País: EL SALVADOR
Nombre del Proyecto: PROYECTO DE MEJORA DE LA ATENCIÓN DE SALUD EN EL SALVADOR “PROMAS”.
Título del Contrato: “ADQUISICIÓN DE EQUIPO MÉDICO BÁSICO PARA DIAGNÓSTICO TEMPRANO DE ENFERMEDADES CARDIOMETABÓLICAS Y PARA EL TAMIZAJE DE ENT EN POBLACIÓN CON FACTORES DE RIESGO EN LA COMUNIDAD”
N. de préstamo: BIRF-9790-SV
N. de referencia de la SDO: n.° PROMAS-42-MINSAL-GO-RFB
1. El Gobierno de El Salvador, a través del Ministerio de Salud ha recibido financiamiento del Banco Mundial para solventar el costo del Proyecto de Mejora de la Atención en Salud en El Salvador, y se propone utilizar parte de los fondos para efectuar los pagos estipulados en el contrato(os) de Adquisición de equipo y suministro para el 100% de los promotores de salud en el marco de las capacitaciones facilitadas. El proceso de Licitación se regirá por las Regulaciones de Adquisiciones del Banco Mundial”.
2. El Ministerio de Salud a través de la Unidad de Gestión de Programas y Proyectos de Inversión, Área de Adquisiciones y Contrataciones (ACP/ UGPPI), invita a los Licitantes elegibles a presentar oferta en sobre sellado para la: “ADQUISICIÓN DE EQUIPO MÉDICO BÁSICO PARA DIAGNÓSTICO TEMPRANO DE ENFERMEDADES CARDIOMETABÓLICAS Y PARA EL TAMIZAJE DE ENT EN POBLACIÓN CON FACTORES DE RIESGO EN LA COMUNIDAD”.
Electrocardiógrafo de doce canales-C/U -15; Estetoscopio biauricular para adulto doble campana-C/U-100; Glucómetro personal, con tiras incluidas-C/U-100; Oxímetro de pulso compacto de dedo-C/U-100; Tensiómetro digital de mesa para adulto-C/U-871; Tensiómetro digital de brazalete-C/U-100; Termómetro infrarrojo sin tacto, para temperatura corporal- C/U-100.
3. La licitación se llevará a cabo por medio de una adquisición competitiva con enfoque nacional en la que se utilice el método de Solicitud de Ofertas (SDO), conforme a lo previsto en las Regulaciones de Adquisiciones para Prestatarios de Financiamiento para Proyectos de Inversión del Banco Mundial Sexta edición, febrero 2025 (“Regulaciones de Adquisiciones”), y se encuentra abierta a todos los Licitantes elegibles, según se define en las Regulaciones de Adquisiciones.
4. Los Licitantes elegibles interesados podrán solicitar más información al Ministerio de Salud con: la Dra. Patricia Figueroa de Quinteros, Jefe de la Unidad de Gestión de Programas y Proyectos de Inversión Ad-honorem, al correo electrónico acp_ugp@salud.gob.sv; rebeca.benitez@salud.gob.sv y consultar el Documento de Licitación en el sitio electrónico de compras públicas habilitado para ello en http:// www.salud.gob.sv. y http://www.comprasal.gob.sv.
5. El plazo de entrega de los suministros: artículo 1- 120 días calendario; artículos 2,3,4,6 y 7-45 días calendarios y artículo 5-90 días calendario; contados un día después de la distribución de contrato. Las entregas de los suministros de esta Licitación deberán ser presentados en las instalaciones del Complejo de Almacenes Plantel El Paraíso, ubicado en final calle 6ª. Calle oriente n.º 1105 Col. El Paraíso, Barrio San Esteban, Distrito de San Salvador, municipio de San Salvador Centro, departamento de San Salvador, de conformidad con el Plan de Entregas indicado en el Pliego de Bases y Condiciones de la Licitación.
(a) Los requisitos de calificación incluyen: a) Cumplimiento de especificaciones técnicas, descritos en la Solicitud de ofertas; b) Capacidad Financiera, facturación media anual: el volumen de facturación por ventas promedio tomando los datos de los Estados Financieros, (2023, 2024, y 2025) requeridos en la IAL 11.1 (j) deberá ser equivalente, como mínimo a: 1 vez el valor de la oferta. y c) Capacidad Técnica: El Licitante deberá demostrar que se hayan completado satisfactoria y sustancialmente, al menos tres (3) contratos en los últimos 5 años antes de la fecha límite de presentación de ofertas, y que sean similares en naturaleza y complejidad a los Bienes relacionados bajo el Contrato. El valor acumulado de los contratos u órdenes de compra, deberá ser equivalente como mínimo al valor indicado para cada artículo, según el siguiente detalle: Artículo 1-$15,750.00; Artículo 2-$2,000.00; Artículo 3-$1,800.00; Artículo 4-$900.00; Artículo 5-$76,000.00: Artículo 6- $1,700.00; Artículo 7-$1,200.00.
6. No se otorgará Margen de Preferencia a contratistas o APCA´s nacionales.
7. Los Licitantes interesados podrán obtener el Documento de Licitación en el portal de Adquisiciones http:// www.salud.gob.sv. y COMPRASAL: https://www.comprasal.gob.sv de forma gratuita.
8. Las Ofertas deberán dirigirse a la dirección que se indica más abajo a más tardar el día 29 de julio de 2026 hasta las diez horas (10:00) hora local de El Salvador. No está permitida la presentación electrónica de la Oferta. Las Ofertas recibidas fuera del plazo establecido serán rechazadas. La apertura pública de las Ofertas se llevará a cabo ante la presencia de los representantes designados por los Licitantes y de cualquier otra persona que se encuentre presente en la dirección que figura más abajo, el día 29 de julio de 2026 las diez horas (10:00) hora local de El Salvador.
9. Todas las Ofertas deben ir acompañadas de una Declaración de Mantenimiento de Oferta.
10.Se llama la atención sobre las Regulaciones de Adquisiciones que requieren que el Prestatario divulgue información sobre la propiedad efectiva del adjudicatario, como parte de la Notificación de Adjudicación de Contrato, utilizando el Formulario de Divulgación de la Propiedad Efectiva incluido en el Documento de Licitación.
11.La dirección a la que se hace referencia más arriba es la siguiente:
MINSAL: Nivel dos, edificio del Instituto Nacional de Salud, Urbanización Lomas de Altamira, Boulevard Altamira y Avenida República de Ecuador N° 33, Distrito de San Salvador, municipio de San Salvador Centro, departamento de San Salvador.
Atención: Dra. Patricia Figueroa de Quinteros, jefe de Unidad de Gestión de Programas y Proyectos de Inversión Ad-Honorem.
Tel: (503)2591-8293;
Correo electrónico: acp_ugp@salud.gob.sv y rebeca.benitez@salud.gob.sv
"},{"id":"OP00356094","notice_type":"Request for Expression of Interest","noticedate":"07-May-2025","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2025-05-31T00:00:00Z","submission_deadline_time":"12:00","project_ctry_name":"Egypt, Arab Republic of","project_id":"P172426","project_name":"Supporting Egypt’s Universal Health Insurance System","bid_reference_no":"EG-MOF-487792-CS-CQS","bid_description":"Hiring a consultant / firm for Strategic Environmental and Social Assessment (SESA)","procurement_group":"CS","procurement_method_code":"CQS","procurement_method_name":"Consultant Qualification Selection","contact_address":"Finance Ministry Towers - Ramses Extension - Nasr City - Cairo.","contact_ctry_name":"Egypt, Arab Republic of","contact_email":"procurement.uhis.eg@outlook.com","contact_name":"Yara Gamal","contact_organization":"Ministry of Finance","contact_phone_no":"+201141221444","contact_web_url":"https://mof.gov.eg/ar","submission_date":"2025-05-07T00:00:00Z","notice_text":"REQUEST FOR EXPRESSIONS OF INTEREST
\n\n(CONSULTING SERVICES – FIRMS/INDIVIDUAL SELECTION)
\n\nEgypt
\n\nSupporting Egypt’s Universal Health Insurance System Project
\n\nLoan No.: IBRD-91320
\n\nAssignment Title: Strategic Environmental and Social Assessment
\n\nReference No. EG-MOF-487792-CS-CQS
\n\nThe Ministry of Finance has received a loan of $400M from the World Bank toward the cost of the Supporting Egypt’s Universal Health Insurance System Project, and intends to apply part of the proceeds for consulting services.
\n\nThe consulting services (“the Services”) include consultancy aimed for assessing the potential E&S strategic risks associated with the rollout plan for the UHIS at the national level and provide a framework for integrating environmental and social considerations into the planning, implementation, and monitoring of the UHIS. The SESA starts with an inception and scoping phase followed by an Environmental and Social strategic risk assessment phase and ends with the development of a framework for an environmental and social action plan.
\n\nThe detailed Terms of Reference (TOR) for the assignment are attached to this request for expressions of interest.
\n\nThe “Supporting Egypt’s Universal Health Insurance System Project” now invites eligible consulting firms/ individuals (“Consultants”) to indicate their interest in providing the Services.
\n\nInterested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services (company profile, brochures, experience in similar assignments, availability of appropriate skills and resources, ... etc.).
\n\nThe shortlisting criteria are:
\n\nThis consultancy should provide a team of personnel of proven competence and experience to undertake the tasks defined by these Terms of Reference. Team members shall have the prerequisite experience specified in relation to their assignments and shall have an overall background in relevant areas. The team will consist of the following key experts:
\n\nOne of the experts listed above will be the Team Leader (TL). He/She must have a proven:
\n\nThe attention of interested Consultants is drawn to Section III, paragraphs, 3.14, 3.16, and 3.17 of the World Bank’s “Procurement Regulations for IPF Borrowers” November 2020 (“Procurement Regulations”), setting forth the World Bank’s policy on conflict of interest.
\n\nConsultants may associate with other firms to enhance their qualifications, but should indicate clearly whether the association is in the form of a joint venture and/or a sub-consultancy. In the case of a joint venture, all the partners in the joint venture shall be jointly and severally liable for the entire contract, if selected.
\n\nA Consultant will be selected in accordance with the CQS method set out in the Procurement Regulations.
\n\nFurther information can be obtained at the address below during office hours 10.00 am to 4.00 pm – Sunday to Thursday.
\n\nExpressions of interest must be delivered in a written form to the address below by e-mail by 31st May, 2025.
\n\nSupporting Egypt’s Universal Health Insurance System Project.
\n\nAttn: Yara –Procurement Specialist.
\n\nMinistry of Finance.
\n\nCairo – Egypt.
\n\nTel: +201141221444
\n\nE-mail:
\n\nprocurement.uhis.eg@outlook.com
\n\nTerms of Reference
\n\n| \n\t\t\t TOR Summary Description \n\t\t\t | \n\t\t|
| \n\t\t\t Title \n\t\t\t | \n\t\t\t\n\t\t\t Strategic Environmental and Social Assessment \n\t\t\t | \n\t\t
| \n\t\t\t Hiring Organisation \n\t\t\t | \n\t\t\t\n\t\t\t Project Management Unit at Ministry of Finance \n\t\t\t | \n\t\t
| \n\t\t\t Type of contract \n\t\t\t | \n\t\t\t\n\t\t\t Consultation Contract / Firm \n\t\t\t | \n\t\t
| \n\t\t\t Type of the mission \n\t\t\t | \n\t\t\t\n\t\t\t Review and recommend a social and environmental action plan strategy \n\t\t\t | \n\t\t
| \n\t\t\t The main objective of the mission \n\t\t\t | \n\t\t\t\n\t\t\t Conduct a Strategic Environmental and Social Assessment (SESA) study \n\t\t\t | \n\t\t
| \n\t\t\t Duration of the mission \n\t\t\t | \n\t\t\t\n\t\t\t 3 Months \n\t\t\t | \n\t\t
| \n\t\t\t Location of Mission \n\t\t\t | \n\t\t\t\n\t\t\t Cairo, Portsaid, Suez, Ismailia, Luxor and S.Sinai \n\t\t\t | \n\t\t
| \n\t\t\t Application Deadline \n\t\t\t | \n\t\t\t\n\t\t\t 30th May, 2025 \n\t\t\t | \n\t\t
| \n\t\t\t Contact Person / Department \n\t\t\t | \n\t\t\t\n\t\t\t Enviromental / Social safeguard officer at The PMU \n\t\t\t | \n\t\t
\n\n
Egypt has made significant health progress over the past three decades. For example, the maternal mortality ratio declined from 106 to 37 deaths per 100,000 live births, and the infant mortality rate fell from 60 to 18 deaths per 1,000 births between 1990 and 2017. Egypt was able to achieve the Millennium Development Goals 3 and 4, on promoting gender equality and empowering women and improving maternal health, respectively. However, following rapid improvements in the 1990s and early 2000s, health progress has been considerably slowing down. Life expectancy increased from 66 to 72 years over the last two decades but remains below the Middle East and North Africa (MENA) average of 74 years.
\n\nThe data highlights significant disparities in health indicators, particularly in rural, remote, and slum areas, pointing to emerging gaps in social justice within healthcare access and delivery in Egypt. Upper (Southern) Egypt and the border governorates remain the most disadvantaged regions. For instance, under-five mortality is highest in Upper Egypt (38 deaths per 1,000 births), nearly double the rate in urban governorates (20 deaths per 1,000 births).
\n\nMoreover, Egypt faces a growing burden of non-communicable diseases (NCDs), largely driven by poorly managed risk factors such as unhealthy diets, physical inactivity, smoking, and inadequate access to preventive care. These disparities and challenges underscore the urgent need for comprehensive reforms aimed at achieving equitable healthcare access and addressing the structural inequalities affecting vulnerable populations.
\n\nIn addition, there is a crisis regarding healthcare spending levels due to the current economic situation, which exacerbates the already low health expenditure in Egypt. Egypt remains one of the lowest healthcare spenders in the MENA region, with health expenditure at 1.2% of the GDP. Only 5.6% of the total government budget is spent on health, accounting for 38% of the total health expenditure (THE). Thus, more than half of the the health expenditure (61%) is out-of-pocket (OOP). Systemic inefficiencies and inequities in health financing further limit the effectiveness of the healthcare system. Moreover, approximately 90% of private expenditures are considered OOP, directly paid to healthcare providers by households, either as prepayments to voluntary health insurance (10% of the THE) or as direct payments to healthcare providers.
\n\nThese indicators were sufficient for Egypt to initiate several efforts to address these challenges. As part of these efforts, the government passed the Universal Health Insurance Law (UHIL) in January 2018 to accelerate progress toward universal health coverage (UHC). Such a mandate aligns with the health pillar of Egypt’s 2030 sustainable development vision and the Egyptian constitution of 2014 (Article 18: “Every citizen is entitled to health and to comprehensive health care with quality criteria . The UHIL envisions coverage for all citizens, including disadvantaged groups (approximately 30% of the population), who will be covered for free by the government over 15 years.
\n\nThe essence of universal health coverage includes ensuring that the largest possible number of individuals have access to high-quality health coverage that comprehensively meets their needs, known as the service package.
\n\nTo achieve this, the government introduced a structural reform by separating the entities responsible for service provision, financing, and accreditation of healthcare facility quality. This reform led to the establishment of three main bodies under the Universal Health Insurance System (UHIS):
\n\nThe implementation of this new system started in Port Said Governorate, as a pilot, in July 2019 and currently rolled out in the other first phase Governorates in Luxor, Ismailia, and South Sinai. Suez joined the system by December 2024, while Aswan is preparing to launch in the first quarter of 2025.with a gradual scaling up nationwide in the remaining five phases.
\n\nAccordingly, the Government of Egypt (GoE) is implementing a project for applying the UHIS in cooperation with the World Bank (WB), as part of the national program to reform the health sector. The objective of this letter-mentioned project entitled “Supporting Egypt’s Universal Health Insurance System” Project is to: (i) increase the coverage of Egypt’s Universal Health Insurance System (“UHIS”) in Phase I Governorates; (ii) strengthen UHIS-related governance and institutions; and (iii) provide temporary financial protection against high out of pocket health expenditures for vulnerable populations outside Phase I Governorates.
\n\nThe Project was designed using the Investment Project Financing (IPF) instrument with Performance-Based Conditions (IPF-PBC). It supports the necessary physical and social infrastructure to reduce poverty and create sustainable development by improving access to health services and increasing financial protection. The project is planned to support Phase I of the UHIS which targets six governorates: Port Said, Ismailia, Suez, South Sinai, Luxor, and Aswan.[1]
\n\nThe project has four main components:
\n\nComponent 1: Enrollment and empanelment of the population into UHIS.
\n\nComponent 2: Strengthening UHIS governance, systems, and facilitating environment.
\n\nComponent 3: Providing temporary financial protection against high OOP health expenditures for vulnerable populations outside of Phase I Governorates.
\n\nComponent 4: Institutional Capacity Building, Technical Assistance, and Project Management.
\n\nThe project is implemented by the Ministry of Finance (MoF) through the Project Management Unit (PMU) in coordination with the four newly formed UHIS agencies. It will also help to level the playing field for the private sector and incorporate the private sector into the UHIS. The UHIS organizations are:
\n\nThe program will include analytical studies that will cover a range of relevant topics, likely including, but not limited to:
\n\nAs the policies and action plans that would be defined by the UHIS implementation could have environmental and social impacts, the GoE, under the above-mentioned project, is committed to fulfilling the following actions:
\n\nThese actions fall as well under one of the above-mentioned project’s PBCs “PBC#8: Development and adoption of a set of complementary regulations and strategies for UHIS.”
\n\nFurthermore, as a new system is currently being implemented gradually in Egypt, it is essential to ensure that the establishment of the UHIS is conducted with standards that prioritize social inclusion, equality, and social justice. This aligns with Egypt’s focus on achieving the Sustainable Development Goal (SDG) 3: “Ensure healthy lives and promote well-being for all at all ages,” emphasizing equal access to healthcare, protection from poverty and illness, and ensuring no one is left behind. Additionally, this effort is part of Egypt’s Vision 2030 and other relevant national strategies aimed at building a fair and inclusive healthcare system.
\n\n2. Objectives
\n\nThe SESA will assess the potential E&S strategic risks associated with the rollout plan for the UHIS at the national level and provide a framework for integrating environmental and social considerations into the planning, implementation, and monitoring of the UHIS. The SESA starts with an inception and scoping phase followed by an Environmental and Social strategic risk assessment phase and ends with the development of a framework for an environmental and social action plan.
\n\nConsultation with stakeholders, including citizens and vulnerable people benefiting from the UHIS, shall be an ongoing process during the course of SESA preparation using different consultation tools. The engagement of the main UHIS authorities through the consultation meetings undertaken by the consultant for all steps of the SESA development is expected to build, as well their capacities in such activity and guarantee its sustainability.
\n\nThese two above-mentioned actions that the consultant will work on should be developed in close coordination with and under the supervision of the PMU at MoF.
\n\nThe objectives of the SESA study are to identify and assess the following:
\n\n* Stakeholder Participation and Inclusion: Ensure the active participation and integration of all project stakeholders, as previously identified, throughout the development and implementation of the SESA to guarantee the sustainability and inclusiveness of the process.
\n\n3. Scope of Work
\n\nAs mentioned in the previous section, and following the World Bank (WB) guidelines for environmental and social assessments based on the WB Environmental and Social Framework (ESF) and the Appraisal Environmental and Social Review Summary conducted for the project, the inception and scoping phase should start at an early stage of the program, so as to ensure early identification of environmental and social aspects of the strategy. The SESA should build on the previous relevant assessments conducted and ensure that all the identification of stakeholders as well as impacts and the proposed measures and strategies for inclusion of various groups are well aligned.
\n\nThe findings of the scoping phase will inform the subsequent UHIS activities. The SESA scoping phase should include the tasks and activities listed below:
\n\nDuring this initial phase, the consultant shall confirm his team of experts and define their roles and responsibilities, highlighting the level of effort associated with each expert. Such information including the team composition and their CVs should be clarified in the Inception and Scoping Report.
\n\nAt the UHIS, in relation to environmental and social aspects. This would include the different approaches for providing the service, their correspondent E&S effects, existing medical waste management systems (local capacity, gaps, informal practices), status of environmental infrastructure (e.g., wastewater treatment in health facilities), air and water quality conditions in healthcare environments, existing practices of controlling infections risks arising from inadequate environmental safeguards in healthcare facilities, the vulnerability of healthcare facilities to climate-related risks, utilization of energy-efficient technologies, affected people (issues related to OHS, community health and safety, affordability, access, inclusion of different groups of the communities, socioeconomic aspects … etc.) and the institutional framework and capacities of the E&S management within the sector.
\n\nThis activity includes the description of the policy, institutional, and legal framework relating to the environmental and social aspects of the UHIS and medical health sector. This will also include the roles and responsibilities of different bodies (ministries, agencies, UHIA, EHA, GAHAR, UPA, and NGOs) in enforcement, and monitoring, and the associated ministerial decrees issued for this purpose.
\n\nThis will include the objectives, scope, boundaries, different alternatives, and expected outputs of the UHIS.
\n\nThis will include identification of the environmental and social aspects that would be impacted by (and also benefiting from) the UHIS roll-out along with the ones affecting the UHIS implementation. This would be based on a literature review including any relevant analytical studies such as the MoHP Waste management guidelines, WMRA reports, project Social Impact Assessment (SIA)[2] or surveys conducted, consolidating the experiences and the lessons learned from first phase Governorates where the UHIS has been applied, in addition to any strategies in the region and other countries with similar circumstances. The scope of E&S will be confirmed during the stakeholder consultations as indicated below. Any E&S limitations (geographic limitations, technology limitations … etc.) and/or preferences to certain approaches of the UHIS should be identified at this stage to inform the subsequent UHIS activities.
\n\nThe involvement of the public and concerned entities in the SESA inception and scoping phase is considered a key component of the SESA preparation. All relevant activities should be done and governed by the Environmental & Social Framework for IPF Operations (ESS10) and the project Stakeholder Engagement and Information Disclosure plan (SEP) and principles. The consultation undertaken will be mainly on the environmental and social aspects related to the UHIS development and implementation. The consultation process shall provide the concerned parties with the opportunity to indicate their opinion related to the identification of potential social and environmental risks, impacts and benefits, and the strategies to minimize those impacts. The consultation process also aims to inform the concerned parties that the environmental and social risks/impacts will be minimized to levels that are low as reasonably practical and achieve the balance between legitimate requirements for development and environmental and social protection. The consultant should provide list of stakeholders to be consulted and the consultation methodologies that will be followed.
\n\n\n\n
A detailed work-plan shall be prepared during the inception and scoping phase where the consultant will confirm and update the level of effort for each task and confirm two needed specialists of his team. The consultant shall present the methodology and overview of the work-plan during the first public consultation and where needed during individual consultations.
\n\nAt the end of the inception and scoping phase, the consultant will prepare an Inception and Scoping Report presenting the activities undertaken during the inception and scoping phase, the findings, and recommendations of this phase. In the Inception Report, the Consultant will develop a full action plan for the whole assignment with clear roles and responsibilities and indication for the reporting milestones. The consultant is also required to clearly indicate his communication methods and protocol with different stakeholders. This protocol should be approved by the PMU and adopted throughout the assignment. At the inception phase, the Consultant should indicate any specific information that will be needed and any specific asks from the PMU and other stakeholders so that the PMU facilitate obtaining the information. The Inception report should be approved by the PMU after sharing with all stakeholders and should be committed to by all parties.
\n\nAt the end of the inception and scoping phase, the consultant will:
\n\n*This latter is expected to take from three to four weeks to be accomplished.
\n\nThe impact assessment stage will assess different strategies and action plans identified by the UHIS. The impact assessment stage should include the tasks and activities listed below:
\n\nAt the end of this stage, which should last at most four weeks, the consultant will submit a progress report highlighting different activities and findings during the Strategic Environmental and Social Impact Assessment phase.
\n\nThe strategic environmental and social action plan will follow the assessment of impacts in order to identify the strategic actions to be taken by different bodies to minimize environmental and social impacts and maximize the benefits. The action plan stage should include but not limited to the tasks and activities listed below:
\n\nThe draft SESA including the action plan will be submitted prior to the final stakeholder consultation workshop, and the final SESA will be submitted after taking the stakeholders' comments into consideration.
\n\n4. Approach and Methodology
\n\nIn this context, the consultant is expected to utilize mixed methods, combining both qualitative and quantitative approaches, accompanied by a review of the published literature on the topic. The consultant has full flexibility to determine the tools to be used (e.g., research, surveys, case studies, focus group discussions, etc.) during the project period, provided prior approval is obtained from the Project Management Unit (PMU).
\n\nAdditionally, the consultant must ensure a comprehensive explanation of the methodology and tools used, as previously mentioned.
\n\n5. Governance and Accountability
\n\n6. Professional Qualifications
\n\nThis consultancy should provide a team of personnel of proven competence and experience to undertake the tasks defined by these Terms of Reference. Team members shall have the prerequisite experience specified in relation to their assignments and shall have an overall background in relevant areas. The team will consist of the following key experts:
\n\nOne of the experts listed above will be the Team Leader (TL). He/She must have a proven:
\n\n7. Deliverables and Schedule
\n\nThe deliverables, as indicated above, include the following:
\n\n\n\n
| \n\t\t\t Phase Name \n\t\t\t | \n\t\t\t\n\t\t\t Deliverables Name \n\t\t\t | \n\t\t\t\n\t\t\t Timeline \n\t\t\t | \n\t\t\t\n\t\t\t Payment (%) \n\t\t\t | \n\t\t
| \n\t\t\t Inception & Scoping \n\t\t\t | \n\t\t\t\n\t\t\t Deliverable #1: Inception report \n\t\t\t | \n\t\t\t\n\t\t\t | \n\t\t\t 20% \n\t\t\t | \n\t\t
| \n\t\t\t Impact Assessment \n\t\t\t | \n\t\t\t\n\t\t\t Deliverable #2: Knowledge gaps & assessment report \n\t\t\t | \n\t\t\t\n\t\t\t | \n\t\t\t 20% \n\t\t\t | \n\t\t
| \n\t\t\t Action Plan Formulation \n\t\t\t | \n\t\t\t\n\t\t\t Deliverable #3: Main strategy document and detailed action plan \n\t\t\t | \n\t\t\t\n\t\t\t | \n\t\t\t 20% \n\t\t\t | \n\t\t
| \n\t\t\t SESA Full Report \n\t\t\t | \n\t\t\t\n\t\t\t Deliverable #4: Final Report (Approved by PMU) \n\t\t\t | \n\t\t\t\n\t\t\t | \n\t\t\t 40% \n\t\t\t | \n\t\t
9. Risk Management
\n\nWe foresee some potential risks that should be addressed with a management policy if they occur. These risks include, for example:
\n\nIdentified Risks:
\n\nProposed Mitigation Strategies:( Optional )
\n\n\n\n
\n\n
Annexes
\n\n- **Annex 1**: Enviromental and Social Commitment Plan (ESCP)
\n\nhttps://drive.google.com/file/d/17z_waw8z_q6Ve2r0R5cl4xYqV_AfA7Ni/view?usp=sharing
\n\n- **Annex 2**: Fieldwork Saftey Policy
\n\nhttps://drive.google.com/file/d/1nlVURS1Hw4QAUkup3O-OaNKCdgBj8CCx/view?usp=sharing
\n\n\n\n
[1] The first 3 governorates are located along Suez Canal; the fourth is located in Sinai Peninsula; and the last 2 are located in Upper (southern) Egypt.
\n\n[2] For Supporting Egypt’s Universal Health Insurance System Project, February 2020
\n\n"},{"id":"OP00338477","notice_type":"Request for Expression of Interest","noticedate":"09-Feb-2025","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2025-02-28T00:00:00Z","submission_deadline_time":"05:00","project_ctry_name":"Marshall Islands","project_id":"P177329","project_name":"RMI Multisectoral Early Childhood Development Project - II","bid_reference_no":"MH-ECD PMO-454202-CS-INDV","bid_description":"Nurse Practitioner Santo","procurement_group":"CS","procurement_method_code":"INDV","procurement_method_name":"Individual Consultant Selection","contact_address":"Office of the Chief Secretary\nMajuro","contact_ctry_name":"Marshall Islands","contact_email":"dcpablodc@gmail.com","contact_name":"Pablo Stansbery","contact_organization":"ECD PMO","contact_phone_no":"(692) 625-2574","submission_date":"2025-02-09T00:00:00Z","notice_text":"
The Republic of the Marshall Islands
\n\n\n\n
Name of Project:
\n\nRMI Multi-sectoral Early Childhood Development Project - II
\n\n\n\n
REQUEST FOR EXPRESSIONS OF INTEREST (REOI)
\n\nSELECTION OF AN INDIVIDUAL CONSULTANT
\n\nREQUEST FOR EXPRESSIONS OF INTEREST
\n\n(INDIVIDUAL CONSULTING SERVICES)
\n\nLoan No./Credit No./ Grant No.: IDA -E0320
\n\nAssignment Title: Nurse Practitioners (Jaluit, Santo and Wotje)
\n\nReference No. (as per Procurement Plan): MH-ECD PMO-454200-CS-INDV (Jaluit), MH-ECD PMO-454202-CS-INDV (Santo), MH-ECD PMO-454203-CS-INDV (Wotje)
\n\nThe Republic of the Marshall Islands financing from the World Bank toward the cost of the Nurse Practitioners and intends to apply part of the proceeds for consulting services.
\n\nThe consulting services (“the Services”) include: 3 Nurse Practitioners to visit all health center sites in Jaluit, Kwajeline-Santos, and Wotje once each month to provide supportive supervision and clinical oversight to Health Assistants and Maternal Health & Child Development Aides at each visit. Assist in training and certification of Health Assistants to deliver vaccines. Assist Health Assistants to update immunizations to all under 5yr children and HPV vaccine to all 1-14yo girls who are eligible in their communities. Provide patient consultations on referral from Health Assistants, maintain contact and build partnerships with local WUTMI chapter(s) to strengthen maternal and child health & development (ECD) initiatives. Together with local government officials perform health center performance assessments every 3 months: Assist the Health Assistant and local government authorities to plan performance improvements based on their assessments. Assists health assistants to plan and conduct annual house-to-house case finding surveys of their islands, and to update patient registry books for: Preschool age children, NCD patients, an “Other” registry with TB, leprosy, mental illness, and other patients needing regular follow-up.
\n\nThe detailed Terms of Reference (TOR) for the assignment can be found at the following website: World Bank and UNDP or can be obtained at the address given below.
\n\nThe Ministry of Health and Human Services (MOHHS) now invites eligible individuals (“Consultants”) to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services (attach curriculum vitae with description of experience in similar assignments, similar conditions, etc.). Firms’ staff may express interest through the employing firm for the assignment and, under such situation, only the experience and qualifications of individuals shall be considered in the selection process. The criteria for selecting the Consultant are:
\n\nMandatory Requirement:
\n\nDesirable:
\n\nThe attention of interested Consultants (including firms) is drawn to paragraph 3.14, 3.16 and 3.17 of the World Bank’s Procurement Regulations for IPF Borrowers September, 2023 available on www.worldbank.org (“the Regulations”), setting forth the World Bank’s policy on conflict of interest.
\n\nFurther information can be obtained at the address below during office hours 8:00am – 5:00pm
\n\nExpressions of interest must be delivered in a written form to the address below (in person, or by mail, or by fax, or by e-mail) by February 28, 2025
\n\n\n\n
RMI Ministry of Health and Human Resources
\n\nAttn:
\n\nDr. Frank Underwood
\n\nDirector of Public Health
\n\nEarly Childhood Development
\n\nMinistry of Health and Human Services
\n\nTel: (692) 625-3399
\n\nFax: N/A
\n\nE-mail: dr.funderwood2011@gmail.com
\n\n\n\n
CC to:
\n\nMrs. Diane Tibies-Kabua
\n\nECD Acting National Coordinator
\n\ndkabua@rmihealth.org
\n\n\n\n
Ms. Kellynne Brechtefeld
\n\nECD Program Officer
\n\nKbrechtefeld07@gmail.com
\n\n\n\n
\n\n
Republic of the Marshall Islands
\n\nTerms of Reference
\n\nIndividual Consultant – Full Time
\n\n\n\n
| \n\t\t\t Title: \n\t\t\t | \n\t\t\t\n\t\t\t Nurse Practitioner(s): 3 Post : (Local, Kwajeline- Santos, Wotje) \n\t\t\t | \n\t\t
| \n\t\t\t Project: \n\t\t\t | \n\t\t\t\n\t\t\t Multi-sector Early Childhood Development (P177329) \n\t\t\t | \n\t\t
| \n\t\t\t Location: \n\t\t\t | \n\t\t\t\n\t\t\t Ministry of Health and Human Services (MOHHS/C1 Implementing Agency), Local, Republic of Marshall Islands (GRMI) , \n\t\t\t | \n\t\t
| \n\t\t\t Duration: \n\t\t\t | \n\t\t\t\n\t\t\t Thru December 2026, with potential extension, pending performance evaluation and funding \n\t\t\t | \n\t\t
| \n\t\t\t Tentative State Date: \n\t\t\t | \n\t\t\t\n\t\t\t March 1, 2025 \n\t\t\t | \n\t\t
| \n\t\t\t Reference No. \n\t\t\t | \n\t\t\t\n\t\t\t MH-ECD PMO-454200-CS-INDV (Jaluit) \n\n\t\t\tMH-ECD PMO-454202-CS-INDV (Kwajeline- Santo) \n\n\t\t\tMH-ECD PMO-454203-CS-INDV (Wotje) \n\t\t\t | \n\t\t
| \n\t\t\t ECD AWP Activity \n\t\t\t | \n\t\t\t\n\t\t\t 1.2.4.A (ii); 1.2.4.A (v); 1.2.4.A (vi) \n\t\t\t | \n\t\t
\n\n
\n\n
The Republic of the Marshall Islands (RMI) is one of the world’s smallest, most isolated and vulnerable nations. The country consists of 29 atolls and 5 isolated islands (24 of which are inhabited) and has a total land mass of just 181 km2 set in an area of over 1.9 million km2 in the Pacific Ocean. The population of the RMI is estimated at 53,066[1], of which the two largest urban centers, Majuro (the nation’s capital) and Ebeye, have populations of 28,000 and 9,614, respectively.
