Consultancy for Comprehensive National Health Insurance Assessment in Cambodia
with International Labour OrganisationThis job has already passed the closing date
Invitation for Bids
Government funding towards health care has increased in recent years. Various social health protection initiatives in the country have led to a reduction in health-related poverty. In January 2016, the NSSF established a mandatory Social Health Insurance (SHI) for private sector workers. As part of the preparatory works that provided the evidence to the system design, ILO and GIZ collaborated in carrying out an actuarial study. The implementation of the SHI initiated in May 2016 and by the end of 2016, more than 295,000 workers were registered and around 100,000 had used it to access health services. By the end of October 2017, the scheme reached approximately 950,000 workers. The SHI was also extended to cover public sector workers, with a slightly different benefit package based on a set of actuarial calculations initially carried out by the ILO. Being a new scheme under NSSF management there is a recognition that there is room for improvement.
In this context, the ILO and WHO were requested by NSSF to carry an assessment of the “performance” of the social health insurance during its 2 years and a half of implementation. This assessment should constitute the basis for a revision of the current scheme and the improvement of processes leading to higher quality of service.
In line with the principles laid out in relevant ILO Standards1, the work to be undertaken will assess the performance of the social health insurance system against different dimensions which will demand a combination of different work items and expertise.
Objective of the assignment
The objective of this assignment is to carry out a comprehensive evaluation of NSSF Social Health Insurance and propose, on this basis, scenarios for reform / improvement. The main outputs of the assignment are:
These outputs will contribute to the national debate on the extension of health coverage.
Scope of work
The consultant team should conduct the assessment focusing on the following elements:
1. An assessment of the organization and administration of the SHI, comprising two dimensions:
-Framework
-Management and operations
This work will involve desk review, interviews and data extraction. This work will be the basis for the formulation of recommendations, both organizational and parametric, which will support the formulation of scenarios for reform and be integrated with a separate actuarial valuation.
2. An overview of the perceived strength and weaknesses of the NSSF from the perspective of protected persons on the one hand and service providers on the other hand.
Timeline
The consultancy is scheduled to start in February 2021 and completed in July 2021 with the expected working days to be no more than 90 days in total.
Requirements of team members
The assessment will involve the following team corresponding to the various expertise needed to conduct the different work items:
For further detail please download the ToR attachment below.
Selection Criteria
Proposals will be evaluated based on Cumulative Analysis the following criteria:
A two-stage procedure is utilized in evaluating the proposals, with evaluation of the technical proposal being completed prior to any price proposal being compared. Only the price proposal of the firm who passed the minimum technical score of 70% of the obtainable score of 100 points in the technical qualification evaluation will be evaluated.
Technical evaluation
The total number of points allocated for the technical qualification component is 100. The technical qualification of the firm is evaluated based on following technical qualification evaluation criteria:
Financial Evaluation
Only the financial proposal of the consultant firm/team who is identified as qualified in the technical evaluation will be considered and evaluated.
The total number of points allocated for the price component is 100. The maximum number of points will be allotted to the lowest price proposal that is opened/evaluated and compared among those technical qualified candidates. All other price proposals will receive points in inverse proportion to the lowest price.
Submission of Application
Interested firms or consortiums are requested to submit a separate technical proposal to email provided in the contact details and the financial proposal to email by the closing date by 5 p.m. local time in Phnom Penh, Cambodia. Late submissions will not be considered.
