Terms of Reference (ToRs)Workload Indicators for Staffing Need (WISN)
1. Company Information
Palladium is a global leader in the design, development, and delivery of Positive Impact - the intentional creation of enduring social and economic value. We work with foundations, investors, governments, corporations, communities, and civil society to formulate strategies and implement solutions that generate lasting social, environmental, and financial benefits. For the past 50 years, we have been making Positive Impact possible. With a team of more than 2,500 employees operating in 90-plus countries and a global network of more than 35,000 technical experts, Palladium has improved - and is committed to continuing to improve - economies, societies, and most importantly, people's lives.

2.Project Summary
Palladium is implementing the Rwanda Integrated Health Systems Activity (RIHSA), a three-year USAID-funded task order (72069620F00001) designed to support the Ministry of Health in strengthening Rwanda’s health system to provide quality health care for Rwandans while building the capacity of the Government of Rwanda (GOR) to move away from a donor-financed health system towards a self-reliant system. The project is aimed at achieving two major objectives.
I. Reduce financial barriers to health care through a mix of public and private interventions and provide tools for improved domestic resource mobilization and improved health care financing for the GOR.
II. Improve the quality of essential health services at national, facility, and community levels utilizing a health systems approach.

Through a focus on financing and quality, RIHSA provides technical assistance to the GOR on various strategies, tools, and approaches that will allow Rwanda to sustainably fund its healthcare system and provide quality care at all levels. The Activity is implemented by a consortium led by Palladium International LLC (Palladium) in partnership with RTI International, the Council for Health Service Accreditation of Southern Africa (COHSASA), Zenysis Technologies, and Rwanda Agency for Accreditation and Quality of Healthcare (RAAQH).

3.Assignment Overview
Workload Indicators for Staffing Need (WISN) is an evidence-based planning tool used to estimate actual health worker staffing needs in health facilities and to provide health managers with a systematic way to make staffing decisions and manage their human resources. The roadmap for scaling up human resources for improved health service delivery in the African Region 2012–2025 lays emphasis on the availability of sufficient numbers of qualified health workers in the right place as essential for the delivery of quality health services to the population[1].
Thus, Palladium and the Rwanda Integrated Health Systems Activity (RIHSA) is supporting the MoH through a consultancy to develop a WISN activity standards at hospital level (National teaching hospitals, level 2 teaching hospitals, referral, provincial and district hospitals), health centers and health posts levels that will help to direct the WISN studies.

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4. Objective
Palladium is seeking to hire a consultant or team of consultants to develop WISN activity standards for hospitals, health centers and health posts levels to direct the WISN studies.
5. Scope of Work
This assignment will specifically focus on the following activities:
1.Develop WISN activity standards for different level health facility levels working in close collaboration with different cadres: doctors (Surgeons, Gynecologist, Pediatricians, Internist, ENT, and GPs), Nurses, Midwives, and allied health professionals (Pharmacists, Laboratory specialists, anesthetists, dentists, ophthalmology technicians, physiotherapists…)
2. Test and validate the developed WISN activity standards in sampled health facilities (hospitals, health centers and health posts levels).

6.Contract Type
This consultancy will be a fixed-price deliverables-based contract. Final approval of the deliverables will be required by the Chief of Party.
7. Expected Outputs/Deliverables
• An inception report that includes the approach to develop WISN activity standards for different health facility levels.
• A set of WISN activity standards at hospital level (National teaching hospitals, level 2 teaching hospitals, referral, provincial, and district hospitals), health centers and health posts levels.
• A detailed report of validated WISN activity standards at hospitals, health centers and health posts levels.

8.Expected Timeline
This assignment is expected to be implemented within an estimated level of effort of not more than 40 days, starting from the date the contract is signed.
Activities Timeframe/Deadline
1 Inception report describing the approach to develop WISN activity standards 2 days
2 Develop the WISN activity standard for hospitals (National teaching hospitals, level 2 teaching hospitals, referral, provincial and district hospitals), health centers and health posts levels
25 days
3 Testing of the developed WISN activity standards in health facilities (5 hospitals, 2 health centers and 2 health posts)
7 days
4 Revise the WISN activity standard for hospitals National teaching hospitals, level 2 teaching hospitals, referral, provincial and district hospitals), health centers and health posts levels integrate input and finalize standards

2 days
5 Validation workshop of the WISN activity standards 2 days
6 A detailed report of WISN activity standards development and testing 2 days
9. Qualification and experience for the consultant(s)
• Holds a master’s degree in Human Resources Management, public health, medical specialty, health policy, health services management, or any other health-related degree.
• Certified Trainer of Trainers (TOT) on Workload Indicator of Staffing Need (WISN).
• Extensive knowledge and experience in developing the WISN activity standards in different contexts.
• Understanding of health systems and human resource management
10. Application requirements

The application proposal must include:
1. A description of the applicant’s relevant capacity and past performance with regard to the development of WISN activity standards, including a description of similar work undertaken by the consultant. Please include client references (name, position, and contact details) for reference.
2. Qualifications of the applicant should be notarized (academic credentials)
3.An updated CV (no more than 3 pages) with a brief description (half a page maximum) of the candidate’s past involvement or support to development of WISN activity standards.
4.Technical and financial proposal including the consultant’s proposed daily rate.

Submission Procedure
Interested candidates are invited to Visit the following website: https://palladium.csod.com/ux/ats/careersite/2/home/requisition/15110?c=palladium and submit their application by 12th January 2023.