Fed TA - PMDC Junior Research Associate
Palladium Pakistan Pvt Ltd
IMPORTANT
DATE
Starting date of application form 26th
August, 2024
Last date of application 4th September, 2024
Jobs Position STTA
Location Islamabad
Experience 5 years
Vacancy Detail
TORs: Junior
National Research Associate
Fed TA-16: Governance Review of the Pakistan Medical & Dental Council (PMDC) and Development of Institutional Reform Plan
Programme
Evidence for Health (E4H) is a Foreign, Commonwealth, and Development Office
(FCDO)-funded programme aiming at improving Pakistan's healthcare system,
lowering the burden of illness, and saving lives. Palladium, in collaboration
with Oxford Policy Management, is implementing E4H, which provides technical
assistance (TA) to the Federal, Khyber Pakhtunkhwa, and Punjab governments.
E4H's flexible, embedded, and demand-driven strategy helps the government build
a resilient health system that is ready for health emergencies, responds to the
latest evidence, and provides equitable, high-quality, and efficient healthcare
services. Specifically, E4H provides TA through three outputs:
Output 1: Improved integrated health security, with a focus on
preparedness and response to health emergencies, particularly pandemics.
Output 2: Improved evidence-based
decision-making to boost health-care performance and accountability.
Output 3: Improved implementation of
Universal Health Coverage, with a focus on eliminating unnecessary deaths.
Problem
Statement
The National Health Vision (2016-25) - Pillar IV (Human Resources for Health)
and Human Resource for Health Vision (2018-2030) aimed to address the critical
gaps in the health workforce and to establish a national and provincial health
workforce planning and development capability that provides the necessary tools
(strategies, governance mechanisms, legislation) and resources to deliver a
health workforce of sufficient size, composition, capability, and distribution
to Both visions include aims and objectives for ensuring an adequate, skilled,
and equitably dispersed health workforce in order to achieve universal health
coverage and better health outcomes.
The medical professions of
physicians and dentists were governed by the Pakistan Medical and Dental
Council (PMDC) Act 1962, which was repealed by the Pakistan Medical Commission
Ordinance 2019 and subsequently expired. Later, the Pakistan Medical Commission
Act 2020 was enacted as a new law to govern the medical and dental workforces
and institutions. This law was also replaced by the PMDC Act 2022, which is now
the foundation for governing Pakistan's physicians and dentists.
The PMDC Act of 2022 authorizes the council to establish educational standards,
license and register practitioners, regulate professional activity, and assure
continuing professional development, quality assurance, and academic
institution certification. The Act also requires the PMDC to formulate
policies, keep thorough professional records, and ensure accountability and
competency.
Regulations of physicians and
dentists are linked to similar reforms in the UK, particularly the Medical Act
of 1858, followed by major modification and defining procedures. In 1983,
revalidation and increased regulatory powers were implemented; in 2002,
additional revisions were made to accommodate the COVID-19 pandemic. This
reflects the increasing role of regulation in the medical profession, as well
as changes to practices in response to social concerns to ensure high-quality
healthcare in the UK.
Similarly, PMDC is in the process of transitioning to new reforms, and in order
to properly execute the PMDC Act 2022, a governance review is needed, taking
into account worldwide best practices and assessing all aspects of governance.
Such a study will assist in identifying gaps and obstacles and developing
institutional reform plans, ultimately guaranteeing that physicians, dentists,
and their institutions provide high-quality care.
Objectives
The main goal of the technical assistance is to assess the PMDC's governance
mechanism, identify gaps and existing difficulties, and design a strong
institutional reform plan that will help streamline operations and implement
best practices to improve governance, accountability, and results.
The scope of work and methodology
The consultant's scope of work for this TA assignment will include the
following:
Reviewing all PMDC-related acts, as well as worldwide best
practices, corporate standards, and pertinent papers. This comprises existing
regulations and reports on the health workforce, particularly medical doctors
and dentists in Pakistan. Do a comparative analysis of PMC was better or PMDC,
and who makes the act, the M/o NHSR&C, are they responsible for this?
Review and document the organizational structure as well as the existing
regulatory and coordinating framework controlling the PMDC, taking into account
practices in other countries.
Review the council's processes and governance structures and compare them to
worldwide best practices.
Consultation with stakeholders:
Conduct interviews and consultative meetings with representatives from PMDC,
government agencies including departments of health, Pakistan Nursing and
Midwifery Council, Higher Education Commission, College of Physicians and
Surgeons of Pakistan, other regulatory entities, health workers' regulatory
entities of other sectors (including climate change, information technology,
food and agriculture, veterinary, etc.), medical and dental professions.
Identify best practices and governance models that can be tailored to the
PMDC's needs in order to produce better results.
f. Review and relate the institutional reform plan to the
UHC agenda, Pakistan's HRH vision 2018-30, and developments in the context of
the 2005 International Health Regulations.
The report on PMDC Governance Review with the Development of an Institutional
Reform Plan shall outline, but not be limited to:
I. Brief situational analysis,
evidence, and challenges.
II. Governance review process,
identifying difficulties and making future recommendations
III. Governance review findings,
focusing on: i) strategic framework/roadmap; ii) legislative framework,
organizational structure; iii) coordination mechanisms; iv) regulatory and
accountability mechanisms, including grievance redressal; v) evidence and
intelligence; vi) efficiency; vii) effectiveness; viii) equity; ix) ethics; and
x) transparency. The assessment should include cases pending for academic institution
registration and licensing.
IV. Institutional reform plan with strategic priorities and
activities, prioritising quality factors and outstanding registration and
licensing issues.
V. Mechanism for guaranteeing
transparency, accountability, and grievance redressal
VI. Monitoring and Evaluation
Framework: Establish KPIs, data gathering techniques, reporting procedures, and
a strategy for continual improvement.
8. Introducing the Governance Review
and Institutional Reform Plan: Provide a clear and succinct presentation about
the M/o NHSR&C, PMDC leadership, and key stakeholders.
The Director General (Health) and President of PMDC, as well
as the Director (Regulations), will be actively involved in the activities to
the extent possible. The activity will also involve staff from the HPSIU,
Ministry, and PMDC. The team will collaborate closely with backup support from
WHO EMRO, the UK NHS health systems, and others.
Timeline and LOE
The post requires 50 working days from September 15 to December 15, 2024.
Requirement
Technical expertise
Postgraduate degree in public health or a related discipline.
A minimum of 5 years of experience.
Experience in data collection, collation, and analysis.
Effective writing and communication skills.
Competencies
Working with others.
Analysis and use of information
Communication with Others
Deliverables
Based on an assessment of the literature, create a work plan and an inception
report.
Draft report on PMDC's governance evaluation and institutional reform.
Final report and presentation, including comments and ideas.
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