The purpose of this study is to gather relevant data on the availability of free public sector FP commodities in private sector facilities. The evidence generated through this study will be used to inform the review of the current practice on provision of FP commodities to the non-public sector. This study is very critical for Kenya, especially at a time when donor funding for commodities is dwindling and the country is also building momentum towards the implementation of a total market approach to family planning, where all sectors are expected to play their role in meeting the FP needs of the different segments of the population. With existing funding gaps for FP commodities, the MOH is interested in quantifying the supply of free commodities to the non-public sector, what these commodities represent in monetary terms, and therefore what the potential savings could be if this supply were stopped. The MOH is interested in knowing what end users accessing free MOH commodities
are paying to private providers in user fees. Additionally, there has been a general concern among family planning (FP) stakeholders in Kenya about the presence of free public sector FP commodities in the private sector where they are sold to users at uncontrolled prices. Some of the commercial actors claim that the free and subsidized commodities are stifling the growth of the sector, especially the introduction of new FP commodities through commercial channels. They say this is because the commercially priced products are unable to compete with the free MOH and subsidized commodities. Finally, there is high level commitment within the MOH and donors on the importance of this study for the reasons outlined above.
Historically, the ministry of health (MoH) has supported the practice of free commodities supply to the non-public sector, both NGOs and private for profit facilities with a master facility list (MFL) code. Such facilities could access the free commodities as long as they reported on how they distributed these commodities irrespective of how much they charged their clients to offer these methods.
Until now there has only been a few light touch studies, insights, analysis, and anecdotal reports into this issue, but nothing concrete or at scale. There is therefore only limited data on whether the private sector is still receiving free FP products from the public sector, the volumes of free products going to private sector and the channels through which these commodities flow, both officially and perhaps even unofficially, the FP products most likely to be supplied to the private sector, and if the practice is more common in some areas/counties than others.
At a recent stakeholder workshop held to develop the 2018/2019 total market approach (TMA) work plan, stakeholders were unanimous that a study is needed to establish the above information. The results will be used to advocate for a review of the practice of free FP commodities going to the non-public sector. This study will be carried out between September and October 2018.
The final report should be submitted to RMHSU no later than 31st October, 2018. Specific timelines are outlined below:
1 24th -28th September: Development of study protocol and tools as well as desk review
2 1st-15th October: Field work (5-6 selected counties)
3 16th -23rd October: Analysis and draft report for review
4 24th-26th: MOH /ESHE feedback to consultant on the report
5 27th -31st: Presentation of the final report to MOH and ESHE
The report will be disseminated during November 2018.
1 Inception report and work plan: An inception meeting will be held between the RMHSU, ESHE representative and the consultant. After this meeting, the consultant will be required to prepare and submit an inception report demonstrating his/her understanding of the TORs for the assignment, together with a work plan outlining the key tasks and timelines for completion of listed tasks.
2 The proposed methodology and approach, including the data collection tools for review and approval
3 Draft report and presentation of key highlights from the study to RMHSU and FP- TMA TWG.
4 Final report and PPT incorporating inputs from RMHSU and stakeholders after the stakeholder presentation: The final report must be approved by RMHSU and ESHE.
The consultant will report to the FP program and TMA secretariat at the RMHSU through the Program Manager (Dr. Maina Jonah and Dennis Muya) who will also sign off on the consultant’s time sheets and invoice. The consultant will also provide progress updates on the above deliverables to the designated ESHE representative. RMHSU and ESHE will be jointly responsible for approving all deliverables.
The following competencies are required for the assignment:
* At least 7 years of professional experience in the supply chain field, including research experience related to supply chain. Experience in family planning commodities supply chain will be an added advantage.
* A good understanding of the Kenyan health sector
* Strong analytical and research skills (both quantitative and qualitative)
* Excellent report writing skills including ability to analyze and synthesize data and information, and present it in a clear and concise manner
* Ability to deliver high quality work with minimum supervision
* Proficiency in English
* Master’s degree in Public Health, demography or related field
About the Organization
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.