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Home , Bwacha (constituency), Chadiza (constituency), Chavuma (constituency), Chiengi (constituency), Chililabombwe, Chilubi (constituency)

No.

BASIC DESIGN STUDY REPORT ON THE PROJECT FOR THE IMPROVEMENT OF EXPANDED PROGRAM ON IMMUNIZATION (PHASE II) IN THE REPUBLIC OF

JULY 2006

JAPAN INTERNATIONAL COOPERATION AGENCY

GM

J R

06-153

1 Preface

In response to a request from the Government of the Republic of Zambia, the Government of Japan decided to conduct the Basic Design Study on the Project for the Improvement of Expanded Program on Immunization (Phase II) in the Republic of Zambia and entrusted the study to the Japan International Cooperation Agency (JICA).

JICA sent to the Republic of Zambia the Study Team from March 12 to 31, 2006.

The Team held discussions with the officials concerned of the Government of the Republic of Zambia, and conducted a field study at the study area. After the team returned to Japan, further studies were made and the present report has been finalized.

I hope that this report will contribute to the promotion of the Project and to the enhancement of friendly relations between our two countries.

I wish to express my sincere appreciation to the officials concerned of the Government of the Republic of Zambia for their close cooperation extended to the team.

July 2006

Masafumi KUROKI Vice-President Japan International Cooperation Agency

① Chiliabombwe ② ③ ④ ⑤ ⑥ ⑦ Luansha

Chiengi Mungwi Luwingu Kasama Chama LUAPURA NORTHERN Mansa Samfya Mwinilunga Chililabombwe ① Chingola Mpika Solwezi ② ③ Mufulira Lufwanya ④ NORTH-WESTERN ⑤ Kalulushi COPPERBELT⑦ ⑥ EASTERN Kitwe Mambwe Makaiti Mpong CENTRAL Mkushi Katete Lukulu

Kaoma Chibombo Kalabo Mongu LUSAKA Luangwa WESTERN Itezi-Tezhi Namwala Mazabuka Monze Siavonga Senanga 0 50 100 150 ｋｍ Shangombo SOUTHERN Gwembe Sesheke Choma Kazungula Kalomo 0 50 100 150 Sinazongwe

Livingstone

Map of Zambia Abbreviation AIDS Acquired Immunodeficiency Syndrome ADS Auto-Disable Syringe Syringe for immunization (special specification) BCG Bacille Calmette-Guerin Vaccine Vaccine for prevention of Tuberculosis Old name of Department for EPI in Government of CBoH Central Board of Health Zambia(dissected at March 2006) CFC Chlorofluorocarbon Commonly called: Freon Gas Development Assistance and DAC 23 developed countries( USA, UK, Japan,…) Committee DANIDA Danish International Development Agency DHMT District Health Management Team District Health office is calling DHMT DPT Diphtheria + Pertussis + Tetanus 3 kind mixtures vaccine Expanded Programme on EPI Name of Activities of immunization Immunization Hep. B Hepatitis B Vaccine GAVI Global Alliance for Vaccine A name of Donor GNI Gross National Income Economic incidence Hib Haemophilus influenzae B Name of a vaccine HIV Human Immuno-deficiancy Virus Symptom; AIDS IPV Inactivated polio vaccine For injection LDC Least Developed Country Measles Measles Vaccine MSL Medial Stores Limited Semi-private store company for medical goods NID National Immunization Day Program for National immunization OPV Oral Polio Vaccine Syrup type vaccine PHO Provincial Health Office PIS Product Information Sheets Examined and inspected by WHO, UNICE TT Tetanus Toxicoid Vaccine UCI Universal Childhood Immunization Old program name before EPI UNICEF The United Nations Children's Fund USAID United States Agency for International Development WHO World Health Organization ZAMSIF Zambia Social Investment Fund

Preface Location Maps Abbreviations Contents

Chapter 1 Background of the Project------1 Chapter 2 Contents of the Project ------2 2-1 Basic Concept of the Project ------2 2-2 Basic Design of the Requested Japanese Assistance ------3 2-2-1 Design Policy------3 2-2-2 Basic Plan ------5 2-2-3 Basic Design Drawing ------7 2-2-4 Implementation Policy ------8 2-2-4-1 Implementation Policy ------8 2-2-4-2 Implementation Conditions------9 2-2-4-3 Scope of the Works ------9 2-2-4-4 Consultant Supervision ------9 2-2-4-5 Procurement Plan------10 2-2-4-6 Quality Control Plan------12 2-2-4-7 Implementation Schedule ------13 2-3 Obligations of Recipient Country ------13 2-4 Project Operation Plan ------13 Chapter 3 Project Evaluation and Recommendations------15 3-1 Project Effect------15 3-2 Recommendations------15

〔Appendices〕 1. Member List of the Study Team 2. Study Schedule 3. List of Parties Concerned in the Recipient Country 4. Minutes of Discussions 5. Cold Chain Delivery List Chapter 1 Background of the Project

A majority of cold chain equipment in the Republic of Zambia (hereinafter referred to as “Zambia”) were provided by assistance extended around 1985 by UNICEF and other international organizations. In 1997, DANIDA, WHO and UNICEF conducted surveys and reported that many pieces of the cold chain equipment were now decrepit and it was difficult to store vaccines at an appropriate temperature. Although Zambia drew up a national plan to replace them with new equipment by 2003, they were unable to update the equipment with new one by itself due to budget restraints, requesting the assistance from the Government of Japan. Accordingly in 2002, a number of cold chain equipment were replaced with support from Japan (a total 607 units of refrigerator: 245 units of electrical refrigerator, 266 units of kerosene refrigerator, and 96 units of solar refrigerator; and others), while some refrigerators which were decrepit but still in use were excluded from the priority list of refrigerator to be supplied. Since then, some refrigerators were additionally updated with support from, for example, UNICEF (105 units of kerosene refrigerator in 2002-04) and ZAMSIF (41 units of solar refrigerators for 4 districts of the Eastern Province; 2 districts of the ; 4 districts of the Western Province; 4 districts of the Northern Province; 2 districts of the Province; and 1 district of the North-Western Province). Even so, due to the financial difficulty of Zambia, the rest of decrepit refrigerators have not been updated, and as of March 2006, about half of the currently used 1,284 units of refrigerators for the storage of vaccines in health facilities across the country (1,335 hospitals, Health Centers and other facilities, other than Provincial Health Office (PHO) and District Health Management Teams; DHMT) are still old and in bad condition. On top of that, there are 51 facilities, where refrigerators for vaccines have been disposed because they were no longer repairable, or which are not equipped with refrigerators after its recent construction. In some cases, decrepit equipment is no longer repairable, and in the other, home-use refrigerators which are inappropriate to store vaccines are substituted, and old refrigerators are still in use through repair. On the other hand, refrigerators currently in use have been used for more than 10 years: some are old models using Chroro-fluorocarbon (CFC) refrigerant or models which are no longer manufactured, so it is difficult to purchase the spare parts. For this reason too, replacement of equipment is urgently needed. At the same time, almost all DHMT is in short of trucks and motorbikes, essential means of transportation for the delivery and distribution of vaccines, and monitoring and various other activities, and need to be provided with such vehicles. Despite such circumstances, the budget (for 2003) per head earmarked for the improvement of health-related infrastructures and equipment in Zambia is 1 US$, of which the budget for the improvement and replacement of cold chain equipment accounts for a mere 4.5 percent: it is impossible to secure necessary funds to replacement cold chain equipment from the Zambian budget for health matters. In line with this, the Government of the Republic of Zambia has requested for a Japan’s Grant Aid (2nd phase) for the improvement of cold chain equipment (including motorbikes, etc.) which is necessary for expanded programme on immunization (EPI) activities.

1 The requested equipment is: 221 electric refrigerators; 126 electric/ kerosene refrigerators; 30 gas/ electric refrigerators; 226 solar refrigerators; 18 electric refrigerators for vaccines and icepacks; 72 voltage regulators; 19,200 icepacks; and 42 motorbikes.

Chapter 2 Contents of the Project

2-1 Basic Concept of the Project Drawing up a “Zambia National Cold Chain Five-Year Rehabilitation Plan,” the Republic of Zambia has aimed to replace its decrepit, outdated freezers and refrigerators with new, CFC-free ones; to improve the current situation where vaccines are stored under inappropriate, unstable temperature control; and to promote effective EPI. In response to this plan, in 2002, the Japanese Government upgraded decrepit cold chain equipment through Grant Aid (1st phase). This was followed by another upgrading, if partial, of equipment through the cooperation of UNICEF, ZAMSIF, and other organizations. However, the financial difficulty of Zambia made it difficult to further upgrade the old equipment, and currently, more than ten years have passed since its installation for about half of the refrigerators used for vaccine storage installed at public medical facilities of the country. In some cases, decrepit equipment is no longer repairable, and in other cases, home-use refrigerators which seem inappropriate to store vaccines are used as substitutes. Hence, vaccines are unable to be stored at an appropriate temperature, and effective immunization activities cannot be secured. On the other hand, some are old models using Chlorofluorocarbon (CFC) refrigerant or models which are discontinued for manufacture, making it difficult to purchase spare parts. For this reason, too, upgrading of equipment is urgently needed. In response to this state of affairs, the Government of the Republic of Zambia has requested the Grant Aid assistance (2nd phase) for the improvement of cold chain equipment necessary for immunization activities.

（１） Overall Goal and Project Purpose “The Zambia Immunization Vision & Strategy: 2006-2010” aims to raise the coverage for five regular (BCG, DTwPHib, measles, poliomyelitis, and tetanus) vaccinations to 90 percent by 2010. This Project aims to contribute to the reinforcement of immunization activities in the country through realization of vaccine storage at an appropriate temperature, thus reducing the rate of vaccine wastage, by upgrading decrepit cold chain equipment at 531 facilities; by procuring equipment to 49 facilities where there is no equipment; and by providing 9 PHOs with equipment. The Project ultimately aims to assist the country to reduce the morbidity and mortality rates of preventable diseases in the Republic of Zambia through a reduction in the rate of vaccine wastage and the implementation of effective immunization activities.

2 （２） Project Overview This Project is to upgrade decrepit cold chain equipment at 531 facilities; provide 49 health centers, where there is no equipment, with new equipment; and provide 9 PHOs with equipment.

