Conduct a Study of the Healthcare Market in Haiti Tender, Haiti - 47808380

Procurement Summary

Country : Haiti

Summary : Conduct a Study of the Healthcare Market in Haiti

Deadline : 01 Dec 2020

Other Information

Notice Type : Tender

TOT Ref.No.: 47808380

Document Ref. No. : 1271410

Competition : ICB

Financier : World Bank (WB)

Purchaser Ownership : -

Tender Value : Refer Document

Purchaser's Detail

Purchaser : THE WORLD BANK GROUP
Tel: +50928122240
Haiti
URL :https://www.worldbank.org/en/

Tender Details

Expression of Interest are invited for Conduct a Study of the Healthcare Market in Haiti.

REQUEST FOR EXPRESSION OF INTEREST FOR SELECTION # 1271410

This Request for Expression of Interest is for a Firm Selection. Please log in as a valid Firm User if you wish to express interest in this selection.

Selection Information

Assignment Title

HAITI HEALTHCARE

Publication Date

23-Nov-2020

Expression of Interest Deadline

01-Dec-2020 at 11:59:59 PM (Eastern Time - Washington D.C.)

Language of Notice

English

Selection Notice

Assignment Country

HT - Haiti
Funding Sources

The World Bank Group intends to finance the assignment/services under:

BB - BANK BUDGET
TF0B4039 - CMAW Upstream -LAC- Contingency
Individual/Firm

The consultant will be a firm.

Assignment Description

SELECTION FOR CONSULTANTS BY THE WORLD BANK GROUP

REQUEST FOR EXPRESSIONS OF INTEREST

Electronic Submissions through World Bank Group eConsultant2
https://wbgeconsult2.worldbank.org/wbgec/index.html

ASSIGNMENT OVERVIEW

Assignment Title: 1271410 - HAITI HEALTHCARE

Assignment Countries:
- Haiti

ASSIGNMENT DESCRIPTION

IFC is seeking to hire a Firm to conduct a study of the healthcare market in Haiti that will form the basis for a feasibility analysis of a new primary health care facility and potentially a new hospital in Ouanaminthe. The development of additional health care facilities in other regions is possible depending on the outcomes of the study. Any healthcare provision would be focused on low and medium-income patients. To serve this segment of the population, it will be key to understand which services are required, how the population is currently served, and how much patients can and are willing to pay for different services provided.

FUNDING SOURCE

The World Bank Group intends to finance the assignment / services described below under the following:
- BANK BUDGET
- CMAW Upstream -LAC- Contingency

ELIGIBILITY

Eligibility restrictions apply:
[Please type list of restrictions]

INDIVIDUAL / FIRM PROFILE
The consultant will be a firm.

SUBMISSION REQUIREMENTS
The World Bank Group now invites eligible firms to indicate their interest in providing the services. Interested firms must provide information indicating that they are qualified to perform the services (brochures, description of similar assignments, experience in similar conditions, availability of appropriate skills among staff, etc. for firms; CV and cover letter for individuals). Please note that the total size of all attachments should be less than 5MB. Consultants may associate to enhance their qualifications.

Interested firms are hereby invited to submit expressions of interest.

Expressions of Interest should be submitted, in English, electronically through World Bank Group eConsultant2 (https://wbgeconsult2.worldbank.org/wbgec/index.html)

NOTES
Following this invitation for Expression of Interest, a shortlist of qualified firms will be formally invited to submit proposals. Shortlisting and selection will be subject to the availability of funding.

Only those firms which have been shortlisted will receive notification. No debrief will be provided to firms which have not been shortlisted.

Attachments

Optional TOR File
Qualification Criteria

1. Provide information showing that they are qualified in the field of the assignment.
2. Provide information on the technical and managerial capabilities of the firm.
3. Provide information on their core business and years in business.
4. Provide information on the qualifications of key staff.




