QUARTERLY PERFORMANCE REPORT - uphcp.gov.bduphcp.gov.bd/cmsfiles/files/QPR...

URBAN PRIMARY HEALTH CARE SERVICES DELIVERY PROJECT

QUARTERLY PERFORMANCE REPORT

October-December, 2016

LOCAL GOVERNMENT DIVISION MINISTRY OF LOCAL GOVERNMENT, RURAL DEVELOPMENT & CO-OPERATIVES GOVERNMENT OFTHE PEOPLE'S REPUBLIC OF BANGLADESH

PROJECT MANAGEMENT UNIT Room 620, Nagar Bhaban, 5 Phoenix Road, Dhaka-1000, Bangladesh

Phone: (880-2) 955 0917, Fax: (880-2) 9569124, E-mail: [email protected] Web: www.uphcp.gov.bd

mailto:[email protected]

http://www.uphcp.gov.bd

Government of the People’s Republic of Bangladesh

Urban Primary Health Care Services Delivery Project ADB Loan No: 2878 BAN (SF)/SIDA Grant No 0298/UNFPA Grant No. BGD8U201,BGD8U202

Local Government Division

Ministry of Local Government, Rural Development & Cooperatives

Quarterly Performance Report

October-December 2016

Implementing Agencies

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

Naryangonj, Rnagpur, Gazipur City Corporation

&

Gopalgonj, Kishoregonj, Kushtia, Sirajgonj Municipality

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 Head Quarter

PA Partnership Area/Agreement

PAC Post Abortion Care

PEC Primary Eye Care

PHC Primary Health Care

PHCC Primary Health Care Center

PIU Project Implementation Unit

PM Project Manager

PMU Project Management Unit

PNC Postnatal Care

PP Project Proforma

PPM&E Project Performance Monitoring and Evaluation

PPR Public Procurement Rules

PSKP & PPS Progoti Samaj Kallyan Protisthan & Paribar Porikalpana Songstha

PSTC Population Services and Training Center

QoC Quality of Care

QPR Quarterly Performance Report

RACC Rangpur City Corporation

RBM Result Based Management

RCC Rajshahi City Corporation

RDU Rational Drug Use

RH Reproductive Health

RIC Resource Integration Center

RTI Reproductive Tract Infection

SBA Skilled Birth Attendant

SCC Sylhet City Corporation

SDGs Sustainable Development Goals

SIDA Swedish International Development Cooperation Agency

SM Sirajgonj Municipality

STD Sexually Transmitted Disease

STI Sexually Transmitted Infection

TB Tuberculosis

TBA Traditional Birth Attendant

TT Tetanus Toxoid

UHS Urban Health Strategy

UNFPA United Nations Population Fund

UPHCSDP Urban Primary Health Care Services Delivery Project

UTPS Unity Through Population Services

VAW Violence Against Women

WHO World Health Organization

TABLE OF CONTENTS

Preface 1

Executive Summary 2

Basic Data 3

Utilization of Fund 5

Project Purpose and Components 6

Implementation Progress 9

Design and Monitoring Framework 12

Project Implementation Schedule with Activities and Weights 19

Compliance with Loan Covenants 21

Report on Gender Action Plan 30

Appendix A: Status of Civil Works 37

Services Statistics (Performance of Partnership Agreements) 48

Photo 114

1

Preface

The Government of Peoples 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.

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% 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 Municipalities. The project is funded by GoB grant,

ADB loan, SIDA and UNFPA grant.

Any suggestions to improve the QPR will be highly appreciated.

Project Director Ph:02-9550917

20 March 2016 e-mail: [email protected]

2

Executive Summary

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

Primary Health Care Services Delivery Project, its Partner NGOs and Consulting Firms from

October to December 2016 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. DMF & Implementation Schedule

6. Compliance with Loan Covenants

7. Gender Action Plan

8. Service statistics

At the end of this quarter, the project has finished 54 months which is 90% of total project

period. By this time, it has achieved 74% cumulative contract award and 70% cumulative

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

70% for nine months. From staring of the project to end of this quarter, the project has

provided 34 million service contacts. In current quarter, total client contacts were 2.7 million,

among them 81.37% were female.

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

plan, DMF and Loan Covenants.

3

Basic Data

1.1 ADB Loan Number : 2878 BAN (SF)

1.2 SIDA Grant No : 0298 BAN (EF)

1.3 UNFPA Grant No : 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. Barishal 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

4

1.8 Total Estimated Project Cost : US$ 82.46 million

1.9 Financing Plan

Source Amount ($ millions) % Share of Total

Asian Development Bank 49.94 62.85

Government of Sweden 20.00 25.17

Government of Bangladesh 9.52 11.98

Total 79.46 100

UNFPA(Parallel grant) 3.00

Grand Total 82.46

1.10 Dates of approval, signing and effectiveness of ADB loan

(i) Date of Approval: 18 July 2012

(ii) Date of Signing: 26 September 2012

(iii) Date of Loan Effectiveness: 3 December 2012

1.11 Original and revised (if applicable) ADB loan closing date and elapsed

loan period based on original and revised (if applicable) loan closing

dates:

(i) Original Loan Closing Date: 30 June 2017

(ii) Revised Loan Closing Date: N/A

(iii) Elapsed time (as per original): 54 months (as on 31 December 2016)

1.12 Date of last ADB review mission: 2-5 October, 2016

5

Utilization of Fund

(ADB Loan, Co-financing and Counterpart funds) 2.1 Cumulative Contract Awards (Up to 31 December 2016)

Source Allocation CA Balance

Amount % Amount

ADB Loan 49.94 38.021 76 11.919

SIDA Grant 20 15.168 76 4.832

UNFPA Grant 3 1.303 43 1.698

Total 72.94 54.491 75 18.449

GOB Grant 9.52 6.702 70 2.818

Grant Total 82.460 61.193 74 21.267

2.2 Cumulative Disbursement (Up to 31 December 2016)

Source Allocation Dis Balance

Amount % Amount

ADB Loan 49.94 33.396 67 16.544

SIDA Grant 20 12.727 64 7.273

UNFPA Grant 3 1.303 43 1.697

Total 72.94 47.426 61 25.514

GOB Grant 9.52 6.702 70 2.818

Grant Total 82.46 54.128 66 28.332

2.3 Projection 2016 and Contract Award and Disbursement (Up to 31 December 2016)

Source Projection 2016 Achieved %

CA Dis CA Dis CA Dis

ADB Loan 6.010 11.000 1.306 10.824 22 98

SIDA Grant 1.100 3.200 - 2.176 - 68

Total 7.110 14.200 1.306 13.00 18 92

6

Project Purpose and Components

3.1 Project Scope and objectives

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

improve health status of the urban poor, especially women and children, in the

project area. The immediate outcome of the project is to improve quality of

Primary Health Care (PHC) utilization sustainably by the urban poor, particularly

women and children.

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

as the immediate outcomes of the project:

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

urban areas covered by the project;

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

project will ensure the MoHFW’s essential service delivery package (ESD+)

focused maternal and child health in urban areas, particularly for the poor.

The project will increase focus on family planning, nutrition, adolescent

health, and neonatal care;

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

women, newborn, and children;

(iv) Strengthening institutional arrangements for the delivery of PHC services

in urban areas;

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

delivery of PHC services, according to their mandate; and

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

strengthening ownership and commitment of the ULBs to ensure the

delivery of PHC services particularly for the poor.

3.2 Project Components

The project has three major components as stated below:

Component 1: Strengthened Institutional Governance and Local Government

Capacity to Sustainably Deliver Urban Primary Health Care Services

1.1 Strengthened strategy and coordination framework for urban PHC

1.1.1 National Urban Health Strategy

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

PHC

1.2.1 Institutional support to LGD

1.3 Strengthened local ownership and commitment for urban PHC

7

1.3.1 PHC advocacy and awareness building

1.3.2 Improved planning and budgeting for basic social services

1.4 Management systems, learning, and innovations on urban PHC

1.4.1 Urban Health Management Information System (Urban HMIS)

1.4.2 Facility Mapping

1.4.3 Operational Research

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

services delivery system through public‐private partnership.

2.1 Urban PHC services 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

8

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

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

Secretary, Local Government Division provides guidance to the PMU. Director General of

Monitoring, Inspection and Evaluation Wing of the Local Government Division is the Chief

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

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

Project Implementation Unit (PIU). The PIUs are assisted by Partnership NGOs to deliver

primary health care services to the people of the project areas. Each city corporation and

municipality has a Partnership Committee chaired by the Mayor. There is a Ward Primary

Health Care Coordination Committee (WPHCCC) chaired by the respective local Ward

Councilor and co-chaired by the female Ward Councilor and Zonal Health Officer.

3.4 Consultants

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

management and technical support to the project. The firms are: Project Performance

Monitoring & Evaluation (PPM&E) Firm, Behavior Change and Communication Marketing

(BCCM) Firm, ICT Solution and HMIS 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 PA Area. Each

selected PA NGO has been delivering services through one Comprehensive Reproductive

Health Care Centre (CRHCC), number of Primary Health Care Centers (PHCCs) and Satellite

or Mini Clinics.

9

Implementation Progress

4.1 Contract award

1 Total allocation : $82.46 million

2 Cumulative Contract Award from starting of the project : $61.194 million

3 % cumulative contract award against allocation : 74%

4 Target of CA this year : $7.110 million

5 Amount of CA till 30 December 2016 : $1.306 million

6 % CA against target of the year : 18%

4.1 Disbursement

1 Total allocation : $82.46 million

2 Total disbursement from starting of the project : $54.681 million

3 % cumulative disbursement against allocation : 70%

4 Target of disbursement for this year : $ 14.2 million

5 Amount of disbursement till 31 December 2016 : $ 13.00 million

6 % Disbursement against this year target : 92%

4.2 Procurement progress

1 Recruitment of Consultants

1.1 Invites RFP from 1st ranked consultant Ernst & Young (India) for Special Audit

Firm (S16)

1.2 NILL

2 Procurement of Goods

NILL

2.2 NILL

3 Civil Works

NILL

4.3 Trainings (As per approved training plan July 2015- June 2016)

1 In country Training

(i) Training on Gender Mainstreaming Health Services Delivery, 12-14 Nov & 15-17 Nov

2016

(ii) Training on Performance Based Financial Management for PMU, PIU, PA NGO'S

Officers, 18-22 December

3 Out-country Training

10

Nill

4.4 Service delivery

1 Number of services provided from starting of the project : 34,176,315

2 Number of services provided Oct-Dec quarter 2016 : 2,718,918

4.5 Major Implementation Activities (October-December 2016)

Sl Activities Date

1. ADB review mission 2-5 October, 2016

2. NGO quarterly progress review meeting 04 December 2016

Monitoring and Visits

3. QAT Visit to DSCC PA-4-PSTC 17-18 Oct 2016

4. QAT Visit to DSCC PA-1-PSTC 8-9 November,

2016

5. QAT Visit to DNCC-PA-2, NM 22-23 Nov 2016

6. DPD Nurul Absar with Dr. Arman Visited SM PA-1 03 Nov 2016

7. Dr. Arman Visited DNCC-PA-2 NM for interview 28 Nov 2016

8. Dr Nusrat Visited to DNCC PA-5, DAM for taken Interview 27 Dec 2016

4.6 Major Activities Accomplished by Consulting Firms (October -December 2016)

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

Communication Program)

(1) Workshop on Advocacy and Social mobilization was held from Oct 22 – 25

(2) Independent research firm selected for conducting End-line Survey

(3) BCC materials ( poster, dangler, IMCI Card, leaflet) produced and distributed

(4) Essay Contest process progressing

(5) Third round TA visit ongoing

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

(1) 2nd round ISI monitoring report completed

(2) Finalize GIS mapping picture and uploaded in UPHCSDPs Official website

(3) Annual Red card verification and updating completed

11

C. Operations Research Firm (ICDDRB)

(1) Completed HDSS 3rd round data collection

(2) Finalize of questionnaire preparation for knowledge/ prevalence of non-communicable

disease

(3) Questionnaire preparation, programming and data cleaning for 4th round data collection

(4) Data collection and Draft report preparation for Health seeking behavior: Maternal,

Neonatal & child health including family planning, adolescent reproductive health ,

violence against women

12

DESIGN AND MONITORING

FRAMEWORK

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

Project Specific Indicators

Type of

Measurement Baseline Achieved

By (Year) Performance

Target Year Value

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

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

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

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

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

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

Project Specific Indicators Type of

Measurement Baseline Achieved


Target Cumulative

Achievements Progress/ Status

Year Value

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

personnel (baseline: 26.5% BMMS 2010) Percent 2010 26.5 2017 60 25 PA NGOs has been

engaged to provide primary

health care services. At

present, there is no PANGO

in Gopalgonj municipality

partnership area

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

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

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

53% UHS 2006) Percent 2006 53 2017 60

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

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

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

Percent 2008 64.7 2017 80

At least 90% of project clients express satisfaction with project

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

13

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 partly mitigated through

transparent and successful bid processes.

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 Operational Plan (OP) has been developed and under process to

finalize.

14

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 - Urban Health Coordination Committee

has been formed headed by Additional Secretary (Urban Development)

- PPP contract management training not arranged yet

- Present data collection format through HMIS need to improve to incorporate 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 Till September 2016 Total Tk 47.25 million has been deposited

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 No progress

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.

15

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 N Preparation of a draft Operation 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 N -No perception survey conducted

- Marketing/Advocacy program has been

implementing by BCCM Firm

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 HMIS firms under process

- One operational research on Urban Health and

Demographic Surveillance is going on through

icddrb.

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

- All major services are delivered free of cost to

the red card holders

- Construction of 9 CRHCC buildings and 19

PHCC buildings is progressing

16

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 Indicators to be monitored.

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 Indicators to be monitored.


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.


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

PHC services. --

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

contract management. --

Recent Development

No. Activities Start Date End Date Completed Progress/Status

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 25 NGOs signed partnership agreements. In CCC

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 N Completed

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

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

assurance team

31-Jan-13 31-Jul-17 N PPME firm has been engaged. 2nd round ISI survey

is completed.

17

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 Recruitment process completed. At present, DPD(Service Delivery) and post of Program Officer

(Preventive) is vacant.

Computerized FMIS is functioning fully in partnership areas

by 31 December 2014, streamlining accounting procedures and

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

and partner NGOs).

Y/N 2014 Y Accounting system has been computerized using

tally software

Project monitoring and evaluation surveys, follow-up on

findings, data collection, and quarterly progress reporting are

implemented on schedule.

Y/N 2017 Y 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. --


Qualified counterpart staff and government counterpart funding are available on time. --

Adequate staffing is available to enforce internal controls and sound financial

management.

