Upgrading Secondary Level Health Care Facilities in the Gulbarga Division, State of Karnataka, Phase I
Item
- Title
-
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
Progress Report No. 11
April 2000 - June 2000
Consortium
fa
M8satmiplaim
MEDICONSULT
!
Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
in the Gulbarga Division, Stale of Karnataka
TABLE OF CONTENTS
2
EXECUTIVE SUMMARY
1.
2.1 Activities of the Government of Karnataka
5
2.1.1 Project Governing Board..........................
5
2.1.2 Project Steering Committee......................
5
2.2 Activities of the KHSDP Administration...........
.6
2.2.1 Equipment Maintenance in Gulbarga Division
.6
2.2.3 Personnel.at Gulbarga Project Office............
11
2.3 Activities of the Engineering Wing KHSDP.................................................
11
2.3.1 Urgent Repairs of District Hospitals..........................................................
11
2.3.2 Urgent Repairs of Other Hospitals.............................................................
12
2.3.3 Planning Progress......................................................................................
12
2.3.4 Equipment Maintenance Workshops........................................................
16
2.3.5 Procurement of Medical Equipment.........................................................
16
2.3.6 Quality Auditing Services for the hospital building works under the KfW
17
Project..............................
2.3.7 Financial Auditing Services.......................................................................
3.
4.
17
2.4 Activities of the Consultant.................................................
17
2.4.1 Project Co-ordination and preparation of implementation
17
2.4.2 Visit of SANIPLAN consultants
....................
18
2.4.3 Review of Monitoring Plan.................................................
18
2.4.4 Revision of project planning matrix...................................
18
RESOURCES
19
3.1 Personnel
19
3.2 Equipment/Materials
20
TIME SCHEDULE
20
4.1 Project
20
4.2 Consulting Services..................................................
20
4.2.1 Local Project Co-ordinator and local consultants:
20
4.2.2 Public Health Consultant:.....................................
20
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
in the Gulbarga Division, State of Karnataka
27
4.2.3 Hospital Planner & Architect:....
27
4.2.4 Management Team:..................
21
FINANCIAL SITUATION
5.
21
5.1 Project..........................
27
5.1.1 Disposition account
21
5.2 Cost Estimates
21
5.3 Consulting Services....................................................
CONSTRAINTS, OPPORTUNITIES AND RECOMMENDATIONS
6.
A
6.1 Constraints & Opportunities............................
6.7.7 Planning Phase................................................
6.1.2 Medical Equipment..........................................
22
22
22
22
6.1.3 Water Conservation.........................................
22
6.1.4 Solid Waste Disposal.....................................
22
6.1.5 Land Tenure Problems...................................
22
6.1.6 Revision of Designs during Implementation
22
23
6.2 Recommendations
ANNEXURES
1.
Proceedings of the 17™ Meeting of the Project Governing Board
2.
Proceedings of the 49™ Meeting of the Steering Committee
3.
Proceedings of the 50™ Meeting of the Steering Committee
4.
Updated Project Time Schedule
5.
Statement of Expenditure (KfW Sub-division Gulbarga)
6.
Statement of Expenditure (KfW Sub-division Bellary)
7.
Statement showing the monthly requirements of funds
8.
Statement showing the expenditure for local Consultants and Architects
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
Progress Report No. 11
Abbreviations
DoHFW
Department of Health and Family Welfare
GOK
Government of Karnataka
KHSDP
Karnataka Health System Development Project (supported by WB and KfW)
KfW
Kreditanstalt fur Wiederaufbau, Germany
MIS
Management Information System
NGO
Non-government Organisation
WB
World Bank
Exchange Rate
1 US$ = 44.97 Rupees (June 2000)
1 DM = 22.10 Rupees (June 2000)
1 Crore = 10 million
1 Lakh = 100,000
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
1.
Progress Report No. 11
EXECUTIVE SUMMARY
Description of the Project Progress
The present progress report No. 11 covers the German supported section of the Karnataka
Health Systems Development Project (KHSDP) for the months April - June 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 eight of the project hospitals. (Mid end
of 1999)
♦ Urgent repairs completed at Gulbarga District hospital and other hospitals.
♦ Completion of 19 final designs and the respective tender documents ( Until June 2000)
♦ Tendering of 16 hospital works (June 2000)
♦ Completion of bid evaluation for 10 hospital works (June 2000) and clearance by KfW
♦ Contract award for 10 Civil Works and start of implementation in the month of June
2000.
♦ Ongoing development of final designs of the remaining 4 hospitals.
♦ Preliminary designs for 3 District hospitals developed and discussed with the
international hospital planner.
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.
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
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
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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.
Overview: Project Status Major activities - End of June 2000
Civil Works Component
•T.
Review of emergency measures (to • be
executed by PEA)
§
w
w
Development
approval
of
preliminary
designs
Development of Final Designs and tender
documentation
2 district
hospitals
8 hospitals
Nil
23
hospitals
4
Hospitals
19
hospitals
X
Elaboration of Civil works model Bid
documents and approval by GQK & KfW
4
19
hospitals
2
16
Hospitals
Evaluation of bids
3
13
Hospitals
Non-objection to award proposal by KfW
1
10
Hospitals
Nil
10
Hospitals
Clearance of final designs and tender
documentation
'6^ Call for bids
St
At
Contract Award
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
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Equipment Component
gSEWIllSESI
iss
X
Review of emergency supplies by PEA
at Review of medical equipment lists
analysis of requirements
W
^■Planned
X
&
___________
Preparation of final procurement lists
X
X
Elaboration of cost estimates and budget
schedule
X
X
X
preparation of specification equipment and
vehicles
'S Determination of procurement procedures
w
Elaboration
supplies
of
logistical
framework
X
X
for
IS
w
X
Elaboration of model bid document and
u approval by GOK & KfW________________
ft
X
Review of requirements
Vio- Call
for tenders
equipment.
SANIPLAN / MEDICONSULT
for
X
the
delivery
of
X
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
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2.
ACTIVITIES
2.1
Activities of the Government of Karnataka
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
Committee.
2.1.1
Project Governing Board
• • the progress. on
KfW project was reviewed by the Chief
During the reporting’period,
Secretary .'Government of Karnataka in the 17th Meeting of the Project Governing Board held on
22-04-2000. The proceedings of the meeting are enclosed as Annex 1
2.1.2
Project Steering Committee
A Steering Committee (49th Meeting) was held on 22-04-2000 (Annex 2). In this meeting
contract awards for the following hospitals were approved.
Madana Hipperga
(Jj Shahbad
At the same meeting, Administrative Approval of the final designs and bid documentation was
approved for the following hospitals:
Jewargi .
tiA Kalgi
A Steering Committee (50th Meeting) was held on 24-06-2000 (Annex 3). In this meeting the
evaluation reports in respect of the following hospitals were approved.
Dovadurga
Recommended for award to the lowest responsive bidder
Yadgir
Recommended for rejection of bids received and to recall
fresh bids on account of inadequate competition and nonresponsive bids after obtaining no objection from KfW.
Shahpur
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
in the Gulbarga Division, State of Karnataka
/
And Estimates for the following works was approved / recommended for placing before Project
Governing Board
A
Hospet
Estimate approved for Rs. 120.00 Lakhs
Lingsugur
(Estimated Cost Rs.210.30 Lakhs)
V Recommended for approval of RGB
Gangawathi, (Estimated Cost Rs.200.odLakhs),
V
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: June 2000) summarises the progress of*fhe WB
supported KHSDP components in the State of Karnataka in comparison with the
KHSDP activities in the Gulbarga Division.
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Upgrading Secondary Level Health Care Facilities
Progress Report No 11
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Summary of Major KHSDP Activities - Comparison State & Gulbarga Division
Progress in VVB supported Progress in KfW supported
Gulbarga Division__________
project area
• Co-ordination activities are being continued successfully
between KHSDP, KfW component, RCH, SHS II, IPP-VIII,
KHSDP
Components
Management
Strategic
Cell
Planning
A'--
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
• Planning for almost 90% of • 23 hospitals: final design
and tender stage
the hospitals completed
• Civil Works will be completed • 10 out of 23 hospital
works grounded (award
for 100 hospitals until June
given up to June 2000)
2000
Civil Works
Staff recruitment
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 /
.
e a Kimi am /Mcnipr^MQIHT
in
process
• Recruitment
progress for:
- 573 Assistant surgeons
- 115 dental surgeons
and
- 867
staff
nurses
paramedics
• Recruitment
process
completed for entomologists
and graduate pharmacists
45 - 50% of the posts
under the KHSDP filled
(doctors and nurses)
23
• Recruitment
of
assistant dental surgeons
in progress,
• 75 posts of assistant
surgeons will be filled
under the
IKHSDP
scrutiny of applications in
progress
• 13 X - Ray technicians
posted
• 15 driver posts filled
• 253 staff nurses posted
(some of them have not
reported)
•
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Upgrading Secondary Level Health Care Facilities
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in the Gulbarga Division, State of Karnataka
5
KHSDP
Components______
Training of personnel
j
Referral System
/
©
Maintenance
and
repair of Equipment
Waste
system
disposal
SANIPLAN / MEDICONSULT
Progress Report No. 11
Progress in WB supported Progress in KfW supported
Gulbarga Division
project area_______________
• 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
_
• Referral activities have been • Referral system will
implemented shortly.
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
be
• 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
policy
on
Discussion
waste
for'
formulation
recycling
and
reduction
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 the hospitals have not
yet been started
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
in the Gulbarga Division, State of Karnataka
KHSDP
Components______
Drug Supply System
Yellow Card scheme
Access to Women's
Health
Mjr'-
Epidemiological
Surveillance
Communicable
diseases
of
Contracting out of
non-clinical services
SANIPLAN / MEDICONSULT
Progress
in
WB
supported
Progress in KfW supported
Gulbarga Division_________
project area
• Improved state - wide, no drug shortage reported
• 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
new
districts
(including
districts) designated
• 11
district
surveillance
laboratories completed
• in 7 places construction in
progress
• Procurement of Equipment in
progress
working
• . State
level
functioning,
committees
district level co-ordinating
committees constituted
and
• Software
developed
in
computer procurement
progress
•
•
•
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
04-02-2000
• Contracting out of nonclinical services at all (90)
completed hospitals finalised
by April 2000
•
Not yet initiated
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
in the Gulbarga Division, State of Karnataka
Progress in KfW supported
Gulbarga Division
KHSDP
Components
Progress in WB supported
project area
lEC
• 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. Video cassettes
on the above telecasting in
National TV network is also
prepared.
• IEC
posters
regarding
utilisation and management
of equipments and drugs are
also prepared.
• IEC activities on referral
system is being advertised
through print media
IEC measures for yellow
card scheme carried out
Quality assurance
• Quality clinical audit at 30 •
commissioned
hospitals
completed
• Regular
reporting
and •
of
analysis
hospital
performance indicators on
going
• Feed
back provided to
reporting hospitals
• Increase of attendance after
completion of infrastructure
works due to improved
services measured
About 80% of hospitals
under the KHSDP report
regularly
Increase of attendance
recognised due to better
monitoring
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
KHSDP
Components_______
Completion of the
KHSDP and giving
over to Ministry of
Health
Progress in WB supported
project area_________________
• Supposed March 2002 «
Progress Report No. 11
Progress in KfW supported
Gulbarga Division_________
• Supposed
September
2001
(Source: KHSDP Additional Director)
2.2.3
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. The staff
status at the Gulbarga Office is same as in the previous progress report.
Sri. Karkannanavar, Additional Director for KfW was on leave for most part of the
reporting period and Mr. Jenge, Joint Director, was supporting project component in
Gulbarga Division during his leave period.
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 13 bids.
