Chad Health System Tender

Project ID P172504Region Africa westThe proposed project will focus mainly on improving the health servicedelivery of essential healthcare through institutional capacity building and the institutionalization of PBF building on lessons learned from the Mother and Child Health Services Strengthening projectP148052 and from other world bank operations in Chad.The GFFProcess in Chad together with PBF and institutional capacity building will contribute to address above-mentioned challenges of the Chads Health system. 23.The proposed project will scale-up the PBF model to address critical challenges faced by the health system including i the low readiness of health facilities to deliver quality health services to the population especially at the operational level ii the poor distribution of financial resources as well as allocative technical and administrativeinefficiency which result into low availability and poor utilization of resources at the frontline health facilities iiithe lack of decentralization of decision making which undermines the autonomy empowerment and accountability of health facilities especially at the operational level iv the shortage of qualified health personnel especially in rural areas v the weakness of the health information system and vi the low institutional regulation poor coordination and lack of transparency and accountability at different level of the health system. 24.The scale-up of the PBF model will be supported by the contributions from the Global Financing Facility GFF. Chad recently 2018 became a GFF country.The Government has put in place a Country Platform which has participation across stakeholders and includes civil society UN agencies the private sector and non-Governmental organizations NGOs. It is in the initial stages of developing an Investment Case IC. In light of increased fragmentation of donor support to Chads health sector there is substantial momentum among partners to capitalize on the opportunity presented by WB and GFF to re-establish an effective health sector coordination mechanism. Through strengthened partner coordination utilizing the GFF process the proposed project will complement service delivery efforts currently supported by other DPs including among others Gavi the Global Fund UNICEF UNFPA WHO the European Union the French Development Agency the Swiss Cooperation and local and international NGOs. In doing so the task team will coordinate with DPs to reduce fragmentation and enhance development effectiveness by aligning resources around the Governments priorities. In addition recognizing existing WB projects and other partners engagement in the country the team will also seek areas of collaboration with t