Technical Assistance for Capacity Building on Hospital Waster Audit

BACKGROUND

The Department of Health (DOH), in partnership with the World Health Organization (WHO) is implementing the WASH and Green in Health Care Facilities Project from 2018 to 2022. Related to this project, DOH issued the 4th edition of Health Care Waste Management Manual in 2020 which guided hospitals in properly addressing the accumulation of health care waste wastes due to the pandemic. This was followed by the issuance of Green and Safe Health Facility Manual or the Green Manual in 2021 which integrated health care waste management system as one of the eight pillars for the greening of health facility.

To ensure sustainability of health care waste management approaches and maximize the gains from the issuance of the two manuals in the event of pandemic or other disasters, the DOH has to strengthen its waste management systems.  One of the key components of waste management system is waste audit. Its general aim is to determine if waste is being correctly segregated into its particular type and if it is being correctly and safely handled, treated and disposed of with respect to its type and hazard level. Audits are the single most important means for a health facility to know the status of its waste management system, to identify current gaps in waste management practices and to determine how to improve practices.

With the ongoing pandemic, DOH would like to understand its effects on the quality and quantity of healthcare wastes generated in various departments of hospital. To make this happen, DOH would be needing technical assistance (TA) to develop the capacity of DOH-retained hospitals on waste management audit.

 

PURPOSE/SPECIFIC OBJECTIVE OF THE ACTIVITY

The objectives of the technical assistance are as follows:

General Objective:

To establish a national and regional cadre of professionals from various professional backgrounds on the conduct of a hospital waste audit.

Specific Objectives:

• • To assess capacity building needs of target participants in terms of conducting hospital waste audit
• • To conduct training workshops on hospital waste audit and preparation of a hospital audit report
• • To conduct  waste audit in 20 DOH Hospitals
• • To establish a sustainable capacity building program on the conduct of hospital waste audit.

 

DESCRIPTION OF ACTIVITIES TO BE CARRIED OUT / METHOD(S) TO CONDUCT THE ACTIVITY

In collaboration with the DOH Health Facility Development Bureau (HFDB) and the supervision of the Technical Officer for Environmental and Occupational Health of the WHO Country Office in the Philippines, the Contractual Partner/Institution/Organization shall perform the following tasks/responsibilities:

The conduct of the training, hospital waste audit and the development of the technical document(s) may be completed by conducting a combination of desk reviews, focus group discussions, interviews, meetings, simulation exercises or any related methods as agreed.

Furthermore, the contractual partner is expected to:

• • Ensure that activities are in line with national, regional and local policies requirements;
• • Establish and maintain effective working relationships with co-workers and   representatives from other organizations and agencies;
• • Attend national, regional or local meetings as necessary; and
• • Perform other related duties and responsibilities that may be assigned.

Output 1: Inception Report

Deliverable 1.1: Inception report. The inception report shall contain specific methodologies and activities with identified offices to be involved, locations of activities, materials needed, workplan, curriculum vitae of facilitators/lecturers, and tentative dates. HFDB shall be consulted in finalizing this report before submission to WHO.

Output 2: Hospital Waste Audit Training Course Modules and other Materials

Deliverable 2.1:  Training needs assessment. Conduct a training needs assessment for selected participants. Expected participants are representatives DOH Central Office, CHD Engineers, and DOH-managed hospitals with a maximum of 260 participants.

• • DOH Central Office – 2-3 participants per involved offices (10-15 pax)
• • DOH CHDs – 2 participants per region (34 pax)
• • Hospitals – 2-3 participants per DOH Hospital (140-210 pax)

As part of this activity, the following deliverables should be submitted:  Accomplished Assessment Tools; Data Analysis Report; and Learning and Development Design/ Plan.

Deliverable 2.2:  Training modules.  Develop Hospital Waste Audit Training Modules based on globally acceptable and locally applicable processes and standards using the results of training needs assessment as reference. 

As part of this activity, the following deliverables should be submitted:  Training Program Flow, Worksheets/ Exercise Materials, Evaluation Forms and/or Metrics, draft Certificates of Completion of participants, and Certificate of Appreciation for Resource Speakers.

