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

January-March 2018

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 20

Compliance with Loan Covenants 21

Report on Gender Action Plan 30

Appendix A: Status of Civil Works 37

Services Statistics (Performance of Partnership Agreements) 50

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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.

Md. Abdul Hakim Majumder Ndc

Project Director

15 June 2018 Ph: 02-9550917

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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

January to March 2018 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 69 months which is 100% of revised total

project period. By this time, it has achieved 91% cumulative contract award and 83%

cumulative disbursement of total allocation. Against this year’s targets, achievement of

disbursement was 36% for three 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 2.07 million, among them 81% 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

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1.8 Total Estimated Project Cost: US$ 82.46 million

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): 69 months (as of 31 March 2018)

1.12 Date of ADB Special Administration mission: 11 February -15 February 2018

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Utilization of Fund

(ADB Loan, Co-financing and Counterpart funds)

2.1 Cumulative Contract Awards (Up to 31 March 2018)

Source Allocation Contract Award Balance

Amount % Amount

ADB Loan 47.98 44.701 93 3.279

SIDA Grant 20 17.739 89 2.261

UNFPA Grant 3 1.915 64 1.085

Total 70.98 64.355 91 6.625

GOB Grant 9.52 8.960 94 0.560

Grant Total 80.50 73.315 91 7.185

2.2 Cumulative Disbursement (Up to 31 March 2018)

Source Allocation Disbursement Balance

Amount % Amount

ADB Loan 47.98 39.774 83 8.200

SIDA Grant 20 15.909 80 4.091

UNFPA Grant 3 1.915 64 1.085

Total 70.98 57.598 81 13.382

GOB Grant 9.52 8.960 94 0.560

Grant Total 80.50 66.558 83 13.942

2.3 Projection 2018 for Contract Award (CA) and Disbursement (Dis) (Up to 31 March 2018 )

Source Projection 2018 Achieved %

CA Dis CA Dis CA Dis

ADB Loan 3.689 8.234 6.875 3.234 186 39

SIDA Grant 3.090 4.484 2.904 1.372 93 31

Total 6.779 12.718 9.779 4.606 144 36

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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

1.3.1 PHC advocacy and awareness building

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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

project implementation. PMU has been assisted by National and International Individual

Consultants and Consulting Firms. A National Project Steering Committee chaired by the

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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: $73.318 million

3 % cumulative contract award against allocation: 91%

4 Target of CA this year: $6.779 million

5 Amount of CA till 31 March 2018: $9.779 million

6 % CA against target of the year: 144%

4.1 Disbursement

1 Total allocation: $80.50 million

2 Total disbursement from starting of the project: $66.558 million

3 % cumulative disbursement against allocation: 83%

4 Target of disbursement for this year: $ 12.718 million

5 Amount of disbursement till 31 March 2018: $ 4.606 million

J % Disbursement against this year target: 36%

4.2 Procurement progress

1 Recruitment of Consultants

1.1 NIL

1.2 NIL

2 Procurement of Goods

2.2 NIL

3 Civil Works

NIL

4.3 Trainings (As per approved training plan July 2017-Mar 2018)

1 In country Training

Training on Innovative Approaches of Medical Facilities Initiatives, 11-15 February 2018

2 Out-country Training

---NIL---

4.4 Service delivery

1 Number of services provided from starting of the project: 48,746,562

2 Number of services provided January-March quarter 2018: 2,071,131

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4.5 Major Implementation Activities (January-March 2018)

Sl Activities Date

1. --Nil--

2. --Nil--

Monitoring and Visits

3. PO (Clinical) QAT visit NaCC, PSKP 23 January 2018

4.6 Major Activities Accomplished by Consulting Firms (January-March 2018)

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

During the quarter, the first one and a half months were devoted to completing the

simultaneously on-going field survey works started already in December 2017 of four major

surveys on Endline Survey 2018, Baseline Survey of UPHCSDP-II 2018, Slum Survey 2018,

and ISI Monitoring Survey – Round IV.

The following 14 different reports and deliverable outputs were prepared and simultaneously

shared with the client (PMU) and relevant stakeholders.

(1) ISI-Monitoring Survey – Round IV – One Volume;

(2) Baseline Survey of UPHCSDP-II – Four Volumes for Combined, DCC, OCC &

Municipalities;

(3) Slum Survey 2018 for Impact of Slum Population – Three Volumes for Combined, DCC &

OCC (Municipalities were excluded from Slum Survey);

(4) Endline Household Survey 2018 - Four Volumes for Combined, DCC, OCC & Municipalities;

(5) Upgrading GIS based Web-enable Mapping of existing 25 PAs – One Volume; and

(6) GIS-Based Web-enable mapping of UPHCSDP-II – One Volume.

B. Operations Research Firm (ICDDR,B)

(1) HDSS eighth round- Data collection

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

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

(4) HDSS ninth round- Data collection

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

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

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(7) Migration and Health second round survey- Report presented to TRC meeting and revised

(8) NCD risk factors second round survey- Report presented to TRC meeting and revised

(9) MNCH, and violence against women second round survey- Report presented to TRC meeting and

revised

(10) Expenditure survey second round - Report presented to TRC meeting and revised

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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 2018, in project areas: 60% of births are attended by skilled health

personnel (baseline: 26.5% BMMS 2010) Percent 2010 26.5 2018 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 2018 80

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

53% UHS 2006) Percent 2006 53 2018 60

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

healthcare (baseline: 67% UPHCP II 2008) Percent 2008 67 2018 80

At least 80% of the poor access project health services when needed (baseline: 64.7% UPHCP II 2008)

Percent 2008 64.7 2018 80

At least 90% of project clients express satisfaction with project

services (baseline: 76% UPHCP II 2009) Percent 2009 76 2018 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 March 2018, a total of Tk. 98.14 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-Mar-18 Y PPME firm has been engaged. 4th round ISI survey

(Nov-Mar 2018) has been completed and its report

finalized in March 2018.

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, post of

Program Officer (Preventive Health) 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 2018 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. Counterpart staff 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

--

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.

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

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 March 2018)

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

March 2018, a total of Tk.

98.14 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 31 March 2018)

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


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

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

Works contractor in accordance with schedules agreed under

the related Works contracts. The Borrower shall further

ensure that the Project does not have any impacts with

regards to involuntary resettlement and indigenous peoples

within the meaning of the Safeguard Policy Statement. In the

event that the Project does have any such impacts, the

Borrower shall take, or shall cause each Implementing

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

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

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

Jun 2015

(Ongoing

throughout implementa

tion)

Complied.

En

vir

on

men

tal

Pag

e23

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

5

5

Human and Financial Resources to Implement

Safeguards Requirements

The Borrower shall make available, and shall cause each

Implementing Agency to make available, necessary

budgetary and human resources to fully implement the EMP

and the Resettlement Framework, as required.

Jun 2015

(Ongoing

throughout

implementa

tion)

LGD has been

enforcing compliance

of EMP.

En

vir

on

men

tal

L2878

5

6

Safeguards – Related Provisions in Bidding

Documents and Works Contracts The Borrower shall ensure, and shall cause each

Implementing Agency to ensure, that all bidding documents

and contracts for Works contain provisions that require

contractors to:

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

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

Framework (to the extent they concern impacts on

affected people during

construction), and any corrective or preventative Schedule 5,

Section 5.0actions set out in a Safeguards Monitoring Report;

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

social safeguards measures; and

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

any unanticipated environmental and other

safeguards-related risks or impacts that arise during

construction, implementation or operation of the Project

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

Resettlement Framework.

Jun 2015

(Ongoing

throughout

implementa

tion)

Bidding documents

incorporate the

provisions mentioned.

En

vir

on

men

tal

L2878

5

7

Safeguards Monitoring and Reporting

The Borrower shall do, and shall cause each

Implementing Agency to do, the following:

(a) submit semi-annual Safeguards Monitoring Reports to

ADB and disclose relevant information from such reports to

affected persons promptly upon submission;

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

impacts arise during construction,

implementation or operation of the Project that were not

considered in the IEE, the EMP and the Resettlement

Framework, promptly inform ADB of the occurrence of such

risks or impacts, with detailed description of the event and

proposed corrective action plan; and

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

the measures and requirements set forth in the EMP and the

Resettlement Framework promptly after becoming aware of

the breach.

Semi-

annual

No progress

En

vir

on

men

tal

Pag

e24

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

5

9

Labor Standards


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.

Mar 2018

(Ongoing

throughout

implementa

tion)

In progress.

So

cial

L2878

5

11

Gender and Development


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

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

documents and contracts include relevant provisions for

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

(c) adequate resources are allocated for the implementation of

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

monitored regularly and achieved, including, but not limited

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

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

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

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

monitoring and evaluation data is disaggregated by sex and

ethnicity

Quarterly

Progress

Report

In progress.

So

cial

Pag

e25

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/ Due

Date

Status/Remarks


Ty

pe

L2878

Art

icle

4

4.0

2a

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

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

financial statements for the Project in accordance with

accounting principles acceptable to ADB; (iii) have such

financial statements audited annually by independent auditors

whose qualifications, experience and terms of reference are

acceptable to ADB, in accordance with international

standards for auditing or the national equivalent acceptable

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

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

use of the Loan proceeds and compliance with the financial

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

procedures for the imprest account(s) and statement of

expenditures) and a management letter (which sets out the

deficiencies in the internal control of the Project that were

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

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

fiscal year, copies of such audited financial

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

English language, and such other information concerning

these documents and the audit thereof as ADB shall from time

to time reasonably request.

December

Project management

accounting system to

be improved.

Financial

Management

Specialist consultant

is supporting PMU.

Fin

anci

al

L2878

Art

icle

4

4.0

2b

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

financial statements for the Project within 30 days of the date

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

Januarys

ADB to upload the

audited financial

statements on the

ADB website.

Disclosure of APA

is required for all

new projects.

Fin

anci

al

L2878

Art

icle

4

4.0

2c

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

discuss the financial statements for the Project and the

Borrower's financial affairs where they relate to the Project

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

hereinabove, and shall authorize and require any

representative of such auditors to participate in any such

discussions requested by ADB. This is provided that such

discussions shall be conducted only in the presence of an

authorized officer of the Borrower, unless the Borrower shall

otherwise agree.

As needed

Being complied.

Fin

anci

al

L2878

Art

icle

4

4.0

3

Section 4.03. The Borrower shall enable ADB's

representatives to inspect the Project, the Goods and Works,

and any relevant records and documents.

As needed

Being complied.

Fin

anci

al

Pag

e26

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2018)

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.

March 2018

(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.

March 2018

(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 2018)

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.

March 2018

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 2018)

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.

Mar 2018

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.

March 2018

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.

March 2018

Being complied.

Eco

no

mic

Pag

e29

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 December

2018)

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.

March 2018

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.

March 2018

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: January 2018– March 2018 Submission Date: May 15, 2018

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 (January-March 2018)

Activities. Indicators and Targets Progress of

Reporting

Quarter

Cumulative Progress Qualitative aspects of Accomplished

activities and Comments /

Explanations

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

1.1: Strengthened strategy and coordination framework for urban PHC

Activity:

Orientation and preparation of target – Oriented GAP

implementation plan conducted at all relevant levels.

Training curriculum developed in line with gender in

MCH and PHC, RH, ARH

(i) Module 1 for management levels

(ii) Module 2 for field level personnel

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

training imparted to management staff of PMU, PIU,

CCS, municipalities and PA NGOs.

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

Indicators & Target: PMU, PA-NGOs, CCs, PIU develop and own gender

action plan at their level.

At least three training modules developed

100% management staff of PMU/PIU, including

Account Officers receives Gender Training.

At least 80% of management level personnel of

CRHCCs and PHCC receive gender training.

Selected management staff of PA-NGO receives

Training.

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

trained Gender Trainers

January-March

2018

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.

78% of management level personnel

of CRHCCs and PHCC have

received gender training.

Pag

e32

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

Activity: Strengthened institutional and management capacity of

LGD/ULBs for Urban PHC

Indicators & Target:

All PA-NGOs’ HR policies comply with national HR

policy within 2 years of engagement.

All PMU, PIU & PA-NGOs HR

policies comply with national HR

policy.

1.3 Strengthen local ownership of and commitment to, urban PHC

Activity: Gender Coordination committee functioning at the

City Corp/Municipality level


Committee formed in all partner IAs led by a female.

Counselor and consisting of representative form, PIU,

PA-NGOs and terms of reference developed.

At least 90% of Gender Coordination Committee

decisions carried out with reporting.

Gender & health issues are

discussed at monthly Coordination

meeting regularly in City

Corporation level.

1.4. Management Systems, Learning and innovations in Urban PHC

Activity: Project is monitored as per sex disaggregated data and

gender responsive indicator and shared on

HMIS/Website.

