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Table 4 Changes in the content of the contract

From: Contracting-out urban primary health care in Bangladesh: a qualitative exploration of implementation processes and experience

Content

Phase 1

Phase 2

Phase 3

Services

ESP

Reproductive health care, Child health care

Communicable Disease Control

Limited Curative Care

BCC

All national initiatives (e.g. national immunization days, Vitamin A Capsule Distribution, etc.) of the MoH will be supported by the Partnership Agreement

ESD+

Reproductive health care including assistance for women survivors of violence

Child health care;

Control of communicable disease (tuberculosis, malaria, dengue fever);

Limited curative care and first aid for emergency medical care and the treatment of minor infections, BCC, HIV/AIDS, VCT, RTI/STI

ESD+

Basic and comprehensive emergency obstetric care (EOC) facilities, delivering an ESD+ package (including intensive supply of FP logistics, supplementary nutritional support), MCH, adolescent RH care, FP

Health promotion and social empowerment activities will be supported through community health worker

Salary structure

Not documented

Gratuity and provident fund along with salary and festive bonus

Only gratuity, No additional benefit

Capacity development of medical officers

1 year full time residential training on EOC & anesthesia

Excluded

Bid security

Bank ID only

Bid security money of BDT 2,500,000

Bid security, as stipulated in the bidding documenta

Guarantee

Individual performance guarantee

Bank guarantee 10% of contracted budget

Bank guarantee 10% of contracted budget

Mobilization advance (start up fund)- 10% of contracted budget

Deducted partially over several months

Deducted partially with quarterly bills from the first quarter

Deducted at a rate of 16.67%, in the final year and a half of the project

  1. aVaried by partnership areas
  2. Source: [25, 36, 38, 62]