Sol_72066318R00016.pdf

SOLICITATION, OFFER AND AWARD

1. THIS CONTRACT IS A

RATED ORDER

UNDER DPAS (15

RATING PAGE OF PAGES

2 147

2. CONTRACT NUMBER 3. SOLICITATION NUMBER

72060318R00016

4. TYPE OF SOLICITATION

SEALED BID (IFB)

X NEGOTIATED (RFP)

5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

7. ISSUED BY CODE 8. ADDRESS OFFER TO (If other than Item 7)

See Section 7 Office of Acquisition and Assistance

USAID/Ethiopia, C/O American Embassy Entoto Road, Addis Ababa, Ethiopia

NOTE: In sealed bid solicitations "offer" and "offeror" mean "bid" and "bidder".

SOLICITATION

9. Sealed offers in original and copies for furnishing the supplies or services in the Schedule will be received at the place specified in Item 8, or if hand carried, in the depository located in until local time

(Hour)

(Date) CAUTION: LATE Submissions, Modifications, and Withdrawals: See Section L, Provision No. 52.214-7 or 52.215-1. All offers are subject to all terms and conditions contained in this solicitation.

10.

FOR

INFORMA

TION

A. NAME

B. TELEPHONE (NO COLLECT CALLS ) C. E-MAIL ADDRESS

caddis@usaid.gov AREA CODE

NUMBER

EXT.

11. TABLE OF CONTENTS

(X) SEC. DESCRIPTION PAGE(S) (X) SE

C

DESCRIPTION PAGE(S)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

X A SOLICITATION/CONTRACT FORM 1 X I CONTRACT CLAUSES 63-93

X B SUPPLIES OR SERVICES AND PRICES/COSTS 7-11 PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

X C DESCRIPTION/SPECS./WORK STATEMENT 12-27 X J LIST OF ATTACHMENTS 94

X D PACKAGING AND MARKING 28 PART IV - REPRESENTATIONS AND INSTRUCTIONS

X E INSPECTION AND ACCEPTANCE 29 X

K

REPRESENTATIONS,

CERTIFICATIONS AND OTHER

95-111

X F DELIVERIES OR PERFORMANCE 30-38

X G CONTRACT ADMINISTRATION DATA 39-43 X L INSTRS., CONDS., AND NOTICES TO OFFERORS 112-140

X H SPECIAL CONTRACT REQUIREMENTS 44-62 X M EVALUATION FACTORS FOR AWARD 141-145

OFFER (Must be fully completed by offeror)

NOTE: Item 12 does not apply if the solicitation includes the provisions at 52.214-16, Minimum Bid Acceptance Period.

12. In compliance with the above, the undersigned agrees, if this offer is accepted within calendar days (60 calendar days unless a different period is inserted by the offeror) from the date for receipt of offers specified above, to furnish any or all items upon which prices are offered at the price set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

AWARD (To be completed by government)

19. ACCEPTED AS TO ITEMS NUMBERED 20. AMOUNT 21. ACCOUNTING AND APPROPRIATION

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION:

10 U.S.C. 2304 (c) ( ) 41 U.S.C. 253 (c) (

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

ITEM

24. ADMINISTERED BY (If other than Item 7) C

25. PAYMENT WILL BE MADE BY CODE

6. NAME OF CONTRACTING OFFICER (Type or print)

Martin Fischer

27. UNITED STATES OF AMERICA

28. AWARD DATE

IMPORTANT – award will be made on this form, or on standard form 26, or by other authorized official written notice

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232.8)

10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%)

14. ACKNOWLEDGEMENT OF AMENDMENTS

(The offeror acknowledges receipt of amendments to the SOLICITATION for offerors and related documents numbered and dated):

AMENDMENT NO. DATE AMENDMENT NO. DAT

15A. NAME

AND

ADDRESS

OF

OFFEROR

CODE

FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER

(Type or print)

15B. TELEPHONE NUMBER 15C. CHECK IF REMITTANCE ADDRESS

IS DIFFERENT FROM ABOVE - ENTER

SUCH ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DA

AREA CODE NUMBER EXT.

mailto:yabraham@usaid.gov

Table of Content

PART I - THE SCHEDULE:

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

B.2 CONTRACT TYPE

B.3 ESTIMATED COST AND AWARD FEE FOR CLIN 0001 (CORE SERVICES)

B.4 ESTIMATED COST AND FIXED FEE FOR CLIN 0002 (INDEFINITE SERVICES)

B.5 AWARD BUDGET

B.6 OTHER DIRECT COST (ODC) LIMITATIONS UNDER IDIQ CLIN 0002

B.7 LEVEL-OF-EFFORT IDIQ CLIN 0002

B.8 INDIRECT COSTS

B.9 COST REIMBURSABLE

B.10 MULTI-YEAR CONTRACT

B.11 PAYMENT OF FEE

SECTION C - STATEMENT OF WORK

C.1 TITLE

C.2 OBJECTIVE

C.3 BACKGROUND

C.4 GENERAL PROGRAM PARAMETERS

C.5 SERVICES AND TASKS REQUIRED

C.6 PROGRAM REPORTING AND OTHER DELIVERABLES

[END OF SECTION C]

SECTION D: PACKAGING AND MARKING

D.1 AIDAR 752.7009 MARKING (JAN 1993)

D.2 BRANDING POLICY

SECTION E: INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

E.2 INSPECTION AND ACCEPTANCE

E.3 MONITORING, EVALUATION AND LEARNING

SECTION F: DELIVERIES/PERFORMANCE

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

F.2 PERIOD OF PERFORMANCE

F.3 PLACE OF PERFORMANCE

F.4 PERFORMANCE EVALUATION

F.5 PERFORMANCE STANDARDS

F.6 DELIVERABLES AND SCHEDULE

F.7 REPORTING REQUIREMENTS

F.8 AIDAR 752.7005 SUBMISSION REQUIREMENTS FOR DEVELOPMENT EXPERIENCE

DOCUMENTS

F.9 KEY PERSONNEL

F.10 AUTHORIZED WORK WEEK FOR CLIN 0001

F.11 TERM LEVEL OF EFFORT FOR CLIN 0002

F.12 ORDERING SUPPLEMENTAL TECHNICAL ASSISTANCE CLIN 0002

Supporting the Electronic Health Information Systems (eHIS) Activity SOL #: 72066318R00016

