Community Systems Strengthening Policy Research

at The African Constituency Bureau to the Global Fund
Location Addis Ababa, Ethiopia
Date Posted August 8, 2020
Category Business Development
Job Type Full-time
Currency ETB



The Global Fund to fight HIV/AIDS, Tuberculosis and Malaria (GFATM) has two constituencies representing Africa namely the Eastern and Southern African (ESA) and West and Central Africa (WCA) constituencies. The two constituencies took a joined-up approach in 2012 with a twofold intent: to ensure that constituency priorities are reflected in Global Fund strategy and operational plans; and to strengthen the presence, voice and contributions of the constituencies, through their delegations, in all Global Fund governance deliberations and processes. The constituencies adopted a new governance framework that amongst other things, established a joint ESA and WCA Bureau – the African Constituencies Bureau, ACB – a policy think tank that support ESA and WCA Global Fund board members, committee members and delegations. Its primary functions include ensuring effective engagement, representation and participation of African constituencies in Global Fund processes. It also seeks to enhance the capacity of the African constituencies to shape Global Fund policies and processes. The constituencies comprise a total of 47 countries.

The ACB, based in Addis Ababa, Ethiopia, ensures effective engagement, representation and participation of African Constituencies, ESA and WCA, in Global Fund Board processes.

Background to this Opportunity

The Global Fund, the biggest multi-lateral mechanism, is at the centre of the global community’s efforts to end AIDS, TB and malaria by 2030. The fund is in the process of developing its post-2022 strategic plan. There is so much at stake for this plan given it will be the last before the 2030 goal of ending the three epidemics. It cannot be business as usual and the margin for error is therefore extremely limited.

Africa bears the biggest share of the global burden of malaria and HIV and a considerable burden of TB. As the epicenter of the epidemics, it is critical that the continent is at the forefront of developing evidence-based interventions that will turn the tide of these epidemics and engage in discussions on the Global Fund’s next strategy. This will be a huge demonstration of the continent’s ownership of global strategies towards ending the three epidemics in 2030.

Responses that are led by and based in communities – and the systems and structures needed to support them – are central to ending the Malaria, TB and AIDS, including other components like maternal and child health, adolescent health, etc. This objective will not be attained without the engagement and central involvement of communities and the systems that underpin community responses. Increased planning, coordination between communities and formal health services is a key opportunity for the advancement of integrated, people-centered care, reducing the demands on the formal health system and strengthening country’s overall system for health.

Community systems strengthening (CSS) includes interventions that support the development of informed, capable, coordinated and sustainable structures and mechanisms through which community members, community-led and community-based organizations and community groups interact, coordinate and deliver their responses to the challenges and needs affecting people in their communities.

In the Africa’s Common Position on the UNGA Special Session HLM on AIDS (2016), African Ministers of Health were concerned that progress continues to be undermined by various factors such as weak health systems including inadequate human resources for health, weak drug and commodity supply chains, insufficient quality control, inadequate integration of HIV services with tuberculosis, MNCH, Hepatitis C, Cervical Cancer and other health and development services.  The Ministers recommended to Member States to strengthen health systems to achieve treatment and prevention targets by, inter alia, rapidly scaling up efforts to build a robust and expanded community health workforce, fully integrated into comprehensive inter-disciplinary service delivery teams and financially compensated, trained, equipped with mobile technologies, supported and supervised. Volunteerism should also be welcomed, where appropriate, as an additional element of efforts to strengthen community systems.

Community systems strengthening has become even more paramount given the Covid-19 which threatens to roll back the enormous but fragile gains achieved vis-à-vis HIV, TB and malaria. The need to shore up these gains is often dependent on a variety of community actors including, but not limited to community-based volunteers, civil society actors, etc. providing a myriad of services including demand creation, provision of last mile services including treatment adherence, social mobilization, community monitoring and reporting, etc.

Global Fund’s CSS priorities for the Global Fund’s 2020-22 allocation period include:

  • Community-based monitoring (CBM): CBM increases community engagement and buy-in through collaborative processes identifying and addressing bottlenecks and gaps in service provision and providing feedback to decision makers using short local feedback loops. It provides a unique source of data to inform programmatic decision making and oversight and for policy review and development.
  • Community led advocacy and research: service providers, national programs, policy makers, and local and national leaders are held accountable by community led and based organizations for the effective delivery of services and programs and the protection and promotion of human rights and gender equity.
  • Social mobilization, building community linkages, collaboration and coordination: communities are required to engage in activities to improve their health and well-being and to create an enabling environment. This may include the creation or strengthening of national community platforms that improve coordination, joint planning and effective linkages between communities and the formal health systems, other actors and broader movements such as human rights and women’s movements. Strong informal and formal relationships between communities, formal health systems and other stakeholders enables them to work in complementary and mutually reinforcing ways, maximizing the use of available resources and avoiding unnecessary duplication and competition.
  • Institutional capacity building, planning and leadership development: activities that support the establishment and sustainability of community led and based organizations and networks is necessary for these organization and networks to more fully leverage the comparative value of communities and enabling them to be more equal partners in the co-production of health. Strengthening capacity is key to underpinning and promoting quality services, social mobilization, community-based monitoring and advocacy.

