PATH is a global nonprofit dedicated to achieving health equity. With more than 40 years of experience forging multisector partnerships, and with expertise in science, economics, technology, advocacy, and dozens of other specialties, PATH develops and scales up innovative solutions to the world’s most pressing health challenges.
PATH established a country office in Myanmar in late 2013. The PATH Myanmar Country Program is currently implementing a broad portfolio of activities on various health issues, including infectious diseases, nutrition, vaccines, immunization systems strengthening, digital health, and sexual and reproductive health.
In collaboration with the prime organization CPI and other implementing partners, PATH is implementing a five-year program entitled HIV/TB Agency, Information, and Services (AIS) consortium, funded by United States Agency for International Development (USAID). The HIV/TB AIS activity strengthens Myanmar’s efforts to achieve accelerated HIV epidemic control and TB elimination through support for free and comprehensive prevention, testing and treatment services for HIV key populations and TB risk groups.
The HIV/TB AIS program aims to help the country achieve its 95-95-95 goals of HIV epidemic control by 2025 and to eliminate TB by 2035. Under the HIV/TB AIS Program’s theory of change, there are four outcomes as per the following.
- Outcome 1: Expanded services to ensure affected populations are reached, tested, and linked to TB and HIV services
- Outcome 2: Effective TB and HIV prevention, care, and treatment services are available and tailored to the unique needs and locations of affected populations
- Outcome 3: Affected populations can seek services and advocate for reform without suffering legal, financial, or social barriers
- Outcome 4: Local KP-led groups, civil society organizations, and the private sector are engaged in health service delivery that uses information for learning, advocacy, adaptation, and taking effective approaches to scale
PATH is seeking an experienced and qualified consultant to conduct a situation analysis of the country’s HIV/TB private sector engagement (PSE) in order to inform the program planning and implementation of (PSE) activities under the HIV/TB AIS Program.
REPORTING:
This consultant will report to the PATH Myanmar Country Program’s Director of Infectious Diseases, and TB Technical Lead.
OBJECTIVES:
The specific objectives of the assigned tasks are as follows.
- To understand the existing platforms for private sector engagement for HIV/TB and other health delivery services in Myanmar
- To understand the best practices of private sector engagement for HIV/TB services by NGO/INGO/UN internationally.
- To analyze the context of private sector engagement in light of COVID-19 and the security crisis in Myanmar.
- To design the private sector engagement models to integrate into HIV/TB Program
ACTIVITIES:
- Consultation meeting with the AIS PSE team for preparation of the situation analysis.
- Undertake literature review on global/regional/local models in private sector (provider engagement for TB and HIV)
- What are the models, challenges, and lessons learned about the private sector engagement practiced internationally for HIV/TB care?
- Undertake both quantitative and qualitative data collection
- Map and document various models of private sector engagement in health and TB-HIV service deliveries in Myanmar. The document should capture
- What are the implementation strategies by the private sector?
- Model of service delivery
- Human resource involved in provisioning services
- Who is financing; Is patient paying, is it co-financed, is it insurance, is it a social marketing?
- Incentive structure
- Any cost per case available
- Any digital intervention in the model
- What are the training requirements for each level of staff?
- Any dependencies on government supplies (for e.g getting lab reagents, Gene X-pert and drugs from the government)
- What are the general rules and requirements to engage with that? What are the challenges and lessons learned from their model of PSE?
- How are the private sectors contributing to both HIV and TB services or overall health services in Myanmar?
- What are their potential roles if there are resources to support them? Quantify the proportion of providers engaged with HIV and TB, proportion of notification, case finding and treatment outcomes from existing private models in comparison with national/ state and district notification
- Prepare a concept note of a private sector engagement model including PPP (public-private partnership, private-private partnership) where AIS can initiate or establish, in consultation with AIS private sector team.
METHODOLOGY
Prefer to get the quantitative findings triangulated with qualitative explanations about updates, constraints, feasibilities, suggestions, and their reasons by applying the following methods.
- Desk review
- Key Informants Interview
- Focus Group Discussion
Remote interviews are acceptable.
The consultant is expected to make all interview arrangements, including coordinating, scheduling, planning, conducting interviews, preparing transcripts (if required), following up for additional information, and producing reports.
TARGET AREA
- Data and information will need to cover at least five states/regions, including Yangon Region, Mandalay Region, Sagaing Region, Northern Shan State, and Kachin State.
DELIVERABLES
- Submission of the full proposal for situation analysis, in which the literature searches to support your methodologies and approaches, and a complete work plan for the assessment must be attached.
- Submission of a complete mapping data of private providers for HIV/TB and the first draft of Situation Analysis Report with comprehensive answers to the research questions to meet the objectives of the assessment.
- Five summary pages are recommended, together with full explanations as per the research questions.
- Presentation meeting to share the findings from the assessment and get the inputs from the AIS PSE team.
- Submission of the final, signed-off report incorporates the feedback and recommendation from the AIS PSE team with the relevant graphic designs and illustrations.
- Submit a concept paper of private sector engagement model including PPP (public-private partnership, private-private partnership) where AIS can collaborate
TIMEFRAME
The timeline for submitting deliverables assigned in these terms of reference must be accomplished within three months after signing the contract.
Required Skills
Required Experience
The consultant must have the following requirements.
- A minimum of a master’s degree or higher in public health, MSc epidemiology, or related fields
- At least seven years of experience in public health programs in Myanmar.
- Strong experience in conducting analysis and research Strong expertise in HIV and TB programs locally and its changing global landscape in UHC transformation.
- A proven track record of providing consultancy services to HIV/TB programs and a capability of getting the required information from any types and levels of stakeholders living in Myanmar.
- A capacity to communicate with local stakeholders.
- International consultancy experience with a proven track record of quality research papers is preferred.
- Fluency in written and spoken English and Burmese
MUST HAVE LEGAL AUTHORIZATION TO WORK IN MYANMAR.
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