Consultancy: Nepal System Design Analysis of Vaccines and Dry Commodities Storage, Distribution, Network and Finalization of Supply Chain Action Plan, Supply Chain Strengthening Centre, Supply Division, Cph
Supply Division in Copenhagen is looking for at Consultant
Supply Chain Strengthening Centre, UNICEF Supply Division
Duration: Four (4) months (80 days)- including up to fifteen (15) days in-country engagement
Location: On-site working days: Up to fifteen (15) days in Nepal
Off-site working days: sixty-five (65) days remotely.
Field Missions/Travel: Up to Two (2) trips to Nepal- One trip (up to ten days) at the beginning of the engagement and One trip (up to seven days) at the end of the engagement for sharing results with stakeholders, gathering feedback, gaining consensus and initiating development of costed implementation plan.
Start Date: July 2020 (Tentatively)
Reporting to: Health Officer, Programme Section, UNICEF Country Office, Kathmandu, Nepal & Supply Chain Specialist, UNICEF Supply Division, Copenhagen, Denmark
The National Immunization Program (NIP) in Nepal is a high priority government program with a mandate to provide immunization services against 9 major vaccine preventable diseases through fixed and outreach clinics. This has resulted in immunization coverage improvements from 82% in 2010 to 91% in 2018 (WHO/UNICEF Estimates).
The Immunization Supply Chain (iSC) supports this programme performance. Vaccines are distributed via a four-tiered supply chain- received from manufacturers twice a year to the Central Vaccine Store (CVS) in Teku; from the CVS, distributed quarterly to Six (6) Provincial Vaccine Stores (PVS) in Biratnagar, Hetauda, Butwal, Pokhara, Nepalgunj and Dhangadi and 10 contiguous districts; seventy-seven (77) District Vaccine Stores (DVS) pick-up vaccines monthly from respective PVS; 141 Sub-stores and equipped health facilities pick up vaccines monthly from respective DVS. Dry commodities are received (nationally) into the Pathlaiya Central Medical Store and distributed via a 3PL company twice a year to seven (7) Provinces. Districts and Health Facilities pick up dry commodities monthly.
A new federal structure came into operation through the 2015 Constitution resulting in three government tiers- One (1) Federal Government, Seven (7) Provincial Governments and Seven hundred and fifty-three (753) Local Governments, with no substantive role for districts. There are supply chain uncertainties related to the new federal structure which could impact immunization performances across Provinces. The role of private sector providers and the importance of tailored supply chain designs and strategies to reaching urban slums, remote districts as well as 13 low performing districts are equally critical.
The purpose of this consultancy is to analyze current and alternative options of storage, distribution and network of vaccines from primary stores in Teku and Pathlaiya to the last mile (including outreaches and mobile clinics) and to finalize the Nepal Immunization Supply Chain Action Plan (NiSCAP).
As a first step, a National NiSCAP Consultation meeting and system design concept introduction and scenarios definition workshop held during the week of January 27th, 2020.
- System Design
- Conduct a landscape analysis of the various (current) methods of storage (including number and type of storage, CCE location etc.), distribution (including transport mechanisms, frequency etc.) and network design of moving vaccines and dry commodities from the primary stores in Teku and Pathlaiya, through provincial and districts stores to all service delivery points in the country (including outreach and mobile services).
- Develop a set of cost and performance criteria to compare various vaccine, storage, distribution and network design options (including cost, immunization coverage and equity).
- Collect data and conduct analysis to compare the various iSC (immunization supply chain) alternative options outlined by stakeholders during the system design concept introduction and scenario definition workshop (see Annex 1), based on cost and supply chain performance indicators including but not limited to total supply chain costs, total cost of immunizing a child, distribution frequencies, availability of vaccines and equitable distribution of vaccines. This should include
- A focused sub-national (Provincial/District) level analysis in up to thirteen (13) low performing (based on coverage, landscape, accessibility etc.) Provinces/Districts.
- Develop recommendations for optimizing the storage locations, distribution system and network design for iSC system (vaccines and dry commodities) in Nepal.
- Classify recommendations into immediate, medium-term and long-term plan of actions.
- Share recommendations with Nepal stakeholders, collect feedbacks and decisions for implementation and facilitate development of costed implementation plan.
- Nepal Immunization Supply Chain Action Plan (NiSCAP)
- Facilitate 7 thematic task groups (informing strategic objectives) to synthesize inputs from national and sub-national stakeholder consultations
- Finalize and disseminate iSC action plan
The consultancy will cover a period of four (4) months (80 days)- including up to fifteen (15) days in-country engagement and sixty-five (65) days remote engagement. All reports shall be ready a maximum of fifteen (15) days after the expiration of the sixty-five (65) days engagement.
The key deliverables of the system design analysis of the vaccine and dry commodities storage, distribution and network between primary store and service delivery points in Nepal include the following:
- A landscape analysis report on the current Nepal immunization supply chain including storage (number and type of storage, CCE location etc.), distribution (transport mechanisms, frequency etc.) and network design from the primary store in Kathmandu to all service delivery points in the country (including outreach and mobile services).
