IPPF publication by Peter Beatty

PO 5555: DFID RHFS

PO 5555:

Reproductive Health Services Framework

Commercial Tender (Part C)

19 July 2011

2 PO 5555: DFID RHFS

Part C - Commercial Tender Section 1 Cost Modelling Methodology and Ensuring value for money IPPF will utilise an integrated management approach that is drawn from the tried and tested methodologies of both IPPF and its partners, to ensure IPPF delivers maximum value for money. This approach will be underpinned by identification of key project risks and mitigation strategies, and will cover the following. Clear Project Plan: When responding to country specific contracts, IPPF will draw upon its own and its partners’ wide range of innovative approaches to ensure that high quality, cost efficient solutions are utilised. Based upon this and in-country intelligence drawn from local Member Association (MA) knowledge, the most effective approach for each contract will be identified. A multi-year project plan that identifies the key activities, milestones, outputs and cost of delivery will then be developed. Through its current work with MAs, IPPF already has a well developed internet based electronic Integrated Management System (eIMS) that is used to plan and

monitor programmes, and is also rolling out a Clinical Management Information System (CMIS) in a number of countries, to provide additional performance data. For each country contract a workplan will be produced showing inputs, key activity, milestones, and expected outputs.

Cost competitive bid: To ensure that country tenders are cost competitive, detailed cost information will be compiled, using a comprehensive budgeting and costing tool that allows both input based budgeting and benchmarking (staffing rates, travel and per diem rates, cost of commodities, capital expenditure) as well as service cost profile at an output level. IPPF is already working with its partners to develop standard cost and service price information (see Annex 2), based on detailed inputs mapped at service delivery points, which will be used to benchmark against country cost submissions and ensure both value for money in terms of service cost modelling, and also best quality of service. These will also benchmarked to information in similar partner and peer organisations. IPPF’s federation structure and experience in consortium and partnership working arrangements will provide comparative service costs across a range of entities, thus enabling efficiency savings to be identified and costs reduced accordingly. Final costs will be developed at an activity level and then used to generate budgeted cost of critical outputs. As IPPF is already operating on the ground in many of countries listed it will be possible to draw on its established, in-country infrastructures and networks to minimise set-up costs and indirect/ fixed costs and therefore deliver better value, both in short-term impact of service, and in the longer term through sustaining

the broader benefits that arise from this investment. Project Management process and methodology: IPPF will rely on its core performance management tools and processes and systems to support delivery in accordance with its original commitments, including: •

Submission and monitoring of detailed operational and service service information on CMIS and eIMS

•

Use of Clinical Management Information Systems to collect and collate detailed operational information

•

Preparation and review of detailed cost variance reports both at budget line item level and for the total costs and service cost level in line with log frame deliverables. Variances will be followed up with local management to ensure that overspends are managed down.

•

Preparation of rolling forward forecast of detailed expenditure and service cost.

•

The IPPF procurement policy will ensure that goods and services are procured at the appropriate quality and the lowest possible cost, in conjunction with DFID procurement agents where appropriate.

For each project, consortium members will report at regular meetings on progress and identify action that will be taken to ensure that variances in planned activity and cost are addressed and where appropriate brought back into line with the original plan. In addition, to ensure that any issues arising in the execution of country contracts

PO 5555: DFID RHFS 3

are quickly addressed a steering committee will be established that will meet monthly on a virtual basis to discuss all country contracts and identify action to resolve specific or common issues. However, in the event of problems not being resolved in the timescales agreed, IPPF will as consortium leader take overall responsibility for driving delivery.

Quarterly Performance Reporting: A quarterly performance report will be submitted. The report will be directly in line with the detail in the original budget. It will clearly identify progress and results against key milestones and outputs and form the basis for payment. In addition a variance report will be completed highlighting any differences in costs to the original commercial information agreed with DFID, along with detailed explanations.

Driving Performance: IPPF will drive performance through directly linking payment to outputs and results. Each tender will clearly identify the costs of inputs and outputs either in terms of milestone or individual services, depending on the nature of the activity. Following a short inception phase when possible the payment schedule will be directly linked to the outputs. It should be noted that in some circumstances where operating conditions are particularly difficult or delivery is through a third party, payment may need to be input based- where this is considered necessary, this will be clearly identified and justified as part of the tender proposal.

Demonstrating Value for money over the life of the project: A key output from each project will be the demonstration of the linkages between the project inputs, its outputs and final impact.

The outputs of each contract will be linked to impact measures to provide information of the cost of impact. At the end of each year a report will be prepared comparing the actual cost of delivery to that proposed in the original budget highlighting the cost of activities and the outputs and impacts to which they are linked.

Risk management process and mitigation strategies: As part of each country tender a risk and assurance assessment will be undertaken to identify the key risks associated with the delivery of the tender. Each risk will be analysed in terms of both impact and likelihood and a risk ranking developed. For each risk identified, mitigation strategies and control processes will be identified (Annex 3). As the project progresses the risk register will be regular monitored and in the event of risk manifesting itself the risk mitigation strategy will be employed. In addition to operational risks, exchange rate and inflation risk will be explicitly taken into account in the tender budgets.

4 PO 5555: DFID RHFS

Section 2 Service Delivery Matrix REGION KEY:

ORGANIZATION KEY: IPPF

International Planned Parenthood Federation

Arab World Region (AWRO)

Engender Health

European Network (EN)

MSH

Management Sciences for Health

South Asia Region (SARO)

LSTM

Liverpool School of Tropical Medicine

Western Hemisphere Region (WHR)

Mannion Daniels

Central Office (CO) Africa Regional Office (ARO)

East and South East Asia and Oceana Region (ESEAOR)

Country

Afganistan

IPPF Region (see key)

Social Marketing

Social Franchising

Capacity Building/ Quality Management

Direct Provision

Community Based Distribution and Outreach

Prevention of HIV/Other STIs

MSH

Safe Abortion Related Services

Antenatal, Safe Childbirth and Newborn Care

Nutritional Supplements

IPPF/MSH

MSH

IPPF

MSH

IPPF

MSH

IPPF

Bangladesh

IPPF

EH/ MSH

IPPF

IPPF/EH

IPPF

IPPF/EH/LSTM

Burma

IPPF

DR Congo

IPPF

EH/ MSH

IPPF

IPPF/MSH

IPPF/EH/MSH

MSH

Ethiopia

IPPF

IPPF/EH/MSH

IPPF

IPPF/EH/MSH

IPPF/EH

IPPF/MSH

Ghana

IPPF

IPPF/EH

IPPF

IPPF/EH

IPPF

IPPF/LSTM

India

IPPF

IPPF/EH/MSH

IPPF

IPPF/EH

IPPF

IPPF/EH/LSTM

Kenya

IPPF

IPPF/EH/MSH

IPPF

IPPF/EH/MSH

IPPF/EH

IPPF/LSTM/ MSH

Kyrgyzstan

IPPF

Liberia

IPPF

IPPF/MSH

IPPF

MSH

Malawi

MSH

LSTM/MSH

MSH

IPPF

MSH

IPPF

IPPF/MSH

Mozambique

IPPF

Nepal

IPPF

IPPF/EH

IPPF

Nigeria

IPPF

IPPF/EH/MD/ MSH

IPPF

IPPF/MSH

IPPF

IPPF/EH/ LSTM/MSH

IPPF

MD/MSH

IPPF

MSH

IPPF

IPPF/LSTM

IPPF

IPPF/EH/MSH

IPPF

MSH

IPPF/MSH

IPPF

IPPF/LSTM

Sierra Leone

IPPF

IPPF/EH

IPPF

IPPF/EH/LSTM

Somalia

IPPF

LSTM

EH/MSH

LSTM/MSH

MSH

LSTM/MSH

MSH

IPPF

Occupied Palestine Territories

IPPF

Pakistan Rwanda

IPPF

South Africa Sudan

EH/ MSH MSH

IPPF

Tajikistan

EH/ MSH

IPPF

MSH

Tanzania

MSH/ IPPF

EH/ MSH

IPPF

IPPF/EH/MSH

IPPF

IPPF/EH/ LSTM/MSH

MSH

Uganda

MSH/ IPPF

EH/ MSH

IPPF

IPPF/MSH

IPPF/EH/MSH

IPPF

IPPF/EH/MSH

MSH

IPPF/ MSH

IPPF

IPPF/MSH

IPPF

Yemen Zambia Zimbabwe

LSTM

PO 5555: DFID RHFS 5

Annexes 1. Nigerian Workplan 2. Detailed Country Cost Submission 3. Description of IPPF Risk Management Process

