UNICEF
works in some of the world’s toughest places, to reach the world’s most
disadvantaged children. To save their lives. To defend their rights. To help
them fulfill their potential.
works in some of the world’s toughest places, to reach the world’s most
disadvantaged children. To save their lives. To defend their rights. To help
them fulfill their potential.
Across
190 countries and territories, we work for every child, everywhere, every day,
to build a better world for everyone.
190 countries and territories, we work for every child, everywhere, every day,
to build a better world for everyone.
And
we never give up.
we never give up.
For every child
Background
Through
partnership with UNICEF, MCH program outlined key highlights and recommendations
for improving the service delivery by expanding existing Medical record
platform to a comprehensive, holistic and integrated system that encompasses
the entire RMNCH and nutrition programs. Further, the review recommended
leveraging this platform towards achieving results along the continuum of care
using a cascade approach from hospital, health center and community levels. The
EMR is currently implemented in 340 health facilities, and is limited to only a
few modules including the HIV package, eHealth Management System – eHMS (also
referred to as the primary care package) now implemented in 37 hospitals for
billing and registration and Bushenge is the only hospital implementing
additional modules in EMR including registration, lab, clinical notes, pharmacy
and billing. By implementing EMR with comprehensive RMNCH modules, the
government of Rwanda would like to address problems related to continuity and
quality of care at health facilities and community.
partnership with UNICEF, MCH program outlined key highlights and recommendations
for improving the service delivery by expanding existing Medical record
platform to a comprehensive, holistic and integrated system that encompasses
the entire RMNCH and nutrition programs. Further, the review recommended
leveraging this platform towards achieving results along the continuum of care
using a cascade approach from hospital, health center and community levels. The
EMR is currently implemented in 340 health facilities, and is limited to only a
few modules including the HIV package, eHealth Management System – eHMS (also
referred to as the primary care package) now implemented in 37 hospitals for
billing and registration and Bushenge is the only hospital implementing
additional modules in EMR including registration, lab, clinical notes, pharmacy
and billing. By implementing EMR with comprehensive RMNCH modules, the
government of Rwanda would like to address problems related to continuity and
quality of care at health facilities and community.
The
Government of Rwanda took a decision to adopt the Open Source Electronic
Medical Record (EMR) system as a national system to support health care
services within hospital and health centers across the country. EMR was created
in 2004 as an open source medical record system platform for developing countries.
OpenEMRS is a software platform and a reference application, which enables
design of customized medical records. The system is based on a conceptual
database structure, which is not dependent on the actual types of medical
information required to be collected, or on particular data collection forms
and so can be customized for different uses. This system is based on the
principle that information should be stored in a way that makes it easy to
summarize and analyze, i.e., minimal use of free text and maximum use of coded
information.
Government of Rwanda took a decision to adopt the Open Source Electronic
Medical Record (EMR) system as a national system to support health care
services within hospital and health centers across the country. EMR was created
in 2004 as an open source medical record system platform for developing countries.
OpenEMRS is a software platform and a reference application, which enables
design of customized medical records. The system is based on a conceptual
database structure, which is not dependent on the actual types of medical
information required to be collected, or on particular data collection forms
and so can be customized for different uses. This system is based on the
principle that information should be stored in a way that makes it easy to
summarize and analyze, i.e., minimal use of free text and maximum use of coded
information.
This
far, some hospitals and health centers have already started using the EMR,
however, the benefits so far are immeasurable. Great interest has shown in the
health sector to embrace technologies as such and its capabilities to
strengthen RMNCH and nutrition health service delivery across the continuum of
care and supporting innovative interventions towards achieving the results.
Additionally, Rwanda Ministry of Health is committed to achieving the
Sustainable Development Goals (SDGs) 2030. The maternal and child health
program Plan 2030 and key policy and program documents reaffirm the commitment
to the SDGs. The Maternal and child Health program is spearheading several
policy and program strategies towards achieving the health targets for the
national and global overarching goals. Strengthening the service delivery
platform and ensuring equity in coverage and quality are critical components
integral to achieving the targets for maternal, newborn and child health and nutrition.
far, some hospitals and health centers have already started using the EMR,
however, the benefits so far are immeasurable. Great interest has shown in the
health sector to embrace technologies as such and its capabilities to
strengthen RMNCH and nutrition health service delivery across the continuum of
care and supporting innovative interventions towards achieving the results.
