consultant/consultancy agency for developing Public Private Partnerships (PPPs) guideline in physical rehabilitation sector for service providers

TERMS OF REFERENCE

TITLE OF ACTION:  To hire consultant/consultancy agency for developing Public Private Partnerships (PPPs) guideline in physical rehabilitation sector for service providers

1.  Context

Health is the crucial development agenda of Sustainable Development Goal (SDG- goal 3) ensuring healthy lives and promoting well-being for all and aims at   achieving Universal Health Coverage (UHC). UHC identifies rehabilitation as one of the core type’s health services to be ensured with the optimum quality, without the financial hardship. Along with prevention, promotion, treatment and palliation rehabilitation is also core component of the health system. In a context of growing Non-communicable diseases (NCDs), ageing and injuries, rehabilitation stems as the universal health service for all. Therefore, rehabilitation is the future of health, which is the tracer performance marker in health system. These calls for an urgency to invest in rehabilitation aligned with the health financing for universal health coverage and by integrating it within the existing health related benefit packages. 

In Nepal the physical rehabilitation services are being provided by non-government organization, private sectors and public entities with non-government organization and private sectors being the significant contributors (around 80%).  Non-government organization are only able to meet approximately 10%of the overall need for assistive technology service in the country. Physiotherapy service is available at government hospital at tertiary, provincial and some district hospitals but other rehabilitation services such as assistive technology service, occupational therapy are not available and assistive technology services are only available from physical rehabilitation centers and private sectors. Non-government organization are providing service on the basis of the fund depending upon advocacy and lobbying and limited grant from Ministry of Women, Children and Senior Citizens (MoWCSC) which challenges the financial sustainability of Physical Rehabilitation Centers (PRCs).  Epidemiology and Disease Control Division/ Leprosy Control and Disability Management Section (EDCD/LCDMS) has integrated rehabilitation service in its program, plan and budget since 2019. It’s encouraging to see MoHP’s plan to ensuring the comprehensive services by establishing the provincial rehabilitation centers. However, it will take years of time to shape at service delivery level. Till these comprehensive public services are set, it’s important to continue deliver the services by collaborating with the non- government sector. 

The government of Nepal has formulated major PPPs policy 2072 under which the point 11.3 “Priority identification of infrastructures” states that the Education, health related infrastructure and services are prioritized in national and local level.  In reference to “Disability Management (Prevention, treatment and rehabilitation) related to 10 years strategy and action plan 2073-2082” point 5.3.3- states that “For Person with disabilities for health treatment and rehabilitation program, the PPP model should also be opened.” The National Health Policy, 2019 committed to ensure health as fundamental rights of citizen through optimum and effective use of resources, collaboration and partnership. Similarly, the same policy also states that “Private and non-government organizations shall be promoted to establish rehabilitative and palliative service center with physiotherapy services at federal, state and local level”  and “Collaboration and partnerships among governmental, non-governmental and private sectors shall be promoted, managed and regulated in the health sector”.  These national level strategies and policies are the key guiding documents to develop PPP model in rehabilitation sector.  Currently, Nepal initiated its first PPPs model in the 1950s through I/NGO cooperation (mission hospital) and these organization are providing healthcare services in various areas like maternal health, child health, eye care, cancer, TB control, leprosy, safe abortion outreach services and rehabilitation . Likewise, MoHP developed guidelines for PPP model in health sector such as: Mental Health  and Eye-care specifically  to strengthen supply chain management of health commodities in Udaypur.  

Hence, it’s a dire need of the sector to develop PPPs model to regulate the financing mechanism, each parties to bear significant risk and management responsibility and remuneration to support physical rehabilitation service providers. 

The PPP in rehabilitation will ensure:

• The people in need of physical rehabilitation services are able to access the rehabilitation services in affordable or free of cost.
• The government is able to monitor the quality of physical rehabilitation service.
• The sustainable physical rehabilitation service delivery system.

2.  Objective of the consultancy service 

Overall objective is to develop a specific guideline for integration of NGO and private rehabilitation service providers into the health system through a PPPs guideline, including accreditation mechanisms based on minimal quality service requirement. 

