ET Consultant, Kinshasa, Democratic Republic of Congo

Organization: The World Bank

Country: Democratic Republic of Congo

City: Kinshasa

Office: World Bank in Kinshasa, Democratic Republic of Congo

Closing date: Tuesday, 30 November 2021

ET Consultant

Job #: req13993

Organization: World Bank

Sector: Health/Nutrition/Population

Grade: EC3

Term Duration: 1 year 0 months

Recruitment Type: Local Recruitment

Location: Kinshasa,Congo Democratic Republic

Required Language(s): English, French

Preferred Language(s): Closing Date: 11/30/2021 (MM/DD/YYYY) at 11:59pm UTC


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The Democratic Republic of Congo (DRC) has endured chronic political instability and armed conflict, as well as multiple Ebola outbreaks that have put additional pressures on the country’s already strained health system. Yet, as a result of the government’s efforts and commitment, deaths of children under age 5 dropped by one-third from 2014 to 2017 and the teenage pregnancy rate fell by one-fifth. However, about 42 percent of children are still stunted as a result of chronic malnutrition. These exceptional challenges in DRC have made it difficult to increase domestic spending on health.

In 2016, the government, with support from the Global Financing Facility (GFF) and the World Bank, developed an Investment Case focusing on expanding an integrated package of reproductive, maternal, neonatal, child and adolescent health (RMNCAH) services as well as nutrition and health system strengthening activities in the 14 provinces with the lowest socio-economic and health indicators. In 2018, inspired by the Investment Case prioritization process, the Ministry of Health (MOH) decided to review its National Health Development Plan for 2016-20 (PNDS - Plan National de Development Sanitaire). The MOH, supported by the Donors in Health Group (GIBS - Groupe inter-bailleurs de la santé) conducted a detailed budget and resource mapping at the central and provincial levels of the new PNDS for 2019-22 and it was also decided to reflect all PNDS priorities in the budget. The new PNDS, also called: PNDS recadré is now considered as one prioritized plan and stands as the Investment Case. While broader than RMNCAH, a key focus remains the delivery of primary health care services through performance-based financing (PBF) in all 26 provinces of the DRC.

The GFF is co-financing the PNDS 2019-22 up to US$70 million, while the World Bank is co-financing it through four operations in Health Nutrition and Population.[1] USAID, the UN agencies, GAVI, Global Fund, European Union, DFID and Canada are also aligned to the PNDS 2019-2022 with the Global Fund and USAID pooling resources through the Health System Strengthening for Better Maternal Child Health Project (PDSS - Projet de Development du Système de Santé ). The PDSS is considered as a key vehicle to implement the PNDS 2019-22.

Progress in Health Financing Reforms Two years into implementation, the PNDS has successfully guided policymakers through difficult budget allocation choices and health financing reforms to achieve results in several areas:

Greater efficiency, transparency and more equitable allocation of existing national health budget resources. This has been achieved by transitioning to program-based budgeting, a process that makes spending more transparent and helps ensure funds go towards priorities specified in the investment case. (The Health System Strengthening for Better Maternal and Child Health Results Project (PDSS) (US$674.5M, US$40M GFF ), Multisectoral nutrition and health project in 4 provinces ($10M GFF and $492M IDA), Regional Disease Surveillance Systems Enhancement Project, COVID-19 Strategic Preparedness and Response Project (US$47.2 million) .

Generating more reliable, annual data to track spending and results and ensure sustainable financing for essential health services. This has been facilitated by a new fiduciary unit to manage budget flows and improve resource use both in the provinces and at national level.

Increase in domestic resources for health: domestic resources for health increased from 7 to 8.5 percent between 2017-2018 and to a further 10.7 percent in 2019, exceeding the plan’s target of 8.6 percent by 2022. The government has also tripled its spending on vaccinations from US$4.4 million to US$9 million in 2019 and subsequently to US$16.4 million in the first half of 2020.


The WB and the GFF are seeking to hire an ETC as senior health economist to continue supporting the Ministry of Health with the implementation of key health financing reforms specified in the PNDS 2019-22, including:

Public financial management reforms (program-based budgeting, supporting the development of the Administration and Fiduciary Unit),

Resource mapping and expenditure tracking,

Strategic purchasing in the health sector including its institutionalization;
Social health insurance feasibility studies for the informal sector;
Completing a diagnostic to assess the responsiveness of public financial management for nutrition.


