guidelines for rfp remote area access mnh

8/11/2019 Guidelines for RFP Remote Area Access MNH

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Guideline for

Request for Proposal (RFP) for

For the Monitoring and Evaluation Remote Areas access to MNH services pilot,

Taplejung

INSTRUCTIONS TO BIDDERS

Introduction: The Nepal Health Sector Support Programme (NHSSP) is a programme of technical

assistance funded by the UK governments Department for International Development (DfID), on behalf

of DfID and other pool fund partners supporting the Ministry of Health and Population (MoHP) for the

implementation of the second Nepal Health Sector Programme (NHSP- 2).

Background: In 2013 Nepals Family Health Division (FHD) and Child Health Division (CHD), with the

support of the World Bank and the Nepal Health Sector Support Programme (NHSSP) conducted a study

on access to MNCH services in remote areas of Nepal (Regmi et al., 2013). The purpose of the study wasto make recommendations for reducing demand-side barriers, improving service coverage and

improving health seeking behaviour.

The study recommended that a core service delivery and demand-side package of interventions

designed to overcome the barriers to access in remote Nepal should be piloted in one district to inform

the development of strategies for MNCH in remote areas, and the preparation of NHSP-3

implementation plan.

Based on these recommendations, FHD and the Primary Health Care Revitalisation Division (PHCRD) are

planning to pilot a package of interventions implemented at different health service levels in one

remote district. The package will be designed to improve access to and the use of maternal and

neonatal health services, and if proved successful, could be adapted for use in the contexts of other

remote districts. Taplejung district has been selected for this intervention. The purpose of the proposed

Remote Areas MNH Pilot (RAMP) is to inform government plans for working in remote areas of Nepal in

NHSP-3 by identifying concrete lessons and strategies for increasing access to and the uptake of MNH

services in remote areas.

1. General

This bid is open to all national organisations that are legally constituted, can provide the

services required to a high standard and are formally registered in Nepal.

2. Cost of Bid

The bidder shall bear all costs, including travel costs, associated with the preparation andsubmission of its bid, nor may such costs be included as direct costs of the survey. NHSSP shall

under no circumstances be responsible or liable for such costs, regardless of the conduct or

outcome of the solicitation.


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3. Language of the Bid

The bid prepared by the bidder and all correspondence and documents relating to the bid shall

be written in English.

4. Bid Currency and Prices

All prices shall be quoted in Nepalese Rupees (NPR). The bidder shall indicate in an appropriatebudget format the unit prices (where applicable) and total bid price of the goods or services it

proposes to provide under the contract.

5. Validity of Bid

The prices quoted in the bid shall be valid until the completion of the project and no cost escalation

or variation will be permitted. Any proposal having validity for a shorter period will be rejected by

NHSSP as non-responsive. It should be noted that NHSSP may solicit the bidder's consent for an

extension of the period of validity under exceptional circumstances.

6. Submission of Bids

The documentary evidence of conformity of the goods and services to the bidding documents may

include the following documentation which must be completed and returned in the manual and

electronic formats specified.

Each bidder must submit the following documents:

I. Technical proposal in the specified format: Four (4) signed hard copies and an electronic copy on

CD or memory stick

II. Financial proposal in the specified format: Four (4) signed hard copies and an electronic copy on

CD or memory stick

III. Organisational profile with a copy of other supporting documents as listed below: Two (2) signed

hard copies and an electronic copy on a CD or memory stick

Along with a completed and signed Bid Submission Letter (as specified in Annex II), a bid shall be

submitted in three separate envelopes:

I. An envelope containing the technical proposal;II. An envelope containing the financial proposal; and

III. An envelope containing the organizational profile as specified above

Failure to furnish all the information required for submission of a bid and bids that do not

substantially respond to the NHSSP bid documents requirements in every respect shall be at the

bidders risk and will result in a rejection of the bid.

6.1. Technical Bid

For NHSSPs acceptance of the bid, the bidder should provide documentary evidence of:

A completed technical proposal in the prescribed format. The technical bid should be

concisely presented to include, but not necessarily be limited to, the information listed in

Annex I and outlined as structured in Annex IV and a summary of the bidders previous

experience of similar assignments and a list of key clients (Annex V)


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6.2. Financial Bid

Please complete the budget using the format provided (Annex VII). Your separate financial bid must

contain a detailed quotation in Nepalese Rupees (NPR), itemising all services to be provided and a

summary. The financial bid should include a detailed Budget narrative for each cost heading.

