Financial Cooperation with India Upgrading Secondary Level Health Care Facilities in the Gulbarga Division State of Karnataka
Item
- Title
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Financial Cooperation with India
Upgrading Secondary Level Health
Care Facilities in the Gulbarga Division
State of Karnataka - extracted text
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II REPUBLIC OF INDIA
Department of Health and Family Welfare
Bangalore, Karnataka
I KREDITANSTALT FUR WIEDERAUFBAU (KFW)
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Project:
Financial Cooperation with India
Upgrading Secondary Level Health
Care Facilities in the Gulbarga Division
State of Karnataka
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Progress Report N° 8
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November 1999
Consortium
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SAIMIPLAJM
MEDICONSULT
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C O N TENT
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1.
EXECUTIVE SUMMARY
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2.
ACTIVITIES
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Activities of the Government of Karnataka...................................... ........
2.1
Project Governing Board............................................................................
2.1.1
2.1.2 Project Steering Committee
2.2 Activities of the KHSDP Administration.....................................................
2.2.1
Equipment Maintenance
...........................
Co-ordination
of
the
FC
Project
with
the
Technical
Measures
in Gulbarga
2.2.2
Division 9
2.2.3 Personnel..................................................................................................
2.3 Activities of the Engineering Wing KHSDP.................................................
2.3.1
Urgent Repairs of District Hospitals
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2.3.2
Progress of the Development of Final Designs and Tender Preparation....
.’2.3.3 Bid Document for Civil Works.....................................................................
2.3.4
Equipment Maintenance Workshops
2.3.5 Medical Equipment
2.3.6 Force Account
.............
2.4 Activities of the Consultant.......................................................................
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Personnel...........................
3.1.1
Consulting Inputs ...........
3.1.2 Local Support Personnel.
3.2 Equipment / Materials.......
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Project.....................
Consulting Services
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FINANCIAL SITUATION
5.1
5.2
5.3
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TIME SCHEDULE
4.1
4.2
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3.1
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RESOURCES
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Project.....................
Cost Estimates........
Consulting Services
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CONSTRAINTS AND RECOMMENDATIONS
6.1
Constraints & Opportunities..........................
6.1.1
Design Delays
6.1.2 Medical Equipment
Water Conservation and Sewerage Disposal
6.1.3
6.1.4
Solid Waste Disposal
6.1.5 Land Tenure Problems
6.1.6
Management CapacityL............... ....... ..........
6.2
Recommendations..............................................
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Annexures:
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Annex 1 time schedule
Annex 2 cost estimates revised
annex 3 Proceedings of the 15th Meeting of the project Governing board
ANNEX 4 PROCEEDINGS OF THE 45™ MEETING OF THE PROJECT STEERING COMMITTEE
annex 5 Proceedings of the 46™ Meeting of the project steering committee
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Abbreviations
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DoHFW
GOK
KHSDP
MIS
NGO
STEM
WB
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Department of Health and Family Welfare
Government of Karnataka
Karnataka Health System Development Project (supported by WB and KfW)
Management Information System
Non-government Organisation
Centre for Symbiosis of Technology, Environment & Management
World Bank
Exchange Rate
1 US$ = 43.70 Rupees (18th November 1999)
1 DM = 23.164 Rupees (17th August 1999)
1 Euro = 45.44 Rupees (18th November-1999)
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1 Crore =10 million
1 Lakh = 100,000
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Inflation Rate
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5.3% Feb 99
3.7% Apr 99
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1.
Executive Summary
Description of the Project Progress
The Ministry of Health and Family Welfare of the State of Karnataka have embarked on the
Karnataka Health Systems Development Project (KHSDP). The implementation of the
project is jointly funded by World Bank, KfW and the Government of Karnataka (GOK). The
project includes:
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Rehabilitation and extension of Secondary Level Health Institutions including the
provision of equipment, medicines, vehicles
Establishment of a maintenance system and facilities
Establishment of Waste Disposal facilities
Management Information System and Surveillance
Improving access to SC/ST population (women's health)
Streamlining the referral system between primary, secondary and tertiary health
care facilities
Staff procurement
Training
Development of IEC strategies
The India-German Financial Cooperation Project covers infrastructure development including
procurement of equipment and vehicles in the Five districts of Gulbarga Division including
the new district Koppal now formed. In phase I of the project, 26 secondary hospitals have
been proposed to be included in rehabilitation and up-grading measures. The remaining 25
hospitals in the Gulbarga Division are proposed for rehabilitation in a second phase of the
Project.
The present Progress Report No. 8 covers the German supported section of the KHSDP for
the months August to November 1999.
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The project activities to date include:
The development and approval of the functional layouts and preliminary designs for
renovation and upgrading of 23 hospitals (March 98 - June 99)
Development and approval of civil works basic tender document (1998)
Development medical equipment contract documentation including quantities and
equipment layouts (1998, May 99)
Assessment and refinement of urgent repairs required at the district hospitals at
Bellary and Gulbarga
Regular (half yearly) monitoring of Government contribution and progress of the WB
supported technical assistance component in Gulbarga Division
Assessment and estimates of urgent repairs to 7 of the hospitals.
Development of 7 + 3 final designs and the respective tender documents (July Sept. 99); consultants comments (Sep. 99); approval of 7 final designs and tender
documents by Steering Committee (Sep./Oct. 99)
Calling for bids for 7 hospitals to be rehabilitated under the German FC component
(Oct. - Nov. 99)
Opening of bids (November 27, 99)
Starting with evaluation of bids (end of November 99)
Planned contract award and start of civil works in January 2000
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Up to date, 10 final designs and the respective tender documents have been completed. Out
of 10 completed designs, seven have been tendered after being commented by the external
consultant. The opening of the tender and the begin of the tender evaluation was in end of
November 1999. Three final designs have been transmitted by the KHSDP recently to the
external consultant for comments.
Though the programme is still behind the estimated schedule drawn up at the time of the
project award, the present Programme progress is well within the time schedule of the
Amendment No. 1 from July 13, 1999. The re-organisation of the consulting services and the
replacement of the local consulting project coordinator has positively contributed to the
speeding up of the programme progress (Up-dated project Time Schedule: Annex 1).
A short KfW mission to Bangalore took place in September 1999 on the progress of the
programme after the re-structuring of the consulting services and the discussion of the new
cost estimates for civil works and medical equipment (Revised Cost Estknates: Annex 2).
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Overview: Project Status End of November 1999
Civil Works Component:
Activity
Planned
Review of emergency measures (to be
executed by PEA)
2.1
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2.2
2.3
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Initiated
On-going
2 district
hospitals
Development of functional layouts
(preliminary drawings) by local architects
Review of the functional layouts (preliminary
drawings) by the external Hospital Planner
and approval by the BSC (in joint working
sessions)
Development of preliminary designs
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hospitals
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hospitals
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2.5
2.6
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Finalised
Review of the preliminary designs by the
Consultants and approval by the BSC
Approval of Preliminary Designs by KfW
Development of Final Design and
documentation
Elaboration of civil works model Bid
Document and approval by the GOK
Approval of the Civil Works model Bid
Document by KfW
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23
5
hospitals
23
hospitals
23
hospitals
23
hospitals
W
hospitals
7 hospitals
1 hospital
Equipment Component:
Activity
1
Review of emergency supplies by PEA
2
Review of medical equipment lists &
analysis of requirements
Preparation of final procurement lists
Elaboration of cost estimates and budget
schedule (First delivery)
preparation of specification equipment and
vehicles
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Planned
included in
overall
assessment
Status_______
Initiated
On-going
Finalised
X
X
X
X
X
Determination of procurement procedures
Elaboration of logistical framework for
supplies
X
Review of tender documents
Elaboration of model Bid Document and
approval by the GOK
Approval of the model Bid Document by
KfW
X
X
X
X
X
Call for tenders for the delivery of
equipment.
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2.
ACTIVITIES
2.1
Activities of the Government of Karnataka
The Government of Karnataka represented by the KHSDP continued to coordinate, manage,
implement, and monitor project activities. Relevant steps of project implementation and
project finances are controlled and approved by the Project Governing Board and the Project
Steering Committee.
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2.1.1
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Project Governing Board
During the reporting period, the progress on the KfW Project was reviewed by the Chief
Secretary, Government of Karnataka, in the 15,h meeting of Project Governing Board held on
10th November 1999. The proceedings of the meeting is enclosed as Annex 3.
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Project Steering Committee
1)
Administrative approval has been accorded for the Expansion of
General Hospital at Aurad at an estimated cost of Rs. 117.00 Lakhs in
the 45th meeting of Project Steering committee held on 24-09-1999
(Annex 4). (Subject No: 16).
2)
The District hospitals at Gulbarga and Bidar needs urgent repairs. The
steering committee also gave approval to the urgent repairs to District
hospitals at Gulbarga and Bidar at an estimated cost of Rs.5.00 Lakhs
and Rs.3.00 Lakhs respectively (Subject No: 25).
3)
Administrative approval was accorded for the following Civil works in
the 46,h meeting of Project Steering committee held on 21-10-1999
(Annex 5):
a)
Renovation and Expansion of General Hospital at Basavakalyana in
Bidar District (Subject No: 12)
b)
Renovation and Expansion of General Hospital at Sandur in Bellary
District (Subject No: 13)
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c)
Renovation and Expansion of Community
Mannekahalli in Bidar District (Subject No: 14)
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d)
Renovation and Expansion of General Hospital at Humnabad in Bidar
District (Subject No: 15)
e)
Renovation and Expansion of General Hospital at Chincholi
Gulbarga District (Subject No: 16)
f)
Renovation and Expansion of General Hospital at Kushtagi in Raichur
District (Subject No: 17)
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Health
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Training of personnel
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Maintenance and repair
-- of equipment
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Discussion on policy formulation for waste reduction and re-cycling
strategies on-going
Access to Women’s
Health
Implemented through one NGO in
one pilot district (Mysore)
No extension yet, since the GOI
has come up with a separate
scheme for women's health which
is being implemented through 6
NGOs
Not implemented here
Epidemiological
Surveillance of
Communicable Diseases
11 district surveillance
laboratories completed
in 7 places construction in
progress
procurement of equipment in
progress
State level working committees
functioning, district level
coordinating committees
constituted
Software developed and
computer procurement in
progress
2 district-surveillance units
designated
Contracting out of nonclinical services
Bids have been invited for
contracting out non-clinical
services for 40 hospitals,
evaluation completed
Not yet initiated
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Implemented in all districts
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one time repair completed
statewide
workshops established and
functional
maintenance teams working
Yellow Card Scheme
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Improved statewide, rounds of yellow card check ups conducted
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one time repair completed
statewide
workshops established and
functioning
maintenance teams working
Drug supply system
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not yet implemented
Referral activities have been
initiated in three districts where
hospitals have been up-graded.
Performance of the system is
being monitored.
