Recent Job for an Analyst at Christian Aid (CA), 9th March, 2017
Christian Aid (CA) is a UK-based international NGO, partnering with
others to end poverty in Africa. At the heart of this vision is the
transformation of the lives of people who live in poverty, empowering
them to have a brighter future. Christian Aid works in more than 30
countries and has
been operating in Nigeria since 2003. The Nigeria
Country programme focuses on Community Health and HIV, Accountable
Governance including humanitarian response and Gender.
We are recruiting to fill the position below:
Job Title: Analyst (Role of the Private Sector in Healthcare Delivery in Nigeria)
Location: Based in Abuja but be willing to travel to other states, particularly Lagos state.
Start Date: 14th March, 2017
No. of days: 30-32 days.
Objectives
- The overall objective of this research is to provide a
well-documented analysis of the role the private sector plays in
Nigeria's health care system looking at access, affordability, quality
and standards and make a set of clear recommendations on how Christian
Aid could strategically engage the private sector to expand health
access to the base of the pyramid.
- These should include short term recommendations to inform
Christian Aid's current health strategy and long term recommendations to
grow CA's health programme portfolio in Nigeria.
Scope of Work
Activity 1:
- Provide analysis on the role the private sector plays in
providing and funding healthcare in Nigeria. Conduct a short literature
review on what research already exists on this subject. Look at national
statistics in achieving SDG goal 3, and indicator 3.8 on universal
health coverage as a top line goal.
- Look, specifically at four types of private sector actors: 1.)
private hospitals/clinics, 2.) private health insurance providers, 3.)
companies, including corporate foundations who fund health care
programmes and 4.)Identify approximately 3 key actors for each group[3].
- For each key player, please refer to:
- Group 1: Private hospitals / clinics / surgeries:
- Size, nature and location of business.
- What type of a business are they: single provider, national chain, international company?
- What is their core business activity, opportunities / challenges to their business?
- Number of patients treated by gender, age, other socioeconomic factors.
- Was the patient covered by health insurance, or paying out of pocket, other means?
- Average payment out of pocket, or out of pocket supplement for those covered.
- Group 2: Private health insurance providers, social health insurance (SHI) providers:
- Size, nature and location of business.
- What type of a business are they: single provider, national chain, international company?
- What is their core business activity, opportunities / challenges to their business?
- Number of individuals who are covered in their health care plans, by gender, age, other socioeconomic factors.
- Are they covered via their employer, or has the person
sought health coverage individually, or is insurance partly paid by
government / donor grants?
- Average payment on a health insurance plan per month, any
supplements that person needs to pay out of pocket when accessing health
care facilities.
- Group 3: companies, including corporate foundations, who fund health care programmes:
- Size, nature and location of business.
- What type of a business are they: SME, national, international company?
- What is their core business activity?
- What are their drivers for funding healthcare programmes e.g. CSR? Strategic interest e.g. need for healthy workforce?
- What type of healthcare projects have they funded and where?
- Identify operating modalities for implementing their health interventions.
Activity 2:
- Provide a list of common (supply and demand) private sector
health interventions in Nigeria. Include both best and poor practice
examples and an analysis of lessons learned.
- Are there opportunities to develop models that leverage formal
and informal private sector innovation in the financing and provision of
health services for the poor?
- Are there opportunities to assist the most promising businesses
and models, either directly or by enabling increased technical
assistance and funding flows.
- Provide a set of clear recommendations that could inform CA's health programmatic work beyond 2017.
- Provide a list of collaborative interventions between the non-profit sector, the private sector and/or government.
- Analyse what worked well and why.
Activity 3:
- Analyse the policies, regulations and laws that impact on the role the private sector plays in the Nigerian health eco-system.
- Identify core policy and advocacy concerns related to private healthcare provision.
- Use political economy analysis to understand the relationship
between the government and the private sector in the health eco-system.
- Who are the influential decision makers and who do their decisions benefit?
- What networks or regulatory agencies exists and how do they
interact with one another? Conduct a brief power analysis to identify
the most efficient entry points for in-country advocacy work.
- Analyse which private providers are particularly influential in
relation to government policy. Are there opportunities for CA to
facilitate dialogue or foster collaboration between the private and
public sector to deliver improved health outcomes?
