SOL-687-15-000002__OMS_2015.pdf

Issuance Date: May 4, 2015 Pre-Proposal Meeting: May 13, 2015, 10:00 a.m. – 12:00 p.m. Antananarivo local time Questions Due Date: May 19, 2015, 4:00 p.m. Antananarivo local time Closing Date & Time: June 19, 2015, 12:00 p.m. Antananarivo local time

SUBJECT: REQUEST FOR PROPOSAL (RFP) No.: SOL-687-15-000002, USAID/MADAGASCAR HEALTH OUTCOME MONITORING SURVEYS

The United States Government, represented by the U.S. Agency for International Development (USAID), is seeking proposals from qualified local organizations interested in conducting the outcome monitoring surveys as described in the attached solicitation. The mission is using the pilot authority for limiting competition to local entities (Section 7077). To be eligible to compete for this opportunity, the entity must be both owned and managed by a majority of citizens or lawful permanent residents of Madagascar.

The Government expects to award 2 (two) Firm, Fixed Price contracts by September 30, 2015.

Each contract will for conducting one independent survey activity (Activity A or Activity B).

Potential offerors may propose either on one or both of the activities. The proposals for Activity A and Activity B will be evaluated separately. The Government may award one contract for two activities if the winning proposals for both come from the same offeror. The estimated period of performance is eight (8) months from the effective award date. Code 937 (the United States, the recipient country, and developing countries other than advanced developing countries, but excluding any country that is a prohibited source) is the authorized USAID Principal Geographic Code for the procurement of commodities and services under this contract.

The Government will hold a pre-proposal meeting from 10:00 a.m. to 12:00 p.m. Antananarivo local time on May 13, 2015 at the U.S. Embassy which all interested parties may attend with prior registration (those parties that fail to submit the required information by the time/date stated below will not get access). The following information for the registration must be submitted to Mr. Serge Rafanotsimiva at srafanotsimiva@usaid.gov no later than 10:00 a.m. Antananarivo local time on May 11, 2015 for each planned participant: full name, date of birth, identity number, vehicle information (make/model, license tag #) if applicable. Those parties that did not attend the pre-proposal conference may still submit a proposal.

Any questions regarding the RFP requirements must be submitted via email to antananarivoco@usaid.gov no later than 4:00 p.m. Antananarivo local time on May 19, 2015.

The Government is planning to respond to all potential offerors by COB May 29, 2015. Oral instructions or guidance from any USAID source prior to the award of the contract shall not be binding.

SOL-687-15-000002

SOLICITATION, OFFER AND AWARD

4. TYPE OF SOLICITATION2. CONTRACT NUMBER 3. SOLICITATION NUMBER

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ORDER UNDER DPAS (15 CFR 700)

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NEGOTIATED (RFP)

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1. THIS CONTRACT IS A RATED RATING PAGE OF PAGES

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C. E-MAIL ADDRESS

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10. FOR

INFORMATION

CALL:

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.

(Date)(Hour) local timeuntildepository located in 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

SOLICITATION

9. Sealed offers in original and

PART IV - REPRESENTATIONS AND INSTRUCTIONS

OTHER STATEMENTS OF OFFERORS

EVALUATION FACTORS FOR AWARD

INSTRS., CONDS., AND NOTICES TO OFFERORS

REPRESENTATIONS, CERTIFICATIONS AND

LIST OF ATTACHMENTS

CONTRACT CLAUSES

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

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CONTRACT ADMINISTRATION DATA

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INSPECTION AND ACCEPTANCE

PACKAGING AND MARKING

DESCRIPTION/SPECS./WORK STATEMENT

SUPPLIES OR SERVICES AND PRICES/COSTS

SOLICITATION/CONTRACT FORM

PART II - CONTRACT CLAUSESPART I - THE SCHEDULE

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A

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

11. TABLE OF CONTENTS

18. OFFER DATE17. SIGNATURE

SUCH ADDRESS IN SCHEDULE.

IS DIFFERENT FROM ABOVE - ENTER

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ADDRESS

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16. NAME AND TITLE OF PERSON AUTHORIZED TO SIGN OFFER15A. NAME

DATEAMENDMENT NO.DATEAMENDMENT NO.

and related documents numbered and dated):

amendments to the SOLICITATION for offerors

(The offeror acknowledges receipt of

14. ACKNOWLEDGEMENT OF AMENDMENTS

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

(See Section I, Clause No. 52.232.8)

13. DISCOUNT FOR PROMPT PAYMENT

designated point(s), within the time specified in the schedule.

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

12. In compliance with the above, the undersigned agrees, if this offer is accepted within ______________ calendar days (60 calendar days unless a different period is inserted

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

OFFER (Must be fully completed by offeror)

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

28. AWARD DATE

(Signature of Contracting Officer)

27. UNITED STATES OF AMERICA

25. PAYMENT WILL BE MADE BY

26. NAME OF CONTRACTING OFFICER (Type or print)

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

ITEM

(4 copies unless otherwise specified)

23. SUBMIT INVOICES TO ADDRESS SHOWN IN

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

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

21. ACCOUNTING AND APPROPRIATION20. AMOUNT19. ACCEPTED AS TO ITEMS NUMBERED

AWARD (To be completed by government)

CODE

REQ-687-15-00003105/04/2015

X

MADAGASCAR/ISSUING

USAID/Madagascar Lot 207A, Point Liberty, Andranoro-Antehiroka Antananarivo 105 Madagascar

1200 LT 05/29/2015

SANDY Y. SOLOFONIRINA +26 606

ssolofonirina@usaid.gov

133-4432

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PAGE(S)

Michael Ashkouri

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is unusable

STANDARD FORM 33 (Rev. 9-97)

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

1-2 3-4

5-25 26-27 29-31 32-33 34-43

44-50

52-65

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ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 77

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

SOL-687-15-000002

(A) (B) (C) (D) (E) (F)

2015 Outreach Monitoring Survey (OMS)

0001 Activity A: Data Collection in the north-western districts of Madagascar including all the MAHEFA districts of interventions.