--

Recent Development

No. Activities Start Date End Date Completed Progress/Status

18

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 N Complied

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

3 3.3. Have fully functional FMIS in place by January 2015 1-Jan-13 31-Jan-15 N 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 N Training plan has been finalized.

19

ACTIVITIES

Adv. Act.

2012

Q1 Q2

Year 1 2012-13

Q3 Q4 Q1 Q2

Year 2 2013-14

Q3 Q4 Q1 Q2

Year 3 2014-15

Q3 Q4 Q1 Q2

Year 4 2015-16

Q3 Q4 Q1 Q2

Year 5 2016-17

Q3 Q4 Q1 Q2

Assigned

Weight

Actual

Progress

Weighted

Progress 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% 0.0% 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% 0.0% 1.2.2 Assist LGD to develop guidelines for ULBs related to urban health services 3% 0.0% 1.2.3 Implement training program for ULB staff (health department + management) 3% 5% 0.2% 1.2.4 Implement planning/budgeting training program for ULB staff 2% 0.0%

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% 0.0% 1.3.2 Implement ULB perception survey for all ULB officials and staff 2% 0.0% 1.3.3 Develop and implement a marketing/policy advocacy program for ULBs 3% 0.0% 1.3.4 Recruit firm / Develop BCCM (behavior change and communication) program 1% 0.0% 1.3.5 Implement BCCM program 4% 0.0%

Sub-component 1.4: Management systems, learning, and innovations on urban PHC 1.4.1 Recruit HMIS and IT solutions firm 1% 0.0% 1.4.2 Design and operationalize HMIS (including GIS and learning modules) 4% 0.0% 1.4.3 Develop and implement e-teaching/e-learning capacity in project area 2% 0.0% 1.4.4 Procurement of IT equipment for HMIS / e-learning 1% 0.0% 1.4.5 Maintenance and troubleshooting of HMIS 1% 0.0% 1.4.6 Implement action-oriented, participatory operational research 3% 0.0% 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 3% 5% 0.2% 2.1.4 Invite bids, award contracts, monitor construction PHCC package W13-38 3% 5% 0.2% 2.1.5 Invite bids, contract greening of existing clinics W40 3% 5% 0.2% 2.1.6 Periodic maintenance of PHCC and CRHCCs W41.1-41.10 1% 5% 0.1%

Sub-component 2.2: Pro-Poor Targeting 2.2.1 Establish list of poor in every PA 2% 0.0% 2.2.2 Distribute red cards in every PA 2% 0.0% 2.2.3 Update list of the poor in every PA 3% 0.0% 2.2.4 Support to NGOs for management of red cards 1% 0.0% 2.2.5 Weekly mobile outreach to the "ultra poor" and floating population 2% 0.0% 2.2.6 Sign collaboration agreements with BGMEA and other partners in project area 1% 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% 0.0% 2.3.2 Recruit M&E firm 1% 0.0% 2.3.3 Pilot performance linked incentives (annual) 3% 0.0% 2.3.4 Independent monitoring of partner NGO performance using ISIs (biannual) 3% 0.0% 2.3.5 Prepare procurement of medical equipment: field inventory - bidding documents 1% 0.0% 2.3.6 Procure medical equipment as required 3% 0.0% 2.3.7 Procure vehicles to PA NGOs as required 3% 0.0% 2.3.8 Procure drugs/supplies to PHCC and CRHCC 3% 0.0%

PROJECT IMPLEMENTATION SCHEDULE WITH ACTIVITIES AND WEIGHTS

20

ACTIVITIES

Adv. Act.

2012

Q1 Q2

Year 1

2012-13

Q3 Q4 Q1 Q2

Year 2

2013-14

Q3 Q4 Q1 Q2

Year 3

2014-15

Q3 Q4 Q1 Q2

Year 4

2015-16

Q3 Q4 Q1 Q2

Year 5

2016-17

Q3 Q4 Q1 Q2

Assigned

Weight

Actual

Progress

Weighted

Progress Component 3: Effective Project Management

Sub-component 3.1: Core Project Management Staff 3.1.1 Establish PMU/PIUs with complete staffing 2% 90% 1.8% 3.1.2 Procure approved vehicles for PMU and PIUs 2% 0.0% 3.1.3 Publish quarterly progress reports and Gender Action Plan updates 1% 0.0%

Sub-component 3.2: Technical support for Project management 3.2.1 Establish PMU Technical Support Team of Consultants 2% 60% 1.2%

Sub-component 3.3: Project Financial Management System 3.3.1 Design and Installation of Project Financial Management System 3% 0.0% 3.3.2 Training and Implementation of the Financial Management System 4% 0.0%

Sub-component 3.4: Training Coordination Unit 3.4.1 Establish Training Coordination Unit 1% 0.0% 3.4.2 Develop training guidelines and modules according to program 2% 0.0% 3.4.3 Implement training program 4% 0.0%

Total 100% 7.7%

21

7. Compliance with Loan Covenants

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks (as on Dec 2016)

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.

A Urban Development

Wing has been

established in LGD 22

May 2013.

A coordination committee

headed by Additional

Secretary (Urban

Development) has been

constituted.

No progress.

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.

Sec

tor

22

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on Dec 2016)

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 CRHC and PHC 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

1 site is selected in

Kishoregonj Municipality

for piloting solar energy

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

implement

ation)

As per recommendation of

Environmental

Specialist, step has 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

implement

ation)

Complied

En

vir

on

men

tal

23

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 30 June 2016)

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

implement

ation)

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

implement

ation)

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

24

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.

Jun 2017

(Ongoing

throughout

implement

ation)

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

25

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

26

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

G0298

1

3a

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

Category appears to be insufficient to finance all agreed

expenditures in that Category, ADB may, by notice to the

Recipient, (i) reallocate to such Category, to the extent

required to meet the estimated shortfall, amounts of the

Grant which have been allocated to another Category but, in

the opinion of ADB, are not needed to meet other

expenditures, and (ii) if such reallocation cannot fully meet

the estimated shortfall, reduce the withdrawal percentage

applicable to such expenditures in order that further

withdrawals under such Category may continue until all

expenditures thereunder shall have been made; and

As needed

Being complied.

Fin

anci

al

G0298

1

3b

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

Category appears to exceed all agreed expenditures in that

Category, ADB may, by notice to the Recipient, reallocate

such excess amount to any other Category.

As needed

Being complied.

Fin

anci

al

L2878

3

4a

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

appears to be insufficient to finance all agreed expenditures

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

reallocate to such Category, to the extent required to

meet the estimated shortfall, amounts of the Loan which

have been allocated to another Category but, in the opinion

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

if such reallocation cannot fully meet the estimated shortfall,

reduce the withdrawal percentage applicable to such

expenditures in order that further withdrawals under such

Category may continue until all expenditures thereunder

shall have been made; and

As needed

Being complied.

Fin

anci

al

L2878

3

4b

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

appears to exceed all agreed expenditures in that Category,

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

amount to any other Category.

As needed

Being complied.

Fin

anci

al

G0298

1

4

Disbursement Procedures

Except as ADB may otherwise agree, the Grant

proceeds shall be disbursed in accordance with the Loan Disbursement Handbook.

Jun 2017

(throughou t

project

period)

Being complied.

Fin

anci

al

L2878

3

5

Disbursement Procedures

Except as ADB may otherwise agree, the Loan proceeds

shall be disbursed in accordance with the Loan

Disbursement Handbook.

Jun 2017

(throughou t

project

period)

Being complied.

Fin

anci

al

27

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

G0298

1

5a

Imprest Account and Statement of Expenditures

Except as ADB may otherwise agree, the Recipient shall

establish, or cause to be established, immediately after the Effective Date, (i) a first

generation imprest account for LGD at the Bangladesh

Bank, and (ii) a second generation imprest account for each

Implementing Agency at a commercial bank acceptable to

ADB (collectively, imprest accounts). The imprest

accounts shall be established, managed, replenished and

liquidated in accordance with ADB’s Loan Disbursement

Handbook and detailed

arrangements agreed upon between the Recipient and ADB.

The imprest accounts shall only be used for the purposes of

the Project. The currency of the first generation imprest

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

generation imprest accounts shall be the Taka. The

aggregate amount to be deposited into the imprest accounts

shall not exceed the lower of (i) the estimated

expenditure to be financed from the imprest accounts for

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

equivalent of 10% of the Grant amount.

Dec 2012

Complied.

Fin

anci

al

G0298

1

6

The statement of expenditures procedure may be used for

reimbursement of eligible expenditures and to liquidate

advances provided into the imprest account, in accordance

with the Loan Disbursement Handbook and detailed

arrangements agreed upon between the Recipient and ADB.

Any individual payment to be reimbursed shall not

exceed the equivalent of

$100,000.

Jun 2017

Being complied.

Fin

anci

al

L2878

3

6a

Except as ADB may otherwise agree, the Borrower shall

establish, or cause to be established,

immediately after the Effective Date, (i) a first generation

imprest account for LGD at the Bangladesh Bank, and (ii) a

second generation imprest account for each Implementing

Agency at a commercial bank acceptable to ADB

(collectively, imprest accounts). The imprest accounts shall

be established, managed, replenished and liquidated in

accordance with ADB's Loan Disbursement

Handbook and detailed arrangements

agreed upon between the Borrower and ADB. The imprest

accounts shall only be used for the purposes of the Project.

The currency of the first generation imprest account shall be

the Dollar, and the currency of the second generation

imprest accounts shall be the Taka. The aggregate amount to

be deposited into the imprest accounts shall not exceed the

lower of (i) the estimated expenditure to be financed

from the imprest accounts for 6 months of Project

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

amount.

Dec 2012

Complied.

Fin

anci

al

28

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

3

6b

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

reimbursement of eligible expenditures and to liquidate

advances provided into the imprest account, in accordance

with Loan Disbursement Handbook and detailed

arrangements agreed upon between the Borrower and ADB.

Any individual payment to be reimbursed shall not

exceed the equivalent of

$100,000.

Jun 2017

Being complied.

Fin

anci

al

G0298

1

7

Retroactive Financing

Withdrawals from the Grant Account may be made for

reimbursement of reasonable expenditures incurred under

the Project before the Effective Date, but not earlier than 12

months before the date of this Grant Agreement in

connection with procurement for the Partnership

Agreements under Part B of the Project, subject to a

maximum amount equivalent to 20% of the Grant amount.

Dec 2012

Being complied.

Fin

anci

al

L2878

3

7

Retroactive Financing

Withdrawals from the Loan Account may be made for

reimbursement of reasonable expenditures incurred under the Project before the Effective Date, but not earlier than 12 months before the date of this Loan

Agreement in connection with procurement for the

Partnership Agreements under Part B of the Project, subject

to a maximum amount equivalent to 20% of the Loan

amount.

Dec 2012

Being complied.

Fin

anci

al

L2878

5

5

Counterpart Support

The Borrower shall ensure timely provision of counterpart

funds for the Project by making timely submission of

annual budgetary appropriation

requests and ensuring prompt disbursement of appropriated

funds during each year of the Project implementation.

Quarterly

Progress

Report

Being complied.

Fin

anci

al

L2878

Art

icle

4

4.0

5a

The Borrower shall exercise its rights under the financing

arrangements with the Implementing

Agencies in such a manner as to protect the interests of the

Borrower and ADB and to accomplish the purposes of the

Loan.

(b) No rights or obligations under the financing

arrangements shall be assigned, amended, or waived without

the prior concurrence of ADB.

Jun 2017

Being complied.

Eco

no

mic

L2878

5

13

Governance and Anti-Corruption

The Borrower shall, and shall cause each

Implementing Agency to, (i) comply with ADB’s

Anticorruption Policy (1998, as amended to date) and

acknowledge that ADB reserves the right to investigate

directly, or through its agents, any alleged corrupt,

fraudulent, collusive or coercive practice relating to the

Project; and (ii) cooperate with any such investigation and

extend all necessary assistance for satisfactory completion of

such investigation.

Jun 17

Being complied.

Eco

no

mic

29

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks


Typ

e

L2878

5

14


Implementing Agency to ensure, that the anticorruption

provisions acceptable to ADB are included in all bidding

documents and contracts, including provisions specifying

the right of ADB to audit and examine the records and

accounts of the executing and

implementing agencies and all contractors, suppliers,

consultants, and other service providers as they relate to the

Project.

Jun 17

Being complied.

Eco

no

mic

L2878

5

15

The Borrower shall ensure that a website is

established and regularly maintained by LGD for the

purposes of this Project. The Project website shall

communicate Project activities and implementation progress

through regular progress reports. The website shall also

announce any employment, education, and business

opportunities associated with the Project. Such

announcements, when dealing with contracts awarded under

the Project, shall at least disclose: (a) the list of participating

bidders, (b) the name of the winning bidder, (c) the amount

of the contracts awarded, and (d) the services procured.

Jan 2013

Complied

Eco

no

mic

L2878

5

20

Training and Study Tours

The Borrower shall ensure that selection for all training,

study tours and fellowships awarded under the Project conform to the transparent, objective and Verifiable selection criteria acceptable to ADB, and the

award of any such training, study tour and fellowship is

distributed equitably across gender and geographic areas.

Jun 2017

Being complied.

Oth

ers

30

PROGRESS REPORT OF GENDER ACTION PLAN (GAP)

Project Title: Urban Primary health care Services Delivery Project (UPHCSDP)

Date of Update: Oct 2016– Dec 2016 Submission Date: Feb, 2017

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

LGRD&C, Bangladesh

Timeframe: July 2012 to June 2017

Gender Category: GEN

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

city corporations and four municipalities

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

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

particular focus on women and girls.

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

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

2015)

If not, how gender mainstreaming is supported: Since 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.

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

implementation with active support from BCC and research Officer.

31

ACTIVITIES OF GENDER ACTION PLAN (October-December 2016)

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

October -

December 2016

PMU have own Gender

Action Plan (GAP), PIU &

PA-NGO follow it as per

rules.

At PMU & PIU level, PMU

doesn’t conduct any

Training program. Training

conduct in Institute level

and PMU & PIU follow

their developed module. At

PA-NGO level, 60% of PA-

NGO have their own

developed 3 training

module.

At PA-NGO level 48% of

PA-NGO have their own

trained Gender Trainer.

30% of already trained on

Gender at PMU, PIU & PA-

NGOs management and

technical staff level.

32

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-NGO’s HR policy complies with national HR

policy within 2 years of engagement.

All PMU, PIU & PA-

NGO’s HR policy complies

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

IndicatorsTarget:

Committee formed in all partner IA s 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

Indicators&Target:

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 UPHCSDP has

their own HMIS system is

entirely gender responsive

and the indicator of data

collection system at bottom

level is totally gender based.

