Deadline of this Job: 21 October 2022
JOB DETAILS: Duties and Responsibilities
The selected Consultant will work under the overall guidance of the Head of the International Assistance and Cooperation Department, in close cooperation with the responsible SoH Officer and the local implementing partner.
The duties and responsibilities of the consultant will include:
• Develop a work plan outlining the proposed research methodology, geographical coverage, and schedule to conduct the feasibility study,
• Carry out a project site visit to the project location to conduct research, collect data and establish contact with the local implementing partner, potential beneficiaries and relevant project stakeholders,
• Review existing policies and structures, government development strategies as well as relevant studies and research projects that could serve as a basis for the feasibility study,
• Identify relevant project stakeholders at various levels (local, district and national if applicable), including local governing bodies, academia and industry as well as lessons learned and best practices of similar on-going and implemented projects relevant to the project,
• Evaluate all available data and sources providing background information on identified issues, the problem analysis as well as the selected intervention to address identified needs (baseline data with focus on the qualitative analysis),
• Assess the proposed activities, as well as their timing and required financial resources.
• Examine institutional, technical, staffing and financial capacities of the selected implementing partner, as well as its relationship with the target group. Based on the findings, determine if there are areas in which capacities of the local implementing partner need to be developed,
• Review main governmental and non-governmental stakeholders with a purpose to see if there is a potential overlap or conflict of interest as well as opportunities for coordination with the aim of creating synergies and new cooperation partnerships,
• Examine the identified target group, its needs and role in the broader social context as well as the relevance of the planned project activities for addressing their needs,
• Identify potential obstacles and alternatives to overcome the foreseen challenges,
• Review and analyse all available project design elements and draft documents related to the project concept, if necessary,
• Critically review the planned project in terms of OECD/DAC criteria of relevance, coherence, effectiveness, efficiency, impact and sustainability (please see www.oecd.org/development/evaluation/daccriteriaforevaluatingdevelopmentassistance.htm),
• Prepare a report containing the findings on the above items, specific recommendations for the project concept with a view to planning and implementing foreseen project activities.
Expected Deliverables
The study will produce the following deliverables:
• a feasibility study outline, including the proposed methodology and data collection tools, table of content and a timeline of research activities (inception report) prior to the site visit to the project location,
• a summary containing a brief overview and the main findings of the study,
• a comprehensive report of a maximum of 30 pages with practical recommendations and relevant annexes,
• a review of the main project design elements and provision of concrete recommendations for improvement,
• an analysis of the institutional structure required for project implementation, stipulating the roles and responsibilities of staff members involved, a detailed problem analysis, a stakeholder analysis, a revision of the target group, an analysis of the potential risks and recommendations on how to mitigate these risks, a schedule of project activities, a financial plan (planning budget), a detailed project logframe with SMART indicators for the project objective and results listing related activities and required resources,
• a “Do-no-harm analysis” including recommendations on how to mitigate potential harm and conflict situations that can potentially arise during or as a result of the project activities
• a Gender mainstreaming analysis identifying potential risks and recommendations to ensure gender equality in all aspects of the project design and implementation.
• an analysis of the children´s participation to ensure that their voices get heard
Qualifications and Experience
Essential:
• Minimum of 5 years of project evaluation and/or implementation experience in the result-based management framework
• Proven experience of conducting feasibility studies, evaluations and other research projects
• Technical and methodological knowledge to conduct research projects and formulate conclusions based on a solid methodology, assessing projects for relevance, coherence, effectiveness, efficiency, impact and sustainability of projects
• Experience working with non-governmental organisations (NGOs) and partnered projects
• Fluency in written and spoken English
Desirable:
• Experience in the relevant field
• Fluency in written and spoken English plus Amharic and/or Swahili
• Professional familiarity with the project country/region
• Practical experience of working for and/or evaluating BMZ-funded projects
Deadline of this Job: 21 October 2022
JOB DETAILS: Business Coach and Consultant
WYLDE International is a professional services consulting firm that works with ambitious entrepreneurs seeking to grow and scale their businesses while delivering impactful products and services to their customers. Founded in 2004, WYLDE has worked with over 7500 entrepreneurs in cohorts or directly, enabling many of them to grow their businesses.
