Job Description

Terms of Reference (TOR) for Infrastructure Works for Damal Caafimaad Supported Health Facilities in Nugaal Region of Puntland State of Somalia

Project Name:  Damal Caafimad Project

Location of services: Nugaal region (Garowe, Burtinle, Eyl, Dangoroyo and Godobjiraan Districts)

Background and Context Analysis

The “Improving Healthcare Services in Somalia (Damal Caafimaad)” project, led by Population Services International (PSI), with partner CARE, will work closely with the Ministry of Health (MOH), Puntland State of Somalia, local authorities, federal government structures, the World Bank, other Damal Caafimaad partners, the Somalia health and nutrition cluster sector groups, communities, civil society, the public sector, and existing donor-funded projects to improve access, coverage, and quality of essential health and nutrition services and address the leading causes of mortality and morbidity in the Nugaal region. The Team is poised to deliver results, with local and global experience in health system strengthening and integrated service delivery; a footprint at regional, district, and community levels; deep relationships with government; and proven capabilities in grant and contract management.

Building on the achievements and experiences of Somalia’s previous and ongoing essential package of health services (EPHS) efforts, the Team will implement an MOH-led program centered around system strengthening and resilience building, working with stakeholders to alleviate barriers through innovative approaches that strengthen health system capacity and expand access and continuity of EPHS services. All project activities are underpinned by a nested approach to person-centered care and health systems strengthening, built on the principles of quality of care (QoC), equity, and resource optimization.

Project objectives

Infrastructure and Maintenance of Health Facilities (D4). The Team will improve both physical facility infrastructure and use of existing space. The Team will follow the WHO SARA assessment tool already in use by MOH to address gaps/build on planned infrastructure improvements and medical equipment maintenance and supplies. The Team will also use the DHIS2-based HNQIS Integrated Supportive Supervision checklist to support MOH in assessing health facility infrastructure more routinely through supportive supervision (checklist will be updated with MOH to include climate smart questions). The Team will prioritize improvements in electricity, water, sanitation (including separate male/female toilets), private areas for the provision of GBV services, and basic disability access such as rails and ramps, perimeter wall fencing, and ensuring waiting areas are adequately shaded. The Team will manage facility maintenance and repair and all physical assets under a comprehensive Health Facility Maintenance Plan. As a secondary priority, the Team will explore lower-cost, high-impact interventions to increase provider motivation and retention, such as dedicated break areas for health-care workers. PSI’s human centered design (HCD) process will help identify such solutions. The Team will link closely with third-party monitoring (TPM) quality measurement exercises, and the National Health Professional Council to ensure quality and will explore introducing a ‘quality badge’ to promote quality accountability.

In relation to the proposed project activities, CARE expects high-quality work from the successful vendor/s in all infrastructure sites under this intervention in the realization of value for money. CARE WASH engineers will provide the required BOQs and designs that are specific to each Health facilities, PHUs, Hospitals, Latrines, solar systems, incinerators, disability ramps and water connection systems based on the priority needs of the successful vendor/s. Some of the key Construction/rehabilitation activities under this project will include:

• Major rehabilitation of Maternity Units.
• Major rehabilitation of Medical Store
• Major rehabilitation of Operation theater
• Construction/repair of the water storage facilities.
• Major rehabilitation of General Hospitals.
• Major rehabilitation of OPD Center.

To ensure the quality of work and adherence to the BOQs and designs, CARE WASH engineers will be supervising the infrastructure works during the implementation period and will issue a certificate of completion on confirming the successful completion of the construction/rehabilitation and quality of work by the vendor/s.

Experiences and Qualifications

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Skills Required

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