Terms of Reference (TOR) for the End-line Survey of
Strengthening Health Systems through Organizing Communities (SHASTO) Project of Japan International Cooperation Agency (JICA)

Background

The Non-Communicable Diseases (NCD) has become a global health threat despite the country’s economic status. The major NCDs are cardiovascular diseases, cancer, diabetes, and COPD, which account for more than 68% of total global deaths (WHO, 2014). The key risk factors for NCDs are tobacco use, unhealthy diet, physical inactivity, and harmful use of alcohol. The situation of NCD in Bangladesh is quite alarming as 75% population are exposed to two or more modifiable NCD risk factors, 5% of the adult population are diabetic, and 23% are hypertensive (Zaman, 2015).

Japan has been supporting the targets and strategies of the Government of Bangladesh in achieving the Sustainable Development Goals (SDGs). To this effect, the Japan International Cooperation Agency (JICA), an executing agency of Japan’s Official Development Assistance (ODA), gives priority to strengthening social sectors, in particular, the areas of health, medical care and primary education. As for the health sector, JICA puts importance on the improvement of the basic health conditions focusing its efforts on the maternal and child health and non-communicable diseases (NCD) control. JICA provides technical cooperation to these two health sector priorities, taking advantage of its own experiences and achievements in the world.

With the view to reduce the burden of NCDs in Bangladesh, JICA has initiated its support to implement the Project for Strengthening Health Systems through Organizing Communities (SHASTO) in July 2017 and developed a model intervention in three pilot sites: Narsingdi district, Cox’s Bazar district, and Dhaka North City Corporation. The purpose of the project is “The Non-Communicable Diseases (NCD) and Maternal Health (MH) Services are improved in an integrated manner”. 

The project aims at improving both NCD and Maternal Health services in an integrated manner at the pilot sites to achieve the following outputs:

  • Integrated NCD (cardiovascular diseases and Diabetes Mellitus) and maternal health services are delivered at pilot sites;
  • Hospital management is strengthened for service quality improvement;
  • NCD prevention activities are promoted in the pilot sites through working with community support groups; and
  • Good practices and lessons learned of the project are replicated

Submission of the proposal

The organizations/consultants interested to bid for the endline survey have to submit two separate documents, such as:

  • Technical proposal; and
  • Financial Proposal

The deadline for submission of proposals is 3rd October 2021. The proposals should be submitted through e-mail to:

Ms. Izumi Murakami
Chief Advisor, SHASTO project of JICA
House: 1A; Road: 16A; Gulshan 1; Dhaka
E-mail: obaba7@hotmail.com

Should you require any further clarification, please contact:

Dr. Md. Tajul Islam
Country Project Manager, SHASTO project of JICA
E-mail: sas.taj20@gmail.com

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