Financial Co-operation with India Upgrading Secondary Level Health Care Facilities in the Gulbarga Division, State of Karnataka, Phase I
Item
- Title
-
Financial Co-operation with India
Upgrading Secondary Level Health Care
Facilities in the Gulbarga Division, State of
Karnataka, Phase I
- extracted text
-
REPUBLIC OF INDIA
Department of Health and Family Welfare
Bangalore, Karnataka
KREDITANSTALT FUR WIEDERAUFBAU (KFW)
Project:
Financial Co-operation with India
Upgrading Secondary Level Health Care
Facilities in the Gulbarga Division, State of
Karnataka, Phase I
I
Progress Report No. 10
February 2000 - March 2000
Consortium
l
<
SA\r\llPLZXI\l
MEDICONSULT
i
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division. State of Karnataka
Progress Report No. 10
CONTENT
1.
EXECUTIVE SUMMARY
2
Activity
2.
3
ACTIVITIES
2.1
4
Activities of the Government of Karnataka
2.1.1
2.1.2
4
Project Governing Board
Project Steering Committe e
4
4
2.2 ACTIVITIES OF THE KHSDP ADMINISTRATION
2.2.1
2.2.2
2.2.3
e
4
4
9
2.3 Activities of the Engineering Wing KHSDP...........................................................
9
2.3.1
2.3.2
2.3.3
2.3.4
2.3.5
2.3.6
2.3.7
1
4
Equipment Maintenance in Gulbarga Division...........................................................
Co-ordination of the FC Project with the Technical Measures in Gulbarga Division.
Personnel at Gulbarga Project Office
Urgent Repairs of District Hospitals
Urgent Repairs of Other Hospitals........................................................................
Planning Progress...........................................................................................
Equipment Maintenance Workshops....................................................................
Procurement of Medical Equipment.....................................................................
Quality Auditing Services for the hospital building works under the KfW Project
Financial Auditing Services..........................................................................
2.4 Activities of the Consultant...............................................................................
2.4.1
2.4.2
2.4.3
2.4.4
3.
Project Co-ordination and preparation of implementation
Visit of SANIPLAN consultants
Review of Monitoring Plan................................................
Revision of project planning matrix
RESOURCES
3.1
Personnel............................
3.1.1
3.1.2
3.2
4.
..
Consulting Inputs............
Local Support Personnel.
Equipment / Materials......
TIME SCHEDULE
4.1
Project
4.2 Consulting Services..........................................
4.2.1
4.2.2
4.2.3
4.2.4
5.
Local Project Manager and local consultants:
Public Health Consultant:
Hospital Planner & Architect:..........................
Management Team:........................................
FINANCIAL SITUATION
5.1
Project.........................
5.1.1
Disposition account.
.
9....9
.. 10
.. 12
.. 12
.. 12
.. 13
.13
13
13
13
13
14
i
...1'4
... 14 ... 14
14
15
15
15
15
15
15
16
I
16
16
16
SANIPLAN / MEDICONSULT
i
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
6.
Progress Report No. 10
5.2 Cost Estimates
16
5.3 Consulting Services
16
CONSTRAINTS, OPPORTUNITIES AND RECOMMENDATIONS
I
6.1
Constraints & Opportunities..................
6.1.1
6.1.2
6.1.3
6.1.4
6.1.5
6.1.6
16
16
Planning Phase........................................
Medical Equipment...................................
Water Conservation.................................
Solid Waste Disposal...............................
Land Tenure Problems.............................
Revision of Designs during Implementation
16
16
17
17
17
17
6.2 Recommendations.......................................
18
Annexures:
Annex 1:
Annex 2:
Annex 3:
Annex 4:
Annex 5:
Annex 6:
Annex 7:
Proceedings of the 16th Meeting of the Project Governing Board
Proceedings of the 48th Meeting of the Project Steering Committee
Expenditure Statements
Performance of Doctors Training
Performance of Nurses Training
Updated T ime Schedule
Request for Replenishment No.1
SANIPLAN / MEDICONSULT
i
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
Progress Report No. 10
Abbreviations
DoHFW
GOK
KHSDP
KfW
MIS
NGO
WB
Department of Health and Family Welfare
Government of Karnataka
Karnataka Health System Development Project (supported by WB and KfW)
Kreditanstalt fur Wiederaufbau, Germany
Management Information System
Non-government Organisation
World Bank
Exchange Rate
1 US$ = 42.60 Rupees (16th January 2000)
1 DM = 22.10 Rupees (16th January 2000)
1 Crore = 10 million
1 Lakh = 100,000
I
e
SANIPLAN / MEDICONSULT
1
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
1.
Progress Report No. 10
EXECUTIVE SUMMARY
Description of the Project Progress'
The present Progress Report No. 40 covers the German supported section of the Karnataka
Health Systems Development Project (KHSDP) for the months February - March 2000.
The project activities to date include:
The development and approval of the functional layouts and preliminary designs for
renovation and upgrading of the 23 hospitals. (March 1998 - June 1999)
♦ Development and approval of Civil works basic tender document (1998)
Development medical equipment contract documentation including quantities and
equipment layouts (1998, May 1999) ‘
♦ Assessment and refinement of urgent repairs required at the District Hospitals at Bidar
and Gulbarga. (Mid 1999)
♦ 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 8 of the project hospitals (Mid/end of
1999)
♦
♦
Urgent repairs completed at Gulbarga District hospital and other hospitals.
. L
Completion of 46"final designs and the respective tender documents (until March
♦
Tendering of 134) os pita I works (March-2000)
5.^, / . r/
Completion of bid evaluation for-8 nospital works (March-2000) and clearance by KfW
Contract award for-S^civil works and start of implementation in the month of March20007 4;^
15
Ongoing development of final designs of the remaining'T^hospitals.
Preliminary designs for 3 District hospitals developed and discussed with the
international hospital planner.
2000)
♦
♦
1
♦
♦
-5,
,>99
Though the programme is still behind the estimated schedule drawn up at the time of the project
award, the present programme progress has been speeded up substantially. The local
consulting Project Co-ordinator, located within the premises of the KHSDP, has been constantly
working with the local architects on the development of final designs and the tender documents
in close collaboration with the KHSDP personnel. Two SANIPLAN experts ( Public Health /
Project Manager and the International Hospital Planner) visited the project in January 2000 to
assist in the ongoing activities (clearance of bid evaluation reports, urgent repair work and
preliminary design of district hospitals as well as monitoring of Project progress of FC measures
and the WB supported technical component in Gulbarga Division.)
Mr. Pischke. Vice President and Head of India Division, KfW, Mr. Topp. Deputy Head of South
Asia Division and Mr. Martin Lubke from the German Ministry for Economic Co-operation and
Development visited the Project site on 24-03-2000 and saw the emergency repairs and new
works started under KfW Programme. They discussed with the Medical Officers of Sandoor,
Hospet and Kushtagi Hospitals on the adequacy of requirement for these hospitals.
a
The preparations for the procurement of medical equipment have been completed. It is planned
to initiate the procurement as soon as the Civil Work component is near to completion (About 4
months before commissioning of the Hospitals). Prior to the procurement, the KHSDP plans a
short review of the requirements due to changes in the equipment status in comparison to the
latest assessment.
SANIPLAN / MEDICONSULT
2!
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
Progress Report No. 10
Overview: Project Status Major activities - End of March 2000
Civil Works Component:
2 district
Of emer9ency measures (to be executed
by PEA)
|
I
I
hospitals
Development of preliminary designs approval
Development of final designs and tender
documentation
w.
Nil
23 hospitals
16^hospitals
If
X
Clearance of final designs and tender
documentation
4
Call for bids
3
3
2
2
I
16 hospitals
_____ o______
13'Hospitals
2
^Hdspitals
^Hospitals
Nil
^Hospitals
Non-objection to award proposal by KfW
Contract Award
|
2-^7 2
Hospitals
Elaboration of civil works model Bid document
and approval by GOK & KFW
(gyp Evaluation of bids
8 hospitals
I
.
Equipment Component:
i
w
O
z .
....
Review of emergency supplies by PEA
I
x
Review of medical equipment lists & analysis of
requirements
7^ ? Preparation of final procurement lists
Elaboration of cost estimates and budget
schedule
X
X
y
x"
Preparation of specification equipment and
vehicles
X
Determination of procurement procedures
X
Elaboration of logistical framework for supplies
B
X
Elaboration of model bid document and approval
by GOK & KfW
7-9 s-' Review of requirements
-IO-' Call for tenders for the delivery of equipment.
I
"x
X
SANIPLAN/MEDICONSULT
3 i
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
2.
ACTIVITIES
2.1
Activities of the Government of Karnataka
Progress Report No. 10
The Government of Karnataka represented by the KHSDP continued to co-ordinate, 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
2.1.1
Project Governing Board
During the reporting period, the progress on the KfW project was reviewed by the Chief
Secretary, Government of Karnataka in the 16th Meeting of the Project Governing Board held on
08-03-2000. The proceedings of the meeting are enclosed as Annex 1.
2.1.2
Project Steering Committee
A Steering Committee (^meeting) was held on March-G^OOO (Annex 2). In the meeting, the
contract awards of the Second Batch of 3 hospital works were approved:
•
•
•
I
Basavakalyan
Chincholi
Huvina Hadagali
At the same meeting, administrative approval of the final designs and the bid documentation
was approved for 3 more hospitals:
•
•
•
Shahpur
Yadgir
Devadurga
The Steering Committee also gave approval for entrusting the work of preparation of financial
statements for the KfW project from inception up to February 2000 to M/s Murali &. Co.,
Bangatore as one time exception for a fees of Rs. 10,500/- considering the urgency of the matter
as the amount available^ under disposition fund is about to be exhausted and fresh remittancefrom KfW is required urgently in view of starting of civil works.
i
j
I
2.2
Activities of the KHSDP Administration
2.2.1
Equipment Maintenance in Gulbarga Division.
No further development can be reported on this issue.
2.2.2
Co-ordination of the FC Project with the Technical Measures in Gulbarga Division
The KHSDP administration is responsible for the co-ordination of the technical measures
implemented under the World Bank supported project component in Gulbarga Division and the
KfW financed civil works and equipment project component. The following updated table
(Status: March 2000) summarises the progress of the WB supported KHSDP components in the
State of Karnataka in comparison with the KHSDP activities in the Gulbarga Division.
I - f
SANIPLAN / MEDICONSULT
4
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
Progress Report No. 10
Summary of Major KHSDP Activities - Comparison State & Gulbarga Division
KHSDP Components
Management
Strategic Planning Cell
)
Civil Works
Progress in WB supportedI
Progress in KfW supported
________ project area_______________ Gulbarga Division______
• Co-ordination activities ;are being continued successfully
between KHSDP, KfW component, RCH, SHS II IPP-VIlf
IPP - IX
'
• The mal-distribution and mismatch of specialists in the
hospitals exists to a great extent. KHSDP continued to work
on the re-distribution and filling up of posts in most of
hospitals under the KHSDP (Gulbarga Division included)
• The report on study of waste management practices in
hospitals has been presented in October 1999.
