TERMS OF REFERENCE Government of Tamil Nadu Tamil Nadu Health SystemsProject Hiring the services of an individual consultant for process documentation of certain core activities implemented by World Bank supported Tamil Nadu Health Systems Project, right fromthe time of inception. I.Background The Tamil Nadu Health Systems Project is being implemented by Government of Tamil Nadu with World Bank assistance from January 2005. The project period will end by September 2015. The goal of the project is to improve the health outcomes of the people of Tamil Nadu especially the poor and disadvantaged. The main objectives of the project are i. To improve the access to and utilization of Health facilities ii. To introduce effective measures to tackle Non Communicable Diseases. iii. To improve the quality of care in all Government Health facilities and to improve Governance iv. To improve the effectiveness of the Government Health facilities by provision of infrastructure, additional human resource and Training of Health Care Providers Project Period Original credit: Five years up to 30.09.2010 Addl. Financing: Three years up to 30.09.2013 Extended up to 30.09.2014 Further Extension approved up to 15.09.2015 Project Cost Credit: US$ 110.83 million, State contribution: US$ 20.76 million Additional financing Credit: US$ 117.7 million, State contribution: US$ 13.08 million Total project cost: US$ 262.37 million In order to achieve the objectives of the project, activities ranging from human resource planning and development, infrastructural support, strengthening service delivery, buttressing quality of care, safeguarding environment and social impacts, public private partnerships and health insurance were undertaken. Of specific interest to this assignment are the following interventions:
1. Strengthening of 125 Comprehensive Emergency Obstetric and Neonatal Care Centerswith infrastructural support and capacity building initiatives to further reduce infant and maternal mortality rates. 2. Non-communicable disease prevention, screening and treatment program which entailed school, community and work-place based NCD prevention and health promotion activities and clinic-based screening and treatment facility. 3. Deployment of web-based hospital management system and health management information system, and a state health data resource center. II. Statement of Objectives To process document the conceptualization, planning, implementation, outcomes and impact of three key interventions of TNHSP, namely - CEmONCs - NCD prevention, screening and treatment program - Health Management Information System, Hospital Management System and the State Health Data Resource Center. Qualitative information secured from existing documentation, structured interviews and discussions will be complemented with quantitative data available from project records, M&E systems and assessments to provide a comprehensive understanding of identified interventions. III. Scope of Work The individual consultant will review project documents including project implementation plans; project appraisal document; aide memoires from all implementation support missions; baseline, mid-line and endline assessment reports; department data; or relevant third party data to understand planning, inputs provided, process followed during implementation, outputs, challenges, outcomes and impact. Consultant will also interact with key stakeholders engaged in project design and implementation, including World Bank Task Teams, past and extant officials at the TNHSP Project Management Unit and District Project Management Units, key GOTN officials of the health sector, partnering agencies to specifically document: - Status of available inputs (such as HR/staffing, training, protocols, capital investments of works, goods, equipment, consumables, outputs and key outcomes prior to project effectiveness) - Problem identification: Why the identified activities were prioritized - Objective setting: Rationale for adoption of strategies to address identified priorities - Plan for achieving objectives with enumeration of proposed inputs - Process followed for institutionalization of inputs including description of scale-up arrangements pilot phase and scale-up - Description of M& E arrangements - Outputs achieved over implementation periodcomplemented with data from project, independent studies undertaken
- Outcomes to which the outputs contributed (based on primary project/govt. data, surveys (NFHS 2 & 3; DLHS 3 and 4; third party evaluations/assessments undertaken) - Lessons learnt - Key challenges and steps taken to address them - Pending challenges - Frank assessment of data/information gaps which posed challenge to process documentation - Mechanisms established to ensure sustainable operations - Financial outlay of direct inputs provided - High quality photographic documentation Field visits will be undertaken to a CEmONC; PHC, Taluk level Hospital and a Government HQ Hospital engaged in screening and treatment of NCDs; and at least one secondary and tertiary level facility to see HMS/HMIS in action. IV. Deliverables - Draft template of process document with schedule of proposed activities - Outline of process document at 30% completion stage for o CEmONCs o NCD interventions o HMS/HMIS and SHDRC - Draft process document for o CEmONCs o NCD interventions o HMS/HMIS and SHDRC - Final process document in pdf format in 100 DVD copies and twenty five sets of printed copies. Each process document should not be more than 50 pages (printed both sides in 12 font size and single line spacing) in length. Visual documentation and attractive presentation in simple English is a must. V. Key Skills Required A documentation specialist with excellent command over written English, at least five years experience in the field, and having delivered high quality outputs on at least three similar assignments. The documentation specialist must have access to following technical specialists to ensure integrity of technical information documented public health specialist with experience of MCH programs, NCD programs; Health IT Specialist. VI. Ethical Issues The writer should strictly adhere to all ethical principles while undertaking this assignment.
VII. Data, Services and Facilities to be provided by the client i. All relevant materials / information regarding TNHSP implementation ii. Accompany the writer to the locations and facilitate interaction iii. Desk for secretarial work in the TNHSP office. iv. Discussion on a daily basis v. Facilitate all meetings with the stakeholders VIII. Co ordination The Co-ordination will be done by the Strategic Planning Cell and the concerned programme officers in TNHSP. IX. Schedule for submission of deliverables S.No Deliverable Time schedule 1. Template for process document including schedule of activities 2 weeks 2. Draft process document for CEmONC on/before 10 weeks from 3. Draft process document for NCDs on/before 15 weeks from 4. Draft process document for HMS/HMIS and SHDRC on/before 21 weeks from 5. Submission of final consolidated report incorporating on/before of completion of 24 all suggestions on draft final report Weeks from X. Payment schedule i. 20 % of the contract price shall be paid as advance on the commencement date ii. 10% of the contract value shall be paid upon making the first presentation and submission the draft outline for CEmONCs. iii. 10% of the contract value shall be paid upon making the first presentation and submission the draft outline for NCD interventions. iv. 10% of the contract value shall be paid upon making the first presentation and submission the draft outline for HMS/HMIS/SHDRC. v. 10% of the contract value shall be paid upon presentation and submission of draft process document for CEmONCs carrying out the suggestions made by WB & TNHSP in vi. 10% of contract value shall be paid upon presentation and submission of draft process document for NCD interventions carrying out the suggestions made by WB & TNHSP in vii. 10% of contract value shall be paid upon presentation and submission of draft process document for HMS/HMIS/SHDRC carrying out the suggestions made by WB & TNHSP in
viii. 20% of the contract value remaining shall be paid upon submission of final process document carrying out all the suggestions and corrections made by WB & TNHSP to the final drafts submitted by the consultant. XI. Duration of Consultancy The Consultant is expected to complete the write up of the project and submit the final corrected copy within a period of 150 working days from the date of signing of the contract. XII. Secretarial Assistance The consultant has to manage the secretarial assistance, computer, stationery, travel and accommodation cost etc., with in the contract amount. ******