Beschreibung der Beschaffung
Description of expected tasks and deliverables
The objective of the tendered service package is to support the implementation of the IHCT technical cooperation (TC) module. The tender services encompass all interventions (but the procurement of equipment) under Output 2 and Output 3 and require significant cooperation with the other areas concerning governance (Output 5) and digitalization (Output 1). The supported facilities comprise the two regional, and six district hospitals, and 8 health centres in the regions Mbeya and Tanga. The duration of the assignment is estimated to start from October 2020 and will run until end of March 2022.
The focus of the technical assistance to be provided by the contractor is as follows:
— Technical assistance to improve new-born care. The contractor is expected to build and enhance the capacity of staff in the target facilities to provide adequate new-borne care including the underlying support processes and to establish continuous learning. According to the policy of the Government of Tanzania new-born care areas at health centres are to be established. Their scope bis to cater for stable, but premature or low birth weight new-borns or stabilization of critical ones until they can be referred to a District Hospital or a Regional Referral Hospital, which also receive support to establish (in Tanga) or improve (Mbeya) new-born services
— Technical assistance to improve comprehensive emergency obstetric (and neonatal) Care (CEmONC). The contractor is expected to: strengthen mentorship and supportive supervision, build and enhance basic and comprehensive emergency obstetric and neonatal care using a patient-centred care approach, train on asphyxia prevention and management, improve communication and referral between the different levels, integrate support into quality improvement approaches and establish continuous learning processes,
— Technical assistance to improve family planning (FP) services. The contractor is expected to: integrate FP counselling into frequently used services such as antenatal care, postnatal care and expanded programme on immunization (EPI), develop and implement behaviour change interventions for FP providers, develop and provide (youth-friendly) information, education and communication (IEC) materials,
— Technical assistance to improve managerial capacities and data quality and use. The contractor is expected to: build and enhance the managerial capacity of staff in the target facilities in selected areas using different approaches (on-the-job-training, coaching and mentoring), improve data quality and use for enhancing quality of services for new-born care, EmONC and FP; build and/ or enhance the capacity of facility staff in accurate/ correct use primary/ user maintenance and planned preventive maintenance of medical equipment.
Other requirements include the following:
It needs to be highlighted that the overall objective is to establish Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) services at selected health centres and district hospitals. Readiness to provide these services differs considerably between health centers and district hospitals and between the different health centers. Therefore, the contractor must take an approach that builds the necessary capacity for providing caesarean sections, anaesthesia and blood transfusion while at the same time building capacity for Basic Emergency Obstetric and Neonatal Care (BEMONC) and ensuring continued services provision.
Major deliverables:
— Competency-based trainings on advanced new-born care conducted,
— Staff trained on CEmONC signal functions at health centers and district hospitals in both regions (skill/ competency-based trainings),
— Mentoring of staff in core competencies for newborn care and emergency obstetric care established,
— Trainings on asphyxia prevention conducted in both regions,
— Doctors trained on caesarean sections, nurses trained on anaesthesia,
— Concept on integration of FP services developed and implemented.