For Performance-Based Partnership Agreements to Deliver the Basic Package of Health
Services (BPHS) & Essential Package of Hospital Services (EPHS) under System
Enhancement for Health Action in Transition (SEHAT) Project-Phase III
Reference Number: SEHAT/REoI/17 Date: January 25, 2017
In 2003, the Ministry of Public Health (MOPH) of Afghanistan with support from the international
community including the World Bank, European Union, and the U.S. Agency for International
Development (USAID) developed a set of cost-effective and high impact interventions called the
Basic Package of Health Services (BPHS), that would be available to all Afghans with special
focus on those living in remote and underserved areas. Later on, in 2005, the MoPH developed the
Essential Package of Hospital Services (EPHS), which defined the role and services of the hospital
sector, specifically for the district, provincial and regional hospitals and aims to reduce high
maternal and childhood mortality rates.
Based on its experiences with BPHS implementation, for the first time the MOPH refined the
BPHS in 2005 and then a full review of the BPHS was undertaken in 2010. The revised version of
BPHS identified new priority areas which need to be considered by relevant partners. Major
changes introduced in the second revision are in mental health, disability and nutrition. In addition,
the revised package recognizes new types of health facilities (Health Sub-center and Mobile Health
Teams) to increase the accessibility to health care to people living in remote and isolated areas.
Furthermore, health care to underserved population such as detainees is also added in the revised
The delivery of BPHS and EPHS (in part) has been financing by the three main donors (the World
Bank, EU and USAID), and implementing by Consultants (through contracting-out approach) and
the MOPH Strengthening Mechanism since 2003. In general, MoPH through its central
departments and provincial offices is overseeing and monitoring/supervising the implementation of
BPHS and EPHS. In particular, the Grant & Services Contract Management Unit (GCMU) in
MoPH is carrying out procurement of consultancy services, contract management, financial
management, coordination and continuous tracking of contract compliance of BPHS and EPHS
Since 2003, the World Bank has supported the health service delivery in 11 provinces, the
European Union (EU) in 10 provinces and the USAID in 13 provinces. The World Bank and EU
pervious support to the health sector ended by the end of 2013, similarly, the USAID support
ended by June 2015. Following to that, all three major donors prepared their supports in a joint
effort under SEHAT project and continued their supports for the health sector via Afghanistan
Reconstruction Trust Fund (ARTF) which is administered by the World Bank.
The Ministry of Public Health (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 intends to apply part of the grant proceeds to contracts with Consultants or firms (the
“Consultant”) for the delivery of health services with the objective of improving the health and
nutritional status of the people of Afghanistan by reaching the poor, women and children and
under-served areas of the country. The project entails:
1. Sustaining and strengthening the provision of the Basic Package of Health Services
(BPHS), Community Midwives Education (CMEs) and Community Health Nurses
Education (CHNEs).
2. Sustaining and expanding implementation of the Essential Package of Hospital Services
(EPHS) in selected hospitals.
The MOPH has selected Eighteen (18) provinces (Helmand, Samangan, Saripul, Balkh, Nimroz,
Badghis, Wardak, Farah, Nangarhar, Laghman, Kunar, Nooristan, Logar, Kunduz, Zabul, Uruzgan,
Daikundi and Ghor) for BPHS implementation through performance-based partnership agreements
(PPAs) with consultants. In addition, EPHS would be implemented in Nine (9) provinces
(Nangarhar, Nimroz, Wardak, Farah, Laghman, Kunar, Logar, Urozgan and Daikundi) through
performance-based partnership agreements (PPAs) with consultants under this project.
The implementation period will be one year starting from July 1st 2017 till end of June 2018 with
the possibility of two (2) years extension subject to availability of fund and extension of SEHAT
The Ministry of Public Health now invites eligible consultants to indicate their interest in providing
the above services. Interested consultants must provide information demonstrating that they have
the required qualification and relevant experience to perform the services.
The shortlisting criteria are:
a) General Qualification of the Consultant/Firms along with the date of establishment and
official registration documents of the consultant (in Afghanistan or other countries),
b) At least (3) three years experience in providing similar services (completed projects with
brief information on date, duration, location, fund amount and donor) in Afghanistan or
in any other developing country.
Similar would be defined as below:
a. EPHS: Similar means experience in implementation of EPHS or hospital services
in general hospital with at least 50 beds.
b. BPHS: Similar means experience in implementation of BPHS or at least two
components/elements of Primary Health Care (PHC) or Basic Package of Health
Services (BPHS):
PHC components have been defined as below:
1. Education concerning prevailing health problems and the methods of
identifying, preventing and controlling them.
2. Promotion of food supply and proper nutrition, an adequate supply of safe
water and basic sanitation
3. Maternal and child health care including family planning
4. Immunization against major infectious diseases
5. Prevention and control of locally endemic diseases
6. Treatment of common diseases and injuries
7. Promotion of mental health
8. Provision of essential drugs
c) Strength of the consultant in terms of availability of human resources (include
organizational structure) and financial capacity (at least one million USD turn over per
year within last three years including major source of fund) ,
d) Recent annual financial audit report for lead organization (to cover all the projects
supported by different donors).
