Amendment - Request for Expressions of Interest (REOI)
The deadline for submission of Expressions of Interest for the assignment "Strategic Digital Health Partner (SDHP) for IHIS Implementation Oversight and Technical Advisory" (XK-MoH-A1.03-CS-QCBS) has been extended by seven (7) working days. The new submission deadline is 16 June 2026 at 16:00 (local time) . All other terms and conditions of the REOI remain unchanged.
Request for Expression of Interest
Country: Kosovo
Project ID: P179831
World Bank Credit Name: Kosovo Comprehensive Approach to Health System Strengthening Project
Contract Identification No.: XK-MoH-A1.03-CS-QCBS
Issued on: 15 May 2026
Strategic Digital Health Partner (SDHP) for IHIS Implementation Oversight and Technical Advisory
Background
The Government of Kosovo (GoK), through the Ministry of Health (MoH), has received financing from the World Bank in the amount of EUR 20 million to support the Kosovo Comprehensive Approach to Health System Strengthening Project (KOMPAS). This project aims to strengthen governance, quality of care, and efficiency in the healthcare system of Kosovo, positioning digital health as a core pillar of reform. The Integrated Health Information System (IHIS) will play a central role in this transformation.
The Department for Health Information Systems (DSISH), under the Ministry of Health (MoH), is responsible for the implementation of IHIS. To ensure successful implementation and oversight of this large-scale transformation, a Strategic Digital Health Partner (SDHP) will be engaged. The SDHP will provide technical advisory, implementation oversight, quality assurance, and support in the development of technical documents and specifications for the systems required under the KOMPAS project.
For clarity, the SDHP is defined strictly as a technical advisory and oversight partner. The SDHP is NOT an implementation vendor and does NOT have decision-making authority for procurement processes.
Objective of the Assignment:
The primary objective of this engagement is to ensure the successful implementation of the IHIS and its components, including the establishment of core systems such as national registries, shared health records, interoperability layers, and advanced clinical applications. The SDHP will support the Ministry of Health and DSISH in ensuring that all components comply with international standards and that all deliverables are aligned with the Kosovo Digital Health Blueprint.
Key Tasks and Responsibilities
The SDHP will perform the following tasks:
Conduct a comprehensive assessment of existing health information systems to identify gaps and propose integration plans.
Validate the IHIS architecture against the Kosovo Digital Health Blueprint and international standards (FHIR, IHE).
Prepare and review Terms of Reference and technical specifications for IHIS components and integration points, such as interoperability layers, registries, shared health records, and clinical applications.
Provide oversight of vendor implementations to ensure compliance with contracts, technical specifications, and standards, and review vendor deliverables.
Develop and implement quality assurance (QA) and quality control (QC) frameworks for all IHIS components.
Design and support the execution of interoperability tests to ensure full compliance with standards.
Draft rules for data governance and alignment with international best practices.
Assess and enhance the cybersecurity architecture to ensure data security and privacy compliance.
Support the Project Implementation Unit (PIU) , MoH and MDPA with reporting, technical documentation, and monitoring progress.
Other specific tasks, scope of services, expected outputs/deliverables, time frames, and professional staff requirements are indicated under the full Terms of Reference (ToR) for this assignment.
The detailed Terms of Reference (ToR) for the assignment are attached to this Request for Expressions of Interest.
Qualification of the Consulting Firm
The selected consulting firm must demonstrate:
Relevant experience in digital health transformation or national health information systems (HIS/HIE).
Proven experience in providing technical oversight, advisory services, and quality assurance for complex health information system implementations.
Familiarity with interoperability frameworks such as OpenHIE, FHIR, IHE, and HL7.
Experience in World Bank-financed or other donor-funded health projects.
Availability of a qualified multidisciplinary team with expertise in digital health, HIS architecture, interoperability, cybersecurity, quality assurance, data governance, and World Bank-financed project management.
Selection Process
The consulting firm will be selected in accordance with the Quality- and Cost-Based Selection (QCBS) method set out in the World Bank Procurement Regulations for IPF Borrowers, as amended from time to time.
Expressions of Interest will be evaluated based on the following criteria:
Relevant experience of the firm in digital health and national health information systems. Experience in advisory or oversight roles for complex ICT or health information system implementations.
