Job Vacancies at The World Health Organization (WHO)

Ref Id: 1903990
Location: Sokoto
Grade: No grade
Contractual Arrangement: Individual service contractor
Contract duration: 35 days
Organization: AF_NGA Nigeria
Schedule: Full-time 

Objective

• To achieve more health for the money through Public Finance Management reforms including Program Based Budgeting (PBB), thereby creating a replicable model of PFM reform in the health sector.

Rationale

• Nigeria is currently not on track towards Universal Health Coverage (UHC). The sub-optimal performance of Nigeria’s health system can be attributed to the poor financing of the required investments for delivery and management of health services. With General Government Health Expenditure (GGHE) as a percentage of the General Government Expenditure (GGE) at 5.9% (Federal), 4.2% (States), and 3.8% (LGAs), Nigeria is still far from Abuja Declaration of 15% spending on health.
• Available evidence suggest that favorable macro fiscal dynamics, reprioritization and efficiency savings are the most potent ways of expanding fiscal space for health in Low-and Middle-Income Countries (LMICs). Addressing inefficiency in health sector could prove very useful as competing priorities of government could make it difficult for the health sector to fully benefit from favorable macro fiscal dynamics and reprioritization.
• Between 30-40% of health resources is wasted and common areas of inefficiency include, Human Resources for Health, commodity procurement and supply management and health system organization. Demand side strategic purchasing which ties spending to purchase of needed services that are most effective has been recognized as potent tool for enhancing efficiency of demand-side financing. However, the bulk of government spending in Nigeria is channel through supply-side as the health insurance penetration is still very low. Therefore, the need to prioritize supply-side strategic purchasing cannot be overemphasized.
• Adjusting Public Financial Management (PFM) structure by migrating to Program Based Budgeting which allows linkages between health funding and health outcomes is a promising approach for allocating resources to program areas that will bring highest level of impact and provide opportunity for efficient budget execution and revolutionize budget tracking.
• While World Bank and other partners have provided support that enables some states to develop administrative code as part of advancement towards International Public Sector Accounting Standard (IPSAS), states are yet to develop program code that will enable Program Based Budgeting and where program code exist it’s not used as the basis for budget, allocation, execution and monitoring. Another related PFM initiative in the horizon is Integrated Financial Management System (IFMS) which among other things, will ensure migration from paper based to fully automated financial accounting and reporting.

Scope of work

• Design of scoping protocol
• Desk review of available relevant documents on PFM processes and reforms at Sokoto State level
• Engage with relevant institutions in Sokoto State namely the Ministry of Finance, Sokoto State Ministry of Budget and Economic Planning, Accountant General of the State, Auditor General, State Ministry of Health and relevant development partners, etc.
• Review of Budget allocation, execution and monitoring process in Sokoto State;
• Conduct a stakeholders’ workshop on PFM processes and introduction of PBB including electronic systems
• Synthesis of evidence using health financing data (budget and expenditure) and health outcomes in Sokoto State to develop a scorecard
• Develop State Operational Guidelines for PFM Systems
• Collaborate with the Consultant working on the PFM of Sokoto State
• Report writing

Specific Deliverables

• Scoping report protocol
• Scoping Report detailing:
  • Analysis report of Sokoto State PFM processes including allocation, execution and monitoring and identification of PFM challenges
  • Analysis report of ongoing PFM interventions at national and sub national levels
  • Mapping of institutions that play important role in PFM reforms at the national and sub national levels
• Established mechanisms for PBB in Sokoto State including coordination platforms and electronic systems
• Report of evidence synthesis and scorecard using health financing data (budget and expenditure) and health outcomes in Sokoto State
• State Operational Guidelines for PFM Systems
• Identification of intervention elements and opportunities for reforms
• PowerPoint presentation on the products
• A detailed consultancy report