WYLDE is looking to hire business coaches/consultants to join a vibrant team of coaches and consultants.
The successful candidates will be trained on our unique Strategy tool, which has been used on our client businesses with great success. The successful participants will have an opportunity to be engaged as coaches, facilitators and/or consultants on a need basis and at agreed-upon fees.
Duties and Responsibilities
• Learn strategy consulting using a unique strategy tool
• Deliver and facilitate business strategy workshops, info sessions and webinars
• Deliver quality coaching sessions
• Assist clients with their strategies
• Be involved in business development
• Prepare comprehensive activity reports
• Conduct research and develop business plans
Required Specifications
• Minimum of 3 years’ experience in business strategy or supporting entrepreneurs or managing their own business
• Experience, knowledge and exposure to business functions, business strategy and entrepreneurship
• Minimum Degree in a business-related course
• Additional certification courses in entrepreneurship and business strategy will be an advantage
• Possess training, facilitation and presentation skills
• Experience working with SMEs and entrepreneurs
• Possess advanced report-writing skills
• Knowledge of proposal writing and tender preparation is an advantage
• Effective oral and written communicator
• Ability to plan, set and attain goals
• Adaptable and flexible - available on call and willing to travel when required
• Basic knowledge of Ms Office, Google suites and the Internet
Deadline of this Job: 24 October 2022
JOB DETAILS: ET Consultant
The HNP team in Africa is divided into four units, each covering threes CMUs. HAEH2 covers the DRC, Kenya, and South Africa CMUs, which collectively comprise of thirteen countries, and is responsible for a large program of operational and analytic work. The unit is looking for a Health Economist/Health Specialist to be based in Nairobi, Kenya.
Duties and Accountabilities:
The WBG is seeking a Health Economist/Health Specialist (on a locally recruited Extended Term Consultant (ETC) appointment for one year, subject to renewal for an additional one year. The Health Economist/Health Specialist will make intellectually sound and operationally relevant contributions to the WBG work support on health in Kenya. S/he will have the following main responsibilities:
• Support Bank operations and under preparation or implementation at national and county level
• Play a critical role in the evolving work program of analytical and advisory services related to health financing and universal health coverage, linking health to broader human development topics, and/or related topics in Kenya
• Help ensure close coordination with government; a variety of international and local development partners; and the CMU and Bank teams across other sectors
• Support policy dialogue with the Ministry of Health, counties and other stakeholders
• Represent the World Bank at consultation meetings and other activities relevant for the sector
• Contribute to sector-specific or cross-sectoral inputs for various operational products/outputs (e.g. sector/country briefings, background reports, portfolio performance reviews, etc.);
• Carry out such tasks as the Practice Manager assigns to support the development of the Bank’s work in health in Kenya
• Specifically, the Health Economist/Health Specialist will be expected to support the following ongoing engagements and contribute to the design of new operations as required:
Advisory Services and Analytics
• Contribute to the design and implementation of analytical work in Kenya, particularly on topics related to Universal health Coverage, health financing and pandemic preparedness and response
• Facilitate and coordinate the analytics activities and technical assistance, and the dissemination of key findings to the government and other partners
• Conduct analytical work, including data analysis and report writing
• Prepare briefs and technical notes and contribute to the writing of sections in analytical reports
• Support in policy dialogue with the Ministry of Health and other stakeholders at national and county level
• Kenya COVID-19 Health Emergency Project
• Provide technical and implementation support to the Ministry of Health
• Plan, conduct and provide timely reports on program supervision
• Provide health financing inputs to World Bank reports and key operational documents including Implementation Status Results reports
• The Health Economist/Health Specialist will report to the Practice Manager (Health Nutrition and Population) (HAEH2) and will be subject to all World Bank regulations and guidelines applicable to staff.
