CMEP 2_ 72044221R00001_Amendment 1.pdf
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- Cambodia Malaria Elimination Project 2 Federal contract opportunity
- Solicitation number
- 72044221R00001
About this file
This is a request for proposals from the US Agency for International Development Cambodia for a cost-plus-fixed-fee term form contract to implement the Cambodia Malaria Elimination Project 2. The project aims to build local capacity in malaria prevention, diagnosis, management, and surveillance in six provinces to reach elimination targets by 2025. Key activities include implementing a proven public health model for diagnosis and treatment, and preventing reintroduction through real-time surveillance and rapid response. The contractor must commit 29,900 person-days of professional technical labor over five years. Proposals are due by December 21, 2020 with award anticipated for August 2021. The contract will be managed according to Federal Acquisition Regulation and USAID acquisition regulations.
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(x)
72044221R00001 x x copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE
RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR
OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.
x
N/A
Not Applicable
Phnom Penh, Cambodia
720442
Khan Daun Penh #1 Street 96 Office of Procurement USAID/Cambodia
11/06/20200001
13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.
12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning
Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing
The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers
11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS
FACILITY CODE CODE
10B. DATED (SEE ITEM 13)
10A. MODIFICATION OF CONTRACT/ORDER NO.
9B. DATED (SEE ITEM 11)
9A. AMENDMENT OF SOLICITATION NO.
CODE
8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)
7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY
PAGE OF PAGES
4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)
1. CONTRACT ID CODE
AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT
11/06/2020
CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT
B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:
D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).
E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.
ORDER NO. IN ITEM 10A.
14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)
The purpose of this Amendment is to respond to questions received from interested parties and make resulting changes throughout the solicitation. Specific changes are provided below. Answers to Questions received are provided in Annex 2. An amended solicitation, highlighting all changes is provided as a reference in Annex 3.
16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)
15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED
(Signature of person authorized to sign) (Signature of Contracting Officer)
Julie Ota
STANDARD FORM 30 (REV. 11/2016)
Prescribed by GSA FAR (48 CFR) 53.243
Previous edition unusable
Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .
11/19/20
Solicitation No: 72044221R00001, Amendment 01 Cambodia Malaria Elimination Project 2
Specifically, this solicitation is amended as follows:
SECTION H- SPECIAL CONTRACT REQUIREMENTS
1. Add Section “H.27 USAID/CAMBODIA COMMUNICATIONS AND OUTREACH REQUIREMENTS” as follows:
“H.27 USAID/CAMBODIA COMMUNICATIONS AND OUTREACH REQUIREMENTS
The Activity outreach and communications plan must align with USAID/Cambodia’s strategy.
The Contractor will receive an overview of the strategy following award. The plan must include monitoring for outreach and communications that will be renewed annually as part of the work plan. All outreach and communications activities and materials must be cleared by the COR, as appropriate, in consultation with the DOC team.
The Contractor is required to follow the below procedures and protocols related to the Activity’s outreach and communications:
A. Event planning and requests for U.S. government officials to speak at public events
The Activity may require or present an opportunity for participation of U.S. Government Officials at public events. In these cases the Contractor is required to have an early discussion with the COR and decide what type of representation is required. The Contractor is required to coordinate such participation with the COR at least three weeks prior to the event. At the request of the COR the Contractor may be required to prepare and submit a brief description of the event, draft agenda and proposed U.S. government role.
A public event includes any event that is advertised publicly and has open registration, or any event at which media and/or senior government leadership will be present. Public events generally do not include targeted training seminars or technical, working-level meetings with small groups of non-governmental partners.
Activity Announcement: To seize opportunities for media coverage around new activities, the Contractor is required to allow USAID to be the first to issue news about the Activity/Contract.
Contractor announcements can follow. The Contractor is requested to coordinate with the COR on scheduling of USAID and partner media releases so that announcements are timely and align with USAID communications priorities.
B. Issuance of Media Advisories and Press Releases
1. Media Advisories: As requested by the COR, the Contractor’s support may be required to alert the media about significant events or activities that involve USAID officials or programs that media may want to attend. In such cases, the Contractor will be required to submit the media advisories written in future tense as well as draft text or background materials which must be submitted to the COR at least 15 business days before the desired release date. Sample media advisories will be shared with the Contractor.
2. USAID Press Releases: Press releases are issued on the day of or immediately following a significant event or activity. As requested by the COR the Contractor may be required to submit draft text or background materials for press releases at least two weeks before the desired release date. Draft text must be provided in both Khmer and English, as appropriate.
3. Partner Media Advisories and Press Releases: The Contractor must submit all draft media advisories or press releases to the Contracting Officer’s Representative (COR) with a copy to USAID/Cambodia’s Development Outreach and Communications (DOC) Team for clearance.
C. Contact and Relations with National, Regional and/or International Media
The Contractor must refer all media requests to the COR with a copy to the DOC Team for USAID to take the interview or facilitate a response, and must submit draft articles to the DOC Team for official clearance. As appropriate, a USAID official may opt to be quoted in such interviews.
D. Reporting of the Activity Developments and Achievements
The Contractor is required to keep the COR abreast of expected events in order to have them included in USAID/Cambodia’s calendar of upcoming events. Such events may include roundtables, seminars, conferences, exchanges, VIP site visits, and signing ceremonies.
