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Procurement Number

0002009640

Title

Cambodia Quality of Health Service Delivery Survey

Description

Cambodia has significantly transformed its economy and contributed to reducing poverty over the last decades, with GDP grew by an average annual rate of 7 percent. The growth enabled Cambodia to reach lower-middle income status in 2015. Poverty rates almost halved between 2009 and 2019 from 33.8 percent to 17.8 percent, with almost 2 million Cambodians escaping poverty.

In health sector, the government implemented a number of policy initiatives aimed at expanding access to health services since the 1990s. Built on the policy implementation in 1990s, a Sector-Wide Management (SWiM) approach was introduced in 2000 to mobilize fund from the government and Development Partners (DPs) to address the health priorities issues, aimed at achieving universal health coverage. Health Equity Fund (HEF) was also introduced in 2000 to increase access to health services and financial health protection for the poor. In 2009, user fees for health services were introduced at selected public health facilities and some level of their management autonomy was allowed. The Health Sector Policy (HSP) 2016-2020 was introduced with a focus on (i) improving health and well-being of the population, (ii) increasing financial risk protection in accessing health care, (iii) increasing health services delivery, and (iv) promoting governance and accountability. Expansion of HEF and introduction National Social Protection Schemes are key to promote access to quality health care.

Health outcomes over the last decades saw substantial improvement. Life expectancy from birth rose from 40 years in 2000 to 76 years in 2021. Maternal mortality has decreased from 351 deaths per 100,000 live births in 2005 to 154 per 100,000 live births in 2021. Childhood immunization coverage has expanded with 76% of children ages 12–23 months fully vaccinated in 2021 compared to 40% in 2000. The prevalence of contraceptive (any method) use among married women has increased steadily, from 24% in 2000 to 62% in 2021. Over this same period, the use of any modern method of family planning has climbed from 19% to 45%. These trends have contributed to a steep decline in infant and under-five mortality rates. Neonatal mortality has significantly decreased from 37 deaths per 1,000 live births to 8 deaths per 1,000 live births in 2021. Infant mortality dropped from 95 deaths per 1,000 live births in 2000 to 12 deaths per 1,000 live births in 2021; under-five mortality dropped from 124 deaths per 1,000 live births in 2000 to 16 deaths per 1,000 live births in 2021.

Despite the substantial improvement in maternal health, reductions in child mortality, and improvement in life expectancy, Cambodia’s human development has been lagging behind countries in the region. With HDI value of 0.593, Cambodia ranked the second lowest compared to its ASEAN peers in 2021.

Key challenges remain, including most notably low utilization of public health facilities, high out of pocket expenditures, and inequity of health outcomes. In 2021, only 15.3 percent of patients used public health facilities in their first visit compared to 83.9 percent in private facilities. Low utilization of public health facilities contributes to high out-of-pocket expenditures, which constitutes 60 percent of total health spending (compared to about 30 percent for countries at similar income level in 2020). Total health expenditure per capita increased in real terms from about $35 per annum in 2000 to about $115 in 2020. Nearly 80 percent of OOP was spent on private clinics or emergency care. High out of pocket spending means that the poor are less likely to have access to high quality health services. The increased burden from Non-Communicable Diseases (NCD) posts additional challenge to quality of service delivery. Deaths from NCD are on the rise reaching 3,043 DALYs per 10,000 population in 2019 from 2,789 in 2015 and 2,575 in 2010.

The government aimed to bring the quality of health service delivery to the next level. Toward this objective, the Ministry of Economy and Finance (MEF) and the Ministry of Health (MOH), in collaboration with the World Bank, undertakes survey on quality of health service delivery.

The World Bank is seeking to contract services of a consulting firm to carry out a Health Facility (HF) Survey. Data collected from the survey will be used to (a) provide snapshot of health facility structure, health and human resources, demand/ volume of key services, and service quality, (b) recommend actionable strategies for improving health service delivery & quality for Cambodians, and (c) provide policy recommendations for Public Financial Management (PFM) reform actions.

The consulting firm is expected to work closely with the World Bank task team and perform the below tasks:

1. Conduct survey and prepare full set of complete survey data. The expected sample size consists of 30 Operational district offices, 100 to 150 public health facilities and 100 to 150 private facilities , 500-600 health care providers, 450-750 patient exits, 45 communities. Listing of existing public and private health facilities in all provinces (hospitals and health centers); listing of health care providers (doctors, nurses and others that provide clinical assessment for health care services); and listing of patients that received health services will be collected by the World Bank team. The sampling framework for health facilities will be developed by the World Bank team. The consultant will provide support to update the sampling framework if needed.

2. Prepare an inception report which outlines detailed work plan, including finalization of the questionnaire (a draft will be provided by the Bank's task team), pre-testing of survey, training for enumerators, full-scaled field survey implementation, data entry and analysis, and report preparation.

3. Prepare a report related to the study to be sent to and obtain endorsement from the National Ethic Committee for Health Research (NECHR) of the Ministry of Health.

4. Develop, codify and pe-test the questionnaires. Modify the questionnaires to reflect the current status identified in the pre-testing stage.

