Independent Consultant for CHAI Health Systems Initiative (1 Position)
Base Location: Phnom Penh with domestic travel expected
Contract Type: Independent Consultant
Contract Period: 10 months (possibility of extension)
Expected Start Date: Sept 2025
Report to: Senior Program Manager, NCD and integration
Background
CHAI is leading a high-priority initiative to support governments in responding to the growing pressures of shrinking aid budgets, including recent donor funding reductions and broader global transitions in donor support. This initiative aims to provide strategic, systems-focused support to the Ministry of Health and other relevant Ministries —helping the government to navigate immediate funding challenges while advancing long-term health system reform, integration, and sustainability.
The Consultant will provide targeted support to CHAI’s health systems initiative, reporting to Senior Program Manager, Non-Communicable Diseases and Integration and working closely with the CHAI Cambodia NCD, HIV, Malaria, Digital Health teams. The Consultant will also work and coordinate with other teams and staff working within this health systems initiative, including the CHAI Cambodia Technical Advisor.
Objective
The Consultant will work closely with the CHAI Cambodia NCD, HIV, Malaria Teams to provide technical support to Ministry of Interior Commune/ Sangkat Department, the National Center for Health Promotion (NCHP), and local authorities in Kampot and Kampong Chhnang. The Consultant will be based in Phnom Penh but will be expected to make periodic visits to Kampot and Kampong Chhnang provinces.
The main objectives of the Contractor’s scope of work are:
- Support NCHP to finalize draft of Policy for Community Participation (PCP) implementation guidelines
- Support Ministry of Interior Commune/ Sangkat Department to develop communication packages/ tools for local government bodies
- Support Provincial and District Administrations in Kampot and Kampong Chhnang to prepare/ plan for declining donor funding
- Scope of work
- Objective A: Support NCHP to finalize draft of Policy for Community Participation (PCP) implementation guidelines
- Assist NCHP in coordinating and synthesizing inputs from relevant health and non-health stakeholders into draft PCP implementation guidelines, including national HIV and Malaria programs, Ministry of Interior
- Assist NCHP in convening a regular steering committee to review draft Policy for Community Participation (PCP) implementation guidelines
- Conduct costing of PCP implementation guidelines and analysis of available resources/ funding gaps
- Objective B: Support Ministry of Interior Commune/ Sangkat Department to develop communication packages/ tools for local government bodies
- Conduct assessment of subnational authority financial management and budget planning capacity
- Develop communication package for local government bodies outlining why they should spend on health and what opportunities/ mechanisms they can use to invest in/ support health
- Work with CHAI Digital Health team to develop appropriate data visualization tools for use by subnational authorities to measure impact of their investments
- Objective C: Support Provincial and District Administrations in Kampot and Kampong Chhnang to prepare/ plan for declining donor funding
- Work with Provincial Governors in two provinces to map resources available for health (incl. cuts from Global Fund, USG, and other subnational partners, as well as other sources of revenue such as user fees, govt budget, etc.)
- Work with Provincial Governors and District Governors to identify potential financing and resource mobilization options for any funding gaps/ shortfalls identified
- Deliverables
- Drafted sections of PCP implementation guidelines as assigned/ agreed with NCHP, including:
- Proposed community health worker job scope (core package and supplementary packages), incentive/ salary guidance, etc., building on existing ongoing collaboration with NCHP
- Proposed financing models for CHW and respective cost/ budget implications of each model
- Draft of CIP communication package for local government bodies, including:
- Case studies/ evidence to convince local government bodies to invest more in health
- Recommended health spending/ resource allocation guidance for commune councils
- Decision-making tools for local government bodies that are ready for wider scale up by MoI, including:
- Data visualization tools (within DHIS2) to help local authorities understand and monitor local health needs (e.g., disease burden, health service utilization)
- Recommended list (including costs) of potential sustainability activities to address different health needs to be funded at commune level and/or by health centers
- Analytics to support Provincial Governors and subnational authorities in two provinces (Kampot, Kampong Chhnang) with resource allocation, including:
- Mapping of health revenue streams (current and future)
- Analysis of potential service and funding gaps due to anticipated reductions in donor funding
