Results for Development (R4D) is a leading nonprofit global development partner. We work with changemakers 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 achieve it. We combine global expertise in health, education and nutrition with analytical rigor, hands-on 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 produce lasting results. Then we share what we learn so others can achieve development results too.
We have a unique and dynamic 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 essential to who we are and what we do. We are looking for people who embrace these values and will help to reinforce them. Our work culture is collaborative, creative and entrepreneurial. We operate on the basis of trust and respect. Teams across the organization frequently collaborate on programmatic work and support each other to continuously build better R4D.
USAID’s Act to End Neglected Tropical Diseases (Act|East) program, led by RTI International, helps national governments achieve their NTD control and elimination goals through proven, cost-effective public health interventions. The Law | The East program works with the government of Haiti and its partners to eliminate lymphatic filariasis (LF) and seeks to promote and build capacity for sustainable NTD programming with a focus on national planning and funding processes . Since 2008, USAID has supported the Haitian Ministry of Health’s LF program to advance towards elimination goals. Currently, 122 of 140 endemic communes for LF have reached the criteria to stop treatment and have started surveillance. The remaining 18 communes need additional rounds of annual treatment; national and donor funding is currently insufficient to reach the 18 communes. Additionally, security issues, particularly around the Port-au-Prince metropolitan area, present a challenge to achieving the national elimination goal.
Act | East aims to assess and build the capacity of the Ministry of Health to properly manage future funding for ongoing LF treatment and surveillance. Act | East is studying the use of a Fixed Amount Allocation (FAA) mechanism, an approach that channels donor funding through existing public finance structures, in an attempt to revitalize the flow of funding with a view to proving whether this could strengthen financial systems and government ownership, positively impacting the long-term sustainability of the NTD program.
In FY20 and FY21, Act | Est issued FAAs to the North West and North Departmental Directions of Haiti’s Ministry of Public Health and Population (MSPP) through its then sub-partner. These FAAs were not entirely successful, with funds being delayed at various points in Haiti’s departmental financial system. Act | East would like to try issuing AIFs again in FY23, this time through lead partner RTI International, but before doing so he is looking to better understand how health financing systems work in national, departmental, and communal levels to ensure that USAID/Act | Eastern funding moves smoothly and in coordination with domestic NTD and health funding.
Results for Development (R4D), one of the implementing partners of the Act I East consortium, plans to conduct an assessment of the health financing landscape in Haiti and conduct an analysis of the flows of funds from the Haitian Ministry of Health. Health, with the goal of assessing how FAAS could support Haiti’s LF program implementation and strengthen Haiti’s MSPP financial systems. The analysis uses a mixed-methods approach and will include a review of the current health financing fiscal context to understand the implications for resource mobilization for NTDs, analyzes of how health financing and NTDs is managed and flows through the system, as well as a review of planning and budgeting processes for their incorporation of MTN services.
The objective of this analysis is to conduct an analysis of the health financing landscape and health sector fund flows in Haiti that will inform prospects for strengthening government ownership and financial management of the program. MTN using FAA to support MTN activities at MSPP Central, departmental and/or communal levels through the following sub-objectives:
- Understand the fiscal context of health financing and health spending trends in Haiti and the feasibility of mobilizing domestic financing for NTDs.
- Understand how funding flows from the national to the departmental level to know how FAA funding should flow to support activities at the commune level.
- Understand the main sources of funding for health and NTDs at the national/departmental/commune level and in particular how funding from external donors is managed by the different levels of government.
- Understand the capacity of each level of government to properly manage external donor funding.
III. Work’s extent
IV. Project deliverables
Deliverable 1: Upon signing the contract, the consultant must produce a detailed work plan of the activities to be undertaken and the timelines, in accordance with the scope of work. This will include a concept note for the first stakeholder engagement meeting, identifying primary and secondary data sources.
Deliverable 2: Final version of data collection instruments and list of interviewees. This will include a detailed list of secondary data analyzed and documents collected.
Deliverable 3: A 12-page report in English and French addressing all proposed questions, including references, appendices, footnotes and figures. Once reviewed by R4D and Act | Is, a copy of the report will also be submitted to MSPP/UCMIT.
The report will include a review of the current health financing fiscal context to understand implications for NTD resource mobilization, analyzes of how health and NTD financing (both internal and external) is managed and flows through the system and reviews local planning and budgeting processes. for their integration of MTN services. The health financing landscape and cash flow analysis will seek to answer the following questions:
- Describe the fiscal context for health financing and health spending trends. Describe the latest available health budget allocations for Haiti and selected departments and the extent of alignment with health priorities, including NTDs. Are some/all NTDs accounted for in the health budget?
- Describe the main sources of funding for health and NTDs at the national/departmental/commune level. How are these resources allocated and managed at the different levels of the system? Are there issues with the flow of funds to local governments from the different funding mechanisms? In the case of off-budget donor funds, how are NTD resources used/planned/accounted for within the government system? Is MTN service delivery integrated into existing funding pools and purchase agreements?
- Discuss the implications of the above for Act | The answer from the East. Specifically, how Act | Does the funding have to flow to achieve the activities of the municipality? What are the pros and cons of each funding stream option? Are there departments or municipalities where there is evidence of a stronger financial capacity which Law | Is should consider? Are there other donor transitions that have/occur in Haiti and what has been their experience?
- What are the prospects for mobilizing domestic public financing for NTDs given current fiscal challenges? Are private sector initiatives an opportunity for NTDs?
- Report on good practices and lessons learned from the previous implementation of the FAA system in the North-West and North departments.
R4D will provide the consultant with a 12-page report template.
Deliverable 4: A slideshow with conclusions and options or recommendations to share with R4D/RTI.
- Master’s degree in health economics, health policy and management or public health with a specialization in health financing.
- At least 3-5 years of field experience in health financing and/or health economics assessment and analysis, health policy, planning, public financial management (PFM) and/or financing.
- Experience in facilitating workshops and working with government and non-government stakeholders. –
- Knowledge of health financing mechanisms and Haiti’s health system, Haiti’s Ministry of Health (MSPP), NTDs or vertical programs including HIV/AIDS, FP/RH, malaria, EPI, MCH, tuberculosis, among others, is necessary
- Perfect professional command of French and English, including excellent written communication skills; language skills relevant to the project countries are also helpful
- Ability to work independently and collaboratively within a team and deliver high quality results under tight deadlines
- Excellent organizational skills and attention to detail.
- Must be based in Haiti and willing to travel to certain departments/communes
VI. Methods of implementation
- The consultant will report to the R4D Program Officer. The consultant will also have to engage regularly with the law | The Eastern Country team. RTI serves as the implementing partner in Haiti and the consultant should coordinate efforts and engagement with RTI, MSPP and government stakeholders. The consultant will provide regular updates on the progress of activities to the R4D Program Manager. The consultant will be based in Haiti
VII. Timeline and release
The schedule of deliverables is as follows:
- Deliverable1: Within two weeks of signing the contract (August 2022)
- Deliverable2: August 2022
- Deliverable 3: September 2022
- Deliverable 4: September 2022
The consultation must be completed by September 25, 2022.
How to register
Please click here to apply.