• Up-date action on Health Policy Matrix on-going
• Microbial contamination study issued
• Manual for commissioning of hospitals where work is
completed - prepared
• Study on manpower planning in the Dept, of H&FW initiated
• Discussion on certain basic changes in policy on public /
private mix on-going
• Study on user charges completed - charging fee for health
services - Govt. Order is issued.
• The following new studies are under consideration:
Evaluation of training conducted by KHSDP
•
•
Staff recruitment
Planning for almost 90%
of
the
hospitals
completed
Civil
works
will
be
completed
for
93
hospitals until April 2000
•
•
23 hospitals: final design
and tender stage
8 out of 23 hospital works
grounded (award
given
March 2000)
• Recruitment
process
in • 45 - 50% of the posts under
progress for:
the KHSDP filled (doctors’and
573 assistant surgeons
nurses)
115 dental surgeons
• Recruitment of 23 assistant
867 staff nurses and
dental surgeons in progress
paramedics
• 75 posts of assistant surgeons
• Recruitment process
will be filled under the KHSDP
completed for
- scrutiny of applications in
entomologists and graduate
progress
pharmacists
. 13 X - Ray technicians posted
• 15 driver posts filled
. 253 staff nurses posted (some
of them have not reported)
SANIPLAN / MEDICONSULT
5 I
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
KHSDP Components
Progress in WB supported
Progress in KfW supported
w____ project area________
Gulbarga Division______
• Training of all district laboratory medical officers,
entomologists completed
• 284 out of 380 specialist doctors trained during 1999 - 2000
•
1169 out of 1810 staff nurses / paramedics trained during
1999-2000
• Fresh and refresher training at 60 hospitals carried out
• Pilot training on behavioural change on-going
Training of personnel
Referral System
•
•
•
Maintenance and
Equipment
repair of
•
•
Waste disposal system
•
•
•
SANIPLAN / MEDICONSULT
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.
It is planned to initiate the
implementation of the
referral system in all
districts
independent
from completion of the
infrastructure works
Referral system will
implemented shortly.
be
______________ l_______________
•
Bi
Progress Report No. 10
One time repair at all hospitals under the KHSDP completed
state-wide
Work shops in all districts established , equipped and
functioning
Maintenance teams in place and working
Discussion on
on policy
formulation for
for waste
reduction and recycling
strategies on-going
Question of installation of
incinerators
at
district
hospitals will depend on
political decisions of the
Indian Government
Meanwhile in Karnataka,
a waste disposal system
(segregation of waste,
deep burner) has been
introduced at all hospitals
commissioned under the
KHSDP
No new waste management
system has been introduced
so far since rehabilitation
work at tho hospitals have
not yet been started
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
KHSDP Components
Progress Report No. 10
Progress in WB supported
Progress in KfW supported
~ project area______
____ Gulbarga Division
• Improved state - wide, no drug shortage reported
Drug Supply System
I
!
I
Yellow Card scheme
•
Access to Women's Health
•
•
Epidemiological Surveillance
of Communicable diseases
•
•
•
•
•
•
Contracting out
clinical services
of
non-
•
Implemented in all districts of Karnataka, rounds of yellow
card check ups for scheduled casts and tribes conducted
regularly twice a year. Annual health check up in the five
districts of Gulbarga Division See______
Implemented through one
Not implemented here
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 NGO's
Surveillance units in all
27 districts (including new
districts) designated
11 district surveillance
laboratories completed
in 7 places construction
in progress
Procurement
of
Equipment in progress
State
level
working
committees functioning,
district level co-ordinating
committees constituted
Software developed and
computer procurement in
progress
Contracting out of nonclinical services at all (90)
completed
hospitals
finalised by April 2000
•
•
•
•
Surveillance units for all
districts in Gulbarga Division
designated
Unit at Gulbarga initiated
District level co-ordination
committee of Raichur has
conducted a meeting on 0402-2000
Not yet initiated
(9
SANIPLAN / MEDICONSULT
7
i
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
KHSDP Components
IEC
Quality assurance
Progress in WB supported
project area_
• IEC
needs
and
comprehensive strategy
identified by the KHSDP
• IEC activities for referral
system initiated in some
districts
• IEC measures for yellow
card system carried out
• Facility
linked
IEC
activities (e.g for waste
management) initiated in
60 up-graded hospitals
• IEC through Audio-Visual
Media
on
waste
management and Yellow
card scheme has been
prepared.
Videocassettes on the
above
telecasting
in
National TV network is
also prepared.
• IEC posters regarding
utilisation
and
management
of
equipment and drugs are
also prepared.
• IEC activities on referral
system
is
being
advertised through print
media
Progress in KfW supported
Gulbarga Division
IEC measures for yellow
card scheme carried out
Quality clinical audit at 30
commissioned hospitals
completed
Regular reporting and
analysis
of
hospital
performance
indicators
on-going
Feed back provided to
reporting hospitals
Increase of attendance
after
completion
of
infrastructure works due
to
improved
services
measured
________
Supposed March 2002
•
About 80% of hospitals
under the KHSDP report _
regularly
of attendance
Increase
recognised due to better
monitoring
•
•
•
•
Completion of the KHSDP •
and giving over to Ministry of
Health
I
Progress Report No. 10
Supposed September 2001
(Source: KHSDP Additional Director)
SANIPLAN / MEDICONSULT
8
!
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
2.2.3
Progress Report No. 10
Personnel at Gulbarga Project Office
In Gulbarga Division, the project office established by the Government covers both the WB
supported KHSDP measures and the KfW supported Programme component. The Engineering
division has been established but not yet completely staffed since Civil works apart from urgent
repairs have not yet been initiated. The staff status at the Gulbarga Office is same as in the
previous progress report.
Sri. Karkannanavar is now Additional Director for KfW supported project component in Gulbarga
Division.
2.3
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 8 hospitals including two district hospitals.
♦
Development of Final designs and the respective tender documents.
♦
Evaluation of 10 bids.
2.3.1
Urgent Repairs of District Hospitals
Bellary District Hospital:
Rewiring and repairs & construction of new shed; work Completed
Gulbarga District Hospital:
Urgent repairs of the hospital have been completed.
2.3.2
Urgent Repairs of Other Hospitals
The urgent repairs have been taken up in the following hospitals:
1) Chikiogihalli Hospital : Rewiring and improvements to water supply - work completed
2) Kudligi Hospital: Improvements to water supply - not yet taken up
3) Sandoor Hospital: Improvements to water supply and electrical repairs - work completed
4) Madana Hipperqa Hospital: Repairs to electrical and sanitary works - work ongoing.
5) Kalqi Hospital: Repairs to electrical and sanitary works - work ongoing.
6) Aland Hospital: Repairs to electrical and sanitary works - work ongoing.
7) LiO.qsuqur Hospital: Providing drains and O.P.D entrance to the portion where encroachment
has been removed. - work completed
SANIPLAN / MEDICONSULT
9
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
2.3.3
Progress Report No. 10
Planning Progress
The development of the designs for hospital rehabilitation and upgrading up to date (End of
reporting period March 2000) is as follows:
General Hospitals:
>
Preliminary design of hospital at Sindanur in Raichur District re-submitted to KfW and
cleared by KfW on 25-02-2000
> During the reporting period, a total of 14 final designs have been cleared.
> Final designs and tender documents of the remaining 9 hospitals are in progress
> Bid opening and evaluation has been completed for 8 hospital works: Aurad, Mannekhalli,
Humnabad, Sandoor, Kushtagi, Chincholi, Basavakalyan and Huvina Hadagali
KfW gave non-objection to the evaluation results and the works at five hospitals were
grounded on 25-01-2000 and 3 hospitals in the month of March 2000.
> Final designs of hospitals at Jewargi and Kalgi have been cleared by the consultant on 2303-2000 subject to some minor modifications to be attended to at the implementation stage.
The estimates for these works are cleared by Steering Committee and bids are proposed to
be called for. The 3 bids were opened on 11-04-2000 and evaluation is under progress.
Bellary District Hospital:
>
Preliminary design for reconstruction of the hospital has been developed by the local
architects and discussed with the International Hospital Planner during his visit to Karnataka
in January 2000. - To be placed before Building Scrutiny committee of KHSDP.
Gulbarga District Hospital:
>
Preliminary design of rehabilitation of the hospital has been prepared by the local architects
and discussed by the International Hospital Planner. To be placed before Building scrutiny
committee of KHSDP.
Bidar District Hospital:
>
Preliminary design of rehabilitation of the hospital has been prepared by the local architects
and discussed by the International Hospital Planner. To be placed before building scrutiny
committee of KHSDP.
Comment to the rehabilitation of district Hospitals in Phase one of the KfW supported project:
Only two district Hospitals, Bidar and Bellary were originally been included in the first phase of
the KfW supported project in Gulbarga Division. However, assessment of requirements showed
that Bellary District Hospital requires re-construction of the entire hospital rather than
rehabilitation due to the dilapidating condition of most of its buildings. The KHSDP plans now to
include the rehabilitation of Gulbarga District Hospital together with Bidar District Hospital in
phase one of the Project. Depending on the availability of funds in phase one due to possible
savings, the KHSDP discusses to take up the reconstruction of Bellary District Hospital in
addition.
SANIPLAN / MEDICONSULT
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
District
Progress Report No. 10
Design
• Cleared
Tenders
floated
Blds ■
received
Award
proposal
X
X
X
X
X
X
X
X
Bidar
X
X
X
X
L; Bl .02’g/ Basavakalyan
Bidar
~X
; ,BL03'£ Humnabad
Bidar
~x
~x
~x
"x
"x
~x
x"
• BE 01
Chikkajogihalli
~BE 02“ Huvina Hadagali
BE 03
BE’O4.
Hospet ~
~~
Bellary
Bellary
Bellary
Kudlagi
Bellary
Tbe-ob.^ Sandoor
Bellary
BE06;: Shiraguppa
’ Bl 01 v?. Aurad
Bellary
:
Mannekahalli
-Bl 05- Bhalki
J ■■■
"
■■■.-
■.
Bidar
X
X
X
X
Bidar
Land tenure
problems not
yet solved
since land
not received
from
Educational
Dept.
r.
&
-guoia Chincholi
Gulbarga
X
Jivargi
Gulbarga
y
Kalgi
Gulbarga
X
JGU04L Madana Hipperga
Gulbarga
GU05
Shahabad
■GU 06
:gu o?
