Procurement Plan For Review Nutrition Service Assist Training In Nutrition Counselling For Phc Staff

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Procurement Plan For Review Nutrition Service Assist Training In Nutrition Counselling For Phc Staff Project Administration Manual Purpose And Process 1 The Project Administration Manual Pam Describes The Essential Administrative And Management Requirements To Implement The Project On Time Within Budget And In Accordance With The Policies And Procedures Of The Government Of Sri Lanka And The Asian Development Bank Adb The Pam Should Include References To All Available Templates And Instructions Either Through Linkages To Relevant Urls Or Directly Incorporated In The Pam The Ministry Of Health Nutrition And Indigenous Medicine Mohnim As Executing Agency And Four Provincial Councils Of Central North Central Sabaragamuwa And Uva Provinces As Implementing Agencies Are Wholly Responsible For The Implementation Of Adb Financed Projects As Agreed Jointly Between The Borrower And Adb And In Accordance With The Policies And Procedures Of The Government And Adb Adb Staff Is Responsible For Supporting Implementation Including Compliance By Mohnim And Provincial Councils Of The Four Provinces Central North Central Sabaragamuwa And Uva Provinces Of Their Obligations And Responsibilities For Project Implementation In Accordance With AdbS Policies And Procedures 2 At Loan Negotiations The Borrower And Adb Shall Agree To The Pam And Ensure Consistency With The Loan And Grant Agreements Such Agreement Shall Be Reflected In The Minutes Of The Loan Negotiations In The Event Of Any Discrepancy Or Contradiction Between The Pam And The Loan And Grant Agreements The Provisions Of The Loan And Grant Agreements Shall Prevail 3 After Adb Board Approval Of The Projects Report And Recommendations Of The President Rrp Changes In Implementation Arrangements Are Subject To Agreement And Approval Pursuant To Relevant Government And Adb Administrative Procedures Including The Project Administration Instructions And Upon Such Approval They Will Be Subsequently Incorporated In The Pam I Project Description 1 The Health System Enhancement Project Hsep Will Be The First Adb Financed Health Operation In Sri Lanka After A Gap Of 20 Years This Reentry Project Will Be For 60 Million Comprising 37 5 Million In Concessionary Loan And 12 5 Million Grant And 10 Million Equivalent From The Government Of Sri Lanka In Counterpart Funds It Will Be Delivered Through A Project Investment Modality And Is Expected To Be Effective From 1 December 2018 And Will Complete On 30 November 2023 2 The Proposed Project Will Improve Efficiency Equity And Responsiveness Of The Primary Health Care Phc System Based On The Concept Of Providing Universal Access And Continuum Of Care To Quality Essential Health Services 3 The Project Pursues An Equity Perspective In Planning And Delivering Of Essential Primary Health Services It Expects To Further Inform And Operationalize Government Phc Reform Initiatives To Reduce Bypassing Of Phc Facilities By Providing More Comprehensive Services Including For Ncds Develop A Referral System And Functionally Integrating Preventive And Curative Services Furthermore The Project Will Target Underserved Communities Access To Phc And Address Selected Gaps In Core Public Health Surveillance In Line With The International Health Regulations Ihr 4 The Project Is Targeting All Nine Districts In Four Provinces Of Central North Central Sabaragamuwa And Uva With A Special Focus On The Geographically Socially And Economicallydeprived Populations The Beneficiary Population Of The Project Is Approximately 7 Million Which Is 33 Of The Sri Lanka Population 21 Million While The Target Population Within The Four Provinces Is Estimated To Be Approximately 2 4 Million 5 Impact And Outcome The Expected Project Impact Is To Contribute To The Government Development Objective1 Of Ensuring A Healthier Nation With A More Comprehensive Phc System The Project Outcome Is To Improve Efficiency Equity And Responsiveness Of The Phc System 6 Key Indicators For Monitoring The Project Outcomes Are Assessed By Observing A I 20 Increase In Outpatient Utilization At Phc Ii 20 Increase In Patient Satisfaction Knowledge And Attitudes On Utilization Iii 90 Of Notified Notifiable Diseases Investigated Within The Stipulated Time In The Medical Officer Of Health Areas In The Target Provinces And Iv Cluster System Reform Implemented And Evaluated In All Nine Clusters 7 Outputs The Project Outputs Are I Phc Enhanced In Central North Central Sabaragamuwa And Uva Provinces Ii Health Information System And Disease Surveillance Capacity Strengthened And Iii Policy Development Capacity Building And Project Management Supported

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