Government of the People’s Republic of...

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

July-September 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) 46

Annexure-I 112

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Preface

The Government of the 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.

15 November 2017

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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

July to September 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.

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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

1.8 Total Estimated Project Cost: US$ 82.46 million

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1.9 Financing Plan

Source Amount ($ millions) % Share of Total

Asian Development Bank (ADB) 47.98 61.91

Government of Sweden (SIDA) 20.00 25.81

Government of Bangladesh 9.52 12.28

Total 77.50 100

UNFPA (Parallel grant) 3.00

Grand Total 80.50

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): 63 months (as of 30 September 2017)

1.12 Date of ADB fact finding mission: 09 July-20 July 2017

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Utilization of Fund

(ADB Loan, Co-financing and Counterpart funds)

2.1 Cumulative Contract Awards (Up to 30 September 2017)

Source Allocation Contract Award Balance

Amount % Amount

ADB Loan 47.98 37.826 79 10.154

SIDA Grant 20 16.661 83 3.339

UNFPA Grant 3 1.915 64 1.085

Total 70.98 56.402 79 14.578

GOB Grant 9.52 7.424 78 2.096

Grant Total 80.50 63.826 79 16.674

2.2 Cumulative Disbursement (Up to 30 September 2017)

Source Allocation Disbursement Balance

Amount % Amount

ADB Loan 47.98 33.593 70 14.387

SIDA Grant 20 12.736 64 7.264

UNFPA Grant 3 1.915 64 1.085

Total 70.98 48.244 68 22.736

GOB Grant 9.52 7.424 78 2.096

Grant Total 80.50 55.668 69 24.832

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

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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

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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

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

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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.

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Implementation Progress

4.1 Contract award

1 Total allocation: $80.50 million

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

3 % cumulative contract award against allocation: 79%

4 Target of CA this year: $5.480 million

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

6 % CA against target of the year: 3%

4.1 Disbursement

1 Total allocation: $80.50 million

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

3 % cumulative disbursement against allocation: 69%

4 Target of disbursement for this year: $ 8.00 million

5 Amount of disbursement till 30 September 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 2017-Mar 2018)

1 In country Training

---NIL---

3 Out-country Training

---NIL---

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4.4 Service delivery

1 Number of services provided from starting of the project: 44,151,771

2 Number of services provided July-September quarter 2017: 24,83,362

4.5 Major Implementation Activities (July-September 2017)

Sl Activities Date

1. ADB fact finding mission 09 July-20 July 2017

2. --Nil--

Monitoring and Visits

3. DPD, SPO, PO QAT and Administrative & Financial Committee visit

CoCC, PA-1

19-21 August 2017


DSCC, PA-3

20-21 September

2017


DNCC, PA-1, PA-3 24-28 September

2017

4.6 Major Activities Accomplished by Consulting Firms (July-Sep 2017)

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

(1) Endline Household Survey 2018 (Panel Survey)

(2) Upgrading GIS based Web-enable Mapping of existing 25 PAs

(3) ISI-Monitoring Survey 2018 – Round IV

(4) Baseline Survey of 20 new PAs of additional areas of UPHCSDP-II

(5) Slum Survey for Impact of Slum Population and

(6) GIS-Based Web-enable Mapping of 20 new PA Areas of additional areas of UPHCSDP-II

B. Operations Research Firm (ICDDR,B)

(1) HDSS sixth round- Data collection

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

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

(4) HDSS seventh round- Data collection

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

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

(7) Revised report for book chapter 4- Migration and health Health expenditure survey second

round- Data collection, cleaning/field verification

(8) Migration and health survey second round- Pre-testing/finalization of questionnaire, program

for data collection

(9) Migration and health 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 for the period of

2017-2018.

19

Pag

e19

PROJECT IMPLEMENTATION SCHEDULE WITH ACTIVITIES AND WEIGHTS

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% 90% 2.7%

1.2.4 Implement planning/budgeting training program for ULB staff 2% 90% 1.8%

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% 70% 0.7%

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

20

Pag

e20

Component 3: Effective Project Management

Sub-component 3.1: Core Project Management Staff

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

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

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

Sub-component 3.2: Technical support for Project management

Establish PMU Technical Support Team of Consultants 2% 100% 2.0%

Sub-component 3.3: Project Financial Management System

Design and Installation of Project Financial Management System 3% 95% 2.9%

Training and Implementation of the Financial Management System 4% 85% 3.4%

Sub-component 3.4: Training Coordination Unit

Establish Training Coordination Unit 1% 100% 1.0%

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

Implement training program 4% 90% 3.6%

Total 100% 83.8%

Pag

e21

7. Compliance with Loan Covenants

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks (as on September

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 September

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

(as on 30 September

2017)

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

(as on 30

September2017)

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

(as on 30 September

2017)

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

(as on 30 September

2017)

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: July 2017– September 2017 Submission Date: November 15,

2017

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

LGRD&C, Bangladesh

Timeframe: July 2012 to Mar 2018

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 (July-September 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.

July - September

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

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

trained Gender Trainers

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.

• 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

All operation research studies look into gender issues

and two studies conducted with specific focus on

gender aspects of PHC

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.

• 81% 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.

• 79% 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.

• 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

100% field-level service providers of NGO receiving

training.

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 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

At least 20% women recruited at management,

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

NGOs.

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 September 2017)

Packa

ge No

Description of packages Estimated

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

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

73532750.0

7

4/3/201

4

10/3/201

6 100%

70732646.0

0

Handed

over to

City

Corporati

on

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

Construction of 7 storied CRHCC building at 2 No Custom Ghat in Khulna

City Corporation.

58574286.

00

M/s Rupa

Enterprise Ebadat

Tower, Boishakhi

Super Market,

Shiromony Bazar,

Khulna

52320258.4

4

28/01/1

4

31/5/201

6 100%

46337707.4

2

W-5

Construction of 6 storied CRHCC building at Tikapara adjacent to UCEF

school in Rajshahi City Corporation. 68561962.

00

FU-DE (JV)

Upashahar,

Sapura, Rajshahi 59931665.6

3

26/02/1

4

2/10/201

6 100%

55822728.0

0

Handed

over to

City

Corporati

on

W-6

Construction of 6 storied CRHCC 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

74857805.1

9

20/01/1

4

31/12/20

15 100%

73156826.0

0

Handed

over to

City

Corporati

on

Pag

e38

Road, Paikpara,

Narayanganj

W-7

Construction of 6 storied CRHCC in Gazipur City Corporation.

62401259.

00

M/s Iqbal Trading

Corporation,

Tezgaon Dhaka

62149661.6

3

12/6/20

16 28/2/18 75%

11983451.0

0

W-8

Construction of 6 storied CRHCC building at Dhirasom Dakkhinkhan to

Kolar Bazar road in Gazipur City Corporation. 61718275.

00

MDJ Associates

House#08, Road

#10,

Sector#06,Uttara,

Dhaka-1230.

66597535.7

0

19/03/1

4 30/6/16 100%

52995227.0

0

Handed

over to

City

Corporati

on

W-9

Construction of 6 storied CRHCC 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

54225711.9

1

11/3/20

14 30/05/17 100%

43312619.0

0

Time

Extented

Packa

ge No


Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

Fund spent

(BDT)

Remarks

W-10

Construction of 6 storied CRHCC building at Millpara Moha Shoshan Road

in Kushtia Municipality. 61510347.

00

Mondol-NI-SH

(JV) 63/1,L.C.A

Road, Amlapara

,Kushtia.

67593691.2

0

12/2/20

14

10/8/201

6 100%

59401685.0

0

W-11

Construction of 6 storied CRHCC building at Harua in Kishoreganj

Municipality. 69945943.

00

MSE-MRK (JV)

Solakia,

Kishoreganj. 65380215.8

4

3/11/20

14 9/2/2016 100%

45303600.0

0

W-12

Construction of 6 storied CRHCC building at Pourashava Compound

(Kuadanga Bus Stand) in Gopalganj Municipality. 68677589.

00

M/s Sajib

Enterprise (JV)

Gopalganj. 60821764.3

3

26/02/1

4 30/6/16 100%

55783734.0

0

Sub-Total:

637411059.

94

514830223.

42

Pag

e39

Construction of PHCC-

W-13

Construction of PHCC building in Dhaka North City Corporation.

Dropped

W-14

Construction of PHCC building in Dhaka South City Corporation.

Dropped

W-15

Construction of PHCC building in Chittagong City Corporation. Dropped.

W-16

Construction of PHCC building in 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 &

Consulting, 32530232.0

0

28/10/1

4

25/5/201

6 100%

30273000.0

0

Handed

over to

City

Corporati

on

W-18 Construction of PHCC building in 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

29253513.4

8

23/09/1

4

10/3/201

6 100%

27377698.0

0

Final Bill

paid.hand

ed over to

City

Corporati

on

W-20 Construction of 3 storied PHCC building at Dulipara, Dakkhin Rasulpur in

Comilla City Corporation.

30746000.

00

M/s Hoque

Enterprise

75, Nazrul Avenue

Kandirpar, Comilla

33811258.0

0

23/09/1

4

10/3/201

6 100%

33176209.0

0 Do

Packa

ge No


Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

Fund spent

(BDT)

Remarks

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

33285280.0

0 23/9/14

10/3/201

6 100%

32731855.0

0

Handed

over to

City

Corporati

on

Pag

e40

W-22 Construction of 3 storied PHCC building at Laxmon Khola in Narayanganj

City Corporation.

30817000.

00

SCAN-MAA (JV)

349/a,East Goran

Dhaka-1219. 33653369.0

0

15/10/1

4 15/7/16 100%

33422582.0

0 Do

W-23

Construction of 3 storied PHCC building at Godnail in Narayanganj City

Corporation.

29614000.

00

M/s Ahsan

Enterprise & S R

Enterprise (JV)

60, Shahsuja Road,

Paikpara,

Narayanganj

32393638.2

0

15/10/1

4 30/6/16 100%

32125644.0

0 Do

W-24

Construction of 3 storied PHCC building at Bara Dewbhog in Narayanganj

City Corporation. 29985000.

00

M/s Asif &

Brothers

Murapara,

Rupganj,

Narayanganj.

32837842.3

6

15/10/1

4 15/07/16 100%

32593334.0

0 Do

W-25

Construction of 3 storied PHCC building at Neelerpara in Gazipur City

Corporation. 26961000.

00

AE-FE-AFEC(JV)

F/180 ,North

Sayabithi,

Joydebpur,Gazipur

29202268.4

8

9/10/20

14

30/12/20

16 100%

20504768.0

0

W-26

Construction of 3 storied PHCC 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.

29059930.3

1

13/10/1

4

30/6/201

6 100%

26170690.0

0

W-27 Construction of PHCC in Gazipur City Corporation.

Dropped

W-28

Construction of PHCC in Gazipur City Corporation.

Dropped

W-29

Construction of 3 storied PHCC building at Shommanipur in Rangpur City

Corporation.

25997000.

00

M/S Rabeya

Enterprise &

Md.Abu Taleb

Milu(JV) New

Engineerpara,

Rangpur

27549172.9

3

2/7/201

5

28/3/201

7 100%

18792804.0

0

W-30

Construction of 3 storied PHCC building at Ershad Nagar in Rangpur City

Corporation. 26508000.

