Technical Assistance for District Health System Strengthening

UN Children's Fund, Freetown, Sierra Leone

Skill Required:, Monitoring and EvaluationProject/ Programme Management
Preferred Experience: 
7 to 10 Year
Closing Date for Applications: 
30th March, 2020

Job Description

The Ministry of Health and Sanitation (MoHS) has decided to develop and pilot a comprehensive PHC model with community and grassroot engagement and district-wide health system strengthening in selected chiefdoms/districts. As the first step, MoHS has conducted a rapid assessment in the two pilot chiefdoms, which UNICEF took part in. UNICEF remains committed to collaborating with MoHS throughout the pilot phase, starting from conceptualisation of the model to actual implementation, monitoring, documentation and final assessment of the pilot for future scale-up. UNICEF does this within the framework of its country programme 2020-2023 where UNICEF aims to provide support for the health system strengthening at community and district levels through addressing different health system building blocks

Purpose and objective of theassignment:

The purpose of consultancy is to strengthen community based PHC system toward achieving Universal Health Care in Sierra Leone.

The specific objectives of the assignment are to:

  • Help develop a conceptual model for a scalable and sustainable comprehensive community based PHC model with clearly defined governance structure and strong accountability framework.
  • Help introduce DHSS approach focusing on: i) improving availability, timeline and quality of health information at the subnational level; ii) improving DHMT capacity to analyse data (including coverage and equity assessment, bottleneck analysis) and use it to inform equity-focused planning, decision making, monitoring, and budgeting; iii) ensuring citizens’ voice is incorporated into planning, monitoring, and budgeting process and that functional feedback loops exist between the health system and communities; iv) supporting continuous quality improvement at the facility level as well as community service delivery by CHWs.
  • Monitor, assess and document the process of implementing pilot PHC model / DHSS approach, including good practices, challenges, and the lessons learned.

To qualify as an advocate for every child you will have…

  • Advanced university degree in Public Health, Medicine, Social Sciences, Health Systems Management, or other related disciplines.
  • At least 8-10 years of relevant experience of working in strengthening PHC system in developing countries. Prior experience with community work linked with PHC is an added advantage.
  • Experience in district health system strengthening (DHSS), data collection, analysis, and monitoring and evaluation.
  • Previous working experience with UNICEF and/or other international agencies.
  • Experience working with the national and district local governments in Sierra Leone is an advantage.


  • Technical expertise in PHC and health systems strengthening, particularly district health system strengthening (DHSS) approach.
  • Proven ability to manage relationships with government ministries, district local governments, national and district partners, service providers, communities and other stakeholders.
  • Familiarity with Sierra Leone’s health system is a strong asset.
  • Demonstrated ability to integrate, synthesize and communicate complex ideas verbally and in writing.
  • Excellent analytical and conceptual skills.


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