Additionally, Rwanda Ministry of Health is committed to achieving the
Sustainable Development Goals (SDGs) 2030. The maternal and child health
program Plan 2030 and key policy and program documents reaffirm the commitment
to the SDGs. The Maternal and child Health program is spearheading several
policy and program strategies towards achieving the health targets for the
national and global overarching goals. Strengthening the service delivery
platform and ensuring equity in coverage and quality are critical components
integral to achieving the targets for maternal, newborn and child health and nutrition.
Objectives of the consultancy
The
main objective of this consultancy is to review, consolidate and finalize RMNCH
EMR draft documents (protocols, high-level workflows/flow charts, decision
flows, messages & defining EMR indicators).
main objective of this consultancy is to review, consolidate and finalize RMNCH
EMR draft documents (protocols, high-level workflows/flow charts, decision
flows, messages & defining EMR indicators).
Specific objectives.
Phase 1:
- Development
of RMNCH EMR documents content
- Reviewing and
inserting details in the draft high-level workflow charts and protocols
(ANC, PNC, Intrapartum, IMNCI, Nutrition/growth monitoring, immunization) - Developing and
completing development of the remaining unfinished modules (FP, GBV, ETAT,
, SRH, ECD) - Developing
detailed decision flows and data input requirements for the different
RMNCH programme thematic areas - Creating
specific decision flows interlinking each of the RMNCH thematic area,
including mandatory and optional decisions - Developing
decision flow for different levels (HC, district hospital and referral
hospital). - Technical
definition of tasks to guide case management by different levels and
supervisors. - Creating protocols
linking high level workflows, decision workflows, and explaining data flow
protocols
- Defining
linkages, indicators, reports and messages for the new EMR integrating
RMNCH.
- Customizing
messages linking EMR and mHealth (RapidSMS or RapidPro) to ensure
continuum of care between health facilities, CHWs and community. - Describing
mandatory and optional decisions, preparing dashboards, report formats - Incorporating
HMIS/DHIS-2 indicators and defining/adopting quality of care indicators. - Technical
definitions for new indicators (including quality of care indicators - Presenting
final drafts of RMNCH EMR documents to the RMNCH technical teams and MCCH
TWG for inputs and validation - Inserting
inputs from the technical teams and MCCH TWG, finalizing the documents, submission
to RBC and UNICEF for approval
Phase 2.
Working with IT consultant to customize the new
RMNCH EMR documents within EMR platform.
RMNCH EMR documents within EMR platform.
- Working with
the IT consultant to customize developed RMNCH EMR protocols - Pre-testing of
the new updated RMNCH EMR documents in one Hospital and One Health center - Finalization
and validation of the new updated RMNCH EMR documents ready for
implementation
Capacity Building and Knowledge Transfer.
In
Rwanda, we strive to build local capacity as much as possible on any project
under implementation. Hence, knowledge transfer will be integral to this
process. As a technical RMNCH EMR Consultant, he/she will be responsible for
sharing material knowledge therein confined in his/her consultancy deliverables
for an effective knowledge transfer. It is important to note that the project
owner – RBC holds full ownership rights of the work undertaken on the project
as well as the right to distribute the work among the stakeholders. We take knowledge
sharing and dissemination very important to ensure sustainability and
functionality of the RMNCH EMR documents at the end of contract.
Rwanda, we strive to build local capacity as much as possible on any project
under implementation. Hence, knowledge transfer will be integral to this
process. As a technical RMNCH EMR Consultant, he/she will be responsible for
sharing material knowledge therein confined in his/her consultancy deliverables
for an effective knowledge transfer. It is important to note that the project
owner – RBC holds full ownership rights of the work undertaken on the project
as well as the right to distribute the work among the stakeholders. We take knowledge
sharing and dissemination very important to ensure sustainability and
functionality of the RMNCH EMR documents at the end of contract.
