Primary Health Care in the Middle East and North Africa: Access, coverage and quality
Duration: The duration of the contract is for 7 months starting from date of signature of the contract
Location: From home with expected mission to few countries (county for travel are in MENA region and will be identified by the consultant based on the assessment done in the study)
Off-site working days: 60
Start Date: 1st, June 2019
End Date: 31st, December 2019
Improving the health status of children and women and ensuring their survival is central for prosperous societies and sustained economic growth. Healthy children become healthy adults: people who create better lives for themselves, their communities and their countries. The first global commitment to ensure health for all emerged in 1978. This commitment was furthermore operationalized in the United Nation’s Millennium Development Framework through the Millennium Development Goals (MDGs) 1, 4, 5, 6 and 7.
Primary health care (PHC) plays a great contributing factor to universal health coverage by ensuring that health services are available, accessible and affordable – including services that prevent illness, cure disease and promote good health. It is not “poor care for the poor”, as it is unfortunately perceived in some countries as a result of a history of inadequate resourcing and limited implementation.
For the purpose of this study, the services provided at the primary health care level which will be considered are: Reproductive, Maternal, Newborn, Child and Adolescent Health and Nutrition Services, School Health Services, Prevention and Control of Communicable Diseases, Prevention and Treatment of Non-Communicable Diseases (NCDs), Emergency Health Services and Mental Health Services.
Many countries in MENA have undertaken initiatives to generate evidence on health in the last 15 years, especially through using the different relevant modules included in the Multiple Indicator Cluster Survey (MICS) which has modules to illustrate Access to PHC. Demographic Health Surveys (DHS) also illustrate similar modules.
As of today, many countries in the region have collected data on Primary Health Care using the MICS methodology (either through MICS or DHS). This wealth of data at regional level provides the opportunity to conduct cross-country and regional analysis and a cross country comparative equity analysis through identifying disparities among different groups based on wealth, area, sex or ethnicity and how practice changes with age, as feasible.
The purpose of the assignment is to provide a broad evidence base on the degree and frequency of access of primary health care services and the Governance, Policy, and Finance levers that are known to be essential for delivery of primary health care in the countries of the MENA region. The evidence generated would contribute to regional advocacy efforts on improving the situation of children, and highlighting aspects that would be key features of effective programming in MENA that would promote increased access and reduced inequalities to primary health care.
OBJECTIVES and SCOPE:
The specific objectives of the analytical exercise are to draw out an in-depth understanding of the supply of and demand for PHC services and their quality in MENA including the country level policy, financial and organizational setup. More specifically:
The study will cover all 20 countries in MENA region, and include various quantitative data sources, including but not limited to household surveys, facility data, Health information management systems, Civil registration and vital statistics, financial and budget data and others. Additional data on health system levers will be obtained through review of documents and key informant interviews and focus groups. The time frame of the analysis should include data from recent years (2010 onwards) but also be accommodating to the situation of some of the emergency effected countries in the region, such as Syria and Djibouti which might not have very recent data (2006). Furthermore, available surveys targeting refugee population should also be included (Palestinians and Syrians in Lebanon and Jordan, Palestinians in Syria) which have comparable data.
DESCRIPTION OF ASSIGNMENT:
The study will be primarily based on secondary analysis of primary data available in the public domain. The tasks to be completed by the consultant(s) or firms include, but are not necessarily limited to the following:
The final report should be provided in electronic version in English in MS word document format.
The final report will also be formatted in UNICEF style publication (see examples here).
A PowerPoint summary of key findings is also required.
For further details on the assignment please click here
 Admin data will be explored for countries where no comparable survey data is available (mainly Gulf countries) primarily for Objective 1
UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link http://www.unicef.org/about/employ/?job=522072