00

SMAH-GME&

RC(JV), Rangpur 28093754.9

3 29/6/15

28/2/201

7 100%

27791615.00

Handed

over to

City

Corporati

on

Pag

e41

W-31

Construction of 3 storied PHCC building at New Jummapara in Rangpur

City Corporation. 29025000.

00

M/S Taz Monjil

Kamal Kachna,

Rangpur 30749850.6

1 29/6/15

30/12/20

16 100%

21550563.00

Packa

ge No


Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

Fund spent

(BDT)

Remarks

W-32

Construction of 3 storied PHCC building at Ranigram, Bottola in Serajganj

Municipality.

29793000.

00

Prokalpo

Bastabayan

Ltd.Estern

Mansion,

67/9 Pioneer

Road, Kakrail,

Dhaka.

33267681.2

3

29/09/1

4 30/12/16 100%

25000000.0

0

W-33

Construction of 3 storied PHCC building at Baradi in Kushtia


00

Tunna-Mondol -NI

(JV)3 No Raifel

Club Market

Kushtia.

31605272.6

8

21/10/1

4 30/4/16 100%

31579473.0

0

Handed

over to

City

Corporati

on

W-34

Construction of 3 storied PHCC building at Barokhada in Kushtia


00

NI-GS-AW(JV)

Khodadad Khan

Road Thanapara,

Kushtia.

34346004.4

2

21/10/1

4 30/4/16 100%

33052637.0

0 Do

W-35

Construction of 3 storied PHCC building at Tarapasha (Satal) in Kishoreganj


00

M/S G.K.

Enterprise

Rampura, Dhaka

25957284.3

5

28/10/1

4

30/6/201

5 100%

25947739.0

0

Handed over to

municipality

W-36

Construction of 3 storied PHCC building at Prokash Botrish Nurani Road in

Kishoreganj Municipality.

28451000.

00

M/S G.K.

Enterprise

Rampura, Dhaka

25581238.0

0

28/10/1

4

30/5/201

5 100%

25579495.0

0 Do

W-37

Construction of 3 storied PHCC building at Mohammapara in Gopalganj


0

M/s Showrove Traders Chandmari Road,Gopalganj

21481663.53

9/5/2016

30/3/2017

100% 20474720.0

0

Pag

e42

W-38

Construction of 3 storied PHCC building at Miapara in Gopalganj

Municipality.

26607191.00

M/s Showrove Traders Chandmari Road,Gopalganj 20867191.5

4 9/5/201

6 30/3/20

17 100%

16725900.00

Sub-Total: 565526446.

05

514870726.00

Packa

ge No


Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

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

4073878.0

0

M/s Maz Business

Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

4328000.92 21/04/1

4 27/10/14 100% 4025417.00

Pag

e43

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.

4604752.0

0

M/s Maz Business

Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

4916996.85 20/04/1

4 26/10/14 100% 4915841.00

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

5795510.0

0

M/s Maz Business

Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

6186919.93 21/04/1

4 27/10/14 100% 6178317.00

Packa

ge No


Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

Fund spent

(BDT)

Remarks

Pag

e44

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

6008451.0

0

M/s Zaman

Enterprise16,

Dilkusha C/A

,Dhaka.

3981815.24 27/03/1

4

5/10/201

4 100% 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

6971021.0

0

Mir Construction

211,Khan Jahan

Ali Road,

Khulna.

5322599.04 30/03/1

4

5/10/201

4 100% 5321921.50

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.

4860075.0

0

Mim Traiding (JV)

Malopara,Ghoram

ara Rajshahi.

3473605.09 16/03/1

4 22/9/14 100% 3445520.00

Pag

e45

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.

5648678.0

0

Mim Traiding (JV)

Malopara,Ghoram

ara Rajshahi.

4164201.24 16/03/1

4 22/9/14 100% 4151351.00

Sub-Total:

32374138.31

32018621.5

0

Packa

ge No


Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date of

Contrac

t Signed

Date of

completi

on as per

Contract

Physic

al

Progre

ss

Fund spent

(BDT)

Remarks

Remaining works of PHCCs under UPHCP-II:

W-42 Incomplete work of PHCC building at Bujjarhat in Barisal City

Corporation.

5500000.0

0

M/s Esad & Emad

Enterprise

5768787.82 17.09.1

7

24.3.18 35%

W-43 Construction of 2nd Floor of PHCC at Gobindapur in Comilla City

Corporation.

3800000.0

0

M/s Hamim &

Brothers

3989776.04 18.9.17 24.3.18 5%

W-44 Construction of 2nd Floor of PHCC at Vatpara in Comilla City

Corporation.

3800000.0

0 M/s M I

Construction

3988135.17 18.9.17 24.3.18 5%

W-45 Remaining work of Kadamtali PHCC building in Sylhet City Corporation. 6000000.0

0

M/s Bhuiyan

Enterprise,

Netrokona

4871179.25 5.9.201

7

17.03.18 20%

Sub-Total:

Grand Total in BDT (CRHCC+PHCC+ PHCC):

1235311644.30

1061719570.92

Grand Total in Million USD: 15.4414 13.2715

Pag

e46

Corrigendum for “Service Statistics” Service Data have been updated due to some error found in table no. 8.24, section “PA wise performance

summery”, GCC-PA-1, PSTC, QPR-2 (Apr-June), 2014 in the current QPR. It will effect the cumulative “Up to

previous quarter” and “Grand Total” column. The corrected copy of this section attached as an annexure-I.

SERVICE STATISTICS

(July-September, 2017)

TABLE 02: Unique Client Flow by Sex and Age (July-September, 2017)

Age Group Male Female Total Male % Female % Total %

0-28 Days 29,865 33,535 63,400 47.106% 52.894% 0.004 %

29 to 364 Days 64,868 74,074 138,942 46.687% 53.313% 0.008 %

12 to 23 Months 34,048 42,239 76,287 44.631% 55.369% 0.005 %

24 to 59 Months 31,759 43,460 75,219 42.222% 57.778% 0.005 %

05 to 09 Years 15,342 26,945 42,287 36.281% 63.719% 0.003 %

10 to 14 Years 12,851 42,267 55,118 23.315% 76.685% 0.003 %

15 to 19 Years 16,420 150,477 166,897 9.838% 90.162% 0.010 %

20 to 49 Years 107,052 870,189 977,241 10.955% 89.045% 0.059 %

50 to 59 Years 12,643 35,722 48,365 26.141% 73.859% 0.003 %

60+ Years 6,182 12,996 19,178 32.235% 67.765% 0.001 %

Total 331,030 1,331,904 1,662,934 19.91% 80.09% ---

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

TABLE 03: Service Composition (July-September, 2017 )

Service Type Up to Previous

Quarter

Current Quarter

Grand Total

Current (%)

Overall (%)

ESP+ Clinical Service 32,422,477 18,75,384 34,297,861 75.287% 77.670%

ESP+ BCC Service 9,203,511 605,710 9,809,221 24.620% 22.229%

Other Service 42421 2,268 44689 0.092% 0.101%

Grand Total 41,668,409 2,483,362 44,151,771 --

--

Pag

e47

52.89 % 47.11 %

53.31 % 46.69 %

55.37 % 44.63 %

57.78 % 42.22 %

63.72 % 36.28 %

76.68 % 23.32 %

90.16 % 9.84 %

89.05 % 10.95 %

73.86 % 26.14 %

67.77 % 32.23 %

Ag

e G

rou

ps

CHART 01-04: UNIQUE CLIENT FLOW DISTRIBUTION (July-September, 2017 )

Chart 01: Gender Distribution

Male: 19.9 %

Female: 80.1 %

Male : 331,030 Female : 1,331,904

Chart 02: Age Distribution

0-28 Days

29 to 364 Days

3.81 % 8.36 %

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

4.59 %

4.52 %

2.54 %

3.31 %

2.91 %

1.15 %

10.04 %

58.77 %

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

e48

24

.63

%

75

.37

%

11

.75

%

88

.25

%

19

.80

%

80

.20

%

16

.61

%

83

.39

%

21

.26

%

78

.74

%

10

.77

%

89

.23

%

16

.52

%

83

.48

%

16

.72

%

83

.28

%

17

.75

%

82

.25

%

16

.80

%

83

.20

%

24

.59

%

75

.41

%

16

.18

%

83

.82

%

17

.13

%

82

.87

%

18

.75

%

81

.25

%

18

.38

%

81

.62

%

25

.29

%

74

.71

%

15

.85

%

84

.15

%

20

.38

%

79

.62

%

16

.06

%

83

.94

%

18

.90

%

81

.10

%

27

.18

%

72

.82

%

22

.76

%

77

.24

%

23

.05

%

76

.95

%

25

.08

%

74

.92

%

19

.13

%

80

.87

%

Cli

en

t (%

)

Chart 04: PA-wise Unique Client Distribution MALE FEMALE

120

100

80

60

40

20

0

CHART 05-07: SERVICE COMPOSITION (July-September, 2017 )

Chart 05: Service Composition

Other Service: 0.1 %

ESP+ BCC Service: 24.6 %

ESP+ Clinical Service: 75.3 %

ESP+ Clinical ESP+ BCC Other

Pag

e49

Th

ou

san

ds U

nit

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

CRHCC: 13.9 %

SATELLITE: 32.8 %

PHCC: 53.3 %

CRHCC : 256,817 PHCC : 987,666 SATELLITE : 607,743

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

SATELLITE: 23.1 % CRHCC: 22.0 %

PHCC: 54.9 %

CRHCC : 133,376 PHCC : 332,311 SATELLITE : 140,023

200k

Chart 08: PA wise Client-Contact-Service Mix

150k

100k

50k

0k

New Client Unique Client Contract 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

e50

Num

ber

of

Un

iqu

e C

lient

Num

ber

of

Un

iqu

e C

lient

Num

ber

of

Un

iqu

e C

lient

19

,11

9

63

,52

8

56

,04

3

55

,20

9

22

,65

1

68

,36

1

49

,48

8

11

,16

9

50

,74

1

49

,73

5

12

,82

7

51

,54

2

42

,29

5

20

,08

6

54

,79

1

40

,72

1

18

,00

4

55

,41

0

39

,26

4

35

,45

7

5,2

71

5

3,9

21

9,0

39

5

5,8

92

59

,75

0

58

,34

6

31

,53

2

40

,39

6

28

,24

1

41

,50

9

64

,75

7

66

,39

6

11

,02

2

73

,98

0

10

,41

7

71

,62

4

99

,15

2

71

,47

4

26

,75

4

44

,47

2

39

,76

0

22

,32

0

43

,40

4

32

,75

0

23

,16

9

45

,31

7

42

,75

0

23

,36

6

45

,75

3

36

,67

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

e51

Num

ber

of

Serv

ice

N

um

ber

of

Serv

ice

N

um

ber

of

Serv

ice

37

3

84

3

71

38

7

11

2

32

4

21

3

66

3

06

2

10

52

2

81

72

84

1

68

3

62

61

3

50

33

51

2

7

30

3

41

3

39

28

9

25

5

14

5

19

6

75

2

09

3

13

25

4

13

8

36

8

13

9

13

2

33

2

16

4

12

5

30

8

26

0

10

3

24

4

36

0

16

8

30

4

25

6

11

9

30

9

29

3

400

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

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


500

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

400

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 (July-September, 2017 )

Pag

e52

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand Total

Reproductive Health 10,199,059 115,947 252,164 0 368,111 250,693 618,804 10,817,863