X
X
x-
X
X
Gulbarga
X
X
X
Shahpur
Gulbarga
X
X
X
Yadgir
Gulbarga
y
y
Y
X
Bids cleared
by Steering
Committee
Bids cleared
by Steering
Committee
■■
GU08. Afzalpur
Gulbarga
~GUQ9
Alannd
Gulbarga
Wraoi-
Devadurga
Raichur
RA 02
Gangawathi
Raichur
-RA03
•
^Remarks
Koppal *
; RA 04; ' Kushtagi
RA05 ‘ Lingsugur
Raichur
RA 06
Raichur
Sindhanoor
Postponed
due to~Land
tenure
Problems_
Postponed
due to Land
tenure
Problems
X
Raichur
X
Raichur
y
X
X
X
X
X
In respect of Koppal Hospital the estimate is not yet cleared by the Steering Committee since
K°PPa| is now made as the head qtrs. of new District and it requires a 250-bed hosoital in lieu
of 50 beds proposed under this project.
3ANIPLAN / MEDICONSULT
1/1
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
Progress Report No. 10
Hospitals on Hold:
'
SI No.
Hospital
District
Size
1.
Afzalpur
Gulbarga
50
2
Aland
Gulbarga
Bhalki
Bidar
ww
Wif
e
■ iPy/j^Remarks
--i *.’••••;
Part of existing hospital grounds are claimed
by a 3rd party. Works postponed
50 No space for any expansion. Works
postponed_________________ ____
100 Land is not yet made available by the
Education Department so that the Civil works
can be taken up under Phase -1
In respect of the hospital at Bhalki, the pre-design of the hospital is finalised. The pre-designs
will be reviewed by the< International Hospital planner and submitted to KfW for approval. The
process is held up for want of clearance to land from Educational Department.
2.3.4
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. At
Bellary, estimates have been sanctioned by the Steering Committee for building a new
workshop building in the context of the re-construction of the hospital. For the rehabilitation of
the workshop at Bidar District Hospital, cost estimates were not yet prepared. The site for the
construction of workshop at Bidar is now finalised and estimates are being got up.
All workshops are adequately staffed and the maintenance teams had been trained at
Bangalore. No further progress can be reported.
.
2.3.5
Procurement of Medical Equipment
At present, there are no activities required since the procurement will be postponed until civil
® works will be near to completion. However, due to several changes in the equipment statife of
the hospitals through equipment provision from different sources and / or repair of equipment*
the equipment status will have to be reviewed and revised prior to the procurement accordina to
the actual inventory lists.
2.3.6
Quality Auditing Services for the hospital building works under the KfW Project
The Engineering Wing has invited quotations for Quality Auditing Services at hospitals in
Gulbarga Division where civil works are already started under the KfW supported project The
estimates for the costs of the Quality Audit and the TOR are based on the experiences made
under the WB supported project component. The TOR has been approved by KfW vide their
Letter dated 14-03-2000. The work order is issued to the following quality audit agencies:
1)
Karnataka Test House
2)
Tor Steel Research Foundation India
SANIPLAN / MEDICONSULT
12 <
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
2.3.7
Progress Report No. 10
Financial Auditing Services
The PEA plans to assign a financial auditor about six months after the first civil work projects
have been started. M/s V.R. Murali & Co. have now audited the expenditure statements up to
end of February 2000 and the same has been forwarded to KfW.
2.4
Activities of the Consultant
2.4.1
Project Co-ordination and preparation of implementation
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 international consultant team.
The activities during the reporting period were largely related to Project co-ordination and
management, the clearance of final designs and tender documents, and the co-ordination for
approvals. The local consulting Project co-ordinator assisted in the development of final designs
and bid documents through close collaboration with the local architects.
2.4.2
Visit of SANIPLAN consultants
During the reporting period no consultant mission from SANIPLAN home office has made a visit.
But a team consisting of KfW and the German Ministry of Economic Co-operation and
^OOO*0^0160^ ^aS ma<^e 3 V*S,t *° ^an9al°re and the project area on 23rd and 24lh of March
2.4.3
Review of Monitoring Plan
A draft monitoring plan was developed by the Consultant according to KfW requirements. The
plan was discussed with the KHSDP Administrator during the visit of Consulting mission in
January 2000. The PEA will review and comment the draft. No further progress on this issue so
@
ar-
2.4.4
Revision of project planning matrix
Under the KHSDP, a quality performance system was developed. The system includes the
reporting of the hospitals under KHSDP on specific indicators such as utilisation and number of
services provided. In addition, after rehabilitation of the hospitals, a medical audit (hospital
inspection) is being carried regularly evaluating the hospital performance on the basis of e.a
case sheets introduced at the hospitals and inspection of the department. The hospital
inspection booklet developed under the KHSDP is available to the consultant.
To be in accordance with the indicators defined under the quality assurance programme the
original Project Planning Matrix of the FC component needs to be reviewed and revised. A draft
o
e revised project - planning matrix was presented by the Consultant to the KHSDP
administrator during the consultant mission in January 2000. The PEA will review the oronosed
t°rs In view of full compliance with the quality control system developed under the
KHSDP. To date no further progress can be reported.
SANIPLAN / MEDICONSULT
13 I
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
3.
RESOURCES
3.1
Personnel
3.1.1
Consulting Inputs
Progress Report No. 10
Consultant personnel was involved in activities during the reporting period as follows:
International Experts
SANIPLAN
MEDICONSULT *
Dr.,M. Mantel
Public Health
Specialist,
Health Planner
and overall
Project Co
ordinator
A. Ddring / R.
M. Bauer
Saniplan
Management
Monitoring of WB KHSDP component;
Project Back - stopping engineering
component, financial management and
home office support
U. R. Fitz
Hospital
Clearance of preliminary design & final
Architect
design and co-ordination of the same
with KfW; review of evaluation results of
___________________ Eight works;
No particular activity during the reporting period.
~
M.C
Local Project
Full time Local Project Management and
Thirumalachar
Co-ordinator
Co-ordination; assistance in completion
I
of final designs and tender
documentation, assistance in tendering
and bid evaluation.
- * Note: As per revised terms of referenceas
___approved
f_1_______by
7 KfW no further consulting services are—
required with respect to Medical Equipment during the planning stage
3.1.2
Local Support Personnel
During the reporting period the following supporting staff
was working at the Consultant Office at
the KHSDP in Bangalore:
a)
b)
c)
3.2
One Secretary (Engineering Graduate)
One Attender
One Driver
Equipment / Materials
No further changes with reference to Progress report No. 9
SANIPLAN / MEDICONSULT
14<
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
4.
TIME SCHEDULE
4.1
Project
Progress Report No. 10
Despite of the joint efforts of the KHSDP and the Consultant and the substantial speeding up of
the planning and tender activities, the time schedule as estimated and proposed in the
Amendment No: 1 can not exactly be met. This is mainly due to the actual time requirements for
the finalising of the tender documentation and the procedures of approval although the latter
was already cut down to a minimum. However, the following is the time schedule arrived at
based on the experience of the time consumed in grounding of the projects:
The first five works have been started in end of January 2000
By end of March 2000, a total of 8 Contracts have been awarded
By June 2000, the detailed designs and tender documentation of all 23 hospital works
will be completed
By December 2000, 23 Civil works will be grounded
The implementation period is estimated between 12 and 18 months depending on the
scope of Civil Works.
The up-dated time schedule is attached in Annex 7
4.2
Consulting Services
■ ' Name
According to Amendment
j : [MM] f
Dr. M. Mantel_______
Uwe, R. Fitz________
M.C Thirumalachar
A. Poring / R.M Bauer
4.2.1
2,75
~
Time Utilised
: [MM]
2,18
_________ 4,72_________3,06
22,00_
8,83___
2,00
1,12
Balance
[MM]
0,57
1,66
13,17
~0,88
Local Project Manager and local consultants:
Sri. M.C Thirumalachar is working as Project Co-ordinator continuously since 15th July 1999.
4.2.2
Public Health Consultant:
Dr. Michaela Mantel continued the monitoring of the technical project component on Gulbarga
Division supported by WB. During the reporting period Saniplan mission has not made any
visits.
4.2.3
Hospital Planner & Architect:
Mr. Fitz has reviewed the preliminary designs, final designs, tender documents and reports
received from the KHSDP.
SANIPLAN / MEDICONSULT
15
{
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
4.2.4
Progress Report No. 10
Management Team:
t
Overall project management, back stopping and financial management was provided by the
home office team consisting of Mr. A Doring and Mr. R.M Bauer.
5.
FINANCIAL SITUATION
5.1
Project
5.1.1
Disposition account
Expenses urgent repair
Please see Annex 3
5.2
’
Cost Estimates
The evaluation is now completed for 10 works. It is considered that evaluation is to be
completed for some more works to assess whether there will be any savings.
5.3
Consulting Services
Statement on expenses for consultant work, travel costs and other cost up to the end of March
2000 will be submitted under separate cover to KfW.
6.
CONSTRAINTS, OPPORTUNITIES AND RECOMMENDATIONS
6.1
Constraints & Opportunities
6.1.1
Planning Phase
•
The project is still behind schedule compared to the original time schedule laid down in the
consulting contract dated September 1997. However, with the re-organisation of the consulting
tShen/^uo^nd an effective l°cal Project management, the project progress has been reported by
the KHSDP and the Steering Committee as being satisfying. The joint efforts of the KHSDP
personnel and the Consultant will further aim at catching up with the original time schedule as
fast as possible.
6.1.2
Medical Equipment
ue to recent changes in the equipment status of the hospitals in the State in general and in
Cu barga division in particular, there will be a need to re-assess the actual requirements based
on the up-dated inventory lists. The changes in the equipment status occur mainly due to recent
♦ho kLienD equipment items from other sources and the " one time repair " work done under
Li
r\ n
i
.
(SfOv- l(O
SANIPLAN / MEDICONSUL.T
07941
p cu
1FH
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
6.1.3
Progress Report No. 10
Water Conservation
The KHSDP plans to take up the items required for waler purification at the hospitals under the
equipment component of the project.
6.1.4
Solid Waste Disposal
The waste disposal systems at the hospitals under the FC project component in Gulbarga
Division will be established after completion of the Civil Works and the commissioning of the
Hospitals. The staff will be trained on segregation of waste. The use of incinerators is still
subject to the policy of the All India Government. Up to date, no final decision has been made in
this regard.
6.1.5
Land Tenure Problems
No further progress on this issue can be reported.
6.1.6
Revision of Designs during Implementation
Scrutinising detailed estimates of some of the works for which final designs have been
developed, it appears that there is scope for reduction of construction cost through reducing
unnecessary expansion plans. In addition, on visit to the hospitals, it appeared that in a few
cases, the preliminary designs had been based on wrongly drawn ground maps. Detailed
discussions were held with the International Hospital Planner on this issue and flexibility during
the implementation phase is regarded as essential in order to meet the realistic requirements.
