Government of the People’s Republic of Bangladesh

Urban Primary Health Care Services Delivery Project-II ADB Loan No: 3705-BAN (COL)

Local Government Division

Ministry of Local Government, Rural Development & Cooperatives

Quarterly Performance Report

October - December 2020

Implementing Agencies

Dhaka South, Dhaka North, Chattogram, Rajshahi, Khulna, Barishal, Sylhet, Cumilla, Naryanganj, Rangpur, Mymensingh, Gazipur City Corporations

&

Gopalgonj, Kishoreganj, Kushtia, Sirajganj, Faridpur, Sariatpur, Netrokona, Kurigram, Gaibandha, Benapol, Jagannathpur, Derai, Tarabo Municipalities

Project Management Unit

Nagar Bhaban, 5 Phoenix Road, Dhaka-1000, Bangladesh.

Phone: +880 2 955 0917, Fax: +880 956 9124. email: [email protected]

www.uphcsdp.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-II Urban Primary Health Care Services Delivery Project (2nd Phase) 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 10

Design & Monitoring Framework 11

Compliance with Loan Covenants 25

Report on Gender Action Plan 43

Appendix A: Status of Civil Works 49

Appendix B: UCCRTF Activity Progress 54

Services Statistics (Performance of Partnership Agreements) 58

Executive Summary

This Quarterly Performance Report (QPR) covers activities accomplished by the Urban Primary Health Care Services Delivery Project-II, its Partner NGOs and Consulting Firms from October -December 2020 quarter. It includes key information about the project, implementation progress and activities performed during the quarter. This will enable relevant stakeholders to understand project progress, become aware of problems and assess implementation status vis-à-vis project objectives.

This report contains following sections: 1. Basic Data 2. Utilization of fund 3. Project purpose and components 4. Implementation Progress 5. Design and Monitoring Framework & Implementation Schedule 6. Compliance with Loan Covenants 7. Gender Action Plan 8. Service Statistics

At the end of this quarter, the project has finished 33 months. By this time, it has achieved (51.131) 45.653% cumulative contract award and 20.255% cumulative disbursement of total allocation. Against this year’s targets, achievement of disbursement was 80.44% for Twelve (12) months. From the beginning of the project to end of this quarter, the project has provided over 1,774,471 services. In the current quarter, the total contacts were around

1,710,318 among them 76 % were female.

2

Page At the end of the quarter, the project performance is consistent with the targets of the procurement plan, Design and Monitoring Framework (DMF), and Loan Covenants.

2 Page

Basic Data

1.1 ADB Loan Number: 3705-BAN (COL) 1.2 Project Title: Urban Primary Health Care Services Delivery Project- Additional Financing (UPHCSDP-AF) 1.3 Borrower: Government of Bangladesh 1.4 Executing Agency: Local Government Division Ministry of Local Government, Rural Development and Cooperatives 1.5 Implementing Agencies 1. Dhaka South City Corporation 2. Dhaka North City Corporation 3. Chattogram City Corporation 4. Rajshahi City Corporation 5. Khulna City Corporation 6. Sylhet City Corporation 7. Barishal City Corporation 8. Cumilla City Corporation 9. Narayangonj City Corporation 10. Rangpur City Corporation

11. Gazipur City Corporation 3

12. Mymensingh City Corporation Page 13. Gopalganj Municipality 14. Kishoreganj Municipality 15. Kushtia Municipality 16. Sirajgonj Municipality 17. Faridpur Municipality 18. Sariatpur Municipality 19. Netrokona Municipality 20. Kurigram Municipality 21. Gaibandha Municipality 22. Benapol Municipality

23. Jagannathpur Municipality

3 Page

24. Derai Municipality 25. Tarabo Municipality

1.6 Total Estimated Project Cost: US$ 142.00 million 1.7 Financing Plan

Source Amount ($ millions) % Share of Total Asian Development Bank (ADB) 112 78.87 Government of Bangladesh 30 21.13 Grand Total 142.00 100 1.10 Dates of approval, signing and effectiveness of ADB loan (i) Date of Approval: 11 September 2017 18 September 2017 (Government) (ADB) (ii) Date of Signing: 25 October 2018 (iii) Date of Loan Effectiveness: 12 December 2018 1.11 Original and revised ADB project closing date and elapsed period based on original and revised closing dates: (i) Original Loan Closing Date: 30 September 2023 (ii) Original Grant Closing Date: 31 December 2021 (iii) Elapsed time (from April 2018): 33 months (as of 31 December 2020) 1.12 Date of ADB Additional Review mission : No ADB Review mission held in this quarter

4

Page

4

Page

Utilization of Fund

(ADB Loan, Co-financing and Counterpart funds)

2.1 Cumulative Contract Awards (Up to 31 December 2020)

Contract Award Balance Source Allocation Amount % Amount

ADB Loan 110.000 49.756 45.23 60.244

ADB Grant 2.000 1.375 68.750 0.625

Total 112.000 51.131 45.653 60.869

GOB Grant 30.000 2.979 9.93 27.021

Grant Total 142.000 54.11 38.105 87.89

2.2 Cumulative Disbursement (Up to 31 December 2020)

Disbursement Balance Source Allocation Amount % Amount

ADB Loan 110.000 21.506 19.551 88.494

ADB Grant 2.000 1.180 59.00 0.820 5

Total 112.000 22.686 20.255 89.314 Page GOB Grant 30.000 2.979 9.93 27.021

Grant Total 142.000 25.665 18.073 116.335

2.3 Projection 2020 for Contract Award (CA) and Disbursement (Dis) - December 2020

Projection 2020 Achieved % Source CA Dis CA Dis CA Dis

ADB Loan 15.860 15.830 11.534 12.459 72.72 78.70

ADB Grant 0.640 0.840 0.351 0.951 54.84 113.21

Total 16.500 16.670 11.569 13.41 70.11 80.44

5 Page

Project Purpose and Components

3.1 Objectives and Targets of the project:

The overall objective of Urban Primary Health Care Services Delivery Project -II (UPHCSDP- II) is

“To improve health, nutrition and family planning status of the urban population, particularly the poor, women, and children.”

The outcome of the project will be sustainable good quality urban PHC services provided in project areas that target the poor and the needs of women and children.

The specific objectives of the project, which will contribute to achieve the outcome and overall objective are: (i) Improve accessibility (financial and physical) to PHC services in the urban areas covered by the project; (ii) Ensure the delivery of quality PHC services to urban populations-the project will ensure essential service delivery package (ESD+) focused maternal and child health in urban areas, particularly for the poor; (iii) Increase the utilization of PHC services by the urban poor, especially women, new-born and children; (iv) Strengthen institutional arrangements for the delivery of PHC services in urban areas; (v) Increase capacity of the Urban Local Bodies (ULBs) to ensure the delivery of PHC services, according to their mandate; and (vi) Increase 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.

6

Following targets have been identified to be achieved by 2023 through implementation of the project: Page

Births attended by skilled health personnel in urban areas will be increased from 63.4% to 70%; Under-5 children in urban area who visited health centers received nutritional screening - measured on anthropometry will be increased from 64% to 80%;

Use modern contraceptives by currently married women of reproductive age (15-49) in urban area will be increased from 56.2% to 65%;

At least 80% of urban poor households are properly identified as eligible for free health care;

At least 90% of urban population have access to public health service; 90% of project clients expressed satisfaction with project services;

3.2 Project Components 6 Page

The project has three major components as stated below:

Component 1: Institutional Governance and Local Government Capacity to Sustainably Deliver Urban Primary Health Care Services Strengthened 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 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: Accessibility, quality, and utilization of Urban PHC services delivery system improved 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 7

2.2.2 Mobile Services Page 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 provided

3.1 Core project management 7 Page

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 Secretary, Local Government Division provides guidance to the PMU. Additional Secretary (Urban Development) 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 Urban Health Coordination Committee (WUHCC) chaired by the respective local ward commissioner and co-chaired by the female ward commissioner 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, HMIS and ICT solutions, Behavior Change and Communication Marketing (BCCM) Firm, Strengthening ULB and Promoting 8

Climate Change Resilience TA Firm and Operations Research Firms. Individual Consultants are: Urban PHC Page Specialist, Nutrition specialist, Procurement Specialist, Monitoring and Quality Assurance (QA) Specialist, Financial Management Specialist, Gender Specialist, Environment Specialist and Capacity Development Specialist,

3.5 Partnership Areas

The service delivery area of the project has been divided into 45 partnership areas. One NGO has been selected through competitive bidding for delivering services in a partnership area. Each selected PA NGO has been delivering services through one Comprehensive Reproductive Health Care Centre (CRHCC), selected number of Primary Health Care Centers (PHCCs) and Satellite or Mini Clinics.

8

Page

Implementation Progress

4.1 Contract award

1 Total allocation: $112.00 million

2 Cumulative Contract Award from starting of the project: $51.131 million

3 % cumulative contract award against allocation: 45.653 %

4 Target of CA this year: $ 16.500 million

5 Amount of CA till Dec 2020: $ 11.569 million

6 % CA against target of the year: 70.11%

4.1 Disbursement

1 Total allocation: $112.00 million 4.2 2 Total disbursement from starting of the project: $22.686 million

3 % cumulative disbursement against allocation: 20.255 %

4 Target of disbursement for this year: $ 16.670 million

5 Amount of disbursement till 31 Dec 2020: $ 13.41 million

J % Disbursement against this year target: 80.44 %

Procurement progress

1 Recruitment of Consultants

1.1 NIL 9

1.2 NIL Page

2 Procurement of Goods 2.2 NIL

3 Civil Works NIL

4.3 Trainings (As per approved training plan 2019-2020)

1 In country Training

---NIL---

2 Out-country Training

---NIL---

4.4 Service delivery 9 Page

1 Number of services provided from starting of the project: 17,754,195

2 Number of services provided Oct - Dec 2020 quarter: 1,774,471

4.5 Major Implementation Activities (October - December 2020)

Sl Activities Date 1. --Nil--

2. --Nil--

Monitoring and Visits 3. Team visited KCC PA-1 ADAMS 29 Oct-30 Nov 2020 Team visited KCC PA-2 BAPSA 29 Oct-30 Nov 2020 Team visited Gopalganj Municipality 29 Oct-30 Nov 2020 Team visited KM PA-1 31 Oct-02 Nov 2020 Team visited BCC PA-1, Shimantik 12-16 December 2020

4.6 Major Activities Accomplished by Consulting Firms (October - December 2020) The UCTTRF (Urban Climate Change Resilience Trust Fund) activities has been started with main responsibility under UPHCSDP-II is to implementing the UCCRTFs grant activities, training, workshop, and civil works under the supervision of the PMU and in consultation with ADB in progress. Consultants Mr. Syed Nesar Ahammed continued his activities in this quarter.

10

Page

10 Page

DESIGN AND MONITORING FRAMEWORK

Impact: Health of the urban population, particularly the poor, women, and children improved Overall project: Health, nutrition, and family planning status of the urban population, particularly the poor, women, and children improved (national Urban Health Strategy, 2014)

Outcome: Original project (2012-2018): Sustainable good quality urban PHC services are provided in the project areas and target the poor and the needs of women and children Overall project: Sustainable good quality urban PHC services in the project areas (particularly to the poor, women and children) provided.

Performance Indicators Unit of Baseline Target Achievements Measure to date Year Value Year Value a. By 2017, in project areas: Percent 2010 26.5 2017 60 68.5% ( end 60% of births are attended by line survey - skilled health personnel 2018) (2012 baseline: 26.5% [BMMS, 2010]): L2878

Data source: Project baseline and end-line surveys (household, facility-based and qualitative) ISI UHS ULB annual development plans Progress/Status: Achieved: 68% (Total deliveries under facilities was168,813) b. At least 80% of growth Percent 2008 43.3 2017 80 100% (( end monitoring and promotion line survey - performed on under-5 2018) children (baseline: 43.3% UPHCP II 2008): L2878

Data source: Project baseline and end-line surveys (household, facility-based and qualitative) ISI UHS ULB annual development plans Progress/Status: Achieved - 100% of under-5 (exclude neonate) visited health centers had anthropometry measured (MUAC, Ht&Wt) (January-June 2017, ISI-Round 4, 456,820 children are

total growth monitoring) c. At least 60% of eligible Percent 2006 53 2017 60 67.1%( end line

couples use modern survey -2018) 11 contraceptives (baseline: 53% UHS 2006): L2878 Page

Data source: Project baseline and end-line surveys (household, facility-based and qualitative) ISI UHS ULB annual development plans Progress/Status: Achieved –1201872(67.1%)eligible couples use modern contraceptives (Endline Household survey 2018) d. At least 80% of poor Percent 2008 67 2017 80 98%( ISI Round households are properly iv-2017) identified as eligible for free healthcare (baseline: 67% UPHCP II 2008): 2878

Data source: Project baseline and end-line surveys (household, facility-based and qualitative) ISI UHS ULB annual development plans

Progress/Status: Achieved – 751122(98%).Endline Household survey 2018 e. At least 80% of the poor Percent 2008 64.7 2017 80 95%( end line

access project health survey -2018) 11

services when needed Page

(baseline: 64.7% UPHCP II 2008) L2878

Data source: Project baseline and end-line surveys (household, facility-based and qualitative) ISI UHS ULB annual development plans Progress/Status: Achieved –260,964(88%) urban population had access to public health service (urban 88% BDHS 2014). f. At least 90% of project Percent 2009 76 2017 90 69%( end line clients express satisfaction survey -2018) with project services (baseline: 76% UPHCP II 2009) L2878

Data source: Project baseline and end-line surveys (household, facility-based and qualitative) ISI UHS ULB annual development plans Progress/Status: Achieved - 6566025 (69.1%) of project client’s express satisfaction with project services (Endline Household Survey 2018). g. Overall project: Percent 2018 63.4 2024 70 68.5% ( end By 2024, for all indicators: line survey - 70% of births are attended by 2018) skilled health personnel (2018 baseline: urban 63.4% [UESD, 2016]) L3705

Data source: Project baseline and end-line surveys (household) ISI Urban health surveys; UESD survey (every non-DHS years), BDHS (every 3 years) Progress/Status: 55,468 (46.55%) birth facility deliveries by PANGOs. This result does not reflect PA area under UPHCSDP-II. h. Overall project: 80% of Percent 2018 64 2024 80 100% ( end line children under five who survey -2018) visited health centers

received nutritional screening and measured on

anthropometry (MUAC, 12 height, and weight) (2018 baseline: 64% of children Page under five, excluding neonates [2017 rapid assessment of 19 partnership areas]) L3705

Data source: Project baseline and end-line surveys (household) ISI Urban health surveys; UESD survey (every non-DHS years), BDHS (every 3 years) Progress/Status: 132,877 (100%) children use the facility deliveries under PANGOs. This result does not reflect PA area under UPHCSDP-II. i. Overall project: 65% of Percent 2018 56.2 2024 65 currently married women of reproductive age (15-49 years old) use modern contraceptives (2018 baseline: urban 56.2%

[BDHS, 2014]; urban 55.6% [UESD, 2016]) L3705

12

Data source: Project baseline and end-line surveys (household) Page

ISI Urban health surveys; UESD survey (every non-DHS years), BDHS (every 3 years) Progress/Status: It will be implemented by PPM&E Firm. The First ISI report may publish at the end of 4th quarter 2021. j. Overall project: 99% of poor Percent 2018 98 2024 99 households identified as eligible for free health care (2018 baseline: 98% [Annual Red Card Verification, 2017]) L3705

Data source: Project baseline and end-line surveys (household) ISI Urban health surveys; UESD survey (every non-DHS years), BDHS (every 3 years) Progress/Status: The poverty survey has been completed over all PA, Now red card printing & distribution activities going on. Survey started from October 2020. At among the existing old HH Survey data is 97%. k. Overall project: 90% of urban Percent 2018 88 2024 90 population have access to public health service (2018 baseline: urban 88% [BDHS, 2014]) L3705

Data source: Project baseline and end-line surveys (household) ISI Urban health surveys; UESD survey (every non-DHS years), BDHS (every 3 years) Progress/Status: the number will be available from ISI report, which may publish at the end of 4th quarter 2021. l. Overall project: At least 90% Percent 2018 74 2024 90 of project clients express satisfaction with project services (2018 baseline: 74% [end line household survey 2018]) L3705

Data source: Project baseline and end-line surveys (household) ISI

Urban health surveys; 13 UESD survey (every non-DHS years), BDHS (every 3 years) Progress/Status: According to 20 PAs visit, from exit interview, found 80% satisfactory level. Page

Outputs:

Baseline Target Progress Unit of Year Value Year Value & Performance Indicators Weight 2018 2019 Measure PPR rating 1. Output Statement: 1. Institutional governance and local government capacity to deliver urban PHC services sustainably strengthened 1.a. Governance and capacity Y/N 2011 N 2014 Y 1 Progress -Permanent and functional Progress inter-agency coordination Rating 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 13

department trained in PPP Page

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 L2878 Data source: Project baseline and end-line surveys (household, facility-based, and qualitative) Project joint review missions Project training program evaluation Project quarterly progress reports Status report of Urban Health Sustainability Fund ULB annual development plans Indicator Details: Progress/Status: - Urban Health Coordination Committee has been formed headed by Additional Secretary (Urban Development).16 October 2019. - PPP contract management training not arranged yet. - Present data collection format through HMIS need to improve to incorporate gender responsive data 1.b Sustainability and Y/N 2011 N 2014 Y 1 Progress commitment Progress OT - At least 50% increase in Rating Completed overall allocation to the (on target) Urban Health Sustainability Fund compared to UPHCP II (2011 baseline: Tk38.5M) L2878 Data source: Project baseline and end-line surveys (household, facility-based, and qualitative)

Project joint review missions Project training program evaluation

Project quarterly progress reports

Status report of Urban Health Sustainability Fund

ULB annual development plans Indicator Details:

Progress/Status: Achieved. As of July 2017, a total of BDT105.29 million has been deposited to the Urban Health Sustainability Fund.

1.c. At least 5% per annum Y/N 2011 N 2014 Y 1 Progress 14 increase of ULB annual Progress development plans and Rating Page block grants allocated for PHC and public health related services (2011 baseline: No) L2878 Data source: Project baseline and end-line surveys (household, facility-based, and qualitative)

Project joint review missions Project training program evaluation

Project quarterly progress reports

Status report of Urban Health Sustainability Fund

ULB annual development plans Indicator Details: Progress/Status: Achieved (Please provide allocation (in figure) for each year from 2012-2014). 1.d. Central level permanent Y/N 2018 N 2020 Y 2 Progress

structure for administrating Progress and coordinating urban Rating

health and nutrition 14

established by April 2020 Page

L3705 Data source: Project joint review missions, QPRs Indicator Details: Progress/Status: Responsibilities of LGD. According to the order of MoPA (2013), there would be a central level permanent structure for administrating and coordinating urban health and nutrition. PMU sent letter to MOLGRD on 8 August 2019 and 27 August 2020. TOR preparation not yet started. 1.e. All project ULBs have a fully Y/N 2018 N 2021 Y 2 Progress staffed and functioning Progress health Rating department, including a gender focal person or team with at least one staff in each department trained in PPP contract management and core project management skills to implement and monitor PHC, urban HMIS, and public health functions by April 2021 (2018 baseline: 0) L3705 Data source: Project joint review missions, QPRs Indicator Details: Progress/Status: PMU issued an official letter to each PIU on 11 July 2019. Focal Point has been nominated. 1.f. Gender-responsive data Percent 2018 0 2018 80 5 Progress collection and analysis in Progress 80% of project ULBs use Rating computerized HMIS by December 2018 (2018 baseline: 0) L3705 Data source: Project joint review missions, QPRs Indicator Details: Progress/Status: Gender responsive data collection continues from original project. Computerized HMIS will be established by July 2021. HMIS firm will be contracted by July 2021. 1.g. Urban PHC budget line in Y/N 2018 N 2020 Y 2 Progress LGD’s nondevelopment Progress revenue budget established Rating by July 2020

(2018 baseline: NA) L3705 15 Data source: Project joint review missions, QPRs

Indicator Details: Page Progress/Status: In progress. PMU will initiate the process. 1.h. Financing for urban PHC Y/N 2018 N 2024 Y 2 Progress provided through LGD’s Progress revenue budget for Rating FY2020–2021 and each subsequent year (2018 baseline: NA) L3705 Data source: Project joint review missions, QPRs Indicator Details: Progress/Status: In progress. PMU will initiate the process. 1.i. All project ULBs’ Y/N 2018 N 2020 Y 2 Progress organograms and Progress reorganization plans Rating submitted to LGD for approval by December 2020 (2018 baseline: NA) L3705 Data source: Project joint review missions, QPRs

Indicator Details:

Progress/Status: In progress. PMU will initiate the process.

1.j. Functional health Y/N 2018 N 2020 Y 2 Progress 15

emergencies preparedness Progress Page

and response plan finalized Rating by July 2020 (2018 baseline: NA) L3705 Data source: Project joint review missions, QPRs Indicator Details: Progress/Status: health emergencies preparedness and response plan under UCCRTF has been finalized. 1.k. At least four model ULBs Number 2018 0 2019 4 5 Progress selected for a pilot on direct Progress management of urban PHC Rating by July 2019 (2018 baseline: 0) L3705 Data source: Project joint review missions, QPRs Indicator Details: Progress/Status: Five model ULBs selected by ULBs by 2020. Achieved. 2. Output Statement: 2. Improved accessibility, quality, and utilization of urban PHC services, with a focus on the poor, women, and children, through PPP 2.a. Overall project: Percent 2017 34 2024 30 10 Progress 30% of urban health care Progress OT - On services, including sexual Rating track (on and target) reproductive health and treatment of acute malnutrition, provided free to identified poor (2017 data: 34% [Q1 2017 QPR]) L3705 Data source: ISI results, HMIS Indicator Details: Progress/Status: Progress to be revised according to ISI report by PPME firm and finalized by December 2021. 2.b. By midterm review and Y/N 2011 N 2015 Y 1 Progress sustained until project Progress completion: Rating 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- 16 issued red cards that identify them as poor. Page At least 80% of facilities planned for construction and upgrading are functioning normally within 3 years of loan effectiveness (12 CRHCCs and 26 PHCCs) L2878 Data source: Project baseline and end-line surveys (household, facility-based, qualitative) ISI Patient satisfaction survey (as part of project baseline and end-line survey) Project HMIS Indicator Details: Progress/Status: All major services are delivered free of cost to the red card holders. 10 CRHCCs and 19 PHCCCs have been completed (100%). 7 maintenance works for CRHCCs and PHCCs were completed (100%). 2.c. Overall project: Number 2018 29 2024 61 10 Progress Additional eight CRHCCs Progress OT - On

and 24 PHCCs (2018 Rating track (on baseline: 10 target)

CRHCCs and 19 PHCCs) 16

L3705 Page

Data source: QPR Indicator Details: Progress/Status: Out of 32 sites, PMU-UCCTRF visited proposed 32 land sites. Estimated timeline subject to depend on LGED soil and topo survey. 2.d. Quality Y/N 2011 N 2015 Y 1 Progress At least 80% of children Progress consulting project PHC Rating services for acute respiratory infection receive correct treatment. At least 80% of children consulting for diarrhea receive correct treatment. L2878 Data source: Project baseline and end-line surveys (household, facility-based, qualitative) ISI Patient satisfaction survey (as part of project baseline and end-line survey) Project HMIS Indicator Details: Progress/Status: Indicators were monitored by PMU QA team and PPME firm. 1,082,841 children were received acute respiratory infection receive correct treatment. Target was achieved by 2015 and provides total number and 100%. 2.e Overall project: Percent 2018 0 2020 80 8 Progress At least 80% of women in Progress OT - On labor monitored using Rating track (on partograph (2018 baseline: target) NA) L3705 Data source: ISI results, HMIS, Project baseline, midline, and end line surveys (household, facility-based, and qualitative) Indicator Details: Progress/Status: Based on 20 PA’s quality visit 95% women in labor monitored using partograph since PPME firm is not on board. 2.f PPP performance and Y/N 2011 N 2015 Y 1 Progress accountability Progress 100% of partnership area Rating

NGOs achieves internal quality compliance (financial

management, updated 17 clinical registers, clinical waste management, Page inventory management). Data source: Project baseline and end-line surveys (household, facility-based, qualitative) ISI Patient satisfaction survey (as part of project baseline and end-line survey) Project HMIS Indicator Details: Progress/Status: Register Maintain: Out of 25 CRHCC, 22 have managed better quality which is 93%& for PHCC, Out of 113 PHCC, 105 PHCC have maintained better quality as 93%. Clinical waste management: Out of 128 PHCC& CRHCC both, 124 maintain proper quality clinical waste management which is 97%.Financial and inventory management: Out of 128 PHCC & CRHCC both, 126 maintain financial and inventory management, 99%. 2.g. Overall project: Percent 2018 0 2024 80 8 Progress At least 80% of children Progress OT - On under five consulting project Rating track (on PHC services for diarrhea in target) the last 2 weeks received oral

rehydration therapy and zinc (2018 baseline: NA) L3705

Data source: ISI results, HMIS, Project 17

baseline, midline, and Page

end line surveys (household, facility-based, and qualitative) Indicator Details: Progress/Status: Diarrhea: 265,463 which are 100% treated of diarrheal patient. 2.h. Overall project: Percent 2012 0 2024 100 6 Progress 100% of partnership area Progress OT – On service providers achieved Rating track (on internal quality compliance target) (financial management, updated clinical registers, clinical waste management, and inventory management (2012 baseline: NA) L3705 Data source: ISI results Indicator Details: Progress/Status: QAT visit ongoing. 20 PAs visit has been completed. As per data, In financial management 80%, 85% of clinical waste management. In updated clinical registers, 90%.In inventory management managed 88%. 2.i. Overall project: Y/N 2018 0 2020 100 6 Progress Protective gears for doctors QPR OT – On and health workers (PPE, track (on gloves, masks, goggles, target) etc.), handwashing stations, screening booths, awareness campaign, and online training for doctors provided in 10 CRHCCs and 110 PHCCs in 24 existing PAs by Q3 2020 for response to COVID-19 emergency . L3705 Data source: QPR Indicator Details: Progress/Status: Achieved. Protective equipment distributed among doctors and health workers in 24 CRHCCs and 110 PHCCs. Awareness program carried out in 24 existing PAs. Online training conducted for 180 doctors in 3 batches. 3. Output Statement: 3. Effective support for decentralized project management 3.a. A fully functional PMU with Y/N 2012 N 2012 Y 1 Progress

at least 20% of the staff Progress female is established by Rating

loan effectiveness and PIUs 18 are established in ULBs within 3 months of loan Page effectiveness. L2878 Data source: Project HMIS

Indicator Details: Progress/Status: Recruitment process completed. Total Post: 32, Male: 25, Female: 06. Vacant: 01. Female %: 19 %. 3.b. Computerized FMIS is Y/N 2012 N 2014 Y 1 Progress functioning fully in Progress partnership areas by 31 Rating December 2014, streamlining accounting procedures and processes at all levels of project implementation (PMU, PIUs, and partner NGOs). L2878 Data source: Project joint review, ADB missions Indicator Details:

Progress/Status: Accounting system has been computerized using Tally software in the year 2013-14. PANGO, PIU & PMU covered tally software in all level.

