1.      Purpose of the position

Within this framework, Expertise France seeks to recruit a short-term consultant to provide hands-on strategic and analytical support on health financing, sustainability, and transition, ensuring that Rwanda’s HIV, TB and Malaria sustainability plans are:

• Financially credible and macro-fiscally realistic;
• Fully aligned with Global Fund Sustainability, Transition and Co-Financing (STC) Policy, as well as USG and other major partner frameworks;
• Coherent with Rwanda’s Health Financing Strategy 2023–2030, medium-term fiscal outlook, and evolving domestic resource mobilisation agenda;
• Directly usable for GC8 funding request preparation, TRP scrutiny, and Grant Making discussions.

The expert will work in close collaboration with the International Team Leader and national experts, providing international benchmarking, technical depth, and external credibility on financing-related dimensions of sustainability and transition.

The team supporting this assignment is mobilised through a complementary cooperation mechanism of Expertise France, namely L’Initiative, managed under the same programmatic oversight in Kigali, ensuring close coordination, consistency of approach, and alignment with the broader technical assistance portfolio.

2.      Specific Objectives

The International Health Financing Expert will:

1.       Strengthen the financial robustness and credibility of sustainability and transition plans for HIV, TB and Malaria;

2.       Ensure consistency between programmatic priorities, costing outputs, fiscal space realities, and co-financing commitments;

3.       Support RBC and MoH in articulating clear, defendable sustainability and co-financing narratives for the GC8 funding request;

4.       Identify and structure innovative and diversified financing pathways, including public, private and blended mechanisms, where relevant.

3.      Key Responsibilities and Tasks

The expert will contribute across all phases of the assignment, with distinct and complementary responsibilities as outlined below.

a.      Strategic Health Financing Analysis and Guidance

·       Provide technical leadership on fiscal space analysis for HIV, TB and Malaria, validating assumptions used by the national health economist and PFM expert.

·       Analyse medium-term macro-fiscal trends, health sector budget projections, revenu and expenditure scenarios, and implications for disease program sustainability.

·       Assess financial sustainability risks linked to declining external financing, malaria resurgence, and expansion of differentiated service delivery models.

·       Ensure alignment of sustainability scenarios with:

o   Rwanda’s Health Financing Strategy (2023–2030);

o   Medium-Term Expenditure Framework (MTEF);

o   Global Fund STC Policy and co-financing requirements.

 b.      Co-Financing and Transition Strategy Development

·       Lead the structuring of credible co-financing pathways, distinguishing:

o   Baseline domestic financing commitments;

o   Incremental co-financing scenarios;

o   Transition-sensitive investments requiring temporary external support.

·       Support the definition of realistic transition benchmarks and timelines, especially for:

o   Commodity financing;

o   Community systems and key population programming;

o   Surveillance and epidemic preparedness functions.

·       Provide technical input to ensure that transition pathways are sequenced, affordable, and politically feasible.

 c.       Integration into GC8 Funding Request Architecture

·       Work closely with the Team Leader to ensure sustainability plans translate into:

o   GC8 RSSH module priorities;

o   Co-financing annex narratives;

o   Disease component justifications and investment cases.

·       Support the drafting and review of financial narratives addressing:

o   Value for money;

o   Additionality and sustainability;

o   Risk mitigation measures.

 d.      Resource Mobilisation and Strategic Partnerships

·       Identify and assess non-traditional and complementary financing opportunities, including:

o   Private sector engagement (e.g. service delivery, supply chains, digital health);

o   Blended finance or results-based financing approaches;

o   Alignment with World Bank, AFD, and other IFI instruments.

·       Advise on mechanisms to better integrate disease program financing within broader health system and social protection financing reforms.

 e.       Quality Assurance and International Benchmarking

·       Provide quality assurance on all financing-related sections of deliverables, ensuring internal coherence and external credibility.

·       Bring comparative international experience from similar Global Fund core countries to inform Rwanda’s sustainability pathways.

·       Ensure that assumptions, projections, and commitments are defensible in international review and negotiation settings.

 4.      Deliverables and Level of Effort

The total estimated expert input is 30 working days (this number is indicative and not contractual), with the majority expected to be conducted incountry.

The International Health Financing Expert will not produce stand-alone deliverables, but will make clearly identifiable contributions to the following outputs:

·       Sustainability Assessment Report (financial risks, fiscal space, co-financing gaps);

·       Draft and Final Sustainability Plans (financing pillars, transition pathways, co-financing strategies);

·       Resource mobilisation and partnership sections;

·       GC8 readiness inputs (RSSH, co-financing annex, clarification notes).

Inputs will be documented through:

·       Written technical notes and annotated reviews;

·       Contributions to costing and scenario validation;

·       Participation in key stakeholder consultations and validation workshops.

The expert’s performance will be assessed based on the quality, timeliness, and technical robustness of their documented contributions to these collective outputs.

 5.      Coordination and Reporting

·       The expert will work under the technical coordination of the International Team Leader and in close collaboration with the national health economist and PFM expert.

·       The expert will be fully integrated into the TA team’s workplan, meetings, and consultations.

·       Technical reporting lines:

o   Strategic oversight: Head of Diseases Prevention and Control Department (RBC);

o   Operational and contractual coordination: Expertise France.

·       The expert will participate in:

o   Regular coordination meetings;

o   Stakeholder consultations as required;

o   Final debriefing with RBC/MoH and partners.