Activity B: Data Collection in the south-eastern districts of Madagascar including all the USAID/MIKOLO districts of interventions.

OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

NSN 7540-01-152-8067

RFP NO. SOL-687-15-000002

PART I – THE SCHEDULE

SECTION B – SUPPLIES OR SERVICES AND PRICE/COSTS

B.1 PURPOSE

The purpose of this contract is to secure technical services to conduct the Outreach Monitoring Survey (OMS) of the USAID/Madagascar Health Programs.

B.2 CONTRACT TYPE

This is a Firm, Fixed Price Contract. The Contractor must perform the services set forth in Section C, at a price consistent with Section B.3 of the Contract. For the consideration set forth in the contract, the Contractor will provide the deliverables or outputs described in Section F and comply with all contract requirements.

B.3 CONTRACT PRICE AND CONTRACT LINE ITEMS (CLINS)

The total Firm Fixed Price of this contract is $_____________. The Contractor will not be paid any sum in excess of the total contract price or any individual CLIN price below for each of the activities:

CLIN 0001: Activity A. Data Collection in the north-western districts of Madagascar including all the MAHEFA districts of interventions, $______________.

CLIN 0002: Activity B. Data Collection in the south-eastern districts of Madagascar including all the USAID MIKOLO districts of interventions, $______________.

B.4 PAYMENT SCHEDULE

Payment will be made upon acceptance by the Government of the each of the deliverables as follows:

CLIN 0001: Activity A Deliverable Payment Amount

1. Inception Report (D1) $___________

2. Completion of Fieldwork and Datasets (D2) $___________

3. Presentation of the Main Preliminary Findings (D3) $___________

4. Draft Report (D4) $___________

5. Final Report (D5) $___________

CLIN 0002: Activity B Deliverable Payment Amount

1. Inception Report (D1) $___________

2. Completion of Fieldwork and Datasets (D2) $___________

3. Presentation of the Main Preliminary Findings (D3) $___________

4. Draft Report (D4) $___________

5. Final Report (D5) $___________

END OF SECTION B

SECTION C – DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK

C.1. PURPOSE

USAID/Madagascar Program Office seeks to have year-to-year comparable achievements for the USAID-health funded activities in Madagascar. The purpose of the Outcome Monitoring Survey (OMS) is to measure the current status of key health indicators at the beneficiary levels in the zones of interventions of the USAID Health Population and Nutrition (HPN) programs at the end of the U.S. Government fiscal year that ends on September 30th.

C.2. OBJECTIVES

The main audience for this report will be the USAID/Madagascar Mission, its implementing partners, and USAID/Washington through the USAID annual Performance Plan and Report.

The gathered data from this survey will provide information, statistics, and judgments that help USAID/Madagascar to get the magnitude of the changes and better understanding of the effects of the projects’ activities on beneficiaries and the measurable performance of intermediate actors, such as, community health volunteers and supply points.

USAID/Madagascar will use the results of the survey for the annual Performance Plan and Report (PPR) to Washington, and for the annual Portfolio Reviews. It will complement the data monitoring of activities presented in the quarterly and annual reports from implementing partners and other data collected through nation-wide surveys.

Findings will help the Mission to get the status of key selected health outcome indicators; identify and understand successes, under-performing interventions and problems that need to be addressed.

C.3. BACKGROUND INFORMATION

3.1. THE HPN PROGRAMS

USAID/Madagascar’s health portfolio activities help improve the health of the Malagasy people, especially women and children under five years of age, through implementing sustainable programs that deliver essential health services and products with a focus on rural and underserved areas. The activities support the implementation of strategies to promote healthy behaviors and timely healthcare visits. HPN programs strengthen public and private service networks to improve access to integrated health information and services; and provide technical training and performance monitoring to improve service quality. The HPN activities are focusing on three main sectors: Malaria, Maternal and Child health, and Family Planning and Reproductive Health.

Malaria: The President’s Malaria Initiative (PMI) provides efforts to scale-up proven prevention and treatment interventions including long lasting, insecticide-treated nets, intermittent preventative therapy for pregnant women, indoor-residual spraying of insecticides, malaria testing using Rapid Diagnostic Tests (RDTs), artemisinin-combination therapies (ACTs) for malaria treatment. U.S. assistance aims to reach 85 percent coverage among vulnerable groups to support the PMI goal of reducing malaria-related morbidity by 50 percent.

Maternal, Newborn and Child Health: The HPN programs support an integrated package of low-cost, high-impact child, newborn and maternal health interventions, including Integrated Community Case Management for the early recognition, prompt diagnosis, and appropriate treatment of simple pneumonia and diarrhea among children under five years of age, as well as referral for severe cases and preventative health facility services including vaccinations. The HPN programs also support preventative child health practices including the improved hygiene and sanitation, home point-of-use water treatment, Growth Monitoring Promotion, exclusive breastfeeding, appropriate complementary feeding, and dietary quality and diversity. Maternal health interventions include early detection of obstetric and neonatal complications, and medical referrals including emergency transport schemes. With the Food Security projects, the HPN programs target stunting issues in severely malnourished areas in the country. The overall goal is to accelerate reductions in child, newborn, and maternal death.

Family Planning/Reproductive Health (FP/RH): The HPN programs sustainably expand access to high-quality, voluntary family planning services throughout the health system. Over the next four years, the program aims to steadily meet unmet need for family planning by increasing the use of modern contraceptive methods by approximately 1.5 percent a year. The activities include education, counseling and commodities provision through public and private health centers, mobile outreach sites, as well as pharmacies and other retail venues. The programs also serve the hardest-to-reach populations through a network of 17,000 trained community health volunteers (CHVs). Adolescents and youth, a primary target group, are being reached with youth-friendly services and improved access to a broad range of contraceptive choices. These interventions allow individuals and couples to decide the number and spacing of births, as well as, the timing of first birth, which will contribute to decreasing maternal and infant mortality.

Expanding individuals’ access to family planning services will also mitigate population effects on natural resources, as well as, increase economic growth and stability.

To reach these goals, the HPN programs had implemented several projects comprising two community-based healthcare projects (USAID MIKOLO and MAHEFA), one Integrated Social Marketing project (ISM), nationwide actions on Malaria through mass-distribution of bed nets and indoor residual spraying. These projects are complemented by other smaller activities.

3.2. The HPN Result Framework

C.4. EXISTING INFORMATION

USAID/Madagascar will provide the following documents and equipment to the Contractor, one week after the effective award date:

1. 2014 OMS reports which include the list of samples villages

2. List and location (communes) of USAID HPN project and activities

3. Five sets of questionnaires: households, women of reproductive age, children under five

(5) years of age, community health volunteers, supply points

4. Tablet computers with software for data collection in the quantities corresponding to the numbers of enumerators; internet connection is not included.

C.5. SCOPE OF WORK

5.1. ACTIVITIES

The OMS activities will collect data for selected indicators from a statistically representative sample of population living in the USAID health programs implementation areas. The design will allow for indicator estimates and confidence intervals to be calculated for the individual implementation areas (project, region, or district as possible), as well as the overall joint USAID implementation areas.

The data collection is a population-based survey, which means that the results will be representative of the population residing in the geographic area in which the sample was drawn.

The current SOW includes two independent activities, hereafter identified as Activity A and Activity B. The tasks will be the same under each Activity; with the exception of the number of the interviews, which depend on the number of districts and regions.

Activity A. Data Collection in the north-western districts of Madagascar including all the MAHEFA districts of interventions.

Table 1 – List of Regions and Districts for Activity A

No Region Districts Number of Districts

1 DIANA Antsiranana 2, Nosybe, Ambanja, Ambilobe 4 2 SAVA Antalaha, Andapa, Sambava, Vohemar 4 3 BOENY Mahajanga 2, Soalala, Mitsinjo, Marovoay, Ambatoboeny

4 SOFIA Analalava, Antsohihy, Bealanana, Mampikony, Mandritsara, Befandriana

5 MENABE Morondava, Belo, Miandrivazo, Mahabo, Manja 5 6 MELAKY Maintirano, Besalampy, Morafenobe, Ambatomainty, Antsalova

7 BETSIBOKA Maevatanana, Kandreho, Tsaratanana 3 8 BONGOLAVA Tsiroanomandidy, Fenoarivobe 2 9 ANALANJIROFO Maroantsetra, Mananara, Vavatenina, Soanierana, FeneriveEst

TOTAL 39

Activity B. Data Collection in the south-eastern districts of Madagascar including all the USAID/MIKOLO districts of interventions.

Table 2 – List of Regions and Districts for Activity B

No Region Districts Number of Districts

1 ANALAMANGA Ambohidratrimo, Ankazobe, Anjozorobe, 4

Manjakandriana 2 VAKINANKARATRA Antsirabe 2, Betafo, Antanifotsy, Ambatolampy, Mandoto, Faratsiho

3 ITASY Miarinarivo, Arivonimamo, Soavinandriana 3

4 ALAOTRA

MANGORO

Ambatondrazaka, Amparafaravola, Moramanga, Anosibe Anala

5 ATSINANANA Toamasina 2, Brickaville, Vatomandry, Mahanoro, Marolambo, Antanambao, 6 AMORONI MANIA Ambositra, Ambatofinandrahana, Fandriana, Manandriana

7 HAUTE MATSIATRA Vohibato, Lalangina, Isandra, Ambalavao, Ambohimahasoa, Ikalamavony

8 ATSIMO

ANDREFANA

Toliara 2, Ankazoabo, Ampanihy, Sakaraha, Betioky, Benenitra, Beloha, Morombe, 9 ATSIMO

ATSINANANA

Farafangana, Vangaindrano, Midongy, Vondrozo

10 VATOVAVY Manakara, Mananjary, Ifanadiana, Vohipeno, Nosy Varika

TOTAL 50

5.2. INDICATORS COLLECTED BY THE OMS

Most of the indicators to be collected by the OMS are specified in the HPN Program Management Plan (PMP) [currently in draft], and some come from the suggestions of the implementing partners. The indicators will cover the interventions within:

Maternal, Newborn and Child Health (MNCH) Family Planning and Reproductive Health (FP/RH) Malaria Water Supply, Sanitation, and Hygiene (WSSH) Nutrition Cross-cutting programmatic aspects including gender and commodity distribution

Based on the HPN Result Frameworks presented in Section C.3, the indicators shown in Tables 3 through 6 were identified to track the achievements of the HPN objectives. Both Activity A and Activity B will collect information on these indicators. The first column presents the titling of the indicators and the second column identifies the sampling group of the survey.

Table 3 – List of Indicators for Sampling Group: Households

Indicators Sampling group 1 % of communities certifies as “ODF” as a result of USG assistance Household 2 % of households using improved sanitation as a result of USG assistance Household 3 % of households using improved drinking water source as a result of

USG assistance Household

4 % of households with at least one ITN provided by USAID Household 5 % of houses sprayed with IRS by USAID project in the last 12 months Household

6 % of households with soap and water at hand washing station commonly used by family members

Household

8 % of households practicing open defecation Household 9 % of households that are practicing effective household water treatment Household

10 % of households head reporting increased agreement with the concept that male and females should have equal access to social, economic, and political opportunities

Household

11 % of households practicing correct use of recommended water treatment technologies

Household

12 % of households covered by USG-supported community health financing arrangement

Household

13 % of households having access to USG-supported emergency transportation system

Household

14 % of households having used to USG-supported emergency transportation system

Household

15 % of households visited by CHVs for health-related IPC in the past 3 months

Household

16 % of households who know the three message of DIORANO WASH Household 17 % of households with moderate or severe hunger Household

Table 4 – List of Indicators for Sampling Group: Children 0-59.9 months

Indicators Sampling group 1 % of CU6-23 months fed according to a minimum standard of infant and young child feeding practices

CU 6-23.9

months 2 % of children between 12-23 months of age who received their 3rd dose of

DPT

CU 12-23.9

months 3 % of CU2 weighted during Growth Monitoring and Promotion (GMP) in the last 2 months

CU2

4 % of children in the MUAC red zone CU2 5 % of children in the MUAC Yellow zone CU2 6 % of children 6-59 months receiving vitamin A supplement during the last

6 months

CU 6-59.9

months 7 % of CU5 with fever in the last 2 weeks CU5 8 % of CU5 who slept under ITN the previous night or in a house sprayed with IRS in the last 12 months

CU5

9 % of caretaker of CU5 who cite that sleeping under an ITN every night prevents them from getting malaria

CU5

10 CU5 Diarrhea prevalence in the last 2 weeks CU5 11 % of caretakers of CU5 who know two ways to prevent diarrhea CU5 12 % of caretakers of CU5 who cite that diarrhea treatment with ORS and Zinc is effective

CU5

13 CU5 cough/pneumonia prevalence in the last 2 weeks CU5 14 % of caretaker of CU5 who cite that cough and rapid breathing as that main symptoms for ARI/Pneumonia

CU5

15 % of caretakers of CU5 exposed to Health messages in the past 2 weeks, broken down by MCH/Malaria/Nutrition/FP-RH

CU5

16 % of caretaker of CU5 satisfied with the quality of the care of CHV CU5 17 % of children fully immunized Infants 0-12 months 18 % of stunted children under five years of age CU5 19 % of CU5 with chest-related cough and fast and/or difficult breathing in the last 2 weeks receiving appropriate care CU5 with cough/pneumo in last 2 weeks

20 % of CU5 with fever in last 2 weeks who received ACT treatment within 24 hours from onset of fever

CU5 with cough/pneumo in last 2 weeks

21 % of CU5 with cough/pneumonia seeking treatment from CHVs in the last 2 weeks

CU5 with cough/pneumo in last 2 weeks

22 % of CU5 with cough/pneumonia treated with antibiotic in USG-supported program in the past 2 weeks

CU5 with cough/pneumo in last 2 weeks

23 % of CU5 with diarrhea seeking treatment from CHVs in the last 2 weeks CU5 with diarrhea in last 2 weeks 24 % of CU5 with diarrhea treated with oral rehydration therapy (ORT) in

USG-supported program in the past 2 weeks CU5 with diarrhea in last 2 weeks

25 % of CU5 with fever seeking treatment from CHVs in the last 2 weeks CU5 with fever in last 2 weeks

26 % of CU5 tested RDT positive CU5 with fever in last 2 weeks

27 % of CU5 tested RDT positive who receive ACT CU5 with malaria in last 2 weeks 28 % of newborns receiving essential newborn care through USG-supported programs Infants 0-5.9 months 29 % of children 0 - 6 months exclusively breastfed Infants 0-5.9 months 30 % of children 0 - 6 months exclusively breastfed in the past 24 hours Infants 0-5.9 months 31 % of newborns attended during the post-natal period by a healthcare provider Infants 0-5.9 months

Table 5 – List of Indicators for Sampling Group: Women of Reproductive Age

Indicators Sampling group 1 % of pregnant women who slept under ITN the previous night or in a house sprayed with IRS in the last 12 months Pregnant woman

2 % of pregnant women who slept under ITN three previous night or in a house sprayed with IRS in the last 12 months

Pregnant woman

3 % of pregnant women who know to go to CSB to receive two doses of ItPt during pregnancy

Pregnant woman

4 % of mother of CU1 expressing a desire to wait at least 24 months before being pregnant again

Women with CU1

5 % of mother of children aged less than 12 months who stated a desire to wait at least 24 months to have another child

Women with CU1

6 % of WRA satisfied of CHVs' quality care WRA married or in union

7 % of WRA in union using modern contraceptives (MCPR) WRA married or in union

8 % of WRA in union who use Lactational Amenorrhea Method (LAM) as their method of family planning

WRA married or in union

9 % of WRA in union with unmet FP need WRA married or in union

10 % of WRA in union exposed to IEC/BCC FP message WRA married or in union

11 % of WRA seeking counseling or treatment from CHVs for FP/RH WRA married or in union

12 % of WRA in union who report increased self-efficacy at the conclusion of USG-supported training (SCORE?)