3.c. Project monitoring and Y/N 2012 N 2017 Y 1 Progress 18

evaluation surveys, follow- Progress Page

up on findings, data Rating collection, and quarterly progress reporting are implemented on schedule. L2878 Data source: Project quarterly progress reports. Indicator Details: Progress/Status: Quarterly progress reporting is being produced regularly. Total 23 QPRs were produced. (4 QPR per year). 4 ISI, 1 baseline and 1 end line survey conducted by PPM&E Firm. 3.d. Overall project: Y/N 2012 N 2019 Y 4 Progress A fully functional PMU with Progress at least 20% of the staff Rating female is established by loan effectiveness and PIUs are established in ULBs within 3 months of loan effectiveness (2012 baseline: NA) L3705 Data source: Project joint review missions, QPRs, HMIS Indicator Details: Progress/Status: In progress. PMU-15%, PIU-18%, 6 female staff (17%). 3.e. Overall project: Y/N 2018 N 2018 Y 5 Progress Computerized FMIS is Progress functioning fully in Rating partnership areas by December 2018, streamlining accounting procedures and processes at all levels of project implementation (PMU, PIUs, and partner service providers) (2018 data: partial use of FMIS) L3705 Data source: Project joint review mission, QPRs, HMIS Indicator Details: Progress/Status: Computerized FMIS is functioning fully in partnership areas by April 2021 and have it

customized and activated across PMU, PIUs and PANGOs under a common networked platform. 3.f. Overall project: Y/N 2012 N 2024 Y 5 Progress

Project monitoring and Progress 19 evaluation surveys, follow- Rating ups on Page findings, data collection, and quarterly progress reporting are implemented on schedule (2012 baseline: NA) L3705 Data source: Project joint review mission, QPRs, HMIS Indicator Details: Progress/Status: After recruitment of PPME firm. Training to be completed by 2nd quarter 2021. 3.g. Overall project: Number 2018 0 2019 2 5 Progress At least two persons from Progress each project ULB trained on Rating computerized financial management by June 2019 (2018 baseline: 0) L3705 Data source: Project training evaluations Indicator Details: Progress/Status: Accounting software purchased in Feb, 2021. Training will be held on 1st April 2021

after installation the accounting software. 3.h. Overall project: Number 2018 0 2019 2 5 Progress

At least two persons from Progress 19

PMU and each project ULB Rating Page

trained on using HMIS (DHIS2) for project monitoring and evaluation, and gender- responsive urban PHC by June 2019 (2018 baseline: 0) L3705 Data source: Project training evaluations Indicator Details: Progress/Status: After recruitment of HMIS firm in July 2021. Training to start in December 2021. 3.i. Overall project: Number 2018 0 2020 12 3 Progress Climate-resilient health care Progress infrastructure and services Rating in at least 12 PHCCs by October 2020 (2018 baseline: 0) L3705 Data source: Project joint review mission, QPRs, HMIS Indicator Details: Progress/Status: In progress. Type of infrastructure (Solar Energy System (SES) of Capacity 2KWp & 4KWp, General A/C, Split Type 1.5 Ton, Re-frizarator, Blood Bank Re-frizarator, LED Tube Light Super Star, LED Bulb Super Star, Auto shut-off device for OHT, Sink arrangement in health centers, Water Purifier, Jute-Bag, Apron, Hand Gloves, Mask, Waste Bin, Umbrella, Trolley) provide and installed. Solar Panel: 100%, Rainwater harvesting: Design estimate completed subject to DPP revision.

KEY ACTIVITIES OUTPUT 1

No. Activities Target Completed Progress/Status Completion Date

1 1.1. Draft operational plan of national urban Q1 2013 Y Preparation of a draft Action health strategy to implement in collaboration Plan has been completed on with MOHFW and in consultation with February 2018. development partners, within 6 months of loan effectiveness. L2878

2 1.2. Develop draft implementation guidelines Q3 2013 Y Draft implementation guidelines for ULBs (PPP contract management; use of for ULBs have been completed. central government block grants and Urban Various training programs on Health Sustainability Fund), and fully urban PHC services have been implement training program on urban PHC conducted with participation of 20

services for LGD and ULB staff, within 1 year LGD and ULB staff. Page of loan effectiveness. L2878 1st Quarter of 2021.

3 1.3. Complete ULB perception survey by Q4 2012 Y Perception survey of community June 2013 for all project ULBs and develop leaders and individuals/potential and implement a marketing/advocacy clients conducted. program by December 2013. Marketing/Advocacy Program L2878 has been implemented by BCCM firm. Baseline Survey was treated as Perception Survey and as per survey result BCCM Firm after consultation with PMU, organized 5 Local Level Engagement of community leader workshop.

4 1.4. Make HMIS fully-operational in all Q1 2015 N Existing unified record keeping partnership areas by January 2015; initiate all system (URKS) is functional.

operations research studies by June 2013 for However, HMIS for unique completion by June 2015. electronic patient records as

L2878 planned is not operational since 20

the engagement of HMIS/ICT Page

consulting firm did not push through. This activity will be implemented under the additional financing. One operational research on Urban Health and Demographic Surveillance was completed through icddr,b. 1. HMIS/ICT: Not Completed. 2. Operations research: Package 4.1 Completed & package 4.2 dropped.

5 Overall project: Q4 2024 N Workshop on National Urban 1.1 Prepare action plan of National Urban Health Strategy 2014 was Health Strategy to implement in collaboration conducted by MOHFW. Now it with MOHFW and in consultation with is waiting for approval through development partners, by additional financing Urban Health Coordination loan effectiveness (updated) Committee will be held very L3705 soon.

6 Overall Project: Q4 2024 N Implementation guideline 1.2 Develop draft implementation guidelines approved in 2019. Final draft of for urban PHC service in ULBs (PPP contract implementation Guideline has management; revenue raising for urban been submitted. health; Urban Primary Health Care Sustainability Fund), and fully implement training program on urban PHC services for LGD and ULB staff, by additional financing loan effectiveness (updated) L3705 Survey to be conducted by ULB 7 Overall project: Q4 2024 N Strengthening on July 2022 and 1.3 Complete ULB perception survey for all BCCM firms in March 2021. project ULBs and develop and implement a marketing and advocacy program by additional financing loan effectiveness (completed and updated) L3705

8 Overall project: Q1 2023 N Gender responsive data 1.4 Complete rollout of fully functional web- collection continues from

based HMIS (DHIS2) with sex-disaggregation original project. 21 in all partnership areas by 31 December

2021; initiate all operations research studies Page by July 2019 for completion by March 2023 (updated) L3705

9 Overall project: Q3 2024 N ULB strengthening firm to 1.5 Provide additional technical assistance to provide capacity development the model ULBs to fulfill their expanded roles training to ULBs. ULB and responsibilities by July 2019 (added) strengthening firm recruitment L3705 on-going (sub 1 stage). Training to be started from July 2022.

10 Overall project: Q2 2024 N Letter issued on 4 December 1.6 Strengthen the Urban Development Wing 2019 to LGD. A meeting was with a designated PHC unit, permanent staff, held with the Minister on 14 equipment, and supplies by April 2020 October 2020. At that meeting, (added) L3705 the Minister agreed with this issue verbally.

11 Overall project: Q4 2024 N One (1st) PSC meeting held on 1.7 Establish working level arrangements for 22 October 2019. Next meeting coordinating urban health between LGD and will be held very soon. 21

MOHFW identified and in place within 12 Page

months of loan effectiveness (added) L3705

KEY ACTIVITIES OUTPUT 2

No. Activities Target Completed Progress/Status Completion Date

1 2.1. Sign partnership agreements Q3 2013 Y 24 PANGOs signed partnership agreements. 5 with NGOs in 30 partnership PAs in Chittagong City Corporation did not areas—within 6 months of loan participate in the project. Gopalgonj Municipal effectiveness for the 24 existing Health Department continued its services until partnership areas, and within 1 project completion date. year of loan effectiveness for 6 new partnership areas. L2878

2 2.2. Draw up a list of the poor in Q1 2013 Y Completed. 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. L2878

3 2.3. Conduct ISI surveys every 6 Q3 2017 Y PPME firm has been engaged. months from loan effectiveness and regular follow-up and Regular ISI surveys completed. feedback of ISI findings by quality ISI 1: JULY – DEC 2015. assurance team. L2878 ISI 2: JAN – JUNE 2016 ISI 3: JULY – DEC 2016 ISI 4: JAN – JUNE 2017

4 Overall project: Q4 2024 N Agreements signed with NGOs for 22 PAs in 2.1 Sign partnership agreements August 2019. MOUs signed for 2 PAs in 30 with service providers in September 2020. Bidding process (Technical partnership areas—advance Proposal Evaluation) for new 11 PAs is in contracting for existing under process. Contract will be signed on 1st 22

partnership areas, and within 6 quarter 2021. Page months of additional financing loan effectiveness for new partnership areas (completed and updated). L3705

5 Overall project: Q1 2020 N Red card holders list updated in June 2020 2.2 Establish a list of the poor in and services are continued as per updated list. every partnership area, within 6 To identify the poor and ultra-poor household, months of loan effectiveness, and the new survey already completed by distribute red cards to those December 2020. identified as poor within 6 months of the signing of the partnership agreement, with proper annual updating (completed and updated). L3705

6 Overall project: Q4 2024 N 1st ISI survey to be conducted in Q4 2021. 2.3 Conduct ISI surveys every 6

months through project performance monitoring and

evaluation firm and regular follow- 22

up and feedback of ISI findings Page

through PMU quality assurance team (completed and updated). L3705

7 Overall project: Q4 2024 N Training conducted under G0607 and by 2.4 Provide and monitor regular PANGOs. ongoing training and retraining to 3 training ongoing (19 batches completed). health care service providers Total Participant: 820. (UCCRTF). 100% (added). L3705 achieved.

KEY ACTIVITIES OUTPUT 3

No. Activities Target Completed Progress/Status Completion Date

1 3.1. Establish a fully functional PMU with at Q4 2012 Y Please provide the total least 20% of the staff female and PIUs in number (and %) of female ULBs within 3 months of loan effectiveness. staff in PMU by Q4 2012. If L2878 target was not achieved by Q4 2012, please indicate which month it was achieved.

2 3.2. Recruit consultants to provide technical Q1 2013 Y Completed.16 September support to PMU. L2878 2014, Urban health strategy expert recruited. PPME Firms was signed their contract at 16 august, 2015. Special Audit Firm: 18 May 2017

3 3.3. Have fully functional FMIS in place by Q1 2015 Y Tally software, an off-the-shelf January 2015. L2878 computerized accounting software, was used. In the year 2013, A fully functional and customized FMIS will be developed and adopted after

recruitment of HMIS firm under the additional financing. 23 4 3.4. Finalize training plan by 31 March Q1 2013 Y The training plan has been 2013. Ensure that training activities are finalized. Page timely and at least 80% of scheduled TotalParticipant-3546. (805). participants attend the training sessions. Out Country: 8 Trainings, 65 L2878 Participants. (17% female) PA-NGO: 599 Training. Participant-13263. (82% female)

5 Overall project: Q1 2023 N Total Staff (PMU): Total: 34, 3.1 Establish a fully functional PMU with at Male: 25, Female: 5 (15%), least 20% of the staff female and PIUs in Vacant: 4 ULBs within 3 months of loan effectiveness PIU:66 post, Male:54, (completed and updated). L3705 Female:7, Vacant:5 PA-NGO; Post: 2648, Female: 2097(80%), Male:525, Vacant: 20

6 Overall project: Q1 2023 N Till September 2020, 6

3.2 Recruit consultants to provide technical Individual Consultants work support to PMU within 3 months of loan on.

effectiveness (completed and updated). 23

L3705 Page

7 Overall project: Q1 2023 N Tally (or other software) will 3.3 Complete rollout of fully functional web- be installed and web-based based FMIS in place by January 2019 FMIS will be in place by mid (updated). L3705 April 2021.

8 Overall project: Q4 2024 N Training arranged is timely. 3.4 Ensure that training activities are timely, Gender representation is gender representation is balanced, and at balanced (80%), 98% of least 80% of scheduled participants attend scheduled participants attend the training sessions (updated). L3705 the training sessions.

9 Overall project: Q4 2023 N 3 training completed (19 3.5 Conduct regular training for health batches). Total Participant: service providers on gender-sensitive and 820. (UCCRTF). 100% newborn and child-friendly health services achieved. (added). L3705

24

Page

24 Page

Compliance with Loan Covenant December 2020

Projects and EA Accounts Submission of Agency Financial Statements (AFS): Consolidated Project Financial Statements (Loan and Grant) EA FY FY Months Due STATUS End Due Date After FY Local Govt Jun 2023 6 31- Div,Min of Local Dec- Govt Rural Devt 2023 & Coop Local Govt Jun 2022 6 31- Div,Min of Local Dec- Govt Rural Devt 2022 & Coop Local Govt Jun 2021 6 31- Div,Min of Local Dec- Govt Rural Devt 2021 & Coop Local Govt Jun 2020 6 31- Div,Min of Local Dec- Govt Rural Devt 2020 & Coop Local Govt Jun 2019 6 31- Duly submitted Div,Min of Local Dec- Govt Rural Devt 2019 & Coop

Product Schedule Para Description Remarks/Issues No. Loan Sect 5 1 The Borrower through the Project Executing Agency shall To be complied with 3705 ensure that the Project is implemented in accordance with the

detailed arrangements set forth in the PAM. Any subsequent change to the PAM shall become effective only after approval

of such change by the Borrower and ADB. In the event of 25

Any discrepancy between the PAM and this Loan Agreement, Page the provisions of this Loan Agreement shall prevail.

Loan Sect 5 2 The Borrower shall ensure that the PMU will be provided Not yet complied. The 3705 with adequate staff, resources, and facilities to implement the PMU still understaffed. Project. 5 positions are still Vacant.

Loan Sect 5 3 The Borrower shall ensure that: The MOU will be 3705 signed by April 2020 (a) within 6 months of the Effective Date, the Project Executing Agency and each Implementation Agency sign a memorandum of understanding detailing their roles and responsibilities during Project implementation

in form and substance satisfactory to ADB; and

25 Page

Loan Sect 5 3 (b) the proceeds of the Loan and the UCCRTF Grant will To be complied with 3705 only be made available by the Project Executing Agency to the relevant Implementing Agency upon signing of the memorandum of understanding as set out in subparagraph (a) above.

Loan Sect 4 7 The Borrower shall not award: To be complied with. 3705 The civil works not yet (a) any Works contracts which involves environmental started. impacts until all government clearances have been obtained for the IEE and the IEE has been cleared by ADB; and the relevant provisions from the EMP have been incorporated into the respective Works contract; and

Product Schedule Para Description Remarks/Issues No. Loan Sect 5 7 The Borrower through the Project Executing Agency shall 25 PA already done, 20 3705 take, and will cause each Implementing Agency to take, all PA will be finalized Q1, measures stipulated in the implementation plan, as set forth 2021 in Annex 5 to the PAM, to effect and permit Full and effective implementation of the Partnership Agreements.

Loan Sect 4 7 (b) any Works contract which involves involuntary No involuntary 3705 resettlement impacts until resettlement impacts has identified and the project (i) a resettlement plan has been prepared pursuant to the is category “C” for IR Resettlement, Tribes, Minor Races, Ethnic Sects and

Community Peoples Framework; (ii) the resettlement plan has been cleared by ADB; and (iii) all affected peoples under

such Works Contract have been compensated in accordance 26

with the Page Terms of the resettlement plan.

Loan Sect 5 8 The Borrower through the Project Executing Agency shall To be complied with 3705 ensure that selection of participants for all training including study tours under the Project (a) conforms to the transparent, objective, and verifiable selection criteria acceptable to ADB; and (b) is distributed equitably across gender and Geographic areas.

Loan 5 9 The Borrower through the Project Executing Agency shall To be complied with 3705 ensure, and cause each Implementing Agency to ensure, that site selection for all CRHC and primary health care 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 26 Page

to maximize access for the poor Populations.

Loan 5 10 Environment EARF was prepared 3705 earlier which needs to be updated by incorporating The Borrower shall ensure, and shall cause each a) all applicable laws Implementing Agency to ensure, that the preparation, design, and regulations of the construction, implementation, and operation of the Project Borrower relating to and all Project facilities comply with (a) all applicable laws environment, health and and regulations of the Borrower relating to environment, safety; (b) the health and safety; (b) the Environmental Safeguards as set Environmental out in the SPS; (c) the EARF; and (d) all measures and Safeguards as set out in requirements set forth in the environment impact assessment, the SPS; (c) the EARF; the environmental management plan, and any corrective or and (d) all measures and preventative actions set forth in a Safeguards Monitoring requirements set forth in Report. the environment impact assessment, the environmental management plan, and any corrective or preventative actions set forth in a Safeguards Monitoring Report

Loan 5 11 Land Acquisition and Involuntary Resettlement; Tribes, To be complied with 3705 Minor Races, Ethnic Sects and Community Peoples No impact , category The Borrower shall ensure, and shall cause each “C”

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 the schedule agreed 27 Page under the related Works contract. The Borrower shall ensure, and shall cause

Product Schedule Para Description Remarks/Issues No. each Implementing Agency to ensure, that the Project does not have any impacts with regards to involuntary resettlement, Tribes, Minor Races, Ethnic Sects and Community Peoples within the meaning of SPS. In the event that the Project does have any such impact, the Borrower shall, and shall cause each Implementing Agency to, take all steps required to ensure that the Project complies with the applicable laws and regulations of the Borrower, the Resettlement, Tribes, Minor Races,

Ethnic Sects and Community Peoples

27 Page

Framework, and the SPS.

Loan 5 12 Human and Financial Resources to Implement Safeguards IP and IR are categorized “C” 3705 Requirements for this project, although EMP and IEE will be

submitted by 30 April 2020. The Borrower through the Project Executing Agency shall, and shall cause each Implementing Agency to, make available necessary budgetary and human resources to fully implement the EMP and the Resettlement, Tribes, Minor Races, Ethnic Sects and Community Peoples Framework, as required.

Loan 5 13 Safeguards Related Provisions in Bidding Documents and To be complied with. 3705 Works Contracts No civil works has started yet. The Borrower through the Project Executing Agency shall, and shall cause each Implementing Agency to, ensure that all bidding documents and contracts for Works contain provisions that require contractors to:

Loan 5 13 (a) comply with the measures relevant to the contractor set To be complied with. 3705 forth in the IEE, the EMP and the Resettlement and IP No civil works has started Framework (to the extent they concern impacts on yet. affected people during construction), and any corrective

or

preventative actions set forth in a Safeguards Monitoring 28

Report; Page Loan 5 13 (c) provide the Borrower with a written notice of any To be complied with. 3705 unanticipated environmental or resettlement risks or No civil works has started impacts, or risks or impacts on tribes, minor races, ethnic yet. sects and community peoples that arise during construction, implementation or operation of the Project that were not considered in the IEE, the EMP and the Resettlement and IP Framework.

Loan 5 13 (b) make available a budget for all such environmental To be complied with. Will 3705 and social measures; and indicated in the IEE, which will be

finalized by 30 April 2020

28 Page

Loan 5 13 Governance and Anti-Corruption - The Borrower shall, To be complied with 3705 and shall cause each Implementing Agency to, (i) comply with ADBs 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.

Loan 5 14 Safeguards Monitoring and Reporting To be complied with. 3705 The Borrower shall, and shall cause each Implementing Semi-annual Safeguards Agency to, do the Monitoring

29

Page

29 Page

Product Schedule Para Description Remarks/Issues No.

following: Reports for 2019 were submitted (a) submit semi-annual Safeguards Monitoring Reports to ADB and disclose relevant information from such reports to affected persons promptly upon submission;

Loan 3705 5 14 b) if any unanticipated environmental and/or social risks and To be complied with. impacts arise during construction, implementation or No civil works has started yet. operation of the Project that were not considered in the IEE, the EMP, and the RP, promptly inform ADB of the occurrence of such risks or impacts, with detailed description of the event and proposed corrective action plan; and

Loan 3705 5 14 (c) Report any actual or potential breach of compliance with To be complied with. the measures and requirements set forth in the EMP or the

RP promptly after becoming aware of the breach. IP and IR are categorized “C” for this project, although EMP and IEE will be submitted by 30 April 2020.

Loan 3705 5 15 Prohibited List of Investments To be complied with

The Borrower through the Project Executing Agency shall ensure that no proceeds of the Loan or the UCCRTF Grant are used to finance any activity included in the list of prohibited investment activities provided in Appendix 5

Of the SPS. 36

Loan 3705 5 16 Labor Standards, Health and Safety To be complied with. Page No civil works has started yet. The Borrower through the Project Executing Agency shall ensure, and shall cause each Implementing Agency to ensure, that the core labor standards and the Borrowers applicable laws and regulations are complied with during Project implementation. The Borrower shall include specific provisions in the bidding documents and contracts financed by ADB under the Project requiring that the contractors, among other things: (a) provide for equal pay to men and women for equal work and make prompt payment of wages; (b) provide safe working conditions and water and sanitation

36 Page

facilities for male and female workers; (c) do not violate any prohibitions against child labor under the Borrowers laws and international treaty obligations; and (d) require the contractor to include information on the risk of transmission of sexually- transmitted diseases, including HIV/AIDS, in health and safety programs for all construction workers employed under the Project.

Loan 3705 5 17 The Borrower through the Project Executing Agency shall To be complied with strictly monitor compliance with the requirements set forth in paragraph 16 above and provide ADB with regular reports

Loan 5 18 (ii) 20% of PMU and PIU staff are female and such staff will 15.1% of PMU and PIU staff are be trained on 3705 female and such staff will be gender and program management for administering and trained on coordinating urban

Product Schedule Para Description Remarks/Issues No.

health and nutrition; and gender and program management for administering and

coordinating urban

health and nutrition 37

Loan 5 18 (iii) 30% of laborers engaged in construction and upgrading To be complied with. Page work of health 3705 No civil works has started yet. Centers under the Project are female.

Loan 3705 5 18 Gender and Development To be complied with. No civil works has started yet. The Borrower shall 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 implementation of the GAP; (d) progress on implementation of the GAP,

37 Page

including progress toward achieving key gender outcome and output targets, are regularly monitored and reported to ADB; and (e) key gender outcome and output targets include:

Loan 3705 5 18 (i) gender responsive computerized Health Management HMIS firm will be deployed by Information System Q1 2021 (HMIS) data management system will be in place in all Partnership Areas by 31 December 2021;

Loan 3705 5 19 Counterpart Support To be complied with

The Borrower shall ensure timely provision of counterpart funds for project by making timely submission of annual budgetary appropriation requests and ensuring prompt disbursement of appropriated funds during each year of the Project implementation. In addition to the foregoing, the Borrower shall ensure that the Project Executing Agency and each Implementing Agency has sufficient funds to satisfy its liabilities arising from any Works, Goods And/or Consulting Services contract.

Loan 3705 5 20 Governance and Corruption To be complied with

The Borrower through the Project Executing Agency shall,

and shall cause each Implementing Agency to, (a) comply with ADBs Anticorruption Policy (1998, as amended to date) and acknowledge that ADB reserves the right to 38

investigate directly, or through its agents, any alleged Page corrupt, fraudulent, collusive or coercive practice relating to the Project; and (b) cooperate with any such investigation and extend all necessary assistance for satisfactory completion of such investigation.

Product Schedule Para Description Remarks/Issues No.

38 Page

Loan 3705 5 21 The Borrower through the Project Executing Agency shall, To be complied with and shall cause each 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.

Loan 3705 5 22 Within 1 month after the Effective Date, the Borrower To be complied with through the Project Executing Agency shall ensure that a Website was developed website is established and regularly maintained for the purposes of the 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 contract 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.

Loan 3705 Sect 4.03a (a) The Borrower through the Project Executing Agency To be complied with shall, (i) maintain, or cause each Implementing Agency to maintain, separate accounts and records for the Project; (ii) prepare annual consolidated financial statements for the Project in accordance with financial reporting standards 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 auditing standards

acceptable to ADB;

(iv) as part of each such audit, have the auditors prepare a 39 report, which includes the auditors opinion(s) on the financial statements and the use of the Loan proceeds, and a Page 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, audit 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.

Loan 3705 Sect 4.05b (b) No rights or obligations under the financing To be complied with arrangements shall be assigned, amended or waived without

39 Page

the prior concurrence of ADB.

Loan 3705 Sect 4.01 In the carrying out the Project and operation of the Project To be complied with facilities, the Borrower shall perform, or cause to be performed, all obligations set forth in Schedule 5 to this Loan Agreement and the Project Agreement.

Loan Sect (a) The Borrower shall exercise its rights under the financing To be complied with arrangements

Product Schedule Para Description Remarks/Issues No.

3705 4.05a 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.

Loan Sect 4.02 The Borrower shall enable ADBs representatives to inspect To be complied with the Project, the 3705 Goods and Works, and any relevant records and documents.