The budget should show the following:

salaries for administrative staff (number of personnel, salary, number of person-days/months);

field staff salaries for the pretest, and main survey

per diems and travel costs;

rental of training venues;

printing of questionnaires, manuals, maps, field forms;

communication costs;

data processing staff and supplies;

fringe benefits, overhead, fees, any other indirect costs, and VAT, if any, should be clearly

distinguishable.

6.3. Organizational Profile

Please submit an organisational profile along with the following documents: Organisations legal registration certificate

Organizations VAT and PAN registration certificate

Organizations tax clearance certificate/tax return submission for F/Y 2070/71

Bidders Identification in the prescribed form (Annex III)

Organizations last audited financial statements

Written declaration from the bidder stating that they:

o are eligible to participate in the procurement proceedings

o have no conflict of interest in the proposed procurement proceedings, and

o have not been punished or penalised for a professional or business related offense or

transgression

Certified copies of audit reports for the last 3 Fiscal Years (2068/69, 2069/70, 2069/70).

6.4. Sealing and Marking of Bids

When submitting the technical and financial bid along with the organizational profile in three different

envelopes, your bid shall be prepared and marked as ORIGINAL.

The Outer Envelope must be clearly marked with the following information:

Nepal Health Sector Support Programme (NHSSP)

Ministry of Health & Population (Room Number 415)

Ramsaha Path, Kathmand, Nepal

RFP NHSSP - RMP

Attention: Office Manager

TO BE OPENED BY AUTHORISED 2015 NHFS EVALUATION COMMITTEE ONLY

Date of submission:


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The Inner Envelopes must be clearly marked with the following information:

Technical Bid

Nepal Health Sector Support Programme (NHSSP)Ministry of Health & Population (Room Number 415)

Ramsaha Path, Kathmandu Nepal

Submission 1 of 3: RFP/NHSSP/RMPOrganization name:

Financial Bid



Submission 2 of 3: RFP/NHSSP/RMPOrganization name:__________________________

Organizational Profile



Submission 3 of 3: RFP/NHSSP/RMPOrganization name:__________________________

If the outer envelope is not securely closed and marked as required, NHSSP shall assume no

responsibility for the bids misplacement or premature opening and the bid will be disqualified.

7. Deadline for Submission of Bid and Late Bids

Bids must be delivered to the office on or before the date and time specified in this RFP. NHSSP may

under special and exceptional circumstances extend this deadline for the submission of the bids and

such changes shall be notified in Kantipur national daily before the expiration of the original period.

Any proposal received by NHSSP after the deadline for submission of bids or any extension period

shall be rejected. NHSSP shall not be legally responsible for bids that arrive late due to the bidders

problems with the courier company.

8. Modification and Withdrawal of Bids

The bidder may withdraw its bid after submission, provided that written notice of the withdrawal is

received by NHSSP prior to the deadline for submission. No bid may be modified after the passing ofthe deadline for the submission of bids. No bid may be withdrawn in the interval between the

deadline for submission of bids and the expiration of the period of the bid validity.

9. Storage of Bids

Proposals received prior to the deadline for submission and the time of opening shall be securely

kept and unopened until the specified bid opening date stated in the NHSSPs bid solicitation

document.


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Bid Opening and Evaluation

10. Bid Opening

The sealed outer envelope will be opened only in the presence of the nominated bid evaluationcommittee. There shall be separate openings for technical and financial bids. Initially only technical

bids/proposals will be opened by the evaluation committee and the financial proposals/bids will

remain unopened.

After the technical evaluation has been made only those organisations whose technical bids score

65% or more will progress to the next stage and their financial proposals will be opened in the

presence of the same committee that opened technical bid. For organisations who do not achieve

the minimum 65% technical score, their financial bids/proposals will be returned unopened making

them ineligible for further consideration.

11. Clarification of Bids

To assist in the examination, evaluation and comparison of bids, the bid evaluation committee may

ask bidders for clarification of their bids. The request for clarification and the response shall

be in writing from NHSSP on behalf of the committee and no change in price or substance of the

proposal shall be sought, offered or permitted.

