SUBCONTRACT
between
MANAGEMENT SCIENCES FOR HEALTH INC.
and
HEALTH DEVELOPMENT & PERFORMANCE
Subcontract Number 001
This subcontract is made and entered into by and between Management Sciences For Health, a nonprofit
corporation organized and existing under the laws of Massachusetts with a principal place of business at 784
Memorial Drive, Cambridge, Massachussetts, 02139, USA, and a project office at Ntaruka Street, Kiyovu, Kigali:
PO Box 371, Kigali, Rwanda ("MSH" or "the Contractor"), and Health Development & Performance asbl (HDP
asbl) with a principal place of business at Remera, City of Kigali, Rwanda ("The Subcontractor").
WHEREAS, the Contractor has been awarded Contract/grant No GHS-I-02-03-00030-00 and Task Order No GHSI-02-03-00030-00 with an effective date of September 9, 2005 by the United States Agency for International
Development (USAID) to carry out the quarterly Community Based counter-verification exercises according to the
National counter - verification protocol for Performance-Based Financing .
WHEREAS, the Subcontractor is willing to provide such services; and
WHEREAS, representatives of the Contractor and Subcontractor possess proper and sufficient authority to so agree;
NOW THEREFORE, in consideration of these premises and the mutual promises that follow in Sections B through J
of the subcontract, the parties hereto have executed this subcontract on the day and year specified below.
THIS SUBCONTRACT CONSTITUTES THE ENTIRE AGREEMENT BY THE PARTIES WITH RESPECT TO
THE MATTERS HEREIN. No other agreement, oral or written, shall be deemed to bind the parties with respect to
the subject matter of this subcontract.
FOR MANAGEMENT SCIENCES FOR HEALTH :
Name:
Title:
Sharon M. O’Daniel
Contract Officer
Date
FOR HEALTH DEVELOPMENT & PERFORMANCE
Name:
Title:
Christian Habineza
Director of HDP
Subcontract 001_HDP
Date
Page 1
TABLE OF CONTENTS
COVER AND SIGNATURE PAGE ......................................................................................................................... 1
Table of Contents ............................................................................................................................................ 2
SECTION B: SUPPLIES OR SERVICES AND PRICES/COSTS ................................................................... 3
B.1
PURPOSE .............................................................................................................................. 3
B.2
SUBCONTRACT TYPE AND CONTRACT SERVICES ................................................................ 3
B.3
OBLIGATED AMOUNT ........................................................................................................... 3
SECTION C: STATEMENT OF WORK .................................................................................................. 4
SECTION D: PACKAGING AND MARKING .......................................................................................... 6
SECTION E: INSPECTION AND ACCEPTANCE ..................................................................................... 6
E.1
CLAUSES INCORPORATED BY REFERENCE .......................................................................... 6
E.2
INSPECTION AND ACCEPTANCE ........................................................................................... 6
E.3
MONITORING AND EVALUATION ......................................................................................... 6
SECTION F: DELIVERIES OR PERFORMANCE ..................................................................................... 8
F.1
CLAUSES INCORPORATED BY REFERENCE .......................................................................... 8
F.2
PERIOD OF PERFORMANCE ................................................................................................... 8
F.3
DELIVERY SCHEDULE ........................................................................................................... 8
F.4
REPORTS & DELIVERABLES OR OUTPUTS .............................................................................. 8
F.5
PERFORMANCE STANDARDS ................................................................................................. 8
SECTION G: CONTRACT ADMINISTRATION DATA ............................................................................ 9
G.1
ADMINISTRATIVE CONTRACTS OFFICE ................................................................................ 9
G.2
TECHNICAL DIRECTIONS ..................................................................................................... 9
G.3
PAYING OFFICE ................................................................................................................... 9
G.4
PAYMENT ............................................................................................................................ 9
SECTION H: SPECIAL CONTRACT REQUIREMENTS ......................................................................... 10
H.1
CLAUSES INCORPORATED BY REFERENCE ......................................................................... 10
H.2
DRUG TRAFFICKING .......................................................................................................... 10
H.3
TERRORIST FINANCING....................................................................................................... 11
H.4
FOREIGN DELEGATIONS TO INTERNATIONAL CONFERENCES ............................................... 11
H.5
LOWER TIERED SUBCONTRACTING.................................................................................... 11
H.6
PHARMACEUTICALS........................................................................................................... 11
H.7
ORGANIZATION ELIGIBLE FOR ASSISTANCE (ACQUISITION) (JUNE 2005) ........................... 11
H.8
CONDOMS ACQUISITION (JUNE 2005)…………………………………………………..11
H.9
PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR PRACTICE ..... 11
OF PROSTITUTION OR SEX TRAFFICKING
H.10
H.11
H.12
VOLUNTARY POPULATION ACTIVITIES (MARCH 19) …………………………………… .12
TAXES ............................................................................................................................... 12
KEY PERSONNEL…………………………………………………………………….....12
SECTION I: CONTRACT CLAUSES ................................................................................................... 14
I. 1
CLAUSES INCORPORATED BY REFERENCE ........................................................................ 14
I. 2
CLAUSES INCORPORATED BY REFERENCE ......................................................................... 17
I. 3
COMMUNICATION PRODUCTS ............................................................................................ 17
SECTION J: ATTACHMENTS ............................................................................................................ 18
Subcontract 001_HDP
Page 2
SECTION B: SUPPLIES OR SERVICES AND PRICES/COSTS
B.1
PURPOSE
This subcontract is in support of the Rwandan HIV-Performance Based Financing project awarded to Management
Sciences for Health under contract number GHS-I-02-03-00030-00.
The purpose of this subcontract with HDP is to ensure grass-roots, community level mobilization of organizations and
stakeholders for the implementation of the National Counter-verification protocol. HDP, with its wide experience in
community work, will organize and coordinate community based surveys for PBF quantity verifications and report its
findings to MSH for further use.
B.2
SUBCONTRACT TYPE AND SERVICES
This is a fixed-price subcontract. For providing the technical services described in Section C: Statement of Work and
completing the deliverables described in Section F.3: Deliverables, MSH will pay the Subcontractor the fixed price of
Fifty-three Million Two Hundred Five Thousand Six Hundred Four Rwandan Francs (53,205,604 Rwandan Francs).
B.3
OBLIGATED AMOUNT
This subcontract is 100% obligated at 53,205,604 Rwandan Francs for the performance period specified in Section F.2
herein.
[End of Section B]
Subcontract 001_HDP
Page 3
SECTION C: STATEMENT OF WORK
Performance-Based Financing (PBF) has been rolled out nationwide in Rwanda, in phases, from January 1,
2006 to April 1, 2008. Various PBF models exist; for the District Hospitals; for the Health Centers and for
MOH Head Quarter Staff. A model for Community PBF is being designed, and a model for Tertiary Hospitals
will also be created.
