Technical Advisor - PBF and Health Systems
Position Description
This is a resident expatriate technical advisor position for EGPAF Mozambique responsible for coordinating EGPAF’s PBF program and supporting other health system strengthening activities. EGPAF Mozambique is the lead USG HIV Clinical partner in three provinces and works in four provinces to strengthen provincial HIV clinical services. As the largest health partner in these provinces, EGPAF activities have significant impact on the regional health system. Similarly, PEPFAR-funded HIV clinical services have national health system level impact and need to strengthen the health system to be sustainable.
This position reports directly to the Health System Strengthening Director and supervises Health Finance Officer. This position will be responsible for working with the Ministry of Health, Provincial Health Authorities and other stakeholders to strengthen health policy, health financing and planning to support sustainable, high quality HIV clinical services. This position will work closely with provincial PBF staff and teams.
Responsibilities:
- Be directly responsible for quality implementation of two province pilot in PBF.
- Be primary contact with MOH, Provincial and District health authorities for all aspects of PBF program implementation. Liaise with relevant national level work groups, specifically Dept of HR at MOH, Dept of M&E at MOH, HRH TWG, and health financing TWG to assure that PBF activity reinforces MOH priorities and other donor interventions, as well as HIV program activities.
- Provide support to MOH and other national level fora as requested on health policy strengthening.
- Provide support to global EGPAF and other EGPAF countries activities as requested to support health policy development.
- Supervise/oversee existing performance-based health financing (PBF) to assure quarterly performance measurement takes place at all PBF sites by provincial verification teams.
- Assure that EGPAF provincial health offices and Provincial Health Authority review and approve all sub-grantee performance reports and invoices for payment and submit to Maputo.
- Review quarterly performance data with M&E and technical teams to identify outliers and potential performance deviations.
- Submit invoices to A&C for payment.
- Monitor PBF program expenditures and sub-grantee performance to identify significant under or over-spending and adjust sub-grantee budget ceilings and/or amend sub-grants as needed.
- Work with Maputo clinical and community teams and provincial teams to assure:
- Quality improvement tools used by sites to maximize performance and PBF performance.
- PBF funds are used to reinforce quality problems identified by clinical teams.
- PDSA cycles are implemented to achieve both of the above.
- Community activities should be harmonized with PBF community verification activities to maximize consumer input into improving facility performance. E./g. consumer satisfaction survey should provide feedback to facilities, be part of payment formula.
- Supervise and oversee the Community Verification activity to assure effective verification process implemented routinely to minimize cheating, gaming or falsification of site level performance data.
- Annually, work with EGPAF team, provincial and MOH authorities to review PBF performance, revise indicators, payments, PBF implementation model, provincial and district verification procedures in time for sub-grant renewal.
- Work with PBF evaluation team to provide technical input as needed.
- Monitor impact of provincial PBF and other interventions and provide evidence to inform national health policy and to inform donors and other implementers regarding expansion/modifications to PBF program.
Requirements:
- Advanced, post-graduate training in health policy, health finance, health planning or other related area.
- Direct experience implementing PBF in similar settings preferred.
- 3-5 years work experience in health policy, health finance, planning or related area.
- Knowledge and/or experience with health policy impacts of HIV clinical services.
- Knowledge and/or experience with USG funded health interventions.
- Portuguese and English language proficiency
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