WRA married or in union

13 % of WRA in union reporting no myths or misconceptions regarding modern FP methods

WRA married or in union

14 % of WRA in union who perceive that their partner support them to use modern contraceptives

WRA married or in union

15 Number of WRA in union seeking counsel or products at CHV in the past two weeks

WRA married or in union

16 % of WRA seen at ANC at least 4 times during their pregnancy with a live birth

WRA Pregnant in last 2 years

17 % of WRA who receive two tetanus toxoid shot (or equivalent) during their last pregnancy

WRA Pregnant in last 2 years

18 % of WRA who state they received iron folate supplement during their last pregnancy

WRA Pregnant in last 2 years

19 % of WRA who received 2 doses of SP for IPTp during last pregnancy within the last two years

WRA Pregnant in last 2 years

20 % of birth attended by a doctor, nurse, or trained midwife WRA who gave live birth in the last 2 years

Table 6 – List of Indicators for Sampling Group: Product Distribution Points Indicators Sampling group

1 % of CHV with adequate health product storage equipment CHV 2 % of CHV members of microfinance group CHV 3 % of CHVs with access to credit provided by COSAN savings and loans CHV

4 % of CHV aware of LAPM service availability CHV 5 % of CHVs attending CCDS meeting in the last 2 months CHV 6 % of CHVs aware of LAPM service availability CHV 7 % of CHVs members of microfinance group CHV 8 % of CHVs certified by type of certification: PF4 CHV 9 % of CHVs certified by type of certification: IMCI CHV

10 % of CHVs certified by type of certification: DEPO CHV 11 % of CHVs receiving supervision from USAID community-healthcare projects in the last 2 months

CHV

12 % of CHVs practicing adequate disposal of hazard materials and equipment CHV 13 % of CHV houses or CHV huts with soap and water for hand washing CHV 14 % of CHVs providing FP/RH counseling or services including STI prevention and referral

CHV

15 % of CHVs that have no stock-outs of selected commodities at the time of the survey: ACT/Azac - RDT - Pneumostop - Pilplan - Confiance/Depo - ORS/Zinc/Viasur – Sur’eau - Protector Plus

CHV

16 Duration in days of last stock-out of selected commodities at the CHV at the time of the survey: ACT/Azac - RDT - Pneumostop - Pilplan - Confiance/Depo - ORS/Zinc/Viasur – Sur’eau - Protector Plus

CHV

17 % of ISM SPs that have no stock-outs of selected commodities at the time of the survey: ACT/Azac - RDT - Pneumostop - Pilplan - Confiance/Depo - ORS/Zinc/Viasur – Sur’eau - Protector Plus

SP

18 Duration in days of last stock-out of selected commodities at SP level:

ACT/Azac - RDT - Pneumostop - Pilplan - Confiance/Depo - ORS/Zinc/Viasur – Sur’eau - Protector Plus

SP

19 Number of CHVs buying health products at the SP in the past 3 months SP 20 % of SP with adequate health product storage equipment SP

5.3. DESIGN OF OMS

5.3.1. Sampling

The OMS will use a two-stage cluster sampling method. The fokontany is the primary cluster. It has the advantage of being consistent with the official administrative boundary, which is the basis for the community-based health system in Madagascar and also the limit of CHV’s intervention.

For the first stage, the Contractor will select five (5) fokontany in each district. The sampling process will maintain two (2) selected fokontany in the 2014 OMS surveys1, and shall use a method mimicking Probability Proportional to Size (PPS) for the selection of other fokontany. The PPS method will be also used for the FY 2015 OMS new districts. It ensures that a mixture of both, small and large fokontany, is included in the sample.

1 The sampling in FY 2014 OMS used the traditional PPS method.

The version of the PPS to use for the OMS activity is as follow:

All the fokontany with USAID activity implementation within each district are sorted in decreasing order of number of population. The Contractor will use the projected demographic data from the National Institute for Statistics (INSTAT). For each district, five (5) strata of equal size are formed, each one containing roughly one-fifth of the households but with a disproportionate number of fokontany. Thus, the first stratum contains a small number of large fokontany and the fifth stratum a large number of small fokontany. The Contractor will randomly select one fokontany within each of the strata.

The Contractor will then put in the strata all the fokontany visited in the OMS 2014 and randomly select two (2) strata with the OMS 2014 fokontany. The goal is to have only one fokontany per stratum. The selection of the fokontany in the three other strata will follow the PPS process previously explained. If the same fokontany as in 2014 is selected within the three strata, the Contractor will proceed to a second draw.

During the field work, if access to one originally selected fokontany is not possible, the

Contactor shall correspond with the USAID Contracting Officer’s Representative (COR) to sample an additional replacement fokontany. The fokontany replacement should be as close as possible to the original fokontany in terms of size so as to mimics the characteristics of the original fokontany i.e. it should be drawn from the same stratum of the original fokontany.