2-2 Basic Design of the Requested Japanese Assistance

2-1-1 Design Policy （１） Basic Policy This Project aims to supply cold chain equipment to facilities across the country in order to contribute to the implementation of “Zambia National Cold Chain Five-Year Rehabilitation Plan” for enhancing the immunization system. Prior to the confirmation and examination of the contents of equipment to be supplied, confirmation was made, based on a list of existing equipment across the country, to make sure the contents of equipment supplied recently by other donors and other organizations did not overlap those planned to be supplied under this Project. And in reference to the information concerning, for example, regions having electric power transmissions by the Zambia Electricity Supply Corporation Limited, the findings of the field survey, and the information which the local consultants obtained through their local surveys which were conducted in parallel with the survey of the study team, facilities to which the equipment is to be supplied and the types of equipment were determined. At the same time, in consideration with discussions with the Zambian side and Study Team, the Project plan has been drawn up based on the following policies. (i) Basically, pieces of equipment which have been used for 10 years or more will be upgraded under this Project. Those which are no longer repairable will be included in the scope of the plan, too. Equipment will be supplied also to Health Centers currently owning no equipment. (ii) The specifications of equipment to be supplied will be those having passed the examination (the international standards of the cold chain) conducted by WHO and UNICEF. (iii) Four(4) conditions will be required in selecting refrigerators: (a) electric refrigerators for regions where electricity is supplied; (b) kerosene refrigerators for regions where electricity supply is unstable (frequent or long-hour electrical outrages), or electricity is not supplied; (c) gas refrigerators for regions where electricity supply is unstable, or electricity is not supplied but propane gas is available; (d) solar refrigerators for regions where electricity is not supplied, and neither kerosene nor gas can be supplied because roads are flooded in the rainy season and the regions are disconnected from outside. (iv) Equipment to be supplied to PHO: because PHO took over in 2005 the distribution of vaccines, and maintenance and general management of the vaccination program from DHMT, the storage capacity of vaccines at PHO needs to be enlarged. Thus, electrical refrigerator and freezer (2 units) will be supplied to each PHO. At the same time, the maintenance of equipment to be supplied is made by technicians of the PHO, so one set of maintenance tools will be supplied to

3 each PHO. (v) Supply of gas refrigerators: this type of refrigerators which do not use wicks (expendables) and keep running for two successive months with only one gas tank (two tanks or so per month for kerosene refrigerators), are effective in the rainy season (i.e., two gas cylinders are provided to keep it running for four(4) successive months), resulting in a good cost performance. Facilities in regions where electricity is not supplied but propane gas is available are located in some areas of six regions (the Eastern, Central, Northern, Southern, Lusaka, and Copperbelt provinces), so that the number of pieces of equipment to be supplied will be minimized by confining the coverage regions to those where there is no power supply or the supply is unstable, but propane gas is available. (vi) Quantity of solar refrigerators: Due to the climate in Zambia, installation work can be made only in dry seasons. Thus the number of solar refrigerators will be limited so as for the Zambian side to be able to install them in a certain period. (vii) In conformity to the Montreal Protocol prohibiting the use of chlorofluorocarbon chemicals, the refrigerants used for refrigerators to be procured under this Project will be all CFC-free. (viii) Voltage regulators: A total 6 voltage regulators for PHO, that is, 2 voltage regulators for freezer-refrigerator changeable machines; and 4 for refrigerators which PHO currently use (those are in use without regulators at the moment). Also, DHMT fall short of voltage regulators, and some have refrigerators directly connected to the electric power source for commercial use, so that one voltage regulator for each district health bureau and for electricity refrigerators (149 units) for individual health centers including hospitals, etc. will be provided. (ix) Motorbikes which the Zambian side had requested can be used for various purposes, and it is concluded that they can purchase bikes with their own efforts, so that those have been excluded from the scope of this cooperation.

（２） Policy concerning Procurement and Installation Work 1) The cold chain equipment planned to be procured in this Project whose specification is approved by WHO and UNICEF is available neither in Zambia nor in Japan, so it will be procured in third countries. 2) The installation work of solar refrigerators will be implemented by the Zambian side due to the following reasons; (i) Some maintenance staff members of the DHMT already have experience of installation work, and the work is just to connect individual units with each other, not requiring complicated work. Thus, there will be not technical problem even if the work is left to maintenance staff members currently belonging to individual PHO or DHMT. (ii) Simultaneous work by individual provinces requires a shorter work schedule than the case where the supplier hires for the agencies installation work, and thus a larger number of refrigerators can

4 be installed in a shorter period of time. (iii) If maintenance staff members of PHO and DHMT conduct the installation work, they will take advantage of the work as their practice and on the job training opportunity. 3) Antitheft Measures for Solar Panels This solar type of refrigerators consist of (a) unit of solar panels; (b) unit of rechargeable regulator; (c) battery unit; (d) unit of refrigerator; and (e) cables. The main task of the installation work is to connect individual units with cables, and to fix the solar panels. The solar panels – these are the sole unit installed outside the facilities – will be fixed on the roofs of the facilities. For this, as antitheft measure, panels will be fixed with bolts and nuts, then the threads coming out of the backside of the roof (indoors) will be crushed the pitch of bolts so as to make it difficult to remove the panels from outside.

（３） Policy concerning the Use of Local Contractors This Project will not procure the goods at local market in Zambia, and the installation work will be carried out by the Ministry of Health (MOH) of Zambia: no local contractors will be made use of.

（４） Policy concerning Operation and Maintenance by the Implementing Organization Upon implementing this Project, MOH of Zambia will give instructions and supervisory advice to individual PHO to which the equipment is to be supplied, oblige the PHOs to report distribution and installation records of the equipment procured under the Project to the central Ministry, and make sure to manage and store the records. MOH will be also obligated, after handing out the information of installation work and individual equipment to the PHOs, to report a list of installed equipment in each facility to the Japanese side via JICA office in Zambia.

（５） Policy concerning the Setting of Grades of Equipment The specifications of the cold chain equipment and voltage regulators to be procured under this Project will conform to those approved by WHO and UNICEF (equipment described in the Product Information Sheets). Where the maintenance tool sets to be supplied to PHO are concerned, the tool sets of a manufacturer or agent which has experience in supplying the cold chain equipment under the projects of UNICEF will be adopted. As for part of tools to be procured in Japan, on the other hand, manufactures are required to be Japan or DAC member countries.

2-2-2 Basic Plan （１） Equipment Plan In accordance with the Basic Policy described above, pieces of equipment to be procured are listed in the following Table 2-1.

5

Table 2-1. List of Equipment, Purpose of Use, Installation Location, etc. Installation Name of Equipment Q’ty location Plan and Reasons for Procurement a b c For storage of vaccines at DHMT and Health Electric refrigerators 194 0 0 194 Centers with electricity supply. The current refrigerators are decrepit and need to be replaced. For storage of vaccines at health centers where Kerosene/ Electric power supply is unstable or absent but kerosene is 154 0 0 154 refrigerators available. The current refrigerators are decrepit and need to be replaced. For storage of vaccines at health centers where electricity supply is unstable or absent but the gas Gas/ Electric refrigerators 51 0 0 51 can be supplied. The current refrigerators are decrepit and need to be replaced by gas-fueled ones. For storage of vaccines at health centers where electricity supply is absent and it is difficult to Solar refrigerators 181 0 0 181 supply kerosene or gas in rainy season. Current refrigerators will be replaced by new ones at facilities where accessibility is poor. For bulk storage of electric refrigerators (6 each for individual PHO, 1 each for DHMT, and 1 each Electric refrigerators/ freezer 18 18 0 0 for electric refrigerator to be newly procured). Voltage regulators are used to protect refrigerators against unstable electric power source. For voltage regulation of electric refrigerators to be newly procured (6 each for individual PHO and Voltage regulator 320 54 72 194 1 each for DHMT). Voltage regulators are used to protect refrigerators against unstable electric power source. For 9 PHO to engage in the maintenance activities Maintenance tools 9 9 0 0 of the cold chain equipment. a: PHO, b: DHMT, c: hospitals, health centers and other health facilities

（２） Facilities Covered by Project In this Project, in reference to the inventory of existing cold chain equipment across the country as of March 2006, to the information concerning regions to which the Zambian Electricity Supply Corporation Limited supplies electricity and to the findings of the field surveys by the local consultants, refrigerators, freezers and other equipment will be upgraded or newly supplied at: 9 PHOs; 72 DHMTs (voltage regulators only); 580 Health Centers (194 electric; 194 kerosene; 51 gas; and 181 solar refrigerators). However, of pieces of equipment supplied in the first (1) phase, kerosene refrigerators supplied to some Health Centers will be replaced by solar ones on the grounds that their accessibility to local DHMT is difficult in the rainy season than initially expected, which caused a delay in distribution of fuels. The kerosene-fueled machines used in these facilities will be transferred to other suitable facilities. The

6 Equipment Distribution Plan by Province and District will be attached to Appendix-5.

（３） Distribution Plan Following the arrival of equipment in Lusaka, capital of the country, the equipment is inspected, handed over from the Japanese side to the Zambian counterpart, and stored in a medical warehouse (operated by the Medical Stores Limited (MSL), semi-private operating agency). The equipment will be managed by the Children’s Health Unit of MOH. Basically, individual PHO gives a prior notice to the Children’s Health Unit which picks up equipment at the above-mentioned MSL and directly distributes the equipment to DHMT, health centers or other facilities under its management. The DHMT then distributes the equipment procured to individual facilities covered by this Project. After the distribution, data concerning the model of equipment, dates of receipts, and so on at individual facilities are gathered at the MOH via PHO so as to confirm if individual pieces of equipment have been appropriately distributed as scheduled. Where the domestic transportation in Zambia is concerned, the number of vehicles for transportation owned by the PHO and DHMT, and their conditions are not sufficient, so that vehicles of the MSL will be used in cases where particular problems arise in individual transportations.

（４） Installation of Solar Refrigerators The Zambian side will be in charge of the installation of solar refrigerators, and panel units will be placed on the roofs of the premises of each health center. As personnel engaging in installation work, one person who has training program experience will be allocated to 2 teams of installation technicians of individual districts. In the Zambian side, there are already technicians who have installation work experience of solar refrigerators, and thus there seems to be no problem with the work. Even so, technicians of the manufacturer will be present at the delivery of equipment, and training programs concerning the installation, maintenance, etc. of solar refrigerators will be provided to the technicians of individual provinces and districts. In the meantime, the installation work can be hardly implemented during the rainy season, so that it will be completed in six months in the dry season between April and October.

2-2-3 Basic Design Drawing In this Project, the solar panel of power source of the solar unit will be installed on the roof at each health center, and the Zambian side is able to install responsibly at each site. It is not necessary to prepare the drawing. And also, Zambian side will implement the installation of the solar unit. No work arises for the Japanese side.

