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RFP--Literature Review, Client Response to Tuberculosis Directly Observed Therapy Program, Toronto Public Health


summary
Release Date: August 22, 2005

Deadline: September 6, 2005



Purpose



Proposals are being requested to conduct a review of the literature on client response to Tuberculosis (TB) Directly Observed Therapy (DOT) programs in diverse communities in order to identify program-relevant recommendations as well as gaps and future research questions.



The budget for this project does not exceed $7,500, including all taxes and disbursements.



Background



Directly Observed Therapy (DOT) as practiced by Toronto Public Health includes observing the ingestion of medication by a client who has active TB. Benchmarking conducted with comparable jurisdictions within North America indicated that DOT as a best practice in the treatment of TB, has been adopted in most jurisdictions.



The goal of the TB DOT program is to reduce reactivation and Multi Drug Resistance (MDR) by increasing the number of clients receiving and completing DOT.



The Ministry of Health and Long Term Care's TB Control Protocol states that DOT should be implemented for all clients with respiratory TB, unless they are highly likely to comply with a self-administered treatment regime.



Although it is offered to 100% of active TB cases, not all clients accept DOT. Under the Health Protection and Promotion Act, TB clients can be required to adhere to DOT. In practice, this legislation is only enforced on clients who have demonstrated that they are not complying with the treatment regime.



Toronto Public Health requires the following deliverables to increase our understanding of barriers to client acceptance of DOT.



Deliverables

1. Meet with DOT management team as needed.

2. Develop research questions in collaboration with DOT management team.

3. Submit literature search methodology and search criteria to the DOT management team for approval.

4. Submit a draft report on the literature review for approval. The report will include a summary and critical analysis of the literature, recommendations of questions to be asked in a client survey and other program-relevant recommendations. An electronic version of the draft is required in a current MS Word format.

5. Submit a final report on the literature review. The report will include a summary and critical analysis of the literature, recommendations of questions to be asked in a client survey and other program-relevant recommendations. An electronic version of the draft is required in PDF or current MS Word format, and one paper copy.



Key Qualifications



* Significant experience/expertise in applied research and evaluation, preferably in a public health setting, especially in conducting literature reviews

* Preference will be given to those with knowledge of Communicable Disease Control and TB in particular

* Strong project management skills

* Demonstrated ability to meet timelines

* Excellent written and verbal communication skills, using clear written and verbal language



Submission Requirements



The following information must be included in your proposal:

* A resume that clearly demonstrates how your experiences reflect the key qualifications

* A detailed plan and description of how and when the requested tasks will be executed

* A breakdown of costs

* A list of relevant experiences in conducting similar projects

* Names and contact information of 2 references for who you have conducted similar projects

* Samples of written reports, research and evaluation documents



Please submit proposals to Jennifer Fuller, TB Manager, Quality Assurance by e-mail at jfuller@toronto.ca.



Proposed Timelines



Release of RFP: August 22, 2005

Deadline for submission of proposals: September 6, 2005

Proposal Review and candidate short-listing for interview if necessary: September 7, 2005

Interviews, if necessary: September 9, 2005

Successful candidate notified: September 14, 2005

Project start date: September 19, 2005 (target)

Project to be completed by: October 30, 2005



Budget



Total fees should not exceed $7,500, including all taxes and disbursements.



For more information, please contact Jennifer Fuller at (416) 338-2377 or by e-mail at jfuller@toronto.ca.