2.3.1
Urgent Repairs of District Hospitals
2.3.1.1
Bellary District Hospital:
Rewiring and repairs & construction of new shed; work Completed
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
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Progress Report No. 11
2.3.1.2 Gulbarqa 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 eight hospitals:
1) Chikjogihalli 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 Hipperga Hospital: Repairs to Electrical and Sanitary Works — Work ongoing.
5) Kalgi Hospital: Repairs to Electrical and Sanitary Works - Work ongoing.
6) Aland Hospital: Repairs to Electrical and Sanitary Works - Work completed
7) Lingsugur Hospital: Providing drains and O.P.D entrance to the portion where encroachment
has been removed. - work completed
2.3.3
Planning Progress
The development of the designs for hospital rehabilitation and upgrading upto date (End of
reporting period June 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. Final designs are under scrutiny.
>
During the reporting period, a total of 19 final designs have been cleared.
Final designs and tender documents of the 4 hospitals are in progress
>
Bid opening and evaluation has been completed for 13 hospital works: Aurad, Mannekhalli,
Humnabad, Sandoor, Kushtagi, Chincholi, Basavakalyan, Huvina Hadagali, Madana
Hipperga, Shahbad, Yadgir, Shahpur and Devadurga.
KfW gave non-objection to the evaluation results for 10 Hospitals and the works at ten
hospitals were grounded to the end of June 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 received on
17-06-2000 and evaluation is under progress.
SANIPUXN / MEDICONSULT
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
>
Progress Report No. 11
Final designs for hospital at Hospet, Gangavathi and Lingsugur are cleared by KfW subject
to compliance of comments of KfW vide their letter 12-06-2000. These comments are
complied to the extent feasible and the estimate for the Hospital at Hospet has been
approved by the Steering Committee in the meeting held on 24-06-2000. The bid for this
work has been notified on 27-06-2000.
> Regarding other Two estimates i.e. Lingsugur (Rs.210.30 Lakhs) and Gangavathi
(Rs.220.00 Lakhs), since the cost exceeds 2 Crores in respect of each work these estimates
are to be approved by the Project Governing Board before bids are called for. The PGB
meeting is being convened for getting approval to these estimates.
>
Final designs in respect of hospitals at Sindhanoor, Sirguppa, Kudligi and Chikjogihally are
being finalised.
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. - Now this work is proposed to be taken up under World Bank Assisted
KHSD Project. (2nd Phase of KfW Project)
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 BSC
Bidar District Hospital:
a
>
Preliminary design of rehabilitation of the hospital has been prepared by the local architects
and discussed by the International Hospital Planner. It is approved by building scrutiny
committee of KHSDP on 05-06-2000
Comments to the rehabilitation of district Hospitdls in Phose one of the KfW_supported proiecL
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. Therefore the rehabilitation of Bellary Dist. Hospital work is proposed to be
taken up underWorld Bank Assisted KHSD project (2nd Phase of KfW Project).
RANIPI AN / MPDICONSUI T
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
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oigisiiasB
BEiO'fe Chikkajogihalli
X
proposal
Bellary
X
X
X
X
X
X
X
X
X
Bidar
X
X
X
X
Bidar
X
X
X
X
Bidar
X
X
X
X
Bellary
X
X
KoS Hospet
Bellary
X
X
Kudlagi
Bellary
BBOSt^ Sandoor
Bellary
X
BE^ObW Shiraguppa_____
Bellary
BgBAiKdWW Bidar
Huvina Hadagali
Basavakalyan
SHurSabad-d.?:
^5 Bhalki
Land
Bidar
tenure
problems
yet
not
solved
since land not
received from
Educational
GU OlM Chincholi
aw
daw?
Jevargi
Gulbarga
X
X
X
Gulbarga
X
X
X
Dept.
'
Bids
under
X
evaluation
GU:03’<- Kalgi
Gulbarga
X
X
X
under
Bids
evalyation
Madana HippeT9a
Gulbarga
X
X
X
X
Bids
cleared
KfW
by
®WS
Contract
awarded
a*
Shahabad
Gulbarga
X
X
X
X
Bids
cleared
KfW
by
Contract
awarded
■aa-i..-?:;,-;
GU 06 ? Shahpur
Gulbarga
X
X
X
X
Bids
rejected
by
Steering
Committee
■ W.I
GU 07 ' Yadgir
Gulbarga
X
X
X
X
Bids
cleared
by
Steering
Committee
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
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*
Afzalpur
Postponed
Gulbarga
due to
w
■
Land
tenure
Problems
Postponed
Gulbarga
Alannd
due
to
Land
tenure
Problems
Devadurga
Raichur
X
X
X
X
Award
proposal being
I
sent
__
Gangawathi
Raichur
X
IS
■
RA 03 r-j- Koppal *
Tenders
not
floated
for
want
of
approval from
PGB
Raichur
Work
X
«
proposed
under
World
bank assisted
KHSD Project
® W?Lin95l,9ur
Raichur
X
Raichur
X
w
X
X
X
Tenders
not
floated
for
want
of
approval from
PGB
9-,;
RA 06^’ Sindhanoor
Raichur
* In respect of Koppal Hospital the estimate is not yet cleared by the Steering committee since
Koppal is now made as the head qtrs. of new District and it requires a 250 bed hospital in lieu
of 50 beds proposed under this project. This work is now proposed to be taken up under World
Bank assisted KHSD Project (2nd Phase of KfW Project).
SANIPLAN / MEDICONSULT
15
I
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
2.3.3.1
Progress Report No. 11
Hospitals on Hold:
List of Hospitals
Hospltar District^
^^A,Mlpur
Gulbarga 50
M_
M"and
^8
iwll
Bhalki
Part of existing hospital grounds are
claimed by a 3rd party. Works
postponed
Gulbarga 50
No space for any expansion. Works
postponed
Bidar
Government order transferring the land
to Health Department has been issued
on 28-06-2000. The required land is
being officially taken over by the Health
Department.
100
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.
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 have been prepared and it is approved by
the Steering Committee on 24-06-2000. Bids have to be called for.
All workshops are adequately staffed and the maintenance teams had been trained at
Bangalore.
2.3.5
Procurement of Medical Equipment
I
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 status 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 according to
the actual inventory lists.
i
I
i
SANIPLAN / MEDICONSULT
1G
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
2.3.6
Progress Report No. 11
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 for the
hospital works noted against each:
2.3.7
1) Aurad
Tor Steel Research Foundation India
2) Mannekahalli
Tor Steel Research Foundation India
3) Basavakalyan
Tor Steel Research Foundation India
4) Humnabad
Tor Steel Research Foundation India
5) Chincholi
Tor Steel Research Foundation India
6) Madana Hipperga
Tor Steel Research Foundation India
7) Shahbad
Tor Steel Research Foundation India
8) Sandoor
Karnataka Test House
9) Huvina Hadagali
Karnataka Test House
10) Kushtagi
Karnataka Test House
Financial Auditing Services
The T.O.R sent to KfW by the Project Administrator KHSDP for engaging financial management
consultant have been approved by KfW. Proposals for assigning the work to a Financial
management consultant is under process.
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.
SANIPLAN / MEDICONSULT
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
Progress Report No. 11
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 or from KfW
have made any visit.
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. The
PEA will review and comment the draft. No further progress on this issue so far.
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.g
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
of the 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 proposed
indicators in view of full compliance with the quality control system developed under the
KHSDP.
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
in the Gulbarga Division, State of Karnataka
3.
RESOURCES
3.1
Personnel
3.1.1
Consulting Inputs
Consultant personnel was involved in activities during the reporting period as follows.
SANIPLAN
e
MEDICONSULT*
Dr. M. Mantel
Public
Health Monitoring of WB KHSDP component;
Specialist, Health
Planner
and
overall
Project
Co-ordinator
A. Doring / R.
M. Bauer
SANIPLAN
Management
Project Back - stopping engineering
component, financial management and
home office support________________
U. R. Fitz
Hospital Architect
Clearance of preliminary design & final
design and co-ordination of the same
with KfW; review of evaluation results of
Eight works;______________________
M.C
Thirumalachar
Local Project Co
ordinator
Full time Local Project Management
and
Co-ordination;
assistance
in
completion of final designs and tender
documentation, assistance in tendering
and bid evaluation.
>
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 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) One Secretary
b) One Attender
c) One Driver
SANIPLAN / MEDICONSULT
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Upgrading Secondary Level Health Care Facilities
Progress Report No. 11
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3.2
Equipment / Materials
No further changes with reference to Progress report No. 10
4.
TIME SCHEDULE
4.1
Project
The updated time schedule is attached in annex 4
4.2
Consulting Services
N?‘"0 .
Dr. M. Mantel
2,75
2,18
0,57
Uwe. R. Fitz
4,72
3,24
1,48
D. Nassler
1.51
1,01
0,50
R. Chan
2,97
1,17
1,80 -
M. C Thirumalachar
22,00
11,83
10,17
A. Poring / R. M. Bauer
2,00
1,18
0,82
4.2.1
Local Project Co-ordinator and local consultants:
Sri. M.C Thirumalachar is working as Project Co-ordinator 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.
SANIPLAN / MEDICONSULT
I20
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
4.2.3
Progress Report No. 11
Hospital Planner & Architect:
Mr. Fitz has reviewed the preliminary designs, final designs, tender documents and
reports received from the KHSDP.
4.2.4
Management Team:
Overall project management, back stopping and financial management was provided by
the home office team consisting of Mr. A. Dbring and Mr. R. M. Bauer.
5.
FINANCIAL SITUATION
5.1 Project
5.1.1
Disposition account
Fresh remittance of DM 473.000 has been received from KfW on 15-06-2000. To enable the
PEA to make timely payment to the contractors for the Civil works executed, it was necessary to
increase the deposit under disposition fund. As desired by the KfW a Statement showing the
monthly requirement of funds till completion of all Civil Works to the end of Project Period as
furnished under Annexe 5 was submitted to KfW by the Project Administrator. KHSDP. Based
on this KfW vide their letter dated 15-06-2000 have agreed to increase the initial deposit under
disposition fund from DM 500.000 to DM 3.000.000 and for issue of necessary amendment to
the original project agreement in this behalf. The matter is under correspondence.
Expenses urgent repair
Please see Annexe 6
5.2
Cost Estimates
The evaluation is now completed for 13 works. It is considered that evaluation is to be
completed for some more works and some more works are to be grounded to assess
whether there will be any savings in the Project Estimates for the Civil Works.
5.3
Consulting Services
Statement on expenses for consulting services, travel costs and other costs up to the end of
June 2000 will be submitted under separate cover to KfW.
SANIPI AN / MFDICONSUI T
! 21
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
Progress Report No. 11
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
services and an effective local project management, the project progress has been reported by
the KHSDP and the Steering Committee as being satisfying.
6.1.2
Medical Equipment
Due to recent changes in the equipment status of the hospitals in the State in general and in
Gulbarga 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
provision of equipment items from other sources and the " one time repair" work done under
the KHSDP.
6.1.3
Water Conservation
The KHSDP plans to take up the items required for water 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 Gylbarga
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
SANIPLAN / MEDICONSULT
,22
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
Progress Report No. 11
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 Federal republic of Germany during
their visit to Bangalore on 23rd and 24th March 2000. Decision of KfW on this issue is not yet
communicated. This decision is very important since number of works are now grounded. And
the decisions for minor modifications if any as required is not provided to the contractors in time,
it will lead to delay in progress of work and consequent cost escalation.
6.2
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.
♦
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 a.s.a.p..
♦
The KH8DP will further try to solve the land tenure problems at the three)hospitals Afzalpur, Aland and Bhalkhi.
♦ v The construction and conversion of the remaining maintenance workshops should be
implemented as soon as possible.
ft ♦
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 design
• due to local conditions.