\n\nThere is a growing recognition that the foundations of human capital formation in RMI are at risk despite improvements in national and household wealth. Poor early life health and nutrition, lack of early stimulation and learning, and exposure to poverty and severe stress threaten the ability of thousands of children to reach their full potential. These developmental deficits manifest in high rates of early childhood undernutrition and poor child development outcomes.
\n\nIn RMI, children experience adversities across multiple domains, undermining children’s opportunities to learn, earn, innovate, and compete. Barriers to optimal child development in RMI span across sectors, including: (i) limited availability, affordability, and consumption of nutritious diets, especially for women and children from vulnerable households; (ii) inadequate access to quality maternal and child health, nutrition, and immunization services; (iii) inadequate access to clean water and sanitation; (iv) insufficient opportunities for early stimulation and early learning; and (v) lack of support through formalized social assistance mechanisms. Cutting across all of this is a general low awareness of the importance of early child stimulation, health and nutrition.
\n\nTo address the above constraints, the GoRMI has developed a comprehensive, integrated, and long-term early childhood development (ECD) program. The program focuses on investing in the early years—targeting the period from conception up to age five—and engages the Ministries of Health and Human Services; Education; and Culture and Internal Affairs (MOCIA) directly as implementing agencies, as well as other government/non-government partners. The program will aim to ensure that women and children are healthy and well-nourished (particularly in the first 1,000 days from conception through a child’s second birthday), that young children receive early stimulation and learning opportunities from birth onwards, and that children are nurtured and protected from stress.
\n\nIn coordination with WUTMI chapter(s) provides reproductive care to women at sites with only male health assistants (and assists resident female health assistants and Maternal Health & Child Development Aides at sites with female health assistants), including:
\n\nProvides preventive and other needed medical care services to patients at the main health centers in the Neighboring Islands.
\n\nProvides medical care services to patients at other remote health centers on request during monthly visits to outlying sites.
\n\nProvides emergency care to Local residents and arranges for medical evacuations as needed.
\n\n\n\n
The services to be performed by the Consultancy include inter alia:
\n\n\n\n
\n\n
\n\n
Required:
\n\n1) Post-graduate Diploma or Master's degree in an accredited primary care nurse practitioner program.
\n\n2) 3 years’ experience providing primary care to adults and children
\n\n3) Well organized, ethical, patient, conscientious, resourceful
\n\n4) English language fluency
\n\n\n\n
Desirable:
\n\n1) Practice experience in Pacific islands settings
\n\n2) Midwifery training and experience
\n\n3) Experience living and practicing in remote locations
\n\n4) Marshallese language fluency
\n\n\n\n
\n\n
\n\n
The duration of all three posts will be full time through December 31, 2026. This Nurse Practitioner posts will be placed on one of three Neighboring Islands of the Republic of Marshall Islands: 1) Local Island; 2) Kwajeline Island- Santo islet; and 3) Wotje Island.
\n\n\n\n
Annex B: Consultant’s Reporting Obligation
\n\n\n\n
| \n\t\t\t Deliverable \n\t\t\t | \n\t\t\t\n\t\t\t Details \n\t\t\t | \n\t\t\t\n\t\t\t Timeframe \n\t\t\t | \n\t\t
| \n\t\t\t 1. Monthly Progress Reports \n\t\t\t | \n\t\t\t\n\t\t\t Payment for services contingent on approval by Client Coordinator with satisfactory report and deliverables. \n\n\t\t\tReports progress in the following domains each month: \n\n\t\t\t
| \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\n\t\t\t\n\n\t\t\t \n\n\t\t\t Every 3 mos: add Health Center Performance Assessment to monthly progress report \n\t\t\t | \n\t\t
| \n\t\t\t 2. Birth and death certificates \n\t\t\t | \n\t\t\t\n\t\t\t Properly filled-out certificates for each birth and death in Local atoll for the previous month. \n\t\t\t | \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\t\t\t | \n\t\t
\n\t\t\t
| \n\t\t\t\n\t\t\t Including Name, DOB, Hospital #, EDD, intended date of transfer to Majuro and any high-risk features \n\t\t\t | \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\t\t\t | \n\t\t
\n\n
Qualifications:
\n\nRequired:
\n\n1) Post-graduate Diploma or Master's degree in an accredited primary care nurse practitioner program.
\n\n2) 3 years experience providing primary care to adults and children
\n\n3) Well organized, ethical, patient, conscientious, resourceful
\n\n4) English language fluency
\n\n\n\n
Desirable:
\n\n1) Practice experience in Pacific islands settings
\n\n2) Midwifery training and experience
\n\n3) Experience living and practicing in remote locations
\n\n4) Marshallese language fluency
"},{"id":"OP00338527","notice_type":"Request for Expression of Interest","noticedate":"09-Feb-2025","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2025-02-28T00:00:00Z","submission_deadline_time":"05:00","project_ctry_name":"Marshall Islands","project_id":"P177329","project_name":"RMI Multisectoral Early Childhood Development Project - II","bid_reference_no":"MH-ECD PMO-454200-CS-INDV","bid_description":"Nurse Practitioner Jaluit","procurement_group":"CS","procurement_method_code":"INDV","procurement_method_name":"Individual Consultant Selection","contact_address":"Office of the Chief Secretary\nMajuro","contact_ctry_name":"Marshall Islands","contact_email":"dcpablodc@gmail.com","contact_name":"Pablo Stansbery","contact_organization":"ECD PMO","contact_phone_no":"(692) 625-2574","submission_date":"2025-02-09T00:00:00Z","notice_text":"The Republic of the Marshall Islands
\n\n\n\n
Name of Project:
\n\nRMI Multi-sectoral Early Childhood Development Project - II
\n\n\n\n
REQUEST FOR EXPRESSIONS OF INTEREST (REOI)
\n\nSELECTION OF AN INDIVIDUAL CONSULTANT
\n\nREQUEST FOR EXPRESSIONS OF INTEREST
\n\n(INDIVIDUAL CONSULTING SERVICES)
\n\nLoan No./Credit No./ Grant No.: IDA -E0320
\n\nAssignment Title: Nurse Practitioners (Jaluit, Santo and Wotje)
\n\nReference No. (as per Procurement Plan): MH-ECD PMO-454200-CS-INDV (Jaluit), MH-ECD PMO-454202-CS-INDV (Santo), MH-ECD PMO-454203-CS-INDV (Wotje)
\n\nThe Republic of the Marshall Islands financing from the World Bank toward the cost of the Nurse Practitioners and intends to apply part of the proceeds for consulting services.
\n\nThe consulting services (“the Services”) include: 3 Nurse Practitioners to visit all health center sites in Jaluit, Kwajeline-Santos, and Wotje once each month to provide supportive supervision and clinical oversight to Health Assistants and Maternal Health & Child Development Aides at each visit. Assist in training and certification of Health Assistants to deliver vaccines. Assist Health Assistants to update immunizations to all under 5yr children and HPV vaccine to all 1-14yo girls who are eligible in their communities. Provide patient consultations on referral from Health Assistants, maintain contact and build partnerships with local WUTMI chapter(s) to strengthen maternal and child health & development (ECD) initiatives. Together with local government officials perform health center performance assessments every 3 months: Assist the Health Assistant and local government authorities to plan performance improvements based on their assessments. Assists health assistants to plan and conduct annual house-to-house case finding surveys of their islands, and to update patient registry books for: Preschool age children, NCD patients, an “Other” registry with TB, leprosy, mental illness, and other patients needing regular follow-up.
\n\nThe detailed Terms of Reference (TOR) for the assignment can be found at the following website: World Bank and UNDP or can be obtained at the address given below.
\n\nThe Ministry of Health and Human Services (MOHHS) now invites eligible individuals (“Consultants”) to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services (attach curriculum vitae with description of experience in similar assignments, similar conditions, etc.). Firms’ staff may express interest through the employing firm for the assignment and, under such situation, only the experience and qualifications of individuals shall be considered in the selection process. The criteria for selecting the Consultant are:
\n\nMandatory Requirement:
\n\nDesirable:
\n\nThe attention of interested Consultants (including firms) is drawn to paragraph 3.14, 3.16 and 3.17 of the World Bank’s Procurement Regulations for IPF Borrowers September, 2023 available on www.worldbank.org (“the Regulations”), setting forth the World Bank’s policy on conflict of interest.
\n\nFurther information can be obtained at the address below during office hours 8:00am – 5:00pm
\n\nExpressions of interest must be delivered in a written form to the address below (in person, or by mail, or by fax, or by e-mail) by February 28, 2025
\n\n\n\n
RMI Ministry of Health and Human Resources
\n\nAttn:
\n\nDr. Frank Underwood
\n\nDirector of Public Health
\n\nEarly Childhood Development
\n\nMinistry of Health and Human Services
\n\nTel: (692) 625-3399
\n\nFax: N/A
\n\nE-mail: dr.funderwood2011@gmail.com
\n\n\n\n
CC to:
\n\nMrs. Diane Tibies-Kabua
\n\nECD Acting National Coordinator
\n\ndkabua@rmihealth.org
\n\n\n\n
Ms. Kellynne Brechtefeld
\n\nECD Program Officer
\n\nkbrechtefeld07@gmail.com
\n\n\n\n
\n\n
Republic of the Marshall Islands
\n\nTerms of Reference
\n\nIndividual Consultant – Full Time
\n\n\n\n
| \n\t\t\t Title: \n\t\t\t | \n\t\t\t\n\t\t\t Nurse Practitioner(s): 3 Post : (Local, Kwajeline- Santos, Wotje) \n\t\t\t | \n\t\t
| \n\t\t\t Project: \n\t\t\t | \n\t\t\t\n\t\t\t Multi-sector Early Childhood Development (P177329) \n\t\t\t | \n\t\t
| \n\t\t\t Location: \n\t\t\t | \n\t\t\t\n\t\t\t Ministry of Health and Human Services (MOHHS/C1 Implementing Agency), Local, Republic of Marshall Islands (GRMI) , \n\t\t\t | \n\t\t
| \n\t\t\t Duration: \n\t\t\t | \n\t\t\t\n\t\t\t Thru December 2026, with potential extension, pending performance evaluation and funding \n\t\t\t | \n\t\t
| \n\t\t\t Tentative State Date: \n\t\t\t | \n\t\t\t\n\t\t\t March 1, 2025 \n\t\t\t | \n\t\t
| \n\t\t\t Reference No. \n\t\t\t | \n\t\t\t\n\t\t\t MH-ECD PMO-454200-CS-INDV (Jaluit) \n\n\t\t\tMH-ECD PMO-454202-CS-INDV (Kwajeline- Santo) \n\n\t\t\tMH-ECD PMO-454203-CS-INDV (Wotje) \n\t\t\t | \n\t\t
| \n\t\t\t ECD AWP Activity \n\t\t\t | \n\t\t\t\n\t\t\t 1.2.4.A (ii); 1.2.4.A (v); 1.2.4.A (vi) \n\t\t\t | \n\t\t
\n\n
\n\n
The Republic of the Marshall Islands (RMI) is one of the world’s smallest, most isolated and vulnerable nations. The country consists of 29 atolls and 5 isolated islands (24 of which are inhabited) and has a total land mass of just 181 km2 set in an area of over 1.9 million km2 in the Pacific Ocean. The population of the RMI is estimated at 53,066[1], of which the two largest urban centers, Majuro (the nation’s capital) and Ebeye, have populations of 28,000 and 9,614, respectively.
\n\n\n\n
There is a growing recognition that the foundations of human capital formation in RMI are at risk despite improvements in national and household wealth. Poor early life health and nutrition, lack of early stimulation and learning, and exposure to poverty and severe stress threaten the ability of thousands of children to reach their full potential. These developmental deficits manifest in high rates of early childhood undernutrition and poor child development outcomes.
\n\n\n\n
In RMI, children experience adversities across multiple domains, undermining children’s opportunities to learn, earn, innovate, and compete. Barriers to optimal child development in RMI span across sectors, including: (i) limited availability, affordability, and consumption of nutritious diets, especially for women and children from vulnerable households; (ii) inadequate access to quality maternal and child health, nutrition, and immunization services; (iii) inadequate access to clean water and sanitation; (iv) insufficient opportunities for early stimulation and early learning; and (v) lack of support through formalized social assistance mechanisms. Cutting across all of this is a general low awareness of the importance of early child stimulation, health and nutrition.
\n\nTo address the above constraints, the GoRMI has developed a comprehensive, integrated, and long-term early childhood development (ECD) program. The program focuses on investing in the early years—targeting the period from conception up to age five—and engages the Ministries of Health and Human Services; Education; and Culture and Internal Affairs (MOCIA) directly as implementing agencies, as well as other government/non-government partners. The program will aim to ensure that women and children are healthy and well-nourished (particularly in the first 1,000 days from conception through a child’s second birthday), that young children receive early stimulation and learning opportunities from birth onwards, and that children are nurtured and protected from stress.
\n\n\n\n
In coordination with WUTMI chapter(s) provides reproductive care to women at sites with only male health assistants (and assists resident female health assistants and Maternal Health & Child Development Aides at sites with female health assistants), including:
\n\nProvides preventive and other needed medical care services to patients at the main health centers in the Neighboring Islands.
\n\nProvides medical care services to patients at other remote health centers on request during monthly visits to outlying sites.
\n\nProvides emergency care to Local residents and arranges for medical evacuations as needed.
\n\n\n\n
\n\n
The services to be performed by the Consultancy include inter alia:
\n\n\n\n
\n\n
\n\n
\n\n
Required:
\n\n1) Post-graduate Diploma or Master's degree in an accredited primary care nurse practitioner program.
\n\n2) 3 years’ experience providing primary care to adults and children
\n\n3) Well organized, ethical, patient, conscientious, resourceful
\n\n4) English language fluency
\n\n\n\n
Desirable:
\n\n1) Practice experience in Pacific islands settings
\n\n2) Midwifery training and experience
\n\n3) Experience living and practicing in remote locations
\n\n4) Marshallese language fluency
\n\n\n\n
\n\n
\n\n
The duration of all three posts will be full time through December 31, 2026. This Nurse Practitioner posts will be placed on one of three Neighboring Islands of the Republic of Marshall Islands: 1) Local Island; 2) Kwajeline Island- Santo islet; and 3) Wotje Island.
\n\n\n\n
Annex B: Consultant’s Reporting Obligation
\n\n\n\n
| \n\t\t\t Deliverable \n\t\t\t | \n\t\t\t\n\t\t\t Details \n\t\t\t | \n\t\t\t\n\t\t\t Timeframe \n\t\t\t | \n\t\t
| \n\t\t\t 1. Monthly Progress Reports \n\t\t\t | \n\t\t\t\n\t\t\t Payment for services contingent on approval by Client Coordinator with satisfactory report and deliverables. \n\n\t\t\tReports progress in the following domains each month: \n\n\t\t\t
| \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\n\t\t\t\n\n\t\t\t \n\n\t\t\t Every 3 mos: add Health Center Performance Assessment to monthly progress report \n\t\t\t | \n\t\t
| \n\t\t\t 2. Birth and death certificates \n\t\t\t | \n\t\t\t\n\t\t\t Properly filled-out certificates for each birth and death in Local atoll for the previous month. \n\t\t\t | \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\t\t\t | \n\t\t
\n\t\t\t
| \n\t\t\t\n\t\t\t Including Name, DOB, Hospital #, EDD, intended date of transfer to Majuro and any high-risk features \n\t\t\t | \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\t\t\t | \n\t\t
\n\n
Qualifications:
\n\nRequired:
\n\n1) Post-graduate Diploma or Master's degree in an accredited primary care nurse practitioner program.
\n\n2) 3 years experience providing primary care to adults and children
\n\n3) Well organized, ethical, patient, conscientious, resourceful
\n\n4) English language fluency
\n\n\n\n
Desirable:
\n\n1) Practice experience in Pacific islands settings
\n\n2) Midwifery training and experience
\n\n3) Experience living and practicing in remote locations
\n\n4) Marshallese language fluency
"},{"id":"OP00338476","notice_type":"Request for Expression of Interest","noticedate":"09-Feb-2025","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2025-02-28T00:00:00Z","submission_deadline_time":"05:00","project_ctry_name":"Marshall Islands","project_id":"P177329","project_name":"RMI Multisectoral Early Childhood Development Project - II","bid_reference_no":"MH-ECD PMO-454203-CS-INDV","bid_description":"Nurse Practitioner Wotje","procurement_group":"CS","procurement_method_code":"INDV","procurement_method_name":"Individual Consultant Selection","contact_address":"Office of the Chief Secretary\nMajuro","contact_ctry_name":"Marshall Islands","contact_email":"dcpablodc@gmail.com","contact_name":"Pablo Stansbery","contact_organization":"ECD PMO","contact_phone_no":"(692) 625-2574","submission_date":"2025-02-09T00:00:00Z","notice_text":"\n\n
\n\n
The Republic of the Marshall Islands
\n\n\n\n
Name of Project:
\n\nRMI Multi-sectoral Early Childhood Development Project - II
\n\n\n\n
REQUEST FOR EXPRESSIONS OF INTEREST (REOI)
\n\nSELECTION OF AN INDIVIDUAL CONSULTANT
\n\nREQUEST FOR EXPRESSIONS OF INTEREST
\n\n(INDIVIDUAL CONSULTING SERVICES)
\n\nLoan No./Credit No./ Grant No.: IDA -E0320
\n\nAssignment Title: Nurse Practitioners (Jaluit, Santo and Wotje)
\n\nReference No. (as per Procurement Plan): MH-ECD PMO-454200-CS-INDV (Jaluit), MH-ECD PMO-454202-CS-INDV (Santo), MH-ECD PMO-454203-CS-INDV (Wotje)
\n\nThe Republic of the Marshall Islands financing from the World Bank toward the cost of the Nurse Practitioners and intends to apply part of the proceeds for consulting services.
\n\nThe consulting services (“the Services”) include: 3 Nurse Practitioners to visit all health center sites in Jaluit, Kwajeline-Santos, and Wotje once each month to provide supportive supervision and clinical oversight to Health Assistants and Maternal Health & Child Development Aides at each visit. Assist in training and certification of Health Assistants to deliver vaccines. Assist Health Assistants to update immunizations to all under 5yr children and HPV vaccine to all 1-14yo girls who are eligible in their communities. Provide patient consultations on referral from Health Assistants, maintain contact and build partnerships with local WUTMI chapter(s) to strengthen maternal and child health & development (ECD) initiatives. Together with local government officials perform health center performance assessments every 3 months: Assist the Health Assistant and local government authorities to plan performance improvements based on their assessments. Assists health assistants to plan and conduct annual house-to-house case finding surveys of their islands, and to update patient registry books for: Preschool age children, NCD patients, an “Other” registry with TB, leprosy, mental illness, and other patients needing regular follow-up.
\n\nThe detailed Terms of Reference (TOR) for the assignment can be found at the following website: World Bank and UNDP or can be obtained at the address given below.
\n\nThe Ministry of Health and Human Services (MOHHS) now invites eligible individuals (“Consultants”) to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services (attach curriculum vitae with description of experience in similar assignments, similar conditions, etc.). Firms’ staff may express interest through the employing firm for the assignment and, under such situation, only the experience and qualifications of individuals shall be considered in the selection process. The criteria for selecting the Consultant are:
\n\nMandatory Requirement:
\n\nDesirable:
\n\nThe attention of interested Consultants (including firms) is drawn to paragraph 3.14, 3.16 and 3.17 of the World Bank’s Procurement Regulations for IPF Borrowers September, 2023 available on www.worldbank.org (“the Regulations”), setting forth the World Bank’s policy on conflict of interest.
\n\nFurther information can be obtained at the address below during office hours 8:00am – 5:00pm
\n\nExpressions of interest must be delivered in a written form to the address below (in person, or by mail, or by fax, or by e-mail) by February 28, 2025
\n\n\n\n
RMI Ministry of Health and Human Resources
\n\nAttn:
\n\nDr. Frank Underwood
\n\nDirector of Public Health
\n\nEarly Childhood Development
\n\nMinistry of Health and Human Services
\n\nTel: (692) 625-3399
\n\nFax: N/A
\n\nE-mail: dr.funderwood2011@gmail.com
\n\n\n\n
CC to:
\n\nMrs. Diane Tibies-Kabua
\n\nECD Acting National Coordinator
\n\ndkabua@rmihealth.org
\n\n\n\n
Ms. Kellynne Brechtefeld
\n\nECD Program Officer
\n\nKbrechtefeld07@gmail.com
\n\n\n\n
\n\n
Republic of the Marshall Islands
\n\nTerms of Reference
\n\nIndividual Consultant – Full Time
\n\n\n\n
| \n\t\t\t Title: \n\t\t\t | \n\t\t\t\n\t\t\t Nurse Practitioner(s): 3 Post : (Local, Kwajeline- Santos, Wotje) \n\t\t\t | \n\t\t
| \n\t\t\t Project: \n\t\t\t | \n\t\t\t\n\t\t\t Multi-sector Early Childhood Development (P177329) \n\t\t\t | \n\t\t
| \n\t\t\t Location: \n\t\t\t | \n\t\t\t\n\t\t\t Ministry of Health and Human Services (MOHHS/C1 Implementing Agency), Local, Republic of Marshall Islands (GRMI) , \n\t\t\t | \n\t\t
| \n\t\t\t Duration: \n\t\t\t | \n\t\t\t\n\t\t\t Thru December 2026, with potential extension, pending performance evaluation and funding \n\t\t\t | \n\t\t
| \n\t\t\t Tentative State Date: \n\t\t\t | \n\t\t\t\n\t\t\t March 1, 2025 \n\t\t\t | \n\t\t
| \n\t\t\t Reference No. \n\t\t\t | \n\t\t\t\n\t\t\t MH-ECD PMO-454200-CS-INDV (Jaluit) \n\n\t\t\tMH-ECD PMO-454202-CS-INDV (Kwajeline- Santo) \n\n\t\t\tMH-ECD PMO-454203-CS-INDV (Wotje) \n\t\t\t | \n\t\t
| \n\t\t\t ECD AWP Activity \n\t\t\t | \n\t\t\t\n\t\t\t 1.2.4.A (ii); 1.2.4.A (v); 1.2.4.A (vi) \n\t\t\t | \n\t\t
\n\n
\n\n
The Republic of the Marshall Islands (RMI) is one of the world’s smallest, most isolated and vulnerable nations. The country consists of 29 atolls and 5 isolated islands (24 of which are inhabited) and has a total land mass of just 181 km2 set in an area of over 1.9 million km2 in the Pacific Ocean. The population of the RMI is estimated at 53,066[1], of which the two largest urban centers, Majuro (the nation’s capital) and Ebeye, have populations of 28,000 and 9,614, respectively.
\n\n\n\n
There is a growing recognition that the foundations of human capital formation in RMI are at risk despite improvements in national and household wealth. Poor early life health and nutrition, lack of early stimulation and learning, and exposure to poverty and severe stress threaten the ability of thousands of children to reach their full potential. These developmental deficits manifest in high rates of early childhood undernutrition and poor child development outcomes.
\n\n\n\n
In RMI, children experience adversities across multiple domains, undermining children’s opportunities to learn, earn, innovate, and compete. Barriers to optimal child development in RMI span across sectors, including: (i) limited availability, affordability, and consumption of nutritious diets, especially for women and children from vulnerable households; (ii) inadequate access to quality maternal and child health, nutrition, and immunization services; (iii) inadequate access to clean water and sanitation; (iv) insufficient opportunities for early stimulation and early learning; and (v) lack of support through formalized social assistance mechanisms. Cutting across all of this is a general low awareness of the importance of early child stimulation, health and nutrition.
\n\nTo address the above constraints, the GoRMI has developed a comprehensive, integrated, and long-term early childhood development (ECD) program. The program focuses on investing in the early years—targeting the period from conception up to age five—and engages the Ministries of Health and Human Services; Education; and Culture and Internal Affairs (MOCIA) directly as implementing agencies, as well as other government/non-government partners. The program will aim to ensure that women and children are healthy and well-nourished (particularly in the first 1,000 days from conception through a child’s second birthday), that young children receive early stimulation and learning opportunities from birth onwards, and that children are nurtured and protected from stress.
\n\n\n\n
In coordination with WUTMI chapter(s) provides reproductive care to women at sites with only male health assistants (and assists resident female health assistants and Maternal Health & Child Development Aides at sites with female health assistants), including:
\n\nProvides preventive and other needed medical care services to patients at the main health centers in the Neighboring Islands.
\n\nProvides medical care services to patients at other remote health centers on request during monthly visits to outlying sites.
\n\nProvides emergency care to Local residents and arranges for medical evacuations as needed.
\n\n\n\n
\n\n
\n\n
The services to be performed by the Consultancy include inter alia:
\n\n\n\n
\n\n
\n\n
\n\n
Required:
\n\n1) Post-graduate Diploma or Master's degree in an accredited primary care nurse practitioner program.
\n\n2) 3 years’ experience providing primary care to adults and children
\n\n3) Well organized, ethical, patient, conscientious, resourceful
\n\n4) English language fluency
\n\n\n\n
Desirable:
\n\n1) Practice experience in Pacific islands settings
\n\n2) Midwifery training and experience
\n\n3) Experience living and practicing in remote locations
\n\n4) Marshallese language fluency
\n\n\n\n
\n\n
\n\n
The duration of all three posts will be full time through December 31, 2026. This Nurse Practitioner posts will be placed on one of three Neighboring Islands of the Republic of Marshall Islands: 1) Local Island; 2) Kwajeline Island- Santo islet; and 3) Wotje Island.
\n\n\n\n
Annex B: Consultant’s Reporting Obligation
\n\n\n\n
| \n\t\t\t Deliverable \n\t\t\t | \n\t\t\t\n\t\t\t Details \n\t\t\t | \n\t\t\t\n\t\t\t Timeframe \n\t\t\t | \n\t\t
| \n\t\t\t 1. Monthly Progress Reports \n\t\t\t | \n\t\t\t\n\t\t\t Payment for services contingent on approval by Client Coordinator with satisfactory report and deliverables. \n\n\t\t\tReports progress in the following domains each month: \n\n\t\t\t
| \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\n\t\t\t\n\n\t\t\t \n\n\t\t\t Every 3 mos: add Health Center Performance Assessment to monthly progress report \n\t\t\t | \n\t\t
| \n\t\t\t 2. Birth and death certificates \n\t\t\t | \n\t\t\t\n\t\t\t Properly filled-out certificates for each birth and death in Local atoll for the previous month. \n\t\t\t | \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\t\t\t | \n\t\t
| \n\t\t\t 3. List of ANC and post-partum patients seen \n\t\t\t | \n\t\t\t\n\t\t\t Including Name, DOB, Hospital #, EDD, intended date of transfer to Majuro and any high-risk features \n\t\t\t | \n\t\t\t\n\t\t\t Within the first 7 days of each month (reporting on previous month) \n\t\t\t | \n\t\t
\n\n
Qualifications:
\n\nRequired:
\n\n1) Post-graduate Diploma or Master's degree in an accredited primary care nurse practitioner program.
\n\n2) 3 years experience providing primary care to adults and children
\n\n3) Well organized, ethical, patient, conscientious, resourceful
\n\n4) English language fluency
\n\n\n\n
Desirable:
\n\n1) Practice experience in Pacific islands settings
\n\n2) Midwifery training and experience
\n\n3) Experience living and practicing in remote locations
\n\n4) Marshallese language fluency
\n\n\n\n
"},{"id":"OP00336178","notice_type":"General Procurement Notice","noticedate":"29-Jan-2025","notice_lang_name":"English","notice_status":"Published","project_ctry_name":"Serbia","project_id":"P180619","project_name":"Serbia Noncommunicable Diseases Prevention and Control Project","contact_address":"Ministry of Health\nPasterova 1, 11000 Belgrade","contact_ctry_name":"Serbia","contact_email":"office_pcu@zdravlje.gov.rs","contact_name":"Zana Cvetkovic","contact_organization":"Project Coordination Unit (PCU)","contact_phone_no":"+381-11-3606401","submission_date":"2025-01-29T00:00:00Z","notice_text":"
The Republic of Serbia
\n\nSerbia Noncommunicable Diseases Prevention and Control Project
\n\nGENERAL PROCUREMENT NOTICE
\n\nLoan No. 96040-YF
\n\nProject ID No. P180619
\n\n\n\n
\n\n
The Republic of Serbia received financing in the amount of EUR 70,700,000 equivalent from the World Bank toward the cost of the Serbia Noncommunicable Diseases Prevention and Control Project, and intends to apply part of the proceeds to payments for goods, works, non-consulting services and consulting services to be procured under this Project.
\n\n\n\n
The project consists of five components:
\n\nThe three main components include activities aiming to: (i) improve competence and accountability of health care providers; (ii) increase access to and availability of health services; and (iii) strengthen quality of clinical services and public health measures. Digital solutions will be integrated into all components to facilitate effective delivery of intended outcomes. The fourth component supports Project management, monitoring and evaluation, while the fifth component provides flexibility to respond in the event of a crisis or emergency (Contingency Emergency Response Component).
\n\n\n\n
Component 1: Improving Provider Competence and Accountability
\n\nThis component supports improvements in the competence of doctors and nurses working at the primary health care (PHC) level in prevention and management of noncommunicable diseases (NCDs), strengthening organization and capacity of PHC facilities to provide patient management by joint teams of GPs and specialists, strengthening payment models for outpatient, inpatient and palliative care to improve provider accountability for results, establishment of palliative care capacities for patients with NCDs, improvement of pre-hospital medical emergency service, establishment of telemedicine services, and optimization of medical records keeping and reporting. Expanding the scope of most needed NCDs services at PHC level, improving access to diagnostic services and consultations of PHC doctors and specialists, and development of telemedicine will improve equity and lessen the financial burden for patients seeking health care.
\n\n\n\n
Component 2: Increasing Availability of Services
\n\nThis component supports upgrading health care infrastructure to improve availability of diagnostic and treatment services, with focus on expanding access for people living in rural and remote areas. The component finances equipment, infrastructure improvements and mobile vehicles for PHC, procurement of cancer diagnostic and therapeutic equipment for hospitals, construction of a specialized hospital for children suffering from diabetes.
\n\n\n\n
Component 3: Strengthening Quality of Public Health and Clinical Services
\n\nThis component supports targeted communication, outreach, and campaigns to increase cancer screening and strengthen health education and health literacy, research to improve quality of NCDs prevention (including during extreme climate events), development of the national programs for prevention and control of key NCDs, good clinical practice guidelines and clinical pathways for NCDs, rollout and utilization of the quality indicators information system, development and implementation of the plans for continuous improvement of the quality of health care at national and facility level, and training of vulnerable population and Roma health mediators on NCDs prevention. The component finances equipment, renovation of pharmacy premises, software development, implementation of standard operation procedure, and training of staff to introduce a system of centralized preparation of cytotoxic drugs in tertiary hospitals.
\n\n\n\n
Component 4: Project Management, Monitoring and Evaluation
\n\nThis component will support routine project management, including coordination of technical activities in all components, fiduciary, audits of the Project financial statements, environmental and social compliance, and regular monitoring of and reporting on implementation. Monitoring the implementation of the proposed reforms, including potential unintended consequences, will be supported under this component. The existing PCU of the MoH for the ongoing Serbia Emergency COVID-19 Response Project will be responsible for the coordination of Project activities, as well as fiduciary tasks of procurement and financial management.
\n\n\n\n
Component 5: Contingency Emergency Response Component
\n\nThe objective of this component is to improve the Government’s response capacity in the event of an emergency. It would support a rapid response to a request for urgent assistance in case of an event that has caused, or is likely to imminently cause, a major adverse economic and/or social impact associated with natural or man-made crises or disasters. In such a case, funds would be reallocated from other components to finance goods and consulting services.
\n\n\n\n
Procurement of contracts financed by the World Bank will be conducted through the procedures as specified in the World Bank’s Procurement Regulations for IPF Borrowers (September 2023) (Procurement Regulations), and is open to all eligible firms and individuals as defined in the Procurement Regulations.
\n\n\n\n
The World Bank has arranged the publication on its external website of the agreed initial Procurement Plan and all subsequent updates upon providing a no objection.
\n\n\n\n
Specific procurement notices (SPN) for contracts subject to open international competitive procurement will be announced, as they become available, in UN Development Business online, on the World Bank’s external website and the Client’s website: www.zdravlje.gov.rs and Politika daily (newspaper of national circulation).