Initial reports indicate that it would
take at least one more year to
install a properly functioning
referral system
Referral System
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Training of all district laboratory medical officers, entomologists completed
220 administrative medical officers trained
fresh and refresher training in 60 hospitals initiated
pilot training on behavioral change on-going
736 doctors and workers trained including staff in Gulbarga Division
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IEC
IEC needs and comprehensive
strategy identified by the KHSDP
IEC activities for referral system
initiated in some districts
Facility linked IEC activities
initiated in 60 up-graded hospitals
Quality assurance
Quality audit of 14 hospitals
completed
Regular reporting and analysis of
hospital performance indicators
on-going
Feedback provided to reporting
hospitals
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Not yet implemented
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% of hospitals reporting regularly
analysis of data not yet initiated
feedback to hospitals not yet
provided
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2.2.3
Personnel
2.2.3.1
Joint Director (Planning) Dr. Hallur assigned by the KHSDP as Additional Director
KfW was continuously working on additional charge during the reporting period.
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Sri. Riazulla Shariff was assigned by KHSDP as Executive Engineer, KfW Division,
in Gulbarga on 27-10-1999.
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Activities of the Engineering Wing KHSDP
The following major activities were carried out by the Engineering Wing KHSDP during the
reporting period:
Urgent repairs to district hospitals.
Development of Final Designs and the respective tender documents.
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2.3.1
Urgent Repairs of District Hospitals
2.3.1.1
Bellary District Hospital
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The issue regarding improvement of Women & Children Hospital (W&CH) Bellary or
Vijayanagar Institute of Medical Sciences (VIMS) was discussed in the Steering committee
meeting held on 21-10-1999. Based on the recent assessments, the Chairman of the
Steering Committee and the Administrator, KHSDP, are of the opinion that the existing
Women & Children Hospital is in a very bad condition. However, the hospital contains all the
infrastructure required for a District Hospital and there is need to develop this hospital as a
full fledged District hospital. The old buildings which are in dilapidated condition have to be
demolished and reconstructed by providing space as per space norms.
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2.3.1.2 Gulbarga District Hospital
As per priority list of repairs developed in conjunction with the Hospital Administration,
the areas identified for urgent repairs are
Repairs to toilets
1)
Repairs to roof
2)
Replacement of broken glasses of windows.
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These works were taken up and are under completion.
2.3.2
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Progress of the Development of Final Designs and Tender Preparation
The development of the designs for hospital rehabilitation and up grading up to date (end of
reporting period November 30, 99) is as follows:
~ Completed:
•Development of functional layouts by the local architects showing the functional
relationship between the hospital departments, the size of the rooms, and the
positioning of openings and initial cost estimates
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Review of the functional layout by the international consuKing hospital planner and
approval by the Building Scrutiny Committee (BSC).
•
Development of the preliminary designs showing system layouts of services,
typical sections, elevations, material, typical finishing, and engineering items
(electrical, sanitation, etc.) and refining preliminary cost estimates
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Development of final tenders and the respective tender documents of 10 hospitals
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Seven out of 10 hospital civil works tendered
In Progress:
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Checking and reviewing the final designs for the 13 remaining hospitals for which
the preliminary designs are cleared by KfW.
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Preparation of detailed estimates and bid documents for 13 remaining hospitals
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Review of the final designs by external consortium architect.
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Evaluation of bid documents for civil works at seven hospitals since November 27,
99.
Planned:
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Contract award and start of civil works at 7 hospitals in January 2000.
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Overview: Detailed Status of the Hospitals Civil Works
SI.
No.
Hospital
District
■ Architect
Stage of
Prelimiriarv
Preliminary
Design
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Stage of Final ■ I 1 Remarks
Desian
Design
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Batch - 01 (Appd by KfW acc Telefax Letter Dtd. 01 June 1999)
1_
Aurad
Bidar
D-Tech
Approved
Approved
Bids Invited
2-,
3.
Basavakalyana
Bidar
D-Tech
Approved
Approved
Bids Invited
Humnabad
Bidar
Archplan
Approved
Approved
Bids Invited
Bidar
D-Tech
Approved
Approved
Bids Invited
Raichur
Archplan
Approved
Approved
Bids Invited
TE
5.;
Kushtagi
Mannekahalli
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Batch - 02 (Appd by KfW acc Telefax Letter Dtd. 01 June 1999)
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7. ’
Chikkajogihalli
Bellary
Hbspet
Bellary
Kudlagi
Bellary
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Sandur
io7“ Chincholi
Bellary
Gulbarga
Kumar&
Swamy
Kumar
Swamy
Kumar
Appd
Initiated
&
Appd
On-going
&
Appd
On-going
Appd
Approved
Bids Invited
Appd
Approved
Bids Invited
Swamy Potnis
Consultants
Manasaram
Batch - 03 (Appd by KfW vide Telefax Letter Dtd. 25 June 1999)
11.
Huvina
hadagali
Bellary
Potnis
Consultants
Conditional
approval
12'
Shiraguppa
Bellary
Potnis
Consultants
Conditional
approval
Jevargi
Gulbarga
Kalgi
Gulbarga
Madana
Hipperga
Gulbarga
Aakruthi Arch &
Cons_________
Aakruthi Arch &
Cons_________
Grihavinyas
Conditional
approval
Conditional
approval
Appd
Shahabad
Gulbarga
Grihavinyas
Appd
17.
Lingasugur
Raichur
Grihavinyas
18.
Sindhanoor
Raichur
Engineering
Conditional
approval
To be
resubmitted
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Sent to
Consortium for
approval
Initiated
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On-going -
On-going
Sent to
Consortium for
approval
Sent to
Consortium for
approval
On-going
Nil
To be
approved by
BSC
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Hospital
ftBBft
NO.
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A^chi,ec, ..BBds ^Design®
Desiqni
Design ft
c'r.
Batch - 04 (Appd by KfW vide Telefax Letter Dtd. 13 July 1999)
19.
Shahpur
Gulbarga
20
Yadgir
Gulbarga
Devadurga
Approved
On-going
Approved
On-going
Raichur
Mahagaonkar
Ass.________
Mahagaonkar
Ass.________
Design Cell
Approved
On-going
Gangavathi
Raichur
Design Cell
Approved
Initiated
Koppal
Raichur
Design Cell
Approved
On-going
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2.3.2 ■ 1
Hospitals on Hold:
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List of Hospitals on Hold
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23;
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Afzalpur
wfe-
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Gulbarga
50
Aland
Gulbarga
50
Bhalki
Bidar
Too
Part of existing hospital grounds are
claimed by a 3rd party.___________
No space for any expansion.
Land was made available by the
Education Department so that the civil
works will be taken up under phase I
It was reported in the last Progress Report No. 7 that the planning for the following 3
Hospitals was not proceeded due to space or land problems and will on all probability be
deferred to Phase II.
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In respect of the Hospital at Bhalki, a joint inspection of the Officers of District Health and
Family Welfare Department as well as the Education Department and other concerned
officers was conducted on 3rd November 1999. The Education Department at present in
possession of the land agreed to provide the land for expansion of the hospital and the
quarters. Joint inspection proceedings were drawn up and follow up action is taken to obtain
orders of Education Department for transferring the land to District Health & Family Welfare
Department. The planning and the civil works for Bhalki Hospital will now be taken up under
Phase I as planned initially.
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2.3.2.2
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Detailed Design and Documentation
On completion of the review of the Preliminary Design by KfW, the comments made by the
KfW review team were incorporated to the extent feasible and the final designs are worked
out along with detailed estimates and bidding documents. The bidding document for the
General Hospital at Aurad were approved by KfW with some modifications.
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The final designs of Hospitals at Shahbad, Madana Hipperga and Huvina Hadagali are sent
to consortium on 13-11-1999 along with detailed cost estimates. The bidding documents for
these works are also ready for calling for bids after the final designs have been checked by
the consultant consortium.
2.3.3
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The Commercial Document which forms the Volume-1 of Tender document was already
cleared by KfW in 1998. The Volume-2 which consists of Bill of Quantities and the Volume-3
detailed drawings are now prepared based on the final designs. KfW intimated in their fax
letter dated 19-10-1999 that there is no necessity to wait for clearance by KfW for all the final
designs and bid documents. Therefore, bids can be called for after the final designs are
cleared by consultant consortium. This has enabled the PEA to speed up the bidding
process. Accordingly, action was taken to call for bids for 7 hospitals for which.final designs
have been cleared by the Consortium. Bids have been advertised and last date for receipt of
* bic^s is fixed on 27-11-1999.
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Bid Document for Civil Works
Equipment Maintenance Workshops
Three of the four district hospitals have existing buildings that are suitable for equipment
maintenance workshops. The rehabilitation of the workshop in Gulbarga is completed.
Estimates are currently being prepared for making the suitable modifications of the other
facilities. The bidding documents for these works are also to be prepared similar to the
bidding documents approved for other KfW works. The estimate for construction of the
District workshop at Bellary was approved for Rs. 13.85 Lakhs by the Project Steering
Committee on 21-10-1999.
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2.3.5
Medical Equipment
Compared to the Report No. 7, there is no further procedure of this component. According to
KHSDP procedures, the equipment will be procured as soon as the civil works at the
hospitals are in the stage of completion.
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Up to date, the following activities were carried out:
The standard tender documentation for both National Bidding and International Bidding
were approved.
The list of consignees and schedule of requirements has been finalised.
Equipment specification is completed
The equipment layouts were incorporated into the hospital designs.
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2.3.6
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The urgent repairs have been taken up in the following 7 hospitals:
• Bellary District Hospital: Rewiring and Repairs & Construction of New Shed - Rs.5.75
Lakhs
Expenditure - Rs. 1.80 Lakhs - Work Completed
•
Chikkajoqihalli Hospital: Rewiring and improvements to water supply
- Rs. 5.51 Lakhs
Expenditure - Rs. 2.20 Lakhs - Work Completed
•
Kudlaqi Hospital: Improvements to_water supply - Rs. 1.75 Lakhs - Not yet taken up
•
Sandur Hospital: Improvements to_water supply & Electrical repairs
Rs. 8.15 Lakhs
- Expenditure - Rs. 7.20 Lakhs - Work completed.
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Force Account
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• ' Madana Hipperqa Hospital: Repairs to Electrical & Sanitary works. - - Rs.1.41 Lakhs.
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Kalqi Hospital:. Repairs to Electrical & Sanitary works Rs.2.82 Lakhs
•
Aland Hospital: Repairs to Electrical & Sanitary works -Rs.2.67 Lakhs
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Linqasuqur Hospital:
Providing drains and OPD entrance to the portion where
encroachment has been removed - Rs.1.55 Lakhs. - Work completed Expenditure - Rs. 1.40 Lakhs.
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Balance works are under completion
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2.4
Activities of the Consultant
All the activities of the KHSDP engineering wing and the medical equipment' department
relating to the KfW supported section of the Karnataka Health Systems Development Project
were carried out with the assistance of the local and external consultant team.
The activities have been largely related to the co-ordination and checking of preliminary and
final designs and co-ordinating for approvals in the Building Scrutiny Committee.