As can be seen from the foregoing, therefore, strengthening community systems is an important priority for Africa if the region is to end the epidemics or achieve UHC by 2030. The ACB is therefore seeking to hire a consultant that will support the organization to conduct a deep dive into community systems in Africa and provide evidence-informed guidance on how the region, with support from the Global Fund, can be more strategic in this area during the post-2022 Global Fund strategy.

scope of work:

Below is the expected scope of work under this assignment:

  • The consultant is expected to undertake a desk review of the latest available evidence on countries faced with displacement, fragility and instability (COEs) and implications of this phenomena on delivery of HIV, TB and malaria programmes. The consultant must review applicable literature from peer-reviewed and published articles, normative evidence and guidance from leading technical organizations and policy and research think tanks, evaluations and reviews such as the Global Fund, technical organizations like the World Bank, WHO, UNHCR, etc. and other organizations such as the African Union. The consultant will be expected to share these resources for the ACB’s intranet which countries can access to further their work around COEs.
  • An in-depth mapping of countries affected by displacement, fragility and instability in Africa detailing the key trends, the progress and gains being made to meet objectives against HIV, TB & malaria, what’s working and what’s not working, remaining gaps and bottlenecks, best practices, enablers and the opportunities for streamlining HIV, TB and malaria programming in these regions;
  • Identify key global and African commitments relevant to displacement, fragility and instability;
  • Identify, review, analyze and compare applicable policies (similar to the Global Fund’s COE policy) from relevant organizations working in environments fraught with displacement, fragility and instability;
  • Where possible, the consultant shall be expected to interview and engage with key stakeholders to probe for, and validate, research findings. This shall include participating in the planned Constituency engagement sessions being organized by the ACB to identify the continent’s priority health issues and interventions, as part of a process to provide input to the next strategy for the Global Fund; and
  • Make evidence-informed recommendations on how Africa can maximize investments towards ending Malaria, TB and AIDS in regions affected by displacement, fragility and instability. The recommendations must address strategies, gaps, opportunities, enablers and actions needed to be taken by the Global Fund in its post-2022 strategy to streamline implementation of HIV, TB and malaria programs.


  • Under this assignment, the consultant is expected to deliver the following deliverables:
  • Provide an inception report detaining how the work will be conducted. This should be provided one week after signing the contract.
  • A draft report detailing priority issues identified as strategic to Africa towards the next Global Fund strategy, the key findings and recommendations in word format.
  • A final report, no more than 50 pages[1], and making use of annexes, detailing the key findings, including:
  • A 3-paged Executive Summary of the research providing a synopsis of the key findings and recommendations;
  • Document some best practices globally and in Africa in particular
  •  Recommendations relevant for African countries towards integrating climate change and environment thinking as part of efforts to end the three epidemics by 2030. The recommendations
  • A PowerPoint presentation detailing the key findings and recommendations of the desk review.

Terms of the appointment:

The successful consultant will be expected to complete this assignment within 30 calendar days and should be willing and available to participate in a dissemination meeting with various stakeholders, including countries, technical partners and funders.

Job Requirements


  • An advanced university degree in health policy, public policy, public health, climate change, environmental health, epidemiology, social sciences, or infectious diseases.
  • A PhD in a relevant field will be an added advantage.


  • Preferred: a climate change and health subject matter expert with a minimum of 10 years of relevant experience, including program design and implementation, research and policy development in Africa.
  • Experience with undertaking evaluations of climate change and environment and/or health programs in Africa;
  • Proven experience in conducting qualitative assessments including policy analysis;
  • Experience with publishing peer-reviewed scholarly articles, including on various aspects of climate change and health;
  • Experience with disseminating research findings and making conference presentations with relevant stakeholders; and
  • Good presentation skills.

Applying Instructions

Interested consultants are requested to submit a technical and financial proposal for undertaking this 30-day desk review.

Proposal for this Consultancy should be directed to Info Mind Solutions on or before August 30th 2020

Only short-listed candidates will be contacted.
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