Job Openings at Plan International

Terms of Reference for Consultant to Provide Quality Assurance Services

To Support the Refurbishment of 40 Health Facilities in Sokoto State, Nigeria  September 2018

Introduction to SHOW
The Strengthening Health Outcomes for Women and Children (SHOW) Project is a 4.5 year (2016-2020) gender transformative project aimed at increasing the quality, availability, utilization, and accountability of essential Maternal, Newborn, and Child Health (MNCH)/Sexual and Reproductive Health (SRH) services to reduce maternal and child mortality amongst marginalized and vulnerable women, specifically adolescent girls, and their children in targeted regions across five countries (Nigeria, Bangladesh, Ghana, Haiti and Senegal). In Nigeria, SHOW is working in all 23 Local Government Authorities (LGAs) in Sokoto State. The project is aligned with the one functional PHC per ward policy of the Federal and State Ministry of Health.

Plan International Canada is implementing SHOW in partnership with Plan International Nigeria, the Federal and State Ministries of Health, Ministry of Women’s Affairs, and Civil Society Organizations (CSOs) which includes Planned Parenthood Federation of Nigeria (PPFN), Life helpers Initiative (LHI) and Hikima Community Development Initiative (HCOMDI).

Plan International Canada is implementing SHOW in partnership with Plan International Nigeria, the Federal and State Ministries of Health, Ministries of Women’s Affairs, and Civil Society Organizations; Planned Parenthood Federation of Nigeria (PPFN) and Community initiative for the Promotion of Health and Education Sectors (CIPHRESS).

Strengthening Health Outcomes for Women & Children (SHOW) Project

Terms of Reference for

Consultant to Provide Quality Assurance Services

To Support the Refurbishment of 40 Health Facilities in Sokoto State, Nigeria

August 2018

Introduction to SHOW

The Strengthening Health Outcomes for Women and Children (SHOW) Project is a 4.5 year (2016-2020) gender transformative project aimed at increasing the quality, availability, utilization, and accountability of essential Maternal, Newborn, and Child Health (MNCH)/Sexual and Reproductive Health (SRH) services to reduce maternal and child mortality amongst marginalized and vulnerable women, specifically adolescent girls, and their children in targeted regions across five countries (Nigeria, Bangladesh, Ghana, Haiti and Senegal). In Nigeria, SHOW is working in all 23 Local Government Authorities (LGAs) in Sokoto State. The project is aligned with the one functional PHC per ward policy of the Federal and State Ministry of Health.

Plan International Canada is implementing SHOW in partnership with Plan International Nigeria, the Federal and State Ministries of Health, Ministry of Women’s Affairs, and Civil Society Organizations (CSOs) which includes Planned Parenthood Federation of Nigeria (PPFN), Life helpers Initiative (LHI) and Hikima Community Development Initiative (HCOMDI).

Plan International Canada is implementing SHOW in partnership with Plan International Nigeria, the Federal and State Ministries of Health, Ministries of Women’s Affairs, and Civil Society Organizations; Planned Parenthood Federation of Nigeria (PPFN) and Community initiative for the Promotion of Health and Education Sectors (CIPHRESS)

Purpose of the Assignment: support for non-structural refurbishment of 40 health facilities
As part of the processes for ensuring realization of the intermediate outcomes, SHOW will include the refurbishment of up to 40 health care facilities in Sokoto State across three zones
as distributed below:

Zone LGA

No of Health
Facilities

CENTRAL ZONE

Binji 2
Gudu 2
Kware 2
Silame 1
Sokoto North 1
Tangaza 1
Wamakko 1

EASTERN ZONE

Gada 2
Goronyo 2
Gwadabawa 2
Illela 2
Isa 2
Rabah 2
Sabon-Birni 2
Wurno 1

SOUTHERN ZONE

Bodinga 2
Dange-Shuni 3
Kebbe 2
Shagari 2
Tambuwal 2
Tureta 2
Yabo 2

In late 2017, SHOW carried out a Health Facility Condition Survey that surveyed the general infrastructural status of the targeted health facilities (walls, roof, floors, painting, ceilings, windows, doors, etc.). The findings will be made available to the successful applicant to assist with the preparation of this assignment together with a detailed list of the facilities to be renovated.