Selection Criteria
Applicants must have:
• An advanced degree (Masters or PhD) in Health Economics, Economics, Public Health or any other relevant discipline. Candidates with combined degrees (e.g., medicine and health economics) will have an added advantage
• A minimum of 5 years of experience years of experience.
• Wide recognition and track record of technical expertise and operational leadership in health, health economics and financing.
• Deep experience working with the Government of Kenya at both national and county level
• Experience working with the development partners in Kenya
• Demonstrated ability to lead and function within and across teams in operational and analytical work.
• Excellent written and oral communication. Able to synthesize, analyze, and effectively present material from a wide range of sources.
• Ability to function well independently and handle multiple tasks, meet changing priorities and deliver high-quality analysis and work on-time.
Required Competencies
• Integrative Skills -- Understands core issues and knows where to get additional expertise when needed.
• Knowledge and Experience in Development Arena -- Understands policy making process and role of the health sector in that process. Can find relevant information and examine similar policy questions in multiple regions and to distill operationally relevant recommendations and lessons from this analysis for clients.
• Policy Dialogue Skills -- Identifies and assesses policy issues and communicates findings/points of view verbally and through economic reports and papers. Plays an active role in the dialogue with the government and/or other stakeholders as part of Bank teams.
• Client Orientation -- Maintains client relationships in the face of conflicting demands or directions and provides evidence-based advice and solutions based on sound diagnosis and knowledge.
• Drive for Results -- Identifies the needed resources to accomplish results involving multiple stakeholders and finds solutions to obstacles affecting key deliverables.
• Teamwork (Collaboration) and Inclusion -- Shows leadership in ensuring the team stays organized and focused, and actively seeks and considers diverse ideas and approaches.
Deadline of this Job: 14 October 2022
JOB DETAILS: Consultancy: Support the development of a strategy on extension of social health protection to enhance NHIF coverage for populations being left behind
Background and Introduction
The Government of Kenya has committed to reach universal health coverage by 2022. In light of this commitment, ILO aims to support the National Health Insurance Fund (NHIF) to extend its coverage to uncovered population groups. UHC is a central objective of social protection systems and the cornerstone of the effective realization of the human rights to health and social security (in line with SDG 3.8.). In this perspective, a number of countries have taken steps to unify their social health insurance system and cover their population through a single risk pool, which has shown positive results in terms of equity.
The National Health Insurance Fund (NHIF) was created as a facility for ‘formal sector’ (contractually employed) individuals to participate in a risk-pooling (social) insurance system, to meet the cost of inpatient treatment for its contributing members and their immediate family members. In 2020, according to NHIF, the Fund had 9.1 million principal members covering 25 per cent of the population, but only 44.4 per cent of members were active contributors. NHIF membership is mandatory for all Kenyans who have attained the age of 18 years and are working in the formal sector. In recent years, NHIF has reviewed its portfolio of activities in the light of expanding its services and coverage to workers in the informal economy (with their families) and vulnerable groups. Voluntary members are required to make a contribution at a monthly rate of KES 500 while those in formal employment contribute based on a graduated scale as per their income with the least being KES150 and a maximum of KES1700. In 2020, 3.6 million members from the informal sector were voluntarily insured. However, out of the 3.6 million, only 1.5 were active members, meaning that they have paid their contributions in the last 12 months. NHIF is facing the challenge of voluntary members joining the Fund when knowing that they are in need of a medical procedure (e.g. surgery) and then dropping out again (adverse selection). NHIF further extended the waiting period for a procedure to 90 days from 60 days after making the first payment as a stop gap measure to this address adverse selection There has been ongoing discussions on establishing different social economic categories for different levels of contributions particularly in the informal economy. However, in order to introduce such a system, a complex socio-economic assessment mechanism would have to be set-up to assess means of contributing and capacity to pay among the informal economy and rural workers; further measures have also been introduced to enhance sustainability of NHIF for instance paying premiums one year upfront before voluntary contributors can access services, which has further exacerbated the inadequate coverage of the informal and rural economy workers.