12. Preliminary Examination of Bids

NHSSP on behalf of the bid evaluation committee shall examine the bids to determine whether they

are complete, whether any computational errors have been made, whether the documents are

correctly signed and whether the proposals are generally in order.

Prior to the detailed evaluation, NHSSP will help the Bid Evaluation Committee determine the

substantial responsiveness of each bid to the RFP in a preliminary examination. For purposes ofthese clauses, a substantially responsive bid is one that conforms to all the terms and conditions of

the RFP without material deviations. The initial determination of a bids responsiveness is based on

the contents of the bid itself without recourse to extrinsic evidence.

A bid that is determined to be not substantially responsive will be rejected and may not

subsequently be made responsive by the bidder by correction of the non-conformity.

Arithmetical errors shall be rectified on the following basis: If there is a discrepancy between the

unit price and the total price that is obtained by multiplying the unit price and quantity, the unit

price shall prevail and the total price shall be corrected. If the Bidder does not accept the correction

of errors, its proposal shall be rejected. If there is a discrepancy between words and figures, the

amount in words shall prevail.

13. Evaluation of Bids

A two-stage procedure will be utilised in evaluating the proposals, with evaluation of the technical

bids being completed prior to any financial bids being opened and compared. The financial bid will

be opened only for those bidders whose technical bid reaches a minimum 65 points out of 100,

meeting the requirements for the technical requirements under this RFP. The total number of

points which a bidder may obtain for technical and financial bids is 100 points (both financial and


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technical bids shall score out of 100). The scores will then be weighted 70% for the technical bid

and 30% for the financial bid.

14. Evaluation of Technical Proposal

The technical bid will be evaluated on the basis of its responsiveness to the Terms of Reference

shown in Annex I.

The organisation will be requested to submit their technical and financial proposals as per the TOR

and NHSSPs Request for Proposals (RFP).

Criteria for evaluation of technical proposal

SN Criteria Score

1 Description of the organization, management and administrative capability 10

2 Experience of conducting monitoring and evaluation, surveys, data collection, report

writing , familiarity with the health system and working experience with government,

donor and INGOs.

20

3 Proposed survey and M and E approach/plan methodological soundness, appropriateness

of time schedule

15

4 Quality assurance plan 20

5 Monitoring and Evaluation plan 10

6 Team structure for implementation 10

7 Qualification, experience and commitment of the proposed key staff (CVs of key team

members)

15

Total 100

15. Financial Evaluation

The financial bid will only be evaluated if the technical bid achieves a minimum of 65 points.

Proposals failing to obtain this minimum threshold will not be eligible for further consideration and

will be returned.

The financial bid will be evaluated on the basis of its responsiveness to the Budget Distribution Form

(Annex VII). The maximum number of points for the financial bid for the final scoring is 30.

NHSSP will evaluate the financial proposals based on the soundness of the assumptions,

appropriateness of the budget and the consistency of the financial and technical plan. The proposed

budget has to provide value for money, but be realistic and practical to ensure quality outputs and

should be consistent with the technical proposal.

NHSSP will first evaluate the technical proposals, assigning each a score. The same team of evaluators

will then proceed to evaluate the financial proposals and meet to review the scores assigned. The

team will either determine the winning bid, decide to negotiate further, or not award the project atall.

16. Total Score

The total score for each bidder will be the weighted sum of the technical score and financial

score. The maximum total score is 100 (70 + 30) points.


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Award of Contract and Final Considerations

17. Award of Contract

Following the evaluation of bids by the committee, NHSSP shall award the contract to the bidder

who obtains the highest combined score of the technical and price evaluation

18. Rejection of Bids and Annulments

NHSSP reserves the right to reject any bid if the bidder has previously failed to perform properly or

complete assignments on time in accordance with earlier contracts with NHSSP or if the bidder

from NHSSP's perspective is not in a position to perform the contract.

A bid that is rejected by NHSSP may not be made responsive by the bidder through the correction of

the non-conformity. A responsive bid is defined as one that conforms to all the terms and conditions

of NHSSPs solicitation documents without material deviations. NHSSP shall determine the

responsiveness of each bid with the NHSSPs bid solicitation documents.

NHSSP reserves the right to annul the solicitation process and reject all bids at any time prior to

award of the contract without thereby incurring any liability to the affected bidder(s) or any

obligation to provide information on the grounds for the buyers action.

The bidders waive all rights to appeal against the decision made by NHSSP.

