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Project Overview and RoleBackground
The USAID-funded Health Policy Plus (HP+) project in Cambodia supports the Royal Government of Cambodia to continue its efforts to expand universal health coverage and reduce reliance on donor resources to fund the health sector.
HP+ is a five-year project funded by the U.S. Agency for International Development (USAID) and implemented by a consortium of partners, led by Palladium. The project's HIV activities are supported by the U.S. President's Emergency Plan for AIDS Relief (PEPFAR). In Cambodia, HP+ works to increase sustainable, predictable, and adequate financing for key health programs and to improve social health protection policy implementation. The project builds on the efforts of multiple USAID/Cambodia activities and assists the Royal Government of Cambodia to increase domestic resource mobilization for priority health areas and ensure the effective and efficient management of resources.
Objective 2 of HP+ Cambodia focuses on HIV/AIDS and is to: Increased domestic government resources for HIV financing and a transition away from external funding. HP+ is supporting the National Aids Authority (NAA) and other sector stakeholders to reach this objective through engagement with private sector. Private sector is one of the key stakeholders in HIV/AIDS response. Therefore, it is essential to understand the role of private sector, both from service provision and financing perspective.
From the service provision perspective, the objective is to mainstream the private sector provision of HIV/AIDS service.
The Article 26 of the HIV/AIDS Law in Cambodia mentions that all persons with HIV/AIDS shall receive primary health care free of services in public health network. Due to this provision, it is generally perceived the HIV/AIDS services should be free - in the public sector or even in private sector. Therefore, the private sector provision is not recognized and regularized. There is no notification to the Government about PLHIV treated in the private sector, even though PLHIV are accessing and paying for services in private sector.
undertook the rapid assessment of private sector provision found that private clinics are providing ART, Laboratory and other HIV/AIDS related services in 27 clinics in four provinces. The report recommends for the regularization of private sector provision of HIV/AIDs services which will help to share further information with the NCHADS about their treatment and possibly identify missing cases of HIV. The assessment clearly shows the PLHIV are willing to pay for the services in private sector. The attractions of private sector provision of services in Cambodia are known; more convenient hours, faster services, leading to a perception of higher quality. For HIV services, confidentiality is likely to play a large role in choosing private sector providers. The regularization of private sector provisioning of HIV/AIDS services will enable measuring of domestic financing through social health insurance schemes. Therefore, there is a need to have deeper understanding of legal and regulatory provisions and possible way forward. There is also need to understand what kind of HIV AIDS service providers and services can be regularized by the government. This will also help in monitoring of the HIV/AIDS services are provided according to standards. Based on the assessment, the consultant is also expected to develop and design a pilot program for private sector engagement in HIV/AIDS services. This pilot will demonstrate how private sector provision of HIV services would be regulated and quality controlled
HP+ Cambodia is looking to hire a HIV AIDS private sector expert to explore the potential of private sector contributions to HIV AIDS service including prevention and treatment efforts
Rapid Landscape Assessment on HIV/AIDS Services Supplied by Private Practitioners and Laboratories. March 2018. LINKAGES PROJECT, FHI 360 and NCHADS
The key role of HIV AIDS Private Sector Expert - Consultant
is to work with HP+, NAA and other sector stakeholders on private sector provision of services:
Activities and deliverables
- Design and execute an assessment of the legal and regulatory framework of private provision of HIV services;
- Draft a position paper for NAA's use to advocate for full private section engagement
- Facilitate the advocacy of private sector engagement with Ministry of Health (MOH), NAA and sector stakeholders
The total number of days is 48 days. DeliverablesActivityNumber of Days
Deliverable: Report on the of the legal and regulatory framework of private provision of HIV services;Review of current legal and regulatory situation and experiences in private sector delivery of HIV/AIDs services.
literature review, key informant interviews, focus group discussions and meetings
-Debrief the review results with HP+ and NAA teams
-Incorporate the feedback from HP+ Total 35 days
- Detailed scope of assessment with methodology is developed
-Based on the findings from the Lit Review, develop detailed methodology of the assessment
-Consult the methodology/design with key stakeholders
-Incorporate feedback/inputs into the assessment methodology to finalize it5 days
- Data collection, completed
-Develop data collection tools
-Conduct interviews/data gathering
- Finalization of the assessment report
-Draft the report
-Conduct findings dissemination workshop with stakeholders and private sector
-Incorporate feedback/inputs to the final report10 daysDeliverable: Position paper for NAA advocacyOn the bases of assessment findings and in consultations with HP+ and NAA; draft advocacy paper to inform NAA board decisionTotal 5 daysDeliverable Advocacy meeting/workshop presentation and reportOn the basis of the assessment and position paper, prepare a advocacy/discussion meeting where findings of the assessment and main points of position paper are discussed with key stakeholdersTotal 8 days
- Medical, or public health background required.
- Minimum 10-year experiences on health program design, management, implementation, or provision in Cambodia.
- Knowledge of and experiences with private for-profit health sector in Cambodia
- Ability to facilitate and negotiate decision making with senior government officials.
- Experience in health / HIV policy development in Cambodia
- Demonstrated ability to work with public healthcare officials and private providers from the national to the local levels.
- Proficient English
- Proficiency in Khmer preferred
- Direct experience in HIV services provision a plus