Loan 3705 Sect 4.04 The Borrower shall take all actions which shall be necessary To be complied with on its part to enable the Project Executing Agency to perform its obligations under the Project Agreement, and shall not take or permit any action

which would interfere with the performance of such

obligations. 40 Loan 3705 Sect 4.03b (b) ADB shall disclose the annual audited financial The latest audit report for FY

statements for the Project and the opinion of the auditors on 2018- 2019 have received on 31 Page the financial statements within 14 days of the date of ADBs Dec 2019, which was publicly confirmation of their acceptability by posting them on ADBs disclosed in the website. web.

Loan 3705 Sect 4.03c (c) The Borrower shall enable ADB, upon ADBs request, to To be complied with discuss the financial statements for the Project, the financial affairs of the Borrower and each Implementing Agency 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

40 Page

the presence of an authorized officer of the Borrower or the relevant Implementing Agency, as applicable, unless the Borrower or the relevant Implementing Agency shall otherwise agree.

Grant Sect 4.04 The Recipient acknowledges and agrees that this Grant To be complied with 0607 Agreement is entered into by ADB, not in its individual capacity, but as administrator of UCCRTF. Accordingly, the Recipient agrees that (i) it may only withdraw Grant proceeds to the extent that ADB has received proceeds for the Grant from UCCRTF and such proceeds has not been suspended or cancelled in whole or in part by UCCRTF pursuant to the terms of administration; and (ii) that ADB does not assume any obligations or responsibilities of UCCRTF in respect of the Project or the Grant other than those set out in this Grant Agreement.

Grant Sect 4.02 (a) The Recipient through the Project Executing Agency To be complied with 0607 shall (i) maintain, or shall cause each Implementing Agency to maintain, separate accounts and records for the Project; (ii) prepare annual consolidated financial statements for the Project in accordance with financial reporting standards 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 auditing standards

acceptable to ADB; 41

(iv) as part of each such audit, have the auditors prepare a Page report, which includes the auditors opinion(s) on the financial statements and the use of the

Product Schedule Para Description Remarks/Issues No.

41 Page

Grant proceeds, 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, audit 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.

Grant Sect 4.02 (b) ADB shall disclose the annual audited financial The latest audit report for FY 0607 statements for the Project and the opinion of the auditors on 2018- 2019 have received on 31 the financial statements within 14 days of Dec 2019, the date of ADBs confirmation of their acceptability by Which was already disclosed in posting them on ADBs website. the web.

Grant Sect 4.02 (c) The Recipient shall enable ADB, upon ADBs request, to To be complied with 0607 discuss the financial statements for the Project and the Recipient'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 Recipient, unless the Recipient shall otherwise agree.

Grant Sect 4.03c (c) The Borrower shall enable ADB, upon ADBs request, to To be complied with 0607 discuss the financial statements for the Project, the financial affairs of the Borrower and each Implementing Agency where they relate to the Project with the auditors appointed

pursuant to subsection (a)(iii) hereinabove, and shall 42 authorize and require any representative of such auditors to participate in any such discussions requested by ADB. This Page is provided that such discussions shall be conducted only in the presence of an authorized officer of the Borrower or the relevant Implementing Agency, as applicable, unless the Borrower or the Relevant Implementing Agency shall otherwise agree.

42 Page

QUARTERLY PROGRESS REPORT OF GENDER ACTION PLAN PROGRESS April 2018 – December 2020 (Cumulative)

Project Title: Urban Primary Health Care Services Delivery Project (UPHCSDP)-II

Date of updates: December 2020

Date of submission of the Report: 16 January 2021

Executing Agency: Local Government Division, MoLGRD&C

Project duration: April 2018 - 31 March 2023

Gender category: GEN

Project impact: Improved health of the urban population, particularly the poor, women, and children

Whether there is a Gender Action Plan: Yes

Is there a Gender Specialist? Yes

43

Page

ACTIVITIES OF GENDER ACTION PLAN (Up to December 2020)

Activities, Indicators and Targets Progress Cumulative progress up to December 2020 Qualitative Reporting aspects of Quarter accomplished (April 2018 to activities and December 2020) comments/exp lanations

Output 1: Institutional governance and local government capacity to sustainably deliver PHC services strengthened

Activity 1A: Ensure women representation in central level permanent structure for administrating and at least 20% coordinating urban health and nutrition Targets: 1. Capacity building of women staff of 1. Four (6) Training has been held by September and 77% were female out of PIU and PMU on administering and coordinating urban health nutrition. 1300 participants. [Target: at least 20%] 2. At least one monthly coordination meeting per quarter at the city corporation level discusses gender and 2. Not been started yet. health & nutrition. [target: meeting minutes per meeting records relevant discussion and action points] 3. PIU nominates gender focal point and implements relevant project gap 3. Gender Focal Point has been nominated in the 14 PIU (100%) for the activities. [Target: all PIUs (have one project. gender focal point and provides monthly reports to PMU] 4. All PIU gender focal points trained in

GAP implementation, monitoring and 4. Not been started yet. reporting. [Target: 2 trainings conducted

per year] 44 Page

Activities, Indicators and Targets Progress Cumulative progress up to December 2020 Qualitative Reporting aspects of Quarter accomplished (April 2018 to activities and December 2020) comments/exp lanations Activity 1B. Ensure computerized gender- responsive data collection and analysis.

Targets: 5. Gender-responsive computerized HMIS data management system in place [Target80% PAs use HMIS data 5. Gender responsive data management system established at each PA (24 management system] Partnership areas).

6. Staff from each PA is trained on use of the computerized system. [Target: At least two 6. Computerized patient based data management system has not been (one female and one male) staff trained] established yet. Not complied. 7. Sex-disaggregated data field focusing on PHCC and CRHCC are developed and integrated in the electronic system. 7. 100% complied (24 PAs) [electronic systems have sex disaggregated indicators]

Activity 1C. Training on Disaster and Emergency Response and Management integrated gender issues.

Targets:

8. Session on gender responsive disaster and emergency response management developed and conducted in each training. [Target: one module 8. It is under planning of UCCRTF. developed, and 8 batches trained; 20% trainees are women].

Output 2: Accessibility, quality, and utilization of urban PHC services (with a focus on the poor, women, and children) improved through public– private partnership

45 Page

Activities, Indicators and Targets Progress Cumulative progress up to December 2020 Qualitative Reporting aspects of Quarter accomplished (April 2018 to activities and December 2020) comments/exp lanations

Activity 2A. Ensure 30% of urban health care services, including sexual and reproductive health, provided free-of-charge to identified poor.

Targets: 9. 9. Poor female care seekers are attended Total RC Female RC Contact [Target: 100% female patients attended] Contact 4916793 3277556 (66.66%) of total client 10. Mechanism for preventing workplace sexual harassment developed and 3277556 (100%) Poor female are attended) monitoring/reporting of cases increased.

[Target: mechanism developed, and cases 10. There is mechanism, but no case documented with in defined period documented in all PANGOs]. 11. Wheelchairs for patients are available in 11. PHCC-0, CRHCC-24(out of 24 CRHCC). all the PHCCs and CRHCCs. {Target: all 12. PHCCs and CRHCCs have wheelchairs] Total #of No. of counseling for couples with couple one partner below 19 years 12. Adolescent couple marriage counseling Counseling is conducted. [Target: all counselling for 1085107 303186 (22%) couples with one partner below 19 years 13 & 14. documented and reported]. 13. Awareness campaigns conducted to Total Total no. total Total no.of Total no. No. of gender- community in target areas and promotional no. of of number of gender- of sensitive campaigns promotio awareness sensitive gender- materials developed and disseminated on promot nal campaigns promotion sensitive continuous basis. [At least two awareness ional materi materials al materials promotio campaigns conducted per year]. als developed developed nal (Quantity) (Types) materials 14. Monthly session in PHCC and CHRCC develo developed use promotional items to bring gender- ped (Quantity) sensitive behavioral changes in beneficiaries. (Type)

[Target: at least one session per month] 233 729811 84388 80 182070 39554

46 Page

Activities, Indicators and Targets Progress Cumulative progress up to December 2020 Qualitative Reporting aspects of Quarter accomplished (April 2018 to activities and December 2020) comments/exp lanations Activity 2B. Ensure engagement of women workers/laborers in facilities planned for construction and upgrading.

Targets:

15. Specific clause to engage women in construction work included in bid document. [target; all bid documents have relevant 15. Construction works under LGED has not been started yet. clause] 16. Women laborers are engaged in construction and upgrading work (eight 16. Construction works under LGED has not been started yet. CRHCCs and 24 PHCCs) with equal wage for work of equal value as included in bid documents. [Target: 30% women]

Activity 2C. Ensure civil structures are 17. gender friendly (women, men, adolescents, elderly and differently abled). Total Toilet Centers Target: PHCC CRHCC

17. Toilet, restroom for women work ramp, 138 250 175 railing, low high stairs constructed in all PHCC and CHRCC [Target: 32 new constructed building] Activity 2D. PANGOs adhere to gender 18. related gender-related targets. Total staff (PA- Male Female % of Targets: NGO) Female

18. Female staff recruited [target: at least staff 50% staff are women]

2056 509 1547 75% 47 19. Services are accessed and by women and

children [Target: 80% of services accessed Page Total Male Female Children by women and children] Service(All)

Activities, Indicators and Targets Progress Cumulative progress up to December 2020 Qualitative Reporting aspects of Quarter accomplished (April 2018 to activities and December 2020) comments/exp lanations

19. 17,754,195 3195755 14558440 3728381 (18%) (82%) (21%)

Output 3: Effective support for decentralized project management provided

Activity3A.Ensure gender-sensitive 20. Total Male Female % of deployment in female Target: PMU 33 28 5 15.1% 20.20% of the staff are female in PMU PIU 74 61 13 18%

Activity 3B. Ensure gender sensitivity of project monitoring and reporting (quarterly and final). 21. Sex-disaggregated data collected, analyzed and reported. Target 21. Sex-disaggregated data collection, analysis and reporting.

Activity 3C. Ensure gender-responsive training on using HMIS for project monitoring and evaluation, and gender- responsive urban PHC. 22. The HMIS Training activities has not been started yet. Target: 22. At least one person from PMU and two persons (one female) from each PIU.

48

Page

Appendix-A Status of Civil Works Status of Civil Works (As of 30 December 2020)

Packa Description of packages Estimated Name of Contract Date of Date of Physical Fund Remarks ge No Cost In Lakh Contractor amount Contract completion Progress spent (BDT) (BDT) Signed as per (BDT) Contract

W-1 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old PAs

W-2 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old PAs

W-3 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old PAs

W-4 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress

greening of existing Comprehensive 49 Reproductive Health Care Centres (CRHCCs) and Primary Health Care Page

Centres (PHCCs) of old PAs

W-5 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old PAs

W-6 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old Pas.

W-7 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old PAs

W-8 Expansion, renovation, routine 212.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Comprehensive Reproductive Health Care Centres (CRHCCs) and Primary Health Care Centres (PHCCs) of old PAs

W-9 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In Progress maintenance, solar panel, and other greening of existing Primary Health

Care Centres (PHCCs) of old PAs 50 Page

W-10 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Primary Health Care Centres (PHCCs) of old PAs

W-11 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Primary Health Care Centers (PHCCs) of old PAs

W-12 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Primary Health Care Centres (PHCCs) of old PAs

W-13 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Primary Health Care Centres (PHCCs) of old PAs

W-14 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Primary Health Care Centres (PHCCs) of old PAs

W-15 Expansion, renovation, routine 80.00 ...... 00 ...... 0% 00 In maintenance, solar panel, and other Progress greening of existing Primary Health Care Centres (PHCCs) of old PAs

W-16 Water Harvesting facility for Khulna 16.00 ...... 00 ...... 0% 00 In CRHCC (Climate Resilience Civil Progress

Works)

W-17 Flood Protection facility 52.00 ...... 00 ...... 0% 00 In development for 4 CRHCCs and 9 Progress 51

PHCCs (Climate Resilience Civil Page Works)

W-18 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-19 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-20 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-21 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-22 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-23 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-24 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-25 Construction of CRHCC in 980.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-26 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-27 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-28 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-29 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-30 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In 52 Progress CC/Municipality Page

W-31 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-32 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-33 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-34 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 No CC/Municipality Progress

W-35 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-36 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-37 Construction of PHCC in in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-38 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-39 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W- Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-41 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-42 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In

CC/Municipality Progress 53 W-43 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In

CC/Municipality Progress Page

W-44 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-45 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-46 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-47 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-48 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

W-49 Construction of PHCC in 360.00 ...... 00 ...... 0% 00 In CC/Municipality Progress

Grand Total : 18,804.00

Appendix-B UPHCSDP-AF, LGD UCCRTF Activity Progress: Up to September 2020

Package Description of Package Major Items /Relevant information Commencement Contracted Progress Remarks No. & Completion cost, BDT Status Goods Package: 8 Contracts GD- Supply, Installation and 34 Sets of 4kwp SES each for above 22 Oct, 2019 1,66,78,122 100% Paid to the 61(Lot1) commissioning of Solar Energy 2-storey building: 24 PHCCs 10 19 Feb, 2020 (completed) Contractor. System (SES) for PHCC/CRHCC. CRHCCs. GD- Supply, Installation and 26 Sets of 2kwp SES each for 2-storey 04 Dec, 2019 87,75,858 100% Paid to the

61(Lot2) commissioning of Solar Energy building: 26 PHCCs only. 04 March, 2020 (completed) Contractor. 54 System (SES) for PHCC/CRHCC.

GD- Supply and Installation of Water Automatic Pump-controller, Repairing 14 Aug, 2019 11,97,200 100% Paid to the Page 62(1) Conservation (WC) Facility in plumbing-leakage and installation 14 Dec, 2019 (completed) Contractor.

CRHCC/PHCC. hand-wash basin for selected CRHCCs and PHCCs as required. GD- Supply and Installation of Water Drinking Water Purifier for CRHCCs 14 Aug, 2019 51,00,000 100% Paid to the 62(2) Conservation (WC) Facility in and PHCCs. 11 Dec, 2019 (completed) Contractor. CRHCC/PHCC. GD- Supply and Installation of Electricity Air Cooler, Refrigerator, LED Tube 14 Aug, 2019 69,33,611 100% Paid to the

63(1) Conservation (EC) Facility in Light & Bulb for selected CRHCCs and 04 Nov, 2019 (completed) Contractor. CRHCC/PHCC. PHCCs as required. GD- Supply and Installation of Electricity Blood Bank Refrigerator placed in 2 14 Aug, 2019 14,16,720 100% Paid to the

63(2) Conservation (EC) Facility in selected CRHCCs for Dhaka City. 05 Dec, 2019 (completed) Contractor. CRHCC/PHCC. GD- Supply of Medical Waste Waste Bin, Jute-bag & Trolley Cart for 24 Dec, 2019 31,44,000 100% Paid to the 64(1) Management and Health (MWM&H) CRHCC-PHCC and other Units. 14 Jan, 2020 (completed) Contractor. Facility in CRHCC/PHCC. GD- Supply of Medical Waste Apron, Hand Glove & Jute-bag for 24 Dec, 2019 25,16,861 100% Paid to the 64(2) Management and Health (MWM&H) CRHCC-PHCC and other Units. 22 Dec, 2019 (completed) Contractor. Facility in CRHCC/PHCC. GD- Procurement of Emergency Medical ...... 18 June 2020 100% Paid to the 65(1) Supplies for COVID-19 01 July 2020 49,38,700 (completed) Contractor. GD- Procurement of Emergency Medical ...... 18 June 2020 100% Paid to the 65(2,6) Supplies for COVID-19 01 July 2020 12,94,365 (completed) Contractor.

GD-65 Procurement of Emergency Medical ...... 18 June 2020 100% Paid to the (3-5,7,9- Supplies for COVID-19 05 July 2020 59,17,188 (completed) Contractor. 11) GD- Procurement of Emergency Medical ...... 18 June 2020 100% Paid to the 65(8) Supplies for COVID-19 08 July 2020 3,99,767 (completed) Contractor.

Works Package: 2 Contracts WD-16 Construction of Rainwater Construction of RWHS (one) 16,00,000 Bid Land-site Harvesting System (RWHS) for -- (allocation) document unavailable.

CRHCC, PA-1, Rajshahi. prepared 52,00,000 Bid Pending in WD-17 Construction of Flood Protection Construction of drain (two locations) 55 Facility (Drain) for selected -- (allocation) document PMU.

CRHCC/PHCC. prepared Page Package Description of Package Major Items /Relevant information Commencement Contracted Progress Remarks

No. & Completion cost, BDT Status Overseas Workshop Training comprised of 3 Packages SD-25-1 WHO Donor Agreement: Training 2 batches: each batch includes 20 08 Jan, 2019 82,39,200 50% Paid to WHO workshops and study tours in Kobe, Participants. 31 Dec, 2020 (completed Japan (c/o ADB). batch-1) SD-25-2 2019 Travel Arrangements for 1st Batch includes 20 participants. 19 Oct, 2019 79,80,000 100% Paid to the Training workshops and study tours 24 Oct, 2020 (completed) Agency. in Kobe, Japan AND in-country preparation and follow-up workshops in Dhaka. SD-25-3 2020 Travel Arrangements for 2nd Batch includes 20 participants 81,90,000 RFQ Pending due Training workshops and study tours (Different persons). (estimated) prepared to COVID-19 in Kobe, Japan AND in-country -- Pandemic. preparation and follow-up workshops in Dhaka. Local Training: 5 Packages SD- Training on Climate Change and 7 batches: 40 Participants/batch. 09 Jan, 2020 66,28,400 15% In progress. 26/CTP1 Adaptation. 31 Dec, 2020 SD- Training on Water & Energy 7 batches: 40 Participants/batch. 09 Jan, 2020 65.23,600 15% In progress. 26/CTP2 Conservation and Medical Waste 31 Dec, 2020 Management. SD- Training on Disaster & Emergency 7 batches: 40 Participants/batch. 11 Sep, 2019 6,624,000 100% Payment in 26/CTP3 Response and Management. 10 Sep, 2020 (completed) process. SD- Training on EPI, Disease 9 batches: 40 Participants/batch. 24 Dec, 2019 8,454,900 100% Paid to the 26/CTP4 Surveillance and Outbreak 24 Sep, 2020 (completed) Agency. Response. SD- Training on EPI, Disease 7 batches: 40 Participants/batch. -- 62,63,900 RFQ Pending in 26/CTP5 Surveillance and Outbreak (estimated) prepared PMU. Response for Satellite Clinics with PHCC. SD- COVID-19 Awareness Campaign ...... 10,43,478 28(L1) and Communication for Behavioral Change. 56

SD- COVID-19 Online Training for ...... 3,33,333 Page 28(L2) Doctors.

Individual Consultants: 4 Contracts SD-18 Structural /Civil Engineer Name: Mohammad Kamruzzaman 13 Feb, 2019 2,000,000 Assignment Paid to the 30/06/2020 Completed Consultant SD-19 Electrical Engineer Name: Md. Montasir Mamun 18 Feb, 2019 3,040,000 Assignment Paid to the 20/07/2020 Completed Consultant

SD-22 Climate Change Infrastructure Name: Syed Nesar Ahammed 22 Jan, 2019 5,680,000 In progress Pending due Coordinator 31/12/2020 to COVID- 19. SD-25 Procurement Expert Name: Sajjad Hossain 13 Feb, 2019 2,160,000 Assignment Paid to the 31/01/2020 Completed Consultant

UCCRTF Activity The activities under UCCRTF (Urban Climate Change Resilience Trust Fund) Component outlined in DPP (Development Project Proposal) are (i) Individual Consultants, (ii) Study tour in WHO-Kobe Center, Japan, (iii) Local training program, (iv) CC related Civil Works and (v) CC related Goods/equipment for existing 25 Partnership Areas (PAs) under UPHCSDP-AF. This UCCRTF is the ADB-administered co-financier’s grant fund amounting 2 (two) Million USD. The engagement period of three UCCRTF Individual Consultants has been ended already and only CCIC will continue upto December 2020 for completion of local training program pending due to COVID-19 pandemic situation.

57 Page

SERVICE STATISTICS

(October-December, 2020)

TABLE 02: New Client Flow by Sex and Age (October-December, 2020)

Age Group Male Female Total Male % Female % Overall (%) 0-28 Days 9,252 10,008 19,260 48.037% 51.963% 6.636 % 29 to 364 Days 15,790 18,113 33,903 46.574% 53.426% 11.681 % 12 to 23 Months 9,484 11,677 21,161 44.818% 55.182% 7.291 % 24 to 59 Months 7,999 10,584 18,583 43.045% 56.955% 6.403 % 05 to 09 Years 6,447 8,716 15,163 42.518% 57.482% 5.224 % 10 to 14 Years 2,572 8,444 11,016 23.348% 76.652% 3.796 % 15 to 19 Years 3,078 25,382 28,460 10.815% 89.185% 9.806 % 20 to 49 Years 16,002 116,056 132,058 12.117% 87.883% 45.501 % 50 to 59 Years 2,142 5,839 7,981 26.839% 73.161% 2.750 % 60+ Years 896 1,753 2,649 33.824% 66.176% 0.913 % Total 73,662 216,572 290,234 25.38% 74.62% 100 %

TABLE 03: Service Composition (October-December, 2020)

Up to Previous Service Type Current Quarter Grand Total Current (%) Overall (%) Quarter a. ESP+ Clinical Service 11,944,656 1,400,444 13,345,100 78.922% 75.166% b. BCC - Health 855,080 59,192 914,272 3.336% 5.150% Education c. BCC - Counselling 3,164,830 314,037 3,478,867 17.697% 19.595% d. Adolescent 8,698 196 8,894 0.011% 0.050% Development Program e. Emergency 6,460 602 7,062 0.034% 0.040% Transportation Grand Total 15,979,724 1,774,471 17,754,195 100% 100%

Definition:

a. New Client: is an individual patient or service recipient that has not previously been served (in any facility/ clinic under UPHCSDP-II).

b. Contacts: is the number of individual patient or service recipient for any given visit. This counts 1 individual patient or service recipient who visits a facility or clinic on any given day and may receive 1 or more services.

c. Services: is the number of services received under a particular contact.

58 Page

CHART 01-04: NEW CLIENT FLOW DISTRIBUTION (October-December, 2020)

Chart 01: Gender Distribution (Contact)

Male: 25.4 %

Female: 74.6 %

Male : 73662 Female : 216572

Chart 02: Age Distribution

0-28 Days 4.16 %

29 to 364 Days 10.82 %

12 to 23 Months 6.57 %

24 to 59 Months 5.91 %

05 to 09 Years 4.26 %

10 to 14 Years 3.40 % Age Groups 15 to 19 Years 10.15 %

20 to 49 Years 51.03 %

50 to 59 Years 2.79 %

60+ Years 0.91 %

0 5 10 15 20 25 30 35 40 45 50 55 Client(%)

Chart 03: Gender Distribution by different Age Groups

0-28 Days 53.43 % 46.57 %

29 to 364 Days 54.03 % 45.97 %

12 to 23 Months 56.48 % 43.52 %

24 to 59 Months 57.94 % 42.06 %

05 to 09 Years 58.81 % 41.19 %

10 to 14 Years 76.84 % 23.16 %

15 to 19 Years 91.03 % 8.97 %

20 to 49 Years 89.69 % 10.31 %

50 to 59 Years 76.38 % 23.62 %

60+ Years 69.49 % 30.51 %

0 10 20 30 40 50 60 70 80 90 100 Client (%)

FEMALE MALE

59 Page

Chart 04: PA-wise New Client Distribution MALE FEMALE

11.60 %

100 % 11.55

14.60 % 14.26 %

15.65 % 15.65

15.92 % 15.92

16.21 %

16.77 % 16.77

17.28 % 17.28

17.47 % 17.47

18.14 % 18.14

18.76 % 18.76 % 18.78

18.95 % 18.95

19.84 % 19.84

20.06 % 20.06

20.82 % 20.82 % 20.94

22.31 % 22.31

23.86 % 23.86 % 23.91

% 24.29

26.44 % 26.44

27.17 % 27.17

35.31 % 35.31

35.95 % 35.95

46.65 % 46.65

80

60

88.45 % 88.45

88.40 % 88.40

85.74 % 85.74

85.40 % 85.40

84.35 % 84.35

84.08 % 84.08

83.79 % 83.79

83.23 % 83.23

82.72 % 82.72

82.53 % 82.53

81.86 % 81.86

81.24 % 81.24 % 81.22

81.05 % 81.05 Client (%) Client

% 80.16

79.94 % 79.94

79.18 % 79.18 % 79.06

77.69 % 77.69

76.14 % 76.14 % 76.09

75.71 % 75.71

73.56 % 73.56

72.83 % 72.83

40

64.69 % 64.69

64.05 % 64.05

53.35 % 53.35

20

0

CHART 05-07: SERVICE COMPOSITION (October-December, 2020)

Chart 05: Service Composition

Other Service: 0.0 % ESP+ BCC Service: 4.1 %

ESP+ Clinical Service: 95.9 %

ESP+ Clinical ESP+ BCC Other

60 Page

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

CRHCC: 14.9 %

SATELLITE: 26.9 %

PHCC: 58.3 %

CRHCC : 208,173 PHCC : 815,767 SATELLITE : 376,504

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

CRHCC: 0.0 % PHCC: 0.0 %

SATELLITE: 100.0 %

CRHCC : 0 PHCC : 0 SATELLITE : 59,192

Chart 08: PA wise Client-Contact-Service Mix 175k

150k

125k

100k

75k

Thousands Unit

50k

25k

0k

New Client Contract Service

61 Page

Chart 09 (A): New Clients: Comparison between Previous & Present Quarter 60k

50k

40k

30k

20k

10k

0k

DSCC PA1, DSCC PA2, BAPSA DSCC PA3, DAM DSCC PA4, PSTC DSCC PA5, DNCC PA1, Nari DNCC PA2, Nari DNCC PA3, DAM Shimantik Shimantik Maitree Maitree Previous Quarter Current Quarter

