commissioner of health &a - cfw ap

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SECTION – I

Expression of Interest for Operational and maintenance of Mobile Medical Units

Address: Commissioner of Health & Family Welfare

Government of Andhra Pradesh,

Sulthan Bazaar, Koti, Hyderabad

URL: cfw.ap.nic.in

Email: [email protected]

Telephone: 8897000108, 040 24650365

EoI No:3921/PPP/FDHS/2013, Dated: 28.11.2015

1. Commissioner of Health & Family Welfare, Government of Andhra Pradesh

Herein after referred to as CH&FW, Andhra Pradesh invites Expression of Interest

from eligible bidders for identification of total service provider to operation and

maintain Mobile Medical Units infrastructure to provide primary and selective

secondary healthcare in identified village for a period of two years. The scope of

services required is enumerated in Section-IV of this document.

2. This document contains eight sections as follows:

1. Section I : Expression of Interest 2. Section II: Instructions to Bidder 3. Section III: Procedures for evaluations of Bids 4. Section IV: Scope of Services 5. Section V: Eligibility Criteria 6. Section VI: Terms and Conditions 7. Section VII: Formats of Appendices (A to F) 8. Section VIII: Format for Service level Agreement

3. Schedule

Sl. No. Description Date

1 Date of publish of Bid Documents 02.12.2015

5 Closing date and time of receipt of EoI 09.12.2015 5.00pm

6 Time, Date and Venue of Opening of Technical Bid Intimated later

7 Time, Date and Venue of Opening of Financial Bid Intimated later

4. The venue for all the events is Conference hall, O/o Commissionerate of

Health & Family Welfare, Govt. of Andhra Pradesh, Sultan Bazaar, Koti,

Hyderabad.

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5. Bidders shall ensure that their bids complete in all respects, are dropped in

the Bid Box located at PPP Section, O/o Commissionerate of Health & Family

Welfare, Government of Andhra Pradesh, Sultan Bazaar, Koti, Hyderabad on

or before the closing date and time indicated in the Para 3 above, Bids

submitted after the prescribed time will be treated as late bid and will not be

considered. The Bids sent by post/courier must reach the above said

address on before the closing date & time indicated in Para 3 above, failing

which the Bid will be treated as late bid and will not be considered.

6. In the event of Bid opening day being declared a holiday / closed day for the

CH&FW, AP, the Bids will be received/ opened on the next working day at the

same time.

7. For any clarification and further enquiries bidders may contact PPP Cell,

Commissionerate of Health & Family Welfare, Government of AP, Sulthan

Bazaar, Koti, Hyderabad

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SECTION – 2

INSTRUCTIONS TO BIDDER

1. General Instructions

a) The Bidder should prepare and submit its offer as per instructions given in this

Section.

b) The Bids should be complete with all documents dully signed by Authorized

personnel. Those submitted by telex, telegram or fax or e-mail shall not be

considered.

c) The Bids /bids should be for all components of the job /service. The Bids

which are for only a portion of the components of the job /service shall not

be accepted.

d) The prices quoted shall be firm and shall include all taxes and duties. This

shall be quoted in the format as per attached Appendix ‘D’ only.

e) The Bids (technical and financial) shall be submitted (with a covering letter

as per Appendix „C‟) before the last date of submission. Late Bids / bids

shall not be considered.

2. Earnest Money Deposit (EMD)

a. The Bid shall be accompanied by Earnest Money Deposit (EMD) INR.25.00

lakhs .as specified in the Expression of Interest (EoI) in the form of Bank Draft

/ Bankers cheque from any Schedule Bank in favour of Accounts Officer,

Commissioner of Health & Family Welfare, Government of AP payable at

Hyderabad

b. No Biding entity is exempted from deposit of EMD. Bids submitted without

EMD shall be not considered.

c. The EMD of unsuccessful Bidder will be returned to them without any interest,

after conclusion of the resultant agreement. The EMD of the successful

Service provider will be returned without any interest, after receipt of

performance security as per the terms of agreement.

d. EMD of Bidder may be forfeited without prejudice to other rights of the

CH&FW, AP, if the Bidder withdraws or amends its Bid or impairs or

derogates from the Bid in any respect within the period of validity of its Bid or

if it comes to notice that the information / documents furnished in its Bid is

incorrect, false, misleading or forged. In addition to the aforesaid grounds, the

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successful Bidder‟s EMD will also be forfeited without prejudice to other rights

bidder, if he fails to furnish the required performance security within the

specified period.

3. Preparation of Bid

The bids shall be made in TWO SEPARATE SEALED ENVELOPES. The first

envelope shall be marked in bold letter as “TECHNO COMMERCIAL BID” which

shall contain the following:

1. Covering letter as per the proforma is Appendix (C), duly

confirmation regarding furnishing Performance Security in case of

award of agreement

2. Bank Draft /Bankers Cheque towards E.M.D.

3. Original Bid document duly stamped and signed by the authorized

personnel in each page

4. Particulars of the Bidder as per Appendix „B‟

5. Income Tax Returns acknowledgement for last three financial

years.

6. Power of attorney in favour of signatory to Bid documents.

7. Copy of the certificate of registration of EPF, ESI and Service Tax,

PAN & TAN with the appropriate authority.

8. Annual turnover certification / Annual cost of Health Care Services

provide for 2012-13, 2013-14, 2014-15

9. A declaration from the Bidder in the format given in the Appendix

‟F‟ to the effect that the firm has neither been declared as defaulter

or black-listed by any competent authority of a government

department, government authorities.

10. The Bidder shall provide certificate of other similar services

provided in private/public sector in last three years and user‟s

certificate regarding satisfactory completion of such jobs as per

proforma given in Appendix „A‟.

11. Bidder shall submit the detailed plan for operation and

maintenance of 104 Services. The second envelope shall contain

the financial proposal and shall be marked in bold letters as

“FINANCIAL BID”. The Financial quote shall be for the operational

.

.

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expenditure per month per MMU. This shall inclusive of Salaries,

Vehicle maintenance, Data management, Capital expenditure,

Establishment costs if any. Prices shall be inclusive of all taxes,

duties, insurances and quoted in the proforma enclosed at

Appendix „D‟ as per scope of work / service to be rendered.

4. Bid Validity Period

The Bids shall remain valid for 180 days from the date of submission for

acceptance and the prices quoted shall remain for the duration of the

agreement. . The CHFW AP may requested for further extension as deemed

fit and the Bidder will send intimation of acceptance or otherwise of request

for extension with three days of issue of such request. Extended for another

term with mutual consent.

5. Bid Submission

The two envelopes containing both technical and the financial bid shall be put

in a bigger envelope, which shall be sealed and superscripted with “BID NO

3921/PPP/G1/2015 due for opening on or after 09.12.2015 The offer shall

contain no interlineations or overwriting except as necessary to correct errors,

in which cases such correction must be initialed by the person or persons

signing the Bid. In case of discrepancy in the quoted prices, the price written

in words will be taken as valid.

6. Opening of Bids:

The technical bid will be opened at the time & date specified in the schedule.

The Service providers may attend the bid opening if they so desire.

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SECTION – 3

EVALUATION OF BIDS

1. Two stage evaluation will be taken up for identification of successful bidder

a. Technical Evaluation

b. Financial Evaluation

2. Bidders who fulfill the eligibility criteria will be considered for technical

evaluation and all other bids will be considered as non responsive and will

be rejected.

3. Technical evaluation of bids will be done as per the eligibility criteria and

bidder who technically qualified will be eligible to financial evaluation.

4. Financial evaluation will be done as per the L1 basis and successful

bidder will be identified.

5. Financial Bid shall be quoted for operational expenditure per month per

Mobile Medical Unit. This Operational Cost shall be inclusive of salaries,

Fleet maintenance, Capital expenditure, Data Management,

Establishment costs, Taxes, Insurances and other incidental expenditure.

1. Infirmity / Non-Conformity

The CH&FW, AP may waive minor infirmity and/or non-conformity in a Bid,

provided it does not constitute any material deviation. The decision of the CH&FW,

AP as to whether the deviation is material or not, shall be final and binding on the

Service providers.

2. Bid Clarification

Wherever necessary, the CH&FW, AP may, at its discretion, seek clarification

from the Bidders seeking response by a specified date. If no response is received by

this date, the CH&FW, AP shall evaluate the offer as per available information.

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SECTION – 4

SCOPE OF SERVICES

1. Service Aims

Service Aims:

1. The primary obligation of the service provider is to operate the Mobile Medical

Units to provide primary and selected secondary health care ensuring that

MMU

a. Is fully equipped with equipments listed in “Annexure III” of Service

Agreement list.

b. Is manned by adequate manpower resources as per the requirement

enumerated in “Annexure V” of the Service agreement list. .

2. MMU conducts the clinics at villages as per the pre schedule. The clinical

services at villages shall include screening, diagnostic tests, dispensing drugs,

chlorination status of drinking water sources and environmental sanitation.

3. Maintenance of Electronic Medical Records of every patient / Beneficiary and

maintenance of website with displaying all the services provided by MMUs on

real-time basis and also pushed the same in the CM Dash Board.