NHIF has four further categories of members: (a) those elderly individuals over 70 years who receive benefits from the Inua Jamii 70+ cash transfer programme: (b) the Health Insurance Subsidy Programme (HISP), which targets children classified as Orphans and Vulnerable Children (OVCs) linked with care-givers and listed as beneficiaries of the OVC-CT programme;(c) Secondary students in public schools and (d) Civil Servants. Data on the vulnerable populations is provided by the Directorate of Social Assistance/Social Protection Secretariat. The government envisages the automatic enrolment of all recipients of the Inua Jamii Senior Citizens’ Programme and persons with disabilities in the NHIF. In some cases, counties or third parties such as UNHCR pay the contributions for specific groups, such as vulnerable refugees.
NHIF has 150 service points with 70 fully autonomous branches across the country. Each of these branches offers all NHIF services including payment of benefits to hospitals or members or employers. Smaller satellite offices and service points in county and referral hospitals also serve these branches. The benefit package has been enhanced to cover outpatient and in-patient services, major and minor surgeries, renal dialysis, cancer treatment and radiotherapy which can be accessed in all NHIF contracted government, private and faith-based healthcare providers. The NHIF uses capitation to pay for outpatient services and fee-for-service (FFS) for both outpatient and inpatient services for enhanced schemes such as the Civil Servants Scheme. Furthermore, NHIF uses daily rebate to pay for inpatient services and case‐based payments for benefits that are packaged and pre-authorized. All members of the scheme select an outpatient facility where they can access health services. Emergency services can also be provided in other facilities.
Despite having developed a strategic plan for NHIF expansion for 2018-2022, NHIF continues to encounter challenges regarding coverage of the population. Only part of the informal economy are members of NHIF and considerably less are covered in case of ill health due to the delay in paying premiums. NHIF needs to prioritise strategies that sustain active contributions towards the Fund from informal economy workers. Contributions are fixed at an amount that is not affordable for many households, considering that the informal economy is not homogeneous and has strong fluctuations in income. It needs to be considered that households rapidly move between income quintiles depending on seasonal income, transitory poverty, and catastrophic health expenditures. The rules that have been implemented to improve the sustainability of the Fund targeting voluntary members, such as paying the whole year to access services and late payment penalties, are seen as punitive and leave little flexibility for members further disadvantaging the uncovered groups. Flexible, income-tiered and innovative payment models have proven to be successful to get informal economy workers to contribute regularly in countries such as Indonesia and the Philippines. Other models that have effectively worked are based on greater population segments being subsidizes by government revenue such as in Thailand and Mexico. At the same time, there are supply-side challenges such as quality and service delivery issues, such as quality assurance, stock-outs and service perception by the population, that need to be addressed. It is noteworthy that NHIF has leveraged on technology to improve efficiency including biometric system, E-claims processing, digital and online registration and payment platforms, and an MIS system that is networked with all NHIF service points and healthcare providers and provides real-time information on access to health services. However, administrative procedures including claim management and prevention of fraud can be improved.
Scope of Work
The government has committed to reaching universal health coverage by 2022, a basic human right that is also enshrined in the Constitution of Kenya of 2010. COVID-19 has further highlighted the importance of social health protection for all. The consultancy will support NHIF to develop a strategy for extending coverage towards higher population coverage (population’s current financial status and the feasibility of an extension relating to technical, administrative, financial and the availability of services). This will include horizontal expansion of health coverage towards uncovered groups focusing mainly on workers in the informal economy and their families, refugee and migrant populations, vulnerable groups such as persons with disabilities and people living with HIV. Vertical expansion of coverage towards a higher level of coverage (benefit package and financial protection) will be taken into account considering supply-side limitations.
Project objectives:
1. Demand side assessment to inform the strategy for extending social health protection.
1. Conduct a literature review including existing national frameworks and studies as well as review best practices identifying pathways for extension.