\n\n\n\n
Interested eligible firms and individuals who would wish to be considered for the provision of goods, works, non-consulting services and consulting services for the above-mentioned project, or those requiring additional information, should contact the Borrower at the address provided below:
\n\n\n\n
Serbia Emergency COVID-19 Response Project / Serbia Noncommunicable Diseases Prevention and Control Project
\n\nProject Coordination Unit
\n\nMs. Žana Cvetković, Procurement Specialist
\n\nDom zdravlja Savski venac
\n\nPasterova 1, 11000 Belgrade,
\n\nRepublic of Serbia
\n\nFax: +381 11 36 06 401
\n\nE-mail: office_pcu@zdravlje.gov.rs
"},{"id":"OP00246111","notice_type":"Request for Expression of Interest","noticedate":"06-Sep-2023","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2023-09-22T00:00:00Z","submission_deadline_time":"15:00","project_ctry_name":"Eastern and Southern Africa","project_id":"P178633","project_name":"Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threat","bid_reference_no":"ET-AUC-354743-CS-INDV","bid_description":"Consultancy Services to support the TA to countries for One Heath and AMR","procurement_group":"CS","procurement_method_code":"INDV","procurement_method_name":"Individual Consultant Selection","contact_address":"Supply Chain Management Division, \nAdministration Directorate Africa CDC Office, \nLafto Squre","contact_ctry_name":"Ethiopia","contact_email":"ZemenuA@africa-union.org","contact_name":"Zemenu Asnake","contact_organization":"Africa Union Commission","contact_phone_no":"251911444580","contact_web_url":"au.int","submission_date":"2023-09-06T00:00:00Z","notice_text":"ASSIGNMENT TITLE: CONSULTANT TO DEVELOP AND IMPLEMENT COMMUNICATION AND ADVOCACY ON AMR
|
Reference number: ET-AUC-354743-CS-INDV
The African Union has received financing from the World Bank for the " Africa Centres for Disease Control Support Program to Combat Current and Future Public Health Threats Project”.
Development Objective of the Project: Enhance the capacity of Africa Centres for Disease Control and Prevention (Africa CDC) to support AU Member States in preventing, detecting, and responding to current and future public health threats.
The African Union, established as a unique Pan African continental body, is charged with spearheading Africa’s rapid integration and sustainable development by promoting unity, solidarity, cohesion and cooperation among the peoples of Africa and African States as well as developing a new partnership worldwide. Its Headquarters is located in Addis Ababa, capital city of Ethiopia.
In October 2017, Africa CDC officially launched its Framework for Antimicrobial Resistance (AMR) Control, 2018 – 2023 and in 2020, the Africa Union TaskForce on AMR launched the Africa Union Framework on AMR Control 2020-2025. These Frameworks describe strategies and tactics for Africa CDC to improve surveillance, delay emergence, limit transmission, and mitigate harm of AMR pathogens.
AMR requires a collective and practical response to drive behaviour change, Africa CDC has been leading political advocacy, social media campaigns, CSOs and youth engagement on AMR using a one health approach.
Annually, the Africa Union Task Force on AMR in collaboration with the Food and Agriculture Organization of the United Nations (FAO), World Organization for Animal Health (WOAH), and World Health Organization (WHO) and the United Nations Environment Programme (UNEP) work closely together at all levels to achieve this through continental advocacy on AMR and raising awareness on the AMR through the region’s annual joint WAAW Africa campaigns. The World Antimicrobial Awareness Week is a global campaign that aims to increase awareness of antimicrobial resistance (AMR) and promote responsible use of antibiotics. The WAAW Africa CDC’s campaign will focus on promoting responsible use of antimicrobial drugs, strengthening infection prevention and control measures, and advocating for increased investments in research and development of new antimicrobial drugs.
In addition Africa CDC in partnership with UK Health Security Agency, developed the African Antibiotic Guardian pages http://antibioticguardian.com/africa/ and https://antibioticguardian.com/africa-organisations/. This is an online tool designed to support advocacy and behaviour change in AMR. Members of the public and human and animal health professionals are invited to make pledges about what they will do to tackle AMR. The pledge page is designed to encourage professionals and the general public to make a commitment to handle antimicrobials better, once someone has pledged, they receive a certificate which they can share on social media.
Addressing AMR requires a multi-pronged approach that recognises the need to engage multi-stakeholders, including civil societies and the media. To engage CSOs and media, it is necessary to build their capacity around AMR so that crucial advocacy issues are identified and strategic and sustainable actions in AMR prevention and control are agreed upon. In line with this, Africa CDC, with its key stakeholders, has been organising annual events to share experience and build capacity for CSOs and youth groups since December 2018.
Africa CDC seeks to hire a consultant to support its AMR communication and advocacy activities in Africa. The purpose of this TOR is to outline the requirements and expectations for a communication and advocacy consultancy to support the AMR communication and advocacy activities including the World Antimicrobial Awareness Week (WAAW) 2023 campaign.
The overall objective of this call for consultancy is to support the communication activities on AMR prevention and control and all AMR advocacy activities including the World Antimicrobial Awareness Week (WAAW). The consultant will develop communication and advocacy resources, including knowledge products on AMR to support member states in improving awareness on AMR. The communication and advocacy consultancy will provide advocacy guidance and communication support to the Africa CDC.
The individual consultant is expected to provide the following outputs:
Output 1: A comprehensive communication and advocacy strategy for the WAAW 2023 Africa CDC campaign that includes key messages, target audiences, communication channels, and activities. Knowledge products on AMR developed and disseminated to all relevant stakeholders
Output 2: A portfolio creative and compelling communication material such as infographs, social media posts that can be used to raise awareness of AMR and promote responsible use of antibiotics .A structured advocacy campaign on AMR (targeted at policymakers, donors and private partners from the health care delivery and other sectors as may be required to highlight the progress made in AMR mitigation in Africa and the need for enhanced investment for AMR work in Africa) implemented.
Output 3: Publicity strategies and campaigns online and offline to promote the World Antimicrobial Awareness Week (WAAW). Developing engagement materials with key stakeholders, such as healthcare providers, veterinarians, CSOs , patient groups, partners and policymakers to amplify the campaign's impact.
Activities
The above tasks are summarized into main deliverables shown below:
The consultant should be well qualified with experience in public health and communications in Africa, preferably with working experience at the international level. Specifically, the consultant will be expected to have the following minimum educational and work experience criteria:
Applicants must be proficient in both English and French languages. Knowledge of more or several other African Union working languages would be an added advantage.
The duration of the assignment will be for 6 months from the date of contract signature.
Payment will be fixed amount of USD 60,000.00 this amount includes all of the Consultant's fees, reimbursable and profits as well as any tax obligation that may be imposed on the Consultant. This is a lump sum contract and payment will be against deliverables. If there is any travel related to the assignment, AU will cover the cost of the Travel ticket and DSA.
Payment will be made as per the following manner:
# | Deliverables | % of Payment | Timeline |
1 | A comprehensive communication and advocacy strategy for the WAAW 2023 Africa CDC campaign that includes key messages, target audiences, communication channels, and activities. A media outreach plan that includes press releases, media pitches, and media monitoring to ensure that the campaign is covered by local and international media.
| 10%
| September 30 2023 |
2 | Database of key stakeholders, such as healthcare providers, veterinarians, CSOs , patient groups, and policymakers to amplify the campaign's impact. | 10% | September 30 2023 |
3 | Policy briefs and advocacy and communication materials (press releases, factsheets, flyers) social media and multimedia content for the World Antimicrobial Awareness Week (WAAW). Graphics and multimedia AMR communication materials for AUC and Antibiotic guardian websites to advance AMR work in Africa All materials should be in all AU working languages | 40% | September 2023-Nov 2023 |
5 | Monitoring and evaluating report on the impact of the communication and advocacy activities, and providing regular reports to the Africa | 10% | December 2023 and January 2024 |
Workshop/Meeting reports: A template for these reports will be shared by Africa CDC to be completed after each workshop and key meetings
Final Report: The final report will include an executive summary of the project understandable to non-technical readers with annexes with all the technical details of achieved deliverables.
Language: The reporting language for consultative meetings and reports will be in English.
The individual consultant will be supervised by the One Health Unit lead, Africa CDC for the purpose of delivering the above outputs within the agreed time frame. This consultancy will be remote.
Africa CDC will cover the cost of travel including economy- class air tickets and other necessary expenses when travel is required according to the AU rules and regulations.
Africa CDC will provide to the consultant the following document and facility:
The African Union Commission now invites eligible Consultants (“Consultants”) to submit their CVs in providing the Services and required documents as listed in the ToR. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services. The shortlisting criteria are listed in the ToR.
A Consultant will be selected in accordance with the Individual Selection method set out in the Procurement Regulations.
Further information can be obtained at the address below during office hours 8:00-13:00hrs and 14:00-17:00 hours, Addis Ababa Time.
CVs must be delivered in a written form following the above shortlisting criteria to the emails below before 15:00 Hours Local Time on 22 September 2023
"},{"id":"OP00224723","notice_type":"General Procurement Notice","noticedate":"25-Apr-2023","notice_lang_name":"English","notice_status":"Published","project_ctry_name":"Ukraine","project_id":"P180245","project_name":"Health Enhancement And Lifesaving (HEAL) Ukraine Project","contact_address":"Hrushevskogo, 7, Kyiv, 01021","contact_ctry_name":"Ukraine","contact_email":"moz.wb.procurement@gmail.com","contact_name":"Ihor Kuzin","contact_organization":"Ministry of Health of Ukraine","contact_phone_no":"+380(44)253-61-94","contact_web_url":"moz.gov.ua","submission_date":"2023-04-25T00:00:00Z","notice_text":"GENERAL PROCUREMENT NOTICE
\n\nHEALTH ENHANCEMENT AND LIFESAVING (HEAL) UKRAINE PROJECT
\n\nHealth care area
\n\nGENERAL PROCUREMENT NOTICE
\n\nLoan No. 9468-UA
\n\nProject ID No. P180245
\n\nThe Ministry of Health of Ukraine (“Borrower”) has received financing in the amount of US$ 100,000,000 equivalent from the World Bank toward the cost of the Health Enhancement and Lifesaving (“HEAL”) Ukraine Project, and it intends to apply part of the proceeds to payments for goods, works, non-consulting services and consulting services to be procured under this project.
\n\nThe project will include the following parts:
\n\nPART 1. ADDRESSING NEW AND URGENT HEALTH NEEDS FOR MENTAL HEALTH AND REHABILITATION
\n\nSubcomponent 1.1 Scale-up of mental health and rehabilitation services:
\n\nProvision of Payments for Program of Medical Guarantee (“PMG”) Services to selected health facilities for the expansion of (a) mental health services, and (b) rehabilitation services under the mental health and rehabilitation packages of the Program of Medical Guarantees.
\n\nSubcomponent 1.2 Preparing for scaled delivery of mental health and rehabilitation care:
\n\nDelivery оf quality mental health and rehabilitative care services through:
\n\nPART 2. FURTHER IMPROVING AND STRENGTHENING PRIMARY HEALTH CARE
\n\nSubcomponent 2.1 Restoring and improving the delivery of essential primary health care (“PHC”) services
\n\nRestoring essential health services at the primary health care level through the provision оf Payments for PMG Services for:
\n\nSubcomponent 2.2 Recovery of the PHC network
\n\nPART 3. RESTORING AND MODERNIZING HOSPITAL CARE IN LINE WITH REFORM DIRECTION
\n\nRestoring and strengthening service delivery in hospitals through:
\n\nPART 4. SUPPORTING САРACITY BUILDING, DIGITALIZATION AND INNOVATIONS
\n\nSubcomponent 4.1 Digital development and innovations
\n\nSubcomponent 4.2 Strengthening оf institutions
\n\n(a) Strengthening the capacity оf MoH, NHSU, e-Health Аgenсу, and Center for Public Health, or any other institution in the health sector selected in accordance with the criteria described in the РОМ and agreed with the Bank; (b) use of third-party monitoring, implemented by non-government organizations, for improved governance and accountability; and (с) standardization and improvement of the quality of services.
\n\nSubcomponent 4.3 Project management
\n\nProviding support for Project implementation and management including: (i) support for procurement, financial management, environmental аnd social risk management, monitoring and evaluation, external audit and reporting; (ii) recruitment and Training of Project implementation Unit (“PIU”) and technical consultants; and (iii) Operating Costs.
\n\n\n\n
Procurement of contracts financed by the World Bank will be conducted through the procedures as specified in the World Bank’s Procurement Regulations for IPF Borrowers, dated November 2020 (Procurement Regulations), and is open to all eligible firms and individuals as defined in the Procurement Regulations. After project negotiations, the World Bank shall arrange the publication on its external website of the agreed initial procurement plan and all subsequent updates once it has provided a no objection.
\n\nSpecific procurement notices for contracts subject to open international competitive procurement will be announced, as they become available, in UN Development Business online, on the World Bank’s external website, Borrower’s website https://moz.gov.ua/ and https://prozorro.gov.ua/.
\n\nInterested eligible firms and individuals who would wish to be considered for the provision of goods, works, non-consulting services and consulting services for the above mentioned project, or those requiring additional information, should contact the Borrower at the address below:
\n\nThe Ministry of Health of Ukraine
\n\n7 Hrushevskogo Street, Kyiv 01601Ukraine
\n\nTelephone: +380 (44) 253 61 94
\n\nE-mail: moz@moz.gov.ua, copied to moz.wb.procurement@gmail.com
\n\nWebsite: https://moz.gov.ua/
"},{"id":"OP00183467","notice_type":"Invitation for Bids","noticedate":"10-Jun-2022","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2022-07-22T00:00:00Z","submission_deadline_time":"15:00","project_ctry_name":"Kyrgyz Republic","project_id":"P163711","project_name":"Tax Administration and Statistical System Modernization Project","bid_reference_no":"STS-GS/RFB-001/1","bid_description":"Procurement of office furniture and equipment for a training center and the STS conference hall","procurement_group":"GO","procurement_method_code":"RFB","procurement_method_name":"Request for Bids","contact_address":"Kyrgyz Republic, Bishkek city, Chui avenue, 219","contact_ctry_name":"Kyrgyz Republic","contact_email":"almaz.umetaliev@stswb.kg","contact_name":"Almaz Umetaliev","contact_organization":"State Tax Service under the Government of the Kyrgyz Republic","contact_phone_no":"+996312513918","contact_web_url":"http://www.sti.gov.kg/","submission_date":"2022-06-10T00:00:00Z","notice_text":"Specific Procurement Notice
Request for Bids
Goods
(One-Envelope Bidding Process)
Country: The Kyrgyz Republic
Name of Project: Tax Administration and Statistical System Modernization Project
Contract Title: Procurement of office furniture and equipment for a training center and the STS conference hall
Credit No./ Grant No.: 6546-KG / D566-KG
RFB Reference No.: STS-GS/RFB-001/1
No | Goods | Quantity |
Lot No. 1 | ||
Video display (22) and additional panels in the hall | ||
1 | Prodisplay, 75" | 7 |
2 | Interactive display | 1 |
3 | Prodisplay, 86" | 1 |
4 | Dual Screen Rail | 2 |
5 | Mounting brackets for the display (Push in Pop out) | 4 |
6 | Wall mount Plate | 4 |
7 | Wall mount for LCD PANEL 55-110" | 3 |
8 | Mobile stand for LCD PANEL 55-110" | 1 |
Presidium’s Monitors | ||
9 | Monitor 22" | 6 |
Video cameras | ||
10 | PTZ IP camera FullHD for conferences, 20x optical zoom | 2 |
11 | PTZ FullHD camera for conferences, 12 optical zoom | 3 |
12 | Remote camera controller for PTZ cameras | 2 |
Table-mounted cable cubby | ||
13 | Architectural cable cubby for audio and video connectivity, remote control and power | 13 |
14 | AC+USB power module | 13 |
15 | Cable Retraction System for Cable Cubby: –HDMI jack «male» - «male»; –DisplayPort jack « male » - « male »; –network jack for CAT 6 network cable | 13 |
16 | Routing Template for installing cable cubbies into the furniture | 2 |
Conference system | ||
17 | Central Control Unit (CCU) | 2 |
18 | Extension Cable with connectors, 25m. | 2 |
19 | Discussion device with a long microphone | 11 |
20 | Microphone on adjustable stem with Microphone Connection Panels | 33 |
21 | Priority Panel flush mounted | 2 |
22 | Interface module for connecting panels | 18 |
23 | Software for the conference system control (electronic version) | 2 |
24 | Software for Synoptic Control of conference systems | 2 |
Microphone system | ||
25 | Dual Channel Receiver | 1 |
26 | Polarized receiver antenna | 2 |
27 | Handheld transmitter with capsule | 2 |
28 | Dual docking charging station | 1 |
29 | 4 access point transceiver compatible with wireless microphone systems | 1 |
30 | 4-port networked charging station | 1 |
31 | Handheld transmitter with capsule compatible with 4-channel wireless access point | 4 |
32 | 2 access point transceiver compatible with wireless microphone systems | 1 |
33 | 2-port networked charging station | 1 |
34 | Handheld transmitter with capsule compatible with 2-channel wireless access point | 2 |
Sound amplification | ||
35 | Two-way loudspeaker | 26 |
36 | Professional 4-channel digital power amplifier | 4 |
Switching | ||
37 | 8 x 8 HDMI matrix switch with scaler | 2 |
38 | HDMI Cat 5 Extender | 13 |
39 | 10-Port 4K HDMI Splitter | 1 |
40 | DisplayPort / HDMI / VGA Switch with HDBaseT Transmitter | 11 |
41 | HDMI HDBaseT Receiver with Audio De-Embedding | 11 |
42 | Digital audio processor | 1 |
43 | 4-Port True 4K HDMI Switch with auto port selection | 2 |
44 | HDMI Repeater with an added audio de-embedder | 2 |
45 | Quad Core Control Processor | 1 |
46 | Tablet for conference system control | 1 |
47 | Compact processor for conference rooms | 3 |
48 | Control processor | 1 |
49 | Cables kit | 4 |
Lot No. 2 | ||
1 | Presidium’ tables | 6 |
2 | Lectern | 1 |
3 | Chair for a manager | 6 |
4 | Conference table No.1 | 5 |
5 | Conference table No. 2 | 1 |
6 | Visitor chairs | 80 |
7 | Computer desk | 20 |
8 | Study desks | 10 |
Lot No. 3 | ||
1 | Air-supply unit | 3 |
2 | Exhaust fan unit | 2 |
3 | Consumables set for ventilation units (set) | 1 |
4 | Air conditioner | 4 |
5 | Window Film (m2) | 60 |
3. Bidding will be conducted through international competitive procurement using a Request for Bids (RFB) as specified in the World Bank’s “Procurement Regulations for IPF Borrowers” – dated July 2016, revised November 2017 and August 2018 (“Procurement Regulations”), and is open to all eligible Bidders as defined in the Procurement Regulations.
4. Interested eligible Bidders may obtain further information from the Project management unit of the State Tax Service under the Ministry of Finance of the Kyrgyz Republic, and inspect the bidding document during office hours from 09:00 to 18:00 hours at the address given below:
Contact person: | Mr. Oktiabr Abdykaimov, PMU Manager |
Address: | 92/1, Akhunbaev str. |
Floor/Room number: | 3th floor/ office 316, PMU |
Index: | 720064 |
City: | Bishkek |
Country: | The Kyrgyz Republic |
Telephone/Facsimile: | +996 312 51 39 18; +996 701 51 39 18 |
office@stswb.kg; procurement@stswb.kg; o.abdykaimov@gmail.com |
5. The bidding document in English or Russian languages can be obtained by interested Bidders upon the submission of a written application to the address below. The bidding document will be for no payment in PDF, which will be sent by email.
6. Bids must be delivered to the address below on or before 15:00 (Bishkek time) July 22, 2022. Electronic Bidding will not be permitted. Late Bids will be rejected. Bids will be publicly opened in the presence of the Bidders’ designated representatives and anyone who chooses to attend at the address below on 15:00 (Bishkek time) July 22, 2022.
7. All Bids must be accompanied by a Bid Security according to following Table:
Lot No. 1 | 5 200 (Five thousand and two hundred) USD |
Lot No. 2 | 400 (Four hundred) USD |
Lot No. 2 | 450 (Four hundred and fifty) USD |
8. Attention is drawn to the Procurement Regulations requiring the Borrower to disclose information on the successful bidder’s beneficial ownership, as part of the Contract Award Notice, using the Beneficial Ownership Disclosure Form as included in the bidding document.
9. The address(es) referred to above is (are):
Name of office: | Building of the Office for the Control of Large Taxpayers |
Name of officer and title: | Mr. Oktiabr Abdykaimov, PMU Manager |
Address: | 3th floor/ office 316, PMU, 92/1, Akhunbaev str., Bishkek 720064, the Kyrgyz Republic
|
Telephone number: | +996 312 51 39 18 +996 701 51 39 18 |
Email address: | office@stswb.kg; procurement@stswb.kg; o.abdykaimov@gmail.com |
REQUEST FOR EXPRESSIONS OF INTEREST
\n\n(CONSULTING SERVICES – FIRMS SELECTION)
\n\nEgypt
\n\nSupporting Egypt’s Universal Health Insurance System Project
\n\nLoan No.: IBRD-91320
\n\nAssignment Title: Surveyors Capacity Building Program
\n\nReference No. EG-MOF-274883-CS-CQS
\n\nThe Ministry of Finance has received a loan of $400M from the World Bank toward the cost of the Supporting Egypt’s Universal Health Insurance System Project, and intends to apply part of the proceeds for consulting services.
\n\nThe consulting services (“the Services”) include design and execution of a comprehensive international healthcare surveyor capacity building program for the General Authority for Healthcare Accreditation and Regulation –GAHAR through partnership with a reputable international organization.
\n\nThe consultancy mission should be accomplished in no more than 5 months.
\n\nThe detailed Terms of Reference (TOR) for the assignment are attached to this request for expressions of interest.
\n\nThe “Supporting Egypt’s Universal Health Insurance System Project” now invites eligible consulting firms (“Consultants”) to indicate their interest in providing the Services.
\n\nInterested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services (company profile, brochures, experience in similar assignments, availability of appropriate skills and resources, ... etc.).
\n\nThe shortlisting criteria are:
\n\nThe attention of interested Consultants is drawn to Section III, paragraphs, 3.14, 3.16, and 3.17 of the World Bank’s “Procurement Regulations for IPF Borrowers” November 2020 (“Procurement Regulations”), setting forth the World Bank’s policy on conflict of interest.
\n\nConsultants may associate with other firms to enhance their qualifications, but should indicate clearly whether the association is in the form of a joint venture and/or a sub-consultancy. In the case of a joint venture, all the partners in the joint venture shall be jointly and severally liable for the entire contract, if selected.
\n\nA Consultant will be selected in accordance with the CQS method set out in the Procurement Regulations.
\n\nFurther information can be obtained at the address below during office hours 10.00 am to 4.00 pm – Sunday to Thursday.
\n\nExpressions of interest must be delivered in a written form to the address below by e-mail by 14th March, 2022.
\n\nSupporting Egypt’s Universal Health Insurance System Project.
\n\nAttn: Lubna Darwish – Procurement Consultant.
\n\nMinistry of Finance.
\n\nCairo – Egypt.
\n\nTel: +201008317780
\n\nE-mail: LDarwish_UHIS@outlook.com
\n\nSupporting Universal Health Insurance System Project
\n\nTerms of Reference
\n\nfor
\n\nSurveyors Capacity Building Program
\n\nProject Background
\n\nEgypt has made significant health progress over the past three decades. For example, the maternal mortality ratio declined from 106 to 37 deaths per 100,000 live births, and infant mortality rate fell from 60 to 18 deaths per 1,000 births between 1990 and 2017. Egypt was able to achieve the Millennium Development Goals 3 and 4, on promoting gender equality and empowering women, and improving maternal health, respectively. However, following rapid improvements in the 1990s and early 2000s, health progress has been considerably slowing down. Life expectancy increased from 66 to 72 years over the last two decades but remains below the Middle East and North Africa (MENA) average of 74 years.
\n\nDisparities persist in rural, remote, and slum areas, which have the poorest health outcomes and inadequate medical services, especially basic health services such as maternal and child care. Upper (Southern) Egypt and the border governorates tend to be the most lagging behind. For instance, under-five mortality is highest in Upper Egypt (38 deaths per 1,000 births) which is almost twice the level of the urban governorates (20 deaths per 1,000 births). On the other hand, Egypt has been facing a growing burden of non-communicable diseases (NCDs), mainly due to poorly controlled risk factors.
\n\nIn terms of health spending, Egypt is one of the lowest healthcare spenders in the MENA region with health expenditure at 1.4% of the GDP. Only 5.6% of total government budget is spent on health, accounting for 38% of the total health expenditure (THE). Thus, more than half of the THE (61%) is out-of-pocket (OOP). In addition to low health spending, systemic inefficiencies and inequities in health financing limit the effectiveness of the healthcare system. Moreover, approximately 90% of private expenditures are considered OOP, directly paid to healthcare providers by households. These expenditures are either prepaid to voluntary health insurance (10% of the THE) or paid directly to healthcare providers by households.
\n\nAs part of the effort to respond to such health challenges, the government passed the universal health insurance law (UHIL) in January2018, to accelerate progress toward universal health coverage (UHC). Such a mandate goes in line with the health pillar of Egypt‘s 2030 sustainable development vision and the Egyptian constitution of 2014 (Article 18 - “Every citizen is entitled to health and to comprehensive health care with quality criteria […]”). The UHIL envisions coverage for all citizens, including disadvantaged groups (approximately 30% of the population) who will be covered for free by the government, over 15 years.
\n\nManagement and application of the universal health insurance system (UHIS) entailed the formation of three main entities: 1) General Authority for Healthcare Accreditation and Regulation (GAHAR), which is primarily responsible for accreditation of healthcare service providers; 2) Universal Health Insurance Agency(UHIA), which is responsible for revenue collection and contracting with service providers; and 3) Health Care Organization (HCO), which is responsible for service provision.
\n\nThe government has recently requested the Bank’s support to the new UHIS, and the latter has developed an outline for a 4-year project featuring the following key components.
\n\nComponent 1: Enrollment and empanelment of the population into UHIS. This component will support the enrollment of the population in UHIS as well as the empanelment of enrollees with General Practitioners (GPs). This will be achieved by supporting, inter alia (i) the enrollment and empanelment for the entire population in Phase I governorates, (ii) IEC campaigns to raise awareness about UHIS among the population, (iii) identification of the disadvantaged groups who are eligible for non-contributoryfree coverage, as per the UHIL, (iv) contributions of the disadvantaged groups, and (v) government contribution to UHIS for civil servants.
\n\nComponent 2: Strengthening capacity of UHIS-related agencies, UHIS governance and creating an enabling environment. This component will support:
\n\nComponent 3: Providing temporary financial protection against catastrophic health expenditures for vulnerable populations outside Phase I Governorates. This component will provide temporary support, for three fiscal years, for the costs associated with the utilization of the program of treatment on the expense of the state (PTES) by the most vulnerable segments of the society who are affected by the negative health and economic implications of the COVID-19 pandemic in Egypt.
\n\nComponent4: Technical assistance, project management and monitoring and evaluation. This component will support TA including capacity building and analytical activities for the establishment of the new UHIS. It will include support for UHIA, GAHAR, HCO and the Social Justice Unit of the Ministry of Finance (MOF), as well as other related entities.
\n\nThe Project is planned to support the UHIS in the phase 1 governorates (Port-Said, Suez, Ismailia, South Sinai, Luxor, and Aswan). The population and poverty status of these governorates is as shown in the below table[1]:
\n\n\n\n
| \n\t\t\t Gov. \n\t\t\t | \n\t\t\t\n\t\t\t Population number \n\t\t\t | \n\t\t\t\n\t\t\t Poverty \n\t\t\t | \n\t\t|
| \n\t\t\t % \n\t\t\t | \n\t\t\t\n\t\t\t # \n\t\t\t | \n\t\t||
| \n\t\t\t Port Said \n\t\t\t | \n\t\t\t\n\t\t\t 749,371 \n\t\t\t | \n\t\t\t\n\t\t\t 7.60% \n\t\t\t | \n\t\t\t\n\t\t\t 56,952 \n\t\t\t | \n\t\t
| \n\t\t\t Ismailia \n\t\t\t | \n\t\t\t\n\t\t\t 1,303,993 \n\t\t\t | \n\t\t\t\n\t\t\t 32% \n\t\t\t | \n\t\t\t\n\t\t\t 422,494 \n\t\t\t | \n\t\t
| \n\t\t\t Suez \n\t\t\t | \n\t\t\t\n\t\t\t 728,180 \n\t\t\t | \n\t\t\t\n\t\t\t 20% \n\t\t\t | \n\t\t\t\n\t\t\t 145,636 \n\t\t\t | \n\t\t
| \n\t\t\t S. Sinai \n\t\t\t | \n\t\t\t\n\t\t\t 102,018 \n\t\t\t | \n\t\t\t\n\t\t\t 51% \n\t\t\t | \n\t\t\t\n\t\t\t 52,029 \n\t\t\t | \n\t\t
| \n\t\t\t Luxor \n\t\t\t | \n\t\t\t\n\t\t\t 1,250,209 \n\t\t\t | \n\t\t\t\n\t\t\t 55.30% \n\t\t\t | \n\t\t\t\n\t\t\t 691,366 \n\t\t\t | \n\t\t
| \n\t\t\t Aswan \n\t\t\t | \n\t\t\t\n\t\t\t 1,473,975 \n\t\t\t | \n\t\t\t\n\t\t\t 46.20% \n\t\t\t | \n\t\t\t\n\t\t\t 680,976 \n\t\t\t | \n\t\t
| \n\t\t\t Total \n\t\t\t | \n\t\t\t\n\t\t\t 5,607,746 \n\t\t\t | \n\t\t\t\n\t\t\t -- \n\t\t\t | \n\t\t\t\n\t\t\t 2,049,453 \n\t\t\t | \n\t\t
Accordingly, roughly 2 million people are below the national poverty line and should be eligible for contribution-exemption. The identification process of these people (as well as the other contribution-exempted categories outlined in the Prime Minister’s decree 1948/2019) is likely to involve inclusion and exclusion errors. Furthermore, the near-poor, who represent approximately 30% of the total population, are not exempted from contributions; consequently, the contributions they have to pay may be impoverishing.
\n\nOther potential risks include: 1) exclusion of marginalized tribal groups in South Sinai and Ismailia, due to lack of customized targeting criteria;and 2) exclusion of local private clinics from enrollment under the system, owing to inability to obtain accreditation. (For more information on the potential risks, refer to the ESRS—Environmental and Social Review Summary).
\n\nOn the other hand, the government has established a 24/7 call center (15344) to respond to beneficiaries’ inquiries and complaints. This center is assumed to be a key uptake channel, through which complaints can be received and rerouted to respective bodies, such as GAHAR or UHIA, for further inspection and feedback. In addition, there is an officer at each healthcare facility who is responsible for client satisfaction and can therefore be one of the channels to handle complaints. Furthermore, inspection of exclusion-related complaints is stipulated by the above-mentioned Prime Minister’s decree to be the responsibility of a permanent committee that shall be formed by UHIA’s chairman.
\n\nThe project involves a wide range of stakeholders, primarily: 1) Egyptian citizens/beneficiaries in the targeted governorates, especially the disadvantaged groups who are eligible for non-contributory coverage; 2) government health service providers, including different categories of workers from different levels; 3) private service providers, including pharmacists, doctors, and assisting staff; 4) civil society organizations of different interests and different scales; 5) professional syndicates; 6) pharmaceutical industry; 7) private health insurance companies;8) international development agencies; and9) the major involved public sector and government entities, such as UHIA, GAHAR, HCO, MOHP (Ministry of Health and Population), CAPMAS (official statistics body), ACA (Administrative Control Authority), and MOSS (Ministry of Social Solidarity).
\n\nKey project documents covering the social aspects and commitments of the project are:
\n\nBackground: The General Authority for Healthcare Accreditation and Regulation-GAHAR
\n\nGAHAR is mandated with the regulations, accreditation, rigorous monitoring and oversight of the healthcare facilities. it aims at attaining the best standardized quality for health throughout all healthcare facilities; Hospitals, pharmacies, clinics, and other healthcare facilities as defined in point 15 of article one in the law number two for year 2018. GAHAR's strategy has identified its mission in two main blocks: Excellence and Distinction, in pursuit to put Egypt on the edge of a new era for health care.
\n\nGAHAR handbooks are the guiding tool for healthcare facilities and surveyors, on GAHAR’ standards for accreditation and requirements for registration. To ensure its conformity with the best international practices, GAHAR applies to attain accreditation for its standards from the International Society for Quality in Healthcare –ISQua’. Till now, GAHAR has issued the following accreditation ‘handbooks:
\n\nAs per article 36 of the law, any healthcare facility within the jurisdiction of a governorate, that entered into the phased governorates’ zone, has to seek accreditation after compliance with GAHAR' standards, within three years from the date the governorate joined the UHIS.
\n\nObjective:
\n\nDesign and execution of a comprehensive international healthcare surveyor capacity building program for the General Authority for Healthcare Accreditation and Regulation –GAHAR through partnership with a reputable international organization.
