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Minimum Required Standards (MRS) for Private Hospitals Consultant

Title:   Minimum Required Standards (MRS) for Private Hospitals Consultant

Location: Kabul, Afghanistan

Duration of Assignment: ASAP, This work allows a total LOE of 65 days and will include two trips to Kabul, Afghanistan lasting 2-3 weeks in duration. The Consultant must spend at least 2 week in country for each TDY (ten full working days).

Services. Consultant agrees to provide consulting services ("Services") to Palladium as described herein below:


The goal of the Health Sector Resiliency Project is to support the Government of the Islamic Republic of Afghanistan (GIRoA) to foster a strengthened, reformed, and increasingly self-reliant Afghan health system prepared for the decreased donor support anticipated over the coming decade. The HSR Project acts as a resource and a catalyst to the MoPH and other GIRoA entities as it considers and implements critical sector-wide reforms that are required to make the system more resilient and sustainable. The HSR Project is a five-year, $37+M project that primarily focuses on governance, health finance and human resources for health and engages both the public and private components of the health sector. Futures Group is partnering with IntraHealth, Panagora, Thinkwell, The Liaison Office (TLO) and SADEC to implement the HSR project but the team also collaborates closely with the MoPH, EC WB, SEHAT and other stakeholders to ensure synergies and avoid duplication.

HSR builds on the accomplishments of other USAID projects including the COMPRI-A project and Health Policy Project - specifically improving the private sector policy environment, building the capacity of key MoPH departments such as Private Sector Coordination, Health Economics and Finance, Licensing and streamlining and improving health sector systems such as the National Health Accounts, Expenditure Management Information System (EMIS), hospital Public-Private Partnership (PPP) procurement processes, implementing private hospital Minimum Required Standards (MRS) to ensure safety and quality, private sector HMIS, and the private health center licensing process.

HSR stimulates and provides assistance to the MoPH to conceptualize and operationalize the more difficult, longer-term decisions/policies that must be made in order to strengthen the system and make continued advances in the health of Afghans, relying increasingly on domestic resources. These could include decisions surrounding how to improve efficiencies and increase the potential for sustainability such as staff rationalization, financial compensation and hiring modalities; organizational restructuring; the contents and cost of the Basic Package of Health Services and Essential Package of Hospital Services; strengthening engagement with the private sector; health facility rationalization; and streamlining the MoPH’s stewardship role.

The previous project, HPP Afghanistan, helped the MoPH develop the Minimum Required Standards (MRS), a set of safety and quality standards to be used with the private sector and based in the requirements of Private Health Centers Regulation (PHCR). These MRS were rolled out as a self-regulation and quality improvement tool through the Afghanistan Private Hospital Association (APHA) network via orientation workshops and baseline surveys. We also worked with the Monitoring and Evaluation Unit at the MoPH to use the tool when inspecting facilities and we helped them set up a database to collect MRS results but further training and assistance is needed with the M&E Department to strengthen their capacity to objectively and transparently implement the MRS. This work will also require the consultant to work with other departments and bodies that support these efforts, such as the Directorate of Private Sector Coordination and the Legislation Implementation Ensuring Directorate (LIED), the licensing Department. The consultant will work on the clinical use of the tool and a second consultant will work on the governance and management side.

Consultant Responsibilities

Building on the work previously done in MRS, the consultant will continue to strengthen the capacity of the MoPH to improve its governance and M&E.

Specifically, the Consultant will provide technical assistance in the following areas:

  1. Work with our M&E consultant to orient new MoPH staff, particularly the Monitoring and Evaluation Dept., the Directorate for Private Sector Coordination (DPSC), the Licensing Department, and the LIED, the newly developed and revised regulatory processes and procedures related to M&E and MRS to ensure full understanding or roles and steps and compliance (you would be focusing on the clinical aspects of the MRS and Verne would focus on the governance side-roles, database, analyses, etc.).
  1. Provide mentoring and training to the MoPH Monitoring & Evaluation Department on step by step use of the MRS tool and scoring and modern, transparent inspection practices to ensure compliance with application of the Minimum Required Standards (focus on clinical aspects and how to make improvements); this may include monitored practical inspections with guided feedback and peer after-action-reviews so that M&E staff can confidently perform their duties.  This would require helping the M&E Dept also establish a positive, supportive and learning environment with private sector facilities. 
  1. Develop/adapt/review the Minimum Required Standards for identified specialty facilities as guides by HSR Deputy Chief of Party/Director of Programs and other HSR team members.
  1. Review how APHA is rolling out the MRS as a self-assessment tool and provide APHA technical assistance to strengthen what is being done in this area… any recent findings/scores from previous assessments and see how facilities are using results to improve safety and quality. Recommend how these processes can be improved.
  1. Assess MoPH and M&E Unit implementation of the MRS and identify any additional gaps in the process and recommend how to address them;
  1. Guide, advise and continue to build the capacity of the MoPH M&E Department and other MoPH staff as needed especially in relation to other quality improvement initiatives such as certification and accreditation. Identify other supports that may be needed.

This work allows a total LOE of 65 days and will include two trips to Kabul, Afghanistan lasting 2-3 weeks in duration. The Consultant must spend at least 2 week in country for each TDY (ten full working days).

Minimum Qualifications Requirements

  • Advanced degree (MPH, MD, PhD) in Public Health or related field or at least 10 years of experience doing similar work;
  • At least ten (10) years of prior experience working in the area of quality improvement in the clinical setting;
  • At least five (5) years of previous experience working with hospital facilities;
  • At least seven (7) years of field experience in international development;
  • At least five (5) years working with private facilities in developing countries;
  • Demonstrated ability to advise facilities on how to make improvements to safety and quality with clinical services and administration/management:;
  • Demonstrated ability to lead and mentor counterparts in inspection and quality improvement processes using modern practical methods of coaching and teaching;
  • Experience with licensing, certification and/or international accreditation standards and building developing country capacity (individuals, departments and Ministry of Health) in this area, a plus;
  • Fluency in English (written and spoken); Excellent oral and written communication skills is required;
  • Multiple country work experience is required.

Submission guidelines:Interested candidates should submit their current resume with a cover letter to This email address is being protected from spambots. You need JavaScript enabled to view it. with “Minimum Required Standards (MRS) Consultant” in the Subject line.

Deadline for Application: June 20, 2017