USAID Global Health Supply Chain Program
Statement of Work
Purpose: Provide Consultancy Services For The Procurement, in bound logistics and contract management Module Of The Zanzibar Holistic Supply Chain Review
Period of Performance: February and March 2021
Place of Performance: Zanzibar and virtual desk work
The Ministry of Health, Social Welfare, Elderly Gender and Children (MOHSWEGC) Zanzibar embarked on the reform process from the beginning of 1990’s and through these reforms; the ministry became fully fledged in the early 2000’s. The Zanzibar health care delivery system has been divided into tertiary, secondary and primary care services; the primary health care services being spread throughout the islands (Pemba and Unguja)s. The primary health care services have been transferred to President’s Office, Regional Administration, and Local Government Special Department (PORALGSD). The distribution allows good access to primary services to 95% of the population living within or less than 5km to the nearest public health facility.
Through the Chief Pharmacist Office (CPO) and the Central Medical Stores (CMS); MOHSWGEC is responsible for procurement of commodities in collaboration with the Procurement Unit. The CMS is responsible to store and distribute commodities to all public health facilities. The health procurement and logistics systems are challenged by limited qualified human resources and issues related to contract management including order processing, delivery and payment terms. All these issues impact the efficiency of the health procurement system hence compromising availability of health commodities.
In November 2013, the MOHSWEGC conducted a strategic review of the national supply chain for health commodities. The review examined broader systems issues affecting the availability of commodities, the performance of the supply chain, and CMS’s ability to fulfill its responsibilities. Supply chain partners and stakeholders proposed interventions in five key areas: financing, policy, and planning; warehousing, inventory management, and distribution; system design and the LMIS; procurement and the private sector; and human resources. The review recommended CMS transformation; and implementation of the recommendations and resulted to CMS achieving a semi-autonomous status.
Some additional and notable benefits of the 2013 review include storage capacity increase, and improved distribution of health commodities. This improved availability and accessibility at all times. The MOHSWGEC has continued to strengthen collaboration between alternative medical practitioners and health institutions in areas of drug monitoring and research. The cold storage system for drugs in Unguja and Pemba was also strengthened. Whilst a lot has been achieved to date, there are still some gaps that require immediate attention as noted below:
- The procurement system for health commodities and supplies is still challenged with lengthy procurement processes, poor specifications for some health commodities, inadequate and unpredictable funding for medicines and inadequate infrastructure contributing to shortages of drugs
- The increase of demand for health services has led to increase in number of health facilities and hence it is recommended to strengthen security at HFs premises, health commodity monitoring compliance of rational drug use practices by health providers
- Recent initiatives such as digitization of the Zanzibar health system, decentralization of the health care services and modernization of logistics system requires RGOZ to also ensure that the public health supply chain system is upgraded to meet the new expectations
Despite the positive development of the overall Zanzibar health supply chain performance, there are still areas to improve. Based on Zanzibar Annual performance review reports of 2015/16; Zanzibar had experienced stock outs of essential commodities. There was an increase in the proportion of facilities experiencing stock out of tracer drugs from 37% in 2013/14 to 68% in 2015/16.
In addition, according to the performance analysis of the Zanzibar Supply chain action plan 2017/2020, factors such as inadequate funding, inadequate quantification skills, poor planning and coordination, inadequate tracking mechanisms and tools, as well as inadequate pharmaceutical human resources at the facility level lead to poor availability of health commodities. Capacity at health facilities to use the Integrated Logistics System (ILS) remains inadequate (knowledge, time, supervision). Overall record keeping (inventory control, prescribing, dispensing) is weak which facilitates leakages of supplies to the private sector. Adherence to good storage practices varies.
Therefore, the MOHSWEGC conducts a holistic review of the health supply chain in order to fully address the observed challenges identified in the entire system. In this case the review will assess the current situation, analyse options available to address areas requiring improvement and develop strategies to strengthen the health supply chain. It is expected that the review will lead to improving management of health commodities ensuring 100% stock availability of essential medicines in all primary health facilities in the country.
Below eight areas of Supply chain have been identified for the review:
- Products specifications, Selection, and demand planning,
- Costing, funding, and financing strategies
- Procurement and contract management
- Warehousing, storage and spaces management, distribution, and transportation network at CMS
- Inventory management (inventory analysis – SKUs (Stock keeping units), weight/volume, stock location, stock control policies, throughput analysis)
- Information management systems
- Human resource capacity for supply chain management
- Supply chain oversight, governance, and accountability
- The goal is to have a robust supply chain system that is both flexible and adaptable to frequent changes and evolving demands of the health sector while ensuring that the health commodities reach clients timely, cost effectively and with guaranteed quality.
PURPOSE AND OBJECTIVES
The purpose of this scope of work is to analyse gaps in procurement, in/out-bound logistics and contract management of health commodities (essential Medicines, medical and diagnostic equipment/supplies) RGOZ for improving supply chain management of health commodities.