5. Conduct interviews with relevant stakeholders at the Ministry of Health (MoH) and provincial level health care government agencies including Provincial Health Departments (PHD) and conduct in-depth interviews with 10 operational district (OD) directors, 30 health center and hospital chiefs, 60 health care providers (Doctors and nurses) and focus group discussion with 45 communities to obtain qualitative information on quality of care at public health facility.Undertake a questionnaire-based survey according to the survey protocols defined by the World Bank team. Each enumerator should be provided with tablet to record the responses during the interviews. The enumerators should also be able to use tablets for computer-assisted personal interviews (CAPI).

6. Develop standard operating procedures for undertaking the survey, including field work preparations and execution, team allocation, enumerator training procedures, survey quality assurance, data collection protocols.

7. Develop and implement data storage and management protocols that customizes data entry software (e.g. Survey Solutions). The data storage and management package should allow for real-time data verification to ensure that all entries are valid and enable identification of location where the survey took place. This data package must be granted prior approval before it is used.

8. Create a data security plan and set up a data encryption process before the launch of the survey. Respondents’ confidential data should be encrypted at all stages, starting when data collection begins.

9. Conduct data entry and implement data quality assurance protocols design, including entering data with suitable quality controls; identifying data errors; cleaning data; presenting data for review by the World Bank team.

10. Provide data and findings (distribution and mean) and draft report of findings to the World Bank team), including presenting research results in technical meetings, workshops with relevant government agencies. Draft report based on the findings and incorporate feedback from stakeholders and the World Bank team.

Category

· 90 - CONTRACT CONSULTANTS

Project Country

· KH - Cambodia

Capabilities

· Health: Health

· Health: Public Administration - Health

Material Group

· 90.44 - OPERATIONAL - PROFESSIONAL SERVICES

This procurement is for legal services (Please upload the clearance from your Legal representative before proceeding with the engagement of Legal Services.)

Yes

Search Tags

· KH Quality of Health Service Delivery Survey

· Governance in health sector

· Service delivery

Publication Date

06/10/2024 12:00 AM EDT

EOI Deadline

06/17/2024 11:59 PM EDT

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SELECTION OF CONSULTING FIRMS BY THE WORLD BANK GROUP

REQUEST FOR EXPRESSION OF INTEREST (EOI)

Electronic Submissions through WBGeProcure RFx Now

ASSIGNMENT OVERVIEW

Assignment Title: Cambodia Quality of Health Service Delivery Survey

Assignment Countries:

· Cambodia

ASSIGNMENT DESCRIPTION

The consulting firm is expected to work closely with the World Bank task team and perform the below tasks:

2. Prepare an inception report which outlines detailed work plan, including finalization of the questionnaire (a draft will be provided by the Bank's task team),pre-testing of survey, training for enumerators, full-scaled field survey implementation, data entry and analysis, and report preparation.

3. Prepare a report related to the study to be sent to and obtain endorsement from the National Ethic Committee for Health Research (NECHR) of the Ministry of Health.

4. Develop ,codify and pre-test the questionnaires. Modify the questionnaires to reflect the current status identified in the pre-testing stage.

5. Conduct interviews with relevant stakeholders at the Ministry of Health (MoH) and provincial level health care government agencies including Provincial Health Departments (PHD) and conduct in-depth interviews with 10 operational district (OD) directors, 30 health center and hospital chiefs, 60 health care providers (Doctors and nurses) and focus group discussion with 45 communities to obtain qualitative information on quality of care at public health facility. Undertake a questionnaire-based survey according to the survey protocols defined by the World Bank team. Each enumerator should be provided with tablet to record the responses during the interviews. The enumerators should also be able to use tablets for computer-assisted personal interviews (CAPI).

10. Provide data and findings(distribution and mean) and draft report of findings to the World Bank team),including presenting research results in technical meetings, workshops with relevant government agencies. Draft report based on the findings and incorporate feedback from stakeholders and the World Bank team.

ELIGIBILITY

Eligibility restrictions apply:

· [Please type list of restrictions]

SUBMISSION REQUIREMENTS

The World Bank Group 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. Firms may associate to enhance their qualifications unless otherwise stated in the solicitation documents. Where a group of firms associate to submit an EOI, they must indicate which is the lead firm. If shortlisted, the firm identified in the EOI as the lead firm will be invited to the request for proposal (RFP) phase.

Expressions of Interest should be submitted, in English, electronically through WBGeProcure RFx Now

NOTES

Following this invitation for EOI, 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 be invited to participate in the RFP phase. No notification or debrief will be provided to firms which have not been shortlisted.

If you encounter technical difficulties while uploading documents, please send an e-mail to the Help Desk at corporateprocurement@worldbank.org prior to the submission deadline.

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Qualification Criteria

Criteria Text	Mandatory
Strong experience in providing health facility survey solution and possesses strong knowledge health care management both in public and private health facility
A local firm with minimum of eight years of experience in Cambodia and a proven track-record in health care services study, especially related to quality of health service delivery.
A balanced, professional and experienced team in conducting high-quality survey in the health sector
A bilingual team (English and Khmer language) with demonstrated skills and experience in working with government, ability to cooperate across different areas of expertise, and experience in facilitation,
Key team members with 5 plus years of experience in operating surveys in Cambodia

Documentation

Document Description	Mandatory	Download
No Documentation

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