2. Obligations of the service provider:

1. Maintenance of all Mobile Medical Units along with the equipment therein in

good condition. The MMU should be equipped with the all the equipments

proposed in “Annexure III” of the servile agreement list” and staff as per the

requirement given at “Appendix V” of the service agreement list.

2. Conducts the Clinics at the designated villages as per pre scheduled dates

with the staff and equipment and as per the Service Plan/Route plan/Calendar

for MMU as approved by the CHFW AP.

3. The MMUs shall be provided with necessary fuel for carrying on operations on

regular basis and maintained periodically by the service provider

4. Conducting diagnostic tests and medicines have to be dispensed to the

patients.

5. Maintain the database of electronic medical records of the

patients/beneficiaries. Online updating of patient records and diagnostic

reports through Tablet PC or Laptop from camp site is mandatory.

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6. Every patient / beneficiary shall be provided with the Beneficiary Booklet

wherein the services provided every month shall be updated. The Beneficiary

Booklet shall be neatly designed and printed with the design provided by

CHFW AP.

7. Diagnostic Reports shall be provided to the patient/beneficiary on neatly

designed report card. The medicines to the non communicable diseases and

also for the minor ailments shall be given in a pouch. Design and logo for the

reports and pouch will be provided by CHFW AP

8. All the drinking water sources in the village on the clinic day shall be tested for

chlorinated and reports shall be available online to be access by the DMHO &

DPHFW and RWS departments.

9. Conduct Health awareness programmes through the LCD as per the designed

programmes on various Non Communicable diseases, Communicable

Diseases and also about the various health programmes by the audio visuals

and other provided by the State Government.

10. Every MMU shall be equipped with GPS device, Biometric device and Tablet

PC for online updating of data. GPS devise, Biometric devise and Tablet PC

shall be provided by the service provider.

11. Every Service provided at the clinic i.e. number of beneficiaries attended,

number of patients treated, number of laboratory diagnostics conducted and

medicines provided etc., shall be displayed online on real time basis on the

website

12. The service provider shall follow the standard operating procedures (SOPs)

as approved by the competent authority in CH&FW, AP.

13. Service provider shall display the board in all villages about the date and time

of clinic conducted by MMU and also phone number for submission of

grievance.

14. The existing staff in the MMUs (104 FDHS) shall be taken over by the service

provider The service provider shall make gap analysis and would recruit,

deploy and maintain a team of competent personnel for running the MMU.

The staffs so recruited/ appointed/taken over shall be exclusively on Pay roll

of the service provider. The Service Provider will ensure deployment of the

adequate personnel as enumerated above to keep the MMUs operational and

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capable of providing the services as agreed upon. Gap analysis of staff

currently available in MMU should be declared by the state authority.

15. The service provider would procure all necessary road and goods permits on

behalf of CHFW AP for the MMU and maintain the same throughout the

period.

16. List of available equipment in all MMU would be declared by the state. The

technical specifications of the equipment to be procured by the authority

would be given by the state.

17. Service provider shall communicate the names and addresses of the Team

manning a particular MMU during the currency of the agreement and any

change in the composition of the team must be intimated to the authority

nominated by the CH&FW, AP. The names of men at work at the MMU at any

point of time must also be displayed prominently on the MMU.

18. The Service provider will also comply with confidentiality and privacy laws

including patient details.

19. All records maintained by the Service provider regarding operations of MMUs

will be made available to CH&FW, AP authority including audit on demand.

20. It should be clearly understood that under no circumstances, the MMUs will

be used to advertise the operations of the service provider. It should be

clearly mentioned on the outer body of the MMU that the service is provided

by Government of Andhra Pradesh.

21. Requirements of any Act promulgated by the Central State Law will have to

meet by the service provider.

22. Service provider shall establish Administrative Office and register it in Andhra

Pradesh and all the communication shall be made from it. All the financial

transactions shall in the Name of the office established in AP.

3. Responsibilities of CHFW AP:

1. Provides the 275 Mobile Medical Units to the service provider with working

condition and logo for MMU.

2. Supply free of cost good quality generic drugs and consumables as per the

requisitions received from the service provider. CHFW, Government of AP

would make all effort to keep the MMUs well stocked with drugs and

consumables at all the times. Supplies shall be made within 10 days of

requisitions.

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3. Provides the parking places to all the MMUs.

4. Ensure the attendance of ANM, ASHA and MPHS/MPHEO of concerned

village to attend the clinic and support the service provider for discharging

their duties.

4. Periodicity of Payment

1. The payment will be made on monthly basis. The Service provider will raise

its invoice on completion of services during this period duly accompanied by

evidences of services provided. The payment will be subject to TDS as per

Income Tax Rules and other statutory deductions as per applicable laws.

5. Damages for Mishap/Injury

1. The CH&FW, AP shall not be responsible for damages of any kind or for any

mishap/injury/accident caused to any personnel/property of the Service

provider while performing duty in the CH&FW, AP / consignee‟s premises. All

liabilities, legal or monetary, arising in that eventuality shall be borne by firm/

contractor.

2. The service provider is the sole custodian of the Government properties

handed over to him (Vehicles, Equipment etc). Service provider shall attend

the damages to the government property handed over to him with his own

funds).

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SECTION – 5

ELIGIBILITY CRITERIA

1. The bidder shall be a sole provider or a group of providers/NGO (maximum3)

coming together as Consortium to implement the Project, represented by a

lead member. The bidder cannot be an individual or group of individuals. A

bidder cannot bid as a sole provider as well as a partner in a consortium. No

bidder can place more than one bid in any form in the state. The bidder

should be registered as a legal entity.

2. The bidder and in case of a consortium all the participants shall have at least

Three years experience in providing medical care at community level at

minimum of 50 points. In support of this, a statement regarding assignments

of similar nature successfully completed during the last three years should be

submitted as per Performa in Appendix „A‟ completion of assignments should

also be submitted. The assignment of Govt. Depts. / Semi Govt. Depts.

should be specifically brought out. (The decision of the state government as

to whether the assignment is similar or not and whether the bidder possesses

adequate experience or not, shall be final and binding on the bidders). The

bidders may in addition provide any other documentation in support of their

claims of experience in providing community healthcare.

3. The bidder(s) must have turnover not less than Rs 10.00 Cr for each of the

last three years. In case of NGOs, cost of community healthcare services

provided should not be less than Rs 10.00 Cr of the bid amount quoted for

each of the last three years

4. The bidder should not be presently blacklisted by the any government

agencies/local bodies.

5. In case of Consortium, the lead member shall be legally responsible and shall

represent all consortium members, if any, in all legal matters. Eligibility of lead

member shall be considered for evaluating the eligibility of the consortium.In

other words lead member should have qualified in all the eligibility parameters

on his own strangths

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SECTION - 6

TERMS AND CONDITIONS

1. Signing of Agreement

1. The successful bidder shall furnish a performance security in the shape of

a Demand Draft/Bank Guarantee issued by a Nationalised Bank in favour

of Tender Inviting Authority for an amount equal to 5% of the total

agreement value. The Bank guarantee shall be as per proforma at

Appendix „E‟ and remain valid for a period, which is three months beyond

the date of expiry of the agreement. This shall be submitted within 15

days (minimum) of receiving of Notice for Award of Agreement and before

signing of the agreement failing which the EMD may be forfeited.

2. If the agreement is cancelled at any time during the validity period of the

agreement in terms of para 1 above the Performance Security shall be

forfeited

3. The CH&FW, AP will release the Performance Security without any

interest to the firm / contractor on successful completion of contractual

obligations.

4. The total cost of tender would be the basis to calculate non operative cost

per MMU per day. For all days when a certain number of MMU has not

been functional, cost deducted would be

= Operational cost of MMU per month x number of days non operative

Number of days per the current month

5. Compliance of Minimum Wages Act and other statutory requirements

1. The Service provider shall comply with all the provisions of Minimum

Wages Act/ Rates of Government (Finance Department) in case of

outsourcing employees and other applicable labor laws. The Service

provider shall also comply with all other statutory provision including but

not limited to provisions regarding medical education and eligibility criteria

of human resources used by the Service provider for providing the

services, biomedical waste management, bio safety, occupational and

environmental safety.

2. The overall legal responsibility of provision of medical care lies with the

Authority/public health facility. The Service provider shall maintain

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confidentiality of medical records and shall make adequate arrangement

for cyber security.

6. Income Tax Deduction at Source

1. Income tax deduction at source shall be made at the prescribed rates

from the Service provider‟s bills. The deducted amount will be reflected in

the requisite Form, which will be issued at the end of the financial year.

7. Periodicity of Payment

2. The payment will be made on monthly basis. The Service provider will

raise its invoice on completion of services during this period duly

accompanied by evidences of services provided. The payment will be

subject to TDS as per Income Tax Rules and other statutory deductions

as per applicable laws.

8. Damages for Mishap/Injury

3. The CH&FW, AP shall not be responsible for damages of any kind or for

any mishap/injury/accident caused to any personnel/property of the

Service provider while performing duty in the CH&FW, AP / consignee‟s

premises. All liabilities, legal or monetary, arising in that eventuality shall

be borne by firm/ contractor.

4. The service provider is the sole custodian of the Government properties

handed over to him (Vehicles, Equipment etc). Service provider shall

attends the damages to the government property handed over to him with

his own funds).

