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RESULTS BASED FINANCING TECHNICAL ASSISTANCE

Region
Africa subsarienne
Country
Nigeria
Duration in month
60
Start date
10/01/2013
End date
10/01/2018
Project description
This consultancy aims to provide technical assistance to operationalize the RBF project at the NPHCDA (National Primary Health Care Development Agency ) and in the states of Ondo, Nasarawa and Adamawa. To help the states implement the project, the RBF-TA will design and define operational procedures for the results based financing components (the DLIs; DFF and PBF) and build institutional capacity of the NPHCDA/SPHCDA to carry out purchasing, verification and oversight functions, and assist the States and the LGAs to make operational its DLIs/scorecards through an advisory function.
Service description
The scope of services for this consultancy includes the following:

i. Operationalize the RBF monitoring and evaluation and capacity building activities as described in the PBF manual and Project Implementation Manual (PIM);
ii. Assist the States to set up a State/SPHCDA RBF Technical Support Unit that can support the State/SPHCDA to carry out purchasing, verification and oversight functions described above;
iii. Develop a manual of procedures - based on the draft PBF user manual developed in the pre-pilot PBF LGA - acceptable to the Government and the World Bank that will govern the `implementation of PBF. The manual of procedures should cover procedures and tools for record keeping by facilities, the contracts used, results verification and counter verification mechanisms, business plan and indice tools, funds disbursement and accounting procedures, the services with their fees and the quality checklist, etc;
iv. Design the training of trainers for PBF, and carry out the snow ball training to roll out PBF and DFF in each State;
v. Provide dedicated technical assistance to SPHCDA, LGA and health facility staff on PBF operational procedures, including training for staff and health workers in PBF and DFF facilities in the states, as described in the agreed manual of procedures;
vi. Assist the SPHCDA in the states to design and enter into contracts with all participating health facilities describing the performance framework as well as the roles and responsibilities in relation to RBF;
vii. Ensure that sufficient agency verification staff is hired to carry out the monthly quantity verification activities timely. These verification staff shall be qualified to carry out not only the quantity verification but also the coaching tasks.
viii. Assist the SPHCDA in the states to establish formal LGA level RBF steering committees which meet at least quarterly to approve payment of performance invoices and oversee the decentralized governance and implementation of PBF. Each committee will be chaired by the LGA Authorities and will include relevant representatives of the SPHCDA, SMOH, local government and civil society in the LGA;
ix. Assist the SPHCDA to carry out due diligence on the LGA RBF steering committee proceedings/and approved payments, and to ensure that payments to the health facilities bank accounts made by the fund holder(s) are based on verified services delivered in keeping with the agreed procedures;
x. Assist the NPHCDA in maintaining a web-enabled database that tracks the quantity and quality of services provided, and also assist the NPHCDA in maintaining a web-portal that disseminates information on Nigeria PBF, including information on payments and performance, to the wider public;
xi. Build the capacity of State Level Actors involved in PBF to provide technical assistance to the LGA PBF/DFF actors to conduct supervision to judge the quality of care provided in participating facilities using a standardized quantitative checklist;
xii. Build a new implementation oriented coordination mechanism with interested development partners and other stakeholders at the State level, which will gather field based technical experts from public and private agencies involved in health care delivery, to set the agenda in close collaboration with the SPHCDA and the SMOH and to function as its secretariat;
xiii. Create, using the implementation oriented coordination mechanism in each State, a system of ongoing intensified performance evaluations and data analysis capacities;
xiv. In close collaboration with the NPHCDA and the SPHCDAs and the States, provide inputs for a pro-active communication strategy (using all appropriate communication routes -web; radio; television-) which will showcase early PBF successes;
xv. Ensure that the PBF manual and the PIM are modified annually based on implementation experience and in close collaboration with PBF stakeholders;
xvi. Set up systems for active contract management, and strategic purchasing using the web-enabled application, based on current best practice;
xvii. Staff the State RBF technical support units with sufficient staff to carry out the core purchasing, verification, capacity building and contract management functions; adapt staffing according to local State/SPHCDA situations and staff availability;
xviii. Provide guidelines for the states and the LGAs on supervision of the DFF LGAs;
xix. Review and update NPHCDA, the World Bank and the States on the implementation of the DFF through regular quarterly reporting;
xx. Provide technical assistance to the States and the LGAs on their DLIs and score cards.
 

Technical Advisor (Health Sector Specialist/Health Economist) to the NPHCDA and RBF-TA team leader based in Abuja with the NPHCDA

Skills
Economy (Health)
duration
Long term
End recruitment
10/11/2012
Job qualification
1. MD or Economist with a Post-Graduate University degree, preferably in Public Health, MBA or Economics

2. At least 8 years of total post graduate qualification experience with the last 5 years in Health Sector projects

3. Demonstrable experience as team leader in similar high profile assignments preferably in developing countries. Demonstrable track record in success

4. Mandatory experience with designing and implementing Performance Based Financing approaches in sub Saharan Africa
Mission duration and start date
5 years
C.V. model
 

3 Health Economist/ Health Specialist – Technical Advisor  [based in each of the three States]

Skills
Economy (Health)
duration
Long term
End recruitment
10/11/2012
Job qualification
1. MD with a post graduate qualification in Public Health, MBA, or Health Economics.

2. At least 5 years of post qualification experience in projects involving Public Health management.

3. Experience with innovative models in the health sector - e.g. contracting out, results based financing

4. At least 5 years experience in public health in developing countries
Mission duration and start date
5 years
C.V. model
 

3 Project Manager  [based in each of the three States]

Skills
Economy (Health)
duration
Long term
End recruitment
10/11/2012
Job qualification
1. University Degree in an appropriate field, with a post graduate degree in Public Health, MBA or Health Economics

2. At least 5 years of experience in project management

3. Experience with leading teams

4. Demonstrable track record of success

5. Innovative and flexible personality
C.V. model
 

3 Communication (ICT) Specialist

Skills
Other
duration
Long term
End recruitment
10/11/2012
Job qualification
1 University Degree in an appropriate field, with a post graduate degree in Information Technology

1. At least 5 years of experience in project management

2. Experience with leading teams

3. Demonstrable track record of success

4. Innovative and flexible personality
Mission duration and start date
5 years
C.V. model
 
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