Position Title: Consultant Scope of Work for Strengthening DPPM Stewardship
Introduction
The Ministry of Health (MOH) issued in November 2017 Guidelines on the Development of District Action Plans (DAP) for Tuberculosis, which clearly outlines a process for multi-sectoral engagement and development of the DAP. The DAP is intended to: 1) outline roles and responsibilities for the local government and other related parties to improve commitment and leadership in controlling TB, 2) strengthen TB- related planning and budgeting; 3) improving coordination of activity planning, implementation, monitoring and evaluation. The DAP guidelines recognize that programming must be evidence-based with clear medium-term performance indicators and results, clear roles and responsibilities, and address resource and funding requirements. The DAP also recognizes that creating political support at provincial and district levels and multi-sectoral stakeholder engagement is critical. The role of the consultant will be to support the initial stewardship assessment in North and South Jakarta districts in collaboration with TBPS’ District Technical Officers and Meridian Group International, Inc.’s Senior Manager, Ms. Cindi Cisek.
DPPM Stewardship Strengthening Strategy
The District Public-Private Mix (DPPM) stewardship strategy will be designed to support strengthened governance and multi-sectoral engagement for the TB program at the district-level. Each district’s stewardship strategy will be tailored to the individual needs and progress of each district based on the results of the capacity assessment. We assume that North and South Jakarta districts will be further along in the DAP process given their previous support from The Challenge TB (CTB) project. The first phase of the DPPM stewardship strengthening will include two key steps: (1)Conduct district-level stewardship capacity assessment for North and South Jakarta districts; (2) Develop district-specific stewardship strengthening action plan to be presented to the district authorities (the Mayor’s secretariat (sekretaris daya) or TB DAP development team, and the health department) and major stakeholders where appropriate.
Conduct district-level stewardship capacity assessments. TPBS will conduct district-level capacity assessments that focus on the strengths and weaknesses of each district’s DAP. Both North and South Jakarta districts make use of the DKI Jakarta provincial action plan. The assessment will review the strengths and weaknesses of the DAP, interview approximately 10 key government and approximately 10 private sector stakeholders in each district (a list of those to be interviewed with be developed in collaboration with TBPS) and identify opportunities for increased private sector engagement.
Generating intelligence: Are DHOs and local stakeholders using an evidence-based approach to understand and analyze the TB program and to build awareness around the roles of then on the government sector including for-profit players? DAP guidelines specifically mention situation analysis, focus group discussions for budget development, advocacy workshop for regulation on DAP, stakeholder dissemination of workshop, data collection, and multi-stakeholder workshops.
Formulating strategic policy direction: Does the district have a current, validated TB DAP? What are the competitive strengths and weaknesses in the TB program and develop strategies and action plans that include the need for increased domestic resource mobilization and a specific role for non-profit and for-profit sectors? What is the overall budget for TB programming at the district-level? Has the DAP been signed/legalized by the authorities, and in which administrative stage is the DAP?
Building coalitions and partnerships: MOHs and stakeholders establish or work through existing platforms for coordinating partnerships and advocating for multi-sectoral dialogue. Is there a functional TB Control Development Team, and how often do they meet? Or is the TB DAP development team an ad-hoc entity? Who are the non-governmental stakeholders that participate in the TB control development team (e.g.universities, professional associations, NGOs, and for-profit private sector)? Does the DAP include an activity matrix with overall roles and responsibilities? What non-governmental resources are contributing to DAP
Ensuring tools for implementation: Do MOH and partners understand incentives and disincentives that exist and are partners aware of existing tools including the legal and regulatory framework to oversee TB programming in the private sector?
Aligning policy objectives and market interventions: Are there existing initiatives that demonstrate how evidence-based policies have led to strategic coordination among the public- and private sectors, including reshaping existing programs or introducing new market-interventions and/or partnerships.
Accountability and transparency: Are there appropriate data systems to provide data to track performance including appropriate data from private partners to understand overall TB program performance? The key goal will be to move from policy dialogue to action, implementing specific multi-sectoral initiatives.
The assessment will also determine the strengths and weaknesses of the district’s TB DAP development team and to what degree there is a strong multi-sectoral representation. Meridian will develop and pilot a district-level capacity assessment tool to be used at the district-level, which will be refined in close collaboration with the consultant and TBPS team.
Deliverables: 1) Written comments (in English) provided on the draft capacity assessment tool; 2) written notes (in English) from each interview (1-2 pages per interview) in district-level capacity assessment for North and South Jakarta; 3) Writing of specific sections of the district-level capacity assessment reports (in English) for North and South Jakarta (to be determined).
Develop district-level stewardship strengthening action plans. Based on the findings of the capacity assessment, TBPS will develop several key recommendations for the Mayor’s Secretariat and/or TB DAP Development Team to consider in terms of concrete actions for further strengthening the implementation of the DAP and multi-sector coordination. The consultant will develop a PowerPoint presentation (in Indonesian and English) that summarizes the district-level capacity assessment report findings and strategic recommendations to the TB Control Development Teams. The consultant will facilitate discussion with key stakeholders to determine any agreed-upon action points to be included in the DAP.
Deliverables: 1)PowerPoint presentation (in Indonesian and English) developed to include key findings and recommendations on concrete actions for further strengthening DAP and multi-sector coordination; 2) Presentation delivered to key stakeholders from the Mayor’s Secretariat and/or TB DAP Development Teams for both North and South Jakarta and the provincial health office DKI Jakarta.
Consultant Requirements
- At least 7 years’ professional experience in medical/health-related fields. Preferred (not mandatory) Master’s degree in public health, medicine/pharmacology, or another related discipline.
- Some private sector experience in Indonesia, either in service-delivery setting, working through NGOs, or pharmaceutical companies.
- Familiarity with MOH’s National TB strategy through previous work experience related to the MOH.
- Experience developing interview questionnaires, and conducting interviews with senior-level professional health officials
- Fluency in Indonesian and strong writing, communication, and reporting skills
- Fluency in English is desirable
- Excellent interpersonal and communication skills
- Ability to work within tight deadlines
- Flexibility, adaptability, and resourcefulness
January 1, 2020 – March 31, 2020, with an estimated level of effort of 40 days
Interested candidates please submit your CV to hr.indonesia@fhi360.org by 20December 2019 and put the title as “Consultant Strengthening DPPM Stewardship –(Name)”
