National Project Implementation Plan - NVBDCP

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Topic Type of risk Mitigating Action Agency Timeline receiving any complaint/feedback availability and quality of essential supplies under the project from village level functionaries and end beneficiaries. Reviewing the current protocols for complaints handling and record keeping in NVBDCP and finalize action plan for further improvement, if needed. Updating the complaint database on a monthly basis. Reporting the status of investigation of complaints and measures taken in quarterly progress reports to MOHFW MOHFW /NVBDC P MOHFW /NVBDC P MOHFW /NVBDC P By December 2008 Continuou s Continuou s 13.3 New Areas Specific to NVBDCP GAAP In addition to risk previously identified and being addressed as part of the World Bank -GoI Joint Action Plans, there are several new areas specific to NVBDCP where agreements have been reached to strengthen governance and accountability. These are: decentralized project inputs to be financed by World Bank, some additional issues related to procurement and quality of goods and supplies, and strengthened monitoring and evaluation processes. Regarding decentralized expenditures, World Bank has agreed to finance state level and below state level contractual staff, their mobility, and training costs. As detailed in Chapter 11, these will be financed based on normative unit costs for these inputs at state and district level. World Bank disbursements will not be based on detailed audited accounts from sub-national units, as it has been found that it is not feasible to maintain separate records for World Bank funding and get them audited. For these expenditures, some risk of improper 144
use, fraud, corruption may still remain. To mitigate this risk, World Bank and GoI have agreed on an intensified effort of field level input and output monitoring for a sample of project districts on a semi-annual basis, coupled with a review of project implementation after 18-21 months and possible redesign of the local activities. These arrangements apply largely to component 3 of the project where such expenditures account for a little more than 50% of the proposed project costs. States will sign MOU’s with the NVBDCP to receive project support. These indicate that states accept the project terms and conditions including those of this GAAP. NVBDCP may pose some additional specific risks in relation to procurement of pharmaceuticals and goods, such as insecticides and LLINs. Additional measures in the context of the agreed Joint Action Plans will be put in place to address these specific risks. Some additional mitigation measures are also agreed in relation to strengthening M&E (Chapter 9). Table 2 below places these new actions for GAAP. Table 2: Governance and Accountability Action Plan (GAAP) Matrix Topic Type of risk Mitigating Action Agency Timeline Financial manageme nt processes for national programs are weak. Financial Manageme nt System and internal controls inadequate to mitigate Late and incomplete financial reports Inadequate financial management which cannot be used to monitor implementation progress. New Financial Management unit created under NRHM. New Financial management manual being completed and rolled out. World Bank Bank will only reimburse contractual staff, mobility, and training costs at state and district level. Reimbursement will be based on normative cost estimates for state and districts as units of MOHFW/ NVBDCP NVBDCP for HMIS and contracting with external review agency and survey agencies. New manual ready by Oct. 1, 2008. Additional reviews will be done covering 6 of the first 18 districts (year 1)16 of the 80 districts in phase 2 145
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Project Credit No.: 4461-IN Project
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TABLE OF CONTENTS Abbreviations and
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CHAPTERS Page. No. 13. Governance a
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Abbreviations and Acronyms ABER ACD
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Chapter 1 Situational analysis Intr
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The following matrix summarizes the
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The Enhanced Malaria Control Projec
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Inadequate attention to mosquitogen
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Current Malaria Treatment Policy in
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chloroquine in P. falciparum cases
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the in depth review in 2006, the co
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incentives to assist kala-azar pati
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provision of general health service
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f. The project will introduce a sen
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Where microscopy result is not avai
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e. Supporting interventions for Kal
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The following table summarizes the
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e available within 24 hours. In oth
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4. Behavior Change Communication A
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and also support the implementation
