Government of the People’s Republic...

Government of the People’s Republic of

Bangladesh

Urban Primary Health Care Services Delivery Project ADB Loan 2878 BAN (SF)/SIDA Grant 0298/UNFPA Grant BGD8U201,BGD8U202

Local Government Division

Ministry of Local Government, Rural Development & Cooperatives

Quarterly Performance Report

April-June 2017

Implementing Agencies

Dhaka South, Dhaka North, Rajshahi, Khulna, Barisal, Sylhet, Comilla,

Narayangonj, Rangpur, Gazipur City Corporations

&

Gopalgonj, Kishoregonj, Kushtia, Sirajgonj Municipalities

Project Management Unit

Nagar Bhaban, 5 Phoenix Road, Dhaka-1000, Bangladesh.

Phone: +880 2 955 0917, Fax: +880 956 9124. email: [email protected]

web: www.uphcp.gov.bd

ACRONYMS

AAAQ Availability, Acceptability, Affordability, Quality

ADB Asian Development Bank

AIDS Acquired Immune Deficiency Syndrome

ANC Antenatal Care

ARH Adolescent Reproductive Health

ARI Acute Respiratory Infection

BAPSA Association for Prevention of Septic Abortion Bangladesh

BCC Barisal City Corporation

BCC Behavior Change Communication

BCCM Behavior Change Communication & Marketing

BDHS Bangladesh Demographic and Health Survey

BRAC Bangladesh Rural Advancement Committee

BSMMU Bangabondhu Shaikh Mujib Medical University

CMC City Maternity Center

CoCC Comilla City Corporation

CRHCC Comprehensive Reproductive Health Care Center

CS Caesarian Section

CWM Clinical Waste Management

DNCC Dhaka North City Corporation

DOTS Directly Observed Treatment Short course

DPP Development Project Proforma

DSCC Dhaka South City Corporation

ECD Early Childhood Development

ECP Emergency Contraceptive Pill

EOC Emergency Obstetric Care

EPI Expanded Program on Immunization

ESD Essential Service Delivery

ESDO Eco-Social Development Organization

ESP Essential Service Package

FGD Focus Group Discussion

FP Family Planning

GACC Gazipur City Corporation

GAP Gender Action Plan

GM Gopalgonj Municipality

GoB Government of Bangladesh

HEC Health Entitlement Card

HIV Human Immunodeficiency Virus

HMIS Health Management Information System

HMN Health Matrix Network

HNPSP Health Nutrition and Population Sector Program

HPSP Health and Population Sector Program

ICDDR,B International Centre for Diarrheal Disease Research, Bangladesh

ICMH Institute of Child and Mother Health

IEC Information Education Communication

IPC Inter Personnel Communication

ISI Integrated Supervisory Instrument

IUD Intra Uterine Device

KAP Knowledge Attitude and Practice

KCC Khulna City Corporation

KMSS Khulna Mukti Seba Sangstha

KsM Kishoregonj Municipality

LCC Limited Curative Care

LGD Local Government Division

LGED Local Government Engineering Department

M&E Monitoring & Evaluation

MCH Maternal and Child Health

MFSTC Mohammadpur Fertility Services and Training Center

MIS Management Information System

MoHFW Ministry of Health and Family Welfare

MoLGRD&C Ministry of Local Government, Rural Development & Cooperatives

MoU Memorandum of Understanding

MR Menstrual Regulation

NACC Narayangonj City Corporation

NGO Non-Government Organization

NID National Immunization Day

NIPORT National Institute of Population Research and Training

NIPSOM National Institute of Preventive and Social Medicine

NM Nari Maitree

NNC Neonatal Care

NNT Neonatal Tetanus

NSV Non-Scalpel Vasectomy

NTP National Tuberculosis Control Program

NVD Normal Vaginal Delivery

OGSB Obstetrical and Gynecological Society of Bangladesh

ORS Oral Rehydration Salt

OT Operation Theater

PA HQ Partnership Area/Agreement Headquarter

PA Partnership Area/Agreement

PAC Post Abortion Care

PEC Primary Eye Care

PHC Primary Health Care

PHCC Primary Health Care Center

PIU Project Implementation Unit

PM Project Manager

PMU Project Management Unit

PNC Postnatal Care

PP Project Proforma

PPM&E Project Performance Monitoring and Evaluation

PPR Public Procurement Rules

PSKP & PPS Progoti Samaj Kallyan Protisthan & Paribar Porikalpana Songstha

PSTC Population Services and Training Center

QoC Quality of Care

QPR Quarterly Performance Report

RACC Rangpur City Corporation

RBM Result Based Management

RCC Rajshahi City Corporation

RDU Rational Drug Use

RH Reproductive Health

RIC Resource Integration Center

RTI Reproductive Tract Infection

SBA Skilled Birth Attendant

SCC Sylhet City Corporation

SDGs Sustainable Development Goals

SIDA Swedish International Development Cooperation Agency

SM Sirajgonj Municipality

STD Sexually Transmitted Disease

STI Sexually Transmitted Infection

TB Tuberculosis

TBA Traditional Birth Attendant

TT Tetanus Toxoid

UHS Urban Health Strategy

UNFPA United Nations Population Fund

UPHCSDP Urban Primary Health Care Services Delivery Project

UTPS Unity Through Population Services

VAW Violence Against Women

WHO World Health Organization

TABLE OF CONTENTS

Preface 1

Executive Summary 2

Basic Data 3

Utilization of Fund 5

Project Purpose and Components 6

Implementation Progress 9

Design and Monitoring Framework 12

Project Implementation Schedule with Activities and Weights 19

Compliance with Loan Covenants 21

Report on Gender Action Plan 30

Appendix A: Status of Civil Works 37

Services Statistics (Performance of Partnership Agreements) 48

Photos 114

Page | 1

Preface

The Government of People’s Republic of Bangladesh has been

implementing Urban Primary Health Care Project since 1998. After

successful completion of previous two phases, the present project has

commenced from July 2012.

The goal of the project is to improve health of urban population specially

the poor through improved, efficient, effective and sustainable Primary

Health Care Services. At least 30% of services are provided free of cost

to poor people under the project. The services are managed by selected

NGOs through partnership agreement in 25 partnership areas (PAs) of 10

City Corporations and selected 04 Municipalities. The project is funded

by GoB grant, ADB loan, SIDA and UNFPA grants.

Any suggestions to improve the QPR will be highly appreciated.

10 October 2017

Page | 2

Executive Summary

This Quarterly Performance Report (QPR) covers activities accomplished by the Urban Primary Health

Care Services Delivery Project, its Partner NGOs and Consulting Firms from April to June 2017 quarter. It

includes key information about the project, implementation progress and activities performed during the

quarter. This will enable relevant stakeholders to understand project progress, become aware of problems

and assess implementation status vis-à-vis project objectives.

This report contains following sections:

1. Basic Data

2. Utilization of fund

3. Project purpose and components

4. Implementation Progress

5. Design and Monitoring Framework & Implementation Schedule

6. Compliance with Loan Covenants

7. Gender Action Plan

8. Service Statistics

At the end of this quarter, the project has finished 60 months which is 82.1% of revised total project period.

By this time, it has achieved 77% cumulative contract award and 68% cumulative disbursement of total

allocation. Against this year’s targets, achievement of disbursement was 70% for nine months. From the

beginning of the project to end of this quarter, the project has provided over 41 million service contacts. In

the current quarter, the total client contacts were around 2.5 million, among them 80% were female.

At the end of the quarter, the project performance is consistent with the targets of the procurement plan,

Design and Monitoring Framework (DMF), and Loan Covenants.

Page | 3

Basic Data

1.1 ADB Loan Number: 2878 BAN (SF)

1.2 SIDA Grant Number: 0298 BAN (EF)

1.3 UNFPA Grant Number: BGD8U201, BGD8U202

1.4 Project Title: Urban Primary Health Care Services Delivery Project

1.5 Borrower: Government of Bangladesh

1.6 Executing Agency: Local Government Division

Ministry of Local Government, Rural Development and

Cooperatives

1.7 Implementing Agencies

1. Dhaka South City Corporation

2. Dhaka North City Corporation

3. Rajshahi City Corporation

4. Khulna City Corporation

5. Sylhet City Corporation

6. Barisal City Corporation

7. Comilla City Corporation

8. Narayangonj City Corporation

9. Rangpur City Corporation

10. Gazipur City Corporation

11. Gopalgonj Municipality

12. Kishoregonj Municipality

13. Kushtia Municipality

14. Sirajgonj Municipality

Page | 4

1.8 Total Estimated Project Cost: US$ 82.46 million

1.9 Financing Plan

Source Amount ($ millions) % Share of Total

Asian Development Bank (ADB) 49.94 62.85

Government of Sweden (SIDA) 20.00 25.17

Government of Bangladesh 9.52 11.98

Total 79.46 100

UNFPA (Parallel grant) 3.00

Grand Total 82.46

1.10 Dates of approval, signing and effectiveness of ADB loan

(i) Date of Approval: 18 July 2012

(ii) Date of Signing: 26 September 2012

(iii) Date of Loan Effectiveness: 3 December 2012

1.11 Original and revised ADB loan closing date and elapsed loan period based

on original and revised loan closing dates:

(i) Original Loan Closing Date: 30 June 2017

(ii) Revised Loan Closing Date: 31 March 2018

(iii) Elapsed time (as per original): 60 months (as of 30 June 2017)

1.12 Date of last ADB review mission: 23 Apr-02 May 2017

Page | 5

Utilization of Fund

(ADB Loan, Co-financing and Counterpart funds)

2.1 Cumulative Contract Awards (Up to 30 June 2017)

Source Allocation Contract Award Balance

Amount % Amount

ADB Loan 49.94 37.826 76 12.114

SIDA Grant 20 16.661 83 3.339

UNFPA Grant 3 1.915 64 1.085

Total 72.94 56.402 77 16.538

GOB Grant 9.52 7.424 78 2.096

Grant Total 82.460 63.826 77 18.634

2.2 Cumulative Disbursement (Up to 30 June 2017)

Source Allocation Disbursement Balance

Amount % Amount

ADB Loan 49.94 33.593 67 16.347

SIDA Grant 20 12.736 64 7.264

UNFPA Grant 3 1.915 64 1.085

Total 72.94 48.244 66 24.696

GOB Grant 9.52 7.424 78 2.096

Grant Total 82.46 55.668 68 26.792

2.3 Projection 2017 for Contract Award (CA) and Disbursement (Dis) (Up to 30 June 2017)

Source Projection 2017 Achieved %

CA Dis CA Dis CA Dis

ADB Loan 3.010 6.000 0.00 0.26 0 50

SIDA Grant 2.470 2.00 0.161 1.208 7 60

Total 5.480 8.00 0.161 4.234 3 53

Page | 6

Project Purpose and Components

3.1 Project Scope and objectives

The ultimate aim of the Urban Primary Health Care Services Delivery Project is to improve health

status of the urban poor, especially women and children, in the project area. The immediate

outcome of the project is to improve quality of Primary Health Care (PHC) utilization

sustainably by the urban poor, particularly women and children.

The following objectives are being contributed to achieve the ultimate aim as well as the

immediate outcomes of the project:

(i) Improving accessibility (financial and physical) to PHC services in the urban areas

covered by the project;

(ii) Ensuring the delivery of quality PHC services to urban population – the project will ensure

the MoHFW’s essential service delivery package (ESD+) focused maternal and child

health in urban areas, particularly for the poor. The project will increase focus on family

planning, nutrition, adolescent health, and neonatal care;

(iii) Increasing the utilization of PHC services by the urban poor, especially women, newborn,

and children;

(iv) Strengthening institutional arrangements for the delivery of PHC services in urban areas;

(v) Increasing capacity of the Urban Local Bodies (ULBs) to ensure the delivery of PHC

services, according to their mandate; and

(vi) Increasing sustainability of the delivery of urban PHC services by strengthening

ownership and commitment of the ULBs to ensure the delivery of PHC services

particularly for the poor.

3.2 Project Components

The project has three major components as stated below:

Component 1: Strengthened Institutional Governance and Local Government Capacity

to Sustainably Deliver Urban Primary Health Care Services

1.1 Strengthened strategy and coordination framework for urban PHC

1.1.1 National Urban Health Strategy

1.2 Strengthened institutions and management capacity of LGD and ULBs for urban PHC

1.2.1 Institutional support to LGD

1.3 Strengthened local ownership and commitment for urban PHC

Page | 7

1.3.1 PHC advocacy and awareness building

1.3.2 Improved planning and budgeting for basic social services

1.4 Management systems, learning, and innovations on urban PHC

1.4.1 Urban Health Management Information System (Urban HMIS)

1.4.2 Facility Mapping

1.4.3 Operational Research

Component 2: Improved accessibility, quality, and utilization of Urban PHC services

delivery system through public‐private partnership.

2.1 Urban PHC se rv ices delivery, including health education and behavior change

communication.

2.1.1 Partnership Agreement

2.1.2 Behavior change communication program

2.2 Effective Reaching of the urban poor

2.2.1 Poverty Targeting

2.2.2 Mobile Services

2.2.3 Collaboration agreement

2.3 Ensuring Quality of PHC services

2.3.1 Health workers training

2.3.2 Equipment and Drugs

2.3.3 Quality monitoring and assurance

2.3.4 Performance management of NGOs and encouraging innovations

2.4 Access to urban PHC through improved infrastructure network

2.4.1 Construction of new health facilities and up gradation

2.4.2 Green Clinics

Component 3: Effective Support for Decentralized Project Management

3.1 Core project management

3.2 Technical support for project management

3.3 Project financial management system

3.4 Training coordination

3.4.1 Training coordination unit

3.4.2 E‐learning and assessment

3.5 Monitoring and evaluation

3.3 Implementation Arrangement

Page | 8

The Local Government Division of the Ministry of Local Government, Rural Development, and

Cooperatives is the executing agency of the project. A Project Management Unit (PMU) headed by Project

Director provides technical, administrative and logistical leadership for project implementation. PMU has

been assisted by National and International Individual Consultants and Consulting Firms. A National

Project Steering Committee chaired by the Secretary, Local Government Division provides guidance to the

PMU. Director General of Monitoring, Inspection and Evaluation Wing of the Local Government Division

is the Chief Coordinator of the project. The Health Department of the City Corporations and selected

municipalities are the implementing agencies in their respective project areas through a Project

Implementation Unit (PIU). The PIUs are assisted by Partnership NGOs to deliver primary health care

services to the people of the project areas. Each city corporation and municipality has a Partnership

Committee chaired by the Mayor. There is a Ward Primary Health Care Coordination Committee

(WPHCCC) chaired by the respective local Ward Councilor and co-chaired by the female Ward Councilor

and Zonal Health Officer.

3.4 Consultants

The project has provision for Consultancy Firms and Individual Consultants to provide management and

technical support to the project. The firms are: Project Performance Monitoring & Evaluation (PPM&E)

Firm, Behavior Change and Communication Marketing (BCCM) Firm and Operations Research Firms.

Individual Consultants are: Urban Health Strategy Expert, Resource Management Specialist, PPP

Transaction Specialist, Urban PHC Specialist, Procurement Specialist, Quality Assurance Specialist,

Gender Specialist, Environment Specialist, Financial Management Specialist, Human Resource

Development Specialist, and Training Management Specialist.

3.5 Partnership Areas

The service delivery area of the project has been divided into 25 partnership areas. One NGO has been

selected through competitive bidding for delivering services in a partnership area. Each selected PA NGO

has been delivering services through one Comprehensive Reproductive Health Care Centre (CRHCC),

selected number of Primary Health Care Centers (PHCCs) and Satellite or Mini Clinics.

Page | 9

Implementation Progress

4.1 Contract award

1 Total allocation: $82.46 million

2 Cumulative Contract Award from starting of the project: $63.826 million

3 % cumulative contract award against allocation: 77%

4 Target of CA this year: $5.480 million

5 Amount of CA till 30 June 2017: $0.161 million

6 % CA against target of the year: 3%

4.1 Disbursement

1 Total allocation: $82.46 million

2 Total disbursement from starting of the project: $55.668 million

3 % cumulative disbursement against allocation: 68%

4 Target of disbursement for this year: $ 8.00 million

5 Amount of disbursement till 30 June 2017: $ 4.234 million

J % Disbursement against this year target: 53%

4.2 Procurement progress

1 Recruitment of Consultants

1.1 Contract agreement signed with Ernst & Young (LLP-India) as Special Audit

Firm on 18 May 2017

1.2 NIL

2 Procurement of Goods

NIL

2.2 NIL

3 Civil Works

NIL

4.3 Trainings (As per approved training plan July 2016-June 2017)

1 In country Training

(i) Training on National Health Indicator for PMU, PIU, PA NGO'S Officers, 22-26 April,

21-25 May

(ii) Training on RTI/STI for Counsellors & Doctors, 02-06, 23-27 Apr, 14-18, 21-25 May,

Page | 10

(iii) Training on Facility Integrated Management of Childhood Illness(FIMCI) for Doctors &

Paramedics, 09-13, 16-20 April, 14-18, 21-25 May

3 Out-country Training

Study Tour in Thailand Conducted by BCCM Firm, BCCP, 17-24 June 2017

4.4 Service delivery

1 Number of services provided from starting of the project: 41,665,188

2 Number of services provided Apr-June quarter 2017: 2,518,107

4.5 Major Implementation Activities (April-June 2017)

Sl Activities Date

1. ADB review mission 23 April - 02 May

2017

2. NGO quarterly progress review meeting 15 May 2017

Monitoring and Visits

3. PD Abdul Hakim Majumder, visit to Khulna, Gopalganj, Rangpur & Barisal 04-05, 06-07, 25-26

May, 11-12 June

2017

4. DPD(Finance) Md. Nurul Absar & Dr. Arman visit to Kustia & Sirajganj 21-22, 24-25 May

2017

5. QAT Visit to DSCC 5 KMSS 01 April 2017

4.6 Major Activities Accomplished by Consulting Firms (April-June 2017)

A. Behavior Change Communication and Marketing (BCCM) Firm (Bangladesh Center for Communication

Program)

(1) Local Level Logo Promotional Events were held in all the 25 PA Units of UPHCSDP to promote the Ranibow

logo

(2) Local Leaders Orientation Programs were held in all the 25 PA Units of UPHCSDP.

(3) Three TVCs and three RDCs produced under BCCM Component out of which, two TVCs and two RDCs

were aired in different TV and Radio channels

(4) A TV Scroll Message was produced and aired through different TV channels promoting the services of the

project.

Page | 11

(5) As job aid, Rainbow printed umbrella and badge were produced and distributed among the service providers

with a view to improve their image

(6) Study Tour on Enhancing Skills in Behavior Change Communication and Marketing Strategies Organized

by International Center for Development Communication (ICDC), Kasetsart University, Chatuchak,

Bangkok, Thailand 17-24 June 2017

(7) Technical officer Mr. Sanjib Kumar Das, Mr. Md. Mahitur Rahman Khan, Mr. Md. Mahbubur Rahman and

Mr. Asaduzzaman Hawlader visits all Partnership area to provide technical assistance on the occasion of logo

promotion event.

