Consultant for Review of the Ministry of Health Guidelines for Governance and Management Structures Uganda – July 2020.

Consultant for Review of the Ministry of Health Guidelines for Governance and Management Structures

Company Overview:

Palladium is a global leader in the design, development and delivery of Positive Impact – the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits. 

For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved – and is committed to continuing to improve – economies, societies and most importantly, people’s lives. 

Palladium is a child-safe organisation, and screens applicants for suitability to work with children. We also provide equal employment to all participants and employees without regard to race, color, religion, gender, age, disability, sexual orientation, veteran or marital status. 

Project Overview and Role:

The purpose of the Uganda Health Systems Strengthening (UHSS) Activity is to strengthen the health system by improving leadership and accountability for achieving results across at all levels of the health system and across public and private sector. The activity seeks to strengthen MoH, RRH and and district-level leadership and governance systems; support domestic resource mobilization initiatives; support interventions that improve efficient use of available health resources; and strengthen community system for improved quality health services.

 Primary Duties and Responsibilities:

The Uganda Ministry of Health (MoH) through the Department of Standards, Compliance, Accreditation and Patient Protection (SCAPP) is planning to review the MoH guidelines for Governance and Management Structures 2015 edition.

In the current MoH governance structure, members of Senior Top Management (STM) represent institutional ownership while the Heads of Department and the Senior Management Committee (SMC) constitute management. The structure also takes care of all key stakeholders who are represented on all Technical Working Groups (TWGs) and the Health Policy Advisory Committee (HPAC).

In response to the recent changes in the Ministry, which include; the development of the Health Sector Development Plan (HSDP) II, the restructuring exercise of the ministry, the introduction of new Health Development Partners (HDPs) and Implementation Partners (IPs) with focus on health systems strengthening and leadership, there is a need to review of the Ministry Guidelines for Governance and Management Structures. In addition, many stakeholders have in the past couple of years raised concern about the poor functionality of some of the Governance and Management structures particularly the Technical Working Groups (TWGs). The TWG meetings are reported to be irregular, poorly attended and often not producing the expected results in terms of performance. To address all these issues, the MoH needs to implement several measures to address the Governance and Management of these structures.

It is with this background that the USAID UHSS Activity in collaboration with the Ministry of Health seek to hire a consultant to review the Guidelines for Governance and Management structures.

Purpose and goals of the assignment
The main objective of the consultancy is to review and update the Ministry of Health Guidelines for Governance and Management Structures, 2015.

Key objectives of the assignment
This consultancy will seek to:  

  1. Review relevant literature, including, the Health Sector Development Plan (HSDP) 11 and the new Ministry of Health macro organizational structure to identify areas in the current Guidelines that may require review. 
  2. Obtain the views of key stakeholders on the adjustments required for improved participation, accountability, transparency, and co-ordination in health service delivery.
  3. Obtain the views of key stakeholders on how to improve the functionality of the different governance organs of the ministry with special emphasis on the Technical Working Groups.
  4. Analyze and synthesize the information provided to align the current Guidelines with the structural, and other governance and management changes within the Ministry of Health.  
  5. Prepare revised Guidelines for Governance and Management Structures 2020 

Key activities and timeline
Under the supervision of the Ministry of Health’s Standards, Compliance, Accreditation and Patient Protection Department, and in collaboration with the UHSS Activity, the consultant shall be required to perform the following duties:

  1. Prepare an inception report, workplan and budget related to the assignment for review and approval.
  2. Work with the SCAPP team to generate a list of key informants (stakeholders) and agree on a Program and Methodology for conducting the consultancy
  3. Review existing guidelines, and relevant literature to identify gaps in the current guidelines that require addressing
  4. Draft the revised guidelines for Governance and Management Structures
  5. Coordinate with the MoH Directorate of Health Governance & Regulation to convene a meeting to review the revised guidelines.
  6. Incorporate consultation comments, insights, and necessary changes into the document. 
  7. Develop and submit a signed off Guidelines for Governance and Management Structures 2020

Key deliverables and Timelines and payment schedules
The assignment shall be conducted over a period of 60 days beginning August 18th, 2020. 

Key deliverables Due date % of total amount to be paid
1. An Inception Report (inclusive of the budget and detailed timeline) 28 August 2020 10%
2. Brief Situation Analysis Report (reviewing implementation of the previous MoH Governance and Management Guidelines (2015) 18 September 2020 10%
3. Draft Guidelines 30 September 2020 30%
4. Report on stakeholder’s feedback (incorporated) 15 October 2020  


5. Final Guidelines signed off and submitted (hard and soft copy) 30 October 2020
Total    100%


Required Qualifications:

  • Must hold qualifications in Clinical Medicine and/or Public Administration and Management. A post graduate qualification in Public Health or Management is preferred.  
  • Technical knowledge of governance, leadership, and the management of the health sector in Uganda.
  • Knowledge of the Uganda health system and processes of development of Guidelines, Strategies and Policies.
  • Knowledge of the key stakeholders relevant for this activity and ability to convene meetings for purposes of obtaining comments and feedback from all the key stakeholders.  
  • Excellent writing, formatting, and editing skills and ability to quickly address technical and editorial comments made by stakeholders.
  • Experience in carrying out similar assignments with the Ministry of Health will be an added advantage.

The consultant will report directly to the Ministry of Health Directorate of Governance & Regulation, through the Department of Standards. Compliance. Accreditation and Patient Protection. The consultant shall also report to the UHSS Chief of Party and will receive ongoing Technical and administrative support from the UHSS Governance, Accountability and Leadership team lead. For ongoing monitoring and support, weekly and monthly check-in meetings will be held to keep track of the progress.

Submission guidelines
All interested parties are required to submit their expressions of interest highlighting their experience in conducting policy development and reviews, workplans, qualifications, names and contacts of three referees and a written quotation for completing the deliverables.

Payment for consultancy
All payments for this consultancy will be made in local Ugandan Shillings (UGX). The payments will be subject to withholding tax as per the Republic of Uganda’s taxation policies.  For the payment schedule, please refer to the Table above.


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