Edit_with_Track_Changes_SOL-497-16-000010_Flagship_MNH.pdf

U.S. Agency for International Development American Embassy, Jl. Budi Kemuliaan I/1, Jakarta 10110 – Indonesia Tel: (62 21) 3435-9000 http://www.usaid.gov/indonesia

COVER LETTER

RFP Issuance Date: December 20, 2016

Questions Due Date: January 9, 2017 Questions Due Time: 2:00PM, Jakarta Time

Bidders’ Conference RSVP Deadline: January 9, 2017

Bidders’ Conference: January 25, 2017, 10:00 – 12:00 AM

Jakarta Time

Location Bidders’ Conference: American Embassy Annex, 8th Floor Gedung Sarana Jaya Jalan Budi Kemuliaan I/1, Jakarta

Closing Date for submission of proposals: February 24, 2017 Closing Time for submission of proposals: 2:00PM, Jakarta Time

E-mail Submission to: proposals-indo@usaid.gov

NAICS Code: 541 -- Professional, Scientific, and Technical Services/541990 -- All Other Professional, Scientific, and Technical Services

Authorized Geographic Code: 937

SUBJECT: Request for Proposal (RFP) No. SOL-497-16-000010 USAID/Indonesia FLAGSHIP MATERNAL AND NEWBORN HEALTH

(MNH) ACTIVITY

The United States Agency for International Development (USAID) is seeking proposals from qualified organizations interested in providing the services described in the attached Request for Proposals (RFP). USAID anticipates awarding one Cost-Plus-Fixed-Fee completion type contract, with a total estimated cost in the range of $50 to $65million, covering a total estimated period of five years. The contract period is comprised of a basic period of three years and two one-year option periods.

This procurement will be conducted under full and open competition procedures, pursuant to Part 15 of the Federal Acquisition Regulation (FAR) (48 CFR Chapter I). USAID encourages the participation to the maximum extent possible of small business concerns, small disadvantaged business concerns and women-owned small business concerns in this activity, as the prime Contractor or as Sub-contractor, in accordance with Part 19 of the FAR.

If your organization decides to submit a proposal in response to this solicitation, it must be submitted in accordance with Section L of this RFP. Offerors must also carefully review

RFP NO. SOL-497-16-000010

FLAGSHIP MATERNAL AND NEWBORN HEALTH ACTIVITY

Section M - Evaluation Factors. Sections B through I of the solicitation will become a substantive part of the anticipated contract with blanks to be completed by the Contracting Officer upon award. Section K - Representations, Certifications and Acknowledgements must be filled out in full.

Proposals are to be submitted to USAID/Indonesia no later than the closing date stated above, to the place designated in Section L for receipt of proposals. The proposal, and any modifications submitted after the initial proposal, must be submitted in accordance with the instructions provided in Section L. If the proposal is received after the closing date and time, or if it is incomplete, it will not be accepted nor considered unless authorized by the Contracting Officer pursuant to FAR 15.208.

This RFP in no way obligates USAID to award a contract nor does it commit USAID to pay any costs incurred in the preparation and submission of a proposal. Award of a contract under this RFP is subject to availability of funds and other internal USAID approvals.

Furthermore, USAID reserves the right to reject any and/or all offers if such action is considered to be in the best interest of the Government.

All questions, comments, requests for clarifications must be sent in writing to proposals-indo@usaid.gov no later than the date and time indicated above. USAID/Indonesia also invites all interested organizations to a bidders’ conference as noted above. The conference will be conducted in English. Organizations who wish to attend/participate are limited to a maximum of two (2) representatives each. An RSVP with the name of the organization, the representative(s) name, e-mail and phone number must be submitted no later than the date indicated above to proposals-indo@usaid.gov.

This RFP can be viewed and downloaded from www.fbo.gov. USAID bears no responsibility for data errors resulting from transmission or conversion processes. Further, be aware that amendments to solicitations are occasionally issued and will be posted on the same website from which you downloaded this solicitation. USAID advises interested parties to regularly check the above website for amendments.

Thank you for your interest and we look forward to your participation.

Sincerely, /s/ Albert E. Carrera Contracting Officer USAID/Indonesia

Attachment: RFP No. SOL-497-16-000010

SOLICITATION, OFFER AND AWARD 1. THIS CONTRACT IS A RATED ORDER

UNDER DPAS (15 CFR 7900)

RATING PAGE OF PAGES

2. CONTRACT NUMBER 3. SOLICITATION NUMBER 4. TYPE OF SOLICITATION 5. DATE ISSUED 6. REQUISITION/PURCHASE NUMBER

CODE7. ISSUED BY 8. ADDRESS OFFER TO (If other than item 7)

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

SOLICITATION

9. Sealed offers in original and copies for furnishings 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

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

INFORMATION

CALL:

A. NAME B. TELEPHONE (NO COLLECT CALLS)

AREA CODE NUMBER EXT.

C. E-MAIL ADDRESS

11. TABLE OF CONTENTS

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

A B C D E F G H

I

J

K

L

M EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND OTHER

STATEMENTS OF OFFERORS

PART IV - REPRESENTATIONS AND INSTRUCTIONS

LIST OF ATTACHMENTS

PART III - LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH.

CONTRACT CLAUSESSOLICITATION/CONTRACT FORM

SUPPLIES OR SERVICES AND PRICES/COSTS

DESCRIPTION/SPECS./WORK STATEMENT

PACKAGING AND MARKING

INSPECTION AND ACCEPTANCE

DELIVERIES OR PERFORMANCE

CONTRACT ADMINISTRATION DATA

SPECIAL CONTRACT REQUIREMENTS

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

OFFER (Must be fully completed by offeror)

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 set opposite each item, delivered at the designated point(s), within the time specified in the schedule.