These experiences were also made in the WB supported civil works component in other parts of
the State. Changes during the implementation of civil works had been non-objected by WB as
long as the budget limits were not exceeded. This issue has been discussed by the local Project
Co-ordinator with the mission team from KfW and German Ministry of Economic Co-operation
and Development during their visit to Bangalore on 23rd and 24th March 2000. Decision of KfW
on this issue is not yet communicated.
SANIPLAN / MEDICONSULT
17
i
Upgrading Secondary Level Health Care Facilities
In the Gulbarga Division, State of Karnataka
6.2
Progress Report No. 10
Recommendations
Based on the status of the Project and the Constraints identified, the recommendations are as
follows:
♦
♦
♦
♦
♦
♦
♦
Gulbarga District Hospital and Bidar District Hospital: detailed designs and tender
documentation are in progress and should be completed as soon as possible.
Bellary District Hospital: possibilities for taking up the reconstruction of the hospital under
Phase 1 of the KfW supported project shall be evaluated. The decision will certainly
depend on the availability of funds out of possible savings for Civil works. This can be
known only after all the works in the first phase come to the stage of completion.
The Joint efforts of the KHSDP and the Consultant shall continue to focus on speeding
up of the planning process in order to reach the aim of completion of detailed designs
and tender documentation in June 2000
The KHSDP will further try to solve the land tenure problems at the three hospitals Afzalpur, Aland and Bhalkhi.
The construction and conversion of the remaining maintenance workshops should be
implemented as soon as possible.
Review and up-date of medical Equipment inventory lists are required. Consequently the
requirement lists for the provision of equipment need to be revised according to the up
dated inventory.
Staffing of hospitals under the KfW component: close monitoring of the availability of
sufficient personnel for hospitals under the KfW supported component. At latest at the
time of commissioning of the hospitals, staff should be made available by the state.
Discussion with KfW on flexibility during the implementation phase for changes of
designs due to local conditions.
SANIPLAN / MEDICONSULT
18
1
Annex 1
Proceedings of the 16™ Meeting of the
Project Governing Board
I
Proceedings of the 16th Meeting ofthe Project Governing Board ofthe
Karnataka Health Systems Development Project held on Wednesday,
8th March, 2000 under the Chairmanship of
Chief Secretary to Government of Karnataka
Members Present:
1. The Chief Secretary to Government of Karnataka
2. The Principal Secretary to Government, Finance Department
3. The Principal Secretary to Government, Health & F W Department
4. The Secretary to Government (Expenditure), Finance Department
5. The Secretary to Government, Planning Department represented by the Director, Human
Resources and Employment
6. The Secretary to Government, Public Works Department
7. The Commissioner,-Health & Family Welfare Department
8. The Project Administrator & E/o Special Secretary to Government, KHSDP
S 9- The Chief Engineer l/C, KHSDP
10. The Director, H & FW Services
11. The Additional Director (Project), KHSDP
12. 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
COnf^tion Ofthe Proceedin9S of the 15th Meeting of the Project Governing Board held
on 1Cr November, 1999
. thThe proceedings of the 15th meeting of the Project Governing Board held on
10 November, 1999 were read and confirmed.
Subject No. 2
Action taken report of the Proceedings of the 15
Board held on 10"' November, 1999
Meeting of the Project Governing
While reviewing the action taken report in respect of Item No. 2, the Chairman wished to
Shr6 |Gr theyVorld Bank had formally rejected the proposal of including more Community
Mnn h <;eptres. un^r Karnataka Health Systems Development Project. The Principal Secretary
Health & Family Welfare clarified that the World Bank had not yet done so. The Chairman
suggested to suitably modify the action taken report in respect of Item No. 2.
In respect of Item No. 3, the Chairman requested the Principal Secretary, Health &
Family Welfare to briefly inform the Committee about the concept of Private Public Mix in
providing health care to the people. The Principal Secretary, Health & Family Welfare informed
the Committee that a study was entrusted to ORG Marg to give a feasibility report on the
concept of Public / Private Mix to be introduced as a pilot project in Devanahalli Taluk He
further informed that the report was discussed with the World Bank Team and the World Bank
indicated a benchmark to finalise issues and options on Private Public Mix in providing health
care to the people. This task had not been finalised and this would be first discussed with the
senior officers of the Health Department, before finalising the options. The Secretary Finance
i
Department suggested that 3-4 alternatives, could be worked out and tried in few villages in
order to assess the impact of this concept, in providing health care to the people. The Chairman
requested the Project Administrator to discuss this with the members of the Task Force on
Health & Family Welfare.
Subject No. 3
Status Note on Karnataka Health Systems Development Project and KfW Assisted
Project
The Project Governing Board reviewed the progress achieved in the implementation of
the various components of Karnataka Health Systems Development Project. The Chief
Administrative Officer briefly explained the progress achieved for the information of the
members.
While reviewing the progress in the procurement of equipment, the Commissioner,
Health & Family Welfare brought to the notice of the Project Governing Board some instances,
of adverse comments on the quality and need of some of the equipment supplied to the
hospitals under the project. The Principal Secretary, Health & Family Welfare mentioned that as
a result of this7 the procurement activity had somewhat slowed down. He felt that the procedure
itself was transparent as the procurement has been done strictly following the procedures of the
World Bank. The Chief Administrative Officer briefly explained the steps taken for identification
of various equipment for the various hospitals by an Expert Committee. The preparation of
procurement plan was based on the survey of hospitals conducted just before the preparation of
the project report. He also briefly explained the procedures followed in the evaluation of bids by
the Tender Sub-Committee, approval by the Steering Committee/Project Governing Board and
inspection of the equipment by the bio-medical engineers before despatch to the project
hospitals. The Commissioner, Health & Family Welfare informed that some of the hospitals were
not using the equipment as the specialist Doctors were not available while in some hospitals,
equipment were not put to use by the Doctors. The Chairman suggested that the senior doctors
like District Surgeons and District Health & Family Welfare Officers may be properly briefed
about the utilisation of these equipment and motivated to use the facilities provided under the
Project. Further, if some of the equipment was not really required the senior doctors may be
requested to look into this aspect and World Bank may be requested to examine possible
deletion of such equipment from the procurement. He further requested the Project
Administrator, Commissioner, Health & Family Welfare and Principal Secretary, Health & Family
Welfare to take steps in identification of mismatch of doctors and to take necessary action to
address that problem at the earliest.
While reviewing the progress achieved in the procurement and supply of vehicles, the
Chairman wanted to know the job chart and responsibilities of the Taluk Medical Officers. The
Director, Health & Family Welfare and the Director, State Institute of Health & Family Welfare
briefly explained about the creation of the posts of the Taluk Medical Officer and their job
responsibilities. The Chairman felt that for effective monitoring of the activities, there should be
a full time Taluk Medical Officer and he should not have any hospital work. The Director, Health
& Family Welfare informed that with the appointment of 573 doctors, it should be possible to fill
up the posts of Taluk Medical Officers. The Commissioner, Health & Family Welfare mentioned
that this was discussed in the Task Force Committee meeting also where it was felt that there
was a need to provide some supporting staff to the Taluk Medical Officers. It was suggested
that one or two assistants could be given to the Taluk Medical Officers by way of redeployment
from PHCs where there was not much workload for ministerial staff.
While reviewing the training activities taken up under the project, the Principal Secretary,
Finance Department suggested that a course on Hospital Management provided by Manipal
Institute of Technology may be useful to the Department. He also mentioned that ;some of the
colleges offered Bio-medical Engineering Courses and these would be useful ini Equipment
2
i
Maintenance and related activities. The Chairman suggested, regarding the course on Hospital
Management, that the Principal Secretary, Health & Family Welfare may discuss with the ViceChancellor of Medical University and take appropriate steps.
While reviewing the progress report, the Chairman felt that the cabinet was not being
fully apprised of the progress achieved in Externally Aided Projects. The Secretary
(Expenditure), Finance Department informed that a Cabinet Note was being submitted once in 6
months about the progress achieved in all the Externally Aided Projects. The Chairman felt that
there would not be much time for indepth discussion on individual projects in such
circumstances. He suggested that atleast in respect of four to five major projects separate
Cabinet Notes may be prepared by the respective Secretaries and submitted to the Cabinet.
The Principal Secretary, Health & Family Welfare confirmed that after the Assembly Session, a
Cabinet Note on the progress achieved in the implementation of Karnataka Health Systems
Development Project would be submitted.
The Project Governing Board also reviewed the financial progress achieved in the
implementation of the^roject. The Principal Secretary, Finance Department mentioned that the
financial progress was satisfactory.
The Project Governing Board briefly reviewed the progress in the implementation of KfW
Project. The Principal Secretary, Health & Family Welfare informed the Committee that the civil
works had commenced and the progress was satisfactory.
Subject No. 4
Placing on record the AIDE MEMOIRE and Benchmarks given by the World Bank Review
Mission after concluding the Mid-term Review of project in the month of November, 1999
The Project Governing Board noted the AIDE MEMOIRE given by the World Bank
Review Mission. The Principal Secretary, Health & Family Welfare mentioned that it may not be
possible to achieve certain Benchmarks by March 31, 2000. He further informed that efforts
would be made to achieve these Benchmarks at the earliest.
Subject No. 5
A. Renovation and Expansion of Taluk Level Hospital at Virajpet in Kodagu District '
B. Renovation and Expansion of District Hospital (Mc-Gann) at Shimoga in Shimooa
District
-
The subject was discussed in detail. The Principal Secretary, Health & Family Welfare
pointed out the consultation with the previous and the present Commissioners of the Karnataka
Housing Board to ascertain about the quality of the work done by M/s. banco Constructions Ltd.
Bangalore as decided in the last Project Governing Board Meeting was not complete. He also
informed that he had an informal talk with the present Commissioner of the Karnataka Housinq
Board on March 8, 2000 about the quality of work done by M/s. banco Constructions Ltd.
Bangalore and that doubts about the quality of work done Bangalore persisted.
The Chairman felt that there was a need to examine the issue in detail, as it may not be
appropriate to award work to a company, whose actual performance was not satisfactory
mere y because procedural formalities were complied with. The Principal Secretary Health &
Family Welfare informed that he would look into all these issues in consultation with the
Commissioner of the Housing Board and then the proposals would be placed before the Project
Governing Board with suitable recommendations. With this, the subject was deferred to he
placed before the next Project Governing Board Meeting.
3
1
Subject No. 6
Renovation and Expansion of Sub Divisional Hospital at Puttur in Dakshina Kannada
District
The Project Governing Board 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 Puttur in Dakshina Kannada District. The Project
Governing Board approved the recommendations of the tender evaluation committee for issue
of Notification of Award in favour of Sri N. Nagaraj Ballal, Udupi at a contract value of
Rs. 2,29,29,721/- which is 20.24% in excess over the estimated contract value with reference to
96-97 SR, subject to the condition that the Project Authorities would take additional
performance security for an amount of Rs. 9,53,600/- towards unbalanced items, and after
getting "no objection" from the World Bank.
Subject No. 7
Approval of the Project Governing Board to the Evaluation Report for Hiring of
Management Consultancy Service to the Karnataka Health System Development Project
*be Chief Administrative Officer briefly explained the work done by the STEM
Consultants, in- the implementation of the project. He also briefly explained, the procedure
followed in shortlisting of consultancy firms and the evaluation of technical and financial
proposals. The Project Governing Board approved the Evaluation Report and the
Recommendations for hiring M/s. STEM, Bangalore as Project Management Consultants for a
period of 2 years at a total contract value of Rs. 38.55,000 + Consultancy Service Tax after
getting No Objection from the World Bank.
Subject No. 8
Approval of the Project Governing Board for upgradation of the post of Under Secretary,
Karnataka Health Systems Development Project to
to the
the post
post of
of Deputy
Deputy Secretary
Secretary,
Karnataka Health Systems Development Project
The Project Governing Board approved the proposal of upgrading the post of Under
Secretary, to the cadre of Deputy Secretary in the Karnataka Health Systems Development
Project, with effect from 26-2-2000, to be co-terminus with the tenure of Sri D.M. Aga. The
Project Governing Board approved the proposal, subject to the clearance from the World Bank.
W
-j..
/
.
The meeting concluded with vote of thanks to the Chairman by all the members present. ~
Sd/Chairman
Project Governing Board, KHSDP
and the Chief Secretary to
Government of Karnataka
No. HFW (PR) 89 WBA 96
c
C°Py °f above proceedings is forwarded to the following officers for information and
further needful action.
KHSDP, H & F W Department
(D.M. AGA)
Deputy Secretary to Government,
4
1
Annex 2
Proceedings of the 48th Meeting of the
Project Steering Committee
>
1
Proceedings of the 48th Meeting of the Project Steering Committee Meeting
of the Karnataka Health Systems Development Project held on 6th March
2000
under the Chairmanship of the Secretary to Government,
Health and Family Welfare Department
Members present:
I. The Principal Secretary to Government, Health and Family Welfare Department
2.
° The Commissioner, Health & Family Welfare Department
3. The Secretary, Finance Department represented by Deputy Secretary
4. The Secretary to Government, Public Works Department represented by Joint
Secretary
5. The Project Administrator, KHSDP
6. The Director, Health & Family Welfare Department
7. The Director, Medical Education
8. The Chief Engineer l/C, KHSDP
9. The Additional Director, KHSDP
10. The Additional Director, KfW, Gulbarga
II. Sri M.C. Thirumalachar, Project Co-ordinator, KfW Project
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 Joint Director (Medical) 1/C, KHSDP
5. The Deputy Director (Training), KHSDP
6. The Deputy Director (Equipment), KHSDP
7. Sri D. Rama Rao, STEM Consultant
8. Sri R.P. Rao, STEM Consultant
Subject No. 1
Reading and Confirmation of the Steering Committee Meeting held on 4th January, 2000
The Proceedings of the 47th Steering Committee Meeting held on 4lh January 2000 were'
read and confirmed.
'
.
j.
Subject No. 2
Action taken on the Proceedings of the Steering Committee Meeting held on 4,h January,
2000
The Committee reviewed the action taken on the Proceedings of the 47,h
Steering
Committee Meeting held on 4th January, 2000.
r
Comm,ssioner- Health & Family Welfare observed that in respect of Item No. 6 the
c ion aken report, is silent about the action taken to conduct one day workshop on Equioment
Maintenance during the project period and steps to be taken for equipment maintenance after
th°T?ue 'On °f ‘he Proiect- The Chief Administrative Officer, KHSDP, informed the Committee
Po lhe 7°rkSh°P haS nOt been held and with the aPProval of the Principal Secretary Health &
mily Welfare, action will be taken for conducting a one-day workshop.
The Commissioner, Health & Family Welfare, observed that in respect of Item No 9 the
the'beST nf'1hOrt 13 lnC0,Lplete afs the workshop on World Bank Procurement Procedures for
the benefit of the senior officers of the Health Department, Finance Department and Planning
1
i
Department, is yet to be conducted. The Chief Administrative Officer informed that the
workshop could not be held and in consultation with the World Bank Procurement Officers, one
day workshop will be organised shortly.
The Commissioner, Health & Family Welfare, observed that the action taken report in
respect of Item No. 10 is incomplete as the details are not furnished on taking up a study on the
implications of using District Hospitals of the Government for clinical activities by the Private
Medical Colleges. The Chief Administrative Officer informed that this will be attended to by the
Strategic Planning Cell and action taken will be placed before the Steering Committee
subsequently.
The Chairman requested the Additional Director, KfW and the Chief Engineer, KHSDP,
to indicate the present stage of some urgent works taken up at District Hospital Gulbarga,
District Hospital, Bidar and Old District Hospital at Raichur. The Additional Director, KfW,
informed that the construction of Toilet Blocks are in progress. The Chief Engineer, KHSDP,
informed that the latest,position will be ascertained from the Engineers and action will be taken
to speed up the work at these three places and a report will be submitted to the Principal
(gSecretary, Health & Family Welfare in this regard.
Subject No. 3'
Approval of the Steering Committee for the procurement of Aluminium Step Ladder for
60 re-commissioned project hospitals
Ihc Chief Administrative Officer informed the Committee that these Aluminium Step
Ladders will be procured on Local Shopping Norms and will be supplied to the re-commissioned
project hospitals only, as and when indents are received from the hospital authorities. The
Steering Committee gave its approval to the proposal for purchasing Aluminium Step Ladders,
under Local Shopping Norms, to be supplied to the re-commissioned project hospitals as and
when indents are received from the hospital authorities.
Subject No. 4
Approval of the Steering Committee to Evaluation Report and the recommendations of
the Tender Sub-Committee for procurement of Hospital furniture included in the IFB
dated 4-3-1999
9'^-
>
The Chief Administrative Officer briefly explained the procedures followed in theevaluation of bids receFved for the procurement of hospital furniture placed before the Sub
committee. The Chief Administrator officer informed that indents have been received from the
hospitals for supply of Instrument Cabinets.
The Steering Committee approved the recommendations of the Tender Sub-Committee
and the Evaluation Note for the procurement of Instrument Cabinet. The Steering Committee
gave approval for issue of Notification of Award in favour of M/s. Supra, Bangalore for
procurement of Instrument Cabinet included in Package 57 at Rs. 5,950/- per unit and Rs
5,71,200/-for 96 units.
#
Subject No. 5
Approval of the Steering Committee for rejection of all bids for the procurement of hospital
furniture included in Package Nos. 42 and 55
flic Steering Committee noted the reasons and the recommendations of the 'fender Sub
Committee for rejection of all bids and to go for re-bidding with No Objection from the World
Bank. I he Steering Committee gave approval for rejection of all bids and go for re-bidding, for
furniture included in Packages 42 and 55, with No Objection from the World Bank.
2i
Subject No. 6
Approval of the Steering Committee to the Proceedings of the Evaluation Sub-Committee for
Contracting out Non-clinical Services in various project hospitals andfor issue of Notification
ofA ward to the Successful bidders
The Commissioner, Health & Family Welfare, observed that in the proceedings of the
Evaluation Committee, it is recorded that a certain number of Group
Employees will be
shifted from the hospitals to the nearby institutions and during the period of contract, the posts
will be kept vacant. He wanted to know whether this will be done before the contract is executed
and work commences as otherwise the salary of the Group ’D’ employees also will be paid in
addition to the payment of charges to the private agency towards maintenance work. This was
discussed and finally it was decided that before issue of Notification of Award a letter should be
obtained from the concerned DHO that the posts, as indicated in the evaluation Sub-Committee
proceedings are kept vacant by shifting the personnel to some other institutions.
Hie Chairman requested the Director, Health & Family Welfare, to examine the existing
man power in terms of Group 'D' employees in the hospitals and take steps for proper utilisation
of this man power in consultation with the KHSDP.
With this, the Steering Committee approved the recommendations of the Evaluation Sub
Committee and the Evaluation Note and gave approval for issue of Notification of Award, for
contracting out Non-clinical Services, in respect of the hospitals, as detailed below, subject to the
fulfillment of condition mentioned above.
1. TLH, Srirangapatna
In favour of M/s. Adept Hygiene Service, Bangalore, at a monthly rate of Rs.l7,500/-per
month and Rs. 4,20,000/- for two years.
, 2. TLH, Siddapura
In favour of M/s. Adept Hygiene Service, Bangalore, at a monthly rate of Rs. 17,000/- per
month and Rs. 4,08,000/- for two years.
3. TLH, Ramanagar
In favour of M/s. Greenscapc Housekeeping Services, Bangalore, at a monthly rate of
Rs.29,900/- per month and Rs.7,17,600/- for two years.
4. TLH, Nagamangala
In favour of M/s. Adept Hygiene Service, Bangalore, at a monthly rate of Rs. 17,800/- per
month and Rs. 4,27,200/- for two years.
5. TLH, Muddebihal
In favour Sri. S.G. Patil, Muddebihal, at a monthly rate of Rs.23,555/- per month and
Rs.5,65,320/- for two years.
6. TLH, K.R. Pet
3
i
In favour of M/s. Adept Hygiene Service, Bangalore, at a monthly rate of Rs.20,000/- per
month and Rs.4,80,000/- for two years.
1. TLH, Doddaballapur
In favour of M/s. K.G. Associates, Bangalore, at a monthly rate of Rs.25,500/- per month
and Rs.6,12,000/- for two years.
8. DH, Chamarajanagar
In favour of M/s. Adept Hygiene Service, Bangalore, at a monthly rate of Rs.27,900/- per
month and Rs.6,69,600/- for two years.
Subject No. 7
Approval of the Steering Committee to Evaluation Report and the recommendations of the
Tender Sub-Committee for procurement of X-ray Accessories included in the IFB dated 23-8-
a 1999
The Chief Administrative Officer briefly explained the procedure followed in Evaluation
of Bids for the procurement of the X-ray Accessories. The Chief Administrative Officer
informed the Committee that the X-ray Accessories arc supplied to the hospitals on the basis of
the indents received from them. The Chairman wanted to know why indents are insisted when
there is a project report indicating the type of equipment and the facilities to be given to each of
the hospital. The Chief Administrative Officer briefly explained the basis for preparation of the
procurement plan at the time of launching of the project which was based on the Survey Reports
and the procedures adopted for the procurement of various equipment and facilities. He informed
the Committee that when the procurement of equipment for hospitals included in first two phases
was completed, some hospitals were not accepting the equipment. As a result of this, the
procurement of equipment was slowed down subsequently. When the furniture and X-ray
Accessories procurement was initiated, indents have been obtained from the hospitals. To this,
the Chairman said that it is not correct to go on the basis of indents as the project envisages the
creation of facilities on the normative approach. If a particular Medical Officer is not interested
. to have a facility, that should not be the reason for not having that facility in the hospital.
