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Consultancy Terms Of Reference-Scaling Digital Health Innovations for Community Health


Living Goods (LG) uses the disruptive power of digital technology to equip and empower thousands of community health workers across Kenya and Uganda to deliver timely, life-saving health treatments and services on demand to the doorsteps of the poor. Living Goods (LG) goal is that by 2030, every mother and child will have access to basic healthcare in their community. We believe that the widespread adoption of high-impact, low-cost community health will be a breakthrough every bit as transformative as a new vaccine, or the eradication of a disease. Millions of lives will be saved. Entire countries will be healthier


To achieve widespread adoption of high-impact, low-cost community health, LG is currently directly implementing community health programs in Kenya and Uganda working with both national and sub-national governments. We are also focusing on multiplying impact through partners and policy, by providing Technical Assistance on policy/regulation, planning, innovative financing and implementation to governments and large scale implementors.


Living Goods has a robust experiments team which investigates the opportunity to incrementally improve impact and iterate on our direct implementation as well as support uptake of good practice from the Living Goods model by other partners. We carry out research in partnership with national and sub-national government to inform policy and practice. We are implementing the Innovation Network – a last mile testbed that uses empirical evidence to test if and how emerging technologies which demonstrate immense potential to transform healthcare delivery at community level can be scaled.


We believe technology and innovation will accelerate achievement of the 2030 Sustainable Development Goals particularly SDG 3 as well as UHC. As such, we are working to define our global innovation agenda to support and inform LGs global vision as well as our R&D and technology strategies. Realigning the Innovation Network fall within this broader work.



The purpose of this assignment is to help us understand how LG might restructure the Innovation Network to enable digital health innovations for Community Health reach scale and impact. The Innovation Network is a last-mile innovation testbed within LG was initiated in 2017 to design, research, test and demonstrate the viability of digital innovations in community health. The Innovation Network is set to run to October 2020.


Although there is an abundance of digital innovations for community health, the evidence base on scaling innovation is still relatively immature. This is a consequence both of the small number of innovations that have successfully scaled in the development space, and the fact that most are documented or analyzed from the perspective of the impact they have had rather than the ‘critical success factors’ that actually led to that impact and scale being achieved. As a result, many scaling frameworks currently in existence lack empirical grounding and validation. Further we seek to understand the gaps and opportunities that the Innovation Network may address across the journey from the “idea” stage to “sustainable scale”.


Given recognized challenges and the necessity to better expand and embed innovation, there is a need to further develop an evolved model that will allow the Innovation Network to sustain and scale, addressing the systemic shortfalls of existing innovation models.


To do so, Living Goods Innovation Networks seeks to understand existing barriers to scaling innovation and frameworks to develop a comprehensive system that enables innovations in community mHealth to overcome these obstacles and achieve exponential impact. To help us better understand how a last-mile testbed might be structured to enable digital health innovations for Community Health reach scale and impact, this assignment has the following key objectives:

  • To help us understand global health innovation space and the path to identifying and scaling impactful innovations
  • To identify trends and emerging opportunities in the global health innovation space
  • To understand Living Goods comparative advantage in addressing these opportunities
  • To understand what systems, processes and partnerships Living Goods requires to enable integration with level 2 & 3 facilities as well as independent laboratories as appropriate, to support clinical validation of data.
  • To recommend a framework for implementation and testing of digital community health innovations at the last mile as part of the LG Innovation Network project.

Expected deliverables include:

  • A literature review that identify the latest developments, research and discourse in the global community health space and on scaling digital health innovation.
  •  A community health innovation ecosystem summary report which maps the innovation value chain and actors and identifies challenges and opportunities in implementing and scaling digital health innovations for community health.
  • Recommendations on what systems, processes and partnerships Living Goods requires to enable integration with level 2 & 3 facilities as well as independent laboratories as appropriate, to support clinical validation of data.
  • An evolved Innovation Network framework that can be used by LG as well as other organisations interested supporting innovations scale.
  • A business model providing direction on partnership framework, operating model, and revenue/funding model.
  • A business plan, including implementation roadmap, and success measurement approach.

The consultant(s) will work closely with the Senior Project Manager Innovation Network and be accountable to, and guided by, the Director Digital Health & Innovation.



It is anticipated that the assignment will take 30-45 working days between September 01 and November 10 2019.



  • Post-graduate qualification (PhD strongly preferred) in a field related to global public health
  • Demonstrated expertise of working the in area of digital innovation preferably in primary health setting.
  • Demonstrated expertise in building frameworks and business model.
  • Knowledge of the latest literature on scaling innovation.
  • Established connections within the development, innovation and practitioner communities
  • Be fluent in English - written and spoken


Expressions of interest to conduct this consultancy are invited from suitably qualified and experienced consultants. Expressions of Interest must be delivered electronically to Living Goods no later than 17:00 EAT (GMT+3)  September 25 2019. Please Submit your technical and financial bids in PDF format to and include “Request for Proposals - Scaling Digital Health Innovations for Community Health” on the subject line.

Proposals should include:

  • Your qualifications and expertise
  • Your understanding of the assignment
  • Prior experience with similar work. Please include attachments/links to a sample of previous similar work and share the contact information for a referee directly relevant to this task.
  • A brief work plan and financial proposal to deliver against the Terms of Reference
  • Proposed cost for the assignment
  • CVs or Resumes of the lead consulting firm, and (if a team of consultants is applying) each individual on the team, highlighting credentials and relevant experience.
  • Please share the above documents in a single compressed folder.

Evaluation of Proposals/Bids.

  • Evaluation of bids submitted pursuant to this RFP will be carried out by LG as appropriate.
  • In evaluating bids, LG will seek best value for money rather than merely the lowest price bid.
  • LG is not bound to accept the lowest price and reserves the right to accept any bid in a whole or in part and also to reject any or all tenders without disclosing any of its reason for taking of the decision resulting from this RFP.

Please note that local tax laws shall be applicable on professional fees as stipulated for either for Residents or non-Residents.


LG will officially notify all successful and unsuccessful bidders.

Our current job openings are displayed on our website, where you can search for open positions and apply directly. Living Goods does not offer any positions without an interview and never asks candidates for money. If you are asked for money, we strongly recommend that you do not respond and do not send money or personal information.


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