Terms of Reference Coordinator – Component 3, Social Cases Enhancing Health Care Delivery Project

1.0  Background

Timely access to quality and affordable Health Services is critical for achieving Universal Access to Health and the health-related Sustainable Development Goals (SDGs).  It is also an important benchmark for a sustainable and robust health system

As the premier health care provider in Jamaica, the Ministry of Health and Wellness has embarked on a project designed to improve access to some critical services provided at public health facilities.  This initiative builds on previous efforts to reduce wait time for services and it is envisioned that this will result in shorter wait time for admissions as well as shorter hospital stays.  The initiative is also set to reaffirm Government’s commitment to the abolition of user fees in public health facilities.

The Enhancing Health Care Delivery Project will focus on three key areas negatively impacting the health sector’s ability to respond timely to the health care needs of the population.  The areas of focus are: (i) diagnostic radiology services (ii) elective surgeries and (iii) removal of social cases from hospitals.

In recognition of its resource constraints and inability to meet the growing demand for diagnostic services, the Ministry will outsource the following imaging services in the short term: CT scan, MRI, Ultrasound, Angiography, Endoscopy and Hispathology.  Patients will be referred to an approved list of private imaging service providers and all costs for outsourced services will be borne by the Government of Jamaica.   In addition, through formal arrangements with private health facilities, the Ministry will under the project seek to increase the number of elective surgeries performed by making use of underutilized private operating theatres.  This intervention is expected to reduce the long waiting list for these procedures and contribute to the overall improved health status of many Jamaicans. 

Also under the project, the Ministry will enter into formal arrangements with select nursing homes and infirmaries for the transfer of patients who have overstayed their time in public hospitals as a result of having no known family or residence.  These public-private ventures are in alignment with the Ten Year Strategic Plan of the Health Sector and Vision 2030 National Development Plan.


2.0 OBJECTIVE of Consultancy

The overall objective of the consultancy is to provide technical services to the Ministry of Health and Wellness for the design, implementation and monitoring of Component 3 – Social Cases, under the Enhancing Health Care Delivery Project.  Responsibilities will include working closely with the Programme Technical Advisor, Project Manager, Regional Health Authorities, Hospital Administration and Social Works Departments, Ministry of Local Government, private service providers and other stakeholders for the relocation of social cases from public health system to private care facilities, infirmaries or reintegrated with families.


The specific objectives of the consultancy are as follows:

  1. To provide technical support for the establishment of formal arrangements with approved nursing homes and infirmaries for the transfer of social cases.
  2. To provide support for the development of Policy Framework/standard operating procedures for the management of social cases within the public health care system and address sustainability issues at the end of the project
  3. To provide detailed monthly reports that accurately monitor project activities


3.0 SCOPE of services

The specific services of the Component Coordinator shall include, but not be limited to the following:

  1. Develop a Workplan outlining timelines and activities required to execute the assignment.
  2. Lead in the development of a sustainable strategy/policy for the management of social cases within public health facilities.
  3. Establish partnerships with the Ministry of Local Government and Parish Councils for the management of social cases.
  4. Work in collaboration with MOHW’s Standards and Regulations Division to carry out inspections of private nursing home facilities.
  5. Establish strategic partnership with non-governmental organizations for the management of social cases.
  6. Develop a Risk Management Framework
  7. Develop and implement a Monitoring and Evaluation Framework
  8. Monitor Contracts and Memorandum of Understandings with private service providers and other partners
  9. Undertake audit of social cases and provide a listing of social cases within the public health system detailing health status and health care needs, demographic information, mental health status, family status etc
  10. Conduct Rapid Assessment of Social Work Departments in hospitals and identify training needs for capacity strengthening
  11. Facilitate/conduct investigations into Social Cases for the reintegration with families
  12. Organize and participate in consultations with key administrative, technical and managerial health professionals critical to project implementation
  13. Prepare Training Plan and facilitate training sessions for Social Work Staff and other administrative staff involved with the management of social cases in hospitals.
  14. Develop Terms of References/ standard operating procedures for the selection of private homes for the transfer of social cases.
  15. Establish and maintain professional relationships with relevant partner agencies in the public and private sectors, documenting for MOHW’s attention concerns/issues with services contracts /arrangements
  16. Coordinate the day to day activities relating to the component in collaboration with Regional Health Authorities
  17. Organize and participate in sensitization sessions per region for key administrative, technical and managerial health professionals critical to project implementation
  18. Track and report on the progress of implementation as per the work plan, identifying potential risks and making recommendations
  19. Ensure component activities are properly closed out and documentation completed and stored



The consultancy should be executed in a spirit of cooperation and inclusiveness.  The Component Coordinator is expected to work in tandem with MOHW Technical Team and the Office of the Permanent Secretary throughout all stages of the Project.  The individual is also expected to

  • Liaise with the Technical Programme Advisor and Project Manager on all matters
  • Work closely with RHAs, Private Service Providers and other stakeholders



1.        Detailed Workplan
2.        Audit Report of Social Cases in the Public Health System


Training Needs Assessment and Training Plan for the Capacity Strengthening of Social Work Departments in hospitals


Protocols for the engagement of Private Providers/Stakeholders for the transfer of social cases
  5 Contract monitoring reports of service providers and stakeholders engaged for the transfer of Social Cases
  6 Procedures for the management of social cases
  7 Strategic Policy and Plan
  8 Monitoring & Evaluation Framework
  9 Risk Management Framework
 10 Monthly Reports


6.0 Conditions

  • This consultancy is a full time position with standard hours of work
  • The Component Coordinator will be required to occupy a designated office space at MOHW and make regular field visits as dictated by Project activities
  • Participation in management and other meetings will be required for which prior notice will be given
  • All information obtained during the delivery of this Consultancy is the property of the Ministry of Health and Wellness and requests to use same must be made in writing to the Permanent Secretary



The duration of the contract is twenty four (24) months



The consultant should satisfy the following requirements:

  • Bachelors Degree in Social Work, Sociology, Psychology, Development Studies or other related discipline
  • At least 2 years’ experience working in a Management/Coordination position
  • At least 2 years’ experience in monitoring and evaluation
  • Detail-oriented with excellent written and verbal communications skills.
  • Creative problem solver with ability to work independently.
  • Strong planning skills and ability to multi-task well.
  • Project Management certification desirable.



The Component Coordinator will report directly to the Project Manager who will be responsible for the review and official approval of the project deliverables. 



Applicants will be scored out of 100 upon the presentation of CV and detailed proposal.  The score will be awarded on the following basis:

AREA                                                                  SCORE

Qualification and Experience                            25%

Technical Approach and Methodology             40%

Proposal/Workplan                                             25%