E T Consultant

Contract

This is a World Bank Group grade: EC3 contract. More about World Bank Group grade: EC3 contracts.

E T Consultant

Description

Do you want to build a career that is truly worthwhile? Working at the World Bank Group provides a unique opportunity for you to help our clients solve their greatest development challenges. The World Bank Group is one of the largest sources of funding and knowledge for developing countries; a unique global partnership of five institutions dedicated to ending extreme poverty, increasing shared prosperity and promoting sustainable development. With 189 member countries and more than 120 offices worldwide, we work with public and private sector partners, investing in groundbreaking projects and using data, research, and technology to develop solutions to the most urgent global challenges. For more information, visit www.worldbank.org

HEALTH, NUTRITION AND POPULATION GLOBAL PRACTICE CONTEXT

The central contribution of the HNP Global Practice to the World Bank’s twin goals is to enable the achievement of Universal Health Coverage (UHC), in which all people are effectively covered by essential health services, and nobody suffers undue financial hardship because of illnesses. The HNP Global Practice includes staff members in Washington, DC and many country offices. The HNP Global Practice works with and across multiple sectors, in recognition of the fact that HNP outcomes often depend on actions that lie outside the HNP sector. The HNP Global Practice supports country and regional efforts to: (i) improve health outcomes, especially for the poor and most vulnerable; (ii) expand access to high-quality HNP services, interventions and technologies that give the most value for money; (iii) strengthen health systems for results; (iv) establish and improve health financing mechanisms that promote efficiency, equity and sustainability of investments; (v) strengthen heath-relevant institutions within and outside the health sector; (vi) harness multisectoral policies and investments for better health outcomes; and (vii) develop and learn from rigorous impact evaluations. For more information visit https://worldbankgroup.sharepoint.com/sites/Health/Pages/pc/about/About.aspx

AFRICA REGION CONTEXT

Africa has registered strong economic growth in recent years that has helped to reduce poverty levels in the continent. Yet, as Africa’s population expands, the region faces a critical challenge of creating the foundations for long-term inclusive growth. Many countries still contend with high levels of child and maternal mortality, malnutrition is far too common, and most health systems are not able to deal effectively with epidemics and the growing burden of chronic diseases. These challenges call for renewed commitments and accelerated progress toward Universal Health Coverage (UHC)—the principle that everyone receives needed health services without financial hardship.

Most African countries have integrated UHC as a goal in their national health strategies. Yet, progress in translating commitments to UHC into expanded domestic resources for health, effective development assistance, and ultimately, equitable and quality health services, and increased financial protection has been slow. To accelerate progress toward UHC in Africa, the countries will require political leadership and a clear strategic vision to achieve their UHC targets and to be able to eliminate preventable maternal and child deaths, strengthen resilience to public health emergencies, reduce financial hardship linked to illness, and strengthen the foundations for long-term economic growth.

https://www.worldbank.org/en/region/afr/overview

MALI COUNTRY CONTEXT

Mali is ranked 170 out of 173 on the Human Capital Index (HCI) (2020). The HCI links outcomes in education, health, and nutrition to a country’s productivity. The HCI value for Mali is 0.32 meaning that a. A child born in Mali today could expect to achieve on average just 32 percent of her/his potential productivity as a future worker. This is lower than the average for sub-Saharan Africa (0.40) and low-income countries (0.38). In 2018, 53 percent of girls aged 19 already had at least one child. On average, about 160,000 women and children under the age of 5 die every year. Despite improvement in recent years on key health outcome indicators, trends in progression remain slow and insufficient in relation to investments and expected targets. The maternal mortality ratio dropped from 1,010 per 100,000 live births in 1990 to 325 in 2018 (with an SDG target of 70 for 2030), while the under-five mortality rate fell from 254 per 1,000 live births in 1990 to 54 in 2018 (with an SDG target of 25 by 2030). Fertility, in particular adolescent fertility, is extremely high and in 2018, 53 percent of girls aged 19 already had at least one child. Since 2009, children’s nutritional status has not improved. The percentage of stunted children oscillated from 28 percent in 2009 (Multiple Indicator Cluster Surveys, MICS) to 38 percent in 2012 (Demographic and Health Survey, DHS), 30 percent in 2015 (MICS) and 27 percent in 2018 (DHS). Acute malnutrition rates for children under five have also remained high and constant since 2009, around 10 percent of all children under 5.

