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UN Jobs / NGO Job Vacancy : Lesotho: GAVI-CEF Coordination Consultant

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Organization: UN Children's Fund
Country: Lesotho
Closing date: 12 Jun 2018


Since 2017, GAVI-eligible countries requesting new health system strengthening (HSS) support are required to follow a new process, which aligns the programming of GAVI support with a country strategic multi-year plan. This new process -Country Engagement Framework (CEF) brings together all forms of GAVI financial support into a single portfolio view for the upcoming 3-5 year period based on country priorities.

Lesotho current HSS grant will end in December 2018 and the country will apply over the course of 2018 for its next grant covering the next 5 years with a portfolio that includes HSS2, CCEOP, HPV national and implementation of MR follow-up campaign

The key steps of the CEF process consists of a preparatory analysis/desk review, in-country dialogue, and an independent review of the Programme Support Rationale (PSR) and Vaccine Support Request (VSR) followed by approval and disbursement.

The preparatory analysis of existing country documents should ensure that all stakeholders have a solid understanding of the evidence and data about the programme, including the current immunisation coverage and equity situation, epidemiological evidence and recent trends, and associated programmatic needs and gaps.

The country dialogue engages the Inter-Agency Coordinating Committee (ICC) and relevant stakeholders in programming GAVI vaccine and financial support for the 3-5 year period, prioritising investments according to the country national plans. The dialogue builds on broader national health sector strategic planning or EPI planning. Lesotho has just completed the cMYP (2018 -2022) in January this year.

During the CEF process, Lesotho is expected to develop the Programme Support Rationale (PSR): a country request for new support from GAVI as a contribution to the national immunisation programme for the upcoming 3-5 year period.

The PSR provides a country specific rationale for requesting GAVI vaccine and financial support, and should address systems-related bottlenecks to sustainably improve coverage and equity. It draws directly on the preparatory analysis, reflecting the country epidemiology profile, coverage and equity situation, and immunisation programme priorities and plans. It should also consider the particular activities needed to address bottlenecks to supply chain and vaccine management, demand promotion and community engagement for immunisation services, leadership, management and coordination and information systems and data quality.

The PSR is shaped during the country dialogue, when relevant partners (including the GAVIi Secretariat) provide feedback on drafts PSR and ensure that comments are adequately communicated and considered by the country. The final PSR is signed by the Minister of Health and Minister of Finance and endorsed by the National Coordination Forum (ICC) before review by the GAVI Independent Review Committee (IRC).


The consultancy will support the MOH to develop a Programme Support Rationale[1] for Lesotho to amongst others support the Immunization Programme with the resources to support the introduction of new vaccines, increase immunisation coverages, support with cold chain system and injection safety materials;

The consultant would also facilitate the country dialogue supported by evidence and data to support the development of a single portfolio view for the upcoming 3-5 year period based on Lesotho priorities.

This process will require that the consultant:

  • Ensures ownership of the CEF process remains with country
  • Aligns the outcome of the Preparatory analysis Desk review phase discuss country context, challenges & objectives with stakeholders
  • Coordinates and collaborates among key partners, including GAVI, UNICEF,WHO and civil society organisations, with clear outline of roles & responsibilities
  • Completes the strategy including the portfolio view of vaccines and health systems for the next 3-5 year timeline
  • Facilitates the translation of the strategy to complete GAVI Programme Support Rationale and vaccine requests, together with detailed budgets and operational plans

The consultant will be embedded full-time within the MoH team for the duration of the post and is expected to take complete responsibility of the end-to-end delivery of the process. However, the consultant will not be a substitute for the Ministry of Health capacity, but is expected to ensure that skills and capacities are sustainably transferred to the Ministry of Health

3. Methodology and Expected Outputs

Under the joint supervision of MoH (Director PHC) and UNICEF (Chief of Health and HIV), the consultant is expected to work with MoH (primarily FHD-EPI unit and Planning Division), EPI partners and various working groups to;

  • Conduct desk review: including monitoring data and other relevant documentation combined with series of interviews with key staff within the program, implementing partners and other key stakeholders.
  • Discuss the impact of Gavi support (HSS and Vaccines) to the EPI programme with beneficiaries and community based stakeholders.
  • Conduct meetings with programme officers and partners to explore options for making CEF grant relevant to local context and ability to meet local needs.

