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Recruitment of the Lead Consultant to conduct the evaluation of Health Sector Strategic Plan (HSSP) 2011 -2016 – National Aids Commission





1.0 Background:

The Government of Malawi In collaboration with Development
Partners finalised the Health Sector Strategic Plan (HSSP) in 2011 for implementation up to October 2016. The aim of the HSSP (2011- 2016) was to build on the gains made under the Program of Work (2004-2010).

The HSSP provided the framework that guided the efforts of the Ministry of health and all health sector stakeholders over the five year period and aimed at contributing to the attainment of the Malawi Growth and Development Strategy (MGDS-II) and the Millennium Development Goals (MDGs). In trying to contribute to poverty reduction and the socioeconomic development of Malawi, the HSSP had the following desired outcomes:

  • Outcome 1: Increased coverage of high quality EHP services
  • Outcome 2: Strengthened performance of the health system to support delivery of EHP services
  • Outcome 3: Reduced risk factors to health
  • Outcome 4: Improved equity and efficiency in the delivery of quality EHP services

The HSSP was implemented at both the national arid district level with financial and technical support from the Government of Malawi and Development Partners. The agreement to finance and support the HSSP was formalised in a Memorandum of Understanding (MOU)
and Joint Financing Agreement (JFA) signed in 2012. The SWAp (Sector Wide Approach) – central to the coordination of trie financing & implementation of the HSSP – is used as a common framework for health sector planning, budgeting, financing, financial management, reporting and monitoring and evaluation as well as agreement on both yearly and midterm reviews and end of term evaluation.
The suspension of budget and sector support in 2013 resulted in Development partners withdrawing support from the SWAp pooled funding mechanism. DPs continued however to support via projects and discrete funding. In line with the provisions in the MOU and JFA a Mid Term Review (MTR) of the HSSP was carried out in March 2014.

The Ministry of Health (MoH) in collaboration with its partners has initiated the process of developing a new Health Sector Strategic Plan 2017-2021 (HSSP II) to provide a platform for further development of the Malawi health sector. The evaluation of the HSSP will provide valuable lessons to assist in the development of the HSSPII in addition to reporting on the general successes and failures in the health sector over the last five years.

Therefore, the National AIDS Commission (NAC) on behalf of the Ministry of Health and with funding from the World Bank would like to recruit a Lead Consultant to facilitate the evaluation of the HSSP.

2.0 Objectives of the HSSP evaluation:

  1. Evaluate the extent to which the HSSP output targets and health outcome targets were met;
  2. Pinpoint achievements in the outcomes and indicators of the HSSP and related programme strategic plans;
  3. Assess the performance in the delivery of the Essential Health Package over the HSSP period;
  4. Assess success and constraints in resource mobilization for implementation of the HSSP;
  5. Identify key areas of success and failure in the HSSP;
  6. Evaluate the success of financing modalities, harmonisation, alignment and the systems that had been developed to coordinate and implement the HSSP;                                –
  7. Identify and propose relevant actions that would be needed for the success of HSSPII.

3.0 Scope of the work

Key areas for the Evaluation

  1. Achievement of the outcomes and indicators of the HSSP3 and related health programmes strategic plans in delivery of the EHP
    • Evaluate the Health system strengthening interventions that were carried out during the implementation of the HSSP
    • Evaluate the working relationship with other ministries/Institutions to ensure effective implementation of the HSSH (including the following; Ministry of Finance, Department of Human Resource Management & Development (DHMRD) and Ministry of Local Government and Office of the Director of  Public Procurement (ODPP)), and other Ministries and  Government agencies that influence health
    • Evaluate how the Government reforms e.g. decentralization, Civil Service reform etc. affected or influenced the HSS implementation
    • Evaluate the contribution of Public Private Partnerships in particular SLA and MOU with CHAM in achieving HSSP outputs
    • Evaluate the performance in the delivery of the EHP and how this impacted key health outcome indicators.
  2. Progress in meeting output targets
    • Evaluate progress made against mid-year and Annu|
      review milestones
    • Evaluate progress made against SWAp Monitoring
      Evaluation framework targets
    • Evaluate performance of individual districts against selected indicators
    • Evaluate whether progress in HSSP outcomes led to more equitable local health services, meeting the needs of the poor and vulnerable population
  3. Resource needs and constraints in implementing the HSSM
    • Evaluate the level, appropriateness and sustainability of health care financing directed to HSSP implementation
    • Evaluate the contributions from partners including GoM to meeting the needs of the HSSP and give an overview 9 the resources that were made available from Government of Malawi (GoM) and Development Partners (DPs)
  4. Financing modalities and harmonisation and alignment within the SWAP framework
    • Evaluate the financial contribution of each partner (GoM, Pool and Discrete donors) to the health budget during the implementation period of the HSSP
    • Assess the level of partners harmonisation and alignment of operational requirements in line with the Health SWAp M0U|
    • Assess adherence by MOH to the JFA / MOU undertaking
  5. Synthesis of lessons learned to aid in the guidance of future health sector strategic plans
    • Draw out key successes from the HSSPI which should be continued into the next strategic plan and identify main areas of failure which should be addressed.

