2023.12.22_Haiti RFI-SAM.GOV.pdf

Subject: Supporting Health Systems Strengthening in Haiti

Reference: Request For Information (RFI)

72052124RFI00001

Issuance Date: December 22, 2023 Closing Date: January 24, 2024

The United States Government, represented by the U.S. Agency for International Development (USAID)/Haiti, is issuing this Request for Information (RFI) as part of market research for potential future programming. Responses to this notice are NOT considered offers and must not be construed as a commitment by the U.S. Government or USAID to issue any solicitation or ultimately award a contract on the basis of this RFI, or to pay for any information voluntarily submitted as a result of this request.

USAID posts its competitive business opportunities on www.sam.gov. It is the potential offeror's responsibility to monitor these sites for announcement of new opportunities. Please note that responding to this RFI will not give any advantage to any organization or individual in any subsequent competition. Responses may be used by USAID without restriction or limitation.

Therefore, proprietary information should not be sent.

In addition, USAID is already aware of international organizations with capacity to support systems strengthening in Haiti, but has less information about the capacity of local entities. The RFI is therefore also seeking to identify potentially capable local entities1 that have experience and capacity for supporting Health Systems Strengthening Activities in Haiti to address the systemic barriers contributing to poor health outcomes through strengthening and supporting health systems and building their capacity to serve and engage with communities.

Interested parties should provide their response per the instructions in Attachment A below, and may respond to any or all of the questions.

Responses to this RFI are due to the email address identified below no later than the date and time listed at the top of this letter. Late submissions may be not be accepted.

Please submit responses to this RFI to usaidhaitioaa@usaid.gov, sricot@usaid.gov and

1 Local entity is defined as an organization that is legally organized under the laws of Haiti, has its principal place of business or operations in Haiti, is majority owned by individuals who are citizens or lawful permanent residents of Haiti, and is managed by a governing body, the majority of who are citizens or lawful permanent residents of Haiti.

mailto:usaidhaitioaa@usaid.gov mailto:sricot@usaid.gov atmenicucci@usaid.gov, abeaubrun@usaid.gov with the RFI No. 72052124RFI00001 on the subject line. Submission is voluntary. USAID will not provide debrief, feedback or responses to questions submitted in response to this RFI and no proposals or resumes will be accepted or considered. (Responses receipt will be acknowledged.) Phone calls or hard copy responses will not be accepted.

Thank you for your interest in USAID’s activities.

Sincerely, Alina Menicucci Contracting Officer USAID/Haiti

Attachments 1: A mailto:atmenicucci@usaid.gov

Attachment A: Request for Information

I. Request for Information Submission Instructions

Through this RFI, USAID/Haiti seeks ideas, comments, and information from the public on improving the functioning of the Haitian health system that will assist in developing a portfolio of programs that will most effectively achieve the objectives described below. USAID asks that respondents submit short submissions in response to any or all of the questions below that outline recommendations or other information pertinent to the described objectives. Please also provide your name, title, organization, and contact information in the response.

II. Background & Purpose:

USAID/Haiti has awarded a number of previous health service delivery projects throughout the past two decades. Those projects supported access to and delivery of primary health care in Haiti’s ten geographic departments, serving approximately 4.5 million of the most vulnerable people in

Haiti. However, an estimated 40% of Haitians still do not have access to primary healthcare services. Maternal mortality in Haiti remains one of the highest in the world, and domestic resources for health remains low. Furthermore, COVID-19 and civil unrest threaten the availability and utilization of health services. As a global leader in health systems, USAID’s health systems strengthening (HSS) investments are key to advancing Universal Health Coverage, primary health care, pandemic preparedness and global health security. Effective HSS collaboration and learning, impact measurement, implementation support and capacity building are all critical to advancing global health and development goals and sustainably improving health outcomes. USAID/Haiti is interested in learning about perspectives and potential approaches to address the systemic barriers contributing to poor health outcomes through strengthening and supporting health systems and building their capacity and engagement with communities.

USAID would like to better understand how to best improve the resilience of the Haitian health system to deliver equitable, responsive, and quality health care and public health services through a focus on enhancing:

● Human Resources for Health

● Health Financing, Resource Optimization, and Reducing Dependency on External

Donors and Development Partners

● Health Policy and Governance (including facilitating community engagement and

Quality Assurance/Quality Improvement Policies and Processes)

● Data utilization for decision-making

In accordance with USAID’s 2030 Vision for Health System Strengthening, USAID has a particular interest in strengthening integrated HSS activities that address common system barriers and sustainably strengthen system-wide performance.

III. RFI Questions for Response

Addressing the current health system situation in Haiti (issues and opportunities) related to the questions below, please offer brief analysis (3 pages maximum) and initial ideas and recommendations. Please address any or all of the questions that relate to your interest and experience. Please mention any general recommendations relevant to health systems strengthening that would help USAID/Haiti in the design of future HSS interventions.

1. Human Resources for Health (HRH)

● In the current state of Haiti’s health system, what are the assets and advantages that can be leveraged, and what are the primary issues and barriers for effective HRH that need to be addressed?

2. Health Financing, Resource Optimization, and Reducing Dependency on External Actors

● What are the specific inefficiencies in the health financing system (consider the public financial management system)?

3. Health Policy and Governance and Data utilization for decision-making.

● Please describe any specific issues and opportunities relating to health system governance.

● In understanding the Haitian health care system's performance and quality assurance mechanisms: What's working, and where does it need improvement? Feel free to suggest specific performance management strategies.

4. Cross-Cutting

● What barriers or gaps exist among local health system stakeholders that must be overcome to improve locally-driven implementation?

● How can USAID use innovation and cross-cutting issues (such as gender, youth, persons with disabilities, and LGBTQ populations) to develop more effective health systems programming?

● What critical gaps exist in the Haitian health system for monitoring, evaluation, research and learning (MERL) that need greater attention?

5. Local Entity Expertise (not subject to the 2 page limit)

USAID is seeking information on local entities with relevant skills and experience in health systems strengthening. Any local entities who wish to provide information about their organization must use the response template below. Please see Page 1 of this RFI for submission date and contact information.

Description: Response:

Name of Organization

Is the organization legally organized under the laws of Haiti?

Does the organization have its principal place of business or operations in Haiti?

Is the organization majority owned by individuals who are citizens or lawful permanent residents of Haiti?

Is the organization managed by a governing body, the majority of who are citizens or lawful permanent residents of Haiti?

Website address

Point of Contact, including phone and email address

Relevant skills/experience/current programs in executing similar interventions to those described in the notice

Up to a two-page statement describing the organization’s skills and experience in relation to health systems strengthening, as described in the notice above. Respondents should briefly describe their experience, the organization's role, and the scope of the organization's participation, and the results achieved. Please note where you have managed the activity of other organizations or partners.

Experience 1

Experience 2

Experience 3

Please attach any reference documents that support your comments to the questions below (not part of page limit).

[END OF RFI #72052124RFI00001 ]