Emergency Assistance for Fighting the COVID-19 Pandemic (RRP PAK 54181-001)

Project Number: 54181-001 Loan and Grant Number: {LXXXX; GXXXX} May 2020

Islamic Republic of Pakistan: Emergency Assistance for Fighting the COVID-19 Pandemic

Project Administration Manual

ABBREVIATIONS

ADB = Asian Development Bank AGP = Auditor General of Pakistan AGPR = Accountant General Pakistan Revenue APFS = audited entity financial statements BISP = Benazir Income Support Programme BOD = board of directors COVID-19 = corona virus disease 2019 CPD = client portal for disbursement DMF = design and monitoring framework EARF = environmental assessment and review framework ERP = enterprise resource planning ESMS = environmental and social management system F&A = finance and account FIP = fund implementation partner FMA = financial management assessment GAP = gender action plan GDP = gross domestic product ICS = individual consultant selection ICT = Information communication technology M&E = Monitoring and evaluation MIS = management information system MNHSRC = Ministry of National Health Services, Regulation & Coordination MTR = mid-term review NADRA = National Database Registration Authority NDRMF = National Disaster Risk Management Fund NGOs = nongovernment organizations NTC = National Telecommunication Company OCB = open competitive bidding PAI = project administration instructions PAM = project administration manual PFM = project financial management PMU = project management unit PPE = personal protectives equipment QCBS = quality and cost-based selection RFQ = Request for quotations RRP = report and recommendation of the President to the Board SOE = statement of expenditure SOPs = standard operating procedures SPS = Safeguard Policy Statement PPRP = Pakistan Preparedness & Response Plan COVID-19 SPRSS = summary poverty reduction and social strategy TOR = terms of reference UCT = unconditional cash transfers WASH = water, sanitation and hygiene

CONTENTS

I. PROJECT DESCRIPTION 1 A. Rationale 1 B. Impact and Outcome 2 C. Outputs 2

II. IMPLEMENTATION PLANS 4 A. Project Readiness Activities 4 B. Overall Project Implementation Plan 5

III. PROJECT MANAGEMENT ARRANGEMENTS 6 A. Project Implementation Organizations: Roles and Responsibilities 6 B. Key Persons Involved in Implementation 7 C. Project Organization Structure 8

IV. COSTS AND FINANCING 9 A. Cost Estimates Preparation and Revisions 9 B. Key Assumptions 9 C. Detailed Cost Estimates by Expenditure Category 9 D. Allocation and Withdrawal of {Loan/Grant} Proceeds 10 E. Detailed Cost Estimates by Financier 11 F. Detailed Cost Estimates by Outputs and/or Components 12 G. Detailed Cost Estimates by Year 13 H. Contract and Disbursement S-Curve 13 I. Fund Flow Diagram 9

V. FINANCIAL MANAGEMENT 15 A. Financial Management Assessment 15 B. Disbursement 24 C. Accounting 25 D. Auditing and Public Disclosure 25

VI. PROCUREMENT AND CONSULTING SERVICES 26 A. Advance Contracting and Retroactive Financing 26 B. Procurement of Goods, Works, Nonconsulting and Consulting Services 27 C. Procurement Plan 29 D. Consultant's Terms of Reference 29

VII. SAFEGUARDS 43 A. Environment 43 B. Involuntary Resettlement 44 C. Indigenous Peoples 44

VIII. GENDER AND SOCIAL DIMENSIONS 44

IX. PERFORMANCE MONITORING, EVALUATION, REPORTING, AND COMMUNICATION 45 A. Project Design and Monitoring Framework 45 B. Monitoring 46 C. Evaluation 47 D. Reporting 47 E. Stakeholder Communication Strategy 47

X. ANTICORRUPTION POLICY 49

XI. ACCOUNTABILITY MECHANISM 49

XII. RECORD OF CHANGES TO THE PROJECT ADMINISTRATION MANUAL 50

Emergency Assistance for Fighting the COVID-19 Pandemic (RRP PAK 54181-001)

Project Administration Manual Purpose and Process

The project administration manual (PAM) describes the essential administrative and management requirements to implement the project on time, within budget, and in accordance with the policies and procedures of the government and Asian Development Bank (ADB). The PAM should include references to all available templates and instructions either through linkages to relevant URLs or directly incorporated in the PAM.

The executing agencies, the Benazir Income Support Programme (BISP) and the National Disaster Risk Management Fund (NDRMF), are wholly responsible for the implementation of ADB-financed projects, as agreed jointly between the borrower and ADB, and in accordance with the policies and procedures of the government and ADB. ADB staff is responsible for supporting implementation including compliance by BISP and NDRMF of their obligations and responsibilities for project implementation in accordance with ADB’s policies and procedures.

At loan negotiations, the borrower and ADB shall agree to the PAM and ensure consistency with the loan and grant agreement. Such agreement shall be reflected in the minutes of the loan negotiations. In the event of any discrepancy or contradiction between the PAM and the loan and grant agreement, the provisions of the loan and grant agreement shall prevail.

After ADB Board approval of the project's report and recommendations of the President (RRP),

changes in implementation arrangements are subject to agreement and approval pursuant to relevant government and ADB administrative procedures (including the Project Administration Instructions) and upon such approval, they will be subsequently incorporated in the PAM.

Emergency Assistance for Fighting the COVID-19 Pandemic (RRP PAK 54181-001)

I. PROJECT DESCRIPTION

A. Rationale

1. COVID-19 is an infectious disease caused by the recently discovered coronavirus from the same family that caused the Severe Acute Respiratory Syndrome outbreak in 2003 and the Middle East Respiratory Syndrome outbreak in 2012. Epidemiological evidence shows that COVID-19 can be transmitted from one individual to another, likely through droplets, personal contact, and contaminated objects. The World Health Organization (WHO) declared the COVID-19 outbreak a public health emergency of international concern on 30 January 2020 and a pandemic on 11 March 2020.1 Pakistan is highly susceptible to the spread of the COVID-19 given that it borders with the Islamic Republic of Iran and the People’s Republic of China, which were among the initial countries experiencing the COVID-19 epidemic, and also because Pakistan has large numbers of returning migrant workers, an over-crowded public transportation system, an under-financed and weak heath system, and densely populated urban and peri-urban settlements. Pakistan’s incidence of COVID-19 infection is quickly rising – from the first two cases and no deaths recorded on 26 February 2020 to 29,465 cases and 639 deaths by 10 May 2020.2 2. The International Monetary Fund (IMF) projected a sharp decline in the GDP growth rate for Pakistan, from 3.3% in FY2019 to –1.5% in FY2020.3 This downward revision of about 4% by the IMF for FY2020 is due primarily to the decline in consumption, investment, trade, remittances, and capital flows as the result of the COVID-19 outbreak. To stimulate the economy and protect the most vulnerable segments of the society from the adverse impact of COVID-19, the government of Pakistan launched on 24 March 2020 the largest socioeconomic stimulus program in the country’s history. The PRs1.2 trillion (about $7.2 billion equivalent) program covers emergency response, social safety net measures, and support to business and economy. Similarly, the State Bank of Pakistan has adopted a timely set of policy actions to both manage inflation and boost economic activity, including lowering the interest rate, providing new refinancing facilities to support the flow of credit, and introducing temporary regulatory relief measures such as increased borrowing limits for individuals and deferred principal payments on loan obligations. 3. Pakistan’s response to COVID-19 is being jointly coordinated by the federal health ministry and the National Disaster Management Authority (NDMA)—with close coordination with the provincial health departments. The National Security Committee of the Government of Pakistan constituted a National Coordination Committee on 13 March 2020, chaired by the Special Assistant to the Prime Minister on Health, to formulate and implement a comprehensive strategy to stop the transmission of the virus and mitigate its consequences. This committee is comprised of all relevant Federal Ministers, Chief Ministers and Provincial Health Departments and has designated the National Disaster Management Authority (NDMA) as the leading operational agency. A National Command and Control Centre within NDMA has been established to ensure effective coordination between the federal and provincial governments. In each province, a Task Force on COVID-19 has been formed, chaired by the Chief Minister, and the Provincial Disaster Management Authorities support NDMA in its operational role for COVID-19 response.

4. The Government has prepared various strategies and roadmaps for tackling the COVID-19 spread. The National Action Plan for Corona virus disease (COVID-19) Pakistan was published

1 https://www.who.int/emergencies/diseases/novel-coronavirus-2019. 2 WHO. COVID-19 Situation Report as of 10 May 2020. Pakistan. 3 IMF. 2020. World Economic Outlook, April 2020: The Great Lockdown. Washington, DC.

on 13 March 2020.4 Furthermore, The government and the UN country team, with support from key development partners, have developed the Pakistan Preparedness & Response Plan COVID-19 (PPRP) to help prevent and limit the spread of COVID-19, and to reduce the related morbidity and mortality due to the pandemic in the country.5 The Plan seeks $595 million as an overall funding requirement for a period of 9 months from April to December 2020, and builds on eight pillars of the WHO-COVID-19 Strategic Preparedness and Response Plan Guidelines.6 5. The Ministry of National Health Services, Regulations and Coordination, with WHO as its technical partner, leads the coordination and policy measures for the COVID-19 response together with development partners.7 It is working closely with provincial and federal entities to implement the PPRP. A COVID-19 donor coordinating group—ADB, the European Union, UN agencies, the World Bank, and bilateral partners—has met weekly since 24 March 2020. Regular updates on all new developments and changes in the COVID-19 response plans are discussed. The UN also constituted a crisis management team under the leadership of WHO and comprising the whole UN country team to work on critical issues, including the COVID-19 pandemic. It meets regularly to ensure adequate preparedness for and response to any humanitarian crisis. 6. On 25 March 2020, the government requested ADB to provide emergency financial support to manage the COVID-19 crisis. The $300 million EAL from ADB and the World Bank’s $200 million concessional loan for Pakistan to help the government respond to the COVID-19 pandemic which was approved on 2 April 2020 was a joint, coordinated effort under the project concept note "Pakistan National Emergency Preparedness and Response Plan for COVID-19," approved by the Planning Commission of the Government of Pakistan as an initial quick response to combating the COVID-19 crisis. B. Impact and Outcome

7. The project is aligned with the following impact: coping capacity of the country to deal with the COVID-19 pandemic and other public health emergencies improved by 2024. The project will have the following outcome: adverse health and socioeconomic impacts of the COVID-19 outbreak mitigated. C. Outputs

8. Public health emergency preparedness and response strengthened. The subprojects under output 1 will be delivered through contributions to the NDRMF and by using existing arrangements and oversight mechanisms for the screening and accreditation of public and nonpublic fund implementation partners (FIPs), and subproject selection. The overarching framework to be financed by this output aligns with the PPRP (footnote 5). The activities envisaged under this output include:8 (i) providing stockpiles of PPE, medicines, and medical supplies, along with inventory control,

to public health facilities to prepare them for any unexpected surge during the initial 3–6

4 Government of Pakistan, Ministry of National Health Services, Regulation & Coordination. 2020. National Action Plan for Corona virus disease (COVID-19). Islamabad. 5 Government of Pakistan, Ministry of National Health Services, Regulation and Coordination. 2020. Pakistan Preparedness & Response Plan COVID-19. 23 April 2020. Islamabad.

6 World Health Organization. Strategic Preparedness and Response Plan for the New Coronavirus. 2020. 7 Emergency Assistance Coordination (accessible from the list of linked documents in Appendix 2). 8 The list is indicative only; depending on the trajectory of the COVID-19 spread, changing requirements, and related

adjustments made to the PPRP, the output may change somewhat or new outputs could be added. The subproject eligibility criteria and approval procedures are detailed in Appendix 1 of the project administration manual.

months, and to equip them and their frontline health workers for the projected 9 months' duration of the COVID-19 crisis;9

(ii) upgrading or expanding public medical facilities—including but not limited to sex-segregated patient wards; intensive care units; separate changing and resting facilities for male and female health workers; facilities for managing COVID-19 medical waste (e.g., medium-size incinerators, autoclaves); clean energy supply and backup; communications systems; and water, sanitation, and hygiene facilities, as needed.

(iii) providing additional health staff for emergency surges and safeguarding essential health services; training new and current health staff on the management of COVID-19 cases, risk communication, and health management systems (such as inventory control, disease surveillance, and standard protocols); and exchanging knowledge with Pakistan's neighboring countries and other countries in the Central Asia Regional Economic Cooperation (CAREC) region;

(iv) strengthening disaster preparedness and quick response by providing multi-hazard rescue and relief capacity in remote border areas, including emergency response vehicles, equipment, training, and supplies (Rescue 1122);10

(v) supporting social distancing measures, and strengthening the outreach of COVID-19 communication by establishing a multipurpose communication and education interface in remote and marginal communities, especially in the border areas, that have limited television, cable, and internet coverage; and

(vi) providing safe community water supply and sanitation facilities for the general public in selected health facilities and public spaces, including in remote rural communities and urban informal settlements, to improve health and hygiene and reduce the rate of infections. This is expected to include public handwashing and toilet facilities.

9. Output 2: Social protection for poor and vulnerable women delivered. The project will finance the immediate additional cash transfers and provide support to the government to continue the expansion of cash transfers as the COVID-19 situation evolves. Through BISP, it will support the Ehsaas program of essential cash transfers to the poorest and most vulnerable families for minimum sustenance support. Under this output, the project will finance (i) the additional one-time cash transfers of PRs4,000 to 3.3 million women out of the 4.5 million BISP beneficiary women,11 and (ii) ongoing UCT installments of PRs2,000 per month to 2.5 million out of the 4.5 million BISP beneficiary women for the first 4 months of FY2021,12 to enable them to meet basic food needs and cover other necessary living expenses, and allow BISP to expand the coverage to the next level of poor families likely to be worse off from the socioeconomic impact of COVID-19. 10. The BISP beneficiaries were selected using the nationwide poverty scorecard survey that is regularly updated. The survey used the proxy means testing method. Based on the weighting given to each question about household assets, family size, income level, and other aspects, a score is given to the household to determine the poverty status. Only women from the targeted

9 Different systems are being used for the supply chain and inventory management of COVID-19 health supplies by

different federal and provincial stakeholders. These systems include the logistics management information system being used by the Ministry of National Health Services, Regulations and Coordination—which is not fully aligned and interfaced with other parallel systems being run by the NDMA and the provinces to effectively manage both demand and supply for the COVID-19 emergency response, and requires further work.

10 Rescue 1122 is an emergency service established at district level in all four provinces under an act of parliament to provide timely response, rescue and emergency medical treatment to persons affected by emergencies. This subcomponent will be financed by grant funding from the Government of Norway.

11 The World Bank also allocated $25 million to these one-time cash transfers from its $200 million COVID-19 Emergency Response and Effectiveness Project.

12 The 2.5 million eligible BISP beneficiary women to be financed under the proposed project will not overlap with ADB’s ongoing BISP project, which finances about 0.7 million eligible BISP beneficiary women.

families are eligible to receive the cash transfers. In addition, the cash transfers, through a targeted approach of disbursing funds to a specified or identified group of the poorest families, will also help stimulate local economies amid a countrywide economic slowdown.

II. IMPLEMENTATION PLANS

A. Project Readiness Activities

Table 1: Project Readiness Activities and Responsibility

Indicative Activities Months

April May June Responsible Agency

Advance contracting action (Consultant recruitment) X NDRMF/ADB

Retroactive financing action X BISP

Establish project implementation arrangements X NDRMF/BISP

ADB Board approval X ADB

Loan signing X EAD/ADB

Government legal opinion provided X GOP

Government budget inclusion X GOP

Loan effectiveness X EAD/ADB ADB = Asian Development Bank, BISP = Benazir Income Support Program, EAD = Economic Affairs Division; GOP = Government of Pakistan; NDRMF = National Disaster Risk Management Fund. Source: Asian Development Bank

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B. Overall Project Implementation Plan

Table 2: Project Implementation Plan Outputs/Activities 2020 2021 2022

I II III IV I II III IV I II III IV

A. DMF

Output 1: Public health emergency preparedness and response strengthened

Re-appraise exiting FIP and Accredit new FIP with capacity in health and economic revival

Identify, appraise and approve first batch of subprojects

Deliver first batch of equipment and supplies or construct first batch of assets

Output 1 implementation

Output 2: Social protection for poor and vulnerable women delivered

Release additional emergency cash transfers to eligible BISP beneficiaries

Provide unconditional cash transfer payments to eligible BISP beneficiaries for July-October

Monitor timely delivery of cash transfers

B. Management Activities

Recruit individual consultants

Prepare project completion report

Table 3: Project Reviews, Reporting and Monitoring Schedule 2020 2021 2022

Reporting and Reviews Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Inception Mission Progress Reporting Safeguard Monitoring Reports Audit Report Project Reviews Mid-term Review Project Completion Review

Q = quarter Source: Asian Development Bank

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II. PROJECT MANAGEMENT ARRANGEMENTS

A. Project Implementation Organizations: Roles and Responsibilities

Table 4: Roles and Responsibilities of Executing and Implementing Agencies

Project Implementation Organizations

Management Roles and Responsibilities

Project Steering Committee Chair: Secretary EAD Members: Secretary MOF Secretary PnD Secretary MOCC Secretary PASS Secretary NHRSC Secretary BISP

• Convenes meeting on semi-annual basis or as and when required.

• Provides necessary support on intergovernmental coordination to executing agencies for smooth project implementation.

• Provides guidance on and oversight to the overall implementation and performance of the project.

• Resolves project issues and conflicts that would compromise quality of results, investment cost or project completion time.

Executing Agencies:

(a) NDRMF for Output 1 - Emergency preparedness and economic revival strengthened

(b) BISP for Output 2 - Social protection for poor and vulnerable delivered

• Provides overall strategic planning, guidance and management support to the project.

• Coordinates with other concerned agencies on project issues under their jurisdiction.

• Ensures adequate and timely counterpart resources including personnel and funding.

• Responsible and accountable for management of the advance account in accordance with ADB process and policies; inclusive of management of FIP and supplier contracts

• Supports the overall project implementation. • Ensure project’s sustainability during post-implementation

stage and report to ADB on the achieved development impacts. • Assume overall responsibility for loan covenants compliance

Implementing Agencies: NDRMF for Output 1 and BISP for Output 2

• Directly manage and supervise the implementation of the project outputs.

• Responsible for the submission of withdrawal applications, retention of supporting documents, and any reporting requirements including the quarterly progress report (including the monthly and/or quarterly reconciliation of the cash transfer payments supported under the project, and progress against the project implementation plan), bi-annual internal audit reports for the program, annual audit reports and financial statements.

• Accountable and responsible for the management of project account and the proper use of the funds; proper disbursement and liquidation of funds to recipient.

• Proper recording and management of the contracts of FIP and subcontractors/suppliers (such as terms / share of the sub-contractors, payment made and corresponding withdrawal applications and contract balances etc.).

• Ensure timeliness of agreed counterpart funds and approval of higher authorities for project activities.

• Monitor and evaluate project activities and outputs, including conduct of periodic reviews, preparation of progress reports reflecting issues and time-bound plans, project completion

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Project Implementation Organizations

Management Roles and Responsibilities

report and their timely submission to NDRMF and BISP Management and ADB.

• Process and submit to ADB any request, when required, for reallocating the loan proceeds.

• Ensure compliance with all loan covenants and reporting requirements of NDRMF and BISP Management and ADB.

