Qualifications

• Advanced degree in Public Health, Health Economics, Health Systems, or related field
  
• Minimum 10–15 years of relevant experience in health systems strengthening, sustainability planning, or large-scale programme design
  
• Demonstrated experience in:
  • Developing strategic frameworks and transition roadmaps
    
  • Conducting multi-state or multi-country comparative analysis
    

The objective of this consultancy is to generate decision-grade evidence and develop a practical sustainability strategy to guide the transition of CODSAiN states towards self-reliance.

Specifically, the consultancy will:

• Assess system performance and transition readiness across CODSAiN states
  
• Draw comparative lessons from RASUDiN states that have transitioned from donor support
  
• Identify effective transition models and sustainability mechanisms
  
• Refine the Journey to Self-Reliance (JSR) framework and maturity scorecard to reflect real-world implementation dynamics
  

The consultant/team will undertake the following activities:

Analysis of CODSAiN System Performance and Transition Readiness

• Analyse findings from state-level maturity scorecard assessments to identify patterns in system functionality, strengths and gaps.
  
• Assess readiness for transition across key domains (governance, service delivery, supply chain, data, and financing)
  
• Identify systemic drivers and bottlenecks affecting sustainability across states.
  

Comparative Learning from RASUDiN Transitioned States

• Conduct a comparative review of selected RASUDIN states that have transitioned from donor support
  
• Examine the sustainability of key program components, including
  • COPR engagement and retention
    
  • Service engagement continuity
    
  • Data system integration
    
  • Financing and government ownership
    
• Assess how transition pathways differ across states, including those that were absorbed into DISC versus standalone transitions (e.g. Anambra)
  

Cross-Programme Learning and Integration (DISC)

• Engage the DISC programme to identify relevant tools, best practices and transition models applied post RASUDIN
  
• Assess how the DISC project leveraged prior investments to sustain and scale programme outcomes
  
• Identify scalable practices and programme opportunities that are relevant to CODSAiN
  

Review and Strengthen the JSR Framework and Scorecard

• Review the current JSR framework and maturity scorecard indicators
  
• Refine framework pillars and indicators to reflect transition realities and system functionality
  
• Align the updated framework with the Market Development Framework and sustainability benchmarks
  
• Strengthen measurability and usability for tracking state progress along the self-reliance pathway.
  

Sustainability Strategy and Transition Roadmap Development

• Develop a comprehensive evidence-based sustainability strategy for CODSAiN
  
• Define a differentiated transition pathway based on state maturity levels.
  
• Provide a phased roadmap outlining:
  • Key transition milestones
    
  • Roles and responsibilities
    
  • Priority investments and sequencing
    
• Identify actionable recommendations to strengthen system reliability and reduce dependency on external support