6 PO 5555: DFID RHFS

Annex 1 - Nigerian Workplan Nigeria workplan matrix - inception Phase: ACTIVITIES SUMMARY

WEEKS

1. Key personnel in place

2. Meet with DFID to discuss implementation of the Project

3. Meet with IPPF management and technical staff to establish core team management

4. Establish project core team management

6. Revise and finalize YEAR 1 budget and work plan

9. Establish project advisory team with local subcontractors

12. Project implementation begins

a a

11. Reproduce training and BCC materials

8. Develop MOUs with National partners

10. Meet with Districts Health management teams

5. Orient staff on project strategy and goals

7. National partners and stakeholders meeting

a a

Project Name: No Opportunities Wasted-Now! Project Goal: Empower women and girls to make healthy reproductive health choices and act on then through removing barriers, expanding supply of quality integrated services and enhance accountability

Project Purpose: The NOW! Project ensure we meet FP/RH comprehensive needs of women and girls and captures and responds to this information

Technical Capacity PPFN: PPFN is the largest service delivery organisation in Nigeria. PPFN had worked in partnership with all the RH serving organisations in the country; SFH, ARFH, Pathfinder International and Nigeria, PPFA-I, CEDPA, Ipas, AHI, Packard Foundation, MacArthur Foundation at the same time maintaining strong collaboration with the government. Presently PPFN runs its 40 clinics and provide technical and or managerial support to over 1000 Service delivery points through partnership and projects. PPFN like all full member associations of IPPF has a governance and management structure. The two structures complement each other in the management of the organisation. While the governance see to leadership, policy formulation and oversight functions and headed, the management on the other hand oversee to the direct implementation of the policies on day to day basis. The governance and management of PPFN is categorised at three levels (National, State and Local) to provide opportunity of all levels of

the organisation to participate in the effective functioning of PPFN. While at the National level, there exists a National Council and National Executive Committee headed by the National President, similar councils and committees exist at the state and local levels. The management is headed by the Director General/CEO who is assisted by three Executive Directors (National Programme & Technical Support; Finance& Support Services and Marketing & Public relations). The directorate is staffed with Managers in different fields of operation who supervise Programme Officers and other senior staff. At the Regional level, PPFN has six Regional Directors who supervise the programme and finance and support services departments. The Directors and Managers are qualified personnel from various fields such as Medicine, Public Health, Sociology, Accounting, Economic, Statistics, Nursing/Midwifery, Human Resource and Information Systems. The Directors and Senior Managers form the Senior Management Team (SMT). The SMT holds its meetings quarterly to review programmes and decisions, and forecast future direction of the organisation. Programme management performances are reviewed and appropriate actions taken to address critical areas that require attention. It considers external relations of PPFN and takes actions to promote good public relations with other stakeholders. Districts for NOW! Implementation: PPFN currently operates in all the regions of Nigeria. We are also comfortable operating in all the regions; including socially volatile states within the regions. However, it should be noted that DFID has focus states in Nigeria (which cuts across all the regions). It will be advisable the bid focuses on those states.

PO 5555: DFID RHFS 7

Consequently, we propose the following states with the regions: i. North West Region: (Kano, Kebbi, Sokoto and Jigawa) ii. North East Region: (Bauchi, Gombe, Yobe). We may consider Borno if DFID is willing to operate there given the volatile nature of the state iii. North Central Region: (Nasarawa, Kogi and Benue) iv. South-South Region: (Cross River and Delta) We may consider Bayelsa if DFID is willing to operate there given the volatile nature of the state v. South-East Region: (Ebonyi, Anambra and Abia) vi. SouthWest Region: (Osun, Ekiti, Ondo and Lagos) In selecting these states, emphasis was placed on the maternal and child mortality ratio as well as being DFID focused states. The North West Region and the North East Region classified as high maternal mortality regions in Nigeria:

Local Partners: Partnership with Government: PPFN right from its inception has cultivated a strong partnership with Governments (National, State and Local). Given the three-tiered government structure, PPFN has a Memorandum of understanding with the Federal government, a number of state governments and local government. The MOU is anchored on mutual collaboration for the achievement of the countryâ&#x20AC;&#x2122;s population, health and development goals.Specifically PPFN works closely with the Ministries of health (Federal, state) and LGA health departments. At the national level the collaboration with FMOH over policy development and review, service delivery, heath system strengthening, Contraceptive logistics management system and advocacy. In 2005 FMOH and PPFN organised a national Reproductive Health Summit in Nigeria. The summit reviewed reproductive health in Nigeria. Among the recommendations from the summit was a budget line for reproductive health in the National budget. Perhaps as a result of the summit among other efforts, the 2006 National budget had reproductive health budget line item. The partnership with government afforded PPFN recognition in the countryâ&#x20AC;&#x2122;s CLMIS and confers on PPFN

tax exemptions. Similarly PPFN participates in policy review committees and technical implementation committees of FMOH, National Planning Commission and National Agency for the Control of AIDS and the National Primary Health care Development Agency. Partnership with NGOs,CBOs and CSOs: PPFN works with fellow NGOs in Nigeria as part of its leveraging strategy and also within Networks and Consortia. PPFN is a member of a number of networks; Pac-Net The Post abortion care network: A think tank and service providers network on post abortion care; NiNPREH: Nigerian Network of NGOs on Reproductive health, Cishan: Network of civil society organisation on HIV/AIDS; Reproductive health Forum: this network of (PPFN, AHI, IAC, SWAAN and DEVCOMS); White Ribbon Alliance on Safe motherhood. PPFN maintains a good working relation with Society for Family Health (PSI partner) in contraceptive supply, research, malaria and advocacy. Also there were collaborations with Association for Reproductive & Family Health (ARFH) in pioneering dual protection including female condom. At the local level there were collaborations with Community based organisations with our volunteer members. There are partnerships with Service Delivery points (Clinics public and private, Pharmacy/Chemists, and Patent Medicine vendors). Private Sector: PPFN is working with private sector organisations to promote sexual reproductive health and rights services. In 2002, PPFN built the capacity of 8 Banks to start HIV/AIDS work place program. Since 2005, PFFN has been working with Shell Petroleum Development Company (SPDC), a for profit institution to provide HIV/AIDS prevention and care services to local communities in the Niger Delta Region of Nigeria. The project empowers the communities in SPDC operations areas to reduce HIV transmission in the populations. The project is implemented in partnership with the local communities. PPFN has also worked with Nigeria Breweries, Mobil Nigeria Limited, the Central Bank of Nigeria, and the Nigeria Army in the area of training of their health workers RH service provision covering all FP methods including implants.