Similarly, if a specialist is not there, that should not be the reason for not having that facility inthe hospital. The Directorate should take steps to identify the mismatch and place the specialists
in all the project hospitals, so that better services are given to the people. He also requested the
Project Administrator, KHSDP, to provide the data available on the mismatch of Doctors in the
project hospitals to the Directorate and the data of the Doctors working in the Department which
will help in reducing the mismatch of Doctors in the project hospitals.
With this, the Steering Committee approved the recommendations of the 'fender Sub
committee and the Evaluation Note and gave approval for issue of Notification of Award in
favour ol M/s. B.K. X-ray Equip. Co., Mumbai, who is at El for procurement of X-ray Idhn
Drying Cabinet included in Package X8 at an unit price of Rs. 6,850/- and a total price of Rs.
6,85,000/- for 100 units.
Subject No. 8
Renovation and Expansion of District Hospital (Wenlock) at Mangalore in Dakshina 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 Renovation and Expansion
4
of District Hospital (Wenlock), at Mangalore in Dakshina 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. Rao Constructions, Bangalore at a contract value of Rs.
1,58,41,713 which is 5.61% excess over the estimated contract value with reference to 96-97
SR after getting No Objection from the World Bank.
Subject No. 9
Renovation and Expansion of Sub Divisional Hospital at Indi in Bijapur District
The Chief Engineer briefly explained the reasons for rejection of bids and also for
initiating steps for blacklisting the two contractors who have colluded in the process of bidding
for the work at Sub-Divisional Hospital, Indi, in Bijapur District. The Steering Committee gave
approval for rejection of all bids and to go for re-bidding with No Objection from the World
Bank. The Steering Committee gave approval for taking necessary steps to blacklist the two
contractors namely M/s. Permanent Press Stress Pvt. Ltd., Gulbarga and M/s. Vinyas Engineers
Pvt. Ltd., Bangalore for the act of collusion in submission of bids.
Subject No. 10
Renovation and Expansion of General Hospital at BASAVAKALYANA in Bidar District
The Commissioner, Health & Family Welfare, observed that in the Agenda note it is not
clear whether M/s. Ramky Engineers Pvt. Ltd., Bangalore have furnished the required
information to establish their eligibility as per the Qualification Criteria given in the Bidding
Document. To this, the Chief Engineer I/C, KHSDP and the Project Co-ordinator, KfW Project
clarified that necessary information has been obtained from M/s. Ramky Engineers Pvt. Ltd.,
Bangalore and due to oversight it is not properly indicated in the Agenda note.
With this, the Project Steering Committee approved die proceedings of the Tender
Evaluation Committee for civil works and also the evaluation note for award of Renovation and
Expansion of General Hospital at Basavakalyana in Bidar District. The Project Steering
Committee approved the recommendations of the Tender Evaluation Committee for issue of
Notification of Award in favour of M/s. Ramky Engineers Pvt. Ltd. at a contract value of Rs.
94,85,377 which is 6.57% excess over 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. 6,800/7 towards unbalanced items and clearance from KfW, Germany.
Subject No. 11
Renovation and Expansion of General Hospital at CHINCHOLI in Gulbarga District
The Commissioner, Health & Family Welfare, observed that in the Agenda note it is not
clear whether M/s. Ramky Engineers Pvt. Ltd., Bangalore have furnished the required
information to establish their eligibility as per the Qualification Criteria given in the Bidding
Document. To this, the Chief Engineer I/C, KHSDP and the Project Co-ordinator, KfW Project
clarified that necessary information has been obtained from M/s. Ramky Engineers Pvt. Ltd.,
Bangalore and due to oversight it is not properly indicated in the Agenda note.
With this, the Project Steering Committee approved the proceedings of the Tender
Evaluation Committee for civil works and also the evaluation note for award of Renovation and
Expansion ol General Hospital at Chincholi in Gulbarga District. The Project Steering
Committee approved the recommendations of the Tender Evaluation Committee for issue of
Notification of Award in favour of M/s. Ramky Engineers Pvt. Ltd. at a contract value of Rs.
1,65,97,162/- which is 2.45% excess over the estimated contract value with reference to 96-97
5
1
SR subject to the condition that the Project Authorities will take additional performance security
for an amount of Rs. 4,200/- towards unbalanced items and clearance from KfW, Germany.
Subject No. 12
Renovation and Expansion of General Hospital at Huvina Hadagali in Bellary District
The Project Steering Committee approved the proceedings of the Tender Evaluation
Committee for civil works and also the evaluation note for award of Renovation and Expansion
of General Hospital at Huvina Hadagali in Bellary District. The Project Steering Committee
approved the recommendations of the Tender Evaluation Committee for issue of Notification of
Award in favour of Sri S.D. Reddy, Dharwad at a contract value of Rs. 80,38,008 which is
19.03% excess over 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. 2,58,000/- towards unbalanced items and clearance from KfW, Germany.
Subject No. 13
Renovation and Expansion of General Hospital at Shahpur, Gulbarga District (Under KfW
Project)
The Chief Engineer briefed the Steering Committee about the reasons for increase in the
estimated cost compared to the provision made in the project report. After considering
the reasons given by the Chief Engineer, the Steering Committee gave administrative
spproval to the estimated cost of Rs. 70.50 lakhs for Renovation and Expansion of
General Hospital, at Shahpur, in Gulbarga District (under KfW Project).
Subject No. 14
Renovation and Expansion of General Hospital at Yadgir, Gulbarga District (Under KfW
Project)
The Chief Engineer briefed the Steering Committee about the reasons for increase in the
estimated cost compared to the provision made in the project report. After considering
the reasons given by the Chief Engineer, the Steering Committee gave administrative
approval to the estimated cost of Rs. 165.00 lakhs for Renovation and Expansion of
General Hospital, at Yadgir, in Gulbarga District (under KfW Project).
Subject No. 15
'
Renovation and Expansion of General Hospital at Koppal, Koppal District (Under KfW
Project)
The Commissioner, Health & Family Welfare, informed the Committee that Koppal Hospital is
proposed to be upgraded as 50 bedded hospital only and there have been requests
from the elected representatives to make it a 250 bedded hospital as Koppal is a
District Head Quarters and it should have all the facilities of a District Hospital. The
Chairman also observed that there is a need to develop this hospital as
as aa 250
250 bedded
bedded
hospital as Koppal is already a District Head Quarters and the present proposal of
increasing the bed strength from 17 to 50 beds will not be of any use. The Project Co
ordinator, KfW Project and the Chief Engineer l/C, KHSDP informed the Committee that
in the preliminary proposals, provision has been made for expansion of the hospital to
250 bedded hospital but the present estimates are restricted only for 50 beds as KfW
Authorities will not agree to enhance the bed strength from 50 to 250. The Chief
Administrative Officer informed the Committee that the World Bank have given
clearance for upgrading Koppal hospital to a 250 bedded hospital, as an additional
proposal out of the savings amount. The Chairman observed that it may be difficult to
take up the work of upgradation under KHSDP funds at a later stage as the time
available is very short.
6f
Considering this, the Chairman suggested that the subject may be deferred to the next Steering
Committee for a decision and in the meantime to examine the scope of upgradation of
this hospital to 250 bedded hospital. With this further consideration of the subject was
deferred for the present.
Subject No. 16
Renovation and Expansion of General Hospital at Devadurga, Raichur District (Under
KfW Project)
The Chief Engineer briefed the Steering Committee about 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. 172.00 lakhs for Renovation and Expansion of
General Hospital at Devadurga in Raichur District (under KfW Project).
Subject No. 17
Approval of the Steering for Deputation of Doctors to the Conference on Tt Update in
Infertility*1 at Bangalore
The Deputy Director (Training) briefly explained the importance and utility of this
conference to the Doctors working in the project hospitals. With this, the Steering Committee
gave approval for deputation of 25 Gynaecologists to the Conference on "Update in Infertility" at
Bangalore for a period of 3 days from 22nd to 24th April, 2000. The Steering Committee gave
approval for incurring an expenditure of Rs. 1,000/- per candidate towards Registration Fee and
payment of TA and DA to the participating Doctors as per the provisions of KCSR.
Subject No. 18
Approval of the Steering Committee for Introduction of Dietary Facilities and Ambulance
Services in General Hospital, T.Narasipura through Karuna Trust, B.R. Hills
The subject was discussed in detail. The Chief Administrative Officer briefly explained
the proposal given by Dr. Sudarshan of Karuna Trust. The Commissioner, Health & Family
Welfare, wanted to know the provision made in the other hospitals for providing Diet and-also
the amount provided per patient per day. He also wanted to know the availability of Drivers Xo
run the Ambulance in the hospital. In case Drivers are presently available, what would be done
with the existing Drivers, if Karuna Trust appointed their own Drivers. The Karuna Trust will be
collecting some charges in providing Ambulance services to tire patients and before a final
decision is taken, there should be clarity on the method of using these charges collected by the
Trust for providing Ambulance services. The Chief Administrative Officer informed that this a
pilot project and for providing similar services in other hospitals, the possibility of involving
with other NGOs could be examined by the project. As there are some clarifications required
before.a final decision is taken, the Steering Committee approved the proposal in principle and
authorised the Chairman to give final approval after obtaining necessary clarifications from
Karuna Trust and the hospital authorities.
Subject No. 19
Approval of the Steering Committee to the revised Proceedings of the Tender Sub
committee and Recommendations for the procurement of Fire Extinguishers to the
project hospitals
I he Chief Administrative Officer briefly explained the reasons for not taking note of the
Terms and Conditions offered by M/s. CO2 Fyr Fyter, Mumbai, while finalising the bids for the
T
procurement of Fire Extinguishers. The Steering Committee considered the revised Proceedings
of the Tender Sub-Committee and gave approval for the procurement of Fire Extinguishers from
M/s. Safcx Fire Services, Bangalore, at an unit cost of Rs. 3,125/- and a total cost of Rs.
12,00,000/- for 384 units.
Subject No. 20
Providing Solar power supply system to Distriet Hospital at Karwar
The Chief Engineer 1/C, KHSDP briefly explained the analysis made in terms of cost
benefits of providing Solar Power System at District Hospital, Karwar. He also informed that this
facility is proposed to be provided at District Hospital, Karwar, on a pilot basis and depending on
the success of this project, it could be considered, at a later stage, for extending the facility to
other hospitals. The Commissioner, Health & Family Welfare observed that while analysing the
cost benefits, the Annual Maintenance Cost, at the rate of 1% of the unit cost will also have to
be taken into consideration. Considering that it is a pilot project, the Steering Committee gave
approval for providing solar power supply system at District Hospital, Karwar, at a total cost of
Rs. 16.75 lakhs. The Steering Committee gave approval for providing this facility following the
P
of Local Shopping.
