Anunțuri de Angajare

Data analyst

Terms of Reference

Moldova Service delivery indicators (health)

1. Background

The Government of Moldova places strategic importance on health. Given the rapid epidemiologic and demographic transitions underway, the Ministry of Health, Labor and Social Protection (MoHLSP) and the World Bank (WB) want to ensure that Moldova’s health facilities are prepared for the changing burden of disease and that services are of good quality and are responsive to the needs of the population they serve. The MoHLSP, in partnership with the WB, is undertaking a survey to measure health facility quality and capacity across the country. This survey will not only inform the plans of the MoHLSP, but also, will provide key insights for World Bank work in the country and region.

Service Delivery Indicator (SDI)^[1] surveys generate nationally-representative data on the quality of health services. The data that are collected generate a platform for social sector accountability and benchmarking of results, within and across countries, and over time. Since the inception of the program in 2010, 24 surveys have been completed in 12 countries in Africa, capturing the health and primary education service delivery experience of over 500 million people. The surveys now extend around the globe: data collection for the first SDI surveys in Latin America (Guatemala), East Asia/Pacific (Indonesia), and Middle East/North Africa (Morocco), and South Asia (Bhutan) are currently underway.

The health SDI in Moldova will measure service delivery across all levels of primary health care providers in the country, with a special focus on measuring:

(i) Facility characteristics: Do health facilities have the equipment (e.g., medicines, infrastructure, supplies) and resources they need to deliver high-quality care? Are facilities prepared for disasters and pandemics?

(ii) Provider characteristics: Are health care providers accurately diagnosing and treating common health conditions, adhering to MoHLSP clinical guidelines? Are health care providers present at their facilities during their shifts? Are providers seeing a high number of patients each day? Are they receiving adequate on-the-job training?

(iii) Patient experience: Are patients receiving the services they need? Do they have high out-of-pocket costs? Are they satisfied with the care they receive?

The Moldovan health team, in collaboration with the Human Development Chief Economist’s Office, will implement a health SDI survey in 2021. This survey will be the first SDI to take place in the Europe Central Asia region and will therefore require special considerations and adaptation of the standard SDI tools. The team will engage in groundbreaking work that will be used to guide future health facility surveys in similar settings.

 ^[1] For more information see: https://www.sdindicators.org/.

2. Scope of work

Tasks

The consultant will provide oversight and technical guidance during data collection and analysis of the survey, which will be implemented by a survey firm. This section describes the survey; the consultant must serve as an independent advisor to the firm and liaison between the World Bank and firm to ensure that data is reviewed during collection and any errors are addressed. After completion of data collection, the consultant will take the lead in providing initial analysis of the data, including generating statistics, creating figures and writing a report to summarize findings.

The survey instrument is comprised of 3 questionnaires (as described in Table 1 below) which will be administered by at least 3 enumerators per facility (including one Supervisor). Each survey is expected to take 1.5 days, allowing for movements to and from facilities. There will be two visits per facility in the sample: (i) a first announced visit; and (ii) a second unannounced visit done at least 3 full working days after the announced visit.

Table 1: Health SDI instrument overview

In support of this objective, the following tasks/activities will be undertaken by the consultant:

1. Facilitation of communication between the firm’s CAPI experts and the WB team in finalizing the CAPI tool, eliminating any glitches in the program.
2. Ongoing review, in real time if possible, of the data transmissions provided by the firm. The consultant will be responsible for reviewing the data provided by the firm to check for quality, reporting back key messages back to the WB SDI team. The consultant will be responsible for supporting the firm in addressing any quality issues.
3. Respond to potential bottlenecks in survey implementation and bring them to the attention of the WB SDI team and the survey firm so that they can be addressed immediately.
4. Quality assurance of the final survey dataset produced by the firm, including liaising with the firm staff to implement any relevant changes to the data to ensure quality.
5. Interpretation of the data resulting from the survey, which will be presented in report, presentation, and policy brief form. This includes careful review and quality control of materials produced in Moldova (including but not limited to a report, presentation, and policy brief). The final report will be produced in collaboration with the firm and the WB team.
6. Any other tasks related to data management and analysis as advised by the TTL

Deliverables

The STC will be responsible for ensuring that data collection is high quality and that the final report captures the main findings of the survey. Deliverables include:

1. Protocol and analysis plan for data review, including key variables and regular checks to be run. The analysis plan should be based on a thorough review of the questionnaire and objectives/methodology of the survey.
2. Frequent reviews of data quality (at least weekly), identification of data quality issues and proposed way forward. Production of weekly data quality reports to share with team.
3. Data analysis, including figures and tables for survey report, presentations, and a policy brief
4. Presentations/materials on survey methodology, data analysis, and other relevant topics.
5. In collaboration with the survey firm and WB team, finalized Moldova SDI Report summarizing the findings of the survey, with appropriate figures, descriptions and analysis.
6. Any other tasks related to data management and analysis as advised by the TTL

Role of the STC and reporting lines

The STC will report to the Moldova Universal Health Coverage World Bank team lead and be supervised by the SDI Leads at the World Bank Group.

Timeline

The STC will be hired for a total of 40 days in FY 22 (July 1, 2021 to February 28, 2022), with the possibility of extension. The STC will be paid upon submission of agreed upon deliverables and based on the number of days worked. The proposed payment schedule is as follows:

• Supervision of data collection (approx. 10 days of work) by December 31, 2021
• Finalized and cleaned datasets (approx. 10 days of work) by January 31, 2022
• Finalized Moldova SDI Report (approx. 20 days of work) by February 28, 2022

These milestones and deliverables can be revised if agreed between the STC and the WB Leads.

Requirements:

• Advanced quantitative skills and data literacy (STATA preferred)
• Experience supporting data quality assurance for CAPI surveys, such as with Survey Solutions
• Ability to synthesize complex information effectively.
• Good writing skills and ability to generate clear reports in English.
• Master Level degree in health policy, heath systems research, health service organization, health care management, public health or equivalent discipline. Ph.D. preferred.
• More than 4 years of work experience in data management and data analysis with large datasets.
• Familiarity with the SDI methodology is strongly preferred.
• Experience working in or with the Moldova or European and Central Asia (ECA) health systems is preferred.
• Familiarity with primary health care structure and service delivery in ECA is preferred.
• Ability to work well in multidisciplinary and multicultural teams.
• Fluent in English. Knowledge of Romanian would be an advantage.
• Strong organizational skills and attention to detail.

Intellectual Property

The World Bank shall, solely and exclusively, own all rights in and to any work created in connection with this agreement, including all data, documents, information, copyrights, patents, trademarks, trade secrets or other proprietary rights in and to the work. The consultant is not allowed to post or publish (electronically or in print) any project-related information without the explicit permission of the World Bank.

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Please send your application letter in English with CV electronically to Ilie Volovei (ivolovei@worldbank.org) and Tamara Ursu (tursu@worldbank.org)

Only applications received by Wednesday, July 28. 2021 will be considered.