Experience in similar assignments financed by international organizations or development partners.
Technical and managerial capability of the firm. (Consultants’ experts are not evaluated at this stage).
Detailed evaluation criteria and procedures will be provided in the Request for Proposals (RFP) to shortlisted firms.
Submission Details
Interested firms are invited to submit their Expression of Interest, including:
Company profile and legal registration details;
Description of relevant experience in similar assignments;
Reference projects (with brief descriptions, duration, client, and contact details).
Key Experts’ CVs and detailed methodology are not required at the shortlisting stage.
Expression of Interest must be delivered electronically (by e-mail) to the address below no later than 5 June 2026 at 16:00 (local time). Late submissions will not be considered.
Kosovo Ministry of Health KOMPAS Project Implementation Unit (PIU) Attn.: Procurement Specialist, KOMPAS Address: Ministry of Health (MoH) 10 000, Pristine, Republic of Kosovo Email: [email protected]
TERMS OF REFERENCE
for Consultancy Services to
Strategic Digital Health Partner (SDHP) for IHIS Implementation Oversight and Technical Advisory
RFP No.: XK-MoH-A1.03-CS-QCBS
1. EXECUTIVE SUMMARY & BACKGROUND
1.1 Executive Summary
This document sets out the Terms of Reference (ToR) for the engagement of a Strategic Digital Health Partner (SDHP) to support the Ministry of Health (MoH), the Department for Health Information Systems (DSISH) and Ministry of Digitalization and Public Administration (MDPA) in:
Technical oversight of the Integrated Health Information System (IHIS) implementation;
Ongoing technical advisory services; and
Quality assurance of IHIS components implemented under the World Bank-financed KOMPAS Project.
The KOMPAS Project aims to strengthen governance, quality of care and efficiency of health services in Kosovo, positioning digital health as a core pillar of reform.
IHIS will be built as a standards-based ecosystem , not as a monolithic system. It will:
Integrate existing systems (BHIS, SMSF, MEDLIS, SMSN, hospital systems); and
Introduce new components such as: • National Registries; • Shared Health Record Repository (SHR); • Interoperability Layer (IL); • Advanced clinical applications (EHR, ePrescribing, eReferral, etc.).
Within this context, the SDHP will provide independent international expertise to:
Verify the IHIS architecture in line with the 2024-2030 Digital Health Blueprint and OpenHIE;
Support DSISH in drafting technically sound ToRs and specifications for procurements;
Oversee the work of implementation vendors;
Support the establishment of national mechanisms for interoperability testing and certification; and
Strengthen digital governance, data security and institutional capacities of MoH/DSISH and make sure it is aligned with data governance and security strategy, policy, standards and initiatives of the Governmemt of Kosovo..
The SDHP is defined as a technical advisory and oversight partner , not:
An implementation vendor; nor
A decision-making body for procurement.
1.2 Background and Context
The health system of Kosovo is undergoing a profound digital transformation driven by the Kosovo Digital Health Blueprint 2024-2030 , which aims to create an integrated national health information ecosystem where public and private providers exchange data in a secure, standardized and certifiable manner.
DSISH currently operates and maintains/governs several critical systems, including:
BHIS - core health information system for primary care;
SMSF - pharmaceutical stock management system;
SMSN - epidemiological surveillance system;
MEDLIS - laboratory information management system;
Various systems at UCCK and regional hospitals.
These systems are essential for daily operations but suffer from:
Architectural fragmentation;
Lack of standardization of clinical and administrative data;
Limited interoperability across platforms;
Limited capacity for advanced analytics and quality-of-care monitoring.
Component 2 of the KOMPAS Project seeks to address these issues by:
Developing national registries (Client, Facility, Health Worker, Drug, etc.);
Developing a Shared Health Record (SHR) based on FHIR/IHE;
Establishing an Interoperability Layer (IL) for data exchange;
Standardizing terminology and coding (ICD-11, SNOMED CT, ATC/DDD, LOINC);
Strengthening data security, privacy and governance; and
Integrating and modernizing existing DSISH systems.
Due to the technical and regulatory complexity of this transformation, MoH/DSISH and MDPA require an SDHP with:
Proven experience in national-level HIS/HIE projects;
Experience in transition of EU or EU-candidate countries; and
Demonstrated work on World Bank-financed or similar donor-funded projects.