13. DISCOUNT FOR PROMPT PAYMENT

(See Section I, Clause No. 52.232-8)

14. ACKNOWLEDGMENT OF AMENDMENTS

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

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

DATEAMENDMENT NO.AMENDMENT NO. DATE

15A. NAME AND

ADDRESS

OF OFFER-

OR

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

(Type or print)

15B. TELEPHONE NUMBER

AREA CODE NUMBER EXT.

15C. CHECK IF REMITTANCE ADDRESS IS

DIFFERENT FROM ABOVE - ENTER SUCH

ADDRESS IN SCHEDULE.

17. SIGNATURE 18. OFFER DATE

AWARD (To be completed by Government)

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

22. AUTHORITY FOR USING OTHER THAN FULL OPEN COMPETITION:

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

24. ADMINISTERED BY (If other than Item 7)

26. NAME OF CONTRACTING OFFICER (Type or print)

IMPORTANT - Award will be made on this Form, or on Standard Form 26, or by other authorized official written notice.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

(4 copies unless otherwise specified)

25. PAYMENT WILL BE MADE BY

27. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

28. AWARD DATE

CODE

ITEM

STANDARD FORM 33 (REV,. 9-97)

Prescribed by GSA - Far (48 CFR) 53.214 (c)

SEALED BID (IFB)

NEGOTIATED (RFP)

(Hour) (Date)

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

3 194

REQ-497-16-000097

USAID/Indonesia, US Embassy Annex, Gedung Sarana Jaya, Jl. Budi Kemuliaan I/1, Jakarta, 10110 Indonesia

SOL-497-16-000010

Five (5) OAA, USAID/ Indonesia 14:00

Johanna Gardjito proposals-indo@usaid.gov

61 142

February 24,17

6221 34359000 0

210 days ychristanti Highlight ychristanti Highlight

TABLE OF CONTENTS

COVER LETTER

SECTION A – SOLICITATION, OFFER AND AWARD FORM

TABLE OF CONTENTS

LIST OF ACRONYMS

PART I – THE SCHEDULE

SECTION B – SUPPLIES OR SERVICES AND COST/PRICES

B.1 PURPOSE

B.2 CONTRACT TYPE AND CONTRACT SERVICES

B.3 ESTIMATED COST, FIXED FEE, AND OBLIGATED AMOUNT

B.4 PRICE SCHEDULE

B.5 REIMBURSABLE COSTS

B.6 INDIRECT COST

B.7 ADVANCE UNDERSTANDING ON CEILING INDIRECT COST RATES AND FINAL

PERFORMANCE FOR INDIRECT COSTS

B.8 FIXED FEE - FAR 52.216-8 (JUN 2011)

B.9 MULTI-YEAR CONTRACT

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 PURPOSE

C.2 DOING MNH DIFFERENTLY

C.3 THE APPROACH

C.4 REFINING THE TECHNICAL FOCUS AREAS TO GUIDE PRIORITIES FOR LOCAL

SOLUTIONS

C.5 MANAGEMENT CAPABILITIES

C.6 GEOGRAPHICAL FOCUS PROVINCES

C.7 CRITICAL ASSUMPTIONS

C.8 GENDER

C.9 MONITORING AND EVALUATION

C.10 DATA MANAGEMENT AND DISSEMINATION

C.11 PROJECT MANAGEMENT

SECTION D – MARKING AND BRANDING

D.1 AIDAR 752.7009 MARKING (JAN 1993)

D.2 MARKING AND BRANDING STRATEGY

SECTION E – INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

E.2 INSPECTION AND ACCEPTANCE

E.3 PERFORMANCE STANDARDS

SECTION F – DELIVERIES OR PERFORMANCE

F.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

F.2 PERIOD OF PERFORMANCE

F.3 PLACE OF PERFORMANCE

F.4 KEY PERSONNEL

F.5 REPORTS AND DELIVERABLES

SECTION G – CONTRACT ADMINISTRATION DATA

G.1 ADMINISTRATIVE CONTRACTING OFFICE

G.2 CONTRACTING OFFICER’S AUTHORITY

G.3 CONTRACTING OFFICER’S REPRESENTATIVE (COR)

G.4 CONTRACTOR’S PRIMARY POINT OF CONTACT

G.5 AIDAR 752.7003 DOCUMENTATION FOR PAYMENT (NOV 1998)

G.6 PAYING OFFICE

G.7 ACCOUNTING AND APPROPRIATION DATA

SECTION H – SPECIAL CONTRACT REQUIREMENTS

H.1 NOTICE LISTING CONTRACT CLAUSE INCORPORATED BY REFERENCE

H.2 AUTHORIZED GEOGRAPHIC CODE

H.3 LOGISTIC SUPPORT

H.4 LANGUAGE REQUIREMENTS

H.5 AIDAR 752.7007 PERSONNEL COMPENSATION (JULY 2007)

H.6 WORK WEEK

H.7 AIDAR 752.7004 EMERGENCY LOCATOR INFORMATION (JULY 1997)

H.8 GOVERNMENT FURNISHED FACILITIES OR PROPERTY

H.9 AIDAR 752.231-71 SALARY SUPPLEMENTS FOR HOST GOVERNMENT (HG) EMPLOYEES

(MAR 2015)

H.10 EXECUTIVE ORDER ON TERRORISM FINANCING (FEB 2002)

H.11 AIDAR 752.222-70 USAID DISABILITY POLICY – ACQUISITION (DECEMBER 2004)

H.12 AIDAR 752.245-71 TITLE TO AND CARE OR PROPERTY (APRIL 1984)

H.13 AIDAR 752.7032 - INTERNATIONAL TRAVEL APPROVAL AND NOTIFICATION

REQUIREMENTS (APRIL 2014)

H.14 AIDAR 752.229-71 REPORTING OF FOREIGN TAXES (JULY 2007)

H.15 AIDAR 752.222-71 NONDISCRIMINATION (JUNE 2012)

