INFORMATION FOR ORGANISATIONS APPLYING FOR MANAGEMENT OF PHC (N) UNDER PPP

Public Private Partnership (PPP) in the Health Sector of Odisha has been used as an appropriate strategy following its successful take-off in both rural and urban areas. It has widened the scope for meaningful collaboration of the key players engaged in healthcare and service delivery including in the Government run Health System. This has also triggered innovative local initiatives through resource leverage and active involvement of primary stakeholders. Health care service delivery in remote & inaccessible area remains a challenge due to shortage of health service providers and inadequate health infrastructure. NRHM has taken concerted efforts to involve non state entities to manage PHC (N) in such remote areas. The basic transaction here is turning over the management and operation of some of the identified Primary Health Centres through NGOs/Trust/Corporate Sectors under Public Private Partnership. 1. Strategy: The Govt. hands over the physical infrastructures, equipments but gives freedom to the selected Agency to recruit personnel as per Govt. norms for management. 2. Scope of work in PHC(N) management: a) 24 hours Emergency/Casualty Services. b) OPD service for six days per week as per the timings specified by the Helath & FW Department, Odisha. c) 5 to 10 bed inpatient facility, if any d) 24 hrs Labour Room and Essential Obstetrics facility. e) Minor operation theatre facility. f) Referral transport facility for institutional delivery, FP sterilization, critical cases etc. by hiring a vehicle on monthly basis in the form of Janani Express cum- Ambulance. g) Make available essential medicines as per State Government drug policy. The Agency would be encouraged to keep in stock such additional medicines as are found necessary after assessing the field situation. h) Participate in and implementation of National Programs of Health & Family Welfare including the National Rural Health Mission. Outreach / IEC activities by conducting health camps / adolescents friendly services, emergency services during epidemic / outbreak of communicable disease. i) Out-reach health services including conducting immunization sessions, Health & Nutrition Day etc. with the help of the ANMs of the sub-centres. j) Facilitate in implementation of other NRHM initiatives in that areas.

3. Period of partnership : The duration of the project shall be initially for one year. However, the project may be extended subject to the fund provision by GoI and satisfactory performance of Agency in PHC(N) management and mutual consent. 4. List of PHC(N)s identified for management: Sl No 1 2 Name of the Districts Gajapati Rayagada Total number of PHC (N)s Loba 1 Dangosorrada and Gouda Dhepaguda 2 Total 3 Name of the PHC(N)s

5. Eligibility criteria :
Registration: The organization should have been registered under the Society Registration Act / Indian Trust Act /Indian Religious and Charitable Act for more than 3 years. If the organization is a non-profit organization, it should be registered under section 12-A of Income Tax Act, 1961 for exemption.
District presence: Organization should have its office in the same district in last three years for which it is seeking funding.
Experience: Minimum three years proven experience in Health & Family Welfare programmes or any Social Development Sectors. Preference will be given to organizations having experience in management of PHC(N) under PPP.
Assets: Minimum fixed assets of rupees three lakhs in the name of the organization in terms of land and/or building. Have sound financial outlay as per the last balance sheet.
The organization should have not been blacklisted or placed under funding restriction by any Ministry or Departments of the GoI, State Government or RMK/CAPART. The organization having previous adverse report from the District/NRHM will not be eligible.

6. Contributions of organization:

The organisation will contribute 10-5% of total project cost for management of PHC (N) on annual basis.

7. Willingness of Allopathic doctor: The organisation will submit the willingness of an Allopathic doctor to work in the proposed PHC (N) in the application form. 8. Monitoring :
A system of ongoing monitoring will be done rigorously to assess the performance of partner NGO / Trust / Corporate through field visit & spot record verification etc.
The district will organize monthly review meeting of all PPP partners in every month in a fixed day PPP review meeting.
NRHM, Odisha will organize quarterly review meeting of the partners.

9. Reporting & Documentation : The NGO / Trust / Corporate will generate a standard report in every month and the same report shall be sent to NRHM with a copy to CDMO of respective district. The best practices, innovations & success stories will be documented & shared by the NGO / Trust / Corporate with district & State in time to time. 10. Performance Indicator: The output based performance indicator will be set to assess the performance of the partner NGO / Trust / Corporate in management of PHC (N). 11. Withdrawal of partnership: Failure to comply with terms and condition of the MoU and directions issued from time to time by NRHM or Health & Family Welfare Department, NRHM may suspend or cancel the MoU. Similarly, ZSS or NGO shall have the right to terminate the MoU at any time with thirty days notice in writing indicating reasons for the same to the other party. The Govt./NRHM/ZSS reserves the right to cease the operation of the bank account in which grant under this scheme credited by giving direction directly to the Banker. Govt. /NRHM have the right to stop the funding to the NGO at any time without assigning any reason. 12. Application procedure: The interested organization may submit their application with necessary signed documents to the Chief District Medical Officer of concerned district where the project is required through speed post/registered post only before 11/05 /2012 by 5.00 P.M. Applications received after the due date or in an open envelope or lack of required informations & documents will not be considered. No personal enquiry shall be entertained.

