Expression of Interest (EOI) – Kenya

Expression of Interest (EOI)

Consulting on landscape analysis of immunization and primary health care in Kenya

About HENNET

The Health NGOs’ Network (HENNET) is a membership organisation that seeks to promote the role and engagement of civil society in transforming the Kenyan health sector to improve the response to the health needs of Kenyans with the vision of a healthy Kenyan society. HENNET was established in 2005. The Network is governed by a Board of Directors with an Executive Committee in accordance with its Charter and is widely recognised by its peers as the appropriate and Head of CSO Health SectorThe functionality and day-to-day operations are managed by the secretarial staff under the direction of the Managing Director.

Hennet has a zero-tolerance policy towards corruption and sexual exploitation, abuse and harassment

Vision: A healthy and strong Kenyan society

Mission: The aim is to encourage linkages and strategic partnerships between health-related non-governmental organizations, the government and the private sector to better respond to the health needs of Kenyans.

Project title: Advocating for immunization and basic health care in Kenya

1. Aim of the ToRs

In the face of the pandemic, climate change, but also scientific innovations, most Gavi-eligible countries are facing a growing need to finance national immunization strategies. Full coverage with conventional vaccines, the introduction of new vaccines and the phasing out of Gavi support require countries to take ownership of financing their national immunization programs. These Terms of References (TORs) are designed to provide decision-makers with strategic options for domestic resource mobilization (DRM) that ensure safe, sustainable and easily accessible financing for immunization in Kenya.

2. Specific objectives

The specific objectives of this study are (FY20/21 – FY24/25):

1) Analyse: (a) the context and perspective of immunisation in Kenya; (b) the cost of immunisation and (c) the financing of immunisation, including the financing gap at the district and national levels; (d) the vaccine supply chain – vaccine distribution in Kenya from central warehouses to the implementing facility; (e) the progress in adapting the new vaccine to the national immunisation schedule.

2) Based on the findings from the analytical study, develop a domestic resource mobilization (DRM) strategy for immunization.

3. Scope of services

3.1. Context analysis and perspective of immunization in Kenya

This section of the study focuses on:

a. Analysis of the impact of the macroeconomic context on the health sector and the immunization system. The aim is to find out whether the forecasts/predictions of economic growth (2020-2030) could lead to an increase in the state budget and whether lobbying could achieve an increase in the budget for the health sector in general and for immunization in particular.

b. Assessment of the government’s commitment to immunisation. Here we examine whether the 2021-2023 financial laws prioritise immunisation. The assessment focuses on: (i) the total government budget, (ii) the health budget allocation, (iii) the health budget earmarked for immunisation, (iv) public expenditure on immunisation per surviving child

c. Analysis of the outlook for routine immunisation 2020-2030 and the new challenges in financing immunisation (e.g. introduction of new vaccines, increase in Gavi co-financing, full coverage with conventional vaccines as appropriate, phasing out of Gavi, etc.).

3.2. Cost analysis of immunization in Kenya

This section describes

(a) Calculation basis and national vaccination calendar.

(b) Total cost of vaccination, broken down by expenditure categories (investment costs and running costs).

c) Distribution of investment and running costs over the total cost of vaccination.

(d) Cost per fully immunised child (FIC)

(f) Vaccine equity – the distribution of vaccine according to need at district level

(f) Distribution of vaccination costs (operating costs and costs for vaccines and consumables) per FIC and evolution of FICs between 2020 and 2030.

3.3. Financing immunization in Kenya.

This section examines the following points for the period 2020/21-2024/25:

(a) Sources of funding for vaccinations at national and regional levels

(b) Total anticipated/available funding.

(c) Total financing needs according to the health sector plans and NVIP projections 2020-2030.

(d) the financing gap (2020-2030).

3.4. Proposed strategy to mobilise domestic resources for sustainable financing of immunisation in Kenya

In this section the following points are assessed:

a) Weakness of the current immunisation financing system.

b) Strengthening the immunization financing system.

(c) Opportunities for mobilising domestic resources for immunisation.

(d) Threats and risks that could have a significant impact on resource mobilisation.

(e) Domestic resource mobilisation strategies in LMIC countries that are effective

and determined:

(e) Vision, objectives and key principles for mobilising domestic resources for immunisation.

(f) strategic options for the mobilisation of domestic resources (from the State, the private sector, decentralised local authorities, etc.) and the action plan for the implementation of each strategic option.

g) Costs of implementing the DRM strategy.

(h) Cooperation and partnership to mobilise domestic resources.

4. Results of the study

The following results are expected from the study:

(a) An analytical report on immunisation financing in Kenya

(b) A report on immunisation coverage in Kenya and all equity-related issues

(c) A strategy to mobilise domestic resources for sustainable immunisation financing

(d) A summary of the domestic resource mobilisation strategy

(e) A brief advocacy note for key decision makers.

5. Consultant profile

The consultant must demonstrate the following qualifications:

(a) Hold a Master’s degree in social sciences, health economics or public health.

(b) At least five years of experience in health financing, public health expenditure review and/or health budget advocacy in Kenya.

c) Have a good command of the preparation of the health budget in general and the cost calculation for vaccinations in particular.

(d) Knowledge of the WHO One Health tool is an advantage.