19. Right to Vary Requirements at Time of Award

NHSSP reserves the right at the point of award of contract to vary the quantity of services and goods

specified in the RFP with appropriate terms and conditions in agreement with the winning bidder.

20. Signing of the contract

The buyer (NHSSP) shall send the successful bidder the purchase order/contract, which constitutes

the Notification of Award. The successful bidder shall sign and date the contract, and return it to

NHSSP within three calendar days of receipt of the contract. After receipt of the Purchase Order, the

successful bidder shall deliver the services in accordance with the delivery schedule outlined in the

bid.

21. Payment Provisions

NHSSPs policy is to pay for the performance of contractual services rendered or to make payment

upon the achievement of specific milestones described in the contract.

Any request for an advance payment is to be justified and documented, and must be submitted

with the financial bid. The justification shall explain the need for the advance payment, itemize

the amount requested and provide a time schedule for utilisation of said amount. Information about

your financial status must be submitted, such as audited financial statements of the previous year

and this documentation should be included with your financial bid. Further information may be

requested by NHSSP at the time of negotiations with the preferred bidder.


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23. Gifts and Hospitality

NHSSP has a zero tolerance policy on gifts and hospitality. In view of this, NHSSP personnel are

prohibited from accepting any gift, even of a nominal value, including drinks, meals, food

products, hospitality, calendars, transportation and any other forms of benefit. Vendors are

therefore advised not to send gifts or offer hospitality to NHSSP personnel.

ANNEXES:

ANNEX I: Terms of Reference (ToR)

ANNEX II: Bid Submission Letter

ANNEX III: Bidders Identification

ANNEX IV: Outline of Technical Proposal

ANNEX V: Bidders Previous Experience and Key Clients

ANNEX VI: Curriculum Vitae (CV) of Key Team Members

ANNEX VII: Budget Distribution Form


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ANNEX I: TERMS OF REFERENCE FOR MONITORING AND EVALUATION REMOTE AREAS ACCESS

TO MNH SERVICES PILOT, TAPLEJUNG AUGUST 2014

BACKGROUND

The Government of Nepal is committed to improving the health status of its citizens and has made

impressive health gains despite conflict and other difficulties. The Nepal Health Sector Programme-1

(NHSP-1), the first health sector-wide approach (SWAp) in Nepal, ran from July 2004 to mid-July

2010. It was very successful and brought about many health improvements. Building on these

successes, the Ministry of Health and Population (MoHP) and its external development partners

designed a second phase of the programme (NHSP-2, 2010-2015), which began in mid-July 2010.

NHSP-2s goal is to improve the health status of the people of Nepal. Its purpose is to improve the

utilisation of essential health care and other services, especially by women and poor and excluded

people.

Technical assistance to NHSP-2 is being provided from pooled external development partner support

(DFID, World Bank, AusAID, KfW and GAVI) through the Nepal Health Sector Support Programme

(NHSSP). NHSSP is a five-year programme (20102015) funded by the Department for International

Development (DFID) and managed and implemented by Options Consultancy Services Ltd andpartners Oxford Policy Management and Crown Agents. NHSSP is providing technical assistance and

capacity building support to help MoHP deliver against the NHSP-2 Results Framework.

The following are the key areas of NHSSP support:

- health policy and planning; - essential health care services;

- health systems and governance; - procurement and infrastructure;

- human resources for health; - monitoring and evaluation;

- health financing; - aid effectiveness.

- gender equality and social inclusion;

SPECIFIC BACKGROUND

In 2013 Nepals Family Health Division (FHD) and Child Health Division (CHD), with the support of the

World Bank and the Nepal Health Sector Support Programme (NHSSP) conducted a study on access

to MNCH services in remote areas of Nepal (Regmi et al., 2013). The purpose of the study was to

make recommendations for reducing demand-side barriers, improving service coverage and

improving health seeking behaviour.

A review of policies and programmes revealed that, although Nepal has been successful in reaching

its citizens with maternal, newborn and child health (MNCH) services such as family planning,

antenatal care, and immunisation, (Regmi et al., 2013), these initiatives have not targeted areas

where the need is higher and access is poorer. Most attention has gone to achieving population-based targets, with much less for reaching the most disadvantaged people who face greater

geographical, social and economic barriers to accessing health services.

