government of the people’s republic of bangladesh · 2019-01-10 · government of the people’s...

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

January-March 2017

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.

5 May 2017 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): 57 months (as on 31 March 2017)

1.12 Date of last ADB review mission: 5-16 March, 2017

5

Utilization of Fund

(ADB Loan, Co-financing and Counterpart funds) 2.1 Cumulative Contract Awards (Up to 31 March 2017)

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 1.915 64 1.085

Total 72.94 55.104 76 17.836

GOB Grant 9.52 7.028 74 2.490

Grant Total 82.460 62.132 75 20.328

2.2 Cumulative Disbursement (Up to 31 March 2017)

Source Allocation Dis Balance

Amount % Amount

ADB Loan 49.94 34.781 70 15.159

SIDA Grant 20 13.128 66 6.872

UNFPA Grant 3 1.915 64 1.085

Total 72.94 49.824 68 23.116

GOB Grant 9.52 7.028 74 2.492

Grant Total 82.46 56.852 69 25.608

2.3 Projection 2017 and Contract Award and Disbursement (Up to 31 March 2017)

Source Projection 2016 Achieved %

CA Dis CA Dis CA Dis

ADB Loan 3.010 6..000 0 1.385 0 23

SIDA Grant 2.470 2.00 0 0.400 0 20

Total 5.480 8.00 -- 1.785 -- 22

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

1.3.1 PHC advocacy and awareness building

7

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

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

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

8

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 : $62.132 million

3 % cumulative contract award against allocation : 75%

4 Target of CA this year : $5.480 million

5 Amount of CA till 31 March 2017 : $0 million

6 % CA against target of the year : 0%

4.1 Disbursement

1 Total allocation : $82.46 million

2 Total disbursement from starting of the project : $56.852 million

3 % cumulative disbursement against allocation : 69%

4 Target of disbursement for this year : $ 8.00 million

5 Amount of disbursement till 31 March 2017 : $ 2.66 million

6 % Disbursement against this year target : 33%

4.2 Procurement progress

1 Recruitment of Consultants

1.1 Contract negotiation with Ernst & Young (LLP-India) has been completed.

ADB approved it on 10-04-2017 and now under process for LGD approval

1.2 NILL

2 Procurement of Goods

NILL

2.2 NILL

3 Civil Works

NILL

4.3 Trainings (As per approved training plan July 2016-June 2017)

1 In country Training

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

Officers, 08-12 Jan

(ii) Training on RTI/STI for Counsellors & Doctors, 07-17, 21-25 Jan, 19-23 March

(iii) Training on Web Based Project Monitoring for PMU, PIU, PA NGOs Officers, 12-26

Feb

3 Out-country Training

10

Nill

4.4 Service delivery

1 Number of services provided from starting of the project : 39,147,923

2 Number of services provided Jan-Mar quarter 2017 : 2,170,564

4.5 Major Implementation Activities (October-December 2016)

Sl Activities Date

1. ADB review mission 5-16 March 2017

2. NGO quarterly progress review meeting 26 February 2017

Monitoring and Visits

3. PD Abdul Hakim Majumder, visit to Shirajganj, Kustia 22-23 Mar 2017

4. DPD(A&T) Md Sabirul Islam, visit to Shirajganj, Kustia 22-23 Mar 2017

5. QAT Visit to DSCC PA-2 KMSS 30 Mar 2017

6. Md Shafiul Ahsan, SPO-MIS along with QA team Visit to DSCC PA2-

KMSS 30 Mar 2017

4.6 Major Activities Accomplished by Consulting Firms (January-March 2017)

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

Communication Program)

(1) Dissemination Workshop on Sharing the Findings of the End-line Evaluation Mar 27

(2) Prize distribution events for the winners of the Essay Contest, 05, 09, 12, 23 Jan 2017.

(3) TVC & RDC Share with PMU,

(4) Advocacy kit, flipchart and other BCC Materials were produced and distributed to the PA

Units and PIUs

(5) TA visit ongoing

(6) Prize distribution events for the winners of the Essay Contest, Kushtia on 23-03-17

(7) 6th issue of the newsletter Nagar Shastha Barta produced and distributed.

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

11

(1) 3nd round ISI monitoring draft report submitted

(2) Collected number of Red Card distributed data from PA-NGO

(3) Monitored two training program organized by PMU

C.

Operations Research Firm (ICDDRB)

(1) HDSS fourth round- Data collection

(2) HDSS fourth round- Repeated visits to absentee households and data cleaning/field

verification

(3) HDSS fifth round- Data collection

(4) Pretesting/finalization of questionnaire, computer program for data collection, data collection

and data cleaning/field verification- Knowledge/prevalence of non-communicable diseases

and risk factors

(5) Draft report preparation- Knowledge/prevalence of non-communicable diseases and risk

factors

(6) Draft report preparation- HDSS annual report

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 Mar 2017)

Typ

e

L2878

5

19

Partnership Agreements

The Borrower shall take, and shall cause each Implementing Agency to take, all measures stipulated in

the implementation plan, as set forth in Annex 5 to the

PAM, to effect, and permit full and effective implementation

of, the Partnership Agreements.

Dec 2013

Complied

Sec

tor

L2878

5

21

Health Care Centers

The Borrower shall ensure that site selection for all CRHC

and PHC centers to be constructed under the Project is based

upon (a) safety and privacy concerns of patients, particularly

women and children; and (b) convenience for slum dwellers

to maximize access for the poor populations.

Oct 2013

Complied.

Sec

tor

L2878

5

21

The 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 31 Mar 2017)

Typ

e

L2878

5

5

Human and Financial Resources to Implement

Safeguards Requirements

The Borrower shall make available, and shall cause each

Implementing Agency to make available, necessary

budgetary and human resources to fully implement the EMP

and the Resettlement Framework, as required.

Jun 2015

(Ongoing

throughout

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

(as on 31 June 2017)

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

(as on 31 June 2017)

Ty

pe

L2878

Art

icle

4

4.0

2a

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

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

financial statements for the Project in accordance with

accounting principles acceptable to ADB; (iii) have such

financial statements audited annually by independent

auditors whose qualifications, experience and terms of

reference are acceptable to ADB, in accordance with

international standards for auditing or the national

equivalent acceptable to ADB; (iv) as part of each such

audit, have the auditors prepare a report (which includes the

auditors’ opinion on the use of the Loan proceeds and

compliance with the financial covenants of this Loan

Agreement as well as on the use of the procedures for the

imprest account(s) and statement of expenditures) and a

management letter (which sets out the deficiencies in the

internal control of the Project that were identified in the

course of the audit, if any); and (v) furnish to ADB, no later

than 6 months after the end of each related fiscal year,

copies of such audited financial statements,

auditors’ report and management letter, all in the English

language, and such other information concerning these

documents and the audit thereof as ADB shall from time to

time reasonably request.

December

Project management

accounting system to

be improved.

Financial

Management

Specialist consultant

is supporting PMU.

.

Fin

anci

al

L2878

Art

icle

4

4.0

2b

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

financial statements for the Project within 30 days of the

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

Januarys

ADB to upload the

audited financial

statements on the

ADB website.

Disclosure of APA

is required for all

new projects.

Fin

anci

al

L2878

Art

icle

4

4.0

2c

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

discuss the financial statements for the Project and the

Borrower's financial affairs where they relate to the Project

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

hereinabove, and shall authorize and require any

representative of such auditors to participate in any such

discussions requested by ADB. This is provided that such

discussions shall be conducted only in the presence of an

authorized officer of the Borrower, unless the Borrower shall

otherwise agree.

As needed

Being complied.

Fin

anci

al

L2878

Art

icle

4

4.0

3

Section 4.03. The Borrower shall enable ADB's

representatives to inspect the Project, the Goods and Works,

and any relevant records and documents.

As needed

Being complied.

Fin

anci

al

26

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2017)

Typ

e

G0298

1

3a

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

Category appears to be insufficient to finance all agreed

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

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

required to meet the estimated shortfall, amounts of the

Grant which have been allocated to another Category but, in

the opinion of ADB, are not needed to meet other

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

the estimated shortfall, reduce the withdrawal percentage

applicable to such expenditures in order that further

withdrawals under such Category may continue until all

expenditures thereunder shall have been made; and

As needed

Being complied.

Fin

anci

al

G0298

1

3b

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

Category appears to exceed all agreed expenditures in that

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

such excess amount to any other Category.

As needed

Being complied.

Fin

anci

al

L2878

3

4a

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

appears to be insufficient to finance all agreed expenditures

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

reallocate to such Category, to the extent required to

meet the estimated shortfall, amounts of the Loan which

have been allocated to another Category but, in the opinion

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

if such reallocation cannot fully meet the estimated shortfall,

reduce the withdrawal percentage applicable to such

expenditures in order that further withdrawals under such

Category may continue until all expenditures thereunder

shall have been made; and

As needed

Being complied.

Fin

anci

al

L2878

3

4b

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

appears to exceed all agreed expenditures in that Category,

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

amount to any other Category.

As needed

Being complied.

Fin

anci

al

G0298

1

4

Disbursement Procedures

Except as ADB may otherwise agree, the Grant

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

Jun 2017

(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

(as on 31 Mar 2017)

Typ

e

G0298

1

5a

Imprest Account and Statement of Expenditures

Except as ADB may otherwise agree, the Recipient shall

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

generation imprest account for LGD at the Bangladesh

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

Implementing Agency at a commercial bank acceptable to

ADB (collectively, imprest accounts). The imprest

accounts shall be established, managed, replenished and

liquidated in accordance with ADB’s Loan Disbursement

Handbook and detailed

arrangements agreed upon between the Recipient and ADB.

The imprest accounts shall only be used for the purposes of

the Project. The currency of the first generation imprest

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

generation imprest accounts shall be the Taka. The

aggregate amount to be deposited into the imprest accounts

shall not exceed the lower of (i) the estimated

expenditure to be financed from the imprest accounts for

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

equivalent of 10% of the Grant amount.

Dec 2012

Complied.

Fin

anci

al

G0298

1

6

The statement of expenditures procedure may be used for

reimbursement of eligible expenditures and to liquidate

advances provided into the imprest account, in accordance

with the Loan Disbursement Handbook and detailed

arrangements agreed upon between the Recipient and ADB.

Any individual payment to be reimbursed shall not

exceed the equivalent of

$100,000.

Jun 2017

Being complied.

Fin

anci

al

L2878

3

6a

Except as ADB may otherwise agree, the Borrower shall

establish, or cause to be established,

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

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

second generation imprest account for each Implementing

Agency at a commercial bank acceptable to ADB

(collectively, imprest accounts). The imprest accounts shall

be established, managed, replenished and liquidated in

accordance with ADB's Loan Disbursement

Handbook and detailed arrangements

agreed upon between the Borrower and ADB. The imprest

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

The currency of the first generation imprest account shall be

the Dollar, and the currency of the second generation

imprest accounts shall be the Taka. The aggregate amount to

be deposited into the imprest accounts shall not exceed the

lower of (i) the estimated expenditure to be financed

from the imprest accounts for 6 months of Project

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

amount.

Dec 2012

Complied.

Fin

anci

al

28

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2017)

Typ

e

L2878

3

6b

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

reimbursement of eligible expenditures and to liquidate

advances provided into the imprest account, in accordance

with Loan Disbursement Handbook and detailed

arrangements agreed upon between the Borrower and ADB.

Any individual payment to be reimbursed shall not

exceed the equivalent of

$100,000.

Jun 2017

Being complied.

Fin

anci

al

G0298

1

7

Retroactive Financing

Withdrawals from the Grant Account may be made for

reimbursement of reasonable expenditures incurred under

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

months before the date of this Grant Agreement in

connection with procurement for the Partnership

Agreements under Part B of the Project, subject to a

maximum amount equivalent to 20% of the Grant amount.

Dec 2012

Being complied.

Fin

anci

al

L2878

3

7

Retroactive Financing

Withdrawals from the Loan Account may be made for

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

Agreement in connection with procurement for the

Partnership Agreements under Part B of the Project, subject

to a maximum amount equivalent to 20% of the Loan

amount.

Dec 2012

Being complied.

Fin

anci

al

L2878

5

5

Counterpart Support

The Borrower shall ensure timely provision of counterpart

funds for the Project by making timely submission of

annual budgetary appropriation

requests and ensuring prompt disbursement of appropriated

funds during each year of the Project implementation.

Quarterly

Progress

Report

Being complied.

