Evidence for Health (E4H) is a Foreign, Commonwealth & Development Office (FCDO)-funded programme aimed at strengthening Pakistan's healthcare system, thereby decreasing the burden of illness and saving lives. E4H provides technical assistance (TA) to the Federal, Khyber Pakhtunkhwa (KP), and Punjab governments, and is being implemented by Palladium along with Oxford Policy Management (OPM).

Through its flexible, embedded, and demand-driven model, E4H supports the government to achieve a resilient health system that is prepared for health emergencies, responsive to the latest evidence, and delivers equitable, quality, and efficient healthcare services. Specifically, E4H delivers TA across three outputs:

Output 1: Strengthened integrated health security, with a focus on preparing and responding to health emergencies, including pandemics.

Output 2: Strengthened evidence-based decision-making to drive health sector performance and accountability.

Output 3: Improved implementation of Universal Health Coverage, with a focus on ending preventable deaths.

Position Summary

To establish a unified and efficient health system in Punjab by optimising the allocation and utilisation of resources, encouraging cohesive collaboration among donors and stakeholders, aligning with national and global health priorities, and enhancing the capacity of the P&SHD to independently manage health programmes and respond effectively to emergencies, thereby promoting a sustainable, where possible innovative and integrated approach to healthcare delivery.

1. Assess best practices to collect insights and create a better understanding from peer-reviewed academic research relevant to donor and/or partner coordination mechanisms.

• The team is expected to conduct a quick, structured literature review with a clear protocol, including research questions, inclusion/exclusion criteria, and a consistent method for extracting and presenting findings. This review should cover donor coordination mechanisms and extend to public institutions' coordination structures and best practices.

Checkpoint 1: An inception slide deck was sent to the E4H project team, with the methodology and relevant findings clearly explained and priority areas identified for stakeholder consultations. Proposed key information interview schedule and prompts. Consult with the relevant officials in the P&SHD and the M/o NHSR&C to identify key stakeholders to be included in the consultations to develop the donor coordination group.

• The team is expected to conduct initial meetings with key focal points within the Department and rapidly assess donors, international agencies, implementing partners, and government institutions in the province. Consulting the federal ministry will help map relevant stakeholders at both federal and provincial levels. The team is expected to ensure a wide range of consultations to nurture buy-in from the various wings and implementation arms of the P&SHD, including, at a minimum, the DG’s office, the HISDU, the UHC Delivery Unit, and the Additional Secretary Technical office. This will identify actors working towards similar goals who could benefit from a central coordination platform.

Checkpoint 2: A succinct three/four-page report presenting distilled findings from all consultative meetings, including individual KIIs.

1. Develop a coordination mechanism incorporating all development partners supporting the P&SHD.

• The team is expected to develop detailed Terms of Reference (TORs), including the functions at each level (provincial and district). The frequency of convening, membership, roles, responsibilities, Standard Operating Procedures (SOPs), standard administrative templates, and other guidelines for establishment, operationalisation and continued engagement. The team is expected to identify focal points at both the provincial and district levels to ensure the sustainability of the coordination mechanism. Additionally, focal points within donor organisations should be identified to form a core group responsible for leading the coordination efforts. This core group may include the E4H project team, FCDO, the World Bank or the World Health Organisation, and any other implementing partners nominated by the P&SHD. The core group's primary task will be to ensure maximum participation from all donor agencies and implementing partners by leading coordination meetings.
• Furthermore, the team is expected to develop an exit plan for the E4H programme, which concludes in 2027. This plan should include innovative strategies to ensure the continuity and sustainability of the coordination group and mechanism beyond the programme's duration.

1. Develop a comprehensive Monitoring and Evaluation (M&E) framework for assessing the effectiveness and impact of the donor coordination mechanism and establish a data dashboard to provide progress reporting metrics to the donor coordination group.

• Identify and define KPIs aligned with the donor coordination mechanism's objectives, covering financial metrics, programmatic outcomes, and process efficiency indicators.
• Develop periodic review and evaluation protocols, including a detailed M&E plan with methodology, data sources, collection frequency, and responsible parties.
• Explore collaboration with HISDU on a Health Data Information Framework and the UHC Delivery Unit to analyse the progress of UHC implementation.
• Develop a real-time dashboard for tracking donor contributions, expenditures, and health outcomes, integrated with HISDU and UHC Delivery Unit data capabilities. The system is to have built-in functionality revolving around.  

1. Framework for collaboration 
2. Updates on physical tracking 
3. Monitoring and evaluation framework 
4. Notifications

Checkpoints 3 & 4: A report presenting the details of the governance structure linking it with the findings of the consultations and the desk research. Development of a comprehensive M&E framework, with well-reasoned and thoroughly researched linkages drawn to the initial literature review, the consultative sessions, and the expectations developed regarding a functional coordination group. Provide embedded support in the operationalisation and capacity transfer of the coordination mechanism. 

• Provide hands-on support for planning and conducting the first two coordination group meetings.
• Collaborate with DGHS staff to prepare the agenda, send invites, define presentation formats, and identify presenters.
• Support the government in leading sessions, recording minutes, and sharing action points and commitments.

Checkpoint 5: Coordination sessions held.

Responsibilities

The Full Stack Developer will work to achieve the following:

Front-End Development:

1. Design and develop user interfaces using HTML, CSS, and JavaScript frameworks like Angular and React
2. Ensure responsive design and cross-browser compatibility.
3. Optimise front-end performance and user experience.
4. Back-End Development:
5. Design and develop robust and scalable back-end applications using ASP.NET Core,and Web API.
6. Implement data access and persistence layers using SQL Server or other databases.
7. Develop RESTful APIs to expose data and functionality to front-end applications.

Full-Stack Development:

1. Collaborate with UI/UX designers to create intuitive and visually appealing user interfaces.
2. Integrate front-end and back-end components to create seamless user experiences.
3. Troubleshoot and debug issues across the entire application stack.
4. Write clean, well-structured, and maintainable code.
5. Stay up to date with the latest technologies and industry trends.

Timeline and Days

The level of effort (LOE) for the role is 46 working days, from November 24 – February 25.

Requirement

Technical Expertise

• Strong proficiency in .NET Framework/Core.
• Experience with ASP.NET MVC, Web API, and Entity Framework.
• In-depth knowledge of HTML, CSS, and JavaScript.
• Experience with at least one front-end framework (Angular and React).
• Proficiency in SQL Server or other relational databases.
• Understanding of RESTful API design and development.
• Strong problem-solving and analytical skills.
•  Excellent communication and teamwork skills.

 Competencies

•  Experience with cloud platforms (Azure, AWS)
•  Knowledge of design patterns and SOLID principles
•  Experience with unit testing and test-driven development (TDD)
•  Familiarity with Agile methodologies (Scrum, Kanban)