Health Private Sector Landscape Assessment Consultant - Liberia
Company Overview
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 foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits.

For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved - and is committed to continuing to improve - economies, societies and most importantly, people's lives.

Palladium is a child-safe organisation, and screens applicants for suitability to work with children. We also provide equal employment to all participants and employees without regard to race, color, religion, gender, age, disability, sexual orientation, veteran or marital status.

Project Overview and Role

Palladium develops and delivers solutions that create positive impact for communities, businesses, societies and economies, transforming lives and creating enduring value by working with governments, corporations and non-profit organizations. We currently implement more than 100 projects with more than 2,000 employees operating in over 90 countries.
Palladium, along with its partners, implements the USAID-funded Health Policy Plus (HP+) Project. HP+ works with key stakeholders to advance health policy and financing for family planning and reproductive health (FP/RH), HIV, and maternal and newborn health at national and subnational levels. The project aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary, rights-based health programs, and by strengthening in-country partners' capacity to navigate complex environments for effective policy design, implementation, and financing aligned to the existing priorities.
In Liberia, as a part of a holistic approach to understand and bolster the private health sector, HP+ is supporting USAID in conducting a private sector landscape assessment and in supporting the establishment of a Liberian Healthcare Federation (LHF), which is envisioned to become a strong advocate for the private sector development as part of a resilient and sustainable health system.

The purpose of this activity is to assess the private sector's overall strengths and weaknesses in the provision of essential health services--and identify opportunities for increasing their overall engagement with each other and within the greater Liberia health care system. The private health care sector in Liberia is extensive and makes up almost half of the health facilities in the country, but it is still relatively fragmented and unorganized. Fostering such engagement will inform the Mission and other Liberian stakeholders on the current and potential opportunities to expand the private health sector to better serve Liberians, including lower- and middle- wealth quintiles, with priority health services, e.g. family planning and maternal and child healthcare. The activity is aimed to assist private market healthcare actors in Liberia to better organize themselves and to improve efficiences, standardize quality, and expand market share.

The private sector assessment will focus on the Greater Monrovia area--and interview a wide range of public and private health sector stakeholders. The hired consultant will help HP+ plan, conduct, and develop the report for the private sector landscape assessment. The assessment will include interviews with private healthcare facilities, (hospitals, clinics, and independent private providers), NGO and charity-focused service delivery organizations, professional medical associations (including Liberian Medical and Dental Council), health insurance (including micro- and community-insurance), major pharmaceutical/medical equipment importers, and other key healthsector stakeholders. For the creation and organization of the Liberia Healthcare Fedeartion, HP+ will subcontract a firm specialized in establishing African healthcare federations to lead the execution.. This firm will also participate in the private sector assessment to meet with key stakeholdersand identify potential leaders and members for the healthcare federation.
The insights garnered from both of these activities will be used to prioritize process and system challenges, as well as identify additional technical assistance that USAID/Liberia may provide to further strengthen the private healthcare sector.

Responsibilities

The Consultant's work of creating and overseeing the private sector landscape assessment, will occur in three phases: (1) Preparation; (2) Data Collection; (3) Data Analysis and Reporting.

(1) Preparation
The Consultant will work with HP+ to develop a landscape assessment of the Liberian private health sector, with a focus on sampling the private healthcare providers based in the Greater Monrovia region. The consultant will help HP+ ensure that the landscape assessment achieves three specific goals: (1) gather information on common areas of concern within the private sector, especially in terms of future private market organization and coordination, as well as system constraints and blockages, all of which should be useful synthesis for the private health market actors; (2) gather information about what private health market capabilities exist and the major issues and constraints that require government action; (3) analyse current insurance schemes and identify opportunities and constraints when considering the introduction of a microinsurance scheme.
As a starting point, the Consultant will support HP+ in preparing for the scoping trip which will be conducted in mid-May in the Greater Monrovia area. This will include identifying key stakeholders to be interviewed, setting up meetings, and collecting key background information. Other key informants that are not directly engaged in the health sector, but may have relevant perspectives, e.g. private sector industry leaders, may also be recommended based on the consultant's discretion. The consultant will also collect documents and data related to provider accreditation, registration, training/standards, and other private sector regulatory issues and policies.
The deliverables for this part of the activity will include: (1) recommended list of public and private stakeholders to be interviewed; (2) registry and/or database for the Liberian Medical and Dental Association; (3) collection of background documents and data not readily available online; and (4) proposed agenda for the two-week scoping visit.