Fin

anci

al

L2878

Art

icle

4

4.0

5a

The Borrower shall exercise its rights under the financing

arrangements with the Implementing

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

Borrower and ADB and to accomplish the purposes of the

Loan.

(b) No rights or obligations under the financing

arrangements shall be assigned, amended, or waived without

the prior concurrence of ADB.

Jun 2017

Being complied.

Eco

no

mic

L2878

5

13

Governance and Anti-Corruption

The Borrower shall, and shall cause each

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

Anticorruption Policy (1998, as amended to date) and

acknowledge that ADB reserves the right to investigate

directly, or through its agents, any alleged corrupt,

fraudulent, collusive or coercive practice relating to the

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

extend all necessary assistance for satisfactory completion of

such investigation.

Jun 17

Being complied.

Eco

no

mic

29

Pro

du

ct

Sch

edu

le

Para

N

o.

Description

Schedule/

Due Date

Status/Remarks

(as on 31 Mar 2017)

Typ

e

L2878

5

14


Implementing Agency to ensure, that the anticorruption

provisions acceptable to ADB are included in all bidding

documents and contracts, including provisions specifying

the right of ADB to audit and examine the records and

accounts of the executing and

implementing agencies and all contractors, suppliers,

consultants, and other service providers as they relate to the

Project.

Jun 17

Being complied.

Eco

no

mic

L2878

5

15

The Borrower shall ensure that a website is

established and regularly maintained by LGD for the

purposes of this Project. The Project website shall

communicate Project activities and implementation progress

through regular progress reports. The website shall also

announce any employment, education, and business

opportunities associated with the Project. Such

announcements, when dealing with contracts awarded under

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

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

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

Jan 2013

Complied

Eco

no

mic

L2878

5

20

Training and Study Tours

The Borrower shall ensure that selection for all training,

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

award of any such training, study tour and fellowship is

distributed equitably across gender and geographic areas.

Jun 2017

Being complied.

Oth

ers

30

PROGRESS REPORT OF GENDER ACTION PLAN (GAP)

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

Date of Update: Jan 2017– Mar 2017 Submission Date: Apr-27, 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 (January-March 2017)

Activities. Indicators and Targets Progress of

Reporting

Quarter

Cumulative Progress Qualitative aspects of Accomplished

activities and Comments /

Explanations

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

1.1: Strengthened strategy and coordination framework for urban PHC

Activity:.

Orientation and preparation of target – Oriented GAP

implementation plan conducted at all relevant levels.

Training curriculum developed in line with gender in

MCH and PHC, RH, ARH

(i) Module 1 for management levels

(ii) Module 2 for field level personnel

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

training imparted to management staff of PMU, PIU,

CCS, municipalities and PA NGOs.

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

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

action plan at their level.

At least three training modules developed

100% management staff of PMU/PIU, including

Account Officers receives Gender Training.

At least 80% of management level personnel of

CRHCCs and PHCC receive gender training.

Selected management staff of PA-NGO receives

Training.

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

trained Gender Trainers

January - March

2017

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.

65% 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.

81% 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 15% of the

unskilled labor are women.

Paid equal wages to women

labor and follow equal value

by all contractors.

Output 3: Effective support for decentralized project management

3.1 Core Project management Staff

Activity: Female staff recruited for management and other

levels

Respective staff is assigned with responsibilities for

GAP implementation

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 March 2017)

Package

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

W-2 Construction of 6 storied CRHCC in

Dhaka North City Corporation.

Dropped


Chittagong City Corporation.

Dropped


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


building at Tikapara adjacent to

UCEF school in Rajshahi City

68561962.00 FU-DE (JV)

Upashahar, Sapura,

Rajshahi

59931665.63 26/02/14 2/10/2016 100% 55822728.00

38

Corporation.


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% 65387434.00 Handed

over to

City

Corporati

on


Gazipur City Corporation.

62401259.00 M/s Iqbal Trading

Corporation, Tezgaon

Dhaka

62149661.63 12/6/2016 19/6/2017 55% 5882000.00


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 30/6/16 100% 52995227.00


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 11/3/2014 30/05/17 92% 33753438.00 Time

Extended

Package

No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion as

per Contract

Physical

Progress

Fund spent

(BDT)

Remarks


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 12/2/2014 10/8/2016 100% 48649410.00

39


building at Harua in Kishoreganj

Municipality.

69945943.00 MSE-MRK (JV)

Solakia, Kishoreganj.

65380215.84 3/11/2014 9/2/2016 100% 45303600.00


building at Pourashava Compound

(Kuadanga Bus Stand) in Gopalganj

Municipality.

68677589.00 M/s Sajib Enterprise

(JV) Gopalganj.

60821764.33 26/02/14 30/6/16 100% 55783734.00

Sub-Total: 637411059.94 472309668.22

Construction of PHCC-

W-13 Construction of PHCC building in

Dhaka North City Corporation.

Dropped


Dhaka South City Corporation.

Dropped



Dropped.



Dropped.

W-17 Construction of 3 storied PHCC

building at Kanaighat Road,Koitok in

Sylhet City Corporation.

29903000.00 The Radiant

Engineering &

Consulting,

32530232.00 28/10/14 25/5/2016 100% 2400000.00


Sylhet City Corporation.

Dropped


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

40

Corporati

on


building at Dulipara, Dakkhin

Rasulpur in Comilla City

Corporation.


75, Nazrul Avenue

Kandirpar, Comilla

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

Package

No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion as

per Contract

Physical

Progress

Fund spent

(BDT)

Remarks


building at Sadar Dakkhin

Kamalapur in Comilla City

Corporation.


75, Nazrul Avenue

Kandirpar, Comilla

33285280.00 23/9/14 10/3/2016 100% 32731855.00 Handed

over to

City

Corporati

on


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


building at Godnail in Narayanganj

City Corporation.

29614000.00 M/s Ahsan Enterprise

& S R Enterprise (JV)

60, Shahsuja Road,

Paikpara, Narayanganj

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


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


building at Neelerpara in Gazipur

City Corporation.

26961000.00 AE-FE-AFEC(JV)

F/180 ,North

Sayabithi,

Joydebpur,Gazipur

29202268.48 9/10/2014 30/12/2016 100% 12237019.00

41


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 85% 13445000.00 Time

Extented

W-27 Construction of PHCC in Gazipur

City Corporation.

Dropped

W-28 Construction of PHCC in Gazipur

City Corporation.

Dropped


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 28/3/2017 80% 8802804.00


building at Ershad Nagar in Rangpur

City Corporation.

26508000.00 SMAH-GME&

RC(JV), Rangpur

28093754.93 29/6/15 28/2/2017 100% 22215064.53


building at New Jummapara in

Rangpur City Corporation.

29025000.00 M/S Taz Monjil Kamal

Kachna, Rangpur

30749850.61 29/6/15 30/12/2016 100% 19995636.80

Package

No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion as

per Contract

Physical

Progress

Fund spent

(BDT)

Remarks


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 30/12/16 100% 25000000.00

42


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


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% 33052637.00


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

municipal

ity


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


building at Mohammapara in

Gopalganj Municipality.

27300120.0 M/s Showrove Traders

Chandmari

Road,Gopalganj

21481663.53 9/5/2016 30/3/2017 90% 11374507.00


building at Miapara in Gopalganj

Municipality.

26607191.00 M/s Showrove Traders

Chandmari

Road,Gopalganj

20867191.54 9/5/2016 30/3/2017 68% 5840000.00

Sub-Total: 565526446.05 419344955.33

43

Package

No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion as

per Contract

Physical

Progress

Fund spent

(BDT)

Remarks

Maintenance:

W41.1 Maintenance of PHCC at (1)

Narinda-Ward No-7 (2) Balur Math-

Ward No-83 (3) East Jurain-Ward

No-59 (4)Nolgola Rajbari-Ward No-

66 (5) Moulovi Bazar-Ward No-67

(6) Mazed Sarder Community Centre-

Ward No-69 (7) Ward No-77 near

Shahid Matiur Rahman School at (8)

Lalkuti-Ward No-79 (9) Bakshi Bazar

-Ward No-63 & CRHCC at (10)

Dhalpur-Ward No-85 in DSCC

4073878.00 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 Maintenance of PHCC at (1) Kalu

Nagar-Ward No-58 (2) Nawabgonj-

Ward No-59 (3) Azimpur-Ward No-

59 (4) Shahid Nagar-Ward No-60

(5)Shahid Nagar ( Bou Bazar ) -Ward

No-60 (6)Rasul Bagh Park-Ward No-

62 (7) Ward No-65 near Islam Bagh

Community Centre (8) Chadni Ghat-

Ward No-65 & CRHCC at (9)

Mukdapara -Ward No-29 (10)Hazari

Bagh-Ward No-58 in DSCC.


Syndicate

Prop: Md.

Asaduzzaman 79/2/3

West Agargaon

Dhaka-1207.

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

44

W41.3 Maintenance of PHCC at (1) Uttara-

Ward No-01(2) Mirpur-1-Ward No-

08 (3) Naki Para, Mirpur-1-Ward No-

10 (4) Shajahanpur-Ward No-34 (5)

Salimullah Road-Ward No-44 (6)

Noor Jahan Road-Ward No-44 (7)

Rayer Bazar (Pulpar)-Ward No-47(8)

Rayer Bazar (Battala) -Ward No-47 &

CRHCC at (9) Pallabi-Ward No-06

(10) Katasur- Ward No-46 (11)

Noyatola-Ward No-55 in DNCC


Syndicate

Prop: Md.

Asaduzzaman 79/2/3

West Agargaon

Dhaka-1207.

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

Package

No


Cost(BDT)


amount (BDT)

Date of

Contract

Signed

Date of

completion as

per Contract

Physical

Progress

Fund spent

(BDT)

Remarks

W41.4 Maintenance of PHCC at (1)

Khalishpur-Ward No- 07 ;(2) adjacent

Bastohara Fish Market-Ward No-09 ;

(3) Ward No-10 near Khalishpur

Shishu Park ; (4) Ward No-11 near

Khalishpur New Market; (5) Charer

Hat-Ward No-13; (6) Rayer Mahal-

Ward No-14 & CRHCC at (7)

Khalishpur-Ward No-12 in KCC

6008451.00 M/s Zaman

Enterprise16, Dilkusha

C/A ,Dhaka.

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

45

W41-5 Maintenance of PHCC at (1) Hazi

Foyez Uddin Cross Road-Ward No-

16(A); (2) Boyra College More-Ward

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

17;(4) Sonadanga-Ward No-18; (5)

B.K.Roy Road-Ward No-19;(6)Sher-

E-Bangla Road -Ward No-20;(7)

Goluk Moni Shishu Park-Ward No-

23; (8) Bashu Para Kabar Khana-

Ward No- & (9) Bania Khamar-Ward

No-26 in KCC

6971021.00 Mir Construction

211,Khan Jahan Ali

Road, Khulna.

5322599.04 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 Rajshahi City

Corporation.

4860075.00 Mim Traiding (JV)

Malopara,Ghoramara

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

Rajshahi City Corporation.

5648678.00 Mim Traiding (JV)

Malopara,Ghoramara

Rajshahi.

