Study on the implementation of a community-based Cervical Cancer (CC) project in an increasingly privatized health system through Public – Private Partnerships (PPPs) in Pakistan
1_BACKGROUND
Médecins du Monde France (MdM-F) is an independent organisation of active militants providing care, bearing witness and supporting social change, both in France and internationally. For the past 40 years, we have been committed to working with the most vulnerable individuals and their communities to break down the barriers preventing them from having access to healthcare.
BRIEF PRESENTATION OF THE PROJECT
MdM has been active in Pakistan since 2009, responding to emergencies and supporting health facilities providing primary healthcare services to vulnerable communities. MdM France in Pakistan has been implementing a strategic focus centred on Sexual and Reproductive Health and Rights (SRHR), aiming to strengthen access to quality, integrated, and rights-based SRHR services, particularly for women and adolescent girls in underserved and marginalized communities. The programme focuses on key areas including family planning (FP), safe abortion and post-abortion care (PAC), cervical cancer (CC) awareness and screening, Gender Based Violence (GBV) response, and quality antenatal and postnatal care.
MdM will continue developing this strategy in Khyber Pakhtunkhwa (KP) and Punjab through collaboration with public health authorities, health facilities, and community-based actors. The approach combines service delivery, health system strengthening, community engagement, and advocacy to address barriers to care and improve continuity of services.
In the context of Pakistan’s evolving mixed public–private health system, including increasing reliance on public–private partnerships (PPPs), social health protection models and healthcare outsourcing, MdM aims to conduct a consultancy to identify strategic and operational opportunities to strengthen access to healthcare. The study will analyse health system governance, financing mechanisms, PPP arrangements, and existing service delivery models, with a focus on their implications for vulnerable populations and SRHR service provision in KP and Punjab.
2_DEFINITION OF THE CONSULTANCY MISSION
OBJECTIVE
In the context of this project, MdM-F is looking for a consultancy team to carry out an assessment mission, the objective of which is to identify practical and strategic opportunities for MdM to strengthen equitable access to healthcare within Pakistan’s evolving mixed public–private health system, and to provide evidence-based and operational recommendations to guide MdM’s future programming, engagement with public and private actors, and strategic positioning within Pakistan’s health system.
The specific objectives are to:
- Map Pakistan’s health system governance, financing arrangements, PPPs and outsourced service delivery models;
- Identify service delivery gaps and unmet needs that are insufficiently addressed through existing PPP and insurance mechanisms with a specific focus on SRHR including FP, PAC and CC;
- Assess gaps in access, equity, and service delivery, particularly for vulnerable populations and with a specific focus on SRHR including FP, PAC and CC;
- Identify opportunities for MdM to engage with public and private actors and strengthen community-based healthcare;
- Develop actionable, evidence-based recommendations for future programming, partnerships, and advocacy.
BUDGET
The total budget available for this mission is 8400 Euros (including VAT) maximum, inclusive of all costs including contingency costs (maximum 5%).
3_PROFILE SOUGHT
The skills required for the mission are:
- Degree in Public Health, Health Economics, Health Policy, Health systems
- Proven professional experience in health systems analysis and strategic recommendations
- Strong technical expertise in health systems, governance, health financing, PPPs, and health policy
- Proven knowledge and understanding of Pakistan’s health sector
- Direct experience supporting the design, implementation or evaluation of PPP models in KP and Punjab
- Strong understanding of Pakistani’ SRHR landscape and technical expertise in Family Planning and cervical cancer prevention and screening is a strong asset
- Previous experience conducting health system assessments
- Previous and proven experience working with or supporting INGO
- Strong analytical, report writing, and communication skills, with the ability to produce clear and actionable recommendations
- Fluency in English and Urdu and Penjabi and/or Pashto
4_INDICATIVE TIMETABLE
Deadline for an expression of interest: 03/08/2026 at 12 noon (Paris time/CET)
Deadline for filing a complete proposal: 21/08/2026 at 12 noon (Paris time/CET)
Preferred mission launch date: 21/09/2025
Preferred date for the “field” phase: 28/09/2026
Preferred final report delivery date: 06/11/2026
This timetable is for information only and subject to modification.
How to apply
5_DETAILED APPLICATION METHODS
DOCUMENTS TO BE SUBMITTED
Service providers wishing to express their interest are invited to submit the following 2 elements:
- Up-to-date curriculum vitae (CV) of a maximum of 3 pages for each member of the proposed team and stating as applicable the consultancy firm to which each team member belongs.
- A letter of interest of a maximum of three (3) pages, indicating: experience of comparable missions, at least two (2) credentials concerning the performance of comparable contracts, dates of availability for the consultancy process, etc.
The expression of interest will be considered complete if it includes the following 2 elements. It must be sent via email to: < [email protected] > with the subject line “Study on the implementation of a community-based Cervical Cancer (CC) project in an increasingly privatized health system through Public – Private Partnerships (PPPs) / Pakistan”. Expressions of interest submitted in any other manner will not be taken into consideration.
The deadline for submitting an expression of interest is 03/08/2026 at 12 noon (Paris time/CET).
A maximum of six (6) candidates will be shortlisted and invited to submit a complete technical and budget proposal in response to the terms of reference to be provided to them.
INFORMATION FOR APPLICANTS
All information obtained in the context of this expression of interest is the subject of IT processing aimed at creating and archiving a professional file for each application received and for the purpose of any potential audit of our internal procedures. The data collected is sent to: Direction Santé Plaidoyer de MdM-F. In accordance with the French and EU legislation in force, you have the right to access and amend any information relating to you and you can exercise this right by emailing < [email protected] > or writing to Médecins du Monde France, Direction Santé Plaidoyer, 84 avenue du Président Wilson 93210 Saint-Denis. You may also object to the processing of your data on legitimate grounds.
In order to be authorised to apply, bidders must be able to establish, at the discretion of MdM, that they meet the legal, technical and financial conditions applicable and that they have the necessary capacity and sufficient resources to carry out the mission.
