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Establishment of Long Term Agreement with a technical support facility for provision of technical expertise in MNCH, HIV/TB/Malaria and Health Systems Strengthening (HSS)

Myanmar (fka. Burma)
Field of Expertise:
Health Policy and Governance; Policy, Governance, System; Health Policy / Policy Dialogue / Governance / Legal framework; Health Service Delivery; PHC/MNCH/RH/Nutrition/W&S; Reproductive Health / Maternal health / newborn health; Health Policy and Governance; Planning, Management, M&E; Monitoring and Evaluation; Health Research and Information; Health Research; LQAS; Health Economics and Financing; Universal health coverage; Universal health coverage_B; Health Economics and Financing; Value for money (Cost-effectiveness, cost-benefits, VfM, efficiency, impact, equity,?); Value for money (Cost-effectiveness, cost-benefits, VfM, efficiency, impact, equity,?); Health Policy and Governance; Global Health; Global Health
Narrative description of project:
After the withdrawal of the Global Fund from Myanmar in August 2005, a consortium of seven donors (Australia, Denmark, the Netherlands, Norway, Sweden, UK and the EU) established the Three Diseases Fund (3DF). The 3DF donor consortium has committed US$138 million over 5 years (2006-2012) for a humanitarian response to address HIV/AIDS, TB and malaria. In a next phase of funding, referred to as the Three Millennium Development Goal Fund (3 MDG F), these seven donors continue to provide joint donor support. They’ve now expanded the scope beyond the three diseases to encompass maternal and child health and longer-term sustainability. Donor commitment is likely to be in the range of US$250 million to $300 million over 5 years. UNOPS has been appointed the Fund Manager of the 3 MDG F.

hera was contracted to provide robust technical advice and solid backstopping support to the Fund Manager, UNOPS Myanmar, in the three components of the 3 MDG Fund:
  • Component 1: Increased availability and accessibility of essential services focusing on maternal, newborn and child health
  • Component 2: Flexible and strategic support for HIV, TB and malaria interventions for populations and geographical areas that are not supported by the Global Fund
  • Component 3: Complementary health systems strengthening to support long-term sustainability

The objective of the Technical Support Facility (TSF) (hera) was to complement UNOPS Myanmar’s own competencies, strengthen its technical capacity in the above mentioned areas, and ensure transfer of knowledge that would enable it to be more effective in its role.
Description of services provided:
As TSF, hera was requested to provide technical support in a variety of areas of expertise:
  • In January 2013 we advised the 3 MDG Fund on Value for Money. We assisted in establishing a VfM approach/policy for the 3MDG Fund as a whole that reflects current debates and international evidence based approach in the VfM dialogue that include Economy, Efficiency, Effectiveness, Cost-effectiveness and Equity, and provided training and further technical support on the VFM approach and tools.
  • Between January and May 2013, one of our epidemiologists assisted with the analysis of a ‘community-based maternal and child health survey conducted within the Delta townships’ in Myanmar. This survey was conducted by a local firm from Myanmar, and the 3 MDG Fund asked us to review the survey protocol, mentor this firm in the analysis of the survey data - making sure to build their analysis capacities -, and quality assure the output.
  • Between February and May 2013, we had a communication expert assisting the 3 MDG Fund with the development of a communication strategy.

  • From April 2013 until the end of 2017, hera was also closely involved in several Planning activities. Our expert consultant supported the Component 1 team in learning lessons related to township assessments and made recommendations on the selection of priority supply-side and demand-side interventions in the townships, the way forward for these interventions, and allocation of roles and responsibilities for the implementation of these activities (stakeholders from public and private sector and NGO’s). THe consultant also assisted in developing financial and planning tools and provided training to stakeholders in the use of these planning tools.

  • From May 2013 until January 2018 we had a Monitoring and Evaluation (M&E) expert advising the 3 MDG Fund. We reviewed the M&E Strategy and assisted in finalizing relevant M&E policies.
  • In May 2013, we further assisted the 3 MDG Fund in developing Terms of Reference for a Private Sector study.
  • In June-July 2013, the 3MDG Fund wanted to commission Implementing Partners to build a total market approach to delivering MNCH services, with Government ownership and leadership, and both Government and non-public service providers working together to deliver the MNCH objectives. One of our senior experts assisted the 3 MDG Fund in this commissioning process.
  • During that same mission, our expert also assisted the 3 MDG Fund with the quantification of health commodities for the Community Health Workers and the Auxiliary Midwives.
  • Our same epidemiologist was requested in September-October 2013 to assist the 3 MDG Fund first in evaluating proposals for an MNCH baseline survey, and later review/quality assure the survey protocol - providing constructive feedback to ensure a transfer of knowledge
  • From November 2013 until end 2017, we provided several services in reporting and planning, with recurrent missions about every 6 months.

    • Develop the reporting tools and formats for the partners implementing Component 1 and Component 2 grants
    • Review the THCPs and targets against indicators that were already submitted and advice on their quality and consistency on eventual adaptions to be made to the planning tools
    • Finalise the VfM framework based upon advice from IEG, and Sub-Committee
    • Train the 3MDG staff in using the VfM framework

    • Work with the PMU and PSU teams to identify potential 2014 support plan by hera consultants
    • Train the PSU team specifically on the financial reporting of IPs against the THCP
    • Develop and test a revised Programme Management Budget (PMB) tool to be used by all Implementing Partners for the 2016 revision of budgets and work plans

    • Develop and test a revised township planning tool (CTHP) to be used by all Implementing Partners
  • In Feb-Mar 2014 we assisted the 3 MDG Fund in Designing an urban poor health intervention programme
  • In Sep-Oct 2014 hera assisted the 3 MDG Fund with the establishment of a Lot Quality Assurance Sampling (LQAS) methodology and procedures, detailed 2014-2015 work plan and budget, and implementation tools, including a standardized assurance tools, processes and guidelines.
  • In Feb-June 2015 hera provided a Qualitative Analysis and Learning Consultant from Myanmar to the 3 MDG Fund to organize a "Qualitative Information Collection" training workshop in order to provide technical assistance to Collective Voice grant recipients (including 6 Civil Society Organizations and their local partners), followed by a series of field-based technical assistance to the organisations, in order to develop their capacity in the collection and analysis of qualitative information
  • In April-May 2015 hera provided a Quality Assessment Training expert to conduct training for M&E focal points and Fund Management teams in the Data Quality Assurance and Routine Service Quality Assurance tools

  • In Sep-Oct 2015 hera provided a Civil Society Organisations (CSOs) M&E Consultant to support the 3MDG to develop a Monitoring and Evaluation Strategy for the Collective Voices programme, and a social framework (in place of a traditional logframe) for phase 2 projects

  • In Aug-Oct 2015 hera provided a consultant to work with the Ministry of Health in Myanmar on an integrated approach to Reproductive, Maternal, Neonatal, Child and Adolescent health as well as communicable and non-communicable diseases (RMNCAH++) and a RMNCAH++ strategy

  • End of 2015, early 2016 hera provided a Senior Training Consultant to lead three workshops with 3MDG implementing partners on the social determinants of health (SDH) and Universal Health Coverage
  • In Feb-Mar 2016 hera provided technical support to the 3 MDG Fund and its partners relating to conflict sensitivity. This included:
    • Reviewing and finalising the 3MDG Fund Management Office (FMO) Monitoring and Evaluation Framework for Conflict Sensitivity to align with the updated 3MDG Fund Strategy for Operating in Conflict Affected Areas
    • A Conflict Sensitivity Case Study focusing on 3MDG Implementing Partners providing Harm Reduction services in conflict affected communities

    • Provide technical assistance to the FMO and Maternal, Newborn and Child Health (MNCH) Implementing Partners operating in conflict affected areas to jointly determine the best way forward for effective programme delivery
  • Also in Feb-Mar 2016 hera provided a consultant to review evidence on the effectiveness of community based health programmes

  • In March 2016 hera facilitated the development of a revised M&E Strategy which will guide 3MDG’s M&E efforts over the remaining lifetime of the Fund

  • In January 2018, hera supported the Fund Management Office in defining specific, relevant and measurable evaluation questions, advise / recommend the Fund Management Office / the Fund Board on most appropriate, feasible and cost‐effective evaluation design and methods for each thematic area taking into account the existing data, opportunities and constraints and provide inputs to the Fund Management Office for the preparation of the Terms of Reference for selection of evaluation providers for each thematic area.