H.16 FOREIGN GOVERNMENT DELEGATION TO INTERNATIONAL CONFERENCES (JAN 2002)

H.17 SUBCONTRACTOR CONSENT

H.18 BUSINESS CLASS TRAVEL

H.19 AIDAR 752.7036 USAID IMPLEMENTING PARTNER NOTICES (IPN) PORTAL FOR

ACQUISITION (JULY 2014)

H.20 AIDAR 752.228-3 WORKER’S COMPENSATION INSURANCE (DEFENSE BASE ACT)

H.21 DEFENCE BASE ACT (DBA) INSURANCE FOR 2015 – 2020

H.22 ELECTRONIC PAYMENTS SYSTEM

H.23 VALUE ADDED TAX AND CUSTOMS DUTIES

H.24 SUBCONTRACTING PLAN REPORT FOR INDIVIDUAL CONTRACTS AND SUMMARY

CONTRACTING REPORT

H.25 CONFLICT OF INTEREST

H.26 DISCLOSURE OF INFORMATION

H.27 ENVIRONMENTAL COMPLIANCE

H.28 GRANTS UNDER CONTRACT (GUC)

H.29 PUBLICATIONS, VIDEOS OR OTHER INFORMATION MEDIA PRODUCTS

H.30 USAID-FINANCED THIRD-PARTY WEB SITES (AUG 2013)

H.31 RESTRICTIONS AGAINST DISCLOSURE (MAY 2016)

H.32 SOFTWARE LICENSE ADDENDUM (MAY 2016)

H.33 ELECTRONIC AND INFORMATION TECHNOLOGY (MAY 2016)

H.34 USE OF INFORMATION TECHNOLOGY (MAY 2016) – (DEVIATION NO.M/OAA-DEV-FAR-

16-1c) 81

H.35 MEDIA AND INFORMATION HANDLING AND PROTECTION (MAY 2016)

H.36 PRIVACY AND SECURITY INFORMATION TECHNOLOGY SYSTEM INCIDENT REPORTING

(MAY 2016)

H.37 SKILLS AND CERTIFICATION REQUIREMENTS FOR PRIVACY AND SECURITY STAFF

(MAY 2016)

H.38 SECURITY REQUIREMENTS FOR UNCLASSIFIED INFORMATION TECHNOLOGY

RESOURCES (MAY 2016)

H.39 CLOUD COMPUTING (MAY 2016)

PART II – CONTRACT CLAUSES

SECTION I – CONTRACT CLAUSES

I.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

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

I.3 FAR 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

PART III – LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

SECTION J – ATTACHMENTS

PART IV – REPRESENTATION AND INSTRUCTIONS

SECTION K – REPRESENTATIONS, CERTIFICATIONS, AND OTHER STATEMENTS OF BIDDERS

SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO BIDDERS

L.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

L.2 FAR 52.215-1 INSTRUCTIONS TO OFFEROR – COMPETITIVE ACQUISITION (JAN 2004) ... 118

L.3 52.215-22 LIMITATIONS ON PASS-THROUGH CHARGES – IDENTIFICATION OF

SUBCONTRACT EFFORT (OCT 2009)

L.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

L.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

L.6 52.216-1 TYPE OF CONTRACT (APR 1984)

L.7 QUESTIONS AND CLARIFICATION

L.8 PROPOSAL PREPARATION AND DELIVERY INSTRUCTIONS

L.9 UNNECESSARILY ELABORATE PROPOSAL

L.10 INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL

L.11 ORGANIZATION OF TECHNICAL PROPOSAL

L.12 INSTRUCTIONS FOR THE PREPARATION OF THE COST PROPOSAL

L.13 BRANDING IMPLEMENTATION AND MARKING PLAN

SECTION M – EVALUATION FACTORS FOR AWARD

M.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

M.2 GENERAL INFORMATION

M.3 TECHNICAL EVALUATION FACTORS

M.4 COST EVALUATION FACTOR

M.5 DETERMINATION OF THE COMPETITIVE RANGE AND CONTRACT AWARD

M.6 CONTRACTING WITH SMALL BUSINESS CONCERN AND DISADVANTAGED

ENTREPRISES

M.7 BRANDING IMPLEMENTATION AND MARKING PLAN

ATTACHMENT 1 – CONTRACTOR EMPLOYEE BIOGRAPHICAL DATA SHEET

ATTACHMENT 2 – SF LLL – DISCLOSURE OF LOBBYING ACTIVITIES

ATTACHMENT 3 – CERTIFICATE OF CURRENT COST AND PRICING DATA

ATTACHMENT 4 – CONTRACTOR’S PAST PERFORMANCE REPORT (SHORT FORM)

ATTACHMENT 4 – CONTRACTOR’S PAST PERFORMANCE INFORMATION

ATTACHMENT 5 – SAMPLE SMALL BUSINESS SUBCONTRACTING PLAN

ATTACHMENT 6 – REFERENCES

ANNEX I: MNH Background in Indonesia

ANNEX II: Definitions

ANNEX III: Scope of Work for Private Sector Market Analysis, Civil Society Organizations and Media Assessment

ANNEX IV: Every Mother and Newborn Counts Activity Description

ANNEX V: Scope of Work for Indonesia Maternal and Newborn Health Evidence Summit

ANNEX VI: Ministry of Health 48 Maternal and Child Priority Districts/Municipalities that Fall within USAID Focus Provinces

ATTACHMENT 7 – INITIAL ENVIRONMENTAL EXAMINATION (IEE)