9. Termination of Agreement:

1. The CHFW AP may terminate the agreement, if the successful Bidder

withdraws its Bid after its acceptance or fails to submit the required

Performance Securities for the initial agreement and or fails to fulfill any

other contractual obligations. In that event, the CH&FW, AP will have the

right to purchase the same goods/ equipment from next eligible Service

provider and the extra expenditure on this account shall be recoverable

from the defaulter. The earnest money and the performance security

deposited by the defaulter shall also be recovered to pay the balance

amount of extra expenditure incurred by the CHFW AP. After completion

of the tenure of Bid, the Service provider will be allowed to vacate the

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space within a period of 15 days, in all the facilities where provider was

providing the services.

10. Arbitration

1. If dispute or difference of any kind shall arise between the CHFW AP and

the firm/contractor in connection with or relating to the agreement, the

parties shall make every effort to resolve the same amicably by mutual

consultations.

2. If the parties fail to resolve their dispute or difference by such mutual

consultations within thirty days of commencement of consultations, then

either the CH&FW, AP or the firm /contractor may give notice to the other

party of its intention to commence arbitration, as hereinafter provided.

The applicable arbitration procedure will be as per the Arbitration and

Conciliation Act, 1996 of India. In that event, the dispute or difference

shall be referred to the sole arbitration of an officer to be appointed by the

CHFW, AP as the arbitrator. If the arbitrator to whom the matter is initially

referred is transferred or vacates his office or is unable to act for any

reason, he / she shall be replaced by another person appointed by

CHFW, AP to act as Arbitrator.

3. Work under the agreement shall, notwithstanding the existence of any

such dispute or difference, continue during arbitration proceedings and no

payment due or payable by the CH&FW, AP or the firm / contractor shall

be withheld on account of such proceedings unless such payments are

the direct subject of the arbitration.

4. Reference to arbitration shall be a condition precedent to any other action

at law.

5. Venue of Arbitration: The venue of arbitration shall be the place from

where the agreement has been issued.

11. General Terms and Conditions:

1. The Service provider shall take over existing system and upgrade yet to

the status as per defined in EOI document within the 30 days of signing

the agreement.

2. The Authority shall finalize the Standard Operating Procedures (SOPs)

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for each of the services to be followed by the Service provider.

3. All payments should be made within 30 days of submission of necessary

bills/ invoices. Patient Feedback/Suggestions/Grievance Redressal-

Periodic feedback from patients are to be taken on structured

questionnaire. Result would be analyzed by the state government for

further improvement of services and feedback to the service provider.

Telephone numbers where patients can lodge their complaints will be

displayed on MMU.

12. Applicable Law and Jurisdiction of Court:

The agreement shall be governed by and interpreted in accordance with the

laws of India for the time being in force. The Court located at the place of issue of

agreement shall have jurisdiction to decide any dispute arising out of in respect of

the agreement. It is specifically agreed that no other Court shall have jurisdiction in

the matter.

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SECTION - VII

Appendix-A

Community based Health services provided in last 3 years.

1. Attach users‟ certificates (in original) regarding satisfactory completion of assignments

Note: Attach extra sheet for above Performa if required.

Signature………………………………

Name …………………………………..

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Appendix-B

PARTICULARS OF THE BIDDER (To be submitted by all BIDDERS including participant in Consortium)

Sl. No.

Item Bidder / Partner 1 in case of consortium

Partner – 2 in case of consortium

Partner – 3 in case of consortium

1 Name of the Form

2 Type of organization

3 Address

4 Date of Registration

5 EPF

6 ESI

7 Sales Tax

8 VAT

9 Service Tax

10 PAN

11

Annual Turn Over

2012-13

2013-14

2014-15

12

Cost of Community Health Services

2012-13

2013-14

2014-15

13

Staff as on 31.03.2015

Medical

Nursing and Paramedical

Others

Total

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Number of MMUs operating

2012-13

2013-14

2014-15

Detailed operational proposal shall be enclosed. Proposal shall include

operational methodology, HR deployment, Software and Hardware applications and

other components. Proposal shall also indicate the implementation time lines.

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Appendix-C

Forwarding Letter for Technical Bid

(To be submitted by all Service providers in their letterhead)

Date:

To

The Commissioner of Health Family Welfare.

Government of Andhra Pradesh

Sultan Bazaar, Koti,

Hyderabad

Sub: Bid for Total Service Provider for operation and maintenance of MMUs

under Bid No. 3921/PPP/G1/2013, dt: ____

Madam,

We are submitting, herewith our Bid for providing annual maintenance services / comprehensive maintenance services for ……………………….

We are enclosing Bank Draft / Bankers Cheque No……………….

Dated……………… (Amount Twenty five lakhs) towards Earnest Money Deposit

(EMD), drawn on…………………… Bank in favour of AO O/o Commissioner Health

Family Welfare , Government of AP

We agree to accept all the terms and condition stipulated in your Bid enquiry.

We also agree to submit Performance Security as per Clause No. 1.1 of Section VI of

Bid Enquiry document.4. We agree to keep performance bank guaranty valid for the

period for the period stipulated in your Bid enquiry.

Enclosures:

1.

2.

3.

4.

5.

Signature of the

Bidder……………………

Seal of the Bidder…………………………

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Appendix-D

FINANCIAL BID

1. Name of the Bidder:

2. Price Quoted:

Operational Expenditure:

S.No Cost Head Price quoted per MMU per Month in Rs

1st year 2nd year 3rd year

1 Salaries including food allowance

2 Fleet maintenance

3 Data Management

4 Administrative cost

5 Others(please mention)

Total operational expenditure

Capital Cost:

Sl. No.

Item Cost (Rs in lakhs)

1 Equpiement

2 Hardware and Software

3 Other Establishment cost

Total

Total Project Cost:

Sl. No.

Item Cost (Rs in lakhs)

1 Operational Cost for 1st year

2 Operational Cost for 2nd year

3 Operational Cost for 3rd year

4 Capital Cost

Total Project Cost for three years Price quoted per month per MMU is Rs ……./-( in words………..) (Operational expenditure per month per MMU shall be arrived by dividing total project cost with 36 x 275) Signature & Stamp of Authorized person

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Appendix-E

PROFORMA FOR BANK GUARANTEE

To

<Name, Designation and Office Address of Bid Inviting Authority>

WHEREAS……………………………………………………..(Name and address of the

Service Provider) (Hereinafter called “ the service provider” has undertaken, in

pursuance of agreement No……………….. dated …………………….. (Here in after

“the agreement”) to provided specific Mobile Medical Units.

AND WHEREAS it has been stipulated by you in the said agreement that the service

provider shall furnish you with a bank guarantee by a scheduled commercial bank

recognized by you for the sum specified therein as security for compliance with its

obligations in accordance with the agreement; AND WHEREAS we have agreed to

give such a bank guarantee on behalf of the service provider; NOW THEREFORE we

hereby affirm that we are guarantors and responsible to you, on behalf of the service

provider, up to a total of………………………………………….. (Amount of the

guarantee

in words and figures), and we undertake to pay you, upon your first written demand

declaring the service provider to be in default under the agreement and without cavil

or argument, any sum or sums within the limits of (amount of guarantee) as

aforeside, without your needing to prove or to show grounds or reasons for your

demand or the sum specified therein. We hereby waive the necessity of your

demanding the said debt from the service provider before presenting us with the

demand. We further agree that no change or addition to or other modification of the

terms of the agreement to be performed there under or of any of the agreement

documents which may be made between you and the service provider shall in any

way release us from any liability under this guarantee and we hereby waive notice of

any such change, addition or modification .This guarantee shall be valid up to 15

(fifteen) months from the date of signing of agreement i.e. up to………….. (Indicate

date)

……………………………………………………………

(Signature with date of the authorized officer of the Bank)

……………………………………………………………….

Name and designation of the officer

………………………………………………………………..

Seal, name & address of the Bank and address of the Branch

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Appendix-F

DECLARATION BY SERVICE PROVIDER

I / We ……………………………… agree that we shall keep our price valid for a

period of Three years from the date of approval. I / We will abide by all the terms &

conditions set forth in the Bid documents No. …….. /

I / We do hereby declare I / We have not been de-recognized / black listed by any

State Govt. / Union Territory / Govt. of India / Govt. Organisation / Govt. Health

Institutions.

Signature of the Service provider:

Date:

Name & Address of the Firm:

Affidavit before Executive Magistrate / Notary Public in INR 50.00 stamp paper.

22

SECTION - VIII

Service Level Agreement

DECLARATION BY SERVICE PROVIDER

1. BACKGROUND

1.1 CHFW GOVERNMENT OF AP desirous of outsourcing the services relating

to operation and Maintenance of Mobile Medical Units in the State of AP had invited

Expression of Interest from eligible bidders vide TE No ________________ dated

_____________. <Name of the Service Provider> having submitted his bid in

response to the tender enquiry and having been found technically qualified as per

the conditions in the same TE, has been awarded the agreement by the competent

authority in the CHFW GOVERNMENT OF AP <Name of the Service Provider> has

also performed required obligations after the award of agreement was

communicated to him.

1.2 Both CHFW GOVERNMENT OF AP and <Name of the Service Provider>

hereinafter referred to as Service Provider hereby willingly enter into this agreement

and agree to abide by all obligations enjoined on them by this agreement.

