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Africa » Request for Consultant: Health Financing Activities in Tanzania

Request for Consultant: Health Financing Activities in Tanzania

Dar Es Salaam, Tanzania.

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. Diversity—of ideas, identities, perspectives and backgrounds—is 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.

I.    Background

USAID’s Act to End Neglected Tropical Diseases | East (Act | East) program (2018-2023), led by RTI International, supports countries to reach their NTD control and elimination goals through proven, cost-effective public health interventions. The program provides critical support to countries in their journey to self-reliance by helping to create sustainable NTD programming within a robust and resilient health system. The project focuses on partnering with NTD-endemic countries to eliminate and control five of the most common NTDs, including lymphatic filariasis, trachoma, onchocerciasis, schistosomiasis, and soil-transmitted helminths (hookworm, ringworm, and whipworm), which affect more than one billion people worldwide.

Act to End NTDs | East also strengthens local capacity for planning, budgeting, and budget execution so that NTD programs can continue with high levels of effectiveness. In Tanzania the program helps Ministry of Health identify potential options for sustainable financing of NTDs, in line with broader health financing strategies for domestic resource mobilization (DRM), Primary Health Care (PHC) and/or Universal Health Coverage (UHC). As such, Act | East will support government institutions to assume greater programmatic and financial responsibility for their NTDs response.

In 2020, Act | East and the Tanzania Neglected Tropical Disease Control Program (TZNTDCP) conducted a sustainability planning consultation and identified that the major gap in financing was the low levels of funding to the NTD program, which is partly a result of inadequate data to inform planning, budget allocation, evidence-informed advocacy, and resource tracking. To address data gaps, in 2021, Act | East conducted a detailed analysis of financial and programmatic records of major donor funded NTD initiatives in six districts. Additionally, in 2021, Act | East completed a mapping exercise of critical actors and decision-making spaces for NTD budget allocation in the country at both national and regional levels.

In FY22, Act | East provided technical support to 15 prioritized councils to plan and budget for NTD activities using the existing PO-RALG planning system during the development of Comprehensive Council Health Plans. Act I East developed an evidence-based methodological guide and approach to council NTD coordinators on how NTDs can be prioritized based on available epidemiological and financial data in the planning and budgeting during the CCHP process. In addition, Act I East developed an operational manual for NTD coordinators in councils Planning and Budgeting for NTD interventions. Key staff of the MOH, NTDCP, PO-RALG, and councils validated the manual. The Act I East also provided capacity building activities to 15 councils to improve their capacity to allocate local council resources to NTD programs.

In FY23, Act | East will continue providing technical support to the same 15 councils to plan and budget for NTDs in CCHPs by building their capacity to use the PO-RALG PlanRep tool to track approval, allocation, and disbursement of funds; and to negotiate fund allocation at council budgeting meetings.A local consultant, through R4D, will support the CCHP activities in close coordination with Tanzania’s HSS Advisor, Chief of Party (COP), NTDCP Program Manager and PORALG.

II. Objective of the consultancy

The objective of the consultancy is to provide technical assistance to the Ministry of Health (MoH) strengthen the Comprehensive Council Health Plan and budget development process and preparation of an NTD Domestic Resource Mobilization (DRM) Strategy.

The consultant will perform the following tasks: –

Activity #1: Track CCHP budget allocation and disbursement: The consultant will work with MoH and PO-RALG to hold a 3-day workshop to build the capacity of the 15 councils to use the Plan Rep system to track the funds planned, allocated, and disbursed for the NTD program. The workshop will also support councils in assessing the budget negotiation approaches, prospects, and challenges of mobilizing domestic public financing.

Activity #2: Develop and pilot a training module on NTD planning and budgeting: The consultant will use the WHO Program Managers NTD Course to review and adapt/tailor the existing PO-RALG planning and budgeting training materials on NTD. In the long term (post-FY23), the plan is to collaborate with learning institutions or use the MOH National e-Learning Platform for Healthand providethis course to all councils to guide NTD implementers to be up-to date with NTD information and best practices. The overall objective of this activity is to support NTD Coordinators and CHMTs in their role of adequately budgeting and allocating resources for NTDs from their council resources.

The specific objectives of these modules will be:

·       To orient NTD Coordinators and CHMTs teams on the CCHP Guideline and Health Financing Planning Guidelines for the successful planning and budgeting for NTDs at the council level.

