This service is part of the preparatory study for the project to rebuild the Melsisi health centre and provide support for its reopening. For Axis 4 "Feasibility study for rehabilitation of the Melsisi health centre, ensuring its climate resilience ", the expected deliverables are described below:

1.    Deliverable 1: Methodological proposal, detailing the working approach, tools, planned methodology and detailed work schedule.

2.    Deliverable 2: The detailed functional and technical programme and its appendices, which must include the following elements:

• An assessment of the authorities needs and requirements for the sizing of the health centre;
  
• Identification of the problems encountered by the World Bank, and an analysis of the risks of the reconstruction project and proposals for risk mitigation measures;
  
• An initial identification and assessment of  local operators capacities (particularly logistical) - architects, design offices and companies - and recommendations for the tenders to select the service provider who will carry out the reconstruction;
  
• Taking into account the supply and storage of drinking water, the production of electricity and the maintenance of the cold chain (vaccines, medicines and heat-sensitive reagents);
  
• Identifying the appropriate technical choices for infrastructure, equipment and energy management (carbon footprint, energy efficiency measures);
  
• Consideration of the management of biomedical waste and other common waste;
  
• Staff accommodation, bearing in mind that this is a key factor in attracting staff at a time when there is a shortage of human resources in the healthcare sector; 
• A proposal for different costed scenarios (sizing and zoning) for rebuilding the infrastructure on its current site, ensuring that it is climate resilient, sober and self-sufficient. If deemed relevant, this work will incorporate the standardisation work carried out by the authorities:

a.    Scenario 1: Completion of the renovation of the health centre and possible small extension to it, including the following elements:
- Confirm the extent of the work required to complete and secure the work previously carried out;
- Consider a limited extension to the building, as required;
- Determine the associated equipment plan required;
- Propose a consolidated costing, a detailed technical programme and a carbon footprint;
- Draw up the contract documents needed to recruit the project management team: call for expressions of interest, call for proposals in accordance with AFD guidelines.

b.    Scenario 2: Construction of a new infrastructure, including the following elements:
- Determine the associated equipment plan required;
- Propose a detailed technical programme (including the functional programme) for the infrastructure based on the selected scenario (with a consolidated costing), including a carbon footprint;
- Draw up the contract documents required to recruit the project management team: call for expressions of interest, call for proposals in accordance with AFD guidelines.

3.    Deliverable 3: Project cost estimates: on the basis of the studies carried out, the service provider will have to propose a quantified and stabilised estimate of the total cost of the operation excluding taxes, including VAT and end-of-site value, for all the structural works (roads, networks, technical premises, incinerator) and by type of premises. More specifically, the estimate will reflect:

• Construction costs will have to take account of local conditions: costs and availability of construction materials, equipment (including biomedical equipment), transport and storage, installation, etc. ;
  
• Peripheral facilities;
  
• Network connection costs;
  
• Fees, particularly for intellectual services;
  
• Insurance costs;
  
• Maintenance and servicing costs;
  
• Equipment plan;
  
• The project's carbon footprint.
  
• The return on investment for bioclimatic measures, energy efficiency, energy production and water consumption reduction.