Ephs Costing Consultancy, P-3, Monrovia, Liberia, Csd/Programme, (2.5 Months) - (Remotely)

UNICEF

UNICEF works in some of the world’s toughest places, to reach the world’s most disadvantaged children. To save their lives. To defend their rights. To help them fulfill their potential.  Across 190 countries and territories, we work for every child, everywhere, every day, to build a better world for everyone.  And we never give up.

For every child, health is a must!!

Background:

The Government of Liberia developed its first Essential Package of Health Services (EPHS) package in 2011 which became the cornerstone of the 2011- 2021 National Health Policy and plan and was built upon the successes of the Basic Package of Health Services (BPHS) Implementation. The 2011- 2021 EPHS consisted if a comprehensive set of services that strengthen key areas that continue to perform poorly with the high Maternal and Child Mortality and additional areas such as Adolescent Health. The recently released 2019/2020 Liberia Demographic Health Survey (LDHS) revealed successes in Maternal Health service delivery however newborn and child health indicators showed no improvement over the last 5 years and the EPHS is currently being reviewed with a strong emphasis on strengthening the Primary Health Care System where 80% of the population access their Health care.

Good health planning and health management cannot be performed without the availability of cost and utilization data, nor without associated analyses relating the two. These data, and subsequent analyses, help policymakers to know how efficient and effective their health care delivery system is, as compared to how efficient and effective it could be. The inevitable presence of resource constraints in the health sector, and the constant demands from other sectors for alternative uses, makes it critical that managers and planners of government health services keep close track of what it costs to produce what level of health care services. The funding constraints is made worse by the COVID-19 pandemic and outbreaks in which the limited available funds have been channeled to respond to the emergency needs.

Thus, the costing of health services needs to relate the volume of services produced by the health system to the resources expended to produce them is based on a fundamental imperative: deliver the most services (at acceptable quality) at the least cost. The number of services produced in relation to their costs will give some indication of the efficiency of production, both for individual facilities and for the system. Thus, the costing of PHC and Liberia Every Newborn Action Plan (LENAP) is essential to feed into the EPHS. These cost estimates will support with resource mobilization and health package prioritization for which the UNICEF Health Team has been providing technical expertise towards its development since 2021, however the Liberia Country office does not have the capacity in house to perform Economic costing and due to the specialized function required for the costing process and to  build the GoL and UNICEF Liberia Teams capacity a high level Consultant is required.

How can you make a difference?

This role will focus on providing support to Liberia in the following:

  1. Constitute a core EPHS Costing Technical Working Group.
  2. Provide technical support to conduct a rapid assessment, data analysis and mapping of Liberia specific PHC model of Care in line with the EPHS.
  3. Conduct PHC costing, LENAP costing and subsequent EPHS costing.
  4. Develop EPHS, PHC and LENAP policy briefs and investment case.

This assignment will include engaging with the UNICEF country office, WHO, MOH staff, and other in-country stakeholders in assessing the PHC needs and how it relates to other tiers of health service delivery and opportunities where PHC services can support and strengthen the delivery of quality care at community level. This support is expected to fit into other PHC related strategizes such as Child Friendly Community and a digitally enabled PHC strategy.

Beyond the tasks identified above, the role will also support:

  1. Document lessons from the process of PHC costing and PHC-model initial implementations.
  2. Finalize Liberia Every Newborn Action Plan (LENAP) budgeting and costing.
  3. Formulate and conduct capacity building strategies and activities to drive continuous PHC/EPHS costing programme improvements through transfer of skills, trainings, and webinars.

It will require an ability to understand health economics, performance-based financing and the ability to think creatively about best fitting scale up of health care services for Liberia and create the end product PHC/EPHS and LENAP costing cases. It will take an understanding of currently available health structure and health data availability across different building blocks :(i) service delivery, (ii) health workforce, (iii) health information systems, (iv) access to essential medicines, (v) financing, and (vi) leadership/governance effective solutions for the Health sector, especially at community or primary health care level.  