8 PO 5555: DFID RHFS CAPACITY BUILDING ACTIVITIES MONTHS KEY MILESTONES

Indicators

Activities Summary

Rapid assessment conducted on unmet needs in FP/RH within project districts

FP/RH priority services determined

Apply RAP tools (SEED, Reality, and Does it match?) Ask Nigeria

a a

Highly Functioning QI

QI structure Established at all levels # of districts implementing QI practices # of review meetings per year

- Establish a central QI leadership team - Implement routine QI practices - Review results from QI practices - Training a CoreQI Team for the different levels

a a a a

Providers trained to provide the IPES Formal linkages established among RH/ MNC and FP Formal Referral systems in place

- Competency based training for all cadres of providers IPES - QI model applied to develop QI projects to strengthen linkages and referral systems - Assist public and private providers to participate in the referral networking model applied to improve referral systems at all levels - Develop Referral guidelines - Roll out use of guidelines by health facilities - Training staff referral tools and data collection - Implement improved referral

a a

Structure at all Levels

Integrated promotion to care (P2C) continuum built on an effective service delivery network linked by referral and cross- referral systems

Remarks

a a

a a a a

Manual and electronic client based management information system (CMIS) in place

CMIS capable to capture and report on IPES for women, young girls and PMSEUs

Manual and electronic tally sheets in place at all levels of care

a a a a

Effective logistics system in place that ensures availability of FP/RH Commodities

Availability of FP/RH commodities assured

- To assist facilities at all levels to improve commodity supply chain to provide adequate levels of FP/RH commodities. - Develop guidelines for logistics management - Training staff in logistics systems

a a a

PURPOSE

INDICATORS

ANNUAL PERFORMANCE TARGET

MONTHS

1 The NOW! Project ensure we meet FP/RH comprehensive needs of women and girls and captures and responds to this information

Remarks

% Percentage of contribution to national contraceptive distribution

12%

# of unintended pregnancies averted, estimated, all ages And under 25

134,345

# of Couple Years of Protection (CYP), all ages

537,379

PO 5555: DFID RHFS 9 OUTPUT 1: HIGH IMPACT COMPREHENSIVE AND INTEGRATED PACKAGE OF SERVICES MONTHS PERFORMANCE INDICATORS

Annual Performance Target

Activities Summary

# of FP/RH services provided (total, under 25) * 2010 SERVICE STATISTICS20% INCREASE IN Y1

Total: 6, 557,216 Under 25: 2,000.000

Provision of the iPES at all levels of the service delivery network

a a a a a a a a a a a a

# of contraceptive services(, all ages and under, under 25 * 2010 SERVICE STATISTICS40% INCREASE IN Y1

Total:10.750.000 Under 25: 5,000.000

Provision of the iPES at all levels of the service delivery network

a a a a a a a a a a a a

# of LARCs services (IUDs/ Implants)-all ages and under 25 * 2010 SERVICE STATISTICS50% INCREASE IN Y1

Total:219.000 Under 25:73.000

Provision of LARCs at all levels of the service delivery network

a a a a a a a a a a a a

# of STIs related services provided (All and under 25 ) * 2010 SERVICE STATISTICS - 30% INCREASE IN Y1

Total:56,180 Under 25: 39,000

Provision of STI prevention, diagnosis, treatment at all levels of the service delivery network

% of STIs clients receiving contraceptive services

60%-33,708

Provision of internal referrals for STIs clients to contraceptive services

a a a a a a a a a a a a

# of HIV-related services provided along the continuum of care * 2010 SERVICE STATISTICS - 40% INCREASE IN Y1

2,027.000

Provision of HIV related services based on the iPES

a a a a a a a a a a a a

% of HIV positive women receiving contraceptive services

100%

Provision of internal referrals for HIV positive

a a a a a a a a a a a a

% of women HIV positive receiving antenatal care referred to PMTCT services

70%

Provision of internal referrals for PMTCT services

a a a a a a a a a a a a

# of women receiving safe abortion related services * 2010 SERVICE STATISTICS-30% INCREASE IN Y1

22,756

Provision of the Continuum Safe abortion related services

a a a a a a a a a a a a

% of women that received safe abortion services receiving contraceptives

70%-15,929

Provision of internal referrals for PMTCT to women that received safe abortion services

a a a a a a a a a a a a

% of women referred to birth facilities over and under 25 years of age

70%

Provision of internal or external referrals to birth facilities

a a a a a a a a a a a a

%of women receiving at least one post-natal contact after delivery

60%

Use mobile technology to reach out women after delivery - text message Provision of post-natal care based on the iPES

a a a a a a a a a a a a

Remarks

10 PO 5555: DFID RHFS OUTPUT 2: REDUCE BARRIERS FOR WOMEN AND GIRLS AND PMSUs TO ACCESS QUALITY SERVICES MONTHS PERFORMANCE INDICATORS Annual Performance Target

Activities Summary

% of clients using modern contraception that are PMSUs (all ages and under 25)

60%

- Identify community level events to promote healthy behaviour messages (BCC) - Provision of modern contraception at all levels of the service delivery network through mid-level providers and community health agents

a a a a a a a a a a a a

Estimated % of clients that are PMSUs (all ages)

60%

Provision of FP/RH services throughout-reach programs

a a a a a a a a a a a a

Estimated % of clients that are PMSEUs (under 25)

50%

Include selected criteria from poverty score cards criteria within the manual or electronic Tally sheets at service delivery sites at urban and rural levels

% of clients receiving FP/RH services through outreach programs

50%

- Provision of FP/RH services throughout-reach programs - - Plan and target communities for outreach strategy Establish linkages with CBO and community leader - Train community leaders to provide information on FP/RH services

a a a a a a a a a a a a

% of clients receiving modern contraceptives through outreach programs

60%

- Provision of modern contraceptives throughout out-reach programs - Plan and target communities for outreach strategy Establish linkages with CBO and community leader Train community leaders to provide information on FP/RH services

a a a a a a a a a a a a

% of clients receiving FP/RH services through innovative financing schemes(vouchers, franchising, micro-financing)

20%

- Provision of FP/RH services through innovative financing schemes-voucher, franchising, micro financing - Pilot innovative financing schemes for selective FP/RH services

a a a a a a a a a a a a

% of clients receiving FP/RH services that were referred from community services

60%

Provide external referrals to FP/RH services from the community services to health facilities

a a a a a a a a a a a a

Remarks

PO 5555: DFID RHFS 11 OUTPUT 3: PERFORMANCE DELIVERY MONTHS PERFORMANCE INDICATORS

Annual Performance Target

Activities Summary

# of MOUs established with public and private service providers

Planning workshops Monitoring workshops

# of MOUs established with Community Based Organizations(CBOs)

140

Planning workshops Monitoring workshops

% of women reporting satisfaction with the FP/RH services

70%

- Client satisfaction surveys(client exit interviews)-once a Year - Client satisfaction boxes within all service delivery sites

% of health facilities , including NGOs, public and private sectors with consistent M&E system for program planning and reporting

40%

- Training management staff on M&E systems - Monitoring implementation of consistent M&E system

a a a a a a a a a a a a

Remarks

12 PO 5555: DFID RHFS

Annex 2 - Detailed Country Cost Submission Guidelines for using the Budget Template

Programme budget currency:

KEY: Cost and service volume inputs should be entered in blue cells Cost/ service allocations should be selected from lists in grey cells

The budget template should be prepared in GBP, using the respective Local Currency exchange rate(LC) of the partner or country, and listed in the template (listed in the penultimate tab of this spreadsheet. Due to current exchange rate volatility spot rates taken from the Financial Times are to be used. The budget should be presented in GBP only.

PLEASE SET FORMULA CALCULATION SETTINGS TO AUTOMATIC WHEN USING THIS TEMPLATE

Introduction: Each partner/ country organisation must populate the ‘Programme Budget’,’Service Delivery Matrix’, and ‘Year 1 workplan’ tabs as follows: •

Programme Budget input and costs (facilitates development of programme budget in a traditional format, via input in blue cells

•

Programme budget allocation of cost (3 allocation fields- faciliates conversion of programme budget into service costing data via selections in grey cells)

•

Service Delivery Matrix (input of projected programme service volumes by IPPF & donor service category, in blue cells)

•

Year 1 workplan (costs workplan activities and indicators, via input of agreed targets in blue cells)

The completion of these fields the generates the following output cost data, for review and benchmarking: •

Service Delivery & Cost Matrix (unit cost for all service types under Donor service delivery headings)

•

Unit Cost Profile (unit cost per individual service broken down by cost type)

Each step of the template process is broken down in more detail below. Note- template will be tailored prior to distribution to each country/ partner organisation for each competition to ensure format fits with specific work-plan. Where additional rows or format changes are required, this should be requested to IPPF central office who amend and re-distribute. Users should review the control sheet as they complete the template, to ensure any errors or discrepancies are identified and rectified.