Chart 09 (B): New Clients: Comparison between Previous & Present Quarter 80k

60k

40k

20k

0k DNCC PA4, DNCC PA5, RCC PA1, RCC PA2, KCC PA1, KCC PA2, SCC PA1, BCC PA1, CoCC-PA- BAPSA UTPS DAM Nari Maitree ADAMS BAPSA Shimantik Shimantik 1- DAM Previous Quarter Current Quarter

Chart 09 (C): New Clients: Comparison between Previous & Present Quarter 20k

15k

10k

5k

0k SM PA1. KMPA1. Kustia KsM PA1, Nari GM PA1, RACC PA1, GCC PA1, GCC PA2, Tarab Tilottama Municipality Maitree Gopalganj Light House FPAB UTPS Municipality Municipality PA 01

Previous Quarter Current Quarter

62 Page

Chart 10 (A): NVD: Comparison between Previous & Present Quarter 500

400

300

200

100

0 DSCC PA1, DSCC PA2, DSCC PA3, DSCC PA4, DSCC PA5, DNCC PA1, DNCC PA2, DNCC PA3, Shimantik BAPSA DAM PSTC Shimantik Nari Maitree Nari Maitree DAM Previous Quarter Current Quarter

Chart 10 (B): NVD: Comparison between Previous & Present Quarter 300

250

200

150

100

50

0 DNCC PA4, DNCC PA5, RCC PA1, RCC PA2, KCC PA1, KCC PA2, SCC PA1, BCC PA1, CoCC-PA- BAPSA UTPS DAM Nari Maitree ADAMS BAPSA Shimantik Shimantik 1- DAM Previous Quarter Current Quarter

Chart 10 (C): NVD: Comparison between Previous & Present Quarter 150

125

100

75

50

25

0 SM PA1. KMPA1. Kustia KsM PA1, Nari GM PA1, RACC PA1, GCC PA1, GCC PA2, Tarab Tilottama Municipality Maitree Gopalganj Light House FPAB UTPS Municipality Municipality PA 01

Previous Quarter Current Quarter

63 Page

TABLE 04: Component-wise Services Delivered Current Quarter (October-December, 2020)

Up to Component Previous CRHCC 3 PHCC 4 Other 5 Static 6 Satellite 7 Total 8 Grand Total Quarter Reproductive Health 4,010,686 84,223 169,155 0 253,378 167,601 420,979 4,431,665 Maternal Care 1,639,234 54,652 56,028 0 110,680 49,363 160,043 1,799,277 Antenatal Care 1,047,371 29,952 38,075 0 68,027 29,872 97,899 1,145,270 Delivery Care (NVD) 30,455 3,614 0 0 3,614 0 3,614 34,069 Delivery Care (CS) 20,013 2,690 0 0 2,690 0 2,690 22,703 Postnatal Care 328,939 11,042 10,685 0 21,727 11,806 33,533 362,472 Neonatal Care 212,456 7,354 7,268 0 14,622 7,685 22,307 234,763 Menstrual Regulation 29,707 170 1,700 0 1,870 0 1,870 31,577 Post Abortion Care 3,381 163 304 0 467 0 467 3,848 Family Planning 1,095,630 11,018 48,633 0 59,651 65,615 125,266 1,220,896 Emergency Contraceptive Pill 583 11 8 0 19 0 19 602 Maternal Nutrition 107,096 2,665 6,952 0 9,617 2,078 11,695 118,791 Violence Against Women 12,158 267 1,119 0 1,386 0 1,386 13,544 Adolescent Reproductive Health Care 558,015 5,594 26,682 0 32,276 30,127 62,403 620,418 RTI/STI Care 325,535 5,118 14,093 0 19,211 15,348 34,559 360,094 Other Reproductive Health Care 239,347 4,565 13,636 0 18,201 5,070 23,271 262,618

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

64 Page

TABLE 04: Component-wise Services Delivered Current Quarter (October-December, 2020)

Up to Component Previous CRHCC 3 PHCC 4 Other 5 Static 6 Satellite 7 Total 8 Grand Total Quarter Child Health Care 3,513,728 45,548 450,366 0 495,914 82,071 577,985 4,091,713 Immunization Program - EPI 1,075,578 11,625 75,452 0 87,077 49,199 136,276 1,211,854 Immunization Program - NID 1,664,286 21,411 337,594 0 359,005 0 359,005 2,023,291 Control of Diarrhoea & Other Childhood Diseases 245,483 2,829 10,263 0 13,092 12,532 25,624 271,107 Diarrhea 243,602 2,785 10,132 0 12,917 10,835 23,752 267,354 Measles 1,881 44 131 0 175 1,697 1,872 3,753 Control of Acute Respiratory Infections 322,073 6,245 14,329 0 20,574 13,201 33,775 355,848 Control of Micronutrient Deficiency 206,308 3,438 12,728 0 16,166 7,139 23,305 229,613 Child Nutrition 132,877 2,215 10,686 0 12,901 5,891 18,792 151,669 Vitamin A Deficiency 72,786 1,220 1,967 0 3,187 1,248 4,435 77,221 Iodine Deficiency 645 3 75 0 78 0 78 723 Communicable Diseases Control 8,633 59 478 0 537 0 537 9,170 Tuberculosis Control 0 0 0 0 0 0 0 0

Other Communicable Diseases Control 8,633 59 478 0 537 0 537 9,170

65 Page

TABLE 04: Component-wise Services Delivered Current Quarter (October-December, 2020)

Up to Component Previous CRHCC 3 PHCC 4 Other 5 Static 6 Satellite 7 Total 8 Grand Total Quarter Limited Curative Care 2,903,163 23,860 106,736 0 130,596 117,345 247,941 3,151,104 First Aid for Injuries 33,729 599 1,513 0 2,112 677 2,789 36,518 Emergency Care 8,691 396 565 0 961 0 961 9,652 Treatment of Minor Infections 2,860,743 22,865 104,658 0 127,523 116,668 244,191 3,104,934 Support Services for ESP+ 1,514,906 55,085 89,032 0 144,117 9,487 153,604 1,668,510 Diagnostic Service 1,508,446 54,483 89,032 0 143,515 9,487 153,002 1,661,448 Emergency Transportation Service 6,460 602 0 0 602 0 602 7,062 Behavior Change Communication 4,019,910 98,975 215,062 0 314,037 59,192 373,229 4,393,139 Health Education (Session) 855,080 0 0 0 0 59,192 59,192 914,272 Counseling 3,164,830 98,975 215,062 0 314,037 0 314,037 3,478,867 Miscellaneous 8,698 196 0 0 196 0 196 8,894 Adolescent Development Program 8,698 196 0 0 196 0 196 8,894 Income Generation from Medicine 0 0 0 0 0 0 0 0 a. ESP+ Clinical Service 11,944,656 208,173 815,767 0 1,023,940 376,504 1,400,444 13,345,100 b. BCC - Health Education 855,080 0 0 0 0 59,192 59,192 914,272 c. BCC - Counselling 3,164,830 98,975 215,062 0 314,037 0 314,037 3,478,867 d. Adolescent Development Program 8,698 196 0 0 196 0 196 8,894 e. Emergency Transportation 6,460 602 0 0 602 0 602 7,062 Grand Total 15,979,724 307,946 1,030,829 0 1,338,775 435,696 1,774,471 17,754,195 a. ESP+ Clinical Service % 74.75% 67.60% 79.14% 0.00% 76.48% 86.41% 78.92% 75.17% b. BCC - Health Education % 5.35% 0.00% 0.00% 0.00% 0.00% 13.59% 3.34% 5.15% c. BCC- Counseling % 19.81% 32.14% 20.86% 0.00% 23.46% 0.00% 17.70% 19.59% d. Adolescent Development Program % 0.05% 0.06% 0.00% 0.00% 0.01% 0.00% 0.01% 0.05%

e. Emergency Transportation % 0.04% 0.20% 0.00% 0.00% 0.04% 0.00% 0.03% 0.04%

66 Page

TABLE 05: Component-wise Contacts 9 Current Quarter (October-December, 2020)

Up to Component Previous Poor FF 10 FF(NC) 11 PF 12 Paid 13 Male Female Total Grand Total Quarter Reproductive Health 3,950,927 99,679 165,704 17,601 130,089 25,176 387,897 413,073 4,364,000 Maternal Care 1,636,769 34,125 31,749 10,734 83,383 10,361 149,630 159,991 1,796,760 Antenatal Care 1,044,407 20,262 17,117 6,338 54,130 0 97,847 97,847 1,142,254 Delivery Care (NVD) 30,455 660 13 196 2,745 0 3,614 3,614 34,069 Delivery Care (CS) 20,013 370 30 1,176 1,114 0 2,690 2,690 22,703 Postnatal Care 329,022 8,044 8,269 2,001 15,219 0 33,533 33,533 362,555 Neonatal Care 212,872 4,789 6,320 1,023 10,175 10,361 11,946 22,307 235,179 Menstrual Regulation 29,707 584 32 443 811 0 1,870 1,870 31,577 Post Abortion Care 3,388 107 5 118 237 0 467 467 3,855 Family Planning 1,095,592 29,885 86,712 449 8,220 11,463 113,803 125,266 1,220,858 Emergency Contraceptive Pill 583 2 15 0 2 0 19 19 602 Maternal Nutrition 107,121 3,213 8,083 87 312 0 11,695 11,695 118,816 Violence Against Women 12,711 567 703 4 116 0 1,390 1,390 14,101 Adolescent Reproductive Health Care 512,873 14,601 23,128 3,090 14,530 1,231 54,118 55,349 568,222 RTI/STI Care 320,516 11,240 7,324 1,965 13,754 1,732 32,551 34,283 354,799 Other Reproductive Health Care 231,667 5,355 7,953 711 8,724 389 22,354 22,743 254,410

9 Contact is the number of patient or service recipient under a particular service provision. 10 FF is Full Free Health Entitlement Card (HEC) Holding Poor 11 FF (NC) is Full Free Service-contact (Global Free Services for Non-Poor, Free Follow-up of Paying Contact, Free for Services other than First Prime Service and Full Free Non-Card Holder)

12 PF is Partial Free Service-contact | 13 Paid is Full Paid Service-contact

67 Page

TABLE 05: Component-wise Contacts 9 Current Quarter (October-December, 2020) Up to Component Previous Poor FF 10 FF(NC) 11 PF 12 Paid 13 Male Female Total Grand Total Quarter Child Health Care 3,277,310 94,182 397,326 3,960 29,675 235,423 289,786 525,209 3,802,519 Immunization Program - EPI 1,072,926 24,820 111,374 0 92 62,515 73,852 136,367 1,209,293 Immunization Program - NID 1,432,424 48,295 258,059 0 0 136,977 169,377 306,354 1,738,778 Control of Diarrhoea & Other Childhood 245,430 7,157 5,351 1,767 11,349 10,986 14,638 25,624 271,054 Diseases Diarrhea 243,549 7,074 3,733 1,766 11,179 10,345 13,407 23,752 267,301 Measles 1,881 83 1,618 1 170 641 1,231 1,872 3,753 Control of Acute Respiratory Infections 321,530 9,132 5,048 2,094 17,511 15,402 18,373 33,775 355,305 Control of Micronutrient Deficiency 205,000 4,778 17,494 99 723 9,543 13,546 23,089 228,089 Child Nutrition 131,259 3,431 14,519 99 532 8,147 10,429 18,576 149,835 Vitamin A Deficiency 73,096 1,320 2,943 0 172 1,377 3,058 4,435 77,531 Iodine Deficiency 645 27 32 0 19 19 59 78 723 Communicable Diseases Control 8,618 129 82 62 256 172 357 529 9,147 Tuberculosis Control 0 0 0 0 0 0 0 0 0

Other Communicable Diseases Control 8,618 129 82 62 256 172 357 529 9,147

68 Page

TABLE 05: Component-wise Contacts 9 Current Quarter (October-December, 2020) Up to Component Previous Poor FF 10 FF(NC) 11 PF 12 Paid 13 Male Female Total Grand Total Quarter Limited Curative Care 2,633,150 69,278 57,173 19,602 83,337 49,465 179,925 229,390 2,862,540 First Aid for Injuries 33,730 869 344 144 1,432 922 1,867 2,789 36,519 Emergency Care 8,691 294 171 15 481 199 762 961 9,652 Treatment of Minor Infections 2,590,729 68,115 56,658 19,443 81,424 48,344 177,296 225,640 2,816,369 Support Services for ESP+ 938,904 18,839 2,750 11,782 56,146 7,875 81,509 89,384 1,028,288 Diagnostic Service 931,756 18,769 2,316 11,703 55,936 7,743 80,848 88,591 1,020,347 Emergency Transportation Service 7,148 70 434 79 210 132 661 793 7,941 Behavior Change Communication 4,865,813 112,718 338,769 36 600 80,766 371,357 452,123 5,317,936 Health Education (Session) 1,166,320 24,338 65,848 0 0 16,053 74,133 90,186 1,256,506 Counseling 3,699,493 88,380 272,921 36 600 64,713 297,224 361,937 4,061,430 Miscellaneous 21,570 133 477 0 0 54 556 610 22,180 Adolescent Development Program 21,570 133 477 0 0 54 556 610 22,180 Income Generation from Medicine 0 0 0 0 0 0 0 0 0 a. ESP+ Clinical Service 10,801,761 282,037 622,601 52,928 299,293 317,979 938,813 1,256,792 12,058,553 b. BCC - Health Education 1,166,320 24,338 65,848 0 0 16,053 74,133 90,186 1,256,506 c. BCC - Counselling 3,699,493 88,380 272,921 36 600 64,713 297,224 361,937 4,061,430 d. Adolescent Development Program 21,570 133 477 0 0 54 556 610 22,180 e. Emergency Transportation 7,148 70 434 79 210 132 661 793 7,941 Grand Total 15,696,292 394,958 962,281 53,043 300,103 398,931 1,311,387 1,710,318 17,406,610 a. ESP+ Clinical Service % 68.82% 71.41% 64.70% 99.78% 99.73% 79.71% 71.59% 73.48% 69.28% b. BCC - Health Education % 7.43% 6.16% 6.84% 0.00% 0.00% 4.02% 5.65% 5.27% 7.22% c. BCC- Counseling % 23.57% 22.38% 28.36% 0.07% 0.20% 16.22% 22.66% 21.16% 23.33% d. Adolescent Development Program % 0.14% 0.03% 0.05% 0.00% 0.00% 0.01% 0.04% 0.04% 0.13%

e. Emergency Transportation % 0.05% 0.02% 0.05% 0.15% 0.07% 0.03% 0.05% 0.05% 0.05%

69 Page

TABLE 06: Comparative Statement of Contacts across different Quarters

151 Year Component 14 Qtr Avg. 16 Prev. Qtr Current Qtr Prev. Reproductive Health 377,534 363,094 356,434 413,073 Maternal Care 156,507 162,536 146,994 159,991 Antenatal Care 97,393 100,734 93,598 97,847 Delivery Care (NVD) 3,302 3,239 3,054 3,614 Delivery Care (CS) 2,432 2,171 2,435 2,690 Postnatal Care 31,935 33,404 28,869 33,533 Neonatal Care 21,444 22,988 19,038 22,307 Menstrual Regulation 1,971 2,280 1,763 1,870 Post Abortion Care 463 492 430 467 Family Planning 99,491 70,833 102,373 125,266 Emergency Contraceptive Pill 25 40 17 19 Maternal Nutrition 10,146 10,497 8,246 11,695 Violence Against Women 1,331 1,251 1,353 1,390 Adolescent Reproductive Health Care 52,858 56,217 47,009 55,349 RTI/STI Care 33,292 36,392 29,202 34,283 Other Reproductive Health Care 21,449 22,556 19,047 22,743 Child Health Care 370,876 411,338 176,082 525,209 Immunization Program - EPI 121,926 112,385 117,025 136,367 Immunization Program - NID 176,269 222,453 0 306,354 Control of Diarrhoea & Other Childhood Diseases 23,522 24,816 20,126 25,624 Diarrhea 22,767 24,511 20,039 23,752 Measles 755 305 87 1,872 Control of Acute Respiratory Infections 31,090 33,393 26,101 33,775 Control of Micronutrient Deficiency 18,070 18,291 12,830 23,089 Child Nutrition 13,416 13,036 8,637 18,576 Vitamin A Deficiency 4,584 5,220 4,098 4,435 Iodine Deficiency 69 35 95 78

14 Quarterly Average (April 2018 to current quarter). 15 The quarter 1 year previous from current quarter i.e. past 4th quarter

16Previous/last quarter

70 Page

TABLE 06: Comparative Statement of Contacts across different Quarters

151 Year Component 14 Qtr Avg. 16 Prev. Qtr Current Qtr Prev. Communicable Diseases Control 608 733 561 529 Tuberculosis Control 0 0 0 0 Other Communicable Diseases Control 608 733 561 529 Limited Curative Care 227,448 259,295 193,658 229,390 First Aid for Injuries 2,657 2,867 2,315 2,789 Emergency Care 816 745 743 961 Treatment of Minor Infections 223,974 255,683 190,600 225,640 Support Services for ESP+ 92,188 98,453 88,728 89,384 Diagnostic Service 91,451 97,709 88,052 88,591 Emergency Transportation Service 738 744 676 793 Behavior Change Communication 445,297 478,289 405,479 452,123 Health Education (Session) 90,731 107,047 74,959 90,186 Counseling 354,566 371,242 330,520 361,937 Miscellaneous 607 728 482 610 Adolescent Development Program 607 728 482 610 a. ESP+ Clinical Service 1,067,916 1,132,169 814,787 1,256,792 b. BCC - Health Education 90,731 107,047 74,959 90,186 c. BCC - Counselling 354,566 371,242 330,520 361,937 d. Adolescent Development Program 607 728 482 610 e. Emergency Transportation 738 744 676 793

Grand Total 1,514,557 1,611,930 1,221,424 1,710,318 a. ESP+ Clinical Service % 70.51% 70.24% 66.71% 73.48% b. BCC - Health Education % 5.99% 6.64% 6.14% 5.27% c. BCC- Counseling % 23.41% 23.03% 27.06% 21.16% d. Adolescent Development Program % 0.04% 0.05% 0.04% 0.04%

e. Emergency Transportation % 0.05% 0.05% 0.06% 0.05%

71 Page

TABLE 07: Performance Summary: Current Quarter (October-December, 2020) RC Pro-poor 18 Component Contact Service Contact Revenue Subsidy 17 %

Reproductive Health 413,073 420,979 99679 24.13% 28,724,394 15,128,004 Maternal Care 159,991 160,043 34125 21.33% 25,629,299 10,706,549 Antenatal Care 97,847 97,899 20262 20.71% 2,860,848 1,754,086 Delivery Care (NVD) 3,614 3,614 660 18.26% 3,018,220 751,857 Delivery Care (CS) 2,690 2,690 370 13.75% 18,457,998 6,974,938 Postnatal Care 33,533 33,533 8044 23.99% 782,474 756,397 Neonatal Care 22,307 22,307 4789 21.47% 509,759 469,271 Menstrual Regulation 1,870 1,870 584 31.23% 850,920 601,480 Post Abortion Care 467 467 107 22.91% 381,144 192,507 Family Planning 125,266 125,266 29885 23.86% 61,542 583,905 Emergency Contraceptive Pill 19 19 2 10.53% 120 400 Maternal Nutrition 11,695 11,695 3213 27.47% 17,135 310,936 Violence Against Women 1,390 1,386 567 40.79% 6,635 30,365 Adolescent Reproductive Health Care 55,349 62,403 14601 26.38% 685,657 1,465,838 RTI/STI Care 34,283 34,559 11240 32.79% 653,815 800,090 Other Reproductive Health Care 22,743 23,271 5355 23.55% 438,127 435,934 Child Health Care 525,209 577,985 94182 17.93% 1,438,884 2,073,231 Immunization Program - EPI 136,367 136,276 24820 18.20% 0 564,140 Immunization Program - NID 306,354 359,005 48295 15.76% 0 0 Control of Diarrhoea & Other Childhood 25,624 25,624 7157 27.93% 557,018 532,868 Diseases Diarrhea 23,752 23,752 7074 29.78% 552,038 528,683 Measles 1,872 1,872 83 4.43% 4,980 4,185 Control of Acute Respiratory Infections 33,775 33,775 9132 27.04% 845,549 700,990 Control of Micronutrient Deficiency 23,089 23,305 4778 20.69% 36,317 275,233 Child Nutrition 18,576 18,792 3431 18.47% 25,590 239,883 Vitamin A Deficiency 4,435 4,435 1320 29.76% 10,337 32,550 Iodine Deficiency 78 78 27 34.62% 390 2,800

17 RC- Red card contacts (who get services free of cost) 18 Propoor is identified percentage of poor that ensure 30% of health care services provided free-of-cost. 0% means service 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.

72 Page

TABLE 07: Performance Summary: Current Quarter (October-December, 2020) RC Propoor 17 Component Contact Service Revenue Subsidy Contact % Communicable Diseases Control 529 537 129 24.39% 12,245 9,945 Tuberculosis Control 0 0 0 0.00% 0 0 Other Communicable Diseases Control 529 537 129 24.39% 12,245 9,945 Limited Curative Care 229,390 247,941 69278 30.20% 3,977,496 6,053,734 First Aid for Injuries 2,789 2,789 869 31.16% 61,585 55,280 Emergency Care 961 961 294 30.59% 23,150 19,035 Treatment of Minor Infections 225,640 244,191 68115 30.19% 3,892,761 5,979,419 Support Services for ESP+ 89,384 153,604 18839 21.08% 12,454,498 3,697,152 Diagnostic Service 88,591 153,002 18769 21.19% 12,358,693 3,622,352 Emergency Transportation Service 793 602 70 8.83% 95,805 74,800 Behavior Change Communication 452,123 373,229 112718 24.93% 0 447,400 Health Education (Session) 90,186 59,192 24338 26.99% 0 114,050 Counseling 361,937 314,037 88380 24.42% 0 333,350 Miscellaneous 610 196 133 21.80% 0 0 Adolescent Development Program 610 196 133 21.80% 0 0

Income Generation from Medicine - - - 18.10% 11,068,740 2,445,765 a. ESP+ Clinical Service 1,256,792 1,400,444 282037 22.44% 46,511,712 26,887,266 b. BCC - Health Education 90,186 59,192 24338 26.99% 0 114,050 c. BCC - Counselling 361,937 314,037 88380 24.42% 0 333,350 d. Adolescent Development Program 610 196 133 21.80% 0 0 e. Emergency Transportation 793 602 70 8.83% 95,805 74,800

Grand Total 1,710,318 1,774,471 394958 23.09% 46,607,517 27,409,466 a. ESP+ Clinical Service % 73.48% 78.92% - - 99.79% 98.09% b. BCC - Health Education % 5.27% 3.34% - - 0.00% 0.42% c. BCC- Counseling % 21.16% 17.70% - - 0.00% 1.22% d. Adolescent Development Program % 0.04% 0.01% - - 0.00% 0.00%

e. Emergency Transportation % 0.05% 0.03% - - 0.21% 0.27%

73 Page

DSCC PA1, Shimantik (October-December, 2020)

TABLE 08.01: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 33,441 378,031 34,339 390,975 18.61% 1,771,646 726,711 Maternal Care 13,144 186,521 13,144 186,521 13.34% 1,348,990 350,656 Antenatal Care 7,698 116,257 7,698 116,257 11.09% 313,260 83,980 Delivery Care (NVD) 385 2,976 385 2,976 3.90% 443,700 24,412 Delivery Care (CS) 120 1,629 120 1,629 19.17% 412,010 163,094 Postnatal Care 2,771 38,063 2,771 38,063 18.12% 106,860 38,220 Neonatal Care 2,170 27,596 2,170 27,596 16.54% 73,160 40,950 Menstrual Regulation 0 1,353 0 1,353 0.00% 0 0 Post Abortion Care 200 1,184 200 1,184 25.00% 155,960 93,130 Family Planning 10,550 62,436 10,550 62,436 18.72% 6,406 60,435 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 29 887 29 887 34.48% 150 100 Violence Against Women 79 920 79 920 27.85% 100 1,900 Adolescent Reproductive 2,953 34,741 3,611 43,677 20.52% 81,480 69,070 Health Care RTI/STI Care 3,783 46,377 3,931 49,421 31.99% 105,070 89,630 Other Reproductive Health 2,703 43,612 2,795 44,576 22.16% 73,490 61,790 Care Child Health Care 35,689 215,043 35,723 220,021 5.07% 160,370 59,200 Immunization Program - EPI 9,483 97,347 9,483 97,347 10.14% 0 0 Immunization Program - NID 21,600 67,833 21,600 72,757 0.00% 0 0 Control of Diarrhoea & Other 1,458 19,834 1,458 19,834 24.83% 53,310 21,380 Childhood Diseases Diarrhea 1,453 19,804 1,453 19,804 24.91% 53,060 21,380 Measles 5 30 5 30 0.00% 250 0 Control of Acute Respiratory 2,742 28,350 2,742 28,350 16.78% 106,850 36,060 Infections Control of Micronutrient 406 1,679 440 1,733 6.40% 210 1,760 Deficiency Child Nutrition 400 1,666 434 1,720 5.75% 210 1,710 Vitamin A Deficiency 5 8 5 8 40.00% 0 50

Iodine Deficiency 1 5 1 5 100.00% 0 0

74 Page

DSCC PA1, Shimantik (October-December, 2020)