This sub-agreement is focused on strengthening the Monitoring and Evaluation aspects of the national Health
Center PBF model. The Health Center model is a contracting-in arrangement, whereby the Government of
Rwanda and partners purchase services through a newly created administrative arrangement. This model is
governed in all transparency at the district level through a steering committee with formalized meetings in
which civil society sits alongside district authorities, district health managers, and partners.
The Health Center PBF model is based on decentralized governance at the district level, a separation of
functions, and a system of internal controls by the district for the volume of services and the quality of services,
which together determine the final performance of each health center. The system of internal controls is
reinforced by specifically designated technical assistants, drawn from a pool of Ministry of Health, bilateral
partners, and implementing agency technical staff. This is the so-called ‘extended team’.
On top of the internal controls and existing checks and balances, a system of external controls, i.e., from outside
the district has been piloted. National protocols for external counter-verification of the volume of services using
community client surveys and for counter-verifying the quality of services have been drawn up. For the counterverification of the quality of services, extended team members will be used. For the counter-verification of the
volume of services, a third party agency will be engaged.
This third party agency, Health Development & Performance asbl (HDP) 1 was formed by former staff and
managers of the Rwandan Branch of the Dutch PVO CORDAID after the ending of CORDAID Rwanda
operations in 2007. CORDAID had been instrumental in introducing PBF in the western province of Rwanda
since 2002 in what was, at the time, a pilot initiative. The results that were achieved later on proved to be
critical in the MOH decision to make PBF a national policy. The CORDAID experience has been published in
the international peer-reviewed literature.2 CORDAID Rwanda converted, through technical assistance of
CORDAID/Netherlands, into the local NGO HDP, capturing the entire former CORDAID Rwanda team.
HDP has been selected by MSH, in close collaboration with the CAAC/MOH, to act as the operational agency
for carrying out the national quantity counter-verification protocol. By involving the CAAC/MOH closely, in
particular related to the budget assumptions underlying the negotiated fixed price, a degree of sustainability has
been built into this exercise; it is foreseen that the CAAC/MOH, after the end of this current contract, will take
over the financing of this activity.
The national quantity counter-verification protocol is based on a multi-stage random sampling of health centers,
services and clients, once per quarter.
Once per quarter, the following cycle of activities will take place, and form part of the required deliverables, to
be reported upon in the survey report (see attachment 2):
(i)
1
Contacting MSH and the CAAC/MOH to determine conjointly and transparently the districts, health
centers and PMA and HIV services that will be analyzed, using random sampling software. The
principle is to use random selection software for randomly selecting districts, health centers and
http://www.hdp-rw.org/ ‘asbl’ stands for ‘association sans but lucratif’ or ‘Not for Profit Organization’
Soeters, R., Habineza, C., Peerenboom, P.B., (2006), Performance-based financing and changing the district health
system: experience from Rwanda. Bulletin of the World Health Organization, 84, 6
Subcontract 001_HDP
Page 4
2
indicators, however, the CAAC/MOH and MSH retain the right to change or direct HDP to target
certain districts, health centers or indicators.
(ii) First contact by HDP with the selected districts, district authorities (district director of health; district
hospital management) and health center management to explain the purpose of the surveys and to
ensure their buy-in and participation in the surveys and to discuss the dissemination of the results;
(iii) First contact by HDP with the grass root organizations present in the catchment areas of the selected
health facilities, in case of presence of organizations of People Living with HIV, priority will be given
to these organizations for use during the community client surveys. HDP will select surveyors from
these grass root organizations, in collaboration with the grass root organization. HDP will not use
second tier sub-contracts; HDP will be using a fee-per-well completed survey questionnaire to
remunerate the surveyors;
(iv) Training of selected surveyors, at least five per health center;
(v)
Random sampling of the register books for the randomly chosen PMA and HIV indicators; for each
service, for the six months preceding the survey, 15 cases will be randomly selected from each register
book, using the register book as the template (see annex for details). In case no HIV services are
available, two additional PMA services will be selected at random; approximately 750 provider-client
contacts will be sampled and clients will be traced in the community;
(vi) Monitoring and Evaluation of the surveys by HDP staff;
(vii) Data compilation and analysis, using statistical software such as EPI Info 2000 or SPSS, with technical
support from MSH will be carried out;
(viii) Discussion of preliminary results with MSH and the CAAC;
(ix) Contacting the districts to share the results in their next District PBF Steering Committee Meetings;
(x)
Contacting the Health Centers and the Grass Root Organizations to share the results in a plenary;
(xi) A report of no more than 15 pages, excluding annexes, in French or in English language, which includes
a description of the restitution of the findings in the District Steering Committees and the Health
Centers and Grass Root Organizations, will be drawn up and submitted to MSH and the CAAC; the
specifications of this report are in Attachment 2.
[End of Section C]
Subcontract 001_HDP
Page 5
SECTION D: SECTION D: PACKAGING AND MARKING
D.1
AIDAR 752.7009 MARKING (JAN 1993)
(a) It is USAID policy that USAID-financed commodities and shipment containers, and project construction sites
and other project locations be suitably marked with the USAID emblem. Shipping containers are also to be
marked with the last five digits of the USAID financing document number. As a general rule, marking is not
required for raw materials shipped in bulk (such as coal, grain, etc.), or for semi finished products which are
not packaged.
(b) Specific guidance on marking requirements should be obtained prior to procurement of commodities to be
shipped, and as early as possible for project construction sites and other project locations. This guidance will
be provided through the cognizant technical office indicated on the cover page of this contract, or by the
Mission Director in the Cooperating Country to which commodities are being shipped, or in which the project
site is located.
(c) Authority to waiver requirements is vested with the Regional Assistant Administrators, and with Mission
Directors.
A copy of any specific marking instructions or waivers from marking requirements is to be sent to the Contracting
Officer; the original should be retained by the Contractor.
SECTION E: INSPECTION AND ACCEPTANCE
E. 1
52.252-2CLAUSES INCORPORATED BY REFERENCE (JUN 1988)
The following contract clauses pertinent to this section are hereby incorporated by reference (by Citation Number,
Title, and Date) in accordance with the clause at FAR “52.252-2 CLAUSES INCORPORATED BY REFERENCE”
in Section I of this contract. See FAR 52.252-2 for an internet address (if specified) for electronic access to the full
text of a clause.
I.
FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES
Number
Title
Date
52.246-4
Inspection of Services- Fixed Price
Aug 1996
E.2
INSPECTION AND ACCEPTANCE
The Contractor's inspection and acceptance of services, reports and other required deliverables or outputs shall take
place at:
MSH, Ntaruka Street, Kiyovu, P O Box 371, Kigali, Rwanda
Or at any other location where the services are performed and reports and deliverables or outputs are produced or
submitted. The MSH HIV/PBF Technical Director has authority to inspect and accept all services, reports and
required deliverables or outputs. Proof of final acceptance of the deliverables will be in writing, either through paper
copy or email, by the MSH HIV/PBF Technical Director.