Programme budget personnel inputs and fee rates: Project management/ admin/ technical asistance costs should be entered under this section. Personnel costs should be entered by individual, specifying their role in the description section, with costs input at a daily rate for a specified number of days. Permanent staff should be entered under Long Term, consultants and short term technical assistance (STTA) should be entered under Short Term. Staff costs directly related to specific service workstreams, such as clinic staff, should be entered in the relevant section of Workstream Programme costs.

Programme Budget Travel/ living costs: Where flights are required, the description should specify the origin and destination for each proposed trip, duration of travel, and number of individuals travelling. Consistent policy on travel expenses should be applied across all partners and countries. Policy guidelines have been provided in the policy guidelines tab.

Programme Budget Equipment: Significant equipment purchases greater than £1,000 (for example vehicles, high-value clinical equipment) should be detailed in the equipment section within the workstream to which the spreadsheet relates. Lower value equipment purchases relating to specific workstreams should be entered under the Programme Workstreams section.

Programme Workstream Costs: All programme activity & service delivery costs should be entered in this section. It is expected that, as a minimum, this will comprise the following, on time/ materials basis (suggested input type in brackets): •

clinic staff costs,professional and ancilliary (number of days)

•

clinical and non clinical commodities (number of items)

•

clinic running costs and utilities (number of days)

As discussed below, input will need to be sufficiently detailed to allow allocation to individual service. For example, if a doctor is to be employed to perform medical abortions, surgical abortions, and treatment of incomplete abortions, her or his time would need to be split and entered/ allocated seperately in respect of each type of service delivery. This principle must be followed for all cost inputs.

Programme Budget Cost Allocation field 1- Service Delivery Point allocation: The donor has developed a service delivery matrix template across these delivery headings. All costs must therefore be allocated to the appropriate delivery, by selecting the appropriate option from the drop down list in column F.

PO 5555: DFID RHFS 13

Programme Budget Cost Allocation field 2 - Service allocation: Each cost entered in the programme budget must be allocated to an individual service provision, selected from the drop down list in column G. As noted above in the workstream costs section, costs need to be split out in respect of each type of service to be delivered to faciliate this allocation. The service options are sourced from the IPPF Service Statistics template (with not applicable services excluded). This includes the following cross cutting categories to facilitate allocation of indirect costs: •

Indirect costs that contribute to all of the workstreams/ service areas, e.g. project director- these should be allocated to ‘cross cutting- overheads’

•

Indirect costs that contribute to a specific service area, e.g. Abortion workstream co ordinator- these should be allocated to the appropriate ‘cross cutting- service area’ option.

The Service Delivery & Cost Matrix and Unit Cost Profile will then allocate these across individual services on a pro rata basis.

Programme Budget Cost Allocation field 3- cost type allocation: Each cost entered in the programme budget must also be allocated to a cost type, selected from the drop down list in column H (e.g. unqualified staff, qualified staff, lab costs, clinical commodity costs, non clinical commodity costs, etc). This includes the following cross cutting categories to facilitate allocation of indirect costs: •

Indirect costs that contribute to all of the workstreams/ service areas, e.g. project director- these should be allocated to ‘cross cutting- overheads’

•

Indirect costs that contribute to a specific service area, e.g. Abortion workstream co ordinator- these should be allocated to the appropriate ‘cross cutting- service area’ option.

The Service Delivery & Cost Matrix and Unit Cost Profile will then allocate these across individual services on a pro rata basis.

Programme Budget Cost Allocation field 4- activity allocation: Each cost entered in the programme budget must also be allocated to an activity in the approved workplan, selected from the drop down list in column I. •

Indirect costs that contribute to all of the activities, e.g. project director- these should be allocated to ‘cross cutting- overheads’

•

Indirect costs that contribute to a specific activity, e.g. Abortion workstream co ordinator- these should be allocated to the appropriate ‘cross cutting- service area’ option.

The workplan template will then allocate these across individual services on a pro rata basis.

Service Delivery Matrix: Each partner/ country organisation must enter projected service volume data by service (vertical categories, sourced from IPPF Service Statistics template), and by service delivery mechanism (horizontal categories, based on donor template), over the three years of the project. These projections should be agreed with CO and RO programme leads, and reconcile to the country project log workplan targets.

Service Delivery and Cost Matrix: Once the above input areas have been completed, the Service Delivery and Cost Matrix will be generated automatically to show cost and volume for each service entered in the Service Delivery Matrix. The user must select the year they are interested (cell B7) in and data will be provided for that year (options are Year 1, Year 2, Year 3, and ALL YEARS).

Unit cost profile: Once the above input areas have been completed, the Unit cost profile can be generated for any service entered in the Service Delivery Matrix. The user must select the service delivery point and service that they are interested, and the profile will be generated automatically. The year will be whichever year has been selected for the Service Delivery and Cost Matrix. We would expect that each country/ partner organisation review this for all services entered, to ensure that the costs and volume input in the budget and Service Delivery Matrix appear reasonable, both from a cost efficiency perspective, but also in terms of quality (i.e. appropriate level of qualified and qualified staff time identified, appropriate clinical commodities usage identified).

Budget Notes: n preparing budget submissions in the above format, we would request that partners prepare and submit detailed budget notes explaining the budget structure, volumes, unit costs, key assumptions. Summary budget notes will need to be submitted by IPPF as part of the bid.

Budget period: please produce annual budgets for the 3 years of the project life [assumed for purposes of this example template]. A 3 month design phase budget should also be prepared in the relevant section of the Programme Budget. This will be excluded from Year 1-3 service cost data but will be incorporated within ALL YEARS cost data.

Inflation uplifts: these should be applied wihen projecting country costs over the 3 years, using the country specific rates listed in the final tab.

14 PO 5555: DFID RHFS

Total Price

ALL YEARS Inputs

£0

LT Technical Support to Specific Workstreams

£0

Unit Price

Total Price

Year 3 Unit Price

£0

Inputs

Total Price

Year 2

Inputs

Unit Price

Year 1 £0

Inputs

ASSISTANCE)

Inputs

Total Price

Allocation 4 Workplan activity

Unit Price

Allocation 3 Cost type

Total Price

Allocation 2 service type

LT Management & Administration

PERSONNEL (MANAGEMENT & TECHNICAL

Unit Price

Allocation 1 service delivery point

Input Type

Description

Budget Heads

Design phase (3 months)

Cost inputs and details should be input in blue cells Cost allocations (1-3) must be selected in grey cells Direct service delivery costs (including clinic staff) should be included under programme workstream section Currency: GBP

IPPF: Reproductive Health Services Framework Partner Programme Budget (June 2011) Organisation: IPPF Country: Nigeria Inflation rate: 11%

Days

Long Term Staff

Sub Total Long Term Staff

£0

Short Term Personnel International STTA specific to workstream

£0

Regional STTA specific to workstream

£0

Other if required

Sub total Short Term Staff Support Staff

£0

Days

Country project admin officer

£0

Sub total Support Staff

£0

TOTAL PERSONNEL (MANAGEMENT & TECHNICAL ASSISTANCE) REIMBURSABLES TRAVEL & RELATED COSTS (MANAGEMENT & TECHNICAL ASSISTANCE) International Flights

Return flight

£0

input routes

£0

input routes

£0

ALL YEARS

£0

input routes

£0

Regional Flights

Return flight

input routes

National Flights

Total Price

Inputs

Unit Price

Total Price

Year 3 Unit Price

£0

Inputs

Total Price

Year 2 Unit Price

Inputs

Total Price

Year 1 £0

Inputs

Unit Price

Allocation 4 Workplan activity

Design phase (3 months)

Allocation 3 Cost type

Total Price

Allocation 2 service type

input routes

Unit Price

Allocation 1 service delivery point

Input Type

Description

Budget Heads

PO 5555: DFID RHFS 15

Return flight

input routes

Other Travel Costs Ground Transport International

Return trip

£0

Ground Transport National

Per Month

£0

•ehicles or Car Hire

Per Month

£0

Other as required

Sub total Travel (management & technical

£0

assistance)

