Hospital Management Services

Emergency RFP for Managing Maternity Field Hospital in Mosul
United Nations Population Fund (UNFPA)

UNFPA, UN COMPOUND
100 METER STR, NEAR THE AIRPORT
INTERSECTION
ERBIL, IRAQ
Website: www.unfpa.org
Date: 25 March 2016
Request for Proposal (RFP) No. UNFPA/IRQ/RFP/17/001

Dear Sir/Madam,
We hereby solicit your best technical and financial offer for the supply of the following services:
To manage UNFPA maternity field hospital which is attached to WHO Trauma field hospital in
Hamam Aleel and Telafar.
This will include in providing critical medical staff, building capacity and assisting the national
staff, overall management of the hospital, including provision of essential supplies and services,
including but not limited to cleaning, fuel, water provision and waste management (medical and
non-medical).
If you are interested in submitting a bid for these services, kindly fill in the attached submission
form and submit it in a sealed envelope to the address indicated below /send to the secure email
address bid.iraq@unfpa.org not later than 05 April 2017.
Please ensure to mark your envelop/email with the RFP reference number and the words “Sealed
bid. Do not open before 05 April 2017.
Street address for bid submission:

UNFPA, UN COMPOUND
100 METER STR, NEAR THE AIRPORT INTERSECTION
ERBIL, IRAQ
Secure email address for bid submission : bid.iraq@unfpa.org
Email address of Contact Person:
Mr. Saidkasim Sakhipov, sakhipov@unfpa.org
Mr. Ahmed Malah, malah@unfpa.org
Note: Do not submit your bid to the contact person’s email address!
Please remember, the bid shall consist of two parts: the technical and the financial bid. The
technical bid containing the technical specifications for services/products/works and the financial
bid containing price information shall be submitted separately in two different sealed envelopes.
If the bids are submitted via email, technical and financial proposal shall be in two separate
email, financial proposal protected using password. After the technical evaluation if the supplier
is qualified concern staff will contact for the password.
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UNFPA/PSB/Templates/Emergency Procurement/ Emergency RFP Template [0315-Rev02]
Documents comprising the bid:
a. Completed and signed Bid Submission Form
b. Bidders Identification Form
c. Bidder’s previous experience and clients
d. Profile of the bidder
e. Registration information
f. Technical bid, including documentation to demonstrate that the bidder meets all
requirements. The technical bid should be concisely presented and structured to include
but not necessarily be limited to the information listed in the ToR.
g. Details of geographical presence
h. Bidders 3 previous audit report, including information on litigation
i. Details of Bidders experience in managing field hospital in high risk environment
j. Quality certification
k. Resume of proposed staff
l. Detailed communication plan
m. Detailed logistic and deployment plan
n. Detailed evacuation plan (for national and international)
o. Financial bid in a separate sealed envelope
Partial bids are not allowed under this RFP.
Evaluation of Proposals:
A two-stage procedure will be utilized in evaluating the proposals, with evaluation of the
technical bids being completed prior to any financial bid being opened and compared. The
financial bid will be opened only for those bidders whose technical bids reaches 70 points out of
100 points, meeting the requirements for the RFP. The total number of points which a bidder
may obtain for technical and financial bids is 200 points.
Technical Evaluation
The technical bid is evaluated on the basis of its responsiveness to the Terms of Reference shown
in the bidding documents and the evaluation criteria. The maximum technical score is 100
points.
Financial Evaluation
The financial bid will only be evaluated if the technical bid achieves a minimum of 70 points.
Proposals failing to obtain this minimum threshold will not be eligible for further consideration.
The financial bid is evaluated on the basis of its responsiveness to the Price Schedule Form. The
maximum number of points for the price bid is 100. This maximum number of points will be
allocated to the lowest price. All other proposals will receive points in inverse proportion
according to the following formula:
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Points for the Price Bid of = [Maximum number of points for the Price Bid] x [Lowest price]
a Proposal being evaluated [Price of bid being evaluated]
Total Score
The total score for each bidder will be the weighted sum of the technical score and financial
score. The maximum total score is 200 points.
Contract Award
UNFPA shall award the contract to the bidder who obtains the highest combined score of the
technical and price evaluation.
Note: Current UNFPA supplier policies apply to this solicitation and can be found
at: http://www.unfpa.org/suppliers.
Attachments:
- Bid Submission Form
- Bidders Identification Form
- Terms of Reference
- Technical Bid
- Price Schedule Form
- Annex A: Field Hospital Drawing
- Annex B: List of medical supplies
- Annex C: List of national staff
- Annex D: General Conditions of Contract
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1. Bid Submission Form
Name of Bidder:
Contact Person:
Title:
Email Address:
Telephone Number:
Date of Bid:
Bid No:
Currency of Bid price:
Delivery time (days from receipt of order till dispatch):
(Note: maximum number of days is: 10 days)
Expiration of Validity of Bid/Proposal (The bid shall be
valid for a period of at least 3 months after the Closing date.):
Vendor’s Comments:
I hereby certify that this company, which I am duly authorized to sign for, accepts the
General Terms and Conditions of UNFPA http://www.unfpa.org/resources/unfpa-general-
conditions-contract and we will abide by this bid/proposal until it expires.
We undertake, if our bid/proposal is accepted, to commence and complete delivery of all