7 2-2-4 Implementation Plan Equipment will be procured in Japan and third countries, and general competitive tender will be implemented to determine a successful contractor among Japanese firms. As for products of third countries, inspections prior to lading will be carried out by an entrusted third party. The Directorate of Public Health and Research (DPHR), the Ministry of Health of the Republic of Zambia is the organization responsible for the implementation of the Project, assuming responsibility for the distribution, maintenance and management of the equipment, whereas individual PHO and DHMT will be in charge of the actual logistics of the equipment.

2-2-4-1 Implementation Policy This Project will be officially implemented in accordance with the scheme of Japan’s Grant Aid upon the conclusion of the Exchange of Notes approved by both the Japanese and Zambian Governments. Then, a consultant – a Japanese corporation – will start engaging in implementation design work, followed by the procurement of equipment by a contractor which will be selected among Japanese corporations participating in tendering. 1) Implementation responsibility of Zambia The implementation responsibility for this Project is as follows: Responsible organization: Ministry of Health Implementing organization: Directorate of Public Health & Research, the Ministry of Health

2) Consultant After the conclusion of Exchange of Notes by the two governments, a Japanese consultant will conclude promptly a consultant agreement with the Ministry of Health of Zambia in accordance with the procedures of Grant Aid of Japan. This agreement will become valid when the Government of Japan has given approval. The consultant will implement the following tasks based on this agreement. (i) Preparation for tendering: Drawing up of tender documents, and final confirmation of specifications (ii) Tendering stage: Selection of the supplier and cooperation in relation to procurement contract (iii) Procurement stage: Engagement in procurement of equipment, and supervision of distribution, etc.

3) Supplier The supplier of equipment will be selected by tendering, and the selected supplier will conclude a contract with the Zambian side. The contract will be valid after the Government of Japan has given approval. The supplier will procure the goods and transport planned equipment in accordance with this contract.

8

2-2-4-2 Implementation Conditions Most pieces of equipment to be procured in this Project are made in Japan or third countries. Since Zambia is an inland country, equipment will be landed either in Tanzania or South Africa, transported to Lusaka, Zambia, by land for customs clearance, and supplied to the Zambian side. The Japanese side assumes responsibility up to this stage. Afterwards, the equipment will be distributed across the country, the cost of transportation to each health facility and responsibility for which the Zambian side assumes.

2-2-4-3 Scope of Works The scope of works pertaining to procurement and installation for the Japanese and Zambian sides are listed in Table 2-2.

Table 2-2. Scope of Works

Category Japanese side Zambian side Procurement of All equipment to be procured － equipment Equipment stored in the MSL in the capital of Transportation of From Japan or third countries to the country, Lusaka, will be distributed to equipment the MSL in Lusaka, Zambia health facilities in individual provinces and districts. The Zambian side will be responsible for the Installation work None installation of solar refrigerators.

2-2-4-4 Consultant Supervision The management of this Project is the procurement of equipment, so that the supervision of procurement will be implemented at the stages shown below. １） Pre-shipment Inspection of Equipment Pre-shipment inspection will be carried out by a third party prior to shipment of equipment. Items to be inspected are (i) comparison of a list of equipment in the contract, and the shipping documents; (ii) confirmation of the delivery date; and (iii) the quantity of products and packing.

２） At the time when all equipment have been delivered to the MSL in Lusaka, the capital of Zambia ① Inspection of Equipment Equipment to be procured in Japan and third countries will be delivered to the above-mentioned MSL. The consultant will confirm at this stage the specifications, quantity, and damages, if any, of the delivered equipment. ② Sorting of Equipment Equipment to be delivered and stored in the MSL will be sorted in accordance with the final

9 destinations by the Zambian side.

2-2-4-5 Quality Control Plan Each equipment to be procured will be required to have the quality of necessary precisions. The precisions of the specifications will be managed, and the quality is controlled at the time when the equipment are delivered and inspected.

（1） Cold Chain Equipment (refrigerators and freezers) Where refrigerators and freezers for storage of vaccines are concerned, products of manufacturers which have passed the qualification examination (the international standards of cold chain) by WHO and UNICEF will be adopted. Four types of refrigerators will be supplied to the health centers, which are: (i) electric refrigerator (compression type) with the capacity of 24 liters or more of vaccine storage; (ii) kerosene changeable refrigerators with the capacity of 24 liter or more of vaccine storage; (iii) gas refrigerators with the capacity of 24 liters or more of vaccine storage; (iv) solar refrigerators with the capacity of 24 liters or more of vaccine storage. Equipment for the PHO should pass the qualification test, as stated above, by WHO and UNICEF and have the capacity of 126 liters or more of vaccines. These will be freezer-refrigerator changeable machines, that is, these can be used both as freezer and as refrigerator according to necessity, and two machines will be supplied to each PHO. Since each PHO has many health centers under its jurisdiction and needs to store a large volume of vaccines, freezers and refrigerators with a large capacity will be supplied. There are two reasons for supplying both freezers and refrigerators: provincial health bureaus need to store a large amount of vaccines for a long period, and, while vaccines for yellow fevers, measles and BCG have to be stored at the range of -25 ~ -15˚C (freezing) when they are stored for a long period, those for DPT, DT, TT, Hepatitis B, Hib (influenza) have to be stored at the range of +2 ~ +8˚C (chilled). When frozen, the latter groups of vaccines can be heavily damaged and can no longer be used.

（2） Voltage Regulators As stated above, electric power failure are frequent and voltage fluctuation is unstable in Zambia. Hence, if electric refrigerators of the compression type are directly connected to the power source designed for commercial use, the burden on compressors are enormous, and are likely to cause breakdown or damage the equipment. It is essential in this country to install voltage regulators to avoid the breakdown or damages of refrigerators and to provide electricity stably. The specifications of voltage regulators will be those approved by WHO and UNICEF as in the case of refrigerators

10 described above.

(3) Maintenance Tools Tools to be procured in this Project are listed in Table 2-3 below. Of these, tools Nos. 1 – 52 are sold as a single set, so that tools of a maker or agent in a third country which has supplied their products to UNICEF or other international organizations shall be chosen. On the other hand, tools Nos. 53 – 65 are all widely used and available in any countries. However, from the viewpoint of quality control, products of a DAC member countries or Japan shall be chosen and procured in Japan.

Table 2-3. Maintenance Tools No Name of equipment No Name of equipment No Name of equipment T-handle hexagonal 1 Pinch-off pliers 23 Metal cutting saws 45 wrenches 2 Capillary tube cutters 24 Flathead screwdrivers 46 Lockable wooden boxes 3 Work mirrors 25 Phillips-head screwdrivers 47 Videotape textbooks 4 (small) tube cutters 26 Monkey spanners, 5“ 48 Service manuals 5 Metal brushes 27 Monkey spanners, 7“ 49 Protective goggles 6 Lockable tool bags 28 Ratchet sets 50 Manuals for filling unit Refrigerant aspiration and 7 Refrigerant collection bags 29 Refrigerants (R134a) 951g 51 cleaning units 8 Mobile charging systems 30 Disposable valves 52 Vessels 9 Gas leak detectors 31 Lockable bags 53 Pinch-off tools 10 Tube piercing pliers 32 Filter dryers 54 Detector drivers 11 Schrader valve removers 33 Filling tubes 55 Combination pliers 12 Digital testers 34 Micrometer calipers 56 density gauges 13 Electric digital thermometers 35 Sandpapers 57 Soldering irons Protection caps for 14 36 Flat files 58 Wrench sets high-pressure cylinders 15 Reamers for copper tubes 37 Square files 59 Heat seals 16 High-pressure cylinders 38 Tape measures 60 Soldering irons 17 Long nose pliers 39 Sets of hexagonal wrenches 61 Pipe flares crimp tool sets (with 18 Pliers for pipes 40 62 Aluminum level gauges terminals) 19 Nippers 41 Gaskets 63 Battery chargers 20 Bit sets 42 Drill-needles 64 Electric drills 21 Plastic hammers 43 Extra blades for pipe cutters 65 Drilling bit sets 22 Metal hammers 44 Flex 3m

11 2-2-4-6 Procurement Plan Expected supplier countries of the equipment are listed in Table 2-4.

Table 2-4. Supplier Countries of Equipment Third Planned equipment Local Japan Reason countries For quality control of storage of Electric refrigerators ○ vaccines For quality control of storage of Kerosene/ Electric refrigerators ○ vaccines For quality control of storage of Gas/ Electric refrigerators ○ vaccines For quality control of storage of Sola refrigerator system ○ vaccines Voltage regulator ○ For quality control For quality control of storage of Electric refrigerator / freezer ○ vaccines Maintenance tools ○ ○ For quality control

12 2-2-4-7 Implementation Schedule Table 3-5. Implementation Time Schedule

2006 2007 2008 Month 456789101112123456789101112123 total month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Exchange of Notes ▼ Contruct of Consultant ▼ i.e Work in Japan Final Confirmation of contents The third Work of Tender Document country Approval of Tender Document Work in local Tender Notice ▼ Site explanation, Drawing Tender ▼ Tender Evaluation Supply Contract ▼ Approval of MOFA ▼ Arrangement with Supplyer Approval of Drawing Product Pre-confirmation, Examination Discussion of Inspection Inspection Preshipment Inspection Transportation Plan for Implementation Management of Procure. Soft compornent total

Procurement SupervisionProcurement Adjustment of Design Implementation equipment Japan Zambia JapZambia/3rd Jap. Zambia Installation M/M M/M Q'ty M/M M/M Q'ty M/M M/M Q'ty M/M Inspection & Handing over Incharge class Inspector1 3rd 0.33 0.03 0.03 0.39 0.39 Inspector2 3rd 0.03 0.03 0.03 0.18 6 0.18 Inspector3 3rd 0.03 0.03 0.03 0.12 0.12 Local staff for Management of 3rd 0.03 0.50 0.50 1 0.50 Procurement Procurement Plan for workers for Plan Procurement Workers in Local in Workers Person in charge Class 0.27 0.33 0.50 0.17 0.50 Manager 2nd 0.50 1.27 3 1.77 Equipment Planner 3rd 0.83 1.27 3 2.10 0.27 0.50 0.50 0.33 0.50 Japanese Engineer Japanese Implementaion Plan Implementaion

procuremet 2nd 0.17 0.33 0.07 0.50 0.24 0.83 2 1.07 Inspector 3rd 0.66 0.00 0 0.66

Japanese Engineer 0.33 0.33 soft compornent soft Plan forPlan Workers in of Local Workers Plan for Workers of Consultant of Workers for Plan Japanese Engineer compornent Plan for Workers in soft Local Workers of Sub total of workers of Consultant 1.33 2.54 6 0.90 0.83 2 5.60

2-3 Obligations of Recipient Country When Japan’s Grant Aid is to be carried out, the Zambian side should implement the following tasks. ・ Logistics and distribution of the cold chain equipment to the final destinations ・ Installation work of solar refrigerators ・ In and out store control of individual refrigerator at the MSL, the reception point of equipment in Lusaka, the capital of Zambia ・ To exempt Japanese nationals and personnel from third countries, custom duties, internal taxes and other fiscal levies which may be imposed in Zambia with respect to the supply of the products under the verified contract. ・ To accord Japanese nationals and personnel from third countries, such facilities as may be necessary for their entry into Zambia and stay therein for the performance of their work. ・ Ensuring budgets and personnel necessary to appropriately make use of, maintain and manage the equipment to be procured in this Project

2-4 Project Operation Plan （１）Cost of Installation of Solar Refrigerators

13 The cost of installation of solar refrigerators to be procured in this Project (2nd phase) is summarized in Table 2-6. The Ministry of Health of Zambia has made a commitment in document to provide this cost. The budget for the Project will be released in addition to the budget for EPI by the Directorate of Public Health & Research of the Health Ministry.