E.3
MONITORING AND EVALUATION
Subcontract 001_HDP
Page 6
The multi-stage random sampling selection as described in annex, will be carried out on location at the
CAAC/MOH, in presence of a CAAC representative, an MSH representative, and other agency representatives as
deemed necessary by the CAAC.
HDP shall, prior to starting its quarterly surveys, submit a written activity calendar to MSH and the CAAC. When
HDP, due to circumstances, deviates from this activity calendar, it has to notify MSH and the CAAC in writing
(which can be through email), at least 24 hours in advance of any changes.
MSH retains the right to adapt the multi-stage random sampling protocol, according to perceived needs, and
eventual changes or adaptations to the national protocol. MSH and the CAAC retain the right to participate in any
aspect of the surveys without prior notification of HDP staff.
[End of Section E]
Subcontract 001_HDP
Page 7
SECTION F: DELIVERIES OR PERFORMANCE
F.1
52.252-2
CLAUSES INCORPORATED BY REFERENCE (JUN 1988)
The following Subcontract clauses pertinent to this section are hereby incorporated by reference (by Citation
Number, Title, and Date) in accordance with the clause at FAD “52.252-2 CLAUSES INCORPORATED BY
REFERENCE” in Section I of this contract. See FAR 52.252-2 for an internet address (if specified) for electronic
access to the full text of a clause.
FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES
Number
Title
52.242-15
Stop-Work Order
Alternate I (April 1984)
52.247-34
F.O.B. Destination
52.248-48
F.O.B. Destination—Evidence of Shipment
F.2
Date
Apr 1989
Nov 1991
Feb 1999
PERIOD OF PERFORMANCE
The period of performance for this subcontract is from September 1st 2008 to August 31st 2009. The Contractor may
extend the term of this contract by written notice to the Subcontractor.
F.3
DELIVERABLES
1.
One Counter-Verification Report per quarter (see Attachment Two for Reporting Specifications).
See table below for Submission Deadlines.
Survey 3Q08 4Q08 1Q09 2Q09 F.4
Deadline of Submission
December 15, 2008 March 1, 2009 June 1, 2009 August 31st, 2009 REPORTS AND DELIVERABLES OR OUTPUTS
The Subcontractor shall credit USAID/ MSH in all public forums, correspondence or public endeavors supported in
whole or in part under this subcontract.
[End of Section F]
Subcontract 001_HDP
Page 8
SECTION G: CONTRACT ADMINISTRATION DATA
G.1
ADMINISTRATIVE CONTRACTS OFFICE
The Administrative Contracts Office is:
Mr Ismael A. Sued
Contract Specialist
Ntaruka Street, Kiyovu, Kigali
PO Box 371
Kigali, Rwanda
G.2
TECHNICAL DIRECTIONS
Performance of the work herein shall be subject to the technical directions of the MSH HIV/PBF Technical Director
or delegate. As used herein, "Technical Directions" are directions to the Subcontractor which amplify project
descriptions, inputs, activities and objectives, suggest project directions, or otherwise inform and complete the
general scope of the work. "Technical Directions" must be within the terms of this subcontract, and shall not change
or modify them in any way.
G.3
The paying office for this subcontract is:
MSH Rwanda HIV – PBF Project
Ntaruka Street, Kiyovu, Kigali
PO Box 371
Kigali, Rwanda
G.4
PAYMENT
1. Payment will be made upon receipt and acceptance of the Deliverables described in Section F.3 above in
accordance with the following payment schedule.
No
1
2
3
4
Deliverable
2008 Quarter 3 Counter Verification Report
2008 Quarter 4 Counter Verification Report
2009 Quarter 1 Counter Verification Report
2009 Quarter 2 Counter Verification Report
Fixed Price Payment (FRW)
13,301,401
13,301,401
13,301,401
13,301,401
2. Payment for deliverables described in Section F.3 under this subcontract will be made within 30 days of
receipt of an original invoice from the Subcontractor. In no event will the Subcontractor be reimbursed for
costs in excess of the total fixed amount of 53,205,604.
3. Payments shall be made to the Subcontractor by way of bank transfer.
4. All invoices must reference the subcontract number noted on page one of this subcontract. Please use the
invoice format included as Attachment Five.
[End of Section G]
Subcontract 001_HDP
Page 9
SECTION H: SPECIAL CONTRACT REQUIREMENTS
H.1 NOTICE LISTING CONTRACT CLAUSES INCORPORATED BY REFERENCE
The following Subcontract clauses pertinent to this section are hereby incorporated by reference (by
Citation Number, Title, and Date) in accordance with the clause at FAD “52.252-2 CLAUSES
INCORPORATED BY REFERENCE” in Section I of this contract. See FAR 52.252-2 for an internet
address (if specified) for electronic access to the full text of a clause.
Number
Title
Date
752.7027
Personnel
Dec 1990
H.2
DRUG TRAFFICKING
Section 487 of the Foreign Assistance Act requires MSH to take reasonable steps to ensure that MSH is not
providing assistance to or through convicted narcotics violators and/or probable drug traffickers. ADS 206
and State Department Regulations provide for a process of screening potential aid recipients and obtaining
certifications from them before committing funds for recipients who are covered by the regulations.
These regulations apply to assistance from USAID through MSH when it affects countries that are designated
as major drug producers or major drug transit points. Subcontracts under $100,000 are not subject to the
procedures unless the contractor has reason to believe the potential recipient may be involved in drug
trafficking.
MSH must obtain signed certifications from key personnel of the subcontractor affirming that they have not,
in the last 10 years, been convicted of narcotics violations and are not involved in drug trafficking.
The certification procedure also applies to individuals receiving participant training or scholarships and to
both U.S. and non-U.S. NGOs, PVOs, and firms. It does not apply to foreign governments and PIOs.
The subcontractor agrees that this subcontract may be terminated and MSH may seek refunds for drug-related
offenses. The subcontractor promises to ensure that the assistance is not diverted to drug traffic.
H.3
TERRORIST FINANCING
The Subcontractor is reminded that U.S. Executive Orders and U.S. law prohibits transactions with, and the
provision of resources and support to, individuals and organizations associated with terrorism. It is the legal
responsibility of the Subcontractor to ensure compliance with these Executive Orders and laws. This
provision must be included in all lower-tiered subcontracting or assistance/grant instruments issued under this
subcontract.
Section 2339A of the Title 18 of the United States Code prohibits the provision of the material or resources
for terrorist acts. Section 2339B of Title 18 of the United States Code prohibits the provision of material
support or resources to designated foreign terrorist organizations, and requires any U.S. financial institution
that becomes aware that it has possession of, or control over, any funds in which a designated foreign terrorist
organization, or its agent, has an interest, to retain possession of, or maintain control over, such funds and
report to the Secretary of the Treasury the existence of such funds.