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

Sub-Total: 32374138.31 32018621.50

Grand Total in BDT (CRHCC+PHCC+ PHCC): 1235311644.30 923673245.05

Grand Total in Million USD: 15.441 11.546

46

SERVICE STATISTICS

(JanuaryMarch, 2017)

TABLE 02: Unique Client Flow by Sex and Age (JanuaryMarch, 2017)

Age Group Male Female Total Male % Female % Total %

028 Days 28,684 32,542 61,226 46.849% 53.151% 0.004 %

29 to 364 Days 69,181 81,584 150,765 45.887% 54.113% 0.009 %

12 to 23 Months 33,471 45,442 78,913 42.415% 57.585% 0.005 %

24 to 59 Months 31,332 44,003 75,335 41.590% 58.410% 0.004 %

05 to 09 Years 17,290 28,227 45,517 37.986% 62.014% 0.003 %

10 to 14 Years 13,339 45,556 58,895 22.649% 77.351% 0.003 %

15 to 19 Years 16,505 158,398 174,903 9.437% 90.563% 0.010 %

20 to 49 Years 96,509 905,394 1,001,903 9.633% 90.367% 0.000 %

50 to 59 Years 12,218 36,083 48,301 25.296% 74.704% 0.003 %

60+ Years 5,120 13,260 18,380 27.856% 72.144% 0.001 %

Total 323,649 1,390,489 1,714,138 18.88% 81.12%

TABLE 03: Service Composition (JanuaryMarch, 2017)

Service Type Up to Previous

Quarter Current

Quarter

Grand Total

Current (%)

Overall (%)

ESP+ Clinical Service 28,934,202 1,587,882 30,522,084 73.155% 77.966%

ESP+ BCC Service 8,007,538 579,938 8,587,476 26.718% 21.936%

Other Service 35,618 2,744 38,362 0.126% 0.098%

Grand Total 36,977,358 2,170,564 39,147,922

47

53.15 % 46.85 %

54.11 % 45.89 %

57.58 % 42.42 %

58.41 % 41.59 %

62.01 % 37.99 %

77.35 % 22.65 %

90.56 % 9.44 %

90.37 % 9.63 %

74.70 % 25.30 %

72.14 % 27.86 %

Ag

e G

rou

ps

CHART 0104: UNIQUE CLIENT FLOW DISTRIBUTION (JanuaryMarch, 2017)

Chart 01: Gender Distribution

Male: 18.9 %

Female: 81.1 %

Male : 323,649 Female : 1,390,489

Chart 02: Age Distribution

0-28 Days

29 to 364 Days

12 to 23 Months

24 to 59 Months

05 to 09 Years

10 to 14 Years

15 to 19 Years

20 to 49 Years

50 to 59 Years

60+ Years

3.57 %

4.60 %

4.39 %

2.66 %

3.44 %

2.82 %

1.07 %

8.80 %

10.20 %

58.45 %

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

Client(%)

Chart 03: Gender Distribution by different Age Groups

0-28 Days

29 to 364 Days

12 to 23 Months

24 to 59 Months

05 to 09 Years

10 to 14 Years

15 to 19 Years

20 to 49 Years

50 to 59 Years

60+ Years

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

Client (%)

FEMALE MALE

48

21

.60

%

78

.40

%

9.7

8 %

9

0.2

2 %

16

.96

%

83

.04

%

16

.13

%

83

.87

%

21

.14

%

78

.86

%

10

.93

%

89

.07

%

18

.20

%

81

.80

%

18

.21

%

81

.79

%

15

.32

%

84

.68

%

15

.64

%

84

.36

%

21

.65

%

78

.35

%

14

.03

%

85

.97

%

16

.34

%

83

.66

%

20

.52

%

79

.48

%

20

.51

%

79

.49

%

24

.51

%

75

.49

%

14

.33

%

85

.67

%

21

.35

%

78

.65

%

16

.22

%

83

.78

%

18

.08

%

81

.92

%

22

.71

%

77

.29

%

23

.09

%

76

.91

%

21

.12

%

78

.88

%

23

.19

%

76

.81

%

18

.63

%

81

.37

%

Cli

en

t (%

)

Chart 04: PA-wise Unique Client Distribution MALE FEMALE

120

100

80

60

40

20

0

CHART 0507: SERVICE COMPOSITION (JanuaryMarch, 2017)

Chart 05: Service Composition

Other Service: 0.1 %

ESP+ BCC Service: 26.7 %

ESP+ Clinical Service: 73.2 %

ESP+ Clinical ESP+ BCC Other

49

Th

ousan

ds U

nit

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

CRHCC: 15.2 %

SATELLITE: 41.0 %

PHCC: 43.9 %

CRHCC : 240,631 PHCC : 696,819 SATELLITE : 650,432

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

SATELLITE: 20.1 %

CRHCC: 22.2 %

PHCC: 57.7 %

CRHCC : 128,795 PHCC : 334,463 SATELLITE : 116,680

250k

Chart 08: PA wise Client-Contact-Service Mix

200k

150k

100k

50k

0k

New Client Unique Client Contract Service

50

Num

ber

of

Un

iqu

e C

lient

Nu

mb

er

of

Un

iqu

e C

lient

Nu

mber

of

Un

iqu

e C

lient

23

,00

9

64

,64

5

56

,42

8

55

,02

6

22

,36

5

64

,15

0

54

,89

2

13

,27

1

54

,04

6

51

,98

1

12

,93

0

52

,93

8

42

,11

2

25

,42

8

60

,22

5

41

,38

4

21

,71

8

58

,60

4

37

,22

5

35

,74

7

5,1

48

6

7,7

58

4,6

85

5

1,3

43

62

,31

8

61

,28

3

30

,17

3

44

,60

9

31

,83

1

42

,10

1

62

,77

2

74

,27

0

11

,40

4

74

,92

5

12

,37

9

70

,70

4

98

,51

4

77

,86

5

29

,32

8

50

,86

5

45

,21

7

23

,94

6

47

,93

5

26

,01

4

24

,68

3

45

,39

8

71

,75

6

24

,07

2

45

,69

0

46

,65

8

80k

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

60k

40k

20k

0k

DSCC PA 1 PSTC DSCC PA 2 KMSS DSCC PA 3,

BAPSA

DSCC PA 4 PSTC DSCC PA 5 PSTC DNCC PA 1 Nari

Maitree

Previous Quarter Current Quarter

DNCC PA -02

Nari Maitree

DNCC PA 3 UTPS

125k

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

100k

75k

50k

25k

0k

DNCC PA 4 DNCC, PA 5,

DAM

RCC PA 1

RIC

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

Srizony


CoCC,PA-01

40k

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

30k

20k

10k

0k

SrjM PA-1 KM PA-1

Srizony

KnjM PA 1 GopM PA 1 NACC PA 1

PSKP


RaCC PA 1 GCC PA 1

PSTC

GaCCPA2

51

Nu

mb

er

of

Serv

ice

N

um

ber

of

Serv

ice

N

um

ber

of

Serv

ice

36

6

16

8

41

1

37

3

10

6

34

8

23

2

80

3

36

2

07

75

3

37

16

8

13

5

93

4

21

94

4

09

10

2

38

1

7

24

2

17

2

36

29

0

25

4

12

9

23

3

10

3

19

4

32

3

34

2

12

2

33

1

24

8

11

0

35

7

18

0

22

9

28

6

27

3

16

0

20

8

26

0

18

5

24

7

24

3

16

9

28

3

22

5

500

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

400

300

200

100

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


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 (JanuaryMarch, 2017)

52

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Reproductive Health 8,884,025 112,481 251,317 0 363,798 261,170 624,968 9,508,993

Maternal Care 3,252,551 70,507 88,996 0 159,503 70,171 229,674 3,482,225

Antenatal Care 2,030,286 36,650 64,474 0 101,124 43,224 144,348 2,174,634

Delivery Care (NVD) 81,899 5,178 0 0 5,178 0 5,178 87,077

Delivery Care (CS) 48,027 2,715 0 0 2,715 0 2,715 50,742

Postnatal Care 672,334 16,370 15,150 0 31,520 16,047 47,567 719,901

Neonatal Care 420,005 9,594 9,372 0 18,966 10,900 29,866 449,871

Menstrual Regulation 98,595 521 6,311 0 6,832 0 6,832 105,427

Post Abortion Care 5,417 270 210 0 480 0 480 5,897

Family Planning 2,953,041 16,182 68,176 0 84,358 120,194 204,552 3,157,593

Emergency Contraceptive Pill 1,496 35 126 0 161 12 173 1,669

Maternal Nutrition 266,026 3,295 11,491 0 14,786 2,650 17,436 283,462

Violence Against Women 26,986 364 1,327 0 1,691 0 1,691 28,677

Adolescent Reproductive Health Care 1,164,307 8,929 33,796 0 42,725 41,184 83,909 1,248,216

RTI/STI Care 670,092 7,457 19,376 0 26,833 21,048 47,881 717,973

Other Reproductive Health Care 444,548 4,921 21,508 0 26,429 5,911 32,340 476,888

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



53

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Child Health Care 7,659,442 28,483 116,349 0 144,832 99,325 244,157 7,903,599

Immunization Program EPI 1,587,277 9,687 58,360 0 68,047 50,119 118,166 1,705,443

Immunization Program NID 4,030,918 0 0 0 0 0 0 4,030,918

Control of Diarrhoea & Other Childhood

Diseases

627,535

4,402

15,512

0

19,914

17,915

37,829

665,364

Diarrhea 623,677 4,369 15,370 0 19,739 17,765 37,504 661,181

Measles 3,858 33 142 0 175 150 325 4,183

Control of Acute Respiratory Infections 835,129 9,575 22,976 0 32,551 20,958 53,509 888,638

Control of Micronutrient Deficiency 578,583 4,819 19,501 0 24,320 10,333 34,653 613,236

Child Nutrition 350,398 1,598 14,148 0 15,746 6,688 22,434 372,832

Vitamin A Deficiency 226,450 3,199 5,265 0 8,464 3,645 12,109 238,559

Iodine Deficiency 1,735 22 88 0 110 0 110 1,845

Communicable Diseases Control 1,586,677 148 997 0 1,145 0 1,145 1,587,822

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

Other Communicable Diseases Control 22,369 148 997 0 1,145 0 1,145 23,514



54

Component Up to

Previous

Quarter

CRHCC 3

PHCC 4

Other 5

Static 6

Satellite 7

Total 8

Grand

Total

Limited Curative Care 8,105,351 34,966 187,800 0 222,766 278,307 501,073 8,606,424

First Aid for Injuries 62,822 1,735 2,304 0 4,039 1,031 5,070 67,892

Emergency Care 19,634 854 786 0 1,640 0 1,640 21,274

Treatment of Minor Infections 7,999,737 32,377 184,710 0 217,087 277,276 494,363 8,494,100

Support Services for ESP+ 2,698,707 64,553 140,356 0 204,909 11,630 216,539 2,915,246

Diagnostic Service 2,683,308 63,453 140,356 0 203,809 11,630 215,439 2,898,747

Emergency Transportation Service 15,399 1,100 0 0 1,100 0 1,100 16,499

Behavior Change Communication 8,007,538 128,795 334,463 0 463,258 116,680 579,938 8,587,476

Health Education (Session) 1,814,228 0 0 0 0 116,680 116,680 1,930,908

Counseling 6,193,310 128,795 334,463 0 463,258 0 463,258 6,656,568

Miscellaneous 35,618 2,744 0 0 2,744 0 2,744 38,362

Adolescent Development Program 35,618 2,744 0 0 2,744 0 2,744 38,362

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

ESP+ Clinical Service 28,934,203 240,631 696,819 0 937,450 650,432 1,587,882 30,522,085

ESP+ BCC Service 8,007,538 128,795 334,463 0 463,258 116,680 579,938 8,587,476

Other Service 35,618 2,744 0 0 2,744 0 2,744 38,362

Grand Total 36,977,359 372,170 1,031,282 0 1,403,452 767,112 2,170,564 39,147,923

ESP+ Clinical Service % 78.25% 64.66% 67.57% 0.00% 66.80% 66.80% 73.16% 77.83%

ESP+ BCC Service % 21.66% 34.61% 32.43% 0.00% 33.01% 33.01% 26.72% 22.07%

Other Service % 0.10% 0.74% 0.00% 0.00% 0.20% 0.20% 0.13% 0.10%

TABLE 05: Service Componentwise Service Contact 9

55


Component Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Reproductive Health 8,420,870 206,290 218,405 41,753 148,969 39,468 576,002 615,470 9,036,340

Maternal Care 3,113,506 74,353 39,240 24,069 91,911 13,327 216,251 229,578 3,343,084

Antenatal Care 1,941,462 44,218 21,976 15,921 62,137 0 144,252 144,252 2,085,714

Delivery Care (NVD) 78,088 1,917 96 983 2,182 0 5,178 5,178 83,266

Delivery Care (CS) 45,533 823 4 1,230 658 0 2,715 2,715 48,248

Postnatal Care 644,897 17,437 9,781 3,811 16,533 0 47,567 47,567 692,464

Neonatal Care 403,526 9,958 7,383 2,124 10,401 13,327 16,539 29,866 433,392

Menstrual Regulation 94,583 2,397 196 1,825 2,417 0 6,832 6,832 101,415

Post Abortion Care 5,185 158 22 139 161 0 477 477 5,662

Family Planning 2,844,153 63,571 124,112 563 16,299 21,919 182,626 204,545 3,048,698

Emergency Contraceptive Pill 1,439 68 86 5 14 0 173 173 1,612

Maternal Nutrition 253,449 7,945 8,946 296 204 0 17,391 17,391 270,840

Violence Against Women 28,012 885 784 10 87 0 1,766 1,766 29,778

Adolescent Reproductive Health Care 1,037,174 28,192 25,039 8,696 14,910 2,341 74,556 76,897 1,114,071