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The project authorities informed the Project Governing Board in the last Project Governing
Board meeting (Annex 1) that after the re-organisation of the consulting services and the
exchange of the local consulting Project Coordinator good progress has been achieved and
the clearance of drawings is satisfactory.
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Resources
3.1
Personnel
3.1.1
Consulting Inputs
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Consultant personnel was involved in activities during the reporting period as follows:
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Name of
ConsS&g|
Consulting
Activities
International Experts
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SANIPLAN
Dr. M. Mantel
Public Health
Specialist,
Health Planner
Project Co-ordination at Headquarters
Germany, liaison with KfW, monitoring
of WB KHSDP component
A. Doring
Saniplan
Management
Project Back-stopping
R. Bauer
Saniplan
Management
Financial Management
M.C
Thirumalachar
Project Co
ordinator
Full time Local Project Management
and Co-ordination
U.R. Fitz
Hospital
Architect
Review of Preliminary Design & Final
Design and co-ordination of the same
with KfW.
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MEDICONSULT*
No particular activity during the reporting period
* Note: As per revised terms of reference as approved by KfW no further consulting services are required
with respect to the Medical Equipment during the planning stage.
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3.1.2
Local Support Personnel
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According to the agreements during the KfW review mission in June 99, the Consultant in
Gulbarga has been closed down.
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The following supporting staff have been recruited for the new office establishment of the
local Project Co-ordinator at Bangalore.
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Secretary - 1 No.
Attendant - 1 No
Driver
- 1 No
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3.2
Equipment / Materials
3.2.1
The workshop complex at the Gulbarga District Hospital is being converted into
Offices for the Additional Director. One of the sections has been allocated to
SANIPLAN Consortium. The conversion of this section has been completed. The
office space is being used during the visits of the local consultant coordinator to
Gulbarga and will mainly be used during the project implementation phase.
3.2.2
Two Ambassador cars and four TATA SUMO vehicles were procured to the Office
of the Additional Director, KfW Project, Gulbarga, at cost of Rs. 22.82 Lakhs. The
cars are operating in the project area in connection with the on-going urgent repair
work, the verification of plans and estimates, for communication with the Gulbarga
Districts in connection with the KfW project.
4.
Time Schedule
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4.1
Project
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The project is still behind schedule compared to the original schedule laid down during
contract award. However, with the re-organisation of the consulting services and the
exchange of the local project coordinator, the project progress has been reported by the
KHSDP as being satisfying and is in line with the time schedule revised in the Amendment
No. 1 from June 99.
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The attached bar chart (Annex 1) is prepared on the basis of the current position of the
project progress with reference to the original schedule during contract award and the
schedule of the Amendment No. 1.
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4.2
Consulting Services
4.2.1
Local Project Manager and local consultants: Sri. M.C Thirumalachar is working as
Project Co-Ordinator since 15 th July 1999.
4.2.2
Hospital Planner & Architect: (Mr. Fitz) has reviewed the Preliminary Designs, Final
Designs, Tender Documents and reports received from the KHSDP.
4.2.3
Management Team: Overall project management, backstopping and financial
management was constantly provided by the home office team consisting of Dr. M.
Mantel, Mr. A. Ddring and Mr. R. Bauer.
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5.
Financial situation
5.1
Project
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An amount of DM 499,190 (Rs. 10.657,706/-) was transferred to the deposition account in the
State Bank of Hydrabad, Gulbarga branch on the 20th February 98.
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During the reporting period cheques to the value of Rs.6,404,699/- were drawn for:
•
Stage payments for Local Architects
•
Conversion of the Offices for the Additional Director
•
Emergency Repairs approved
•
Purchase of vehicles for project administration in Gulbarga Division
Balance remaining in end of November 1999: Rs.4,253,007/- Expected payment during the next reporting period up until the end of January 2000 will
cover:
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Payment for Civil Works - Urgent Repairs.
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5.2
Cost Estimates
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The rough cost estimates for the construction and medical equipment based on the recently
completed detailed designs and the component wise brake up of anticipated expenditure
showing deficit/surplus were presented to KfW representatives during their visit to Bangalore
in September 1999. The details are furnished in Annex 2.
5.3
Consulting Services
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Statement on expenses for consultant work, travel costs and other cost up to the end of
August 1999 will be submitted under separate cover to KfW.
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6.
Constraints and recommendations
6.1
Constraints & Opportunities
6.1.1
Design Delays
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No further delay of the project progress has been occurred and the activities are in line with
the time schedule drawn up in the Amendment No. 1.
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6.1.2
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The equipment needs identified in 1995 were based on 1997 standard lists and have not
been materially altered. The "one time repair" contract (see Progress Report No. 3: 2.2.2) for
a cost of Rs1.35 Lakhs equipment with a replacement value of approximately Rs. 15 Lakhs
has been completed.
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Medical Equipment
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6.1.3
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A suitable and effective water supply system will be incorporated into the final design. The
KHSDP policy is to supply on site storage for the equivalent of 2 days supply at normal
consumption. Problems regarding lack of municipal facilities, un-absorbant clay soil, etc. are
being solved specifically for each hospital through planning of alternative solutions according
given local situation.
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Water Conservation and Sewerage Disposal
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6.1.4
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Solid Waste Disposal
The waste disposal systems at the hospitals under the FC project component in Gulbarga
Division will follow the regulations and strategies as developed under the KHSDP. The
KHSDP is recently on a policy for waste reduction and re-cycling.
6.1.5
Land Tenure Problems
"The land tenure problems in respect of Bhalki Hospital in Bidar District were solved and the
planning and implementation of civil works at this hospital will be taken up in Phase I of the
Project. KHSDP is working on solving the tenure problems at the other two remaining
hospitals (Aland & Afzalpur).
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6.1.6
Management Capacity
The management capacity of the State for project implementation of both, the WB and the
KfW supported programme components has proven to be very satisfactory. According to the
mid term review of the World Bank, the KHSDP Administration and Management has
together with the technical teams, achieved great results in the implementation of the WB
supported programme components
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6.2
Recommendations
It is recommended that:
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For the Bellary District Hospital, an early decision is taken as the issue has been
informally discussed in the Steering Committee .
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Gulbarga District Hospital: Implementation of Urgent Repairs is completed
•
Preliminary Designs submitted to and approved by KfW for 23 hospital and final
detail designs and documentation completed before December 1999.
•
Additional adjacent property or new sites acquired for Afzalpur and Aland hospitals
due to the cramped conditions.
•
The construction and conversion of the maintenance’ workshops should be
implemented as soon as possible.
•
Tenders for the procurement of medical equipment to be floated as soon as hospital
civil works is near completion.
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Tender for Second Batch of Hospitals to be floated by end of December 1999.
•
Scrutinising detailed estimates of some of the works for which final designs are
,
developed, it appears that there is scope for reduction of construction cost. Further
it appears that there is scope for reduction of cost in respect of other components in
the Project and the Additional Cost of Civil works could be met out of the overall
budget provided for the project by suitable re-allocation from other components.
►
To complete final designs and tender documents and call for bids for all the 23
hospitals by the end of March 2000.
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Begin of civil works at 7 hospitals in January 2000.
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(Time Schedule)
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Revised Cost Estimates
SI.
No.
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1.
Allocation as per Credit Agreement in DM and Indian Rupees at the conversion rate of 1 DM = Rs. 26/Componeqts as per
KAV
Contribution
KIM
GOK
Total
Credit Agreement
Contributi
ofGOKin DM
Contribution
Contribution
Allocation
on in DM
(in Million)
in Indian
in Indian
(DM in
(in
Rupees
Rupees
Million)
Million)
(Million)
(Million)
(3 + 4)
2
3
4
5
6
7
Rehabilitation of
Secondary Level
Health Institutions
a) Construction________
b) Medical Equipment,
Total
Allocation
(Rs. in
Million)
(5 + 6)
8
10.20
1.50
265.20
39.00
11.70
304.20
366.79
7.00
2.80
182.00
72.80
7.00
182.00
311.85
1.50
39.00
4.30
111.80
44.54
Medicines
c) Vehicles__________
2.
Rehabilitation of two
District Hospitals
3.
Maintenance Facilities
4.
Waste Disposal
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Anticipated Expenditure - Ddkit/Sui plus
Ajiticipated expenditure in Indian Rupees at the
T"Savings7 Deficit in
present rate of conversion
Indian Rupees at
(Rs. 26/DM)
present rale of
(Rs. in Million)
conversion
(Rs. in Million)
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Investment by
Investment by
Total
KAV
GOK
Financial
23.80
23.80
Investment
390.59
311.85
(129.85)
68.40
+43.4
0.40
10.40
0.40
10.40
28.60
1.10
10.40
28.60
10.40
1.10
28.60
28.60
23.40
2.60
1.30
0.90
33.80
23.40
1.54
4.62
0.40
0.80
0.90
0.10
10.40
20.80
Facilities
3.46
0.58
5.00
5.20
5
Management
Information System
and Surveillance
0.20
5.20
0.20
5.20
5.20
5.20
6.
SC/ST/Women
0.80
7.
20.80
1.80
20.80
46.80
0.80
Salaries
a) Hospital Staff
1.60
0.20
46.80
41.60
5.20
20.80
46.80
41.60
5.20
b) Maintenance, Waste
Disposal____________
8.
9.
Project Management
3.80
a) Consultant Services
b) Fees for design
c) PMC
Price and Physical
Contingencies
a) Price Contingencies
b) Physical
Contingencies
TOTAL
1.50
0.40
1.60
5.20
0.20
5.20
10.40
4.20
1.50
0.50
2.20
6.70
109.20
70.30
39.00
39.00
13.00
13.00
51.20
18.30
174.20
39.00
0.50
1.80
98.80
41.60
20.80
46.80
41.60
13.00
0.40
46.80
10.40
1.80
1.70
+28.8
+ 18.2
72.00
39.00
1.70
13.00
20.00
+37.2
6.70
174.20
3.70
96.20
3.70
96.20
+96.2
3.00
78.00
3.00
78.00
+78.0
28.70
746.20
23.00
5.70
598.00
148.20 I
574.19 |
471.85
102.34 |
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Annex 3
(Proceedings of the 15th Meeting of the Project Governing Board)
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Proceedings of the J5^z Meeting of the Project Governing Board of the
Karnataka Health Systems Development Project held on
November 1999 under
the Chairmanship of ChiefSecretary to Government of Karnataka
Members Present:
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I. The Chief Secretary to Government of Karnataka
2. The Principal Secretary to Government, Finance Department represented by
Under Secretary
3. The Principal Secretary to Government, Health & F W Department
4. The Secretary to Government, Planning Department
5. The Secretary to Government, Public Works Department
15. The Commissioner, Health & Family Welfare Department (Special Invitee)
7. - The Project Administrator & E/o Special Secretary to Government, KHSDP
8. The Chief Engineer, KHSDP
9. The Director, II & FW Services
10. The Additional Director (Project), KHSDP
II. The Additional Director (KfW Project), Gulbarga
Members who could not attend the Meeting:
1. The Principal Secretary to Hon’ble Chief Minister, Government of Karnataka
2. The Representative of the Government of India, Ministry of Health & Family Welfare
Subject No. 1
Confirmation of the Proceedings of the 14,h Meeting of the Project Governing Board held
on 13th July, 1999
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The proceedings of the 14,h meeting of the Project Governing Board held on
13lh July, 1999 was read and confirmed.
