Call for Experts, Nepal Health System Assessment, Nepal

Nepal Health System Efficiency Opportunity Assessment

• Location: Primarily Nepal, with travel to selected provinces, local governments and public hospitals, and remote specialist inputs where appropriate.

• Indicative Duration: 12 months, Dec 2026 – Dec 2027 (tentative)

As part of the Technical Support Programme for Health (P4 H), we are seeking national, regional and international experts for four roles to support the Government of Nepal to identify, measure, explain and act on high-value opportunities to improve the allocative and technical efficiency of health financing, public hospitals and the wider health system, so that existing and future resources deliver more equitable access, effective quality care, financial protection and health gain.

The specific objectives of the assignment are to

1. Produce a robust, quality- and equity-adjusted diagnostic of where and why major inefficiencies arise across resource allocation and execution, pooling and purchasing, public-hospital performance, referral pathways and the three tiers of government.

1. Quantify a defensible subset of efficiency opportunities and reallocation potential, identify better-performing practices, and assess the institutional, political-economy and implementation conditions that determine whether gains can be realised and retained within health.

1. Co-create a prioritised package of feasible reforms, with clear decision owners, sequencing, costs, safeguards and indicators, and embed a practical approach to efficiency monitoring within Government budget, purchasing, hospital-performance and National Joint Annual Review (NJAR) processes.

We seek a nationally led, multidisciplinary team combining strong knowledge of Nepal’s health system, health financing, public hospital performance and federal governance with expertise in quantitative efficiency analysis, equity and political economy. The four core roles will bring distinct but complementary expertise, while working collaboratively across the assessment, stakeholder engagement and development of practical reform options.

National expertise will lead contextual analysis and engagement, with targeted regional or international inputs supporting specialist methods and independent quality assurance. Strong facilitation, stakeholder engagement and change-management skills will be important across the team given the assignment’s emphasis on consensus-building, co-creation and practical uptake of recommendations.

Role 1 - Team Lead: Health Systems, Governance and Political-Economy Scientist Location: Primarily Nepal-based | Indicative Lo E: Close to full-time

Indicative responsibilities

• Overall technical leadership, Government and stakeholder engagement, political economy and institutional analysis, integration of findings, and co-development of prioritised reform recommendations.

Required experience and capability

• Senior health policy and systems leadership; federal governance; institutions, accountability and political economy analysis; qualitative and mixed methods evaluation skills; high-level Government facilitation; synthesis and strategic writing.

Role 2 - Health-Financing and Economics Expert

Location: Preferably Nepal, potential for remote | Indicative Lo E: Part-time

Indicative responsibilities

• Lead health financing, resource allocation, expenditure, PFM, purchasing, costing and fiscal analysis, and contribute to assessment of reform options.

Required experience and capability

• Revenue, pooling, purchasing, provider payment, PFM, costing, budget and expenditure analysis, distributional methods, priority setting and budget-impact appraisal.

Role 3 - Public-Hospital Systems and Quality Expert

Location: Preferably Nepal, potential for remote | Indicative Lo E: Part-time

Indicative responsibilities

• Lead assessment of hospital performance, costs, productivity, quality, patient pathways, referral systems and management arrangements.

Required experience and capability

• Hospital management, service-line costing, productivity, patient flow, workforce, own-source revenue, clinical governance, MSS, clinical audit, referral and quality improvement.

Role 4 - Quantitative Efficiency and Equity Analyst

Location: Potential for remote, with Nepal-based engagement as required | Indicative Lo E: Part-time

Indicative responsibilities

• Lead quantitative and equity analysis, data linkage, benchmarking and appropriate efficiency modelling, including assessment of data quality, uncertainty and methodological limitations.

Required experience and capability

• Administrative-data linkage, reproducible analysis, econometrics and frontier methods, uncertainty/sensitivity, burden and need alignment, benefit-incidence and equity analysis; able to advise against invalid modelling.

Interested candidates should submit an updated CV and a cover letter (maximum one page), clearly indicating the role(s) they are applying for (Team Lead and/or specialist role) and the city in which they propose to be based during the assignment period.

Application deadline: 11 November 2026.