Information about these events must be sent to the COR as far in advance of the event as possible. Information about events that are not funded by USAID but are in some way related to the Activity or have a direct impact on USAID’s work (such as government-hosted conferences) should also be reported. The Contractor must prepare a Communication and Outreach Calendar for all events under the Activity which will be updated at a minimum on a quarterly basis and shared with the COR.
Success Stories: The Contractor is required to submit to the COR all success stories emphasizing the positive impact of USAID assistance on the lives of beneficiaries. Since the large majority of USAID/Cambodia’s outreach uses social media platforms, success stories must be largely visual in nature. Videos, photo essays, infographics, slide shows, are just a few examples of such content. Contractors are encouraged to seek out creative and innovative ways to tell success stories relying on visuals as opposed to text.
E. Internet Resources and Publications
Social Media:
All proposed social media platforms must be fully justified for its programmatic necessity and must be approved in advance by the COR, in consultation with the DOC team. Justification must stipulate why the social media platforms are the best way to reach the Activity’s target audiences and that other more traditional information methods would be less effective.
(End of provision)”
SECTION I - CONTRACT CLAUSES
2. In Section “I.1 Notice Listing Contract Clauses Incorporated by Reference,” revise the clauses below as follows:
2.1. 52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE, DELETE
“OCT 2016”, and INSERT “OCT 2018”;
2.2. 52.222-37 EMPLOYMENT REPORTS ON VETERANS, DELETE “OCT 2015”, and
INSERT “JUN 2020”;
2.3. 52.230-2 COST ACCOUNTING STANDARDS, DELETE “OCT 2015”, and INSERT
“JUN 2020”;
2.4. 52.230-3 DISCLOSURE AND CONSISTENCY OF COST ACCOUNTING
PRACTICES, DELETE “OCT 2015”, and INSERT “JUN 2020”;
2.5. 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER - SYSTEM FOR
AWARD MANAGEMENT, DELETE “JUL 2013”, and INSERT “OCT 2018”;
2.6. 52.244-2 SUBCONTRACTS, DELETE “OCT 2010”, and INSERT “JUN 2020”.
3. In Section “I.1 Notice Listing Contract Clauses Incorporated by Reference,” INSERT the following clauses:
3.1. “752.225-2 AIDAR CLAUSES INCORPORATED BY REFERENCE (MAR 2015)”;
3.2. “752.7036 USAID IMPLEMENTING PARTNER NOTICES (IPN) PORTAL FOR
ACQUISITION (JUL 2014)”
4. DELETE Section “I.5 52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)” in its entirety and replace it with the following:
“I.5 52.222-35 EQUAL OPPORTUNITY FOR VETERANS (JUN 2020)
(a) Definitions. As used in this clause-
“Active duty wartime or campaign badge veteran,” “Armed Forces service medal veteran,” “disabled veteran,” “protected veteran,” “qualified disabled veteran,” and “recently separated veteran” have the meanings given at Federal Acquisition Regulation
(FAR)22.1301.
(b) Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-300.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified protected veterans, and requires affirmative action by the Contractor to employ and advance in employment qualified protected veterans.
(c) Subcontracts. The Contractor shall insert the terms of this clause in subcontracts valued at or above the threshold specified in FAR 22.1303(a) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary of Labor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs, to enforce the terms, including action for noncompliance. Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.
(End of Clause)”
5. DELETE Section “I.6 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (JUL 2014)” in its entirety and REPLACE it with the following:
“I.6 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES
(JUN 2020)
(a) Equal opportunity clause. The Contractor shall abide by the requirements of the equal opportunity clause at 41 CFR 60-741.5(a), as of March 24, 2014. This clause prohibits discrimination against qualified individuals on the basis of disability, and requires affirmative action by the Contractor to employ and advance in employment qualified individuals with disabilities.
(b) Subcontracts. The Contractor shall include the terms of this clause in every subcontract or purchase order in excess of the threshold specified in Federal Acquisition Regulation (FAR) 22.1408(a) on the date of subcontract award, unless exempted by rules, regulations, or orders of the Secretary, so that such provisions will be binding upon each subcontractor or vendor. The Contractor shall act as specified by the Director, Office of Federal Contract Compliance Programs of the U.S. Department of Labor, to enforce the terms, including action for noncompliance. Such necessary changes in language may be made as shall be appropriate to identify properly the parties and their undertakings.
(End of Clause)”
6. DELETE Section “I.7 52.222-50 COMBATING TRAFFICKING IN PERSONS (MAR 2015)” in its entirety and update subsequent section numbering.
7. DELETE Section “I.9 52.229-8 TAXES - FOREIGN COST-REIMBURSEMENT CONTRACTS (MAR 1990)” in its entirety.
8. DELETE Section “K.14 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT 2015)” in its entirety and INSERT the following:
“52.230-1 COST ACCOUNTING STANDARDS NOTICES AND
CERTIFICATION (JUN 2020)
Note: This notice does not apply to small businesses or foreign governments. This notice is in three parts, identified by Roman numerals I through III.
Offerors shall examine each part and provide the requested information in order to determine Cost Accounting Standards (CAS) requirements applicable to any resultant contract.
If the offeror is an educational institution, Part II does not apply unless the contemplated contract will be subject to full or modified CAS coverage pursuant to 48 CFR 9903.201- 2(c)(5) or 9903.201-2(c)(6), respectively.