2. SERVICE AIMS

1. The primary obligation of the service provider is to operate the Mobile

Medical Units to provide primary and selected secondary health care

ensuring that MMU

a. Is fully equipped with equipments listed in “Annexure III” of

Service Agreement list.

b. Is manned by adequate manpower resources as per the

requirement enumerated in “Annexure V” of the Service

agreement list. .

2. MMU conducts the clinics at villages as per the pre schedule. The

clinical services at villages shall include screening, diagnostic tests,

dispensing drugs, chlorination status of drinking water sources and

environmental sanitation.

23

3. Maintenance of Electronic Medical Records of every patient /

Beneficiary and maintenance of website with displaying all the

services provided by MMUs on real-time basis and also pushed the

same in the CM Dash Board.

4. The Service Provider categorically states that if he avails of any loan to

procure, lease or hire purchase vehicles from any Banks, financial

institutions, other agencies or individuals, he will not make the CHFW

GOVERNMENT OF AP a party in any manner in such transaction nor will

use this agreement as a guarantee of any manner nor will use future

revenue expected to him from this agreement to hypothecate such

procurement of vehicles.

3. SERVICE OBJECTIVES

1. It is explicitly stated that both the parties are committed to enhance the

health and well-being of residents of the area covered by the Service

Level Agreement by providing high quality service, innovation and

development and to meet identified needs within the resources available

to both the parties.

4. SERVICE DESCRIPTION AND RESPONSIBILITIES

1. Maintenance of all Mobile Medical Units along with the equipment therein in

good condition. The MMU should be equipped with the all the equipments

proposed in “Annexure III” of the servile agreement list” and staff as per the

requirement given at “Appendix V” of the service agreement list.

2. Conducts the Clinics at the designated villages as per pre scheduled dates

with the staff and equipment and as per the Service Plan/Route plan/Calendar

for MMU as approved by the CHFW AP. MMU wise number of clinics to be

conducted is at annexure.

3. The MMUs shall be provided with necessary fuel for carrying on operations on

regular basis and maintained periodically.

4. Conducting diagnostic tests and medicines have to be dispensed to the

patients.

24

5. Maintain the database of electronic medical records of the

patients/beneficiaries. Online updating of patient records and diagnostic

reports through Tablet PC or Laptop from camp site is mandatory.

6. Every patient / beneficiary shall be provided with the Beneficiary Booklet

wherein the services provided every month shall be updated. The Beneficiary

Booklet shall be neatly designed and printed with the design provided by

CHFW AP.

7. Diagnostic Reports shall be provided to the patient/beneficiary on neatly

designed report card. The medicines to the non communicable diseases and

also for the minor ailments shall be given in a pouch. Design and logo for the

reports and pouch will be provided by CHFW AP

8. All the drinking water sources in the village on the clinic day shall be tested for

chlorinated and reports shall be available online to be access by the DMHO &

DPHFW and RWS departments.

9. Conduct Health awareness programmes through the LCD as per the designed

programmes on various Non Communicable diseases, Communicable

Diseases and also about the various health programmes by the audio visuals

and other provided by the State Government.

10. Every MMU shall be equipped with GPS devise, Biometric devise and Tablet

PC for online updating of data. GPS devise, Biometric devise and Tablet PC

shall be provided by the service provider.

11. Every Service provided at the clinic i.e. number of beneficiaries attended,

number of patients treated, number of laboratory diagnostics conducted and

medicines provided etc., shall be displayed online on real time basis on the

website

12. The service provider shall follow the standard operating procedures (SOPs)

as approved by the competent authority in CH&FW, AP.

13. Service provider shall display the board in all villages about the date and time

of clinic conducted by MMU and also phone number for submission of

grievance.

14. The existing staff in the MMUs (104 FDHS) shall be taken over by the service

provider The service provider shall make gap analysis and would recruit,

deploy and maintain a team of competent personnel for running the MMU.

The staffs so recruited/ appointed/taken over shall be exclusively on Pay roll

25

of the service provider. The Service Provider will ensure deployment of the

adequate personnel as enumerated above to keep the MMUs operational and

capable of providing the services as agreed upon.

15. The service provider would procure all necessary road and goods permits on

behalf of CHFW AP for the MMU and maintain the same throughout the

period.

16. The service provider shall made an Gap Analysis for equipment and shall fill

the gaps by New equipment.

17. Service provider shall communicate the names and addresses of the Team

manning a particular MMU during the currency of the agreement and any

change in the composition of the team must be intimated to the authority

nominated by the CH&FW, AP. The names of men at work at the MMU at any

point of time must also be displayed prominently on the MMU.

18. The Service provider will also comply with confidentiality and privacy laws

including patient details.

19. All records maintained by the Service provider regarding operations of MMUs

will be made available to CH&FW, AP authority including audit on demand.

20. It should be clearly understood that under no circumstances, the MMUs will

be used to advertise the operations of the service provider. It should be

clearly mentioned on the outer body of the MMU that the service is provided

by Government of Andhra Pradesh.

21. Requirements of any Act promulgated by the Central State Law will have to

meet by the service provider.

22. Service provider shall establish Administrative Office and register it in Andhra

Pradesh and all the communication shall be made from it. All the financial

transactions shall in the Name of the office established in AP.

Responsibilities of CHFW AP:

1. Provides the 275 Mobile Medical Units to the service provider with good

condition and logo.

2. Supply free of cost good quality generic drugs and consumables as per the

requisitions received from the service provider. CHFW, Government of AP

would make all effort to keep the MMUs well stocked with drugs and

consumables at all the times. Supplies shall be made within 10 days of

requisitions.

26

3. Provides the parking places to all the MMUs.

4. Ensure the attendance of ANM, ASHA and MPHS/MPHEO of concerned

village to attend the clinic and support the service provider for discharging

their duties.

5. REFERRAL PROCESS & ELIGIBILITY

1. It will be the responsibility of CHFW GOVERNMENT OF AP to provide

the Service provider an “information matrix” for nearest facilities including

their capacity in terms of existing Laboratory services, diagnostic

services, and human resources available.

2. It will be the responsibility of the Service Provider to keep the Medical

Officer(s) in charge of the MMU informed of the information matrix. For

services not available at the MMU, patients can be referred to nearest

facility in accordance with the “information matrix“.

3. Both the parties hereby agree that no patient will be referred to any

private medical establishment either formally or informally without specific

prior approval of the CH&FW, AP

6. INFORMATION AND REPORTING REQUIREMENTS

1. The Service provider shall ensure that information, records and

documentation necessary to monitor the agreement are maintained and

are available at all times to the CHFW GOVERNMENT OF AP or its

authorised representative. The Service Provider hereby agrees that he

and all his staff shall at all times co-operate with the reasonable

processes of the Service procuring agency for the monitoring, evaluation

and carrying out quality audit and financial audit by any third party

authorised by CH&FW, AP

2. The Service provider hereby agrees to maintain all relevant data and

records of all patients treated at the MMU.

3. The Service provider further agrees to maintain confidentiality of these

data and records and commits that such data and records will not be

shared with any third party for any purpose.

4. The Service provider agrees to provide data to CHFW GOVERNMENT

OF AP as per requirement of CHFW. Failure to do so may entail

27

cancellation of the agreement.

5. The Service provider hereby agrees to maintain log book showing all

movements of the MMU vehicle and keep record of consumption of POL.

The log book should be maintained as per the format in vogue in any

government office. Logbook shall be made available for verification by the

any authority nominated by Service procuring agency.

6. The Service provider agrees that the MMU vehicles will not be used to

advertise any product or organisation including the Service provider‟s

own. The following text must appear on both sides of the MMU vehicle in

reasonably big font-size to enable a normal sighted person to read it from

a reasonable distance:

7. The Service provider agrees to display copies of this agreement, list of

medical equipment available with the MMU, stocks of drugs and

consumables at prominent place in the MMU. The names of the Medical

Officer and other personnel on duty must also be displayed during duty

hours.

7. PERFORMANCE

1. An half yearly review meeting will be held and attended by appropriate

levels of officials of Service procuring agency and Service providers to

consider the performance, the anticipated outcome of the agreement and

future service developments and changes. Further meetings may be

arranged at any time to consider significant variation in the terms or

conduct of the agreement and where corrective action on either part is

indicated.

2. Both the Service procuring agency and Service Provider agree to

consider introduction of any further service in line with any new initiative

of the government or in response to local demand which could not be

anticipated earlier.

3. Both the Service procuring agency and Service Provider agree that such

services should be provided without extra cost. However, if it is felt by

both the parties that the additional services would require additional

resources/manpower, the Service procuring agency agrees to consider

reasonable increases in amount disbursed to the Service provider. It is

28

agreed that the Service provider will be under no obligation to introduce

the additional service unless a commitment to reimburse additional cost

has been provided to him.

8. HEALTH AND SAFETY

1. The Service Provider agrees to adequately train, instruct and supervise

staff to ensure as is reasonably practicable, the health and safety of all

persons who may be affected by the services provided under the

agreement.

2. The Service provider agrees that he would collect periodic feedback from

the patients through structured questionnaire at his cost. The periodicity

will not be less than once in six months. Responses to the questionnaire

will be submitted in original to the Service procuring Agency Telephone

numbers where patients can lodge their complaints to be displayed on

MMU.

9. DATA PROTECTION, CONFIDENTIALITY AND RECORD KEEPING

1. All Service Users have a right to privacy and therefore all information and

knowledge relating to them and their circumstances must be treated as

confidential. The Service Provider must advise all staff on the importance of

maintaining confidentiality and implement procedures which ensure that

Service User‟s affairs are only discussed with relevant people and agencies.

2. The Service Provider shall comply with all legislations, which otherwise would

have been applicable had the services been run directly by the Government

agencies.

10. STAFFING

1. The Service provider will ensure that, at all times, it has sufficient suitably

trained staff to ensure that services comply with all the statutory

requirements and meet patient needs.

2. The Service provider agrees that he would ensure that a adequate

complement of staff mentioned at Annexure III of this Agreement would

be in position in each MMU.

3. The Service provider agrees that a record of qualifications shall be

maintained by the provider and available for inspection.

29

4. The Service provider hereby expresses his commitment to training and

staff development and the maintenance of professional knowledge and

competence.

11. FINANCE ARRANGEMENTS

1. Both parties agree that the payment arrangements as quoted by the

Service provider in his bid against the above mentioned tender enquiry

and/or subsequent bid submitted by him as a result of negotiations shall

be adhered to.

2. It is agreed that payments would be made monthly basis. To facilitate

this, the Service provider will submit invoices with all documents in

support of his claims on every last working day of the month. On the

basis of such invoices, the Service procuring agency agrees to

provisionally transfer the amount electronically to the Service provider‟s

bank account within fifteen days from submission of invoices.

3. The Service procuring agency or any other agency as per existing rules

of the government will have the right to examine the invoices as required

under relevant rules. If such examination reveals any extra payment

already provisionally made, the extra amount will be adjusted from the

next payment due to the Service provider under intimation to him.

4. In case the last day of the month is holiday as a result of which invoices

cannot be submitted, the Service procuring agency agrees to make

payment of an equivalent amount of the last invoice submitted.

Additional amount paid if any on the basis of actual invoices submitted

later and examination thereof will be adjusted from subsequent

payments under intimation to the Service provider.

5. The Service provider hereby agrees to maintain all required books of

accounts and agrees to provide them to such audit as may be required

to be carried out.

6. The Service provider hereby agrees that the Service procuring agency

will deduct from all payments such amount of statutory taxes and duties

as he is required to deduct under provisions of law.The amount would

be deducted if the MMU becomes non operative as mentioned and

calculated above in Section VI.

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12. VARIATION

1. This Service Level Agreement may not be varied unless a variation is

agreed in writing and signed by all parties.

13. DISPUTES

1. The agreement shall be governed by and interpreted in accordance with

the laws of India for the time being in force. The Court located at the place

of issue of agreement shall have jurisdiction to decide any dispute arising

out of in respect of the agreement. It is specifically agreed that no other

Court shall have jurisdiction in the matter.

2. Both parties agree to make their best efforts to resolve any dispute

between them by mutual consultations.

14. ARBITRATION

1. If the parties fail to resolve their dispute or difference by such mutual

consultations within thirty days of commencement of consultations, then

either the Service procuring agency or the Service provider may give

notice to the other party of its intention to commence arbitration, as

hereinafter provided. The applicable arbitration procedure will be as per

the Arbitration and Conciliation Act 1996 of India. In that event, the

dispute or difference shall be referred to the sole arbitration of an officer

as the arbitrator to be appointed by the <Name of the MMUSPA>. If the

arbitrator to whom the matter is initially referred is transferred or vacates

his office or is unable to act for any reason, he / she shall be replaced by

another person appointed by CHFW GOVERNMENT OF APto act as

Arbitrator.

2. Work under the agreement shall, notwithstanding the existence of any

such dispute or difference, continue during arbitration proceedings and

no payment due or payable by the MMUSPA or the firm / contractor

shall be withheld on account of such proceedings unless such payments

are the direct subject of the arbitration.

3. Reference to arbitration shall be a condition precedent to any other

action at law.14.4 Venue of Arbitration: The venue of arbitration shall be

the place from where the agreement has been issued.

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15. TERMINATION

1. Either party may terminate this agreement by giving not less than 3

months notice in writing to the other. This notice shall include reasons

as to why the agreement is proposed to be terminated.

2. The Service Procuring agency may terminate the agreement, or

terminate the provision of any part of the Services, by written notice to

the Service provider with immediate effect if the Service Provider is in

default of any obligation under the agreement, where the default is

capable of remedy the Service Provider has not remedied the default to

the satisfaction of the Service procuring agency within 30 days of at

least two written advice, or such other period as may be specified by the

Service procuring agency, after service of written notice specifying the

default and requiring it to be remedied; or b. the default is not capable of

remedy; or c. the default is a fundamental breach of the agreement

3. If the Service procuring agency terminates the agreement and then

makes other arrangements for the provision of the Services, it shall be

entitled to recover from the Service provider any loss that had to be

incurred due to such sudden termination of agreement.

4. Both the parties agree that no further payment would be made to the

Service provider, even if due till settlement of anticipated loss as a result

of premature termination of the agreement.

5. The CHFW AP reserves the right to terminate the agreement without

assigning any reason if services of the MMU create serious adverse

publicity in media and prima facie evidence emerges showing

negligence of the Service provider.

16. INDEMNITY

1. By this agreement, the Service provider indemnifies the Service

procuring agency against damages of any kind or for any

mishap/injury/accident caused to any personnel/property of the Service

provider while performing duty.

2. The Service provider agrees that all liabilities, legal or monetary, arising

in any eventuality shall be borne by the Service provider.

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17. PERIOD OF AGREEMENT

1. This Service Level Agreement shall be for a period of three years take

effect on …To…..until …. The period may be extended with the

agreement of both parties after mutual negotiations.

Signed for and on behalf of the MMU Service Procuring Agency

(Commissioner of Health & family Welfare,I

Signed: ............................................................

Name: ............................................................

Designation:............................................................

Date:............................................................

6. Signed for and on behalf of the Service

Provider:

Signed:............................................................

Name:............................................................

Designation:............................................................

Date: ............................................................

Witnesses:

1)

2)

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SECTION - IX

ANNEXURE - 1

PACKAGE OF SERVICES TO BE PROVIDED AT MMU

1 Maternal Health Early diagnosis of Pregnancy, Early registration, MCH

Cards, Birth Planning (and preparing mothers and families

in remote areas to shift to a facility at least one week before

the due date, or to a maternity hut), Regular Ante-natal

check-ups; includes Screening for Hypertension, Diabetes,

Anemia, TT Immunization for Mother, Iron-folic Acid &

Calcium Supplementation, Identification and referral High

Risk Pregnancy, Post Natal Cases, Counselling, support

and motivation for institutional delivery, Nutrition, Enabling

Take Home Rations (THR) for pregnant women through

Anganwadi worker.

2 Neonatal and Infant

Health (0 to 1 year old)

Examination of low birth weight / preterm newborn / other

high risk newborns and management or referral as

required), Counselling and support for early Breast

Feeding, improved weaning Practices, Identification of

congenital anomalies, other disabilities and appropriate

referral, family / community education of Prevention of

infections, Complete Immunization, Vitamin A

supplementation, Care of Common illnesses of new born,

AGE with mild dehydration, pneumonia case management.

3 Child and, Adolescent

health

Growth Monitoring, Prevention through IYCF counseling,

access to food supplementation – convergence with ICDS,

De-worming, Immunization, prompt and appropriate

treatment of diarrhea/ARI, referral where needed, detection

of Severe Acute malnutrition (SAM), referral and follow up

care for SAM, Prevention of anaemia, use of iodised salt;

Prevention of diarrhea, Pre-school and School Child:

Biannual Screening, School Health Records, Eye care, De-

worming, Early detection of growth abnormalities, delays in

development and disability, Adolescent Health Services:

personal hygiene, Detection & Treatment of Anaemia and

other deficiencies in children and adolescents.

4 Reproductive health

and Contraceptive

Identifying eligible couples, and motivating for Family

Planning delaying first child, spacing between two children,

34

Services Access to spacing methods – OCP, ECP condoms, IUCD

insertion and removal, RTI treatment – Syndromic

management / partner treatment, First aid for GBV – link to

referral centre and legal support centre.

5 Management of chronic

Communicable

Diseases

Tuberculosis; HIV, leprosy, Malaria, Kala-Azar, Filariasis,

other vector borne disease – identification use of

RDT/prompt treatment initiation, vector control measures,

Sputum collection for TB, RDK + Lab testing and treatment

for all vector borne disease examination, follow up

medication compliance, Prevention – mass drug

administration in filarias, immunization for JE.

6 Management of

Common

Communicable

Diseases & Basic OPD

care (acute simple

illness)

Diagnosis and management of common fevers, ARIs and

diarrhoeas, Urinary Tract infections, skin infections

(Scabies, abscess), indigestion, acute gastritis.

Symptomatic care for aches and pains.

7 Management of

Common Non-

Communicable

Diseases

Undertake screening for over 35 age group, at MMU on an

annual basis or Opportunistic Screening for diabetes and

hypertension, Hypertension / Diabetes mellitus –

Medication, follow up diagnostics, refer for specialist

consultation and early referral for complications, silicosis,

Fluorosis – follow up care, Diagnosis of common

respiratory morbidities (COPD and bronchial asthma) and

treatment in all “Chest symptomatic”, Epilepsy – early case

identification, enable specialist consultation through

referral.

8 Management of Mental

illness

Community education and Preventive measures against

Tobacco use and Substance Abuse, Identification of people

for De-Addiction Centres, Referral of cases with mental

illness, follow up medication, counseling / support.

9 Dental Care Education on Oral Hygiene & Substance Abuse, in

community and schools, recognition of dental fluorosis –

Referral for gingivitis, dental caries, oral cancers, Treatment

for glossitis, candidiasis, fever blisters, aphthous ulcers;

10 Eye Care / ENT Care School: Screening for blindness and refractive errors,

Community screening for congenital disorders and referral,

counseling and support for care seeking for blindness,

other eye disorders first aid for nosebleeds, recognizing

35

congenital deafness, other common ENT conditions and

referral,

Eye care in newborn, Screening for visual acuity, cataract

and for Refractive Errors, Identification & Treatment of

common eye problems – conjunctivitis; spring catarrh,

Xerophthalmia, first aid for injuries, referral, Management of

common colds, Acute Suppurative Otitis media, (ASOM),

injuries, pharyngitis, laryngitis, rhinitis, URI, sinusitis.

11 Geriatric Care Management of common geriatric ailments; counseling,

supportive treatment, and Pain Management

12 Emergency Medicine Snake bites, scorpion stings, insect bites, dog bites,

Stablilization care in poisoning and referral first aid, trauma

of any cause, Minor injury, abscess management.

36

ANNEXURE II(A)

