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REQUEST FOR CONSULTANT: Act to End NTDs I East Project Consultant Terms of Reference: FY24 Health Financing Activities in Tanzania – Ongoing Technical support

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DAR ES SALAAM / INTERNATIONAL – CONSULTANCIES /

CONSULTANT (STTA, TOR, SOW, EOI) / REMOTE

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.

I.Background

USAID’s Act to End Neglected Tropical Diseases | East (Act | East) program, led by RTI International, supports countries to reach their NTD control and elimination goals through proven, cost-effective public health interventions. The program provides critical support to countries in their journey to self-reliance by helping to create sustainable NTD programming within a robust and resilient health system. The project focuses on partnering with NTD-endemic countries to eliminate and control five of the most common NTDs, including lymphatic filariasis, trachoma, onchocerciasis, schistosomiasis, and soil-transmitted helminths (hookworm, ringworm, and whipworm), which affect more than one billion people worldwide.

Act to End NTDs | East also strengthens local capacity for planning, budgeting, and budget execution so that NTD programs can continue with high levels of effectiveness. In Tanzania the program helps Ministry of Health (MoH) identify potential options for sustainable financing of NTDs, in line with broader health financing strategies for domestic resource mobilization (DRM), Primary Health Care (PHC) and/or Universal Health Coverage (UHC). As such, Act | East will support government institutions to assume greater programmatic and financial responsibility for their NTDs response.

In FY23, Act | East provided technical support to 15 prioritized councils to plan and budget for NTD activities using the existing President’s Office Regional Administration and Local Government (PO-RALG) planning and reporting system during the development of Comprehensive Council Health Plans (CCHPs). In FY24, Act | East will continue providing technical support to nine FY 23 councils and extend support to all Act | East supported councils (48), to plan and budget for NTDs in CCHPs by building their capacity to use the PO-RALG planning and reporting tool to track approval, allocation, and disbursement of funds; and to negotiate fund allocation at council budgeting meetings.R4D will hire a local consultant to support the CCHP activities in close coordination with Tanzania’s HSS Advisor, Chief of Party (COP), MoH-NTDCP Program Manager and PORALG.   

II.Objective of the consultancy

The objective of the consultancy is to provide technical assistance to the MoH and PO-RALG strengthen the CCHP and budget development process, NTD Module development and preparation of an NTD Domestic Resource Mobilization (DRM) Strategy.

The consultant will perform the following tasks: –

Activity #1:  Build the capacity of 48 – Act | East supported councils to plan and budget for NTDs: The consultant will work with MoH and PO-RALG to extend CCHP support to all Act | East-supported councils using the annual NTD review and planning meetings as a platform for scale-up. The consultant will support the MOH to train and distribute the “NTD planning and budgeting pocket guide” to 48 councils. This training will involve health and non-health authorities such as District Planning Officers (DPLOs) and District Health Secretaries, who are responsible for planning and budgeting as well as other key stakeholders relevant to NTD activities.

The training will begin in Q1 and continue into Q2 and will require the consultant to liaise and work with Act | East and MOH to develop a training plan for two training workshops (2-days each) each. This training will include review of current budget allocations and disbursements using the template provided in the pocket guide, as well as build capacity of the councils on how to track NTD funding allocations and disbursements.

Activity #2:Complete NTD Planning and Budgeting Module for e-Learning Platform:  The consultant will complete the module and lead a three-day adaptation meeting on the development of comprehensive NTD e-learning modules using existing MOH planning, budgeting, and NTD disease specific modules. The meeting will employ a participatory approach to engage all participants through presentations and group discussions on the structure, content, and expected outcomes of the modules.

The consultant will facilitate a three-day in-person piloting workshop on the comprehensive NTD module to approximately 30 selected Act | East councils. Finally, in collaboration with the MOH, the consultant will facilitate a three-day workshop of accreditation and approval of the reviewed modules by the respective professional council. After the workshop the consultant is expected to develop a Road Map for accreditation of NTD Modules in the respective professional councils.