\n\nThe Training Program Vision
\n\nBuilding on GAHAR’s mandate and presidential directions, healthcare surveyors represent a crucial pillar in its core work and a major tool toward achieving its goals. Healthcare surveyors are independent officials tasked with surveying and check visits to medical facilities, in the process of accreditation and registration. Surveyors comes from different backgrounds, the law has identified ten eligible fields of expertise for surveyors that includes: pharmaceutical, medicine, nursing and management.For any healthcare facility to attain accreditation and registeration, it has to undergo surveying evaluation visits. The surveyor follows GAHAR’s standards’ handbooks and processes
\n\nThe first phase of the program “GAHAR STANDARDS” will be specialized and focus on the thematic areas of accreditation based on GAHAR’s handbooks on standards. i.e: GAHAR handbook for hospitals standards. This phase is executed nationally by GAHAR.
\n\nThe second phase of the program “SURVEYOR PROGRAM” aims at equipping the participants with the needed interpersonal and technical skills to conduct effective and efficient surveying visits; meanwhile building trust and support high rates of patient satisfaction.The technical skills may encompass but not limited to; quality management system, international accreditation and certification programs, standard development, surveying process: key concepts, pre-survey activities, on site activities and post survey activities, data collection, sampling techniques and tracer methodology.
\n\nAfter completion of these two phases, an onsite practical simulation will take place from two to five days depends on the competency level of surveyors.
\n\nThe Third phase of the program “GAHAR TOT RPOGRAM “will work on building a cadre of qualified trainers that have successfully passed phase one and two of the training, and met the selection criteria to join the Training of the Trainer - TOT program.
\n\nScope of Work and Tasks
\n\nThe firm is expected to support the development and implementation of the international training program. Accordingly, the firm is expected to perform the following set of tasks and responsibilities:
\n\nDeliverables
\n\nThe firm is expected to deliver the following outputs:
\n\nA final report on the training proceedings and recommendations on the ways for improvement and road map for institutionalization of the national and international surveyor training program at GAHAR,
\n\n** All deliverables are to be submitted in the English language.
\n\nDuration of the Assignment
\n\nThe consultancy mission should be accomplished in no more than 5 months.
\n\nCompetencies:
\n\nThe selected company should have the following qualifications:
\n\nThe selected trainers should have the following qualifications:
\n\n[1] Population and poverty data were extracted from the national 2017 census and the household income, expenditure, and consumption survey (HIECS) 2018, respectively.
"},{"id":"OP00154668","notice_type":"Request for Expression of Interest","noticedate":"18-Nov-2021","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2021-12-10T00:00:00Z","submission_deadline_time":"12:00","project_ctry_name":"OECS Countries","project_id":"P168539","project_name":"OECS Regional Health Project","bid_reference_no":"TT-CARPHA-227511-CS-CQS","bid_description":"Improve IT capacity at CARPHA to Host DHIS - 2 installation","procurement_group":"CS","procurement_method_code":"CQS","procurement_method_name":"Consultant Qualification Selection","contact_address":"16-18 Jamaica Boulevard\nFederation Park, Port of Spain\nTrinidad and Tobago","contact_ctry_name":"Trinidad and Tobago","contact_email":"casselke@carpha.org","contact_name":"Kern Cassell","contact_organization":"Caribbean Public Health Agency","contact_phone_no":"868-622-4261","contact_web_url":"www.carpha.org","submission_date":"2021-11-18T00:00:00Z","notice_text":"REQUEST FOR EXPRESSIONS OF INTEREST
\n\n(CONSULTING SERVICES – FIRMS SELECTION)
\n\n\n\n
\n\n
COUNTRY – Trinidad and Tobago
\n\nOECS Regional Health Project
\n\nLoan No. IDA-D5120
\n\nProject No.: P168539
\n\n\n\n
Assignment Title: Consultancy to Conduct a Security Audit to Improve the IT capacity at CARPHA to host the DHIS-2 installation
\n\n\n\n
Reference No. TT-CARPHA-227511-CS-CQS
\n\n\n\n
The Caribbean Public Health Agency (CARPHA) has received financing from the World Bank toward the cost of the OECS Regional Health Project and intends to apply part of the proceeds for consulting services.
\n\n\n\n
The consulting services (“the Services”) include:
\n\nTo test and analyze the security system to ensure data collected for the integrated surveillance platform will be secure such that no unauthorized individual or group can access CARPHA's external and internal networks with its main campuses at POS Trinidad connecting to St Lucia and Jamaica.
\n\n\n\n
The detailed Terms of Reference (TOR) for the assignment is attached to this request for expressions of interest. (See Annex A)
\n\n\n\n
The Caribbean Public Health Agency (CARPHA) now invites eligible consulting firms (“Consultants”) to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services. The shortlisting criteria are:
\n\n\n\n
\n\n
\n\n
\n\n
\n\n
(i) A certificate of incorporation/registration for the firm.
\n\nThe attention of interested Consultants is drawn to Section III, paragraphs, 3.14, 3.16, and 3.17 of the World Bank’s “Procurement Regulations for IPF Borrowers” July 2016 (“Procurement Regulations”), setting forth the World Bank’s policy on conflict of interest. In addition, please refer to the following specific information on conflict of interest related to this assignment (i.e., 3.17 of the Procurement Regulations).
\n\n\n\n
Consultants may associate with other firms to enhance their qualifications but should indicate clearly whether the association is in the form of a joint venture and/or a sub-consultancy. In the case of a joint venture, all the partners in the joint venture shall be jointly and severally liable for the entire contract, if selected.
\n\n\n\n
A Consultant will be selected in accordance with the Consultant Qualification Selection method (CQS) set out in Procurement Regulation.
\n\n\n\n
Further information can be obtained at the address below during office hours 8:00am to 4:00pm Mondays to Fridays. Expressions of interest must be delivered in a written form to the address below by e-mail by 10th December 2021.
\n\n\n\n
Caribbean Public Health Agency
\n\nKern Cassell – Procurement Officer
\n\n16-18 Jamaica Boulevard, Federation Park
\n\nPort-of-Spain, Trinidad and Tobago
\n\nTel: 1-868-622-4261
\n\nFax: 1-868-622-2792
\n\nE-mail: casselke@carpha.org
\n\n\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
Terms of Reference
\n\nActivity 2.1.3.3.2.1
\n\nConsultancy to Conduct a Security Audit
\n\nto Improve the IT capacity at CARPHA
\n\nto host the DHIS-2 installation.
\n\n\n\n
\n\n
\n\n
The Caribbean Public Health Agency (CARPHA) is a regional Institution of the Caribbean Community, formerly established on July 4, 2011 through the ratification of an Inter-Governments Agreement (IGA) by Heads of Member States of CARICOM in January 2013. The Agency is the Caribbean’s collective response to addressing public health issues including those related to Communicable and Non-Communicable diseases; mental health, disaster response, injuries and violence and workers health.
\n\n\n\n
In so doing, CARPHA has subsumed the functions of the previous five Regional Health Institutions (RHI) – The Caribbean Epidemiology Centre (CAREC), the Caribbean Food and Nutrition Institute (CFHI), the Caribbean Health Research Council (CHRC), the Caribbean Regional Drug Testing Laboratory (CRDTL) and the Caribbean Environmental Health Institute (CEHI). The agency began operation in January 2013 with Headquarters in Port of Spain Trinidad and offices in Saint Lucia and Jamaica.
\n\n\n\n
CARPHA’S mission is to provide strategic direction, in analysing, defining and responding to public health priorities of Member States to prevent disease promote health and respond to public health emergencies.
\n\n\n\n
To support the operation and implementation of the integrated surveillance strategy, and thereby strengthen CARPHA’s and CMS capacity to respond to COVID-19 and other public health emergencies, there is a crucial need to strengthen the data framework for the various systems, as well as to move towards integration of communicable, non-communicable and environmental health disease/condition surveillance systems. Integration of the regional surveillance systems, supported by strengthened data standards and policies, and further enabled by capacity-building within the Agency and its CMS, will ensure a routine consolidated overview of the status of public health in the region and support the detection of, preparedness and response to public health threats and emergencies from the wide range of possible sources. The DHIS2 is one of the tools that will be used as part of the integrated surveillance platform.
\n\n\n\n
\n\n
DHIS2 is a tool for collection, validation, analysis, and presentation of aggregate and patient-based statistical data, tailored (but not limited) to integrated health information management activities. It is a generic tool rather than a pre-configured database application, with an open meta-data model and a flexible user interface that allows the user to design the contents of a specific information system without the need for programming. DHIS2 is a modular web-based software package built with free and open source Java frameworks.
\n\n\n\n
DHIS2 is open source software released under the BSD license and can be obtained at no cost. It runs on any platform with a Java Runtime Environment (JRE 7 or higher) installed.
\n\n\n\n
DHIS2 is developed by the Health Information Systems Programme (HISP) as an open and globally distributed process with developers currently in India, Vietnam, Tanzania, Ireland, and Norway. The development is coordinated by the University of Oslo with support from NORAD and other donors.
\n\n\n\n
CARPHA implemented the DHIS2 application in 2012 with the implementation of a server at its Port-of-Spain office in Trinidad and Tobago. The application currently is mainly being used internally, however there are plans to expand access to CARPHA Member States.
\n\n\n\n
CARPHA is seeking to engage a Firm to conduct a Security Audit to Improve the IT capacity at CARPHA to host the DHIS-2 installation.
\n\n\n\n
Approved in 2019, the Organisation of Eastern Caribbean States (OECS) Regional Health Project (RHP), is a five (5) year project funded by the World Bank. The overall objective of the project is to (i) improve preparedness capacities of health systems for public health emergencies in the OECS region, and (ii) provide a response in the event of eligible crises or emergencies. The OECS RHP is implemented by four CARPHA member states (Dominica, Grenada, Saint Lucia and Saint Vincent and the Grenadines), CARPHA and the OECS Commission.
\n\n\n\n
The areas of focus revolve around improving International Health Regulations (IHR) core capacities in the areas of surveillance, laboratories, workforce development and emergency management. There are four Components under this project; (i) Improved Health Facilities and Laboratory Capacity, (ii) Public Health Surveillance, Preparedness and Response (iii) Institutional Capacity Building, Project Management and Coordination, and the Contingency Emergency Response Component (CERC) implemented at country level.
\n\n\n\n
The primary functions of this Audit are to evaluate the systems that are in place to guard CARPHA's information under the integrated surveillance platform. The audits will be used to evaluate CARPHA's ability to protect its information assets and to properly dispense information to authorised parties.
\n\n\n\n
This Consultancy is in alignment with Component 2 of the OECS RHP Project, which is representative of the key requirements to support the implementation and coordination of the project.
\n\n\n\n
The project activities under Component 2 supports the IT capacity at CARPHA to host DHIS-2 installation associated with the CARPHA integrated surveillance system.
\n\n\n\n
2. Objective(s) of the Assignment
\n\n\n\n
The objective of this Assignment is to test and analyze the security system to ensure data collected for the integrated surveillance platform will be secure such that no unauthorized individual or group can access CARPHA's external and internal networks with its main campuses at POS Trinidad connecting to St Lucia and Jamaica.
\n\n\n\n
The purpose of this consultancy is to ensure that the requisite elements and commitments are enabled to conduct an Audit of the existing Information Technology infrastructure to host an integrated surveillance platform including, but not limited to the DHIS2 application.
\n\nCARPHA is seeking to engage a Firm to perform an Information System audit to assess CARPHA existing security posture by conducting external network penetration testing, web application penetration testing, and network penetration testing.
\n\n3. Scope of Services, Tasks (Components) and Expected Deliverables:
\n\nThe Assignment will be conducted in three independent phases :
\n\n\n\n
\n\n
| \n\t\t\t Phase 1 – External Network Penetration Testing \n\t\t\t | \n\t\t
| \n\t\t\t Phase 3 – Network Security Assessment \n\t\t\t | \n\t\t
| \n\t\t\t Phase 2 – Web Application Penetration Testing \n\t\t\t | \n\t\t
\n\n
Each of these phases of this assessment should be considered and itemised as independent modules of the overall evaluation.
\n\nPhase 1 - External Network Penetration Test
\n\nAn external penetration test will be performed on externally available hosts accessible from the internet. Testing during this phase should represent an uninformed anonymous threat targeting the CARPHA external infrastructure. The in-scope infrastructure for CARPHA's external penetration testing phase includes five public-facing application with addresses to be provided. CARPHA assumes the following:
\n\n\n\n
Phase 2 - Web Application Penetration Test
\n\nA web application penetration test provides an independent verification of the security status of an organisation's web application(s). This test determines whether web-based applications (customer, patient, other) present an exploitable risk to the organisation. CARPHA assumes the following:
\n\nPhase 3 - Network Security Assessment
\n\nA network security assessment will be performed in two phases. The initial assessment will be performed to simulate an attack by an untrusted outsider or an unauthenticated user with no working knowledge of CARPHA's network. The second phase of the assessment will be performed with low-level credentials, an authenticated user. This penetration style test should assess the security of all networked assets, including servers, desktops, firewall, network devices, wireless infrastructure and network monitoring & management. Testing during the internal network vulnerability assessment will be performed on CARPHA's corporate office located in Trinidad and Tobago
\n\n\n\n
Additional Information :
\n\nExisting Technology Environment :
\n\n1. LAN type
\n2. Server operating system
\n3. Desktop operating system
\n4. Development platforms
** Specific Details on the Technical Environment will be provided upon shortlisting.
\n\n\n\n
\n\n
\n\n
Expected Deliverables Include::
\n\nUnder the direct supervision of the IT Manager, CARPHA and in collaboration with other project officers, the Firm will be expected to execute the tasks and activities under each of the following Results:
\n\n\n\n
Confidentiality, Copyright and other Proprietary Rights:
\n\n\n\n
4. Team Composition & Qualification Requirements for the Key Experts :
\n\nThe work requires use of initiative and capacity to work without close supervision, use of judgement, tact, and diplomacy. There is also the need to analyse and respond rapidly for immediate resolution of challenges encountered and issues arisen.
\n\n\n\n
A. Key Expert – Team Lead
\n\nAcademic Qualifications:
\n\nSpecific Experience:
\n\nGeneral Experience:
\n\nLanguages:
\n\nIT Skills:
\n\nOther requirements:
\n\n\n\n
Key Expert - 1: Security Analyst
\n\nAcademic Qualifications:
\n\nSpecific Experience:
\n\nGeneral Experience:
\n\nLanguages:
\n\nIT Skills:
\n\nOther requirements:
\n\n\n\n
B. Key Expert - 2: Security Auditor
\n\nAcademic Qualifications:
\n\n\n\n
Specific Experience:
\n\nGeneral Experience:
\n\nLanguages:
\n\nIT Skills:
\n\nOther requirements:
\n\n\n\n
** An overview of other supporting members of the Firm’s project team to complete CARPHA’s technology security assessment should be provided.
\n\n\n\n
\n\n
This consultancy is expected to commence in January 2022 for a period of three (3) months. Reports will be submitted in electronic format to the ITS Manager, who will be responsible for approving all reports.
\n\n\n\n
Table 2 below gives details of the reports required and the timeline for delivery:
\n\n\n\n
| \n\t\t\t Table 2 : Reports required and Timeline for Delivery \n\t\t\t | \n\t\t||
| \n\t\t\t Name of Report \n\t\t\t | \n\t\t\t\n\t\t\t Content \n\t\t\t | \n\t\t\t\n\t\t\t Time of Submission \n\t\t\t | \n\t\t
| \n\t\t\t Executive Report \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t\t\n\t\t\t No later than four (4) weeks from the start date of the contract \n\t\t\t | \n\t\t
| \n\t\t\t Technical Report \n\t\t\t | \n\t\t\t\n\t\t\t
\n\t\t\t | \n\t\t\t\n\t\t\t No later than six (6) weeks from start of the contract \n\t\t\t | \n\t\t
| \n\t\t\t Draft Final Report \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t\t\n\t\t\t No later than four (4) weeks before the end of the implementation period of the contract \n\t\t\t | \n\t\t
| \n\t\t\t Final Report \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t\t\n\t\t\t No later than seven (7) days before the end date of the Consultancy \n\t\t\t | \n\t\t
\n\n
\n\n
\n\n
REQUEST FOR EXPRESSIONS OF INTEREST
\n\nfor the preparation of detailed design of WASH facilities in social institutions (schools and health institutions)
\n\n\n\n
Country: Republic of Tajikistan
\n\nProject name: Rural Water Supply and Sanitation Project (RWSSP)
\n\nGrant #: D4310-TJ
\n\nConsulting services: Detailed design of WASH facilities in social institutions (schools
\n\nand health institutions)
\n\nReference No.: RWSSP-CS/007
\n\n\n\n
\n\n
The Republic of Tajikistan received funding from the World Bank for the implementation of the Rural Water Supply and Sanitation Project and intends to use part of the funds to pay for consulting services under the contract Detailed design of WASH facilities in social institutions (schools and health institutions).
\n\n\n\n
The Project Development Objectives (PDO) are to help the Government of Tajikistan: (i) strengthen the capacity of institutions in the water supply and sanitation sector; and (ii) improve access to water supply and sanitation services in selected districts.
\n\n\n\n
Preliminary locations of the project area: (i) inter-district water supply system of the Vakhsh group, covering six districts of South Khatlon (Vakhsh, Levakand, Kushoniyon, Dusti, Balkhi, Dzhaikhun); (ii) the Vose water supply system located in the southern part of the Khatlon region of Tajikistan.
\n\n\n\n
The objective of the assignment is to prepare detailed designs and tender documents for the construction / rehabilitation of public toilets in priority schools and health institutions under the RWSSP in Vakhsh, Levakant, Kushoniyon, Balkhi, Dusti, Jaihun and Vose districts.
\n\n\n\n
The Consulting Services also includes author supervision.
\n\nThe State Unitary Enterprise "Khojagii Manziliyu Kommunali" under the Government of the Republic of Tajikistan is a beneficiary, and the Municipal Infrastructure Development Project Management Unit (MIDPMU) acts as a contracting authority for these consulting services.
\n\n\n\n
Currently the Project Management Unit is inviting eligible consulting companies ("Consultants") to express their interest in providing services. The interested Consultants must provide information confirming that they have the necessary qualifications and relevant experience to provide the Services:
\n\n\n\n
\n\n
The attention of interested Consultants is drawn to Section III, paragraphs, 3.14, 3.16, and 3.17 of the World Bank’s “Procurement Regulations for IPF Borrowers” (July 2016, revised in November 2017 and August 2018) - Procurement in Investment Project Financing Goods, Works, Non-Consulting and Consulting Services (“Procurement Regulations”), setting forth the World Bank’s policy on conflict of interest.
\n\nConsultants may associate with other firms to enhance their qualifications, but should indicate clearly whether the association is in the form of a joint venture and/or a sub-consultancy. In the case of a joint venture, all the partners in the joint venture shall be jointly and severally liable for the entire contract, if selected.
\n\nA Consultant will be selected in accordance with the Consultants’ Qualification-based Selection (CQS) method set out in the Bank’s “Procurement Regulations for IPF Borrowers” (July 2016, revised in November 2017 and August 2018) - Procurement in Investment Project Financing Goods, Works, Non-Consulting and Consulting Services.
\n\n\n\n
The interested Consultants can obtain further information at the address below during office hours from 09:00 to 17:00 hours (local time).
\n\n\n\n
Expressions of interest must be delivered to the address below by July 6, 2021, 16:00 p.m. Dushanbe, Tajikistan local time
\n\n\n\n
Project Management Unit
\n\nAttn: Mr. Jamshed Sattorzoda
\n\nRepublic of Tajikistan, Dushanbe,
\n\n56 N. Karabaeva street, 4 floor
\n\nTel: (992372) 33 88 25; 33 13 30
\n\nE-mail: rwssp@midp.tj
\n\n\n\n
\n\n
TAJIKISTAN
\n\nRURAL WATER SUPPLY AND SANITATION PROJECT
\n\n(WB Grant D4310)
\n\nTerms of Reference
\n\nfor development of typical designs, environmental & social management plans (ESMP), detailed engineering designs, operation and maintenance and construction supervision planning for improvement of WASH conditions in selected educational and healthcare institutions in Khatlon region
\n\n\n\n
Contents
\n\n1. Beneficiaries. 2
\n\n2. Project description. 2
\n\n2.1. Project considerations for improving WASH in schools. 3
\n\n2.2. Project considerations for improving WASH in healthcare facilities. 3
\n\n3. Scope of services. 3
\n\nOperation and maintenance guidance. 10
\n\nConstruction supervision planning. 10
\n\nSite supervision. 11
\n\nCommunication system.. 11
\n\nDesign supervision and adjustments. 12
\n\nConstruction supervision certification. 12
\n\n4. Format of deliverables. 12
\n\n5. Timelines and expected time input of deliverables. 12
\n\n6. Costs. 13
\n\nAssignment of personnel 13
\n\n7. Team composition and qualifications. 13
\n\n8. Payment arrangements. 14
\n\n9. Expression of Interest (EoI) format 14
\n\n10. Responsibilities of the Client 14
\n\nAnnex 1. List of selected schools and social institutions in Vosse district (detailed map will be provided to the selected Company) 17
\n\nAnnex 2. Potential definition of critical stages of construction that require close supervision. 19
\n\nAnnex 3: Cost components of a life cycle cost analysis. 20
\n\nAnnex 4: Details on design principles. 21
\n\nWater matrix of options. 21
\n\nSanitation matrix of options. 21
\n\nHygiene matrix of options. 22
\n\nDesign principles for water options. 22
\n\nDesign principles for sanitation options. 28
\n\nDesign principles for hygiene options. 30
\n\nANNEX 7. ENVIRONMENTAL & SOCIAL MANAGEMENT PLAN/ CHECKLIST. 32
\n\nANNEX 8. ORDER #456 OF THE MOHSP. 38
\n\n\n\n
\n\n
The State Unitary Enterprise “Khojagii Manziliu Communali” under the Government of the Republic of Tajikistan represented by the Project Management Unit “Municipal Infrastructure Development Project” acts as the contracting organization for the subject consulting services. The ultimate beneficiaries of the consulting services are the selected social institutions where WASH conditions/facilities will be upgraded with the project financing.
\n\nOn February 28, 2019, the World Bank’s Board of Executive Directors approved grant financing of US$58 mln. to the Government of Tajikistan for the “Rural Water Supply and Sanitation Project” (Grant No. IDA Grant D431-TJ). The aim of the Project is to develop water supply systems and where possible wastewater collection and disposal options, with the overall objective to improve access to basic water supply and sanitation services in selected districts of Khatlon Region; and to strengthen the capacity of institutions in the water supply and sanitation sector.
\n\nIn addition to improving basic access to water supply services, the project intends to upgrade/ improve WASH conditions in 150 rural schools and 50 rural healthcare institutions in 7 targeted districts of Khatlon region. All the institutions will be selected against the criteria agreed and approved with the Ministry of Education and Science and the Ministry of Health and Social Protection, following the signing of the Memorandum of Understanding with these respective Ministries. The list of selected institutions will have to be verified and adjusted in line with the confirmed investment sub-projects and the construction schedule for the WS infrastructure. A list of selected institutions for Vosse district is attached to the ToRs in the Annex 1. Improvement of WASH facilities shall include (a) provision of centralized water supply or other alternative decentralized water supply solutions; (b) upgrade, replacement or construction of sanitation and handwashing facilities and installation of hygiene rooms within the premises of the educational and healthcare institutions where possible. Provision of the following sustainable services that meet the required international and national standards is envisaged:
\n\nPrior to the commencement of this task, the Client, represented by the PMU shall complete a brief assessment of existing physical infrastructure, service levels and arrangements for operation and maintenance, and management for WASH in educational and healthcare settings in the project area using the Kobo survey toolbox. The survey data shall cover all the existing educational and healthcare institutions and identify those potentially targeted under the project following the established criteria. The assessment shall be finalized by February 2021.
\n\nThe project intends to ensure access to basic sanitation and hygiene facilities in schools defined in line with the methodology for key WASH indicators in schools under the Sustainable Development Goals (SDGs). The WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP) has recommended core indicators for WASH in schools and defines “basic” service levels for water, sanitation, and hygiene (Core SDG Indicators and WASH in Schools Questions available at (https://www.who.int/water_sanitation_health/monitoring/coverage/wins-core-indicators-and-questions-4-pager.pdf) through three core indicators:
\n\nIn addition, the project should also target improvements in access to menstrual hygiene facilities, defined as gender-segregated sanitation facilities which take into account special needs of adolescent girls and female teachers. In the design of toilets, facilities should be provided for meeting hygiene requirements.
\n\nThe project intends to provide access to basic sanitation and hygiene facilities defined in line with the methodology for key WASH indicators in healthcare facilities under the Sustainable Development Goals (SDGs). The SDGs provide guidelines to address WASH in health care facilities through SDG targets 6.1 (drinking water) and 6.2 (sanitation and hygiene). WASH in health care facilities is also important to achieve targets set under SDG 3 (health for all), particularly target 3.8, which focuses on universal health coverage. The WHO/UNICEF Joint Monitoring Programme for Water Supply, Sanitation and Hygiene (JMP) has recommended core indicators for WASH in HCF and defines “basic” service levels for water, sanitation, hygiene, health care waste management and environmental cleaning in health care facilities (Core questions and indicators for monitoring WASH in health care facilities in the Sustainable Development Goals. Geneva: World Health Organization and the United Nations Children’s Fund (UNICEF), 2018):
\n\n\n\n
The Consultant is responsible for providing the services described in the sections below:
\n\n| \n\t\t\t Stages of design \n\t\t\t | \n\t\t\t\n\t\t\t Requirements \n\t\t\t | \n\t\t
| \n\t\t\t Stage 1 – Assessment of WASH conditions in educational settings and healthcare institutions \n\t\t\t | \n\t\t\t\n\t\t\t Based on existing assessments completed by the PMU and aggregation of data received from other donors-supported projects (UNICEF, WHO, World Bank) consolidate and prepare the baseline report summarizing regulatory, structural, environmental, social and other parameters of the existing WASH facilitties in social institutions. The assessment should cover site parameters, assessment of existing structural, architectural and technical solutions for water, sanitation, hand hygiene, MHM and wastewater management in educational settings and healthcare facilities in the project area. Where information from the assessments conducted by the PMU is incomplete/unsuitable, the Consultant will collect additional information, as needed. The Stage 1 report is expected to cover all three Tasks described below and should be organized in two distinct sections covering: (1) WASH in educational settings and (2) WASH in healthcare institutions. \n\n\t\t\tThe UNICEF team jointly with the MoHSP is also conducting a parallel assessment of the regulatory framework and technical solution for WASH conditions in HCFs. For these purposes, the MOHSP established a coordination platform for Water, sanitation and Hygiene (WASH) in Health Care Facilities (HCFs). In this regard, in oreder to avoid duplications with the objectives and functions of the established platform please see Annex 8 of ToR, #456 of the MoHSP. \n\n\t\t\t\n\n\t\t\t For each section the report should separately consider: \n\n\t\t\tTask 1. Review of existing rules and regulations governing the installation of WASH infrastructure in schools and healthcare facilities, including a review and inventory of existing typical designs. The review shall identify key gaps and inconsistencies between the national and international standards formulated under the SDG6. The assessment should focus on: \n\n\t\t\t- Requirements for water supply, wastewater disposal, ventilation, lighting in sanitation facilities in rural school and health centers; \n\n\t\t\t- The number of toilets and washstands for students and staff, depending on the number of students and staff at the school; minimum floor space per unit, the number of toilet units per person served in accordance with norms / standards; \n\n\t\t\t- Hygiene rooms for girls: number of rooms per school and necessary equipment; availability of cold and hot water supply the number of rooms per school, the necessary equipment; \n\n\t\t\t- Sanitation facilities and hygiene rooms for students and patients with special needs: \n\n\t\t\t- The need for water supply, wastewater treatment, handwashing facilities, showers, if any, for rural health centers based on their original design parameters; \n\n\t\t\t- Identification of the most acceptable options in terms of price-quality ratio and sustainability. \n\n\t\t\tTask 2. Assessment of existing regulatory framework and environmental regulations for: \n\n\t\t\t
Task 3. Assessment of existing WASH solutions and applicable technical solutions in the project area for selected institutions \n\n\t\t\t
While the Task 1 and 2 assessments will need to include review of the relevant regulations and practices at the national level, the Task 3 is more specific to the project area and covers targeted institutions in Vakhsh, Levakand, Kushoniyon, Balkhi, Dusti, Jaihun and Vosse Khatlon districts and create a typology of different categories of schools and health centers for which standardized decisions can be made. \n\n\t\t\tThe Consultant should also carry out a user preferences consultation with students/community members (potential patients) and key stakeholders including community that relate to WASH and MHM at the educational site as well as any health related groups within the catchment of the targeted communities. The Consultant will ensure that the consultation and subsequent design process includes male and female students of all ages, people living with disabilities and any other vulnerable/marginalized groups. \n\n\t\t\tIn close cooperation with the Client (PMU), the Consultant will organize public consultations to present standard solutions for various typologies to the client and a wider range of stakeholders (including the Ministry of Health (Sanitary & Epidemiological Station- SES) and the Ministry of Education and science, Committee for Architecture and Construction) and the WB and receive their approval for the proposed solutions. \n\t\t\t | \n\t\t
| \n\t\t\t Stage 2 – Design stage, operation and maintenance of WASH facilities in educational settings and healthcare facilities \n\t\t\t | \n\t\t\t\n\t\t\t From the Task 3 of the Stage 1, prepare the design package for the investments in targeted social institutions. The design package should include, but not be limited to: \n\n\t\t\t
The Stage 2 studies/assessment will be phased and shall focus on preparation of DEDs for targeted social institutions in the first phase in Vosse district and the second phase will be focused on Vakhsh Zone (in line with the construction scheduele to be provided by the PMU). DEDs will be implemented according to the schedule and shall cover all planned 200 social institutions (150 schools and 50 healthcare instituions). A list of social institutions for Vakhsh district will be provided to the contracted consultant upon the completion of the Stage 1 report. \n\n\t\t\tThe technical solutions proposed must take into account findings of the Stage 1 assessment and meet the following requirements: \n\n\t\t\t
Account for the full service chain for water (source, treatment, storage, distribution), sanitation (containment, emptying, transport, treatment and reuse of faeces, as well as drainage for storm water and grey water management), hand hygiene, MHM and wastewater management (points of generation/ collection, storage, transport and treatment). \n\t\t\t | \n\t\t
| \n\t\t\t Stage 2 – specific guidance (a) water \n\t\t\t | \n\t\t\t\n\t\t\t While one of the selection criteria for the targeted social institutions is a potential connection to the centralised WS schemes constructed/supported through the project financing, where necessary major key design elements related to water to consider in Stage 2 are: \n\n\t\t\t
| \n\t\t
| \n\t\t\t Stage 2 – specific guidance on (b) sanitation \n\t\t\t | \n\t\t\t\n\t\t\t Major key design elements related to sanitation to consider in Stage 2 are: \n\n\t\t\t
Managing old sanitation facilities: \n\n\t\t\t
In the design: Collect soil type information to inform designs and the potential for pathogen transmission to water sources (and adhere to any minimum distance standards from water sources, that may apply in the context). \n\t\t\t | \n\t\t
| \n\t\t\t Stage 2 – specific guidance on (c) hygiene \n\t\t\t | \n\t\t\t\n\t\t\t Major key design elements related to hand hygiene to consider in Stage 2 are: \n\n\t\t\t
| \n\t\t
| \n\t\t\t Stage 2 – specific guidance on (d) Support engineering infrastructure \n\t\t\t | \n\t\t\t\n\t\t\t Design drawings should include any necessary support engineering infrastructure such as: \n\n\t\t\t
| \n\t\t
| \n\t\t\t Drawing details \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t
| \n\t\t\t BoQ details \n\t\t\t | \n\t\t\t\n\t\t\t
An example BOQ is presented in Annex 6 \n\t\t\t | \n\t\t
| \n\t\t\t Bidding document details \n\t\t\t | \n\t\t\t\n\t\t\t
\n\t\t\t | \n\t\t
| \n\t\t\t Environmental and social management plans/Checklists \n\t\t\t | \n\t\t\t\n\t\t\t When designing the facilities, the Consultant is requested to adhere to the environmental and social requirements under World Bank safeguards and local environmental law. The site-specific Environmental and Social Management Plans/Checklists to be prepared should outline the mitigation, monitoring and administrative measures to be taken during project implementation to avoid or eliminate negative environmental and social impacts. Potential impacts should be identified, relevant mitigation and monitoring measures should be proposed covering three phases: construction, operation and decommissioning. The ESMP Checklist format and content is enclosed in Annex 7. \n\t\t\t | \n\t\t
| \n\t\t\t Stage 3 \n\t\t\t | \n\t\t\t\n\t\t\t The Stage 2 outputs should be shared with key stakeholders for verification, discussion and finalization. The Consultant should propose methods for this process in an inception report. Potential methods include such as workshops, results presentations/ online presentations, Questions and Answers (Q&A) sessions or similar. In this process it is also essential to have community consultation to ensure designs meet service user needs. \n\t\t\t | \n\t\t
\n\n
Operation and maintenance guidance
\n\nOnce stage 3 of the design is completed, the Consultant is requested to prepare content for training on the operation and maintenance of water, sanitation and hygiene facilities for the staff of local water utilities, targeted schools and healthcare centers. This should include:
\n\n\n\n
\n\n
Construction supervision planning
\n\nEffective construction supervision is essential for sustainable infrastructure and service delivery. All supervision should be carried out by competent personnel who are well trained and experienced in construction supervision. Supervisors should be properly equipped and empowered to undertake the supervision tasks. Supervision will be carried out by a team of trained specialists to be composed by the specialists of the PMU/relevant departments of the MoHSP and the MoES.