SANIPLAN / MEDICONSULT
231
Upgrading Secondary Level Health Care Facilities
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Progress Report No, 11
Annex 1
Proceedings of the 1 7th Meeting of the
Project Governing Board
SANIPLAN / MEDICONSULT
I
Proceedings of the 17th Meeting of the Project Governing Board of the
Karnataka Health Systems Development Project held on Saturday,
22nd April, 2000 under the Chairmanship of
Chief Secretary to Government of Karnataka
Members Present:
The Chief Secretary to Government of Karnataka
The Principal Secretary to Government, Finance Department
The Principal Secretary to Government, Health & F W Department
The Secretary to Government, Planning Department
The Secretary to Government, Public Works Department represented by the Joint
Secretary
6. The Commissioner, Health & Family Welfare Department
7. The Project Administrator & E/o Special Secretary to Government, KHSDP
8. The Chief Engineer l/C, KHSDP
9. The Director, H & FW Services represented by the Additional Director, Primary Health
Services
10. The Additional Director (Project), KHSDP
11. The Additional Director (KfW Project), Gulbarga
1.
2.
3.
4.
5.
-
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 16th Meeting of the Project Governing Board
held on 8th March, 2000
The proceedings of the 16lh meeting of the Project Governing Board held on
8th March, 2000 were read and confirmed.
Subject No. 2
Action taken report of the Proceedings of the 16th Meeting of the Project Governing
Board held on 8th March, 2000
The Committee reviewed the action taken on the proceedings of the 16"’ meeting of
the Project Governing Board held on 8lh March, 2000.
Subject No. 3
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 Shimoga
District (Deferred Subject)
The Project Administrator briefly explained the contents of the letter of the Housing
Commissioner, Karnataka Housing Board. He informed the members of the Project
Governing Board that M/s. banco Constructions Ltd. had furnished a certificate along with the
Bid Document in which M/s. EPIL had certified M/s. banco Constructions Ltd. as Associate
Qj W - H O
A 'Proceedings Of The 1 7lh Meeting Of The Project Governing Bonrd Doc
07942
Contractors. The Principal Secretary. Finance Department observed that the Housing
Commissioner had clearly certified the quality of work to be unsatisfactory and that the status
of M/s. banco Constructions Ltd. with M/s. EPIL was in dispute. The subject was discussed in
detail and the certificate furnished by M/s. banco Constructions Ltd. issued by M/s. EPIL was
also seen by the members of the Project Governing Board. The Project Governing Board
noted that the subsequent certificates from other clients furnished by m/s. banco
Constructions Ltd. did not alter the fact that their participation in the National Games Housing
Project at Bangalore was controversial and led to sub-standard construction and also
litigation. It was noted also that the firm M/s. EPIL had given one report of their legal position
to Housing Board and another to the Karnataka Health Systems Development Project. After
detailed discussions, it was decided as follows:
(a) to reject the only responsive bid of M/s. banco Construction Ltd., Bangalore in
respect of the work of Renovation and Expansion of Me. Gann Hospital, Shimoga
and to go for re-bidding with No Objection from the World Bank.
(b) to reject the responsive bid of M/s. banco Construction Ltd., Bangalore for the
work of Renovation and Expansion of Taluk Level Hospital, Virajpet and to issue
Notification of Award in favour of Sri U.B. Shetty, Dharwad who is at L2 at
Rs. 3,95,26,307/- which works out to 0.58% above the estimated cost with
reference to 1996-97 SR after getting No Objection from the World Bank. It was
also decided that Government should write to Government of India regarding the
manner in which M/s. EPIL has conducted itself.
Subject No. 4
Renovation and Expansion of Taluk Level Hospital at Yelahanka in Bangalore District
The Project Administrator briefly explained the recommendations made by Bid
Evaluation Sub-Committee in respect of the work of Taluk Level Hospital at
Yelahanka in Bangalore District. The members of the Project Governing Board looked
into the Analysis Report enclosed to the Agenda on the basis of the information
furnished by M/s. NPCC Ltd., New Delhi and Sri K.R. Mohana Reddy, Bangalore for
verification of details in respect of qualification criteria as given in the Bid Documcnt^The Committee noted that M/s. NPCC Ltd., New Delhi had satisfied all the
qualification criteria except at Serial No. 11 and 15 of Annexure V enclosed to the
Agenda. The Committee felt that these criteria appear to be not major ones and M/s.
NPCC Ltd., New Delhi have been doing satisfactory work in the construction of
OPEC assisted hospital at Raichur. The Chairman requested the Project Administrator
to get further information on these two items from M/s. NPCC Ltd., New Delhi. If this
information was not made available by M/s. NPCC Ltd., New Delhi, then to discuss
with the World Bank Procurement Officer at New Delhi regarding the eligibility of
M/s. NPCC Ltd., New Delhi without this information. The Project Governing Board
decided as follows:
(a) to issue Notification of Award in favour of M/s. NPCC Ltd., New Delhi if the
information on liquid assets and balance value of ongoing works was furnished by
M/s. NPCC Ltd., New Delhi or if in the opinion of the World Bank, this deviation
was not a major one and could be condoned.
alternatively
I
(b) to issue Notification of Award in favour of Sri K.R. Mohana Reddy, Bangalore, if
M/s NPCC Ltd, New Delhi failed to submit the required information on liquid
assets and balance value of ongoing works and if in the opinion of the World Bank
this formed a major deviation.
The Project Governing Board gave approval as detailed above subject to Preaward Review and No Objection by the World Bank.
The meeting concluded with a 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
Copy of above proceedings is forwarded to the following officers for information and
further needful action.
(D.M. AGA)
Deputy Secretary to Government,
KHSDP, H & F W Department
1. The Principal Secretary to Government, Finance Department, Vidhana Soudha,
2.
:
3.
4.
5.
6.
7.
8.
9.
Bangalore
The Joint Secretary to Government of India, Ministry of Health & Family Welfare, New
Delhi, Fax No.011-3014252
The Principal Secretary to Hon’ble Chief Minister, Vidhana Soudha, Bangalore.Bangalore.
The Secretary to Government, Planning Department, M.S. Building, Bangalore.
The
Secretary to Government, Public Works Department, M.S. building, Bangalore.
'
The Director, H & F W Services, Anand Rao Circle, Bangalore.
The Additional Director (Projects), KHSDP, Bangalore.
The Additional Director, KfW Project, Gulbarga
The Chief Engineer, KHSDP, Bangalore.
•
MM
M
A
A z*x r"
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Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
Progress Report No. 11
3
?
Annex 2
Proceedings of the 49th Meeting of the
Steering Committee
S’
SANIPLAN / MEDICONSULT
i
/
/
/
/
/
Proceedings of the 49th'Meeting of the Project Steering Committee
Meeting of the Karnataka Health Systems Development Project held on
Saturday, 22nd April, 2000 under the Chairmanship of
the Secretary to Government, Health and Family Welfare Department
Members present:
1. The Principal Secretary to Government, Health and Family Welfare Department
2. The Commissioner, Health & Family Welfare Department
3. The Secretary (Expenditure), Finance Department
4. The Secretary to Government, Public Works Department represented by Joint
Secretary
5. The Project Administrator, KHSDP
6. The Director, Health & Family Welfare Department represented by Additional
Director, HET
7. The Director, Medical Education represented by the Deputy Director
8. TheChief Engineer l/C, KHSDP
9. The Additional Director, KHSDP
10. The Additional Director, KfW, Gulbarga
11. Sri M.C. Thirumalachar, Project Co-ordinator, KfW Project
/
Invitees Present:
1. The Chief Administrative Officer, KHSDP
2. The Chief Financial Officer, KHSDP
3. The Joint Director (Medical) l/C, KHSDP
4. The Deputy Director (Training), KHSDP
5. The Deputy Director (Equipment), KHSDP
6. Sri D. Rama Rao, STEM Consultant
7. Sri R.P. Rao, STEM Consultant
8. Dr. Sathyanarayan, STEM Consultant
Subject No. 1
Reading and Confirmation of the Steering Committee Meeting held on 6th March, 2000
The Proceedings of the 48th Steering Committee Meeting held on 6th March, 2000
were read and confirmed.
Subject No. 2
Action taken on the Proceedings of the Steering Committee Meeting held on
6,h March, 2000
The Committee reviewed the action taken on the Proceedings of the 48th Steering
Committee Meeting held on 6,h March, 2000.
While reviewing the action taken report, in respect of Item No. 15, the Project
Administrator, KHSDP brought to the notice of the Committee that the matter required
detailed discussion. He informed that the elected representatives from Koppal have been
requesting for construction of a 250 bedded hospital at a new site. The Project Co-ordinator,
KfW informed the Committee that KfW had given approval for upgradation of the existing
hospital at an estimated cost of Rs. 160 lakhs and that any change in the location or design
was required to be cleared by KfW. The Project Administrator also informed that upgradation
A:\ProceccJ1ng5 Of The 49lh Mcelmg 01 The PSC Doc
I
of this hospital to 250 beds was already cleared by the World Bank during the mid-term
review. There were two agencies for completing the infrastructure and the funding pattern
was also different as KfW was giving grant and the World Bank funding was in the form of
loan. The Commissioner, Health & Family Welfare suggested that the two proposals could be
integrated and a design developed so that the assistance of both the agencies would be
properly utilised. A similar suggestion was made by the Secretary (Expenditure), Finance
Department who strongly felt that the building should be taken up at a new site as the site in
which existing building located was not sufficient for a 250 bedded hospital.
The Chairman agreeing with the views pf the members requested the Project
Administrator to visit Koppal and take early action regarding construction of 250 bedded
hospital at a new site.
In respect of Item No. 18, the Chief Administrative Officer informed the Committee
that Dr. Sudarshan had been requested to furnish the information as decided in the previous
meeting of the Steering Committee. As soon as the information was obtained from Dr.
Sudarshan the same would be submitted for approval to the Chairman as decided in the last
Steering Committee.
Subject No. 3
Training of Laboratory
Development Project
Technicians
under
Karnataka
Health
Systems
The Deputy Director (Training) briefly explained the proposed action plan for
conducting training programme for the Laboratory Technicians. The Chairman requested the
Project Administrator to provide training to all the Lab Technicians in the Department which
would help.in upgrading their skills. He also requested the Project Administrator to organise a
comprehensive training programme to the Lab Technicians who would be recruited by the
Director, Health & Family Welfare in next two months.
The Steering Committee gave approval to the proposal of providing training to* 248
Lab Technicians (8 members per batch) for a period of 15 days at Medinova Diagnostic
Services Ltd., Bangalore. The Steering Committee gave approval for incurring an expenditure
of Rs. 6,94,400/- towards course fee and other incidental charges to train 248 Laboratory
Technicians during the year 2000-01 and 2001-02.
Subject No. 4
Training of X-ray Technicians under Karnataka Health Systems
Development Project
The Steering Committee gave approval to the proposal of providing training to 256 Xray Technicians in 22 batches (of 12 each) for a period of 15 days at Victoria Hospital,
Bangalore. The Steering Committee gave approval for incurring an expenditure of Rs.
10,36,800/- towards course fee and other incidental charges to train 256 X-ray Technicians
during the year 2000-01 and 2001-02 subject to the clearance from the World Bank.
i
Subject No. 5
Seminar on Quality care and Medical Ethics under Karnataka Health Systems
Development Project
The Deputy Director (Training) briefly explained to the Committee about the
objectives of Seminar that would be conducted by Indian Medical Association, Karnataka
State Branch. He informed the Committee that these Seminars would be held for a period of
two days at six places viz., Gulbarga, Dharwad, Shimoga, Davangere/ Chitradurga,
Kolar/Tumkur and Hassan/Udupi. These seminars would motivate the Doctors working in the
Department of Health & Family Welfare Department to provide better services.