Maternal Care 3,732,786 74,798 94,296 0 169,094 75,316 244,410 3,977,196

Antenatal Care 2,337,369 40,684 68,841 0 109,525 46,560 156,085 2,493,454

Delivery Care (NVD) 92,381 5,225 0 0 5,225 0 5,225 97,606

Delivery Care (CS) 53,565 3,093 0 0 3,093 0 3,093 56,658

Postnatal Care 769,688 16,447 15,606 0 32,053 17,084 49,137 818,825

Neonatal Care 479,783 9,349 9,849 0 19,198 11,672 30,870 510,653

Menstrual Regulation 112,178 391 5,147 0 5,538 0 5,538 117,716

Post Abortion Care 6,318 289 175 0 464 0 464 6,782

Family Planning 3,410,444 14,503 70,018 0 84,521 109,115 193,636 3,604,080

Emergency Contraceptive Pill 1,847 44 121 0 165 17 182 2,029

Maternal Nutrition 302,213 2,828 9,792 0 12,620 3,157 15,777 317,990

Violence Against Women 30,278 311 1,268 0 1,579 0 1,579 31,857

Adolescent Reproductive Health Care 1,328,001 8,399 32,472 0 40,871 37,334 78,205 1,406,206

RTI/STI Care 766,816 8,636 18,375 0 27,011 20,421 47,432 814,248

Other Reproductive Health Care 508,178 5,748 20,500 0 26,248 5,333 31,581 539,759

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

e53

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand Total

Child Health Care 8,380,163

29,886 400,630 0 430,516 93,126 523,642 8,903,805

Immunization Program - EPI 1,818,417 9,023 59,196 0 68,219 46,167 114,386 1,932,803

Immunization Program - NID 4,270,770 3,808 289,172 0 292,980 0 292,980 4,563,750

Control of Diarrhoea & Other Childhood

Diseases

703,924

4,009

15,416

0

19,425

17,560

36,985 740,909

Diarrhea 699,425 3,983 15,258 0 19,241 17,411 36,652 736,077

Measles 4,499 26 158 0 184 149 333 4,832

Control of Acute Respiratory Infections 937,293 7,305 20,186 0 27,491 20,401 47,892 985,185

Control of Micronutrient Deficiency 649,759 5,741 16,660 0 22,401 8,998 31,399 681,158

Child Nutrition 396,912 2,193 11,034 0 13,227 5,361 18,588 415,500

Vitamin A Deficiency 250,881 3,528 5,511 0 9,039 3,637 12,676 263,557

Iodine Deficiency 1,966 20 115 0 135 0 135 2,101

Communicable Diseases Control 1,589,278 170 1,071 0 1,241 0 1,241 1,590,519

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

Other Communicable Diseases Control 24,970 170 1,071 0 1,241 0 1,241 26,211



Pag

e54

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand Total

Limited Curative Care 9,100,502 35,220 186,076 0 221,296 253,668 474,964 9,598,624

First Aid for Injuries 73,325 2,140 2,464 0 4,604 1,106 5,710 79,035

Emergency Care 22,689 571 835 0 1,406 0 1,406 24,095

Treatment of Minor Infections 8,981,330 32,509 182,777 0 215,286 252,562 467,848 9,449,178

Primary Eye Care 23,158 23,158 0 0 0 0 23,158 46,316

Support Services for ESP+ 3,153,475 75,594 147,725 0 223,319 10,256 233,575 3,387,050

Diagnostic Service 3,136,265 74,826 147,725 0 222,551 10,256 232,807 3,369,072

Emergency Transportation Service 17,210 768 0 0 768 0 768 17,978

Behavior Change Communication 9,203,511 133,376 332,311 0 465,687 140,023 605,710 9,809,221

Health Education (Session) 2,069,915 0 0 0 0 140,023 140,023 2,209,938

Counseling 7,133,596 133,376 332,311 0 465,687 0 465,687 7,599,283

Miscellaneous 42,421 2,268 0 0 2,268 0 2,268 44,689

Adolescent Development Program 42,421 2,268 0 0 2,268 0 2,268 44,689

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

ESP+ Clinical Service 32,422,477 256,817 987,666 0 1,244,483 607,743 1,875,384

34,297,861

ESP+ BCC Service 9,203,511 133,376 332,311 0 465,687 140,023 605,710 9,809,221

Other Service 42421 2,268 0 0 2,268 0 2,268 44689

Grand Total 41,668,409

392,461 1,319,977 0 1,712,438 747,766 24,83,362 44,151,771

ESP+ Clinical Service % 77.81% 65.44% 74.82% 0.00% 72.67% 72.67% 75.29% 77.61%

ESP+ BCC Service % 22.09% 33.98% 25.18% 0.00% 27.19% 27.19% 24.62% 22.29%

Other Service % 0.10% 0.58% 0.00% 0.00% 0.13% 0.13% 0.09% 0.10%

TABLE 05: Service Component-wise Service Contact 9

Pag

e55


Component Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Reproductive Health 1,004,1206 206,077 206,618 40,098 158,776 36,453 575,113 611,566 10,652,812

Maternal Care 3,732,397 76,998 39,193 24,625 103,524 13,639 230,701 244,340 3,976,737

Antenatal Care 2,336,985 47,419 22,050 16,274 70,272 0 156,015 156,015 2,493,000

Delivery Care (NVD) 92,381 1,755 44 800 2,626 0 5,225 5,225 97,606

Delivery Care (CS) 53,565 828 15 1,251 999 0 3,093 3,093 56,658

Postnatal Care 769,689 17,380 9,859 3,822 18,076 0 49,137 49,137 818,826

Neonatal Care 479,777 9,616 7,225 2,478 11,551 13,639 17,231 30,870 510,647

Menstrual Regulation 112,160 2,127 198 1,404 1,811 0 5,538 5,538 117,698

Post Abortion Care 6,316 108 24 120 212 0 464 464 6,780

Family Planning 3,410,347 63,105 116,229 586 13,716 18,876 174,760 193,636 3,603,983

Emergency Contraceptive Pill 1,887 76 88 0 18 0 182 182 2,069

Maternal Nutrition 302,261 7,183 8,183 213 198 0 15,777 15,777 318,038

Violence Against Women 34,371 816 731 9 99 0 1,655 1,655 36,026

Adolescent Reproductive Health Care 1,209,812 26,504 22,644 8,109 15,723 1,941 71,039 72,980 1,282,792

RTI/STI Care 744,165 19,150 9,575 3,952 13,943 1,827 44,793 46,620 790,785

Other Reproductive Health Care 487,530 10,010 9,753 1,080 9,532 170 30,204 30,374 517,904

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

e56


Component Up to

Previous

Quarter

Poor FF 10

FF(NC)

PF

Paid

Male

Female

Total

Grand

Total

Child Health Care 7,541,327 149,173 304,530 8,640 35,010 227,401 269,952 497,353 8,038,680

Immunization Program - EPI 1,800,566 28,343 86,008 13 1 52,160 62,205 114,365 1,914,931

Immunization Program - NID 3,472,261 75,564 191,685 0 0 125,844 141,405 267,249 3,739,510


Diseases 703,901

14,758

4,435

3,738

14,054

16,063

20,922

36,985 740,886

Diarrhea 699,401 14,650 4,342 3,735 13,925 15,917 20,735 36,652 736,053

Measles 4,500 108 93 3 129 146 187 333 4,833

Control of Acute Respiratory Infections 937,436 18,111 5,273 4,349 20,159 21,368 26,524 47,892 985,328

Control of Micronutrient Deficiency 627,163 12,397 17,129 540 796 11,966 18,896 30,862 658,025

Child Nutrition 374,402 7,425 9,682 489 455 7,642 10,409 18,051 392,453

Vitamin A Deficiency 250,795 4,902 7,390 51 333 4,304 8,372 12,676 263,471

Iodine Deficiency 1,966 70 57 0 8 20 115 135 2,101

Communicable Diseases Control 1,195,316 391 356 87 407 538 703 1,241 1,196,557

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

Other Communicable Diseases Control 24,809 391 356 87 407 538 703 1,241 26,050

11 12 13


Pag

e57


Component Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Limited Curative Care 8,353,488 156,880 105,363 64,110 114,083 93,976 346,460 440,436 8,793,924

First Aid for Injuries 73,450 2,153 1,231 467 1,859 1,706 4,004 5,710 79,160

Emergency Care 22,695 505 291 108 502 272 1,134 1,406 24,101

Treatment of Minor Infections 8,234,185 154,222 103,841 63,535 111,722 91,998 341,322 433,320 8,667,505

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

Support Services for ESP+ 2,166,039 50,857 8,049 24,187 69,650 16,964 135,908 152,872 2,318,911

Diagnostic Service 2,147,831 50,524 7,781 24,111 69,327 16,804 135,068 151,872 2,299,703

Emergency Transportation Service 18,208 333 268 76 323 160 840 1,000 19,208

Behavior Change Communication 12,500,567 228,879 459,790 3 198 135,909 552,961 688,870 13,189,437

Health Education (Session) 3,680,704 57,608 112,505 0 0 32,992 137,121 170,113 3,850,817

Counseling 8,819,863 171,271 347,285 3 198 102,917 415,840 518,757 9,338,620

Miscellaneous 95,464 1,101 3,053 0 0 643 3,511 4,154 99618

Adolescent Development Program 95,464 1,101 3,053 0 0 643 3,511 4,154 99,618

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

ESP+ Clinical Service 29,297,375 563,378 624,916 137,122 377,926 375,332 1,328,136 1,703,468 31,000,843

ESP+ BCC Service 12,500,567 228,879 459,790 3 198 135,909 552,961 688,870 13189437

Other Service 95,464 1,101 3,053 0 0 643 3,511 4,154 99618

Grand Total 41,893,406 793,358 1,087,759 137,125 378,124 511,884 1,884,608 2,396,492 44,289,998

ESP+ Clinical Service % 72.94% 71.01% 57.45% 100.00% 99.95% 73.32% 70.47% 71.08% 72.83%

ESP+ BCC Service % 26.83% 28.85% 42.27% 0.00% 0.05% 26.55% 29.34% 28.74% 26.94%

Other Service % 0.23% 0.14% 0.28% 0.00% 0.00% 0.13% 0.19% 0.17% 0.23%

Pag

e58

TABLE 06: Comparative Statement of Service Contact among different Quarters

Component 14

Qtr

Avg.

15 1 Year

Prev.

