Advert notice – TOR FOR SARA

TERMS OF REFERENCE FOR THE CONDUCT OF A NATIONWIDE SECONDARY HEALTH FACILITY SERVICE AVAILABILITY AND READINESS ASSESSMENT (SARA)

The IMPACT Project, implemented by the National Malaria Elimination Programme and the National Primary Health Care Development Agency, supports implementing Nigeria’s government’s Basic Health Care Provision Programme (BHCPP). Part of the support is conducting a nationwide service availability and readiness assessment in secondary healthcare facilities. The National Malaria Elimination Programme is seeking the services of two (2) firms- one firm for the North (North-East, North-West and North-Central) and the other firm for the South (South-West, South-East and South-South) to lead in the conduct of a nationwide SARA in public Secondary Healthcare facilities in Nigeria. Document (PAD) Report project number NGA 1016 is also a useful source of information, although it is not legally binding.
According to Article II of the Financing Agreement no 3.2, the Executing Agency of the Project shall always maintain a financial management system, including records and accounts, and prepare financial statements for the project in a format acceptable to the Islamic Development Bank and adequate to reflect the operations, resources and expenditures related to the Project. Also, the Executing Agency shall maintain records and supporting documents for all expenditures with respect to which withdrawals from the financing were made (the records should reflect all categories of withdrawals SOEs, direct payments).

Scope of work

Two (2) firms will be selected. The selected firms (one for the South and the other for the North) is expected to conduct an assessment on the public secondary health facilities focusing on the following areas:

• Service availability. This refers to the physical presence of the delivery of services and encompasses health infrastructure, core health personnel and aspects of service utilization. This does not include more complex dimensions such as geographical barriers, travel time and user behaviour, which require more complex input data.
• General service readiness refers to the overall capacity of health facilities to provide general health services. Readiness is defined as the availability of components required to provide services, such as basic amenities, basic equipment, standard precautions for infection prevention, diagnostic capacity, and essential medicines.
• Service-specific readiness refers to the ability of health facilities to offer a specific service and the capacity to provide that service, measured through consideration of tracer items that include trained staff, guidelines, equipment, diagnostic capacity, and medicines and commodities.

Sound information on the supply and quality of health services is necessary for health systems management, monitoring and evaluation. Efforts to achieve the goals of the Basic Health Care Provision Programme, a delivery approach of the Nigeria Health Sector Renewal Investment Initiative (NHSRII), the Sustainable Development Goals (SDGs) and the need to scale up RMNHCN interventions in Nigeria have drawn attention to the need for strong country monitoring of health services, especially at the Secondary Health care level and its readiness to deliver key interventions.