Social Impact Health Finance Expert/Performance Evaluation of the USAID/Tanzania PS3+ Activity Jobs in Tanzania
Background of PS3+ Activity
USAID Tanzania is committed to health systems strengthening (HSS) as a cornerstone for the sustainability of health initiatives and the enhancement of health outcomes. This dedication aligns with the USAID Vision for HSS 2030, which transitions from a singular focus on individual health system “building blocks” to an emphasis on holistic health system outcomes.
Nevertheless, the vision still acknowledges the undiminished relevance of individual components such as human resources for health, health information systems, and private sector engagement. Specifically, the USAID Tanzania health information systems, governance, and health financing endeavors are encapsulated within the Public Systems Strengthening Plus (PS3+) Activity.
The core goal of the PS3+ Activity is to empower the Tanzanian Government to fortify its public sector systems, ensuring the enhanced quality and delivery of public services across multiple sectors, notably health, education, and agriculture.
This initiative is rooted in three primary result areas: the enrichment of evidence-based planning and management, the bolstering of local governance to facilitate deeper citizen participation and ensure social accountability, and the amplification of financial resource efficiency. Each of these areas is instrumental in achieving the overarching objectives of improved service delivery and sustainable development.
Statement of Purpose:
The intent of this evaluation is to conduct activity evaluations of USAID/Tanzania’s PS3+ to help further programming around systems approaches, citizen engagement, mutual accountability with the Government of Tanzania, community system strengthening, and private sector engagement.
The evaluation will help the Mission understand if and how the interventions supported in these areas are institutionalized and potential investment opportunities that remain unaddressed. This will provide the HSS Team with the information and learnings that it needs to inform the next round of its HSS-integrated activity designs.
Evaluation Questions:
To what extent have PS3+’s supply-side (systems) interventions garnered GoT ownership and been scaled up? What were the factors that contributed to or inhibited both ownership and scale-up?
In what ways have PS3+’s demand-side (citizen engagement) interventions been effective at increasing citizen voices and participation in planning and governance? To what degree are PS3+ interventions relevant to the needs of Tanzanian citizens?
What challenges remain (e.g. political will, policies and guidelines, staff capacity, monitoring, motivation) in ensuring that the systems and interventions which have been adopted by the GoT continue to function sustainably?
How has PS3+ produced tangible and quantifiable benefits for the education and agriculture sectors? To what extent is there an understanding of these benefits on the part of stakeholders from those sectors?
To what extent has PS3+’s cross-sectoral approach led to quantifiable cost efficiencies within both the GoT and USAID?
Has PS3+ collaborated with and linked private sector entities with government, civil society, and community actors to respond to health, education, and agricultural sector needs? If so, what were the outcomes of those linkages?
What potential lessons and investment opportunities are there for USAID to consider in the future that have not already been addressed by PS3+ in the areas of health information systems, governance, citizen engagement, and health finance?
Position Description:
SI is seeking a Health Finance Expert to conduct a Performance Evaluation of the USAID/Tanzania PS3+ Activity alongside the Team Leader and other Technical Advisors. This is a consulting position with an estimated period of performance of December 2023 – May 2024. The estimated level of effort (LOE) for the Specialist will be 47 days with expected travel of up to 2 weeks in Tanzania. The Specialist will report directly to the Senior Assessment and Evaluation Specialist/Deputy Chief of Party.
Responsibilities:
The Health Finance Expert shall:
Evaluate and analyse health financing strategies and their effectiveness.
Assess governance structures related to health financing.
Review public financial management practices in the health sector.
Provide recommendations to enhance financial efficiency and sustainability.
Collaborate with other experts to integrate financial insights into the broader evaluation.
Engage with stakeholders, including public and private entities, to gather data and insights related to health financing.
Support the ET on desk review, and initial stakeholder consultation, and identify additional information/analyses required.
Support the ET to prepare and finalize evaluation design, methodologies, analysis strategies, work plan, and timelines for USAID and partners.
Participate in the data collection in consultation with implementing partners based on research/logistical needs.
Participate in the development of the findings, conclusions, and recommendations (FCR) Matrix.
Write the evaluation report in coordination with team members, taking into consideration feedback from a preliminary finding session.
Support the ET in the preparation and presentation of the key findings, conclusions, and recommendations to USAID, key stakeholders, and research users following SI’s and USAID’s standards.
Support the ET to respond to USAID and USAID T-MELA’s comments and feedback and deliver high-quality deliverables that meet USAID and SI’s standards.
Deliverables:
With support from USAID/T-MELA and team members, the Team Lead will be expected to take overall responsibility for the production and management of the following:
Final Evaluation Design: A detailed, full evaluation design and work plan following an initial consultation with USAID that will include chosen methodologies and data collection tools.
Kick-off meeting/In brief: A PowerPoint/Google Slides presentation summarizing the Inception Report for USAID/T-MELA and key partners prior to the launch of data collection.
Findings Conclusions and Recommendations (FCR) Matrix: An analysis tool through which data is triangulated and findings, conclusions, and recommendations specific to each evaluation question are produced. Two FCR matrixes are expected, a preliminary document after the first full week of data collection, and a final matrix at the end of the data analysis period.
Preliminary Findings PPT: The team will present the key findings to the wider USAID/Tanzania Mission through a PowerPoint/Google Slides presentation. The TL is expected to update this PowerPoint after the final report.
Draft Report: A draft report with fully developed findings, conclusions, and recommendations, no longer than 30 pages excluding annexes, will be submitted to the T-MELA COP who will submit to the USAID COR for T-MELA activity. The format will include an executive summary, table of contents, methodology, findings, and recommendations. USAID/T-MELA and key local stakeholders will provide comments on the draft report.
Final Report: The team will submit a final report that incorporates responses to USAID’s/partner’s comments and suggestions. The report will be submitted electronically in English. The report will be disseminated within USAID and key stakeholders.
Qualifications and Skills:
The Health Finance Expert must have/hold:
Master’s degree or higher in Health Economics, Public Health, Finance, or a related field.
Minimum of 5 years of experience in health finance, including work with governance and public financial management in the health sector.
Knowledge of health financing mechanisms, strategies, and best practices.
Strong analytical skills with the ability to interpret complex financial data.
Experience in the Tanzanian health finance context is an advantage.
Extensive experience in preparing high-quality documents.
Experience in the design of instruments for data collection including qualitative tools such as KIIs and Focus Groups using diverse technology.
Excellent oral communication and written skills in English is a must.
Demonstrated experience in communicating with local stakeholders at managerial and technical levels.
Experience working with international donors, especially USAID.
Preferably, the applicant will possess experience conducting evaluations in the health sector in Tanzania.
How to Apply
For more information and job application details, see; Social Impact Health Finance Expert/Performance Evaluation of the USAID/Tanzania PS3+ Activity Jobs in Tanzania
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