OMB has approved the Agency’s information collection request under the Paperwork reduction Act allowing
USAID to require applicants for assistance to give a certification that they do not support terrorism.
Subcontract 001_HDP
Page 10
MSH must obtain signed certification from both U.S. and non-U.S. organizations that they have not “engaged
in terrorist activity”. This certification is an express term and condition of the agreement and any violation of
it shall be grounds for unilateral termination of the agreement by MSH prior to the end of its term.
H.4 FOREIGN GOVERNMENT DELEGATIONS TO INTERNATIONAL CONFERENCES
Funds in this contract may not be used to finance the travel, per diem, hotel expenses, meals, conference fees
or other conference costs for any member of a foreign government's delegation to an international conference
sponsored by a public international organization, except as provided in ADS Mandatory Reference "Guidance
on Funding Foreign Government Delegations to International Conferences
[http://www.info.usaid.gov/pubs/ads/300/refindx3.htm] or as approved by the [CO/AO/CTO].
H.5
LOWER TIERED SUBCONTRACTING.
Approval must be obtained from MSH before the Subcontractor enters into a lower tiered subcontract. The
request for approval should document the competition process that was used to select a lower tiered
subcontractor, the subcontractor's proposed scope of work, and a detailed budget.
H.6
PHARMACEUTICALS
Pharmaceuticals are a restricted commodity under USAID funding. No costs for the purchase of
pharmaceuticals shall be paid under this subcontract.
H.7- “ORGANIZATIONS ELIGIBLE FOR ASSISTANCE (ACQUISITION) (JUNE 2005)
An organization that is otherwise eligible to receive funds under this contract to prevent, treat, or monitor
HIV/AIDS shall not be required to endorse or utilize a multisectoral approach to combating HIV/AIDS, or to
endorse, utilize, or participate in a prevention method or treatment program to which the organization has a
religious or moral objection.
H.8- CONDOMS (ACQUISITION) (JUNE 2005)
Information provided about the use of condoms as part of projects or activities that are funded under this
contract shall be medically accurate and shall include the public health benefits and failure rates of such use
and shall be consistent with USAID’s fact sheet entitled, “USAID: HIV/STI Prevention and Condoms. This
fact sheet may be accessed at:
http://www.usaid.gov/our_work/global_health/aids/TechAreas/prevention/condomfactsheet.html
H.9 -“PROHIBITION ON THE PROMOTION OR ADVOCACY OF THE LEGALIZATION OR
PRACTICE OF PROSTITUTION OR SEX TRAFFICKING (ACQUISITION) (JUNE 2005)
(a) This contract is authorized under the United States Leadership Against HIV/AIDS, Tuberculosis and
Malaria Act of 2003 (P.L. 108-25). This Act enunciates that the U.S. Government is opposed to
prostitution and related activities, which are inherently harmful and dehumanizing, and contribute to the
phenomenon of trafficking in persons. The contractor shall not use any of the funds made available under
this contract to promote or advocate the legalization or practice of prostitution or sex trafficking. Nothing
Subcontract 001_HDP
Page 11
(b)
(c)
(d)
(e)
H.10
in the preceding sentence shall be construed to preclude the provision to individuals of palliative care,
treatment, or post-exposure pharmaceutical prophylaxis, and necessary pharmaceuticals and
commodities, including test kits, condoms, and, when proven effective, microbicides.
Except as provided in the second sentence of this paragraph, as a condition of entering into this contract
or subcontract, a non-governmental organization or public international organization
contractor/subcontractor must have a policy explicitly opposing prostitution and sex trafficking. The
following organizations are exempt from this paragraph: the Global Fund to Fight AIDS, Tuberculosis
and Malaria; the World Health Organization; the International AIDS Vaccine Initiative; and any United
Nations agency.
The following definition applies for purposes of this provision: Sex trafficking means the recruitment,
harboring, transportation, provision, or obtaining of a person for the purpose of a commercial sex act. 22
U.S.C. 7102(9).
The contractor shall insert this clause in all subcontracts.
Any violation of this clause will result in the immediate termination of this contract by USAID.”
VOLUNTARY POPULATION PLANNING ACTIVITIES (JUNE 2008)
(a) Requirements for Voluntary Sterilization Program. None of the funds made available
under this contract shall be used to pay for the performance of involuntary sterilization as a
method of family planning or to coerce or provide any financial incentive to any individual to
practice sterilization.
(b) Prohibition on Abortion-Related Activities.
(1) No funds made available under this contract will be used to finance, support, or be
attributed to the following activities: (i) procurement or distribution of equipment intended to be
used for the purpose of inducing abortions as a method of family planning; (ii) special fees or
incentives to any person to coerce or motivate them to have abortions; (iii) payments to persons
to perform abortions or to solicit persons to undergo abortions; (iv) information, education,
training, or communication programs that seek to promote abortion as a method of family
planning; and (v) lobbying for or against abortion. The term “motivate”, as it relates to family
planning assistance, shall not be construed to prohibit the provision, consistent with local law, of
information or counseling about all pregnancy options.
(2) No funds made available under this contract will be used to pay for any biomedical
research which relates, in whole or in part, to methods of, or the performance of, abortions or
involuntary sterilizations as a means of family planning. Epidemiologic or descriptive research
to assess the incidence, extent or consequences of abortions is not precluded.
(c) The contractor shall insert this provision in all subcontracts.
H. 11
TAXES
Any taxes required to be paid by HDP as a result of this subcontract will be the responsibility HDP. MSH
shall have no liability for taxes owed by HDP as a result of this subcontract.
H.12
KEY PERSONNEL
Due to the highly specialized nature of the work, key personnel of HDP that will be involved in organizing
these surveys have been identified for this subcontract. Changes to key personnel can only take place with
written, prior approval by the MSH HIV/PBF Contracts Specialist.
Subcontract 001_HDP
Page 12
These key personnel are:
1.
2.
Ms Tatiana UZAMUKUNDA.
Mr. Bernard NSENGIYUMVA
[End of Section H]
Subcontract 001_HDP
Page 13
SECTION I: CONTRACT CLAUSES
I. 1
52.252-2CLAUSES INCORPORATED BY REFERENCE (JUN 1988
The following contract clauses pertinent to this section are hereby incorporated by reference (by Citation Number,
Title, and Date) in accordance with the clause at FAD “52.252-2 CLAUSES INCORPORATED BY REFERENCE”
in Section I of this contract. Upon request, the MSH Contract Specialist will make the full text available. Also, the
full text of a clause may be accessed electronically at the following addresses:
http:/www.arnet.gov/far
http:/www.arnet.gov
This subcontract incorporates one or more clauses by reference with the same force and effect as if they were given
in full text. Unless specified otherwise, the following changes in reference points are made hereby to the cited
clauses incorporated in this subcontract:
FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) CLAUSES
AND AID ACQUISITION REGULATION (48 CFR CHAPTER 7) CLAUSES
FAR/AIDAR Clause
Read as
a.
b.
c.
