International Consultancy for Documentation of new type of payment from MHIF to hospitals for services provided to young children within first 24 hours of hospitalization

Bishkek

UNICEF in Kyrgyz Republic seeks consultant for Documentation of new type of payment from MHIF to hospitals for services provided to young children within first 24 hours of hospitalization

If you are a committed, creative professional and are passionate about making a lasting difference for children, the world's leading children's rights organization would like to hear from you.

For 70 years, UNICEF has been working on the ground in 190 countries and territories to promote children's survival, protection and development. The world's largest provider of vaccines for developing countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS. UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments.

SСOPE OF WORK

In line with the activities planned within RWP 2016-2017, and within Outcome 1: Equitable, Quality and Responsive Systems for Children and Output 1.1.1. to conduct assessment of outcomes of the project.

This consultancy aims to engage an expert to document the process of the development of the new type of payment to hospitals for provision of health services to young children within first 24 hours of hospitalization in order to ensure their access to the good quality hospital based services.

Justification

The documentation of the best practice will serve as an advocacy tool to show the impact of UNICEF supported intervention in the ongoing health system strengthening process in Kyrgyzstan.

It will also be used as a part of the review process to assess achievements and provide recommendations both to UNICEF and partners from the MoH and MHIF to ensure sustainability of the initiative.

Objective

The objective of the consultancy is:

To analyze the results of the pilot and all phases of the process (scaling to the provincial level hospitals and all rayon level hospitals). It will be important to capture the methodologies, processes and impact of the implementation of the new type of payment on effectiveness of the functioning of the hospital/system and tendencies in the utilization of the hospital level health services by sick children.

The specific tasks are:

  • Develop and submit a plan of the process to UNICEF for review and clearance before arrival;
  • Travel to the field and gather information related to this project on a level of health facilities and patients;
  • Carry out interviews with stakeholders- national, provincial or district level and patients on the processes, methodology and impact of the new type of payment and services;
  • Produce two type of documents: one documentation of the results achieved within the project and second one – the article for peer reviewed journal based on that documentation.

Methodology & Expected Output

  • The process of documenting of the new type of payment from MHIF should be maintained in a collaborative, consultative and coherent manner. To this end, guiding principles such as; meaningful consultation with stakeholders and regular communication, at all levels, have to be adopted.
  • The Consultant will be responsible for analyzing available information and guide local partners in the collection of needed information. The Consultant is expected to provide tables with indicators which should be filled by local consultant. This tables should be provided for filling at least one month before arrival to the country. Local expert will collect this data and share with the Consultant before his/her arrival.
  • The Consultant will be expected to travel to at least 2-3 rayon hospitals and 1 hospital in the capital city Bishkek. The Consultant will be required to work closely with the respective implementing partners (MHIF, MOH, UNICEF), hospital management, staff and mothers of hospitalized children.
  • The timeline for expected deliverables:
  • Conceptual framework development – 2 days
  • Qualitative data collection –collection of the qualitative data based on filling of template based data collection - 4 days including in country travel. Meeting with UNICEF, MHF, Hospital staff interview/or FGDs, caregivers FGDs
  • Report writing - 7 days
  • Writing of article for a peer-reviewed journal - 5 days
  • Total time for completion of expected deliverables – 18 days

Draft template for the documentation of best practice:To ensure readability and a clear presentation of what makes a practice innovative, interesting, informative and, indeed, a "Best Practice", the following format should be used:

  1. Title of the "Best Practice" This should be concise and reflect the practice being documented.
  2. Introduction This should provide the context and justification for the practice and address the following issues:
    1. what is the problem being addressed?
    2. which population is being affected?
    3. how is the problem impacting on the population?
    4. what were the objectives being achieved
  • Implementation of the Practice
  1. what are the main activities carried out? This will require mapping of all interventions from UNICEF, other involved actors and MHIF, UNICEF Health Specialist and UNICEF National Consultant will provide necessary information
  2. when and where were, the activities were carried out?
  3. who were the key implementers and collaborators?
  4. what were the resource implications? (information will be provided by UNICEF and MHIF)
  • Results of the Practice – Outputs and Outcomes
    1. what were the concrete results achieved in terms of outputs and outcomes?
    2. Results of an monitoring visits?
  • Lessons Learnt - what worked really well
    1. which factors facilitated and/or hampered achieving good results? UNICEF specialist will organize work group discussion to indicate lessons learnt from the position of MHIF and MoH;
  • Conclusion
  1. how have the results benefited the population?
  2. why that intervention may be considered as a "Best Practice"?
  3. recommendations for those intending to adopt the documented "Best Practice" or how it can help people working on the same issue(s). 

