Helene Perold & Associates (HPA)
in Cote d’Ivoire, Lesotho, Malawi, Mozambique, Namibia, Swaziland
REQUEST FOR PROPOSALS
Helene Perold & Associates (HPA) is an independent research company based in Johannesburg, South Africa. HPA is contracted to provide research and evaluation services to the Harvard Ministerial Leadership in Health (MLIH) Programme. The MLIH Programme supports governments in 45 countries worldwide to strengthen their health service delivery. To help inform this process and provide a measure of impact over time, a baseline measure of patient satisfaction is being undertaken in several African countries.
The Harvard in-country initiative involves the health and finance ministries in each participating country. The health ministry is thus a key resource for the study and has a substantial interest in its findings. The ministry will identify the locations in which the data is collected, but the study must remain independent so that the MLIH Programme and the ministry are able to rely on the findings as a basis for a follow-up measurement in approximately two years’ time. The study focuses only on public primary health care/outpatient facilities.
This call for proposals seeks research service providers who have the experience and in-country knowledge to produce a high-quality study within a limited amount of time. Prospective bidders can submit proposals for one or more countries. The detail below applies to only one country. Separate proposals must be submitted for each country in cases where bidders are interested in conducting the research in more than one country.
Criteria for the selection of research service providers include previous experience of obtaining ethics clearance in the country concerned, conducting quantitative surveys, training and managing fieldwork teams, demonstrated methods of assuring the quality and accuracy of the data collection, and proven ability to identify and overcome constraints in the country concerned that could affect the accuracy of data collection.
The study has the following objectives:
- To assess the quality of the services delivered to patients/users by a sample of five public health facilities in selected urban, peri-urban and rural areas in each of the countries;
- To gain an understanding of the context in which the health facilities are operating;
- To create a baseline for the measurement of progress in the improvement of service delivery in the designated health facilities.
The study will take place in five health facilities in different parts of the country. The health facilities will be identified by Harvard in consultation with the health ministry and will be located across urban, peri-urban and rural areas.
The methodology consists of (1) a quantitative survey of 70 patients randomly selected (using an interval system) as they exit each health facility, (2) structured interviews with five staff members at each health facility, including the health facility manager, and (3) completion of one observation/site-scan instrument per facility.
The final sample will thus be 350 patients/ users of health facilities (70 per health facility), 25 structured health worker interviews (5 per facility), and an observation instrument for each facility.
Research teams are expected to be present at the facility one hour before it officially opens and to remain for 30 minutes after the facility officially closes.
A gender quota of 50% male respondents will apply.
The research instruments will be provided by HPA, and have been piloted, but will have to be translated into relevant local languages (using a process of double-blind back translation) and piloted.
Research protocols will be provided and research teams may not deviate from these.
The service providers will be responsible for obtaining ethics clearance in the country concerned.
A budget of US$10,000 per country is available for this study. This covers all professional fees and disbursements. The fees will be paid in instalments according to milestones specified in the study.
5. PROPOSAL GUIDELINES
The proposal should cover, inter alia, the following
- A detailed description of the process for obtaining ethics clearance
- A detailed description of the instrument translation and piloting process
- A detailed description of the methodology to be used, including a sampling strategy and a proposed implementation plan
- Quality control processes
- Data capture and analysis process
- Time-frame (the final datasets and final short reports must be submitted by the 31st of January).
- Budget (all inclusive)
- Composition and qualifications of research team, including of fieldworkers
- Identified risks and mitigation strategies
- Evidence of prior relevant research experience in the country concerned.
- Implementation plan
- Ethics clearance
- Training manual
- Cleaned dataset in excel of survey of 350 patients at five primary public health care facilities
- Cleaned dataset in Excel of 25 structured interviews with staff at the primary public health care facilities
- Analysed data in word format (descriptive - limited to frequency tables for all questions, and cross-tabulations for gender where requested)
- Five short reports based on the site scans conducted of the conditions at each of the five facilities researched
- A short report (five pages) on structure and functioning of the health system in the country concerned.
Closing date for proposals: 6 November 2015