LIST OF EXISTING MMUs &THEIR LOCATION

S N MMU Number District Location of MMU

1 AP28Y8876 Srikakulam SrikakulamRIMS

2 AP28Y7863 Srikakulam SrikakulamRIMS

3 AP28Y8877 Srikakulam Amadalavlasa

4 AP28Y7872 Srikakulam Ranasthalm

5 AP28Y9562 Srikakulam Ponduru

6 AP28Y8831 Srikakulam Ponduru

7 AP28Y8880 Srikakulam Palakonda

8 AP28Y8878 Srikakulam Rajam

9 AP28Y7868 Srikakulam Rajam

10 AP28Y7821 Srikakulam Seethampeta

11 AP28Y7864 Srikakulam Kotturu

12 AP28Y7862 Srikakulam Pathapatnam

13 AP28Y8881 Srikakulam Budithi

14 AP28Y8882 Srikakulam Sompeta

15 AP28Y9561 Srikakulam Itchapuram

16 AP28Y7865 Srikakulam Haripuram

17 AP28Y9028 Srikakulam Tekkali

18 AP28Y9029 Srikakulam Palasa

19 AP28Y9026 Srikakulam Kotabommali

20 AP28Y8879 Srikakulam Narasannapeta

1 AP09TA3153 Vizianagaram Cheepurupalli

2 AP09TA3221 Vizianagaram Nellimarla

3 AP09TA3475 Vizianagaram Nellimarla

4 AP09TA2721 Vizianagaram Bhogapuram

37

5 AP09TA3202 Vizianagaram Bhogapuram

6 AP09TA3213 Vizianagaram SKota



9 AP09TA3219 Vizianagaram Gajapathinagaram

10 AP09TA2699 Vizianagaram Gajapathinagaram

11 AP09TA3486 Vizianagaram Parvathipuram

12 AP09TA3192 Vizianagaram Bobbili

13 AP09TA2540 Vizianagaram Badangi

14 AP09TA2646 Vizianagaram Saluru

15 AP09TA2724 Vizianagaram Badangi

16 AP09TA2722 Vizianagaram Kurupam

17 AP09TA2581 Vizianagaram Chinamerangi

1 AP09TA3067 Visakhapatnam ANAKAPALLI

2 AP09TA3313 Visakhapatnam Aganampudi

3 AP09TA3054 Visakhapatnam ANAKAPALLI

4 AP09TA2728 Visakhapatnam Gopalapatnam

5 AP09TA2819 Visakhapatnam BHIMILI

6 AP09TA2726 Visakhapatnam CHOWDAVARAM

7 AP09TA3057 Visakhapatnam Vmadugula

8 AP09TA2991 Visakhapatnam Kkotapadu

9 AP09TA3225 Visakhapatnam Kotavuratla

10 AP09TA2689 Visakhapatnam NARISIPATNAM

11 AP09TA3320 Visakhapatnam NARISIPATNAM

12 AP09TA3045 Visakhapatnam Nakkapalli

13 AP09TA2609 Visakhapatnam YELAMANCHALLI

14 AP09TA2735 Visakhapatnam Munchingput

38

15 AP09TA3060 Visakhapatnam ARUKU

16 AP09TA2859 Visakhapatnam ARUKU

17 AP09TA2723 Visakhapatnam CHINTHAPALLI

18 AP09TA3140 Visakhapatnam CHINTHAPALLI

19 AP09TA3070 Visakhapatnam PADERU

20 AP09TA3130 Visakhapatnam PADERU

1 AP09TA3000 East Godavari Rampachodavaram

2 AP09TA3347 East Godavari Rampachodavaram

3 AP09TA3355 East Godavari Addateegala

4 AP09TA3011 East Godavari Mummidivaram

5 AP09TA3144 East Godavari Razole

6 AP09TA3013 East Godavari Allavaram

7 AP09TA3121 East Godavari Pgannavaram

8 AP09TA3069 East Godavari Tkothapalli

9 AP09TA3350 East Godavari Kothapeta

10 AP09TA3356 East Godavari Peddapuram

11 AP09TA3128 East Godavari Jaggampeta

12 AP09TA3014 East Godavari Yeleswaram

13 AP09TA3126 East Godavari Routhulapudi

14 AP09TA3049 East Godavari Prathipadu

15 AP09TA3345 East Godavari Gokavaram

16 AP09TA3062 East Godavari Kadiyam

17 AP09TA3064 East Godavari Anaparthy

18 AP09TA3131 East Godavari Mandapeta

19 AP09TA3139 East Godavari Alamuru

20 AP09TA3123 East Godavari Kapileswarapuram

21 AP09TA3129 East Godavari Thallarevu

39

22 AP09TA2990 East Godavari Pitapuram

23 AP09TA3352 East Godavari Pedapudi

24 AP09TA3348 East Godavari Samalkota

1 AP09TA2986 West Godavari Polavaram

2 AP09TA3010 West Godavari Buttaigudem

3 AP09TA3072 West Godavari Buttaigudem

4 AP09TA2995 West Godavari Gopalapuram

5 AP09TA3056 West Godavari Jangareddygudem

6 AP09TA3201 West Godavari Chinthalapudi

7 AP09TA3321 West Godavari Denduluru

8 AP09TA3319 West Godavari Denduluru

9 AP09TA3218 West Godavari Bhimadole

10 AP09TA3292 West Godavari Bhimadole

11 AP09TA3243 West Godavari Akiveedu

12 AP09TA2993 West Godavari Bhimavaram

13 AP09TA2994 West Godavari Palakollu

14 AP09TA2999 West Godavari Achanta

15 AP09TA2831 West Godavari Narasapuram

16 AP09TA3065 West Godavari Tanuku

17 AP09TA3005 West Godavari Penugonda

18 AP09TA3073 West Godavari Penugonda

19 AP09TA2542 West Godavari Tadepalligudem

20 AP09TA2817 West Godavari Tadepalligudem

21 AP09TA2998 West Godavari Nidadavole

1 AP09TA2725 Krishna AVANIGADDA

2 AP09TA2688 Krishna CHALLAPALLI

3 AP09TA3146 Krishna GANNAVARAM

40

4 AP09TA2818 Krishna GUDIWADA

5 AP09TA2684 Krishna GUDIWADA

6 AP09TA3239 Krishna GUDURU

7 AP09TA3210 Krishna GUDURU

8 AP09TA3048 Krishna JAGGIYYAPETA

9 AP09TA2711 Krishna KAIKALURU

10 AP09TA2687 Krishna KAIKALURU

11 AP09TA2731 Krishna KANKIPADU

12 AP09TA2736 Krishna KANKIPADU

13 AP09TA2691 Krishna MYLAVARAM

14 AP09TA3481 Krishna NANDIGAMA

15 AP09TA2601 Krishna NANDIGAMA

16 AP09TA3141 Krishna NUZVID

17 AP09TA2683 Krishna TIRUVURU

18 AP09TA2988 Krishna VISSANNAPETA

19 AP09TA3394 Krishna VUYYURU

20 AP09TA2732 Krishna ACCIDENT

1 AP09TA3314 Guntur Ipuru

2 AP09TA2715 Guntur Vinukonda

3 AP09TA2716 Guntur Vinukonda

4 AP09TA2718 Guntur Macherla

5 AP09TA2709 Guntur Repalle

6 AP09TA2679 Guntur Nagaram

7 AP09TA2712 Guntur Ponnur

8 AP09TA2570 Guntur PVPalem

9 AP09TA2595 Guntur PVPalem

10 AP28Y7873 Guntur Narasaraopet

41

11 AP28Y9568 Guntur Chilakaluripet

12 AP09TA2594 Guntur Kollipara

13 AP09TA2734 Guntur Kollipara

14 AP09TA2717 Guntur Vemuru

15 AP09TA3539 Guntur Pedakurapadu

16 AP09TA2614 Guntur Sattenapalli



19 AP09TA2719 Guntur Prathipadu2

20 AP09TA2713 Guntur Prathipadu2

21 AP09TA3397 Guntur Amaravathi

22 AP09TA2571 Guntur Amaravathi

23 AP09TA2710 Guntur Gurazala

24 AP09TA2593 Guntur Gurazala

1 AP09TA2693 Prakasam Addanki

2 AP09TA2810 Prakasam Cumbum

3 AP09TA3050 Prakasam Chirala

4 AP09TA3127 Prakasam Chimakurthy

5 AP09TA3001 Prakasam Darsi

6 AP09TA3138 Prakasam Giddalur

7 AP09TA3132 Prakasam Kandukur

8 AP09TA3226 Prakasam Kanigiri

9 AP09TA3346 Prakasam Kondepi

10 AP09TA3125 Prakasam Markapur

11 AP09TA3068 Prakasam Martur

12 AP09TA3399 Prakasam NGPadu

13 AP09TA3401 Prakasam Ongole

42

14 AP09TA3483 Prakasam Pdornala

15 AP09TA3349 Prakasam Pamuru

16 AP09TA2695 Prakasam Parchoor

17 AP09TA3351 Prakasam Podili

18 AP09TA3402 Prakasam Ulavapadu

19 AP09TA3354 Prakasam VVPalem

20 AP09TA3124 Prakasam Yarrangondapalem

1 AP09TA2989 Nellore BUCHIREDDYPALLEM

2 AP09TA3199 Nellore Kovur

3 AP09TA3133 Nellore Venkatachalam

4 AP09TA3395 Nellore Indukurpeta

5 AP09TA3012 Nellore Indukurpeta2

6 AP09TA2659 Nellore Rapuru

7 AP09TA3122 Nellore Podalakur

8 AP09TA3135 Nellore Alluru

9 AP09TA3134 Nellore Kavali

10 AP09TA3189 Nellore Udayagiri

11 AP09TA2685 Nellore Vinjamur2

12 AP09TA3480 Nellore Vinjamur

13 AP09TA3207 Nellore Atmakur

14 AP09TA2690 Nellore Gudur2

15 AP09TA3145 Nellore Gudur

16 AP09TA3119 Nellore Kota

17 AP09TA3071 Nellore Venkatagiri

18 AP09TA3245 Nellore Vakadu

19 AP09TA2648 Nellore Naidupeta

20 AP09TA3150 Nellore Sullurpeta

43

1 AP28Y9520 Chittoor CHITTOOR

2 AP28Y9564 Chittoor CHITTOOR

3 AP28Y9687 Chittoor PKOTHAKOTA

4 AP28Y9685 Chittoor BANGARUPALEM

5 AP28Y9609 Chittoor PALAMANER

6 AP28Y9608 Chittoor VKOTA

7 AP28Y9563 Chittoor KUPPAM

8 AP28Y9522 Chittoor THAMBALLAPALLI

9 AP28Y9566 Chittoor PUNGANOOR

10 AP28Y9572 Chittoor VAYALPAD

11 AP28Y9523 Chittoor MADANAPALLI

12 AP28Y9559 Chittoor SADUM

13 AP28Y9560 Chittoor PILER

14 AP28Y9571 Chittoor CGGALLU

15 AP28Y9689 Chittoor KALIKIRI

16 AP28Y9569 Chittoor TIRUPATHI

17 AP28Y9567 Chittoor TIRUPATHI

18 AP28Y9686 Chittoor CHANDRAGIRI

19 AP28Y9504 Chittoor PUTTUR

20 AP28Y9570 Chittoor NAGIRI

21 AP28Y9521 Chittoor NAGIRI

22 AP28Y9506 Chittoor SRIKALAHASTI

23 AP28Y9507 Chittoor SRIKALAHASTI

24 AP28Y9688 Chittoor SATHYAVEDU

1 AP28Y7924 Kadapa Jammalamadugu

2 AP28Y8566 Kadapa Jammalamadugu

3 AP28Y6568 Kadapa Pulivendula

44

4 AP28Y7861 Kadapa RlyKodur

5 AP28Y7869 Kadapa RlyKodur

6 AP28Y9031 Kadapa Badvel

7 AP28Y8567 Kadapa Rayachoty




11 AP28Y9524 Kadapa Porumamilla

12 AP28Y8807 Kadapa Porumamilla

13 AP28Y8813 Kadapa Sidhout

14 AP28Y7867 Kadapa Vempalli

15 AP28Y8569 Kadapa Proddutur

16 AP28Y8570 Kadapa Proddutur

17 AP28Y7871 Kadapa Chennur2

18 AP28Y8812 Kadapa Kamalapuram

19 AP28Y8808 Kadapa Mydukur



22 AP28Y8565 Kadapa Rajampeta

1 AP09TA2611 Anantapur Pamidi

2 AP09TA2569 Anantapur Nallamada

3 AP09TA2591 Anantapur Gooty

4 AP09TA2592 Anantapur Singanamala

5 AP09TA3540 Anantapur Anantapur

6 AP09TA3283 Anantapur Kanekal

7 AP09TA3545 Anantapur Rayadurg

8 AP09TA2845 Anantapur Kalyandurg

45

9 AP09TA3208 Anantapur Kalyandurg

10 AP09TA2654 Anantapur Dharmavaram

11 AP09TA3550 Anantapur Tanakal

12 AP09TA2643 Anantapur CKPalli

13 AP09TA2610 Anantapur Hindupur

14 AP09TA2613 Anantapur Nallamada

15 AP09TA3549 Anantapur Penukonda

16 AP09TA2645 Anantapur Kadiri

17 AP09TA3546 Anantapur Kadiri

18 AP09TA2858 Anantapur Uravakonda

19 AP09TA2652 Anantapur Konakondla

20 AP09TA3279 Anantapur Tadipatri

21 AP09TA2649 Anantapur Tadipatri

22 AP09TA3244 Anantapur Madakasira

23 AP09TA3548 Anantapur Madakasira

1 AP09TA2546 Kurnool Adoni

2 AP09TA3002 Kurnool Allur

3 AP09TA3183 Kurnool Yemmiganur

4 AP09TA3217 Kurnool Kodumur

5 AP09TA3215 Kurnool Pathikonda

6 AP09TA2543 Kurnool Veldurthi

7 AP09TA3055 Kurnool Dhone

8 AP09TA3007 Kurnool Banaganapalli

9 AP09TA3204 Kurnool Koilakuntla

10 AP09TA3066 Kurnool Allagadda

11 AP09TA3241 Kurnool Owk

12 AP09TA2541 Kurnool Yallur

46

13 AP09TA2547 Kurnool Nandyal

14 AP09TA3196 Kurnool Panyam

15 AP09TA2996 Kurnool Atmakur

16 AP09TA3009 Kurnool Sunnipenta

17 AP09TA2997 Kurnool Velugodu

18 AP09TA3059 Kurnool Nandikotkur

19 AP09TA3008 Kurnool Orvakal

20 AP09TA3205 Kurnool Midthur

47

ANNEXURE – II(B)

DUTIES AND RESPONSIBILITIES OF THE STAFF OF THE MMU

Medical Officer

a. MO will be the in-charge and overall responsible for the effective functioning

of the MMU. The other staff of the MMU will work under his/her supervision

on a day to day basis.

b. In case of referral to the nearest facility, the MO shall maintain suitable

records (detail address and the cause of emergency in the register and log

book of the vehicle) and issue a clear descriptive referral slips MO and MO I/c

of the PHC shall take immediate appropriate actions during outbreaks of

diseases and epidemic and inform concerned DM&HO as well as to render

assistance as required and feasible.

c. MO shall work in collaboration with Deputy DM&HO of concerned area and

the MO I/c of concerned PHC under whose area services are being rendered.

d. MO shall work in coordination and cooperation with the health staff of the

department, local authorities, Village Health Sanitation and Nutrition

Committee (VHSNC) etc.

Staff Nurse/ANM

a. To assist the MO of the MMU in providing the health care services as listed.

b. To maintain cold chain for vaccines

c. To carry out all other relevant functions as tasked by the MO of the MMU

Pharmacist cum Administrative Assistant

a. To dispense the medicines to the patients prescribed by the MO in the MMU.

b. To take appropriate action for Bio Medical waste management with the MO

c. To maintain all adequate stock, inventory and issue registers.

d. To carry out all other tasks as ordered by the MO of the MMU.

Laboratory Technician

a. To carry out the diagnostic tests/laboratory tests as per the requirement and feasibility.

b. To work in coordination with RNTCP & NVBDCP for quality monitoring and

48

keep the required documents/records as per program guidelines.

c. To prepare the monthly report and submit to the MMU MO.

d. To carry out all other tasks as ordered by the MO of the MMU.