SECTION G: CONTRACT ADMINISTRATION DATA

G.1 CONTRACTING OFFICER'S AUTHORITY

G.2 ADMINISTRATIVE CONTRACTING OFFICE

G.3 CONTRACTING OFFICER'S REPRESENATIVE (COR)

G.4 PAYING OFFICE

G.5 INVOICING INSTRUCTIONS:

G.6 AIDAR 752.7003 DOCUMENTATION FOR PAYMENT (NOV 1998)

G.7 ACCOUNTING AND APPROPRIATION DATA

G.8 TECHNICAL DIRECTIONS/RELATIONSHIP WITH USAID

G.9 AWARD FEE EVALUATION

G.10 AIDAR 752.216-70 AWARD FEE (MAY 1997)

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

H.2 AUTHORIZED GEOGRAPHIC CODE

H.4 ADS 302.3.5.5 REPORTING OF FOREIGN TAXES (JULY 2007)

H.5 SUBCONTRACTING PLAN, INDIVIDUAL SUBCONTRACT REPORT (ISR) AND THE

SUMMARY SUBCONTRACT REPORT

H.6 CONSENT TO SUBCONTRACT

H.7 NONEXPENDABLE PROPERTY PURCHASES AND INFORMATION TECHNOLOGY RESOURCES

H.8 LIMITATION ON ACQUISITION OF INFORMATION TECHNOLOGY (DEVIATION NOs. M/OAA-

DEV-FAR-18-2c and M/OAA-DEV-AIDAR-18-2c) (APRIL 2018)

H.9 LOGISTIC SUPPORT

H.10 LANGUAGE REQUIREMENTS

H.11 ENVIRONMENTAL COMPLIANCE

H.12 DISCLOSURE OF INFORMATION

H.13 ADS 302.3.5.19 USAID-FINANCED THIRD-PARTY WEB SITES (AUG 2013)

H.14 ADS 302.3.5.20 CONFERENCE PLANNING AND REQUIRED APPROVALS (AUG 2013)

H.15 COMPLIANCE WITH THE TRAFFICKING VICTIMS PROTECTION REAUTHORIZATION ACT

(2017)

H.16 ADS 302.3.5.22 SUBMISSION OF DATASETS TO THE DEVELOPMENT DATA LIBARARY (OCT

2014)

H.17 AIDAR 752.225-70 SOURCE AND NATIONALITY REQUIREMENTS (FEB 2012)

H.18 AIDAR 752.7004 EMERGENCY LOCATOR INFORMATION (JUL 1997)

H.19 AIDAR 752.228-70 MEDICAL EVACUATION (MEDEVAC) SERVICES (JUL 2007)

H.20 PERSONNEL APPROVALS (AIDAR 752.7007 AND 752.7027)

H.21 GRANTS UNDER USAID CONTRACTS

H.22 EXECUTIVE ORDER ON TERRORISM FINANCING (FEB 2002)

H.23 FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL CONFERENCES (JAN 2002)

H.24 ADS 302.3.5.14a USAID DISABILITY POLICY - (DEC 2004)

H.25 AIDAR 752.245.71 TITLE TO AND CARE OF PROPERTY

H.26 ORGANIZATIONAL CONFLICTS OF INTEREST

H.27 AIDAR 731.7013 CONTRACTOR-MISSION RELATIONSHIPS (JUNE 2018)

H.28 NONDISCRIMINATION (JUNE 2012)

H.29 USAID IMPLEMENTING PARTNER NOTICES (IPN) PORTAL FOR ACQUISITION

H.30 ELECTRONIC PAYMENTS SYSTEM

H.31 AAPD 16-04 DEFENSE BASE ACT (DBA) INSURANCE FOR 2015-2020

H.32 752.228-3 WORKERS COMPENSATION INSURANCE (DEFENSE BASE ACT)

SECTION I - CONTRACT CLAUSES

I.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE. (FEB 1998)

I.2 52.203-19 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN

INTERNAL CONFIDENTIALITY AGREEMENTS (JAN 2017)

I.3 AIDAR 752.219-8 UTILIZATION OF SMALL BUSINESS CONCERNS AND SMALL

DISADVANTAGED BUSINESS CONCERNS (MAR 2015)

I.4 AIDAR 752.219-70 USAID MENTOR-PROTÉGÉ PROGRAM (JULY 13, 2007)

I.5 52.216-7 ALLOWABLE COST AND PAYMENT. (JUN 2013)

I.6 52.222-50 COMBATING TRAFFICKING IN PERSONS. (MAR 2015) – ALTERNATE I

I.7 52.227-15 REPRESENTATION OF LIMITED RIGHTS DATA AND RESTRICTED COMPUTER

SOFTWARE. (DEC 2007)

I.8 52.227-23 RIGHTS TO PROPOSAL DATA (TECHNICAL) (JUN 1987)

I.9 52.229-8 TAXES – FOREIGN COST-REIMBURSEMENT CONTRACTS. (MAR 1990)

I.10 52.232-12 ADVANCE PAYMENTS - (MAY 2001) - ALTERNATE II (MAY 2001)

I.11 752.245-70 GOVERNMENT PROPERTY – USAID REPORTING REQUIREMENTS (OCT 2017) .. 88

I.12 52.243-7 NOTIFICATION OF CHANGES. (JAN 2017)