I. Disclosure Statement-Cost Accounting Practices and Certification
(a)Any contract in excess of the lower CAS threshold specified in Federal Acquisition Regulation (FAR) 30.201-4(b) resulting from this solicitation will be subject to the requirements of the Cost Accounting Standards Board (48 CFR chapter 99), except for those contracts which are exempt as specified in 48 CFR 9903.201-1.
(b)Any offeror submitting a proposal which, if accepted, will result in a contract subject to the requirements of 48 CFR chapter 99must, as a condition of contracting, submit a Disclosure Statement as required by 48 CFR 9903.202. When required, the Disclosure Statement must be submitted as a part of the offeror’s proposal under this solicitation unless the offeror has already submitted a Disclosure Statement disclosing the practices used in connection with the pricing of this proposal. If an applicable Disclosure Statement has already been submitted, the offeror may satisfy the requirement for submission by providing the information requested in paragraph (c) of Part I of this provision.
Caution: In the absence of specific regulations or agreement, a practice disclosed in a Disclosure Statement shall not, by virtue of such disclosure, be deemed to be a proper, approved, or agreed-to practice for pricing proposals or accumulating and reporting contract performance cost data.
(c)Check the appropriate box below:
(1) □ Certificate of Concurrent Submission of Disclosure Statement. The offeror hereby certifies that, as a part of the offer, copies of the Disclosure Statement have been submitted as follows:
(i)Original and one copy to the cognizant Administrative Contracting Officer (ACO) or cognizant Federal agency official authorized to act in that capacity (Federal official), as applicable; and
(ii)One copy to the cognizant Federal auditor.
(Disclosure must be on Form No. CASB DS-1 or CASB DS-2, as applicable. Forms may be obtained from the cognizant ACO or Federal official.)
Date of Disclosure Statement: _________________________ Name and Address of Cognizant ACO or Federal Official Where Filed:
The offeror further certifies that the practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the Disclosure Statement.
(2) □ Certificate of Previously Submitted Disclosure Statement. The offeror hereby certifies that the required Disclosure Statement was filed as follows:
Date of Disclosure Statement: _________________________ Name and Address of Cognizant ACO or Federal Official Where Filed:
The offeror further certifies that the practices used in estimating costs in pricing this proposal are consistent with the cost accounting practices disclosed in the applicable Disclosure Statement.
(3) □ Certificate of Monetary Exemption. The offeror hereby certifies that the offeror, together with all divisions, subsidiaries, and affiliates under common control, did not receive net awards of negotiated prime contracts and subcontracts subject to CAS totaling $50 million or more in the cost accounting period immediately preceding the period in which this proposal was submitted. The offeror further certifies that if such status changes before an award resulting from this proposal, the offeror will advise the Contracting Officer immediately.
(4) □ Certificate of Interim Exemption. The offeror hereby certifies that (i) the offeror first exceeded the monetary exemption for disclosure, as defined in (3) of this subsection, in the cost accounting period immediately preceding the period in which this offer was submitted and (ii) in accordance with 48 CFR 9903.202-1, the offeror is not yet required to submit a Disclosure Statement. The offeror further certifies that if an award resulting from this proposal has not been made within 90 days after the end of that period, the offeror will immediately submit a revised certificate to the Contracting Officer, in the form specified under paragraph (c)(1) or (c)(2) of PartI of this provision, as appropriate, to verify submission of a completed Disclosure Statement.
Caution: Offerors currently required to disclose because they were awarded a CAS-covered prime contract or subcontract of $50 million or more in the current cost accounting period may not claim this exemption (4). Further, the exemption applies only in connection with proposals submitted before expiration of the 90-day period following the cost accounting period in which the monetary exemption was exceeded.
II. Cost Accounting Standards-Eligibility for Modified Contract Coverage
If the offeror is eligible to use the modified provisions of 48 CFR 9903.201-2(b) and elects to do so, the offeror shall indicate by checking the box below.
Checking the box below shall mean that the resultant contract is subject to the Disclosure and Consistency of Cost Accounting Practices clause in lieu of the Cost Accounting Standards clause.
□ The offeror hereby claims an exemption from the Cost Accounting Standards clause under the provisions of 48 CFR 9903.201-2(b) and certifies that the offeror is eligible for use of the Disclosure and Consistency of Cost Accounting Practices clause because during the cost accounting period immediately preceding the period in which this proposal was submitted, the offeror received less than $50 million in awards of CAS-covered prime contracts and subcontracts. The offeror further certifies that if such status changes before an award resulting from this proposal, the offeror will advise the Contracting Officer immediately.
Caution: An offeror may not claim the above eligibility for modified contract coverage if this proposal is expected to result in the award of a CAS-covered contract of $50 million or more or if, during its current cost accounting period, the offeror has been awarded a single CAS-covered prime contract or subcontract of $50 million or more.
III. Additional Cost Accounting Standards Applicable to Existing Contracts
The offeror shall indicate below whether award of the contemplated contract would, in accordance with paragraph (a)(3) of the Cost Accounting Standards clause, require a change in established cost accounting practices affecting existing contracts and subcontracts.