£0

DAILY LIVING COSTS (MANAGEMENT & TECHNICAL ASSISTANCE)

Long term (Long term expatriate posts only) - If applicable Housing allowance

Per Month

£0

Rented accommodation

Per Month

£0

Short Term Hotel

Per night

ASSISTANCE)

£0

Total Price

ALL YEARS Inputs

Unit Price

Total Price

Year 3 Unit Price

£0

Inputs

Total Price

Year 2 Unit Price

Inputs

Total Price

£0

Sub total Daily Living Costs

SUBSISTENCE (MANAGEMENT & TECHNICAL

Year 1 Unit Price

Inputs

Allocation 4 Workplan activity

Total Price

Allocation 3 Cost type

Design phase (3 months)

Allocation 2 service type

Inputs

Allocation 1 service delivery point

Unit Price

Input Type Per night

Unit Price

Rented accommodation

Description

Budget Heads

16 PO 5555: DFID RHFS

£0 £0

Days

Per diems

£0

Per diems

£0

Per diems

£0

Per diems

£0

Per diems

£0

Sub total Subsistence (management & technical assistance)

EQUIPMENT

£0

Per item

Items required to carry out workstream insert

£0

insert

£0

insert

£0

Sub total Equipment

MISCELLANEOUS (MANAGEMENT & TECHNICAL ASSISTANCE)

£0

Per Month

Communications

£0

Other items as required

£0

Sub total Miscellaneous

£0

ALL YEARS Total Price

Unit Price

Inputs

Total Price

Year 3 Unit Price

Inputs

Total Price

Year 2 Unit Price

Inputs

Total Price

Unit Price

Inputs

Year 1

Design phase (3 months)

Allocation 4 Workplan activity

Total Price

Allocation 3 Cost type

Unit Price

Allocation 2 service type

Inputs

Allocation 1 service delivery point

Unit Price

Input Type

Description

Budget Heads

PO 5555: DFID RHFS 17

PROGRAMME WORKSTREAM COSTS (populate all direct service delivery & activity cost inputs and costs below in line with agreed programme workstreams- activities below

per activity

are examples of how components should be presented) Output 1

Please enter activity budget

Please input

£0

Please input

£0

Please input

£0

Total

Please enter activity budget

£0

Total

Please enter activity budget

£0

Total

Please enter activity budget

£0

Please input

£0

Total Price

ALL YEARS Unit Price

Inputs

Total Price

Year 3 Unit Price

Inputs

Total Price

Year 2 Unit Price

Inputs

Year 1 Total Price

Unit Price

Inputs

Total Price

Allocation 4 Workplan activity

Design phase (3 months)

Allocation 3 Cost type

Unit Price

Allocation 2 service type

Inputs

Allocation 1 service delivery point

Unit Price

Input Type

Description

Budget Heads

18 PO 5555: DFID RHFS

Total

£0

Sub total output 1

£0

Output 2

Please enter activity budget

Please input 0

£0

Total

Please enter activity budget

Please input

£0

Total

£0

Sub total output 2

£0

Output 3

Please enter activity budget

Please input

£0

Allocation 3 Allocation 4

Cost type Workplan activity

Total Price

Unit Price Total Price

Unit Price Total Price Inputs

0 £0 0 £0 0 £0 0 £0 0 £0 £0 £0

Total Price

Unit Price

Inputs

Inputs Unit Price

Please enter activity budget Total Price

Total Unit Price

ALL YEARS

Year 3

Year 2

Year 1

Design phase (3 months)

Allocation 2 service type

Inputs

Allocation 1 service delivery point

Unit Price

Input Type

Description

Budget Heads

PO 5555: DFID RHFS 19

Total £0 £0 £0 £0 £0 £0 £0

Sub total output 3 £0 £0 £0 £0 £0 £0 £0

Sub total Programme Output costs

£0

CHECK [SERVICE DELIVERY & COST MATRIX-

RECONCILIATION WILL DEPEND ON YEAR

SELECTED IN MATRIX]

DIFFERENCE Allocation 3 Allocation 4

Cost type Workplan activity

Total Price

Unit Price

Inputs

Total Price

Unit Price

Inputs

Total Price

Unit Price

Inputs

Total Price

Unit Price

Inputs

Total Price

Unit Price

ALL YEARS

Year 3

Year 2

Year 1

Design phase (3 months)

Allocation 2 service type

Inputs

Allocation 1 service delivery point

Unit Price

Input Type

Description

Budget Heads

20 PO 5555: DFID RHFS

TOTAL REIMBURSABLES £0 £0 £0 £0 £0 £0 £0

TOTAL COSTS £0 £0 £0 £0 £0 £0 £0

Service

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social franchising

social marketing

Organisation: IPPF Country: Nigeria Please populate service volume columns

Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 service volume Year 2 service volume Year 3 service volume All Years Service Volume Year 1 Year 2 Year 3 All Years Service Volume

Service Delivery Matrix Service provision types sourced from IPPF service statistics template, adjusted to exclude non applicable services

capacity building/ quality management

PO 5555: DFID RHFS 21

110000000 FAMILY PLANNING METHODS

111100000 CONTRACEPTIVES - ORAL CONTRACEPTIVES

111100119 Contraceptives - Oral Contraceptives - OC - Method Specific Counselling

111100999 Contraceptives - Oral Contraceptives - OC - OTHER

111101000 CONTRACEPTIVES - COMBINED & PROGESTOGEN-ONLY ORAL CONTRACEPTIVES

111101110 Contraceptives - Oral Contraceptives - COC & POC - Initial Consultation

111101111 Contraceptives - Oral Contraceptives - COC & POC - Follow up/Resupply

111101999 Contraceptives - Oral Contraceptives - COC & POC - OTHER

111110000 CONTRACEPTIVES - INJECTABLE CONTRACEPTIVES

111110119 Contraceptives - Injectable Contraceptives - Method Specific Counselling

111110999 Contraceptives - Injectable Contraceptives - OTHER

111111000 CONTRACEPTIVES - COMBINED INJECTABLE CONTRACEPTIVES - CIC

111111110

Contraceptives - Combined Injectable Contraceptives (1 month) - Initial Consultation

111111111

Contraceptives - Combined Injectable Contraceptives (1 month) - Follow up/Resupply