items in the contract within the time frame stipulated.
We understand that you are not bound to accept any bid you may receive and that a
bidding contract would result only after final negotiations are concluded on the basis of the
technical and price bids proposed.
Name and title Date and Place
Page 4 of 22
2. Bidders Identification Form
Bid No. UNFPA/IRQ/RFP/17/001
1. Organization
Company/Institution Name
Address, City, Country
Telephone/FAX
Website
Date of establishment
Legal Representative: Name/Surname/Position
Legal structure: natural person/Co.Ltd,
NGO/institution/other (please specify)
Organizational Type: Manufacturer,

Wholesaler, Trader, Service provider, etc.
Areas of expertise of the organization
Current Licenses, if any, and permits (with
dates, numbers and expiration dates)
Years of experience in providing services to UN
organizations
Years of experience in providing services to
UNFPA
Experience in Management of Maternity Field
Hospital services
Running similar field Hospitals in Emergency
and high risk context
Subsidiaries in the region (please indicate names
of subsidiaries and addresses, if relevant to the
bid)
Commercial Representatives in the country:
Name/Address/Phone (for international
companies only)
2. Quality Assurance Certification
International Quality Management System

(QMS)
List of other ISO certificates or equivalent
Page 5 of 22
certificates
Presence and characteristics of in-house quality
control laboratory (if relevant to bid)
3. Expertise of Staff
Total number of staff

Number of staff involved in similar supply
contracts
4. Client Reference List

Please provide references of for similar projects executed, in Emergency /Conflict context
Name of company Contact person Telephone E-mail

1.
2.
3.
5. Contact details of 3 persons that UNFPA may contact for requests for clarification
during bid evaluation
Name/Surname
Telephone Number
(direct)
Email address (direct)
P.S.: This person must be available during the next two weeks following receipt of bid
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UNFPA Maternity Field Hospital SOW - General Scope for the Maternity Field Hospitals in
Hamam Aleel and Telafar
Objective:
The objective for this task order is to manage UNFPA maternity field hospital which is attached
to WHO Trauma field hospital. This will include in providing critical medical staff, building
capacity and assisting the national staff, overall management of the hospital, including provision
of essential supplies and services, including but not limited to cleaning, fuel, water provision and
waste management (medical and non-medical).

Background:
The military operations to liberate the Iraq city of Mosul started on the 17th of October 2016 and
so far more than 260,000 people have been displaced. Displaced civilians are now living in 21
camps built by the UN and other entities around Mosul. Military operations are currently taking
place in West Mosul which is more densely populated than eastern side of the city. Over 600,000
people are still trapped inside the old city of West Mosul and could be forced to flee the fighting.
Of this population, 24,000 are expected to be pregnant or in labor during the year, of whom
3,600 will have complicated deliveries.
The second field hospital is implemented in Hamam Aleel, 25 kilometers away from front line
and third field hospital in Telafer . The hospital is protected with t-walls and private security
guards while the outside of hospital will be protected by Iraqi police.
Each maternity field hospital with 20 bed maternity department (OT, patients ward, ICU room
and delivery room) attached to the WHO trauma field hospital has been implemented in west of
Mosul. The units can be used for assisting normal deliveries and provide service to pregnancy
complicated cases (caesarian section).
The field hospital has 1 operation theatre and delivery room, two beds ICU, recovery room and
pre- and post-delivery admission ward and be able to function 24 hours per day, seven days per
week (24/7) if required.
UNFPA will explore the option for the overall facility management of WHO’s field trauma
hospital and UNFPA’s field maternity hospital to be costs shared between WHO (75%) and
UNFPA (25%.) The service provider should be flexible in providing only selected service if
UNFPA and WHO agrees for cost sharing for facility management.
The hospital is fully equipped with necessary medical devices and will provide consumables for
next 6 months.
Security Consideration:
The hospital is operated in high security environment and selected service provider should do its
own assessment before starting the service. The service provider should have previous
experience in working such condition and UNFPA will do background on each technically
qualified service provider before opening the financial bids. If service provider fails on
background check, then the proposal will be disqualified immediately.
Field Hospital Services:

The field hospital is the only full service field hospital in the area around 25km, and will be the
only CEmONC providing facility to the estimated 25,000 families (150,000 individuals) in these
camps.
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The primary admitting diagnoses include, receiving pregnant women, patients with complicated
deliveries and with reproductive emergencies, assisting to normal vaginal deliveries, obstetric
surgery for patients with complicated delivery and reproductive emergencies requiring surgeries,
advanced life support for pregnant women and newborns and inpatient care for patients after
surgery.
Minimum technical standards per service:
Delivery room Assist to normal vaginal deliveries
OT Perform obstetric and gynecological surgeries
ICU room Postoperative care and basic resuscitation of newborn
Patients ward Pre- and post-delivery management, postoperative care
Sterilization Full surgical autoclave with traceability
Capacity At least 20 inpatient beds. Around 5 c/s a day and 10-15
normal deliveries per 24 hrs.
Specific Requirement:
The successful bidder will exclusively provide all Inpatient Hospitalists and Management
Services required to care for the patients treated at the Hospital and to operate the department as
determined by the Hospital and its Medical Staff. Teams must be capable of performing at least 5
c-sections daily with at least 20 inpatient beds per be able to function 24 hours per day. The
services include, receiving pregnant women, patients with complicated deliveries and with
reproductive emergencies, assisting to normal vaginal deliveries, obstetric surgery for patients
with complicated delivery and reproductive emergencies requiring surgeries, advanced life
support for pregnant women and newborns and inpatient care for patients after surgery.

Particulars Requirement/ standards

Basic Function Normal delivery, CEmONC services including
comprehensive signal functions, management of
complications Hepatitis B positive
cases, C-section and referral of complications to tertiary
level care if required.
Beds (Minimum) 20
Criterion More than 400 normal deliveries per month and around
150 Caesarian sections
Human The company should provide 4 international specialist
Resource including 1 Obs/Gyn, 1 Neonatologist, 1 Midwife, and 1
Nurse. Other medical staff will be provided and
supported by MOH of Iraq.
Reproductive/Maternal Health Identification and referral for danger signs

Services • Pregnancy testing and counselling
• Antenatal care
• Provision of BEmONC and CEmONC
• Postnatal care–24–48 hours stay post-delivery
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• Immediate newborn care – drying, warming, skin
to skin contact
• Initiation of Breastfeeding
• Post-partum contraceptive counselling
• Assisted vaginal deliveries
• Management of complications other than those
including blood transfusion or surgery
• Episiotomy and suturing
• Stabilization of obstetric emergencies and referral
to L3 wherever required
• Antenatal steroids for preterm labour
• Comprehensive post-abortion care
• Clinical Management of Rape
• Case management of RTI/STI
• Family planning Counselling and provision of
contraceptives, including interval IUCD and
PPIUCD
• Antibiotics for preterm or PROM for prevention
of sepsis of newborns
• Comprehensive management of all obstetric
emergencies, eg, PIH/eclampsia, sepsis, PPH,
retained placenta, shock, obstructed labour, severe
anemia
•
Newborn Stabilization unit (NBSU) Care at Birth
• Prevention of infection
• Provision of warmth
• Resuscitation
• Early initiation of breastfeeding
• Weighing the newborn
• Care of Normal Newborn
• Breastfeed/feeding support
• Care of sick Newborn
• Management of LBW infants >/= 1800 gms with
no other complications
• Phototherapy for newborns with
hyperbilirubinemia
• Management of newborn sepsis
• Stabilization and referral of sick newborns and
those with very low birth weight(rooming in)
• Referral services
Pharmaceutical • The service provider shall be responsible
dispensing and managing all pharmaceuticals and
shall provide a program in accordance with WHO
standards.
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• Rest of the staff will be national staff provided by the Directorate of Health of Ninewa.
After six months, the maternity field hospital will be handed over and run by the Ninewa
Department of Health.
• The capacity development and training will be part of services provided by the vendor.
• Service provider will have both roles, treating complicated cases beyond national staff
capacity and training them to deal with such cases.
All facilities in MFH services should have a mother-and-newborn-friendly environment. Dignity

and safety (privacy and choice) of clients should be ensured. Staff deputed at such facilities
should adhere to clinical protocols/standards of service delivery and ensure infection prevention
measures. A mother and baby friendly environment to be ensured. Health staff should be polite,
courteous and respectful in behavior towards their client; equipment has to be accessible and
functional and subject to checks during every shift of staff duty; drugs and consumables to be
made available 24x7; assured referral linkages have to be established; and daily rounds
conducted by facility managers to identify gaps and bottlenecks and address these on priority
basis.

