RFP_SOL-656-16-000012_Integrated_Malaria_Program_(IMaP).pdf

Date Issued:

October 11, 2016

Closing Date for Submission of Questions:

October 31, 2016 @ 03:00 pm (Maputo time)

Closing Date for Receipt of Proposals:

November 28, 2016 @ 03:00 pm (Maputo time)

Subject:

Request for Proposals (RFP) No. SOL-656-16-000012 Integrated Malaria Program (IMaP) in Mozambique

Dear Sir/Madam

The United States Government, represented by United States Agency for International Development (USAID) Mission in Mozambique is seeking a proposal from qualified organizations interested in providing the services as described in the attached solicitation.

This procurement will be conducted under a full and open competition under which US and other organizations within Geographic Code 935 are eligible to compete and the North American Industry Classification (NAICS) code is 541990. The procedures set forth in Federal Acquisition Regulation (FAR) Part 15 will apply.

USAID/Mozambique anticipates awarding one Cost Plus Fixed Fee (CPFF) completion type contract as a result of the solicitation. The estimated cost range for this procurement is of $22,000,000 to $24,000,000 million for the implementation of this activity for a total estimated period of 5 years with no option years, subject to availability of funds. Offerors will provide the lowest possible cost corresponding with their technical approach.

USAID encourages 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 subcontractors in accordance with Part 19 of the FAR.

The RFP and any amendments to this solicitation will be issued and posted on the Federal Business Opportunities (FBO) website at https://www.fbo.gov. It is the Offeror’s responsibility to check the website periodically for official updates and amendments to the solicitation. It is the responsibility of the recipient of this solicitation document to ensure that it has been received from the internet in its entirety and USAID bears no responsibility for data errors resulting from transmission or conversion processes.

Offerors are encouraged to read the entire solicitation, which includes the closing date and time, all pertinent contract requirements, and the conditions and instructions required for submitting a proposal.

Pursuant to Block 12 of Standard Form 33 of this RFP, USAID requires that offers stay valid for 180 days from the closing date of this RFP.

Questions and proposals in response to this solicitation are due by electronic mail only to jcaetano@usaid.gov and to the attention of Eyole Luma, Contracting Officer. No other forms of submission will be accepted.

https://www.fbo.gov/ mailto:jcaetano@usaid.gov

1. THIS CONTRACT IS A RATED ORDER RATING PAGE OF PAGES

UNDER DPAS (15 CFR 700)

2. CONTRACT NUMBER 3. SOLICITATION NUMBER

SOL-656-16-000012

4. TYPE OF SOLICITATION 5. DATE ISSUED

REQ-656-16-000039

SEALED BID (IFB)

NEGOTIATED (RFP)

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

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

9. Sealed offers in original and Electronic only_____ 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

(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.

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

AREA CODE NUMBER EXT.

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

PART I - THE SCHEDULE PART II - CONTRACT CLAUSES

A I

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

C J

D PART IV - REPRESENTATIONS AND INSTRUCTIONS

E

F

G L

H M

K STATEMENTS OF OFFERORS

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 _180___ 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.

13. DISCOUNT FOR PROMPT PAYMENT 10 CALENDAR DAYS (%) 20 CALENDAR DAYS (%) 30 CALENDAR DAYS (%) CALENDAR DAYS (%) (See Section I, Clause No. 52-232-8)

14. ACKNOWLEDGEMENT OF AMENDMENTS AMENDMENT NO. DATE AMENDMENT NO. DATE

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

CODE FACILITY 16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER 15A. NAME AND

ADDRESS

OF OFFEROR

(Type or print)

15B. TELEPHONE NUMBER 17. SIGNATURE 18. OFFER DATE

AREA CODE NUMBER EXT. 15C. CHECK IF REMITTANCE ADDRESS IS DIFFERENT FROM

ABOVE - ENTER SUCH ADDRESS IN SCHEDULE

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

22. AUTHORITY FOR USING OTHER THAN FULL AND OPEN COMPETITION: 23. SUBMIT INVOICES TO ADDRESS SHOWN IN ITEM (4 copies unless otherwise specified)

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

24. ADMINISTERED BY (If other than Item 7) 25. PAYMENT WILL BE MADE BY CODE CODE

26. NAME OF CONTRACTING OFFICER (Type or print) 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.

(Signature of Contracting Officer)

(REV. 9-97)

10. FOR INFORMATION CALL:

11. TABLE OF CONTENTS

STANDARD FORM 33

SOLICITATION

OFFER (Must be fully completed by offeror)

AWARD (To be completed by Government)

N/A 3 117

X

Judite Caetano 258 21 352 2135 jcaetano@usaid.gov

X

X

X

X

X

X

X

X

X

X

X

X

X

SOLICITATION/COCONTRACT FORM 3

SUPPLIES OR SERVICES AND PRICES/COSTS 8-11

DESCRIPTION/SPECS./WORK STATEMENT 12-27

PACKAGING AND MARKING 28-30

INSPECTION AND ACCEPTANCE 31-32

DELIVERIES OR PERFORMANCE 33-45 83-95

CONTRACT ADMINISTRATION DATA 46-50

SPECIAL CONTRACT REQUIREMENTS 51-60

CONTRACT CLAUSES 61-80

LIST OF ATTACHMENTS 82

INSTR., CONDS., AND NOTICES TO OFFERORS 96-116

EVALUATION FACTORS FOR AWARD 118-122

REPRESENTATIONS, CERTIFICATIONS AND OTHER

U.S. Agency for International Development/Mozambique Office ofAcquisition and Assistance Rua 1231, No., 41 Bairro Central “C”, Maputo, Mozambique