I.13 52.244-2 SUBCONTRACTS. (OCT 2010) - ALTERNATE I (JUN 2007)

SECTION J - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

J.1 LIST OF ATTACHMENTS

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF OFFERORS

K.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

K.2 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS. (OCT 2015)

K.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS. (JUL 2013)

K.4 FAR 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX

LIABILITY OR A FELONY CRIMINAL CONVICTION (FEB 2016)

K.5 52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS. (FEB 1999)

K.6 52.222-25 ACTION COMPLIANCE. (APR 1984)

K.7 52.223-4 RECOVERED MATERIAL CERTIFICATION. (MAY 2008)

K.8 52.237-8 RESTRICTION ON SEVERANCE PAYMENTS TO FOREIGN NATIONALS (AUG 2003) .. 99

K.9 52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

K.10 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (JAN 2018)

K.11 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT 2015)

K.12 52.230-7 PROPOSAL DISCLOSURE--COST ACCOUNTING PRACTICE CHANGES (APR 2005) ... 106

K.13 INSURANCE - IMMUNITY FROM TORT LIABILITY

K.14 52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JULY 2016)

K.15 52.203-11 -- CERTIFICATION AND DISCLOSURE REGARDING PAYMENTS TO INFLUENCE

CERTAIN FEDERAL TRANSACTIONS

K.16 52.204-20 – PREDECESSOR OF OFFEROR (July 2016)

K.17 52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS—

REPRESENTATION

K.18 52.209-12 – CERTIFICATION REGARDING TAX MATTERS (FEB 2016)

K.19 52.222-56 CERTIFICATION REGARDING TRAFFICKING IN PERSONS COMPLIANCE PLAN (Mar

2015)

K.20 AUTHORIZED NEGOTIATORS

K.21 SIGNATURE

SECTION L - INSTRUCTIONS TO OFFERORS INSTRUCTIONS, CONDITIONS, AND NOTICES TO

OFFERORS

L.1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

L.2 52.204-7 SYSTEM FOR AWARD MANAGEMENT. (OCT 2016)

L.3 52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING. (JUL 2016)

L.4 52.215-1 -- INSTRUCTIONS TO OFFERORS -- COMPETITIVE ACQUISITION (JAN 2017)

L.5 FAR 52.216-1 TYPE OF CONTRACT (APR 1984)

L.6 52.222-24 PREAWARD ON-SITE EQUAL OPPORTUNITY COMPLIANCE EVALUATION (FEB

1999)

L.7 FAR 52.233-2 SERVICE OF PROTEST (SEP 2006)

L.8 QUESTIONS AND CLARIFICATIONS

L.9 GENERAL INSTRUCTIONS TO OFFERORS

L.10 DELIVERY INSTRUCTIONS

L.11 GENERAL INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL

L.12 TECHNICAL APPROACH (See Section M.2(a)):

L.13 MANAGEMENT APPROACH (See Section M.2(b)) L.14 EXPERIENCE AND ORGANIZATONAL CAPABILITY (See Section M.2(c)):

L.15 PAST PERFORMANCE (See Section M.2(d))

L.16 INSTRUCTIONS FOR THE PREPARATION OF THE COST PROPOSAL

L.17 INSTRUCTIONS FOR THE PREPARATION OF BRANDING AND MARKING DOCUMENTS

L.18 INSTRUCTIONS FOR THE PREPARATION OF SUBCONTRACTING PLAN

SECTION M - EVALUATION FACTORS FOR AWARD

M.1 GENERAL INFORMATION FOR OFFERORS

M.2 EVALUATION CRITERIA

M.3 PRICE/COST PROPOSAL EVALUATION

M.4 DETERMINATION OF AWARD

PART I - THE SCHEDULE:

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

The purpose of this contract is to provide technical assistance and other services as described in detail in Section C for the implementation of the Electronic Health Information Systems (eHIS) Activity to support the Government of Ethiopia (GOE) to improve the quality of health service and create a sustainable health care system through use of data for decision making and for providing similar services and deliverables to other countries in Africa or to respond to a crisis in Ethiopia.

B.2 CONTRACT TYPE

As authorized in FAR 16.102(b), this is a hybrid cost reimbursement type Contract consisting of a Cost-Plus Award Fee (CPAF) contract line item (CLIN) and a Single-award Indefinite Delivery/Indefinite Quantity (IDIQ)) CPFF Term CLIN. Under the CPAF portion of the Contract (CLIN 0001), the contractor must furnish supplies, facilities, services, deliverables and perform all activities necessary for, or incidental to, the performance of work described in Section C for the purpose of providing support to the Electronic Health Information Systems (eHIS) in Ethiopia to Improve Health Outcomes (“the Activity”). Under the IDIQ portion of the contract (CLIN 0002), the contractor must furnish additional related technical assistance and deliverables as required by Government-issued CPFF Term Task Orders. The services must be ordered in accordance with Section F.12, entitled “Ordering Supplemental Technical Assistance (CLIN 0002)”.

B.3 ESTIMATED COST AND AWARD FEE FOR CLIN 0001 (CORE SERVICES)

[Amounts to be filled by offerors]

(a) The total estimated cost of this CLIN is $_______, exclusive of fee. Base fee for this CLIN is $______ and maximum award fee is $_______. The total estimated cost, base fee, and maximum award fee is $_________.

(b) Within the estimated cost plus base and maximum award fees specified in paragraph (a) above, the amount currently obligated and available for reimbursement of allowable costs incurred by the Contractor (and payment of fee,) for performance hereunder is ________ (TBD at the time of award.) Costs incurred by the Contractor must not exceed the aforesaid obligated amount.

(c) Funds obligated hereunder are anticipated to be sufficient for this CLIN through ________ (TBD at the time of award.)

*NOTE: The actual amount to be obligated will be determined at the time of award.