Low volume of financing resources for health is an important factor underpinning the underwhelming performance of Mali’s health system. With less than US$50 per capita per year available for current health expenditures, Mali is one of the 25 countries in the world with the lowest per capita health financing (US$42 per capita in 2015 according to WHO). Domestic public health expenditures (US$7 per capita) represent less than 1 percent of GDP, 4.5 percent of total government expenditures, and 16 percent of current health expenditures. By contrast, external health expenditures represent about 36 percent of current health expenditures, and out-of-pocket about 46 percent. Cost recovery through user fees often represents up to half of the revenues in primary health care facilities. Low domestic revenue mobilization and low prioritization of public health funding, high dependence on external funding, and on out-of-pocket payments inevitably lead to reduced coverage, delayed access, poor quality of care, problems of predictability and sustainability of funding, and increasing inequity in financial access to healthcare.

The Project “Accelerating Progress towards Universal Health Coverage” (APUHC) aims to strengthen the health sector in Mali over the period 2019-2023. The project supports Mali in accelerating progress towards UHC by expanding innovative and high impact interventions, and by strengthening health system stewardship and financial governance. The innovations supported by the proposed project affect the health financing mechanisms (moving from input based to PBF), the delivery of community health services, and the data systems. Targeted areas consist of Koulikoro, Mopti, Segou and Gao regions.

A Programmatic Advisory Services and Analytics (PASA) Analytics Program to Support UHC in Mali (P172823) supports the implementation of the APUHC project by generating evidence and providing technical assistance to the Malian government to implement its UHC reform policies. The PASA is structured around three main pillars: (1) Frontline Service Delivery, (2) Health Financing, and (3) Performance Measurement. The World Bank office Mali - https://www.worldbank.org/en/country/mali

Duties & Accountabilities

The E T Consultant will be mapped to HAWH2 and report to the Practice Manager of the Unit. Their primary role will be to serve as a key member of the HNP and Mali country team, with significant responsibilities across the Mali country program. More specifically, s/he will: • Provide technical assistance to the WBG supported HNP projects in Mali, both lending and operational, analytical and advisory services. • Contribute to the technical discussions and monitoring of the Bank portfolio on a day-to-day basis, in close collaboration with the relevant government agencies and development partners; • Prepare and submit recommendations on project implementation plans to strengthen the design, timeliness, alignment and targeting of delivered actions. • Participate and contribute to the health policy and health financing dialogue with the Mali Government and other development partners. • Participate and maintain effective relationships with country officials, partner agencies and multi-partner fora • Support the team in the dialogue and coordination with MOH and other development partners in technical issues related to RMNACH-N and girls and women’s empowerment • Provide technical assistance on health financing issues, in the implementation and monitoring and evaluation of the Investment Case; • Support the country in the tracking and analysis of domestic and external resources in health, with the aim of increasing efficiency of health spending and improving resource mobilization; • Support the country in the analysis of relevant public financial management issues: reviews of public expenditure, budget preparation, execution and monitoring; • Support results monitoring through the development of narratives and preparing inputs for Investor Group meetings and reports; • Undertake project site visits and contribute to relevant field assessments in collaboration with the TTL and Mali health task team • Carry out any other activity as required and upon demand.

Do you want to build a career that is truly worthwhile? Working at the World Bank Group provides a unique opportunity for you to help our clients solve their greatest development challenges. The World Bank Group is one of the largest sources of funding and knowledge for developing countries; a unique global partnership of five institutions dedicated to ending extreme poverty, increasing shared prosperity and promoting sustainable development. With 189 member countries and more than 120 offices worldwide, we work with public and private sector partners, investing in groundbreaking projects and using data, research, and technology to develop solutions to the most urgent global challenges. For more information, visit www.worldbank.org