The second stage is a systematic random sampling of a same number of households within each selected fokontany. At this stage, individual in large fokontany have smaller probability of being sampled. This compensates the first stage; so that each individual in the population has the same probability of being sampled. In addition, a trade-off has to be made between logistical considerations in reducing travel time between fokontany (selecting more households per fokontany and few fokontany overall) and minimizing potential intra-cluster correlation (selecting few households per fokontany and more fokontany overall). Taking this into account, the Contractor will interview 25 households (S=25) in the five (5) sampled fokontany within each district, resulting in a sample size of 125 households per district, thus 4,875 households for the 39 districts in “Activity A”; and 25 households (S2=25) in five (5) fokontany within each district, resulting in sample size of 6,250 in the 50 districts of “Activity B”. It follows that Contractor for “Activity A” will visit 195 fokontany; and Contractor for “Activity B” will visit 250 fokontany in total.

Once a household is selected for interviewing, information on all eligible members within the sampled household should be obtained for the specific indicators which apply. The indicators in Table 3 through Table 6 involve 19 sampling groups and sub-groups (entities who are implicated in the denominators of the various indicators). These are:

1. Households

2. Infants 0 – 5.9 months (CU0-6)

3. Infants 0 – 11.9 months (CU0-12)

4. Children 0 – 23.9 months (CU2)

5. Children 6 – 23.9 months (Sub-sample of CU2)

6. Children 12 – 23.9 months (Sub-sample of CU2)

7. Children 0 - 59.9 months (CU5)

8. Children 6 - 59.9 months (Sub-sample of CU5)

9. Children 0 - 59.9 months with diarrhea in the last two weeks (Sub-sample of CU5)

10. Children 0 - 59.9 months with cough/pneumonia in the last two weeks (Sub-sample of

CU5)

11. Children 0 - 59.9 months with fever in the last two weeks (Sub-sample of CU5)

12. Women of reproductive age (15-49)

13. Women of reproductive age (15-49) married or in union

14. Pregnant women

15. Women with child 0-12 months

16. Women who were pregnant in the last two years

17. Women who gave live birth in the last two years

18. Community health volunteers

19. USAID Supply Points

An attempt should be made to collect information on all the sampling groups in relation to the indicators that are relevant to that group. For instance, one household is selected for interviewing;

an attempt should be made to collect information on all 0-5.9 month old infants in relation to exclusive breastfeeding. Similarly, an attempt should be made to collect information on all pre-natal care from all women who were pregnant in the last two years. Note that the respondent providing information may or may not be the same individual implicated in the sampling group.

For example, a caretaker may provide information on 0-5.9 month old infants in relation to exclusive breastfeeding, whereas a woman 15-49 years might provide information on herself in relation to her last pregnancy in the past two years.

5.3.2. Exclusion Criteria

The exclusion criterion for households is limited to those who refuse or unable to accept/sign the informed consent.

At the individual level, each respondent must agree to the content of the informed consent. For the questionnaire on children, the caretaker is the responsible to agree on/sign the informed consent.

C.5.3.3. Data Collection

The Contractor will collect primary information for the selected USAID health indicators presented in Table 3 through Table 6; and socio-economic and demographic characteristics of the households using the following five structured surveys:

Households Women of Reproductive Age (WRA) including subsample of WRA in union and pregnant women Caretaker of CU5 including subsample of caretakers of CU 0-6 months, CU 0-12 months, CU 0-23.9 months, and CU6-23 months CHVs

Point of Sales of health products managed by ISM/PSI

The Contractor will use the tablets provided by USAID to collect data. To ensure full consistency across the data and results from “Activity A” and “Activity B”, the Contractor is required to use the software prescribed by USAID for the data collection and the data analysis. It is the responsibility of the Contractor to manage properly the provided equipment. The goal is to ensure high quality and effective monitoring of data collection, and to reduce the time spent on data entry, processing, and analysis. It is the responsibility of the Contractor to train its staff on the proper use of the equipment.

For each respondent, the Contractor will validate the geographical location of the interview. The provided tablet will have the capability to do so. Interviews without GPS coordinates will not be counted as part of the deliverables. The Contractor has the responsibility to complete the number of samples presented in Section 5.3.1. The interviews at each household would not exceed one (1) hour and 30 minutes, including all the possible respondents.

To the extent possible, the collected data will be transferred to the USAID database on real time basis. However, if there is no internet connection, the Contractor must ensure that the data is updated at least weekly. The Contractor will make logistical arrangement to comply with this requirement. The link to the USAID database will be provided by USAID at least seven (7) days before the beginning of the field work. The Contractor will be provided with login name and password top ensure data integrity. The Contractor must also back up the daily data on a separate hard drive.

For the field data collection, the Contractor will hire the service of enumerators, supervisors, and guides. The enumerators will conduct interviews at the beneficiary locations (houses); the supervisors will administer the survey at CHVs and SPs respectively at their work location (houses or warehouses). The guide is needed to minimize the time spent in locating the fokontany and villages.

C.5.3.4. Data Quality Assurance

The Contractor will have sound and complete data quality assurance methodology to ensure the quality of the data collected under the OMS.

USAID staff will independently conduct Data Quality Assessment of the data collected by the OMS activity during the field implementation.

C.5.3.5. Data Analysis and Report Writing

The database will include one row for every sampled individual/household with corresponding data for all relevant indicators for that individual/household. Sampling weights will be appended to every row. This includes the sampling weights from the individual stages, as well as a “final sample weight” which is the product of sampling weights at the various stages multiplied by an adjustment for non-response.