The Steering Committee gave approval to the proposal of conducting seminars in
association with Indian Medical Association, Karnataka State Branch, which would benefit
100 Doctors in each centre covering a total of 600 Doctors. The Steering Committee gave
approval for incurring an expenditure of Rs. 200/- per Doctor towards registration fee and for
payment of TA and DA to the participating Doctors as per the provisions of KCSR.
Subject No. 6
Approval of the Steering Committee for purchase of one TATA Safari Vehicle for the
official use of the Project Administrator, Karnataka Health Systems Development
Project
and
Subject No. 36
Approval of the Steering Committee for purchase of Maruthi Baleno Vehicle for the
official use of Project Officers
The Steering Committee gave approval for purchasing one TATA Safari Vehicle at
Rs. 7,38,558.70 and one Maruthi Baleno Vehicle at Rs. 7,96,046.49 for the official use of the
project officers.
Subject No. 7
Approval of the Steering Committee for providing residential telephone facilities to the
Deputy Directors working in the project
The Steering Committee gave approval for providing residential telephone without
STD facility to all the Deputy Directors working in the project.
Subject No. 8
Approval of the Steering Committee for printing Yellow Cards required for implementation
of Yellow Card Scheme
The Steering Committee gave approval for printing of 5,30,000 Yellow Cards and
providing the same with Plastic Pouches to the District Health & Family Welfare of 7
Districts. The Steering Committee gave approval for printing Yellow Cards and providing
Plastic Pouches following the procedures of Local Shopping.
i
Subject No. 9
Plan of action for training under KHSDP for Doctors and Paramedicals for the year
2000 - 2001
The Chairman requested the Project Administrator to organise a training programme
in administrative matters to the Senior Health Administrators of the Department of Health &
Family Welfare at Bangalore. He requested the Project Administrator to co-ordinate with
organisations like ASCI, Hyderabad and Health Administrators Training Institute at Jaipur
and with their support to organise the training programme at Bangalore.
The Steering Committee gave approval to the Action Plan of training programme under
Karnataka Health Systems Development for Doctors and Paramedicals during the year 20002001.
Subject No. 10
Shifting of Bureau Health Intelligence from the Directorate of Health and Family Welfare
to Karnataka Health System Development Project
The subject was discussed in detail. The Additional Director (Medical) briefly
explained the reasons of proposing shifting of Bureau Health Intelligence from the Directorate
of Health and Family Welfare to Karnataka Health Systems Development Project office. The
Commissioner, Health & Family Welfare suggested that the Karnataka Health Systems
Development Project should provide the required software which would help the Directorate
in analysis of the data, etc. instead of shifting the Bureau itself from the Directorate, which in
his opinion was a retrograde step, considering the totality of the respective roles of Directorate
of Health 8c Family Welfare Services and Karnataka Health Systems Development Project for
merger of HMIS services for optimal usage. The Project Administrator informed the
Committee that strengthening of HMIS activities is one of the Benchmarks given by the
World Bank and by shifting the Bureau of Health Intelligence to the project office, it would
be possible to get the information from all the sources. The Chairman observed that the
Karnataka Health Systems Development Project could provide the required support initially
and over a period of time, the system should merge with the Directorate. He observed that a
separate meeting was required to sort out these details as the formats for various data could be
standardised and there would be one source for analysis of data. The subject was deferred
with a request to the Project Administrator to convene a separate meeting for a detailed
discussion on this subject involving Senior Health Administrators of the Directorate also.
Subject No. 11
Satellite based Interactive Multimedia Infrastructure for Tele-medicines
The Additional Director (Medical) briefly explained the concept of Tele-medicine. The
Committee felt that, even though it is an interesting idea, it was necessary to have details like
how the system would have linkages with the Government SAT.COM facilities. The
Chairman requested the Project Administrator to discuss with ISRO as they were also
looking at the concept of Tele-medicine and whether they would be interested in a similar
project in Karnataka State. The Chairman also requested the Project Administrator to discuss
I
with ISRO on the cost factors before further steps were taken in this regard. With these
observations, the subject was deferred by the Steering Committee.
Subject No. 12
Yellow Card Scheme • Requirement of funds
The Steering Committee gave approval to the proposal of releasing Rs. 2 lakhs to
each of the District Health & Family Welfare Officers during the year 2000-2001 for the
implementation of Yellow Card Programme. The Chairman requested the monitoring officers
in the project to send the progress report in the implementation of the programme on a
regular basis to the Director of Health & Family Welfare also.
Subject No. 13
Approval of the Steering Committee to the shortlist of consultancy firms for entrusting
Evaluation of Clinical and Specialist Training
The Steering Committee gave approval to the shortlist of consultancy firms for the
work of 'Evaluation of Clinical Specialist Training'. The Steering Committee gave approval
for sending Terms of Reference to the shortlisted firms.
Subject No. 14
Approval of the Steering Committee to the shortlist of consultancy firms for entrusting the
study ofManpoyver Planning in the Department ofHealth & Family Welfare
The Steering Committee gave approval to the shortlist of consultancy firms for the
study of 'Manpower Planning in the Department of Health & Family Welfare'. The Steering
Committee gave approval for sending Terms of Reference to the shortlisted firms.
Subject No. 15
Approval of the Steering Committee to change the agency and to the revised estimate cost
for taking up the study on Burden of Disease in the State
The subject was discussed briefly by the members of the Committee. The
Commissioner, Health
Family Welfare desired to know which Department in the
University of Bangalore was willing to take up (he study. The Chairman observed (hat (he
other institutions like ISEC, Community Health Cell might also be considered if they were
willing to take up the study. The Project Administrator stated that the issue would be re
examined in the light of the discussion and placed before the Steering Committee for a
decision.
1
Subject No. 16
Approval of the Steering Committee for entering into Annual Maintenance Contract in
respect of Equipment procured under Karnataka Health Systems Development Project and
X-ray Machines procured by the Department of Health & Family Welfare
The Chief Administrative Officer briefly explained the proposal of Annual
Maintenance Contract in respect of Equipment procured under Health Systems Project. The
Chief Financial officer brought to the notice of the Committee about the observation of the
Accountant General on the investment made towards salary component of the Equipment
Maintenance Wing. The Chief Administrative Officer clarified to the Committee that the
technicians in the Equipment Maintenance Wing were attending to the maintenance of
Equipment like O.T. Table, O.T. Light, etc. as they were not qualified Bio-medical Engineers.
Considering the importance of the Equipment and their maintenance in the hospitals for
providing better services, the Steering Committee gave approval for entering into Annual
Maintenance Contract with the respective Original Equipment Manufacturers in respect of the
equipment as Ijstcd in Anncxurc VII to the Agenda at a total cost of Rs. 33,18,278/-. Further,
in respect of the old X-ray Machines as listed in Annexure VIII to the Agenda, the Steering
Committee gave approval for inviting proposals for Annual Maintenance Contract from the
qualified companies.
Subject No. 17
Approval of the Steering Committee for recruitment of Bio-medical Engineers on Contract
basis
The proposal was briefly explained by the Chief Administrative Officer. The
Commissioner, Health & Family Welfare desired to have the job responsibilities of the Bio
medical Engineers that were proposed to be recruited by the project on contract basis. The
Dbputy Director (Equipment) informed that they would be providing the technical support in
the maintenance of Bio-medical Equipment apart from guiding the technicians. The
Commissioner, Health & Family Welfare suggested that it would be better to have the job
responsibilities properly defined, so that there would be more clarity in the role of the Biomedical Engineers. The Steering Committee gave approval for recruiting 5 Bio-medical
Engineers on contract basis for a period of one year with a monthly consolidated salary not
exceeding Rs. 15,000/-.
Subject No. 18
Approval of the Steering Committee to the Proceedings and recommendations of the
Tender Sub-Committee for purchase of Orthopaedic Splints under Local Shopping Norms
The Deputy Director briefly explained the requirement of Orthopaedic Splints in the
project hospitals.
The Steering Committee approved the recommendations of the Tender Sub
Committec and gave approval for issue of Notification of Award in favour of
M/s. Bangalore Surgical Co., Bangalore for procurement of the Splints included in Package
'F' at a total price of Rs.6,41,994/- + Taxes as applicable.
1
Subject No. 19
Renovation and Expansion of General Hospital at Jewargi, 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. 107.565 lakhs for Renovation and Expansion of
General Hospital at Jewargi in Gulbarga District (under KfW Project).
Subject No. 20
Renovation and Expansion of General Hospital at Kalgi, 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. 77.66 lakhs for Renovation and Expansion of General Hospital at
Kalgi in Gulbarga District (under KfW Project).
Subject No. 21
Approval to the additional works to Taluk Level Hospital at Chikkanayakanahalli in
Tumkur District
.
©
The Steering Committee gave administrative approval to the additional works to the
Taluk Level Hospital at Chikkanayakanahalli in Tumkur District at an estimated cost of Rs.
7.60 lakhs. The Steering Committee gave approval to take up the above works under Local
Shopping Procedure in W5 format.
Subject No. 22
Approval to the additional works of construction of casualty block,
Administrative block and Service blocks to CHC at Dudda in
Hassan District
The Steering Committee gave administrative approval to the additional works of construction
of casualty block, administrative block and Service blocks to the Community Health Centre at
Dudda in Hassan District at an estimated cost of Rs. 17.70 lakhs. The Steering Committee
gave approval to take up the above works under Local Shopping Procedure in W5 format.
Subject No. 23
Estimate for repairs to food laboratory and water testing laboratory block in the
premises of P.H.I. Building, Seshadri Road, Bangalore
The Steering Committee gave administrative approval for repairs to food laboratory and water
testing laboratory block in the premises of P.H.I. Building, Seshadri Road, Bangalore at an
estimated cost of Rs. 2.70 lakhs. The Steering Committee gave approval to take up the above
works under Local Shopping Procedures in W5 format.
Subject No. 24
Estimate for changing the existing tiled roof to RCC roof of existing hospital building
at community Health Centre at Shiralkoppa in Shimoga District
The Steering Committee gave administrative approval for changing the tiled roof of
existing hospital building at Community Health Centre, Shiralkoppa in Shimoga District at an
estimated cost of Rs. 9.00 lakhs. The Steering Committee gave approval to take up the above
works through the tender contractor as an additional work with the same terms and
conditions.
Subject No. 25
Approval to the modified proposal of shifting the proposed construction of OT and
wards on First floor to Ground floor at TLH S ora ba in Shimoga District
The Steering Committee gave administrative approval for shifting the OT and Wards
from first floor to ground floor at Taluk Level Hospital, Soraba in Shimoga District at an
estimated cost of Rs. 60.00 lakhs. The Steering Committee gave approval to take up the above
works through the tender contractor who is executing this work with the same terms and
conditions.
. .
Subject No. 26
Renovation and Expansion of Community Health Centre at Konnanur in Hassan
District - Approval to the proposal of change of site and additional cost
The Steering Committee gave approval for change of site and ratified the action taken
to execute the work through the same agency with an additional cost of Rs. 16.00 lakhs in
respect of the work at Community Health Centre, Konnanur in Hassan District.
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Subject No. 27
Approval for additional works for Taluk Level Hospital at
Kolar District
Gowribidunur in
The Steering Committee gave administrative approval to the additional civil works at
an estimated cost of Rs. 8.75 and additional Electrical Works at Rs. 9.65 lakhs in respect of
Taluk Level Hospital, Gowribidanur in Kolar District. The Steering Committee gave approval
to take up the above works under Local Shopping Procedure in W5 format.