• Anticipated refurbishments in health facilities will focus on non-structural construction activities or repairs that do not affect the structural integrity of a structural element of a building. These
• can include activities such as painting or plastering of floors, walls and ceilings, privacy dividers, new floors, replacing windows and doors without changing the structure, etc.
• It is important to note that this planned refurbishments will not include structural construction activities. Such activities include: water supply and sanitation facilities such as
• latrines, wells, water points, water storage tanks and water distribution systems; solar panels; new construction (erection of an entirely new structure, whether or not the site on which it was
• built was previously occupied); restoration or repairs by which at least one dwelling or other structure is effectively reinstated and where substantial parts of the existing structure are used;
• extension (the enlargement of buildings by which space is added); and, conversion (structural changes carried out within a building).
• To this end, Plan International Nigeria seeks a consultant to provide quality assurance services to support the refurbishment of up to 40 assisted health facilities in line with laws, regulations
• and policies of the Federal Republic of Nigeria, Bauchi State, Global Affairs Canada and Plan International.

3. Assignment Objectives and Expected Deliverables
The assignment objectives and expected deliverables for the consultant are:
a. To provide quality assurance services

• Prepare and implement a quality assurance plan to ensure engaged contractors undertake their respective refurbishment assignments per contract, design
• specifications and quality.
• Facilitate an orientation session for engaged contractors to ensure they fully understand their respective assignments, contract documents, and other compliance expectations.
• Conduct regular monitoring and supervision of the contractors at all 40 health facilities.
• Review regular progress updates submitted by engaged contractors to ensure contract implementation is done in conformity with agreed upon design, quality and cost.
• Prepare and submit regular progress reports on implementation and performance status of engaged contractors.
• Participate in the review and certification of claims for payments to contractors.
• Prepared final certificate of completion report for each engaged contractor.
• Produce a final quality assurance report in line with agreed template including pre & post- refurbishment pictures from all 40 health facilities.
• Provide technical clarity and advice in all discussions between Plan International Nigeria and engaged contractors.
• Perform any other duties as may be discussed and agreed with Plan International
• Nigeria.
• Provide Plan International Nigeria with list and copy of applicable national regulations that must be followed, permits that must be obtained. Examples include: environmental
• regulations, WASH guidelines, health centre minimum standards

Deliverables:

• Provide a report that contains the following information (a detailed template with instructions will be provided):
• Quality control and monitoring plan for construction:
• The plan shall set out the various steps, control measures put in place during construction activities, building code used, survey/location documents, land
• related documents and environmental aspects.

Reporting
The consultant will report directly to SHOW National Program Manager based in Sokoto under supervision from Plan International Nigeria’s Head of Health Programs based in Abuja.

Methodology

• Review and discussion on all relevant policies, guidelines, laws and regulations with Plan International Nigeria, Plan International Canada and various stakeholders as applicable.
• Agreement on a quality assurance process and understanding of non-structural works with Plan International Nigeria and Plan International Canada based on donor
• requirements.
• Site monitoring visits.
• Documentation and reporting.

Indicative Assignment Timeframe and Key Milestones
The main tasks and expected timeframe of for this assignment (anticipated duration: 5 months) are summarized in the following table:

Quantity Assurance Services- Main Tasks Expected Time Frame 1 st Sept ‘18 – 31 st Jan 2019 (5- months)

Review and discussions with Plan International Nigeria and Plan international Canada.

18 th and 19 th Sept 2018
Within 1 week of start of assignment.

b. Prepare a quality assurance plan (including a monitoring/supervisory schedule) to ensure engaged
contractors undertake their respective refurbishment assignments per contract, design specifications and quality. The quality assurance plan will include the engagement and support provided to a 4-person Quality Assurance Committee (QAC) which will have been pre-established at each assisted health facility. QAC members will include: the health facility’s Officer-in-Charge, WDC representative, 100 Women’s Group representative, and LGA representative.

24 th to 27 th Sept 2018 Within 2 week of start of assignment.

c. Facilitate an orientation session (in Sokoto) for engaged contractors to ensure they fully understand their respective
assignments, contract documents, and other compliance expectations.

