Position Title: Consultant for District Stewardship Capacity Strengthening Assessment

Introduction

The U.S. Agency for International Development’s (USAID) Tuberculosis Private Sector (TBPS) Activity supports the Government of Indonesia’s (GOI’s) goal of tuberculosis (TB) elimination by 2030. TBPS supports a vision of fully scalable, market-based and government-supported public-private mix (PPM) programming that accelerates private-sector diagnosis, notification, and successful treatment to reduce TB incidence and mortality. TBPS will work closely with a wide-range of national, provincial, and district-level stakeholders to achieve the government’s broader vision and support the attainment of goals outlined in the National Tuberculosis Program’s (NTP) Strategic Plan to Control Tuberculosis 2016-2020.

In November 2017, the Ministry of Health (MOH) issued  guidelines on the development of District Action Plans (DAP) for Tuberculosis, which clearly outline a process for multi-sectoral engagement and development of the DAP.[1] The DAP is intended to: 1) outline roles and responsibilities for the local government and other related parties to improve commitment and leadership in controlling TB; 2) strengthen TB- related planning and budgeting; 3) support development of TB control regulations; and 4) improve coordination of activity planning, implementation, monitoring and evaluation. The DAP guidelines recognize that programming must be evidence-based with clear medium-term performance indicators and results, well-defined roles and responsibilities, and information to address resource and funding requirements. The DAP also recognizes that both creating political support at provincial and district levels and multi-sectoral stakeholder engagement is critical. The role of the consultant will be to support the initial stewardship assessment in USAID TBPS districts in collaboration with TBPS District Technical Officers (DTOs). Meridian Group International, Inc.’s Senior Manager, Ms. Cindi Cisek will provide international remote support for the process, while the USAID Madani project will also supply Indonesia specific governance context.

DPPM Stewardship Strengthening Strategy

The District Public-Private Mix (DPPM) stewardship strategy will be designed to support strengthened governance and multi-sectoral engagement for the TB program at the district-level. Each district’s stewardship strategy will be tailored to the individual needs and progress within that specific district based on the results of the capacity assessment. We assume that North Jakarta, South Jakarta and Medan districts will be further along in the DAP process given their previous support from the USAID/Challenge TB (CTB) project. The first phase of the DPPM stewardship strengthening will include two key steps: (1) conduct district-level stewardship capacity assessment for all USAID TBPS districts; (2) develop district-specific stewardship strengthening action plan to be presented to TB control development teams at district level.

Consultant Scope of Work

1)      Conduct district-level stewardship capacity assessments. TPBS will conduct district-level capacity assessments that focus on the strengths and weaknesses of each district’s DAP and existing mechanism for district without DAP. DKI Jakarta province and Medan City are expected to have already developed their own DAPs. The assessment will review strengths and weaknesses of the DAP (for districts where it already exists), interview (and/or conduct focus group discussion) approximately 10 key government and approximately 10 private sector stakeholders in each district (a list of respondents will be developed in collaboration with USAID TBPS), and identify opportunities for increased private sector engagement. These assessments will complete the following through questions such as:

-          Generating intelligence: Are DHOs and local stakeholders using an evidence-based approach to understand and analyze the TB program and to build awareness around the roles of the nongovernment sector including for-profit players? DAP guidelines specifically mention situation analysis, focus group discussions for budget development, advocacy workshop for regulation on DAP, stakeholder dissemination of workshop, data collection, and multi-stakeholder workshops. 

-          Formulating strategic policy direction: Does the district have a current, validated TB DAP or another existing mechanism in place with a similar purpose? What are the competitive strengths and weaknesses in the TB program? What is needed to develop strategies and action plans that include the need for increased domestic resource mobilization and a specific role for non-profit and for-profit sectors? What is the overall budget for TB programming at the district-level?