Basic Objectives of Consultancy/Contractor (assignment) Services:

The international Consultant will be hired by UNICEF Liberia CO, the Consultant will work in close collaboration with the UNICEF regional teams and key stakeholders engaged in Primary Health Care arena. Over 62 day the consultant will work with the UNICEF Liberia country office, MOH, and WHO (country level), and in liaison with WCA regional office and HQ (PHC Teams) to support the production of country specific EPHS with strong emphasis on the PHC  Costing  and   investment cases for PHC service  that are embedded within the EPHS .CO staff will work in close collaboration with the consultant and be expected to leverage their expertise in the local context, partnerships, CO plans/strategies, and other resources to actively engage in and support this work on the ground. The assignment will be done by mixed model with 27 days home- based and 35 days in country presence in Liberia. The incumbent will be based in the Health Section in UNICEF in Liberia, under the direct supervision of the Health Specialist who manages the Health Section.

  1. Conduct Key Stakeholders engagement and PHC landscape analysis: Desk review of national health and development strategy documents, LENAP and other relevant documents (for target, interventions, and activities) Stakeholder mapping and engagement (with existing technical working groups (TWGs) or formation, as needed), assessment and consensus on PHC health governance structures and standards1, and establishment of strong in-country partnerships. Conduct Bottleneck analysis on primary health care in Liberia.
  2. Plan and Design EPHS costing process and commence data collection: Produce an implementation plan and project charter for the EPHS costing, including PHC   and LENAP costs which feed into the EPHS costing that is signed off for approval by the TWG and other governance bodies. Commence the collection all relevant regulatory, strategic and programmatic data required to populate the costing tool.
  3. Cost EPHS that should include the PHC system to support the PHC revitalization and community health: Through support from the costing consultant, conduct economic analyses using total cost of PHC facilities ownership to co-create a costed scale-up plan with a sustainable financing model that can be used when approaching donors and other investors.
  4. Technical support, advise and capacity building and PHC advocacy messages: Provide technical support, capacity building and advice in the selection of interventions appropriate costing tools and implementation of PHC costing as it links into the EPHS planning and costing, and conduct Webinars and dissemination of the Costing for EPHS and PHC advocacy messages.

Objective 1: Conduct Stakeholders engagement on PHC landscape analysis , design EPHS costing process and commence data collection.

Key Activities/Tasks

  1. Work with UNICEF CO and MOH to constitute the EPHS costing TWG
  2. Stakeholder engagement (with existing TWG and all partners including CSOs) to identify core each partner’s comparative advantages, roles, and responsibilities
  3. Review national health and development strategy documents (Drafts 2021- 2030 NHPP and 2021 – 2030 EPHS, Performance base financing) and to understand the role the PHC is positioned to play and outline advocacy needs and opportunities within the EPHS   and available data sources.
  4. Review available PHC costing tools and advice Liberia and UNICEF Liberia Country office as required in the selection of appropriate tools to use for PHC and EPHs costing.
  5. Develop Costing operational plans, including LENAP cost assessment.
  6. Training and webinar plans developed.
  7. Commence data collection across different thematic areas and indicators for the costing exercises.

Outputs/Deliverables

  1. EPHS Costing TWG constituted and functional
  2. Stakeholder engagement and assessment report, outlining the stakeholder mapping and engagement processes, agreed
  3. EPHS costing Implementation plans produced, including LENAP cost assessment and plans for operationalization of the PHC costing, that is validated and signed off for approval by the TWG and other governance bodies.
  4. Agreed tool for costing available and shared with stakeholders for data collection.
  5. Training and Webinar plans produced and shared with UNICEF LCO.
  6. Populated data tools for costing model exercise completed and shared with TWG.
  7. Production of analysis reports of the collection.