4.0 Proposed Methodology for the Evaluation

The team leader will design the evaluation with guidance from international best practice tools, such as those promoted by the
International Health Partnership, ensuring comprehensiveness and quality.

A team will be constituted: the team leader will develop and send TORs for local consultants to the Department of Planning and Policy Development at least a week prior to arrival. These TORs for the individual consultants will clarify how the individual work will be accomplished in line with the lead consultant’s TORs. Individual contracts will be signed with Development Partner (DPs) with the team leader managing them once in country. The team will be constituted from national personnel with the following profiles (in addition to the team leader):

  • Health System Strengthening / Governance Specialist
  • Public Health Specialist
  • M&E Specialist
  • Health Financing Specialist

Individual consultants will be responsible for their own work.

The evaluation team will:

  1. Review appropriate documents & reports including the following:
    1. The HSSP MOU and Joint Financing Agreement
    2. HSSP annual reviews
    3. HMIS Bulletins
    4. Programme specific strategic plans (TB, Child Health
      Malaria RH, clinical nursing etc.)
    5. Minutes of Technical Working Group meetings
    6. The HSSP Monitoring, Evaluation & Research Framework and Indicator matrix
    7. Copies of Service level Agreements
    8. Financing Agreements for sub-vented Institutions
    9. Expenditure Reports
    10. Audit Reports (2011/12 and 2015-16)
    11. National Health Accounts
    12. Relevant Policy/Guidelines documents
  2. Consult all major stakeholders at different levels of the health sector including the following:
    1. Meetings with Head of Departments, Units within the MoH and other relevant GoM Ministries, Health Professionals Regulatory bodies and Departments such as MoF, MoLG
      among others
    2. Visits to selected Zonal, District Health and District Assembly
      Offices as well as a sample of health facilities as may be
    3. Meetings with HSSP partners: CHAM Secretariat, Development Partners and Non Governmental Organizations
    4. Meetings with Chairpersons of Various Technical Working
      Groups of the HSSP.


5.0 Specific Objectives for the team leader

The objective of this assignment is to lead the evaluation of the Health Sector strategic Plan

The Team Leader will be responsible for the following specific tasks:

  • Design the review methodology in conjunction with stakeholders
  • Ensure that specific tasks of all other team members are
    clarified and that team members perform their expected roles in accordance with the TORs
  • Propose the layout of the Evaluation final report
  • Propose a programme of work to accomplish the task
  • Produce the Evaluation final report in accordance with the TOR
  • Ensure that all the Consultants work as a team and interface with each other to produce the consolidated draft report
  • Be available to present the findings and recommendations of the evaluation team
  • Coordinate the finalisation of the evaluation report based on comments and inputs from the evaluation Steering Group

6.0 Reporting

The Team Leader will liaise directly with the Steering Group, chaired by the Director of Planning.

The primary focal persons the consultant will report to are as follows:

Mrs. Emma Mabvumbe – Director of Planning and Policy Development, Ministry of Health

Dr. Gerald Manthalu – Deputy Director of Planning and Policy
Development, Ministry of Health


7.o Timeframe

The lead consultant will spend 2 days remotely developing TORs for the thematic consultants. These thematic consultants will then be identified by Development Partners over a two week period.

Once all team members are identified the project will run for a total of 15 days from the date the lead consultant enters the country.

The total timeframes are as follows:

  1. Lead consultant total time: 17 days (2 days remote, 15 days in country)
  2. Thematic consultants: 15 days

8.0 Outputs

The output of the evaluation will be in the form of a report (maximum 30 pages with detailed annexes) and presentation of the report.

9.0 Consultants Profile

The following background and experience are required from the lead consultant:

  1. A Masters in Public Health, Epidemiology or Health Economics is required
  2. Experience – 3 years or more – of design, monitoring or
    assessment of sector wide health programmes in low-income
    settings in Africa, experience in Malawi is desirable
  3. An understanding of donor financing instruments
  4. Experience in leading strategically focused teams
  5. Ability to engage with health sector stakeholders both in the
    Ministry of Health-Malawi, the entire public and non-public
    sectors including the private sector and or donor community

10.0 Submission

Interested individuals should submit applications clearly indicating that they meet the qualification requirements as indicated in 9.0 above. The application should Include an updated CV and copies of Academic and Professional Certificates.

Expressions of Interest clearly marked on the envelope “Expression of Interest for Consultancy Services to Conduct the Evaluation of the HSSPI” must be deposited in the tender box at the reception of the address below or sent electronically to the email address below on or before Friday, 6th January 2017 at 16:30 hours, local time.

All correspondence for the consultancy should be addressed to:

The Executive Director
National AIDS Commission
Petroda House – Area 18 Round-About
P.O. Box 30622
Lilongwe 3

Tel: +265-01 770 022
Fax: +265-01 776 249

Attention: Head of Procurement

Email: procurement@aidsmalawi.org.mw

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