(8) 8th issue of the newsletter Nagar Shastha Barta produced and distributed

B. Project Performance Monitoring and Evaluation Firm (Eusuf and Associates)

(1) Finalization of the ISI Survey – Round III Report,

(2) Preparation and finalization of annual health services delivery performance of PA NGOs for the 4 th and 5th

years,

(3) Preparatory works of Updating GIS-based Web-enable Mapping,

(4) Preparatory works on Endline Household Survey (Panel Survey, 2017),

(5) Preparation and finalization of Red Card Verification Survey Report 2017, and

(6) Preparation and submission of Quarterly Progress Report for 7th Quarter (April-June 2017)

C. Operations Research Firm (ICDDR,B)

(1) HDSS fifth round- Data collection

(2) HDSS fifth round- Repeated visits to absentee households

(3) HDSS fifth round - Data cleaning/field verification

(4) HDSS sixth round- Data collection

(5) HDSS sixth round- Repeated visits to absentee households

(6) HDSS sixth round- Data cleaning/field verification

(7) Revised report for book chapter 1- Baseline and socioeconomic census

(8) Revised report for book chapter 3- Non-communicable diseases risk factors

(9) Health expenditure survey second round- Pretesting/finalization of questionnaire, program for data

collection

(10) Health expenditure survey second round- Data collection

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DESIGN AND MONITORING

FRAMEWORK

Impact Improved health of the urban population, particularly the poor, women, and children

Project Specific Indicators

Type of

Measurement Baseline Achieved

By (Year) Performance

Target Year Value

By 2020, for urban population: MMR is reduced from 194 to 143 per 100,000 live births Number 2010 194 2020 143 U5MR is reduced from 63 to 48 per 1,000 live births and gender disparities eliminated (<5% difference) Number 2007 63 2020 48 Proportion of underweight is reduced from 28% to 21% and stunted children reduced from 36% to 27% and gender

disparities reduced (<5% difference between sexes) Y/N 2011 N 2020 Y

TFR is maintained at 2.0 Y/N 2011 N 2020 Y Differentials in MMR, U5MR, TFR, and child malnutrition between the lowest wealth quintile and the highest wealth quintile

in urban areas is reduced by 15% Y/N 2011 N 2020 Y

Risks The priorities and programs of the Government of Bangladesh change.

Assumptions The government and partner institutions remain committed to health as a priority for inclusive growth and reducing poverty.

Project Specific Indicators Type of

Measurement Baseline Achieved


Target Cumulative

Achievements Progress/ Status

Year Value

By 2017, in project areas: 60% of births are attended by skilled health

personnel (baseline: 26.5% BMMS 2010) Percent 2010 26.5 2017 60 24 PA NGOs have been

engaged to provide primary

health care services.

Gopalgonj municipality

provides direct service

provision in its partnership

area.

PPTA consulting firm

assessing progress on

indicators.

At least 80% of growth monitoring and promotion performed on under-

5 children (baseline: 43.3% UPHCP II 2008) Percent 2008 43.3 2017 80

At least 60% of eligible couples use modern contraceptives (baseline:

53% UHS 2006) Percent 2006 53 2017 60

At least 80% of poor households are properly identified as eligible for free

healthcare (baseline: 67% UPHCP II 2008) Percent 2008 67 2017 80

At least 80% of the poor access project health services when needed

(baseline: 64.7% UPHCP II 2008) Percent 2008 64.7 2017 80

At least 90% of project clients express satisfaction with project

services (baseline: 76% UPHCP II 2009) Percent 2009 76 2017 90

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Risks Assessment of Current Status ULBs lack sufficient funds to implement programs and strategies for strengthening pro-poor urban PHC services. The risk is mitigated by requiring all participating

ULBs over the project period to (i) contribute at least 1% of their local revenue to the Urban Health Sustainability Fund and (ii) to gradually

allocate at least 20% of the development block grants to propoor basic services, including for urban PHC.

Governance and corruption risks are not minimized. Citizen demands for greater participation, transparency, and accountability are not met. The risk has been mitigated through a

transparent and successful bid process.

Assumptions Assessment of Current Status The government implements investment programs and strategies for strengthening the delivery of pro-poor urban PHC services effectively. The Project will support strengthening strategic

framework for urban health, relevant

institutional set-ups, and oversight and management capacities.

Problems with Outcome

Problem(s) Action

Taken/Proposed Date

-- --

Progress Towards Outcome (for disclosure)

Recent Development Draft Action has been developed and under process to finalize.

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Outputs

1. Strengthened institutional governance and local government capacity to sustainably deliver urban PHC services

Project Specific Indicators Type of

Measurement Achieved


Target Cumulative

Achievements

Progress/ Status

Governance and capacity

-Permanent and functional inter-agency coordination structure for urban health is established by December 2013

-All project ULBs have a functioning health department with at least 1

staff in each health department trained in PPP contract management

and core project management skills by 31

December 2013

-Gender-responsive data collection and analysis are computerized

through HMIS in 80% of partnership areas by 31 Dec 2014

Y/N 2014 Y - On 18 November 2014, an Urban

Health Coordination Committee has been formed and headed by Additional Secretary (Urban Development)

- PPP contract management training not arranged yet Present data collection format through HMIS incorporates gender responsive data

Sustainability and commitment

At least 50% increase in overall allocation to the Urban Health

Sustainability Fund compared to UPHCP II (2011 baseline:

Tk38.5M)

Y/N 2014 Y As of September 2016, a total of Tk. 105.29 million has been deposited. Status being assessed by PPTA consulting firm.

At least 5% per annum increase of ULB annual development

plans and block grants allocated for PHC and public health related services (2011 baseline: No)

Y/N 2014 Y Being assessed by PPTA consulting firm.

Risks Assessment of Current Status

Political pressures at the ULB level divert resources and efforts away from the

delivery of PHC services. To help increase efficient use of limited local public expenditures, the Project will coordinate with LGD to

train ULBs on integrated planning and budgeting for basic social services, including services of PHC and

public and environmental health. Recurrent expenditures are inadequate to sustain services of partnership agreement

NGOs after the project ends. These risks will be mitigated by (i) enhancing ownership of the project outcome by urban local bodies and their commitments to increase their allocations of local government resources to urban health; (ii) providing guidelines and capacity building support for local governments to improve efficient use of their finances; and

(iii) supporting the implementation of an urban heath strategy and related subsector framework under the government's next five-year plan to create fiscal space and program planning, as well as for mobilizing longer-term commitments of other development partners' resources.

Assumptions Assessment of Current Status

All participating ULBs are adequately funded and are committed to delivering urban

PHC services. All participating ULBs are committed to delivering urban PHC services.

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Recent Development

--

No. Activities Start

Date End Date Completed Progress/Status

1 1.1. Draft operational plan of national urban health strategy to

implement in collaboration with MOHFW and in consultation with

development partners, within 6 months of loan effectiveness

1-Aug-12 31-Jan-13 Y Preparation of a draft Action Plan has been completed.

2 1.2. Develop draft implementation guidelines for ULBs (PPP contract

management; use of central government block grants and Urban Health

Sustainability Fund), and fully implement training program

on urban PHC services for LGD and ULB staff, within 1 year of loan

effectiveness

1-Aug-12 31-Jul-13 N No progress

3 1.3. Complete ULB perception survey by June 2013 for all project ULBs

and develop and implement a marketing/advocacy program by December

2013

1-Aug-12 31-Dec-12 Y - A baseline survey for project stakeholders

across selected ULBs has been implemented by

the BCCM consulting firm upon their inception.

The endline survey is in progress.

- Marketing/Advocacy activities were conducted

by the BCCM consulting firm for all project

stakeholders.

- PMU implemented Local Leaders Orientation

Programs in this quarter.

4 1.4. Make HMIS fully-operational in all partnership areas by January

2015; initiate all operations research studies by June 2013 for

completion by June 2015

1-Jan-13 31-Jan-15 N - Recruitment of an HMIS firm is under process

- One Operations Research on Urban Health and

Demographic Surveillance System is going on

through icddrb.

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Outputs

2. Improved accessibility, quality, and utilization of urban PHC services, with a focus on the poor, women, and children, through PPP


Type of

Measurement

Achieved By

(Year)

Performance

Target

Cumulative

Achievements

Progress/ Status

By midterm review and sustained until project completion:

Accessibility and utilization

At least 30% of each of the major project healthcare services

(including caesarian section) is provided free-of-charge to holders of government-issued red cards that identify them as poor.

At least 80% of facilities planned for construction and

upgrading are functioning normally within 3 years of loan

effectiveness (12 CRHCCs and 26 PHCCs)

Y/N 2015 Y Y

- All major services are delivered free of cost to

the red card holders

- Construction of 9 CRHCC buildings and 19

PHCC buildings is progressing

Quality

At least 80% of children consulting project PHC services for acute respiratory infection receive correct treatment.

At least 80% of children consulting for diarrhea receive correct

treatment.

Y/N 2015 Y Y Indicators are being monitored through the project

quality assurance system: regular self-assessment as

well as semiannual independent supervisory

instrument (ISI) surveys.

PPP performance and accountability

100% of partnership area NGOs achieves internal quality

compliance (financial management, updated clinical registers,

clinical waste management, inventory management).

Y/N 2015 Y Y Indicators are being monitored through the project

quality assurance system: regular self-assessment as

well as semiannual independent supervisory

instrument (ISI) surveys.


Procedural problems arise in contracting process, because relations between ULBs and

contracted NGOs do not remain smooth or NGO partners are not supervised effectively. This risk is mitigated by providing management and technical support by PMU and PIUs.

Assumptions Assessment of Current Status

Social and cultural factors do not bar the poor and women from accessing facility-based

PHC services. PHC outreach and ward primary health care coordination committee meetings ensure greater access.

NGOs and the government are committed to accountability and performance in PPP

contract management. NGO contract performance is reviewed on regular basis by PMU and PIUs.

Recent Development

No. Activities Start Date End Date Completed Progress/Status

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1 2.1. Sign partnership agreements with NGOs in 30 partnership areas—

within 6 months of loan effectiveness for the 24 existing partnership

areas, and within 1 year of loan effectiveness for 6 new partnership areas

1-Aug-12 31-Jul-13 Y At project inception, 25 NGOs signed partnership

agreements. In Chittagong City Corporation, 5

PAs did not contract.

2 2.2. Draw up a list of the poor in every partnership area, within 3 months of loan effectiveness and distribute red cards to those

identified as poor within 5 months of the signing of the partnership agreement, with proper annual updating

1-Aug-12 31-Mar-13 Y Completed.

3 2.3. Conduct ISI surveys every 6 months from loan effectiveness

and regular follow-up and feedback of ISI findings by quality

assurance team

31-Jan-13 31-Jul-17 Y PPME firm has been engaged. 3rd round ISI survey

(July-Dec 2016) has been completed and its report

finalized in June 2017.

Outputs

3. Effective support for decentralized project management


Type of

Measurement

Achieved By

(Year)

Performance

Target

Cumulative

Achievements

Progress/ Status A fully functional PMU with at least 20% of the staff female

is established by loan effectiveness and PIUs are established in

ULBs within 3 months of loan effectiveness.

Y/N 2012 Y Y Recruitment process completed. At present, DPD

(Service Delivery) and post of Program Officer (Preventive) is vacant.

Computerized FMIS is functioning fully in partnership areas by

31 December 2014, streamlining accounting procedures and

processes at all levels of project implementation (PMU, PIUs,

and partner NGOs).

Y/N 2014 Y Y Accounting system has been computerized using

Tally software.

Project monitoring and evaluation surveys, follow-up on

findings, data collection, and quarterly progress reporting are

implemented on schedule.

Y/N 2017 Y Y Quarterly progress reporting is being produced

regularly.


Turnover of counterpart technical staff is high due to resignations, promotions, or

assignments to other government or private offices. According to evaluation of UPHCP-II by IMED in 2015, on average 3 doctors have left their job due to insufficient

salary, allowances, and other facilities. Under the current Project, in most PA NGOs, specialist doctors are unable to

be maintained due to delays in payment to PA NGOs. Assumptions Assessment of Current Status

Qualified counterpart staff and government counterpart funding are available on time. DPD (Service Delivery) post has been vacant since 01-06-2016.

Adequate staffing is available to enforce internal controls and sound financial

management.

Additional PMU staff in the finance unit would be useful. PMU to re-engage Financial Management Specialist

consultant.

Recent Development

--

18

Pag

e18

No. Activities Start Date End Date Completed Progress/Status

1 3.1. Establish a fully functional PMU with at least 20% of the staff

female and PIUs in ULBs within 3 months of loan effectiveness 1-Aug-12 31-Oct-12 Y Complied.

2 3.2. Recruit consultants to provide technical support to PMU 1-Aug-12 31-Jan-13 Y Completed.

3 3.3. Have fully functional FMIS in place by January 2015 1-Jan-13 31-Jan-15 Y A computerized accounting system using Tally

software has been established.

4 3.4. Finalize training plan by 31 March 2013. Ensure that

training activities are timely and at least 80% of scheduled

participants attend the training sessions

1-Jan-13 31-Mar-13 Y Training plan has been finalized 22 June 2016 for

the period of 2016-2017.

19

Pag

e19

Adv. Act.

2012 2012-13 2013-14 2014-15 2015-16 2016-17

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2

Component 1: Strengthened Institutional Governance and Local Government Capacity to Sustainably Deliver Urban PHC services

Sub-component 1.1: National Urban Health Strategy and operational plan

1.1.1 Draft operational plan to implement the National Urban Health Strategy 2% 95% 1.9%

Sub-component 1.2: Strengthen LGD and ULBs' capacity to ensure delivery of urban PHC

1.2.1 Review/update LGD policies and guidelines for urban health 1% 75% 0.8%

1.2.2 Assist LGD to develop guidelines for ULBs related to urban health services 3% 75% 2.3%

1.2.3 Implement training program for ULB staff (health department + management) 3% 85% 2.6%

1.2.4 Implement planning/budgeting training program for ULB staff 2% 85% 1.7%

Sub-component 1.3: Complete ULB perception survey for all ULBs and develop and implement an advocacy program

1.3.1 Develop ULB perception survey 1% 50% 0.5%

1.3.2 Implement ULB perception survey for all ULB officials and staff 2% 50% 1.0%

1.3.3 Develop and implement a marketing/policy advocacy program for ULBs 3% 75% 2.3%

1.3.4 Recruit firm / Develop BCCM (behavior change and communication) program 1% 100% 1.0%

1.3.5 Implement BCCM program 4% 98% 3.9%

Sub-component 1.4: Management systems, learning, and innovations on urban PHC

1.4.1 Recruit HMIS and IT solutions firm 1% 90% 0.9%

1.4.2 Design and operationalize HMIS (including GIS and learning modules) 4% 30% 1.2%

1.4.3 Develop and implement e-teaching/e-learning capacity in project area 2% 60% 1.2%

1.4.4 Procurement of IT equipment for HMIS / e-learning 1% 25% 0.3%

1.4.5 Maintenance and troubleshooting of HMIS 1% 25% 0.3%

1.4.6 Implement action-oriented, participatory operational research 3% 95% 2.9%

Component 2: Improved accessibility, quality, and utilization of urban PHC services delivery system, with a focus on the poor, women, and children, through PPP

Sub-component 2.1: Partnership Area NGOs and Infrastructure

2.1.1 Invite bids and process contracts for first batch of NGOs 2% 100% 2.0%

2.1.2 Invite bids and process contracts for second batch of NGOs 2% 100% 2.0%

2.1.3 Invite bids, award contracts, monitor construction CRHCC packages W1-12 (10 packages) 3% 97% 2.9%

2.1.4 Invite bids, award contracts, monitor construction PHCC package W13-38 (19 packages per RDPP) 3% 97% 2.9%

2.1.5 Invite bids, contract greening of existing clinics W40 3% 0% 0.0%

2.1.6 Periodic maintenance of PHCC and CRHCCs W41.1-41.10 1% 100% 1.0%

Sub-component 2.2: Pro-Poor Targeting

2.2.1 Establish list of poor in every PA 2% 100% 2.0%

2.2.2 Distribute red cards in every PA 2% 98% 2.0%

2.2.3 Update list of the poor in every PA 3% 100% 3.0%

2.2.4 Support to NGOs for management of red cards 1% 98% 1.0%

2.2.5 Weekly mobile outreach to the "ultra poor" and floating population 2% 97% 1.9%

2.2.6 Sign collaboration agreements with BGMEA and other partners in project area 1% 0% 0.0%

Sub-component 2.3: Ensuring Quality of PHC services

2.3.1 Implement training plan for health workers in delivery of the ESD+ package 3% 90% 2.7%

2.3.2 Recruit M&E firm 1% 100% 1.0%

2.3.3 Pilot performance linked incentives (annual) 3% 75% 2.3%

2.3.4 Independent monitoring of partner NGO performance using ISIs (biannual) 3% 100% 3.0%

2.3.5 Prepare procurement of medical equipment: field inventory - bidding documents 1% 100% 1.0%

2.3.6 Procure medical equipment as required 3% 100% 3.0%

2.3.7 Procure vehicles to PA NGOs as required 3% 90% 2.7%

2.3.8 Procure drugs/supplies to PHCC and CRHCC 3% 97% 2.9%

Assigned

Weight

Actual

Progress

Weighted

Progress

ACTIVITIES

Year 4 Year 5Year 1 Year 2 Year 3

PROJECT IMPLEMENTATION SCHEDULE WITH ACTIVITIES AND WEIGHTS

20

Pag

e20

Component 3: Effective Project Management

Sub-component 3.1: Core Project Management Staff

3.1.1 Establish PMU/PIUs with complete staffing 2% 90% 1.8%

3.1.2 Procure approved vehicles for PMU and PIUs 2% 100% 2.0%

3.1.3 Publish quarterly progress reports and Gender Action Plan updates 1% 95% 1.0%

Sub-component 3.2: Technical support for Project management

3.2.1 Establish PMU Technical Support Team of Consultants 2% 75% 1.5%

Sub-component 3.3: Project Financial Management System

3.3.1 Design and Installation of Project Financial Management System 3% 90% 2.7%

3.3.2 Training and Implementation of the Financial Management System 4% 75% 3.0%

Sub-component 3.4: Training Coordination Unit

3.4.1 Establish Training Coordination Unit 1% 100% 1.0%

3.4.2 Develop training guidelines and modules according to program 2% 100% 2.0%

3.4.3 Implement training program 4% 85% 3.4%

Total 100% 82.1%

Pag

e21

7. Compliance with Loan Covenants

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks (as on June 2017)

L2878

5

16

National Urban Health Strategy

The Borrower shall, by 31 December 2012, commence the

implementation of the National Urban Health Strategy which

includes the following elements:

(a) establishing, by 31 December 2013, an urban health unit

within LGD with a mandate to oversee public health,

environmental health and PHC issues;

(b) establishing, by 30 June 2014, a permanent high level

inter-ministerial coordination structure for coordinating

urban health initiatives; and

(c) issuing, by 30 June 2014, a government order which

(i) assigns the overall responsibility of the provision of urban

PHC to local governments and clarifies the supporting roles

of LGD and MOHFW in this regard; (ii) addresses the issue

of increased revenue budget allocation for provision of urban

health services, as well as more balanced allocation of

resources between LGD and MOHFW, in the next five year

plan (2016-2020); and (iii) sets out the eligibility criteria

entitlements for health care of the poor population within

urban settings.

31 Dec 12

31 Dec 13

30 Jun 14

30 Jun 14

National Urban Health

Strategy has been

published in November

2014.

An Urban Development

Wing has been

established in LGD on

22 May 2013.

A coordination committee

headed by Additional

Secretary (Urban

Development) has been

constituted.

(i) An Urban Development

Wing has already been

established in LGD to

oversee ULB activities. (ii)

Govt. order still under

process including increase

revenue budget. Expected

to proceed in the next

phase project under

additional financing. (iii)

Eligibility criteria for

entitlement will be reset in

next phase project.

Sec

tor

L2878

5

17

The Borrower shall ensure that, within 24 months of the

Effective Date, each Implementing Agency has a

reorganization plan to improve organizational capacity of its

health department. The reorganization plan shall address

staffing levels, job descriptions, career progression of medical

officers, and organizational structure of the health department

concerned.

December

2014

Reorganization plans

pending LGD issuance to

select IAs.

Sec

tor

L2878

5

18

The Borrower shall ensure that, within 6 months of the

Effective Date, LGD and the Implementing Agencies sign a

memorandum of understanding (a) detailing their roles

and responsibilities during Project implementation, and (b)

requiring each Implementing Agency to (i) develop and

adopt, by end of 2016, a fiscal plan for sustaining recurrent

costs for the provision of urban health services after the

Project completion; (ii) contribute, from 2012 onward, at

least 1% of its local revenue to the Urban Health

Sustainability Fund; and (iii) gradually increase a portion of

the general budgetary support block grants provided by the

Borrower for pro-poor basic services, including urban PHC

and public health services, so that, by 30 June 2017, such a

portion is no less than 20% of the annual block grant

allocation.

June 2013

Pending due to policy

decision of LGD. As of

September 2016, a total of

Tk. 105.29 million has

been deposited to the

Fund.

Sec

tor

Pag

e22

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 30 June 2017)

Typ

e

L2878

5

19

Partnership Agreements The Borrower shall take, and shall cause each Implementing

Agency to take, all measures stipulated in the implementation

plan, as set forth in Annex 5 to the PAM, to effect, and permit

full and effective implementation of, the Partnership

Agreements.

Dec 2013

Complied

Sec

tor

L2878

5

21

Health Care Centers

The Borrower shall ensure that site selection for all CRHC

and PHC centers to be constructed under the Project is based

upon (a) safety and privacy concerns of patients, particularly

women and children; and (b) convenience for slum dwellers

to maximize access for the poor populations.

Oct 2013

Complied.

Sec

tor

L2878

5

21

The CRHCC and PHCC centers for piloting solar energy

efficiency and rainwater harvesting shall be selected during

the first year of Project implementation based on the criteria

to be agreed upon between the Borrower and ADB.

Dec 2013

The completed new

construction of CRHCC &

PHCC which already been

handed over included solar

energy system.

L2878

5

3

Environment Safeguards The Borrower shall ensure, and shall cause each

Implementing Agency to ensure, that the preparation, design,

construction, implementation, operation and decommissioning of the Project and each subproject under the

Project comply with (a) all applicable laws and regulations of

the Borrower relating to environment, health, and safety; (b)

the Environmental Safeguards; (c) the EARF; and (d) all

measures and requirements set forth in the IEE and the EMP,

and any corrective or preventative actions set forth in the Safeguards Monitoring Reports.

Jun 2015

(Ongoing

throughout

implementa

tion)

As per recommendation of

the PMU Environmental

Specialist consultant, steps

have been taken.

En

vir

on

men

tal

L2878

5

4

Involuntary Resettlement Safeguards

The Borrower shall ensure, and shall cause each

Implementing Agency to ensure, that all land and all rights-

of-way required for the Project are made available to the

Works contractor in accordance with schedules agreed under

the related Works contracts. The Borrower shall further

ensure that the Project does not have any impacts with

regards to involuntary resettlement and indigenous peoples

within the meaning of the Safeguard Policy Statement. In the

event that the Project does have any such impacts, the

Borrower shall take, or shall cause each Implementing

Agency to take, all steps required to ensure that the Project

complies with (a) the applicable laws and regulations of the

Borrower, (b) the SPS, and (c) the Resettlement Framework.

Jun 2015

(Ongoing throughout

implementa

tion)

Complied.

En

vir

on

men

tal

Pag

e23

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

5

5

Human and Financial Resources to Implement Safeguards Requirements

The Borrower shall make available, and shall cause each

Implementing Agency to make available, necessary

budgetary and human resources to fully implement the EMP

and the Resettlement Framework, as required.

Jun 2015

(Ongoing

throughout

implementa

tion)

LGD has been

enforcing compliance

of EMP.

En

vir

on

men

tal

L2878

5

6

Safeguards – Related Provisions in Bidding

Documents and Works Contracts


Implementing Agency to ensure, that all bidding documents

and contracts for Works contain provisions that require

contractors to:

(a) comply with the measures and requirements relevant to the

contractor set forth in the IEE, the EMP and the Resettlement

Framework (to the extent they concern impacts on

affected people during

construction), and any corrective or preventative Schedule 5,

Section 5.0actions set out in a Safeguards Monitoring Report;

(b) make available a budget for all such environmental and

social safeguards measures; and

(c) provide the Borrower and ADB with a written notice of

any unanticipated environmental and other

safeguards-related risks or impacts that arise during

construction, implementation or operation of the Project

that were not considered in the IEE, the EMP and the

Resettlement Framework.

Jun 2015

(Ongoing

throughout

implementa

tion)

Bidding documents

incorporate the

provisions mentioned.

En

vir

on

men

tal

L2878

5

7

Safeguards Monitoring and Reporting The Borrower shall do, and shall cause each

Implementing Agency to do, the following:

(a) submit semi-annual Safeguards Monitoring Reports to

ADB and disclose relevant information from such reports to

affected persons promptly upon submission;

(b) if any unanticipated environmental and/or social risks and

impacts arise during construction,

implementation or operation of the Project that were not

considered in the IEE, the EMP and the Resettlement

Framework, promptly inform ADB of the occurrence of such

risks or impacts, with detailed description of the event and

proposed corrective action plan; and

(c) report any actual or potential breach of compliance with

the measures and requirements set forth in the EMP and the

Resettlement Framework promptly after becoming aware of

the breach.

Semi-

annual

No progress

En

vir

on

men

tal

Pag

e24

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

5

9

Labor Standards The Borrower shall ensure, and shall cause each

Implementing Agency to ensure, that the core labor standards

and all applicable laws and regulations of the Borrower and

pertinent occupational health and safety regulations, are

complied with during Project implementation. The Borrower shall include, and shall cause each Implementing Agency to

include, specific provisions in the bidding documents and

contracts financed under the Project requiring that the

contractors, other providers of goods and services and their

subcontractors: (a) comply with the Borrower’s applicable

laws and regulations; (b) do not use child labor; (c) do not discriminate workers in respect of employment and

occupation by providing, inter alia, equal pay for men and

women or people from different ethnic groups for work of

equal value, and to the extent possible, employing women

and local people, including disadvantaged people, living in

the Project area, provided that the requirements for efficiency are adequately met; (d) do not use forced labor; (e) allow

freedom of association and effectively recognize the right to

collective bargaining; and (f) disseminate, or engage

appropriate service providers to disseminate, information on

the risks of sexually transmitted diseases, including

HIV/AIDS, to the employees of contractors engaged under the Project and to members of the local communities

surrounding the Project area, particularly women.

10. The Borrower shall strictly monitor compliance with the

labor standards and provide ADB with regular reports.

Jun 2017

(Ongoing

throughout

implementa

tion)

In progress.

So

cial

L2878

5

11

Gender and Development


Implementing Agency to ensure, that (a) the GAP is

implemented in accordance with its terms; (b) the bidding

documents and contracts include relevant provisions for

contractors to comply with the measures set forth in the GAP;

(c) adequate resources are allocated for the implementation of

the GAP; and (d) key gender outcome and output targets are

monitored regularly and achieved, including, but not limited

to the following: (i) at least 75% of beneficiaries receiving

PHC services in each Partnership Area are women; (ii) at least

20% of PMU staff are women; (iii) at least 40% of recipients

of overseas training under the Project are women; and (iv)

monitoring and evaluation data is disaggregated by sex and

ethnicity

Quarterly

Progress

Report

In progress.

So

cial

Pag

e25

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/ Due

Date

Status/Remarks


Ty

pe

L2878

Art

icle

4

4.0

2a

Section 4.02. (a) The Borrower shall (i) maintain separate

accounts and records for the Project; (ii) prepare annual

financial statements for the Project in accordance with

accounting principles acceptable to ADB; (iii) have such

financial statements audited annually by independent auditors

whose qualifications, experience and terms of reference are

acceptable to ADB, in accordance with international

standards for auditing or the national equivalent acceptable

to ADB; (iv) as part of each such audit, have the auditors

prepare a report (which includes the auditors’ opinion on the

use of the Loan proceeds and compliance with the financial

covenants of this Loan Agreement as well as on the use of the

procedures for the imprest account(s) and statement of

expenditures) and a management letter (which sets out the

deficiencies in the internal control of the Project that were

identified in the course of the audit, if any); and (v) furnish to

ADB, no later than 6 months after the end of each related

fiscal year, copies of such audited financial

statements, auditors’ report and management letter, all in the

English language, and such other information concerning

these documents and the audit thereof as ADB shall from time

to time reasonably request.

December

Project management

accounting system to

be improved.

Financial

Management

Specialist consultant

is supporting PMU.

Fin

anci

al

L2878

Art

icle

4

4.0

2b

Section 4.02. (b) ADB shall disclose the annual audited

financial statements for the Project within 30 days of the date

of their receipt by posting them on ADB’s website.

Januarys

ADB to upload the

audited financial

statements on the

ADB website.

Disclosure of APA

is required for all

new projects.

Fin

anci

al

L2878

Art

icle

4

4.0

2c

(c) The Borrower shall enable ADB, upon ADB’s request, to

discuss the financial statements for the Project and the

Borrower's financial affairs where they relate to the Project

with the auditors appointed pursuant to subsection (a)(iii)

hereinabove, and shall authorize and require any

representative of such auditors to participate in any such

discussions requested by ADB. This is provided that such

discussions shall be conducted only in the presence of an

authorized officer of the Borrower, unless the Borrower shall

otherwise agree.

As needed

Being complied.

Fin

anci

al

L2878

Art

icle

4

4.0

3

Section 4.03. The Borrower shall enable ADB's

representatives to inspect the Project, the Goods and Works,

and any relevant records and documents.

As needed

Being complied.

Fin

anci

al

Pag

e26

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2017)

Typ

e

G0298

1

3a

(a) if the amount of the Grant allocated to any Category

appears to be insufficient to finance all agreed expenditures

in that Category, ADB may, by notice to the Recipient, (i)

reallocate to such Category, to the extent required to meet the

estimated shortfall, amounts of the Grant which have been

allocated to another Category but, in the opinion of ADB, are

not needed to meet other expenditures, and (ii) if such

reallocation cannot fully meet the estimated shortfall, reduce

the withdrawal percentage applicable to such expenditures in

order that further withdrawals under such Category may

continue until all expenditures thereunder shall have been

made; and

As needed

Being complied.

Fin

anci

al

G0298

1

3b

(b) if the amount of the Grant allocated to any Category

appears to exceed all agreed expenditures in that Category,

ADB may, by notice to the Recipient, reallocate such excess

amount to any other Category.

As needed

Being complied.

Fin

anci

al

L2878

3

4a

(a) if the amount of the Loan allocated to any Category

appears to be insufficient to finance all agreed expenditures in

that Category, ADB may, by notice to the Borrower, (i)

reallocate to such Category, to the extent required to meet

the estimated shortfall, amounts of the Loan which have

been allocated to another Category but, in the opinion of

ADB, are not needed to meet other expenditures, and (ii) if

such reallocation cannot fully meet the estimated shortfall,

reduce the withdrawal percentage applicable to such

expenditures in order that further withdrawals under such

Category may continue until all expenditures thereunder shall

have been made; and

As needed

Being complied.

Fin

anci

al

L2878

3

4b

(b) if the amount of the Loan allocated to any Category

appears to exceed all agreed expenditures in that Category,

ADB may, by notice to the Borrower, reallocate such excess

amount to any other Category.

As needed

Being complied.

Fin

anci

al

G0298

1

4

Disbursement Procedures

Except as ADB may otherwise agree, the Grant proceeds

shall be disbursed in accordance with the Loan

Disbursement Handbook.

Jun 2017

(throughout

project

period)

Being complied.

Fin

anci

al

L2878

3

5

Disbursement Procedures

Except as ADB may otherwise agree, the Loan proceeds shall

be disbursed in accordance with the Loan Disbursement

Handbook.

Jun 2017

(throughout

project

period)

Being complied.

Fin

anci

al

Pag

e27

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2017)

Typ

e

G0298

1

5a

Imprest Account and Statement of Expenditures

Except as ADB may otherwise agree, the Recipient shall

establish, or cause to be established, immediately after the

Effective Date, (i) a first generation imprest account for

LGD at the Bangladesh Bank, and (ii) a second generation

imprest account for each Implementing Agency at a

commercial bank acceptable to ADB (collectively, imprest

accounts). The imprest accounts shall be established,

managed, replenished and liquidated in accordance with

ADB’s Loan Disbursement Handbook and detailed

arrangements agreed upon between the Recipient and ADB.

The imprest accounts shall only be used for the purposes of

the Project. The currency of the first generation imprest

account shall be the Dollar, and the currency of the second

generation imprest accounts shall be the Taka. The aggregate

amount to be deposited into the imprest accounts shall not

exceed the lower of (i) the estimated expenditure to be

financed from the imprest accounts for the 6 months of

Project implementation, or (ii) the equivalent of 10% of the

Grant amount.

Dec 2012

Complied.

Fin

anci

al

G0298

1

6

The statement of expenditures procedure may be used for

reimbursement of eligible expenditures and to liquidate

advances provided into the imprest account, in accordance

with the Loan Disbursement Handbook and detailed

arrangements agreed upon between the Recipient and ADB.

Any individual payment to be reimbursed shall not exceed

the equivalent of $100,000.

Jun 2017

Being complied.

Fin

anci

al

L2878

3

6a

Except as ADB may otherwise agree, the Borrower shall

establish, or cause to be established, immediately after the

Effective Date, (i) a first generation imprest account for LGD

at the Bangladesh Bank, and (ii) a second generation imprest

account for each Implementing Agency at a commercial bank

acceptable to ADB (collectively, imprest accounts). The

imprest accounts shall be established, managed, replenished

and liquidated in accordance with ADB's Loan Disbursement

Handbook and detailed arrangements agreed upon between

the Borrower and ADB. The imprest accounts shall only be

used for the purposes of the Project. The currency of the first

generation imprest account shall be the Dollar, and the

currency of the second generation imprest accounts shall be

the Taka. The aggregate amount to be deposited into the

imprest accounts shall not exceed the lower of (i) the

estimated expenditure to be financed from the imprest

accounts for 6 months of Project implementation, or (ii) the

equivalent of 10% of the Loan amount.

Dec 2012

Complied.

Fin

anci

al

Pag

e28

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2017)

Typ

e

L2878

3

6b

(c) The statement of expenditures procedure may be used for

reimbursement of eligible expenditures and to liquidate

advances provided into the imprest account, in accordance

with Loan Disbursement Handbook and detailed

arrangements agreed upon between the Borrower and ADB.

Any individual payment to be reimbursed shall not exceed

the equivalent of $100,000.

Jun 2017

Being complied.

Fin

anci

al

G0298

1

7

Retroactive Financing

Withdrawals from the Grant Account may be made for

reimbursement of reasonable expenditures incurred under the

Project before the Effective Date, but not earlier than 12

months before the date of this Grant Agreement in connection

with procurement for the Partnership Agreements under Part

B of the Project, subject to a maximum amount equivalent

to 20% of the Grant amount.

Dec 2012

Being complied.

Fin

anci

al

L2878

3

7

Retroactive Financing

Withdrawals from the Loan Account may be made for

reimbursement of reasonable expenditures incurred under

the Project before the Effective Date, but not earlier than

12 months before the date of this Loan Agreement in

connection with procurement for the Partnership Agreements

under Part B of the Project, subject to a maximum amount

equivalent to 20% of the Loan amount.

Dec 2012

Being complied.

Fin

anci

al

L2878

5

5

Counterpart Support

The Borrower shall ensure timely provision of counterpart

funds for the Project by making timely submission of annual

budgetary appropriation requests and ensuring prompt

disbursement of appropriated funds during each year of the

Project implementation.

Quarterly

Progress

Report

Being complied.

Fin

anci

al

L2878

Art

icle

4

4.0

5a

The Borrower shall exercise its rights under the financing

arrangements with the Implementing Agencies in such a

manner as to protect the interests of the Borrower and ADB

and to accomplish the purposes of the Loan. (b) No rights or

obligations under the financing arrangements shall be

assigned, amended, or waived without the prior concurrence

of ADB.

Jun 2017

Being complied.

Eco

no

mic

L2878

5

13

Governance and Anti-Corruption

The Borrower shall, and shall cause each Implementing

Agency to, (i) comply with ADB’s Anticorruption Policy

(1998, as amended to date) and acknowledge that ADB

reserves the right to investigate directly, or through its agents,

any alleged corrupt, fraudulent, collusive or coercive practice

relating to the Project; and (ii) cooperate with any such

investigation and extend all necessary assistance for

satisfactory completion of such investigation.

Jun 17

Being complied.

Eco

no

mic

Pag

e29

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

5

14


Implementing Agency to ensure, that the anticorruption

provisions acceptable to ADB are included in all bidding

documents and contracts, including provisions specifying the

right of ADB to audit and examine the records and accounts

of the executing and implementing agencies and all

contractors, suppliers, consultants, and other service

providers as they relate to the Project.

Jun 17

Being complied.

Eco

no

mic

L2878

5

15

The Borrower shall ensure that a website is established

and regularly maintained by LGD for the purposes of this

Project. The Project website shall communicate Project

activities and implementation progress through regular

progress reports. The website shall also announce any

employment, education, and business opportunities

associated with the Project. Such announcements, when

dealing with contracts awarded under the Project, shall at least

disclose: (a) the list of participating bidders, (b) the name of

the winning bidder, (c) the amount of the contracts awarded,

and (d) the services procured.

Jan 2013

Complied

Eco

no

mic

L2878

5

20

Training and Study Tours

The Borrower shall ensure that selection for all training,

study tours and fellowships awarded under the Project

conform to the transparent, objective and Verifiable

selection criteria acceptable to ADB, and the award of any

such training, study tour and fellowship is distributed

equitably across gender and geographic areas.

Jun 2017

Being complied.

Oth

ers

Pag

e30

PROGRESS REPORT OF GENDER ACTION PLAN (GAP)

Project Title: Urban Primary Health Care Services Delivery Project (UPHCSDP)

Date of Update: Apr 2017– June 2017 Submission Date: July 15, 2017

Agency: 25 Partnership Agreements of under Local Government Division, Ministry of

LGRD&C, Bangladesh

Timeframe: July 2012 to June 2017

Gender Category: GEN

Project Impact: Improved health status of the urban population, especially the poor in the ten

city corporations and four municipalities

Project Outcome: Improve access to and use of efficient, effective and sustainable good

quality primary health care services for the poor in urban areas covered by the project with a

particular focus on women and girls.

Whether there is a Gender Action Plan: Yes (inherited from previous phase)

Is there a gender specialist: Not available from February 2015 (Contract terminated in Jan

2015)

If not, how gender mainstreaming is supported: Since the project GAP is very much target

oriented for women, men, adolescent (boys and girls) and children with specified service

delivery system, officials of the project have been implementing GAP activities as per plan.

Acting Deputy Project Direct (Service Delivery) has been playing as the Focal Point role for

GAP implementation with active support from the BCC and Research Officer.

Pag

e31

ACTIVITIES OF GENDER ACTION PLAN (April-June 2017)

Activities. Indicators and Targets Progress of

Reporting

Quarter

Cumulative Progress Qualitative aspects of Accomplished

activities and Comments /

Explanations

Output 1: Strengthened institutional governance and local government capacity to sustainably deliver urban PHC services

1.1: Strengthened strategy and coordination framework for urban PHC

Activity:

Orientation and preparation of target – Oriented GAP

implementation plan conducted at all relevant levels.

Training curriculum developed in line with gender in

MCH and PHC, RH, ARH

(i) Module 1 for management levels

(ii) Module 2 for field level personnel

(iii) Module 3 for Training of Trainers(TOT) and

training imparted to management staff of PMU, PIU,

CCS, municipalities and PA NGOs.

TOT provided to core gender trainers of PA-NGO’s

Indicators & Target:

PMU, PA-NGOs, CCs, PIU develop and own gender

action plan at their level.

