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  • Posted: Jun 23, 2017
    Deadline: Not specified
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    At Living Goods we empower people to improve the health of their families, friends and communities. Living Goods supports networks of 'Avon-like’ health entrepreneurs who go door to door to teach families how to improve their health and wealth and sell life-changing products such as simple treatments for malaria and diarrhea, safe delivery kits, fortif...
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    Technology Consultant

    Purpose

    Living Goods is recruiting a consultant to provide technical assistance in assessing the mHealth landscape in Africa and help us understand the different technology options to scale.

    Definition

    Technology refers to all of the digital platforms and systems that collect and/ or analyse data related to the recruitment, training/ onboarding, supervision, performance management of Community Health Workers (CHWs) as well as any digital technology that facilitates CHWs to refer to health facilities, management of medical supply chains used to supply CHWs; community engagement done by CHWs and general data collection.

    Background

    Living Goods is entering a phase of rapid scaling with ambitions to expand our model to reach all people that need affordable, effective, impactful community health. Technology has become more and more embedded within our day to day operations, and we see it playing a fundamental role in our, and our partners ability to meet our long-term objective of creating systemic change in community health at a national and international level. As such, we are keen to understand new technologies, mobile and otherwise, to help us increase our impact and replicability and to further the field of community health as a whole. This might include other tech/software needs (POS, supply chain management), mobile money, mobile-based training, better messaging, integrating with clinics, etc. We are looking to analyse other digital solutions available on the market and their capability, current government systems and their needs, and what other tech tools we may want to implement.

    Objectives

    • Better understanding of the current capacity, usage and potential of mHealth, CHW data collection and performance and supervision technologies currently being used in developing countries to optimise community health delivery
    • Clear understanding of the technical and organisational capacity of the top four most relevant and applicable solutions that support impactful community healthcare delivery
    • Technology strategy to ensure Living Goods can achieve its 2030 vision of scaling through partners and implementers

    Activities

    Consultant to

    • Review documents and generate a synoptic overview of mHealth services, coverage, and operators, in Sub-Saharan Africa
    • Identify, interview and map key stakeholders within the mHealth ecosystem in sub-Saharan Africa. Key informants will include donors, MOH, service providers, private sector/corporate CSR programs, other relevant government players (Ministry of Social Communication, Finance or Telecoms, independent regulatory agencies).
    • Engage with all relevant technology providers and stakeholders to gather detailed data to create a technology landscape analysis for community health including:
    • Technology owner and users
    • Capability of each technology
    • Ease of adoption and replicability etc.
    • Catalogue and provide a technical assessment of the top four mHealth activities in Sub-Saharan Africa funded by donors or by the private sector, highlighting any weaknesses or challenges to replication or scaling.
    • Engage with LG leadership, potential partners and different government bodies to clarify the longer-term technology requirements
    • Host internal workshops to gain better understanding of how mHealth solutions are used in the field and the needs of users
    • Inform technology partnership strategy by helping to answer the following questions
    • What is the role of technology to reach our 2030 vision?
    • What are the technology options to scale into other countries, and work with other governments and partners? If not, what do we need?
    • How can we make our technology easy for partners to adopt to drive impact and help us scale?
    • What would it take to upgrade our existing tech to plug and play for others?
    • What it would take to develop other software to meet LG needs?
    • What is the value of being able to work on multiple platforms/ software?
    • What are the technology partnership opportunities which would allow us to reach some of our breakthroughs: Working with government Government paying Government doing National scale
    • What would we need to do if we want to integrate with government systems or partner systems?
    • How can technology support government middle management to better supervise their field staff and how can we fill that?
    • How do we link with health facilities and bridge the referral gap

    Deliverables

    • Initial work plan with proposed activities and timelines
    • Landscape analysis report
    • Core: List of technology solutions currently being used in Africa to support community health systems and their capacity and scale
    • Including what systems current ministries of health in Africa are using and how in reality they are being used as well as their ‘official’ capability
    • Secondary: The largest technology solutions that have successfully scaled being used outside of Africa to support community health systems
    • Tertiary: The largest mHealth and broader health solutions that could be translated to community health work

    Landscape analysis methodology to include interviews of system developers, users, governments etc. to reflect the full capacity/ potential of solutions versus the reality of how it is being used

    Expectation is that consultant will collate existing landscape analyses such as KEMRI mHealth study, GSMA studies and internal assessments done by peers.

