Background & Description

The Project

Finance for Development project is implemented by Indus Consortium and a few other partners of Oxfam as a continuity of its global Even it Up Campaign to strengthen the campaign of Making Pakistan Tax Fair. The geographical coverage of the project is two provinces of Punjab and Sindh of Pakistan and at federal level in the form of capacity building.

The overall objective of the project is “More women, youth and other citizens’ benefit from just/ fair fiscal system which is not politically captured, resulted in tackling extreme inequality and allocation/ spending of more funds for essential services i.e., education, health & social protection.”

RESEARCH QUESTIONS

1, What is the disease burden in Pakistan differentiated by gender and age?

What is the trend of public sector health services provision in response to the disease burden over the past 5- 10 years including information on health infrastructure (hospital, doctors, para-medical staff disaggregated by gender, geography and sub-sectors), availability of services.

2What are major obstacles for poor patients to access quality health services at public hospitals including access to medicine, investigations etc.? differentiate by gender, age, income, rural/urban

3. What are the trends of public sector allocation and spending for health sector at national and provincial level in last 10 years?? Does the lower spending by public sector leading to poor public health services and increasing out of pocket health burden?

4. What is the ratio of out of pocket payment to public sector expenditure? What is the burden of OOP on poor households? Better to calculate OOP of different income level and men and women separately. What are the levels of out of pocket expenditure on health in different provinces, urban vs rural and men vs women? How much proportion of the income poor people spend on health? Where is the money spent e.g user fees, informal fees in private sector, private sector

5. How much is allocated and spent in last 10 years on the health services which benefit women, girls and children such as reproductive health, child and mother’s care etc. at national and provincial level?

6. What are the trends of allocations in different geographical locations, urban versus rural districts in different provinces?

7. What could be the possible policy options to increase allocation, where to increase in sub-sector as well as geographically and how it could be efficiently used?

8. This is a question about financing health care:

1)      Insurance: What are public sector insurance programmes, how they work and what is the level of its efficiency, access and benefits by poor people/families? What are the user fee at different levels and how they create obstacles for accessing the services?

9. What is the level of public sector commercialization and its effect on the people to access public services, who cannot afford quality health care?

10. What are the major reasons of mushrooming growth of private health providers, their interest and link with public sector health services and government role in regulating private health providers?

Types of private sector:

Informal - a shop selling medicines, a guy going round with packs of medicines or traditional healer,

Formal sector - doctors, nurses, hospitals etc? Who is regulated and how effective is the regulation?

11. How lower access and quality of health services is linked to inequality and create structural barriers for women and girls to have equal opportunities?

12. Explore who is taking the advantages of private investment into public sector health – what’s political nexus behind this privatisation?
 
 
5. SUGGESTED RESEARCH METHODS


1. Literature review to look any existing studies on this topic
2. Structured survey to understand the out of pocket expenditure and income loss due to unavailability of quality health services.
3. Focus group discussions with:

-Sample of women and men in x villages and in x urban slums

- sample of healthcare providers in the facilities in those villages/slums

-sample of private and public health services providers in the same sites as above

- health mangers at the district of the villages-

Requirements and Skills

Deliverables :

Conducting a health study on access to quality health services at public facilities and National and Provincial health budget analysis and financing
Analytic Report on study conducted, answering the research questions.
A Policy brief
Presentation around the research
*Research questions and suggested methodology is attached herewith for your information.

How to Apply

How to apply:

Send in the following on info@indusconsortium.pk latest by 10 Jun 2018 COB.

·         Technical Proposal

·         Financial Proposal

·         CV’s of Team Member 

·         Similar work experience details

Indus Consortium is equal opportunity provider so encourage to all segments of society to apply for the position.

Women are highly encouraged to apply.

About Organization

Indus Consortium is a collaborative platform of three rights-based development organizations i.e. Laar Humanitarian Development Program (LHDP), Doaba Foundation and HELP Foundation. These three organizations have been active since long time mainly responding to natural disasters and other development needs of their respective operational areas along River Indus. These organization adopted an innovative approach to create a joint platform for learning, synergy, evidence based advocacy to address macro level structure causes of development problem on the basis of their field experience and create solidarity among communities living around river Indus and are vulnerable to natural and manmade disasters.

The joint platform is a manifestation of a joint force of the people living around Sindhu (Indus River) basin in Pakistan. The Consortium represents the unity among various groups of different ethnic, linguistic and geographic features and their determination to struggle for the development of the people around Indus River.

The concept of a joint forum of various organizations for the holistic socio-economic development of these least served rural, riverine, disaster-prone and marginalized communities was visualized by Doaba Foundation district Muzaffargarh and shared with LHDP in District Badin. This pragmatic and innovate idea got acceptance and proved a step towards joint thinking in 2004. . In 2005 another likeminded organization - HELP Foundation - from povertystricken district of Rajanpur in Punjab, joined the two organizations i. With the association of these three based organizations the thinking firmed up to create a development consortium for improved research and coordination.. For this transitional purpose, another prominent research & development actor - Rural Development Policy Institute (RDPI) based in Islamabad – became part of the consortium in 2008.

The idea was materialized in the form of establishment of Indus Consortium in 2008. The consortium being a joint platform form aimed to carry out socio-economic, environmental, DRR-centric and rights-based development initiatives primarily in proximity of the banks of historical River Indus in the districts like Thatta, Qambar-Shahdadkot, Ghotki and Kashmor in Sindh province, and Layyah, Jhang, Bhakkar, Muzaffargarh, D.G.Khan, Rajanpur and Rahimyar Khan in Punjab province. The consortium devised the Terms of Reference (TORs) with the consultation of the three founding organizations at field level work, and with the RDPI for research, collaboration and coordination.

Source: Strategic Planning Document of Indus Consortium (2014-2018)