3 rd and 4 th Oct 2018 Within 3 weeks of start of assignment.

d. Regular quality assurance monitoring and supervisory visits to up to 40 health facility worksites; this includes active
engagement with each health facility’s QAC.

1st Oct – 31 st Dec 2018

e. Prepare and submit weekly progress reports on implementation and performance status of engaged contractors.

5 th to 31 st Oct 2018
Starting 1 st Oct 2018

Sign-off of all Certificate of Completion for each individual health facility (to be done in consultation with the QAC).

All by 31 st Dec 2018

Preparation and sign-off of all final overall Certificate of Completion for each contractor

All by 31 st Dec 2018

Submission of final quality assurance report with pre and post refurbishment pictures for all assisted health facilities (up to 40 sites)

go to method of application »

Terms of Reference for

Consultant to Provide Quality Assurance Services

 to Support the Refurbishment of 15 Health Facilities and Construction of Protected Burn and Bury Pit Installation in 204 Health Facilities in Bauchi State, Nigeria

September 2018

1.     Introduction to BORN

The Bauchi Opportunities for Responsive Neonatal and Maternal Health (BORN) project is a four and a half year (February 2016-June 2020) gender-transformative project funded by Global Affairs Canada. The project is expected to ultimately contribute to the reduction of maternal and neonatal mortality in 10 Local Government Areas (LGAs) among marginalized and vulnerable women and newborns. Its intermediate outcomes are: improved utilization of maternal, neonatal and family planning services by women of reproductive age (WRA) including adolescent girls, newborns, and male community members; improved quality of maternal, neonatal and family planning services for WRA including adolescent girls, newborns and male community members; and, improved quality of local health governance systems to ensure high quality, gender responsive, adolescent friendly and results-oriented maternal and neonatal health, and sexual and reproductive health (MNH/SRH) services.

Plan International Canada is implementing BORN in partnership with Plan International Nigeria, the Federal and State Ministries of Health, Ministries of Women’s Affairs, and Civil Society Organizations - Planned Parenthood Federation of Nigeria (PPFN) and Community initiative for the Promotion of Health and Education Sectors (CIPHRESS). BORN is aligned with the UN’s Every Woman Every Child Global Strategy on Women’s, Children’s and Adolescents’ Health, and will help drive progress towards reaching Sustainable Development Goals 3 and 5.

BORN will respond to health needs identified by the 2013 National Demographic Health Survey (NDHS) situational analysis of Bauchi state, which reported that only 16% of births are attended by a skilled birth attendant, access to postnatal care remains low as 84% of newborns receive no post-natal care; and Neonatal Mortality Rate (NMR) stands at 43/1000 live births. Furthermore, only 2.1% of WRA utilize modern family planning methods, with unmet needs for family planning at 16%. In addition, 48% of adolescent girls aged 15 -19 years old have begun childbearing in Bauchi state. There are also considerable gender inequalities contributing to this context, as women and adolescent girls have little opportunity for decision making at the household level, poor access to health information and services, and local health services are not gender responsive and adolescent friendly.

In  late  2016,  Plan International conducted a Health Facility Assessment (HFA) of the 219  health facilities covered by BORN to understand the current level of service availability and readiness of targeted health facilities in providing essential MNH/SRH services. The HFA revealed that though most primary health centres (PHCs) provide various MNCH services, a significant number of health facilities presently do not provide the full complement due to poor infrastructure and other issues. As part of the efforts to support the government of Bauchi State to address this deficiency, BORN is planning to refurbish 15 health facilities (3 CEmONC health centres and 12 BEmONC health centres)[1] spread across  3 LGAs. These renovations will be limited to non-structural work. I In order to improve the management of healthcare waste, BORN however, is also planning to undertake some limited structural construction works through the provision of a small-scale incinerator (de Montfort Mark 8a model) and a placenta pit at  each of the 12 targeted BEmONC health centres..

A further 204 health facilities across 10 LGAs will also be provided with a protected burn and bury pit to support safer on-site treatment and disposal of health facility medical waste.

