NPHCDA Monitoring and Evaluation Consultant at Palladium Group

Project Overview and Role

• The UK Support to Health transformation in Nigeria through the Lafiya Programme is a flexible, demand-led strategic partnership with the Nigerian Federal and targeted State governments designed to address equity, improve and sustain health outcomes for the most vulnerable States with the worst health statistics.
• The desired objectives of the programme included fostering an enabling environment for UHC policy reform and implementation, institutional management capacity building and health system strengthening.
• This required the full engagement and participation communities with a view to contributing to ending preventable maternal and new-born deaths.
• The programme operated at the Federal level; and geographically in five states of - Borno, Jigawa, Kaduna, Kano and Yobe, and in targeted LGAs with the State. Following the ODA cuts, from 0.7% to 0.5% and the spend review handrails, the FCDO reprioritisation and business planning exercise beginning in the last quarter of 2020 the programme had to scale down some key interventions and consider reviewing the geographic scope going into 2022-2023 financial year.
• The programme will also contribute to improved Covid-19 vaccine access, early recovery and health security improved in targeted States.
• The programme now focuses on contributing to two intermediate outcomes 1) Morbidity amongst women, newborns, children and adolescents significantly reduced in targeted states and 2. Covid-19 transmission and vaccine hesitancy reduced including improved plans and capacity for emergency preparedness and response in the targeted States by delivering the following five outputs:
  • Output 1: Leadership and Governance of PHC Services structure or teams (planning and delivery) functional in targeted states
  • Output 2: Adequate health workforce for PHC including RMNCAEH and BHCPF service delivery available and sustained in targeted States
  • Output 3: Health Information Management Service capacity to support decision-making for PHC including RMNCAEH and BHCPF service delivery in targeted States
  • Output 4: Health financing and public financial management to strengthen and sustain access to high quality and affordable PHC in targeted States
  • Output 5: Increased Health Security and EPR plans developed and operationalized within the targeted States.
• The NPHCDA is responsible for the management of the NPHCDA Gateway through the BHCPF PIU, which channels 45% of the BHCPF to eligible PHCs (one per ward) as decentralized facility financing (DFF) and support for stop gap human resource interventions (midwifes and CHIPS Agents) at state level.
• As part of implementation of the NPHCDA BHCPF Gateway, there is a critical need for a robust M&E system that captures relevant data that addresses the objectives of the BHCPF and the theory of change which proposes that with direct funding to the frontlines, local needs can more readily be met leading to improved utilization and quality of care at the PHC facilities.
• Lafiya programme will be supporting NPHCDA BHCPF Gateway with an embedded M&E Technical Assistant in the review of the M&E mechanism and establishing a more robust functional M&E system.
• A functional M&E system would provide evidence base for decision making on effective and efficient RMNCAEH services within the BHCPF structure that impacts on reducing morbidity significantly among women, new-born, children, adolescents in targeted states which is one of Lafiya's Intermediate Outcome.
• Location: The M&E Technical Assistant will be based in Abuja and work at the National BHCPF PIU.

Scope of Work

• Support the review and strengthening of the NPHCDA Gateway M&E framework and monitor its implementation.
• Undertake review of existing indicators.
• Develop/adopt an electronic platform for Gateway M&E data collection and develop an automated analysis templates for ease of reporting and feedback.
• Support routine data analysis and reporting and build capacity of the PIU to do same.
• Review quarterly M&E reporting templates, and programme reporting template by states; and in the first instance support the development of quarterly M&E reports to ensure the PIU M&E imbibe the necessary skill set to seamless report on evidence and status of programme implementation based on data.
• Support and track implementation of all processes of BHCPF M&E activities.
• Working through the PIU’s M&E team, support provision of technical support by the national team to the states.
• Support the development, upgrading and functionality of required/existing Data bases at the PIU
• Provide weekly updates and report to the PIU Program Lead and through the PIU Programme Lead to Lafiya Federal Technical Lead on all activities and tasks conducted alongside the M&E team
• Participate in all relevant assignments for effective implementation of the NPHCDA gateway M&E and as assigned by the Programme Lead.

Deliverables

• Revised NPHCDA -BHCPF M&E Framework and indicators addressing administrative and service utilization outputs including RMNCAEH.
• Establish a functional M&E automated analytic platform.
• Upgraded quarterly M&E reporting templates, reports and feedback system.
• Demonstratable functionality of new and existing PIU data bases related to M&E.
• Weekly updates and reports provided to the PIU Program Lead on all activities and tasks alongside the M&E team.
• Comprehensive report of assignment undertaken at the end of Consultancy submitted through the PIU Program Lead to the Lafiya Technical Lead.

Required Qualifications

• Post qualification experience in Public Health, Biostatistics, Health Economics or Health Care Financing, Health Planning and Management or related qualifications.
• Advance qualification and/or senior level working experience in health programme monitoring and evaluation.
• Advance knowledge and skills in MS word, excel and power point and statistical software packages like SPSS, STATA and the use of such apps like ODK or related data collection instruments.
• Knowledge of Nigerian health system and proven experience building national and sub-national capacity of government, service providers and civil society organizations.
• Demonstrable evidence of capacity transfer to PIU M&E team.
• Strong performance management skill set.
• Excellent oral and written communication skills in English. Must be able to work under pressure.
• Basic research knowledge.