Required Skills, Qualifications, and Experience

• Essential: Advanced University degree in Health Financing/Economics, Public Health, or other related area.
• At least 5 years’ experience and technical expertise in Public Health, Health Financing, Public Finance Management, costing, economic evaluations, health policy and strategy development, planning, monitoring and evaluating health systems
• Desirable: At least 10 years’ experience and technical expertise in Public Health, Health Financing, Public Finance Management, costing, economic evaluations, health policy and strategy development, planning, monitoring and evaluating health systems
• Extensive Knowledge of Nigeria’s health system and health financing landscape
• Previous experience in the design and implementation of Public Financial Management interventions in Nigeria will be an advantage
• Performance of similar assignment with WHO will be an advantage
• Demonstrated ability to provide sound methodological and technical advice and guidance to multiple stakeholders and partners in Nigeria
• Demonstrated ability to analyze political contexts, interact, and negotiate effectively with multiple interests at the political level.
• Demonstrated ability to work effectively with the Ministry of Health, Ministry of Finance, Budget and Planning, and with a wide variety of stakeholders at the country, State, and LGA levels
• Proven ability to interact effectively at the political level with multiple high level Stakeholders
• Demonstrated ability to innovate, integrate, synthesize and communicate complex concepts and ideas verbally and in writing.
• IT Proficiency is essential.

Breakdown of the number of days for technical assistance
Tasks - Days - Output/Deliverable:

• Submit consultancy work plan - 1 - Consultancy Work plan
• Conduct planning Meetings - 2 Planning Meeting reports
• Design of scoping protocol - 2 - Draft scoping tool
• Desk review of available relevant documents on PFM processes and reforms at national and state level - 4 - Report of desk review
• Facilitate stakeholders’ consultations including key informant interviews and workshop at both states and national level - 10 - Report of key informant interviews and stakeholders’ meetings, Workshop report
• Review of Budget allocation, execution and monitoring process at National level and in Sokoto State - 5 - Report of PFM process review
• Conduct evidence synthesis using health financing data (budget and expenditure) and health outcomes in National and Sokoto State to develop a scorecard - 3 - Report of evidence synthesis and scorecard using health financing data (budget and expenditure) and health outcomes in National and Sokoto State
• Develop State Operational Guidelines for PFM Systems - 5 - Draft Sokoto State PFM Operational Guidelines
• Write detailed technical report detailing analysis of National and Sokoto State PFM processes, ongoing PFM reforms at the national and state level and mapping institutions including PowerPoint presentation - 2 - Draft Technical Report, PowerPoint presentations on consultancy report
• Write a comprehensive consultancy process report - 1 - Consultancy Report.

Remuneration
The Contractor will be paid at the level of NOC Step 1 converted to daily rate of NGN64,301 for 35 days.

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Job ID: 1903985
Location: Anambra
Grade: No grade
Contractual Arrangement: Individual service contractor
Contract duration: 20 days
Schedule: Full-time

Objective

• To achieve more health for the money through Public Finance Management reforms including Program Based Budgeting (PBB), thereby creating a replicable model of PFM reform in the health sector.

