National Health Accounts Palladium

The Uganda Health Systems Strengthening Activity (UHSS) is a five-year $48 million USAID-funded program The purpose of UHSS is to improve the performance of Uganda’s health systems through technical assistance to improve leadership and accountability in public and private health sectors at the national, sub-national, and community levels; increase efficient use, governance, and management of key health system resources including human resources for health, finance, equipment/infrastructure; and strengthen state and non-state community health systems that are critical for improved and quality health services.

Primary Duties and Responsibilities:

1. Background
National Health Accounts (NHA) is a framework for tracking health expenditures from all source’s public, private, and donor. NHA provides a foundation for understanding the health financing landscape of a country providing a foundation for monitoring trends and patterns of health expenditure and providing a platform for comparability over time and between countries. This information is important in informing health financing policy decisions and health policy monitoring.

Since the roll out of the System of Health Accounts (SHA) 2011 as the international framework for classifying health expenditures, Uganda has produced NHA data for years 2010/11 to 2018/19 using the SHA approach. The information provided in the NHA has been useful to informing the diagnosis of Uganda’s heath financing system to inform the health financing strategy, monitor trends in health expenditure from the different sources indicating adequacy and sustainability of health financing in Uganda, monitor efficiency and equity in spending across programs and diseases.

Uganda Health System Strengthening (UHSS) Activity is supporting the Ministry of Health (MoH) update the NHA estimates of 2018/19 and therefore produce NHA health financing data for period 2019/20 and 2020/21. During September to October 2022, the UHSS Activity supported MoH to recruit and deploy a team of data collectors, supervisors, and coordinators to support data collection across all contributors to health system spending.

The NHA process has now entered a critical stage where data collected need to be cleaned, validated, analyzed, generate NHA tables and thereafter produce a NHA report for the country for FY 2019/20 and FY 20220/21. UHSS is therefore recruiting a consultant to lead the data entry, cleaning, validation and analysis and report writing process.

2. Purpose
The overall objective of the consultancy is to provide support to Uganda’s National Health Accounts team to:
1. To provide TA and lead the data entry, analysis and writing of the 2019/20 – 2020/21 NHA report.
2. Produce the NHA for FY 2019/20 and 2020/21 using the System of Health Accounts (SHA) 2011 methodology and Health Accounts Production Tool (HAPT)/ Health Accounts Analysis Tool (HAAT)
3. Develop an institutionalization framework for the National Health Accounts in Uganda

3. Specific objectives
The requested TA (consultant) will work with and support the MoH NHA team, UHSS Activity and WHO to:
1. Customize the HAPT tool for Uganda.
2. Capture and map data from public and private sources into HAPT/HAAT
3. Undertake quality checks on the NHA meta data.
4. Develop a draft report.
5. Develop and agree on suitable strategies
for dissemination of the results to ensure use, and
for institutionalization of the NHA production process
6. Produce final NHA report with an institutionalization framework.

4. Deliverables
The consultant will work with the NHA focal point at MOH and the NHA technical team to produce the following:
1. Standard HAPT tables and customized tables for the years 2019/20 and 2020/21
2. National Health Accounts Report FY 2019/20 and 2020/21
3. NHA institutionalization framework

Required Qualifications:
5. Qualifications and Experience
At least a first degree in health economics, economics, statistics, or related degree. A master’s degree will be added advantage.
At least 5 years experience in providing technical assistance to countries in conducting NHA including both training teams, conducting analysis, and developing NHA reports.
Knowledge of Uganda’s health sector will be an added advantage.

6. Estimated Level of Effort (LOE)
The consultancy will be provided over a period of 5 weeks as shown below:
1. Leading data entry, cleaning, validation overall data management, data mapping and analysis (1 weeks)
2. Validation of preliminary results (1 week)
3. Report writing and dissemination of results (2 weeks)
4. Lead development of an NHA institutionalization framework (1 week)