1. health and fitness

Information
Symposium!!!
PURPOSE
Information!!!
Teaming
Arrangements
Expectations
Private Sector
Development
Economic
Growth
PROGRAMME SCOPE
HEALTH
FACILITIES
MAINTENANCE
Hard Facilities
Maintenance
Soft Facilities
Maintenance
ICT Health
Systems
Health Care
Waste
GENERALLY ALL HEALTH FACILITIES IN LESOTHO (Health Centres and Hospitals)
LESOTHO GEOGRAPHIC CONDITIONS
HIGHLANDS
LESOTHO GEOGRAPHIC CONDITIONS
LOWLANDS
FOOT-HILLS
LWC – RIVER & ROAD CROSSING
ROAD CROSSING
RIVER CROSSING
LWC - SNOW
Lvl
HARD FACILITIES MANAGEMENT
Health Facilities
Maintenance
1
2
Hard
Facilities
4
5
Buildings &
Tech. Serv
Medical
Equipment
Inv. & Asset
Management
General
Equipment
Furniture
Mafeteng
MHoek
………..
10th District
Maseru
Health Risk
Waste
Soft Facilities
Inv & Asset
Management
Medical
Equipment
3
ICT
Emergency
Transport
Serv
Bldg +
Plumbing +
Water
Msu
Mft
Mhoek
Quthing
Qacha
TT
Mkt
BB
Lrb
Br
Total
Health Cnt.
25
20
13
8
10
15
8
10
27
15
151
Hospitals
3
1
1
1
2
2
1
2
2
2
17
District
Contract
Categories
Blds + H20 Electricity
10
10
Hard Facilities Management
IAM
Gen. Equ Furniture Em. Tr. Sv Med. Equi
10
10
10
6
10
Total
66
Electricity
Q&A
T Break
ICT Systems
ICT
Hardware
Software
Electronic Medical
Records (EMR)
Support
Backup
Add/Delete
Users
Add/delete
services
Voice Over Internet
Protocol (VOIP)
Upgrade
IPhone
Registration
WAN Comms
Health Management
Information System (HMIS)
Support
Upgrade
Internet issues
System
Functionality
LMDA ICT
Support
Maintenance
Replacement
Health ICT System
Maseru
Mafeteng
Electronic
Medical Records
-EMR
...
10th Dist
ICT
Health Facilities
Maintenance
Level 1
Load
DHMT
Hospitals
Msu
1
3
Mft
1
1
H-Risk Waste
Health
Management
Information
System -HMIS
& Voice over
Internet
Protocol-VOIP
Level 2
Level 3
Hard Facilities
Soft Facilities
Mhoek Quthing Qacha
1
1
1
1
1
2
TT
1
2
Mkt
1
1
Maseru
Mafeteng
...
10th Dist
Level 4
BB
1
2
Lrb
1
2
Br
1
2
Total
10
17
LMDA ICT
LMDA ICT
Support
Level 1
Level 2
Level 3
(contracts)
Hardware
Maintenance/
Service
Replacement
Software
Support
Systems
Analysis and
Design
Questions and
Answers
Environment and Health Care
waste Management
LMDA
Information Symposium
Lvl
Health Facilities
Maintenance
1
Environ Health
Care waste
ICT
Soft Facilities
Hard facilities
2
Health care
risk waste
Incinerator
Maintenance
Pest Control
Transportation
& Treatment
New
incinerator
and parts
Application of
pesticides
Transportation
and Disposal
MHoek
………..
10th District
General waste
3
4
5
Maseru
Mafeteng
District
Health
Cnt.
Hospitals
Msu
Mft
Mhoek
Quthing
Qacha
TT
Mkt
BB
Lrb
Br
Total
25
20
13
8
10
15
8
10
27
15
151
3
1
1
1
2
2
1
2
2
2
17
Contract
Categories
Environmental and health care waste
Management
Pest
Gen.
HCRW INC Main
control
waste
10
1
10
10
Total
31
Requirements
• National laws:
– Environment Act , 2008 – regulates a number of issues
inclusive of waste management, pollution control, use of
hazardous substances, consultation with local
communities, etc;
– Water Act, 2008- use of water and pollution
prevention/control
– Land Act, 2010- compensation issues ,
– Labour code & regulations, 2002- Occupational health and
safety requirements
– Health care risk waste regulations, 2012
Avoid mixing
&dumping of waste
Body harness when working at
heights
19
Reporting
FC
FAC
OUPC
Risks
• Some of the major risks:
–
–
–
–
Road traffic accidents,
Infectious waste,
Working at heights,
electric tools,
• Encouraged to carryout activity specific
risk assessment
Questions and
Answers
Lunch!!
