Result of Service
This consultancy will prepare a document in accordance with ECLAC standards that contains the development of a proposed methodology to measure the installed capacity in terms of health endowment and a diagnosis of the gaps between said capacity and potential demand. for health services, both at the first level of care and at more complex levels, with the aim of advancing towards universal health access and coverage in Colombia. This methodology will be carried out with a national and subnational approach and will be applied on a pilot basis on the first level of care in a locality in Colombia defined jointly by ECLAC and the Ministry of Health and Social Protection, considering the continuity of care. For this, the consultancy includes at least the following activities: – Review the availability of data for the operationalization of the methodology to be developed, know in detail the information systems referring to the subject and determine the necessary data to identify the installed capacity in endowment for the provision of health services, the epidemiological profile of the population by way of potential demand and the identification of gaps between both components, in such a way that inputs are generated to advance towards universal health. The data will be evaluated to build a methodology that is applicable both at the national and subnational levels. – Carry out a brief analysis of the institutionality of the endowment investment plans for the provision of health services in Colombia, highlighting its strengths and main weaknesses and considering its impact on Primary Health Care. For this, central aspects of the institutional framework will be considered (CEPAL, 2022; Martínez, 2019), such as: i. Regulatory legal analysis: this includes the regulatory framework, laws and regulations that govern the management and investment in endowment. ii. Organizational analysis: description of the formal structure and functions, decision-making model and coordination between the actors and different levels of care provided. iii. Operational technical analysis: Instruments and tools necessary to implement investment and management policies, including information and communication technologies and systems that allow the design, execution and follow-up of policies related to the allocation in the provision of health services. iv. Analysis of financing and financial sustainability: evolution of the magnitude of resources allocated to the endowment for the provision of health services, both in general and applied to the first level of care, and the sources of said financing and the capacity of budget execution, with a territorial approach – Analysis of experiences of other nations that have methodologies that aim to capture the installed capacity in endowment and identify the gaps in supply and access to health care, defining where the shortage is concentrated of the installed capacities to respond to people’s needs. The comparative experience must be relevant to the different local realities that are experienced in Colombia. – Carry out an analysis scheme that determines the dimensions and sub-dimensions necessary to measure the installed capacity in endowment for the provision of health services. Said scheme must contain the disaggregation of the data at the subnational level. – Prepare the bases of an epidemiological profile to be contrasted, by way of potential demand, with the installed capacity identified by the methodology in question. – Develop a planning scheme that makes it possible to address the gaps identified and allows the development of a consistent investment plan. – Application of the methodology for measuring gaps in installed capacities of health endowment in the locality selected to carry out the pilot. This should include the survey of the epidemiological profile of said locality and identification of the main barriers and obstacles faced by both the health systems, by the supply of care services, and the population to access health services. by the demand. Work will be done mainly on the first level of care, recognizing its centrality as the gateway to the system, but without underestimating the importance of continuity of care and its consequent interrelation with more complex levels of care. – Prepare a report that includes: i. the methodology for measuring gaps in installed capacity in endowment for the provision of health services, accompanied by the analysis of an epidemiological profile that allows understanding the gaps between supply and demand for services; ii. the results of the application of the methodology to the pilot locality, reflecting the gaps and the planning of the investments in endowment necessary to advance towards universal health; and iii. recommendations to apply to the existing model, establishing the fundamental components in the transition to the proposed methodology (including adjustments in the regulatory structure). – Prepare a Power Point presentation that allows building and consolidating capacities within the Ministry of Health and Social Protection team through training and dissemination workshops. The consultant must be present at these workshops to present the results. – The consultant must hold periodic virtual technical meetings with the teams from the Ministry of Health and Social Protection and ECLAC, so that the construction of the methodology is carried out jointly. The report produced by the consultancy, with an approximate length of 40 pages, will contain the following sections. a) Introduction and background of the current situation in Colombia regarding the installed capacity in endowment for the provision of health services and investment plans to close the gaps between the supply of services and the needs of the population, with a view to advancing towards the universal health. b) Analysis of the institutionality of endowment investment plans in Colombia, highlighting its strengths and its main weaknesses and considering its impact on Primary Health Care, according to ECLAC (2022) and Martínez (2019). c) Methodology to size the installed capacity in endowment for the provision of health services. d) Application of the methodology to the first level of care in a pilot locality previously defined jointly by the Ministry of Health and Social Protection and ECLAC. Identification of the epidemiological profile of the sector and the consequent gaps between the supply of services and the care needs of the population. e) Compilation of the main gaps identified for access and universal health coverage in conversation with the methodology used and amplification of conclusions to other sectors of potential analysis, of diverse nature within the local heterogeneity of Colombia. f) Recommendations to apply to the existing model, establishing the fundamental components in the transition to the proposed methodology (including adjustments in the regulatory structure). g) Conclusions and recommendations aimed at universalization and the reduction of gaps, as well as the development of analyzes similar to other spheres of the supply of health services applying the proposed methodology. h) Bibliography. as well as the development of similar analyzes to other spheres of the supply of health services applying the proposed methodology. h) Bibliography. as well as the development of similar analyzes to other spheres of the supply of health services applying the proposed methodology. h) Bibliography.
Work Locationremote
Expected durationFour months
Duties andResponsibilities
This consultancy will be carried out within the framework of the United Nations Development Account project “Resilient health systems with universal coverage in Latin America and the Caribbean” through which ECLAC will provide technical assistance to the Ministry of Health and Social Protection of Colombia to support the design, adaptation or implementation of policies, programs and strategies aimed at advancing towards universal access and coverage to health through the strengthening of primary health care. The consultancy will be based on the development of a methodology for the identification of gaps regarding the installed capacity in health endowment and the planning of investments necessary to move towards universal health. Along with the development of the methodology, An application will be made to a pilot locality to evaluate its operation and improve it, and a diagnosis will be made of the gaps between said capacity and the potential demand for health services, both at the first level of care and at the most advanced levels. complexes, with the objective of advancing towards universal health access and coverage in Colombia. The consultancy contributes to the fulfillment of output 1.2 of the project, dealing with a methodology that will seek to be applied later to other localities, so it will be the basis for the seminars and/or workshops that will be developed in Colombia as part of central output 1.2 of the project.
Qualifications/special skillsProfessional in social sciences, administration and planning in public health and related areas; Desirable postgraduate studies in these areas. At least 7 years of experience in field work, in health research and in the design or recommendations of public policies and methodologies for sizing supply and demand in health. Experience in data collection and quantitative analysis.
LanguagesAdvanced command of Spanish.
No FeeTHE UNITED NATIONS DOES NOT CHARGE A FEE AT ANY STAGE OF THE RECRUITMENT PROCESS (APPLICATION, INTERVIEW MEETING, PROCESSING, OR TRAINING). THE UNITED NATIONS DOES NOT CONCERN ITSELF WITH INFORMATION ON APPLICANTS’ BANK ACCOUNTS.
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