13. Information for the Corporate Sectors: The interested Corporate Sectors may submit their expression of interest for management of PHC (N) out of their CSR fund. The name of the PHC (N) should be mentioned in the application. The Corporate sector will utilize their own fund for management & operation of the PHC (N) as per the Govt. norms. The proposal for this purpose may be submitted to the concerned CDMO where the PHC (N) is located. 14. Documents to be submitted: a) Proposal for PHC(N) management b) Copy of the Society registration certificate. c) Copy of the 12-A registration certificate. d) Copy of the 80- G registration certificate (if available). e) Audit report for last three years (2009-10, 2010-11 & 2011-12). f) Annual report (2009-10, 2010-11 & 2011-12). g) Proof of infrastructure, land and building of minimum 3 lakhs as per balance sheet of 31/3/2012. h) Proof of District presence (three years) i) Bye law and memorandum. j) Grant letters. k) Experience on the Health and Family Welfare Program (with the support of Govt./ Donor agencies ( attach the proof). l) Experience in the social sector (Attach proof). m) Human resource details (full time, part time staffs etc). n) Willingness of Allopathic doctor o) Copy of PAN (if available). p) Copy of Bank Account number
q) Any other documents in support of strength of the organization.

APPLICATION FORM FOR MANAGEMENT OF PHC (N) UNDER PPP Name of the PHC (N)______________ Name of the District_______________

1 2

Name of the Organisation. Registered office address with Phone /fax, email.

3 4

Contact person with telephone. District office address with phone.

5 6 7

Whether district office located own or rented building? Year of operation of the activities in the district? Which year the organisation has st received 1 grant from Govt./NonGovt. (attach copy) a. Date of society registration ( Attach copy) b. Act under which registered Year of 12 A registration( Attach copy) a. Whether registered under 80 G ? b. Whether FCRA registered( Attach available) Bank details( account number and address) Pan number ( Attach photocopy)

Own / Rent

8.

9 10

Yes/No Yes/No

11

12

Yes/No

13. Financial turn over Year 2009-10 2010-11 2011-12 14. Experience in Health and Family Welfare Programme (from Govt. support during 200910 , 2010-11 & 2011-12) Name of the program Supported by Programme duration( from-to) Operational area Project cost Remark Income (Rs.) Expenditure (Rs.) Fixed asset as per the balance sheet (Rs.)

(Attach copy of the sanction order/MoU) 15. Experience in Health and Family Welfare Programme (from other agencies. support during 2009-10 , 2010-11 & 2011-12) Name of the program Supported by Programme duration( from-to) Operational area Project cost Remark

(Attach copy of the sanction order/MOU) 16. Experience in other development sector programme (Govt. support during 2009-10 , 2010-11 & 2011-12) Name of the program Supported by Programme duration( from-to) Operational area Project cost Remark

(Attach copy of the proof) 17. Experience in other developmental sector (from other agencies support during 2009-10 , 2010-11 & 2011-12) Name of the program Supported by Programme duration( from-to) Operational area Project cost Remark

18. Experience in Health and Family Welfare Programme (Govt. sector during 2009-10 , 2010-11 & 2011-12) in the respective district applied for grant.

Name of the program

Supported by

Programme duration( from-to)

Project cost

Remark

19. Experience in Health and Family Welfare programme (with the support of other agencies during 2009-10 , 2010-11 & 2011-12) in the respective district applied for grant.

Name of the program

Supported by

Programme duration( fromto)

Project cost

Remark

20. Experience in other development sector programs (Govt. support during 2009-10 , 2010-11 & 2011-12 in the respective district applied for grant.

Name of the program

Supported by

Programme duration( from-to)

Operational area

Project cost

Remark

(Attach copy of the proof) 21. Experience in other developmental sector (from other agencies support during 2009-10 , 2010-11 & 2011-12) in the respective district applied for grant. Name of the program Supported by Programme duration( from-to) Operational area Project cost Remark

22. Detail project proposal for management of PHC (N). 23. List of Managing Committee / Executive committee of NGO. 24. Staff position as on 31/3/2012. Staff categories Full time ( Number) Part time ( Number )

25. Willingness of an Allopathic doctor:

(Attach the willingness letter of an Allopathic Doctor who wants to serve in the proposed PHC (N))

26. Any other I hereby certify that I have read the rules and regulation of the scheme. The above facts are best to my knowledge and belief.

Signature of Chief functionary with seal Name of the Chief Functionary_______ NB: In complete applications will be rejected and each page of the documents should be signed by the chief functionary.

Documents to be submitted:
a) Proposal for PHC(N) management b) Copy of the Society registration certificate. c) Copy of the 12-A registration certificate. d) Copy of the 80- G registration certificate (if available). e) Audit report for last three years (2009-10, 2010-11 & 2011-12). f) Annual report (2009-10, 2010-11 & 2011-12). g) Proof of infrastructure, land and building of minimum 3 lakhs as per balance sheet of 31/3/2012. h) Documentary proof of district presence (three years) i) Bye law and memorandum. j) Grant letters. k) Experience on the Health and Family Welfare Program (with the support of Govt./ Donor agencies ( attach the proof ). l) Experience in the social sector (Attach proof). m) Human resource details (full time, part time staffs etc.) n) Willingness of Allopathic doctor o) Copy of PAN (if available). p) Copy of Bank Account number q) Any other documents in support of strength of the organization.