Justification
Although
currently, various data elements are entered separately and exist in virtual
silos, clinicians are required to fill out different and mutually exclusive
forms, exacerbating strains on a system facing a scarcity of health
professionals. Quality of clinical care depends on the knowledge and practice
of the health care provider and there is a high degree of variance among
providers. An electronic system at point of care can guide providers to ensure
a minimum standard of quality. Moreover, data for cohort analysis is not
available at real time to inform program management and policy decisions. The
system-level improvement is expected to resolve many of these issues, but much
more work is necessary to successfully upgrade the existing EMR version,
including the creation and integration of new RMNCH modules/forms and making
them interoperable with existing EMR modules.
currently, various data elements are entered separately and exist in virtual
silos, clinicians are required to fill out different and mutually exclusive
forms, exacerbating strains on a system facing a scarcity of health
professionals. Quality of clinical care depends on the knowledge and practice
of the health care provider and there is a high degree of variance among
providers. An electronic system at point of care can guide providers to ensure
a minimum standard of quality. Moreover, data for cohort analysis is not
available at real time to inform program management and policy decisions. The
system-level improvement is expected to resolve many of these issues, but much
more work is necessary to successfully upgrade the existing EMR version,
including the creation and integration of new RMNCH modules/forms and making
them interoperable with existing EMR modules.
Key responsibilities / tasks
The
Technical MNCH Consultant will review, consolidate and finalize RMNCH EMR
documents including protocols, high-level & decision flow charts,
indicators (HMIS/DHIS-2 & quality of care), reporting formats, dashboard
and working with EMR developer. This approach must be in line with
internationally accepted best practices. During the execution phase of this
consultancy, the technical RMNCH EMR Consultant will participate in the
validation RMNCH EMR documents.
Technical MNCH Consultant will review, consolidate and finalize RMNCH EMR
documents including protocols, high-level & decision flow charts,
indicators (HMIS/DHIS-2 & quality of care), reporting formats, dashboard
and working with EMR developer. This approach must be in line with
internationally accepted best practices. During the execution phase of this
consultancy, the technical RMNCH EMR Consultant will participate in the
validation RMNCH EMR documents.
The
consultant will ensure decision flow capture all data reported in HMIS/DHIS-2
and work with the IT consultant to develop EMR business analysis reports. The
RMNCH EMR should capture more indicators (including quality of care indicators)
than in HMIS/DHIS-2.
consultant will ensure decision flow capture all data reported in HMIS/DHIS-2
and work with the IT consultant to develop EMR business analysis reports. The
RMNCH EMR should capture more indicators (including quality of care indicators)
than in HMIS/DHIS-2.
Although
the list of expected deliverables is shown below, the Technical RMNCH EMR
Consultant must understand that this list may require changes during the
consultancy period. These changes may happen in cases the priority of tasks
change or a specific stakeholder / user requires implementation of the changes.
the list of expected deliverables is shown below, the Technical RMNCH EMR
Consultant must understand that this list may require changes during the
consultancy period. These changes may happen in cases the priority of tasks
change or a specific stakeholder / user requires implementation of the changes.
Deliverables.
Phase 1.
- Road map for
review, consolidation and finalization of the RMNCH EMR technical
documents with clear process and implementation timeline
- The final new
developed RMNCH EMR documents ready for customizing in the EMR system - A
comprehensive report describing components of the new developed RMNCH EMR
documents including high-level workflow charts and protocols, specific
decision flows for each of the RMNCH thematic area, decision flow for
different levels (HC, district hospital and referral hospital), definition
of tasks to guide case management by different levels and supervisors,
protocols linking high level workflows, decision workflows, and explaining
data flow protocols, messages for mHealth, and dashboards and reporting
formats that include HMIS/DHIS-2 and new indicators (including quality of
care indicators).
Phase 2.
- Final new
updated RMNCH EMR documents approved by RBC and UNICEF customized within
the new EMR platform
All deliverables need to be developed in
consultation with and approved by RBC/MOH and UNICEF. The expected duration to
complete all these deliverables is 3 months. Additional one month will be sprit
with period while working with IT, inserting inputs & finalizing the EMR
documents with a possibility of extending consultancy period based on
need.
consultation with and approved by RBC/MOH and UNICEF. The expected duration to
complete all these deliverables is 3 months. Additional one month will be sprit
with period while working with IT, inserting inputs & finalizing the EMR
documents with a possibility of extending consultancy period based on
need.
Reporting
UNICEF
will issue the contract and pay the consultant, based on the payment schedule
mentioned below and after the approval of the deliverables by MOH and UNICEF.
UNICEF Health Specialist – in collaboration with MOH – will manage the contract
and be the focal point for all contractual matters.
will issue the contract and pay the consultant, based on the payment schedule
mentioned below and after the approval of the deliverables by MOH and UNICEF.
UNICEF Health Specialist – in collaboration with MOH – will manage the contract
and be the focal point for all contractual matters.
Payment schedule:
|
Deliverable
|
Payment proportion
|
|
Output 1: Road map for review,
consolidation and finalization of the RMNCH EMR technical documents with clear process and implementation timeline |
20%
|
|
Output 2: The final new developed
RMNCH EMR documents ready for customizing in the EMR system |
25%
|
|
Output 3: A comprehensive report
describing components of the new developed RMNCH EMR documents including high-level workflow charts and protocols, specific decision flows for each of the RMNCH thematic area, decision flow for different levels (HC, district hospital and referral hospital), definition of tasks to guide case management by different levels and supervisors, protocols linking high level workflows, decision workflows, and explaining data flow protocols, messages for mHealth, and dashboards and reporting formats that include HMIS/DHIS-2 and new indicators (including quality of care indicators). |
30%
|
|
Output 4: Final new updated RMNCH
EMR documents approved by RBC and UNICEF customized within the new EMR platform |
25%
|
The
consultant will be responsible for all logistical arrangements associated with
this contract. UNICEF / MOH will provide a letter of support to facilitate
field visits where needed (for quality assurance). Other expenses such as local
travels, banking/cash services, or office space and equipment (including
computers and photocopiers) shall be under the responsibility of the
consultant.
consultant will be responsible for all logistical arrangements associated with
this contract. UNICEF / MOH will provide a letter of support to facilitate
field visits where needed (for quality assurance). Other expenses such as local
travels, banking/cash services, or office space and equipment (including
computers and photocopiers) shall be under the responsibility of the
consultant.
For
all contractual issues, the consultant will report to UNICEF. For technical
issues, the consultant will work directly with the technical team, led by
UNICEF and MOH. All deliverables must be approved by MOH and UNICEF to be
considered final. The consultant is expected to use his or her own equipment,
including computers. UNICEF premises will be available for the meetings and
collecting inputs from other partners.
all contractual issues, the consultant will report to UNICEF. For technical
issues, the consultant will work directly with the technical team, led by
UNICEF and MOH. All deliverables must be approved by MOH and UNICEF to be
considered final. The consultant is expected to use his or her own equipment,
including computers. UNICEF premises will be available for the meetings and
collecting inputs from other partners.
The
consultant shall not make use of any unpublished or confidential information,
made known while performing duties under the terms of this agreement, without
written authorization from MOH/UNICEF. The products of this assignment are not
the property of the consultant and cannot be shared without the permission of
MOH/UNICEF. The consultant shall respect the habits and customs of the local
population and abstain from interfering in the country’s political affairs. Law
no 31/2007 on intellectual property right will be applicable where necessary.
consultant shall not make use of any unpublished or confidential information,
made known while performing duties under the terms of this agreement, without
written authorization from MOH/UNICEF. The products of this assignment are not
the property of the consultant and cannot be shared without the permission of
MOH/UNICEF. The consultant shall respect the habits and customs of the local
population and abstain from interfering in the country’s political affairs. Law
no 31/2007 on intellectual property right will be applicable where necessary.
The
consultant shall abide by and be governed by UNICEF Procedure on Ethical
Standards in his duties.
consultant shall abide by and be governed by UNICEF Procedure on Ethical
Standards in his duties.
Payment
will only be made for work satisfactorily completed and accepted by UNICEF.
UNICEF reserves the right to withhold all or a portion of payment if
performance is unsatisfactory, if work/outputs is incomplete, not delivered or
for failure to meet deadlines.
will only be made for work satisfactorily completed and accepted by UNICEF.
UNICEF reserves the right to withhold all or a portion of payment if
performance is unsatisfactory, if work/outputs is incomplete, not delivered or
for failure to meet deadlines.
All
materials developed by the consultant will remain the copyright of MoH/UNICEF,
who will be free to adapt and modify the materials for future use.
materials developed by the consultant will remain the copyright of MoH/UNICEF,
who will be free to adapt and modify the materials for future use.
Potential types of materials/documents to be
prepared and submited to UNICEF are:
prepared and submited to UNICEF are:
- New final
RMNCH EMR documents (in soft and hard copies) - A report on
the content of the new RMNCH EMR documents integrating all exiting
modules, explaining the changes and new inputs to the RMNCH EMR documents,
definition of tasks to guide case management by different levels and
supervisors, protocols linking high level workflows, decision workflows,
and explaining data flow protocols, messages for mHealth, and dashboards
and reporting formats that include HMIS/DHIS-2 and new indicators
(including quality of care indicators). - Progress
Reports and Minutes of MCCH and technical Meetings - Field Reports
- Technical
Reports - Draft and
Final Report - Presentation
material
Qualifications and specialized
knowledge/experience required:
knowledge/experience required:
Mandatory Qualifications – required in order to
be evaluated.
be evaluated.
- Medical
doctor with masters degree in Public Health or related field - 5 years
or more of relevant experience in RMNCH guidelines/protocols development - Experience
in clinical, public health and primary health care services - Experience
in RMNCH programs implementation, monitoring and evaluation - Object
Oriented Programming experience preferred - Knowledge
of health management information systems, Health and EPMS/EMR is desirable - Computer
skills (excel, word, PowerPoint)
Education:
- The Technical
RMNCH EMR Consultant must have at least a degree in human medicine.
Desired qualifications.
- Strong
analytical, problem-solving, and conceptual skills. - Leadership
and communication skills - Should
be flexible and a good motivator
Experience:
- Knowledge
of Rwanda health system structure, and health information system - Acquaintance
with RMNCH technical working groups process - Good
understanding of different RMNCH thematic areas - Working
with national medical professional council
Language Requirements:
- Fluency
in written and spoken English is required. - Knowledge
of French and Kinyarwanda is an asset
Expected deliverables and timeframe
There
are Seven Outputs associated with the assignment divided into two phases, phase
1 and phase 2 grouped into 4 deliverables:
are Seven Outputs associated with the assignment divided into two phases, phase
1 and phase 2 grouped into 4 deliverables:
- Deliverable
1: Output 1 - Deliverable
2: Output 2 - Deliverable
3: Output 3 - Deliverable
4: Output 4
Although
the list of expected deliverables is shown below, the Technical RMNCH EMR
Consultant must understand that this list may require changes during the
consultancy period. These changes may happen in cases the priority of tasks
change or a specific stakeholder / user requires implementation of the changes.
the list of expected deliverables is shown below, the Technical RMNCH EMR
Consultant must understand that this list may require changes during the
consultancy period. These changes may happen in cases the priority of tasks
change or a specific stakeholder / user requires implementation of the changes.
The
write up of all outputs above should be in a clear language so that they can be
easily understood, avoiding long sentences, jargon, abbreviations and technical
terms to the extent possible, and should as necessary define the terms used. As
appropriate, the outputs must also contain drawings, diagrams or other visual
materials to illustrate work done.
write up of all outputs above should be in a clear language so that they can be
easily understood, avoiding long sentences, jargon, abbreviations and technical
terms to the extent possible, and should as necessary define the terms used. As
appropriate, the outputs must also contain drawings, diagrams or other visual
materials to illustrate work done.
- The
expected duration to complete all these deliverables is full time for 3
months. One month sprit with period (working with IT, inserting inputs
& finalizing the EMR documents) with a possibility of extending
consultancy period based on need.
Evaluation Criteria:
Shortlisted
candidates will be assessed for their suitability based on the following:
candidates will be assessed for their suitability based on the following:
- The Technical
Evaluation is weighted at 75% and 25 % for the Financial proposal.
How to apply
Qualified
and experienced candidates are requested to submit a letter of interest a Technical Proposal
outlining a road map for review, consolidation and finalization of the RMNCH
EMR technical documents with clear process and implementation timeline. The
applicant should also submit an
all-inclusive Financial Proposal outlining the total costs for
this consultancy with payment linked to the 4 main deliverables outlined above.
and experienced candidates are requested to submit a letter of interest a Technical Proposal
outlining a road map for review, consolidation and finalization of the RMNCH
EMR technical documents with clear process and implementation timeline. The
applicant should also submit an
all-inclusive Financial Proposal outlining the total costs for
this consultancy with payment linked to the 4 main deliverables outlined above.
Interested
candidates are required to Click Here to Apply
candidates are required to Click Here to Apply
In
their letter of interest, candidates should highlight their previous work
experience relevant to the assignment, the attributes that make them suitable,
their proposed approach to the assignment.
their letter of interest, candidates should highlight their previous work
experience relevant to the assignment, the attributes that make them suitable,
their proposed approach to the assignment.
General conditions: procedures and logistics:
The
consultant must be or work with an expert (s) aware of the conditions of each
site/region of intervention. In some circumstances, particular logistic
arrangements are required. Therefore, while conducting the consultancy UNICEF
will not be responsible for any unexpected additional cost or arrangement
required during the implementation of the assignment. UNICEF will only hire one
consultant for this assignment and s/he will be responsible for hiring and
paying own sub-contractors if need be.
consultant must be or work with an expert (s) aware of the conditions of each
site/region of intervention. In some circumstances, particular logistic
arrangements are required. Therefore, while conducting the consultancy UNICEF
will not be responsible for any unexpected additional cost or arrangement
required during the implementation of the assignment. UNICEF will only hire one
consultant for this assignment and s/he will be responsible for hiring and
paying own sub-contractors if need be.
Policy both parties should be aware of:
- Under
the consultancy agreements, a month is defined as 21 working days, and
fees are prorated accordingly. Consultants are not paid for weekends or
public holidays. - Consultants
are not entitled to payment of overtime. All remunerations must be within
the contract agreement. - No
contract may commence unless the contract is signed by both UNICEF and the
consultant. - The
consultant will be required to sign the health statement for consultants /
individual contractors prior to taking up the assignment.
For every Child, you demonstrate…
UNICEF’s
core values of Commitment, Diversity and Integrity and core competencies in
Communication, Working with People and Drive for Results.
core values of Commitment, Diversity and Integrity and core competencies in
Communication, Working with People and Drive for Results.
UNICEF
is committed to diversity and inclusion within its workforce, and encourages
all candidates, irrespective of gender, nationality, religious and ethnic
backgrounds, including persons living with disabilities, to apply to become a
part of the organization.
is committed to diversity and inclusion within its workforce, and encourages
all candidates, irrespective of gender, nationality, religious and ethnic
backgrounds, including persons living with disabilities, to apply to become a
part of the organization.
UNICEF
has a zero-tolerance policy on sexual exploitation and abuse, and on any kind
of harassment, including sexual harassment, and discrimination. All selected
candidates will, therefore, undergo rigorous reference and background checks.
has a zero-tolerance policy on sexual exploitation and abuse, and on any kind
of harassment, including sexual harassment, and discrimination. All selected
candidates will, therefore, undergo rigorous reference and background checks.
Remarks:
Only
shortlisted candidates will be contacted and advance to the next stage of the
selection process.
shortlisted candidates will be contacted and advance to the next stage of the
selection process.
Application close: Oct
14 2018 South Africa Standard Time