Time frame

27 days – Home based

Objective 2: Costing of EPHS that should include the PHC system and LENAP to support the PHC revitalization and community health system:

Key Activities/Tasks

Outputs/Deliverables

Time frame

  1. Ongoing meetings and capacity building exercises with Core team to conduct Bottleneck analysis on primary health care in Liberia, Cost the PHC services and cost EPHS document
  2. Validation workshops for the Costed EPHS document
  3. Finalize Liberia Every Newborn Action Plan (LENAP) budgeting and costing
  1. Costed EPHS documents with PHC Costing well reflected
  2.  Capacity building on EQUIST and OneHealth Tools for UNICEF and MOH staff
  3. Two high level Workshops held to Validate the costed EPHS
  4. LENAP costed and shared

25 days - In country

Objective 3:  Technical Support, Advise and Capacity Building:

  1. Develop Investment case and Advocacy messages for PHC
  2. Document lessons from the process of EPHs costing and PHC-model implementations
  3. Formulate and conduct capacity building strategies and activities to drive continuous EPHS costing programme improvements through transfer of skills, trainings, and webinars
  4. Play a pivotal role in the EPHS launching with Government and stakeholders for PHC implementation and resource mobilization
  1. PHC Investment case available
  2. Clearly documented report of the process including the lessons learnt and recommendations
  3. At least two Country specific webinars conducted on the EPHS costing process to be hosted with Liberia CO Team
  4. Prepare EPHS costing presentations and participate in the EPHS launch and dissemination

10 days – in country

To qualify as an advocate for every child you will have…

Qualification:

Education:

  • At least 5 years of Professional experience in Health Economics, Health System Strengthening (HSS), Primary Health Care and Health Care Financing (HCF). Significant experience with costing tools, project management and proven ability to translate complex ideas from various areas into unified, clear guidance is a must. Advanced degree in a relevant field or equivalent related practical experience.

Language:

  • Fluency in English is required.  

General Terms and Conditions of the Contract:

  • Under the consultancy agreements, payment is deliverable based as defined in the ToR with mix model of home based and in country activities.
  • All remuneration must be within the contract agreement.
  • No contract may commence unless the contract is signed by both UNICEF and the consultant or Contractor.
  • For international consultants outside the duty station, signed contracts must be sent by fax or email. 
  • Unless authorized, UNICEF will buy the tickets for the consultant.  In exceptional cases, the consultant may be authorized to buy their travel tickets and shall be reimbursed at the “most economical and direct route” but this must be agreed to beforehand.
  • Consultants will not have supervisory responsibilities or authority on UNICEF budget.
  • Consultant will be required to sign the Health statement for consultants/Individual contractor prior to taking up the assignment, and to document that they have appropriate health insurance, including Medical Evacuation.
  • Mention is it as per the General Terms and Conditions of the Contract.

For every Child, you demonstrate…

UNICEF's values of Care, Respect, Integrity, Trust, and Accountability (CRITA).

The UNICEF competencies required for this consultancy are:

  1. Builds and maintains partnerships
  2. Demonstrates self-awareness and ethical awareness
  3. Drive to achieve results for impact
  4. Innovates and embraces change
  5. Manages ambiguity and complexity
  6. Thanks and acts strategically
  7. Nurtures, leads and manages people
  8. Works collaboratively with others

To view our competency framework, please visit here.

UNICEF is committed to diversity and inclusion within its workforce, and encourages all candidates, irrespective of gender, nationality, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of the organization.

UNICEF has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination. UNICEF also adheres to strict child safeguarding principles. All selected candidates will be expected to adhere to these standards and principles and will therefore undergo rigorous reference and background checks. Background checks will include the verification of academic credential(s) and employment history. Selected candidates may be required to provide additional information to conduct a background check.

Remarks:

Mobility is a condition of international professional employment with UNICEF and an underlying premise of the international civil service.  Only shortlisted candidates will be contacted and advance to the next stage of the selection process.  Individuals engaged under a consultancy or individual contract will not be considered “staff members” under the Staff Regulations and Rules of the United Nations and UNICEF’s policies and procedures, and will not be entitled to benefits provided therein (such as leave entitlements and medical insurance coverage). Their conditions of service will be governed by their contract and the General Conditions of Contracts for the Services of Consultants and Individual Contractors. Consultants and individual contractors are responsible for determining their tax liabilities and for the payment of any taxes and/or duties, in accordance with local or other applicable laws.

The selected candidate is solely responsible to ensure that the visa (applicable) and health insurance required to perform the duties of the contract are valid for the entire period of the contract. The candidate may also be subject to inoculation (vaccination) requirements, including against SARS-CoV-2 (Covid).

For every child, a future!!