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Second Urban Primary Health Care Project (UPHCP-II) Loan 2172-BAN (SF)/Grant 0008-BAN (SF)

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Second Urban Primary Health Care Project (UPHCP-II) Loan 2172-BAN (SF)/Grant 0008-BAN (SF) GOVERNMENT OF THE PEOPLE’S REPUBLIC OF BANGLADESH Ministry of Local Government, Rural Development and Cooperatives (MOLGRDC) Local Government Division Second Urban Primary Health Care Project (UPHCP-II) Loan 2172-BAN (SF)/Grant 0008-BAN (SF) Second Urban Primary Health Care Project Project Management Unit (PMU) Nagar Bhaban, Room 620, Dhaka Bid Document: Letter of Invitation Instruction to Bidders Contract Agreement For Technical and Financial Proposals for Provision of Primary Health Care Services in Urban Partnership Areas Dhaka, Chittagong, Khulna, Rajshahi, Sylhet and Barisal City Corporations & Bogra, Comilla, Sirajgonj, Madhabdi and Savar Municipalities Contract Package No.: ……………………. August 2005 GOVERNMENT OF THE PEOPLE’S REPUBLIC OF BANGLADESH Ministry of Local Government, Rural Development and Cooperatives (MOLGRDC) Local Government Division Second Urban Primary Health Care Project (UPHCP-II) Loan 2172-BAN (SF)/Grant 0008-BAN (SF) Second Urban Primary Health Care Project Project Management Unit (PMU) Nagar Bhaban, Room 620, Dhaka LETTER OF INVITATION For Technical and Financial Proposals for Provision of Primary Health Care Services in Urban Partnership Areas of Dhaka, Chittagong, Khulna, Rajshahi, Sylhet and Barisal City Corporations & Bogra, Comilla, Sirajgonj, Madhabdi and Savar Municipalities Issued to: Seal of the Issuing Officer Signature of the Issuing Officer Draft 1 Government Of The People’s Republic Of Bangladesh Ministry of Local Government, rural Development and Cooperatives (MOLGRDC) Local Government Division SECOND URBAN PRIMARY HEALTH CARE PROJECT (UPHCP-II) Project Management Unit (PMU) Nagar Bhaban, Dhaka, Room No. 620 Ref. No: ________________________ Dated: NOTICE INVITING PROPOSALS Provision of Primary Health Care Services in Urban Partnership Areas of Dhaka, Chittagong, Khulna, Rajshahi, Sylhet and Barisal City Corporations & Bogra, Comilla, Sirajgonj, Madhabdi and Savar Municipalities 1. The Government of the People’s Republic of Bangladesh has received a loan and grant from the Asian Development Bank (ADB) and grant co-financing from the Government of United Kingdom and the Government of Sweden towards the cost of the Second Urban Primary Health Care Project (UPHCP-II). In addition, United Nations Population Fund (UNFPA) is providing parallel cofinancing for the Project. The ADB contribution to the Project will be financed under Loan No. 2172-BAN (SF) and Grant 0008-BAN (SF). The Local Government Division (LGD) of the Ministry of Local Government Rural Development and Cooperatives (MOLGRDC) is the Executing Agency for the Project, which is implemented by the Health Departments of the City Corporations of Dhaka, Chittagong, Khulna, Rajshahi, Sylhet, Barisal and Municipalities of Bogra, Comilla, Sirajgonj, Madhabdi and Savar. Part of the proceeds of this loan/grant will be applied to payments for six-year for city corporation areas of Dhaka, Chittagong, Khulna, Rajshahi, Sylhet, Barisal and five and half years for municipal area of Bogra, Comilla, Sirajgonj, Madhabdi and Savar for contracts (Partnership Agreements) to provide specified primary health care health services for the population of Partnership Agreement Areas (PAA). UPHCP-II is expected to close in December 2011. 2. The Second Urban Primary Health Care Project (UPHCP-II) purpose is to improve the health of the urban poor by improving access and changing the way in which health services are provided in urban areas. The primary objective is to reduce preventable mortality and morbidity especially among women and children, by strengthening the 2 Draft urban primary health care (PHC) infrastructure, and insuring that the poor receive good quality preventative, promotive and curative heath services. The other objective is to sustain improvements in PHC by building the capacity of Local Government and changing the role of Government in the provision of health care services. 3. The UPHCP-II will continue to provide PHC services in Dhaka, Chittagong, Khulna, and Rajshahi utilizing the infrastructure created in the first Urban Primary Health Care Project (UPHCP-I). Around 110 primary health care centers (PHCCs) and 8 comprehensive reproductive health care centers (CHRCCs) were built under UPHCP-I in the above four city corporation areas. In addition, some additional infrastructure is proposed to be built in these for city corporation areas—8 PHCCs, 7 CRHCCs and upgradation of 4 PHCCs into CRHCCs. In the remaining two city corporations—Sylher and Barisal—and five municipal towns—Bogra, Comilla, Sirajgonj, Madhabdi and Savar—new 7 comprehensive reproductive health care centers (CHRCCs) and 42 primary health care centers (PHCCs) are expected to be built. UPHCP-II will contract out the delivery of a package of essential PHC services to NGOs and the private sector in 24 defined partnership areas, linking contract payments to health improvement results. 