B.4 ESTIMATED COST AND FIXED FEE FOR CLIN 0002 (INDEFINITE SERVICES)

[Amounts to be filled by offerors]

(a) CLIN 0002 has an overall ceiling price of $10,000,000. The maximum aggregate dollar value of task orders awarded to all contractors must not exceed the IDIQ contract ceiling.

(b) Within the estimated cost plus fixed fee specified in paragraph (a) above, the amount currently obligated and available for reimbursement of allowable costs incurred by the Contractor (and payment of fee,) for performance hereunder is $ _______. * Costs incurred by the Contractor must not exceed the aforesaid obligated amount.

(c) Funds obligated hereunder are anticipated to be sufficient for this CLIN through _______ ____(TBD at the time of award.) As CLIN 0002 is part of this contract and not a stand-alone award, the Government is not required to state or order any minimum number of person-days as otherwise provided in FAR16.504(a)(1). The Government has no obligation to fund or order under CLIN 0002.

B.5 AWARD BUDGET

(a) Sections B.3 specifies the total cost for CLIN 0001, while B.4 specifies the ceiling for CLIN 0002. These amounts are fixed and cannot be exceeded without a fully-executed written modification to this Contract.

(b) With respect to CLIN 0001, the total cost stated below for the budget categories are specified below. No amounts in excess of the amounts specified for each activity shall be billed against the Contract.

Item Description Total Cost Personnel $ Fringe Benefits/Allowances $ Travel $ Equipment & Supplies $ Contractual $ Miscellaneous Direct Costs $ Total Direct Costs $ Indirect Costs $ Total Estimated Cost $ Base Fee $ Maximum Award Fee $ Total Estimated Cost Plus Fixed Fee $

(c) With respect to CLIN 0002, budgets will be established in each task order issued under this IDIQ contract.

B.6 OTHER DIRECT COST (ODC) LIMITATIONS UNDER IDIQ CLIN 0002

The estimated cost of ODCs under CLIN 0002 shall include all direct costs other than labor-related costs (e.g. material, equipment, subcontracts, travel, and training required for performance of the total amount of work) that can be ordered by the Government under this CLIN during the life of this contract. The amount of ordered Other Direct Costs under all task orders under CLIN 0002 will not exceed $6,000,000.

B.7 LEVEL-OF-EFFORT IDIQ CLIN 0002

a. In performing Government orders for Technical Assistance under this CLIN, the Contractor is obligated to provide up to a maximum of 5,000 person-days of labor (see F.11).

b. The fee set forth in B.4 is based upon furnishing the level-of-effort specified in paragraph a above.

The total estimated cost and fixed fee will be established for each individual Government-issued Task Orders and all Task Orders in cumulatively must not exceed the amounts set forth in Section B.4(a) IDIQ CLIN 0002.

B.8 INDIRECT COSTS

Allowable indirect costs shall be reimbursed on the basis of the following negotiated provisional or predetermined rates and the appropriate bases for the prime contractor:

Prime:

Description

TBD

Rate

TBD

Base 1/

Type 1/

Period 1/

TBD TBD 2/ 2/ 2/

1/ Base of Application: TBD Type of Rate: TBD Period: TBD

2/ Base of Application: TBD Type of Rate: TBD Period: TBD

Applicable indirect costs (i.e., overhead, G&A, etc.) on other direct costs (ODCs), if it is part of the Contractor’s usual accounting procedures, consistent with FAR Part 31, and Negotiated Indirect Cost Rate Agreement (NICRA). Indirect costs shall not be allowed for organizations that do not have a

NICRA.

B.9 COST REIMBURSABLE

The costs allowable will be limited to reasonable, allocable and necessary costs determined in accordance with FAR 52.216-7, Allowable Cost and Payment, FAR 52.216-8, Fixed Fee, and 52.232- 20 and 52-232-22 Limitations of Cost and Limitations of Funds, if applicable, and AIDAR 752.7003, Documentation for Payment.

B.10 MULTI-YEAR CONTRACT

This RFP is subject to the requirements of FAR 17.106. However, this is a Cost-Plus Award Fee (CPAF) CLIN and IDIQ Level-of-Effort (LOE) CLIN Hybrid contract where the contractor is authorized to be reimbursed for all costs which are allowable in accordance with FAR 52.216‐7, “Allowable Costs and Payment.” Therefore, the contractor will not incur any costs which would have been amortized over the life of the contract should the contract be cancelled in accordance with FAR 52.217‐2. The cancellation ceiling for each cancellation date is $0 and there is no requirement to include cancellation dates in the contract.

B.11 PAYMENT OF FEE

a. Payment of the base fee and award fee under CLIN 0001 will be made as follows.

1. Base Fee

Payment of the base fee will be made as follows. The Contractor’s base fee is tied to the accomplishment of performance objectives and deliverables or outputs described in Sections C, D and F that are specified in Table 1 below, subject to inspection and acceptance by USAID/Ethiopia as specified in Section E, and otherwise in compliance with the terms of the contract and in accordance with work planning approved by USAID/Ethiopia. The contractor will be paid the amount of fee specified for each denoted performance objective, deliverable or output set forth in the table below upon acceptance by the Contracting Officer’s Representative (COR). Because the clause entitled “Allowable Cost and Payment” (FAR 52.216-8) is incorporated into the RFP and applicable to this order, the terms and conditions of this clause apply.

Table 1 – CLIN 0001 Base Fee Payment Schedule

[Amount of fee to be filled by offerors]

# Key Deliverables Description Reference Amount ($) 1 Monitoring, Evaluation and Learning Plan

Final MEL plan submitted for approval no later than 90 days after the effective date of the Contract.

C.5.b.i.B.3 F.7.a

2 First Year Annual Work Plan

Final draft due 90 days after award.

C.6.b F.7.b

3 Grants Under Contract Manual

Final approved GUC manual no later than 90 days after contract effective date.