All operation research studies look into gender issues

and two studies conducted with specific focus on

gender aspects of PHC


Project is monitored as per sex disaggregated data and

gender responsive indicator and shared on

HMIS/Website.

All operation research studies look into gender issues

and two studies conducted with specific focus on

gender aspects of PHC

The Project has an HMIS that is

entirely gender responsive and the

indicators for data collection system

at bottom level is totally gender

based. The QPR published at

quarterly basis is uploaded on the

project website.

The Operations Research consulting

firm icddr,b has been appointed on

8 July 2015. They are working as

per GAP and each of the four

studies are conducted with specific

focus on gender aspects of PHC.

Pag

e33

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

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

Activity: PA-NGOs comply with gender-related targets and

indicators (as per DMF)

ESD+ services provided with priority on maternal

care, adolescent reproductive health (ARH), Nutrition,

FP and referral focusing on gender issues.

The project develops and implements a BCCM

package to mainstream gender issues in ESD service

delivery.

Orientation of the community members aim at

changing women's health-seeking behavior from

passive recipient to demand-driven and at promoting

FP and other PHC services

Health centers provide information and support to

victims of VAW.

Indicators & Target: 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.

82% beneficiaries for PHC services

out of total are woman.

More than 65% of births are

attended by skilled personnel in

Project area.

69% 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.

Indicators & Target: 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.

78% 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.

Indicators & Target: 100% compliance of PA-NGOs performance-linked

bonus scheme indicators.

100% field-level service providers of NGO receiving

training.

Project website includes QPRs that

contain Service Statistics with sex

disaggregated data.

100% of field-level service

providers receives training on

Gender issues.

All health care training is 100%

gender responsive.

Pag

e35

All health care training curriculums are gender

responsive.

2.4. Access to urban PHC services through improved infrastructure network

Activity:

Building designs comply with women's needs.

Poor women and men are employed in construction of

infrastructure facilities.

Gender-related core labor standards clause

incorporated in bid documents.

Contractor are oriented on core labor standards (equal

wages, water, sanitation, health and safety).


100% health facilities have provision for separate

toilets (high commode) for women and women’s

privacy and breastfeeding corner.

Bid document includes clause on gender related core

labor standards.

At least 20% of the unskilled laborers are women.

Equal wages paid to woman and men for work of

equal value by all contractors.

100% of separate toilet & breast-

feeding corner for woman provision

are implementing at PMU, PIU &

PA-NGO level.

Bid document includes clause on

gender related core labor standards.

At least 14% of the unskilled labor

are women.

Paid equal wages to women labor

and follow equal value by all

contractors.

Output 3: Effective support for decentralized project management

3.1 Core Project management Staff

Activity: Female staff recruited for management and other

levels

Respective staff is assigned with responsibilities for

GAP implementation


At least 20% women recruited at management,

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

NGOs.

At PMU, PIU & PA-NGO level

remarkably 73% of total staff are

recruited female.

Staff recruited by PMU, PIU

carrying out gender responsibilities

through team or individual

assignment.

Pag

e36

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

gender responsibilities.

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

Activity: Gender perspective incorporated in technical support.

Gender responsive budget guidelines for HMIS

followed.

Indicators & Target: 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.

Indicators & Target: 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 31 March 2018)

Packa

ge No

Description of packages Estimate

d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

Construction of CRHCC-

W-1 Construction of 6 storied CRHCC building at CS Plot -209,

Jahurabad near intellectual Graveyard in Dhaka North City

Corporation.

6816880

3.00

The Radient

Engineer and

Consulting

House No-451

,Road No-

31,New DOHS

Mohakhali,Dhak

a

73532750.

07

4/3/2

014

10/3/20

16

100% 70732646.00 Handed

over to

City

Corpor

ation

W-2 Construction of 6 storied CRHCC in Dhaka North City Corporation. Droppe

d

W-3 Construction of 6 storied CRHCC in Chittagong City Corporation. Droppe

d

W-4 Construction of 7 storied CRHCC building at 2 No Custom Ghat in

Khulna City Corporation.

5857428

6.00

M/s Rupa

Enterprise

Ebadat Tower,

52320258.

44

28/01

/14

31/5/20

16

100% 51542508.00 Handed

over to

City

Pag

e38

Boishakhi Super

Market,

Shiromony

Bazar, Khulna

Corpor

ation

W-5 Construction of 6 storied CRHCC building at Tikapara adjacent to

UCEF school in Rajshahi City Corporation.

6856196

2.00

FU-DE (JV)

Upashahar,

Sapura, Rajshahi

59931665.

63

26/02

/14

2/10/20

16

100% 54822732.00 Fund

neede.

Handed

over to

City

Corpor

ation

W-6 Construction of 6 storied CRHCC building at Bandar Shahi Masjid

Road in Narayanganj City Corporation.

6835944

2.00

M/s Ahasan

Enterprise & M/s

M R

Construction JV

60(Old), 78(New)

Shahsuja Road,

Paikpara,

Narayanganj

74857805.

19

20/01

/14

31/12/2

015

100% 73156826.00 Handed

over to

City

Corpor

ation

W-7 Construction of 6 storied CRHCC in Gazipur City Corporation. 6240125

9.00

M/s Iqbal

Trading

Corporation,

Tezgaon Dhaka

62149661.

63

12/6/

2016

28/2/18 90% 19478451.00 Fund

needed

W-8 Construction of 6 storied CRHCC building at Dhirasom

Dakkhinkhan to Kolar Bazar road in Gazipur City Corporation.

6171827

5.00

MDJ Associates

House#08, Road

#10,

Sector#06,Uttara

, Dhaka-1230.

66597535.

70

19/03

/14

30/6/16 100% 66530851.00 Handed

over to

City

Corpor

ation

Pag

e39

W-9 Construction of 6 storied CRHCC building at East Khasbag

(Mahiganj near Satmatha) in Rangpur City Corporation.

6044771

6.00

SCAN-MAA (JV)

House No-1&2,

Road No-

4(Concord

Arcadia

Shopping Mall) ,

Dhanmandi,

Dhaka-1205

54225711.

91

11/3/

2014

30/05/1

7

100% 51098304.00 Fund

needed

Packa

ge No


d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

W-10 Construction of 6 storied CRHCC building at Millpara Moha

Shoshan Road in Kushtia Municipality.

6151034

7.00

Mondol-NI-SH

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

Road, Amlapara

,Kushtia.

67593691.

20

12/2/

2014

10/8/20

16

100% 59401685.00 Handed

over to

City

Corpor

ation

W-11 Construction of 6 storied CRHCC building at Harua in Kishoreganj

Municipality.

6994594

3.00

MSE-MRK (JV)

Solakia,

Kishoreganj.

65380215.

84

3/11/

2014

9/2/201

6

100% 53003600.00 Handed

over to

City

Corpor

ation

Fund

needed

W-12 Construction of 6 storied CRHCC building at Pourashava

Compound (Kuadanga Bus Stand) in Gopalganj Municipality.

6867758

9.00

M/s Sajib

Enterprise (JV)

Gopalganj.

60821764.

33

26/02

/14

30/6/16 100% 55783734.00 Handed

over to

City

Corpor

ation.

Pag

e40

Fund

needed

.

Sub-Total: 637411059

.94

555551337.0

0

Construction of PHCC-

W-13 Construction of PHCC building in Dhaka North City Corporation. Droppe

d

W-14 Construction of PHCC building in Dhaka South City Corporation. Droppe

d

W-15 Construction of PHCC building in Chittagong City Corporation. Droppe

d.

W-16 Construction of PHCC building in Chittagong City Corporation. Droppe

d.

W-17 Construction of 3 storied PHCC building at Kanaighat Road,Koitok

in Sylhet City Corporation.

2990300

0.00

The Radiant

Engineering &

Consulting,

32530232.

00

28/10

/14

25/5/20

16

100% 30123381.00 Handed

over to

City

Corpor

ation

W-18 Construction of PHCC building in Sylhet City Corporation. Droppe

d

W-19 Construction of 3 storied PHCC building at Bauband Sadar Dakkhin

in Comilla City Corporation

2659800

0.00

M/s Hoque

Enterprise

75, Nazrul

Avenue

29253513.

48

23/09

/14

10/3/20

16

100% 27377698.00 Final

Bill

paid.Ha

nded

over to

Pag

e41

Kandirpar,

Comilla

City

Corpor

ation

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

Rasulpur in Comilla City Corporation.

3074600

0.00

M/s Hoque

Enterprise

75, Nazrul

Avenue

Kandirpar,

Comilla

33811258.

00

23/09

/14

10/3/20

16

100% 33176209.00 Do

Packa

ge No


d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

W-21 Construction of 3 storied PHCC building at Sadar Dakkhin

Kamalapur in Comilla City Corporation.

3027700

0.00

M/s Hoque

Enterprise

75, Nazrul

Avenue

Kandirpar,

Comilla

33285280.

00

23/9/

14

10/3/20

16

100% 32731855.00 Handed

over to

City

Corpor

ation

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

Narayanganj City Corporation.

3081700

0.00

SCAN-MAA (JV)

349/a,East Goran

Dhaka-1219.

33653369.

00

15/10

/14

15/7/16 100% 33422582.00 Do

W-23 Construction of 3 storied PHCC building at Godnail in Narayanganj

City Corporation.

2961400

0.00

M/s Ahsan

Enterprise & S R

Enterprise (JV)

60, Shahsuja

32393638.

20

15/10

/14

30/6/16 100% 32125644.00 Do

Pag

e42

Road, Paikpara,

Narayanganj

W-24 Construction of 3 storied PHCC building at Bara Dewbhog in

Narayanganj City Corporation.

2998500

0.00

M/s Asif &

Brothers

Murapara,

Rupganj,

Narayanganj.

32837842.

36

15/10

/14

15/07/1

6

100% 32593334.00 Do

W-25 Construction of 3 storied PHCC building at Neelerpara in Gazipur

City Corporation.

2696100

0.00

AE-FE-AFEC(JV)

F/180 ,North

Sayabithi,

Joydebpur,Gazip

ur

29202268.

48

9/10/

2014

30/12/2

016

100% 25404768.00 Handed

over to

City

Corpor

ation.

Fund

needed

.

W-26 Construction of 3 storied PHCC building at Laxmipura (Teen Sarak)

in Gazipur City Corporation.

2702000

0.00

M/S The Radiant

Engineering &

Consulting 24,

Mirpur Road, JA-

17, Globe

Shoping Centre,

Dhaka.

29059930.

31

13/10

/14

30/6/20

16

100% 28565261.00 Handed

over to

City

Corpor

ation.

W-27 Construction of PHCC in Gazipur City Corporation. Droppe

d

W-28 Construction of PHCC in Gazipur City Corporation. Droppe

d

Pag

e43

W-29 Construction of 3 storied PHCC building at Shommanipur in

Rangpur City Corporation.

2599700

0.00

M/S Rabeya

Enterprise &

Md.Abu Taleb

Milu(JV) New

Engineerpara,

Rangpur

27549172.

93

2/7/2

015

28/3/20

17

100% 22683212.00 Fund

needed

W-30 Construction of 3 storied PHCC building at Ershad Nagar in


2650800

0.00

SMAH-GME&

RC(JV), Rangpur

28093754.

93

29/6/

15

28/2/20

17

100% 27791615.00 Handed

over to

City

Corpor

ation.

Fund

needed

.

W-31 Construction of 3 storied PHCC building at New Jummapara in


2902500

0.00

M/S Taz Monjil

Kamal Kachna,

Rangpur

30749850.

61

29/6/

15

30/12/2

016

100% 29709894.00 Handed

over to

City

Corpor

ation.

Fund

needed

.

Packa

ge No


d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

Pag

e44

W-32 Construction of 3 storied PHCC building at Ranigram, Bottola in

Serajganj Municipality.

2979300

0.00

Prokalpo

Bastabayan

Ltd.Estern

Mansion,

67/9 Pioneer

Road, Kakrail,

Dhaka.

33267681.

23

29/09

/14

30/12/1

6

100% 25000000.00 Fund

needed

W-33 Construction of 3 storied PHCC building at Baradi in Kushtia

Municipality.

2873500

0.00

Tunna-Mondol -

NI (JV)3 No Raifel

Club Market

Kushtia.

31605272.

68

21/10

/14

30/4/16 100% 31579473.00 Handed

over to

City

Corpor

ation

W-34 Construction of 3 storied PHCC building at Barokhada in Kushtia

Municipality.

3125100

0.00

NI-GS-AW(JV)

Khodadad Khan

Road Thanapara,

Kushtia.

34346004.

42

21/10

/14

30/4/16 100% 34186712.00 Do

W-35 Construction of 3 storied PHCC building at Tarapasha (Satal) in

Kishoreganj Municipality.

