Terms of Reference – Programmer/Developer


Engagement Type: Individual
Duration: 24 months


Background to Project:

Ministry of Health and Wellness, Government of Jamaica (MOHW/GOJ) is planning and executing an investment loan from Inter-American Development Bank (IDB; JA-L1049). The programme objective is to improve the health of Jamaica’s population by strengthening comprehensive policies for the prevention of NCDs 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.

The policy-based operation of this Hybrid Programme is the first operation of a PBP series which will be made up of two contractually independent and technically linked loans. The policies in the Programmatic Series will consolidate regulatory measures to address the preventable causes of NCDs and to reorient health systems to address prevention and control of NCDs through a people-centred primary health chronic care model. The investment component, in turn, will finance activities to consolidate integrated health networks and improve the management, quality and efficiency of health services. While the PBP will benefit the Jamaican population at-large, the Investment Loan will have approximately 800,000 potential direct beneficiaries who reside in the catchment areas of the health services networks that will receive investments.

The Investment Programme being implemented by the Ministry of Health (MOH) has two (2) major   components and an allocation to support programme administration and evaluation.


Component 1 – Organization and consolidation of integrated health services networks

This component will finance the purchase of medical equipment and the improvement of infrastructure for primary health care services in the catchment areas of three priority hospitals to increase their capacity in health promotion and disease prevention, especially regarding chronic, non-communicable diseases. The investments will focus on strengthening the diagnostic and screening capability as well as the clinical and resolutive capacity of health clinics. This Component will further finance the upgrading and or expansion of three (3) hospitals selected on criteria relating to strategic role in the national hospital network, supply-demand gap analyses, and physical needs assessment. The hospitals will benefit from infrastructure upgrading and or expansion as well as modernization. 


Sub-Component 1.1 – Strengthening Primary Care

1.1       The purpose of this subcomponent is to increase the physical capacity for service provision at the primary care level in three (3) priority geographical areas. Approximately ten (10) health centres have been identified to receive investments in medical equipment and infrastructure refurbishment and expansion. The subcomponent will finance: (i) the preparation of building designs for the construction of new infrastructure on the sites of existing facilities (three centres), expansion of existing structures (four centres), and refurbishing (three centres); (ii) the physical works required for infrastructure improvement; (iii) the purchase of medical equipment including essential diagnostic and treatment items for NCDs, such as sphygmomanometers, electrocardiogram machines, pulse oximeters, defibrillators, computerized chemistry machines, etc.); (iv) engineering services for construction supervision; and (v) corrective and preventive maintenance of medical equipment.


Sub-Component 1.2 – Increasing the Capacity and Efficiency of Hospital Services

This subcomponent will address urgent needs to enhance patient safety and services in three (3) hospitals whose catchment areas contain the health centres identified in subcomponent 1.1. Financing from this subcomponent will be allocated to:

(i)         the building and engineering designs for the infrastructure improvement and expansion;

(ii)        the construction in three hospitals according to contracted plans and designs;

(iii)       the purchase of medical equipment to raise clinical capacity to partially account for existing demand;

 (iv)      the purchase of imaging equipment, including computerized tomography machines;

 (v)       purchase of industrial style laundry machines;

(vi)       construction supervision services; and

(vii)      the design and implementation of a corrective and preventive equipment maintenance programme.


Component 2 – Improvement of Management, Quality and Efficiency of Health Services

This component will provide technical assistance to design and implement the Chronic Care Model (CCM) in the participating health services networks; to review and develop care pathways and protocols; and to prepare change management, continuous quality improvement and social media marketing for behaviour change strategies. It will also finance the implementation of the fourth Jamaica Health and Lifestyle Survey. This component will further support:

  • the creation of a strong foundation for a digital health ecosystem, including the adoption of standards for interoperability, system architecture, updated governance structure, and other key elements;
  • the design and implementation of a sustainable Electronic Health Record (EHR) platform focusing on digitalization of key processes within the improved CCM;
  • the strengthening of telehealth/telemedicine/telementoring capacity to include chronic care management, and the establishment of norms and processes for its institutionalization.
  • the strengthening of telehealth/telemedicine capacity through the expansion of the ECHO model, the inclusion of chronic care in the platform, and the establishment of norms and processes for its institutionalization.


Background to Consultancy:

Information systems for health are critical to primary health care and the CCM, as well as complex care. The WHO recognizes the need for information systems for health as part of the Package of Essential Noncommunicable (PEN) Disease Interventions for Primary Health Care in Low-Resource Settings.  Additionally, research shows that digital tools can make important contributions to the provision of chronic care when patients and providers are connected to share information, compare this information to knowledge found in evidence-based standards, and monitor results through regular feedback and interaction. Adoption of health information technology has produced mortality rate reductions for complex patients whose diagnoses require cross‐specialty care coordination and extensive clinical information management in hospital settings and improvements in resource allocation efficiency . Health information systems, along with information sharing, have the potential to improve clinical practice by reducing staff errors, improving automated harm detection, monitoring infections more effectively, and enhancing the continuity of care during physician handoffs. A significant number of opportunities exist for the Hospital Information Management System (HIMS) to contribute to savings for both the health system and the Jamaican economy.[1]

The Electronic Patient Administration System (ePAS) is the core component of a national electronic health record system. Commencing in October 2014, the ePAS has been deployed to ten (10) health facilities to date. It provides a secure and shared patient health record that will enable universal access to patient data across the network of public hospitals and health centres.  GNU Health, a Free and Open Source Software (FOSS) built upon Tryton, an Enterprise Resource Planning platform, forms the basis of the ePAS. GNU Health is developed on FOSS technologies and utilizes mainly Python programming language and PostgreSQL, a free and open-source relational database management system emphasizing extensibility and technical standards compliance. A Senior Software Developer/ Engineer is required to develop and enhance the EHR ePAS.