The senior health economist contracted under the Terms of Reference will be a key technical member of the Health, Nutrition and Population Team for DRC. The purpose of this assignment is to provide in-country health financing and public financial management technical and coordination support on the following aspects: Co-lead and contribute to World Bank operations and analytical work related to health financing, including:

Provide technical support to enable implementation of the PDSS and recommendations related to health financing based on Bank technical assistance work and analytics.

Support resource mapping for other priority MOH programs such as PANSS (REDISSE)

Supervise in-country analytical and technical assistance work.

Provide technical assistance to harmonize various strategic purchasing approaches in the DRC.

Provide technical assistance to the PDSS and the Ministry of Health to implement strategic purchasing and think about activities to make the approach more institutionalized in the government’s system.

Support a diagnostic to assess the responsiveness of the public financial management for nutrition. This will include a review of the adequacy of the following five strategic engagement areas: (i) strategy and costing; (ii) nutrition responsive budget proposal; (iii) ability to identify nutrition in expenditure tracking; and (v) ability to integrate spending information with nutrition output/outcome information.

Provide health financing data to the GFF country focal point during the annual report (June-August of each year) or for any dissemination material related to health financing/Public Financial Management reforms in DRC.

Support the MoH with the following critical health financing reforms, including implementation of the Program-based budgeting through the following tasks:

Preparation of budget forecasts for the program budget

Support the consolidation, expenditure and validation of the health sector budget proposal

Monitoring of the budget execution process voted and promulgated for the health sector czlwLBO Dh7qKS

Documentation of the process, results and lessons learned from the rationalization of budget management in the health sector.

Ensure that PNDS 2019-22 continue to be well reflected in the budget and have sound budget and expenditure data on a quarterly basis

Support the DEP in implementing the program-based reform at provincial level and linking it with operational action plans (Plan d’actions operationel)

Support the Ministry of Health in operationalizing the Administration and Fiduciary unit

Support the Ministry of Health’s social health insurance assessment and resource mapping and expenditure tracking activities

Participate in and contribute to policy dialogue with government counterparts and with other relevant stakeholders, including:

Supporting HNP Task Team Leaders with donor coordination and in-country representation of the task team, such as representing the Bank at the Donors Health financing meetings or at any related in country health financing meetings; and contributing to Bank inputs as needed.

Support the HNP team to engage with the International Monetary Fund (IMF) in preparing health spending targets for their new operation/credit in support of the DRC. The IMF contacted the Health Nutrition and Population team in DRC to include a disbursement conditionality related to domestic health spending.

The ET Consultant will be located in the country office in Kinshasa and liaise with the country management unit (CMU) and will assist the CMU in addressing health-related issues and requests addressed to the CMU, with guidance from the TTLs as needed. This may involve responding to requests for information, participation in Country Portfolio Performance Review meetings, country team meetings and consultations.


Quarterly updates on the progress of the Health Financing Reform agenda as defined in the PNDS 2019-22.

Program-based budgeting template including budget/expenditure/budget-execution data on the PNDS 2019-22 on a yearly basis

Semi-annual blog on health financing topics including resource mapping in the DRC

Ongoing technical input to Health Financing analytics funded by the WB and GFF (editing sections of health financing chapters or paragraphs, any knowledge product or study related to performance-based financing, equity fund)

Technical input to the WB/GFF operations in the DRC such as the Implementation Status and Results (ISR) Report, Aide Memoire (AM), Trust Fund Reports, Sector Briefs, and Country Policy and Institutional Assessments (CPIAs), and other portfolio review documents, as needed.

Technical input prepared by the HNP team for the World Bank country management unit on health financing upon request (notes, talking points)

Workplan updating support to DEP and DAF on a yearly basis, which will outline the deliverables for the ETC’s contribution


The ETC will report to the HAFH1 Practice Manager of the HNP Global Practice. For day-to-day work on analytical or operational programs, the ETC will be guided by the respective Task Team Leaders of the major health programs in DRC, namely the PDSS, Multisectoral Nutrition Project, REDISSE IV and COVID-19 Strategic Preparedness and Response Projects.

Selection Criteria

Minimum of a Master’s degree in Economics or Health Economics (or other relevant discipline)

At least 10 years of professional experience in one or more of the following areas: health economics, public financial management, results-based financing

Preference will be given to candidates with 10 or more years of experience working full-time at country level. Experience working in Africa is a plus

Prior experience in an international development institution (public, NGO or private) is preferred

Excellent oral and written communication skills in French (essential)

Fluency in English.

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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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