2955600

0.00

M/S G.K.

Enterprise

Rampura, Dhaka

25957284.

35

28/10

/14

30/6/20

15

100% 25947739.00 Handed

over to

munici

pality

W-36 Construction of 3 storied PHCC building at Prokash Botrish Nurani

Road in Kishoreganj Municipality.

2845100

0.00

M/S G.K.

Enterprise

Rampura, Dhaka

25581238.

00

28/10

/14

30/5/20

15

100% 25579495.00 Handed

over to

munici

pality

W-37 Construction of 3 storied PHCC building at Mohammapara in

Gopalganj Municipality.

2730012

0.0

M/s Showrove

Traders

Chandmari

Road,Gopalganj

21481663.

53

9/5/2

016

30/3/20

17

100% 20474720.00 Handed

over to

munici

pality.

Fund

Pag

e45

needed

.

W-38 Construction of 3 storied PHCC building at Miapara in Gopalganj

Municipality.

2660719

1.00

M/s Showrove

Traders

Chandmari

Road,Gopalganj

20867191.

54

9/5/2

016

30/3/20

17

100% 16725900.00 Handed

over to

munici

pality.

Fund

needed

.

Sub-Total: 565526446

.05

535199492.0

0

Packa

ge No


d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

Maintenance:

Pag

e46

W41.

1

Maintenance of PHCC at (1) Narinda-Ward No-7 (2) Balur Math-

Ward No-83 (3) East Jurain-Ward No-59 (4)Nolgola Rajbari-Ward

No-66 (5) Moulovi Bazar-Ward No-67 (6) Mazed Sarder

Community Centre-Ward No-69 (7) Ward No-77 near Shahid

Matiur Rahman School at (8) Lalkuti-Ward No-79 (9) Bakshi Bazar -

Ward No-63 & CRHCC at (10) Dhalpur-Ward No-85 in DSCC

4073878.

00

M/s Maz

Business

Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

4328000.9

2

21/04

/14

27/10/1

4

100% 4328000.00 i8

W41.

2

Maintenance of PHCC at (1) Kalu Nagar-Ward No-58 (2)

Nawabgonj-Ward No-59 (3) Azimpur-Ward No-59 (4) Shahid

Nagar-Ward No-60 (5)Shahid Nagar ( Bou Bazar ) -Ward No-60

(6)Rasul Bagh Park-Ward No-62 (7) Ward No-65 near Islam Bagh

Community Centre (8) Chadni Ghat-Ward No-65 & CRHCC at (9)

Mukdapara -Ward No-29 (10)Hazari Bagh-Ward No-58 in DSCC.

4604752.

00

M/s Maz

Business

Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

4916996.8

5

20/04

/14

26/10/1

4

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.

00

M/s Maz

Business

Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

6186919.9

3

21/04

/14

27/10/1

4

100% 6178917.00

Pag

e47

Packa

ge No


d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

W41.

4

Maintenance of PHCC at (1) Khalishpur-Ward No- 07 ;(2) adjacent

Bastohara Fish Market-Ward No-09 ; (3) Ward No-10 near

Khalishpur Shishu Park ; (4) Ward No-11 near Khalishpur New

Market; (5) Charer Hat-Ward No-13; (6) Rayer Mahal-Ward No-14

& CRHCC at (7) Khalishpur-Ward No-12 in KCC

6008451.

00

M/s Zaman

Enterprise16,

Dilkusha C/A

,Dhaka.

3981815.2

4

27/03

/14

5/10/20

14

100% 3980254.00

W41-

5

Maintenance of PHCC at (1) Hazi Foyez Uddin Cross Road-Ward

No-16(A); (2) Boyra College More-Ward No-16(B); (3) Sonadanga-

Ward No-17;(4) Sonadanga-Ward No-18; (5) B.K.Roy Road-Ward

No-19;(6)Sher-E-Bangla Road -Ward No-20;(7) Goluk Moni Shishu

Park-Ward No-23; (8) Bashu Para Kabar Khana-Ward No- & (9)

Bania Khamar-Ward No-26 in KCC

6971021.

00

Mir Construction

211,Khan Jahan

Ali Road,

Khulna.

5322599.0

4

30/03

/14

5/10/20

14

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.

00

Mim Traiding

(JV)

Malopara,Ghora

mara Rajshahi.

3473605.0

9

16/03

/14

22/9/14 100% 3445520.00

Pag

e48

W41.

7

Maintenance of CRHCC at (1) Noadapara-Ward No-17 & PHCC at

(2) Choto Bonograme-Ward No-18 (3) Shakerchar-Ward No-23 ;

(5) Meherchandi -Ward No-26; (6) Kajla-Ward No-28; (7) Dasmari -

Ward No-29;(8) Budh Para-Ward No-30 in Rajshahi City

Corporation.

5648678.

00

Mim Traiding

(JV)

Malopara,Ghora

mara Rajshahi.

4164201.2

4

16/03

/14

22/9/14 100% 4151351.00

Sub-Total: 32374138.

31

32321804.50

Packa

ge No


d

Cost(BDT

)

Name of

Contractor

Contract

amount

(BDT)

Date

of

Contr

act

Signe

d

Date of

completi

on as

per

Contract

Physic

al

Progr

ess

Fund spent

(BDT)

Remark

s

Remaining works of PHCCs under UPHCP-II:

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

Corporation.

5500000.

00

M/s Esad &

Emad Enterprise

5768787.8

2

17.09.

17

24.03.18 100% Fund

needed

.

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

Corporation.

3800000.

00

M/s Hamim &

Brothers

3989776.0

4

18.9.1

7

24.03.18 90% Do

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

Corporation.

3800000.

00

M/s M I

Construction

3988135.1

7

18.9.1

7

24.03.18 95% Do

Pag

e49

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

Corporation.

6000000.

00

M/s Bhuiyan

Enterprise,

Netrokona

4871179.2

5

5.9.20

17

17.03.18 100% 817100.00 Do

Sub-Total: 817100.00

Grand Total in BDT (CRHCC+PHCC+ Maint.+Remaining): 123531164

4.30

1123889733.

50

Grand Total in Million USD: 15.4414 14.0486

Pag

e50

SERVICE STATISTICS

(January-March,2018)

TABLE 02: Unique Client Flow by Sex and Age (January-March,2018)

Age Group Male Female Total Male % Female % Total %

0-28 Days 27,324 30,938 58,262 46.898% 53.102% 0.004 %

29 to 364 Days 66,150 78,491 144,641 45.734% 54.266% 0.009 %

12 to 23 Months 34,754 45,606 80,360 43.248% 56.752% 0.005 %

24 to 59 Months 30,239 43,322 73,561 41.107% 58.893% 0.005 %

05 to 09 Years 14,338 28,779 43,117 33.254% 66.746% 0.003 %

10 to 14 Years 12,384 43,479 55,863 22.169% 77.831% 0.003 %

15 to 19 Years 15,088 150,733 165,821 9.099% 90.901% 0.010 %

20 to 49 Years 88,916 830,482 919,398 9.671% 90.329% 0.057 %

50 to 59 Years 11,761 38,783 50,544 23.269% 76.731% 0.003 %

60+ Years 5,699 14,323 20,022 28.464% 71.536% 0.001 %

Total 306,653 1,304,936 1,611,589 19.03% 80.97% ---

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

TABLE 03: Service Composition (January-March,2018)

Service Type Up to Previous

Quarter

Current Quarter

Grand Total

Current (%)

Overall (%)

ESP+ Clinical Service 36,270,629 1,524,923 37,795,552 73.625% 77.534%

ESP+ BCC Service 10,358,384 544,576 10,902,960 26.296% 22.368%

Other Service 46,418 1,632 48,050 0.079% 0.099%

Grand Total 46,675,431 2,071,131 48,746,562 -- --

Pag

e51

53.10 % 46.90 %

54.27 % 45.73 %

56.75 % 43.25 %

58.89 % 41.11 %

66.75 % 33.25 %

77.83 % 22.17 %

90.90 % 9.10 %

90.33 % 9.67 %

76.73 % 23.27 %

71.54 % 28.46 %

Ag

e G

rou

ps

CHART 01-04: UNIQUE CLIENT FLOW DISTRIBUTION (January-March,2018)

Chart 01: Gender Distribution

Male: 19.0 %

Female: 81.0 %

Male : 306,653 Female : 1,304,936

Chart 02: Age Distribution

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

3.62 %

4.99 %

4.56 %

2.68 %

3.47 %

3.14 %

1.24 %

8.98 %

10.29 %

57.05 %

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

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

e52

25

.07

%

74

.93

%

11

.13

%

88

.87

%

17

.04

%

82

.96

%

16

.29

%

83

.71

%

20

.70

%

79

.30

%

11

.10

%

88

.90

%

16

.61

%

83

.39

%

15

.77

%

84

.23

%

17

.20

%

82

.80

%

15

.90

%

84

.10

%

23

.65

%

76

.35

%

14

.16

%

85

.84

%

17

.78

%

82

.22

%

17

.84

%

82

.16

%

18

.32

%

81

.68

%

26

.27

%

73

.73

%

14

.98

%

85

.02

%

21

.93

%

78

.07

%

15

.14

%

84

.86

%

16

.70

%

83

.30

%

25

.21

%

74

.79

%

22

.33

%

77

.67

%

21

.16

%

78

.84

%

21

.49

%

78

.51

%

17

.57

%

82

.43

%

Cli

en

t (%

)

Chart 04: PA-wise Unique Client Distribution MALE FEMALE

120

100

80

60

40

20

0

CHART 05-07: SERVICE COMPOSITION (January-March,2018)

Chart 05: Service Composition

Other Service: 0.1 %

ESP+ BCC Service: 26.3 %

ESP+ Clinical Service: 73.6 %

ESP+ Clinical ESP+ BCC Other

Pag

e53

Th

ou

san

ds U

nit

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

CRHCC: 14.4 %

SATELLITE: 40.5 %

PHCC: 45.0 %

CRHCC : 219,682 PHCC : 686,840 SATELLITE : 618,232

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

SATELLITE: 23.4 % CRHCC: 20.4 %

PHCC: 56.2 %

CRHCC : 110,976 PHCC : 306,019 SATELLITE : 127,581

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

e54

Num

ber

of

Un

iqu

e C

lient

Num

ber

of

Un

iqu

e C

lient

Num

ber

of

Un

iqu

e C

lient

21

,17

4

65

,48

1

53

,72

0

53

,84

0

19

,70

1

61

,20

6

50

,09

5

11

,78

3

54

,02

7

49

,75

1

9,3

24

5

3,9

16

39

,92

1

16

,82

7

54

,27

1

36

,66

8

15

,21

6

54

,34

4

33

,74

9

32

,21

0

9,1

52

5

4,1

00

8,6

99

5

2,1

08

64

,10

1

57

,72

2

23

,97

9

40

,23

6

24

,72

6

39

,06

9

90

,94

6

72

,70

8

10

,64

4

75

,39

9

9,5

17

7

0,5

99

6

2,5

01

60

,01

7

23

,19

3

48

,06

4

27

,51

4

17

,07

3

46

,86

8

24

,22

5

23

,49

3

45

,08

8

50

,65

4

22

,97

7

45

,14

0

49

,58

9

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

100k

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

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

30k

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

25k

20k

15k

10k

5k

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

e55

Num

ber

of

Serv

ice

N

um

ber

of

Serv

ice

N

um

ber

of

Serv

ice

37

0

94

3

20

35

7

54

2

47

21

2

64

2

91

2

14

52

2

42

16

0

60

1

06

3

69

18

3

37

59

63

3

9

36

0

50

1

93

26

0

20

9

20

2

28

22

1

60

1

71

69

12

0

39

3

22

8

60

3

16

19

0

50

2

17

26

0

28

2

43

19

4

59

3

06

3

95

71

3

01

3

23

500

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

400

300

200

100

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


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

150

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

125

100

75

50

25

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 (January-March,2018)

Pag

e56

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand Total

Reproductive Health 11,436,597 100,118 245,200 0 345,318 245,371 590,689 12,027,286

Maternal Care 4,216,492 62,300 88,715 0 151,015 72,365 223,380 4,439,872

Antenatal Care 2,643,375 34,617 64,374 0 98,991 43,990 142,981 2,786,356

Delivery Care (NVD) 102,711 4,119 0 0 4,119 0 4,119 106,830

Delivery Care (CS) 59,583 2,400 0 0 2,400 0 2,400 61,983

Postnatal Care 868,083 13,957 14,891 0 28,848 16,712 45,560 913,643

Neonatal Care 542,740 7,207 9,450 0 16,657 11,663 28,320 571,060

Menstrual Regulation 123,058 346 5,195 0 5,541 0 5,541 128,599

Post Abortion Care 7,108 233 137 0 370 0 370 7,478

Family Planning 3,799,958 13,546 67,803 0 81,349 104,113 185,462 3,985,420

Emergency Contraceptive Pill 2,218 33 105 0 138 25 163 2,381

Maternal Nutrition 334,195 2,749 10,486 0 13,235 3,250 16,485 350,680

Violence Against Women 33,428 251 1,171 0 1,422 0 1,422 34,850

Adolescent Reproductive Health Care 1,487,328 7,779 31,313 0 39,092 39,371 78,463 1,565,791