TABLE 08.01: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 206 0 206 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 206 0 206 0.00% 0 0 Diseases Control Limited Curative Care 14,729 173,694 14,736 180,612 19.83% 456,893 293,827 First Aid for Injuries 46 243 46 243 32.61% 450 1,350 Emergency Care 55 633 55 633 29.09% 500 1,850 Treatment of Minor 14,628 172,818 14,635 179,736 19.76% 455,943 290,627 Infections Support Services for ESP+ 2,218 46,920 6,820 120,938 12.62% 533,684 144,850 Diagnostic Service 2,205 46,688 6,807 120,706 12.70% 528,184 143,850 Emergency Transportation 13 232 13 232 0.00% 5,500 1,000 Service Behavior Change 24,661 354,495 13,318 284,294 19.64% 0 128,700 Communication Health Education (Session) 5,134 67,235 709 48,486 24.72% 0 0 Counseling 19,527 287,260 12,609 235,808 18.31% 0 128,700 Miscellaneous 0 90 0 38 0.00% 0 0 Adolescent Development 0 90 0 38 0.00% 0 0 Program Income Generation from - - - - 7.47% 1,214,965 98,105 Medicine a. ESP+ Clinical Service 86,064 813,662 91,605 912,520 13.06% 2,917,093 1,223,588 b. BCC - Health Education 5,134 67,235 709 48,486 24.72% 0 0 c. BCC - Counselling 19,527 287,260 12,609 235,808 18.31% 0 128,700 d. Adolescent 0 90 0 38 0.00% 0 0 Development Program e. Emergency 13 232 13 232 0.00% 5,500 1,000 Transportation

Grand Total 110,738 1,168,479 104,936 1,197,084 14.52% 2,922,593 1,353,288 a. ESP+ Clinical Service % 77.72% - 87.30% - - 100% 90% b. BCC - Health Education 4.64% - 0.68% - - 0% 0% % c. BCC- Counseling % 17.63% - 12.02% - - 0% 10% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.01% - 0.01% - - 0% 0%

Transportation %

75 Page

DSCC PA2, BAPSA (October-December, 2020)

TABLE 08.02: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 20,637 200,034 20,921 204,288 33.91% 975,474 633,396

Maternal Care 6,218 65,267 6,218 65,267 29.82% 749,666 368,918 Antenatal Care 3,623 39,378 3,623 39,378 28.93% 98,516 78,884 Delivery Care (NVD) 67 933 67 933 8.96% 61,000 6,000 Delivery Care (CS) 76 519 76 519 9.21% 535,500 224,500 Postnatal Care 1,345 13,349 1,345 13,349 31.67% 29,670 37,314 Neonatal Care 1,107 11,088 1,107 11,088 33.15% 24,980 22,220 Menstrual Regulation 176 2,946 176 2,946 36.36% 76,100 52,600 Post Abortion Care 11 164 11 164 18.18% 1,950 1,600 Family Planning 7,407 40,435 7,407 40,435 35.56% 8,953 23,443 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 98 1,152 98 1,152 34.69% 2,200 1,150 Violence Against Women 52 493 52 493 44.23% 750 700 Adolescent Reproductive 3,079 35,726 3,341 37,890 35.43% 51,095 94,155 Health Care RTI/STI Care 1,726 24,400 1,729 24,451 42.18% 41,100 44,710 Other Reproductive Health 1,870 29,451 1,889 31,490 30.32% 43,660 46,120 Care

Child Health Care 53,368 145,800 53,368 166,068 37.20% 106,772 92,015

Immunization Program - EPI 6,282 57,997 6,282 58,001 36.42% 0 0 Immunization Program - NID 42,634 42,634 42,634 62,889 37.23% 0 0 Control of Diarrhoea & Other 1,668 17,722 1,668 17,722 41.25% 42,082 39,715 Childhood Diseases Diarrhea 1,668 17,722 1,668 17,722 41.25% 42,082 39,715 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 2,105 22,254 2,105 22,254 36.72% 56,250 46,900 Infections Control of Micronutrient 679 5,193 679 5,202 33.87% 8,440 5,400 Deficiency Child Nutrition 343 1,934 343 1,943 34.11% 6,690 4,250 Vitamin A Deficiency 332 3,255 332 3,255 33.43% 1,650 1,050

Iodine Deficiency 4 4 4 4 50.00% 100 100

76 Page

DSCC PA2, BAPSA (October-December, 2020)

TABLE 08.02: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 23 225 23 225 39.13% 600 250 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 23 225 23 225 39.13% 600 250 Diseases Control

Limited Curative Care 11,222 161,157 11,858 185,075 32.42% 303,041 239,615

First Aid for Injuries 147 2,330 147 2,330 36.05% 4,500 2,750 Emergency Care 54 1,266 54 1,266 37.04% 1,340 1,000 Treatment of Minor 11,021 157,561 11,657 181,479 32.35% 297,201 235,865 Infections

Support Services for ESP+ 8,261 47,954 9,397 66,145 27.81% 662,168 173,862

Diagnostic Service 8,261 47,954 9,397 66,145 27.81% 662,168 173,862 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 19,704 366,037 7,923 315,250 35.37% 0 0 Communication Health Education (Session) 7,745 140,273 862 108,385 39.43% 0 0 Counseling 11,959 225,764 7,061 206,865 32.75% 0 0

Miscellaneous 0 1,802 0 1,459 0.00% 0 0

Adolescent Development 0 1,802 0 1,459 0.00% 0 0 Program Income Generation from - - - - 33.93% 321,260 165,008 Medicine a. ESP+ Clinical Service 93,511 555,170 95,567 621,801 35.07% 2,048,055 1,139,138 b. BCC - Health Education 7,745 140,273 862 108,385 39.43% 0 0 c. BCC - Counselling 11,959 225,764 7,061 206,865 32.75% 0 0 d. Adolescent 0 1,802 0 1,459 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 113,215 923,009 103,490 938,510 35.12% 2,048,055 1,139,138 a. ESP+ Clinical Service % 82.60% - 92.34% - - 100% 100% b. BCC - Health Education 6.84% - 0.83% - - 0% 0% % c. BCC- Counseling % 10.56% - 6.82% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

77 Page

DSCC PA3, DAM (October-December, 2020)

TABLE 08.03: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 28,506 259,458 29,130 263,228 32.00% 1,601,905 1,225,776

Maternal Care 9,575 104,213 9,575 104,213 27.77% 1,393,030 760,220 Antenatal Care 6,043 63,832 6,043 63,832 24.92% 172,060 128,210 Delivery Care (NVD) 301 3,324 301 3,324 23.92% 226,000 75,000 Delivery Care (CS) 116 1,176 116 1,176 31.90% 930,000 466,400 Postnatal Care 1,717 21,480 1,717 21,480 34.07% 36,810 50,020 Neonatal Care 1,398 14,401 1,398 14,401 32.83% 28,160 40,590 Menstrual Regulation 197 3,420 197 3,420 48.22% 59,450 94,450 Post Abortion Care 24 539 24 539 33.33% 16,000 8,000 Family Planning 8,259 71,401 8,259 71,401 32.78% 1,495 43,426 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 357 2,496 357 2,496 24.09% 2,150 9,300 Violence Against Women 65 765 65 762 46.15% 450 1,640 Adolescent Reproductive 4,475 37,538 5,032 40,677 32.29% 43,565 135,090 Health Care RTI/STI Care 3,052 22,399 3,052 22,471 45.90% 49,085 96,860 Other Reproductive Health 2,502 16,687 2,569 17,249 27.58% 36,680 76,790 Care

Child Health Care 37,578 199,943 41,210 203,937 17.48% 111,890 222,080

Immunization Program - EPI 9,072 99,636 9,072 99,547 25.10% 0 8,700 Immunization Program - NID 21,216 35,324 24,823 39,278 6.08% 0 0 Control of Diarrhoea & Other 2,361 22,206 2,361 22,207 39.94% 41,580 73,870 Childhood Diseases Diarrhea 2,344 22,082 2,344 22,083 39.76% 41,580 73,020 Measles 17 124 17 124 64.71% 0 850 Control of Acute Respiratory 3,346 29,117 3,346 29,117 40.44% 64,810 102,190 Infections Control of Micronutrient 1,583 13,660 1,608 13,788 44.60% 5,500 37,320 Deficiency Child Nutrition 1,347 9,563 1,372 9,691 41.87% 4,700 31,170 Vitamin A Deficiency 213 3,896 213 3,896 59.62% 700 5,100

Iodine Deficiency 23 201 23 201 65.22% 100 1,050

78 Page

DSCC PA3, DAM (October-December, 2020)

TABLE 08.03: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 18,414 157,164 18,540 160,108 44.79% 178,505 672,325

First Aid for Injuries 209 2,536 209 2,536 50.24% 3,650 6,550 Emergency Care 228 1,226 228 1,226 47.37% 4,200 6,700 Treatment of Minor 17,977 153,402 18,103 156,346 44.69% 170,655 659,075 Infections

Support Services for ESP+ 5,662 82,792 11,396 108,967 34.30% 478,637 352,948

Diagnostic Service 5,657 82,775 11,391 108,950 34.28% 478,637 351,448 Emergency Transportation 5 17 5 17 60.00% 0 1,500 Service Behavior Change 27,347 233,021 25,311 184,322 31.40% 0 129,000 Communication Health Education (Session) 7,830 75,046 7,820 54,127 40.24% 0 27,000 Counseling 19,517 157,975 17,491 130,195 27.85% 0 102,000

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 17.92% 497,003 108,541 Medicine a. ESP+ Clinical Service 90,155 699,340 100,271 736,223 28.70% 2,370,937 2,471,629 b. BCC - Health Education 7,830 75,046 7,820 54,127 40.24% 0 27,000 c. BCC - Counselling 19,517 157,975 17,491 130,195 27.85% 0 102,000 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 5 17 5 17 60.00% 0 1,500 Transportation

Grand Total 117,507 932,378 125,587 920,562 29.33% 2,370,937 2,602,129 a. ESP+ Clinical Service % 76.72% - 79.84% - - 100% 95% b. BCC - Health Education 6.66% - 6.23% - - 0% 1% % c. BCC- Counseling % 16.61% - 13.93% - - 0% 4% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

79 Page

DSCC PA4, PSTC (October-December, 2020)

TABLE 08.04: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 26,490 253,162 27,512 262,156 31.94% 2,295,589 599,337

Maternal Care 10,506 111,721 10,506 111,721 27.01% 2,192,860 483,570 Antenatal Care 6,471 75,997 6,471 75,997 28.70% 220,370 95,890 Delivery Care (NVD) 239 1,700 239 1,700 18.41% 195,000 44,000 Delivery Care (CS) 201 1,351 201 1,351 13.43% 1,713,000 297,000 Postnatal Care 2,259 21,673 2,259 21,673 26.65% 54,170 41,080 Neonatal Care 1,336 11,000 1,336 11,000 23.05% 10,320 5,600 Menstrual Regulation 0 970 0 970 0.00% 0 0 Post Abortion Care 8 102 8 102 0.00% 15,500 1,000 Family Planning 8,181 69,266 8,181 69,266 34.68% 1,634 3,224 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 32 461 32 461 46.88% 0 0 Violence Against Women 61 572 61 572 42.62% 0 0 Adolescent Reproductive 3,634 31,778 4,614 40,698 34.62% 48,335 79,010 Health Care RTI/STI Care 2,609 25,641 2,609 25,641 37.91% 36,700 32,253 Other Reproductive Health 1,459 12,651 1,501 12,725 34.13% 560 280 Care

Child Health Care 24,638 143,643 24,643 143,648 10.48% 112,455 65,050

Immunization Program - EPI 8,266 86,163 8,266 86,163 11.46% 0 0 Immunization Program - NID 12,048 12,048 12,048 12,048 0.00% 0 0 Control of Diarrhoea & Other 1,516 16,540 1,516 16,540 41.23% 47,945 30,800 Childhood Diseases Diarrhea 1,516 16,540 1,516 16,540 41.23% 47,945 30,800 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 1,790 18,417 1,790 18,417 37.82% 64,510 34,090 Infections Control of Micronutrient 1,018 10,475 1,023 10,480 32.61% 0 160 Deficiency Child Nutrition 94 1,630 99 1,635 37.23% 0 160 Vitamin A Deficiency 924 8,845 924 8,845 32.14% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

80 Page

DSCC PA4, PSTC (October-December, 2020)

TABLE 08.04: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 36,877 398,989 45,310 473,947 33.17% 838,559 683,480

First Aid for Injuries 117 994 117 994 34.19% 2,760 5,600 Emergency Care 0 0 0 0 0.00% 0 0 Treatment of Minor 36,760 397,995 45,193 472,953 33.16% 835,799 677,880 Infections

Support Services for ESP+ 2,901 34,969 8,346 88,634 32.75% 650,465 96,994

Diagnostic Service 2,901 34,969 8,346 88,634 32.75% 650,465 96,994 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 26,888 277,662 16,831 157,378 32.96% 0 0 Communication Health Education (Session) 4,986 53,679 460 3,997 34.58% 0 0 Counseling 21,902 223,983 16,371 153,381 32.59% 0 0

Miscellaneous 0 395 0 36 0.00% 0 0

Adolescent Development 0 395 0 36 0.00% 0 0 Program Income Generation from - - - - 27.75% 438,483 168,420 Medicine a. ESP+ Clinical Service 90,906 830,763 105,811 968,385 26.65% 3,897,068 1,444,861 b. BCC - Health Education 4,986 53,679 460 3,997 34.58% 0 0 c. BCC - Counselling 21,902 223,983 16,371 153,381 32.59% 0 0 d. Adolescent 0 395 0 36 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 117,794 1,108,820 122,642 1,125,799 28.09% 3,897,068 1,444,861 a. ESP+ Clinical Service % 77.17% - 86.28% - - 100% 100% b. BCC - Health Education 4.23% - 0.38% - - 0% 0% % c. BCC- Counseling % 18.59% - 13.35% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

81 Page

DSCC PA5, Shimantik (October-December, 2020)

TABLE 08.05: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 35,026 325,776 36,107 333,516 34.95% 1,199,585 1,553,437

Maternal Care 18,936 181,042 18,936 181,012 34.72% 1,044,560 1,172,240 Antenatal Care 10,324 99,367 10,324 99,377 34.32% 143,680 308,655 Delivery Care (NVD) 238 1,903 238 1,903 33.19% 190,800 94,800 Delivery Care (CS) 104 988 104 988 32.69% 560,100 531,900 Postnatal Care 5,082 47,636 5,082 47,596 34.97% 86,800 149,690 Neonatal Care 3,188 31,148 3,188 31,148 35.79% 63,180 87,195 Menstrual Regulation 0 364 0 364 0.00% 0 0 Post Abortion Care 50 171 50 171 52.00% 18,000 43,300 Family Planning 5,067 44,656 5,067 44,669 33.23% 4,575 1,377 Emergency Contraceptive Pill 0 5 0 5 0.00% 0 0 Maternal Nutrition 154 1,449 154 1,449 64.29% 0 0 Violence Against Women 114 868 114 868 60.53% 0 0 Adolescent Reproductive 5,941 55,209 6,994 62,336 34.69% 68,235 192,145 Health Care RTI/STI Care 3,462 32,123 3,472 32,572 36.54% 47,285 118,605 Other Reproductive Health 1,302 9,889 1,320 10,070 35.48% 16,930 25,770 Care

Child Health Care 47,914 178,372 47,914 188,159 33.19% 128,745 274,330

Immunization Program - EPI 8,049 67,513 8,049 67,549 35.48% 0 0 Immunization Program - NID 31,317 31,317 31,317 40,918 31.23% 0 0 Control of Diarrhoea & Other 3,706 34,012 3,706 34,012 38.75% 59,115 124,300 Childhood Diseases Diarrhea 3,706 33,872 3,706 33,872 38.75% 59,115 124,300 Measles 0 140 0 140 0.00% 0 0 Control of Acute Respiratory 4,479 42,017 4,479 42,067 37.49% 69,630 150,030 Infections Control of Micronutrient 363 3,513 363 3,613 41.60% 0 0 Deficiency Child Nutrition 266 2,458 266 2,558 37.97% 0 0 Vitamin A Deficiency 97 1,055 97 1,055 51.55% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

82 Page

DSCC PA5, Shimantik (October-December, 2020)

TABLE 08.05: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 16,659 161,272 16,667 165,214 34.94% 152,001 645,005

First Aid for Injuries 116 1,307 116 1,307 37.07% 3,310 2,510 Emergency Care 84 941 84 941 41.67% 2,230 1,925 Treatment of Minor 16,459 159,024 16,467 162,966 34.89% 146,461 640,570 Infections

Support Services for ESP+ 2,993 33,346 6,947 84,261 35.98% 410,517 241,984

Diagnostic Service 2,959 33,196 6,913 84,132 35.76% 406,867 233,384 Emergency Transportation 34 150 34 129 55.88% 3,650 8,600 Service Behavior Change 39,685 435,400 39,665 423,161 33.35% 0 0 Communication Health Education (Session) 4,085 61,811 4,065 61,402 32.71% 0 0 Counseling 35,600 373,589 35,600 361,759 33.42% 0 0

Miscellaneous 0 1,556 0 1,556 0.00% 0 0

Adolescent Development 0 1,556 0 1,556 0.00% 0 0 Program Income Generation from - - - - 24.93% 530,776 176,221 Medicine a. ESP+ Clinical Service 102,558 698,616 107,601 771,021 34.15% 1,887,198 2,706,156 b. BCC - Health Education 4,085 61,811 4,065 61,402 32.71% 0 0 c. BCC - Counselling 35,600 373,589 35,600 361,759 33.42% 0 0 d. Adolescent 0 1,556 0 1,556 0.00% 0 0 Development Program e. Emergency 34 150 34 129 55.88% 3,650 8,600 Transportation

Grand Total 142,277 1,135,722 147,300 1,195,867 33.93% 1,890,848 2,714,756 a. ESP+ Clinical Service % 72.08% - 73.05% - - 100% 100% b. BCC - Health Education 2.87% - 2.76% - - 0% 0% % c. BCC- Counseling % 25.02% - 24.17% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.02% - 0.02% - - 0% 0%

Transportation %

83 Page

DNCC PA1, Nari Maitree (October-December, 2020)

TABLE 08.06: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 20,254 326,834 20,856 327,888 31.19% 1,940,906 787,138

Maternal Care 7,655 127,009 7,655 127,009 28.44% 1,801,171 547,138 Antenatal Care 5,313 81,913 5,313 81,913 30.43% 137,572 128,078 Delivery Care (NVD) 104 2,588 104 2,588 2.88% 81,601 5,000 Delivery Care (CS) 186 2,033 186 2,033 10.75% 1,525,308 368,500 Postnatal Care 1,293 22,798 1,293 22,798 24.98% 37,920 26,730 Neonatal Care 759 17,677 759 17,677 28.19% 18,770 18,830 Menstrual Regulation 184 5,060 184 5,060 29.35% 75,150 70,050 Post Abortion Care 16 206 16 206 0.00% 9,100 13,000 Family Planning 4,222 104,557 4,222 104,557 26.53% 0 0 Emergency Contraceptive Pill 1 11 1 11 0.00% 70 0 Maternal Nutrition 4,175 38,497 4,175 38,497 37.05% 0 40,045 Violence Against Women 75 1,197 75 1,197 41.33% 650 3,250 Adolescent Reproductive 2,511 34,058 3,111 35,046 36.44% 30,145 71,075 Health Care RTI/STI Care 1,092 11,731 1,092 11,767 38.46% 20,370 33,130 Other Reproductive Health 323 4,508 325 4,538 16.72% 4,250 9,450 Care

Child Health Care 58,348 515,637 58,348 516,142 29.86% 53,840 82,694

Immunization Program - EPI 4,621 61,394 4,621 61,394 10.60% 0 0 Immunization Program - NID 47,889 366,512 47,889 366,512 30.64% 0 0 Control of Diarrhoea & Other 1,042 21,604 1,042 21,604 38.00% 21,830 29,870 Childhood Diseases Diarrhea 985 21,547 985 21,547 36.75% 20,710 28,140 Measles 57 57 57 57 59.65% 1,120 1,730 Control of Acute Respiratory 1,388 24,144 1,388 24,144 35.88% 32,010 37,300 Infections Control of Micronutrient 3,408 41,983 3,408 42,488 40.14% 0 15,524 Deficiency Child Nutrition 2,730 29,299 2,730 29,804 41.72% 0 15,524 Vitamin A Deficiency 678 12,684 678 12,684 33.78% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

84 Page

DNCC PA1, Nari Maitree (October-December, 2020)

TABLE 08.06: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 8,645 104,555 8,645 104,591 29.43% 250,832 208,830

First Aid for Injuries 103 1,089 103 1,089 35.92% 2,660 2,490 Emergency Care 113 1,246 113 1,246 25.66% 4,330 1,750 Treatment of Minor 8,429 102,220 8,429 102,256 29.40% 243,842 204,590 Infections

Support Services for ESP+ 4,053 73,809 8,864 152,629 20.43% 989,104 264,177

Diagnostic Service 4,011 72,782 8,822 151,602 20.62% 977,604 263,077 Emergency Transportation 42 1,027 42 1,027 2.38% 11,500 1,100 Service Behavior Change 28,818 367,249 27,998 365,546 26.53% 0 0 Communication Health Education (Session) 6,058 113,781 5,320 112,770 33.36% 0 0 Counseling 22,760 253,468 22,678 252,776 24.71% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 29.07% 691,364 283,372 Medicine a. ESP+ Clinical Service 91,258 1,019,808 96,671 1,100,223 29.71% 3,223,182 1,341,739 b. BCC - Health Education 6,058 113,781 5,320 112,770 33.36% 0 0 c. BCC - Counselling 22,760 253,468 22,678 252,776 24.71% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 42 1,027 42 1,027 2.38% 11,500 1,100 Transportation

Grand Total 120,118 1,388,084 124,711 1,466,796 28.94% 3,234,682 1,342,839 a. ESP+ Clinical Service % 75.97% - 77.52% - - 100% 100% b. BCC - Health Education 5.04% - 4.27% - - 0% 0% % c. BCC- Counseling % 18.95% - 18.18% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.03% - 0.03% - - 0% 0%

Transportation %

85 Page

DNCC PA2, Nari Maitree (October-December, 2020)

TABLE 08.07: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 24,492 253,473 24,759 256,102 21.67% 2,070,665 903,345

Maternal Care 10,721 118,933 10,721 118,867 21.05% 1,760,338 700,587 Antenatal Care 6,573 74,131 6,573 74,057 15.96% 179,495 64,255 Delivery Care (NVD) 191 1,875 191 1,875 64.92% 72,600 137,500 Delivery Care (CS) 169 1,915 169 1,915 20.71% 1,413,700 445,300 Postnatal Care 2,393 27,079 2,393 27,081 35.27% 50,368 41,257 Neonatal Care 1,395 13,933 1,395 13,939 14.70% 44,175 12,275 Menstrual Regulation 213 2,851 213 2,851 27.23% 122,900 47,500 Post Abortion Care 4 61 4 61 0.00% 4,800 0 Family Planning 4,056 39,136 4,056 39,027 11.76% 0 500 Emergency Contraceptive Pill 1 1 1 1 0.00% 50 0 Maternal Nutrition 67 207 67 207 44.78% 0 0 Violence Against Women 202 1,603 202 1,602 64.85% 1,800 7,300 Adolescent Reproductive 4,308 41,328 4,499 43,537 19.29% 77,607 67,018 Health Care RTI/STI Care 3,694 31,291 3,741 31,340 34.27% 69,520 58,590 Other Reproductive Health 1,226 18,062 1,255 18,609 20.96% 33,650 21,850 Care

Child Health Care 58,323 485,802 58,323 560,341 5.97% 187,950 53,711

Immunization Program - EPI 9,024 86,863 9,024 86,912 11.05% 0 0 Immunization Program - NID 42,553 328,199 42,553 402,687 3.26% 0 0 Control of Diarrhoea & Other 2,475 25,693 2,475 25,692 13.70% 79,260 16,363 Childhood Diseases Diarrhea 2,475 25,690 2,475 25,689 13.70% 79,260 16,363 Measles 0 3 0 3 0.00% 0 0 Control of Acute Respiratory 3,366 34,429 3,366 34,436 15.89% 106,690 33,623 Infections Control of Micronutrient 905 10,618 905 10,614 24.97% 2,000 3,725 Deficiency Child Nutrition 117 413 117 407 12.82% 1,600 850 Vitamin A Deficiency 788 10,205 788 10,207 26.78% 400 2,875

Iodine Deficiency 0 0 0 0 0.00% 0 0

86 Page

DNCC PA2, Nari Maitree (October-December, 2020)

TABLE 08.07: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 26 241 26 241 50.00% 450 250 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 26 241 26 241 50.00% 450 250 Diseases Control

Limited Curative Care 6,766 75,870 6,857 77,608 28.91% 147,463 95,854

First Aid for Injuries 47 252 47 248 59.57% 950 1,400 Emergency Care 33 146 33 146 75.76% 400 1,950 Treatment of Minor 6,686 75,472 6,777 77,214 28.46% 146,113 92,504 Infections

Support Services for ESP+ 4,860 46,117 11,610 122,992 20.41% 1,099,323 181,644

Diagnostic Service 4,838 46,006 11,588 122,881 20.17% 1,097,923 176,444 Emergency Transportation 22 111 22 111 72.73% 1,400 5,200 Service Behavior Change 38,922 429,225 38,922 417,057 16.37% 0 0 Communication Health Education (Session) 15,700 207,541 15,700 198,741 13.41% 0 0 Counseling 23,222 221,684 23,222 218,316 18.37% 0 0

Miscellaneous 0 2,769 0 2,287 0.00% 0 0

Adolescent Development 0 2,769 0 2,287 0.00% 0 0 Program Income Generation from - - - - 24.31% 346,240 111,202 Medicine a. ESP+ Clinical Service 94,445 861,392 101,553 1,017,173 12.43% 3,504,451 1,229,604 b. BCC - Health Education 15,700 207,541 15,700 198,741 13.41% 0 0 c. BCC - Counselling 23,222 221,684 23,222 218,316 18.37% 0 0 d. Adolescent 0 2,769 0 2,287 0.00% 0 0 Development Program e. Emergency 22 111 22 111 72.73% 1,400 5,200 Transportation

Grand Total 133,389 1,293,497 140,497 1,436,628 13.59% 3,505,851 1,234,804 a. ESP+ Clinical Service % 70.80% - 72.28% - - 100% 100% b. BCC - Health Education 11.77% - 11.17% - - 0% 0% % c. BCC- Counseling % 17.41% - 16.53% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.02% - 0.02% - - 0% 0%

Transportation %

87 Page

DNCC PA3, DAM (October-December, 2020)