The QPR published at

quarterly basis as it upload

in its official website.

Operation Research Firm

has been appointed on 8

July 2015. They are

working as per GAP and

every studies conducted

with specific focus on

gender aspects of PHC.

33

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’s 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 include in selection board.

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 contract TORs

completely comply with

GAP.

At PMU, PIU & PIU level,

at least one (1) woman

include in selection board.

79% beneficiaries for PHC

services out of total are

woman.

More than 65% of births are

attended by skilled

personnel in Project area.

60% 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.

34

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-NGO’s.

PHC services provided by PA-NGO’s.

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.

79% of poor woman red

card holder are getting

services out of total red card

holder.

90% of poor household 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-NGO’s 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-NGO’s performance-linked

bonus scheme indicators.

100% field-level service providers of NGO receiving

training.

According to Aide Memoire

for activity2.3, “100%

compliance of PA-NGOs

performance linked bonus

schemes indicators” to

“number of clicks received

per month on the web site

and sex disaggregated data

available on services and

other information on the

website”.

100% of field level service

provider at least receives

training on Gender issue.

All health care training is

100% gender responsive.

35

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).

.

IndicatorsTarget:

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 20% 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

Indicators&Target:

At least 20% women recruited at management,

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

NGO’s.

Staff recruited by PMU/PIU/CC/MC’s is assigned

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.

36

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.

IndicatorsTarget: 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

are not available now. The

contract period of full time

Gender Specialist has been

expired.

All Specialist TORs has not

included addressing of

Gender in their work

specifically except Gender

Specialist.

Recruiting of FMIS firm are

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 disaggregate data

collect, collate & maintain

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

37

Appendix-A

Urban Primary Health Care Services Delivery Project

Status of Civil Works (As on 31 December 2016)

Packa

ge No

Description of packages Estimated

Cost(BDT)

Name of Contractor Contract

amount (BDT)

Date of

Contract

Signed

Date of

completion

as per

Contract

Physical

Progress

Fund spent

(BDT)

Remarks

Construction of CRHCC-

W-1 Construction of 6 storied

CRHCC building at CS Plot -

209, Jahurabad near

intellectual Graveyard in

Dhaka North City

Corporation.

68168803.00 The Radient

Engineer and

Consulting House

No-451 ,Road No-

31,New DOHS

Mohakhali,Dhaka

73532750.07 4/3/2014 10/3/2016 100% 69894390.00 Handed over

to City

Corporation


CRHCC in Dhaka North City

Corporation.

Land not

available.


CRHCC in Chittagong City

Corporation.

Dropped


CRHCC building at 2 No

Custom Ghat in Khulna City

Corporation.

58574286.00 M/s Rupa Enterprise

Ebadat Tower,

Boishakhi Super

Market, Shiromony

Bazar, Khulna

52320258.44 28/01/14 31/5/2016 92% 38837707.22

38


CRHCC building at Tikapara

adjacent to UCEF school in

Rajshahi City Corporation.

68561962.00 FU-DE (JV)

Upashahar, Sapura,

Rajshahi

59931665.63 26/02/14 2/10/2016 100% 45822728.00


CRHCC building at Bandar

Shahi Masjid Road in

Narayanganj City

Corporation.

68359442.00 M/s Ahasan

Enterprise & M/s M

R Construction JV

60(Old), 78(New)

Shahsuja Road,

Paikpara,

Narayanganj

74857805.19 20/01/14 31/12/2015 100% 56735434.00


CRHCC in Gazipur City

Corporation.

62401259.00 M/s Iqbal Trading

Corporation,

Tezgaon Dhaka

62149661.63 12/6/201

6

19/6/2017 30% 5882000.00


CRHCC building at Dhirasom

Dakkhinkhan to Kolar Bazar

road in Gazipur City

Corporation.

61718275.00 MDJ Associates

House#08, Road

#10,

Sector#06,Uttara,

Dhaka-1230.

66597535.70 19/03/14 30/6/16 95% 43268756.00 Time

Extented


CRHCC building at East

Khasbag (Mahiganj near

Satmatha) in Rangpur City

Corporation.

60447716.00 SCAN-MAA (JV)

House No-1&2,

Road No-4(Concord

Arcadia Shopping

Mall) , Dhanmandi,

Dhaka-1205

54225711.91 11/3/201

4

30/12/16 90% 27427741.00 Time

Extented

Packa

ge No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion

as per

Contract

Physical

Progress

Fund spent

(BDT)

Remarks

39


CRHCC building at Millpara

Moha Shoshan Road in

Kushtia Municipality.

61510347.00 Mondol-NI-SH (JV)

63/1,L.C.A Road,

Amlapara ,Kushtia.

67593691.20 12/2/201

4

10/8/2016 90% 42949410.00 Time

Extented


CRHCC building at Harua in

Kishoreganj Municipality.

69945943.00 MSE-MRK (JV)

Solakia,

Kishoreganj.

65380215.84 3/11/201

4

9/2/2016 95% 45303600.00


CRHCC building at

Pourashava Compound

(Kuadanga Bus Stand) in

Gopalganj Municipality.

68677589.00 M/s Sajib Enterprise

(JV) Gopalganj.

60821764.33 26/02/14 30/6/16 95% 55783734.00 Time

Extented

Sub-Total: 637411059.94 431905500.22

Construction of PHCC-

W-13 Construction of PHCC

building in Dhaka North City

Corporation.

Land not

available.


building in Dhaka South City

Corporation.

Land not

available.


building in Chittagong City

Corporation.

Dropped.


building in Chittagong City

Corporation.

Dropped.


PHCC building at Kanaighat

Road,Koitok in Sylhet City

29903000.00 The Radiant

Engineering &

32530232.00 28/10/14 25/5/2016 90% 2400000.00 Time

Extented

40

Corporation. Consulting,


building in Sylhet City

Corporation.

Land not

available.


PHCC building at Bauband

Sadar Dakkhin in Comilla

City Corporation

26598000.00 M/s Hoque

Enterprise

75, Nazrul Avenue

Kandirpar, Comilla

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

paid.Handed

over to City

Corporation


PHCC building at Dulipara,

Dakkhin Rasulpur in Comilla

City Corporation.

30746000.00 M/s Hoque

Enterprise

75, Nazrul Avenue

Kandirpar, Comilla

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

Packa

ge No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion

as per

Contract

Physical

Progress

Fund spent

(BDT)

Remarks


PHCC building at Sadar

Dakkhin Kamalapur in

Comilla City Corporation.

30277000.00 M/s Hoque

Enterprise

75, Nazrul Avenue

Kandirpar, Comilla

33285280.00 23/9/14 10/3/2016 100% 32731855.00 Final Bill

paidHanded

over to City

Corporation


PHCC building at Laxmon

Khola in Narayanganj City

Corporation.

30817000.00 SCAN-MAA (JV)

349/a,East Goran

Dhaka-1219.

33653369.00 15/10/14 15/7/16 100% 28356866.00


PHCC building at Godnail in

Narayanganj City

Corporation.

29614000.00 M/s Ahsan

Enterprise & S R

Enterprise (JV)

60, Shahsuja Road,

Paikpara,

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

41

Narayanganj


PHCC building at Bara

Dewbhog in Narayanganj City

Corporation.

29985000.00 M/s Asif & Brothers

Murapara, Rupganj,

Narayanganj.

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


PHCC building at Neelerpara

in Gazipur City Corporation.

26961000.00 AE-FE-AFEC(JV)

F/180 ,North

Sayabithi,

Joydebpur,Gazipur

29202268.48 9/10/201

4

30/12/2016 75% 12237019.00 Time

Extented


PHCC building at Laxmipura

(Teen Sarak) in Gazipur City

Corporation.

27020000.00 M/S The Radiant

Engineering &

Consulting 24,

Mirpur Road, JA-

17, Globe Shoping

Centre, Dhaka.

29059930.31 13/10/14 30/6/2016 80% 13445000.00 Time

Extented

W-27 Construction of PHCC in

Gazipur City Corporation.

Land not

available.

W-28 Construction of PHCC in

Gazipur City Corporation.

Land not

available.


PHCC building at

Shommanipur in Rangpur

City Corporation.

25997000.00 M/S Rabeya

Enterprise &

Md.Abu Taleb

Milu(JV) New

Engineerpara,

Rangpur

27549172.93 2/7/2015 10/7/2016 70% 8802804.00

42


PHCC building at Ershad

Nagar in Rangpur City

Corporation.

26508000.00 SMAH-GME&

RC(JV), Rangpur

28093754.93 29/6/15 6/7/2016 90% 18412646.00


PHCC building at New

Jummapara in Rangpur City

Corporation.

29025000.00 M/S Taz Monjil

Kamal Kachna,

Rangpur

30749850.61 29/6/15 6/7/2016 80% 19995636.80

Packa

ge No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion

as per

Contract

Physical

Progress

Fund spent

(BDT)

Remarks


PHCC building at Ranigram,

Bottola in Serajganj

Municipality.

29793000.00 Prokalpo

Bastabayan

Ltd.Estern Mansion,

67/9 Pioneer Road,

Kakrail, Dhaka.

33267681.23 29/09/14 30/12/16 85% 25000000.00


PHCC building at Baradi in

Kushtia Municipality.

28735000.00 Tunna-Mondol -NI

(JV)3 No Raifel

Club Market

Kushtia.

31605272.68 21/10/14 30/4/16 100% 31579473.00


PHCC building at Barokhada

in Kushtia Municipality.

31251000.00 NI-GS-AW(JV)

Khodadad Khan

Road Thanapara,

Kushtia.

34346004.42 21/10/14 30/4/16 100% 28752637.00


PHCC building at Tarapasha

(Satal) in Kishoreganj

Municipality.

29556000.00 M/S G.K. Enterprise

Rampura, Dhaka

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

to

municipality

43


PHCC building at Prokash

Botrish Nurani Road in

Kishoreganj Municipality.

28451000.00 M/S G.K. Enterprise

Rampura, Dhaka

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


PHCC building at

Mohammapara in Gopalganj

Municipality.

27300120.0 M/s Showrove

Traders Chandmari

Road,Gopalganj

21481663.53 9/5/2016 30/3/2017 65% 11374507.00


PHCC building at Miapara in

Gopalganj Municipality.

26607191.00 M/s Showrove

Traders Chandmari

Road,Gopalganj

20867191.54 9/5/2016 30/3/2017 45% 840000.00

Sub-Total: 565526446.05 406242536.80

Packa

ge No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion

as per

Contract

Physical

Progress

Fund spent

(BDT)

Remarks

Maintenance:

44

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.

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

W41.

2


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.


Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

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

45

W41.

3


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


Syndicate

Prop: Md.

Asaduzzaman

79/2/3 West

Agargaon

Dhaka-1207.

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

Packa

ge No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion

as per

Contract

Physical

Progress

Fund spent

(BDT)

Remarks

W41.

4


Khalishpur-Ward No- 07 ;(2)

adjacent Bastohara Fish

Market-Ward No-09 ; (3)

Ward No-10 near Khalishpur

Shishu Park ; (4) Ward No-11

near Khalishpur New Market;

(5) Charer Hat-Ward No-13;

(6) Rayer Mahal-Ward No-14

& CRHCC at (7) Khalishpur-

Ward No-12 in KCC

6008451.00 M/s Zaman

Enterprise16,

Dilkusha C/A

,Dhaka.

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

46

W41-

5


Hazi Foyez Uddin Cross

Road-Ward No-16(A); (2)

Boyra College More-Ward

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

Ward No-17;(4) Sonadanga-

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

Road-Ward No-19;(6)Sher-E-

Bangla Road -Ward No-20;(7)

Goluk Moni Shishu Park-

Ward No-23; (8) Bashu Para

Kabar Khana-Ward No- & (9)

Bania Khamar-Ward No-26 in

KCC

6971021.00 Mir Construction

211,Khan Jahan Ali

Road, Khulna.

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

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


4860075.00 Mim Traiding (JV)

Malopara,Ghoramar

a Rajshahi.

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

W41.

7

Maintenance of CRHCC at

(1) Noadapara-Ward No-17 &

PHCC at (2) Choto

Bonograme-Ward No-18 (3)

Shakerchar-Ward No-23 ; (5)

Meherchandi -Ward No-26;

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

Dasmari -Ward No-29;(8)

Budh Para-Ward No-30 in


5648678.00 Mim Traiding (JV)

Malopara,Ghoramar

a Rajshahi.

