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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:
Development of the Uganda National Health Policy III
(2020/21 – 2029/30)
The development of the Third National Health Policy 2020/21 – 2029/30 (NHP III) is underpinned by the 1995 Constitution of the Republic of Uganda, the Third National Development Plan (NDPIII), 2020/21 – 2024/25 and the new global dynamics. The 1995 Constitution of the Republic of Uganda provides for all people to enjoy equal rights and opportunities, have access to health services, clean and safe water, and education. Further, the goal of NDPIII is to increase average household incomes and improve the quality of life of Ugandans.
One of the eighteen (18) programs identified to deliver the required results under this plan is human capital development. Among the three key objectives of the human capital development is to improve population health, safety and management. This includes: (i) prevent and control non-communicable diseases and communicable diseases with focus on high burden diseases (Malaria, HIV/AIDS and TB) and epidemic prone diseases; (ii) increase access to safe water, sanitation and hygiene (WASH); (iii) expand community-level health services for disease prevention; (iii) increase access to family planning services; (iv) improve the functionality (staffing and equipment) of health facilities at all levels; (v) strengthen the emergency and referral system; (vi) expand geographical access to health care services to counties and sub-counties without HCs IV & III; (vii) increase access to affordable medicine and health supplies through increase of the local capacity to produce medicines and health supplies; (viii) implement the national health insurance scheme; (ix) promote health research, innovation and technology uptake; (x) establish and operationalize mechanisms for effective collaboration and partnership for health at all levels; (xi) improve nutrition and food safety; (xii) improve occupational health and safety to reduce accidents and injuries.
The third global sustainable development goal (SDG) on good health and well-being emphasizes the importance of good health as a key in-put to sustainable development. It considers the widening economic and social inequalities, rapid urbanization, threats to the climate and the environment, the continuing burden of HIV/AIDS and other infectious diseases, and emerging challenges such as non-communicable diseases. Universal health coverage will be integral to achieving SDG 3, ending poverty and reducing inequalities.
As a partner state of the East African Community (EAC) and the Common Market for Eastern and Southern Africa (COMESA) and a signatory to international initiatives (including SDGs) and declarations, the Uganda’s health policy requires to be aligned to new trends and health sector frameworks. Uganda will also need to renew its commitment and efforts towards primary health care, including health systems strengthening and reducing health inequities through action on the social determinants of health in order to achieve the health-related SDGs and other needs for emerging diseases and epidemics.
Cognizant of the national planning cycle including the need to update NHP II, the expiry of Second National Health Policy and the Health Sector Development Plan (2015/16 – 2019/20), new trends and health sector challenges coupled with emerging epidemics; the, the Ministry is in the process of developing the National Health Policy III.
2. Objective of the consultancy
The overall objective of the consultancy is to lead and provide technical support to the process of the development of the Uganda National Health Policy (NHP) III; taking into consideration national development goals (NDPIII and Vision 2040), the 1995 Constitution of the Republic of Uganda, and other global strategic guidance such as Sustainable Development Goals (SDGs). The policy will be comprehensive and will take into consideration new trends and health sector challenges coupled with Global Health Security and emerging pandemics including COVID-19.
2.1. Specific Objectives of the consultancy
The specific objectives include:
- To conduct situational analysis and assess performance of NHP II policy against objectives and strategies and implementation arrangements.
- Based on the information from the situational analysis and assessment of NHPII performance, prepare a discussion paper (issue paper) that synthesizes evidence and policy options for agenda setting to inform the development of the NHP III.
- Based on the issue paper, generate a zero draft of the NHP III.
- lead a consultative process, at the national, regional and district level that will facilitate development of the NHP III including intra and inter-sectoral, and public consultations.
3.0. Scope of work
To achieve the above objectives, the consultant will undertake the following:
3.1. Situational analysis and an assessment of the performance of NHP II against objectives, strategies, and implementation arrangements
The situational analysis and performance assessment of the NHP II policy will adopt a cross-sectional study design and a mixed method approach in data collection and analysis. The consultant will therefore be expected to undertake the following:
- Literature review of relevant policy/implementation documents, recent global, regional, and local un/published research
- Assessment of implementation of the expiring NHP II using secondary data plus primary data if necessary. This will entail an in-depth analysis of the health facility and national population surveys data. The focus of analysis is to synthesize existing data, including preliminary data from recent data collection efforts. The key data sources will include the second National Health Policy II including the subsequent HSDP 2010/11 – 2014/15 and HSDP 2015/16 – 2019/20, strategic plans and implementation policies for the different programs, population health survey, performance reports and HMIS data, facility assessments, research and evaluation studies etc.
