Consultancy: Operational Support to Kebbi State Contributory Health Agency
Palladium
Kebbi State, Nigeria
2d ago

Consultancy : Operational Support to Kebbi State Contributory Health Agency Company Overview Palladium is a global leader in the design, development and delivery of Positive Impact -

the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits.

For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved -

and is committed to continuing to improve - economies, societies and most importantly, people's lives.

Palladium is a child-safe organisation, and screens applicants for suitability to work with children. We also provide equal employment to all participants and employees without regard to race, color, religion, gender, age, disability, sexual orientation, veteran or marital status.

Project Overview and Role

The Integrated Health Program (IHP) is a USAID-funded five-year project with a mandate to improve health systems, improve access to and increase quality of primary health care in designated states (Kebbi, Bauchi, Sokoto and 2 other states to be determined).

IHP is working with state governments to strengthen and advance operationalization of State Health Insurance Schemes toward attainment of universal health coverage.

IHP aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary, rights-

based health programs. IHP will help public health and policy leaders attach higher priority to their national and sub-national health needs, secure sustainable financing, advance health equity, and monitor policy implementation to ensure gains stay on track.

IHP aims to secure long-term enduring change by working with coalitions both inside and outside of health and showing common cause with neglected populations and other development actors.

Central elements of IHP revolve around building in country capacity, institutionalizing achievements of past investments, and promoting country ownership of programs and initiatives.

The Kebbi state Government has signed into law, a bill that established the Kebbi State Contributory Healthcare Management Agency (KECHEMA) with the overall goal of ensuring all residents of the state have access to quality and affordable healthcare services with financial and social risk protection.

Subsequently the state has developed operational guidelines and benefit packages in readiness for implementation of the Kebbi State Contributory Healthcare Scheme (KECHES).

Having established the Agency and its mobilization by the state, Kebbi State is now set to activate a phased implementation plan and has requested IHP to provide technical assistance.

This consultancy aims to provide technical assistance to roll out and operationalize the Kebbi State Health Contributory Management Scheme by embedding an experienced health insurance expert within KECHEMA to guide health insurance technical operations and to build capacity of the team.

To support the agency to implement an effective health insurance scheme, the Technical Assistance consultancy will provide technical support towards development and effective execution of technical processes, especially processes contained in the SHIS laws, operational manuals, and other documents as may be required and provide capacity building and hands-

on support to the staff of the agency throughout the consultancy period. The IHP work plan contains specific deliverables related to developing an enrolment plan and providing capacity development on claims management and reimbursement functions.

Responsibilities

The consultant is expected to contribute to the successful roll out and operations of the KECHEMA Schemes by working with agency and the Kebbit State Ministry of Health leadership to put in place necessary structures that will guarantee delivery of services to enrolees, ensure continuous quality improvement and capacity building for staff of the agency to implement the scheme.

See deliverables tables for more details. The consultant is required to be embedded in Kebbi State functioning directly in the KECHEMA office for the period of consultancy.

Services description

  • The major products and outcomes of this assignment are;
  • KECHEMA policy review report detailing goals, objectives, status, challenges, opportunities and recommendations.
  • KECHES roll-out plan / roadmap
  • A complete package of Operational Guidelines, SOPs and Tools covering core insurance processes including but not limited to : Guidelines and Standard Operational Procedures claims management guidelines enrolment planequity fund useTPA / HIA engagementfacility selection and accreditationservice level agreements key performance indicatorsintegration of vertical programs into health insurance programsreporting requirementsOperational Tools Accreditation toolQuality Assurance Tool encounter / Utilization Tool Claims forms
  • Recommendations for ICT design, scope and requirements
  • Staff capacity building plan and completed skills development training to KECHEMA covering but not limited to accreditation, enrollment, empanelment, provider management, claims management and reimbursement processes
  • Availability of a quality management framework for the Scheme
  • Performance management system for SHIS operations established
  • Enrolment plan for prioritized state sub-population groups
  • Monthly update reports
  • Final consultancy report.
  • Requirements

    This is a firm fixed price deliverable-based contract . The consultant is expected to satisfactorily accomplish the deliverables before he / she gets paid for that deliverable.

    Interested individuals and companies should email consultancy ihp-nigeria.com to request a copy of the full Request for Proposal for this consultancy.

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