West Bengal Health System Reform Program, Operation

联系信息

Government of West Bengal

Department of Health Family Welfare

Swasthya Bhawan, Sector – V, Salt Lake

Kolkata – 700 091

No. HF/SPSRC/21/2025/265 Dated: 10 /07/2025

E-Procurement Notice

INDIA - Proposed West Bengal Health System Reform Program Operation [WBHSRP] – Technical Assistance [TA] Component

CONSULTANCY SERVICES - FIRM SELECTION

REQUEST FOR EXPRESSION OF INTEREST [EOI] to Conduct a Knowledge, Attitude and Practices Study (KAPS) to Understand and Elicit Behavioral Nudges in the Areas of Reproductive Maternal, Newborn, Child and Adolescent health (RMNCHA), Gender Based Violence (GBV) and Climate resilience under Technical Assistance Component of the Proposed West Bengal Health System Reform Program [WBHSRP] Operation

Project ID Number: ****

Loan Number: TBD

Procurement Plan Reference Number: IN-DOHFW, WB-485598-CS-QCBS

NIT no: NIT/162/2025

[a] General Experience: Firms are requested to provide a brief profile and general experience of the Firm (s) along with organizational structure. Documentary Evidence: Registration certificate of the firm (s); Power of attorney/Board resolution of authorized representative to sign the EOI proposal; Firm’s brochure.

[b] Specific Experience: The firm should have successfully completed at least Two [2] similar assignments in health sector within the past ten [10] years in Government or Semi-Government or Multilateral, or Bilateral projects. Documentary evidence: Completion certificate/work order [including project title, duration, nature, total contract value and tenure, total input in terms of staff month, Client with contact details, location of service, and scope of services, etc.]/Satisfactory work continuation certificate. The experience of a parent company, subsidiary company, group company or associates [whatever the names] of the Applicant shall not be considered in short listing.

[c] Financial capacity of the firm including average annual turnover from survey assignments for the last three financial years [2022-23, 2023-24 and 2024-25] which should not be less than INR 5 Crores. Documentary evidence: Audited financial reports for last three financial years.

[d] Manpower with qualifications and relevant technical and professional competence necessary for implementation of the assignment. Kindly do not provide CVs as these will not be evaluated at short listing stage.

While indicating information relating to [b], it shall be made clear whether the responsibility of the firm was in the capacity of a principal firm [lead partner] or as an associated firm [sub-consultant/JV partner] with detail scope of the service. A short note on similar projects implemented by the firm should be provided.

Key Dates

REOI publication date and time: July 11, 2025 from 10:00 Hours

REOI download start date and time: July 11, 2025 from 10:00 Hours

REOI download end date and time July 25, 2025 from 14:00 Hours

EOI online opening date and time: July 25, 2025 from 14:30 Hours

Strategic Planning and State Reform Cell [SPSRC]

Department of Health and Family Welfare

Government of West Bengal

Shri.Vivek Kumar, Special Secretary and Director SPSRC

Swasthya Bhawan, GN 29, Salt Lake

Kolkata

West Bengal 700091

Telephone number: +91 33 ****7921 / +91 33 ****30609/11

E-mail: wb.****.****@gmail.com

Attachment: Terms of Reference

Sd/-

Spl. Secretary Director SPSRC

GoWB

Indicative Terms of Reference

Hiring Consultancy Services [Firm] to Conduct a Knowledge, Attitude and Practices Study (KAPS) to Understand and Elicit Behavioral Nudges in the Areas of Reproductive Maternal, Newborn, Child and Adolescent health (RMNCHA), Gender Based Violence (GBV) and Climate resilience under Technical Assistance Component of the proposed West Bengal Health System Reform Program (WBHSRP) Operation

The proposed West Bengal Health System Reform Program (WBHSRP) Operation (Unnata Susathya West Bengal) is a health systems reforms program of the Department of Health and Family Welfare (DoH FW), Govt. of West Bengal (GoWB). The WBHSRP is proposed to be implemented during 2025-2031, with US$290 million loan from the World Bank and would use a Program for Results (PforR) lending instrument that focuses on result-based outcomes, with a Technical Assistance [TA]/IPF component to ensure focus on results-based outcomes for achieving the Program Development Objectives (PDO).This assignment is under the TA component of the WBHSRP.