□ Yes □ No”
(End of provision)”
SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS OR
RESPONDENTS
9. In Section L.1, NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY
REFERENCE, 52.222-56 CERTIFICATION REGARDING TRAFFICKING IN PERSONS
COMPLIANCE PLAN, DELETE, “MAR 2015”, and INSERT “OCT 2020”;
10. In Section L.7.3.5 Technical Proposal Annexes, paragraph 4, DELETE “CV/Resumes and Letters of Commitment for all proposed Key Personnel.”, and INSERT “CV/Resume and Letter of Commitment for proposed Key Personnel.”
11. In Section L.8, Part 1, ADD the following sentence to the last sentence of the section, “Electronic signatures are accepted.”
12. In Section L.8, Part 2, paragraph 12, DELETE “11.” in front of “Indirect Costs”.
13. In Section L.8, Part 2, paragraph 13, DELETE the last sentence, “Also, USAID considers calculating fixed fee over subcontractors’ fixed fee unreasonable and requires that Offerors exclude subcontractors’ fixed fee when calculating their own fixed fee.”
14. In Section L.8, Part 2, paragraph 14, DELETE “Major subcontractors are those whose total estimated cost plus fixed fee exceeds 20% of the contractor’s total estimated cost plus fixed fee. See Attachment 8.” and INSERT “Major subcontractors are those whose total LOE exceeds 20% of the contractor’s total LOE. See Attachment 8.”
15. In Section L.8, Part 6, last sentence, DELETE “52.232” from the sentence.
ATTACHMENTS
16. In Attachment 2, Initial Environmental Examination Information (IEE), DELETE the attachment in its entirety, and INSERT the IEE provided in Annex 1 (attached).
BUREAU/MISSION/PROJECT
USAID 216 IEE TEMPLATE VERSION 1, DECEMBER 2017
INITIAL ENVIRONMENTAL EXAMINATION
PROJECT/ACTIVITY DATA
Project/Activity Name: Cambodia Malaria Elimination Project 2 (CMEP 2)
Geographic Location(s) (Country/Region): Cambodia/North-West and South-West
Amendment (Yes/No), if Yes indicate # (1, 2...):
No
Implementation Start/End Dates (FY or M/D/Y):
August 2021-2026
If Amended, specify New End Date: no
Solicitation/Contract/Award Number: n/a
Implementing Partner(s): TBD
Bureau Tracking ID: n/a
Tracking ID of Related RCE/IEE (if any): n/a
Tracking ID of Other, Related Analyses:
ORGANIZATIONAL/ADMINISTRATIVE DATA
Implementing Operating Unit(s):
(e.g. Mission or Bureau or Office)
USAID/Cambodia
Other Affected Operating Unit(s): Office of Public Health and Education
Lead BEO Bureau: Asia Bureau
Funding Operating Unit(s):
(e.g. Mission or Bureau or Office)
USAID/Cambodia
Funding Account(s) (if available): n/a
Original Funding Amount: TBD
If Amended, specify funding amount: n/a
If Amended, specify new funding total:
n/a
Prepared by: Saad El-Din Hassan
Asia 21-011
ANNEX 1:
BUREAU/MISSION/PROJECT 2
USAID 216 IEE TEMPLATE VERSION 1, DECEMBER 2017
Date Prepared: 10/20/2020
ENVIRONMENTAL COMPLIANCE REVIEW DATA
Analysis Type: Environmental Examination
Deferral
Environmental Determination(s): X Categorical Exclusion(s) X Negative with Conditions
Positive Deferred (per 22CFR216.3(a)(7)(iv)
IEE Expiration Date (if different from implementation end date):
October 30th 2026
Additional Analyses/Reporting Required:
Climate Risks Identified (#): Low ___2___ Moderate ______ High ______
Climate Risks Addressed (#): Low ___2___ Moderate ______ High ______
THRESHOLD DETERMINATIONS AND SUMMARY OF FINDINGS
1.0 PROJECT/ACTIVITY DESCRIPTION
1.1 PURPOSE AND SCOPE OF IEE
This IEE addresses activities under the Cambodia Malaria Elimination Project 2 (CMEP 2).
The Cambodia Malaria Elimination Project 2 (CMEP 2) is the follow-on to CMEP (ending October 2021).
The purpose of this document, in accordance with Title 22, Code of Federal Regulations, Part 216 (22CFR216), is to provide a preliminary review of the reasonably foreseeable effects on the environment of the USAID intervention described herein and recommend determinations and, as appropriate, conditions, for these activities. Upon approval, these determinations become affirmed, per 22CFR216 and specified conditions become mandatory obligations of implementation. This IEE also documents the results of the project/activity level Climate Risk Management process in accordance with USAID policy (specifically, ADS 201mal).
This IEE is a critical element of USAID’s mandatory environmental review and compliance process meant to achieve environmentally sound activity design and implementation. Potential
BUREAU/MISSION/PROJECT 3
environmental impacts should be addressed through formal environmental mitigation and monitoring plans (EMMPs) and/or Environmental Assessments (EAs), if needed.
1.2 PROJECT/ACTIVITY OVERVIEW
The purpose of this activity is to build on previous experience, and strengthen local capacity in malaria prevention, diagnosis, and management, as well as surveillance and reporting, in order to reach elimination targets in Cambodia by 2025. The activity is expected to commence in six provinces: three provinces (Pailin, Batambang, and Pursat) where the U.S. President’s Malaria Initiative (PMI) is currently supporting implementation of malaria elimination activities and three provinces (Kep, Kampot, and Koh Kong) where PMI is providing technical assistance to the Provincial Health Departments (PHD) to conduct these activities on their own.