DELIVERY UNIT, which should include:
This is the place where all pregnant women including those in emergency situation are received.
The pregnant woman's BP, weight, etc. are noted. Records and registers are filled and a case
sheet is prepared after her examination in the Examination Room. Relevant registers and records
must be kept in the receiving area. Any woman coming to the Receiving Area has to be quickly
assessed for signs of acute emergencies, danger signs or a stage of full dilatation with imminent
delivery. Initial/emergency management of such cases will be done in the Examination Room.
Then the woman is sent to the appropriate area for further management.

Examination room:
This is a place where adequate privacy with curtains between examination tables schedule be
maintained. It is a well-lit room with examination tables and enough space for movement of the
pregnant woman/patient and also the examining doctor.
Pre-delivery room (1st stage area):

After initial examination, the pregnant woman with good uterine contractions but cervical
dilation still less than 4 cm that is not in active phase of labour will be sent to Pre-delivery room
area for close observation. The woman should change into a clean gown.
Delivery (Labour) room both septic and aseptic with New Born Care Center (NBCC) (2nd–
3rd stage):
A pregnant woman will go to the Delivery/Labour room if she is in active phase of labour, i.e.
cervical dilatation = or > than 4 cm. Essential services in Labour room:
• Conducting normal delivery
• Plotting partograph
• Identifying and managing complications
• AMTSL
• ENBC including newborn resuscitation

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Post-delivery observation room (4th stage area):
Mother and baby must be observed for 2 hours after delivery before shifting to the ward. This
area can be planned alongside the Pre-delivery observation area:

Wards:
Antenatal, Postnatal and Post -operative
General services required for the Maternity:

a) Housekeeping, cleaning, dietary and laundry services
b) Linen as per standards mentioned in MNH toolkit
c) 24 hours independent Electricity using Generator
d) Telecommunication
RECORDING AND REPORTING SYSTEM:
Each facility must maintain the following records in form of registers, log books, case records,
etc.
a) Admission Register
b) Labour room Register
c) Antenatal/postnatal Register
d) MTP Register
e) Interval and PPIUCD Register
f) OT Register
g) FP Register
h) Maternal Death Records and Registers
i) Laboratory Register
j) Referral
k) In/Referral Out Register
l) MCP Card
m) Admission Sheets/Bed Head Tickets
n) Discharge Slip
o) Referral slip
p) Partograph
Soft copy of Standard format for all these registers will be provided by UNFPA for printing and
to make available at facility by the service provider.
Critical steps for ensuring Quality Assurance:

1) Making a team within the facility responsible for facilitating quality assurance
2) Periodic assessment of various services and identification of strengths and gaps, based on
standards
3) Action plan with time line for addressing the gaps
4) Adhering to and practicing established and standard technical protocols
5) Continuous handholding and supportive supervision
6) Ensuring IMEP practices
7) Prescription audits
8) Regular interaction with clients
9) Putting in place grievance redressal mechanisms
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10) Maternal Death Review at both facility and community level to ensure that corrective
steps are taken to fill systemic gaps, if any
11) Convening regular meetings of the DOH and UNFPA quality assurance committees.

Facility Management:
1) Dietary Service and Canteen:

• Provide canteen service to hospital staff and patients visitors/attendants

2) Housekeeping Service & Pest control:
The hospital housekeeping service and pest control of the entire hospital shall
include:

• Cleaning of floor areas, Toilets, Bathrooms & sinks
• Specific disinfectants and chemicals should be used invariably every time for
cleaning of the toilets
• Cleaning of toilets, bathroom and sinks and maintenance in a sanitized condition is
extremely important from the point of overall sanitation of the hospital
• Dusting cleaning of electric fixtures, furniture, work stations, glass partitions and
telephones
• Pest control activities in the hospital to be perform every month
• Soiled linen to be collected and transported to the laundry area for the cleaning

Scope of Housekeeping Service:
• Daily sweeping and wet moping all on continuous basis with quality floor cleaning
lotion
• Cleaning and moping of all toilets and bathroom on regular intervals with specific
quality
• cleaning materials dedicated for each area as per WHO standard and infection
control standards
• Providing urinal cakes in urinals, filling up liquid soap in wash basins using
disinfectants daily to keep all the area hygienic
• Cleaning furniture with dry cloth
• Cleaning and sweeping public utility areas
• Dusting and cleaning glass doors, windows, light fittings, exhaust fans, sign boards,
etc.
• Cleaning all telephones including intercoms and super phones

