China - Rural Health Project : procurement plan

49462 World BankiDFID Funded China Rural Health Project Central Procurement Plan on Consulting Services (2008-2009) Updated July 7, 2009 Unit: 10 thousands RMB Priori Budget (104 No. Contract Nature Timing Method Post Yuan) Review Goal: Explore mechanism to incentivize mral health institutions to Study on incentive deliver quality health services. mechanism for Activities: 1. Develop and verify incentive measures, dual-referral 1. Ian-Dec, 2009 SIC Post 25 health service criteria and protocols; institutions 2. Law1ch pilot interventions. Outpnt: Tentative plan for health service incentive mechanism. Goal: Develop criteria and assessment methods on health service Development of quality. ~ criteria and Activities: 1. Develop and verify criteria and assessment methods 2. assessment methods on health service quality; Ian-Oct, 2009 SIC Post 30 on health service 2. Launch pilot. quality Output: criteria and assessment methods on health service quality. Goal: Offer perfom1ance assessment methods for local health Study on institutions in cOW1ties. improvement of Activities: I. Collect existing performance assessment tools and Dec, 2008 - 3. assessment system methods, and improve them through workshop; SIC Post 30 Dec, 2009 ofhealth service 2. Launch pilot. performance Output: Methods and guidelines on health service performance revIew.  PriOl'/ Budget (104 No. Contract Nature Timing Method Post Yuan) Review Goal: Analyze and compare the benefit packages of core public Study on benefit health service in China, and propose package, cost estimate and packages of core payment methods for the project. public health Dec, 2008 - 4. Activities: I. Carry out study; SIC Post 20 service, cost Mar, 2009 2. Launch pilot. estimate and Output: Benefit package of core public health service, cost payment methods estimate and payment methods. Goal: Collect basic data in project counties/comparison counties as the fOlUldation for project appraisal. Project baseline Activities: 1. Design of baseline survey plan; Dec, 2008 - 5. SSS Prior 90 survey 2. Deliver trainings on baseline survey and monitor progress; May, 2009 3. Deliver trainings on writing analysis rep011 and write the report. Output: baseline survey database and analysis report. Construction of Goal: Introduce management infom1ation system to improve project management efficiency and enhance supervision. Dec, 2008 - 6. CQS Prior 130 infonnation system Activities: Develop network for management information system. Apr, 2009 (As note No.3) Output: Project management infonnation system. 60 Goal: set up stable teclmical support system for project. Construction of ( Each Activities: Select NEPs for each component, including 2-4 experts project technical for Compo A, 4 expel1s for Compo B, 4 experts for Compo C, 2 Dec, 2008 - contract will 7. SIC Post be less than support system experts for Compo D and I expel1 for Composocial assessment, Mar, 2009 100 (Multi- contracts) and sign the contracts with each expert separately. Output: strong expert support team. thousands RMB ) Goal: Design payment methods to cost health expenditures, for the purpose of pilots in project counties. Study Ion NCMS Activities: Carry out study on capitation paym ent for outpatient, 8. an - Dec, 200 SIC Post 15 payment method and propose implementation plan for this method and launch refom1 pilots. Output: Proven payment system implementation plan.  Priori Budget (104 No. Contract Nature Timing Method Post Yuan) Review Goal: Design payment methods to cost health expenditures, for the purpose of pilots in project counties. Study lion NCMS Activities: Carry out Shldy on bed-day based payment for 9. an - Dec, 200 SIC Post 15 payment method inpatient, and propose implementation plan for this method and refornl launch pilots. Output: Proven payment system implementation plan. Goal: Design payment methods to cost health expenditures, for the purpose of pilots in project counties. Studylll on NCMS Activities: Carry out study on case-based payment for inpatient, 10 an - Dec, 200 SIC Post 15 payment method and propose implementation plan for this method and launch refOllll pilots. Output: Proven payment system implementation plan. Goal: Study M&E indicator system and methods for NCMS to allow real-time monitoring of NCMS operation; study fund security warning indicators and methods for NCMS, to promptly detect risks in fund operation. ShldyonM&E Activities: 1. Study and verify M&E indicator system and fund indicator system security warning indicators for NCMS; Aug - Dec, 11 and fund security SIC Post 30 2. Integrate M&E indicators and fund security warning indicators 2009 warning indicators into management information system as modules with plotting for NCMS functions; 3. Launch pilot in a project county. Output: M&E indicators, fund seclU'ity warning indicators and calculation method, and establish early-waming mechanism. Goal: Provide evidence for public health and medical service Develop protocols delivery in THCs and village clinics, and for project evaluation. for rural basic Activities: Work out rural health service protocols with available 12 health services an - Dec, 200 SIC Post 28 resources, and organize expert discussion meeting. and application Output: Protocols on public health services and common diseases training for THCs and village clinics.  