LIST OF ACRONYMS

AIPI - Indonesian Academy of Sciences ASEAN - Association of Southeast Asian Nations AERs - Associate Evidence Reviewers BPJS-K - Badan Penyelenggara Jaminan Sosial – Kesehatan CDCS - Country Development Cooperation Strategy CEDAW - Convention to Eliminate All Forms of Discrimination against Women CO - Contracting Officer COR - Contracting Officer’s Representative CRVS - Civil Registration/Vital Statistic CSO - Civil Social Organization DDL - Development Data Library DEC - Development Experience Clearinghouse DKI Jakarta - Daerah Khusus Ibukota Jakarta DO - Development Objective DOC - Development Outreach and Communications EMAS - Expanding Maternal and Newborn Survival EMMP - Environmental Mitigation and Monitoring Plan EMNC - Every Mother and Newborn Counts EPCMD - Ending Presentable Child Maternal Death EPCMD - Ending Preventable Child and Maternal Deaths ERT - Evidence Review Teams ES - Essential Services FOIA - Freedom of Information Act GDP - Gross Domestic Product GIS - Geographic Information System GOI - Government of Indonesia ICT - Information, Communication and Technology IDHS - Indonesia Demographic Health Survey IEE - Initial Environmental Examination IR - Intermediate Results JKN - Jaminan Kesehatan National M&E - Monitoring and Evaluation MCH - Maternal Child Health MCSP - Maternal Child Survival Program MERL - Monitoring, Evaluation, Research and Learning MN - Maternal Newborn MNH - Maternal and Newborn Health MoH - Ministry of Health MoHA - Ministri of Home Affair MPA - Maternal and Perinatal Audit PMP - Performance Management Plan PPR - Performance Plan and Report SOQ - Statement of Qualification TNP2K - Tim Nasional Percepatan Penanggulangan Kemiskinan UHC - Universal Health Coverage WDI - World Development Indicator

PART I – THE SCHEDULE

SECTION B – SUPPLIES OR SERVICES AND COST/PRICES

B.1 PURPOSE

The purpose of this Contract is to provide technical assistance and other services as described in detail in Section C, Statement of Work, for the implementation of the USAID/Indonesia FLAGSHIP MATERNAL AND NEWBORN HEALTH (MNH) ACTIVITY.

B.2 CONTRACT TYPE AND CONTRACT SERVICES

This is a Cost-Plus-Fixed-Fee (CPFF) completion type contract. For the consideration set forth below, the Contractor must accomplish the performance objectives and provide the results, deliverables and output as described in Section C and Section F, and in accordance with the performance standards specified therein.

B.3 ESTIMATED COST, FIXED FEE, AND OBLIGATED AMOUNT

B.3.1 Base Contract Period (Years 1, 2, and 3)

a. The estimated cost for the performance of the work required hereunder, exclusive of fixed fee, if any, is $(to be inserted upon award). The fixed fee, if any, is $(to be inserted upon award). The total estimated cost plus fixed fee, if any, is $ (to be inserted upon award).

b. Within the estimated cost plus fixed fee (if any) specified in paragraph B.3.1.(a) above, the amount currently obligated and available for reimbursement of allowable costs incurred by the Contractor (and payment of fee, if any) for performance hereunder is $(to be inserted upon award). The Contractor must not exceed the aforesaid obligated amount nor will the Government be responsible for costs incurred should the Contractor do so.

c. Funds obligated hereunder are anticipated to be sufficient through (to be determined at time of award).

B.3.2 Contract Option Periods (Years 4 and 5)

a. The estimated cost for the performance of the work for Option Year 1, exclusive of fixed fee, if any, is $(to be inserted upon award). The fixed fee, if any, is $(to be inserted upon award). The total estimated cost plus fixed fee, if any, is $ (to be inserted upon award).

b. The estimated cost for the performance of the work for Option Year 2, exclusive of fixed fee, if any, is $(to be inserted upon award). The fixed fee, if any, is $(to be inserted upon award). The total estimated cost plus fixed fee, if any, is $ (to be inserted upon award).

B.3.3 Base Contract and Option Periods (Total Years)

The total estimated cost plus fixed fee, if any, for the base and option periods is $(to be inserted upon award).

B.4 PRICE SCHEDULE

The Contractor is not allowed to exceed any Contract Line Item nor is authorized to shift funding between Contract Line Items without prior written approval of the Contracting Officer.

The fee is fixed according to the Contract Summary Budget and the terms of this contract.

Note:

*CLIN 003/Component 3 must have budget allocated for GUC based on the proposed approach in Component 1.

**Windows of Opportunity Fund: A plugged amount not to exceed $3,000,000.00 is provided for activities intended to refine technical focus areas as described in Section C.4.

Description Contract Basic Performance Total Contract Line Items Year 1 to Year 3 Year 4 Year 5 Base & Option Years

CLIN 001 - Component 1 Management, Measurement and Communication $_______ $_______ $_______ $_______ Fixed Fee (if any)

CLIN 002 - Component 2 Technical Assistance $_______ $_______ $_______ $_______ Fixed Fee (if any) $_______ $_______ $_______ $_______

CLIN 003 - Component 3* Catalytic Financing $_______ $_______ $_______ $_______ Fixed Fee (if any) $_______ $_______ $_______ $_______

Windows of Opportunity Fund $3,000,000**

TOTAL ESTIMATED COST $_______ $_______ $_______ $_______

TOTAL FIXED FEE (if any) $_______ $_______ $_______ $_______

TOTAL ESTIMATED COST PLUS FIXED FEE (if any) $_______ $_______ $_______ $_______

Contract Options

CONTRACT SUMMARY BUDGET

B.5 REIMBURSABLE COSTS

The U.S. dollar costs reimbursable under this contract will be limited to those costs determined to be necessary allocable, allowable, and reasonable as determined in accordance with FAR 31 (Contract Cost Principles), 2 CFR 215 (Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and Other Non-profit Organizations), 2 CFR 230 (Cost Principles for Non-Profit Organization), FAR 52.216-7, (Allowable Cost and Payment), and FAR 52.216-8, (Fixed Fee), if applicable, and AIDAR 752.7003 (Documentation for Payment).

