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Version 2.3_September 2016 FHSSP is implemented by Abt Associates on behalf of the Australian Government
1 FHSSP is implemented by Abt Associates on behalf of the Australian Government
Fiji Health Sector Support Program
Request for Tender
Counselling Review and Strategy Consultancy
1. Purpose
Abt Associates, on behalf of the Fiji Health Sector Support Program (FHSSP), an Australian
Government funded initiative, invites suitably qualified and experienced individuals or firms to
submit tenders to review the current counselling services in Fiji in consultation with key stakeholders
and provide a comprehensive written, data-driven review paper to assist the Ministry of Health and
Medical Services (MoHMS) to better plan, fund and manage counselling services for the people of Fiji
in the interests of improved mental health and wellbeing.
2. General information
Tenderers must use the tender forms provided and must include all information specified in this
request for tender (RFT) in their tender. Tenderers accept that their failure to provide all information
may result in their tender being excluded from further consideration.
3. RFT particulars
RFT close date: 4.30pm (FJT), Monday, October 17 2016
Validity period: 90 working days from submission
Contact person: Ms Leah Ekbladh
Ph: +679 3215 802
Email: [email protected]
Submission: Tenders to be submitted electronically via email to
Responsibility rests with the tenderer to ensure that its tender reaches FHSSP by the due closing
date.
4. Form of tender
The tender submission must contain the following information:
Schedule A: Tender Form
Schedule B: Tenderer’s Details
Schedule C: Tenderer’s Experience
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Schedule D: Approach and Methodology
Schedule E: Key Personnel
Schedule F: Cost Proposal
The tenderer must include all information specified in this RFT in their submission. The tenderer
accepts that their failure to provide all information may result in their tender being excluded from
further consideration.
The tender may be regarded as non-conforming if it fails to conform to one of these conditions.
Abt Associates reserves the right to seek clarification of a non-conforming tender.
Abt Associates may at its absolute discretion assess or reject a non-conforming tender and will not
enter into any correspondence or discussion about a decision to assess or reject a non-conforming
tender.
5. Evaluation process
Tenders will be evaluated on the basis of a technical and financial assessment in order to achieve the
best value for money outcome. The following selection criteria and weighting will form the basis of
tender assessment:
(a) Tenderer details and experience 50%
(b) Approach & methodology 30%
(c) Schedule & price 20%
Abt Associates reserves the right to seek clarification of, and negotiate the terms included in, short-
listed tenders after tenders close. These discussions will be documented and form part of the tender
for evaluation purposes. Unsuccessful tenderers will have no redress against Abt Associates
regardless of any addition or amendment to any tender submission in these circumstances.
Abt Associates is not bound or required to accept the lowest tender or any tender.
On request, unsuccessful tenderers will be provided with brief written feedback regarding the
selection procedure and the assessment of their tender to the successful tender submission. The
decision of the evaluation panel is final, and the provision of feedback on the evaluation process is for
purposes of courtesy and quality improvement only. No further correspondence will be entered into
on the basis of this feedback.
6. Award of contract
Following the selection of the preferred tenderer, Abt Associates may enter into negotiations with
the preferred tenderer in respect of the scope of services and basis of payment of the contract. Such
negotiations will be strictly limited to matters of details rather than substance.
7. Tender costs
Tenderers are responsible at their own cost for:
(a) Making all arrangements and obtaining and considering all information relating to the
RFT;
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(b) The preparation, delivery and lodgement of the tender.
8. Terms of reference
Background
The goal of FHSSP is to remain engaged in the Fiji health sector by contributing to the MoHMS efforts
to achieve its higher level strategic objectives in relation to infant mortality, maternal mortality and
the prevention and management of diabetes as outlined in the MoHMS Strategic Plan.
There are six key objectives for FHSSP:
1. To institutionalise a safe motherhood program at decentralised levels throughout Fiji.
2. To institutionalise a healthy child program throughout Fiji.
3. To improve prevention and management of diabetic foot sepsis and cervical cancer.
4. To revitalise the community health worker program.
5. Targeted health systems strengthening.
6. Assist MoHMS with recovery, rehabilitation and disaster risk reduction activities in response to Tropical Cyclone Winston.
The Program was originally designed as a five year AUD33million program of support to the Fiji
MoHMS to improve health outcomes in Fiji over the period 2011-2016. The Program has now been
extended for a further year to June 2017 with additional funding of AUD5 million. FHSSP is funded
by the Australian Government Department of Foreign Affairs and Trade and is managed by Abt
Associates.
