Organization: Fred Hollows Foundation
Application Deadline: August 14, 2025
Employment Type: Contract (27 days)
Job Type: Full-time,
Location: Kenya
Overview
The Fred Hollows Foundation is an Australian-based non-profit founded in 1992, working globally to prevent and treat avoidable blindness, particularly from cataract, trachoma, diabetic retinopathy, and refractive error. Active in over 20 countries, it began operations in Kenya in 2004, partnering with the Ministry of Health and other organizations to improve eye health services.
In Kenya, the Foundation is implementing the Sustainable Model of Eye Health Financing (SMEHF) project to increase access to affordable eye care in seven counties. The project supports Universal Health Coverage goals by strengthening health financing systems, improving revenue tracking, enhancing resource management, and building institutional and workforce capacity, all aligned with national policies and local county needs.
The project aims to realise the following specific outcomes.
- Community members, service providers, and hospital management team (HMT) are aware of the SHI ophthalmic benefit package and claims management.
- vulnerable populations (Women, Elderly and poor households) are protected via health insurance and are utilizing it for eye care services.
- Performance based contracting and payment financing mechanisms are functioning at provider level and lessons are being learnt and applied from this new approach.
- Equipment and commodities are sustainably available at partner facilities.
- Strengthened Leadership, Governance and Evidence for Sustainable Eye Health Service
- High-Quality cataract surgeries are delivered consistently across partner facilities and outreach programs.
Purpose:
- Conduct a needs assessment of a functional eye unit at (Level 4 and 5) eye clinic at level 3 and eye health services at level 2 in the counties of Makueni, Meru and Kisumu (In total 5 facilities will be assessed in 3 counties) and form basis for costing as per the Standards of Ophthalmic Services for Kenya).
- Establish the cost of a functional eye unit at (Level 4 and 5), eye clinic at level 3 and eye health services at level 2 as per the Standards for Ophthalmic services of the Ministry of Health, Kenya.
Scope of the assignment:
- Use county specific Eye Care Situation Analysis Tool (ECSAT) reports and facility assessment findings to establish the current state of eye care facilities in two counties
- Utilize the Standards for Ophthalmic Services document of the Ministry of Health, Kenya (copy to be provided) and other relevant official reference documents of the Ministry of Health to identify and cost ingredients associated with establishing an eye unit or eye clinic at various levels.
- Collaborate with the three counties to establish cost of a functional eye unit.
- Identify costs associated with improvement of existing eye care units or clinics in surveyed counties.
- Develop a report indicating the cost associated with establishing and operating a functional eye unit or eye clinic.
Key guiding questions:
- What is the current situation of eye care facilities in the counties of Meru, Makueni and Kisumu)?
- What is the cost of establishing a functional eye unit at levels (2,3,4 and 5) as per the guidance provided in the Standards for Ophthalmic Services of the Ministry of Health, Kenya?
Specific questions:
To address the two primary guiding questions, in consultation with FHF team, the consultant will formulate additional targeted questions to effectively gather the necessary information.
Approach
Review relevant literature and documents including (grey literature, reports and peer review literature) on situational analysis of standards of ophthalmic care and identify any gaps in relation to the Kenyan Standards of Ophthalmic Care.
Conduct interviews with relevant personnel at the selected three counties on costs of establishing a functional eye unit.
Conduct a survey at five eye care facilities in the three counties to gather information about the current state of existing eye care facilities and associated costs.
Validation workshop: Conduct an analysis of data and share initial findings for validation with identified county stakeholders and Fred Hollows Foundation team and incorporate feedback before completing final report.
Deliverables
- Completed inception report with timelines and budget, approved by FHF
- Completed data collection tools, approved by FHF
- Completed interviews and data collection with relevant stakeholders
- Completed planned validation workshops with relevant stakeholders as agreed with selected counties and The Foundation.
- Submit draft and final report of the consultancy assignment
- A summary PowerPoint slides deck of the key findings.
Responsibilities
Project Coordinator
- Provide support to consultant to engage with selected partners as needed and to establish a core implementation team of the consultancy.
- Coordinate meetings with selected teams
- Support consultant entry into selected counties/ partners
FHF Kenya Country Director
- Approve TORs and budget for the project/consultancy
- Approve project plan and signing consultancy agreement
- Approve final consultancy report
Selected Partners (Counties)
- Facilitate letters of introductions and consultants’ access to selected hospitals
- Participate in interviews and workshops as planned by the consultants
Lead Consultant
- Develop clear implementation plan for the assignment, carry out field work, develop draft and final report and share findings and actions with relevant stakeholders
- Maintain regular communication with selected counties/ partners and update FHF on the project progress.
- Work according to appropriate professional and ethical standards; and FHF policies including child protection
Health Financing Advisor and Monitoring and Evaluation Manager
- Provide technical input throughout implementation phase and report writing
Procurement and Logistics Manager
- Provide support during contracting period.
Requirements
- Degree or master’s in economics, Health Economics/Financing, public health, international development or related fields
- Experience conducting costing studies
- Considerable experience in participatory approaches to research, gathering data and synthesizing the perspectives of various stakeholders
- Experience in strategic planning processes, public health and health services management
- Demonstrated understanding of eye health programming and emerging global public eye health issues
- Familiarity with various global, regional and local policies and instruments on provision of eye care services
- Demonstrated ability to lead consultative stakeholder engagements and generate quality reports
- Understanding of Kenyan health system and eye care context
- Experience of evaluation in private and public health sectors; and
- Understanding of eye health service delivery in Kenya
How To Apply
Letter of application, technical and financial proposals and supporting documents should be sent to the following address:
procurementkenya@hollows.org
Please note: The applications should be clearly referenced “Establish the cost of an eye unit based on the Standards of Opthalmic Care of the Ministry of Health in Kenya “
Any consultants involved in this evaluation will be required to have in place insurance arrangements appropriate to provision of the requirements in this Terms of Reference including travel insurance.
For more information, please visit Fred Hollows Foundation official webpage:
Fred Hollows Foundation | ReliefWeb
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