At least three training modules developed

100% management staff of PMU/PIU, including

Account Officers receives Gender Training.

At least 80% of management level personnel of

CRHCCs and PHCC receive gender training.

Selected management staff of PA-NGO receives

Training.

Each PA, CC/PIU, PMU should have at least one

trained Gender Trainers

April - June 2017

• The Project has a Gender Action

Plan (GAP) where PMU, PIU &

PA-NGO follow it as per rules.

• At PMU & PIU level, PMU doesn’t

conduct any Training program.

Training is conducted by various

institutes and PMU & PIU follow

their developed module. At PA-

NGO level, 60% of PA-NGOs have

developed their own three training

modules.

• At PA-NGO level, 48% of PA-

NGOs have their own trained

Gender Trainer.

• 90% management staff of

PMU/PIU, including Account

Officers have received Gender

Training.

• 75% of management level personnel

of CRHCCs and PHCC have

received gender training.

Pag

e32

1.2 Strengthened institutional and management capacity of LGD/ULBs for Urban PHC

Activity: Strengthened institutional and management capacity of

LGD/ULBs for Urban PHC


All PA-NGOs’ HR policies comply with national HR

policy within 2 years of engagement.

• All PMU, PIU & PA-NGOs HR

policies comply with national HR

policy.

1.3 Strengthen local ownership of and commitment to, urban PHC

Activity:

Gender Coordination committee functioning at the

City Corp/Municipality level


Committee formed in all partner IAs led by a female.

Counselor and consisting of representative form, PIU,

PA-NGOs and terms of reference developed.

At least 90% of Gender Coordination Committee

decisions carried out with reporting.

• Gender & health issues are

discussed at monthly Coordination

meeting regularly in City

Corporation level.

1.4. Management Systems, Learning and innovations in Urban PHC

Activity:

Project is monitored as per sex disaggregated data and

gender responsive indicator and shared on

HMIS/Website.

All operation research studies look into gender issues

and two studies conducted with specific focus on

gender aspects of PHC


Project is monitored as per sex disaggregated data and

gender responsive indicator and shared on

HMIS/Website.

All operation research studies look into gender issues

and two studies conducted with specific focus on

gender aspects of PHC

• The Project has an HMIS that is

entirely gender responsive and the

indicators for data collection system

at bottom level is totally gender

based. The QPR published at

quarterly basis is uploaded on the

project website.

• The Operations Research consulting

firm icddr,b has been appointed on

8 July 2015. They are working as

per GAP and each of the four

studies are conducted with specific

focus on gender aspects of PHC.

Pag

e33

Output 2: Improved accessibility, quality and utilization of Urban PHC services, with a focus on the poor, women and children through PPP

2.1 Urban PHC services delivery, including health education and behavior change communication

Activity:

PA-NGOs comply with gender-related targets and

indicators (as per DMF)

ESD+ services provided with priority on maternal

care, adolescent reproductive health (ARH), Nutrition,

FP and referral focusing on gender issues.

The project develops and implements a BCCM

package to mainstream gender issues in ESD service

delivery.

Orientation of the community members aim at

changing women's health-seeking behavior from

passive recipient to demand-driven and at promoting

FP and other PHC services

Health centers provide information and support to

victims of VAW.


PA Contracts TORs comply with GAP.

At least one woman included in selection committee.

At least 75% beneficiaries for PHC services (ESD) are

woman.

At least 60% of births in project area are attended by

skilled health personnel.

Among eligible couples in project areas, at least 60%

of use modern contraceptives.

• PA-NGOs’ contracts completely

comply with GAP.

• At PMU, PIU & PIU level, at least

one (1) woman include in selection

board.

• 80% beneficiaries for PHC services

out of total are woman.

• More than 65% of births are

attended by skilled personnel in

Project area.

• 68% of total eligible couple using

modern contraceptive in Project

areas.

• All health centers provide a full-

arrange of BCC services.

• BCCM Program targets 100%

women and men.

Pag

e34

2.2 Effective reaching of the Urban poor

Activity:

Identify the poor men and women groups, particularly

in slums, and among floating people and PHC services

provided by PA-NGOs.

PHC services provided by PA-NGOs.


At least 30% each major UPHCP healthcare services

are provided (75% women) free of charge to identified

poor.

At least 80% of poor households are properly

identified as eligible for receiving ‘red cards’.

Functional outreach services provided to 100% of

pavement dwellers and floating people through mobile

and mini clinics and outreach workers as per times of

clinic operations set in consultations with women and

men in the community.

• 80% of poor woman red card

holders are getting services out of

total red card holder.

• 90% of poor households are

properly identified as eligible for

receiving red card in project area.

• Outreach Services provided 100%

of pavement dwellers & floating

people through Satellite Clinic and

operations set in consultations with

women and men in the community.

2.3 Ensuring quality of PHC services

Activity:

“One stop” information website provides availability

of services for women and reports based on sex

disaggregated data.

PA-NGOs given training on gender sensitization and

the gender issues of PHC services, motivation,

organization and different BCCM packages.

Gender perspective is integrated in all health care

training curriculum.


100% compliance of PA-NGOs performance-linked

bonus scheme indicators.

100% field-level service providers of NGO receiving

training.

• Project website includes QPRs that

contain Service Statistics with sex

disaggregated data.

• 100% of field-level service

providers receives training on

Gender issues.

• All health care training is 100%

gender responsive.

Pag

e35

All health care training curriculums are gender

responsive.

2.4. Access to urban PHC services through improved infrastructure network

Activity:

Building designs comply with women's needs.

Poor women and men are employed in construction of

infrastructure facilities.

Gender-related core labor standards clause

incorporated in bid documents.

Contractor are oriented on core labor standards (equal

wages, water, sanitation, health and safety).


100% health facilities have provision for separate

toilets (high commode) for women and women’s

privacy and breastfeeding corner.

Bid document includes clause on gender related core

labor standards.

At least 20% of the unskilled laborers are women.

Equal wages paid to woman and men for work of

equal value by all contractors.

• 100% of separate toilet & breast-

feeding corner for woman provision

are implementing at PMU, PIU &

PA-NGO level.

• Bid document includes clause on

gender related core labor standards.

• At least 15% of the unskilled labor

are women.

• Paid equal wages to women labor

and follow equal value by all

contractors.

Output 3: Effective support for decentralized project management

3.1 Core Project management Staff

Activity:

Female staff recruited for management and other

levels

Respective staff is assigned with responsibilities for

GAP implementation


At least 20% women recruited at management,

technical and support staff levels in PMU, PIU, PA-

NGOs.

• At PMU, PIU & PA-NGO level

remarkably 73% of total staff are

recruited female.

• Staff recruited by PMU, PIU

carrying out gender responsibilities

through team or individual

assignment.

Pag

e36

Staff recruited by PMU/PIU/CC/MCs are assigned

gender responsibilities.

3.2 PMU Technical support/ 3.3 PMU Training support/ 3.4 FMIS support

Activity:

Gender perspective incorporated in technical support.

Gender responsive budget guidelines for HMIS

followed.


Full time gender specialist hired

All Specialists TORs include addressing of gender in

their sector work.

FMIS tracks budget as per standard of gender

responsive budget guideline of GoB (MTBF)

• Full-time Gender specialist

consultant in PMU is not available

now. The contract period has

expired.

• All Specialist TORs have not

included addressing of Gender in

their work specifically except for

the Gender Specialist.

• Recruiting of FMIS firm is in under

process.

3.5 Monitoring & Evaluation

Activity:

Progress of GAP implementation monitored.


Sex disaggregated data collected, collated and

maintained

GAP monitored regularly and monitoring reports

available

• Sex disaggregated data collected,

collated & maintained regularly at

PMU, PIU & PA-NGO level.

• GAP monitored regularly and

monitoring reports available at

PMU, PIU & PA-NGO level.

Issues/Challenges from last report and proposed measures to address:

Comments/Remarks:

Pag

e37

Appendix-A

Urban Primary Health Care Services Delivery Project

Status of Civil Works (As on 30 June 2017)

Package

No Description of packages Estimated

Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress

Fund spent (BDT) Remarks

Construction of CRHCC-

W-1

Construction of 6 storied CRHCC

building at CS Plot -209, Jahurabad

near intellectual Graveyard in Dhaka

North City Corporation.

68168803.00

The Radient

Engineer

and

Consulting

House No-

451 ,Road

No-31,New

DOHS

Mohakhali,

Dhaka

73532750.07 4/3/2014 10/3/2016 100% 70732646.00 Handed over to

City Corporation

W-2 Construction of 6 storied CRHCC in

Dhaka North City Corporation.

Dropped

W-3 Construction of 6 storied CRHCC in

Chittagong City Corporation.

Dropped

W-4


building at 2 No Custom Ghat in

Khulna City Corporation.

58574286.00

M/s Rupa

Enterprise

Ebadat

Tower,

Boishakhi

Super

Market,

Shiromony

Bazar,

Khulna

52320258.44 28/01/14 31/5/2016 100% 46337707.42

Pag

e38

W-5


building at Tikapara adjacent to

UCEF school in Rajshahi City

Corporation.

68561962.00

FU-DE (JV)

Upashahar,

Sapura,

Rajshahi

59931665.63 26/02/14 2/10/2016 100% 55822728.00

W-6


building at Bandar Shahi Masjid

Road in Narayanganj City

Corporation.

68359442.00

M/s Ahasan

Enterprise &

M/s M R

Construction

JV 60(Old),

78(New)

Shahsuja

Road,

Paikpara,

Narayanganj

74857805.19 20/01/14 31/12/2015 100% 73156826.00 Handed over to

City Corporation

W-7

Construction of 6 storied CRHCC in

Gazipur City Corporation.

62401259.00

M/s Iqbal

Trading

Corporation,

Tezgaon

Dhaka

62149661.63 12/6/2016 19/6/2017 68% 11983451.00

W-8


building at Dhirasom Dakkhinkhan

to Kolar Bazar road in Gazipur City

Corporation. 61718275.00

MDJ

Associates

House#08,

Road #10,

Sector#06,U

ttara,

Dhaka-1230.

66597535.70 19/03/14 30/6/16 100% 52995227.00 Handed over to

City Corporation

W-9


building at East Khasbag (Mahiganj

near Satmatha) in Rangpur City

Corporation. 60447716.00

SCAN-MAA

(JV) House

No-1&2, Road

No-4(Concord

Arcadia

Shopping

Mall) ,

Dhanmandi,

Dhaka-1205

54225711.91 11/3/2014 30/05/17 100% 43312619.00 Time Extented

Pag

e39

Package

No

Description of packages Estimated

Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress


W-10


building at Millpara Moha Shoshan

Road in Kushtia Municipality. 61510347.00

Mondol-NI-

SH (JV)

63/1,L.C.A

Road,

Amlapara

,Kushtia.

67593691.20 12/2/2014 10/8/2016 100% 59401685.00

W-11


building at Harua in Kishoreganj

Municipality. 69945943.00

MSE-MRK

(JV)

Solakia,

Kishoreganj.

65380215.84 3/11/2014 9/2/2016 100% 45303600.00

W-12


building at Pourashava Compound

(Kuadanga Bus Stand) in Gopalganj

Municipality.

68677589.00

M/s Sajib

Enterprise

(JV)

Gopalganj.

60821764.33 26/02/14 30/6/16 100% 55783734.00

Sub-Total: 637411059.94 514830223.42

Construction of PHCC-

W-13 Construction of PHCC building in

Dhaka North City Corporation. Dropped


Dhaka South City Corporation. Dropped


Chittagong City Corporation. Dropped.


Chittagong City Corporation. Dropped.

W-17 Construction of 3 storied PHCC

building at Kanaighat Road,Koitok

in Sylhet City Corporation. 29903000.00

The Radiant

Engineering 32530232.00 28/10/14 25/5/2016 100% 30273000.00 Handed over to

City Corporation

Pag

e40

&

Consulting,


Sylhet City Corporation. Dropped

W-19

Construction of 3 storied PHCC

building at Bauband Sadar Dakkhin

in Comilla City Corporation 26598000.00

M/s Hoque

Enterprise

75, Nazrul

Avenue

Kandirpar,

Comilla

29253513.48 23/09/14 10/3/2016 100% 27377698.00

Final Bill

paid.Handed over

to City

Corporation

W-20


building at Dulipara, Dakkhin

Rasulpur in Comilla City

Corporation.

30746000.00

M/s Hoque

Enterprise

75, Nazrul

Avenue

Kandirpar,

Comilla

33811258.00 23/09/14 10/3/2016 100% 33176209.00 Do

Package

No


Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress


W-21 Construction of 3 storied PHCC

building at Sadar Dakkhin

Kamalapur in Comilla City

Corporation.

30277000.00

M/s Hoque

Enterprise

75, Nazrul

Avenue

Kandirpar,

Comilla

33285280.00 23/9/14 10/3/2016 100% 32731855.00 Handed over to

City Corporation

W-22


building at Laxmon Khola in

Narayanganj City Corporation.

30817000.00

SCAN-

MAA (JV)

349/a,East

Goran

Dhaka-1219.

33653369.00 15/10/14 15/7/16 100% 32356866.00 Do

Pag

e41

W-23


building at Godnail in Narayanganj

City Corporation.

29614000.00

M/s Ahsan

Enterprise &

S R

Enterprise

(JV) 60,

Shahsuja

Road,

Paikpara,

Narayanganj

32393638.20 15/10/14 30/6/16 100% 30615857.00 Do

W-24


building at Bara Dewbhog in

Narayanganj City Corporation. 29985000.00

M/s Asif &

Brothers

Murapara,

Rupganj,

Narayanganj

32837842.36 15/10/14 15/07/16 100% 29617095.00 Do

W-25


building at Neelerpara in Gazipur

City Corporation. 26961000.00

AE-FE-

AFEC(JV)

F/180 ,North

Sayabithi,

Joydebpur,G

azipur

29202268.48 9/10/2014 30/12/2016 100% 20504768.00

W-26


building at Laxmipura (Teen Sarak)

in Gazipur City Corporation.

27020000.00

M/S The

Radiant

Engineering

&

Consulting

24, Mirpur

Road, JA-

17, Globe

Shoping

Centre,

Dhaka.

29059930.31 13/10/14 30/6/2016 100% 26170690.00

W-27 Construction of PHCC in Gazipur

City Corporation. Dropped

W-28 Construction of PHCC in Gazipur

City Corporation. Dropped

Pag

e42

W-29


building at Shommanipur in

Rangpur City Corporation.

25997000.00

M/S Rabeya

Enterprise &

Md.Abu

Taleb

Milu(JV)

New

Engineerpar

a, Rangpur

27549172.93 2/7/2015 28/3/2017 95% 18792804.00

W-30


building at Ershad Nagar in

Rangpur City Corporation. 26508000.00

SMAH-

GME&

RC(JV),

Rangpur

28093754.93 29/6/15 28/2/2017 100% 27791615.00 Handed over to

City Corporation

W-31


building at New Jummapara in

Rangpur City Corporation. 29025000.00

M/S Taz

Monjil

Kamal

Kachna,

Rangpur

30749850.61 29/6/15 30/12/2016 100% 21550563.00

Package

No


Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress


W-32


building at Ranigram, Bottola in

Serajganj Municipality.

29793000.00

Prokalpo

Bastabayan

Ltd.Estern

Mansion,

67/9

Pioneer

Road,

Kakrail,

Dhaka.

33267681.23 29/09/14 30/12/16 95% 25000000.00

W-33


building at Baradi in Kushtia


Tunna-

Mondol -NI

(JV)3 No

Raifel Club

Market

Kushtia.

31605272.68 21/10/14 30/4/16 100% 31579473.00 Handed over to

City Corporation

Pag

e43

W-34


building at Barokhada in Kushtia


NI-GS-

AW(JV)

Khodadad

Khan Road

Thanapara,

Kushtia.

34346004.42 21/10/14 30/4/16 100% 33052637.00 Do

W-35


building at Tarapasha (Satal) in

Kishoreganj Municipality. 29556000.00

M/S G.K.

Enterprise

Rampura,

Dhaka

25957284.35 28/10/14 30/6/2015 100% 25947739.00 Handed over to

municipality

W-36


building at Prokash Botrish Nurani

Road in Kishoreganj Municipality. 28451000.00

M/S G.K.

Enterprise

Rampura,

Dhaka

25581238.00 28/10/14 30/5/2015 100% 25579495.00 Do

W-37


building at Mohammapara in

Gopalganj Municipality. 27300120.0

M/s

Showrove

Traders

Chandmari

Road,Gopal

ganj

21481663.53 9/5/2016 30/3/2017 95% 20474720.00

W-38


building at Miapara in Gopalganj


M/s

Showrove

Traders

Chandmari

Road,Gopal

ganj

20867191.54 9/5/2016 30/3/2017 90% 16725900.00

Sub-Total: 565526446.05 509318984.00

Pag

e44

Package

No


Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress

Fund spent (BDT Remarks

Maintenance:

W41.1

Maintenance of PHCC at (1)

Narinda-Ward No-7 (2) Balur Math-

Ward No-83 (3) East Jurain-Ward

No-59 (4)Nolgola Rajbari-Ward No-

66 (5) Moulovi Bazar-Ward No-67

(6) Mazed Sarder Community

Centre-Ward No-69 (7) Ward No-77

near Shahid Matiur Rahman School

at (8) Lalkuti-Ward No-79 (9)

Bakshi Bazar -Ward No-63 &

CRHCC at (10) Dhalpur-Ward No-

85 in DSCC

4073878.00

M/s Maz

Business

Syndicate

Prop: Md.

Asaduzzama

n 79/2/3

West

Agargaon

Dhaka-1207.

4328000.92 21/04/14 27/10/14 100% 4025417.00

W41.2

Maintenance of PHCC at (1) Kalu

Nagar-Ward No-58 (2) Nawabgonj-

Ward No-59 (3) Azimpur-Ward No-

59 (4) Shahid Nagar-Ward No-60

(5)Shahid Nagar ( Bou Bazar ) -

Ward No-60 (6)Rasul Bagh Park-

Ward No-62 (7) Ward No-65 near

Islam Bagh Community Centre (8)

Chadni Ghat-Ward No-65 &

CRHCC at (9) Mukdapara -Ward

No-29 (10)Hazari Bagh-Ward No-

58 in DSCC.

4604752.00

M/s Maz

Business

Syndicate

Prop: Md.

Asaduzzama

n 79/2/3

West

Agargaon

Dhaka-1207.

4916996.85 20/04/14 26/10/14 100% 4915841.00

Pag

e45

W41.3

Maintenance of PHCC at (1) Uttara-

Ward No-01(2) Mirpur-1-Ward No-

08 (3) Naki Para, Mirpur-1-Ward

No-10 (4) Shajahanpur-Ward No-34

(5) Salimullah Road-Ward No-44

(6) Noor Jahan Road-Ward No-44

(7) Rayer Bazar (Pulpar)-Ward No-

47(8) Rayer Bazar (Battala) -Ward

No-47 & CRHCC at (9) Pallabi-

Ward No-06 (10) Katasur- Ward

No-46 (11) Noyatola-Ward No-55 in

DNCC

5795510.00

M/s Maz

Business

Syndicate

Prop: Md.

Asaduzzama

n 79/2/3

West

Agargaon

Dhaka-1207.

6186919.93 21/04/14 27/10/14 100% 6178317.00

Package

No


Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress


W41.4

Maintenance of PHCC at (1)

Khalishpur-Ward No- 07 ;(2)

adjacent Bastohara Fish Market-

Ward No-09 ; (3) Ward No-10 near

Khalishpur Shishu Park ; (4) Ward

No-11 near Khalishpur New Market;

(5) Charer Hat-Ward No-13; (6)

Rayer Mahal-Ward No-14 &

CRHCC at (7) Khalishpur-Ward

No-12 in KCC

6008451.00

M/s Zaman

Enterprise16

, Dilkusha

C/A ,Dhaka.