Rationale

• Nigeria is currently not on track towards Universal Health Coverage (UHC). The sub-optimal performance of Nigeria’s health system can be attributed to the poor financing of the required investments for delivery and management of health services. With General Government Health Expenditure (GGHE) as a percentage of the General Government Expenditure (GGE) at 5.9% (Federal), 4.2% (States), and 3.8% (LGAs), Nigeria is still far from Abuja Declaration of 15% spending on health.
• Available evidence suggest that favorable macro fiscal dynamics, reprioritization and efficiency savings are the most potent ways of expanding fiscal space for health in Low-and Middle-Income Countries (LMICs). Addressing inefficiency in health sector could prove very useful as competing priorities of government could make it difficult for the health sector to fully benefit from favorable macro fiscal dynamics and reprioritization.
• Between 30-40% of health resources is wasted and common areas of inefficiency include, Human Resources for Health, commodity procurement and supply management and health system organization. Demand side strategic purchasing which ties spending to purchase of needed services that are most effective has been recognized as potent tool for enhancing efficiency of demand-side financing. However, the bulk of government spending in Nigeria is channel through supply-side as the health insurance penetration is still very low. Therefore, the need to prioritize supply-side strategic purchasing cannot be overemphasized.
• Adjusting Public Financial Management (PFM) structure by migrating to Program Based Budgeting which allows linkages between health funding and health outcomes is a promising approach for allocating resources to program areas that will bring highest level of impact and provide opportunity for efficient budget execution and revolutionize budget tracking.
• While World Bank and other partners have provided support that enables some states to develop administrative code as part of advancement towards International Public Sector Accounting Standard (IPSAS), states are yet to develop program code that will enable Program Based Budgeting and where program code exist it’s not used as the basis for budget, allocation, execution and monitoring.  Another related PFM initiative in the horizon is Integrated Financial Management System (IFMS) which among other things, will ensure migration from paper based to fully automated financial accounting and reporting.

Scope of work

• Design of scoping protocol
• Desk review of available relevant documents on PFM processes and reforms at Anambra State level
• Engage with relevant institutions in Anambra State namely the Ministry of Finance, Anambra State Ministry of Budget and Economic Planning, Accountant General of the State, Auditor General, State Ministry of Health and relevant development partners, etc.
• Review of Budget allocation, execution and monitoring process in Anambra State;
• Conduct a stakeholders’ workshop on PFM processes and introduction of PBB including electronic systems
• Synthesis of evidence using health financing data (budget and expenditure) and health outcomes in Anambra State to develop a scorecard
• Develop State Operational Guidelines for PFM Systems
• Collaborate with the Consultant working on the PFM of National and Sokoto State
• Report writing.

Specific Deliverables:

• Scoping report  protocol
• Scoping Report detailing:
  • Analysis report of Anambra State PFM processes including allocation, execution and monitoring and identification of PFM challenges
  • Analysis report of ongoing PFM interventions at national and sub national levels
  • Mapping of institutions that play important role in PFM reforms at the national and sub national levels
• Established mechanisms for PBB in Anambra State including coordination platforms and electronic systems
• Report of evidence synthesis and scorecard using health financing data (budget and expenditure) and health outcomes in Anambra State
• State Operational Guidelines for PFM Systems
• Identification of intervention elements and opportunities for reforms
• PowerPoint presentation on the products
• A detailed consultancy report

Breakdown of the number of days for technical assistance    
Tasks, Days and Output/Deliverable:

• Submit consultancy work plan, (Day: 1): Consultancy Work plan
• Conduct planning Meetings, (Day: 1): Planning Meeting reports
• Design of scoping protocol, (Day: 1): Draft scoping tool
• Desk review of available relevant documents on PFM processes and reforms at national and state level, (Day: 1): Report of desk review
• Facilitate stakeholders’ consultations including key informant interviews and workshop at both states and national level, (Day: 1):  Report of key informant interviews and stakeholders’ meetings
• Review of Budget allocation, execution and monitoring process in Anambra State, (Day: 1): Report of PFM process review
• Synthesize findings and recommendations from desk review and key informant interviews, (Day: 1): Synthesis findings and recommendations
• Develop State Operational Guidelines for PFM Systems, (Day: 1): Draft State PFM Operational Guidelines
• Write detailed technical report detailing analysis of Anambra State PFM processes, ongoing PFM reforms at the national and state level and mapping institutions including PowerPoint presentation:, (Day: 1) Draft Technical Report, PowerPoint presentations on consultancy report
• Write a comprehensive consultancy process report, (Day: 1): Consultancy Report