Subject No. 2
Action taken report of the Proceedings of the 14th Meeting of the Project Governing Board
held on 13th July, 1999
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The Committee reviewed the action taken on the proceedings of the 14th meeting of
the Project Governing Board held on 13th July, 1999.
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While reviewing the action taken on the proceedings of the previous meeting, the
Commissioner, Health & Family Welfare observed that in the proceedings of the 14"' meeting
of the Project Governing Board, in respect of Subject No. 8, it is mentioned that the Project
Administrator will inform the cabinet about the funds provided by the project for completion
of ground + two floors in the new building of Me. Gann Hospital and reducing the bed
strength from 1200 to 600. The Project Administrator informed the Commitlee that soon after
the visit of the World Bank, Draft Cabinet Note will be submitted in this regard.
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While reviewing the action taken report in respect of Subject No. 11, the Project
Administrator informed that the Planning Department will have to place the subject before
the State Level Co-ordination Committee for the additional proposal of including Phase II
hospitals of KfW in KHSDP. The Chairman requested the Secretary, Planning to get the early
clearance for the proposal.
The Project Administrator informed the Committee that there will be savings in the
project to an extent of Rs. 192 Crores. The Director, Health & Family Welfare has been
requested to give the proposal of including additional Community Health Centres in the
project for upgradation. The Chairman requested the Principal Secretary, Health & Family
Welfare to give information about the number of Community Health Centres which could be
taken up for upgradation under the project. The Principal Secretary, Health & Family Welfare
-suggested that as sufficient savings are there in the project, all the Community Health Centres
which are not already included in the project could be taken up for upgradation under
KHSDP. This was agreed to by the Committee and the Chairman requested the Director,
Health & Family Welfare to send these proposal immediately to the Government giving
justification for inclusion of the Community Health Centres for upgradation.
The Chairman also requested the Principal Secretary, Health & Family Welfare to
take up the matter with the World Bank for providing funds to improve Victoria Hospital,
K.R. Hospital, Bowring & Lady Curzen Hospital, K.C. General Hospital and Jayanagar
Hospital out of the savings amount. The Project Administrator informed that this was already
discussed with the Supervision Team of the World Bank during mid-term review held in June
1999. The World Bank was not readily agreeing to the proposal as these hospitals arc
teaching hospitals and do not come under the definition of secondary hospitals. The Chairman
suggested that it is necessary to upgrade these hospitals as there are no other referral hospitals
for the people of Bangalore and the surrounding places. He further requested the Principal
Secretary, Health & Family Welfare to take up the matter with World Bank officers for
including Mental Hospital at Dharwad for improvements out of the savings amount of the
project.
The Principal Secretary, Health & Family Welfare requested the Chairman regarding
the additional proposals to be placed before the Supervision Team of the World Bank as they
are yet to be cleared by the SLCC. The Chairman suggested that these proposals could be
discussed with the World Bank Supervision loam during their visit to the State on 15,h
November, 1999 and also place these proposals at the earliest before the SLCC for clearance.
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Subject No. 3
Status Note on Karnataka Health Systems Development Project and KfW assisted Project
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The Project Governing Board reviewed the progress achieved in the implementation
of the various components of Karnataka Health Systems Development Project and the
financial progress in the implementation of the Karnataka Health Systems Development
Project. Similarly the Committee also noted the progress made in the implementation of KfW
assisted project.
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While reviewing the progress achieved in various components of the Karnataka
Health Systems Development Project, the Principal Secretary, Health & Family Welfare
brought to the notice of the Committee, the proposal of Private Public Mix which was
discussed with the World Bank Supervision Team in June 1999. The Project Administrator
briefly explained the concept of Private Public Mix that has been thought of as a pilot project
to be implemented in Dcvanahalli Taluk. The Chairman welcomed the proposal and
requested the Project Administrator to implement this in some more Taluks of South Canara,
Dharwad District, etc. to understand the implications of the scheme much more effectively.
Subject No. 4
Approval of the Project Governing Board to the Evaluation Report and the Proceedings of
the Tender Sub-Committee for procurement of Dental X-ray Machines, Blood Gas
-Analysers, Ultrasound Scanners and Ultrasound Scanners (Portable)
The Project Administrator briefly explained to the Committee the procedure followed
in the evaluation of bids. Regarding the procurement of Portable Ultrasound Scanners to all
the hospitals with 50 beds and more, there was detailed discussion. The Project Administrator
informed that this facility will be useful in the hospitals for detection of any complications
associated with pregnancy at an early stage and remedial action could be taken at the
appropriate time. The Director, State Institute of Health & Family Welfare stated that with the
supply of Ultrasound Scanners, there will be possibility of female foeticide increasing in the
hospitals as the Doctors may use the Ultrasound Scanner for sex determination. The
Commissioner, Health & Family Welfare and the Principal Secretary, Health & Family
Welfare also expressed fear for the same reasons. Further the Commissioner, Health &
Family Welfare also brought the Proceedings of the Tender Evaluation Committee to the
notice of the Committee. In the Proceedings of the Tender Evaluation Committee, it is
mentioned that all the posts of Gynaecologists will have to be filled up in the hospitals where
the Portable Ultrasound Scanners arc supplied. The Principal Secretary, Health & Family
Welfare expressed apprehension about filling up of the posts of Gynaecologists in all the
hospitals and also training them early. If this was not done, the equipment would go unused,
lhe Project Administrator informed that it will not be possible to postpone the supply of
equipment once the Notification of Award is made in favour of the successful bidder. After
detailed discussion, the Committee decided to reject all bids received for the procurement of
Ultrasound Scanner (Portable) with No Objection from the World Bank and go for re-bidding
at the appropriate time taking into consideration the availability of Gynaecologists in the
project hospitals.
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Thereafter the Project Governing Board considered the evaluation note and
recommendations of the Tender Evaluation Committee for the procurement of Blood Gas
Analysers and Ultrasound Scanners? The Project Governing Board approved the evaluation
note and the proceeding of the tender evaluation committee and gave approval for forwarding
the same to the World Bank for prior review and no objection.
Further the Project Governing Board approved the Proceedings of the Tender Sub
Committee for procurement of Dental X-ray Machines and issue of Notification of Award in
favour of successful bidder as it does not require Pre-award Review by the World Bank.
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The Project Governing Board approved the recommendation of the Tender Evaluation
Committee for issue of Notification of Award for the supply of-
(a) Blood Gas Analysers
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in favour of M/s. Trivitron Medical Systems Ltd., Chennai at an unit of cost of
Rs. 6,04,617.80 and a total price of Rs. 1,39,06,209/- for 23 units of model Rapid M348 after
getting no objection from the World Bank.
(b) Ultrasound Scanner
in favour of M/s. Wipro GE Medical Systems, Bangalore at .an unit of cost of
-Rs.*4,78,807.52 and a total price of Rs. 1,24,48,995.53 for 26 units of model Logic oc 200
after getting no objection from the World Bank.
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(c) Dental X-ray Machines
in favour of M/s. Villa India, New Delhi at an unit of cost of Rs. 66,300/- and a total
price of Rs. 17,90,100/- for 27 units of model KONO-65 which is at L2.
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Subject Xo. 5
Renovation and Expansion of Taluk Level Hospital at Virajpet in Kodagu District
and
Subject No. 6
Renovation and Expansion of District Hospital (Me Gann) at Shimoga in Shitnoga District
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lhe Chairman observed that during discussion with the former Commissioner of the
Karnataka Housing Board on the construction of Housing Complex for National Games, the
Commissioner had informed about lhe inferior quality of work done by M/s. Engineering
Projects India Ltd. who has given a certificate that M/s. Lanco Constructions Ltd., Bangalore
were their associate contractors. 'Lhe Secretary, Public Works Department mentioned that if
there is any unauthorised subcontracting then that experience cannot be reckoned for
shortlisting a firm. It was felt desirable to properly examine whether M/s. Lanco
Constructions Ltd., Bangalore can be held to be technically qualified based upon certificate of
being associate contractor given by M/s. Engineering Projects India Ltd. There is also need
for verifying quality of their work in the National Games Housing Project. The Chairman
requested the Principal Secretary, Health & Family Welfare to examine these issues in depth
in consultation with the former and the present Commissioners of the Karnataka Housing
Board and the Secretary, Public Works Department. With this, the subjects were deferred to
be placed before the next Project Governing Board Meeting.
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Subject No. 7
Construction of Taluk Level Hospital at Yelahanka in Bangalore District
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The Chief Engineer briefed the Project Governing Board, the reasons for increase in
the estimated cost compared to the provision made in the project report. After noting the
reasons for increase in the estimated cost, the Project Governing Board gave administrative
approval for renovation and expansion of Taluk Level Hospital at Yelahanka in Bangalore
District at an estimated cost of Rs. 275.00 lakhs.
Subject No. 8
Renovation and Expansion of District Hospital (Sri Jayachamarajendra Hospital) at
Hassan in Hassan District
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The Chief Engineer briefed the Project Governing Board, the reasons for increase in
the estimated cost compared to the provision made in the project report. After noting the
reasons for increase in the estimated cost, the Project Governing Board gave administrative
approval for renovation and expansion of District Hospital (Sri Jayachamarajendra Hospital)
at Hassan in Hassan District at an estimated cost of Rs. 390.00 lakhs.
Subject No. 9
Renovation and Expansion of District Hospital at Karwar in Uttara Kannada District
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The Chief Engineer briefed the Project Governing Board, the reasons for increase in
the estimated cost compared to the provision made in the project report. After noting the
reasons for increase in the estimated cost, the Project Governing Board gave administrative
approval for renovation and expansion of District Hospital at Karwar in Uttara Kannada
District at an estimated cost of Rs. 295.00 lakhs.
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Subject No. 10
Compliance to the Audit observations raised by the Accountant General in the Audit
Report of Karnataka Health Systems Development Projectfor the Year 1997-98
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The Project Administrator briefly explained to the Committee the observation of the
Audit and action taken to comply with the audit observations. He informed the Committee
that all the observations arc now dropped except the observation relating to payment of per
diem charges to the trainee doctors. He informed that action has been taken to get the
clearance of the Finance Department for the proposal before the issue of Government Order
as suggested by the Accountant General's Office. The Project Governing Board noted the
action taken in attending to the audit observations for the year 1997-98.
Subject No. 11
Contracting out Non-clinical Services in Government Hospitals
The Project Administrator briefly explained the steps taken in getting the clearance of
the Labour Department to the revised Bid Document for contracting out Non-clinical Services
in project hospitals. The Chairman requested the Secretary, Public Works Department to take
up the maintenance of circuit houses and inspection bungalows atlcast in 2-3 districts on a
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pilot basis following the procedure that is followed in Karnataka Health Systems
Development Project for contracting out non-clinical services.
