Senior Consultant, HIV Financing, Philippines
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USAID’s ProtectHealth, based in Manila, the Philippines, in
collaboration with other USAID projects, supports the Government of the
Philippines (GPH) to enhance access and financing to meet key HIV, tuberculosis
(TB) and family planning (FP) outcomes while realizing its goal of achieving
universal health care (UHC). USAID’s ProtectHealth will specifically support
GPH’s implementation of the UHC Law by addressing policy and institutional bottlenecks
within the health financing system.
USAID’s ProtectHealth plans to provide technical assistance
(TA) to enable the GPH to rapidly and effectively enact reforms envisioned in
new legislation on UHC (Republic Act 11223) and HIV and AIDS (Republic Act
11166). Specifically, USAID’s ProtectHealth will support the Department of
Health and PhilHealth enable key reforms and improvements in sustainable
financing of HIV, in line with support already being provided to TB and FP.
Support to these agencies will be in line with key national priorities to
reduce HIV incidence and improve the delivery of services across the HIV care
and treatment cascade, strengthen prevention programming and case
identification, and move closer to epidemic control in the Philippines, while
achieving sustainable financing status. In this context, USAID’s ProtectHealth
has been asked to assist in strengthening financing mechanisms for HIV, which
include but are not limited to the following sources: PhilHealth (e.g.,
Outpatient HIV AIDS Treatment Package), Department of Health (e.g., budget of
the National HIV/AIDS Prevention and Control Program), and local governments.
The project may work on various aspects of financing for HIV, such as
estimating total future domestic investment requirements, designing strategies
to sustainably finance existing and new key interventions (e.g., PrEP, index
testing, etc.) at scale through different funding streams, aligning with
provisions of the UHC and the post-COVID-19 “new normal” for health service
delivery, while also strengthening HIV-related budget planning, execution and
monitoring at all levels.
Scope of Work
A team composed of a senior consultant, a junior consultant
(data analyst), and Manila- and DC-based project staff will undertake an
assessment of the current financing landscape for HIV in the Philippines and
produce a report. The report will provide insights on broad financing issues in
implementing the HIV program and guide the update of the government’s HIV and
AIDS Strategic Plan, the crafting of a potential HIV financing strategy, the
development of the UHC Medium Term Expenditure Program, and the next AIDS Medium
Term Plan (AMTP) for 2023 to 2028.
The assessment has two aspects: the resources required on
one side, and the resources which are currently available or can be added for
HIV on the other. For resources required, the assessment will primarily depend
on the existing cost estimates for the national HIV program submitted for the
recent Global Fund proposal as well as the costed DOH Health Sector Plan for
HIV and STIs, supplemented with additional key informant interviews of program
staff and experts to identify where resource needs may be changing or will need
to be expanded to cover gaps more recently identified. The analysis of
available studies and estimates, will to the extent feasible, review the
assumptions for the estimates and examine the appropriateness of the costing
model(s) used against needs in new intervention areas such as oral PrEP. The
assessment will not conduct new epidemiological or unit cost analyses to
develop multiyear cost estimates from 2021 through 2025; any recommended modifications
to existing resource requirement forecasts will be discussed with the DOH
For resources currently available, the team will, identify the
contributions from each of the current sources of HIV financing in the country,
such as the government budget at the national level (as executed, not allocated
when available), Global Fund, PhilHealth (NHIP), private sector, etc., and map
the contributions to specific program areas and financing needs. The funding
available from LGUs will be of specific interest, and the team will map where
contributions from local funds have occurred and are occurring in the HIV
cascade of care as well as for prevention and outreach. The funding from
PhilHealth on the Outpatient HIV/AIDS Treatment package (OHAT) will be as per
current scheme coverage and utilization for this analysis. Comparing the
current resources required (by intervention and area) to the resources current
available for the future years 2021 through 2025, gaps will be identified
across the HIV program areas and potentially addressable to the cascade of
For resources potentially available, assessed as a
scenario for the report, the team will carefully
consider how funding for HIV could be further enhanced: (1) by improvements in
the coverage of people living with HIV under PhilHealth first, and then for its
OHAT package; and increasing the utilization of this package among those
eligible to do so; (2) increased funding (allocation) for HIV commodities and
services from the national government (DOH) on its budget request and then
increased execution (use of funds) towards HIV needs ; and (3) implications of
increased spending on HIV from the LGU level, especially in response to aspects
of the UHC Act (Special Health Fund and healthcare provider networks) as well
as the Mandanas ruling of the Supreme Court. For the latter, it will be
important to consider whether and how LGUs can engage in social contracting as
a mechanism for funding key areas of the HIV program, especially in terms of
prevention and the care cascade gaps. Comparing the current resources
required (by intervention and area) to the resources potentially available from
all sources, including those previously untapped, for the future years 2021
through 2025, a revised gap analysis will be provided.
