Beschreibung der Beschaffung
— Background
Since gaining independence in 1991, Uzbekistan has introduced multiple health reforms in the areas of health care, governance and financing in order to improve efficiency while ensuring fair access. Health care in the country has remained largely in public hands, but the buildings and medical infrastructure date predominantly from the Soviet Union era. Necessary repairs, for which there is often no personnel on site, are an additional burden on hospital budgets. Over the past 15 years, the Government of Uzbekistan has invested heavily in upgrading the health infrastructure, with a particular focus on the nationwide network of emergency care facilities. Modern medical devices are being acquired for imaging procedures and minimally invasive surgical procedures.
The health reform for 2019-2029 demands a new concept of public health care development in which training and continuous education based on international quality standards are important goals. In the area of pre and postgraduate education, continuous medical education (CME) is being introduced to enable a more efficient and professional use of modern medical equipment. In the technical field, the switch from reactive maintenance to secure and cost-effective health technology management (HTM) is another priority in the reform efforts.
Context
The GIZ measure builds on the previous project ‘Advanced Training for Medical Professionals on High-Tech Medical Equipment in Uzbekistan’. However, in the current project, a new focus lies on the systematization and institutionalization of structural changes. The measure has 3 outputs that aim at an improvement of the health situation of Uzbekistan's population, above all in the populous and high-fertility pilot regions, namely Tashkent, Samarkand and the Fergana Valley.
Output 1 aims to adapt the pre-service education of medical personnel in the use of advanced medical technology to international quality standards.
Output 2 aims to update standards for postgraduate training in the use of advanced medical technology in order to improve the quality of the medical and technical services in the public health system.
The contractor will be responsible for achieving Output 3, which aims to create prerequisites for the development of a national health technology management (HTM) strategy. Main partners in this will be the Health Ministry and the downstream Republican Training and Production Center for Servicing Medical Equipment (RTPCSME).
The overall duration of the GIZ measure is 2 years and 6 months (April 2019 to September 2021) with a total value of 3 000 000 EUR.
— Tasks of the contractor:
The contractor is requested to deliver services through 4 work packages:
Work Package 1: advisory services to the Health Ministry in the development and implementation of a national health technology management strategy;
Work Package 2: development of guidelines for the product life-cycle management of high-tech devices and development and implementation of user/manager trainings according to the guidelines;
Work Package 3: capacity development for the RTPCSME and its regional branches (e.g. through introduction of quality standards, revision of curricula for further training of technical personnel).
The contractor shall complete these tasks with a team of 2 international experts (1 long-term, 1 short-term) and 2 national experts (1 long-term, 1 short-term).