REPORTING STRUCTURE : The Consultant will be working closely with UNICEF Health Specialist. 

UNICEF's supervisor will regularly communicate with the consultant and provide formats for reports, feedback and guidance on his/her performance and all other necessary support so to achieve objectives of the consultancy, as well as remain aware of any upcoming issues related to consultant's performance and quality of work. UNICEF's supervisor also will be responsible for the effective work of international consultant, which will be responsible for the collection of all necessary data.

DELIVERABLES: The Consultant will be expected to complete following deliverables with local experts to meet the above-mentioned tasks and duties:

    • best practice documentation report with payment of 30% of the fee
    • article for peer reviewed article with payment of the rest 70% of the fee  

PERFOMANCE INDICATORS: Consultant's performance of work will be evaluated primarily based on the following indicators:

  • Completion of tasks and deliverables specified in the ToR;
  • Good quality of submitted document;
  • Initiative, independence, due diligence, timeliness, appropriate delivery of results;
  • Highest professional standards of work with national counterparts, UNICEF CO and DPs;
  • Good cooperation with national authorities, UNICEF and DPs;
  • Organizational capacities, time-management skills demonstrated.

DUTY STATION AND TRAVEL : Bishkek, Kyrgyzstan including travel to the fields (in Chui and Osh provinces)

If UNICEF determines that the Consultant needs to travel in order to perform his or her assignment that travel shall be specified in the contract and the Consultant's travel costs shall be set out in the contract. In cases where travel costs have not been set out in the individual contract, the consultant and individual contractors are expected to submit, within ten days of completion of a specific travel, a voucher for reimbursement of travel expenses to the appropriate Operations / Human Resources manager.

Reimbursements shall only be processed if travel was duly authorized in the individual contract or by an authorized manager of the contracting division or office, in writing and prior to the travel. Consultants and individual contractors are responsible for assuming costs for obtaining visas and travel insurance.

Travel paid for by UNICEF in advance, and travel costs reimbursed after travel, shall be based on economy class travel, regardless of the length of travel, subject to exceptional approval of business class travel by the Head of Office/ Division Director, for example for medicals reasons when certified by UN Medical Services in New York.

Costs for accommodation, meals and incidentals shall not exceed applicable daily subsistence allowance (DSA) rates, as promulgated by the International Civil Service Commission (ICSC).

DURATION : Tentative timeline for deliverables: This consultancy is envisaged for 4 w/ds in country and 14 w/ds out of the country within the period of April – June 2017.

ESTIMATED BUDGET AND SOURCE OF FUNDING : To be proposed by an applicant. The consultant will be selected based on the "best value for money" approach. 

Consultant has to submit to UNICEF all relevant documents such as: plan, best practice documentation report and article for peer-reviewed journal in English. Consultant will provide consultations in a remote regime through phone and skype conferences as well as e-mails as well as onsite before and after visits to Kyrgyzstan.

The fees (30% for the first deliverable and 70% for the second deliverable) will be paid by UNICEF upon provision of the deliverables outlined above along with the final document submission and the invoice per each deliverable provided by the consultant. UNICEF will pay the travel lumpsum through bank transfer.

  1. Academic Qualifications:

This assignment will require a senior International expert with extensive experience of working in the Public Health, Health financing area,

  • Medical/Public Health degree with any qualifications in Health management or Health financing. MBA (Finance) or MA/MS in economics, health financing or public health or fields related to that.
  1. Professional Experience in the area of Public Health/Health Financing:
  • Minimum 5 years of experience in the conduction/facilitation of the evaluation/assessment of the projects/programs in the area of Child Health/Public Health, Health system strengthening or Health Financing;
  • Proven experience in the analyzing of programmes related to Child Health is mandatory;
  • Excellent management, communication, facilitation and inter personal skills;
  • Previous experience of working in Kyrgyzstan is a strong asset;
  • Experience of interviewing of senior government officials at central and or state level is necessary;
  • Experience of working with UNICEF is mandatory.

Please indicate your ability, availability and daily/monthly rate (in US$) to undertake the terms of reference above (including travel and daily subsistence allowance, if applicable).  Applications submitted without a daily/monthly rate will not be considered.

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organisation.

Before applying, please make sure that you have read the requirements for the position and that you qualify.
Applications from non-qualifying applicants will most likely be discarded by the recruiting manager.
Apply
  • Organization: UNICEF - United Nations Children’s Fund
  • Location: Bishkek
  • Grade: Junior - Internationally recruited position - Junior level
  • Occupational Groups:
    • Statistics
    • Youth
    • Children's rights (health and protection)
    • Social Affairs
    • Statistics
    • Youth
    • Children's rights (health and protection)
    • Social Affairs
  • Closing Date: 2017-03-07

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