The African Health Markets for Equity (AHME) is a five-year project that aims to improve health outcomes through the provision of quality private sector health care targeting the poor in Kenya, Nigeria and Ghana. In Kenya, the AHME project is supporting the National Hospital Insurance Fund (NHIF) to design, test, and scale-up the Health Insurance Subsidy Program (HISP) that will serve as a mechanism for the Government of Kenya to subsidize NHIF insurance cover for the poorest households in Kenya.

To supplement a quantitative impact evaluation of the programme, the NHIF plans to carry out a process evaluation. The aim of the process evaluation is to assess programme implementation and provide information that will help implementers determine the degree to which the HISP intervention was implemented as planned (implementation fidelity).

The scope of work for the firm undertaking this work includes the design and implementation of a process evaluation of HISP with specific focus on the following questions:

• Who are the key actors in the implementation of the HISP pilot and its potential scale up? And what are their perceptions about HISP?
• How has the HISP pilot been implemented? And has the pilot been implemented in line with agreed plans? If not, why?
• What challenges have been faced in the implementation of the pilot, how were they dealt with and how can this be avoided at scale up?
• What are strengths of the implementation process and how can these be leveraged to ensure successful scale up of HISP

See full tender here: Health Insurance Subsidy Process Evaluation – Kenya

Expression of Interest Deadline: 31 December 2015