Experience in developing and/or implementing at least two Health Information Exchanges (HIE) in EU or EU-candidate countries.
2. OBJECTIVES, ALIGNMENT WITH BLUEPRINT & TECHNICAL RATIONALE
2.1 Objectives of the Assignment
11. The overall objective is to support MoH/DSISH/MDPA in the development, oversight and quality assurance of all IHIS components, in line with:
Requirements of the KOMPAS Project; and
Goals of the Kosovo Digital Health Blueprint 2024-2030.
Specific objectives are to:
Provide technical and advisory support for IHIS architecture and core interoperability components.
Support DSISH/MDPA in drafting technical documents, ToRs and specifications for new systems and services.
Provide technical oversight of vendor contract implementation, including SLA, QA and QC monitoring.
Ensure compliance with international standards (HL7 FHIR, IHE Profiles, ICD-11, SNOMED CT, etc.).
Develop a national mechanism for interoperability testing and conformance certification.
Build institutional capacities within DSISH, MoH, MDPA and related institutions.
Ensure standardization of all processes and products developed as part of IHIS.
Support PIU and MoH in meeting World Bank technical reporting, monitoring and audit requirements.
2.2 Alignment with Kosovo IHIS Digital Health Blueprint (2024-2030)
The SDHP shall ensure that all interventions and recommendations are fully aligned with the Blueprint, including:
Implementation of an OpenHIE-based architecture adapted to Kosovo;
Development of core IHIS components: registries, IL, SHR and terminology services;
Development of POS applications (EHR/EMR, ePrescribing, eReferral, Screening, Telehealth, etc.) in line with standards;
Alignment with the technical and institutional governance model defined in the Blueprint;
Ensuring that all modules support: • Quality of Care (QoC); • Patient safety; and • Transparency of health financing;
Harmonization of digital health strategies with broader e-Government developments.
2.3 Technical Rationale
Implementing IHIS without specialized oversight entails risks of:
Delays in implementation of IHIS components as planned;
Fragmented solutions and vendor lock-in;
Non-compliance with standards;
Unsustainable investments and high maintenance costs;
An architecture that cannot be certified for interoperability;
Intellectual Property Rights (IPR) exposure and legal liabilities;
Increased risks to data privacy and security.
The SDHP will provide independent expertise to:
Ensure that IHIS architecture is coherent, modular and scalable;
Secure/Overisght compliance with FHIR, IHE, ICD-11, SNOMED, ATC/DDD and related standards;
Facilitate gradual migration of existing systems towards IHIS with minimal disruption;
Unified policy for development and lifecycle best practices in multi-vendor environments
Help DSISH transition from a mainly technical support role to a strong national digital governance role;
Allow MoH/DSISH to focus on governance, policy and decision-making, while the SDHP covers technical and QA/QC functions.
3. SCOPE OF WORK
(20 sub-sections)
3.1 Comprehensive Assessment of Existing Systems
Conduct a comprehensive assessment of BHIS, SMSF, MEDLIS, SMSN, systems at UCCK, regional hospitals and ASHI infrastructure to:
Identify technical, architectural and operational gaps; and
Propose a migration and integration plan for IHIS.
3.2 IHIS Architecture Validation
Validate IHIS architecture against:
OpenHIE;
Digital Health Blueprint;
FHIR R4/R5; and
Relevant IHE Profiles.
Prepare an Architecture Validation Report with logical and physical models, data flows and concrete recommendations.
3.3 Development of Technical Specifications and ToRs
Prepare ToRs with technical and functional specifications for at least the following:
Interoperability Layer (IL);
Shared Health Record (SHR);
Client, Facility, Health Worker and Drug Registries;
Terminology Service;
Clinical POS Systems (EHR/EMR, ePrescribing, eReferral, Vaccination, Screening);
HCMIS and integration with HIS/HIE;
Data centre infrastructure (servers, storage, VMware, network, security) based on the GoK’s cloud and network strategy and policies;
Cloud readiness and hybrid on-premise/cloud options based on the GoK’s cloud strategy and policies.
