Accountability Mechanisms in Kenya’s Devolved Health System Consultancy in Kenya

Mission Support for Journey to Self Reliance (MSP)

Request For Proposals (RFP)

No. 003

Context and Systems Analysis of Accountability Mechanisms in Kenya’s Devolved Health System

Issue Date: March 12, 2020

Background: As part of informing the next CDCS, USAID / Kenya and East Africa (KEA) has embarked on conducting a country-level Context and Systems Analysis (CSA), as well as deeper sectoral studies to complement the country-level CSA.

The country-level and sectoral CSAs aim to integrate Thinking and Working Politically (TWP) through applied Political Economy Analysis (PEA) into USAID/KEA processes and programs to ensure its investments have the necessary and sufficient level of local commitment and capacity to expedite Kenya’s Journey to Self-Reliance (J2SR).

Purpose: The specific purpose of this research is to deepen the USAID/KEA Health Population and Nutrition (HPN) office’s appreciation of the status of accountability mechanism in place in Kenya’s devolved health services.

The findings and recommendations emanating from the PEA study will inform USAID/KEA’s HPN Office’s strategic programming over the next CDCS cycle.

Geographical Focus: In addition to select meetings with Ministry of Health officials and other non-governmental relevant stakeholders in Nairobi, the field research will be conducted in the following counties: HPN: Homa Bay, Busia, Migori, Kisumu, Kakamega, Baringo, Turkana, Mombasa, Uasin-Gishu, Nakuru, and Nairobi.


USAID’s Thinking and Working Politically through Applied Political Economy Analysis guidance, process and methodology will be employed to conduct this baseline study.

Core and Supporting Questions

(preliminary) Core Questions: What is the status of health sector accountability mechanisms? How have they changed since devolution took effect? What are the barriers and opportunities for improved accountability in the health sector at national and devolved levels? What set of incentives and disincentives are in USAID’s manageable interests to improve accountability mechanisms?

(preliminary) Supporting Questions:

  • How effective are health Management and Information Systems (MIS) at county level?
  • What are these mechanisms actually doing to ensure accountable and transparent use of public and private health funds?
  • What are the institutional, legal and cultural factors that drive the underlying interests, incentives and constraints that animate decision-making among key powerbrokers in key Health subsectors?
  • What are the institutions and individuals that influence which policies are adopted and implemented, and which lack this influence?
  • Who supports (financial, technically and politically) health related civil society groups?
  • What is the status of budget accountability mechanisms and public policy formulation and implementation mechanisms?
  • Where has civil society succeeded and failed to influence decision making within the GOK on health sectors issues, and why?
  • Who are the key decision makers in the health sector (government and other)?
  • How can USAID invest wisely in promoting local stakeholders who are already working to promote a culture of good governance in the health sector without derailing or tainting their efforts?

General Instructions

Electronic Proposals are due no later than 5 pm East Africa Time on March 26, 2020 to be submitted to

Late offers will be rejected except under extraordinary circumstances at SOCHA LLC’s discretion.

SOCHA LLC reserves the right not to evaluate a non responsive or incomplete proposal.

The completion of all RFP requirements in accordance with the instructions in this RFP and submission to SOCHA LLC of the proposal will constitute an offer and indicate the Offeror’s agreement to the terms and conditions in this RFP and any attachments hereto.

SOCHA LLC reserves the right to award a subcontract without discussion and/or negotiation; however, SOCHA LLC also reserves the right to conduct discussions and/or negotiations, which among other things may require an Offeror(s) to revise its proposal.

Issuance of this RFP in no way obligates SOCHA LLC to award a subcontract or purchase order.

All documents from the Offeror related to this RFP shall be in English. Offerors will not be reimbursed for any costs associated with the preparation or submission of their proposal.

SOCHA LLC shall in no case be responsible for liable for these costs.

Offerors are required to fully review all instructions and specifications contained in this RFP. Failure to so will be at the Offeror’s risk.

Offerors shall submit proposals only by email to with the RFP Number and Title of the activity stated in the subject line of the email.

Offerors shall confirm in writing that the Offeror fully understands that their proposal/offer must be valid for a period of 90 calendar days.

Time is stated in calendar days, unless otherwise specified.

If the solicitation is amended, then all terms and conditions not modified in the amendment shall remain unchanged.

Offerors shall acknowledge receipt of amendments in the cover letter.

Offerors shall:

  • Furnish all of the information required by the RFP
  • Ask any questions to clarify the requirements if necessary
  • Sign and submit the cover letter
  • Use and submit forms as provided in the Attachments as required.

“Offeror”, “Subcontractor”, and/or “Bidder” means a firm proposing the work under this RFP.

“Offer” and/or “Proposal” means the package of documents the firm submits to propose the work.

Community Development, Economics and Statistics, Health and Medical, NGO and UN
Updated: March 18, 2020 — 9:51 pm