Consultant Support the Conduct of Fiscal Space Analysis for Health in the FMOH

Objective

To conduct a Fiscal Space Analysis for the Federal Ministry of Health

Rationale

The current effort of the FMOH in coordinating health systems reforms is an effort that needs commendation. The National Health Accounts 2017 still shows low government spending/expenditure in health at all levels. To address limitations of funding to the health sector in Nigeria, there is a need to further analyze the resource needs estimates and financing plans for health priorities in line with the National Strategic Health Development Plan (NSHDP II) and use that analysis to identify the largest challenges and inform strategies for closing fiscal gaps. These strategies are intended to be shared with domestic and external sources of funding and help ensure that the FMOH is adequately funded through 2030 to ensure that set targets are achieved.

Scope of work

This consultant will determine and revise original resource needs estimates of the NSHDP II and key health financing estimates at the Federal Level, review and update alternative projections and scenarios, review and update estimate of the overall funding gap, and analyze the scope for increasing domestic financing for health in FMOH.

Specific Tasks

Undertake a desk review/literature review of relevant documents and local research and conduct analysis of current situation in FMOH

• Enrich the desk review with stakeholder analysis, qualitative and quantitative data collection using developed tools engaging with the FMOH, NHIS, NPHCDA, other MDAs (Finance, Budget & National Planning, Justice, Labour, etc), CSO, private sector, etc.
• Conduct fiscal space analysis by revising original resource needs estimates of the NSHDP II and key health financing estimates at the Federal level, revising and , updating alternative projections and scenarios; revisisng and updating estimates of the overall funding gap, and analyzing the scope for increasing domestic financing for health in FMOH.
• Produce a report of the Fiscal Space analysis in FMOH
• Share and validate the fiscal space analysis report with stakeholders in FMOH
• Use report of the fiscal space analysis to produce scientific paper and policy briefs towards development of the State Health Financing Policy and Strategy.
• Participate in the development of the State Health Financing Policy and Strategy.

Required Skills, Qualifications, and Experience

• Essential\: Advanced University degree in Health Financing/Economics, Public Health, or other related area.
• Over 5 years Technical expertise in health policy and strategy development, planning, monitoring and evaluating health systems
• Extensive Knowledge of Nigeria’s health system, and health financing landscape
• Previous experience in the development of Health Policy, and Health Financing Policy and Strategy is mandatory.
• Previous conduct of costing exercises and economic evaluations is essential
• Demonstrated ability to provide sound methodological and technical advice and guidance to multiple stakeholders and partners in Nigeria
• Demonstrated ability to analyze political contexts, interact, and negotiate effectively with multiple interests at the political level.
• Demonstrated ability to work effectively with the Ministries of Health, Finance, Budget and Planning, and with a wide variety of stakeholders at the country, State, and LGA levels
• Proven ability to interact effectively at the political level with multiple high level Stakeholders
• Demonstrated ability to innovate, integrate, synthesize and communicate complex concepts and ideas verbally and in writing.
• IT Proficiency is essential

Breakdown of the number of days for technical assistance

Financial Implication of the Agreement\: