Draft - November 14, 2014

TERMS OF REFERENCESupporting Implementation of HPNSOP

Technical Assistance for

Biomedical Engineer for Procurement and Logistics and SupplyManagement (PLSM)

1. Introduction:

The Ministry of Health and Family Welfare (MOHFW), Government of Bangladesh(GOB) is implementing the Health, Population and Nutrition Sector DevelopmentProgram (HPNSDP) for a period of five years from July 2011 to June 2016, withthe goal of ensuring quality and equitable health care for all citizens in Bangladeshby improving access to and utilization of health, population and nutrition services.

HPNSDP encompasses improving health services and strengthening healthsystems. Necessary technical assistance (TA) to MOHFW for facilitatingimplementation of HPNSDP has been planned with support from participatingdonors. Besides Technical assistance/ cooperation, agreed by MOHFW andrelevant DP at the beginning of the programme further TA requirements havebeen incorporated in the 32 operational plans (OP) of HPNSDP. In this regard acoherent multi-year consolidated technical support plan to strengthen institutionalcapacity, implementation at different levels, establish evidence base and helpcarry out agreed reforms is being developed. MOHFW has incorporated this planin the Programme Implementation Plan (PIP) of HPNSDP approved by theExecutive Committee of the National Economic Council (ECNEC).

A 'Technical Advisory Committee' (TAG) composed of MOHFW and DPrepresentatives led by the Joint Chief of Planning Wing, MOHFW, has beenformed that meets regularly to review TA procurement status, consider TArequests and proposals and recommends for modifications/ endorsement orrejection of TORs before final approval by the Secretary, MOHFW.

To facilitate implementation of HPNSDP, DFID along with AusAID, CIDA andSIDA has established a 'Joint Donor Technical Assistance Fund' (JDTAF) thatfollows the above mentioned process for providing TA. Crown Agent, DFID'sService Provider, is the ultimate procurement entity on behalf of DFID.

2. Objective

The objective of this TA is to strengthen the Procurement, Logistics and SupplyManagement functions of PLSM OP under DGHS of MOHFW. The specificobjective of this TA is to support the CMSD in ensuring high quality medicalequipment are purchased that provide effective services to the beneficiaries.Section 14 of this document details the background and context of theassignment.

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3. Recipients

The primary recipient and central client of this TA is the MOHFW. This particularassignment will be carried out under the overall guidance of the Line Director (LD)- PLSM OP (Director, CMSD).

4. Scope of the Work

There is already an international biomedical engineer in PLSM providingintermittent inputs in the OP. The consultant to be recruited for this particularposition will coordinate with the international biomedical engineer in providinghis/her full time inputs for PLSM during the contractual period. Under the guidanceof LD, PLSM (Director, CMSD),theconsultant is expected to execute the followingactivities:

i. Develop specification for medical equipment to be purchased by CMSD forvarious medical facilities

ii. Assisting CMSD in all procurement processing including preparing standardbidding documents, bid evaluation report, notification of award and contract forprocurement of medical equipment, while maintaining all appropriateprocurement rules and guidelines, including those of GOB and World Bank

iii. Ensure the procured medical equipment comply with the specification made,for which the procurement notice was floated

iv. Support CMSD in forecasting for equipment procurement, includingreplacement items, and ensure that the equipment are procured based onneeds

v. Assist CMSD in implementation of maintenance schedules and ascertainingthe related budget

vi. Support CMSD in equipment management, including installation andcommissioning.

vii. Support CMSD in ensuring the implementing the findings of EquipmentSurvey 2012 relating to planning, operations and management of medicalequipment, wherever applicable

viii. Assistthe previously engaged international bio-medical engineer in capacitybuilding of local technical staff at CMSD, relevant organizations of DGHS andMOHFW (e.g. NEMEMW&TC) on equipment procurement and maintenance

ix. Any other tasks assigned by the LD relevant to medical equipment

5. Methodology

Due to a close coordination requirement between the previously engaged and thisproposed biomedical engineer, the methodology to be assumed by the consultantsshould have similarities. Some of the suggested methods are:

Reviewing relevant strategy and policy documents, rules, laws and guidelinesof GOB and of development partners

Meeting concerned officials and stakeholders Facility visits of potential stakeholders and bidders Field visits to relevant health facilities requiring the equipment Liaison with various directorates and wings under the Ministry