Subject No. 28
Renovation and Expansion of Community Health Centre at Halli Mysore in
Hassan District - Approval to the proposal of change of site and additional
cost
The Steering Committee gave approval for change of site and ratified the action taken
to execute the work through the same agency with an additional cost of Rs. 10.00 lakhs in
respect of the work at Community Health Centre, Halli Mysore in Hassan District.
Subject No. 29
Renovation and Expansion at Taluk Level Hospital at Holenarasipura - Approval for
additional cost
The Chief Engineer briefly explained the reasons^ for increase in the cost of
Renovation and Expansion work at Taluk Level Hospital, Holenarsipura. The Steering
Committee considered the reasons for increase in the construction cost and gave approval to
the extra cost of Rs. 33.88 lakhs for providing additional items.
e-
Subject No. 30
Renovation and Expansion of Taluk Level Hospital at Sidlaghatta in Kolar District Approval for additional cost
The Chief Engineer briefly explained the reasons for increase in the cost of
Renovation and Expansion work at Taluk Level Hospital, Sidlaghatta in Kolar District. The
Steering Committee considered the reasons for increase in the construction cost and gave
approval to the extra cost of Rs. 37.09 lakhs for providing additional items.
Subject No. 31
Approval for the Estimate for Construction of New Pathology,Pharmacy Block by
dismantling the Old OPD block at Taluk Level Hospital at Thirthahalli in Shimoga District
The Steering Committee gave administrative approval to the estimate for construction
of New Pathology, Pharmacy Block by dismantling the Old OPD Block at Taluk Level
Hospital, Thirthahalli in Shimoga District at an estimated cost of Rs. 14.60 lakhs. The
Steering Committee gave approval to take up the above works through (he lender contractor
as an additional work with the same terms and conditions.
i
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Subject No. 32
Estimate for rewiring to virus diagnostic laboratory building at
Shimoga
The Steering Committee gave administrative approval to the estimate for the work of
rewiring to the virus diagnostic laboratory building at Shimoga at an estimated cost of Rs.
3.40 lakhs. The Steering Committee gave approval to take up the above work under Local
Shopping Procedure in W5 format.
Subject No. 33
Construction of central equipment workshop and office building in the premises of
Central Workshop Building of H&FW department at Magadi Road, Bangalore
The subject was deferred to be placed before the next Steering Committee Meeting.
Subject No. 34
Renovation and Expansion of
Gulbarga District
Community Health Centre at Madana Hipperga in
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 Community Health Centre at Madana Hipperga 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. Dhirubhai D. Thumer & Co.,
Secunderabad at a contract value of Rs. 80,39,987/- which is 1.05% more than the
departmental estimated rates with reference to 96-97 SR which is at LI.
f
Subject No. 35
Renovation and Expansion of Community Health Centre at Shahabad, in Gulbarga
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 Community Health Centre at Shahabad 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. Dhirubhai D. I’humcr & Co., Secunderabad
at a contract value of Rs. 96,82,438/- which is 3.03% less than the departmental estimated
rates with reference to 96-97 SR which is at LI.
i
With the permission of the Chairman, the following additional subjects were
taken up for discussion and resolved
Additional Agenda No. 1
Estimate for Construction of District Laboratory Building at Madikeri in Kodagu
District
The Steering Committee gave administrative approval to the estimate for construction
of District Laboratory Building at Madjkeri in Kodagu District at an estimated cost of Rs.
25.00 lakhs in lieu of the previously approved estimate of
Rs. 17.95 lakhs. The Steering Committee gave approval to take up this work on National
Competitive Bidding Procedures.
Additional Agenda No. 2
Renovation and Expansion of Taluk Level Hospital at Channarayapatna in Hassan
District - Approval to the additional cost
The Chief Engineer briefly explained the reasons for increase in the cost of
Renovation and Expansion work at Taluk Level Hospital, Channarayapatna in Hassan
District. The Steering Committee considered the reasons for increase in the construction cost
and gave approval to the extra cost of Rs. 22.55 lakhs for providing additional items.
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.
(D.M. AGA)
Deputy 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-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).
The Additional Director, KHSDP (CMD)
The Additional Director, (KfW), KHSDP.
4.
5.
6.
7.
8.
9.
i
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division. State of Karnataka
Progress Report No. 11
*
Annex 3
Proceedings of the 50th Meeting of the
Steering Committee
SANIPLAN / MEDICONSULT
i
Proceedings of the 50th Meeting of the Project Steering Committee of
the Karnataka Health Systems Development Project and KfW Project
held on Saturday, 24th June, 2000 under the Chairmanship of
the Principal Secretary to Government, Health and Family Welfare
Department
Members present:
1. The Principal Secretary to Government, Health and Family Welfare Department
2. The Commissioner, Health & Family Welfare Department
3. The Secretary (PMU), Finance Department
4. The Secretary to Government, Public Works Department represented by Under
Secretary
5. The Project Administrator, KHSDP
6. The Director l/C, Health & Family Welfare Department
7. The Director, Medical Education
8. The Chief Engineer l/C, KHSDP
9. The Additional Director l/C, KfW, Gulbarga
10. Sri M.C. Thirumalachar, Project Co-ordinator, KfW Project
Members who could not attend the meeting:
1. Additional Director (Medical), KHSDP
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 Director (Training), KHSDP
5. Sri D. Rama Rao, STEM Consultant
Subject No. 1
d
Reading and Confirmation of the Steering Committee Meeting held on 2z April, 2000
The Proceedings of the 49th Steering Committee Meeting held on 22nd April, 2000/
were read and confirmed with the following addition to the Subject No. 10.
"It was decided not to shift the Health Intelligence Bureau from the Directorate of
Health & Family Welfare to Karnataka Health Systems Development Project".
Subject No. 2
■
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Action taken on the Proceedings of the Steering Committee Meeting held on
22r,d June, 2000
The Committee reviewed the action taken on the Proceedings of the 49th Steering
Committee Meeting held on 22nd April, 2000.
While reviewing the action taken in respect of Item No. 15, the Commissioner, H&FW
observed that a study on Burden of Diseases was very important and that it was worthwhile
to discuss with ISEC on the estimated cost and the time for completion of the study. The
Project Administrator observed that considering the time frame indicated by ISEC, it would
not be useful from the point of project implementation. The Chairman requested the Project
Administrator to discuss with ISEC on the estimated cost and time and place it before the
Steering Committee with suitable recommendations.
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While reviewing the action taken in respect of Item No. 17, the Commissioner, H&FW
felt that it would be better to follow reservation and roster even if the candidates were
selected on contract basis. This would help the Department in future in case the services of
such contract Doctors were regularised.
Subject No. 3
Approval to the procurement plan for procurement of remaining equipment in the next two
years of the project
and
Subject No. 4
Approval to the procurement plan for procurement of Hospital Fumituie to the hospitals
which are likely to be commissioned by March 2001
\
The Project Administrator briefly explained the procurement plan for the remaining
equipment .in the next two years and the hospital furniture during 2000-01. The
Commissioner, H&FW observed that while preparing the project report, the expert groups had
gone into the details regarding the requirement of the equipment on the basis of the nonns and
it would not be necessary at this stage to seek indents from the hospitals. The Secretary
(PMU), Finance Department observed that when an equipment was provided, it was necessary
to ensure that the equipment was put to use and not being treated mcicly as a stand-by
equipment. The Chairman requested the Project Administrator and the Director, Health &
Family Welfare to have continuous consultation with the hospital authorities on the use of
equipment and furniture. He also observed that this type of consultations would help the
Doctors to upgrade their own thinking regarding the use of equipment and furniture. The
Director, State Institute of Health & Family Welfare suggested that during consultations, it
would be better to involve the Director, Health & Family Welfare, Divisional Joint Directors
and Joint Director (Medical) and other senior officers. The Project Administrator agreed to
* initiate a close and continuous communication with the concerned hospital authorities along
with Director, Health & Family Welfare Services towards this end.
With the above observations, the Steering Committee approved the Procurcmeift Plan
for procurement of remaining equipment during the next two years and the Procurement Plan
for procurement of hospital furniture during 2000-01.
Subject No. 5
Training ofStaffNurses in management of burns patients under KHSDP
The Steering Committee gave approval for conducting training of Staff Nurses in
management of bum patients under KHSDP. The Steering Committee further gave approval
to the action plan for conducting training to 300 Staff Nurses at an estimated cost of Rs.
21,15,000/- at Victoria Hospital, Bangalore.
While approving the proposal of training for Staff Nurses in management of bum
patients, the Chairman requested the Project Administrator to exploic the possibilities of
giving training to the senior Doctors in hospital administration. The Chaiiman obscivcd thaljj.^^?^^
would be appropriate to provide training in the hospital itself in order to improve
administration and provide better health care to the people.
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Subject No. 6
Budget Estimates for the implementation of KHSDP and KfW Projects during the year
2000-01
The Steering Committee noted the budget estimates for the implementation of
KHSDP and KfW Projects during the year 2000-01.
Subject No. 7
Approval of the Steering Committee to the proposal of sponsoring Doctors to the Karnataka
State Obstetrics & Gynaecology Societies Association Conference
The proposal of sponsoring 100 Doctors to the Karnataka State Obstetrics &
Gynaecology Societies. Association Conference for a period of 3 days from August 11-13,
2000 was approved by the Steering Committee. The Steering Committee gave approval for
incurring an expenditure of Rs. 70,000/- towards registration fee for deputation of 100
Doctors and payment ofTA/DA to the Doctors as per the provisions of KCSR.
Subject No. 8
Approval of the Steering Committee to the Evaluation and Recommendations for entrusting
the study on Man Poyver Planning in the Department of Health & Family Welfare to
Centre for Environment and Social Concerns, Bangalore
The Steering Committee approved the evaluation of technical and financial proposals
for entrusting the study on “Man Power Planning in the Department of Health & Family
Welfare”. The Steering Committee gave approval to the recommendations ol the Sub
committee for entrusting the study to the Centre for Environment and Social Concerns at a
negotiated amount of Rs. 5,50,000/-.
Subject No. 9
Entrustment of Architecture! consultancy works for 25 hospitals in Gulbarga Division
under KfW II phase to be taken up under World Bank Assistance under KHSDP
*
The Project Administrator briefly explained the urgency in which action was taken to ~
entrust the architectural consultancy works for 25 hospitals in Gulbarga Division which were
now taken up under KHSDP. The Secretary (PMU), Finance Department informed the
Committee that while signing the contract, it should be ensured that the World Bank
procurement procedures are followed and the consultancy fee should be paid on the basis of
the estimated cost and not on the actual cost. The Project Administrator informed the
Committee that the consultancy fee would be paid only on the basis of estimated cost and
not on the actual cost. The Steering Committee ratified the action taken by the Project
Administrator in the entrustment of Architectural consultancy works for 25 hospitals in
Gulbarga Division which were earlier in Phase II of KfW and now included under KHSDP.
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SubjectNo.10
Renovation and Expansion of General Hospital at Hospet, Bellary District
(Under KfW Project)
i
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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. 120 lakhs for Renovation and Expansion of General
Hospital at Hospet in Bellary District (under KfW Project).
Subject No. 11
Renovation and Expansion of General Hospital at Gangavathi, Koppal District
(Under KfW Project)
And
Subject No. 12
Renovation and Expansion of General Hospital at Lingasugur, Raichur District
(Under-KfW Project)
t
The Project Administrator informed that the total estimated cost in respect of these
two hospitals was more than Rs. 200 lakhs and it required the approval by the Project
Governing Board. The Steering Committee requested the Project Administrator to place these
two subjects before the next meeting of the Project Governing Board.
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Subject No. 13
Renovation and Expansion of General Hospital at Devadurga in Raichur District (under
KfW Project)
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 General Hospital at Devadurga in Raichur District.
