For Kabul Urban Health Project Contracting-in (Management) in Afghanistan under the
proposed System Enhancement for Health Action in Transition (SEHAT) Project
Reference Number: SEHAT/EOI/13 Date: October 23, 2016
3. Afghanistan¡¦s population, estimated to be approximately 28 million, suffers from some of the
worst health indicators in the world, brought about, in part, by more than 30 years of war and
insecurity. Yet there is evidence that significant progress has been made in health system since 2003,
due, in part, to innovative service delivery strategies implemented by the Ministry of Public Health
(MoPH) and its partners. Implementation of the Basic Package of Health Services (BPHS) and the
Essential Package of Hospital Services (EPHS) are examples of such successes. Kabul is the victim
of rapid, unplanned, unregulated and unequal urbanization. Though exact data is impossible to
obtain (the last official census was conducted in 1979), Kabul is estimated to be the fifth fastest
growing city in the world, with a population which has ballooned from approximately 1.5 million
in 2001 to around 5 million people now. The rapid urbanization is taking a heavy toll on a city
originally designed for only about 700,000 people. An estimated 70% of Kabul¡¦s residents live in
informal or illegal settlements. Poor living conditions leave these urban poor, especially women
and children, more exposed to health problems than the general population, a vulnerability that
is compounded by their lack of public health awareness, and demand for and access to basic health
services. Children from the poorest urban wealth quintile are four times more likely to be chronically
malnourished than children from the wealthiest urban quintile.
The statutory responsibility for the delivery of Primary Health Care (PHC) in urban areas of Kabul
province rests with Kabul Provincial Public Health Directorate (KPPHD) of the Ministry of Public
Health (MoPH). However, rapid unplanned urbanization, coupled with low capacity and inequitable
distribution of the health facilities, inadequate public awareness and lack of trust, and a weak referral
system have overwhelmed the capacity of the KPPHD to meet and serve the vast need for urban
PHC in Kabul. Currently, the private sector is the dominant provider of basic health care in urban
areas, but these services vary in quality, and the access and affordability are quite often out of the
reach of the poor. In addition, due to low profit margin, the private health sector generally also do
not provide health promotion and disease preventive services.
Based on the study of the Urban Health Situation Analysis conducted in April 2010 by System
Science Consultants Inc. the main challenges of the Kabul Urban health were: (i) inadequate quality
of health services, (ii) poorly equipped health facilities and resources are inefficiently allocated, (iii)
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underutilization of almost all urban health facilities, and (iv) high out of pocket expenditures (OOP)
for pharmaceutical even in PHC facilities.
In December 2014, a global public health consultant, Neeta Bhandari conducted an assessment of
Kabul Urban Basic Package of Health Services project. The main finding of the assessment was the
challenges in achieving all of its intended performance indicator targets. Specifically, eight out of
eleven performance indicators did not fully meet their intended targets of at least a 10% increase
from the baseline: Number of active CHWs, drugs availability index, equipment functionality index,
number of deliveries, number of pregnant women receiving at least one ANC visit, number of new
contraceptive users, number of children <1 who received DPT3, and number of children <5
receiving nutrition screening.
The MoPH of the Islamic Republic of Afghanistan has applied for funding from the joint support of
the World Bank-IDA and the Afghanistan Reconstruction Trust Fund (ARTF) to improve the health
of the people of Afghanistan through the provision of quality health services and the promotion of
healthy lifestyles in an equitable and sustainable manner.
The MoPH willing to undertake, in the frame of SEHAT project, a contracting-in (management) to
improve service utilization and provision of quality health services in Kabul urban health facilities.
The MoPH intends to apply part of the grant proceeds to contract-in with a firm (the ¡§Consultant¡¨) for
management of Kabul urban health project through provision of incentives for PHOs and health
service delivery staff to ensure provision of quality health service; capacity building for Kabul
provincial health department and health facilities staff; and monitoring of health service delivery in
Kabul urban health staff and KPPHD to ensure provision of health service within official working
hours .