Subcontractor
Subcontract
MSH
d.
e.
Contractor
Contract
Any reference to the
Government, AID, etc.
Subcontractor
Subcontract
Lower-tiered Subcontractor
Lower-tiered Subcontract
Complete copies of these documents may be purchased from the Superintendent of Documents, Government
Printing Office, Washington, D.C. 20402.
NUMBER
52.202-1
52.203-3
52.203-5
52.203-6
52.203-7
52.203-8
52.203-10
52.203-12
52.204-4
52.209-6
Subcontract 001_HDP
TITLE
FEDERAL ACQUISITION REGULATION (48 CFR Chapter 1)
DATE
DEFINITIONS
GRATUITIES
COVENANT AGAINST CONTINGENT FEES
RESTRICTIONS ON SUBCONTRACTOR SALES TO
THE GOVERNMENT
ANTI-KICKBACK PROCEDURES
CANCELLATION, RESCISSION, AND RECOVERY
OF FUNDS FOR ILLEGAL OR IMPROPER
ACTIVITY
PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR
IMPROPER ACTIVITY
LIMITATION ON PAYMENTS TO INFLUENCE
CERTAIN FEDERAL TRANSACTIONS
PRINTED OR COPIED DOUBLE-SIDED
ON RECYCLED PAPER
PROTECTING THE GOVERNMENT'S INTEREST
WHEN SUBCONTRACTING WITH CONTRACTORS
DEBARRED, SUSPENDED, OR PROPOSED FOR
JUL 2004
APR 1984
APR 1984
JUL 1995
JUL 1995
JAN 1997
JAN 1997
SEP 2005
AUG 2000
JAN 2005
Page 14
52.215-2
52.215-8
52.215-19
52.216-7
52.217-2
52.217-8
52.219-4
52.222-1
52.222-6
52.222-9
52.223-6
52.225-13
52.225-14
52.227-2
52.227-14
52.227-16
52.228-7
52.230-6
52.232-1
52.232-9
52.232-17
52.232-18
52.232-22
52.232-23
52.233-1
52.233-3
52.237-8
52.237-9
52.242-1
52.242-3
52.242-4
52.242-13
52.243-01
52.244-2
52.244-5
52.244-6
52.245-5
Subcontract 001_HDP
DEBARMENT
AUDIT AND RECORDS--NEGOTIATION
ORDER OF PRECEDENCE--UNIFORM CONTRACT
FORMAT
NOTIFICATION OF OWNERSHIP CHANGES
ALLOWABLE COST AND PAYMENT
CANCELLATION UNDER MULTIYEAR CONTRACTS
OPTION TO EXTEND SERVICES
NOTICE OF PRICE EVALUATION PREFERENCE
FOR HUBZONE SMALL BUSINESS CONCERNS
(JUL 2005)
NOTICE TO THE GOVERNMENT OF LABOR
DISPUTES
DAVIS-BACON ACT
APPRENTICES AND TRAINEES
DRUG-FREE WORKPLACE
RESTRICTIONS ON CERTAIN FOREIGN
PURCHASES
INCONSISTENCY BETWEEN ENGLISH VERSION
AND TRANSLATION OF CONTRACT
NOTICE AND ASSISTANCE REGARDING PATENT
AND COPYRIGHT INFRINGEMENT
RIGHTS IN DATA--GENERAL
ADDITIONAL DATA REQUIREMENTS
INSURANCE--LIABILITY TO THIRD PERSONS
ADMINISTRATION OF COST ACCOUNTING
STANDARDS
PAYMENTS
LIMITATION ON WITHHOLDING OF PAYMENTS
INTEREST
AVAILABILITY OF FUNDS
LIMITATION OF FUNDS
ASSIGNMENT OF CLAIMS
DISPUTES
PROTEST AFTER AWARD
ALTERNATE I (JUN 1985)
RESTRICTION ON SEVERANCE PAYMENTS TO
FOREIGN NATIONALS
WAIVER ON LIMITATION ON SEVERANCE
ALTERNATE I (JUN 1985)
NOTICE OF INTENT TO DISALLOW COSTS
PENALTIES FOR UNALLOWABLE COSTS
CERTIFICATION OF FINAL INDIRECT COSTS
BANKRUPTCY
CHANGES – FIXED PRICE
ALTERNATE I
SUBCONTRACTS
ALTERNATE II (AUG 1998)
COMPETITION IN SUBCONTRACTING
SUBCONTRACTS FOR COMMERCIAL ITEMS
AND COMMERCIAL COMPONENTS
GOVERNMENT PROPERTY (FIXED PRICE)
JUN 1999
OCT 1997
OCT 1997
DEC 2002
OCT 1997
NOV 1999
JAN 1999
FEB 1997
JUL 2005
JUL 2005
MAY 2001
FEB 2006
FEB 2000
AUG 1996
JUN 1987
JUN 1987
MAR 1996
APR 2005
APR 1984
APR 1984
JUN 1996
APR 1984
APR 1984
JAN 1986
JUL 2002
AUG 1996
OCT 1995
OCT 1995
APR 1984
MAY 2001
JAN 1997
JUL 1995
AUG 1987
APR 1984
AUG 1998
DEC 1996
FEB 2006
MAY 2004
Page 15
52.246-25
52.247-63
52.247-64
52.247-67
52.248-1
52.249-2
52.249-8
52.253-1
52.246-1
52.246-4
52.252-2
LIMITATION OF LIABILITY--SERVICES
PREFERENCE FOR U.S.-FLAG AIR CARRIERS
PREFERENCE FOR PRIVATELY OWNED U.S.-FLAG
COMMERCIAL VESSELS
SUBMISSION OF COMMERCIAL TRANSPORTATION
BILLS TO THE GENERAL SERVICES
ADMINISTRATION FOR AUDIT
VALUE ENGINEERING
FEB 1997
JUN 2003
FEB 2006
FEB 2006
FEB 2000
TERMINATION (FIXED PRICE)
DEFAULT (FIXED PRICE SUPPLY AND SERVICE)
COMPUTER GENERATED FORMS
CONTRACTOR INSPECTION REQUIREMENTS
INSPECTION OF SERVICES - FIXED PRICE
CLAUSES INCORPORATED BY REFERENCE
MAY 2004
APR 1984
JAN 1991
APR 1984
AUG 1996
FEB 1998
A.I.D. ACQUISITION REGULATION (48 CFR CHAPTER 7) CLAUSES
752.202-1
752.211-70
752.225-70
752.225-71
752.226-3
752.228-7
752.231-71
752.245-5
752.245-71
752.7001
752.7002
752.7005
752.7006
752.7007
752.7008
752.7009
752.7013
752.7014
752.7018
752.7019
752.7023
752.7025
752.7031
752.7034
Subcontract 001_HDP
DEFINITIONS
LANGUAGE AND MEASUREMENT
SOURCE, ORIGIN, AND NATIONALITY
LOCAL PROCUREMENT
LIMITATIONS ON SUBCONTRACTING
INSURANCE-LIABILITY TO THIRD PERSONS
SALARY SUPPLEMENTS FOR HG EMPLOYEES
GOVERNMENT PROPERTY – (FIXED PRICE)
TITLE TO AND CARE OF PROPERTY
BIOGRAPHICAL DATA
TRAVEL AND TRANSPORTATION
SUBMISSION REQUIREMENTS FOR DEVELOPMENT
EXPERIENCE DOCUMENTS
NOTICES
PERSONNEL COMPENSATION
USE OF GOVERNMENT FACILITIES OR
PERSONNEL
MARKING AND COMPLIANCE WITH THE USAID GRAPHICS
STANDARDS MANUAL
CONTRACTOR-MISSION RELATIONSHIPS
NOTICE OF CHANGES IN TRAVEL REGULATIONS
HEALTH AND ACCIDENT COVERAGE FOR
USAID PARTICIPANT TRAINEES
PARTICIPANT TRAINING
REQUIRED VISA FORM FOR USAID
PARTICIPANTS
APPROVALS
LEAVE AND HOLIDAYS
ACKNOWLEDGEMENT AND DISCLAIMER
JUN 1992
FEB 1997
JUN 1993
OCT 1998
DEC 1989
JUL 1997
JAN 1990
APR 1984
JUL 1996
APR 1984
OCT 1989
JAN 1990
JAN 1999
JAN 1999
APR 1984
APR 1984
OCT 1989
DEC 1991
Page 16
I.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This Subcontract incorporates one or more clauses by reference, with the same force and effect as if they were given
in full text. Upon request, the Contract Specialist will make their full text available. Also, the full text of a clause
may be accessed electronically at this/these address (es):
http://www.arnet.gov/far
752.242-70 Periodic Progress Reports
See CIB 98-21.
I.3
COMMUNICATIONS PRODUCTS (OCT 1994)
(a)
Definition - Communications products are any printed materials (other than non-color photocopy material),
photographic services or video production services.
