Public-Private Partnership Feasibility Study in Afghanistan

Country:	Afghanistan
Notice/Contract Number:	AID-OAA-A-10-00067
Issuance Date:	August 08, 2012
Closing Date:	August 31, 2012
Funding Agency:	United States Agency for International Development (USAID)
Original Language:	English
Contact Information
Address:	Ministry of Public Health, Kabul, Afghanistan
Telephone:	+93 (0) 799 303 007 and 202-777-0931
Email:	opsc.pppunit@moph.gov.af ;ksears@futuresgroup.com
Web Site:	www.moph.gov.af
Submission Guidelines Expressions of interest must be emailed to the above email addresses by August 31, 2012. Interested consultants/firms may send in their inquiries and/or obtain further information via the following email address: kzamani@futuresgroup.com. Assignment: Conducting feasibility studies of the following two PPP hospitals: 1. Mohammad Ali Jenah 400-bed General Hospital – Kabul, Afghanistan 2. Sheikh Zahid 200-bed Ob/Gyn Hospital – Kabul, Afghanistan



Government of the Islamic Republic of Afghanistan Hospital Services Feasibility Study The Government of Islamic Republic of Afghanistan (GIRoA), Ministry of Public Health, (MoPH) is implementing the Public Private Partnerships Program for a number of government hospitals across Afghanistan. The feasibility studies are to be financed and supported by Futures Group International through a United Stated Agency for International Development (USAID) Cooperative Agreement (AID-OAA-A-10-00067). MoPH is the agency entrusted with the implementation of this PPP Project.

With the purpose of further modernizing and developing the quality of the health care system by improving the quality of the services provided and increasing efficiency by eliminating duplication of services, the MoPH requires a review of the existing Mohammad Ali Jenah 400-bed General Hospital and Sheikh Zahid 200-bed Ob/Gyn Hospital development facility. This process will result in the development of the referenced hospitals master development plans including estimations of supply and demand for services, and most importantly the financial projections for the term of the lease. These two documents plus other items listed in the proposed contents (Annex A) will constitute the major areas of the Feasibility Studies, as well as set up the type and extent of services to be provided and the needed personnel, space, and medical equipment to deliver the services. If any refurbishments are foreseen then the costs of implementing the refurbishments will be provided.

The MoPH now invites eligible consultants or firms to indicate their interest in providing the mentioned services. Interested consultants or firms must provide information indicating that they are qualified to perform the services e.g. brochures, description of similar assignments, experience in similar conditions, and availability of appropriate skills among staff, etc. by filling out a Pre-qualification Questionnaire. Email kzamani@futuresgroup.com to request the questionnaire. Experience of the Consultant/Firm’s team shall include at least the following areas of professional experience and staff skills: Analysis, modeling and planning of the health services as well as the hospital health care Services; Hospital human resource development and management; Capital investments planning in the hospital sector; Functional and organizational planning of secondary/tertiary health care facilities; Structural and medical equipment planning for secondary/tertiary health care facilities. Consultants/firms may associate to enhance their qualifications.

Annex A

EXPECTED CONTENTS FOR FEASIBILITY STUDY FOR A PPP HOSPITAL FACILITY

Table of Contents

Executive Summary

Introduction

• Background
• Parties to the Feasibility Study
• Limiting Conditions and Disclaimer
• Market Opportunity Analysis
• SWOT Analysis

Philosophy & Concept

Location

• Site Analysis
• Site Valuation
• Transport Study
• Security aspects

Epidemiology

• Population
• Health Status Indicators
• Socio-economic trends
• Health Insurance

Current Competing Services

• Supply and Distribution
• Inpatient Profile
• Outpatient Profile
• Major Purchasers

Market Opportunities

• Current patterns of utilization
• Projected patterns of utilization/

Market Share

Including:-

• Growth
• Size
• Age Group Characteristics
• Welfare Patients
• Stability
• Marketing Opportunities
• Image
• Selling, Advertising and Distribution
• Referral Clinics
• Health Insurance/Managed Care Organizations
• Major employers

Recommended Development

• Market Share
• Consumer Preferences
• Trends
• Pricing Policies
• Product Positioning
• Facility and Equipment Life
• Socio-economic market targets
• Export Markets
• Support Services
• General

Staffing

• Proposed Staff Establishment and Costs
• Staffing Sources
• Training

Financial Assessment – Development and Operational Cost, Welfare Patient Costs and Revenues

• Base Case
• Sensitivities
• Key Assumptions for Financial Model
• Recommended rental or lease payments
• Recommended term of lease

Preliminary Master Planning – Design Brief

• Recommended Service Levels by Department
• Draft Master Planning Schedule
• Full Fit-Out & Equipment Costing Forecast by Unit

Facility and Construction Licensing Criteria

• Prerequisites for Type of Facility
• Procedure for obtaining a Facility Construction Permit
• Procedure for obtaining a Facility Operation Permit/License
• Requirements for Accreditation

Appendices:-

• Financial Spreadsheets for 20 years
• Market Analysis by Clinical Specialty and Sub Specialty
• Demographic Overview for 20 years