- Are there ways in which CA could harness the power of the
private sector by supporting awareness of the extent and neglect of
health systems?
- Provide a set of clear recommendations that could inform CA's next health strategy beyond 2017.
Activity 4:
- Drawing from the analysis conducted in Activities 1, 2, and 3,
identify suitable funding, programme and/or advocacy private sector
partners (national and international) for:
- Christian Aid's current health work in Nigeria and
- CA's health strategy beyond 2017. Provide a set of clear
recommendations, based on sound evidence, to inform CA's private sector
partnership strategy.
Methodology
In the proposal, the Consultant(s) should clearly explain the
methodology to be used. However, as a minimum the consultant should:
- Conduct a detailed desk review of key documents such as relevant
national policies and laws, government development strategies, NGO
reports on universal health coverage, and plans and UN Sustainable
Development Goals, and World Health Organization documentation on
Universal Health Coverage and Access to Medicines.
- Familiarise themselves with CA policies and guidelines on
relevant topics, such as CA's Community Health and HIV Framework,
country and programme strategies, project progress reports, project
completion reports, annual reports and other relevant publications (to
be provided by CA).
- Conduct visits to the possible geographical areas of operation,
and with actors from the three groups, outlined above, in the private
health care ecosystem
- Provide a list of potential private sector partners
(fundraising, programmatic and advocacy) and suggest how they might
strategically contribute to the programme
- Provide a list of people (with contact details) met during the study
- The Consultant(s) will be expected to engage with CA staff
throughout the assignment. Several meetings with relevant CA staff
during the research and a debriefing should be considered as an
important part of the methodology, including for example, a briefing on
the ToR, frequency of progress meetings to review emerging issues,
trends and priorities and a debriefing, etc.
- The Consultant(s) should also be open to being accompanied by CA
staff to meetings with key external stakeholders and should expect to
present and discuss the findings of the research to an external and
internal audience.
- The Consultant(s) is/are expected to provide a detailed
methodology for conducting a context analysis based on the TOR. The
methodology/the proposal of the Consultant(s) should cover all the
services described in the TOR.
- Consult with target groups and other relevant stakeholders (e.g.
key private sector players, relevant ministries, local government,
other national and international development agencies) at various
stages.
Output
- A final report should be submitted no later than 12 April, 2017.
- The report should be no more than 40 pages and should be in
English, with an executive summary and a set of clear and detailed
recommendations.
- The Consultant(s) will be expected to present and discuss the
findings of the research with key external stakeholders in a workshop,
upon completion of the final report.
- The Consultant(s) will also be expected to attend an internal strategy development workshop with CA staff.
- Important
- International Finance Corporation (IFC), The Role of the Private
Sector in Expanding Health Access to the Base of the Pyramid. (Health
Team: Washington DC, 2012).
- According to the World Bank, the 'Base of the Pyramid' refers to
those living on less than US$8 PPP per day or those who lack access to
basic goods and services.
- A key actor is a business which is highly relevant to the
functioning of the health system, and/or has a high degree of power or
influence to bring about change in the health system.
- The report should be broken into 4 chapters, reflecting the four activities outlined above.
- The content should be well structured and clearly written.
- The document should provide statistical information and refer to
reliable materials/reports/documentation developed by local and
international organizations, state agencies, private sector and others
sources to make evidence to statements and conclusions in the report.
Candidates Specification
- Minimum of a postgraduate Degree in Public Health, Health
Economics, International Development, Business Administration, or
equivalent level of work experience.
- Significant experience and knowledge of the healthcare system in
Nigeria, with particular expertise in the private health sector.
- Sound knowledge of international development and the role civil society plays in the health sector in Nigeria
- Demonstrable experience and knowledge in research, including
critical analysis, political economy analysis and policy and power
analysis.
- Must also possess strong report-writing skills (Candidates will
be required to provide samples of previous studies including reports).
- Excellent communication skills - verbally and in writing.
- Confidence and ability to represent/ present to senior
stakeholders across multiple sectors e.g. government, private sector,
civil society
- Ability to work collaboratively with other stakeholders e.g. with CA programmes and policy teams.
How to Apply
Interested and qualified candidates should send their Curriculum Vitae and proposals to:
[email protected] with Role of private sector in Health Care delivery as the title of the mail.
Application Deadline: 10th March, 2016.