Specific objectives are: 

• To set the criteria for physical rehabilitation service providers to get accredited/ line listed (referring public health regulation 2077) by government of Nepal.
• To specify the procedure of accreditation of physical rehabilitation service providers in the health system.
• To develop the mechanism of reimbursement from federal system consisting of three level of government for the enlisted services provided through physical rehabilitation service providers 
• To establish a specific mechanism for the appropriate costing of physical rehabilitation services in Nepal

Intended audiences of PPPs guideline: 

• Physical Rehabilitation Service providers and health authorities in federal system

1https://www.europasianjournals.org/ejms/index.php/ejms/article/view/266

2https://nepalindata.com/media/resources/items/20/bMental-Health-Rehabilitation-Programme-Guideline_2075.pdf

3https://drive.google.com/file/d/1K2fAzRhEYLfYIMs52hDRIwRYvGf03C92/view

3.  Key responsibilities of consultant/ consultancy agency: (All the activities will be conducted under the leadership of LCDMS)

• Prepare and present work plan to develop the PPPs guideline 
• Conduct literature review and desk study of relevant strategies and policies  which will help support to draft PPPs guideline 
• Facilitate two technical working group (TWG) meetings formulated at LCDMS for sharing the draft PPPs guideline and to gain feedback. 
• Lead one consultation workshop to gain feedback on PPPs guideline 
• Ensure all the feedback received from TWG and consultation workshop is incorporated.
• Support the defence meetings in MoHP  to finalize PPPs guideline 
• Ensure designing and formatting of the final PPPs guideline 
• Finalize the PPPs guideline and submit the final product to LCDMS and HI
• Lead  national  level dissemination workshop in coordination with LCDMS and HIs

4.  Consultancy agency/ Consultant’s profile:

Consultancy agency:

• Have a proven experience in consultation services to international agencies/NGOs or government organizations to develop Public private guideline for the health service.
• Relevant experience and knowledge of developing PPPs and similar guideline in close coordination with government agency; 
• Have strong analytical, facilitation and communication skills.
• Good understanding in disability inclusive health and rehabilitation
• Familiar with working approach of MOHP/DOHS/EDCD/LCDMS and its technical working group 
• Good in Nepali and English, both written and typing 
• Proficiency in Microsoft
• Team lead to have Masters’ Degree/PHD in Public health/  Health Economics/ Business Administration and other relevant academic fields 

Individual Consultant:

• Masters’ Degree/PHD in Public health/ Health Economics/Business Administration and other relevant academic fields 
• Relevant experience and knowledge of developing PPPs and similar guideline in close coordination with government agency for health sector; 
• Have strong analytical, facilitation and communication skills.
• Familiar with working approach of MOHP/DOHS/EDCD/LCDMS and its technical committee 
• Good understanding in disability inclusive health and rehabilitation
• Good in Nepali and English, both written and typing 
• Proficiency in Microsoft

5.  Service duration and location

• Service duration- Total 40 calendar days (From the date of contract signing) 
• Location: Work from home/work place and visit  LCDMS during meetings 

6.  Key deliverables 

• First draft of PPPs guideline in Nepali 
• Second draft of PPPs guideline in Nepali 
• Final draft of PPPs guideline in Nepali
• Presentation slides developed for  national level  dissemination workshop

7.  Budget

The consultant should propose required budget for this consultancy. TDS which will be deducted as per the Government tax policy.

8.  Resource Person

The Consultant will be asked to collaborate with Handicap International’s PRA Sustainability and Governance Manager (SGM) who will be the point of contact. 

9.  Payment terms and conditions

Consultant should mention the terms and conditions of payment in financial proposal and in line with HI policy.

HI will release the payment to consultant /consultancy agency after submission of each deliverable to LCDMS (40% payment after first deliverable and 60% after final deliverable submission).

10. Required documents

For Individual Consultant 

• Cover Letter/Resume
• Financial and Technical proposal
• A brief concept note highlighting the methodological design including work plan, and quality assurance mechanism
• The document should have annexed bio-data of the assigned team member/s.
• Copy of PAN Registration Certificate.
• Copy of Citizenship.

For Consultancy agency

• Cover Letter 
• Financial and technical proposal 
• A brief concept note highlighting the methodological design including work plan, and quality assurance mechanism 
• The document should have annexed bio-data of the assigned team member/s. 
• Firm Registration & Renewal certificate 
• Copy of VAT/PAN Registration Certificate 
• Latest Tax clearance certificate 

Please submit your financial proposal and required documents to email: p.neupane@hi.org,  last date for submitting the application is by 18th Dec 2022. Please indicate the consultancy title while applying for on the subject of your cover letter.