RTI/STI Care 860,970 7,097 19,229 0 26,326 21,338 47,664 908,634

Other Reproductive Health Care 571,842 5,784 21,046 0 26,830 4,909 31,739 603,581

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

e57

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand Total

Child Health Care 9,592,419 25,948 127,833 0 153,781 98,287 252,068 9,844,487

Immunization Program - EPI 2,056,729 9,551 63,267 0 72,818 50,860 123,678 2,180,407

Immunization Program - NID 5,007,607 0 13,010 0 13,010 0 13,010 5,020,617

Control of Diarrhoea & Other Childhood

Diseases

778,585

4,112

14,324

0

18,436

17,683

36,119 814,704

Diarrhea 773,453 4,097 14,240 0 18,337 17,496 35,833 809,286

Measles 5,132 15 84 0 99 187 286 5,418

Control of Acute Respiratory Infections 1,034,881 7,826 19,967 0 27,793 20,024 47,817 1,082,698

Control of Micronutrient Deficiency 714,617 4,459 17,265 0 21,724 9,720 31,444 746,061

Child Nutrition 436,504 1,918 12,422 0 14,340 5,976 20,316 456,820

Vitamin A Deficiency 275,900 2,526 4,749 0 7,275 3,744 11,019 286,919

Iodine Deficiency 2,213 15 94 0 109 0 109 2,322

Communicable Diseases Control 1,591,822 368 1,163 0 1,531 0 1,531 1,593,353

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

Other Communicable Diseases Control 27,514 368 1,163 0 1,531 0 1,531 29,045



Pag

e58

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand Total

Limited Curative Care 10,048,847 31,559 177,212 0 208,771 264,127 471,419 10,520,266

First Aid for Injuries 84,222 1,634 2,320 0 3,954 1,006 4,960 89,182

Emergency Care 25,625 426 903 0 1,329 0 1,329 26,954

Treatment of Minor Infections 9,914,233 29,415 172,594 0 202,009 263,121 465,130 10,379,363

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

Support Services for ESP+ 3,600,944 62,111 136,827 0 198,769 10,447 209,216 3,810,160

Diagnostic Service 3,581,937 60,981 136,827 0 197,808 10,447 208,255 3,790,192

Emergency Transportation Service 19,007 961 0 0 961 0 961 19,968

Behavior Change Communication 10,358,384 110,976 306,019 0 416,995 127,581 544,576 10,902,960

Health Education (Session) 2,333,631 0 0 0 0 127,581 127,581 2,461,212

Counseling 8,024,753 110,976 306,019 0 416,995 0 416,995 8,441,748

Miscellaneous 46,418 1,632 0 0 1,632 0 1,632 48,050

Adolescent Development Program 46,418 1,632 0 0 1,632 0 1,632 48,050

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

ESP+ Clinical Service 36,270,629 219,885 684,840 0 906,691 618,232 1,524,923 37,795,552

ESP+ BCC Service 10,358,384 110,976 306,019 0 416,995 127,581 544,576 10,902,960

Other Service 46,418 1,632 0 0 1,632 0 1,632 48,050

Grand Total 46,675,431 332,459 992,859 0 1,325,318 745,813 2,071,131 48,746,562

ESP+ Clinical Service % 77.61% 66.11% 69.18% 0.00% 68.41% 68.41% 73.63% 77.45%

ESP+ BCC Service % 22.29% 33.40% 30.82% 0.00% 31.47% 31.47% 26.30% 22.45%

Other Service % 0.10% 0.49% 0.00% 0.00% 0.12% 0.12% 0.08% 0.10%

TABLE 05: Service Component-wise Service Contact 9

Pag

e59


Component Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Reproductive Health 11,263,482 200,371 203,270 33,494 145,371 31,166 551,370 582,536 11,846,018

Maternal Care 4,215,955 72,447 34,284 20,132 96,392 13,078 210,177 223,255 4,439,210

Antenatal Care 2,642,843 44,039 20,342 13,735 64,740 0 142,856 142,856 2,785,699

Delivery Care (NVD) 102,711 1,540 7 414 2,158 0 4,119 4,119 106,830

Delivery Care (CS) 59,583 663 25 976 736 0 2,400 2,400 61,983

Postnatal Care 868,084 16,962 7,952 3,075 17,571 0 45,560 45,560 913,644

Neonatal Care 542,734 9,243 5,958 1,932 11,187 13,078 15,242 28,320 571,054

Menstrual Regulation 123,040 2,003 271 1,307 1,960 0 5,541 5,541 128,581

Post Abortion Care 7,106 104 15 100 151 0 370 370 7,476

Family Planning 3,799,863 60,867 117,511 731 6,353 14,579 170,883 185,462 3,985,325

Emergency Contraceptive Pill 2,258 72 67 5 19 0 163 163 2,421

Maternal Nutrition 334,223 7,620 8,507 148 210 0 16,485 16,485 350,708

Violence Against Women 37,666 722 667 6 95 0 1,490 1,490 39,156

Adolescent Reproductive Health Care 1,357,232 26,790 22,841 6,791 16,187 1,687 70,952 72,639 1,429,871

RTI/STI Care 837,249 19,395 9,348 3,321 14,376 1,610 44,830 46,440 883,689

Other Reproductive Health Care 548,890 10,351 9,759 953 9,628 212 30,479 30,691 579,581

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

e60


Component Up to

Previous

Quarter

Poor FF 10

FF(NC)

PF

Paid

Male

Female

Total

Grand

Total

Child Health Care 8,690,858 74,378 132,267 7,563 36,798 106,411 144,595 251,006 8,941,864

Immunization Program - EPI 2,038,865 29,390 93,579 668 0 54,942 68,695 123,637 2,162,502

Immunization Program - NID 4,147,838 0 13,010 0 0 2,959 10,051 13,010 4,160,848


Diseases

778,562

14,423

3,991

3,086

14,619

15,664

20,455

36,119

814,681

Diarrhea 773,429 14,344 3,945 3,081 14,463 15,542 20,291 35,833 809,262

Measles 5,133 79 46 5 156 122 164 286 5,419

Control of Acute Respiratory Infections 1,035,024 18,008 4,826 3,515 21,468 21,235 26,582 47,817 1,082,841

Control of Micronutrient Deficiency 690,569 12,557 16,861 294 711 11,611 18,812 30,423 720,992

Child Nutrition 412,802 8,181 10,501 244 369 8,105 11,190 19,295 432,097

Vitamin A Deficiency 275,554 4,318 6,319 50 332 3,490 7,529 11,019 286,573

Iodine Deficiency 2,213 58 41 0 10 16 93 109 2,322

Communicable Diseases Control 1,197,860 504 437 81 509 472 1,059 1,531 1,199,391

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

Other Communicable Diseases Control 27,353 504 437 81 509 472 1,059 1,531 28,884

11 12 13


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Component Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Limited Curative Care 9,230,787 154,390 102,294 59,293 118,858 95,006 339,829 433,352 9,664,139

First Aid for Injuries 84,301 1,850 1,144 380 1,586 1,527 3,433 4,960 89,261

Emergency Care 25,637 483 296 97 453 252 1,077 1,329 26,966

Treatment of Minor Infections 9,095,691 151,439 100,570 58,530 116,524 92,740 334,323 427,063 9,522,754

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

Support Services for ESP+ 2,460,355 44,983 7,115 19,983 65,876 15,090 122,867 137,957 2,598,312

Diagnostic Service 2,440,081 44,682 7,008 19,835 65,471 14,954 122,042 136,996 2,577,077

Emergency Transportation Service 20,274 301 107 148 405 136

825 961 21,235

Behavior Change Communication 13,874,062 226,182 435,746 0 589 130,314 532,203 662,517 14,536,579

Health Education (Session) 4,020,961 57,403 109,790 0 0 33,410 133,783 167,193 4,188,154

Counseling 9,853,101 168,779 325,956 0 589 96,904 398,420 495,324 10,348,425

Miscellaneous 103,803 903 2,892 0 0 597 3,198 3,795 107,598

Adolescent Development Program 103,803 903 2,892 0 0 597 3,198 3,795 107,598

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

ESP+ Clinical Service 32,843,342 474,008 445,099 120,128 367,117 247,658 1,158,724 1,406,382 34,249,724

ESP+ BCC Service 13874062 226,182 435,746 0 589 130,314 532,203 662,517 14,536,579

Other Service 103803 903 2,892 0 0 597 3,198 3,795 107,598

Grand Total 46,821,207

816

701,093 883,737 120,128 367,706 378,569 1,694,125 2,072,694 48,893,901

ESP+ Clinical Service % 72.83% 67.61% 50.36% 100.00% 99.84% 65.42% 68.39% 67.85% 72.61%

ESP+ BCC Service % 26.95% 32.26% 49.31% 0.00% 0.16% 34.43% 31.42% 31.97% 27.17%

Other Service % 0.22% 0.13% 0.33% 0.00% 0.00% 0.16% 0.19% 0.18% 0.22%

Pag

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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 602,892 615,470 610,670 582,536

Maternal Care 230,684 229,578 239,218 223,255

Antenatal Care 145,650 144,252 149,843 142,856

Delivery Care (NVD) 4,801 5,178 5,105 4,119

Delivery Care (CS) 2,680 2,715 2,925 2,400

Postnatal Care 47,462 47,567 49,258 45,560

Neonatal Care 30,091 29,866 32,087 28,320

Menstrual Regulation 5,905 6,832 5,342 5,541

Post Abortion Care 391 477 326 370

Family Planning 195,296 204,545 195,880 185,462

Emergency Contraceptive Pill 175 173 189 163

Maternal Nutrition 16,687 17,391 16,185 16,485

Violence Against Women 1,632 1,766 1,640 1,490

Adolescent Reproductive Health Care 74,659 76,897 74,440 72,639

RTI/STI Care 46,636 47,004 46,464 46,440

Other Reproductive Health Care 30,828 30,807 30,986 30,691

Child Health Care 382,344 243,847 652,178 251,006

Immunization Program - EPI 121,990 118,399 123,934 123,637

Immunization Program - NID 140,446 0 408,328 13,010


Diseases

37,208

37,829

37,676

36,119

Diarrhea 36,904 37,504 37,376 35,833

Measles 304 325 300 286

Control of Acute Respiratory Infections 50,341 53,509 49,696 47,817

Control of Micronutrient Deficiency 32,359 34,110 32,544 30,423

Child Nutrition 20,571 22,069 20,349 19,295

Vitamin A Deficiency 11,678 11,931 12,083 11,019

Iodine Deficiency 110 110 112 109

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

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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 1,326 1,145 1,303 1,531

Tuberculosis Control 0 0 0 0

Other Communicable Diseases Control 1,326 1,145 1,303 1,531

Limited Curative Care 444,194 461,274 436,863 433,352

First Aid for Injuries 5,058 5,073 5,141 4,960

Emergency Care 1,503 1,643 1,536 1,329

Treatment of Minor Infections 436,602 454,558 428,186 427,063

Support Services for ESP+ 142,198 147,363 141,444 137,957

Diagnostic Service 141,212 146,262 140,378 136,996

Emergency Transportation Service 986 1,101 1,066 961

Behavior Change Communication 677,378 684,991 684,625 662,517

Health Education (Session) 163,289 152,531 170,144 167,193

Counseling 514,088 532,460 514,481 495,324

Miscellaneous 4,681 6,064 4,185 3,795

Adolescent Development Program 4,681 6,064 4,185 3,795

ESP+ Clinical Service 1,571,923 1,469,099 1,842,458 1,406,382

ESP+ BCC Service 677,378 684,991 684,625 662,517

Other Service 4,681 6,064 4,185 3,795

Grand Total 2,253,982 2,160,154 2,531,268 2,072,694

ESP+ Clinical Service % 69.74% 68.01% 72.77% 67.85%

ESP+ BCC Service % 30.05% 31.71% 27.07% 31.97%

Other Service % 0.21% 0.28% 0.17% 0.18%

Pag

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TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Reproductive Health 582,536 590,689 200371 34.40% 22,935,485 20,722,123