Required Skills, Qualifications, and Experience

• Essential: Advanced University degree in Health Financing/Economics, Public Health, or other related area.
• At least 5 years’ experience and technical expertise in Public Health, Health Financing, Public Finance Management, costing, economic evaluations, health policy and strategy development, planning, monitoring and evaluating health systems
• Desirable: At least 10 years’ experience and technical expertise in Public Health, Health Financing, Public Finance Management, costing, economic evaluations, health policy and strategy development, planning, monitoring and evaluating health systems
• Extensive Knowledge of Nigeria’s health system and health financing landscape
• Previous experience in the design and implementation of Public Financial Management interventions in Nigeria will be an advantage
• Performance of similar assignment with WHO will be an advantage
• Demonstrated ability to provide sound methodological and technical advice and guidance to multiple stakeholders and partners in Nigeria
• Demonstrated ability to analyze political contexts, interact, and negotiate effectively with multiple interests at the political level.
• Demonstrated ability to work effectively with the Ministry of Health, Ministry of Finance, Budget and Planning, and with a wide variety of stakeholders at the country, State, and LGA levels
• Proven ability to interact effectively at the political level with multiple high level Stakeholders
• Demonstrated ability to innovate, integrate, synthesize and communicate complex concepts and ideas verbally and in writing.
• IT Proficiency is essential

Financial Implication of the Agreement

• The Contractor will be paid at the level of NOC Step 1 converted to daily rate of NGN64,301 for 20 days.

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Job ID: 1903987
Location: Anambra
Grade: No grade
Contractual Arrangement: Individual service contractor
Contract duration: 17 days
Schedule: Full-time

Objective

• The overall objective of the assignment is to support the training of the Anambra State Health Account Team led by the Healthcare Financing Equity and Investment Unit and relevant Staff of the Anambra SMOH on Onehealth Tool and STATA.

Rationale

• WHO Nigeria through funding from the EU, under the “Strengthening of the Nigerian Health System for Primary Healthcare Delivery Project” has set up systems to facilitate estimation of healthcare expenditure in Anambra state. These includes the establishment of a health finance unit, a healthcare technical working group, training of SMoH stakeholders on sustainable healthcare financing, development of a state health account and policy and strategy. The next essential activity to further strengthen the system is to train healthcare finance stakeholders on the use of One Health Tool (OHT) and STATA
• Onehealth tool is a software application developed to support countries to estimate the resource requirements for a comprehensive and integrated national health strategic plan. The tool allows users to project health sector needs for years into the future, plan budgets, plan for numbers needed of specific health care providers, plan the number of units and costs of pharmaceuticals that will be needed, identify where bottlenecks are likely to occur in the projection and planning, interventions to apply to problems, and various other mapping tools for any selected country. It is thus primarily intended to inform sector wide national strategic health plans and policies.
• STATA is a statistical tool of analysis which is critical in completing Health Account Studies. After the training, participants would be able to support and sustain tracking of core health system resources along the continuum of Anambra State SHDP II including the conduct of annual health account studies.

Roles and Responsibilities 

• Provide technical support for training of the Anambra State Health Account Team led by the Healthcare Financing Equity and Investment Unit and relevant Staff of the Anambra SMOH on Onehealth Tool and STATA.

Key Deliverables:

• Training Agenda
• PowerPoint presentation and other training materials (aids)
• Consultancy report including challenges and recommendations for the WCO.

Breakdown of the number of days for technical assistance   
Tasks, Days and Output/Deliverable:

• Planning Meetings, (Day: 5): Training Agenda/Training Materials
• OHT Training, (Day: 5): OHT Training Report/Attendance Sheet
• OHT Training Report/Attendance Sheet, (Day: 5): STATA Training Report/Attendance Sheet
• Report Writing, (Day: 2): Comprehensive Consultancy Report

Education Requirements

• University Degree in Public Health, Health Economics, Health Services Management, Social Sciences, Economics, Data Management, and related disciplines.
• Relevant training in OneHealth Tool, STATA, System of Health Accounts, Health Management, planning, and leadership.

Experience:

• Up to 3 years of working experience in health systems, health economics, data management, health planning, and use of OneHealth Tool, STATA, System of Health Accounts and related analytical tools.