Lvl
SOFT FACILITIES MANAGEMENT
Health Facilities Maintenance
1
2
Hard
Facilities
ICT
Soft Facilities
Health Risk
Waste
3
Cleaning
Services
Catering
Services
Gardens and
Grounds
Linen &
Laundry
Security
Services
Mortuary
Services
4
Quthing Only
Quthing Only
Quthing Only
Quthing Only
Quthing Only
One Facility
Facility
Health Centres
Hospitals
Cleaning
8
0
Soft Facilities Management in Quthing
Catering Grd + Gdn Lin + Lndr Security
8
8
8
8
0
0
0
0
Mortuary
0
1
Total
40
1
Monitoring and Evaluation
Mrs. ‘Mareitumetse Sefako
Head of Monitoring and Evaluation
Introduction
• Implementation of the LMDA Programme will be
guided by strong results-based monitoring and
evaluation approaches
Objectives of M&E
• Provide information for evidence-based management
decision making;
• Assess the effectiveness, efficiency and impacts of
interventions;
• Ensure transparency and accountability for results; and,
• Document lessons and support national policy making and
development.
Scope of M&E
Impact Level
Output Level
• Process Performance
e.g. Compliance with
time and cost for
service provision and
maintenance works
Process Level
• Output Performance e.g.
Efficient functionality of
facilities, equipment and
services
• E.g. Level of
compliance with set
standards for health
facilities, equipment
and services
Outcome
Level
•Improvements in provision
of high quality health
services
•Health service providers
and patients’ satisfaction
levels
M&E Implementation Process
Step 1
Step 2
• Consensus on key performance indicators and targets between LMDA, Ministry
of Health, contractors & service providers as contractual obligation
• Routine collection of data and information by contractors & service providers in
line with specified performance indicators
• Reporting of data and information to LMDA as part of contract deliverables
Sept 3
Step 4
• Performance assessment by LMDA, dissemination of results and feedback to
contractors, service providers & the broader stakeholders
Conclusion
• It is imperative that contractors and service providers
put in place mechanisms and structures that will
support full compliance with the M&E reporting
requirements.
Thank You
Questions and
Answers
LMDA PROCUREMENT
34
“LMDA Procurement
Procedures & guidelines”
• Open, fair and Competitive Procedures
• equal opportunity to bidders
• Contracts awarded to responsive,
capable and willing Firms and individuals
• Guidelines describe action to be taken
where there is fraud &corruption
• Based on Price Reasonableness
35
Methods of determining a Price
reasonableness
• commercially reasonable price (comparison of price
quotations and market prices)
• Competitive Prices: In an open competitive bidding
process.
• Historical Prices: Prices offered in the past for
similar contracts
• Comparison with Prices of a Similar Item:
• Comparison with rates/Prices provided by legally
recognized body/Institution
• Published Prices: On popular press.
36
ADVERTISING
ADVERTISING THE PROCUREMENT
REQUIREMENTS
37
“ADVERTISING”
Interested Bidders must regularly check the
LMDA Website: http://www.lmda.org.ls
Procurement opportunities and LMDA
Procurement Guidelines and Guidance Papers
38
“General Procurement Notice
(GPN)
• Generic description to alert potential bidders of
all upcoming procurements within Procurement
Plan period
• Explain upcoming Procurement Opportunities
• Published in local news papers, LMDA website
and international website(dgmarketwww.dgmarket.com)
39
“Specific Procurement Notice
(SPN)/ Invitation For Bids(IFB)”
• Required for each Procurement
• Done after a reasonable time following
the publication of the GPN
• Estimated contract value determines
publication site (But, estimate will not be
disclosed to Bidders)
40
“SPN/IFB”
• Publication in local newspapers, LMDA Website,
and dgMarket for:
– Contracts for Goods & Non-consultant services valued
at or over $200,000,
– Contracts for Works valued at or over $1 Million
– Contracts for Consulting Services valued at or over
$500,000
• For contracts valued below thresholds, SPN on a
site of preference of the LMDA
41
“Common Discrepancies found
in Bids”
LMDA normally holds Pre-bid Meetings to explain
requirements or common discrepancies found in bids
• Bid Not Submitted on time.
• Bid Submitted at wrong Place.
• Bid Submitted but not registered.
• Bid not signed
• Photocopy of Bid Security.
• No Power of attorney for the Bidder’s Authorized
Representative.