The Project Steering Committee approved the recommendations of the Tender
Evaluation Committee for issue of Notification of Award in favour of Sri K.M.V.
Prasad Rao at a contract value of Rs. 1,72,46,941/- (which is 3.52% morb than the
departmental estimated rates with reference to 96-97 SR) which is at LI subject to
clearance from KfW and of obtaining additional security for Rs. 1,84,300/-.
5^
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Subject No. 14
Renovation and Expansion of General Hospital at Shahapur in Gulbarga District
(under KfW Project)
The Project Steering Committee approved the proceedings of the Tender Evaluation
Committee for civil works and also the recommendations of the Tender Sub-Committee for
rejection of all bids in respect of the work of Renovation and Expansion of General Hospital
at Shahapur in Gulbarga District and to go for re-bidding after obtaining clearance from KfW.
{
Subject No.15
ff
A ±
,
Renovation and Expansion of General Hospital at Yadgir in Gulbarga District (under
KfW Project)
The Project Steering Committee approved the proceedings of the Tender Evaluation
Committee for civil works and also the recommendations of the Tender Sub-Committee for
rejection of all bids in respect of the work of Renovation and Expansion of General Hospital
at Yadgir in Gulbarga District and to go for re-bidding after obtaining clearance from KIW.
Subject No. 16
Approval to the estimate for construction of equipment workshop building at Bidar
(under KfW Project)
The Steering Committee gave approval to the estimate for construction of equipment
workshop building at Bidar at an estimated cost of Rs. 12 lakhs. The Steering Committee
gave approval to take up the work under National Competitive Bidding.
Subject No. 17
Renovation and Expansion of Community Health Centre at Kalgi in Bijapur 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 Community Health Centre at Kalgi in Bijapur 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 at a contract value of Rs.
1,10,11,562/- (which is 13.29% more than the departmental estimated rates with reference to
96-97 SR) which is at L1 subject to obtaining additional security for Rs. 10,300/-.
Subject No. 18
Renovation and Expansion of Maternity and Child Health Care Hospital (Lady Gosban)
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 work of Renovation and
Expansion of Maternity and Child Health Care Hospital (Lady Goshan) 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
Sri U.B. Shetty at a contract value of Rs. 2,16,64,723/- (which is 4.23% less than the
departmental estimated rates with reference to 96-97 SR) which is at L1 subject to obtaining
additional security for Rs. 7,37,100/- and clearance from the World Bank.
Subject No. 19
Construction of central equipment workshop and office building in the premises of
central workshop building of H&FW Department at Magadi Road, Bangalore
The Steering Committee gave approval to the estimate for construction of central
equipment workshop building and office building in the premises of central workshop building
at H & FW Department on Magadi Road, Bangalore at an estimated cost of
i
Rs. 60 lakhs. The Steering Committee gave approval to take up the work under National
Competitive Bidding.
I
Subject No. 20
Renovation and Expansion ofCHC at Sirigere in Chitradurga District
The Project Administrator briefly explained the alternative proposals that were placed
before the Steering Committee. The Chief Engineer in-charge informed the Committee that on
earlier occasions in four cases, the World Bank gave clearance for construction of new
hospital buildings. He also informed the Committee that in this case, it would be better to
construct a new building instead of renovating as the difference in terms of the estimated costs
was not much. Considering that the old building was in very bad condition, the Steering
building for Community Health
Committee gave approval for construction of a new hospital
I
Centre at Sirigcre in Chitradurga District at an estimated cost of Rs. 125 lakhs subject to
clearance from the World Bank.
Sj
Subject No. 21
.
Estimate for Renovation of District Laboratory Building at District Hospital premises,
Chitradurga (Balance works)
The Project Administrator informed the Committee that the Subject No. 21 to 42 were
all similar proposals, in which approval of the Steering Committee was sought on E.I.R.L.
and Work Slips that were already issued by the Executive Engineers. He informed the
Committee that as against an initial provision of Rs. 120 Crores, the World Bank gave
approval for Rs. 269 Crores towards expenditure on civil works. In many cases, the
Executive Engineers while executing the works had issued the Work Slips and E.I.R.L. in
excess of 15% of the estimated cost. This should have been brought before the Steering
Committee at the appropriate time. However, the works had been executed by issuing
E.I.R.L. and work slips and payment was not made as there was no clearance from the
Steering Committee. He also informed that in many of these cases, supplemental
agreements had to be executed as the amount had exceeded 15% of the estimated amount
and that the supplemental agreements required clearance of the World Bank.
The Commissioner, H&FW observed that in some cases which were placed before
the Steering Committee, there was an increase of more that 100% and in such cases, it.
should have been brought before the Steering Committee at the appropriate time.
*
The Secretary (PMU), Finance Department observed that it was necessary to have
the details like the estimated cost, expenditure incurred so far, amount for which work slips
were issued, amount for which E.I.R.L. were issued, the balance amount that was required to
complete the works in order to have a clear assessment of the total amount required to
complete the works. The Project Administrator informed the Committee that at this stage, it
was not possible to estimate the total amount required as some more E.I.R.L. and work slips
might be issued by the Executive Engineers before completing the work. The Project
Administrator informed the Committee that he would place a Statement in respect of all these
works giving the details as suggested by the Secretary (PMU), Finance Department in the
next Steering Committee Meeting.
The Chairman requested the Project Administrator to issue a circular to ail the
implementing officers at the field level not to incur any additional expenditure without the
clearance of the appropriate authority. The Chairman also observed that while it was
possible that the Engineers in the field would have given work slips and E.I.R.L. in the
interest of the work, it was essential to bring before the Steering Committee immediately
such cases for approval.
I
The Chairman observed that generally the quality of work was good in all KHSDP
hospitals and to maintain the pace of work, it was necessary to give clearance to all the
additional proposals, which were placed before the Steering Committee from Subject No. 2
to 42.
After discussing as detailed above, the Steering Committee gave approval to the
revised estimate for renovation of District Laboratory Building at Distnct Hospital premises
Chitradurga at an estimated cost of Rs. 4.5 lakhs. The Steering Committee gave approval to
take up this work by Local Shopping Procedure in W5 format.
Subject No. 22
Approval to the estimate for re-construction of old hospital building at Badami in
Bagalkot District
The Steering Committee gave approval to the additional proposals to the work of re
construction of old hospital building at Badami in Bagalkot Distirct a an estimated cost of
.
47.5 lakhs. The Steering Committee authorised the Chief Engineer to approve E.I.R.L. a
work slips in respect of the works amounting to Rs. 30 lakhs. The Steering Committee gave
approval to take up the work of construction of the administrative block at an estimated cost
of Rs. 17.5 lakhs on Local Shopping Procedures.
Subject No. 23
Approval to the additional cost for the work of renovation and expansion of Taluk
Level Hospital at Yelandur in Mysore District (Due to change in designs of foundation
and reconstruction of old hospital building)
The Steering Committee gave approval to the excess quantity in the foundation and
, additional works in respect of Taluk Level Hospital at Yelandur in Mysore District. The
Steering Committee gave approval to the revised estimate of Rs. 195 lakhs and ratified the
action taken in continuing the work through the same agency as per the same terms and
&
conditions under intimation to the World Bank.
x
Subject No. 24
Construction of 30 bedded Hospital at Kalghatgi in Dhanvad District - (Balance work)
The Steering Committee gave approval to the additional works in respect of Paluk
Hospital, Kalghatgi in Dharwad District. The Steering Committee authorised the Chief
Engineer to approve work slips and E.I.R.L. amounting to Rs. 4.1 lakhs and Rs. 10.47 lakhs
respectively and to enter into supplementary agreement following the World Bank guidelines.
1
Subject No. 25
Renovation and Expansion of Taluk Level Hospital at Rancbciinur in Dharwad District Approval for additional cost
The Steering Committee gave approval to the additional works in respect of Taluk
Hospital, Ranebennur in Dhanvad District. The Steering Committee authorised the Cine
Engineer to approve work slips and E.LR.L. amounting to Rs. 15.03 lakhs and Rs. 9.45 lakhs
respectively and to enter into supplementary agreement following the World Bank gmdehnes.
Subject No. 26
Renovation and Expansion of Maternity and Child Health Care Hospital at Ranebennur
in Dhanvad District - Approval for additional cost
The Steering Committee gave approval to the additional works in respect of Maternity
and Child Health Care Hospital, Ranebennur in Dharwad District. The Steering Committee
authorised the Chief Engineer to approve work slips and E.LR.L. amounting to Rs. 22.58
lakhs and Rs. 8.4 lakhs respectively and to enter into supplementary agreement following the
World Bank guidelines.
Subject No. 27
Renovation and Expansion of Community Health Centre at Lakshmeshwar in Dhanvad
District — Approval for additional cost
The Steering Committee gave approval to the additional works in respect of
Community Health Centre, Lakshmeshwar in Dharwad District. The Steering Committee
authorised the Chief Engineer to approve work slips and E.LR.L. amounting to Rs. 12.49
lakhs and Rs. 3.26 lakhs respectively and to enter into supplementary agreement following the
World Bank guidelines.
Subject No. 28
Approval for additional works to TLH at Malavalli in Mandya District
. ....
. ,
The Steering-Committee gave approval to the additional works in respect of Taluk
Hospital, Malavalli in Mandya District. The Steering Committee authorised the Chief Engineer
to approve work slips and E.LR.L. amounting to Rs. 18.50 lakhs and Rs. 7 lakhs respective y
and to enter into supplementary agreement following the World Bank guidelines. The
Steering Committee gave approval to the additional work of providing glazed tiles, MS Grill to
the open court yard and-chain link fencing to the landscaping area at an estimated cost of
Rs. 4.76 lakhs and take up this additional works on Local Shopping Procedures in W5
format.
Subject No. 29
Providing Chain link fencing to landscaping area providing M.S.Gates and cattle
catches at "Taluk Level Hospital at Chamarajanagar in Mysore district"
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Chamarajanagar in Mysore District". The Steering Committee authorised the
Chief Engineer to approve work slips and E.I.R.L. amounting to Rs. 80.22 lakhs and Rs. 6.04
lakhs respectively and to enter into supplementary agreement following the World Bank
guidelines. The Steering Committee gave approval to the additional work of providing chain
i
link fencing, etc. to the landscaping area at an estimated cost of Rs. 4.5 lakhs and take up
this additional works on Local Shopping Procedures in W5 format.
Subject No. 30
Approval for additional works to TLH at Srirangapatna in Mandya
District
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Srirangapatna in Mandya District. The Steering Committee authorised the
Chief Engineer to approve work slips and E.I.R.L. amounting to Rs. 24.69 lakhs and Rs. 8.
lakhs respectively and to enter into supplementary agreement following the World Bank
guidelines. The Steering Committee gave approval to the additional work of asphalting of
roads and raising of the existing compound wall at an estimated cost of Rs. 3.95 lakhs and
take up this additional works on Local Shopping Procedures in W5 format.
Subject No. 31
Estimate for providing Main Panel Board and Emergency Panel
Board for arranging D.G. Supply for Sub-Division Hospital at
Pandavapura in Mandya District
The Steering Committee gave approval to the additional works in respect of Subdivisional Hospital, Pandavapura in Mandya District. The Steering Committee authorised the
Chief Engineer to approve work slips and E.I.R.L. amounting to Rs 5 akhs.and Rs. 5 lakhs
respectively and to enter into supplementary agreement following the World Bank guidelines.
The Steering Committee gave approval to the additional work of providing mam panel board
and emergency panel board to the D.G. Set at an estimated cost of Rs. 8.11 lakhs and take
.up this additional works on Local Shopping Procedures in W5 format.
Subject No. 32
.