The study found that remoteness is a factor that effects access to and the use of MNCH services

both within and between districts. For example, compared to less remote village development

committees (VDCs), remote VDCs (defined as VDCs that lie more than eight hours travel distance

from their district headquarters) were found to generally have fewer human resources for health,

fewer facilities including birthing centres and long term family planning (LTFP) services, and higher


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levels of drug stock-outs and expired drugs. The uptake of services was also lower in remote VDCs

The study concluded that both demand and supply-side barriers need addressing in ways tailored to

local contexts to improve access to health services in remote areas. Strengthening district health

management in remote districts should support the improved availability, quality and

responsiveness of health services.

In conclusion the study recommended that a core service delivery and demand-side package ofinterventions designed to overcome the barriers to access in remote Nepal should be piloted in one

district to inform the development of strategies for MNCH in remote areas, and the preparation of

NHSP-3 implementation plan.

Based on these recommendations, FHD and the Primary Health Care Revitalisation Division (PHCRD)

are planning to pilot a package of interventions implemented at different health service levels in one

remote district. The package will be designed to improve access to and the use of maternal and

neonatal health services, and if proved successful, could be adapted for use in the contexts of other

remote districts. Taplejung district has been selected for this intervention. The purpose of the

proposed Remote Areas MNH Pilot (RAMP) is to inform government plans for working in remote

areas of Nepal in NHSP-3 by identifying concrete lessons and strategies for increasing access to and

the uptake of MNH services in remote areas.

The objectives of the pilot intervention will be as follows:

To demonstrate whether or not a supply side package of health facility level and district-

based interventions, tailored to the local context, and with or without demand side

interventions, will result in more equitable access to and use of maternal and newborn

health (MNH) services in focal VDCs in one remote district of Nepal.

To identify lessons about how supply and demand side interventions can be successfully

delivered to improve equitable access to and the use of MNH services in remote VDCs.

To establish if costs and outcomes justify scaling up the piloted interventions to other VDCs

and districts.

The pilot aims to answer four main research questions:Research question Focus of questions

1. How can essential MNH services be

made available and demand side

interventions for MNH delivered in remote

areas?

This is an operations level question to find out how MNH

services can be made available (it is globally agreed that

these services should be universally available) to ensure

the supply side, and how demand side interventions for

MNH can be delivered.

2. Can supply-side interventions alone

increase the use of and access to MNH

services?

These are evaluation questions to test possible value

additions to address the following two hypotheses:

Hypothesis 1: there will be greater availability and

demand for MNH services at sites where Package 2 is

implemented than where Package 1 is implemented.

Hypothesis 2: There will be greater availability and

demand for MNH services at sites where Package 3 is

implemented compared to where Package 1 or 2 alone

are implemented.

3. Can demand-side interventions

complement supply-side interventions to

work together to promote greater

accessibility and use of MNH services and

accountability in providing them?


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4. What are the unit costs associated with

reaching remote communities, and is scale

up justifiable from a cost perspective?

This is a cost analysis question: What is the unit cost of

applying the supply side package alone or in combination

with the demand-side package?

The intended outcomes and outputs of the pilot project are:

Outcome 1 Increased and more equitable use of MNH services

Secondary

outcome 1

Increased and more equitable use of child health services

Outcome 2 Increased adoption of healthy maternal and newborn

health practices

Outcome 3 Reduced cultural and economic barriers to accessing

maternal and newborn health care services

Output 1 Increased knowledge and social acceptability of MNH

services and healthy practices.

Output 2 Improved availability and quality of MNH services in focal

VDCs.

Output 3 Improved management and governance of health services

in the focal VDCs and at the district level.

Details of the pilots design is provided at Annex 1 of this ToR. The full M&E plan is provided at

Annex 2 of this ToR

In order to enable the Government of Nepal to assess how effective and replicable the pilot is, and in

order to enable the implementation team to adjust plans based on evidence of RAMPs

effectiveness, detailed monitoring and evaluation is required. During the design phase of RAMP,

NHSSP partnered with a research agency to help design an approach to monitoring and evaluation

(M&E). The resulting M&E plan identifies the following data sources and tools to be used in

monitoring the pilot: (These tools will be available on request)

a) Health facility survey (Annex 3 of this ToR)

b) Household survey (Annex 4 of this ToR)

c) In-depth interviews with stakeholders (.) (see Annex 5 of this ToR for interview guides)

d) Focus group discussions with .. (see Annex 6 of this ToR for discussion guides)

e) Collection of case studies

a) Health facility survey A survey will be carried out at the targeted health facilities both

before and after the implementation of the three packages to measure service availability andreadiness and service use at these two points. The facility survey will have two sources of

information:

Self-assessment tools Quality of care (QoC) self-assessment tools for improving quality of

care at health facility level will be applied. These tools will be administered at the targeted

health facilities to improve service availability and readiness at these health facilities and

will also be used for monitoring purposes.


