Consultant Terms of Reference: Domestic Resource Mobilization (DRM) Case Study - Nepal
Results for Development, Fiji
Experience
1 Year
Salary
0 - 0
Job Type
Job Shift
Job Category
Traveling
No
Career Level
Telecommute
No
Qualification
As mentioned in job details
Total Vacancies
1 Job
Posted on
Nov 16, 2021
Last Date
Dec 16, 2021
Location(s)
Job Description
Results for Development (R4D) is a leading non-profit global development partner. We collaborate with change agents around the world government officials, civil society leaders and social innovators to create strong systems that support healthy, educated people. We help our partners move from knowing their goal to knowing how to reach it. We combine global expertise in health, education and nutrition with analytic rigor, practical support for decision-making and implementation and access to peer problem-solving networks. Together with our partners, we build self-sustaining systems that serve everyone and deliver lasting results. Then we share what we learn so others can achieve results for development, too.
We have a unique and vibrant culture at R4D. Diversity, equity and inclusion are at the heart of our work environment and help advance our mission. Diversityof ideas, identities, perspectives and backgroundsis vital to who we are and what we do. We seek people who embrace these values and will help reinforce them. Our work culture is collaborative, creative and entrepreneurial. We operate based on trust and respect. Teams across the organization frequently collaborate on programmatic work and support each other in continuously building a better R4D.
I.Background
In 2015, Nepal shifted from a unitary government to a federal system of government after the declaration of a new constitution. The Constitution of Nepal 2015 establishes a federal government structure with three tiers of government (federal, provincial, and local) with a strong emphasis on local governments (LGs) having greater authority. The intent for decentralization was to reduce inequalities by bringing services closer to the community, ensure cost containment by moving from vertical disease to more integrated approach in pursuit of UHC, promote greater local financing, and involve local communities in decision making.
The country is now divided into 7 provinces and 77 districts. The districts are divided into 753 local levels: 6 metropolitan cities, 11 sub-metropolises, 278 urban municipalities, and 458 rural municipalities. Each municipality is now responsible for implementing government programs and delivering services through local health facilities. The Nepal Health Policy 2019 has put Universal Health coverage as a center priority and has mandated subnational governments to deliver basic health services to the people that includes preventive and promotive care. [2] This new decentralized system of local governance presents both challenges as well as opportunities for improving health service delivery. The local government can allocate resources more efficiently and equitably based on the community’s needs. However, there is a lack of clarity on the delegation of responsibilities between federal and subnational government, inadequate human resources for health, and limited capacity at the local level which could impact health service delivery especially for programs such as NTDs that have been making considerable progress towards reaching disease control and elimination.
Results for Development (R4D), one of the Act I East consortium implementing partners, will lead the development of a case study that will describe the progress and challenges of financing NTD programs under Nepal’s decentralized system of government and the implications for domestic resource mobilization. The case study will inform discussions on NTD program sustainability and identify needs and opportunities to strengthen local capacity for planning, budgeting, and financial management of available health resources, inclusive of NTDs specifically lymphatic filariasis (LF), Soil-transmitted helminths (STH), and Trachoma. II.ObjectiveThe case study will seek to:1. Describe current challenges to allocating, disbursing, and spending funds for NTDs under Nepal’s federal system of government, including obstacles to domestic resource mobilization and sustainable financing of the NTD response.2.Identify opportunities for improving planning and resource allocation as well as overall management of financial resources for NTDs considering current fiscal constraints and other competing health needs in Nepal.III.MethodologyIn the first phase of the work the consultant will prepare descriptive analyses of the health financing landscape and fund flow as it relates to NTDs. The second phase of the analysis will focus on the experience of four to six municipalities to allow for deeper analyses of the relevant issues under decentralization. Selection of the municipalities will be based on input from the GON, Act | East country team, and technical experts.
Analytic components·Qualitative review of peer reviewed and grey literature on the current con
We have a unique and vibrant culture at R4D. Diversity, equity and inclusion are at the heart of our work environment and help advance our mission. Diversityof ideas, identities, perspectives and backgroundsis vital to who we are and what we do. We seek people who embrace these values and will help reinforce them. Our work culture is collaborative, creative and entrepreneurial. We operate based on trust and respect. Teams across the organization frequently collaborate on programmatic work and support each other in continuously building a better R4D.
I.Background
In 2015, Nepal shifted from a unitary government to a federal system of government after the declaration of a new constitution. The Constitution of Nepal 2015 establishes a federal government structure with three tiers of government (federal, provincial, and local) with a strong emphasis on local governments (LGs) having greater authority. The intent for decentralization was to reduce inequalities by bringing services closer to the community, ensure cost containment by moving from vertical disease to more integrated approach in pursuit of UHC, promote greater local financing, and involve local communities in decision making.
The country is now divided into 7 provinces and 77 districts. The districts are divided into 753 local levels: 6 metropolitan cities, 11 sub-metropolises, 278 urban municipalities, and 458 rural municipalities. Each municipality is now responsible for implementing government programs and delivering services through local health facilities. The Nepal Health Policy 2019 has put Universal Health coverage as a center priority and has mandated subnational governments to deliver basic health services to the people that includes preventive and promotive care. [2] This new decentralized system of local governance presents both challenges as well as opportunities for improving health service delivery. The local government can allocate resources more efficiently and equitably based on the community’s needs. However, there is a lack of clarity on the delegation of responsibilities between federal and subnational government, inadequate human resources for health, and limited capacity at the local level which could impact health service delivery especially for programs such as NTDs that have been making considerable progress towards reaching disease control and elimination.
Results for Development (R4D), one of the Act I East consortium implementing partners, will lead the development of a case study that will describe the progress and challenges of financing NTD programs under Nepal’s decentralized system of government and the implications for domestic resource mobilization. The case study will inform discussions on NTD program sustainability and identify needs and opportunities to strengthen local capacity for planning, budgeting, and financial management of available health resources, inclusive of NTDs specifically lymphatic filariasis (LF), Soil-transmitted helminths (STH), and Trachoma. II.ObjectiveThe case study will seek to:1. Describe current challenges to allocating, disbursing, and spending funds for NTDs under Nepal’s federal system of government, including obstacles to domestic resource mobilization and sustainable financing of the NTD response.2.Identify opportunities for improving planning and resource allocation as well as overall management of financial resources for NTDs considering current fiscal constraints and other competing health needs in Nepal.III.MethodologyIn the first phase of the work the consultant will prepare descriptive analyses of the health financing landscape and fund flow as it relates to NTDs. The second phase of the analysis will focus on the experience of four to six municipalities to allow for deeper analyses of the relevant issues under decentralization. Selection of the municipalities will be based on input from the GON, Act | East country team, and technical experts.
Analytic components·Qualitative review of peer reviewed and grey literature on the current con
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