Over $123 million awarded for HIV/AIDS service delivery support, impacting public health access

Contract Overview

Contract Amount: $123,421,224 ($123.4M)

Contractor: Family Health International

Awarding Agency: Agency for International Development

Start Date: 2009-06-01

End Date: 2023-04-27

Contract Duration: 5,078 days

Daily Burn Rate: $24.3K/day

Competition Type: COMPETITIVE DELIVERY ORDER

Number of Offers Received: 1

Pricing Type: COST PLUS FIXED FEE

Sector: Healthcare

Official Description: THE PUBLIC SECTOR HIV/AIDS SERVICE DELIVERY SUPPORT PROGRAM NEEDS TO SUPPORT THE GRZ?S VISION OF ?A NATION FREE FROM THE THREAT OF HIV AND AIDS? THROUGH ?EQUITY OF ACCESS TO ASSURED QUALITY, COST-EFFECTIVE AND AFFORDABLE HEALTH SERVICES AS CLOSE TO THE FAMILY AS POSSIBLE

Plain-Language Summary

Agency for International Development obligated $123.4 million to FAMILY HEALTH INTERNATIONAL for work described as: THE PUBLIC SECTOR HIV/AIDS SERVICE DELIVERY SUPPORT PROGRAM NEEDS TO SUPPORT THE GRZ?S VISION OF ?A NATION FREE FROM THE THREAT OF HIV AND AIDS? THROUGH ?EQUITY OF ACCESS TO ASSURED QUALITY, COST-EFFECTIVE AND AFFORDABLE HEALTH SERVICES AS CLOSE TO THE FAMILY AS POSSIBLE Key points: 1. Contract aims to align with national vision for HIV/AIDS-free status and equitable access to healthcare. 2. Focus on administrative management and general consulting services to support public sector delivery. 3. Long contract duration of over 13 years suggests a sustained need for these services. 4. Awarded as a competitive delivery order, indicating some level of market engagement. 5. The contract's value is substantial, reflecting the scale of the HIV/AIDS challenge. 6. Performance period spans significant public health initiatives and program evolution.

Value Assessment

Rating: fair

Benchmarking the value of this contract is challenging without specific performance metrics or comparable service delivery contracts in the public health sector. The cost-plus-fixed-fee pricing structure necessitates careful monitoring to ensure costs remain reasonable and the fixed fee is justified by the services rendered. Given the long duration and significant award amount, a detailed cost-benefit analysis would be beneficial to assess the overall value for money.

Cost Per Unit: N/A

Competition Analysis

Competition Level: unknown

This contract was awarded as a competitive delivery order, suggesting that multiple vendors had the opportunity to bid. The specific number of bidders is not detailed, but a competitive award generally implies a degree of price discovery and potential for cost savings compared to sole-source procurements. The nature of 'competitive delivery order' indicates it was likely part of a larger indefinite-delivery indefinite-quantity (IDIQ) contract or a similar framework.

Taxpayer Impact: A competitive award process, even for a delivery order, is generally favorable for taxpayers as it encourages vendors to offer competitive pricing and terms, potentially leading to better value.

Public Impact

Beneficiaries include individuals seeking HIV/AIDS services and the broader population through public health system strengthening. Services delivered encompass administrative management and general consulting to support the public sector's HIV/AIDS programs. Geographic impact is likely national, focusing on improving access to healthcare services across the country. Workforce implications may include support for public health professionals and administrative staff involved in HIV/AIDS initiatives.

Waste & Efficiency Indicators

Waste Risk Score: 50 / 10

Warning Flags

Potential for cost overruns in cost-plus-fixed-fee contracts if not rigorously managed.
Ensuring consistent quality of administrative and consulting services over a long contract duration.
Measuring the direct impact of administrative support on HIV/AIDS service delivery outcomes.

Positive Signals

Long-term commitment to a critical public health issue demonstrates sustained support.
Competitive award process suggests efforts to achieve reasonable pricing.
Alignment with national health vision indicates strategic importance and potential for significant impact.

Sector Analysis

This contract falls within the professional, scientific, and technical services sector, specifically focusing on administrative and management consulting. The public health domain, particularly for large-scale disease programs like HIV/AIDS, often requires significant support services. Comparable spending benchmarks would typically be found within other large government health initiatives or international development programs focused on health system strengthening.

Small Business Impact

Information regarding small business set-asides or subcontracting plans is not explicitly provided in the data. Without this information, it's difficult to assess the impact on the small business ecosystem. However, the nature of administrative and consulting services can sometimes lend themselves to subcontracting opportunities for specialized firms.

Oversight & Accountability

Oversight mechanisms would typically involve the contracting agency (Agency for International Development) through contract officers, program managers, and potentially Inspector General reviews. Transparency is usually facilitated through contract award databases and reporting requirements. Accountability measures would be tied to performance metrics and deliverables outlined in the contract.

Related Government Programs

Public Sector HIV/AIDS Programs
Global Health Initiatives
Administrative Management Consulting
Health Service Delivery Support

Risk Flags

Long contract duration may increase risk of scope creep or changing needs.
Cost-plus-fixed-fee structure requires diligent cost oversight.
Lack of specific performance metrics makes value assessment difficult.

