Senior Long-Term Consultant, HIV Financing

Palladium International, Nepal

Skill Required:, Finance and Accounts
Preferred Experience: 
7 to 10 Year
Closing Date for Applications: 
18th March, 2019

Job Description

Palladium is a global leader in the design, development and delivery of Positive Impact - the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities and civil society to formulate strategies and implement solutions that generate lasting social, environmental and financial benefits.

For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90 plus countries and a global network of more than 35,000 technical experts, Palladium has improved - and is committed to continuing to improve - economies, societies and most importantly, people's lives.

Palladium is a child-safe organisation, and screens applicants for suitability to work with children. We also provide equal employment to all participants and employees without regard to race, color, religion, gender, age, disability, sexual orientation, veteran or marital status.

Project Overview and Role

Position Title: Senior Long-term Consultant, HIV Financing (Nepal)

Organization Overview

Palladium develops and delivers solutions that create positive impact for communities, businesses, societies and economies. We transform lives and create enduring value by working with governments, corporations and non-profit organisations. We create positive impact through more than 100 current projects with more than 2000 employees operating in over 90 countries.
Palladium implements the USAID-funded Health Policy Plus (HP+) Project. HP+ works with key stakeholders to advance health policy and financing for family planning and reproductive health (FP/RH), HIV, and maternal and newborn health (MNH) at national and subnational levels. The project aims to improve the enabling environment for equitable and sustainable health services, supplies, and delivery systems through policy development and implementation, with an emphasis on voluntary, rights-based health programs, and by strengthening in-country partners' capacity to navigate complex environments for effective policy design, implementation, and financing aligned to the existing priorities.

Assignment Overview

The Government of Nepal (GoN) and its technical partners are working together to implement a long-term vision for the sustainability of the country's HIV program. On the element of financing for this program, sustainability would include (a) increased resources for commodity procurement at the national level based on the agreed targets for antiretroviral therapy and other interventions are secured, with a plan for further increase and continuation; (b) executing a long-term plan for including provincial and local governments in Nepal in the HIV response as significant funders, with resources allocated in their budgets towards new, more effective interventions, potentially as a package; and (c) improved use of cost and expenditure data at all levels of GoN to increase evidence-based decision-making, especially as the country attempts to achieve the global 90-90-90 targets in the country. USAID Nepal has requested the Health Policy Plus (HP+) project to provide support to the GoN institutions involved in the HIV response in fostering this vision of sustainability. Funds for this technical support activity are being allocated from the USAID-led and PEPFAR-funded Sustainable Financing Initiative (SFI) for the period April 2019 - March 2020. USAID has identified the need for updated cost-related information usable by Nepalese policymakers, linked to new information on appropriate HIV interventions for case identification, linkage, and for improving ART outcomes. In addition, USAID has highlighted a need for support to the national, provincial and local governments to increase and sustain budgetary allocations to HIV.


Consultant Responsibilities

  • HP+ anticipates hiring a senior Nepal- or regionally-based consultant to provide support and lead local delivery of technical activities. The consultant will be engaged on a 60-70% time basis for 11-12 months, with availability required in Kathmandu for extended lengths of time in this period.
  • The consultant will work closely with HP+ local consultants in-country and HQ-based staff remotely to complete the following:
  • Support to the GoN on cost and financial gap estimates for the next National HIV Strategic Plan 2022-2027. This involves: (a) working with GoN and its technical partners to hold detailed consultations leading to consensus on a package of HIV services based on latest implementation science. (b) Estimating local unit costs for all included services, varying by risk group and geography as needed, based on available secondary data. Minor primary data collection may be conducted. (c) Estimating the financing gap in delivering the package of services, based on different scenarios of scale-up towards a year to achieve the 90-90-90 and 95-95-95 targets; and using information on funds from various levels of government and international partners.
  • Support to sub-national governments in Nepal on appropriate planning and budgeting tools to allocate funds to HIV. This involves: (a) developing, testing and disseminating appropriate locally-tailored HIV planning and budgeting tools for use by local governments at provincial or district/municipal levels. Since stand-alone tools for HIV are less useful, these planning and budgeting instruments should be integrated into how health is planned for already. (b) Training for local government stakeholders in select high-HIV burden areas with these tools.
  • Support to local civil society organizations to advocate for enhanced domestic resource mobilization for HIV. The consultant will use the results of other activities, and work with local experts in advocacy and HIV to develop appropriate messages and approaches for HIV-related budget advocacy. These approaches will be institutionalized with civil society organizations. The activity may involve hands-on training in evidence-based budget advocacy.

The consultant will hold weekly remote meetings with HP+ technical staff based in Washington, DC, to successfully complete these tasks.


  • A report on the revised HIV service delivery package, with appropriate level of detail as agreed with partners. A 10-page policy brief (in English and Nepali) with high-level cost and financing gap estimates. Associated Excel files will be also shared.
  • A planning and budgeting tool in Excel, with Nepali and English instructions, for use by local government. Training materials in Nepali for the planning and budgeting tool.
  • 2-3 key advocacy messaging content pieces in Nepali. Training materials in Nepali on effective budget advocacy for HIV in the local context



  • MS or PhD degree in a public health, economics or other related discipline
  • Advanced knowledge of Nepal's health system
  • At least 7 years of experience in health financing or economics
  • Experience in sustainable financing issues for HIV in South Asia/Nepal preferred
  • Excellent English writing, communication, and reporting skills
  • Excellent interpersonal and communication skills
  • Ability to work within tight deadlines
  • Ability to travel to Kathmandu, Nepal up to 5 times from April 2019 to March 2020, for extended periods at a time
  • Flexibility, adaptability, and resourcefulness


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