The activity will support malaria control and elimination priorities as defined by the Cambodian National Center for Parasitology, Entomology and Malaria Control (CNM), especially among high-risk populations (e.g., forest workers and mobile and migrant populations [MMPs]), by implementing evidence-based interventions at the local, district, provincial, and national levels.
Specifically, this activity will implement a proven public health model for malaria diagnosis and treatment; and will add a key component of prevention of reintroduction through real-time surveillance and rapid response to new malaria cases, and applying a tailored approach that responds to the varying epidemiological profiles for malaria transmission in PMI supported areas. Successful implementation of this model will be a major component of PMI’s response to assist CNM to achieve their goal of eliminating Plasmodium falciparum malaria by 2023 and Plasmodium vivax malaria by 2025.
The activity is in line with the US President’s Malaria Initiative Strategy (2015-2020)1, and its objectives of malaria morbidity and mortality reduction, as well as supporting the move towards malaria elimination in Cambodia. The activity reflects PMI’s areas of strategic focus, namely:
achieving and sustaining scale of proven interventions, adapting to changing epidemiology and incorporating new tools, improving countries’ capacity to collect and use information, mitigating risk against the current malaria control gains, and building capacity and health systems. In addition to the clear linkages with USAID and US Government priorities, the activity is a direct response to requests by CNM for PMI to support the Ministry of Health’s Malaria Elimination Action Framework 2021–2025 (MEAF2)2, and its expected results are in alignment with the MEAF2 results and objectives. The activity is also in-line with the World Health Organization’s (WHO) Global Technical Strategy for Malaria (2016-2030), its three pillars, and its path to malaria elimination.3
1 US President’s Malaria Initiative Strategy (2015-2020) 2 Malaria Elimination Action Framework (MEAF2 – 2021-2025) 3 WHO’s Global Technical Strategy for Malaria (2016-2030)
BUREAU/MISSION/PROJECT 4
The overarching goal of this activity is to eliminate malaria and prevent its re-introduction in target provinces, thereby contributing towards nationwide elimination in Cambodia.
CMEP 2 must specifically address the following Objectives in pursuit of the activity’s overarching goal:
Objective 1:
Detect, effectively and safely treat, and follow-up all malaria cases, and provide effective personal protection to at least 90% of the high-risk population.
This objective is in line with the first two objectives of the MEAF2 and focuses on the “1” of the 1-3-7 model. It represents core activities that enable malaria elimination in Cambodia. Under this objective, the contractor is expected to implement activities to enable the early (within 24 hours) diagnosis, treatment and reporting of malaria cases in line with the 1-3-7 model that has been successfully implemented in PMI areas. The contractor will also support the protection of at-risk populations, including through continuous and mass distribution of long lasting insecticide-treated nets (LLINs) and other prevention tools within PMI guidance.
Activities will be conducted in areas at risk for malaria transmission including highly endemic forested and hard-to-reach areas. The contractor is expected to support health facilities, Village Malaria Workers (VMWs), and Mobile Malaria Workers (MMWs) to conduct prevention, diagnosis, and treatment activities in target districts. This includes training and supervision on malaria diagnosis and treatment (including radical cure for P. vivax) as well as monitoring and reporting of cases, stock management of drugs and RDTs, and support for vector control strategies. In line with PMI guidance, the contractor will complement these activities through social behavior change (SBC) messaging to maximize impact of interventions.
Objective 2:
Strengthen national malaria surveillance, monitoring and evaluation (SME) systems appropriate for malaria elimination and control activities as well as prevention of re-introduction.
This objective aligns with the third objective of the MEAF2 and addresses the “3-7” components of the 1-3-7 model. The contractor will assist provincial and district health teams to investigate, classify, and report malaria cases’ classification within 3 days of diagnosis4. The contractor should respond swiftly to newly-detected foci including newly-identified malaria outbreaks;
investigations and response being completed within 7 days. The foci register should be updated on an annual basis.
4 The reporting here is of the malaria case classification. Diagnosed cases are to be reported within 24 hours, as mentioned under objective one.
BUREAU/MISSION/PROJECT 5
Similar to the above objective, this objective also focuses on the individual case level, but also addresses stratifying geographical regions (within the geographic scope of the activity) and maintenance of malaria-free status through prevention of re-introduction methods. Activities implemented under this objective will center around building the capacity of health facility staff, VMWs and MMWs in surveillance; case investigation; foci investigation and management; as well as strengthening reporting into the MIS. Given prevention of malaria re-introduction is a newly emerging field, the contractor may choose to propose aspects of the programmatic activities to evaluate through operational research (OR); OR proposals are reviewed and approved through a separate PMI process after award.
Objective 3:
Build capacity of the Ministry of Health (MOH) to manage, intensify, and sustain malaria control and elimination efforts, particularly at the provincial and operational district (OD) level.