TABLE 08.08: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 23,013 244,078 23,027 245,468 35.38% 1,335,290 906,300

Maternal Care 10,651 113,006 10,651 113,006 34.02% 1,160,940 722,760 Antenatal Care 6,622 71,939 6,622 71,939 34.16% 196,450 134,650 Delivery Care (NVD) 222 2,604 222 2,604 30.18% 153,000 69,000 Delivery Care (CS) 113 1,130 113 1,130 31.86% 702,400 444,800 Postnatal Care 2,344 24,025 2,344 24,025 33.49% 72,230 43,670 Neonatal Care 1,350 13,308 1,350 13,308 35.04% 36,860 30,640 Menstrual Regulation 195 2,102 195 2,102 44.10% 92,200 82,800 Post Abortion Care 13 129 13 129 38.46% 8,000 5,000 Family Planning 7,058 73,364 7,058 73,304 34.73% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 85 1,118 85 1,118 42.35% 0 0 Violence Against Women 84 1,038 84 1,038 59.52% 0 0 Adolescent Reproductive 2,930 24,563 2,944 25,927 35.49% 37,840 54,050 Health Care RTI/STI Care 1,609 14,915 1,609 14,925 44.62% 35,260 40,640 Other Reproductive Health 388 13,843 388 13,919 34.54% 1,050 1,050 Care

Child Health Care 10,104 166,678 10,013 166,581 21.65% 68,780 65,670

Immunization Program - EPI 7,262 77,418 7,171 77,327 15.12% 0 0 Immunization Program - NID 0 52,149 0 52,149 0.00% 0 0 Control of Diarrhoea & Other 1,253 14,539 1,253 14,539 38.95% 31,060 31,590 Childhood Diseases Diarrhea 1,253 14,532 1,253 14,532 38.95% 31,060 31,590 Measles 0 7 0 7 0.00% 0 0 Control of Acute Respiratory 1,451 17,142 1,451 17,135 36.25% 37,720 33,930 Infections Control of Micronutrient 138 5,430 138 5,431 55.07% 0 150 Deficiency Child Nutrition 101 1,396 101 1,397 51.49% 0 0 Vitamin A Deficiency 34 4,014 34 4,014 61.76% 0 0

Iodine Deficiency 3 20 3 20 100.00% 0 150

88 Page

DNCC PA3, DAM (October-December, 2020)

TABLE 08.08: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 3 0 10 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 3 0 10 0.00% 0 0 Diseases Control

Limited Curative Care 9,786 155,512 9,788 157,237 34.06% 229,940 251,660

First Aid for Injuries 36 395 36 395 41.67% 1,050 700 Emergency Care 33 212 33 212 39.39% 1,000 650 Treatment of Minor 9,717 154,905 9,719 156,630 34.01% 227,890 250,310 Infections

Support Services for ESP+ 3,284 80,566 6,534 91,991 32.55% 370,520 251,335

Diagnostic Service 3,284 80,517 6,534 91,942 32.55% 370,520 251,335 Emergency Transportation 0 49 0 49 0.00% 0 0 Service Behavior Change 40,161 452,496 39,229 336,398 32.34% 0 0 Communication Health Education (Session) 4,185 66,583 4,185 22,316 34.05% 0 0 Counseling 35,976 385,913 35,044 314,082 32.14% 0 0

Miscellaneous 0 8,190 0 546 0.00% 0 0

Adolescent Development 0 8,190 0 546 0.00% 0 0 Program Income Generation from - - - - 24.12% 477,303 151,742 Medicine a. ESP+ Clinical Service 46,187 646,788 49,362 661,238 31.90% 2,004,530 1,474,965 b. BCC - Health Education 4,185 66,583 4,185 22,316 34.05% 0 0 c. BCC - Counselling 35,976 385,913 35,044 314,082 32.14% 0 0 d. Adolescent 0 8,190 0 546 0.00% 0 0 Development Program e. Emergency 0 49 0 49 0.00% 0 0 Transportation

Grand Total 86,348 1,107,523 88,591 998,231 32.10% 2,004,530 1,474,965 a. ESP+ Clinical Service % 53.49% - 55.72% - - 100% 100% b. BCC - Health Education 4.85% - 4.72% - - 0% 0% % c. BCC- Counseling % 41.66% - 39.56% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

89 Page

DNCC PA4, BAPSA (October-December, 2020)

TABLE 08.09: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 17,248 234,010 17,300 234,933 4.88% 1,421,315 522,545

Maternal Care 7,288 105,127 7,288 105,127 5.05% 1,233,130 234,720 Antenatal Care 4,102 59,628 4,102 59,628 4.39% 175,230 29,820 Delivery Care (NVD) 270 2,955 270 2,955 13.70% 233,000 37,000 Delivery Care (CS) 85 787 85 787 15.29% 709,000 141,000 Postnatal Care 1,588 25,081 1,588 25,081 3.90% 62,800 16,600 Neonatal Care 1,243 16,676 1,243 16,676 6.11% 53,100 10,300 Menstrual Regulation 122 1,660 122 1,660 3.28% 89,430 8,170 Post Abortion Care 1 63 1 63 0.00% 1,200 0 Family Planning 4,608 36,414 4,608 36,414 4.43% 3,385 127,460 Emergency Contraceptive Pill 4 225 4 225 25.00% 0 200 Maternal Nutrition 1,772 40,909 1,772 40,909 7.96% 0 76,045 Violence Against Women 35 368 35 368 17.14% 650 800 Adolescent Reproductive 1,651 24,256 1,673 24,936 3.33% 34,520 46,450 Health Care RTI/STI Care 879 14,148 909 14,248 3.64% 33,450 10,500 Other Reproductive Health 888 10,840 888 10,983 3.49% 25,550 18,200 Care

Child Health Care 11,768 365,746 11,768 365,810 2.29% 79,057 325,645

Immunization Program - EPI 9,075 73,787 9,075 73,787 1.51% 0 267,450 Immunization Program - NID 0 220,712 0 220,712 0.00% 0 0 Control of Diarrhoea & Other 586 8,352 586 8,352 3.75% 26,000 3,400 Childhood Diseases Diarrhea 586 8,351 586 8,351 3.75% 26,000 3,400 Measles 0 1 0 1 0.00% 0 0 Control of Acute Respiratory 1,029 13,284 1,029 13,284 4.47% 45,600 6,850 Infections Control of Micronutrient 1,078 49,611 1,078 49,675 6.03% 7,457 47,945 Deficiency Child Nutrition 587 35,712 587 35,776 4.26% 2,300 27,050 Vitamin A Deficiency 471 13,868 471 13,868 8.49% 5,157 19,895

Iodine Deficiency 20 31 20 31 0.00% 0 1,000

90 Page

DNCC PA4, BAPSA (October-December, 2020)

TABLE 08.09: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 139 5,263 147 5,271 5.76% 6,295 655 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 139 5,263 147 5,271 5.76% 6,295 655 Diseases Control

Limited Curative Care 4,631 97,149 4,687 98,859 4.77% 186,407 33,631

First Aid for Injuries 71 1,576 71 1,576 2.82% 2,800 750 Emergency Care 73 1,084 73 1,084 4.11% 3,100 550 Treatment of Minor 4,487 94,489 4,543 96,199 4.81% 180,507 32,331 Infections

Support Services for ESP+ 2,592 31,018 8,091 72,984 6.25% 659,519 60,876

Diagnostic Service 2,586 30,943 8,085 72,909 6.26% 655,819 60,876 Emergency Transportation 6 75 6 75 0.00% 3,700 0 Service Behavior Change 24,080 330,299 24,052 315,312 5.03% 0 170,550 Communication Health Education (Session) 3,678 48,283 3,653 44,606 0.19% 0 67,900 Counseling 20,402 282,016 20,399 270,706 5.90% 0 102,650

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 13.35% 593,059 91,383 Medicine a. ESP+ Clinical Service 36,372 733,111 41,987 777,782 4.13% 2,348,893 943,352 b. BCC - Health Education 3,678 48,283 3,653 44,606 0.19% 0 67,900 c. BCC - Counselling 20,402 282,016 20,399 270,706 5.90% 0 102,650 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 6 75 6 75 0.00% 3,700 0 Transportation

Grand Total 60,458 1,063,485 66,045 1,093,169 4.49% 2,352,593 1,113,902 a. ESP+ Clinical Service % 60.16% - 63.57% - - 100% 85% b. BCC - Health Education 6.08% - 5.53% - - 0% 6% % c. BCC- Counseling % 33.75% - 30.89% - - 0% 9% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.01% - 0.01% - - 0% 0%

Transportation %

91 Page

DNCC PA5, UTPS (October-December, 2020)

TABLE 08.10: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 29,308 304,299 29,387 304,609 34.21% 1,133,820 635,080

Maternal Care 10,182 118,338 10,182 120,384 34.53% 971,210 395,190 Antenatal Care 6,598 73,901 6,598 76,322 34.63% 167,145 162,855 Delivery Care (NVD) 223 2,155 223 2,155 38.12% 162,000 105,600 Delivery Care (CS) 71 946 71 946 4.23% 579,200 26,700 Postnatal Care 1,965 24,608 1,965 24,655 34.76% 35,755 61,495 Neonatal Care 1,325 16,728 1,325 16,306 34.72% 27,110 38,540 Menstrual Regulation 198 1,825 198 1,825 40.40% 47,950 71,350 Post Abortion Care 32 231 32 224 34.38% 23,100 12,100 Family Planning 10,602 92,826 10,602 92,802 33.47% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 659 5,855 659 5,830 35.20% 0 0 Violence Against Women 107 901 107 846 44.86% 150 600 Adolescent Reproductive 3,339 41,138 3,406 39,032 33.93% 19,450 78,100 Health Care RTI/STI Care 1,593 22,573 1,605 23,279 37.10% 24,440 48,210 Other Reproductive Health 2,596 20,612 2,596 20,387 33.36% 47,520 29,530 Care

Child Health Care 21,993 374,326 53,598 475,026 32.84% 58,425 80,675

Immunization Program - EPI 18,602 160,963 18,602 163,482 32.20% 0 0 Immunization Program - NID 0 163,622 31,572 262,374 0.00% 0 0 Control of Diarrhoea & Other 1,171 16,014 1,171 16,067 37.15% 23,395 34,105 Childhood Diseases Diarrhea 1,171 15,978 1,171 16,031 37.15% 23,395 34,105 Measles 0 36 0 36 0.00% 0 0 Control of Acute Respiratory 1,563 22,464 1,563 22,972 34.93% 34,310 42,590 Infections Control of Micronutrient 657 11,263 690 10,131 38.36% 720 3,980 Deficiency Child Nutrition 638 10,153 671 9,333 38.24% 720 3,980 Vitamin A Deficiency 17 1,057 17 745 41.18% 0 0

Iodine Deficiency 2 53 2 53 50.00% 0 0

92 Page

DNCC PA5, UTPS (October-December, 2020)

TABLE 08.10: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 1 72 1 72 100.00% 0 50 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 1 72 1 72 100.00% 0 50 Diseases Control

Limited Curative Care 12,352 161,135 12,352 162,905 33.31% 153,040 465,960

First Aid for Injuries 33 1,286 33 1,289 45.45% 450 1,200 Emergency Care 13 194 13 194 38.46% 250 250 Treatment of Minor 12,306 159,655 12,306 161,422 33.27% 152,340 464,510 Infections

Support Services for ESP+ 5,244 50,980 8,490 83,618 35.83% 393,455 319,625

Diagnostic Service 5,239 50,935 8,485 83,573 35.83% 392,655 317,925 Emergency Transportation 5 45 5 45 40.00% 800 1,700 Service Behavior Change 33,740 304,794 33,415 293,561 31.64% 0 0 Communication Health Education (Session) 2,866 33,833 2,662 28,760 33.46% 0 0 Counseling 30,874 270,961 30,753 264,801 31.47% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 17.46% 929,820 196,713 Medicine a. ESP+ Clinical Service 68,893 890,767 103,823 1,026,185 33.73% 1,737,940 1,499,690 b. BCC - Health Education 2,866 33,833 2,662 28,760 33.46% 0 0 c. BCC - Counselling 30,874 270,961 30,753 264,801 31.47% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 5 45 5 45 40.00% 800 1,700 Transportation

Grand Total 102,638 1,195,606 137,243 1,319,791 33.04% 1,738,740 1,501,390 a. ESP+ Clinical Service % 67.12% - 75.65% - - 100% 100% b. BCC - Health Education 2.79% - 1.94% - - 0% 0% % c. BCC- Counseling % 30.08% - 22.41% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

93 Page

RCC PA1, DAM (October-December, 2020)

TABLE 08.11: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 15,865 131,669 15,865 132,153 9.88% 969,461 681,950

Maternal Care 5,886 45,744 5,886 45,635 12.32% 891,915 609,515 Antenatal Care 3,394 30,854 3,394 30,837 12.73% 97,145 57,525 Delivery Care (NVD) 149 832 149 832 7.38% 89,700 2,000 Delivery Care (CS) 157 707 157 707 13.38% 654,900 501,100 Postnatal Care 1,235 7,645 1,235 7,553 11.98% 36,240 18,620 Neonatal Care 951 5,706 951 5,706 11.88% 13,930 30,270 Menstrual Regulation 31 269 31 269 32.26% 10,725 19,375 Post Abortion Care 1 68 1 68 0.00% 2,386 0 Family Planning 6,803 51,121 6,803 51,123 5.12% 17,795 0 Emergency Contraceptive Pill 0 58 0 58 0.00% 0 0 Maternal Nutrition 87 901 87 901 9.20% 3,360 890 Violence Against Women 20 171 20 164 15.00% 150 500 Adolescent Reproductive 1,383 15,778 1,383 15,960 14.03% 13,330 20,120 Health Care RTI/STI Care 837 6,141 837 6,238 28.67% 19,155 17,045 Other Reproductive Health 817 11,418 817 11,737 4.77% 10,645 14,505 Care

Child Health Care 9,287 44,642 9,287 44,515 3.06% 34,368 36,412

Immunization Program - EPI 2,372 27,177 2,372 26,993 0.67% 0 0 Immunization Program - NID 5,328 6,517 5,328 6,717 0.00% 0 0 Control of Diarrhoea & Other 576 3,100 576 3,100 15.97% 13,963 12,067 Childhood Diseases Diarrhea 576 3,100 576 3,100 15.97% 13,963 12,067 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 647 3,828 647 3,828 21.17% 17,105 10,665 Infections Control of Micronutrient 364 4,020 364 3,877 10.71% 3,300 13,680 Deficiency Child Nutrition 364 3,766 364 3,623 10.71% 3,300 13,680 Vitamin A Deficiency 0 254 0 254 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

94 Page

RCC PA1, DAM (October-December, 2020)

TABLE 08.11: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 11,460 122,230 11,533 162,225 29.83% 130,770 382,943

First Aid for Injuries 91 1,164 91 1,164 13.19% 3,590 660 Emergency Care 12 70 12 70 8.33% 550 0 Treatment of Minor 11,357 120,996 11,430 160,991 29.99% 126,630 382,283 Infections

Support Services for ESP+ 4,112 33,881 8,283 71,324 14.83% 585,177 225,763

Diagnostic Service 3,931 33,123 8,102 70,634 15.44% 580,177 192,663 Emergency Transportation 181 758 181 690 1.66% 5,000 33,100 Service Behavior Change 12,361 133,369 12,285 125,415 14.67% 0 0 Communication Health Education (Session) 2,339 31,605 2,338 26,377 23.26% 0 0 Counseling 10,022 101,764 9,947 99,038 12.66% 0 0

Miscellaneous 0 824 0 768 0.00% 0 0

Adolescent Development 0 824 0 768 0.00% 0 0 Program Income Generation from - - - - 12.92% 1,037,210 153,831 Medicine a. ESP+ Clinical Service 40,543 331,664 44,787 409,527 14.50% 1,714,776 1,293,968 b. BCC - Health Education 2,339 31,605 2,338 26,377 23.26% 0 0 c. BCC - Counselling 10,022 101,764 9,947 99,038 12.66% 0 0 d. Adolescent 0 824 0 768 0.00% 0 0 Development Program e. Emergency 181 758 181 690 1.66% 5,000 33,100 Transportation

Grand Total 53,085 466,615 57,253 536,400 14.49% 1,719,776 1,327,068 a. ESP+ Clinical Service % 76.37% - 78.23% - - 100% 98% b. BCC - Health Education 4.41% - 4.08% - - 0% 0% % c. BCC- Counseling % 18.88% - 17.37% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.34% - 0.32% - - 0% 2%

Transportation %

95 Page

RCC PA2, Nari Maitree (October-December, 2020)

TABLE 08.12: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 11,629 115,177 11,688 115,573 9.42% 1,259,083 691,777

Maternal Care 4,902 50,200 4,902 50,200 3.65% 1,197,489 584,276 Antenatal Care 3,381 37,527 3,381 37,527 4.26% 84,570 108,560 Delivery Care (NVD) 41 533 41 533 2.44% 48,000 1,200 Delivery Care (CS) 125 924 125 924 4.80% 1,049,600 426,400 Postnatal Care 867 6,402 867 6,402 2.65% 11,704 30,720 Neonatal Care 488 4,814 488 4,814 1.02% 3,615 17,396 Menstrual Regulation 13 172 13 172 23.08% 6,300 5,100 Post Abortion Care 4 48 4 48 0.00% 11,700 2,700 Family Planning 3,567 38,649 3,567 38,679 12.45% 7,504 7,550 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 874 0 874 0.00% 0 0 Violence Against Women 82 468 78 365 13.41% 995 2,105 Adolescent Reproductive 1,438 12,268 1,501 12,612 13.84% 11,695 41,861 Health Care RTI/STI Care 1,028 7,320 1,028 7,343 19.46% 19,455 31,440 Other Reproductive Health 595 5,178 595 5,280 10.08% 3,945 16,745 Care

Child Health Care 5,468 73,671 5,813 74,323 5.80% 16,393 27,767

Immunization Program - EPI 2,479 22,475 2,479 22,466 6.98% 0 0 Immunization Program - NID 2,103 43,138 2,448 43,799 0.00% 0 0 Control of Diarrhoea & Other 378 3,159 378 3,159 16.14% 7,493 11,407 Childhood Diseases Diarrhea 378 3,159 378 3,159 16.14% 7,493 11,407 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 508 4,045 508 4,045 16.34% 8,900 16,360 Infections Control of Micronutrient 0 854 0 854 0.00% 0 0 Deficiency Child Nutrition 0 854 0 854 0.00% 0 0 Vitamin A Deficiency 0 0 0 0 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

96 Page

RCC PA2, Nari Maitree (October-December, 2020)

TABLE 08.12: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 9,717 116,483 9,937 117,583 33.98% 92,935 339,785

First Aid for Injuries 222 2,890 222 2,890 21.62% 9,270 4,285 Emergency Care 6 124 6 124 33.33% 150 150 Treatment of Minor 9,489 113,469 9,709 114,569 34.27% 83,515 335,350 Infections

Support Services for ESP+ 2,560 53,837 5,957 64,908 20.08% 611,899 195,130

Diagnostic Service 2,556 53,768 5,953 64,839 20.11% 610,699 195,130 Emergency Transportation 4 69 4 69 0.00% 1,200 0 Service Behavior Change 10,274 151,747 10,089 149,346 7.68% 0 0 Communication Health Education (Session) 1,864 32,780 1,688 32,027 12.39% 0 0 Counseling 8,410 118,967 8,401 117,319 6.63% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 20.65% 468,718 121,988 Medicine a. ESP+ Clinical Service 29,370 359,099 33,391 372,318 17.80% 1,979,110 1,254,459 b. BCC - Health Education 1,864 32,780 1,688 32,027 12.39% 0 0 c. BCC - Counselling 8,410 118,967 8,401 117,319 6.63% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 4 69 4 69 0.00% 1,200 0 Transportation

Grand Total 39,648 510,915 43,484 521,733 15.18% 1,980,310 1,254,459 a. ESP+ Clinical Service % 74.08% - 76.79% - - 100% 100% b. BCC - Health Education 4.70% - 3.88% - - 0% 0% % c. BCC- Counseling % 21.21% - 19.32% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.01% - 0.01% - - 0% 0%

Transportation %

97 Page

KCC PA1, ADAMS (October-December, 2020)

TABLE 08.13: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 22,077 183,927 22,333 188,148 21.31% 1,113,817 772,665

Maternal Care 6,339 73,313 6,339 73,313 16.04% 928,365 425,203 Antenatal Care 4,455 54,081 4,455 54,081 15.56% 108,345 75,753 Delivery Care (NVD) 157 1,037 157 1,037 16.56% 114,800 42,200 Delivery Care (CS) 86 446 86 446 9.30% 675,000 271,000 Postnatal Care 1,029 10,642 1,029 10,642 17.01% 19,330 22,830 Neonatal Care 612 7,107 612 7,107 18.79% 10,890 13,420 Menstrual Regulation 247 2,770 247 2,770 28.74% 104,070 83,530 Post Abortion Care 7 35 7 35 14.29% 6,900 1,500 Family Planning 9,064 46,035 9,064 46,035 22.31% 0 16,590 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 1,716 6,879 1,716 6,879 25.87% 1,320 136,441 Violence Against Women 56 652 56 540 19.64% 0 950 Adolescent Reproductive 2,757 32,922 2,970 35,401 22.85% 34,060 65,570 Health Care RTI/STI Care 1,264 15,111 1,265 15,447 27.69% 26,610 24,120 Other Reproductive Health 627 6,210 669 7,728 25.36% 12,492 18,761 Care

Child Health Care 29,795 104,660 29,795 104,830 20.46% 39,115 131,154

Immunization Program - EPI 11,866 41,997 11,866 41,997 23.83% 0 7,590 Immunization Program - NID 13,754 27,301 13,754 27,318 16.42% 0 0 Control of Diarrhoea & Other 915 10,832 915 10,832 26.56% 17,960 20,070 Childhood Diseases Diarrhea 915 10,832 915 10,832 26.56% 17,960 20,070 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 1,062 12,257 1,062 12,257 27.50% 20,325 22,775 Infections Control of Micronutrient 2,198 12,273 2,198 12,426 21.61% 830 80,719 Deficiency Child Nutrition 1,902 8,248 1,902 8,401 19.77% 630 79,769 Vitamin A Deficiency 292 3,972 292 3,972 33.56% 200 750

Iodine Deficiency 4 53 4 53 25.00% 0 200

98 Page

KCC PA1, ADAMS (October-December, 2020)

TABLE 08.13: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 248 2,205 248 2,213 35.48% 3,830 8,420 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 248 2,205 248 2,213 35.48% 3,830 8,420 Diseases Control

Limited Curative Care 5,909 100,976 6,096 101,654 25.25% 107,713 106,285

First Aid for Injuries 159 1,647 159 1,647 26.42% 5,305 2,165 Emergency Care 70 890 70 890 27.14% 2,510 990 Treatment of Minor 5,680 98,439 5,867 99,117 25.19% 99,898 103,130 Infections

Support Services for ESP+ 5,673 39,939 6,066 48,888 21.33% 361,293 199,651

Diagnostic Service 5,673 39,939 6,066 48,888 21.33% 361,293 199,651 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 12,746 198,149 12,186 192,718 27.82% 0 0 Communication Health Education (Session) 5,096 66,118 5,064 65,224 29.57% 0 0 Counseling 7,650 132,031 7,122 127,494 26.65% 0 0

Miscellaneous 12 203 12 203 0.00% 0 0

Adolescent Development 12 203 12 203 0.00% 0 0 Program Income Generation from - - - - 71.73% 23,861 60,545 Medicine a. ESP+ Clinical Service 63,702 431,707 64,538 445,733 21.34% 1,625,768 1,218,175 b. BCC - Health Education 5,096 66,118 5,064 65,224 29.57% 0 0 c. BCC - Counselling 7,650 132,031 7,122 127,494 26.65% 0 0 d. Adolescent 12 203 12 203 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 76,460 630,059 76,736 638,654 22.41% 1,625,768 1,218,175 a. ESP+ Clinical Service % 83.31% - 84.10% - - 100% 100% b. BCC - Health Education 6.66% - 6.60% - - 0% 0% % c. BCC- Counseling % 10.01% - 9.28% - - 0% 0% d. Adolescent 0.02% - 0.02% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

99 Page

KCC PA2, BAPSA (October-December, 2020)

TABLE 08.14: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 11,487 137,306 11,883 141,035 20.60% 842,765 325,010

Maternal Care 4,114 56,153 4,114 56,153 12.86% 728,150 251,795 Antenatal Care 2,460 40,330 2,460 40,330 12.15% 62,515 16,840 Delivery Care (NVD) 58 498 58 498 29.31% 76,300 0 Delivery Care (CS) 77 528 77 528 18.18% 559,800 210,200 Postnatal Care 801 8,211 801 8,211 13.11% 14,660 12,860 Neonatal Care 718 6,586 718 6,586 13.09% 14,875 11,895 Menstrual Regulation 83 2,463 83 2,463 14.46% 47,510 18,890 Post Abortion Care 4 25 4 25 0.00% 9,200 2,800 Family Planning 2,911 45,351 2,911 45,351 29.99% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 343 1,238 343 1,238 23.62% 0 0 Violence Against Women 30 201 30 201 16.67% 0 0 Adolescent Reproductive 2,624 25,022 2,888 27,874 20.16% 32,940 35,280 Health Care RTI/STI Care 385 2,749 385 2,758 30.91% 6,765 5,415 Other Reproductive Health 993 4,104 1,125 4,972 21.95% 18,200 10,830 Care

Child Health Care 39,360 84,766 39,360 84,766 3.59% 31,895 33,675

Immunization Program - EPI 3,146 24,060 3,146 24,060 10.52% 0 0 Immunization Program - NID 32,150 32,989 32,150 32,989 1.50% 0 0 Control of Diarrhoea & Other 2,676 13,994 2,676 13,994 9.49% 14,850 16,560 Childhood Diseases Diarrhea 1,084 12,332 1,084 12,332 23.43% 14,850 16,560 Measles 1,592 1,662 1,592 1,662 0.00% 0 0 Control of Acute Respiratory 1,116 11,737 1,116 11,737 23.75% 16,925 16,635 Infections Control of Micronutrient 272 1,986 272 1,986 30.15% 120 480 Deficiency Child Nutrition 245 1,415 245 1,415 31.02% 120 480 Vitamin A Deficiency 27 571 27 571 22.22% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

100 Page

KCC PA2, BAPSA (October-December, 2020)

TABLE 08.14: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 163 0 163 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 163 0 163 0.00% 0 0 Diseases Control

Limited Curative Care 6,481 98,038 6,494 102,604 25.03% 77,630 100,340

First Aid for Injuries 72 529 72 529 26.39% 2,010 870 Emergency Care 12 153 12 153 33.33% 310 170 Treatment of Minor 6,397 97,356 6,410 101,922 25.00% 75,310 99,300 Infections

Support Services for ESP+ 1,835 19,312 3,669 32,740 20.05% 294,280 53,165

Diagnostic Service 1,835 19,312 3,669 32,740 20.05% 294,280 53,165 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 10,678 149,496 6,535 128,149 22.80% 0 0 Communication Health Education (Session) 1,670 19,100 145 14,069 19.58% 0 0 Counseling 9,008 130,396 6,390 114,080 23.40% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 40.82% 86,570 59,721 Medicine a. ESP+ Clinical Service 59,163 339,585 61,406 361,308 9.75% 1,246,570 512,190 b. BCC - Health Education 1,670 19,100 145 14,069 19.58% 0 0 c. BCC - Counselling 9,008 130,396 6,390 114,080 23.40% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 69,841 489,081 67,941 489,457 11.75% 1,246,570 512,190 a. ESP+ Clinical Service % 84.71% - 90.38% - - 100% 100% b. BCC - Health Education 2.39% - 0.21% - - 0% 0% % c. BCC- Counseling % 12.90% - 9.41% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

101 Page

SCC PA1, Shimantik (October-December, 2020)

TABLE 08.15: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 14,603 183,862 15,381 185,374 34.15% 895,136 951,424

Maternal Care 4,246 59,142 4,246 59,142 33.23% 849,018 466,632 Antenatal Care 2,631 35,634 2,631 35,634 31.93% 63,345 68,205 Delivery Care (NVD) 135 1,661 135 1,661 31.11% 92,750 42,250 Delivery Care (CS) 98 895 98 895 31.63% 668,162 311,838 Postnatal Care 875 11,956 875 11,956 35.77% 16,322 27,428 Neonatal Care 507 8,996 507 8,996 36.49% 8,439 16,911 Menstrual Regulation 0 0 0 0 0.00% 0 0 Post Abortion Care 4 33 4 33 50.00% 6,473 3,427 Family Planning 5,355 63,222 5,355 63,222 33.18% 0 267,750 Emergency Contraceptive Pill 4 25 4 25 25.00% 0 200 Maternal Nutrition 544 8,469 544 8,469 49.63% 0 30,560 Violence Against Women 105 1,125 105 1,125 41.90% 0 5,250 Adolescent Reproductive 3,144 34,210 3,917 35,588 33.24% 24,445 132,755 Health Care RTI/STI Care 911 13,416 911 13,479 36.11% 12,710 32,840 Other Reproductive Health 290 4,220 295 4,291 37.24% 2,490 12,010 Care

Child Health Care 7,642 81,327 24,481 134,271 33.75% 24,058 352,872

Immunization Program - EPI 5,580 48,985 5,580 48,876 31.20% 0 278,980 Immunization Program - NID 0 4,645 16,782 56,816 0.00% 0 0 Control of Diarrhoea & Other 469 6,852 469 6,852 40.09% 7,860 15,590 Childhood Diseases Diarrhea 469 6,820 469 6,820 40.09% 7,860 15,590 Measles 0 32 0 32 0.00% 0 0 Control of Acute Respiratory 931 11,896 931 11,896 37.16% 16,198 30,352 Infections Control of Micronutrient 662 8,949 719 9,831 45.92% 0 27,950 Deficiency Child Nutrition 645 8,024 702 8,906 45.89% 0 27,100 Vitamin A Deficiency 17 676 17 676 47.06% 0 850

Iodine Deficiency 0 249 0 249 0.00% 0 0

102 Page

SCC PA1, Shimantik (October-December, 2020)

TABLE 08.15: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 9 291 9 291 33.33% 100 250 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 9 291 9 291 33.33% 100 250 Diseases Control

Limited Curative Care 11,853 255,116 11,898 255,512 35.29% 142,898 452,872

First Aid for Injuries 55 809 55 809 32.73% 790 1,960 Emergency Care 0 3 0 3 0.00% 0 0 Treatment of Minor 11,798 254,304 11,843 254,700 35.30% 142,108 450,912 Infections

Support Services for ESP+ 9,735 110,610 10,138 111,937 32.18% 862,330 592,474

Diagnostic Service 9,709 107,714 10,112 109,582 32.10% 862,330 587,274 Emergency Transportation 26 2,896 26 2,355 61.54% 0 5,200 Service Behavior Change 20,922 246,019 9,283 113,549 48.87% 0 19,150 Communication Health Education (Session) 2,539 31,368 199 2,603 53.53% 0 19,150 Counseling 18,383 214,651 9,084 110,946 48.23% 0 0

Miscellaneous 144 1,375 12 115 58.33% 0 0

Adolescent Development 144 1,375 12 115 58.33% 0 0 Program Income Generation from - - - - 27.57% 305,603 116,324 Medicine a. ESP+ Clinical Service 43,816 628,310 61,881 685,030 33.94% 1,924,522 2,344,692 b. BCC - Health Education 2,539 31,368 199 2,603 53.53% 0 19,150 c. BCC - Counselling 18,383 214,651 9,084 110,946 48.23% 0 0 d. Adolescent 144 1,375 12 115 58.33% 0 0 Development Program e. Emergency 26 2,896 26 2,355 61.54% 0 5,200 Transportation

Grand Total 64,908 878,600 71,202 801,049 38.81% 1,924,522 2,369,042 a. ESP+ Clinical Service % 67.50% - 86.91% - - 100% 99% b. BCC - Health Education 3.91% - 0.28% - - 0% 1% % c. BCC- Counseling % 28.32% - 12.76% - - 0% 0% d. Adolescent 0.22% - 0.02% - - 0% 0% Development Program % e. Emergency 0.04% - 0.04% - - 0% 0%

Transportation %

103 Page

BCC PA1, Shimantik (October-December, 2020)

TABLE 08.16: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 7,786 67,650 7,957 68,343 0.00% 567,075 168,585

Maternal Care 2,779 27,849 2,779 27,849 0.00% 457,445 164,245 Antenatal Care 1,769 20,509 1,769 20,509 0.00% 74,120 1,110 Delivery Care (NVD) 134 497 134 497 0.00% 93,800 0 Delivery Care (CS) 116 735 116 735 0.00% 273,200 144,300 Postnatal Care 358 3,460 358 3,460 0.00% 3,275 12,505 Neonatal Care 402 2,648 402 2,648 0.00% 13,050 6,330 Menstrual Regulation 0 496 0 496 0.00% 0 0 Post Abortion Care 59 275 59 275 0.00% 68,650 2,150 Family Planning 3,564 15,474 3,564 15,474 0.00% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 0 0 0 0.00% 0 0 Violence Against Women 15 53 15 53 0.00% 350 400 Adolescent Reproductive 427 9,025 597 9,492 0.00% 3,980 600 Health Care RTI/STI Care 366 7,749 366 7,784 0.00% 10,550 990 Other Reproductive Health 576 6,729 577 6,920 0.00% 26,100 200 Care

Child Health Care 11,682 224,518 11,682 224,503 0.00% 27,130 4,180

Immunization Program - EPI 1,196 14,557 1,196 14,557 0.00% 0 0 Immunization Program - NID 9,680 199,476 9,680 199,476 0.00% 0 0 Control of Diarrhoea & Other 294 3,770 294 3,770 0.00% 9,490 400 Childhood Diseases Diarrhea 294 3,747 294 3,747 0.00% 9,490 400 Measles 0 23 0 23 0.00% 0 0 Control of Acute Respiratory 512 5,692 512 5,677 0.00% 17,640 3,780 Infections Control of Micronutrient 0 1,023 0 1,023 0.00% 0 0 Deficiency Child Nutrition 0 0 0 0 0.00% 0 0 Vitamin A Deficiency 0 1,023 0 1,023 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

104 Page

BCC PA1, Shimantik (October-December, 2020)

TABLE 08.16: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 1,092 21,805 1,093 21,867 0.00% 21,510 4,550

First Aid for Injuries 6 146 6 146 0.00% 300 0 Emergency Care 0 1 0 1 0.00% 0 0 Treatment of Minor 1,086 21,658 1,087 21,720 0.00% 21,210 4,550 Infections

Support Services for ESP+ 3,531 33,474 3,937 34,445 0.00% 405,605 8,540

Diagnostic Service 3,516 33,421 3,922 34,392 0.00% 399,905 7,040 Emergency Transportation 15 53 15 53 0.00% 5,700 1,500 Service Behavior Change 10,136 101,742 8,271 96,843 4.86% 0 0 Communication Health Education (Session) 3,402 36,654 1,760 32,722 14.49% 0 0 Counseling 6,734 65,088 6,511 64,121 0.00% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 0.63% 651,638 4,143 Medicine a. ESP+ Clinical Service 24,076 347,394 24,654 349,105 0.00% 1,015,620 184,355 b. BCC - Health Education 3,402 36,654 1,760 32,722 14.49% 0 0 c. BCC - Counselling 6,734 65,088 6,511 64,121 0.00% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 15 53 15 53 0.00% 5,700 1,500 Transportation

Grand Total 34,227 449,189 32,940 446,001 1.44% 1,021,320 185,855 a. ESP+ Clinical Service % 70.34% - 74.85% - - 99.44% 99.19% b. BCC - Health Education 9.94% - 5.34% - - 0% 0% % c. BCC- Counseling % 19.67% - 19.77% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.04% - 0.05% - - 0.56% 0.81%

Transportation %

105 Page

CoCC-PA-1- DAM (October-December, 2020)

TABLE 08.17: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 16,506 230,613 16,516 230,904 29.15% 1,480,015 522,335

Maternal Care 5,637 57,732 5,637 57,732 19.51% 1,369,335 290,965 Antenatal Care 3,471 37,402 3,471 37,402 20.63% 130,865 42,735 Delivery Care (NVD) 260 2,877 260 2,877 6.15% 244,000 16,000 Delivery Care (CS) 94 763 94 763 14.89% 937,200 198,800 Postnatal Care 1,237 11,441 1,237 11,441 26.03% 31,130 30,820 Neonatal Care 575 5,249 575 5,249 5.57% 26,140 2,610 Menstrual Regulation 69 864 69 864 28.99% 38,730 24,870 Post Abortion Care 0 55 0 55 0.00% 0 0 Family Planning 5,300 101,220 5,300 101,220 31.83% 2,000 10,390 Emergency Contraceptive Pill 0 2 0 2 0.00% 0 0 Maternal Nutrition 58 2,456 58 2,456 100.00% 0 1,920 Violence Against Women 69 1,096 69 1,096 62.32% 0 3,000 Adolescent Reproductive 2,638 27,677 2,648 27,937 33.47% 16,020 109,370 Health Care RTI/STI Care 1,209 18,997 1,209 19,007 50.37% 16,900 43,550 Other Reproductive Health 1,526 20,514 1,526 20,535 27.00% 37,030 38,270 Care

Child Health Care 21,961 136,830 21,961 137,295 17.25% 39,945 60,155

Immunization Program - EPI 7,585 67,173 7,585 67,173 16.47% 0 0 Immunization Program - NID 12,340 41,743 12,340 41,766 13.31% 0 0 Control of Diarrhoea & Other 462 8,196 462 8,196 45.24% 9,370 13,730 Childhood Diseases Diarrhea 462 8,196 462 8,196 45.24% 9,370 13,730 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 1,244 13,694 1,244 13,694 37.46% 30,575 31,625 Infections Control of Micronutrient 330 6,024 330 6,466 67.27% 0 14,800 Deficiency Child Nutrition 330 4,142 330 4,584 67.27% 0 14,800 Vitamin A Deficiency 0 1,882 0 1,882 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

106 Page

CoCC-PA-1- DAM (October-December, 2020)

TABLE 08.17: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 9,964 133,623 9,984 134,047 57.56% 109,125 389,050

First Aid for Injuries 284 4,477 284 4,477 69.01% 1,920 12,280 Emergency Care 0 0 0 0 0.00% 0 0 Treatment of Minor 9,680 129,146 9,700 129,570 57.22% 107,205 376,770 Infections

Support Services for ESP+ 8,552 84,863 8,552 85,078 8.21% 916,075 95,430

Diagnostic Service 8,524 84,616 8,524 84,831 8.19% 909,775 93,430 Emergency Transportation 28 247 28 247 14.29% 6,300 2,000 Service Behavior Change 25,107 317,820 11,379 138,807 24.10% 0 0 Communication Health Education (Session) 5,331 67,878 841 7,415 34.01% 0 0 Counseling 19,776 249,942 10,538 131,392 21.44% 0 0

Miscellaneous 115 1,336 12 221 42.61% 0 0

Adolescent Development 115 1,336 12 221 42.61% 0 0 Program Income Generation from - - - - 15.16% 744,956 133,167 Medicine a. ESP+ Clinical Service 56,955 585,682 56,985 587,077 26.40% 2,538,860 1,064,970 b. BCC - Health Education 5,331 67,878 841 7,415 34.01% 0 0 c. BCC - Counselling 19,776 249,942 10,538 131,392 21.44% 0 0 d. Adolescent 115 1,336 12 221 42.61% 0 0 Development Program e. Emergency 28 247 28 247 14.29% 6,300 2,000 Transportation

Grand Total 82,205 905,085 68,404 726,352 25.71% 2,545,160 1,066,970 a. ESP+ Clinical Service % 69.28% - 83.31% - - 100% 100% b. BCC - Health Education 6.49% - 1.23% - - 0% 0% % c. BCC- Counseling % 24.06% - 15.41% - - 0% 0% d. Adolescent 0.14% - 0.02% - - 0% 0% Development Program % e. Emergency 0.03% - 0.04% - - 0% 0%

Transportation %

107 Page

SM PA1. Tilottama (October-December, 2020)

TABLE 08.18: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 8,097 87,042 8,954 95,159 14.10% 1,405,975 706,398

Maternal Care 3,353 34,241 3,405 34,917 5.19% 1,347,670 640,660 Antenatal Care 2,065 23,907 2,117 24,583 5.52% 76,860 10,790 Delivery Care (NVD) 57 490 57 490 0.00% 64,900 3,500 Delivery Care (CS) 176 1,224 176 1,224 1.14% 1,183,200 591,000 Postnatal Care 656 5,786 656 5,786 5.49% 15,210 13,780 Neonatal Care 399 2,834 399 2,834 5.51% 7,500 21,590 Menstrual Regulation 22 355 22 355 18.18% 12,975 4,625 Post Abortion Care 2 10 2 10 0.00% 5,800 200 Family Planning 2,585 29,330 2,585 29,330 15.98% 0 20,250 Emergency Contraceptive Pill 9 199 9 199 0.00% 0 0 Maternal Nutrition 34 147 34 147 11.76% 0 490 Violence Against Women 14 269 14 153 14.29% 0 450 Adolescent Reproductive 815 8,952 1,575 15,938 34.36% 15,140 12,400 Health Care RTI/STI Care 877 9,154 897 9,177 22.12% 17,970 15,870 Other Reproductive Health 386 4,385 411 4,933 18.39% 6,420 11,453 Care

Child Health Care 1,442 19,356 1,787 32,271 24.13% 24,320 16,606

Immunization Program - EPI 380 3,000 380 3,435 0.00% 0 1,150 Immunization Program - NID 0 949 345 13,424 0.00% 0 0 Control of Diarrhoea & Other 377 5,692 377 5,692 32.10% 8,960 5,286 Childhood Diseases Diarrhea 297 4,550 297 4,550 31.31% 7,390 4,231 Measles 80 1,142 80 1,142 35.00% 1,570 1,055 Control of Acute Respiratory 515 7,229 515 7,229 31.07% 13,120 7,660 Infections Control of Micronutrient 170 2,486 170 2,491 39.41% 2,240 2,510 Deficiency Child Nutrition 36 159 36 164 25.00% 0 230 Vitamin A Deficiency 127 2,238 127 2,238 42.52% 2,190 1,980

Iodine Deficiency 7 89 7 89 57.14% 50 300

108 Page

SM PA1. Tilottama (October-December, 2020)

TABLE 08.18: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 3,172 44,136 3,194 44,918 27.43% 59,030 59,085

First Aid for Injuries 327 3,045 327 3,045 25.99% 5,240 2,840 Emergency Care 97 1,122 97 1,122 13.40% 350 900 Treatment of Minor 2,748 39,969 2,770 40,751 28.09% 53,440 55,345 Infections

Support Services for ESP+ 3,757 36,613 3,566 36,456 5.51% 429,826 30,819

Diagnostic Service 3,507 36,039 3,507 36,131 5.90% 411,201 23,419 Emergency Transportation 250 574 59 325 0.00% 18,625 7,400 Service Behavior Change 5,311 75,503 3,748 52,617 22.03% 0 0 Communication Health Education (Session) 1,388 23,975 340 2,129 34.22% 0 0 Counseling 3,923 51,528 3,408 50,488 17.72% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 4.10% 187,855 8,022 Medicine a. ESP+ Clinical Service 16,218 186,573 17,442 208,479 15.83% 1,900,526 805,508 b. BCC - Health Education 1,388 23,975 340 2,129 34.22% 0 0 c. BCC - Counselling 3,923 51,528 3,408 50,488 17.72% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 250 574 59 325 0.00% 18,625 7,400 Transportation

Grand Total 21,779 262,650 21,249 261,421 17.16% 1,919,151 812,908 a. ESP+ Clinical Service % 74.47% - 82.08% - - 99.03% 99.09% b. BCC - Health Education 6.37% - 1.60% - - 0% 0% % c. BCC- Counseling % 18.01% - 16.04% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 1.15% - 0.28% - - 0.97% 0.91%

Transportation %

109 Page

KMPA1. Kustia Municipality (October-December, 2020)

TABLE 08.19: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 7,400 46,337 7,403 46,521 0.28% 838,375 51,925

Maternal Care 2,670 17,606 2,670 17,606 0.41% 809,865 51,181 Antenatal Care 1,507 11,410 1,507 11,410 0.07% 37,260 346 Delivery Care (NVD) 97 558 97 558 2.06% 101,165 6,535 Delivery Care (CS) 85 389 85 389 3.53% 663,000 44,000 Postnatal Care 439 2,464 439 2,464 1.14% 4,830 280 Neonatal Care 542 2,785 542 2,785 0.00% 3,610 20 Menstrual Regulation 10 51 10 51 0.00% 11,200 0 Post Abortion Care 0 0 0 0 0.00% 0 0 Family Planning 3,312 19,626 3,312 19,814 0.00% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 319 1,402 319 1,402 0.00% 0 0 Violence Against Women 44 650 44 490 0.00% 0 0 Adolescent Reproductive 387 2,782 390 2,785 0.52% 4,060 244 Health Care RTI/STI Care 649 4,069 649 4,222 1.23% 13,250 500 Other Reproductive Health 9 151 9 151 0.00% 0 0 Care

Child Health Care 2,316 17,646 2,316 18,226 0.00% 20,990 460

Immunization Program - EPI 456 3,963 456 3,963 0.00% 0 0 Immunization Program - NID 728 1,272 728 1,272 0.00% 0 0 Control of Diarrhoea & Other 167 2,047 167 2,047 0.00% 3,620 70 Childhood Diseases Diarrhea 167 2,047 167 2,047 0.00% 3,620 70 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 793 8,872 793 8,872 0.00% 17,370 390 Infections Control of Micronutrient 172 1,492 172 2,072 0.00% 0 0 Deficiency Child Nutrition 172 988 172 1,568 0.00% 0 0 Vitamin A Deficiency 0 504 0 504 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

110 Page

KMPA1. Kustia Municipality (October-December, 2020)

TABLE 08.19: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 3,801 43,104 3,801 45,416 0.58% 33,615 6,695

First Aid for Injuries 9 123 9 123 0.00% 220 30 Emergency Care 0 0 0 0 0.00% 0 0 Treatment of Minor 3,792 42,981 3,792 45,293 0.58% 33,395 6,665 Infections

Support Services for ESP+ 1,725 15,109 3,065 26,392 0.00% 299,380 2,245

Diagnostic Service 1,634 14,582 2,974 25,865 0.00% 289,000 2,245 Emergency Transportation 91 527 91 527 0.00% 10,380 0 Service Behavior Change 2,598 35,609 2,577 34,907 3.50% 0 0 Communication Health Education (Session) 438 10,160 438 9,989 20.78% 0 0 Counseling 2,160 25,449 2,139 24,918 0.00% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 4.20% 263,903 11,559 Medicine a. ESP+ Clinical Service 15,151 121,669 16,494 136,028 0.28% 1,181,980 61,325 b. BCC - Health Education 438 10,160 438 9,989 20.78% 0 0 c. BCC - Counselling 2,160 25,449 2,139 24,918 0.00% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 91 527 91 527 0.00% 10,380 0 Transportation

Grand Total 17,840 157,805 19,162 171,462 0.75% 1,192,360 61,325 a. ESP+ Clinical Service % 84.93% - 86.08% - - 99% 100% b. BCC - Health Education 2.46% - 2.29% - - 0% 0% % c. BCC- Counseling % 12.11% - 11.16% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.51% - 0.47% - - 1% 0%

Transportation %

111 Page

KsM PA1, Nari Maitree (October-December, 2020)

TABLE 08.20: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 11,134 103,255 11,327 104,330 19.87% 1,113,975 802,657

Maternal Care 4,962 44,895 4,962 44,895 13.74% 1,081,000 740,120 Antenatal Care 2,873 26,994 2,873 26,994 14.20% 48,770 72,070 Delivery Care (NVD) 38 317 38 317 18.42% 32,350 13,250 Delivery Care (CS) 157 1,141 157 1,141 8.28% 986,300 583,700 Postnatal Care 1,349 12,373 1,349 12,373 13.71% 8,140 50,980 Neonatal Care 545 4,070 545 4,070 12.66% 5,440 20,120 Menstrual Regulation 34 421 34 421 35.29% 16,800 10,100 Post Abortion Care 1 36 1 36 0.00% 1,000 200 Family Planning 4,207 40,325 4,207 40,323 26.10% 625 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 156 544 156 544 12.18% 0 0 Violence Against Women 15 93 15 93 20.00% 240 430 Adolescent Reproductive 830 8,019 1,023 9,095 22.05% 4,750 23,445 Health Care RTI/STI Care 563 5,508 563 5,508 23.62% 6,720 14,242 Other Reproductive Health 366 3,414 366 3,415 22.40% 2,840 14,120 Care

Child Health Care 3,773 33,205 3,773 33,292 13.89% 13,230 29,575

Immunization Program - EPI 1,126 10,483 1,126 10,483 12.79% 0 0 Immunization Program - NID 1,294 8,356 1,294 8,356 4.48% 0 0 Control of Diarrhoea & Other 548 6,040 548 6,040 23.18% 6,680 14,180 Childhood Diseases Diarrhea 540 5,998 540 5,998 23.33% 6,330 14,130 Measles 8 42 8 42 12.50% 350 50 Control of Acute Respiratory 569 6,741 569 6,741 29.88% 6,550 15,395 Infections Control of Micronutrient 236 1,585 236 1,672 10.59% 0 0 Deficiency Child Nutrition 41 250 41 337 12.20% 0 0 Vitamin A Deficiency 195 1,335 195 1,335 10.26% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

112 Page

KsM PA1, Nari Maitree (October-December, 2020)

TABLE 08.20: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 6,824 80,629 15,388 196,520 22.96% 34,715 228,970

First Aid for Injuries 21 184 21 184 14.29% 660 280 Emergency Care 4 44 4 44 25.00% 150 50 Treatment of Minor 6,799 80,401 15,363 196,292 22.99% 33,905 228,640 Infections

Support Services for ESP+ 904 7,861 2,538 23,272 22.57% 298,410 66,310

Diagnostic Service 904 7,777 2,538 23,188 22.57% 298,410 66,310 Emergency Transportation 0 84 0 84 0.00% 0 0 Service Behavior Change 9,452 109,762 4,860 70,428 17.87% 0 0 Communication Health Education (Session) 0 20,308 0 13,465 0.00% 0 0 Counseling 9,452 89,454 4,860 56,963 17.87% 0 0

Miscellaneous 104 1,042 26 254 0.00% 0 0

Adolescent Development 104 1,042 26 254 0.00% 0 0 Program Income Generation from - - - - 34.27% 183,962 95,928 Medicine a. ESP+ Clinical Service 22,635 224,866 33,026 357,330 19.91% 1,460,330 1,127,512 b. BCC - Health Education 0 20,308 0 13,465 0.00% 0 0 c. BCC - Counselling 9,452 89,454 4,860 56,963 17.87% 0 0 d. Adolescent 104 1,042 26 254 0.00% 0 0 Development Program e. Emergency 0 84 0 84 0.00% 0 0 Transportation

Grand Total 32,191 335,754 37,912 428,096 19.25% 1,460,330 1,127,512 a. ESP+ Clinical Service % 70.31% - 87.11% - - 100% 100% b. BCC - Health Education 0.00% - 0.00% - - 0% 0% % c. BCC- Counseling % 29.36% - 12.82% - - 0% 0% d. Adolescent 0.32% - 0.07% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

113 Page

GM PA1, Gopalganj Municipality (October-December, 2020)

TABLE 08.21: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 2,733 27,541 2,733 27,542 24.48% 255,075 131,830