111111999 Contraceptives - Combined Injectable Contraceptives (1 month) - OTHER

111112000 CONTRACEPTIVES - PROGESTOGEN ONLY INJECTABLES (2 MONTHS)

111112110 Contraceptives - Progestogen Only Injectables (2 months) - Initial Consultation

111112111 Contraceptives - Progestogen Only Injectables (2 months) - Follow up/Resupply

111112999 Contraceptives - Progestogen Only Injectables (2 months) - OTHER

111113000 CONTRACEPTIVES - PROGESTOGEN ONLY INJECTABLES (3 MONTHS)

111113110 Contraceptives - Progestogen Only Injectables (3 months) - Initial Consultation

111113111 Contraceptives - Progestogen Only Injectables (3 months) - Follow up/Resupply

111113999 Contraceptives - Progestogen Only Injectables (3 months) - OTHER

111120000 CONTRACEPTIVES - SUBDERMAL IMPLANTS

111120112 Contraceptives - Subdermal Implants - Removal

111120119 Contraceptives - Subdermal Implants - Method Specific Counselling

111120999 Contraceptives - Subdermal Implants - OTHER

111123000 CONTRACEPTIVES - SUBDERMAL IMPLANTS 2 rods

111123110 Contraceptives - Subdermal implants 2 rods - Initial Consultation/Insertion

111123111 Contraceptives - Subdermal implants 2 rods - Follow up/Reinsertion

111123999 Contraceptives - Subdermal implants 2 rods - OTHER

111124000 CONTRACEPTIVES - SUBDERMAL IMPLANTS 1 rods

111124110 Contraceptives - Subdermal implants 1 rod - Initial Consultation/Insertion

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

22 PO 5555: DFID RHFS

111124111 Contraceptives - Subdermal implants 1 rod - Follow up/Reinsertion

111124999 Contraceptives - Subdermal implants 1 rod - OTHER

111130000 CONTRACEPTIVES - OTHER HORMONAL METHODS

111130999 Contraceptives - Other hormonal methods - OTHER

111132000 CONTRACEPTIVES - OTHER - TRANSDERMAL PATCH (1 month)

111132110 Contraceptives - Other methods - Transdermal Patch (1 month) - Initial Consultation

111132111 Contraceptives - Other methods - Transdermal Patch (1 month) - Follow up/Resupply

111132119 Contraceptives - Other methods - Transdermal Patch (1 month) - Method Specific Counselling

111132999 Contraceptives - Other methods - Transdermal Patch (1 month) - OTHER

112140000 CONTRACEPTIVES - CONDOMS

112140999 Contraceptives - Condoms (Male and Female) - OTHER

112141000 CONTRACEPTIVES - MALE CONDOMS

112141110 Contraceptives - Condoms - Male Condom - Initial Consultation

112141111 Contraceptives - Condoms - Male Condom - Follow up/Resupply

112141119 Contraceptives - Condoms - Male Condom - Method Specific Counselling

112141999 Contraceptives - Condoms - Male Condom - OTHER

112142000 CONTRACEPTIVES - FEMALE CONDOMS

112142110 Contraceptives - Condoms - Female Condom - Initial Consultation

112142111 Contraceptives - Condoms - Female Condom - Follow up/Resupply

112142119 Contraceptives - Condoms - Female Condom - Method Specific Counselling

112142999 Contraceptives - Condoms - Female Condom - OTHER

113170000 CONTRACEPTIVES - IUD

113170112 Contraceptives - IUD - Removal

113170119 Contraceptives - IUD - Method Specific Counselling

113170999 Contraceptives - IUD - OTHER

113171000 CONTRACEPTIVES - IUD Hormone releasing IUD (5 years)

113171110 Contraceptives - IUD - Hormone releasing IUD (5 years) - Initial Consultation/Insertion

113171111 Contraceptives - IUD - Hormone releasing IUD (5 years) - Follow up/Reinsertion

113171999 Contraceptives - IUD - Hormone releasing IUD (5 years) - OTHER

113172000 CONTRACEPTIVES - IUD Copper releasing IUD (10 years)

113172110 Contraceptives - IUD - Copper releasing IUD (10 years) - Initial Consultation/Insertion

113172111 Contraceptives - IUD - Copper releasing IUD (10 years) - Follow up/Reinsertion

113172999 Contraceptives - IUD - Copper releasing IUD (10 years) - OTHER

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

PO 5555: DFID RHFS 23

120180000 CONTRACEPTION - VOLUNTARY SURGICAL CONTRACEPTION (VSC)

120180999 Contraception - Voluntary Surgical Contraception (VSC) - OTHER

121181000 CONTRACEPTION - FEMALE VOLUNTARY SURGICAL CONTRACEPTION (FVSC)

121181112 Contraception Surgical - Female VSC - Reversal

121181119 Contraception Surgical - Female VSC - Method Specific Counselling

121181211 Contraception Surgical - Female VSC - Minilaparatomy - Follow up

121181213 Contraception Surgical - Female VSC - Minilaparatomy - Contraceptive Surgery

121181311 Contraception Surgical - Female VSC - Laparoscopy - Follow up

121181313 Contraception Surgical - Female VSC - Laparoscopy - Contraceptive Surgery

121181411 Contraception Surgical - Female VSC - Laparotomy - Follow up

121181413 Contraception Surgical - Female VSC - Laparotomy - Contraceptive Surgery

121181999 Contraception Surgical - Female VSC - OTHER

122182000 CONTRACEPTION - MALE VOLUNTARY SURGICAL CONTRACEPTION (MVSC)

122182112 Contraception Surgical - Male VSC - Reversal

122182119 Contraception Surgical - Male VSC - Method Specific Counselling

122182211 Contraception Surgical - Male VSC - Incisional vasectomy - Follow up (Sperm count)

122182213 Contraception Surgical - Male VSC - Incisional vasectomy - Contraceptive Surgery

122182311 Contraception Surgical - Male VSC - No-scalpel Vasectomy - Follow up (Sperm count)

122182313 Contraception Surgical - Male VSC - No-scalpel Vasectomy - Contraceptive Surgery

122182999 Contraception Surgical - Male VSC - OTHER

141200000 FAMILY PLANNING GENERAL COUNSELLING

141200118 Contraception - FP General Counselling

141200218 Contraception - FP General Counselling - Combined Counselling (FP - HIV/AIDS incl. Dual protection

141200999 Contraception - FP General Counselling - OTHER

145210000 EMERGENCY CONTRACEPTION SERVICES

145210999 Emergency Contraception Services - OTHER

145211000 EC - COUNSELLING

145211119 EC - Counselling

145211999 EC - Counselling - OTHER

145212000 EC - THERAPEUTIC

145212110 EC - Combined Oral Contraceptives - Yuzpe - Contraceptive Supply (Treatment)

145212111 EC - Combined Oral Contraceptives - Yuzpe - Follow Up

145212210 EC Progestogen Only Pills - Contraceptive Supply (Treatment)

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

24 PO 5555: DFID RHFS

145212211 EC Progestogen Only Pills - Follow Up

145212310 EC Dedicated Product - Contraceptive Supply (Treatment)

145212311 EC Dedicated Product - Follow Up

145212410 EC Copper releasing IUD - DIU Insertion (Treatment)

145212411 EC Copper releasing IUD - Follow Up

145212999 EC - Therapeutic - OTHER

250000000 SRH (NON FAMILY PLANNING) SERVICES

252220000 ABORTION SERVICES

252220999 Abortion Services - OTHER

252221000 ABORTION COUNSELLING

252221129 Abortion Counselling - Pregnancy options Counseling - Including Family Planning

252221229 Abortion Counselling - Counselling on HIV Testing

252221329 Abortion Counselling Harm Reduction Initial Consultation

252221999 Abortion Counselling - OTHER

252222000 ABORTION / PRE-ABORTION DIAGNOSTICS

252222121 Abortion Diagnosis - Exclusion of Anaemia (Haemoglobin and/or Hematocrit tests)

252222221 Abortion Diagnosis - Tests for ABO and Rhesus (Rh) blood groups typing

252222321 Abortion Diagnosis - Exclusion of ectopic pregnancy (through ultrasound)

252222421 Abortion Diagnosis - Cervical cytology (Pap test or visual acid test)

252222521 Abortion Diagnosis - HIV testing

252222999 Abortion Diagnosis - OTHER

252223000 ABORTION / INDUCED - SURGICAL

252223123 Abortion Induced (Surgical) - Dilatation And Curettage (D&C)

252223223 Abortion Induced (Surgical) - Dilatation And Evacuation (D&E) (2nd trimester of pregnancy)

252223323 Abortion Induced (Surgical) - Vacuum Aspiration (Manual or Electrical)

252223999 Abortion Induced (Surgical) - OTHER