The Contractor will process the data as possible on real time basis. Every time the field team has internet connection, they will send the collected data to the Contractor’s central office and to the USAID database system. The maximum lapse without updating the data would be one week. The final database will be ready, i.e. cleaned and documented, at most two weeks after the end of the data collection. For the USAID Open Data policy, the Contractor will provide a machine readable format for the database, and produce a codebook.

The Contractor will have a data analysis plan, which details the process to enter, clean, and analyze the collected quantitative data. If statistically valid, the results will be presented in cross-tabulation showing the districts, regions, and overall sample in the rows and indicators in the columns (See ANNEX 1). The confidence interval must be presented in the tables. The Contractor will map significant results using GIS tools. In addition, by USAID policy, any indicators involving people must be disaggregated by gender whenever possible.

Finally, the statistical significance of any differences for each of the indicators should also be reported in the narratives, in order to provide an indication of the reliability of the indicator estimate.

6. DELIVERABLES

For each OMS Activity the Contractor is required to deliver the following deliverables and reports:

1. Inception Report

2. Completion of Fieldwork Report and Dataset

3. Presentation of the Preliminary Main Findings

4. Draft Report

5. Final Report with the dataset in machine readable format and the codebook

The schedule uses calendar days to determine the timeline.

6.1. INCEPTION REPORT

No later than 14 days after the effective award date, the Contractor will submit the Inception Report in English, to the USAID/COR for approval.

No later than 14 days after receiving the Inception Report, the USAID/COR will organize a meeting with the Contractor for validation of the data collection tools and the survey protocol and analysis. The Contractor will have 7 (seven) days after the meeting to revise the document and submit the final version to USAID/COR for approval.

The fieldwork must not begin until the USAID/COR provides written approval of the Inception Report; the USAID/COR should approve or reject the Inception Report within 7 (seven) days after receiving the revised Inception Report.

The Inception Report will not exceed 30 pages, excluding the Annexes. It will include:

An introduction: a brief background of the project, purpose and scope of the OMS survey (up to 2 pages)

The detailed revised process for the second phase sampling, a presentation of the process for quality control, and a detailed organizations of the data analysis such as cleaning process, identification of missing and outliers, use of GIS maps (up to 20 pages)

A presentation of key implementation challenges and risks related to the OMS data collection (up to 2 pages)

A narrative for the work plan including a GANTT diagram (up to 4 pages) An outline of the final report (up to 2 pages) Annexes including:

o A map and a list of sampled villages for the survey;

o A list of the people contacted during the preparation of the Inception Report;

o The revised questionnaire for each of the five structured surveys showing the change made;

o Other documents as needed.

6.2. COMPLETION OF FIELD WORK REPORT AND DELIVERY OF RAW

DATASET

Fieldwork will take no more than 42 (forty-two) days, including travel and courtesy call to local authorities. No later than seven 7 (seven) days after the end of the fieldwork, the Contractor will provide the USAID/COR with a report showing the completion of the fieldwork. By this time, the complete dataset containing the collected information will be available on the USAID database system.

The Completion of Field Work (CFW) report will be submitted in English. The report must include at a minimum the list of the selected villages and village replacement if any, the number of surveyed households, the proportion of refusal and the proportion of household replacements, if any. A table showing the characteristics of each fokontany must also be presented (See checklist for villages in ANNEX 2).

USAID has to either approve or reject the completion report and the dataset in the USAID performance database system within 14 days after submission.

6.3. PRESENTATION OF THE MAIN FINDINGS

No later than 35 (thirty-five) days after a written approval of the USAID COR of the CFW report, the Contractor will make a presentation of the preliminary findings to the USAID and its implementing partners to collect additional information on the context of the study (by district/region); and to get feedback.

The date and time will be agreed to the COR for approval, at least 7 (five) days before the presentation.

The Contractor is required to use presentation software for the meeting. , The Contractor will document the discussions and recommendations from the participants. To the extent possible, the

Contractor will address these comments and recommendations in the Draft Report. The summary of the discussions and recommendations and whether they were addressed in the report will be an Annex to the Draft and Final Reports.

6.4. DRAFT REPORT

No later than 21 (twenty-one) days after the presentation of the preliminary findings, a Draft Report that includes responses to the comments from the preliminary presentation of the main findings must be submitted to the USAID/COR. The Draft Report must be submitted in English.

For each indicator, the report must clearly describe the overall actual and OMS 2014 values; and present the narrative interpretations which clearly detail the differences across districts, regions, and the changes over time if any.

USAID has to either to approve or reject the Draft Report within 21 (twenty-one) days after submission.

The Draft Report will not exceed 85 pages, excluding tithe page, acronym list, table of contents, list of tables and maps, annexes, tables and maps. It must include:

Title page Acronym list Table of contents List of tables and maps Background (up to 2 pages) Methodologies, Analysis, and Limitations (up to 3 pages) Results and narratives for each indicator (1 page per indicator) excluding tables and maps

In addition, the Draft Report must also include, at a minimum, the following annexes:

a) Statement of Work of this OMS activity

b) Tables and maps supporting the main report

c) Detailed methodologies and limitations

d) Location and map of sites visited during the survey

e) Data collection instruments

f) Summary of the discussions and recommendations on the preliminary findings

g) Source of information such as bibliography of document reviewed, list of the people interviewed

h) Disclosure of any conflicts of interest for the key personnel

With the Draft Report, the Contractor will submit electronically the machine readable version of the database, with the codebook to the USAID/COR.

