National Consultant to Provide Technical Assistance in Finalising the Revised Results-Based Financing (RBF) Support Mechanism

Duties and Responsibilities

Specific Objectives of the RBF Program:
-Contract healthcare facilities to implement innovative strategies that increase access to and utilization of quality priority health services.
-To improve the quality of care through an integrated national quality assurance and quality improvement (QA/QI) framework.
-To foster community participation and ownership in the delivery of health care services through increased involvement of Health Centre Committees (HCCs), Community-Based Organizations (CBOs), and other services.
-To strengthen the National Health Information System (NHIS) through improving data quality, reporting and utilization.
-To motivate and retain qualified Health Care Workers (HCWs) through incentivizing performance and creating a conducive environment.
-To strengthen managerial capacity at national and subnational levels for effective service delivery.
-To strengthen accountability and ownership across all levels through enhanced monitoring and evaluation.
-The Results Based Financing in Zimbabwe was first piloted in 2 districts in 2011 with support from the World Bank through Cordaid.
-This was scaled up to 16 districts in 2012 and finally 18 districts including 18 secondary and 4 tertiary hospitals in 2012 up to 2020.
-The Health Services Fund (HSF) input-based financing in 42 districts was commenced in 2013 which converted to the Health Development Fund- supported RBF for PHC facilities in only 42 districts in 2014. The HDF support towards RBF ended in Q1 2022.

-The government of Zimbabwe has institutionalised RBF and has contracted all 60 rural districts, disbursing subsidies in local currency. Following an RBF policy dialogue held in March 2024, it was agreed that a revised partner-supported complementary layer be defined to guide the support from partners like the HRF.
-This consultancy is sought against this background to provide technical support to UNICEF in finalizing the modalities for the partner-supported layer, which will guide the utilisation of the approved HRF support to RBF for 2024 to 2025. The developed modality will be tabled for review and approval by the Health Financing TWG and the HRF Steering Committee.

ASSIGNMENTS:
The consultant will provide technical assistance in finalising the revised partner-supported Results-Based Financing Model and support during the initial phase of implementing the refined model for the partner- supported layer.

Programme development and planning: Partner-Supported RBF Layer
-Conduct desk review to synthesise evidence and ideas on the status of RBF in Zimbabwe
-Conduct Key Informant Interviews to get stakeholder views on RBF and recommendations on aspects to consider for simplifying the model - (Engage key stakeholders and beneficiaries during the process to understand the views of all the concerned parties)
-Develop revised RBF guidelines and model for HRF partner-supported RBF for the period 2024- 2025 collaborating with MOHCC, UNICEF and PMU
-Present the proposed revised model to the MOHCC.
-Facilitate revision of RBF contracts for urban and rural facilities in line with the revised model.
Collaborate with the PMU, PCU, UNICEF, MOHCC, and any other implementing entity to develop an implementation plan for the revised/revised model.
Develop policy brief for advocacy for performance-based financing mechanism.
Technical and Operational support to the MoHCC

-Offer technical assistance and training sessions at national and provincial district levels in line with the revised model during the initial phase of implementation.
-Support MoHCC to set up procedures and guidelines for RBF in line with the revised model
-Assess the current functionality of supporting RBF structures e.g., Community-Based Organisations (CBOs), Health Centre Committee (HCC) and other MoHCC structures, and identify areas that still need capacity building and provide recommendations to improve their planning, implementation and monitoring of health services and activities
-Support MoHCC to monitor project progress throughout all levels of implementation as defined in the revised RBF model parameters and utilise lessons from the field to continuously refine.
-Support facilities receiving partner-supported RBF payments to produce quality Expenditure