REQUEST FOR EXPRESSION OF INTEREST (REoI) Agreements to Deliver the Basic Package of Health Services (BPHS) and/or Essential Package of Hospital Services (EPHS) under Sehatmandi Project

REQUEST FOR EXPRESSION OF INTEREST (REoI)

For Performance-Based Partnership Agreements to Deliver the Basic Package of Health Services (BPHS) and/or Essential Package of Hospital Services (EPHS) under Sehatmandi Project

Reference Number: Sehatmandi /REoI/01            Date: January 14, 2018 (24 Jadi 1396)

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 BPHS.

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 implementation. 

Since 2003, the three major donors of the health sector (the World Bank, EU and the USAID) has supported the health service delivery in specific number of provinces.

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. SEHAT project supports BPHS implementation in 31 provinces & EPHS implementation in 15 provinces.

SEHAT project will be replaced with Sehatmandi project starting from 1st July 2018 for a period of around three years.

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 Sehatmandi 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 eleven (11) provinces (Faryab , Wardak, Kunar, Farah, Daikundi, Laghman, Paktia, Logar, Paktika, Urozgan, and Badghis) where implementation of both BPHS and EPHS packages will be combined in a single contract for each province, while in twelve (12) provinces (Baghlan, Balkh, Takhar, Bamyan, Kandahar, Ghor, Kabul, Kundoz, Nooristan, Jawzjan,  Samangan, and Zabul) BPHS solo would be implemented through performance-based partnership agreements (PPAs) with consultants.

For detailed Terms of Reference (ToR) of combined BPHS/EPHS and BPHS solo packages under Sehatmandi project please refer to MoPH website (www.moph.gov.af )

The implementation period will be three years starting from July 1st 2018 till end of June 2021.

 

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 short-listing criteria are:

        I.            General Qualification of the Consultant/Firms in terms of :

1.      Official registration including date of establishment

2.      List of founders & list of board of trustee 

3.      List of implemented projects

4.      List of technical staff (Health Management Staff such as Health Management Information System,  Monitoring and Evaluation, Pharmacy, Reproductive Health, EPI, Community Based Health Care and Nutrition)

 

     II.            Experience of the Consultants:

 

A.    Consultants who apply for Baghlan, Faryab , Balkh, Takhar, Wardak, Bamyan, Kunar and Kandahar provinces should have at least (2) years’ cumulative experience of providing similar services (completed or ongoing projects with brief information on date, duration, location, fund amount and donor) in Afghanistan or in any other developing country. However, implementation of one contract (completed or ongoing) of similar services with amount of at least USD 1.5 million is MUST. For ongoing projects the duration will be counted till Expression of Interest submission date.

B.     Consultants who apply for Farah, Ghor, Daikundi, Laghman, Paktia, Kabul, Logar, Kunduz, Nooristan, Paktika, Urozgan and Jawzjan provinces should have at least (2) years’ cumulative experience of providing similar services (completed or ongoing projects with brief information on date, duration, location, fund amount and donor) in Afghanistan or in any other developing country. However, implementation of one contract (completed or ongoing) of similar services with amount of at least USD one (1) million is MUST. For ongoing projects the duration will be counted till Expression of Interest submission date.

C.      Consultants who apply for Samangan, Baghis and Zabul provinces should have at least (2) years’ cumulative experience of providing similar services (completed or ongoing projects with brief information on date, duration, location, fund amount and donor) in Afghanistan or in any other developing country. However, implementation of one contract (completed or ongoing) of similar services with amount of at least USD 500,000 is MUST. For ongoing projects the duration will be counted till Expression of Interest submission date.

Similar would be defined as below:

a.       BPHS: Similar means experience in implementation of BPHS or at least one component/element of Primary Health Care (PHC) or Basic Package of Health Services (BPHS). In addition, a single sub-component of PHC or BPHS also would be counted as a component. However,  each component or sub-component  must be related to health service delivery to population, only logistics services (i.e. supply of medicine, equipment and food) and training is not sufficient for qualification.

 

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

 

b.      EPHS: Similar means experience in implementation of at least one Regional or one Provincial or one District hospital OR experience in running of a hospital with the capacity of at least 25 beds (the applicants are requested to provide the list of implemented hospitals with the above mentioned capacity).

Note:

1.      For eleven (11) combined packages (BPHS & EPHS under a single contract) a consultant would be shortlisted when meet the above (a) and (b) criteria.

2.      For twelve (12) BPHS solo packages a consultant would be shortlisted when meet only the criteria (a) mentioned above. 

 

  III.            Strength of the consultant in terms of availability of management system such as human resource, financing and procurement. Each of the mentioned area should be described in one paragraph and attach organizational structure and a signed and stamped copy of the organization's policy/guideline/procedures manual for human resource, financing and procurement systems. 