• ADB • Assist NDRMF and BISP in providing timely guidance at each stage of the project implementation in accordance with the loan agreement and the project administration manual.

• Review all documents that require ADB approval and conduct regular project review missions.

• Process withdrawal applications and release eligible funds. • Regularly update the project performance review reports with

the assistance of NDRMF and BISP. • Update and post on ADB website the project information for

public disclosure, and Monitor compliance with all loan covenants, including safeguards.

• Review annual audit reports and follow-up on audit recommendations.

ADB = Asian Development Bank; BISP = Benazir Income Support Program, EAD = Economic Affairs Division; NDRMF = National Disaster Risk Management Fund; MOF = Ministry of Finance; MOCC = Ministry of Climate Change; NHRSC = National Health Services, Regulation & Coordination; PASS = Poverty Alleviation and Social Safety Division; PnD = Planning and Development. Source: ADB, NDRMF and BISP.

B. Key Persons Involved in Implementation

Executing Agency Benazir Income Support Program

Syed Ahsan Mumtaz Additional Director General (International Cooperation and Coordination) Telephone No: +92 51 9246353 Email address: ahsanmumtaz27@gmail.com and adg.icc@bisp.gov.pk Office Address: BISP HQ., F Block, Pakistan Secretariat Islamabad

National Disaster Risk Management Fund

Lt. Gen. Nadeem Ahmad (Retd.) Position: Chief Executive Officer Telephone No: +92-51-9108300 Email address: nadeem.ahmed@ndrmf.pk Office Address: Fifth Floor, EOBI House Mauve Area, Sector G-10/4, Islamabad.

ADB Pakistan Resident Mission

Xiaohong Yang Position: Country Director Telephone No: +63 8 551 3301 Email address: xyang@adb.org

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Mission Leaders Mian S. Shafi (Co-Mission Leader) Position: Senior Project Officer, PRM Telephone No: +63 8 551 3202 Email address: mshafi@adb.org

Zheng Wu (Co-Mission Leader) Position: PAU Head, PRM Telephone No. +63 8 551 3227 Email address: zhengwu@adb.org

C. Project Organization Structure

11. The flow chart below shows the reporting lines essential for the project implementation

Figure 1: Project Organization Structure

CONTRACTORS/SUPPLIERS BENEFICIARIES

PROJECT STEERING COMMITTEE

ADB

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III. COSTS AND FINANCING

A. Cost Estimates Preparation and Revisions

12. The project cost estimates were prepared by the processing team in consultation with the implementation agencies of the Project. The unit rates have been obtained from the most recent estimates made by other development partners for their projects in response to the COVID-19 outbreak. These cost estimates are tentative which may vary during the project implementation. If need arises, ADB, on the request of the implementation agencies, will consider change in project costs and reallocation of loan and/or grant categories, as appropriate. B. Key Assumptions

13. The following key assumptions underpin the cost estimates and financing plan:

(i) Exchange rate: PKR166.625 = $1.00 (as of 15 April 2020) (ii) Physical contingencies are estimated at 10% of the base cost (net of the Cost of

Output 2) (iii) Price contingencies are calculated based on escalation rates for domestic and

international costs estimated for Pakistan. Annual escalation rate for international costs is estimated at 1.57% on average for the years 2020–2022 and annual escalation rate for domestic costs is estimated at 8.67% on average for the years 2020–2022, as shown below:

Table 7: Escalation Rates for Price Contingency Calculation

Item 2020 2021 2022 Average Foreign rate of price inflation 1.50% 1.6% 1.6% 1.57% Domestic rate of price inflation 12.00% 8.00% 6.00% 8.67%

Source(s): Asian Development Bank Estimat4es

C. Detailed Cost Estimates by Expenditure Category

Table 8: Detailed Cost Estimates by Expenditure Category ($ million)

Amount % of Total Base Cost

Item FC LC Total A. Investment Costs 1. Social Protection a. Additional Cash Transfer to existing BISP Beneficiaries 80.632 80.632 27.5%

b. Unconditional Cash Transfer 121.230 121.230 41.3% 2. Project Management Consultants 1.018 1.018 0.3% 3. Strengthening COViD-19 Preparedness and Response 49.856 33.237 83.093 28.3% 4. Strengthening multihazard DRR Response Capacity 4.506 4.506 1.5% Subtotal (A) 49.856 240.623 290.479 99.0%

B. Recurrent Costs 1. Salaries 1.665 1.665 0.6% 2. Operational Expenses 1.377 1.377 0.5% Subtotal (B) 3.042 3.042 1.0% Total Base Cost 49.856 243.665 293.521 100.0%

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Amount % of Total Base Cost

Item FC LC Total C. Contingencies

1. Physical 4.986 4.180 9.166 3.1% 2. Price 0.845 3.985 4.830 1.6% Subtotal (C) 5.830 8.166 13.996 4.8%

D. Financial Charges During Implementation 1. Interest during construction 3.547 3.547 1.2% 2. Commitment charges 0.479 0.479 0.2% 3. Grant Administration Fee 0.250 0.250 0.1% Subtotal (D) 4.276 4.276 1.5%

Total Project Cost (A+B+C+D) 55.686 256.107 311.792

ISP = Benazir Income Support Program. COVID-19 Corona virus diseases 2019, DRR = disaster risk reduction, LC = local currency, FC = foreign currency Notes: Numbers may not sum precisely because of rounding Source: Asian Development Bank Estimates

D. Allocation and Withdrawal of Loan/Grant Proceeds

Table 9: Category Allocation for ADB Loan Cat Ref. Category Description Amount

($) ADB

Financing %

Remarks

01 Output 1 Subprojects* 83,093,044 100% 100% of the claimed expenditure 02 Output 2 – Cash Transfers 199,861,965 100% 100% of the claimed expenditure 03 Project Management Consultants 3,654,186 100% 100% of the claimed expenditure 04 Unallocated 13,390,805 Total 300,000,000

*Subject to condition for withdrawal provided in para 6 of Schedule 3 of Loan Agreement.

Table 10: Category Allocation for Norway Grant13

Cat Ref. Category Description Amount

($) Financing

% Remarks

01 Strengthening DRR Response Capacity

4,506,000 100% 100% of the claimed expenditure

02 Unallocated* 774,769

Total 5,280,769

DRR = disaster risk reduction *Also covers ADB’s Grant Administration Fee and bank charges or any other charges pursuant to cooperation agreement between Government of Norway and ADB.

13 WA number through which Grant will provide parallel financing

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E. Detailed Cost Estimates by Financier

Table 11: Detailed Cost Estimates by Financier ($ million)

Amount ADB Government Norway Total

Item

Amount % of cost

Category

Amount % of cost

Category

Amount % of cost Category

Amoun

t

% of cost

Category A. Investment Costs

1. Social Protection a. Additional Cash Transfer to existing BISP Beneficiaries 79.832 99.0% 0.800 1.0% 80.632 100% b. Unconditional Cash Transfer 120.030 99.0% 1.200 1.0% 121.230 100% 2. Project Management Consultants* 0.916 90.0% 0.102 10.0% 1.018 100% 3. Strengthening COViD-19 Preparedness and Response 83.093 100.0% 83.093 100% 4. Strengthening multihazard DRR Response Capacity 4.506 100.0% 4.506 100% Subtotal (A) 283.871 97.7% 2.102 0.7% 4.506 1.6% 290.479 100%

B. Recurrent Costs 1. Salaries 1.498 100.0% - 1.498 100% 2. Operational Expenses* 1.239 90.0% 0.138 10.0% - 1.377 100% Subtotal (B) 2.738 90.0% 0.304 10.0% - 3.042 100% Total Base Cost 286.609 97.6% 2.406 0.8% 4.506 1.5% 293.521 100%

C. Contingencies 1. Physical 8.675 94.6% 0.041 0.4% 0.451 4.9% 9.166 100% 2. Price 4.716 97.6% 0.040 0.8% 0.074 1.5% 4.830 100% Subtotal (C) 13.391 95.7% 0.080 0.6% 0.525 3.7% 13.996 100%

D. Financial Charges During Implementation - 1. Interest during construction 3.547 100.0% 3.547 100% 2. Commitment charges 0.479 100.0% 0.479 100% 3. Grant Administration Fee 0.250 100.0% 0.250 100% Subtotal (D) - 4.026 94.2% 0.250 5.8% 4.276 100%

Total Project Cost (A+B+C+D) 300.000 96.2% 6.512 2.1% 5.281 1.7% 311.792 100% % Total Project Cost 96.2% 2.1% 1.7% 100%

BISP = Benazir Income Support Program. COVID-19 Corona virus diseases 2019, DRR = disaster risk reduction Note: Numbers may not sum precisely because of rounding. *ADB will disburse 100% of its 90% share for expenditure on Project Management Consultants, and operational expenses. Government share includes the in-kind contribution. Source: Asian Development Bank

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E. Detailed Cost Estimates by Outputs and/or Components

Table 12: Detailed Cost Estimates by Outputs and/or Components ($ million)

Item Total

Output 1: Public health preparedness

strengthened

Output 2: Social assistance package

delivered A. Investment Costs Amount Amount % of cost

Category Amount % of cost Category

1. Social Protection a. Additional Cash Transfer to existing BISP Beneficiaries 80.632 80.632 100.0% b. Unconditional Cash Transfer 121.230 121.230 100.0% 2. Project Management Consultants 1.018 1.018 100.0% 3. Strengthening COViD-19 Preparedness and Response 83.093 83.093 100.0% 4. Strengthening multihazard DRR Response Capacity 4.506 4.506 100.0% Subtotal (A) 290.479 88.617 30.5% 201.862 69.5%

