WASH in HCF Landscape Analysis Consultancy At Save the Children – US

BACKGROUND

Globally, major gaps in basic water, sanitation, hygiene, waste management and cleaning services exist in health care facilities. A quarter of all health care facilities around the world have no basic water services, which means 712 million people have no access to water when they use health care facilities. Approximately 10% of HCFs globally have no sanitation services and 33% do not have adequate hand hygiene facilities at points of care. One in three HCFs do not segregate waste safely. Global data is insufficient to estimate the quality of cleaning services, but available sub-national data suggests that professionalized and effective cleaning services are rare within health systems. WASH services are especially deficient in least-developed countries (LDCs). In LDCs, half of health care facilities lack basic water services and 60% have no sanitation services. Seven out of ten health care facilities in LDCs lack basic health care waste management services.

USAID’s Momentum Country and Global Leadership MCGL Project plans to conduct a landscape analysis to understand the key characteristics and enabling factors of viable and effective water, sanitation, waste management, cleaning, and disinfection/sterilization service delivery models for health care facilities, and compares service models across high, middle and low-income settings; and make recommendations for an improvement agenda for funders, governments, and implementing partners.

This analysis will help guide local health systems to closely look at their current models and to establish more efficient and sustainable WASH/IPC services through achievement of the following two objectives:

1. Identify best practices and common challenges to improve and maintain services in support of robust infection prevention programs.
2. Provide recommendations based on best practices to health systems, local governments and service providers to develop evidence-based, sustainable and economically viable plans to achieve basic WASH services within healthcare facilities.

Key questions that MCGL aims to address through this analysis are:

1. What are the characteristics and enabling factors of appropriate service model arrangements to improve and maintain water, sanitation waste management and cleaning services (based on HCF level and network type, and resource envelope)?
2. How can policies, business models and monitoring, budget and planning systems be strengthened to improve access and quality of service to HCFs?
3. What specific questions should decision makers ask as part of reviewing their current WASH service arrangements?

The activity will be conducted in three phases:

• Phase I: Global desk review and key informant interviews
• Phase II: Country deep dives
• Phase III: Dissemination of findings and recommendations

PERIOD OF PERFORMANCE

The term of this consultancy is from March 1, 2022 – December 31, 2022. Changes may occur related to the implementation process of the project, and the start date is dependent on when the consultant passes a required background check.

OVERVIEW OF CONSULTANCY AND SPECIFIC TASKS

Phase I: Global desk review and key information interviews

The consultant will support implementation of a global desk review and key informant interviews on existing research and documentation on service delivery models for implementing system-wide WASH services. The final report should summarize existing evidence, approaches, emerging trends, and global expert opinions on contextual factors that enable effective services.

• Review global desk/literature review and make any contributions/revisions – 2 days
• Conduct global key informant interviews – 1.5 days
• Draft and finalize summary report and presentation on findings from literature review and key informant interviews – 5 days

Phase II: Country deep dives

Informed by the global desk review and initial key informant interviews, MCGL will identify three LMICs for a deep-dive analysis. Areas of exploration will include service provision models, financing structures and costs of services, contractual arrangements, capacity for service delivery as well as limitations, among others. The consultant will support the development of data collection tools for Phase II as well as provide technical support to in-country teams to conduct in-depth key informant interviews in the selected countries. The consultant will liaise with MCGL staff in each country to connect with relevant stakeholders, collect and analyze information/data, draft reports and disseminate activity learning in each country. Findings from Phase I & II will be analyzed, consolidated, and presented to MCSP at the end of Phase II.

• Draft and finalize data collection tools – 6 days
• Support country-level key informant interviews – 15 days
• Analyze results – 7 days
• Draft and finalize country briefs and consolidated report on Phase I and II findings – 8 days
• Support national and global dissemination events to present activity findings and recommendations – 3 days

BUDGET/LEVEL OF EFFORT

The supplier should propose a budget for the full scope of work in USD and must not exceed 48 days of LOE. SCUS will issue payment per the proposed schedule below once the SCUS Technical Lead approvals the deliverables.

DELIVERABLE AND PAYMENT SCHEDULE

Deliverable Estimated Deadline Payment Schedule

1. Summary report on findings from desk review and key informant interviews (June 30, 2022 July 31, 2022)
2. 30–60-minute presentation of findings from Phase I to MCGL (June 30, 2022 July 31, 2022
3. Data collection tools completed for Phase II (July 15, 2022 July 31, 2022)
4. Three country-level briefs summarizing key findings and recommendations from Phase I & II (November 30, 2022 December 31, 2022)
5. Consolidated report summarizing key findings and recommendations across all countries from Phase I & II (November 30, 2022 December 31, 2022)
6. 30-60-minute presentation on findings from Phase I & II to MCGL (December 15, 2022 December 31, 2022)

CONSULTANT PROFILE

The consultant should possess the following educational and professional qualifications for the execution of this scope of work:

• Advanced degree in public health, environmental engineering, international relations or another related field
• Familiarity with service delivery policies and stakeholders within the global water, sanitation, hygiene, waste management and cleaning sectors.
• Knowledge of service delivery models, contracting arrangements and funding models for water, sanitation, hygiene, waste management and cleaning services
• Experience in designing, implementing, and analyzing qualitative research activities
• Experience leading the development of technical reports
• Strong communication, analytical and writing skills
• Fluency in written and spoken English