Transform Health National

Coordinator - Ecuador
Terms of reference
Transform Health is seeking a national coordinator in Ecuador to establish the
national coalition and to coordinate the coalition’s national campaign efforts.

BACKGROUND
Globally and for many countries, the pace of progress towards universal health
coverage (UHC) has slowed over the past decade. It is projected that by 2030,
only half of the world’s population will have access to primary health care (PHC)
services, a foundation for achieving UHC.1 This will subject billions of people to
poor, unreliable and relatively expensive health services, limiting their access to
quality healthcare and increasing their vulnerability to communicable and
non-communicable diseases.

Transform Health was set up to respond to these challenges by bringing together

local, regional, and global stakeholders from multiple sectors dedicated to
achieving UHC in the digital age. Transform Health campaigns for and
collaborates with individuals – particularly women and young people – and
communities who would benefit most from the digital transformation of health
systems, as well as the governments, organisations and institutions who
recognize and support the fundamental role of digital technologies and data for
improved health.

Our vision

Universal Health Coverage will be achieved by 2030 by harnessing digital

technology and the use of data.

Our Mission

Transform Health is building a global movement that brings together

organisations and institutions across different sectors2 who are committed to
achieving Universal Health Coverage within the next ten years by expanding the
use of digital technology and increasing access to data.

1
World Health Organization (2019) Primary Health Care on the Road to Universal Health Coverage: 2019 Monitoring Report. 2
2
See Annex 2 for overview of governance arrangements.
Transform Health campaigns for and collaborates with the individuals,
communities, governments, organisations and institutions that are most affected
by the lack of access to health. The Coalition is committed to promoting youth
and women’s participation and leadership and to ensuring the perspectives,
concerns and needs of marginalised groups are adequately addressed so they are
able to both benefit from the digital transformation, and access and control their
own data to improve their health outcomes.

Our principles

Transform Health is committed to bridging the digital divide to create an inclusive

movement that seeks to engage and mobilise people traditionally excluded from
decision making processes on health in particular. Our work is guided by the
following principles:

Equity: We are committed to ensuring underrepresented and/or marginalised

populations - that may have the least access to promising digital and data
technologies and who may have the most to gain from them - are fully
represented in the coalition’s work.

Empowerment: We seek to enable young people3 and women, who are

traditionally excluded from decision-making processes to play an active part in
the coalition, in the campaign work to influence decision makers to ensure digital
technology and the use of data accelerates UHC.

Partnership: We are committed to working with different individuals and

organisations, in particular, governments, civil society, think tanks, foundations,
multilateral institutions, the private sector and others to promote the adoption
and effective use of digital technologies, and to ensure people are able to control
their own data, to achieve better health outcomes for themselves and their
communities. We fully support the Principles for Digital Development4, and
support the Paris Principles and the Accra Agenda for Action on Aid Effectiveness.
5

Human rights, gender equity and inclusiveness: The realisation of human

rights, gender equality and inclusiveness are critical within the digital age. We will
work to address gaps to ensure equity, gender equity and equitable opportunities
in our spheres of influence and beyond.

OBJECTIVES
Transform Health advocates and campaigns for:

1. Recognition of the fundamental role of digital technologies and data use to

transform and strengthen health systems to achieve UHC by 2030

The Coalition is launching a global campaign to build consensus for and influence

3
These include Young Experts: Tech 4 Health and the Lancet Joint Commission. See Annex 3 for an overview
4
Principles for Digital Development. 2020. Available at: https://digitalprinciples.org/
5
https://www.oecd.org/dac/effectiveness/parisdeclarationandaccraagendaforaction.htm
decision makers to make the necessary investments and develop policies and
regulatory frameworks to ensure both the accelerated adoption of digital
technologies and access to and the ethical use of data to achieve UHC. To enable
this Transform Health will:

● collaborate with organisations working on global health and UHC, as well as

those working on bridging the digital divide, and on human rights and
development to ensure consensus across sectors on what measures need
to be taken by governments and others to accelerate the adoption of
digital technology and access to data to achieve UHC;
● work with women and youth led organisations to ensure they are a central
part of conversations with governments and others on priority setting in
relation to the acceleration of digital technology to achieve UHC, and
increase access and use of data to improve health outcomes;
● establish campaign platforms in at least six low and middle income
countries to engage multiple stakeholders on the issues and to empower
marginalised communities and their representatives and to provide them
with a platform through which they can engage their governments and
donors and call on them to prioritise the equitable adoption of digital
technology to enable them to access UHC (for more details see the
forthcoming campaign proposal).
● grow the coalition, and organise and enable coordinated actions aimed at
building consensus on the tools, approaches, processes and resources
necessary to accelerate the adoption of digital technology to achieve UHC.
● build public support and political backing for technical and regulatory
solutions that will accelerate the digital transformation of health systems
and enable governments to achieve their UHC commitments.

2. A data governance framework to allow for full beneficial, impactful, and

responsible management of health data, while safeguarding data privacy,
ownership and security

Transform Health is advocating for a global normative framework on digital

health and data governance that is human rights based: We will then press for
this to be adopted and implemented at the national level. Transform Health will:
● map and assess the range of existing global health policies, standards, and
regulatory frameworks, capture best practices across various governance
levels, identify key issues and barriers to the ethical management and use
of health data and data for health.
● determine the nature and depth of data that needs to be collected and
regulated to attain UHC as well as relevant guidelines, standards,
benchmarks, data equity enablers and decision-making structures.
● assess the operational aspects of human centered data platforms; solutions
mapping and multidimensional data flow and sharing; and explore
establishing a policy advisory group with a pool of experts to support and
guide national governments and multilateral institutions on health data
governance norms.