USAID/Mozambique mailto:jcaetano@usaid.gov

Table of Contents

PART I – THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

B.2 CONTRACT TYPE AND SERVICES

B.3 ESTIMATED COST AND FIXED FEE AND OBLIGATED AMOUNT

B.4 ILLUSTRATIVE BUDGET BY CONTRACT LINE ITEMS (CLINS)

B.5 INDIRECT COSTS

B.6 ADVANCE UNDERSTANDINGS OF CEILING INDIRECT COST RATES AND FINAL REIMBURSEMENT

FOR INDIRECT COSTS

B.7 COST REIMBURSABLE

B.8 PAYMENT OF FIXED FEE

B.9 MULTI-YEAR CONTRACT

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 PURPOSE

C.2 INTRODUCTION

C.3 BACKGROUND

C.4 SCOPE OF IMAP WORK

C.5 PROGRAM GOAL, OBJECTIVES, TASKS AND TARGETS

C.6 PERFORMANCE MONITORING

C.7 GRANTS UNDER CONTRACT (GUC)

C.8 PROGRAM PRINCIPLES

C.9 ENVIRONMENTAL COMPLIANCE

SECTION D - PACKAGING AND MARKING

D.1 AIDAR 752.7009 MARKING (JAN 1993)

D.2 BRANDING AND MARKING POLICY

D.3 BRANDING STRATEGY

D.4 MARKING

SECTION E - INSPECTION AND ACCEPTANCE

E.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

E.2 INSPECTION AND ACCEPTANCE

E.3 MONITORING AND EVALUATION

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 PERFORMANCE STANDARDS

F.5 REPORTS AND DELIVERABLES OR OUTPUTS

F.6 DELIVERY SCHEDULE FOR REPORTS/DELIVERABLES

F.7 KEY PERSONNEL

F.8 TECHNICAL APPROVAL REQUIREMENTS

F.9 AIDAR 752.7005 SUBMISSION REQUIREMENTS FOR DEVELOPMENT EXPERIENCE

DOCUMENTS (SEPTEMBER 2013)

SECTION G - CONTRACT ADMINISTRATION DATA

G.1 DOCUMENTATION FOR PAYMENT, AIDAR 752.7003 (NOV 1998)

SOL-656-16-000012 Integrated Malaria Program (IMaP)

G.2 CONTRACTING OFFICER'S AUTHORITY

G.3 ADMINISTRATIVE CONTRACTING OFFICE

G.4 CONTRACTING OFFICER’S REPRESENTATIVE (COR)

G.5 TECHNICAL DIRECTIONS/RELATIONSHIP WITH USAID

G.6 PAYMENT METHOD AND INVOICES

G.7 ACCOUNTING AND APPROPRIATION DATA

SECTION H - SPECIAL CONTRACT REQUIREMENTS

H.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

H.2 AIDAR 752.7004 EMERGENCY LOCATOR INFORMATION (JUL 1997)

H.3 FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL CONFERENCES (JAN 2002)

H.4 AIDAR 752.225-70 SOURCE AND NATIONALITY REQUIREMENT (FEB 2012)

H.5 752.228-70 MEDICAL EVACUATION (MEDEVAC) SERVICES (JUL 2007)

H.6 AUTHORIZED GEOGRAPHIC CODE

H.7 LOGISTIC SUPPORT

H.8 NONEXPENDABLE PROPERTY PURCHASES AND INFORMATION TECHNOLOGY RESOURCES

H.9 LANGUAGE REQUIREMENTS AND REPORTING

H.10 SUBCONTRACTING PLAN REPORT FOR INDIVIDUAL CONTRACTS AND SUMMARY

CONTRACTING REPORT

H.11 302.3.5.13 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL (JUL 2007)

H.12 CONFIDENTIALITY AND OWNERSHIP OF INTELLECTUAL PROPERTY

H.13 USAID DISABILITY POLICY - ACQUISITION (DEC 2004)

H.14 752.7007 PERSONNEL COMPENSATION (JUL 2007)

H.15 ADDITIONAL REQUIREMENTS FOR PERSONNEL COMPENSATION

H.16 HOMELAND SECURITY PRESIDENTIAL DIRECTIVE-12 (HSPD-12) (SEP 2006)

H.17 CONSENT TO SUBCONTRACTS

H.18 GOVERNMENT FURNISHED FACILITIES OR PROPERTY

H.19 AIDAR 752.7013 CONTRACTOR-MISSION RELATIONSHIPS (OCT 1989)

H.20 EXECUTIVE ORDER ON TERRORISM FINANCING (MAR 2002)

H.21 PROHIBITION OF ASSISTANCE TO DRUG TRAFFICKERS (ADS 206)

H.22 SUBCONTRACTING PLAN AND THE SF 294 – SUBCONTRACTING REPORT FOR INDIVIDUAL

CONTRACTS AND SF 295 – SUMMARY CONTRACTING REPORTS

H.23 TRAINET REPORTING FOR PARTICIPANT TRAINING

H.24 LIMITING CONSTRUCTION ACTIVITIES (AUGUST 2013)

PART II - CONTRACT CLAUSES

SECTION I - CONTRACT CLAUSES

I.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE

I.2 USAID ACQUISITION REGULATION (48 CFR CHAPTER 7) - AIDAR

I.3 FAR 52.204-1 APPROVAL OF CONTRACT (DEC 1989)

I.4 FAR 52.204-20 PREDECESSOR OF OFFEROR (JULY 2016)

I.5 FAR 52.209-9 UPDATES OF PUBLICLY AVAILABLE INFORMATION REGARDING RESPONSIBILITY

MATTERS ALTERNATE I(JAN 2011)

I.6 FAR 52.222-50 COMBATING TRAFFICKING IN PERSONS (FEB 2015)