The World Bank Group
TERMS OF REFERENCE

ANALYSIS OF THE PRIMARY HEALTHCARE SERVICES IN HAITI

PROJECT NUMBER (605806)

A. INVOLVED ORGANIZATIONS, PROJECT BACKGROUND AND OBJECTIVES
Involved organizations:
The International Finance Corporation (IFC) is the largest global development institution that is focused exclusively on the private sector. As part of the World Bank Group, IFC-s vision is that people should have the opportunity to escape poverty and improve their lives by engaging in economic activity. To achieve this goal, IFC finances private sector investments, mobilizes capital in international financial markets, facilitates trade, helps clients improve social and environmental sustainability, and provides advisory services to businesses and governments.
Background:
Haiti is the poorest country in the Western Hemisphere, with a Gross Domestic Product (GDP) per capita of $756 in 2019 and a Human Development Index ranking of 169 out of 189 countries in 2019. According to the Human Capital Index, a child born today in Haiti will be only 45% as productive as an adult that enjoyed full education and health. Political instability has hindered Haiti-s economic and social development. GDP is estimated to have contracted by 0.9% in 2019, and the country has experienced large currency volatility, (24% of depreciation between January and August 2020, and 83% of appreciation in the month of September ) and rampant inflation (25.7% in July 2020 ). The economic outlook is fraught with downside risks amid the COVID-19 pandemic and an unresolved political crisis .
Haiti-s health outcomes are poor, even compared to other low-income countries, and depend on wealth levels. Both infant and child mortality remain high, the probability of dying before the age of five is 6.5%. Life expectancy at birth is 62 years for men, and 66 years for women, well below a global average of 73 years. Potential explanations include, among others, low service coverage in some regions, lack of practicing healthcare professionals, poor quality of available health services, high user fees, and very low levels of utilization of services. Indeed, utilization rates for outpatient services are only around 0.5 visits per person per year which compares to 1.9 visits per capital in Colombia, 2.3 visits in Costa Rica, and 2.8 visits in Mexico .
Access to primary care of good quality is very limited in Haiti. Only 23% of the population live within 5km of a facility with service delivery of good quality and only 46% of the facilities include maternity beds. Multiple reports suggest that women illegally cross into the Dominican Republic to give birth there, quoting high costs of private medical services in Haiti and low coverage of affordable services . Moreover, there is a concentration of primary care facilities only in and around Port-au-Prince . Ouanaminthe, located in the North of Haiti, 250km away from Port-au-Prince and on the border with the Dominican Republic, has limited public healthcare services available, with only one public hospital with a deteriorated infrastructure.
Objective:
IFC is seeking to hire a Firm to conduct a study of the healthcare market in Haiti that will form the basis for a feasibility analysis of a new primary health care facility and potentially a new hospital in Ouanaminthe. The development of additional health care facilities in other regions is possible depending on the outcomes of the study. Any healthcare provision would be focused on low and medium-income patients. To serve this segment of the population, it will be key to understand which services are required, how the population is currently served, and how much patients can and are willing to pay for different services provided.
The regional scope of this study is Haiti, with a focus on Ouanaminthe.
The topics of the study are the following and described in greater detail in the next section:
• Market overview
• Healthcare service providers
• Insurance system
• Diagnostic on community support
• Conclusion.
The report should be complemented by an executive summary and an appendix detailing (i) the stakeholders consulted, (ii) any data collected, and (iii) references of external documents used to transparently show the origins of any data obtained. Source documents may be provided in languages other than English, particularly in French or Spanish.

B. SCOPE OF WORK
IFC is seeking to hire a Firm to perform five main activities. Unless otherwise specified, the report should cover Haiti, and disaggregate data by region. Where specified, a focus lies on the Ouanaminthe region. IFC-s project will primarily target low- and medium-income households which should be the focus of this assessment. To ensure business model viability, a service offering that includes high-income households, or households benefiting from remittances, may be considered. Historical and expected figures should be provided, whenever possible, according to guidance below:
1. Market overview
a. Briefly describe the primary healthcare market in Haiti;
b. Estimate the demand for healthcare services, including
i. Current and historical numbers (last five years) of diseases that affect the population, with a breakdown by age and gender
ii. Current and historical numbers (last five years) of healthcare service needs in Haiti by region, with a breakdown by age and gender, and healthcare services frequently sourced abroad or in different regions (e.g. women giving birth in the Dominican Republic, influx of patients to a certain region to treat specific diseases)
iii. Current and historical numbers (last five years) about the use of formal and informal healthcare services in Haiti, by region
iv. Expected evolution of demand for healthcare services in the next 5 to 10 years by region, including the size of the potential market for primary care (i.e. number of potential walk-in patients).
c. Analyze prices for healthcare services in Haiti by region, focused on
i. Analysis of the current and historical (last five years) price paid for different types of healthcare services, including consultations, laboratory exams, medical images and any other healthcare services which are in high demand in the region; and
ii. Population-s ability and willingness to pay for tho

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