81297043-Capacity Development for EmONC, Newborn Health and Family Planning in Tanzania

Kurze Beschreibung

Improving Health Care in Tanzania II (IHC2) is the Technical Cooperation module of the German Development Cooperation in the health sector in Tanzania. It is commissioned by the Federal Ministry for Economic Cooperation and Development (BMZ) for the period 04/2023 to 03/2026. It builds on experiences of the project Improving Mother and Child Health (IMCH, 2014-2018) and the first phase of the IHC (IHC1, 2019-2023).
The predecessor projects developed an approach to reduce maternal and neonatal mortality, based on the development of Standard Operating Procedures (SOPs) and job aids, training of HCWs, regular mentorships, clinical attachments, provision of essential medical equipment, training on primary equipment maintenance. Both projects contributed to reducing the case fatality rates for selected obstetric complications (IMCH: Lindi and Mtwara regions, IHC1: Mbeya and Tanga regions). They also contributed to reducing facility-based neonatal mortality (IMCH: Lindi and Mtwara; IHC: Mbeya). The IHC programme added capacity development in family planning services to the approach, contributing to an increase in the number of new family planning acceptors in Mbeya and Tanga.
IHC2 will implement and further develop this approach. It targets Tanga region with 2.6 million people in 2022, of which about 590,000 live in poverty (23%). Potential beneficiaries are the estimated 730,000 women of reproductive age, of which 181,000 become pregnant each year and 226,000 are between 15 and 24 years. Direct beneficiaries are the 30,000 women who give birth and the 50,000 people who are using FP services every year in 20 selected health facilities. IHC2 will continue working in 8 facilities supported in IHC1 to secure sustained improvements and work in additional 12 new facilities. IHC2 will reach the target group through intermediaries who include health care workers and managers in the selected health facilities and health administrations, educators in school-based youth clubs, and community representatives involved in district and health facility budgeting.
The module objective is: "Maternal sexual and reproductive health and newborn health are improved in selected project regions". Progress of the project is measured by the case-fatality rate due to selected obstetric complications, the institutional neonatal mortality rates, the number of couple-years-of protection (CYP) through contraceptives prescribed annually, and the inclusion of implementation experiences from Tanga in national strategies, guidelines, or manuals for service provision.
The project has three thematic areas or Outputs: Emergency Obstetric Care and Newborn Health (Output 1); Family Planning (Output 2); Evidence-based Health Service Planning (Output 3).
The objective of Output 1 is to improve the performance of selected health facilities in the management of selected obstetric and neonatal complications. The objective of Output 2 is to improve access to youth-friendly family planning services for young people. Lastly, the objective of Output 3 is to improve the quality of the health facilities' planning processes.

Beschreibung der Beschaffung

IHC2 requires the services of a contractor who can support the capacity development activities in comprehensive emergency obstetric and neonatal care (CEmONC), newborn care and family planning through deployment of long term and short-term experts. The support provided by the experts will contribute to the implementation of IHC2 project activities
The contractor is responsible for implementing interventions that will contribute to achieving the module objective and to reaching the targets set for the four indicators measuring progress against the objective, as well contribute to achieving the objectives of Outputs 1 and 2 of the project and to reaching the targets for related Output indicators.
Activities will be divided into three work packages. Across the work packages, the contractor shall support indicated partner Hospitals and HCs. through the following types of capacity development measures:
(1) Formal training: focused on transmitting knowledge of theory, techniques and practicing competences and skills in a setting away from the place of work; formal trainings should take place in the first year of implementation as far as possible. The contractor may complement own staff with experts from the partner system in the delivery of trainings where possible.
(2) On-the-job training and mentorship: focused on refreshing knowledge, practicing competences and skills in a setting in the place of work (incl. simulations and real service provision). Around 25 trained mentors are available in the partner system. These will be available to be part of the mentorship teams. At least one contractor staff should always be part of a mentorship team to further develop capacities of the mentors from the partner system. More mentors are to be trained. Facilities that had been supported in IHC1 are to receive quarterly mentoring visits. For new facilities the same frequency is planned for the first 12 months, with formal trainings to take place between the visits. Once the training programme has been completed, new facilities are to be visited every six weeks.
(3) Clinical attachments: attaching a staff from a lower level to a higher-level facility for a certain time period for learning advanced skills from more experienced colleagues
(4) Registered courses: Enrolment of selected staff in training programmes finishing with a recognized certificate.
(5) Other measures: any other measure, including e.g., peer support networks, advisory services to health centre management and boards.
Work Package 1 is on CEmONC. This work package aims at improving the capacity of the supported hospitals and health centres to provide high quality, functional and empathic emergency obstetric care services to pregnant women, their newborns, and families. The services to be provided under this work package contribute to Output 1.
Work Package 2 is on Newborn Care. The aim of this work package is to improve the capacity of the selected hospitals and health centres to provide high quality, functional and empathic care for small and sick newborns and to stabilize critically ill neonates before referral. It is anticipated that this will ultimately contribute to reduction of health facility-based newborn deaths from preventable causes. The services to be provided under this work package contribute to Output 1. The same 16 health facilities as in work package 1 will be supported in this work package.
Work Package 3 is on Family Planning. The aim of this package is to improve access to youth-friendly family planning services for young people. This includes increasing demand through education and improving the youth-friendliness of health services. The services to be provided under this work package contribute to output 2 (see above). The aim of this package is to improve access to youth-friendly family planning services for young people. This includes increasing demand through education and improving the youth-friendliness of health services. The services to be provided under this work package contribute to output 2 (see above). 16 HFs are to be supported in this Work Package, with a partial overlap with the Work Packages 1 and 2.
The contractor is required to take measures to avoid or reduce possible unintended negative results on the environment and climate change, on conflict and human rights, and to support gender equality in its area of responsibility.

