MID TERM REVIEW OF RWANDA NATIONAL SURGICAL, OBSTETRIC, AND ANESTHESIA PLAN
(NSOAP)
1.1 Background
Timely access to safe, effective, and affordable surgical care is not universally available. Over 5 billion people worldwide experience barriers to accessing such care, with the majority of these people concentrated in Low- and Middle-Income Countries. In an attempt to address such shortfalls in surgical care, there has been a movement by many countries to formulate National Surgical, Obstetrics, and Anesthesia Plans (NSOAPs).
These NSOAPs involve the collection of baseline data relating to surgical indicators and the
formulation of structured and evidence-based plans aimed at improving access to surgical care.
Rwanda undertook such baseline data collection in 2017 and formulated a 6-year NSOAP for the period 2018-2024. The NSOAP in Rwanda was developed to encourage the inclusion of surgical services in strategic plans for the Ministry of Health, since surgery is acknowledged as a critical component of Universal Health Coverage (UHC).
It has been five years since initial data collection, and now there is an opportunity to evaluate current progress in the implementation of Rwanda’s NSOAP in order to inform further implementation of the current NSOAP, and the writing of the next iteration of the NSOAP for the period 2025-2030 by the Ministry of Health (MoH) and various stakeholders.
1.2 GOAL NSOAP MTR
The overall goals of the NSOAP MTR are to compare 2017 baseline data and current data as far
as NSOAP indicators are concerned, to inform policy-makers about NSOAP implementation
progress, propose a catchup plan to reach NSOAP targets in nearby future.
1.3 NSOAP MTR SPECIFIC OBJECTIVES
a. Assess Rwanda NSOAP implementation progress (2018-2023)
b. Analyze trends in performance indicators for surgery, obstetric and anesthesia.
c. Identify main challenges and barriers for NSOAP implementation in Rwanda
e. Inform NSOAP Implementation conference with stakeholders
f. Design recommendations and new targets for NSOAP 2025-2030
g. Review funding commitments of different NSOAP stakeholders and create a strategy for
future engagement
1.4 Scope of Work
The mid-term review will consist of a comprehensive analytical analysis of hospital and national
advancement towards the goals outlined in the 2018-2024 NSOAP. This will include but not
limited to compare and contrast the baseline data of 2017 and the current situation related to
the 6 pillars of the Rwandan NSOAP: Infrastructure, Workforce, Service Delivery, Financing,
Information Management, and Governance. A comprehensive report will be written at the end
of NSOASP MTR. The findings will be owned by Rwanda Ministry of Health and be presented to
different stakeholders including but not limited to other ministries, professional bodies, civil
society organizations (CSO’s), private sector representatives, NGOs, Development Partners (DP’s)
and academic and research organizations, all of whom are expected to contribute to the next
NSOAP iteration.
1.5 Terms of reference for NSOAP Mid Term Evaluation Consultant
Rwanda NSOAP steering committee in collaboration with Operation Smile Rwanda is is looking
for an individual consultant specialised in monitoring and evaluation of health-related projects
and programs. The consultancy is in accordance with the strategy of mid-term review of Rwanda
National Surgical, Obstetrics and Anaesthesia Plan.
Under the supervision of a conjoined coordinating committee representing Rwanda Ministry of
Health, Professional societies, academic institutions and NGOs, the individual consultant will
advise and support the coordinating committee to develop, test and validate the data collection
tools, conduct a comprehensive statistical analysis of generated data, interpret them and
produce a final comprehensive report, including a costed improvement plan that is linked with
the strategic interventions developed by the consultant aiming to address the identified gaps.
1.6 Responsibilities of the consultant:
The consultant will be responsible for:
a. Reviewing and validating the data collection tools together with the coordination
committee.
b. Digitalizing the data collection tools to facilitate data collection
c. Validating the methodology, receiving and cleaning the raw data from data
collectors
d. Analyzing the data (descriptive, inferential statistics, qualitative etc)
e. Providing expertise in health economic data collection and analysisfor catastrophic
health expenditure and impoverishment
f. Writing final comprehensive report to be submitted to and approved by the MoH
and disseminated to the NSOAP Steering Committee
1.7 Qualifications:
The desired consultant must have at least:
▪ A Master’s degree in Public Health, health economics, health related sciences (Medicine
and or Surgery, Biostatistics, Epidemiology or any other medical related field).
▪ Having at least 5 years of experience in projects monitoring and evaluation or comparable
senior positions, working with international development partners, academic writing and
publications.
▪ Having proven experience in contributing directly to any impact evaluation of health
programs in Rwanda.
1.8 Duration of the consultancy: 30 working days
Interested candidates should send their combined cover letter and well detailed CV no later
than 05th April 2023 via the apply button below or to the below email addresses.
elmer.kibuuka@operationsmile.org, andrew.karima@operationsmile.org,
benjamin.ngarambe@operationsmile.org
Only shortlisted candidates will be contacted for further steps.
*Disclaimer: Operation Smile Rwanda does not charge any kind of fee at whichever stage of
the recruitment.
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