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Tenders are invited for Consultancy - CAR Medical Supply Chain Assessment.
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CAR Medical Supply Chain Assessment
The Global Fund in collaboration with the Government of the Central African Republic and other humanitarian partners is funding a program against HIV-AID, TB and Malaria. The French Red Cross (CRF) is the Principal Recipient for HIV and TB fund and World Vision (WV) for Malaria.
The Supply Chain Management system in place is quite complex and involves several actors. The orders for Medicines and others furniture are initiated by the Principal Recipients above mentioned and submitted to the Global Fund Head Quarter for offshore procurement and delivery to Bangui. World Food Program (WFP) provides logistics support for storage and quarterly delivery from Bangui to final distribution sites (FOSA).
A solid forecasting and supplies pipeline management system is not established in this SCM. Frequent Stock out in the Supply Chain (country, health district and health center level) are observed resulting from weaknesses in the supply chain and impact the management of patients, especially children.
Weaknesses in the governance of HIVAIDS programs and activities can be summarized as follow: number of the MoH entities (DLCMT, CNLS and CCM) involved in this program; lack of leadership; low capacity of human resources; The lack of strong and coordinating national institutions have a negative impact on the supply chain management.
The government Supply chain for generic drugs managed by the Ministry of health through UCM (Medical supply Chain Unit) have difficulties in term of international procurement of medicines and it’s in-country logistics. The offshore procurement lead time is more than 6 months and health districts and centers are very often in stocks out of these essential medicines. This impact negatively all intervention in the country health improvement.
It’s in this context that UNICEF was contacted by the Ministry of Health to participate to a strategic assessment of Medical Supplies Chain Management in general with a focus on above 3 diseases in the Global fund portfolio.
2.0. Objectives for Assignment:
The main objective is to analyze the supply chain system/processes for medical supplies and identify areas for process and capacity improvement and system strengthening in Supplies Chain Management.
The specific objectives for the assignment are:
• To conduct a thorough analysis (including SWOT/Bottleneck analysis) of the end-to-end supply chain systems/processes for medical supplies commodities (including procurement processes; systems for forecasting, quantification and procurement planning; customs clearance, storage facilities, in-country logistics, data management of commodities, stock levels and patient data on intake of services and end-user monitoring) including comparisons of volume and capacity in warehousing and distribution.
• To conduct a capacity assessment of the various actor’s teams involved in supply chain processes and document a capacity gap analysis for the Medical supplies programs.
• To assess Monitoring and evaluation processes and review SOPs in place for managing and tracking nutrition commodities.
• To Develop recommendations for improving Medical supplies supply chain system and processes (including procurement processes; systems for forecasting, quantification and procurement planning; customs clearance, storage facilities, in-country logistics, data management of commodities, stock levels and patient data on intake of services and end-user monitoring).
3.0. Methodology of the Assignment:
This mission is part of a global assessment of AIDS, TB and malaria Global Fund F funded program. It will be done by a team of consultants.
- One will manage the programmatical issues assuming the assessment coordination and consolidated report elaboration issues hired by UNAIDS;
- One for the supply chain assessment hired by UNICEF;
- and a last one for this treatment quality issues hired by WHO.
The Supply Chain system analysis component will help by identifying the bottlenecks and gaps at various operational levels, develop recommendations for improving and optimizing the system and the development of costed improvement roadmap including capacity building needs and plans. This will involve creative and interactive approaches to strengthening the government system including building the capacities of the responsible teams. This country existing medical supply chain can be divided one three main sub-groups:
- Nutrition supplies: Therapeutic Foods, medicines and anthropometric equipment managed by UNICEF
- HIV-AID, TB and Malaria Program supplies sponsored by Global fund managed by the Principals Recipients (CRF and WV) in collaboration with WFP assuming the in-country logistics;
- Other essential medicines managed by Ministry of Health mechanism through MoH mechanism, (DNP, UCM).
For this assignment, the method proposition must include;
• Desk reviews of available documents (e.g. comprehensive review of supply chain policy & planning documents, guidelines, manuals and technical reports and SOPs);
• Work with the national logistics coordination groups to establish a roadmap for the overall review, work plan development and partner accountability including the government services involved in SCM implementation.
• Apply the maturity model for a quick self-assessment with all the key stakeholders, and then conduct a prioritization exercise to see which aspects of the supply chain you should focus.
• Develop a work plan with the partners in the national logistics working group. .
• Above approaches will be combined with spot checks visits to a sample of districts and primary health care facilities to assess the supply chain management system specially the logistics and transportation, consumption recording, reporting and requisition mechanism at this operational level.
• Inception report based on the desk review, meetings with main participants for the AIDS, TB and Malaria product SCM system in GF funded programs leading to general overview of the SCM and a deeper Assessment plan;
• Situational analysis report for the supply chain management system (highlighting the SWOT analysis matrix and key bottlenecks to the SCM systems) based on desk review if documentation, interviews, field visits and supply chain maturity scores;
• Keys recommendations for improving each of the 3 main SCM groups for medical supplies above mentioned.
6.0. Roles and Responsibilities:
• UNICEF Country Office (CO):
o will manage the Supply chain assessment project
o will be part of the recruitment process for the contractor
o manage the day to day implementation of the contract including managing on the ground administration of the in-country stakeholder meetings.
• UNICEF Regional Office (RO) and Supply Division (SD): Will provide technical assistance for conducting the assessment and meeting the contractual obligations.
• CONTRACTOR: Will carry out activities to meet the objectives listed in Section 3.0 and achieve the deliverables in Section 4.0.
7.0. Reporting and Language Requirements:
• All reports shall be required in French.
• Reports should be in word and pdf formats (with accompanying documents that shows analyses that inform aspects of the report).
1.1 Proposals must include complete and accurate information. The proposal must include, but is not limited to, the following items:
i. Describe how the contract Holders will address each item outlined in the Objectives section of this TOR, including outlining the methodology, resources needed and applicable tools.
ii. Share a template work plan specifying the tasks to be performed, approximate durations, methodologies, on-site and off-site meetings, the key deliverables including the final report.
iii. Provide a list of applicable tools and other expert technical providers, if any, and the work they would perform.
iv. Detailed CV of main consultant and other subcontractors involved in this assessment process.
v. Financial proposal covering all the mission cost (honoraria travel, admin fees, hotels etc.â€¦.)
8.0. Evaluation Process:
Each proposal will be assessed first on its technical merits (including by reference to legal requirements) and subsequently on its price. The proposal obtaining the overall highest score after adding the scores for the technical and financial proposals is/are the proposal(s) that offers best value for money and will be recommended for the award of contract.
The proposals will be evaluated against the following elements. The total amount of points allocated for the technical component is 70, the financial component is 30 points. UNICEF evaluators will assess the submission based on the criteria set below. Only the bidders that obtain 50 points and above from the technical evaluation will be considered for the stage of financial evaluation
Advertised: 05 Aug 2019 W. Central Africa Standard Time
Applications close: 14 Aug 2019 11:55 PM W. Central Africa Standard Time