Established in 1986 by the chief health officials of the US-Affiliated Pacific Islands (USAPIs) of American Samoa, Commonwealth of the Northern Mariana Islands (CNMI), Federated States of Micronesia (FSM), Guam, Republic of the Marshall Islands (RMI), and the Republic of Palau, the Pacific Island Health Officers’ Association (PIHOA) is a 501(c)3 headquartered in Honolulu, Hawaii, with a field office in Hagåtña, Guam. PIHOA’s mission is to provide, through collective action and decision-making, a credible regional voice for health advocacy in and for the Pacific.
PIHOA is governed by the ministers/directors/secretaries of health of the six USAPIs, their deputies, the Chief Executive Officers of the local public hospitals (associates), and Pacific regional professional associations and development partners (affiliates).  Based on the priorities and needs identified by the USAPI health leadership, PIHOA’s Secretariat staff and consultants provide technical assistance to the USAPI health agencies in the following health systems strengthening areas: 1) health workforce development/human resources for health; 2) epidemiology and surveillance; 3) performance improvement; 4) laboratory services; 5) regional health policy and advocacy; 6) health security; and 7) leadership development.  
PIHOA NCD Emergency Response
In May 2010, PIHOA’s governing board joined forces in a landmark decision to declare a regional state of NCD emergency under PIHOA Resolution #48-01 – Declaring a Regional State of Health Emergency Due to the Epidemic of Non-Communicable Diseases in the United States-Affiliated Pacific Islands. It was a critical decision that pulled the USAPIs together in responding to the NCD crisis in ways the region had never experienced. It triggered high-level responses and commitments across executive and legislative branches of government, and traditional leadership across the USAPIs. Following the declaration, an ‘incident command’ response framework (USAPIs NCD Strategic Roadmap) was developed to inform the regional response over three key phases: 
  1. Sounding the Alert: raising awareness and advocacy amongst key decision-makers in the USAPIs and across the wider Pacific;
  2. Crafting the Response: developing NCD-related tools and resources and establishing effective partnerships; and
  3. Implementing the Response: adoption of an agreed package of NCD policies and legislation, convening a USAPIs NCD law and policy summit, and the collection and analysis of NCD data and information to track NCD progress and risk factors.
From 2010 to 2019, PIHOA’s Secretariat, in close collaboration with USAPI health agencies and in partnership with local health agencies and regional partners, has made significant efforts to mobilize resources to plan and implement a response to the emergency declaration.  This included some key interventions including the development of and garnering the endorsement of regional and other key stakeholders for the USAPI NCD Policy Commitment Package; ensuring a coordinated response across the region by establishing the Health Leadership Council (PIHOA affiliates); developing and implementing the USAPI NCD Strategic Roadmap to guide the response; developing and maintaining the USAPI NCD Core Monitoring and Surveillance Framework and Data Set endorsed in consensus amongst all the USAPIs health agencies; and supporting local efforts to strengthen state/national-level NCD surveillance systems, capacities and processes to support evidence-based policy making and program improvement.     
PIHOA is seeking an evaluation specialist consultant (individual, multi-disciplinary team, or organization) to plan and conduct a quantitative and qualitive summative review and impact assessment of PIHOA’s implementation response to PIHOA Resolution #48-01 since May 2010 to date to encompass the following major thematic areas:
  • Health leadership engagement
  • Partner strategic engagement and coordination
  • NCD policy and advocacy
  • NCD epidemiology and surveillance
  • NCD program improvement
  • NCD response resource mobilization
  • Capacity development/systems strengthening
Key regional strategies, processes, tools and other resources to be reviewed, include, but are not limited to:
  • USAPI NCD health agency, legislative, executive and traditional leader endorsements, communiques and response follow-up to PIHOA Resolution 48-01
  • USAPI NCD Emergency Response Strategic Roadmap
  • USAPI NCD Policy Commitment Package
  • USAPI NCD Law and Policy Summit Concept
  • WHO’s Pacific MANA NCD Policy Dashboard
  • USAPI NCD Policy Toolkit
  • USAPI NCD Core Monitoring and Surveillance Framework and Data Set
  • USAPI Annual NCD Profile (Progress Report)
  • Population-based NCD surveys (NCD Hybrid Survey, High School Behavioral Risk Survey, etc.) and other NCD-related data collection efforts (e.g. walkability assessments)
  • PIHOA Executive Board Meeting minutes and presentations
  • USAPI NCD publications
The evaluation should assess the effectiveness, efficiency, relevancy and impact of the USAPI regional NCD emergency response to date since May 2010.  Based on the results of the evaluation, key recommendations and potential opportunities for scale-up, sustainability, or implementing revised approaches/strategies, etc., should be identified and described in detail.  
This is a summative evaluation utilizing a mix of qualitative (primarily), with some quantitative, approaches and methodologies. Key tasks must include:
  1. Develop an evaluation plan for the overall initiative with input from the PIHOA Secretariat, Board and members.
  2. Implement the evaluation plan, providing status updates as prescribed.
  3. Collate and analyze findings and draft evaluation report to be disseminated to PIHOA Board members and other key stakeholders for review and comments.
  4. Complete evaluation report.
  5. Present virtual evaluation findings/results to PIHOA Board and members.
  6. Plan and conduct virtual strategic planning session(s) with PIHOA Board members and Secretariat staff to discuss, plan and develop a concept plan for identifying and addressing NCD regional priorities for the next 5 years in light of the evaluation findings.
  7. Due to COVID-19, most of the activities for this evaluation will be conducted virtually (primarily via Zoom and/or MS Teams).  Where feasible, some on-site travel may be possible to Hawaii, Guam and the CNMI.  
Interested Proposals will be accepted until 11:59pm HST on March 19, 2021 via email to:
  1. Experience with a similar scope of work.
  2. A clear summary of their approach to the work.
  3. Statement of qualifications and experience to perform the scope of work, including staffing plan (as applicable), summary of related experience for all those to be involved in the project, and a resume/CV for all those to be involved in the project.
  4. Description of project management approach and ability to manage the project scope within the designated timeline.
  5. Fee for services based on the performance period and completion of stated deliverables as itemized in Section IV. Schedule of Deliverables.
  6. Sample evaluation plan, logic model, and evaluation report.
  7. The names, phone numbers and email addresses of three individuals, preferably at different organizations, who have been clients during the last three years who can be contacted as references.
  8. Certification of Eligibility.  All respondents must include a signed certification that the respondent is not debarred, suspended or otherwise excluded from or ineligible for participation in federal assistance programs or activities, the applicant is an equal employment opportunity employer, and the applicant will comply with all applicable contract provisions required for contracts under federal awards or other grantor stipulations.
  1. The Proposal shall not exceed more than 10 pages, excluding budget, attachments, and sample work. 
  2. The Proposal should be organized in the order in which the requirements are presented above and should clearly indicate the specific requirement that is being addressed. 
  3. The Proposal shall include all of the required information indicated herein. Failure to submit all required information may result in a request for prompt submission of missing information, giving a lowered evaluation of the Proposal, or rejection of the Proposal. 
Interested Proposals will be accepted until 11:59pm HST on March 19, 2021 via email to:
Award of the contract is subject to approval by the Executive Director.  Any protest or dispute respective to the solicitation may be addressed to the Executive Director and submitted via email to emic@pihoa.org.
PIHOA is an equal opportunity employer.  Discrimination based on age, race, sex, handicap, or national origin is expressly prohibited.