RFT - Modified Health Services Deliver in Remote and Underserved Areas

DT Global invites proposals for RFT - Modified Health Services Deliver in Remote and Underserved Areas. Submissions close on 17 October 2026. DT Global is an international development implementing partner; proposals are submitted to the address given in the notice.

About the Proposal Program Background The Australia–Indonesia Partnership for Health Transformation (KITA SEHAT) is a four-year investment of approximately A$50 million by the Australian Department of Foreign Affairs and Trade (DFAT), implemented in partnership with the Government of Indonesia to support national human and animal health priorities. Building on Australia’s longstanding health sector engagement, including the Australia Indonesia Health Security Partnership (AIHSP), the program strengthens health systems and health security across both human and animal health, while renewing support for primary health care in line with Indonesia’s health transformation agenda. Operating at national and selected subnational levels, KITA SEHAT provides strategic policy, governance, and service delivery advice through technical assistance, public sector partnerships, research, and CSO/NGO grants. The program works closely with UN agencies and other development partners to ensure coordinated and complementary support. Its four end-of-program outcomes focus on strengthening primary health care policies and services, improving health system enablers and workforce capacity, and enhancing health security, with gender equality, disability equity and social inclusion (GEDSI) and climate resilience integrated throughout. About DT Global Asia Pacific At DT Global Asia Pacific, we aim to positively impact people’s lives through delivery excellence. As a leading implementing partner across Asia and the Pacific, we co-create locally led solutions in partnership with governments, communities, and stakeholders. We bring together talented teams and deep regional expertise to deliver initiatives that promote inclusive economic growth, essential services, and resilient, secure communities. With over 1,500 staff, experts in 22+ countries and more than 60 years of development experience, we tackle complex community, national and transnational challenges, from governance and justice systems to climate resilience, infrastructure and social equity, with innovative thinking and a commitment to long-term impact. For more information, please see www.dt-global.com The Role Working in close consultation with KITA SEHAT PMT, MoH counterparts, subnational governments, Puskesmas, communities, and relevant technical stakeholders, the subcontractor will: Assess the implementation context for the national last-mile guideline through a bottom-up assessment of primary health care access, service delivery barriers, community needs, health system readiness, and local implementation constraints in selected DTPK-KAT settings. Map and analyse previous and existing service delivery initiatives across different DTPK-KAT contexts, including national programmes, for example: Nusantara Sehat - the deployment of health teams to Puskesmas, and subnational and locally initiated approaches, such as telemedicine, mobile health services, task shifting, and local health workforce mobility. The mapping should be organised by DTPK-KAT typology—remote, island, forest, and indigenous people’s contexts—and document where and how each initiative was implemented, the challenges encountered, lessons learned, enabling factors, and adaptations made to respond to local conditions. The findings will provide an evidence base for identifying, adapting, and developing practical service delivery models appropriate to different DTPK-KAT contexts. Partner with a university or research institution with expertise in health systems and service delivery to assess several domains: Acceptability to communities, health workers, and local government; Appropriateness, relevance to local context, culture, and health-seeking behaviour; Feasibility, whether the guideline can be delivered with available resources, infrastructure, and workforce; Adoption, uptake and intention to use by Puskesmas and their staff. Consolidate and adapt the lessons learned, previous guidelines, and work for the last-mile service delivery model for each selected setting and design the implementation strategies and support needed for it to work, identifying which elements of the guideline can be applied as designed, which require adaptation, and how adaptations preserve the guideline's core intent. Conduct limited feasibility testing or practical implementation of selected models, where appropriate and feasible, to generate operational evidence, lessons learned, and recommendations for policy development, governance strengthening, and future scale-up. The assignment is expected to produce the following outputs: A bottom-up assessment report covering needs, access barriers, service delivery challenges, readiness, regulatory considerations, human health worker, and local implementation constraints in selected DTPK- KAT contexts. Based on the assessment and mapping, co-designed adaptive primary health care service delivery options that respond to the specific needs and readiness of each location. Operational frameworks and implementation concepts for Telemedicine, Task Shifting, Mobile Health Services, and Local Health Workforce Mobility, adapted to Remote, Islands, Forest, and Indigenous People’s contexts relevant to KITA SEHAT locations. This co-design includes governance arrangements with subnational government, health resource management, technical service delivery requirements, regulatory considerations, and stakeholder alignment. Initial testing and documented findings from limited feasibility testing or practical implementation of selected and relevant service delivery approaches, including an oriented and capacity-strengthened health workforce with Puskesmas and Dinas Kesehatan staff — equipped to implement modified service delivery approaches at pilot sites. Ensuring that the proposed models are responsive to local realities and do not apply a one-size-fits-all approach. Service delivery models must also take into consideration and address the needs, acceptability, and access of relevant mar