Table 2-6. Cost of Installation of Solar-Powered Refrigerators Necessary for Phase II Activities Total Amount Remark Installation work (average 2.3 days / 191,700,000KWZ Child Health Unit, Health Ministry unit) Cost of fuels for transportation 9 provinces (from districts to each 74,657,500KWZ Child Health Unit, Health Ministry health-related facilities) Tools necessary for installation 19,710,000KWZ Child Health Unit, Health Ministry Grand Total 286,067,500 KWZ KWZ: Zambian

（２）Cost of Domestic Transportation of Equipment in Zambia In this Project, while the Japanese side will bear the cost of equipment transportation from Japan and third countries to Lusaka, the capital of Zambia, the Zambian counterpart will bear the cost of domestic transportation in Zambia. Table 2-7 shows the cost of equipment transportation other than solar refrigerators from individual district health bureaus to respective facilities.

Table 2-7. Costs of Equipment Transportation Other Than Sola Refrigerators Total distance of individual district Fuel cost of logistic vehicles, except for health bureaus to health centers those pertaining to solar refrigerators 63,098 km ≒43,380,000 KWZ Fuel price 5,500 KWZ/Liter Average cost per province gasoline mileage of ≒8 km/ Liter ≒4,820,000 KWZ vehicles

As shown in the table, the total logistic cost of equipment other than solar-powered refrigerators to the health facilities will be approximately 43.38 million Zambian Kwachas. The logistic costs in individual provinces vary depending on the population and the situation of the health-related facilities, and the average cost per PHO will be approximately 4.82 million Zambian Kwachas. This cost will be funded by the PHO, but if they cannot afford the entire cost, the Ministry of Health of the country will make up for the shortage.

14 Chapter 3 Project Evaluation and Recommendation

3-1 Project Effect The implementation of this Project will produce the following effects.

・ Following the upgrading of equipment in Phase I, this Project will complete the upgrading of all cold chain equipment in Zambia which has been used for 10 years or more. This will make it possible to store vaccines at appropriate temperatures, ensuring the effectiveness of vaccines, and improving the prevention effect of infections. ・ The Project will replace all refrigerators in Zambia with new models including CFC-free models, so that it will be easier to purchase spare parts and consumable goods, and to avoid troubles of unable to purchase necessary parts for repair or other purposes. ・ Refrigerators using chlorofluorocarbon as refrigerants will be removed completely, and replaced with CFC-free cold chain refrigerators which the country has sought for. This will serve as a solution to environmental problems. ・ The implementation of the Project will ensure the temperature control by the cold chain equipment, helping a reduction in the rate of vaccine wastage. ・ The implementation of the Project will make the protective vaccination activities more smoothly, helping to reduce the morbidity and mortality rates of preventable diseases. ・ The Project will fully introduce gas refrigerators to Zambia. This will help the dissemination of the same type of refrigerators, leading to a reduction in burdens of complicated maintenance and management and a cost reduction in relation to expendables.

3-2 Recommendation ・ The recipient country is asked to ensure the maintenance and management of equipment to be procured in this Project, as well as equipment procured in Phase I, on a continuous basis. ・ Due to the geographical and meteorological conditions in Zambia, the distribution of equipment to be procured in this Project must be carried out as much as possible in the dry season. The Zambian side will assume the responsibility of distribution once equipment has been delivered. The distribution seems fairly easy in that the task completes once equipment other than solar refrigerators has been delivered to the facilities concerned. In order to confirm the progress of the Project implementation, however, it is essential for the Ministry of Health of Zambia to report regularly to the JICA Office in Zambia the progress of distribution of equipment including the installation work of solar refrigerators. ・ The Republic of Zambia has set as objectives a reduction in the rate of vaccine wastage and the improved storage of vaccines in remote areas. The adaptation of new equipment will circumvent

15 damages of vaccines and other problems stemming from unstable temperatures of equipment itself. Even so, the rate of wastage is also affected by human factors, so that it is important to provide soft component support such as training of local personnel concerning the management of vaccines. ・ The Zambian side, after the implementation of the Project, will be asked to conduct monitoring surveys concerning the operation of the equipment procured and how the protective vaccination activities of the country has been improved, and to report the findings to the JICA Office in Zambia.

16 Appendices 1. Member of the Study Team （１） Eiji INUI Team Reader JICA Zambia Office （２） Daizo ARAI Equipment Planner Japan International Cooperation System （３） Tomoko NIKAI Procurement/ Estimation Planner Japan International Cooperation System

2. Study Schedule

NoDate Activties Stay 1 12-Mar Sun 16：25 Narita（NH901）→22：50 Singapore 02：15 Singapore（SQ478）→07：00 Johannesburg 2 13-Mar Mon Lusaka 11：40 Johannesburg（SA064）→13：40 Lusaka Courtesy Call to JICA Zambia Office、Embassy of Japan 3 14-Mar Tue Discussion with MOH,UNICEF Lusaka Discussion with Team of Technical Assistance Project of Japan 4 15-Mar Wed Discussion with WHO and MOH Lusaka 5 16-Mar Thr Discussion with MOH Lusaka Site survey （Lusaka Province, Kafwe District Hospital, District 6 17-Mar Fri Lusaka Health Office (DHO), Estates,Chikupi,Chinyunyu, Shimabala Site survey （Southern Province Mazabuka DHO, Kalama, 7 18-Mar Sat Lusaka Munenga, Mugoto Health Center） 8 19-Mar Sun Market Research Lusaka Site survey（Central Province Kabwe DHO, Mahatoma Gandi 9 20-Mar Mon Kabwe Hospital, , Kawama, Makululu, Kaswasa Health Center） Site survey（Central Province, Kapili Mposi District Health Office, 10 21-Mar Tue Mukushi Chilba,Waya,Luanshimba HC） Site survey （Central Province, Mukushi District Hospital, Chibwe, 11 22-Mar Wed Lusaka Musakamba, Nkolonga,Nkumbi HC） 12 23-Mar Thr Inner meeting、Meeting with MOH Lusaka Inner meeting, Meeting with Medical Stores Limited, Meeting with 13 24-Mar Fri Lusaka private company of transportation, Meeting with MOH 14 25-Mar Sat Market Research Lusaka 15 26-Mar Sun Market Research Lusaka 16 27-Mar Mon Meeting with MOH, Meeting with WHO Lusaka Meeting with MOH, Report to UNICEF 17 28-Mar Tue Lusaka Report to Japanese Embassy, ＪＩＣＡ Office 13：00 Lusaka（SA063）→15：10 Johanesburg 18 29-Mar Wed - 20：10 Johanesburg（SA234）→ →06：25 London, Meeting with the manufacturer of solar system 19 30-Mar Thr - 19：35 London（NH202）→ 20 31-Mar Fri 15：10 Tokyo 3. List of Parties Concerned in the Recipient Country (1) Embassy of Japan in Zambia Miyashita Masaaki Ambassador Suzuki Kotaro Councilor minister Katayama Takahito The second-class secretary

(2) JICA Office in Zambia Kikuchi Taro Assistant Resident Representative Festus Lubinga Program Officer

(3) Ministory of Health of Zambia Mr. Davis M. Chimfembe Directorate Planning & Development Mr. Nicolas Chikwenya Donor Coordinator Dr. Tambatamba Director, Child Health Unit Mr. Aktar Din EPI Cold-Chain Officer Mr. Dungani Cheembo EPI Logistic Officer Ms. Leo Chvundu EPI Logistitician Ms. M. Mulenga EPI Logistitician

(4) WHO, Lusaka Office Dr. Stella Anyangwe Representative Dr. Adiele Onyeza EPI Team Leader Mr. Abrahams Mwanamwenge EPI Logistic Adviser Dr. Helen Mutumbo In charge of EPI/ NPO

(5) UNICEF, Lusaka Office Mr. Flint Zulu EPI Officer Mr. Mwale Rodgers Malaria・IMCI Officer

(6) Kafuwe District, Lusaka Province Dr. Lembalenba Kafuwe District Health Office, Director Dr. Godwell Malanda Kafuwe District Health Duputy Director Mr. Dennis Musatwe Kafuwe District Health Management Team (DHMT) Planning & Development Manager Ms. Mechitilda Mwandira Kafuwe DHMT, Health Management, Manager Mr. Chris Sinkala Kafuwe DHMT, EPI Officer Ms. Ruth Humusokuc Nurse, Kafuwe District Hospital Ms. Gladis Sunkutu Nurse, Kafuwe District Hospital Ms. Elizabeth C. Kafuba Nurse, Esteit Health Center(HC) Ms. Eunice B Mwanza Health Officer, Tikupi HC Mr. Colins Mainza Public Sanitator, Chanyanya HC Ms. Moureen Phiri Nurse, Chanyanya HC Ms. Lolani Tembo M. Nurse, Shimabara Health Post

(7) , Southern Province Mr. Sylvester Malaya Technician of Cold-Chain of Mazabuka DHO Mr. Webster Michelo Staff of Public Sanitation in Kalama HC Ms. R. M. Hapeela Nurse, Munenga HC Mr. Collins Simwawza Clinical Officer, Mugoto HC

