Health Financing Consultant - Domestic Resource Mobilization & Sustainability

Health sector financing in Burkina Faso heavily relies on international donors, particularly vertical programs that provide free services to the population. These include HIV/AIDS (57.16% donor-funded), malaria and tuberculosis (86.98%), family planning (73.02%), as well as nutrition and immunization programs.

Amid declining international aid and the reallocation of donor resources to other global priorities, low- and middle-income countries must reassess the financial sustainability of existing health programs and explore endogenous mechanisms for long-term funding.

In Burkina Faso, this transition necessitates a comprehensive understanding of the current landscape of health financing for fee-exempt services; and strengthened domestic resource mobilization strategies.

To support this transition, the Health Financing Working Group—a national platform for strategic reflection on health sector financing—aims to assist the Ministry of Health in conducting a critical appraisal of fee-exempt interventions. This appraisal will identify donor-funded services exempt from user fees and assess their long-term viability.

To evaluate the sustainability of fee-exemption programs in Burkina Faso—particularly those funded by donors—and to explore their potential integration into national health financing systems, ThinkWell Institute Burkina Faso is recruiting a consultant to support data collection and analysis.

The work entails:

• Review of National Health Accounts and resource mapping databases.
• Identification and documentation of all current population-level fee exemption programs, with a focus on HIV, tuberculosis, malaria, immunization, nutrition, the Gratuité program (notably family planning) and Community Health Workers (CHWs) interventions.
• Mapping of financing sources and mechanisms for these programs at district, regional, and national levels; and estimation of financial volumes by disease area or intervention.
• Analysis of community-level services and the financing of CHWs.
• Analyze institutional and budgetary levers to support the production of health services in Burkina Faso.
• Contribution to a sustainability analysis.

Overview:
Period of Performance: August 15 - December 15, 2025
Level of Effort (LOE): 12 Days

Consultant Responsibilities:
Activity 1: Map HIV, tuberculosis, malaria, immunization, nutrition, family planning interventions, and CHW activities, detailing financing sources and mechanisms, and geographical coverage (district, regional, national).
Activity 2: Document financial flows—actual expenditures (2011–2023) and projected commitments (2024–2030)—for the selected interventions, by financing source, mechanism, and production factors.
Activity 3: Incorporate stakeholder feedback on the mapping of fee-exempt interventions and financial flows.
Activity 4: Identify institutional and budgetary levers to support the production of health services in Burkina Faso.
Activity 5: Identify government health financing mechanisms capable of integrating key production factors of the selected fee-exempt interventions.
Activity 6: Incorporate stakeholder feedback on the feasibility of integrating these production factors into national mechanisms.

Deliverables:

1. Methodology notes on the mapping of interventions and CHW activities by financing source, mechanism, and geographic coverage
2. Interventions (HIV, TB, malaria, immunization, nutrition, family planning) and CHW financing and coverage mapping
3. Methodology notes on estimating expenditures (2011–2023) and projections (2024–2030) by financing source, mechanism, and production factor
4. Estimates of actual and projected expenditures for targeted interventions
5. Revised intervention mapping and financial flow analysis incorporating stakeholder feedback
6. Methodology notes on mapping national institutional and budgetary levers
7. Mapping of national institutional and budgetary levers for sustaining fee-exempt health interventions production factors
8. Revised proposal on streamlining fee-exempt intervention inputs into national mechanisms with stakeholder input

Requirements

1. Master’s degree (or higher) in economics, statistics, public health or any other equivalent field.
2. Experience in national health account or health resource mapping for health production in Burkina Faso ministry of health.
3. Minimum 10 years of professional experience in data analysis, strategic planning or statistics.
4. Excellent command of data analysis software (e.g. STATA) and Microsoft office tools.
5. Ability to work independently and meet deadlines.
6. Excellent writing skills in French.