B.6 INDIRECT COST

The Contractor is allowed to recover 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 an approved Negotiated Indirect Cost Rate Agreement

(NICRA).

Pending establishment of revised provisional or final indirect cost rates, for each of the Contractor’s accounting periods which apply to this contract, allowable indirect costs must be reimbursed on the basis of the following negotiated provisional or predetermined rates applied to the bases which are set forth below:

Description Year 1 Year 2 Year 3 Year 4 Year 5

Type of Rate:

Base of Application:

Period:

(Indirect Cost for Prime Contractor and Any Major Subcontractor(s):

To be determined at time of award)

B.7 ADVANCE UNDERSTANDING ON CEILING INDIRECT COST RATES AND FINAL

PERFORMANCE FOR INDIRECT COSTS

B.7.1 Reimbursement for indirect costs will be at final negotiated rates, but not in excess of the following ceiling rates:

Description Year 1 Year 2 Year 3 Year 4 Year 5 Type of Rate:

Base of Application:

Period:

(To be determined at time of award)

B.7.2 The U.S. Government will not be obligated to pay any additional amount should the final indirect cost rates exceed the negotiated ceiling rates. If the final indirect cost rates are less than the negotiated ceiling rates, the negotiated rates will be reduced to conform with the lower rates.

B.7.3 This understanding must not change any monetary ceiling, obligation, or specific cost allowance or disallowance. Any changes in classifying or allocating indirect costs require the prior written approval of the Contracting Officer.

B.8 FIXED FEE - FAR 52.216-8 (JUN 2011)

USAID paying office ordinarily pays the Contractor a percentage of a fixed fee that directly corresponds to the percentage of allowable costs being paid. Two exceptions to paying fixed fee in this manner apply:

(1) 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.

(2) The clauses entitled "Allowable Cost and Payment" (FAR 52.216-7) and "Fixed Fee" (FAR 52.216-8) are incorporated into this contract. The terms and conditions of these clauses apply after total payments of fixed fee reach eighty-five percent (85%) of the total fixed fee.

B.9 MULTI-YEAR CONTRACT

All contract CLINs under this award are considered non-severable and constitutes a multi-year contract as defined in FAR 17.103. Therefore, this contract is subject to the requirements of FAR 17.106. In the event that the Government cancels requirements for services in subsequent program years under this contract, the following conditions will apply: [Amount and dates to be filled in at time of award]

Cancellation Dates:

Contract Year 2: DATE TBD, 2018 Amount: $1 Contract Year 3: DATE TBD, 2019 Amount: $1 Contract Year 4: DATE TBD, 2020 Amount: $1 Contract Year 5: DATE TBD, 2021 Amount: $1

Cancellation Ceiling:

This is a CPFF type 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 (June 2013).” 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, “Cancellation under Multiyear Contracts (October 1997).” Therefore, the cancellation ceiling for each cancellation date is provided above.

END OF SECTION B

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 PURPOSE

Contribute to national goals to reduce maternal and newborn mortality by providing catalytic support to improve essential maternal and newborn services targeting the poorest and most vulnerable.

C.1.1 Current USAID Strategic Framework

This “Flagship Maternal and Newborn Health (MNH) Activity” is aligned with USAID/Indonesia’s Country Development Cooperation Strategy (CDCS)1 and with USAID’s global priority initiative, Ending Preventable Child and Maternal Deaths (EPCMD). The current CDCS seeks to reorient USAID’s strategic engagement in Indonesia and provides an opportunity to address extreme poverty. USAID/Indonesia’s CDCS 2014–2018 has four integrated Development Objectives (DOs):

DO 1: Democratic governance strengthened;

DO 2: Essential human services for the poorest and most vulnerable improved;

DO 3: Global development priorities of mutual interest advanced; and DO 4: Collaborative achievement in science, technology, and innovation increased.

This Flagship MNH Activity falls under the Essential Services (ES) Project, which implements two of the intermediate results (IR) under DO 2:

IR 2.1: Services to reduce preventable maternal and child deaths improved; and IR 2.3: Governance of essential services at the local level strengthened.

This Flagship MNH Activity also contributes to the other DOs. In support of DO1, it will enhance accountability, governance and civil society participation to improve availability and use of essential services among the poorest and most vulnerable. In support of DO3, it will enhance system functions to improve quality of care in the public and private sectors that would contribute to results under the infectious disease focus of DO3. Finally, with core operating principles that include supporting local solutions through a whole of market approach and providing critical information and evidence to inform program and policy decisions at all levels, this Flagship MNH Activity is closely aligned with the goals of DO4.

C.1.2 Maternal and Newborn Health in Indonesia

With a population of more than 250 million, Indonesia is the world’s fourth most populous country. Its 34 provinces are divided into more than 530 decentralized districts and

1 https://www.usaid.gov/indonesia/cdcs municipalities. Categorized by the World Bank as a lower middle income country, it is the largest economy in Southeast Asia and a member of the G-20. Indonesia has a gross domestic product (GDP) of USD$3,475 per capita (World Development Indicator (WDI) 2015, 2014 estimate). In 2012 2013, total health expenditure amounted to 3.1 percent of GDP2 ($107 per capita), with over 45 percent of this expenditure coming from out of pocket spending.

Although there has been a net decrease in both the number and the proportion of poor people over the past five years, 28 million people in Indonesia still live in extreme poverty. Around 40 percent of the population (100 million people) is considered either poor or vulnerable (i.e.

living on USD$2 a day or less) (WDI 2015, 2014 estimate). The poor and near poor in Indonesia face a very different reality in terms of their access to health care than their wealthier neighbors. In particular, women and girls living in poverty face significant challenges in accessing their reproductive health rights. Indonesia’s maternal mortality ratio has remained stubbornly high, now higher than other countries in the region. Child mortality has steadily declined, but newborn death rates have remained stagnant and are a growing proportion of all deaths (Indonesia Demographic Health Survey/IDHS, 2012). With great wealth disparity in Indonesia, these issues disproportionately affect those poorest and most vulnerable (see Background, Annex I).