I.7 FAR 52.227-23 RIGHTS TO PROPOSAL DATA (TECHNICAL) (JUN 1987)

I.8 PROHIBITION AGAINST DISCRIMINATION (OCT 2011)

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

I.10 AIDAR 752.242-70 PERIODIC PROGRESS REPORTS (OCT 2007)

I.11 INTERNATIONAL TRAVEL APPROVAL

I.12 AIDAR 752.222-71 NONDISCRIMINATION (JUNE 2012)

I.13 AIDAR 752.229-71 REPORTING OF FOREIGN TAXES (JULY 2007)

I.14 AIDAR 752.231-72 CONFERENCE PLANNING AND REQUIRED APPROVALS (AUG 2013)

I.15 AIDAR 752.7036 USAID IMPLEMENTING PARTNER NOTICES (IPN) PORTAL FOR ACQUISITION

(JULY 2014)

I.16 AIDAR 752.7037 CHILD SAFEGUARDING STANDARDS (AUG. 2016)

PART III – LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACHMENTS

SECTION J - LIST OF ATTACHMENTS

PART IV – REPRESENTATIONS AND INSTRUCTIONS

SECTION K - REPRESENTATIONS, CERTIFICATIONS AND OTHER STATEMENTS OF

OFFERORS

K.1 NOTICE LISTING SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

52.203-11 CERTIFICATION AND DISCLOSURE REGARDING

PAYMENTS TO INFLUENCE CERTAIN FEDERAL

TRANSACTIONS SEP 2007

K.2 FAR 52.204-3 TAXPAYER IDENTIFICATION (OCT 1998)

K.3 FAR 52.204-8 ANNUAL REPRESENTATIONS AND CERTIFICATIONS (FEB 2009)

K.4 FAR 52.209-2 PROHIBITION ON CONTRACTING WITH INVERTED DOMESTIC CORPORATIONS –

REPRESENTATION (NOV 2015)

K.5 FAR 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS

(APR 2010)

K.6 FAR 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (FEB 2012)

K.7 FAR 52.209-11 REPRESENTATION BY CORPORATIONS REGARDING DELINQUENT TAX LIABILITY

OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (FEB 2016)

K.8 FAR 52.222-22 PREVIOUS CONTRACTS AND COMPLIANCE REPORTS (FEB 1999)

K.9 FAR 52.222-25 AFFIRMATIVE ACTION COMPLIANCE (APR 1984)

K.10 FAR 52.222-38 COMPLIANCE WITH VETERANS' EMPLOYMENT REPORTING REQUIREMENTS (DEC 2001) 91

K.11 FAR 52.230-1 COST ACCOUNTING STANDARDS NOTICES AND CERTIFICATION (OCT 2008)

K.12 FAR 52.230.7 DISCLOSURE STATEMENT COST ACCOUNTING PRACTICES AND CERTIFICATION

(APR 2005)

K.13 AGREEMENT ON, OR EXCEPTIONS TO, TERMS AND CONDITIONS

K.14 DATA UNIVERSAL NUMBERING SYSTEM (DUNS) NUMBER

K.15 SECURITY CLEARANCE CERTIFICATION

K.16 AUTHORIZED NEGOTIATORS

K.17 SIGNATURE

SECTION L – INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

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

L.2 (FAR 52.215-1) INSTRUCTIONS TO OFFERORS—COMPETITIVE ACQUISITION (JAN 2004)

L.3 FAR 52.216-1 TYPE OF CONTRACT (APR 1984)

L.4 FAR 52.216-24 LIMITATION OF GOVERNMENT LIABILITY (APR 1984)

L.5 FAR 52.233-2 SERVICE OF PROTEST (SEPT 2006)

L.5 FAR 52-252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

L.6 GENERAL INSTRUCTIONS TO OFFERORS

L.7 SUBMISSION INSTRUCTIONS

L.8 INSTRUCTIONS FOR THE PREPARATION OF THE TECHNICAL PROPOSAL

L.9 INSTRUCTIONS FOR THE PREPARATION OF THE COST PROPOSAL:

L.10 DISCLOSURE OF INFORMATION

L.11 LATE SUBMISSIONS

SECTION M - EVALUATION FACTORS FOR AWARD

M.1 GENERAL INFORMATION

M.2 TECHNICAL PROPOSAL EVALUATION CRITERIA

M.3 EVALUATION SYSTEM

M.4 COST PROPOSAL EVALUATION

M.5 DETERMINATION OF THE COMPETITIVE RANGE AND CONTRACT AWARD

M.6 SOURCE SELECTION

M.7 CONTRACTING WITH SMALL BUSINESS CONCERNS AND DISADVANTAGED ENTERPRISES

PART I – THE SCHEDULE

SECTION B - SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

The purpose of this contract is to implement the Integrated Malaria Program (IMaP) under the USAID/Mozambique President’s Malaria Initiative (PMI). The purpose of IMaP is to contribute to reducing malaria mortality, morbidity, and parasitemia in targeted provinces, thereby supporting USAID Mozambique’s Country Development and Cooperation Strategy (CDCS) Development Objective 4 — Health status of target populations improved. The activities included in this design contribute to the Intermediate Result 4.1 - Coverage of high impact health and nutrition services increased. This will be achieved by increasing utilization and uptake of quality malaria prevention and control interventions. The two principal modes for the provision of malaria services are the facility and community levels. The activities will improve the quality of implementation and use of facility and community-based malaria services and by strengthening the data flow between these systems.

The activity aligns strategically with Mozambique’s National Malaria Strategic Plan (NMSP). IMaP will strengthen the MoH’s capacity to implement the NMSP at national, provincial, district, and community levels. The project will strengthen partnerships with Provincial Health Directorates (DPS), District Health Directorates (DDS), and health facilities, the private sector, communities, civil society, and cooperating partners to scale up and maintain internationally accepted strategies to fight malaria.

B.2 CONTRACT TYPE AND SERVICES

This is a Cost-Plus-Fixed-Fee (CPFF) completion type contract. For consideration set forth below, the Contractor must perform the tasks required in Section C (Statement of Work) and provide all deliverables and/or outputs described in Section F in accordance with the performance standards specified in Section E of this solicitation. The expected period of performance is 5 years without options.

B.3 ESTIMATED COST AND FIXED FEE AND OBLIGATED AMOUNT

(a) The estimated cost for the performance of the work required hereunder, exclusive of fixed fee is to be determined (TBD). The estimated fixed fee is to be determined (TBD). The estimated cost plus fixed fee is to be determined (TBD). .

(b) Within the estimated cost plus fixed fee (if any) specified in paragraph (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 TBD. The Contractor must not exceed the aforesaid obligated amount in accordance with the Limitation of funds Clause, FAR 52.232.22.

(d) Funds obligated hereunder are anticipated to be sufficient through TBD.

B.4 ILLUSTRATIVE BUDGET BY CONTRACT LINE ITEMS (CLINS)

CLINs Activity Components/Item

Year 1 Year 2 Year 3 Year 4 Year 5

0001 Personnel 0002 Fringe Benefits 0003 Travel

0004 Equipment 0005 Supplies 0006 Contractual 0007 Other Direct Costs 0008 Indirect Charges 009 Fee-Profit

B.5 INDIRECT COSTS

For the Prime Contractor:

Pending the establishment of a revised provisional or final indirect cost rates, allowable indirect costs shall be reimbursed on the basis of the following negotiated provisional or predetermined rates and the appropriate bases:

Description Rate

Base 1/ 2/

Type 1/ 2/

Period 1/ 2/

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

2/Base of Application:

Type of Rate: Provisional Period:

3/Base of Application:

Type of Rate: Provisional

For Each of the Major Subcontractor (s)*

Description Rate

Base 1/ 2/

Type 1/ 2/

Period 1/ 2/

1/Base of Application:

Type of Rate:

Period:

2/Base of Application:

Type of Rate:

Period:

3/Base of Application:

Type of Rate:

Period:

*“Major Subcontractors” are those subcontractors whose proposed cost exceeds 15% of the total estimated contract cost.

Note 1: Contractors may recover applicable indirect costs (i.e., overhead, G&A, etc.) if it is part of the contractor's usual accounting procedures, consistent with FAR Part 31, and Negotiated Indirect Cost Rate Agreement (NICRA).

B.6 ADVANCE UNDERSTANDINGS OF CEILING INDIRECT COST RATES AND

FINAL REIMBURSEMENT FOR INDIRECT COSTS

(a) Reimbursement for indirect costs shall be at the lower of the negotiated final ( or predetermined) rates or the following ceiling rates:

Description Rates Base Period % 1/ 1/ % 2/ 2/ % 3/ 3/

1/Base of Application:

Period:

2/Base of Application:

Period 3/Base of Application:

Period

(b) The 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 costs rates are less than the negotiated ceiling rates, the negotiated rates will be reduced to conform to the lower rates.

(c) This understanding shall 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.7 COST REIMBURSABLE

The U.S. dollar costs allowable shall be limited to reasonable, allocable and necessary costs determined in accordance with FAR 52.216-7, Allowable Cost and Payment (June 2013), FAR 52.216-8, Fixed Fee (June 2011), and AIDAR 752.7003, Documentation for Payment.”

B.8 PAYMENT OF FIXED FEE

Payment of fee shall be in accordance with FAR 52.216-8. The Contractor shall be paid fees based on vouchered costs. The amount of fixed fee paid will be based on a percentage of costs vouchered in the same ratio as total fixed fee is to total direct costs and upon satisfactorily completion and approval of deliverables.

B.9 MULTI-YEAR CONTRACT

This contract is considered non-severable, and is therefore 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, 2016 Cancellation Ceiling: TBD Contract Year 3: DATE TBD, 2017 Cancellation Ceiling: TBD Contract Year 4: DATE TBD, 2018 Cancellation Ceiling: TBD Contract Year 5: DATE TBD, 2019 Cancellation Ceiling: TBD

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”. 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 [TBD].

[END OF SECTION B]

SECTION C - DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1 PURPOSE

The purpose of the Integrated Malaria Program (IMaP) is to contribute to reducing malaria-associated mortality, morbidity, and parasitemia in targeted provinces of Mozambique. Specifically, IMaP will improve prevention and case management activities, strengthen health system management and information services, facilitate coordination and enhance appropriate implementation and use of quality malaria interventions in four provinces of Mozambique during five years of program implementation.

C.2 INTRODUCTION

The President’s Malaria Initiative (PMI) in Mozambique supports the National Malaria Control Program (NMCP) to implement high impact, proven malaria interventions through several implementing partners. Technical, commodity and logistical support for the Ministry of Health (MoH) is provided at central, provincial, and district levels to strengthen vector control, case management (CM), malaria in pregnancy (MIP), social and behavioral change communication (SBCC), and surveillance, monitoring and evaluation (S,M&E).

IMaP will be the flagship malaria activity for PMI in Mozambique. The purpose of IMaP is to contribute to reducing malaria mortality, morbidity, and parasitemia in targeted provinces, thereby supporting USAID Mozambique’s Country Development and Cooperation Strategy (CDCS) Development Objective 4 — Health status of target populations improved. The activities included in this design contribute to the Intermediate Result 4.1 - Coverage of high impact health and nutrition services increased. This will be achieved by increasing utilization and uptake of quality malaria prevention and control interventions. The two principal modes for the provision of malaria services are the facility and community levels. The activities will address all three sub-results shown in Figure 1 by improving the quality of implementation and use of facility and community-based malaria services and by strengthening the data flow between these systems.

For the purposes of this design—Utilization measures individual-level uptake or use of a specified service. Coverage is measured at the population-level and defined as the proportion of intended beneficiaries that are reached by specified interventions or services. This activity design is premised on the hypothesis that coverage of malaria interventions will increase if utilization of quality facility-level and community health services is increased and if linkages between community and facility services are improved. The Intermediate Result 4.1 is presented below.

The activity aligns strategically with Mozambique’s National Malaria Strategic Plan (NMSP). IMaP will strengthen the MoH’s capacity to implement the NMSP at national, provincial, district, and community levels. The project will strengthen partnerships with Provincial Health Directorates (DPS), District Health Directorates (DDS), health facilities, the private sector, communities, and civil society, to scale up and maintain internationally accepted strategies to fight malaria.

As the flagship activity for PMI Mozambique, IMaP will lead coordination of PMI implementing partner activities at the provincial, district, facility, and community level. IMaP will also facilitate coordination among the MOH, NMCP, PMI, Global Fund, and other malaria partners at all levels.

Finally, IMaP will be expected to collaborate and coordinate, as appropriate, with other United States Government (USG)- funded partners working in the targeted provinces.

Figure 1: Framework for the CDCS Intermediate Result 4.1

C.3 BACKGROUND

3.1 General Overview

Mozambique has an estimated population of 26 million (2016) of whom 68% live in rural areas.

Mozambique ranks low on the Human Development Index at 180 out of 188 countries (The Human Development Report, United Nations Development Program, 2015) and the high prevalence of malaria, HIV/AIDS, tuberculosis, and other infectious diseases has resulted in a low life expectancy of just 55 years. Mozambique did not meet Millennium Development Goal (MDG) 5 (improve maternal health) or 6 (combat HIV/AIDS, malaria, and other diseases), but did meet MDG 4 (reduce child mortality) which is now 87 deaths per 1000 live births. Rural populations are disproportionately affected by the interrelated burdens of poverty, mortality, morbidity, and infectious disease. For example, under-five mortality in rural areas is an estimated 1.3 times greater than urban areas. Within this context of low development and high morbidity and mortality, the Mozambican health system is overstretched by the triple burden of HIV/AIDS, tuberculosis and malaria.

3.2 Malaria Situation in Mozambique

Malaria is a leading cause of morbidity and mortality in Mozambique and its high prevalence affects the country’s broader social and economic development. Malaria is endemic throughout Mozambique and its entire population is at risk. Most of the country has year-round malaria transmission with a seasonal peak during the rainy season from December to April. Malaria is the leading cause of death in Mozambique and accounts for 29% of all deaths (2008 Post-Census Mortality Survey). Among children less than five years old, malaria accounts for 42% of the deaths. Plasmodium falciparum accounts for 90% of all malaria infections, with P. malariae and P. ovale responsible for about 9% and

1%, respectively. The major vectors in Mozambique are Anopheles gambiae s.s., An. arabiensis, and An. funestus s.s.

The last national cross-sectional survey to measure community parasitemia prevalence was the 2015 combined Immunization, Malaria, and HIV/AIDS Indicator Survey (IMASIDA). This survey showed that under five parasitemia (by rapid diagnostic test- RDT) varied from 2% in the capital, Maputo, to 68% in Zambézia Province, with point prevalence higher in the northern region (varying from 29% to 68%) than in the southern region (varying from 2% to 23%). The 2015 IMASIDA underscored the reality that malaria is a rural disease in Mozambique: prevalence in rural areas was over two times as high as the prevalence in urban areas (47% versus 19%, respectively).

The 2015 IMASIDA results also showed a slow pace of progress in scaling up malaria prevention and treatment interventions in Mozambique, as shown in Table 1. Additionally, malaria cases reported through routine data collection increased from 2013 through 2015. This suggests that prevention and treatment measures are not having the desired effect.

Table 1: Malaria Indicators:

Malaria Indicators 2007

MIS*

MICS

INSID

A

DHS

IMASIDA

Proportion of households with at least one ITN 15.8 30.7 N/A 51.4 66.0

Proportion of children less than five years old who slept under an ITN the previous night

6.7 22.8 N/A 35.7 47.9

Proportion of pregnant women who slept under an ITN the previous night

7.3 N/A N/A 34.3 52.1

Proportion of women who received two or more doses of IPTp during their last pregnancy in the last two years

16.2 43.1 33.0 18.6 34.2

Proportion of children less than five years old with fever in the last two weeks who received treatment with an antimalarial within 24 hours of onset of fever

17.6 22.7 N/A 22.2 N/A

Proportion of children less than five years old with fever in the last two weeks who received treatment with an ACT

4.5 N/A N/A 15.3 35.6

*Acronym list: MIS- Malaria Indicator Survey; MICS-Multiple Indicator Cluster Survey; IMASIDA- Immunization, Malaria and HIV/AIDS Indicator Survey; INSIDA- National Survey on Prevalence, Behavioral Risks and Information about HIV and AIDS in Mozambique; DHS- Demographic and Health Survey; ITN- Insecticide-treated mosquito net; N/A- Not applicable; IPTp- Intermittent preventive treatment for pregnant women; ACT- Artemisinin-based combination therapy

Mozambique’s ability to address the many health challenges is hindered by health system weaknesses, including a weak commodity logistics system, severe shortage of health workers, inadequate financing across the sector, and poor collection, management, and use of data.

3.3 Overview of the Health System in Mozambique

In Mozambique, the public sector–the National Health Service (NHS)–dominates health service delivery. Although there is a growing private sector, it is largely limited to major cities. The public sector reaches an estimated 60% of the population.

The NHS consists of four levels. Level I includes health centers and health posts. These level I health facilities provide a package of primary health care services and usually have a maternity ward but do not provide inpatient services. According to a 2004 World Bank report, Level I facilities represent at least 40% of all health services and are typically the first point of contact with the health system for a large portion of the population. Level II includes district, general, and rural hospitals and usually serve as the referral facility for more than one district. Facilities at this level offer diagnostic, surgical, and obstetric services and have general medical doctors on their staff. Level III consists of provincial hospitals, which offer curative services, have diagnostic services/equipment, and are training centers.

They are the referral facility for the level II facilities. Finally, Level IV consists of the country’s three referral hospitals in Maputo, Beira, and Nampula, serving the southern, central, and northern regions, respectively.

Recognizing the limitations of the NHS and the shortage of professionally trained health workers, the country, with USG support, has begun revitalizing the community health worker program, which employs health workers known as APEs. The APEs provide preventive and basic curative services, including malaria diagnosis (using RDTs) and treatment (with ACTs). A number of national and international nongovernmental organizations also work within the NHS to assist in the provision of health services.

Malaria control in the public health system consists of three administrative levels: central, provincial, and district. At the central level, the NMCP has strong leadership allowing it to improve its ability to manage and coordinate programs. Each province has a provincial malaria focal point who coordinates the implementation of malaria control activities at that level. Recently, district malaria focal points were created as a way to improve data management and reporting for malaria at that level.

3.4 The President’s Malaria Initiative

The PMI strategy in Mozambique is closely aligned with the global PMI strategy. PMI developed a comprehensive, multi-year, global USG malaria strategy and the most recent, 2015 – 2020 USG Malaria Strategy, was launched in 2015. The updated PMI Strategy takes into account the progress over the past decade and the new challenges that have arisen. Malaria prevention and control remains a major U.S. foreign assistance objective and PMI’s Strategy fully aligns with the USG’s vision of ending preventable child and maternal deaths and ending extreme poverty. It is also in line with the goals articulated in the Roll Back Malaria Partnership’s Action and Investment to defeat Malaria 2016–2030 and WHO’s Global Technical Strategy.

Building upon the progress to date in PMI-supported countries, under the PMI Strategy for 2015-2020, PMI will work with NMCPs and partners to accomplish the following objectives by 2020:

1. Reduce malaria mortality by one-third from 2015 levels in PMI-supported countries.

2. Reduce malaria morbidity in PMI-supported countries by 40 percent from 2015 levels.

3. Assist at least five PMI-supported countries to meet the WHO criteria for national or sub-national pre-elimination.

To achieve these objectives, PMI will take a strategic approach which emphasizes the following five areas:

1. Achieving and sustaining scale of proven interventions (ITNs, indoor residual spraying- IRS, CM, and MIP)

2. Adapting to changing epidemiology and incorporating new tools

3. Improving countries’ capacity to collect and use information

4. Mitigating risks against the current malaria control gains

5. Building capacity and health systems

3.5 PMI activities in Mozambique

In 2007, Mozambique was selected as a PMI country. Since then, Mozambique has received approximately $300 million in PMI funding. PMI aims to reduce malaria morbidity and mortality by expanding coverage of evidence-based, best practice interventions. PMI support to Mozambique is in line with the Government of the Republic of Mozambique’s National Malaria Control Strategy. PMI and the Global Fund to Fight AIDS, Tuberculosis and Malaria are the primary malaria donors in Mozambique. PMI funding is considered in conjunction with Global Fund, Government of Mozambique and other partner investments, so that all resources can be allocated in an efficient and complementary manner.

PMI/Mozambique currently provides support for ITNs, IRS, MIP, CM, SBCC and S,M&E. In Mozambique, PMI supports the implementation of IRS in selected districts of Zambézia province.

PMI also supports the implementation of MIP activities by providing central level support for MIP policy and planning, and on-the-ground mentoring to ensure rigorous supervision and training is provided to antenatal clinic (ANC) staff. PMI also provides support for the procurement and distribution of ITNs and Intermittent preventive treatment for pregnant women (ITPp) to pregnant women, nationwide. In CM, PMI supports the procurement of RDTs and ACTs, which are pooled with Global Fund commodities and distributed through government systems. PMI also supports the strengthening of clinical and laboratory staff in targeted provinces through training and supervision.

PMI provides technical support for health system capacity-building and for design, implementation and evaluation of SBCC activities to improve malaria-related behaviors. Lastly, PMI supports operations research activities in Mozambique to support evidence-informed policies and programs.

Malaria is endemic throughout Mozambique, but the distribution of cases is uneven. Parasite prevalence estimates for each province, based on RDT positivity, are compared between the 2011 DHS and 2015 IMASIDA data in Figure 2. Overall, prevalence decreased in most provinces between the two surveys. Prevalence did, however, increase from 43% to 66% in Nampula, 55% to 68% in Zambézia, and remained fairly constant in Sofala at 32%. The largest decreases were noted in Cabo Delgado and Inhambane.

Figure 2. Provincial level parasite prevalence estimates, based on RDTs

Despite the extremely high malaria burden in the north of the country, there has been little coordinated support to these provinces to improve overall performance of malaria service delivery. Based on this perspective, PMI Mozambique continues to support national level activities but has shifted to a more geographical focus to provide additional support to those provinces with the highest malaria transmission. The focal provinces for PMI Mozambique are: Zambezia, Nampula, Cabo Delgado and Tete. These provinces have been selected due to their high burden of malaria based on population prevalence and size.

C.4 SCOPE OF IMAP WORK

The proposed IMaP activities will strengthen the implementation of the NMSP, as aligned with the global and Mozambican PMI strategies and the identified needs of the NMCP. Specifically, IMaP is expected to strengthen malaria prevention and case management activities at health facilities and community level, build management capacity of the district and provincial level to provide oversight/supervision of malaria interventions, improve data reporting, analysis, and use for decision-making by strengthening the health management information system (HMIS), strengthen use of proven interventions and empower communities, governmental and non-governmental entities to take ownership of the malaria problem to control malaria in their communities. IMaP will not be expected to implement IRS nor procure or distribute malaria commodities, but will coordinate with these malaria partners.

IMaP will target four high malaria burden provinces (Zambézia, Nampula, Cabo Delgado, and Tete) beginning in a phased approach and eventually covering all districts in all targeted provinces. These four provinces, as described above, are the PMI focal provinces due to their large burden of malaria.

IMaP must begin program implementation in Zambézia and Nampula by the end of year one and in all four provinces by the end of year two. A strong technical presence in each province must be established by the end of the first year in which the province is targeted (end of year one for Zambézia and Nampula and end of year two for Cabo Delgado and Tete). However, activities at the district level will require a phased approach. By the end of the second year of implementation in each province, the program should reach every agreed-upon district in the provinces. By the end of the third year of implementation, the program should reach every district in the four provinces. It is not expected that IMaP will cover all communities of a given district.

The selection of communities will be based on a set of criteria to be jointly agreed by the implementer, DPS and PMI. However, the USG requires high levels of intervention coverage, such that changes in key malaria indicators can be captured at the District and Provincial levels.

C.5 PROGRAM GOAL, OBJECTIVES, TASKS AND TARGETS

Program Goal The overall goal of the IMaP is to contribute for reducing malaria-associated mortality, morbidity, and parasitemia in targeted provinces of Mozambique by the end of five years of implementation. By achieving this goal, this activity will contribute to the CDCS Intermediate objective 4.1 described above in Figure 1.

Program Objectives To achieve this goal, this activity will include three objectives. Objective 1 will focus on increasing utilization of proven malaria interventions, both at health facility and community level, and in strengthening the referral system between community and facility. Objective 2 will address management capacity of the MoH, including supervision at the provincial and district level. Objective 3 will focus on strengthening capacity of MoH institutions, particularly at the provincial and district level, to report, analyze and utilize data. Figure 3 below shows the results framework for this activity.

By achieving these objectives IMaP will strengthen MoH capacity to increase utilization of proven malaria interventions, and will ensure sustainability of the activities.

Figure 3. IMaP Results framework

Project Goal:

Project Objectives:

Mozambique has made tremendous progress in scaling up access to evidence-based malaria tools, but appropriate use is hindered by the aforementioned health system constraints, among other factors.

Thus, it is expected that IMaP will support the NMCP, DPS, DDS and their partners to address these challenges through enhanced training, supervision, coordination, analytics, management and implementation. In addition to addressing systemic and facility-level constraints, IMaP will also implement community-based activities to strengthen utilization of malaria prevention and control activities at the household and community level. Specific objectives and associated illustrative activities and example targets are listed in Table 2 and described in detail below.

Support implementation of proven malaria interventions

Strengthen management capacity of the Ministry of Health

Improve data reporting, analysis, and use

Reduction in malaria-associated mortality, morbidity in four targeted provinces of Mozambique

Table 2. Illustrative activities and associated example targets for IMaP Illustrative activities Targets Objective 1: Support implementation of proven malaria interventions in alignment with the NMSP.

1.1 Strengthen national malaria policies, strategies

and guidelines

[Policy X] policy updated by end of year one of implementation

1.2 Improve access to and quality of febrile case

management at public health facilities and at the community level to ensure prompt and accurate diagnosis and appropriate treatment of malaria.

20% increase from baseline to year five in the percent of children under five years old with fever in the last two weeks who have a finger or heel stick malaria test or malaria in targeted districts

1.3 Increase delivery of the full course of

intermittent preventive treatment to pregnant women (IPTp) using sulphadoxine-pyrimethamine as part of an integrated package of antenatal services.

25% increase from baseline to year five in the percent of women who have completed a pregnancy in the last two years will have received two or more doses of IPTp during that pregnancy in targeted districts

1.4 Strengthen SBCC implementation 20% increase from baseline to year five in the percent of children under five years old in targeted districts who slept under an ITN the prior night

1.5 Support civil society and community-based

organizations to implement malaria control activities

100% of DPS, DDS, and / or CBOs successfully implemented all activities outlined in grant agreement with IMaP by end of second year of implementation.

1.6 Conduct operations research Results from [Study X] study shared with NMCP by end of third year of implementation.

Objective 2: Strengthen management capacity of the Provincial and District Ministry of Health personnel to provide oversight and supervision of malaria interventions.

2.1 Determine malaria-related health system

constraints and appropriate solutions

100% of targeted districts will begin implementation of management capacity development plans for malaria programming by the end of second year of implementation

2.2 Increase management capacity of provincial

and district health systems

Over 95% of malaria commodities will be available at targeted health facilities at the time of routine supervision visits by the end of the second year of implementation.

2.3 Enhance quality of programmatic

implementation (e.g. CM, MiP, IRS) through strengthened monitoring and mentorship at district and facility level

Over 80% of planned case management mentoring visits are conducted at health facilities in all targeted districts by the end of second year of implementation

2.4 Facilitate provincial-level coordination At least one meeting of USG-funded malaria partner meetings in each province per quarter

2.5 Support coordination of provincial and district malaria activities

Objective 3: Strengthen the Health Management Information System at the provincial and district levels to improve data reporting, analysis, and use.

