SPECIAL NOTICE
G -- RFI CATALYTIC CHANGE FOR CROSS BORDER HEALTH
- Notice Date
- 12/11/2019 5:52:06 AM
- Notice Type
- Presolicitation
- NAICS
- 62
—
- Contracting Office
- AMERICAN EMBASSY-NAIROBI/USAID/KEA NAIROBI KEN
- ZIP Code
- 00000
- Solicitation Number
- 720623RFI19001
- Response Due
- 1/3/2020 2:00:00 PM
- Archive Date
- 01/04/2020
- Point of Contact
- Nancy Kleinhans, Regional Contracting Officer, Esther Owili, A & A Specialist
- E-Mail Address
-
Nkleinhans@usaid.gov, eowili@usaid.gov
(Nkleinhans@usaid.gov, eowili@usaid.gov)
- Description
- East Africa continues to bear a heavy burden of endemic disease and has a large migrant population. The East African region is becoming increasingly integrated with more people moving across borders, sometimes carrying health threats with them. Unemployment levels along national borders approach 70 percent and in some communities, 78 percent of females turn to sex work to survive. Transactional sex contributes to the current HIV epidemic in East Africa, particularly in hot spot communities along the major transport routes. Tuberculosis (TB) causes over 600,000 deaths a year. Ethiopia, Kenya, Tanzania, and Uganda remain among the 22 “high burden” countries for TB (cases per year are above 100 per 100,000). Maternal mortality ratios in East Africa are also high and vary greatly, ranging from 336 and 362 maternal deaths per 100,000 live births in Uganda (DHS, 2016) and Kenya (DHS, 2014), respectively, to 732 per 100,000 live births in Somalia (WHO, 2016). Additionally, an estimated 14.9 million people in East Africa face “stressed” to “crisis” levels of food insecurity. In the drylands, frequency of drought has increased significantly over the past decade. Stunting remains high in the region ranging from 26% in Kenya to 57.5% in Burundi and wasting continues to fluctuate ranging from 9.8% to 14.9% in the horn. Food insecurity is only likely to be exacerbated as a result of global climate change, political instability, lack of access to adequate health care, and unreliable access to quality inputs. Underserved populations in border areas are caught in a vicious cycle of chronic vulnerability, conflict, and instability. While migration and mobility are increasingly recognized as determinants of ill health, the volume, the rapidity, and ease of today’s travel poses new challenges to cross-border disease control and suggests the need to adopt innovative, systemic, and multi-sectoral responses.
- Web Link
-
SAM.gov Permalink
(https://beta.sam.gov/opp/450aefcc611040a0b3a85084864f3dfd/view)
- Place of Performance
- Address: KEN
- Country: KEN
- Country: KEN
- Record
- SN05513736-F 20191213/191211230302 (samdaily.us)
- Source
-
SAM.gov Link to This Notice
(may not be valid after Archive Date)
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