(b)
Standards - USAID has established standards for communications products. These standards must be
followed unless otherwise specifically provided in the contract or approved in writing by the contracting officer.
(c)
Communications products which meet any of the following criteria are not eligible for USAID financing
under this agreement unless specifically authorized in the contract or in writing by the contracting officer:
(1)
All communications materials funded by operating expense account fund
(2)
Any communication products costing over $25,000, including the costs of both preparation and
execution. For example, in the case of a publication, the costs will include research, writing and other
editorial services (including any associated overhead), design, layout and production costs.
(3)
Any communication products that will be sent directly to, or likely to be seen by, a Member of
Congress or Congressional staffer; and
(4)
Any publication that will have more than 50 percent of its copies distributed in the United States
(excluding copies provided to CDIE and other USAID/W offices for internal use.
(d)
The initial proposal must provide a separate estimate of the cost of every communications product as
defined in paragraph (a) above (not just those which meet the criteria in paragraph (d)) which is anticipated under
the contract. Each estimate must include all of the costs associated with preparation and execution of the product.
Any subsequent request for approval of a covered communication product must the same type of cost information.
(End of Section I)
Subcontract 001_HDP
Page 17
SECTION J: LIST OF ATTACHMENTS
Attachment One:
National Quantity Counter-Verification Protocol
Attachment Two:
Reporting Schedule and Report Specifications
Attachment Three:
Attachment Four:
Certification Regarding Terrorist Financing Implementing E.O.13224 (Revision
2)
Key Individual Certification/Narcotics Offenses and Drug Trafficking
Attachment Five:
Standard invoice format
[End of Section J]
Subcontract 001_HDP
Page 18
Attachment One:
Protocol
For a
Community Survey for Reported Quantity Performance
In
………………….District
1. This protocol will be applied to the quantity results obtained by …………Health
Center.
2. The protocol will be applied for approved results reported during a preceding sixmonth period.
3. The organization carrying out the third party evaluation, has been mandated by
the CAAC/MOH to organize such an evaluation, following the below protocol.
This mandated organization is called the ‘Agency’.
4. The following steps will be followed:
¾ The Agency will contact the Director of Health/President of the PBF
steering committee for a meeting, present in the meeting will be a
representative of the Agency, the president of the PBF steering committee
or his or her designate, and the director of the hospital or his or her
designate
¾ The excel sheet in Annex QUAL_1 will be used to list in alphabetical
order the names of the health centers. These names will have the same
order as in the quarterly invoice produced by the PBF BDD. The health
facilities will be numbered.
¾ 20% (twenty percent) of health facilities will be chosen randomly, using
the Random Generator of Microsoft Excel3. In case decimals appear, the
figure is rounded upwards. For instance, when a district has 9 health
centers, then 9/5 = 1.8, therefore 2 health centers will be drawn randomly.
¾ The Random generator4 is used as follows: in the first row fill in 1 to ‘the
number of health facilities’, in the case of Gicumbi, which has 20 health
facilities, the figures are 1 to 20. Then, the ‘integer’ button is clicked. A
number is generated, which is marked in Annex QUAL_1, next to the
health facility in question, using a color, for instance red. This process is
repeated until the 20% of health facilities have been randomly chosen.
3
http://www.ablebits.com/excel-random-generator-assistant-freeaddins/index.php?r1=OMP&r2=randomgen
4
If in case the random generator does not work, or is not available, use any other appropriate method, such
as for instance using numbered pieces of paper.
Subcontract 001_HDP
Page 19
¾ The chosen Health Facilities are indicated in the column ‘choix’ in the
table QUAL_1.
¾ Then using QUAL_3 and the Random Generator chose 20% of the PMA
indicators rounding upwards, i.e. three indicators. When HIV services are
available, also choose two indicators from the list of HIV indicators with
the same methodology. When HIV services are not available, select
two additional PMA indicators (bringing the total PMA indicators
selected to five in the absence of HIV services).
¾ For each of the chosen indicators, the evaluation team will travel to the
selected health facilities, and sample randomly from the primary register
books related to the sampled indicator.
¾ For selecting the sample in the register book:
1. Determine the exact number of remunerated indicators over the
preceding six month period. This can be through extracting from
the PBF BDD using an excel pivot, or by counting the number of
acts in the individual monthly reports (through the web
application);
2. Divide this number by 15. This will give you the sampling
frame for this indicator;
3. Arriving at the health center find the primary register related to
this indicator;
4. Verify, e.g. through the serial numbers, whether the totals match;
5. Ask anybody a number between one and 10. Start with this
number as from the date of sampling. E.g. you sample January 1st
to June 30th; the number provided by e.g. the cleaning lady or a
patient is ‘6’, then start with the sixth entry in the register book.
