AGREEMENT FOR PERFORMANCE OF WORK (APW)

PLEASE DON NOT APPLY ONLINE

Purpose of the APW

The purpose of this assignment is to provide technical assistance hire an implementing partner to work closely with IT/Software Development firm for the pilot & scaleup of FP DAK into existing Electronic Medical Records (eMRs) in Sindh, Department of Health called Electronic Client Record (eCR)-a web-based system with dashboard.

Background

Pakistan’s population has grown nearly nine-fold since its independence in 1947, rising from 27 million to 240 million in 2017.5 With an annual population growth rate of 2.55%, Pakistan has already surpassed Brazil to become the fifth-most populous country in the world, a milestone projected for 2050.5,6 Despite a significant reduction in the Total Fertility Rate (TFR) from 5.5 births per woman (1991) to 3.6 births (2017-18), Pakistan’s TFR remains the second highest in South Asia.7 The Government of Pakistan has taken steps since early 1990s to improve family planning services through strengthening all building blocks of health system. A hallmark intervention was engaging Lady Health Workers (LHWs). Unfortunately, coverage and quality of family planning counselling is not optimal rendering on-going challenges of slow progress on FP indicators even more complex - resulting in missed opportunities for counselling and service delivery.

Rationale and Objectives

To address these gaps, the proposed initiative aims to hire an implementing partner to work closely with IT/Software Development firm for the pilot & scaleup of FP DAK into existing Electronic Medical Records (eMRs) in Sindh, Department of Health called Electronic Client Record (eCR)- a web-based system with dashboard ensuring that eMRs/eCR will standardize FP workflows and data collection into existing systems and also achieve the following objectives through use of the FP DAK:

• Provide automated decision-support for providers
• Promote system interoperability and sustainability to avoid verticality
• Strengthen evidence-based policy and program decisions at provincial and federal levels
• Enhance facility-level counseling to improve PPFP/PAFP uptake
• Capacity building of healthcare providers for DAK application use in a structured way

• Review and modification (if needed) of the existing EMRs with embedded FP DAK workflows, data dictionary, and decision-support logic.
Integration and scaleup of the EMR with FP DAK into the Sindh DHIS2 Dashboard and Common Dashboard at National Level that is called National Digital Health Hub (NDHH) with interoperable data flow (EMR
• Common Dashboard/NDHH).
• Pilot in Sindh.
• Delivery of technical support in effective and managed manner.
• Training of master trainers in Sindh.
• Final report with pilot, including lesson learned from piloting.

1. Governance and Coordination

• Utilize existing TWG/Core Committee (M/o NHSR&C, WHO, Pathfinder and partners) for coordination and oversight.
• Utilize existing provincial TWGs/core committees on family planning and health information system for coordination and technical guidance.
• Secure government approval and acquire source code for the existing EMR modification in Sindh.

• Decision on districts for pilot & scaleup in Sindh
• Identify and categorize facilities for scaleup in Sindh
• Assess facility readiness, including connectivity, hardware, and staff digital literacy (requirements to be specified by vendor)
• Assess hosting environment, server capacity, and backup mechanisms

3. Software Development and Modification

• Planning, platform/system assessment, gap analysis & requirements gathering
• Review existing EMR architecture to assess readiness for FP DAK adaptation and acquire source code.
• Identify required software modifications and interoperability needs (APIs, data exchange standards, FHIR compatibility).
• Map existing data elements and workflows against FP DAK metadata and indicators.
• Review and embed all the five FP DAK components (696 elements) in the proposed technology to alter if needed to be piloted and scaled up in Sindh:

• A – Registration (78 data elements)

• B – Client Profile (355 data elements)

• C– Counselling (175 data elements)

• D – Service Provision (67 data elements)

• E – Referral (21 data elements)

• Ensure that the EMR integrates all FP DAK data elements into the EMR data model and configures decision-support logic to guide providers through registration, client profile, counselling, service provision, and referral.
• Ensure real-time interoperability with Provincial DHIS2 and National NDHH via standard APIs and HL7 FHIR mapping (Health Level Standard 7 / First Health Intervention Regulations).
• Prepare high-level technical design document (data flow diagrams, architecture updates).
• Develop data mapping schema linking FP DAK data elements to local systems.
• Conduct internal testing, user acceptance testing (UAT), and refinements and then scaleup.

4. Training Rollout

• Organize and conduct 3 trainings (hands on sessions) for master trainers in Sindh
• Train facility-level staff in districts.
• Training content will include:

• FP DAK workflows in EMRs

• Use of decision-support functions

• Troubleshooting and EMR configuration, with technical/user manuals

5. Support and Maintenance

• Establish a helpdesk for incident reporting for the duration of the contract.
• Conduct system health checks and feature updates.

6. Integration with provincial and national dashboards

• Enable real-time FP data sharing in NDHH and provincial DHIS2 dashboard in Sindh though customized EMR.

• Platform/system assessment conducted
• Partner engagement and coordination initiated
• Gap analysis and requirements gathering completed

• DAK platform ingestion and integration completed
• Customized existing EMR developed, modified with contextualized FP DAK adaptation and modification
• EMR system updated and aligned with the national FP DAK package
• Validated FP DAK implementation roadmap and technical documentation produced

• Internal testing and QA conducted
• UAT preparation, execution, and reporting completed
• QA report and UAT test cases finalized and approved by stakeholders
• Technical workshops, ToT, and cascade trainings conducted
• SOPs refined and updated in coordination with technical partners

• Pilot rollout conducted in districts
• Field testing, monitoring, and deployment planning carried out
• Pilot review completed with recommendations for scale-up

• Comprehensive report documenting key findings from testing, deployment, and monitoring
• Final report summarizing lessons learned, challenges, and recommendations from piloting to scale-up in Sindh and guidance for ICT and Punjab
• Hand over source code, database and technical documentation to pathfinder and DoH Sindh

• Experience in Health Information Management System in Pakistan and experience of working with government.
• Experience of Electronic Information Management Systems and dashboards.
• Ability to meet tight deadlines and to work effectively under pressure
• Demonstrated excellence in producing technical documents and digital tools.

TOTAL POSITIONS

1

POSTED ON

October 20, 2025

EXPIRY DATE

October 27, 2025

BUSINESS

WHO

CATEGORY

Health & Medicine

JOB TYPE

APW

MINIMUM EDUCATION

Masters

CAREER LEVEL

APW (Agreement for Performance of Work)

MINIMUM EXPERIENCE

5 Years(Experience in Health Information Management System in Pakistan and experience of working with government. Experience of Electronic Information Management Systems and dashboards. (See JDs section regarding experience requirement))