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To support the assignment, the USAID Rwanda Health Systems Strengthening (RHSS) Project is seeking qualified professional(s) to carry out the functional analysis of the HIGE. The consultant(s) will work closely with the RHSS Project team throughout the entire assignment. RHIC has approached the RHSS Project and requested technical assistance to carry out a functional analysis (FA) of the Rwanda HI environment and governance functions. The main objectives of the FA are to:
- Analyze how critical and essential functions of a well-governed HI national environment are currently defined, understood, assigned, and covered by the various key institutional players/actors in Rwanda;
- Identify gaps in essential functions; and
- Provide decision-makers with policy options and recommendations towards better governance of the HI ecosystem.
The assignment will involve developing a conceptual framework that clearly describes the ideal situation for a well-governed HI environment. The framework, coupled with a thorough situation analysis, will define the current HI environment in Rwanda in a structured way.
The formal setting: Clearly understand the roles and functions of concerned actors as formally defined and assigned (set up) by laws, regulations, Ministerial orders, etc. Clearly determine how key roles and functions are defined and assigned. This is to identify gaps in the formal settings definitions and attributions compared to the referenced conceptual framework retained for the FA.
Compliance with the formal setting: Assess whether formally defined and assigned roles and functions are actually assumed and exercised by the concerned actors or not; if they are, measure the extent to which they are understood and/or applied; if not applied, identify why and which institution is presumed to assume and exercise the given role and function. This is to understand actors’ degree of understanding and compliance with formal settings in place.
CONCEPTUAL FRAMEWORK DESIGN AND FA IMPLEMENTATION APPROACH
The assignment will be performed in two main phases/steps:
- Elaboration of the conceptual framework and the situational analysis: The first part of the assignment will entail consultant(s) to undertake a thorough and extensive desk review of existing HI laws, policies, regulations and existing frameworks (from the literature) to identify and adapt or develop a conceptual framework that incorporates the vision and broader functions of a well governed HI environment and how the different players relate to each other. The conceptual framework will guide the situation analysis and gaps identifications of the current HI environment. Additionally, the consultant(s) will consult key informants through interviews and focus group meetings to obtain their perspectives on the current situation, on what a well-functioning HI environment entails and the best way forward.
- Analysis of gaps and formulation of policy options and recommendations: This part of the assignment will consist in identifying the gaps in the governance of the current HI environment and formulating policy options and recommendations to address them.
Two deliverables will be prepared, one at the end of each step:
- Report - part one: conceptual framework, situational analysis of the HI environment in Rwanda;
- Report - part two: gaps analysis and formulation of policy options and recommendations.
Both reports will be subject to reviews for inputs and validation. The design and implementation of the study will be done in close consultation with RHIC and MOH. A steering committee of the FA will be set-up to guide and oversee its design and implementation. The consultant(s) will advise on the composition and establishment of the committee and contribute to the elaboration of the TORs for the committee.