Call for tenders for rendering consultancy services

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TERMS OF REFERENCE

Job Title:

Consultant on the provision of the legal and regulatory framework for home care services in the Transnistrian region

Duration of assignment:

05/ 2020 – 07/ 2022

Beneficiary:

A.O. Pro-Development

Partner organizations:

EU CBM Programme, GIZ, Czech Development Agency, Caritas Czech Republic,

1            BACKGROUND

The home-based services are a solution for covering the emerging need of long-term care at relatively low costs. A home-based service is a range of medical and social services provided to enhance the patient’s independence within the environment of his/her house and community to the largest possible extent. The definition operated by the national standards states that: home care service is health care service provided by trained medical personnel within the premises of their familiar environment with the aim of helping them to improve their health condition. In 2017 about 1100 persons from Moldova received medical home care, about 21 300 people received social home care services, of which 8 300 persons received services of home care provided by CSOs. These figures are valid for the right side of the Dniester River only; no data are available for the left bank. (Based on the information provided during the initial meetings with TN representatives, no medico-social services at home are delivered in the TN region).

There are two components of home care provision. The first component is the support provided by an informal network (family members, neighbors and friends), and the second is formal support (formal medical and social care) provided by the system. Home care offered to the elderly by the healthcare sector cover mainly people with advanced chronic diseases, people with low mobility and bed-ridden patients. There are 3 types of home care support services in Moldova: social support, medical support and integrated support.

The proposed intervention is aimed at increased confidence in the region, modernization of the primary health care services and the provision of relevant and sustainable services to patients on both sides of the Dniester River. At the same time, it is aimed at ensuring the cohesion of two public sectors involved in the process: the health care sector and the social protection sector.

2            Project summary

The assignment is part of the activity within the “Improvement of medico-social care services for people with long-term care needs on both sides of the Dniester River” project (further listed as Project), which is a three-year project funded by the European Union and co-financed by the Federal Ministry for Economic Cooperation and Development of Germany, under the general EU Confidence Building Measures Programme V (CBM V) - Health sector modernization.

Implementation of the Project is ensured by consortium of German Agency for International Cooperation (GIZ) and the Czech Development Agency (CzDA).

The overall objective of the Project is to increase confidence between regions on both sides of the Dniester through the coordination of primary health care services. Special attention is paid to people-to-people contact: experiences of beneficiaries, medical staff, social staff and municipalities from both sides of the Dniester River will be shared. To ensure that the increased confidence between both banks is achieved, lessons learned from the previous phase of CBM projects are considered, especially the full engagement of decision makers on both sides of the Dniester River, deep donors’ cooperation and the provision of a solution for practical needs (opening of a pilot Day Care Center serving patients from both sides of the Dniester River).

3            Tasks and duties of the Consultant

3.1       Objectives of the consultancy

Caritas Czech Republic and A.O. Pro-Development are seeking a Consultant/Company/Consortium of Experts  (hereinafter Consultant) to review and perform a comparative analysis of the current Health Care and Social Protection legislation framework applied on both sides of Dniester; develop a list of modifications to the TN relevant legislation and  make recommendations for integration of  the regulatory framework for long-term medico-social homecare services practiced in Moldova in the Transnistrian (TN)  primary care system

The main objective is to adjust the existing TN legislative framework and policy to the needs of newly established integrated (medical and social) home-care services. The initial review of current status will lead to recommendations on normative and legal acts to be further developed under the TN legislative framework and to the process of their full incorporation into the local TN law.

Expected duration of assignment: 1st May 2020 – 31st July 2022

3.2       Specification of tasks, deliverables and timeframe

Under the guidance and supervision of the Project Manager of the Project, in cooperation with health and social authorities of the TN region, the Coordination Council for Technical and Humanitarian Assistance or equivalent (Tiraspol), the Consultant will carry out the following tasks to achieve the objective defined in chapter 1.2:

  1. a) Comparative Desk review of the existing legislation, public policies and programmes in the relevant sectors on both sides of the Dniester River;
  2. b) Conduct of structured and/or semi-structured interviews (if relevant) with stakeholders from both sides of the Dniester River;
  3. c) Delivery of:
  • written report based on conclusion from the previous summarizing the differences between existing legislation, policies and programmes on both sides of the Dniester River and advocating and explaining the proposed recommendations and amendments
  • list of the recommendations and required modifications to adjust the TN legislative framework and policy to the needs of a newly established  integrated (medical and social) home-care service
  • drafts of legislative and regulatory amendments to adjust the TN legislative and regulatory framework to the needs of a newly established integrated (medical and social) home-care service;
  1. d) Presentation of the conclusions and proposals to the partners and stakeholders, advocacy for the proposed recommendations and amendments, collection and evidence of the comments;
  2. e) Incorporation of the relevant comments into the documents listed above (c), delivery of the final versions, presentation to the stakeholders.

Expected terms of delivery:

Tasks

Deliverables

Time frame

a) - c)

Report

List of recommendations

10 days in total

Expected timeframe: 5/2020-8/2020

 d)

Participation on 4 round tables

Advocacy  for the proposed recommendations and amendments

Evidence of the comments

Drafts of legislative and  regulatory amendments

4 days (4 round tables) in total

Drafts of legislative and  regulatory amendments: 20 days

Expected timeframe: between 8/2020-7/2022

e)

Final versions of report, recommendations and legislative and regulatory amendments

Participation on  1 round table

12 days in total

Expected timeframe:  

Final version of documentation: 10/2021

Round table: 12/2021

3.3       Methodology

To submit the deliverables in expected quality, the Consultant will have to collect necessary (disaggregated) data, review relevant  documentation from both sides of Dniester River (legislation, studies, reports, policy papers and surveys),  identify and interview experts from the relevant sectors from both sides of Dniester River,  in particular representatives of the Ministry of Health, Labour and Social Protection, TN health and social authorities, the Coordination Council for Technical and Humanitarian Assistance or equivalent (Tiraspol).

The assessment must abide by the principles of impartiality, objectivity, independence, credibility and usefulness.

4            COMPETENCE REQUIREMENTS

 

The candidate is expected:

  • to demonstrate relevant working experience of at least ten (10) years in policy research at the national or international level and in legislative/normative acts drafting or to prove academic background relevant to the scope of the assignment plus at least five (5) years of relevant experience in policy research at the national or international level and in legislative/normative acts drafting;
  • to have very good knowledge of Russian language, both in writing and orally, plus working knowledge of English and Romanian;
  • to have strong analytical skills
  • to have ability to work in international team environment

Previous knowledge of policy and regulatory/institutional framework in relevant sectors as well as knowledge of public administration system and public policy implementation cycle of the Republic of Moldova and Transnistria region will be considered as an advantage.

 

5            SELECTION process

5.1       How to apply

The Consultant will be selected based on the offers containing:

  • CV(s) - description of qualifications taking into account the requirements defined in chapter 4;
  • Copies of official documents proving the academic background and the expertise/experience (for example copies of legal review reports prepared by candidate etc.)
  • contacts to at least two references from the previous professional engagement
  • Financial offer

Offers shall be submitted via e-mail to:  daniela.dohotaru@caritas.cz

Deadline for the submission is 2nd March 2020, 8 pm

5.2       Selection criteria and process

The selection criteria will be as follows:

  • Financial offer (25%)
  • Proven expertise (75%)

Evaluation will be performed through a desk review of applications and may be supplemented by an interview.

Disclaimer: This  document was created with the financial support of the European Union.

Its contents are the sole responsibility of Czech Development Agency and do not necessarily reflex the views of the European Union

 


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