B. Recurrent Costs 1. Salaries 1.665 1.665 0.0% 2. Operational Expenses 1.377 1.377 100.0% 0.0% Subtotal (B) 3.042 3.042 100.0% 0.0% Total Base Cost 293.521 91.659 31.2% 201.862 68.8%

C. Contingencies 1. Physical 9.166 9.166 100.0% 2. Price 4.830 4.830 100.0% Subtotal (C) 13.996 13.996 100.0%

D. Financial Charges During Implementation 1. Interest during construction 3.547 1.177 33.2% 2.370 2.9% 2. Commitment charges 0.479 0.261 54.5% 0.218 0.3% 3. Grant Administration Fee 0.250 0.250 100.0% Subtotal (D) 4.276 1.688 39.5% 2.588 60.5%

Total Project Cost (A+B+C+D) 311.792 107.343 34.4% 204.450 65.6% BISP = Benazir Income Support Program. COVID-19 Corona virus diseases 2019, DRR = disaster risk reduction Note: Numbers may not sum precisely because of rounding. Source: Asian Development Bank

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F. Detailed Cost Estimates by Year

Table 13: Detailed Cost Estimates by Year ($ million)

Item Total Cost Year 1 Year 2 Year 3 A. Investment Costs 1. Social Protection a. Additional Cash Transfer to existing BISP Beneficiaries 80.632 80.632

b. Unconditional Cash Transfer 121.230 77.000 44.230 2. Project Management Consultants 1.018 0.010 0.601 0.407 3. Strengthening COViD-19 Preparedness and Response 83.093 8.309 33.237 41.547 4. Strengthening multi-hazard DRR Response Capacity 4.506 0.676 2.704 1.126 Subtotal (A) 290.479 166.627 80.772 43.080 B. Recurrent Costs

1. Salaries 1.665 0.333 0.666 0.666 2. Operational Expenses 1.377 0.275 0.551 0.551 Subtotal (B) 3.042 0.608 1.217 1.217

Total Base Cost 293.521 167.236 81.988 44.297 C. Contingencies

1. Physical 9.166 5.222 2.560 1.383 2. Price 4.830 2.752 1.349 0.729 Subtotal (C) 13.996 7.974 3.909 2.112 D. Financial Charges During Implementation

1. Interest during construction 3.547 1.167 1.712 0.668 2. Commitment charges 0.479 0.319 0.127 0.033 3. Grant Administration Fee 0.250 0.125 0.125

Subtotal (D) 4.276 1.486 1.964 0.826 Total Project Cost (A+B+C+D) 311.792 176.696 87.861 47.235

BISP = Benazir Income Support Program. COVID-19 Corona virus diseases 2019, DRR = disaster risk reduction Source: Asian Development Bank

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G. Contract and Disbursement S-Curve

14. The contract Awards and disbursement projections are presented in Figure 2 below.

Figure 2: Cumulative Contract Awards and Disbursement – ADB Loan

Table 14: Contract Awards and Disbursement Projections – ADB Loan

($ million) Contract Awards Disbursements

Year Q1 Q2 Q3 Q4 Total Q1 Q2 Q3 Q4 Total 2020 - 80.63 40.00 90.00 210.632 - - 80.63 94.11 174.738 2021 29.02 15.00 20.00 10.01 74.025 54.82 8.92 8.93 8.85 81.513 2022 1.22 - - 14.13 15.343 5.90 3.86 10.98 23.02 43.749 Total 30.232 95.632 60.000 114.136 300.000 60.718 12.776 100.538 125.968 300.000

-

50.0

100.0

150.0

200.0

250.0

300.0

350.0

Q120

Q220

Q320

Q420

Q121

Q221

Q321

Q421

Q122

Q222

Q322

Q422

US$

mill

ion

Quarters

Contract Award and Disbursement(OCR Loan)

Accumulative Contract Awards Accumulative Disbursements

14

Figure 3: Cumulative Contract Awards and Disbursement – Norway Grant

Table 15: Contract Awards and Disbursement Projections – Norway Grant ($ million)

Contract Awards Disbursements Year Q1 Q2 Q3 Q4 Total Q1 Q2 Q3 Q4 Total

2020 2.000 1.000 3.000 0.451 0.225 0.676 2021 1.100 0.407 1.506 0.225 0.676 1.127 0.676 2.704 2022 0.524 0.525 0.222 0.202 0.178 1.299 1.901

Total 1.100 2.407 1.000 0.524 5.031 Total 1.328 1.304 2.201 5.280

-

1.0

2.0

3.0

4.0

5.0

6.0

Q120

Q220

Q320

Q420

Q121

Q221

Q321

Q421

Q122

Q222

Q322

Q422

US$

mill

ion

Quarters

Contract Award and Disbursement(Norway Grant Loan)

Accumulative Contract Awards Accumulative Disbursements

15

B. Fund Flow Diagram

Figure 4: Fund Flow Diagram

IV. FINANCIAL MANAGEMENT

A. Financial Management Assessment

NDRMF 15. The financial management assessment (FMA) on NDRMF was conducted in April 2020 in accordance with ADB’s Guidelines for the Financial Management and Analysis of Projects and the Financial Due Diligence: A Methodology Note. The FMA considered the capacity of NDRMF, including funds-flow arrangements, staffing, accounting and financial reporting systems, financial information systems, and internal and external auditing arrangements. 16. NDRMF was assessed to possess sufficient financial management capacity and systems, however, it is inherently reliant upon the Fund Implementing Partners (FIPs) for efficient and effective utilization of ADB’s resources, the Internal Audit department is not adequately staffed, governance structure is not fully functional and the emergent nature of the Project activities poses significant risks to ADB funds, the overall pre-mitigation Financial Management Risk was assessed as “Substantial”.

16

17. NDRMF has demonstrated strong FM performance during the implementation of on-going ADB project, and the governance and management teams have implemented a strong accountability and controls framework complying with international best practice and financial reporting standards. While noting these strengths, the capacity to effectively manage the FIPs is not yet evidenced due to limited timeframe since the implementation of on-going ADB project, the Internal Audit function is not adequately staffed and governed, reflecting certain weaknesses within the governance and accountability systems. A financial management internal control and risk management assessment was conducted. The overall controls risk was assessed as Moderate, in view of strong history of compliance with ADB’s FM requirements under the existing loans, satisfactory governance, financial reporting and accountability arrangements. However, the Project’s emergent nature and involvement of FIPs enhance the risk profile of the project. NDRMF’s monitoring mechanisms over the FIPs are considered critical for ensuring that funds are efficiently utilized for intended purposes. As being followed under the on-going project, the statement of expenditure (SOE) procedure is considered appropriate to reimburse eligible expenditure while maintaining the prevailing ceiling. A Financial Management Action Plan (Table 17) has been agreed with the EA and IA to address the risks.

Table 16: Summary of Risks and Mitigating Measures Risk Type Risk

Assessment Risk Description Mitigating Measure

Inherent Risks Country specific

Substantial

As detailed under Section IV of the FMA report, the Project funds are susceptible to substantial risks due to fiscal challenges to the government and gaps in budgetary mechanisms.

ADB will continue to provide technical support and undertake policy-level initiatives to address systemic PFM issues to strengthen PFM system and procedures. Ministry of Finance (MOF) and NDRMF will ensure timely release of counterpart funds, proper recording of financial transactions, timely payments and facilitate annual audits of project financial statements.

Entity specific

Substantial NDRMF’s ability to effectively monitor the utilization of ADB’s resources for intended purposes shall depend upon the design and operating effectiveness of FIPs’ systems and the quality of monitoring and validation performed by NDRMF.

The existing FIP mandates are at initial stages of their mandates and thus NDRMF’s capacity to

A pre-audit of the selection and disbursement(s) to FIPs shall be performed by the Internal Audit. The Internal Audit team shall also perform periodic validation of the FIPs’ utilization of funds and resources under the Project.

17

Risk Type Risk

Assessment Risk Description Mitigating Measure

effectively monitor and manage the FIP contracts is not validated.

Entity specific

Moderate NDRMF’s treasury arrangements might not be sufficiently robust to ensure accelerated availability and tracking of funds for the Project.

A dedicated bank account shall be opened and maintained with a commercial bank, for managing the Project funds. NDRMF shall ensure that funds are timely released and made available for the Project activities. The draft Tripartite agreement for the use of Endowment Fund shall be finalized to regulate the use of the endowment funds and the profits accrued till date.

Overall Assessment

Substantial Rationale and Mitigation: NDRMF has sufficient FM capacity, however, it is significantly dependent upon the FIPs for actual utilization of ADB’s resources, and the efficiency of Country’s treasury systems for timely availability of sufficient funds. The Project team will ensure through integration of appropriate controls within the funds flow and validation mechanisms that ADB’s funds are efficiently and effectively utilized for the intended purposes.

Controls Risks Implementing entity

Moderate NDRMF’s governance structure is not fully operational due to delays in completion of the BoD and appointment of Chair of Audit Committee. While there are structures in place to govern the organization, the absence of key personnel might affect the quality of oversight function on the entity and thus the Project activities.

EAD/MOF and NDRMF to complete appointments at vacant directors’ positions. EAD/MOF and NDRMF to expedite the process of appointment/ nomination of an independent director as Chair of the Audit Committee.

Funds flow Low The Project funds might not be timely available for the Project, and trackable to validate their utilization for intended purposes.

NDRMF has sufficient treasury controls to track and monitor the funds flow, with assigned staff roles and documented policies and procedures. However, as a further mitigating measure, a dedicated bank account shall be opened and maintained with a

18

Risk Type Risk

Assessment Risk Description Mitigating Measure

commercial bank, for managing the Project funds. NDRMF shall ensure that funds are timely released and made available for the Project activities.

Staffing Moderate The Project might not have sufficient and adequately qualified FM and Accountability staff, thus affecting the implementation of segregation controls and timely completion of FM and accountability activities.