3.4 Oversight of Vendor Implementations
Provide technical oversight for all vendor implementations by:
Verifying compliance with contracts, ToR specifications and standards;
Require all vendors to follow a standardized software product lifecycle (requirements → design → development/customization → testing → deployment → maintenance → retirement);for COTS components, configuration and parameterization shall be preferred over customization, and any customization shall be minimized, justified, and documented.
Mandate documentation, version control, and change management practices.
Reviewing work plans, source code, integrations, testing approaches, documentation and vendor reports.
Defining and verifing acceptance criteria for each TOR deliverables
Oversight of FHIR Implementation Guide customization before profiles are finalized.
Oversight and guidance on country-specific customization of terminology codes (e.g., SNOMED CT).
Integration of terminology services as a core element within the Interoperability Layer (IL).
Oversight of Drug Registry within the Interoperability Layer (IL).
Oversight of source code intake, governance and security.
3.5 SLA Monitoring and Enforcement
Design the technical SLA model and support DSISH/MDPA in monitoring:
Uptime and availability;
Response time and error rates;
Database performance;
Incident response times;
Availability of critical services.
3.6 Quality Assurance (QA) Framework
Develop a unified QA Framework covering:
Functional testing;
Integration testing;
Performance testing;
Security testing.
Prepare a QA Plan and support DSISH/MDPA in implementation.
3.7 Quality Control (QC) of Deliverables
Perform QC on all vendor technical deliverables:
Architectural documents;
APIs and configurations;
Implementation Guides (IGs);
Test logs.
Evaluate each delivery against agreed specifications and standards, and compliance with GoK strategies, policies and standards.
3.8 Interoperability Testing
Design and support execution of interoperability tests based on FHIR and IHE, including:
Test-case design;
Configuration of test environments;
Use of tools such as IHE Gazelle.
3.9 Establishment of National Conformance Certification Mechanism
Support DSISH/MDPA in establishing a national HIS/HIE conformance certification mechanism by designing:
Processes;
Criteria;
Forms;
Technical documentation.
A regulatory sandbox for HIS/EHR testing before certification and connection to the Interoperability Layer (HIE)
Responsibility for issuing certificates remains with MoH/DSISH/MDPA.
3.10 Data Governance and Standards Alignment
In cooperation with DSISH/MDPA, draft rules and guidelines for data governance to ensure alignment of:
Data structures;
Codifications;
Metadata;
Policies
Terminology services and oversight of coding systems customization (SNOMED CT, ICD-11, ATC/DDD, etc.)
with international standards and national legislation (e.g. Law No. 06/L-082) and GoK data governance strategy and policy.
3.11 Cybersecurity Strengthening
Assess existing security architecture and:
Propose hardening measures;
Recommend zero-trust practices;
Support DSISH/MDPA in security testing (e.g. penetration testing);
Ensure alignment with national legilsation and GoK cybersecurity strategy and policies.
3.12 Support to PIU for World Bank Processes
Support PIU in providing technical inputs and advisory support for World Bank processes, including:
Updates to the risk register;
Technical documents for supervision missions;
Component closure reports.
3.13 Integration Strategy for Legacy Systems
Develop an integration/migration strategy for existing systems towards IHIS, ensuring minimal disruption to clinical and administrative operations, including:
Detailed implementation activity timelines;
Cost-benefit analysis;
Budget estimations.
Oversight of Drug Registry integration within the Interoperability Layer
3.14 Development of Change Management Strategy
Develop a comprehensive change management strategy for IHIS, including:
Impact analysis;
Communication plan;
Training plan;
Mechanisms for managing resistance to change.
3.16 Documentation Management
Ensure full documentation of all technical products, including:
User manuals;
Technical manuals;
SOPs;
Integration guides;
Testing documentation
Source code
3.17 Deployment Oversight
Provide technical oversight during deployment to test, pre-production and production environments by:
Verifying configurations;
Advising on cut-over and rollback strategies.
3.18 Risk Identification and Mitigation
Support DSISH in identifying, analysing and monitoring technical, operational, governance and financial risks, maintaining an updated Risk Register with mitigation measures.
3.19 Performance Monitoring Framework
Help develop a Performance Monitoring Framework for IHIS, including:
Technical KPIs (API uptime, response times, SHR latency);
Clinical KPIs;
Quality-of-Care indicators.
3.20 Continuous Improvement Recommendations
On a quarterly and annual basis, prepare recommendations for continuous improvement of IHIS architecture, processes, standards, capacities and governance.