RTI/STI Care 628,280 18,753 9,492 4,804 13,965 1,681 45,323 47,004 675,284

Other Reproductive Health Care 414,123 9,968 10,488 1,346 9,001 200 30,607 30,807 444,930

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


56


Component Up to

Previous

Quarter

Poor FF 10

FF(NC)

PF

Paid

Male

Female

Total

Grand

Total

Child Health Care 6,870,451 77,332 120,347 9,206 37,163 107,145 136,702 243,847 7,114,298

Immunization Program EPI 1,516,926 27,444 90,947 8 0 53,678 64,721 118,399 1,635,325

Immunization Program NID 3,409,395 0 0 0 0 0 0 0 3,409,395


Diseases

600,818

15,476

4,508

3,859

13,986

16,689

21,140

37,829

638,647

Diarrhea 597,146 15,366 4,417 3,857 13,864 16,556 20,948 37,504 634,650

Measles 3,672 110 91 2 122 133 192 325 3,997

Control of Acute Respiratory Infections 802,512 20,727 5,716 4,560 22,506 23,929 29,580 53,509 856,021

Control of Micronutrient Deficiency 540,800 13,685 19,176 779 671 12,849 21,261 34,110 574,910

Child Nutrition 321,807 8,742 12,127 778 435 9,186 12,883 22,069 343,876

Vitamin A Deficiency 217,394 4,879 7,014 1 225 3,655 8,276 11,931 229,325

Iodine Deficiency 1,599 64 35 0 11 8 102 110 1,709

Communicable Diseases Control 1,228,315 313 445 95 292 524 621 1,145 1,229,460

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

Other Communicable Diseases Control 21,578 313 445 95 292 524 621 1,145 22,723

11 12 13


57


Component Up to

Previous

Quarter

Poor FF 10

11

FF(NC)

12

PF

13

Paid

Male

Female

Total

Grand

Total

Limited Curative Care 7,208,836 168,246 109,229 72,703 111,250 99,335 361,939 461,274 7,670,110

First Aid for Injuries 60,706 1,980 1,172 433 1,488 1,522 3,551 5,073 65,779

Emergency Care 19,099 636 307 74 627 284 1,359 1,643 20,742

Treatment of Minor Infections 7,105,873 165,630 107,750 72,196 109,135 97,529 357,029 454,558 7,560,431

Support Services for ESP+ 1,882,956 48,899 8,016 26,392 64,058 17,522 129,841 147,363 2,030,319

Diagnostic Service 1,867,458 48,512 7,674 26,309 63,769 17,248 129,014 146,262 2,013,720

Emergency Transportation Service 15,498 387 342 83 289 274 827 1,101 16,599

Behavior Change Communication 9,203,639 229,658 453,544 347 1,069 133,041 551,950 684,991 9,888,630

Health Education (Session) 2,338,748 51,518 100,083 277 280 29,231 123,300 152,531 2,491,279

Counseling 6,864,891 178,140 353,461 70 789 103,810 428,650 532,460 7,397,351

Miscellaneous 79,368 1,256 4,808 0 0 931 5,133 6,064 85,432

Adolescent Development Program 79,368 1,256 4,808 0 0 931 5,133 6,064 85,432

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

ESP+ Clinical Service 25,611,428 501,080 456,442 150,149 361,732 263,994 1,205,105 1,469,099 27,080,527

ESP+ BCC Service 9,203,639 229,658 453,544 347 1,069 133,041 551,950 684,991 9,888,630

Other Service 79,368 1,256 4,808 0 0 931 5,133 6,064 85,432

Grand Total 34,894,435 731,994 914,794 150,496 362,801 397,966 1,762,188 2,160,154 37,054,589

ESP+ Clinical Service % 73.40% 68.45% 49.90% 99.77% 99.71% 66.34% 68.39% 68.01% 73.08%

ESP+ BCC Service % 26.38% 31.37% 49.58% 0.23% 0.29% 33.43% 31.32% 31.71% 26.69%

Other Service % 0.23% 0.17% 0.53% 0.00% 0.00% 0.23% 0.29% 0.28% 0.23%

58

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 610,690 526,197 690,403 615,470 1,832,680

Maternal Care 226,173 196,895 252,045 229,578 678,744

Antenatal Care 142,152 123,390 158,815 144,252 426,599

Delivery Care (NVD) 5,353 5,065 5,817 5,178 16,065

Delivery Care (CS) 2,876 2,637 3,277 2,715 8,631

Postnatal Care 46,929 40,455 52,764 47,567 140,832

Neonatal Care 28,862 25,348 31,372 29,866 86,614

Menstrual Regulation 6,724 6,134 7,206 6,832 20,178

Post Abortion Care 400 317 407 477 1,601

Family Planning 210,902 173,325 254,835 204,545 632,915

Emergency Contraceptive Pill 144 137 121 173 575

Maternal Nutrition 15,239 13,439 14,887 17,391 45,732

Violence Against Women 1,706 1,557 1,795 1,766 5,119

Adolescent Reproductive Health Care 74,810 68,331 79,202 76,897 224,504

RTI/STI Care 45,262 39,661 49,120 47,004 135,830

Other Reproductive Health Care 29,331 26,401 30,785 30,807 88,022

Child Health Care 391,816 218,251 713,351 243,847 1,175,840

Immunization Program EPI 119,417 106,716 133,137 118,399 358,371

Immunization Program NID 146,823 0 440,470 0 440,616


Diseases

37,185

34,006

39,721

37,829

111,593

Diarrhea 36,824 33,635 39,334 37,504 110,509

Measles 361 371 387 325 1,444

Control of Acute Respiratory Infections 51,495 49,236 51,740 53,509 154,536

Control of Micronutrient Deficiency 36,895 28,293 48,283 34,110 110,722

Child Nutrition 18,754 16,576 17,616 22,069 56,279

Vitamin A Deficiency 18,033 11,602 30,567 11,931 54,118

Iodine Deficiency 108 115 100 110 433

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

59

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 1,449 1,845 1,356 1,145 4,347

Tuberculosis Control 197 592 0 0 789

Other Communicable Diseases Control 1,251 1,253 1,356 1,145 3,755

Limited Curative Care 437,155 405,294 444,898 461,274 1,311,903

First Aid for Injuries 4,730 3,791 5,327 5,073 14,195

Emergency Care 1,451 1,150 1,559 1,643 4,353

Treatment of Minor Infections 430,974 400,353 438,012 454,558 1,293,353

Support Services for ESP+ 140,592 120,990 153,422 147,363 421,915

Diagnostic Service 139,393 119,753 152,163 146,262 418,317

Emergency Transportation Service 1,199 1,237 1,259 1,101 3,598

Behavior Change Communication 673,658 627,217 708,766 684,991 2,021,647

Health Education (Session) 156,594 153,112 164,139 152,531 469,938

Counseling 517,064 474,105 544,627 532,460 1,551,709

Miscellaneous 6,334 6,217 6,722 6,064 19,009

Adolescent Development Program 6,334 6,217 6,722 6,064 19,009

ESP+ Clinical Service 1,581,702 1,272,577 2,003,430 1,469,099 4,745,107

ESP+ BCC Service 673,658 627,217 708,766 684,991 2,021,647

Other Service 6,334 6,217 6,722 6,064 19,009

Grand Total 2,261,694 1,906,011 2,718,918 2,160,154 6,785,085

ESP+ Clinical Service % 69.93% 66.77% 73.68% 68.01% 69.93%

ESP+ BCC Service % 29.79% 32.91% 26.07% 31.71% 29.79%

Other Service % 0.28% 0.33% 0.25% 0.28% 0.28%

60


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Reproductive Health 615,470 624,968 206290 33.52% 23,225,982 24,458,519

Maternal Care 229,578 229,674 74353 32.39% 18,353,793 17,086,387

Antenatal Care 144,252 144,348 44218 30.65% 2,629,571 2,644,277

Delivery Care (NVD) 5,178 5,178 1917 37.02% 2,281,208 2,215,632

Delivery Care (CS) 2,715 2,715 823 30.31% 12,275,965 10,499,393

Postnatal Care 47,567 47,567 17437 36.66% 706,734 1,073,432

Neonatal Care 29,866 29,866 9958 33.34% 460,315 653,653

Menstrual Regulation 6,832 6,832 2397 35.08% 2,676,687 2,521,031

Post Abortion Care 477 480 158 33.12% 354,901 249,734

Family Planning 204,545 204,552 63571 31.08% 115,744 919,677

Emergency Contraceptive Pill 173 173 68 39.31% 743 4,925

Maternal Nutrition 17,391 17,436 7945 45.68% 10,353 426,146

Violence Against Women 1,766 1,691 885 50.11% 3,745 24,440

Adolescent Reproductive Health

Care

76,897

83,909

28192

36.66%

680,954

1,630,830

RTI/STI Care 47,004 47,881 18753 39.90% 613,292 1,020,029

Other Reproductive Health Care 30,807 32,340 9968 32.36% 415,770 575,320

Child Health Care 243,847 244,157 77332 31.71% 1,578,682 2,942,118

Immunization Program EPI 118,399 118,166 27444 23.18% 220 537,695

Immunization Program NID 0 0 0 0.00% 0 0

Control of Diarrhoea & Other

Childhood Diseases

37,829

37,829

15476

40.91%

607,385

772,668

Diarrhea 37,504 37,504 15366 40.97% 604,640 768,773

Measles 325 325 110 33.85% 2,745 3,895

Control of Acute Respiratory

Infections

53,509

53,509

20727

38.74%

938,557

991,793

Control of Micronutrient

Deficiency

34,110

34,653

13685

40.12%

32,520

639,962

Child Nutrition 22,069 22,434 8742 39.61% 26,550 532,831

Vitamin A Deficiency 11,931 12,109 4879 40.89% 5,550 104,081

Iodine Deficiency 110 110 64 58.18% 420 3,050

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.

61


TABLE 07:

Performance Summary

Contact

Service

RC

Contact

Propoor 17

%

Revenue

Subsidy

Communicable Diseases

Control

1,145

1,145

313

27.34%

13,575

26,085

Tuberculosis Control 0 0 0 0.00% 0 0

Other Communicable Diseases

Control

1,145

1,145

313

27.34%

13,575

26,085

Limited Curative Care 461,274 501,073 168246 36.47% 5,003,930 9,505,146

First Aid for Injuries 5,073 5,070 1980 39.03% 71,576 110,584

Emergency Care 1,643 1,640 636 38.71% 56,059 56,716

Treatment of Minor Infections 454,558 494,363 165630 36.44% 4,876,295 9,337,846

Support Services for ESP+ 147,363 216,539 48899 33.18% 12,650,332 8,761,870

Diagnostic Service 146,262 215,439 48512 33.17% 12,505,462 8,682,620

Emergency Transportation

Service

1,101

1,100

387

35.15%

144,870

79,250

Behavior Change

Communication

684,991

579,938

229658

33.53%

0

85,800

Health Education (Session) 152,531 116,680 51518 33.78% 0 6,760

Counseling 532,460 463,258 178140 33.46% 0 79,040

Miscellaneous 6,064 2,744 1256 20.71% 0 0

Adolescent Development

Program

6,064

2,744

1256

20.71%

0

0

Income Generation from

Medicine

37.90%

9,402,713

5,737,609

ESP+ Clinical Service

1,469,099

1,587,882

501080

34.11%

42,472,501

45,693,738

ESP+ BCC Service

684,991

579,938

229658

33.53%

0

85,800

Other Service

6,064

2,744

1256

20.71%

0

0

Grand Total

2,160,154

2,170,564

731994

33.89%

42,472,501

45,779,538

ESP+ Clinical Service %

68.01%

73.16%

100.00%

99.81%

ESP+ BCC Service %

31.71%

26.72%

0.00%

0.19%

Other Service %

0.28%

0.13%

0.00%

0.00%

62

DSCC PA 1 PSTC (JanuaryMarch, 2017)

TABLE 08.01:

PA wise Performance Summary

Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health 49,944 52,857 38.97% 2,028,743 1,655,678