\n\nThe Consultant will develop a Construction Supervision Plan. The plan will set out the activities, processes, responsibilities and resources required to maintain oversight of the entire scope of works at the project level, covering all sites and construction activities and ensuring professional oversight. The plan will largely focus on site supervision. In addition to the PMU staff, the Consultant will train nominated construction supervision staff of the MoES and MoHSP on construction supervision requirements who will be tasked to provide regular information from individual site level supervision, in order to provide an overview of project progress. The format of the summary should enable easy integration into the PMU’s regular quarterly progress reports. For example, a traffic light system might be developed using a simple set of indicators to show overall progress. Design supervision will be included in this assignment.
\n\n\n\n
Communication system
\n\n\n\n
The Consultant should establish a system to communicate and report information on construction supervision to the PMU using the remote supervision tools (Kobo Toolbox). The system should include the following components:
\n\n\n\n
\n\n
The format required for the different deliverables, is shown in the table below. The draft of the deliverables specified below shall be submitted to the Client in e-copy by the established deadlines. Following the receipt of comments from the client, the Consultant will send a revised version in e-copy, with the incorporated changes highlighted, before submission of the final version in soft copy (WORD for text and PDF for drawings (maximum A3 size)).
\n\n\n\n
| \n\t\t\t Scope of works \n\n\t\t\t\n\t\t\t | \n\t\t\t\n\t\t\t Format of deliverable \n\t\t\t | \n\t\t|||||
| \n\t\t\t Narrative descriptions \n\t\t\t | \n\t\t\t\n\t\t\t Basic drawings \n\t\t\t | \n\t\t\t\n\t\t\t Detailed architectural and structural drawings \n\t\t\t | \n\t\t\t\n\t\t\t Presentation \n\t\t\t | \n\t\t|||
| \n\t\t\t 1 \n\t\t\t | \n\t\t\t\n\t\t\t Design \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t||||
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Stage 1 \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Stage 2 \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Stage 3 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t
| \n\t\t\t 2 \n\t\t\t | \n\t\t\t\n\t\t\t Operation and maintenance guidance \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t 3 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Communication system \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t X \n\t\t\t | \n\t\t
| \n\t\t\t 4 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Design supervision \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
\n\n
\n\n
Deliverables, as laid out in the table below, are to be achieved by certain dates during the contract term. There is also an expected level of effort per deliverable:
\n\n| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Scope of works \n\t\t\t | \n\t\t\t\n\t\t\t Timing \n\t\t\t | \n\t\t\t\n\t\t\t Level of effort \n\n\t\t\t\n\t\t\t | \n\t\t|
| \n\t\t\t 1 \n\t\t\t | \n\t\t\t\n\t\t\t Design \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t - \n\t\t\t | \n\t\t|
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Stage 1 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t 20 days \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Stage 2 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t 480 days (16 months for Vosse and Vakhsh) \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Stage 3 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t 5 days \n\t\t\t | \n\t\t
| \n\t\t\t 2 \n\t\t\t | \n\t\t\t\n\t\t\t Operation and maintenance guidance/training materials \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t 12 days \n\t\t\t | \n\t\t|
| \n\t\t\t 3 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Communication system \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t 5 days \n\t\t\t | \n\t\t
| \n\t\t\t 4 \n\t\t\t | \n\t\t\t\n\t\t\t Design supervision \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t (every facility under construction should be visited by the Consultant at least 2 times a month \n\t\t\t | \n\t\t
\n\n
The assignment is expected to take 255 working days over 10 months from February 2021 to November 2021.
\n\n\n\n
\n\n
Assignment of personnel
\n\n\n\n
The assignment will be performed by the team of local experts with preferred involvement of an international expert with desired qualifications described below. The assignment envisages intensive travelling for completion of the Stage 2. The Consultant shall account for travel costs (accommodation, daily allowance, transportation) in the budget proposal.
\n\n\n\n
The Consultant shall ensure that a team of experts and professional staff with necessary education, skills and experience will be deployed for all tasks. The team should include at a minimum the following members:
\n\n\n\n
The Consultant will be engaged until all agreed deliverables are completed. Payment will be made upon approval of each deliverable submitted.
\n\nThe State Institution "Municipal Infrastructure Development Project Management Unit" is the customer of the services provided under the project and will be ultimately responsible for the proper implementation of these Consulting Services.
\n\nThe Project Management Unit (PMU) will coordinate all project activities, including future tender procedures and contract management issues. The PMU Director is responsible for the day-to-day management of the Project. In particular, the PMU team will be responsible for:
\n\nThe PMU will ensure close coordination and cooperation with local authorities on technical and general contractual and coordination issues. A detailed coordination mechanism between the PMU and the Consultant is discussed during the signing of the contract.
\n\n\n\n
REPORTING PROVIDED
\n\n\n\n
The Consultant shall prepare and submit to the PMU a series of reports, documents and files covering all the work performed by him in the performance of the Consulting Services. All these materials must be submitted in Russian and must be submitted both in printed and digital format and include all relevant data, maps, diagrams and other documents, if necessary, they must be provided to the PMU in the required quantity copies in accordance with the schedule for the submission of the Workplan. The official date of submission is the date of receipt of the reports by the Customer. The form, printing, type of cover and the obligation of the reports are determined by mutual agreement between the PMU and the Consultant.
\n\nAnnex 1. List of selected schools and social institutions in Vosse district (detailed map will be provided to the selected Company)
\n\n\n\n
EDUCATIONAL FACILITIES
\n\n\n\n
M. Mahmadaliev Jamoat Guliston Jamoat
\n\n1.Secondary school No. 3 1. Secondary school No. 4
\n\n2.Secondary school No. 34 2. Secondary school No. 17
\n\n3.Secondary school No. 25 3.Secondary school No. 18
\n\n4. Boarding school No.1 4.Secondary school No. 35
\n\n5.Secondary school No. 37
\n\n\n\n
M. Vaysov Jamoat A. Avazov Jamoat
\n\n1.Secondary school No. 50 1. Secondary school No. 33
\n\n2 .Secondary school No. 28 2. Secondary school No. 5
\n\n3. Secondary school No. 13 3.Secondary school No. 64
\n\n4. Secondary school No. 6 4.Secondary school No. 14
\n\n5. School for gifted children No.2 5.Secondary school No. 26
\n\n\n\n
Tugarak Jamoat Kh. Rajabov Jamoat
\n\n1.Secondary school No. 27 1. Secondary school No. 9
\n\n2.Secondary school No. 21 2. Secondary school No. 8
\n\n3.Secondary school No. 20 3.Secondary school No. 31
\n\n4. Secondary school No.12 4.Secondary school No. 22
\n\nRudaki Jamoat
\n\n1.Secondary school No. 7
\n\n\n\n
All over the district: 28 Educational institutions.
\n\n\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
MEDICAL FACILITIES
\n\n\n\n
M. Mahmadaliev Jamoat Guliston Jamoat
\n\n1) Zarkamar medical facility 1) Mehrobod-2 medical facility
\n\n2) Ohjar medical facility
\n\n\n\n
M. Vaysov medical facility A. Avazov medical facility
\n\n1) Kaduchi -1 medical facility 1) Gulobod medical facility
\n\n2) KH. Barotov medical facility 2) Vosseobod medical facility
\n\n3) Zarkoron medical facility
\n\n\n\n
Tugarak Jamoat KH. Rajabov medical facility
\n\n1) Navobod medical facility 1) Gelot medical facility
\n\n2) Tugarak medical facility 2) Darnaychi medical facility
\n\n3) Navbahor medical facility 3) Pakhtakor medical facility
\n\n4) Sulhobod medical facility
\n\nRudaki Jamoat
\n\n1) Sari Angur medical facility
\n\n\n\n
All over the district: 16 Medical facilities
\n\n\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
\n\n
annex 2. Potential definition of critical stages of construction that require close supervision
\n\n\n\n
| \n\t\t\t Critical stages supervision \n\t\t\t | \n\t\t\t\n\t\t\t For all construction works there are critical stages of construction that require close supervision. At these critical points, the next stage of the works should not be started until the quality of the current stage has been verified. The Consultant will identify the critical stages for the works at each site. The following sections provide guidance on identifying the critical stage supervision points. \n\t\t\t | \n\t\t|
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Water \n\t\t\t | \n\t\t\t\n\t\t\t The critical supervision stages for water may include: \n\n\t\t\t
| \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Sanitation \n\t\t\t | \n\t\t\t\n\t\t\t The critical supervision stages for sanitation may include: \n\n\t\t\t
| \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Hygiene \n\t\t\t | \n\t\t\t\n\t\t\t On hygiene the Consultant should look at handwashing infrastructure, MHM facilities and availability of special components (bathing, sterilization, laundry services and any other WASH relevant). According to the design look at building structure (superstructure use details above) and components like: \n\n\t\t\t
| \n\t\t
\n\n
Annex 3: Cost components of a life cycle cost analysis
\n\n\n\n
The cost components of a LCCA are presented below[3]:
\n\n\n\n
\n\n
\n\n
Annex 4: Details on design principles
\n\nThis annex contains key design principles for different typologies, that teams may draw on in order to include additional relevant detail in the ToRs for:
\n\n\n\n
Water matrix of options
\n\n\n\n
| \n\t\t\t Source \n\t\t\t | \n\t\t\t\n\t\t\t Treatment \n\t\t\t | \n\t\t\t\n\t\t\t Storage \n\t\t\t | \n\t\t\t\n\t\t\t Distribution \n\t\t\t | \n\t\t
| \n\t\t\t Utility piped \n\t\t\t | \n\t\t\t\n\t\t\t No need \n\t\t\t | \n\t\t\t\n\t\t\t Elevated storage tank \n\t\t\t | \n\t\t\t\n\t\t\t Piped to stand post \n\t\t\t | \n\t\t
| \n\t\t\t Spring piped (gravity) \n\t\t\t | \n\t\t\t\n\t\t\t Source protection \n\t\t\t | \n\t\t\t\n\t\t\t Ground tank with distribution pump \n\t\t\t | \n\t\t\t\n\t\t\t Direct from tank \n\t\t\t | \n\t\t
| \n\t\t\t Borehole \n\t\t\t | \n\t\t\t\n\t\t\t Chlorination \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Piped to internal tap (in building) \n\t\t\t | \n\t\t
| \n\t\t\t Rainwater harvesting \n\t\t\t | \n\t\t\t\n\t\t\t Point of use treatment \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Tap (including elbow and foot operated) \n\t\t\t | \n\t\t
| \n\t\t\t Surface water \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Delivered water (including tankering) \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Packaged (bottles) \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
\n\n
Sanitation matrix of options
\n\n\n\n
| \n\t\t\t Containment \n\t\t\t | \n\t\t\t\n\t\t\t Emptying \n\t\t\t | \n\t\t\t\n\t\t\t Transport \n\t\t\t | \n\t\t\t\n\t\t\t Treatment \n\t\t\t | \n\t\t\t\n\t\t\t Reuse \n\t\t\t | \n\t\t
| \n\t\t\t Cistern flush toilet \n\t\t\t | \n\t\t\t\n\t\t\t Single pit \n\t\t\t | \n\t\t\t\n\t\t\t Manual \n\t\t\t | \n\t\t\t\n\t\t\t Settler \n\t\t\t | \n\t\t\t\n\t\t\t Agriculture \n\t\t\t | \n\t\t
| \n\t\t\t Urine diverting toilet \n\t\t\t | \n\t\t\t\n\t\t\t Ventilated pit \n\t\t\t | \n\t\t\t\n\t\t\t Mechanical \n\t\t\t | \n\t\t\t\n\t\t\t Biogas \n\t\t\t | \n\t\t\t\n\t\t\t Energy \n\t\t\t | \n\t\t
| \n\t\t\t Pour flush \n\t\t\t | \n\t\t\t\n\t\t\t Septic tank \n\t\t\t | \n\t\t\t\n\t\t\t Sewer \n\t\t\t | \n\t\t\t\n\t\t\t Drying beds/ Composting \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Dry toilet \n\t\t\t | \n\t\t\t\n\t\t\t Composting chamber \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Pond \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Biogas chamber \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Wetland \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Container systems \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Filters \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Elevated pit (for flooding) \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
\n\n
Hygiene matrix of options
\n\n\n\n
| \n\t\t\t Handwashing \n\t\t\t | \n\t\t\t\n\t\t\t MHM \n\t\t\t | \n\t\t\t\n\t\t\t Others \n\t\t\t | \n\t\t
| \n\t\t\t Fixed sink with tap water \n\t\t\t | \n\t\t\t\n\t\t\t Washing taps \n\t\t\t | \n\t\t\t\n\t\t\t Washing taps \n\t\t\t | \n\t\t
| \n\t\t\t Manufactured product \n\t\t\t | \n\t\t\t\n\t\t\t Washing buckets \n\t\t\t | \n\t\t\t\n\t\t\t Washing buckets \n\t\t\t | \n\t\t
| \n\t\t\t Bucket with tap \n\t\t\t | \n\t\t\t\n\t\t\t Bins \n\t\t\t | \n\t\t\t\n\t\t\t Laundry taps and tanks \n\t\t\t | \n\t\t
| \n\t\t\t Tippy tap \n\t\t\t | \n\t\t\t\n\t\t\t Mirror \n\t\t\t | \n\t\t\t\n\t\t\t Laundry buckets and tanks \n\t\t\t | \n\t\t
| \n\t\t\t Jug \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Sterilization \n\t\t\t | \n\t\t
\n\n
Design principles for water options
\n\n\n\n
The chapter below provide more information on design principles for water infrastructure.
\n\n\n\n
Piped water
\n\n\n\n
Source of information: “Jordan Jnr., Thomas D. (2008): A Handbook of Gravity Flow Water Systems for Small Communities. Intermediate Technology Publications”.
\n\n\n\n
\n\n
Gravity systems
\n\n\n\n
Source of information “Technical brief gravity-fed Scheme (2013). WaterAid”.
\n\n\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 1: Gravity-fed scheme layout and main features \n\t\t\t | \n\t\t
\n\n
Borehole
\n\n\n\n
Source of information “Professional Water Well Drilling: A UNICEF Guidance Note (2016). UNICEF and SKAT”.
\n\n\n\n
\n\n
Rainwater harvesting
\n\n\n\n
Source of information “https://akvopedia.org/wiki/Water_Portal_/_Rainwater_Harvesting”.
\n\n\n\n
\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 2: Rooftop catchment design \n\t\t\t | \n\t\t
\n\n
Surface water
\n\n\n\n
Source of information “https://akvopedia.org/wiki/Water_Portal_/_Rainwater_Harvesting_/_Surface_water”.
\n\n\n\n
There are many surface water collection options, including for example:
\n\n\n\n
\n\n
Surface water harvesting includes all systems that collect and conserve surface runoff after a rainstorm or in intermittent streams, rivers, or wetlands for storage in open ponds and reservoirs. This can provide water for direct use, but treatment is generally required.
\n\n\n\n
Spring water collection
\n\nThere are several types of systems that can be built to exact water from a spring but the most common is to build a spring box. It is always better to protect the spring well, this keeps the water clean and can increase the water supply. Once a spring is protected it is relatively easy to run pipes (if the flow is big enough) and create a tap, using gravity to power the flow if possible, from the spring closer to the community. For contamination check good to look at area around the spring for soil characteristics and possibility of contamination from human or animal waste.
\n\n\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 3: Spring box with 1 side cut away \n\t\t\t | \n\t\t
\n\n
Protected side intake
\n\nIt provides a stable place in the bank of a river or lake, from where water can flow into a channel or enter the suction pipe of a pump. Side intakes are sturdy structures, usually made of reinforced concrete, and may have valves or sluices to flush any sediment that might settle.
\n\n\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 4: Protected side intake \n\t\t\t | \n\t\t
\n\n
River bottom intake
\n\nThe water is abstracted through a screen over a canal (usually made of concrete and built into the riverbed). The bars of the screen are laid in the direction of the current and sloping downwards, so that coarse material cannot enter. From the canal, water enters a sand trap and then may pass a valve and flow by gravity or be pumped into the rest of the system.
\n\n\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 5: River bottom intake \n\t\t\t | \n\t\t
\n\n
Floating intake
\n\nFloating intakes for drinking-water systems allow water to be abstracted from near the surface of a river or lake, thus avoiding the heavier silt loads that are transported closer to the bottom during floods. The inlet pipe of a suction pump is connected just under the water level to a floating pontoon that is moored to the bank or bottom of the lake or river. The pump itself can be located either on the bank or on the pontoon.
\n\n\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 6: Floating intake \n\t\t\t | \n\t\t
\n\n
Catchment and storage dams
\n\n\n\n
Water can be made available by damming a natural rainwater catchment area, such as a valley, and storing the water in the reservoir formed by the dam or diverting it to another reservoir. Important parameters in the planning of dams are the annual rainfall and evaporation pattern; the present use and runoff coefficient of the catchment area; water demand and the geology and geography of the catchment area and building site. Dams can consist of raised banks of compacted earth (usually with an impermeable clay core, stone aprons and a spillway to discharge excess runoff), open rock reservoir catchments, and masonry or concrete (reinforced or not). The water stored behind a dam should normally be treated before entering a distribution system.
\n\n\n\n
Delivered water and packed water
\n\n\n\n
Design should consider the safe unloading and loading of transport vehicles.
\n\n\n\n
Source protection to increase water quality
\n\n\n\n
Source of information “Sustainable Sanitation and Water Management toolbox (2018). SSWM”.
\n\n\n\n
Water source protection involves the protection of surface water sources (e.g. lakes, rivers, man-made reservoirs) and groundwater sources (e.g. spring protection, dug well protection, and drilled well protection) to avoid water pollution. Establishing adequate water source protection is one of the most suitable and cost-effective method to keep contaminants out of drinking water and making costly water purification measures and construction of new wells unnecessary. Numerous simple preventative measures can be applied to protect springs, wells and aquifers from contamination:
\n\n\n\n
\n\n
Chlorination/ Point of use treatment
\n\n\n\n
Various kinds of injection devices and pumps can be used to chlorinate, including automatic in-line dosing devices for piped water supply and batch chlorination. Review the different technical specifications to understand the requirements for the location of the devices, the period of injection, operation and maintenance models and support engineering needs.
\n\n\n\n
Water storage tanks
\n\n\n\n
Source of information “https://akvopedia.org/wiki/Elevated_storage_tanks”.
\n\n\n\n
Elevated tanks
\n\nElevated tanks do not require the continuous operation of pumps for water distribution, since the pressure is maintained by gravity. The pressure provided by an elevated tank depends on the depth of the water in the tank. A significant quantity of the water in a standpipe is required to produce the necessary water pressure. The water below a certain level is therefore used only as a support, unless booster pumps are available for emergency use of this water. There are many options available like: reinforced concrete reservoirs, elevated steel reservoirs or elevated plastic tanks.
\n\n\n\n
Underground tanks
\n\nOne of the best advantages of underground water tanks is the space conserved by simply installing the water tank in the ground. The underground water tank eliminates exposure to weather conditions but must lie above the water-table level. These tanks can be constructed of concrete blocks or with other materials. Water can be extracted with handpumps or small and efficient motor pumps. A rope and bucket can be used, but risk of contamination increases.
\n\n\n\n
Emergency tanks
\n\nIn emergency situations specially designed tanks offer flexible water storage that can quickly be deployed without the prolonged construction time required for traditional elevated or underground tanks. Types of emergency tanks include bladder/pillow tanks and steel tanks with liners.
\n\nConsider the following factors when designing a tank:
\n
\n\n
Design principles for sanitation options
\n\n\n\n
The International Water Association (IWA), WSSCC and the Swiss Federal Institute of Aquatic Science and Technology (EAWAG) have made considerable efforts to promote improved sanitation by providing an easily accessible knowledge base and guidance about how to achieve these improvements. The “Compendium of sanitation systems and technologies” is available at https://www.iwa-network.org/wp-content/uploads/2016/06/Compendium-Sanitation-Systems-and-Technologies.pdf. The Compendium is one of the best guides on sanitation systems and technologies, contained detailed information on a wide range of technologies:
\n\n\n\n
| \n\t\t\t Containment \n\t\t\t | \n\t\t\t\n\t\t\t Emptying \n\t\t\t | \n\t\t\t\n\t\t\t Treatment \n\t\t\t | \n\t\t
| \n\t\t\t Cistern flush toilet \n\n\t\t\t*See page 52 \n\t\t\t | \n\t\t\t\n\t\t\t Single pit \n\n\t\t\t*See page 60 \n\t\t\t | \n\t\t\t\n\t\t\t Settler \n\n\t\t\t*See page 102 \n\t\t\t | \n\t\t
| \n\t\t\t Urine diverting toilet \n\n\t\t\t*See page 54 \n\t\t\t | \n\t\t\t\n\t\t\t Ventilated pit \n\n\t\t\t*See page 62 \n\t\t\t | \n\t\t\t\n\t\t\t Biogas \n\n\t\t\t*See page 134 \n\t\t\t | \n\t\t
| \n\t\t\t Pour flush \n\n\t\t\t*See page 50 \n\t\t\t | \n\t\t\t\n\t\t\t Septic tank \n\n\t\t\t*See page 74 \n\t\t\t | \n\t\t\t\n\t\t\t Drying beds/ Composting \n\n\t\t\t*See page 128/ 130/ 132 \n\t\t\t | \n\t\t
| \n\t\t\t Dry toilet \n\n\t\t\t*See page 44 \n\t\t\t | \n\t\t\t\n\t\t\t Composting chamber \n\n\t\t\t*See page 72 \n\t\t\t | \n\t\t\t\n\t\t\t Pond \n\n\t\t\t*See page 110/ 112 \n\t\t\t | \n\t\t
| \n\t\t\t Urine diverting toilet \n\n\t\t\t*See page 46 \n\t\t\t | \n\t\t\t\n\t\t\t Biogas chamber \n\n\t\t\t*See page 80 \n\t\t\t | \n\t\t\t\n\t\t\t Wetland \n\n\t\t\t*See page 114/ 116/ 118 \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Container systems \n\n\t\t\t*See page 82 \n\t\t\t | \n\t\t\t\n\t\t\t Filters \n\n\t\t\t*See page 108/ 120 \n\t\t\t | \n\t\t
\n\n
Elevated pits
\n\n\n\n
Source of information “Climate Change Adaptation Technologies for Water (2017). UN Environment”.
\n\n\n\n
Building latrines on elevated land mounds above flood-level height records reduces inundation and overflow risks. Lining latrine-pits with solid materials (bricks, clay, cement, large rocks, etc.) in turn stabilizes the structure and minimizes the amount of liquid waste infiltrating surrounding soil and groundwater. Soil from the pit can be used to create a mound for the latrine.
\n\n\n\n
Location
\n\nThe proximity of latrines to ground water sources (particularly those used for drinking and food preparation), is important. In order to avoid contaminants from latrines infiltrating into ground water supplies, latrines should be sited at a lower elevation to any ground water sources and a minimum distance apart, in order to allow enough time for die-off of microbiological contaminants from faeces.
\n\n\n\n
Emptying and transport
\n\n\n\n
It is important in terms of design for on-site options to look at:
\n\n\n\n
\n\n
Agriculture and energy reuse
\n\n\n\n
Following treatment, of fecal waste, re-use should be considered. Re-use options could include:
\n\n\n\n
Design principles for hygiene options
\n\n\n\n
Handwashing
\n\n\n\n
Source of information “Handwashing compendium for low resource setting, The sanitation learning hub”.
\n\n\n\n
Design considerations for all handwashing facilities should include:
\n\n\n\n
\n\n
Drainage of wastewater is an essential component of handwashing stations. Poor drainage around handwashing facilities can result in water pooling, providing a breeding ground for flies and mosquitoes. It is also likely to make the ground around the handwashing facility muddy which may restrict access for users and/or put them off using it. The type and size of drainage will depend on soil conditions in a specific context. Simple wastewater drainage solutions include:
\n\n\n\n
\n\n
It is important to reduce the risk of re-contaminating hands after washing them with soap. Taps that do not need require switching off after handwashing or taps that can be operated by other parts of the body (for example, feet or arms) should be used wherever possible to minimize re-contamination. The material the tap is made from can also reduce the risk of re-contamination. Brass (and other copper alloys) has antimicrobial properties so using brass taps minimizes the likelihood of re-contamination.
\n\nTippy tap
\n\n\n\n
A simple container filled with water which flows out when the container is tipped. The container can be tipped by using a foot pedal or by using a specially shaped container that can be manually tipped to release water before returning to its original position automatically. The hole that the water flows out of should be small in order to reduce water wastage. Bar soap, liquid soap or soapy water can be tied to the tippy tap with string. The ground beneath the tippy tap should be covered in stones to help the drainage of wastewater.
\n\n\n\n
| \n\t\t\t \n\t\t\t | \n\t\t
| \n\t\t\t Figure 7: Pedal operated tippy tap \n\t\t\t | \n\t\t
\n\n
ANNEX 7. ENVIRONMENTAL & SOCIAL MANAGEMENT PLAN/ CHECKLIST
\n\n\n\n
General Guidelines for use of ESMP checklist
\n\n\n\n
For low-risk subprojects, such as school and hospital rehabilitation activities, the ECA safeguards team developed an alternative to the current ESMP format to provide an opportunity for a more streamlined approach to preparing ESMPs for minor rehabilitation or small-scale works in building construction, in the health, education and public services sectors. The checklist-type format has been developed to provide “example good practices” and designed to be user friendly and compatible with safeguard requirements.
\n\n\n\n
The ESMP checklist-type format attempts to cover typical core mitigation approaches to civil works contracts with small, localized impacts. It is accepted that this format provides the key elements of an Environmental and Social Management Plan (ESMP) or Environmental and Social Management Framework (ESMF) to meet World Bank Environmental and Social Safeguards Policies. The intention of this checklist is that it would be applicable as guidelines for the small works contractors and constitute an integral part of bidding documents for contractors carrying out small civil works under Bank-financed projects.