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HMIS data Service utilization data at the targeted health facilities and the district

hospital will be collected from the HMIS registers/forms of these health facilities.

b) Household survey A household survey will be carried out before the full-fledged

interventions start and at the end to gather information from married women of reproductive age

(MWRA) and recently delivered women (RDW).

Interviews with married women of reproductive age 960 household interviews will be

conducted to measure change at the outcome level. MWRA will be interviewed to collect

information on their knowledge of MNH and the support they receive to access and use

MNH services. Client satisfaction with services received from the health facilities will also

be assessed.

Interviews with recently delivered women RDWs are defined as women who have

delivered a child in the previous 12 months. Based on the proportion of expected

pregnancies among WRAs at any time, the baseline and endline surveys should interview at

least 120 RDWs. Information will be collected on their knowledge, support received and

access to MNH services.

c) In-depth interviews In-depth interviews will be carried out with the following six types of

stakeholders to gather information on the provision and use of MNH services, the implementation of

the pilot project and other pertinent matters. These interviews will be carried out at the end of the

intervention.

District level stakeholders including the local development officer, school teachers and

representatives of concerned government and non-government organizations working on

MNH in the district. These interviews will mainly solicit views on the implementation,

district context and impact of the pilot project.

DHO personnel The district health officer, the public health nurse, the family planning

supervisor, the EAP focal person (all DHO staff) will be interviewed. These interviews will

gather information on the provision of MNH services, the impact of remoteness on access

to and use of MNH services, the impact of the pilot project and the potential of its

interventions.

Health workers health workers from the district hospital and targeted health facilities

(one per health facility), who are directly involved in providing MNH services, will be

interviewed after the interventions. Doctors, nursing staff and health facility in-charges will

be asked about their views on the pilot projects implementation process, the situation of

the six clusters during implementation, the use of MNH services, and why services are

being under- or over-used in their working areas.

FCHVs In-depth interviews will be carried out with 13 FCHVs (one per VDC) at the end of

the project to gather information on FCHVs involvement and capacity to deliver MNH

services.

EAP social mobilisers (NGO) Interviews will be carried out with the EAP social mobilisers

after the interventions. They will be asked about the response of communities and other

issues and challenges faced while implementing the project.

HDC and HFOMC members Interviews will be carried out with hospital development

committee (HDC) members at the district hospital and HFOMC members from each of the

six cluster hub facilities, after the interventions. These will investigate their understanding


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of their roles and responsibilities, the activeness of HFOMCs and the HDC, actions for

improving MNH services, access by communities and their perceptions of the pilot project.

d) Focus group discussions Three focus group discussions will be held with womens or

mothers group members three with male leaders and community men, and three with WRA. The

three discussions will be held one in each type of the three types of package sites (13). There willbe 6 to 10 participants in each focus group discussion with a range of caste/ethnicity and

remoteness. At the baseline, discussions will investigate the attitudes and practices that affect MNH

care in the family and community and service use. At the endline, discussions will investigate

awareness of the pilot project and its impact on community attitudes and practices related to MNH

care and service use.

e) Collection of case studies

Two or three case studies will be collected to bring out the realities and challenges of providing and

accessing services in remote districts.

In July 2014, the following baseline data will be collected by research agency HERD using agreed and

tested tools:

a) Health facility survey

b) Household survey

c) Focus group discussions

PURPOSE AND OBJECTIVES OF THE ASSIGNMENT

The purpose of this M&E assignment is to monitor and evaluate the implementation of the RAMP in

order to inform government decisions about the replicability and efficiency of the pilot.

The objectives of the M&E assignment are:

o To what extent did the pilot achieve its intended outcomes and outputs?

o To what extent did supply-side interventions alone increase the use of and access

to MNH services?

o Can demand-side interventions complement supply-side interventions to work

together to promote greater accessibility and use of MNH services and

accountability in providing them?

o To monitor the context and process of implementation of the Ramp IN ORDER to

capture learnings, enabling factors and reasons for achieving and not achieving

targets.