Maternal Care 223,255 223,380 72447 32.45% 18,925,927 14,038,675

Antenatal Care 142,856 142,981 44039 30.83% 2,866,638 2,555,498

Delivery Care (NVD) 4,119 4,119 1540 37.39% 2,206,708 1,487,465

Delivery Care (CS) 2,400 2,400 663 27.63% 12,642,583 8,451,738

Postnatal Care 45,560 45,560 16962 37.23% 734,700 969,259

Neonatal Care 28,320 28,320 9243 32.64% 475,298 574,715

Menstrual Regulation 5,541 5,541 2003 36.15% 1,993,172 2,045,708

Post Abortion Care 370 370 104 28.11% 271,082 128,418

Family Planning 185,462 185,462 60867 32.82% 42,104 877,655

Emergency Contraceptive Pill 163 163 72 44.17% 685 4,625

Maternal Nutrition 16,485 16,485 7620 46.22% 6,570 469,458

Violence Against Women 1,490 1,422 722 48.46% 3,605 20,799

Adolescent Reproductive Health

Care

72,639

78,463

26790

36.88%

685,122

1,525,377

RTI/STI Care 46,440 47,664 19395 41.76% 590,465 996,804

Other Reproductive Health Care 30,691 31,739 10351 33.73% 416,753 614,604

Child Health Care 251,006 252,068 74378 29.63% 1,500,428 2,621,725

Immunization Program - EPI 123,637 123,678 29390 23.77% 700 461,330

Immunization Program - NID 13,010 13,010 0 0.00% 0 0

Control of Diarrhoea & Other

Childhood Diseases

36,119

36,119

14423

39.93%

612,387

688,801

Diarrhea 35,833 35,833 14344 40.03% 607,812 686,286

Measles 286 286 79 27.62% 4,575 2,515

Control of Acute Respiratory

Infections

47,817

47,817

18008

37.66%

863,695

866,588

Control of Micronutrient

Deficiency

30,423

31,444

12557

41.27%

23,646

605,006

Child Nutrition 19,295 20,316 8181 42.40% 16,466 492,226

Vitamin A Deficiency 11,019 11,019 4318 39.19% 6,820 109,770

Iodine Deficiency 109 109 58 53.21% 360 3,010

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

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TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Communicable Diseases

Control

1,531

1,531

504

32.92%

21,641

37,249

Tuberculosis Control 0 0 0 0.00% 0 0

Other Communicable Diseases

Control

1,531

1,531

504

32.92%

21,641

37,249

Limited Curative Care 433,352 471,419 154390 35.51% 5,127,574 8,917,629

First Aid for Injuries 4,960 4,960 1850 37.30% 86,775 112,885

Emergency Care 1,329 1,329 483 36.34% 38,875 31,535

Treatment of Minor Infections 427,063 465,130 151439 35.46% 4,978,869 8,721,399

Support Services for ESP+ 137,957 209,216 44983 68.60% 12,827,822 7,727,968

Diagnostic Service 136,996 208,255 44682 32.62% 12,595,504 7,596,198

Emergency Transportation

Service

961

961

301

35.98%

232,318

131,770

Behavior Change

Communication

662,517

544,576

226182

34.14%

0

38,870

Health Education (Session) 167,193 127,581 57403 34.33% 0 25,640

Counseling 495,324 416,995 168779 34.07% 0 13,230

Miscellaneous 3,795 1,632 903 23.79% 0 0

Adolescent Development

Program

3,795

1,632

903

23.79%

0

0

Income Generation from

Medicine

-

-

-

33.97%

9,338,529

4,804,690

ESP+ Clinical Service

1,406,382

1,524,923

474,008

33.71%

42,389,965

39,974,884

ESP+ BCC Service

662,517

544,576

226182

34.14%

0

38,870

Other Service

3,795

1,632

903

23.79%

0

0

Grand Total 2,072,694 2,071,131 701,093

33.83%

42,389,965

40,013,754

ESP+ Clinical Service %

67.85%

73.63%

-

-

100.00%

99.90%

ESP+ BCC Service %

31.97%

26.30%

-

-

0.00%

0.10%

Other Service %

0.18%

0.08%

-

-

0.00%

0.00%

Pag

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DSCC PA 1 PSTC (January-March,2018)

TABLE 08.01:

PA wise Performance Summary

Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health 50,919 52,762 41.55% 2,119,475 1,773,766

Maternal Care 24,345 24,345 41.27% 1,562,118 1,230,315

Antenatal Care 15,792 15,792 39.11% 409,808 379,792

Delivery Care (NVD) 247 247 33.60% 146,700 75,075

Delivery Care (CS) 153 153 39.87% 804,800 572,200

Postnatal Care 4,926 4,926 47.50% 116,960 129,340

Neonatal Care 3,227 3,227 42.95% 83,850 73,908

Menstrual Regulation 351 351 30.20% 220,470 63,570

Post Abortion Care 10 10 0.00% 24,800 200

Family Planning 9,667 9,667 38.17% 0 0

Emergency Contraceptive Pill 0 0 0.00% 0 0

Maternal Nutrition 120 120 78.33% 0 0

Violence Against Women 104 104 40.38% 0 0

Adolescent Reproductive Health Care 4,555 5,369 44.28% 94,900 123,500

RTI/STI Care 6,668 7,594 48.32% 114,016 219,392

Other Reproductive Health Care 5,099 5,202 38.03% 103,171 136,789

Child Health Care 16,640 16,640 23.40% 167,870 138,430

Immunization Program - EPI 10,380 10,380 13.39% 0 0

Immunization Program - NID 0 0 0.00% 0 0


Childhood Diseases

2,656

2,656

40.47%

72,180

61,220

Diarrhea 2,656 2,656 40.47% 72,180 61,220

Measles 0 0 0.00% 0 0


Infections

3,458

3,458

39.04%

95,690

77,210

Control of Micronutrient Deficiency 146 146 53.42% 0 0

Child Nutrition 146 146 53.42% 0 0

Vitamin A Deficiency 0 0 0.00% 0 0

Iodine Deficiency 0 0 0.00% 0 0

Pag

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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 22,027 23,308 34.75% 618,628 482,033

First Aid for Injuries 20 20 45.00% 550 450

Emergency Care 57 57 33.33% 12,910 3,680

Treatment of Minor Infections 21,950 23,231 34.75% 605,168 477,903

Support Services for ESP+ 7,540 17,486 31.29% 1,282,610 626,800

Diagnostic Service 7,501 17,447 31.21% 1,272,410 617,700

Emergency Transportation Service 39 39 46.15% 10,200 9,100

Behavior Change Communication 46,096 44,372 38.42% 0 0

Health Education (Session) 7,542 7,091 42.06% 0 0

Counseling 38,554 37,281 37.71% 0 0

Miscellaneous 44 44 31.82% 0 0

Adolescent Development Program 44 44 31.82% 0 0

Income Generation from Medicine

-

-

29.88%

638,805

272,177


97,126

110,196

36.10%

4,188,583

3,021,029

ESP+ BCC Service

46,096

44,372

38.42%

0

0

Other Service

44

44

31.82%

0

0

Grand Total

143,266

154,612

36.85%

4,188,583

3,021,029


67.79%

71.27%

-

100%

100%

ESP+ BCC Service %

32.18%

28.70%

-

0%

0%

Other Service %

0.03%

0.03%

-

0%

0%

Pag

e68

DSCC PA 2 KMSS (January-March,2018)

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,807

30,493

29.66%

748,075

381,436

Maternal Care 9,173 9,173 28.08% 362,015 144,435

Antenatal Care 5,675 5,675 29.06% 110,050 60,130


Delivery Care (CS) 28 28 28.57% 100,800 27,000

Postnatal Care 1,918 1,918 26.80% 38,735 21,465

Neonatal Care 1,310 1,310 25.73% 26,280 14,840


Post Abortion Care 14 14 35.71% 0 0

Family Planning 5,676 5,676 30.06% 0 0





RTI/STI Care 4,264 4,297 32.43% 70,960 57,670


Child Health Care

11,773

11,773

30.75%

117,565

75,935




Childhood Diseases

2,593

2,593

34.59%

53,125

35,015

Diarrhea 2,593 2,593 34.59% 53,125 35,015

Measles 0 0 0.00% 0 0


Infections

3,290

3,290

33.86%

63,100

39,880

Control of Micronutrient Deficiency 661 661 39.03% 1,340 1,040

Child Nutrition 221 221 33.03% 1,340 1,040



Pag

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DSCC PA 2 KMSS (January-March,2018)

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

27,383

28,177

31.67%

532,565

268,092

First Aid for Injuries 284 284 34.51% 5,320 4,390

Emergency Care 244 244 34.02% 5,330 4,590


Support Services for ESP+

4,160

7,705

28.37%

370,330

98,050

Diagnostic Service 4,160 7,705 28.37% 370,330 98,050

Emergency Transportation Service 0 0 0.00% 0 0

Behavior Change Communication

65,467

65,046

32.30%

0

0


Counseling 41,382 41,271 33.41% 0 0

Miscellaneous

313

313

24.92%

0

0



-

-

35.01%

259,451

139,790


73,123

78,148

30.52%

1,768,535

823,513

ESP+ BCC Service

65,467

65,046

32.30%

0

0

Other Service

313

313

24.92%

0

0

Grand Total

138,903

143,507

31.34%

1,768,535

823,513


52.64%

54.46%

-

100%

100%

ESP+ BCC Service %

47.13%

45.33%

-

0%

0%

Other Service %

0.23%

0.22%

-

0%

0%

Pag

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DSCC PA 3, BAPSA (January-March,2018)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,065

28,256

38.87%

1,628,318

1,330,730

Maternal Care 11,677 11,677 39.29% 1,281,038 904,652

Antenatal Care 6,646 6,646 36.44% 140,170 125,350


Delivery Care (CS) 156 156 32.69% 885,000 519,000

Postnatal Care 2,674 2,674 46.75% 33,955 72,635

Neonatal Care 1,864 1,864 39.38% 27,113 45,467


Post Abortion Care 103 103 34.95% 40,860 19,280

Family Planning 8,315 8,315 32.51% 4,207 2,924



Violence Against Women 82 82 52.44% 360 1,400


RTI/STI Care 2,135 2,200 51.99% 38,157 55,433


Child Health Care

16,438

16,438

30.48%

106,466

138,860




Childhood Diseases

2,548

2,548

45.92%

43,324

58,472

Diarrhea 2,548 2,548 45.92% 43,324 58,472

Measles 0 0 0.00% 0 0


Infections

3,223

3,223

41.86%

59,742

67,188


Child Nutrition 440 440 47.50% 2,160 6,560

Vitamin A Deficiency 435 435 43.68% 1,080 6,120


Pag

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DSCC PA 3, BAPSA (January-March,2018)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


14,842

14,842

47.51%

244,050

344,049


Emergency Care 45 45 53.33% 740 1,140



10,924

10,984

34.41%

747,591

485,229


Emergency Transportation Service 5 5 20.00% 1,200 300


23,611

23,476

39.28%

0

0


Counseling 14,380 14,299 38.73% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

40.30%

559,518

377,719


70,123

70,374

38.02%

2,724,105

2,295,348

ESP+ BCC Service

23,611

23,476

39.28%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

93,734

93,850

38.34%

2,724,105

2,295,348


74.81%

74.99%

-

100%

100%

ESP+ BCC Service %

25.19%

25.01%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

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P

age7

2


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,050

30,052

36.17%

1,395,074

631,298

Maternal Care 12,527 12,527 32.59% 1,167,709 504,855

Antenatal Care 8,782 8,782 31.13% 338,494 104,395


Delivery Care (CS) 105 105 27.62% 660,500 284,500

Postnatal Care 2,279 2,279 37.91% 46,950 43,480

Neonatal Care 1,168 1,168 33.39% 10,165 10,380



Family Planning 9,206 9,206 38.34% 665 1,288





RTI/STI Care 2,862 2,862 44.10% 24,530 34,585

Other Reproductive Health Care 1,116 1,116 34.32% 480 3,230

Child Health Care

13,109

13,109

23.22%

102,515

55,295




Childhood Diseases

1,880

1,880

41.28%

49,300

29,100

Diarrhea 1,880 1,880 41.28% 49,300 29,100

Measles 0 0 0.00% 0 0


Infections

1,948

1,948

35.11%

53,215

26,195

Control of Micronutrient Deficiency 1,067 1,067 41.24% 0 0


Vitamin A Deficiency 1,017 1,017 40.51% 0 0


Pag

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TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


45,657

56,359

32.63%

885,195

628,623


Emergency Care 0 0 0.00% 0 0



4,070

9,595

34.35%

719,265

185,857




29,602

15,493

35.65%

0

0

Health Education (Session) 5,228 385 38.39% 0 0

Counseling 24,374 15,108 35.06% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