F.7.h _____________

4 Gender Analysis eHIS specific gender analysis approved no later than 90 days after contract effective date

F.7.i _____________

5 Program Reports Year 1 Annual Program Report due 60 days after end of Year 1

C.6.c F.7.c

6 Local Youth Group Grants

15 Local Youth Group grants executed

C.5.b.i.A.5 _____________

7 Capacity Building for health science colleges/technical institutions

10 health science colleges or technical institutes receive capacity building sufficient to meet an acceptable level of expertise as established in MEL Plan.

C.5.b.i.B.4 _____________

8 Capacity building Delivery of 3,000 trainings on C.5.b.i.C.3 _____________ for IT end user support

IT end user support per year

9 Program Reports Year 4 Annual Program Report due 60 days after end of Year 4

C.6.c F.7.c

10 National Hosting Strategy

Delivery of a long-term plan for the most reliable and cost-effective hosting of IT applications, web sites, and web applications

C.5.b.i.A.4 _____________

11 Demobilization Plan

90 days before end of contract performance date

C.6.e F.7.e

12 Delivery of all deliverables specified in Section F.6

End of Contract performance period in Section F.2

F.6 _____________

* All days are in calendar days unless otherwise specified

2. Award Fee

i. The determination of the award fee earned by the Contractor must be in accordance with the Award Fee Evaluation Plan. The award decision will be made for each annual evaluation period pursuant to the procedures in Section G.9 and no interim payments of award fee will be made. Per FAR 16.401(e)(4), unearned award fee cannot rollover from one award fee increment to the next award fee increment.

ii. Payment of any award fee earned by the Contractor must not be subject to the withholding provisions of the clause of this contract entitled "Allowable Cost and Payment" (FAR 52.216-7) clause.

b. Payment of the fixed fee under CLIN 0002:

1. Payment of the fixed fee under CLIN 0002 will be specified in each individual task order. Fixed fee will be paid based on a proportion of the specified level of effort delivered per B.7(a), subject to the limitations specified in the clause entitled “Allowable Cost and Payment” (FAR 52.216-8).

2. For any task order issued under this IDIQ Contract, at the time of each payment of allowable costs to the contractor, the USAID paying office ordinarily pays the contractor a percentage of fixed fees that directly corresponds to the percentage of allowable costs being paid. One exception to paying fixed fee in this manner applies: if the CO determines that this method results in paying a disproportionately higher ratio of fixed fee than the percentage of work that the contractor has completed, then the CO may suspend further payment of any fixed fee until the contractor has made sufficient progress to justify further payment, up to the agreed percentage.

[END OF SECTION B]

SECTION C - STATEMENT OF WORK

C.1 TITLE

The title of this development activity is supporting the Electronic Health Information Systems (eHIS) in Ethiopia to Improve Health Outcomes (“the Activity”).

C.2 OBJECTIVE

The objectives of the Activity:

➢ Support Information Technology Systems and Data Repository at all levels

➢ Build Culture of Data Use

➢ Capacity Building and Governance of MOH health information systems.

USAID supports the eHIS in order to contribute to the country’s information revolution which supports mutual goals of improving the quality of health service, improving people’s quality of life and building a sustainable health care system through use of data for decision making. Across all three activities, under the direction of the Contracting Officer Representative (COR), the Contractor shall collaborate with other donors and various stakeholders within the Government of Ethiopia (GoE) to align and invest in integrated health information systems and tools, strengthen data use, and health workforce capacity at the country level as key strategies necessary to achieve improved health outcomes. In addition, under CLIN 0002, the objective includes achieving similar goals in other African countries or to respond to a crisis in Ethiopia where services and deliverables relating to the eHIS will provide an effective response to a crisis.

The Contractor will use creativity, innovation and current best practices to develop services and deliverables to support the GOE to achieve these results. Services and deliverables will be provided consistent with the principles of Collaborating, Learning and Adapting (CLA). As such, the scope of the Contract covers any services or deliverables that, in keeping with CLA principles, will contribute to the objectives specified above, consistent with the work planning requirements and other provisions of the Contract.

C.3 BACKGROUND

The following provides relevant background information regarding (a) the state of Ethiopia’s eHIS, (b) the GOE’s approach to eHIS and (c) the Data Use Partnership.

C.3 (a) Ethiopia’s eHIS:

Despite extensive investment in the national eHIS, Ethiopia faces challenges to realizing the Information Revolution roadmap (IRR) (Appendix-2.0) objectives linked to achieving the Health Sector Transformation Plan (HSTP) (Appendix-3.0) goals. At this point, the information quality and use in Ethiopia is inadequate for supporting effective decision making at all levels of the health system. Various recent assessments show that even though complete and timely reporting has improved, data accuracy remains low and a limited portion of data collected at facility level is interpreted and used. The current system emphasizes one-way information transmission from facilities to woreda, region and national administrative units, rather than strategic information use for decision making at the point of care. Several barriers contribute to this poor eHIS performance and sustainability:

• The absence of an “information culture,” particularly at lower levels of the health system, discourages managers and care providers from using data routinely for planning, management, clinical care and performance monitoring. In general, information is not valued as a resource and there are few incentives for practicing evidence-based decision making. The Federal Ministry of Health(FMOH) and federal agencies (e.g., the Pharmaceuticals Fund and Supply Agency (PFSA) and the Ethiopian Food, Medicine, and Health Care Administration (FMHACA)) need better resources and capacity to support the health staff in not only capturing data but using the information, and understanding its importance to support achievement of the HSTP goals. Establishing a robust information culture will require a long term behavioral intervention, while at the same time building organizational and individual skills and capacity.

• The eHIS and subsystems are made up of disjointed and parallel systems which include: Health Management Information System (HMIS), disease surveillance information system, electronic medical record (EMR), and electronic community health information system (eCHIS). These separate systems are duplicative, not universally implemented throughout the country, lack standardization, and yield information of varying completeness and quality. Currently, data from the less fragmented supply chain information system remains separate from the health services information systems. However USAID has been successful in strengthening the supply chain management information system (MIS) by working with other donors to move all technical systems support to one implementing partner and phasing out suboptimal systems and enhancing interoperability.