USAID has a rich history of partnering with the Government of Indonesia (GOI) and other stakeholders in country to contribute to improvements in maternal and newborn health (MNH).

The Expanding Maternal and Newborn Survival (EMAS) activity is the most recent USAID funded flagship maternal and newborn health activity. EMAS began in September 2011 and will end in March 2017. In 2014, a midterm review was conducted of the EMAS project3.

EMAS has worked directly in six high population, high burden provinces to develop effective approaches to improve the quality of maternal and newborn services in health facilities and improve referral for maternal and newborn emergencies – supported by information, communication and technology (ICT) innovations and local governance activities.

However, given that reductions in maternal and newborn mortality have stagnated, USAID is open to new approaches, and this coincides with several important developments underway in Indonesia.

C.2 DOING MNH DIFFERENTLY

C.2.1 Political and structural reforms are coming to fruition

Three seminal events have impacted health care provision in Indonesia. The first was the 1998 financial crisis, which triggered the end of President Suharto’s regime and ushered in the reform era. The second was the 1999 devolution of authority to the districts and provinces and the beginning of decentralization, a process that continues to undergo refinement, most recently with the revised Law 23 in 2014 and the new village law, Law 6/2014. The third was

2 World Health Organization Global Health Expenditure database, accessed via World Bank database, data for 2013.

3 Access EMAS Mid Term Evaluation Report at: http://pdf.usaid.gov/pdf_docs/pa00jz5q.pdf the January 1, 2014 implementation of Universal Health Coverage (UHC), which currently provides insurance coverage to almost 168 million people, of whom over 90 million have subsidized premium payments from the government, under the single payer national social health insurance program (Jaminan Kesehatan Nasional - JKN). The government has pledged to cover all its expected 275 million citizens by 2019 (USAID Rapid Health System Assessment)4. Currently, approximately 15 percent of the country’s health sector budget flows through the JKN system, while the bulk of the budget goes toward health worker salaries, capital and operational costs at the national and sub-national levels.

Together, these reforms have the power to transform the Indonesian health sector by allowing sub-national governments to make locally-appropriate decisions on how to best allocate their resources to serve their constituents, as well as providing a central purchasing entity to pool risk across the population and standardize the purchasing of health care services across the public and private sectors. The current system has unleased the power of strategic purchasing at the local and national levels and has significant potential to dramatically increase efficiencies in resource allocation, increased access and financial protection for the poorest and most vulnerable.

C.2.2 The private sector presents a significant opportunity for leveraging resources and technical assistance

Indonesia’s GDP growth, fueled by both domestic growth as well as foreign direct investment, has created an environment in which investors are searching for profitable ideas and established businesses are seeking to expand. In both cases, there is interest in reaching the middle class as well as the base-of-the-pyramid (the poorest 40 percent), i.e., the close to 90 million poor and vulnerable fully subsidized by the government. Although JKN significantly improves the prospects of sustainable health financing in Indonesia, infrastructure and human resource investments to improve access to health care have not kept pace with growing demand. Indonesia only had 0.9 hospital beds and 0.2 physicians per 1,000 people in 20125.

In Indonesia, 46 percent of women deliver at a private health facility. Women deliver more often in private facilities than public across all wealth quintiles (IDHS 2012). However, due to a variety of reasons, the National Social Health Insurance Provider [Badan Penyelenggara Jaminan Sosial-Kesehatan (BPJS-K)] currently has limited private provider participation6.

As the UHC program reduces financial barriers and the population previously not accessing services starts accessing health care, engagement of the private sector will become critical to ensure that the health system is able to equitably respond to the needs of the entire population with high quality services (see Private Sector Market Analysis, Civil Society Organizations and Media Assessment, Annex III). Additionally, the role of the private sector is

4 USAID Rapid Health System Assessment:

https://dec.usaid.gov/dec/content/Detail.aspx?ctID=ODVhZjk4NWQtM2YyMi00YjRmLTkxNjktZTcxMjM2NDBmY2Uy&rID=MzczMDYx 5 The World Bank. World Development Indicators: Health Systems. http://wdi.worldbank.org/table/2.15.

Accessed October 19, 2015.

6 Health Policy Plus (HP+) Private Sector and Civil Society Assessment:

http://www.heatlhpolicyplus.com/pubs.cfm?get=2 not only limited to health services provision, but also includes areas like telecommunications, improved information technology platforms, transportation, financing institutions (banks, venture capitalists, Indonesian conglomerates, etc.), health worker training institutions, etc.

This crucial contribution of the private sector in the expanding Indonesian health system has been recognized by the GOI.

C.2.3 Untapped opportunities for civic engagement

Maternal mortality remains stubbornly high and newborn mortality now accounts for almost 50 percent of under-five deaths. Interestingly, there has not been a significant public outcry on these issues and the sector’s inability to effectively lower maternal mortality. This highlights the current country context in which local civil society organizations (CSOs) and the media are not effectively engaged to ensure effective governance and accountability, or as partners to advocate for and effect change. However, the last decade has seen strong development of civil society and participation in public health has been growing7,8 (see Private Sector Market Analysis, Civil Society and Media Assessment, Annex III). The World Bank’s Worldwide Governance Index places Indonesia’s Voice and Accountability score at 52 percent, progressively increasing from 40 percent in 20049.