36.09%

259,445

146,535


91,886

109,115

32.48%

3,102,049

1,501,073

ESP+ BCC Service

29,602

15,493

35.65%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

121,488

124,608

33.25%

3,102,049

1,501,073


75.63%

87.57%

-

100%

100%

ESP+ BCC Service %

24.37%

12.43%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e74


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

33,579

34,126

34.84%

1,178,120

912,897

Maternal Care 18,611 18,611 34.26% 1,010,865 647,714

Antenatal Care 10,565 10,565 33.79% 210,072 185,360


Delivery Care (CS) 108 108 28.70% 518,300 291,700

Postnatal Care 4,811 4,811 35.21% 113,773 72,162

Neonatal Care 2,967 2,967 34.82% 68,820 54,392



Family Planning 4,345 4,345 33.00% 1,315 228





RTI/STI Care 3,893 3,897 40.30% 59,115 82,590

Other Reproductive Health Care 963 1,011 33.54% 14,615 20,460

Child Health Care

13,398

13,398

35.09%

157,810

123,310




Childhood Diseases

3,157

3,157

35.76%

64,945

57,700

Diarrhea 3,157 3,157 35.76% 64,945 57,700

Measles 0 0 0.00% 0 0


Infections

4,081

4,081

34.53%

92,865

65,610





Pag

e75


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,666

16,761

32.55%

255,137

480,513


Emergency Care 89 89 42.70% 2,140 1,620



4,754

10,995

30.40%

728,460

179,727




44,541

25,226

32.62%

0

0


Counseling 37,685 24,608 32.67% 0 0

Miscellaneous

338

74

24.26%

0

0



-

-

20.00%

668,684

167,163


68,397

75,280

34.02%

2,319,527

1,696,447

ESP+ BCC Service

44,541

25,226

32.62%

0

0

Other Service

338

74

24.26%

0

0

Grand Total

113,276

100,580

33.44%

2,319,527

1,696,447


60.38%

74.85%

-

100%

100%

ESP+ BCC Service %

39.32%

25.08%

-

0%

0%

Other Service %

0.30%

0.07%

-

0%

0%

Pag

e76

DNCC PA 1 Nari Maitree (January-March,2018)

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

40,130

40,130

41.78%

1,975,725

1,890,525

Maternal Care 16,309 16,309 41.72% 1,773,665 1,303,345

Antenatal Care 10,092 10,092 41.68% 148,675 254,845


Delivery Care (CS) 213 213 33.33% 1,368,600 761,400

Postnatal Care 3,202 3,202 42.82% 50,125 77,905

Neonatal Care 2,486 2,486 40.06% 35,065 64,395



Family Planning 12,163 12,163 36.88% 0 0


Maternal Nutrition 4,446 4,446 45.70% 0 49,690



RTI/STI Care 1,443 1,443 52.39% 13,580 44,220

Other Reproductive Health Care 519 519 17.92% 5,800 15,330

Child Health Care

17,671

17,671

38.33%

95,205

206,225




Childhood Diseases

3,167

3,167

48.88%

41,990

86,380

Diarrhea 3,167 3,167 48.88% 41,990 86,380

Measles 0 0 0.00% 0 0


Infections

3,431

3,431

46.40%

53,215

85,025

Control of Micronutrient Deficiency 5,255 5,255 56.25% 0 34,820

Child Nutrition 3,559 3,559 58.75% 0 33,540

Vitamin A Deficiency 1,696 1,696 51.00% 0 1,280


Pag

e77

DNCC PA 1 Nari Maitree (January-March,2018)

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


10,995

11,025

27.70%

239,993

211,362


Emergency Care 171 171 32.16% 4,495 3,280



7,848

15,478

41.41%

944,456

938,858




42,141

42,131

39.93%

0

0


Counseling 28,678 28,678 40.26% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

57.66%

446,045

607,382


76,473

84,133

38.92%

3,252,189

3,243,320

ESP+ BCC Service

42,141

42,131

39.93%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

118,614

126,264

39.28%

3,252,189

3,243,320


64.47%

66.63%

-

100%

100%

ESP+ BCC Service %

35.53%

33.37%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e78

DNCC PA -02 Nari Maitree (January-March,2018)

TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

30,742

31,513

30.00%

2,263,810

1,114,379

Maternal Care 14,873 14,873 34.53% 1,804,100 814,924

Antenatal Care 9,211 9,211 29.52% 206,860 118,020


Delivery Care (CS) 187 187 23.53% 1,375,500 494,500

Postnatal Care 3,753 3,753 50.33% 57,410 71,724

Neonatal Care 1,479 1,479 24.95% 35,330 16,680



Family Planning 5,073 5,073 15.24% 0 10,540





RTI/STI Care 3,198 3,198 32.15% 51,260 44,850


Child Health Care

16,947

17,021

25.61%

160,615

118,875

Immunization Program - EPI 8,582 8,582 19.46% 0 3,700



Childhood Diseases

3,037

3,037

30.85%

69,640

38,300

Diarrhea 3,037 3,037 30.85% 69,640 38,300

Measles 0 0 0.00% 0 0


Infections

4,057

4,057

32.44%

90,975

76,315

Control of Micronutrient Deficiency 1,271 1,345 32.81% 0 560


Vitamin A Deficiency 1,270 1,270 32.76% 0 520


Pag

e79

DNCC PA -02 Nari Maitree (January-March,2018)

TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


9,334

9,338

26.70%

246,969

94,941


Emergency Care 12 12 58.33% 200 280



6,723

15,939

32.43%

1,220,626

595,498

Diagnostic Service 6,715 15,931 32.46% 1,218,426 595,298



52,037

51,569

26.26%

0

0


Counseling 23,399 23,369 27.68% 0 0

Miscellaneous

763

763

0.00%

0

0



-

-

26.45%

881,723

317,049


63,732

73,797

28.61%

3,891,780

1,923,373

ESP+ BCC Service

52,037

51,569

26.26%

0

0

Other Service

763

763

0.00%

0

0

Grand Total

116,532

126,129

27.37%

3,891,780

1,923,373


54.69%

58.51%

-

100%

100%

ESP+ BCC Service %

44.65%

40.89%

-

0%

0%

Other Service %

0.65%

0.60%

-

0%

0%

Pag

e80

DNCC PA 3 UTPS (January-March,2018)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

24,975

25,050

37.39%

832,109

818,181

Maternal Care 10,786 10,786 36.40% 720,659 656,151

Antenatal Care 6,622 6,622 35.62% 90,840 107,820


Delivery Care (CS) 103 103 33.98% 431,179 392,821

Postnatal Care 2,378 2,378 37.17% 27,680 44,210

Neonatal Care 1,382 1,382 38.93% 18,160 23,300



Family Planning 8,442 8,442 37.15% 0 0





RTI/STI Care 1,396 1,396 43.55% 9,330 16,290


Child Health Care

12,035

12,035

37.70%

44,970

70,190




Childhood Diseases

1,731

1,731

43.39%

18,470

32,460

Diarrhea 1,731 1,731 43.39% 18,470 32,460

Measles 0 0 0.00% 0 0


Infections

2,154

2,154

41.23%

26,500

37,730





Pag

e81

DNCC PA 3 UTPS (January-March,2018)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


17,359

17,359

35.21%

157,026

359,164





12,025

12,025

35.26%

600,866

955,270




48,956

28,762

35.20%

0

0


Counseling 40,773 28,022 34.51% 0 0

Miscellaneous

1,575

105

33.33%

0

0

Adolescent Development Program 1,575 105 33.33% 0 0


-

-

39.83%

426,577

282,377


66,308

66,383

36.48%

1,634,571

2,201,515

ESP+ BCC Service

48,956

28,762

35.20%

0

0

Other Service

1,575

105

33.33%

0

0

Grand Total

116,839

95,250

35.90%

1,634,571

2,201,515


56.75%

69.69%

-

100%

100%

ESP+ BCC Service %

41.90%

30.20%

-

0%

0%

Other Service %

1.35%

0.11%

-

0%

0%

Pag

e82

DNCC PA 4 (January-March,2018)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

40,699

40,699

40.06%

761,941

2,425,208

Maternal Care 14,421 14,421 40.39% 663,691 1,172,958

Antenatal Care 8,314 8,314 39.14% 124,016 211,010


Delivery Care (CS) 92 92 33.70% 420,200 499,800

Postnatal Care 3,353 3,353 43.36% 27,705 106,355

Neonatal Care 2,305 2,305 35.62% 21,220 69,843


Post Abortion Care 8 8 87.50% 800 14,280

Family Planning 10,050 10,050 37.50% 0 402,320

Emergency Contraceptive Pill 43 43 53.49% 140 1,580




RTI/STI Care 2,604 2,604 41.28% 18,790 90,070


Child Health Care

22,880

22,925

36.13%

49,150

844,910




Childhood Diseases

1,718

1,718

40.80%

17,600

49,300

Diarrhea 1,718 1,718 40.80% 17,600 49,300

Measles 0 0 0.00% 0 0


Infections

2,438

2,438

42.95%

28,470

69,870

Control of Micronutrient Deficiency 11,045 11,090 34.85% 3,080 410,920

Child Nutrition 8,665 8,710 33.71% 1,360 317,440

Vitamin A Deficiency 2,380 2,380 38.99% 1,720 93,480


Pag

e83

DNCC PA 4 (January-March,2018)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy


866

866

34.41%

11,440

23,200



Control

866

866

34.41%

11,440

23,200


15,959

16,049

37.88%

122,560

499,860


Emergency Care 315 315 39.37% 1,590 11,010



4,096

8,056

26.93%

494,620

359,389


Emergency Transportation Service 10 10 50.00% 0 6,500


44,911

44,911

36.41%

0

25,640

Health Education (Session) 7,401 7,401 35.25% 0 25,640

Counseling 37,510 37,510 36.64% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

56.62%

173,578

226,600


84,183

88,278

37.89%

1,437,191

4,142,407

ESP+ BCC Service

44,911

44,911

36.41%

0

25,640

Other Service

0

0

0.00%

0

0

Grand Total

129,094

133,189

37.37%

1,437,191

4,168,047


65.21%

66.28%

-

100%

99%

ESP+ BCC Service %

34.79%

33.72%

-

0%

1%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e84

DNCC, PA 5, DAM (January-March,2018)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,028

28,642

35.69%

1,146,150

788,230

Maternal Care 12,056 12,056 33.08% 1,030,990 593,850

Antenatal Care 7,177 7,177 31.21% 161,960 110,700


Delivery Care (CS) 104 104 31.73% 637,000 335,000

Postnatal Care 2,767 2,767 35.53% 56,350 45,520

Neonatal Care 1,794 1,794 37.01% 31,680 32,630



Family Planning 7,904 7,904 35.70% 0 24,640





RTI/STI Care 1,790 1,811 45.08% 27,970 40,520


Child Health Care

22,478

22,622

36.07%

94,731

130,750




Childhood Diseases

2,011

2,011

45.95%

32,480

41,400

Diarrhea 2,011 2,011 45.95% 32,480 41,400

Measles 0 0 0.00% 0 0


Infections

3,219

3,219

42.44%

61,971

60,510

Control of Micronutrient Deficiency 573 717 39.62% 280 1,040

Child Nutrition 466 610 39.06% 160 960



Pag

e85

DNCC, PA 5, DAM (January-March,2018)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy


4

4

75.00%

40

60



Control

4

4

75.00%

40

60


19,946

19,946

37.03%

194,395

508,965


Emergency Care 25 25 40.00% 600 400



4,615

7,237

38.63%

283,955

208,588




21,934

21,121

34.24%

0

0


Counseling 18,803 17,990 33.54% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

31.04%

207,874

93,569


75,057

78,437

36.34%

1,719,111

1,636,313

ESP+ BCC Service

21,934

21,121

34.24%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

96,991

99,558

35.86%

1,719,111

1,636,313


77.39%

78.79%

-

100%

100%

ESP+ BCC Service %

22.61%

21.21%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e86

RCC PA 1 RIC (January-March,2018)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

15,734

15,858

23.41%

568,978

399,634

Maternal Care 5,559 5,559 20.13% 503,902 304,518

Antenatal Care 4,043 4,043 20.43% 73,628 75,892


Delivery Care (CS) 76 76 19.74% 316,200 187,100

Postnatal Care 814 814 18.43% 13,984 20,456

Neonatal Care 520 520 22.12% 6,790 12,370



Family Planning 6,282 6,282 25.21% 4,922 13,570





RTI/STI Care 717 798 32.78% 12,825 15,065


Child Health Care

4,528

4,528

30.63%

16,808

16,680




Childhood Diseases

423

423

38.77%

7,473

5,525

Diarrhea 423 423 38.77% 7,473 5,525

Measles 0 0 0.00% 0 0


Infections

535

535

47.10%

8,425

6,945


Child Nutrition 465 465 32.90% 910 4,210



Pag

e87

RCC PA 1 RIC (January-March,2018)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