Frequently Asked Questions

What is this federal contract paying for?

Agency for International Development awarded $123.4 million to FAMILY HEALTH INTERNATIONAL. THE PUBLIC SECTOR HIV/AIDS SERVICE DELIVERY SUPPORT PROGRAM NEEDS TO SUPPORT THE GRZ?S VISION OF ?A NATION FREE FROM THE THREAT OF HIV AND AIDS? THROUGH ?EQUITY OF ACCESS TO ASSURED QUALITY, COST-EFFECTIVE AND AFFORDABLE HEALTH SERVICES AS CLOSE TO THE FAMILY AS POSSIBLE

Who is the contractor on this award?

The obligated recipient is FAMILY HEALTH INTERNATIONAL.

Which agency awarded this contract?

Awarding agency: Agency for International Development (Agency for International Development).

What is the total obligated amount?

The obligated amount is $123.4 million.

What is the period of performance?

Start: 2009-06-01. End: 2023-04-27.

What specific administrative and management consulting services are being provided under this contract?

The contract specifies 'Administrative Management and General Management Consulting Services' (NAICS code 541611). While the exact deliverables are not detailed in the provided data, these services typically encompass a range of activities aimed at improving the efficiency and effectiveness of public sector operations. This could include strategic planning, organizational development, process improvement, policy analysis, program management support, and general administrative support for the implementation of HIV/AIDS programs. The goal is to enhance the capacity of the government to deliver quality HIV/AIDS services.

How does the cost-plus-fixed-fee (CPFF) pricing structure impact value for money in this contract?

A Cost-Plus-Fixed-Fee (CPFF) contract allows the contractor to recover all allowable costs plus a fixed fee, representing profit. This structure can be beneficial when the scope of work is not precisely defined or is expected to evolve, as it provides flexibility. However, it carries a risk of cost overruns if costs are not diligently managed and scrutinized by the government. For value for money, the fixed fee must be reasonable for the services provided, and the government must have robust oversight to ensure costs are necessary and reasonable. Without detailed performance data and cost breakdowns, it's difficult to definitively assess the value derived from this CPFF arrangement.

What is the historical spending trend for HIV/AIDS service delivery support programs by this agency?

The provided data only details a single contract award of $123,421,223.77 for the 'PUBLIC SECTOR HIV/AIDS SERVICE DELIVERY SUPPORT PROGRAM'. To understand historical spending trends, one would need to analyze the Agency for International Development's (USAID) procurement data over multiple fiscal years, looking specifically for contracts related to HIV/AIDS service delivery support, public health programs, and administrative/management consulting services within this sector. This would involve querying databases like USAspending.gov or agency-specific reports to identify patterns in award amounts, contract types, and durations for similar programs.

What are the key performance indicators (KPIs) used to measure the success of this contract?

The provided data does not specify the Key Performance Indicators (KPIs) for this contract. Typically, for a contract focused on HIV/AIDS service delivery support, KPIs would be designed to measure improvements in program efficiency, effectiveness, and reach. Examples could include metrics related to the number of individuals reached with services, adherence rates to treatment protocols, reduction in transmission rates, improvements in supply chain management for medications, enhanced data reporting accuracy, or increased capacity of local health workers. These KPIs would be crucial for assessing the contractor's performance and the overall impact of the services.

How does this contract align with the broader goals of the Agency for International Development (USAID) in global health?

This contract directly aligns with USAID's overarching mission to advance global health security and improve health outcomes in developing countries. USAID is a major implementer of U.S. government initiatives like the President's Emergency Plan for AIDS Relief (PEPFAR), which aims to combat the global HIV/AIDS epidemic. By providing administrative and management support for public sector HIV/AIDS service delivery, this contract contributes to strengthening health systems, ensuring access to life-saving treatments and prevention services, and ultimately working towards controlling and ending the HIV/AIDS epidemic in partner countries, a key strategic objective for USAID.

Industry Classification

NAICS: Professional, Scientific, and Technical Services › Management, Scientific, and Technical Consulting Services › Administrative Management and General Management Consulting Services

Product/Service Code: SUPPORT SVCS (PROF, ADMIN, MGMT) › PROFESSIONAL SERVICES

Competition & Pricing

Extent Competed: COMPETITIVE DELIVERY ORDER

Solicitation Procedures: NEGOTIATED PROPOSAL/QUOTE

Offers Received: 1

Pricing Type: COST PLUS FIXED FEE (U)

Evaluated Preference: NONE

Contractor Details

Address: 359 BLACKWELL ST STE 200, DURHAM, NC, 27701

Business Categories: Category Business, Corporate Entity Tax Exempt, Nonprofit Organization, Not Designated a Small Business, Special Designations, U.S.-Owned Business

Financial Breakdown

Contract Ceiling: $124,099,097

Exercised Options: $124,099,097

Current Obligation: $123,421,224

Contract Characteristics

Commercial Item: COMMERCIAL PRODUCTS/SERVICES PROCEDURES NOT USED

Cost or Pricing Data: NO

Parent Contract

Parent Award PIID: AIDGHHI000700043

IDV Type: IDC

Timeline