42
“Common Discrepancies found
in Bids (cont)”
• Bid validity
• The validity of bid security
• The bid security is not in the required format
• The amount of bid security is less than required
• BOQs/Schedule of Requirement not in Order:
• No bid price mentioned
• Turnover information
• Successful past performance experience Information
• Information on Financial Capability(Audited Financial
Statements)
• Proposed Personnel
43
“EVALUATIONS”
CONTRACT NEGOTIATIONS
44
“Items Subject to
Negotiations”
• TOR Improvements (not substantive
changes)
• Technical Approach, Methodology & Work
Plan
• Staffing
• Dispute Resolution Clauses
• Reports and Deliverables
• Payment Schedule
45
“Publicize the intent to award”
• Done before contract award
• To be done for all Competitive Bidding
procurements
• Placed on all sites that advertised the IFB/SPN
• For any bidder who may wish to challenge the
contract award decisions as per the Bid
Challenge system (BCS)
46
“Notification of award”
After the award of contracts:
• The results of awarded contracts should be
published at the same site that hosted the SPN
(Normally done on quarterly basis)
• Identify description of a procurement & Scope
• Name of the winning bidder
• recommended award price and duration of
work/assignment
• After stand still period (5 days),
47
“Evaluation of Contracts after
contract award”
Contractor Past Performance Reporting System (CPPRS)
• CPPRS is a system that LMDA uses for evaluating
Contractors/suppliers/Consultants
• CPPRS will be prepared by LMDA for each
Consultant/ Contractor/ Supplier.
• Evaluation normally done annually or as
necessary for Problematic contracts
• CPPRS form originates from LMDA & sent to
Consultant/Supplier/Consultant
48
THANK YOU!
49
Questions and
Answers
Anti-corruption Policy
51
Purpose & Scope
• Purpose
– Provides guidance on prevention, detection
and remediation of fraud and corruption.
• Scope
– Applies to all LMDA projects: Contractors,
suppliers, consultants, beneficiaries and
employees.
52
Supporting Instruments
•
•
•
•
•
Fiscal Accountability Plan (Financial Policy)
Procurement guidelines
Bid Challenge System Guidance doc.
Human Resource Policies and Procedures
Whistleblower’s policy ( displayed at
reception)
53
Negative Impact of Fraud and Corruption
Fraud and corruption reduce benefits to
recipients (often the poor) and retard
economic growth and national development,
amongst others by:
–
–
–
–
–
Increasing costs (e.g. kick-backs);
Lowering Productivity and compromising quality;
Concentrating Public Investment in Unproductive projects;
Discourages investor confidence;
Impairs distribution of justice (bribery lets crooks off the
hook)
– Distorts fairness of processes
54
Guiding principles
• Promotion of high standard of integrity and
ethical behaviour.
• Corruption-free environment and
Transparency (predictable actions) are some
of LMDA’s core values.
• Eradication of corruption is the responsibility
of all LMDA’s Stakeholders (It takes two to
tango).
55
Risk Assessment Process by LMDA
• Training provided in 2010 on types of Fraud
and Corruption Risks
• Training offered to Implementing Entities (GoL
Ministries), Project Implementation Units,
Procurement and Fiscal Agents, staff.
• Probability of occurrence and Impact of Risk
Factor considered.
Risk assessment goes
beyond procurement of goods and services
56
LMDA Specific Risk Assessment Matrix
• Development of LMDA specific Risk
Assessment Matrix through a highly
consultative process with:
a)
b)
c)
d)
e)
f)
contractors,
consultants,
external auditors,
members of staff at all ranks
Procurement and Fiscal Agents; and
Implementing Entities even senior
government officials
57
Development of an Action Plan
• Energy focused on medium to high probability
of occurrence, and/or high impact risks;
• On the basis of the selected risks, an action
plan was developed to regularly assess
management of identified risks;
• Report to the Board on progress in the
implementation of the anti-corruption plan
58
Summary
Progress
report to
Board
Review and
reporting
Policy
development
• FAP
• Procurement
Guidelines
•PCEO Act 1999
Implementation
Risk assessment
Action plan
+ relevant
policies
Probability
RV= P*I
5
15
25
3
9
15
1
3
5
Impact
Anticorruption
Action plan
List of risks
& mitigation
59
Interventions Against Corrupt Practices
• Prevention and Detection: Provision of information on
prevention, detection and remediation of corruption to
stakeholders and implementation partners;
– Formalised lines of reporting (whistleblower policy)
• Remediation:- use of administrative interventions e.g.
declaration of misprocurement, performance focused
and financial audits.
• Sanctions: prohibition (including blacklisting) from
partaking in any LMDA programs, LMDA/Implementing
Entities take action against involved employee; referral
to DCEO (Anti-corruption unit).
60
Fraud and Corruption
JOINT EFFORT FOR
CORRUPTION FREE
ECONOMIC DEVELOPMENT
Thank You!!!
61
Questions and
Answers
Closing
Remarks