Purpose of the Assignment:

• Support for Structural and Non-Structural Construction Works
• Plan International Nigeria seeks to engage a consultant to provide quality assurance services to support the construction work in line with the laws, regulations and policies of the Federal
• Republic of Nigeria, Bauchi State, Global Affairs Canada and Plan International. The consultant will supervise the contractors that will be hired by Plan International Nigeria to execute the
• planned construction work based on best practices.
• Non-Structural Works: Renovation
• In late 2017, BORN carried out a Health Facility Condition Survey that surveyed the general infrastructural status of the targeted health facilities (walls, roof, floors, painting, ceilings,
• windows, doors, etc.). The targeted health facilities (12 primary PHCs and 3 secondary healthcare centers) are listed in the following table:

LGA BEmONC Health Centre
(n=12)

Planned Construction Activity
(Structural Works)

Planned Construction
Activity
(Non-Structural Works)

Darazo PHC Papa
PHC Sade
Comprehensive HC Konkiyel
Aisha Isah Yuguda U-5 Clinic
Each:
Concrete placenta pit
De Montfort-type brick/cement incinerator with ash pit
Training in management of the placenta pit and De Monfort type brick/cement incinerator.

Renovation

Gamawa

PHC Gadiya
PHC Nainawa
PHC Udubo
PHC Gololo
Dass PHC Yelwa
PHC Wandi
Dass Town Maternity
PHC Polchi
Zone CEmONC Health Centre
(n=3)

Planned Construction Activity (Structural Works)

Planned Construction
Activity (Non-Structural Works)

Darazo General Hospital Darazo Each:

Concrete placenta pit
Training in management of the placenta pit. Renovation
Gamawa

General Hospital Gamawa Dass General Hospital Dass

* Final number of BEmONC and/or CEmONC health facilities covered by the assignment still potentially
subject to change.

• Anticipated refurbishments in the 15 health facilities will focus on non-structural construction activities or repairs that do not affect the structural integrity of a structural element of a building.
• These can include activities such as painting or plastering of floors, walls and ceilings, privacy dividers, new floors, replacing windows and doors without changing the structure, etc. The
• Health Facility Condition Survey eport will be made available to the successful applicant to assist with the preparation of this assignment.
• Planned refurbishments at assisted CEmONC and BEmONC sites will not include structural construction activities. These include: water supply and sanitation facilities such
• as latrines, wells, water points, water storage tanks and water distribution systems; solar panels; new construction (erection of an entirely new structure, whether or not the site on which
• it was built was previously occupied); restoration or repairs by which at least one dwelling or other structure is effectively reinstated and where substantial parts of the existing structure are
• used; extension (the enlargement of buildings by which space is added); and, conversion (structural changes carried out within a building). Structural Works: Small-scale Incinerators and Placenta Pits BORN will provide each of the 12 BEmONC health facilities, with a small-scale incinerator and placenta pit. The consultant will provide a one-day technical training in Bauchi to all
• ontractors that will be engaged in the construction of these structural works per national and/or WHO standards and guidelines. The consultant will also supervise the construction of
• the incinerators and placenta pits to ensure quality and conformity to the specifications provided by Plan International Nigeria.
• In addition to the 15 BEmONC/CEmONC sites, another 204 health facilities across 10 LGAs will be provided with a protected (fenced) burn and bury pit per the following distribution:
• # LGA # of Health Facilities

to receive protected (fenced) burn and bury pits(n=204)

1 Bauchi 46
2 Dass 13
3 Toro 28
4 Kirfi 19
5 Ningi 18
6 Darazzo 13
7 Misau 18
8 Gamawa 14
9 Katagum 19
10 Jama’are 16

3. Assignment Objectives and Expected Deliverables
The assignment objectives and expected deliverables for the consultant are:
a. To provide quality assurance services

• Prepare and implement a quality assurance plan to ensure engaged contractors undertake their respective refurbishment assignments per contract, design specifications and quality.
• Facilitate an orientation session for engaged contractors to ensure they fully understand their respective assignments, contract documents, and other compliance expectations.
• Advise on and recommend optimal locations for placement of incinerators, placenta pits and protected burn and bury pits at assisted health facility sites.
• Conduct regular monitoring and supervision of the contractors at all 15 BEmONC/CEmONC sites and 204 sites assisted with protected burn and bury pits.
• Review regular progress updates submitted by engaged contractors to ensure contract implementation is done in conformity with agreed upon design, quality and cost.
• Prepare and submit regular progress reports on implementation and performance status of engaged contractors.
• Participate in the review and certification of claims for payments to contractors.
• Prepared final certificate of completion report for each engaged contractor.
• Produce a final quality assurance report in line with agreed template including pre and post- refurbishment pictures from all 15 BEmONC/CEmONC sites and 204 health facilities assisted with protected burn and bury pits.
• Provide technical clarity and advice in all discussions between Plan International Nigeria and engaged contractors and other service providers (e.g. supplier of refractory/fire bricks to be use for incinerator construction).
• Perform any other duties as may be discussed and agreed with Plan International Nigeria.
• Provide Plan International Nigeria with a list and copy of applicable national regulations that must be followed, permits that must be obtained. Examples include: environmental regulations, WASH guidelines, health centre minimum standards

Deliverables:

• Provide a report that contains the following information (a detailed template with instructions will be provided):
• Quality control and monitoring plan for construction:
• The plan shall set out the various steps, control measures put in place during construction activities, building code used, survey/location documents, land related documents and environmental aspects.

Reporting
The consultant will report directly to BORN National Program Manager based in Bauchi under supervision from Plan International’s Head of Health Programs based in Abuja.

Methodology

• Review and discussion on all relevant policies, guidelines, laws and regulations with Plan International Nigeria, Plan International Canada and various stakeholders as applicable.
• Agreement on a quality assurance process and understanding of non-structural works with Plan International Nigeria and Plan International Canada based on donor requirements.
• Training of engaged contractors on the construction of the small-scale incinerators (De Montfort , Mark 8a), placenta pits, and protected burn and bury pits).
• Site monitoring visits
• Documentation and reporting

4. Indicative Assignment Timeframe and Key Milestones
The main tasks and expected timeframe of this assignment (anticipated duration: 5 months) are summarized in the following table:
Quality Assurance Services - Main tasks Expected Time Frame
1 st Sept ‘18 – 31 st Jan 2019 (5-months)

a. Review and discussions with Plan International Nigeria and Plan international Canada

18 th and 19 th Sept 2018
Within 1 week start of assignment
Prepare a quality assurance plan to ensure engaged contractors undertake their respective refurbishment assignments per contract, design
specifications and quality.
The quality assurance plan will include the engagement and support provided to a 4-person Quality Assurance Committee (QAC) which will have been pre-established at each assisted health
facility. QAC members will include: the health facility’s Officer in Charge, WDC representative, 100 Women’s Group representative, and LGA representative.

24 th to 27 th Sept 2018
Within 2 weeks start of assignment

c. Facilitate an orientation session (in Bauchi) for engaged contractors to ensure they fully understand their respective assignments, contract
documents, and other compliance expectations, including a one-day training workshop (in Bauchi) on De Montfort incinerator, placenta pit, and

3 rd and 4 th Oct 2018 Within 3 weeks start of assignment

protected (fenced) burn and bury pit construction.
d. Regular quality assurance monitoring and supervisory visits to 15 BEmONC/CEmONC sites and 204 health facilities assisted with protected
burn and bury pits. This includes active engagement with each health facility’s QAC.

5 th Oct to 21 st Dec 2018
Starting 1 st Oct 2018

e. Prepare and submit weekly progress reports on implementation and performance status of engaged contractors.

5 th Oct to 21 st Dec 2018 Starting 1 st Oct
2018
f. Sign-off of all Certificate of Completion for each individual health facility (to be done in consultation with the QAC).

All by 31 st Dec 2018

g. Preparation and sign-off of all final overall Certificate of Completion for each contractor

All by 31 st Dec 2018

h. Submission of final quality assurance report with pre and post refurbishment pictures for all 15
BEmONC/CEmONC sites and 204 health facilities assisted with protected burn and bury pits.