HEALTH, NUTRITION AND POPULATION GLOBAL PRACTICE CONTEXT

The central contribution of the HNP Global Practice to the World Bank’s twin goals is to enable the achievement of Universal Health Coverage (UHC), in which all people are effectively covered by essential health services, and nobody suffers undue financial hardship because of illnesses. The HNP Global Practice includes staff members in Washington, DC and many country offices. The HNP Global Practice works with and across multiple sectors, in recognition of the fact that HNP outcomes often depend on actions that lie outside the HNP sector. The HNP Global Practice supports country and regional efforts to: (i) improve health outcomes, especially for the poor and most vulnerable; (ii) expand access to high-quality HNP services, interventions and technologies that give the most value for money; (iii) strengthen health systems for results; (iv) establish and improve health financing mechanisms that promote efficiency, equity and sustainability of investments; (v) strengthen heath-relevant institutions within and outside the health sector; (vi) harness multisectoral policies and investments for better health outcomes; and (vii) develop and learn from rigorous impact evaluations. For more information visit https://worldbankgroup.sharepoint.com/sites/Health/Pages/pc/about/About.aspx

AFRICA REGION CONTEXT

Africa has registered strong economic growth in recent years that has helped to reduce poverty levels in the continent. Yet, as Africa’s population expands, the region faces a critical challenge of creating the foundations for long-term inclusive growth. Many countries still contend with high levels of child and maternal mortality, malnutrition is far too common, and most health systems are not able to deal effectively with epidemics and the growing burden of chronic diseases. These challenges call for renewed commitments and accelerated progress toward Universal Health Coverage (UHC)—the principle that everyone receives needed health services without financial hardship.

Most African countries have integrated UHC as a goal in their national health strategies. Yet, progress in translating commitments to UHC into expanded domestic resources for health, effective development assistance, and ultimately, equitable and quality health services, and increased financial protection has been slow. To accelerate progress toward UHC in Africa, the countries will require political leadership and a clear strategic vision to achieve their UHC targets and to be able to eliminate preventable maternal and child deaths, strengthen resilience to public health emergencies, reduce financial hardship linked to illness, and strengthen the foundations for long-term economic growth.

https://www.worldbank.org/en/region/afr/overview

MALI COUNTRY CONTEXT

Mali is ranked 170 out of 173 on the Human Capital Index (HCI) (2020). The HCI links outcomes in education, health, and nutrition to a country’s productivity. The HCI value for Mali is 0.32 meaning that a. A child born in Mali today could expect to achieve on average just 32 percent of her/his potential productivity as a future worker. This is lower than the average for sub-Saharan Africa (0.40) and low-income countries (0.38). In 2018, 53 percent of girls aged 19 already had at least one child. On average, about 160,000 women and children under the age of 5 die every year. Despite improvement in recent years on key health outcome indicators, trends in progression remain slow and insufficient in relation to investments and expected targets. The maternal mortality ratio dropped from 1,010 per 100,000 live births in 1990 to 325 in 2018 (with an SDG target of 70 for 2030), while the under-five mortality rate fell from 254 per 1,000 live births in 1990 to 54 in 2018 (with an SDG target of 25 by 2030). Fertility, in particular adolescent fertility, is extremely high and in 2018, 53 percent of girls aged 19 already had at least one child. Since 2009, children’s nutritional status has not improved. The percentage of stunted children oscillated from 28 percent in 2009 (Multiple Indicator Cluster Surveys, MICS) to 38 percent in 2012 (Demographic and Health Survey, DHS), 30 percent in 2015 (MICS) and 27 percent in 2018 (DHS). Acute malnutrition rates for children under five have also remained high and constant since 2009, around 10 percent of all children under 5.

Low volume of financing resources for health is an important factor underpinning the underwhelming performance of Mali’s health system. With less than US$50 per capita per year available for current health expenditures, Mali is one of the 25 countries in the world with the lowest per capita health financing (US$42 per capita in 2015 according to WHO). Domestic public health expenditures (US$7 per capita) represent less than 1 percent of GDP, 4.5 percent of total government expenditures, and 16 percent of current health expenditures. By contrast, external health expenditures represent about 36 percent of current health expenditures, and out-of-pocket about 46 percent. Cost recovery through user fees often represents up to half of the revenues in primary health care facilities. Low domestic revenue mobilization and low prioritization of public health funding, high dependence on external funding, and on out-of-pocket payments inevitably lead to reduced coverage, delayed access, poor quality of care, problems of predictability and sustainability of funding, and increasing inequity in financial access to healthcare.

