Technical Specialist 12 / Director, Health Financing, Advocacy and Policy
Abt Associates, Vietnam
Closing Date for Applications:
As acknowledged by many stakeholders, and expressly indicated by the GVN, Social Health Insurance is the most appropriate financing vehicle for Vietnam to take on the direct financial burden related to HIV/AIDS programs. However, there are major roadblocks for GVN to transition HIV financing into SHI, including:
- Lack of a defined financing and administrative mechanism that would enable the SHI fund to pay and/or reimburse for expenditures related to HIV procurements;
- Lack of a defined set of HIV/AIDS interventions that is included in the SHI Benefit Package; The GVN deadline for defining the overall package is the end of 2017;
- Currently, the level of enrollment in Health Insurance among PLWHA is estimated at 40%, lagging even the unsatisfactory average rate of 70% for general population. A much higher rate of coverage is needed if SHI has to realistically provide the needed financial protection to PLWHA in the years to come;
- Current health insurance regulations only allow reimbursement of services performed in hospital settings. At the moment, about 50% of POCs managed by PEPFAR only are in a preventive level of the health system. New legislation and an efficient system for payment at Commune Health Station level is needed to ensure the uninterrupted level of services PLWHA are accustomed to at the moment;
- Decision makers at Government, Ministry of Health and Vietnam Social Security are in need of evidence and technical advice that would improve the design of policies and lead to appropriate legislation for inclusion of HIV in the health insurance benefits.Local candidates are strongly encouraged to apply.
- The incumbent Director for Economics of HIV will directly contribute to address some of the roadblocks and sustain the country of Vietnam in the path that leads to domestic funding and management of the response to the HIV/AIDS challenge.
- Support critical analyses of feasible options/risks/requirements of the various financing arrangements that would enable GVN to improve efficiency in procuring ARVs (e.g. central pooling or trust funds) in the near term;
- With COP and the International Advisor(s) for Health Economics help define options for funding of ARV procurement that could inform the GVN on best options for ARV financing in long term.
- Supporting HFG and VAAC in technical analysis and studies as needed, in particular with regard to production of NHA/PHA/HIV subaccount to build the evidence base of current financing flows for HIV.
- Lead the coordination of activities with M&E, Care &Treatment, Finance and the Planning departments at VAAC;
- Support critical analyses of feasible options/risks/requirements of the various legal and management arrangements that would enable GVN to improve efficiency in procuring ARVs (e.g. central pooling or trust funds) in the near term;
- In coordination with project’s Directors for SHI and HIV Financing lead the development and proposal of concept notes, policy options and legal language for GVN to increase their share of financing for HIV prevention, care and treatment, including the provision of ARVs;
- Support VSS, DPF, and VAAC in meetings, workshops and in the interpretation of analyses and studies as needed.
- Coordinate with the activities of international and local consultants working on activities related to the objectives;
- Represent HFG and update the COP on a regular basis with regards to participation to policy and advocacy activities, meetings and workshops.
- An advanced degree (minimum MA/MSc) in health economics, economics or equivalent, and at least 12-15 years of relevant work experience, particularly in HIV:
- Proven experience with costing and analysis of impact of HIV programs in Vietnam;
- Professional experience and skills in design and implementation of programs in support of HIV financing and/or coordination, and/or strategic information and planning.
- Knowledge of Social Health Insurance (SHI) issues and key stakeholders in Vietnam, including experience with MOH and VSS highly desirable;
- Demonstrated ability to work effectively with government counterparts and coordinate various actors such as different Ministry of Health units, other ministries and government agencies, donors and NGOs.
- Proven planning, networking, and organizational skills.
- Excellent oral and written communication skills in English and Vietnamese.
- Note: This local position is based in Hanoi, Vietnam and is expected to provide substantial support to Vietnam AIDS Administration Control.
- Abt Associates is an Affirmative Action/Equal Opportunity employer committed to fostering a diverse workforce. Abt Associates provides market-competitive salaries and comprehensive employee benefits.
- Local candidates strongly encouraged to apply.