Approval to the estimat for providing H.T.Po>ver supply to Taluk Level Hospital a
Chikkanayakanahalli in Tuinkur District
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Chikkanayakanahalli in Tumkur District. The Steering Committee authorised
the Chief Engineer to approve work slips and E.I.R.L. amounting to Rs. 16.56 lakhs and Rs.
17.12 lakhs respectively .and to enter into supplementary agreement following the World
Bank guidelines. The Steering Committee gave approval to the additional work of providing
HT Power Supply at an estimated cost of Rs. 13.7 lakhs and take up this additional works on
Local Shopping Procedures in W5 format.
Subject No. 33
Approval to the additional works of providing roads, drainage system and renovation to
electrical system of old hospital building at Taluk Level Hospital, Arkalgud in Hassan
District
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Arkalgud in Hassan District. The Steering Committee authorised the Chief
Engineer to approve E.I.R.L. amounting to Rs. 19.75 lakhs and to enter into supplementary
1
agreement following the World Bank guidelines. The Steering Committee gave approval to
the additional work of formation of approach road, construction of masonry drain and
renovation of electrical wiring in the old hospital building at an estimated cost of Rs. 10.56
lakhs and take up this additional works on Local Shopping Procedures in W5 format.
Subject No. 34
Approval to the additional works to Taluk Level Hospital at Alur in Hassan District
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Alur in Hassan District. The Steering Committee authorised the Chief
Engineer to approve work slips and E.I.R.L. amounting to Rs. 12.96 lakhs and Rs. 19.32
lakhs respectively and to enter into supplementary agreement following the World Bank
guidelines. The Steering Committee gave approval to the additional works of providing water
supply to the hospital and quarters and rewiring in the hospital building al an estimated cost
of Rs. 8.77 lakhs and take up this additional works on Local Shopping Procedures in W5
format.
Subject No. 35
Approval to the estimate for providing Borewell, U.G.Tank, over
head RCC water tank and shifting of Municipal water supply pipe
line in the hospital premises at TLH Thirthahalli in Shimoga District
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Thirthahalli in Shimoga District. The Steering Committee authorised the Chief
Engineer to approve work slips and E.I.R.L. amounting to Rs. 34.46 lakhs and Rs. 34.51
lakhs respectively and to enter into supplementary agreement following the World Bank
^guidelines. The Steering Committee gave approval to the additional work of providing
borewell with submersible pumpset, underground sump, construction of pump house,
installation of pumpset, construction of overhead tank and for diverting the existing municipal
water supply lines in the hospital premises at an estimated cost of Rs. 7.42 lakhs and take up
this additional works-on Local Shopping Procedures in W5 format.
Subject No. 36
a) Est/mate for providing A.C sheet roofing to Taluk Level Hospital at Robertsonpet,
KGF
b) Estimate for providing Borewell with submersible pumpset to Taluk Level Hospital
at Robertsonpet, KGF
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital, Robertsonpet in Kolar District. The Steering Committee authorised the Chief
Engineer to approve work slips and E.I.R.L. amounting to Rs. 13 lakhs and Rs. 11 lakhs
respectively and to enter into supplementary agreement following the World Bank guidelines.
The Steering Committee gave approval to the additional work of providing A.C. roof sheet
over the existing rafter and purloins and for providing borewell with submersible pump at an
estimated cost of Rs. 9.08 lakhs and take up this additional works on Local Shopping
Procedures in W5 format.
1
Subject No. 37
, ...
,
... M
Estimate for providing Borewell with submersible pumpset to Women and Children
Hospital at Robertsonpet, KGF
The Steering Committee gave approval to the additional works in respect of women &
Children Hospital, Robertsonpet in Kolar District. The Steering Committee authorised the
Chief Engineer to approve work slips and E.I.R.L. amounting to Rs. 15 5° lakhs and Rs
13.15 lakhs respectively and to enter into supplementary agreement following the World
Bank guidelines. The Steering Committee gave approval to the additional work of providing
borewell with submersible pump at an estimated cost of Rs. 1.60 lakhs and take up this
additional works on Local Shopping Procedures in W5 format.
Subject No. 38
.
■
,
Approval of additional works for Taluk Level Hospital at Gownbidunur in Kolar
©
District
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital at Gowribidanur in Kolar District. The Steering Committee authorised the
Chief Engineer to approve work slips and E.I.R.L. amounting to Rs. 8.50 lakhs and Rs. 16.25
lakhs respectively and to enter into supplementary agreement following the World Bank
guidelines. The Steering Committee gave approval to the additional work of providing
aluminium partitions to OPD and providing compound wall to staff quarters at an estimated
cost of Rs. 3.75 lakhs and take up this additional works on Local Shopping Procedures in W5
format.
Subject No. 39
Estimate for providing external sanitary system for the hospital including
improvements to existing masonry drain in front of the newly constructed residentia
quarters at D.H. Kolar
The Steering Committee gave approval to the additional works in respect of District
Hospital, Kolar. The Steering Committee authorised the Chief Engineer to approve work slips
and E.I.R.L. amounting to Rs. 30 lakhs and Rs. 30 lakhs respectively and to enter into
supplementary agreement following the World Bank guidelines. The Steering Committee,
gave approval to the-additional work of providing hume pipe to the sanitary line, brick
masonry manholes with RCC covers, raising the side wall and disturbed area of the existing
masonry drain and providing concrete slab over that at an estimated cost of Rs. 9 lakhs and
take up this additional works on Local Shopping Procedures in W5 format.
Subject No. 40
.
Estimate for providing aluminium sliding windows to Cauvery block at District
Hospital, Madikcri
The Steering Committee gave approval to the additional works in respect of District
Hospital, Madikeri. The Steering Committee authorised the Chief Engineer to approve work
slips and E.I.R.L. amounting to Rs. 75 lakhs totally and to enter into supplementary
agreement following the World Bank guidelines. The Steering Committee gave approval to
the additional work of providing RCC fins with steel windows and for providing aluminium
windows with glass shutters at an estimated cost of Rs. 6.75 lakhs and take up this additional
works on Local Shopping Procedures in W5 format.
i
Subject No. 41
.
Providing Chain link fencing to landscaping area providing M.S. stair, aluminium
partition and M.S.Gate at Taluk Level Hospital at H.D.Kote in Mysore district
The Steering Committee gave approval to the additional works in respect of Taluk
Level Hospital H.D. Kote in Mysore District. The Steering Committee authorised the Chief
Engineer to approve work slips and E.I.R.L. amounting to Rs. 25.33 lakhs and Rs. 23.86
lakhs respectively and to enter into supplementary agreement following the World Bank
guidelines. The Steering Committee gave approval to the additional work of providing chain
link fencing to landscaping area, aluminium partition in O.T. and M.S. Gate at the entrance of
the hospital at an estimated cost of Rs. 4.5 lakhs and take up this additional works on Local
Shopping Procedures in W5 format.
Subject No. 42
Providing connecting covered corridors to OPD, O.T. Ward and Kitchen Block for CMC
at Siddapura in Kodagu District
The Steering Committee gave approval to the additional works in respect of
Community Health Centre, Siddapur in Kodagu District. The Steering Committee authorised
the Chief Engineer to approve work slips and E.I.R.L. amounting to Rs. 25 lakhs totally and
to enter into supplementary agreement following the World Bank guidelines. The Steering
Committee gave approval to the additional work of construction of connecting corridors with
AC sheet covering at an estimated cost of Rs. 5.15 lakhs and take up this additional works
on Local Shopping Procedures in W5 format.
Subject No. 43
v Annual maintenance contract of solar water heating system
installed at KHSDP Hospitals
l
The Steering Committee gave approval to the proposal of entering into Annual
Maintenance Contract in respect of Solar Water heating system in KHSDP hospital for a
period of 3 years at 1 % p.a. on the total cost of the Solar water heating systems.
Subject No. 44
Permitting use of hospital premises by others
The subject was discussed briefly. The Chairman suggested dial as there were large
number of such requests, it would be better that a smaller group under the chairmanship of the
Principal Secretary, Health &. bamily Welfare would discuss the issue and come out with a
suitable policy matrix on the use ol hospital premises by others for ceitain facilities.
With the permission of the Chairman, the following additional subjects were
taken up for discussion and resolved
Additional Agenda No. 1
Estimate for Balance civil works and additional electrical works to Taluk Level
Hospital at Bagepalli in Kolar District
The Steering Committee gave approval to the balance civil works at an estimated
cost of Rs. 17.5 lakhs and for providing 100 KVA HT Sub-station at an estimated cost of Rs.
7.60 lakhs. The Steering Committee gave approval to take up these works on Local
Shopping procedures in W5 format.
Additional Agenda No. 2
Renovation and Expansion of Taluk Level Hospital at Shiggoan in Dharwad District Approval for additional cost
And
Additional Agenda A/o. 3
Approval for additional cost for the work of Renovation and Expansion of Taluk Level
Hospital at Shikaripura in Shimoga District
The subjects were deferred to be placed before the next Project Steering Committee.
Additional Agenda No. 4
Renovation and Expansion of Taluk Level Hospital at Hungund in Bagalkot District
(Ex-Bijapur 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 Hungund in Bagalkot 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 at a contract value of Rs.
1,42,44,814/- (which is 11.19% more than the departmental estimated rates with reference to
96-97 SR) which is at L1 subject to obtaining additional security for Rs. 21,000/- and
clearance from the World Bank.
©
Additional Agenda No. 5
Approval to the estimate for re-electrification and construction of compound wall tp
District Laboratory building at Shimoga District
The Steering Committee gave approval to the work of re-wiring to the existing
laboratory building and construction of compound wall at the rear side of the District
Laboratory building at an estimated cost of Rs. 1.1 lakhs The Steering Committee gave
approval to take up these works on Local Shopping procedures in W5 format.
Sd/Chairman
Steering Committee &
Principal Secretary to Government,
Health & Family Welfare
i
>
>.
No. HFW (PR) 6 WBA 2000
A Copy of the above proceedings forward to the following officers for taking further action.
(K.R. SRINIVAS)
Deputy 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-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).
The Additional Director, KHSDP (CMD)
The Additional Director, (KfW), KHSDP.
4.
5.
6.
7.
8.
9.
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
3. The Secretary to Government (PMU), Finance Department, Vidhana Soudha, Bangalore
4. Smt. M.V. Jayanthi, Joint Secretary to Government, Planning Department.
i
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
Progress Report No. 11
Annex 4
Updated Project Time Schedule
SANIPUXN / MEDICONSULT
i
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division. State of Karnataka
Progress Report No. 11
I
K*'
I
■.
'4'?-
Annex 5
Statement of Expenditure (KfW Sub
division Gulbarga)
W-
SANIPLAN / MEDICONSULT
I
STATEMENT SHOWING THE EXPENDITURE INt^RRED WORKWISE IN RESPECT OP WOR&A PERTAINING TO K.H.S.D.P (KfW), Sub-Di vision,
GULBARGA
Date: 01-07-2000
Force Account Works
i
SI.No
Name of Work
Agency
Estimate Amount In Lakhs
Expenditure
Incurred upto
April 2000 In
Lakhs
1
2
3
4
5
Remarks
6
1
Urgent Repairs to Electrical and Sanitary Systems at General Hospital at ALAND in
Gulbarga District.
(a)
For Electrification
Jagannath
Electrification, Gulbarga
2.37
(b)
For Sanitary Works
N.B Patil, Chittapur
0.30
Work is being rescinded as the contractor
has not yet started the work.
2
Urgent Repairs to Electrical and Sanitary Systems at Community Health Centre at
MADANA HIPPERGA in Gulbarga District.
