Contractual Arrangement: External consultant
Contract Duration (Years, Months, Days): 4 Months
Primary Location: Cambodia-Phnom Penh
Organization: WP_KHM Cambodia
Schedule: Full-time
Desirable: Previous experience working collaboratively with a range of Departments within the Ministry of Health
Contract Duration (Years, Months, Days): 4 Months
Primary Location: Cambodia-Phnom Penh
Organization: WP_KHM Cambodia
Schedule: Full-time
Purpose of the Consultancy
The consultant will provide technical and coordination support to
the development, implementation and monitoring of policies, strategies
and plans in Cambodia in order to strengthen rehabilitation in health
systems including linkages with social services; and support equity in
health for people with disability.
Specifically, this will include (but not be limited to) support to:
- plans and process for the transition of physical rehabilitation services from The Ministry of Social Affairs Veterans and Youth Rehabilitation (MoSVY) to the Ministry of Health (MoH)
- development and implementation of strategies, guidelines, and plans to strengthen rehabilitation in health systems
- development and implementation of a policy and strategic action plan on disability inclusion in the health sector as requested by Ministry of Health, including the use of and feedback on newly developed WHO tools
- needs and systems assessments to provide data and evidence for decision making in areas of rehabilitation, disability inclusion in the health sector and assistive technology
- appropriate inclusion of rehabilitation and disability in broader health systems development work supported by WHO including updates to hospital and primary health care packages (CPA MPA) and clinical practice guidelines, human resource planning and development, health financing approaches and the strengthening of primary health care
- Collaboration and engagement with development partners in disability and rehabilitation in Cambodia (including donors, NGOs, representative bodies, private sector and research organizations) including under and as part of the Australian DFAT supported ACCESS 2 programme.
The consultant will be expected to work closely with the MoH, Royal
Government of Cambodia and with other key Ministries and institutions
crucially relevant to the health needs of people with disability in
Cambodia and strengthening of rehabilitation services and support.
Background
Addressing the needs of people with disability and strengthening
rehabilitation in health systems (including but not limited to for
people with disability) is crucial as Cambodia continues efforts towards
Universal Health Coverage (UHC) and the achievement of the Sustainable
Development Goals (SDGs) ensuring no-one is left behind.
In late 2022, following the advice of then Samdech Techo Prime
Minister Hun Sen, the Council of Ministers released a directive for the
transfer of training school for prosthetists and orthotists and physical
rehabilitation services from the Ministry of Social Affairs, Veterans
and Youth Rehabilitation to the Ministry of Health. A cross Ministerial
Transition Committee was established, and planning commenced for a
progressive transition over a two to three years period.
In July 2023, the MoH also established a Technical Working Group on
the Health of Persons with Disabilities (TWG-HPD) to facilitate
formulation of policies and strategic plans on health of persons with
disabilities. Members of the TWG-HPD include officials from relevant
departments of MoH and of MoSVY, Disability Action Council (DAC), as
well as representatives from health facilities and various development
partners.
Over this same period the World Health Organization has released a
number of key global reports and policy and planning tools relevant to
health equity for people with disability and strengthening
rehabilitation in health systems. The Global Report on Health Equity for
Persons with Disabilities, released in December 2022, highlighted the
health inequities experienced by people with disability due to a range
of structural, social and institutional determinants and barriers
including in the health system itself and calls for government
leadership in the inclusion of disability in health systems
strengthening efforts. As part of the this report the “Health Equity for
Persons with Disabilities – A Guide for Action” was drafted as a
strategic planning toolkit to provide practical guidance for Member
States for action to implement recommendations from the report and
advance health equity for persons with disabilities.
