Transform Health National Coordinator – Mexico

Terms of Reference

Transform Health is seeking a national coordinator in Mexico to establish the national coalition and to coordinate the coalition’s national campaign efforts.

BACKGROUND

Globally and for many countries, the pace of progress towards universal health coverage (UHC) has slowed over the past decade. It is projected that by 2030, only half of the world’s population will have access to primary health care (PHC) services, a foundation for achieving UHC. This will subject billions of people to poor, unreliable and relatively expensive health services, limiting their access to quality healthcare and increasing their vulnerability to communicable and non-communicable diseases.

Transform Health was set up to respond to these challenges by bringing together local, regional, and global stakeholders from multiple sectors dedicated to achieving UHC in the digital age. Transform Health campaigns for and collaborates with individuals – particularly women and young people – and communities who would benefit most from the digital transformation of health systems, as well as the governments, organisations and institutions who recognize and support the fundamental role of digital technologies and data for improved health.

Our vision

Universal Health Coverage will be achieved by 2030 by harnessing digital technology and the use of data.

Our Mission

Transform Health is building a global movement that brings together organisations and institutions across different sectors who are committed to achieving Universal Health Coverage within the next ten years by expanding the use of digital technology and increasing access to data.

Transform Health campaigns for and collaborates with the individuals, communities, governments, organisations and institutions that are most affected by the lack of access to health. The Coalition is committed to promoting youth and women’s participation and leadership and to ensuring the perspectives, concerns and needs of marginalised groups are adequately addressed so they are able to both benefit from the digital transformation, and access and control their own data to improve their health outcomes.

Our principles

Transform Health is committed to bridging the digital divide to create an inclusive movement that seeks to engage and mobilise people traditionally excluded from decision making processes on health in particular. Our work is guided by the following principles:

Equity: We are committed to ensuring underrepresented and /or marginalised populations – that may have the least access to promising digital and data technologies and who may have the most to gain from them – are fully represented in the coalition’s work.

Empowerment: We seek to enable young people and women, who are traditionally excluded from decision-making processes to play an active part in the coalition, in the campaign work to influence decision makers to ensure digital technology and the use of data accelerates UHC.

Partnership: We are committed to working with different individuals and organisations, in particular, governments, civil society, think tanks, foundations, multilateral institutions, the private sector and others to promote the adoption and effective use of digital technologies, and to ensure people are able to control their own data, to achieve better health outcomes for themselves and their communities. We fully support the Principles for Digital Development, and support the Paris Principles and the Accra Agenda for Action on Aid Effectiveness.

Human rights, gender equity and inclusiveness: The realisation of human rights, gender equality and inclusiveness are critical within the digital age. We will work to address gaps to ensure equity, gender equity and equitable opportunities in our spheres of influence and beyond.

OBJECTIVES

Transform Health advocates and campaigns for:

1. Recognition of the fundamental role of digital technologies and data use to transform and strengthen health systems to achieve UHC by 2030

The Coalition is launching a global campaign to build consensus for and influence decision makers to make the necessary investments and develop policies and regulatory frameworks to ensure both the accelerated adoption of digital technologies and access to and the ethical use of data to achieve UHC. To enable this Transform Health will:

  • Collaborate with organisations working on global health and UHC, as well as those working on bridging the digital divide, and on human rights and development to ensure consensus across sectors on what measures need to be taken by governments and others to accelerate the adoption of digital technology and access to data to achieve UHC;
  • Work with women and youth led organisations to ensure they are a central part of conversations with governments and others on priority setting in relation to the acceleration of digital technology to achieve UHC, and increase access and use of data to improve health outcomes;
  • Establish national coalitions as a multi stakeholder platforms in at least six low and middle income countries to engage multiple stakeholders on the issues and to empower marginalised communities and their representatives and to provide them with a platform through which they can engage their governments and donors and call on them to prioritise the equitable adoption of digital technology to enable them to access UHC (for more details see the forthcoming campaign proposal).
  • Grow the coalition, and organise and enable coordinated actions aimed at building consensus on the tools, approaches, processes and resources necessary to accelerate the adoption of digital technology to achieve UHC.
  • Build public support and political backing for technical and regulatory solutions that will create an enabling environment for the digital transformation of health systems and enable governments to achieve their UHC commitments.

2. A global health data governance framework, underpinned by equity and human rights based principles, to be developed, adopted and then domesticated by governments, to help maximise the public value of health data whilst protecting individual rights.

To ensure this happens, we need governments to support and adopt a World Health Assembly resolution mandating the WHO to develop a global framework. We need Health data governance to be on the agenda of the WHO Executive Board meeting in January 2023 and World Health Assembly in May and for a resolution to be tabled for the development of a global health data governance framework.

  • We want to see a global health data governance framework developed through a transparent and inclusive, multistakeholder process, including the meaningful engagement of civil society and communities.
  • We want to see a global framework underpinned by equity and rights-based principles to ensure it prioritises the protection of people, the promotion of health values, and equity.
  • Once a framework is developed and adopted by Member States, we would then want a global framework to be domesticated through national regulation/legislation.

We are calling for ongoing support and endorsement of the Health Data Governance Principles by governments and organisations and for them to be integrated across policies and programmes, while also using them to advocate.

3. Increased and coordinated investment to support the equitable, inclusive, and sustainable digital transformation of health systems in low and lower middle income countries to achieve UHC by 2030.

