CHAI seeks contractor to develop a national investment case for cervical cancer elimination in South Africa

Background

South Africa has developed a National Cervical Cancer Elimination Strategy aligned to the WHO 90-70-90 targets. While policy direction is established and implementation has commenced, sustainable national scale-up requires a robust economic and fiscal justification to support:

• National Treasury engagement
• Medium-Term Expenditure Framework (MTEF) planning
• Provincial budget alignment
• Donor and blended financing discussions
• Long-term sustainability beyond external grant funding

The Investment Case will provide a rigorous economic, fiscal, and health impact analysis comparing elimination scale-up scenarios against the status quo, quantifying the return on investment and affordability within the current health financing environment.

Purpose

To develop a comprehensive, evidence-based National Investment Case that demonstrates the economic, fiscal, and societal value of scaling cervical cancer elimination in South Africa and provides a clear financing and implementation roadmap.

Objectives

The Investment Case will:

1. Quantify the total resource requirement to achieve elimination targets.
2. Model health impact (cases averted, deaths averted, DALYs/QALYs gained).
3. Assess cost-effectiveness (ICER per DALY/QALY).
4. Estimate return on investment (ROI) and long-term fiscal savings.
5. Conduct affordability and budget impact analysis aligned to MTEF cycles.
6. Propose sustainable financing options and phased scale-up scenarios.
7. Identify key implementation risks and mitigation strategies.

Application procedure

Applications should be submitted to CHAI South Africa at: CHAISAProcurement@clintonhealthaccess.org. The application package should include, but not be limited to:

• Updated CV
• Technical work sample (health-related investment case)
• Proof of Qualifications
• Professional References

The deadline for applications is April 10, 2026, not later than 05:00 PM local time. Only the shortlisted candidates will be contacted.

For more information about scope of work, deliverables, and requirements, download the terms of reference (ToR) document.

Download terms of reference