Maternal Care 23,501 23,501 38.74% 1,349,189 1,083,052

Antenatal Care 13,846 13,846 37.24% 391,248 300,052

Delivery Care (NVD) 348 348 33.91% 222,000 118,000

Delivery Care (CS) 192 192 38.54% 496,700 444,000

Postnatal Care 5,482 5,482 42.30% 137,267 136,833

Neonatal Care 3,633 3,633 39.55% 101,974 84,167

Menstrual Regulation 517 517 31.72% 297,715 107,470

Post Abortion Care 15 15 33.33% 23,815 13,000

Family Planning 8,853 8,853 34.99% 0 0

Emergency Contraceptive Pill 0 0 0.00% 0 0

Maternal Nutrition 184 184 86.96% 0 0

Violence Against Women 108 108 42.59% 0 0


Care

4,535

6,876

42.12%

102,960

127,290

RTI/STI Care 6,703 7,176 45.01% 140,674 195,806

Other Reproductive Health Care 5,528 5,627 35.44% 114,390 129,060

Child Health Care 18,546 18,546 26.12% 208,030 204,700

Immunization Program EPI 10,221 10,221 13.85% 0 0

Immunization Program NID 0 0 0.00% 0 0


Childhood Diseases

3,693

3,693

41.97%

90,070

96,240

Diarrhea 3,691 3,691 41.97% 90,070 96,240

Measles 2 2 50.00% 0 0


Infections

4,448

4,448

40.13%

117,960

108,460

Control of Micronutrient Deficiency 184 184 51.09% 0 0

Child Nutrition 184 184 51.09% 0 0

Vitamin A Deficiency 0 0 0.00% 0 0

Iodine Deficiency 0 0 0.00% 0 0

63


TABLE 08.01:


Contact

Service

Propoor %

Revenue

Subsidy

Communicable Diseases Control 0 0 0.00% 0 0

Tuberculosis Control 0 0 0.00% 0 0


Control

0

0

0.00%

0

0

Limited Curative Care 25,442 27,496 33.22% 757,089 521,547

First Aid for Injuries 38 38 44.74% 600 550

Emergency Care 120 120 40.83% 17,295 9,070

Treatment of Minor Infections 25,284 27,338 33.16% 739,194 511,927

Support Services for ESP+ 7,244 17,707 33.66% 1,415,855 514,150

Diagnostic Service 7,231 17,694 33.70% 1,409,855 513,650

Emergency Transportation Service 13 13 7.69% 6,000 500

Behavior Change Communication 55,945 55,920 38.77% 0 0

Health Education (Session) 7,184 7,159 39.69% 0 0

Counseling 48,761 48,761 38.63% 0 0

Miscellaneous 615 561 30.08% 0 0

Adolescent Development Program 615 561 30.08% 0 0

Income Generation from Medicine

35.67%

836,790

463,952


101,176

116,606

34.79%

4,409,717

2,896,075

ESP+ BCC Service

55,945

55,920

38.77%

0

0

Other Service

615

561

30.08%

0

0

Grand Total

157,736

173,087

36.18%

4,409,717

2,896,075


64.14%

67.37%

100%

100%

ESP+ BCC Service %

35.47%

32.31%

0%

0%

Other Service %

0.39%

0.32%

0%

0%

64

DSCC PA 2 KMSS (JanuaryMarch, 2017)

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,302

28,974

24.09%

804,975

383,430

Maternal Care 9,472 9,472 18.93% 418,545 188,425

Antenatal Care 5,812 5,812 18.70% 125,130 67,390


Delivery Care (CS) 49 49 34.69% 136,600 45,000

Postnatal Care 1,927 1,927 20.65% 46,545 24,225

Neonatal Care 1,347 1,347 15.74% 30,670 16,410


Post Abortion Care 15 15 33.33% 0 120

Family Planning 5,211 5,211 23.43% 0 0





Care

4,932

5,120

27.84%

98,940

57,015

RTI/STI Care 3,710 3,734 29.25% 80,810 52,700


Child Health Care

11,185

11,185

20.08%

121,272

72,715




Childhood Diseases

2,366

2,366

31.70%

51,280

29,310

Diarrhea 2,366 2,366 31.70% 51,280 29,310

Measles 0 0 0.00% 0 0


Infections

3,520

3,520

28.55%

68,872

42,845

Control of Micronutrient Deficiency 604 604 37.75% 1,120 560

Child Nutrition 160 160 30.00% 1,120 560



65

DSCC PA 2 KMSS (JanuaryMarch, 2017)

TABLE 08.02:


Contact

Service

Propoor %

Revenue

Subsidy

Communicable Diseases Control

0

0

0.00%

0

0



Control

0

0

0.00%

0

0

Limited Curative Care

26,061

26,093

34.06%

534,494

272,204

First Aid for Injuries 260 260 38.85% 3,860 3,650

Emergency Care 193 193 42.49% 3,960 3,780


Support Services for ESP+

3,952

7,310

25.05%

374,320

86,900

Diagnostic Service 3,952 7,310 25.05% 374,320 86,900

Emergency Transportation Service 0 0 0.00% 0 0

Behavior Change Communication

66,611

65,883

31.71%

0

0


Counseling 43,476 42,848 32.49% 0 0

Miscellaneous

416

414

35.34%

0

0



45.53%

376,795

314,992


69,500

73,562

27.24%

1,835,061

815,249

ESP+ BCC Service

66,611

65,883

31.71%

0

0

Other Service

416

414

35.34%

0

0

Grand Total

136,527

139,859

29.44%

1,835,061

815,249


50.91%

52.60%

100%

100%

ESP+ BCC Service %

48.79%

47.11%

0%

0%

Other Service %

0.30%

0.30%

0%

0%

66

DSCC PA 3, BAPSA (JanuaryMarch, 2017)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

28,727

28,874

38.14%

1,367,257

1,461,100

Maternal Care 12,364 12,364 40.24% 911,677 1,043,927

Antenatal Care 7,487 7,487 35.60% 163,486 135,094


Delivery Care (CS) 108 108 46.30% 518,000 562,000

Postnatal Care 2,631 2,631 49.60% 33,569 71,191

Neonatal Care 1,729 1,729 42.45% 22,322 40,942



Family Planning 8,580 8,580 31.48% 7,124 2,013



Violence Against Women 92 92 50.00% 540 1,220


Care

3,713

3,860

42.39%

35,579

89,337

RTI/STI Care 1,968 1,968 47.51% 37,076 47,833


Child Health Care

15,853

15,854

31.68%

112,600

140,900




Childhood Diseases

2,468

2,468

45.34%

44,525

54,115

Diarrhea 2,467 2,467 45.36% 44,525 54,075

Measles 1 1 0.00% 0 40


Infections

3,404

3,404

45.98%

64,335

71,825

Control of Micronutrient Deficiency 972 973 51.03% 3,740 14,960

Child Nutrition 507 508 56.41% 3,020 8,760

Vitamin A Deficiency 452 452 44.69% 560 5,840


67

DSCC PA 3, BAPSA (JanuaryMarch, 2017)

TABLE 08.03:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


13,795

13,795

46.77%

244,171

307,507


Emergency Care 64 64 59.38% 1,005 1,700



13,211

13,312

32.35%

913,237

510,400


Emergency Transportation Service 26 26 7.69% 6,000 1,800


25,315

25,183

40.04%

0

0


Counseling 14,346 14,309 43.51% 0 0

Miscellaneous

1,440

120

0.00%

0

0

Adolescent Development Program 1,440 120 0.00% 0 0


46.46%

573,565

497,703


71,586

71,835

37.30%

2,637,265

2,419,907

ESP+ BCC Service

25,315

25,183

40.04%

0

0

Other Service

1,440

120

0.00%

0

0

Grand Total

98,341

97,138

37.46%

2,637,265

2,419,907


72.79%

73.95%

100%

100%

ESP+ BCC Service %

25.74%

25.92%

0%

0%

Other Service %

1.46%

0.12%

0%

0%

68


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

26,685

27,626

38.12%

1,301,780

1,034,516

Maternal Care 11,551 11,551 34.78% 1,064,980 864,495

Antenatal Care 7,956 7,956 33.99% 168,310 106,565


Delivery Care (CS) 149 149 36.91% 739,900 601,100

Postnatal Care 2,107 2,107 36.36% 42,330 42,350

Neonatal Care 1,103 1,103 36.99% 6,240 10,280



Family Planning 8,467 8,467 39.74% 1,044 2,032





Care

2,816

3,757

41.76%

21,145

49,450

RTI/STI Care 2,152 2,152 45.54% 17,065 28,655

Other Reproductive Health Care 1,206 1,206 37.40% 0 2,730

Child Health Care

13,247

13,247

25.12%

100,905

67,065




Childhood Diseases

1,782

1,782

42.48%

42,890

33,325

Diarrhea 1,782 1,782 42.48% 42,890 33,325

Measles 0 0 0.00% 0 0


Infections

2,043

2,043

38.77%

58,015

33,740

Control of Micronutrient Deficiency 1,012 1,012 46.05% 0 0




69


TABLE 08.04:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


41,037

52,408

32.52%

785,507

473,150

First Aid for Injuries 65 65 36.92% 840 1,085

Emergency Care 0 0 0.00% 0 0



4,614

9,106

36.67%

728,555

271,960




24,642

23,935

34.31%

0

0


Counseling 20,166 19,519 33.64% 0 0

Miscellaneous

450

450

33.33%

0

0



19.80%

365,732

90,282


85,583

102,387

33.35%

2,916,747

1,846,691

ESP+ BCC Service

24,642

23,935

34.31%

0

0

Other Service

450

450

33.33%

0

0

Grand Total

110,675

126,772

33.56%

2,916,747

1,846,691


77.33%

80.76%

100%

100%

ESP+ BCC Service %

22.27%

18.88%

0%

0%

Other Service %

0.41%

0.35%

0%

0%

70


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

33,643

34,058

35.25%

1,350,054

1,123,680

Maternal Care 17,682 17,682 34.67% 1,070,502 754,232

Antenatal Care 10,266 10,266 33.93% 163,351 183,554


Delivery Care (CS) 138 138 27.54% 652,300 382,700

Postnatal Care 4,350 4,350 35.79% 81,863 82,696

Neonatal Care 2,734 2,734 36.21% 54,188 49,482



Family Planning 5,349 5,349 32.57% 3,503 1,722





Care

5,009

5,329

34.32%

48,378

127,397

RTI/STI Care 4,001 4,070 41.76% 44,829 74,841

Other Reproductive Health Care 975 1,001 34.46% 12,985 18,745

Child Health Care

12,472

12,472

35.24%

136,726

114,937




Childhood Diseases

2,865

2,865

37.87%

57,541

50,397

Diarrhea 2,865 2,865 37.87% 57,541 50,397

Measles 0 0 0.00% 0 0


Infections

4,059

4,059

35.43%

79,185

64,540





71


TABLE 08.05:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


17,862

17,928

33.06%

278,893

364,013


Emergency Care 95 95 46.32% 2,090 1,950



4,476

9,547

29.98%

740,626

228,672




47,486

45,820

33.04%

0

0


Counseling 40,286 38,846 33.22% 0 0

Miscellaneous

367

361

16.08%

0

0



18.17%

571,499

126,917


68,453

74,005

34.33%

2,506,299

1,831,302

ESP+ BCC Service

47,486

45,820

33.04%

0

0

Other Service

367

361

16.08%

0

0

Grand Total

116,306

120,186

33.75%

2,506,299

1,831,302


58.86%

61.58%

100%

100%

ESP+ BCC Service %

40.83%

38.12%

0%

0%

Other Service %

0.32%

0.30%

0%

0%

72

DNCC PA 1 Nari Maitree (JanuaryMarch, 2017)

TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

39,393

39,396

43.48%

1,813,015

2,054,570

Maternal Care 15,401 15,401 41.83% 1,568,630 1,526,605

Antenatal Care 9,523 9,523 41.05% 133,680 247,240


Delivery Care (CS) 240 240 31.67% 1,216,800 964,875

Postnatal Care 3,055 3,055 43.31% 42,410 79,810

Neonatal Care 2,226 2,226 43.98% 26,040 63,000



Family Planning 12,541 12,541 42.02% 0 0


Maternal Nutrition 4,360 4,360 49.98% 0 39,420



Care

4,139

4,142

48.13%

22,460

126,480

RTI/STI Care 1,508 1,508 51.06% 14,425 44,815

Other Reproductive Health Care 594 594 13.30% 4,730 16,050

Child Health Care

16,876

16,877

36.49%

98,370

186,685




Childhood Diseases

3,127

3,127

45.76%

43,585

81,495

Diarrhea 3,127 3,127 45.76% 43,585 81,495

Measles 0 0 0.00% 0 0


Infections

3,481

3,481

42.75%

54,785

84,355

Control of Micronutrient Deficiency 4,774 4,775 51.91% 0 20,835

Child Nutrition 2,901 2,902 57.26% 0 19,995

Vitamin A Deficiency 1,873 1,873 43.62% 0 840


73


TABLE 08.06:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


10,302

10,392

32.21%

199,229

209,106


Emergency Care 208 208 35.58% 6,710 4,270



8,120

16,736

41.98%

958,163

1,115,794

Diagnostic Service 8,048 16,664 41.74% 951,963 1,100,394



40,048

39,840

35.37%

0

0


Counseling 27,273 27,273 39.08% 0 0

Miscellaneous

0

0

0.00%

0

0



63.31%

495,230

854,364


74,691

83,401

40.19%

3,068,777

3,566,155

ESP+ BCC Service

40,048

39,840

35.37%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

114,739

123,241

38.50%

3,068,777

3,566,155


65.10%

67.67%

100%

100%

ESP+ BCC Service %

34.90%

32.33%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

74


TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

30,138

30,489

30.39%

2,270,274

1,240,097

Maternal Care 14,968 14,968 34.85% 1,608,879 866,112

Antenatal Care 9,126 9,126 30.91% 209,339 123,702


Delivery Care (CS) 174 174 24.71% 1,183,500 556,500

Postnatal Care 3,914 3,914 46.83% 61,720 76,230

Neonatal Care 1,546 1,546 27.94% 37,720 18,280



Family Planning 4,720 4,727 17.27% 0 1,065





Care

4,115

4,181

28.72%

71,986

66,570

RTI/STI Care 3,064 3,176 34.17% 52,160 44,460


Child Health Care

16,061

15,910

25.38%

173,277

89,328




Childhood Diseases

2,948

2,948

28.90%

68,748

35,682

Diarrhea 2,945 2,945 28.90% 68,708 35,602

Measles 3 3 33.33% 40 80


Infections

4,285

4,285

29.43%

104,529

49,901


Child Nutrition 195 126 6.15% 0 2,520

Vitamin A Deficiency 997 1,175 40.32% 0 760


75


TABLE 08.07:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


8,566

8,696

30.88%

225,658

99,254

First Aid for Injuries 37 34 18.92% 1,320 200

Emergency Care 18 15 22.22% 569 151



6,791

14,729

36.28%

1,156,730

465,926

Diagnostic Service 6,781 14,719 36.26% 1,155,430 464,226



32,249

31,799

22.72%

0

0


Counseling 21,990 21,676 21.39% 0 0

Miscellaneous

505

505

0.00%

0

0



30.30%

627,839

272,896


61,556

69,824

29.80%

3,825,939

1,894,605

ESP+ BCC Service

32,249

31,799

22.72%

0

0

Other Service

505

505

0.00%

0

0

Grand Total

94,310

102,128

27.22%

3,825,939

1,894,605


65.27%

68.37%

100%

100%

ESP+ BCC Service %

34.19%

31.14%

0%

0%

Other Service %

0.54%

0.49%

0%

0%

76

DNCC PA 3 UTPS (JanuaryMarch, 2017)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

26,115

26,163

38.07%

800,628

849,082

Maternal Care 10,286 10,286 37.32% 706,478 716,392

Antenatal Care 5,953 5,953 35.73% 84,550 94,040


Delivery Care (CS) 112 112 38.39% 438,428 457,572

Postnatal Care 2,377 2,377 39.29% 20,780 54,390

Neonatal Care 1,561 1,561 40.68% 17,420 29,290



Family Planning 10,592 10,592 37.92% 0 0





Care

2,217

2,265

40.41%

9,980

33,640

RTI/STI Care 1,476 1,476 39.97% 10,740 15,510


Child Health Care

11,543

11,543

38.15%

41,795

83,965




Childhood Diseases

1,839

1,839

44.32%

15,910

39,230

Diarrhea 1,839 1,839 44.32% 15,910 39,230

Measles 0 0 0.00% 0 0


Infections

2,351

2,351

43.26%

25,885

44,735





77

DNCC PA 3 UTPS (JanuaryMarch, 2017)

TABLE 08.08:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


14,916

14,916

34.74%

148,328

292,842


Emergency Care 11 11 90.91% 0 330



10,315

10,705

37.58%

520,325

856,594


Emergency Transportation Service 3 3 100.00% 0 1,500


52,320

29,561

34.89%

0

0

Health Education (Session) 8,101 802 40.61% 0 0

Counseling 44,219 28,759 33.85% 0 0

Miscellaneous

1,575

105

33.33%

0

0

Adolescent Development Program 1,575 105 33.33% 0 0


44.77%

450,275

365,007


62,889

63,327

37.21%

1,511,076

2,082,483

ESP+ BCC Service

52,320

29,561

34.89%

0

0

Other Service

1,575

105

33.33%

0

0

Grand Total

116,784

92,993

36.12%

1,511,076

2,082,483


53.85%

68.10%

100%

100%

ESP+ BCC Service %

44.80%

31.79%

0%

0%

Other Service %

1.35%

0.11%

0%

0%

78

DNCC PA 4 (JanuaryMarch, 2017)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

38,013

38,096

34.61%

491,922

2,515,358

Maternal Care 13,837 13,837 34.08% 388,912 1,339,328

Antenatal Care 8,200 8,200 30.22% 110,160 217,760


Delivery Care (CS) 81 81 58.02% 174,062 645,938

Postnatal Care 2,996 2,996 38.79% 25,900 93,940

Neonatal Care 2,187 2,187 36.31% 13,140 74,340


Post Abortion Care 6 6 83.33% 650 14,350

Family Planning 9,531 9,531 34.32% 0 381,520

Emergency Contraceptive Pill 39 39 43.59% 60 1,500




Care

4,424

4,507

36.44%

16,060

160,720

RTI/STI Care 2,316 2,316 30.44% 13,580 83,330


Child Health Care

23,067

23,067

28.84%

48,420

867,300

Immunization Program EPI 8,198 8,198 24.12% 0 327,920



Childhood Diseases

1,599

1,599

38.90%

14,940

49,020

Diarrhea 1,599 1,599 38.90% 14,940 49,020

Measles 0 0 0.00% 0 0


Infections

2,433

2,433

39.29%

31,920

63,340

Control of Micronutrient Deficiency 10,837 10,837 28.59% 1,560 427,020

Child Nutrition 8,628 8,628 27.02% 480 344,640

Vitamin A Deficiency 2,209 2,209 34.72% 1,080 82,380


79

DNCC PA 4 (JanuaryMarch, 2017)

TABLE 08.09:


Contact

Service

Propoor %

Revenue

Subsidy


783

783

23.50%

11,815

16,595



Control

783

783

23.50%

11,815

16,595


16,051

16,410

37.09%

110,697

517,383


Emergency Care 171 171 31.58% 920 5,920



4,267

8,465

29.93%

421,325

439,646


Emergency Transportation Service 11 11 36.36% 0 5,500


42,732

42,722

31.43%

0

79,040


Counseling 34,659 34,649 30.84% 0 79,040

Miscellaneous

0

0

0.00%

0

0



62.65%

192,589

322,983


82,181

86,821

33.13%

1,084,179

4,356,282

ESP+ BCC Service

42,732

42,722

31.43%

0

79,040

Other Service

0

0

0.00%

0

0

Grand Total

124,913

129,543

32.55%

1,084,179

4,435,322


65.79%

67.02%

100%

98%

ESP+ BCC Service %

34.21%

32.98%

0%

2%

Other Service %

0.00%

0.00%

0%

0%

80

DNCC, PA 5, DAM (JanuaryMarch, 2017)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,758

30,466

36.79%

1,078,045

1,106,134

Maternal Care 12,682 12,682 34.01% 964,105 818,954

Antenatal Care 7,801 7,801 32.16% 168,200 143,760


Delivery Care (CS) 107 107 31.78% 583,500 486,500

Postnatal Care 2,747 2,747 36.33% 54,495 67,524

Neonatal Care 1,820 1,820 38.79% 29,310 42,770



Family Planning 9,143 9,143 35.75% 0 35,040





Care

3,779

4,459

39.27%

21,490

64,210

RTI/STI Care 1,902 1,929 51.10% 22,430 56,610


Child Health Care

22,364

22,364

36.63%

102,420

195,590




Childhood Diseases

2,204

2,204

47.96%

32,770

56,160

Diarrhea 2,204 2,204 47.96% 32,770 56,160

Measles 0 0 0.00% 0 0


Infections

3,810

3,810

40.81%

69,010

87,710

Control of Micronutrient Deficiency 552 552 46.92% 640 1,680

Child Nutrition 439 439 44.65% 440 1,520



81

DNCC, PA 5, DAM (JanuaryMarch, 2017)

TABLE 08.10:


Contact

Service

Propoor %

Revenue

Subsidy


25

25

68.00%

0

120



Control

25

25

68.00%

0

120


21,292

21,351

36.58%

192,834

651,246


Emergency Care 15 15 40.00% 360 240



5,411

9,400

39.40%

347,840

486,075




21,673

20,629

32.65%

0

6,760

Health Education (Session) 3,145 2,878 37.11% 0 6,760

Counseling 18,528 17,751 31.89% 0 0

Miscellaneous

0

0

0.00%

0

0



39.17%

336,778

216,880


78,850

83,606

36.88%

1,721,139

2,439,165

ESP+ BCC Service

21,673

20,629

32.65%

0

6,760

Other Service

0

0

0.00%

0

0

Grand Total

100,523

104,235

35.97%

1,721,139

2,445,925


78.44%

80.21%

100%

100%

ESP+ BCC Service %

21.56%

19.79%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

82

RCC PA 1 RIC (JanuaryMarch, 2017)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

22,388

22,515

22.36%

578,458

394,965

Maternal Care 4,579 4,579 18.80% 465,638 287,038

Antenatal Care 3,236 3,236 18.91% 62,395 61,221


Delivery Care (CS) 74 74 24.32% 308,250 183,750

Postnatal Care 670 670 19.25% 11,403 13,227

Neonatal Care 506 506 17.79% 5,290 14,140



Family Planning 14,183 14,183 22.68% 48,806 18,529


Maternal Nutrition 149 149 16.78% 380 1,260



Care

1,714

1,728

25.90%

15,284

24,426

RTI/STI Care 663 678 34.69% 10,390 12,792


Child Health Care

5,628

5,628

31.82%

28,855

32,680




Childhood Diseases

452

452

37.61%

6,915

8,595

Diarrhea 452 452 37.61% 6,915 8,595

Measles 0 0 0.00% 0 0


Infections

860

860

40.35%

15,135

13,770


Child Nutrition 808 808 44.80% 6,805 10,315



83

RCC PA 1 RIC (JanuaryMarch, 2017)

TABLE 08.11:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,472

17,062

36.58%

157,851

435,103


Emergency Care 35 35 57.14% 560 520



4,322

7,158

24.13%

471,790

262,085




18,619

18,414

26.99%

0

0


Counseling 14,293 14,173 25.89% 0 0

Miscellaneous

168

168

29.76%

0

0



34.73%

443,474

236,017


48,810

52,363

28.40%

1,236,954

1,124,833

ESP+ BCC Service

18,619

18,414

26.99%

0

0

Other Service

168

168

29.76%

0

0

Grand Total

67,597

70,945

28.02%

1,236,954

1,124,833


72.21%

73.81%

100%

100%

ESP+ BCC Service %

27.54%

25.96%

0%

0%

Other Service %

0.25%

0.24%

0%

0%

84

RCC, PA2 (JanuaryMarch, 2017)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

18,623

18,687

21.43%

467,617

549,157

Maternal Care 6,156 6,156 22.60% 423,840 461,943

Antenatal Care 4,261 4,261 24.13% 57,676 116,569


Delivery Care (CS) 69 69 13.04% 339,624 281,376

Postnatal Care 942 942 23.57% 8,500 25,160

Neonatal Care 846 846 13.83% 4,343 18,335



Family Planning 8,757 8,757 19.37% 18,311 0





Care

1,680

1,753

24.70%

6,496

41,629

RTI/STI Care 939 943 31.20% 9,297 22,708


Child Health Care

3,838

3,840

16.21%

18,122

37,802




Childhood Diseases

535

535

33.27%

6,401

11,549

Diarrhea 535 535 33.27% 6,401 11,549

Measles 0 0 0.00% 0 0


Infections

862

862

29.12%

10,131

19,442


Child Nutrition 430 432 19.77% 1,430 6,760



85

RCC, PA2 (JanuaryMarch, 2017)