3981815.24 27/03/14 5/10/2014 100% 3980254.00

W41-5

Maintenance of PHCC at (1) Hazi

Foyez Uddin Cross Road-Ward No-

16(A); (2) Boyra College More-

Ward No-16(B); (3) Sonadanga-

Ward No-17;(4) Sonadanga-Ward

No-18; (5) B.K.Roy Road-Ward No-

19;(6)Sher-E-Bangla Road -Ward

No-20;(7) Goluk Moni Shishu Park-

Ward No-23; (8) Bashu Para Kabar

Khana-Ward No- & (9) Bania

Khamar-Ward No-26 in KCC

6971021.00

Mir

Construction

211,Khan

Jahan Ali

Road,

Khulna.

5322599.04 30/03/14 5/10/2014 100% 5321921.50

Pag

e46

W41.6

Maintenance of CRHCC at (1)

Kasiadanga-Ward No-01;& PHCC

at (2) Court Station-Ward No-02;

(3) Futakipara -Ward No-12; (4)

Ward No-13 beside City Bhaban;

(5) Sopura-Ward No-15 in Rajshahi

City Corporation.

4860075.00

Mim

Traiding

(JV)

Malopara,G

horamara

Rajshahi.

3473605.09 16/03/14 22/9/14 100% 3445520.00

W41.7

Maintenance of CRHCC at (1)

Noadapara-Ward No-17 & PHCC

at (2) Choto Bonograme-Ward No-

18 (3) Shakerchar-Ward No-23 ; (5)

Meherchandi -Ward No-26; (6)

Kajla-Ward No-28; (7) Dasmari -

Ward No-29;(8) Budh Para-Ward

No-30 in Rajshahi City

Corporation.

5648678.00

Mim

Traiding

(JV)

Malopara,G

horamara

Rajshahi.

4164201.24 16/03/14 22/9/14 100% 4151351.00

Sub-Total: 32374138.31 32018621.50

Package

No


Cost(BDT)

Name of

Contractor

Contract amount

(BDT)

Date of

Contract Signed

Date of

completion as per

Contract

Physical

Progress


Remaining works of PHCCs

under UPHCP-II:

W-42 Incomplete work of PHCC building

at Bujjarhat in Barisal City

Corporation.

5500000.00

Tender Invited

W-43 Construction of 2nd Floor of PHCC

at Gobindapur in Comilla City

Corporation.

3800000.00

Tender

evaluation going

on.

W-44 Construction of 2nd Floor of PHCC

at Vatpara in Comilla City

Corporation.

3800000.00

Do

Pag

e47

W-45 Remaining work of Kadamtali

PHCC building in Sylhet City

Corporation.

6000000.00

Do

Sub-Total:

Grand Total in BDT (CRHCC+PHCC+

PHCC): 1235311644.30

1056167828.92

Grand Total in Million USD: 15.4414

13.2021

Pag

e48

Corrigendum for “Service Statistics” (i) Since July 2012, “Service Statistics” have been published on a quarterly basis as a subsection of QPRs, based on data

collected from all PA-NGOs accomplished in a certain period according to the Project’s Unified Record Keeping System.

In April 2018, after reviewing all data published in the QPRs, several erroneous arithmetic errors were found for the

years 2012 and 2013 tables related to “Service Delivery” under the columns “Up to Previous Quarter” and “Grand

Total”. These errors consistently affected the consecutive QPRs published. The correct Service Delivery data have been

updated herein from this quarter (April-June 2017). (ii) A service named “Primary Eye Care” has been added to the list

of services with substantial data (23,158) in “Service Delivery” and “Service Contact” tables that were missing in

previous quarters due to not continuing this service after 2012.

SERVICE STATISTICS (April-June 2017) TABLE 02: Unique Client Flow by Sex and Age (April-June 2017)

Age Group Male Female Total Male % Female % Total %

0-28 Days 28,953 31,955 60,908 47.536% 52.464% 0.003 %

29 to 364 Days 63,527 75,976 139,503 45.538% 54.462% 0.008 %

12 to 23 Months 34,783 45,425 80,208 43.366% 56.634% 0.005 %

24 to 59 Months 32,041 44,301 76,342 41.970% 58.030% 0.004 %

05 to 09 Years 16,480 29,499 45,979 35.842% 64.158% 0.003 %

10 to 14 Years 13,798 47,694 61,492 22.439% 77.561% 0.004 %

15 to 19 Years 15,564 149,776 165,340 9.413% 90.587% 0.010 %

20 to 49 Years 104,397 924,211 1,028,608 10.149% 89.851% 0.000 %

50 to 59 Years 12,229 39,042 51,271 23.852% 76.148% 0.003 %

60+ Years 5,927 13,520 19,447 30.478% 69.522% 0.001 %

Total 327,699 1,401,399 1,729,098 18.95% 81.05% ---

Note: This table shows Unique Clients only for a particular day

TABLE 03: Service Composition (April-June 2017)

Service Type Up to Previous

Quarter

Current Quarter

Grand Total

Current (%)

Overall (%)

ESP+ Clinical Service 30,521,243 1,898,549 32,419,792 75.395% 77.536%

ESP+ BCC Service 8,587,476 615,499 9,202,975 24.443% 22.367%

Other Service 38,362 4,059 42,421 0.161% 0.097%

Grand Total 39,147,081 2,518,107 41,665,188 -- --

Pag

e49

52.46 % 47.54 %

54.46 % 45.54 %

56.63 % 43.37 %

58.03 % 41.97 %

64.16 % 35.84 %

77.56 % 22.44 %

90.59 % 9.41 %

89.85 % 10.15 %

76.15 % 23.85 %

69.52 % 30.48 %

Ag

e G

rou

ps

CHART 01-04: UNIQUE CLIENT FLOW DISTRIBUTION (April-June, 2017)

Chart 01: Gender Distribution

Male: 19.0 %

Female: 81.0 %

Male : 327,699 Female : 1,401,399

Chart 02: Age Distribution

0-28 Days

29 to 364 Days

3.52 % 8.07 %

12 to 23 Months

24 to 59 Months

05 to 09 Years

10 to 14 Years

15 to 19 Years

20 to 49 Years

50 to 59 Years

60+ Years

4.64 %

4.42 %

2.66 %

3.56 %

2.97 %

1.12 %

9.56 %

59.49 %

0 5 10 15 20 25 30 35 40 45 50 55 60 65

Client(%)

Chart 03: Gender Distribution by different Age Groups

0-28 Days

29 to 364 Days

12 to 23 Months

24 to 59 Months

05 to 09 Years

10 to 14 Years

15 to 19 Years

20 to 49 Years

50 to 59 Years

60+ Years

0 10 20 30 40 50 60 70 80 90 100 110

Client (%)

FEMALE MALE

Pag

e50

23

.22

%

76

.78

%

9.4

0 %

9

0.6

0 %

17

.70

%

82

.30

%

15

.95

%

84

.05

%

20

.34

%

79

.66

%

12

.33

%

87

.67

%

17

.10

%

82

.90

%

17

.59

%

82

.41

%

14

.03

%

85

.97

%

18

.61

%

81

.39

%

20

.84

%

79

.16

%

16

.30

%

83

.70

%

16

.72

%

83

.28

%

20

.38

%

79

.62

%

18

.43

%

81

.57

%

25

.56

%

74

.44

%

14

.76

%

85

.24

%

20

.89

%

79

.11

%

16

.36

%

83

.64

%

17

.77

%

82

.23

%

25

.65

%

74

.35

%

21

.41

%

78

.59

%

20

.71

%

79

.29

%

22

.45

%

77

.55

%

17

.55

%

82

.45

%

Cli

en

t (%

)

Chart 04: PA-wise Unique Client Distribution MALE FEMALE

120

100

80

60

40

20

0

CHART 05-07: SERVICE COMPOSITION (April-June, 2017)

Chart 05: Service Composition

Other Service: 0.2 %

ESP+ BCC Service: 24.4 %

ESP+ Clinical Service: 75.4 %

ESP+ Clinical ESP+ BCC Other

Pag

e51

Th

ou

san

ds U

nit

Chart 06: ESP+ Clinical Services (Distribution by Center Type)

CRHCC: 13.3 %

SATELLITE: 34.9 %

PHCC: 51.8 %

CRHCC : 253,303 PHCC : 983,241 SATELLITE : 662,005

Chart 07: ESP+ BCC Services (Distribution by Center Type)

SATELLITE: 22.3 % CRHCC: 21.6 %

PHCC: 56.1 %

CRHCC : 133,022 PHCC : 345,514 SATELLITE : 136,963

300k

Chart 08: PA wise Client-Contact-Service Mix

250k

200k

150k

100k

50k

0k

New Client Unique Client Contact Service

New Client: A client who visits for the first time in any service center and is included in the master register. Unique client: A client who

visits at any one time on a particular day. Contact: A client who visits any service center at any certain times for receiving any specific

service. Service: Number of services provided under certain components for any number of contacts.

Pag

e52

Nu

mb

er

of

Un

iqu

e C

lient

Nu

mb

er

of

Un

iqu

e C

lient

Nu

mb

er

of

Un

iqu

e C

lient

22

,36

5

64

,15

0

55

,02

6

56

,04

3

19

,11

9

63

,52

8

51

,98

1

12

,93

0

52

,93

8

49

,48

8

11

,16

9

50

,74

1

41

,38

4

21

,71

8

58

,60

4

42

,29

5

20

,08

6

54

,79

1

35

,74

7

39

,26

4

4,6

85

5

1,3

43

5,2

71

5

3,9

21

61

,28

3

59

,75

0

31

,83

1

42

,10

1

31

,53

2

40

,39

6

74

,27

0

64

,75

7

12

,37

9

70

,70

4

11

,02

2

73

,98

0

77

,86

5

99

,15

2

23

,94

6

47

,93

5

26

,01

4

26

,75

4

44

,47

2

39

,76

0

24

,07

2

45

,69

0

46

,65

8

23

,16

9

45

,31

7

42

,75

0

80k

Chart 09 (A): Unique Clients: Comparison between Previous & Present Quarter

60k

40k

20k

0k DSCC PA 1 PSTC DSCC PA 2 KMSS DSCC PA 3, BAPSA

DSCC PA 4 PSTC DSCC PA 5 PSTC DNCC PA 1 Nari

Maitree

Previous Quarter Current Quarter

DNCC PA -02

Nari Maitree

DNCC PA 3 UTPS

125k

Chart 09 (B): Unique Clients: Comparison between Previous & Present Quarter

100k

75k

50k

25k

0k

DNCC PA 4 DNCC, PA 5, DAM

RCC PA 1

RIC

RCC, PA-2 KCC PA 1 KCC PA-2 SCC, PA-1 BCC PA-1

Srizony


CoCC,PA-01

40k

Chart 09 (C): Unique Clients: Comparison between Previous & Present Quarter

30k

20k

10k

0k

SrjM PA-1 KM PA-1

Srizony

KnjM PA 1 GopM PA 1 NACC PA 1

PSKP


RaCC PA 1 GCC PA 1

PSTC

GaCCPA2

Pag

e53

Nu

mb

er

of

Servic

e

Nu

mb

er

of

Servic

e

Nu

mb

er

of

Servic

e

37

3

10

6

34

8

37

3

84

3

71

20

7

75

3

37

2

13

66

3

06

93

94

7

2

40

9

84

3

62

38

33

1

7

23

6

27

3

03

25

4

28

9

10

3

19

4

14

5

19

6

34

2

31

3

11

0

35

7

18

0

13

8

36

8

13

9

16

0

20

8

26

0

12

5

30

8

26

0

16

9

28

3

22

5

16

8

30

4

25

6

500

Chart 10 (A): NVD: Comparison between Previous & Present Quarter

400

300

200

100

0 DSCC PA 1 DSCC PA 2 DSCC PA 3, DSCC PA 4 DSCC PA 5 DNCC PA 1 DNCC PA -02 DNCC PA 3 PSTC KMSS BAPSA PSTC PSTC Nari Maitree Nari Maitree UTPS


400

Chart 10 (B): NVD: Comparison between Previous & Present Quarter

300

200

100

0

DNCC PA 4 DNCC, PA 5, DAM

RCC PA 1

RIC

RCC, PA-2 KCC PA 1 KCC PA-2 SCC, PA-1 BCC PA-1

Srizony


CoCC,PA-01

200

Chart 10 (C): NVD: Comparison between Previous & Present Quarter

150

100

50

0

SrjM PA-1 KM PA-1

Srizony

KnjM PA 1 GopM PA 1 NACC PA 1

PSKP


RaCC PA 1 GCC PA 1

PSTC

GaCCPA2

TABLE 04: Service Component-wise Service Delivery

Current Quarter (April-June, 2017)

Pag

e54

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Reproductive Health 9,508,008 120,266 290,791 0 411,057 278,982 690,039 10,198,047

Maternal Care 3,482,225 75,241 101,539 0 176,780 73,458 250,238 3,732,463

Antenatal Care 2,174,634 39,919 77,048 0 116,967 45,493 162,460 2,337,094

Delivery Care (NVD) 87,077 5,303 0 0 5,303 0 5,303 92,380

Delivery Care (CS) 50,742 2,823 0 0 2,823 0 2,823 53,565

Postnatal Care 719,901 18,002 15,024 0 33,026 16,739 49,765 769,666

Neonatal Care 449,871 9,194 9,467 0 18,661 11,226 29,887 479,758

Menstrual Regulation 105,427 489 6,261 0 6,750 0 6,750 112,177

Post Abortion Care 5,897 254 167 0 421 0 421 6,318

Family Planning 3,157,593 17,207 98,066 0 115,273 137,578 252,851 3,410,444

Emergency Contraceptive Pill 1,669 43 114 0 157 21 178 1,847

Maternal Nutrition 283,462 3,261 11,889 0 15,150 3,558 18,708 302,170

Violence Against Women 28,677 321 1,278 0 1,599 0 1,599 30,276

Adolescent Reproductive Health Care 1,248,197 9,707 31,897 0 41,604 37,852 79,456 1,327,653

RTI/STI Care 717,973 9,005 18,827 0 27,832 20,869 48,701 766,674

Other Reproductive Health Care 476,888 4,738 20,753 0 25,491 5,646 31,137 508,025

3 Number of services delivered in CRHCCs |

4 Number of services delivered in PHCCs |

5 Other Static Service Delivery Points (PECC, DOTS,

VCCT etc) 6

Number of services delivered in Static clinics (i.e. in CRHCCs, PHCCs and Other Static Centers) 7

Number of services delivered in Satellite clinics 8

Total = Static + Satellite or Total = CRHCC + PHCC + Other + Satellite



Pag

e55

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Child Health Care 7,903,599 29,078 353,777 0 382,855 93,461 476,316 8,379,915

Immunization Program - EPI 1,705,443 8,596 58,591 0 67,187 45,708 112,895 1,818,338

Immunization Program - NID 4,030,918 621 239,229 0 239,850 0 239,850 4,270,768

Control of Diarrhoea & Other Childhood

Diseases

665,364

4,357

16,165

0

20,522

17,990

38,512

703,876

Diarrhea 661,181 4,324 16,015 0 20,339 17,862 38,201 699,382

Measles 4,183 33 150 0 183 128 311 4,494

Control of Acute Respiratory Infections 888,638 7,438 21,104 0 28,542 20,055 48,597 937,235

Control of Micronutrient Deficiency 613,236 8,066 18,688 0 26,754 9,708 36,462 649,698

Child Nutrition 372,832 4,916 12,890 0 17,806 6,213 24,019 396,851

Vitamin A Deficiency 238,559 3,138 5,689 0 8,827 3,495 12,322 250,881

Iodine Deficiency 1,845 12 109 0 121 0 121 1,966

Communicable Diseases Control 1,587,822 132 1,178 0 1,310 0 1,310 1,589,132

Tuberculosis Control 1,564,308 0 0 0 0 0 0 1,564,308

Other Communicable Diseases Control 23,514 132 1,178 0 1,310 0 1,310 24,824



Pag

e56

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Limited Curative Care 8,606,424 33,397 181,519 0 214,916 278,399 493,315 9,099,739

First Aid for Injuries 67,892 2,042 2,283 0 4,325 989 5,314 73,206

Emergency Care 21,274 566 849 0 1,415 0 1,415 22,689

Treatment of Minor Infections 8,494,100 30,789 178,387 0 209,176 277,410 486,586 8,980,686

Primary Eye Care 23,158 0 0 0 0 0 0 23,158

Support Services for ESP+ 2,915,390 70,430 155,976 0 226,406 11,163 237,569 3,152,815

Diagnostic Service 2,898,747 69,719 155,976 0 225,695 11,163 236,858 3,135,605

Emergency Transportation Service 16,643 711 0 0 711 0 711 17,210

Behavior Change Communication 8,587,476 133,022 345,514 0 478,536 136,963 615,499 9,202,975

Health Education (Session) 1,932,952 0 0 0 0 136,963 136,963 2,069,915

Counseling 6,654,524 133,022 345,514 0 478,536 0 478,536 7,133,060

Miscellaneous 38,362 4,059 0 0 4,059 0 4,059 42,421

Adolescent Development Program 38,362 4,059 0 0 4,059 0 4,059 42,421

Income Generation from Medicine 0 0 0 0 0 0 0 0

ESP+ Clinical Service 30,521,243 253,303 983,241 0 1,236,544 662,005 1,898,549 32,419,792

ESP+ BCC Service 8,587,476 133,022 345,514 0 478,536 136,963 615,499 9,202,975

Other Service 38,362 4,059 0 0 4,059 0 4,059 42,421

Grand Total 39,147,081 390,384 1,328,755 0 1,719,139 798,968 2,518,107 41,665,188

ESP+ Clinical Service % 77.97% 64.89% 74.00% 0.00% 71.93% 71.93% 75.40% 77.71%

ESP+ BCC Service % 21.94% 34.07% 26.00% 0.00% 27.84% 27.84% 24.44% 22.18%

Other Service % 0.10% 1.04% 0.00% 0.00% 0.24% 0.24% 0.16% 0.10%

TABLE 05: Service Component-wise Service Contact 9

Pag

e57

Component Up to

Previous

Quarter

Poor FF 10

11

12

13

Male

Female

Total

Grand

Total

Reproductive Health 9,357,527 232,599 255,757 44,773 151,944 45,270 638,409 683,679 1,004,1206

Maternal Care 3,482,212 81,849 45,859 26,088 96,392 13,482 236,703 250,185 3,732,397

Antenatal Care 2,174,575 50,388 28,502 17,305 66,215 0 162,410 162,410 2,336,985

Delivery Care (NVD) 87,078 1,937 81 958 2,327 0 5,303 5,303 92,381

Delivery Care (CS) 50,742 864 19 1,228 712 0 2,823 2,823 53,565

Postnatal Care 719,924 18,627 10,127 4,177 16,834 0 49,765 49,765 769,689

Neonatal Care 449,893 10,033 7,130 2,420 10,304 13,482 16,402 29,884 479,777

Menstrual Regulation 105,410 2,595 187 1,686 2,282 0 6,750 6,750 112,160

Post Abortion Care 5,895 120 25 142 134 0 421 421 6,316

Family Planning 3,157,496 80,416 153,769 2,288 16,369 27,293 225,558 252,851 3,410,347

Emergency Contraceptive Pill 1,669 76 86 5 11 0 178 178 1,887

Maternal Nutrition 283,553 8,234 9,809 346 319 0 18,708 18,708 302,261

Violence Against Women 32,686 842 747 16 80 0 1,685 1,685 34,371

Adolescent Reproductive Health Care 1,134,827 27,661 24,752 8,698 15,274 2,243 72,742 74,985 1,209,812

