The vision of the WBG is the eradication of extreme poverty by reducing the number of people living on less than US$1.25 a day to 3 percent by 2030, and the promotion of shared prosperity by fostering income growth of the bottom 40 percent in each country. To achieve that vision, in 2013 the WBG Board of Governors approved a strategy for the organization. The strategy leverages the combined strength of the WBG institutions and their ability to partner with the public and private sectors to deliver customized development solutions backed by finance, world class knowledge and convening services. On July 1, 2014, the WBG launched the architecture underpinning the strategy and instrumental to its success: the new fourteen Global Practices and five Cross-Cutting Solution Areas that, in concert with the WBG regions, will design solutions to address clients’ most pressing developmental challenges, and ultimately, enable the WBG to meet its twin goals of eliminating extreme poverty and boosting shared prosperity. The Global Practices perform the following functions:
• Defining Strategic Direction;
• Developing and Deploying Expertise Globally;
• Delivering Integrated Solutions; and
• Capturing and Leveraging Knowledge Effectively.
HEALTH, NUTRITION AND POPULATION (HNP) GLOBAL PRACTICE CONTEXT:
The central contribution of the HNP Global Practice to the World Bank’s twin goals is to enable the achievement of Universal Health Coverage (UHC), in which all people are effectively covered by essential health services, and nobody suffers undue financial hardship because of illnesses. In the quest for UHC, the HNP Global Practice is building on progress made in the framework of the Millennium Development Goals, an array of analytical and advisory services, strategic partnerships with partner institutions and other financing agencies, and an active lending portfolio. The HNP Global Practice includes staff members in Washington, DC and many country offices.
The HNP Global Practice is led by a Senior Director, who has overall responsibility for the GP. The Senior Director is assisted by two Directors, who serve as Chief Operating Officers of the Practice. The HNP Global Practice Leadership Team, which leads and manages the HNP GP, consists of the Senior Director, the 2 Directors, ten HNP Practice Managers and seven Global Leads (for Financing; Healthy Societies; Nutrition; Population and Development; Decision and Delivery Science; Service Delivery; and Private Sector). The HNP Global Practice works with and across multiple sectors, in recognition of the fact that HNP outcomes often depend on actions that lie outside the HNP sector. Accordingly, a capacity to work across GP boundaries, forge coalitions and influence multi-practice solutions is essential for achieving the major objectives of improving HNP outcomes.
The HNP Global Practice is seeking a Senior Health Economist or Senior Health Specialist based in Yaoundé, Cameroon, reporting to the Practice Manager for GHN13, but working closely with the Country Director in Yaoundé.
COUNTRY CONTEXT AND HNP PORTFOLIO IN CAMEROON
In Cameroon while some progress has been recorded in the health sector, some indicators have also worsened between 2000 and 2011. Cameroon has not achieved the Millennium Development Goals. Under-5 mortality rate was 103 deaths per 1,000 live births in 2014; and maternal mortality ratio increased from 690 in 2004 to 782 deaths per 100,000 live births in 2011. While significant progress has been made to reduce infant and under-five child mortality in many regions of the country, major geographic discrepancies remain, particularly between the three northern regions (Far North, North and Adamawa) and the rest of the country. People in the lowest income brackets have the lowest coverage and access to health services. The main factors contributing to these poor health outcomes include: mothers not availing themselves of prenatal services due to inefficient interaction between health services and the population; financial barriers to health services, and insufficient local infrastructure and insufficient density of skilled personnel, leading to poor quality of the services that are provided. Malnutrition is also an important and increasing problem. Malnutrition is identified as an underlying cause in 48 percent of deaths of children under five years of age.
While Cameroon has an overall high level of health spending of US$138 per capita per year (2013), its epidemiological profile corresponds to countries with much lower per capita spending. Public expenditures for health are relatively low, representing only 33 percent of total health expenditures and 8.5 percent of total government expenditures in 2013 (stagnant at the same level since the early 2000s). Households are bearing a large share of health expenditures (52.2 percent of total health expenditures). Moreover, health funds are not allocated efficiently and financial governance in the health sector needs improvement.
The Bank has an active operational portfolio in HNP in Cameroon. Performance-Based Financing (PBF), supported by the World Bank and other development partners since 2011, has been identified as a central strategy to address the key health system challenges and contribute towards achieving Universal Health Coverage (UHC). The World Bank supported the PBF program through the Health Sector Support Investment Project (US$45 million IDA, US$25 million Trust Fund), which will close in December 2017. To continue supporting the government in the health sector, the World Bank approved in May 2016 the Health System Performance Reinforcement Project (US$100 million IDA, US$27 million Global Financing Facility), which will receive an additional financing in 2018. Its objective is to increase utilization and improve the quality of health services with a focus on reproductive, maternal, and child health and nutrition services. The World Bank is also supporting the health sector in Cameroon with regards to health financing and Universal Health Coverage, and policy reforms through a Development Policy Operation and various analytical products.