16 Prev.

Qtr Current

Qtr

Reproductive Health 612,788 543,118 683,679 611,566

Maternal Care 237,065 216,670 250,185 244,340

Antenatal Care 151,171 135,089 162,410 156,015

Delivery Care (NVD) 5,406 5,691 5,303 5,225

Delivery Care (CS) 3,017 3,134 2,823 3,093

Postnatal Care 47,883 44,748 49,765 49,137

Neonatal Care 29,587 28,008 29,884 30,870

Menstrual Regulation 6,175 6,236 6,750 5,538

Post Abortion Care 408 340 421 464

Family Planning 205,493 169,993 252,851 193,636

Emergency Contraceptive Pill 168 143 178 182

Maternal Nutrition 15,837 13,026 18,708 15,777

Violence Against Women 1,720 1,821 1,685 1,655

Adolescent Reproductive Health Care 71,227 65,716 74,985 72,980

RTI/STI Care 45,592 42,298 47,857 46,620

Other Reproductive Health Care 29,103 26,875 30,059 30,374

Child Health Care 463,532 446,700 446,543 497,353

Immunization Program - EPI 109,879 102,242 113,029 114,365

Immunization Program - NID 239,682 239,401 212,395 267,249


Diseases

36,901

35,205

38,513

36,985

Diarrhea 36,623 35,017 38,201 36,652

Measles 278 188 312 333

Control of Acute Respiratory Infections 46,813 43,949 48,597 47,892

Control of Micronutrient Deficiency 30,258 25,903 34,009 30,862

Child Nutrition 18,433 15,681 21,566 18,051

Vitamin A Deficiency 11,708 10,127 12,322 12,676

Iodine Deficiency 117 95 121 135

14 Quarterly Average (Jul 2005 to current quarter).

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

16 Previous/last quarter

Pag

e59

TABLE 06: Comparative Statement of Service Contact among different Quarters

Component 14

Qtr

Avg.

15 1 Year

Prev.

16 Prev.

Qtr Current

Qtr

Communicable Diseases Control 1,210 1,080 1,310 1,241

Tuberculosis Control 0 0 0 0

Other Communicable Diseases Control 1,210 1,080 1,310 1,241

Limited Curative Care 431,999 394,740 460,821 440,436

First Aid for Injuries 5,203 4,586 5,314 5,710

Emergency Care 1,439 1,495 1,415 1,406

Treatment of Minor Infections 425,357 388,659 454,092 433,320

Support Services for ESP+ 149,083 132,999 161,377 152,872

Diagnostic Service 148,080 131,802 160,565 151,872

Emergency Transportation Service 1,003 1,197 812 1,000

Behavior Change Communication 672,467 609,473 719,057 688,870

Health Education (Session) 158,576 131,829 173,787 170,113

Counseling 513,890 477,644 545,270 518,757

Miscellaneous 5,544 6,568 5,910 4,154

Adolescent Development Program 5,544 6,568 5,910 4,154

ESP+ Clinical Service 1,658,612 1,518,637 1,753,730 1,703,468

ESP+ BCC Service 672,467 609,473 719,057 688,870

Other Service 5,544 6,568 5,910 4,154

Grand Total 2,336,622 2,134,678 2,478,697 2,396,492

ESP+ Clinical Service % 70.98% 71.14% 70.75% 71.08%

ESP+ BCC Service % 28.78% 28.55% 29.01% 28.74%

Other Service % 0.24% 0.31% 0.24% 0.17%

Pag

e60


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Reproductive Health 611,566 618,804 206077 33.70% 26,920,282 25,312,097

Maternal Care 244,340 244,410 76998 31.51% 22,940,082 18,479,877

Antenatal Care 156,015 156,085 47419 30.39% 2,952,864 2,813,439

Delivery Care (NVD) 5,225 5,225 1755 33.59% 2,720,328 1,864,328

Delivery Care (CS) 3,093 3,093 828 26.77% 16,025,153 12,086,597

Postnatal Care 49,137 49,137 17380 35.37% 743,325 1,056,635

Neonatal Care 30,870 30,870 9616 31.15% 498,412 658,878

Menstrual Regulation 5,538 5,538 2127 38.41% 1,847,648 2,183,713

Post Abortion Care 464 464 108 23.28% 363,892 157,448

Family Planning 193,636 193,636 63105 32.59% 82,167 884,900

Emergency Contraceptive Pill 182 182 76 41.76% 780 5,130

Maternal Nutrition 15,777 15,777 7183 45.53% 11,235 481,241

Violence Against Women 1,655 1,579 816 49.31% 3,830 21,923

Adolescent Reproductive Health

Care

72,980

78,205

26504

36.32%

675,545

1,582,191

RTI/STI Care 46,620 47,432 19150 41.08% 599,821 947,924

Other Reproductive Health Care 30,374 31,581 10010 32.96% 395,282 567,750

Child Health Care 497,353 523,642 149173 29.99% 1,434,696 3,301,569

Immunization Program - EPI 114,365 114,386 28343 24.78% 295 511,375

Immunization Program - NID 267,249 292,980 75564 28.27% 0 644,980

Control of Diarrhoea & Other

Childhood Diseases

36,985

36,985

14758

39.90%

586,796

741,043

Diarrhea 36,652 36,652 14650 39.97% 583,856 738,278

Measles 333 333 108 32.43% 2,940 2,765

Control of Acute Respiratory

Infections

47,892

47,892

18111

37.82%

819,167

898,426

Control of Micronutrient

Deficiency

30,862

31,399

12397

40.17%

28,438

505,745

Child Nutrition 18,051 18,588 7425 41.13% 22,748 397,105

Vitamin A Deficiency 12,676 12,676 4902 38.67% 5,370 104,980

Iodine Deficiency 135 135 70 51.85% 320 3,660

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

e61

P

age6

1


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Communicable Diseases

Control

1,241

1,241

391

31.51%

18,100

29,420

Tuberculosis Control 0 0 0 0.00% 0 0

Other Communicable Diseases

Control

1,241

1,241

391

31.51%

18,100

29,420

Limited Curative Care 440,436 474,964 156880 35.62% 5,083,325 9,018,689

First Aid for Injuries 5,710 5,710 2153 37.71% 94,002 123,065

Emergency Care 1,406 1,406 505 35.92% 51,783 31,716

Treatment of Minor Infections 433,320 467,848 154222 35.59% 4,937,540 8,863,908

Support Services for ESP+ 152,872 233,575 50857 33.27% 14,378,447 9,748,078

Diagnostic Service 151,872 232,807 50524 33.27% 14,181,617 9,609,628

Emergency Transportation

Service

1,000

768

333

33.30%

196,830

138,450

Behavior Change

Communication

688,870

605,710

228879

33.23%

0

16,830

Health Education (Session) 170,113 140,023 57608 33.86% 0 16,830

Counseling 518,757 465,687 171271 33.02% 0 0

Miscellaneous 4,154 2,268 1101 26.50% 0 2,660

Adolescent Development

Program

4,154

2,268

1101

26.50%

0

2,660

Income Generation from

Medicine

-

-

-

33.15%

9,831,456

4,876,180

ESP+ Clinical Service

1,703,468

1,852,226

563378

33.07%

47,834,850

47,409,853

ESP+ BCC Service

688,870

605,710

228879

33.23%

0

16,830

Other Service

4,154

2,268

1101

26.50%

0

2,660

Grand Total

2,396,492

2,460,204

793358

33.10%

47,834,850

47,429,343

ESP+ Clinical Service %

71.08%

75.29%

-

-

100.00%

99.96%

ESP+ BCC Service %

28.74%

24.62%

-

-

0.00%

0.04%

Other Service %

0.17%

0.09%

-

-

0.00%

0.01%

Pag

e62

DSCC PA 1 PSTC (July-September, 2017 )

TABLE 08.01:

PA wise Performance Summary

Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health 55,903 57,885 40.77% 2,713,607 1,924,638

Maternal Care 27,266 27,266 40.24% 2,074,780 1,388,630

Antenatal Care 17,917 17,917 39.09% 452,095 443,815

Delivery Care (NVD) 324 324 36.42% 184,500 107,100

Delivery Care (CS) 213 213 30.99% 1,217,000 620,000

Postnatal Care 5,418 5,418 45.51% 126,795 144,105

Neonatal Care 3,394 3,394 38.83% 94,390 73,610

Menstrual Regulation 390 390 32.82% 237,920 74,820

Post Abortion Care 13 13 0.00% 32,300 200

Family Planning 10,683 10,683 39.69% 0 0

Emergency Contraceptive Pill 0 0 0.00% 0 0

Maternal Nutrition 174 174 68.97% 0 0

Violence Against Women 105 105 42.86% 0 0

Adolescent Reproductive Health Care 5,025 6,415 41.45% 117,767 133,483

RTI/STI Care 6,734 7,237 46.61% 138,537 181,378

Other Reproductive Health Care 5,513 5,602 37.44% 112,303 146,127

Child Health Care 18,133 18,133 24.49% 205,150 182,050

Immunization Program - EPI 10,224 10,224 13.97% 0 0

Immunization Program - NID 0 0 0.00% 0 0


Childhood Diseases

3,529

3,529

39.22%

92,170

85,170

Diarrhea 3,524 3,524 39.22% 92,170 85,170

Measles 5 5 40.00% 0 0


Infections

4,176

4,176

36.30%

112,980

96,880

Control of Micronutrient Deficiency 204 204 54.90% 0 0

Child Nutrition 204 204 54.90% 0 0

Vitamin A Deficiency 0 0 0.00% 0 0

Iodine Deficiency 0 0 0.00% 0 0

Pag

e63


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


Control

0

0

0.00%

0

0

Limited Curative Care 25,246 26,534 33.91% 657,885 639,387

First Aid for Injuries 35 35 54.29% 700 760

Emergency Care 100 100 26.00% 21,682 4,140

Treatment of Minor Infections 25,111 26,399 33.91% 635,503 634,487

Support Services for ESP+ 7,268 19,245 34.60% 1,509,648 631,195

Diagnostic Service 7,242 19,219 34.60% 1,501,348 626,495

Emergency Transportation Service 26 26 34.62% 8,300 4,700

Behavior Change Communication 50,851 49,843 37.44% 0 0

Health Education (Session) 7,800 7,202 39.87% 0 0

Counseling 43,051 42,641 37.00% 0 0

Miscellaneous 492 492 29.47% 0 0

Adolescent Development Program 492 492 29.47% 0 0

Income Generation from Medicine

-

-

28.07%

542,230

211,549


106,550

121,797

35.95%

5,086,290

3,377,270

ESP+ BCC Service

50,851

49,843

37.44%

0

0

Other Service

492

492

29.47%

0

0

Grand Total

157,893

172,132

36.41%

5,086,290

3,377,270


67.48%

70.76%

-

100%

100%

ESP+ BCC Service %

32.21%

28.96%

-

0%

0%

Other Service %

0.31%

0.29%

-

0%

0%

Pag

e64

DSCC PA 2 KMSS (July-September, 2017 )

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,524

29,137

28.57%

765,425

322,345

Maternal Care 9,535 9,535 26.26% 432,375 162,835

Antenatal Care 5,493 5,493 28.05% 107,885 43,645


Delivery Care (CS) 64 64 32.81% 168,900 51,800

Postnatal Care 2,150 2,150 25.21% 42,140 21,840

Neonatal Care 1,547 1,547 20.10% 29,500 16,430


Post Abortion Care 24 24 37.50% 0 0

Family Planning 5,406 5,406 29.32% 0 0





RTI/STI Care 3,643 3,657 32.09% 55,510 35,080


Child Health Care

10,559

23,686

26.59%

97,680

52,560


Immunization Program - NID 0 13,097 0.00% 0 0


Childhood Diseases

2,259

2,259

33.73%

42,790

23,250

Diarrhea 2,259 2,259 33.73% 42,790 23,250

Measles 0 0 0.00% 0 0


Infections

3,108

3,108

29.38%

53,910

28,870


Child Nutrition 230 260 31.30% 980 440



Pag

e65

DSCC PA 2 KMSS (July-September, 2017 )

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Communicable Diseases Control