• The current Information Communication Technology (ICT) infrastructure is limited because Ethiopia has only one telecommunication firm with limited capacity and technology. These limitations affect the overall eHIS system effectiveness. Securing reliable access to broadband, power, and essential ICT equipment is expensive and not readily available. Limited organizational capacity for supplying and managing the ICT infrastructure further handicaps eHIS implementation. These challenges exist at all levels, but are particularly apparent at the woreda level and below. ICT troubleshooting, maintenance and support are not universally available, despite health information technology (HIT) staffing at various levels of the system. The FMOH “Connected Woreda” (https://static1.squarespace.com/static/57be2f5e893fc0b6f3592200/t/581d149837c581a0038c650f/147 8300826355/Connected+Woreda+Program+draft++Implementation+Strategy_+20160902_NA.pdf) concept is an exciting and ambitious vision for the country, and requires significant and sustained inputs.

• Several recent assessments call for increased eHIS resource allocation. While standard data collection and reporting tools tend to be in place, staff capacity and information transmission infrastructure hamper the system’s functionality. The assessments have indicated that investment should focus on training and supervising personnel, improving and maintaining essential infrastructure and process improvement for information flow to decision makers for analysis and decision making. In addition the focus should be to build capacity and opportunities to use quality data in planning, budgeting, quality improvement, and performance management. Resources must be shifted from labor intensive, paper reporting and manual entry data collection, to supporting digital systems that increase efficiency and improve data quality. Digital systems succeed when business processes are strong, well-documented, and properly and consistently implemented and used. The digital aspect of HMIS alone cannot improve the functionality of a health information https://static1.squarespace.com/static/57be2f5e893fc0b6f3592200/t/581d149837c581a0038c650f/1478300826355/Connected+Woreda+Program+draft++Implementation+Strategy_+20160902_NA.pdf https://static1.squarespace.com/static/57be2f5e893fc0b6f3592200/t/581d149837c581a0038c650f/1478300826355/Connected+Woreda+Program+draft++Implementation+Strategy_+20160902_NA.pdf system. Rather, it provides an automated tool to re-examine established processes and to envision optional work flows to capitalize on the digital investment.

• Successful HIS implementation, sustainability, and data use require FMOH ownership and leadership to continue to drive and sustain the current transformation momentum. Support to the FMOH to refine the overall vision and direction for HIS reform; lead a unified HIS community; secure adequate budgets to support the system; set and enforce standards; and ensure accountability for HIS performance and evidence-based performance management is necessary.

C.3 (b) The GOE’s eHIS Plan:

The GOE has identified the following focus areas for strengthening its health information systems:

• An environment of innovation and collaboration to develop and implement solutions for electronic health and health-related data capturing, processing, accessing, sharing, and utilizing electronic health data systems which are standardized, harmonized, and authenticated.

• Strong standards, protocols, and management that enhance institutional capacity and collaboration mechanisms to oversee the functionality and improvement of the national eHIS. This includes supporting development and implementation of organizational and career structure for a Health Information Technology Directorate (HITD) and the Policy and Planning Directorate (PPD).

• Tailored electronic platforms (e.g., DHIS2, electronic logistics MIS (eLMIS)/HCMIS, eHRIS, electronic laboratory IS (eLIS), electronic community health information system (eCHIS), electronic integrated financial management IS (eIFMIS), mHealth solutions, Geographic Information System (GIS) enabled Decision Support Systems) integrated as standards in the public sector, with increasing private sector coordination to integrate with the national eHIS. These systems will be coordinated under one eHIS project to yield quality, timely data to monitor and evaluate across levels, manage health resources, identify and respond to emergencies or epidemics, and to coordinate communication within the health system and with the population to address health issues.

Health data repository for the Federal Ministry of Health (FMOH) that allows stakeholders to access, as appropriate established. A successful eHIS will make quality data visible and usable across programmatic and geographical boundaries, and public- private sectors.

• The supply chain MIS will include end-to-end commodity visibility from suppliers down to patient dispensaries. This includes an established culture of data driven decision making at all agencies and levels, including improved business processes to create and accommodate generation of quality data its use, and predictive analytics where appropriate.

• A functional mechanism for ensuring interoperability among eHIS sub-systems in the country through relevant technical interoperability services functioning. An example is the regular updating of Master Data. This could include the National Master Facility List, National Health Data Dictionary, and a Health ID system synchronized with the national population ID/biometric system. Activity success will result in organizational interoperability through aligning work processes and joint development/adaptation of electronic systems across programs, directorates, and institutions.

• The GOE, working closely with the Vital Event Registration Agency (VERA) will realize its priority of creation of a functional birth and death registration/notification system. The system will be part of eCHIS and be integrated or interoperable with the DHIS2 system.

• Sustainable in-country capacity building mechanisms will be developed and implemented with resources identified for their support beyond the life of the project.

These could include but not limited to:

A. Enhanced Ethiopian ICT education capacity through local universities and

Technical & Vocational Education & Training Centers (TVET). This could link to the iHRIS system to track trained personnel.

B. Bachelor and Masters-level training using standardized national curriculum in competencies to innovate, develop, apply, and maintain electronic solutions.

C. Create communities of practice (users, developers, academics) for open-source solutions with universities and the private sector using an online platform, training academia or combination of the two.

C.3 (c) The Data Use Partnership:

In line with the objectives of the IRR, the FMOH, and the support by of the Bill and Melinda Gates Foundation (BMGF), a new partnership model was designed, the Data Use Partnership (DUP). The DUP contributing donors are, in addition to the BMGF, the Doris Duke Foundation (DDF), Global Fund (GF) and USAID.