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Subject No. 12
Approval of the Project Governing Board for including Commissioner, Health & Family
Welfare as a Member of the Project Governing Board and the Project Steering Committee
for KHSDP and KfW Projects
The proposal was approved by the Project Governing Board. The Chairman requested
the Principal Secretary, Health & Family Welfare to get the approval of the Hon'ble Chief
Minister before the Government Order is issued as the Project Governing Board is constituted
as per the decision of the State Cabinet. After issuing the necessary orders, the proposal may
-be submitted to the State Cabinet for its ratification.
With the permission of the Chairman, thefollowing additional subject was taken up for
discussion and resolved
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Additional Agenda No. 1
Renovation and Expansion ofVanivilas Hospital (M.C.H.) at Bangalore
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The Project Governing Board approved the proceedings of the tender evaluation
committee for civil works and the evaluation note for award of work of renovation and
expansion of Vanivilas Hospital (M.C.H.) at Bangalore. The Project Governing Board
approved the recommendations of the tender evaluation committee for issue of notification of
award in favour of M/s. J.N. Constructions, Bangalore at a contract value of Rs. 2,98,07,773/which is 10.22% less than the estimated contract value with reference to 1996-97 SR after
getting no objection from the World Bank subject to the condition that the Project Authorities
will take additional performance security for an amount of Rs. 36,75,000/- towards
unbalanced items.
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The meeting concluded with vote of thanks to the Chairman by all members present.
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Sd/Chairman
Project Governing Board, KHSDP
and the Chief Secretary to
Government of Karnataka
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No. HFW (PR) 89 WBA 96
Copy of above proceedings is forwarded to the following officers for information and
further needful action.
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(D.M. AGA)
Under Secretary to Government,
KHSDP, H & F W Department
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1. 1 he Principal Secretary to Government, Finance Department, Vidhana Soudha, Bangalore
2. lhe Joint Secretary to Government of India, Ministry of Health & Family Welfare New
Delhi, Fax No.011-3014252
3. The Principal Secretary to Hon’ble Chief Minister, Vidhana Soudha, Bangalore.
4. The Secretary to Govermnent, Planning Department, M.S. Building, Bangalore.
5. The Secretary to Government, Public Works Department, M.S. building. Bangalore.
6. The Director, H & F W Services, Anand Rao Circle, Bangalore.
7. The Additional Director (Projects), KHSDP, Bangalore.
8. The Additional Director, KfW Project, Gulbarga
9. The Chief Engineer, KHSDP, Bangalore.
Copy submittedfor information :
1. The Chief Secretary to Government of Karnataka, Vidhana Soudha, Bangalore.
2. fhe Principa! Secretary to Government, Health & Family Welfare Department M S
Building, Bangalore.
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A|d™m|SftratOr’ KHSDP & Ex-Officio Special Secretary to Government,
Health & Family Welfare Department, Bangalore.
4. The Special Secretaiy to Government (PMU), Finance Department, II Floor Vidhana
Soudha, Bangalore.
5. The Commissioner, Health & Family Welfare Department, Ananda Rao Circle, Bangalore
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Annex 4
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(Proceedings of the 45th Meeting of the Project Steering Committee)
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Proceedings of the 45th Meeting of the Project Steering Committee
Meeting of the Karnataka Health Systems Development Project held
on 24th September, 1999 under the Chairmanship of the Secretary to
Government, Health and Family Welfare Department
Members present:
1. The Secretary to Government, Health and Family Welfare Department
2. The Commissioner, Health & Family Welfare Department (Special Invitee)
3. The Secretary,
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Finance Department represented by Deputy Secretary
4. Flic Secretary to Government, Public Works Department represented by
Deputy Secretary
5. The Project Administrator, KHSDP
6. The Director, Health & Family Welfare Department
7. The Chief Engineer I/C, KHSDP
8. The Additional Director, KHSDP
9. The Additional Director, KfW, Gulbarga
10. Sri M.C. Thirumalachar, Project Co-ordinator, KfW Project
Members who could not attend the meeting:
1. The Director, Medical Education
Invitees Present:
1. 4 he Director, State Institute of Health & Family Welfare
2. The Chief Administrative Officer, KHSDP
3. The Chief Financial Officer, KHSDP
4. The Deputy Chief Architect, KHSDP
5. The Joint Director (Medical), KHSDP
6. Sri I). Rama Rao, STEM Consultant
7. Sri V.R. Murali, Financial Consultant
Subject No. 1
Reading and Confirmation of the Steering Committee Meeting hekkon 13th A ugust,
1999
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1 he Proceedings of the 44ll, Steering Committee Meeting held on 13th August,
1999 were read and confirmed.
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Subject No. 2
Action taken on the Proceedings of the Steering Committee Meeting held on 13th
August, 1999
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I he Committee reviewed action taken on the Proceedings of the 44,h Steering
Committee Meeting held on IB"' August, 1999.
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While reviewing the action taken on the proceedings of the previous meeting,
the Commissioner, Health & f amily Welfare observed that the action taken on the
decisions as reflected in Subject No. 2 arc not recorded. If the action taken on these
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issues is not recorded, there will not be continuity and as ia result
' of this,
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be possibilities of missing the link lor taking further action on these issues.
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The Project Administrator informed that by mistake this has not been
incorporated and this would be taken note of in respect of the future meetings. lie
informed that as cleared by the Steering Committee, Notification of Award is made
for the supply of Emergency Resuscitation Kit in favour of M/s. Surgicoin, New
Delhi. In respect of Item No. 6 in the proceedings of the Steering Committee meeting
held on 19th July, 1999, the Project Administrator informed that the meeting is not yet
convened and action will be taken to convene this meeting shortly. In respect of Item
No. 11 in the proceedings of the Steering Committee meeting held on 19,h July, 1999,
the Chairman requested the Director to state the action taken in the recruitment of
Drivers and also regarding the action taken for withdrawing the services of drivers of
the Department of Health & Family Welfare working in the other Departments on
.deputation. To this, the Director, Health & Family Welfare informed that he has
already addressed letters for withdrawing the services of Drivers working in the other
Departments on deputation. Regarding the recruitment of drivers, the Director
informed that the action is still pending. The Commissioner, Health & Family Welfare
observed that unless immediate steps arc taken for the recruitment of drivers, there
will be problems at the field level as there are no drivers for the ambulances given by
the project. Fhe Chairman requested the Director to take immediate measures in this
regard and inform the action taken on this in the next Steering Committee meeting.
In respect of Item No. 13 and 63 of the Proceedings of the Steering Committee
meeting held on 19'h July, 1999, the Project Administrator informed that the meeting
was held with the officers of Labour Department, Finance Department, DPAR, Law
Department and the senior officers of the Health Department under the Chairmanship
of Secretary to Government, Health & Family Welfare. He also informed, as decided
in the meeting, a revised Bid Document was forwarded to the Labour Commissioner
for his clearance taking out the services which are likely to be perennial from the
purview of the contract. The Labour Commissioner having gone through the
Document, in his letter dated 20-9-1999 addressed to the Principal Secretary to
Government, Labour Department, a copy of which is marked‘to the Project
Administrator has stated that ’’the Revised Bid Document does not contain the
prohibitory items of activities/work and the Bid Document appears to be in order". On
the basis of this, it was decided to take further action for inviting bids with the
existing procedure of taking clearance of the Zilla Panchayat to the Bid Document and
for evaluation of bids by the Committee under the Chairmanship of the Chief
Executive Officers of the respective Zilla Panchayat. The Commissioner, Health &
Family Welfare suggested that the subject regarding contracting out of Non-clinical
Services may be placed before the Project Governing Board also.
Regarding Item No. 61 of the proceedings of the Steering Committee meeting
held on 19'1' July, 1999, the Project Administrator informed that the meeting is yet to
be convened. I he Chairman requested the Project Administrator to have meetings for
2-3 days during the month ol October 1999 to finalise the pending issues like IEC
activities, referral system, etc. of Karnataka Health Systems Development Project.
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Subject No. 3
Approval of the Steering Committee to Evaluation Reports
»nd the
recommendations of the Tender Sub-Committee for
procurement of various
Hospitalfurniture included in the IEli dated 4-3-1999
I he Project Administrator briefly explained the procedure followed in
Evaluation of Bids for the procurement of the hospital furniture.
1 he Steering Committee approved the recommendations of the Tender Sub
committee and the Evaluation Note for the procurement of various hospital furniture
as in the Agenda. The Steering Committee gave approval for issue of Notification of
Award:
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1. in favour of M/s. Jupiter Manufacturing Works, Coimbatore for
procurement of Wheel Chair included in Package 47 at Rs. 2 600/- per unit
and Rs. 2,26,200/- for 87 units.
2. in favour of M/s. Metal Beds, Mumbai for procurement of Emergency
Recovery Trolley included in Package
48 at
at Rs.
Package 48
Rs. 24,300/24,300/- per
per unit
unit and
and Rs.
Rs.
7,77,600/- for 32 units.
3. in favour of M/s. Jupiter Manufacturing Works, Coimbatore for
procurement of included in Package 51 at Rs. 6,200/- per unit and Rs
2,23,200/- for 36 units.
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in favour of M/s. Tennis & Tennis, Bangalore for procurement of included
in Package 64 at Rs. 2,466/- per unit and Rs. 8,28,576/- for 336 units.
Subject No. 4
°fthC Steerins C(,mmiltee f°r rejection of all bids included in Package
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I he Project Administrator briefly explained the reasons for rejection of the
only bid received for the procurement of Arm Board included in Package No. 46 and
or deletion of this item from the procurement list. The Steering Committee approved
the proposal of rejection of the only bid received for the procurement of Arm Board
included in Package No. 46 and for deletion of this item from the procurement list
after getting No Objection from the World Bank.
Subject No. 5
Approval of the Steering Committee for
conducting Training for Dermatologists
under KIISDP-Reg.
J he proposal for conducting training for Dermatologists under Karnataka
Health Systems Development Project at St. John’s Medical College, Bangalore was
approved by the Steering Committee. The Steering Committee gave approval to the
cstnnated expenditure of Rs. 4,75,200/- for Conducting the training programme to
in j 6 Dermatologists in the Department of Health & Family Welfare.
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Subject No. 6
Constitution of District Level Co-ordination Committee for Surveillance of
Cbmnuin icahie Diseases
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'l he Project Administrator briefly explained the objective of constituting this
The Commissioner Heald, & My
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Karnataka Urban Water Supply and Drainage Board may also be included m the
Committee proposed to be constituted. He also suggested that the Commissioner of
Municipalities may be reworded as Municipal Commissioner. The suggestions given
by the Commissioner, Health & Family Welfare was accepted by the Steering
Committee. The Chairman observed that the proposal requires the clearance of the
Clncf Secretaiy, Government of Karnataka as the Deputy Commissioner is the
Chairman of the Committee. With this, the proposal of constituting’a District Level
Co-ordmation Committee for Surveillance of Communicable Diseases under the
■Chairmanship of the Deputy Commissioner with other members as detailed in the
genda with corrections was approved subject to the clearance by the Chief Secretary
overnment of Karnataka. The Steering Committee approved the Terms of Reference
o be incorporated m die Government Order as guidelines to the District Level Co
ordination Committee.