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

Sub-Total: 32374138.31 32018621.50

47

Grand Total in BDT (CRHCC+PHCC+ PHCC): 1235311644.3

0

870166658.52

Grand Total in Million USD: 15.441 10.877

48

SERVICE STATISTICS

(OctoberDecember, 2016)

TABLE 02: Unique Client Flow by Sex and Age (OctoberDecember, 2016)

Age Group Male Female Total Male % Female % Total %

028 Days 31,820 35,906 67,726 46.983% 53.017% 0.004 %

29 to 364 Days 82,145 93,948 176,093 46.649% 53.351% 0.009 %

12 to 23 Months 40,427 52,668 93,095 43.426% 56.574% 0.005 %

24 to 59 Months 36,514 51,269 87,783 41.596% 58.404% 0.005 %

05 to 09 Years 17,241 29,533 46,774 36.860% 63.140% 0.002 %

10 to 14 Years 14,450 48,934 63,384 22.798% 77.202% 0.003 %

15 to 19 Years 17,014 161,823 178,837 9.514% 90.486% 0.010 %

20 to 49 Years 109,345 965,099 1,074,444 10.177% 89.823% 0.000 %

50 to 59 Years 12,861 40,109 52,970 24.280% 75.720% 0.003 %

60+ Years 5,618 14,183 19,801 28.372% 71.628% 0.001 %

Total 367,435 1,493,472 1,860,907 19.74% 80.26%

TABLE 03: Service Composition (OctoberDecember, 2016)

Service Type Up to Previous

Quarter

Current

Quarter

Grand Total

Current (%)

Overall (%)

ESP+ Clinical Service 26,743,262 2,190,940 28,934,202 78.219% 78.248%

ESP+ BCC Service 7,402,121 605,417 8,007,538 21.614% 21.655%

Other Service 30,932 4,686 35,618 0.167% 0.096%

Grand Total 34,176,315 2,801,043 36,977,358

49

53.02 % 46.98 %

53.35 % 46.65 %

56.57 % 43.43 %

58.40 % 41.60 %

63.14 % 36.86 %

77.20 % 22.80 %

90.49 % 9.51 %

89.82 % 10.18 %

75.72 % 24.28 %

71.63 % 28.37 %

Ag

e G

rou

ps

CHART 0104: UNIQUE CLIENT FLOW DISTRIBUTION (OctoberDecember, 2016)

Chart 01: Gender Distribution

Male: 19.7 %

Female: 80.3 %

Male : 367,435 Female : 1,493,472

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

3.64 %

5.00 %

4.72 %

2.51 %

3.41 %

2.85 %

1.06 %

9.46 %

9.61 %

Chart 02: Age Distribution

57.74 %

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

Client(%)

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

Chart 03: Gender Distribution by different Age Groups

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

Client (%)

FEMALE MALE

50

19

.20

%

0.0

0 %

15

.73

%

16

.66

%

23

.29

%

80

.80

%

90

.00

%

84

.27

%

83

.34

%

76

.71

%

87

.45

%

81

.56

%

81

.09

%

75

.70

%

81

.33

%

79

.42

%

82

.86

%

84

.58

%

79

.90

%

80

.61

%

74

.52

%

85

.32

%

78

.98

%

84

.19

%

81

.02

%

76

.66

%

72

.65

%

79

.05

%

77

.45

%

81

.12

%

2.5

5

18

.44

%

18

.91

%

24

.30

%

18

.67

%

20

.58

%

17

.14

%

15

.42

%

20

.10

%

19

.39

%

25

.48

%

14

.68

%

21

.02

%

15

.81

%

18

.98

%

23

.34

%

27

.35

%

20

.95

%

22

.55

%

18

.88

%

Cli

ent

(%)

120

Chart 04: PA-wise Unique Client Distribution MALE FEMALE

100

80

60

40

20

0

CHART 0507: SERVICE COMPOSITION (OctoberDecember, 2016)

Chart 05: Service Composition

Other Service: 0.2 %

ESP+ BCC Service: 21.6 %

ESP+ Clinical Service: 78.2 %

ESP+ Clinical ESP+ BCC Other

51

Th

ou

san

ds U

nit

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

CRHCC: 11.9 %

SATELLITE: 31.2 %

PHCC: 56.9 %

CRHCC : 260,980 PHCC : 1,246,152 SATELLITE : 683,808

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

SATELLITE: 21.3 % CRHCC: 21.8 %

PHCC: 56.9 %

CRHCC : 131,871 PHCC : 344,561 SATELLITE : 128,985

250k Chart 08: PA wise Client-Contact-Service Mix

200k

150k

100k

50k

0k

New Client Unique Client Contract Service

52

Nu

mb

er

of

Un

iqu

e C

lient

Nu

mb

er

of

Un

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e C

lient

Nu

mb

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of

Un

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e C

lient

20,6

35

56,9

47

50,4

68

23,0

09

56,4

28

64,6

45

46,8

60

11,6

35

42,0

66

54,8

92

13,2

71

54,0

46

36,2

92

22,7

56

50,8

24

42,1

12

25,4

28

60,2

25

34,9

42

37,2

25

,1

52

47,4

42

,148

67,7

58

59,1

87

62,3

18

26,5

04

41,2

64

30,1

73

44,6

09

68,4

96

62,7

72

11,2

52

68,2

81

11,4

04

74,9

25

52,2

39

98,5

14

21,4

24

39,9

07

24,9

35

29,3

28

50,8

65

45,2

17

22,9

17

41,4

07

27,7

59

24,6

83

45,3

98

71,7

56

80k

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

60k

40k

20k

0k

DSCC PA 1 DSCC PA 2 DSCC PA 3, DSCC PA 4 DSCC PA 5 DNCC PA 1 DNCC PA - DNCC PA 3

PSTC KMSS BAPSA PSTC PSTC Nari Maitree 02 Nari UTPS

Previous Quarter Current Quarter

Maitree

125k

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

100k

75k

50k

25k

0k

DNCC PA 4

DNCC, PA 5, DAM

RCC PA 1

RIC

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

Srizony


CoCC,PA-

01

40k

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

30k

20k

10k

0k

SrjM PA-1 KM PA-1 Srizony

KnjM PA 1 GopM PA 1 NACC PA 1

PSKP


RaCC PA 1 GCC PA 1

PSTC

GaCCPA2

53

Nu

mb

er

of

Serv

ice

N

um

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of

Serv

ice

N

um

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of

Serv

ice

36

4

11

8

33

6

36

6

16

8

41

1

22

1

88

3

30

2

32

80

3

36

15

1

12

7

39

9

16

8

13

5

42

1

77

10

2

29

3

18

7

24

2

28

1

29

0

13

7

20

1

12

9

23

3

32

8

32

3

13

7

39

0

12

2

22

3

33

1

24

8

18

0

31

6

25

4

22

9

28

6

27

3

18

5

25

6

24

5

18

5

24

7

24

3

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 - DNCC PA 3

PSTC KMSS BAPSA PSTC PSTC Nari Maitree 02 Nari UTPS


Maitree

400

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

300

200

100

0

DNCC PA 4

DNCC, PA 5, DAM

RCC PA 1

RIC

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

Srizony


CoCC,PA-

01

250

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

200

150

100

50

0

SrjM PA-1 KM PA-1 Srizony

KnjM PA 1 GopM PA 1 NACC PA 1

PSKP


RaCC PA 1 GCC PA 1

PSTC

GaCCPA2

TABLE 04: Service Componentwise Service Delivery

Current Quarter (OctoberDecember, 2016)

54

Component

Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Reproductive Health 8,186,011 123,249 288,815 0 412,064 285,950 698,014 8,884,025

Maternal Care 3,000,423 77,757 102,837 0 180,594 71,534 252,128 3,252,551

Antenatal Care 1,871,388 39,441 76,247 0 115,688 43,210 158,898 2,030,286

Delivery Care (NVD) 76,082 5,817 0 0 5,817 0 5,817 81,899

Delivery Care (CS) 44,750 3,277 0 0 3,277 0 3,277 48,027

Postnatal Care 619,570 19,456 16,369 0 35,825 16,939 52,764 672,334

Neonatal Care 388,633 9,766 10,221 0 19,987 11,385 31,372 420,005

Menstrual Regulation 91,389 518 6,688 0 7,206 0 7,206 98,595

Post Abortion Care 5,010 240 167 0 407 0 407 5,417

Family Planning 2,698,206 16,278 90,422 0 106,700 148,135 254,835 2,953,041

Emergency Contraceptive Pill 1,375 31 89 0 120 1 121 1,496

Maternal Nutrition 251,142 3,335 9,981 0 13,316 1,568 14,884 266,026

Violence Against Women 25,261 378 1,347 0 1,725 0 1,725 26,986

Adolescent Reproductive Health Care 1,079,570 11,815 34,762 0 46,577 38,160 84,737 1,164,307

RTI/STI Care 620,170 8,206 20,307 0 28,513 21,409 49,922 670,092

Other Reproductive Health Care 412,499 4,691 22,215 0 26,906 5,143 32,049 444,548

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



55

Component

Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Child Health Care 6,869,203 31,176 639,452 0 670,628 119,611 790,239 7,659,442

Immunization Program EPI 1,454,184 9,866 68,187 0 78,053 55,040 133,093 1,587,277

Immunization Program NID 3,515,143 4,412 511,363 0 515,775 0 515,775 4,030,918

Control of Diarrhoea & Other Childhood

Diseases

587,814

4,365

17,090

0

21,455

18,266

39,721

627,535

Diarrhea 584,343 4,335 16,924 0 21,259 18,075 39,334 623,677

Measles 3,471 30 166 0 196 191 387 3,858

Control of Acute Respiratory Infections 783,389 7,768 23,214 0 30,982 20,758 51,740 835,129

Control of Micronutrient Deficiency 528,673 4,765 19,598 0 24,363 25,547 49,910 578,583

Child Nutrition 331,155 1,866 13,872 0 15,738 3,505 19,243 350,398

Vitamin A Deficiency 195,883 2,886 5,639 0 8,525 22,042 30,567 226,450

Iodine Deficiency 1,635 13 87 0 100 0 100 1,735

Communicable Diseases Control 1,585,321 139 1,217 0 1,356 0 1,356 1,586,677

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

Other Communicable Diseases Control 21,013 139 1,217 0 1,356 0 1,356 22,369



56

Component

Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Limited Curative Care 7,626,915 37,065 173,016 0 210,081 268,355 478,436 8,105,351

First Aid for Injuries 57,495 1,725 2,321 0 4,046 1,281 5,327 62,822

Emergency Care 18,075 841 718 0 1,559 0 1,559 19,634

Treatment of Minor Infections 7,528,187 34,499 169,977 0 204,476 267,074 471,550 7,999,737

Support Services for ESP+ 2,475,812 69,351 143,652 0 213,003 9,892 222,895 2,698,707

Diagnostic Service 2,461,665 68,099 143,652 0 211,751 9,892 221,643 2,683,308

Emergency Transportation Service 14,147 1,252 0 0 1,252 0 1,252 15,399

Behavior Change Communication 7,402,121 131,871 344,561 0 476,432 128,985 605,417 8,007,538

Health Education (Session) 1,685,243 0 0 0 0 128,985 128,985 1,814,228

Counseling 5,716,878 131,871 344,561 0 476,432 0 476,432 6,193,310

Miscellaneous 30,932 4,686 0 0 4,686 0 4,686 35,618

Adolescent Development Program 30,932 4,686 0 0 4,686 0 4,686 35,618

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

ESP+ Clinical Service 26,743,263 260,980 1,246,152 0 1,507,132 683,808 2,190,940 28,934,203

ESP+ BCC Service 7,402,121 131,871 344,561 0 476,432 128,985 605,417 8,007,538

Other Service 30,932 4,686 0 0 4,686 0 4,686 35,618

Grand Total 34,176,316 397,537 1,590,713 0 1,988,250 812,793 2,801,043 36,977,359

ESP+ Clinical Service % 78.25% 65.65% 78.34% 0.00% 75.80% 75.80% 78.22% 78.12%

ESP+ BCC Service % 21.66% 33.17% 21.66% 0.00% 23.96% 23.96% 21.61% 21.79%

Other Service % 0.09% 1.18% 0.00% 0.00% 0.24% 0.24% 0.17% 0.10%

TABLE 05: Service Componentwise Service Contact 9

57


Component

Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Reproductive Health 7,730,467 235,501 258,015 47,530 149,357 46,426 643,977 690,403 8,420,870

Maternal Care 2,861,461 84,095 47,232 27,440 93,278 14,275 237,770 252,045 3,113,506

Antenatal Care 1,782,647 50,958 29,439 17,440 60,978 0 158,815 158,815 1,941,462

Delivery Care (NVD) 72,271 1,962 147 867 2,841 0 5,817 5,817 78,088

Delivery Care (CS) 42,256 1,042 8 1,383 844 0 3,277 3,277 45,533

Postnatal Care 592,133 19,644 10,619 4,901 17,600 0 52,764 52,764 644,897

Neonatal Care 372,154 10,489 7,019 2,849 11,015 14,275 17,097 31,372 403,526

Menstrual Regulation 87,377 2,792 257 1,923 2,234 0 7,206 7,206 94,583

Post Abortion Care 4,778 138 41 105 123 0 407 407 5,185

Family Planning 2,589,318 80,476 157,815 689 15,855 28,030 226,805 254,835 2,844,153

Emergency Contraceptive Pill 1,318 44 71 1 5 0 121 121 1,439

Maternal Nutrition 238,562 7,449 6,762 532 144 0 14,887 14,887 253,449

Violence Against Women 26,217 846 815 22 112 0 1,795 1,795 28,012

Adolescent Reproductive Health Care 957,972 28,822 25,161 9,628 15,591 2,052 77,150 79,202 1,037,174

RTI/STI Care 579,160 20,540 9,595 5,462 13,523 1,807 47,313 49,120 628,280

Other Reproductive Health Care 383,338 10,299 10,266 1,728 8,492 262 30,523 30,785 414,123

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 Servicecontact (Global Free Services for NonPoor, Free Followup of Paying Contact,

Free for Services other than First Prime Service and Full Free NonCard Holder) 12

PF is Partial Free Servicecontact | 13

Paid is Full Paid Servicecontact


58


Component

Up to

Previous

Quarter

Poor FF

10

FF(NC)

PF

Paid

Male

Female

Total

Grand

Total

Child Health Care 6,157,100 164,747 503,693 10,167 34,744 309,538 403,813 713,351 6,870,451

Immunization Program EPI 1,383,789 31,252 101,876 9 0 59,913 73,224 133,137 1,516,926

Immunization Program NID 2,968,925 80,637 359,800 33 0 188,687 251,783 440,470 3,409,395


Diseases

561,097

16,690

4,569

4,463

13,999

17,284

22,437

39,721

600,818

Diarrhea 557,812 16,558 4,466 4,455 13,855 17,130 22,204 39,334 597,146

Measles 3,285 132 103 8 144 154 233 387 3,672

Control of Acute Respiratory Infections 750,772 21,118 5,456 4,994 20,172 22,970 28,770 51,740 802,512

Control of Micronutrient Deficiency 492,517 15,050 31,992 668 573 20,684 27,599 48,283 540,800

Child Nutrition 304,191 8,059 8,547 666 344 7,319 10,297 17,616 321,807

Vitamin A Deficiency 186,827 6,934 23,409 2 222 13,357 17,210 30,567 217,394

Iodine Deficiency 1,499 57 36 0 7 8 92 100 1,599

Communicable Diseases Control 1,226,959 402 324 97 533 677 679 1,356 1,228,315

Tuberculosis Control 1,206,737 0 0 0 0 0 0 0 1,206,737

Other Communicable Diseases Control 20,222 402 324 97 533 677 679 1,356 21,578

11 12 13


59


Component

Up to

Previous

Quarter

Poor FF

10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Limited Curative Care 6,763,938 162,128 110,696 62,114 109,960 91,474 353,424 444,898 7,208,836

First Aid for Injuries 55,379 2,023 1,312 505 1,487 1,532 3,795 5,327 60,706

Emergency Care 17,540 612 242 79 626 284 1,275 1,559 19,099

Treatment of Minor Infections 6,667,861 159,493 109,142 61,530 107,847 89,658 348,354 438,012 7,105,873

Support Services for ESP+ 1,729,534 53,639 12,561 23,786 63,436 16,154 137,268 153,422 1,882,956

Diagnostic Service 1,715,295 53,191 12,260 23,668 63,044 15,894 136,269 152,163 1,867,458

Emergency Transportation Service 14,239 448 301 118 392 260 999 1,259 15,498

Behavior Change Communication 8,494,873 239,303 468,943 396 124 139,715 569,051 708,766 9,203,639

Health Education (Session) 2,174,609 53,748 109,871 396 124 33,694 130,445 164,139 2,338,748

Counseling 6,320,264 185,555 359,072 0 0 106,021 438,606 544,627 6,864,891

Miscellaneous 72,646 1,238 5,484 0 0 1,460 5,262 6,722 79,368

Adolescent Development Program 72,646 1,238 5,484 0 0 1,460 5,262 6,722 79,368

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

ESP+ Clinical Service 23,607,998 616,417 885,289 143,694 358,030 464,269 1,539,161 2,003,430 25,611,428

ESP+ BCC Service 8,494,873 239,303 468,943 396 124 139,715 569,051 708,766 9,203,639

Other Service 72,646 1,238 5,484 0 0 1,460 5,262 6,722 79,368

Grand Total 32,175,517 856,958 1,359,716 144,090 358,154 605,444 2,113,474 2,718,918 34,894,435

ESP+ Clinical Service % 73.37% 71.93% 65.11% 99.73% 99.97% 76.68% 72.83% 73.68% 73.40%

ESP+ BCC Service % 26.40% 27.92% 34.49% 0.27% 0.03% 23.08% 26.92% 26.07% 26.38%

Other Service % 0.23% 0.14% 0.40% 0.00% 0.00% 0.24% 0.25% 0.25% 0.23%

60

TABLE 06: Comparative Statement of Service Contact among different Quarters

Component 14

Qtr

Avg.