4. OVERSIGHT, QA/QC, SLA MONITORING, CHANGE REQUESTS, ACCEPTANCE
4.1 Technical Oversight Model
The SDHP provides independent technical oversight for all IHIS components, including:
Oversight of vendor implementations and specification compliance;
Verification of proposed and implemented architecture;
Detailed inspection of APIs, databases and integrations;
Monitoring of milestones, risk register and project plan;
Monthly and quarterly reporting to PIU, DSISH and MDPA.
The SDHP does not make procurement decisions and does not replace the role of PIU; it provides evidence-based technical support.
4.2 Quality Assurance (QA) Framework
QA focuses on processes and methodologies for verifying quality throughout the lifecycle. The SDHP will:
Establish QA standards for all implementations;
Define test cases for functionality, integration, security and stability;
Verify data models and FHIR resources;
Use FHIR TestScript and IHE Gazelle tools;
Document and audit testing processes;
Involve end-users in UAT.
4.3 Quality Control (QC) of Vendor Deliverables
QC focuses on inspection and validation of vendor outputs, including:
Review of every technical deliverable before PIU acceptance;
Testing of APIs, integrations and data models;
Verification of vendor test reports;
Review of technical documentation and manuals;
Requesting correction of technical or functional deviations.
SDHP issues a recommendation for technical acceptance/rejection; final decision rests with PIU/MoH.
4.4 SLA Monitoring
SLA monitoring will include:
Uptime and reliability of IL, SHR and registries;
API and database response times;
Tracking incidents and response times;
Auditing vendor KPIs;
Reviewing monthly measurements and corrective actions.
SDHP will produce monthly SLA reports and highlight any breaches for PIU/DSISH/MDPA action.
4.5 Change Request (CR) Management Process
The standardized CR process includes:
Submission of CR by DSISH/MDPA, vendors or PIU (CR Form).
Technical, process, financial and operational impact analysis by SDHP.
Technical and functional recommendation to PIU.
Decision by PIU/MoH.
Implementation and testing by vendors.
Documentation and closure of CR, including documentation updates.
This ensures controlled, justified and documented changes, aligned with World Bank requirements and best practice.
4.6 Acceptance Procedures and Templates
Technical acceptance requires:
Successful functional testing;
Successful cross-system integration testing;
Security and penetration testing;
Performance testing (load and stress);
Complete technical and user documentation;
Compliance with FHIR/IHE standards and Blueprint.
The SDHP will prepare templates for:
Technical Acceptance Form;
UAT Checklist;
API Integration Test Report;
Security & Compliance Validation Form.
PIU grants final acceptance following SDHP recommendation and DSISH/MDPA confirmation.
5. TEAM COMPOSITION, QUALIFICATIONS, WB COMPLIANCE
5.1 Required Team Composition
The SDHP shall field a multidisciplinary team with strong expertise in:
Digital health;
Health system architecture;
Interoperability;
World Bank-financed project management.
The team shall include at least:
Team Leader / Project Director;
Senior Digital Health Expert;
Enterprise Architect (OpenHIE/FHIR/IHE);
FHIR/IHE Interoperability Specialist;
Terminology Coding Expert
UX / Patient Experience Specialist
Government DPI / Digital Infrastructure Specialist
Information Systems Analyst & Designer;
Cybersecurity and Data Protection Specialist;
Local Technical Liaison / Project Manager (based in Kosovo)
All experts must be independent from vendors that may bid for IHIS implementation contracts, and SDHP shall be responsible for ensuring that all its experts perform their duties professionally, with integrity, and without any conflict of interest in relation to any parties bidding or contracted for the IHIS implementation.
