The purpose of this study is to establish/ verify the baseline for Health System in Rwanda aligned with RIHSA performance indicators embedded in RIHSA Activity Monitoring Evaluation and Learning Plan (AMELP). The established baseline will serve as the starting point for RIHSA for setting and adjusting targets as well as inform the planning, implementation and measuring impact of RIHSA activities.
The U.S. Agency for International Development (USAID) Rwanda Health Systems Activity (RIHSA) is a three-year USAID-funded task order designed to strengthen Rwanda’s health system to provide quality health care for Rwandans while building the capacity of the Government of Rwanda (GOR) to move away from a donor-financed health system towards a self-reliant system.
RIHSA includes two objectives as follows:
Objective 1: Reduce financial barriers to health care through a mix of public and private interventions and provide tools for improved domestic resource mobilization and improve health care financing for the GOR.
Objective 2: Improve the quality of essential health services at national, facility and community levels utilizing a health systems approach
Scope of Work and Standards
Under this study, the consultants/consultancy firm will complete the following activities and deliverables:
- Conduct an in-depth desk review for both internal and official documents related to Health System Strengthening.
- Conduct a stakeholder’s engagement to ensure the baseline is considering knowledge, resources and tools owned by other HSS Implementing Partners.
- Develop data collection tools (Questionnaires, FGD and Interview Guides, checklist) as required.
- Develop a detailed inception report to be reviewed and approved by Palladium.
- Pre-test the data collection tools.
- Collect data while observing applicable research standards and rigorous data quality, through quantitative and qualitative methods
- Ensure COVID-19 prevention measure are respected throughout the research process
- Conduct quantitative data analysis (bivariate, multivariate, meta-analysis) for both primary and secondary data to answer the research questions. The analysis should be performed using a standard software (SAS, SPSS, Stata, R, etc..).
- Conduct qualitative data analysis (systemic review, content analysis, thematic analysis) for both primary and secondary data. All analyses must be performed using a computer assisted qualitative data analysis software (Atlas, NIVIVO, etc.) and include coding, generating quotations as well as visual and semantic analysis.
- Convene meeting to present and validate findings with program technical leads and senior management.
- Develop concise final report based on feedback from the program teams.
- Produce user-friendly dissemination briefs for each research questions that summarize key findings.
- Provide the assessment dataset, hermeneutics, transcripts, and data dictionary to Palladium for future program needs.
Please see attached Request for Proposal for full specifications and requirements for submitting a proposal.