The FM function is adequately staff with experienced and qualified professional staff. Although there has been low staff turnover within the FMG, a severance might affect the segregation of duties and workload management. The FM activities are not expected to significantly increase due to the addition of the Project. The Internal Audit team is not considered to be adequately staffed. With the addition of the Project, the Internal Audit team might not have sufficient absorptive capacity. The project team shall require the entity’s management to ensure that adequate and sufficiently qualified staff shall remain allocated over the Project activities.

Planning and budgeting

Moderate The Project budgets might not be adequately monitored, resulting in adverse variances which might limit budget availability for key activities of the Project.

The organizational budgeting processes are not adequate which often result in significant variances. NDRMF shall strengthen the budgeting process and ensure that Project estimates are monitored and updated during the implementation.

Financial reporting and external audits

Low The Project might not have adequate accounting and reporting systems and controls to ensure timely and accurate

The entity and project level financial statements are prepared using IFRSs. Bank reconciliation statements of all bank accounts

19

Risk Type Risk

Assessment Risk Description Mitigating Measure

recording of the Project financial transactions, and generation of timely and reliable financial reports to provide true and fair view of the Project’s financial performance and position.

are timely prepared, reviewed and authorized. Dedicated bank accounts are used for management of project funds. The accounting system is capable of preparing and maintaining project wise separate books of account. Internal and external audit arrangements are in place. External audits are performed by a Big 4 (PWC) audit firm and the AGP. Historically, the external auditors have provided Unqualified audit opinions on entity and project level financial statements. While noting the above, the Project team will ensure that the submission of entity and project level financial statements is included as a covenant in the loan/ project agreement, pursuant to requirements of OM – J7.

Internal audit Substantial The Project might not be subject to sufficient and appropriate internal audit arrangements.

An independent internal audit function is in place which reports directly to the BoD, however, as noted above, the staffing of the function is not adequate. At the governance level, the Chair of Audit Committee has not yet been appointed. Further, the Internal Audit Manual has not yet been approved by the BoD. In addition to the proposed staffing arrangements discussed above (refer Staffing), the Project team shall reiterate the need for the appointment of the Chair of

20

Risk Type Risk

Assessment Risk Description Mitigating Measure

Audit Committee and approval of the Internal Audit manual.

Information systems

Moderate The information systems might not be sufficient to ensure accurate recording and reporting of the Project’s financial transactions.

An off-the-shelf accounting software is currently in place. The external auditors have not raised observation on the suitability of the existing software. However, the organization is in the process of developing an ERP package which will include Planning and Budgeting, and Accounting and Reporting modules.

Overall Assessment

Moderate Rationale and mitigation:

The overall controls risk is assessed as Moderate, in view of strong history of compliance with ADB’s FM requirements under the existing loans, satisfactory governance, financial reporting and accountability arrangements. However, the Project’s emergent nature and involvement of FIPs enhance the risk profile of the project. NDRMF’s monitoring mechanisms over the FIPs are considered critical for ensuring that funds are efficiently utilized for intended purposes.

L = low, M = moderate, S = Substantial, H = high Source: Asian Development Bank.

Table 17: Timebound Financial Management Action Plan Mitigating Measure Responsibility Timing

The draft Tripartite agreement for the use of Endowment Fund shall be finalized to regulate the use of the endowment funds and the profits accrued till date.

ADB/ NDRMF Not later than 31 December 2020

A pre-audit of the selection of and disbursement(s) to FIPs shall be performed by NDRMF’s Internal Audit.

Head of Internal Audit

Upon selection of FIPs

In respect of the Project activities till 31 December 2020, the NDRMF shall ensure that the Internal Audit report provides a comprehensive validation of the FIP’s selection process and a verification of the funds management and utilization of resources procured by the FIPs from the Project funds. Depending upon the results of such validation, the ADB may require further continuation of such validation by NDRMF’s Internal Audit on a periodic basis.

Head of Internal Audit

Not later than 31 March 2021

A dedicated bank account shall be opened and maintained with a commercial bank, for managing the Project funds.

NDRMF, EAD/MOF

Prior to implementation

21

Mitigating Measure Responsibility Timing EAD/MOF and NDRMF shall complete the process of appointments at vacant directors’ positions.

NDRMF, EAD/MOF

Not later than 31 December 2020

EAD/MOF and NDRMF to complete the process of appointment of an independent director as Chair of the Audit Committee.

NDRMF, EAD/MOF

Not later than 31 December 2020

The NDRMF’s management shall ensure that adequate and sufficiently qualified staff shall remain allocated over the Financial Management and Internal Audit functions, related to the Project activities.

NDRMF During the Project Implementation

NDRMF shall submit a report to ADB on the measures adopted to strengthen the budgeting process. The NDRMF shall provide quarterly budget vs. actual reports as a measure to demonstrate a robust budget monitoring mechanism during the Project implementation.

CFO – NDRMF Not later than 30 September 2020; within 45 days from the end of each quarter

NDRMF will coordinate activities with the selected vendor to ensure that ERP is tailored according to entity’s needs and deployed for all business functions.

NDRMF Not later than 30 June 2021

BISP 18. The financial management assessment (FMA) on BISP was conducted in July 2019 in accordance with ADB’s Guidelines for the Financial Management and Analysis of Projects and the Financial Due Diligence: A Methodology Note. The FMA considered the capacity of NDRMF, including funds-flow arrangements, staffing, accounting and financial reporting systems, financial information systems, and internal and external auditing arrangements. The FMA assessed the pre-mitigation financial management risk as “Substantial”14. Since the Project is exposed to risks similar to the existing projects being implemented by BISP, and that the latest FMA was performed during July 2019, a fresh FMA was not considered necessary for the Project. Alternately, an update on BISP’s progress towards the implementation of financial management action plan was reviewed. As being followed under the on-going project, the statement of expenditure (SOE) procedure is considered appropriate to reimburse eligible expenditure while maintaining the prevailing ceiling. A Financial Management Action Plan (table 19) has been agreed with the EA and IA to address the project specific risks and validate progress reported by BISP against the prevailing financial management action plan. 19. In view of the progress as of 15 April 2020 reported by the management of BISP, summarized in Table 18 below, it was decided that the financial management action plan shall be retained for the Project. A timebound action plan to validate the progress reported by BISP and additional action areas, considered necessary during the risk assessment of BISP for the Project, was developed and provided in Table 19.

14 https://www.adb.org/projects/documents/pak-45233-006-pam

22

Table 18. Progress reported by the management of BISP Results based action Due

(Y/N) Status

Risk management framework developed and implemented Y Implemented Release of funds from the Finance division of GoP expedited N Implemented Budget Scrutiny Committee established Y Implemented Develop Roadmap for deployment of Integrated MIS solution N In-progress Service level agreements with banks signed Y Implemented Cash transfer manual approved by the Board of Directors Y In-progress Agreement with NADRA modified N Change needed Staffing needs assessment conducted N No progress Regular staff at key positions recruited N No progress Roadmap for conversion from cash to accrual basis developed N In-progress External auditors for FY 2019, 2020 and 2021 appointed Y Not implemented Government auditors’ observations settled Y In-progress Reconciliation with AGPR streamlined N Implemented IT policy approved N In-progress

Note: In view of processing timeline, the requirements falling due by 30 June 2020 have been considered as due for validation.

Table 19: Timebound Financial Management Action/ Validation Plan

Mitigating Measure Responsibility Timing In respect of implementation progress on risk management framework, the BISP shall provide: a) risk register maintained by the Monitoring and Evaluation (M&E) wing, updated till 30 June 2020; b) quarterly/ special payment monitoring report for the period ended 30 June 2020; quarterly progress report prepared by the Internal Audit wing on EFC framework for the period ended 30 June 2020.

DG (Internal Audit), ADG

(M&E)

Not later than 31 August 2020

In respect of release of funds from the MoF, the BISP shall provide a certificate that funds are being received in accordance with the policy approved by the MoF.

DG (F&A) Not later than 31 August 2020

In respect of establishment of budget scrutiny committee, the BISP shall provide notification/ officer order for the establishment of the committee and detail of meetings held by the committee till 30 June 2020.

Principal Accounting

Officer

Not later than 31 August 2020

Based on approved technical feasibility study, MIS wing under guidance from Board of Directors to develop a roadmap for the deployment and operationalization of the integrated solution.

DG (F&A), DG (Cash

Transfer), DG (Internal Audit) and DG (Tech./

Principal Technology

Adviser)

Not later than 31 December 2021

BISP Board to approve the cash transfer manual. DG (Cash Transfers)

Not later than 30 September 2020

23

Mitigating Measure Responsibility Timing BISP shall submit evaluation of the systems of National Telecommunication Company (NTC), providing assessment of NTC’s data recovery and back-up systems.

DG (Tech./ Principal

Technology Adviser)

Not later than 30 September 2020

BISP to conduct a study to identify the needs for recruitment of BISP’s regular employees for all key positions.

DG (Human Resources)

Not later than 31 March 2021

BISP to recruit regular employees for all key positions prioritizing F&A and internal audit staff.

DG (Human Resources)

Not later than 31 December 2021

BISP to develop a roadmap to migrate from cash basis to accrual basis of accounting system.

DG (F&A) Not later than 30 September 2020

BISP to hire audit firm with vast experience and high ratings for a period of three years covering audits for the FY 2019 and FY 2020.

DG (F&A) Not later than 31 May 2020

BISP to provide a status update on the resolution of audit observations raised by the Government auditors and pending till 30 September 2019.

DG (IA) Not later than 30 September 2020

In respect of strengthening the process of reconciliation with AGPR, the BISP shall submit the certified copy of reconciliation report for the months of April and May, 2020.

DG (F&A) Not later than 30 June 2020

In respect of approval of IT policy, the BISP shall submit the approved IT policy.