\n\n\n\n
\n\n
Contents of the ESMP Checklist
\n\n\n\n
A. General Project and Site Information
\n\nB. Safeguards Information
\n\nC. Mitigation Measures
\n\nD. Monitoring Plan
\n\n\n\n
PART A: General Project and Site Information
\n\n| \n\t\t\t SITE DESCRIPTION \n\t\t\t | \n\t\t||
| \n\t\t\t Name of site \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t Describe site location \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Attachment 1: Site Map [ ]Y [ ] N \n\t\t\t | \n\t\t
| \n\t\t\t Who owns the land? \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t Description of geographic, physical, biological, geological, hydrographic and socio-economic context \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t Locations and distance for material sourcing, especially aggregates, water, stones? \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t LEGISLATION \n\t\t\t | \n\t\t||
| \n\t\t\t Identify national & local legislation & permits that apply to project activity \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t PUBLIC CONSULTATION \n\t\t\t | \n\t\t||
| \n\t\t\t Identify when / where the public consultation process took place \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t|
| \n\t\t\t INSTITUTIONAL CAPACITY BUILDING \n\t\t\t | \n\t\t||
| \n\t\t\t Will there be any capacity building? \n\t\t\t | \n\t\t\t\n\t\t\t [ ] N or [ ]Y if Yes, identify the capacity building activities \n\t\t\t | \n\t\t
\n\n
\n\n
PART B: safeguards information
\n\n| \n\t\t\t ENVIRONMENTAL /SOCIAL SCREENING \n\t\t\t | \n\t\t|||
| \n\t\t\t Will the site activity include/involve any of the following? \n\t\t\t | \n\t\t\t\n\t\t\t Activity/Issue \n\t\t\t | \n\t\t\t\n\t\t\t Status \n\t\t\t | \n\t\t\t\n\t\t\t Triggered Actions \n\t\t\t | \n\t\t
| \n\t\t\t Building rehabilitation \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section A below \n\t\t\t | \n\t\t|
| \n\t\t\t New construction \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section A below \n\t\t\t | \n\t\t|
| \n\t\t\t Individual wastewater treatment system \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section B below \n\t\t\t | \n\t\t|
| \n\t\t\t Historic building(s) and districts \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section C below \n\t\t\t | \n\t\t|
| \n\t\t\t Acquisition of land \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section D below \n\t\t\t | \n\t\t|
| \n\t\t\t Hazardous or toxic materials \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section E below \n\t\t\t | \n\t\t|
| \n\t\t\t Impacts on forests and/or protected areas \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section F below \n\t\t\t | \n\t\t|
| \n\t\t\t Handling / management of medical waste \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section G below \n\t\t\t | \n\t\t|
| \n\t\t\t Traffic and Pedestrian Safety \n\t\t\t | \n\t\t\t\n\t\t\t [ ] Yes [ ] No \n\t\t\t | \n\t\t\t\n\t\t\t See Section H below \n\t\t\t | \n\t\t
\n\n
\n\n
\n\n
PART C: Mitigation measures (SAMPLE)
\n\n| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t ACTIVITY \n\t\t\t | \n\t\t\t\n\t\t\t PARAMETER \n\t\t\t | \n\t\t\t\n\t\t\t MITIGATION MEASURES CHECKLIST \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t 0. General Conditions \n\t\t\t | \n\t\t\t\n\t\t\t Notification and Worker Safety \n\t\t\t | \n\t\t\t\n\t\t\t The local construction and environment inspectorates and communities have been notified of upcoming activities \n\n\t\t\tThe public has been notified of the works through appropriate notification in the media and/or at publicly accessible sites (including the site of the works) \n\n\t\t\tAll legally required permits have been acquired for construction and/or rehabilitation \n\n\t\t\tThe Contractor formally agrees that all work will be carried out in a safe and disciplined manner designed to minimize impacts on neighboring residents and environment. \n\n\t\t\tWorkers’ PPE will comply with international good practice (always hardhats, as needed masks and safety glasses, harnesses and safety boots) \n\n\t\t\tAppropriate signposting of the sites will inform workers of key rules and regulations to follow. \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t A. General Rehabilitation and /or Construction Activities \n\t\t\t | \n\t\t\t\n\t\t\t Air Quality \n\t\t\t | \n\t\t\t\n\t\t\t During interior demolition debris-chutes shall be used above the first floor \n\n\t\t\tDemolition debris shall be kept in controlled area and sprayed with water mist to reduce debris dust \n\n\t\t\tDuring pneumatic drilling/wall destruction dust shall be suppressed by ongoing water spraying and/or installing dust screen enclosures at site \n\n\t\t\tThe surrounding environment (side-walks, roads) shall be kept free of debris to minimize dust \n\n\t\t\tThere will be no open burning of construction / waste material at the site \n\n\t\t\tThere will be no excessive idling of construction vehicles at sites \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Noise \n\t\t\t | \n\t\t\t\n\t\t\t Construction noise will be limited to restricted times agreed to in the permit \n\n\t\t\tDuring operations the engine covers of generators, air compressors and other powered mechanical equipment shall be closed, and equipment placed as far away from residential areas as possible \n\t\t\t | \n\t\t|
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Water Quality \n\t\t\t | \n\t\t\t\n\t\t\t The site will establish appropriate erosion and sediment control measures such as e.g. hay bales and / or silt fences to prevent sediment from moving off site and causing excessive turbidity in nearby streams and rivers. \n\t\t\t | \n\t\t|
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Waste management \n\t\t\t | \n\t\t\t\n\t\t\t Waste collection and disposal pathways and sites will be identified for all major waste types expected from demolition and construction activities. \n\n\t\t\tMineral construction and demolition wastes will be separated from general refuse, organic, liquid and chemical wastes by on-site sorting and stored in appropriate containers. \n\n\t\t\tConstruction waste will be collected and disposed properly by licensed collectors \n\n\t\t\tThe records of waste disposal will be maintained as proof for proper management as designed. \n\n\t\t\tWhenever feasible the contractor will reuse and recycle appropriate and viable materials (except asbestos) \n\t\t\t | \n\t\t|
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t B. Individual wastewater treatment system \n\t\t\t | \n\t\t\t\n\t\t\t Water Quality \n\t\t\t | \n\t\t\t\n\t\t\t The approach to handling sanitary wastes and wastewater from building sites (installation or reconstruction) must be approved by the local authorities \n\n\t\t\tBefore being discharged into receiving waters, effluents from individual wastewater systems must be treated in order to meet the minimal quality criteria set out by national guidelines on effluent quality and wastewater treatment \n\n\t\t\tMonitoring of new wastewater systems (before/after) will be carried out \n\n\t\t\tConstruction vehicles and machinery will be washed only in designated areas where runoff will not pollute natural surface water bodies. \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t C. Historic building(s) \n\t\t\t | \n\t\t\t\n\t\t\t Cultural Heritage \n\t\t\t | \n\t\t\t\n\t\t\t If the building is a designated historic structure, very close to such a structure, or located in a designated historic district, notification shall be made and approvals/permits be obtained from local authorities and all construction activities planned and carried out in line with local and national legislation. \n\n\t\t\tIt shall be ensured that provisions are put in place so that artifacts or other possible “chance finds” encountered in excavation or construction are noted and registered, responsible officials contacted, and works activities delayed or modified to account for such finds. \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t D. Acquisition of land \n\t\t\t | \n\t\t\t\n\t\t\t Land Use Criteria \n\t\t\t | \n\t\t\t\n\t\t\t No land will be involuntarily acquired \n\n\t\t\tAny land donations must meet Voluntary Land Donation criteria (see Annex 11 checklist) \n\n\t\t\tLand can be purchased, or leased, on a willing buyer-willing seller basis \n\n\t\t\tWorks will utilize vacant government land, occur within existing footprint, or follow right-of-way or easements \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t E. Toxic Materials \n\t\t\t | \n\t\t\t\n\t\t\t Asbestos management \n\t\t\t | \n\t\t\t\n\t\t\t If asbestos is located on the project site, it shall be marked clearly as hazardous material \n\n\t\t\tWhen possible the asbestos will be appropriately contained and sealed to minimize exposure \n\n\t\t\tThe asbestos prior to removal (if removal is necessary) will be treated with a wetting agent to minimize asbestos dust \n\n\t\t\tAsbestos will be handled and disposed by skilled & experienced professionals \n\n\t\t\tIf asbestos material is be stored temporarily, the wastes should be securely enclosed inside closed containments and marked appropriately. Security measures will be taken against unauthorized removal from the site. \n\n\t\t\tThe removed asbestos will not be reused \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Toxic / hazardous waste management \n\t\t\t | \n\t\t\t\n\t\t\t Temporarily storage on site of all hazardous or toxic substances will be in safe containers labeled with details of composition, properties and handling information \n\n\t\t\tThe containers of hazardous substances shall be placed in a leak-proof container to prevent spillage and leaching \n\n\t\t\tThe wastes shall be transported by specially licensed carriers and disposed in a licensed facility. \n\n\t\t\tPaints with toxic ingredients or solvents or lead-based paints will not be used \n\t\t\t | \n\t\t|
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t F. Disposal of medical waste \n\t\t\t | \n\t\t\t\n\t\t\t Infrastructure for medical waste management \n\t\t\t | \n\t\t\t\n\t\t\t In compliance with national regulations the contractor will insure that newly constructed and/or rehabilitated health care facilities include sufficient infrastructure for medical waste handling and disposal; this includes and not limited to: \n\n\t\t\tSpecial facilities for segregated healthcare waste (including soiled instruments “sharps”, and human tissue or fluids) from other waste disposal; and \n\n\t\t\tAppropriate storage facilities for medical waste are in place; and \n\n\t\t\tIf the activity includes facility-based treatment, appropriate disposal options are in place and operational \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t G Traffic and Pedestrian Safety \n\t\t\t | \n\t\t\t\n\t\t\t Direct or indirect hazards to public traffic and pedestrians by construction | \n\t\t\t\n\t\t\t In compliance with national regulations the contractor will ensure that the construction site is properly secured, and construction related traffic regulated. This includes but is not limited to \n\n\t\t\tSignposting, warning signs, barriers and traffic diversions: site will be clearly visible, and the public warned of all potential hazards; \n\n\t\t\tTraffic management system and staff training, especially for site access and near-site heavy traffic. \n\n\t\t\tProvision of safe passages and crossings for pedestrians where construction traffic interferes. \n\n\t\t\tAdjustment of working hours to local traffic patterns, e.g. avoiding major transport activities during rush hours or times of livestock movement \n\n\t\t\tActive traffic management by trained and visible staff at the site, if required for safe and convenient passage for the public. \n\n\t\t\tEnsuring safe and continuous access to office facilities, shops and residences during renovation activities, if the buildings stay open for the public. \n\t\t\t | \n\t\t
| \n\t\t\t H. \n\n\t\t\tManagement of existing sanitation facilities \n\n\t\t\t\n\t\t\t | \n\t\t\t\n\t\t\t Dismantling of an existing sanitary facility \n\t\t\t | \n\t\t\t\n\t\t\t Under the terms and conditions of sanitary and epidemiological requirements on construction and operation of sanitary facilities in public institutions and based on national regulations, Contractor ensures health and safety measures at the construction site during the dismantling of the existing toilet building, cleaning and decontamination of the pit latrines. \n\n\t\t\t\n\n\t\t\t Refuse treatment, cleaning and disposal of sewage from cesspools should be carried out by special equipment (sewer machine), qualified and experienced specialists. \n\t\t\t | \n\t\t|
| \n\t\t\t | \n\t\t\t | \n\t\t\t | \n\t\t |
\n\n
\n\n
PART D: Environmental and Social Monitoring Plan (SAMPLE)
\n\n| \n\t\t\t Activity \n\t\t\t | \n\t\t\t\n\t\t\t What \n\n\t\t\t(Is the parameter to be monitored?) \n\t\t\t | \n\t\t\t\n\t\t\t Where \n\n\t\t\t(Is the parameter to be monitored?) \n\t\t\t | \n\t\t\t\n\t\t\t How \n\n\t\t\t(Is the parameter to be monitored?) \n\t\t\t | \n\t\t\t\n\t\t\t When \n\n\t\t\t(Define the frequency / or continuous?) \n\t\t\t | \n\t\t\t\n\t\t\t Why \n\n\t\t\t(Is the parameter being monitored?) \n\t\t\t | \n\t\t\t\n\t\t\t Who \n\n\t\t\t(Is responsible for monitoring?) \n\t\t\t | \n\t\t
| \n\t\t\t Civil works (construction/ \n\n\t\t\trehabilitation) \n\t\t\t | \n\t\t\t\n\t\t\t Parameters given in construction permit - all special conditions of construction issued by different bodies \n\t\t\t | \n\t\t\t\n\t\t\t Project documentation, \n\n\t\t\tConstruction permits \n\t\t\t | \n\t\t\t\n\t\t\t A part of regular inspection by \n\n\t\t\tPMU \n\t\t\t | \n\t\t\t\n\t\t\t During construction and prior to issuance of the Operation permit \n\t\t\t | \n\t\t\t\n\t\t\t Regular review stipulated in the construction permits to ensure compliance with the specified by national legislation and ESMP environmental requirements \n\t\t\t | \n\t\t\t\n\t\t\t Supervision by PMU Enviromental Engineer and Social Specialist \n\t\t\t | \n\t\t
| \n\t\t\t Dismantling/installing new electrical equipment/welding operations \n\t\t\t | \n\t\t\t\n\t\t\t Labor safety \n\t\t\t | \n\t\t\t\n\t\t\t At the construction site (for dismantling or installing of equipment) \n\t\t\t | \n\t\t\t\n\t\t\t Visual observation and analysis of presented report on conducted works, accidents, if any, reports on conducted training \n\t\t\t | \n\t\t\t\n\t\t\t Before and during construction and per national requirements in terms of ensuring labour safety \n\t\t\t | \n\t\t\t\n\t\t\t Avoiding accidents and health impacts \n\t\t\t | \n\t\t\t\n\t\t\t PMU Enviromental Engineer \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Contractor \n\t\t\t | \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
\n\n
[1] Pay attention to physical, visual, hearing, sensorial, intellectual or learning impairments.
\n\n[2] The concept of Life Cycle Cost Analysis (LCCA) is recommended. The purpose of a LCCA is to give planners a detailed overview of disaggregated expenditure that enables improved targeting for future investment. Cost components of a LCCA can be found in Annex 4.
\n\n[3] Source WaterAid
"},{"id":"OP00120817","notice_type":"Request for Expression of Interest","noticedate":"15-Mar-2021","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2021-04-02T00:00:00Z","submission_deadline_time":"15:00","project_ctry_name":"India","project_id":"P148531","project_name":"Uttarakhand Health Systems Development Project","bid_reference_no":"IN-UKHFWS-215644-CS-QCBS","bid_description":"Selection of Consultancy Firm to arrange and conduct trainings of Staff at Healthcare Facilities in Uttarakhand under Uttarakhand Health Systems Development Project [UKHSDP]","procurement_group":"CS","procurement_method_code":"QCBS","procurement_method_name":"Quality And Cost-Based Selection","contact_address":"Danda Lakhond, P.O. Gujarada\nSahastradhara Road, Near IT Park, \nDehradun 248001","contact_ctry_name":"India","contact_email":"apd.ukhsdp@gmail.com","contact_name":"Prem Lal","contact_organization":"Uttarakhand Health and Family Welfare Society","contact_phone_no":"2607610","contact_web_url":"www.ukhsdp.org","submission_date":"2021-03-15T00:00:00Z","notice_text":"EPROCUREMENT NOTICE
REQUEST FOR EXPRESSIONS OF INTEREST
[CONSULTING SERVICES– FIRMS SELECTION]
INDIA – Uttarakhand Health Systems Development Project
Credit No: 5948-IN
Assignment Title : Selection of Consultancy Firm to conduct trainings of Staff of Various Healthcare Facilities at Various Locations in Uttarakhand under Uttarakhand Health Systems Development Project [UKHSDP]
Procurement Plan Reference Number: IN-UKHFWS-215644-CS-QCBS
The Government of Uttarakhand has received financing from the World Bank toward the cost of the Uttarakhand Health Systems Development Project [UKHSDP]. The Uttarakhand Health and Family Welfare Society [UKHFWS] which is the implementing agency for the UKHSDP intends to apply part of the proceeds for consulting services.
The Consulting Services [“the Services”] include Selection of Consultancy Firm to conduct trainings of Staff at Various Healthcare Facilities at Various Locations in Uttarakhand under Uttarakhand Health Systems Development Project [UKHSDP]
The Project now invites eligible consulting firms [“Consultants”] to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services.
Shortlisting Criteria: 1. A certificate of incorporation issued by the relevant Government registry confirming due incorporation and valid and legal existence of the Consultant.
Documents : Certificate of Incorporation
2. The applicant should have experience of completion of similar assignments of similar scale in the health or development sector in the last 5 years. In case of Joint Venture, the Joint Venture as a whole should demonstrate this capability.
Documents: The Consultant should have imparted similar training to at least 5,000 trainees in the last 5 years [list of contracts with details of trainees with their contact details to be enclosed with EOI].
3. The consultant should have trainers available to support such trainings at various locations in the State of Uttarakhand. In case of Joint Venture, the Joint Venture as a whole should demonstrate this capability.
Documents: The consultant shall provide evidence of having trainers available to conduct the required training. 4. Average annual turnover of the Consultant/Joint Venture during the last three financial years 2017-18, 2018-19, 2019-20 should be at least INR 10 Crore [INR Ten Crore] or USD 1369860 [USD One million Three hundred sixty nine thousand eight hundred and sixty] (as per the published Income Statement) Single firm must meet the requirement in full. In case of Joint Venture, combined the Joint Venture shall meet 100 % of the requirement.
Documents: Certificate from Chartered Accountant appointed by the company (of last 3 Financial Years (2017-18, 2018-19, 2019-20). |
A consultant will be selected in accordance with the Quality and Cost Based Selection [QCBS] method set out in the Consultant Guidelines.
The attention of interested Consultants is drawn to paragraph 1.9 of the World Bank’s Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits and Grants by World Bank Borrowers, January 2011 and revised July 2014 [Consultant Guidelines”], setting forth the World Bank’s policy on conflict of interest.
The consultant must not, in any way, be affiliated with business entities that are currently providing or are seeking to provide goods or services to the project or be carrying out assignments under the project, as well as providing consulting services for assignments under the Project, that are conflicting in nature with the current assignment for which this REOI has been floated.
Consultants may associate with other firms in the form of a joint venture or a sub-consultancy to enhance their qualifications but should indicate clearly whether the association is in the form of a joint venture and/or a sub-consultancy. In the case of a joint venture, all the partners in the joint venture shall be jointly and severally liable for the entire contract, if selected.
To participate in the e-tendering process, a firm is required to register in the e-Procurement portal of Uttarakhand [https://www.uktenders.gov.in/nicgep/app] free of charge.
The Request for Expression of Interest [REOI] along with indicative Terms of Reference is available online at Uttarakhand e-Procurement : https://www.uktenders.gov.in/nicgep/app from March 18, 2021 to April 02, 2021 [up to 15.00 hours IST] for viewing/downloading free of cost.
Expression of Interest [EOI] must be submitted online only at https://www.uktenders.gov.in/nicgep/app by or before April 02, 2021 [up to 1500 hours IST]. EOI submitted through any other mode shall not be entertained.
Further information can be obtained at the address below during office hours [i.e., 1000 to 1700 hours].
Project Director
Uttarakhand Health Systems Development Project
2nd Floor, Red Cross Building, Danda Lakhaund
Sahastradhara Road
Dehradun
Terms of Reference
Assignment Title: Selection of Consultancy Firm to conduct trainings of Staff of Various Healthcare Facilities at Various Locations in Uttarakhand under Uttarakhand Health Systems Development Project [UKHSDP]
Uttarakhand Health Systems Development Project [UKHSDP] is conceived as a strategic initiative to enhance people’s access to quality health care services in the state of Uttarakhand. The Project is co-financed by the World Bank and Government of Uttarakhand (GoUK) and implemented by Uttarakhand Health and Family Welfare Society [UKHFWS]. The project seeks to support Uttarakhand in improving access to quality health services and in providing health financial risk protection. Specifically, the project focuses on improving access to health services for the predominantly remote population of the state, through strengthening public and private health-delivery systems; promoting greater stewardship and managerial capacity in the health directorate; improving information systems; augmenting monitoring and research; and extending coverage of state health insurance scheme beyond hospitalization to include primary healthcare services.
The Project implementation period is six years (April 2017-March 2023) with total cost of US $87.50 million, out of which the World Bank will provide financial support of US $70 million and the GoUK will finance US $17.50 million. Project Development Objective (PDO) is to improve accesses to quality health services, particularly in the hilly districts of the state and to expand health financial risk protection for the residents of Uttarakhand. The project has two components: a] Innovations in engaging the private sector [for integrated service delivery and for health financing], and b] Stewardship and health systems improvement. A description of the activities under the two project components is provided below.
Project Components
Component 1. Innovations in engaging the private sector: Innovations in engaging the private sector in the delivery of healthcare services as well as in healthcare financing. This component expands access to services by creating integrated, technology-enabled health system architecture with enhanced focus and availability of primary care, emergency care and necessary referral services. It also endeavors to expand financial protection by defining a benefit package of primary care services for child and adolescent health care and for the management of non-communicable diseases.
Component 2. Stewardship and system improvement: This component strengthens the government’s capacity to engage effectively with the private sector, and therefore, to enable the government to provide effective stewardship to improve the quality of services in the entire health system and particularly in its capacity to effectively pursue the innovations being planned under this project. The component focuses on strengthening the institutional structures for stewardship and service delivery and augmenting the state’s human resource capacity, so that the necessary skill sets required for effective implementation of the project and the state’s health programs are available. The strengthened capacity is expected to serve beyond the activities of this project, as it will contribute to the government’s stewardship role for the health system. The project supports research and evidence generation, use of evidence for strategic planning, and improved information systems for data generation and management, including timely feedback to providers. It also supports Facilities Assessment as well as contracting of agencies on a turnkey basis to support the attainment of NABH quality standards in identified public health facilities in the state. Finally, the component promotes a multidisciplinary approach that strengthens the ability of the health system to respond to seasonal and context-specific needs. Project management costs are also financed from this component.
UKHSDP emphasizes quality of care for health services provided. While structural input such as infrastructure, equipment and drugs are important, knowledge and skills of the health workforce are even more impactful to ensure competent care and a positive user experience. Hence, training and skill building (including clinical knowledge, awareness of expected changes in roles/responsibilities) for the health care staff is important in empowering and enabling them to perform their duties in a manner which leads to improved quality of care and patient outcomes.
In order to improve performance of health care facility staff and healthcare managers, provision of adequate training and skills upgrading is an important first step. The training needs assessment (TNA)for various health care staff of the state was recently conducted under UKHSDP and a capacity building strategy for the state was finalized suggesting important recommendations and additional training requirements apart from existing clinical skill trainings[1]conducted by the state government (attached as Annexure 1). Gaps in desired and actual output of clinical and other trainings being conducted by state (Department of Health) can be bridged and augmented by various peripheral skill enhancing trainings proposed in UKHSDP. These trainings will not only encourage and empower the staff for various skills but will also seed certain additional skills like communication, decision making and management skills, interpersonal skills, medico-legal ethics, finance and budgeting skills among the healthcare staff and managers which will enhance the absorption and implementation of the state’s training strategy. The training needs assessment clearly highlighted the need for specific training programs for each level/category of staff at health facilities and in administration - please see Table 1- indicating the relevant training needs in Uttarakhand.
Table 1: The relevant training needs as identified from gap assessment for training needs for health care staff in the state
SN | Types of Training | Category | Duration (days) | Batch Size | No of Trainees | Total Batches | Total Training Days | Venue |
1 | Strategic and Coordinated Management, Monitoring, Reporting, HR management | |||||||
1 | Orientation Training | State PMU, MOs, DPMs, Nurses, Pharmacists, FLWs | 5 | 30 | 3500 | 117 | 583 | Regional Level |
| Refresher Training | 2 | 30 | 3500 | 117 | 233 | District/Block Level | |
2 | Liaising and Communication Skills | |||||||
2 | Orientation Training | CMO, ACMO, administrative officers, DPM , MO, Nurse, Technicians, Pharmacists, FLWS, ASHAs | 5 | 30 | As above |
|
| District/ Block Level |
| Refresher Training | 2 | 30 | As above |
|
| District/Block Level | |
3 | Leadership, Motivation and Teamwork Skills | |||||||
Orientation Training | MO, Nurse, Technician, Pharmacist, FLWS, ASHAs | 4 | 30 | As above |
|
| District/ Block Level | |
| Refresher Training | 2 | 30 | As Above |
|
| District/ Block Level | |
4 | Medico-Legal & Ethics | |||||||
| Orientation Training | MOs, Nurses, Pharmacists, Medical Technicians | 3 | 30 | As Above |
|
| District/Block Level |
| Refresher Training | 1 | 30 | As above |
|
| District/Block Level | |
5 | Overview of Quality of Care | |||||||
| Orientation Training | CMO, ACMO, administrative officers, DPM , MOs, Nurses, Pharmacist, Medical Technicians, FLWs, GDA | 4 | 30 | 3500 | 117 | 468 | District/ Block Level |
| Refresher Training | 2 | 30 | 3500 | 117 | 233 | District/ Block Level | |
6 | Disaster Preparedness & Response | |||||||
| Orientation Training | MOs, Nurses, Pharmacists, Medical Technicians, FLWs, GDA | 3 | 30 | 3500 | 117 | 351 | District/ Block Level |
| Refresher Training | 1 | 30 | 3500 | 117 | 117 | District/Block Level | |
7 | Finance and Budgeting | |||||||
| Orientation Training | MOs, Account Officer
| 3 | 30 | 2000 | 67 | 200 | District/ Block Level |
| Refresher Training | 1 | 30 | 2000 | 67 | 67 | District/ Block Level |
It is in this context that the UKHFWS intends to conduct training and build skills pertaining to the above areas among the healthcare facility staff and administrators in the state. Please see Table-2 below for details on number of healthcare facilities and the corresponding number of healthcare workers in the state of Uttarakhand.
Table-2: Indicative Staffing Pattern of Healthcare Facilities in Uttarakhand
SN | ESTIMATED [TYPICAL] NUMBER OF PERSONNEL PER HEALTHCARE FACILITY |
| |||||||||||
Type of Healthcare Facilities / Healthcare Personnel | District Hospital 12 Nos | District Hospital [Female] 6 Nos | Base Hospital 3 Nos | Combined Hospital 10 Nos | Mental Hospital 1 No | CHCs 86 Nos | Block PHCs 27 Nos | PHCs 20 | APHCs 211 | Sub-Centers 2,054 | Total Personnel | ||
Officers from the State and District Directorate /CMO Offices and National Health Mission | 75 | ||||||||||||
Medical Officer | 10 | 3 | 7 | 7 | 3 | 5 | 2 | 2 | 1 | 0 | 1903 | ||
Medical Officer [AYUSH] | 2 | 0 | 0 | 0 | 0 | 2 | 2 | 0 | 0 | 0 | 250 | ||
Nurse | 12 | 6 | 6 | 6 | 6 | 4 | 0 | 0 | 0 | 0 | 1125 | ||
Pharmacist | 6 | 6 | 6 | 6 | 4 | 1 | 1 | 1 | 1 | 1 | 2588 | ||
Health Worker [M&F] | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 1 | 150 | ||
Health Assistant | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 0 | 344 | ||
Health Educator | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 27 | ||
Cold Chain & Vaccine logistic Assistant | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 258 | ||
Laboratory Technician | 3 | 2 | 2 | 2 | 2 | 1 | 1 | 1 | 0 | 0 | 209 | ||
X-Ray Technician | 3 | 2 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 0 | 161 | ||
Lab. Assistant | 2 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 44 | ||
Dark Room Assistant | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 32 | ||
Store Keeper | 1 | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 32 | ||
Dental Assistant | 1 | 0 | 1 | 1 | 0 | 1 | 0 | 0 | 0 | 0 | 111 | ||
Nursing Orderly | 4 | 4 | 2 | 2 | 2 | 0 | 0 | 0 | 0 | 0 | 100 | ||
ECG Technician | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 31 | ||
Audio-metrician | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | ||
Dietician | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 31 | ||
Physiotherapist | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | ||
Counselor | 2 | 2 | 1 | 1 | 2 | 1 | 0 | 0 | 0 | 0 | 137 | ||
Electrician | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12 | ||
Blood Bank Storage Technician | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 31 | ||
Hospital Administration | 1 | 1 | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 31 | ||
Optometrist | 1 | 0 | 1 | 1 | 0 | 1 | 1 | 0 | 0 | 0 | 138 | ||
Clerk | 3 | 2 | 2 | 2 | 2 | 1 | 1 | 0 | 0 | 0 | 189 | ||
Date Entry Operator | 2 | 2 | 2 | 2 | 2 | 2 | 1 | 0 | 0 | 0 | 263 | ||
Ward Boy | 6 | 4 | 4 | 4 | 4 | 2 | 1 | 1 | 1 | 0 | 582 | ||
GRAND TOTAL | 8,878 | ||||||||||||
The UKHFWS under UKHSDP proposes to hire an agency or a consortium for this capacity building exercise.
The overarching objective of this assignment is to equip all categories of healthcare professionals and workers in Uttarakhand with the latest tailored knowledge and skills required to become fully capable of observing and implementing safe and optimal healthcare service provision of high quality to the beneficiaries of the state including Project Management Strategic and Coordinated Planning, Monitoring, Reporting, HR management, Liaising and Communication Skills, Leadership, Motivation and Teamwork Skills, Medico-Legal Practices, Quality of Care, Disaster preparedness response and Finance and Budgeting to equip all categories of healthcare workers to become more effective in their jobs.
The selected firm will design training materials and deploy multiple training strategies and modalities including workshops, classroom sessions, audio-visual features, exposure visits and practical work experience. Although the preferred mode of training is physical training across health care facilities among various categories of staff yet it is expected that taking into consideration the current COVID-19 situation, the selected firm will abide by the necessary precautionary measures and guidelines while implementing the training plan and work on online model of training (if necessary) in order to impart effective training and capacity building output over thematic areas described under table 1. This capacity building exercise is expected to contribute directly to the UKHFWS efforts aimed at improving compliance to the latest guidelines as per concerned authority.
Depending upon the roles of different healthcare worker categories, the said capacity building activity is expected to entail a specific mix of some or all the following details depending upon the work profile of targeted health facility staffs: content detail, training materials, case studies/examples, as well as the format of delivery. It should also include a list of intended trainees and agencies/stakeholders to be targeted under each training topic. Design the content and format for each of the topics provided below to be covered by the program. The capacity building effort for each topic is expected to provide in-depth and practical knowledge and information to participants as per the table below.
Table 3: List of overall scope of services including staff, objective, and content under the consultancy
Staff to be trained under training | Objective | Suggested Contents to be emphasized |
I. Project Management Strategic and Coordinated Planning, Monitoring, Reporting, HR management | ||
State Administration, CMO, ACMO, administrative officers, MOs, DPOs, DPMs, Nurses, Pharmacists, FLWs
| Instill key program and project planning techniques
|
|
II. Liaising and Communication Skills | ||
CMO, ACMO, administrative officers, DPM , MO, Nurse, Technicians, Pharmacists, FLWS, ASHAs
| Instill key communication and liasoning techniques
|
|
III. Leadership, Motivation and Teamwork Skills | ||
CMO, ACMO, administrative officers, DPM , MOs, Nurses, Pharmacists, ANMs | Provide skills and techniques to develop team, increase motivation, manage organizational change, and understand and communicate with people
|
|
IV Medico-Legal Practices | ||
MOs, Nurses, Pharmacists, ANMs
| Instill basic program and project planning techniques
|
|
V Quality of Care | ||
CMO, ACMO, administrative officers, DPM, MOs, Nurses, Pharmacists, Medical Technicians, FLWs, GDA
| Instill knowledge of quality of care, including QA protocols and procedures
|
|
VI Disaster Preparedness & Response | ||
MOs, Nurses, Pharmacists, Medical Technicians, FLWs, GDA
| Instill basic programme and project planning techniques
|
|
VII Finance and Budgeting | ||
Accounts Officers, Programme Managers and Administrators
| Instill basic programme and project planning techniques
|
|
The selected firm is expected to design appropriate capacity building programs based on the above training needs for each worker category shown in Table-2. Training sessions are expected to be scheduled and implemented in a manner that ensures full coverage of entire healthcare facility staff all over the state of Uttarakhand.
The selected firm is expected to set up local coordination office[s] at appropriate location[s] in Uttarakhand and post appropriate resident staffs till completion of the capacity building activity in consultation with UKHSDP.
The Training is expected to be carried out at Regional, District and Block Levels; however, in case physical training is not feasible due to COVID-19 pandemic, virtual training options should also be explored. There are 2 Regions [Kumaon and Garhwal], 13 Districts and 95 Blocks in the State of Uttarakhand. The training duration and the batch size should not exceed as mentioned in table 1 above to maximize the benefits of the training.
The cadre of trainees can broadly be categorized into the following 4 categories:
The tasks to be undertaken by the Consultant in consultation with the Project Implementation Team [PIT] of the UKHFWS include but are not limited to the following:
The expected duration of the assignment is 24 months from date of contract signature. The performance of the Consultant will be formally evaluated after 6 months to assess if the Consultant’s contract should be continued or not. (Please see table 1)
The selected firm shall submit the following reports on deliverables as per table below to UKHFWS as per timelines stipulated below:
S. No. | Description of Deliverable | Proposed Timeline | Payment as % of Contract Value |
1. | Submission of the Inception Report acceptable to the Client | Within 2 Weeks of Contract Signature | 5 |
2. | Submission of Monthly progress report | To be submitted on regular basis by first week of each Month |
|
3. | Submission and acceptance by the client of the field-tested training modules for each category of trainee in English and Hindi | Within 2 months from acceptance by the Client of Inception Report | 15 |
4. | Physical/Virtual Orientation of CMOs and CMS at Zonal HQ Level | Within 6 weeks of acceptance by the Client of Field-Tested Training Modules by the Client | This is a mandatory step between deliverables at S. Nos. 3 and 4. |
5. | Submission of Completion Report on Each Training of 4 Districts with at least 90 % participants across all categories of Trainees | Within 6 months of contract signature date and its acceptance by the Client | 20% of the respective training cost |
6. | Submission of Completion Report on Each Training of another 3 Districts with at least 90 % participants across all categories of Trainees | Within 12 months of contract signature date and its acceptance by the Client | 15% of the respective training cost |
7. | Submission of Completion Report on Each Training of another 3 Districts with at least 90 % participants across all categories of Trainees | Within 18 months of contract signature date and its acceptance by the Client | 15% of the respective training cost |
8. | Submission of Completion Report on Each Training of another 3 Districts with at least 90 % participants across all categories of Trainees | Within 20 months of contract signature date and its acceptance by the Client | 15% of the respective training cost |
9. | Submission of Completion Report on Each Training the Balance/Remaining participants with at least 90% across all categories of Trainees and Final Completion Report Acceptable to the Client | Within 24 months of contract signature date and its acceptance by the Client | 15% of the respective training cost |
UKHFWS will assess the demonstrated experience and capacity of interested consulting firms applying for this assignment. The assignment requires a firm with experience/background in the areas of [i] health care training; [ii] health consultancy; and [iii] program planning, budgeting and monitoring consultancy etc.
The selected firm will be expected to deploy sufficient amount of manpower required to successfully deliver the tasks. An indicative manpower requirement for the assignment of entire 24 months must include key and non-key experts of suitable qualifications and experience for the key positions tabulated below.
While evaluating Technical proposals, CVs of the Key Experts proposed by the Consultant will be evaluated with respect to the indicative qualification and experience specified for each position in the above Table 5.
Table 4 Minimum Qualifications Desired and Indicative Experience of Key Experts
S. No. | Key Position and Number | Desired Role | Minimum Qualification and Desired Professional Experience
| Estimated person Months |
K1 | Team Leader [1 No] | The person will have the overall responsibility of ensuring quality, timeliness and for ensuring satisfactory completion of deliverables within stipulated timelines | S/he should be at least a post-graduate like Public Health//Hospital Management/ Social Work or equivalent discipline with at least 10 years’ overall experience, 5 years of which should be in strategic health trainings. Specialization or extensive practical experience in training related to health sector will be a desirable qualification. A diploma or degree in Management is desirable. | 2 |
K2 | Training Technical Specialist [2 Nos] | These persons will be responsible for preparation and field testing of standardized training modules, supervising and ensuring timeliness and quality of technical content of all trainings | They should be a post-graduate in Public Health/ Hospital Administration program planning, budgeting and monitoring or equivalent discipline with at least 5 years’ overall experience including experience in health/medical trainings | 24 cumulative for both key positions |
K3. | Capacity Building Specialist [7 Nos] | This person will be responsible for developing and monitoring of training calendar, training Regional Trainers and District Level Trainers, preparing formats for evaluation of training, Preparation completion report on each training conducted for each cadre of staff across districts and blocks, and providing guidance to Regional Training Coordinators | The person should be a post-graduate in management/public health/ medical allied fields or in any allied discipline(Please check table 1-core areas of specialization).
Experience: At least 5 years’ proven experience in Capacity Building, having planned, designed, organized, undertaken and coordinated at least 3 large-scale capacity building initiatives involving more than 3,000 trainees. Experience in training related to health sector will be desirable. | 42 person-months cumulative for both |
| 10 |
|
| 68 Persons man-months |
Table 5 Minimum Qualification Desired and Indicative Experience of Non-Key Experts
S. No. | Key Position and Number | Desired Role | Minimum Qualification and Desired Professional Experience
| Estimated Person Months |
NK1
| Regional Training Coordinators [2Nos]
Note: required only for physical mode of training | These persons will be managing and organizing logistics of trainings under the guidance of Capacity Building Specialist | They should be graduates in any discipline with at least 2 years’ experience in organizing and coordinating Capacity Building activities involving more than 1,000 trainees | 42 cumulative for all |
NK2 | Master Trainers (14)] | These persons will responsible for conducting training for all cadres at all levels | They should be a post-graduate in program planning, budgeting and monitoring or equivalent discipline with at least 3 years’ overall experience including in training related to health sector.
Experience securing NABH accreditation for hospitals is desirable. | 112 cumulative for all |
Total | 16 |
|
| 154 persons man-months |
Reporting Progress
The selected firm needs to submit progress reports to the UKHFWS as follows:
The GoUK (PIT UKHSDP) will provide the list of Trainees with details such as name, contact number, email address, location, etc. and facilitate/arrange the meetings/consultations with government counterparts and health care facilities in-charge, and will coordinate with the Block level to facilitate training on the proposed training date as per the training calendar.
Joint Director (Health System Strengthening) PIT of the UKHFWS will monitor and coordinate the training activities of the selected consultant. JD HSS will closely follow up with the Consultant and provide necessary guidance during the assignment. JD HSS will provide all the necessary support to the Consultant and ensure access to relevant stakeholders. This support includes provision of relevant information and documents, facilitation of contact, enterprises and other stakeholders, and organization of meetings.
All materials and documentation during the assignment will be the sole property of UKHFWS.
