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RFP--Survey of Client Response to Tuberculosis Directly Observed Therapy (DOT) Program, Toronto Public Health

Release Date: January 23, 2006
Deadline: February 6, 2006


Proposals are being requested to implement an existing client survey to
assess the barriers to successful completion of TB treatment.

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


Directly Observed Therapy  (DOT) as practiced by Toronto Public
Health includes observing the ingestion of medication by a client who
has active TB.  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.  A literature review was conducted in the fall of 2005
focusing on client responses to TB DOT programs and to develop
questions to be asked in a client survey.  Then a qualitative
survey was developed and pilot tested to assess the barriers to
successful completion of TB treatment.  Toronto Public Health
requires the full implementation of this client survey.


  1. Meet with DOT management team as needed.
  2. Review existing research plan and make any needed revisions to
    the methodology, such as sampling and recruitment, data collection
    tools, data analysis plans, informed consent and other ethical
    considerations based on the results of the pilot. An electronic version
    of the plan is required in a current MS Word format.
  3. Work with TPH program staff to revise (if required) an
    application for scientific and ethical approval for the full
    implementation of the client survey.
  4. Submit revised plan, if necessary, to comply with scientific and ethical review.
  5. Conduct the complete client survey until saturation of data is achieved, complete data analysis.
  6. Submit a draft report with the findings of the client
    survey.  An electronic version of the draft is required in a
    current MS Word format.
  7. Submit a final report with the findings of the client survey. An
    electronic version of the final report is required in a current MS Word
    format, plus one paper copy.

Note: Allow a minimum of four weeks for TPH scientific and ethical review.

Key Qualifications

  • Significant experience/expertise in applied research and evaluation, preferably in a public health setting
  • Experience in developing and conducting surveys with public
    health clients from diverse backgrounds, including newcomers to Canada
    and those who are homeless or underhoused
  • 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 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

Proposed Timelines

Release of RFP:  January 23, 2006
Deadline for submission of proposals: February 6, 2006
Proposal Review and candidate short-listing for interview if necessary: February 9, 2006
Interviews, if necessary:  February 10, 2006
Successful candidate notified: February 14. 2006
Project start date: February 20, 2006
Project to be completed by:  April 7, 2006


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