Expression of Interest (EOI) At Health NGOs Network

Expression of Interest (EOI)

Consultancy on Landscape analysis of Immunization and Primary Health Care in Kenya

About HENNET

The Health NGOs’ Network (HENNET) is a membership organization that seeks to promote civil society’s roles and engagements to transform Kenya’s health sector to enhance their responses towards health needs of Kenyans with a vision of a health Kenyan Society. HENNET was founded in 2005. The network is governed by a Board of Directors with an executive committee as defined by its constitution and is widely seen by its peers as the appropriate and convener of the CSO health sector. Functionality and everyday operations are managed by the secretariat staff under the leadership of the Executive Director.

Hennet has a zero tolerance Policy on Corruption and Sexual Exploitation, Abuse and Harassment

Vision: A healthy and Empowered Kenya Society

Mission: To stimulate linkages and strategic partnerships among health NGOs, government, and private sector to enhance their responses towards health needs of Kenyans.

Project Title: Advocacy for Immunization and Primary Health Care in Kenya

1. ToRs Objective

In a context of pandemic, climate change, but also scientific innovations, most Gavi-eligible countries are increasingly facing growing needs for financing national immunization strategies. Indeed, the full coverage of traditional vaccines, the introduction of new vaccines and the gradual withdrawal of Gavi support require that countries take ownership of the financing of their national immunization programs. These Terms of References (TORs) aim to provide decision-makers with strategic options for the domestic resources mobilization (DRM) which will guarantee secure, sustainable and easily accessible financing for immunization in Kenya.

2. Specific Objectives

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

1) Analyze the: (a) context and perspective of immunization in Kenya; (b) costs of immunization and (c) the financing of immunization, including the financing gap at both County and national level (d) Vaccine supply chain -Vaccine distribution in Kenya from central stores to implementing facility ( e ) progress in adapting new vaccine to the national immunization schedule

2) Develop a domestic resource mobilization (DRM) strategy for immunization based on evidence from the analytical study.

3. Scope of work

3.1. Context Analysis and Perspective of Immunization in Kenya

This section of the study will focus on:

a. Analysis of the impact of the macroeconomic context on the health sector and the immunization system. The aim here is to see whether economic growth projections/forecast (2020-2030) could lead to an increase in the state budget and whether advocacy could make it possible to obtain an increase in the budget for the health sector in general, and that of immunization in particular.

b. Assessment of the government’s commitment to immunization. Here, we examine if the 2021-2023 finance laws have given priority to immunization. The evaluation will focus on: (i) the total state budget, (ii) the health budget allocation, (iii) the health budget allocated to immunization, (iv) public spending on immunization per surviving child

c. analysis of the prospects for routine vaccination 2020-2030 and the new challenges of financing immunization (for example: introduction of new vaccines, increase in Gavi co-financing, full coverage of traditional vaccines according to the case, Gavi phase-out, etc.).

3.2. Cost analysis of immunization in Kenya

This section will describe the

(a) base of calculation and the national vaccination calendar.

(b) total costs of vaccination broken down by expenditure category (investment costs and recurrent costs).

(c) distribution of investment and recurrent costs in the total costs of vaccination.

(d) cost per fully immunized child (FIC)

(f) Immunization equity- the vaccine distribution against the needs at the County level

(f) distribution of vaccination expenses (operation costs and costs of vaccines and consumables) per FIC and the FIC evolution between 2020 and 2030.

3.3. Financing immunization in Kenya.

This section will examine for the period 2020/21-2024/25:

(a) sources of immunization financing at both national and County level

(b) Total probable/available funding.

(c) Total funding required as per the Health sector plans and NVIP Projections -2020 -2030.

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

3.4. Proposed Domestic Resource Mobilization Strategy for sustainable immunization Financing in Kenya

This section will assess the:

(a)weakness of the current immunization financing system.

(b) strengths of the immunization financing system.

(c) Opportunities for mobilizing domestic resources for immunization.

(d) Threats and risks that could lastingly affect the mobilization of resources.

(e ) Domestic resource mobilization strategies in LMIC which are effective

and will determine the:

(e) vision, objectives and key principles for mobilizing domestic resources for immunization.

(f) strategic options for mobilizing domestic resources (from government, private sector, decentralized local authorities, etc.) and the action plan for implementing each strategic option.

(g) cost of implementing the DRM strategy.

(h) collaboration and partnership for the mobilization of domestic resources.

4. Study deliverables

The deliverables expected from the study are:

(a) An analytical report on immunization financing in Kenya

(b) A report on the immunization coverage in Kenya and any equity- related matters

(c) A Domestic Resource Mobilization strategy for sustainable immunization financing

(d) An executive summary of the Domestic Resource Mobilization Strategy

(e) An Advocacy brief note for key decision makers.

5. Consultant profile

The consultant must demonstrate the following qualifications:

(a) Have a master’s degree in Social Science, Health Economics or Public Health.

(b) At least 5 years of experience in health financing, public health expenditures review and/or health budget advocacy in Kenya.

(c) Have a good command of the preparation of the health budget in general, and the costing of vaccination in particular.

(d) Knowledge of the WHO One Health tool will be an added advantage.