Transform Health is advocating for:

  • Increased investment from domestic and international sources.
  • Better coordinated and aligned investments: International donors and the private sector should ensure their investments are coordinated and aligned with national priorities, including strengthening systems and processes to improve the coordination of funding.
  • Costed digital health strategy and investment roadmaps, with countries in the driver’s seat.
  • Robust regulatory framework and policy environment to guide the digital transformation of health systems so that it is inclusive, equitable and sustainable.
  • Prioritise strategic, targeted, and co-ordinated actions to bridge the divide in digital access, which is a prerequisite for equitable access to technology-enabled health services, including addressing, amongst other things, coverage gaps, affordability, and digital literacy.

SCOPE OF WORK

Transform Health is seeking applications from suitable organisations to act as National Coordinator for Transform Health to set up the coalition in Mexico, and to coordinate activities across sectors and with the government so as to advance the coalition’s campaign objectives.

The purpose of the Transform Health National Coalitions is to work together to localise Transform Health’s strategy, based on a landscape analysis that will be carried out in that country. The National Coordinator will work with partners to influence the government and others to bring about the changes identified in the national strategy. The national partners will receive grants through the National Coordinator to support certain activities, particularly the engagement of youth, women and marginalised communities in the coalition. The National Coordinator will also work with other partners, particularly our regional partner RECAINSA, to coordinate and leverage the technical expertise, information, and networks they have developed through their programming work to advance the objectives of the coalition.

EXPECTED OUTPUTS AND RESULTS

While it would not be right to pre-determine what specific outputs and activities national partners should engage in to influence their governments and others (this should be determined at the national level with the full participation of under-represented and marginalised groups), we do have expectations in terms of the process to be followed to establish and operationalise the national coalition and the broad areas of engagement.

Coalition Governance, Growth and Development

  • Identify and onboard national coordinating partner;
  • Conduct a national consultation with youth, women and marginalised communities to identify barriers to equitable access to quality digital health services and data.
  • The national coordinator hosts a workshop/consultation to introduce the national coalition to partners and other stakeholders.

Policy and Analysis

  • Conduct initial landscape analysis and stakeholder mapping, in coordination with existing partners, particularly our regional partner RECAINSA.

Strategy, Planning and Budget

  • Develop a national campaign and influencing strategy that includes a theory of change.
  • Develop a two year work plan, budget and M&E framework.

Outreach and Influence

  • Launch the coalition and issue a report based on the results of the national landscape analysis;
  • Ensure a coordinated approach to outreach and government engagement across coalition partners and provide partners with key messages and positions to take forward with decision makers;
  • Gather regular feedback from government engagements across the coalition and use this to guide the teactial engagement with authorities across different decision making tiers and fora;
  • Organise a regular meeting schedule with government officials and partners to discuss how implement recommendations from the report and to discuss how to take forward the objectives identified by the coalition;
  • Engage in media and communications work to sensitise key audiences about the importance of addressing this agenda;
  • Contribute to broader Transform Health priorities around issues such as health data governance and funding for digital health transformation.
  • Engage in national, regional and global events in order to inform and sensitise different audiences of the country’s situation and so as to increase levels of awareness and understanding among donors and others, thereby ensuring more effective support for national authorities and partners.

Coordinating Team Management

  • Recruit the team ensuring balance from an equity and inclusion perspective.
  • Work with the Enabling Function to develop funding proposals.
  • Report back on coalition activities to the Enabling Function.
  • Financial accounting.

RELATIONSHIPS AND ACCOUNTABILITY

Accountability will be split across the operational level and financial level. The national coalition partner will be expected to establish a national governance structure composed of different thematic Circles and including a Governance and Strategy Circle, as set out in the scope of work. The National Coordinator will be accountable to the coalition’s Enabling Function in relation to operational matters. .

ELIGIBILITY FOR APPLICATION

Selection of national coordinating partners will be based on the following criteria:

  • National organisation or network formally registered as a not for profit organisation, headquartered at the national or regional level;
  • Advocacy and campaigning experience on the issues of relevance to the coalition;
  • Experience working in an inclusive and consultative manner and to promote the leadership of communities traditionally excluded from decision-making processes;
  • Experience working with multi stakeholder initiatives ;
  • Ability to coordinate the development of multi stakeholder strategies and to work with others to deliver on the strategy;
  • Track record and ability to engage and mobilise youth, women and marginalised communities; and
  • Commitment to Transform Health’s principles.

Successful applicants will be invited to submit a full six month proposal, M&E framework and budget.

BUDGET

This assignment is for a period of two years starting in January 2023. The budget for the first six months is US$62,500 to enable the Coordinating partner to establish the coalition. This budget will increase over the following two years.

HOW TO APPLY

Interested candidates are requested to submit an electronic copy of their expression of interest/ proposal by 15th February 2023 to Frank Smith: [email protected] & Beatrice Okech: [email protected].

Candidates must forward: – 5 pages (max) proposal indicating with necessary supporting documentation;

  • The organisation’s suitability for the assignment and match with previous projects executed particularly showing evidence of;
    • Advocacy and campaigning experience on the issues of relevance to the coalition;
    • Experience working in an inclusive and consultative manner and to promote the leadership of communities traditionally excluded from decision-making processes;
    • Ability to coordinate the development of multi stakeholder strategies and to work with others to deliver on the strategy;
    • Track record and ability to engage and mobilise youth, women and marginalised communities; and
  • Discussion of the work methodology process it will deploy (both to set up and manage the coalition and to engage in outreach and deliver on specific outputs).
  • Draft work plan for the first six months with a proposed budget.

Supporting documentation:

  • Organisation’s
    • proof of registration within the country
    • 1-2 years of audited financial statements
  • Professional profile of the National Coordinating team/(CVs of all individuals included in the consultancy team), and how the team will be structured and the division of work between team members.