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    4th August 2008

    Ms. Dr. Aparajita

    C/o D. S. Verma,

    A-137, Defence Colony,

    Mawana Road, Meerut-UP

    India

    SUBJECT Your appointment as Lady Medical Officer

    Dear Dr. Aparajita,

    We are pleased to appoint you as Lady Medical Officer for Meerut Urban Health

    Program. The terms of appointment are as follow:1. NATURE of CONTRACTYour appointment will be contractual and your Scope of Work (SOW) is explained inAnnex A. This contract is applicable with effect from August 04, 2008, and end on

    Jan 31st, 2009. The extension of the contract shall be at the sole discretion of UHRCand will, depend, inter-alia on availability of funds.

    Your job will require to assist to effectively run the Urban Health Center (Lakhipura)and traveling to different destinations to accomplish the tasks under this contract for

    which you will be reimbursed actual reasonable cost. You will submit your claim inappropriate template within three working days of completion of travel.

    Urban Health Centers (UHCs) in Meerut are supposed to run by NGO partners basedon RCH II guidelines. After selection of NGO Partners, you may be issued a freshcontract under the employment of an NGO partner.

    2. TIME LINEYou should submit the deliverables within the timelines specified in Annex A. Further,if UHRC feels that you may not be able to complete the specified task(s), then UHRC

    may apply closure to the contract as per the clause # 10 of this contract.

    3. COMPENSATIONYou will be paid a consolidated salary of Rs. 13,378/= (Rupees Thirteen ThousandThree Hundred Seventy Eight Only) per month as per the RCH II guideline.

    Your compensation will be subject to taxation as per the Income Tax Act, 1961

    You will not be entitled to any other benefit.

    4. WORKING HOURS/ INVOICE:A working day is defined as a minimum of eightSix-hour period of work or workrelated travel in a day. Working hours also depends on community consensus andGovt directives. You cannot receive compensation for more than eight Six hours perday. Your working days will be six days week (Monday to Saturday).

    5. LEAVE/ HOLIDAYs:

    This is a contractual agreement in line with RCH-II guidelines and henceforth you willnot be entitled to any leave.

    6. INSURANCE:

    UHRC does not bear any liability to compensate for the death, disability, or other

    hazards under this contract Therefore, you are advised in your own interest to

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    arrange for your accident/medical insurance. The insurance premium paid by you willbe non-reimbursable.

    7. CONFIDENTIALITYYou shall observe confidentiality of all information generated during the course of thisassignment and after completion, regarding disclosure of such information to third

    parties.

    You will not reproduce, store in a retrieval system or transmit in any form or by any

    means - electronic, mechanical, recording, scanning or otherwise - any material whichis the property of UHRC (including the reports/ deliverables generated under thisassignment) - for your own benefit or for the benefit of any third party - either duringthe course of this contract or its completion.

    8. GENERALThe rules and regulations as framed by UHRC from time to time shall be observed byyou. UHRC may apply closure to this contract, without advance notice, for misconductor misrepresentation on your part. UHRCs decision on this shall be final and binding.

    9. CODE OF CONDUCT AND CONFLICT OF INTEREST:

    URHC has standard code of conduct and conflict of Interest Statement. Your areexpected to adhere to those code of conduct described in Annex-B, attached with thisletter, which form an integral part of this employment contract.

    10. TERMINATION WITH NOTICEEither party may apply closure to this contract by giving two weeks written/emailnotice to other party or payment of salary in lieu of.

    Upon termination of your contract with UHRC for any reason whatsoever, before

    leaving the UHRC, you shall hand over charge, deliver all documents lying in yourpassion, surrender knowledge database to such person or persons as may benominated by the UHRC.

    11. MODIFICATIONModification to the terms and conditions of this contract, if necessary, will be donethrough mutually agreed amendment(s).

    Please do not hesitate to contact us for any clarification on the above.

    With best wishes for successful completion of the assignment and we look forward toa meaningful and mutually beneficial relationship with you,

    Thanking you.

    Yours truly,For Urban Health Resource Centre

    Siddharth Agarwal

    Executive DirectorEncl: Annex A & B

    I have carefully read through the above and the enclosed Annexs (A and B) and I herebyaccept the terms and conditions mentioned in the contract (including the Annexs). I fullyunderstand that the continuation of this contract will be subject to quality of deliverablessubmitted by me and availability of funds for the contracted task.

    Signed Date:

    ( Ms. ____________ )

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    ANNEX-A

    Urban Health Resource Center (UHRC)

    India Urban Health Program for the Poor

    SOW for Lady Medical Officer (Meerut)

    From__04.08.2008________to _31.01.2009____________

    Purpose and Overview

    The purpose of this Scope of Work is to provide MNCRH services through Urban Health

    Center to support Meerut MNCRH project of the department of health and Urban Health

    Resource Centre as described.