Cleaning of patient rooms and wards:
• Waste collection and disposal daily morning and after lunch time
• Dusting and sweeping rooms before doctor’s round
• Toilet cleaning and antiseptic moping at regular intervals as per infection prevention
• Standards and WHO standard
• Usage of area specific chemicals for infection prevention
• Cobweb removal, cleaning of fans and light fittings are done when the time of
discharge and when required
• Dusting and application of disinfectants to furniture, windows and telephones daily
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morning
• While cleaning the discharge room all dust and cobweb to remove and scrub floor by
long handle scrubbers with soap solution. Also application of disinfectant
• Additional cleaning other than routine cleaning as and when required

Housekeeping in ICU/Pre and Post OT areas and OT:

• The assigned housekeeping staff to work in the respective area under the supervision
of the Nursing staff, but directly reporting to the housekeeping supervisor
• Dry dusting of the patient unit and all furniture, equipment’s and floors
• Wet moping with soap and water daily
• Antiseptic cleaning is done as per the standard guidelines
• Usage of area specific chemicals, combinations and sequences of cleaning as per
infection control policy
• Toilets to be cleaned twice a day with antiseptic lotion
• Additional cleaning as and when required
• Arranging all activities of coordination with other agency in taking out soiled linen,
medical equipment’s etc. for washing and sterilization
• Fumigation of the OT premises at regular intervals as per the infection control policy

Housekeeping for public floor:

• The assigned housekeeping staff to work in the respective area under supervision
• Proper disposal of garbage
• Sweeping and mopping of floors, wall corners, windows etc. daily with detergent
• Periodically checking and cleaning of toilets
• Dry dusting of wooden surfaces
• Other than routine cleaning additional cleaning may be required as and when
required
• Fans and light fittings to be cleaned weekly or when necessary
• Wash basins to be cleaned with cleaning powder every morning and as and when
required
• Ceiling dusted to remove cobwebs and dust accumulation every week
• Daily cleaning of glasses, glass doors and dusting of aluminum railings and frames

Security and Parking:
• 24 hours’ security service of the hospital
• Crowds management in OPD, IPD and other areas of the hospital
• Security personnel to take initiative during disaster management and safety
management of the hospital in coordination with other staff of the hospital
• Vehicle parking system to be manage properly to reduce crowding in the hospital
campus
• Parking lot to be maintain properly

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Laundry:
Laundry service of the hospital will include:

• Cleaning, washing and pressing of hospital bed sheets, OT gowns, and other hospital
linens
• Cleaning of soiled linens with disinfectants and washing
• Hospital linen management
• Non-Biomedical Wastes Management:
• Biomedical wastes management of hospital shall adhere to the existing applicable
laws and
• regulation of the country and the state

Engineering Services:
Power supply and Backup
• Managing independent power supply
• Power backup of the hospital during power cuts in the hospital
• Managing supply of diesel for power back up
• Maintenance of electrical works

AC Plant Maintenance:
• Maintenance of centralized / standalone ACs
• Civil Engineering and Plumbing and water supply maintenance:
• Maintenance of minor civil work and plumbing of the hospital
• Assurance of 24 hours running water in the hospital

RESPONSIBIITY OF VARIOUS STAKE HOLDERS:
• All drugs and dressings during indoor treatment will be provided by UNFPA, by
providing different types of RH kits
• Running cost of all facilities including staff salary to be borne by the Service Provider.
• Responsible for inventory management of drugs and consumables.
• Run the maternity hospital for free of charge for all patients (Pregnant women & Infants)
• They must provide emergency care for patients throughout 24 hours.
• They must provide training to the national hospital staff as required by the Hospital
Administration without any condition or any other obligation.
• The responsibility of managing complications arising during their treatment lies with the
Service Provider.
• They should facilitate for referrals to the nearest hospitals in case the patient cannot be
treated at the Centre, including running and maintenance of 2 ambulances.
• They must update all patient records in the computer systems including both online and
hard copy which can be accessed and examined by the UNFPA. They must maintain all
records both medical and nonmedical as well as medico legal records, as prescribed under
the provisions of law.
• They must submit the required reports and duty roster to the UNFPA staff as will be
agreed to in the contract.
• They should use the space provided only for the purpose of treatment of patients.
• They must issue Identity cards and uniforms to their staff, workers and patients. It must
also be seen that staff and workers stick to the dress code standard provided by UNFPA.
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• The service providers should ensure timely payment to all staff.
• The service providers will be required to disclose the details of each staff with UNFPA.
• Any new recruitment of staff should be immediately reported to the concerned UNFPA
staff with requisite documents to claim their candidature.
• All out-patients registered must preferably be seen on the same day itself.
• Service provider will ensure remedial measures with regard to any deficiency in services
pointed out by the hospital administration.
• All license/ approval/ permission will be the responsibility of service provider but
UNFPA will facilitate to fulfill these requirements.
• Posting of round the clock security staff at entrance for security of facility
• Catering services is the responsibility of service provider.
• Provisions of housekeeping services to maintain the hygiene within the facility.
• The service provider shall maintain the premises and it shall be the responsibility of the
agency to carry out disposal of waste of the center as per the Biomedical Waste
(Management and Handling) WHO guidelines.
• The service provider should ensure cool and RO purified drinking water round the clock
for all visitors to the facility and water for the whole facility.
• The service provider should maintain entire facility.