Objective of Consultancy:

The primary function of this consultant is to assist in the development and enhancement of the EHR for primary care.  The Individual will work with the Project Execution Unit (PEU) of the MOHW/GOJ as well as experts from Jamaica and the international community.  The successful individual under the supervision of the Senior Software Engineer/ Developer and other Developers and will work collaboratively with other leaders from across the Ministry of Health, Regional Health Authorities, and the private health sector, as well as with other ministries and international partners.


Scope of Work:

Key responsibilities include:

  • Develop detailed design and specifications for the component in alignment with the national EHR architecture;
  • Develop, test, and implement components;
  • Implementing proof of concept, prototypes, and production-grade software as appropriate;
  • Working with internal and external stakeholders to troubleshoot software issues;
  • Writing clean, maintainable code that is suitable for continuous integration and deployment (CI/CD), following best practices and established guidelines;
  • Collaborates with other developers, Systems Analyst, Project Manager and support personnel to ensure smooth deployment, continual operation, improvements and support of quality software;


Education and Experience:

Education: A BSc in Computer Science, Information Technology or equivalent qualification.



  • With at least 2 years of experience in designing and writing cutting edge software
  • Minimum of 2 years of experience designing, developing deploying and testing software solutions, experience in an application development team.


Required Competencies:

  • Solid knowledge of and object oriented software design patterns.
  • Proficient in software development in Python, PHP programming language
  • Proficient with using and creating APIs
  • Proficient with using O/S containers (e.g. Docker, LXC)
  • Familiar with Agile software development methodologies
  • Experience writing unit / functional / integration tests
  • Experience developing on a Linux platform
  • Experience working with enterprise class databases including PostgreSQL.
  • Experience with Open Source Enterprise Resource Planning systems such as Tryton or OpenERP/Odoo would be an asset.
  • Good working knowledge of Internet and operating system security fundamentals.
  • Solid knowledge on distributed, highly available and massively scalable system design.
  • Experience with working in open source communities: collaboration using mailing lists, IRC and other distributed communications systems
  • Advanced writing, communication, and presentation skills in English
  • Experience in development in database environment such as Microsoft SQL Server, PostgreSQL, Oracle RDBMS or any other object-oriented database application.



Opportunity Summary:   

  • Length of contract: 24 months 
  • Starting date: TBD
  • Location:  Jamaica
  • Reporting to:  directly to Senior Developer, and indirectly to IS4H Project Lead, MOHW/GOJ
  • Requirements: You must be a citizen of one of the IDB’s 48 member countries
  • Type of Contract: Deliverable Based Lump-Sum
  • Payment Schedule: Payments made in equal monthly instalments based on the delivery of monthly reports



Support for the Health Systems Strengthening for the Prevention and Care Management of Non-Communicable Diseases Programme

Loan No: JA-L1049

The Government of Jamaica has received financing from the Inter-American Development Bank (IDB) towards the cost of the Support for the Health Systems Strengthening for the Prevention and Care Management of Non- Communicable Diseases Programme and intends to apply part of the proceeds for the selection of a Programmer/Developer.



The primary function of this consultant is to assist in the development and enhancement of the Electronic Health Record for primary care.  The contract duration is for two (2) years.



  • A BSc in Computer Science, Information Technology or equivalent qualification.
  • At least 2 years’ experience in designing and writing cutting edge software.
  • Minimum of 2 years of experience designing, developing deploying and testing software solutions, experience in an application development team.

The Ministry of Health and Wellness now invites eligible individuals to indicate their interest in providing the Services.

The attention of interested Consultants is drawn to 1.9 of the IDB`s: Policies for the Selection and Contracting of Consultants financed by the Inter-American Development Bank GN-2350-9, March 2011, setting forth the IDB`s policy on conflict of interest. The Consultant will be selected in accordance with the Selection of Individual Consultants method set out in the IDB`s Policies.

Expressions of interest in the form of an application letter and Curriculum Vitae must be delivered to the address below (in person, or by mail, or by fax, or by e-mail) by Monday, November 11, 2019.


The detailed Terms of Reference is available on the website of the Ministry of Health and Wellness at www.moh.gov.jm.

The Procurement Management Specialist
Support for the Health Systems Strengthening for the Prevention and Care
Management of Non-Communicable Diseases Programme
Ministry of Health and Wellness
IBM Building 3rd Floor,
229-231 Knutsford Boulevard,
Kingston 5, Jamaica W.I
Tel: (876) 633-7934
Website: moh.gov.jm


We thank all applicants; however, please note only shortlisted candidates will be contacted.

[1]     Conservative estimates suggest if the United States healthcare system were interoperable, at least US$77 billion would be saved annually [37].