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:
Health Policy Plus (HP+) is a USAID-funded, five-year, $185 million project awarded to Palladium (formerly Futures Group) on August 28, 2015. HP+ has a mandate across global, country, and subnational levels to strengthen and advance health policy priorities in HIV, family planning and reproductive health (FP/RH), and maternal health.
It aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary, rights-based health programs, and by strengthening in-country partners’ capacity to navigate complex environments for effective policy design, implementation, and financing aligned to their priorities. We carry forward proven approaches to preserve achievements.
These approaches inform how we manage programs and engage with stakeholders, and tools and techniques improve decision making and the achievement of predetermined goals.
Palladium, and its partners have worked for several years with Mozambican partners and stakeholders to improve the enabling environment for HIV; FP/RH; and maternal, newborn, and child health (MNCH). In the past decade, Palladium (as Futures Group) led the USAID global Health Policy Initiative (HPI, 2005–2010) and Health Policy Project (HPP, 2010–2015). The latter was active in Mozambique and several other East and Southern African countries. HPP Mozambique collaborated with USAID and the Government of the Republic of Mozambique (GOM) Ministry of Health (MISAU) from December 2012 to August 2016 on a field program that supported RMNCAH (Reproductive, Maternal, Neonatal, Child, and Adolescent Health) costing, modeling, gender, advocacy, and capacity strengthening experience.
Mozambique has made significant progress in scaling access to HIV treatment in the last decade. At the beginning of 2003, fewer than 3,000 people living with HIV (PLHIV) were on antiretroviral therapy (ART) whereas by June 2019, nearly 1.3 million people, or 56% of the total population living with HIV, were accessing antiretroviral therapy. However, the country has continued to have poor retention in care, resulting in unacceptably high mortality rates for the size of the epidemic. In addition to programmatic challenges in its HIV response, Mozambique remains dependent on foreign donors for financial support. Only three percent of the HIV response is funded by domestic sources, while the majority of funds continue to come from external donors such as PEPFAR (72%) and the Global Fund (15%).
Given disproportionate dependence on external donors, any downward fluctuations in foreign investment have a direct impact on the number of people reached by lifesaving HIV prevention and treatment services. Although Mozambique’s recent fiscal crisis limits its fiscal space for HIV, increased tax revenue from growth in extractive industries may allow the government to increase its funding for health and HIV.
The Government of Mozambique (GoM) with support from USAID and Deloitte evaluated several financing options – from a Sovereign Wealth Fund to a payroll tax on private sector employers – to assess revenue generation potential for HIV in 2016. The Conselho Nacional de Combate ao HIV e SIDA (CNCS) identified three options to explore further: a cell phone tax, sin tax on tobacco and alcohol consumed in night clubs or bars, and mandate for formal sector employers to pay for the costs of HIV treatment for employees.
These three options, combined, have the potential to generate US$510 million over four years. However, none of these recommended options are currently being implemented, largely due to the sensitivity of introducing new taxes or employer mandates, which are largely outside the control of the Ministry of Health.
Prior to the 2019 coronavirus pandemic, Mozambique’s economy was projected to steadily grow with industrial recovery and bright investment prospects. Companies recognize the value that exists in the Mozambique market and are beginning to demonstrate interest in social investments that can provide enduring social and financing impact.
Urgent action is needed to identify alternative, feasible solutions to raise additional domestic resources for the national HIV response. CNCS, in particular, would like to explore options for engaging the private sector to support HIV programming and financing in the country and therefore has requested technical assistance from the USAID- and PEPFAR- funded Health Policy Plus Project to identify private sector opportunities.
Primary Duties and Responsibilities:
HP+ is seeking the services of a qualified individual to provide technical assistance (TA) with a specific focus on the private sector in Mozambique. The consultant will be expected to work closely with CNCS, MISAU, MEF, private sector, and HP+ to gather, analyze and systemize information from private sector stakeholders to identify private sector opportunities for HIV programming and financing in Mozambique.
Collect epidemiological data to identify areas within Mozambique with relatively high HIV prevalence, incidence, and mortality rates and examine programmatic data to understand baseline coverage of key HIV prevention, testing, and treatment services.
Compile list of multinational and large local corporations and enterprises that are operating in Mozambique. Key sectors include the extractive and textile industries, chemical, and agricultural production (including tobacco).
Collect key information on a short list of private sector companies, including their location, mission, revenue, size and socioeconomic status of their workforce, existing corporate social responsibility activities (particularly in relation to health), the extent of provision of healthcare to their staff etc., through document review and key informant interviews.
Conduct standardized interviews with the short list of private companies, business federations/associations, tax and health regulatory authorities, and relevant NGOs
Conduct online, remote and/or in-person (as appropriate and depending on local guidelines regarding in-person meetings) validation of information with stakeholders.
In coordination with HP+ headquarter staff consultant will gather and then share information collected with the government for their consideration and action.
Coordinate and communicate regularly with HP+ staff
Support the HP+ Team in drafting the final policy note to ensure that inputs/data from key stakeholders are incorporated
Schedule meetings with private sector, CNCS, and additional stakeholders as needed
Foster good relationships with staff at CNCS, MISAU, private sector, partners, donors, bilateral and others as needed.
Provide additional support as needed for the private sector activity.
Produce the deliverables in a timely fashion following specifics and guidance from the CNCS and HP+ staff.
Submit drafts of deliverables and final versions to HP+ staff for review.
Include proper and accurate HP+ branding.
Based in Maputo
Bachelor’s degree or higher in relevant field (healthcare, administration, finance, management) with experience in organizational development, capacity building, , and/or capacity assessments;
Knowledge of the landscape of private business in Mozambique
Experience and proven track record in project management and organizational skills
Minimum 5 years of experience in designing, implementing, and/or managing private sector-related projects in the health sector or working in the private sector
In-depth knowledge of technical areas such as private sector engagement, social marketing, market development, corporate social responsibility, and/or public-private partnerships a plus; knowledge of PEPFAR a plus
Strong foundation in HIV programming,
Extensive experience working across public, social marketing, and/or commercial sectors in the HIV space
Project management experience for USAID or other development partners
Strong track record of effectively and efficiently performing multiple tasks and balancing competing priorities often within a required timeframe
Good diplomatic skills and experience interacting with host country government agencies (i.e. CNCS, MISAU) including development partners (i.e. USAID).
Strong facilitation, problem-solving, analytic, and evaluative skills;
Strong interpersonal, writing, and oral presentation skills in Portuguese and English;
Ability to work in a multicultural environment;
Previous works experience with CNCS;
Fluency in English and Portuguese is required.