The object of this work is
Take stock of the implementation of RMNCAH/FP and HIV health policies in the four (4) Focus countries (Cameroon, Ivory Coast, Mauritania and Togo) of PROPEL Health West Africa and identify strengths and weaknesses;
to contribute to the establishment of a common, reference analysis framework which allows for a holistic diagnosis of the implementation of the programs and strategies defined in the national health policies RMNCAH/FP and HIV ;
Identify the major challenges in the implementation of RMNCAH/FP and HIV health policies;
Highlight key lessons and perspectives;
Formulate relevant and operational recommendations;
Design a dynamic monitoring dashboard with legends on their policy implementation status.
Expected results
The expected results of this mission are as follows:
The status of the implementation of policies related to Health, particularly family planning, in the 4 focus countries (Cameroon, Ivory Coast, Mauritania and Togo) is made
a holistic diagnosis of the implementation of programs and strategies defined in national policies carried out;
the status of implementation is achieved and strengths and weaknesses are identified and documented;
key challenges are listed;
Lessons learned and perspectives are listed
relevant and operational recommendations for the successful implementation of public health policies in countries are formulated;
A dynamic monitoring dashboard with legends on their policy implementation status is available.
Champs d’intervention
The policy analysis will be carried out in the three PROPEL Health West Africa focus countries (Cote d’Ivoire, Mauritania and Togo) and in Cameroon.
Methodological approach
The consultant will have to develop a relatively standardized, integrated and modular diagnostic methodological approach which allows both:
1. monitor the implementation of policies in the four countries concerned;
2. to identify the strengths and weaknesses of policy implementation in the four;
3. to provide useful operational information to technical and financial partners, enabling better support for the implementation of public health policies.
4. to facilitate cross-analyses, the sharing of experiences and to strengthen dialogue between the different stakeholders (Governments, CSOs, Donors, Implementing Actors, etc.) engaged at national and regional level on the challenges and issues of public health policies;
5. Formulate relevant and operational recommendations for the successful implementation of public health policies in countries.
Overview of targeted national health policies
The policy analysis will be carried out using a methodological approach which will take into account the information from the various indicators linked to the following key policies (non-exhaustive):
- Population Policies,
- National health policies,
- the Reproductive Health Act (RHA Act),
- Community health policies ;
- National health financing strategies ;
- Task delegation policies ;
- Policies, Standards and Procedures Document ;
- The PANB (National Budgeted Action Plan for Family Planning) ;
- CSU (Universal Health Coverage) policies ;
- Primary Health Care (PHC) policies ;
- Implementation of FP2030 commitments,
- Etc…
- Some theoretical orientations
There are several theories and perspectives on the key elements of policy implementation and how to judge successful implementation. The consultant will draw on the following seven dimensions of policy implementation:
1. Policy, its formulation, and dissemination
2. Social, political and economic context
3. Leadership for implementation
4. Stakeholder participation
5. Implementation planning and resource mobilization
6. Operations and services
7. Feedback on progress and results