4. PHC Services means “Essential Service Package” plus some additional services as outlined in the Bid Document, that include (i) reproductive health, such as maternal care and nutrition, family planning, assistance for women survivors of violence; (ii) child health care, such as immunization, control of diarrhoeal disease and other childhood diseases, control of acute respiratory infections, and control of micronutrient deficiency; (iii) control of communicable disease such as tuberculosis, malaria, dengue fever; (iv) limited curative care and first aid for emergency medical care and the treatment of minor infections; and (v) Behavior Change Communication. UPHCP-II also received a grant from ADB for HIV/AIDS and infectious diseases control. With the support of this grant, the following activities will be undertaken through partnership agreements: (i) one voluntary counseling and testing center per each partnership agreement area; and (ii) control sexually transmitted infections (STI) and reproductive tract infections (RTI). For monitoring purposes, the grant funds and grant funded activities need to be tracked. Hence, the financial proposal and quarterly reporting by the contractors need to be done in such a way as to track the above two activities separately. 5. Greater emphasis compared to UPHPC-I is placed on making sure that services provided under UPCHP-II reach the poor. The partnership agreements will ensure that at least 30% of each service will be provided free to the poor, who will be identified through participatory poverty assessments and household listings conducted by the partner NGO. Pro-poor targeting will be an important aspect of the performance-based contracting. The poor will be provided free services, including free medicines. For the nonpoor, sliding user fees will be charged and drugs will be made available at 10–20% lower than market price. A baseline survey will be conducted by the partner NGO at the beginning of the partnership agreement to identify poor households in the partnership area. Poor households will be identified based on the social and economic indicators above. These households will be given entitlement health cards giving them free access to health services under the Project. The survey of the poor households will be updated annually. The partner NGOs will keep systematic records on the patients by poverty and gender, and will prepare quarterly reports of health service use by the poor, women, and adolescents. Draft 3 6. UPHCP-II gives emphasis on gender empowerment and equality. At least 50% of the health providers of the partner NGOs will be women. The female ward commissioners will be involved in community programs to raise awareness about services available in PHC and CRHC centers. Community health volunteers will include women, especially from poor communities. Of the chairs of ward PHC coordination committees, at least 30% will be women, and all the committees will have women members. 7. The Urban Primary Health Care Project, on behalf of the Local Government Division of the Ministry of Local Government, Rural Development and Cooperatives (the Client), now invites sealed bids from non-governmental organizations (NGOs), private agencies, and provider associations for the delivery of a defined package of primary health care services to specific urban partnership areas. Based on the “essential services package” (developed by Ministry of Health and Family Welfare) the government has defined objective standards for a contractor to meet that are similar to the targets of the UPHCP- II and consistent with the MOHFW national program guidelines. The Contractor will develop and implement a system ensuring the provision of these specific health services and the achievement of specific levels of improvement in coverage and quality by the end of six years. 8. A total of twenty four Partnership Areas will be established and twenty four contracts signed under the UPHCP-II during the six years of the project. This will occur in two rounds, the first taking place in 2005, when the bids for service delivery in seventeen Partnership Areas will be let, and the second in the year 2006, when contracts for the remaining seven areas will be tendered. The second round partnership areas to be tendered in 2006 are one partnership area each in Sylhet, Barisal, Bogra, Comilla, Sirajgonj, Madhabdi and Savar. Proposals for the provision of Primary Health Care Services in Urban Partnership Areas now are being sought for ten Partnership Areas in Dhaka, three in Chittagong, two in Khulna, and two in Rajshahi, for a total of seventeen areas to be contracted at this time. (DCCPA1
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