Terms of Reference
Level: Equivalent to grade NO-D
1. Purpose of the Consultancy
The main objective of this consultancy is to undertake a situation analysis of the current health situation in Pakistan, identify health priorities and develop the new WHO Country Cooperation Strategy (CCS) building on the lessons learned from previous cooperation.
As prescribed by WHO Resolutions, the CCS is the key instrument to guide WHO work in and with a country, in support of the country’s national health policy, strategy or plan. It is the main process for harmonizing WHO’s collaboration in countries with that of other United Nations Bodies and with development partners. In order to do this, WHO Pakistan needs to have a clear understanding in terms of country’s needs and WHO best advantage to support the country based on WHO priorities and country plans. Accordingly, WHO Pakistan intends to undertake a thorough health situation analysis and stakeholder’s analysis building on the lessons learned from the previous CCS. The new CCS will be drafted and finalized through broad range consultations. This entire process will be done through contracting (STC) of a qualified national consultant, who will be supported and supervised by both country and regional WHO offices throughout the process.
3. Planned timelines (subject to confirmation)
Start date: 20th June 2018
End date: 20th September 2018
4. Work to be performed
In accordance with the new WHO CCS formulation guideline (June 2016), the consultant will undertake the following tasks:
(i) Conduct a desk review on Pakistan situation in terms of health and development, including stakeholder analysis
(ii) Review the current 2011-2017 CCS for Pakistan to identify progress made and lessons learned
(iii) Facilitate national and provincial consultations to discuss timelines and priorities for the new CCS; the consultations should include government stakeholders, partners and WHO staff (provincial, national, and regional)
(iv) Develop the first draft of the CCS Pakistan document including monitoring framework and costing
(v) Seek and incorporate feedback from all relevant stakeholders.
(vi) Finalize the CCS document.
(vii) Facilitate dissemination workshop involving all relevant stakeholders.
The situation analysis should cover all health and national response areas addressing all health system elements (governance & leadership, HR, biomedical technology, health care financing, service delivery, and information & legislation support, cross-sectoral linkages and global health responsibilities) through reviewing national documents, and incorporating the discussions and outcomes of the national and provincial consultation meetings. Key components of the process and outcome document are as follows:
· Critical analysis of the country alignment and response to global and WHO leadership priorities (situation, achievements, areas to be strengthened, challenges and gaps) as depicted through the following documents/ directives:
o Global guiding documents: GPW 13, Agenda 2030 and SDGs (based on WHO Contribution to the SDGs document)
o Regional guiding documents: Roadmap of WHO’s work for the EMR 2017-21
§ Health System Strengthening
§ Communicable diseases
§ Maternal, new-born, Child and Adolescent Health
§ Non Communicable Diseases (NCDs)
§ Emergencies (including IHR and other health security related areas)
o National guiding documents:
§ Vision 2025 and National SDG plan/vision
§ National Health Vision,
§ National Programmatic Strategies/ plans (e.g. RMNCAH&N strategic costed action plans, National Hepatitis Strategic Framework etc.)
§ Pakistan HRH vision 2018-30
§ Provincial and programmatic health policies, strategies and plans
§ National reviews and evaluation reports (e.g. National HIS review, ATM-HIS evaluation etc.)
§ UNDAF (UNSDF/OPIII) 2017-22
§ Pakistan actions towards fulfilment of international agreements and mandates ratified and signed by the country such as IHR, FCTC, UHC, NCD plans etc.
· Assessment of Pakistan’s potential contribution to regional and global health (in terms of innovation, technical contribution and potentially financial input)
· Incorporate Pakistan’s projections against SDG indicators – trends, milestones and targets in alignment with localization efforts already underway for SDG 3
· Stakeholder analysis (governmental, non-governmental, and UN agencies) to identify capacity, influence, power, areas of common work, cooperation and partnership for health and development.
· Review funding flows to health : National (domestic, both public and private ) as well as external, to UN, NGOs and to government
· Inception report | Timeline: 25th June
· Situation analysis as elaborated in the TORs, including stakeholders analysis| Timeline: 30th July
· Draft CCS based on consultation| Timeline: 30th August
· Finalized CCS document (print-ready) | Timeline: 15th September
· Report on the process of CCS development| Timeline: 20th September
The cost of the consultancy will be based on WHO standard daily rates for national consultants covering a total of 60 working days.
Proposed outline of CCS Document:
Based on the 2016 CCS guide (pages 17-27), the CCS document should be concise, ideally no more than 30 pages, adopting the following format:
· Table of contents
· Executive summary (proposed length 1-1.5 pages)
· Chapter 1 – Introduction (proposed length 1-1.5 pages)
· Chapter 2 – Health and development situation (proposed length 8-12 pages)
· Chapter 3 – Setting the Strategic Agenda for WHO cooperation (proposed length 8-10 pages)
· Chapter 4 – Implementing the Strategic Agenda: implications for the WHO Secretariat (proposed length 2-3 pages)
· Chapter 5 – Evaluation of the CCS (proposed length 2-3 pages)
5. Technical Supervision
The selected Consultant will work under the supervision of:
Responsible Officer: Dr Lamia Mahmoud, Medical Officer (MNCH)
Manager: Dr Assai Ardakani, Head of WHO Country Office, Pakistan
6. Specific requirements
- Qualifications required:
· Master’s degree in public health
- Experience required:
· At least 7 years’ experience of working in priority health programmes such as: MNCH, Nutrition, ATM, communicable/ NCDs, Emergencies etc;
· Previous experience in policy development in the health sector;
· Previous experience in preparing national strategic documents;
· Previous experience of working with UN agencies and partners is an asset.
- Skills / Technical skills and knowledge:
· Excellent writing, communication, coordination and analytical skills;
· Ability to use the relevant Microsoft office programmes namely Word, Excel etc
- Language requirements:
· Excellent mastery of English
· Knowledge of Urdu is an asset
7. Place of assignment
Islamabad, with travel to provinces as needed
8. Medical clearance
The selected Consultant will be requested to provide a medical certificate of fitness for work.
Schedule for travel to provinces for provincial consultations with national stakeholders and partners will be identified in the consultant’s inception report.