Then count 15 entries, each time using the sampling frame. For
instance: when the total number of acts was 567 over six months,
then the sampling frame is 38, and the following numbers are
then selected: 6; 44; 82; 120; 158; 196; 234; 272; etc till you
have 15 samples. You can also generate a random number using
Random Generator.
6. When sampling HIV data and you sample a client with a positive
test result, skip this client and then take the next negative result.
7. Collect the information related to these 15 clients using the
Data_Collection_1 template. Using a small notebook would be
the most efficient, with each page one client/service.
8. Transpose data from the Data_Collection_1 form to the
Data_Collection_2 form. Only name and location data are
provided here; the surveyors have to find the client, and then ask
questions related to (i) date of visit; (ii) type of service used and
(iii) satisfaction.
9. Let the grass-root organizations find these clients in the
community.
10. Compile data. This can be done manually in Excel, or using a
statistical program like SPSS or EPI Info;
11. Keep survey data sheets for at least two years.
Subcontract 001_HDP
Page 20
¾ The meeting ends with (i) an agreement on the chosen health facilities; (ii)
a decision how to move forward, for instance which grass-root
organization to use, see point five below- and (iii) a timeframe in which
the community survey ought to have taken place. Always involve USF and
Hospital staff (district PBF steering committee members) in these surveys.
Figure: the XL Random Number Generator
5. Guidelines on using community organizations for counter-verification of quantity
data:
a) Contact a suitable organization (e.g. a CHW cooperative or an
organization of People Living with HIV) for each Health Center that has
been chosen. When doing a counter-verification for HIV, an organization
of People Living with HIV should be contacted, who besides the HIV
indicators can also do the PMA;
b) Members that will be used need to be literate (Kinyarwanda);
c) The first time, these members need to be trained. MSH can assist with
providing the field-tested curriculum;
d) Best to agree on a pay-per-case basis: for each well-filled questionnaire.
e) Always provide feed-back to these partner-organizations on their
performance, the results obtained, and ensure that when results are
presented in the PBF district steering committees, a representative of this
partner organization is present.
Next steps:
6. A short maximum fifteen-page report will be written by the Agency on the results
of this community survey. A section should also summarize the qualitative
feedback of clients on the services received. This report will be submitted to the
District PBF Steering Committee members at least one week prior to the first
District Comite de Pilotage meeting following this evaluation. Transmission is by
Subcontract 001_HDP
Page 21
email, the District Director of Health is responsible for sending hard copies to
those members who do not have an email address. The CAAC/MOH must be
copied on all such reports.
Proposed interpretation of results:
7. The report’s findings will be discussed in the district PBF steering committee.
When multiple patients or clients cannot be found in the community without any
good reason (a good reason would for instance be: (i) from another district or (ii)
moved to another location or (iii) died), the steering committee might either
decide on sanctions (as described in the purchase contracts) or decide to
investigate the matter deeper.
8. Further guidelines on how to interpret results will be issued by the CAAC/MOH
in the near future.
Subcontract 001_HDP
Page 22
Annex QUAL_1. Table of listed Health Facilities
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Centre de Sante
Centre de Sante A
Centre de Sante B
etc
Subcontract 001_HDP
Choix
Page 23
Annex QUAL_3. Table with the list of PMA and HIV indicators
No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
No
1
2
3
4
5
6
7
8
Paquet Minimum des Activites
CPC - Nouveaux cas
CPN - Femmes avec 4 visites
CPN – VAT 2 - 5
CPN - 2ème prise de Sulfadoxine
Suivi de la croissance : enfant de 11 a 59 mois consultés (CS)
Suivi de la croissance : enfant de 11 a 59 mois consultés (PNBC)
Malnutris : Hospitalise sortant guéri ou réfère
P.F : Nouvelle utilisatrice
P.F : Utilisatrice en fin du mois
Vaccination : Enfant complètement Vaccine
Accouchement assiste au CS
Accouchement: reference d'urgence pour accouchement
References pour malnutrition severe
Refeences d'urgence
Choix
VIH
Choix
VCT- clients testes
PMTCT: nombre de couples testés pour le VIH
PMTCT: nombre de femmes VIH+ sous traitement ARV pendant le travail
PMTCT : Enfants exposés testés pour VIH
Soins : Nombre de clients VIH+ testés pour CD4 chaque six-mois
Soins : Nombre de clients VIH+ traités aux CTX chaque mois
VIH prevention: Nombre des femmes VIH+ qui utilisent le PF
TB/MST: Nombre des patients VIH+ qui ont etes examines pour TB
Subcontract 001_HDP
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Questionnaire
Use the official questionnaire designed to be used for data entry in EpiInfo, in French and
Kinyarwanda, found below.
________________________________________________________________________
Questionnaire d’enquête dans la communauté (FR)
v080924
Nom de l’enquêteur
Province
District
Centre de santé
Nom de la personne qui a tire l’échantillon
Nom de l’association
Nom et Prénom du Client
Secteur
Cellule
Chef de Famille
Date de visite de l’enquêteur (jj-mm-aa)
La nommée…………………………………… est-elle reconnu(e) ?
(Oui/Non)
Si la précédente personne existe, qui a confirmé son existence ?
Lui-même ? Oui/Non
Un membre de la famille? Oui/Non
Le responsable du village? Oui/Non ;
Autre :
Avez-vous consulte le centre de sante de :……………………(Oui/Non)
Si oui, quel service avez-vous consulte?
1
PMA : Consultation
Générale
2
PMA : CPN
3
PMA : PEV
4
PMA : Nutrition
5
PMA : Accouchement
Subcontract 001_HDP
Page 25
6
7
8
9
10
11
PMA : PF
PMA : Références
VIH : VCT
VIH : PMTCT
VIH : ARV
VIH : Soins Palliatifs
Si oui, quant est ce que vous avez été en consultation ou reçu le
service ?
(jj-mm-aa)
Y’a-t-il des propositions de solution pour l’amélioration de la qualité des services dans
votre formation sanitaire ?
Au cas ou les services CPN, PF ou Accouchements sont utilisées : demandez les
questions suivantes :
CPN
Est-ce que la carte CPN existe ? (Oui/Non)
Si Oui : Quel est son numéro ?
PF
Est-ce que la carte CPN existe ? (Oui/Non)
Si Oui : Quel est son numéro ?
Accouchement
A quel date avez vous accouche (mentionne
mois et année minimum)?
Avez-vous accouché un garçon ou une fille?
