Consultant Evidence-based healthcare

1.Purpose of consultancy

This consultancy aims to support the Egyptian Health System in development and strengthening of the clinical governance system within it and promoting its application at various levels of practice. To achieve this, the WHO will hire a consultant with top-level experience in clinical governance to work with teams from Egyptian Ministry of Health and Population (MOHP), Universal Health Insurance (UHI) authorities and WHO Egypt to carry out this work as defined below. This consultancy will also support implementation of the integrated multi concept approach in the region for generation and use of evidence for policy-making for health.

2.Background

In December 2017, Egypt passed a Universal Health Insurance (UHI) law to accelerate progress towards Universal Health Coverage (UHC). The new UHI law is regarded as a comprehensive “Health Act” that entails major health sector transformation with fundamental institutional, functional, and regulatory restructuring separating financing from provision of health services.

As stipulated in the law, a new “Universal Health Insurance Agency (UHIA)” has been established to serve as the “purchaser” of health services, a “Egyptian Healthcare Authority (EHA)” established as the public “provider” of health services and, a “General Authority for Healthcare Accreditation and Regulation (GAHAR)” established as the “accreditor and technical regulator”. This has consequently led to substantial change in the mandates, authorities, responsibilities, and governance framework of the ministry of health and population as well.According to the new aw, insurance coverage for all Egyptians will be rolled-out all over the country in 6 phases over 10-years period. WHO is very keen that the ambitious project will be working towards achieving the health pillar of the sustainable development goals.

Putting Egyptians’ health and quality of life the final goal.UHC will ensure that all Egyptians have the access to early intervention, and prevention coverage, with reasonable acceptable quality. Towards developing the system of UHC with its core of upgrading the quality of provided services, while ensuring the availability of proper benchmarking for its functions and to build on them afterwards to adopt a convenient strategy for the provided health care services in Egypt

WHO Egypt is committed to supporting the government of Egypt in its pursuit to achieve UHC, by addressing current and upcoming challenges through its wealth of technical expertise. WHO Egypt worked with the GoE to operationalize this concept and make UHC a reality. WHO support is based on the priorities needed for health systems strengthening and health security, ranging from Health governance and leadership upgrade, Health workforce development, health services quality enhancement, implementing equitable health financing reforms, medical products and devices support.

In addition to all this, informed by best available evidence from verifiable knowledge, research and reliable information. The programme’s mission is to strengthen the capacity of Member States to improve availability, quality and use of evidence from reliable information, research and other sources of knowledge, and to enhance effective innovations toward Universal Health Coverage and health related Sustainable Development Goals.

3.Work to be performed

Strengthen the clinical governance and patient safety system at the system level, through promoting good governance and universal health coverage, at the institutional level, through emphasizing the importance of board governance and at the micro level, and through adopting national guidelines to ensure quality and safe healthcare. Also, to support implementation of the multi concept approach for evidence-informed policy-making in the region.

Thus, WHO Egypt will be hiring a consultant to be responsible for the overall completion of the work and expected deliverables:

Output 1: Building national capacity on implementation of a clinical governance framework.

Deliverable 1.1 Support establishment of a learning platform for the clinical governance course, as a sustainable measure for learning and providing actual training for key concerned providers.

Deliverable 1.2 Conduct field visits to governorates and hospitals to conduct on-site training based on needs of nationals.

Deliverable 1.3 Sustain buy-in of national stakeholders, to build national capacity of the highest levels of the insurance organizations and to orchestrate the governance framework required for implementation.

Deliverable 1.4 Support establishing a monitoring framework to follow up on the progress in enrolled health facilities and provide support when required.

Deliverable 1.5 Participate in focused field training activities on key and priority clinical governance pillars in Universal Health Insurance (UHI) governorates

Deliverable 1.6 Participate in launching of a clinical governance framework in newly enrolled UHI governorates.

Deliverable 1.7 Document and report on all conducted workshops and field visits, including:

-Production of a policy brief on clinical governance framework implementation in Egypt.

-Development of a peer-reviewed publication documenting the experience and details of Egypt in clinical governance implementation.

-Production of information briefs for key stakeholders in healthcare authorities in Egypt.

Output 2: Support the development of the national clinical guidelines.

Deliverable 2.1 Coordinate the implementation of training workshop for national authorities’ capacity building.

Deliverable 2.2 Assist in conducting a situation analysis, for identifying gaps and prioritizing guideline development and appraisal.