0

0

0.00%

0

0



Control

0

0

0.00%

0

0

Limited Curative Care

27,414

27,557

30.01%

508,720

242,566

First Aid for Injuries 288 288 34.72% 4,280 3,950

Emergency Care 194 194 36.08% 3,600 3,510


Support Services for ESP+

3,945

9,011

30.19%

352,395

83,825

Diagnostic Service 3,945 9,011 30.19% 352,395 83,825

Emergency Transportation Service 0 0 0.00% 0 0

Behavior Change Communication

66,720

66,414

30.95%

0

0


Counseling 42,135 42,029 31.53% 0 0

Miscellaneous

414

412

33.82%

0

0



-

-

40.44%

330,100

224,088


70,442

89,391

28.92%

1,724,220

701,296

ESP+ BCC Service

66,720

66,414

30.95%

0

0

Other Service

414

412

33.82%

0

0

Grand Total

137,576

156,217

29.92%

1,724,220

701,296


51.20%

57.22%

-

100%

100%

ESP+ BCC Service %

48.50%

42.51%

-

0%

0%

Other Service %

0.30%

0.26%

-

0%

0%

Pag

e66

P

age6

6

DSCC PA 3, BAPSA (July-September, 2017 )

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

27,678

27,840

38.44%

1,603,300

1,688,018

Maternal Care 12,579 12,579 38.51% 1,317,340 1,304,860

Antenatal Care 7,342 7,342 35.90% 154,028 139,422


Delivery Care (CS) 179 179 40.78% 893,000 897,000

Postnatal Care 2,802 2,802 45.04% 36,856 75,144

Neonatal Care 1,906 1,906 39.66% 24,056 52,694


Post Abortion Care 89 89 35.96% 31,040 15,600

Family Planning 7,531 7,531 32.55% 6,539 1,621





RTI/STI Care 2,054 2,054 52.39% 37,009 54,961


Child Health Care

14,893

14,893

32.88%

96,144

138,624




Childhood Diseases

2,369

2,369

45.25%

39,308

55,452

Diarrhea 2,369 2,369 45.25% 39,308 55,452

Measles 0 0 0.00% 0 0


Infections

3,061

3,061

44.63%

53,836

68,612

Control of Micronutrient Deficiency 797 797 52.70% 3,000 14,560

Child Nutrition 431 431 54.76% 2,560 8,400

Vitamin A Deficiency 347 347 49.57% 160 5,760


Pag

e67

DSCC PA 3, BAPSA (July-September, 2017 )

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


14,751

14,952

44.95%

242,395

347,456


Emergency Care 65 65 50.77% 1,234 1,326



12,091

12,091

34.11%

865,357

546,937


Emergency Transportation Service 17 17 11.76% 4,100 900


23,625

23,562

39.53%

0

16,480

Health Education (Session) 9,177 9,127 36.26% 0 16,480

Counseling 14,448 14,435 41.61% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

44.02%

522,475

410,878


69,413

69,776

37.87%

2,807,196

2,721,035

ESP+ BCC Service

23,625

23,562

39.53%

0

16,480

Other Service

0

0

0.00%

0

0

Grand Total

93,038

93,338

38.30%

2,807,196

2,737,515


74.61%

74.76%

-

100%

99%

ESP+ BCC Service %

25.39%

25.24%

-

0%

1%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e68


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

31,442

32,127

38.04%

1,496,385

992,627

Maternal Care 14,867 14,867 34.12% 1,390,681 871,511

Antenatal Care 10,325 10,325 33.36% 214,541 146,466


Delivery Care (CS) 163 163 31.90% 929,500 537,500

Postnatal Care 2,684 2,684 37.11% 47,405 62,150

Neonatal Care 1,356 1,356 34.44% 7,035 12,495


Post Abortion Care 2 2 50.00% 0 1,400

Family Planning 8,733 8,733 42.45% 874 2,231





RTI/STI Care 3,619 3,619 42.00% 21,170 32,900

Other Reproductive Health Care 1,260 1,260 38.49% 0 2,030

Child Health Care

12,306

12,306

25.82%

65,394

62,876




Childhood Diseases

1,798

1,798

42.32%

32,309

31,766

Diarrhea 1,798 1,798 42.32% 32,309 31,766

Measles 0 0 0.00% 0 0


Infections

1,807

1,807

42.06%

33,085

31,110

Control of Micronutrient Deficiency 1,190 1,190 45.97% 0 0


Vitamin A Deficiency 1,136 1,136 44.98% 0 0


Pag

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P

age6

9


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


46,888

57,971

34.03%

821,798

615,524


Emergency Care 0 0 0.00% 0 0



4,627

11,487

35.57%

821,280

281,327




28,027

27,260

34.27%

0

0


Counseling 22,837 22,151 33.29% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

35.23%

429,626

233,675


95,263

113,891

34.37%

3,204,857

1,952,354

ESP+ BCC Service

28,027

27,260

34.27%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

123,290

141,151

34.35%

3,204,857

1,952,354


77.27%

80.69%

-

100%

100%

ESP+ BCC Service %

22.73%

19.31%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e70


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

34,177

34,485

34.47%

1,256,148

1,117,317

Maternal Care 18,947 18,947 34.90% 1,105,423 850,349

Antenatal Care 10,691 10,691 34.41% 174,753 207,995


Delivery Care (CS) 145 145 30.34% 641,400 444,300

Postnatal Care 5,053 5,053 35.72% 98,782 85,702

Neonatal Care 2,849 2,849 35.87% 52,788 59,252



Family Planning 4,733 4,733 32.33% 2,367 831





RTI/STI Care 3,784 3,798 36.36% 51,595 85,295


Child Health Care

13,062

21,547

34.96%

128,640

139,760


Immunization Program - NID 0 8,485 0.00% 0 0


Childhood Diseases

3,061

3,061

37.18%

51,030

62,840

Diarrhea 3,061 3,061 37.18% 51,030 62,840

Measles 0 0 0.00% 0 0


Infections

4,187

4,187

35.16%

77,610

76,920





Pag

e71


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,985

17,105

33.60%

277,560

348,222


Emergency Care 86 86 47.67% 2,000 1,410



4,350

10,111

30.57%

746,610

179,590




43,779

43,093

33.13%

0

0


Counseling 36,975 36,581 33.22% 0 0

Miscellaneous

338

338

13.91%

0

0



-

-

15.96%

813,700

154,477


68,574

83,248

34.10%

2,408,958

1,784,889

ESP+ BCC Service

43,779

43,093

33.13%

0

0

Other Service

338

338

13.91%

0

0

Grand Total

112,691

126,679

33.67%

2,408,958

1,784,889


60.85%

65.72%

-

100%

100%

ESP+ BCC Service %

38.85%

34.02%

-

0%

0%

Other Service %

0.30%

0.27%

-

0%

0%

Pag

e72

DNCC PA 1 Nari Maitree (July-September, 2017 )

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

40,696

40,771

42.46%

2,299,210

1,738,125

Maternal Care 15,239 15,239 41.45% 2,125,485 1,169,309

Antenatal Care 9,438 9,438 41.04% 152,840 224,980


Delivery Care (CS) 260 260 29.62% 1,731,400 646,300

Postnatal Care 2,868 2,868 41.98% 45,680 67,940

Neonatal Care 2,341 2,341 42.93% 35,665 57,989



Family Planning 13,873 13,873 38.38% 0 0


Maternal Nutrition 4,423 4,423 45.85% 0 48,725

Violence Against Women 149 149 48.32% 470 5,490


RTI/STI Care 1,539 1,539 51.46% 17,280 44,968

Other Reproductive Health Care 465 485 23.01% 4,000 12,810

Child Health Care

65,652

65,652

23.67%

104,350

202,915


Immunization Program - NID 47,771 47,771 19.07% 0 0


Childhood Diseases

3,411

3,411

46.82%

47,790

88,570

Diarrhea 3,411 3,411 46.82% 47,790 88,570

Measles 0 0 0.00% 0 0


Infections

3,607

3,607

42.47%

56,560

87,840

Control of Micronutrient Deficiency 5,215 5,215 48.07% 0 26,505

Child Nutrition 3,308 3,308 47.49% 0 24,345

Vitamin A Deficiency 1,907 1,907 49.08% 0 2,160


Pag

e73

P

age7

3

DNCC PA 1 Nari Maitree (July-September, 2017 )

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


10,884

10,884

33.20%

194,366

233,804


Emergency Care 151 151 34.44% 4,480 3,740



8,060

16,697

45.74%

989,191

1,753,584

Diagnostic Service 8,011 16,648 45.61% 984,891 1,744,084



41,606

41,600

39.48%

0

0


Counseling 28,378 28,372 41.59% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

50.52%

446,385

455,822


125,292

134,004

32.02%

3,587,117

3,928,428

ESP+ BCC Service

41,606

41,600

39.48%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

166,898

175,604

33.88%

3,587,117

3,928,428


75.07%

76.31%

-

100%

100%

ESP+ BCC Service %

24.93%

23.69%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e74

P

age7

4

DNCC PA -02 Nari Maitree (July-September, 2017 )

TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,098

29,435

34.07%

2,834,370

1,125,493

Maternal Care 15,346 15,346 33.92% 2,355,727 815,163

Antenatal Care 9,461 9,461 29.88% 229,190 123,360


Delivery Care (CS) 238 238 15.55% 1,862,000 518,000

Postnatal Care 3,655 3,655 48.67% 57,907 71,383

Neonatal Care 1,748 1,748 27.40% 46,530 18,520



Family Planning 4,273 4,273 39.64% 0 0





RTI/STI Care 2,585 2,585 37.18% 47,410 38,644


Child Health Care

65,519

65,519

16.46%

165,375

90,690

Immunization Program - EPI 7,383 7,383 29.04% 0 1,620



Childhood Diseases

2,946

2,946

28.92%

73,420

37,785

Diarrhea 2,946 2,946 28.92% 73,420 37,785

Measles 0 0 0.00% 0 0


Infections

3,688

3,688

28.28%

91,955

50,225





Pag

e75

DNCC PA -02 Nari Maitree (July-September, 2017 )

TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


8,375

8,393

31.88%

197,113

105,757


Emergency Care 22 22 31.82% 600 280



6,269

14,490

36.03%

1,246,012

513,157

Diagnostic Service 6,216 14,437 35.76% 1,240,912 511,357



54,778

54,313

26.61%

0

0


Counseling 24,926 24,846 27.06% 0 0

Miscellaneous

510

510

0.00%

0

0



-

-

25.99%

796,278

279,692


109,261

117,837

23.46%

4,442,870

1,835,097

ESP+ BCC Service

54,778

54,313

26.61%

0

0

Other Service

510

510

0.00%

0

0

Grand Total

164,549

172,660

24.44%

4,442,870

1,835,097


66.40%

68.25%

-

100%

100%

ESP+ BCC Service %

33.29%

31.46%

-

0%

0%

Other Service %

0.31%

0.30%

-

0%

0%

Pag

e76

DNCC PA 3 UTPS (July-September, 2017 )

