Consultancy to Review the Kenya Health Sector Human Resource Strategy

USAID | PEPFAR | IntraHealth

Human Resources For Health Kenya Mechanism

Review of Kenya Health Sector Human Resource Strategy (KHSHRS II) 2014 – 2018 and Development of the KHSHRS III, 2019 – 2022

Scope of Work for the Consultant

1.0 About HRH Kenya Mechanism

The Human Resources for Health (HRH) Kenya is a five-year (Sept. 27, 2016 –Sept. 26, 2021) mechanism funded by the Presidents Emergency Fund for AIDS Relief (PEPFAR) through the United States Agency for International Development (USAID).

Implemented by IntraHealth International Inc. and its partners, Amref Health Africa and Strathmore University Business School (SBS), the mandate of HRH/Kenya is to strengthen health workforce management to achieve improved health outcomes in 27 high disease-burden focus counties.

To achieve this result, the mechanism focuses on three sub-purpose areas:

1) Improve quality of training and increase the number of graduating health workforce;

2) Improve management and leadership of health workforce at the county level and,

3) Optimize data use for effective HRH decision making at national and county level.

2.0 Background

Kenya requires improved access to well-trained, knowledgeable, well-distributed and culturally-sensitive health workers (HWs) to attain Universal Health Coverage (UHC) under the Government’s Big Four Agenda and, deliver quality health services on a sustainable basis.

Even then, there is a critical shortage of human resources for health (HRH), with the country ranking among the 57 HRH-crisis countries in the world, with 1.5 HWs per 1,000 populations, against the World Health Organization (WHO) recommendation of 2.3/1,000.

The shortages are exacerbated by an inappropriate skill-mix, chronic absenteeism, low morale, inefficiencies in hiring, deployment, performance and retention, among others.

With the tenure of the second Kenya Health Sector Human Resource Strategy KHSHRS (2014 – 2018) coming to an end this year, there is need to develop the subsequent strategy—KHSHRS III-to provide a framework to guide and direct interventions, investments and decision making in the planning, management and development of HRH at the national and county government levels for the next five years.

The new KHSHRS III will, among others, provide the most appropriate, feasible and cost effective mix of strategies for ensuring equity in staff distribution and access to quality care irrespective of geographic locations, whilst making health profession more attractive to drive the UHC agenda.

To contribute to the process of developing KHSHRS III, it is critical to review experience with respect to the implementation of KHSHRS II, especially on achievements made against set objectives/targets, challenges and, lessons learned.

The MOH has commissioned a Task Force to spearhead the review of KHSHRS II and support development of the KHSHRS III and, a consultant is required to provide technical support in the drafting, review, validation and, finalization of the key policy document.

3.0 Objectives of Review and Development of the next HRH Strategic Plan

The Overall Objective of this consultancy is to review the implementation of the KHSHRS II, identify gaps and priorities to inform the development of KHSHRS III and, provide technical support to the national MOH KHSHRS III Taskforce to develop the KHSHRS III.

Specific Objectives include: –

a. Participate in planning meetings with MOH KHSHRS III Task Force, Council of Governors (COG) and HRH Kenya, to agree on coordination, roles/responsibilities, communication and, the process of reviewing the KHSHRS II and, developing KHSHRS III.

b. Participate in the KHSHRS III inception meeting to present an understanding of the assignment and, build consensus on KHSHRS II review and, KHSHRS III development, review and, validation processes.

c. Develop data collection tools for use in the review of the KHSHRS II focusing on set performance targets as articulated in the KHSHRS II M&E Framework.

d. Undertake a desk review of the key HRH documents, notably, Health Act, Kenya Health Policy, Constitution of Kenya, Vision 2030, Draft Kenya Health Sector Strategic and Investment Plan, UHC roadmap and benefits package and provide recommendations to inform the development of KHSHRS III.

e. Convene KHSHRS II technical review meetings with key health sector stakeholders including development partners, civil society, faith based and private sectors to assess: –

  • the extent to which the KHSHRS II objectives were met, best practices and, lessons learned and, on the basis of this, obtain recommendations for consideration in the development of KHSHRS III.
  • the appropriateness of risks, assumptions, and risk mitigation measures placed under KHSHRS II and, provide recommendations for consideration in the development of KHSHRS III.

f. Support the MOH KHSHRS III Taskforce to engage with key stakeholders at the national and, county government levels to articulate HRH priorities for the next 5 years, along KHSHRS II thematic areas, for use in the development of KHSHRS III. Pay keen attention to future HRH investments areas, HRH coordination mechanism and, aligning KHSHRS III to operationalize Health Act 2007 and, respond to the UHC Agenda.

g. Work with stakeholders to generate key HRH data and statistics to inform KHSHRS III and the health workforce accounts, especially in relation to HRH situation and, projections for the next five years.

h. Work with MOH KHSHRS III Task Force and, HRH Kenya and other partners to convene and facilitate KHSHRS III strategy development workshops to draft KHSHRS III including implementation framework, costing, resource mobilization plan and, monitoring and evaluation framework for endorsement and approval by MOH.

i. Facilitate KHSHRS II validation and, dissemination meetings to be attended by key stakeholders to build consensus on KHSHRS III priority activities.

4.0. Expected Deliverables

  • Inception Report including accompanying plan to accomplish the tasks within 2 days from contract signing.
  • Finalized data collection templates and tools for review of the KHSHRS II within 2 days from inception report meeting.
  • KHSHRS II End Term Review Report highlighting the findings, gaps and recommendations to inform development of KHSHRS III.
  • Draft KHSHRS III including results and resources framework- summarizing information on outcomes, output, indicators, baselines, and targets; and broad activities per output for review and, validation by stakeholders and, approval and, sign off by MOH by 15th March 2019.
  • Reports on the KHSHRS III stakeholder consultations and workshops by 20th March 2019.
  • Presentations to various forums towards validation and dissemination of  KHSHRS III

5.0 Duration

This consultancy is a 25 working days assignment to be carried out between November 2018 and March 2019.

6.0 Consultant Qualification

  • Substantial knowledge and expertise in Human Resource for Health issues at global and national level.
  • Advanced degree (Masters) in Health or Social Sciences, HRM, Public Health, Health Research, or closely related fields of Monitoring and Evaluation.
  • Minimum 7 years of working experience in strategic planning and review in the health sector at the national and/or international levels.
  • Demonstrated capacity to coordinate and work with diverse groups/teams of national and/or international level consultants in the Health field.
  • Demonstrated capacity to develop national and/or international planning and review documents on health or related area:
  • Ability to work independently
  • Proficient use of qualitative data analysis software and Microsoft office.
  • Excellent written and verbal communication skills.

7.0 Institutional Framework and Team contacts

The consultant will report to the office of the Chief Administrative Secretary for Health at the MOH and work closely with the MOH HRM & D Director, the KHSHRS III Taskforce and HRH Kenya Mechanism.

8.0 Submission

Qualified Consultants should submit their CV clearly indicating their experience and references in conducting similar assignments and provide a cover letter indicating their daily rate for the number of days proposed to on or before 12 noon, 14th November 2018

Job Summary:
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Nairobi, Kenya

Nairobi County

Health and Medical, HR and Administration, NGO and UN
Updated: November 12, 2018 — 9:45 am