Terms of Reference(ToR) Technical Officer Consultant for SHP Pilot
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 – 2019 the Center for Financing andHealth Insurance
(PPJK) of Ministry of Health (MoH) led analytical works ofmulti-stakeholders
(Tim Perumus) on TB Strategic Health Purchasing (SHP).
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 implementationpreparation (ToT on SHP
governance manual) period, an observation will be conductedto capture
stakeholder concerns and respond to them. It includes gatheringinsights for the
further implementation arrangement. Pilot preparation began inJanuary 2020 and
should be completed by the end of 2020. Adjustment to thecontracting
arrangements are expected to come first, followed by theimplementation of new
payment arrangements in early 2021.
The Directorof Communicable Diseases of the Ministry of Health has selected two
pilotdistricts for TB SHP which are Kota Medan, North Sumatra and Kota
Denpasar,Bali. The design and implementation of TB SHP are supported by two
USAIDprojects – The Health Financing Activity and the TB for Private Sector
(TBPS)project. The Health Financing Activity isresponsible for leading design,
national coordination and analytical works, andproviding technical input to the
development of modules related to capacitybuilding and advocacy in regional
level. TBPS is responsible for initialassessment at district level, district
coordination and facilitation of the SHPpilot process at district level,
including personnel support, data collection,and coordination with district
authorities related to SHP works.
The Technical Officer Consultant for SHP Pilot will be deployed in one of two
selected cities. The officer will becontracted by USAID – TBPS project. Day to
day work of the officers will be incoordination with USAID – HFA and TBPS
project.
Scopeof Work
Key activities TechnicalOfficer Consultant for SHP Pilot at each District*
- Lead outreach to key stakeholders at the district level
- Facilitate project engagement with key stakeholder groups, including
professional associations
- Provide technical and coordination support to SHP team including meeting
organization, drafting agendas and materials as needed
- Gather relevant information during the technical design development of a
Strategic Health Purchasing pilot for TB health services;
- Liaise with partner organizations and project counterparts to coordinate,
align, and build on analytical and technical input to SHP processes and health
financing objectives
- Contribute to technical design elements of the pilot
- Review and propose additions and/or revisions for sections of the
technical implementation manual (SoP) development on purchasing pilot
arrangements overall and adapted for each district, including services
purchased through APBN and APBD mechanism;
- Support pilot implementation activities including training and monitoring
- Assess sub-national (district and sub district) capacity and needs for
improving enabling factors needed for pilot implementation (e.g. strengthen
monitoring mechanism of providers, improving quality service delivery by
improving providers capacity, strengthening planning referral mechanism, and
improving providers capacity in case finding and notification);
- Provide support to key stakeholders (e.g. providers, Dinkes, BPJSK, etc)
to improve education, quality of services, and networking of providers as
required by the design of the pilot;
- Establish routine checks and feedback mechanisms to assess understanding
and address challenges of implementers
- Communicate results orally and in writing to a variety of audiences
- Facilitate research activities
- Data collection
- Arrange research permission
- 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 (2020)
|
Deliverables
|
Expected Due Date**
|
Number of working days
|
|
Analytical outputs related to district situational analysis
|
July 30th, 2020
|
15 days
|
|
Documents related to approach to district stakeholder sensitization and
engagement (arrangement process)
|
Aug 15th, 2020
|
15 days
|
|
Meeting agendas, minutes, synthesis of key decisions, and plans for
incorporating feedback from district stakeholders (reporting outputs)
|
Weekly
|
15 day
|
|
Summary documents related to sub-national (district and sub district) capacity
and needs for improving enabling factors and training
|
June 19th, 2020
|
15 day
|
|
Arrange training plans and supporting materials for pilot implementation and
report (contents are provided from SHP team)
|
Aug 30, 2020
|
(max. 15 days per districts, including briefing and de-briefing training)
|
|
Documents and tools related to approach for routine checks and feedback
mechanisms to assess understanding and address challenges of implementers
(monthly report)
|
Monthly
|
15 days
|
|
TOTAL
|
|
90 days
|
** exactdeadline dates may change due to covid-19 pandemic outbreak
Periodof Performance
July 15th,2020 – December 15th, 2020, with an estimated level of effort of
90days during 2020
Interested candidate please submit your application letterand CV to
hr.indonesia@fhi360.orgby the latest June 19, 2020 COB. Please put the e-mail
title as “TBPS SHP Pilot– (your name)
