Consultancy - Philippines Health Market Mapping for Private Sector Interventions
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Project Overview and Role:
Palladium has signed a contract with the Global Fund to Fight Aids, Tuberculosis and Malaria (the “Global Fund”) to support Phase One of its Private Sector Engagement Strategic Initiative (PSE SI). The objective of the Global Fund’s PSE SI is to support grant recipient countries to harness their private sector to deliver more impactful responses to the three diseases. Phase One of the PSE SI process will identify opportunities to deliver impact and start to define success and design operating models; Phase Two will deliver the solutions and learn and inform the development of PSE policy and guidelines for the Global Fund.
The focus of the PSE SI will be on ways to use contracting and performance management to define and achieve success, either through contracting directly with providers or through intermediaries or ‘change agents.’ Contracts could be activity or results based. Examples of such interventions could include shifting malaria campaigns to results-based contracts or using results-based contracts to incentivise private providers to improve the quality of their malaria or TB testing, treatment and reporting.
Phase One, the initial ‘opportunity mapping’ and proposal of possible solutions will involve a deep dive into the country’s health market to map the private sector from a business development perspective. Palladium will work with the Global Fund PSE SI team, country teams and in-country stakeholders (including CCM, Principal Recipients, private sector associations and key representatives, non-government organisations) to assess gaps or weaknesses, identify where and how to deploy contracting and then propose feasible contracts/programs in the country. More than one program might be identified in each country.
The opportunity mapping will be conducted remotely through a mix of desk reviews and virtual stakeholder consultation.
Opportunity mapping and analysis in the Philippines to develop high-level business case options will focus on engaging the private sector to deliver health care in the UHC context. The President signed the statute for the Universal Health Care (UHC) Act in February 2019 and the fiscal space for health has increased three-fold since 2019. There are, however, several structural and systemic challenges to operationalizing UHC and delivering TB, HIV/AIDS and malaria services in the country. Despite state health insurance, household out of pocket expenditures (OOPE) accounted for more than half the country’s health expenditure in 2018. Patient referral systems are not reliable, and the current mix of public-private sector providers requires stronger collaboration between the actors.
Scope of Work
The consultant (preferably based in the Philippines) will map the country’s health market to develop business case(s) for specific private sector interventions in the Philippines. They will assess the relationships between actors, identify red flags, issues with contracting or commissioning, and/or opportunities to create sea change. They will map government contracting of services, looking in detail at procurement processes, including performance management as well as the non-government sector including key individual providers to identify opportunities to improve efficiency and effectiveness of results or activity-based contracts. They will identify options for using health insurance and strategic purchasing to contract private sector services.
The consultant will lead the production of a PowerPoint presentation that will demonstrate to the stakeholders the most effective and efficient opportunities, and act as an initial business case showing how better performance can be achieved and rewarded.
Level of Effort (LOE): 20 days
Duration: January 5 to April 30, 2021
Reports to: Project Director, Global Fund Private Sector Opportunity Mapping Project, Palladium
Primary Duties and Responsibilities:
In close collaboration and consultation with Palladium HQ experts, undertake the following key activities:
1. Conduct desk-based research drawing upon documents provided by the Global Fund and other sources (e.g. World Bank, USAID etc.). Identify, locate and review other documents from own contacts and sources to complete mapping of the health and non-health private sector relevant to the fight against the three diseases.
2. Based on the initial list of key informants provided by Palladium and the Global Fund, identify other important individuals and/or organizations to interview.
3. Conduct interviews and/or focus group discussions with in-country stakeholders including key providers, NGO providers, private sector actors, the government and donor partners; and participate in relevant calls with the Global Fund.
4. Draft a clear country report (maximum 15 pages) and PowerPoint under the guidance of the HQ team. Incorporate feedback from Global Fund and finalize the deliverables. The deliverables must be clear and succinct, distilling the complex environment in the Philippines, highlighting red flags and identifying strong contracting opportunities.
5. Organize and facilitate a final remote stakeholder engagement to present opportunity mapping options to in-country stakeholders.
- Master’s degree in business administration, health economics, finance, or a related field.
- Experience working with private health and non-health sectors, and networking with a diverse range of stakeholders in the Philippines.
- Experience in performance-based contracting, business case development
- Demonstrated strategic ability, written and oral communication, and negotiation skills
- Ability to conduct and facilitate remote consultations using virtual meeting applications
- Fluency in English.