Activity #3: Finalize NTD Domestic Resource Mobilisation Strategy (DRM), linking it to the broader UHC conversations in Tanzania: The consultant will work with the R4D health financing program officers and Senior Health Financing Specialist to provide technical support to the Tanzania NTD Control Program (NTDCP) to finalize the NTD DRM strategy. The strategy will guide the Ministry to identify a comprehensive set of financing mechanisms to fill NTD funding gaps through mobilizing domestic resources, diversifying sources of funding, and increasing government commitment to enable the country to reach the NTD Master Plan milestones, as well as identifying options for donor funding transition and sustainability of the program.

As part of the NTD DRM Strategy development process, the consultants will employ a mix of qualitative and quantitative methods to collect, analyze, and triangulate information and data across multiple sources using a combination of desk reviews, key informant interviews, stakeholder consultations and secondary data collection under the support of MOH, RTI country HSS advisor and the R4D team. The consultant will liaise closely with the technical working group (TWG) of the MOH. The MOH will provide oversight for development of the NTDs DRM Strategy while the TWG will provide key inputs through reviewing drafts and participating in strategy development workshops and validation meetings.

The consultant will undertake the following major activities to develop the NTD DRM Strategy document:

·        Consult with MOH to identify key stakeholders from government (national, PO-RALG and selected councils), development partners, civil society organizations, NGOs, and the private

sector to gather inputs for the strategy. The key objective of the key informant interviews is to understand the feasibility, and their role, in domestic resource mobilization and other funding strategies for NTDs program.  

·        Conduct deep dive on NTD financing by extracting quantitative data from various stakeholders pertaining to resource needs, allocation, and use from donors, implementing partners, government, and other sources to estimate the NTDs funding gaps. 

·        Attend regular meetings with NTDCP, Act | East HQ, and Tanzania country office to monitor the progress of the development of the NTD financial strategy.

·        As part of the document preparation process, the Act | East will organize two rounds of workshops (a 2-day validation meeting to discuss the overall strategy framework and a 2-day High-level workshop to finalize the strategy). 

III Expected Deliverables

  • Activity #1:Build the capacity of 48 -Act | East supported councils to plan and budget for NTDs:
  • i)     Deliverable 1.1: Finalize planning and budgeting training materials and tools.
  • ii)    Deliverable 1.2: Two CCHP training workshops (2-days each) for the new councils. 
  • Master’s degree in health economics, health policy and management, or public health with a health financing focus.
  • At least seven (7) years of field-based experience working on health financing and/or health economics evaluation and analytics, health policy, planning, public financial management (PFM), and/or financing in Tanzania. 
  • Experience in workshop facilitation and collaboration with government and non-government stakeholders.  
  • Familiarity with the Tanzanian health financing mechanisms and health system, Tanzanian Department of Health, NTD or vertical programs including HIV/AIDS, FP/RH, Malaria, EPI, MCH, TB, among others is necessary. 
  • Full professional fluency in English, including excellent written communication skills; language abilities relevant to the project countries also valuable. 
  • Ability to work independently and collaboratively as part of a team and deliver high-quality results within tight timeframes. 
  • Excellent organizational skills and attention to detail.  
  • Must be based in Tanzania.
  • Build the capacity of 48 -Act | East supported councils to plan and budget for NTDs:
  • Deliverable 1.1 – 30th November 2023
  • Deliverable 1.2 – 15th February 2024
  • Complete NTD Planning and Budgeting Module for e-Learning Platform
  • Deliverable 2.1 – 31st January 2024
  • Deliverable 2.2 – 31st May 2024
  • Finalization NTD Domestic Resource Mobilisation Strategy
  • Deliverable 3.1 – 31st December 2023
  • Deliverable 3.2 – 1st March 2024
  • Deliverable 3.3 – 31st August 2024

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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