    • Living Goods technology strategy
    • Internal assessment:
    • Will our current technology platform enable LG to meet its 2030 vision?
    • If not, what is required?
    • What are the technology platform(s) options for Living Goods to help others improve performance management and supervision through technology?
    • Should LG create a technology solution that is adopted by all or should we aim to become technology agnostic so that we are seen to partner with governments to identify the right solution for them, rather than as a vendor pushing a specific technology?
    • Why have other mHealth solutions scaled? What are the lessons learnt for LG to develop a rapidly scalable solution?
    • What technology is required for governments to meet their broader community health goals i.e. tools for middle management to better supervise their field staff etc.
    • Debrief meeting with key actors to share the consultancy findings

    go to method of application »

    Health Economist

    Project plan

    The investment case is for the whole country and not for specific counties, so the consultant is expected to:

    • Engage and manage stakeholder engagement to ensure relevant views are represented, and key stakeholders are brought into the process
    • Work with the MoH and relevant stakeholders and experts to design the methodology for the investment case consistent with the model created by the Financing Alliance, investment cases done in other countries and the UNICEF Community Health Planning and Costing Tool.
    • Collating data sets and information from interviews and secondary data sets to ensure a robust approach of determining ‘value’
    • Analyse the data to show the return on investment for community health
    • Develop deliverables to communicate and disseminate the findings 

    Key activities

    • Stakeholder engagement 

    Developing an investment case that accurately incorporates the true costs and benefit of community healthcare requires a deep engagement with the relevant stakeholders in government, donor and broader healthcare providers, especially to understand the differing impacts in different contexts i.e. urban/ rural, coastal/ inland.

    A steering committee and other key stakeholders must be engaged in the process of developing the investment case if it is to really shift perceptions of community health and catalyse a change in how it is funded and for the findings to be accepted by the wider health community.

    • Data collection and analysis 

    Illustrative Data And Analysis Required (not An Exhaustive List)

    Costing of CHW program

    • Recruitment
    • Training
    • Stipends and reimbursements (travel, lunches etc.)
    • Supervisor time and costs
    • Equipment, supply chain and logistics 

    Return on Investment (Value of CHW programs)

    • Short-term value for money compared to facility-based care across the following services:
    • Vaccinations
    • Neonatal care
    • Family planning
    • Malaria
    • Community Management of Acute Malnutrition (CMAM)
    • HIV
    • Tuberculosis
    • Direct savings to the economy
    • Saving of child and maternal lives – Impact of ICCM
    • Reduction in cost of treating advanced stage diseases
    • Savings related to lower total care needs and treatment infrastructure including associated services for the population
    • Impact of education on basic hygiene and sanitation, education on childhood disease identification, immunisation nutrition, family planning on reducing disease
    • Impact of demand creation for sanitation/ hygiene/ nutrition products which prevent disease?
    • Indirect value
    • Effect on catastrophic cost for health care resulting from health crises e.g. Ebola/ cholera
    • Economic impact of reduced stunting and better educated population (reduced childhood illness)/ economic impact of increased employment
    • Increased productivity from a healthier adult population
    • Disease elimination – eradication of diseases
    • Broader benefits
    • Greater female empowerment women
    • Reducing patient costs
    • Enabling data collection on civil registration and vital statistics (improved policy making, avoidance of disaster e.g. energy and water crises etc.)
    • Enabling additional service delivery
    • Differences in costs, savings, broader benefits of community healthcare in different regions, community healthcare delivery systems, urban/rural contexts and different regulations and policies in different counties. 

    Qualitative insights

    Collate qualitative insights for key stakeholders including how to prioritize different types of data, how to best build the case and the impact of different contexts on different value levers. A qualitative narrative will be expected alongside the numbers to explain where things could not be costed but value still exists.

    Scenarios

    The investment case should not be an absolute number but needs to show how different coverage levels, suites of activities and slightly different staffing structures result in different return on investment. Therefore, it is expected that the analysis will provide different investment scenarios to show the investment case for example for, full CHW coverage such as in the current policy versus partial coverage in just the highest need areas.

    • Report development and dissemination 

    The consultant will collate the data and insights from stakeholders and analysis into a user-friendly report that can be used by stakeholders to advocate for increased investment. There will be opportunities to engage key stakeholders to review draft documents and feedback into the final set of deliverables. The report will also need to include a literature review of relevant investment cases previously done and other relevant studies.

    Deliverables and timeline

    Deliverables

    • Methodology – to be approved by internal panel and relevant credible external reviewers
    • Report including but not limited to:
    • Publishable and finalized Word document organized in a logical flow with necessary graphs and text addressing above questions, including executive summary, table of contents, sources/references, and appendices in a format that can easily be pulled into other documents
    • A policy brief
    • Condensed PowerPoint presentation with key slides summarizing the narrative from the publishable report
    • Reusable investment case tool and raw data. Investment case tool
    • Synthesis from key informant interviews describing motivations and constraints for community health (should be included in publishable report and PowerPoint slides)
    • Attendance at a workshop with key stakeholders to disseminate and explain this research 

    Interim deliverables to include

    • Draft report
    • Draft Excel investment case tool

    Timeline

    • Final Deliverables will be due end of November 2017
    • Interim deliverables will be due in September

    Method of Application

    Use the link(s) below to apply on company website.

     

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