TABLE 08.12:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,795

16,908

34.10%

121,873

639,049


Emergency Care 46 46 36.96% 740 870



8,686

8,787

26.35%

423,535

156,103




23,686

23,493

23.47%

0

0


Counseling 19,661 19,478 21.98% 0 0

Miscellaneous

0

0

0.00%

0

0



14.75%

468,854

81,135


47,942

48,222

26.34%

1,031,147

1,382,111

ESP+ BCC Service

23,686

23,493

23.47%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

71,628

71,715

25.39%

1,031,147

1,382,111


66.93%

67.24%

100%

100%

ESP+ BCC Service %

33.07%

32.76%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

86

KCC PA 1 (JanuaryMarch, 2017)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

32,451

32,881

32.33%

628,226

1,886,564

Maternal Care 12,482 12,482 30.24% 393,085 1,277,445

Antenatal Care 9,120 9,120 29.16% 120,945 240,895


Delivery Care (CS) 93 93 35.48% 147,850 782,150

Postnatal Care 1,782 1,782 31.93% 19,500 51,640

Neonatal Care 1,233 1,233 33.58% 17,080 36,470



Family Planning 7,780 7,780 34.05% 0 0


Maternal Nutrition 1,613 1,613 35.96% 4,300 23,540



Care

6,653

6,737

32.93%

71,021

192,609

RTI/STI Care 2,571 2,724 32.59% 36,145 68,525


Child Health Care

10,069

10,101

35.12%

60,890

129,585




Childhood Diseases

1,771

1,771

36.87%

24,915

46,855

Diarrhea 1,771 1,771 36.87% 24,915 46,855

Measles 0 0 0.00% 0 0


Infections

2,070

2,070

36.43%

32,550

52,300


Child Nutrition 1,488 1,520 35.15% 3,425 30,030

Vitamin A Deficiency 1,163 1,163 57.35% 0 0


87

KCC PA 1 (JanuaryMarch, 2017)

TABLE 08.13:


Contact

Service

Propoor %

Revenue

Subsidy


136

136

27.21%

0

4,220



Control

136

136

27.21%

0

4,220


16,902

16,948

32.98%

153,104

550,646


Emergency Care 448 448 36.61% 17,480 23,480



5,988

8,583

34.08%

162,745

595,265




26,215

21,861

32.65%

0

0


Counseling 17,440 15,272 33.31% 0 0

Miscellaneous

0

0

0.00%

0

0



67.01%

72,696

147,686


65,546

68,649

33.07%

1,004,965

3,166,280

ESP+ BCC Service

26,215

21,861

32.65%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

91,761

90,510

32.95%

1,004,965

3,166,280


71.43%

75.85%

100%

100%

ESP+ BCC Service %

28.57%

24.15%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

88

KCC PA2 (JanuaryMarch, 2017)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

29,284

30,490

35.57%

796,941

1,242,709

Maternal Care 11,476 11,476 29.58% 537,204 795,591

Antenatal Care 8,082 8,082 28.56% 107,950 134,210


Delivery Care (CS) 65 65 33.85% 314,057 336,593

Postnatal Care 1,753 1,753 33.43% 14,567 45,038

Neonatal Care 1,234 1,234 29.98% 11,950 35,080



Family Planning 8,917 8,917 43.04% 0 0


Maternal Nutrition 515 515 38.06% 1,190 7,122



Care

6,799

7,816

37.06%

44,124

87,146

RTI/STI Care 134 134 34.33% 0 0


Child Health Care

9,574

9,582

28.98%

52,955

105,565




Childhood Diseases

2,453

2,453

34.77%

22,775

46,415

Diarrhea 2,453 2,453 34.77% 22,775 46,415

Measles 0 0 0.00% 0 0


Infections

2,523

2,523

33.37%

27,370

47,510


Child Nutrition 1,112 1,120 31.74% 2,810 11,640



89

KCC PA2 (JanuaryMarch, 2017)

TABLE 08.14:


Contact

Service

Propoor %

Revenue

Subsidy


81

81

34.57%

1,320

1,920



Control

81

81

34.57%

1,320

1,920


46,526

50,160

37.47%

108,785

516,418


Emergency Care 24 24 45.83% 0 960



3,235

5,120

34.37%

188,790

321,645




25,014

24,787

32.02%

0

0


Counseling 21,946 21,794 33.55% 0 0

Miscellaneous

0

0

0.00%

0

0



85.26%

38,433

222,357


88,700

95,433

35.81%

1,148,791

2,188,257

ESP+ BCC Service

25,014

24,787

32.02%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

113,714

120,220

34.98%

1,148,791

2,188,257


78.00%

79.38%

100%

100%

ESP+ BCC Service %

22.00%

20.62%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

90

SCC, PA1 (JanuaryMarch, 2017)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

43,205

43,223

37.09%

900,548

1,560,561

Maternal Care 10,924 10,924 35.02% 771,125 665,305

Antenatal Care 6,454 6,454 33.05% 62,604 114,966


Delivery Care (CS) 124 124 41.94% 576,000 416,000

Postnatal Care 2,540 2,540 37.28% 15,805 53,905

Neonatal Care 1,626 1,626 38.07% 12,015 31,335



Family Planning 19,096 19,096 34.46% 15,750 453,080

Emergency Contraceptive Pill 73 73 46.58% 0 2,190




Care

6,483

6,501

36.97%

28,195

147,165

RTI/STI Care 3,804 3,804 37.49% 20,350 80,990

Other Reproductive Health Care 670 670 36.57% 900 18,850

Child Health Care

10,553

10,774

43.76%

36,420

251,388




Childhood Diseases

1,493

1,493

41.19%

12,815

25,245

Diarrhea 1,493 1,493 41.19% 12,815 25,245

Measles 0 0 0.00% 0 0


Infections

2,448

2,448

41.30%

23,605

40,415


Child Nutrition 1,785 2,013 74.62% 0 59,508

Vitamin A Deficiency 268 268 44.78% 0 8,040

Iodine Deficiency 61 61 45.90% 0 1,830

91

SCC, PA1 (JanuaryMarch, 2017)

TABLE 08.15:


Contact

Service

Propoor %

Revenue

Subsidy


114

114

40.35%

270

3,150



Control

114

114

40.35%

270

3,150


83,943

84,047

34.87%

251,263

1,759,203



Treatment of Minor Infections 83,762 83,866 34.86% 250,143 1,754,893


16,472

16,487

36.26%

532,788

763,716




42,911

19,236

47.53%

0

0


Counseling 37,171 18,790 46.54% 0 0

Miscellaneous

108

9

33.33%

0

0



40.73%

380,231

261,337


154,287

154,645

36.25%

1,721,289

4,338,018

ESP+ BCC Service

42,911

19,236

47.53%

0

0

Other Service

108

9

33.33%

0

0

Grand Total

197,306

173,890

38.70%

1,721,289

4,338,018


78.20%

88.93%

100%

100%

ESP+ BCC Service %

21.75%

11.06%

0%

0%

Other Service %

0.05%

0.01%

0%

0%

92

BCC PA1 Srizony (JanuaryMarch, 2017)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

16,086

16,086

29.14%

717,858

625,664

Maternal Care 7,139 7,139 28.79% 533,840 514,680

Antenatal Care 4,562 4,562 28.93% 78,160 31,950


Delivery Care (CS) 141 141 35.46% 358,000 417,500

Postnatal Care 1,275 1,275 31.92% 8,520 16,500

Neonatal Care 901 901 21.53% 10,410 10,480



Family Planning 3,724 3,724 12.76% 0 0





Care

2,155

2,155

33.32%

3,380

12,310

RTI/STI Care 1,392 1,392 58.62% 9,300 12,640


Child Health Care

5,265

5,265

38.84%

23,275

34,176




Childhood Diseases

954

954

59.75%

9,805

10,365

Diarrhea 954 954 59.75% 9,805 10,365

Measles 0 0 0.00% 0 0


Infections

1,302

1,302

58.37%

13,470

13,980


Child Nutrition 826 826 42.86% 0 8,871



93

BCC PA1 Srizony (JanuaryMarch, 2017)

TABLE 08.16:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,874

4,874

79.52%

16,230

61,280





9,075

9,040

31.50%

491,690

215,347




19,712

19,664

32.20%

0

0


Counseling 15,193 15,151 29.36% 0 0

Miscellaneous

8

8

100.00%

0

0



41.83%

309,152

222,349


35,300

35,265

38.15%

1,249,053

936,467

ESP+ BCC Service

19,712

19,664

32.20%

0

0

Other Service

8

8

100.00%

0

0

Grand Total

55,020

54,937

36.03%

1,249,053

936,467


64.16%

64.19%

100%

100%

ESP+ BCC Service %

35.83%

35.79%

0%

0%

Other Service %

0.01%

0.01%

0%

0%

94

CoCC,PA01 (JanuaryMarch, 2017)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

24,575

24,759

47.62%

953,131

919,877

Maternal Care 5,834 5,834 35.93% 846,171 640,084

Antenatal Care 3,769 3,769 34.78% 68,537 42,355


Delivery Care (CS) 115 115 32.17% 656,194 493,806

Postnatal Care 1,241 1,241 44.72% 10,330 25,773

Neonatal Care 484 484 25.00% 13,010 6,150



Family Planning 9,043 9,043 42.94% 775 1,683





Care

3,725

3,726

60.03%

4,785

76,727

RTI/STI Care 2,470 2,470 60.81% 8,600 64,645


Child Health Care

12,654

12,762

45.14%

34,465

78,084




Childhood Diseases

1,459

1,459

68.40%

10,165

27,170

Diarrhea 1,459 1,459 68.40% 10,165 27,170

Measles 0 0 0.00% 0 0


Infections

2,532

2,532

61.02%

24,300

42,890


Child Nutrition 443 551 77.65% 0 8,024



95

CoCC,PA01 (JanuaryMarch, 2017)

TABLE 08.17:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


16,663

17,063

70.51%

49,257

296,436





9,615

9,628

42.42%

529,890

313,543




40,164

16,358

35.32%

0

0


Counseling 31,339 15,476 31.53% 0 0

Miscellaneous

173

13

53.18%

0

0



36.98%

257,415

151,022


63,507

64,212

52.34%

1,566,743

1,607,940

ESP+ BCC Service

40,164

16,358

35.32%

0

0

Other Service

173

13

53.18%

0

0

Grand Total

103,844

80,583

45.76%

1,566,743

1,607,940


61.16%

79.68%

100%

100%

ESP+ BCC Service %

38.68%

20.30%

0%

0%

Other Service %

0.17%

0.02%

0%

0%

96

SrjM PA1 (JanuaryMarch, 2017)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,096

15,083

34.22%

858,845

818,289

Maternal Care 4,900 4,996 35.63% 806,000 723,340

Antenatal Care 3,169 3,265 36.70% 45,910 37,230


Delivery Care (CS) 163 163 27.61% 688,600 631,100

Postnatal Care 979 979 38.71% 9,710 15,940

Neonatal Care 483 483 25.67% 9,580 6,470



Family Planning 5,662 5,662 27.41% 0 17,360





Care

1,543

2,331

42.58%

12,895

25,255

RTI/STI Care 1,195 1,195 43.26% 11,200 17,730


Child Health Care

3,027

3,061

49.36%

30,320

51,024

Immunization Program EPI 219 253 0.00% 0 660



Childhood Diseases

991

991

52.67%

10,670

15,630

Diarrhea 784 784 54.59% 8,470 12,950

Measles 207 207 45.41% 2,200 2,680


Infections

1,329

1,329

51.02%

15,860

24,890


Child Nutrition 59 59 89.83% 120 4,994

Vitamin A Deficiency 417 417 55.40% 3,610 4,550


97

SrjM PA1 (JanuaryMarch, 2017)

TABLE 08.18:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


7,305

7,305

61.75%

33,765

170,990


Emergency Care 119 119 36.13% 420 2,580



6,870

6,880

35.75%

329,839

232,086




13,611

11,004

55.82%

0

0


Counseling 10,783 10,773 60.35% 0 0

Miscellaneous

0

0

0.00%

0

0



74.98%

76,180

228,334


31,298

32,329

42.45%

1,252,769

1,272,389

ESP+ BCC Service

13,611

11,004

55.82%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

44,909

43,333

46.50%

1,252,769

1,272,389


69.69%

74.61%

100%

100%

ESP+ BCC Service %

30.31%

25.39%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

98

KM PA1 Srizony (JanuaryMarch, 2017)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

