Terms of Reference(ToR) Technical Officer Consultant for SHP Pilot Denpasar
Background
Tuberculosis (TB) is a major health problem in Indonesia. Althoughthere has
been a 19% mortality decline from 2007 to 2017, TB remains theleading cause of
death by communicable diseases. The Government of Indonesiahas adopted the
global commitment to end TB by 2030, and now must decide whatto prioritize and
how to deliver. From 2017 – 2020 the Center for Financing andHealth Insurance
(PPJK) of Ministry of Health (MoH) led analytical works ofmulti-stakeholders
(Tim perumus) including development of TB Strategic HealthPurchasing (SHP)
pilot design.
The Tim Perumus outlined priority service delivery objectives for TBand
identified health financing bottlenecks to achieving those objectives. TheSHP
team supported analysis, formulation and validation of options, anddeveloped
recommendations for achieving better TB outcomes using more strategichealth
purchasing. After finalizing the recommendations, the SHP team looksforward to
conducting pilot preparation and implementation in the selecteddistricts from
2020 to 2023. During the design and implementation preparation (ToT on SHP
governancemanual) period, an observation will be conducted to capture
stakeholderconcerns and respond to them. It includes gathering insights for the
furtherimplementation arrangement.
The Director of Communicable Diseases of theMinistry of Health had selected two
pilot districts for TB SHP which are KotaMedan, North Sumatra and Kota
Denpasar, Bali. Pilot preparation in Denpasarbegan in January 2021 and should
be completed by the end of Q3 2021. Adjustmentto the contracting arrangements
are expected to come first at Q4 2021, followedby the implementation of new
payment arrangements in 2022.
The design and implementation of TB SHP are supportedby two USAID projects –
The Health Financing Activity and the TB for PrivateSector (TBPS) project. The
HealthFinancing Activity is responsible for leading design, national
coordination andanalytical works, and providing technical input to the
development of modulesrelated to capacity building and advocacy in regional
level. TBPS isresponsible for initial assessment at district level, district
coordination andfacilitation of the SHP pilot process at district level,
including personnelsupport, data collection, and coordination with district
authorities related toSHP works.
This Technical Officer Consultant will be working under USAID TBPS tofacilitate
the TB SHP pilot in Kota Denpasar, Bali. The consultant will beworking closely
with USAID TBPS’ District Technical Officer (DTO) for Denpasarin coordination
with USAID HFA. This consultant will be administrativelyresponsible to the
Technical Monitor from FHI 360, but the day-to-day managerwill be the Health
Financing Officer from R4D.
Scopeof Work
Key activities TechnicalOfficer Consultant for SHP Pilot at each District*
- Lead outreach to key stakeholders at the district level
a. Facilitateproject engagement with key stakeholder groups, including
professionalassociations
b. Providetechnical and coordination support to SHP team including meeting
organization,drafting agendas and materials as needed
c. Gather relevant information during thetechnical design development of
a Strategic Health Purchasing pilot for TBhealth services
d. Liaise withpartner organizations and project counterparts to
coordinate, align, and buildon analytical and technical input
to SHP processes and health financingobjectives
- Contribute to technical design elements of the pilot manual
a. Review andpropose additions and/or revisions for sections of the
technicalimplementation manual (SoP) development on purchasing
pilot arrangements overalland adapted for each district,
including services purchased through APBN andAPBD mechanism;
- Support pilot implementation activities including training and monitoring
a. Assess sub-national (district and subdistrict) capacity and needs for
improving enabling factors needed for pilotimplementation (e.g.
strengthen monitoring mechanism of providers, improving quality
service delivery by improving providers capacity, strengtheningplanning
referral mechanism, and improving providers capacity in
case findingand notification);
b. Provide support to key stakeholders (e.g.providers, Dinkes, BPJSK,
etc) to improve education, quality of services, and networkingof
providers as required by the design of the pilot;
c. Establish routine checks and feedbackmechanisms to assess
understanding and address challenges of implementers
d. Communicateresults orally and in writing to a variety of audiences
- Facilitate research activities
a. Datacollection
b. Arrangeresearch permission
c. Tariff/market price survey
* activitiescan be changed to online approach whenever possible- travelling
date will beinformed later due to covid-19 pandemic outbreak
KeyQualifications
- Clinical and/or public health background - degree in medicine, public
health, nursing, pharmacy, health economics or policy
- 3-5 years of direct work experience related to health financing and
related fields
- Fluency in oral and written English and Bahasa Indonesia
- Sound knowledge of the Indonesian health system, Ministry of Health,
BPJS-K, DJSN, or other health sector.
- Analytical, problem solving, and quantitative skills, with experience in
analytical tools for health financing (costing, expenditure tracking, etc.).
- Research experience with data collection and leading FGDs and in-depth
interviews
- Ability to conduct virtual meetings through online platforms
- Strong experience in design and implementation of aid development program
at sub national level is desirable
- Experience in building stakeholder relationships and facilitating
decision-making at district level to create positive change
- Strong experience in facilitating technical workshops, including
developing agendas and background materials, presenting to and facilitating
discussion
- Ability to work independently and collaboratively as part of a team and
deliver high- quality results within tight timeframes.
- Willingness for up to 25% domestic travel
Deliverables (January - July 2021)
|
Deliverables
|
Expected Due Date**
|
Number of Working days
|
|
1. First report on SHP District Situational Analysis
|
February, 2021
|
10 days
|
|
2. Data to support Budget Impact Analysis
|
March, 2021
|
10 days
|
|
3. Teleconsultation plans (schedule of consultations, develop TOR,
supporting materials, etc) at sub-national (district and sub-district) level
|
January-July 2021
|
36 days
(6 days each month)
|
|
4. Monthly activities report at district - all activities outlining
approach to district stakeholder sensitization and engagement (strategy, types
of workshops, relevant stakeholders, arrangement process, etc.)**
|
January-July 2021
|
12 days
(2 days each month)
|
|
5. Material preparation on stakeholder engagement/ Team Coordination (on
the pilot governance) for pilot preparation Denpasar (SHP team field
visit/virtual)
|
April, 2021
|
10 days
|
|
6. Activity report on stakeholder engagement/ Team Coordination (on the
pilot governance) for pilot preparation Denpasar (SHP team field visit/virtual)
|
May, 2021
|
10 days
|
|
7. Material preparation on pilot manual development - district consultation
(SHP team field visit/virtual)
|
June, 2021
|
10 days
|
|
8. Activity report on pilot manual development - district consultation (SHP
team field visit/virtual)
|
July, 2021
|
10 days
|
|
TOTAL
|
|
108 days
|
** exactdeadline dates may change due to covid-19 pandemic outbreak
*** Monthlyactivities report including routine checks and feedback mechanisms
to assessunderstanding and address challenges of implementers
Periodof Performance
January 15th,2021 – July 15th, 2021, with an estimated level of effort of
108days (18 days per month with duration of 6 months)
How to Apply
Interested candidate please submit your application letter and CV to
procurementIndoTBPS@xxxxxxxxxx by the latest November 30, 2020 COB. Please put
the e-mail title as 'TBPS TO SHP Pilot Denpasar' (your name).
