| Sl. No | Recommendations | Proposed Action | Present Status | Comments |
|---|---|---|---|---|
| 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 to constitute a quality assurance team (QAT) led by Deputy Director, Technical to implement the recommendation with the support of M&TS;and PPME firm | 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. | PMU. |
| 1.2 | Re-allocate budget for BCCM to enable completion of training for outreach services. | PMU to review the budget and recommend reallocations | 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. | . |
| 1.3 | Strengthen the BCC strategy with respect to content focus, modalities, and responsiveness to project intervention needs. | PMU to review BCC strategy and to undertake corrective actions. PMU will be in touch with the international partners of the consultant firms to tap into their international experiences | Will be completed within 15 days. | BCCM. |
| 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) | PMU to review the recommendations and recommend steps to PPME and PIUs. MIS systems to accommodate the changes. | PPME & MS&T Firm will review the recommendation and suggest PMU about Modus op-re-andi. | PPME/MS&T. |
| 1.5 | Introduce standard record-keeping system. | PMU to instruct and review the progress by M&TS;firm Prepare draft protocols by M&TS;firm: End April 2009; Finalize protocols: May 2009; Introduce the protocols: 1 July 2009 | (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 | MS&T firm. |
| 1.6 | Introduce standardized and routine medical audits. | QAT to develop and conduct routine medical audits. | Draft of “Quality Assurance Manual” will be completed within 30 November, 2009 Training program will start from 01 February, 2010. | MS&T. |
| 2.1 | Develop construction contract procedures manual to guide management of construction contracts, clearly identifying procedures and roles and responsibilities. | ADB Mission to provide broad guidelines on second generation imprest accounts for the management of construction works Construction supervision firm develops draft contract procedures manual Finalize the manual Training of PIU, PMU and DSESC representatives. | Draft Manual will be finalized within 15 November,2009 | DSESC, |
| 2.2 | Implementation of preventive maintenance guidelines | Training of PIU, PMU and maintenance firm representatives | Complied | |
| 2.4 | Assess merits of awarding multi-unit construction contracts in future tenders | PMU with the help of M&TS;and construction supervision firm review the merits of awarding multi-unit construction contracts in future tenders Second round construction contracts to adopt the recommendations of the findings | Complied Second round construction will depend on approval of RDPP. | |
| 3.1 | Strengthen coordination amongst consultancy firms (Read with 3.7 to 3.9 below) | A room for the consultant firms will be dedicated in the PMU. Either team leader or deputy team leader of each of the consultant firms will attend PMU three days in a week—Sunday, Monday and Wednesday PMU with representatives, among others, from the consultant firms, will meet once every month | Seating arrangement had been done. Consultants attend frequently in meetings, but not as recommended. Record is being keeping in this regard. Is being complied. | MS&T/BCCM/DSESC/PPME PMU |
| 3.2 | Review consultancy firm work plans to ensure that they comply with delivery of their terms of reference | PMU to review the consultancy firm achievements and future work plans vis-à-vis their terms of reference Prepare a time bound revised work plan for the consultancy firms to fully achieve their respective TORs Revised work plans to be executed by respective consultancy firms | 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. | MS&T Firm |
| 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 | To be completed by the M&TS;firm | MS&T Firm will submit a detail work plan to PMU with time schedule. | MS&T Firm |
| 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 | PMU and M&TS;firm to review and revise the in-country and out-of-country training programs Revised training programs to be undertaken | 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. | MS&T Firm |
| 3.5 | Establish technical working groups in key technical areas | The following technical working groups (TWGs) to be constituted with members from experts in Bangladesh, PMU, PIUs, PA NGOs, consultancy firms, concerned ministries. TWGs to meet bimonthly. - Operational research - Clinical quality assurance - Management information systems - Financial management and audit - Good governance, anticorruption,citizen oversight - Adolescent health | Complied. | |
| 3.6 | Linkages with regional and international urban health initiatives need to be facilitated and supported | M&TS;firm to prepare strategy to link the key stakeholders of the Project with regional and international urban health initiatives Provision for participation in the annual urban health forum starting from November 2009 in Kenya to be facilitated UPHCP-2 website to provide linkages to global best practices website International urban primary health care forum proposed in 2011 Strengthen relationship with WHO’s healthy cities initiative. Link with WHO institute in Kobe. | 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. | MS&T Firm MS&T Firm MIS&DM;officer |