[Hiring] Health Economist – Cost and Efficiency Analysis @D-tree

Role Description As part of the pediatric pneumonia continuum of care intervention in Zanzibar, D-tree seeks to demonstrate that strengthening the care pathway between community and facility levels can reduce costs to the health system while improving outcomes. A health economist is needed to provide cost-related expertise during the intervention design phase, ensuring D-tree has the economic evidence and methodological guidance needed to design an intervention that is positioned to demonstrate cost-effectiveness and efficiency gains.

Qualifications

• Advanced degree in health economics, public health economics, or related field
• Demonstrated experience conducting cost-effectiveness analyses of health interventions in low- and middle-income countries
• Experience with costing studies in primary health care or community health systems
• Familiarity with economic evaluation methods used in global health (e.g., CEA, cost-benefit analysis, budget impact analysis)
• Experience in East Africa or similar LMIC contexts preferred
• Track record of producing evidence used for policy advocacy or investment cases

Requirements

• Understanding Current Cost Drivers:
• Identify primary cost drivers in the current pediatric pneumonia care pathway in Zanzibar (e.g., late presentation leading to hospitalization, inefficient referral systems, drug stockouts, unnecessary facility visits)
• Determine greatest inefficiencies or cost leakages that an intervention could realistically address
• Economic Evidence for Intervention Design:
• Provide cost evidence and analysis to inform design decisions
• Identify intervention design features likely to reduce costs based on evidence from comparable settings
• Assess realistic expectations for cost reduction within a 1-year timeframe
• Evaluate investment costs of the intervention relative to expected savings
• Anticipating Cost-Effectiveness Measurement and Designing for Evaluability:
• Ensure intervention is designed with likely cost-effectiveness measures in mind
• Advise and align with the evaluation team as the evaluation framework is developed
• Identify cost-effectiveness measures likely to be used in evaluation
• Determine averted-cost metrics evaluators will focus on
• Collaborate with D-tree to assess data capture needs at community, facility, and health system levels
• Consider government costs vs. program/donor costs from an intervention design perspective
• Be aware of common methodological limitations in cost-effectiveness evaluations of community health programs in LMICs
• Building the Investment Case:
• Identify compelling economic evidence for RGoZ and potential funders
• Frame the return on investment for a government-integrated community health program
• Reference benchmarks from comparable programs or countries

Deliverables

• Analysis of current cost drivers in the Zanzibar pediatric pneumonia care pathway
• Summary of economic evidence on cost-reduction strategies from comparable settings
• Joint memo with clinical expert linking priority health outcome indicators to their cost implications
• Summary of likely cost-effectiveness measures and averted-cost metrics for evaluation
• Brief investment case framing document outlining the economic argument for RGoZ and funders

Level of Effort and Timeline Estimated 4-6 days from April-June 2026. Unless the consultant is based in Zanzibar, engagement will include remote consultations and document review. Potential for one trip to Zanzibar if the consultant is based nearby and budgetarily feasible. Budget Requirements The consultant will submit a proposed budget which will be reviewed and approved by D-tree. The consultant's proposed budget and costs will be subject to applicable taxes as stipulated by Tanzania law. The total cost submitted by the consultant should be inclusive of VAT. All budget amounts must be quoted in Tanzanian Shillings (TZS). For the successful offeror, all invoices submitted by the consultant must also be quoted in Tanzanian Shillings (TZS), and all payments will be made in Tanzanian Shillings (TZS). Application To apply for this role, please click the link Here and submit your resume and a cover letter. Please note that by applying to this position, you consent to your name being checked against a terrorist watch list prior to an offer of employment. Deadline for submitting applications is April 1, 2026. Apply tot his job Apply To this Job