Subject No. 21
Approval of the Steering Committee for Deputation of Doctors to the Workshop on
“Technology of Ultrasound”
The Deputy Director (Training) briefly explained to the Committee about the importance
of the workshop on "Technology of Ultrasound" to the Doctors working in the project hospitals
The Steering Committee gave approval for deputation of 25 Doctors to the workshop on
Technology of Ultrasound" to be held on 11th and 12th March, 2000 at Bangalore. The Steering
Committee gave approval for incurring an expenditure of Rs. 1,000/- per candidate towards
Registration Fee and for payment of TA and DA to the participating Doctors as oer the
provisions of KCSR
p
Subject No. 22
Approval of the Steering Committee for Deputation of Specialists for "International Women’s
Day" at Bangalore
T
The Deputy Director (Training) briefly explained to the Committee about the importance
of the workshop conducted by the Bangalore Institute of Oncology for "International Women's
uay at Bangalore. The Steering Committee gave approval for deputation of 50 Doctors to the
Conference, at Bangalore, to be held from 8,h to 10Ih March, 2000. The Steering Committee
gave approval for incurring an expenditure of Rs. 750/- per candidate towards Registration Fee
and for payment of TA and DA to the participating Doctors as per the provisions of KCSR.
With the permission of the Chairman, the following additional subject
was taken up for
discussion and resolved
Additional Agenda No. 1
^P.-°Va, ofrthe^Steer'n9 Comm'ttee for Appointment of Consultant to prepare financial
statements for Replenishment off Disposition Fund for KfW Project
a tee of Rs. 10,500/-. The Steering Committee, considering the urgency of the matter gave the
approval as an one time exception. The Chairman reguested the Project Administrator to
complete the process of appointment of consultant, to be the Auditors of the KfW oroiect
following the procedures of KfW early
'wv project,
7
qov-liu
07941 pcr°
8
1
Sd/Chairman
Steering Committee &
Principal Secretary to Government,
Health & Family Welfare
No. HFW (PR) 6 WBA 98
A Copy of the above proceedings forward to the following officers for taking further action.
To,
(D.M. AGA)
Deputy Secretary to Government
K.H.S.D.P.
1.
2.
3.
4.
5.
6.
7.
The Secretary to Government Public Works Department, M.S. Building, Bangalore.
The Secretary to Government, Finance Department, Vidhana Soudha, Bangalore.
The Engineer-in-Chief, KHSDP.
The Director of Health & Family Welfare Services.
The Director of Medical Education.
The Additional Director, KHSDP.
The Additional Director, KHSDP (Strategic Planning Cell).
8. The Additional Director, KHSDP (CMD)
9. The Additional Director, (KfW), KHSDP.
Copy submitted for 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
The Secretary to Government (PMU), Finance Department, Vidhana Soudha, Bangalore
4. Smt. M.V. Jayanthi, Joint Secretary to Government, Planning Department.
I
9
I
Annex 3
Expenditure Statements
I
sto„lng expe„dih,re on work5 „„d6r
,X,
ttndetm,ks unller ,h, Jur„dlc„on of J:
Exeeou™ Ensin..r. KfW E„gin..rt„s Sub-
Division, Bellary as on 25-04-2000
Date: 26-04-2000
SI.No
Estimated Cost
Bill Amount
Work
portion
Name of Contractor
1,550
2,200 ,
1,479
2,199
_____ Sri Anjan Babu_____
Satya Electricals. Bangalore
11-Mai-1999
4-Jun-1999
1,40
• 2,18
Work completed & handed over to the Hospital
Work completed & handed over to the Hospital
1,880
1,850
Sri. Gopal Krishna, Bellary
20-Sep-1999
1.74
Work completed & handed over to the Hospital
~ 1,750
1,745
Mallikariuna Reddy, Bellary
2Q-Sep-1999
1,72
Work completed & handed over to the Hospital
2,120
2,100
V. L. Madhu, Bellary
20-Sep-1999
2,07
Work completed & handed over to the Hospital
7,250
0,900
1,750
3,300
7,240
0,894
1,730
3,270
Mallikarjuna Reddy, Bellary
Sri. Gcpal Krishna, Bellary
Sri. Gopal Krishna. Bellary
_____ Giriraj. Bellary______
20-Sep-1999'
14-Feb-2000
14-Feb-2000
14-Feb-2000
6,90
0,60
0,199
0,20
Work completed & handed over to the Hospita?
Work completed & handed over to the Hospital
_____ Bore well failed and work finalised_____
_____ Bore well failed and work finalised_____
Work completed & handed over to the Hospital,
___________ Bill to be submitted
;
16-Feb-2000
3,787
Mobilisation advance
Name of Work
Rs. In Lakhs
Agr. No. & Date
FORCE ACCOUNT
_6
7_
8_
9
Providing MS Gate to GH at L.ngasuour
Providing Electrification to CHC at C J Ha.li
Providing one twin type vehicle shed at Drl
Bellary______ _________________________
Providing Electrification to District Lao, Ee:'ary
Repairs to existing Vehicle sheds behind Childern
Ward Building_________________________
Providing Electrification to GH Sandur
Providing Water supply to G.H Sandur________
Providing Water supply to G.H Kudligi_______
Providing Water supply to C.H C at C.J Haili
10
Providing pump motor to GH H’ospet
0,500
0,400
Mallikarjuna Reddy, Bellary
TENDER WORK
Renovation and expansion of 7LH at Sancoor,
Bellary Dist.
94,000
79,740
Sri. Venugopal, Bellary
2
3
4
5
11
Remarks
Rs. In
Lakhs
i
-Sd/RJazulla Shartff
Executive Engineer
Engineering Division (KfW)
Karnataka Secondary Level Hospital
Development Project
Gulbarga
I
STATEMENT SHOWING THE EXPENDITURE INCURRED WORKWISE IN RESPECT OF WORKS PERTAINING TO
K.H.S.D.P (KfW), Sub-Division, GULBARGA
SI.No
1
Name of Work
■____________ 2
Agency
Estimate
Amount in
Lakhs
Expenditure
Incurred upto
March 2000 in
Lakhs
Remarks
3
4
5
6
1
Urgent Repairs to Electrical and Sanitary Systems at General
Hospital at ALAND in Gulbarga District.
(a)
For Electrification
(b)
For Sanitary Works •
2
Urgent Repairs to Electrical and Sanitary Systems at
Community Health Centre at MADANA HIPPERGA in Gulbarga
District.
W
(a)
(b)
3
Jagannath
Electrification,
Gulbarga
2,37
Work is completed,
Payment is to be made
N.B Patil.
Chittapur
0,38
Work is being rescinded
as the contractor has not
yet started the work
N.B Patil,
0,95
CNittapur
N.B Patil,
For Sanitary Works
0,45
CNittapur
Urgent Repairs to Electrical Works and Sanitary Systems at
Community Health Centre at KALGI in Gulbarga District.
For Electrification
Work is completed,
Payment is to be made
- Work under progress
(a)
For Electrification
Jagannath
Electrification,
Gulbarga
1,50
Work is completed,
Payment is to be made
(b)
For Sanitary Works
N.B Patil,
Chittapur
1,02
Work is being rescinded
- as the contractor has not
_ yet started the work.
fe4
Improvements to existing work shop building behind Genera!
Hospital at Gulbarga Dist.,to Office of the Additional Director
and Engineering Wing of the KfW Project.
Rehabilitation & Security
Arrangement (4s wing)_____
Providing R.C.C Roofing to
(b) existing A.C Sheet roofing for
Chandrashekar
E.E Office &A.E.E Office
(c) Providing Rooms in front wing Taranadi Annur
Providing W.P.C to existing
(d)
Anil Udgirker
RCC Roof portion
Repairs existing sewer line to
(e) Additional Director Building at
Anil Udgirker
Gulbarga______
Providing Compound Wall with
(0 Gates
Anil Udgirker
Land Scaping and
"
(9)
Yousuf, Gulbarga
Arboriculation __________
Approach Road to KfW Office
Srinath, Gulbarga
Alteration to three existing walls
(i) into Vehicle Work shop service Anil Udgirker
station (R/S wing)
(a)
0,17
Agency is to be fixed
2,98
2,50 Work completed. Final
3,21
0,50 Work under progress
1,35
0,90 Work completed. Final
0.G5
Work is completed,
Payment is to be made
claims to be settled
claims to be settled
3,40
3,30 Work is completed
0,70
0,18 Work under progress
0,46
0,20 Work is completed
1,36
Work, is completed,
Payment is made
J
1
5
Urgent repairs to workshop building at General Hospital at
Gulbarga for converting into KfW D. Office
(a)
Office formating to flooring
(b)
Sinking Borewell and
commissioning
(c)
Electrification including
providing ceiling fan etc.
6
Urgent repairs to General Hospital at Gulbarga.
(a)
i
(b)
(c)
(e)
(0
(9)
Bhavahara
Ganapathi,
1,00
Gulbarga______________
Saktivel Borewell
Company,
1.40
Gulbarga______________
Basaveshwar
Electrical Works,
0,60
Gulbarga______________
Urgent repairs to Electrical
Mallikarjun . K
System to Ward No. 51 & 52
Urgent Repairs to P.W.D Ward
No.1 - Ground Floor, First Floor, Chandrashekar
Second Floor
________
Repairs to roof leakage over
Chandrashekar
special Ward
Fixing of Glases to Windows
Chandrashekar
Urgent Repairs to Dist.
Md. Amzad Ali
Hospital, Bidar_____
Construction of Toilet Block to
Hospital at Bidar
Repairs to Ward No.2 & 5 Toilet
blocks in Gulbarga District
Hospital
0,75 Work is completed
0,82
Sinking of borewell is
completed
0,59 Work is completed
1.57
1,00 Work is completed.
2,58
2,37 Work is completed.
0,51
0,34
3,00
Work is completed.
Payment is to be made
Work under progress
2,94 Work is completed
17,50
Work under progress
11,00
Work under progress
60,45
To till
16,05
I
Annex 4
Performance of Doctors Training
I
PERl'ORMA.X'CE OK DOCTORS TRAINING UNDER KHSDP PROJECT: 1999-2000
si.
Iii>iihiiion
Xn.
1
HOSMAT Hospital,
Bangalore.
Tet 1(11'111:11). c_______
I >tir
i>l'Unnrsr
Speciality
I'niposetl
i rained
8
10
125,00
391478
Poly Trauma Management
Orthopaeditians (MS / D. . 90 days
I’vHVIlt.HIV ( “/o)
I' \pvn<litm e
Ortho)
2
Mallya Hospital,
Bangalore.
Poly Trauma Management
Orthopaeditians (MS / D.
Ortho)
90 days
8
4
50,00
135904
3
Sri. Jayadcva Institute of I.C.C.U, Physicians MD
Cardiology, Bangalore.
(Gen.Medicine)
30 days
48
24
50,00
305273
4
Indira Gandhi Institute
of Child Health,
Bangalore.