RESPONSIBILITY OF UNFPA:
• UNFPA will provide the whole facility including medical supplies, non-medical supplies
including furniture’s and generators. The consumables for medical supplies for 6 months
will be also provided by UNFPA.
• Accommodation for staff will be in the premises with all necessary facility
• Fully equipped kitchen will be provided by UNFPA
• Timely settlement of claims on actual monthly billing at the agreed terms in accordance
with the provisions of the agreement.
• Provide held in laying down guidelines and finalize standard operating procedures.
• To prepare standard registers, log books, case records, etc.
• To conduct regular monitoring and evaluation of the project activities based on
quantifiable indicators and reports received from the service provider.
• Prescribe various formats for reporting progress of the project to be used by the Service
Provider.
• Coordinate with local administration for smooth functioning of the facility and services.
GENERAL TERMS & CONDITIONS:

• The tenure will be for a period of 6months having in phasing manner by having 100%
national staff in 6 months and the maternity field hospital will be handed over and run by
the Ninewa Department of Health.
• Procurement of Equipment including accessories will be UNFPA responsibility, but
service provider should have technician to fix simple issues without tampering warranty.
For technical issues beyond the technician’s capacity should be informed to the supplier
provided by UNFPA.
• A 24 hour calls center / helpline for managing and coordination the services to be
provided by the selected service provider.
• Selected agency will operate and maintain MFH as per the requirement of Type 2 EMT.
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• Service provider should have proper insurance for all staff including national staff to
cover in-case of any incidents, the cost shall be integrated in the financial proposal
separately.
• Any civil work required for the purpose like water, drainage system, and other plumbing
work shall have to be undertaken by the service provider itself by having 24hours staff
and shall be coordinated with WHO.
• An appropriate committee including UNFPA and DOH would be appointed by UNFPA
to monitor the
quality and delivery of services.
Medical Staff Qualification and Requirement:

1. Obstetrician/Gynecologist:
• Provide clinical services including surgery on a daily basis to women with

gynaecological and Obstetric problems;
• Conduct daily ward rounds (Doctors, midwives, nurses and Clinical Officers/Medical
Assistants) and use the opportunity to train them and mentor them on various
procedures;
• Supervise national medical staffs an ensure high standard of care is upheld;
• Train medical staff (certified midwives, Nurses and Clinical Officers/Medical
Assistants) in common obstetrical and gynecological procedures including assisted
vacuum deliveries and dilatation and curettage;
• Train MOH Medical Doctors/physicians in medical and surgical management of
obstetric and gynecological conditions.
• Train, mentor and coach the hospital matron regarding quality of care improvement
processes including universal precaution and infection prevention and ensure that
nursing care provided is of acceptable standards.
• Participate in the development and adoption of standardized EmONC tools and
protocols
• Oversee the provision of other reproductive health services such as Family Planning,
Syndromic management of STIs, and provision of signal functions of Comprehensive
EmONC services
Essential Requirements:
• Medical Doctor (MD, MBChB, MBBS or equivalent) from a recognized University;

