Investment Case Study for Cholera prevention and control in Guinea

Senegal 🇸🇳

Job no: 499365
Work type: Consultancy
Location: Senegal
Categories: WASH (Water, Sanitation and Hygiene)

If you are a committed, creative professional and are passionate about making a lasting difference for children, the world’s leading children’s rights organization would like to hear from you.

For 70 years, UNICEF has been working on the ground in 190 countries and territories to promote children’s survival, protection and development. The world’s largest provider of vaccines for developing countries, UNICEF supports child health and nutrition, good water and sanitation, quality basic education for all boys and girls, and the protection of children from violence, exploitation, and AIDS. UNICEF is funded entirely by the voluntary contributions of individuals, businesses, foundations and governments.

Purpose of the Assignment

The objective of the study is to develop an investment case study for cholera prevention and control at national level in Guinea as a pilot country. The whole process will be piloted by a Technical Committee composed of members of the GTFCC WG as specified below.

 The current work will provide development partners in Guinea including UNICEF country office with needed information and documentation to advocate for efficient and sustained WASH interventions in cholera hotspots through an analysis of the cost and benefit of control and prevention activities. In addition, it will raise awareness and hopefully mobilize donors, governments and partners to take a stronger engagement towards cholera elimination in Guinea.

 Assignment Tasks

As specified in the concept note developed on the “Investment Case for Cholera Control and Prevention” by the GTFCC, the whole process will be piloted by a Technical Committee (TC). The TC should be composed of a small group of GTFCC members as follows:

  • Epidemiologists (to review the available research works data on prioritization of areas / populations)
  • Public health specialists (for the part on strengthening surveillance / treatment)
  • OCV specialists (to assess the need, interest, feasibility of an OCV intervention)
  • Water and Sanitation specialists (to assess the type and feasibility of proposed WASH intervention)
  • Health economists (to pilot the economic evaluation process, define the methodology, etc.)

The TC will advise at different stages of the methodology and review the different outputs of the current study.

Step 1 – Inception report (2 days):

  • Write an inception report (in Microsoft Word), which will outline the proposed methodology, a timeframe with dates for reports and the travel arrangements to the field;
  • Submit and then review the draft report with comments and inputs from UNICEF supervisor before submission of a final version.

Step 2 – Desk-study covering (3 days):

The desk-study will cover the collection and review of background information as defined in the investment case methodology, including but not restricted to the following:

  • Information and data on cholera and diarrheal diseases burden: epidemiological studies, Guinea Cholera Epidemiology and Response Factsheet, database of cases and deaths per hotspot, publication on cholera dynamics and risk factors in the study areas, latest DHS and latest MICS.
  • Information and data on WASH interventions: publication on efficiency of WASH intervention, ongoing or planned WASH projects in the study area and border areas of neighboring countries, WASH demographic data and studies defining technical options for cholera prevention in Guinea (Cf. UNICEF WASH assessment conducted in August – September 2016).
  • Information on cholera control and prevention strategy: Regional Cholera Shield and Sword strategy, Guinea Cholera contingency plan, National WASH policy, UNICEF country strategy and report on UNICEF MICS, WHO position paper on OCV.

Step 3 – Field research (20 days):

  • With the support of the UNICEF Regional Cholera specialist, collect missing background information to apply the investment case methodology in Guinea including but not restricted to:
    • missing data to establish an estimation of the cost and benefit of WASH investment needed in the cholera hotspot according to the context (urban, rural, riverside population, cross-border etc.) and taking into account funded or planned WASH program to prevent cholera outbreak;
    • missing data related to the cost of other cholera control and prevention activities;
    • missing data related to the effectiveness of the implementation of cholera control and prevention activities (diarrheal cases in the study area, etc.).
  • Review the Cholera contingency plan, UNICEF strategy and the WASH and Health national policies and assess their consistency;
  • Exchange with senior epidemiologist and key stakeholders at national, sub-regional and regional level regarding the cost-effectiveness of WASH intervention taking into account various implementation stages of WASH development program in border areas;
  • Discuss with donors and stakeholders about their interest and expectations for an investment case study for cholera prevention and control.