The Project “Accelerating Progress towards Universal Health Coverage” (APUHC) aims to strengthen the health sector in Mali over the period 2019-2023. The project supports Mali in accelerating progress towards UHC by expanding innovative and high impact interventions, and by strengthening health system stewardship and financial governance. The innovations supported by the proposed project affect the health financing mechanisms (moving from input based to PBF), the delivery of community health services, and the data systems. Targeted areas consist of Koulikoro, Mopti, Segou and Gao regions.

A Programmatic Advisory Services and Analytics (PASA) Analytics Program to Support UHC in Mali (P172823) supports the implementation of the APUHC project by generating evidence and providing technical assistance to the Malian government to implement its UHC reform policies. The PASA is structured around three main pillars: (1) Frontline Service Delivery, (2) Health Financing, and (3) Performance Measurement. The World Bank office Mali - https://www.worldbank.org/en/country/mali

Duties & Accountabilities

The E T Consultant will be mapped to HAWH2 and report to the Practice Manager of the Unit. Their primary role will be to serve as a key member of the HNP and Mali country team, with significant responsibilities across the Mali country program. More specifically, s/he will: • Provide technical assistance to the WBG supported HNP projects in Mali, both lending and operational, analytical and advisory services. • Contribute to the technical discussions and monitoring of the Bank portfolio on a day-to-day basis, in close collaboration with the relevant government agencies and development partners; • Prepare and submit recommendations on project implementation plans to strengthen the design, timeliness, alignment and targeting of delivered actions. • Participate and contribute to the health policy and health financing dialogue with the Mali Government and other development partners. • Participate and maintain effective relationships with country officials, partner agencies and multi-partner fora • Support the team in the dialogue and coordination with MOH and other development partners in technical issues related to RMNACH-N and girls and women’s empowerment • Provide technical assistance on health financing issues, in the implementation and monitoring and evaluation of the Investment Case; • Support the country in the tracking and analysis of domestic and external resources in health, with the aim of increasing efficiency of health spending and improving resource mobilization; • Support the country in the analysis of relevant public financial management issues: reviews of public expenditure, budget preparation, execution and monitoring; • Support results monitoring through the development of narratives and preparing inputs for Investor Group meetings and reports; • Undertake project site visits and contribute to relevant field assessments in collaboration with the TTL and Mali health task team • Carry out any other activity as required and upon demand.

Selection Criteria

• Master’s degree in economics, public health, health systems, public policy, health financing, or related subjects; A master’s degree in public health with a strong health financing/health economics focus is an advantage. • Minimum of 8 years of relevant experience in health and/or related fields. • Significant experience with WBG policies, operations, instruments, and systems is essential. • Demonstrated operational project management and portfolio management is desired. • Experience leading and/or supporting HNP operations and analytic work is desired. • Knowledge of and experience in health systems and health financing and/or public sector financing, especially in low-middle income countries at the national and subnational levels; • Fluency in French and in English (excellent oral and written communication skills) is required, with ability to prepare documents on complex subjects, speak and write persuasively, and present ideas clearly and concisely in both languages. • Strong interpersonal and team skills, and a track record of functioning effectively in multi-disciplinary teams within a matrix environment are essential. • A drive for results, including a proven track record of high standards/accountability for work products, meeting deadlines, an ability to prioritize tasks within his/her work program and strategies for working collectively with others on the team to deliver products of the highest caliber. • Poverty has no borders, neither does excellence. We succeed because of our differences, and we continuously search for qualified individuals with diverse backgrounds from around the globe

World Bank Group Core Competencies

We are proud to be an equal opportunity and inclusive employer with a dedicated and committed workforce, and do not discriminate based on gender, gender identity, religion, race, ethnicity, sexual orientation, or disability.

Learn more about working at the World Bank and IFC, including our values and inspiring stories.

Note: The selected candidate will be offered a one-year appointment, renewable for an additional one year, at the discretion of the World Bank Group, and subject to a lifetime maximum ET Appointment of two years. If an ET appointment ends before a full year, it is considered as a full year toward the lifetime maximum. Former and current ET staff who have completed all or any portion of their second-year ET appointment are not eligible for future ET appointments.