Position Title: Research Assistant Scope of Work for Public-Private Mixed (PPM)

Introduction

The U.S. Agency for International Development (USAID) Tuberculosis Private Sector (USAID TBPS) Activity supports the Government of Indonesia’s goal of tuberculosis (TB) elimination by 2030 by partnering with public and private sector stakeholders to improve the overall quality of TB care being delivered by private providers. USAID TBPS implements national and district-level, market-based and government-supported Public Private Mixed programming that accelerates private provider diagnosis, notification, and successful treatment to reduce TB incidence and mortality.

Together with the District Health Offices in activity districts, USAID TBPS will map current specimen transport systems in each district, including the payment mechanism. Provider mapping will be linked with diagnostic laboratories, utilizing Geographic Information Systems (GIS) data to develop user-friendly district-level dashboards for analysis and improvement of efficient algorithms for specimen transport.

The PPM networking strategy will be designed to support the flow of TB care between private and public sector providers at the district level. Each district’s networking will be tailored to the specific needs of each district based on the results of the district situational assessment. The district situational assessment will be conducted in 9 districts using a phased approach accounting for each district’s readiness to implement and scale up the project interventions. The order of data collection will be as follows:

Timeline for field operations	Location
Quarter 1 (January – March 2020)	Jakarta Utara, Jakarta Selatan, Medan
Quarter 2 (April – June 2020)	Gresik, Denpasar, Samarinda,
2021 (Q1/Q2)	Banjarmasin, Manado, Aceh Utara

USAID TBPS will focus its data collection among health facilities with a relatively high number of patients visits, so-called “super-providers”. The inclusion criteria to be classified as a “super provider” facility includes:

1.             Health facilities that cover two-thirds of total patient visits in a district (outpatient & inpatient)

2.             Clinics with more than 100 general patient visits per day (data obtained from District Health Office registries)

3.             GPs (standalone) with more than 25 general patient visits per day

4.             Private health facilities which are recognized by the DHO or community health centers as facilities with a high referral of TB patients

5.             All health facilities considered by local authorities as super-providers for which data is not available from secondary data collection (Part 1 above)

The district situation activity is comprised of several activities conducted in sequential order as follows:

1.    Primary Data Collection:

1.     Focus Group Discussions with DHO and Puskesmas to confirm and gain inputs of the network that is created by the secondary data collection.

2.     Digital survey with health facilities and super-providers. The digital survey will be performed by enumerators in each activity district to approximately 100-250 health care providers/facilities. Interviews will be conducted with health facilities’ administrators or supervisors since the questionnaire will ask about the general profile of health facilities related to TB care performed by the facilities.

3.     In-depth interviews (IDIs) with DHO, Puskesmas, and selected health facilities regarding PPM implementation.

2.    Secondary data collection to generate preliminary PPM/sputum transportation network map collected from government online repositories, health facilities online repositories, district health offices’ documents and direct phone calls to health facilities.

TBPS will hire two Research Assistant consultants to assist with overall data collection in this activity. The role of the Research Assistant will be to support the process of primary and secondary data collection throughout the study in each district.

Interested candidates please send your CV to hr.indonesia@fhi360.org by the latest 8^th March 2020. Please put the position title as your e-mail subject.