Deliverable 2.3:  Training/workshop design. Develop training/workshop design in two parts:

• • Use of virtual platforms (e.g., Zoom, MS Team, etc.) for lecture/discussion.
• • An online simulation exercises on how to conduct the waste audit in 20 DOH-managed hospitals
• • Draft consolidated report of waste audit.

Deliverable 2.4:  Recommend a sustainable capacity-building program for waste audit in consultation with DOH-HFDB, DOH-HHRDB, and other relevant government agencies. It should include a plan for a nationwide implementation roll-out.

Output 3: Capacity Building on Waste Audit

Deliverable 3.1:  Pre-training requirements. Organize the logistics and facilitate the preparation and follow-up of invitation of participants and resource persons for the conduct of waste audit training.

Deliverable 3.2:  Training/workshop. Conduct the training/workshop in manageable batches and venues with accomplished course evaluation materials, including pre-test and post-test.

Deliverable 3.3:  Documentation. Produce video and photographic (high resolution) recordings and written documentation (including monitoring of attendance) of the training.

Deliverable 3.4:  Develop an operations manual on how to conduct waste audit based on the experience with 20 DOH-retained hospitals.

Output 4: Final Report

Deliverable 4.1: Submit the Final Technical Report with the following contents:

• • Documentation of the process (with video, audio and high-resolution photos).
• • Evaluation of capacity-building event.
• • Implementation plan for potential nationwide roll-out.
• • Final training modules and other materials.
• • Hospital Waste Audit Report of 20 DOH-managed hospitals.
• • Final Operations Manual on How to Conduct Hospital Waste Audit.

Deliverable 4.2: Submit financial report.
 

QUALIFICATIONS & EXPERIENCE

The individual contractual partner or institution's members must fulfil the following qualifications:

EDUCATION and CERTIFICATIONS

• • If individual: Relevant post-graduate degree in health, environment, waste management, waste management, or related field.
• • If Institution: The team leader has relevant post-graduate degrees in health, environment, waste management, or related field.

EXPERIENCE

If Individual or institution:

• • Preferably with substantial consultancy, project, program or service experience related to health development, waste management, and green building
• • Previous experience in providing similar services to UN agencies, DOH or other Government agencies is an advantage.

TECHNICAL SKILLS & KNOWLEDGE

If individual or institution:

• • Excellent skills in developing capacity development plans and tools, conducting training, and in documenting training procedures.
• • Excellent knowledge or background in health, Water, Sanitation and Hygiene (WASH), waste management, and green building.

LANGUAGES

• • Excellent English communication skills (written and oral).

OTHER REQUIREMENTS

1. The Contractual Partner shall

• • Engage professionally with interested parties such as organizations and offices outside, and units inside the DOH in relation to this TA provision
• • Procure from suppliers of goods and services in relation to this TA provision, with due diligence in exercising sustainable materials consumption
• • Adhere to policies, processes, and procedures enforced in the DOH office
• • Provide the DOH responsible unit with updates on the progress of the work plan implementation and other monitoring information
• • Timely address to the DOH and WHO for any incidence or emerging risk that may hinder the efficiency or quality of deliverables and outputs
• • Exercise care for the space, furniture and equipment entrusted by the DOH

2. The DOH-HFDB shall

• • Assign the proper unit/s to support and counterpart in processes, deliverables and outputs of the integrated work program
• • Provide the appropriate work and storage space, access and use to office equipment for the performance of the TA Provider's duties and responsibilities
• • Provide orientation to familiarize TA Provider with policies, processes and procedures enforced in the office. Send official invitation to participants and resource speakers with assistance from TA provider.
• • Ensure proper introduction and integration of the TA Provider in the workforce, and facilitate cohesion in the workflow of its office
• • Schedule and ensure venues for the TA Provider to report progress of work, timely receive advice on the continuous improvement of work
• • Perform duties to support the obligations stated in the TA Provider's contract with the engaging organization.

Proprietary and intellectual property rights

The Department of Health shall have the sole proprietary and intellectual property rights of all outputs/deliverables/reports/documents and other files, including raw data gathered and used for and during the project, compiled or prepared in the course of the performance of the services supplied by the TA provider, as stated herein.

