Consultancy Opportunity: Community Electronic Medical Record Readiness Assessment in Rwanda
Background
At IntraHealth, we are a global team of creative, committed humanitarians on a mission. We are advocates, technologists, health workers, and communicators. We are passionate and diverse; and are united in our belief that everyone everywhere should have the health care they need to thrive. That’s why we work every day to improve the performance of health workers around the world and strengthen the systems in which they work.

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For over 40 years in over 100 countries, IntraHealth has partnered with local communities to make sure health workers are present where they’re needed most, ready to do the job, connected to the technology they need, and safe to do their very best work. Our programs are designed with a deep understanding of and appreciation for the context of human rights, gender equality and discrimination, economic empowerment, and changing populations.
Are you an experienced and competent digital health consultant? This opportunity might be of interest to you.

Scope Of Work
The Ministry of Health (MOH) has prioritized the use of digital health technologies to ensure quality of care, universal health coverage, and equity across the health system. Electronic Medical Records (EMR) system is one of the digital tools that will be used to digitalize workflows in health facilities and community, becoming one of MOH’s leading digital health tools. However, the process of creating and implementing an EMR system can be tedious and complicated. Thus, conducting an EMR readiness assessment is essential prior to testing and implementation of EMR to ensure that the environment is ready to support the introduction of the system. The community EMR is expected to strengthen the performance of community health workers (CHWs) by improving quality of consultations, delivery of services, and reporting and data use. The community EMR is also expected to reduce CHWs’ reporting burden through the use of electronic data systems.
It is in this context that IntraHealth International seeks a national consultant to work with the USAID Ingobyi Activity and MOH to conduct community electronic medical records (cEMR) readiness assessment.
USAID Ingobyi Activity is a five-year cooperative agreement to improve the quality of reproductive, maternal, newborn, and child health (RMNCH) and malaria services, in a sustainable manner with the goal of reducing infant and maternal mortality in Rwanda. The USAID Ingobyi Activity builds upon the tremendous gains Rwanda has made as well as previous USAID investments in the health sector. Ingobyi Activity aims to contribute to the reduction of infant and maternal mortality and incidence of malaria in Rwanda. The Ingobyi Activity partners with the Government of Rwanda (GOR) to build on the country’s considerable achievements, guided by national health strategies, goals, objectives, and data.

Purpose Of The Consultancy
The purpose of this consultancy is to support Ingobyi Activity and MOH to conduct cEMR readiness assessment in Rwanda. The consultant will conduct robust cEMR readiness assessment in sampled districts of Rwanda to ensure that enablers and barriers related to implementation of cEMR are identified and documented prior to the piloting of the system at community level. Ingobyi Activity and MOH will use the findings to inform planning of piloting and scale-up of the cEMR in Rwanda.
The cEMR readiness assessment will focus on five major areas:
• Management and leadership
• Organizational alignment
• Resource mobilization
• Operational readiness
• Technical readiness

Specific Tasks
The specific tasks for the consultancy will be:
• Meeting with MOH and Ingobyi Activity teams to discuss the scope of work and expectations of the assignment.
• Conduct desk review on current community health digitalization efforts and readiness for cEMR.
• Develop data collection tools in consultation with Ingobyi Activity and MOH
• Conduct assessment in sampled districts using qualitative research methods, including key informant interviews and focus group discussions.
• Analyze results through the community health context lens.
• Prepare a draft report of the findings.
• Conduct a dissemination workshop to discuss findings with key stakeholders and address any gaps in the findings – including possibility of further investigation in response to gaps noted in the report and provide revised report.
• Based on assessment findings, work closely with MOH and Ingobyi Activity digital health teams to develop a detailed plan for piloting and deploying the community EMR.

Deliverables
The consultant will be responsible for the following deliverables aligned to the tasks outlined above:
• Inception report highlighting purpose of assignment, key tasks, implementation methods, deliverables, and timeline.
• Comprehensive cEMR readiness report with key findings of the desk review and qualitative assessment, highlighting current community digitalization efforts, key opportunities, potential enablers, barriers, and recommendations to consider in deployment of cEMR.
• Report on stakeholder workshop highlighting key recommendations and considerations for cEMR piloting and subsequent scale-up across the country.

Level Of Effort And Timeline
The estimated level of effort is 30 business days
Required Experience
It is envisaged that the consultant selected to undertake this assignment will have the requisite combination of skills, expertise, and experience to carry out the tasks outlined above. The required qualifications, competencies, and skills are outlined below:
• Consultant should have the relevant graduate training, preferably a master’s degree, in computer engineering, computer science, information technology, information system, digital health, or equivalent.
• At least 8 years of relevant professional experience in development, deployment, and/or using digital health solutions, including health management information systems;
• Minimum five years of experience working on EMR is required;
• Skills and experience in health systems analysis and health systems strengthening in general, business analysis, health information exchange; and
• Fluency in verbal and written English is required.

Application Process
Applications must be sent to the Chief of Party via email: ingobyiprocurement@intrahealth.org with “Community EMR readiness assessment consultant” in the subject line. The deadline for submission of applications is April 4, 2022.
The application file should include:
• Letter of interest and updated CV;
• At least three professional references with full names, phone number, and email address.
• Technical proposal (3 pages maximum), including applicant understanding of intended scope of work; and
• Consultancy fee-daily rate.

Selection Criteria
Selection criteria: Applications will be assessed on cost reasonableness (30%) and technical competence (70%).
Technical evaluation criteria/ 70 marks
Required training in computer engineering, computer science, information technology, information system, digital health or equivalent. (10pts) Relevant professional experience in development, deployment and/or using digital health solutions, including HIS (20 pts) Technical knowledge/expertise in EMR
(20 pts) Skills and experience in health systems analysis and health systems strengthening (10 pts) Clear Timeline (10
pts)
IntraHealth International is proud to be an equal opportunity employer. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law, and requires affirmative action to ensure equality of opportunity in all aspects of employment and consultancies.
Only applicants fulfilling the above requirements will be contacted. If you do not hear from us within one week from the submission deadline, consider your application unsuccessful.
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