(2) Data Collection
HP+ will develop a first draft of data collection tools and data collection and analysis plan, which will be reviewed and finalized by the consultant for in-country interviews. The Consultant will attend all stakeholder meetings during the two-week scoping visit--and will be responsible for conducting any follow-up interviews required beyond the initial scoping visit. The Consultant will be responsible for data collection and documentation of all scoping trip activities--and for conducting any follow-up interviews or addressing any identified information gaps. The main deliverables for this part of the activity will be (1) list of interviewees, contact information, and interview dates; (2) the completed interview guides/notes from the completed interviews; (3) List of any outstanding interviews that still need to be conducted or need follow up, and all identified information gaps needing further action. These deliverables will be due within 1 week of completion of the scoping visit.

(3) Data Analysis and Reporting
The Consultant will summarize the key findings from the landscape assessment into a 15- 20-page report. The Consultant's report should clearly articulate the findings from key informants, illustrate all key bottlenecks and system constraints, a summary of the current private sector opportunities and challenges, as well as an illustration of the role insurance schemes and microinsurance has in the private sector. The report should further articulate the strengths and weaknesses of the current health system process and recommend ways in which these processes could be improved. The main deliverables for this part of the activity will be (1) outline for the draft report; (2) first draft of the completed report (3) final report. The outline for the draft report will be due within 2 weeks of completion of the scoping visit. The first draft of the report will be due 1 month after completion of the scoping visit--and the final draft will be due 2 weeks after receiving feedback from HP+.

Deliverables
The following deliverables will lead to payment for the time spent to complete the assignment. Each deliverable must be submitted by due date, and HP+ will review and approve, or send back with comments for consultant's further refinement, to be completed within five business days.

Phase 1 deliverables: (1) recommended list of public and private stakeholders to be interviewed; (2) registry and/or database for the Liberian Medical and Dental Association; (3) collection of background documents and data not readily available online; and (4) proposed agenda for the two-week scoping visit. These deliverables are due 1 week prior to start of the scoping visit.

Phase 2 deliverables: (1) list of interviewees, contact information, and interview dates; (2) the completed interview guides/notes from the completed interviews; (3) list of outstanding interviews and main information gaps. These deliverables will be due within 1 week of completion of the scoping visit.

Phase 3 deliverables: (1) outline for the draft report; (2) first draft of the completed report (3) final report. The outline for the draft report will be due within 2 weeks of completion of the scoping visit. The first draft of the report will be due 1 month after completion of the scoping visit--and the final draft will be due 2 weeks after receiving feedback from HP+.

Requirements

Period of Performance
The period of performance for this consultancy is May through June for data collection; July through August for analysis of key stakeholder's interviews and data and reporting. A compilation and submission of all final deliverables by September 30, 2019.

Preferred Qualifications and Experience
  • At least (10+) ten years of experience in health programming and/or health service delivery, preferably within the Liberian health care sector
  • Experience and familiarity working with private health care facilities and providers
  • Knowledge of Liberia's regulatory agencies for health products and services
  • Analytical, attention to detail, results focused, ability to work independently, and ability to meet deadlines.
  • Strong English writing, oral communication, and reporting skills.
  • Proficiency with certain analysis and presentation tools (MS Excel, PowerPoint, etc.)

Details
Intermediate Level
Greater Monrovia Area, Liberia, Liberia
Closing date:
26 April 2019