• Specialist training in Obstetrics and Gynaecology from a recognized institution;
• Relevant clinical experience of at least 2 years after post graduate specialization in
the field of Obstetrics and Gynaecology preferably in developing countries;
• Previous working experience in difficult operating environments, high risk, conflict
countries an asset;
• Good communication skills including the ability to effectively motivate staff and to
diplomatically manage the relationship with other national staff, local partners, and
different authorities would be an asset;
• Excellent English language proficiency, Arabic language skills an added advantage
but not mandatory
• Ability to exercise sound judgment and make decisions independently.
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• Extremely flexible, and have the ability to cope with stressful situations and
frustrations.
2) Neonatologist:
• Knowledgeable in the organization and management of a neonatal care unit and
neonatal intensive care unit;
• Experience in Neonatal Resuscitation, Acute Care of at Risk Newborn, Bloodletting
(venous and arterial), Obtain sample for Cerebro spinal Fluid, Endo tracheal tube
insertion, Mechanical ventilation, Continuous positive airway pressure
• University degree in medicine, with post-university specialization in neonatology or
paediatrics.
• At least 10 years of progressive clinical experience in neonatology;
• At least 3 years of international experience in perinatal care.;
• Familiarity with relevant WHO and UNICEF guidelines and tools related to mother
and child health;
• Knowledge of health systems in middle east;
countries;
but not mandatory
frustrations
3) Midwives:
• Qualified nursing professional specialized in midwifery
• Minimum of 5 years proven professional experience
• Fully accredited
• Proven experience in emergency obstetric care
• Ability to work with limited technical resources
• Experience in training, coaching and supervision
countries;
but not mandatory
frustrations
4) Nurses:
• The clinical nurse shall work in specific ward/Health post/specialized unit assigned
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and would therefore work as both supervisor and team leader of the national and
refugee staff.
• Prepare for and assist the doctors during clinical procedures whenever required.
• Ensure that all required observations, prescribed treatment and procedures are
properly carried out and documented on patient's charts.
• Carry out minor surgical procedures, screening, admissions, consultation,
resuscitation and stabilization of clients in management of clinical emergencies.
• Provide effective reproductive health services based on all pillars of safe motherhood
to ensure best maternal child outcome.
• Refer to the doctor in charge or to the doctor on call relevant information such as
patient's status and laboratory results, which would assist in proper clinical
management.
• Assist patients with activities of daily living while in the ward/clinic.
• Maintaining psychological well beings through reassurance to patients peri operative.
• Observe and maintain infection prevention policy daily and ensure safe work
environment.
• Arrange and submit weekly/monthly ward or unit work schedule, plan daily duties
and responsibilities for both national and refugee staff and leave plans to ensure
adequate coverage.
• Convene ward/unit meetings and attend important hospital or department meetings.
• Do hospital coverage and on-call as required.
• Compile and submit weekly/monthly HIS reports.
• Minimum 5 years’ experience in nursing and 2 years’ experience with international
organization.
countries;
but not mandatory
frustrations

Page 18 of 22
Technical Evaluation Criteria:
Bidders getting minimum score of 70 out of 100 will be considered for next stage i.e. financial
bid evaluation. scores will be given to bidder’s technical bid as per following criteria:
Technical Proposal Evaluation Form Points Company/Other Entity

Obtainable
Expert of Firm/ organization submitting A B C
proposal
1.1 Organization structure (include 15

description of those parts of your
organization that would be involved in
the performance of the work), Quality
assurance procedures, financial capacity
and capabilities.
1.2 Previous experience in managing 25

Maternity Field hospital as of 2016
Operating and managing hospital for

more than Two (2) years = 10 score for
each subsequent year (maximum 25
scores)
Two complete years=10 scores
Four complete years=20 scores
Five complete years= 25scores
1.3 Evidence in implementing similar 10
activities with UN agencies
1.4 Implemented and completed the 20

duration of contracts for running similar
field Hospitals in Emergency and high
risk environment
1.5 Ability to provide onsite clinical 10

training program and capacity
development for national staff.
Comprehensive training plan provided
along with proposal
1.6 Qualifications and experience of the 15

relevant field Doctors as per TOR
Page 19 of 22
1.6 Qualifications and experience of the 05
relevant midwives and nurses as per
TOR
Technical Bid:
The technical bid should be concisely presented and structured in the following order to include,
but not necessarily be limited to the following information listed below.

1. Description of the firm and the firm’s qualifications: A brief description of your firm
and an outline of recent experience on projects of a similar nature, including experience
in the country and language concerned. You should also provide information that will
facilitate our evaluation of your firm/institution’s substantive reliability, such as
catalogues of the firm, and financial and managerial capacity to provide the services
such as 3 audited financial statements. Provide information on quality assurance
procedures in place and experience in following WHO standards especially EM2T2
type.
2. Understanding of the requirements for services, including assumptions. Provide

evidence in managing/running maternity Field Hospital services. Details of the services
you were undertaken in running the field hospital and years of experience especially in
high risk environment. Experience with UN agencies and ability to undertake the
service for six months
3. Proposed Approach, Methodology, Timing and Outputs: any comments or suggestions

on the TOR, as well as your detailed description of the manner in which your
firm/institution would respond to the TOR. Ability to provide onsite clinical training
program and capacity development for national staff. Comprehensive training plan to be
provided along with proposal
4. Proposed Team Structure: The composition of the team which you would propose to
provide in the country of assignment and off shore staffing, and the work tasks
(including supervisory) which would be assigned to each. An organogram illustrating
the reporting lines, together with a description of such organization of the team structure
should support your bid.
5. Proposed Project Team Members: Please attach the curriculum vitae of the medical staff
and of the proposed team.
Additional Documents:
The service provider will have to provide the following plans:
• Detailed evacuation plan (for national and international)
• Detailed communication plan
• Detailed logistic and deployment plan
Page 20 of 22
5) Price Schedule Form
Name of Bidder:
Date of Bid:
Bid No:
Currency of Bid price:
Delivery time (days from receipt of order till dispatch):
(Note: maximum number of days is: 10 days)
Expiration of Validity of Bid/Proposal (The bid shall be
valid for a period of at least 3 months after the Closing date.):
The service provider will have to provide costing for the two hospitals:
• Cost of deploying international teams (composition below) for a period of 6 months.