Note: If the selected candidate is a current Bank Group staff member with a Regular or Open-Ended appointment, s/he will retain his/her Regular or Open-Ended appointment. All others will be offered a 3 year term appointment.
• Guide task teams on complex sectoral (or multisectoral) analytical and advisory services, policy analysis at the highest levels, and for customized solutions to the most complex challenges faced by country and regional clients.
• Provide guidance to sectoral or multisectoral teams in business development, program formulation, preparation and supervision of complex lending operations and technical assistance tasks.
• Initiate innovations in the economics and financing of HNP services and products in the countries listed above and oversee teams that incubate new services and products.
• Cultivate and maintain effective relationships with country officials, partner agencies and multi-partner fora overall.
• Develop and improve effective relationships with Country Management Units particularly Cameroon CMU, technical specialists within and outside the HNP Global Practice. Work across global practices and WBG institutional boundaries (IFC, DEC, MIGA, IEG) to ensure the best combinations of depth and breadth of knowledge and know-how inform WBG products and services that are specific or relevant to HNP.
• Contribute to knowledge generation and sharing across countries and across units.
• Mentor and coach less experienced staff in individual and team contexts.
• Represent the HNP Global Practice on corporate matters, in external forums and/or partnerships as may be required by the HNP Global Practice Manager.
•Wide recognition and track record of technical expertise and operational leadership in health, health economics and/or financing.
•Deep experience, both analytic and operational, covering a range of client countries and settings, including LICs and MICs.
• A strong track record of work in or on low-income fragile and conflict-affected states (FCS) is a distinct advantage.
• Demonstrated ability to lead and function within and across teams in operational and analytical work.
• Ability to function well independently and handle multiple tasks, meet changing priorities and deliver high-quality analysis and work on-time
• Track record of influencing complex policies, brokering informed consensus, and managing complex bargains among institutions or stakeholders with divergent interests.
• Strong interpersonal and diplomatic skills.
• Fluency in English (excellent oral and written communication skills) is essential, with ability to prepare documents on complex subjects, speak and write persuasively, and present ideas clearly and concisely.
• Working knowledge of French is strongly advantageous.
The Sr. Health Specialist/Sr. Health Economist will report to the Practice Manager for GHN13.
WORLD BANK GROUP CORE COMPETENCIES:
The WBG core competencies are: Deliver Results for Clients; Collaborate Within Teams and Across Boundaries; Lead and Innovate; Create, Apply and Share Knowledge; and Make Smart Decisions. Each competency includes behavioral themes which are further described below for the GH responsibilities.
• Demonstrate Health, Nutrition and Population Knowledge and Experience: has the ability to critically assess the performance of health systems, to identify key challenges and solutions. Understands and is able to articulate the economic issues related to HNP. Has broad cross-sectoral understanding relevant to HNP and can identify how HNP issues relate to overall country development strategies, non-HNP policy decisions, and development initiatives across sectors. Ability to lead the Bank’s overall strategy development and policy dialogue in HNP in a country
• Lead and Innovate: Encourages and works with others to identify and implement relevant solutions. Identifies opportunities in changing circumstances and energizes others to continuously improve, using intentional strategies to boost morale, team spirit, and productivity in context of WBG’s values and mission. Helps others to understand problems, client needs and the underlying context. Ability to adapt to changing circumstances.
• Deliver Results for Clients: Develops and implements solutions that show understanding of how clients and/or own work achieves results that are financially, environmentally and socially sustainable. Shares new insights based on in-depth understanding of the client and recommends solutions for current and future needs of clients. Holds self and team accountable for risk management and outcomes. Maintain client relationships in the face of conflicting demands or directions and provides evidence-based advice and solutions based on sound diagnosis and knowledge.
• Collaborate Within Teams and Across Boundaries: Collaborates across organizational boundaries, internally and externally with a sense of mutuality and respect. Consistently engages others in open dialogue, brings out any conflicting viewpoints and incorporates viewpoints into solutions, giving credit where credit is due. Leverages expertise of all team members to ensure successful outcomes. Shows leadership in ensuring the team stays organized and focused, and actively seeks and considers diverse ideas and approaches.
• Create, Apply and Share Knowledge: Ensures systematic sharing of good practice and learning from lessons from across WBG, clients, and partners. Is known across WBG in their subject area and is sought out by WBG colleagues to advise, peer review, or contribute to knowledge products of others. Seeks mentoring opportunities with more experienced staff to deepen or strengthen their professional knowledge and mentors junior staff. Leads in the sharing of best practice, knowledge and lessons learned across units and with clients and partners, articulating ideas verbally and in writing in a clear and compelling way across audiences of varied levels.
• Make Smart Decisions: Applies critical thinking and seeks inputs and experience from others to recommend a course of action consistent with the WBG’s strategy. Evaluates risk and anticipates the short and long term implications of decisions.