TAKP14: National Senior STTA: Contract Management Expert - E4H Programme KP and Federal

Palladium Pakistan (Pvt.) Limited
Full time Full day
Posted date

1st February, 2024

Last date to apply

11th February, 2024












15 years

TORs: National Senior STTA – Contract Management Expert

Evaluating Effectiveness of Outsourcing of Hospitals by Khyber Pakhtunkhwa Health Foundation


Evidence for Health (E4H) is a new Foreign, Commonwealth & Development Office (FCDO)-funded programme aimed at strengthening Pakistan's healthcare system, thereby decreasing the burden of illness, and saving lives. E4H (2023-2027) provides technical assistance (TA) to the Federal and Khyber Pakhtunkhwa (KP) governments and will subsequently operate in Punjab. The KP and Federal component is being implemented by Palladium along with Oxford Policy Management (OPM).

Through its flexible, embedded, and demand-driven model, E4H KP & Federal will support the government to achieve a resilient health system that is prepared for health emergencies, responsive to the latest evidence, and delivers equitable, quality, and efficient healthcare services. Specifically, E4H will deliver TA across three outputs:

Output 1: Strengthened integrated health security, with a focus on preparing and responding to health emergencies, including pandemics.

Output 2: Enhanced capacity for evidence-based decision-making to drive health sector performance and accountability.

Output 3: Improved implementation of Universal Health Coverage, with a focus on ending preventable deaths.

E4H works in partnership with the Ministry of National Health Services, Regulations & Coordination (M/o NHSR&C) at the Federal level, and the Health Department in KP.

Background and Problem Statement

In pursuit of its goal to foster innovative healthcare delivery models, the Khyber Pakhtunkhwa Health Foundation (HF) has effectively implemented several outsourcing initiatives in the past. Leveraging technical assistance provided by the FCDO's earlier project to strengthen the foundation's contract management and procurement functions, the foundation has successfully outsourced 19 hospitals in the province, with 16 in the Newly Merged Districts (NMDs) and 3 in settled areas of KP. Additionally, plans were initiated to outsource primary healthcare services in eight districts and 58 secondary healthcare facilities. However, the outsourcing of primary and secondary healthcare services has been put on hold due to the dissolution of the provincial assembly.


This evaluation aims to assess the impact of outsourcing hospitals on service quality, accessibility, patient satisfaction, operational efficiency, financial management, and overall healthcare outcomes.

Specific Objectives

The primary objective of this evaluation is to assess the effectiveness of the outsourcing of hospitals by the KP Health Foundation. Specifically, the evaluation should:

  • Determine the impact of outsourcing on the accessibility and affordability of healthcare services.

  • Assess the quality of healthcare services provided through outsourcing arrangements.

  • Analyse the efficiency and cost-effectiveness of outsourcing compared to traditional models.

  • Identify any challenges or issues encountered during the outsourcing process.

  • Determine the extent to which outsourcing has improved the quality of healthcare services.

  • Assess the impact of outsourcing on accessibility to healthcare services for different demographic groups.

  • Evaluate the operational efficiency and cost-effectiveness of outsourced hospitals.

  • Analyse the financial management practices of the outsourced hospitals.

  • Identify any unintended consequences or challenges associated with outsourcing and recommend mitigation measures.

  • Provide recommendations for improving the outsourcing strategy, if necessary.

Scope of Work

The evaluation will cover all hospitals that have been outsourced by the KP Health Foundation within the province of Khyber Pakhtunkhwa. The team is expected to include a combination of data collection techniques, such as surveys, interviews, focus group discussions, document review, and secondary data analysis. Sampling strategies will be employed to ensure representation from various stakeholder groups. Both urban and rural hospitals will be included in the evaluation. The evaluation should include, but not be limited to, the following elements:

  • Reviewing relevant project documents, including evaluations, outsourcing agreements, policies, and procedures.

  • Identifying best practices and lessons learned from other regions or countries that have implemented similar outsourcing initiatives.

  • Conducting interviews and surveys with key stakeholders, including hospital administrators, healthcare professionals, patients, and community members.

  • Analysing quantitative data on hospital performance, patient satisfaction, and cost efficiencies.

  • Assessing the impact of outsourcing on access to healthcare services in different geographic areas within the Khyber Pakhtunkhwa province.

  • Comparing the performance of outsourced hospitals to non-outsourced hospitals in terms of quality indicators, patient outcomes, and financial sustainability.

  • Examining the role and effectiveness of the oversight mechanisms established by the KP Health Foundation to monitor outsourced hospitals


The consultant team should produce the following deliverables:

  • An inception report outlining the evaluation methodology, draft data collection tools, stakeholders identified, work plan, and timeline.

  • A comprehensive evaluation report presenting the evaluation findings, analysis, conclusions, and recommendations. The draft report should include an executive summary, methodology, detailed results, and an action plan based on the recommendations.

  • Presentation of evaluation findings to the DOH and other stakeholders. The finalised report incorporating any feedback or comments received, providing a clear roadmap for immediate and long-term improvements in the outsourcing strategy.

Timeline and LOE

The level of effort for the role is 20 working days, from February 2024 to May 31, 2024


  • Education: A bachelor's or master's degree in a relevant field, such as Contract Management, Finance and Accounting, Business Administration, etc.

  • Legal knowledge: a deep understanding of contract law, including the ability to interpret and apply legal terms and concepts, is crucial for ensuring that contracts are legally sound and enforceable.

  • Contract drafting and review: proficiency in drafting and reviewing contracts to ensure clarity, accuracy, and alignment with organizational objectives. this includes attention to detail and identifying and addressing potential risks and ambiguities.

  • Negotiation skills: strong negotiation skills are essential for reaching mutually beneficial agreements with contractors, suppliers, or other parties involved in the contract process.

  • Risk management: identifying, assessing, and mitigating risks associated with contractual agreements, including financial, operational, and legal risks.

  • Compliance management: ensuring contracts comply with relevant laws, regulations, and organizational policies. this includes staying informed about changes in legislation that may impact contracts.

  • Contract administration: overseeing the execution of contracts, monitoring performance, and managing contract-related documentation throughout the contract lifecycle.

  • Dispute resolution: skill in resolving disputes and conflicts that may arise during the execution of contracts, including familiarity with alternative dispute resolution methods.

  • Financial acumen: understanding the financial implications of contract terms and conditions, including pricing structures, payment terms, and incentives.

  • Industry knowledge: familiarity with industry-specific regulations, standards, and best practices that may impact contract management within a particular sector.

  • Technology proficiency: utilizing contract management software and tools to streamline processes, track contract milestones, and enhance efficiency. knowledge of electronic signature platforms may also be beneficial.

  • Communication skills: effective communication is critical for conveying contract terms, negotiating with stakeholders, and resolving issues. clear written communication is essential in contract drafting.

  • Project management: organizing and managing the various aspects of contract implementation, including timelines, deliverables, and milestones.

  • Ethical considerations: upholding ethical standards in contract negotiations and management, including considerations for fairness, transparency, and adherence to corporate values.

  • Continuous learning: keeping abreast of changes in contract law, industry trends, and emerging 16. best practices to ensure that contract management processes remain current and effective.

  • A strong understanding of contract law, the ability to draft and review contracts meticulously, strong negotiation skills, and proficiency in risk management.

  • Affective contract administration, compliance management, and dispute resolution require organisational and project management skills.

  • Technological proficiency, continuous learning, and a commitment to staying updated on legal and industry developments are necessary for success in this dynamic field.

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