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Agreement for Performance of Work (APW)

TERMS OF REFERENCE

1. Purpose

The purpose of this assignment is to provide technical support for conducting SARA survey in selected districts in Pakistan.

2. Background

2.1 The SRHR Project/Initiative

In January 2019, World Health Organization (WHO), signed a four-year donor agreement to implement the Initiative “Supporting country strategies to reduce maternal mortality and achieve Sustainable Development Goal (SDG) targets through a health systems approach” which is known as the Sexual Reproductive Health and Rights (SRHR) Initiative. The SRHR Initiative supports countries to make progress toward achieving universal health coverage (UHC) and meeting their SDG targets, particularly with reference to reduction of maternal mortality (SDG 3.1), universal access to sexual and reproductive health care services (SDG 3.7) and sexual and reproductive health and reproductive rights (SDG 5.6). The initiative focuses on supporting countries with a high burden of unintended pregnancy and unsafe abortion to reduce maternal mortality and morbidity from preventable causes.

2.2 Rationale

The Government of Pakistan has undertaken various efforts to gather critical information that aim to fill the current knowledge gaps in regard to SRHR related matters within the country to facilitate the proper planning of the SRH services. For example, a comprehensive situation analysis on status of UHC and SRHR in Pakistan is currently underway. National/ Provincial laws governing various aspects of SRHR such as age at first marriage and abortion are being studied for gaps.

In order to complement the SRHR situation analysis for Pakistan there is a need to study in detail the extent of SRHR service availability and readiness in the health facilities of the country. The Ministry of National Health Services, Regulation & Coordination (MoNHSR&C) with the support of WHO, therefore, have planned to conduct a comprehensive Service Availability Readiness and Assessment (SARA) survey with respect to SRHR and Essential Health Services (EHS) in selected districts covering all Provinces of Pakistan in order to define population needs and health facility capacities in line with the UHC requirements.

Assessment of the availability of health facilities with regard to physical presence and functional presence, and facility readiness to provide health care services, mainly for essential services package including family planning and comprehensive abortion care, are important data sources for monitoring health system capacity to respond to population needs and monitoring health system performance over the years, in addition to providing up to date data and information for planning.

3. Objectives of the Assignment

The overall objective of the assessment is to provide baseline data for developing a model health care for UHC, and update national, regional and global facility driven indicators for monitoring progress to UHC and SDG targets.

SARA survey will be conducted under the following objectives:

• To assess the physical availability of Health facilities, including affordability and accessibility.

• To assess availability of human resources for Health in General and for SRH in particular.

• To generate information on the availability of basic equipment, basic amenities, essential medicines and diagnostic capacities of the health facilities in the provision of health services including SRH services.

• To assess readiness of health facilities to provide basic and specialised health care interventions including SRH services.

4. Planned Timelines

Start date: 1st August 2020

End date: 30th June 2021

5. Work to be performed

The consultant(s)/consulting firm is expected to liaise with the Ministry focal points on Health Systems Strengthening and SRHR, Technical Officer (SRHR) and National Professional Officer (RMNCAH) in the WCO, NPOs (RMNCAH) in selected districts and other stakeholders in undertaking this task.

The consultant(s)/consulting firm is expected to undertake the following:

Outputs

• Prepare an inception report that provides survey methodology and detailed work plan for the assignment.

o Develop sampling strategy & procedure; data collection, management and analysis plan

• Review and update data collection tools if need be ready with local translation where required

• Review methodology, data collection tools and work plan for the assignment in collaboration with WCO and Ministry focal points.

• Train data collectors.

• Overall supervision of the Survey process

• Data management, analysis, report writing and presentation of draft report to Ministry and WCO focal points

• Incorporate the feedback from Ministry, Provinces/ Areas and WHO Country Office (WCO) to finalize the SARA survey report.

6. Deliverables

1) Draft Inception report with detailed work plan, survey methodology, data collection tools, training manuals and data analysis plan.

2) Final inception report and data collection tools with translation

3) Draft SARA survey report

4) Presentation of findings from draft report to Ministry and WCO selected forum

5) Final SARA survey report

Deliverables and Payment Schedule

• First Deliverable: Signing of contract 0%

• Second Deliverable: Final Inception report with detailed work plan, survey methodology, data collection tools, training manuals and data analysis plan by 20th August 2020 - 50% budget to be released

• Third Deliverable: Draft SARA survey report by 31st May 2021 - 30% budget to be released

• Fourth Deliverable: Final SARA survey report incorporating feedback from all stakeholders by 20th June 2021 - 20% budget to be released

7. Specific requirements

Qualifications required:

Individual consultants: University degree in social sciences, with at least Master’s degree in Public Health, Reproductive Health, or Social Sciences and demonstrable knowledge of public health/ SRHR/ primary health care issues in Pakistan and survey methodology

Consultancy firms: Have a dedicated team of public health committed to this assignment with demonstrable knowledge of public health/ SRHR/ primary health care issues in Pakistan and survey methodology

Experience required:

• At least 5 years work experience in Public Health in Pakistan and experience of working with government.

• Conducted large scale population/ facility-based surveys in Pakistan

Skills:

• Excellent interpersonal, oral communication, writing and documentation skills.

• Ability to meet tight deadlines and to work effectively under pressure.

• Computer skills

Language requirements

• Fluent in English (reading, speaking and writing)

• Knowledge of local languages for effective communication at field level.

Responsible Officer:

Technical Officer (SRHR), WHO Country Office, Islamabad

To Apply:

Interested individuals/firms are required to submit the following documents at the below address by COB 20th July 2020. Note: Please mention the subject "APW to provide technical support for conducting SARA survey" on the envelope.

• A technical proposal (including the CVs of the respective team members, in case of firm)

• A financial proposal

Address: MNCH Unit, World Health Organization (WHO), Country Office, Park Road, Chak Shahzad, Islamabad.