Request for Proposals: Proposal for “Maternal, Newborn and Child eRegister in Malawi”

Opportunity closing date: 14th February 2019 at 5pm CAT

Opportunity type: Call for proposals

Project start date: 1st March 2019

Project duration: 11 Months

Contract type: Fixed-Term Deliverables Based Contract

Submission email address: proposals@jembi.org

Proposal for the development of a Maternal, Newborn and Child eRegister in Malawi

JEMBI Health Systems has partnered with GIZ Malawi to strengthen health systems related to Maternal, Newborn and Child Health (MNCH) in 10 health facilities in Malawi by promoting data analysis, interpretation and use through the implementation of an electronic register system, Open Smart Register Platform (OpenSRP).

This is a request for proposals from qualified companies to partner with Jembi in this project. With help from Jembi the vendor will collaborate with the Ministry of Health and Population (MHOP) and other health development partners in Malawi to customize and localise OpenSRP, taking into consideration the existing Health Information System (HIS) architecture of MoHP Malawi and building upon the same.

SCOPE OF WORK

Phase 1: Needs assessment, requirements gathering and solution design

  • The vendor will provide TA and lead the needs assessment and requirements gathering activities. The needs assessment will be carried out in the 10 health facilities identified in collaboration with GIZ, Jembi and a local implementing partner.
  • The vendor will adapt an existing HIS facility readiness assessment tool to the project setting in Malawi. A sample of topics to be covered in the assessment is: patient population served, attendance, capacity, physical and IT infrastructure, existing HIS systems in use and fidelity of use, staff numbers and skill levels, location in the referral network, GPS coordinates, catchment area defined, health content capture, and solar radiation assessment. A focus of the assessment will also be on mapping the referral network within the health system and different technologies deployed at each facility. GIZ will have the opportunity to review the assessment tool before it is deployed.
  • The vendor will train a local team of assessors and oversee the implementation of the assessment in the target health facilities.
  • While in Malawi, the vendor will also conduct stakeholder interviews to determine needs and HIS gaps, perform a site visit to the MOHP data center to assess the existing capacity and potential needs of the data center to host the future system, and gather information around the general health information system architecture in Malawi and future directions.
  • Upon completion, the vendor will develop an inception report to reflect the outcome of the assessment covering important findings, potential risks for the project and mitigation strategies.
  • The vendor will conduct a desk review of all relevant data entry and reporting tools related to MNCH used in the HIS at the facilities, including any paper registers, reports, home-based records, referrals, and stock management tools.
  • The vendor will create data dictionaries and design the required decision support workflows that will feed into the eRegister platform.
  • The vendor will work with GIZ to identify the relevant questions, alerts, and reminders that will make up the decision support system in OpenSRP.
  • At the end of phase 1, the vendor will hold a solution design workshop to create and cost an appropriate and feasible HIS solution for the project, which will be developed in phase 2.

Phase 2: Solution development

The next step will be the adaptation and localization of OpenSRP to the Malawian context and the development of the new integrations and reporting dashboards.

  • The vendor will adapt OpenSRP Child Health Module to the Malawian context. The localization process will include supporting the Malawian national immunization schedule, any adjustments to the other service schedules, any adjustments to the birth registration, reporting death, vaccine adverse event forms, as defined in phase 1.
  • The vendor will develop the ANC Module for the Malawi context based on the ANC module currently under development for WHO. The localization process will involve configuring the WHO defined ANC clinical algorithm to be relevant to Malawi, making changes to the service schedules, registration and birth outcome forms, as required. The module will be linked to the new Maternity and PNC Modules, so that birth outcomes reported in the module will create records for the children in the Child Health Module and be linked back to the mother´s records in the maternity and PNC Modules.
  • The Maternity module will record when a woman goes into labor, any complications that might arise and its treatment and the outcome, including when a referral is needed.  This will be based on the Maternity Register used by MoHP. It is not intended to support a digital partogram or any other labor-monitoring protocol, which is out of scope for this proposal.   Once a birth is recorded in the maternity module, the record will be transferred to the PNC module.
  • The vendor will develop a new PNC module that will allow the health workers to record PNC services for the mother and baby, including any family planning method adopted by the mother following delivery. At the end of the postnatal period, the mother´s record can be archived, while the child´s record will shift to the Child Health Module, where the health worker can continue to record services for the child.
  • The vendor will implement aggregate data reporting in DHIS2. The localization process will involve generating the relevant indicators on the mobile device and being able to submit them to the relevant data elements and indicators in DHIS2. [OpenSRP currently has a DHIS2 integration for aggregate reporting (DHIS2 Tracker and Aggregate)].
  • The vendor will develop an in-app ANC, Maternity, PNC, and Child Health reporting module so that health workers will be able to track health and performance indicators of interest for their health facility on their mobile device (i.e. micro-level reporting). The reporting module will work offline and be the primary means for the health workers to view activity and performance data on a continual basis.
  • The reporting module above will feed into a broader reporting stack solution for the project, consisting of dashboards for the project´s required reporting levels: micro (health facility); meso (district); and macro (national) level reporting.
  • The solution will involve standing up a reporting service, including a tool to ingest and combine data from the various OpenSRP modules (ANC, Maternity, PNC, Child Health) and a database for deep storage and fast queries.
  • The vendor will develop the project´s metrics, which will be displayed in the dashboards. Access controls will be added for the different dashboard users: facility user, district user, national user, and admin user.
  • The vendor will adapt RapidPro integration to allow unidirectional messaging flows from OpenSRP to pregnant women and children’s caregivers. The content for the outgoing messaging campaigns will be defined in phase 1 and will be based on specific triggers in OpenSRP (e.g. pregnancy registration, birth outcome, etc).
  • The vendor with support from Jembi will explore possibilities to develop an integration with the Baobab Demographic Registry to allow for a bidirectional flow of information between the OpenSRP and central servers. THE VENDOR with support from Jembi will try to support querying to see if a person registered in OpenSRP already exists in Demographic Registry and to retrieve the ID if so. If the person doesn’t exist, the system will register them in the Demographic Registry and have an ID assigned. The vendor with support from Jembi will integrate the national ID in the platform as an added unique identifier for adults above 16 years of age (current population group holding national IDs).

Phase 3: Train the Trainers and Implementation Testing

  • The vendor will develop training of trainers (ToT) materials for the modules defined above and assist in the initial training of trainers (from the partner implementing organization) and testing of the solution in the first 5 health facilities together with a local implementing partner.

A local implementing partner will be contracted by GIZ to carry out the testing and implementation at all 10 health facilities.

The expected deliverables

  • Facility readiness report including current HIS systems, data entry and reporting tools in use.
  • Cost appropriate HIS solution with relevant questions, alerts, and reminders for use at the point of care.
  • Localized OpenSRP modules for Child Health, Antenatal Care (ANC), Maternity and Postnatal Care (PNC) with in-app dashboards and aggregate reporting for DHIS2 submission.
  • eRegisters fully operational in 10 GIZ Malawi supported health facilities including reporting stack for micro, meso and macro-level and RapidPro integration.

 Requirements

Interested bidders should fulfill the following requirements:

  • Have proven experience in developing OpenSRP.
  • Have experience in implementing OpenSRP or other software in health facilities in resource constrained environments.
  • Be able to travel to Malawi for a specified amount of time during the project period.

Bidders are expected to submit the following documents:

  • A well written proposal with a work plan.
  • A detailed budget using the attached template including all taxes (budget template).
  • Company profile or capability statement.
  • Names and CVs of all proposed staff.
  • Company registration certificate.
  • Tax clearance certificate.
  • Proof of company approved signatories.