Summary
The Master in Hospital and Healthcare Administration (MHA) program was established to create the profession of chief executive officer (CEO) in Ethiopia and develop management capacity of hospital administrators to improve the quality and efficiency of government hospitals in Ethiopia. This project will support the MHA program at Addis Ababa University (AAU). The vendor will also develop the capacity of Jimma University (JU) to manage and teach the curriculum independently. The vendor will need to provide sufficient faculty to teach all MHA courses, a fully integrated MHA curriculum, and trained administrative support (MHA coordinator, program manager, and IT support) to manage the program in Ethiopia.

Period of Performance
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December 2009 - September 2010

Scope of Work
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1. Addis Ababa University Needs Assessment

Duration: 2 weeks

Personnel: Program Director
Description: The vendor will conduct a detailed needs assessment of AAU's School of Public Health in its resource capacity to launch and sustain a MHA program. Evaluation will include program-focused faculty, administrative support, course offerings, library resources, computers, internet, printing resources, teaching resources, classrooms, and office space. An assessment report will be produced following completion of the assessment.
2. Administrative training and support (to Addis Ababa and Jimma Universities)

Duration: Continuous, on-site and virtual

Personnel: Program Director, Program Manager, Coordinator
Description: The vendor will support and train MHA administration (program coordinator, program manager) in program planning, coordination and delivery expectations. This includes faculty coordination, lecture review, course evaluation and associated evaluative data collection and analysis, course schedule coordination, program recruitment and admissions, and establishing and maintaining coordination with Regional Health Bureaus and the FMoH.
3. Curriculum adaptation and revision

Duration: 2 months

Personnel: Academic Director, Program Director
Description: Vendor staff and senior academic faculty will advise and support the integration of the MHA curriculum handbook into the AAU and JU educational system. The curriculum and instructional plan will be circulated to receive approval from the Academic Dean, Department, and MHA-program focused faculty at each institution. Bimonthly review meetings will be held throughout the process with intervals for revisions.

4. Faculty training workshops
Duration: 5 workshop days (1 day per course) + 1 week preparation

Personnel: Various faculty instructors

Description: The vendor will organize faculty workshops at Jimma University, using a train-the-trainer format to enable delivery of MHA courses. Vendor faculty will offer short workshops for courses not offered at AAU and JU or courses for which AAU/JU requested vendor assistance.

Courses include: Principles of Hospital Management (Sept '10), Health Economics (Jan '10), HMIS/data management and reporting (Sept '10), Financial Management (Jan '10), and Management Capstone project (Sept '10).

5. Faculty preparation for delivery of MHA training

Duration: 1 week

Personnel: Program Director, Program Manager, and various faculty instructors

Description: The vendor will prepare AAU faculty to deliver MHA courses independently. This includes compilation of readings, case studies, group work, and preparation of lecture materials into format appropriate for adult learners. Course support in: Health Economics and Financial Management and Accounting, Human Resource Leadership and Development, Strategic Management, and Research Methods

6. Vendor co-lecture and/or audit of MHA training

Duration: AAU Block I (3 weeks), JU Block III (3 weeks), JU Block IV (3 weeks), JU Block V (3 weeks)

Personnel: Program Director, Program Manager, and various faculty instructors

Description: Vendor faculty will observe JU and AAU faculty as they teach new material and will be present in the classroom, provide coaching, real-time feedback, and materials as needed.
Vendor faculty will lessen their teaching time in the MHA program as JU/AU faculty increase their teaching until all courses can be successfully taught independently by both universities.

7. Project management of both programs

Duration: Continuous throughout duration of contract

Personnel: Program Manager

Description: The program manager will oversee all coordination of tasks and implementation efforts of the vendor, including instruction, travel, assessment, and curricular advisement. The program manager will ensure that all tasks are fully implemented, adhere to the project timeline and all coordinating parties remain aligned and informed of programmatic changes. The project manager will serve as the communication liaison among AAU, JU, the FMoH, and the vendor.

Program Deliverables and Management Approach
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Vendor support in the MHA program through 2010 will accomplish the following:

1. Fully transition the MHA program to Jimma University, to support Jimma's efforts to ensure that the MHA is fully operational and can be sustained
2. Graduate 55 CEOs with MHA degrees; Cohort I (March 2010) and Cohort II (December 2010)
3. Establish a new MHA program, which will accept its first class of MHA students in September 2010, and ensure that the MHA is fully embedded in Addis Ababa University (academically, managerially, and operationally)

To accomplish our goals, the MHA program director will oversee all program-related activities within AAU and Jimma University, conduct the needs assessment at AAU, consult on course content and curriculum adaptation, and provide general implementation and management guidance on MHA activities.

A program manager will organize faculty training sessions and student training blocks at both institutions, create block schedules, organize faculty lectures and travel, and assist the director in curriculum adaptation. A program coordinator will organize and participate in evaluative data collection, and serve as a liaison to all CEOs.

Instructor support for Ethiopian faculty training and delivery of the training blocks will be required in the areas of Hospital Operations, Financial Management, Scientific Problem Solving, Human Resource Leadership and Development, and Health and Management Information Systems.

Evaluation
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The evaluation of the project and its two programs will be measured against a set of indicators:

1) Evidence of improvements in hospitals' adherence to national hospital management standards (instrument: EHMI hospital assessment tool)
2) Number of MHA graduates (degrees offered)
3) Job retention rates for MHA graduates
4) Number of promotions of MHA program graduates
5) Student course and instructor evaluations