Background
Primary Care International (PCI) was launched as a non-profit social enterprise in 2014. We believe that everyone should be able to access quality healthcare to enable them to live full and healthy lives. We exist to strengthen primary healthcare around the world, drawing on our expertise as clinicians and health systems specialists to catalyse transformational change driven by evidence and a shared vision of quality care, delivered with passion and pragmatism. Specifically, our goal is to improve healthcare by strengthening front-line primary health care within the facility, the community at home, and in health centres.
PCI’s particular area of focus is primary healthcare workforce strengthening. PCI has developed a unique set of expertise focused on in-service medical education through application of lifelong learning, since we know from direct experience that there is a gap between what health workers know (in theory) and what they do (in practice).
PCI has been awarded a grant, by GIZ, to strengthen primary and secondary healthcare services, along with district health authorities to enhance health management capabilities and responsiveness to health challenges in Libya.
The project is part of GIZ’s support to the Ministry of Health (MoH) in Libya to implement a three-year “Strengthening Health System and Pandemic Response In Libya” (SHSPR) project, commissioned by Germany’s Federal Ministry for Economic Cooperation and Development (BMZ).
The project will be implemented between December 2023 – November 2024, with a likely extension to February 2025 (subject to agreement from GIZ) in the five Municipalities of Tripoli Center, Sabha, Jadu, Benghazi, and Shahat.
Project Lead Role
PCI is looking for a Project Lead for Phases 2 and 3. Working closely with a small team of Clinical Associates/Consultants and the National Libyan-based consultant you will lead the development of a curriculum and material for two Training of Trainer (ToT) workshops, seeking agreement from the Project Steering Committee (MoH Libya, GIZ and PCI representatives), peer reviewing and signing off the materials. You will support the team to prepare for and facilitate the workshops and to develop and implement a remote supervision and mentoring plan to support ToT participants as they cascade to their peers.
Overall Project
The project is being implemented in three distinct phases over a 12-month period to deliver ten expected goals (Annex 1).
Phase 1: December 2023 – June 2024
Landscape analysis, document review, baseline and needs assessment, strategy development.
This phase is nearly complete. A National Libyan-based consultant and a PCI Clinical Associate have conducted a desk review of existing relevant Libyan documentation (on skills, competencies and capabilities of health managers, inter-disciplinary patient safety teams, job descriptions, evaluation tools and budgeting frameworks) to assess the current state in Libya. This has included a brief review of other relevant local, regional and global resources to provide a wider external context and a definition of ‘gender sensitive management’.
This has informed the baseline and needs assessment which is currently underway (due to conclude early July 2024) to assess the current state, to identify gaps and capacity strengthening needs in health management at central and municipal levels and at primary and secondary health care facility level and to assess the existence/state of inter-disciplinary patient safety teams, and related guidance, at facility level.
Findings and recommendations will be captured in the baseline assessment and needs assessment report, the capacity building strategy, revised job descriptions and through recommendations for improving supervisory and evaluation tools and development of mechanisms, roles and responsibilities for inter-disciplinary patient safety teams.
Phase 2: July – October 2024
Development of training material and support mechanisms
The needs assessment findings will inform the adaptation of existing, and development of new, training resources and other support mechanisms. To reach the desired target of training 200 managers, the project will use a ToT approach to train a group of lead trainers from central MoH, the Primary Health Care Institute (PHCI) and primary and secondary healthcare levels, who will then cascade this training to their peers.
A PCI team, supported by the national consultant, will develop selection criteria to identify lead trainers, develop training material for the initial ToT and for the lead trainers to use for cascading.
PCI will contract an external company to design and then translate all the course material into Arabic.
Phase 3 : November 2024 – February 2025
Roll out of training using a Training of Trainers model to lead trainers (workshops in Tunis) and mentoring and supervision of cascade training
The first workshop will be for central level lead trainers and the second workshop will be for managers working at the district and primary healthcare level. Each workshop will be 3-5 days and will be held in Tunis. The workshop facilitation team will comprise two PCI facilitators and the National Consultant.
During the ToT, lead trainers will be introduced to the training content; trained on how to facilitate a cascade training and how to capture this training data. They will be introduced to the concept of inter-disciplinary patient safety teams and how to train on this and supported to develop a strategy and action plan to establish or support at least 10 inter-disciplinary patient safety teams. This inter-disciplinary team component will cover team composition, hygiene measures and other patient safety measures and their implementation. Ten health facilities will be selected so that progress with patient safety team implementation can be monitored and supervised more closely.
PCI will identify a national organization/NGO to provide logistics support to the lead trainers as they cascade training, such as the management of payment for venues, printing, payment of participants per diems etc. The National Consultant and Clinical Associates will develop and implement a supervision and mentoring plan to support the lead trainers in their cascade and to supervise the establishment of the inter-disciplinary patient safety teams. Lead trainers will be expected to report and provide data on their cascade (number, cadre, location), which will be captured in a simple database so that progress in achieving the training target can be monitored.
The project’s output indicators are:
First output indicator: 140 of the 200 participants in needs-based and gender-sensitive health management training indicated that they had significantly improved their skills.
Second output indicator: In 10 primary or secondary health care facilities, an interdisciplinary team on patient safety started its work.
The main partners identified for this project are the Ministry of Health and the Primary Health Care Institute (PHCI) of the MoH and GIZ.
Scope of Services and Timeline: July 2024 – February 2025
These Terms of Reference cover the period July – February 2025 including Phase 2 (development of training material for two cohorts) and Phase 3 (roll out of training through a ToT approach and support and supervision to the cascade training).
Two Clinical Associates/Consultants will be appointed to adapt and develop the training material, facilitate the two workshops and to develop and implement the supervision and mentoring plan to support ToT participants to cascade the training to their peers.
A National Libyan-based Consultant has been appointed and, together with one PCI Clinical Associate, has been working on Phase 1 of the project to conduct a baseline and needs assessment.
The main tasks for the Project Lead will be :
- Provide overall technical leadership for Phases 2 and 3
- Develop a training plan, curriculum and timetable for two ToT workshops based on findings and recommendations from the baseline and needs assessment report. Ensure gender sensitive management principles and concepts are integrated into training materials
- Present the training plan, curriculum and timetable to the Project Steering Committee (which includes representatives from the MoH and GIZ)
- Participate in the selection and briefing of Clinical Associates/Consultants to develop training material, facilitate the workshops and develop and implement a supervision and mentoring plan.
- Facilitator’s Manual
The following materials are required:
- Participant’s Manual
- Slide decks
- Pre and post course quiz
- Course Evaluation
- Lead and support the Clinical Associate/Consultant team
- Peer review and sign off training content
- Oversee the development and implementation of a supervision and mentoring plan to support training participants to cascade the training
- Liaise with the National Consultant, supporting implementation of this project
Deliverables for the Project Lead role
Deliverable 1: Prepare a draft training plan, timetable and learning outcomes for both ToT cohorts based on the baseline and assessment report findings. Develop selection criteria to support the identification of lead trainers from central MoH level and primary and secondary care level. This is due by 10th August2024 (Tentative. Exact date to be agreed with successful applicant).
Deliverable 2: Assess existing training content and identify what existing material can be used and adapted and identify gaps and what new training content needs to be developed. Update training plan and curricula aligned to roles and responsibilities for a) central level b) PHC level by 10th August 2024 (Tentative. Exact date to be agreed with successful applicant).
Deliverable 3: Support Clinical Associates/Consultants to develop all the training materials for review by the Project Lead, on a rolling basis and ensure all materials are completed by 30th September 2024 (tentative – to be agreed with team). Please note, you may wish to break this down into more stages, such as development of the facilitator’s manual first or first draft of Day 1 for sign off, before proceeding to Day 2 etc
Deliverable 4: Peer review final drafts of training materials and support the Clinical Associate/Consultant team to produce the final draft for you to sign off. Final draft to be ready to go to the designer by 5th October 2024.
Deliverable 5: Provide support to the design company and sign off final designed versions before material is translated into Arabic by 30th October 2024
Deliverable 6: Oversee the successful preparation and delivery of two x 3-5 day workshops, in Tunis, in Arabic, as follows:
- Workshop 1: for central level lead trainers from the MoH
- Workshop 2: for managers working at the district and primary healthcare level.
Workshops will take place in November 2024, exact dates to be confirmed.
Deliverable 7: Support the Clinical Associate/Consultant team to develop and implement a supervision and mentoring plan to support lead trainers as they cascade. This includes the development of a simple set of tools and a database to enable trainers to report their cascade activities. This will take place for 2-3 months after the ToT. Exact dates to be agreed.
Other cross-cutting responsibilities of the Project Lead
- Liaise with the National Consultant who works closely and collaboratively with the MoH and Primary Health Care Institute in Libya on this project
- Liaise with the internal Steering Committee (PCI and GIZ ) and External Steering Committee (MoH, PCI and GIZ) as required
- Participate in, and provide updates on progress, in regular project management meetings
Costing Requirements
We estimate that it will require the following number of days so please consider this as a guide when preparing your quotation:
Deliverable 1
Draft training plan, timetable and curriculum
Deliverable 2
Assess existing training content and determine what can be used and what new material needs to be produced
Upto 12 days (for deliverables 1 & 2)
Deliverables 3 – 5
Support to development of training content, peer review and sign off
Up to 31 days (for deliverables 3-5)
Deliverable 6
Workshop delivery support
Up to 2 days
Deliverable 7
Support to development and implementation of supervision and mentoring plan
Up to 3 days
TOTAL Up to 48 days
Please note that no travel is needed with the Project Lead role.
PCI’s standard payment terms are within 30-60 days and will be payable upon the successful completion of each deliverable and upon submission of an invoice.
Professional Qualifications / Experience
Essential Selection Criteria
- Degree equivalent to Doctor of Medicine and/ or Masters in Public Health or Health Policy or Health Management from a recognised institution/university
- Excellent English language skills (spoken and written)
- Experience of leading teams and ability to support other team members
- Experience of producing content for primary care courses and /or a good understanding of the type and level of content needed to produce the courses listed above
- Experience of writing and developing content for face-to-face courses and producing manuals for facilitators and participants
- Experience of peer reviewing materials and providing constructive feedback
- Good time management skills and proven experience of keeping to agreed timelines
- Access to reliable Wifi and digitally literate and confident in the use of technology to carry out the task according to requirements. Able to use digital collaboration platforms (Eg Teams)
As noted earlier, the finish date of February 2025 is provisional and is subject to approval by GIZ
To read the full description please follow this link.
How to apply
To apply, please send all of the following to [email protected] by Wednesday 17th July at 9am UK time.
Subject line of email: RFQ, GIZ SHSPR: Project Lead Role (YOUR NAME)
- Technical Offer must include:
- Brief cover letter (1-2 pages) with a summary of how you meet the essential selection criteria and your relevant skills and experience
- Any comments you have on the Terms of Reference, deliverables and timeline and your ability to meet these requirements
- CV
- Details of at least two clients/employers including name, position and contact details, who we can contact to provide a reference
2. Financial offer
- Daily fee in Pounds Sterling as per costings requirements table
- Your total fee in Pound Sterling for all Deliverables
In the contract, the contractor has no claim to fully exhaust the working days. The number of working days and costs shall be agreed in the contract as ‘up to’ amounts.
The technical offer has a weighting of 80% and the financial bid a weighting of 20%. Bidders must pass/meet the specified minimum technical score to be considered as technically compliant and qualify for the financial evaluation.