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Ref Id: 1903991
Location: Nigeria
Contractual Arrangement: Individual service contractor
Contract duration: 20 days
Organization: AF_NGA Nigeria
Grade: No grade
Schedule: Full-time 

Objective

• To conduct a Fiscal Space Analysis for the Federal Ministry of Health

Rationale

• The current effort of the FMOH in coordinating health systems reforms is an effort that needs commendation. The National Health Accounts 2017 still shows low government spending/expenditure in health at all levels.
• To address limitations of funding to the health sector in Nigeria, there is a need to further analyze the resource needs estimates and financing plans for health priorities in line with the National Strategic Health Development Plan (NSHDP II) and use that analysis to identify the largest challenges and inform strategies for closing fiscal gaps. T
• hese strategies are intended to be shared with domestic and external sources of funding and help ensure that the FMOH is adequately funded through 2030 to ensure that set targets are achieved.

Scope of work

• This consultant will determine and revise original resource needs estimates of the NSHDP II and key health financing estimates at the Federal Level, review and update alternative projections and scenarios, review and update estimate of the overall funding gap, and analyze the scope for increasing domestic financing for health in FMOH.

Specific Tasks
Undertake a desk review/literature review of relevant documents and local research and conduct analysis of current situation in FMOH:

• Enrich the desk review with stakeholder analysis, qualitative and quantitative data collection using developed tools engaging with the FMOH, NHIS, NPHCDA, other MDAs (Finance, Budget & National Planning, Justice, Labour, etc), CSO, private sector, etc.
• Conduct fiscal space analysis by revising original resource needs estimates of the NSHDP II and key health financing estimates at the Federal level, revising and , updating alternative projections and scenarios; revisisng and updating estimates of the overall funding gap, and analyzing the scope for increasing domestic financing for health in FMOH.
• Produce a report of the Fiscal Space analysis in FMOH
• Share and validate the fiscal space analysis report with stakeholders in FMOH
• Use report of the fiscal space analysis to produce scientific paper and policy briefs towards development of the State Health Financing Policy and Strategy.
• Participate in the development of the State Health Financing Policy and Strategy.

Required Skills, Qualifications, and Experience

• Essential: Advanced University degree in Health Financing/Economics, Public Health, or other related area.
• Over 5 years Technical expertise in health policy and strategy development, planning, monitoring and evaluating health systems
• Extensive Knowledge of Nigeria’s health system, and health financing landscape
• Previous experience in the development of Health Policy, and Health Financing Policy and Strategy is mandatory.
• Previous conduct of costing exercises and economic evaluations is essential
• Demonstrated ability to provide sound methodological and technical advice and guidance to multiple stakeholders and partners in Nigeria
• Demonstrated ability to analyze political contexts, interact, and negotiate effectively with multiple interests at the political level.
• Demonstrated ability to work effectively with the Ministries of Health, Finance, Budget and Planning, and with a wide variety of stakeholders at the country, State, and LGA levels
• Proven ability to interact effectively at the political level with multiple high level Stakeholders
• Demonstrated ability to innovate, integrate, synthesize and communicate complex concepts and ideas verbally and in writing.
• IT Proficiency is essential.

Breakdown of the number of days for technical assistance
Task - Days - Output/Deliverable:

• Inception Meeting - 2 - Meeting Report
• Desk/literature Review - 3 - Desk review report
• Data Collection - 5 - Fiscal Space Data set
• Fiscal Space Analysis - 3 - Draft Fiscal Space Report
• Stakeholders’ Consultation & Validation - 1 - Validated Fiscal Space Report
• Finalize Fiscal Space Report - 2 - Final Fiscal Space Report
• Develop Scientific Paper/Policy Briefs - 2 - Scientific Paper/Policy Briefs
• Report Writing - 2 - Final Consultancy Report.

Financial Implication of the Agreement
The Contractor will be paid at the level of NOC Step 1 converted to daily rate of NGN64,301 for 20 days.