15 1 Year

Prev.

16 Prev.

Qtr

Current

Qtr

Grand

Total

Reproductive Health 596,825 556,955 543,118 690,403 1,791,072

Maternal Care 226,131 209,678 216,670 252,045 678,619

Antenatal Care 140,560 127,775 135,089 158,815 421,819

Delivery Care (NVD) 5,589 5,260 5,691 5,817 16,773

Delivery Care (CS) 3,118 2,942 3,134 3,277 9,356

Postnatal Care 47,347 44,528 44,748 52,764 142,087

Neonatal Care 29,518 29,173 28,008 31,372 88,582

Menstrual Regulation 6,308 5,481 6,236 7,206 18,929

Post Abortion Care 346 291 340 407 1,384

Family Planning 203,034 184,273 169,993 254,835 609,304

Emergency Contraceptive Pill 128 121 143 121 513

Maternal Nutrition 14,176 14,614 13,026 14,887 42,541

Violence Against Women 1,700 1,485 1,821 1,795 5,102

Adolescent Reproductive Health Care 72,570 72,792 65,716 79,202 217,782

RTI/STI Care 44,005 40,597 42,298 49,120 132,059

Other Reproductive Health Care 28,428 27,623 26,875 30,785 85,311

Child Health Care 572,048 556,093 446,700 713,351 1,716,716

Immunization Program EPI 116,339 113,639 102,242 133,137 349,134

Immunization Program NID 333,085 319,384 239,401 440,470 999,588


Diseases

37,706

38,192

35,205

39,721

113,155

Diarrhea 37,450 37,998 35,017 39,334 112,386

Measles 256 194 188 387 1,025

Control of Acute Respiratory Infections 49,403 52,519 43,949 51,740 148,257

Control of Micronutrient Deficiency 35,515 32,359 25,903 48,283 106,580

Child Nutrition 16,980 17,643 15,681 17,616 50,956

Vitamin A Deficiency 18,441 14,628 10,127 30,567 55,340

Iodine Deficiency 94 88 95 100 377

14 Quarterly Average (Jul 2005 to current quarter).

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

16Previous/last quarter

61

TABLE 06: Comparative Statement of Service Contact among different Quarters

Component 14

Qtr

Avg.

15 1 Year

Prev.

16 Prev.

Qtr

Current

Qtr

Grand

Total

Communicable Diseases Control 32,964 96,457 1,080 1,356 98,925

Tuberculosis Control 31,819 95,456 0 0 95,487

Other Communicable Diseases Control 1,146 1,001 1,080 1,356 3,438

Limited Curative Care 421,225 424,038 394,740 444,898 1,264,097

First Aid for Injuries 4,721 4,251 4,586 5,327 14,168

Emergency Care 1,473 1,366 1,495 1,559 4,421

Treatment of Minor Infections 415,031 418,421 388,659 438,012 1,245,507

Support Services for ESP+ 133,764 114,872 132,999 153,422 401,426

Diagnostic Service 132,641 113,959 131,802 152,163 398,056

Emergency Transportation Service 1,123 913 1,197 1,259 3,370

Behavior Change Communication 666,821 682,223 609,473 708,766 2,001,128

Health Education (Session) 156,102 172,337 131,829 164,139 468,461

Counseling 510,719 509,886 477,644 544,627 1,532,667

Miscellaneous 6,524 6,283 6,568 6,722 19,579

Adolescent Development Program 6,524 6,283 6,568 6,722 19,579

ESP+ Clinical Service 1,756,827 1,748,415 1,518,637 2,003,430 5,270,483

ESP+ BCC Service 666,821 682,223 609,473 708,766 2,001,128

Other Service 6,524 6,283 6,568 6,722 19,579

Grand Total 2,430,172 2,436,921 2,134,678 2,718,918 7,290,519

ESP+ Clinical Service % 72.29% 71.75% 71.14% 73.68% 72.29%

ESP+ BCC Service % 27.44% 28.00% 28.55% 26.07% 27.44%

Other Service % 0.27% 0.26% 0.31% 0.25% 0.27%

62


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Reproductive Health 690,403 698,014 235501 34.11% 26,288,910 28,529,770

Maternal Care 252,045 252,128 84095 33.37% 21,605,951 20,168,894

Antenatal Care 158,815 158,898 50958 32.09% 2,578,975 2,916,875

Delivery Care (NVD) 5,817 5,817 1962 33.73% 2,804,390 2,293,329

Delivery Care (CS) 3,277 3,277 1042 31.80% 14,964,059 13,178,721

Postnatal Care 52,764 52,764 19644 37.23% 764,728 1,113,267

Neonatal Care 31,372 31,372 10489 33.43% 493,799 666,702

Menstrual Regulation 7,206 7,206 2792 38.75% 2,534,261 2,844,538

Post Abortion Care 407 407 138 33.91% 313,943 253,517

Family Planning 254,835 254,835 80476 31.58% 94,212 1,417,192

Emergency Contraceptive Pill 121 121 44 36.36% 170 3,400

Maternal Nutrition 14,887 14,884 7449 50.04% 11,064 334,813

Violence Against Women 1,795 1,725 846 47.13% 4,676 25,340

Adolescent Reproductive Health

Care

79,202

84,737

28822

36.39%

698,650

1,709,609

RTI/STI Care 49,120 49,922 20540 41.82% 593,540 1,075,719

Other Reproductive Health Care 30,785 32,049 10299 33.45% 432,443 696,748

Child Health Care 713,351 790,239 164747 23.09% 1,504,123 2,881,668

Immunization Program EPI 133,137 133,093 31252 23.47% 210 548,255

Immunization Program NID 440,470 515,775 80637 18.31% 360 4,020

Control of Diarrhoea & Other

Childhood Diseases

39,721

39,721

16690

42.02%

618,933

909,830

Diarrhea 39,334 39,334 16558 42.10% 615,618 905,385

Measles 387 387 132 34.11% 3,315 4,445

Control of Acute Respiratory

Infections

51,740

51,740

21118

40.82%

856,832

996,837

Control of Micronutrient

Deficiency

48,283

49,910

15050

31.17%

27,788

422,726

Child Nutrition 17,616 19,243 8059 45.75% 22,428 368,861

Vitamin A Deficiency 30,567 30,567 6934 22.68% 5,080 50,925

Iodine Deficiency 100 100 57 57.00% 280 2,940

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

UPHCPII 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.

63


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Communicable Diseases

Control

1,356

1,356

402

29.65%

23,380

28,780

Tuberculosis Control 0 0 0 0.00% 0 0

Other Communicable Diseases

Control

1,356

1,356

402

29.65%

23,380

28,780

Limited Curative Care 444,898 478,436 162128 36.44% 5,021,931 9,317,719

First Aid for Injuries 5,327 5,327 2023 37.98% 73,996 116,294

Emergency Care 1,559 1,559 612 39.26% 56,405 66,115

Treatment of Minor Infections 438,012 471,550 159493 36.41% 4,891,530 9,135,310

Support Services for ESP+ 153,422 222,895 53639 34.96% 12,539,829 8,798,996

Diagnostic Service 152,163 221,643 53191 34.96% 12,371,549 8,724,296

Emergency Transportation

Service

1,259

1,252

448

35.58%

168,280

74,700

Behavior Change

Communication

708,766

605,417

239303

33.76%

0

104,880

Health Education (Session) 164,139 128,985 53748 32.75% 0 29,480

Counseling 544,627 476,432 185555 34.07% 0 75,400

Miscellaneous 6,722 4,686 1238 18.42% 0 0

Adolescent Development

Program

6,722

4,686

1238

18.42%

0

0

Income Generation from

Medicine

38.15%

10,027,882

6,184,521

ESP+ Clinical Service

2,003,430

2,190,940

616417

30.77%

45,378,173

49,556,933

ESP+ BCC Service

708,766

605,417

239303

33.76%

0

104,880

Other Service

6,722

4,686

1238

18.42%

0

0

Grand Total

2,718,918

2,801,043

856958

31.52%

45,378,173

49,661,813

ESP+ Clinical Service %

73.68%

78.22%

100.00%

99.79%

ESP+ BCC Service %

26.07%

21.61%

0.00%

0.21%

Other Service %

0.25%

0.17%

0.00%

0.00%

64

DSCC PA 1 PSTC (OctoberDecember, 2016)

TABLE 08.01:

PA wise Performance Summary

Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health 51,420 53,012 39.81% 2,494,464 2,159,147

Maternal Care 23,632 23,632 39.47% 1,829,743 1,429,777

Antenatal Care 13,460 13,460 38.79% 368,789 296,701

Delivery Care (NVD) 411 411 33.09% 280,000 147,030

Delivery Care (CS) 245 245 42.45% 929,270 760,000

Postnatal Care 5,611 5,611 43.33% 141,364 138,286

Neonatal Care 3,905 3,905 36.75% 110,320 87,760

Menstrual Regulation 599 599 34.89% 314,520 134,915

Post Abortion Care 7 7 0.00% 16,600 0

Family Planning 9,166 9,166 34.79% 0 0

Emergency Contraceptive Pill 0 0 0.00% 0 0

Maternal Nutrition 177 177 64.41% 0 0

Violence Against Women 109 109 43.12% 6 0


Care

4,721

5,697

42.19%

103,324

125,556

RTI/STI Care 7,188 7,711 46.72% 121,137 235,233

Other Reproductive Health Care 5,821 5,914 38.36% 109,134 233,666

Child Health Care 20,621 20,645 25.64% 214,745 267,339

Immunization Program EPI 12,161 12,161 15.18% 0 0

Immunization Program NID 0 0 0.00% 0 0


Childhood Diseases

3,956

3,956

40.98%

100,550

171,160

Diarrhea 3,956 3,956 40.98% 100,550 171,160

Measles 0 0 0.00% 0 0


Infections

4,309

4,309

39.13%

114,195

96,179

Control of Micronutrient Deficiency 195 219 69.23% 0 0

Child Nutrition 180 204 72.22% 0 0

Vitamin A Deficiency 15 15 33.33% 0 0

Iodine Deficiency 0 0 0.00% 0 0

65


TABLE 08.01:


Contact

Service

Propoor %

Revenue

Subsidy

Communicable Diseases Control 17 17 35.29% 500 350

Tuberculosis Control 0 0 0.00% 0 0


Control

17

17

35.29%

500

350

Limited Curative Care 26,161 27,979 33.35% 758,405 566,765

First Aid for Injuries 87 87 55.17% 1,290 1,850

Emergency Care 171 171 43.27% 25,655 9,460

Treatment of Minor Infections 25,903 27,721 33.22% 731,460 555,455

Support Services for ESP+ 7,463 17,915 38.55% 1,519,545 489,428

Diagnostic Service 7,441 17,893 38.58% 1,511,545 486,428

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

Behavior Change Communication 55,607 54,535 37.40% 0 0

Health Education (Session) 7,164 7,117 41.22% 0 0

Counseling 48,443 47,418 36.83% 0 0

Miscellaneous 520 520 30.00% 0 0

Adolescent Development Program 520 520 30.00% 0 0

Income Generation from Medicine

28.13%

628,795

246,103


105,682

119,568

35.36%

4,987,659

3,483,029

ESP+ BCC Service

55,607

54,535

37.40%

0

0

Other Service

520

520

30.00%

0

0

Grand Total

161,809

174,623

36.04%

4,987,659

3,483,029


65.31%

68.47%

100%

100%

ESP+ BCC Service %

34.37%

31.23%

0%

0%

Other Service %

0.32%

0.30%

0%

0%

66

DSCC PA 2 KMSS (OctoberDecember, 2016)

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

32,467

33,115

23.87%

865,670

375,078

Maternal Care 11,070 11,070 18.28% 454,710 164,020

Antenatal Care 6,717 6,717 18.51% 125,270 78,610


Delivery Care (CS) 49 49 34.69% 148,400 36,300

Postnatal Care 2,442 2,442 19.66% 44,720 24,620

Neonatal Care 1,526 1,526 16.19% 31,270 18,000


Post Abortion Care 14 14 28.57% 0 80

Family Planning 6,747 6,747 23.37% 0 0





Care

5,260

5,445

28.94%

93,210

62,738

RTI/STI Care 4,263 4,283 32.63% 68,890 48,750


Child Health Care

11,440

29,130

20.59%

122,750

70,279


Immunization Program NID 0 17,690 0.00% 0 0


Childhood Diseases

2,600

2,600

33.31%

51,710

31,840

Diarrhea 2,598 2,598 33.29% 51,710 31,840

Measles 2 2 50.00% 0 0


Infections

3,290

3,290

27.33%

70,990

38,439





67

DSCC PA 2 KMSS (OctoberDecember, 2016)

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

24,279

24,419

32.81%

481,856

312,036


Emergency Care 189 189 39.15% 4,060 3,120


Support Services for ESP+

3,694

7,084

25.01%

368,425

83,920

Diagnostic Service 3,694 7,084 25.01% 368,425 83,920

Emergency Transportation Service 0 0 0.00% 0 0

Behavior Change Communication

73,593

73,533

31.44%

0

0


Counseling 46,804 46,804 32.01% 0 0

Miscellaneous

383

383

31.33%

0

0



33.83%

366,685

187,489


71,880

93,748

26.43%

1,838,701

841,313

ESP+ BCC Service

73,593

73,533

31.44%

0

0

Other Service

383

383

31.33%

0

0

Grand Total

145,856

167,664

28.97%

1,838,701

841,313


49.28%

55.91%

100%

100%

ESP+ BCC Service %

50.46%

43.86%

0%

0%

Other Service %

0.26%

0.23%

0%

0%

68

DSCC PA 3, BAPSA (OctoberDecember, 2016)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

