RFP: Communication Campaign to Scale Up the Use of ORS & Zinc for Treatment
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RFP Number: CHINDICEM04/014 Issued Date: December 17, 2014 Questions/ Clarifications on RFP due: December 20, 2014 Proposal submission date: January 1, 2015 INTRODUCTION ABOUT CLINTON HEALTH ACCESS INITIATIVE (CHAI):CHAI is a global health organization committed to strengthening integrated health systems in the developing world and expanding access to care and treatment for HIV/AIDS, malaria, and tuberculosis. CHAI-India has employed a solution-oriented approach that focuses on helping state governments build the capacity required for high-quality care and treatment programs, in addition to improving market dynamics for medicines and diagnostics, lowering prices for treatment, and accelerating access to life-saving technologies at the national level. Since its launch in India in 2004, CHAI’s programs in India span a broad spectrum of focus areas, including pediatric HIV care and treatment, systems strengthening at the state-level, improving access to multi-drug resistant tuberculosis (MDR-TB) treatment, and scaling up an innovative model for community-based management of acute malnutrition. PROGRAM BACKGROUND:In India diarrhea-related illnesses claim the lives of over 225,000 children. Madhya Pradesh, Gujarat, and Uttar Pradesh represent 3 of the highest burden states. Simple and affordable treatments—ORS and zinc—can prevent most of these deaths and dramatically improve child health overall; however, these products—especially zinc—are not currently reaching the children who need them. ORS usage is only 29.8%, 26.3%, and 12.5% in MP, Gujarat, and UP, respectively. Zinc coverage is <1%, in all 3 states.1 This is due to a “market trap”: a lack of demand for the products from providers and caregivers leading to limited supplier interest and minimal appetite to invest in production and distribution. The weak demand is partly driven by poor treatment seeking behavior among patients and products that do meet consumer preferences despite the availability of more innovative product presentations in other markets (e.g., Latin America) and the lack of engagement with pervasive private providers, which deliver the majority of diarrhea treatments in India and other countries. CHAI and its partner firms have developed a large scale plan to improve the treatment seeking and providing behavior. Most of the diarrhea death burden lies in rural areas, which are also characterized by poor access to ORS and Zinc as well as lack of quality treatment options. The project intends to engage with national and state governments, private suppliers and distributors, and relevant partner organizations to design and drive an ambitious effort that will simultaneously seek to overcome demand- and supply-side barriers to widespread use of zinc and ORS. This project will aim to increase zinc and ORS usage from <1% to 50% in 3 focal states: Madhya Pradesh, Gujarat, and Uttar Pradesh. The most critical component of this project is demand generation element that will be focused on both at providers as well as caregivers. ORS and zinc are simple, highly effective, affordable and are recommended by key global and local stakeholders to treat childhood diarrhea. However, most caregivers do not access the recommended diarrhea treatment. The key reasons that caregivers do not access the recommended diarrhea treatment are: •Caregivers don’t believe that diarrhea is a serious illness •Caregivers ‘wait and watch’ for several days until the condition worsens, before they will go and visit their health provider •When caregivers do visit their provider, they have come to expect that they will provide them with medication that will stop their child’s diarrhea within one day. •Health providers believe that antibiotics and anti-diarrheals are the best treatment given that they satisfy the current caregiver’s expectations. •Availability of ORS and zinc is generally lower than the currently preferred antibiotics and anti-diarrheals. RFP RESPONSE INFORMATION: All responses to this RFP must be received no later than COB January 1, 2015, by 5.30 PM, New Delhi time. Proposals should be submitted by electronic mail and hard copy format. Electronic mail must be submitted to Mini Rozario at mrozario@clintonhealthaccess.org and a copy to Versha Mathur at vmathur@clintonhealthaccess.org in word format for the technical proposal and EXCEL format for the budget. Responses against Queries will be shared with all offerors by December 22, 2014 COB. RFP-Full details _Zinc_Program Hard copies should be submitted to: Mini Rozario William J Clinton Foundation 26, Okhla Industrial Estate, Phase – III New Delhi – 110020 Landline: +91-11-43050000
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