Description
Ref No: R178
Job Type: Part Time
Job Description
To evaluate DRF operation in Nigeria factoring the history and the current practices with a view to identify gaps, weaknesses and strengths to pave way for effective and efficient management that will reposition the scheme for sustainable drugs supply systems in Public health institutions in Nigeria.
He/she will assess various DRF structures and operations with emphasis on the financial systems in different states and do a thorough appraisal and analysis of the current situation.
He/she will design a financial system for state-level DRF operations that will promote sustainable financing for health care services
In collaboration with technical consultants, prepare a presentation to stakeholders a blueprint document for the intended purpose. This document should clearly demonstrate the operationalization of the following factoring economic and socio-political structures in Nigeria:
Situation analysis
Continued or increasing levels of government funding for health
Business model for financing and financial management
Business like orientation to personnel,
Efficient and Audit-wise financial management (effective and transparent fund management) and supply management
Strict measures to ensure accountability
Audit and financial oversight
Capital & investment opportunities
Required human resource and capacity building for financial management
Use of appropriate devices and technology, eg QuickBooks
Measures for sustainability & ownership
Implementation method: in phases or through a well-conceived pilot approach etc.
The Consultant may also assume any other related duty that may be assigned by the Director, Supply Chain Management.
Qualifications
Required Minimum Education:
A minimum of a university Degree in Accounting/Accountancy, Economics, Management or Related Disciplines.
A Master Degree in Business Administration, MBA, Health Economics or Management
A national or international certification in finance, accounting, and auditing. E.g. ACA, CFA
Required Minimum Experience:
A minimum of fifteen (15) years cognate experience in public and/or private sector including health organizations is highly desirable
Significant experience/understanding in establishing DRF schemes OR significant experience in setting up, operating, managing and evaluating Financial system for DRF schemes in Nigeria or other Sub-Saharan African countries
A minimum of ten years of progressively responsible professional level experience in, Financial Analysis, Audit, Administration and Financial Management
Expert knowledge of health economics and financing
Knowledge of the major issues affecting health products supply chain management and financing in Nigerian
Good experience in strategic planning, operations management, organizational and change management, policy formulation and development are required
Rich background in health economics/Pharmacoeconomics
Sound knowledge of Nigeria drug market and Public procurement policy
Experience in public health financing, coordination, leadership, governance, Innovation and research
Experience of working effectively within a matrix management/ project management environment
Experience in the development of national tools and documents
Experience of working on donor funded projects- Global Fund, PEPFAR etc.
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Ref No: R179
Objectives
The key objective for this activity is to manage and supervise the vendor’s activities to ensure that the vendor develop and incorporate all the required additional modules/features on the identified existing EMR platform in country (NigeriaMRS)
To ensure that it is interoperable (i.e. can communicate data) with the DHIS 2 national instance and the National Data Repository (NDR).
Problem statement:
The use of EMR to manage patient level information at facility greatly helps to improve the quality of service provided to patients and it also increases the productivity of health care workers and, ultimately improve the efficiency of the health care system.
The challenge faced by health managers include deciding which brand of EMR is ideal for use is the absence of standards to guide the development and deployment which could then be used to evaluate the EMRs before they are deployed.
Consequently, there are several EMR solutions in use in Nigeria that will not meet up with the most basic standard of functionality if an evaluation is carried out. Another setback is the huge cost involved in procurement and deployment of such systems (as huge cost is required to pay for licensing and regular renewal of such license as agreed between both parties i.e. vendor and customer) as well as cost for the maintenance and upgrade of such systems.
Often times, in a health facility, multiple software may be used to manage a patient, this puts a lot of demand on the part of the health care worker with respect to adapting to multiple brands of software to manage a patient.
This current activity is to employ a lead consultant to work with the vendor (to be selected) to address the challenges enumerated above i.e. ensuring that the EMR provides a unified solution which to a large extent can support all the processes in one system at a more reasonable cost while meeting all the standards recommended in the report on the Nigeria Health Information Exchange (HIE) Architecture and E-Reporting platforms.
Scope of Work:
Review the HIE e-reporting report and other documents
Ensure that the vendor selected to develop the EMR reviewed all the requirement documentation, identified all required data collection forms to be configured on the EMR, develop a realistic workplan for the activity
Attend the meeting with the vendor, DHIS 2 team and NDR teams to address interoperability issues
Ensure that the EMR solution meet all required set standard Work with vendor to ensure that the internal testing on the solution to be sure it can be used by the users and make the report available to RSSH
Use case scenarios for the UAT is in line with the expected functionality in the requirement documentation of the UAT is conducted
All the findings of the UAT are addressed before final release of the solution
Review relevant documentations provided by the vendor and ensure that they facilitate the use of the EMR application.
Estimated level of effort:
30 working days
Deliverables:
Certification of the technical soundness of the following documents from the vendor engaged to work on the EMR solution
Vendor workplan.
Requirements Specification:
Internal testing of the updated EMR solution
Use case scenarios for the UAT
UAT report
Technical documentation for the EMR solution
Report on the independent testing of the EMR solution by the consultant to ascertain its conformity with the required specifications Trip report (if any trip was made during the consultancy period) End-of-Contract report with recommendations of field deployment.
Qualifications
The lead expert must be an individual/organization with at least 8 years experience in developing EMR/e-reporting platforms/systems and; have evidence of work done in Nigeria
Lead expert must possess professional qualification in project management
Lead expert must demonstrate good knowledge of SDLC process Expertise on use of OpenMRS
Competence in previous Health System Strengthening with special emphasis on EMR/e-reporting platform development Proven expertise in EMR design, development and implementation (including development of interoperability).