costing will be provided per month, with clear exit strategy for handover to MOH staff
after six months
• National teams will be deployed by Ministry of health. Two teams will be deployed by
MOH each consisting of 15 staff. MOH staff will be deployed on shifts bases (three days
working and three days off)
• Cost of living inside the camp. This includes catering, cleaning, communication and
security arrangements.
• Information management
• Operational cost and site management this includes among others refueling, water tank,
emptying septic tanks and refiling oxygen cylinders

Number &
Daily Rate Hours to be
Item Description Description of Total USD
USD Committed
Staff by Level
1. Fee for Medical staff and other support staff
TOTAL FEES
2. Facility Management cost including catering services
TOTAL COST
3. Cost for Refueling, water tank, emptying septic tanks and refiling oxygen cylinders and any other
service cost
Page 21 of 22
TOTAL COST
4. Estimated out-of-pocket expenses
TOTAL OUT-OF-POCKET EXPENSES

TOTAL PRICE (Fees+ Facility Management + Cost for Refueling, water tank, emptying septic tanks and
refiling oxygen cylinders and any other service cost + out-of-pocket expenses)
Vendor’s Comments:
Name and title Date and Place
Special Condition:
• National teams will be deployed by Ministry of health
• MOH staff will be deployed on shifts bases (three days working and three days off)
• Cost of living inside the camp. This includes catering, cleaning, communication and
security arrangements.
• UNFPA has the right to scale down the project or close it with two weeks’ notice if the
international presence is deemed to be unnecessary. This is related to the decrease in
number of casualties received or locally gained experience by MOH staff to run the
facility.
• All international staff deployed into Iraq should have will have to have the following
certificates. credentials (university degrees, authorization to practice in home country)
authenticated and curriculum vitae.
• The service provider will be responsible for its company or entity registration in KRG
and Baghdad. UNFPA may facilitate the process once all documentation is submitted.
• The service provider will be responsible for issuance of Visas (for KRG and Iraq) for its
staff. UNFPA may facilitate the process once all requests submitted.
• Deployment will be within 10 days after signature of contract.
• The service provider should provide detailed background on similar work implemented in
similar contexts
• Some of the common services will be cost shared with WHO since the hospital is
attached to trauma hospital and service provider should be flexible enough to accept the
services from the TOR requested.
Page 22 of 22

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Hospital Management Services

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Emergency RFP for Managing Maternity Field Hospital in Mosul

United Nations Population Fund (UNFPA)

Request for Proposal (RFP) No. UNFPA/IRQ/RFP/17/001

Street address for bid submission:

Partial bids are not allowed under this RFP.

We undertake, if our bid/proposal is accepted, to commence and complete delivery of all

Name and title Date and Place

Organizational Type: Manufacturer,

2. Quality Assurance Certification

International Quality Management System

Total number of staff

4. Client Reference List

Name of company Contact person Telephone E-mail

Field Hospital Services:

Particulars Requirement/ standards

Reproductive/Maternal Health Identification and referral for danger signs

All facilities in MFH services should have a mother-and-newborn-friendly environment. Dignity

Pre-delivery room (1st stage area):

General services required for the Maternity:

RECORDING AND REPORTING SYSTEM:

Critical steps for ensuring Quality Assurance:

GENERAL TERMS & CONDITIONS:

Medical Staff Qualification and Requirement:

• Provide clinical services including surgery on a daily basis to women with

• Medical Doctor (MD, MBChB, MBBS or equivalent) from a recognized University;

Technical Proposal Evaluation Form Points Company/Other Entity

1.1 Organization structure (include 15

1.2 Previous experience in managing 25

Operating and managing hospital for

1.4 Implemented and completed the 20

1.5 Ability to provide onsite clinical 10

1.6 Qualifications and experience of the 15

2. Understanding of the requirements for services, including assumptions. Provide

3. Proposed Approach, Methodology, Timing and Outputs: any comments or suggestions

• Cost of deploying international teams (composition below) for a period of 6 months.

TOTAL OUT-OF-POCKET EXPENSES

Name and title Date and Place

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