TASKS

The main tasks of the M&E agency under this ToR will be as followsa) Quantitative data collection and analysis

To collect high quality end-line data from 14 health institution and 960 households using

agreed survey tools

To analyse all quantitative data collected during the pilot (baseline data household and

health facility survey data; endline household and health facility survey data; and data

from HMIS) to answer the following questions :


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The household data will be analysed using probit model to access the effectiveness of the pilot and

regression discontinuity analysis will be used to access the changes observed in the utilisation

through HMIS.

b) Qualitative data collection

To collect high quality qualitative data about the experience of service users and

stakeholders during the pilot through 9 focus group discussions and about 40 in-depth

interviews in line with an agreed methodology

To collect data based on agreed tools and checklist developed for process monitoring

Analyse qualitative data to identify out how MNH services can be made available (supply

side), and how demand side interventions for MNH can be effectively delivered.

c) Document case studies

M&E agency will be involved in mid-term review of the project (currently planned in early

December 2014). They are expected to report the findings based on mid-term review.

Note: Baseline tools will be reviewed and extra questions may be added for new information needed

for endline survey based on implementation and process monitoring experiences.

DELIVERABLES

1. Process monitoring tools

2. Quarterly monitoring report

3. End-line data from 14 facilities

4. End-line data from the household survey

5. Qualitative data from exit interview with women utilising maternity services

6. Qualitative data from in-depth interviews and focus group discussions

7. A report of findings from qualitative data (details and format of report to be agreed)

8. A report on findings from quantitative and qualitative data (details and format of report to

be agreed)

9. Two or three case studies

10. A brief progress report towards half way point of the assignment after the mid-term review (December

2014 or January 2015)

11.Dissemination of findings, including summary report and PowerPoint slides

TIMEFRAME

Qualitative data

collection and

analysis

Aug

2014

Sept Oct Nov Dec Jan

2015

Feb Mar Apr May Jun Jul Aug

Recruitment of

M&E staff for

x


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district

Develop process

monitoring tools

X

Process

monitoring

Quarterlymonitoring based

on agreed tools

and timeframe

X x x X x x X x x

Quarterly report to

NHSSP

x x x

Case study and

report writing

x

Refine, develop

and finalize

endline evaluation

tools

X

Hire enumerators

for endline

X

Train enumerators

for endline

X

Data collection for

endline

x

Data coding,

transcription and

translation

x X

Data entry x X Data analysis and

tabulation (qual.

and quant.)

X

Draft report

writing

X

Finalize report and

dissemination

x

Monitoring visits

from centre

X x x x x x x x x X

REPORTING

The consultant firm will report to the FHD and NHSSP for the key deliverables. The firm will report

to Research adviser and EHCS adviser of NHSSP on a day-to-day basis on progress of the assignment

and important issues that arise.


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APPROVAL

These terms of reference have been reviewed and approved by FHD, who will be kept informed of

progress during the assignment and receive a copy of the deliverables.

NHRC had provided ethical approval for conducting M&E of the RAMP in Taplejung district.

QUALIFICATION AND EXPERIENCESThe local research firm should:

be a national organization that is registered with the Government of Nepal;

have five years proven experience in providing services similar to those detailed in this ToR

with stakeholders such as the MoHP, UN/bilateral organizations;

have experience working in the health sector on similar and e studies exercises and surveyes.

DOCUMENTS AVAILABLE on request:

1 Pilot design document

2 Monitoring and evaluation design document

3 Health institution survey tool4 household survey tools

5 In-depth interviews guides

6 Focus group discussion guides

7: Detailed implementation guidelines


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ANNEX II: Bid Submission Letter

To:

Nepal Health Sector Support Programme (NHSSP)

Ministry of Health and Population (MoHP)

Room 415

Ramshaha Path, Kathmandu

Dear Sir/Madam,

The undersigned, having read the solicitation documents of Request for Proposals dated

hereby offer to provide the services in accordance with any specifications stated and

subject to the Terms and Conditions set out or specified in the document.

We agree to abide by this bid for a period of 90 days from the date fixed for the opening

of bids in the Request for Proposals, and it shall remain binding upon us and may be accepted at

any time before the expiration of that period.