Step 4 – Analysis and interpretation of results (15 days):

  • Conduct an economic analysis presenting the costs-benefit and the cost-effectiveness of WASH intervention compared and combined to other control and prevention activities with support of the UNICEF Regional cholera specialist ;
  • Describe the prioritized interventions to be implemented and the population and geographic areas to be targeted to achieve the greatest impact over the long term taking into account the sub-regional dynamic of cholera outbreaks;
  • Write justification/rationale for sustainable approach based on WASH and Epidemiology considerations;
  • Write recommendations on how the results of the study can be best utilized at national level and mainstreamed into key national policy documents;
  • Submit and then review the draft report with comments and inputs from the Technical Committee and UNICEF supervisor before submission of a final draft.

Expected Deliverables

The following will be expected:

  1. Deliverable 1: An inception report (in Microsoft Word), which will outline the proposed methodology, a timeframe with dates for reports and the travel arrangements to the field.
  2. Deliverable 2:
    • An investment case study (in Microsoft Word), containing an executive summary not exceeding one page and main body covering selected interventions, populations, and geographic areas, an economic analysis presenting the costs and benefits of the different interventions (approx. 50 pages document in English or French – UNICEF WCARO will be in charge of translation).
    • A power point presentation describing the method, findings, conclusions and recommendations of the study
  • Management, Organization and TimeframeTimeframe 
  • Submission of the inception report – on 20th of October 2016
  • Field mission to Guinea – Between 25th of October and 30th of November 2016
  • Submission of the draft investment case deliverables – on 5th of November 2016
  • Submission of the final investment case deliverables – on 15th of November 2016
    • Guinea investment case study (50 pages document in English)
    • Presentation (Microsoft Power Point)


Regular exchange with the TC and UNICEF supervisor will be organized. The TC’s review and acceptance are requested at all stages of the study.

 In addition, the UNICEF Chief WASH based in Guinea will prior to the consultant field mission:

  • Share a bibliographic pack including but not restricted to the document needed for the desk-study;
  • Find a Public Health specialist to collect and analyze data from the Health and WASH sectors and to plan the field mission. The Public Health specialist should have knowledge of the Health and WASH sectors. This staff may be part of Ministry of Health or UNICEF.
  • Schedule appointments (Development partners, WASH and Health group members, Ministry of Health, Ministry of water resources) and request permissions (if necessary) to access data.

 Supervisor and frequency of performance reviews:

  • Regional Cholera specialist, UNICEF WCARO
  • Phone calls with the consultant are scheduled on a weekly basis and upon request

 Deliverables and planned payment schedule

  • First instalment linked to deliverable 1: 25% of the total estimated costs upon submission and acceptance of the inception report;
  • Second instalment linked to deliverable 2: 75% of the total estimated costs upon submission and acceptance of the investment case methodology report ;

Conditions of Work

  • UNICEF will support the consultant in carrying out the duties outlined above, including but not limited to all background documents on the programme.
  • The consultant shall work home-based and travel will be limited to the execution of field mission in Guinea.
  • The consultant will have to send to UNICEF his/her certificates (Basic Security In The Field and Advanced Security In The Field) prior to the date which he/she shall commence travel.
  • After the contract is initiated, the consultant may, within reason and with the prior written approval of UNICEF, adjust line items within the proposed and approved budget, so long as doing so does not increase the total cost of contract.
  • UNICEF will pay contract fees only upon satisfaction of services provided.

Qualifications of Successful Candidate


Master in Public Health – Health economics stream or a related field;

Years of relevant experience

  • At least eight years’ experience in economics related to public health issues in developing countries;
  • Demonstrable experience in conducting investment case study or economic evaluation for the public health sector;
  • Experience in data collection and analysis techniques, especially in the public health sector;

Competencies of Successful Candidate

  •  Strong analytical skills and ability to clearly synthesize and present findings, draw practical conclusions, make recommendations and prepare well-written reports;
  • Knowledge of the WASH sector preferred;
  • Understanding of institutional mandates and operations of UNICEF preferred;
  • Prior experience of working in the West Africa region is advantageous.

To view our competency framework, please click here

Please indicate your ability, availability and daily/monthly rate (in US$) to undertake the terms of reference above (including travel and daily subsistence allowance, if applicable).  Applications submitted without a daily/monthly rate will not be considered.

UNICEF is committed to diversity and inclusion within its workforce, and encourages qualified female and male candidates from all national, religious and ethnic backgrounds, including persons living with disabilities, to apply to become a part of our organisation.

Advertised: GMT Standard Time
Applications close: GMT Standard Time