19,828

20,446

30.64%

167,139

540,347


Emergency Care 11 11 45.45% 240 60



4,070

8,250

26.39%

529,990

246,955




16,284

16,251

28.48%

0

0


Counseling 11,854 11,845 26.31% 0 0

Miscellaneous

168

168

21.43%

0

0



-

-

34.03%

425,777

219,616


44,160

49,082

27.67%

1,282,915

1,203,616

ESP+ BCC Service

16,284

16,251

28.48%

0

0

Other Service

168

168

21.43%

0

0

Grand Total

60,612

65,501

27.87%

1,282,915

1,203,616


72.86%

74.93%

-

100%

100%

ESP+ BCC Service %

26.87%

24.81%

-

0%

0%

Other Service %

0.28%

0.26%

-

0%

0%

Pag

e88

RCC, PA-2 (January-March,2018)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,235

14,252

20.62%

554,121

517,749

Maternal Care 6,341 6,341 17.55% 513,135 437,084

Antenatal Care 4,864 4,864 17.93% 79,570 118,360


Delivery Care (CS) 72 72 11.11% 393,917 254,083

Postnatal Care 767 767 17.21% 10,325 17,904

Neonatal Care 575 575 13.74% 3,700 15,660



Family Planning 5,082 5,082 22.65% 4,976 2,436


Maternal Nutrition 215 215 31.63% 555 6,550



RTI/STI Care 814 814 28.26% 7,975 20,580


Child Health Care

3,215

3,215

12.29%

15,125

28,935




Childhood Diseases

412

412

25.97%

5,682

8,736

Diarrhea 412 412 25.97% 5,682 8,736

Measles 0 0 0.00% 0 0


Infections

565

565

27.43%

7,562

11,825


Child Nutrition 311 311 20.90% 1,881 8,374



Pag

e89

RCC, PA-2 (January-March,2018)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,501

16,511

34.73%

133,831

426,714


Emergency Care 29 29 37.93% 560 455



8,887

8,887

27.96%

471,667

211,484




19,663

19,643

24.14%

0

0


Counseling 15,894 15,874 23.65% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

14.45%

564,210

95,330


42,799

42,826

26.93%

1,174,449

1,183,812

ESP+ BCC Service

19,663

19,643

24.14%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

62,462

62,469

26.05%

1,174,449

1,183,812


68.52%

68.56%

-

100%

100%

ESP+ BCC Service %

31.48%

31.44%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e90

KCC PA 1 (January-March,2018)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

30,463

30,899

32.65%

689,390

1,468,790

Maternal Care 11,666 11,666 28.53% 451,135 944,325

Antenatal Care 8,739 8,739 27.89% 103,900 245,270


Delivery Care (CS) 73 73 30.14% 220,300 509,700

Postnatal Care 1,525 1,525 29.77% 17,070 44,030

Neonatal Care 1,120 1,120 30.45% 13,865 32,325



Family Planning 8,673 8,673 36.42% 0 0


Maternal Nutrition 1,051 1,051 34.16% 3,305 31,245



RTI/STI Care 2,067 2,150 33.43% 24,720 59,880


Child Health Care

9,145

9,155

31.48%

47,215

141,531




Childhood Diseases

1,656

1,656

36.11%

19,765

44,865

Diarrhea 1,656 1,656 36.11% 19,765 44,865

Measles 0 0 0.00% 0 0


Infections

2,009

2,009

34.00%

24,575

57,595

Control of Micronutrient Deficiency 1,931 1,941 32.31% 2,875 39,071

Child Nutrition 1,182 1,192 30.29% 2,875 38,751



Pag

e91

KCC PA 1 (January-March,2018)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy


224

224

29.91%

1,350

6,870



Control

224

224

29.91%

1,350

6,870


18,521

18,609

33.31%

158,135

563,495


Emergency Care 108 108 37.04% 1,890 2,580



4,795

7,576

31.87%

177,730

466,170




24,725

24,264

32.48%

0

0


Counseling 16,187 15,756 33.86% 0 0

Miscellaneous

60

60

31.67%

0

0



-

-

92.12%

7,214

84,350


62,669

65,988

32.61%

1,060,825

2,620,491

ESP+ BCC Service

24,725

24,264

32.48%

0

0

Other Service

60

60

31.67%

0

0

Grand Total

87,454

90,312

32.57%

1,060,825

2,620,491


71.66%

73.07%

-

100%

100%

ESP+ BCC Service %

28.27%

26.87%

-

0%

0%

Other Service %

0.07%

0.07%

-

0%

0%

KCC PA-2 (January-March,2018)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

24,890

25,593

36.77%

578,023

975,587

Maternal Care 9,958 9,958 27.47% 380,089 543,331

Antenatal Care 7,600 7,600 26.78% 77,172 141,998


Delivery Care (CS) 55 55 34.55% 245,060 305,020

Postnatal Care 1,290 1,290 30.93% 12,245 41,275

Neonatal Care 944 944 27.22% 12,010 19,640



Family Planning 8,084 8,084 50.92% 0 0





RTI/STI Care 374 374 36.63% 0 0


Child Health Care

7,336

7,336

32.81%

38,644

84,838




Childhood Diseases

2,015

2,015

37.77%

18,200

40,822

Diarrhea 2,015 2,015 37.77% 18,200 40,822

Measles 0 0 0.00% 0 0


Infections

1,943

1,943

35.72%

19,944

38,936


Child Nutrition 434 434 34.56% 500 5,080



Pag

e93

KCC PA-2 (January-March,2018)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy


279

279

26.88%

8,111

3,049



Control

279

279

26.88%

8,111

3,049


33,295

35,910

37.21%

122,994

474,490


Emergency Care 31 31 45.16% 40 1,200



2,947

5,001

34.27%

225,320

189,409




24,661

24,511

32.87%

0

0


Counseling 21,836 21,720 33.75% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

92.32%

27,825

334,308


68,747

74,119

36.41%

973,092

1,727,373

ESP+ BCC Service

24,661

24,511

32.87%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

93,408

98,630

35.48%

973,092

1,727,373


73.60%

75.15%

-

100%

100%

ESP+ BCC Service %

26.40%

24.85%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e94

SCC, PA-1 (January-March,2018)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

34,467

34,506

37.31%

603,240

1,036,063

Maternal Care 8,747 8,747 34.07% 537,630 354,444

Antenatal Care 4,912 4,912 33.02% 68,735 64,969


Delivery Care (CS) 62 62 40.32% 296,000 200,000

Postnatal Care 1,942 1,942 35.22% 25,360 26,830

Neonatal Care 1,641 1,641 35.77% 19,710 23,870



Family Planning 15,020 15,020 35.73% 0 387,310

Emergency Contraceptive Pill 58 58 50.00% 0 1,740




RTI/STI Care 3,112 3,112 37.34% 21,750 61,850


Child Health Care

9,728

9,880

41.54%

39,250

234,086




Childhood Diseases

1,538

1,538

39.27%

15,255

24,395

Diarrhea 1,538 1,538 39.27% 15,255 24,395

Measles 0 0 0.00% 0 0


Infections

2,197

2,197

36.05%

23,995

32,675

Control of Micronutrient Deficiency 1,926 2,078 66.93% 0 64,836

Child Nutrition 1,672 1,824 69.86% 0 57,216

Vitamin A Deficiency 190 190 47.89% 0 5,700

Iodine Deficiency 64 64 46.88% 0 1,920

Pag

e95

SCC, PA-1 (January-March,2018)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy


153

153

39.87%

570

4,020



Control

153

153

39.87%

570

4,020


66,557

66,585

33.68%

289,347

1,367,843



Treatment of Minor Infections 66,356 66,384 33.66% 287,887 1,363,273


12,869

12,942

37.83%

565,826

581,060




37,060

17,137

48.86%

0

13,230


Counseling 31,853 16,689 48.12% 0 13,230

Miscellaneous

96

8

33.33%

0

0



-

-

40.42%

445,986

302,589


123,713

124,005

35.74%

1,498,233

3,221,242

ESP+ BCC Service

37,060

17,137

48.86%

0

13,230

Other Service

96

8

33.33%

0

0

Grand Total

160,869

141,150

38.76%

1,498,233

3,234,472


76.90%

87.85%

-

100%

100%

ESP+ BCC Service %

23.04%

12.14%

-

0%

0%

Other Service %

0.06%

0.01%

-

0%

0%

Pag

e96

BCC PA-1 Srizony (January-March,2018)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

16,249

16,251

25.95%

591,550

423,910

Maternal Care 5,490 5,490 22.42% 450,460 372,120

Antenatal Care 3,611 3,611 21.13% 70,000 17,270


Delivery Care (CS) 112 112 21.43% 311,100 304,900

Postnatal Care 944 944 27.44% 6,070 11,590

Neonatal Care 629 629 19.08% 5,240 9,110



Family Planning 6,266 6,266 16.09% 0 0





RTI/STI Care 1,471 1,471 64.85% 9,340 12,850


Child Health Care

17,827

17,827

10.02%

20,840

15,893


Immunization Program - NID 13,010 13,010 0.00% 0 0


Childhood Diseases

749

749

57.01%

7,330

6,513

Diarrhea 749 749 57.01% 7,330 6,513

Measles 0 0 0.00% 0 0


Infections

1,167

1,167

52.96%

13,510

9,380





Pag

e97

BCC PA-1 Srizony (January-March,2018)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,299

4,299

84.60%

10,740

47,670





6,568

6,568

17.27%

383,361

83,946




16,772

16,746

29.32%

0

0


Counseling 12,538 12,535 23.23% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

31.28%

267,943

121,972


44,935

44,937

23.96%

1,006,491

571,209

ESP+ BCC Service

16,772

16,746

29.32%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

61,707

61,683

25.42%

1,006,491

571,209


72.82%

72.85%

-

100%

100%

ESP+ BCC Service %

27.18%

27.15%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e98

P

age9

8

CoCC,PA-01 (January-March,2018)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

36,841

36,852

47.40%

1,163,587

1,122,831

Maternal Care 7,434 7,434 37.25% 1,033,921 801,584

Antenatal Care 4,551 4,551 35.95% 78,640 50,975


Delivery Care (CS) 131 131 34.35% 710,096 599,904

Postnatal Care 1,724 1,724 46.93% 13,590 33,780

Neonatal Care 705 705 25.11% 11,095 14,425



Family Planning 18,715 18,715 45.04% 291 5,179





RTI/STI Care 3,162 3,162 60.44% 12,740 80,245


Child Health Care

12,570

12,700

42.54%

44,145

65,206




Childhood Diseases

1,549

1,549

58.04%

15,440

25,106

Diarrhea 1,549 1,549 58.04% 15,440 25,106

Measles 0 0 0.00% 0 0


Infections

2,379

2,379

50.82%

28,705

31,540

Control of Micronutrient Deficiency 995 1,125 53.57% 0 8,560

Child Nutrition 541 671 71.35% 0 8,560



Pag

e99

CoCC,PA-01 (January-March,2018)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


21,136

21,148

64.79%

74,479

372,362





14,978

14,978

44.84%

707,470

519,155




43,249

19,882

38.28%

0

0


Counseling 33,931 18,958 35.88% 0 0

Miscellaneous

186

12

51.08%

0

0



-

-

28.80%

499,147

201,894


85,525

85,678

50.53%

1,989,681

2,079,554

ESP+ BCC Service

43,249

19,882

38.28%

0

0

Other Service

186

12

51.08%

0

0

Grand Total

128,960

105,572

46.43%

1,989,681

2,079,554


66.32%

81.16%

-

100%

100%

ESP+ BCC Service %

33.54%

18.83%

-

0%

0%

Other Service %

0.14%

0.01%

-

0%

0%

Pag

e10

0

SrjM PA-1 (January-March,2018)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

12,160

13,119

32.64%

819,795

740,483

Maternal Care 4,111 4,236 29.80% 774,410 657,780

Antenatal Care 2,817 2,942 27.76% 46,350 26,590


Delivery Care (CS) 160 160 33.13% 687,600 598,400

Postnatal Care 791 791 37.17% 8,470 12,060

Neonatal Care 289 289 25.95% 6,590 2,930



Family Planning 5,154 5,154 33.93% 0 25,400





RTI/STI Care 1,168 1,168 32.28% 13,595 13,695


Child Health Care

2,518

2,559

36.97%

29,335

36,003

Immunization Program - EPI 315 356 0.00% 0 1,440



Childhood Diseases

780

780

41.54%

10,360

9,810

Diarrhea 600 600 43.17% 8,130 8,090

Measles 180 180 36.11% 2,230 1,720


Infections

1,036

1,036

44.21%

14,815

16,505


Child Nutrition 45 45 75.56% 140 5,408

Vitamin A Deficiency 335 335 32.24% 4,020 2,630


Pag

e10

1

SrjM PA-1 (January-March,2018)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