The Program Development Objective (PDO) of the Proposed WBHSRP is “to improve utilization of health services, enhance quality of care and reduce inequities in maternal and adolescent health in West Bengal”. The program activities are organized around the four result areas (RAs) which contribute to the PDO. The activities of the WBHSRP under the four RAs principally are such that they either expedite, augment or enhance the existing government program.

RA-1: Strengthened integrated care model for CPHC services: The key focus of this RA is to strengthen the policies and service delivery framework to address the NCD related risk factors, improve input and process quality of the primary healthcare system, strengthen the continuum of care, and streamline protocols for frontline workers and service providers for the provision of quality personalized care. Global evidence suggests that addressing risk factors early on leads to a reduction in the disease burden for NCD and facilitating processes and protocols for the providers has a positive impact on care-seeking among NCD patients, ultimately leads to control of NCD conditions.[1] While the focus of the RA is on hypertension and diabetes, strengthened systems are expected to improve access and quality of services for other NCDs.

RA#2: Reduced health inequalities in maternal and adolescent health:RA#2 will strengthen the delivery of health services to address the challenges of adolescent girls and boys. While several interventions targeting adolescents are operational in the state, gaps remain in their coverage and quality, coordination, and monitoring mechanisms. Addressing the GBV also requires streamlining key interventions within the health system. Thus, the design of RA#2 seeks to (a) strengthen convergence among DoHFW, School Education Department and Women and Child Development Department and track key indicators and progress at the state, district and sub-district levels; (b) expand coverage and quality of Rashtriya Kishor Swasthya Karyakram (RKSK)[2] program; and (c) develop and roll out survivor-centric GBV services

RA #3 – Enhanced Governance, Accountability and Resilience:This RA focuses on critical QoC interventions, which are recognized through global evidence to be the ‘best buys’ on governance, accountability and resilience.[3] These include developing a facility- and administrative-level performance measurement framework (PMF) to track progress of health system performance and public ing and facility accreditation for comprehensive emergency obstetric and newborn care (CEmONC) centers.[4] Additionally, this result would focus on strengthening public financial management (PFM) and procurement-related challenges, which are critical to improve governance. Finally, the RA would also focus on extreme weather events and health-related interventions and strengthening the climate resilience of the health system.

RA#4: Alignment of behaviors between people and Providers: RA#4 would strengthen the system to address people and provider behaviors. It will support development and implementation of social and behavior change communication (SBCC) strategies to improve maternal and adolescent health and GBV-related outcomes, especially in priority districts lagging the state averages. The interventions are expected to empower communities with knowledge and awareness about health risks and available services. RA#4 will also support activities to bridge providers’ know-do gap for better clinical effectiveness. These interventions are well defined under several global frameworks[5], and proven to improve quality of services and increase demand.

A key element of the Program, under RA#4 is about focus on “Improved delivery of SBCC services for health, nutrition, education, life skills services for adolescents”, which also a disbursement linked indicator (DLI 9). It is proposed that, following the global frameworks mentioned earlier, the GoWB will identify key behaviors and small doable actions to address behavioral aspects around maternal and child health, adolescent health and GBV, including impact of extreme weather events on these population groups; and subsequently develop a comprehensive SBCC strategy. Specific SBCC interventions targeting boys and married adolescents would also be included. The interventions would also focus on health worker awareness on the patient’s safety and rights and safety and protection of health workers themselves. The SBCC strategy would define the type of content (mass and mid media and inter-personal communication [IPC]) to be developed and rolled out in the identified districts along with a capacity-building and monitoring framework.

Global frameworks suggest that, to develop a comprehensive SBCC strategy and a mix media content framework, it’s important to conduct an assessment of Knowledge, Attitudes and Practices (KAP) issues for the identified population groups. Therefore, it is important that prior to developing the comprehensive SBCC strategy for the program, a KAP assessment is completed to provide directions to the SBCC component of the program.

