China - Rural Health Project : procurement plan

 63171 World Bank/DFID Funded China Rural Health Project Central Procurement Plan on Consulting Services (2008-2009) Revised again September 14, 2009 Remarks: The most planned procurement remain unchanged, the only change is made to the last two procurement activities as track changed for your review. Unit: 10 thousands RMB Prior/ Budget No. Contract Nature Timing Method Post (104 Review Yuan) Goal: Explore mechanism to incentivize rural health institutions to deliver quality health services. Study on incentive Activities: 1. Develop and verify incentive measures, dual- Post 1. mechanism for health referral criteria and protocols; Jan-Dec, 2009 SIC Review 25 service institutions 2. Launch pilot interventions. Output: Tentative plan for health service incentive mechanism. Goal: Develop criteria and assessment methods on health service quality. Development of criteria Activities: 1. Develop and verify criteria and assessment Post 2. and assessment methods methods on health service quality; Jan-Oct, 2009 SIC Review 30 on health service quality 2. Launch pilot. Output: criteria and assessment methods on health service quality. Goal: Offer performance assessment methods for local health institutions in counties. Study on improvement of Activities: 1. Collect existing performance assessment tools assessment system of Dec, 2008 – Post 3. health service and methods, and improve them through workshop; Dec, 2009 SIC Review 30 2. Launch pilot. performance Output: Methods and guidelines on health service performance review.  Prior/ Budget No. Contract Nature Timing Method Post (104 Review Yuan) 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 public payment methods for the project. Dec, 2008 – Post 4. health service, cost Activities: 1. Carry out study; Mar, 2009 SIC Review 20 estimate and payment 2. Launch pilot. methods Output: Benefit package of core public health service, cost estimate and payment methods. Goal: Collect basic data in project counties/comparison counties as the foundation for project appraisal. Activities: 1. Design of baseline survey plan; Dec, 2008 – May Prior 5. Project baseline survey 2. Deliver trainings on baseline survey and monitor progress; 2009 SSS Review 90 3. Deliver trainings on writing analysis report and write the report. Output: baseline survey database and analysis report. Goal: Introduce management information system to improve Construction of project efficiency and enhance supervision. Dec, 2008 – Prior 6. management information Activities: Develop network for management information Apr, 2009 CQS Review 130 system (As note No.3) system. Output: Project management information system. 60 Goal: set up stable technical support system for project. Activities: Select NEPs for each component, including 2-4 Each Construction of project contract experts for Comp. A, 4 experts for Comp. B, 4 experts for Dec, 2008 – Mar Post 7. technical support system SIC will be less Comp. C, 2 experts for Comp. D and 1 expert for Comp. social 2009 Review (Multi- contracts) than 100 assessment, and sign the contracts with each expert separately. Output: strong expert support team. thousands RMB  Prior/ Budget No. Contract Nature Timing Method Post (104 Review Yuan) Goal: Design payment methods to cost health expenditures, for the purpose of pilots in project counties. Study on NCMS Activities: Carry out study on capitation payment for Post 8. outpatient, and propose implementation plan for this method Jan – Dec, 2009 SIC Review 15 payment method reform and launch pilots. Output: Proven payment system implementation plan. Goal: Design payment methods to cost health expenditures, for the purpose of pilots in project counties. Study on NCMS Activities: Carry out study on bed-day based payment for Post 9. inpatient, and propose implementation plan for this method and Jan – Dec, 2009 SIC Review 15 payment method reform launch pilots. Output: Proven payment system implementation plan. Goal: Design payment methods to cost health expenditures, for the purpose of pilots in project counties. Activities: Carry out study on case-based payment for Post 10. Study on NCMS Jan – Dec, 2009 SIC 15 payment method reform inpatient, and propose implementation plan for this method and Review launch 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. Study on M&E indicator Activities: 1. Study and verify M&E indicator system and fund system and fund security security warning indicators for NCMS; Post 11. warning indicators for 2. Integrate M&E indicators and fund security warning Aug – Dec, 2009 SIC Review 30 NCMS indicators into management information system as modules with plotting functions; 3. Launch pilot in a project county. Output: M&E indicators, fund security warning indicators and calculation method, and establish early-warning mechanism.  Prior/ Budget No. Contract Nature Timing Method Post (104 Review Yuan) Goal: Provide evidence for public health and medical service Develop protocols for delivery in THCs and village clinics, and for project evaluation. rural basic health Activities: Work out rural health service protocols with Post 12. services and application available resources, and organize expert discussion meeting. Jan – Dec, 2009 SIC Review 28 training Output: Protocols on public health services and common diseases for THCs and village clinics. Goal: Study policies and measures on maintaining rural health professional team and improving competence of health personnel. Study on rural health Activities: 1. Investigate status quo of rural health manpower May 2009 – Post 13. manpower maintenance and factors leading to instability; May 2010 SIC Review 20 and development 2. Improve strategies through empirical study and expert consultation. Output: study report and pilot implementation plan Develop operational Goal: Develop tailored operational guidelines for public health guidelines for public services for THCs and village clinics with available resources. Post 14. health services for THCs Output: operational guidelines for public health services for Jun – Dec, 2009 SIC Review 30 and village clinics THCs and village clinics. Goal: Introduce latest methodologies in evidence-based public health upon analyzing major disease burden and public health Study on theory and policies in recent years in project areas; integrate with present practices in evidence- indicators and methodologies on performance review of public based public health, and Post 15. on performance review health system developed in the project, to facilitate public Jun – Dec, 2009 SIC Review 30 health service evaluation in different stages on the project. indicators for public Activities: Operational research health system Output: Master major methodologies on evidence-based public health, to guide decision-making in rural public health  Prior/ Budget No. Contract Nature Timing Method Post (104 Review Yuan) Goal: Enhance capacity in responding to public health emergencies in project areas. Activities: 1. Explore public health emergency response Study on public health mechanism in the countryside; emergency response 2. Establish pilots for township public health emergency Post 16. Jan – Dec, 2009 SIC 20 mechanism in rural response mechanism; Review China 3. Make policy recommendations on capacity building in rural public health emergency response. Output: proven mechanism for rural public health emergency response (analysis report, policy recommendation). Goal: Explore effective and replicable comprehensive intervention models on behavior risk factors for Chinese rural residents Study on comprehensive Activities: Introduce comprehensive intervention strategies intervention on behavior Post 17. risk factors for Chinese (policy, environment, health communication, etc) targeting Jan – Dec, 2009 SIC Review 20 major behavior risk factors in pilot towns/township, and explore Rural Residents effective intervention models. Output: Replicable intervention models and dissemination plan, policy recommendations. Goal: Explore replicable models for healthy villages Activities: 1. Theory and methodology training; 2. Develop operational manual; Pilot on “Healthy 3. Site supervision and evaluation; Post 18. Villages