E4H Punjab TOR : Development of a Comprehensive Implementation Plan For Community Health Inspectors’ Initiative
Evidence for Health (E4H) is a Foreign, Commonwealth & Development Office (FCDO)-funded programme aimed at strengthening Pakistan's healthcare system, thereby decreasing the burden of illness and saving lives. E4H (2023–2027) provides technical assistance (TA) to Punjab, Federal, and KP governments, implemented by Palladium in partnership with Oxford Policy Management (OPM).
Through its flexible, embedded, and demand-driven model, E4H supports governments to achieve a resilient health system that is prepared for emergencies, responsive to evidence, and delivers equitable, quality, and efficient healthcare services. Specifically, E4H delivers TA across three outputs :
Background and Problem Statement
Despite the Government of Punjab’s notification of the CHI outsourcing model and its pilot in four districts, the initiative still lacks a standardised provincial implementation framework—including district operational plans, vendor management protocols, and supervision mechanisms.
Goal and Objective(s)
To operationalise and institutionalise the CHI initiative as a sustainable, scalable, outsourced cadre that addresses primary healthcare coverage gaps, strengthens community–facility linkages, and contributes to Punjab’s commitments under EPHS, NHSP DLI-11, PHSS 2019–28, and UHC / SDGs.
We will achieve this by pursuing three objectives :
Strategic Approach
This TA strengthens Punjab’s primary healthcare by operationalising the outsourced CHI cadre through a standardised provincial framework, vendor management arrangements, and district rollout plans.
Scope of Work and Methodology
The TA will run from October 2025 to March 2026 and will support the operationalisation and institutionalisation of the CHI initiative through a phased approach in close collaboration with the H&PD.
Sustainability : Capacity Building, Institutionalisation, and / or Transition Planning
Capacity Building : The focal point of the TA will be the Project Director of the MNCHS Programme, Health H&PD.
Institutionalisation : CHI governance will be anchored within existing H&PD structures to avoid the creation of parallel systems.
Transition Planning : CHI oversight, vendor management, and performance monitoring will be the responsibility of the H&PD, RMNCH directorate, and its PIU and M&E directorate.
HR Management Expert (Mid National)
LOE : 30 days
Period : Oct 2025 – Mar 2026
Role Requirements
Support CHI framework and district plan development. Provide inputs on HR, supervision, referral protocols, and PHC integration.
Technical Expertise
Postgraduate degree in HR management, public health, or equivalent discipline; 10+ years’ overall experience.
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Recruitment Stta Mid • Lahore, Punjab, Pakistan