(a)
For Electrification
N.B Patil, Chittapur
0.95
Work is completed, Payment is to be made
(b)
For Sanitary Works
N.B Patil, Chittapur
0,45
Work is completed, Payment is to be made
3
Urgent Repairs to Electrical Works and Sanitary Systems at Community Health Centre at
KALGI in Gulbarga District.
(a)
For Electrification
Jagannath
Electrification, Gulbarga
1.80
(b)
For Sanitary Works
N.B Patil, Chittapur
1.02
4
Improvements to existing work shop building behind General Hospital at Gulbarga Dist.,to
Office of the Adcitional Director and Engineering Wing of the KfW Project.
(a)
Rehabilitation & Security
Arrangement u$ vring)
___________________________
0.17
i
2.34 Work is completed.
1.80 Work Is completed.
Work is being rescinded as the contractor
has not yet started the work.
Agency is to be fixed
1-^
SI.No
Name of Work
Agency
1
2
3
(b)
(c)
(d)
(e)
(0
(9)
(h)
0)
Providing R.C.C Roofing to existing
A.C Sheet roofing for E.E Office & Chandrashekar
A.E.E Office________
Providing Anti-Rooms in front wing
Taranath Annur
(Attached to chamber)___________
Providing W.P.C to existing RCC
Anil Udgirker
Roof portion____________________
Repairs existing sewer line to
Additional Director Building at
Anil Udgirker
Gulbarga_______________________
Providing Compound Wall with
Anil Udgirker
Gates__________________________
Land Scaping and Arboriculation
Yousuf, Gulbarga
Approach Road to KfW Office
Srinath, Gulbarga
Alteration to three existing walls
into Vehicle Work shop service
Anil Udgirker
station (R/S wing)_______________
Estimate Amount In Lakhs
Expenditure
Incurred upto
April 2000 In
Lakhs
Remarks
4
5
6
2.93
2.80 Work completed. Final claims to be settled
3.21
1.48 Work under progress
1.00
0.90 Work completed. Final claims to be settled
0.85
0.92
3.40
3.38 Work is completed
0.70
0.46
0.18 Work under progress_____
1.36
0.73
5
Urgent repairs to workshop building at General Hospital at Gulbarga for converting into
KfW D. Office
(a)
Office formating to flooring
(b)
(c)
6
(a)
(b)
Sinking Borewell and
commissioning________________
Electrification including providing
ceiling fan etc.
(HJ
_________
-
Bhavahara Ganapathi,
Gulbarga____________
Saktivel Borewell
Company, Gulbarga
Basaveshwar Electrical
Works, Gulbarga
Work is completed, Final claims to be
settled (Above DSR)
(
0.10 Work Is completed
Work is completed, Final claims to be
settled
1.00
0.75 Work is completed
1.40
0.816
0.60
0.59 Work is completed
1.57
1.08 Work is completed.
2.58
2.37
Sinking of borewell is complete. And final
claims tobe settled
Urgent repairs to General Hospital at Gulbarga.
Urgent repairs to Electrical System
Mallikarjun . K
to Ward No, 51 & 52_________ •
Urgent Repairs to P.W.D Ward
l
No.1 - Ground Floor, First Floor,
Chandrashekar
Second Floor
Work is completed. Final claims to be
settled
V-*
—*3^?-----------------
Name of Work
SI.No
Agency
3
2____________ ____
1
■'
Estimate Amount In Lakhs
Expenditure
Incurred upto
April 2000 In
Lakhs
Remarks
4
5
6
Repairs to roof leakage over
special Ward
__
Chandrashekar
0.51
Work is completed. Payment is to be made
(c)
Fixing of Glasses to Windows
Chandrashekar
0.34
Work is completed. Payment is to be made
(d)
7
8
9
(b)
Urgent Repairs to Cist. Hospital, ■ Md. Amzad Ali
Bidar
________________ •
Construction of New Toilet Block to
Md. Amzad Ali
District Hospital (Ground floor) at
Bidar_______ ;______________ __
Urgent Repairs to Ward No.2 & 5 Toilet blocks in Gulbarga
3.00
17.50
2.94 Work is completed
- Work under progress
Work under progress
District Hospital
Part - 1
Part - 2
N.M Angadi
Irfan Ahmed
Total
5.30
5.70
60.47
23.18
-Sd/Riazulla Sharttf
Executive Engineer
Engineering Division (KfW)
Karnataka Secondary Level Hospital
Development Project
Gulbarga
I
I
STATEMENT SHOWING THE EXPENDITURE INCURRED WORKWISE IN RESPECT OF WORKS PERTAINING TO K.H.S.D.P
(KfW)) Sub-Diuision, GULBARGA
Tender Works
Date: 01-07-2000
SI.No
Name of Work
Agency
Estimate
Amount in
Lakhs
1
2
3
4
Remarks '
6
6
75.50
Excavation for footings Is under progress, materials
have been collected M/s Tor Steel Quality Audit
3.50
Agency have taken the materials fortesting which
have been rejected, work has been stopped
D.J Prakashrao, Vijaya
Wada
125.00
6.78 Work Is to be commenced
D.J Prakashrao, Vijaya
Wada
117.00.
6.34 Work is commenced on 12-05-2000
Total
317.50
1
Renovation and Expansion of Community Kotarkl Shankar,
of Helath Centre, at Mannekahalll In Bidar P.W.D Contractor,
Bidar
District
2
Renovation and Expansion of General
Hospital, at Humnabad in Bidar District
3
Renovation and Expansion of General
Hospital, at Aurad in Bidar District
i
Expenditure
Incurred upto
April 2000 in
Lakhs
16.62
-Sd/RJazulla Shariff
Executive Engineer
Engineering Division (KfW)
Karnataka Secondary Level Hospital
Development Project
Gulbarga
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
i
Progress Report No. 11
i; -
a;
2
Annex 6
■
Statement of Expenditure (KfW Sub
division Bellary)
>
SANIPLAN / MEDICONSULT
i
€
Statement showing expenditure on
”0,k5
e':
lm‘ "co“n'oMs“rBX:^t3VX.».r'c“o" °r
™
Date 01-07-2000
Estimated Cost
SI.No
Name of Wort
Rs. In Laths
Work
portion
BlH Amount
Name of Contractor
Agr. No. & Date
Remarks
Rs, In Lakhs
____________ FORCE ACC0UNT
_1_
2
Providing MS Gate to GH at Lingasugur
Providing Electrification to CHC at C.J Halli______
1.550
2.200
2.199
_____ Sri Anjan Babu_____
Satya Eiedricala, Bangalore
11-May-1999
4-Jun-1999
1.40
2.18
3
Work completed & handed over to the Hospital
Work completed & handed over to the Hoepital
Providing one twin type vehicle shed at DH Bellary
1.860
1.850
Sri. Gopal Krishna, Bellary
20-Sep-1999
1.74
Work completed & handed over to the Hospital
4
1.750
1.745
Maliikaquna Reddy, Bellary
20- Sep-1999
1.72
Work completed & handed cr/er to the Hospital
2.120
2.100
V. L. Madhu, Bellary
20-Sep-1999
2.07
Work completed & handed over Io the Hospital
7.250
9
Providing Electrification to District Lab, Bellary
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 Halli
1.750
3.300
7.240
0.894
1.730
3.270
2O-Sep-1999~
14-Feb-2OOO
14-Fet>2000
14-Feb-2OOO
6,90
0.60
0.199
0.20
10
Providing pump motor to GH Hospei
0.500
0.400
Mallikarjuna Reddy, Bellary
Sri. Gopal Krishna, Bellary
Sri. Gopal Krishna, Bellary
_____ Giriraj, Bellary______
Mallikarjuna Reddy, Bellary
(Vinayaka Electricals)
Work completed & handed over to the Hospital
Work completed & handed over to the Hosprtal
_______ Bore well failed and work finalised
_______ Bore well failed and work finalised_____
Work completed & handed over to the Hospital, BUI
_____ _________ to be aubmrtted
94.000
79.740
3.787
Sfi. Venugopal, Bellary
Mobilisation advance
16-Feb-2000
17.797
First Running Sill
5
_6
7
0.900
1.479
TENDERWORK
11
Renovation and expansion of TLH at Sandoor,
Bellary Dial.
-Sd/Velumanl
Assistant Executive Engineer
Sub- Dtvisloh (KfW)
Bellary
Karnataka Secondary Level Hospital
Development Project
I
Upgrading Secondary Level Health Care Facilities
in the Gulbarga Division, State of Karnataka
W/
Progress Report No. 11
ir>.
Annex 7
3'
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REQUIREMENTS OF FUNDS
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Upgrading Secondary Level Health Care Facilities
jn the Gulbarga Division. State of Karnataka
Progress Report No, 11
!,
i '
Annex 8
Statement showing the expenditure
for local Consultants and
Architects
SANIPLAN / MEDICONSULT
w
STATEMEHT SWAVING
USTOF.flRCHITPCTURE PA YM^NT UNDER DISPOSITION FUND
Date : 12-07-2000
SI.No
Name of Agency
Date
Purpose of Payment
Amount
1
Akruthl Architecture ■
consultants, Gulbarga
15-Mar-1999
Architecture payment of Community Helath Centre at Katgi and Jewargi
2
Arch Plan. Bangalore
15-Mar-1999
Architecture fee of General Hospital at Humnabad & Kushlagi
109.086.00
3
Design Cell, Bangalore
15-Mar-1999
Architecture fee of General Hospital at Gangawalhi, Devadurga and Koppal
199,359.00
58.154.00
i
4
D.Tech. Bangalore
15-Mar-1999
Architecture fee of General Hospital at Aurad & Basavakalyan and CHC at Mannekahalli
148,836.00
5
Engineering Consulting
Services, Raichur
15-Mar-1999
Architect fees of General Hospital at Sindhanoor
73.186.00
6
Grihavinyas, Bangalore
15-Mar-1999
Architect fees of CHC Madana Hipperga. Shahbad and General Hospital at Lingasugur
230,738.00
i
7
KumarS Swamy,
Bangalore
15-Mar-1999
Architect fees of CHC Chikjogihalli. Kudligi and TLH at Hospet
113,960.00
8
Mahagaonkar Associates,
Gulbarga
15-Mar-1999
Architect fees of General Hospital at Shahpur & Yadgir
77,575.00
9
M/s Manasaram, Bangalore
15-Mar-1999
Architect fees of General Hospital at Chincholi
81,474.00
10
Potnis Consultants,
Bangalore
15-Mar-1999
Architect fees of TLH at Sirguppa, Hadagali and Sandoor
122,952.00
11
vVs Manasaram, Bangalore
14-Jan-2000
Architectdre bill to Chincholi Hospital & bill documents
242,955.00
v»
4
SI.No
Name of Agency
Date
12
D.Tech, Bangalore
14-Jan-2000
13
Arch Plan, Bangalore
14-Jan-2000
14
Potnis Consultants,
Bangalore
14-Jan-2000
15
Grihavinyas, Bangalore
18-Feb-2000
16
Mahagaonkar Associates,
Gulbarga
02-Jun-2000
17
Akruthl Architecture
consultants, Gulbarga
14-Jun-2000
Amount
Purpose of Payment
Architect fee i CHC Mannekahalli, Bidar, Basavakalyan - bld documenta
529,919.00
Architect fee GH Humnabad In Bidar Dial. & bid document & GH KushtagI
433,760.00
170,731.00
Architect fee & GH Sandoor & Bld document
246,667.00
Renovation and Expansion of CHC at Shahbad & Madana Hlpperga
370,653.00
Renovation and Expansion of GH Shahpur & Yadgir
355,758.00
Renovation and Expansion of GH Jewargl and CHC Kalgl
3,565,763.00
Total
i
’
-SdZ-
Additional Director
Karnataka Secondary Level Hospital
Development Project, Gulbarga
• I
- Media
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