-          Building coalitions and partnerships: MOHs and stakeholders establish or work through existing platforms for coordinating partnerships and advocating for multi-sectoral dialogue. How often does the TB control development team meet? Who are the non-governmental stakeholders that participate in the TB control development team? (e.g. universities, professional associations, NGOs, and for-profit private sector) Does the DAP include an activity matrix with overall roles and responsibilities? What non-governmental resources are contributing to DAP?

-          Ensuring tools for implementation: Do MOH and partners understand incentives and disincentives that exist and are partners aware of existing tools including the legal and regulatory framework to oversee TB programming in the private sector?

-          Aligning policy objectives and market interventions: Are there existing initiatives that demonstrate how evidence-based policies have led to strategic coordination among public- and private-sectors, including reshaping existing programs or introducing new market-interventions and/or partnerships?

-          Accountability and transparency: Are there appropriate systems to provide data to track performance including appropriate information from private partners to understand overall TB program performance?  The key goal will be to move from policy dialogue to action, implementing specific multi-sectoral initiatives. 

The assessment will also determine the strengths and weaknesses of the district’s TB control development team and the degree and strength of multi-sectoral representation.

Deliverables:  1) Written comments (in English) provided on the draft capacity assessment tool; 2) written notes (in English) from each interview (1-2 pages per interview) in district-level capacity assessment for all districts; 3) Completion of specific sections of district-level capacity assessment reports (in English) for all districts (specific districts to be determined).

2)      Develop district-level stewardship strengthening action plans. Based on the findings of the capacity assessment, TBPS will develop several key recommendations for the TB control development team to consider for concrete actions for further strengthening implementation of the DAP and multi-sector coordination. The consultant will develop a PowerPoint presentation (in Indonesian and English) that summarizes the district-level capacity assessment report findings and strategic recommendations to the TB control development teams. The consultant will facilitate discussion with key stakeholders to determine any agreed upon action points to be included in the DAP.

Deliverables: 1) PowerPoint presentation (in Indonesian and English) developed to include key findings and recommendations on concrete actions for further strengthening DAP and multi-sector coordination; 2) Presentation delivered to key stakeholders from the TB control development teams for all USAID TBPS districts.

Consultancy Location and Travel

The consultancy will be based in Jakarta. Consultants must travel to each district and conduct primary data collection in close coordination with USAID TBPS District Technical Officer and Field Operation Manager. Given the current COVID-19 epidemic, it is likely that some encounters will be converted to virtual format to allow interviews/FGDs while maintaining physical distancing. The expenses of travel/accommodation will be adjusted according to FHI 360 standards.

Consultant Requirements

§  At least 10 years’ professional experience in medical/health related fields.

§  Bachelor’s degree (S1) research-related field, statistics, economics, public administration/public policy, finance, public health, epidemiology or related field, while Master’s degree is preferred (not mandatory)

§  Private sector experience in Indonesia, either in service-delivery settings, working through NGOs, or pharmaceutical companies.

§  Familiarity with MOH’s National TB strategy through previous work experience related to District Action Plan development for the TB Program

§  Familiarity with Government of Indonesia (GoI) budget cycle

§  Experience in developing interview questionnaires, and conducting interviews with senior level professional health officials/high level government officials

§  Experience in conducting data collection and managing research permits, enumerators and quantitative/qualitative data collection, while online data collection experience is an advantage

§  Familiar with designing online survey platforms using SurveyMonkey, CTOsurvey, or other software

§  Strong analytical skills and advanced Microsoft Office skills

§  Fluency in English and Indonesian and strong writing, communication, and reporting skills and ability to translate documents.

§  Ability to work within tight deadlines

§  Flexibility, adaptability, and resourcefulness; able to multi-task while being highly detail-oriented

Period of Performance

June 22^nd, 2020 – October 30^th, 2020, with an estimated level of effort of 68 days

Interested candidates please submit your CV to hr.indonesia@fhi360.org by the latest 26th June 2020. Please put the position title as e-mail subject.