Maternal Care 1,135 12,916 1,135 12,916 17.18% 239,725 114,025 Antenatal Care 780 8,420 780 8,420 14.62% 22,455 10,845 Delivery Care (NVD) 38 363 38 363 10.53% 34,000 4,000 Delivery Care (CS) 27 268 27 268 29.63% 177,500 92,500 Postnatal Care 159 2,026 159 2,026 23.27% 1,940 4,470 Neonatal Care 131 1,839 131 1,839 24.43% 3,830 2,210 Menstrual Regulation 6 80 6 80 0.00% 5,200 400 Post Abortion Care 0 0 0 0 0.00% 0 0 Family Planning 969 9,134 969 9,134 36.95% 930 1,085 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 94 0 94 0.00% 0 0 Violence Against Women 1 58 1 58 100.00% 0 40 Adolescent Reproductive 283 2,394 283 2,395 13.07% 2,230 9,310 Health Care RTI/STI Care 282 2,288 282 2,288 19.86% 5,860 5,650 Other Reproductive Health 57 577 57 577 38.60% 1,130 1,320 Care

Child Health Care 2,310 11,361 2,310 11,367 5.89% 7,840 2,890

Immunization Program - EPI 431 3,560 431 3,560 7.66% 0 270 Immunization Program - NID 1,561 3,573 1,561 3,573 3.65% 0 0 Control of Diarrhoea & Other 146 1,481 146 1,481 17.12% 3,860 2,220 Childhood Diseases Diarrhea 146 1,481 146 1,481 17.12% 3,860 2,220 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 101 2,019 101 2,019 8.91% 3,980 400 Infections Control of Micronutrient 71 728 71 734 16.90% 0 0 Deficiency Child Nutrition 0 91 0 97 0.00% 0 0 Vitamin A Deficiency 71 637 71 637 16.90% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

114 Page

GM PA1, Gopalganj Municipality (October-December, 2020)

TABLE 08.21: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 1,860 23,785 1,860 23,998 32.37% 28,995 47,715

First Aid for Injuries 69 901 69 901 15.94% 1,400 1,380 Emergency Care 0 0 0 0 0.00% 0 0 Treatment of Minor 1,791 22,884 1,791 23,097 33.00% 27,595 46,335 Infections

Support Services for ESP+ 607 6,834 1,450 14,705 14.17% 120,490 35,520

Diagnostic Service 598 6,740 1,441 14,611 13.71% 118,640 35,520 Emergency Transportation 9 94 9 94 44.44% 1,850 0 Service Behavior Change 1,455 18,799 1,455 18,671 24.19% 0 0 Communication Health Education (Session) 304 5,745 304 5,745 27.96% 0 0 Counseling 1,151 13,054 1,151 12,926 23.20% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 0.00% 0 0 Medicine a. ESP+ Clinical Service 7,501 69,427 8,344 77,518 19.85% 410,550 217,955 b. BCC - Health Education 304 5,745 304 5,745 27.96% 0 0 c. BCC - Counselling 1,151 13,054 1,151 12,926 23.20% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 9 94 9 94 44.44% 1,850 0 Transportation

Grand Total 8,965 88,320 9,808 96,283 20.58% 412,400 217,955 a. ESP+ Clinical Service % 83.67% - 85.07% - - 100% 100% b. BCC - Health Education 3.39% - 3.10% - - 0% 0% % c. BCC- Counseling % 12.84% - 11.74% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.10% - 0.09% - - 0% 0%

Transportation %

115 Page

RACC PA1, Light House (October-December, 2020)

TABLE 08.22: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 3,706 23,152 3,762 23,324 0.16% 631,725 324,920

Maternal Care 1,625 9,710 1,625 9,710 0.31% 606,950 323,265 Antenatal Care 999 6,383 999 6,383 0.40% 66,905 5,895 Delivery Care (NVD) 27 130 27 130 0.00% 12,005 1,000 Delivery Care (CS) 85 421 85 421 0.00% 510,950 314,400 Postnatal Care 293 1,667 293 1,667 0.34% 16,620 740 Neonatal Care 221 1,109 221 1,109 0.00% 470 1,230 Menstrual Regulation 15 148 15 148 0.00% 8,300 700 Post Abortion Care 11 70 11 70 0.00% 2,675 0 Family Planning 1,112 8,868 1,112 8,868 0.00% 490 15 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 512 858 512 858 0.00% 0 0 Violence Against Women 23 95 23 95 0.00% 0 0 Adolescent Reproductive 143 1,839 143 1,842 0.00% 150 0 Health Care RTI/STI Care 75 334 80 339 0.00% 3,010 790 Other Reproductive Health 190 1,230 241 1,394 0.53% 10,150 150 Care

Child Health Care 1,917 9,606 1,974 9,313 0.00% 2,280 120

Immunization Program - EPI 335 5,555 335 5,555 0.00% 0 0 Immunization Program - NID 530 2,114 530 2,114 0.00% 0 0 Control of Diarrhoea & Other 22 86 22 86 0.00% 1,070 30 Childhood Diseases Diarrhea 21 85 21 85 0.00% 1,020 30 Measles 1 1 1 1 0.00% 50 0 Control of Acute Respiratory 26 266 26 266 0.00% 1,210 90 Infections Control of Micronutrient 1,004 1,585 1,061 1,292 0.00% 0 0 Deficiency Child Nutrition 1,004 1,585 1,061 1,292 0.00% 0 0 Vitamin A Deficiency 0 0 0 0 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

116 Page

RACC PA1, Light House (October-December, 2020)

TABLE 08.22: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 0 0 0 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 0 0 0 0.00% 0 0 Diseases Control

Limited Curative Care 1,996 20,655 1,997 20,802 0.65% 66,740 39,980

First Aid for Injuries 9 370 9 370 0.00% 1,150 0 Emergency Care 3 65 3 65 0.00% 900 0 Treatment of Minor 1,984 20,220 1,985 20,367 0.66% 64,690 39,980 Infections

Support Services for ESP+ 1,759 14,611 3,302 24,016 0.80% 306,050 11,950

Diagnostic Service 1,749 14,277 3,292 23,682 0.80% 304,150 11,950 Emergency Transportation 10 334 10 334 0.00% 1,900 0 Service Behavior Change 5,688 43,795 4,664 30,236 0.58% 0 0 Communication Health Education (Session) 1,089 7,275 155 957 0.00% 0 0 Counseling 4,599 36,520 4,509 29,279 0.72% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 0.13% 256,982 330 Medicine a. ESP+ Clinical Service 9,368 67,690 11,025 77,121 0.35% 1,004,895 376,970 b. BCC - Health Education 1,089 7,275 155 957 0.00% 0 0 c. BCC - Counselling 4,599 36,520 4,509 29,279 0.72% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 10 334 10 334 0.00% 1,900 0 Transportation

Grand Total 15,066 111,819 15,699 107,691 0.44% 1,006,795 376,970 a. ESP+ Clinical Service % 62.18% - 70.23% - - 100% 100% b. BCC - Health Education 7.23% - 0.99% - - 0% 0% % c. BCC- Counseling % 30.53% - 28.72% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.07% - 0.06% - - 0% 0%

Transportation %

117 Page

GCC PA1, FPAB (October-December, 2020)

TABLE 08.23: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 9,611 97,515 9,791 97,816 17.15% 828,418 253,770

Maternal Care 3,119 32,061 3,119 32,061 11.89% 768,493 164,145 Antenatal Care 1,845 22,407 1,845 22,407 11.22% 43,095 44,065 Delivery Care (NVD) 107 611 107 611 1.87% 74,849 20,010 Delivery Care (CS) 121 926 121 926 12.40% 631,974 72,500 Postnatal Care 686 5,415 686 5,415 13.56% 11,020 15,395 Neonatal Care 360 2,702 360 2,702 15.00% 7,555 12,175 Menstrual Regulation 24 134 24 134 29.17% 9,830 4,470 Post Abortion Care 12 119 12 119 16.67% 9,400 1,500 Family Planning 3,920 45,832 3,920 45,832 19.57% 5,750 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 498 1,923 498 1,923 19.88% 7,955 13,995 Violence Against Women 13 86 13 86 30.77% 50 150 Adolescent Reproductive 848 7,389 1,028 7,665 13.44% 9,110 45,030 Health Care RTI/STI Care 1,141 9,632 1,141 9,646 24.72% 16,880 23,880 Other Reproductive Health 36 339 36 350 5.56% 950 600 Care

Child Health Care 8,915 25,422 8,920 25,497 14.27% 24,780 40,345

Immunization Program - EPI 1,427 7,762 1,427 7,762 17.59% 0 0 Immunization Program - NID 5,879 7,729 5,879 7,729 13.47% 0 0 Control of Diarrhoea & Other 369 2,186 369 2,186 16.26% 6,985 10,595 Childhood Diseases Diarrhea 342 1,852 342 1,852 14.91% 6,535 10,095 Measles 27 334 27 334 33.33% 450 500 Control of Acute Respiratory 625 4,038 625 4,038 9.76% 13,875 14,770 Infections Control of Micronutrient 615 3,707 620 3,782 17.56% 3,920 14,980 Deficiency Child Nutrition 472 2,323 477 2,398 17.16% 3,920 14,980 Vitamin A Deficiency 143 1,384 143 1,384 18.88% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

118 Page

GCC PA1, FPAB (October-December, 2020)

TABLE 08.23: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 22 25 22 25 31.82% 400 70 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 22 25 22 25 31.82% 400 70 Diseases Control

Limited Curative Care 3,802 25,838 3,818 26,078 20.75% 20,410 120,232

First Aid for Injuries 138 1,210 138 1,210 53.62% 1,530 1,680 Emergency Care 8 53 8 53 0.00% 250 150 Treatment of Minor 3,656 24,575 3,672 24,815 19.56% 18,630 118,402 Infections

Support Services for ESP+ 1,163 14,811 3,634 38,217 16.42% 331,455 14,575

Diagnostic Service 1,146 14,463 3,617 37,869 16.49% 325,055 13,675 Emergency Transportation 17 348 17 348 11.76% 6,400 900 Service Behavior Change 10,998 82,182 10,027 70,134 16.07% 0 0 Communication Health Education (Session) 1,220 14,152 256 3,417 28.61% 0 0 Counseling 9,778 68,030 9,771 66,717 14.50% 0 0

Miscellaneous 193 2,435 92 1,356 0.00% 0 0

Adolescent Development 193 2,435 92 1,356 0.00% 0 0 Program Income Generation from - - - - 14.77% 626,081 108,524 Medicine a. ESP+ Clinical Service 23,496 163,263 26,168 187,285 16.62% 1,199,063 428,092 b. BCC - Health Education 1,220 14,152 256 3,417 28.61% 0 0 c. BCC - Counselling 9,778 68,030 9,771 66,717 14.50% 0 0 d. Adolescent 193 2,435 92 1,356 0.00% 0 0 Development Program e. Emergency 17 348 17 348 11.76% 6,400 900 Transportation

Grand Total 34,704 248,228 36,304 259,123 16.35% 1,205,463 428,992 a. ESP+ Clinical Service % 67.70% - 72.08% - - 99% 100% b. BCC - Health Education 3.52% - 0.71% - - 0% 0% % c. BCC- Counseling % 28.18% - 26.91% - - 0% 0% d. Adolescent 0.56% - 0.25% - - 0% 0% Development Program % e. Emergency 0.05% - 0.05% - - 1% 0%

Transportation %

119 Page

GCC PA2, UTPS (October-December, 2020)

TABLE 08.24: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 6,761 82,191 6,761 84,638 11.18% 419,364 248,116

Maternal Care 1,811 22,193 1,811 22,193 5.19% 375,564 143,486 Antenatal Care 1,224 16,338 1,224 16,338 6.21% 38,120 23,180 Delivery Care (NVD) 30 461 30 461 0.00% 34,400 1,600 Delivery Care (CS) 33 442 33 442 0.00% 291,994 104,006 Postnatal Care 313 3,018 313 3,018 3.83% 6,800 8,850 Neonatal Care 211 1,934 211 1,934 2.84% 4,250 5,850 Menstrual Regulation 30 459 30 459 13.33% 15,500 2,500 Post Abortion Care 2 68 2 68 0.00% 1,400 900 Family Planning 2,286 41,843 2,286 41,843 20.17% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 0 0 0 0.00% 0 0 Violence Against Women 29 178 29 178 13.79% 300 900 Adolescent Reproductive 1,886 11,488 1,886 13,935 3.71% 7,510 83,670 Health Care RTI/STI Care 368 3,215 368 3,215 27.17% 7,780 10,520 Other Reproductive Health 349 2,747 349 2,747 6.59% 11,310 6,140 Care

Child Health Care 5,634 46,096 5,634 46,096 2.18% 35,190 15,590

Immunization Program - EPI 2,712 28,886 2,712 28,886 0.48% 0 0 Immunization Program - NID 1,750 3,628 1,750 3,628 0.29% 0 0 Control of Diarrhoea & Other 312 3,761 312 3,761 13.78% 10,360 5,270 Childhood Diseases Diarrhea 312 3,761 312 3,761 13.78% 10,360 5,270 Measles 0 0 0 0 0.00% 0 0 Control of Acute Respiratory 592 5,639 592 5,639 8.45% 23,430 6,170 Infections Control of Micronutrient 268 4,182 268 4,182 4.48% 1,400 4,150 Deficiency Child Nutrition 268 4,182 268 4,182 4.48% 1,400 4,150 Vitamin A Deficiency 0 0 0 0 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

120 Page

GCC PA2, UTPS (October-December, 2020)

TABLE 08.24: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 0 376 0 376 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 0 376 0 376 0.00% 0 0 Diseases Control

Limited Curative Care 4,828 63,882 4,828 65,129 13.19% 57,875 183,525

First Aid for Injuries 49 5,869 49 5,869 16.33% 900 1,550 Emergency Care 0 0 0 0 0.00% 0 0 Treatment of Minor 4,779 58,013 4,779 59,260 13.16% 56,975 181,975 Infections

Support Services for ESP+ 967 12,036 2,496 28,574 12.82% 234,850 77,235

Diagnostic Service 932 11,950 2,461 28,488 13.30% 222,950 71,635 Emergency Transportation 35 86 35 86 0.00% 11,900 5,600 Service Behavior Change 9,316 57,393 8,177 40,231 9.40% 0 0 Communication Health Education (Session) 1,119 9,639 108 2,921 1.07% 0 0 Counseling 8,197 47,754 8,069 37,310 10.54% 0 0

Miscellaneous 0 121 0 13 0.00% 0 0

Adolescent Development 0 121 0 13 0.00% 0 0 Program Income Generation from - - - - 9.89% 191,128 20,976 Medicine a. ESP+ Clinical Service 18,155 204,495 19,684 224,727 9.03% 735,379 518,866 b. BCC - Health Education 1,119 9,639 108 2,921 1.07% 0 0 c. BCC - Counselling 8,197 47,754 8,069 37,310 10.54% 0 0 d. Adolescent 0 121 0 13 0.00% 0 0 Development Program e. Emergency 35 86 35 86 0.00% 11,900 5,600 Transportation

Grand Total 27,506 262,095 27,896 265,057 9.15% 747,279 524,466 a. ESP+ Clinical Service % 66.00% - 70.56% - - 98.41% 98.93% b. BCC - Health Education 4.07% - 0.39% - - 0% 0% % c. BCC- Counseling % 29.80% - 28.93% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.13% - 0.13% - - 1.59% 1.07%

Transportation %

121 Page

Tarab Municipality PA 01 (October-December, 2020)

TABLE 08.25: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 1,670 1,670 1,692 1,692 0.78% 12,975 1,164

Maternal Care 812 812 812 812 1.60% 6,960 1,034 Antenatal Care 511 511 511 511 2.54% 6,010 890 Delivery Care (NVD) 0 0 0 0 0.00% 0 0 Delivery Care (CS) 0 0 0 0 0.00% 0 0 Postnatal Care 263 263 263 263 0.00% 800 40 Neonatal Care 38 38 38 38 0.00% 150 104 Menstrual Regulation 1 1 1 1 0.00% 600 0 Post Abortion Care 0 0 0 0 0.00% 0 0 Family Planning 0 0 0 0 0.00% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 0 0 0 0.00% 0 0 Violence Against Women 0 0 0 0 0.00% 0 0 Adolescent Reproductive 267 267 287 287 0.00% 2,000 20 Health Care RTI/STI Care 417 417 417 417 0.00% 1,665 110 Other Reproductive Health 173 173 175 175 0.00% 1,750 0 Care

Child Health Care 6,853 6,853 6,853 6,853 0.00% 6,970 360

Immunization Program - EPI 0 0 0 0 0.00% 0 0 Immunization Program - NID 0 0 0 0 0.00% 0 0 Control of Diarrhoea & Other 89 89 89 89 0.00% 1,300 0 Childhood Diseases Diarrhea 79 79 79 79 0.00% 1,000 0 Measles 10 10 10 10 0.00% 300 0 Control of Acute Respiratory 290 290 290 290 0.00% 5,670 360 Infections Control of Micronutrient 6,474 6,474 6,474 6,474 0.00% 0 0 Deficiency Child Nutrition 6,474 6,474 6,474 6,474 0.00% 0 0 Vitamin A Deficiency 0 0 0 0 0.00% 0 0

Iodine Deficiency 0 0 0 0 0.00% 0 0

122 Page

Tarab Municipality PA 01 (October-December, 2020)

TABLE 08.25: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 4 4 4 4 0.00% 0 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 4 4 4 4 0.00% 0 0 Diseases Control

Limited Curative Care 956 956 984 984 0.00% 8,420 250

First Aid for Injuries 0 0 0 0 0.00% 0 0 Emergency Care 0 0 0 0 0.00% 0 0 Treatment of Minor 956 956 984 984 0.00% 8,420 250 Infections

Support Services for ESP+ 22 22 25 25 0.00% 3,510 50

Diagnostic Service 22 22 25 25 0.00% 3,510 50 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 1,075 1,075 1,029 1,029 0.00% 0 0 Communication Health Education (Session) 120 120 120 120 0.00% 0 0 Counseling 955 955 909 909 0.00% 0 0

Miscellaneous 42 42 42 42 0.00% 0 0

Adolescent Development 42 42 42 42 0.00% 0 0 Program Income Generation from - - - - 0.00% 0 0 Medicine a. ESP+ Clinical Service 9,505 9,505 9,558 9,558 0.14% 31,875 1,824 b. BCC - Health Education 120 120 120 120 0.00% 0 0 c. BCC - Counselling 955 955 909 909 0.00% 0 0 d. Adolescent 42 42 42 42 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 10,622 10,622 10,629 10,629 0.12% 31,875 1,824 a. ESP+ Clinical Service % 89.48% - 89.92% - - 100% 100% b. BCC - Health Education 1.13% - 1.13% - - 0% 0% % c. BCC- Counseling % 8.99% - 8.55% - - 0% 0% d. Adolescent 0.40% - 0.40% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

123 Page

Chattogram CC PA 01 (October-December, 2020)

TABLE 08.26: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 2,751 2,751 2,753 2,753 0.00% 328,135 413

Maternal Care 1,215 1,215 1,215 1,215 0.00% 301,950 3 Antenatal Care 793 793 793 793 0.00% 85,770 0 Delivery Care (NVD) 46 46 46 46 0.00% 86,500 0 Delivery Care (CS) 12 12 12 12 0.00% 115,000 0 Postnatal Care 135 135 135 135 0.00% 9,550 3 Neonatal Care 229 229 229 229 0.00% 5,130 0 Menstrual Regulation 0 0 0 0 0.00% 0 0 Post Abortion Care 1 1 1 1 0.00% 1,950 0 Family Planning 301 301 301 301 0.00% 0 410 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 0 0 0 0.00% 0 0 Violence Against Women 0 0 0 0 0.00% 0 0 Adolescent Reproductive 561 561 562 562 0.00% 10,995 0 Health Care RTI/STI Care 236 236 236 236 0.00% 4,495 0 Other Reproductive Health 437 437 438 438 0.00% 8,745 0 Care

Child Health Care 5,133 5,133 5,133 5,133 0.00% 15,881 0

Immunization Program - EPI 4,021 4,021 4,021 4,021 0.00% 0 0 Immunization Program - NID 0 0 0 0 0.00% 0 0 Control of Diarrhoea & Other 412 412 412 412 0.00% 5,310 0 Childhood Diseases Diarrhea 359 359 359 359 0.00% 4,780 0 Measles 53 53 53 53 0.00% 530 0 Control of Acute Respiratory 698 698 698 698 0.00% 10,551 0 Infections Control of Micronutrient 2 2 2 2 0.00% 20 0 Deficiency Child Nutrition 0 0 0 0 0.00% 0 0 Vitamin A Deficiency 0 0 0 0 0.00% 0 0

Iodine Deficiency 2 2 2 2 0.00% 20 0

24

1 Page

Chattogram CC PA 01 (October-December, 2020)

TABLE 08.26: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 29 29 29 29 0.00% 290 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 29 29 29 29 0.00% 290 0 Diseases Control

Limited Curative Care 4,102 4,102 4,104 4,104 0.00% 71,049 1,170

First Aid for Injuries 273 273 273 273 0.00% 3,920 0 Emergency Care 57 57 57 57 0.00% 570 0 Treatment of Minor 3,772 3,772 3,774 3,774 0.00% 66,559 1,170 Infections

Support Services for ESP+ 390 390 407 407 0.00% 145,276 0

Diagnostic Service 390 390 407 407 0.00% 145,276 0 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 0 0 0 0 0.00% 0 0 Communication Health Education (Session) 0 0 0 0 0.00% 0 0 Counseling 0 0 0 0 0.00% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 0.00% 0 0 Medicine a. ESP+ Clinical Service 12,405 12,405 12,426 12,426 0.00% 560,631 1,583 b. BCC - Health Education 0 0 0 0 0.00% 0 0 c. BCC - Counselling 0 0 0 0 0.00% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 12,405 12,405 12,426 12,426 0.00% 560,631 1,583 a. ESP+ Clinical Service % 100.00% - 100.00% - - 100% 100% b. BCC - Health Education 0.00% - 0.00% - - 0% 0% % c. BCC- Counseling % 0.00% - 0.00% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

125 Page

Chattogram CC PA 03 (October-December, 2020)

TABLE 08.27: Cuml. Cuml. PA wise Performance Contact Service Propoor % Revenue Subsidy Contact Service Summary

Reproductive Health 842 842 842 842 0.00% 16,830 0

Maternal Care 510 510 510 510 0.00% 13,510 0 Antenatal Care 322 322 322 322 0.00% 10,920 0 Delivery Care (NVD) 0 0 0 0 0.00% 0 0 Delivery Care (CS) 0 0 0 0 0.00% 0 0 Postnatal Care 81 81 81 81 0.00% 1,520 0 Neonatal Care 107 107 107 107 0.00% 1,070 0 Menstrual Regulation 0 0 0 0 0.00% 0 0 Post Abortion Care 0 0 0 0 0.00% 0 0 Family Planning 0 0 0 0 0.00% 0 0 Emergency Contraceptive Pill 0 0 0 0 0.00% 0 0 Maternal Nutrition 0 0 0 0 0.00% 0 0 Violence Against Women 0 0 0 0 0.00% 0 0 Adolescent Reproductive 97 97 97 97 0.00% 970 0 Health Care RTI/STI Care 176 176 176 176 0.00% 1,760 0 Other Reproductive Health 59 59 59 59 0.00% 590 0 Care

Child Health Care 1,998 1,998 1,998 1,998 0.00% 6,215 0

Immunization Program - EPI 1,519 1,519 1,519 1,519 0.00% 0 0 Immunization Program - NID 0 0 0 0 0.00% 0 0 Control of Diarrhoea & Other 176 176 176 176 0.00% 2,310 0 Childhood Diseases Diarrhea 154 154 154 154 0.00% 1,950 0 Measles 22 22 22 22 0.00% 360 0 Control of Acute Respiratory 287 287 287 287 0.00% 3,745 0 Infections Control of Micronutrient 16 16 16 16 0.00% 160 0 Deficiency Child Nutrition 0 0 0 0 0.00% 0 0 Vitamin A Deficiency 4 4 4 4 0.00% 40 0

Iodine Deficiency 12 12 12 12 0.00% 120 0

126 Page

Chattogram CC PA 03 (October-December, 2020)

TABLE 08.27: PA wise Performance Contact Cuml.Contact Service Cuml.Service Propoor % Revenue Subsidy Summary

Communicable Diseases 28 28 28 28 0.00% 280 0 Control Tuberculosis Control 0 0 0 0 0.00% 0 0 Other Communicable 28 28 28 28 0.00% 280 0 Diseases Control

Limited Curative Care 1,492 1,492 1,492 1,492 0.00% 17,385 100

First Aid for Injuries 80 80 80 80 0.00% 800 0 Emergency Care 6 6 6 6 0.00% 60 0 Treatment of Minor 1,406 1,406 1,406 1,406 0.00% 16,525 100 Infections

Support Services for ESP+ 24 24 24 24 0.00% 1,200 0

Diagnostic Service 24 24 24 24 0.00% 1,200 0 Emergency Transportation 0 0 0 0 0.00% 0 0 Service Behavior Change 0 0 0 0 0.00% 0 0 Communication Health Education (Session) 0 0 0 0 0.00% 0 0 Counseling 0 0 0 0 0.00% 0 0

Miscellaneous 0 0 0 0 0.00% 0 0

Adolescent Development 0 0 0 0 0.00% 0 0 Program Income Generation from - - - - 0.00% 0 0 Medicine a. ESP+ Clinical Service 4,384 4,384 4,384 4,384 0.00% 41,910 100 b. BCC - Health Education 0 0 0 0 0.00% 0 0 c. BCC - Counselling 0 0 0 0 0.00% 0 0 d. Adolescent 0 0 0 0 0.00% 0 0 Development Program e. Emergency 0 0 0 0 0.00% 0 0 Transportation

Grand Total 4,384 4,384 4,384 4,384 0.00% 41,910 100 a. ESP+ Clinical Service % 100.00% - 100.00% - - 100% 100% b. BCC - Health Education 0.00% - 0.00% - - 0% 0% % c. BCC- Counseling % 0.00% - 0.00% - - 0% 0% d. Adolescent 0.00% - 0.00% - - 0% 0% Development Program % e. Emergency 0.00% - 0.00% - - 0% 0%

Transportation %

127 Page