Jamaica is the third largest island in the Caribbean region with an area of 11,000 square kilometers (km2) and a population of approximately 2.8 million people. The demographic transition in Jamaica has reached an advanced stage, characterised by low mortality and fertility rates. Jamaica has 2.8 million inhabitants, with a median age of 29.1 years, which is expected to increase to 35.6 years in 2030 and to 43.8 years in 2050. The country has a low and declining fertility rate (2.08 births per woman, 2010-2015) and a slowly rising death rate, which is resulting in lower population growth and population aging. The elderly (65 years and over) represented 9.3% of the population in 2015 and will be 22.0% by 2050.
Jamaica has improved the health status of its population. Infant mortality declined from 30.9 deaths per 1,000 live births in 1990 to 16.6 in 2016. The country has experienced an epidemiological transition and faces the challenges posed by NCDs that tend to be of long duration and result from genetic, physiological, environmental and behavioural factors. The most common NCDs are cardiovascular diseases, cancers, chronic respiratory diseases and diabetes. Mental and Neurological Disorders (MND) —including depression, anxiety disorders, bipolar disorder, schizophrenia and dementia— may be precursors or consequences of NCDs and share several of the same determinants and effects.
In this regard, the Inter-American Development Bank (IDB) is supporting the GOJ with a new Project: “Support for the Health System Strengthening for the prevention and care management of Non-Communicable Diseases programme” (JA-L1049). The objective of this programme is to improve the health of Jamaica’s population by strengthening comprehensive policies for the prevention of Non-Communicable (Chronic) Diseases (NCD) risk factors and for the implementation of a chronic care model with an improved access to strengthened and integrated primary and hospital services networks, that provide more efficient and higher quality care
NCDs are caused by four modifiable risk factors, the use of tobacco, excessive consumption of alcohol, a sedentary lifestyle and unhealthy dietary habits, as well as by a non-modifiable risk factor; population ageing. In 2016, NCDs accounted for 8 of the 10 leading causes of death and represented 85% of all deaths (22,034), compared to 78.6% in 1990. The toll from NCDs has existed longer in Jamaica than in other countries of the region. Moreover, NCDs have been the leading cause of premature death since 1990, when they represented 55.6% of Years of Life Lost (YLLs) (68.8% in 2016). The leading causes for morbidity measured with Disability Adjusted Life Years (DALYs) are also NCDs, followed by interpersonal violence. Hence, the main challenges for the Jamaican health sector are: (i) to prevent early onset of NCDs by addressing the four preventable risk factors; and (ii) for people with NCDs, to improve the quality of care and life and prevent premature NCD-related deaths, which the evidence shows is possible with Chronic Care Models (CCM) based on strong primary health care services.
Objectives of the Consultancy
The main objective of the consultancy is to support the MoH and its PEU with construction related project management expertise, particularly as it relates to effectively providing support to the execution of Component 1- Organization & Consolidation of integrated health services networks.
The Civil Engineer/Construction Specialist will be responsible for supporting the procurement and implementation activities relating to Component 1, follow the required procedures as outlined in the project operations manual and ensuring that the project is completed within the specified time and budget.
Scope of Work
The scope of services provided by the consultant will include:
- Manage and coordinate all civil engineering activities related to the project
- Engage in consultations with local architectural, engineering and construction firms and relevant associations to inform as necessary.
- Ensure adequate consultations are conducted with hospital/health center management regarding designs and plans to reduce disruptions
- Liaise with the procurement specialist to develop terms of references for design and supervision services.
- Review in detail the work bid documents for technical and contractual soundness
- Ensure work quantity and quality are representative of design documents.
- Ensure building permits if necessary are sought and obtained from appropriate authorities before work starts
- Ensure that all necessary preparatory works is done to facilitate civil work, including on-site provisions for contractors, coordination with work for utilities in the vicinity, patient relocation is undertaken as appropriate
- Assessment of existing and newly built Health facilities Infrastructure
- Recommend interventions in Health Facilities infrastructure as necessary
- Conduct related Project activities coordination, monitoring and reporting
- Production of progress reports within the times specified by the PEU Project Manager
- Oversee the ongoing execution of work plans
- Conduct monthly meetings with contractors
- Receive and review contractor’s monthly reports and invoices etc
- Provide timely information to enable the Project Manager to meet with and update relevant stakeholder groups on the developments associated with Component 1 (“the Project”).
Key Task and Responsibilities
- Plan, coordinate, supervise and manage project activities and the procurement process associated with Component 1 of Programme;
- Review and evaluate the request for proposals and bid documents associated with Component 1 of the Programme;
- Manage the process of receiving the various endorsements & approvals for the project, with the guidance of the Programme Manager and within the scheduled timeline;
- Assist with the preparation of bid documents and request for proposals for Component 1 of the Programme;
- Coordinate with the PEU’s Environmental and Social Specialist to ensure that all relevant permits and licenses are sought and received prior to the implemenattion of the project;
- Ensures compliance with Agreements governing the Project;
- Monitor and manage the Project implementation against their key performance indicators;
- Prepare project progress reports as required (monthly, quaterly, and semiannually);
- Liaising and communicating with the stakeholders/beneficiary of the Project to ensure smooth implementation of the various facilities;
- Providing essential project support for the PEU Project Manager (PM) for regular meetings, quarterly Programme Coordination Committee meetings, staff meetings and international mission coordination, etc.;
- Be responsible for day-to-day project correspondence, information sharing and filing under the Project, ensuring that appropriate follow-up actions are taken;
- Prepare and distribute to all stakeholders, minutes of project meetings;
- Oversee contractors and consultants activities on the Project and provide reports to the Project Manager as needed;
- Liaise with project partners on day-to-day implementation of project activities; and
- Perform other duties as determined by the PEU/PM.
The consultant Civil engineer/construction specialist activities will be supervised by the Project Manager within the PEU and will directly liaise with:
Internally: All relevant members of staff of the MoH as indicated by the Project Manager (Permanent Secretary, Administration, Procurement, Financial and Technical Officers)
Externally: IDB team and Funding Agencies representatives, Technical Officers, Contractors, Consultants, Suppliers, External Auditors, Representatives of the various beneficiary ministries and agencies.
Provides supervision to: relevant Technical staff on the construction team
Deliverables and Timeframe
|#||Required Product||Frequency||Delivery date||Supervision|
|1||4.1 24 Status reports on the consultant’s above mentioned activities.||Monthly||5 calendar days after the end of the reporting month||PM|
|2||4.2 Report on all relevant construction activities.||As required||As required||PM|
|3||4.3 Reports as requested by the PEU and the Bank concerning the project’s progress.||As requested||As requested||PM|
Qualifications and Experience
- Bachelor Degree in Civil Engineering, Construction or Structural Engineering, or Equivalent qualification;
- Certificate in Project Management or a related field;
- Minimum 5 years professional and management working experience;
- Working familiarity with the construction industry( building construction and supervision);
- Proficiency in Computer Software, namely MS Word, Project, Excel and PowerPoint;
- Familiarity with GOJ procurement guidelines would be an asset;
- Experience in preparing and presenting reports;
- Good interpersonal and communication skills;
- Ability to work in diverse teams;
Payments Schedule and Consultancy Conditions
The contract will be for a period of two (2) years, with the possibility for extension or where otherwise determined under the relevant clause of the contract.
The MoH and PEU will provide physical space and necessary tools for the development and execution of the consultant’s activities.
The contract’s amount will be distributed in 24 monthly payments that will be dependent on satisfactory implementation of activities and delivery of required products, as agreed between the MOH/PEU and the consultant.