Palladium recrute un consultant pour PSE dans les régimes d’assurance maladie nationaux et étatiques du Nigeria, HP+, Nigeria
Company Overview:
About Palladium – 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 governments, businesses, and investors to solve the world’s most pressing challenges. With a team of more than 3,000 employees operating in 90 plus countries and a global network of over 35,000 experts, we help improve economies, societies and, most importantly, people’s lives.
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Project Overview and Role:
USAID’s Private Sector Engagement (PSE) policy and other global agencies such as the World Health Organization recognize the private sector’s contribution to the development agenda, which includes the private sector’s vital role in strengthening health systems and achieving universal health coverage. Several low- and middle-income countries are already integrating private for-profit and non-profit facilities in government health insurance schemes (GHIS) for providing primary and secondary care, e.g., Ghana, Kenya, Nigeria, India, Indonesia, the Philippines, and Vietnam (Cotlear, 2015).
This integration demonstrates an important evolution of the government’s stewardship of the private sector and willingness to increase capacity, choice, and coverage. On the other hand, it requires that payer agencies managing the schemes have processes to accredit and contract private providers, set appropriate reimbursement rates, and hence complete more steps than needed when only working with public sector facilities. This often impacts scheme expansion and creates operational challenges. Each of the critical steps in this process—ranging from accreditation to reimbursement, quality assurance, and verification and audit—all represent potential operational roadblocks that can stall effective integration.
This cross-country study aims to identify the most critical operational barriers for priority public health services and develop a framework and key recommendations for addressing them in countries that have initiated this important process. Helping government address these challenges in working with the private sector in both contracting of providers and enrolment of members will be critical to supporting countries in their journey to self-reliance (J2SR). This is because private sector integration within government supported health insurance schemes can expand the range of options for affordable access to and use of quality RMNCHAH services, serve as market-shaping opportunities for accredited private provider networks, and increase the scale and sustainability of PSE.
Nigerian Context:
Nigeria’s National Health Insurance Scheme (NHIS) is targeted toward federal civil servants and operated locally across the 37 states and the federal capital territory (FCT) and actively engages the private sector. Several state health insurance schemes (SHIS), e.g., FCT, Lagos, Delta, Bayelsa, Kano, Anambra, and Niger which provide services to a broader general public, are contracting private sector providers. These are also expected to cover at least family planning counselling services at the primary care level. For example, Kanos SHIS covers family panning education only and Lagos SHIS covers both counselling and provision of commodities at designated centers. The Basic Healthcare Provision Fund (BHCPF) also includes FP but has not yet begun accrediting private providers.
Benefits to Nigeria from this activity. Given the Nigerian government’s stated interest in increasing private sector contracting in national and state-level schemes, the study will offer important policy findings and recommendations regarding key barriers to private sector contracting (empanelment, reimbursement rates, quality assurance, and verification), which could serve state-level schemes that are just gearing up for private sector contracting on how to manage and/or potentially avoid these common barriers.
Primary Duties and Responsibilities:
HP+ is seeking a consultant to support in-depth interviews of key stakeholders related to understanding the critical operational barriers to an increased role of private providers in the provision of FP services. This is a deliverable-based contract. The Consultant will report to Cindi Cisek – Senior Technical Adviser and work closely with other HP+ Nigeria and HQ-based staff to ensure accuracy and completeness of interviews the data collection exercise and documentation.
Scope of Work:
The Consultant’s work will occur in two phases: (1) preparation and conduct of interviews; (2) documentation of interviews and list of recommended stakeholders to participate in expert meetings.
Phase 1: Preparation and conduct of in-depth interviews
The consultant will develop the list of government and private sector stakeholders to be interviewed (approximately 10-15 interviewees) with their names and contact information based on the list provided by HP+, primarily from Nigeria’s NHIS, Kano SHIS, Bauchi SHIS, Lagos SHIS, relevant professional medical associations, and Health Facility Monitoring and Accreditation Agency (HEFAMAA). The consultant will be responsible for scheduling and conducting in-depth interviews, which are anticipated to take between 60-90 minutes to conduct. If follow-up information is required, the consultant will support by soliciting clarification or additional emails either through telephone, email, or other communications media.
Deliverable: The deliverable for this phase of the study will be the list of stakeholders to be interviewed along with their full contact information and the draft questionnaire guide and excel template.
Phase 2: Interview Scheduling, Data Analysis and Reporting
The consultant will be responsible for scheduling and conducting interviews with stakeholders. The interviews will be recorded and transcribed in English. Data Analysis and Reporting: The Consultant will complete the interviews and submit the interview notes (transcribed in English) within 5 days of each interview conducted. The consultant will conduct any interview follow-up required via email or direct communication as required.
Deliverables
The following deliverables will lead to payment for the amount of time spent to complete the assignment. Each deliverable must be submitted by agreed upon date, and HP+ will review and approve, or send back with comments for consultant’s further refinement within five business days.
- Preparation: List of stakeholders to be interviewed, tentative schedule, as well as any suggested modifications to the instruments.
- Data Collection: 1) final list of interviews/points of contact, 2) completed transcripts in English, 3) Follow-up notes pending from interviews with key stakeholders.
Period of Performance: August – October 2021 for preparation and interviews
Required Qualifications:
- Master’s degree in a public health, policy, health financing or other related discipline ;
* Experience with national and state-level health insurance schemes and key stakeholders ;
* Familiarity with Nigeria’s family planning program ;
* Experience conducting in-depth interviews with senior government officials and other stakeholders ;
* Fluency in English and strong writing, communication, and reporting skills ;
* Excellent interpersonal and communication skills ;
* Ability to work within tight deadlines ;
* Flexibility, adaptability, and resourcefulness.
Evaluation Criteria:
Experience (50%)
- Experience in conducting in-depth interviews with senior-level government and private sector stakeholders ;
- Knowledge and existing contacts with key stakeholders from national and state-level insurance schemes ;
- Experience in working with USAID and other global partners.
Technical (50%)
- Strong understanding of Nigeria’s national and state-level insurance schemes, including accreditation, certification, and contracting procedures for private sector ;
- Strong understanding of family planning programming ;
- Fluency in English and strong writing, communication, and presentation skills ;
- Master’s degree in a public health, policy, health financing or other related discipline.