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TERMS OF REFERENCE
CALL FOR EXPRESSION OF INTEREST TO DEVELOP AN INVESTMENT CASE WITH A FOCUS ON HIV/AIDS, TUBERCULOSIS AND SEXUAL REPRODUCTIVE HEALTH AND RIGHTS
1.0. INTRODUCTION
AIDS Healthcare Foundation (AHF) is the largest global not-for-profit AIDS organization that provides medical care and services to over 2,000,000 individuals in forty-seven countries in the US, Africa, Latin America/Caribbean, the Asia/Pacific Region, and Eastern Europe. In Africa, AHF has a presence in thirteen countries. AHF signed a Memorandum of Understanding with the government of Malawi through the Ministry of Health in June 2016. Today, AHF provides direct medical and nursing care to about 45,000 clients in five districts across the country. As an organization renowned for its program sustainability and advocacy across the globe, AHF is committed to supporting and working with the government to achieve HIV/AIDS control, until the fight against the disease in Malawi is won. AHF mission statement is to provide cutting edge medicine and advocacy regardless of ability to pay.
The investment case that AHF intends to conduct is to help identify funding gaps, drive the priorities, make a case for investing in them, and help attain complementary financing for them from both domestic and external financiers. The investment case to be conducted by AHF and partners is to support mobilization of resources and the national approach to HIV/AIDS, TB and SRHR investments and financing, help prioritize investments for funding, provide policy and technical support, enhance communication among stakeholders, ensure complementary financing and strengthen collaboration among government ministries. The investment case will identify areas that can lead to cost savings for the government and calculate the Return on Investment (ROI), showing how every dollar spent on HIV/TB/SRHR interventions can yield multiple benefits in terms of public health and economic gains.
Additionally, the Investment Case should contribute to reducing the fragmentation and duplication of financing for HIV/AIDS, TB and SRHR by ensuring that the key financiers in the country (both domestic and external) come together behind a defined set of priorities that can be implemented within the resources available in the country, thereby ensuring complementarity of financing.
2.0. SCOPE OF WORK
2.1 Outline of the socio-economic dividends of increasing investment in the three areas – including how much government stands to gain in the long run.
2.2 Isolate activities per program area that are consistently financed (Government and Donors) and corresponding allocations over the last 5 years.
2.3 Analyze financing gaps of the isolated activities and propose critical/strategic interventions and activities per program.
2.4 Highlighting recommendations for resource mobilization to bridge the identified gaps.
2.5 Cost of the activities without funding per programme area using recommended thresholds and key drivers of cost of delivering health services e.g., disease burden, population, cost of service delivery, geography/distances, etc. Project the costs (e.g., for the next 5 years) per programme using applicable parameters.
2.6 Summarize costs per program.
2.7 Produce an Investment Case Report
2.8 Highlight best practices for financing for health to strengthen advocacy to the government as part of the recommendations.
3.0. PROPOSED METHODOLOGY
In terms of methodology, AHF Malawi will require the consultant to be innovative as possible however we propose the following:
Literature review: National and district budgets; Policies, Plans and Strategies; Reports e.g., training needs, Capital Investment Plan, budget analysis and expenditure tracking reports, drug quantification reports, National Health Accounts (NHA) Reports, etc.; previous investment case reports; Health Sector District Implementation Plans (DIPs); District Annual Work Plans; etc.
Purposive sample of 8 to 10 districts to participate in the exercise: Selection to be based on such factors as disease burden, best practices, population, etc. Primary data collection from key stakeholders in the health sector (National and sampled districts). 1 National Workshop comprising all key stakeholders in the health sector, 1 District Stakeholder Workshop per sampled district and Key Informant Interviews e.g., Directors from line MDAs, DCs, DHSSs, Sector Heads and Program Leads from Partner Organizations (National and District) Costing based on literature review and input from stakeholders.
4.0. DELIVERABLES
4.1 Development of investment case roadmap
4.2 Situation and bottleneck analysis
4.3 Prioritization of interventions
4.4 Development of monitoring and evaluation framework
4.5 Costing and financial gap analysis for the investment case
5.0 REQUIRED OUTPUTS
5.1 Inception Report
5.2 PowerPoint Presentation
5.3 Draft Investment Case Report
5.4 Final Investment Case Report
5.5 Excel Matrix containing activities and corresponding costs.
5.6 A summary Write up of advocacy issues
6.0. REQUIRED KNOWLEDGE AND EXPERIENCE OF THE CONSULTANTS.
The Consultant(s) should have at least the following.
6.1 Minimum of a master’s degree in any of the following fields: Public Health, Social Science, Development Studies, Gender, Management, or Health Economics.
6.2 At least five years’ experience in analyzing and tracking public policy implementation on national and district budgets.
6.3 Experience in mainstreaming health and national and local development activities.
6.4 Wide knowledge and vast experience in the undertakings of Civil Society Organizations.
6.5 Wide knowledge of the Malawi health
6.6 Experience in health financing and health economics analysis focusing on HIV/AIDS, TB and SHR will be advantageous.
6.7 Knowledge and experience of mainstreaming HIV/AIDS, TB and Sexual and Reproductive Health Rights (SHR) in local and national development.
Applications (both hard and soft copies) should be sent to the following address by (17th October 2024)
The Chairperson,
Internal Procurement Committee (IPC),
AHF Malawi Mphonongo Street Plot No. 10/72
Private Bag B438,
Lilongwe.
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