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

25,003

25,116

37.52%

898,242

896,848

Maternal Care 10,969 10,969 35.61% 803,292 732,178

Antenatal Care 6,694 6,694 34.34% 99,900 97,320


Delivery Care (CS) 122 122 36.89% 495,892 480,108

Postnatal Care 2,465 2,465 36.59% 30,570 43,170

Neonatal Care 1,379 1,379 39.81% 19,330 21,980



Family Planning 8,430 8,430 38.40% 0 0





RTI/STI Care 1,403 1,415 44.05% 10,520 15,880


Child Health Care

27,810

27,810

38.78%

40,720

80,150




Childhood Diseases

1,826

1,826

41.79%

17,450

37,360

Diarrhea 1,826 1,826 41.79% 17,450 37,360

Measles 0 0 0.00% 0 0


Infections

2,202

2,202

42.10%

23,270

42,790





Pag

e77

DNCC PA 3 UTPS (July-September, 2017 )

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


17,638

17,638

36.23%

162,459

366,901





11,300

11,671

36.81%

601,274

1,072,711

Diagnostic Service 11,285 11,656 36.79% 597,974 1,068,511



52,283

31,773

34.02%

0

0

Health Education (Session) 8,332 814 41.23% 0 0

Counseling 43,951 30,959 32.65% 0 0

Miscellaneous

1,620

108

33.33%

0

0

Adolescent Development Program 1,620 108 33.33% 0 0


-

-

35.58%

619,620

342,236


81,751

82,235

37.57%

1,702,695

2,416,610

ESP+ BCC Service

52,283

31,773

34.02%

0

0

Other Service

1,620

108

33.33%

0

0

Grand Total

135,654

114,116

36.15%

1,702,695

2,416,610


60.26%

72.06%

-

100%

100%

ESP+ BCC Service %

38.54%

27.84%

-

0%

0%

Other Service %

1.19%

0.09%

-

0%

0%

Pag

e78

DNCC PA 4 (July-September, 2017 )

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

37,580

37,715

34.77%

770,330

2,279,890

Maternal Care 14,615 14,615 30.46% 679,440 1,163,660

Antenatal Care 8,409 8,409 27.77% 125,920 210,440


Delivery Care (CS) 89 89 33.71% 371,300 518,700

Postnatal Care 3,453 3,453 33.59% 39,490 98,970

Neonatal Care 2,277 2,277 30.39% 23,330 67,950


Post Abortion Care 6 6 83.33% 750 14,250

Family Planning 9,302 9,302 35.90% 0 372,000

Emergency Contraceptive Pill 40 40 40.00% 240 1,360




RTI/STI Care 2,479 2,479 40.42% 18,570 75,690


Child Health Care

56,208

56,208

30.45%

47,700

1,409,480


Immunization Program - NID 35,136 35,136 29.08% 0 644,320


Childhood Diseases

1,629

1,629

38.12%

17,700

47,660

Diarrhea 1,629 1,629 38.12% 17,700 47,660

Measles 0 0 0.00% 0 0


Infections

2,279

2,279

36.64%

27,680

63,420

Control of Micronutrient Deficiency 8,636 8,636 32.69% 2,320 312,080

Child Nutrition 6,501 6,501 31.36% 1,680 227,320



Pag

e79

DNCC PA 4 (July-September, 2017 )

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy


823

823

30.01%

14,850

18,070



Control

823

823

30.01%

14,850

18,070


15,557

15,557

34.36%

94,395

515,610


Emergency Care 191 191 39.27% 1,200 6,440



4,516

9,365

28.68%

460,418

413,131


Emergency Transportation Service 10 10 40.00% 0 5,000


42,935

42,935

29.82%

0

0


Counseling 35,523 35,523 28.75% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

63.76%

146,323

257,462


114,684

119,668

32.32%

1,387,693

4,636,181

ESP+ BCC Service

42,935

42,935

29.82%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

157,619

162,603

31.64%

1,387,693

4,636,181


72.76%

73.60%

-

100%

100%

ESP+ BCC Service %

27.24%

26.40%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e80

DNCC, PA 5, DAM (July-September, 2017 )

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,423

28,963

36.89%

1,115,055

877,277

Maternal Care 12,496 12,496 34.28% 989,325 643,807

Antenatal Care 7,644 7,644 32.65% 168,960 129,362


Delivery Care (CS) 110 110 34.55% 608,000 364,000

Postnatal Care 2,731 2,731 36.62% 44,230 51,070

Neonatal Care 1,801 1,801 38.03% 28,735 41,575



Family Planning 8,344 8,344 37.10% 0 23,800





RTI/STI Care 1,762 1,805 46.31% 22,970 46,680


Child Health Care

92,761

92,771

45.32%

88,500

133,390




Childhood Diseases

2,014

2,014

46.67%

32,110

47,310

Diarrhea 2,014 2,014 46.67% 32,110 47,310

Measles 0 0 0.00% 0 0


Infections

3,211

3,211

43.26%

56,020

70,700

Control of Micronutrient Deficiency 563 573 41.74% 370 1,540

Child Nutrition 467 477 40.69% 330 1,510



Pag

e81

DNCC, PA 5, DAM (July-September, 2017 )

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy


20

20

55.00%

0

160



Control

20

20

55.00%

0

160


19,426

19,727

36.56%

199,490

504,848


Emergency Care 16 16 43.75% 360 230



4,992

8,612

38.60%

349,470

356,086




22,566

22,186

34.26%

0

0


Counseling 19,438 19,072 33.95% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

34.20%

215,642

112,103


145,622

150,093

42.28%

1,752,515

1,871,761

ESP+ BCC Service

22,566

22,186

34.26%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

168,188

172,279

41.20%

1,752,515

1,871,761


86.58%

87.12%

-

100%

100%

ESP+ BCC Service %

13.42%

12.88%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e82

P

age8

2

RCC PA 1 RIC (July-September, 2017 )

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

22,436

22,529

22.05%

706,357

492,970

Maternal Care 6,703 6,703 19.65% 590,234 389,760

Antenatal Care 4,889 4,889 20.09% 96,796 98,168


Delivery Care (CS) 78 78 17.95% 345,000 211,230

Postnatal Care 899 899 17.69% 14,718 20,302

Neonatal Care 669 669 17.94% 7,270 18,510



Family Planning 12,130 12,130 22.46% 40,109 12,022





RTI/STI Care 616 634 35.55% 11,239 14,281


Child Health Care

4,695

4,874

31.52%

20,140

18,010




Childhood Diseases

358

358

35.20%

6,670

5,760

Diarrhea 358 358 35.20% 6,670 5,760

Measles 0 0 0.00% 0 0


Infections

531

531

40.11%

10,305

7,615


Child Nutrition 487 487 40.45% 3,165 4,635



Pag

e83

RCC PA 1 RIC (July-September, 2017 )

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


17,125

17,722

35.16%

160,435

469,022


Emergency Care 37 37 51.35% 710 370



5,111

9,454

25.08%

628,624

272,909




17,361

17,187

27.54%

0

0


Counseling 13,118 13,003 25.50% 0 0

Miscellaneous

168

168

24.40%

0

2,240

Adolescent Development Program 168 168 24.40% 0 2,240


-

-

32.85%

501,045

245,141


49,367

54,579

27.81%

1,515,556

1,252,911

ESP+ BCC Service

17,361

17,187

27.54%

0

0

Other Service

168

168

24.40%

0

2,240

Grand Total

66,896

71,934

27.73%

1,515,556

1,255,151


73.80%

75.87%

-

100%

100%

ESP+ BCC Service %

25.95%

23.89%

-

0%

0%

Other Service %

0.25%

0.23%

-

0%

0%

Pag

e84

RCC, PA-2 (July-September, 2017 )

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

17,526

17,561

19.43%

517,161

591,496

Maternal Care 6,041 6,041 19.17% 466,101 509,246

Antenatal Care 4,435 4,435 20.00% 70,359 124,533


Delivery Care (CS) 76 76 14.47% 362,277 321,723

Postnatal Care 783 783 19.92% 9,458 18,432

Neonatal Care 696 696 12.21% 4,082 18,583



Family Planning 8,308 8,308 18.30% 11,854 4,690


Maternal Nutrition 271 271 28.78% 240 5,965



RTI/STI Care 812 812 29.68% 9,676 18,637


Child Health Care

6,454

6,455

7.81%

18,431

30,999




Childhood Diseases

451

451

31.04%

6,356

9,444

Diarrhea 451 451 31.04% 6,356 9,444

Measles 0 0 0.00% 0 0


Infections

646

646

28.79%

9,665

12,840


Child Nutrition 327 328 23.24% 2,410 8,715



Pag

e85

RCC, PA-2 (July-September, 2017 )

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


17,181

17,184

34.54%

160,834

435,677


Emergency Care 49 49 28.57% 945 650



9,504

10,242

27.09%

493,240

171,540


Emergency Transportation Service 5 5 20.00% 500 1,000


21,438

21,020

20.56%

0

0


Counseling 17,552 17,240 19.05% 0 0

Miscellaneous

12

12

0.00%

0

420



-

-

12.72%

582,207

84,826


50,665

51,442

24.51%

1,189,666

1,229,712

ESP+ BCC Service

21,438

21,020

20.56%

0

0

Other Service

12

12

0.00%

0

420

Grand Total

72,115

72,474

23.33%

1,189,666

1,230,132


70.26%

70.98%

-

100%

100%

ESP+ BCC Service %

29.73%

29.00%

-

0%

0%

Other Service %

0.02%

0.02%

-

0%

0%

Pag

e86

KCC PA 1 (July-September, 2017 )

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

33,149

33,686

32.66%

765,861

1,917,697

Maternal Care 12,473 12,473 28.12% 511,100 1,287,807

Antenatal Care 9,267 9,267 27.55% 112,660 257,367


Delivery Care (CS) 105 105 31.43% 269,250 780,750

Postnatal Care 1,674 1,674 30.05% 19,595 47,295

Neonatal Care 1,172 1,172 29.95% 15,245 41,745



Family Planning 9,509 9,509 37.54% 0 0


Maternal Nutrition 1,468 1,468 35.63% 4,635 115,556



RTI/STI Care 2,132 2,293 32.74% 26,290 61,890


Child Health Care

20,400

20,407

22.30%

50,870

137,560




Childhood Diseases

1,654

1,654

34.34%

20,165

47,175

Diarrhea 1,654 1,654 34.34% 20,165 47,175

Measles 0 0 0.00% 0 0


Infections

1,931

1,931

33.71%

24,730

53,680


Child Nutrition 1,315 1,322 30.42% 5,975 36,345

Vitamin A Deficiency 1,135 1,135 49.52% 0 0


Pag

e87

KCC PA 1 (July-September, 2017 )

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy


180

180

28.33%

740

6,180



Control

180

180

28.33%

740

6,180


16,998

17,000

32.40%

154,810

516,130


Emergency Care 110 110 40.00% 1,850 2,570



4,688

7,408

36.03%

168,135

474,562




25,383

25,311

32.25%

0

0


Counseling 16,775 16,773 32.20% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

86.09%

15,628

96,703


75,415

78,681

30.00%

1,140,416

3,052,129

ESP+ BCC Service

25,383

25,311

32.25%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

100,798

103,992

30.57%

1,140,416

3,052,129


74.82%

75.66%

-

100%

100%

ESP+ BCC Service %

25.18%

24.34%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e88

KCC PA-2 (July-September, 2017 )

