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Sudan

Sudan

  • Organization: WHO - World Health Organization
  • Location: Sudan
  • Grade: Level not specified - Level not specified
  • Occupational Groups:
    • EM_SUD WHO Representative%27s Office, Sudan
  • Closing Date: Closed

The consultancy is requested by

Unit

Health Systems Strengthening and Health Financing Unit,

Department

DHS, WHO Country Office, Sudan

  1. Purpose of the consultancy

To assess the implementation of the WHO-NHIF health financing project "Strengthening health financing reforms to improve National Health Insurance Fund governance and extend insurance coverage to poor and refugee populations." T05-EUTF-HoA-SD-38-02 EU Delegation Agreement . The European Union funded this project, which was carried out by WHO.

  1. Background

The inauguration of the National Health Financing Policy (NHFP) in 2016 generated a strong momentum for Universal Health Coverage (UHC) in Sudan. Substantiated by the national UHC Declaration in 2017, the policy envisioned a shift towards a single purchaser system under the National Health Insurance Fund (NHIF) to improve the efficiency, quality and accountability of health services. Furthermore, the NHIF Act of 2016 established that every Sudanese should be covered by health insurance and have access to quality health care services. Despite mounting political interest and legislative initiatives to secure the right for health, these efforts were hindered by institutional and capacity constraints within NHIF. To that end, the European Union (EU) agreed a contributory agreement with the World Health Organization (WHO) to strengthen the capacity of NHIF to deliver health reforms in line with the strategic directions of the NHFP and extend insurance coverage to the most vulnerable, including refugees and internally displaced persons, especially in areas in-need supported by EU-financed partners. The agreement, entitled “Strengthening health financing reforms to improve governance of the National Health Insurance Fund and extend insurance coverage to poor and refugee populations”, aimed to generate five outputs:

  1. NHIF governance arrangements and organization structure are modernized
  2. NHIF information systems are upgraded and improved to provide necessary data for reporting and policy development
  3. Improvement of quality and process management, and development of human resource competencies
  4. Development of new provider payment mechanisms in support of the improved delivery of quality health services, and improved monitoring and evaluation
  5. EU financed projects partners are supported to extend insurance coverage to the poor, refugees, and IDPs, and participate in the accreditation of health facilities with NHIF through capacity building workshops and appropriate communications for visibility of results.

Signed on May 9, 2018, the project ran until October 10, 2020, employing various implementation modalities to produce the agreed outputs, including direct technical assistance, national and international consultancies, capacity-building, and procurement.

  1. Rationale

Point 4.5 of Annex I “Description of the Action” of the project agreement stipulates that there be one external evaluation at the end of the project implementation. In addition to being considered best practice in development cooperation, end-of-project evaluations are fundamentals to assess whether the intended results have been achieved, analyse the sustainability of outcomes, and draw lessons for future comparable actions. Moreover, the work done to design the Essential Health Benefits Package (EHBP) and propose new payment models for NHIF sits at the heart of the health reform agenda for the transitional government. It is therefore imperative to evaluate the experience and progress in the development of the EHBP and the other project outputs in line of the priorities of the draft National Health Policy and Strategic Plan 2021 – 2024 and the pollical an structurally transformative changes that took place during the project implementation.

  1. Objectives

Broadly, the end-of-project evaluation will aim to

  1. Assess the progress made towards achieving the project outputs and outcomes

  2. Explore the effectiveness of the project-introduced approaches and activities in delivering the intended results and responding to the needs of the beneficiaries

  3. Evaluate the efficiency of the project management structures and processes, including monitoring and evaluation and information, communication and visibility activities.

  1. Proposed evaluation criteria

Below are proposed criteria for the evaluation. These will be determined by the purpose of the evaluation and inform the definition of evaluation questions, methodology, and reporting of findings and recommendations.

Relevance The extent to which the objectives of an intervention are consistent with the requirements of beneficiaries, country needs, global priorities and the policies of partner organizations and donors

Effectiveness The extent to which the programme/initiative’s objectives were achieved or are expected to be achieved, taking into account their relative importance

Efficiency How economically resources/ inputs (funds, expertise, time, etc.) are converted to outputs/results

Sustainability The extent to which the results and outputs of the intervention are durable. The continuation of benefits from an intervention after major assistance has been completed, the probability of continued long-term benefits, the resilience to risk of the net benefit flows over time.

Impact Grouping of the positive and negative, primary, and secondary long-term effects produced by a development intervention, directly or indirectly, intended, or unintended.

  1. Planned Timelines:
  • Starting date: 15th of Aug 2021
  • End Date: 14th of Nov 2021
  1. Work to be performed

Deliverable 1. Prepare a consolidated and comprehensive feedback validating the evaluation scope, criteria, methodological approach, and workplan.

Deliverable 2. Submit draft evaluation report containing an analytical assessment of the results achieved, lessons learnt, conclusions and recommendations.

Deliverable 3. Develop an executive summary on the findings, recommendations and way forward strategy for dissemination, utilization and follow-up of the evaluation, including proposed key actions, responsible agents, and timeframes.

Deliverable 4. Prepare the final evaluation report considering feedback on the draft report and presented in a way that makes the information accessible and comprehensible, with evidence-based findings, conclusions, lessons learnt, and actionable recommendations.

Technical Supervision

The selected Consultant will work under the supervision

Responsible Officer:

Dr Mohammed Musa

Email:

mmusa@who.int

Manager:

Dr Nima Saeed Abid

Email:

abidn@who.int

  1. Requirements and qualifications:

Essential: University degree in medicine, public health, or equivalent in related field

Experience required:

Essential: At least 2 years’ experience in public health research or practice.

Desirable:

  • Demonstrated knowledge of health systems and policy research methods, specifically qualitative and/or mixed methods approaches.
  • Follow the principles of impartiality, independence, utility, quality and transparency
  • Demonstrated ability to produce technical reports and academic publications
  1. Place of Assignment

Khartoum, Sudan

  1. Medical clearance

The selected Consultant will be expected to provide a medical certificate of fitness for work.

  1. Travel

The Consultant is not expected to travel

All travel arrangements will be made by WHO – WHO will not be responsible for tickets purchased by the Consultant without the express, prior authorization of WHO. While on mission under the terms of this consultancy, the Consultant will receive subsistence allowance.

Visas requirements: it is the consultant’s responsibility to fulfil visa requirements and ask for visa support letter(s) if needed.

This vacancy is now closed.