Health sector financing in Burkina Faso heavily relies on international donors, particularly vertical programs that provide free services to the population. These include HIV/AIDS (57.16% donor-funded), malaria and tuberculosis (86.98%), family planning (73.02%), as well as nutrition and immunization programs.
Amid declining international aid and the reallocation of donor resources to other global priorities, low- and middle-income countries must reassess the financial sustainability of existing health programs and explore endogenous mechanisms for long-term funding.
In Burkina Faso, this transition necessitates a comprehensive understanding of the current landscape of health financing for fee-exempt services; and strengthened domestic resource mobilization strategies.
To support this transition, the Health Financing Working Group—a national platform for strategic reflection on health sector financing—aims to assist the Ministry of Health in conducting a critical appraisal of fee-exempt interventions. This appraisal will identify donor-funded services exempt from user fees and assess their long-term viability.
To evaluate the sustainability of fee-exemption programs in Burkina Faso—particularly those funded by donors—and to explore their potential integration into national health financing systems, ThinkWell Institute Burkina Faso is recruiting a consultant to support data collection and analysis.
The work entails:
Overview:
Period of Performance: August 15 - December 15, 2025
Level of Effort (LOE): 12 Days
Consultant Responsibilities:
Activity 1: Map HIV, tuberculosis, malaria, immunization, nutrition, family planning interventions, and CHW activities, detailing financing sources and mechanisms, and geographical coverage (district, regional, national).
Activity 2: Document financial flows—actual expenditures (2011–2023) and projected commitments (2024–2030)—for the selected interventions, by financing source, mechanism, and production factors.
Activity 3: Incorporate stakeholder feedback on the mapping of fee-exempt interventions and financial flows.
Activity 4: Identify institutional and budgetary levers to support the production of health services in Burkina Faso.
Activity 5: Identify government health financing mechanisms capable of integrating key production factors of the selected fee-exempt interventions.
Activity 6: Incorporate stakeholder feedback on the feasibility of integrating these production factors into national mechanisms.
Deliverables: