Solicitation_Package.pdf

Contents

SECTION A - QUOTATION SUBMISSION INSTRUCTION/FORMAT

SECTION B - STATEMENT OF WORK

I. Background

II. Purpose and intended utilization of Analysis

III. SPECIFIC TASKS AND EXPECTED OUTPUTS OF ANALYSIS

IV. Place of Performance & Geographic Scope

V. Staffing and Other Requirements

VI Deliverables and Timeframe

SECTION C – EVALUATION CRITERIA

SECTION D – PURCHASE ORDER ADMINISTRATION DATA

SECTION E – SPECIAL PURCHASE ORDER REQUIREMENTS

E.1 AIDAR 752.211-70 LANGUAGE AND MEASUREMENT

E.2 CONFIDENTIALITY AND OWNERSHIP OF INTELLECTUAL PROPERTY

E.3 AUTHORIZED GEOGRAPHIC CODE

E.4 REPORTING OF FOREIGN TAXES (July 2007) E.5 ADS 302.3.5.13 ACCESS TO USAID FACILITIES AND USAID’S INFORMATION SYSTEMS (AUGUST 2013) E.6 ADS 302.3.5.9 NONDISCRIMINATION (June 2012)

E.7 CONTRACTOR’S STAFF SUPPORT, AND ADMINISTRATIVE AND LOGISTICS ARRANGEMENTS

E.8 EXECUTIVE ORDER ON TERRORISM FINANCING

E.9 ADS 302.3.5.14(a) USAID Disability Policy - Acquisition (December 2004)

SECTION F – CONTRACT CLAUSES

F.1 52.252‐2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

F.2. 52.212-4 CONTRACT TERMS AND CONDITIONS - COMMERCIAL ITEMS (JUL 2013)

F.3 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS – COMMERCIAL ITEMS (AUG 2013)

F.4 EXECUTIVE ORDER ON TERRORISM FINANCING (FEB 2002)

SECTION G – SOLICITATION PROVISIONS

G.1 52.212-1 - INSTRUCTIONS TO OFFERORS - COMMERCIAL ITEMS (JUL 2013)…………………………………………………49

G.2 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS – COMMERCIAL ITEMS (AUG 2013)………………….52

SECTION H – SPECIAL PROVISIONS

H.1 302.3.5.5 Reporting of Foreign Taxes (July 2007)

H.2 302.3.5.9 Nondiscrimination (June 2012)

H.3 302.3.5.13 Access to USAID Facilities and USAID’s Information Systems (August 2013)……………………………… .... …………….68

H.4 302.3.5.14(a) USAID Disability Policy - Acquisition (December 2004)

H.5 302.3.5.14(b) Standards for Accessibility for the Disabled In USAID Construction Contracts (July 2007)

H.6 302.3.5.17 Limitation on Subcontracting to Non-Local Entities (May 2012)

H.7 USAID-Financed Third-party Web Sites (August 2013)

H.8 Conference Planning and Required Approvals (August 2013)

H.9 Conscience Clause Implementation (acquisition) – solicitation provision (Feb 2012)……………………… ..... ………………………

H.10 Prohibition on the Promotion or Advocacy of the Legalization or Practice of Prostitution or Sex Trafficking (Sept 2014)

H.11 USAID Implementing Partner Notices (IPN) Portal for Acquisition (July 2014)

H.12 Submission of Datasets to the Development Data Library (DDL)

SOL-663-15-000002– ANALYSIS OF AREAS OF GREATEST IMPACT FOR RMNCH

SECTION A - QUOTATION SUBMISSION INSTRUCTION/FORMAT

General Instructions

1. Issuance of this Request for Quotations (RFQ) does not constitute an award commitment on part of USAID, nor does it commit USAID to pay for any costs incurred in the preparation or submission of a quote.

2. If an offeror does not follow the instructions set forth herein, the offeror’s quote may be eliminated from further consideration or the quote may be down-graded and not receive full or partial credit under the applicable evaluation criteria.

3. Offerors must set forth full, accurate and complete information as required by this RFQ. The penalty for making false statements to the U.S. Government is prescribed in 18 U.S.C. 1001.

4. USAID may determine an offer to be unacceptable if the offer does not comply with all of the terms and conditions of the RFP.

5. USAID may, without discussion or negotiations, award a Purchase Order resulting from this RFQ to the responsible Contractor whose proposal conforms to the SOW and offers the best value to the Government, cost and technical factors considered. Therefore, the initial quote should contain the Contractor's best terms from a cost and technical standpoint.

6. USAID may reject any or all quotes, accept other than the lowest cost quote, and waive informalities and minor irregularities in quotes received.

7. The estimated period of performance for the anticipated Purchase Order that will result from this solicitation is: June 24, 2015 through December 23, 2015.

8. All Questions relating to this RFQ must be submitted to Tsegereda Gebremedhin at tgebremedhin@usaid.gov and caddis@usaid.gov no later than 16:00 (Addis Ababa time) on April 30, 2015. Unless otherwise notified by an amendment to the RFQ, no questions will be accepted after this date and time. Offerors must not submit questions to any other USAID staff.

A. Submission Instructions

1. The offeror shall submit separate Technical and Cost Quotes. The Technical Quote and Cost Quote must be kept separate from each other, and the Technical Quote must not make reference to cost data in order for the technical evaluation to be made strictly on the basis of technical merit.

2. All information (including both the Technical and Cost Quotes) shall be submitted in English.

3. Both Technical and Cost Quotes shall be submitted via email to Tsegereda Gebremedhin at tgebremedhin@usaid.gov and caddis@usaid.gov no later than 16:00 (Addis Ababa time) on May

15, 2015 Offerors may send quotes in two (2) emails: one containing the Technical Quote and the other containing the Cost Quote.

4. E-mail submissions must contain a Word and PDF copy of the Technical Quote and an Excel file of the Cost Quote. All Technical and Cost Quote documents must be properly labeled. Cost Quote budget spreadsheet must be submitted in Excel with unlocked cells with visible formulas.

mailto:tgebremedhin@usaid.gov mailto:caddis@usaid.gov mailto:tgebremedhin@usaid.gov mailto:and%20caddis@usaid.gov

B. Instruction for the Preparation of the Technical Quote

1. The offeror shall format the Technical Quote as follows:

a. Spacing: Singled-spaced;

b. Font: Times New Roman, 12-point;

c. Margins: One (1”) margins on all sides;

d. Paper Size: 8.5 inch X 11 inch.

e. Any graphs, charts, exhibits, tables, etc. contained in the body of the technical quote shall be numbered and included in the 12 page limit (see below). Table font may be reduced to Times New Roman, 10-point.

2. The Technical Quote shall contain the following:

a. Title Page: [Not to exceed 1 page] The offeror shall include the following basic information on the title page:

i. Activity Title;

ii. RFQ number;

iii. Name of organization(s) submitting the quote;

iv. Address of organization(s) submitting the quote;

v. Point of contact (POC) at organization;

vi. POC’s title, telephone number, fax number and e-mail address;

b. Cover Letter: [Not to exceed 1 page; pages in excess of this limit will not be evaluated] The

Cover Letter should describe the organization’s ability and relevant experience to undertake the terms of this RFQ. The Cover Page shall be signed by the organization’s official with authority to sign on such a proposal to USAID.

c. Technical Quote: [Not to exceed 12 pages; pages in excess of this limit will not be evaluated] The Technical Quote shall include the following:

i. Table of Contents

ii. Acronym List

iii. Understanding of RMNCH Greatest Impact Analysis purpose and intended use;

iv. Proposed Preliminary Greatest Impact indicator set, including: brief indicator definitions, sources, and justification for the selection of indicators; the GI

Indicator set may utilize the table format below:

Indicator Definition Data Source Most recent date data is available

Lowest administrative unit data is available and/or geographic areas data is available

Justification for selection

v. Proposed data collection plan (see SOW for further guidance), including recommendations for data sets required for the data collection plan;1

vi. Proposed management plan/approach for the analysis; and

vii. Proposed Level of Effort (LOE) Chart

Data sets which are not publicly available will be requested from FMOH through USAID

Note that the table below is illustrative only. In addition to the required three (3)

Key Personnel positions, the offeror may choose to employ additional staff such as data collectors/clerks, research assistants, logistics personnel and administrative support personnel. The offeror shall provide a detailed LOE chart showing Total

LOE by task and position as shown in the illustrative table below.

Table 1: Illustrative LOE by Task and Position

A six (6)-day workweek is authorized during fieldwork data collection outside of

Addis Ababa.

viii. Proposed Schedule, corresponding with LOE chart

Note that the table below is illustrative only. The Schedule should indicate the Offeror’s understanding of the Ethiopian landscape.

Table 2: Illustrative Schedule

Task

Team

Lead

(1)

M&E

Specialist

(1)

GIS

Specialist

(1)

Logistics

Coordinator

(1)

Admin.

Assisstant

(1)

Data

Specialists

(6)

Total LOE for

Task

Develop Indicator Set 5 5 0 0 0 0 10

Develop Data Collection & Analysis Plan 15 15 5 2 2 0 39

USAID Feedback on Above Tasks

Data Collection (Training, Tools Testing, Re-Grouping, etc.) 35 35 5 10 5 180 270

Preliminary Data Analysis 15 15 15 0 5 42 92

USAID Feedback on Above Tasks

Presentations on Preliminary Data Analysis 5 5 5 0 1 6 22

Finalize Deliverables 5 5 5 0 3 0 18

Total LOE for Position 80 80 35 12 16 228 451

Offeror should estimate ~ five (5) business-days for USAID to provide comments.

Offeror should estimate ~ five (5) business-days for USAID to provide comments.

#Persons/#Cars #Days

TEAM 1, Phase 1 (Team Lead, 3 Data Collectors; 3 weeks)

Flight Addis to Baher Dar 4 1

Ground travel Amhara & Tigray Regions (car rental [1]) 1 16

Flight Bahir Dar to Mekelle 4 1

Lodging 4 20

M&IE 4 21

Flight Mekelle to Addis 4 1

TEAM 1, Phase 2 (Team Lead, 3 Data Collectors; 2 weeks)

Flight to Gambella 3 1

Ground travel around Gambella (car rental) 1 7

Flight Gambella to Asosa 3 1

Lodging 3 13

M&IE 3 14

Flight Asosa to Addis 3 1

TEAM 2, Phase 1 (M&E Specialist, 3 Data Collectors; 3 weeks)

Ground travel around Addis, Oromiya and SNNP (car rental) 1 18

Lodging (outside of Addis) 4 14

M&IE (outside of Addis) 4 14

TEAM 2, Phase 2 (M&E Specialist, 3 Data Collectors; 2 weeks)

Flight Addis to Dire Dawa 4 1

Ground travel around Harar, Dire Dawa and East Oromiya 1 12

Lodging 4 13

M&IE 4 14

Flight Dire Dawa to Addis 4 1

Travel around Addis for meetings with USAID & FMOH (taxis) 1 10

d. Annexes: [No page limit]

i. Curriculum Vitaes for Key Personnel (Activity Director/Team Lead, M,E&D

Specialist and GIS Specialist);

ii. Two (2) professional references (with contact information) for each of the three (3)

Key Personnel;

iii. Signed statements of availability from all 3 Key Personnel for the estimated period of performance, including two months after in the case of delays;

iv. Two (2) professional writing samples of which the Activity Director/Team Lead was a key author;

v. 1-2 research reports of which the M,E,&D Specialist was a key member of the research team;

vi. 1-2 samples of GIS products of which the GIS Specialist was the key manager;

vii. Three (3) recommendation letters or activity descriptions summarizing similar work the offeror (as an organization) has successfully completed in the recent past.

Performance information will be used for both the responsibility determination and best value decision by USAID.

USAID may use performance information obtained from other than the sources identified by the offeror.

C. Instruction for the Preparation of the Cost Quote

1. Offerors shall provide a quote based on U.S. dollars.

2. Offerors shall provide labor categories/levels that correspond to the proposed LOE in their respective Technical Quotes, and show the corresponding salary (daily rates) for each labor category. Offerors shall provide the calculations and budget narrative explaining how the salaries were computed to allow for a complete analysis of cost.

3. Each offeror shall provide a Cost Quote to coincide with the line items set forth below.

Part 1: Budget Spreadsheet (Illustrative)

Total Direct Labor o Salary o Fringe Benefits (As Applicable)

Consultants

Travel, Transportation and Per Diem

Equipment/Supplies

Subcontracts

Other Direct Costs

Indirect Costs (As Applicable) o Overhead o G&A o Subcontract Fee

Total Estimated Cost

Part 2 – Supporting Documentation

Offerors shall provide a Budget Narrative with additional supporting budget documentation (as necessary), including profit/fee policy, travel policy, etc. to substantiate all proposed costs.

4. Payment Schedule: Payment shall be made upon successful completion of each deliverable (see

SOW) according to the aforementioned guidelines, abiding by the following schedule:

Twenty Five percent (25%) of the total Purchase Order amount upon satisfactory completion of Deliverable #1.

Twenty Five percent (25%) of the total Purchase Order amount upon satisfactory completion of Deliverable #2.

Twenty Five percent (25%) of the total Purchase Order amount upon satisfactory completion of Deliverable #3.

Twenty Five percent (25%) of the total Purchase Order amount upon final satisfactory completion Deliverable #4 and/or the end of the period of performance of the

Purchase Order, whichever is later.

Offerors can propose an alternative payment schedule, and provide a corresponding rational for such a proposal. Final payment schedule will be determined by USAID at the time of contract award.

[END OF SECTION A]

SECTION B - STATEMENT OF WORK

ANALYSIS OF AREAS OF GREATEST IMPACT FOR

REPRODUCTIVE, MATERNAL, NEWBORN AND CHILD HEALTH (RMNCH)

I. Background

The Government of Ethiopia (GOE) has made remarkable progress in improving access to basic health services for millions of Ethiopians. During the past five years, the treasury doubled their budget for health, leading to significant achievements in key areas, such as meeting the MDG 4, reducing child mortality. While there have been significant improvements, the population as a whole still has limited access to clean water and sanitation and quality health services, and is characterized by low levels of literacy and persistent food insecurity. These factors, among others, contribute to a high incidence of communicable diseases including TB, HIV/AIDS, malaria, Neglected Tropical Diseases, and respiratory infections, as well as nutritional deficiencies, maternal, neonatal, and child mortality.

Under-Five Mortality and Child Nutrition: Ethiopia has made great progress since 2005 as evidenced by reaching the Millennium Development Goal (MDG) 4; under-five mortality has decreased by 44% from 123 to 68 deaths per 1,000 live births. However neonatal death rates have seen no significant change and now account for 42% of the under-five mortality. Malnutrition rates continue to be very high with 44% of children under five stunted (low height for age which indicates chronic malnutrition) and 10% wasted (low weight for height which indicates acute food shortage and/or disease).

Maternal Mortality: The GOE states that it has significantly reduced the Maternal Mortality Ratio (MMR) and reached MDG 5. According to a UNICEF analysis based on MMEIG 2014, Ethiopia has effectively reduced its MMR by 69% from 1990 to 2013. However, according to the DHS 2011, Ethiopia still has one of the highest rates of maternal mortality in the world at 676 per 100,000 live births.

Access to and utilization of quality MNCH services, including skilled birth attendants, is limited, especially in rural areas. Only 10% of births are delivered by a skilled provider and based on current population estimates, an estimated 20,000 women die from childbirth-related causes every year.

Additionally, it is estimated that over 37,000 women currently suffer from obstetric fistula. Though progress has been made, only 34% of women who gave birth in the five years preceding the survey (DHS 2011) received antenatal care from a skilled provider for their most recent birth compared to 28% in 2005.

Family Planning: The proportion of women using modern family planning methods has more than quadrupled in slightly over 10 years but remains low. According to the 2011 DHS, the number of women using modern family planning methods increased from 6% in 2000 to 27% in 2011. While the fertility rate has decreased to 4.8, the unmet demand for family planning by women of child bearing age is 25%. However, many years of very high fertility and low contraceptive prevalence contribute to an annual population growth rate of 2.6%. This high population growth puts tremendous pressure on arable land as well as all social services including education, health and employment opportunities.

HIV/AIDS: While HIV prevalence is low, with a significantly declining incidence, the burden of the disease is still high due to the population size. Reaching rural pregnant women with Prevention of Mother to Child Transmission (PMTCT) services is resource intensive and makes attaining the global goal of zero new infections by 2015 a significant challenge. The Ethiopian Public Health Institute (EPHI) estimates 2015 HIV prevalence in Ethiopia at 1.1 percent. Prevalence in urban areas has fallen from 7.7% per the 2005 DHS, to 3.2% in 2015 per EPHI estimates. Rural prevalence estimate in 2015 per EPHI is relatively low at 0.5%, but no significant decline has been observed in recent years. In 2011 UNAIDS estimated that there were 23,000 annual new HIV infections including 10,000 pediatrics cases. Ethiopia seems to have an unusually high percentage of pediatric infections (43% of new infections) possibly due to the low availability of PMTCT services in rural areas, low utilization of services where they exist and high loss-to-follow up of HIV positive mothers and HIV exposed infants.

Tuberculosis: TB has been recognized as a major public health problem in Ethiopia since the 1950s.

According to the WHO Global TB Report of 2012, Ethiopia ranks seventh among the 22 high burden countries for TB, with 230,000 cases per year. Approximately 20% are HIV-infected, and 3,000 multi-drug resistant TB (MDR-TB) cases are expected per year (WHO 2008).

Malaria: The 2011 Malaria Indicator Survey (MIS) reported a reduction of children with fever compared to the 2007 MIS, and a threefold increase in the percentage of children under five years with fever that sought treatment from health facility or health care providers; from 15.4% in 2007 to 46.6% in 2011.

However, long lasting insecticide treated net (LLIN) ownership and utilization remains unacceptably low.

MIS 2011 reported 54.8% LLINs ownership and 36.6% pregnant mothers’ LLINs utilization which is far below the 90% and 86% HSDP IV targets respectively. Widespread insecticide resistance is a serious threat to the vector control efforts in the country. Though large scale malaria epidemics have been averted since 2003/2004, sporadic malaria epidemics continue to be a challenge.

Water and Sanitation: Only half (52%) of the Ethiopian population uses improved water sources and only 24% of households have access to improved sanitation facilities, according to the World Health Organization and UNICEF’s Joint Monitoring Programme for Water Supply and Sanitation, 2014 update.

Only 31% of health facilities (health centers and health posts) have access to an improved water supply and nearly 70% of schools have no access to improved water supplies or sanitation facilities, according to the National WASH Inventory report. Consequently, adherence to correct hygiene behaviors, such as washing hands at key times, safe handling and storage of drinking water, and point of use water treatment, is extremely difficult to achieve.

Gender Based Violence

Female Genital Mutilation (FGM) is performed in 3 out of 4 women according to the Ethiopian Demographic and Health Survey (EDHS, 2005) and the median age of marriage among women is 16.5 while it is 23.8 among men (EDHS, 2011). The GOE reports that in 2011, FGM has been reduced by 23%; however, there is still a long way to go to put an end to this harmful practice to the health and wellbeing of young girls.

USAID Support Health in Ethiopia – Ending Preventable Child and Maternal Deaths: Building on over four decades of partnership and collaboration between the GOE and the U.S. Government, USAID’s health program seeks to improve the health of all Ethiopians, especially the most vulnerable, women, girls, newborns, and children under the age of five. These efforts are encapsulated in Ending Preventable Child and Maternal Deaths (EPCMD), an initiative stemming from A Promise Renewed that seeks to ensure USAID’s investments in health are focused on data-driven, high-impact interventions that will have the greatest impact on accelerating maternal and child death reductions. USAID has committed to increasing our efforts in newborn health, immunization, and prevention and treatment of childhood illness, as well as expanding access to life-saving commodities for family planning (e.g., long lasting contraceptives), maternal health (e.g., oxytocin, magnesium sulfate), newborn health (e.g.

chlorhexidine, antenatal corticosteroid, injectable antibiotics, and resuscitation equipment), and child health (e.g., amoxicillin, ORS/zinc). USAID’s health portfolio directly aligns with the GOE priorities as articulated in the HSDP IV and with the forthcoming Health Sector Transformation Plan (HSTP) currently under development.

II. Purpose and intended utilization of Analysis

The purpose of this Greatest Impact Analysis (GIA) is to collect, analyze, and present data to guide geographic focus for new and existing health activities under USAID/Ethiopia’s Development Objective #2: Increased Utilization of Quality Health Services. Findings from the analysis are intended to provide information to guide resource investments for both the U.S. government (USG) and Government of Ethiopia (GOE).

In order to be responsive to the country’s changing health development context, efforts must increasingly rely on systematic, hypothesis-driven problem solving that requires data to identify high and low performing areas of the country. This approach is consistent with the GOE’s interest in being responsive to population health needs and decreasing disparities in health outcomes, as well as its interest in institutionalizing quality improvement.

The GIA is intended to illustrate RMNCH status in geographic areas in Ethiopia, in order to guide the U.S.

Agency for International Development (USAID)/Ethiopia’s investments in the following key result areas:

Expanded access and uptake of family planning

Increased numbers of healthy mothers with successful birth outcomes

Increased numbers of healthy newborns

Sustained gains in and continuous reduction of under-5 mortality

The most important intended use of this analysis of multiple data sources is to provide strategic information to guide USAID and FMOH’s joint decision-making on the selection of programming areas, in order for resources to be targeted where they are most needed and will produce the greatest public health results. This analysis will be one of multiple sources of strategic information to guide, but not dictate, program planning.

SCOPE OF WORK

In order to attain the aforementioned purpose of this analysis, the Contractor is required to successfully complete the below tasks in close consultation with USAID and FMOH:

1. Define RMNCH Greatest Impact indicator set.

2. Develop detailed data collection plan.

3. Compile data and conduct data collection when appropriate, including donor mapping.

4. Analyze data.

5. Present and validate preliminary findings with key stakeholders.

6. Provide final analysis and recommendations.

III. SPECIFIC TASKS AND EXPECTED OUTPUTS OF ANALYSIS

USAID is seeking to engage one (1) competent and experienced local Ethiopian organization to undertake the definition, collection and analysis of reproductive, maternal, newborn and child health (RMNCH) sites where RMNCH interventions have the most strategic opportunities to reduce maternal and child mortality. The selected organization, hereafter referred to as “the Contractor,” shall work closely with the Federal Ministry of Health (FMOH), Regional Health Bureaus (RHB), USAID and other key stakeholders throughout this process.

The term “Greatest Impact Location” (GIL) is used to define a geographic location at a particular point in time that is considered to be both of high need and high potential. For the purposes of this analysis, a location of high need will be generally defined as one which has a substantially greater share of child and/or maternal mortality relative to other areas in Ethiopia, and thus will require intensified resources from USAID, the FMOH and other partners. For example, a woreda with under-5 mortality rate twice the national average could be considered a GIL. In addition to morbidity or mortality, GILs may be identified by other indicators, such as the percent of population with an unmet need for family planning, the percent of children ages 12-23 months that received all basic immunizations, the percent of live births delivered by a skilled provider, the percent of households with access to latrine facilities, etc. In addition, the Contractor should also take into consideration other related development indicators to demonstrate the level of need, such as indicators of poverty, population, facility usage, and vulnerability to livelihood shocks. A location of high potential is generally defined for the purposes of this analysis as one in which USAID historically has comparative advantage and one which may lack robust RMNCH programming presence from key development actors. Further, GILs in this analysis will be determined by geographic locations at cross-roads of both high need and high potential for programming.

A) RMNCH Greatest Impact Indicator Set Definition

The Contractor shall propose an appropriate, limited set of GI indicators in close consultation with the FMOH and USAID. Indicators should provide an accurate illustration of RMNCH status in order to guide USAID’s investments in the key result areas outlined in Section II.

The indicator set shall include as few indicators as possible to adequately analyze RMNCH GIL, and should not exceed fifteen (15) key indicators. Included in these maximum 15 indicators must be maternal mortality ratio and under-five mortality. The indicators are subject to determination by the Contractor, USAID, and FMOH. These indicators shall be derived from existing sources of data in Ethiopia and be consistent with accepted global best practices. These sources may include, but are not limited to: routine health information collected by the FMOH, as contained in the Quarterly Service Delivery Report Form, the 2011 EDHS, the 2011 Demographic and Health Survey (DHS)2, the 2014 mini DHS3, the Health Management Information System, Service Provision Assessment, Facility Census, and data collected through other USAID-supported initiatives. The Offeror shall consider the development of appropriate GI indices consistent with accepted global best practices wherever possible. 4 5

The choice of indicators shall take into consideration issues of data availability, frequency, quality and level. GI indicators shall seek, wherever possible, to make use of data that is readily available, collected on a routine basis, reliable and accurate, recognizing that certain indicators will rely upon data that is collected less frequently (for example, through nationwide surveys). Data should be available from the five (5) administrative regions (Amhara, Harari, Oromiya, SNNP, and Tigray), two (2) city councils (Addis Ababa and Diredawa), and two additional regional capitals (Gambella and Asosa) of Ethiopia. However, USAID recognizes that there are varying levels of data availability and quality. The level of data for the GI indicators shall be sufficiently detailed and reliable as to permit spatial analysis and geographic comparison.

The choice of indicators may also take into consideration the list of indicators that is being adopted by the GOE as part of the national Maternal Newborn and Child Health scorecard to measure the effectiveness of the health system for mothers and children, as well as the USAID Ending Preventable Child and Maternal Deaths dashboard.6 To the extent practical, the GI indicators should be a limited subset of these broader sets of indicators, incorporating certain key indicators from the aforementioned sources.

The Contractor shall also include a comprehensive data dictionary that provides detailed definitions of the indicators.

B) Data Collection Plan

Once the GI indicator set has been agreed upon, the Contractor shall develop a data collection plan which will include, but is not limited to the following: data sources, dates of most recent data available, the lowest geographic unit levels at which the data may be collected (e.g. woredas in the four agrarian regions [Amhara, Oromiya, SNNP, and Tigray]; kebele-level in urban regions [Addis Ababa, Dire Dawa, and Harer]), plans for how the data will be collected and by whom, and a data storage plan. After award, the Contractor will work closely with FMOH, USAID, and other relevant GOE entities to access the appropriate data sets not publicly available. Access to data sets for this purpose will be subject to approval by the GOE and USG.

Found at: http://dhsprogram.com/pubs/pdf/FR255/FR255.pdf

Found at: http://phe-ethiopia.org/admin/uploads/attachment-1939-

Ethiopia_Mini_Demographic_and_Health_Survey_2014-2.pdf Boerma T et al. Lancet 2008; 371:1259-1267

Barros AJD et al. PLoS Med 2013; 10(5):e1001390.

Link will be provided upon award.

Due to the time and expense of collecting primary data, available secondary data will be the primary source of information for this analysis. As practical and feasible, this information may be supplemented with additional data that may need to be sourced or validated at an appropriate administrative unit.

For example, the Contractor may conduct semi-structured interviews of regional, zonal, woreda health officials and health care workers to gather woreda-level information without physically visiting the woreda or interviewing the woreda’s residents. The Contractor should also propose a plan for identifying RMNCH GIL in urban areas wherein close neighborhoods may be of mixed income levels and mixed health outcomes.

The Contractor shall develop a user-friendly, open-source database which can be easily viewed, utilized and analyzed by USG staff, FMOH and implementing partners. The database should use software readily available to stakeholders, such as Microsoft Access. While data collection under this SOW will be limited to the period of performance of the purchase order, the database must be in a format that it is editable and useful for potential future data collection purposes.

C) Data Collection

Once the data collection plan has been approved, the Contractor shall then collect the appropriate data.

A clear plan shall be developed and executed for supervising and verifying data collection to ensure its quality.

The Contractor shall also collect information on donor presence to understand key RMNCH activities being conducted by major bilateral and multilateral organizations in Ethiopia in different regions, zones and woredas of Ethiopia. USAID will advise the Contractor on which donors shall be included in the mapping exercise, which may include but is not limited to: USAID, African Development Bank, Department for International Development, the Gates Foundation, the Global Fund, Korean International Cooperation Agency, United Nations Children’s Fund, and the World Bank. For each major donor, programming presence should be specified in the key areas of reproductive health/family planning, maternal health, newborn health, and child health. General mapping of other relevant USAID office’s work should also be included. For example, the donor analysis should also include synergies with USAID/Ethiopia Economic Growth Office’s programming in nutrition. Donor presence information shall be included in the Geographic Information Systems (GIS) visualization of the data.

The Contractor shall develop a comprehensive data dictionary that will explain in detail all of the data, how it was collected, how and where it is stored, the format in which it is stored, the completeness and quality of the data, and any other limitations of the data.

D) Data Analysis & Presentation

The Contractor shall utilize appropriate GIS software to array the data visually and conduct spatial comparison and analysis. USAID will work with the Contractor to agree upon the choice of GIS tools in order to facilitate routine use and analysis. A USAID/Washington GIS expert will advise and work virtually with the Contractor in the development of appropriate maps for analysis and presentation of data.

The Contractor shall analyze the data and identify GILs which are of highest need (based on areas of high maternal and child mortality, the agreed-upon GI indicator set and credible trends in data which was collected), and which are of highest potential (based on an overlay of donor mapping, and an understanding of USAID’s comparative advantage). The Contractor shall provide multiple comparative maps which identify and illustrate possible GILs based on this analysis, for example: areas of high stock-outs of contraceptives and high unmet need for family planning, areas of low rates of skilled birth attendants and high maternal mortality, areas of high under-five mortality rates and gaps in donors’ child health programming, etc. The Contractor’s analysis shall disaggregate indicators by gender and/or address gender-specific dimensions in the analysis, as appropriate.

The analysis performed by the Contractor shall be done in collaboration and close consultation with FMOH and RHBs, and USAID. The analysis should also inform the foundation for routine, systematic data collection, analysis and mapping designed to inform health activities at regional, zonal, and Primary Health Care Unit levels. As such, the Contractor shall articulate an efficient and feasible plan for continued data collection and mapping to identify high and low performing kebeles and woredas.

The Contractor shall develop and present an initial mapping and analysis of the RMNCH GIL to USAID and FMOH. RHBs, relevant donors, and other stakeholders will also have an opportunity for feedback and validation. The Contractor shall then provide a comprehensive analysis of the data, including recommendations, which will serve as a targeting tool to help inform the planning of current and future activities. The targeting tool shall propose, develop, and implement an analytical scale to rank and identify areas of poorest maternal health performance and poorest child health performance. The maps developed shall include a written analysis with focused recommendations actionable by USAID and for consideration by the FMOH.

IV. Place of Performance & Geographic Scope

The Contractor shall work primarily in Addis Ababa, Ethiopia in order to consult with the FMOH and USAID, as well as other key stakeholders.

The Contractor shall perform work throughout the five (5) administrative regions (Amhara, Harari, Oromiya, SNNP, and Tigray), two (2) city councils (Addis Ababa and Diredawa), and two additional regional capitals (Gambella and Asosa) of Ethiopia. The Developing Region States (Afar, Somali, Beninshangul-Gumuz and Gambella) have already been identified as areas of high need, and are thus not included in this analysis beyond the aforementioned regional capitals.

Much of the data required for the identification of the GILs is collected through routine reporting systems and may not be accessible in Addis Ababa. Consequently, the Contractor shall travel as necessary to Regional, Zonal and Woreda level offices in order to collect data and collaborate with appropriate Ministry of Health staff and other key stakeholders. The Contractor shall meet with representatives of key donor organizations in order to conduct the donor mapping.

V. Staffing and Other Requirements

The Contractor shall have a full time, permanent representative based in Addis Ababa. The Contractor shall employ staff with technical expertise in the fields of:

I. Monitoring and Evaluation (M&E), with a focus on data collection and data analysis II. Reproductive, Maternal, and Child Health III. Geographic Information Systems IV. Database development and management V. Other relevant disciplines required to complete the tasks in this SOW

The Contractor must maintain an office and have sufficient staff located in Addis Ababa. The Contractor shall also demonstrate adequate financial management and other administrative systems and support necessary for undertaking this Statement of Work.

Key Personnel

Team Member (Locally-based) Roles & Responsibilities Required Qualifications

Activity Director/Team Leader Team management, coordination and supervision

Ensure timeliness and quality of deliverables

Communication and coordination with USAID, FMOH, and other key stakeholders

At least 7 years’ experience managing public health research and/or evaluation projects and teams

At least 7 years’ experience in public health (may be simultaneous with the above 10 years’ experience in public health research), preferably in reproductive health, maternal health, and/or child health

Experience working with FMOH, RHBs, and other relevant GOE counterparts

Excellent demonstrated English language communication skills, both written and oral

Monitoring, Evaluation, and Data Management Specialist

Ensure M&E technical soundness and data quality

Supervise and train data specialists charged with collecting data, inputting data into the database, and cleaning data sets

Develop and manage database

Oversee data cleaning

At least 5 years’ experience in supervisory monitoring, evaluation, and/or data management

Strong familiarity with reproductive, maternal and/or child health indicators

Experience in and database design and management

Excellent data analysis skills, including interpretation of GIS data

Experience in sex disaggregated and gender sensitive data collection and analyses

GIS Specialist Responsible for all GIS mapping, working in close coordination with USAID/W GIS specialist

At least 3 years’ experience and expertise in GIS mapping

Excellent demonstrated analytical skills

Excellent communication and presentations skills to effectively use GIS to guide programmatic decision-making

An additional USAID/Washington GIS expert will be assigned as a consultant to provide GIS guidance and support to the team. This GIS expert will be hired under a separate mechanism and the Contractor will not be responsible for any costs associated with the consultant. The GIS expert will not be responsible for directly producing the GIS maps, but will advise the Contractor team’s GIS specialist on tools, data analysis and presentation. The consultant will provide the majority of support virtually, but may provide in-country support during the initial planning, data analysis and presentation of preliminary findings. The GIS expert will participate in providing recommendations to USAID/Ethiopia and FMOH for the final report.

The FMOH will also assign three professionals to work closely with Contractor on the analysis, to include: a representative from the Ethiopian Public Health Institute, the Maternal and Child Health Directorate, and a representative from the Policy and Planning Directorate. While the overall achievement and completion of quality deliverables as outlined in this SOW will remain the responsibility of the Contractor, the Contractor must work in close consultation with the aforementioned representatives in data review, analysis, validation of findings, and development of recommendations. As such, the Contractor shall encourage ownership and usage of quality data for decision-making. The Contractor will work through USAID and FMOH to obtain data sets necessary to complete a robust and rigorous analysis which gives an accurate representation of the RMNCH needs and potential of the country. The Contractor will not be responsible for any costs associated with the participation of the FMOH representatives in the analysis.

V. Deliverables and Timeframe

A) Requirements for Deliverables

The Contractor shall provide the following deliverables in a timely manner and satisfactory form to USAID, and shall develop these deliverables in close consultation with FMOH, RHBs, and other relevant stakeholders. The Contractor shall ensure that these deliverables are consistent with Section III of this

SOW.

Deliverable #1: RMNCH GIL Indicator Set, Data Collection Plan, and Data Analysis Plan:

The Contractor shall produce a document that defines a limited set of key indicators appropriate for identifying geographic RMNCH GIL. The document shall include:

i. An appropriate, limited set of RMNCH indicators not to exceed 15 key indicators;

ii. A detailed data dictionary that provides detailed definitions of the indicators, sources of data, and dates of most recent data available;

iii. A detailed plan for collecting the data, including but not limited to:

a) For each indicator, where the data will be collected and the lowest geographic unit levels at which the data can be collected (For example, data on immunization coverage may be collected at the woreda-level in the four agrarian regions [Amhara, Oromiya, SNNP, and Tigray]; data on facility usage may be collected at the kebele-level in urban regions [Addis Ababa, Dire Dawa, and Harar]);

b) Process by which the data will be collected and by whom

c) Process through which the quality of the data will be ensured

d) Data storage plan

iv. A database framework to be used for data collection, in a form suitable for future data collection purposes, such as in the form of a user-friendly, unlocked, Microsoft Access database.

v. A data analysis plan to include, but not limited to:

a) Sample sizes as appropriate

b) Proposed software which will be used to analyze data

c) For each indicator, a detailed conceptual scoring system for identifying high and low need areas and/or high and low performing areas. For example, for under-5 mortality, stratifications may be developed to indicate areas wherein under-5 mortality is 0-49 per 1,000 live births (low need); 50-99 per 1,000 live births (moderate need); 100-150 per 1,000 live births (high need). As another example, for facility usage, stratifications may be developed to indicate areas wherein health facility usage for labor and delivery are 0-99 mothers per year (low performing); 100-199 mothers per year (low-moderately performing); 200- 299 mothers per year (moderate-high performing); 300+ mothers per year (high performing).

Deliverable #2: RMNCH GI Data Collection Completed Database and Comprehensive Data Dictionary:

The Contractor shall provide the following deliverables to USAID as part of the data collection phase:

i. Written updates to the USAID Contracting Officer’s Representative (COR) for every 10 business days of data collection, not to exceed five (5) pages each, excluding any annexes. The updates should include but are not limited to:

a) Sites at which data collection was conducted

b) Stakeholders consulted

c) Indicator trends observed, if any

d) Challenges to data collection

e) Proposed changes to data collection or analysis plan. Note: If any changes to the data collection or analysis are proposed, they must be approved by the COR before implementation.

ii. Upon completion of data collection, a database with completed data information. The data shall be stored in a format that ensures interoperability with standard industry software.

iii. An updated, comprehensive data dictionary by indicator with all, but not limited to, the following information, including any changes from the original data collection plan: data sources, dates of available data, geographic areas at which the data was collected, description of the completeness and quality of the data, and any other limitations of the data.

Deliverable #3 RMNCH GI Preliminary Data Analysis and Presentations:

The Contractor shall present its preliminary analysis of the RMNCH Geographic GIL to the Ministry of Health and USAID according to the agreed upon analysis plan. The preliminary analysis shall be delivered in electronic format to the COR, according to the following guidelines:

i. GIS maps in two forms: 1) pdf form; 2) in format usable by the GIS software determined by the Contractor and USAID

ii. A preliminary written analysis with recommendations, not to exceed 15 (fifteen) pages.

iii. A power point presentation not to exceed 30 slides, which may be used for briefings both internal and external to USAID.

The preliminary analysis content shall include but is not limited to:

a. GIS maps including, but not limited to:

1. High and low need and/or high and low performing areas by indicator

2. Donor RMNCH programming presence. Note: Existing GIS maps of USAID’s

RMNCH programming presence will be provided to the Contractor to be included in this analysis. Updating and improving these maps will be necessary.

3. Comparison maps to indicate meaningful trends. For example: areas of high stock-outs of contraceptives compared to areas with high unmet need for family planning, areas of low rates of births with skilled birth attendants compared to low health facility usage, areas of high newborn and under-5 mortality rates and gaps in donors’ newborn and child health programming, etc.

4. Approximately three (3) “Big picture maps” which synthesize multiple analyses and trends up to the national level to identify key GILs, specifically:

the areas of highest need and highest potential for maternal health, child health, and a combination of maternal and child health.

b. Detailed discussion regarding any gaps and limitations of the data, with specific recommendations to address each issue identified.

c. Preliminary recommendations to USAID and FMOH based on data analysis.

Recommendations should be a focused set of recommendations, in order of priority, actionable by USAID and for consideration by FMOH. They may include but are not limited to:

1. Recommendations for geographic areas of RMNCH programming need due to gaps in donor programming.

2. Recommendations for geographic target areas for future programming based on identified high need areas and knowledge of USAID’s comparative advantage. Note: Suggesting USAID’s comparative advantage should be based on consultations with USAID, technical areas wherein USAID has successfully programmed in the past, etc.

3. Recommendations for future data collection and analysis required

Upon acceptance of the aforementioned deliverables by USAID, the Contractor shall provide approximately (4) presentations for key stakeholders of 1.5 hours each for the following stakeholders: USAID/Ethiopia, FMOH, and other donors/stakeholders as appropriate. The presentations will present preliminary data findings and recommendations, including ample discussion time for feedback. The preliminary finds of the analysis shall be validated by USAID and FMOH before proceeding with finalization.

Deliverable #4: Final RMNCH GI Analysis Report, Database, & Maps:

The Contractor shall provide final RMNCH maps, analysis, and recommendations incorporating feedback from USAID and FMOH on all aspects of the Deliverable #3. The final report and deliverables shall be provided to USAID in the following format:

i. A final report not to exceed 30 pages, excluding appendices.

ii. The report must be submitted in electronic format to the COR, as well as in three (3) bound, hard copies.

iii. The final report shall follow USAID branding guidelines in accordance with USAID

Automated Directive Systems 320 (http://auslnxapvweb01.usaid.gov/ADS/300/320.pdf.)

iv. The final report must include but is not limited to the following components:

a. Coversheet indicating type of Analysis, incorporating USAID branding guidelines

b. Table of Contents

c. Acknowledgments

d. Acronyms

e. Executive Summary (not to exceed 3 pages)

f. Purpose of Analysis

g. Background of Analysis

h. Scope and Methodology

i. RMNCH GI Indicator Data Set, including explanation of how indicators were selected

j. Data Collection summary

k. Data limitations

l. Summary of data analysis / results

m. Findings

n. Recommendations

o. Appendix A: RMNCH Indicator Data Dictionary (as described in Deliverable #2, Section iii)

p. Appendix B: Completed, cleaned database

q. Appendix C: GIS maps in two forms: 1) pdf form, in a form which is high enough quality to be printed in A1 poster size if needed; 2) in format usable by Arc GIS (ESRI).

B) Timeframe

All deliverables shall be completed within six (6) months of the award date, according to the following http://auslnxapvweb01.usaid.gov/ADS/300/320.pdf timeline:

Deliverable Due Date

Deliverable #1: RMNCH GI Indicator Set, Data Collection Plan, and Data Analysis Plan

Within 25 business days after award date

Deliverable #2: RMNCH GI Data Collection, Completed Database and Comprehensive Data Dictionary

Within 40 business days after USAID’s approval of Deliverable #1

Deliverable #3 RMNCHGI Preliminary Data Analysis and Presentations

Within 25 business days after USAID’s approval of Deliverable #2

Deliverable #4: Final RMNCH GI Analysis Report, Database, & Maps

Within 15 business days after USAID’s provision of feedback on Deliverable #3

Offerors should estimate approximately five (5) business days for USAID to provide comments for draft deliverables. A six-day workweek is authorized during fieldwork outside of Addis.

The estimated period of performance for this purchase order is June 24, 2015 through December 23, 2015.

C) Inspection and Acceptance

USAID inspection and acceptance of services, reports and other required deliverables or outputs shall take place at the principal place of performance or at any other location where the services are performed and reports and deliverables or outputs are produced or submitted. The COR has been delegated authority to inspect and accept all services, reports and required deliverables or outputs

SECTION C – EVALUATION CRITERIA

1. All quotes will be evaluated in accordance with the evaluation criteria set forth below.

2. The cost quote will be evaluated separately from the technical quote. Although the cost quote will not be scored, the offeror should have a structure that will allow it to provide the greatest value (highest results) at the lowest cost; minimizing non-value added costs.

3. If an…