The objective of this short-term assignment is to develop a score card for assessing the utility and effectiveness of the CAMs. The score card is envisioned to demonstrate a set of scores for each CAM and through joint committees, be reviewed periodically by the municipalities and by the ASACOs, to make decisions to improve the implementation of the CAM and its planning objectives. Better implementation of the CAM may help to improve resources for CSCOMs, which end up being subsidized by the government as they cannot generate sufficient funds from service delivery. In addition, improved CAMs may allow for better management support of community health centers to provide services. A score card may also assist in strengthening the management, transparency and confidence between the two entities.
The consultant will develop a standardized score card that will be administered to the CAMs in all project regions. The consultant will review the two existing health capacity assessment tools previously developed under this project in order to ensure there is complementarity between the tools. The two different simplified diagnostic tools -- one for ASACOs and one for the CSCOM -- focus on capacity levels in key performance categories (leadership development, strategic planning, financial management, administration and governance, resource mobilization, personnel management, communications, knowledge management data sharing, etc.). These tools were developed through a participatory process and underwent a validation process with a group of stakeholders at the national level. It is anticipated that the CAM score card will undergo the same process.
The majority of the work will be undertaken in Mali over a period of several weeks and possible multiple trips. However, preliminary review of documents and finalization may be carried out at a home base.