Management Sciences for Health (MSH) Recruitment Of Consultant II

Published on Jul 28,2019 | 25

Job Title : Consultant II

Employer : Management Sciences for Health (MSH)
Specialization : Consulting
Location : Abuja
Job Type : Full time

About the Employer

Management Sciences for Health (MSH), a global health nonprofit organization, uses proven approaches developed over 40 years to help leaders, health managers, and communities in developing nations build stronger health systems for greater health impact. We work to save lives by closing the gap between knowledge and action in public health. Since its founding in 1971, MSH has worked in over 150 countries with policy makers, health professionals, and health care consumers to improve the quality, availability and affordability of health services. Working with governments, donors, non governmental organizations, the private sector, and health agencies, MSH responds to priority health problems such as HIV & AIDS; tuberculosis; malaria; maternal, newborn and child health; family planning and reproductive health; and chronic non-communicable diseases such as cancer, diabetes, and lung and heart disease. Through strengthening capacity, investing in health systems innovation, building the evide

Applications are invited for the position below:

Job Title: Consultant II : Review of the Nigeria Health Information Exchange (HIE) Architecture and E-Reporting platforms to inform the EMR development work as well as the mediator

Grade: Consultant

Job ID: 13-10760

Location: Nigeria-Abuja

No of Positions: 2

Group/Office: PDG (Program Delivery Group)

Dept/Unit: PDGGEN - Program Delivery Group

Project/Program: A607 - Nigeria Global Fund RSSH

Application Due Date: 2019-08-02

Reports To: Director HMIS


The overarching aim of the GF Resilient & Sustainable Systems for Health [RSSH] project is to improve the health and well-being of the Nigerian people by identifying and addressing systemic issues affecting the optimal delivery of health services in Nigeria. The resulting high-level interventions have been designed to follow the Global Fund’s framework for [RSSH] that is built on the essential building blocks of WHO for a well-functioning health system, including community systems strengthening (CSS) as another critical component to be addressed in support of RSSH.

The RSSH grant is designed to strengthen the Nigerian health system across the HIV, TB, and malaria program areas. In doing so it will have interventions targeted at the HMIS, PSM & Lab system strengthening areas. There's also the additional dimension of the innovative "State approach" to be piloted in the three states of Oyo, Kaduna & Imo. The state approach covers elements like public financial management, support for health insurance and health sector coordination among others.   

Currently, there are several EMRs in use in Nigeria by various partners. Some of these EMRs are computer based (especially the HIV/AIDS care and treatment EMRs) while some are tablet based (those applied to general patient care – available in a number of health facilities). As these EMRs were developed to meet emerging needs by the various partners, there was little or no coordination amongst them. Consequently, these EMRs were developed in silos and it is uncertain if they are able to communicate with one another (i.e. providing access to patient data by authorized health care worker irrespective of which facility the patient is seeking care). So also, the ability of the EMRs to seamlessly share data with the national instance of the DHIS 2 and NDR is also doubtful, hence making the facilities/partners to at times rely on paper based systems (with its attendant data quality challenges) to transmit data to the national instance of DHIS 2 and the NDR.

As part of the key intervention area, RSSH will by 2020; define, share and implement Unified Solution medical records with codes to ensure guidance for all EMR (Including HIV, Malaria and TB etc.) such that it can send data to the National Data Repository, allow for access to patient level data across various facilities and also aggregate data for reporting into the national DHIS 2 instance. It will also recommend appropriate tablet based EMR systems for use in identified facilities (after a thorough market research).

However, it is realized that some discussions could have been held among the various stakeholders (the government, the donor community, the implementing partners, etc) on ensuring efficiency of the investments made in the various EMRs and it is possible that these discussions might have led to additional developments to enhance the various EMR platforms in country.

In line with targeted intervention, the GF RSSH project is proposing a short term technical assistance to review the Nigeria Health Information Exchange (HIE) ‘e-Reporting platforms’ Architecture to inform the EMR development work as well as the mediator (i.e. the solution that will allow the EMRs to communicate with other platform as may be required).

The result of the assessment will help to:

  • Provide required information on the Nigerian HIE Architecture and E-Reporting to inform further decisions on further EMR system and mediator application development
  • Identify the most advanced computer based EMR which and any gaps (if any) which can be addressed (if necessary) to meet desired qualities as may be defined and agreed by the stakeholders
  • Identify the most suitable tablet based EMRs which is sustainable and which the various stakeholders (including government) can continue to maintain
  • Recommend best approach for future development/acquisition of EMRs (including addition of other identified modules as may be feasible under the grant period) and appropriate mediator (to enhance interoperability) which will allow for improved patient management and reporting by ATM programs from the facilities in a sustainable manner to enhance decision making


The key objective for the short-term technical assistance is to review of Nigeria Health Information Exchange (HIE) ‘e-Reporting platforms’ Architecture to provide recommendations of best approach. As well as gaps/needs, for the development, roll-out and sustained maintenance of a unified solution for medical records with a unified patients ID for all EMR (Including HIV, Malaria and TB) that can feed data into the National Data Repository.