DG (Tech./ Principal

Technology Adviser)

Not later than 31 December 2020

In respect of retroactive financing, in addition to standard documentation required for the processing of Withdrawal Applications, the BISP shall provide a certificate signed by the concerned BISP management personnel that the Project funds allocated for retroactive financing were based on the list of beneficiaries generated from the entity’s MIS shared with the Partner Banks for disbursements to eligible beneficiaries.

DG (Cash Transfer)

Upon raising the withdrawal application

BISP shall obtain from the partner banks duly authorized and validated Reconciliation Certificates of Disbursements, duly supported by system generated bank statements.

DG (F&A) Upon raising the withdrawal application

24

B. Disbursement

1. Disbursement Arrangements for ADB and ADB-administered cofinancier Funds

20. The loan and grant proceeds will be disbursed in accordance with ADB’s Loan Disbursement Handbook (2017, as amended from time to time)15, and detailed arrangements agreed upon between the government and ADB. Online training for project staff on disbursement policies and procedures is available.16 Project staff are encouraged to avail of this training to help ensure efficient disbursement and fiduciary control. 21. Advance fund procedure. Separate advance accounts should be established and maintained by NDRMF17 and BISP for each funding source, ADB and co-financier. The co-financier’s funds will be fully administered by ADB and will provide parallel financing. The currency of the advance accounts is the US dollar. The advance accounts are to be used exclusively for ADB’s and ADB-administered cofinancier funds’ share of eligible expenditures. NDRMF, and BISP will be responsible for (i) collecting and retaining supporting documents, and (ii) preparing and sending withdrawal applications to ADB. The NDRMF and the BISP who administers the advance account is accountable and responsible for proper use of advances to the advance account including advances to sub-accounts if any.

22. The total outstanding advance to the advance accounts should not exceed the estimate of ADB’s share of expenditures to be paid through the advance accounts for the forthcoming 6 months. The NDRMF and the BISP may request for initial and additional advances to the advance accounts based on an Estimate of Expenditure Sheet18 setting out the estimated expenditures to be financed through the accounts for the forthcoming 6 months. Supporting documents should be submitted to ADB or retained by the executing agency in accordance with ADB’s Loan Disbursement Handbook (2017, as amended from time to time) when liquidating or replenishing the advance accounts. 23. Statement of expenditure procedure.19 The Statement of expenditure (SOE) procedure may be used for reimbursement of eligible expenditures or liquidation of advances to the advance account(s). The ceiling of the SOE procedure is the equivalent of $100,000 per individual payment for both NDRMF and BISP. Supporting documents and records for the expenditures claimed under the SOE should be maintained and made readily available for review by ADB's disbursement and review missions, upon ADB's request for submission of supporting documents on a sampling basis, and for independent audit. Reimbursement and liquidation of individual payments in excess of the SOE ceiling should be supported by full documentation when submitting the withdrawal application to ADB.

15 The handbook is available electronically from the ADB website (http://www.adb.org/documents/ loan-disbursement-

handbook 16 Disbursement eLearning. http://wpqr4.adb.org/disbursement_elearning 17 ADB disbursement guidelines and procedures for financial intermediaries will apply for NDRMF advance account

procedure, in line with the on-going project. In event FIPs are unable to transact in foreign currencies, ADB may implement direct payment to FIP suppliers/subcontractor recorded in the grant agreement with NDRMF.

18 Estimate of Expenditure sheet is available in Appendix 8A of ADB’s Loan Disbursement Handbook (2017, as amended from time to time),

19 SOE forms are available in Appendix 7B and 7D of ADB’s Loan Disbursement Handbook (2017, as amended from time to time). SOE sheet for Financial Intermediation Loans/Grants Appendix 7D applicable for NDRMF advance account procedure.

25

24. Before the submission of the first withdrawal application (WA), the borrower should submit to ADB sufficient evidence of the authority of the persons who will sign the withdrawal applications on behalf of the government, together with the authenticated specimen signatures of each authorized person. The minimum value per WA is stipulated in the Loan Disbursement Handbook (2017, as amended from time to time). Individual payments below such amount should be paid (i) by the executing agency and subsequently claimed to ADB through reimbursement, or (ii) through the advance fund procedure, unless otherwise accepted by ADB. The borrower should ensure sufficient category and contract balances before requesting disbursements. Use of ADB’s Client Portal for Disbursements (CPD)20 system is encouraged for submission of withdrawal applications to ADB. For tracking of payment to individual suppliers , it is required for the NDRMF to provide a worksheet with each WA – showing separate details of the concerned FIPs and sub-contractors i.e. the contract amount with FIP and subcontractor, payments already made and corresponding WA numbers, and the remaining balance left after processing the current applications. This will be reviewed as part of processing the WA. If a grant contract has multiple subcontractors, then separate sheet would be prepared for each subcontractor and attached to the withdrawal application as supporting document.

C. Accounting

25. NDRMF will maintain, or cause to be maintained, separate books and records by funding source for all expenditures incurred on the project by adopting the accrual-based accounting following the International Financial Reporting Standards. NDRMF will prepare project financial statements in accordance with the government's accounting laws and regulations which are consistent with international accounting principles and practices. 26. BISP will maintain, or cause to be maintained, separate books and records by funding source for all expenditures incurred on the project. The BISP will prepare project financial statements in accordance with the government's accounting laws and regulations which are consistent with international accounting principles and practices. 27. BISP currently is preparing financial statements on cash basis system of accounting. The existing system will not ensure in the long run the strengthening of the financial management system and effective safeguard of BISP assets. D. Auditing and Public Disclosure

28. NDRMF and BISP will cause the detailed project financial statements to be audited in accordance with International Standards on Auditing and with the Government's audit regulations, by an independent auditor acceptable to ADB. The audited project financial statements together with the auditor’s opinion will be presented in the English language to ADB within 6 months from the end of the fiscal year by the NDRMF and BISP, respectively. 29. The audited entity financial statements, together with the auditor’s report and management letter, will be submitted in the English language to ADB within 1 month after their approval by the relevant authority. 30. The audit report for the project financial statements will include a management letter and auditor’s opinions, which cover (i) whether the project financial statements present an accurate

20 The CPD facilitates online submission of WA to ADB, resulting in faster disbursement. The forms to be completed

by the Borrower are available online at https://www.adb.org/documents/client-portal-disbursements-guide.

26

and fair view or are presented fairly, in all material respects, in accordance with the applicable financial reporting standards; (ii) whether the proceeds of the loan and grant were used only for the purpose(s) of the project; and (iii) whether the borrower or executing agency was in compliance with the financial covenants contained in the legal agreements (where applicable).

31. Compliance with financial reporting and auditing requirements will be monitored by review missions and during normal program supervision, and followed up regularly with all concerned, including the external auditor. 32. The government, NDRMF and BISP have been made aware of ADB’s approach to delayed submission, and the requirements for satisfactory and acceptable quality of the audited project financial statements.21 ADB reserves the right to require a change in the auditor (in a manner consistent with the constitution of the borrower), or for additional support to be provided to the auditor, if the audits required are not conducted in a manner satisfactory to ADB, or if the audits are substantially delayed. ADB reserves the right to verify the project's financial accounts to confirm that the share of ADB’s financing is used in accordance with ADB’s policies and procedures. 33. Public disclosure of the audited project financial statements, including the auditor’s opinion on the project financial statements, will be guided by ADB’s Access to Information Policy.22 After the review, ADB will disclose the audited project financial statements and the opinion of the auditors on the project financial statements no later than 14 days of ADB’s confirmation of their acceptability by posting them on ADB’s website. The management letter, additional auditor’s opinions, and audited entity financial statements will not be disclosed.23

V. PROCUREMENT AND CONSULTING SERVICES

34. The project procurement risk was assessed as high. The main weaknesses are: (i) NDRMF lacks prior health sector experience leading to week technical capacity; ii) no substantial GIA actual implementation experience; iii) limited role of NDRMF in implementation; iv) potential dealings with several new FIPs in health sector not having any prior experience with NDRMF; v) prolonged decision making by NDRMF resulting delay in concluding GIAs with FIPs; vi) constrained supply-chain market condition; and vii) no mechanism of post procurement reviews. 35. Proposed mitigation measures include the strengthening of NDRMF with individual health and procurement consultants; capacity building and hand-holding of NDRMF and FIPs; NDRMF’s representative (consultant) presence in the bid opening and bid evaluation committee as an

21 ADB’s approach and procedures regarding delayed submission of audited project financial statements:

(i) When audited project financial statements are not received by the due date, ADB will write to the executing agency advising that (a) the audit documents are overdue; and (b) if they are not received within the next 6 months, requests for new contract awards and disbursement such as new replenishment of advance accounts, processing of new reimbursement, and issuance of new commitment letters will not be processed.

(ii) When audited project financial statements are not received within 6 months after the due date, ADB will withhold processing of requests for new contract awards and disbursement such as new replenishment of advance accounts, processing of new reimbursement, and issuance of new commitment letters. ADB will (a) inform the executing agency of ADB’s actions; and (b) advise that the loan may be suspended if the audit documents are not received within the next 6 months.

(iii) When audited project financial statements are not received within 12 months after the due date, ADB may suspend the loan.

22 Access to Information Policy: https://www.adb.org/documents/access-information-policy 23 This type of information would generally fall under public communications policy exceptions to disclosure. ADB. 2011.

Public Communications Policy. Paragraph 97(iv) and/or 97(v).