Nom de l’enquêteur:
Date et signature
Subcontract 001_HDP
Page 26
Questionnaire d’enquête dans la communauté (Kinyarwanda)
v080924
Izina ry ‘umuntu wakoze iperereza
Intara
Akarere
Ikigo nderabuzima
Izina ry’umugenzuzi
Izina ry’ishyirahamwe
Amazina yombi
Umurenge
Akagari
Umukuru
w’umuryangu
Itariki y’isura (umunsi w’isura – ukwezi - umwaka)
A.Ese uyu …………………………………… arazwi? (Yego/ Oya)
Niba azwi ninde wabyemeje?
We ubwe Yego/Oya
Umuntu wo mu muryang o. Yego/Oya
Umuyobozi w’umudugudu ? Yego/Oya
Abandi :
Mbese mwaba mwarisuzumishije mu ivuriro ry:…………………( Yego/
oya)
Niba ari yego; Mwisuzumishije iki?
1
Kwisuzumisha
2
Gusumisha inda
3
Gukingira
4
Gupimusha abana
5
Kubyarira kwa muganga (Maternite)
6
Service yo kuringaniza urubyaro (PF)
7
Kohereza mu bitaro
8 Gupimisha ibizami by’agako gatera sida
(VCT)
9 Gupimisha ibizami by’agako gatera sida
ku babyeyi (umugore n’umugabo)
(PMTCT)
10
Imiti igabanya ubukana (ARV)
11
Gufasha abafite ubwandu (Soins
Palliatifs)
Subcontract 001_HDP
Page 27
Niba ari yego ;Mwisuzumishije ryari?
Italiki………/ukwezi……./umwaka
Mutange ibyifuzo ivuriro ryanyu ryakurikiza kugirango rirusheho kunoza imikorere mu
bijyanye no kwizumisha
Niba mwarasuzumishije inda, mwararinganije urubyaro, mwarabyaye : baza
ibibazo bikukira :
Mwarasuzumishije inda
Umubyeyi afite agakarita yahawe no kwa
muganga ?Yego/Oya
Nimero :
Mwararinganije urubyaro
Umubyeyi afite agakarita yahawe no kwa
muganga ?Yego/Oya
Nimero :
Mwarabyaye
Niba aribyo, mwabyaye ryari?
Itariki…………ukwezi………umwaka
Mwabyaye Umuhungu/ Umukobwa
Izina ryumuntu wakoze iperereza
Itariki n’umukono
Subcontract 001_HDP
Page 28
ATTACHMENT TWO: REPORTING SCHEDULE and REPORT SPECIFICATIONS
Report Submission Schedule
Survey 3Q08 4Q08 1Q09 2Q09 Deadline of Submission Report
December 15, 2008 March 1, 2009 June 1, 2009 August 31st, 2009 Report Specifications
Each of the below elements 1 to 4, including their sub points, should be met, in order for a report to be
considered by the MSH HIV/PBF Technical Director.
The MSH HIV/PBF Technical Director retains the right to reject a report if it (i) does not respond to the
specifications 1 to 4 with their sub points below, (ii) deviates from the prevailing national protocol without
prior written approval from the MSH HIV/PBF Technical Director and (iii) if the report is submitted more
than three weeks after its deadline (specified in the schedule above), without prior written approval from
the MSH HIV/PBF Technical Director.
1.
Each Report should be in French or English language and submitted in 3 copies; 2 for MSH and 1
for the CAAC/MOH. If the report is in the French Language, then in that case the Summary
should be both in French and in English.
2.
The main report, excluding annexes and literature references, should not be more than 15 pages,
Times New Roman 12, single spaced.
3.
The Main report should contain:
a) Short Summary (half page)
b) Description of the Methodology, and reasons for eventual adaptation or deviation from
the protocol (half page)
c) Description of the selection process of grass root organization and surveyors (1 page)
d) Description of the survey with the results of at the least 750 client community
interviews carried out according to the protocol in attachment I.
e) Description of the findings
f) Description of the dissemination process (four District PBF Steering Committees; Health
Center Managements; Grass Root Organizations)
g) Conclusions and Recommendations
4.
Annexes should contain, at the least:
a) Listing of the selected district, health centers and health service indicators
b) Listing of the people involved (central; district; health facility; grass root organization,
including their contact information such as mobile telephone numbers)
c) AOB
Subcontract 001_HDP
Page 29
ATTACHMENT THREE:
Certification Regarding Terrorist Financing Implementing E.O.13224 (Revision 2)
Subcontract 001_HDP
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ATTACHMENT FOUR: Key Individual Certification Narcotics Offenses and Drug
Trafficking
I hereby certify that within the last ten years:
1. I have not been convicted of a violation of, or a conspiracy to violate, any law or regulation of
the United States or any other country concerning narcotic or psychotropic drugs or other
controlled substances.
2. I am not and have not been an illicit trafficker in any such drug or controlled substance.
3. I am not and have not been a knowing assistor, abettor, conspirator, or colluder with others in
the illicit trafficking in any such drug or substance.
Signature: ____________________________
Date: ____________________________
Name: ____________________________
Title/Position: ____________________________
Organization: ____________________________
Address: ____________________________
____________________________
Date of Birth: ____________________________
NOTICE:
1. You are required to sign this Certification under the provisions of 22 CFR Part 140, Prohibition
on Assistance to Drug Traffickers. These regulations were issued by the Department of State and
require that certain key individuals of organizations must sign this Certification.
2. If you make a false Certification you are subject to U.S. criminal prosecution under 18 U.S.C.
1001.
Subcontract 001_HDP
Page 37
ATTACHMENT FIVE: INVOICE FORMAT
(*Note: invoice should be on the Subcontractor’s letterhead)
The Subcontractor will submit to MSH one original copy in the following format:
Date:
Contract No:
Invoice Number:
Submitted to:
Management Sciences for Health (MSH)
Attention: Mr Ismael Amri SUED, Contracts Specialist
Submitted by:
(Name)
(Address)
This invoice is for (description of services):
Total Amount of Invoice:
RWF ______________
Total Amount of Fixed Price Subcontract: RWF____________
Total Amount Paid to Date (not including this invoice): RWF____________
Balance of total Fixed Price Subcontract: RWF____________
The undersigned hereby certifies: (i) this invoice and any attachments have been prepared from the books
and records of the Subcontractor in accordance with the terms of this subontract, and to the best of my
knowledge and belief, that they are correct, that the sum claimed under this contract is proper and due, that
all the costs of contract performance (except as herewith reported in writing) have been paid or will be paid
currently by MSH when due in the ordinary course of business, that the work reflected by the costs above
has been performed, that the quantities and amounts involved are consistent with the requirements of this
subontract, that all required MSH Contract Officer approvals have been obtained, and (ii) appropriate
refund to MSH will be made promptly upon request in the event of disallowance of costs not allowable
under the terms of this subontract.
Signature: _____________________________ Date: ___________________
Subcontract 001_HDP
Page 38