Role of ASHAs and ANM in MMUS

a. Generate awareness regarding the availability of MMU, service provided,

frequency of visit and schedule of MMU.

b. Mobilization through home visits and VHSNC meetings.

c. Disseminate IEC in coordination with MMU staff and ANM/AWW.

d. Identify Community groups /patients who would particularly benefit from the

services of MMU.

e. It is important for ASHAs to have clarity on how to assist the service user to

choose between SC/PHC/MMU as site of referral based on what the referral

is for, where there is greater assurance of service and which is more

convenient to access.

f. To undertake preliminary screening or bring in suspected case of chronic

diseases- e.g. TB, Blindness, HIV, Leprosy, diabetes, Hypertension, asthma,

epilepsy, childhood disability, severe malnutrition.

g. To ensure regular follow up of patients who are on long term treatment for

chronic diseases.

h. To enable easy access of referral services in emergency cases.

i. VHSNC should function as organizer of village level activities of MMU visit.

j. VHSNC members should help ASHAs/ANMs in mobilization of patients to

access services from MMU.

k. ASHAs should be paid the same incentive as for attending a VHND.

Role of MPHS/MPHEO:

1. Shall examine the all drinking water resources for chlorination

2. Shall conduct passive surveillance for any fevers and health incidents.

49

ANNEXURE - III

PROPOSED LIST OF MEDICAL EQUIPMENT AND INSTRUMENTS OF MMU

Name of the Instrument Quantity of MMU

Microscope with Light source (Binocular) 1

Sterilizer 38 cms with electric drums 1

Dressing Drum (11 x 9) 2

Weighing Machines Adults Simple 1

Weighing Machines Baby Simple 1

Stethoscope 2

B.P. Apparatus 2

Hemoglobin meter (Manual) 1

Centrifuge machine (Mini) 1

Incubator 1

Micro typing Centrifuge 1

Nebulizer 1

Ambu bad Adult 2

Ambu bad Paediatric 2

Laryrngoscope Adult 1

Laryngoscope Child 1

Suction apparatus with accessories 1

Torch & Spot light 1

Glucometer 1

Refrigerator (Capacity 50 to 60 liters) 1

Needle cutter (manually operated) 1

Laboratory table – Portable 1

1 computers – laptop preferred 1

Laser Printer 1

LCD TV of 42 inches 1

Broadband Internet Data Card 1

Water Purifier 1

Foldable Half Bench 2

Foldable seats for staff 4

Waste Collecting bins, as per Biomedical waste Management specifications

Stool 4

Cot 1

Examination table 1

Brackets for Oxygen Cylinder with adjustable straps 2

Detachable stretcher 1

Hooks for an intravenous bottle 4

Chairs 5

Transfusion Bottle Hook 2

DVD Player 1

Fire Extinguisher 1

View Box 1

Digital clock 1

50

Height Measurement Instrument 1 Semi-Auto Haematology analyser (3 part) 1

Stainless Steel Cabinet 3

Water Storage Tank 1

Extension Box 2

Screen (for privacy) 2

Emergency light 2

Soap Container 3

Towel Holder 2

Test tubes 1

Auto pipettes 1

Ophthalmoscope 1

Auto scope 1

Examination Torch 2

12 LED ECG Machine 1

51

ANNEXURE -IV

DRUGS AND CONSUMABLE LIST

Type of medicine Name of medicine / consumables

EMERGENCY MEDICINE

Inj. Atropine sulphate 0.6 mg

Inj. Calcium Gluconate 10%

Inj.Theophyllin 50.6 mg + Etophyllin 169.4 mg / 2 ml

Inj.Dexamethasone 2 mg / ml

Inj. Oxytocin

Inj. Sodabicarbonate 7.5 mg

Inj. Chlopheniramine Maleate (2 ml)

Inj. Adrenaline 1 mg

Inj. Lignocaine 2 %

Inj. Dopamine 200 mg

Inj. Diazepam

Inj. Vit K 10 mg / ml (Menadion bisulphate)

Inj. Anti-Snake venom serum

Inj. Frusemide

Inj. Anit Rabies

ANTIBIOTICS Tab. Amlodipine 5 mg

Tab. Roxithromycin 150 mg

Tab. Erythromycin 250 mg

Tab. Ciprofloxacin 250 mg

Tab. Norfloxacin 400 mg

Furazolidine tab.

Furazolidine Syp. Bottles

Metronidazole tab (400 mg)

Metronidazole tab (200 mg)

Cap. Amoxicillin 250 mg

Septran SS Tab

Sofracort Eye + Ear drops

Soframycin Ointment

Syp. Ampicilin

Amoxicillin Syp. Bottles

Ampicilin Caps (250 mg)

Ciprofloxacin eye drop

Ciplox – TZ tab

Sy. Cotrimazole (septran)

ANTIAMOEBIC

Sy. Furzolidine 60 ml

Tab. Furzolidine 100 mg

Tab. Metronidazole 200 mg

ANTIFUNGAL

Whitfield‟s Ointment

Griseofulvin tab

Fluconazole Tab

Miconazole Tab

52

Tab. Griseofulvin 125 mg

NUTRITENTS

Tab. Multivitamin

Tab/Cap Iron Folic Acid (S R)

Vitamin A/E Capsule

Vit. A Solution

Vit D Sache

Tab Vit B Complex

Tab. Calcium carbonate

Tab. Etophylline & Theophyulline SR

ANTIMALARIALS

Primaquine tab.

Pyrimethamine + Sulphadoxine tab.

ACT (A/SP, Adult) DMO

Chloroquine syrup bottles

Chloroquine tab

ACT (RTSUN)

ACT (A/SP, <1 yr)

WORMICIDALS Albendazole Syp.

Albendazole Tab.

GENERAL MEDICINE AND NON COMMUNICABLE DISEASES

Amitriptyline tab.

Omeprazole Cap.

Metoclopramide

Hydrochlorathiazide

Lasix tab.

Amlodipine Tab

Paracetamol Tab

Phenobarbitone tablet

Prednisolone Tablet

Ranitidine tablet

Salbutamol Tab.

Sorbitrate

Cough Syrup Bottles

CPM Tab

Codeine Tablet

Diclofenac + Dicyclomine tab.

Diclofena SR Tab

Diclofenac tab

Dicyclomine tab

Digonxin tab

Antacid tab

Brufen tab

Aspirin tab

Asthalin Respiratory Solution

Atenolol tab

BC tab

Betamethasone ointment (Betnovate)

Calamine lotion

Calcium tab

Carbamazepine tab.

53

Amlodipine tab

OTHERS

Sy. Albendazole 10 ml

Tab. Albendazole 400 mg

Sy. Paracetamol 60 ml

Tab. Paracetamol 500 mg

Tab Citrizine 10 mg

Urine Dip Sticks

Condoms

Tab. Diclofenac Sodium 50 mg

Inj. Diclofenac sodium

Inj. TT

DEC Tab

Inj. Tonaboline

ORS Powder 27.5 mg WHO Formula

ORS Powder 27.5 mg WHO Formula

LOCAL APPLICATION

Gama Benzene hexachloride 1% W/W lotion

Framycetin sulphate BP 15 mg (1.5%)

Povidone-iodine-Ointment

Cream.Miconazole

Sukhad Oint (Ayurvedic)

Ciprofloxacin eye drop

White petroleum jelly

Lignocacine 2% jelly

Gentamycin ey/ear drop

Xylocaine Jelly 2%

Tab. Clotrimazole 100 mg (Faginal Pesary)

IV FLUIDES

Normal Saline 500 ml

Dextrose 5% 500 ml

I.V. Dextrose in Normal Saline 500 ml

Ringer lactate 500 ml

DISINFECTANTS Povidone Iodine Solution 500 ml

Denatured spirit

OTHER CONSUMABLES

Surgical gloves

Scale Vein set

Kidney tray (Plastic) 12”

Scapel Blade

Cotton roll 500 gm

Rolled bandages

Paper Adhesive tape

Elastic crepe bandages Non-sterile – 10 cm

Sterile Water for injection

Disposable Syringes – 2 cc, 5 cc

IV Set

Disposable Needle – 22 G, 24 G, 23 G

54

LABORATORY EQUIPMENTS

Tourniquet

Collection bulbs – EDTA, PLAIN

Lancet needles

Stains field – A, B

Pregnancy Test Card

Multi Uri sticks

Widal test Kit

Slides – Standard

Urine routine – Albumin / Sugar strips

Two sets of the IUCD kit having following instruments – stainless steel tray with lid, Steel bowl, Cusco / Sims‟s speculum, Sponge holding forceps, Anterior vaginal wall retractor, Uterine sound, Long curved scissors, Artery clamp.

ANNEXURE V

STAFF COMPOSITION

Name of the Staff Qualifications Number of positions per MMU

Medical Officer MBBS 1

Nursing Staff GNM / MPHA (F) Course 1

Pharmacist D-Pharmacy 1

Lab-technician DMLT / BSc MLT 1

Driver SSC and Heavy Vehicle Lenience

1

Watchman 7th Class 1 per parking place

Adequate reserve staff shall be maintained for continuity of service in case of leaves to the staff.

Sd/- K V Satyanarayana, Commissioner of Healh &

Family Welfare //Attested//

for Commissioner of Health & Family Welfare