Priori Budget (104 No. Contract Nature Timing Method Post Yuan) Review Goal: Study policies and measures on maintaining rural health professional team and improving competence ofhealth persotmel. Study on rural Activities: I. Investigate status quo of rural health manpower and health manpower May 2009 - 13 factors leading to instability; SIC Post 20 maintenance and May 2010 2. lmprove strategies through empirical study and expert development consultation. Output: study report and pilot implementation plan Develop operational Goal: Develop tailored operational guidelines for public health guidelines for services for THCs and village clinics with available resources. 14 un - Dec, 200 SIC Post 30 public health Output: operational guidelines for public health services for services for THCs THCs and village clinics. and village clinics Goal: Introduce latest methodologies in evidence-based public Study on theory and health upon analyzing major disease burden and public health practices in policies in recent years in project areas; integrate with present evidence-based indicators and methodologies on performance review of public public health, and 15 health system developed in the project, to facilitate public health un - Dec, 200 SIC Post 30 on performance service evaluation in different stages on the project. review indicators Activities: Operational research for public health Output: Master major methodologies on evidence-based public system health, to guide decision-making in rural public health  PriorI Budget (104 No. Contract Nature Timing Method Post Yuan) Review Goal: Enhance capacity III responding to public health emergencies in project areas. Activities: I. Explore public health emergency response Study on public mechanism in the countryside; health emergency 2. Establish pilots for township public health emergency response 16 response an - Dec, 200 SIC Post 20 mechanism; mechanism in rural 3. Make policy recommendations on capacity building in rural China public health emergency response. Output: proven mechanism for rural public health emergency response (analysis report, policy recOlllillendation). Goal: Explore effective and replicable comprehensive intervention Study on models on behavior risk factors for Chinese rural residents comprehensive Activities: Introduce comprehensive intervention strategies intervention on (policy, environment, health cOlllillunication, etc) targeting major 17 an-Dec, 200 SIC Post 20 behavior risk behavior risk factors in pilot towns/township, and explore effective factors for Chinese intervention models. Rural Residents Output: Replicable intervention models and dissemination plan, policy recommendations. Goal: Explore replicable models for healthy villages Activities: I. Theory and methodology training; 2. Develop operational manual; Pi lot on "Healthy 3. Site supervision and evaluation; 18 an-Dec, 200 SIC Post 33 Villages" 4. Site intervention. Output: 1. 20 healthy villages created; 2. Report on experiences; 3. Methodologies and model dissemination plan.  Priori Budget (104 No. Contract Nature Timing Method Post Yuan) Review Goal: To improve the level of people's health and to lay a sound foundation for the pilot activity of "building health village" by Translation of the introducing the basic health knowledge, behavior and skill to the general public living in the project area; to improve the level of Reading Book Post 19 health literacy of national minorities by promulgating the basic Jul- Oct, 2009 CQS 28 named 66 Items of health knowledge and skill. Health Activities: Translate into Mongolian, Tibetan, Uygur, Kazakh and , Korean language. , Goal: To improve the level of people's health and to lay a sound foundation for the pilot activity of "building health village" by introducing the basic health knowledge, behavior and skill to the Printing and general public living in the project area; to improve the level of distribution of the health literacy of national minorities by promulgating the basic Post 20 Reading Book health knowledge and skill. Jul- Oct, 2009 16 Shopping named 66 Items of Activities: Printing and Delivering to minority areas in limer Health Mongolia, Tibet, Ylllman, Qinghai, Sichuan, Gansu, Xinjiang, Jilin, and Liaoning after the publication and printing. Note : I.FLOIMOH will be responsible for the procurement management of all above activities. 2. The justifications of selecting SSS method on activity NO.5 are attached, other materials will be sent to WB for prior review later. (done) 3. The materials of activity No. 6 had been sent to WB for prior review, and had obtained no-objection from TTL.