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Subject No. 7
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The Project Administrator briefly explained the objective of eelebratinp
Hospital Day m Government Hospitals. The Commissioner, Health & Family Welfare
suggested that in the guidelines given for observing Hospital Day, the following
modifications may be incorporated. "In the list Dignitaries to be invited for the
wJlh a
ccl^bratlons’ lhe Board of visitors may be included. The Hospital Day
ill be celebrated as a public function within the hospital premises". The Chairman
suggested that this Hospital Day may be celebrated in all the hospitals. The Project
dministrator informed that to start with the Hospital Day will be celebrated in 60
ospitals which are getting re-commissioned under Karnataka Health Systems
cvelopment Project. In the remaining hospitals also, this will be observed as and
hen they are re-commissioned. With this, the proposal of observing Hospital Day in
60 hospitals was approved by lhe Steering Committee. The Steering Committee gave
approval for observing Hospital Day in all the hospitals as and when they are re
comnussmned under Karnataka Health Systems Development Project The Steering
Committee gave approval for incurring an expenditure of Rs. 5,000/- for each hospital
for observing Hospital Day celebration. The Commissioner, Health & Family Welfare
tfW,IthC pr°pOSal n,ay be submi"ed >o ‘he Chief Secretary, Government of
Karnataka for his approval before taking further action.
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Subject No. 8
Approval of the Steering Conunittee to the Tenns of Reference for the appointment
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anaal Consultants in Karnataka Health Systems Development Project
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Mlir.ir ThC Fhairm:;n;equested Sri V.M. Mural, to leave the meeting hall as Sri V M
as mancial Consultant is an mlerested party to the subject. The Project
mmjstrator briefly explained the importance of having a Financial Consultant in
the project. 1 he Steering Committee gave approval to the Terms of Reference for
hiring oi 1-mancial Consultants in Karnataka Health Systems Development Project
c Steering Committee gave approval for issue of Notification for "Exprcssioi of
Interest after getting No Objection to the Terms of Reference from the World Bank.
Subject No. 9
^Kola^
°f }VO’nC" and Children HosPital at Robertsonpet, KGF
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wZaSZXaL^Z fS awXwot
Kolar DiZ. The
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nCVd Uat,°" commi,tee for issue of notification of award in favour of
. Janiodar, Bangalore at a contract value of Rs. 1,57,97,865/- which is 0 014%
less than the estimated contract value with reference to 96-97 SR subject to the
condition that the Project Authorities will take additional performance security for an
Sri
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“eTorld B
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Unba‘anCed ltemS aftCr Setting No Objection from
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Subject No. 10
Renovation and Expansion of Taluk Level Hospital at Hukkeri in Belgaum District
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The Project Steering Committee approved the proceedings of the tender
evaluation committee lor civil works and also the evaluation note for award of work
of renovation and expansion of Taluk Level Hospital at Hukkeri in Belgaum District
rhe rojeet Steermg Committee approved the recommendations of the tender
evaluation committee for issue of notification of award in favour of Sri L. Rajappa
Banga ore at a contract value of Rs. 50,10,422/- which is 7.21% less thi the
Promc lmI,,lraiCt
reference 10
SR subJ“‘
the condition that the
Rs 7 06 000/ t
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add,tl°nal Perf°rman<* security for an amount of
ks. /,Uo,0()0/- towards unbalanced items.
Subject No. 11
Renovation and Expiansion of Taluk Level Hospital at Koppa in Chickmagalur
District
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ihe Project Steering Committee approved the proceedings of the tender
evaluation committee lor civil works and also the evaluation note for award of work
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Dis rictVThOpa" C<PanSi0" °f Ta'Uk LCVel ,,0Spital a' KopPa in Chickmagalur
istnet. The I rojeet Steermg Committee approved the recommendations of the tender
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evaluation committee for issue of
of notification
award in
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notification of
of award
i favour of Sn U V
eddy Nellorc at a contract value of Rs. 81,02,115/- which is 2.97% less than the
cst.mated contract value w.th reference to 96-97 SR subject to the condition tint the
W?111tak7ddlliOnal PCTf“Ce SCCU^
- amount o^
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J ,_3d0/- towards unbalanced items.
Subject No. 12
Renovation and Expansion of Taluk Level Hospital at Hosadurga in Chitradurga District
PA-.1 1 rhe Project Stecring Comm'tlec approved the proceedings of the tender
evaluation committee for civil works and also the evaluation note for award of work
of renova ion and expansion of Taluk Level Hospital at Hosadurga in Chitradruga
istnct. he I roject Steering Committee approved the recommendations of the tender
evalua ion committee tor issue of notification of award in favour-of Sri Chcjjarla
enkatarainrma Reddy Nellorc at a contract value of Rs. 1,63,90,405/- which s
. 4.32/o less than the estimated contract value with reference to 96-97 SR subject to the
con ition that the Project Authorities will take additional performance security for an
tte World Bunk
'"”rii5 “nl,al““d i,ems
Subject No. 13
nC"^iOn ‘",JExpansion °f Taluk
No Objee.lon Iron,
hospital at Robertsonpet at KGF in Kolar
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IS net. he Project Steering Committee approved the recommendations of the tender
ReddUy ASons1 RtteC
‘SSUC °f n°t,fication of award 111 ^our of M/s. Veeraswamy
Reddy & Sons, Bangalore at a contract value of Rs. 1,68,71,290/- which is 5 22% Jess
han the estimated contract value with reference to 96-97 SR subject to the condif
Rs"' 7 OOO? to AU!hOrit*ei WiH ;akG additi0nal P^ormance security for an amount of
Bank
unbalanced items after getting No Objection from the World
Subject No. 14
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flic Project Stecring Committee approved the proceedings of thp ton i
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renovation and expansion of Women and Children Hospital at NPC, Mysore in
tender cvaT'f
Pr°'eCt SleCnng Coinmiltec approved the recommendations of the
lender evaluation committee for issue of notification of award in favour of
ukhtar Ahmed, Bangalore at a contract value of Rs. 85,56,568/- which is 14 84/
more than the departmental estimated rates with reference to 96-97 SR.
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Subject No. 15
Upgrading Taluk Level Hospital at Soundatti in Belgaum District
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The Project Steering Committee approved the proceedings of the tender
evaluation committee for civil works and also the evaluation note for award of work
ol renovation and expansion of Taluk Level Hospital at Soundatti in Belgaum District,
he roject Steering Committee approved the recommendations of the tender
evaluation committee for issue of notification of award in favour of Sri U B Shettv
Dharwad at a contract value of Rs. 63,25,175/- which is 1.20% less than the estimated
contract value with reference to 96-97 SR subject to the condition that the Project
uthonties will take additional performance security for an amount of Rs. 3 200/towards unbalanced items.
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Subject No. 16
Renovation & Expansion of General Hospital at AURAD, Bidar District (under
. KJW Project)
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The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering
the reasons as justified by the Chief Engineer, the Steering Committee gave
administrative approval to the estimated cost of Rs. 117.00 lakhs for Renovation and
Expansion of General Hospital at Aurad, Bidar District (under KfW Project).
Subject No. 17
Renovation and Expansion of District
Dakshina Kannada District
Hospital (Genlock) at Mangalore in
1 he Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering
tie reasons as justified by the Chief Engineer, the Steering Committee gave
a mmistrative approval to the estimated cost of Rs. 155.00 lakhs for Renovation and
Expansion of District Hospital (Wenlock) at Mangalore in Dakshina Kannada District.
Subject No. 18
Additions and alternations to District Laboratory at Kanvar
Ihe Steering Committee gave administrative approval to the work of additions
and ^ernations to District Laboratory at Karwar District at an estimated cost of
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1S’ rhe Sleerin& Committee gave approval to take up the above works
under Local Shopping Procedure in W-5 format.
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Subject No. 19
^PP''uv‘'1 to the estimates for landscaping works at Malavalli, Arasikere
Belthangadi and Chickmagalur hospitals
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Ihe Steering Committee gave administrative approval to the work of
andscapmg works at Malavalli, Arsikere, Belthangadi and Chickmagalur Hospitals at
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an estimated cost of Rs. 1.50 lakhs, Rs. 1.50 lakhs, Rs. 1.50 lakhs and Rs. 2.50 lakhs
respectively. I he Steering Committee gave approval to take up the above works under
Local Shopping Procedure in W-5 format.
Subject No. 20
Additional works at Taluk Level Hospital at Bangarpet in Kolar District
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lhe Steering Committee gave administrative approval to the work of
providing separate portico at the entrance, etc. and providing LT panel board and
metering box at I aluk Level Hospital, Bangarpet in Kolar District at an estimated cost
of Rs. 17.55 lakhs. The Steering Committee gave approval to take up the above works
under Local Shopping Procedure in W-5 format.
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Subject No. 21
^Construction new Out
Patient Department
Out Patient
Department block,
block, Administrative
Administrative block
block and ward
block after demolishing the existing building at Community Health Center
Gonikoppal in Kodagu District
lhe Steering Committee gave administrative approval to the work of
construction of new Out Patient Department block, Administrative block and ward
block after demolishing the existing building at Community Health Centre,
Gonikoppal in Kodagu District at an estimated cost of Rs. 19.20 lakhs for construction
of Administrative block and ward block and Rs. 17.50 lakhs for construction of OPD
Block. Phc Steering Committee gave approval to take up the work of construction of
administrative block and ward block at an estimated cost of Rs. 19.20 lakhs through
the tendered contractor. The Steering Committee gave approval to take up lhe work of
construction of OPD block at an estimated cost of Rs. 17.50 lakhs under Local
Shopping Procedures in W5 format.
Subject No. 22
Providing 11KV Power Supply line and other allied works to H.T. Sub Station at
TLH Nelamangala in Bangalore (Rural) District
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The Steering Committee gave administrative approval to the work of
providing 11KV Power Supply line and other allied works to H.T. Sub-station at
Taluk Level Hospital, Nclamangala in Bangalore (Rural) District at an estimated cost
of Rs. 5.15 lakhs. The Steering Committee gave approval to lake up the above works
under Local Shopping Procedure in W-5 format.
Subject No. 23
Diversion of water supply lines from RCC over /head tanks located in the premises
°f Taluk Level Hospital at Anekal in Bangalore (Urban) District
I he Project Administrator briefly explained the reasons for taking up this
work. I he Steering Committee gave administrative approval to the work of diversion
of waler supply lines from RCC over head tank located in the premises of Taluk Level
Hospital al Anekal in Bangalore (Urban) District at an estimated cost of Rs. 6.00
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lakhs. I he Steering Committee gave approval to take up the above work under Local
Shopping Procedure in W-5 format. The Steering Committee gave this approval
subject to the condition that No Objection is taken from the Town Municipal Council
to this work to be carried out by the Engineers of the Karnataka Health Systems
Development Project.