C.2.4 Domestic and international political priorities are aligned

There is strong political commitment from the GOI for improving population health. Increasing budget allocation to the health sector (FY16 GOI health sector budget will account for five percent of the national budget, up from under four percent in FY15 – Ministry of Health (MOH)), the launch of the JKN program, as well as a renewed emphasis on strengthening health promotion and prevention services under the primary health care system, specifically for reproductive and child health, through the MOH’s Kampung Sehat (Healthy Village) and Nusantara Sehat (Healthy Archipelago) programs, clearly demonstrates this commitment.

Indonesia’s embrace of key global initiatives such as “Every Woman, Every Child”; “Ending Preventable Child and Maternal Deaths”; and the newly launched “Global Strategy for Women’s, Children’s and Adolescent’s Health 2016-2030”, also offer further opportunities to build a multi-pronged approach for tackling maternal and neonatal mortality.

7 Evolution and Challenges of Civil Society Organizations in Promoting Democratization in Indonesia, Ministry of Disadvantaged Regions, presentation of March 2014, Yemen CSO Conference 8 USAID CSOSI, 2014: https://www.usaid.gov/sites/default/files/documents/1866/2014_Asi_CSOSI_USAID.pdf 9 The World Bank. Worldwide Governance Indicators.

http://info.worldbank.org/governance/wgi/index.aspx#reports

C.2.5 Lessons Learned from USAID’s EMAS Activity

Lessons learned from EMAS, primarily through the mid-term evaluation, provide valuable guidance for priorities for the new Flagship MNH Activity. Key lessons learned include the need to better address the following:

Focus on leveraging change at scale, with an explicit plan, learning agenda to provide the evidence base, implementation and testing of a limited number of innovations and improved approaches – all aimed at improving the delivery of life-saving approaches through systems operating at scale.

Engage the system of national health insurance (JKN) as this will be the driving force for health care changes in coming years. Provide assistance for effective roll-out and reach to the poorest and most vulnerable.

Address critical information and evidence gaps – where such gaps exist at many levels. This includes strengthening local information and audit systems, creating new evidence to address key information gaps, such as who is dying and where, and implementation research to address priority information needs of program and policy clients.

Strengths of the current program that must be maintained include:

o Strong political engagement at the provincial and district levels, which is important for uptake, support and expansion of improved approaches;

o Maintain alignment with GOI policies and priorities;

o Engage both private and public sector health service providers; and o Identify key leverage points where major contributions can accelerate progress

C.2.6 USAID must shift its development strategy to respond to the Indonesian context

The increasing availability of public and private financing, political commitment to move along the path toward UHC, financial and administrative autonomy at the sub-national level, thriving private sector, and improvements in political space for civic participation are all opportunities that can be leveraged. USAID’s FY15 Indonesia Maternal Child Health (MCH) appropriation is US$20 million. The GOI’s FY16 national health budget is over US$7 billion, not taking into account private financing. It is clear that USAID and its partners must focus on engaging a wide variety of stakeholders to develop new and leverage existing local solutions, human capital and financial resources in order to have impact. Domestically financed solutions, created with the active participation of local interested parties from the earliest stages of program development are more likely to succeed and be sustained. USAID will focus on catalyzing the whole of market (see Definitions “Co-creation” at Annex II) – public and private sectors, including civil society, media, academia and other global partners - to co-define the MNH problem in country, co-create local solutions and leverage public and private resources to improve MNH outcomes.

USAID is shifting its MNH portfolio to respond to the dynamic health system and market opportunities in Indonesia. USAID’s role will shift from funding the implementation of specific interventions to facilitating and supporting partnerships across a variety of stakeholders to catalyze local solutions, leverage public and private financing and increase the pace at which good quality local evidence is made widely available to current and potential partners, depending on their interests and needs. The aim is to facilitate an Indonesian MNH movement by effectively:

Engaging public and private sector actors (local and global) to make available good quality MNH health and other support services;

Engaging civil society actors like CSOs and the media to work along with the government while also holding the public and private sectors accountable for delivering good quality services;

Targeting the poorest and most vulnerable to ensure that cultural acceptance and demand side incentives are in place; and

Catalyzing the production and spread / communication of information and evidence across all stakeholders to fuel the MNH movement toward achieving better MNH outcomes.

C.2.7. Core Operating Principles

The following core operating principles will guide USAID’s investments under this Flagship MNH Activity:

Support co-creation platforms that facilitate the design, financing and implementation of technically sound and politically feasible local solutions, in order to break through barriers to progress in reducing Maternal Newborn (MN) mortality.

Adopt a whole of market approach that engages a variety of stakeholders including local and national governments and agencies, private (for profit and not for profit) sector actors, CSOs, media, academia and other global partners.

Influence systems operating at scale to improve population access to and utilization of essential, evidence-based, life-saving MNH services.

Align all activities and efforts along a critical path to achieve sustainable results, focusing on a limited number of efforts critical to achieve desired MNH outcomes.

Provide catalytic support for system improvements by providing critical information and evidence to inform problem definition, programmatic and policy decisions at all levels.

Target and evaluate all support for the extent to which it benefits the poorest

C.3 THE APPROACH

Guided by the above mentioned concepts [‘Doing MNH Differently’ (see paragraphs C.2.1 to C.2.7)], USAID will fund a five-year Flagship MNH Activity that is responsive, flexible and adaptable to the evolving Indonesian context. The Flagship MNH Activity will provide a platform to facilitate a MNH movement in country that brings together a variety of stakeholders with diverse backgrounds and incentives to co-define, co-create, co-finance and implement sustainable and scalable approaches to improve MN survival, specifically among the poorest and most vulnerable populations in 10 focus provinces.

The overall approach will have three management components and will operate across at least six technical focus areas. The approach will result in the development of local solutions guided by the best available evidence within and across each of the technical focus areas. A key assumption of the design is that the market will respond with adequate quantity, quality and diversity of solutions that will result in significant improvements within and across chosen areas of technical focus, thus, leading to desirable outcomes in MNH. Furthermore, the underlying hypothesis is that, when taken as a whole, these solutions will sufficiently influence the determinants of MN mortality and contribute to reductions in MN mortality at scale in Indonesia.