(8) , Central Province Mr. Muteteka Maxwell Kabwe DHMT, Planning, Manager Mr. Wakunuma Teddy Staff of DHMT, Enviromental Health Expert Mr. Moomba Judias DHMT, Enviromental Health Technician Ms. Bridget Banda Nurse, Mahatoma Ganzi Health Clinic Ms. Mebby Longkiawi Nurse, Mahatoma Ganzi Health Clinic Ms. Elizabeth C. Tembo Nurse, Buwacha Health Clinic Ms. Namvunza C. Mweembo Nurse, Kawama HC Ms. Joyce Kabawgafyela Nurse, Kawama HC Ms. Brenda Mubita Nurse, Maklulu HC Mr. Charles Chibangula Public Sanitator in Kasaba (9) Kapili Mposi, Central Province) Mr. H. M. Funnbeshi Kapili Mposi DHMT, Director Mr. N. Banda Manager, DHMT, Planning & Development Mr. K. C. Mwiimbu Manager, DHMT, Health Management Mr. S. S. Sikwiiya Staff of DHMT, Public Health Mr. J. Walubita Staff of DHMT, Finance Mr. A. Mulenga DHMT, Enviromental Health Technician Mr. D. C. Milimo Technician, DHMT, Cold Chain Equipment Ms. B. Kalimakwenda Nurse, Chilba HC Mr. G. Pensulo Chilba HC, Enviromental Health Technician Ms. M. K. Longwani Nurse, Waya HC Ms. S. Matimba Midwife, Luasinba HC Ms. G. Mpundu Manager, Luansinba HC Ms. L. D. Chimbwe Midwife, Chankomo HC Mr. E. Mwangala Public Sanitator, Chankomo HC

(10) Mukushi District, Central Province Mr. R. R. Mwanxi Mukushi Health Office, Director Mr. R. Chipulu Manager, DHMT Mr. I. Jaliso Inspector; DHMT Ms. Janety S. Kutoma Chibefe Health Center, Enviromental Health Technician Ms. Clara Masumba Midwife, Public Sanitator, Chibefe Health Center Ms. R. Ngonge Nurse, Musakanba HC Mr. Richard Kalembela Nkolonga HC, Enviromental Health Technician Esneya Mwenela Chanda Nurse, Nkunbi HC

(11) Primary Health Care Project in Lusaka (Phase2) Hujino Yasuyuki Project Coordinator Kim Yourinn Community Health Expert Igarashi Kumiko Nutrition Promotion Expert

(12) Medical Stores Limited Mr. David Thompson Managing Director

5 COLD CHAIN DELIVERY LIST

Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Eastern CHAMPHANDE LUX 42EK 96 1 1 Chipata CHINUNDA BP VR50 96 1 1 D1 CHIPARAMBA LUX DBM 90 1 1 CHIPUNGO LUX 42EK 84 1 1 CHIWOKO LUX 42EK 84 1 1 GONDAR LUX RAK66 84 1 1 JERUSALEM KINSASHA SOLAR 90 1 1 KAPATA LUX 42EK 95 1 1 KATONDO LUX 42EK 1998 1 1 LUKWAKWA* LUX 42EK 2001 1 1 MADZITUBA LUX 50EK 2003 1 1 1 MAGWERO LUX 42EK 84 1 1 MAKANDA BP VR50 96 1 1 MNORO* LUX DBM 2000 1 1 MWAMI S.A 82 1 1 NAMSECHE LUX 42EK 84 1 1 RUKZYE KINSASHA 96 1 1 SAMUEL LUX 50EK 2004 1 1 1 TAMANDA BP VR50 96 1 1 VESENGE LUX 42EK 84 1 1 sub total（1） 5105 5 49 22 sub total（2） 5105 5 29 22 Eastern CHADIZA LAB LUX 42AC 86 1 1 Chadiza CHANJOWE LUX 42EK 86 1 1 D2 CHIKOMA BP VR50 96 1 1 MCHENJEZA LUX 42EK 86 1 1 MITTI BP VR50 86 1 1 MKUMBUDZI LUX 42EK 86 1 1 NSADZU LUX 42EK 86 1 1 SINDEMISALE BP VR50 98 1 1 ZIMBA LUX 42EK 86 1 1 sub total（1） 1531503 sub total（2） 1531503 Eastern CHAMA URBAN VF MK140 88 1 1 Chama CHIFUNDA LUX 50EK 2002 1 1 1 D3 CHILUBANAMA LUX 42EK 88 1 1 CHILUWA BP VR50 96 1 1 FULAZA LUX 50EK 2002 1 1 1 KANYELELE LUX RAK662 88 1 1 LUNDU LUX 42EK 88 1 1 MULILO LUX 42EK 88 1 1 TEMBWE BP VR50 96 1 1 BULI - 1 sub total（1） 16213062 sub total（2） 16211062

1 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Eastern CHIMUNSI NAPS CF4915 98 1 1 Katete CHINDAWALE H.P LUX 42EK 84 1 1 D4 CHINKHOMBE - 1 CHIMTENDE BP VR50 97 1 1 KAFUMBWE LUX 42EK 84 1 1 KAGORO BP VR50 97 1 1 KAKULA H.P - 1 MINDOLA LUX 42EK 84 1 1 MNG'OMBA BP VR50 97 1 1 MTANDAZA BP VR50 97 1 1 MTETZI LUX 42EK 92 1 1 MTHUNYA BP VR50 97 1 0 1 NYEMBE LUX 42EK 84 1 1 UNDI LUX 42EK 84 1 1 CHILASA - 1 KASAMBA - 1 sub total（1） 24609700 sub total（2） 24609700 Eastern CHALUBILO BP VR50 96 1 1 Nyimba CHISIMBWE LUX 50EK 2004 1 1 1 D5 MTILIIZI NAPS CFM49 98 1 1 MWAPE LUX 50EK 2002 1 1 1 NYALUGWE LUX 50EK 2002 1 1 1 URBAN VF SB302 96 1 1 CHIMPHANJE HP - 1 sub total（1） 13213033 sub total（2） 13210033 Eastern KAMOTO HOSPITAL LUX 42EK 94 1 1 Mambwe KAMOTO OPD LUX 42EK 94 1 1 D6 KASAMANDA BP VR50 95 1 1 MALAMA LUX 42EK 88 1 1 MSORO LUX 50EK 2002 1 1 1 MPHOMWA - 1 ST.LUKE RHC LUX 50EK 2003 1 1 1 sub total（1） 05113032 sub total（2） 05111032 Eastern CHIKOMENI LUX 50EK 2002 1 1 1 Lundazi CHITUNGULU BP VR50 96 1 1 D7 KANYANGA NAPS CF4915 98 1 1 BP VR50 98 1 1 MWANYA LUX 50EK 2004 1 1 1 MITWALO NAPS CF4915 94 1 1 MUNYUKWA NAPS CF4915 94 1 1 NKHANGA NAPS CF4915 96 1 1 SCHEMES MINUS 40 98 1 1 ZUMWANDA NAPS CF4915 98 1 1 HOSPITAL NAPS CF131 91 1 1 sub total（1） 12812712 sub total（2） 12810712

2 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Eastern CHIKOWA LUX 42EK 88 1 1 Petauke CHIKUSE LUX 42EK 99 1 1 D8 CHIPUNGU NAPA CF4915 97 1 1 KAKWIYA LUX 42EK 85 1 1 KAPUMGE LUX 50EK 2004 1 1 1 LUANPHANDE BP VR50 96 1 1 MANYANE BP VR50 96 1 1 MATAMBAZ1 BP VR50 96 1 1 LUX 42EK 85 1 1 MUMBI LUX 42EK 88 1 1 MWANIKA BP VR50 95 1 1 MWANJAWANTHU LUX 42DC 91 1 1 NYAMPHONDOLO LUX 42EK 86 1 1 REFUGEE POST - 1 * LUX 42AC 2001 1 1 URBAN LUX 42EK 85 1 1 sub total（1） 195221201 sub total（2） 195121201 Lusaka CHONGWE ZNS LUX 42AC 90 1 1 Chongwe CHAILIBANA LUX 42EK 88 1 1 D9 CHIKUMBI LUX 42EK 84 1 1 KAMPEKETE BP VR50 95 1 1 KANAKANTAPA LUX 42EK 88 1 1 KASENGA HP LUX 42EK 88 1 1 KASISI LUX 42EK 88 1 1 LUKWIPA LUX 42EK 88 1 1 LUWIIMBA LUX 42EK 88 1 1 MIKANGO BARRAK LUX 42EK 88 1 1 MPANGO SOLAMATIC 95 1 1 MPANSHYA HOSP LUX 42EK 84 1 1 NGWERERE HP LUX 42EK 88 1 1 NGWERERE MAIN LUX 42AC 88 1 1 LUX 50EK 2004 1 1 1 SHIKABETA LUX 50EK 2004 1 1 1 WATER FALLS LUX 42EK 88 1 1 sub total（1） 10 5 2 11 2 0 4 2 sub total（2） 10 5 2 11 0 0 4 2 Lusaka CHIAWA LUX 50EK 2002 1 1 1 Kafue KRIS NYALUNGWEMEM - 1 D10 MWEMBESHI VF MK4010 93 1 1 MT. MAKULU LUX 42AC 91 1 1 NANGONGO MTERNITY Dmestic Frigdgedare 90 1 1 RAILWAY LUX 42EK 89 1 1 SIHIMABALA H.P - 1 ZAF 65 LUX 42EK 1 1 ZAMBIA HELPERS LUX 42EK 88 1 1 ZNS LUX 42EK 88 1 1 ARMY CAMP 85 - 1 sub total（1） 71072021 sub total（2） 71071021 Luangwa KATONDWE HOSP LUX 42DC 92 1 1 sub total（1） 00101000 sub total（2） 00101000

3 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Lusaka BAULENI LUX 42AC 90 1 1 Lusaka CHAINAMA LUX 42AC 90 1 1 D12 CHAINDA LUX 42AC 90 1 1 CHUNGA SUB STN LUX 42EK 90 1 1 GARDEN LUX 42EK 90 1 1 KAUNDA SQ LUX 42EK 90 1 1 LILAYI LUX 42EK 90 1 1 MAKENI 42AC 90 1 1 EBARA DOMESTIC 92 1 1 PRISONS LUX 42AC 90 1 1 STATE LODGE LUX 42EK 90 1 1 UTH LUX 42ACBLUE 98 1 1 EVELYNE HONE C DOMESTIC 1 1 NIPA DOMESTIC 1 1 sub total（1） 14 0 0 14 0 0 0 0 sub total（2） 14 0 0 14 0 0 0 0 Western KALUWE LUX 50EK 2002 1 1 1 Kalabo LIUMBA LUX 42DC 99 1 1 D13 LUETI LUX 42DC 92 1 1 LIOKE WEST - 1 MAMBOLOKOMA* GAS FRIDGE 2002 1 1 MAPUNGA* LUX 42EK 2001 1 1 NAMATINDI LUX 42DC 94 1 1 NYENGO LUX 42DC 99 1 1 NUMA H.P LUX 42EK 99 1 1 SIKONGO LUX 42EK 99 1 1 TAPO* LUX 42DC 2001 1 1 sub total（1） 14517031 sub total（2） 14516031 Western AHA LUX 42DC 90 1 1 Kaoma KAABA LUX 42DC 95 1 1 D14 LUAMPA LUX 42DC 90 1 1 MANGANGO LUX 42EK 90 1 1 MANGANGO ZNS LUX 42EK 90 1 1 sub total（1） 11313010 sub total（2） 11313010 Western DONGWE LUX 50EK 2004 1 1 1 Lukulu MAYANKWA LUX 42DC 94 1 1 D15 MTETE LUX 42DC 95 1 1 NGIMBU LUX 42DC 95 1 1 SIKUNDUKO LUX 42DC 95 1 1 SIMAKUMBA LUX 42DC 95 1 1 MATABA - 1 NAMAYULA - 1 NYANDA - 1 sub total（1） 01507021 sub total（2） 01506021