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Chapter 5 Malaria Control 5.1 Proje
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Result Indicator Activity Severe ca
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contact key informants in the villa
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coverage and its quality. Other tha
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5.2 Other Issues 5.2.1 Therapeutic
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Chapter 6 Elimination of Kala-azar
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Table - 1 Activity schedule for the
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partner with the private and NGO se
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strategy will help economize insect
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esearch proposed for kala-azar will
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implementation of good pesticide ma
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Activity (include s malaria and kal
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Activity Sub Activity Tools Interna
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Environmental studies and impact of
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7.1.1.4.2 Assess drug quality This
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1. as staff responsible for providi
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S. No. Supportive Staff Designation
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The key malaria control and kala-az
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Project Districts for malaria contr
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and appraisal. Additional technical
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Sl. No. 1 2 3 4 5 6 7 8 9 10 11 Act
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Sl. No. 23 24 25 26 27 28 29 Activi
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Cost Summary of Training Training C
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area, and a strengthened supply cha
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Chapter 9 MONITORING AND EVALUATION
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year, covering all endemic district
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treat malaria correctly. Modules fo
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insecticides in use in 200 sites, w
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Purpose Level Person Frequency Comm
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Monitoring and Evaluation will incl
Page 101 and 102: finger-prick blood sample taken by
Page 103 and 104: A Total mid-year population B Total
Page 105 and 106: 2a. Elimination of kala-azar a.i. P
Page 107 and 108: Arrangements for Outcome and Result
Page 109 and 110: Component Three: Policy and Strateg
Page 111 and 112: Project Steering Committee: A steer
Page 113 and 114: service delivery in public and priv
Page 115 and 116: 2 Additional Staff in District VBD
Page 117 and 118: The quality of Diagnostic Kits on t
Page 119 and 120: Percentage of individuals in projec
Page 121 and 122: 11.2 Financial Management at the Ce
Page 123 and 124: separate financial management cell
Page 125 and 126: World Bank will review of the annua
Page 127 and 128: In parallel and in support of enhan
Page 129 and 130: Risk Residual Risk Rating Risk Miti
Page 131 and 132: Chapter 12 Procurement Arrangements
Page 133 and 134: agencies for taking up inspections
Page 135 and 136: contractor/supplier. However, the v
Page 137 and 138: 12.3.4 Procurement Methods The tabl
Page 139 and 140: (commercial or UN agency acting as
Page 141 and 142: procurement agent) which are not pr
Page 143 and 144: B) Consultancy Services (>US$200,00
Page 145 and 146: 4. Contract Awards for Consultancie
Page 147 and 148: monitoring of procurement undertake
Page 149 and 150: Topic Type of risk Mitigating Actio
Page 151: Topic Type of risk Mitigating Actio
Page 155 and 156: Topic Type of risk Mitigating Actio
Page 157 and 158: Chapter 14 Economic and Financial A
Page 159 and 160: diagnosis and treatment, causing su
Page 161 and 162: Table 1: Estimated Costs of Current
Page 163 and 164: Table 3: Estimated Incremental Cost
Page 165 and 166: Chapter 15 Safeguard Policy Issues
Page 167 and 168: State/Uni on Territory Number of Pr
Page 169 and 170: 15.3.1 Surveillance, Case Diagnosis
Page 171 and 172: eluctant to allow their homes to be
Page 173 and 174: equipment, optimal coverage and qua
Page 175 and 176: Social Devpt. and BCC Consultants a
Page 177 and 178: Action to be Taken supportive drugs
Page 179 and 180: Action to be Taken Distributing LLI
Page 181 and 182: Action to be Taken At what Level 17
Page 183 and 184: National Level: As the Borrower is
Page 185 and 186: vulnerable groups. estimates. Table
Page 187 and 188: Routine Program Monitoring: At the
Page 189 and 190: 15.11.4 Application activities: Saf
Page 191 and 192: For effective implementation of the
Page 193 and 194: Action Responsibility By When Cost
Page 195 and 196: procured under the project; (6) bi-
Page 197 and 198: of each identified district to succ
Page 199 and 200: Annexure 1 MALARIA CASES & DEATHS S
Page 201 and 202: Annexure 2 KALA-AZAR CASES & DEATHS
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National Project Implementation Plan - NVBDCP

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