The aim of the partnership process is to harness the expertise, ingenuity, and creativity of investors and problem-solvers across Indonesia as well as engage investors and problem solvers from across the globe that may have the interest, experience and expertise relevant to Indonesia’s context. It is meant to engage traditional and non-traditional partners; local and global partners; inspire risk-taking, learning and adapting; catalyze markets while addressing market failures; and improve cost-effectiveness by creating opportunities to leverage a variety of investments.

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Continuous Monitoring, Evaluation, Learning and Adapting

Gather, Analyze and Disseminate Evidence

Define Problem and Co create

National Reduction in Maternal and Newborn

Select, Fund and

Support

The Flagship MNH Activity Approach

C.3.1 Management Components

Following are the three management components:

Table 1: Management Components and Expected Results

Management Components Expected Results

Component 1 Management, Measurement and Communication

Partnership process managed to generate, implement, evaluate and spread successful local solutions and critical evidence, resulting in sustainable MNH impact at scale.

Component 2 Technical Assistance Technical assistance efficiently deployed and managed to generate, implement, evaluate and spread successful local solutions and critical evidence, resulting in sustainable MNH impact at scale.

Component 3 Catalytic Financing Catalytic financing efficiently disbursed to support the incubation and implementation of local solutions.

Management Component 1: Management, Measurement and Communication

Component 1 (with highest level of effort) will be the hub of the Flagship MNH Activity. At a minimum this component will:

Manage multiple processes at the national and sub national levels that engage the whole of market and facilitate partnerships in co-defining the MNH problem, co-creating local solutions and leveraging public and private resources across all technical focus areas (C.3.2), and Geographical Focus Areas Provinces (C.6).

Establish a multi-stakeholder management body at the national level that will:

Provide oversight to ensure that partnerships, investments and co-creation processes at the national and sub national levels are focused and guided by the most updated and relevant technical evidence representing the causal pathway to maternal and newborn survival in Indonesia. This body will ensure co-creation and investment processes at the national level and across all 10 provinces focus on a coherent set of intervention areas that have potential to add up to reductions in maternal and newborn mortality over time.

Provide oversight to ensure that all partnerships adhere to the Flagship MNH Activity’s core operating principles. (C.2.7).

Provide oversight to ensure Indonesian ownership of the co-creation process while engaging a variety of local solutions.

Identify Catalytic Financing needs to support high risk, disruptive and innovative local solutions.

Identify Technical Assistance needs to support partnerships to generate, implement, evaluate and spread successful local solutions and critical evidence, resulting in sustainable MNH impact at scale.

Effectively monitor and evaluate each partnership in achieving defined MNH outcomes.

Assess critical information needs and facilitate the generation of the appropriate level of evidence, data or information in response to the needs and interests of the whole of market.

Continually update the MNH evidence base and refine technical focus areas using several data sources: monitoring and evaluation (M&E) data generated through the various partnerships; data from the ‘Every Mother and Newborn Counts Activity Description’ (Annex IV) exercise; other special studies and available global literature. This information will be used to guide problem definition, co-creation, investment and implementation processes, as well as inform policy decisions at all levels.

Establish a process that will be used to review incoming information on a continuous basis and make appropriate adjustments to activity implementation in order to be responsive to the dynamic context, thus remaining agile and flexible when needed.

Establish a system, using existing appropriate communications platforms where available, to enable the communication and spread of local solutions generated and implemented through this Flagship MNH Activity across all 10 priority provinces.

Ensure lasting impact and sustainability of the Flagship MNH Activity approach beyond the life of this USAID funded activity.

Efforts underway to better identify existing and potential market players

The Contractor must take a whole of market approach to leverage partnerships. USAID has completed a private sector market analysis of which the primary objective was to understand which private sector players and investors are currently operating in the health care market and which actors could be induced to operate in the market given the appropriate incentives.

In both cases, the underlying challenges to be confronted are the high MN mortality rates among the poorest and most vulnerable populations. As part of this assessment, USAID also reviewed civil society organizations (CSO) and the media for which the primary objectives were to identify civil society actors that are currently working in the social sector at national and sub-national levels; understand the co-governance and accountability roles these established CSOs could potentially play; and understand what is needed to promote vibrant civil society engagement to enhance MN survival10 (see Private Sector Market Analysis, Civil Society Organizations and Media Assessment, Annex III).

10 Health Policy Plus (HP+) Private Sector and Civil Society Assessment:

http://www.healthpolicyplus.com/pubs.cfm?get=2

The Contractor must use the information generated through the above mentioned assessment as a starting point to engage with a variety of stakeholders and develop a market engagement strategy to bring together the various actors, advocates and investors in an effort to address MN survival. This strategy would include government and other public sector actors.

Management Component 2: Technical Assistance

Component 2 of the approach is the establishment of a repository of technical and management expertise to be deployed in a timely manner, as directed by Component 1.

Technical Assistance could be deployed by the Contractor for several purposes, including (but not limited to) technical advice to policy and program decision makers; strengthening the co-creation of promising local solutions; business planning and development; incubation to learn, iterate, and scale fast; organizational development for system actors; monitoring and evaluation; implementation assistance; assistance to achieve sustainability at scale.

Management Component 3: Catalytic Financing

Component 3 of the management approach is the disbursement and administration of catalytic financing (grants under contract), as directed by Component 1. This will entail:

Establishing an assistance contractual relationship with the chosen partner;

Disbursement of funds to the partner in a timely manner; and Administrative and financial oversight of funds as per USAID regulations.

Catalytic financing will primarily be disbursed by the Contractor to fund high risk, disruptive and innovative solutions (where other sources of funding may not be available) that have potential to improve MNH outcomes amongst the poorest and most…