Subject No. 24
Approval to the additional works at Taluk Level Hospital Pavagada in Tumkur
District (Deferred subject)
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I he Steering Committee gave administrative approval to the additional work
of renovation to the existing quarters (6 blocks) and construction of masonry drains,
etc. at laluk Level Hospital, Pavagada in Tumkur District at an estimated cost of
Rs. 12.85 lakhs. The Steering Committee gave approval to take up the above works
under Local Shopping Procedure in W-5 format.
Subject No. 25
Urgent repairs to District hospital at Gulbarga and Bidar
I he Project Administrator briefly explained the reasons for releasing the '
amount for effecting urgent repairs at District Hospital, Gulbarga and Bidar. The
Steering Committee gave posto-facto approval to the estimate for urgent repairs to the
District Hospital at Gulbarga and Bidar at an estimated cost of Rs. 5 lakhs and Rs. 3
lakhs respectively. The Steering Committee ratified the action taken by the Project
Administrator in releasing the amount from the disposition funds of KfW.
With the permission of Chairman, thefollowing Additional Subjects were taken for
discussion and resolved
Additional Agenda No. 1
Renovation and Expansion of Taluk Level Hospital at Hungund hin Bagalkot
District (Ex-Bijapur District)
1 he Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering
the reasons as justified by the Chief Engineer, the Steering Committee gave
administrative approval to the estimated cost of Rs. 128.00 lakhs for Renovation and
Expansion of laluk Level Hospital at Hungund in Bagalkot District (Ex-Bijanur
District).
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Additional Agenda No. 2
Renovation and Expansion of Taluk Level Hospital at Badawi in Bagalkot District
(Ex-Bijapur District)
I he Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering
the reasons as justified by the Chief Engineer, the Steering Committee gave
administrative approval to the estimated cost of Rs. 77.00 lakhs for Renovation and
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Expansion of laluk Level Hospital at Badami in Bagalkot District (Ex-Bijapur
District).
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Additional Agenda No. 3
Estimate for electrical works for Computer Room (Master Information Centre) at I
Floor, Superintending Engineer Office, KHSDP, Bangalore
The Steering Committee gave administrative approval to the work of electrical
works for Computer Room (Health Management Information. Centre) at I Floor,
Superintending Engineer Office, KHSDP, Bangalore at an estimated cost of Rs. 3.90
lakhs. 1 he Steering Committee gave approval to take up the above work under Local
Shopping Procedure in W-5 format.
Additional Agenda No. 4
Renovation and Expansion of Taluk Level Hospital at K.R. Nagar in Mysore
■ District
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The Project Steering Committee approved the proceedings of the tender
evaluation committee for civil works and also the evaluation note for award of work
of renovation and expansion of Taluk Level Hospital at K.R. Nagar in Mysore
District. I he Project Steering Committee approved the recommendations of the tender
evaluation committee for issue of notification of award in favour of M/s. Shetty's
Constructions, Hubli at a contract value of Rs. 1,29,13,935/- which is 8.52% more
than the estimated contract value with reference to 96-97 SR subject to the condition
that the Project Authorities will take additional performance security for an amount of
Rs. 30,000/- towards unbalanced items after getting No Objection from the World
Bank.
Additional Agenda No. 5
Construction of Compound wall to Central Equipment Workshop Building at
Magadi Road, Bangalore
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The Steering Committee gave administrative approval to the work of
construction of Compound Wall to Central Equipment Workshop Building at Magadi
Road, Bangalore at an estimated cost of Rs. 6.65 lakhs. The Steering Committee gave
approval to take up the above works under Local Shopping Procedure in W-5 format.
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Additional Agenda No. 6
Approval of the Steering Committee for contracting out Canteen facilities in the
hospital premises in two hospitals on a pilot basis
The Chainnan observed that in many of the hospitals, there is no canteen
facility to the attendants of the patients and others visiting the hospital. As a result of
this, in many of the hospitals, there are unauthorized vendors selling the eatables
which not only spoils the hospital environment but also is an interference in the
working ol the hospital. The Project Administrator informed that the canteen facility
is very essential and in smaller hospitals like 30 and 50 bedded hospitals, there is no
diet given to the in-patients and with the canteen facility within the hospital premises,
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wT V0 Pr°V,dC diCt a,S0 l° the in-Pallcnls- The Commissioner Health
?.n ™ y ^elPare als° agreed with the suggestion, as canteen facility would certainly
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thaf th P
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that the required procedures will have to be followed while contracting out canteen
facihty to a private agency. The Project Administrator suggested that this facility
77^77 °f d‘Ct 10 lhC in’Patienls could bc started in two hospitals at
Devanahahi and Magad. on a pilot basis. With the results from this pilot project
er action could be taken for starting canteen facility and also for providing dkt to’
and dkt3 oT ln
0therpr0jcCt h0SPitals' This P^al of starting canteen facility
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le 7pat,ents ln two hospitals at Devanahalli and Magadi was approved
by the Steering Committee.
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No. HFW (PR) 6 WBA 98
Sd/Chairman
Steering Committee &
Secretary to Government,
Health & Family Welfare
Copy of the above proceedings forward to the following officers for taking further
action.
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(D.M. AGA)
Under Secretary to Government
K.H.S.D.P.
To,
1. 1 he Secretary to Government Public Works Department, M.S Buildinc
Bangalore.
2. The Secretary to Government, Finance Department, Vidhana Soudha, Bangalore
3. The Engmeer-in-Chief, KHSDP.
4. The Director of Health & Family Welfare Services.
5. The Director of Medical Education.
6. The Additional Director, KHSDP.
7. The Additional Director, KHSDP (Strategic Planning Cell)
8. I he Additional Director, KHSDP (CMD)
9. The Additional Director, (K1W), KHSDP.
Copy submittedfor kind information:
1. 1 he Secretary to Government, Health & Family Welfare Department
2. the I roject Administrator, KHSDP & Ex-officio Additional
Secretary to
Government, Health & Family Welfare, Bangalore
3. The Additional Secretary (PMU), Finance Department
Vidhana Soudha,
Bangalore
4. Smt. M.V. Jayanthi, Joint Secretary to
Government, Planning Department.
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Annex 5
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(Proceedings of the 46th Meeting of the Project Steering Committee)
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Proceedings of the 46th Meeting of the Project Steering Committee Meeting of
the Karnataka Health Systems Development Project held on 21st October,
1999 under the Chairmanship of the Secretary to Government, Health and
Family Welfare Department
Members present:
1. The Secretary to Government, Health and Family Welfare Department
2. The Commissioner, Health & Family Welfare Department (Special Invitee)
3. The Secretary’, Finance Department represented by Deputy Secretary
4. The Secretary7 to Government, Public Works Department represented by Deputy
Secretary
5. The Project Administrator, KHSDP
6. The Director, Medical Education
7. The Chief Engineer I/C, KHSDP
8. The Additional Director, KHSDP
9. The Additional Director, KfW, Gulbarga
10. Sri M.C. Thirumalachar, Project Co-ordinator, KfW Project
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Members who could not attend the meeting:
1. The Director, Health & Family Welfare Department
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Invitees Present:
1. The Director, State Institute of Health & Family Welfare
2. The Chief Administrative Officer, KHSDP
3. The Chief Financial Officer, KHSDP
4. The Deputy Chief Architect, KHSDP
5. The Joint Director (Medical), KHSDP
6. The Deput}7 Director (Training), KHSDP
7. The Deputy Director (Equipment), KHSDP
8. The Deputy Director (MIS), KHSDP
9. Sri D. Rama Rao, STEM Consultant
lO.Sri R.P. Rao, STEM Consultant
ll.Sri V.R. Murali, Financial Consultant
12.Dr. Vijayalakshmi, Medical Consultant
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Subject No. 1
Reading and Confirmation of the Steering Committee Meeting held on 24,b September,
1999
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The Proceedings of the 45’!1 Steering Committee Meeting held on 24',‘ September,
1999 were read and confirmed with the following corrections in respect of Subject No. 15:
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The name of the work shall be read as "Upgrading Taluk Level Hospital at Saundatti
in Belgaum District from 50 to 100 beds" in place of "Renovation and Expansion of Taluk
Level Hospital al Saundatti in Belgaum District".
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Subject No. 2
Action taken on the Proceedings of the Steering Committee Meeting held on 13,h August,
1999
The Committee reviewed action taken on the Proceedings of the 45,b Steering
Committee Meeting held on 24,h September, 1999.
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While reviewing the action taken on the Proceedings of the previous meeting, the
Commissioner, Health & Family Welfare suggested that in respect of Item No. 23, it may be
recorded as Administrative Approval will be given after getting No Objection from the TMC,
Anekal.
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Similarly, in respect of Item No. 25, it was suggested by the Commissioner, Health &
Family Welfare that it may be recorded as "post-facto approval".
In respect of Additional Agenda No. 6, the Chairman infonned the Committee that in
respect of some hospitals, there have been requests for giving permission to entrust the
canteen facility to private persons. He observed that there should be a policy regarding
privatising canteen facility in hospital premises. As Karnataka Health Systems Development
Project is taking up two hospitals on a pilot basis for Contracting out canteen facilities
including supply of diet to the inpatients, he requested the Project Administrator to prepare a
separate note on Contracting out Canteen facilities in Government Hospitals which would
help the Government to take a policy decision on Contracting out Canteen facility in hospital
premises.
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Subject No. 3
Approval of the Steering Committee to Evaluation Reports and the recommendations of the
Tender Sub-Committee for procurement of X-ray Accessories included in the IFB dated
23-8-1999
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The Project Administrator briefly explained the procedure followed in Evaluation of
Bids for the procurement of the X-ray Accessories.
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The Steering Committee approved the recommendations of the Tender Sub
Committee and the Evaluation Note for the procurement of X-ray Films included in Package
X3. The Steering Committee gave approval for issue of Notification of Award in favour of
M/s. Hindustan Photo Films Ltd., Bangalore who is at LI for procurement of X-ray Films
included in Package X3 at the following rates:
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Size of
the Film
Unit Price
(Rs.)
6/2 X 872
8X10
10X 12
12X 12
12X 15
14X 14
358.15
518.57
777.86
933.44
1166.88
1270.50
Quantity in
Boxes of 50
Films each
500
650
550
220
750
30
Total Price
(Rs.)
1,79,075.00
3,37,070.50
4,27,823.00
2,05,356.80
8,75,160.00
38,115.00
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14 X 17
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1542.75
100
Total
1,54,275.00
22,16,875.30
The Committee noted that M/s. Anu Graphics, Jabalpur and M/s. Kodak India Ltd.,
Chennai have quoted the lowest rate for Fixers and Developers respectively. The Project
Administrator informed the Committee that as the bidder M/s. Anu Graphics, Jabalpur is also
substantially responsive meeting the requirements as per the qualification criteria, it may not
be possible to reject its offer. The Director, State Institute of Health & Family Welfare
informed the Committee that the Fixers and Developers should be procured from the same
company otherwise there will not be compatibility. The Project Administrator suggested that
the bids for Fixers and Developers may be rejected with the approval of the World Bank. He
also requested the Committee to give approval for procurement of Fixers and Developers
which is immediately required in the hospitals on Local Shopping Procedures as the value is
approx. Rs. 3 lakhs.