5.2 Role Descriptions and Minimum Qualifications
Team Leader / Project Director
Minimum 10 years’ experience in digital health projects and national HIS/HIE implementations;
Experience with World Bank or similar donor-funded projects;
In-depth knowledge of FHIR, IHE, OpenHIE.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026
Senior Digital Health Expert
10+ years’ experience in digital health transformation;
Expertise in FHIR, IHE, ICD-11, SNOMED CT;
Experience in HIS/HIE strategy and data governance.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026
Enterprise Architect (OpenHIE/FHIR/IHE)
8+ years’ experience in IT and health systems architecture;
Competence in HL7 FHIR, IHE XDS/XCA and OpenHIE building blocks;
Experience in designing IL, SHR, registries and data models.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
FHIR/IHE Interoperability Specialist
Practical experience in FHIR profiles and Implementation Guides;
Testing/validation using Gazelle or Touchstone;
Experience with API integration and IHE workflows.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
Terminology Coding Expert
Trained in medical coding, familiar with different coding systems and FHIR;
Responsible for customization of terminologies (e.g., SNOMED CT) for Kosovo use;
Oversight of FHIR Implementation Guides;
Experience in integrating multiple coding systems for national health information systems.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026;
Relevant degree in health informatics, medical coding, or equivalent;
Proven experience in health terminology systems and FHIR implementation;
Experience with national-level HIS/HIE projects preferred.
UX / Patient Experience Specialist
Bachelor’s or Master’s degree in UX Design, Human-Computer Interaction, Digital Health, or related field.
Minimum 3-5 years of experience in UX design for digital health or complex IT systems.
Strong knowledge of usability, accessibility standards, and patient-centered design principles.
Proven experience in UX design and evaluation in health information systems.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
Experience with user research, wireframing, prototyping, and design tools (e.g., Figma, Sketch, Adobe XD).
Familiarity with healthcare workflows and patient portal systems is an advantage.
Excellent communication and collaboration skills for cross-functional teams.Government DPI / Digital Infrastructure Specialist
8+ years experience and expertise in DPI tools and government-wide digital building blocks;
Ensure integration of DPI building blocks into IHIS architecture design;
Experience in coordinating with government ministries on digital transformation;
Support alignment of IHIS design with government digitalization standards;
Relevant degree in Computer Science, Public Administration, Digital Governance, or equivalent;
Proven experience in designing or implementing DPI frameworks or similar national digital initiatives.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
Review and oversee user interfaces for all IHIS components to ensure they are user-friendly and intuitive.
Support technical oversight to optimize usability, accessibility, and patient engagement.
Coordinate with development teams to implement UX best practices.
Advise on design decisions for patient portals and provider-facing systems.
Information Systems Analyst & Designer
5+ years experience in UML/BPMN process modelling;
Drafting technical specifications for World Bank tenders;
Knowledge of databases, integrations and business requirements analysis.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
Cybersecurity & Data Protection Specialist
5+ years experience with ISO 27001, GDPR and penetration testing;
Advanced knowledge of hardening, firewalls, API security and zero-trust approaches.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
Local Technical Liaison / Project Manager
Proven experience in project management and coordination in health information systems.
Familiarity with EU transition requirements and EDHS regulations effective as of August 2026.
Strong communication and stakeholder management skills.
Actively coordinate with DSISH, vendors, and SDHP team.
Participate in quality assurance (QA), system testing, validation, and monthly reporting.
Support smooth implementation and integration of IHIS components at local level. 5.3 Compliance with World Bank Procurement Regulations
The SDHP and its team must comply fully with World Bank Procurement Regulations for IPF Borrowers , including:
No conflict of interest;
Full independence from implementation bidders and vendors;
Deliverable-based payment structure;
Transparent, auditable technical reporting;
Independent verification of vendor outputs.
5.4 Conflict of Interest Safeguards
To ensure integrity:
No expert may be affiliated with companies that participate in IHIS tenders;
Formal declarations of independence must be signed;
Any potential conflict must be reported immediately;
Experts involved in preparing specifications cannot participate in implementation tenders.
5.5 Replacement of Key Experts
Replacement of key experts is allowed only in cases of:
Illness or unforeseen circumstances;
Unavoidable departure.
Replacement experts must:
Have equal or higher qualifications;
Possess documented relevant experience;
Be able to assume responsibilities immediately.
Any replacement is subject to approval by PIU and, where required, by the World Bank.
6. DELIVERABLES, REPORTING, GOVERNANCE MODEL, PAYMENT SCHEDULE
6.1 Deliverables
Expected deliverables include, but are not limited to:
Inception Report (structure, work plan, initial risk register);
Monthly Technical Oversight Reports;
Quarterly Interoperability & Conformance Reports;
Technical Acceptance Reports for each implementation phase;
FHIR Implementation Guides (IGs) and localized IHE Profiles;
Quality Assurance Plan and Quality Control Validation Reports;
Updated Risk Register;
Data Governance & Standards Alignment Report;
Change Management Strategy and supporting materials;
Training materials and Knowledge Transfer Documentation;
Final Project Closure & Sustainability Report.
