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Health Economic Consultant (International/National)

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About Ministry of Public Health

A. Background
The burden of TB, Malaria and HIV/AIDS globally increased. The TB epidemic is larger than previously estimated based on TB global report 2016. However, the number of TB deaths and the TB incidence rate continue to fall globally, in 2015 there were an estimated 10.4 million new (incident) TB cases worldwide, of which 5.9 million (56%) were among men, 3.5 million (34%) among women and 1.0 million (10%) among children. People living with HIV accounted for 1.2 million (11%) of all new TB cases. Prompt and effective treatment for malaria is crucial to prevent the disease from becoming severe and complicated.

Worldwide, the rate of decline in TB incidence remained at only 1.5% from 2014 to 2015. This needs to accelerate to a 4–5% annual decline by 2020 to reach the first milestones of the End TB Strategy. There were an estimated 1.4 million TB deaths in 2015 with an additional 0.4 million deaths resulting from TB disease among people living with HIV. Although the number of TB deaths fell by 22% between 2000 and 2015, TB remained one of the top 10 causes of death worldwide. In 2015, 55% of notified TB patients had a documented HIV test result. The proportion of HIV-positive TB patients on antiretroviral therapy (ART) was 78%.

Treatment or advice was sought for 63 percent of children with fever, while 8 percent had blood taken from a finger or heel for testing (considered a proxy for malaria testing). Less than 1 percent of children who had fever were given ACT. Among children under age 5 with fever who took any antimalarial drug, 4 percent took ACT. Children with a fever in rural areas were more likely to be treated for malaria (e.g., take ACT) compared with those in urban areas.

Based on the AfDHS 2015, fourteen percent of women and 47 percent of men know that limiting sexual intercourse to one faithful, uninfected partner can reduce the chance of contracting HIV. Among both sexes, the proportion with knowledge generally increases with age and educational attainment. Urban young people are more likely than rural young people to have knowledge of HIV prevention. Overall, 4 percent of men had ever been tested and had received the results of their last test. Among men, the likelihood of having ever had an HIV test and receiving the results was highest in the 30-39 age group (5 percent). Among women and men, testing coverage generally increases with increasing education.

Allocation of resources to ATM from the government and donor community was not tracked properly until the third NTA that captured allocation to ATM from all sources for the first. The team working on national health account development created additional country specific classification to accurately map ATM specific expenditure to the relevant financing source, financing agent, provider and health function. For ATM disease accounts, the NHA team used primary and secondary data for analysis collected from various sources.

There is limited capacity on conducting economic analysis in general and on ATM in particular in the Ministry of Public Health (MOPH). Therefore, the Ministry of Public Health (MOPH) Afghanistan requests a consultant/firm to assist Health Economic and Financing Directorate (HEFD) in conducting economic burden of disease study through economic analysis of one of the ATM. Being highly data intensive exercise, conducting economic analysis of all three ATM diseases at this point of time would not be feasible.

In order to sustain capacity for conducting economic analysis at the national level the consultant/ firm will be requested to fulfil this assignment in two phases; (i) conducting economic evaluation short training for a team of HEFD/MOPH staff, (ii) assisting HEFD staff in conducting the study of the burden of disease through economic analysis of one of the ATM. The consultant will assist HEFD with selecting one of the topics in ATM diseases burden with the highest probably policy use.

A standard training program on economic evaluations will enable MOPH staff to conduct the similar studies in the future. Health Economics and Financing Directorate (HEFD) staff has already exposed to basics of health economics. In addition, HEFD staff conducting number of costing studies. After building the capacity on economic evaluations, the MOPH staff will be able to conduct similar studies with low cost in the future. The consultant/firm should have commitment to support the MOPH team for conducting the study of the burden of disease through economic analysis of one of the ATM from the study design until the project completion.

Job Summary

B. OBJECTIVES
The overall objective of this study is to enable MOPH staff to conduct economic evaluations, and to conduct the burden of disease through economic analysis of one of the ATM.

The specific objectives are the following:

• To build the capacity of MOPH staff on the main methods used in the economic evaluations of public health interventions including ATM diseases
• To evaluate the economic burden of one of the ATM diseases
• To provide evidences to enable government’s buy-in, support and commitment to the ATM diseases
• To strengthen evidence-based decision making on ATM diseases in Afghanistan
C. SCOPE OF SERVICES
The expectation, therefore, is to conduct the economic evaluation short training course and conduct economic analysis of one of the ATM diseases with a focus on (a) building technical competency of the participants, (b) practical and hands-on experience in carrying out studies, (c) develop concept notes by a group of participants to carry out an actual study, and (d) key trainer from the consultant/firm to be engaged to provide remote supervisory support for the study teams to accomplish the study of one of ATM, through feedback and Skype call support post-training.

The consultant/firm will be responsible to ensure high quality training and conducting the study. The training in applied economic evaluations should include number of practical sessions. The consultant/firm will oversee the study phase. During the study phase the consultant/firm will be responsible for provision of regular feedback to the MOPH team in order to accomplish the assignment on time and further build their capacity.