We undertake, if our bid is accepted, to commence and complete delivery of all items in

the contract within the price and time frame stipulated.

We understand that you are not bound to accept any bid you may receive and that a

binding contract would result only after final negotiations are concluded on the basis of the

technical and price bids proposed.

Dated this .......... day of .................., 2014

Signature: .

Name: .

Title: .

Company: .

Email address


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ANNEX III: Bidders Identification

1. Organisation/Company Name:

_____________________________________________________________

2. Address, Country:

_____________________________________________________________

Telephone: ________________Fax: _____________Website:________________________

3. Date of establishment: _______________________________________

4.

Name of Legal Representative:

______________________________________

5.

Contact:____________________________________ Email:

_________________________

Person:_____________________________________

6.

Type of Organization: For- profit Not-for-profit Other

Organisational Type: NGO Research Institution Company Other

9. Number of Staff:

10. Years working with bilateral/UN organizations: and NHSSP:

11. Subsidiaries in the region (if applicable): Indicate name of subsidiaries and

address

a)

b)

c)


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ANNEX IV: Outline of Technical Proposal

The technical bid should be concisely presented and structured in the following order to

include, but not necessarily be limited to, the following information keeping it within 20 pages:

1. Description of the organisation and the organisations qualifications: A brief

description of your institution and an outline of recent experience on projects of

a similar nature, including experience in the country and language concerned. You

should also provide information that will facilitate our evaluation of your

institutions substantive reliability, such as annual reports of the organisation, and

evidence of financial and managerial capacity to provide the services such as audited

financial statements.

2. Your understanding of the requirements for services, including any assumptions

including: comments on the data, support services and facilities to be provided as

indicated in the TOR or as you may otherwise believe to be necessary.

3. Proposed Approach, Methodology, Timing and Outputs: any comments or

suggestions on the TOR, as well as your detailed description of the manner in which

your organization will respond to the TOR. You should include the number of person-

months in each specialisation that you consider necessary to carry out the work

required. The level of total professional/personnel inputs required is to be provided.

4. Quality assurance plan: A detailed plan showing how the quality of data collection at all

stages including questionnaire finalization, translation, survey team members

identification, recruitment, training, mobilization, data collection, data entry, cleaning

and editing will be assured.

5. Proposed Team Structure: The composition of the team you propose to provide in

the country of assignment and/or at the home office, and the work tasks(including supervisory) which would be assigned to each. An organogram illustrating

the reporting lines, together with a description of such organisation of the team

structure should support your bid.

6. Proposed Project Team Members: Please attach the curriculum vitae of the

senior professional member of the team and members of the proposed team and details

of how long each member of your team has directly worked as an employee of your

organisation. Also provide a written commitment from each of the proposed team

members for the posts detailed in the attached TOR providing an undertaking that they will

be available and committed to working on this programme for the said duration and any

possible extension. Please include CVs of key team members in Annex VI.


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ANNEX V: Bidders Previous Experience and Clients

Description of the organisation and the organisations qualifications: A brief description of

the organisation and an outline of recent experiences on projects of a similar nature. You should

also provide information that will facilitate our evaluation of your organisations substantive

reliability, such as annual reports, and financial and managerial capacity to provide the services

such as audited financial statements. Please use the format below.

No. Description (1) Client

Contact person,

phone number,

email address

Date of serviceContract

Amount

From To (Currency)

(1) Bidder shall indicate the description of products, services or works provided to their clients.

Please indicate only relevant contracts to the one requested in the RFP.


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Annex VI: CVs of Key Team Members


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ANNEX VII: Budget Distribution Form

Name of organization:

Budget Categories and Line Items Unit Unit costs Total Amount Remarks

A. Human Resources

Others (please specify)

Subtotal (A)

B. DSA & Accommodation

Others (please specify)

Subtotal (B)

C. Transportation costs

Subtotal (B)

D. TrainingPretest (full board)

Main training (full board)

Other (please specify)

Subtotal (D)

E. Others (please specify)


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Budget Categories and Line Items Unit Unit costs Total Amount Remarks

Printing

Data collection

Others ( please specify)

TOTAL COST (A+B+C+D+E)

GRAND TOTAL

Signature of Bidder:

Name and title:

guidelines for rfp remote area access mnh

Documents