Zone / Country : Lebanon - Beirut
Expected starting date : ASAP
Nearly eleven years from the start of the Syrian Crisis, Lebanon remains a fragile and conflict-affected settin. Starting in October 2019 this has quickly deteriorated into economic collapse with unprecedented political, infrastructural and economic challenges. Lebanon is facing an important economic crise, likely to rand in the top 10, possibly top 3 most severe crises episodes globally since the mid-nineteenth century (according to the LEM).
This economic collapse has threatened the very building blocks of the health system impacting on all six pillars of the health system with a cumulative effect on the primary healthcare systems ability to cope with a knock on effect on secondary healthcare. Despite significant needs, in terms of health financing revenue the Ministry of Public Health (MoPH) budget has never exceeded 6% of the total Government Budget, and only 5% of the MoPH budget is allocated to preventive programs and interventions. Existing budgets allocated to the national PHC network for procurement of vaccines, chronic and essential drugs, and reproductive health supplies have at the time of writing have not been transferred or disbursed by the Ministry of Finance due to lack of available funds.
On the 4th of August, Lebanon suffered a further shock when a warehouse at the Beirut port exploded, causing widespread destruction, significant casualties and substantial damage in Eastern and Central Beirut. At least 200 people were killed, and more than 6,000 people injured. Only 47% of surveyed facilities were still able to provide full routine health services at that time. Six hospitals were severely damaged while it is estimated that 2,000 doctors were unable to deliver consultations in impacted areas.
In addition to this Lebanon remains host to the largest refugee population per capita in the world. With the economic and social crisis likely to deepen in the coming months, vulnerable populations in Lebanon are facing long-term marginalisation and exclusion from financial resources, leading to an overall deterioration in their health and wellbeing.
The general objective of this short-term mission is to support the REBAHS Consortium in assessing the quality of care implemented under the REBAHS project in accordance with MoPH standards as is delivered in supported PHCCs in Lebanon. It should also feed into the main evaluation in terms of its assessment and identification of best practices, challenges, lessons, knowledge and experiences gained through implementation however the focus will be on Quality of care as an in-depth technical service evaluation. Primarily, it should make clear and practical recommendations to inform the implementation and development in an ever-changing context.
More specifically, the short-term mission objectives will include:
- To review current and identify additional Quality, Outcome and Performance indicators for REBAHS across a range of domains including the full range of quality dimensions including accessibility, workload, outcomes, timeliness, satisfaction, safety and people-centeredness.
- To assess REBAHS PHCCs performance against these Indicators at an in-depth level. Drawing on the concepts of equity, fairness and the values and principles inherent to the concept of UHC.
The maximum budget for the 3 months consultancy shall not exceed 45.000 EUR, all included.
How to apply
Consultancy Firms should send all of this documentation in electronic format to*:* email@example.com
Cc: firstname.lastname@example.org ; email@example.com
The deadline for the submission of applications will be the 15th August 2021 6pm Paris time