National Project Implementation Plan - NVBDCP

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districts to prepare the decentralized plans targeting on vulnerable populations. They will be utilized during the project period. 16.3 Implementation Plan World Bank besides their Task team for technical guidance to NVBDCP for the project will also provide Consultants who will help Task team. These Consultants shall be hired by World Bank and be posted at Bank’s Office. In addition to constant technical expertise, these experts will be supporting the task team in reviewing the technical specifications of commodities procured under the project and providing technical comments on procurement complaints. Implementation readiness filters for project districts have been discussed in detail during the pre-appraisal and agreed upon. While the post reviews will be covering 100% of the central contracts, the decentralized activities (limited to contractual staff, training and mobility) will have semiannual third party reviews carried out by external agencies hired by the World Bank during the first two years. These reviews will cover a sample of the project districts to monitor the availability of staff, their performance and stock situation of crucial supplies (diagnostic kits, ACT and miltefosine) made under the project. This sample will include more than 50% of districts in year one, 20% in year two, and 15 % in year three and five assuming that performance is satisfactory. The sampling can be revised incase of poor performance. The report of the third party reviews will form the basis for district and state visits by the NVBDCP state coordinators and the World Bank supervision teams for enhanced implementation support during the next quarter. The NVBDCP will share the guidelines for selection of contractual staff and the names of the selected candidate with World Bank and this will be disclosed at the web site of the district health mission if such arrangements have been made by the districts. Where possible, the senior staff from MOH, NVBDCP will also be participating in the selection of the contractual staff in states with. 16.5 Implementation Support during the First Year of the Project The focus of implementation support in the first year would be on working closely with the World Bank and project states to put in place implementation arrangements and institutions for the activities agreed under the GAAP for the VBD project. The ongoing monitoring of the joint action plan by the sector to address deficiencies identified by the DIR will also help the VBD project. The agreed district readiness filter will be applied and the number of districts included under the project during the first year will be determined on the ability 188
of each identified district to successfully fulfill these criteria. In addition to the national launch workshop, state-specific launch workshops and district level sensitization meetings will be undertaken to make the staff familiar with the agreed fiduciary arrangements and reporting requirements. One specific area of focus in the year I will be following-up on actions being undertaken by MOHFW to register more LLIN manufacturers in country and improving the supply chain logistics through hiring state level agencies. The protocols for LQAS will also be finalized and piloted during the first year. During the first year, the task team will have monthly meetings with the NVBDCP Directorate and the MOHFW focusing on these issues with a view to addressing these before they arise or become acute. 16.5 Annual plans Two full-team joint implementation support missions are proposed every year in which World Bank, WHO and GFATM and other experts will be invited to participate. The missions in addition to technical specialists and M &E expert will include the procurement, financial management, social development and environment specialists. The missions will have clear Terms of Reference. In addition three joint external reviews are proposed and NVBDCP will seek WHO support for this. The project will support annual Lot Quality Assurance Surveys (LQAS) to validate the programme reports on performance. The protocol for such surveys is described in the M&E chapter and LQAS will form the basis for annual joint project appraisal. Active engagement and participation of other development partners especially DFID and USAID currently supporting health systems strengthening initiatives in some of the malaria/kala-azar endemic project states such as Orissa, Jharkhand and Madhya Pradesh would be ensured to provide additional technical support and implementation oversight. An early implementation review will be carried out after two years of implementation, i.e., 2009 or 2010 with technical support from WHO to assess the project implementation in phase I districts. Project scale up to the remaining districts would be subject to satisfactory implementation. Planned supervision activities, schedules and expected outputs are in the Table below. The project will become effective by August 2008 and implementation will begin from September 1, 2008. It provides an overview of supervision activities, schedules and outputs: 189
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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
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finger-prick blood sample taken by
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A Total mid-year population B Total
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2a. Elimination of kala-azar a.i. P
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Arrangements for Outcome and Result
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Component Three: Policy and Strateg
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Project Steering Committee: A steer
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service delivery in public and priv
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2 Additional Staff in District VBD
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The quality of Diagnostic Kits on t
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Percentage of individuals in projec
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11.2 Financial Management at the Ce
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separate financial management cell
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World Bank will review of the annua
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In parallel and in support of enhan
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Risk Residual Risk Rating Risk Miti
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Chapter 12 Procurement Arrangements
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agencies for taking up inspections
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contractor/supplier. However, the v
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12.3.4 Procurement Methods The tabl
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(commercial or UN agency acting as
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procurement agent) which are not pr
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B) Consultancy Services (>US$200,00
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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: procured under the project; (6) bi-
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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