27

observer for all contracts $ 1 million and above of FIPs and post procurement (sampling) of transactions by FIPs. 36. The proposed project procurement arrangements are decided based on “fitness for purpose” approach with due consideration to VFM to increase efficiency and flexibility measures suited to the context of emergency loans allowed under ADB Procurement Policy (2017,as amended from time to time), Procurement Regulations (2017, as amended from time to time), Guidance Note, FCAS 2018 and ADB Policy Paper April 2020, ADB’s Comprehensive Response to the Covid-19 Pandemic. A. Advance Contracting and Retroactive Financing

37. All advance contracting and retroactive financing will be undertaken in conformity with the Procurement Regulations for ADB Borrowers (2017, as amended from time to time). The borrower, NDRMF and BISP have been advised that approval of advance contracting and retroactive financing does not commit ADB to finance the project. BISP component does not involve any procurement activity, NDRMF and its prospective potential FIPs will make use of advance contracting. 38. Retroactive financing. The government has requested retroactive financing (subject to the ceiling of 30% of the loan amount) to cover the financing of additional cash transfer payments incurred after 30 March 2020 (The date of approval of budget allocations by the government of Pakistan to prepare for/respond to COVID-19) to the existing BISP beneficiaries. BISP and ADB will ensure that these expenditures incurred before loan effectiveness, are not more than 12 months before the signing of the loan agreement. Retroactive financing is not envisioned under NDRMF component. B. Procurement of Goods, Works, Nonconsulting and Consulting Services

39. NDRMF is a government-owned not-for-profit institution registered with the Securities & Exchange Commission of Pakistan under Section 42 of Companies Ordinance 1984, as a Public Limited Company. It was established as a government-owned sustainable mechanism to enhance Pakistan’s resilience to climatic and other natural hazards. The NDRMF will follow the Procurement Regulations for ADB Borrowers (2017, as amended from time to time) in engaging the consulting services of individual consultants as well as procurement of office equipment and supplies. Out of $ 100 million component of NDRMF, only $ 1.1 million worth of procurement shall be carried out by NDRMF while remaining amount of $ 98.9 million shall be used in procurement to be carried out by various FIPs. The potential public sector FIPs are respective provincial health departments, NDMA, Health Service Academy and nonpublic sector FIPs may involve Agha Khan Foundation, Muslim Aid and UN agencies. 40. Centralized procurement: NDRMF may explore an option of centralized procurement of common medical supplies and equipment, by selecting NDMA as public FIP, to achieve economy of scale. Open competition still remains preferred method of procurement, however, process can be expedited by use of simplified bid documents, shorten bid submission time, reduced qualification requirements, high percentage of advance payment, waive off requirement of bid security submission, flexible requirement of performance security. NDMA being federal public entity, shall use federal-PPRA. Other procurement method including use of RFQ (national/national advertisement) and direct contracting/negotiated contracts can also be explored with sufficient justification and documentary evidence, within provision of PPRAs. These

28

provisions will be used on a case-by-case basis depending on the value and complexity of the scope of procurement and prevailing market conditions. 41. All public FIPs, will follow respective applicable PPRs and may exercise flexibilities mentioned above subject to justification. Procurement through UN agencies should be preferred wherever this approach gives clear advantage of efficiency, transparency and value for money compared to other procurement options. For non-public FIP, they should procure following commercial private practices by ensuring compliance with core procurement principles. 42. NDRMF representative (consultant) shall participate as an observer in bid opening and bid evaluation committee for all procurement transactions carried out by FIPs amounting to US $ 1 million or above. Each FIP shall prepare and upload monthly procurement activity report on its respective website and share with NDRMF. NDRMF shall upload consolidated procurement activity report on monthly basis for all FIPs on its website for public information. NDRMF will share this report with ADB and Project Steering Committee on monthly basis. The report shall include information namely i) name of the FIPs; ii) procurement description; iii) procurement method; iv) estimated value; v) contract amount; vi) supplier/contractor name; vii) agreed delivery schedule; viii) delivery status; and ix) distribution details/locations etc. The grant implementation agreement (GIA) with FIP shall include provision for the FIP to allow the post review of the procurement through third party individual consultant(s). NDRMF shall be responsible for organizing procurement post reviews (sampling) of all FIPs for at least 20% of number of the contracts valued not less 50% of total value of the procurement under each GIA reviewed within one month of completion of the procurement transaction(s) but not more than 6 months of completion of such activity/ies. The sample size must include various type and size of contracts. In case, the 20% of number of contracts do not comprise the 50% of the value of procurement under GIA, the sample size shall be increased to meet the requirement of 50% of the value of the procurement. The third-party consultant should never have been engaged in the same procurement process in any capacity, to avoid conflict of interest. Any gross violation of applicable procurement rules revealed through post procurement review (sampling) shall allow the NDRMF or ADB to declare it as “noncompliance” and take appropriate action as per loan agreement. ADB shall have the right to inspect accounts, records and any other procurement related documents and to have them audited by auditors appointed by ADB.

43. NDRMF has developed (i) a procurement procedural manual and put in place a procurement framework; and (ii) an accreditation mechanism for assessment of a recipient’s capacity to implement grants before signing the grant agreement and releasing Fund money. NDRMF should ensure during accreditation process, a robust procurement risk and capacity assessment is carried out of all existing and potential FIPs. Based on assessment, appropriate mitigating measures should be put in place to reduce risks and enhance capacity when needed. The procurement assessment for all FIPs should be reviewed and endorsed by ADB procurement staff, as part of accreditation/screening process, before selection of any FIP. The Fund will follow the foregoing processes (Appendix 1) for awarding grants to the recipients. In addition, the Fund will only consider the COVID-related grant subproject from those provinces/regions where a computer-based effective and functional inventory control system exists. The FIPs will be required to provide written assurance that the equipment and supplies requested in the proposal will be entered into that inventory control system to ensure systematic tracking of goods until they reach to the intended health facility. 44. The NDRMF maintains a roster of experts on retainer bases (individual consultants) to provide support in the preparation and review of the legal, procurement, institutional, finance, safeguard, gender and governance frameworks as well as sector proposals/sub-projects

29

respectively for the NDRMF. Additional individual consultants shall be recruited to provide support to NDRMF including conducting post procurement review (sampling) for the FIPs transactions.

C. Procurement Plan

Basic Data Project Name: Emergency Assistance for Fighting the COVID-19 Pandemic Project Number: 54181-001 Approval Number: Country: Pakistan Executing Agency: Benazir Income Support Program,

National Disaster Risk Management Fund

Project Procurement Risk: High

Implementing Agency: Benazir Income Support Program, National Disaster Risk Management Fund

Project Financing Amount: US$ 311,800,000 ADB Financing: US$ 300,000,000 Cofinancing (ADB Administered): US$ 5,300,000 Non-ADB Financing: US$ 6,500,000

Project Closing Date: 30 November 2022

Date of First Procurement Plan: 5 May 2020 Date of this Procurement Plan: 5 May 2020

Procurement Plan Duration (in months): 18 Advance Contracting: Yes

e-GP: No

A. Methods, Review and Procurement Plan Except as the Asian Development Bank (ADB) may otherwise agree, the following methods shall apply to procurement of goods, works, and consulting services.

Procurement of Goods and Works Method Comments

Request For Quotation for Goods NDRMF Others for Goods Fund Implementation Partners (FIPs), both public and non-public, shall

be responsible to undertake the procurement activities as agreed in their respective Grant Implementation Agreement. Public FIPs shall carry out procurement in accordance with respective Public Procurement Rules (PPRs) using OCB (international or national advertisement), limited bidding, RFQ, direct contracting and negotiated tendering under extreme urgency, as applicable. Non-public FIPs will follow their own procurement procedures based on generally acceptable procurement principles, assessed during accreditation process by NDRMF.

Others for Works Fund Implementation Partners (FIPs), both public and non-public, shall be responsible to undertake the procurement activities as agreed in their respective Grant Implementation Agreement. Public FIPs shall carry out procurement in accordance with respective Public Procurement Rules (PPRs) using OCB (national advertisement), limited bidding, RFQ, direct contracting and negotiated tendering under extreme urgency, as applicable. Non-public FIPs will follow their own procurement procedures based on generally acceptable procurement principles, assessed during accreditation process by NDRMF.

Consulting Services Method Comments

Competitive for Individual Consultant The NDRMF will establish a roster of Individual experts for project implementation support. OCB (National)

30

B. Lists of Active Procurement Packages (Contracts) The following table lists goods, works, non-consulting and consulting services contracts for which the procurement activity is either ongoing or expected to commence within the procurement plan duration.

Goods and Works

Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Advertisement

Date (quarter/year)

Comments FIP/G-1 Personnel

Protective Equipment (N-95 masks, Tyvek suits, surgical gowns, gloves, face shields, hand sanitizers, disposable head, shoe cover, waste bins biohazard bag, surgical masks disinfectants, ethanol etc.)

