The GH-TAMS HIV Treatment Drug Delivery Cost Effectiveness assignment will be approximately 135 days of effort over an eight month period, beginning on or about June 15th, The work will be remote (with possible field travel if conditions permit). The position will have the assistance of a local part-time Zambian consultant for field work.
The consultant will provide expertise in the assessment of the impact and cost-effectiveness of differentiated service delivery models for HIV treatment. USAID (through our implementing partners) implements a variety of different service delivery models designed to meet the needs of individual patients or groups of patients. These include multi-month dispensing, community adherence groups, private sector drug distribution points, adolescent and male-friendly clinics, adherence group drug distribution and mobile clinics. While these models are expected to have a benefit in improving overall patient retention, there is a cost associated with implementing all models with fidelity in all places.
The consultant will help technical experts within the adult clinical branch create a framework for understanding the hydraulics between ubiquitous coverage, cost and anticipated impact, and utilize available programmatic data to better assess the impact of our current approach.
The U.S. Agency for International Development (USAID) is at the forefront of the U.S. Government (USG) response in the fight against HIV and AIDS. USAID is a key partner in the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) and works closely with other USG agencies on this initiative in 36 countries. In the Bureau for Global Health (GH), the Office of HIV and AIDS (GH/OHA) has primary responsibility for the Agency’s HIV program, and provides strategic direction, technical leadership and support to field programs in HIV. The Office provides input to decisions concerning the strategic allocation of financial and human resources in the sector and assists in designing, implementing, monitoring and evaluating programs. This entails ensuring the technical integrity of Agency and Mission strategies; providing global technical leadership on the full range of issues related to HIV prevention, care and treatment, and monitoring and reporting on the impact of the Agency’s HIV program.
The OHA Division of Prevention, Care and Treatment provides technical leadership and support to missions in effectively planning, implementing, and monitoring care and treatment services to achieve HIV epidemic control. The consultant will work closely with and receive technical guidance from OHA Branch and Division Chiefs as his/her USAID Point of Contact (POC). The positions are situated within OHA Division of Prevention, Care and Treatment, Adult Clinical Branch (ACB), but will collaborate with colleagues in the Systems and Program Sustainability (SPS), Supply Chains for Health (SCH) and Strategic Information and Evaluation and Informatics (SIEI) Divisions.
The consultant will – in collaboration with OHA colleagues:
- Utilize available data to assess the impact of differentiated service delivery models
- Outline additional data needs required to help monitor and improve programming
- Perform at least one in-depth review of a differentiated approach
- Assist GH/OHA with developing a framework for optimizing differentiated service delivery across countries
- Create relevant models and tools to achieve this objective.
Major Tasks & Activities
- In close collaboration with team members from the adult clinical branch, SPS and SCH divisions help with the assessment of current programmatic approaches in several OUs.
- Develop a framework for assessing the hydraulics between coverage, cost, quality and patient-level impact utilizing existing data streams and available data from implementing partners.
- Based on triangulation of different data sources and findings from country-level “deep dives”, help develop relevant models that can optimize USAID programming of differentiated service delivery in the field.
- Analyze USAID PEPFAR program data, create visualizations for reports/presentations, and promote data-driven best practices.
- The selected consultant should have significant skills in developing models to estimate the potential impact and cost-effectiveness of mixtures of different drug delivery approaches. They would be responsible for creating a framework to assess DDD models, and refine based on field experience.
- Possess a Master’s degree or higher in public health, health economics, epidemiology or related field.
- Experience with HIV and AIDS programming at the international level preferred.
- Experience with utilizing both outcome and cost data; ability to create economic and health outcome models preferred.
- Knowledge of and familiarity with strategic information that guides PEPFAR programs, including ongoing HIV prevention and treatment initiatives and relevant organizations working to achieve HIV epidemic control.