2. Undertake a deeper qualitative assessment of the nature of informal economic units and informal non-poor workers, their health insurance needs, their contributory capacity and constraints to access potential health coverage through NHIF as well as the attractiveness of the scheme by assessing current beneficiaries experience with NHIF and their satisfaction with NHIF’s services and benefit package.
3. Support lead consultant in the development of strategic options to extend NHIF to currently uncovered groups/workers in the informal economy and their families including costing of these options.
Development of a strategy for extending social health protection
The consultant will conduct qualitative research to develop a deeper understanding of the informal economy workers’ and economic units’ behaviour regarding health insurance. The assessment will cover workers in the informal economy ability to pay, motivations and obstacles to join, with the view to design the right set of incentives, within and beyond the health insurance system, to expand their affiliation. It will also cover attractiveness of the scheme by assessing current beneficiaries experience with NHIF and their understanding and satisfaction with NHIF’s services and benefit package. This assessment will provide strategic directions (e.g. set of incentives, enrolment mechanisms, benefit packages, premium and institutional setting) with an aim of setting up a pilot to experiment and learn about inclusion of these populations in health insurance coverage. The assessment will build on a literature review and the analysis of existing national surveys and administrative sources and mainly conduct primary data through and complement the envisage Focus Group Discussions (FGDs).
The consultant will further support the lead in the formulation of scenarios for the NHIF strategy. Key stakeholders will have to be consulted to validate the design of the strategic options. The extension options should consider workers in the informal and rural economy as well as other vulnerable groups such as refugees, migrant workers PWDs, PLHIV. The final strategy should include a costed action plan and monitoring framework ready for piloting at county level.
Project Management
The consultant will work under the supervision of the ILO under the leadership of the National Social Protection Secretariat and the Ministry of Labour. Oversight and guidance will be provided by the Technical Committee which will endorse outputs and deliverables.
Timeline
Q4 2022 and Q1 2023.
Expected Deliverables
The consultancy will be expected to deliver the following:
1. Inception Report: Outlining the understanding of ToRs, FGD and KII guides, assessment framework for NHIF, stakeholder mapping, annotated outline of the Strategy and results of literature review.
2. Qualitative research: Detailed beneficiary assessment covering uncovered workers in the informal economy and current beneficiaries.
3. Final strategy: Support the final strategy document with the costed action plan and monitoring framework as final product.
Required qualifications, desired competencies, technical background and experience
The consultant will require the following experience and skills:
• Relevant advanced academic degree (public health, development studies, economics or related fields); solid knowledge of social health protection programs and health insurance;
• Experience with health financing and health insurance institutions.
• Demonstrated experience working on social health protection policies, assessments and studies;
• Specific experience in undertaking complex social, economic and health research.
• Experience working with governments, international donors and others.
• Excellent writing and communication skills in English.
Logistics
The consultant will plan and organize its own logistics including travel, accommodation and meetings. However, ILO officers based in Kenya will provide support. The consultancy will entail 2 missions to Kenya to conduct FGDs and support the development of recommendations on the extension of coverage. The consultations and meetings/forums may also be held virtually. Adherence to COVID-19 protocols as per the national authorities/UN/ILO guidance will be expected.
Expected Duration
All assignment’s deliverables are expected to be delivered to the satisfaction of the ILO by 31-04-2023.
Payment Arrangements
The number of working days for the assignment is XX working days; the daily rate is 450 USD (Total amount of USD). The amount of the contract including travel is as follows:
Total Daily rate | Unit Cost (USD) | Frequency | Total (USD)
Travel
Accommodation
Consultancy days
Total
The ILO will disburse the contract total amount in several instalments based on the below table, and upon the satisfaction of the ILO, as follows:
Key Deliverables | Instalments | Amounts
Upon the delivery of deliverable number 1 | 20 per cent of the total fees | XXX USD
Upon the delivery of deliverable number 2 and 3 | 60 per cent of the total fees | XXX USD
Upon the delivery of deliverable number 3 | 20 per cent of the total fees | XXX USD
Total |100 % | XXX USD