We improve lives
The IDB Group is a community of diverse, versatile, and passionate people who come together on a journey to improve lives in Latin America and the Caribbean. Our people find purpose and do what they love in an inclusive, collaborative, agile, and rewarding environment.
About this position
The municipal health department of São Paulo has implemented since 2019, Avança Saúde SP, with financing and support of the IDB, that modernized primary and emergency care in the city of Sao Paulo. The project implemented multiple innovations for service delivery and management including that combined digital and physical interventions to improve the access and quality of care. These included among others: a clinical, laboratory and imaging data repository integrating clinical data from health units in Sao Paulo; a patient application to schedule care and access health data, telecare (via hybrid office visits, app-based, and home-teleconsultations); standardized triage in emergency care units connecting to hybrid office or app-based visits for lower-priority cases; and a remotely supported self-monitoring program for diabetes among others. While there is evidence on the effectiveness of these types of interventions in higher-income countries, there is limited evidence from the region of the effect of these interventions at scale.
We are looking for a consultant to design an impact evaluation for Avança Saúde SP to assess its effectiveness and generate knowledge on its effects on the access and quality of health services to inform the scale-up and implementation of similar interventions in the region.
You will work in the Health, Nutrition and Population (HNP) Division, which prepares and oversees operations in borrowing member countries in the health sector (e.g., health systems strengthening, health systems financing, organization and performance, digital health transformation, etc.).
What you’ll do
Construct the implementation model of each core intervention (components, target users, delivery channels, implementation strategies, institutional arrangements, and expected pathway to impact/theory of change) based on document review, stakeholder interviews and field visits.
· Develop an integrated conceptual framework for the implementation evaluation drawing on implementation science approaches as well as their adaptations for digital health and determine which key measures are relevant for the evaluation including implementation outcomes (such as acceptability, adoption, reach, workflow integration, engagement,
equity and/or usability), service outcomes (such as those related to efficiency, effectiveness, timeliness) and client outcomes.
· Assess how existing administrative and clinical data sources routine health information systems, and administrative records could be used to measure key outcomes for the implementation evaluation.
· Determine the needs of qualitative data collection (semi-structured interviews, focus-groups, etc) to obtain key insights regarding mechanisms and implementation of the intervention and develop the necessary protocols and instruments if needed.
· Determine the methods used to identify implementation barriers and enablers, document unintended consequences, and characterize the conditions for institutionalization (policies, budgets, governance, workforce roles, procurement, data-use routines).
· Conduct field work (facility visits, interviews, and/or focus groups) with key stakeholders in the country to inform the design of the implementation evaluation.
· Prepare an implementation evaluation matrix linking evaluation questions to indicators, data sources, and methods.
· Write the study protocol for the implementation evaluation.
· Participate in and provide inputs to regular meetings with the evaluation team.
· Obtain ethical clearance (IRB) for the study if deemed necessary, including any required approvals from the National Research Ethics Commission (CONEP) or municipal ethics committees.
What you'll need
- Education: Master’s degree in economics, public policy, public health, epidemiology or equivalent. PhD degree preferred.
- Experience: At least 10 years of relevant research experience in quantitative methods and project evaluation in health or social sciences.
- Languages: Proficiency in Portuguese and English (spoken and written) is required. Working knowledge of Spanish is preferable.
Requirements
- Citizenship: You are either a citizen of Brazil or a citizen of one of our 48-member countries with residency or legal permit to work in Brazil.
- Consanguinity: You have no family members (up to the fourth degree of consanguinity and second degree of affinity, including spouse) working at the IDB, IDB Invest, or IDB Lab.
Type of contract and duration
- Type of contract: Products and External Services Consultant (PEC).
- Length of contract: 6 months.
- Work Location: Remote.
Our culture
At the IDB, we work so everyone brings their best and authentic selves to work while finding their purpose. Our people consistently strive for excellence, and we recognize and celebrate the impact of their contributions.
In our efforts to drive innovation, we intentionally include all voices, cultivate a sense of belonging and champion fairness. We welcome individuals from underrepresented groups to join us and share their unique perspectives.
We ensure that individuals with disabilities are provided reasonable accommodations to participate in the job interview process. If you require an accommodation to complete this application, please email us at.