Annexure I
Existing clinical skill trainings[2]conducted by the state government
Sl. No. | Training Particulars | Sl. No. | Training Particulars |
Maternal Health Trainings |
| Child Health Trainings | |
1 | Maternal Death Review | 1 | IMNCI |
2 | Onsite monitoring delivery points /Nursing institutions/ Nursing school | 2 | Orientation on IDCF/ARI (Pneumonia) |
3 | TOT for skill Lab | 3 | 6 weeks training at State Nodal Center |
4 | Training at skill Lab | 4 | Orientation on activities on vitamin A supplementation and Anemia Mukta Bharat Programme |
5 | TOT for SBA | 5 | Child Death review training |
6 | Training of staff Nurses/ ANMs/ LHV in SBA | 6 | Provision for State & District level (Training and workshop) |
7 | TOT for EMOC | 7 | TOT on IMNCI (pre service- in service) |
8 | Training of Medical Officer in EMOC | 8 | IMNCI training for AMN/LHVs |
9 | TOT for Anaesthesia skills training | 9 | TOT on F-IMNCI |
10 | Training of medical officer in life saving Anaesthesia skills | 10 | F-IMNCI training for Medical Officer |
11 | Training of Medical Officers in ATLS/BLS Trg. | 11 | F-IMNCI training for Staff Nurse |
12 | TOT for safe abortion services | 12 | Training on Facility based management of service acute malnutrition(including refresher) |
13 | Training of medical officers in safe abortion | 13 | TOT for NSSK |
14 | TOT for RTI/STI training | 14 | NSSK training for Medical Officers |
15 | Training of laboratory technicians in RTI/STI | 15 | NSSK training for SNs |
16 | Training on ANM/Staff nurses in RTI/STI | 16 | NSSK training for ANMs |
17 | Training on Medical Officer in RTI/STI | 17 | 4 days training for facility based newborn care |
18 | TOT for BMOC training | 18 | 2 weeks observer ship for facility based newborn care |
19 | BMOC training for Mos/LMOs | 19 | 4 Days training for IYCF for Mos, SNs, ANMs, all DPs, and SCs |
20 | DAKSHATA training | 20 | Orientation on National Deworming Day |
21 | TOT for DAKSHATA | 21 | TOT (MO, SN) For family participatory Care (KMC) |
22 | Onsite Monitoring for DAKSHATA | 22 | Training for family participatory care (KMC) |
23 | Lakshaya training /workshops | 23 | Newborn Stabilization training package for Medical Officer and Staff Nurses |
24 | Training for Mos/SNs | 24 | Other Child Health Training |
25 | Onsite Monitoring at delivery points | 25 | NRC (Nutritional Rehabilitation Center Training) |
26 | Training of Nurse Practitioners in midwifery |
| Adolescent Health Trainings |
27 | Other maternal health training | 1 | Dissemination workshop under RKSK |
Family Planning Training | 2 | TOT for Adolescent friendly Health service Trainings | |
1 | Orientation/ review of ANM/AWW as applicable for New Scheme, FP-LMIS, New contraceptives, post-partum and post abortion, family planning scheme for home delivery of contraceptive (HDC), Ensuring spacing at birth (ESB{wherever applicable}, pregnancy testing kits(ptk) | 3 | AFHS training of Medical Officers |
2 | Dissemination of FP manuals and guidelines (workshop only) | 4 | AFHS training of ANM/LHV/MPW |
3 | TOT on laparoscopic sterilization | 5 | Training of AH counsellors |
4 | Laparoscopic sterilization training for doctors (team of doctors, SN and OT assistant) | 6 | Training of Peer educators (District level) |
5 | Refresher training on laparoscopic sterilization | 7 | Training of Peer educators (Block level) |
6 | TOT on minilap | 8 | Training of Peer educators (Sub Block level) |
7 | Minilap training for medical officer | 9 | WIFS training (District) |
8 | Refresher training on Minilap Sterilization | 10 | WIFS training (block) |
TOT on NSV | 11 | MHS Training (District) | |
9 | NSV training of Mos | 12 | MHS Training (block) |
10 | Refresher Training on NSV sterilization |
| Programme Management Training (e.g. M&E, Logistics Management, HRD, etc.) |
11 | TOT (IUCD insertion training) | 1 | Training of SPMU Staff |
12 | Training on Medical officer (IUCD insertion training) | 2 | Other Training |
13 | Training of AYUSH doctors (IUCD insertion training) |
| Intensification of School Health Activities |
14 | Training of Nurse (Staff Nurse/LHV/ANM) (IUCD insertion training) | 1 | Training of Master trainers at district and block level |
15 | TOT (PPIUCD insertion training) | 2 | Training of two nodal teachers per school |
16 | Training of Medical officers (PPIUCD insertion training) | 3 | Any other |
17 | Training of AYUSH doctors (PPIUCD insertion training) |
| Account Training |
18 | Training of Nurse (Staff Nurse/LHV/ANM) (PPIUCD insertion training) | 1 | Public Finance Management (PFMS) Training for Accounts personnel |
19 | Training for post abortion family planning |
| RBSK Trainings |
20 | Training of RMNCH+A/FP Counsellors | 1 | RBSK Trainings- trainings of mobile health team-technical and managerial (5 days) |
21 | TOT (Injectable Contraceptive Trainings) | 2 | RBSK DEIC Staff Training (15 Days) |
22 | Training of Medical Officers (injectable Contraceptive Trainings) | 3 | One Day orientation for MO/ other staff Delivery points (RBSK trainings) |
23 | Training of AYUSH Doctors (Injectable Contraceptive Trainings) | 4 | Training/ Refresher training - ANM (one day) (RBSK trainings) |
24 | Training of Nurse (Staff Nurse/LHV/ANM) (Injectable Contraceptive Trainings) | 5 | Other RBSK training |
25 | Training of Logistic Personnel on injectable Contraceptive |
| Training for Blood Services & Disorder |
26 | Oral Pills Trainings | 1 | Blood bank/blood storage Unit (BSU) training |
27 | Contraceptive update seminar/ meeting | 2 | Training for Haemoglobino-pathies |
28 | FP-LMIS Trainings | 3 | Any other |
29 | Other Family Planning Trainings |
| Training under NVBDCP |
Training under NPPCD | 1 | Training / capacity building (Malaria) | |
1 | Training at District Hospital | 2 | Training /workshop (Dengue ad Chikungunia) |
2 | Training of PHC medical officer, Nurse, Paramedical workers& other health Staff under NPPC | 3 | Capacity building (AES/JE) |
3 | Any other | 4 | Training specific for JE prevention and management |
Training under NPPCF | 5 | Other Charges for Training/workshop meeting (AES/ JE) | |
1 | Training of medical and paramedical personal at district level under NPPCF | 6 | Training / sensitization of district level officers on ELF and drug distributors including peripheral health workers (AES/JE) |
2 | Any other | 7 | Training under MVCR |
Training under Routine Immunization | 8 | Any other | |
1 | Training under Immunization |
| Training under NLEP |
2 | Any other | 1 | Capacity building under NLEP |
Training under IDSP | 2 | Any other | |
1 | Medical Officer (1 day) |
| Training under RNTCP |
2 | Medical collage doctor (1day) | 1 | Training under RNTCP |
3 | Hospital Pharmacists/Nurses Training (1 day) | 2 | CME (Medical Collage) |
4 | Lab Technicians (3 days) | 3 | Any other |
5 | Data managers (2 days) |
| Training under NPCB |
6 | Data entry Operations cum Accountant (2 days) | 1 | Training of PMOA under NPCB |
7 | ASHA & MPWS, AWW & community volunteers (1 day) | 2 | Any other |
8 | One day training for data entry and analysis for block Health Team (including block programming manager) |
| Training under NMHP |
9 | Any other | 1 | Training of PHC medical officers, Nurses, Paramedical workers & other health Staff working under NMHP |
PMU Training | 2 | Any other | |
1 | Training on Finance |
| Training under NPHCE |
2 | Training in on HR | 1 | Training of Doctors and Staff from CHC and PHC under NPHCE |
3 | Any other | 2 | Training per CHC under NPHCE |
Training of DPMSU | 3 | Training per PHC under NPHCE (IEC to be budgeted) | |
1 | Training on Finance | 4 | Any other |
2 | Training on HR |
| Training under NTCP |
3 | Any other | 1 | Training for district Tobacco Control Center |
Training of BPMSU | 2 | Orientation of stakeholder organization | |
1 | Training on Finance | 3 | Training of Health Professionals |
2 | Training on HR/ | 4 | Orientation of Law enforcers |
3 | Any other | 5 | Other training /orientation -sessions incorporated in other trainings |
PNDT Training |
| Training for State Tobacco Control Centre | |
1 | PC/PNDT training | 1 | State Level Advocacy Workshop |
2 | Any other | 2 | Training of Trainers, Refresher Trainings |
ASHA Facilitators/ ARC Trainings | 3 | Training on Tobacco cessation for health care providers | |
1 | Training of District Trainers | 4 | Law enforces training / sensitization programme |
2 | Capacity Building of ASHA Resource Center | 5 | Any other |
3 | HR at State Level (PM & HR only) |
| Training under NPCDCS |
4 | HR at District Level (PM & HR only) | 1 | State NCD cell |
5 | HR at Block Level | 2 | District NCD cell |
6 | Any other | 3 | Training for Universal Screening for NCDs |
Training on Outreach Services | 4 | Any other | |
1 | Trainings / orientation (MMU) |
| Any other Trainings |
2 | Trainings / orientation (MMV) | 1 | PGDHM Courses |
3 | Trainings / orientation (Ambulance) | 2 | Training (Implementation of Clinical Establishment Act) |
4 | Any other | 3 | Promotional Training of ANMs to lady health visitor, etc. |
Training under AYUSH | 4 | Training of ANMs, Staff Nurses, AWW, AWs | |
1 | Training under AYUSH |
| IMEP Training |
2 | Any other | 1 | TOT on IMEP |
Quality Assurance Trainings | 2 | IMEP training for State and district programme managers | |
1 | Quality Assurance Training | 3 | IMEP training for medical officers |
2 | Miscellaneous Activities | 4 | Other |
3 | Kayakalp Training |
| Trainings for Health & Wellness centre (H & WC) |
4 | Any Other | 1 | Bridge Course/ Training on the Standard Treatment protocols |
HMIS/MCTS Training | 2 | Multi-skilling of ANMs ASHA, MPW | |
1 | Training cum review meeting for HMIS & MCTS state level | 3 | BSc Community Health/Bridge Course for MLPs for CPHC |
2 | Training cum review meeting for HMIS & MCTS district level | 4 | Any other |
3 | Training cum review meeting for HMIS & MCTS at Block Level |
|
|
4 | Any other |
|
|
[1] The state government, through it various technical agencies and directorates, continues to provide clinical training programs. The TNA has identified some areas of improvements in these clinical trainings as well; however, those will be addressed separately through technical agencies and directorates and is not part of this TOR.
[2] The state government, through it various technical agencies and directorates, continues to provide clinical training programs. The TNA has identified some areas of improvements in these clinical trainings as well; however, those will be addressed separately through technical agencies and directorates and is not part of this TOR.
"},{"id":"OP00118642","notice_type":"Request for Expression of Interest","noticedate":"25-Feb-2021","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2021-03-20T00:00:00Z","submission_deadline_time":"15:00","project_ctry_name":"India","project_id":"P148531","project_name":"Uttarakhand Health Systems Development Project","bid_reference_no":"IN-UKHFWS-209982-CS-QCBS","bid_description":"Development, Deployment, Management, Training and Capacity Building of Telemedicine Solution, for the identified Health Centers of Government of Uttarakhand under the Uttarakhand Health Systems Development Project","procurement_group":"CS","procurement_method_code":"QCBS","procurement_method_name":"Quality And Cost-Based Selection","contact_address":"Danda Lakhond, P.O. Gujarada\nSahastradhara Road, Near IT Park, \nDehradun 248001","contact_ctry_name":"India","contact_email":"apd.ukhsdp@gmail.com","contact_name":"Prem Lal","contact_organization":"Uttarakhand Health and Family Welfare Society","contact_phone_no":"+91 9411330362","contact_web_url":"www.ukhsdp.org","submission_date":"2021-02-25T00:00:00Z","notice_text":"EPROCUREMENT NOTICE
\n\nREQUEST FOR EXPRESSIONS OF INTEREST
\n\n[CONSULTING SERVICES – FIRMS SELECTION]
\n\nINDIA – Uttarakhand Health Systems Development Project
\n\nCredit 5948-IN
\n\nAssignment Title: Development, Deployment, Management, Training and Capacity Building of Telemedicine Solution, for the identified Health Centres of Government of Uttarakhand under the Uttarakhand Health Systems Development Project using Hub [4] and Spoke [400] Model
\n\nProcurement Plan Reference Number: IN-UKHFWS-209982-CS-QCBS
\n\nThe Government of Uttarakhand has received financing from the World Bank toward the cost of the Uttarakhand Health Systems Development Project [UKHSDP]. The Uttarakhand Health and Family Welfare Society [UKHFWS] which is the implementing agency for the UKHSDP intends to apply part of the proceeds for consulting services.
\n\nThe Consulting Services [“the Services”] include Development, Deployment, Management, Training and Capacity Building of Telemedicine Solution, for the identified Health Centres of Government of Uttarakhand under the Uttarakhand Health Systems Development Project using Hub [4] and Spoke [400] Model.
\n\nThe Project now invites eligible consulting firms [“Consultants”] to indicate their interest on-line on eProcurement portal of Government of Uttarakhand, https://www.uktenders.gov.in/nicgep/app , in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services.
\n\n| \n\t\t\t Shortlisting Criteria: \n\t\t\t | \n\t\t
| \n\t\t\t The consultant shall meet all the criteria (1 to 4) as listed below: \n\t\t\t | \n\t\t
| \n\t\t\t 1. A certificate of incorporation issued by the relevant Government registry confirming due incorporation and valid and legal existence of the Consultant. \n\n\t\t\tDocuments : Certificate of Incorporation \n\t\t\t | \n\t\t
| \n\t\t\t 2. The Consultant must have a proven capability and demonstrate at least two similar projects in the last five years with regard to Development, Deployment, Management, Training and Capacity Building of Telemedicine Solution across healthcare facilities or networks of hospitals/healthcare facilities as on date of submission of Expression of Interest. In case of Joint Venture, the Joint Venture as a whole should demonstrates this capability. \n\n\t\t\tDocuments: \n\n\t\t\tSatisfactory Completion of Works Certificates from the client(s) confirming the year of work, scope of work and work order details; \n\n\t\t\tOR \n\n\t\t\tWork Order + Phase Completion Certificate from the client(s) for the ongoing “Live” projects with their scope of work \n\t\t\t | \n\t\t
| \n\t\t\t 3. The Consultant should have Positive Net Worth as on 31st March 2020. In case of Joint Venture, the Lead Member’s net worth shall be taken into consideration. \n\n\t\t\tDocuments: Audited and Certified Balance Sheet of last 3 Financial Years (2017-18, 2018-19, 2019-20) \n\n\t\t\tAND \n\n\t\t\tCertificate from Chartered Accountant and Authorized Signatory \n\t\t\t | \n\t\t
| \n\t\t\t 4. Average annual turnover of during the last three financial, i.e., years 2017-18, 2018-19, 2019-20 should be at least INR 5 Crores or US $ 684930 (as per the published Income Statement). \n\n\t\t\tSingle firm must meet the requirement in full. In case of JV, combined the JV shall meet 100 % of the requirement. \n\n\t\t\tDocuments: Certificate from statutory auditor appointed by the company of last 3 Financial Years (2017-18, 2018-19, 2019-20). \n\t\t\t | \n\t\t
\n\n
It may be noted that the selected consultant is expected to set up office in Uttarakhand in case it does not have one, which should be in operation before commencement of the assignment.
\n\nA consultant will be selected in accordance with the Quality and Cost Based Selection [QCBS] method set out in the Consultant Guidelines.
\n\nThe attention of interested Consultants is drawn to paragraph 1.9 of the World Bank’s Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits and Grants by World Bank Borrowers, January 2011 and revised July 2014 [“Consultant Guidelines”], setting forth the World Bank’s policy on conflict of interest.
\n\nConsultants may associate with other firms in the form of a joint venture or a sub-consultancy to enhance their qualifications but should indicate clearly whether the association is in the form of a joint venture and/or a sub-consultancy. In the case of a joint venture, all the partners in the joint venture shall be jointly and severally liable for the entire contract, if selected.
\n\nTo participate in the e-tendering process, a firm is required to register in the e-Procurement portal of Uttarakhand [https://www.uktenders.gov.in/nicgep/app] free of charge.
\n\nThe Request for Expression of Interest [REOI] along with indicative Terms of Reference is available online at Uttarakhand e-Procurement : https://www.uktenders.gov.in/nicgep/app from March, 05 2021 to March 20, 2021 [up to 15.00 hours IST] for viewing/downloading free of cost.
\n\nExpression of Interest [EOI] must be submitted online only at https://www.uktenders.gov.in/nicgep/app by or before March 20, 2021 [up to 1500 hours IST]. EOI submitted through any other mode shall not be entertained.
\n\nFurther information can be obtained at the address below during office hours [i.e., 1000 to 1700 hours].
\n\n\n\n
Project Director
\n\nUttarakhand Health Systems Development Project
\n\n2nd Floor, Red Cross Building, Danda Lakhaund
\n\nSahastradhara Road
\n\nDehradun
\n\n\n\n
\n\n
Terms of Reference (ToRs) – Consultant [Firm]
\n\n\n\n
Development, Deployment, Management, Training and Capacity Building of Telemedicine Solution, for the identified Health Centres of Government of Uttarakhand under the Uttarakhand Health System Development Project[1] using Hub [4] and Spoke [400] Model
\n\n\n\n
Uttarakhand Health Systems Development Project [UKHSDP] is conceived as a strategic initiative to enhance people’s access to quality health care services in the state of Uttarakhand. The Project is financed by the World Bank and implemented by Uttarakhand Health and Family Welfare Society [UKHFWS]. The project seeks to support Uttarakhand in improving access to quality health services and in providing health financial risk protection. Specifically, the project would focus on improving access to health services for the predominantly remote population of the state, through strengthening public and private health-delivery systems; promoting greater stewardship and managerial capacity in the health directorate; improving information systems; augmenting monitoring and research; and extending coverage of state health insurance scheme beyond hospitalization to include primary healthcare services.
\n\nProject Development Objective (PDO) is to improve access to quality health services, particularly in the hilly districts of the state and to expand health financial risk protection for the residents of Uttarakhand. The project has two components: a] Innovations in engaging the private sector [for integrated service delivery and for health financing], and b] Stewardship and health systems improvement. A description of the activities under the two project components is provided below.
\n\n\n\n
Project Components
\n\nComponent 1. Innovations in engaging the private sector: Innovations in engaging the private sector would finance engagement with the private sector in the delivery of healthcare services as well as in healthcare financing. This component expands access to services by creating integrated, technology-enabled health system architecture with enhanced focus and availability of primary care, emergency care and necessary referral services. This component also focuses on telephonic health information and telemedicine services. Additionally, it also expands financial protection by defining a benefit package of primary care services for child and adolescent health care and for the management of non-communicable diseases.
\n\n\n\n
Component 2. Stewardship and system improvement: This component strengthens the government’s capacity to engage effectively with the private sector, and therefore, to enable the government to provide effective stewardship to improve the quality of services in the entire health system and particularly in its capacity to effectively pursue the innovations being planned under this project. The component focuses on strengthening the institutional structures for stewardship and service delivery and augmenting the state’s human resource capacity, so that the necessary skill sets required for effective implementation of the project and the state’s health programs are available. The strengthened capacity serves beyond the activities of this project, as it contributes to the government’s stewardship role for the health system. It supports research and evidence generation, use of evidence for strategic planning, and improved information systems for data generation and management, including timely feedback to providers. It also supports Facilities Assessment as well as contracting of agencies on a turnkey basis to support the attainment of NABH quality standards in identified public health facilities in the state. Finally, the component promotes a multidisciplinary approach that strengthens the ability of the health system to respond to seasonal and context-specific needs. Project management costs also are financed from this component.
\n\n\n\n
According to WHO, telemedicine is defined as “the delivery of health care services, where distance is a critical factor, by all health care professionals using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of disease and injuries, research and evaluation, and for the continuing education of health care providers, all in the interests of advancing the health of individuals and their communities”.
\n\nWith the above in view, the UKHFWS of the UKHSDP intends to hire the services of a consultant/firm to support the setting up of a telemedicine system following the Hub and Spoke model[2] for Department of Health & Family Welfare, Government of Uttarakhand (GoUK) to ensure quality health care delivery to people in Uttarakhand, separated by geographical, economical and information gap distances by adopting virtual means of connection/communication in real time. The selected firm shall set up 4 Medical Colleges (“H”) along with 400 Health Centers, (“Spokes”) for provision of Telemedicine facility in the state of Uttarakhand on turnkey basis. Selected consultant will need to ensure that provision of telemedicine services under telemedicine interventions is as per the “Telemedicine Practice Guidelines” of the Government of India[3].
\n\nUKHFWS notes that the objective of the assignment includes additional gains such as promoting the role of telemedicine-services in order to achieve the objective of health for all, and, confidence building of Registered Medical Practioner (RMP) at health facilities through knowledge gain via handholding by Senior / specialist RMP at studio aka Hub at Medical Colleges.
\n\nIn order to achieve the above objective, the selected consultant/firm will be responsible for undertaking tasks which include development, deployment (supply and installation of equipment, implementation, operationalization,), design training materials and deploy multiple training strategies including workshops, classroom sessions, audio-visual features, exposure visits and practical work experience to impart effective training, management & maintenance of the telemedicine system for the state of Uttarakhand. This capacity building and training is expected to contribute directly to the Directorate’s efforts aimed at improving compliance to the latest applicable of MoHFW guidelines of Telemedicine.
\n\n\n\n
\n\n
\n\n
\n\n
Figure-1: Process flow of telemedicine[4]
\n\n\n\n
\n\n
\n\n
\n\n
| \n\t\t\t Healthcare Worker/ Consultation seeking RMP \n\t\t\t | \n\t\t
| \n\t\t\t Consultation Providing RMP \n\t\t\t | \n\t\t
| \n\t\t | |
| \n\t\t\t | \n\t\t |
\n\n
\n\n
The selected consultant/firm shall follow the Hubs and Spokes model[5] to be setup across the state with 4 Medical Colleges (“Hubs”) along with 400 Health Centers, (“Spokes”) in the state for provision of Telemedicine facility on turnkey basis.
\n\nThe consultant/firm shall establish physical servers across 4 centralised command centres (CCC) or Hubs at the 4 medical colleges – MC1 (Almora Medical College, Almora), MC2 (Doon Medical College, Dehradun), MC3 (Haldwani Medical College, Haldwani) and MC4 (Srinagar Medical College, Srinagar Garhwal) - where registered medical practitioner (RMP) would be available and these RMPSs would make use of an information technology based telemedicine solution as described above under the framework section for the following two settings:
\n\nThe IT solution should have provisions of video (with audio) system to seek specialist consultation on presenting complaints of patients in person either with Health care worker or consultation seeking RMP running on physical server based software platform which can collect, analyze, manage and report/ disseminate the data thus generated. The system shall also have provisions to store, process and archive medical information of individuals as per the data privacy and protection policy of the Government of India and the state government. The record should be longitudinal in nature for all the patients which can be accessed by authorized users and help them import, input, view, schedule, order, prescribe and report. The record keeping will be categorized into the Medical Information System (MIS) for faster execution of data, to maximize the availability of data and utilize the data for more accurate clinical decisions.
\n\nAfter installation of software/hardware at Hub and Spoke location sites the different health care workers (different categories) shall be provided training. This shall include content detail, training materials, case studies/examples, as well as the format of delivery, which will differ from topic to topic and should be a combination of classroom-type, workshop-format, real-life empirical examples, other states and country’s adopted model of telemedicine, guided practices, role play, group work, implication of telemedicine on concrete examples. It should also include a list of intern trainees and agencies/stakeholders to be targeted under each training topic. The selected consultant firm shall design the content and format for each of the topics provided below to be covered by the training program
\n\nThe tasks to be undertaken by the consultant/firm as part of scope of work to fulfill the objectives of the assignment, in consultation with the Project Implementation Team [PIT] of the UKHFWS of the UKHSDP, include but are not limited to the following:
\n\nTask I: Development
\n\nTask: Development Phase
\n\nTask II: Deployment Phase
\n\nThis phase will include availability of requisite number of technical human resource for specified time period (as per table 2) based on strategy, framework and policy as per GOI policy document[8] and Framework for the Implementation of a Telemedicine Service across the state mentioned in Annexure A.
\n\nTask III: Maintenance Phase
\n\nThe consultant/firm shall support the management of telemedicine services in line with the following
\n\nTask IV: Training Phase
\n\nIn this phase the consultant/firm shall provide professional and structured training to the employees in 4 Hubs, each Hub shall be occupied by 11 RMP experts (n=11) and RMP/HealthCare worker (n=800) at Spokes at training session on management of systems and backstopping plans developed in line with the following:
\n\nThe expected duration of the assignment is 30 months from date of contract signature. The performance of the selected consultant/firm will be formally evaluated after 6 months to assess if the contract period should be extended or not.
\n\nThe selected consultant/firm shall work under overall direction and guidance of UKHFWS of the UKHSDP with direct reporting to review committee including Joint Director Health system strengthening, Additional Project Director, and Project Director UKHSDP. For day to day technical and managerial coordination, the selected firm shall directly communicate with Joint Director, Health System Strengthening [HSS], UKHFWS, and work closely with his team.
\n\nDeliverables and Timelines for Deployments:
\n\n| \n\t\t\t SN \n\t\t\t | \n\t\t\t\n\t\t\t Deliverables \n\t\t\t | \n\t\t\t\n\t\t\t Broad Contents \n\t\t\t | \n\t\t\t\n\t\t\t Timeline (number of days after previous stage) \n\t\t\t | \n\t\t\t\n\t\t\t Linked to Payment [Yes/No] \n\t\t\t | \n\t\t\t\n\t\t\t % Payment \n\t\t\t | \n\t\t
| \n\t\t\t 1. \n\t\t\t | \n\t\t\t\n\t\t\t Inception report \n\t\t\t | \n\t\t\t\n\t\t\t Detailed structure plan for implementation of development, deployment, maintenance and training about telemedicine strategy \n\t\t\t | \n\t\t\t\n\t\t\t Within 1 month of contract signing \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 5% of contract value \n\t\t\t | \n\t\t
| \n\t\t\t 2. \n\t\t\t | \n\t\t\t\n\t\t\t Development of Telemedicine HUB and SPOKE Model \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t\t\n\t\t\t Within 20 days of acceptance of inception report \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 5% of contract value \n\t\t\t | \n\t\t
| \n\t\t\t 3 \n\t\t\t | \n\t\t\t\n\t\t\t Acceptance of satisfactory operation of one pilot and Hub with associated Spokes established by the selected consultant/firm \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t\t\n\t\t\t 3 months of contract signing and acceptance of report \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 10% of Contract Value \n\t\t\t | \n\t\t
| \n\t\t\t 4. \n\t\t\t | \n\t\t\t\n\t\t\t Acceptance of Field-Tested Training Modules for RMP and Health care workers at established pilot Hub and associated Spokes \n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t\t\n\t\t\t Within 1 month from acceptance by the Client of Inception Report and serial no.3 \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 5% of the contract value \n\t\t\t | \n\t\t
| \n\t\t\t 5. \n\t\t\t | \n\t\t\t\n\t\t\t Acceptance of satisfactory operation and establishment of other 3 Hub and associated Spokes \n\t\t\t | \n\t\t\t\n\t\t\t Setting up and establishment of infrastructure in one Hub and associated Spokes \n\n\t\t\tPreparation, Testing and commencement reports of Telemedicine Services in all the Hubs and associated Spokes to be reviewed by the PIT team comprising of IT consultant, JDHSS and APD UKHSDP. \n\t\t\t | \n\t\t\t\n\t\t\t 6 months of contract signing \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 10% of the contract value \n\t\t\t | \n\t\t
| \n\t\t\t 6. \n\t\t\t | \n\t\t\t\n\t\t\t Orientation of CMOs and CMS at Zonal HQ Level \n\t\t\t | \n\t\t\t\n\t\t\t This is a mandatory step between deliverables S. Nos. 4 and 6 \n\t\t\t | \n\t\t\t\n\t\t\t Within 1 month of acceptance by Field-Tested Training Modules by the client and completion of S. No. 4 \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 5 % of contract value \n\t\t\t | \n\t\t
| \n\t\t\t 7. \n\t\t\t | \n\t\t\t\n\t\t\t Acceptance of Completion Report on Training \n\t\t\t | \n\t\t\t\n\t\t\t Detail Training completion Report duly verified by CMO/MS/CMS/MOIC \n\n\t\t\ton 2 Hubs and 200 Spokes (health institutes) with at least 90 % participants across all categories of Trainees \n\t\t\t | \n\t\t\t\n\t\t\t Within 12 months of contract signature date and its acceptance by the Client \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 10% of the contract value \n\t\t\t | \n\t\t
| \n\t\t\t 8. \n\t\t\t | \n\t\t\t\n\t\t\t Acceptance of Completion Report on Training \n\t\t\t | \n\t\t\t\n\t\t\t Detail Training completion Report duly verified by CMO/MS/CMS/MOIC \n\n\t\t\ton 2 Hubs and 200 Spokes (health institutes) with at least 90 % participants across all categories of Trainees \n\t\t\t | \n\t\t\t\n\t\t\t Within 12 months of contract signature date and its acceptance by the Client \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 20% of the contract value \n\t\t\t | \n\t\t
| \n\t\t\t 9. \n\t\t\t | \n\t\t\t\n\t\t\t Acceptance of Completion Report on Training the Balance/Remaining participants across all categories of Trainees and Final Completion Report along with feedback on training \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t Within 1 month of completion of training and acceptance of report by the client \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 20% of the contract value \n\t\t\t | \n\t\t
| \n\t\t\t 10. \n\t\t\t | \n\t\t\t\n\t\t\t Maintenance \n\t\t\t | \n\t\t\t\n\t\t\t Maintenance of the telemedicine platform and database including but not limited to \n\n\t\t\t
| \n\t\t\t\n\t\t\t From deployment till the completion of UKHSDP project \n\t\t\t | \n\t\t\t\n\t\t\t Yes \n\t\t\t | \n\t\t\t\n\t\t\t 10% of the contract value \n\t\t\t | \n\t\t
| \n\t\t\t 11. \n\t\t\t | \n\t\t\t\n\t\t\t Monthly Progress Reports \n\t\t\t | \n\t\t\t\n\t\t\t Submit a detailed monthly review report of the assignment. \n\t\t\t | \n\t\t\t\n\t\t\t From deployment till the completion of the project. \n\t\t\t | \n\t\t\t\n\t\t\t \n\n\t\t\t No \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
Deliverables and Timelines for Training:
\n\nUKHFWS shall assess the demonstrated experience and capacity of interested consulting firms applying for this assignment. The assignment requires a firm with relevant experience in securing Telemedicine for healthcare facilities with experience of completing such assignments for facilities in the public sector.
