TAKP14: National Senior STTA – Procurement Expert - E4H Programme KP and Federal
Palladium Pakistan (Pvt.) LimitedFull time Full day
1st February, 2024
Last date to apply
11th February, 2024
TORs: National Senior STTA – Procurement 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.
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
o Education: A bachelor's or master's degree in a relevant field, such as Supply Chain Management, Procurement and Contract Management, Business Administration, etc.
o Market Analysis: Understanding market trends, supply chain dynamics, and industry-specific factors to make informed procurement decisions.
o Supplier Relationship Management (SRM): Building and maintaining strong relationships with suppliers, negotiating contracts, and ensuring favorable terms and conditions for the organisation.
o Contract Management: Drafting, reviewing, and managing contracts to ensure compliance with legal and organisational requirements. This includes understanding legal terms, risk management, and dispute resolution.
o Cost Analysis: Analysing costs associated with procurement, including total cost of ownership (TCO), to identify opportunities for cost savings and efficiency improvements.
o Risk Management: Identifying and mitigating risks associated with procurement activities, including supply chain disruptions, supplier financial instability, and geopolitical factors.
o Regulatory Compliance: Staying updated on relevant laws and regulations related to procurement, ensuring that the organisation complies with legal requirements.
o Quality Assurance: Ensuring that procured goods and services meet the organisation's quality standards, including product specifications and performance requirements.
o Ethical Sourcing: Understanding and implementing ethical sourcing practices, such as sustainable and socially responsible procurement.
o Technology Proficiency: Using procurement software and tools for e-procurement, spend analysis, and other related activities. This may also include knowledge of e-sourcing platforms and electronic data interchange (EDI).
o Financial Acumen: Understanding financial implications of procurement decisions, budgeting, and cost control.
o Negotiation Skills: Effectively negotiating with suppliers to secure favorable terms, pricing, and conditions for the organisation.
o Project Management: Managing procurement projects, coordinating activities, and ensuring timely delivery of goods and services.
o Communication Skills: Effectively communicating with internal stakeholders, suppliers, and relevant parties. This includes written communication for contracts and verbal communication for negotiations.
o Data Analysis: Utilising data analytics to identify trends, track performance, and make data-driven decisions in procurement.
o Continuous Improvement: Embracing a mindset of continuous improvement to optimise procurement processes and enhance efficiency.
o A strong understanding of market dynamics, supplier relationship management, and contract negotiation.
o Effective cost analysis, risk management, and compliance with regulatory standards are essential for making informed decisions.
o Continuous improvement mindset, adaptability, and technological proficiency, including procurement software and tools, contribute to optimizing processes and staying abreast of industry innovations.