3.1 Strengthen quality of routine data Over 95% of health facilities in all targeted districts will have accurate monthly reporting of routine indicators by the end of second year of implementation in each province.

3.2 Support utilization of District Health

Information Software-2 (DHIS-2), in alignment with the Mozambican Ministry of Health priorities

Over 95% of health facilities in all targeted districts will report complete, on time HMIS data through DHIS-2 by the end of second year of implementation in each province.

3.3 Strengthen data-informed decision-making, including management and supervision

Over 80% of targeted districts will have at least quarterly data use and supervision planning meetings by end of second year of implementation in each province.

Objective 1: Support the implementation of proven malaria interventions at community and facility levels, in alignment with the NMSP.

Illustrative activities

1.1 Strengthen national malaria policies, strategies and guidelines

At the national level, IMaP shall provide technical assistance to the MOH/NMCP to develop, review, and update policies, strategies and guidelines to scale-up proven malaria interventions.

This includes ensuring that all documents appropriately address gender considerations. IMaP will participate in all relevant national level malaria Technical Working Groups and meetings, including, but not limited to SBCC, CM, S, M&E, and vector control groups. This activity will help ensure that there is an enabling policy environment for implementation of best practice malaria interventions and strong programmatic management.

1.2 Improve access to and quality of febrile case management at public health facilities and at the community level to ensure prompt and accurate diagnosis and appropriate treatment of malaria.

IMaP must provide technical assistance and material support to strengthen public health systems at targeted provincial, district, and community levels so that clinical, laboratory personnel and APEs maintain malaria diagnostic and treatment skills, and so that supervisory systems function in order to ensure quality febrile case management. This case management support will include provision of technical assistance and of equipment, reagents, and supplies to support the implementation of the malaria laboratory quality assurance and quality control system at national and provincial levels. Although the primary focus is on malaria, an integrated approach is necessary (e.g.

integrated management of childhood illnesses- IMCI; integrated community case management-iCCM) in order to enhance sustainability as malaria care-seeking and provision occurs within the broader health system. For example, gender plays a critical role in determining access to treatment and care for malaria and use of preventative measures such as ITN, IRS and IPTp. Power dynamics within the household further impact the ability to seek preventative care, such as ANC, and treatment. The contractor shall consider gender-related barriers to prevention and treatment in all of its interventions, as shown through annual work plans and reports.

1.3 Increase delivery of the full course of IPTp using sulphadoxine-pyrimethamine as part of an integrated package of antenatal services.

Infants, young children, and pregnant women are at highest risk of morbidity and mortality related to malaria. In an effort to reduce malaria morbidity and mortality in pregnant women, IMaP shall provide technical and material assistance to strengthen public health systems at targeted provincial, district, and community levels to implement MIP activities to increase ANC attendance and the consistent delivery of IPTp and ITNs as part of an integrated package of antenatal services. This will include collaboration with commodity partners to ensure that targeted facilities have adequate supplies of MIP-related commodities, as described in activity 2.2.

1.4 Strengthen SBCC implementation

IMaP will implement SBCC for malaria at health facility and community levels through community presentations, community mobilization, community dialogues, community radio and other evidence-based interventions. Target behaviors include increased acceptance of IRS, enhanced net use and care, higher IPTp uptake, improved health care seeking behavior and increased demand for and acceptance of malaria diagnostics. IMaP will serve as an important SBCC resource by provision of technical guidance on SBCC activities implemented by PMI’s other implementation partners, when requested. IMaP’s SBCC projects will build upon previous PMI SBCC-related investments and will coordinate with other USG-funded SBCC partners.

USAID is designing an integrated SBCC activity that will include several technical areas. For malaria, it is expected that this integrated SBCC mechanism will focus more on central level support for SBCC policy, planning and coordination, while IMaP will focus more on implementation at district, health facility and community levels. IMaP must provide technical and material assistance that works through existing community structures in the targeted provinces.

Ultimately, it is expected that this activity will result in improved utilization of malaria prevention and control activities at the household and community level.

1.5 Support civil society and community-based organizations to implement malaria control activities

IMaP is expected to provide some technical and material assistance to provincial and district level health services, civil society organizations and community-based organizations in the target provinces to implement malaria control activities. Support for these provincial and district-level partners is expected to help improve community-based care seeking and provision and to sustainably enhance local capacity to implement malaria control programming.

1.6 Conduct operations research

IMaP should contribute to national level learning about effective approaches to malaria control.

This includes providing evidence through program experience and operations research. PMI Mozambique, in collaboration with the NMCP, will provide technical direction regarding research questions and guidelines for operations research. Suggestions for key Mozambique operations research questions that IMaP seeks to address and the rationale must, however, be included in the technical proposal. Findings and data from IMaP and all associated operations research are to be freely shared.

Targets

1. 20% increase from baseline to year five in the percent of children under five years old with fever in the last two weeks who have a finger or heel stick malaria test or malaria in targeted districts

2. 25% increase from baseline to year five in the percent of women who have completed a pregnancy in the last two years will have received two or more doses of IPTp during that pregnancy in targeted districts

3. 15% increase in percentage of children under five years old with fever in the last two weeks who sought treatment from a facility/provider within 24 hours of onset of symptoms in targeted districts by the end of second year of implementation

4. Over 90% of children under five years old in targeted districts with malaria diagnosis in the last two weeks will receive ACTs by end of second year of implementation

5. 20% increase from baseline to year five in the percent of children under five years old in targeted districts who slept under an ITN the prior night

Objective 2: Strengthen management capacity of the Provincial and District Ministry of Health personnel to…