Data Privacy and Confidentiality

The TA Provider shall be bound to the confidentiality of data and information accessed during the course of engagement and shall be liable for any breach. The results, products and reports of this APW are to be treated as confidential and must not be handed over to third parties. The DOH and WHO have the exclusive ownership of the reports and reserve the right to further disseminate relevant information. The contractual partner will also provide disclaimer on the reports: This document has been produced with the assistance of the World Health Organization. The contents of this publication are the sole responsibility of the author, and does not necessarily reflect the opinions, recommendations, or advice of the World Health Organization

The TA provider must have no direct or indirect interest in the tobacco or e-cigarette industry, alcohol industry, arms dealing, breast milk substitutes, or human trafficking.

 

CONTRACT TIME

The work to be done under this contract shall be the Technical Assistance for Capacity Building on Hospital Waste Audit as set out in the Terms of Reference. The contract will be completed in not more than 6 months from the commencement of the Work, or otherwise as agreed in writing among the Owner and the Contractor. The work shall be done in strict compliance with the Contract, Specifications, Schedules, and all other Contract documents and all Instructions. Failure to do so shall be at the Contractor’s risk and account. Submission of Bid by the Contractor shall constitute acknowledgement by the Contractor that it is aware of and concurs with all the requirements or conditions incorporated in the Call for Proposal and the other documents.

As time is an essential element of this Contract, for failure to complete all work within the stipulated as set out in the Terms of Reference, the Owner shall charge the Contractor liquidated damages. This shall be in the amount the sum of 0.5% of the total contract amount per day (Saturdays, Sundays and holidays are included) but not to exceed on total 10% (ten percent) of the contract amount. These liquidated damages shall be for the added cost incurred by the Owner for such delay and for the inconvenience caused to the users of the Work. It is understood that this is not a penalty but a fixed sum representing the liquidated damages for each calendar day of the delay.  Delay shall be counted from the agreed completion date, considering further time extensions approved by the Owner, to the date of completion of work.

Management of Conflict of Interest

Any interest by entity (individual/organization/company), expert or member of the project team that may affect or reasonably be perceived to (1) affect the expert’s objectivity and independence in providing advice to WHO related to the conduct of a project, and/or (2) create an unfair competitive advantage for the expert or persons or institutions with whom the expert has financial or interests (such as adult children or siblings, close professional colleagues, administrative unit or department).

WHO’s conflict of interest rules are designed to identify and avoid potentially compromising situations from arising thereby protecting the credibility of the Organization and of its normative work. If not identified and appropriately managed such situations could undermine or discount the value of expert’s contribution, and as consequence, the work in which the expert is involved.

Robust management of conflicts of interest not only protects the integrity of WHO and its technical/normative standard setting processes but also protects the concerned expert and the public interest in general.

Ethical and Professional Standards

• • WHO prides itself on a workforce that adheres to the highest ethical and professional standards and that is committed to put the WHO Values Charter into practice.
• • WHO has zero tolerance towards sexual exploitation and abuse (SEA), sexual harassment and other types of abusive conduct (i.e., discrimination, abuse of authority and harassment). All members of the WHO workforce have a role to play in promoting a safe and respectful workplace and should report to WHO any actual or suspected cases of SEA, sexual harassment, and other types of abusive conduct. To ensure that individuals with substantiated history of SEA, sexual harassment or other types of abusive conducts are not hired by the Organization, WHO will conduct a background verification of final candidates.

 

SUBMISSIONS

Qualified and interested specialists should submit the following documents to the Supply Officer through WP RO UNGM at < wproungm@who.int > by 25 July 2022

• • Curriculum Vitae {for individual contractors/team members} or Company Profile {for institutional applications}
• • Cover letter. The cover letter should outline how their experience and qualifications make them a suitable candidate for this bid.
• • Proposal indicating solution, methodology, timelines and cost

Please use Tender Notice No. 178169 WCO PHL HAE—007-2022 as subject to all submission. Only successful candidates will be contacted.