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Consultant - Feasibility study for Community Based Health Insurance Schemes in Harare


UNFPA is seeking a qualified and suitable Individual Consultant as follows:


Since the turn of the millennium, Zimbabwe‘s health insurance coverage and access are generally depressed.  The 2014 Labour Force Survey shows that only 9% of Zimbabwe’s population is covered by medical aid schemes. This survey is consistent with earlier reports and surveys that have shown a consistent lack of coverage for the greater population. There are however, about 36 medical aid societies that are competing for a market share of the one million people who are in formal employment. Harare province accounts for 16.3% of the national population. In the wake of these major challenges confronting Harare, City Health has found itself with inadequate resources to finance its health care obligations. About 90% of City Health Department’s funding that was traditionally raised from the Harare City Council’s Rates Account has, over the years, been declining due to reduced collections. This is because Harare residents’ ability to pay the rates has been severely compromised by the stifling economic challenges confronting the economy. Harare City Health has proposed to introduce ward-based Community Based Health Insurance schemes as a way to address some of the problems. However, voluntary CBHI schemes are by their nature very complex, hence there is need for the communities to be fully appreciative of the benefits of the CBHI schemes before they enroll on them.

Objectives of the Consultancy

Prepare a feasibility study and evidence-based design proposal for Community-based Health Insurance schemes in selected suburbs of Harare, based on review of existing documents and community consultations, among others.


Qualifications and Experience of the Consultant

1. Substantial international or regional experience in carrying out qualitative research on Community Based Health Insurance as an alternative health financing initiatives is critical requirement (submit samples of work)

2. Good knowledge of community dynamics in sub-Saharan Africa and ideally Zimbabwe, with emphasis on urban & peri-urban communities, is also required (submit samples of work)

3. Good knowledge of software for analyzing qualitative data such as NVivo and RDQA (R package for analyzing qualitative data)

4. Masters degree or higher qualification in a social science area (sociology, psychology, economics, and public health) is also a pre-requisite.

Full Terms of Reference for the consultancy attached.

Please submit applications including a proposal as specified in the TOR in a sealed envelope marked “Consultancy – Feasibility Study for CBHI in Harare” no later than 12 noon on Friday 23 November 2018 to:


The UNFPA Country Representative, Ref: Consultancy – Feasibility Study for CBHI in Harare, Block 7, 1st Floor, Arundel Office Park, Mt. Pleasant, PO Box 4775, Harare;

Or by e-mail to: