Terms of Reference (ToR) Technical Officer Consultant for SHP Pilot

Background

Tuberculosis (TB) is a major health problem in Indonesia. Although there has been a 19% mortality decline from 2007 to 2017, TB remains the leading cause of death by communicable diseases. The Government of Indonesia has adopted the global commitment to end TB by 2030, and now must decide what to prioritize and how to deliver. From 2017 – 2019 the Center for Financing and Health Insurance (PPJK) of Ministry of Health (MoH) led analytical works of multi-stakeholders (Tim Perumus) on TB Strategic Health Purchasing (SHP).

The Tim Perumus outlined priority service delivery objectives for TB and identified health financing bottlenecks to achieving those objectives. The SHP team supported analysis, formulation and validation of options, and developed recommendations for achieving better TB outcomes using more strategic health purchasing. After finalizing the recommendations, the SHP team looks forward to conducting pilot preparation and implementation in the selected districts from 2020 to 2023. During the design and implementation preparation (ToT on SHP governance manual) period, an observation will be conducted to capture stakeholder concerns and respond to them. It includes gathering insights for the further implementation arrangement. Pilot preparation began in January 2020 and should be completed by the end of 2020. Adjustment to the contracting arrangements are expected to come first, followed by the implementation of new payment arrangements in early 2021.

The Director of Communicable Diseases of the Ministry of Health has selected two pilot districts for TB SHP which are Kota Medan, North Sumatra and Kota Denpasar, Bali. The design and implementation of TB SHP are supported by two USAID projects – The Health Financing Activity and the TB for Private Sector (TBPS) project.  The Health Financing Activity is responsible for leading design, national coordination and analytical works, and providing technical input to the development of modules related to capacity building and advocacy in regional level. TBPS is responsible for initial assessment at district level, district coordination and facilitation of the SHP pilot 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 be contracted by USAID – TBPS project. Day to day work of the officers will be in coordination with USAID – HFA and TBPS project.

Scope of Work

Key activities Technical Officer Consultant for SHP Pilot at each District*

1. Lead outreach to key stakeholders at the district level
1. Facilitate project engagement with key stakeholder groups, including professional associations
2. Provide technical and coordination support to SHP team including meeting organization, drafting agendas and materials as needed
3. Gather relevant information during the technical design development of a Strategic Health Purchasing pilot for TB health services;
4. Liaise with partner organizations and project counterparts to coordinate, align, and build on analytical and technical input to SHP processes and health financing objectives
2. Contribute to technical design elements of the pilot
1. 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;
3. Support pilot implementation activities including training and monitoring
1. 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);
2. 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;
3. Establish routine checks and feedback mechanisms to assess understanding and address challenges of implementers
4. Communicate results orally and in writing to a variety of audiences
4. Facilitate research activities
1. Data collection
2. Arrange research permission
3. Tariff/ market price survey

* activities can be changed to online approach whenever possible- travelling date will be informed later due to covid-19 pandemic outbreak

Key Qualifications

1. Clinical and/or public health background - degree in medicine, public health, nursing, pharmacy, health economics or policy
2. 3-5 years of direct work experience related to health financing and related fields
3. Fluency in oral and written English and Bahasa Indonesia
4. Sound knowledge of the Indonesian health system, Ministry of Health, BPJS-K, DJSN, or other health sector.
5. Analytical, problem solving, and quantitative skills, with experience in analytical tools for health financing (costing, expenditure tracking, etc.).
6.  Research experience with data collection and leading FGDs and in-depth interviews
7. Ability to conduct virtual meetings through online platforms
8. Strong experience in design and implementation of aid development program at sub national level is desirable
9. Experience in building stakeholder relationships and facilitating decision-making at district level to create positive change
10. Strong experience in facilitating technical workshops, including developing agendas and background materials, presenting to and facilitating discussion
11. Ability to work independently and collaboratively as part of a team and deliver high-quality results within tight timeframes.
12. 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

** exact deadline dates may change due to covid-19 pandemic outbreak

Period of Performance

July 15^th, 2020 – December 15^th, 2020, with an estimated level of effort of 90 days during 2020

Interested candidate please submit your application letter and CV to hr.indonesia@fhi360.org by the latest June 19, 2020 COB. Please put the e-mail title as “TBPS SHP Pilot – (your name)