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 for fully scalable, market-based and government-supported 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.
The
Ministry of Health (MOH) issued in
November 2017 Guidelines on the Development of District Action Plans
(DAP) for Tuberculosis, which clearly outlines 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, 4) improving
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, clear roles and
responsibilities, and address resource and funding requirements. The DAP also
recognizes that 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 North and
South Jakarta districts in collaboration with TBPS’ District Technical
Officers and Meridian Group International, Inc.’s Senior Manager, Ms. Cindi
Cisek.
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 of each district
based on the results of the capacity assessment. We assume that North and South
Jakarta districts will be further along in the DAP process given their previous
support from The 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 North and South
Jakarta districts; (2) Develop district-specific stewardship strengthening
action plan to be presented to TB Control Development Teams.
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. Both
North and South Jakarta districts are expected to have already developed their
own DAPs. The assessment will review strengths and weaknesses of the DAP, interview
approximately 10 key government and approximately 10 private sector stakeholders
in each district (a list of those to be interviewed with be developed in
collaboration with TBPS), and identify opportunities for increased private
sector engagement.
-
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 district have a current, validated TB DAP? What are
the competitive strengths and weaknesses in the TB program and 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 introduction new market-interventions
and/or partnerships.
-
Accountability
and transparency: Are there
appropriate data systems to provide data to track performance including
appropriate data 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 to what degree there is a strong multi-sectoral
representation. Meridian will develop and pilot a district-level capacity
assessment tool to be used at the district-level, which will be refined in
close collaboration with the consultant and TBPS team.
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
North and South Jakarta; 3) Writing of specific sections of the district-level
capacity assessment reports (in English) for North and South Jakarta (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 in terms of
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 both North and South Jakarta.
Consultant
Requirements
§ At least 10 years’ professional experience in medical/health
related fields. Preferred (not mandatory) Master’s degree in a public health, medicine/pharmacology,
or other related discipline.
§ Some private sector experience in Indonesia, either in
service-delivery setting, working through NGOs, or pharmaceutical companies.
§ Familiarity with MOH’s National TB strategy through previous work
experience related to the MOH.
§ Experience developing interview questionnaires, and conducting
interviews with senior level professional health officials
§ Fluency in English and Indonesian and strong writing,
communication, and reporting skills
§ Excellent interpersonal and communication skills
§ Ability to work within tight deadlines
§ Flexibility, adaptability, and resourcefulness
Interested candidate please send your CV with the position title as subject e-mail by the latest March 6, 2020 to hr.indonesia@fhi360.org [1] Guidelines on the Development of District Action Plan for Tuberculosis, Ministry of Health of the Republic of Indonesia, 2017.
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