252224000 ABORTION (MEDICAL)

252224122 Abortion Induced (Medical) - Drug induced (combination of mifepristone and misopristol))

252224222 Abortion Induced (Medical) - Drug induced (Misoprostol Only)

252224999 Abortion Induced (Medical) - OTHER

252225000 ABORTION / INCOMPLETE ABORTION TREATMENT (SURGICAL/MEDICAL)

252225123 Abortion (Incomplete Abortion) - Surgical treatment / D&C or D&E

252225223 Abortion (Incomplete Abortion) - Surgical treatment / Vacuum aspiration

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

PO 5555: DFID RHFS 25

252225722 Abortion (Incomplete Abortion) - Medical treatment

252225999 Abortion (Incomplete Abortion) - OTHER

252226000 ABORTION / POST ABORTION FOLLOW UP

252226120 Abortion - Post - Follow-up incl. Uterine Involution Monitoring & Bimanual Pelvic Exam.

252226999 Abortion - Post Abortion Follow-up - OTHER (including treatment of complications)

252227000 ABORTION / POST ABORTION COUNSELLING

252227129 Abortion Counselling - Post Abortion Counseling - Including Family Planning

252227229 Abortion Counselling Harm Reduction Follow-up Consultation

252227999 Abortion Counselling - Post Abortion Counseling and family planning counselling

253230000 HIV/AIDS SERVICES

253230999 HIV/AIDS Services - OTHER

253231000 HIV/AIDS TREATMENT CONSULTATION

253231122 HIV/AIDS Consult - Treatment- Anti Retro Viral (ARV)

253231222 HIV/AIDS Consult - Treatment - Opportunistic Infection (OI)

253231322 HIV/AIDS Consult - Treatment - Post Exposure Prophylaxis (PEP)

253231422 HIV/AIDS Consult - Treatment - Psycho-Social Support

253231522 HIV/AIDS Consult - Treatment - Home Care

253231999 HIV/AIDS Consult - Treatment - OTHER

253232000 HIV/AIDS SERO STATUS LAB TESTS

253232121 HIV/AIDS Antibody Lab Tests - ELISA (Blood) Test

253232221 HIV/AIDS Antibody Lab Tests - Western Blot (WB) Assay

253232321 HIV/AIDS Antibody Lab Tests - Indirect Immunofluorescence Assay (IFA)

253232421 HIV/AIDS Other Lab Tests - Rapid Test (Murex-SUDS)

253232999 HIV/AIDS Other Sero Status Lab Tests - OTHER

253233000 HIV/AIDS LAB TESTS (OTHER)

253233121 HIV/AIDS Other Lab Tests - Urine Test for HIV

253233221 HIV/AIDS Other Lab Tests - Assessment of Immunologic Function (Viral Load)

253233321 HIV/AIDS Other Lab Tests - Assessment of Immunologic Function (CD4 count)

253233999 HIV/AIDS Other Lab Tests - OTHER

253234000 HIV/AIDS PREVENTION COUNSELING

253234129 HIV/AIDS Prevention Counselling

253234999 HIV/AIDS Prevention Counselling - OTHER

253235000 HIV/AIDS PRE/POST TEST COUNSELLING

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

26 PO 5555: DFID RHFS

253235129 HIV/AIDS Counselling - PRE Test

253235229 HIV/AIDS Counselling - POST Test (Positive) - Clients Only

253235329 HIV/AIDS Counseling - POST Test (Negative)

253235429 HIV/AIDS Counseling - POST Test (Positive) - Sexual Partners

253235529 HIV/AIDS Counselling - POST Test

253235999 HIV/AIDS Counseling - OTHER

254240000 STI/RTI SERVICES

254240999 STI/RTI Services - OTHER

254241000 STI/RTI PREVENTION / POST TEST COUNSELLING

254241129 STI/RTI Counseling - Prevention Counseling

254241229 STI/RTI Counseling - POST Test

254241999 STI/RTI Prevention / Post Test Counseling - OTHER

254242000 STI/RTI CONSULTATION

254242120 STI/RTI Consultation - Follow Up

254242999 STI/RTI Consultation - OTHER

254243000 STI/RTI LAB TESTS

254243121 STI/RTI Test - Bacterial Vaginosis

254243221 STI/RTI Test - Candidiasis

254243321 STI/RTI Test - Chancroid

254243421 STI/RTI Test - Chlamydia

254243521 STI/RTI Test - Gonorrhea

254243999 STI/RTI Test - OTHER

254244000 STI/RTI LAB TESTS (CONTINUED…)

254244121 STI/RTI Test - Herpes Simplex (HSV)

254244221 STI/RTI Test - Human Papillomavirus (HPV)

254244321 STI/RTI Test - Syphilis

254244421 STI/RTI Test - Trichomoniasis

254244521 STI/RTI Test - Hepatitis A and B

254244999 STI/RTI Test - OTHER

254245000 STI/RTI TREATMENT (including prophylactics)

254245122 STI/RTI Treatment - Syndromic diagnosis with clinical treatment

254245222 STI/RTI Treatment - Etiological diagnosis with clinical treatment

254245322 STI/RTI Treatment – Hepatitis A vaccination

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

PO 5555: DFID RHFS 27

254245422 STI/RTI Treatment – Hepatitis B vaccination

254245522 STI/RTI Treatment – HPV vaccination

254245999 STI/RTI Treatment - OTHER

255250000 GYNECOLOGICAL SERVICES

255253000 GYNECOLOGICAL DIAGNOSTIC IMAGING

255253321 Gynecological Diagnostic Imaging - Ultrasonography

255253521 Gynecological Diagnostic Imaging - Dexa, Bone Density Scan

255253999 Gynecological Diagnostic Imaging - OTHER

255254000 GYNECOLOGICAL EXAM DIAGNOSIS

255254121 Gynecological Exam - Manual Pelvic Exam (includes Palpation)

255254221 Gynecological Exam - Manual Breast Exam

255254321 Gynecological Exam - Cervical cancer screening (Pap smear)

255254421 Gynecological Exam - Consultation without pelvic exam

255254521 Gynecological Exam Cervical cancer screening Visual Inspection (VIA or VILI)

255254621 Gynecological Exam Cervical cancer screening - Liquid-based cytology (sampling procedure)

255254721 Gynecological Exam Cervical cancer screening - HPV DNA test (sampling procedure)

255254999 Gynecological Exam - OTHER

255255000 GYNECOLOGICAL CYTOLOGIC TESTS

255255121 Gynecological Lab Test - Cytology Analysis

255255221 Gynecological Lab Test - Cytology Analysis - Liquid-based cytology

255255321 Gynecological Lab Test -Cervical cancer screening - HPV DNA test

255255999 Gynecological Lab Test - OTHER

256260000 OBSTETRICS SERVICES

256260999 Obstetric Services - OTHER

256261000 OBSTETRICS - PRE NATAL DIAGNOSTIC PROCEDURES

256261121 Obstetrics - Pre-Natal Diagnostic - Fetoscopy

256261221 Obstetrics - Pre-Natal Diagnostic - Ultrasonography, Pre-natal

256261321 Obstetrics - Pre-Natal Diagnostic - Pelvimetry

256261421 Obstetrics - Pre-Natal Diagnostic - Placental Function Tests

256261999 Obstetrics - Pre-Natal Diagnostic - OTHER

256262000 OBSTETRICS - PRE NATAL CARE

256262121 Obstetrics - Pre natal Care - Uterine Monitoring

256262221 Obstetrics - Pre natal Care - Fetal Monitoring

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

28 PO 5555: DFID RHFS

256262422 Obstetrics - Pre natal Care - Immunisations

256262999 Obstetrics - Pre natal Care - OTHER

256263000 OBSTETRICS - PRE NATAL COUNSELLING

256263129 Obstetrics - Pre natal Counselling - Pre Natal Care Info

256263229 Obstetrics - Pre natal Counselling - Unplanned Pregnancy

256263329 Obstetrics - Pre natal Counselling - HIV Prevention and Testing

256263999 Obstetrics - Pre natal Counselling - OTHER

256264000 OBSTETRICS - PREGNANCY TESTS

256264121 Obstetrics - Lab Tests - Pregnancy Tests - Agglutination Inhibition - Urine 1 test

256264221 Obstetrics - Lab Tests - Pregnancy Tests - Radioimmunoasays - Blood test

256264999 Obstetrics - Lab Tests - Pregnancy Tests - OTHER

256265000 OBSTETRICS - PRE NATAL LAB TESTS

256265121 Obstetrics - Pre-Natal Lab Tests - Urine 1

256265221 Obstetrics - Pre-Natal Lab Tests - Glicemia de Jejum

256265321 Obstetrics - Pre-Natal Lab Tests - Hemoglobin (HB)

256265421 Obstetrics - Pre-Natal Lab Tests - Blood Type

256265521 Obstetrics - Pre-Natal Lab Tests - VDRL

256265621 Obstetrics - Pre-Natal Lab Tests - HIV

256265721 Obstetrics - Pre-Natal Lab Tests - Amniocentesis

256265821 Obstetrics - Pre-Natal Lab Tests - Chorionic Villi Sampling

256265999 Obstetrics - Pre-Natal Lab B179Tests - OTHER

256267000 OBSTETRICS - SURGERY CHILD BIRTH

256267123 Obstetrics - Surgery - Child Birth, Vaginal Delivery

256267223 Obstetrics - Surgery - Child Birth, Cesarean Delivery