Beschreibung der Verlängerungen

GIZ may optionally commission contract amendments and/or increases based on the criteria in the tender documents to the successful bidder of this tender. For details, please see the terms of reference.

Beschreibung der Optionen

GIZ may optionally commission contract amendments and/or increases based on the criteria in the tender documents to the successful bidder of this tender. For details, please see the terms of reference.

Liste und kurze Beschreibung der Bedingungen

1) Name and address of the company, legal form, registered office (country), owners and controlling parties, commercial register number/dirstrict court, bank account, tax number, VAT identification number, brief company profile and contact in event of queries.
2) Extract from the commercial register or equivalent evidence/proof in English or German (not older than six months).
3) Self-declaration that no grounds for exclusion in Section 123, 124 of the German Act Against Restraints of Competition (GWB), section 22 of the German Supply Chain Due Diligence Act (LkSG) and EU-Russian sanctions as well as that in the last three years no custodial sentence of more than three years or a fine of more than 90 daily rates or a fine of more than two thousand five hundred euros, which resulted in an entry in the Competition Register, been imposed for noncompliance as specified in section 124 (2) of the German Act against Restraints on Competition (GWB) apply.
4) If a candidate/tenderer wishes to use the capacities of another company for the execution of the contract or to prove his/her eligibility, she/he must prove by submitting a declaration of commitment that the corresponding capacities are available to him/her for the execution of the contract and a declaration of commitment and a declaration that no grounds for exclusion pursuant to Section 123 GWB and/or Section 124 GWB apply to them must be submitted.
5) In the case of participation as a bidding consortium: tenderers must appoint a leading member and authorise this member to represent the group and to receive payments with discharging effect also for the other members. A corresponding agreement, signed by all members, must be attached to the application for participation. For this purpose, the form provided by GIZ must be used.

Liste und kurze Beschreibung der Auswahlkriterien

1) Declaration on the average annual turnover for the last 3 financial years (last-but-4 financial year can be included in case of invitation to tender held within 6 months of end of last financial year).
2) Declaration on the average number of employees and managers for the past three calendar years.

1) Average annual turnover for the last 3 financial years: at least 1,500,000 EUR.
2) Average number of employees and managers for the past three calendar years: at least 10 persons.

Liste und kurze Beschreibung der Auswahlkriterien

It is necessary to provide
(1) at least two reference projects covering at least two of the following three technical fields:
(i) technical field 1: emergency obstetric care;
and/or
(ii) technical field 2: neonatal care and/or perinatal care;
and/or
(iii) technical field 3: reproductive and/or adolescent health.
(2) and at least one of these reference projects must be in Africa in at least one of the above mentioned technical fields.
Each of the reference project must be in the last three years with a minimum commission value of at least 500,000 EUR.
The two references do not have to cover two of the above-mentioned technical fields individually. It is sufficient if the two references together cover two of the above-mentioned technical fields

Bedingungen für die Teilnahme (technische und berufliche Fähigkeiten)

1) The technical assessment is only based on reference projects with a minimum commission value of EUR 500,000 (five hundred thousand Euro) in the last three years.
2) The minimum requirements forsee
a) at least two reference projects covering at least two of the following three technical fields:
(i) technical field 1: emergency obstetric care;
and/or
(ii) technical field 2: neonatal care and/or perinatal care;
and/or
(iii) technical field 3: reproductive and/or adolescent health.
b) and at least one of these reference projects must be in Africa in at least one of the above mentioned technical fields.
As mentioned above under 1): Each of the reference project must be in the last three years with a minimum commission value of at least 500,000 EUR.
The two references do not have to cover two of the above-mentioned technical fields individually. It is sufficient if the two references together cover two of the above-mentioned technical fields

Verweis auf die einschlägige Rechts- oder Verwaltungsvorschrift

Part of the tasks assigned to Experts 2 through 5 require them to have patient contact (esp. on-site mentoring). Tanzania regulates this through licensing of health professionals by the Medical Council of Tanzania for medical doctors and by the Tanzania Nursing and Midwifery Council for nurses and midwives. To comply with this regulatory requirement, GIZ requires the successful bidder to supply the medical licenses of Experts 2 through 5 before the start of project activities.

Genaue Informationen über Fristen für Überprüfungsverfahren

According to Article 160, Section 3 of the German Act Against Restraint of Competition (GWB), application for review is not permissible insofar as
1. the applicant has identified the claimed infringement of the procurement rules before submitting the application for review and has not submitted a complaint to the contracting authority within a period of 10 calendar days; the expiry of the period pursuant to Article 134, Section 2 remains unaffected,
2. complaints of infringements of procurement rules that are evident in the tender notice are not submitted to the contracting authority at the latest by the expiry of the deadline for the application or by the deadline for the submission of bids, specified in the tender notice.
3. complaints of infringements of procurement rules that first become evident in the tender documents are not submitted to the contracting authority at the latest by the expiry of the deadline for application or by the deadline for the submission of bids,
4. more than 15 calendar days have expired since receipt of notification from the contracting authority that it is unwilling to redress the complaint.
Sentence 1 does not apply in the case of an application to determine the invalidity of the contract in accordance with Article 135, Section 1 (2). Article 134, Section 1, Sentence 2 remains unaffected.