Job Family : Health, Nutrition & Population
Job Type: Professional & Technical
HEALTH, NUTRITION AND POPULATION GLOBAL PRACTICE
The central contribution of the Health Nutrition and Population (HNP) Global Practice to the World Bank’s twin goals is to enable the achievement of Universal Health Coverage (UHC), in which all people are effectively covered by essential health services, and nobody suffers undue financial hardship as a result of illnesses. In the quest for UHC, the HNP Global Practice is building on progress made in the framework of the Millennium Development Goals, an array of analytical and advisory services, strategic partnerships with partner institutions and other financing agencies, and an active lending portfolio. The HNP Global Practice includes staff members in Washington, DC and many country offices.
The HNP Global Practice is led by a Senior Director, who has overall responsibility for the GP. The Senior Director is assisted by the Director, who serves as the Chief Operating Officer of the Practice. The HNP Global Practice Management Team, which is the group that leads and manages the HNP GP, consists of the Senior Director, the Director and eight HNP Practice Managers. The HNP Global Practices works with and across multiple sectors, in recognition of the fact that HNP outcomes often depend on actions that lie outside the HNP sector. Accordingly, a capacity to work across GP boundaries, forge coalitions and influence multi-practice solutions is essential for achieving the major objectives of improving HNP outcomes.
NIGERIA COUNTRY Context
About 900,000 children and mothers die each year in Nigeria mostly from preventable causes. Over the last decade the trend in health, nutrition, and population (HNP) outcomes in Nigeria is mixed with a 36 percent decline in the under-five mortality rate (U5MR) but no change in the prevalence of malnutrition. Fertility and maternal mortality have also not changed. The limited progress on HNP outcomes is consistent with the picture in service delivery where over the last quarter century the coverage of key health interventions has stagnated at low levels. The limited coverage of important interventions is further aggravated by poor quality of care.
Input-related issues explain little of the problem, indeed Nigerians have better physical access to health facilities than their neighbors in West Africa. There are also more health workers per capita than in much of Sub-Saharan Africa. While much of the needed inputs are in place, the lack of significant progress is likely due to poor quality management, lack of incentives and inadequate accountability mechanisms. Thus the Bank’s HNP portfolio aims at increasing the focus on results, strengthening accountability, and building management capacity. This is exemplified by the Saving One Million Lives (SOML) Program for Results (PforR) and the performance-based financing (PBF) supported under the
Nigeria State Health Investment Project (NSHIP)
Health care financing is mostly out-of-pocket and public expenditure is unlikely to increase much. It is difficult to get reliable information on health care financing in Nigeria as efforts by the Bank (which is currently carrying out a resource tracking survey) and other partners can attest. While keeping in mind the limitations of the data, there are a few salient points on which there is widespread agreement: (i) there is high out-of-pocket (OOPs) expenditure representing about two/thirds of total health expenditure. This is consistent with the wide use of the private sector, low levels of public expenditure on health, and limited use of risk pooling; (ii) public expenditure is inefficient, partly because there is little non-salary recurrent budget. What little there is does not end up at health facility level; (iii) public health expenditure, currently about 1.2 percent of GDP and about 7 percent of budget, may increase modestly as a result of economic growth and increased commitment to health (as exemplified by the recent signing of the “National Health Act”). However, the Government’s heavy dependence on oil (which accounts for about 75 percent of its revenues), makes it unlikely that overall public revenues will increase substantially over the medium term. In this context increases in public expenditure on health are likely to be modest in the next few years.
The job of the Senior Health Economist will be to support the Nigerian government and the country team in addressing the difficult health financing challenges the country faces. The Bank plays a critical leadership role on communicable disease programming in Nigeria and the candidate is expected to dialogue with other key actors in the health and other relevant sectors, provide technical value-added support to government counterparts, and be able to manage donor relations towards a more systematic approach to combating communicable diseases in the country. The Health/Operations Specialist will also contribute to the Unit’s operational and analytic work programs as a tool to strengthen health systems and to improve health outputs and outcomes.
Note: If the selected candidate is a current Bank Group staff member with a Regular or Open-Ended appointment, s/he will retain his/her Regular or Open-Ended appointment. All others will be offered a 3 year term appointment.
Duties and Accountabilities:
The Senior Health Economist will be based in the World Bank Country office in Abuja and, working in close collaboration with the Bank team, including Lead Health Specialist and the task-team leaders (TTLs), will:
1. Play a lead role in supporting the Nigerian Federal and State Government and country health teams in strengthening health system performance including financial protection and resource mobilization;
2. Play a critical role in the HNP team’s evolving work program of analytical and advisory activities (AAA) related to health care financing in general and specific activities related to resource tracking, public expenditure reviews, and development of national health accounts;
3. Support the implementation of the National Health Act (NHA) by providing technical assistance to the National Health Insurance Scheme (NHIS) and National Primary Health Care Development Agency (NPHCDA);
4. Carrying out such AAA as would help strengthen the team’s ability to provide timely and effective advice to the Federal and State Governments;
5. Closely collaborate with the IFC to build effective public-private partnerships and help grow the private sector, especially in those parts of the country where it is under-developed;
6. Actively support the teams implementing the SOML PforR and the NSHIP by participating in supervision missions, providing analytical support to the task teams and clients, and spending time in the field to understand the real challenges facing implementers and beneficiaries;
7. Help ensure close coordination with: (i) government; (ii) a variety of international and local development partners; and (iii) the CMU and Bank team across other sectors;
8. Carry out such tasks as the Practice Manager assigns to support the development of the Bank’s work in health, nutrition, and population in Nigeria.
Selection Criteria:
The selected candidate should have the following minimum qualifications/ experience:
1. Advanced degree in Health Economics (or social sector economics) and at least 8 years of relevant experience;2. World class knowledge and experience of health economics in developing countries, preferably in a variety of country settings;3. Strong knowledge and understanding of Health, Nutrition and Population issues, political economy, institutional economics, and governance;4. Proven analytical and quantitative skills including significant journal publications. Knowledge of impact evaluation will be an asset.5. Excellent English language writing and oral communications skills. Must be a compelling speaker and an effective advocate for effective health policies;6. Strong diplomatic skills and success working in teams both as a team member and as a team leader. Demonstrated ability to deal sensitively in multi-cultural environments and build effective working relations with clients and colleagues. Proven ability to function effectively in multi-disciplinary teams;7. Knowledge of results-based financing (RBF) mechanisms would be an advantage.
In addition to the above, the successful candidate is expected to demonstrate the following competencies:
Client Orientation — Maintains client relationships in the face of conflicting demands or directions and provides evidence-based advice and solutions based on sound diagnosis and knowledge.
Drive for Results — Identifies the needed resources to accomplish results involving multiple stakeholders and finds solutions to obstacles affecting key deliverables.
Teamwork (Collaboration) and Inclusion — Shows leadership in ensuring the team stays organized and focused, and actively seeks and considers diverse ideas and approaches.
Knowledge, Learning and Communication — Leads in the sharing of best practice, trends, knowledge and lessons learned across units and with clients and partners, articulating ideas verbally and in writing in a clear and compelling way across audiences of varied levels.
Business Judgment and Analytical Decision Making – Gathers inputs, assesses risk, considers impact and articulates benefits of decisions for internal and external stakeholders over the long term.
The World Bank Group is committed to achieving diversity in terms of gender, nationality, culture and educational background. Individuals with disabilities are equally encouraged to apply. All applications will be treated in the strictest confidence.
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