International Consultant, Primary Health Care Spending Analysis Consultant
The specific objective of the work is as follows:
- To estimate the levels of Primary Health Care (PHC) spending—both total and government-specific—across countries in East and Southern Africa over the past five years, including spending on essential Sexual and Reproductive Health Services.
- To identify key determinants and drivers influencing government expenditure on PHC, with specific attention to SRHR-related investments, across the region.
- To assess the relationship between PHC spending and key health outcome indicators, including those related to Sexual reproductive, maternal, newborn, child, and adolescent health.
- To develop evidence-based policy recommendations to enhance the level, efficiency, and effectiveness of PHC spending—with a focus on integrating and prioritizing Sexual and reproductive health services—across East and Southern Africa.
Activities and Tasks: The consultant will undertake the following tasks:
- Estimation of the level of PHC spending. This aims to quantify Primary Health Care (PHC) spending—both total and government-specific—across countries in East and Southern Africa over the past five years, with a focus on expenditures related to essential Sexual and Reproductive Health and Rights (SRHR) services.
- The consultant will apply an agreed methodology for ESARO (in consultation with the UHC RITT) and adapt the global measure as per the WHO Guidance.
- The analysis will draw primarily from National Health Accounts (NHA), using disaggregation by health function and provider type. Where available, data from the most recent five-year period will be compiled to enable cross-country and trend analyses.
Desired competencies, technical background and experience
- An advanced university degree (Master and above) in Health, Statistics, Health Economics or any other valuable field. At least 5 years’ experience in health economics and financing with experience in resource-limited environments
- Demonstrated experience in analyzing NHA data, especially the System of Health Accounts (SHA 2011) framework, including estimating sub-sectoral spending
- Strong proficiency in applying cross-sectional and panel data econometrics, including fixed/random effects models, growth regressions, and decomposition techniques (e.g. Oaxaca-Blinder).
- Skills in using statistical and analytical tools such as Stata, R, or Python for cleaning, merging, managing data, conducting analysis, creating visualizations and interpreting data and generating insights.
- Ability to link implications of analysis to health system objectives such as efficiency, equity, sustainability to generate policy-relevant insights
- Excellent written communication skills to prepare detailed and clear reports.