6.2 Reporting Requirements
The SDHP will report regularly to MoH/DSISH, MDPA and PIU:
Monthly reports - QA/QC, SLA monitoring, technical progress, deviations;
Quarterly reports - interoperability, certification, risk register, IHIS maturity;
Ad-hoc reports - major incidents, significant deviations, high-impact CRs;
Annual reports - maturity analysis, progress and strategic recommendations.
All reports shall be provided in Word and PDF formats, according to PIU and World Bank requirements. Monthly Technical Oversight Reports constitute a mandatory reporting obligation under the Contract and are not linked to payments.
6.3 Governance Model
The governance model consists of four levels:
Level 1 - PIU
• Overall oversight and final decision on deliverables; • Communication with the World Bank; • Contract and financial management.
Level 2 - DSISH / MoH and MDPA
• Technical leadership and strategic coordination; • Approval of technical specifications; • Validation of architecture and standards; • Participation in testing and QA/QC.
Level 3 - SDHP
• Technical advisory; • Technical oversight of vendors; • QA/QC and interoperability testing support; • Drafting technical documents; • Training and capacity building.
Level 4 - Implementation Vendors
• Solution development; • Technical and functional testing; • Implementation of QA/QC recommendations.
6.4 Payment Schedule (Deliverable-Based)
A. General Provisions
Payments under this Contract shall be made on a lump-sum, milestone-based basis, against the satisfactory completion and acceptance of deliverables defined in this Annex.
Payments are not linked to staff time, level of effort, or inputs, but exclusively to accepted outputs.
All services and deliverables under this Contract are financed under Component 2.1 - Activity A1.03
("Hire consulting company to guide initial implementation") of the Project Appraisal Document (PAD).
Where applicable, payments shall be subject to the World Bank’s No-Objection, in accordance with the Financing Agreement and the PAD.
The Consultant shall submit invoices only upon completion and acceptance of the respective milestone.
6.5 Workplan & Timeline (34 months)
The SDHP will follow a structured 34-month plan, including:
Months 1-6: drafting of ToRs (can start immediately, based on feasibility study and blueprint); assessment and gap analysis; draft IGs
Months 7-12: final specifications, QA Framework, SLA model, test environment set-up; (Months 13-18 Tendering process)
Months 19-24: implementation and integration, intensive QA/QC, conformance testing;
Months 25-34: stabilization, optimization, final documentation, training, sustainability planning.
B. Deliverables and Milestones
All deliverables under this Contract shall be measurable, clearly defined, and subject to formal written acceptance by the Client
Milestone 1 - Mobilization and Strategic Inception
PAD Reference:
Component 2.1 - A1.03
Deliverables:
Inception Report, including:
Strategic advisory methodology;
Detailed 34-month workplan aligned with PAD Component 2.1;
Sequencing of required Terms of Reference (ToRs) and Technical Specifications;
Stakeholder coordination and governance arrangements for IHIS implementation.
Payment:
8% of Contract Price
Payable upon approval of the Inception Report by the Client.
Acceptance Criteria:
• Report must include a complete 34-month workplan aligned with PAD;
• Must include sequenced ToRs and Technical Specifications;
• Must define stakeholder coordination and governance structure;
• Must be formally accepted in writing by the Client.
Milestone 2 - Digital Health and Institutional Needs Assessment
PAD Reference:
Deliverables:
Assessment of the national digital health landscape;
Review of existing health information systems and interoperability arrangements;
Institutional and implementation readiness assessment;
Prioritized roadmap of procurement and advisory deliverables to be supported under A1.03.
Payment:
12% of Contract Price
Payable upon acceptance of the Assessment Report by the Client.
Acceptance Criteria:
• Assessment Report is submitted in written form;
• Includes comprehensive analysis of the national digital health landscape;
• Includes review of existing health information systems and interoperability arrangements;
• Includes institutional and implementation readiness assessment;
• Includes a prioritized and actionable roadmap aligned with A1.03;
• Formally accepted in writing by the Client.