Job Details

Date Posted: 25 Sep 2017 Reference: HEC/Int
Closing Date: 14 Oct 2017 Work Type: Full Time
Number of Vacancies: 1 Gender: Any
Functional Area: General Open Ended: NO
Nationality: Any Salary Range: As per NTA Salary Scale Policy
Contract Type: Consultant Years of Experience: 5 Year(s)
Contract Duration: 0 Year(s) & 3 Month(s) Extension Possibility: Yes
Probation Period: 3 Months

Duties and Responsibilities

D. EXPECTED OUTCOME:
a. Expected outcome of the first phase (phase of capacity building):
i. Understand how to design economic evaluations
ii. Understand cost of illness studies and their use in the health system
iii. Understand various types of economic evaluations, including cost-effectiveness analysis
iv. Understand the uses and main features of economic modeling of public health interventions
v. Undertake an economic evaluation, including ability to conduct sensitivity analysis to assess the robustness of evaluation results
b. Expected outcome of the second phase (phase of conducting the study):
i. Evaluate the economic burden of one of the ATM diseases
ii. Develop the methodology of the study, including sample design and selection, tools for secondary data collection, and questionnaire forms;
iii. The consultant/firm should support a literature review to assist in access to reliable data for the assessment purpose from previously established publications and resources. Such support will not entail data collection from any third party source.
iv. The consultant/firm should well equip the team for conducting the economic analysis of ATM, during the training phase and throughout of conducting the study
v. The consultant/firm should support the team during the secondary data collection, data analysis and drafting the report of the study. Supporting the assessment team in selection and proper use of data. The consultant is not expected to directly perform data analysis, but will extend distance support to assessment team in data analysis based on request.
vi. The consultant should actively follow up with the HEFD team in order to timely accomplish the assignment.

E. LOCATION AND DURATION OF SERVICES
The first phase of the study, which is the phase of building the capacity of MOPH staff should be conducted inside Afghanistan in a suitable learning environment. The consultant/firm should consider high quality learning material. The consultant/firm should ensure that at the end of the training the participant will be able to conduct economic evaluations independently.

The second phase of the study is conducting burden of disease study through economic analysis of one of the ATM. This phase of the study should be carried out in Afghanistan and the consultant/firm should oversee the process of secondary data collection, data analysis and drafting the report. The consultant/firm will be responsible to mentor throughout the study period and provide on time response to all correspondence from relevant entities.

The duration of the first phase is two weeks (15 days), followed by 3-5 days of preparation for conducting the actual study. The duration of the study depends on the availability of the data. The consultant/firm should submit the final draft of the study report prior to December, 31, 2017.

Qualifications

F. Qualifications
The consultant should have the following qualifications:
- Master degree in public health or health economics. Having PhD is preferred
- Minimum five years of relevant experience in health financing/health economics in developing countries;
- Good management skills, including ability to handle several tasks concurrently;
- Experience in developing training and capacity building
- Knowledge of computer based systems including, Excel, Word, Microsoft Office or equivalent packages;
- Be proactive, a self-starter and able to work without supervision;
- Excellent English writing skills, report writing and analytical skills, ability to be rigorous and objective;
- Ability to work with confidential material ethically;
- Strong communication skills and ability to work cooperatively
G. DATA, SERVICES, AND FACILITIES PROVIDED BY THE CLIENT
The Client (MOPH) will provide the consultant/firm with the following inputs: (i) HEFD staff time in doing the field work and most of the background research, (ii) relevant available information about facilities, reports on the health-care status of population, and results of surveys and special studies, and; (iii) copies of key reports and research carried out in HEFD/MOPH on ATM diseases.


H. REPORTING REQUIREMENTS

The consultant/firm should ensure submission of the final draft of the study report prior to the December 31, 2017.

Job Location

Afghanistan - Kabul: PROVINCIAL CENTER (KABUL)

Education:

Masters Degree, Health/Medical

Submission Guideline

Submission Guide line: (I) Electronic applications will be sent to: sub e-mail which corresponds if any of following 2 items is missing, your application will be considered as ineligible/incomplete.

1. In your emails please specify the title of the position as well as vacancy number for electronic submissions and please do the same in the hardcopy submissions.
2. Updated Curriculum vitae (CV)/Resume (Please attached your recent photo and mention in your CV exact date/periods of your work experience, graduation Day, Month, and Year).

If you are shortlisted and invited for written test/interview you will be required to present the original, the following:

A. Education Documents: Your recent education degree/diploma
 Copy of verified Baccalaureate (12 passed) degree by Ministry of Education
 Copy of verified 14 or 15 passed degree by related Ministries
 Copy of verified Bachelor Degree by Ministry of Higher Education
 Copy of verified Medical Doctor Degree by Ministry of Higher Education
 Copy of verified Master degree by Ministry of Higher Education
B. Copy of National Identity Card (Tazkira: Only the pages that show picture and Tazkira number, pages, place of issue and date of issue)

(II)
• Electronic applications will be sent to: sub e-mail
• Hard copies will be sent to: HR Container, Second floor, at the Ministry of Public Health, Great Masoud Square Kabul Afghanistan.
• The Contact Person at Human Resources is: Mr. Mustafa Sirat, HR Officer, MoPH-GD HR. Phone number: 0093- (0)-794-217733

Note:
Only shortlisted candidates will be invited to written test/interview and subsequent process. Please contact the person in charge (Mr. Mustafa Sirat) for confirmation.
• No CVs will be accepted after the closing date.
• Any persuade will be threat as disqualification.
• Candidate who applies for the same position in last six months and was unsuccessful (Obtained less than 60% marks), will not be short listed.
• Fraudulent documents and or fraudulent claims in CVs and or documents will result in disqualification at any stage of the recruitment process.

Submission Email:

Submission Email

gdhr.mophafg1@gmail.com

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