In 2019 WHO released a guide for action on rehabilitation in health
systems. Related work culminated in the release of a series of
evidence-based packages of interventions that should be prioritized for
integration into the health system to meet the growing population needs
for rehabilitation across the life course and across the continuum of
care, such as children with developmental disorders, people with chronic
conditions and living with the consequences of injuries as well as
older people. In addition, in 2023 the 76th World Health Assembly (WHA)
endorsed the historic resolution on strengthening rehabilitation in
health systems. This resolution calls for expanding and integrating
rehabilitation in health systems as part of UHC, emphasizing the
importance of rehabilitation in primary care and as part of emergency
preparedness and response. The Ministry of Health has requested WHO
support, in coordination with other development partners, for a number
of relevant initiatives including the development of a policy and
strategic action plan for disability inclusion in the health sector. As
part of this Cambodia will be one of the leading countries in applying,
adapting and providing feedback on use of the WHO Guide for Action for
Health Equity for People with Disabilities. In addition, WHO has also
been requested to support assessments and strategies for the integration
and strengthening of rehabilitation in health systems as well as access
to assistive technology working closely with other development
partners.
The consultant contracted under this Terms of Reference will be
required to support the initial phases of work until the end of December
2024.
Deliverables
Under the supervision of the Health System Coordinator, WHO Country
Office of Cambodia, the consultant will undertake the following tasks:
Output 1: Support strategies, guidelines and plans for the strengthening of rehabilitation in health systems.
Deliverable 1.1 Engage with and support as requested the committee
and relevant departments for transition of training school for
prosthetists and orthotists and physical rehabilitation services from
MoSVY to the MoH.
Deliverable 1.2 Provide key information, data and other evidence
consolidation as useful to inform decisions to be taken to support the
smooth transition of training school for prosthetists and orthotists and
physical rehabilitation services, including advice on financing models.
Deliverable 1.3 Support the Ministry of Health in coordination with
MoSVY and other relevant line ministries and stakeholders in the
planning for and initial phases of development of a rehabilitation in
health systems strategic plan, including providing advice on financing
models.
Deliverable 1.4 Provide inputs to and coordination support as requested for other health systems development and social health protection activities that include a focus on rehabilitation including the rehabilitation sub-working groups as part of updating of the CPA, clinical practice guidelines, and MPA.
Deliverable 1.4 Provide inputs to and coordination support as requested for other health systems development and social health protection activities that include a focus on rehabilitation including the rehabilitation sub-working groups as part of updating of the CPA, clinical practice guidelines, and MPA.
Output 2: Support needs and systems assessments for scaling up access to assistive technology in Cambodia
Deliverable 2.1 Provide technical advice on the systems assessment for AT to be finalized in 2024.
Output 3: In support of the TWG-HPD Ministry of Health develop and
update an implementation plans for the development of the policy and
strategy on disability inclusion in the health sector with monitoring
and evaluation framework.
Deliverable 3.1 Prepare and circulate an updated concept note and
implementation plan for the development of the policy / strategy on
disability inclusion in the health sector for consideration by the
TWG-HPD.
Deliverable 3.2 Work closely with Ministry of Health, WHO (CO, RO
and HQ) and other key partners and stakeholders to elaborate a situation
analysis of the health status, system and needs of people with
disability using the existing materials including data.
Deliverable 3.3 Facilitate TWG-HPD to proceed as scheduled and
coordinate TWG-HPD, the secretariats of TWG-HPD and stakeholders in
preparation and in the discussion of TWG-HPD and relevant meetings.
Qualifications, experience, skills and languages
Educational Qualifications
Essential: University degree in public health, social care, healthcare planning and management or equivalent
Desirable: Advanced qualifications relevant to rehabilitation and the health needs of people with disability
Experience
Essential: Minimum two years of experience working
in health planning and management in or related to social care and
community health, particularly related to disability and rehabilitation
in Cambodia.
Experience in working collaboratively and coordinating across sectors and with a range of stakeholders
Experience in development and facilitation of planning materials and working groups
Desirable: Previous experience working collaboratively with a range of Departments within the Ministry of Health
Development and use of evidence for policy decision making
including use of secondary qualitative and quantitative information as
well as primary information collection relevant to needs and systems
assessments
Language requirement
Basic knowledge of English (Read/Write/Speak)
Others
People with disability are encouraged to apply.
Location
On-site : WHO Cambodia Country Office and Ministry of Health
Travel
The consultant is expected to be able to travel within Cambodia to conduct field visits to provinces, as necessary.
Remuneration and budget
Remuneration: TBD
Duration: 4 months, Sep - Dec 2024
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