized health care services in Uganda.
2. 1. Specific Objectives of the consultancy:
The specific objectives include:
I. Reviewing the composition of the current UNMHCP.
II. Reviewing existing inclusion criteria for the UNMHCP.
III. Develop inclusion and exclusion criteria for the various elements of the new UNMHCP in consultation with key stakeholders.
IV. Analysing the current package and develop a new UNMHCP for UHC based on the agreed inclusion criteria with at least 3 scenarios.
V. Work with the costing team to project the total cost of the UNMHCP based on scenarios that vary the types of services covered and potential future utilization of services.
VI. Compare total cost to estimates of resources available and develop the best-fit scenario to recommend for adoption by the Ministry of Health.
3.0. Scope of work:
The lead consultant is expected to lead a team of 3 experts to accomplish this assignment. To achieve the above objectives, the consultancy team will undertake the following:
3.1. Reviewing the composition of the current UNMCHP:
The consultancy team (firm) will lead the process of reviewing the current package to establish what services should change and what should stay. The consultant will therefore be expected to undertake the following:
I. Literature review of relevant policy/implementation documents, recent global, regional, and local un/published research
II. Establishing how well the current package has been delivered or the challenges that may have impacted delivery of the package.
III. Undertake consultations with key stakeholders to get feedback that will inform definition of the new package (UNMHCP).
3.2. Definition of the new UNMHCP:
I. The lead consultant will steer the process and prepare a proposed UNMHCP.
II. Present the proposed package in several forums that include MoH Top Management, Health Policy Advisory Committee (HPAC), Senior Management Committee, national and local government stakeholders, as well the Health Development Partners (HDPs) for enrichment before further stakeholder consultations.
III. Undertake consultations with key stakeholders to further refine the package and produce the final version of the package.
3.3. Oversee costing of the new UNMHCP:
I. Provide the package defined to the costing team for costing.
II. Conceptualize a number of scenarios and provide them to the costing experts to generate alternative costs.
III. Guide the costing experts to ensure the costing speaks to the scenarios developed.
IV. Incorporate the products of the costing into the draft report.
3.4. Incorporate the costed scenarios into the draft report:
I. Produce the draft UNMHCP report that captures the different scenarios.
II. Lead stakeholder consultations and validation meeting on the proposed scenarios
III. Produce final UNMHCP report.
4.0. Expected Deliverables and Output
The key deliverables expected from the consultant include the following:
I. Inception report that outlines the process of developing the new UNMHCP, detailed methodology and Gantt chart with timeline to complete this assignment.
II. Draft new UNMHCP.
III. Final Costed UNMHCP.
5.0 Required Qualifications:
I. Team lead should have a minimum of a degree in a clinical field and a master’s in public health, planning, health economics or health services administration.
II. Minimum of 10 years of experience in the field of defining health care packages or health related intervention packages.
III. Evidence of having undertaken similar assignments in the last 5 years.
IV. Demonstrate excellent interpersonal and professional skills in interacting with government and development partners.
V.A demonstrated understanding of political economy issues and development planning processes within a developing country context.
VI. Demonstrated experience in working with government partners and other stakeholders in public sector development programs.
VII. English language fluency is required.
6.0 Consultancy Costs and Payment Modalities
USAID UHSS will meet all the consultancy costs of this assignment on a fixed price basis. Payment will be done depending on satisfactory delivery of deliverables as highlighted in the contract. There will be no costs to be paid other than the costs that will be highlighted in the contract. All costs will be paid in Uganda Shillings.
Competitive market rates will apply, and the consultant should submit an all-inclusive fee (lump sum) in his/her proposal.
The consultant shall report directly to the Commissioner, Planning, Financing and Policy for the strategic guidance and the Deputy Chief of Party, Uganda Health System Strengthening (UHSS) Activity for the contract management.
8.0. Duration of the assignment
This exercise will be carried out during the period between June – August 2021.
Work Hours: 8
Experience in Months: 120
Level of Education: Bachelor Degree
Job application procedure
Apply here https://palladium.csod.com/ux/ats/careersite/2/requisition/11416/application?c=palladium&jobboardid=0#1