This objective is in line with the “enabling environment” axis of the MEAF2. It includes supporting local capacity to develop and monitor Annual Operational Plans (AOPs) as well as supporting malaria working group meetings and forums. Furthermore, the contractor should expect to provide technical assistance in the development of national guidelines and policies and assist with the process towards certification of malaria elimination. In line with RGC decentralization efforts, the contractor will support provincial health teams to strengthen supervision of ODs, health facilities, VMWs and MMWs5. As Cambodia approaches elimination targets and cases decrease to zero in many areas, a desired outcome would be for sub-national level health teams to retain skills and knowledge for detection and treatment of malaria and assume full technical ownership of activity implementation. For this approach to be effective, and to align with USAID’s journey to self-reliance, ideally, the district teams will gradually assume these duties by the end of the activity. As such, the contractor should develop a transition plan to facilitate the handover of roles and responsibilities to provincial and district health teams.
As this objective is about building local capacity, with the ultimate goal of ensuring sustainability of key activities and reducing the need for external support, the contractor should focus on cost-effective strategies for providing technical assistance tailored to the needs of the province.
2. RECOMMENDED THRESHOLD DECISIONS
● Justification for Categorical Exclusion Request
5 There are a number of supervision levels. Generally CNM supervises PHDs and ODs; PHDs and ODs check health facilities, and ODs and HFs supervise malaria workers.
BUREAU/MISSION/PROJECT 6
Some of the activities described justify Categorical Exclusion, pursuant to 22 CFR 216.2 (c)(1) and (2), for which an Initial Environmental Examination, or an Environmental Assessment are not required because the actions do not have an effect on the natural or physical environment.
Specifically, as currently planned, these activities fall into the following classes of action:
- Education, technical assistance, or training programs except to the extent such programs include activities directly affecting the environment (such as construction of facilities, etc.)
- Analyses, studies, academic or research workshops and meetings
- Document and information transfers
The activities under review that justify Categorical Exclusion include:
● Training of malaria workers and health facility staff.
● Awareness raising activities to communities.
● Conducting case investigations, foci investigations, and reporting into the Malaria
Information system.
● Training of Operational District staff on planning, M&E, and implementing annual plans.
● Training on malaria diagnosis and management.
The activities under review that justify Negative Determination with Condition include:
● Bednets and other commodities will be procured by PSM and other partners. PSM has the Global Health Commodity Program PIEE (GH-13-15; amended in 2017). Bednet storage and distribution. Disposal of medical waste in health facilities will be handled by Ministry of Health of Cambodia (MoH) staff according to MOH guidelines.
● Disposal of medical waste in health facilities is expected to be handled by MOH staff according to MOH guidelines
3. CLIMATE RISK MANAGEMENT
Cambodia has a humid tropical climate, heavily influenced by the annual monsoon season that typically begins in mid-May and lasts through the end of October. The dry season stretches from November to April, with less rain, little wind, and much lower humidity. The monsoons deliver approximately three-fourths of the country’s annual rainfall and are the primary contributor to the flood-pulse so essential to the region, especially along the central alluvial plains of the Mekong and Tonle Sap Rivers that comprise roughly 80 percent of the country’s landmass.
Temperatures are generally consistent across the country, averaging 25˚ to 27˚ Celsius throughout most of the year, though with average annual maximum of 38˚ Celsius in April and average annual minimum temperature of 17˚ Celsius in January. Rainfall varies more widely, with average annual rainfall as low as 1400 millimeters (mm) in the central lowlands, and as high as 4000 mm near the Cardamom mountains and nearby coastal areas in the southwest.
Cambodia’s Eastern plains receive approximately 2000 to 2600 mm of rainfall annually though
BUREAU/MISSION/PROJECT 7
they may exceed those amounts in the mountainous areas in the Northeast within or around Virachey National Park.
The USAID Cambodia Country Risk Profile 2019 identified the main climate risks include:
agriculture, water, health, food security and ecosystems (detailed information: Climate-Risk- Profile-Cambodia). This Activity focuses on education, technical assistance, trainings, research, workshops, meetings and documentation. Therefore, climate risk for this Activity is LOW. See Table 3 for more detailed analysis.
Consistent with ADS 201.3.4.5, if climate risk has not been adequately assessed at the strategy or project level, or if the risk rating was not exclusively determined to be “Low”, climate risk must be assessed, with plans specifying mitigation actions at the activity level.
The Climate Risk Screening table below summarizes activity-level climate risk management, including programmatic components, identified risk and associated mitigation measures. The risk rating for this project is “LOW” due to the activities will be focused on technical assistance to strengthen local capacity in malaria prevention, diagnosis, and management, as well as surveillance in order to reach elimination targets in Cambodia by 2025 and the activity areas are not in the most vulnerable provinces by climate change. The implementing partner will identify actions and mitigation measures during the life-of-project and report back regularly to the AOR and CIL on the status of their implementation, to enable smooth oversight and ensure sustainability of development objectives.
TABLE 1. PROJECT CLIMATE RISK MANAGEMENT SUMMARY TABLE
Defined or Anticipate d Project Elements6
Climate Risks7
Risk Rating
How Risks are Addressed at Project Level9
Further Analysis and Actions for Activity Design/
Opportunities to Strengthen Climate Resilience11
6 Purpose/Sub-purpose, Area of Focus, or Activity/ Mechanism, etc.
7 List key risks related to the project elements identified through either the strategy- or project-level climate risk assessment.
