Service Delivery Innovations Strategic Initiative “Implementation of Community System and Response”

The Global Fund to Fight AIDS, Tuberculosis and Malaria (the “Global Fund”) invites all potential suppliers (the “Bidders”) to submit proposals for the above-captioned Request for Proposals (RFP).

This RFP is comprised of the following sections and attachments:

• Section 1: Terms of Reference
• Section 2: Proposal Requirements and Evaluation
• Section 3: Proposal Submission
• Section 4: Legal Matters
  • Annex 1: Certificate of Conformance
  • Annex 2: The Global Fund Terms and Conditions of Purchase of Services (“Terms and Conditions”)
  • Annex 3: Format of CV to be used for Consultant
  • Annex 4: Cost template (provided as a separate Excel document)
  • Annex 5: Summary of Proposed Evaluation Approach for the South-South Component

Scope/Objectives

The primary objective of the TA Provider is to improve Community health system implementation in a way that results in improved HIV, TB and malaria outcomes, such as TB cases notified, PLWHA who are virally suppressed, cases of malaria that are properly managed, etc, creating where possible positive synergies with service provision in other service areas, such as maternal, newborn and child health. Secondary outcomes include quality of care, including patient/client satisfaction, as well as increasing equitable access and improving value-for- money. A lower order aim is to improve grant implementation and funding absorption.

The TA provider will support Global Fund implementors, including Ministries of Health (MoH), to address the main implementation bottlenecks to successfully plan for, and operationalize their community health services. Examples of bottlenecks already identified include: non- functioning CHWs incentive schemes, lack of coordination between main donors funding community health services and ineffective management structures, for CBOs ineffective linkages to clinical services and exclusion of community health data collection and use as well as weak capacity and governance structures

More innovative approaches are needed in each of the five countries to catalyze implementation and improve the quality of service delivery. Innovations to address these bottlenecks will vary according to country, but are likely to include: improved planning and optimization processes; performance management, supervision and training mechanisms leading to quality improvement; leadership and management capacity building; support for digitalized community health information and supply chain systems; and enhanced private sector engagement. The WHO guideline on policy and system support to optimize community health workers programmes provides overarching evidence-based policy recommendations on how some of these policy interventions can be conceptualized and implemented in the context of national health systems and health workforce mechanisms. https://www.who.int/hrh/community/en/ The interventions within the scope of this RFP can also include health financing innovations such as contracting mechanisms, including results-based financing with CHWs and CBOs and social contracting.

South-south learning and engagement mechanisms between the five countries should also be developed to facilitate the scale-up of relevant interventions in each of the five countries, and to share lessons learned with the rest of the WCA region.

The TA provider must be responsive to Global Fund needs, for example providing updates on an ongoing basis, maintaining close communication with the workstream lead and the five Country Teams to ensure that the project stays on track.

Preliminary results will be needed in 2022 to inform the evaluation of the SDI SI and to help with the design of funding requests for NFM4 (2023-2025) as well as the new SIs. Final results need to be shared by October 2023, in collaboration with an external evaluator hired to evaluate the SDI SI components (see Annex 5).

Download RFP in English