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Health Economist - Health Sector Resiliency

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 goal of the Health Sector Resiliency Project is to support the Government of the Islamic Republic of Afghanistan (GIRoA) to foster a strengthened, reformed, and increasingly self-reliant Afghan health system prepared for the decreased donor support anticipated over the coming decade. The HSR Project will act as a resource and a catalyst to the MoPH and other GIRoA entities as it considers and implements critical sector-wide reforms that will be required to make the system more resilient and sustainable. The HSR Project will primarily focus on governance, health finance and human resources for health and will engage both the public and private components of the health sector.

HSR builds on the accomplishments of other USAID projects including COMPRI-A project and Health Policy Project - specifically improving private sector policy environment, building the capacity of key MoPH departments such as Private Sector Coordination, Health Economics and Finance, Licensing and streamlining and improving health sector systems such as the National Health Accounts, Expenditure Management Information System (EMIS), hospital Public-Private Partnership (PPP) procurement processes, implementing private hospital Minimum Required Standards (MRS) to ensure safety and quality, private sector HIS, and the private health center licensing process.

HSR will stimulate and provide assistance to the MoPH to conceptualize and operationalize the more difficult, longer-term decisions/policies that must be made in order to strengthen the system and make continued advances in the health of Afghans, relying increasingly on domestic resources. These could include decisions surrounding how to improve efficiencies and increase the potential for sustainability such as staff rationalization, financial compensation and hiring modalities; organizational restructuring; the contents and cost of the Basic Package of Health Services and Essential Package of Hospital Services; strengthening engagement with the private sector; health facility rationalization; and streamlining the MoPH's stewardship role.

Palladium is seeking a full time Health Economist who will lead technical activities under HSR Component 2, "Increasing domestic financing for priority health services." The Health Economist will provide technical assistance and capacity building support related to health financing policy, advocacy and health economics in Afghanistan, including strategy development, technical analysis, stakeholder consultation and advocacy, and contributing to technical reports and briefs. Responsibilities require knowledge of health finance issues in Afghanistan as well as cost and economic analysis, and of state-of-the-art innovations in the broader domain area. The incumbent of this position is based on Kabul, Afghanistan and reports to the Deputy Chief of Party/Director of Programs.


  • Participates in the design and implementation of technical support activities related to health finance policy and health economics analysis to assist the Ministry of Health
  • On a daily basis through on the job training and mentoring, build the capacity of HEFD, MoPH and MoF staff so that they can manage health financing challenges and activities
  • Stays abreast of key developments in health finance, cost-effectiveness analysis, and resource allocation methodologies for health in Afghanistan in order to inform technical support activities
  • Regular interaction with the Government of Afghanistan stakeholders relevant to this area as well as multilateral partners and donor agencies
  • Prepares health financing and health economics analyses, recommendations, briefing notes, and assessments for internal and client use
  • Work with HEFD staff to analyse large datasets related to health financing or other domains, using advanced statistical methods, in order to create technical reports, government briefs, journal articles, or other products as require
  • Analyses health sector resource allocation patterns and health services efficiencies and assists HEFD in enhancing value for money
  • Assists MoPH in implementing follow up plan from the health insurance feasibility study and looking into piloting appropriate small risk pooling mechanisms
  • Providing support to examine a user fee scheme in selected health facilities
  • Provides assistance to others on the HSR team on matters related to health economic research and evaluation and applies relevant methodologies to health-related programmatic issues of importance
  • Supervises short-term local consultants and subcontractors assigned to health finance and health economics activities including designing and oversight of research studies
  • Represents the project and company in the health financing area in Afghanistan and with others in the professional community
  • Conducts all work to accepted and appropriate standards of research ethics
  • Performs other related duties and responsibilities as assigned


The Health Economist should have some experience in the following areas: health finance research, cost-effectiveness analysis, quantitative analysis, and statistical/econometric analysis; advocacy; strategies to increase domestic revenue and health budgets; analyses of health service efficiencies.
  • Five (5) years of work experience in health financing and health economics areas in projects of similar size and complexity
  • Five (5) of years of demonstrated professional experience in projects of similar size or complexity
  • Degree in economics, health economics or related area; advanced degree a plus; additional degree in health related area also a bonus
  • Understanding of Afghanistan health system a plus
  • Experience in mentoring staff and building capacity of individuals and teams
  • Sound knowledge of methodologies used in health finance research, cost-effectiveness analysis, quantitative analysis, and statistical/econometric analysis
  • Appropriate software skills necessary to conduct research, and to conduct analysis of study data, such as STATA, SPSS, or equivalent
  • Strong written and oral communication skills in English for high-level policy audiences (writing examples may be required)
  • Ability and willingness to live in Afghanistan full time