6,803

6,803

52.55%

60,170

189,890


Emergency Care 124 124 37.10% 400 830



4,420

4,420

25.50%

343,437

115,609




10,791

8,095

52.94%

0

0


Counseling 8,024 7,885 57.14% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

66.46%

136,040

269,528


25,810

26,810

36.91%

1,252,347

1,079,645

ESP+ BCC Service

10,791

8,095

52.94%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

36,601

34,905

41.64%

1,252,347

1,079,645


70.52%

76.81%

-

100%

100%

ESP+ BCC Service %

29.48%

23.19%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

2

KM PA-1 Srizony (January-March,2018)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

4,321

4,332

12.94%

125,170

50,287

Maternal Care 1,348 1,348 15.95% 118,440 44,760

Antenatal Care 987 987 17.73% 13,000 4,240


Delivery Care (CS) 15 15 33.33% 60,000 30,000

Postnatal Care 192 192 11.98% 1,170 1,040

Neonatal Care 102 102 2.94% 870 480

Menstrual Regulation 3 3 0.00% 1,800 0


Family Planning 2,254 2,254 5.72% 0 0




Adolescent Reproductive Health Care 327 327 36.70% 1,990 2,680

RTI/STI Care 312 323 25.64% 2,650 2,000

Other Reproductive Health Care 25 25 8.00% 110 220

Child Health Care

1,744

1,744

18.46%

16,730

6,687

Immunization Program - EPI 376 376 8.51% 0 0



Childhood Diseases

211

211

20.38%

2,850

1,000

Diarrhea 211 211 20.38% 2,850 1,000

Measles 0 0 0.00% 0 0


Infections

995

995

21.71%

13,870

4,650


Child Nutrition 77 77 23.38% 10 1,037



Pag

e10

3

KM PA-1 Srizony (January-March,2018)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,588

4,715

21.80%

31,210

27,880





1,230

2,085

24.96%

107,935

38,575




5,667

5,666

26.73%

0

0


Counseling 3,879 3,878 22.25% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

70.62%

32,338

77,725


11,905

12,898

18.41%

285,335

124,479

ESP+ BCC Service

5,667

5,666

26.73%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

17,572

18,564

21.10%

285,335

124,479


67.71%

69.44%

-

100%

100%

ESP+ BCC Service %

32.29%

30.56%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

4

KnjM PA 1 (January-March,2018)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

11,802

11,884

24.31%

712,943

617,102

Maternal Care 4,484 4,484 16.73% 653,313 541,692

Antenatal Care 2,671 2,671 17.03% 42,443 50,562


Delivery Care (CS) 103 103 13.59% 584,500 435,200

Postnatal Care 1,339 1,339 17.03% 11,985 36,140

Neonatal Care 353 353 14.45% 1,665 14,690



Family Planning 5,013 5,013 30.96% 0 0





RTI/STI Care 753 753 25.90% 6,075 19,160


Child Health Care

2,424

2,890

23.27%

15,459

28,616




Childhood Diseases

652

652

26.23%

7,640

11,290

Diarrhea 647 647 26.43% 7,390 11,290

Measles 5 5 0.00% 250 0


Infections

787

787

30.37%

7,819

17,076





Pag

e10

5

KnjM PA 1 (January-March,2018)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


10,072

31,548

31.05%

63,574

240,136





860

2,650

29.88%

221,269

126,301

Diagnostic Service 842 2,632 30.17% 215,419 125,701



12,089

7,992

25.08%

0

0


Counseling 9,323 5,226 23.01% 0 0

Miscellaneous

140

76

0.00%

0

0



-

-

39.70%

221,085

145,531


25,156

48,970

27.09%

1,013,245

1,012,075

ESP+ BCC Service

12,089

7,992

25.08%

0

0

Other Service

140

76

0.00%

0

0

Grand Total

37,385

57,038

26.34%

1,013,245

1,012,075


67.29%

85.86%

-

100%

100%

ESP+ BCC Service %

32.34%

14.01%

-

0%

0%

Other Service %

0.37%

0.13%

-

0%

0%

Pag

e10

6

GopM PA 1 (January-March,2018)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

3,351

3,351

23.22%

373,114

91,445

Maternal Care 1,816 1,816 15.53% 355,060 78,680

Antenatal Care 1,081 1,081 14.62% 28,590 7,600


Delivery Care (CS) 42 42 14.29% 277,000 59,000

Postnatal Care 354 354 18.36% 6,540 4,090

Neonatal Care 289 289 16.96% 6,610 4,290



Family Planning 802 802 44.01% 794 725





RTI/STI Care 322 322 21.12% 7,630 2,480

Other Reproductive Health Care 93 93 25.81% 2,310 780

Child Health Care

901

901

9.21%

14,695

2,530

Immunization Program - EPI 344 344 10.47% 700 1,270



Childhood Diseases

136

136

8.09%

3,890

470

Diarrhea 136 136 8.09% 3,890 470

Measles 0 0 0.00% 0 0


Infections

322

322

7.76%

10,030

760





Pag

e10

7

GopM PA 1 (January-March,2018)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


3,702

3,703

28.55%

63,130

53,890

First Aid for Injuries 71 71 14.08% 1,760 390




841

1,843

16.29%

162,985

36,885

Diagnostic Service 841 1,843 16.29% 162,985 36,885



2,145

2,145

16.41%

0

0

Health Education (Session) 712 712 20.65% 0 0

Counseling 1,433 1,433 14.31% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

12.92%

11,696

1,735


8,795

9,798

23.37%

613,924

184,750

ESP+ BCC Service

2,145

2,145

16.41%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

10,940

11,943

22.00%

613,924

184,750


80.39%

82.04%

-

100%

100%

ESP+ BCC Service %

19.61%

17.96%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e10

8

NACC PA 1 PSKP (January-March,2018)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,516

14,516

14.07%

855,109

303,919

Maternal Care 3,986 3,986 5.07% 670,810 208,370

Antenatal Care 2,609 2,609 3.64% 123,390 14,220


Delivery Care (CS) 66 66 15.15% 483,500 176,500

Postnatal Care 768 768 8.20% 22,710 12,660

Neonatal Care 521 521 6.33% 20,210 3,990



Family Planning 7,304 7,304 16.89% 7,883 1,095





RTI/STI Care 667 667 17.24% 23,554 6,766


Child Health Care

7,657

7,657

6.23%

48,888

19,422




Childhood Diseases

658

658

24.16%

19,709

8,351

Diarrhea 600 600 24.50% 17,699 7,751

Measles 58 58 20.69% 2,010 600


Infections

933

933

19.83%

29,099

10,951





Pag

e10

9

NACC PA 1 PSKP (January-March,2018)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy


5

5

0.00%

130

50



Control

5

5

0.00%

130

50


13,138

13,138

18.03%

263,492

347,656


Emergency Care 45 45 0.00% 7,070 190



3,542

8,047

18.89%

700,735

190,550




9,559

8,752

16.17%

0

0


Counseling 7,128 6,331 15.11% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

7.02%

1,141,636

86,141


38,857

43,362

14.30%

1,868,304

861,597

ESP+ BCC Service

9,559

8,752

16.17%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

48,416

52,114

14.67%

1,868,304

861,597


80.26%

83.21%

-

100%

100%

ESP+ BCC Service %

19.74%

16.79%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e11

0

RaCC PA 1 (January-March,2018)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

3,392

3,392

2.27%

281,287

397,642

Maternal Care 1,293 1,293 1.78% 245,109 382,760

Antenatal Care 759 759 2.37% 21,105 11,490


Delivery Care (CS) 51 51 0.00% 181,689 334,450

Postnatal Care 244 244 2.05% 1,330 7,990

Neonatal Care 179 179 0.00% 425 6,390



Family Planning 1,590 1,590 2.58% 0 0




Adolescent Reproductive Health Care 284 284 1.06% 960 2,830

RTI/STI Care 27 27 3.70% 750 360

Other Reproductive Health Care 73 73 10.96% 2,460 440

Child Health Care

1,161

1,161

0.95%

2,880

840




Childhood Diseases

22

22

4.55%

900

120

Diarrhea 22 22 4.55% 900 120

Measles 0 0 0.00% 0 0


Infections

71

71

14.08%

1,980

720





Pag

e11

1

RaCC PA 1 (January-March,2018)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


3,292

3,299

14.19%

61,692

60,448

First Aid for Injuries 86 86 0.00% 4,250 50




1,773

2,792

4.51%

162,210

35,385




7,892

2,676

14.85%

0

0


Counseling 5,370 2,378 8.85% 0 0

Miscellaneous

0

0

0.00%

0

0



-

-

13.56%

153,515

24,078


9,765

10,791

6.60%

517,369

501,615

ESP+ BCC Service

7,892

2,676

14.85%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

17,657

13,467

10.32%

517,369

501,615


54.93%

79.91%

-

100%

100%

ESP+ BCC Service %

45.07%

20.09%

-

0%

0%

Other Service %

0.00%

0.00%

-

0%

0%

Pag

e11

2

GCC PA 1 PSTC (January-March,2018)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

12,401

12,404

15.39%

392,381

69,815

Maternal Care 3,055 3,055 8.97% 346,088 53,007

Antenatal Care 2,383 2,383 9.02% 40,605 35,225

Delivery Care (NVD) 28 28 17.86% 16,708 500

Delivery Care (CS) 57 57 8.77% 279,402 7,500

Postnatal Care 373 373 9.38% 6,218 5,612

Neonatal Care 214 214 6.54% 3,155 4,170



Family Planning 7,808 7,808 15.09% 17,051 0


Maternal Nutrition 111 111 15.32% 1,970 960



RTI/STI Care 831 831 33.57% 12,738 7,038

Other Reproductive Health Care 17 17 0.00% 0 0

Child Health Care

1,886

1,886

19.25%

17,197

13,728




Childhood Diseases

241

241

29.05%

2,619

2,231

Diarrhea 198 198 34.34% 2,534 2,036

Measles 43 43 4.65% 85 195


Infections

616

616

16.72%

9,523

7,767


Child Nutrition 310 310 20.00% 5,055 3,730



Pag

e11

3

GCC PA 1 PSTC (January-March,2018)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


3,144

3,185

25.51%

46,161

37,931





1,455

3,464

22.47%

272,270

52,768




7,728

6,836

20.34%

0

0


Counseling 6,612 6,612 20.24% 0 0

Miscellaneous

82

6

20.73%

0

0



-

-

14.34%

532,829

89,167


18,832

20,885

17.95%

727,514

173,547

ESP+ BCC Service

7,728

6,836

20.34%

0

0

Other Service

82

6

20.73%

0

0

Grand Total

26,642

27,727

18.65%

727,514

173,547


70.69%

75.32%

-

100%

100%

ESP+ BCC Service %

29.01%

24.65%

-

0%

0%

Other Service %

0.31%

0.02%

-

0%

0%

Pag

e11

4

GaCCPA2 (January-March,2018)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

11,720

11,757

27.02%

578,000

440,216

Maternal Care 3,189 3,189 26.78% 515,575 341,021

Antenatal Care 2,353 2,353 26.39% 58,565 33,415


Delivery Care (CS) 76 76 23.68% 394,340 272,060

Postnatal Care 432 432 27.55% 7,990 9,006

Neonatal Care 257 257 28.79% 5,680 4,540



Family Planning 6,574 6,574 26.89% 0 0





RTI/STI Care 390 390 35.90% 6,415 9,215


Child Health Care

4,997

4,997

21.79%

36,320

23,950




Childhood Diseases

579

579

30.40%

12,220

10,220

Diarrhea 579 579 30.40% 12,220 10,220

Measles 0 0 0.00% 0 0


Infections

963

963

26.38%

24,100

13,730





Pag

e11

5

GaCCPA2 (January-March,2018)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


9,791

9,835

31.65%

84,962

289,275





1,798

4,044

30.65%

389,315

192,100




4,936

1,873

28.00%

0

0


Counseling 3,924 1,739 25.99% 0 0

Miscellaneous

30

3

16.67%

0

0



-

-

25.61%

349,588

120,365


28,306

30,633

27.93%

1,088,597

945,541

ESP+ BCC Service

4,936

1,873

28.00%

0

0

Other Service

30

3

16.67%

0

0

Grand Total

33,272

32,509

27.93%

1,088,597

945,541


85.07%

94.23%

-

100%

100%

ESP+ BCC Service %

14.84%

5.76%

-

0%

0%

Other Service %

0.09%

0.01%

-

0%

0%

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