Ministria e Shëndetësisë – Ministria e shendetesise



TERMS OF REFERENCECountry: Kosovo Project ID: P147402World Bank Loan/Credit Name: Kosovo Health ProjectRef. No.: 4.5Assignment name: Medical Support Staff – Medical Doctors/specialists (75) for the PHC Services Background On March 26, 2015 the Assembly of the Republic of Kosovo approved the Financial Agreement between the Kosovo Government and the International Development Association. The Kosovo Health Project (KHP), restructured in May 2018, is worth US$ 15.69 million. Its objective is to contribute to (i) developing the building blocks to introduce Social Health Insurance (SHI); and (ii) strengthening primary health care (PHC) in selected municipalities.The project consists of three components:Component 1: Establishing building blocks for the introduction of SHI. This component includes: support to the definition and implementation of the SHI benefits package; support to the design, the development and utilization of the HIF Information System (HIFIS); capacity building of the HIF as purchaser of health care services; and capacity building to health facilities to respond to the establishment of SHI, which includes, inter alia, technical support for hospital management modernization, as well as medical equipment to upgrade the facilities that will be contracted by the ponent 2: Strengthening PHC in selected municipalities. This component includes: provision of clinical training to PHC staff; support to Capitation-Based Performance Payments (CBPPs) through the provision of a simple Health Information System (HIS) module; financing of CBPPs to selected municipalities to improve access to quality PHC services; community outreach interventions to improve access to PHC; and support to the design of a new comprehensive HIS and initiation of its implementation. Component 3: Project management. This component includes: capacity building to the MoH to carry out the technical and administrative management of the Project, including audits, equipment, and operating costs; and communication campaigns on SHI and on PHC reforms. In March 2020, the Project is restructured to address emergent needs of the Kosovo Government to fight Covid 19 Pandemic and invest as necessary as per the Emergency Preparedness and Response Plan of the MoH. Component 4: Emergency response to COVID-19 (EUR 3.7 Million). This is a new component added that will provide immediate support to Kosovo Government to respond to the public health emergency, as well as prevent COVID-19 from further local transmission. It will support enhancement of disease detection through provision of medical equipment, mobilization of response capacity through additional trained and well-equipped front-line health workers, as well as prevention of COVID-19 from arriving and further spread through containment strategies. Following are detailed activities that this Component will support:Purchase of medical supplies. This sub-component will help strengthen disease surveillance systems by provision of medical supplies, including kits, PPE, infusion pumps, ventilators, respirators, etc. as per the Emergency Preparedness and Response Plan of the MoH.Rehabilitation of quarantine areas. This sub-component aims at conducting rehabilitation civil work for existing quarantine areas in Prishtina student campus, and potentially new ones, as the situation evolves. The existing planned quarantine areas require adaption works to meet guidelines for isolation of cases through space re-organization and small investments.Support for medical staff and operations. This sub-component will aid the healthcare workers to provide medical care and maintain essential community services by recruitment of additional support medical and operational staff to fight COVID-19 for a period of 3-months with a fixed payment. Such a temporary support staff will provide delivery of critical medical services and support in coping with the increased demand for services in healthcare facilities and quarantine areas posed by the outbreak.Objective of the assignment Aid the healthcare workers in public facilities to provide medical care and maintain essential community services during COVID-19 Pandemic.Duties and ResponsibilitiesRespect the principles of humanity and professionalism in diagnostics and counseling in the fight against pandemic (COVID 19 virus) in implementation of the Government Manual; Provide high standard services based on evidence-based medicine;Determine the differential diagnosis and the working diagnosis in accordance with the symptomatology;Refer the patient to a family medicine specialist and to hospital care;Respect the hierarchy and work tasks specifics, such as; special regulations, working hours, safety and routine; Assume direct responsibility for the health of citizens without bias; Maintain confidentiality and provide conditions for confidential treatment;Be responsible for the application of optimal health standards;Be a trustworthy protector, supervisor and representative;Respond with professionalism and responsibility to the requests and challenges presented as well as to be practical at work, as well as to take responsibility for the provision of health services;Work in shifts, including night shifts, during holidays and weekends, as per schedule, and never leave the job before adequate replacement arrives;Have under professional and managerial supervision of the technical and support staff; Prepare and submit monthly activity reports, along with the attendance sheet, both signed by the direct supervisor, as assigned by the MOH. Fulfill any other additional tasks as required by the direct supervisor and the MOH.Required qualificationsUniversity Degree from the Faculty of Medicine;Professional Work License and Certificate of Specialization.DeliverablesPrepare and submit supporting documentation (relevant activity reporting documents/time sheets documents etc), based on the workflow/procedures established for the regular staff of the respective health facilities. Relevant supporting documents shall be signed by the direct supervisor Health Facility Director (as proposed by the MOH Health Services Director and assigned by the General Secretary). All supporting documentation should be available for audits at the health facility level. TimelinesWork is expected to start as soon as possible. The candidate will work hours assigned by the direct supervisor at the PHC facility. Foreseen contract duration three months, with possibility of ernance and reporting arrangementsThe doctor support staff will be working closely as part of the relevant health facility teams and shall report to direct supervisor Director of the health facility (as proposed by the MOH Director of Health Services and assigned by the General Secretary). The doctor support staff shall perform his/her duties in accordance with contract terms and conditions, legal acts of the Republic of Kosovo, as well as the World Bank requirements and procedures. Details of applicable governance and reporting arrangements are described in the approved POM.RemunerationThe doctor support staff will be paid on a monthly basis, the amount of payment shall be subject to contact negation. All terms and conditions will be described in the doctor support staff contract. The contract will be the Standard World Bank Time-Based contract. Client ContributionThe doctor support staff will be based and work in the PHC facilities throughout Kosovo. The Client (MoH) shall assign the health facility to perform tasks assigned.Selection processThe doctor support staff will be selected in accordance with the procedures set out in the World Bank’s Guidelines: Selection and Employment of Consultants under IBRD Loans and IDA Credits & Grants by World Bank Borrowers published in January 2011 (Consultants Guidelines), according to selection based on Selection of Individual Consultants (IC) method.Evaluation CriteriaThe overall qualification (30 %); Specific experience related to the assignment (30%)Average grade during the medical studies (20%);Experience during pandemic (20 %).Note: Candidates with the higher grade in medicine and longer experience since the licensing date will be prioritized. In case of achieving the same evaluation points candidates volunteered during pandemic will be prioritized. ................
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