- Identify weakness and strength of the procurement, in/out bound logistics and contract management related to health commodities in the public system.
- Develop options for effective procurement, in/out bound logistics and contract management of health commodities.
- Determine compliance to requirements of the procurement Act, regulations and procedures in contract management and procurement of health commodities.
- Determine adherence to procurement plans of health commodities.
Specific tasks to be performed.
- In this review the specific tasks will be carried out to determine/ analysing gaps in procurement and contract management of health commodities. Key steps to perform the tasks include literature review, data collection, data cleaning and analysis and report preparation and dissemination. The tasks include: Conducting preparation and logistics, Conducting the desk review/document review, Contract management assessment report, available procurement contracts, Procurement reports, assessment reports, audit reports, Procurement guidelines and Donation guidelines, National Procurement framework, Inbound and outbound logistics, Adherence to supply plan.
- Conduct assessment (Data tools development, Pre-testing of tools, data collection, data cleaning, analysis, and report preparation. Key areas to include: Review the procurement policies, guidelines, manuals for procurement health commodities, Review the contract management policies, guidelines, manuals for procurement of health commodities, Explore whether the procurement conform to already quantified commodities, Review complies to procurement plan, Explore whether procurement mechanisms/methodology utilized in the country (centralized or decentralized across all program commodities, essential medicines and diagnostic commodities, Check whether the Procurement are conducted adhere generic names/INN (International Nonproprietary Names), Check for availability and adherence to procurement plan/cycle. , Check the method used for procurement of health commodities whether Open tender, Restricted tender, Competitive negotiation, Direct procurement, Check whether there are mechanisms to check compliance between what was procured is what was delivered/received, Check for whether the country aligns to the Procurement guidelines and Donation guidelines, Check for availability of contract management and explore possibility for improvement, review coordination mechanism and information sharing between user departments and PDMU of MOHSWEGC,Check for mechanisms/process that ensure that all parties meet their contractual obligations after contract award and during the period of contract administration and implementation for each awarded contract, Contract Management Plan
- Conduct a thorough review of the data, analysis work and report to ensure that it is of high quality before it is shared.
- From the information gathered, propose different scenarios and options. Options proposed can be analysed and based on the cost benefit analysis discuss the appropriate modifications to the current systems or propose new policies and their advantages.
- Summarize the results of the analysed options in a formal report.
- Discuss the results with the task force or other identified authorities.
- Finalize and submit the final formal report to the taskforce and identified authorities.
- Technical report with recommendations.
- Draft and final review report (including selected options, plans/strategies and cost of implementing the options)
- Methodology and tools
Qualifications and attributes required:
Applicant for this consultancy should be Tanzanian national or lawful resident/institution who possesses following minimum qualifications and can provide documentation supporting capabilities and experience:
Demonstrated technical capabilities.
- Be a qualified professional or firm with a team comprised of qualified experts with a demonstrated track record in procurement of health commodities supply chain.
- Experience developing procurement and contract management policies and have knowledge of Supply chain in Zanzibar.
- Extensive experience of working on supply chain of health commodities.
Demonstrated consultancy services.
- Demonstrated experience leading and supporting similar projects.
- Strong experience managing projects of this scope and size, including meeting deadlines and managing risks
- Experience in planning and executing communications efforts in support of projects of this scope and size
- Be able to participate and lead both virtual and in-person workshop(s) to review prototype materials, as needed
- Excellent verbal and written English and Swahili
- An organization with knowledge of Zanzibar supply chain system and that has worked on similar assignment in Zanzibar in recent years.
- A person with at least 10 years’ experience in Procurement of health commodities (Medicines and Laboratory) including for HIV/AIDS, TB in a resource limited setting.
- A person with at least 10 years’ experience in supply chain of health commodities covering Pharmaceuticals, laboratory commodities and biomedical equipment other technical aspects. Experience working in resource limited setting is a plus.
Proposal Submission and Timelines
- All submission have to be sent to [email protected], please indicate in subject line “Consultancy Procurement Module”
- Bid submission have to be submitted by February 22, 2021 17:00 EAT.
- All cost proposals should be broken down by daily rate.
- All travel costs will be covered by the project and therefore does not have to be included in proposal response
- The work is expected to start once the contract is signed by the contractor.
- We expect work to commence in February 2021.
- All proposals should be priced/quoted according to days and deliverables.
- All proposals should include references and contacts of institutions for which the bidder performed a similar work.
- Examples of past work are required and should be shown when needed.
- Estimated LOE is 20 days
- Duration of activity is from February to March 2021
Experience health commodity supply Chain procurement. Documentation of experience including sample of work and organization for which work was performed.
- Quality of proposal
- The lowest price technical acceptable proposal based on the above criteria will be selected.