·       To build skills on how to use web-based PlanRep systems based on the CCHP Guidelines, to plan and budget for NTDs.

·       To improve understanding of the NTD Coordinators and CHMTs teams’ roles in data production/ extraction from relevant sources of data.

·       To create a culture of data use through building skills on how to interpret and use data in planning, budgeting, and performance monitoring of NTDs.

The activity will be implemented in the following steps: –

      • Step 1: In collaboration with RTI, NTDCP, and PO-RALG, the consultant will develop the first draft of the NTD modules in a PowerPoint slide deck. To inform the design of the modules, the consultant will review existing PO-RALG planning and budgeting training materials for adaptation. The draft will also include: –
      • Teaching and learning interactive methods that will be applied to deliver the modules. This will not be limited to lecture discussions, group discussions, case study, solving approaches and simulations. Other teaching methods for consideration will include demonstration, brainstorming, role play, presentation, and assignments.
      • Draft the training course outline that elaborates each Module.
      • Assessment Modalities for each Module.
      • Reference and Further Reading Materials on NTD planning and budgeting.
      • Step 2: The draft slide deck with the course outline and notes on NTD Modules will be shared with RTI and NTDCP for review and input.
      • Step 3:Preparation for validation workshop. In collaboration with RTI, NTDCP, and PO-RALG, the consultant will facilitate a 4-day validation meeting. The consultant will work with RTI, NTDCP, and PO-RALG on the structure, content, and expected outcome of the workshop to harmonize expectations and get everyone on the same page. In addition, the consultant will work with RTI on the following activities: –
      • Review of the slide deck for NTD modules, to be presented during the meeting, and
      • Review key questions for group breakout session.
      • Step 4:Facilitatea 4-day Validation meeting with NTDCP and MoH, PROLAG: The activity will employ a participatory approach by engaging all participants through presentations, plenary discussion, and group discussions. Facilitation of the 4-day workshop will be done by the consultant with support of the RTI team and in collaboration with the NTDCP, and PO-RALG.
      • Step 5: With facilitation support from NTDCP Act East HQ, the consultant will prepare the final draft of the modules and next steps for FY24 to USAID for input and comments.
      • Step 6:  Finalize Modules

Activity #3: Technical support to develop an NTD DRM Strategy:  The consultant will work with the R4D health financing program officers and Senior Health Financing Specialist to provide technical support to the Tanzania NTD Control Program (NTDCP) in developing an NTD DRM strategy to advance priorities established in the NTD Master Plan 2021-2026. The strategy will guide the Ministry to identify a comprehensive set of financing mechanisms to fill NTD funding gaps through mobilizing domestic resources, diversifying sources of funding, and increasing government commitment to enable the country to reach the NTD Master Plan milestones, as well as identifying options for donor funding transition and sustainability of the program.

      • As part of the NTD DRM Strategy development process, the consultants will employ a mix of qualitative and quantitative methods to collect, analyze, and triangulate information and data across multiple sources using a combination of desk reviews, key informant interviews, stakeholder consultations, and secondary data collection under the support of MOH, RTI country HSS advisor and the R4D team. A Senior Health Financing Specialist based in Ethiopia will coach and mentor the consultant providing technical oversight of the consultant’s activities, backstopping as required, and review of the consultant’s deliverables.
      • The consultant will liaise closely with the MOH’s technical working group (TWG). The MOH will provide oversight for the development of the NTDs DRM Strategy, while the TWG will provide key inputs through reviewing drafts and participating in strategy development workshops and validation meetings. The TWG may include key staff members from MoH, NTDCP, RTI, R4D, WHO and other key NTDs development partners as necessary.
      • The consultant will undertake the following major activities to develop the NTD DRM Strategy document:
      • Undertake comprehensive desk reviews to document country and global health financing strategy experience & best practices, including WHO health system financing and program documents, country health care financing strategy (HCFS), health sector strategic plan, NTD master plan, NTD advocacy and sustainability plan, and other countries experience on domestic resource mobilization.
      • Consult with MOH to identify key stakeholders from the government (national, PO-RALG and selected councils), development partners, civil society organizations, NGOs, and the private
      • sector to gather inputs for the strategy. The key objective of the key informant interviews is to understand the feasibility, and their role, in domestic resource mobilization and other funding strategies for NTDs program.
      • Conduct a deep dive on NTD financing by extracting quantitative data from various stakeholders on resource needs, allocation, and use from donors, implementing partners, government, and other sources to estimate the NTD funding gaps.
      • Attend regular meetings with NTDCP, Act | East HQ, and Tanzania country office to monitor the progress of the development of the NTD financial strategy.
      • Act | East will organize two workshops (a 2-day inception meeting to discuss the overall strategic framework and a 2-day validation workshop to finalize the strategy) as part of the document preparation process.