30,863

31,018

37.46%

1,713,143

1,302,580

Maternal Care 12,783 12,783 39.38% 1,308,727 860,251

Antenatal Care 7,427 7,427 35.34% 162,694 142,374


Delivery Care (CS) 145 145 31.72% 872,000 385,000

Postnatal Care 3,064 3,064 46.15% 40,252 82,478

Neonatal Care 1,726 1,726 43.74% 22,481 40,699


Post Abortion Care 70 70 38.57% 26,650 9,580

Family Planning 9,744 9,744 31.14% 7,763 1,149





Care

4,031

4,186

40.78%

40,651

94,645

RTI/STI Care 2,147 2,147 47.93% 39,907 54,005


Child Health Care

36,320

36,320

27.09%

108,389

147,471


Immunization Program NID 19,348 19,348 22.92% 0 0


Childhood Diseases

2,496

2,496

47.40%

42,195

57,555

Diarrhea 2,493 2,493 47.45% 42,155 57,475

Measles 3 3 0.00% 40 80


Infections

3,423

3,423

46.39%

62,514

74,316

Control of Micronutrient Deficiency 977 977 48.62% 3,680 15,600

Child Nutrition 484 484 55.17% 3,200 9,120

Vitamin A Deficiency 486 486 41.98% 400 6,280


69

DSCC PA 3, BAPSA (OctoberDecember, 2016)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


13,240

13,244

44.84%

244,654

284,467


Emergency Care 63 63 57.14% 1,310 1,300



14,005

14,058

36.44%

858,355

522,604




27,621

27,358

39.28%

0

0


Counseling 13,688 13,675 43.70% 0 0

Miscellaneous

1,440

1,440

0.00%

0

0

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


46.97%

518,805

459,568


94,428

94,640

34.36%

2,924,541

2,257,122

ESP+ BCC Service

27,621

27,358

39.28%

0

0

Other Service

1,440

1,440

0.00%

0

0

Grand Total

123,489

123,438

35.06%

2,924,541

2,257,122


76.47%

76.67%

100%

100%

ESP+ BCC Service %

22.37%

22.16%

0%

0%

Other Service %

1.17%

1.17%

0%

0%

70


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

27,194

28,009

35.85%

1,662,241

1,315,628

Maternal Care 12,016 12,016 33.24% 1,427,200 1,126,135

Antenatal Care 7,811 7,811 31.31% 164,060 109,220


Delivery Care (CS) 216 216 36.11% 1,069,000 875,000

Postnatal Care 2,457 2,457 37.36% 46,920 52,365

Neonatal Care 1,290 1,290 36.51% 8,120 10,850



Family Planning 8,090 8,090 38.12% 681 1,493





Care

2,875

3,659

37.22%

29,495

50,735

RTI/STI Care 2,586 2,586 39.64% 15,220 32,100

Other Reproductive Health Care 1,116 1,147 34.32% 0 5,565

Child Health Care

29,535

29,535

11.87%

114,775

74,690




Childhood Diseases

2,193

2,193

40.22%

55,945

37,105

Diarrhea 2,193 2,193 40.22% 55,945 37,105

Measles 0 0 0.00% 0 0


Infections

2,245

2,245

40.53%

58,830

37,585

Control of Micronutrient Deficiency 1,214 1,214 45.22% 0 0


Vitamin A Deficiency 1,160 1,160 44.74% 0 0


71


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


41,058

49,336

32.89%

822,363

514,062


Emergency Care 0 0 0.00% 0 0



4,833

9,125

34.70%

753,075

226,110




25,993

25,886

37.07%

0

0


Counseling 20,493 20,478 37.18% 0 0

Miscellaneous

600

600

20.00%

0

0



37.07%

569,305

335,379


102,620

116,005

27.71%

3,352,454

2,130,490

ESP+ BCC Service

25,993

25,886

37.07%

0

0

Other Service

600

600

20.00%

0

0

Grand Total

129,213

142,491

29.56%

3,352,454

2,130,490


79.42%

81.41%

100%

100%

ESP+ BCC Service %

20.12%

18.17%

0%

0%

Other Service %

0.46%

0.42%

0%

0%

72


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

37,286

37,716

36.24%

1,327,268

1,308,551

Maternal Care 19,208 19,208 36.25% 1,088,903 943,852

Antenatal Care 10,848 10,848 36.39% 145,466 207,759


Delivery Care (CS) 161 161 27.95% 665,180 542,320

Postnatal Care 5,179 5,179 35.64% 84,302 79,393

Neonatal Care 2,787 2,787 37.71% 49,055 49,580



Family Planning 6,000 6,000 33.10% 3,834 1,830





Care

6,541

6,941

34.92%

49,908

122,432

RTI/STI Care 4,080 4,092 42.28% 51,802 80,418

Other Reproductive Health Care 895 913 33.85% 12,860 14,690

Child Health Care

12,916

52,558

36.02%

116,031

147,734




Childhood Diseases

3,022

3,022

37.56%

47,280

75,095

Diarrhea 3,021 3,021 37.57% 47,280 75,095

Measles 1 1 0.00% 0 0


Infections

4,012

4,012

36.96%

68,751

72,639





73


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


20,838

20,849

34.24%

282,661

440,873


Emergency Care 93 93 41.94% 1,360 2,565



4,644

10,095

32.21%

766,545

307,315


Emergency Transportation Service 11 11 0.00% 6,500 100


48,070

47,894

32.71%

0

0


Counseling 40,923 40,922 32.78% 0 0

Miscellaneous

330

330

4.85%

0

0



18.99%

789,366

184,994


75,684

121,218

35.40%

2,492,505

2,204,473

ESP+ BCC Service

48,070

47,894

32.71%

0

0

Other Service

330

330

4.85%

0

0

Grand Total

124,084

169,442

34.28%

2,492,505

2,204,473


60.99%

71.54%

100%

100%

ESP+ BCC Service %

38.74%

28.27%

0%

0%

Other Service %

0.27%

0.19%

0%

0%

74

DNCC PA 1 Nari Maitree (OctoberDecember, 2016)

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

42,075

42,075

46.15%

1,700,865

2,108,348

Maternal Care 16,371 16,371 45.03% 1,502,520 1,476,600

Antenatal Care 9,838 9,838 44.80% 129,559 261,921


Delivery Care (CS) 228 228 32.89% 1,124,300 927,700

Postnatal Care 3,400 3,400 45.32% 45,583 91,017

Neonatal Care 2,574 2,574 47.28% 30,378 70,762



Family Planning 13,865 13,865 43.89% 0 0


Maternal Nutrition 4,427 4,427 52.79% 0 47,820

Violence Against Women 155 155 52.90% 460 5,740


Care

4,395

4,395

50.26%

22,615

144,798

RTI/STI Care 1,734 1,734 51.79% 15,745 51,575


Child Health Care

109,699

109,699

25.67%

94,845

226,880




Childhood Diseases

3,562

3,562

48.23%

42,500

99,940

Diarrhea 3,562 3,562 48.23% 42,500 99,940

Measles 0 0 0.00% 0 0


Infections

3,801

3,801

44.73%

52,345

99,695

Control of Micronutrient Deficiency 5,255 5,255 53.34% 0 27,245

Child Nutrition 2,934 2,934 58.01% 0 22,725

Vitamin A Deficiency 2,321 2,321 47.44% 0 4,520


75


TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


10,942

10,972

32.00%

204,213

228,601


Emergency Care 162 162 50.00% 3,900 4,370



8,917

16,672

45.39%

895,671

994,026




42,432

41,675

37.65%

0

0


Counseling 29,183 28,426 43.00% 0 0

Miscellaneous

0

0

0.00%

0

0



65.50%

466,316

885,340


171,633

179,418

32.12%

2,895,594

3,557,855

ESP+ BCC Service

42,432

41,675

37.65%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

214,065

221,093

33.21%

2,895,594

3,557,855


80.18%

81.15%

100%

100%

ESP+ BCC Service %

19.82%

18.85%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

76


TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

34,151

34,466

30.44%

2,772,677

1,693,216

Maternal Care 16,898 16,898 35.19% 2,190,540 1,219,728

Antenatal Care 10,310 10,310 32.51% 224,767 149,231


Delivery Care (CS) 254 254 24.02% 1,682,500 857,500

Postnatal Care 4,166 4,166 46.74% 68,193 73,967

Neonatal Care 1,882 1,882 25.40% 48,080 20,030



Family Planning 6,283 6,283 17.01% 0 0



Violence Against Women 135 135 57.78% 1,160 3,080


Care

4,172

4,357

28.72%

78,455

73,545

RTI/STI Care 3,495 3,495 30.76% 61,960 45,570


Child Health Care

78,985

83,285

15.74%

174,447

101,704




Childhood Diseases

3,097

3,097

30.77%

71,887

41,160

Diarrhea 3,097 3,097 30.77% 71,887 41,160

Measles 0 0 0.00% 0 0


Infections

4,403

4,403

31.71%

102,560

56,724



Vitamin A Deficiency 1,367 1,367 38.11% 0 2,880


77


TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


9,684

10,533

30.30%

219,080

116,225

First Aid for Injuries 24 24 25.00% 850 240

Emergency Care 22 22 22.73% 680 200



7,875

16,423

44.70%

1,145,394

675,600

Diagnostic Service 7,851 16,399 44.73% 1,140,894 675,300



35,885

35,595

25.97%

0

0


Counseling 23,234 22,964 26.00% 0 0

Miscellaneous

750

750

0.00%

0

0



28.77%

706,376

285,276


130,695

144,707

22.40%

4,311,598

2,586,745

ESP+ BCC Service

35,885

35,595

25.97%

0

0

Other Service

750

750

0.00%

0

0

Grand Total

167,330

181,052

23.07%

4,311,598

2,586,745


78.11%

79.93%

100%

100%

ESP+ BCC Service %

21.45%

19.66%

0%

0%

Other Service %

0.45%

0.41%

0%

0%

78

DNCC PA 3 UTPS (OctoberDecember, 2016)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

25,373

25,479

37.29%

742,632

855,598

Maternal Care 9,979 9,979 36.51% 676,652 729,778

Antenatal Care 5,734 5,734 35.04% 76,540 95,480


Delivery Care (CS) 115 115 40.00% 430,202 489,798

Postnatal Care 2,515 2,515 37.57% 26,330 49,440

Neonatal Care 1,368 1,368 40.57% 17,260 23,780



Family Planning 10,339 10,339 36.00% 0 0





Care

2,408

2,459

42.03%

8,370

38,370

RTI/STI Care 1,393 1,448 42.28% 8,680 16,610


Child Health Care

47,152

47,752

37.15%

35,800

74,510




Childhood Diseases

1,714

1,714

45.27%

15,500

34,840

Diarrhea 1,714 1,714 45.27% 15,500 34,840

Measles 0 0 0.00% 0 0


Infections

1,999

1,999

43.07%

20,300

39,670





79

DNCC PA 3 UTPS (OctoberDecember, 2016)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy


8

8

62.50%

0

0



Control

8

8

62.50%

0

0


15,453

15,453

35.26%

175,638

292,482


Emergency Care 10 10 90.00% 0 210



9,496

10,601

35.60%

539,594

749,669


Emergency Transportation Service 5 5 60.00% 700 1,800


53,712

31,280

34.14%

0

0

Health Education (Session) 8,065 756 39.42% 0 0

Counseling 45,647 30,524 33.20% 0 0

Miscellaneous

1,755

117

33.33%

0

0

Adolescent Development Program 1,755 117 33.33% 0 0


41.95%

403,914

291,879


97,482

99,293

36.74%

1,493,664

1,972,259

ESP+ BCC Service

53,712

31,280

34.14%

0

0

Other Service

1,755

117

33.33%

0

0

Grand Total

152,949

130,690

35.79%

1,493,664

1,972,259


63.73%

75.98%

100%

100%

ESP+ BCC Service %

35.12%

23.93%

0%

0%

Other Service %

1.15%

0.09%

0%

0%

80

DNCC PA 4 (OctoberDecember, 2016)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

35,224

35,318

35.85%

471,006

2,617,479

Maternal Care 12,929 12,929 33.75% 392,191 1,522,009

Antenatal Care 8,640 8,640 30.16% 101,550 244,050


Delivery Care (CS) 105 105 62.86% 174,785 875,215

Postnatal Care 2,325 2,325 41.42% 26,945 66,055

Neonatal Care 1,493 1,493 34.56% 15,315 44,285



Family Planning 12,955 12,955 33.79% 0 516,640





Care

3,577

3,671

36.59%

14,830

128,150

RTI/STI Care 1,550 1,550 38.84% 13,025 50,220


Child Health Care

89,329

89,329

4.97%

39,160

603,340

Immunization Program EPI 8,322 8,322 20.63% 0 332,880



Childhood Diseases

1,041

1,041

39.96%

13,420

28,280

Diarrhea 1,041 1,041 39.96% 13,420 28,280

Measles 0 0 0.00% 0 0


Infections

1,799

1,799

41.86%

25,740

46,220


Child Nutrition 4,443 4,443 31.31% 0 177,480



81

DNCC PA 4 (OctoberDecember, 2016)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy


984

984

25.61%

21,680

17,680



Control

984

984

25.61%

21,680

17,680


15,785

16,138

43.53%

103,075

520,275


Emergency Care 20 20 30.00% 320 480



4,658

9,025

43.67%

347,268

619,377


Emergency Transportation Service 10 10 10.00% 0 5,000


32,519

32,519

34.70%

0

104,880

Health Education (Session) 6,516 6,516 32.84% 0 29,480

Counseling 26,003 26,003 35.16% 0 75,400

Miscellaneous

0

0

0.00%

0

0



64.37%

223,679

404,138


145,980

150,794

17.96%

982,189

4,378,151

ESP+ BCC Service

32,519

32,519

34.70%

0

104,880

Other Service

0

0

0.00%

0

0

Grand Total

178,499

183,313

21.01%

982,189

4,483,031


81.78%

82.26%

100%

98%

ESP+ BCC Service %

18.22%

17.74%

0%

2%

Other Service %

0.00%

0.00%

0%

0%

82

DNCC, PA 5, DAM (OctoberDecember, 2016)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