Design and facilitate the in-country workshop and development of the PSR

4. Major tasks, Deliverables, Timeframes and Payment Schedule


Major Task


Timeframe (work-days)


Payment schedule (%)


Analysis of bottlenecks, best practices, programme risks and lessons learned

Inception report; Comprehensive review of literature

Analysis of current situation to understand the gaps and pockets of low coverage and inequity in service delivery as well as the solutions needed to address these, includingÂÂ

Analysis of programmatic risks following the audit findings, current absorption rates

15 days

Report to MoH, UNICEF



Facilitate the in country dialogue and support drafting of the PSR

Design and facilitate the in-country workshop and development of the PSR.

15 days

Report to MoH, UNICEF



Support countrys budget proposal

Support draft budget proposal in parallel to PSR development, in close collaboration with FHD/Planning

10 days

Report to MoH, UNICEF



Identify and make recommendations including concrete action points that can be included in the new HSS Grant Application/PSR.

Support finalisation of PSR

10 days

Report to MoH, UNICEF


All deliverables will have to meet expected quality and standards as assessed by the supervisor of the assignment. Should the consultant fail to deliver as per expected quality and standards, UNICEF reserves the right to amend the payouts accordingly, or to delay them until satisfactory submission has been received.

5. Consultancy Timeframe

The HSS Grant Application process is expected to commence in June 2018 to allow timely final submission for IRC review by November 2018

6.Consultancy Requirements

The Consultant should have the following qualifications

  • Advanced degree in Public Health, Health Economics, Health Services Management or related field.


  • At least 10 years working in health sector development preferably Africa;
  • Good understanding of the Lesotho health system;
  • Excellent understanding of Health sector governance and management issues;
  • Considerable experience in health systems analysis;
  • In-depth understanding of cost benefit analysis of health sector interventions;
  • Experience in working with multiple health sector stakeholders;
  • Excellent writing and presentation skills
  • In-depth understanding of the Expanded Program on Immunisation programme is a distinct advantage


Primarily the Director PHC with support of Planning Directorate (MOH), and UNICEF (Chief of Health and HIV) will be supervising the CEF proposal development

8. Consultancy Classification

This is a senior level international consultancy. The competitive market rates will apply. DSA schedule will apply according to agreed UN rates.

9.Other Consultancy Costs and Payment Modalities

The competitive market rates would apply as there is foreseen travel (up to 15 field visits) over the duration of the contract. The consultant should submit an all-inclusive fee (lump sum) in his/her proposal.

10.Other Conditions

  • The contractor will work on own computer(s) and use own office resources and materials in the execution of this assignment. The contractor fee shall be inclusive of all office administrative costs
  • Local travel (outside Maseru) will be covered in accordance with UNICEF rules and tariffs in an all-inclusive contract.
  • Flight costs will be covered at economy class rate as per UNICEF policies.
  • Workshop costs (if any) for report dissemination will be covered separately by UNICEF.
  • UNICEF shall normally be entitled to all property rights, including but not limited to patents, copyrights and trademarks, with regard to material which bears a direct relation to, or is made in consequence of, the services provided to the Organization by the consultant.
  • Please also see UNICEF Standard Terms and Conditions attached.

[1] The PSR is the template countries use to plan and request a portfolio of new support from Gavi and it replaces the HSS application form of the past.

How to apply

Interested and qualified candidates are requested to submit their application to the following link:

Please indicate your ability, availability and rate (all inclusive rate) to undertake the terms of reference above.

Applications submitted without a fee rate will not be considered. We invite you to watch a short video on the system on how to apply:

If you have not been contacted within 1.5 months of the closing date, please accept that your application was unsuccessful. Regret emails will be sent only to shortlisted/contacted candidates.

View our competency framework at

UNICEF is committed to diversity and inclusion within its workforce, and encourages all candidates, irrespective of gender, nationality, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of the organization.


Mobility is a condition of international professional employment with UNICEF and an underlying premise of the international civil service.

Only shortlisted candidates will be contacted and advance to the next stage of the selection process.

How to apply:

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organization. To apply, click on the following link