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| Sl. No |
Recommendations |
Proposed Action |
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| 1.1 |
Conduct immediate situation analysis on provision of full ESP+ package at all clinics. Identify reasons for non-provision of services and implement solutions. |
PMU will arrange meeting/s within 15 days to review the progress on QAT reports.
MS&T firm & PPME firm will also present in the meeting.
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| 1.2 |
Re-allocate budget for BCCM to enable completion of training for outreach services. |
For resource constraint, BCCM did not arrange training for the Outreach workers. However, same training for the Outreach Workers is being conducted by the MS&T firm with the technical support of BCCM. |
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| 1.3 |
Strengthen the BCC strategy with respect to content focus, modalities, and responsiveness to project intervention needs. |
Will be completed within 15 days. |
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| 1.4 |
Service provision should be monitored according to AAAQ [available, accessible, acceptable, quality] criteria (see Annex 3 of Independent MTR report for detailed actions) |
PPME & MS&T Firm will review the recommendation and suggest PMU about Modus op-re-andi. |
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| 1.5 |
Introduce standard record-keeping system. |
(a) MS&T firm will discus with PPME firm about the future use of proposed formats, data and related issues.
(b) Piloting will be completed within 31 December
(c) Workshop will be held within 15 January, 2010
(d) New Standard Record Keeping will be introduced from March, 2010
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| 1.6 |
Introduce standardized and routine medical audits. |
Draft of “Quality Assurance Manual” will be completed within 30 November, 2009
Training program will start from 01 February, 2010.
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| 2.1 |
Develop construction contract procedures manual to guide management of construction contracts, clearly identifying procedures and roles and responsibilities. |
Draft Manual will be finalized within 15 November,2009 |
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| 2.2 |
Implementation of preventive maintenance guidelines |
Complied |
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| 2.4 |
Assess merits of awarding multi-unit construction contracts in future tenders |
Complied
Second round construction will depend on approval of RDPP.
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| 3.1 |
Strengthen coordination amongst consultancy firms (Read with 3.7 to 3.9 below) |
Seating arrangement had been done. Consultants attend frequently in meetings, but not as recommended. Record is being keeping in this regard.
Is being complied.
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| 3.2 |
Review consultancy firm work plans to ensure that they comply with delivery of their terms of reference |
A review meeting will be held within November.
MS&T firm submitted a revised work plan to PMU.
MS&T Firm will coordinate all work plans for all consulting firms within November, 2009.
Is being complied.
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| 3.3 |
A capacity assessment needs to be undertaken to inform the work plan for the management support technical assistance, this can include a proper training needs assessment |
MS&T Firm will submit a detail work plan to PMU with time schedule. |
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| 3.4 |
Both the in-country and out of country training plans need to be revised. Out of country training should bring opportunities for exposure to new approaches to urbanization and health |
Revised in-country training plan is completed. MS&T Firm will prepare an issue based foreign training program and submit to PMU within 30 November. |
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| 3.5 |
Establish technical working groups in key technical areas |
Complied. |
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| 3.6 |
Linkages with regional and international urban health initiatives need to be facilitated and supported |
MS&T Firm will propose to hold a workshop in December, 2009 for all actors involves in Urban Health activities in Bangladesh.
Complied.
Step has been taken with help of MS&T firm and will be completed within February, 2010
Step has been taken.
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