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

26,882

27,485

34.67%

879,848

1,403,062

Maternal Care 11,884 11,884 27.41% 725,356 909,371

Antenatal Care 8,408 8,408 26.50% 118,892 120,803


Delivery Care (CS) 103 103 32.04% 492,106 544,339

Postnatal Care 1,769 1,769 31.09% 15,149 41,318

Neonatal Care 1,350 1,350 26.74% 13,975 34,145



Family Planning 7,668 7,668 46.86% 0 0





RTI/STI Care 146 146 29.45% 0 0


Child Health Care

12,514

11,942

27.73%

48,223

97,957




Childhood Diseases

2,406

2,406

34.95%

23,438

41,912

Diarrhea 2,406 2,406 34.95% 23,438 41,912

Measles 0 0 0.00% 0 0


Infections

2,169

2,169

33.10%

23,010

42,660


Child Nutrition 821 822 33.37% 1,775 8,025



Pag

e89

KCC PA-2 (July-September, 2017 )

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy


90

90

34.44%

2,080

1,520



Control

90

90

34.44%

2,080

1,520


29,084

30,267

30.34%

110,143

451,137


Emergency Care 68 68 61.76% 0 2,720



3,852

6,018

33.64%

334,455

276,649




24,980

24,836

35.00%

0

0


Counseling 22,154 22,136 36.78% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

89.18%

30,821

253,948


72,422

75,802

31.68%

1,374,749

2,230,325

ESP+ BCC Service

24,980

24,836

35.00%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

97,402

100,638

32.53%

1,374,749

2,230,325


74.35%

75.32%

-

100%

100%

ESP+ BCC Service %

25.65%

24.68%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e90

P

age9

0

SCC, PA-1 (July-September, 2017 )

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

40,554

40,559

36.40%

601,185

2,646,521

Maternal Care 10,466 10,466 33.12% 523,136 1,812,920

Antenatal Care 6,393 6,393 32.74% 61,840 111,150


Delivery Care (CS) 83 83 51.81% 318,000 1,578,000

Postnatal Care 2,147 2,147 33.58% 18,750 39,250

Neonatal Care 1,679 1,679 33.29% 13,220 31,850



Family Planning 16,900 16,900 34.89% 0 431,470

Emergency Contraceptive Pill 78 78 42.31% 0 2,340




RTI/STI Care 3,862 3,862 36.02% 18,260 85,520


Child Health Care

11,097

15,460

42.25%

31,400

244,648




Childhood Diseases

1,454

1,454

38.58%

11,960

25,080

Diarrhea 1,454 1,454 38.58% 11,960 25,080

Measles 0 0 0.00% 0 0


Infections

2,076

2,076

40.61%

19,440

35,010


Child Nutrition 1,852 2,111 74.08% 0 61,288

Vitamin A Deficiency 259 259 41.31% 0 7,770

Iodine Deficiency 73 73 42.47% 0 2,190

Pag

e91

SCC, PA-1 (July-September, 2017 )

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy


123

123

41.46%

300

3,390



Control

123

123

41.46%

300

3,390


73,017

73,220

34.40%

244,741

1,534,812



Treatment of Minor Infections 72,787 72,990 34.39% 243,241 1,529,412


17,748

17,553

34.13%

587,111

924,830




42,891

18,723

45.49%

0

0


Counseling 36,636 18,223 44.76% 0 0

Miscellaneous

96

7

33.33%

0

0



-

-

37.72%

415,355

251,602


142,539

146,915

35.55%

1,464,737

5,354,201

ESP+ BCC Service

42,891

18,723

45.49%

0

0

Other Service

96

7

33.33%

0

0

Grand Total

185,526

165,645

37.85%

1,464,737

5,354,201


76.83%

88.69%

-

100%

100%

ESP+ BCC Service %

23.12%

11.30%

-

0%

0%

Other Service %

0.05%

0.00%

-

0%

0%

Pag

e92

BCC PA-1 Srizony (July-September, 2017 )

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

22,038

22,038

27.56%

863,920

726,520

Maternal Care 8,541 8,541 28.63% 662,150 633,800

Antenatal Care 5,398 5,398 28.51% 96,520 40,780


Delivery Care (CS) 171 171 29.82% 435,700 504,800

Postnatal Care 1,624 1,624 31.71% 10,010 22,870

Neonatal Care 988 988 22.67% 10,120 13,150



Family Planning 8,957 8,957 16.27% 0 0





RTI/STI Care 1,607 1,607 63.41% 10,010 13,820


Child Health Care

10,298

10,298

23.51%

20,980

21,020




Childhood Diseases

928

928

56.47%

8,410

9,490

Diarrhea 928 928 56.47% 8,410 9,490

Measles 0 0 0.00% 0 0


Infections

1,254

1,254

55.18%

12,570

11,530





Pag

e93

BCC PA-1 Srizony (July-September, 2017 )

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,886

4,886

82.05%

14,040

60,080





10,612

10,612

35.31%

507,755

327,715




21,979

21,974

32.22%

0

0


Counseling 17,509 17,504 30.20% 0 0

Miscellaneous

46

46

100.00%

0

0



-

-

37.15%

395,732

233,927


47,834

47,834

33.97%

1,406,695

1,135,335

ESP+ BCC Service

21,979

21,974

32.22%

0

0

Other Service

46

46

100.00%

0

0

Grand Total

69,859

69,854

33.46%

1,406,695

1,135,335


68.47%

68.48%

-

100%

100%

ESP+ BCC Service %

31.46%

31.46%

-

0%

0%

Other Service %

0.07%

0.07%

-

0%

0%

Pag

e94

CoCC,PA-01 (July-September, 2017 )

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

23,078

23,085

47.43%

1,174,706

819,922

Maternal Care 6,577 6,577 34.53% 1,079,456 566,887

Antenatal Care 4,140 4,140 34.52% 85,183 45,550


Delivery Care (CS) 116 116 23.28% 750,868 409,132

Postnatal Care 1,450 1,450 42.21% 13,225 26,825

Neonatal Care 578 578 22.15% 12,180 10,380



Family Planning 7,559 7,559 48.38% 2,550 2,413


Maternal Nutrition 276 276 82.61% 0 15,408



RTI/STI Care 2,438 2,444 61.48% 8,135 61,165


Child Health Care

21,269

21,269

34.46%

31,850

72,127




Childhood Diseases

1,363

1,363

67.13%

8,790

25,375

Diarrhea 1,363 1,363 67.13% 8,790 25,375

Measles 0 0 0.00% 0 0


Infections

2,305

2,305

59.18%

23,045

36,535


Child Nutrition 352 352 81.82% 0 9,152



Pag

e95

CoCC,PA-01 (July-September, 2017 )

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,551

16,551

72.64%

54,872

302,694





11,264

11,285

45.03%

675,395

473,745




35,231

14,817

35.44%

0

0


Counseling 26,326 14,026 30.67% 0 0

Miscellaneous

154

12

55.19%

0

0



-

-

28.71%

314,318

126,580


72,162

72,190

49.01%

1,936,823

1,668,488

ESP+ BCC Service

35,231

14,817

35.44%

0

0

Other Service

154

12

55.19%

0

0

Grand Total

107,547

87,019

44.58%

1,936,823

1,668,488


67.10%

82.96%

-

100%

100%

ESP+ BCC Service %

32.76%

17.03%

-

0%

0%

Other Service %

0.14%

0.01%

-

0%

0%

Pag

e96

SrjM PA-1 (July-September, 2017 )

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

13,814

14,646

30.54%

1,233,389

893,501

Maternal Care 5,626 5,696 26.72% 1,170,099 800,046

Antenatal Care 3,708 3,778 27.70% 64,865 34,460


Delivery Care (CS) 213 213 23.47% 1,019,724 715,276

Postnatal Care 1,084 1,084 27.31% 13,150 15,400

Neonatal Care 509 509 19.25% 11,610 6,060



Family Planning 4,747 4,747 28.86% 0 29,410





RTI/STI Care 1,355 1,355 37.05% 14,130 18,280


Child Health Care

3,305

3,765

35.19%

33,120

38,550

Immunization Program - EPI 284 323 0.00% 0 0



Childhood Diseases

953

953

45.54%

11,590

13,740

Diarrhea 731 731 46.92% 8,990 11,640

Measles 222 222 40.99% 2,600 2,100


Infections

1,260

1,260

44.05%

16,960

20,710



Vitamin A Deficiency 425 425 37.18% 4,570 3,620


Pag

e97

P

age9

7

SrjM PA-1 (July-September, 2017 )

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


7,932

8,149

53.95%

61,185

152,865


Emergency Care 198 198 31.31% 600 2,630



7,385

7,396

33.16%

491,769

218,935




12,920

10,443

51.87%

0

0


Counseling 10,288 10,237 54.69% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

58.73%

181,600

258,477


32,436

33,956

37.34%

1,819,463

1,303,851

ESP+ BCC Service

12,920

10,443

51.87%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

45,356

44,399

41.48%

1,819,463

1,303,851


71.51%

76.48%

-

100%

100%

ESP+ BCC Service %

28.49%

23.52%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e98

KM PA-1 Srizony (July-September, 2017 )

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

5,765

5,806

11.69%

242,050

99,001

Maternal Care 2,177 2,177 15.94% 233,250 91,680

Antenatal Care 1,576 1,576 17.83% 19,740 7,180


Delivery Care (CS) 40 40 32.50% 168,300 78,000

Postnatal Care 278 278 15.11% 2,090 1,470

Neonatal Care 231 231 0.87% 720 530



Family Planning 2,607 2,607 3.41% 0 0




Adolescent Reproductive Health Care 502 502 30.68% 2,960 3,920

RTI/STI Care 361 402 12.47% 3,540 1,280

Other Reproductive Health Care 48 48 35.42% 460 340

Child Health Care

1,965

2,181

21.07%

14,750

8,730




Childhood Diseases

243

243

28.81%

2,870

1,500

Diarrhea 243 243 28.81% 2,870 1,500

Measles 0 0 0.00% 0 0


Infections

1,018

1,018

26.03%

11,880

6,180


Child Nutrition 117 333 23.08% 0 1,050



Pag

e99

KM PA-1 Srizony (July-September, 2017 )

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


5,951

5,952

28.01%

34,710

43,000





1,756

2,992

22.27%

132,203

50,635




6,851

6,851

24.55%

0

0


Counseling 4,773 4,773 22.52% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

63.37%

111,632

193,099


15,437

16,931

20.38%

423,713

201,366

ESP+ BCC Service

6,851

6,851

24.55%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

22,288

23,782

21.66%

423,713

201,366


69.26%

71.19%

-

100%

100%

ESP+ BCC Service %

30.74%

28.81%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

0

KnjM PA 1 (July-September, 2017 )

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,417

14,457

26.43%

797,387

639,848

Maternal Care 5,359 5,359 19.61% 731,892 559,343

Antenatal Care 3,198 3,198 20.61% 53,620 64,145


Delivery Care (CS) 123 123 11.38% 622,792 410,408

Postnatal Care 1,483 1,483 18.34% 12,415 43,860

Neonatal Care 494 494 19.03% 1,875 21,730



Family Planning 6,530 6,530 32.74% 0 0





RTI/STI Care 880 880 25.23% 9,195 22,095


Child Health Care

3,999

3,999

20.41%

15,540

31,445




Childhood Diseases

703

703

30.30%

7,780

13,755

Diarrhea 692 692 30.49% 7,580 13,405

Measles 11 11 18.18% 200 350


Infections

759

759

34.26%

7,760

17,690





Pag

e10

1

KnjM PA 1 (July-September, 2017 )

