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Request for Consultant: Consultancy to Improve Rehabilitation Expenditure Tracking in National Health Accounts in Nepal

R4D

Results for Development (R4D) is a leading non-profit global development partner. We collaborate with change agents around the world — government officials, civil society leaders and social innovators — to create strong systems that support healthy, educated people. We help our partners move from knowing their goal to knowing how to reach it. We combine global expertise in health, education and nutrition with analytic rigor, practical support for decision-making and implementation and access to peer problem-solving networks. Together with our partners, we build self-sustaining systems that serve everyone and deliver lasting results. Then we share what we learn so others can achieve results for development, too.

We have a unique and vibrant culture at R4D. Diversity, equity and inclusion are at the heart of our work environment and help advance our mission. Diversity—of ideas, identities, perspectives and backgrounds—is vital to who we are and what we do. We seek people who embrace these values and will help reinforce them. Our work culture is collaborative, creative and entrepreneurial. We operate based on trust and respect. Teams across the organization frequently collaborate on programmatic work and support each other in continuously building a better R4D.

POSITION Rehabilitation Expenditure in Health Accounting Support to Nepal

LOCATION Nepal

Project Background

The Health Systems Strengthening Accelerator (Accelerator) is a global initiative funded by the United States Agency for International Development (USAID) through a Cooperative Agreement, with co-funding from the Bill & Melinda Gates Foundation (BMGF). Its goal is to strengthen institutions and processes, build local expertise, and support countries as they co-create, innovate, and adapt, in order to build more effective and sustainable health system interventions on their journeys to self-reliance. The program’s approach supports local partners as they lead implementation and find their own pathways to meaningful and lasting health systems change. The Accelerator is led by Results for Development.

Improving Rehabilitation Expenditure Data in National Health Accounts

Rehabilitation expenditure data collection, analysis, and utilization for policymaking is important to ensure value for money. However, few countries report rehabilitation expenditure data in their national health accounts and the data quality of those who do is inconsistent. This is due to several different challenges, including the limited guidance on tracking rehabilitation expenditure provided in the System of Health (SHA) 2011 framework, difficulty in collecting data across different financing schemes due to the fragmented nature of rehabilitation funding, and difficulty with disaggregating health expenditure data for rehabilitation services.

The Inclusive Development Hub of USAID’s Bureau for Development, Democracy, and Innovation (DDI) has engaged with the Accelerator to empirically investigate challenges in tracking and collecting rehabilitation expenditure data in national health accounts (NHAs). In partnership with the World Health Organization, the Accelerator will develop a technical note to SHA 2011 on tracking rehabilitation expenditure data in NHAs using the SHA 2011 framework. The technical note will serve as a practical step-by-step guide for health accounting professionals engaging in this process, in addition to offering guidance on how to overcome common challenges in collecting and generating reliable estimates of rehabilitation expenditure.

Scope of Work

  • The Accelerator is seeking a consultant to support rehabilitation expenditure tracking in Nepal. The Accelerator has drafted guidance on tracking rehabilitation expenditure under SHA 2011 that the selected consultant will apply, test, and refine based on the experience of Nepal. This process will involve conducting the country rehabilitation expenditure tracking following the SHA2011 framework and using the draft rehabilitation guideline to support the implementation process in Nepal. The process will include primary and secondary data collection, data mapping, and analysis. Stakeholder interviews may also be needed where data is inaccessible. The selected consultant will collaborate with the Accelerator to apply lessons learned from the study to evaluate the efficacy and relevancy of the draft guidance and revise it as needed. This guidance will serve as the basis for the final technical note to SHA 2011.
  • Specifically, the consultant will:
  • Review and utilize the draft guidance for tracking rehabilitation expenditure as a benchmark for reproducing the health accounting process for rehabilitation in Nepal.
  • Develop a data collection plan, including tools and a strategy to mitigate data collection, quality, and availability challenges.
  • Collect sample primary data on rehabilitation expenditure from diverse sources to critically assess the availability and quality of data for health accounting purposes.
  • Organize a list of available data sources into Excel format, documenting the level of the health system at which it is compiled; the structure of the data; the process for obtaining it; frequency of data collection; and storage and use of this data over time.
  • Map the collected data following the SHA2011 framework’s classification and subcategories, to the extent possible.
  • Map the process of health accounting for rehabilitation, describing in detail the steps taken, data sources, analysis methods, and stakeholders that should be involved.
  • Conduct informant interviews with NHA, rehabilitation, and health sector experts on the health accounting process, generation and collection of expenditure data, methods of analysis, and uses of findings.
  • Identify challenges and barriers to health accounting for rehabilitation, and potential solutions to overcome them.
  • Reflect on the application of the draft guidance in Nepal and identify gaps and nuances.
  • Provide written contributions to the draft guidance based on the experience of Nepal, including providing original recommendations for improving the comprehensiveness of rehabilitation expenditure data in NHAs.
  • Convene stakeholders and facilitate consultative workshop(s) as needed.
  • Requirements and Qualifications 
  • Applicants should possess the following qualifications and experience:
  • Academic and/or professional background in health accounting.
  • Thorough knowledge of SHA 2011 and demonstrated experience in working with national health accounts in the WHO SEARO region.
  • Experience working with or collaborating with the Ministry of Health in Nepal with strong knowledge of the health system in the public and private sector, including service providers.
  • Understanding of specificities of rehabilitation services, its financing and supply market in Nepal or elsewhere.
  • Fluency in Microsoft Excel and knowledge of other quantitative, accounting, or statistical software, particularly the health accounting tool HAPT.
  • Advanced data analysis and statistical skills.
  • Oral and written fluency in English.
  • Fee and Payment Terms 
  • The consultant will be paid a daily rate to be negotiated based on his/her skills and experience. S/he will keep a labor log documenting his/her working dates and the tasks supported. Payment will be based on invoices reflecting time worked and will be paid monthly. 
  • How to Apply 
  • Individuals and organizations are welcome to apply. To apply, please submit to kbarna@r4d.org a resume listing relevant competencies and brief cover letter (including contact details, brief description of your relevant experience, and requested rate of pay), and the names and emails of three references that we may contact for eligibility.
  • Please include "Rehab Expenditure Tracking - Nepal - Your Name" in the subject line of the email. 

Results for Development is an EOE/M/F/Vet/Disabled/Affirmative Action Employer committed to fostering

and nurturing an energetic, collaborative and diverse workforce. R4D provides market-competitive salaries and comprehensive employee benefits.

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Confirmed 21 hours ago. Posted 2 days ago.

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