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With this, the Steering Committee gave approval for rejection of all bids received for
the supply of Fixers and Developers with No Objection from the World Bank. The Steering
Committee gave approval for procurement of Fixers and Developers required for immediate
use in Hospitals on Local Shopping Procedures. The Steering Committee requested the
Project Administrator to make it one package while procuring Developers and Fixers in the
next procurement under National Competitive Bidding.
Subject No. 4
Approval of the Steering Committee for taking up a project ^Propagation of Menstrual
Hygiene in rural areas” on a pilot basis in Mysore District through Bharath Charitable
Cancer Hospital & Institute
The Project Administrator briefly informed the Committee that the Institute has come
forward to educate rural women about the menstrual problem and also the advantages of
sanitary pads. The Director, Medical Education informed the Committee that many of the
infectious diseases of the genital tract in women could be reduced by the use of sanitary pads.
Considering the importance of hygiene during menstrual periods, the Committee gave
approval to the proposal of taking up the project "Propagation of Menstrual Hygiene in Rural
Areas” on an experimental basis in Mysore District through Bharath Charitable Cancer
Hospital and Institute. The Steering Committee gave approval to the proposal of giving Rs. 1
lakh to the Institute for the above project.
Subject No, 5
Placing of the Status Report on Benchmarks proposed to be achieved by October 1999
The Steering Committee noted the Status Report on Benchmarks proposed to be
achieved by October 1999. The Project Administrator informed the Committee that the action
taken report will be again revised on the basis of further discussion with the Secretary, Health
& Family Welfare and Commissioner, Health & Family Welfare before the visit of
Supervision Team of the World Bank.
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Subject No. 6
Renovation and Expansion of Sub Divisional Hospital at Kumta in Uttar Kannada
District
The Project Steering Committee approved the proceedings of the tender evaluation
committee for civil works and also the evaluation note for award of work of renovation and
expansion of Sub-divisional Hospital at Kumta in Uttara Kannada District. The Project
Steering Committee approved the recommendations of the tender evaluation committee for
issue of notification of award in favour of M/s. Balaji & Co., Bangalore at a contract value of
Rs. 1,07,89,337/- which is 15.04% less than the estimated contract value with reference to 9697 SR subject to the condition that the Project Authorities will take additional performance
security for an amount of Rs. 17,55,200/- towards unbalanced items.
Subject No. 7
^Renovation and Expansion of Taluk Level Hospital at Chintamani in Kolar District
The Project Steering Committee approved the proceedings of the tender evaluation
committee for civil works and also the evaluation note for award of work of renovation and
expansion of Taluk Level Hospital at Chintamani in Kolar District. The Project Steering
Committee approved the recommendations of the tender evaluation committee for issue of
notification of award in favour of M/s. J.N. Construction Co., Bangalore at a contract value of
Rs. 1,60,27,128/- which is 6.82% less than the estimated contract value with reference to 9697 SR subject to the condition that the Project Authorities will take additional performance
security for an amount of Rs. 98,400/- towards unbalanced items after getting No Objection
from the World Bank.
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Subject No. 8
Renovation and Expansion of Taluk Level Hospital at Chikkodi in Belgaum District
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The Project Steering Committee approved the proceedings of the tender evaluation
committee for civil works and also the evaluation note for award of work of renovation and
expansion of Taluk Level Hospital at Chikkodi in Belgaum District. The Project Steering
Committee approved the recommendations of the tender evaluation committee for issue of
notification of award in favour of Sri L. Rajappa, Bangalore at a contract value of Rs.
1,26,27,976/- which is 0.56% less than the estimated contract value with reference to 96-97
SR subject to the condition that the Project Authorities will take additional performance
security for an amount of Rs. 12,92,800/- towards unbalanced items.
Subject No. 9
Construction of Taluk Level Hospital at Soraba (Including Balance works) in Shinioga
District
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The Project Steering Committee approved the proceedings of the tender evaluation
committee for civil works and also the evaluation note for award of work of construction of
Taluk Level Hospital at Soraba (including balance works) m Shimoga District. The Project
Steering Committee approved the recommendations of the tender evaluation committee for
issue of notification of award in favour of Sri Chejarla Venkataramana Reddy, Ncllore at a
contract value of Rs. 1,35,07,971/- which is 5.94% excess over the estimated contract value
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with reference to 96-97 SR subject to the condition that the Project Authorities will take
additional performance security for an amount of Rs. 27,100/- towards unbalanced items after
getting No Objection from the World Bank.
Subject No. 10
Renovation and Expansion of Sub-divisional Hospital at Indi in Bijapur District
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The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 62.00 lakhs for Renovation and Expansion of Subdivisional Hospital at Indi in Bijapur District.
Subject No. 11
^Renovation and Expansion of Sub Divisional Hospital at Pandavapura'in Mandya District
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The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 51.00 lakhs for Renovation and Expansion of Subdivisional Hospital at Pandavapura in Mandya District.
Subject No. 12
Renovation and Expansion of General Hospital at Basavakalyana in Bidar District
(Under KfW Project)
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The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 93.00 lakhs for Renovation and Expansion of General
Hospital at Basavakalyan in Bidar District (under KfW Project).
Subject No. 13
Renovation and Expansion of General Hospital at Sandur Bellary District (under KfW
Project)
The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 94.00 lakhs for Renovation and Expansion of General
Hospital at Sandur in Bellary District (under KfW Project).
Subject No. 14
Renovation and Expansion of Community Health Centre at Mannekahalli in Bidar
District (Under KJW Project)
The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
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reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 75.50 lakhs for Renovation and Expansion of
Community Health Centre at Mannekahalli in Bidar District (under KfW Project).
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Subject No. 15
Renovation and Expansion of General Hospital at Humnabad in Bidar District (Under KfW
Project)
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The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 125.00 lakhs for Renovation and Expansion of General
Hospital at Humnabad in Bidar District (under KfW Project).
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Subject No. 16
Renovation and Expansion of General Hospital at Chincholi in Gulbarga District (Under
KfW Project)
The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. After considering the
reasons as justified by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 170.00 lakhs for Renovation and Expansion of
Community Health Centre at Chincholi in Gulbarga District (under KfW Project).
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Subject No. 17
Renovation and Expansion of General Hospital at Kushtagi in Raichur District (Under
KJW Project)
The Chief Engineer briefed the Steering Committee, the reasons for increase in
estimated cost compared to the provision made in the project report. The Project Co-ordinator
of KfW Project informed the Committee that the clearance has been given by the KfW for
tendering this work. After considering the reasons as justified by the Chief Engineer, the
Steering Committee gave administrative approval to the estimated cost of Rs. 141.00 lakhs
for Renovation and expansion of Community Health Centre at Kushtagi in Raichur District
(under KfW Project).
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Subject No. 18
Additional works to Taluk Level Hospital at Gokak in Belgaum District
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The Steering Committee gave administrative approval to the additional works to
Taluk Level Hospital at Gokak in Belgaum District at an estimated cost of
Rs. 7.20 lakhs. The Steering Committee gave approval to take up the above works under
Local Shopping Procedure in W-5 format.
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Subject No. 19
Providing submersible pump-set with accessories to existing bore well at General Hospital,
Hospet in Bellary District
The Steering Committee gave administrative approval to the work of providing
submersible pump-set with accessories to existing bore well to General Hospital at Hospet in
Bellary District at an estimated cost of Rs. 50,000/-. The Steering Committee gave approval
to take up the above works under Local Shopping Procedure.
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With the permission of Chairman, the following Additional Subjects were taken for
discussion and resolved
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Additional Agenda No. 1
Approval of the Steering Committee for procurement of Linen to the 60 hospitals which
are getting re-commissioned under the project
The Steering Committee gave approval to the proposal of procurement of Linen to
the 60 hospitals which are getting re-commissioned under the project. The Steering
Committee gave approval to procure the materials following the Local Shopping Procedures.
The Steering Committee authorised the Project Administrator to approve the rates after
inviting bids under Local Shopping Procedures and take action to supply the materials to the
60 hospitals.
Additional Agenda No. 2
Approval of the steering committee for deputing Doctors for Workshop on “Early
Identification of Developmental Disabilities in Children - a Multidisciplinary Approach”
at C.F. T.R.I., Mysore
The Steering Committee gave approval to the proposal of deputing 53 Doctors to the
workshop on “Early Identification of Developmental Disabilities in Children - a
Multidisciplinary Approach” at C.F.T.R.I., Mysore. The Steering Committee gave approval
to the proposal of giving Rs. 1 lakh to the Institute of Mother and* Child/Krupa Nidhi
Memorial Foundation, Mysore in lieu of registration fee for 53 Doctors attending conference.
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Additional Agenda No. 3
Construction of District Workshop building and office of Assistant Executive Engineer,
KfW sub-division at District Hospital premises, Bellary
The Steering Committee gave administrative approval to the work of construction of
District Workshop Building and office of Assistant Executive Engineer, KfW sub-division at
District Hospital Premises, Bellary at an estimated cost of Rs. 13.85 lakhs. The Steering
Committee gave approval to take up the above works under Local Shopping Procedure.
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Additional Agenda No. 4
Approval of the Steering Committee for hosting a Dinner to the delegates attending the
symposium on "Poverty and Health" organised by Community Health Cell in
collaboration with WHO
The Steering Committee gave approval to the proposal of hosting a dinner to the
delegates attending the symposium on "Poverty and Health" organised by Community Health
Cell in collaboration with WHO.
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Chairman
Steering Committee &
Secretary to Government,
Health & Family Welfare
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No.«FW (PR) 6 WBA 98
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A Copy of the above proceedings forward to the following officers for taking further action.
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(D.M. AGA)
Under Secretary to Government
K.H.S.D.P.
To,
1. The Secretary to Government Public Works Department, M.S. Building, Bangalore.
2. The Secretary to Government, Finance Department, Vidhana Soudha, Bangalore.
3. The Engineer-in-Chiefi KHSDP.
4. The Director of Health & Family Welfare Services.
5. The Director of Medical Education.
6. The Additional Director, KHSDP.
7. The Additional Director, KHSDP (Strategic Planning Cell).
8. The Additional Director, KHSDP (CMD)
9. The Additional Director, (KfW), KHSDP.
Copy submittedfor kind information:
1. The Secretary to Government, Health & Family Welfare Department
2. The Project Administrator, KHSDP & Ex-officio Additional Secretary to Government
Health & Family Welfare, Bangalore
3. The Secretary to Government (PMU), Finance Department, Vidhana Soudha, Bangalore
4. Smt. M.V. Jayanthi, Joint Secretary to Government, Planning Department.
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