256267323 Obstetrics - Surgery - Emergency Obstetric Care (EmOC)

256267999 Obstetrics - Surgery - OTHER

256268000 OBSTETRICS - POST NATAL CARE

256268120 Obstetrics - Post natal Care - Consultation including Uterine Involution Monitoring

256268999 Obstetrics - Post natal Care - OTHER

256269000 OBSTETRICS - POST NATAL COUNSELLING

256269129 Obstetrics - Post-Natal Counselling - FP Methods

256269229 Obstetrics - Post-Natal Counselling - Breastfeeding Advice

256269329 Obstetrics - Post-Natal Counselling - HIV Counselling

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

social marketing

social franchising

capacity building/ quality management

PO 5555: DFID RHFS 29

256269999 Obstetrics - Post-Natal Counselling - OTHER

261291329 Counselling - GBV - Legal Counseling

261291429 Counselling - GBV - Intimate Partner Sexual Abuse

261291529 Counselling - GBV - Intimate Partner Physical Abuse

261291629 Counselling - GBV - Intimate Partner Emotional Abuse

261291729 Counselling - GBV - NonIntimate Partner Sexual Assalt/Rape

261291829 Counselling - GBV - Screening Only - Gender Based Violence (GBV)

261291999 Counselling - GBV - OTHER

262292000 COUNSELLING - DOMESTIC VIOLENCE

262292129 Counselling - Domestic Violence, Child Abuse

262292229 Counselling - Domestic Violence, Screening Only Child Abuse

262292999 Counselling - Domestic Violence - OTHER

262293000 COUNSELLING - FAMILY

262293129 Counselling - Family - Parent/Child Relationship

262293229 Counselling - Family- Family Conflict

262293329 Counselling - Family, Delinquency

262293999 Counselling - Family - OTHER

262294000 COUNSELLING - PRE-MARITAL / MARITAL

262294129 Counselling - Pre-Marital including Pre-Marital Family Planning

262294229 Counselling - Marital - Relationship, Partner Negotiation

262294329 Counselling - Marital - Sexuality / Sexual Disfunction

262294999 Counselling - Marital - OTHER

262295000 COUNSELLING - YOUTH (less than 25 yrs)

262295129 Counselling - Youth - Life Skills Counseling

262295229 Counselling - Youth - Sexuality

262295329 Counselling - Youth - Telephone / Internet Hotline Counseling

262295429 Counselling - Youth - SRH Counselling

262295999 Counselling - Youth - OTHER

262296000 COUNSELLING - MALE

262296129 Counselling - Male - SRH Counselling

262296229 Counselling - Male - Sexuality

262296329 Counselling - Male - GBV

262296999 Counselling - Male - OTHER

263297000 COUNSELLING SERVICES (OTHER) 0 0 0 0 0 0 0 0 0 0

263297129 Counseling - Other - Sexuality Issues ( 25 years and over) 0 0 0 0 0 0 0 0 0 0

263297999 Counseling - OTHER 0 0 0 0 0 0 0 0 0

269298000 OTHER SRH MEDICAL SERVICES 0 0 0 0 0 0 0 0 0 0

269298120 Other SRH medical services - Consultation 0 0 0 0 0 0 0 0 0 0

269298221 Other SRH medical services - Diagnostic Test 0 0 0 0 0 0 0 0 0 0

269298322 Other SRH medical services - Therapy / Treatment 0 0 0 0 0 0 0 0 0 0

269298423 Other SRH medical services - Surgery 0 0 0 0 0 0 0 0 0 0

269298999 Other SRH medical services - OTHER 0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

TOTAL

nutritional supplements

Ante-natal, safe childbirth and newborn care

Safe abortion related services

prevention of HIV/ other STIs

community based distribution and outreach

direct provision

capacity building/ quality management

social franchising

social marketing

30 PO 5555: DFID RHFS

PO 5555: DFID RHFS 31

Year 1 workplan costing

Indicator Unit Cost

OUTPUT 1: HIGH IMPACT COMPREHENSIVE AND INTEGRATED PACKAGE OF SERVICES

# of FP/RH services provided (total, under 25

Performance Indicators

Annual Targets

Annual Activity Budget

Organisation: IPPF Country: Nigeria Please populate targets in line with workplan (should reconcile to year 1 service delivery matrix volumes)

Activities Summary

Provision of the iPES at all levels of the service

Monthly Cost Profile 1

delivery network # of contraceptive services(, all ages and under, under 25

Provision of the iPES at all levels of the service delivery network

# of LARCs services (IUDs/Implants)-all ages and under

Provision of LARCs at all levels of the service

delivery network

0% of STIs clients receiving contraceptive services

Provision of internal referrals for STIs clients to contraceptive services

# of HIV-related services provided along the continuum

Provision of HIV related services based on the

of care

iPES

% of HIV positive women receiving contraceptive

Provision of internal referrals for HIV positive

Provision of internal referrals for PMTCT services

Provision of the Continuum Safe abortion

services % of women HIV positive receiving antenatal care referred to PMTCT services # of women receiving safe abortion related services

related services % of women that received safe abortion services

Provision of internal referrals for PMTCT to

receiving contraceptives

women that received safe abortion services

% of women referred to birth facilities over and under

Provision de internal or external al referrals to

25 years of age

birth facilities

% of women receiving at least one post-natal contact

Use mobile technology to reach out women

after delivery

after delivery –text message & provision of postnatal care based on the iPES

OUTPUT 2: REDUCE BARRIERS FOR WOMEN AND GIRLS AND PMSUs TO ACCESS QUALITY SERVICES % of clients using modern contraception that are

Identify community level events to promote

PMSEUs (all ages and under 25)

healthy behaviour messages (BCC)

Estimated % of clients that are PMSEUs (all ages)

Provision of FP/RH services throughout-reach programs

% of clients receiving FP/RH services through outreach

Provision of FP/RH services throughout-reach

programs

% of clients receiving modern contraceptives through

Provision of modern contraceptives throughout

outreach programs

out-reach programs

% of clients receiving FP/RH services through innovative

Provision of FP/RH services through innovative

financing schemes(vouchers, franchising, micro-

financing schemes-voucher, franchising, micro

financing)

financing

OUTPUT 3: PERFORMANCE DELIVERY # of MOUs established with public and private service

Planning workshops & monitoring workshops

providers

(public and private service providers)

32 PO 5555: DFID RHFS

Training management staff on M&E systems

TOTAL

# of MOUs established with Community Based

Planning workshops & monitoring workshops

Organizations(CBOs)

(CBOs)

% of women reporting satisfaction with the FP/RH

Client satisfaction surveys(client exit interviews)-

services

once a Year

% of health facilities , including NGOs, public and private sectors with a M&E system for program planning and reporting

Total Cost

Service Price

Service volume

TOTAL

nutritional supplements Total Cost

Service Price

Service volume

Total Cost

Ante-natal, safe childbirth and newborn care Service Price

Service volume

Total Cost

Safe abortion related services Service Price

Service volume

Total Cost

prevention of HIV/ other STIs Service Price

Service volume

Total Cost

community based distribution and outreach Service Price

Service volume

direct provision Total Cost

Service Price

Service volume

Total Cost

Service Price

Service volume

social franchising Total Cost

Service Price

Service volume

Service

Total Cost

Service volume

Organisation: IPPF Country: Nigeria Year: 1

Service Price

social marketing

Service Delivery and Cost Matrix Service provision types sourced from IPPF service statistics template, adjusted to exclude non applicable services

capacity building/ quality management

PO 5555: DFID RHFS 33