31,467

31,837

37.71%

1,283,075

1,323,574

Maternal Care 13,634 13,634 34.96% 1,151,265 1,051,994

Antenatal Care 8,427 8,427 33.40% 168,730 165,650


Delivery Care (CS) 145 145 32.41% 740,500 709,500

Postnatal Care 2,919 2,919 36.90% 58,695 51,785

Neonatal Care 1,911 1,911 39.51% 32,140 44,259



Family Planning 9,871 9,871 37.68% 0 22,440





Care

3,718

4,080

40.75%

23,020

65,740

RTI/STI Care 1,944 1,952 47.63% 30,330 51,760


Child Health Care

97,265

97,265

38.50%

104,040

174,200




Childhood Diseases

2,298

2,298

49.22%

35,740

53,820

Diarrhea 2,297 2,297 49.19% 35,740 53,820

Measles 1 1 100.00% 0 0


Infections

3,684

3,684

44.00%

66,940

81,660


Child Nutrition 476 476 45.80% 1,160 1,040



83

DNCC, PA 5, DAM (OctoberDecember, 2016)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy


25

25

52.00%

120

360



Control

25

25

52.00%

120

360


20,142

20,177

36.79%

206,992

573,920


Emergency Care 21 21 38.10% 520 320



5,238

9,485

37.90%

356,985

484,300




22,347

22,125

32.77%

0

0


Counseling 19,304 19,085 32.35% 0 0

Miscellaneous

0

0

0.00%

0

0



43.57%

289,364

223,458


154,137

158,789

38.10%

1,951,212

2,556,354

ESP+ BCC Service

22,347

22,125

32.77%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

176,484

180,914

37.42%

1,951,212

2,556,354


87.34%

87.77%

100%

100%

ESP+ BCC Service %

12.66%

12.23%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

84

RCC PA 1 RIC (OctoberDecember, 2016)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

23,379

23,666

21.85%

785,738

661,051

Maternal Care 5,278 5,278 19.55% 683,637 521,919

Antenatal Care 3,345 3,345 18.83% 68,532 57,028


Delivery Care (CS) 103 103 20.39% 471,400 376,100

Postnatal Care 939 939 20.55% 13,965 22,555

Neonatal Care 723 723 20.75% 7,740 20,336



Family Planning 13,510 13,510 20.93% 47,027 16,086





Care

1,957

2,184

29.18%

14,598

28,472

RTI/STI Care 591 591 35.36% 10,808 13,173


Child Health Care

5,656

5,843

33.80%

20,006

32,454




Childhood Diseases

449

449

44.32%

6,406

8,964

Diarrhea 449 449 44.32% 6,406 8,964

Measles 0 0 0.00% 0 0


Infections

782

782

49.74%

10,510

15,000


Child Nutrition 613 620 58.40% 3,070 8,490



85

RCC PA 1 RIC (OctoberDecember, 2016)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,508

17,948

39.13%

161,733

439,337


Emergency Care 24 24 25.00% 710 170



4,016

7,184

24.20%

473,796

205,164




19,377

18,089

27.10%

0

0


Counseling 14,972 13,715 25.90% 0 0

Miscellaneous

168

168

29.17%

0

0



35.90%

487,538

273,088


49,559

54,641

29.16%

1,441,273

1,338,006

ESP+ BCC Service

19,377

18,089

27.10%

0

0

Other Service

168

168

29.17%

0

0

Grand Total

69,104

72,898

28.58%

1,441,273

1,338,006


71.72%

74.96%

100%

100%

ESP+ BCC Service %

28.04%

24.81%

0%

0%

Other Service %

0.24%

0.23%

0%

0%

86

RCC, PA2 (OctoberDecember, 2016)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

20,302

20,304

25.29%

537,472

743,825

Maternal Care 6,998 6,998 28.98% 495,703 648,578

Antenatal Care 4,895 4,895 29.42% 58,205 117,979


Delivery Care (CS) 90 90 18.89% 393,908 416,092

Postnatal Care 1,166 1,166 31.22% 10,396 30,697

Neonatal Care 745 745 21.48% 4,609 20,595


Post Abortion Care 2 2 100.00% 0 1,400

Family Planning 9,319 9,319 22.96% 16,466 0


Maternal Nutrition 326 326 34.97% 250 2,865



Care

1,983

2,002

24.26%

7,169

47,461

RTI/STI Care 874 874 30.43% 9,465 20,590


Child Health Care

6,748

6,772

11.48%

19,552

48,183




Childhood Diseases

626

626

35.62%

7,420

18,464

Diarrhea 626 626 35.62% 7,420 18,464

Measles 0 0 0.00% 0 0


Infections

863

863

34.65%

10,327

19,568


Child Nutrition 437 461 29.75% 1,665 10,116



87

RCC, PA2 (OctoberDecember, 2016)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,700

16,706

31.21%

110,927

438,045


Emergency Care 36 36 55.56% 360 900



8,688

8,688

27.74%

380,858

187,926




25,808

25,506

15.78%

0

0


Counseling 21,636 21,500 12.85% 0 0

Miscellaneous

0

0

0.00%

0

0



18.09%

519,309

114,708


52,438

52,470

25.80%

1,048,809

1,417,979

ESP+ BCC Service

25,808

25,506

15.78%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

78,246

77,976

22.50%

1,048,809

1,417,979


67.02%

67.29%

100%

100%

ESP+ BCC Service %

32.98%

32.71%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

88

KCC PA 1 (OctoberDecember, 2016)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

34,247

34,686

32.32%

707,602

2,084,980

Maternal Care 11,845 11,845 30.23% 462,778 1,448,689

Antenatal Care 8,508 8,508 29.68% 98,868 241,692


Delivery Care (CS) 116 116 31.03% 253,150 906,850

Postnatal Care 1,794 1,794 30.10% 22,535 50,405

Neonatal Care 1,137 1,137 32.19% 17,665 30,302



Family Planning 9,939 9,939 33.41% 0 0


Maternal Nutrition 1,409 1,406 34.07% 3,250 28,410



Care

7,047

7,112

33.56%

63,795

208,597

RTI/STI Care 2,543 2,697 32.91% 32,605 82,528

Other Reproductive Health Care 788 1,055 31.98% 10,060 22,230

Child Health Care

21,372

21,418

30.23%

53,090

137,843




Childhood Diseases

1,802

1,802

36.63%

22,845

50,939

Diarrhea 1,802 1,802 36.63% 22,845 50,939

Measles 0 0 0.00% 0 0


Infections

1,980

1,980

37.47%

26,385

54,164

Control of Micronutrient Deficiency 2,467 2,510 49.21% 3,860 32,740

Child Nutrition 1,438 1,481 34.70% 3,860 31,580



89

KCC PA 1 (OctoberDecember, 2016)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy


135

135

34.07%

0

5,320



Control

135

135

34.07%

0

5,320


16,639

16,642

31.38%

166,564

531,196


Emergency Care 562 562 34.34% 12,650 40,450



5,707

8,129

32.26%

195,275

562,990




23,830

23,790

34.34%

0

0


Counseling 15,918 15,909 34.63% 0 0

Miscellaneous

0

0

0.00%

0

0



62.04%

103,825

169,662


78,100

81,010

31.54%

1,122,531

3,322,329

ESP+ BCC Service

23,830

23,790

34.34%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

101,930

104,800

32.20%

1,122,531

3,322,329


76.62%

77.30%

100%

100%

ESP+ BCC Service %

23.38%

22.70%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

90

KCC PA2 (OctoberDecember, 2016)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,535

29,542

33.47%

814,171

1,358,087

Maternal Care 11,513 11,513 27.80% 557,050 891,412

Antenatal Care 7,760 7,760 26.43% 104,869 131,605


Delivery Care (CS) 89 89 34.83% 305,836 484,100

Postnatal Care 2,055 2,055 32.21% 18,970 50,522

Neonatal Care 1,286 1,286 28.15% 13,845 35,715



Family Planning 9,451 9,451 41.20% 0 0


Maternal Nutrition 985 985 29.64% 1,685 5,435



Care

5,146

6,058

33.52%

46,790

94,330

RTI/STI Care 311 311 36.33% 2,970 3,290


Child Health Care

9,136

9,136

31.05%

45,655

95,045




Childhood Diseases

2,406

2,406

37.49%

21,660

44,650

Diarrhea 2,406 2,406 37.49% 21,660 44,650

Measles 0 0 0.00% 0 0


Infections

2,220

2,220

38.83%

21,955

44,655


Child Nutrition 960 960 36.77% 2,040 5,740



91

KCC PA2 (OctoberDecember, 2016)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy


48

48

33.33%

770

1,150



Control

48

48

33.33%

770

1,150


24,127

25,962

31.84%

130,527

409,732





2,794

4,600

36.69%

195,872

258,590




26,050

25,855

32.36%

0

0


Counseling 21,583 21,444 33.63% 0 0

Miscellaneous

0

0

0.00%

0

0



85.45%

38,459

225,913


64,640

69,288

32.66%

1,186,995

2,122,604

ESP+ BCC Service

26,050

25,855

32.36%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

90,690

95,143

32.57%

1,186,995

2,122,604


71.28%

72.83%

100%

100%

ESP+ BCC Service %

28.72%

27.17%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

92

SCC, PA1 (OctoberDecember, 2016)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

60,790

60,797

35.89%

966,502

2,098,476

Maternal Care 13,717 13,717 34.32% 804,304 785,936

Antenatal Care 8,458 8,458 33.19% 64,012 176,048


Delivery Care (CS) 129 129 47.29% 544,000 488,000

Postnatal Care 3,092 3,092 35.64% 17,240 39,230

Neonatal Care 1,790 1,790 36.70% 12,571 35,139



Family Planning 33,638 33,638 34.38% 0 822,350

Emergency Contraceptive Pill 73 73 45.21% 0 2,190




Care

6,535

6,538

34.87%

25,720

155,390

RTI/STI Care 3,669 3,669 35.57% 21,160 81,650


Child Health Care

15,149

25,221

37.65%

37,970

301,902




Childhood Diseases

1,932

1,932

40.27%

14,380

35,630

Diarrhea 1,932 1,932 40.27% 14,380 35,630

Measles 0 0 0.00% 0 0


Infections

2,890

2,890

43.56%

23,590

53,090


Child Nutrition 1,914 2,153 73.93% 0 63,042


Iodine Deficiency 64 64 48.44% 0 1,920

93

SCC, PA1 (OctoberDecember, 2016)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy


135

135

45.93%

270

3,780



Control

135

135

45.93%

270

3,780


84,647

84,853

34.18%

254,177

1,751,215



Treatment of Minor Infections 84,480 84,686 34.17% 252,727 1,747,655


18,189

18,193

36.58%

467,050

931,867




51,178

22,143

47.45%

0

0


Counseling 43,283 21,555 47.06% 0 0

Miscellaneous

144

12

29.17%

0

0



42.55%

534,822

396,182


178,910

189,199

35.31%

1,725,969

5,087,240

ESP+ BCC Service

51,178

22,143

47.45%

0

0

Other Service

144

12

29.17%

0

0

Grand Total

230,232

211,354

38.00%

1,725,969

5,087,240


77.71%

89.52%

100%

100%

ESP+ BCC Service %

22.23%

10.48%

0%

0%

Other Service %

0.06%

0.01%

0%

0%

94

BCC PA1 Srizony (OctoberDecember, 2016)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,411

29,411

39.15%

851,700

600,580

Maternal Care 7,679 7,679 45.11% 694,230 429,760

Antenatal Care 5,018 5,018 42.57% 75,670 52,490


Delivery Care (CS) 151 151 34.44% 524,700 305,700

Postnatal Care 1,382 1,382 61.72% 4,030 23,520

Neonatal Care 855 855 39.18% 6,580 8,450



Family Planning 15,859 15,859 27.76% 0 0





Care

2,420

2,420

57.44%

2,150

25,770

RTI/STI Care 1,910 1,910 81.52% 6,180 22,460


Child Health Care

44,895

44,895

11.22%

11,250

47,112




Childhood Diseases

1,087

1,087

85.00%

4,280

17,770

Diarrhea 1,087 1,087 85.00% 4,280 17,770

Measles 0 0 0.00% 0 0


Infections

1,364

1,364

80.87%

6,970

20,320


Child Nutrition 714 714 58.40% 0 9,022



95

BCC PA1 Srizony (OctoberDecember, 2016)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


7,318

7,318

92.53%

9,265

99,575

First Aid for Injuries 160 160 98.75% 20 1,880




8,957

8,959

41.80%

406,405

178,601




27,855

27,649

38.93%

0

0


Counseling 22,896 22,690 37.73% 0 0

Miscellaneous

75

75

61.33%

0

0



42.80%

342,347

256,155


90,581

90,583

29.88%

1,278,620

925,868

ESP+ BCC Service

27,855

27,649

38.93%

0

0

Other Service

75

75

61.33%

0

0

Grand Total

118,511

118,307

32.03%

1,278,620

925,868


76.43%

76.57%

100%

100%

ESP+ BCC Service %

23.50%

23.37%

0%

0%

Other Service %

0.06%

0.06%

0%

0%

96

CoCC,PA01 (OctoberDecember, 2016)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

43,374

43,392

41.20%

1,087,841

995,041

Maternal Care 13,454 13,454 37.80% 989,714 704,202

Antenatal Care 11,141 11,141 37.82% 76,040 47,731


Delivery Care (CS) 132 132 31.06% 774,314 545,686

Postnatal Care 1,436 1,436 45.26% 12,945 31,845

Neonatal Care 502 502 22.11% 12,015 7,940



Family Planning 20,771 20,771 36.20% 795 766





Care

3,059

3,059

55.41%

6,260

66,695

RTI/STI Care 2,448 2,458 60.38% 8,645 61,828


Child Health Care

36,408

36,647

24.91%

30,910

70,618




Childhood Diseases

1,216

1,216

67.27%

8,390

25,123

Diarrhea 1,216 1,216 67.27% 8,390 25,123

Measles 0 0 0.00% 0 0


Infections

2,286

2,286

57.66%

22,520

39,060


Child Nutrition 394 538 77.41% 0 6,120



97

CoCC,PA01 (OctoberDecember, 2016)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,650

16,677

65.99%

43,399

301,741





12,377

12,516

33.01%

553,240

302,098




33,525

13,643

34.57%

0

0


Counseling 26,836 12,736 32.87% 0 0

Miscellaneous

145

39

53.10%

0

0



39.96%

259,462

172,676


108,809

109,232

38.61%

1,715,390

1,669,498

ESP+ BCC Service

33,525

13,643

34.57%

0

0

Other Service

145

39

53.10%

0

0

Grand Total

142,479

122,914

37.68%

1,715,390

1,669,498


76.37%

88.87%

100%

100%

ESP+ BCC Service %

23.53%

11.10%

0%

0%

Other Service %

0.10%

0.03%

0%

0%

98

SrjM PA1 (OctoberDecember, 2016)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,440