In developing recommendations for next steps, the assessment
will carefully consider policy developments that will affect financing
sustainability of the cascade of care, such as the UHC Act; passage of the
Philippine HIV and AIDS Policy Act; and health system adaptations as a result
of the post-COVID-19 “new normal”.
To undertake the assessment, the team will make use of
various data sources that include, but
are not limited to the 6th AIDS Medium-Term Plan; Investment Options
for Ending AIDS in the Philippines;
the HIV/AIDS Strategic Plan; the DOH National AIDS Spending Assessment; the
General Appropriations Act; Commission on Audit reports; PhilHealth OHAT
accreditation and claims data; Bureau of Local Government Finance reports;
various reports from development partners and their respective projects such
the Global Fund, UNAIDS, UNICEF, WHO, and USAID reports; National Health
Accounts; and National Objectives for Health. References such as the UHC Act
and its IRR, the Philippine HIV/AIDS Policy Act, and related DOH policies and
PhilHealth circulars shall also be reviewed. The team will also consult with
key stakeholders (i.e., through key informant interviews, focus groups, or
round table discussions) and undertake site visits to selected public, private
and CBO/NGO providers and local government units.
Specific tasks, level of effort, and timing
The senior consultant will be engaged from April 12 to July
9, 2021 to undertake the following tasks and functions:
Review the HIV literature (plans, costs, proposals and financing reports) referenced in the SOW and consult with DOH, PhilHealth and selected stakeholders, as needed.
Prepare a short inception report that will describe the proposed methodology for the HIV financing assessment, outline of the report and data to be gathered, interviews to be conducted and timeline of activities.
Collect and analyze cost and financing data as well as consult with stakeholders following the approved methodology. This will be done collaboratively with other team members.
Prepare a first draft of the report for review by USAID’s ProtectHealth staff prior to presenting the report to DOH and PhilHealth and other stakeholders.
Prepare the final draft considering the comments from USAID’s ProtectHealth, DOH and PhilHealth and other stakeholders. The report will include a summary documentation of consultation meetings and similar events while preparing the report
A short inception report which describes the analytical framework, objectives and proposed methodology for the conduct of the assessment. The inception report will also contain the proposed tasks of the various team members, the indicative outline of the final report, a list of proposed tables and graphs, proposed timeline and logistical requirements that will need project assistance (e.g., meetings with key officials, local travel arrangements, if any, etc.). The team shall consult with DOH NASPCP and PhilHealth Benefit Development and Research Department (BDRD) and selected stakeholders in the preparation of the inception report.
A first draft of the assessment report and corresponding presentation material shall be discussed in a technical meeting with DOH, PhilHealth and selected stakeholders in order to solicit comments.
A final draft of the assessment report which includes relevant annexes, data sets (including do-files) and documentation of meetings and other consultation activities. Approval of the final report shall require the acceptance of the DOH NASPCP and PhilHealth BDRD prior to approval.
Billing schedule for the Senior Consultant and Team Leader
|Deliverables||Indicative Due Date||Percentage Release|
|Inception Report||April 26, 2021||15%|
|First draft and presentation material||May 24, 2021||55%|
|Technical Report – Final Draft||June 30, 2021||30%|
Duties of the Senior Consultant and Team
Provide technical leadership and guidance to the team in the performance of various activities related to the assessment (provide guiding framework, methodology to be used)
Lead in the preparation and finalize the inception report
Provide guidance in approach for desk review, data gathering and selection key stakeholders for consultation activities
Lead in the preparation and finalize reports and presentations
Lead in the preparation, finalize and present study findings
Finalize technical report for submission to ProtectHealth
Perform other tasks as necessary for the completion of the assignment
Proposed level of effort: 22 days
Advanced degree in public health, economics/ health economics, health financing or any related field;
At least 5 years’ experience in health program cost analyses, health financing, PhilHealth, health system cost analysis, and related analytical work
Background in terms of technical or managerial roles with HIV-related programming in the Philippines or Southeast Asia, and/or with related infectious disease (TB-preferred) prevention and treatment activities will be an advantage;
Exceptional writing and presentation skills, substantial publication and academic presentation history preferred;
Proficiency in MS Office applications;
Sound written and verbal communication skills in English;
Strong organizational skills to ensure activities, timelines and progress of work are on schedule;
Demonstrates sound judgment, problem-solving and decision making;
Ability to work with a low level of supervision and as a part of a team when required.
The Senior Consultant (team leader) will work closely with
the Chief of Party and the project’s Manila and DC-based staff. The Senior
Consultant (team leader) will supervise the work of the Junior Consultant. The
Senior Consultant will directly liaise with and obtain the inputs of all
project staff assigned to support the assessment.
Eligible candidates meeting the required qualifications and
experience should send a detailed cover letter and Curriculum Vitae (CV)
to: email@example.com. The email must specify the position
applied for in the subject/title. Only shortlisted applicants will be
Please include your desired daily rate in your application.
Only shortlisted applicants will be acknowledged.
- $ Salary Offer POA