The FMOH provides overall leadership and ownership for all DUP work. The BMGF is the donor lead for DUP and has provided a $21 million grant to support the FMOH and the DUP in a five-year effort to improve health services and outcomes in the Ethiopia health sector. The focus is to strengthening the health information system, and create a culture of data use for decision making in planning, management, and service delivery. The DUP will accomplish this by embedding with appropriate technical and financial support for both pillars of the Information Revolution.

Since the HMIS reform in 2008, various development partners have partnered with FMOH to support HMIS development and implementation. The United States Government (USG) has devoted significant resources to strengthen health information system through the President's Emergency Plan for AIDS Relief (PEPFAR), President's Malaria Initiative (PMI) , and family planning and maternal child health funding modalities. Global health initiatives and global public private partnerships such as the Global Fund and GAVI had also included information system as a component of their health system support. These technical and financial supports were critical first steps in developing a foundational platform from which current initiatives can support a broader set of achievements.

Nonetheless given the extensive support from various donors, there are still significant challenges and limitations such as:

➢ Fragmented and uncoordinated support: Resources channeled through various implementation partners without coordination has resulted in multiple conflicting support philosophies. The fragmented approach led to geographic and disease specific siloed systems that impeded effective technical support for the sector and an inability to access data for triangulation and verification.

➢ Lack of ownership: the methods and approaches used by donors and implementing partners removed FMOH from ownership and leadership in the process of developing and managing their own data systems. The result was a total dependence on the donor community for health information support while limiting the FMOH’s ability to access and control the use of their data.

➢ Irregular results: routine health information systems are not standardized across the country creating a hierarchical system which contributes data into a central warehouse used to support development of a common culture of information use.

The DUP is designed on the concept of complete GOE country ownership and leadership supported by comprehensive technical support from donors and their implementing partners. The DUP focuses on supporting the FMOH in building and strengthening the culture of information use across the health sector. The DUP is innovative and transformative for the following major reasons:

➢ The FMOH is the originator of the idea, based on in-depth analysis of the current situation, and is engaged from the inception phase of the process;

➢ The concept was crafted jointly by the FMOH and BMGF considering all the opportunities and challenges of the existing situation;

➢ The technical support to the FMOH follows an embedded approach rather than an external and independent approach;

➢ The scopes of work for DUP projects will be jointly developed by the FMOH and approved implementing partners in Ethiopia;

➢ The DUP is focused on developing one system and a culture of data use for decision making rather than supporting the creation of multiply parallel disease specific program information systems;

➢ The support will comprehensively capture all components of the Information revolution( digitization, cultural transformation for data use and Governance);

➢ Flexibility, adaptability, efficiency and relevance to the data need and data culture of Ethiopia.

➢ The DUP is result and performance-oriented.

The main result expected to be achieved in the next five years through the DUP is the successful implementation of the Information Revolution Roadmap. Looking at the two pillars of Information Revolution Roadmap the following specific results are expected:

Table 1 - Information Revolution via the Data Use Partnership Cultural Change Technology Advancement Fully functional Performance review Teams (PRT) at all levels of the health sector

Functional networking of all health facilities

Enhanced Data analytical capacity at all level of the health sector Functional and effective e CHIS Increased availability of quality data for decision making from various sources (data repository, triangulation and use of routine and population based data)

Standardized and functional eHMIS

Ease of access to information (data visibility and presentation) Scaled up and functional EMR Improved capacity of the Health Information Technicians (HIT) training program

Improved national and regional level IT capacity

Improved capacity of deployed HITs Complete ownership of FMOH in terms of development and management of HIS technologies

Health professionals' increased awareness and culture of data use

C.4 GENERAL PROGRAM PARAMETERS

The following operational guidance is provided that will be critical for the successful and sustainable implementation of this Activity. These principles relate to: a. Collaborating, Learning and Adapting; b. Coordination with External Stakeholders; c. Commitment of Global Stakeholders;

and d. Gender.

C.4.a. Collaborating, Learning and Adapting

USAID uses an approach called Collaborating, Learning and Adapting (CLA) to achieve better development results. This approach involves strategic collaboration, systematic and continuous learning, and adaptive management. CLA asks:

➢ Do you take the time to think critically about your work?

➢ Are you strategic in who you collaborate with, what you’re learning: and

➢ Do you use those learnings to change accordingly?

While CLA is not a new approach, these practices often do not occur regularly, are not systematic, and not deliberate. CLA is not a different work stream or done for its own sake. It’s a different way of approaching activity design and making implementation as effective as possible to maximize development impact. Strong CLA practices vary with organizational culture, project contexts, and their enabling environments. CLA practices need to be tailored where investments at different levels of the health sector and the enabling environment are implemented by different implementing partners.

The Contractor can achieve this intentionality by identifying knowledge gaps in their activity’s theory of change or by filling gaps in the evidence that designers used when creating the activity.

The intentionality may be achieved by creating and taking opportunities for stakeholders to track progress, discuss challenges, opportunities, and changes in context. Another opportunity to be intentional emerges as collaboration opportunities are created or required, especially if USAID/Ethiopia or Washington stakeholders get involved.

ADS 201.3.4.10.B describes potential approaches to CLA that include, but are not limited to:

➢ Having partners identify knowledge gaps in the theory of change for their activity or in their technical knowledge base and supporting them in identifying and implementing ways to fill these gaps;

➢ Planning for and engaging in regular opportunities for partners to reflect on progress, such as partner meetings, portfolio reviews, and after-action reviews. These opportunities may focus on challenges and successes in implementation to date, changes in the operating environment or context that could affect programming, opportunities to better collaborate or influence other actors, and/or other relevant topics;

➢ Encouraging or requiring partners under a project to collaborate, where relevant.