Neo-Natal Care
Paediatritians (MD / DCH)
45 days
28
30
107,14
446080
5
M.S.Ramaiah Medical
College Hospital,
Bangalore.
Laparoscopic & Foetal
Monitor for OBG
Specialists (MD (OBG) /
DGO)
30 days
48
23
47,92
259263
6
Govt. Dental College,
Bangalore
Dental Surgeons (BDS /
MDS)
30 days
24
3
12,50
34669
7
Anjana Diagnostic
Centre, Bangalore
30 days
36
36
100,00
386479
8
Srccnivasa Scanning
Centre, Bangalore
Ultrasonography
(Radiologist / OBG Spl. /
Surgeons)
Ultrasonography
(Radiologist / OBG Spl. /
______ Surgeons)_______
30 days
24
14
58,33
121728
Ultrasonography
(Radiologist / Physician /
Surgeon)
30 days
36
28
77,78
324399
ENT (MS / DLO)
30 days
24
14
58,33
161123
General Surgeon (MS)
31 days
24
26
108,33
287595
Medico Legal MDBS
15 days
60
58
96,67
298526
Dermatology
30 days
12
14
116,67
158739
380
284
74,74
3311256
9
10
Victoria Hospital,
Bangalore
Basavanagudi ENT
Care Centre, Bangalore
SDS Tb. & Rajiv
Gandhi Chest Diseases
Hospital, Bangalore
12 - Victoria Hospital,
Bangalore___________
St. John's Medical
13
College, B'lore
11
Total
Pei fonnancc of Specialist Doctor's tr aining under KHSDP during 1999-2000
70
60
50
48
fin
48
■!
40
.lo Io
lo
.10
28f—i
.10
78
24
t
1
20
14
10
0
10
ff
2o
24
M
8
21
14
n
‘ i
;
ii n
11
b i H n
i
<3
3
n
’I
u_
b
i
n
J ”
[□Proposed □ Trained [
I
|
x
i
{l
ii
** s
S
3 “
CD
14
l2r
I i
i
u
dr-trg-1.xls
Annex 5
Performance of Nurses and Paramedics
Training
&
€
i
PERFORMANCE OF MI iSES TRAINING UNDER KHSDP ; 1999-2000
Performance
Expenditure
Achievement
Institution
Duration
Trained
Proposed
(Rs.)
(%)
of course
SL
No.
1
J.N.Medical College, Belgaum.
30 days
180
87
48,33
448115
2
Bapuji College of Nursing,
Davanagere
30 days
240
103
42,92
472052
3
K.M.C.Hospital, Hubli
30 days
240
112
46,67
577120
4
J.S.S.Medical College, Mysore.
30 days
240
150
62,50
746177
5
M.S.Ramaiah Medical College
/ St, John's , Bangalore_______
30 days
240
131
54,58
628557
6
MR Medical College, Gulbarga
30 days
240
118
49,17
545000
Sri. Jayadeva Inst, of Cardiology,
Bangalore
30 days
96
1 12
116,67
520391
8
Indira Gandhi Inst, of Child Health,
Bangalore
30 days
96
104
108,33
563667
9
Regional Institute of Ophthalmology 30 days
48
61
127,08
321274
190
191
100,53
352204
1810
_______
1169
64,59
5174557
10 Pharmacists Training
5 days
Total
Performance Showing Staff Nurses training under KHSDP during year 1999-2000
300
240
250 -
L<^200
240
240
180
190
.
150
100 -
240
240
131
Fl
112
103
w
87
150
118
<•
96> 2
96
:* •
m
96
■
50
■.
1-91
i
104
&
48 6
0
*0
Ti
ex
u
CQ
■ Q
2
1j
it
o
1 S' K
J1 ? -2 II
2|?I
a
E
a
Ill
Hi Hi
■3
1 £e
■3 J
••s 3
o
s &
=5
O
£
8
□ Proposed
□ Trained
|
kfw-nurs-trg.xls
Annex 6
Updated Time Schedule
{
'u^
•C)
(C)
1L—^.
----------- --
...
>S) ■ »&> 'JIP
(flr~w
*-■_
' ■;%-
•5t- _ x =• TM-CCT
r-J .
MP
e
CT
U3
3
OJ
o
c^
S'
■g
C/)
2
c
<3
<D
n>
I' I 2.
3 a
zr
3cd
O
CL
io a
3
2
c
CT
O
a.
O I
c
CT
c
•<
O,
w
E.
3
o
P»
Q.
o
□
3
S
z
o
Q.
CT
CT
a
3
H
CD
CD
2
a
2
?■
—I
<t>
—1
<d
J/l
p
a
5’
£ 2 a
“
“.all
| a' 8 3 2 o
O^
CD
CT
CT
S’
o
o
c
CT
I
I
3
»
CD
3
CT.
O
m
3.
O
E.
3
Po
O
'
5'
J?o
5’
S’
s
ro
g
|
3
cT
O,
ct
CD
3
I i
®
s
0*“
q-
a
CT
$
m
S'
CT
O
3
jj
CD
ro
S
o’
®
3
r
<□
It
1“
2 *
5’
®.
O'
co
a
-o£D
=-. 3
po
-
<Q
O
S’
I
I
-8
Is
8
3
mJ
<2
Q.
S’
y>
CL
CD
in
co
3
(O
3
3
~
=?
M
o
«<
*<
3
CL
®
cn
C
m
!2. —Q
in
<D
Q.
o
3
Q
S
SiJH
’ 1 a "
>
3
■U
©
©
®
2
a’
O
Oo
I £8 I £
p
I
3
A-*»
«> S
Q 9-
c o
5^
w cn
co
CD g
X)
-■
§
2-
CT
’P.
cn
in
Po
CT
<• 0)
H
9.^
o
H
9? i
<
m
cn
M
S’
O Z
>
o
<0
O
q
—• D*
£.
I
3
CT
“ O
0)
“ m
ia
J
O
g
» §
no
v>
sa
CD
I
CT
S’
in
. ■=.»-.
—kv—V!>—\3>—
52
c
CD
3
□
CT
O’
*
ro
ow I §
-
o
i HI s o
O'
8 1
3
I 3 U-
po
o
(f)
S
tn
in
CD
cn
cn
—ICT. .•sL.
5 C
0^2
I 2 a
3
I £= 3- a
i §-
o
CD
S.
•O
3
o
•<
m
o
m
O
_O
CT
c
CT
I8 a8 I £U i i-1di □2.
s; 5 i I11. 2,a a e. 4 3.
i Ia S5 i-2 i» “ 5
a
jT is
Q.
I I Is
rI
CD
9.
m
3 5r_
co
8’
cB
Q
W
3
□
s
!
-a
o
0
9. ““G
J. 11
9-
~-:1 W-—
c»
o
o
ES
'~'1 ss&s-----r~4-
tJ»l
EH
JSSST:
co
---------
(1?
^_4_i
o
§s
-
3
fr#
ro
cn
z
NJ
D
5z
w
I
-------H3-
-5
r
m4
cn
O)
o
o
ffi
T5SSSE
f
CB
CO
m
o
o
O
z
cn
c
i '•1"
«r
■
l-W*C\
<
'
'
■
.
'
’<■■ ■■■'•„ '■■''■ 7-7’
*
■.
<
.
.
■
.
•<
.
,
■'
•
'' • ■ W
•
••
Annex 7
Request for Replenishment No. 1
*
■
• V . ■
."'a? -■
'
i
P
Request for Replinishment No. 1 dated 22nd March 2000
.I
Loan / Financing Agreement No.
Designation of the Project_____
Accounting Period___________
I
Current no.
.1
95 66 944______________________________________ ____ ——
Upgrading Secondary Level Health Care Facilities in Gulbarga Division
1-2-98 to 29-2-2000
Date of
Contract
3
Name and Address cf ^e Contractor
1
1 &2
3&4
5 to 7
Aakruthi Arc;
Arch Plan, Blore
Design Cell, Blore
8 to 10
D-Tech, Blore
11
12 to 14
Engineering Consultancy Services, Blore
Griha Vinyas, Blore
15 to 17
Kumar & Swamy Architects
18Abip
Mahagaonkar Associates
Consultants, Blore
Invoiced Amount, Exchange Rate
(INR)
5_______ ______6
_________4________________
61.215
Architecural Services for Kalagi & Jewargi
114.828
Architecural Services for Humnabad & Kushtagi
209.851
Architecural Services for Gangavati, Devadurg &
Description of Commodity/Service
Koppal
Architecural Services for Aurad, Basavakalyan &
Manna e kheli
Architecural Services for Sindhanoor
Architecural Services for Madanahippagi, Shahabad
& Lingasugur
Architecural Services for Chikkajogi Halli, Kudligi &
Hospet
■ Architecural Services for Shahpur & Yadgir
*
92
93
94
95 to 98
Griha Vinyas, Dlore
99
100
101
102 & 103
104
Anil Kumar S. Ugirkar
Shreemanth
R. Venugopal, Bellary
N. Gopalakrishna, Bellary
K. Giriraja
105
106
W7
10,
106
100
110
Jaganmatha Electricals, Gulbarga
Subhadra Electricals, Khanapur
'-A cx^rt-f
Romiltnnco of Income Tnx
Remittance of Sales Tax
Remittance of CBF
Architecural Services for madanahippagi, Shahabad
Construction of compound wall to KIW office
Formation of Internal Road to KfW office
Mobilisation Adv to R & E of GH Sandoor
Providing water supply system to GH. Kudligi
Providing water supply system to CHC. Chikkajogi
Halli
Providing Electrification to PHC Kalagi
Urgent Repairs to GH Gulbarga
Remittance of Income Tax
cf Fd.?* T
7
15.Mrz.99
15.Mrz.99
15.Mrz.99
58.154
109.086
199.359
156.670
15.Mrz.99
148.8361
77.038
242.882
15.Mrz.99
15.Mrz.99
73.186
230.738
125.222
15.Mrz.99 «
118.960
81.658
85.762
258 230
15.Mrz.99
15.Mrz.99
31. Jan 00
31 Jan DO
31. Jan. 00
18 Feb OO
77.575
81.474
64 385
4 880
122
246667
27.137
18.295
398.700
79817
20.324
18 Feb 00
18 Feb OO
18.Feb.00
18 Feb OO
18 Feb OO
24 998
14 891
398.700
71.716
19024
179219
107.964
26 Feb 00
26 Feb 00
29 Feb 00
29 Feb 00
157.000
89 179
21 516
35 639
>> r m» tf •
RuilHllaiK M u| loyally
RpnilllaiH.e ol ('PF
Rotontion Money Accounted but not paid
Totial
Amount
Paid (INR)
Date
oi
10.413.812
M
■
Vp
10 50.1.100
110 103
10.413.812
- Media
7941.pdf
Position: 1184 (7 views)