RTI/STI Care 696,308 20,173 10,895 4,128 12,661 1,986 45,871 47,857 744,165

Other Reproductive Health Care 457,471 10,633 9,628 1,376 8,422 266 29,793 30,059 487,530


FF(NC) PF Paid

9 Contact is the number of patient or service recipient under a particular service provision.

10 FF © is Full Free Health Entitlement Card (HEC) Holding Poor

11 FF (NC) is Full Free Service-contact (Global Free Services for Non-Poor, Free Follow-up of Paying Contact,

Free for Services other than First Prime Service and Full Free Non-Card Holder) 12

PF is Partial Free Service-contact | 13

Paid is Full Paid Service-contact


Pag

e58


Component Up to

Previous

Quarter

Poor FF 10

FF(NC)

PF

Paid

Male

Female

Total

Grand

Total

Child Health Care 7,094,784 126,053 277,943 9,349 33,188 202,313 244,230 446,543 7,541,327

Immunization Program - EPI 1,687,537 27,571 85,149 309 0 50,846 62,183 113,029 1,800,566

Immunization Program - NID 3,259,866 49,353 163,042 0 0 100,202 112,193 212,395 3,472,261

Control of Diarrhoea & Other

Childhood Diseases

668,5388

15,764

4,877

4,088

13,784

16,825

21,688

38,513

703,901

Diarrhea 661,200 15,668 4,782 4,085 13,666 16,720 21,481 38,201 699,401

Measles 4,188 96 95 3 118 105 207 312 4,500

Control of Acute Respiratory

Infections

888,839

19,455

5,905

4,384

18,843

21,616

26,981

48,597

937,436

Control of Micronutrient Deficiency 593,154 13,910 18,970 568 561 12,824 21,185 34,009 627,163

Child Nutrition 322,836 8,929 11,681 568 388 8,592 12,974 21,566 374,402

Vitamin A Deficiency 238,473 4,916 7,240 0 166 4,214 8,108 12,322 250,795

Iodine Deficiency 1,845 65 49 0 7 18 103 121 1,966

Communicable Diseases Control 1,194,006 407 490 38 375 572 738 1,310 1,195,316

Tuberculosis Control 1,170,507 0 0 0 0 0 0 0 1,170,507

Other Communicable Diseases

Control

23,499

407

490

38

375

572

738

1,310

24,809

11 12 13


Pag

e59


Component Up to

Previous

Quarter

Poor FF 10

FF(NC) 11

PF 12

Paid 13

Male

Female

Total

Grand

Total

Limited Curative Care 7,892,666 168,559 118,876 64,680 108,706 92,672 368,149 460,821 8,353,487

First Aid for Injuries 68,136 2,086 1,224 475 1,529 1,499 3,815 5,314 73,450

Emergency Care 21,280 535 279 91 510 296 1,119 1,415 22,695

Treatment of Minor Infections 7,780,092 165,938 117,373 64,114 106,667 90,877 363,215 454,092 8,234,185

Primary Eye Care 23,158 0 0 0 0 0 0 0 23,158

Support Services for ESP+ 2,004,662 61,007 12,228 24,008 64,134 17,692 143,685 161,377 2,166,039

Diagnostic Service 1,987,266 60,746 12,077 23,975 63,767 17,570 142,995 160,565 2,147,831

Emergency Transportation Service 17,396 261 151 33 367 122 690 812 18,208

Behavior Change Communication 11,781,510 245,224 473,050 9 665 144,138 574,919 719,057 12,500,567

Health Education (Session) 3,506,917 59,735 114,072 0 0 34,376 139,411 173,787 3,680,704

Counseling 8,274,393 185,489 358,978 9 665 109,762 435,508 545,270 8,819,863

Miscellaneous 89,554 1,343 4,567 0 0 1,048 4,862 5,910 95,464

Adolescent Development Program 89,554 1,343 4,567 0 0 1,048 4,862 5,910 95,464

Income Generation from Medicine 0 0 0 0 0 0 0 0 0

ESP+ Clinical Service 27,543,645 588,625 665,294 142,848 358,347 358,519 1,395,211 1,753,730 29,297,375

ESP+ BCC Service 11,781,510 245,224 473,050 9 665 144,138 574,919 719,057 12,500,567

Other Service 89,554 1,343 4,567 0 0 1,048 4,862 5,910 95,464

Grand Total 39,414,719 835,192 1,142,911 142,857 359,012 503,705 1,974,992 2,478,697 41,893,406

ESP+ Clinical Service % 69.88% 70.48% 58.21% 99.99% 99.81% 71.18% 70.64% 70.75% 69.88%

ESP+ BCC Service % 29.88% 29.36% 41.39% 0.01% 0.19% 28.62% 29.11% 29.01% 29.88%

Other Service % 0.41% 0.16% 0.40% 0.00% 0.00% 0.21% 0.25% 0.24% 0.41%

Pag

e60

Component 14

Avg.

15

Prev.

16

Qtr Current

Qtr

Reproductive Health 629,185 588,407 615,470 683,679

Maternal Care 235,969 228,145 229,578 250,185

Antenatal Care 150,164 143,829 144,252 162,410

Delivery Care (NVD) 5,338 5,532 5,178 5,303

Delivery Care (CS) 2,790 2,831 2,715 2,823

Postnatal Care 48,125 47,044 47,567 49,765

Neonatal Care 29,553 28,909 29,866 29,884

Menstrual Regulation 6,910 7,148 6,832 6,750

Post Abortion Care 459 478 477 421

Family Planning 216,049 190,750 204,545 252,851

Emergency Contraceptive Pill 192 225 173 178

Maternal Nutrition 16,835 14,405 17,391 18,708

Violence Against Women 1,795 1,933 1,766 1,685

Adolescent Reproductive Health Care 74,306 71,037 76,897 74,985

RTI/STI Care 47,026 46,217 47,004 47,857

Other Reproductive Health Care 29,645 28,069 30,807 30,059

Child Health Care 354,321 372,573 243,847 446,543

Immunization Program - EPI 110,728 100,757 118,399 113,029

Immunization Program - NID 121,746 152,844 0 212,395

Control of Diarrhoea & Other Childhood

Diseases

38,588

39,421

37,829

38,513

Diarrhea 38,258 39,069 37,504 38,201

Measles 330 352 325 312

Control of Acute Respiratory Infections 50,545 49,528 53,509 48,597

Control of Micronutrient Deficiency 32,714 30,023 34,110 34,009

Child Nutrition 20,288 17,228 22,069 21,566

Vitamin A Deficiency 12,312 12,684 11,931 12,322

Iodine Deficiency 114 111 110 121

TABLE 06: Comparative Statement of Service Contact among different Quarters

Qtr 1 Year Prev.

14 Quarterly Average (Jul 2005 to current quarter).

15 The quarter 1 year previous from current quarter i.e. past 4th quarter

16Previous/last quarter

Pag

e61

Component 14

Avg.

15

Prev.

16

Qtr Current

Qtr

Communicable Diseases Control 1,210 1,176 1,145 1,310

Tuberculosis Control 0 0 0 0

Other Communicable Diseases Control 1,210 1,176 1,145 1,310

Limited Curative Care 445,231 413,598 461,274 460,821

First Aid for Injuries 4,972 4,529 5,073 5,314

Emergency Care 1,441 1,264 1,643 1,415

Treatment of Minor Infections 438,818 407,805 454,558 454,092

Support Services for ESP+ 151,480 145,699 147,363 161,377

Diagnostic Service 150,540 144,794 146,262 160,565

Emergency Transportation Service 939 905 1,101 812

Behavior Change Communication 688,311 660,886 684,991 719,057

Health Education (Session) 154,966 138,579 152,531 173,787

Counseling 533,346 522,307 532,460 545,270

Miscellaneous 6,163 6,516 6,064 5,910

Adolescent Development Program 6,163 6,516 6,064 5,910

ESP+ Clinical Service 1,581,427 1,521,453 1,469,099 1,753,730

ESP+ BCC Service 688,311 660,886 684,991 719,057

Other Service 6,163 6,516 6,064 5,910

Grand Total 2,275,902 2,188,855 2,160,154 2,478,697

ESP+ Clinical Service % 69.49% 69.51% 68.01% 70.75%

ESP+ BCC Service % 30.24% 30.19% 31.71% 29.01%

Other Service % 0.27% 0.30% 0.28% 0.24%

TABLE 06: Comparative Statement of Service Contact among different Quarters

Qtr 1 Year Prev.

Pag

e62


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Reproductive Health 683,679 690,039 232599 34.02% 24,475,662 26,602,876

Maternal Care 250,185 250,238 81849 32.72% 20,005,822 18,242,773

Antenatal Care 162,410 162,460 50388 31.03% 2,804,563 3,103,436

Delivery Care (NVD) 5,303 5,303 1937 36.53% 2,570,116 2,183,005

Delivery Care (CS) 2,823 2,823 864 30.61% 13,471,893 11,182,479

Postnatal Care 49,765 49,765 18627 37.43% 703,321 1,117,673

Neonatal Care 29,884 29,887 10033 33.57% 455,929 656,180

Menstrual Regulation 6,750 6,750 2595 38.44% 2,426,062 2,506,962

Post Abortion Care 421 421 120 28.50% 335,970 230,380

Family Planning 252,851 252,851 80416 31.80% 99,184 1,750,522

Emergency Contraceptive Pill 178 178 76 42.70% 465 5,138

Maternal Nutrition 18,708 18,708 8234 44.01% 8,468 515,929

Violence Against Women 1,685 1,599 842 49.97% 3,525 24,076

Adolescent Reproductive Health

Care

74,985

79,456

27661

36.89%

675,745

1,666,906

RTI/STI Care 47,857 48,701 20173 42.15% 545,405 1,047,834

Other Reproductive Health Care 30,059 31,137 10633 35.37% 375,016 612,356

Child Health Care 446,543 476,316 126053 28.23% 1,417,300 3,080,771

Immunization Program - EPI 113,029 112,895 27571 24.39% 260 564,300

Immunization Program - NID 212,395 239,850 49353 23.24% 0 32,700


Childhood Diseases

38,513

38,512

15764

40.93%

599,044

864,594

Diarrhea 38,201 38,201 15668 41.01% 596,204 861,574

Measles 312 311 96 30.77% 2,840 3,020

Control of Acute Respiratory

Infections

48,597

48,597

19455

40.03%

793,412

1,007,203

Control of Micronutrient Deficiency 34,009 36,462 13910 40.90% 24,584 611,974

Child Nutrition 21,566 24,019 8929 41.40% 20,364 507,014

Vitamin A Deficiency 12,322 12,322 4916 39.90% 3,940 101,650

Iodine Deficiency 121 121 65 53.72% 280 3,310

17 Propoor is the percentage of poor (Health Entitlement Cardholder) contact excluding NID program.

UPHCP-II is committed to achieve at least 30% propoor targeting in each service component. 0% means

service provided to poor is 0 (zero). Blank Cell (null value) means respective service has not been delivered

from particular entity during the reporting period.

Pag

e63


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Communicable Diseases Control 1,310 1,310 407 31.07% 15,730 34,330

Tuberculosis Control 0 0 0 0.00% 0 0

Other Communicable Diseases

Control

1,310

1,310

407

31.07%

15,730

34,330

Limited Curative Care 460,821 493,315 168559 36.58% 4,639,573 9,587,814

First Aid for Injuries 5,314 5,314 2086 39.25% 82,636 120,989

Emergency Care 1,415 1,415 535 37.81% 50,361 31,615

Treatment of Minor Infections 454,092 486,586 165938 36.54% 4,506,576 9,435,210

Support Services for ESP+ 161,377 237,569 61007 37.80% 13,292,567 9,659,414

Diagnostic Service 160,565 236,858 60746 37.83% 13,119,035 9,554,021

Emergency Transportation Service 812 711 261 32.14% 173,532 105,393

Behavior Change Communication 719,057 615,499 245224 34.10% 0 51,240

Health Education (Session) 173,787 136,963 59735 34.37% 0 51,240

Counseling 545,270 478,536 185489 34.02% 0 0

Miscellaneous 5,910 4,059 1343 22.72% 0 2,240

Adolescent Development Program 5,910 4,059 1343 22.72% 0 2,240

Income Generation from Medicine

-

-

-

35.50%

9,139,530

5,031,182

ESP+ Clinical Service

1,753,730

1,898,549

588625

33.56%

43,840,832

48,965,205

ESP+ BCC Service

719,057

615,499

245224

34.10%

0

51,240

Other Service

5,910

4,059

1343

22.72%

0

2,240

Grand Total

2,478,697

2,518,107

835192

33.69%

43,840,832

49,018,685

ESP+ Clinical Service %

70.75%

75.40%

-

-

100.00%

99.89%

ESP+ BCC Service %

29.01%

24.44%

-

-

0.00%

0.10%

Other Service %

0.24%

0.16%

-

-

0.00%

0.00%

Pag

e64

DSCC PA 1 PSTC (April-June, 2017)

TABLE 08.01:

PA wise Performance Summary

Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health 57,293 58,817 40.84% 2,398,783 1,818,717

Maternal Care 27,153 27,153 40.36% 1,738,590 1,230,080

Antenatal Care 18,038 18,038 38.46% 425,845 435,715

Delivery Care (NVD) 371 371 46.63% 178,200 153,900

Delivery Care (CS) 193 193 37.31% 918,000 425,600

Postnatal Care 5,237 5,237 46.25% 124,955 136,895

Neonatal Care 3,314 3,314 40.89% 91,590 77,970

Menstrual Regulation 438 438 32.42% 279,280 80,300

Post Abortion Care 17 17 5.88% 39,400 3,100

Family Planning 12,135 12,135 38.61% 0 0

Emergency Contraceptive Pill 0 0 0.00% 0 0

Maternal Nutrition 174 174 68.97% 0 0

Violence Against Women 108 108 46.30% 0 0

Adolescent Reproductive Health Care 5,037 5,775 40.68% 116,531 130,319

RTI/STI Care 6,774 7,473 48.46% 126,722 214,828

Other Reproductive Health Care 5,457 5,544 38.61% 98,260 160,090

Child Health Care 18,698 18,706 26.03% 191,090 235,490

Immunization Program - EPI 10,739 10,739 13.47% 0 0

Immunization Program - NID 0 0 0.00% 0 0


Childhood Diseases

3,764

3,764

41.87%

94,020

133,340

Diarrhea 3,762 3,762 41.89% 93,920 133,340

Measles 2 2 0.00% 100 0

Control of Acute Respiratory Infections 3,997 3,997 43.41% 97,070 102,150

Control of Micronutrient Deficiency 198 206 55.05% 0 0

Child Nutrition 198 206 55.05% 0 0

Vitamin A Deficiency 0 0 0.00% 0 0

Iodine Deficiency 0 0 0.00% 0 0

Pag

e65


TABLE 08.01:


Contact

Service

Propoor %

Revenue

Subsidy

Communicable Diseases Control 0 0 0.00% 0 0

Tuberculosis Control 0 0 0.00% 0 0

Other Communicable Diseases Control 0 0 0.00% 0 0

Limited Curative Care 22,899 24,408 36.74% 633,670 528,825

First Aid for Injuries 40 40 45.00% 800 550

Emergency Care 136 136 30.88% 24,265 6,130

Treatment of Minor Infections 22,723 24,232 36.76% 608,605 522,145

Support Services for ESP+ 7,180 17,632 35.21% 1,393,838 544,730

Diagnostic Service 7,158 17,610 35.23% 1,385,838 541,730

Emergency Transportation Service 22 22 27.27% 8,000 3,000

Behavior Change Communication 50,711 50,178 39.99% 0 0

Health Education (Session) 7,969 7,969 41.37% 0 0

Counseling 42,742 42,209 39.73% 0 0

Miscellaneous 636 564 30.19% 0 0

Adolescent Development Program 636 564 30.19% 0 0


-

-

28.68%

519,000

208,699


106,070

119,563

36.96%

4,617,381

3,127,762

ESP+ BCC Service

50,711

50,178

39.99%

0

0

Other Service

636

564

30.19%

0

0

Grand Total

157,417

170,305

37.91%

4,617,381

3,127,762


67.38%

70.21%

-

100%

100%

ESP+ BCC Service %

32.21%

29.46%

-

0%

0%

Other Service %

0.40%

0.33%

-

0%

0%

Pag

e66

DSCC PA 2 KMSS (April-June, 2017)

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,948

30,508

28.51%

817,275

411,720

Maternal Care 9,895 9,895 27.96% 434,235 204,350

Antenatal Care 5,899 5,899 28.51% 117,283 56,780


Delivery Care (CS) 49 49 40.82% 151,600 67,400

Postnatal Care 2,217 2,217 26.84% 44,870 25,900

Neonatal Care 1,424 1,424 26.47% 29,932 16,020


Post Abortion Care 12 12 33.33% 0 120

Family Planning 5,477 5,477 27.97% 0 0





RTI/STI Care 3,976 4,001 30.43% 66,840 40,730


Child Health Care

10,363

10,370

29.06%

110,144

66,740




Childhood Diseases

2,351

2,351

34.71%

44,810

29,170

Diarrhea 2,351 2,351 34.71% 44,810 29,170

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 593 600 37.27% 1,000 440

Child Nutrition 168 175 29.17% 1,000 440



Pag

e67

DSCC PA 2 KMSS (April-June, 2017)

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Communicable Diseases Control

0

0

0.00%

0

0



Limited Curative Care

26,325

26,497

32.44%

435,956

188,273

First Aid for Injuries 256 256 37.11% 5,390 3,210

Emergency Care 206 206 32.04% 4,990 3,090


Support Services for ESP+

4,255

7,932

34.48%

382,070

113,220

Diagnostic Service 4,255 7,932 34.48% 382,070 113,220

Emergency Transportation Service 0 0 0.00% 0 0

Behavior Change Communication

64,800

64,584

31.49%

0

0


Counseling 43,295 43,159 32.30% 0 0

Miscellaneous

422

422

35.31%

0

0



-

-

49.06%

293,991

283,121


70,891

75,307

30.41%

1,745,445

779,953

ESP+ BCC Service

64,800

64,584

31.49%

0

0

Other Service

422

422

35.31%

0

0

Grand Total

136,113

140,313

30.94%

1,745,445

779,953


52.08%

53.67%

-

100%

100%

ESP+ BCC Service %

47.61%

46.03%

-

0%

0%

Other Service %

0.31%

0.30%

-

0%

0%

Pag

e68

DSCC PA 3, BAPSA (April-June, 2017)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,215

28,401

37.79%

1,482,657

1,405,652

Maternal Care 12,462 12,462 38.64% 1,120,815 1,012,859

Antenatal Care 7,461 7,461 34.86% 163,107 134,930


Delivery Care (CS) 130 130 35.38% 719,000 581,000

Postnatal Care 2,773 2,773 45.76% 38,618 70,582

Neonatal Care 1,736 1,736 42.11% 21,990 42,447



Family Planning 8,489 8,489 30.92% 7,544 1,612





RTI/STI Care 2,064 2,158 50.10% 35,690 53,880


Child Health Care

13,951

13,951

31.98%

90,090

136,921




Childhood Diseases

2,340

2,340

47.18%

39,234

54,317

Diarrhea 2,340 2,340 47.18% 39,234 54,317

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 908 908 46.04% 2,420 18,180

Child Nutrition 506 506 48.42% 2,340 10,180

Vitamin A Deficiency 396 396 42.68% 0 7,840


Pag

e69

DSCC PA 3, BAPSA (April-June, 2017)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