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6. Deliverables

The consultant will be expected to produce the following deliverables:

>- Inception report within 4 weeks after submission of contract, summarizingdetailed methods and approach for assessing the systems and procedures inplace, the gaps to be addressed and any key issues identified. Inceptionreport should be submitted to the LD, PLSM with a copy to the Crown Agent

>- Monthly progress report, showing the progress of the assignment, plan forfuture, any key challenges and potential mitigation strategies, to be submittedevery month after signing the contract. This should also be submitted to theLD, PLSM with a copy to the Crown Agent, within first week of every month,after signing the contract

7. Requirements

The consultant will bring the following qualifications:

>- Graduate degree in bioengineering or closely related field>- At least 3 years of relevant experience with a range of medical equipment,

including developing standards and procedures>- Knowledge on the health system and network of Bangladesh>- Experience with capacity building plans and delivery>- Knowledge about the procurement policies, rules and guidelines applicable

for CMSD>- A regional national (e.g. India, Sri Lanka, Singapore, Philippines, Thailand

or similar developing countries) with professional level proficiency ofwritten and spoken English is preferred for this position. If not available atregional countries, any foreign national can be taken.

8. Constraints Dependencies

The consultant is urgently required following recognition of procurementprocesses.

9. Timeframe

The initial contract period of the consultant will be 6 (six) months, which can beextended if the Line Director feels the requirement. Contracting agency or thecontracted consultant may terminate the contract with 1 month written notification.

10. Coordination/Logistics

The Consultant shall be responsible for ensuring having the appropriate visas andwork permits to perform the services at the locations detailed. The Consultant mayprovide evidence of such visas/work permits, as requested by Crown Agents. Thisis a full-time input based consultancy during the contracting period. So theconsultant is expected arrange his/her personal accommodation and otherrelevant requirements. The consultant will be expected to arrange his/her ownpersonal logistics, including home to office transport. S/he will be self-managingadministratively, logistically and technically. S/he will be based in the CMSD officein Dhaka, with frequent field visits to various facilities outside Dhaka. CMSD will

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provide sitting arrangements for the consultant with appropriate office supplies, asavailability permits.

11. Management and Reporting

It is expected that an individual will undertake this work on a consultancybasis.

The Consultant will report on a day-to-day basis to LD, PLSM (Director,CMSD)

The Planning Wing, MOHFW, and DFID and JDTAF donors will jointly reviewprogress on completion of the assignment.

Crown Agents, the DFID service provider, will contract the Consultants. Consultant should contact Crown Agents representative in Dhaka for

logistical or administrative support and any queries they may have.

12. Transfer of Knowledge/Training

Knowledge transfer is a central theme of this assignment. Consultantsareexpected to provide a plan to ensure sustainable impact from this project.

13. Security/HealthInternational experts will be expected to read and confirm in writing that theyhave received and read the Security Guidance of DFID.

14. Background

Central Medical Stores Depot (CMSD) plays an important role to ensure procurementof instruments, medicines, insecticides, office equipment for health institutions ofBangladesh. It is one of the specialized procuring entities of MOH&FW andresponsible for procurement as well as distribution of logistics as per requisition ofrespective Line Directors of Health Directorate. Equipment (bio-medical, electronic,electrical, power and IT) required for health sector agencies under DGHS are alsoprocured through CMSD.The Procurement, Logistics and Supply Management(PLSM) OP was created to improve the operational capability of CMSD, to procure ofall Line Directors in time, to ensure proper handling of goods, to ensure properstorage of goods, to ensure proper distribution of goods and to implement e-procurement and online procurement system.

A significant portion of the procurement of goods conducted by CMSD is in form ofmedical equipment, especially electro-medical equipment. These highly technicalgoods, and it requires special expertise to develop specifications, bid documents andsupervise the procurement process on behalf of the respective LDs. PLSM does nothave any in-house expertsin this issue. An international biomedical engineer wasprovided to PLSM from JDTAF, who provides intermittent inputs. However, due tothe volume of procurement and complexity of equipment, PLSM require a full timebiomedical consultant.

15. Reading materials/reference material

Program Implementation Plan (PIP) of HPNSDP and Results Framework(RFW)

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Operational Plan for PLSM HPNSDP 2012 Annual review and Aide Memoir reports APIR,2012 Equipment Survey, 2012

16. Budget

To be proposed by TA applicant, consistent with competitive rates, as applicable.