National Health Spending Efficiency Analysis Consultant (nationals-only) Malawi, Lilongwe (remote) 4 months (594926)
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Job no: 594926
Contract type: Consultant
Duty Station: Lilongwe
Level: Consultancy
Location: Malawi
Categories: Health, Social Policy
Contract Duration: 4 months
Working arrangement: Home Based with field visits in 3 districts: Mzimba South, Kasungu, and Chikwawa
UNICEF works in over 190 countries and territories to save children’s lives, defend their rights, and help them fulfill their potential, from early childhood through adolescence.
At UNICEF, we are committed, passionate, and proud of what we do for as long as we are needed. Promoting the rights of every child is not just a job – it is a calling.
UNICEF is a place where careers are built. We offer our staff diverse opportunities for professional and personal development that will help them reinforce a sense of purpose while serving children and communities across the world. We welcome everyone who wants to belong and grow in a diverse and passionate culture, coupled with an attractive compensation and benefits package.
Visit our website to learn more about what we do at UNICEF.
The consultant will report to the Health Specialist and work under the strategic guidance of the Chief of Health & HIV and the Chief of Social Policy. In close collaboration with the Ministry of Health, the Ministry of Finance, Economic Planning and Development, district authorities, and other relevant stakeholders, the consultant will undertake the following tasks.
1.Inception and Analytical Framework Development
•Develop an inception report outlining the methodology, analytical framework, workplan, stakeholder engagement approach, and data requirements.
•Develop or refine tools and templates for expenditure analysis, budget tracking, cash flow forecasting, procurement monitoring, and financial performance assessment.
•Strengthen district-level financial monitoring tools, including Excel or DHIS linked systems for expenditure tracking and reporting.
2.Health Financing and Expenditure Analysis
•Conduct a comprehensive analysis of health financing and expenditure trends over the last five fiscal years (2021/22–2025/26) at national and district levels.
•Assess financing adequacy, expenditure patterns, budget execution, efficiency, equity, and sustainability across key programme areas.
•Analyze financing flows, resource allocation, and expenditure performance, including implications of fiscal constraints, decentralization reforms, and declining external financing.
3.District Budget Execution and Public Financial Management Assessment
•Assess district planning, budgeting, budget credibility, execution performance, procurement processes, cash flow management, and financial reporting systems.
•Identify bottlenecks affecting budget absorption, expenditure efficiency, and service delivery performance.
•Analyze alignment between District Implementation Plans, approved budgets, and actual expenditures, including implications for provider autonomy and decentralized service delivery.
4.Programme-Specific Expenditure and Efficiency Analysis Conduct expenditure and efficiency assessments across priority programme areas to understand how financing decisions influence service delivery performance, sustainability, and health outcomes. The analysis should assess financing adequacy, budget execution, efficiency, equity, sustainability risks, and opportunities for improved value for money across:
•Primary Health Care and community health systems.
•Sexual, Reproductive, Maternal, Newborn, Child, and Adolescent Health (SRMNCAH/SRHR).
•HIV programmes, including prevention, treatment, PMTCT, pediatric HIV, adolescent HIV, and health systems investments.
•Immunization systems, including routine services, outreach, and vaccine delivery platforms.
•Essential medicines, commodities, procurement, and supply chain systems.
5.Stakeholder Consultations, Validation, and Dissemination
•Conduct consultations with government institutions, district structures, development partners, civil society organizations, and implementing partners.
•Validate findings through technical consultations and stakeholder workshops.
•Convene dissemination and policy dialogue meetings to support uptake of findings and recommendations.
6.Evidence Generation and Policy Support
•Identify systemic bottlenecks and opportunities to improve expenditure efficiency, sustainability, and accountability.
•Develop evidence-based recommendations to strengthen planning, budgeting, and expenditure management.
•Produce policy products including district briefs, policy notes, advocacy materials, and financing recommendations to inform health financing reforms and stakeholder engagement.
If you would like to know more about this consultancy, please review the complete Terms of Reference here: 
TOR ext TMC0004924.pdf
QUALIFICATIONS / SPECIALIZED KNOWLEDGE / EXPERIENCE/ COMPETENCIES (CORE/TECHNICAL/FUNCTIONAL) / LANGUAGE SKILLS REQUIRED FOR THE ASSIGNMENT
Education:
- MA - Health Economics, Economics, Public Finance, Health Financing, Public Financial Management
Work Experience:
- A minimum of 8 years of professional experience in health financing, budget analysis, public health budget analysis or public financial management.
