Overview
The consultant will produce country-level fiscal space analysis for Sexual and Reproductive Health and Rights (SRHR) to identify, quantify, and rank actionable financing options. The resulting evidence will be used to drive advocacy for increased public investment in SRHR and strengthen the inclusion of SRHR in national health financing strategies.
Key Responsibilities
- Review existing national health financing strategies, health sector budgets, public expenditure reviews, national health accounts, and SRHR-related policy documents. Map current public financing flows for SRHR, including allocations by level of government (central and subnational), and identify key data sources and gaps.
- Quantify the level of current domestic public expenditure on SRHR and estimate the financing gap relative to the cost of the SRHR benefit package.
- Identify concrete, feasible, and country-specific options to increase domestic public financing for SRHR. Options can include, where applicable: behavioral taxes (tobacco, alcohol, sugar-sweetened beverages) with earmarked allocations; levies on extractive industries; efficiency gains from rationalizing existing health expenditure; and reallocation of health budget resources towards SRHR. Each option must be quantified in terms of its estimated additional resource generation potential and assessed for political, administrative, and economic feasibility.
- Develop financing scenarios for SRHR that combine different fiscal space options and present projected resource trajectories at short-term, medium-term, and long-term horizons. Scenarios should include a baseline (continuation of current trends), a reform scenario (implementation of selected fiscal space options), and an accelerated scenario (full mobilization of identified options).
- Facilitate consultations with relevant national stakeholders, including the Ministry of Finance, Ministry of Health, civil society organizations working on SRHR, and key partners. Consultations will be used to validate data, assess the political feasibility of identified options, and build national ownership of the analysis.
- Facilitate a national validation workshop to present preliminary findings, review key assumptions, and integrate stakeholder feedback into the final analysis.
- Prepare a comprehensive country fiscal space analysis report for SRHR and a concise policy brief for policymakers. Develop a slide deck for stakeholder disseminate
Required Experience
- Minimum 7 years of professional experience in health financing, health economics, or public finance in low- and middle-income country (LMIC) settings.
- Demonstrated hands-on experience conducting fiscal space analyses for health.
- Proven track record in quantitative analysis of public health expenditure, including the use of national health accounts, public expenditure tracking, and budget analysis.
- Experience identifying and quantifying domestic resource mobilization options for health, including behavioural taxes with earmarked allocations, efficiency analyses, and budget reprioritization.
- Experience facilitating multi-stakeholder consultations and technical workshops in complex, multi-actor environments involving government, civil society, and international organizations.
- Strong report writing skills, including the ability to translate complex quantitative findings into accessible, policy-relevant evidence products.
Qualifications
Advanced university degree (master's) in health economics, economics, public finance, public health, health policy, or a closely related field. PhD in health economics, economics, public finance, public health, health policy, or a closely related field is desirable.