- SWOT analysis to assess the strengths, weaknesses, opportunities, and threats facing the health system in view of existing program policies and strategies.
- Using interview guides, undertake in-depth interviews with representatives of collaborating sectors, development partners, CSOs, private sector, media, and other stakeholders to assess the progress of NHPII implementation, challenges experienced, lessons and best practices and derive recommendations for NHPIII: and
- Undertake consultations with key stakeholders to get feedback that will inform development of the draft NHPIII.
3.2. Preparation of a discussion paper (issue paper)
- The lead consultant will prepare a discussion paper that will synthesize evidence generated by the situational analysis and performance assessment of the NHP II and generate policy options for agenda setting to inform the development of the NHPIII.
- Present the draft issue paper in several forums that include MoH Top Management, Health Policy Advisory Committee (HPAC) as well the Health Development Partners (HDP) for enrichment before further stakeholder consultations.
- Undertake consultations with key stakeholders to get information to feed into the draft issue paper
3.3. Generate a draft of the NHP III
- Based on the recommendations of the issue paper and consultations with key stakeholders through forums that will be defined by a Task Force set up by MoH to oversee development of the NHP III, the consultant will generate a zero draft of the NHP III
- The zero draft policy will be circulated for public consultations through e-mails, websites, community meetings – regional and district, etc. The consultant will synthesize feedback from the public consultations, collate and incorporate into the final Draft NHPIII
- Coordinate the convening and documentation of a one-day stakeholders’ consultation meeting to solicit inputs for the development of the draft policy
- Conduct an agreed number of key informant interviews with selected stakeholders and inputs from the one-day consultation
- Draft a comprehensive NHP III
- Lead the process of validation of the draft policy through an online workshop to get stakeholders’ inputs
- Submit the final agreed draft submission to the Ministry of Health
4.0. Expected Deliverables and Output
The key deliverables expected from the consultant include the following:
- Inception report that outlines the process of developing the policy, detailed methodology and Gantt chart with timeline to complete this assignment
- A report on situational analysis and performance assessment of NHP II
- A discussion paper (issue paper) that contains a synthesis of evidence presented, main discussion points raised and agreed at the stakeholders’ consultation meeting and policy options for agenda setting to inform the development of the NHP III.
- An outline of the draft policy (NHP III) informed by evidence – issue paper
- Zero draft NHP III based on the revised issue paper
- First draft of NHP III
- A completed, formatted and edited final draft policy (NHP III) that incorporate comments from stakeholders
4.1. Summary of deliverables
|Key deliverables||Anticipated number of days||Due date||% of total amount to be paid|
|1. Inception report||5||14 August, 2020||6%|
|2. Draft report no situational analysis and performance assessment of NHPII||20||14 September, 2020||24%|
|3. Final report on situational analysis and performance assessment of NHPI that incorporates comments from stakeholders||5||21 September, 2020||6%|
|4. Draft discussion paper (issue paper) that includes a synthesis of evidence and policy options for agenda setting to inform the development of the NHPIII||10||10 October, 2020||12%|
|5. Final discussion paper (issue paper) that incorporates comments from stakeholders||5||17 October, 2020||6%|
|6. Draft Uganda National Health Policy III||25||23 November, 2020||28%|
|7. Final Uganda National Health Policy III||15||17 December, 2020||18%|
|Total anticipated number of days||85|
5.0. Qualification and experience
- Minimum of a master’s degree in a relevant field in planning, public policy, business, development studies.
- Minimum of 10 years of experience in strategic planning; experience in organizational and/or change management.
- Evidence of having undertaken similar assignments in the last 5 years.
- Demonstrate excellent interpersonal and professional skills in interacting with government and development partners.
- A demonstrated understanding of political economy issues and development planning processes within a developing country context.
- Demonstrated experience in working with government partners and other stakeholders in public sector development programs.
- English language fluency is required.
The consultant shall report directly to the Commissioner, Planning, Financing and Policy and the Deputy Chief of Party, Uganda Health System Strengthening (UHSS) Activity.
7.0. Duration of the assignment
This exercise will be carried out during the period between July – December 2020.
8.0 Application instructions
All interested parties are required to submit their expressions of interest highlighting their qualifications and relevant experience, names/ contacts of three referees, and a written quote for completing the deliverables in table 4.1. Applications are due by August 4, 2020.
Applications should be submitted online through Palladium’s Job Page: https://thepalladiumgroup.com/joblist.
Palladium plans to issue a fixed price consultant agreement for this assignment.