State Program Management Unit DELHI STATE HEALTH MISSION 6th Floor, “A” & “B” wing, Vikas Bhawan-II, Civil LinesDelhi-54, Phone-23812902-04 Fax no. 011-23813540, E-mail [email protected] Tender for Concurrent Audit 2020-21 The State Health Society (Delhi) invites Proposals from firms of Chartered Accountants registered with ICAI / empanelled with C&AG and which meet all the minimum conditions as per the eligibility criteria given in Request for Proposal (RFP), for carrying out Monthly Concurrent Audit of all programs (including NDCPs & NCD) for State Health Society and eleven Integrated District Health Societies under NHM. Detailed Request for Proposal (RFP) comprising Background, Terms of Reference (TOR) and Guidelines for submitting the proposal can be downloaded from the website www.health.delhigovt.nic.in, and www.eprocure.gov.in from 22/07/2020 onwards. Important Dates for the selection process: i) Date for pre-bid conference : 29.07.2020 at 11:30 AM ii)Last date for submission of Proposal to SHS/DHSs : 06.08.2020 at 12.00 noon iii) Date of opening Technical bid at SHS/DHSs : 06.08.2020 at 12.30 PM iv) Date of opening Financial bids at SHS/DHSs: 11.08.2020 at 03.30 PM Venue for Pre-bid Conference {appointment of Concurrent auditor for State Health Society (SHS) and all Integrated District Health Societies (IDHSs)) : Pre-bid Conference would be held at Conference Hall, B-wing, 6th Floor, Vikas Bhawan-II, Civil Lines,New Delhi-110054. Mission Director State Health Society (Delhi) Request for Proposal (RFP) For Appointment of Monthly Concurrent Auditor for State Health Society (SHS) and IDHSs of all programmes under NHM including NDCPs, NCD and State Specific Schemes i.e. Aam Aadmi Mohalla Clinic (AAMC), Rogi Kalyan Samiti (RKS) etc. 2020-21 2 REQUEST FOR PROPOSAL (RFP) – State Health Society, Delhi seeks to invite Proposals from Firms of chartered Accountants registered with ICAI as on 01.01.2020 ( CAG empanelled Chartered Accountants firms ) meeting the minimum eligibility criteria for providing their services for Monthly Concurrent Audit of State Health Society & eleven Intergrated District Health Societies (IDHS’s) for Financial year 2020-21. The details about the background of the auditee, the units to be covered in the audit, scope of work, terms of reference, and the eligibility criteria for selection of the C. A. firms are given in the following paragraphs. Terms of Reference (ToR) National Rural Health Mission (NRHM) of the Ministry of Health & Family Welfare (MoHFW) was launched on 12th April, 2005 by the Government of India (GOI) to improve medical facilities in the country. From 2013-14 onwards the NRHM programme has been subsumed under the umbrella programme of National Health Mission. NHM is overarching NUHM and also includes Communicable and Non-Communicable Diseases (NCD) as well. The NHM seeks to provide accessible, affordable and quality health care to the population, especially the vulnerable sections. It also seeks to reduce the Maternal Mortality Ratio (MMR) in the country from 167 to 100 per 1,00,000 live births, Infant Mortality Rate (IMR) from 40 to 30 per 1000 live births and the Total Fertility Rate (TFR) from 3.0 to 2.1. 2. One of the visions of the Mission is to increase public spending on health from 1.3% to 2-3% of GDP, with the improved arrangement for community financing and risk pooling. The NHM has provided an umbrella under which the existing Reproductive and Child Health Programme (RCH), various National Disease Control Programmes (NDCPs) and Non-Communicable Disease (NCDs) have been repositioned. National Urban Health Mission (NUHM) has also been added as Submission of National Health Mission. 3. At present the following Programmes/Schemes fall under the National Health Mission: A. NHM-RCH Flexible Pool: a) RCH Flexible Pool including Routine Immunization (RI), Pulse Polio Immunization (PPI) and National Iodine Deficiency Disorder Control Programme (NIDDCP). b) Health System Strengthening(HSS) under NRHM including National Programme for Prevention and Control of Deafness (NPPCD), National Oral Health Programme (NOHP), National Programme for Palliative Care (NPPC), Assistance to State for Capacity building (Burn Injury), National Programme for Fluorosis (NPF) and other programs. B. National Urban Health Mission (NUHM) Flexible Pool. C. Flexible Pool for Communicable Diseases: a) National Vector Borne Disease Control Programme (NVBDCP), b) Revised National Tuberculosis Control Programme (RNTCP), c) National Leprosy Eradication Programme (NLEP), d) Integrated Disease Surveillance Programme (IDSP). e) National Viral Hepatics Control Programme(NVHCP) D. Flexible Pool for Non-Communicable Diseases: a) National Programme for Control of Blindness (NPCB), 3 b) National Mental Health Programme (NMHP), c) National Programme for Health Care of the Elderly (NPHCE), d) National Tobacco Control Programme (NTCP), e) National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). f) National Rabbies Control Program (NRCP) E. State Specific Schemes i.e. Aam Aadmi Mohalla Clinic project (AAMC), Rogi Kalyan samiti (RKS), State specific Incentive for ASHA and contractual engagements under DSHM etc. 4. Institutional and Funding Arrangements: For the implementation of the above programmes, MoHFW has required the creation of an Integrated Health Society at State and District levels (registered as a legal entity at the State and District under Societies Registration Act, 1860). Such integrated State Health Society (SHS) works in close coordination with the Directorate of Health & Family Welfare and District Health Societies (DHSs) work in coordination with the District Collector and District Chief Medical Officer (CMO). Program implementation is done through its District Chief Medical Officer’s office, Facilities/units , Community Health Centres (CHCs), Primary Health Centres (PHCs), Sub- Centres (SCs), Rogi Kalyan Samities (RKS) and Village Health Sanitation & Nutrition Committees (VHSNC). Certain activities may be managed at the State level such as drug procurement, IEC, civil works, training using specialized entities such as SIHFW, IEC Bureau, PWD, the Directorate of Health and Municipal Corporations for the urban health components. In addition, funds are also released from SHS/ DHS to NGOs and private entities under public private participation (PPP) arrangements. Funding & Accounting Arrangements: Funds for the various programs are transferred from Pay & Accounts Office of MoHFW to the State Treasuries and then from Treasuries to the SHS functioning in the State. Government of India transfer funds in the form of Grants-in-Aid to State treasuries through RBI on the basis of respective State Programme Implementation Plans (SPIPs) and approved Annual Work Plans which are prepared on the basis of District Health Action Plans (DHAPs) of each of the districts in the State. Under the umbrella of the integrated SHS/DHS each program has separate bank account, separate books of accounts and other financial records as per the requirements of each program and also submit separate financial activity reports at varying frequencies to the respective monitoring units in MoHFW (GOI). 5. Financing by Development Partners/ Donors: Some of the programs of NHM are also supported by development partners such as the Asian Development Bank (ADB), The Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) /World Bank etc. for which credit agreements have been entered into by GOI with the respective development partners. Compliance with specific fiduciary requirements of the development partners will additionally need to be reported by the auditors. Copies of the legal agreements and other project documents will be provided to the auditors, if needed, by SHS/ concerned Programme Division in the State. CONCURRENT AUDIT Concurrent audit is a systematic examination of financial transactions on a regular basis to ensure accuracy, authenticity, compliance with procedures and guidelines. The emphasis under concurrent audit is not on test checking but on substantial checking of transactions. It is an ongoing appraisal of the financial health of an entity to determine whether the financial management arrangements (including Concurrent control mechanisms) are effectively working and identify areas of improvement to enhance efficiency. 4 Independent Chartered Accountant firms are needed to be appointed at State & District Level to undertake periodical audits and report on vital parameters which would depict the true picture of financial and accounting health of the program. Objective The key objectives of the concurrent Audit include: To ensure voucher/ evidence based payments to improve transparency To ensure accuracy and timeliness in maintenance of books of accounts To ensure timeliness and accuracy of periodical financial statements To ensure compliance with laid down systems, procedures and policies To regularly track, follow up and settle advances on a priority basis To assess & improve overall Concurrent control systems Scope of Audit The responsibilities of the concurrent auditors should include reporting on the adequacy of Concurrent controls, the accuracy and propriety of transactions, the extent to which assets are accounted for and safeguarded, and the level of compliance with financial norms and procedures of the operational guidelines. The concurrent audit should be carried out both at State as well as District level. The scope of work of “State Concurrent