Terms of Reference – Information System for Health (IS4H) Project Lead

Operation #: JA-T1141 or ATN/OC-16573-JA


Ministry of Health, Government of Jamaica (MOH/GOJ) is planning and executing an investment loan from Inter-American Development Bank (IDB; JA-L1049). The programme objective is to improve the health of Jamaica’s population by strengthening comprehensive policies for the prevention of NCDs risk factors and for the implementation of a chronic care model with an improved access to strengthened and integrated primary and hospital services networks, that provide more efficient and higher quality care. The policy-based operation of this Hybrid Programme is the first operation of a PBP series which will be made up of two contractually independent and technically linked loans. The policies in the Programmatic Series will consolidate regulatory measures to address the preventable causes of NCDs and to reorient health systems to address prevention and control of NCDs through a people-centred primary health chronic care model. The investment component, in turn, will finance activities to consolidate integrated health networks and improve the management, quality and efficiency of health services. While the PBP will benefit the Jamaican population at-large, the Investment Loan will have approximately 800,000 potential direct beneficiaries who reside in the catchment areas of the health services networks that will receive investments.

Information systems for health are critical to primary health care and the CCM, as well as complex care. The WHO recognizes the need for information systems for health as part of the Package of Essential Noncommunicable (PEN) Disease Interventions for Primary Health Care in Low-Resource Settings [25]. Additionally, research shows that digital tools can make important contributions to the provision of chronic care when patients and providers are connected to share information, compare this information to knowledge found in evidence-based standards, and monitor results through regular feedback and interaction [26]. Adoption of health information technology has produced mortality rate reductions for complex patients whose diagnoses require cross‐specialty care coordination and extensive clinical information management in hospital settings [28] and improvements in resource allocation efficiency [29]. Health information systems, along with information sharing, have the potential to improve clinical practice by reducing staff errors, improving automated harm detection, monitoring infections more effectively, and enhancing the continuity of care during physician handoffs. A significant number of opportunities exist for the Hospital Information Management System (HIMS) to contribute to savings for both the health system and the Jamaican economy.[1]

Telemedicine[2] and mobile health (mHealth) present possibilities to improve the effectiveness and efficiency of NCD management, which can occur principally in the outpatient setting [31]. For example, blood pressure control consultations by way of 10-15 emails and/or phone calls can occur across weeks and the cost is approximately 29% of the cost of in-person acute care [32]. mHealth tools, such as text messages, medication reminders, symptom monitoring, educational resources, and facilitated patient-provider communication to increase adherence targeting low-income, elderly, and minority groups were found to lessen the burden of travel to a care provider. They have also facilitated better management and improved patient confidence to monitor chronic diseases [33]. Telehealth, or the remote diagnosis and treatment of patients by means of telecommunications technology, has been especially effective in the management of chronic diseases, and has demonstrated improvement in outcomes (diabetes), empowerment and self-management (diabetes and high-risk dialysis patients) [33]. As mobile-cellular subscriptions are high in Jamaica (115 per 100 inhabitants) [34] mHealth and telemedicine may provide an opening to improve patient adherence and aid in follow-up. Given Jamaica’s experience using ECHO’s tele‑mentoring portal for HIV, this platform could be expanded to support chronic illness, and use-cases could be developed to pilot the use of mHealth and telemedicine for chronic care.

PAHO has also been supporting MOH/GOJ to strengthen information systems for health (IS4H) in Jamaica. IS4H is a key strategy in the efforts of the MOH/GOJ improve planning, decision-making, policy formulation, and health equality in Jamaica. MOH/GOJ has embarked on a renewed effort to strengthen and expand its use of information technology to improve the efficiency, efficacy and safety of both clinical and business processes, and to improve the availability of quality information to support clinical, program and policy decision-making.


The team: The team is led by the Project Execution Unit (PEU) from MOH/GOJ and comprises experts from Jamaica and the international community.  The successful individual will form part of this team on a contract basis and report to the Senior Medical Officer of Health. The IS4H Program Lead will oversee a multi-disciplinary team that may include project managers, ICT specialists, application developers, business analysts, change management specialists, and consultants, and will also coordinate the efforts of other MOH and contract human resources. The successful individual will also work collaboratively with other leaders from across the Ministry of Health, Regional Health Authorities, and the private health sector, as well as with other ministries and international partners.