Milestone 3 - Draft Terms of Reference and Technical Specifications (Batch 1)
PAD Reference:
Deliverables:
Draft ToRs and Technical Specifications supporting foundational IHIS building blocks, including:
Core IHIS/HIMS components;
Interoperability and data-exchange mechanisms;
Master data and registry-related components.
All documents prepared in accordance with World Bank Standard Procurement Documents.
Payment:
18% of Contract Price
Payable upon technical acceptance of draft deliverables by the Client.
Acceptance Criteria:
• A minimum of three (3) Draft Terms of Reference and Technical Specifications are submitted;
• Each document clearly covers:
- Core IHIS/HIMS components;
- Interoperability and data-exchange mechanisms;
- Master data and registry-related components;
• Documents are prepared in accordance with World Bank Standard Procurement Documents;
• Each document includes defined scope, technical requirements, and implementation approach;
• Documents are reviewed and receive technical acceptance by the Client in writing.
Milestone 4 - Final Terms of Reference and Technical Specifications (Batch 1)
PAD Reference:
Deliverables:
Final, procurement-ready ToRs and Technical Specifications;
Incorporation of Client and World Bank comments;
Submission of finalized documents for World Bank No-Objection, where required.
Payment:
15% of Contract Price
Payable upon final approval and/or receipt of World Bank No-Objection.
Acceptance Criteria:
• Final Terms of Reference and Technical Specifications are fully updated and finalized;
• All Client and World Bank comments are properly incorporated and addressed;
• Documents are procurement-ready and fully aligned with World Bank Standard Procurement Documents;
• Submission for World Bank No-Objection is completed where required;
• Final approval is confirmed in writing by the Client and/or World Bank (as applicable).
Milestone 5 - Terms of Reference and Technical Specifications (Batch 2)
PAD Reference:
Deliverables:
ToRs and Technical Specifications supporting additional IHIS-related systems and enabling components;
Alignment of specifications with governance, quality-of-care, analytics, and reporting requirements, as applicable;
Final procurement-ready documents approved by the Client.
Payment:
15% of Contract Price
Payable upon acceptance of final deliverables by the Client.
Acceptance Criteria:
• A minimum of two (2) ToRs and Technical Specifications are submitted for Batch 2;
• Documents clearly address additional IHIS-related systems and enabling components;
• Specifications are aligned with governance, quality-of-care, analytics, and reporting requirements;
• All documents are procurement-ready and compliant with World Bank Standard Procurement Documents;
• Documents are formally accepted in writing by the Client.
Milestone 6 - Capacity Building and Structured Training Program
PAD Reference:
Deliverables:
Training needs assessment related to IHIS implementation;
Training curricula, manuals, and learning materials;
Delivery of phased training sessions for designated stakeholders;
Training completion and evaluation report.
Payment:
15% of Contract Price
Payable upon approval of the Training Completion Report by the Client.
Acceptance Criteria:
• Training needs assessment report is submitted and approved by the Client;
• At least three (3) training modules/curricula are developed;
• At least four (4) training sessions are delivered to designated stakeholders;
• Attendance lists for all training sessions are provided;
• Training materials (manuals, presentations, guides) are submitted;
• Training completion and evaluation report is submitted and approved by the Client.
Milestone 7 - Ongoing Strategic Advisory, Quality Assurance, and Procurement Support
PAD Reference:
Deliverables:
Ongoing strategic advisory support to the Client during procurement and early implementation phases;
Quality assurance inputs for procurement documentation, technical clarifications, and implementation readiness;
Periodic advisory and progress reports.
Payment:
12% of Contract Price
Payable upon acceptance of periodic advisory outputs, as agreed with the Client.
Acceptance Criteria:
• Minimum six (6) periodic advisory reports are submitted during the implementation period;
• Written technical inputs/comments are provided for procurement documentation as requested by the Client;
• Participation in up to ten (10) coordination meetings is completed and documented (virtual or in-person);
• All quality assurance inputs are provided in written form (e.g. tracked changes, memos, or formal comments);
• Each advisory output is acknowledged in writing by the Client.
Milestone 8 - Final Advisory, Knowledge Transfer, and Contract Closure
PAD Reference:
Deliverables:
Final consolidated advisory rep