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Country Context: India is in the midst of a demographic and epidemiological transition—with an unfinished communicable diseases agenda on one hand, and a growing burden of non-communicable diseases on the other. The country has made substantial progress on HIV/AIDS and reduced new infections and deaths by improving access to prevention and treatment for key populations and treatment services for people living with HIV (PLHIV). Adult prevalence has declined from 0.4% in 2001 to 0.3% in 2016. However, despite some successes, India has made limited progress on TB outcomes; India contributes close to 25% of the global burden, a proportion that has remained constant for more than 20 years.
One of India’s most severe health crises, TB kills an estimated 480,000 people every year and more than 1,400 people every day. Despite a growing number of TB cases notified, India has more than a million “missing” cases every year. These cases are not notified in the public system and most remain either undiagnosed or inadequately diagnosed and treated in the private sector. Delayed diagnosis and incomplete treatment are the greatest challenges to TB control in India—particularly among private providers, who are ill-equipped to sustain patients on prolonged, complex, and costly regimens.
India made substantive progress under the previous National Strategic Plan (NSP) 2012-2017, which saw the revised National TB Control Program scale up basic TB services in the public health system. Yet the rate of TB decline in the country is still too slow to meet 2030 Sustainable Development Goals and 2035 End TB Targets. To achieve the benchmark of 10-15% percent decline in TB cases annually, the roll-out of new and comprehensively deployed interventions are required. The NSP 2017-2025 has prioritized such interventions under four strategic pillars: Detect, Treat, Prevent, and Build.
The World Bank Board of Directors approved the PTETB on March 29, 2019 with an implementation period from 2019-24. The Health Specialist/Private Sector Engagement is expected to support the task team to deliver high-quality implementation and technical support to the Central TB Division and to the nine targeted states. He/she will play a key role in the Bank’s technical assistance to the National TB Elimination Program and in Bank Executed Technical Assistance.
Duties and Accountabilities
The Extended Term Consultant will support the World Bank’s HNP portfolio in India, including the ongoing policy dialogue with Governments and partners, preparation of analytical products, provision of technical and advisory services, and the preparation and implementation of operations with a focus on the TB Program. The extended-term consultant (ETC) will report to the HNP Practice Manager and will be responsible for the following tasks and duties:
• Provide technical support to the NTEP to scale-up strategic purchasing of TB services from private providers
• Provide implementation support to CTD and states to enable the scale-up of private provider engagement
• Undertake technical and progress review of the four results areas financed by the Program Towards Elimination of TB.
• Contribute to the Bank’s wider private sector focused Health, Nutrition and Population work.
• Provide technical and implementation support to the CTD to accelerate DBT roll-out by states; this involves support of DBT systems development and performance monitoring.
• Provide technical assistance to the CTD to digitize benefits under Nikshay Poshan Yojana.
• Contribute to high-quality analytical and advisory services tasks related to integration of various risk pools and health financing initiatives within the boarder health systems and related topics in the Indian context.
• Contribute to high-quality analytical and advisory services to support Bank’s engagement in TB and other initiatives and related topics in India with a view towards integrating these initiatives within the broader health systems and strengthening state capacity in select Indian states.
• Participate in and contribute to technical assistance work to support relevant capacity-building activities including in the design and implementation of workshops, seminars, etc.
• Conduct data collection and data analysis to assess TB data quality, and design data quality improvement strategies.
• Design and conduct program evaluation studies, operation research, and other analytical work to assess the effectiveness and impact of various innovations (such as DBT, private sector contracting models) under the National Strategic Plan (NSP), as well as identifying the challenges of implementation
• Participate in and contribute to policy dialogue with government counterparts -- including at the national and sub-national levels -- and with other relevant stakeholders.
• Help the team with building and maintaining partnerships and networks within the Bank (in HNP as well as other sectors) and with external partners.
• Advanced university degree (Masters or equivalent), preferably in public health, economics or other related field, with a minimum of 5 years of relevant experience. A PhD would be an advantage.
• Knowledge of and experience with the health sector in India - including institutional set up, health policies and programs, challenges, and priorities.
• Experience in private sector engagement and working in mixed health systems an added advantage
• Demonstrated track record of synthesizing complex analytics and results into user-friendly outputs, including PowerPoint presentations, Policy Briefs and Working Papers.
• Proven analytical skills linking strategic thinking and quantitative analysis, and the ability to inform high-level policy dialogue through strong communications (including writing) skills, including data visualization skills.
• Diplomatic and client-engagement skills, and proven success working as a team member.
• Proactive and results-focused work style with strong problem-solving capabilities.
• Experience in international development and experience working with multilateral institutions would be an advantage.
• Prior experience working in the private sector for health an added advantage.
• Excellent oral and written communications skills, in English and good oral Hindi skills.
• Knowledge and experience working in multicultural institution is desirable.
In addition to the above, the successful candidate is expected to demonstrate the following WBG competencies:
• Lead and Innovate - Develops innovative solutions.
• Deliver Results for Clients - Proactively addresses clients’ stated and unstated needs.
• Collaborate Within Teams and Across Boundaries - Collaborates across boundaries, gives own perspective and willingly receives diverse perspectives.
• Create, Apply, and Share Knowledge - Applies knowledge across WBG to strengthen solutions for internal and/or external clients.
• Make Smart Decisions - Interprets a wide range of information and pushes to move forward.
Note: The selected candidate will be offered a one-year appointment, renewable for an additional one year, at the discretion of the World Bank Group, and subject to a lifetime maximum ET Appointment of two years. If an ET appointment ends before a full year, it is considered as a full year toward the lifetime maximum. Former and current ET staff who have completed all or any portion of their second-year ET appointment are not eligible for future ET appointments.
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