What you’ll do: The primary function of this role is to oversee the implementation of multiple strategic and tactical IS4H component initiatives including the development of a renewed strategic plan for Information Systems for Health. This role is expected to be fulltime for a duration of 24 months (with a possible extension of up to 60 months) starting in April 2019 and the key responsibilities include:

  • Leading the development of a renewed strategic plan for Information Systems for Health under the direction of the National IS4H Governance Committee that addresses governance, legislation and policy, sustainability and resource mobilization, information technology solutions and infrastructure, information management and human resources.
  • Providing strategic advice and leadership to the MOH related to information systems for health strategic and technical enablers to improve the efficiency, efficacy and safety of both clinical and business processes, and to improve the availability of quality information to support clinical, program and policy decision-making.
  • Overseeing the design and implementation of a national IS4H technical and information architecture that will enable the GOJ’s vision of interoperable health information systems across both the public and private health sectors, in collaboration with MOH and GOJ ICT leadership, and other national and international stakeholders;
  • Managing the portfolio of IS4H projects, and coordinating the development of implementation and project plans for a range of strategic and tactical initiatives as defined in the renewed IS4H Strategic Plan;
  • Developing performance measures for projects and initiatives and preparing routine performance and progress reports to MOH leadership and the IS4H Governance Committee;
  • Liaise and represent IS4H with senior government officials;
  • Support the National IS4H Governance Committee and other working groups in meeting coordination and facilitation (e.g., developing the agenda, etc.);
  • Managing a team of contract and MOH resources that will implement various projects and initiatives in the IS4H Strategic Plan; and
  • Overseeing the procurement of hardware, software and services based on identified requirements, including the of requests for proposals or tenders, preparing purchase orders, and reviewing contracts and service level agreements.


Skills you’ll need:

  • Education: A Master’s degree or equivalent in health/hospital administration, public health, medicine/ nursing, health informatics, or business administration, or related field;
  • Experience: Minimum of 10 years of professional experience working in a senior leadership role in the health sector, specifically in the context of health systems planning and administration. Experience with planning and implementing digital health or health information initiatives is an asset.
  • Languages: Advanced writing, communication and presentation skills in English
  • Core and Technical Competencies: Experience in health systems planning and administration; Knowledge of clinical and business processes in the health sector; Knowledge and experience applying change management methodologies to complex organizational change initiatives;  Knowledge of health information systems, ehealth/digital health strategies and tactics is desirable; Demonstrated experience in the development, execution and monitoring of strategic plans; Excellent interpersonal skills with the ability to interact culturally, linguistically, and diplomatically with diverse internal and external individuals; Superior negotiation skills; Demonstrated experience working in a formal project management methodology; Ability to manage concurrent projects that involve a broad range of stakeholders; Experience in procurement processes in public institutions; Experience working in an international context is highly desirable.


Opportunity Summary: 

  • Length of contract: Full-time for 24 months (with a possible extension of up to 60 months pending satisfactory performance)
  • Starting date: April 2019
  • Location: Kingston, Jamaica
  • Missions: N/A
  • Reporting to: Project Manager, Project Execution Unit, MOH/GOJ
  • Requirements: You must be a citizen of one of the IDB’s 48 member countries and have no family members currently working at the IDB Group. The successful individual is required to obtain a Tax Compliance Certificate (TCC) from Tax Administration Jamaica, Government of Jamaica upon contract award.


Our culture: Working with us you will be surrounded by a diverse group of people who have years of experience in all types of development fields, including transportation, health, gender and diversity, communications and much more.

Consanguinity: Pursuant to applicable Bank policy, candidates with relatives (including the fourth degree of consanguinity and the second degree of affinity, including spouse) working for the IDB, IDB Invest, or MIF as staff members or Complementary Workforce contractuals, will not be eligible to provide services for the Bank.

Diversity: The Bank is committed to diversity and inclusion and to providing equal opportunities to all candidates. We embrace diversity on the basis of gender, age, education, national origin, ethnic origin, race, disability, sexual orientation, and religion. We encourage women, Afro-descendants and persons of indigenous origins to apply.

[1]     Conservative estimates suggest if the United States healthcare system were interoperable, at least US$77 billion would be saved annually [37].
[2]     Telemedicine allows patients, providers and other health care system players to overcome geographical barriers by connecting users who are not in the same physical location [30].  

All applications are to be submitted by Monday, April 15, 2019 to: hsspproject@moh.gov.jm.