Deliverable 2.3 Conduct field visits to the national center for guideline development to assess needs and provide appropriate support.

Deliverable 2.4 Participate in meetings for guideline development groups for aiding in various aspects of guideline development including prioritization, appraisal, finding evidence to support recommendations and drafting guidelines.

Deliverable 2.5 Reports of all conducted workshops and field visits.

Output 3: Support development and dissemination of a patient safety program in healthcare facilities affiliated with the UHIS.

Deliverable 3.1 Deliver a training course for healthcare facilities staff on patient safety.

Deliverable 3.2 Support the dissemination of training and education on patient safety in primary healthcare centers, through a clear framework and action plan with a clear timeline for implementation.

Deliverable 3.3 Devise strategies for patient engagement in healthcare as well as patient education and empowerment.

Output 4: Support implementation of the integrated concept for evidence-informed policy-making in the EM region

Deliverable 4.1: literature review and expert consultation to identify the key elements for implementation of the multi concept approach for institutionalization of EIPM endorsed in 2019

Deliverable 4.2: draft a tool/guidance to support countries in implementation the integrated EIPM concept

4.Qualifications, experience, skills and languages

Educational Qualifications:

Advanced University Degree (Master’s degree) in quality of clinical care, patient safety and/or related fields with a University degree in Medicine

Experience:

Minimum 7 years’ experience in health systems strengthening and health security, ranging from Health governance and leadership upgrade, Health workforce development, health services quality enhancement, and related experience related to quality of clinical care and generation and use of evidence for policy-making for health.

Skills/Technical skills and knowledge:

• Proficient in Infection Control, Quality of clinical care and Patient Safety.
• Experience in designing and providing Patient Safety training for users.

Languages and level required:

Arabic mother tongue

Fluent (Read - Write - Speak) in English

5.Location

The consultant will work under WHO management, serving as part-time advisor to EHA designated staff and other related stakeholders.

Duty station: She/he will be stationed in Cairo and might travel to UHI implementation governorates as needed.

6.Planned timelines (Subject to confirmation)

16 February 2025 to 15 December 2025

7.Medical clearance

The selected Consultant will be expected to provide a medical certificate of fitness for work.

8.Travel

No expected travel outside Egypt

All travel arrangements will be made by WHO – WHO will not be responsible for tickets purchased by the Consultant without the express, prior authorization of WHO. While on mission under the terms of this consultancy, the Consultant will receive subsistence allowance.

Additional Information

·This vacancy notice may be used to identify candidates for other similar consultancies at the same level.

• Only candidates under serious consideration will be contacted.
• A written test may be used as a form of screening.
• If your candidature is retained for interview, you will be required to provide, in advance, a scanned copy of the degree(s)/diploma(s)/certificate(s) required for this position. WHO only considers higher educational qualifications obtained from an institution accredited/recognized in the World Higher Education Database (WHED), a list updated by the International Association of Universities (IAU)/United Nations Educational, Scientific and Cultural Organization (UNESCO). The list can be accessed through the link: http://www.whed.net/. Some professional certificates may not appear in the WHED and will require individual review.
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The WHO is committed to achieving gender parity and geographical diversity in its workforce. Women, persons with disabilities, and nationals of unrepresented and underrepresented Member States (https://www.who.int/careers/diversity-equity-and-inclusion) are strongly encouraged to apply for WHO jobs.

Persons with disabilities can request reasonable accommodations to enable participation in the recruitment process. Requests for reasonable accommodation should be sent through an email toreasonableaccommodation@who.int

·An impeccable record for integrity and professional ethical standards is essential. WHO prides itself on a workforce that adheres to the highest ethical and professional standards and that is committed to put the WHO Values Charter (https://www.who.int/about/who-we-are/our-values) into practice.

• WHO has zero tolerance towards sexual exploitation and abuse (SEA), sexual harassment and other types of abusive conduct (i.e., discrimination, abuse of authority and harassment). All members of the WHO workforce have a role to play in promoting a safe and respectful workplace and should report to WHO any actual or suspected cases of SEA, sexual harassment and other types of abusive conduct. To ensure that individuals with a substantiated history of SEA, sexual harassment or other types of abusive conduct are not hired by the Organization, WHO will conduct a background verification of short-listed candidates.
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• Consultants shall perform the work as independent contractors in a personal capacity, and not as a representative of any entity or authority.
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