15,567

34.64%

917,644

942,949

Maternal Care 5,582 5,665 34.11% 831,084 831,415

Antenatal Care 3,438 3,521 35.86% 50,515 40,065


Delivery Care (CS) 172 172 37.79% 658,544 730,400

Postnatal Care 1,250 1,250 33.84% 14,390 17,635

Neonatal Care 554 554 25.09% 12,460 6,490



Family Planning 5,107 5,107 28.90% 0 30,230





Care

1,473

2,410

42.29%

17,660

17,950

RTI/STI Care 1,377 1,377 46.19% 13,360 20,160


Child Health Care

3,257

6,219

41.26%

35,450

51,112

Immunization Program EPI 340 318 0.00% 0 660



Childhood Diseases

1,111

1,111

43.20%

15,750

14,770

Diarrhea 854 854 43.33% 12,930 11,790

Measles 257 257 42.80% 2,820 2,980


Infections

1,191

1,191

48.87%

15,250

19,990


Child Nutrition 78 78 87.18% 0 6,642

Vitamin A Deficiency 527 527 38.71% 4,450 8,750


99

SrjM PA1 (OctoberDecember, 2016)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


7,394

7,499

54.17%

41,400

170,050


Emergency Care 103 103 37.86% 540 1,470



8,543

8,543

31.04%

473,224

245,645




14,107

11,320

49.45%

0

0


Counseling 11,123 11,109 52.52% 0 0

Miscellaneous

0

0

0.00%

0

0



77.48%

59,802

205,748


33,634

37,828

38.66%

1,467,718

1,409,756

ESP+ BCC Service

14,107

11,320

49.45%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

47,741

49,148

41.85%

1,467,718

1,409,756


70.45%

76.97%

100%

100%

ESP+ BCC Service %

29.55%

23.03%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

100

KM PA1 Srizony (OctoberDecember, 2016)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

5,842

5,911

9.72%

296,440

70,488

Maternal Care 2,106 2,106 15.38% 288,600 64,880

Antenatal Care 1,309 1,309 18.49% 18,090 5,340


Delivery Care (CS) 45 45 15.56% 205,900 42,000

Postnatal Care 327 327 13.46% 2,700 1,090

Neonatal Care 345 345 4.35% 1,710 450

Menstrual Regulation 2 2 0.00% 1,200 0


Family Planning 2,785 2,785 2.37% 0 0





Care

407

476

22.85%

2,520

2,980

RTI/STI Care 379 379 13.72% 4,060 1,380

Other Reproductive Health Care 41 41 7.32% 60 140

Child Health Care

2,367

2,367

21.38%

18,460

10,554




Childhood Diseases

255

255

24.71%

3,100

1,380

Diarrhea 255 255 24.71% 3,100 1,380

Measles 0 0 0.00% 0 0


Infections

1,302

1,302

27.80%

15,280

7,820

Control of Micronutrient Deficiency 174 174 26.44% 80 1,354

Child Nutrition 167 167 25.75% 80 1,214



101

KM PA1 Srizony (OctoberDecember, 2016)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,664

4,781

32.50%

26,570

35,900





1,470

2,581

25.58%

105,590

54,520




7,352

7,352

23.83%

0

0


Counseling 5,701 5,701 21.08% 0 0

Miscellaneous

0

0

0.00%

0

0



57.63%

81,025

110,227


14,343

15,640

20.68%

447,060

171,462

ESP+ BCC Service

7,352

7,352

23.83%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

21,695

22,992

21.75%

447,060

171,462


66.11%

68.02%

100%

100%

ESP+ BCC Service %

33.89%

31.98%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

102

KnjM PA 1 (OctoberDecember, 2016)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

18,209

18,220

25.92%

1,050,910

820,035

Maternal Care 7,515 7,515 21.92% 927,080 705,570

Antenatal Care 4,573 4,573 20.75% 65,421 106,449


Delivery Care (CS) 145 145 5.52% 768,064 449,941

Postnatal Care 1,948 1,948 23.10% 13,970 60,165

Neonatal Care 714 714 27.73% 1,325 33,665



Family Planning 7,627 7,627 30.35% 0 0





Care

918

929

28.32%

5,690

18,665

RTI/STI Care 962 962 24.64% 8,260 28,420


Child Health Care

3,877

3,877

24.97%

16,360

45,405




Childhood Diseases

929

929

33.69%

7,500

22,585

Diarrhea 913 913 33.63% 7,310 21,985

Measles 16 16 37.50% 190 600


Infections

994

994

35.41%

8,860

22,820





103

KnjM PA 1 (OctoberDecember, 2016)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


14,134

31,891

31.91%

74,032

351,098


Emergency Care 17 17 23.53% 550 300



1,400

3,288

21.64%

302,930

119,710




17,100

7,589

28.47%

0

0


Counseling 14,257 7,279 27.66% 0 0

Miscellaneous

161

26

0.00%

0

0



32.04%

397,313

187,352


37,620

57,276

27.91%

1,444,232

1,336,248

ESP+ BCC Service

17,100

7,589

28.47%

0

0

Other Service

161

26

0.00%

0

0

Grand Total

54,881

64,891

28.00%

1,444,232

1,336,248


68.55%

88.26%

100%

100%

ESP+ BCC Service %

31.16%

11.69%

0%

0%

Other Service %

0.29%

0.04%

0%

0%

104

GopM PA 1 (OctoberDecember, 2016)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

1,911

1,912

27.11%

306,867

75,100

Maternal Care 902 902 14.97% 296,630 70,245

Antenatal Care 549 549 12.93% 14,000 4,020


Delivery Care (CS) 36 36 19.44% 264,325 60,400

Postnatal Care 114 114 16.67% 2,160 1,290

Neonatal Care 186 186 18.82% 4,645 2,135

Menstrual Regulation 6 6 0.00% 3,730 0


Family Planning 659 659 45.83% 122 0





Care

132

133

22.73%

1,455

2,565

RTI/STI Care 194 194 23.20% 3,980 2,040


Child Health Care

666

666

3.15%

2,960

4,990


Immunization Program NID 327 327 0.61% 360 4,020


Childhood Diseases

84

84

10.71%

1,900

600

Diarrhea 84 84 10.71% 1,900 600

Measles 0 0 0.00% 0 0


Infections

22

22

27.27%

510

190





105

GopM PA 1 (OctoberDecember, 2016)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


2,392

2,392

27.47%

45,860

31,040





461

761

20.82%

36,786

10,599

Diagnostic Service 455 755 20.88% 36,161 10,474



1,252

1,229

19.33%

0

0

Health Education (Session) 607 589 27.18% 0 0

Counseling 645 640 11.94% 0 0

Miscellaneous

0

0

0.00%

0

0



9.06%

7,164

714


5,430

5,731

23.79%

392,473

121,729

ESP+ BCC Service

1,252

1,229

19.33%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

6,682

6,960

22.96%

392,473

121,729


81.26%

82.34%

100%

100%

ESP+ BCC Service %

18.74%

17.66%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

106

NACC PA 1 PSKP (OctoberDecember, 2016)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

20,654

20,674

31.31%

987,457

706,811

Maternal Care 4,991 4,991 24.96% 815,878 513,462

Antenatal Care 2,731 2,731 22.85% 78,618 40,182


Delivery Care (CS) 98 98 28.57% 611,800 373,100

Postnatal Care 1,069 1,069 28.06% 19,520 28,760

Neonatal Care 964 964 26.56% 23,740 24,620



Family Planning 11,512 11,512 32.35% 9,100 4,183





Care

2,305

2,305

34.27%

14,345

41,810

RTI/STI Care 884 904 39.71% 18,756 19,614


Child Health Care

19,079

19,781

11.32%

32,435

80,198




Childhood Diseases

658

658

44.53%

11,815

17,205

Diarrhea 658 658 44.53% 11,815 17,205

Measles 0 0 0.00% 0 0


Infections

968

968

43.70%

19,870

23,783

Control of Micronutrient Deficiency 732 1,434 47.54% 750 3,250

Child Nutrition 546 1,248 52.38% 660 2,630



107

NACC PA 1 PSKP (OctoberDecember, 2016)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy


4

4

50.00%

40

140



Control

4

4

50.00%

40

140


16,855

16,855

30.13%

265,183

478,966


Emergency Care 35 35 25.71% 3,100 430



3,719

7,274

26.84%

574,931

259,716




13,380

11,334

31.30%

0

0


Counseling 10,726 9,550 33.10% 0 0

Miscellaneous

0

0

0.00%

0

0



12.78%

717,478

105,113


60,311

64,588

24.38%

1,860,046

1,525,831

ESP+ BCC Service

13,380

11,334

31.30%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

73,691

75,922

25.64%

1,860,046

1,525,831


81.84%

85.07%

100%

100%

ESP+ BCC Service %

18.16%

14.93%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

108

RaCC PA 1 (OctoberDecember, 2016)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

4,507

4,507

6.39%

318,632

384,317

Maternal Care 1,959 1,959 10.87% 269,492 371,137

Antenatal Care 1,127 1,127 9.32% 22,143 24,637


Delivery Care (CS) 54 54 12.96% 223,500 266,500

Postnatal Care 365 365 12.60% 3,480 8,590

Neonatal Care 291 291 10.31% 2,420 9,010



Family Planning 1,746 1,746 2.00% 0 0





Care

399

399

0.75%

930

4,430

RTI/STI Care 109 109 4.59% 2,620 2,170


Child Health Care

1,970

1,970

4.92%

3,920

1,140




Childhood Diseases

24

24

20.83%

620

330

Diarrhea 24 24 20.83% 620 330

Measles 0 0 0.00% 0 0


Infections

122

122

22.95%

3,300

810





109

RaCC PA 1 (OctoberDecember, 2016)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,081

4,081

13.16%

75,811

80,998

First Aid for Injuries 132 132 0.00% 7,530 370




1,659

2,745

5.91%

176,000

38,445




11,396

3,834

10.97%

0

0


Counseling 6,658 3,241 10.75% 0 0

Miscellaneous

0

0

0.00%

0

0



31.34%

160,336

73,180


12,217

13,303

8.35%

574,363

504,900

ESP+ BCC Service

11,396

3,834

10.97%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

23,613

17,137

9.61%

574,363

504,900


51.74%

77.63%

100%

100%

ESP+ BCC Service %

48.26%

22.37%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

110

GCC PA 1 PSTC (OctoberDecember, 2016)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

21,266

21,265

17.07%

851,938

999,486

Maternal Care 6,108 6,108 16.03% 763,837 856,628

Antenatal Care 4,233 4,233 12.71% 62,507 76,783


Delivery Care (CS) 136 136 27.94% 567,899 656,101

Postnatal Care 993 993 22.56% 10,543 22,577

Neonatal Care 517 517 21.08% 3,295 14,660



Family Planning 10,039 10,039 13.64% 8,424 25


Maternal Nutrition 535 535 25.23% 5,267 11,523



Care

2,320

2,320

17.63%

17,280

45,815

RTI/STI Care 2,032 2,032 32.92% 16,395 39,195


Child Health Care

4,680

5,080

19.40%

21,738

41,530




Childhood Diseases

570

570

22.11%

4,210

9,355

Diarrhea 463 463 24.19% 3,945 8,570

Measles 107 107 13.08% 265 785


Infections

984

984

23.48%

10,885

18,275


Child Nutrition 883 1,283 14.61% 6,643 13,900



111

GCC PA 1 PSTC (OctoberDecember, 2016)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


5,604

5,668

24.23%

44,236

100,466


Emergency Care 26 26 26.92% 690 220



2,509

4,340

25.75%

223,370

89,445




12,415

10,550

22.91%

0

0


Counseling 10,693 10,241 23.83% 0 0

Miscellaneous

223

223

7.17%

0

0



25.97%

678,907

238,179


34,059

36,353

19.21%

1,141,282

1,230,927

ESP+ BCC Service

12,415

10,550

22.91%

0

0

Other Service

223

223

7.17%

0

0

Grand Total

46,697

47,126

20.14%

1,141,282

1,230,927


72.94%

77.14%

100%

100%

ESP+ BCC Service %

26.59%

22.39%

0%

0%

Other Service %

0.48%

0.47%

0%

0%

112

GaCCPA2 (OctoberDecember, 2016)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

16,016

16,115

33.92%

774,955

929,345

Maternal Care 3,878 3,878 28.73% 703,483 800,917

Antenatal Care 2,518 2,518 28.67% 54,060 43,830


Delivery Care (CS) 118 118 32.20% 560,582 619,418

Postnatal Care 756 756 28.04% 14,580 14,980

Neonatal Care 301 301 28.57% 4,760 7,190



Family Planning 9,813 9,813 37.46% 0 0





Care

1,403

1,502

25.16%

8,410

41,970

RTI/STI Care 457 457 35.45% 7,580 10,980


Child Health Care

4,829

4,829

27.25%

29,385

25,435




Childhood Diseases

593

593

36.42%

11,930

11,270

Diarrhea 593 593 36.42% 11,930 11,270

Measles 0 0 0.00% 0 0


Infections

807

807

32.84%

17,455

14,165





113

GaCCPA2 (OctoberDecember, 2016)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


9,603

10,063

39.28%

73,310

248,654





2,110

4,611

32.94%

423,645

201,331




6,362

3,134

33.73%

0

0


Counseling 3,978 2,823 36.27% 0 0

Miscellaneous

28

3

39.29%

0

0



18.32%

677,490

152,000


32,558

35,618

34.45%

1,301,295

1,404,765

ESP+ BCC Service

6,362

3,134

33.73%

0

0

Other Service

28

3

39.29%

0

0

Grand Total

38,948

38,755

34.33%

1,301,295

1,404,765


83.59%

91.91%

100%

100%

ESP+ BCC Service %

16.33%

8.09%

0%

0%

Other Service %

0.07%

0.01%

0%

0%

114

ADB Review Mission 2-5 October, 2016

Advocacy and Social Mobilization Workshop, 22 October, 2016

Sharing Findings of ISI Survey Round-II, 25 October, 2016

115

Training on Gender Mainstreaming in Health Services Delivery, 12-14 Nov & 15-17, 2016

Quarterly Progress Review Meeting, 4 December, 2016

Newly Constructed PHCC building in Kishorganj

QUARTERLY PERFORMANCE REPORT - uphcp.gov.bduphcp.gov.bd/cmsfiles/files/QPR...

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