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


11,382

30,505

30.89%

67,860

281,464





1,327

3,292

20.65%

324,426

85,924




13,054

11,918

26.51%

0

0


Counseling 10,262 9,194 24.97% 0 0

Miscellaneous

137

51

0.00%

0

0



-

-

29.58%

369,264

155,117


31,125

52,253

27.04%

1,205,213

1,038,681

ESP+ BCC Service

13,054

11,918

26.51%

0

0

Other Service

137

51

0.00%

0

0

Grand Total

44,316

64,222

26.80%

1,205,213

1,038,681


70.23%

81.36%

-

100%

100%

ESP+ BCC Service %

29.46%

18.56%

-

0%

0%

Other Service %

0.31%

0.08%

-

0%

0%

Pag

e10

2

GopM PA 1 (July-September, 2017 )

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

3,372

3,372

26.51%

340,103

84,859

Maternal Care 1,687 1,687 16.48% 315,905 74,375

Antenatal Care 1,167 1,167 18.77% 26,305 11,825


Delivery Care (CS) 38 38 13.16% 247,600 56,400

Postnatal Care 214 214 12.15% 4,720 1,810

Neonatal Care 227 227 11.89% 6,010 2,740



Family Planning 1,020 1,020 47.84% 680 446


Maternal Nutrition 43 43 23.26% 1,720 786



RTI/STI Care 361 361 12.74% 9,150 1,960

Other Reproductive Health Care 76 76 32.89% 1,720 870

Child Health Care

1,110

1,110

8.65%

12,943

4,830

Immunization Program - EPI 201 201 9.95% 280 1,640



Childhood Diseases

151

151

13.25%

3,980

900

Diarrhea 151 151 13.25% 3,980 900

Measles 0 0 0.00% 0 0


Infections

259

259

9.27%

7,870

820


Child Nutrition 64 64 34.38% 813 800



Pag

e10

3

GopM PA 1 (July-September, 2017 )

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,018

4,018

29.89%

68,170

58,940

First Aid for Injuries 63 63 6.35% 1,560 330




727

1,701

18.71%

130,595

26,820

Diagnostic Service 727 1,701 18.71% 130,595 26,820



2,062

2,055

16.59%

0

350

Health Education (Session) 683 683 22.84% 0 350

Counseling 1,379 1,372 13.49% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

14.77%

23,974

4,154


9,227

10,201

25.22%

551,811

175,449

ESP+ BCC Service

2,062

2,055

16.59%

0

350

Other Service

0

0

0.00%

0

0

Grand Total

11,289

12,256

23.64%

551,811

175,799


81.73%

83.23%

-

100%

100%

ESP+ BCC Service %

18.27%

16.77%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

4

NACC PA 1 PSKP (July-September, 2017 )

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

17,750

17,762

24.23%

1,256,530

534,800

Maternal Care 5,368 5,368 10.02% 1,059,695 410,885

Antenatal Care 3,305 3,305 7.87% 122,865 27,365


Delivery Care (CS) 115 115 17.39% 825,000 325,000

Postnatal Care 1,032 1,032 12.69% 21,970 23,030

Neonatal Care 841 841 13.20% 30,860 19,490



Family Planning 8,889 8,889 31.77% 10,304 3,966





RTI/STI Care 736 736 30.84% 17,902 14,208


Child Health Care

11,698

11,698

23.40%

49,400

62,250




Childhood Diseases

591

591

33.84%

14,950

13,060

Diarrhea 591 591 33.84% 14,950 13,060

Measles 0 0 0.00% 0 0


Infections

938

938

22.92%

34,450

15,770


Child Nutrition 506 506 46.25% 0 840



Pag

e10

5

NACC PA 1 PSKP (July-September, 2017 )

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy


5

5

0.00%

130

100



Control

5

5

0.00%

130

100


15,809

15,809

23.85%

357,419

393,239


Emergency Care 88 88 4.55% 11,857 1,260



3,516

8,434

17.43%

847,265

207,957




14,815

14,001

24.38%

0

0


Counseling 12,554 11,740 23.69% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

7.80%

623,297

52,701


48,778

53,708

23.42%

2,510,744

1,198,346

ESP+ BCC Service

14,815

14,001

24.38%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

63,593

67,709

23.64%

2,510,744

1,198,346


76.70%

79.32%

-

100%

100%

ESP+ BCC Service %

23.30%

20.68%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

6

RaCC PA 1 (July-September, 2017 )

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

3,791

3,798

4.96%

335,667

400,405

Maternal Care 1,759 1,759 7.85% 290,317 388,685

Antenatal Care 1,122 1,122 5.88% 25,845 23,075


Delivery Care (CS) 52 52 3.85% 201,055 301,920

Postnatal Care 256 256 12.11% 1,039 9,570

Neonatal Care 197 197 11.17% 1,008 5,490



Family Planning 1,377 1,377 2.47% 0 0




Adolescent Reproductive Health Care 337 344 0.30% 330 110

RTI/STI Care 106 106 7.55% 3,065 1,235


Child Health Care

1,676

1,680

1.97%

2,950

805




Childhood Diseases

16

16

37.50%

440

60

Diarrhea 16 16 37.50% 440 60

Measles 0 0 0.00% 0 0


Infections

86

86

23.26%

2,510

745





Pag

e10

7

RaCC PA 1 (July-September, 2017 )

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,033

4,078

14.38%

77,428

81,743





1,973

3,176

4.87%

209,983

79,985




8,578

3,261

15.68%

0

0


Counseling 6,311 2,964 12.99% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

19.17%

170,189

40,374


11,473

12,732

7.82%

626,028

562,938

ESP+ BCC Service

8,578

3,261

15.68%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

20,051

15,993

11.18%

626,028

562,938


57.22%

79.61%

-

100%

100%

ESP+ BCC Service %

42.78%

20.39%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

8

GCC PA 1 PSTC (July-September, 2017 )

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,171

14,171

17.99%

775,299

420,371

Maternal Care 4,147 4,147 12.83% 712,196 374,794

Antenatal Care 3,058 3,058 12.59% 55,087 43,158


Delivery Care (CS) 104 104 4.81% 588,496 302,504

Postnatal Care 590 590 11.86% 7,301 10,969

Neonatal Care 292 292 16.10% 3,438 5,837

Menstrual Regulation 1 1 0.00% 700 0


Family Planning 7,478 7,478 18.29% 6,890 0


Maternal Nutrition 289 289 16.26% 4,045 4,435



RTI/STI Care 1,165 1,165 34.94% 29,338 13,667

Other Reproductive Health Care 57 57 5.26% 0 0

Child Health Care

2,615

2,624

21.03%

13,776

15,633




Childhood Diseases

315

315

20.00%

2,940

5,939

Diarrhea 220 220 22.73% 2,800 5,624

Measles 95 95 13.68% 140 315


Infections

473

473

22.41%

7,776

5,454


Child Nutrition 285 294 17.19% 3,060 4,240



Pag

e10

9

GCC PA 1 PSTC (July-September, 2017 )

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


3,499

3,499

24.81%

46,322

51,552


Emergency Care 18 18 5.56% 515 140



4,038

6,671

10.62%

444,016

96,446




9,360

7,670

22.64%

0

0


Counseling 7,657 7,377 20.87% 0 0

Miscellaneous

138

109

14.49%

0

0



-

-

12.08%

677,434

93,055


24,323

26,965

18.07%

1,279,413

584,002

ESP+ BCC Service

9,360

7,670

22.64%

0

0

Other Service

138

109

14.49%

0

0

Grand Total

33,821

34,744

19.32%

1,279,413

584,002


71.92%

77.61%

-

100%

100%

ESP+ BCC Service %

27.68%

22.08%

-

0%

0%

Other Service %

0.41%

0.31%

-

0%

0%

Pag

e11

0

GaCCPA2 (July-September, 2017 )

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,299

14,375

25.99%

678,747

678,546

Maternal Care 3,673 3,673 27.82% 595,327 567,976

Antenatal Care 2,537 2,537 26.72% 62,175 37,075


Delivery Care (CS) 93 93 25.81% 460,593 469,407

Postnatal Care 575 575 31.30% 9,880 12,760

Neonatal Care 349 349 29.51% 5,440 6,143



Family Planning 8,649 8,649 25.14% 0 0





RTI/STI Care 441 441 25.85% 9,320 8,410


Child Health Care

7,355

7,355

37.55%

30,670

24,510




Childhood Diseases

557

557

33.57%

10,380

10,690

Diarrhea 557 557 33.57% 10,380 10,690

Measles 0 0 0.00% 0 0


Infections

861

861

28.57%

20,290

13,820





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GaCCPA2 (July-September, 2017 )

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


9,806

9,806

34.23%

114,175

266,259

First Aid for Injuries 1,116 1,116 32.80% 3,480 41,160




1,953

4,561

31.59%

461,820

227,883




4,797

2,664

40.65%

0

0


Counseling 3,801 2,516 42.23% 0 0

Miscellaneous

29

3

17.24%

0

0



-

-

15.81%

556,581

104,494


33,413

36,097

31.28%

1,285,412

1,197,198

ESP+ BCC Service

4,797

2,664

40.65%

0

0

Other Service

29

3

17.24%

0

0

Grand Total

38,239

38,764

32.45%

1,285,412

1,197,198


87.38%

93.12%

-

100%

100%

ESP+ BCC Service %

12.54%

6.87%

-

0%

0%

Other Service %

0.08%

0.01%

-

0%

0%

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Annexure – I

GCC PA1 PSTC (AprilJune,2014)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

1,009 1,009 0.00% 16,508 2,867

Maternal Care 323 323 0.00% 6,438 1,402

Antenatal Care 275 275 0.00% 5,313 1,292

Delivery Care (NVD) 1 1 0.00% 900 0

Delivery Care (CS) 0 0 0.00% 0 0

Postnatal Care 22 22 0.00% 225 110

Neonatal Care 25 25 0.00% 0 0

Menstrual Regulation 1 1 0.00% 0 0


Family Planning 0 0 0.00% 0 0


Maternal Nutrition 43 43 0.00% 1,080 5


Adolescent Reproductive Health Care

345 348 0.00% 1,890 1,270

RTI/STI Care 142 142 0.00% 3,305 125


Child Health Care 248 248 0.00% 4,060 860

Immunization Program EPI 79 79 0.00% 0 0

Immunization Program NID 2 2 0.00% 70 0


Childhood Diseases

48 48 0.00% 705 310

Diarrhea 43 43 0.00% 705 310

Measles 5 5 0.00% 0 0


Infections

58 58 0.00% 1,590 485

Control of Micronutrient Deficiency 61 61 0.00% 1,695 65

Child Nutrition 61 61 0.00% 1,695 65



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GCC PA1 PSTC (AprilJune,2014)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy


146 146 0.00% 4,490 465

TuberculosisControl 0 0 0.00% 0 0


Control

146 146 0.00% 4,490 0


747 747 0.00% 16,579 2,616



Treatment of Minor Infections 628 644 0.00% 14,479 2,616


493 660 0.00% 18,930 16,305

Diagnostic Service 493 660 0.00% 18,930 16,305



497 497 0.00% 4,538 547


Counseling 497 536 0.00% 4,538 547

Miscellaneous

0 0.00%

Adolescent Development Program 0 0.00% 0 0


- - 0.00% 31,272 0

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