Consultant at D-tree International – Tanzania

Consultant

Consultant at D-tree International November 2024

Terms of Reference (TOR) for Consultancy to Cost analysis and financial plan for expansion of Afya Tek project nationwide
Background
D-tree
is a global health organization focused on expanding access to
high-quality, life-saving care by strengthening primary health systems
through government partnerships and technology integration. For 20
years, D-tree has harnessed technology to develop solutions that
reimagine health systems with people at the center, making them more
personalized, more accessible, involving a multi-disciplinary team
skilled in public health, software development, and community engagement
D-tree engages with governments to develop a shared vision for the
potential of digital health, demonstrates the effectiveness of digital
systems to improve health outcomes, and accompanies governments to scale
these digital systems nationally and institutionalize them within their
broader health systems.

In 2019, Apotheker and D-tree joined
forces and launched Afya-Tek: an innovative health program to improve
the access and the quality of healthcare in the primary health care
system in Tanzania. Afya-Tek envisions a primary health care system in
Tanzania that acts together as one, digitally linking communities with
their healthcare providers across every point of contact, to support
patients across the continuum of care.

With
generous support from Fondation Botnar, Afya-Tek is improving maternal,
child, and adolescent health in Tanzania through personalized,
digitally-enabled care that allows patients to engage with the health
system wherever they are: at their doorstep with community health
workers (CHWs), at a community-based drug dispensing outlet, or at a
primary health facility.

This digital connection allows
information to flow seamlessly across these touchpoints, creating a more
integrated healthcare experience for patients. Now in Phase 2
(2023-2025), Apotheker and D-tree aim to further integrate Afya-Tek into
Tanzania’s Unified Community System (UCS), the national digital
community health framework, to ensure sustainable nationwide scaling.

To
achieve these goals, D-tree seeks a Tanzanian consultant to conduct a
costing and fundraising analysis and develop a strategic plan that will
provide an assessment of the resources required to scale the UCS
integrated with Afya-Tek functionalities across Tanzania and secure
sustainable funding through government and donor partnerships. The final
output will serve as a guiding document for cost-effective scaling and
long-term funding, tailored to meet the Afya-Tek Phase II goals for
nationwide implementation.

Objectives
Develop a
costing, fundraising, and sustainability plan that assesses and
quantifies all direct and indirect costs required to expand Afya-Tek’s
functionalities within UCS nationally and secure sustainable funding
streams from government, donor, and private sector sources to support
its national implementation and ongoing operational needs. Ensure this
deliverable aligns with Afya-Tek Phase II objectives, the UCS framework,
and Tanzania national community health workers goals.

Scope of Work

• Conduct
  a thorough financial analysis to estimate costs, in local currency,
  associated with scaling Afya-Tek across Tanzania, focusing on community
  health services, ADDOs, and HFs. This also includes costs related to
  capacity-building for government officials and stakeholders to ensure
  seamless adoption and sustainability.
• Hold information gathering
  sessions with project implementers, key stakeholders, including the
  Ministry of Health (MOH), PO-RALG, the Pharmacy Council, and community
  health workers, to gather inputs on financial priorities and scaling
  needs.
• Hold workshops with Apotheker & D-tree in identifying
  cost components of the scaling of Afya Tek nationally, roles and
  responsibilities
• Once the cost components are defined, lead
  Apotheker & D-tree in calculating the annual and total cost of
  scaling Afya Tek by region, by activity in both local currency and USD.
  Detailed budget files should be created and maintained to explain the
  scaling cost summaries in more detail and for future reference.
• Hold consultations and meetings to align stakeholders on the proposed cost and funding strategy.
• Develop
  a fundraising strategy that targets potential funding sources,
  including international donors, government budgets, and private sector
  partnerships.
• Recommend engagement strategies for building and maintaining government and donor support to secure multi-year funding.
• Identify
  potential financial partnerships with stakeholders such as youth-led
  organizations and health-focused tech companies to leverage existing
  resources for sustainable scaling.
• Develop a scaling plan that
  outlines recommended steps required to scale Afya-Tek sustainably in
  collaboration with the government, based on consultative meetings,
  interviews, and financial analyses.

Deliverables

• An
  inception report outlining the consultant’s approach, methodology,
  timeline, and data needs to be submitted within the first two weeks of
  the consultancy.
• Afya-Tek scaling cost analysis: A detailed
  financial assessment excel tool, including a breakdown of costs required
  for Afya-Tek’s national scale-up, in alignment with the UCS and program
  phase II objectives.
• Fundraising strategy: A document listing
  potential funding sources, partnerships, and recommendations for
  engagement strategies for securing multi-year financing from government
  and donors.
• A summary of stakeholder consultations and
  informative interviews, including key notes and insights from the
  consultations regarding sustainable scale, costing and fundraising for
  Afya-.
• Final report: A strategic plan and guiding document
  outlining the cost, fundraising roadmap, and scaling recommendations for
  Afya-Tek’s sustainable, nationwide implementation within UCS, to be
  submitted by the end of the consultancy period. This document should
  include actionable recommendations, cost projections, potential funding
  sources, and a recommended step-by-step scaling strategy.

Timeline and Budget
Timeline:
The consultancy work should be completed no later than 28 February 2025
where the first draft should be shared by 27 January 2025. The
consultant is required to propose the duration of the work which will be
reviewed and approved by D-tree.

Budget Requirements:
The
consultant will submit a proposed budget which will be reviewed and
approved by D-tree. The consultant’s proposed budget and costs will be
subject to applicable taxes as stipulated by Tanzania law. The total
cost submitted by the consultant should be inclusive of VAT. All budget
amounts must be quoted in Tanzanian Shillings (TZS). For the successful
offeror, all invoices submitted by the consultant must also be quoted in
Tanzanian Shillings (TZS), and all payments will be made in Tanzanian
Shillings (TZS).

Prior Requirements
The technical
proposal should be no more than 3 pages (not including CV and sample
writing) and include at least the following information:

• Demonstrate understanding of the assignment
• Describe experience of conducting similar work
• Provide a detailed work plan (including timeline and deliverables)
• Budget for completing the TOR and description of any assumptions made 3
• An example of a relevant report or publication.
• Curriculum Vitae
• Two professional references

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Qualifications

• Master’s
  degree in public health, Health Information Systems, Health Economics,
  or related fields. A PhD in one of these fields is an added advantage.
• Proven
  experience in costing public health or digital health programs, with a
  preference to experience costing plans for health information systems or
  digital health platforms.
• In-depth understanding of Tanzania’s health system and relevant national digital health strategies.
• Excellent analytical, problem-solving, and strategic thinking skills.
• Excellent written and verbal communication skills in English.

To
maintain confidentiality of information during the consultancy, the
consultant agrees to sign a Non-Disclosure Agreement (NDA).

Application
Interested applicants should submit their technical and financial proposal as well as any supporting documents to emangana@d-tree.org, copying nringo@d-tree.org and emathew@d-tree.org or in hard copy to the D-tree office, 9th floor, Tan House, Dar es salaam .

Along
with the technical and financial proposal, the applicant should enclose
a portfolio of previous works undertaken in developing costing and
financial strategic documents for digital health or health issues.
Deadline for submitting applications: 29 November 2024.