5,707

5,707

9.25%

222,370

47,706

Maternal Care 1,961 1,961 15.25% 213,140 42,390

Antenatal Care 1,354 1,354 17.28% 17,370 5,500


Delivery Care (CS) 27 27 14.81% 136,500 24,000

Postnatal Care 272 272 13.97% 2,060 1,860

Neonatal Care 233 233 1.72% 1,010 330

Menstrual Regulation 4 4 25.00% 1,800 600


Family Planning 2,767 2,767 2.24% 0 0





Care

444

444

23.20%

2,980

3,140

RTI/STI Care 423 423 9.46% 4,450 1,140

Other Reproductive Health Care 25 25 0.00% 0 0

Child Health Care

2,285

2,285

25.91%

20,690

12,776




Childhood Diseases

237

237

25.74%

2,740

1,310

Diarrhea 233 233 26.18% 2,700 1,310

Measles 4 4 0.00% 40 0


Infections

1,565

1,565

30.48%

17,920

10,260


Child Nutrition 113 113 22.12% 30 1,086



99

KM PA1 Srizony (JanuaryMarch, 2017)

TABLE 08.19:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


5,238

5,238

29.17%

29,555

39,175





1,621

2,693

23.57%

93,436

38,460




6,964

6,820

27.44%

0

0


Counseling 4,921 4,846 23.78% 0 0

Miscellaneous

0

0

0.00%

0

0



55.52%

104,818

130,843


14,851

15,923

20.40%

366,051

138,117

ESP+ BCC Service

6,964

6,820

27.44%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

21,815

22,743

22.65%

366,051

138,117


68.08%

70.01%

100%

100%

ESP+ BCC Service %

31.92%

29.99%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

100

KnjM PA 1 (JanuaryMarch, 2017)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

17,372

17,469

25.16%

976,546

780,439

Maternal Care 6,682 6,682 21.69% 865,503 654,722

Antenatal Care 4,147 4,147 21.56% 57,220 85,940


Delivery Care (CS) 143 143 8.39% 746,838 454,362

Postnatal Care 1,712 1,712 20.85% 12,660 41,955

Neonatal Care 586 586 26.79% 905 27,285



Family Planning 7,300 7,300 29.37% 0 0





Care

923

1,020

25.46%

6,278

19,207

RTI/STI Care 1,125 1,125 23.38% 8,700 33,795


Child Health Care

2,447

2,447

27.30%

13,988

39,587




Childhood Diseases

703

703

32.57%

6,155

17,930

Diarrhea 683 683 31.92% 5,915 17,170

Measles 20 20 55.00% 240 760


Infections

833

833

35.65%

7,833

21,657





101

KnjM PA 1 (JanuaryMarch, 2017)

TABLE 08.20:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


13,141

33,864

31.08%

75,056

362,738


Emergency Care 9 9 22.22% 350 100



1,410

3,645

21.21%

352,890

122,550




15,661

6,853

25.63%

0

0


Counseling 12,998 6,513 24.10% 0 0

Miscellaneous

161

24

0.00%

0

0



29.94%

413,229

176,625


34,370

57,425

27.41%

1,418,480

1,305,314

ESP+ BCC Service

15,661

6,853

25.63%

0

0

Other Service

161

24

0.00%

0

0

Grand Total

50,192

64,302

26.77%

1,418,480

1,305,314


68.48%

89.31%

100%

100%

ESP+ BCC Service %

31.20%

10.66%

0%

0%

Other Service %

0.32%

0.04%

0%

0%

102

GopM PA 1 (JanuaryMarch, 2017)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

1,891

1,891

26.18%

177,161

38,008

Maternal Care 959 959 18.87% 165,540 31,350

Antenatal Care 672 672 17.71% 14,150 7,880


Delivery Care (CS) 21 21 23.81% 134,710 18,400

Postnatal Care 106 106 24.53% 1,840 1,370

Neonatal Care 143 143 20.28% 3,390 1,800

Menstrual Regulation 12 12 33.33% 4,760 600

Post Abortion Care 2 2 0.00% 1,200 0

Family Planning 582 582 42.78% 198 1,550





Care

117

117

15.38%

900

2,160

RTI/STI Care 150 150 18.00% 3,150 1,540


Child Health Care

542

542

7.20%

8,387

1,761




Childhood Diseases

78

78

6.41%

1,820

420

Diarrhea 78 78 6.41% 1,820 420

Measles 0 0 0.00% 0 0


Infections

203

203

9.36%

5,750

820


Child Nutrition 45 45 26.67% 597 371



103

GopM PA 1 (JanuaryMarch, 2017)

TABLE 08.21:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


2,020

2,026

27.87%

37,159

26,941





440

778

18.18%

43,791

22,676

Diagnostic Service 440 778 18.18% 43,791 22,676



1,461

1,461

20.67%

0

0

Health Education (Session) 650 650 24.62% 0 0

Counseling 811 811 17.51% 0 0

Miscellaneous

0

0

0.00%

0

0



17.16%

4,684

970


4,893

5,237

24.05%

266,498

89,386

ESP+ BCC Service

1,461

1,461

20.67%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

6,354

6,698

23.28%

266,498

89,386


77.01%

78.19%

100%

100%

ESP+ BCC Service %

22.99%

21.81%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

104

NACC PA 1 PSKP (JanuaryMarch, 2017)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

22,450

22,451

30.90%

930,356

576,254

Maternal Care 5,029 5,029 21.40% 767,850 397,570

Antenatal Care 3,088 3,088 17.23% 93,295 38,175


Delivery Care (CS) 85 85 12.94% 566,900 283,100

Postnatal Care 978 978 29.04% 18,305 23,205

Neonatal Care 775 775 28.13% 24,150 15,290



Family Planning 13,138 13,138 33.06% 11,892 4,083





Care

2,219

2,219

37.40%

13,813

39,047

RTI/STI Care 1,083 1,083 34.07% 27,105 19,850


Child Health Care

7,433

7,487

27.84%

40,490

79,620




Childhood Diseases

622

622

40.84%

12,870

13,560

Diarrhea 622 622 40.84% 12,870 13,560

Measles 0 0 0.00% 0 0


Infections

1,001

1,001

36.06%

27,460

19,270


Child Nutrition 682 736 41.94% 20 4,140



105

NACC PA 1 PSKP (JanuaryMarch, 2017)

TABLE 08.22:


Contact

Service

Propoor %

Revenue

Subsidy


6

6

16.67%

170

80



Control

6

6

16.67%

170

80


17,367

17,389

30.66%

293,296

458,900


Emergency Care 34 34 26.47% 2,810 430



4,568

8,601

25.68%

628,805

364,760




15,308

13,902

29.84%

0

0


Counseling 13,255 12,106 30.25% 0 0

Miscellaneous

0

0

0.00%

0

0



10.31%

697,434

80,178


51,824

55,934

29.92%

1,893,117

1,479,614

ESP+ BCC Service

15,308

13,902

29.84%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

67,132

69,836

29.90%

1,893,117

1,479,614


77.20%

80.09%

100%

100%

ESP+ BCC Service %

22.80%

19.91%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

106

RaCC PA 1 (JanuaryMarch, 2017)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

4,539

4,539

6.85%

326,591

261,142

Maternal Care 1,910 1,910 12.46% 279,271 245,912

Antenatal Care 1,144 1,144 8.13% 25,820 20,870


Delivery Care (CS) 54 54 20.37% 217,683 166,040

Postnatal Care 326 326 15.34% 1,230 6,890

Neonatal Care 276 276 17.03% 370 5,780



Family Planning 1,939 1,939 1.91% 0 0





Care

311

311

2.89%

490

1,900

RTI/STI Care 179 179 3.35% 3,235 4,305

Other Reproductive Health Care 77 77 22.08% 1,730 650

Child Health Care

1,194

1,194

3.85%

6,100

700




Childhood Diseases

26

26

15.38%

1,020

80

Diarrhea 26 26 15.38% 1,020 80

Measles 0 0 0.00% 0 0


Infections

169

169

17.16%

5,080

620





107

RaCC PA 1 (JanuaryMarch, 2017)

TABLE 08.23:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


4,041

4,041

13.54%

77,291

90,393

First Aid for Injuries 74 74 0.00% 3,000 90




2,770

3,790

3.50%

148,391

77,210




11,055

3,806

15.50%

0

0


Counseling 6,724 3,221 13.09% 0 0

Miscellaneous

0

0

0.00%

0

0



19.39%

207,496

49,912


12,544

13,564

7.98%

558,373

429,445

ESP+ BCC Service

11,055

3,806

15.50%

0

0

Other Service

0

0

0.00%

0

0

Grand Total

23,599

17,370

11.50%

558,373

429,445


53.15%

78.09%

100%

100%

ESP+ BCC Service %

46.85%

21.91%

0%

0%

Other Service %

0.00%

0.00%

0%

0%

108

GCC PA 1 PSTC (JanuaryMarch, 2017)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

17,420

17,420

15.73%

759,611

578,339

Maternal Care 4,292 4,292 10.30% 675,109 499,135

Antenatal Care 2,885 2,885 9.05% 44,285 51,249


Delivery Care (CS) 100 100 9.00% 515,927 384,073

Postnatal Care 791 791 13.15% 15,715 7,570

Neonatal Care 356 356 8.71% 3,618 7,807



Family Planning 9,613 9,613 15.47% 8,341 0


Maternal Nutrition 460 460 27.61% 2,600 9,055



Care

1,254

1,254

17.07%

12,425

20,060

RTI/STI Care 1,619 1,619 26.56% 20,061 23,849


Child Health Care

3,189

3,189

20.32%

20,180

33,415




Childhood Diseases

452

452

17.04%

2,600

8,170

Diarrhea 364 364 20.33% 2,375 7,835

Measles 88 88 3.41% 225 335


Infections

896

896

20.09%

11,327

16,148


Child Nutrition 515 515 20.58% 6,253 9,097



109

GCC PA 1 PSTC (JanuaryMarch, 2017)

TABLE 08.24:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


5,968

5,968

15.21%

45,951

130,036


Emergency Care 33 33 27.27% 790 365



1,535

3,231

21.63%

231,310

46,613




10,181

8,756

20.36%

0

0


Counseling 8,448 8,448 20.73% 0 0

Miscellaneous

48

3

0.00%

0

0



16.28%

566,781

110,216


28,112

29,808

16.46%

1,057,052

788,403

ESP+ BCC Service

10,181

8,756

20.36%

0

0

Other Service

48

3

0.00%

0

0

Grand Total

38,341

38,567

17.48%

1,057,052

788,403


73.32%

77.29%

100%

100%

ESP+ BCC Service %

26.55%

22.70%

0%

0%

Other Service %

0.13%

0.01%

0%

0%

110

GaCCPA2 (JanuaryMarch, 2017)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy

Reproductive Health

14,665

14,768

28.41%

625,030

755,200

Maternal Care 3,511 3,511 27.88% 558,580 648,360

Antenatal Care 2,339 2,339 26.17% 55,800 36,110


Delivery Care (CS) 91 91 30.77% 429,042 480,958

Postnatal Care 614 614 30.78% 9,710 14,210

Neonatal Care 298 298 32.21% 4,170 7,940



Family Planning 9,057 9,057 28.60% 0 0





Care

1,198

1,301

23.96%

8,910

35,940

RTI/STI Care 457 457 38.95% 7,520 10,960


Child Health Care

4,935

4,935

27.52%

39,730

30,770




Childhood Diseases

712

712

34.97%

13,460

14,400

Diarrhea 712 712 34.97% 13,460 14,400

Measles 0 0 0.00% 0 0


Infections

1,082

1,082

29.02%

26,270

16,370





111

GaCCPA2 (JanuaryMarch, 2017)

TABLE 08.25:


Contact

Service

Propoor %

Revenue

Subsidy


0

0

0.00%

0

0



Control

0

0

0.00%

0

0


8,695

8,695

36.88%

76,594

259,586





2,355

5,101

33.59%

443,666

253,694




5,408

2,231

38.00%

0

0


Counseling 3,773 2,015 37.40% 0 0

Miscellaneous

30

3

13.33%

0

0



17.40%

534,744

112,652


30,650

33,499

31.07%

1,185,020

1,299,250

ESP+ BCC Service

5,408

2,231

38.00%

0

0

Other Service

30

3

13.33%

0

0

Grand Total

36,088

35,733

32.09%

1,185,020

1,299,250


84.93%

93.75%

100%

100%

ESP+ BCC Service %

14.99%

6.24%

0%

0%

Other Service %

0.08%

0.01%

0%

0%

112

Quarterly Progress Review Meeting 26 February 2017

Training on RTI/STI 19-23 March 2017

End Line Evaluation of the BCCM Component of UPHCSDP 27 March 2017

113

End line Evaluation of the BCCM Component of UPHCSDP 27 March 2017

PPTA Team visit to Nari Maitree PA

ADB Mission along with PPTA Team visit to Narayanganj City Corporation