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Terms of Reference for Consultant to develop a community mHealth benefits case.

Living Goods is looking for a consultant to investigate Ministry of Health (MoH) perceptions around using mobile health (mHealth) applications for community health, identify influencing factors to use the technology, and develop a benefits case for community mHealth to inform government investment in community mHealth solutions.


MHealth represents a growing array of tools being applied in diverse health care settings.

Digital health is transforming the face of healthcare. All around the globe, access to a mobile phone can mean the difference between life and death. Mobile phones allow families to call for medical help in emergencies. They help rural pharmacists locate lifesaving drugs during stockouts. And they enable health workers to track disease outbreaks so they can respond quickly and appropriately. 

Equipping community health workers (CHWs) with mHealth tools can enable government to gather reliable data, provide consistent and accurate diagnoses, and deliver high-quality, cost-effective community health care. However, many governments are still reluctant to implement mHealth solutions for community health workers.

About Living Goods

Living Goods works to reinvent how we improve the lives of the under-served. We think big, but operate lean and nimble. We train community health workers to bring health services and products life-saving to people‚Äôs doorsteps.   Services like prenatal assessments and well baby visits.  Products like medicines, fortified foods, and modern contraceptives.  We also transform community health through digital technologies.   We train community health workers to assess the health of mothers and children with mobile phone apps and to treat common illnesses like pneumonia, malaria, and diarrhea. We also create predictive algorithms to make the best use of their time.  

About this Project

Living Goods is one of five organizations that make up the Health Systems Entrepreneurship (HSE) cohort, which was established by the Bertha Centre for Social Innovation and Entrepreneurship to explore the theme of social entrepreneurship with a focus on maternal and child health and systems change. This year, the cohort organizations have been given money by the Bertha Center to conduct work that will contribute to improved understanding of systems change and, particularly, the role that mobile technology can play in creating systems change in maternal and child health.

Living Goods will use this funding to investigate perceptions of mHealth for community health, develop a better understanding of the factors influencing uptake of community mHealth initiatives by MoHs, and to develop a benefits case, which will help Living Goods and partners to articulate the value and real costs associated with implementing an mHealth solution for CHWs, which can be used to advocate for the adoption of community mHealth solutions and tech-enabled approaches and, ultimately, result in increased government investment in mHealth solutions at all levels of the health system.


Living Goods is looking for a consultant or consulting firm to develop a benefits case for mHealth for community health to inform government investment in community mHealth solutions. The consultant will be expected to:

  • Conduct desk and literature review of:
    • The status of eHealth for community health in selected African countries
    • Ascertain best practices and key success factors for rolling out mHealth solutions to CHWs.
  • Undertake a baseline study, which will assess the select MOH perceptions of mHealth for community health against which we can measure change in perception over the next 2-3 years. Living Goods will partner with the Africa Digital Alliance to disseminate the perception survey to select country governments in sub-Saharan Africa.
  • Undertake a detailed cost/benefit analysis of digital health at community level for Tanzania, including:
    • Itemising costs of factors driving mHealth such as design, implementation, equipment, training and maintenance costs; value for money;
    • Itemising benefits of various mHealth solutions - from those doing simple data collection to those with more complex features like diagnostic workflows.
    • Creation of a costing template that can be used by other country governments.

Preference is for an individual or firm with extensive knowledge of, and experience working in, the health sector in East Africa. Individuals or firms based in East Africa preferred.

Key Deliverables

  • Project inception report with workplan detailing activities and timelines.
  • Baseline perception study report with recommendations on how LG and others can improve perception.
  • Summative tool with interview guide. This tool will be administered (not by consultant) to governments to measure change in their perception of investing in community mHealth solutions over the next 2-3 years.
  • Report including but not limited to:
    • Publishable and finalized Word document, including executive summary, table of contents, sources/references, and appendices detailing cost/benefit for mHealth or Community Health in Uganda.
    • Publishable and finalized Word document, including executive summary, table of contents, sources/references, and appendices summarizing benefits case for mHealth for community health in general.
    • A policy brief making the case for government investment in community mHealth solutions based on results of the benefits case.
    • Costing template.
  • Condensed PowerPoint presentation with key slides summarizing the narrative from the publishable report

Qualification and Essential Skills

Successful applicants will have the following competencies:

  • A post-graduate qualification in an area related to healthcare business strategy development, financial modeling, and/or organizational development. Experience in the health sector and working directly with governments will be an added advantage.
  • Extensive (over 5 years) knowledge and experience in conducting similar exercises, preferably in the NGO and/or health sector.
  • A demonstrated high level of professionalism and an ability to work independently and in high-pressure situations under tight deadlines.
  • Strong interpersonal and communication skills.
  • High proficiency in written and spoken English.
  • Deadline driven with a focus on results.

How to Apply

Expressions of interest to conduct this consultancy are invited from suitably qualified and experienced consultants. Please review the entire Terms of Reference and submit an expression of interest to by August 15, 2018. Successful applicants will be contacted by August 31, 2018. Expressions of interest should include:

  • A cover letter outlining why the applicant is best suited to deliver against the Terms of Reference.
  • CVs or Resumes of the lead consultant and (if a team of consultants is applying) each individual on the team, highlighting credentials and relevant experience.    
  • A brief work plan and financial proposal to deliver against the Terms of Reference (1-2 pages).

Please share the above documents in a single compressed folder.

For more information about Living Goods, please visit:

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