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AFRICAN COLLABORATIVE FOR HEALTH FINANCING SOLUTIONS (ACS) Terms of Reference: Health financing specialist to support Namibia’s financial sustainability planning Job in Namibia Results for Development , Namibia
Results for Development (R4D) is a leading non-profit global development partner. We collaborate with change agents around the world government officials, civil society leaders and social innovators to create strong systems that support healthy, educated people. We help our partners move from knowing their goal to knowing how to reach it. We combine global expertise in health, education and nutrition with analytic rigor, practical support for decision-making and implementation and access to peer problem-solving networks. Together with our partners, we build self-sustaining systems that serve everyone and deliver lasting results. Then we share what we learn so others can achieve results for development, too. We have a unique and vibrant culture at R4D. Diversity, equity and inclusion are at the heart of our work environment and help advance our mission. Diversityof ideas, identities, perspectives and backgroundsis vital to who we are and what we do. We seek people who embrace these values and will help reinforce them. Our work culture is collaborative, creative and entrepreneurial. We operate based on trust and respect. Teams across the organization frequently collaborate on programmatic work and support each other in continuously building a better R4D.
Context: The African Collaborative for Health Financing Solutions (ACS) is a 5-year project which aims to help sub-Saharan countries to advance their Universal Health Coverage (UHC) agenda. ACS works with countries to help identify operational challenges to advancing implementation of health financing policies that support movement towards UHC. The project supports the building of multi-stakeholder processes and collective solutions in and among countries, including developing targeted learning agendas, communications opportunities and advocacy and accountability activities. Namibia is performing well in terms of the 95-95-95 targets for epidemic control, which require 95% of all people living with HIV (PLHIV) to know their HIV status, 95% of all people diagnosed with HIV to receive sustained antiretroviral treatment (ART), and 95% of all people receiving ART to have viral suppression. The 2019 estimates show that 94% of PLHIV aged 15-64 years know their HIV status, 96% of PLHIV knowing their status are on ART, and 95% of PLHIV on ART are virally suppressed. While nationally the country is close to achieving all of these targets, there are significant differences in the results between males and females as well as between regions, which need to be addressed to fully achieve epidemic control in the country. As Namibia moves towards the achievement of the 95-95-95 targets and epidemic control in all population segments, the country has prioritized planning for the sustainability of epidemic control. For Namibia to be able to maintain control of the epidemic, it is critical that the MoHSS secures adequate financing to sustain the provision of HIV/AIDS services. Compounding the need for sustainable financing is the fact that donors have indicated their intention to reduce their funding support to Namibia. While the HIV/AIDS response remains a major priority for the government, it is acknowledged that sustainable financing for the response can only be secured through broader financing reforms for the entire health sector, which contribute towards the country’s efforts to make progress towards UHC.Purpose of assignment: ACS supports Namibia’s efforts towards a sustainable HIV/AIDS response, and has been requested to perform an assessment of the health financing options available that would allow for sufficient domestic resources to sustain the response and meet the broader health financing objectives of the MoHSS, including improved equity in access to quality health services, improved efficiency and effectiveness in the utilization of scare resources and equitable mobilization of health financing. The assessment will specifically review the health financing options across all three health financing functions, including revenue generation, pooling of resources, and purchasing arrangements.Furthermore, ACS has been requested to facilitate a consensus building process among PEPFAR agencies in-country on the sustainability approach to be adopted in Namibia to ensure that the HIV/AIDS response and the support provided through PEPFAR partners can be sustained by the Namibian government once PEPFAR funding support is reduced. The consensus on a unified approach to sustainability among PEPFAR agencies will be essential to guide the future transition planning processes and discussions between PEPFAR and the Namibian government.In summary, the purpose of this assignment is to provide technical support to the ACS country team in collecting and analyzing relevant data and information, facilitating stakeholder discussions, and developing recommendations on suitable health financing reforms and reaching consensus among PEPFAR agencies on the approach to sustainability in Namibia.Tasks
The assignment would take place from March 15th, 2021 to May 28th, 2021 and the consultant will report to the ACS Namibia Health Financing Technical Lead. The work can be performed remotely and there is no requirement for the consultant to be physically present in Namibia at any point of the assignment. During this assignment, the tasks and responsibilities include:
Draft an inception report detailing the approach to be taken for the consultancy including timeframes for key milestones and deliverables.
Assess health financing options in terms of revenue generation, pooling of resources and purchasing arrangements to determine the feasibility of the options within the Namibian context.
Develop a comprehensive report on the assessment of health financing options together with detailed and action-oriented recommendations for health financing reforms.
Facilitate discussions with PEPFAR and its agencies on the approach to ensure the long-term sustainability of the HIV/AIDS response
Document the consensus reached with PEPFAR and its agencies on their HIV/AIDS sustainability approach.
Estimated Level of Effort: 40 working days (1 day = 8 hours of work)Deliverables
Report on the assessment of health financing options
Detailed interview and discussion notes
Documented consensus on PEPFAR sustainability approach
Doctorate/master’s degree in health economics/Public health/Finance or similar
At least 10 years’ experience in health financing, preferably with demonstrated experience in assessing health financing options, facilitating sustainability and donor transitioning processes, designing financing mechanisms, and implementing health financing reforms.
Excellent oral and written communication skills
How to apply
Interested consultants should submit their CVs to Claire Jones at no later than 5 March 2021.
Results for Development is anEOE/M/F/Vet/Disabled/Affirmative Action Employer committed tofosteringand nurturing an energetic, collaborative and diverse workforce.R4D provides market-competitivesalaries and comprehensive employee benefits.