  IV.            Financial Annual Turnover: To be clearly stipulated in the EoI and referenced to the annual audit report.

-          Consultants who apply for the provinces of Baghlan, Faryab, Balkh Takhar, Wardak, Bamyan, Kunar and Kandahar provinces should have at least USD 2 million annual turnover in one of the last five years including major source of fund),

 

-          Consultants who apply for Farah, Ghor, Daikundi, Laghman, Paktia, Kabul, Logar, Kunduz, Nooristan, Paktika, Urozgan and Jawzjan provinces should have at least USD 1.5 million annual turnover in one of the last five years including major source of fund.

 

-          Consultants who apply for Samangan, Badghis and Zabul provinces should have at least USD 1,000,000 annual turnover in one of the last five years including major source of fund.

 

    V.            Annual financial audit report of the projects supported by different donors in one of the last five years (in case of JV for both and in case of Sub-Consultancy only for lead organization).

 

Note: The applicants MUST meet criteria # II (Experience & Contract amount) and criteria # IV (Financial Annual Turnover) mentioned above in order to be shortlisted.

The consultant will be selected in accordance to Quality & Cost Based Selection (QCBS) and with the procedures set out in the World Bank Procurement Regulations for IPF Borrowers, July 2016-revised November 2017

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 Consultants is drawn to paragraph 3.16 and 3.17 of the World Bank Procurement Regulations for IPF Borrowers, July 2016-revised November 2017, 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-consultancy. 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 associates (in case of JV for both and in case of Sub-Consultancy only for lead organization).

The Consultants shall clearly indicate (on the first page of each EoI) the order of their preference of the provinces in which they are specifically interested in. However, the short-listing of applicants to any package is the prerogative of the MOPH and it is in MoPH discretion to short-list the consultants in any of applicant preference.  

Moreover, MoPH reserves its right to change (increase or decrease) the number of provinces during the procurement process.

 

The short-listing will follow the sequence of the 23 provinces listed in Table 1.

The Consultants are encouraged to apply for as many provinces as they are interested. The MoPH will be pleased if all applicants apply to all packages. However a consultant shall be shortlisted in a maximum of three (3) provinces.  Any consultant that made an association of JV in any province under Sehatmandi project, cannot be short listed as a sub-consultant for any other province under this project. It is possible that two Consultants create an association of JV, but it will be counted one province for each of them during short listing. A consultant can only apply once as a member of JV or sub-consultant in the same province. However, a firm can be shortlisted as a sub-consultant in a maximum of three provinces.

The consultant shall submit, separate EOI for each province they are interested as specified in the below table.

Table 1: The 23 provinces are listed in the below table:

#

Province

EOI Number

1

Baghlan

BPHS-01

2

Faryab

BPHS & EPHS-02

3

Balkh

BPHS-03

4

Takhar

BPHS-04

5

Wardak

BPHS & EPHS-05

6

Bamyan

BPHS-06

7

Kunar

BPHS & EPHS-07

8

Kandahar

BPHS-08

9

Farah

BPHS & EPHS-09

10

Ghor

BPHS-10

11

Daikundi

BPHS & EPHS-11

12

Laghman

BPHS & EPHS-12

13

Paktia

BPHS & EPHS-13

14

Kabul

BPHS-14

15

Logar

BPHS & EPHS-15

16

Kunduz

BPHS-16

17

Nooristan

BPHS -17

18

Paktika

BPHS & EPHS-18

19

Urozgan

BPHS & EPHS-19

20

Jawzjan

BPHS-20

21

Samangan

BPHS-21

22

Badghis

BPHS & EPHS-22

23

Zabul

BPHS-23

 

 

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 the provinces which include both BPHS and EPHS, they are kindly requested to submit a single EOI.

The submitted EOI must be clearly indicated the following information on the outside of the envelope:

From:

Name of the applicant:…………………………………………………………………..

Applicant Detailed Address:…………………………………………………………….

TO:

Ministry of Public Health

Grant & Services Contract Management Unit

Marked For the attention of: GCMU Administration

Phone: (+93) 202301365   Email address: info@gcmu-moph.gov.af

Great Massoud Square, Kabul, Afghanistan.

Subject:

Expression of interest for the implementation of BPHS & EPHS combined OR BPHS solo in (Name of the province which is supposed to come from the above tables) under the Sehatmandi Project.

 

Deadline for submission of the EOI is January 30, 2018 (corresponding to 10 Dalw 1396) at 02:00 pm, Kabul time.  (Documents must be hand-delivered or sent through an international courier.)

Interested Consultants may obtain further information from the contact provided below from 09:00 am to 03:00 pm Kabul time before January 20, 2018 (corresponding to 30 Jadi 1396).

Grant and Services Contract Management Unit (GCMU)

Ministry of Public Health, Great Massoud Square, Kabul, Afghanistan

E-mail: Phone: (+93) 202301365

info@gcmu-moph.gov.af