Purpose of this review
The burden of disease from mental health disorders in Fiji has been likened to an iceberg, where only
the tip is seen of this growing issue that has the potential to impact individuals as well as economic
and social development of Fiji. While there has been some efforts in recent years to develop and
implement increased legal, planning and strategic frameworks to support improved mental health
services, gaps remain in workforce development, financing, research and information systems. Over
the past decade, the Australian Aid Program has consistently funded one aspect of the national
mental health system i.e. antenatal and hospital based counselling services on behalf of the MoHMS
with these services being provided through local non-governmental organisations (NGOs). However
the scope of the service need is poorly understood both in terms of disease burden, service
requirements and financing. This review has been commissioned to assist MoHMS to better plan,
fund and manage counselling services for the people of Fiji in the interests of improved mental health
and wellbeing.
The review will consider and present:
International literature review of counselling service delivery models for lower middle
income countries such as Fiji.
Situation analysis of counselling services currently being provided on behalf of MoHMS
including:
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o Legal framework for counselling services and standards
o Scope, coverage, reach, perceived benefit, service standards and cost
o Identify any duplication in service needs
o Clarify existing governance, financing, and data-requirements
o Identify referral pathways both within MoHMS and broader service providers
o Workforce capacity, accreditation and standards
o Steps necessary to institute a counselling board or like professional body
A gap analysis between current counselling services and options for service delivery models
identified in the literature review and consistent with existing Mental Health and disability
legislation and policy in Fiji. This gap analysis will take a building blocks approach to the
presentation of the information covering the following building blocks:
o Mental Health Governance
o Financing
o Performance indicators
Mental Health information systems
o Research
o Service Delivery including referral pathways
o Workforce development
Mental Health and Counselling Services in Fiji
In Fiji, robust epidemiological data is largely unavailable regarding the national prevalence or burden
of disease of mental disorders. Likewise, a routine and effective way to track, assess and evaluate
counselling services is also lacking.
Ongoing challenges facing mental health service development and delivery in Fiji include: the stigma
associated with mental health and illness at St. Giles Hospital; limited access to mental health care
which remains focused in urban areas and at the country’s only psychiatric facility; and lack of trained
mental health professionals and allied mental health care workers. To further complicate care,
counselling services are disparate—provided in part by MoHMS, NGOs, and the private sector.
Counselling is not regulated and rigorous training programs do not exist to the extent that basic
counselling skills and services are uniform across levels of care, cadres, or topical areas.
Mental Health Service Delivery
There have been a number of significant events in the evolution of Fiji’s mental health and counselling
services over the last decade. The 2011 Mental Health Decree supported decentralisation of mental
health services from institutional care to integrated health care at the divisional level. In May 2011
the first Mental Health clinic was officially opened by the Minister for Health at Samabula Health
Centre. This was followed by the establishment of the first mental health units, named Stress
Management Units, in Labasa Hospital, Colonial War Memorial Hospital, Suva, and subsequently,
Lautoka Hospital. Furthermore, it is envisioned that follow-up in the community will be supported by
a well-established public health hierarchy involving community health workers (CHW), nursing
stations, health centres, and sub-divisional hospitals.
Workforce development
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Within Fiji, there are numerous “counsellors”. However, their qualifications and level of expertise vary
and are often unverified. Training of these counsellors is often informal or they have undergone brief
workshop training (2 to 3 day courses in counselling skills) at local technical institutions or social
services programmes. The MoHMS, other governmental organisations, and the National Mental
Health Advisory Council were responsible for identifying counsellors in the community and providing
specific counselling training. Currently, the MoHMS and other government agencies ie Prisons, Police
and Social Welfare outsource a large swath of its counselling services to a Fijian NGO, Empower
Pacific, which has also trained counsellors for accreditation by the Australian Council of Professional
Counsellors.
In Fiji, there are two major clinical health training institutions, the Fiji School of Nursing and the Fiji
School of Medicine. Specific to mental health, the University of the South Pacific’s School of Social
Sciences in the Faculty of Arts and Law, offers a bachelor's degree with majors available in Social
Work and Psychology, and a Certificate in Basic Counselling, and a Masters Degree in Social Policy
and Administration. The Pacific Theological College has Clinical Pastoral Education for clergy
members. In 2011, modules on mental health were introduced into the Nurse Practitioners Course at
the Fiji School of Nursing. In 2012, a post graduate diploma course in mental health to provide
specialised mental health training for doctors was established and received its first intake of students.
Plans were underway to set up a post graduate masters programme in mental health.
Training of public health staff (nurses and doctors) is ongoing and dependent on availability of funds
and teaching personnel. The training of the public health staff in the divisions as aforementioned is
being done by the staff of St. Giles Hospital with the support of the divisional Mental Health Project
Officer in between sessions. Training of doctors in the divisions has been more difficult and tends to
be one-off brief sessions. Doctors are supported in the divisions through the Mental Health Clinical
Services Network and regular clinics (at least once a quarter) in the Northern and Western Divisions.
Key Stakeholders
The key stakeholders involved in developing a comprehensive counselling review include, but are not
limited to:
Stakeholder working group to support the review (to be organized with MoHMS and FHSSP
support/guidance)
Ministry of Health and Medical Services:
o Deputy Secretary Public Health
o National Adviser NCD
o National Advisor Mental Health
o Director of Nursing
o Selected Divisional Medical Officers and Divisional Health Sisters
Fiji Health Sector Support Program
UNICEF
World Health Organization, including PIMNET
Save the Children
Empower Pacific
Medical Services Pacific
Fiji Women’s Crisis Centre
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Fiji Council of Social Services (FCOSS)
Lifeline
Counselling Centre at USP
FNU, USP
The following documents will be made available to the successful tenderer to review and consider in
the development of the counselling review:
MoHMS National Strategic Plan 2016–2020
MoHMS Annual Corporate Plan, 2015, 2016
National Mental Health and Suicide Prevention Strategic Plan, 2012-2016
National Mental Health and Suicide Prevention Policy, 2012-2016
National Policy on Persons Living with Disability, 2008
Mental Health Decree, 2010
The full terms of reference for the assignment is included in Annex A.
9. Schedules
A. Tender Form
B. Tenderer’s Details
C. Tenderer’s Experience
D. Approach and Methodology
E. Key Personnel
F. Schedule of Fees
10. Annexes
A: Terms of reference
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7 FHSSP is implemented by Abt Associates on behalf of the Australian Government
Schedule A
Request for Tender
Consultancy services
TENDER FORM
To Abt Associates,
We, (Insert tenderer’s full name)
Address: (Insert address)
Phone Number: (Insert phone no)
(a) Offer to undertake the Terms of Reference as defined in the RFT documentation on the
terms described in the RFT and the particulars set out in the enclosed submission.
Total Contract Price: AUD_____________________ (GST exclusive price).
(b) In consideration of Abt Associates promising to consider our tender, will keep this offer
open for a period of ninety working days after the close of tenders.
(c) Nominate the following person as our representative for executive negotiations:
Firm’s representative: (insert title and full name)
Mobile number: (insert mobile number)
Email address: (insert email address)
DATED this _______ day of ___________ 2016
SIGNED for and on behalf of _________________________
(Insert name of tender)
_________________________ _________________________
Signature of Authorised Signatory Name of Authorised Signatory
In the presence of:
_________________________ _________________________
Signature of Witness Name of Witness
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Schedule B
Request for Tender
Consultancy services
TENDERER’S DETAILS
Item Details (complete as applicable)
Name:
Director(s)/Owner(s):
Postal address
Phone number:
Fax number:
Office location(s):
Number of branches and
locations:
Number of staff:
Years of experience in the field:
Company registration/business
number:
Professional Indemnity
Insurance:
Liability Insurance:
Workers Compensation
Insurance:
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Schedule C
Request for Tender
Consultancy services
TENDERER’S EXPERIENCE
Provide details of work similar to the proposed contract that the tenderer is currently undertaking or has completed within the last three (3) years.
Project name:
Contract value:
Duration of contract:
Actual or anticipated completion date:
Client name:
Client contact person (name and telephone number)
Description of the scope of services, demonstrating similarity to the proposed contract:
(Note: You are able to include as many examples of previous contracts as you feel appropriate using the format above)
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Schedule D
Request for Tender
Consultancy services
APPROACH AND METHODOLOGY
In this section the tenderer’s should describe the details of their approach and methodology to
providing the terms of reference.
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Schedule E
Request for Tender
Consultancy services
KEY PERSONNEL
NB. Please attach current CV (including contact details for at least two professional referees), not more than five pages in length, for the key personnel
who will be associated with the assignment.
Proposed role in the project Name Position in the organisation Details of specific role Details of similar experience
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Schedule F
Request for Tender
Consulting services
COST PROPOSAL
As an Australian Aid funded initiative, the FHSSP aligns with the DFAT Adviser Remuneration Framework (ARF).The tenderer is required to provide cost
information for key personnel with respect to the ARF. Further information on the ARF can be found at http://dfat.gov.au/about-
us/publications/Documents/adviser-remuneration-framework-2016.pdf.
Any travel costs (if relevant) from their home base to Suva, Fiji (using direct economy flights) will be in accordance with DFAT accommodation and per
diem rates.
Note: all local costs associated with holding meetings and/or consultation sessions with key stakeholders within Fiji will be paid directly by FHSSP or the
MoHMS and do not need to be included in the cost proposal.
Any assumptions made in developing the cost proposal should be listed.
Key personnel costs
Outputs Expected date of completion
Key personnel Estimated travel support costs (excl. accommodation, per diems)
No. person days
Daily rate Cost AUD (excl. GST)
Output 1 –Detailed Work
Plan
Output 2 – Situational
Analysis Briefing Document
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13 FHSSP is implemented by Abt Associates on behalf of the Australian Government
Output 3 – Counselling
Review Paper
The tenderer is required to list out any other costs associated with delivering the terms of reference.
Other costs
Outputs Description Qty Unit cost Cost AUD (excl.
GST)
Output 1 – Detailed Work
Plan
Output 2 – Situational
Analysis Briefing
Document
Output 3 – Counselling
Review Paper
TOTAL (excluding GST) AUD
An nex A: TORs – Counselling Services Review C onsultancy
14 FHSSP is implemented by Abt Associates on behalf of the Australian Government
Terms of Reference
Position Title: Counselling Review and Strategy Consultancy
Program: Fiji Health Support Service Program (FHSSP)
Location: Desk-based and/or Suva, Fiji
Term: November 2016-March 2017, number of working days set by applicant
Reporting To: FHSSP Technical Team Leader
MoHMS
Counterparts:
National Adviser NCD
National Adviser Mental Health
Abt Associates Values The Consultant(s)/Organisation must demonstrate a high level of
integrity and a commitment to the goal of FHSSP to remain engaged in
the Fiji health sector by contributing to the Fiji Ministry of Health and
Medical Service’s (MoHMS) efforts to achieve its higher level strategic
objectives in relation to:
Reducing infant mortality (MDG4)
Improving maternal health (MDG 5)
The prevention and management of diabetes
as outlined in the Strategic Plan of the MoHMS.
The Consultant(s)/Organization must also demonstrate a high level of
commitment to following values of Abt Associates:
Mission-Driven.
We are united by our mission to improve the lives of people worldwide.
Global.
We are a global community, bringing diverse knowledge, expertise, and
perspectives to the many challenges faced by today’s world.
Committed to Excellence.
We strive to meet and exceed the highest professional standards.
Collaborative.
We know that working collaboratively produces excellence.
Accountable.
We take responsibility for what we do and how we do it.
Balanced.
We sustain the energy and commitment we bring to our roles by
promoting a healthy balance between our personal and professional
lives.
An nex A: TORs – Counselling Services Review C onsultancy
15 FHSSP is implemented by Abt Associates on behalf of the Australian Government
Duty Statement: The Consultant(s)/Organisation is responsible for developing, in
consultation with key stakeholders, a written, and to the extent possible,
data-driven review of counselling services in Fiji and develop a
comprehensive scope of services for MoHMS to consider, commission,
and fund.
Specific Duties: Develop a work plan outlining the approach to the assignment.
Undertake a literature review of counselling service provision in
middle income countries that considers governance, financing,
MHIS, referral systems, mental health workforce.
Conduct a situational analysis by reviewing all relevant and current
documents pertaining to counselling programs, policies and
strategies in Fiji (most documents will be provided).
Consult with identified stakeholders to review the existing mental
health policy, other relevant documents/programs and discuss
recent initiatives or updates to counselling data/information.
The following building blocks should be considered during analysis
of collected data (qualitative and quantitative):
o Mental Health governance
o Financing
o Mental health information systems
o Service delivery
o Organizational integration of services and mental health
facilities
o Availability and proper use of psychotropic drugs
o Mental health workforce
o User/consumer and family associations
Based on discussions and consultations, available data and the
aforementioned analysis, develop a counselling review paper
outlining:
o An overview of existing services
o A review of gaps in counselling services
o Recommendations for any additional training or structures
(licensure, accreditation of programs) needed to ensure the
quality and efficacy of counselling
o Prioritization of funding services given the most pressing
counselling needs in Fiji.
Present the paper to key stakeholders for final review.
Performance
Deliverables:
Detailed work plan for the assignment developed and agreed,
outlining key tasks, timeframes and deliverables.
Situational analysis briefing document.
Counselling review paper with options for service provision.
An nex A: TORs – Counselling Services Review C onsultancy
16 FHSSP is implemented by Abt Associates on behalf of the Australian Government
Reporting: The Consultant(s)/Organisation is required to provide:
Situational analysis briefing document
Counselling review paper.
Each report that is provided should be:
Of the highest standard of quality including report content,
formatting, spelling and grammar.
Prepared in accordance FHSSP reporting guidelines.
Provided as an electronic Microsoft Word or Excel file.
Delivered by the required date.