13,576

13,586

46.52%

229,614

308,974


Emergency Care 65 65 53.85% 1,311 1,430



13,412

13,412

38.06%

928,159

557,735




23,627

23,489

39.92%

0

11,960

Health Education (Session) 9,795 9,754 36.58% 0 11,960

Counseling 13,832 13,735 42.29% 0 0

Miscellaneous

1,440

1,440

0.00%

0

0

Adolescent Development Program 1,440 1,440 0.00% 0 0


-

-

44.73%

524,868

424,697


69,154

69,350

38.39%

2,730,520

2,409,282

ESP+ BCC Service

23,627

23,489

39.92%

0

11,960

Other Service

1,440

1,440

0.00%

0

0

Grand Total

94,221

94,279

38.18%

2,730,520

2,421,242


73.40%

73.56%

-

100%

100%

ESP+ BCC Service %

25.08%

24.91%

-

0%

0%

Other Service %

1.53%

1.53%

-

0%

0%

Pag

e70


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

31,985

32,746

38.25%

1,387,818

1,016,762

Maternal Care 14,590 14,590 33.54% 1,218,941 854,394

Antenatal Care 10,186 10,186 32.70% 213,796 146,504


Delivery Care (CS) 145 145 33.10% 786,000 519,000

Postnatal Care 2,862 2,862 37.14% 47,320 72,440

Neonatal Care 1,094 1,094 32.54% 6,125 9,450


Post Abortion Care 2 2 50.00% 2,500 800

Family Planning 9,581 9,581 42.88% 902 1,632





RTI/STI Care 3,324 3,325 44.46% 16,385 33,010

Other Reproductive Health Care 1,200 1,211 37.00% 0 2,975

Child Health Care

12,867

12,867

25.78%

94,394

113,226




Childhood Diseases

2,220

2,220

43.24%

46,984

56,456

Diarrhea 2,220 2,220 43.24% 46,984 56,456

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 1,180 1,180 43.73% 0 0


Vitamin A Deficiency 1,122 1,122 42.87% 0 0


Pag

e71


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




43,630

51,543

34.17%

726,441

494,712


Emergency Care 0 0 0.00% 0 0



4,820

12,915

43.11%

715,550

477,105




30,468

30,252

33.22%

0

0


Counseling 25,757 25,541 31.34% 0 0

Miscellaneous

450

450

33.33%

0

0



-

-

36.24%

396,224

225,250


93,302

110,071

34.87%

2,924,203

2,101,805

ESP+ BCC Service

30,468

30,252

33.22%

0

0

Other Service

450

450

33.33%

0

0

Grand Total

124,220

140,773

34.46%

2,924,203

2,101,805


75.11%

78.19%

-

100%

100%

ESP+ BCC Service %

24.53%

21.49%

-

0%

0%

Other Service %

0.36%

0.32%

-

0%

0%

Pag

e72


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

33,874

34,274

34.76%

1,109,174

1,127,670

Maternal Care 18,273 18,273 34.59% 878,477 792,286

Antenatal Care 10,479 10,479 32.96% 154,837 210,111


Delivery Care (CS) 114 114 32.46% 477,800 377,200

Postnatal Care 4,689 4,689 36.77% 77,510 91,500

Neonatal Care 2,795 2,795 37.42% 48,630 56,775



Family Planning 5,419 5,419 33.70% 2,480 2,158





RTI/STI Care 3,641 3,656 37.49% 38,840 74,928

Other Reproductive Health Care 902 934 34.81% 11,660 17,985

Child Health Care

12,383

12,383

34.18%

118,973

127,562




Childhood Diseases

2,878

2,878

34.89%

50,250

57,385

Diarrhea 2,878 2,878 34.89% 50,250 57,385

Measles 0 0 0.00% 0 0






Pag

e73


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




17,716

17,719

33.34%

265,856

376,719


Emergency Care 67 67 38.81% 1,860 830



4,125

9,838

32.65%

703,728

247,342


Emergency Transportation Service 6 6 0.00% 3,400 200


44,730

42,241

32.76%

0

0


Counseling 37,672 36,723 32.85% 0 0

Miscellaneous

359

344

13.65%

0

0



-

-

18.89%

604,328

140,790


68,098

74,214

34.16%

2,197,731

1,879,293

ESP+ BCC Service

44,730

42,241

32.76%

0

0

Other Service

359

344

13.65%

0

0

Grand Total

113,187

116,799

33.54%

2,197,731

1,879,293


60.16%

63.54%

-

100%

100%

ESP+ BCC Service %

39.52%

36.17%

-

0%

0%

Other Service %

0.32%

0.29%

-

0%

0%

Pag

e74

DNCC PA 1 Nari Maitree (April-June, 2017)

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

42,469

42,469

42.37%

2,158,185

2,390,722

Maternal Care 16,186 16,186 43.22% 1,975,210 1,791,330

Antenatal Care 10,097 10,097 42.00% 146,950 256,270


Delivery Care (CS) 278 278 35.97% 1,581,800 1,198,200

Postnatal Care 3,068 3,068 44.46% 43,900 78,420

Neonatal Care 2,375 2,375 47.12% 32,160 60,840



Family Planning 14,919 14,919 36.77% 0 0


Maternal Nutrition 4,340 4,340 47.51% 0 42,511

Violence Against Women 147 147 47.62% 500 5,236


RTI/STI Care 1,501 1,501 52.56% 13,890 45,150


Child Health Care

88,066

88,066

30.01%

101,265

230,738


Immunization Program - NID 69,578 69,578 27.75% 0 0


Childhood Diseases

3,613

3,613

45.67%

43,795

101,765

Diarrhea 3,613 3,613 45.67% 43,795 101,765

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 5,608 5,608 51.12% 0 22,723

Child Nutrition 3,408 3,408 53.58% 0 22,723



Pag

e75

DNCC PA 1 Nari Maitree (April-June, 2017)

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




10,485

10,491

37.33%

192,157

230,178


Emergency Care 163 163 28.83% 5,330 3,210



8,317

15,488

45.41%

977,456

1,034,424

Diagnostic Service 8,258 15,429 45.28% 971,456 1,022,724



43,727

43,727

38.91%

0

0


Counseling 30,558 30,558 41.88% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

54.81%

355,541

431,261


149,337

156,514

34.90%

3,429,063

3,886,062

ESP+ BCC Service

43,727

43,727

38.91%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

193,064

200,241

35.81%

3,429,063

3,886,062


77.35%

78.16%

-

100%

100%

ESP+ BCC Service %

22.65%

21.84%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e76

DNCC PA -02 Nari Maitree (April-June, 2017)

TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,695

29,879

29.63%

2,332,703

1,253,349

Maternal Care 14,627 14,614 33.93% 1,716,100 891,300

Antenatal Care 8,985 8,972 29.14% 212,580 122,090


Delivery Care (CS) 178 178 23.60% 1,215,500 564,500

Postnatal Care 3,671 3,671 48.49% 56,210 73,010

Neonatal Care 1,485 1,485 27.88% 35,660 19,850


Post Abortion Care 7 7 14.29% 4,800 800

Family Planning 5,393 5,393 17.28% 0 3,620





RTI/STI Care 2,720 2,720 34.93% 46,180 41,800


Child Health Care

22,644

46,120

17.68%

171,392

95,198

Immunization Program - EPI 7,026 7,002 20.68% 0 1,300



Childhood Diseases

3,085

3,085

27.75%

77,625

38,395

Diarrhea 3,085 3,085 27.75% 77,625 38,395

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 1,462 1,462 20.31% 0 0




Pag

e77

DNCC PA -02 Nari Maitree (April-June, 2017)

TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




8,398

8,593

30.83%

214,630

101,373


Emergency Care 11 11 36.36% 280 160



7,016

15,261

37.20%

1,302,385

545,939

Diagnostic Service 7,010 15,255 37.16% 1,301,885 545,939



55,402

53,936

30.74%

0

0


Counseling 24,727 24,068 32.30% 0 0

Miscellaneous

275

275

3.64%

0

0



-

-

28.12%

734,341

287,231


67,753

99,853

26.57%

4,021,110

1,995,859

ESP+ BCC Service

55,402

53,936

30.74%

0

0

Other Service

275

275

3.64%

0

0

Grand Total

123,430

154,064

28.39%

4,021,110

1,995,859


54.89%

64.81%

-

100%

100%

ESP+ BCC Service %

44.89%

35.01%

-

0%

0%

Other Service %

0.22%

0.18%

-

0%

0%

Pag

e78

DNCC PA 3 UTPS (April-June, 2017)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

25,020

25,113

37.69%

756,634

854,846

Maternal Care 11,255 11,255 36.52% 675,271 709,399

Antenatal Care 7,008 7,008 35.69% 94,018 116,222


Delivery Care (CS) 102 102 40.20% 386,858 429,142

Postnatal Care 2,467 2,467 37.01% 28,030 45,980

Neonatal Care 1,374 1,374 39.23% 17,565 23,655



Family Planning 9,017 9,017 37.91% 0 0





RTI/STI Care 1,287 1,287 40.64% 9,220 14,510


Child Health Care

10,448

10,448

38.64%

39,430

80,076




Childhood Diseases

1,747

1,747

44.36%

15,050

37,360

Diarrhea 1,747 1,747 44.36% 15,050 37,360

Measles 0 0 0.00% 0 0






Pag

e79

DNCC PA 3 UTPS (April-June, 2017)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




15,012

15,069

36.98%

129,647

320,813


Emergency Care 12 12 66.67% 120 240



11,090

11,575

38.85%

520,070

1,060,545

Diagnostic Service 11,075 11,560 38.84% 517,570 1,055,545



52,375

30,982

33.58%

0

0

Health Education (Session) 8,395 826 40.04% 0 0

Counseling 43,980 30,156 32.35% 0 0

Miscellaneous

1,530

102

33.33%

0

0

Adolescent Development Program 1,530 102 33.33% 0 0


-

-

41.23%

530,235

372,016


61,570

62,205

37.89%

1,445,781

2,316,280

ESP+ BCC Service

52,375

30,982

33.58%

0

0

Other Service

1,530

102

33.33%

0

0

Grand Total

115,475

93,289

35.87%

1,445,781

2,316,280


53.32%

66.68%

-

100%

100%

ESP+ BCC Service %

45.36%

33.21%

-

0%

0%

Other Service %

1.32%

0.11%

-

0%

0%

Pag

e80

DNCC PA 4 (April-June, 2017)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

43,507

43,587

36.11%

504,595

2,720,729

Maternal Care 15,196 15,196 35.33% 407,365 1,406,669

Antenatal Care 8,862 8,862 30.40% 112,480 242,000


Delivery Care (CS) 95 95 40.00% 173,878 679,095

Postnatal Care 3,578 3,578 41.67% 29,080 112,921

Neonatal Care 2,288 2,288 39.73% 16,390 75,190


Post Abortion Care 8 8 75.00% 700 11,880

Family Planning 12,443 12,443 35.92% 0 496,920

Emergency Contraceptive Pill 44 44 38.64% 280 1,480




RTI/STI Care 2,371 2,375 35.05% 16,930 82,700


Child Health Care

77,095

77,095

32.78%

38,045

900,485




Childhood Diseases

1,539

1,539

38.66%

13,255

48,505

Diarrhea 1,539 1,539 38.66% 13,255 48,505

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 10,591 10,591 33.20% 2,640 415,320

Child Nutrition 8,348 8,348 32.43% 1,600 332,120

Vitamin A Deficiency 2,243 2,243 36.07% 1,040 83,200


Pag

e81

DNCC PA 4 (April-June, 2017)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy


920

920

29.35%

13,760

23,040


Other Communicable Diseases Control 920 920 29.35% 13,760 23,040


15,185

15,491

33.60%

107,685

501,975


Emergency Care 220 220 37.27% 1,090 7,710



4,510

8,450

32.82%

473,685

361,569


Emergency Transportation Service 11 11 54.55% 0 5,500


44,823

44,823

30.85%

0

22,480

Health Education (Session) 7,517 7,517 35.12% 0 22,480

Counseling 37,306 37,306 29.99% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

62.74%

169,224

284,960


141,217

145,543

33.87%

1,137,770

4,507,798

ESP+ BCC Service

44,823

44,823

30.85%

0

22,480

Other Service

0

0

0.00%

0

0

Grand Total

186,040

190,366

33.14%

1,137,770

4,530,278


75.91%

76.45%

-

100%

100%

ESP+ BCC Service %

24.09%

23.55%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e82

DNCC, PA 5, DAM (April-June, 2017)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,276

29,658

38.02%

1,080,865

1,140,813

Maternal Care 12,381 12,381 34.88% 959,020 854,296

Antenatal Care 7,687 7,687 33.16% 161,170 146,390


Delivery Care (CS) 112 112 34.82% 579,500 540,500

Postnatal Care 2,607 2,607 36.82% 50,230 52,526

Neonatal Care 1,762 1,762 39.95% 26,720 43,280



Family Planning 9,244 9,244 38.88% 0 34,480





RTI/STI Care 1,803 1,805 49.86% 17,620 55,860


Child Health Care

49,601

49,601

35.02%

89,550

184,650




Childhood Diseases

2,110

2,110

45.45%

31,540

67,620

Diarrhea 2,110 2,110 45.45% 31,540 67,620

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 703 703 42.53% 400 2,040

Child Nutrition 615 615 39.84% 200 1,920



Pag

e83

DNCC, PA 5, DAM (April-June, 2017)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy


23

23

43.48%

80

80




20,285

20,316

38.16%

158,781

599,779


Emergency Care 18 18 50.00% 280 240



5,551

9,824

40.89%

358,408

504,731




22,573

21,379

32.05%

0

0


Counseling 19,493 18,623 31.25% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

39.64%

277,770

182,404


104,736

109,422

36.78%

1,687,684

2,430,053

ESP+ BCC Service

22,573

21,379

32.05%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

127,309

130,801

35.94%

1,687,684

2,430,053


82.27%

83.66%

-

100%

100%

ESP+ BCC Service %

17.73%

16.34%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e84

RCC PA 1 RIC (April-June, 2017)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

24,136

24,197

22.29%

571,389

534,681

Maternal Care 6,431 6,431 20.09% 455,813 409,895

Antenatal Care 4,910 4,910 20.33% 86,688 108,912


Delivery Care (CS) 68 68 25.00% 295,600 248,400

Postnatal Care 852 852 19.25% 11,935 22,145

Neonatal Care 529 529 19.28% 4,750 16,290



Family Planning 14,038 14,038 21.84% 47,314 14,250





RTI/STI Care 614 614 41.21% 10,783 13,307


Child Health Care

5,689

5,689

27.19%

20,510

27,100




Childhood Diseases

384

384

33.85%

7,250

7,470

Diarrhea 384 384 33.85% 7,250 7,470

Measles 0 0 0.00% 0 0

Control of Acute Respiratory Infections 504 504 40.87% 8,740 10,530


Child Nutrition 592 592 42.06% 4,520 9,100



Pag

e85

RCC PA 1 RIC (April-June, 2017)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




16,860

17,296

37.85%

151,228

514,363


Emergency Care 42 42 50.00% 820 500



4,255

7,863

24.30%

521,020

259,829




18,939

17,738

28.65%

0

0


Counseling 14,723 13,534 26.45% 0 0

Miscellaneous

168

168

26.19%

0

2,240

Adolescent Development Program 168 168 26.19% 0 2,240


-

-

34.25%

449,683

234,251


50,940

55,045

28.15%

1,264,147

1,335,973

ESP+ BCC Service

18,939

17,738

28.65%

0

0

Other Service

168

168

26.19%

0

2,240

Grand Total

70,047

72,951

28.28%

1,264,147

1,338,213


72.72%

75.45%

-

100%

100%

ESP+ BCC Service %

27.04%

24.31%

-

0%

0%

Other Service %

0.24%

0.23%

-

0%

0%

Pag

e86

RCC, PA-2 (April-June, 2017)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

20,385

20,410

21.87%

502,681

594,086

Maternal Care 6,535 6,535 21.27% 431,462 479,208

Antenatal Care 4,816 4,816 22.22% 63,979 121,791


Delivery Care (CS) 71 71 15.49% 336,200 302,800

Postnatal Care 866 866 22.63% 8,965 21,345

Neonatal Care 749 749 14.55% 4,561 21,329



Family Planning 10,362 10,362 21.52% 19,637 0


Maternal Nutrition 310 310 29.03% 375 10,475



RTI/STI Care 803 804 27.40% 8,388 19,717


Child Health Care

3,707

3,707

17.18%

17,501

40,469




Childhood Diseases

521

521

34.93%

6,366

11,939

Diarrhea 521 521 34.93% 6,366 11,939

Measles 0 0 0.00% 0 0



Child Nutrition 375 375 23.20% 2,240 10,685



Pag

e87

RCC, PA-2 (April-June, 2017)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




18,883

18,883

32.70%

149,130

512,085


Emergency Care 48 48 35.42% 800 880



11,926

11,926

29.11%

512,308

220,285




24,012

23,980

17.78%

0

0


Counseling 20,123 20,112 15.42% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

13.06%

537,277

80,680


54,901

54,926

26.85%

1,181,620

1,366,925

ESP+ BCC Service

24,012

23,980

17.78%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

78,913

78,906

24.09%

1,181,620

1,366,925


69.57%

69.61%

-

100%

100%

ESP+ BCC Service %

30.43%

30.39%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e88

KCC PA 1 (April-June, 2017)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

33,914

34,455

32.88%

743,188

1,890,037

Maternal Care 12,518 12,518 29.45% 479,763 1,316,602

Antenatal Care 9,394 9,394 28.45% 135,074 240,501


Delivery Care (CS) 102 102 36.27% 197,300 822,700

Postnatal Care 1,606 1,606 31.01% 20,244 43,936

Neonatal Care 1,127 1,127 32.56% 16,695 30,915



Family Planning 9,565 9,565 36.00% 0 0


Maternal Nutrition 1,528 1,528 35.67% 3,815 37,955



RTI/STI Care 2,274 2,473 33.38% 32,120 61,390

Other Reproductive Health Care 862 1,141 33.41% 10,900 23,360

Child Health Care

9,060

11,287

35.99%

56,020

120,675




Childhood Diseases

1,663

1,663

35.24%

23,690

43,560

Diarrhea 1,663 1,663 35.24% 23,690 43,560

Measles 0 0 0.00% 0 0



Child Nutrition 1,334 3,561 34.86% 3,175 22,345



Pag

e89

KCC PA 1 (April-June, 2017)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy


185

185

30.27%

0

6,840


Other Communicable Diseases Control 185 185 30.27% 0 6,840


17,249

17,249

31.41%

148,572

537,658


Emergency Care 106 106 31.13% 2,280 1,920



5,212

7,749

36.90%

136,660

591,230




25,243

24,725

32.71%

0

0


Counseling 16,701 16,187 33.99% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

64.39%

80,955

146,399


65,620

70,925

33.24%

1,084,440

3,146,440

ESP+ BCC Service

25,243

24,725

32.71%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

90,863

95,650

33.09%

1,084,440

3,146,440


72.22%

74.15%

-

100%

100%

ESP+ BCC Service %

27.78%

25.85%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e90

KCC PA-2 (April-June, 2017)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

27,383

28,023

33.88%

876,970

1,222,737

Maternal Care 12,096 12,096 26.31% 670,933 783,291

Antenatal Care 8,712 8,712 25.40% 109,933 136,741


Delivery Care (CS) 79 79 35.44% 421,811 368,189

Postnatal Care 1,699 1,699 29.66% 15,345 41,385

Neonatal Care 1,293 1,293 26.30% 14,888 32,932


Post Abortion Care 31 31 54.84% 950 11,570

Family Planning 7,566 7,566 47.17% 0 0


Maternal Nutrition 884 884 32.35% 2,100 3,880



RTI/STI Care 124 124 33.87% 0 0


Child Health Care

8,238

8,239

29.62%

48,985

96,835




Childhood Diseases

2,610

2,610

33.87%

24,005

45,215

Diarrhea 2,610 2,610 33.87% 24,005 45,215

Measles 0 0 0.00% 0 0



Child Nutrition 992 993 29.94% 3,070 9,600



Pag

e91

KCC PA-2 (April-June, 2017)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy


74

74

33.78%

1,580

1,380


Other Communicable Diseases Control 74 74 33.78% 1,580 1,380


30,203

31,011

30.87%

103,392

420,303


Emergency Care 81 81 81.48% 0 3,240



3,581

5,386

34.99%

300,097

255,155




21,974

21,731

34.64%

0

0


Counseling 19,094 18,894 36.32% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

89.02%

29,581

239,868


69,479

72,733

32.12%

1,331,024

1,996,410

ESP+ BCC Service

21,974

21,731

34.64%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

91,453

94,464

32.73%

1,331,024

1,996,410


75.97%

77.00%

-

100%

100%

ESP+ BCC Service %

24.03%

23.00%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e92

SCC, PA-1 (April-June, 2017)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

74,097

74,135

36.80%

765,209

2,464,150

Maternal Care 15,492 15,492 36.21% 694,936 876,470

Antenatal Care 10,461 10,461 35.87% 62,222 222,821


Delivery Care (CS) 128 128 49.22% 498,358 507,642

Postnatal Care 2,976 2,976 36.83% 17,030 65,190

Neonatal Care 1,788 1,788 36.19% 13,735 34,425



Family Planning 44,361 44,361 35.07% 0 1,148,120





RTI/STI Care 4,047 4,047 39.07% 18,665 89,685

Other Reproductive Health Care 568 568 38.73% 760 16,090

Child Health Care

12,247

16,414

43.60%

30,420

317,936


Immunization Program - NID 1,090 5,045 33.49% 0 32,700


Childhood Diseases

1,661

1,661

42.44%

11,765

29,975

Diarrhea 1,661 1,661 42.44% 11,765 29,975

Measles 0 0 0.00% 0 0


Control of Micronutrient Deficiency 2,251 2,463 72.15% 0 73,836

Child Nutrition 1,938 2,150 76.47% 0 64,446

Vitamin A Deficiency 232 232 45.69% 0 6,960

Iodine Deficiency 81 81 44.44% 0 2,430

Pag

e93

SCC, PA-1 (April-June, 2017)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy


103

103

44.66%

180

2,910


Other Communicable Diseases Control 103 103 44.66% 180 2,910


98,606

98,670

35.10%

212,932

2,180,818

First Aid for Injuries 184 184 44.57% 620 4,900


Treatment of Minor Infections 98,422 98,486 35.08% 212,312 2,175,918


23,216

23,171

37.16%

421,117

998,096




56,609

23,750

46.73%

0

16,800

Health Education (Session) 10,098 828 41.09% 0 16,800

Counseling 46,511 22,922 47.96% 0 0

Miscellaneous

84

7

33.33%

0

0



-

-

41.76%

417,585

299,425


208,269

212,493

36.44%

1,429,858

5,963,910

ESP+ BCC Service

56,609

23,750

46.73%

0

16,800

Other Service

84

7

33.33%

0

0

Grand Total

264,962

236,250

38.64%

1,429,858

5,980,710


78.60%

89.94%

-

100%

100%

ESP+ BCC Service %

21.36%

10.05%

-

0%

0%

Other Service %

0.03%

0.00%

-

0%

0%

Pag

e94

BCC PA-1 Srizony (April-June, 2017)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

27,668

27,673

28.09%

806,300

596,017

Maternal Care 8,180 8,180 27.97% 625,250 471,510

Antenatal Care 5,156 5,156 27.00% 92,370 37,080


Delivery Care (CS) 147 147 31.29% 431,700 376,800

Postnatal Care 1,656 1,656 35.57% 10,700 15,370

Neonatal Care 961 961 18.83% 10,130 5,610



Family Planning 14,605 14,605 17.67% 0 0





RTI/STI Care 1,807 1,807 77.26% 7,150 22,700


Child Health Care

51,469

51,469

4.98%

18,040

22,823




Childhood Diseases

939

939

64.54%

7,950

9,880

Diarrhea 939 939 64.54% 7,950 9,880

Measles 0 0 0.00% 0 0






Pag

e95

BCC PA-1 Srizony (April-June, 2017)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




5,114

5,116

84.12%

13,120

62,131





9,972

9,972

40.67%

427,730

233,695




25,052

24,989

32.06%

0

0


Counseling 20,288 20,225 30.27% 0 0

Miscellaneous

119

119

100.00%

0

0



-

-

40.30%

344,780

232,723


94,223

94,230

19.84%

1,265,190

914,666

ESP+ BCC Service

25,052

24,989

32.06%

0

0

Other Service

119

119

100.00%

0

0

Grand Total

119,394

119,338

22.49%

1,265,190

914,666


78.92%

78.96%

-

100%

100%

ESP+ BCC Service %

20.98%

20.94%

-

0%

0%

Other Service %

0.10%

0.10%

-

0%

0%

Pag

e96

CoCC,PA-01 (April-June, 2017)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

32,369

32,379

44.44%

1,027,696

882,481

Maternal Care 6,055 6,055 37.87% 938,522 560,104

Antenatal Care 3,893 3,893 37.07% 78,399 45,507


Delivery Care (CS) 106 106 30.19% 659,838 400,162

Postnatal Care 1,326 1,326 48.11% 10,455 27,235

Neonatal Care 474 474 21.52% 11,830 9,200



Family Planning 16,728 16,728 37.45% 984 4,392





RTI/STI Care 2,651 2,651 62.58% 8,605 70,420


Child Health Care

9,367

9,213

47.41%

28,370

64,585




Childhood Diseases

1,209

1,209

70.22%

7,620

21,925

Diarrhea 1,209 1,209 70.22% 7,620 21,925

Measles 0 0 0.00% 0 0



Child Nutrition 342 342 75.44% 0 7,700



Pag

e97

CoCC,PA-01 (April-June, 2017)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




16,238

16,248

69.97%

42,021

293,454





13,586

14,810

60.02%

549,080

616,106




38,867

17,047

37.53%

0

0


Counseling 29,530 16,222 32.49% 0 0

Miscellaneous

140

12

51.43%

0

0



-

-

32.01%

236,787

111,470


71,560

72,650

53.58%

1,647,167

1,856,626

ESP+ BCC Service

38,867

17,047

37.53%

0

0

Other Service

140

12

51.43%

0

0

Grand Total

110,567

89,709

47.93%

1,647,167

1,856,626


64.72%

80.98%

-

100%

100%

ESP+ BCC Service %

35.15%

19.00%

-

0%

0%

Other Service %

0.13%

0.01%

-

0%

0%

Pag

e98

SrjM PA-1 (April-June, 2017)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

11,637

12,550

34.79%

890,417

822,859

Maternal Care 4,696 4,779 33.82% 837,527 706,440

Antenatal Care 3,034 3,117 34.61% 47,138 32,460


Delivery Care (CS) 167 167 30.54% 727,299 627,900

Postnatal Care 949 949 36.25% 10,300 14,740

Neonatal Care 462 462 25.11% 8,790 8,140



Family Planning 3,716 3,717 26.32% 0 35,810





RTI/STI Care 1,201 1,203 43.80% 10,095 19,435


Child Health Care

2,814

2,858

45.91%

25,060

49,034

Immunization Program - EPI 321 365 0.00% 0 830



Childhood Diseases

955

955

51.31%

10,280

17,600

Diarrhea 763 763 53.60% 8,110 15,510

Measles 192 192 42.19% 2,170 2,090



Child Nutrition 48 48 91.67% 20 4,604

Vitamin A Deficiency 369 369 49.86% 2,900 2,690


Pag

e99

SrjM PA-1 (April-June, 2017)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




6,955

7,117

58.43%

37,540

138,744


Emergency Care 150 150 36.00% 240 710



5,863

5,863

37.40%

351,974

205,680




12,135

9,412

54.22%

0

0


Counseling 9,419 9,201 58.63% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

71.76%

78,198

198,674


27,269

28,388

42.53%

1,304,991

1,216,317

ESP+ BCC Service

12,135

9,412

54.22%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

39,404

37,800

46.13%

1,304,991

1,216,317


69.20%

75.10%

-

100%

100%

ESP+ BCC Service %

30.80%

24.90%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

0

KM PA-1 Srizony (April-June, 2017)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

5,583

5,585

10.84%

255,830

76,083

Maternal Care 2,144 2,144 15.72% 247,950 67,770

Antenatal Care 1,510 1,510 17.75% 18,400 7,120


Delivery Care (CS) 36 36 16.67% 174,500 41,000

Postnatal Care 281 281 15.30% 2,270 1,200

Neonatal Care 251 251 1.59% 880 1,250



Family Planning 2,507 2,507 3.75% 0 0




Adolescent Reproductive Health Care 381 381 27.03% 2,210 2,940

RTI/STI Care 428 428 10.75% 3,130 2,550

Other Reproductive Health Care 37 39 16.22% 140 140

Child Health Care

1,732

1,732

23.67%

14,190

8,517




Childhood Diseases

253

253

26.88%

2,930

1,410

Diarrhea 253 253 26.88% 2,930 1,410

Measles 0 0 0.00% 0 0






Pag

e10

1

KM PA-1 Srizony (April-June, 2017)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




4,864

5,154

28.08%

25,770

34,130





1,534

2,730

24.97%

141,308

51,840




6,700

6,645

24.90%

0

0


Counseling 4,630 4,630 21.86% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

53.19%

120,424

136,832


13,713

15,201

20.16%

437,098

170,570

ESP+ BCC Service

6,700

6,645

24.90%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

20,413

21,846

21.71%

437,098

170,570


67.18%

69.58%

-

100%

100%

ESP+ BCC Service %

32.82%

30.42%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

2

KnjM PA 1 (April-June, 2017)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

15,772

15,565

26.53%

699,426

810,249

Maternal Care 5,962 5,945 20.70% 622,351 719,354

Antenatal Care 3,769 3,749 22.21% 54,910 83,990


Delivery Care (CS) 124 124 11.29% 502,121 539,479

Postnatal Care 1,534 1,534 19.17% 13,090 42,835

Neonatal Care 451 454 15.30% 640 21,480



Family Planning 6,966 6,965 33.00% 0 0





RTI/STI Care 1,013 815 22.90% 11,665 26,515


Child Health Care

2,530

2,522

24.70%

15,000

33,720




Childhood Diseases

784

783

30.87%

7,615

16,905

Diarrhea 765 765 30.98% 7,385 16,195

Measles 19 18 26.32% 230 710






Pag

e10

3

KnjM PA 1 (April-June, 2017)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




11,721

31,573

34.20%

63,930

287,835


Emergency Care 7 7 42.86% 130 220



1,147

2,552

18.92%

308,905

70,270




14,574

8,706

28.02%

0

0


Counseling 11,737 7,283 27.05% 0 0

Miscellaneous

150

86

0.00%

0

0



-

-

28.22%

419,572

164,920


31,170

52,212

28.99%

1,087,261

1,202,074

ESP+ BCC Service

14,574

8,706

28.02%

0

0

Other Service

150

86

0.00%

0

0

Grand Total

45,894

61,004

28.59%

1,087,261

1,202,074


67.92%

85.59%

-

100%

100%

ESP+ BCC Service %

31.76%

14.27%

-

0%

0%

Other Service %

0.33%

0.14%

-

0%

0%

Pag

e10

4

GopM PA 1 (April-June, 2017)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

2,192

2,192

24.54%

246,506

51,616

Maternal Care 1,145 1,145 16.94% 230,370 43,710

Antenatal Care 752 752 16.09% 17,510 7,250


Delivery Care (CS) 24 24 16.67% 186,900 29,100

Postnatal Care 155 155 20.65% 2,550 2,110

Neonatal Care 187 187 18.18% 4,580 2,480

Menstrual Regulation 14 14 0.00% 8,220 200


Family Planning 668 668 39.82% 551 2,260





RTI/STI Care 201 201 17.91% 4,500 1,720


Child Health Care

529

529

12.48%

8,004

2,846




Childhood Diseases

139

139

13.67%

3,370

1,040

Diarrhea 139 139 13.67% 3,370 1,040

Measles 0 0 0.00% 0 0

Control of Acute Respiratory Infections 147 147 13.61% 4,010 780


Child Nutrition 21 21 38.10% 364 156



Pag

e10

5

GopM PA 1 (April-June, 2017)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




2,380

2,380

29.83%

42,428

32,062





484

965

17.77%

72,874

22,350

Diagnostic Service 473 954 18.18% 68,474 22,350



1,611

1,609

19.62%

0

0

Health Education (Session) 691 691 24.46% 0 0

Counseling 920 918 15.98% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

20.02%

11,652

2,916


5,585

6,066

25.07%

369,812

108,874

ESP+ BCC Service

1,611

1,609

19.62%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

7,196

7,675

23.85%

369,812

108,874


77.61%

79.04%

-

100%

100%

ESP+ BCC Service %

22.39%

20.96%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

6

NACC PA 1 PSKP (April-June, 2017)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

21,418

21,429

32.42%

1,208,893

648,201

Maternal Care 5,789 5,789 19.36% 994,840 428,015

Antenatal Care 3,553 3,553 15.48% 116,250 35,250


Delivery Care (CS) 107 107 17.76% 736,300 293,700

Postnatal Care 1,086 1,086 26.24% 20,720 25,745

Neonatal Care 898 898 24.72% 28,570 21,320



Family Planning 11,679 11,679 36.78% 10,461 5,268





RTI/STI Care 823 823 43.13% 16,890 17,830


Child Health Care

14,858

14,863

29.86%

44,700

72,330




Childhood Diseases

798

798

42.98%

16,460

18,220

Diarrhea 798 798 42.98% 16,460 18,220

Measles 0 0 0.00% 0 0



Child Nutrition 601 606 45.26% 0 930



Pag

e10

7

NACC PA 1 PSKP (April-June, 2017)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy


5

5

0.00%

130

80




18,886

18,886

31.66%

347,440

449,505


Emergency Care 53 53 24.53% 6,040 580



4,273

9,690

29.16%

830,127

331,608




15,935

14,440

32.33%

0

0


Counseling 13,458 11,965 33.41% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

10.27%

709,643

81,222


59,440

64,873

31.30%

2,431,290

1,501,724

ESP+ BCC Service

15,935

14,440

32.33%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

75,375

79,313

31.52%

2,431,290

1,501,724


78.86%

81.79%

-

100%

100%

ESP+ BCC Service %

21.14%

18.21%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

8

RaCC PA 1 (April-June, 2017)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

4,296

4,296

6.61%

298,622

332,618

Maternal Care 1,994 1,994 11.74% 248,126 311,254

Antenatal Care 1,036 1,036 10.91% 18,075 22,795


Delivery Care (CS) 52 52 19.23% 190,882 229,118

Postnatal Care 383 383 10.97% 1,400 7,300

Neonatal Care 385 385 10.13% 315 9,005



Family Planning 1,628 1,628 0.98% 0 0




Adolescent Reproductive Health Care 284 284 0.35% 800 1,350

RTI/STI Care 137 137 3.65% 3,210 2,860


Child Health Care

1,037

1,037

1.64%

3,020

250




Childhood Diseases

16

16

25.00%

530

30

Diarrhea 16 16 25.00% 530 30

Measles 0 0 0.00% 0 0

Control of Acute Respiratory Infections 69 69 14.49% 2,490 220





Pag

e10

9

RaCC PA 1 (April-June, 2017)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




3,746

3,806

13.91%

80,069

74,949





1,750

2,757

6.86%

158,363

40,700




8,215

3,018

15.57%

0

0


Counseling 5,815 2,728 13.34% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

17.14%

196,390

40,625


10,829

11,896

8.70%

540,074

448,517

ESP+ BCC Service

8,215

3,018

15.57%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

19,044

14,914

11.66%

540,074

448,517


56.86%

79.76%

-

100%

100%

ESP+ BCC Service %

43.14%

20.24%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e11

0

GCC PA 1 PSTC (April-June, 2017)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

18,966

19,047

15.84%

735,988

599,507

Maternal Care 5,437 5,437 16.22% 654,357 502,953

Antenatal Care 4,236 4,236 15.30% 46,709 91,436


Delivery Care (CS) 98 98 8.16% 521,028 360,972

Postnatal Care 638 638 24.29% 8,704 13,411

Neonatal Care 340 340 13.53% 3,503 8,047



Family Planning 9,331 9,331 10.73% 9,311 0


Maternal Nutrition 443 443 26.64% 1,363 12,950



RTI/STI Care 1,833 1,833 30.88% 15,347 32,219


Child Health Care

2,860

2,860

25.66%

10,997

16,638




Childhood Diseases

349

349

39.83%

2,560

2,075

Diarrhea 250 250 51.60% 2,220 1,855

Measles 99 99 10.10% 340 220



Child Nutrition 960 960 23.23% 1,765 8,595



Pag

e11

1

GCC PA 1 PSTC (April-June, 2017)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




4,790

5,383

24.66%

46,454

89,476


Emergency Care 30 30 30.00% 525 525



2,232

5,313

26.34%

326,315

107,035




11,153

9,796

19.40%

0

0


Counseling 9,515 9,511 19.87% 0 0

Miscellaneous

105

67

9.52%

0

0



-

-

14.78%

572,418

99,303


28,848

32,603

19.09%

1,119,754

812,656

ESP+ BCC Service

11,153

9,796

19.40%

0

0

Other Service

105

67

9.52%

0

0

Grand Total

40,106

42,466

19.15%

1,119,754

812,656


71.93%

76.77%

-

100%

100%

ESP+ BCC Service %

27.81%

23.07%

-

0%

0%

Other Service %

0.26%

0.16%

-

0%

0%

Pag

e11

2

GaCCPA2 (April-June, 2017)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

12,581

12,651

28.78%

817,858

936,574

Maternal Care 3,693 3,693 27.29% 749,598 819,234

Antenatal Care 2,476 2,476 26.29% 54,840 42,770


Delivery Care (CS) 118 118 29.66% 602,120 652,880

Postnatal Care 589 589 28.18% 8,890 13,552

Neonatal Care 342 342 30.70% 5,300 8,280



Family Planning 7,014 7,014 29.67% 0 0





RTI/STI Care 440 440 30.68% 6,540 10,090


Child Health Care

4,290

4,290

28.93%

32,110

35,927




Childhood Diseases

585

585

37.95%

10,090

13,037

Diarrhea 585 585 37.95% 10,090 13,037

Measles 0 0 0.00% 0 0






Pag

e11

3

GaCCPA2 (April-June, 2017)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0




10,815

10,830

38.63%

81,110

308,680





2,070

4,495

33.00%

479,340

208,195




4,802

2,322

36.69%

0

0


Counseling 3,444 2,126 36.90% 0 0

Miscellaneous

32

3

31.25%

0

0



-

-

18.67%

529,063

121,445


29,756

32,266

32.68%

1,410,418

1,489,376

ESP+ BCC Service

4,802

2,322

36.69%

0

0

Other Service

32

3

31.25%

0

0

Grand Total

34,590

34,591

33.23%

1,410,418

1,489,376


86.02%

93.28%

-

100%

100%

ESP+ BCC Service %

13.88%

6.71%

-

0%

0%

Other Service %

0.09%

0.01%

-

0%

0%

Pag

e11

4

Training on Fertility Integrated Management of Childhood Illness, 09-13 April 2017

Certificate Giving Ceremony of Training on National Health Indicator, 26 April 2017

“Logo promotion event", Rajshahi City Corporation Partnership Area

Pag

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5

“Logo promotion event", Rajshahi City Corporation Partnership Area

dissemination seminar on “Findings from Urban Health and Demographic Surveillance System" of Operations Research firm, under UPHCSDP,

June 5, 2017

dissemination seminar on “Findings from Urban Health and Demographic Surveillance System" of Operations Research firm, under UPHCSDP, June 5 2017

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