4 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Western IKWICHI LUX 42DC 95 1 1 Mongu KALUNDWANA LUX 42DC 92 1 1 D16 LIMULUNGA LUX 42AC 97 1 1 LITAWA LUX 42DC 88 1 1 LUANDUI LUX 42DC 88 1 1 MAMUMBU LUX 42AC 97 1 1 MONGU URBAN LUX 42AC 94 1 1 MULAMBWA LUX 42AC 94 1 1 NALWEI LUX 42EK 94 1 1 NAMATOME LUX 42DC 80 1 1 NDAU LUX 50EK 2005 1 1 1 PRISONS LUX 42AC 80 1 1 SEFULA LUX 42AC 94 1 1 NKONKO - 1 NOMAI - 1 sub total（1） 62567021 sub total（2） 62566021 Western KATABA/LIACHI BP VR50 96 1 1 Senanga LILIACHI LUX 42DC 90 1 1 D17 LITOYA LUX 42DC 94 1 1 LUI RIVER LUX 42DC 94 1 1 NALOLO LUX 50EK 2003 1 1 1 MWANAMWALYE - 1 SIKUMBI - 1 sub total（1） 01401061 sub total（2） 01400061 Western BWINA LUX 42DC 94 1 1 Sesheke KATIMA LUX 42EK 90 1 1 D18 MULOBEZI LUX 42DC 92 1 1 NAWINDA LUX 42DC 94 1 1 ZAMBEZI SAW MILL LUX 42EK 92 1 1 sub total（1） 2032003 sub total（2） 20320030 Western MBANDA LUX 42EK 90 1 1 Shangom MOLONGA LUX 42DC 90 1 1 D19 NANGWESHI LUX 42DC 90 1 1 NALWASHI LUX 42DC 90 1 1 SITOTI LUX 50EK 2003 1 1 1 sub total（1） 02303021 sub total（2） 02302021 Western BOTOKA F.MASTER-CFS20 90 1 1 Choma KAMWANU BP VR50 95 1 1 D20 KASIYA LUX 42AC 99 1 1 MAGUNZA BP VR50 95 1 1 MASUKA MISION BP VR50 94 1 1 MASUKU TERMIN LUX 42EK 89 1 1 MOCHIPAPA LUX 42AC 89 1 1 MPANZA F.MASTER-CFS20 90 1 1 NDONDI LUX 42EK 99 1 1 PEMBA MAIN F.MASTER-CFS20 90 1 1 RAILWAY SURGY VF MK4010 94 1 1 SIKALONGO SUN FROST 94 1 1 SIMAUBI LUX 42EK 92 1 1 ZNS LUX 42AC 89 1 1 sub total（1） 63557020 sub total（2） 63557020 Southern GWEMBE HAHC LUX 42AC 96 1 1 Gwembe GWEMBE HOSP DOMESTIC 94 1 1 D20 MUNYUMBWE LUX 42AC 94 1 1 sub total（1） 300 3 Gwembe sub total（2） 30030000

5 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Southern HAHC LUX 42AC 84 1 1 Itezi-Itezi KAANZWA BP VR50 96 1 1 D21 LUBANDA BP VR50 96 1 1 MUUNGA LUX 50EK 2002 1 1 1 NANSENGA B P VR50 96 1 1 sub total（1） 11312 21 sub total（2） 11311021 Southern CHIFUSA BP VR50 96 1 1 Kalomo CHILALA BP VR50 96 1 1 D23 CHOONGA LUX 42AC 99 1 1 MAYOBA - 1 MPATIZYA* DEFY DOMESTIC 2002 1 1 MUBANGA BP VR50 95 1 1 NALUJA BP VR50 95 1 1 NAMETO LUX 42EK 99 1 1 SIAMAFUMBA LUX 50EK 2005 1 1 1 SIAMBUNKULULU NAPS CFM49 97 1 1 SIMALUNDU LUX 42EK 98 1 1 SIPATONYANYONA LUX 42EK 97 1 1 ZIMBA LAB LUX 42AC 90 1 1 Nkandazovu - 1 sub total（1） 34537041 sub total（2） 34535041 Southern KAZUNGULA LUX 42AC 98 1 1 Kazangula MOOMBA* LUX 42DC 2001 1 1 D24 MUKUNI LUX 42EK 95 1 1 MUSOKOTWANE LUX 42EK 95 1 1 SEKUTE LUX 42EK 80 1 1 SIAKASIPA LUX 42EK 95 1 1 sub total（1） 14114010 sub total（2） 14114010 Livingstone POLICE LUX 42EK 92 1 1 D25 PRISONS LUX 42EK 92 1 1 sub total（1） 20020000 sub total（2） 20020000 Southern CHEEBA LUX 50EK 2004 1 1 1 Mazabuka CHIBOTE LUX 42EK 87 1 1 D26 CHIKOMBOLA LUX 42EK 87 1 1 CHIKOMKOMENE LUX 42AC 87 1 1 HANZALA BP vr50 96 1 1 KAONGA LUX 42AC 87 1 1 KASCOL LUX 42EK 87 1 1 MABAYAMUSUMA LUX 42EK 87 1 1 MAZABUKA OPD LUX 42AC 87 1 1 MUGOTO LUX 42EK 87 1 1 MUKUYU LUX 42EK 87 1 1 MUNENGA LUX 42EK 87 1 1 MUSUMA LUX 42EK 1 1 NAKOKOLA LUX 42EK 87 1 1 NANDUBA LUX 42EK 87 1 1 NANGA LUX 42AC 87 1 1 RESEARCH LUX 42AC 95 1 1 RIVERSIDE LUX 42EK 95 1 1 HAMJALIKA LUX 42EK 95 1 1 sub total（1） 11 8 0 11 7 0 1 1 sub total（2） 11 8 0 11 6 0 1 1

6 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Southern CHIKUNI HOSP 42EK 1 1 Monze HAMANGABA LUX RAK 92 1 1 D27 KEEMBA SOLAMATIC PVQ150/104 1996 1 1 MOOMBA BP VR50 95 1 1 MOONZWE LUX 42EK 92 1 1 MTEME H. POST LUX 42EK 92 1 1 NJOLA MWANZA NESTE CPM49 99 1 1 ST. MARYS LUX 42EK 92 1 1 sub total（1） 14326000 sub total（2） 14326000 Southern CHITONGO SOLAMATIC PVR150105 98 1 1 Namwala MASEELE LUX 42AC 92 1 1 D28 MOOBOLA* NESTE CF4915 2001 1 1 MUCHILA BP VR50 95 1 1 NAKABOMA LUX 50EK 2002 1 1 1 sub total（1） 11311031 sub total（2） 11310031 Siavonga CHANGA BP VR50 1995 1 1 D29 IBWE MUYAMA LUX 50EK 2002 1 1 1 JAMBA BP VR50 1995 1 1 MATUA BP VR50 1995 1 1 MUNYAMA MINUS 40 1988 1 1 MUTENDERE M.HOSP LUX 42EK 1990 1 1 SIANYOLO LUX 50EK 2002 1 1 1 sub total（1） 2 2 4 1 2 0 420 sub total（2） 2 2 4 1 0 0 420 Southern GVDC LUX 42EK 1985 1 1 Sinzongwe HAHC LUX TCW 1994 1 1 D30 KAFWAMBILA LUX 50EK 2003 1 1 1 SIAMEJA LUX 50EK 2004 1 1 1 sub total（1） 22020022 sub total（2） 22000022 Central CHIBOMBO LUX 42EK 90 1 1 Chibombo CHIPEMBI LUX 42EK 90 1 1 D31 CHITANDA BP VR50 94 1 1 IPONGO LUX 42EK 90 1 1 KABALANGALA BP VR50 95 1 1 LITETE HOSP VF ? 90 1 1 M'CHISIMPOLA HC LUX 42EK 90 1 1 M'CHISIMPOLA DMO SIBIR 240 90 1 1 MBOSHA LUX 50EK 2002 1 1 1 MUWISHI LUX 50EK 2002 1 1 1 NALUYANDA LUX 42EK 90 1 1 SHINUKUNI MINUS 40KV 94 1 1 ZNS LUX 42EK 90 1 1 sub total(1） 64351342 sub total（2） 64331342

7 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Central KANGO'MBA LUX 42EK 90 1 1 Kabwe KABWE G . HOSP LUX 42EK 90 1 1 D32 KAWAMA LUX 42EK 90 1 1 MAHTAMA G LUX 42AC 90 1 1 MINE HOSP LUX FREEZER 92 1 1 MPIMA LUX 42AC 90 1 1 MUKOBEKO M.P LUX 42AC 90 1 1 NAGUNGU LUX 42AC 90 1 1 PARK VIEW LUX 42EK 90 1 1 POLLEN LUX 42AC 90 1 1 ZNS LUX 42EK 90 1 1 ZAMBIA AIR FORCE - 1 KATONDO - 1 sub total（1） 11 0 0 13 0 0 0 0 sub total（2） 11 0 0 13 0 0 0 0 Central CHAKOMO BP VR50 96 1 1 Kapiri- CHEPEPO LUX 50EK 2002 1 1 1 Mposhi CHIBWE LUX 42EK 90 1 1 D33 CHILUMBA LUX 42EK 90 1 1 CHILWA ISLAND BP VR50 96 1 1 CHITABA - 1 KAMPUMBA LUX 42EK 94 1 1 LUANSHIMBA LUX 42EK 90 1 1 MUKUBWE BP VR50 96 1 1 NGABWE BP VR50 95 1 1 ST.PAUL LUX 42AC 90 1 1 TAZARA LUX 42AC 90 1 1 WAYA BP VR50 95 1 1 sub total（1） 25522091 sub total（2） 25521091 Central CHIBEFWE KIC DOMESTIC 1991 1 1 Mukushi CHIMIKA LUX 50EK 2002 1 1 1 D34 CHINGOMBE LUX 50EK 2002 1 1 1 LUANSHIMBA LUX 42EK 1992 1 1 MBOSHYA LUX LA20 88 1 1 MBOROMA LUX 50EK 2002 1 1 1 MUKUSHI HOSP KIC DOMESTIC 1991 1 1 MUSAKAMBA LUX 42EK 1990 1 1 NKOLONGA LUX RAK662 1988 1 1 NKUMBI KIC DOMESTIC 1994 1 1 OLD MUKUSHI LUX 50EK 2002 1 1 1 sub total（1） 38033054 sub total（2） 38020054 Central CHUNGA LUX 42EK 88 1 1 Mumbwa KAPYANGA BP VR50 96 1 1 D35 KEEZWA BP VR50 95 1 1 MUCHABI LUX 42EK 88 1 1 MWENBWSHI BP VR50 95 1 1 MYOOYE LUX 42EK 91 1 1 NALUMBANDA BP VR50 95 1 1 NAMBALA LUX 42EK 91 1 1 NAMPUNDE MINE LUX 42EK 91 1 1 SHABASONJE LUX 50EK 2002 1 1 1 SICHOBO BP VR50 95 1 1 NAKANJOLI LUX 42EK 91 1 1 ZAF - 1 MAIMWENE H.P - 1 KABWNGA RHC - 1 MPUSU - 1 sub total（1） 1 6 5 1 10 0 5 1 sub total（2） 16519051

8 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Central CHALILO BP VR50 1995 1 1 Serenje CHIBALE BP VR50 1995 1 1 D36 CHIPUNDU LUX 50EK 2004 1 1 1 CHISOMO LUX 50EK 2004 1 1 1 KABAMBA BP VR50 1995 1 1 MAILO BP VR50 1995 1 1 MPELEMBE BP VR50 1995 1 1 MAPEPALA BP VR50 1995 1 1 MMTTC LUX 42EK 1992 1 1 SERENJE CLINIC LUX 42EK 1992 1 1 NCHIMUSHI - 1 sub total（1） 22622072 sub total（2） 22620072 Northern FUBE LUX 50EK 2003 1 1 1 Chilubi MATIPA LUX 42DC 94 1 1 D37 NSUMBU NAPS PV-1-B1 97 1 1 KAWENA HP - 1 sub total（1） 01203011 sub total（2） 01202011 Northern CHILANGA LUX 50EK 2002 1 1 1 Chinsali CHUNGA LUX 50EK 2002 1 1 1 D38 ILONDOLA LUX 42AC 90 1 1 KABANDA LUX 50EK 2002 1 1 1 KONJA LUX 42EK 1984 1 1 LUBWA LUX 42AC 1984 1 1 LUKAKA LUX 42EK 1984 1 1 SHIWANGLANDU LUX 50EK 2002 1 1 1 sub total（1） 26021054 sub total（2） 2 6 0 0 0 0 541 Northern HOSPITAL VF MK131 1992 1 1 Isoka ISO OPD LUX 42EK 1982 1 1 D39 KAFWIMBE LUX 42EK 1982 1 1 KASOKO* SD130 2000 1 1 MULEKA-TEMBO BP VR50 1995 1 1 NACHSITU BP VR50 1995 1 1 THENDERE LUX 50EK 2002 1 1 1 sub total（1） 32222031 sub total（2） 32221031 Northern HOSPITAL LUX 42EK 1992 1 1 Kaputa KAMPINDA BP VR50 1995 1 1 D40 KAPUTA LUX 42AC 1992 1 1 KASANGOLO BP VR50 95 1 1 MWEWE LUX 50EK 2005 1 1 1 MUKUPA KATANDULA LUX 50EK 2002 1 1 1 NSUMBA BP VR50 95 1 1 sub total（1） 22312042 sub total（2） 22310042 Northern CHILUBULA LUX 42AC 92 1 1 Kasama COLLEGE LUX 42AC 92 1 1 D41 KATESHI LUX 42AC 92 1 1 LUX 42AC 92 1 1 MILIMA LUX 42EK 92 1 1 MISENGO LUX 50EK 2002 1 1 1 MULANSHI LUX 42EK 92 1 1 NKOLEMFUMU BP VR50 95 1 1 ZNS.CHISIMBA LUX 42AC 92 1 1 ROSA - 1 MBUSA - 1 sub total（1） 62160321 sub total（2） 62150321

9 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Northern CHUNGU LUX 42DC 92 1 1 Luwingu LUENA LUX 42DC 92 1 1 D42 NDOKI LUX 50EK 2002 1 1 1 SHIMUMBI LUX 50EK 2003 1 1 1 TUNGATI LUX 42DC 95 1 1 LUNDU HP - 1 sub total（1） 02304022 sub total（2） 02302022 Northern CHOZI LUX 42AC 90 1 1 Mbala KAKA BP VR50 95 1 1 D43 KAWIMBI BP VR50 95 1 1 MPANDE LUX 50EK 2005 1 1 1 NSOKOLO LUX 50EK 2002 1 1 1 TULEMANE DOMESTIC 98 1 1 URBAN LUX 42AC 92 1 1 ZAF DOMESTIC 90 1 1 KAMUZWAZI - 1 sub total（1） 42234022 sub total（2） 42232022 Northern KABINGA BP VR50 95 1 1 Mpika LUKULU LUX 50EK 2002 1 1 1 D44 MBATI LUX 50EK 2002 1 1 1 MPEPO LUX 50EK 2002 1 1 MUKUNGULE LUX 50EK 2002 1 1 1 MUWELE LUX RAK100 90 1 1 NABWALYA BP VR50 95 1 1 TAZAMA LUX 42EK 90 1 1 TAZARA CLINIC SIBIR 89 1 1 ZCA LUX 42EK 89 1 1 MUNUMGU - 1 sub total（1） 17213073 sub total（2） 17210073 Northern CHIAHAMWAMBA BP VR50 1992 1 1 Mporokoso CHITOSHI BP VR50 1992 1 1 D45 CHIWALA BP VR50 1992 1 1 KALABWE BP VR50 1992 1 1 KAPATU LUX 50EK 2002 1 1 1 MUKUPA KAOMA BP VR50 1992 1 1 SHIBWALYA KAPALA BP VR50 1995 1 1 SUNKUTU BP VR50 1995 1 1 sub total（1） 01704041 sub total（2） 01703041 Northern ISOKO LUX 50EK 90 1 1 Mpulungu KOPEKA BP VR50 94 1 1 D46 MPULUNGU LUX 42EK (B) 95 1 1 sub total（1） 12111010 sub total（2） 12111010 Northern KAYAMBI LUX 42DC 94 1 1 Mungwi MAKASA BP VR50 95 1 1 D47 MALOLE LUX 42AC 99 1 1 MUMBA LUX 50EK 2002 1 1 1 NDASA BP VR50 94 1 1 NGOLI LUX 42EK 84 1 1 NSELUKA LUX 42AC 84 1 1 PELETI LUX 50EK 2002 1 1 1 KALULU - 1 sub total（1） 23323042 sub total（2） 23321042

10 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Nakonde CHANKA LUX 50EK 2002 1 11 sub total（1） 010 11 sub total（2） 0 1 0 0 0 0 111 Luapula KALEMBWE NO FRIDGE 1 Luwingu MUKUNTA BP VR50 93 1 1 sub total（1） 00102000 sub total（2） 00102000 Luapula CHAMA LUX 50EK 2002 1 1 1 Kwambwa CHIBOTE BP VR50 95 1 1 D50 CHIMPEMPE LUX 42EK 90 1 1 MUFWAYA LUX 42EK 90 1 1 MUSUNGU BP 50EK 95 1 1 1 KABILA - 1 sub total（1） 12203032 sub total（2） 12201032 Luapula H.POST LUX 42AC 90 1 1 LUX 42EK 85 1 1 D51 LUX 42EK 85 1 1 CHIPETE BP VR50 96 1 1 CHISUNKA LUX 42EK 85 1 1 KASOMALWELA LUX 50EK 2002 1 1 1 MATANDA LUX RAK100 85 1 1 MUTITI BP VR50 96 1 1 PAUL MUMBILIMA LUX 42EK 85 1 1 sub total（1） 25225021 sub total（2） 25224021 Luapula LONGO MUKOTA BP VR50 94 1 1 Milenge LWELA MISSION LUX 42EK 88 1 1 D52 MULUMBI LUX 50EK 2002 1 1 1 SOKONTHWE BP VR50 94 1 1 sub total（1） 03103011 sub total（2） 03102011 Luapula LUX 50EK 2002 1 1 1 Mwense CHISHETA LUX 42EK 88 1 1 D53 KALUNDU NAPS PW-DI 98 1 1 KAPAMBA LUX 42EK 92 1 1 KATUTA BP VR50 96 1 1 KAWAMA LUX 42AC 98 1 1 LUBUNDA LUX 42AC 98 1 1 LUPOSHI LUX 42EK 90 1 1 KAOMA MAKASA LUX 50EK 2005 1 1 1 MUBENDE LUX 42EK 88 1 1 MUKONSHI LUX 50EK 2002 1 1 1 MUPETA LUX 42EK 88 1 1 MUSANGU LUX 42EK 88 1 1 MUTIPULA LUX 42EK 1 1 MWENDA LUX 42EK 88 1 1 sub total（1） 3102 3 70 53 sub total（2） 3102 3 40 53 Luapula KAMBWALI LUX 42EK 92 1 1 Nchelenge KANYENBO LUX 42EK 92 1 1 D54 KASHIKISHI LUX 42AC 92 1 1 sub total（1） 12021000 sub total（2） 12021000