\n\n| \n\t\t\t Key Expert \n\t\t\t | \n\t\t\t\n\t\t\t Key Expert Name \n\t\t\t | \n\t\t\t\n\t\t\t Key Expert Number \n\t\t\t | \n\t\t\t\n\t\t\t Indicative Responsibility \n\t\t\t | \n\t\t\t\n\t\t\t Minimum Qualification and Desired Professional Experience \n\t\t\t | \n\t\t\t\n\t\t\t Indicative Estimated Person Months \n\t\t\t | \n\t\t
| \n\t\t\t K1 \n\t\t\t | \n\t\t\t\n\t\t\t Team Leader/ \n\n\t\t\tCoordinator \n\t\t\t | \n\t\t\t\n\t\t\t 1 \n\t\t\t | \n\t\t\t\n\t\t\t Single point of contact between UKHFWS and selected firm for successful implementation of this assignment. Represent the Firm in meetings at State Level, and plan, supervise and manage, coordinate and be responsible for delivery of the entire assignment \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: Master’s degree or higher degree in health/IT/ \n\n\t\t\tDevelopmental field \n\n\t\t\t\n\n\t\t\t Professional Experience: 10 Years in managing public sector projects in Health Sector \n\n\t\t\tSpecific Experience: Minimum 5 years sectoral experience in telemedicine/ \n\n\t\t\thealthcare technology \n\t\t\t | \n\t\t\t\n\t\t\t 8 \n\t\t\t | \n\t\t
| \n\t\t\t K2 \n\t\t\t | \n\t\t\t\n\t\t\t Clinic Site Experts and Health Specialist \n\t\t\t | \n\t\t\t\n\t\t\t 4 \n\t\t\t | \n\t\t\t\n\t\t\t He/she shall define the process and will be involved in technological evaluation and end-point selection from a clinical-usability perspective. The clinical experts will provide instructions/promote implementation of telemedicine programme among the team \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: \n\n\t\t\tMaster’s degree in general medicine \n\n\t\t\tProfessional Experience: 10 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 5 years’ experience in telemedicine/health care technology \n\t\t\t | \n\t\t\t\n\t\t\t 30 [24 and 6 respectively \n\t\t\t | \n\t\t
| \n\t\t\t K3 \n\t\t\t | \n\t\t\t\n\t\t\t Senior Programmer \n\t\t\t | \n\t\t\t\n\t\t\t 1 \n\t\t\t | \n\t\t\t\n\t\t\t He/she shall provide IT solutions and back end systems support \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: BE/ B.Tech (computer science)/MCA. \n\n\t\t\tProfessional Experience: 10 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 5 years’ experience in programming telemedicine solutions \n\t\t\t | \n\t\t\t\n\t\t\t 24 \n\t\t\t | \n\t\t
| \n\t\t\t K4 \n\t\t\t | \n\t\t\t\n\t\t\t Data Base and EHR Expert \n\t\t\t | \n\t\t\t\n\t\t\t 2 \n\t\t\t | \n\t\t\t\n\t\t\t He/she will manage secure data base and EHR in telemedicine intervention. \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: BE/ B.Tech (computer science)/MCA. \n\n\t\t\tProfessional Experience: 10 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 5 years experience in data secure data base management \n\t\t\t | \n\t\t\t\n\t\t\t 24 \n\t\t\t | \n\t\t
| \n\t\t\t K5 \n\t\t\t | \n\t\t\t\n\t\t\t IT Technical Coordinators \n\t\t\t | \n\t\t\t\n\t\t\t 4 \n\t\t\t | \n\t\t\t\n\t\t\t They shall support and provide solution of all IT related issues and provide solutions and shall be available as technical interface at 4 Hubs in 4 Government Medical Colleges \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: BCA/MCA. \n\n\t\t\t\n\n\t\t\t Professional Experience: 10 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 5 years experience in IT based Knowledge Process Outsource (KPO) \n\t\t\t | \n\t\t\t\n\t\t\t 30 \n\t\t\t | \n\t\t
| \n\t\t\t K6 \n\t\t\t | \n\t\t\t\n\t\t\t Technical Support \n\t\t\t | \n\t\t\t\n\t\t\t 13 \n\t\t\t | \n\t\t\t\n\t\t\t They shall process technical investigation (install, maintenance and testing) and support in running telemedicine software programs and its related activities. \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: BCA/MCA. \n\n\t\t\t\n\n\t\t\t Professional Experience: 3 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 1 years’ experience in IT based Knowledge Process Outsource (KPO) \n\t\t\t | \n\t\t\t\n\t\t\t 30 \n\t\t\t | \n\t\t
| \n\t\t\t K7 \n\t\t\t | \n\t\t\t\n\t\t\t Accounts /Finance Manager \n\t\t\t | \n\t\t\t\n\t\t\t 1 \n\t\t\t | \n\t\t\t\n\t\t\t She/he shall perform all fiduciary and bookkeeping functions related to the assignment \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: CA/MBA Finance. \n\n\t\t\t\n\n\t\t\t Professional Experience: 5 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 3 years’ experience in IT based Knowledge Process Outsource (KPO) \n\t\t\t | \n\t\t\t\n\t\t\t 30 \n\t\t\t | \n\t\t
| \n\t\t\t K8 \n\t\t\t | \n\t\t\t\n\t\t\t Legal and Ethical Expert \n\t\t\t | \n\t\t\t\n\t\t\t 1 \n\t\t\t | \n\t\t\t\n\t\t\t She/he shall provide legal and ethical inputs for safeguards and any legal/ethical issues \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: LLB/LLM. \n\n\t\t\t\n\n\t\t\t Professional Experience: 5 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 3 years’ experience in Health IT including legal, ethical and administrative aspects of telemedicine \n\t\t\t | \n\t\t\t\n\t\t\t \n\n\t\t\t 12 \n\t\t\t | \n\t\t
| \n\t\t\t K9 \n\t\t\t | \n\t\t\t\n\t\t\t Telemedicine Technical Specialists \n\t\t\t | \n\t\t\t\n\t\t\t 2 \n\t\t\t | \n\t\t\t\n\t\t\t They shall define the process and will be involved for preparation and field testing, supervising and ensuring timeliness and quality of technical content of all trainings. The clinical experts will provide instructions/promote implementation of telemedicine services among the team \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: Master’s degree in modern medicine system \n\n\t\t\t\n\n\t\t\t Professional Experience: 7 Years \n\n\t\t\t\n\n\t\t\t Specific experience: Minimum 5 years’ experience in telemedicine \n\t\t\t | \n\t\t\t\n\t\t\t 30 \n\t\t\t | \n\t\t
| \n\t\t\t K10 \n\t\t\t | \n\t\t\t\n\t\t\t Capacity Building IT and Data Specialists \n\t\t\t | \n\t\t\t\n\t\t\t 4 \n\t\t\t | \n\t\t\t\n\t\t\t They shall be responsible for developing and monitoring of training calendar, training across 4 Hubs and 400 Spokes, preparing formats for evaluation of training. \n\t\t\t | \n\t\t\t\n\t\t\t Education Level: BE/ B.Tech (computer science)/MCA. \n\n\t\t\t\n\n\t\t\t Professional Experience: 10 Years \n\n\t\t\t\n\n\t\t\t Specific Experience: Minimum 5 years experience in telemedicine solutions \n\t\t\t | \n\t\t\t\n\t\t\t 6 \n\t\t\t | \n\t\t
| \n\t\t\t TOTAL KEY PERSON MONTHS=216 \n\t\t\t | \n\t\t\t\n\t\t\t \n\t\t\t | \n\t\t
\n\n
The UKHFWS shall provide the detail of facilities and functions as well as affected populations to facilitate the firm.The JDHSS, UKHFWS shall closely follow up with the selected firm and provide necessary guidance, documents, information, contact details and coordinates, provide support to facilitate meetings, etc., on a timely basis, during the assignment. The JDHSS, UKHFWS shall also coordinate with relevant stake holders to ensure access to relevant stakeholders and information.
\n\nThe Project Implementation Team [PIT] of the UKHFWS has appointed Joint Director, Health System Strengthening [HSS], UKHFWS to monitor and coordinate the activities of the selected consultant/firm.
\n\nA monthly review of the assignment shall be done under the chairmanship of Project Director/Additional Project Director at Project Office at Dehradun upon submission of monthly progress reports which shall have the following members:
\n\n\n\n
All materials and documentation during the assignment will be the sole property of UKHFWS.
\n\n\n\n
\n\n
ANNEXURE A
\n\nBrief Framework of Telemedicine in Uttarakhand[10] (based on MoHFW, GOI guidelines on telemedicine)
\n\nThe six elements of Telemedicine needed to be considered before beginning any telemedicine consultation-
\n\nThe Registered Medical Practitioners (RMP) should exercise their professional judgment to decide whether a telemedicine consultation is appropriate in a given situation or an in-person consultation is needed in the interest of the patient. They should consider the mode/technologies available and their adequacy for a diagnosis before choosing to proceed with any health education or counseling or medication. They should be reasonably comfortable that telemedicine is in the patient’s interest after taking a holistic view of the given situation.
\n\nComplexity of Patient’s health condition: Every patient/case/medical condition may be different, for example, a new patient may present with a simple complaint such as headache while a known patient of Diabetes may consult for a follow up with emergencies such as Diabetic Ketoacidosis. The RMP shall uphold the same standard of care as in an in-person consultation but within the intrinsic limits of telemedicine.
\n\nTelemedicine consultation should not be anonymous -- both patient and the RMP need to know each other’s identity.
\n\nAn RMP should verify and confirm patient’s identity by name, age, address, email ID, phone number, registered ID or any other identification as may be deemed to be appropriate. The RMP should ensure that there is a mechanism for a patient to verify the credentials and contact details of the RMP.
\n\nFor issuing a prescription, the RMP needs to explicitly ask the age of the patient, and if there is any doubt, seek age proof. Where the patient is a minor, after confirming the age, tele consultation would be allowed only if the minor is consulting along-with an adult whose identity needs to be ascertained.
\n\nAn RMP should begin the consultation by informing the patient about his/her name and qualifications.
\n\nEvery RMP shall display the registration number accorded to him/her by the State Medical Council/MCI, on prescriptions, website, electronic communication (WhatsApp/email, etc.) and receipts, etc., given to his/her patients
\n\nPrimarily there are 3 modes: Video, Audio or Text (chat, images, messaging, email, fax etc.). Their strengths, limitations and appropriateness need to be considered by the RMP.
\n\nThere may be situations where in order to reach a diagnosis and to understand the context better; a real-time consultation may be preferable over an asynchronous exchange of information. Similarly, there would be conditions where an RMP could require hearing the patient speak, therefore, a voice interaction may be preferred than an email or text for a diagnosis. There are also situations where the RMP needs to visually examine the patient and make a diagnosis. In such a case, the RMP could recommend a video consultation. Considering the situation, using his/her best judgment, an RMP may decide the best technology to use to diagnose and treat.
\n\nPatient consent is necessary for any telemedicine consultation. The consent can be implied or explicit depending on the following situations: If the patient initiates the telemedicine consultation, then the consent is implied (in an in-person consultation, it is assumed the patient has consented to the consult by his/her actions. When the patient walks in an OPD, the consent for the consultation is taken as implied. Like an in-person consultation, for most of the tele-consultations the consent can be assumed to be implied because the patient has initiated the consultation).
\n\nAn explicit patient consent is needed if: A health worker, RMP or a caregiver initiates a telemedicine consultation. An explicit consent can be recorded in any form. Patient can send an email, text or audio/video message. Patient can state his/her intent on phone/video to the RMP (e.g., “Yes, I consent to avail consultation via telemedicine” or any such communication in simple words). The RMP must record this in his patient records.
\n\nRMPs must make all efforts to gather sufficient medical information about the patient’s condition before making any professional judgment.
\n\na) Patient’s Information
\n\nb) Patient Evaluation
\n\nThere are two types of patient consultations, namely, first consult, and the follow-up consult.
\n\nIf the condition can be appropriately managed via telemedicine, based on the type of consultation, then the RMP may proceed with a professional judgement to:
\n\nHealth Education: An RMP may impart health promotion and disease prevention messages. These could be related to diet, physical activity, cessation of smoking, contagious infections and so on. Likewise, he/she may give advice on immunizations, exercises, hygiene practices, mosquito control, etc.
\n\nCounseling: This is specific advice given to patients and it may, for instance, include food restrictions, do’s and don’t’s for a patient on anticancer drugs, proper use of a hearing aid, home physiotherapy, etc., to mitigate the underlying condition. This may also include advice for new investigations that need to be carried out before the next consult.
\n\nPrescribing Medicines: Prescribing medications, via telemedicine consultation is at the professional discretion of the RMP. It entails the same professional accountability as in the traditional in-person consult. If a medical condition requires a particular protocol to diagnose and prescribe as in a case of in-person consult then same prevailing principle will be applicable to a telemedicine consult. RMP may prescribe medicines via telemedicine ONLY when RMP is satisfied that he/she has gathered adequate and relevant information about the patient’s medical condition and prescribed medicines are in the best interest of the patient.
\n\n\n\n
[1] http://www.ukhsdp.org/assets/pdf/project-appraisal-document.pdf
\n\n[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5751794/
\n\n3 https://www.mohfw.gov.in/pdf/Telemedicine.pdf
\n\n4 https://www.researchgate.net/publication/280314833 A Telemedicine Proposal for Remote Areas of Pakistan
\n\n\n\n
\n\n
\n\n
\n\n
[5] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5751794/
\n\n[6] Nurse, Allied Health Professional, Mid-level health provider, ANM or any other health worker designated by an appropriate authority as per Telemedicine Practice Guidelines of GOI
\n\n[7] https://www.researchgate.net/publication/280314833 A Telemedicine Proposal for Remote Areas of Pakistan
\n\n[8] “Telemedicine Practise Guidelines” of GOI (https://www.mohfw.gov.in/pdf/Telemedicine.pdf)
\n\n[9] https://www.nrces.in/download/files/pdf/nrces_ehr_stand_india.pdf
\n\n[10] “Telemedicine Practise Guidelines” of GOI (https://www.mohfw.gov.in/pdf/Telemedicine.pdf)
"},{"id":"OP00082376","notice_type":"Request for Expression of Interest","noticedate":"27-Dec-2019","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2020-01-13T00:00:00Z","submission_deadline_time":"15:00","project_ctry_name":"India","project_id":"P148531","project_name":"Uttarakhand Health Systems Development Project","bid_reference_no":"IN-UKHFWS-148113-CS-QCBS","bid_description":"Selection of agency to conduct baseline citizen’s engagement study in Pauri and Ramnagar clusters","procurement_group":"CS","procurement_method_code":"QCBS","procurement_method_name":"Quality And Cost-Based Selection","contact_address":"Danda Lakhond, P.O. Gujarada\nSahastradhara Road, Near IT Park, \nDehradun 248001","contact_ctry_name":"India","contact_email":"apd.ukhsdp@gmail.com","contact_name":"V. S. Tolia","contact_organization":"Uttarakhand Health and Family Welfare Society","contact_phone_no":"+919410943720","contact_web_url":"www.ukhfws.org","submission_date":"2019-12-27T00:00:00Z","notice_text":"REQUEST FOR EXPRESSIONS OF INTEREST
\n\n[CONSULTING SERVICES– FIRMS SELECTION]
\n\n\n\n
INDIA – Uttarakhand Health Systems Development Project
\n\n\n\n
Loan No./Credit No./Grant No.: 5948-IN
\n\n\n\n
Assignment Title: Initial Scoping Study towards Communication and Citizen’s Engagement in Pauri and Ramnagar Clusters
\n\n\n\n
Procurement Plan Reference Number :IN-UKHFWS-148113-CS-QCBS
\n\n\n\n
The Government of Uttarakhand has received financing from the World Bank toward the cost of the Uttarakhand Health Systems Development Project [UKHSDP]. The Uttarakhand Health and Family Welfare Society [UKHFWS] which is the implementing agency for the UKHSDP intends to apply part of the proceeds for consulting services.
\n\n\n\n
The Consulting Services [“the Services”] include providing services for Initial Scoping Study towards Communication and Citizen’s Engagement in Pauri and Ramnagar PPP Clusters
\n\n\n\n
\n\n
The UKHFWS of the UKHSDP now invites eligible consulting firms [“Consultants”] to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services.
\n\nRequest for Proposal [RFP] documents will be issued to shortlisted consultants and a consultant will be selected in accordance with the Quality and Cost Based Selection [QCBS] method set out in the Consultant Guidelines.
\n\n\n\n
The attention of interested Consultants is drawn to paragraph 1.9 of the World Bank’s Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits and Grants by World Bank Borrowers, January 2011 and revised July 2014 [“Consultant Guidelines”], setting forth the World Bank’s policy on conflict of interest.
\n\n\n\n
\n\n
To participate in the e-tendering process, a firm is required to enroll on the e-Procurement module of the Central Public Procurement Portal [URL: http://uktenders.gov.in] free of charge.
\n\n\n\n
The REOI is available online at Uttarakhand e-tender portal http://www.uktenders.gov.in from 28.12.2019 to 13.01.2020 [up to 1500 hours IST] for viewing/downloading free of cost.
\n\n\n\n
Expression of Interest [EOI] must be submitted online only at http://uktenders.gov.in by or before 13.01.2020 [up to 1500 hours IST].EOI submitted through any other mode shall not be entertained.
\n\n\n\n
Further information can be obtained at the address below during office hours [i.e., 1000 to 1700 hours].
\n\n\n\n
Project Director
\n\nUttarakhand Health System Development Project
\n\n2nd Floor, Red Cross Building, Danda Lakhaund
\n\nSahastradhara Road
\n\nDehradun
\n\nUttarakhand PIN- 248001
\n\nINDIA
\n\nPhone : 91 11 1352607610
\n\nE Mail – apd.ukhsdp@gmail.com
\n\n\n\n
\n\n
\n\n
TERMS OF REFERENCE FOR INITIAL SCOPING STUDY TOWARDS COMMUNICATION AND CITIZEN’S ENGAGEMENT STUDY IN PAURI AND RAMNAGAR CLUSTER
\n\n\n\n
Background
\n\n\n\n
One of the key components of the Uttarakhand Health Systems Development Project (UKHSDP), supported by the World Bank, plans to improve equitable access to quality health services for the predominantly remote population of the state, through various forms of private sector engagement including public-private partnerships (PPPs) in service delivery. The project also aims at promoting greater stewardship, strengthening technical and managerial capacity in the state directorate for private sector engagement, improving information systems for better monitoring and administrative support. In addition, the project would extend coverage of Atal Ayushman Uttarakhand Yojana (AAUY) beyond hospitalization to include primary healthcare services as well. To augment community ownership of the process of improving the health services especially in the PPP clusters, Uttarakhand Health and Family Welfare Society (UKHFWS) intends understand the barriers in accessing public health facilities and initiate a process of communication and citizens engagement. The communication and citizen engagement aims to connect with citizens during the entire project cycle with awareness building, identification, planning, implementation, monitoring and evaluation of the project interventions, using the overall engagement spectra[1], i.e. Inform, Consult, Involve, Collaborate, and Empower.
\n\nIn the state, there is a lack of specialized facilities/skilled manpower in the government District Hospitals, Sub District Hospitals and CHCs. The Health System in the state suffers on many levels as the tertiary level of diagnostic facilities and specialized doctors to provide post diagnosis consultation are mostly available in foothills and plain areas. As a result, the patients come to plain area, Dehradun and Haldwani in particular, to get both diagnostic and post diagnosis service. This is putting a tremendous load on the hospitals in plain areas. An important reason for low health indicators in the state has been limited access to fixed health care facilities due to poor transportation infrastructure in the more remote and interior regions. Thus, the geographic and infrastructural challenges present major barriers to the population’s access to basic health services. The population is constrained from reaching health facilities due to mountainous terrain, poor transportation infrastructure and geographic distance.
\n\n\n\n
With these challenges in mind, under the UKHSDP it is planned to work for improving the health indicators of the local communities through innovative approaches that expand the reach of quality health services in the state. With this view, a pilot was already initiated in Tehri cluster comprising District Hospital Baurari, CHC Beleshwar and Devprayag, and further scaling up is being taken up in Pauri cluster, and Ram Nagar Cluster, where procedure of tendering is under process.
\n\n\n\n
\n\n
\n\n
Objective of the Study
\n\n\n\n
The qualitative study will provide a situation analysis to inform the development of the communication and citizen engagement plan for the project. The situation analysis aims to strengthen the process of initiating communication and citizen engagement. The current study focuses on the Pauri and Ramnagar areas targeting the six health facilities which are planned to be operated through a PPP (i.e. Pauri cluster comprises of District Hospital Pauri (Male & Female) located in Pauri town, Pauri Garhwal District, CHC Ghandiyal in Kaljikhal block and CHC Pabau located in Block headquarter at Pabau town; and in Ram Nagar Cluster comprises of Sub district hospital Ramnagar, (district Nainital), CHC Bhikhiysen (district Almora) and Bironkhal (district Pauri) and their catchment area populations.
\n\n\n\n
Scope of Work
\n\n\n\n
The study entails following scope of assignment:
\n\n\n\n
\n\n
\n\n
\n\n
\n\n
The key topicsto be assessed for the baselines are as follows:
\n\n\n\n
| \n\t\t\t Objectives \n\t\t\t | \n\t\t\t\n\t\t\t Key Topics \n\t\t\t | \n\t\t
| \n\t\t\t A. Target Community accessing health services from PPP facilities \n\t\t\t | \n\t\t|
| \n\t\t\t Health Seeking Behaviour \n\t\t\t | \n\t\t\t\n\t\t\t
\n\n\t\t\t
| \n\t\t
| \n\t\t\t Barriers to accessing Public health facilities \n\t\t\t | \n\t\t\t\n\t\t\t
\n\n\t\t\t
| \n\t\t
| \n\t\t\t Understanding the perception of PPP mode of health delivery system among target community \n\n\t\t\t\n\t\t\t | \n\t\t\t\n\t\t\t
| \n\t\t
| \n\t\t\t \n\t\t\t | \n\t\t\t\n\t\t\t
\n\n\t\t\t
| \n\t\t
| \n\t\t\t Level of awareness of the UKHSDP, its objectives and its activities \n\n\t\t\t\n\n\t\t\t Perceptions and concerns about UKHSDP and its activities \n\t\t\t | \n\t\t\t\n\t\t\t
\n\n\t\t\t
\n\t\t\t | \n\t\t
| \n\t\t\t Preferred mode and Channels of communication and engagement \n\t\t\t | \n\t\t\t\n\t\t\t
\n\n\t\t\t
\n\n\t\t\t
\n\t\t\t | \n\t\t
| \n\t\t\t B. Health Facility Staff (both contractual and regular) in PPP facilities \n\t\t\t | \n\t\t|
| \n\t\t\t Staff perceptions of PPP mode of health service delivery \n\t\t\t | \n\t\t\t\n\t\t\t
\n\n\t\t\t
\n\n\t\t\t
\n\n\t\t\t
\n\n\t\t\t
\n\n\t\t\t
\n\n\t\t\t
| \n\t\t
\n\n
Proposed Sample Size and Methodology
\n\n\n\n
The agency is expected to detail out appropriate methodology for the study and present the details in their proposal for review. The methodology must detail out mapping of stakeholders, type of research tools to be used for different stakeholders, key respondents, and proposed sample size in each of the PPP clusters among other things.
\n\n\n\n
Deliverables
\n\n\n\n
\n\n
\n\n
Timeframe
\n\n\n\n
The work is estimated to take 3 months
\n\n\n\n
Qualifying Criteria for Firm and Qualifications of Staff
\n\n\n\n
Following are the defined qualifying criteria for the Firm/ Agency:
\n\n\n\n
Expected Profile of the Team: (Please note that no CVs need to be submitted at the EoI stage)
\n\n\n\n
The team is expected to be led by a qualified team leader along with team of qualified and competent field staffs trained in effectively administering FGDs and KIIs and conducting qualitative studies. It is expected that three parallel small team will be deployed at each of the PPP facility area to undertake the facility interviews as well as village level interviews. The team members is expected to be well versed with the knowledge of localculture, language/ dialect and experience of working in Uttarakhand, and preferably having experience of conducting similar studies in Uttarakhand.
\n\n\n\n
Key qualification of Team Leader
\n\n\n\n
Education
\n\n\n\n
Experience
\n\n\n\n
\n\n
Competencies:
\n\n\n\n
Team Members
\n\n\n\n
Education
\n\n\n\n
Experience
\n\nClient’s Input and Counterpart Personnel including Data and Facilities to be provided by the Client
\n\nThe Firm/Agency will work under the overall direction and guidance of the UKHSDP office with direct reporting to the Additional Project Director, UKHSDP and work closely with his team. The UKHSDP will provide reasonable support as and when required to the Consultant for efficient performance of the assignment.
\n\nReview & Monitoring
\n\nThe performance of the / Firm/ Agency will be assessed on the basis of agreed deliverables and their quality. The / Firm/ Agency will prepare a detailed action plan for the assignment and share it with UKHSDP. A joint monthly review mechanism will be put in place and represented by officials and / Firm/ Agency from UKHSDP. UKHSDP will inform the agency in writing of any suggestions/recommendations related to the assignment. The Consultancy/ Firm/ Agency will comply with the recommendations made by UKHSDP and complete the assignment accordingly at no additional cost. If there are any grievances for any party, it must be shared with the other party in writing.
\n\n\n\n
\n\n
Review Committee will be comprised of the following members:
\n\nProject Director /Additional Project Director; UKHSDP
\n\nJoint Director; HSS UKHSDP
\n\nAssistant Director Procurement; UKHSDP
\n\nAny other official designated by Project Director
\n\n\n\n
\n\n
\n\n
\n\n
[1]Strategic Framework for Mainstreaming Citizen Engagement in World Bank Group Operations http://documents.worldbank.org/curated/en/266371468124780089/pdf/929570WP0Box380ategicFrameworkforCE.pdf
"},{"id":"OP00081414","notice_type":"Request for Expression of Interest","noticedate":"06-Dec-2019","notice_lang_name":"English","notice_status":"Published","submission_deadline_date":"2019-12-27T00:00:00Z","submission_deadline_time":"15:00","project_ctry_name":"India","project_id":"P148531","project_name":"Uttarakhand Health Systems Development Project","bid_reference_no":"IN-UKHFWS-126284-CS-QCBS","bid_description":"Independent Monitoring and Verification Agency for Pauri and Ramnagar PPP clusters","procurement_group":"CS","procurement_method_code":"QCBS","procurement_method_name":"Quality And Cost-Based Selection","contact_address":"Danda Lakhond, P.O. Gujarada\nSahastradhara Road, Near IT Park, \nDehradun 248001","contact_ctry_name":"India","contact_email":"apd.ukhsdp@gmail.com","contact_name":"V. S. Tolia","contact_organization":"Uttarakhand Health and Family Welfare Society","contact_phone_no":"+919410943720","contact_web_url":"www.ukhfws.org","submission_date":"2019-12-06T00:00:00Z","notice_text":"REQUEST FOR EXPRESSIONS OF INTEREST
[CONSULTING SERVICES– FIRMS SELECTION]
INDIA – Uttarakhand Health Systems Development Project
Loan No./Credit No./Grant No.: 5948-IN
Assignment Title: Independent Monitoring and Verification Agency for Pauri and Ramnagar Clusters
Procurement Plan Reference Number :IN-UKHFWS-126284-CS-QCBS
The Government of Uttarakhand has received financing from the World Bank toward the cost of the Uttarakhand Health Systems Development Project [UKHSDP]. The Uttarakhand Health and Family Welfare Society [UKHFWS] which is the implementing agency for the UKHSDP intends to apply part of the proceeds for consulting services.
The Consulting Services [“the Services”] include providing services as Independent Monitoring and Verification Agency for Pauri and Ramnagar Clusters
The UKHFWS of the UKHSDP now invites eligible consulting firms [“Consultants”] to indicate their interest in providing the Services. Interested Consultants should provide information demonstrating that they have the required qualifications and relevant experience to perform the Services.
Request for Proposal [RFP] documents will be issued to shortlisted consultants and a consultant will be selected in accordance with the Quality and Cost Based Selection [QCBS] method set out in the Consultant Guidelines.
The attention of interested Consultants is drawn to paragraph 1.9 of the World Bank’s Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits and Grants by World Bank Borrowers, January 2011 and revised July 2014 [“Consultant Guidelines”], setting forth the World Bank’s policy on conflict of interest.
To participate in the e-tendering process, a firm is required to enroll on the e-Procurement module of the Central Public Procurement Portal [URL: http://uktenders.gov.in] free of charge.
The REOI is available online at Uttarakhand e-tender portal http://www.uktenders.gov.in from 07th December 2019 to 27th December 2019 [up to 1500 hours IST] for viewing/downloading free of cost.
Expression of Interest [EOI] must be submitted online only at http://uktenders.gov.inby or before 27th December 2019 [up to 1500 hours IST].EOI submitted through any other mode shall not be entertained.
Further information can be obtained at the address below during office hours [i.e., 1000 to 1700 hours].
Project Director
Uttarakhand Health System Development Project
2nd Floor, Red Cross Building, Danda Lakhaund
Sahastradhara Road
Dehradun
Uttarakhand PIN- 248001
INDIA
Phone : 91 11 1352607610
E Mail – apd.ukhsdp@gmail.com
Uttarakhand Health Systems Development Project
Terms of Reference for
Independent Monitoring and Verification Agency for Pauri and RamnagarClusters
BACKGROUND
The World Bank is supporting the state government of Uttarakhand in its plan for improving access to quality health care in the state under the Uttarakhand Health Systems Development Project (UKHSDP) which has a total financing envelope of US$125 million. The project will support the stewardship role and capacity of the state’s Department of Medical Health and Family Welfare (DoMHFW) for improving health outcomes and addressing the changing morbidity and mortality patterns through innovations in engaging the private sector; institutional strengthening; and improved management of health services. Interventions will support the state’s plans for scaling up health system reform initiatives and making progress towards universal health coverage. Special focus will be on improving access to quality health services for the geographically dispersed and remote populations in the state and finding innovative ways to engage with the private sector. The project also aims to reduce financial risk and make affordable, quality healthcare available to all of the state’s citizens.
The project has two components: a) Innovations in engaging the private sector (for integrated service delivery and health financing), and b) Stewardship and system improvement. The first component on private sector engagement includes strengthening provision of primary and secondary care and referral services in the state as well as expansion of insurance. The latter includes the expansion of the health insurance scheme (now the Atal Ayushman Uttarakhand Arogya Yojana) to cover primary care including childhood and adolescent health and case management of non-communicable diseases. The former includes greater engagement of private health care providers and expanding their role in meeting the unmet needs of the state’s population to access health services.
In order to achieve the aforementioned objectives on service delivery, the UKHSDPis in the process of selecting two Service Providers forthe augmentation, development, operation and maintenance of integrated network of the healthcare facilities and provision of healthcare services through a Pubic Private Partnership (PPP). The Service Provider will sign a performance-based contract to operate the facilities according to the guidelines and key performance indicators (KPIs) in the contract. These guidelines includeservice provision requirements as well as the operation and maintenance of the facilities, including the supplyof human resources, equipment, etc.
The first such cluster is being operated in Tehri district and is comprised of -:
The model i.e. managing a sub district level cluster of health facilities with
MHVs is now being replicated in two more clusters; the details of which are asfollows-:
Pauri Garhwal Cluster
Ramnagar Cluster
Within this context, an Independent Monitoring and Verification Agency (IMVA) will be recruitedby the Project to(a) ensure the field level monitoring of the contracted out healthcare facilities in both of these clusters (Pauri and Ramnagar), (b) ensure quality ofservicedelivery, and (c) verify their performance and provideoversight of theService Provider’sobligations independently of the project; this monitoring and oversight would be carried out in accordance with the provisionsof the project contracts. The IMVA will monitor the insurance component of Atal Ayushman Uttarakhand Yojana, the Universal Health Insurance Scheme, and undertake audits of 5-10 percent of the Claims Processed at the identified PPP facilities in each of the two clusters on monthly basis as described below.
The IMVAwillbe required to undertake the monitoring and verification exercise in accordance with the contract signed between the Projectand the Private Operator. The IMVA’s primary objectives will to monitorthe performance of the Service Provider’s obligations during the operation period and provide timely monitoring and verification reports to the Project Authorities in specified formats.
SCOPE OF WORK
Scope of the assignment for the consultancy will be as follows:
Medical Audits
Audit of a specified sample (5 to 10 percent) of Atal Ayushman Uttarakhand Yojana claims generated at the identified district hospital and 2 CHCs in each cluster on monthly basis for financial, payment and procedural accuracy. It will cover clinical audit and administrative and financial audit. The clinical/medical audit will need to be undertaken by a medical doctor who will review appropriateness of treatment based on the submitted documentation including the diagnostic and investigation reports, pre-authorization, treatment provided (per se and vis-à-vis preauthorization) , discharge summary, post discharge follow-up and medications, etc.The administrative and financial will include checking of pre-authorization and claim documentsto verify beneficiaryentitlement, coverage of the beneficiary (within the stipulated annual coverage), pre-authorization amount, benefit package rate for procedure specified, claim settlement amount., A minimum of 5 percent and a maximum of 10 percent of the claims will be sampled to ensure that 5 percent of a random sample is audited and a purposive sample of high end procedures, commonly abused procedures such as hysterectomies, cataract surgery, etc.
Death Audit
Patient Satisfaction Survey
Compliance Reports
Inspection
QUALIFYING CRITERIA FOR FIRM AND QUALIFICATIONS OF STAFF
Following are the defined qualifying criteria for the Firm/ Agency:
The IMVA hired by the UKHSDPshall maintain separate teams per cluster comprising of full-time staff possessing the necessary minimum skills and qualifications, as mentioned below, at all times. Any disruption in the availability of the minimum required staff must be immediately brought to the notice of the UKHSDP and may result in termination of the contract of the IMVA if the same is not intimated or maintained to the satisfaction of the UKHSDP.
Minimum required team composition per cluster: (Please note that no CVs need to be submitted at the EoI stage)
In addition, the IMVA must have access to an expert panel of specialist doctors, health researchers and analytical experts to contribute to the design, overview and reporting aspects of the various activities (including development of monitoring tools) being undertaken by the agency.
OUTPUTS EXPECTED FROM THE IMVA:
The consultants shall submit the following reports:
ACCEPTANCE CRITERIA FOR DELIVERABLES
For each deliverable, criteria will be applied to determine acceptability of content and quality. The following questions will specifically be assessed:
REPORTING
The Firm/Agency will work under the overall direction and guidance of the UKHSDP office with direct reporting to the Additional Project Director, UKHSDP. For day to day technical and managerial coordination, the firm/ / Agency will directly communicate with Joint Director, PPP UKHSDP and work closely with his team. The firm/Agency is also required to provide name and contact details of single point of contact at their end. UKHSDP office will maintain contact with this person specifically for any communication and coordination regarding the work.
DURATION OF ASSIGNMENT
The engagement period shall be for a period of two years from the start of the contract with annual renewal based on satisfactory annual performance. The contract may be terminated with one month’s notice by either party based on performance with respect to the TOR and signed contract.
Client’s Input and Counterpart Personnel including Data and Facilities to be Provided by the Client
The Firm/Agency will work under the overall direction and guidance of the UKHSDP office with direct reporting to the Additional Project Director, UKHSDP and work closely with his team. The UKHSDP will provide reasonable support as and when required to the Consultant for efficient performance of the assignment.
REVIEW & MONITORING
The performance of the / Firm/ Agency will be assessed on the basis of agreed deliverables and their quality. The / Firm/ Agency will prepare a detailed action plan for the assignment and share it with UKHSDP. A joint monthly review mechanism will be put in place and represented by officials and / Firm/ Agency from UKHSDP. UKHSDP will inform the agency in writing of any suggestions/recommendations related to the assignment. The Consultancy/ Firm/ Agency will comply with the recommendations made by UKHSDP and complete the assignment accordingly at no additional cost. If there are any grievances for any party, it must be shared with the other party in writing.
Review Committee will be comprised of the following members:
Project Director /Additional Project Director; UKHSDP
Joint Director; PPP UKHSDP
Assistant Director Procurement; UKHSDP
Any other official designated by Project Director
"}]}