Somali Federal Republic

Ministry of Health & Human Services

Individual Consultancy (national) – Development of National WASH standards for Health Facilities in Federal Government of Somalia

In recent years the focus on Sustainable Development Goals has led WASH actors to review their activities in institutions, and several documents have been produced on WASH in health facilities in Somalia aims to improve the understanding of the minimum standards for WASH services and the required Operation and Maintenance(O&M) in health facilities to provide a safe and healthy environment for the health care services. Integrated effort will be made by health and WASH professionals to ensure the functionality and cleanliness of the facilities to effectively change the behavior of those working in and using the facilities. This will support to identify Water, Sanitation and Hygiene (WASH) standards and the required Operation and Maintenance monitoring guidelines in Health facilities (WiHCF) and develop the National WASH Standards for Health Facilities (NWSHF) with gender, disability and environmental sensitivity suitable, and applicable in Somalia.

Scope of Work and Methodology

The overall objective of this consultancy is to develop a comprehensive document on standards and O&M guidelines for WASH in Healthcare facilities for Federal Government of Somalia in collaboration with relevant line Ministries as well as other stakeholders. It is expected that the following specific objectives will be achieved:

1. A comprehensive literature review of existing WASH in health facilities guidelines, manuals and standards from other countries as well as UNICEF/WHO materials and publications on WASH in health facilities;
2. Consult with line Ministries concerned, Municipalities, NGOs and other agencies involved in the WASH and Health facilities interventions in Somalia for additional information and views on WASH in Health facilities requirements that are cultural, gender and disability appropriate;
3. Conduct field visits through the Federal Government of Somalia Ministry of Health and Human services to selected health facilities in both locations to assess the status of WASH infrastructures, behavioral conduct of health workers and users of the facilities in the facilities in urban and rural areas including assessment of existing operations and maintenance and prepare a case study;
4. Prepare a first draft of WASH in health facilities standards and guidelines including lay out.
5. Present first draft of WASH in health facilities standards and guidelines at a workshop for stakeholder consultations with key stakeholders involved in WASH in Health facilities interventions for inputs and comments on the first draft;
6. Prepare summary Power Point presentation of the Final draft standard and guidelines and abridged Summary version at a validation workshop for all stakeholders
7. Prepare Final standards and guidelines document incorporating comments from the workshop along with illustrations, drawings, figures, maps, tables, and charts for approval by line Ministries and UNICEF.

The consultant is required to work closely with Federal Government of Somalia relevant Ministry lines with national experts in the respective fields, who will support the consultant in data collection and assessment of the WASH infrastructure in the health facilities for Federal Government of Somalia, in addition to assessing the institutional capacity for O&M.

It is essential that the consultant develop a work schedule with the Federal Ministry of health with clearly defined timelines for deliverables. Ministry of Health will assist and facilitate field trips and identifying potential areas for target.

Deliverables and Reporting

The Consultant shall report directly to MoH Environmental Health section. All deliverables prepared by the Consultant shall therefore be submitted to Ministry of health and Human Services for their review and or approval. All reports shall be produced and written in English. The Consultant shall provide an electronic version of the reports and all data and required deliverables in MSWord, MS Excel, PDF formats or in formats acceptable to FMoH. All data are owned by the Ministry.

The following key reports to be submitted include but are not limited to:

1. Inception Report on the literature review, methodology and workplan
2. A testing protocol with triggering feature in a selected number of health facilities
3. Field testing completed and data set available
4. A capacity building and discussion protocol on NWSHF ready for review by FMoH and its partners, based on the experiences in the field
5. A financial analysis as part of the applicability of the set of standards
6. A Final report and Presentation of the National WASH Standards for Health Facilities (NWSHF) applicable in Federal Government of Somalia.

Tool and Equipment:

The Ministry of Health and Human Services Federal Government of Somalia shall provide all necessary tools, instruments, transport and equipment to execute the services as per the scope of works. These will be available during all service operations.

Confidentiality Statement:

All data and information received from the Health Facilities, FMoH, relevant ministry lines and other stakeholders for the purpose of this assignment shall be treated confidentially and shall only to be used in connection with the execution of these Terms of Reference. All intellectual property rights arising from the execution of these Terms of Reference are assigned to FMoH. The contents of written materials obtained and used in this assignment may not be disclosed to any third parties without the expressed advance written authorization of the Federal Ministry of Health and Human Services.

Estimated duration of contract and Tentative Dates

60 working days over the period August and September 2022

Payment Schedule:

Payment schedule will be through 100% Reimbursement linked to completion of all milestone/deliverable of the assignment and final report and Presentation of the National WASH Standards for Health Facilities (NWSHF) in Federal government of Somalia.

Estimated Cost of Consultancy

Applicants shall present a detailed financial proposal in USD that elaborates on their fees, administrative costs, etc. including a total sum demanded.

Official Travel Involved: Ministry of Health and Human Services shall be responsible for local transport costs.

Recourse: : Ministry of Health and Human services Federal government of Somalia reserves the right to terminate the contract and/or withhold all or a portion of payment if performance is unsatisfactory, if work/outputs is incomplete, not delivered or for failure to meet deadlines, if the rules and the regulations regarding confidentiality, ethics and procedures of the Ministry of Health and Human Services and the partners are not followed.