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TERMS OF REFERENCE FOR INDIVIDUAL CONTRACTORS/ CONSULTANTS
PART I
Title of Assignment
Local Consultancy- Health Economist (Immunization Financing)
Section
Health Section
Location
Nairobi, Kenya
Duration
210 working days within a period of 11.5 days
Background and Justification
Immunization services in Kenya are primarily funded by the Gavi Alliance, the central Government and the 47 counties. The Gavi Alliance has granted funding for new vaccine introductions and immunization systems strengthening since 2001. Most recently, Gavi approved support for national introduction of HPV vaccine, targeting 10-year old girls. The central Government funds traditional vaccines, operating costs of the immunization programme as well as co-finances Gavi supported vaccines. Kenya is currently in the preparatory transition phase of Gavi support, which means that the amounts co-financed needs to increase by 15% every year. The 47 counties are responsible for procuring syringes and for funding delivery costs, such as fuel and per diem for outreach activities.
Several partners are assisting the Kenyan National Vaccine Immunization Program (NVIP) in planning, budgeting and financing of immunization. NVIP has recently established an Engagement Forum on Immunization Funding and Financing with the aim of enhancing co-ordination and synergies within this area of work.
During 2017 and in the early part of 2018, UNICEF Supply Division provided technical assistance to NVIP on forecasting, planning and budgeting for vaccines. Outcomes of this work included improved stabilization of the cash flow for vaccine procurement and alignment of government procedures for reporting on resources invested in vaccine procurement. A detailed report is available on the work undertaken during this consultancy, including recommendations. The present consultancy is a continuation of the 2017-2018 work undertaken by UNICEF Supply Division as well as expansion into supporting selected counties in planning and budgeting for immunization services.
Scope of Work
Goal: The purpose of the consultancy is to strengthen in-country capacity for immunization program budgeting and budget execution and support coordination of immunization financing forum.
Objective: Under the supervision of Dr Alex Adjagba, (Senior Health Specialist/Health Section), the consultant will support and build capacity within the NVIP at national and county-levels in the field of immunization financing, hence contribute to the piloting of an innovative country-level coordination mechanism for immunization financing in the context of universal health coverage.
To contribute to analytical work in areas that will be defined as critical by the Engagement Forum, which includes:
These tasks require time and are not currently being conducted by any one in NVIP and UNICEF.
Work relationships:
Outputs
The following outputs should be completed by end of the consultancy:
Deliverables
Duration
(Estimated # of days or months)
Timeline/Deadline
Schedule of payment
Report on the Mapping of roles of counties in immunization ( for counties included in group 1)
25 days
February 15th 2019
10%
Report on the Mapping of roles of counties in immunization ( for counties included in group 2)
25 days
March 31st 2019
10%
Report on financial data collection from Counties in Group 1
30 days
April 30th 2019
20%
Report on financial data collection from Counties in Group 2
35 days
June 12th 2019
10%
Meeting preparation, (including background materials and meeting logistics) and Report on the Technical meeting of the Kenya Immunization Financing Engagement Forum
20 days
July 16th 2019
10%
Report on establishment of a system for tracking budget allocations and budget implementation for immunization at national level and in selected counties
20 days
August 13th 2019
10%
Report of assessment of current procurement practice against yearly forecasts
30 days
September 24th 2019
10%
Final Progress Report on project completion status and lessons learned submitted
15 days
November 15th 2019
10%
Publication submitted on the Kenya experience as a pilot for a country mechanism to coordinate immunization financing mechanisms in the context of UHC and NHIF.
10 days
December 5th, 2019
10%
The consultant will be based in Kenya.No travel outside Kenya anticipated. The consultant will work with the NVIP, the EPI focal point in KCO and health economist in the ESARO Health Section. The consultant will be required to provide progress reports electronically on a monthly basis highlighting key deliverables and results and a final report for the consultancy. The reports will be according to UNICEF standard. Minutes of regular meeting will be also submitted as per UNICEF request. Workshop report will be required after the July technical workshop.
Payment Schedule
Consultant will be paid upon submission of monthly progress reports that clearly highlight key deliverables and results
Payment schedule is in the above deliverable table
Desired competencies, technical background and experience
Administrative issues
The consultant will be based in Nairobi and work closely with the NVIP under the supervision of the UNICEF immunization focal point and Health Economist. Consultant will be required to travel within Kenya. The consultant may be provided office computer and other IT support as necessary to do his/her work
Conditions
How to Apply
Qualified candidates are requested to submit a cover letter, CV, and all inclusive financial proposal to carry out the deliverables above.
Interested consultants to indicate ability, availability and rate to undertake the terms of reference.
Applications submitted without a fee/ rate will not be considered.
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