- An end of project report including (but not limited to):
- A set of cost and performance criteria (as KPIs) such as vaccine availability, potency, equitable distribution, inventory cycles etc. to compare current and alternative options for vaccine storage, distribution and network design
- Results of analysis comparing the various options for vaccines storage, distribution and network design outlined by stakeholders during the system design concept introduction and scenario definition workshop (see Annex 1), including focused sub-national provincial/district level analysis in up to thirteen (13) low performing (based on coverage, landscape, accessibility etc.) Province/districts
- Proceeds from stakeholder results sharing meeting where analysis results are shared including
- List of stakeholders and decision makers to whom the outlined alternative options to current storage, distribution and network design, were shared for review and recommendations
- Stakeholders’ feedbacks, implementation decisions and prioritization of recommendations made based on analysis of various scenarios
- Immediate, medium-term and long-term recommendations (based on the analysis conducted as above) for optimizing the storage locations, distribution system and network design for iSC system in Nepal
- Costed system redesign implementation plan
- Clear linkages between planned supply chain investments and system design considerations
- Finalized and costed Nepal Immunization Supply Chain Action Plan
University degree is required (Advanced degree an advantage), preferably in relevant field (e.g., business planning, supply chain management, economics, Global Health, international development studies, procurement, Logistics, or other quantitative degree). Applicable work experience can substitute in cases where university degree is not aligned to a relevant field.
At least 8 years of experience in international public health Programme Management including 3 years in immunization, with experience in resource-limited environments, preferably in the areas of:
- Supply chain operations
- Assessing and measuring supply chain performance
- Supply chain network analysis
- Supply chain bottleneck analysis
- Network/supply chain optimization
- Familiarity with inventory policies, distribution outsourcing, segmentation strategies, integration of health products, and other system design strategies
Experience interfacing with national ministries of health an advantage.
- Core Values
- Diversity and Inclusion
- Strong analytical, oral & written communication skills
- Proven track record in project management with emphasis on strategic planning, communication, and evaluation
- Effective presenter including ability to adapt the message and visual aids for multiple audiences to deliver concise, impactful presentations
- Effective facilitator with proven ability to engage and train a group of individuals
- Demonstrated ability to work in a multi-cultural environment
Written and spoken fluency in English
Qualified candidates are requested to submit:
- Cover letter/application.
- A technical proposal with proposed methodology/approach to managing the project, showing understanding of tasks.
- Financial proposal for the consultancy in USD, stating also the timeframe for completion of each deliverable.
- As applicable, estimate amount for round-trip most economical and direct travel, in addition to lump sum for daily subsistence allowance. Costs for accommodation, meals and incidentals shall not exceed applicable daily subsistence allowance (DSA) rates, as promulgated by the International Civil Service Commission (ICSC). Travel as required/agreed with the Supervisor during the consultancy will be reimbursed on actuals upon receipt of supporting documents and invoices.
- Examples of previous, relevant work related to the deliverables (maximum of four samples).
- At least 2 References
Each proposal will be assessed first on its technical merits, against the listed technical evaluation criteria and subsequently on its price. The proposal obtaining the overall highest score after adding the scores for the technical and financial proposals is/are the proposal(s) that offer best value for money and will be recommended for the award of contract(s).
The proposals will be evaluated against the following elements:
The total amount of points allocated for the technical component is 70 (that of the financial component is 30). UNICEF evaluators will assess the submission based on the criteria set below. Only vendors that obtain 49 points and above from the technical evaluation will be considered for the stage of financial evaluation.
1. Overall Response
Completeness of response and Overall concord between TOR requirements and proposal
2. Overall Experience of Key Personnel
Key personnel’s project expertise in supply chain design including simulation, modelling and qualitative analysis (specific to activities that consultants have indicated in their proposals)
Key personnel’s project expertise in public health supply chain Project Implementation, similar to on-going implementation in Nepal
3. Proposed Methodology and Approach
Proposed methodology and workplan
TOTAL TECHNICAL SCORE
Minimum technical required score:
The total amount of points allocated for the price component is 30. The maximum number of points will be allotted to the lowest price proposal that is received and obtains the minimum threshold points in the technical evaluation. All other price proposals will receive points in inverse proportion to the lowest price.
The proposal obtaining the overall highest score after adding the scores for the technical and financial proposals is the proposal that offers best value for money. All prices/rates quoted must be exclusive of all taxes as UNICEF is a tax-exempt organization.
During the system design concept introduction and scenarios definition workshop, stakeholders conceptualized the following alternative scenarios to be analyzed.
1. Optimized number of supply chain layers (e.g. Central, Province, District, Palikas, Sub-Centers/Stores, Health Facilities)- consider differentiated approach for Provinces/Districts/Palikas based on population and geography e.g. districts and sub-stores in Gandaki and Sudurpashim province
2. Optimized distribution (with route optimization) methods i.e. Direct delivery or Pick-up between the supply chain layers
3. Optimized inventory levels and distribution frequency e.g. quarterly to Provinces and monthly to districts
4. Vaccine (and potentially other commodities) delivery through drones in mountainous districts, especially in particular seasons
5. Optimized supply chain options for outreaches and mobile clinics
6. Integration of ARV, ASV, Oxytocin, Magnesium sulphate, reagents and Insulin kits with EPI supply chain up to the district level