Location: Phnom Penh
The Clinton Health Access Initiative, Inc. (CHAI) is a global health organization committed to saving lives and improving health outcomes in low- and middle-income countries by enabling the government and private sector to strengthen and sustain quality health systems.
The Clinton Health Access Initiative, Inc. (CHAI) Cambodia invites interested and capable organizations to submit proposals to contribute to the design of the evaluation protocol and to lead data collection, analysis, and reporting for a retrospective evaluation of the Hub-and-Spoke Medical Oxygen Delivery and Supply Model implementation in Kampong Cham Province, Cambodia. The selected organization (hereinafter, the “Offerors”) will work in structured collaboration with CHAI at all stages of the evaluation, from protocol finalization through to final reporting. The full terms of this engagement, including the division of responsibilities between the Offerors and CHAI, are detailed in the Scope of Work (Section G) and the Evaluation Protocol (Annex B).
Access to medical oxygen remains a critical and persistent gap across health systems in low- and middle-income countries. In Cambodia, systemic shortfalls in oxygen supply, marked by cylinder shortages, non-functional concentrators, and heavy dependence on costly private suppliers were significantly exposed during the COVID-19 pandemic. In response, the Royal Government of Cambodia and development partners made substantial investments in domestic oxygen generation infrastructure (PSA plant), increasing from 2 to now 64 PSA plants across the country.
In Kampong Cham Province, CHAI worked alongside the Ministry of Health (MoH) and the Kampong Cham Provincial Health Department (PHD) to rehabilitate the PSA oxygen plant at Kampong Cham Provincial Hospital (KCPH) and establish a sustainable operating model around it. CHAI’s support covered plant rehabilitation, production scheduling, supply chain management, health financing and cost-recovery design, technical training for plant operators, and data management systems. These efforts have given rise to the hub-and-spoke oxygen delivery model, operational since May 2023, under which KCPH serves as the central production hub. Eight district referral hospitals and one operational district administration office function as secondary hubs, redistributing cylinders to health centers and private providers across all nine operational districts at prices substantially below prevailing private market rates.
While the model’s operational logic is sound and participation has expanded steadily since its launch, its actual impact on oxygen costs, supply reliability, PSA plant utilization, and long-term financial sustainability has not been formally evaluated. CHAI together with MoH and PHD Kampong Cham now seeks to conduct a rigorous retrospective evaluation to generate evidence on results achieved, and to inform model refinement, health financing planning, and MoH deliberations on replication of this model at the national scale. A comprehensive account of the model’s design, theory of change, and study objectives is provided in the Evaluation Protocol attached as Annex B, which Bidders are required to read in full before preparing their proposal.
As an overview of the evaluation, the program evaluation will use a retrospective, cross-sectional, mixed-methods design, integrating qualitative and quantitative components across two parallel workstreams.
1. The qualitative component will comprise 4 structured stakeholder discussions and 2 small group discussions with purposively selected stakeholders from the Ministry of Health, the Kampong Cham PHD, the Provincial Department of Economy and Finance (PDEF), Operational District, and PSA plant management. All sessions will be conducted in Khmer and audio-recorded with participant consent, with transcription in Khmer and translation into English subject to bilingual quality control.
2. The quantitative component will consist of structured facility-level assessments across a representative sample of 31 facilities, comprising 1 Provincial Hospital, 8 Referral Hospitals, 1 Operational District administration office, 12 Health Centres, and 10 private providers in all nine Operational Districts of Kampong Cham Province.
Prior to contracting, the CHAI team will secure fieldwork authorization from evaluation sites, as well as develop data collection tools and the analytical framework for both the qualitative and quantitative components.
Data analysis responsibilities will be shared: the Offerors will lead the qualitative analysis and conduct descriptive analysis of the facility-level quantitative dataset, while CHAI will lead the financial sustainability modeling and secondary data analysis. In addition, CHAI will coordinate with relevant government counterparts at the Ministry of Health and in Kampong Cham Province throughout the evaluation process, including the fieldwork period.
A comprehensive background of the Hub and Spoke model’s design, theory of change, objectives, and information related to this evaluation is provided in the Evaluation Protocol attached as Annex B, which Offerors are required to read in full before preparing their proposal.
Offerors are invited to submit proposals in response to this RFP in accordance with Section D, Instructions for Preparation of Proposal and Submission to CHAI.
This RFP does not obligate CHAI to make an award or fund an applicant, nor does it commit CHAI to reimburse for the costs incurred for proposal preparation. All costs related to proposal preparation must be borne by the offeror. CHAI will accept no fee for the submission of these applications. CHAI makes no representations or warranties and will not incur any liability under any law as to the accuracy, reliability, or completeness of the information contained in the RFP.
B. Proposal Dates and Requirements
The table below summarizes key dates in the RFP process. Offerors are expected to comply with these dates and deadlines. CHAI reserves the right to modify the dates at its discretion.