III Expected Deliverables

      • Activity #1: Track CCHP budget allocation and disbursement
      • i)     Deliverable 1.1: Undertake evidence synthesis on the use of the PlanRep system to track the funds planned, allocated, and disbursed for the NTD program. This synthesis is expected to be provided through a PowerPoint presentation.
      • ii)    Deliverable 1.2: In collaboration with the Act | East team, the consultant facilitates a 3-day stakeholder workshop to discuss the use of the PlanRep system to track the funds planned, allocated, and disbursed for the NTD program (Physical attendance is required). After the session, the consultant will provide a brief meeting report documenting the activity and identifying outcomes and further technical support areas in the health financing space.
      • iii)  Deliverable 1.3:A technical brief incorporating all lessons learned and recommendations from the PlanRep system workshop meeting. The brief note should document and synthesize the findings from discussions on the Plan Rep system. Finally, the consultant disseminates the learnings more broadly in a technical brief with MOH/NTDCP, partners, and USAID.
      • Activity #2: Develop and pilot a training module on NTD planning and budgeting.
      • i)     Deliverable 2.1: Develop draft NTD training modules on NTDs. This will be adapted/tailored from existing PO-RALG planning and budgeting training materials, and this training module will be presented to NTDCP and RTI for review.
      • ii)    Deliverable 2.2: Present the draft NTD training module in the validation workshop and facilitate the workshop in collaboration with MOH/NTDCP, PORALG and RTI.
      • iii)  Deliverable 2.3: Present the final draft NTD training module to Act East HQ team and USAID.
      • Activity #3: Develop NTD Domestic Resource Mobilization (DRM) Strategy
      • i)     Deliverable 3.1: Present inception report on NTD DRM strategy to key stakeholders from the government and incorporate the feedback and submit the final version to R4D team.
      • ii)    Deliverable 3.2: Develop and present the draft NTD DRM strategy to MOH/NTDCP, PO-RALG and NTD implementing partners.

V Qualifications

    • Master’s degree in health economics, health policy and management, or public health with a health financing focus.
    • At least seven (7) years of field-based experience working on health financing and/or health economics evaluation and analytics, health policy, planning, public financial management (PFM), and/or financing in Tanzania.
    • Experience in workshop facilitation and collaboration with government and non-government stakeholders.
    • Familiarity with the Tanzanian health financing mechanisms and health system, Tanzanian Department of Health, NTD or vertical programs including HIV/AIDS, FP/RH, Malaria, EPI, MCH, TB, among others is necessary.
    • Full professional fluency in English, including excellent written communication skills; language abilities relevant to the project countries also valuable.
    • Ability to work independently and collaboratively as part of a team and deliver high-quality results within tight timeframes.
    • Excellent organizational skills and attention to detail.
    • Must be based in Tanzania
    • VI Implementation arrangements
    • The consultant will work under the guidance and direct supervision of R4D’s Program Officer. The consultant will also be expected to routinely engage with the Act | East HSS advisor and the MOH-NTDCP-HSS focal person. RTI serves as the implementing partner in Tanzania and the consultant should coordinate efforts and engagement with RTI, MOH/NTDCP, and government stakeholders. The consultant will provide regular updates on the progress of the activities to the Act | East HSS advisor, MOH-NTDCP-HSS focal person and R4D program officer. The consultant will be based in Dar es Salaam and may require regional travel in accordance with R4D travel and safety precautions.

VII Timeline & Output

      • Activity – Track CCHP budget allocation and disbursement
      • Output – Deliverable 1.1, Deliverable 1.2, Deliverable 1.3
      • Time – June 2023, June-July 2023, July 2023
      • Activity – Develop training module on NTD planning and budgeting.
      • Output – Deliverable 2.1, Deliverable 2.2, Deliverable 2.3
      • Time – June 2023, July 2023, September 2023
      • Activity – Develop NTD DRM strategy
      • Output – Deliverable 3.1, Deliverable 3.2
      • Time – June 2023, September 2023

The consultancy must be completed by September 30, 2023.

This job is posted by Results for Development.


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