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Mercy Corps is a leading global organization powered by the belief that a better world is possible. In disaster, in hardship, in more than 40 countries around the world, we partner to put bold solutions into action — helping people triumph over adversity and build stronger communities from within.
Tuberculosis (TB) is one of the major public health issues in Pakistan, with an incidence of 259 per 100,000 population. Pakistan is ranked fifth among 30 TB high-burden countries worldwide. Mercy Corps Pakistan is contributing to overall TB case notification by reporting 452,564 all forms TB cases from July 2021 – December 2023, which makes it a 30% contribution in national case notification for the same period. These targets will be achieved by carrying out the following key strategic interventions across Pakistan:
a. Strengthen and scale-up of quality TB diagnosis and treatment through a public-private mix (PPM) approach by engaging general practitioners, large private hospitals, parastatal hospitals and private laboratories across Pakistan:
b. Contribute in enhancing RR cases notification through mobile and static GeneXpert sites
Through GeneXpert machines (both stationary and in mobile vans) RR cases will be notified during the Implementation Period. All the pulmonary TB cases, re-treatment cases and patients belonging to high-risk groups (HIV positive, contacts of DR-TB, health care workers, immunocompromised patients) presenting to these sites will undergo GeneXpert testing as per NTP guidelines. In addition, all the specimen samples from chest camps and specimen transportation intervention will be transported to Xpert sites to enhance the utilization of Xpert testing and improve bac positivity.
c. A rider-based specimen transport mechanism through the involvement of community volunteers in 71 selected districts across the country. This mechanism will help in:
d. Contribute towards achieving the target of latent TB infection by putting contacts of TB patients (children and adults) on preventive treatment
The contacts of index cases, including children and adults, will be screened through clinical assessments and chest X-rays to exclude active TB and start preventive treatment as per national LTBI policy guidelines.
All the above activities will contribute towards the achievement of target cases and percent contribution to the national data in the 111 program districts.
e. Target Group/Beneficiaries
The target group includes all members of the Pakistani population, all refugees living in Pakistan having a legal status and all those who travel to Pakistan on legal documents to get treatment and are vulnerable to TB. These beneficiaries include children, women and men, including all other marginalized and vulnerable groups of society.
Purpose / Project Description:
There are two key objectives of conducting this study:
The specific objectives of this analysis are as follows:
The study will focus on the following key questions:
Study method - VfM analysis methodology and metrics
The study will use the VfM framework developed by Mercy Corps, which comprises a theoretical VfM model (based on FCDO’s 4E’s), metrics and cost analysis method (e.g. defined cost categories). The framework is based on FCDO’s 4E’s of Economy, Efficiency, Effectiveness and Equity. The analysis uses the Dioptra cost analysis method as the backbone to classify costs and a series of metrics to assess the VfM of the program. No additional data collection is expected beyond interviews with staff members of MC and PTP Punjab. The consultant is expected to use Dioptra for cost analysis and training will be provided by Mercy Corps staff. The method includes suggested metrics, and this consultancy may add new metrics in the analysis if deemed necessary. The analysis will explore the following aspects:
Suggested metric: cost of a category as % of the total cost.
Suggested metrics: cost per dollar transferred; cost per person reached through; cost per marginalized person reached through the program (if the budget breakdown allows).
Suggested metrics: percentage of actual/ targets met for ouput-level indicators; cost per output unit (to identify based on the logframe); percentage of actual/target met of output indicators addressing identified barriers and imbalances.
The Consultant will:
The assignment will lead to the following deliverables:
1. VfM report and summary
Pilot report outline (up to 15 pages):
An example of what the final product may look like can be found here.
2. Presentation: A presentation of the main results
Timeframe / Schedule:
The Consultant will report to:
Aamna Rashid, Senior Program Manager, TB Program
The Consultant will work closely with:
MEL Manager, Manager M&E and Data Management, Senior Technical Advisor Health
Required Experience & Skills:
**Diversity, Equity & Inclusion
**Achieving our mission begins with how we build our team and work together. Through our commitment to enriching our organization with people of different origins, beliefs, backgrounds, and ways of thinking, we are better able to leverage the collective power of our teams and solve the world’s most complex challenges. We strive for a culture of trust and respect, where everyone contributes their perspectives and authentic selves, reaches their potential as individuals and teams, and collaborates to do the best work of their lives.
We recognize that diversity and inclusion is a journey, and we are committed to learning, listening and evolving to become more diverse, equitable and inclusive than we are today.
Equal Employment OpportunityWe are committed to providing an environment of respect and psychological safety where equal employment opportunities are available to all. We do not engage in or tolerate discrimination on the basis of race, color, gender identity, gender expression, religion, age, sexual orientation, national or ethnic origin, disability (including HIV/AIDS status), marital status, military veteran status or any other protected group in the locations where we work.
Safeguarding & EthicsMercy Corps team members are expected to support all efforts toward accountability, specifically to our stakeholders and to international standards guiding international relief and development work, while actively engaging communities as equal partners in the design, monitoring and evaluation of our field projects. Team members are expected to conduct themselves in a professional manner and respect local laws, customs and MC's policies, procedures, and values at all times and in all in-country venues.