The Clinton Health Access Initiative, Inc. (CHAI) Cambodia invites interested and capable organizations to submit proposals to contribute to the design of the evaluation protocol and to lead data collection, analysis, and reporting for a retrospective evaluation of the Hub-and-Spoke Medical Oxygen Delivery and Supply Model implementation in Kampong Cham Province, Cambodia. The selected organization (hereinafter, the “Offerors”) will work in structured collaboration with CHAI at all stages of the evaluation, from protocol finalization through to final reporting. The full terms of this engagement, including the division of responsibilities between the Offerors and CHAI, are detailed in the Scope of Work (Section G) and the Evaluation Protocol (Annex B).
Access to medical oxygen remains a critical and persistent gap across health systems in low- and middle-income countries. In Cambodia, systemic shortfalls in oxygen supply, marked by cylinder shortages, non-functional concentrators, and heavy dependence on costly private suppliers were significantly exposed during the COVID-19 pandemic. In response, the Royal Government of Cambodia and development partners made substantial investments in domestic oxygen generation infrastructure (PSA plant), increasing from 2 to now 64 PSA plants across the country.
In Kampong Cham Province, CHAI worked alongside the Ministry of Health (MoH) and the Kampong Cham Provincial Health Department (PHD) to rehabilitate the PSA oxygen plant at Kampong Cham Provincial Hospital (KCPH) and establish a sustainable operating model around it. CHAI’s support covered plant rehabilitation, production scheduling, supply chain management, health financing and cost-recovery design, technical training for plant operators, and data management systems. These efforts have given rise to the hub-and-spoke oxygen delivery model, operational since May 2023, under which KCPH serves as the central production hub. Eight district referral hospitals and one operational district administration office function as secondary hubs, redistributing cylinders to health centers and private providers across all nine operational districts at prices substantially below prevailing private market rates.
While the model’s operational logic is sound and participation has expanded steadily since its launch, its actual impact on oxygen costs, supply reliability, PSA plant utilization, and long-term financial sustainability has not been formally evaluated. CHAI together with MoH and PHD Kampong Cham now seeks to conduct a rigorous retrospective evaluation to generate evidence on results achieved, and to inform model refinement, health financing planning, and MoH deliberations on replication of this model at the national scale. A comprehensive account of the model’s design, theory of change, and study objectives is provided in the Evaluation Protocol attached as Annex B, which Bidders are required to read in full before preparing their proposal.
As an overview of the evaluation, the program evaluation will use a retrospective, cross-sectional, mixed-methods design, integrating qualitative and quantitative components across two parallel workstreams.
1. The qualitative component will comprise 4 structured stakeholder discussions and 2 small group discussions with purposively selected stakeholders from the Ministry of Health, the Kampong Cham PHD, the Provincial Department of Economy and Finance (PDEF), Operational District, and PSA plant management. All sessions will be conducted in Khmer and audio-recorded with participant consent, with transcription in Khmer and translation into English subject to bilingual quality control.
2. The quantitative component will consist of structured facility-level assessments across a representative sample of 31 facilities, comprising 1 Provincial Hospital, 8 Referral Hospitals, 1 Operational District administration office, 12 Health Centres, and 10 private providers in all nine Operational Districts of Kampong Cham Province.
Prior to contracting, the CHAI team will secure fieldwork authorization from evaluation sites, as well as develop data collection tools and the analytical framework for both the qualitative and quantitative components.
Data analysis responsibilities will be shared: the Offerors will lead the qualitative analysis and conduct descriptive analysis of the facility-level quantitative dataset, while CHAI will lead the financial sustainability modeling and secondary data analysis. In addition, CHAI will coordinate with relevant government counterparts at the Ministry of Health and in Kampong Cham Province throughout the evaluation process, including the fieldwork period.
A comprehensive background of the Hub and Spoke model’s design, theory of change, objectives, and information related to this evaluation is provided in the Evaluation Protocol attached as Annex B, which Offerors are required to read in full before preparing their proposal.
Offerors are invited to submit proposals in response to this RFP in accordance with Section D, Instructions for Preparation of Proposal and Submission to CHAI.
This RFP does not obligate CHAI to make an award or fund an applicant, nor does it commit CHAI to reimburse for the costs incurred for proposal preparation. All costs related to proposal preparation must be borne by the offeror. CHAI will accept no fee for the submission of these applications. CHAI makes no representations or warranties and will not incur any liability under any law as to the accuracy, reliability, or completeness of the information contained in the RFP.
B. Proposal Dates and Requirements
The table below summarizes key dates in the RFP process. Offerors are expected to comply with these dates and deadlines. CHAI reserves the right to modify the dates at its discretion.
|
Milestone |
Date |
|
RFP Released |
March 25, 2026 |
|
Deadline for Written Questions |
March 30, 2026 |
|
Answers for Questions Released |
March 31, 2026 |
|
Proposals due |
April 8, 2026 |
|
Estimated award |
April 24, 2026 |
Please send CV and cover letter to
Email: cambodiaoffice@clintonhealthaccess.org , soung@clintonhealthaccess.org , kgove@clintonhealthaccess.org ; jmakondesa@clintonhealthaccess.org , lmao@clintonhealthaccess.org
Phone:
Website: https://www.clintonhealthaccess.org
Please mention "www.Cambodiajobs.Biz" where you saw the ad when you apply!
Website: https://www.clintonhealthaccess.org
Please mention "www.Cambodiajobs.Biz" where you saw the ad when you apply!