3. Increased domestic and international financial commitments/ investments

for strengthening digitally enabled health systems and empowered
communities to achieve UHC by 2030
Transform Health will enable and support a process that identifies the global
investment needs required to enable countries to develop and maintain the
digital infrastructure necessary to ensure the progressive realisation of UHC. With
the investment case the coalition will:
● advocate for the establishment of an appropriate platform / mechanism to
capture the financial commitments made by governments, the private
sector, foundations, civil society and others that will enable the
government to accelerate the adoption of digital health to achieve UHC by
2030.
● work closely with WHO and other partners to develop a fully costed global
plan for acceleration of digital transformation in all low-and
middle-income countries, building on their national plans.

SCOPE OF WORK
Transform Health is seeking applications from suitable organisations to act as
National Coordinator for Transform Health to set up the coalition in Ecuador, and
to coordinate activities across sectors and with the government so as to advance
the coalition’s campaign objectives.

The purpose of the Transform Health National Coalitions is to work together to

localise Transform Health’s strategy, based on a landscape analysis that will be
carried out in that country. The National Coordinator will work with partners to
influence the government and others to bring about the changes identified in the
national strategy. The national partners will receive grants through the National
Coordinator to support certain activities, particularly the engagement of youth,
women and marginalised communities in the campaign. The National
Coordinator will also work with other partners to coordinate and leverage the
technical expertise, information, and networks they have developed through their
programming work to advance the objectives of the coalition.

EXPECTED OUTPUTS AND RESULTS

While it would not be right to pre-determine what specific outputs and activities
national partners should engage in to influence their governments and others
(this should be determined at the national level with the full participation of
under-represented and marginalised groups), we do have expectations in terms of
the process to be followed to establish and operationalise the national campaign
platforms and the broad areas of engagement.

Coalition Governance, Growth and Development

● Identify and onboard national coordinating partner;
● Conduct a national consultation with youth, women and marginalised
communities to identify barriers to equitable access to quality digital health
services and data.
 ● The national coordinator hosts a workshop/consultation to introduce
national

Policy and Analysis

● Conduct initial landscape analysis and stakeholder mapping

Strategy, Planning and Budget

● Develop a national campaign and influencing strategy that includes a
theory of change.
● Develop a two year workplan, budget and M&E framework.

Outreach and Influence

● launch the coalition and issue a national campaign report based on the
results of the national landscape analysis;
● Develop content for a country page to be developed on the Transform
Health website, including in local languages;
● Organise a regular meeting schedule with government officials and
partners to discuss how implement recommendations from the landscape
analysis;
● Engage in media and communications work to sensitise key audiences
about the importance of addressing this agenda;
● Engage in national, regional and global events in order to inform and
sensitise different audiences of the country's situation and so as to increase
levels of awareness and understanding among donors and others, thereby
ensure more effective support for national authorities and partners;

Coordinating Team Management

● Recruit the team ensuring gender balance
● Work with the Enabling Function to develop funding proposals
● Report back on coalition activities to the Enabling Function
● Financial accounting

RELATIONSHIPS AND ACCOUNTABILITY

Accountability will be split across the operational level and financial level. The
national coalition partner will be expected to establish a national governance
structure composed of different thematic Circles and including a Governance and
Strategy Circle, as set out in the scope of work. The National Coordinator will be
accountable to the coalition’s Enabling Function in relation to operational
matters.

ELIGIBILITY FOR APPLICATION

Selection of national coordinating partners will be based on the following criteria:
 ● National organisation or network formally registered as a not for profit
organisation, headquartered at the national or regional level;
● Advocacy and campaigning experience on the issues of relevance to the
coalition;
● Experience working in an inclusive and consultative manner and to
promote the leadership of communities traditionally excluded from
decision-making processes;
● Experience working with multi stakeholder initiatives
● Ability to coordinate the development multi stakeholder strategies and to
work with others to deliver on the strategy;
● Track record and ability to engage and mobilise youth, women and
marginalised communities; and
● Commitment to Transform Health’s principles.

Successful applicants will be invited to submit a full six month proposal, M&E
framework and budget.

BUDGET
This assignment is for a period of two years starting in January 2022. The first
year budget will be US$100,000, with potential increase for year two.

HOW TO APPLY
Interested candidates are requested to submit an electronic copy of their
expression of interest/proposal by 20 November 2021 to Frank Smith:
frank.smith@transformhealthcoalition.org. Candidates must forward: - 5
pages (max) proposal indicating with necessary supporting
documentation

● The organisation’s suitability for the assignment and match with

previous projects executed particularly showing evidence of
○ Advocacy and campaigning experience on the issues of
relevance to the coalition;
○ Experience working in an inclusive and consultative manner and to
promote the leadership of communities traditionally excluded from
decision-making processes;
○ Ability to coordinate the development multi stakeholder strategies
and to work with others to deliver on the strategy;;
○ Track record and ability to engage and mobilise youth, women and
marginalised communities; and
● Discussion of the work methodology process it will deploy (both to set up
an manage the coalition and to engage in outreach and deliver on specific
outputs)
● Draft work plan for the first six months with proposed budget
Supporting documentation:

● Organisation’s
○ proof of registration within the country
○ 1-2 years of audited financial statements
● Professional profile of the National Coordianting team/(CVs of all
individuals included in the consultancy team), and how the team will
be structures and the division of work between team members

Enquiries regarding the expression of interest/proposal process may be

directed to Frank Smith: frank.smith@transformhealthcoalition.org.