The overall purpose of the KAP study is to generate baseline evidence that will inform development of comprehensive SBCC framework and provide tracer indicators to track progress of the SBCC component of the UNNATA SUSWASTHYA West Bengal providing benchmark information and defining targets for measuring program progress, achievements, effectiveness, and impact with respect to program objectives and expected outputs.

The DoHFW, GoWB aims to hire a consultant/firm to design and conduct a KAPS around maternal and child health, adolescent health and GBV, including impact of extreme weather events on these population groups to better understand the community’s and providers’ knowledge, perception and practices to focus demand side improvement, not just for adolescent Girls and boys, but also their families and key community-level stakeholders.

The primary objective of the assignment is to conduct a KAPS around improved uptake of maternal and child health, adolescent health and GBV, including impact of extreme weather events on these population groups. The following needs to be part of the assessment:

The following table provides details on key population groups and behaviors to focus including geographic representation of the KAPS. The firm should also appropriately assess the relevant service providers and frontline workers for each target group to be included as part of KAPS. This would be helpful in deciding appropriate sample size for the assignment:

Table 1: Thematic Areas, Target Groups, Issues to Focus and Geographic Coverage

Sn.	Thematic areas	Target group	Key areas to focus	Geographic coverage of the KAPS
1	Maternal health	15-49 years females and their spouses, family and community and healthcare providers	Areas focusing on improving maternal health such as access to quality healthcare, emergency obstetric services, community engagement, social determinants, etc.	Entire state of West Bengal with an emphasis on lagging districts [Murshidabad, Jhargram, Jalpaiguri, Howrah, Uttar Dinajpur]
2	Child Health	Under 5 children	Nutrition	Entire state of West Bengal with an emphasis underprivileged areas
3	Adolescent Health	10-19 years boys and girls, family and community, and providers from health education and WCD	Early age at marriage, teen age pregnancy, health, nutrition, SRH and education etc.	Tribal areas, tea gardens, urban slums, RKSK districts Three RKSK ( Murshidabad Uttar Dinajpur, Ccoochbehar)
4	GBV	10-19 years adolescent girls	Sexual offenses against girls, teenage marriage especially forceful marriage, Physical and mental harm and deprivation of educational, social, or career opportunities, etc.	Entire state of West Bengal
5	Climate health	Local administration, Policy makers, Civil society organizations in coastal areas, drought, landslide and flood-prone areas, heat wave prone districts and Community	Health/Hospital administrators view about climate resilience. Assessing the need for behavioral changes among the community, etc.	Coastal areas, drought-prone areas, flood-prone areas, cyclone-prone areas, hilly areas and heat wave prone districts

For the consultant/firm would undertake the following tasks for the identified thematic areas:

The duration of the assignment would be twelve (12) months from contract signature.

The selected consultant/firm shall be expected to and deploy sufficient amount of human resource required to successfully deliver the tasks in the defined timelines. The human resource requirement for the project must include key experts of suitable qualifications and experience for the key positions tabulated below:

Table 2: Minimum Qualification and experience of Key Experts

S. No.	Key Position	Nos.	Minimum Professional Qualification and Professional Experience	Estimated Person Months
K1	Team Leader Lead the Team and provide team management and quality oversight over the assignment and deliverables Plan, supervise and manage timely deliverables of the assignment Point of Contact [POC] for the firm [all communications routed through the Team Leader] represent the firm in meetings with the GoWB Ensure that all documents and reports are reviewed and assessed in a timely manner with a high level of quality	1	Professional Experience: At least 15 years’ of demonstrated experience in managing health sector projects with strong background in analytics, surveys, monitoring, and evaluation in the health sector. Specific Experience: Working as technical expert or Team Leader in at least 4 projects having similar objectives involving quantitative and qualitative data collection, questionnaire design and large-scale surveys and their analysis. Qualifications post-graduate or higher degree in public health/ health administration from a recognized University.	12
K2	Public Health Specialist (Reproductive and Maternal Health) - Design survey methodology (sampling techniques, data collection methods) -Create questionnaires or interview guides -Oversee the pilot test and conduct of the survey -Collaborate with stakeholders, government agencies, and NGOs as necessary	1	Professional Experience: At least 10 years of experience in working on and/or managing large public health projects with focus on Reproductive and Maternal Health. The specialist should also have experience in working with the government health systems, in handling or managing analytical studies on health including experience in assessment and/or evaluation of public health programs Specific Experience: Working as technical expert in at least 2 Public Health/Nutrition projects having similar objectives involving quantitative data collection, questionnaire design and large-scale surveys and their analysis. Qualifications: Post-graduate or higher degree in public health / health administration from a recognized University.	6
K3	Public Health Specialist (Adolescent health, Child health and Gender) - Design survey methodology (sampling techniques, data collection methods) -Create questionnaires or interview guides -Oversee the pilot test and conduct of the survey -Collaborate with stakeholders, government agencies, and NGOs as necessary	1	Professional Experience: At least 10 years of experience in working on and/or managing large public health projects with focus on Adolescent health, Child health and Gender. The specialist should also have experience in working with the government health systems, in handling or managing analytical studies on health including experience in assessment and/or evaluation of public health programs. Specific Experience: Working as technical expert in at least 2 Public Health/Nutrition projects having similar objectives involving quantitative data collection, questionnaire design and large-scale surveys and their analysis. Qualifications: Post-graduate or higher degree in public health / Nutrition/health administration (or a similar qualification) from a recognized University.	6
K4	Social and Behavior Change Specialist - Provide inputs to design tools to focus on behavioral aspects. -Provide guidance and input on design and writing including recommendations for SBCC strategy.	1	Professional Experience: At least 8 years of experience in working on and/or managing social and behavior change related project in the health sector with a focus on RMNCHA and gender. The specialist should also have experience in working with the government health systems, on such programs Specific Experience: Working as technical expert in at least 2 social and behavior change related projects focusing on RMNCHA and gender issues (Desirable). Experience in government related projects on SBCC framework in India is essential. Qualifications: Post-graduate or higher degree in public health/Social Work/nutrition/ health administration/ mass communication from a recognized University.	6
K5	Social and Behavior Change Specialist - Provide inputs to design tools to focus on behavioral aspects. -Provide guidance and input on design and writing including recommendations for SBCC strategy with a climate-responsive lens.	1	Professional Experience: At least 8 years of experience in working on and/or managing social and behavior change related project in the health sector with a focus on RMNCHA and gender. The specialist should also have experience in working with the government health systems, on such programs. Experience in projects focused on climate-related health impacts will be considered an added advantage. Specific Experience: Working as technical expert in at least 2 social and behavior change related projects focusing on RMNCHA and gender issues (Desirable). Experience in government related projects on SBCC framework in India is essential. Qualifications: Post-graduate or higher degree in public health/Social Work/nutrition/ health administration/ mass communication/Environmental sciences/Sustainable development from a recognized University.	6
K6	Monitoring Evaluation (M E) Specialist - Work with the K2 and K3 in (a) Designing survey methodology (sampling techniques, data collection methods); (b) creating questionnaires or interview guides; and (c) overseeing the pilot test and conduct of the survey - Ensure data integrity through proper data handling, validation, and error-checking procedures. - Use advanced analytics to analyze survey data, identifying trends and correlations.	2	Professional Experience: At least 7 years of relevant experience in health systems and M E with focus on qualitative and quantitative data collection Specific Experience: experience in monitoring evaluation of development programs in areas of health systems strengthening, RMNCHA, gender issues etc. Proficiency in using statistical analysis software, such as SPSS, STATA, and Excel. Qualitative data analysis software (such as QSR) will be preferred. Qualifications: Masters in Economics or Statistics, Epidemiology or Public Health from a recognized University.	18 person months cumulative for K6
K7	Writer/Communications Specialist - Compile and analyze survey findings into clear, concise, and actionable reports. -Translate complex data into accessible insights for diverse audiences, including policymakers, researchers, and the general public. -Prepare reports, presentations and other communication materials as per the required template. -Ensure that the reports are professionally formatted and edited as per the GoWB requirements. -Ensure reports and communication materials adhere to public health standards, ethical guidelines, and data privacy laws.	1	Professional Experience: At least 5 years of relevant work experience in writing and documentation. Specific Experience: Worked as Writer/Communications Specialist and has drafted Project reports for at least 3 Public Health projects having similar objectives involving quantitative data collection, questionnaire design and large-scale surveys and their analysis. Qualifications: Master’s degree in English, Journalism, or Mass Communication/MSW/ Public Health/rural management from a recognized University.	12
TOTAL				66

