CONSULTANCY FIRM TO DESIGN AND DEVELOP DIGITAL APPLICATIONS (INPATIENT, SURVEILLANCE, MATERNAL AND NEONATAL, MOM-CONNECT AND COMMUNITY HEALTH DIGITAL TOOL)

HEALTH STRENGTHENING FOR HUMAN CAPITAL DEVELOPMENT PROJECT

REQUEST FOR EXPRESSION OF INTEREST

(CONSULTING SERVICES – FIRMS SELECTION)

Title of Assignment: CONSULTANCY FIRM TO DESIGN AND DEVELOP DIGITAL APPLICATIONS (INPATIENT, SURVEILLANCE, MATERNAL AND NEONATAL, MOM-CONNECT AND COMMUNITY HEALTH DIGITAL TOOL)

Reference Number: SZ-MOH-292691-CS-QCBS

• Project Background

To meet the National Health Sector Strategic Plan’s (NHSSP 2019-23) policy objective – “build an efficient, equitable, client-centered health system for accelerated attainment of the highest standard of health for all people in Eswatini” – the MOH recognizes the need to invest in health system strengthening to improve the coverage of essential services which include surveillance to track the burden of diseases to achieve optimum health and wellbeing of the population and the quality of care. Modernizing the foundations of the health system and applying evidence-based improvements are key to achieving better quality care and, through that, reduced child and adult mortality and stunting for human capital formation.

The country is under constant threat from communicable and non-communicable diseases (NCDs) and events of public health concern. It is therefore crucial that the country is ready to prevent, detect and respond to health needs. Such could be achieved through strengthening public health surveillance by the implementation of Integrated Disease Surveillance and Response (IDSR) strategy. Public Health Surveillance is the ongoing systematic identification, collection, collation, analysis, and interpretation of disease occurrence and public health event data to take timely and robust action.

To address key challenges in the health sector, the MOH is implementing the HSS4HCDP to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and non-communicable disease (NCD) services (hypertension and diabetes) in Eswatini. The project development objective is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and NCD services (hypertension and diabetes) in Eswatini. The project development objective is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and NCD services (hypertension and diabetes) in Eswatini. The project development objective is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and NCD services (hypertension and diabetes) in Eswatini. The project development objective is to improve the coverage and quality of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH), nutrition and NCD services (hypertension and diabetes) in Eswatini.The project focuses on strengthening the health system and ramping up investments in RMNCAH, nutrition and NCD services to address critical human capital challenges, including stunting, child and adult mortality, and applying a life course approach. The project includes the following components: Component 1: Improve health service delivery to increase the coverage and quality of health services to build human capital; Component 2. Increase community demand for RMNCAH, nutrition and NCD services; Component 3. Strengthen the MOH’s stewardship capacity to manage essential health and nutrition services and project activities; and Component 4: Contingent Emergency Response Component.

The project is complementary to the Eswatini COVID-19 ERP and is designed to deepen and extend its investment impact through focusing on medium-term structural changes and the modernization of the health sector.

• Background to the Assignment The Kingdom of Eswatini is striving to achieve universal health coverage for all and to ensure comprehensive and effective service delivery by modernizing the health system and applying evidence-based improvements to make it more efficient. The recent coronavirus outbreak has underscored the importance of a responsive and resilient health system. Through the use of digital applications, the GoE has committed to improving (i) quality of data collected and utilized and (ii) quality of service delivery and demand for RMNCAH, nutrition and NCD services. For example, the MOH is in the process of migrating from a paper based to a digital data collection system and is implementing a real time client-based health information system at health facility level known as the Client Management Information System (CMIS). However, it is available in less than half of facilities (48%) and does not inadequately cover all health conditions. Also, data utilization for evidence-based decision making and system maintenance (including hardware, software, warehousing) is sub-optimal due in part to limited capacity (e.g., limited human resources, training, etc). Likewise, the use of digital health interventions[1] like Mom-Connect can improve provision and/or utilization of essential services and their quality, but they have not been used extensively in Eswatini. Also, a vibrant and comprehensive tool that would assist the health care workers in identifying when to take action including necessity of referral most importantly in the maternity have not been used. Hence, the use of digital tools to improve client communication, clinical case management, and healthcare provider decision support, referral coordination, and continuity of care has been limited. For example, The MOH will need the services of a firm who will technically design the content of these digital applications. This assignment will require the firm to also engage the Ministry of Information, Communication and Technology (MoICT) as they provide overall IT related support in its implementation such as protection and national information repository (data warehouse).

• Objectives of the Consultancy A consultancy firm is required to develop digital solutions that will help MOH improve delivery and quality of services, increase demand, and monitor utilization of services at the community and facility levels. The assignment consists of two main activities: 1. Expansion of the Client Management Information System to include the following functionalities: Inpatient, Surveillance tracking, Maternal-Neonatal Digital Decision Tool (monitoring women in the maternity wing) and Mom-Connect; and 2. Development of community based digital tools including the development of a Community Based Information System (CBIS). The firm is expected to priorities NCD tracking functionality in both the CMIS and CBIS. Across all these activities, the consultant shall exercise best practices for data sharing and interoperability with the existing health information systems, and reducing redundant investments on assessments, systems, and duplicative or fragmented support.

• Qualifications of Consultancy Firm: The Consultancy Firm must prove its capacity to perform the assignment:

• The consultant should be a firm subject to their eligibility as stipulated in the “World Bank Procurement Regulations for IPF Bank Borrowers, July 2016 revised November 2017, August 2018 and November 2020”.
• The consultant submitting a proposal for the assignment should have the necessary key staff required to carry out the services and have the financial and technical resources required to undertake the assignment.
• The consultant should be able to demonstrate at least eight (8) years of experience in providing similar services (health information systems development) and of at least one (1) similar assignments successfully performed in the last five (5) years.

Key Staff:

The preferred consultant’s composition should have at minimum, the following qualifications, experience and competencies: