Request for proposal for Agreement on the Performance of Work for the Revision of Training Materials for Training Package for Antimicrobial Stewardship Programs in Hospitals

World Health Organization
Sector: 
Published in: 
https://www.ungm.org/Public/Notice/42763
Last date: 
Thursday, February 25, 2016
Country: 
Laos
Mongolia
Philippines
Vietnam

Detailed Description

Background

  • Antimicrobial resistance (AMR) is a serious public health problem with AMR reaching alarming levels in all six WHO regions both for community and hospital acquired infections.
  • In the Western Pacific Region, AMR is becoming an increasing problem with multiple pathogens exhibiting resistance to one or more antimicrobials.
  • A key intervention to reduce the emergence and spread of antimicrobial resistance is to implementation of antimicrobial stewardship programs in hospitals in order to strengthen patient safety and reduce health care risks and costs associated with spread of drug resistant infections.
  • Antimicrobial stewardship can be defined as a comprehensive set of quality improvement activities aimed optimizing the use of antimicrobials, improve patient outcomes and patient safety, reduce the spread and development of antimicrobial resistance and reduce the incidence of healthcare acquired infections.
  • Effective antibiotic stewardship programs have consistently shown to improve the appropriateness of antimicrobial use, reduce patient morbidity and mortality, and reduce health facility bacterial resistance rates and healthcare costs.
  • World Health Organization Regional Office for the Western Pacific (WPRO) developed a draft comprehensive training package on Antimicrobial Stewardship Programs for the purpose of developing competencies of Antimicrobial Stewardship Committees or the relevant multidisciplinary teams responsible for implementation Antimicrobial Stewardship Programs in health-care facilities in low and middle income countries. The outcome of the training would equip participants with a plan, set of core strategies and a monitoring and evaluation framework for rolling out an AMS program in their respective hospital.
  • A pilot of the training package was conducted in the Philippines, 8-10 September, 2015 and an external and internal peer-review conducted in December 2015.

Purpose/Specific Objective of the Activity

  • Overall goal is to develop competencies of Antimicrobial Stewardship Committees or multidisciplinary teams for implementation of effective antimicrobial stewardship programs, with key identified strategies in health-care facilities to improve the appropriateness of antibiotic use and patient outcome and minimize the adverse effects of antibiotic use.

The objective of the activity is two-fold:

  • To conduct a needs assessment and gap analysis of countries in the Western Pacific Region including visits to three priority countries to inform a workplan for the implementation of AMS hospital programmes in those countries and other low and middle income countries in the Western Pacific Region.
  • To finalize the WPRO Antimicrobial Stewardship in Hospitals Training Package based on the outcomes and recommendations from the country visits, additional pilots and reviews undertaken.

Description of activities to be carried out

Under the supervision of the Coordinator of Essential Medicines and Health Technologies (EMT), the contractual partner will undertake the following activities:

  • Organize a team (to be identified by the contractor) to undertake a desktop review and consolidate information provided by EMT/WPRO on AMS programmes and health-care facilities capacities for implementing AMS programmes in hospitals in the Western Pacific Region.
  • Develop a tool in discussion with EMT/WPRO to conduct the in country assessment on the gaps and challenges and the needs in implementing AMS programmes.
  • Undertake four country missions to (Lao PDR, Mongolia, Philippines and Viet Nam) to undertake key informant interviews and site visits to undertake a needs assessment and analysis of the gaps and challenges for the implementation of AMS programmes in hospitals through the use of the developed survey tool.
  • Develop a summary report on the key findings and recommendations to implement AMS programmes in hospitals including the development of a workplan together with Ministry of Health counterparts and WCO in each country.
  • Present the key findings, recommendations and workplan to the Ministry of Health and WCO in the conclusion of each country visit.
  • Summarize the key findings from the needs assessment and analysis of the gaps and challenges in the three countries that will inform the finalization of the WPRO implementation of AMS programmes in hospitals training of trainers' package.
  • Coordinate a visit to WPRO with the Philippines mission to discuss in depth the next steps for revision of the WPRO draft AMS training package.
  • Organize a multi-disciplinary team (to be identified by the contractor) to undertake the revisions of the full training package (power-point slide set, participants workbook, presenters guide).
  • Discuss the revisions needed for the training package with EMT/WPRO to ensure contextualization for use in low and middle income countries in collaboration with EMT/WPRO needed to ensure contextualization for use in low and middle income countries.
  • Review the suggested revisions from Annex 1-4 and the outcomes and recommendations of the country visits and discuss and outline revisions needed for the training package with EMT/WPRO to ensure contextualization for use in low and middle income countries in collaboration with EMT/WPRO.
  • Revise the training package as per agreement with EMT/WPRO to finalize the WPRO antimicrobial stewardship training package (power-point slides, trainers guide, participant's workbook and additional materials as is needed).

Description of the tasks/process involved in carrying out the activity

  • Identify and form a multi-disciplinary team (contractor to decide on the number needed) to undertake the identified contractual work
  • Undertake a desktop review on conduct the in country assessment on the gaps and challenges and the needs in implementing AMS programmes
  • Develop a tool to conduct the assessment of the national gaps and challenges and the needs in implementing AMS programmes in WPR.
  • Assign one member of the team to undertake each of the country missions to hold key informant interviews and site visits utilizing the developed tool to conduct the AMS readiness assessment.
  • Prepare summary report of key findings, develop a workplan and report back to the Ministry of Health and WCO at the end of the mission.
  • Develop a final summary report of key findings to inform the finalization of the WPRO implementation of AMS programmes in hospitals training package.
  • Undertake revisions of the AMS training package with a multidisciplinary team (power-point slides, trainers guide, participants' workbook and additional materials as required).

Education

  • Essential:  University degree in medical, pharmaceutical, health sciences, public health or related field

Experience

  • Team members  with at least 3-5 years of relevant experience at the national and international level

Skills Of individual team members:

  • Knowledge of principles and practice of antimicrobial stewardship including experience in resource-limited settings
  • Strong knowledge of AMR and risk factors
  • Experience in training and/or developing Antimicrobial Stewardship Hospitals in resource-limited settings in Asia.
  • Ability to work independently and in a team
  • Ability to work under pressure with conflicting priorities;
  • Excellent interpersonal and communication skills
  • Computer literacy (Word, Excel, power point etc.)

Languages

  • Written and spoken fluency in English is essential.
  • Working knowledge of other UN languages is an advantage
  • Interested should submit the following documents to the Supply Officer (WPRO) at SAO@wpro.who.int  by 25 February 2016.
  • Contract start date is 14 March 2016. Contract duration is approximately 59 days, with multiple team members, spread over the period of 14 March to 27 May 2016 for Philippines, Lao PDR, Vietnam and Mongolia.
  • Expression of interest (cover letter) that includes number of team members required for each piece of work and proposed consultancy fee (per day) per team member and availability
  • WHO personal history forms or CVs for each team member
  • Please note that the application may be closed before the indicated closing date if a sufficient number of applications are received. Only the successful candidates will be contacted
  • Travel: For each country visit WHO shall reimburse cost of travel from the place of domicile of the individual to the place of assignment (most direct economy fare).
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