11 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Luapula BWALYAMPONDA BP VR50 96 1 1 Samfya FWAKA LUX 50EK 2003 1 1 1 D55 KALASAMUKOSO BP VR50 95 1 1 KALIMANKONDE* NAPS CFM49 2003 1 1 KAPATA BP VR50 96 1 1 KASABA HAHC LUX 50EK 2005 1 1 1 KASOMALUNGA BP VR50 96 1 1 KATANSHA BP VR50 96 1 1 LUBWE HAHC POLAR E.3 94 1 1 MABALALA ISLAND NAPS CFM49 94 1 1 MABUKUNDA BP VR50 95 1 1 MIPONDA BP VR50 96 1 1 MUNDUBI - 1 MUSHILI BP VR50 94 1 1 NAMBALE BP VR50 96 1 1 NJIPE LUX 50EK 2003 1 1 1 NSALUSHI BP VR50 96 1 1 SHIKAMUSHILE BP VR50 96 1 1 MWANASAKOMBE - 1 sub total（1） 1 7 9 1 13 0 5 3 sub total（2） 1 7 9 1 10 0 5 3 North-West LUKOLWE LUX 42EK 90 1 1 Chavuma MAKIJILA LUX 42EK 90 1 1 D56 MISSION HOS MINUS40 94 1 1 sub total（1） 02103000 sub total（2） 02103000 North-West CHIKONKWELO - 1 Kabompo CHIFUWE SOUTH - 1 D57 KASHINAKAJI BP VR50 95 1 1 KAYOMBO BP VR50 95 1 1 LOLOMA HOSP.HAHC 39 - 1 LUANSONGWA BP VR50 95 1 1 NKULWASHI LUX 42EK 92 1 1 DUAMOMBOLA - 1 sub total（1） 01305030 sub total（2） 01305030 North-West KAMAKETCHI BP VR50 95 1 1 Kasempa KANJIBINJI LUX 42EK 85 1 1 D58 KANKOLONKOLO BP VR50 95 1 1 KASEMPA LUX 42AC 85 1 1 KELONGWA BP VR50 95 1 1 LUNGA BP VR50 95 1 1 MUKUNASHI NAPS CF491 95 1 1 NSELAUKE BP VR50 95 1 1 NTEMWA LUX 42EK 85 1 1 NYOKA LUX 50EK 2003 1 1 1 sub total（1） 13617021 sub total（2） 13616021 North-West BOMA LUX TCW1151 93 1 1 Mufumbe JIVUNDU BP VR50 94 1 1 D59 KABANDA LUX 50EK 94 1 1 1 KABIPUPU BP VR50 94 1 1 KALENGWA BP VR50 94 1 1 LUBILO LUX 42EK 95 1 1 sub total（1） 12314011 sub total（2） 12313011

12 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra North-West JIMBE LUX 42EK 88 1 1 Mwenilunga KAFWEKU LUX 42EK 84 1 1 D60 KAKOMA BP VR50 95 1 1 KANYIHAMPA LUX 42EK 92 1 1 KAPUNDU BP VR50 95 1 1 KATUYOLA ITALY INDELB 98 1 1 KAWOTA SIBIR D/B 90 1 1 KAZOZU BP VR50 95 1 1 LUMWANA WEST LUX 50EK 2002 1 1 1 LWAMU LUX 42EK 87 1 1 MUKANGALA ITALY INDLEB 97 1 1 MUSANGILA LUX 42EK 88 1 1 NTAMBU LUX 50EK 2002 1 1 1 NYANGOMBE ITALY INELB 97 1 1 SAILUNGA DENMAK VITRIGO 92 1 1 SAKAPOTI ITALY INDELB 97 1 1 TOMILUNGA BP VR50 95 1 1 sub total（1） 26928072 sub total（2） 26926072 North-West CHISASA LUX 50EK 2002 1 1 1 Solwezi CHITUNGU LUX 50EK 2002 1 1 1 D61 CHOVWE BP VR50 95 1 1 HOLY FAMILY LUX 50EK 2003 1 1 1 JAGAIMO LUX 42EK 88 1 1 JIVUNDU LUX 42EK 86 1 1 KALENGELENGE LUX 42EK 88 1 1 KAMITONTE LUX 42AC 86 1 1 KANKONZIA LUX 42EK 86 1 1 KAPIJIMPANGA LUX 42EK 86 1 1 KIMASALA LUX 42EK 88 1 1 KIPUSHI B. POST LUX 42AC 88 1 1 LUAMALA* LUX 42EK 2002 1 1 LUAMFULA LUX 42EK 88 1 1 LUMWANA EAST LUX 50EK 2004 1 1 1 LUKENDO LUX 42EK 88 1 1 MANGALA LUX 42EK 88 1 1 MAPUNGA BP VR50 95 1 1 MATEBO LUX 50EK 2002 1 1 1 MEHEBA "A" LUX 42EK 88 1 1 MEHEBA "B" LUX 42EK 88 1 1 MEHEBA "D" BP VR50 95 1 1 MEHEBA "D" VF ICELINED 1995 1 1 MEHEBA "F" LUX 42EK 88 1 1 MITUKUTUKU LUX 42EK 88 1 1 MUJIMANZOVU LUX 50EK 2005 1 1 1 MUKUMBI LUX 50EK 2002 1 1 1 MUMENA LUX 50EK 2002 1 1 1 MUSHINDAMO LUX 50EK 2005 1 1 1 MUTANDA RESEARCH LUX 42AC 88 1 1 MUYASHI LUX 42EK 88 1 1 SHILENDA LUX 42EK 88 1 1 T.T.C LUX 42EK 98 1 1 KILUMBA - 1 sub total（1） 8223 7 80199 sub total（2） 8223 6 00199 North-West CHINYAMA LITAPI LUX 50EK 2003 1 1 1 Zambezi HOSPITAL LUX 42EK 90 1 1 D62 MPIDI BP VR50 95 1 1 Dipalate NO FRIDGE 1 sub total（1） 11120020 sub total（2） 1110002

13 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Cooper-Belt CHIMFUNSHI LUX 42EK 92 1 1 Chia'bombwe H.C 2 - 1 D63 KASUMBALESA LUX 42AC 90 1 1 K. C. M. HOSP LUX 42AC 92 1 1 sub total（1） 21022000 sub total（2） 2102200 Cooper-Belt CHEWEMPALA LUX 42AC 90 1 1 Chingola COUNCIL LUX 42EK 90 1 1 D64 IPAFU - 1 KALILO LUX 42EK 92 1 1 KASOMPE LUX 42EK 90 1 1 MUTENDA LUX 42EK 90 1 1 sub total（1） 41051000 sub total（2） 4105100 Kalalushi CHIBOTE LUX 42AC 95 1 1 D65 KALULUSHI MINE HOSP LUX 42EK 95 1 1 sub total（1） 20020000 sub total（2） 20020000 Cooper-Belt BUCHI MAIN LUX 42EK 92 1 1 Kitwe BULINGILO LUX 42EK 92 1 1 D66 CBU CLINIC LUX 42AC 94 1 1 LUX 42AC 92 1 1 CITY SQ DOMESTIC 92 1 1 CIVIC CENTER DOMESTIC 90 1 1 ITEMPI LUX 42EK 94 1 1 KAMFINSA LUX 42EK 90 1 1 KITWE GEN HOSP LUX 42AC 90 1 1 KWACHA DOMESTIC 94 1 1 LUANGWA DOMESTIC 94 1 1 MINDOLA 2 LUX 42EK 90 1 1 MINDOLA ECHU LUX 42EK 90 1 1 MWALAIK LUX 42EK 90 1 1 NDEKE MAIN DOMESTIC 94 1 1 EAST LUX 42EK 94 1 1 NKANA WEST LUX 42EK 94 1 1 RAILWAYS LUX 42EK 90 1 1 ST. THERESA LUX 42EK 90 1 1 ZAMTAN LUX 42EK 92 1 1 CHILOBWE - 1 sub total（1） 20 0 0 20 1 0 sub total（2） 20 0 0 20 1 0 0 0 Cooper-Belt LYANSHYA HOSP LUX 42EK 90 1 1 Luanshya HOSP LUX 42EK 90 1 1 D67 SECTION- 5 LUX 42EK 90 1 1 SECTION- 23 LUX 42EK 90 1 1 SECTION--26 LUX 42EK 90 1 1 sub total（1） 50050000 sub total（2） 50050000 Cooper-Belt CHATI LUX 42EK 92 1 1 Lufunyama CHIKABUKE BP VR50 95 1 1 D68 KAPILAMIKWA - 1 MUSHINGASHI LUX 42EK 92 1 1 ST. MARRYS MISSION BP VR50 95 1 1 ST.JOSEPH HOSPITAL LUX 42EK 92 1 1 0 sub total（1） 12200510 sub total（2） 12200510

14 Province／ Existing equipment Quantity of procurement District Health facility Manufacturer Model Inst. Electric Kerosen Solar Electric Kerosen Gas Solar move xtra Cooper-Belt CHIKUMBI LUX 42EK 92 1 1 1 CHINONDO LUX 42EK 92 1 1 D69 CHIWALA LUX 42EK 92 1 1 CHONDWE LUX 42EK 92 1 1 FIWALE MISSION DEFY D380 94 1 1 KAMBOWA LUX 42EK 92 1 1 KASHITU LUX 42EK 92 1 1 KOLOKO BP VR50 95 1 1 MASAITI- H. POST - 1 MIENGWE LUX 42EK 92 1 1 MUTABA LUX 50EK 2002 1 1 1 NJELEMANI LUX 42EK 92 1 1 sub total（1） 55160521 sub total（2） 55150521 KANYENDA BP VR50 95 1 1 D70 MUWINUNA BP VR50 95 1 1 sub total（1） 00202000 sub total（2） 00202000 Cooper-Belt BUTEKO DOMESTIC 94 1 1 Mufulira CHIBOLYA DOMESTIC 90 1 1 D71 CLINC- 2 DOMESTIC 94 1 1 CLINIC- 5 DOMESTIC 94 1 1 CLINIC- 9 DOMESTIC 93 1 1 CLINIC-7 LUX 42EK 90 1 1 CMP CLINIC LUX 42EK 94 1 1 KANSUSWA LUX 42EK 95 1 1 MALCO WATSON HOSP DOMESTIC 90 1 1 MOKAMBO LUX 42EK 94 1 1 MURUNDU DOMESTIC VR50 95 1 1 MUTUNDU BP VR50 95 1 1 MOPENA HP - 1 sub total（1） 92194000 sub total（2） 92194000 Cooper-Belt CHIPOKOTA M'MBA LUX 42EK 90 1 1 Ndola COUNTRY SIDE LUX 42EK 90 1 1 D72 KALEWA LUX 42EK 90 1 1 KALEMWA BARRACK LUX 42EK 90 1 1 MUSHHILI COMANDO LUX 42EK 90 1 1 SATHYA SAI LUX 42AC 90 1 1 TUG-ARGAN LUX 42EK 92 1 1 sub total（1） 70070000 sub total（2） 7007000

Total 194 154 51 181 82 sub total（1）: total necessary quantity of refrigerator in this District sub total （2）: total quantity of necessary refrigerator in the same District after refrigerator is moved to other facility. 1 each existing kerosene refrigerator will be remained in Nakond District, . Above refrigerators will be moved to HC Nkandazovu, KalomoDistrict,HC Dipalate, .

Refrigerators in the Health Facilities marked "*" are moved from other facilities, and are used over 10 years.

15