Collaboration activities may include joint work planning, regular partner meetings that facilitate knowledge sharing, and/or working groups organized along geographic or technical lines. These activities require time and resources, and appropriate resources must be budgeted;

➢ Involving implementing partners in the USAID learning activities, such as portfolio reviews or stock taking efforts, as appropriate; and

➢ Using the knowledge and learning gained from implementation, opportunities to reflect on performance, monitoring data, evaluations, knowledge about the context, and other sources to adjust interventions and approaches as needed.

These practices need to drive decision-making and activity adjustments in an intentional way that responds to new information and changes in context.

C.4.b Coordination with External Stakeholders

As noted above, the services and deliverables required under the Contract are part of a larger effort through the DUP (see background on DUP on pages 15-16). As a result, all services and deliverables under the Contract must be developed and implemented through collaboration, coordination and consistent with the parameters and guidance established through the DUP process.

This will include the following types of engagement and coordination:

Strategic Engagement with various GoE stakeholders, donors and partners for planning and implementation of HIS related activities.

Coordination – Effective coordination with all USAID and donor funded eHIS activities in the country Advocacy – Continued awareness and advocacy of the value of eHIS to improve health outcomes

Of course, final technical guidance will be provided through the Contracting Officer’s Representative and any direction that involves a change to the Contract, including, but not limited to, changes to the Statement of Work and funding levels, can only be provided by the Contracting Officer.

C.4.c Commitment of Global Stakeholders

It is critical that an increased commitment by global stakeholders to align and invest in integrated health information systems and tools, strengthened data use, and health workforce capacity at the country level as key strategies necessary to achieve improved health outcomes is achieved. This includes an increased commitment of global stakeholders to the type of strategic engagement, coordination and advocacy describe in Section C.4.b above. This approach must be applied across all components set forth in Section C.5.b.i below.

C.4.d Gender

Promoting gender equality and advancing the status of women and girls is vital to achieving USAID development objectives. In addressing gender issues in the eHIS Activity, the Contractor is expected to conduct eHIS specific gender analysis at the beginning of the activity implementation and develop a clear strategy to address identified issues. The gender analysis must identify:

Relevant gender gaps in the status and anticipated levels of participation of women and men that could hinder the key results to be achieved by the activity, as defined in the Activity Purpose, Key gender inequalities or needs for female empowerment that could be addressed through the activity, and

Any potential differential effects (including unintended or negative consequences) on women and men.

C.4.e. Use of Open Source Software

USAID/Ethiopia is committed to maximizing the use of open source software in the performance of this contract. Regardless of the specific solution selected, the Contractor must use open standards whenever practicable in order to increase the interoperability of all Government software solutions.

Open standards enable software to be used by anyone at any time, and can spur innovation and growth regardless of the technology used for implementation. It is expected that GNU license, https://opensource.org/licenses/GPL-3.0

Version 3 (Attachment No. 13), will be used on software developed under the Contract. This means that everyone is permitted to copy and distribute verbatim copies of this license document, but changing it is not allowed.

C.5 SERVICES AND TASKS REQUIRED

The Contractor must provide the services and deliverables specified below. Services and deliverables shall be provided to achieve the objective set forth above, subject to the guidance and limitations specified herein. Specific services, activities and deliverables required will be established in the annual work plans approved by the Contracting Officer’s Representative (COR) and, when necessary, through modifications to work plans specified in writing by the COR. Such technical direction must be consistent with all of the terms and conditions of the Contract and the determinations of the Contracting Officer.

C.5.a Management and Administrative Services

The Contractor must provide all general management and administrative support necessary to perform the Contract. The services authorized include, but are not limited to:

Overall management and administration of the Contract, including both expatriate and home office support and administrative services. The Contractor will provide both the key personnel specified in the Contract and additional personnel, long-term and short-term, necessary to meet recurring general management and administrative support needs under the Contract.

The Contractor shall procure or lease necessary facilities, supplies and services as necessary to perform the Contract Order.

The Contractor shall provide the planning necessary for performance of the contract.

As discussed in more detail elsewhere, approval of implementation and other plans are required.

Oversight, quality control and general technical support of all services and deliverables provided pursuant to the Contract.

Provide and assure the proper, efficient and uniform use of modern management and administration, accounting practices, information technology (IT), communications, reporting, human resource management, property control, security, records and other administrative processes and systems required under the Contract.

Manage the overall reporting needs of the program as specified in the Contract and developed in work plans in conjunction with the COR.

C.5.b Technical Services

The Contractor must provide technical services designed to achieve the objectives of the Activity.

As discussed above, annual work plans and/or modification to the work plans will establish the specific services, activities and deliverables required. It must be noted that the annual work plans, MEL plans and other ad hoc requirements will be heavily driven by the DUP process describe above in Section C.3 (pages 15-16). In addition, the performance milestones in the work plans will establish the basis on which performance will be evaluated. The Technical Services are divided into two CLINS as specified in Section B.2 above: 1. Core Services; and 2. Indefinite Services.

C.5.b.i Core Services https://opensource.org/licenses/GPL-3.0

This award will support Ethiopia’s information revolution which aligns with both the United States and Ethiopian government goals of improving the quality of health service, improving people's quality of life and building a sustainable health care system through use of data for decision making. CLIN 0001 outlines the services and deliverables the contractor will meet, as appropriate.

The approaches, constraints, activities and results are discussed below for each objective.

C.5.b.i.A Objective #1: Support Information Technology Systems and Data Repository:

The set of principles in Appendix 4.0 represents a concerted effort by donors to capture the most important lessons learned by the development community in the implementation of technology-enabled programs. Having evolved from a previous set of implementer precepts endorsed by over 300 organizations, these principles seek to serve as a set of living guidelines that are meant to inform, but not dictate, the design of technology-enabled development programs.

Under this Objective the Contractor must provide services and deliverables to support the digitalization, integration and scale-up of priority health information systems at all levels of eHIS based on the eHealth architecture of the country (Appendix 1).