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(ToR) for a National Consultant to Conduct Digital Health Landscape Assessment in Rwanda

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Health

For over 35 years in 100 countries, we’ve partnered with local communities to make sure health workers are present where they’re needed most, ready to do the job, connected to the technology they need, and safe to do their very best work.

Terms of Reference for a National Consultant to Conduct Digital Health Landscape Assessment in Rwanda

Background

The USAID Ingobyi Activity seeks the services of a consultant (or a team of consultants) to support a digital health landscape assessment and prioritization of promising technologies in Rwanda.  Ingobyi Activity is a five-year cooperative agreement to improve the quality of reproductive, maternal, newborn, and child health (RMNCH) and malaria services, in a sustainable manner with the goal of reducing infant and maternal mortality in Rwanda. The USAID Ingobyi Activity builds upon the tremendous gains Rwanda has made as well as previous USAID investments in the health sector. USAID Ingobyi Activity aims to contribute to the reduction of infant and maternal mortality and incidence of malaria in Rwanda. The Activity partners with the GOR to build on the country’s considerable achievements, guided by national health strategies, goals, objectives, and data. The Activity is not just building capacity and capability but aims to achieve shared understanding of the patterns and systemic structures that underlie the health system and where and how to bring about measurable, sustainable improvements. It is expected that efforts will generate a virtuous cycle that produces a stronger health system through increased access, skills, standards, and institutions. The goal of USAID Ingobyi Activity is to contribute to the reduction of infant and maternal mortality in Rwanda. The strategic objective is to improve the utilization and quality of RMNCH and malaria services in Rwanda, in a sustainable manner. The Ministry of Health (MOH) is committed to improving equitable access to high-quality health care to all Rwandans. Through the fourth Health Sector Strategic Plan (HSSP4), the MOH commits to ensure that all persons in Rwanda have access to equitable and quality maternal, neonatal, and child and community health (MCCH) services. This contributes to achieving the Sustainable Development Goals, which have ambitious health-related targets for mothers, newborns, and children, and the Universal Health Coverage by 2030. In the same vein, the Government of Rwanda adopted the utilization of ICT in health sector as one of the most important modes to improving the quality of healthcare services.

Over the past few years, the Ministry of Health has been investing in ICT solutions by installing electronic health record systems and other health related ICT interventions throughout Rwanda. In fact, Rwandan Government has made smart health one of the pillars in the information and communication technology policy. To support this vision, the MoH, through collaboration with USAID-funded Ingobyi Project, implemented by IntraHealth International Inc., embarked on interventions to reduce maternal, neonatal, and child mortality, by strengthening Rwanda’s community health program and leveraging the transformative power of digital health to enable increased impact of malaria programming and other health packages down to the community level. However, there is need to identify, evaluate, and prioritize digital health needs at community level to sustainably scale digital health solutions for enhanced impact of community health programs.

Purpose and objectives of the assignment

The purpose of this task is to support IntraHealth International and MOH to conduct a comprehensive digital health landscape assessment on community health ecosystem to undertake prioritization of malaria and community health related digital health solutions in Rwanda. 

The objectives of this work are:

  • To document the digital ecosystem for routine malaria and related community health services.
  • To prioritize opportunities to strengthen the digital ecosystem for routine malaria and related community health services.

This assignment is divided into two phases.

Phase 1 – Rapid ecosystem assessment

  • Review a desk review report for the malaria and community health digital health landscape in Rwanda;
  • Conduct and analyze key informant interviews and FGD (focus group discussion) results through the local context lens to validate the digital health landscape.
  • Discuss findings with implementing team (technical leads) and MOH technical teams.
  • Prepare a draft report based on the provided template; and
  • Address any concerns with the findings – including possibility of further investigation in response to gaps noted in the report, and provide revised report.

Phase 2- Prioritization of digital health opportunities

This phase will involve convening a workshop with key stakeholders in community and malaria digital health sphere to undertake prioritization of promising digital health technologies that can be scaled up to improve malaria and community health program.  Key tasks include the following:

  • Work with IntraHealth technical leads to Identify key stakeholders for Phase 2;
  • Organize a prioritization workshop (in-person or virtual, depending on Rwanda’s COVID-19 regulations) in collaboration with key stakeholders, based on a defined methodology. The workshop will facilitate the articulation and documentation of needs, opportunities, and priorities and define critical routine malaria data and service delivery priorities where enabling digital tools and supporting systems might be pursued to increase impact. The consultant may conduct key informant interviews for validation and further probing of information elucidated by the workshop if needed.
  • Write workshop report;
  • Conduct additional KIIs (if necessary) to fill any identified gaps or concerns in the landscape assessment report or needed to make informed prioritization of promising digital technologies; and
  • Submit final assessment and prioritization report.

Final deliverables

  1. Inception report that includes an activity implementation plan
  2. Notes on review of the desk review report
  3. Draft landscape report
  4. Draft prioritization workshop report
  5. Final assessment and prioritization report

Required qualifications and competencies

Qualifications

  • Must have master’s degree in public health or related health and social sciences;
  • A strong experience in leading/implementing digital health ecosystem;
  • Must have a research background with focus on surveys;
  • Very good understanding of health system, health data and digital health situation in Rwanda;
  • Excellent verbal and written communication skills in English; and
  • Strong IT/computer skills.

The following competencies are ideal:

  • Proven technical competence in digital technologies, digital health;
  • Strong analytical skills to explore across the Rwanda landscape for digital health advances as well as innovations in community health;
  • Excellent verbal and written communication skills in English;
  • Ability and willingness to work in with other health professionals; and
  • Strong report writing skills.

Resources to be provided to consultant

The following resources will be provided to the consultant:

  1. KII guides
  2. Survey questions
  3. FGD guides
  4. Draft desk review report
  5. Report template(s)

 Out-of-scope for consultant

For clarity, the following items are NOT the responsibility of the consultant:

  • Design of the survey questionnaire
  • Design of the FGD and KII guides
  • Determining sample size
  • Hiring of research assistants but will train research assistants

 Timeframe

This assignment is expected to be implemented within a timeframe of 45 working days starting from the date the contract is signed and must be completed by January 15th, 2021.

 Selection criteria

Applications will be assessed on cost reasonableness (30%) and technical competence (70%).

 How to apply

Interested applicants are requested to submit electronic copies of their technical and financial proposals (in English), by November 30,2020 to  ingobyiprocurement@intrahealth.org with the subject ‘Digital Health Landscape Assessment in Rwanda.” In the proposal, the applicant should explain how he/she intends to carry out the work and should include the following:

  • Updated CV, highlighting relevant qualifications and experience.
  • Description of consultant’s experience in conducting similar assignments.
  • Details of three former clients/referees who can be contacted for reference.
  • Proposed schedule for the assignment; and
  • Proposed budget with applicable unit costs.

 IntraHealth International is proud to be an equal opportunity employer.  All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law, and requires affirmative action to ensure equality of opportunity in all aspects of employment and consultancies. 

Receiving applications, shortlisting and interviews will be done on rolling basis. Only applicants fulfilling the above requirements will be contacted. If you don’t hear from us within one week from the submission deadline, consider your application unsuccessful.