Save the Children

Cost analysis for improvement of different categories of Union Health and Family Welfare Centres of Bangladesh

1. Introduction:
One of the priority interventions in the current and next HNP sector program is to increase the coverage of skilled birth attendants. Strengthening the primary level facilities, especially the union level facilities for the provision of 24/7 delivery care services is widely recognized as a priority initiative to support this objective.

Aligned with the HPNSDP strategy and priorities, DGFP embraces an activity to strengthen the UH&FWCs to ensure availability and use of 27 basic obstetric care services, such as safe delivery, antenatal and postnatal care referral for complications to higher level facilities. In order to accelerate implementation of this strategy, the MOH&FW has taken this up as a fast track initiative and thus achieve the goals of the health sector program.

MaMoni Health Systems Strengthening (MaMoni HSS) is funded by USAID as part of the USAID’s continued commitment to contribute to the development of Bangladesh. Building on the successful work of the MaMoni project in Habiganj district, MaMoni HSS is designed with the goal to improve utilization of integrated maternal, newborn, and child health, family planning, and nutrition (MNCH/FP/N) services in Bangladesh. The project’s objective is well aligned with the Government of Bangladesh’s HPNSDP 2011-2016 and also next sector programme. The project supports the MOH&FW to introduce and leverage scaling up of evidence-based practices already acknowledged in Bangladesh.

During 2015-16, MaMoni HSS supported DGFP to conduct a nation-wide assessment of all union level facilities to determine their readiness to provide normal delivery care and newborn care services. This assessment also prepared a database of all facilities, number 4,161 in 64 districts of the country. This includes different types of facilities, such as Union Health and Family Welfare Centers (UH&FWCs), Union Subcenters (USC) and Rural Dispensaries (RDs), and are managed either by the Directorate General of Health Services (DGHS) or by the Directorate General of Family Planning (DGFP). The assessment also collected information such as condition of the facility, residence, instruments, availability of FWVs, their training status etc. The presence of more than 4161 union level facilities, which have been grouped into three categories based on their current level of readiness, present a unique opportunity to rapidly increase skilled attendance at birth. These facilities, if made fully functional in phase in process, collectively can accommodate to the health care needs of most unions, especially for life-saving maternal and newborn care services

All UH&FWCs, both under the management of DGHS and DGFP, are designed to contain at least two staff quarters, which means that at least the Family Welfare Visitors (FWVs) are available beyond routine service hours (8am-2:30pm). The current human resource situation is also conducive for scaling up facility delivery services. Most of the FWVs are already trained on midwifery, and could start providing service after a shorter competency based training/attachment.

2. Objective:
The overall objective of the consultancy is to do an analysis of the costs and benefits of strengthening the union level facilities across the country to provide a minimum package of maternal and newborn care services.
The specific objectives are:

  • To estimate the financial costs of providing essential maternal and newborn health services, including normal delivery care on round-the-clock basis, at union level facilities
  • To estimate the incremental costs for strengthening the existing union level facilities to make them fully ready to provide essential maternal and newborn care services, including normal delivery care on round-the-clock basis
  • To analyze the estimated benefits of strengthening the union level facilities in terms of increase in coverage of key interventions, reductions in morbidity and mortality (and possible, DALYs saved)

The main areas of costs for strengthening the facilities are:

  • Infrastructure including electricity and water supply: walls, roofs, floor, windows and door, dumping pit, painting, toilets, running water
  • Staffing, including clinical and support staff, proportionate to the level of utilization of the facilities
  • Selected trainings of service providers: midwifery, HBB/ CNCP, QOC/IP
  • Equipment required for safe delivery and minimum no of furniture: Delivery kit, tool, post-operative bed, bed side table, furniture
  • Essential supplies, including drugs and consumables according to the level of utilization of the facilities (have to discuss about the process of getting this information).

3. Scope of work:

The person will do the costing and cost benefit analysis through

  • Reviewing the available information in UHFWC assessment, the person will support organize the data to consider important renovations and refurbishments according to different category of UHFWCs available in all  the divisions of Bangladesh
  •  S/he will look at essential infrastructure requirements  followed by the instrument, furniture requirements for each category of  the health centre
  • S/he will look at relevant training requirement and analyse the costing of the training

The person needs to look at existing resources available with revenue budget, development budget and also allocation with local government to meet the resource requirement.

Collect costing information for Health Engineering Department (HED) and compare with costing from other sources.

MaMoni HSS and DGFP will collect and provide available data on service utilization and coverage using routine MIS reports.

4. Deliverables:

  • Summary report on UHFWC category wise (A, B, C) cost analysis.
  • Separate chapters on category wise costing of a) infrastructure, b) residence, c)  furniture for delivery room, d) essential equipment for delivery e) required trainings

5. Duration:
The total duration of the assignment is estimated to be 20 working days, spread over a period of one month – from February 01, 2017- February 28, 2017.

6. Qualification and experience:

Academic qualification: Master’s degree in Health Economics or Economic analysis or other relevant discipline

Additional professional certificates: Professional certifications would be preferred.

Minimum 10 years’ experience in working with government health system. Should have adequate knowledge on infrastructure on Health Systems of Bangladesh. Must have good networking with key people in health arena in Bangladesh.
Strong track record of conducting costing studies and cost-benefit analyses for interventions in the health sector
Excellent Cost Analytical abilities

VAT Registration: VAT registration is mandatory for consultant to obtain consultancy service under USAID funded project.

Interested national individual consultant, may submit their technical and financial proposal along with CV and copy of VAT registration certificate to the following email address:, application closing date: January 14, 2017.

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Request of Expressions of Interest

Government Of The People’s Republic of Bangladesh

Ministry/Division Ministry of Defence
Agency Survey of Bangladesh
Procuring Entity Name Project Director, Strengthening the Digital Cartographic Capability of Survey of Bangladesh
Procuring Entity Code 1911
Procuring Entity District Dhaka, Bangladesh
Expression of Interest of Selection Short Term Consulting Service by Individual Consultant on Server Administrator
EOI Ref No 15-G-Carto (Advertisement)/309
Date  03 January 2017
Procurement Methods Quality and Cost Based Selection (QCBS)
Budget and Source of Funds Government of Bangladesh
Development Partners Not Applicable
Project/Programme Code 5011
Project/Programme Name Strengthening the Digital Cartographic Capability of Survey of Bangladesh
EOI Closing Date & Time Date 23-01-2017 & time 2:00 pm
Brief Description of Assignment
Server Administrator: 1 Person
Server, Hardware & Networking:
1. Ensure computer systems and database backups, archiving, data recovery and provide expert support when necessary
2. Protect internal and external computer system data form unauthorized users.
3. Maintain LAN and internet connectivity, products (Hub, Switches, Routers and Firewalls) and their installation and configuration.
4. Configure troubleshoot and maintain active Directory, DNS Server and File Server on windows & other Platforms.
5. Configure troubleshoot, and maintain Proxy, Samba, FTP, Web Server and Maintain Mail Server.
6. Maintain Database Servrs (SQL Server, My SQL and Oracle).
7. Adequate knowledge on Data backup and restore in Windows / Linux.
8. Support for Microsoft Windows client and server networking and application software technologies. Configure troubleshoot and maintain storage Systems.
Qualification & Experience of Server Administrator:
Qualification: Minimum B. Sc in Computer Science and Engineering (CSE) or related discipline & Professional certification MCSE/CCNA/Redhat.
1. Experience in developing and using drive imaging technologies, server and client based antivirus protection strategies, and robust automated backup solutions.
2. Strong understanding of TCP/IP
3. Familiar with any enterprise grade Backup software; experience with Backup Exec is a plus
4. Very good orientation with mid ranged Routers
5. Familiar with Optical Fiber based LAN deployment
6. Experience with any enterprise grade Server and SCSI Devices. Experience with similar system as in SOB is a strong plus.
Other Details a. The consultant should have minimum 3 (three)  years recent working experience in related field.
b. The consultant should be well convergent in IT sector.
c. Age not exceeding 45 years.
d. The consultant must have the capability of imparting training to the SOB technicians in the relevant field.
e. EOI is to be submitted by individual consultant with a forwarding letter.
f. The EOI must be duly signed and dated on every page.
g. The individual consultant must have postal address, e-mail and contact number.
h. The services are likely to commence on 1st February 2017.
i. Interested applicants are requested to submit their expression of interest with supporting documents.
Name of the Official Inviting EOI  Md. Mustafijur Rahman
Deputy Director (Survey) & Project Manager of SDCC Project
Survey of Bangladesh,  Tejgaon, Dhaka-1208. Tel: 880-02-8170391, Fax: 880-02-9117463; Email:;
Description of the Official Inviting EOI
Address of the Official Inviting EOI
The Expression of interest (EOI) in four sets (one Original + Three Duplicate) must be submitted in sealed envelope, delivered to Project Manager, SDCC Project, Survey of Bangladesh, Tejgaon, Dhaka-1208 by 23 January 2017 at 2:00 pm and clearly marked “Request for Expression of Interest.” The consultant will be selected in accordance with the procedure of PPA-2006 and PPR-2008 issued by the government of Bangladesh
Application: Standard Request for Application (SRFA) is Available in Project Manager’s Office (free of cost).
The procuring entity reserves the right to accept or reject any or all EOI’s.