Table3: Essential Qualification and experience of Non-Key [NK] Experts

Sl.****.	Position	Nos.	Essential Qualification/ Experience	Estimated Man Months
NK1	Field Surveyors	40	Preferably with a degree in Social Work, Rural Management, or other relevant discipline and more than 3 years’ experience of conducting surveys. Assist in collecting required field data Prior knowledge of surveying and collecting data in skill eco-system will be preferable Proficiency in the local language of the study area is essential Preference will be given to candidates residing in or familiar with the local context	160 person months cumulative for NK1

The consultant/firm shall carry out the assignment under the overall supervision of the DoHFW. However, day-to-day activities shall be coordinated by the nodal for RA#2 under the PMU, WBHSRP and nodal for Family Welfare program in DoHFW.

The PMU shall provide the consultant/firm with relevant documents, data and permissions necessary to complete deliverables under the assignment and shall ensure that the firm has access to all Program sites and locations.

The consultant/firm shall timely submit the following reports to the PMU (the verification reports would be in Word and PDF formats both, shared electronically with the PMU and inception and assignment completion reports would be in Word, PDF and printed formats):

Table 4: List of Deliverables

#	Deliverables/Outputs	Tentative Deadline
1.	Inception with proposed survey tools, sampling methodology, indicative questionnaire (s), workplan with key milestones and timelines, deployment of resources and KAPS plan	T0 + 1month
2.	Pilot testing of the draft KAPS tools, incorporating the suggested changes and submission of final assessment tools	T0 + 3 months
3.	Final tools and questionnaire and commencement of KAPS	T0 + 4 months
4.	Draft KAPS with detailed analysis of the findings	T0 + 10 months
5.	Final KAP assessment with detailed analysis of the findings	T0 + 11 months
6.	Dissemination to the stakeholders and creation of knowledge products	T0 + 12 months
7.	Assignment Completion	T0 + 12 months

It may be noted that payments shall be made upon acceptance of the deliverables by the Client.

Give access to all the required documents, correspondence and any other information associated with the project as felt necessary by Client in discussion with the consultant.

Facilitate consultation with relevant stakeholders (Departments, Implementation Entities and other institutions), as appropriate.

The consultant firm will protect the confidentiality of those participating in the survey at all stages. All data/material/information collected shall be confidential and the property of the DoHFW, GoWB. No data or other information from this survey will be released to third parties without the written approval of the DoHFW, GoWB The consultant firm will turn over all data and questionnaires to the DoHFW, GoWB and will not destroy information and material at the end of the project and after all data and original documentation has been delivered to the DoHFW, GoWB.

[1]WHO (World Health Organization). 2009. 2008–2013 Action Plan for the Global Strategy for the Prevention and Control of Non-Communicable Diseases

[2]https://rksk.in/

[3]Such as the WHO’s national quality policy and strategy (NQPS) and Lancet’s ‘High Quality Health Systems’ framework

[4]CEmONCs would offer quality obstetric care, including C-sections, newborn and emergency childcare, blood storage, and referral transport

[5] Key frameworks include the WHO’s Quality of Care Framework for Maternal and Newborn Health, Adolescent-Friendly Health Services Guidelines, and RESPECT Women for GBV response. The United Nations Population Fund’s GBV guidelines support multi-sectoral approaches. For SBCC, UNICEF’s C4D and Johns Hopkins Center for Communication Programs emphasize research, community engagement, and strategic messaging.