The consultant 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
Consultants by World Bank Borrowers, January 2011.EOIs will be evaluated on the quality of
responses to the items listed above. The short-listing will follow the sequence of the contracts in
the Table 1.
After evaluation of the EOIs, ONLY shortlisted applicants will be qualified to receive the
Request for Proposals (RFP).
The attention of interested Consultants is drawn to paragraph 1.9 of the World Bank’s Guidelines:
Selection and Employment of Consultants by World Bank Borrowers, January 2011 (“Consultant
Guidelines”), setting forth the World Bank’s policy on conflict of interest.
Consultants may associate to enhance their qualifications. They shall clearly indicate the nature
of association i.e. Joint Venture (JV) or sub-consultant. Lead consultant has to be designated
among them and Memorandum of Understanding (MoU) between two partners must be
submitted. The information listed above, needs to be submitted for each of the individual
The Consultants shall indicate the order of preference of the provinces in which they are
specifically interested in.
The Consultants are encouraged to apply for as many Lots as they are interested. However a
consultant shall be shortlisted in a maximum of three (3) Lots for BPHS and two Lots for EPHS.
This will include the number of contract(s) an applicant has been already awarded for SEHAT
Phase-II; for example if an applicant has been awarded one (1) BPHS contract under SEHAT
Phase-II then it shall be shortlisted in a maximum of two (2) Lots in the present Phase-III and so
on. Similarly, if an applicant has been awarded one (1) EPHS contract under SEHAT Phase –II,
then it shall be shortlisted in a maximum of one (1) lot. Any consultant that is currently working
as a lead or members of JV in BPHS and/or EPHS implementation in any province under
SEHAT Project Phase-II cannot be short listed as a sub-consultant for BPHS and/or EPHS under
SEHAT Project Phase-III. It is possible that two Consultants currently implementing BPHS
and/or EPHS can create an association of JV, but it will be counted one Lot for each consultant
during short listing. A consultant can only apply once as a member of JV or sub-consultant in the
same lot.
The consultant shall submit, separate EOI for each Lot they are interested as specified in the
below table.
Table 1: The 27 Lots are listed in the below table:
# Province EOI for BPHS
1 Nangarhar BPHS-01
2 Balkh BPHS-02
3 Kunduz BPHS-03
4 Helmand BPHS-04
5 Ghor BPHS-05
6 Daikundi BPHS-06
7 Kunar BPHS-07
8 Laghman BPHS-08
9 Logar BPHS-09
10 Urozgan BPHS-10
11 Zabul BPHS-11
12 Nooristan BPHS-12
13 Wardak BPHS-13
14 Saripul BPHS-14
15 Farah BPHS-15
16 Badghis BPHS-16
17 Samangan BPHS-17
18 Nimroz BPHS-18
Lots for EPHS
1 Nangarhar EPHS-19
2 Daikundi EPHS-20
3 Kunar EPHS-21
4 Laghman EPHS-22
5 Logar EPHS-23
6 Urozgan EPHS-24
7 Wardak EPHS-25
8 Farah EPHS-26
9 Nimroz EPHS-27
The EOI must be presented in English and must be delivered with a covering letter (signed and
stamped) by the following means:
 Those applicants who can submit the EOI in person (Hand –Delivery 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.
 Those applicants who cannot submit the EOI in person (Hand –Delivery by their staff)
are required to submit the soft copy of 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.
If Consultants wish to submit EOI for both BPHS and EPHS, they are kindly requested to submit
the EOI for each Lot in SEPARATE Envelopes which is sealed and stamped and must be clearly
indicated the following information on the outside of the envelope:
Name of the applicant:…………………………………………………………………..
Applicant Detailed Address:…………………………………………………………….
Ministry of Public Health
Grant & Services Contract Management Unit
Marked For the attention of: GCMU Administration
Phone: (+93) 202301365
Great Massoud Square, Kabul, Afghanistan.
Expression of interest for the implementation of Basic Package of Health Services (BPHS) in
(Name of the Lot which is supposed to come from the above table) under the SEHAT Project Phase
Expression of interest for the implementation of Essential Package of Hospital Services (EPHS) in
(Name of the Lot which is supposed to come from the above table) under the SEHAT Project
Deadline for submission of the EOI is February 08, 2017 (corresponding to 20 Dalw 1395) at
11:00 am, Kabul time. (Documents must be hand-delivered or sent through an international
Interested Consultants may obtain further information from the contact provided below from
09:00 am to 03:00 pm Kabul time before February 02, 2017 (corresponding to 14 Dalw 1395).
Grant and Services Contract Management Unit (GCMU)
Ministry of Public Health, Great Massoud Square, Kabul, Afghanistan
E-mail: Phone: (+93) 202301365