The Kabul Provincial Public Health Directorate (KPPHD) will be responsible for the implementation
of the BPHS, while the firm will be responsible only for the provision of incentives to the health
workers of all Kabul Urban Health facilities and KPPHD staff, effective monitoring of all Kabul Urban
Health facilities and build their capacities.
The assignment objective is:
To improve access to and utilization of preventive and promotive health services through proper
availability and quality of health services in Kabul Urban facilities.
The firm is going to be responsible for the provision of incentives to all health workers in all health
facilities of Kabul Urban Health (KUH) under KPPHD. In addition, the firm will conduct effective
monitoring from all KUH facilities with close collaboration with KPPHD and Urban Health Cell of
MOPH. Furthermore, the firm will be responsible to building the capacity of all staff of KUH facilities,
KPPHD officers and Urban Health Cell of MOPH.
This assignment will expected to be delivered in Kabul Urban Areas. The expected starting date of
this project is January 2017 and the completion date will be end of June 2018.
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The MoPH now invites eligible firms to indicate their interest in providing the above services.
Interested firms should provide information demonstrating that, they have the required qualifications
and relevant experience to perform the Services.
The short listing and eligibility criteria are:
1. General Qualification of the Consultant/Firms
2. Experience in providing the same or similar services (provision/management of primary health
care with brief information on date, duration, location, fund amount and donor) in Afghanistan
or in countries at a similar level of socio-economic development;
3. official establishment registration document of the consultant organization;
4. Governance, organizational structure and availability of Human Resources;
5. Recent annual financial audit report for lead organization (to cover all the projects supported by
different donors)
A firm will be selected in accordance to Quality & Cost Based Selection (QCBS) and with the
procedures set out in the World Bank¡¦s Guidelines: Selection and Employment of Consultant by
World Bank Borrowers, January 2011.EOIs will be evaluated on the quality of responses to the
items listed above.
After evaluation of the EOIs, ONLY shortlisted applicants will be qualified to receive the Request
for Proposals (RFP).
The attention of interested firms is drawn to paragraph 1.9 of the World Bank¡¦s Guidelines: Selection
and Employment of Consultant by World Bank Borrowers, January 2011 (¡§Consultant¡¦s
Guidelines¡¨), setting forth the World Bank¡¦s policy on conflict of interest.
The EOI must be presented in English and must be delivered with a covering letter (signed and
stamped) by the following means:
„h Those applicants who can submit the EOI in person (Hand ¡VDelivery by their staff) are
required to submit a total of six (6) copies (One original and five copies) in a sealed envelope,
along with soft copy in a labeled CD-ROM. Each page of the original version should be
signed and stamped.
„h Those applicants who cannot submit the EOI in person (Hand ¡VDelivery by their staff) are
required to submit their EOI, along with scanned copy of the receipt of the courier by email,
and send the six hard copies (One original and five copies) in a sealed envelope by
international courier.
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If a firm wishes to apply, it is kindly requested to submit the EOI in sealed and stamped envelope
which must clearly indicate the following information on the outside of the envelope:
„h From:
„h Name of the applicant:¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K..
„h Applicant Detailed Address:¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K¡K.
„h TO:
„h Ministry of Public Health
„h Grant & Services Contract Management Unit
„h Marked for the attention of: GCMU Administration
„h Great Masoud Square, Kabul, Afghanistan.
„h Subject: Expressions of interest for the Contracting-in (Management) of Kabul Urban
Health Project in Afghanistan under the proposed System Enhancement for Health Action
in Transition (SEHAT) Project
The deadline for submission of the EOI is November, 12, 2016 (corresponding to 22-08-1395) at
10:00 AM Kabul time. The EOI must be submitted before the submission deadline to the
aforementioned address.
Interested firm may obtain further information from the contact provided below before November,
12, 2016.
Grant and Services Contract Management Unit (GCMU)
Ministry of Public Health
Kabul, Afghanistan