Consultant to develop health financing strategy for Zanzibar – (2204771)
Contractual Arrangement: External consultant
Contract Duration (Years, Months, Days): 66 DAYS
: May 20, 2022, 1:25:44 PM
: Jun 10, 2022, 11:59:00 PM
: Tanzania, United Republic of-Zanzibar
: AF_TZA Tanzania
IMPORTANT NOTICE: Please note that the deadline for receipt of applications indicated above reflects your personal device’s system settings.
Purpose of the consultancy
Fair and sustainable financing is essential for achieving Universal Health Coverage. The overall health policy objective is to ensure that all Zanzibaris have access to quality and equitable health services rendered in a cost effective and affordable manner.
The World Health Report in 2010, expressed the need to ensure that people can obtain the health care services they need without the fear of being impoverished in paying for them. In Zanzibar, health financing reform was explored from early 2000 by considering other options of financing health care such as cost sharing in government health facilities. They were more consolidated during the year 2013/14 when a feasibility of introducing National Health Insurance Scheme was undertaken. The report shows that it is possible, and the design of the scheme was completed. The proposed National Health Insurance Scheme was suspended in 2019 since the government was not in agreement with the proposed scheme which is contributory. The new administration in 2021 decided to revive the scheme. The new scheme i.e Zanzibar Health Insurance Scheme is now in advanced stage.
The government wishes to come up with a strategy that will outlines appropriate sources of health financing that ensure the health needs of people are met to all with without financial barrier and health provision is made much more efficient and effective by adopting strategic purchasing over the next the next 5-10 years. Presently, the health system is affected by multiple inefficiencies, including but not limited to structural inefficiencies such governance, unavailability of one national insurance, and health system fragmentation. These inefficiencies affect the revenue raising and pooling efforts needed for optimized and resilient health financing. Strategies to address this are required.
To meet these needs the Ministry of Health in Zanzibar embarked on a number of initiatives and reforms. It was further resolved that these reforms should be done in a comprehensive and systematic way. This necessitates the development of a medium to long term health financing strategy. So far, some analytical work has been done through various studies which will be used as inputs to the strategy; the studies include NHAs, PERs, Household Budget Surveys, HF Policy Note, HF System Analysis, and a costed Essential Health Package, among others. Furthermore, four Preparatory Workshops have taken place; the first with members of the Health Financing Technical Working Group, the second and third with health financing stakeholders and the fourth with Senior Management in the Ministry of Health. These workshops focused on health financing concepts, principles and values guiding reform and what could be learned from country’s Health Financing Strategies and their implementation.
Scope and Methodology
The work will include reviewing of “minimum” benefit packages based on source of funding considering the roles of tax, social and private health insurance and out-of-pocket payments. Deciding on the structure of the insurance market, i.e. define the roles of Health Insurance and individual insurers; extent of management/decision rights at public providers taking into account the need for efficient management and necessary human capacities; Define the role of performance oriented financing and identify reform potentials recognizing the role of management autonomy;
Evaluate and define the role of equity-oriented financing and identify reform potentials with a special focus on the role of the budget and formula funding. Develop a plan for including the poor and vulnerable in social health protection
The consultancy is expected to:
Summary of Assigned Duties:
The Main objective of the consultancy will be to assist the Ministry of Health to develop a medium- to long-term Health Financing Strategy to facilitate achievement of universal coverage.
Essential: Fluency in both English and Swahili language.
Desirable: Working knowledge of other UN language is an added advantage.
Essential: Masters’ Degree in Public Health or Health Economics or above
Desirable: Ph.D. in Public Health or Health Economics is an added advantage.
The Consultant must have at least 5 – 7 years’ experience on health financing related tasks.
At least 5 years in developing of health financing strategies
The Consultancy firm or individual for this assignment must have the following qualifications;
SKILLS AND COMPETENCIES
Other Skills (e.g. IT):
Basic IT skills is a requirement: Good command of MS office software: Word, Excel, Access, PowerPoint and use of the Internet.
PLACE OF ASSIGNMENT