Detailed Description of Tasks to be Performed:

FHI 360 plans to pursue Component 2 of the USAID Senegal Annual Program Statement (APS) Improving Health Status and Human Capital in Senegal. Component 2 of this APS focuses on Integrated District Health, which will provide comprehensive support to health districts in five priority regions (i.e., Diourbel, Kolda, Sedhiou, Tambacounda, and Kedougou).This is envisioned as a five year cooperative agreement to be released on September 30, 2020 with an estimated value of $50 million.
The APS has been divided into three components, each detailing specific objectives, expected results, funding ceilings, and other requirements. These include:
- Component 1, Central-level Health Systems, focusing on strengthening key health systems at the central Ministry of Health level.
- Component 2, Integrated District Health, which will provide comprehensive support to health districts in five priority regions (i.e., Diourbel, Kolda, Sedhiou, Tambacounda, and Kedougou).
- Component 3, Improving the Health Status of the Most Vulnerable People in the Dakar Region, focused on improving RMNCH, malaria, and nutrition outcomes through approaches tailored to an urban context in the most vulnerable districts of the Dakar Region.

The mechanism will provide an integrated package of malaria, maternal and child health, family planning, nutrition and HSS activities in five priority regions (Diourbel, Kolda, Sedhiou, Tambacounda and Kedougou). Over time, it is envisioned that subgrants will transition from the Implementing Partner to direct government-to-government (G2G) assistance, commensurate with increased GOS financial commitment to G2G. By the end of the award, USAID anticipates that up to three of the five regions will transition to direct G2G assistance.

Component 2 will work in close partnership with Component 1, focused on strengthening the central level health system. Component 2 will also coordinate with Component 3, which ad- dresses issues of urban health in Dakar, integrating new approaches in urban health into activities in urban areas under Component 2. Component 2 will also work in close collaboration with the Ministry of Health (MOH), especially at the regional and district levels; regional and district level administrative and governance structures; HPN’s G2G Operational Support mechanism, to help ensure the preparation and transition of IDH beneficiaries to G2G; other donors and their implementing partners; the private sector; civil society; and faith-based and community-based organizations (FBOs and CBOs).


Expected Results
Component 2 will contribute to the following Intermediate Results (IR):

IR 1: Strengthened Systems at the District Level
IR 2: Increased Access to Services
IR 3: Improved Quality of Services
IR 4: Increased Participation by Communities and Other Stakeholders

FHI 360 is looking for a consultant to support the preparation of a proposal for an upcoming USAID-funded health project. The consultant will directly support FHI 360’s capture efforts by gathering business intelligence and conducting capture phase research and information collection in addition to drafting initial strategic documents that will inform the coordinated capture efforts of this procurement.

The consultant will be responsible for the following tasks:

• Collect, review and summarize background materials on USAID health projects in Senegal , including USAID’s CDCS and strategic documents
• Gather important and relevant GOS and MOH documents relating to the development of the health sector/systemin Senegal, and policy documents on RMNCH, nutrition and malaria
• Help identify potential key personnel candidates for the positions of COP, DCOP and technical specialists such as Quality Improvement Advisors, HSS Advisors, etc.
• Identify current implementing partners of USAID in Senegal, and their strengths and weaknesses.
• Identify local organizations that FHI 360 can partner with on this opportunity.
• Develop of questions to local authorities, from the review of the APS,.
• Coordinate development of on-site capture activities including scheduling interviews with local authorities
• Organize capture work in coordination with FHI 360 headquarters

Deliverables/Milestones & Due Dates:

The following deliverables are to be submitted in electronic form by the consultant to the designated FHI 360 contact person. He/she should anticipate that multiple drafts of the deliverable (revisions) may need to be produced and submitted for feedback before the deliverable can be considered final and approved as fulfilling the terms of the contract. Deliverable dates are tentative and may change depending on client requirements. The following deliverables are required:

Task -Deliverable - Estimated Due Date
Development of capture study questions Submission of written inputs to tech monitor September 5, 2020

Review background materials and gather relevant documents on the health sector in Senegal Written summary of relevant salient points that will apply to technical design September 15, 2020

Partnering Strategy - IPs Partner matrix based on partner
outreach and discussions September 15, 2020

Identify local organizations Local partner matrix based on outreach and discussions September 15, 2020

Interview of stakeholders Interview notes September 15, 2020

Identify key personnel Submission of possible candidates to tech monitor September 30, 2020




Annex 1: APS Overview

The APS goal directly contributes to the Senegal 2020-2025 Country Development Cooperative Strategy (CDCS) as Development Objective 2 (DO 2). The overall goal of the CDCS is for Senegal to be better able to plan and finance inclusive development by: implementing key reforms; actively engaging with a strengthened private sector and a vibrant civil society; and harnessing the potential of women and youth. DO 2 is focused on Improved Human Capital through better, more sustainable outcomes in health and education. The APS goal specifically addresses Intermediate Result 2 (IR 2), Health Status Improved, and is aligned with PSE Pillar 2 on human capital and sustainable development. USAID will strengthen systems, increase access to services, improve the quality of those services, and increase the participation of communities and other stakeholders, so that the health and overall human capital status of the Senegalese population is improved. DO 2 activities address the challenges seen in scores on Country Roadmap metrics, such as Child Health, along with the regional and gender inequalities that prevent large portions of Senegalese society from maximizing their potential. DO 2 directly supports USG priorities such as: Pillar IV of the National Security Strategy (Advance American Influence / Encourage Aspiring Partners); Objective 2.2 of the Department of State - USAID Joint Strategic Plan (Promote Healthy, Educated and Productive Populations); and other priorities and initiatives such as the President’s Malaria Initiative and the Global Health Security Agenda.

Component 2, entitled Integrated District Health, under the Improving Health Status and Human Capital in Senegal Annual Program Statement (APS) is a strategic and comprehensive response to the key challenges confronting the health sector designed to strengthen Senegal’s capacity and commitment to deliver and finance health care in partnership with public and private sectors, civil society, community and faith-based organizations, advancing the country along its journey to self-reliance. Component 2 is focused on providing comprehensive support to strengthen capacity and commitment at the district and regional levels to improve the health of the Senegalese people. Component 2 aligns with the national health plan (Le Plan National de Développement Sanitaire et Social 2019-2028 (PNDSS)). Component 2 will adapt its approaches to maintain this alignment as PNDSS reforms are implemented, the District Reform and the reform to establish Direction Régionale de la Santé.

Component 2 – Integrated District Health (IDH) – will support the implementation of comprehensive health plans at the district level that address the key drivers of maternal, neonatal, and child morbidity and mortality in five priority regions of Senegal to improve the health status of the target populations. The activity combines technical assistance for service delivery and universal health coverage, social and behavior change, subgrant funding and health systems strengthening into one mechanism. The focus of the mechanism is at district, health facility, and community levels, with support to the regional level to effectively supervise and monitor lower- level interventions.

Key to the approach will be demand-driven subgrants awarded to districts to support implementation of the Plan de Travail Annuel (PTA). Through application criteria and conditionality, the activity will incentivize districts and associated governance structures to commit financial and other resources to the health sector and to comply with MOH policies and guidelines. Subgrants may support PTA activities by the public and private sectors and by community-based organizations, which could be the primary implementers of SBC activities.