Support the Development of Nigeria Progress Matrix for Health Financing towards Mid-Term Review of the Health Financing Policy and Strategy
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Title of the Consultancy: Support the Development of Nigeria Progress Matrix for Health Financing towards Mid-Term Review of the Health Financing Policy and Strategy
Place of Assignment/Duty Station: Abuja, Nigeria
Proposed period of the consultancy: 4 Weeks
I. Objective
To develop Nigeria Progress Matrix for Health Financing towards Mid-Term Review of the Health Financing Policy and Strategy for effective and efficient health financing mechanisms towards universal health coverage.
II. Background
The WHO’s health financing team has developed a Health Financing Progress Matrix (HFPM) based on the different functions of health financing policy. The main aim of the HFPM is to improve efforts to monitor progress in health financing at the country level. The objective of this exercise therefore is to systematically assess the health financing situation in a country, and measure whether it is moving in a positive direction, based on global evidence on what matters for health systems to progress towards UHC.
The HFPM builds on the WHO health system framework for UHC. Whilst the final UHC goals are subject to extensive data analysis and monitoring as part of the SDG agenda, the HFPM allows progress (or otherwise) in health financing policy development and implementation to be identified at the country level, based on international evidence of those policies and actions which have a positive effect on UHC.
The HFPM now forms the standard approach by WHO to assess country level progress in health financing policy, supplementing the quantitative SDG indicators 3.8.1 and 3.8.2. At the same time application of the HFPM helps to identify key areas of health financing policy which need to be addressed in order to improve efficiency and equity in the health system and make progress towards UHC.
A full application of the HFPM comprises forty-eight (48) questions, constructed within an excel application (a Word version is also available) which allow users to conduct an assessment either from the perspective of health financing functions (revenue raising, pooling, purchasing), or objectives and goals.
The HFPM should be implemented in three stages:
· STAGE 1: Completion of a summary overview of health coverage schemes in Nigeria. This is largely descriptive but highlights the key features of the different schemes, facilitating an initial analysis of the health financing architecture.
· STAGE 2: Completion of the 48 questions (as relevant) by a health financing expert, ideally in conjunction with a key individual(s) in the Nigerian government; the “functional approach” should be followed.
· STAGE 3: Discussion and validation of the HFPM by key stakeholders in Nigeria.
Rationale
Nigeria was among the few African countries that piloted the HFPM in 2021. Considering the current reforms and significant changes in the health sector in the last 3 years, there is a need to review the document for publication. It will feed into the planned review of the Nigeria Health Financing Policy and Strategy which was developed in 2017.
Scope of work
This assignment will be completed at the National level in Nigeria bearing in mind that the country is made up of 36 States and the Federal Capital Territory. The Consultant will support
a) Completion of HFPM Stage 1 by desk review of key documents and data from NHA, National Health Financing Policy, NSHDP II, BHCPF, etc;
b) Review and align WHO HF progress matrix with the draft National Health Financing accountability framework including definition of each component of the framework, sources and processes of data collection, and integration of framework with existing structures for sustainability
c) Completion of Stage 2: by completing a national picture of health financing, by mapping the health financing architecture: institutions, organizational set up and financial flows, health expenditure trends etc. This work should be done in close collaboration with WHO staff in country, regional and headquarters offices, and with key staff in the Government.
a. Lead the process of stakeholder engagement at the national level for finalization and validation of the Progress Matrix for use in Nigeria
b. Produce a National Health Financing Scorecard based on the Progress Matrix
c. Develop a detailed step by step guide/manual for the Health Financing Progress Matrix for application at the States level
d. Develop report of the review of the implementation progress of the Nigeria Health Financing Policy and Strategy
e. Final report writing
III. Specific Deliverables
a. Summary overview of health coverage schemes in Nigeria
b. Finalized Nigeria Health Financing progress Matrix
c. National picture (map) of health financing architecture: institutions, organizational set up and financial flows, health expenditure trends
d. Detailed step-by-step guide for the Nigeria Health Financing progress Matrix
e. Powerpoint Presentation on the Progress Matrix
f. Report of the review of the implementation of the Nigeria Health Financing Policy and Strategy disaggregated by states
g. Detailed consultancy report
IV. Required Skills and Experience
a. Mandatory: Advanced University degree in Medicine or related fields, Health Financing/Economics, Public Health, Social Sciences or Economics.
b. Mandatory: At least 10 years’ experience and technical expertise in Health Financing, Public Health, Health Systems, Public Finance Management, health policy and strategy development, Strategic planning, monitoring, and evaluating health systems
c. Mandatory: Extensive Knowledge of Nigeria’s health system and health financing landscape including health insurance
d. Mandatory: ICT Proficiency
e. Performance of similar assignment with WHO will be an advantage
f. Demonstrated ability to provide sound methodological and technical advice and guidance to government and multiple stakeholders and partners in Nigeria
g. Demonstrated ability to analyze political contexts, interact, and negotiate effectively with multiple interests at the political level.
h. Demonstrated ability to innovate, integrate, synthesize and communicate complex concepts and ideas verbally and in writing.
V. Reporting and Management of Consultancy
The Consultant will report through the Health Economist in WHO Nigeria. In addition, the consultant will hold regular consultations with key the national stakeholders including FMOH, SMOH, CSOs Representatives and FMoH HF TWG
VI. Breakdown of the number of days for technical assistance
Tasks
Days
Output/Deliverable
Submit consultancy work plan
2
Consultancy Work plan
Conduct planning Meetings
2
Planning Meeting reports
Desk review of Existing data and documents
4
Summary overview of health coverage schemes in Nigeria
Review and align WHO HF progress matrix with the draft National Health Financing accountability framework
3
Finalized Nigeria Health Financing progress Matrix
Complete national picture of health financing, by mapping the health financing architecture: institutions, organizational set up and financial flows, health expenditure trends etc
6
National picture (map) of health financing architecture: institutions, organizational set up and financial flows, health expenditure trends
Stakeholder engagement at the national level for finalization and validation of the Progress Matrix for use in Nigeria
4
Workshop reports
Produce a National Health Financing Scorecard based on the Progress Matrix
2
National Health Financing Scorecard
Develop a detailed step by step guide/manual for the Health Financing Progress Matrix for application at the States level
2
Detailed step-by-step guide for the Nigeria Health Financing progress Matrix
Develop report of the review of the implementation progress of the Nigeria Health Financing Policy and Strategy
2
Report of the review of the implementation of the Nigeria Health Financing Policy and Strategy disaggregated by states
Write a comprehensive consultancy process report
3
Consultancy Report
Total
30
Added 5 months ago
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Updated 4 months ago
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Source:
who.int