Specific Objectives:

  • Review all available in-country e-reporting platforms, HIE Architecture, API protocol, interoperability, data and related standards used, related strategies, existing plans and resources, etc., and identify any needs or gaps. Conduct a thorough market analysis and technical evaluation of available tablet based EMR software solutions (in terms of functionality, cost, buy in of government/donors) to inform the phased roll-out of E-reporting into DHIS2 national instance by Secondary, Tertiary health facilities, Private Clinics, Faith-based Hospitals
  • Identify key players and stakeholders in advancing functional National e-reporting platform, HIE system and interoperability issues
  • Identify e-reporting platforms and highlight each strength and weakness (e.g. review of the Strengths, Weaknesses, Opportunities, and Threats (SWOT) of each) including in terms of meeting data use needs of the programs
  • To identify government strategies, policies, programs, laws and regulations that encourage and/or govern EMR development and its level of implementation, as well as needs
  • To identify the competencies possessed by core stakeholders to determine the relative measures that will be undertaken to prepare the stakeholders to meet EMR development/maintenance challenges
  • Highlight general challenges of e-reporting to ensure strong planning for implementation of recommended solutions: Identify gaps or needs and/or additional planning needed for the development, roll-out, and sustained maintenance of a) a unified EMR solution; b) e-reporting directly at facilities, and c) interoperability as needed. This should be not only in terms of software development, but also in terms of strategy, policies or regulations, governance, stakeholder coordination, IT infrastructure (power, internet, interoperability architecture etc.), hardware, roll-out, capacity building, maintenance (staffing, help desk, user management, software updates, hosting and admin, security and confidentiality, ongoing user training, etc.).

Specific Responsibilities

Specific TOR

  •  Liaise with FMoH (DPRS/NACA/NASCP/NMEP, NTBLCP), USG (USAID,CDC, DoD), UN Agencies (WHO, UNAIDS, UNICEF), Bill and Melinda Gates Foundation, World Bank, PEPFAR Treatment Implementing Partners, GF Treatment SRs/PRs and other stakeholders (including personnel in health facilities) within the health sector to:
  • identify facilities using computer based EMRs and tablet facility-based EMR system (which collects patient level data) that is used to report aggregated data directly into the national reporting platforms (i.e. NDR and/or DHIS 2 instance)
  • review of Nigeria Health Information Exchange (HIE) ‘e-Reporting platforms’ Architecture and available EMRs
  • Develop a checklist showing the basic requirements expected of EMR systems (computer based EMRs and tablet facility-based EMR system) that collects patient level data which is then used to report aggregated data directly into the national DHIS 2 instance and the NDR
  • Develop appropriate tools (Checklist, Questionnaires, in depth interview guides, observation checklist, etc.) to collect information from identified focal persons in the various organizations listed above on various issues such as: functionality; ease of use; interoperability; provisions for future needs in terms of hardware and software components; operations of the software ; user experience; sustained buy-in; competence of stakeholders in managing the EMR system; governance; etc. Conduct site visits to observe a practical demonstration of the functional EMRs and the E-Reporting platforms and to discuss with end users to allow for documenting issues of interest especially as it relates to data exchange with the NDR and national instance of DHIS 2 and other issues identified in this TOR
  • Review government strategies, policies, programs laws and regulations (if any) that encourage and/or govern E-Reporting/EMRs and its level of implementation
  • Facilitate residential workshop to engage stakeholders on National e-reporting/EMR needs with a view of collecting further information. Which will be used to identify best approach, needs, and planning.
  • Conduct a validation meeting with stakeholders to review the report of the needs assessment with the aim of fostering ownership
  • Review and finalize the report of the E-reporting/EMR needs assessment report to reflect all feasible recommendations from the validation workshop (including governance issues); the assessment of the tablet based facility EMR should include specific section on:
    o Government’s willingness to take on and sustain the proposed solution beyond 2020.
    o Recommendations on tablet facility-based EMR system for e-reporting into DHIS
  • Present the report to MSH/DHPRS

Qualifications and Experience

Required qualifications:

  1. The Consultant will be a graduate with at least 8years of developing e-reporting /EMR platforms/systems and; have evidence of work done in Nigeria
  2. S/he must be competent in Health System Strengthening with special emphasis on e-reporting /EMR platform development
  3. S/he must have experience collecting and analyzing health qualitative and quantitative data
  4. S/he must show proven understanding of database designs and interoperability protocols

How to Apply for this Position
Interested persons wishing to apply for this position should use the apply now button below to apply.
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