8 Low/Moderate/ High 9 Describe how risks have been addressed at the project level. If a decision has been made to accept the risk, briefly explain why.
11 Describe opportunities to achieve development objectives by integrating climate resilience or mitigation measures.
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Implementation
Objectives 1, 2, and 3:
Access to training and health care at health facilities.
Frequent floods may destroy health facilities and may affect physical access to health services.
LOW
● Work with the implementing partners to monitor and assess the risks during the implementation phase and determine how to address climate risks in each of the activity objectives.
Please note that the presence of community-based malaria workers would help mitigate impact as some services are made available outside health facilities.
● Access information on the weather forecast in Cambodia;
Department of Meteorology, Ministry of Water Resources and Meteorology
The solicitation for award includes a provision: The implementer must seek appropriate measures to be integrated into the Activity design and implementation to mitigate for potential negative consequences of changing climate, including additional analyses if necessary.
● Developing climate resilient planning and practices into all new interventions.
● Follow the sectoral climate change adaptation and action plan of Ministry of Health and the National Climate Change Strategy and Action Plan of the Ministry of Environment
● Integrate gender perspectives throughout climate-resilient planning in order to effectively address both women’s and men’s needs and priorities, ensure the full and meaningful participation of women and achieve gender
10 Describe CRM measures to be integrated into activity design or implementation, including additional analysis, if applicable.
BUREAU/MISSION/PROJECT 9
equitable outcomes.
Frequent rains and floods may lead to more breeding sites for mosquitoes, leading to increased malaria transmission and prevalence.
LOW
● Work with the implementing partners to monitor and fully assess the risks during the implementation phase and determine how to address climate risk in each of the activity objectives.
Please note that the project includes activities that promote malaria prevention and vector control.
The solicitation for award includes a provision: The implementer must seek appropriate measures to be integrated into the Activity design and implementation to mitigate for potential negative consequences of changing climate, including additional analyses if necessary.
● Developing climate resilient planning and practices into all new interventions.
● Follow the sectoral climate change adaptation and action plan of Ministry of Health and the National Climate Change Strategy and Action Plan of the Ministry of Environment
● Integrate gender perspectives throughout climate-resilient planning in order to effectively address both women’s and men’s needs and priorities, ensure the full and meaningful participation of women and achieve gender equitable outcomes.
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The project will incorporate climate risk management measures into the Environmental Mitigation and Monitoring Plan (EMMP). This project will not include any activities involving the use and/or procurement of pesticides.
4. Country and Environmental Information
a) The legal requirements for Environmental Impact Assessments (EIAs) in Cambodia are set out in the Law on Environmental Protection and Natural Resource Management, 1996 (Chapter III) (EPNRM Law) and the Sub-Decree on Environmental Impact Assessment, 1999 (EIA Sub-Decree). There are also a number of Prakas (regulations promulgated by a Ministry to implement a law) on the procedures implementing the EIA Sub-Decree 1999:
● Prakas on Guidelines for Conducting EIA Report (49 Ministry of Environment, March 2000);
● Prakas on Determination of Service Charge for Environmental Impact Assessment Report Review and Follow-up and Monitoring of Project Implementation (No. 745, October 2000);
● Prakas (Declaration) on General Guidelines for Conducting Initial and Full Environmental Impact Assessment Reports (No. 376 BRK.BST 2009);
● Prakas on Registration of Consulting Firms for Studying and Preparing Environmental and Social Impact Assessment Report (No. 215 Brk MoE 2014);
and
● Prakas on Establishment of the Technical Working Group for Reviewing and Commenting on the EIA Report (No. 063 Pr.k MoE 2014).
b) There is also a Sub-Decree 146 on Economic Land Concessions (ELC), 2005, which requires environmental assessment of ELCs. Article 7, clause 5 of Sub-Decree 146 states that “if the initial environmental and social impact assessment indicates a medium or high degree of adverse impact, arrange for the conduct of a full environmental and social impact assessment.”
c) The National Forestry Law, 2002, which includes a framework for management, harvesting, use, development and conservation of the forests in the Kingdom of Cambodia. This law can be accessed at the following website:
http://www.cambodiainvestment.gov.kh/law-on-forestry_020930.html
d) The National Biodiversity Strategy and Action Plan, 2016, which aims to enhance Cambodia’s biodiversity and its ecosystem services by 2050
e) The National Forest Program (NFP) 2010-2030 identifies nine strategic objectives, which are to be achieved through the implementation of six programs, each divided into several sub-programs
f) Law on Nature Protection Area, February 2008 defines the framework of management, conservation and development of protected areas:
http://www.cambodiainvestment.gov.kh/law-on-nature-protection-area-protected-areas-law_080104_080104.html
g) Cambodia is currently preparing an Environmental Code with an EIA component.
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h) Tropical forests and the conservation of biodiversity play a fundamental role in sustainable development. As such The U.S. Foreign Assistance Act (FAA) of 1961, as amended by Sections 118 and 119, requires that all USAID Missions conduct a periodic country analysis of the conservation and sustainable use of tropical forests and biological diversity. These analyses can help inform project design and implementation. The USAID Cambodia Tropical Forestry and Biodiversity (118/119) Assessment can be accessed at the following website: http://pdf.usaid.gov/pdf_docs/pnaea955.pdf
i) The USAID Cambodia climate risk profile can be accessed at the following website:
https://www.climatelinks.org/resources/climate-risk-profile-cambodia
5.0 CONDITIONS AND MITIGATION MEASURES
5.1 CONDITIONS
The environmental determinations in this IEE are contingent upon full implementation of the following general implementation and monitoring requirements, as well as ADS 204 and other relevant requirements.