    Background

    The Urban Health Resource Centre (UHRC), formerly EHP-India, located at New Delhi,

    is a USAID supported urban health program committed to addressing the needs of the

    urban poor. UHRC works with key partners to raise awareness and to improve the healthconditions in urban slums of select cities in India. The goal of UHRC is to learn from city

    based demonstration programs and then apply these lessons to influence larger programs

    such as the National Reproductive and Child Health (RCH II) program of the Government

    of India through proactive information dissemination and advocacy. There are four main

    components to the program: (a) demonstration models of urban health programs in select

    cities (currently in Indore, Agra, Meerut, Bhopal and Delhi) (b) Technical Assistance to

    the Government of India; State Governments (currently Uttar Pradesh, Uttaranchal,

    Rajasthan, Maharashtra Madhya Pradesh, Bihar and Jharkhand) non-government

    stakeholders and capacity building for urban health programming (c) research, advocacy

    and knowledge management, and (d) resource mobilization

    A Key area of work at UHRC is bridging the knowledge and information gaps which exist

    related to health of the urban poor. UHRC undertakes primary research studies in its

    program cities. Analysis of datasets such as NFHS and DLHS by Standard of Living

    indices have been undertaken which provide information about the health status of the

    urban poor compared with other economic groups in rural and urban areas. Urban health

    Resource Center (UHRC) has recently entered into a partnership with John Hopkins

    School of Public Health (JHU), Baltimore, USA, to develop and test a sustainable, cost-

    effective and replicable health delivery approaches for the urban slums of Meerut city,

    Uttar Pradesh, India. Selection of the study area (Meerut) has been based on the presence

    of large urban slum population, existence of unlisted slums, pockets of underserved slum

    population and underutilization of existing services. The purpose of the program is todevelop and test sustainable, cost-effective, and replicable health delivery approaches for

    the urban poor. Characterization of different sub-populations and identification of their

    needs, in addition to mapping of existing health services, followed by an assessment of the

    availability, coverage, and quality of the health services will be conducted in phase I.

    The out put of the phase I will help to design the intervention packages and approach of

    health service delivery more effectively. In phase II, the program will develop and test

    the effectiveness of different approaches on neonatal and infant mortality by improving

    behaviors at the household level, generating demand increasing utilization of services, and

    ensuring supply of quality health services.

    The Lady Medical Officer will support a range of activities associated with the UHRCMeerut especially through UHC. Specifically the tasks and deliverables are as follows:

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    Tasks :

    Sl

    No

    Activities Full time

    (8:0 AM to 2:0 PM)

    1 At Urban Health

    Center Registration of women and children

    Assistance to LMO in completing ANC as per intervention

    package Assistance to LMO in identification of high risk

    pregnancies

    Assistance tom LMO in completing PNC as per

    intervention package

    Vaccination for mother and child

    Counseling

    Assistance in IUD insertion

    Issue based group counseling at UHP

    2 At outreach sessions Development of immunization roaster

    Conducting two outreach sessions per week or as perrequirement

    Visit to high risk pregnancies/new born during outreach

    Group counseling on technical issues such as RTI/STI and

    New born care

    Ongoing counseling to beneficiaries

    Distribution of contraceptives and IFA

    IEC and BCC activities

    Follow up of critical cases, left outs, drop outs

    3 At Community Level Regular group meetings with community in program area

    Home visits to beneficiaries as per intervention package

    Referral for sick mother and newborn

    Organizing IEC/BCC activities

    Community mobilization to get the client at UHC

    Coordination with local influential persons for improved

    coverage.

    4 Reports and records Report preparation as per requirement

    Record keeping and Updation at UHC level

    Use of data to track Left out and drop out beneficiaries

    Timely and adequately indent for vaccines and drugs Preparation of progress report of UHC

    5 National Programs Active participation in all national health programs such as

    IPPI, DOTS etc.

    Awareness generation among communities of the assign

    area on national prgm.

    6 Meeting and

    coordination Active participation in UHC level meetings

    Participation in all meetings called by UHC or UHRC.

    Coordination with existing NGOs/individuals at community

    level for improved coverage

    7 Others Any other task assigned by UHRC-Meerut/Delhi Participation in all training programs as instructed by

    UHRC

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    Coordinate with private providers for service provision at

    outreach sessions

    Deliverables: (ANM to LMO)

    1. Monthly Progress Report

    2. Monthly Indents to department of health3. Data base on service provisions and clients

    4. Monthly Patient register

    5. All other reports required by UHRC or department of health.

    Personnel Requirements

    The ANM should possess the following competencies:

    Person should have required qualification for ANM

    Worked as ANM/HV with Government/NGO

    Ability to manage UHC

    Demonstrated ability to work with poor population

    Ability to mobilize community and to conduct outreach camps

    Ability to work at community level

    Understanding of health issues, particularly maternal and child health.

    Liasoning and coordination skills at community level

    Ability to work under pressure

    Desirable qualifications: MBBS from a recognized medical college.

    Supervision and Guidance

    The ANMLMO will be based in Meerut and will require travel to other places based on

    the emerging needs. Mr. Mukesh Kumar Sharma will provide overall coordination and

    technical support. Dr. Siddharth Agarwal and Dr. Sainath Banerjee will provide guidance

    and support as and when required. The entire planning, monitoring and documentation

    requirement will be fulfilled and guided by UHRC-Meerut office.

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