- Proven experience conducting budget execution and efficiency studies, or expenditure reviews in the health sector.
- Strong analytical, writing, and communication skills.
- Experience working with UN agencies, government Ministries, Departments, and Agencies (MDAs) and District Health Management Teams is highly desirable.
- Experience working with UNICEF or any UN org is desired
Language Requirements:
- Fluency in English is required.
- Knowledge of local languages spoken in the six focus districts (e.g., Chichewa or Tumbuka) is an added advantage.
Knowledge/Expertise/Skills:
- Strong analytical skills, with the ability to interpret and synthesize complex health and financial data.
- Expertise in quantitative and qualitative data collection and analysis methods.
- Proficiency in developing advocacy tools, such as policy briefs and presentations, to communicate findings effectively.
- Excellent written and oral communication skills, with the ability to engage diverse stakeholders, including government officials, civil society organizations, and technical experts.
- Strong facilitation and interpersonal skills to work collaboratively with multidisciplinary teams.
- Ability to manage multiple priorities and deliver quality outputs within tight deadlines.
- High level of organizational skills, including meticulous attention to detail.
For every Child, you demonstrate...
UNICEF’s Core Values of Care, Respect, Integrity, Trust and Accountability and Sustainability (CRITAS) underpin everything we do and how we do it. Get acquainted with Our Values Charter: UNICEF Values
[Remove the following paragraph if not a child safeguarding elevated risk role] This position has been assessed as an elevated risk role for Child Safeguarding purposes as it is either a role with direct contact with children, a role that works directly with identifiable children’s data, a safeguarding response role, or an assessed risk role. Additional vetting and assessment for elevated risk roles in child safeguarding (potentially including additional criminal background checks) apply.
UNICEF promotes and advocates for the protection of the rights of every child, everywhere, in everything it does and is mandated to support the realization of the rights of every child, including those most disadvantaged, and our global workforce must reflect the diversity of those children. The UNICEF family is committed to include everyone, irrespective of their race/ethnicity, disability, gender identity, sexual orientation, religion, nationality, socio-economic background, minority, or any other status.
UNICEF encourages applications from all qualified candidates, regardless of gender, nationality, religious or ethnic backgrounds, and from people with disabilities, including neurodivergence. We offer reasonable accommodation for persons with disabilities. throughout the recruitment process. If you require any accommodation, please submit your request through the accessibility email button on the UNICEF Careers webpage Accessibility | UNICEF. Should you be shortlisted, please get in touch with the recruiter directly to share further details, enabling us to make the necessary arrangements in advance.
UNICEF does not hire candidates who are married to children (persons under 18). UNICEF has a zero-tolerance policy on conduct that is incompatible with the aims and objectives of the United Nations and UNICEF, including sexual exploitation and abuse, sexual harassment, abuse of authority and discrimination based on gender, nationality, age, race, sexual orientation, religious or ethnic background or disabilities. UNICEF is committed to promote the protection and safeguarding of all children. All selected candidates will, therefore, undergo rigorous reference and background checks, and will be expected to adhere to these standards and principles. Background checks will include the verification of academic credential(s) and employment history. Selected candidates may be required to provide additional information to conduct a background check, and selected candidates with disabilities may be requested to submit supporting documentation in relation to their disability confidentially.
Qualified candidates are invited to submit the following documents via the online recruitment portal, TMS (Talent Management System):
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An up-to-date TMS profile and curriculum vitae (CV)
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Cover letter
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A separate financial proposal (only acceptable in the format of the linked template)
financial proposal template - TMC0004924.xlsx
Remarks:
UNICEF does not charge a processing fee at any stage of its recruitment, selection, and hiring processes (i.e., application stage, interview stage, validation stage, or appointment and training). UNICEF will not ask for applicants’ bank account information.
All UNICEF positions are advertised, and only shortlisted candidates will be contacted and advance to the next stage of the selection process.
Additional information about working for UNICEF can be found here.
Advertised: South Africa Standard Time
Deadline: South Africa Standard Time