5.1.1 During Pre-Award:
5.1.1.1 Pre-Award Briefings: As feasible, the design team and/or the cognizant Mission Environmental Officer (MEO) or Climate Integration Lead (CIL) will provide a pre-award briefing for potential offerors on environmental compliance expectations/responsibilities at bidders’ conferences.
5.1.1.2 Solicitations: The design team, in coordination with the Agreement/Contracts Officer (A/CO), will ensure solicitations include environmental compliance requirements and evaluation criteria. A/CO will ensure technical and cost proposal requirements include approach, staffing, and budget sufficient for complying with the terms of this IEE.
5.1.1.3 Awards: The Agreement/Contracts Officer Representative (A/COR), in coordination with the A/CO, will ensure all awards and sub-awards, include environmental compliance requirements.
5.1.2 During Post-Award:
5.1.2.1 Post-Award Briefings: The A/COR and/or the cognizant environmental officer(s) (e.g., MEO, CIL) will provide post-award briefings for the implementing partner (IP) on environmental compliance responsibilities.
5.1.2.3 Work Plans and Budgeting: The IP will ensure the integration of environmental compliance requirements in work plans and budgets to comply with requirements, including EMMP implementation and monitoring, with the A/COR will approve.
5.1.2.4 Staffing: The IP, in coordination with the A/COR, will ensure staffing capacity to implement environmental compliance requirements.
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5.1.2.5 Records Management: The A/COR will maintain environmental compliance documents in the official project/activity file and upload records to the designated USAID environmental compliance database (ECD) system.
5.1.2.6 Host Country Environmental Compliance: The IP will ensure compliance with applicable and appropriate host country environmental requirements unless otherwise directed in writing by USAID. However, in the case of a conflict between the host country and USAID requirements, the more stringent shall govern.
5.1.2.7 Work Plan Review: The IP will ensure compliance with the IEE at least annually to the A/COR, or when activities are added or modified. Activities outside of the scope of the IEE cannot be implemented until the IEE is amended.
5.1.2.8 IEE Amendment: If new activities are introduced or other changes to the scope of this IEE occur, an IEE Amendment will be required, prior to the commencement of the changed activities.
5.1.2.14 USAID Monitoring Oversight: The A/COR or designee, with the support of the cognizant environmental officer(s) (e.g., MEO, Regional Environmental Advisor (REA), Bureau Environmental Officer (BEO)), will ensure monitoring of compliance with established requirements (e.g., by desktop reviews, site visits, etc.).
5.1.2.16 Environmental Compliance Mitigation and Monitoring Plan: The A/COR will ensure the IP develops, obtains approval for, and implements Environmental Mitigation and Monitoring Plans (EMMPs) that are responsive to the stipulated environmental compliance requirements, with the support of the MEO, CIL, and REA, BEO, as needed.
5.1.2.17 Environmental Compliance Reporting: The IP will ensure inclusion of environmental compliance reporting in regular project/activity reports, using indicators as appropriate;
development and submission of the Environmental Mitigation and Monitoring Reports (EMMRs); and completion and submission of a Record of Compliance (RoC) describing the implementation of EMMP requirements in conjunction with the final EMMR or at the close of sub activities (as applicable) to the A/COR. And where required by Bureaus or Missions, the IP will prepare a closeout plan consistent with contract documentation for A/COR review and approval that outlines responsibilities for end-of-project operation, the transition of other operational responsibilities, and final EMMR with lessons learned.
5.1.2.18 Corrective Action: When noncompliance or unforeseen impacts are identified, IPs notify the A/COR, place a hold on activities, plan and take corrective action, and report on the effectiveness of corrective actions. The A/COR initiates the corrective action process and ensures the IP completes and documents their activities, and shares a Correction Action Plans (CAP) with the MEO, CIL, REA, and BEO for clearance. Upon approval the A/COR ensures the CAP and Record of Compliance is completed and uploaded to the ECD.
5.2 AGENCY CONDITIONS
BUREAU/MISSION/PROJECT 13
5.2.1 Sub-contract Screening: The IP will use an Environmental Screening Tool to screen any sub-grant or sub-contracts to aid in the development of EMMPs and monitoring of potential impacts.
5.2.2 Other Supplemental Analyses: The A/COR will ensure supplemental environmental analyses that are called for in the IEE are completed and documented, prior to commencement of implementation.
5.2.3 Compliance with human subject research requirements: The IP shall assure the A/COR that the IP and sub-awardees, -grantees, and -contractors demonstrate completion of all requirements for ethics review and adequate medical monitoring of human subjects who participate in research trials carried out through this IEE and ensure appropriate records are maintained. All documentation demonstrating completion of required review and approval of human subject trials must be in place prior to initiating any trials and cover the period of performance of the trial as described in the research protocol.
5.3 MITIGATION MEASURES
USAID/Cambodia will ensure that the Implementing Partner further develops and completes the EMMP and/or a country- or activity-specific EMMP and Climate Risk Management and integrate into the activity design and…
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