6.5. FINAL REPORT

No later than 21 (twenty-one) days after USAID approves the Draft Report, the Contractor must submit the Final Report that incorporates the Contractor responses to Mission’s comments and suggestions. The Final Report will be submitted in English, electronically in Microsoft Word format.

USAID has to either to approve or reject the Final Report within 21 (twenty-one) days after submission.

The Draft Report will not exceed 85 pages, excluding tithe page, acronym list, table of contents, list of tables and maps, annexes, tables and maps. The Final Report must include:

Title page Acronym list Table of contents List of tables and maps Executive Summary (up to 5 pages) Background (up to 2 pages) Methodologies, Analysis, and Limitations (up to 3 pages) Results and narratives for each indicator (1 page per indicator) excluding tables and maps

In addition, the final report must also include at minimum, the following annexes:

a) Statement of Work of this OMS activity

b) Tables and maps supporting the main report

c) Detailed methodologies and limitations

d) Location and map of sites visited during the survey

e) Data collection instruments

f) Summary of the discussions and recommendations on the preliminary findings

g) Source of information such as bibliography of document reviewed, list of the people interviewed

h) Disclosure of any conflicts of interest for the key personnel

The Final Report must follow the standard USAID branding guidelines. The USAID Graphic Standards Manual is available at http://pdf.usaid.gov/pdf_docs/PNADB334.pdf. The report should not exceed 55 pages in length in its body, not including title page; list of acronyms; table of contents; List of tables, maps, and annexes.

No later than 14 (fourteen) days after the approval of the Final Report, the Contractor will deliver 2 (two) hard copies each for the French and English version to the USAID/COR. The electronic copies of the Final Report will be in both PDF and MS Word format. The Contractor will also deliver an electronic copy of the English version of the Final Report to the Development Experience Clearinghouse for archival within 30 days after the completion of the contract as per requirements of the AIDAR clause 752.7005 Submission Requirements for Development Experience Documents.

Data collected through this study will become the property of USAID and should be made available to the public barring rare exception. The Contractor must return all the equipment provided by USAID to conduct this activity.

7. TEAM COMPOSITION AND SKILLS

7.1. Key Personnel

The Contractor will provide two key personnel: one Team Leader and one Health Data Analyst.

The key-personnel will be external consultants, outside USAID and outside the implementing partners.

Team Leader

The Team Leader must have a graduate degree in public health, economics, international development, or similar disciplines; and must have at least ten years of experience in managing quantitative surveys. S/he must have a strong understanding of data collection and quantitative data analysis methodology. S/he will be the primary point of contact between USAID and, thus, must have excellent communications skills. S/he will provide leadership and coordinate activities.

S/he must be proficient in English to facilitate the discussion with USAID and to ensure the quality of the study report; s/he must be proficient in French.

The Team Leader will be responsible for ensuring that the deliverables are completed in a timely manner and are responsive to the Statement of Work and USAID comments.

Senior Health Data Analyst

The Senior Health Data Analyst must have a graduate degree in statistics, evaluation, economics, public health, international development, or similar disciplines; at least five-year experiences in quantitative data analysis; and at least had conducted analysis of health data. S/he must have experience in designing data entry form, collecting information, and setting up data quality control using tablet computers. S/he must be able to travel and test the performance and functionality of the data collection system in remote areas of the sampled sites; and is responsible for the training of the enumerators and supervisors on the use of tablets for data collection and in organizing data transmission and data quality monitoring during the fieldwork. S/he must be proficient in the use of statistical software STATA or SPSS and interpretation of the results.

7.2. Other Personnel

The composition of the team could include logistician and administrative assistant for this activity.

All field workers will have computer literacy and competence. The total number of enumerators for each “Activity” will not exceed 45.

8. LOGISTICS

The Contractor is responsible for:

Hiring of all required staff, including logisticians, supervisors and enumerators;

Arranging site visits and meetings as it deems necessary;

Arranging vehicle rental and drivers as needed for site visits;

Procuring its own work/office space, computers including tablets for data collection, internet access, software, printing, and photocopying.

9. ETHICAL CONSIDERATIONS

The Contractor will ensure protection of the confidentiality of the households and respondents from the data collection phase through data analysis to report writing. Electronic devices used for data collection, as well as storage devices for data transfer must be cleaned of the datasets, when the data processing ends. The electronic devices must be cleaned before returning them to USAID.

Field supervisors and enumerators will be trained on ethical considerations. All respondents will receive a copy of the informed consent forms for the general household questionnaire and before gathering height and weight data. Data files will be shared only between the enumerators and their field supervisors. Any staff involved in working with the database will password protect the database files. Identifying information of the respondents will not be included in the database available for outside use by the data analysts.

10. SCHEDULING

Table 7 presents the schedule for the survey (based on calendar days). Each Activity A and B will last for approximately 39 weeks, excluding the submission of the report to DEC.

Table 7 – Schedule for Activity A and Activity B

Activities Estimated number of days

Days after effective award date Award Date D0

DESK REVIEW

Contractor submits the Inception Report to USAID 14 D14 USAID organizes validation meeting with the Contractor

14 D28

Contractor revises Inception Report and submits revised report to

USAID

7 D35

USAID approves Inception Report 7 D42

FIELD WORK

Preliminary before field work: logistics, pre-testing of survey instruments, training of field staff, design of data collection tools using tablet

7 D49

Contractor…