46,051,416.00

OTHERS Post (Sampling)

Q3 / 2020 Non-Consulting Services: No No. Of Contracts: 4 Advance Contracting: No High Risk Contract: No Comments: FIP contracts are not subject to ADB's review. The Post review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

FIP/G-2 Equipment for

Clinical Management ((Ventilators, vital sign monitors, ICU beds, defibrillator, nebulizers, pulse oximeters,

9,531,396.00

OTHERS Post (Sampling)

Q3 / 2020 Non-Consulting Services: No No. Of Contracts: 2

31

Goods and Works Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Advertisement

Date (quarter/year)

Comments ultrasound machines, x-ray machines, hospital consumables etc.) (

Advance Contracting: No High Risk Contract: No Comments: FIP contracts are not subject to ADB's review. The Post review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

FIP/G-3 Equipment for

Diagnostic Labs. (Tyvek suits, N-95 masks, biohazard bags, PAPR, hands sanitizers P CR kits, viral RNA kits, VTM, Real Time PCR, biosafety cabinets, autoclave, PCR chambers, refrigerators/freezers, vortex machine, etc)

25,807,877.00

OTHERS Post (Sampling)

Q3 / 2020 Non-Consulting Services: No No. Of Contracts: 4 Advance Contracting: No High Risk Contract: No

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Goods and Works Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Advertisement

Date (quarter/year)

Comments

Comments: FIP contracts are not subject to ADB's review. The Post review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

FIP/G-4 Software

Systems for COVID-19 monitoring and Decision Support System

2,146,288.00

OTHERS Post (Sampling)

Q3 / 2020 Non-Consulting Services: No No. Of Contracts: 2 Advance Contracting: No High Risk Contract: No Comments: FIP contracts are not subject to ADB's review. The Post review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

33

Goods and Works Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Advertisement

Date (quarter/year)

Comments

FIP/G-5 IT Equipment for Community Outreach and Tele-education

4,800,000.00

OTHERS Post (Sampling)

Q3 / 2020 Non-Consulting Services: No No. Of Contracts: 2 Advance Contracting: No High Risk Contract: No Comments: FIP contracts are not subject to ADB's review. The Post review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

FIP/W-1 WASH Facilities

1,262,755.00

OTHERS Post (Sampling)

Q4 / 2020 Non-Consulting Services: No No. Of Contracts: 4

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Goods and Works Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Advertisement

Date (quarter/year)

Comments Advance Contracting: No High Risk Contract: No Comments: FIP contracts are not subject to ADB's review. The Post review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

FIP/W-2 Upgrading

existing facilities for including, sex-segregated patient wards and changing and resting facilities

3,788,266.00

OTHERS Post (Sampling)

Q4 / 2020 Non-Consulting Services: No No. Of Contracts: 2 Advance Contracting: No High Risk Contract: No Comments: FIP contracts are not subject to ADB's review. The Post

35

Goods and Works Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Advertisement

Date (quarter/year)

Comments review (sampling) will be carried out by NDRMF. NDRMF will be present at the bid opening and bid evaluation for all contracts $ 1 million and above.

NDRMF/G-1

Office and IT Equipment )and Services

100,000.00

RFQ Post (Sampling)

Q2 / 2020 Non-Consulting Services: No No. Of Contracts: 10 Advance Contracting: No High Risk Contract: No Comments: 1S1E, multiple contracts

Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments NDRMF/ICS-1

Epidemiologist 40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National

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Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments

Expertise: epidemiology, medicine Advance Contracting: Yes

NDRMF/ICS-10

Procurement Expert 3 (oversight/capacity building)

40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Procurement and Contract Management Advance Contracting: No

NDRMF/ICS-11A

Procurement Expert 1 (post review sampling)

40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Procurement and Contract Management Advance Contracting: No

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Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments

NDRMF/ICS-11B

Procurement Expert 2 (post review sampling)

40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Procurement and Contract Management Advance Contracting: No

NDRMF/ICS-11C

Procurement Expert 1 (oversight/capacity building)

40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Procurement and Contract Management Advance Contracting: No

NDRMF/ICS-12

Monitoring and Evaluation Specialist 1

50,333.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Monitoring and Evaluation

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Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments

Advance Contracting: No

NDRMF/ICS-13

Monitoring and Evaluation Specialist 2

50,333.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Monitoring and Evaluation Advance Contracting: No

NDRMF/ICS-14

Gender Advisor 28,762.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Gender Advance Contracting: No

NDRMF/ICS-15

Gender Specialist

103,542.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No

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Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments Type: Individual Assignment: National Expertise: Gender Advance Contracting: No

NDRMF/ICS-16

Financial Management Specialist

51,771.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Financial Management Advance Contracting: No

NDRMF/ICS-2

Pulmunologist 40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: pulmonary, medicine Advance Contracting: No

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Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments

NDRMF/ICS-3

Health Coordination Specialists 1

78,232.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Medical Sciences Advance Contracting: No

NDRMF/ICS-4

Health Coordination Specialists 2

78,232.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Medical Sciences Advance Contracting: No

NDRMF/ICS-5

Health Coordination Specialists 3

78,232.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Medical Sciences

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Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments

Advance Contracting: No

NDRMF/ICS-6

Health Coordination Specialists 4

78,232.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Medical Sciences Advance Contracting: No

NDRMF/ICS-7

Health Coordination Specialists 5

78,232.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Medical Sciences Advance Contracting: No

NDRMF/ICS-8

Community Infrastructure Specialist

60,399.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual

42

Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Advertisement

Date (quarter/year)

Comments Assignment: National Expertise: Infrastructure, Disaster Risk Management Advance Contracting: No

NDRMF/ICS-9

Procurement Expert 2 (oversight/capacity building)

40,266.00 Competitive Prior

Q2 / 2020 Non-Consulting Services: No Type: Individual Assignment: National Expertise: Procurement and Contract Management Advance Contracting: No

C. List of Indicative Packages (Contracts) Required Under the Project The following table lists goods, works, non-consulting and consulting services contracts for which procurement activity is expected to commence beyond the procurement plan duration and over the life of the project (i.e., those expected beyond the current procurement plan duration).

Goods and Works Package Number

General Description

Estimated Value (in US$)

Procurement Method Review Bidding

Procedure Comments None

43

Consulting Services Package Number

General Description

Estimated Value (in US$)

Selection Method Review Type of

Proposal Comments None

D. Consultant's Terms of Reference

44. The consultants input consists of 106 person-months (PMs) of national consultants. Consultant's terms of reference are in Appendix 2.

VII. SAFEGUARDS

A. Environment

45. The project is classified as category B for environmental safeguards. The Environmental Assessment and Review Framework (EARF) has been prepared by NDRMF and ADB as the project will be delivered through an emergency assistance loan. The NDRMF has adopted an environmental and social management system (ESMS) satisfactory to ADB. The EARF includes provisions to update the ESMS in order to cover any additional scope under the project and ensure design and implementation of adequate mitigation measures. 46. The NDRMF’s responsibilities are as follows:

a. The EARF for the Emergency Assistance for Fighting The COVID-19 Pandemic is prepared and agreed between the Fund and ADB;

b. The ESMS of the Fund is updated and approved to include safeguard flexibilities related to the Emergency Assistance Loans, and in particular with the Emergency Assistance for Fighting the COVID-19 Pandemic Project;

c. Green purchasing of medical equipment, specifically incinerators and WASH facilities, featuring minimal adverse environmental impacts;

d. Prepare an instrument under the ESMS, specifically Environmental, Health and Safety Management Plan and obtain no objection from ADB before operating the equipment;

e. Monitoring and reporting of the environmental performance of the project in compliance with the updated ESMS. Preparing and submission the semi-annual Environmental Monitoring Report to ADB.

f. Conducting training for the relevant personnel of health care facilities in environmental and occupational health and safety management.

47. The FIPs will be responsible for:

a. Monitoring and reporting of the environmental performance of the incinerators and WASH facilities to NDRMF.

48. The health care facilities are responsible for:

a. Implementation of the Environmental, Health and Safety Management Plan 49. ADB is responsible for:

a. Review and approval of the EARF for the Emergency Assistance for Fighting the COVID-19 Pandemic Project;

b. Disclosure of the EARF on the ADB’s website prior to project approval;

44

c. Review Environmental, Health and Safety Management Plan prepared by the NDRMF;

d. Review semi-annual Environmental Monitoring Reports submitted by NDRMF and their timely disclosure on the ADB’s website.

B. Involuntary Resettlement

50. The project is classified as category C for involuntary resettlement. For output 1, the NDRMF, through its ESMS, will apply a screening procedure to ensure only subprojects with no land acquisition and resettlement (LAR) impacts are covered by the EAL program. The rresults of such due diligence, including screening actions will be summarized in a social safeguards due diligence report (SDDR) for each subproject. The NDRMF will re-assess and augment its social safeguards capacity as needed to ensure timely due diligence and monitoring of all subprojects, including those financed under advance and retroactive financing. Activities under Output 2 will not support any physical interventions; as such there is no need for land acquisition nor involuntary resettlement.

C. Indigenous Peoples

51. The project loan is classified as category C for indigenous peoples. All the subprojects under Output 1 will be screened and categorized based on the updated ESMS and only category C subprojects will be implemented. With regard to the Output 2, the BISP is an inclusive program that does not discriminate based on indigenous status. The program beneficiaries are selected based on the results of a poverty score card survey using proxy means testing. No questions are included on religion, language or ethnicity, to ensure participation/inclusion of all poor irrespective of tribe/sub-tribe or minority status. 52. Prohibited investment activities. Pursuant to ADB’s Safeguard Policy Statement (2009), ADB funds may not be applied to the activities described on the ADB Prohibited Investment Activities List set forth at Appendix 5 of the Safeguard Policy Statement (2009). ADB will ensure that the project is in compliance with applicable national laws and regulations and will be bound by the prohibited investment activities list.

VIII. GENDER AND SOCIAL DIMENSIONS 53. Pakistan has a large informal economy, limited employment opportunities in formal labor markets, inadequate insurance schemes, and an increasing trend of natural and manmade disasters, all which make the country’s poor highly susceptible to falling below the poverty line. The explosive increase of COVID-19 cases in Pakistan indicated an ongoing health crisis. Efforts of social distancing and quarantining to flatten the epidemiologic curve reduced economic activity—a necessary public health measure at cost of an economic slowdown. Additional support to the BISP is necessary and will ensure the continuity of unconditional cash transfer and provide emergency relief to the vulnerable and poor segments of the society to overcome basic needs. 54. According to a study conducted in 2019, women comprise 67% of the global health workforce. In South East Asia Region, women are 79% of the total nursing staff and 39% of the total physicians24. Compared with men, women are more likely to be casual workers without sick leave/isolation leave work entitlements. Women already do three-times as much unpaid care work

24 Mathieu Boniol, Michelle McIsaac, Lihui Xu, Tana Wuliji, Khassoum Diallo, Jim Campbell. March 2019. Gender Equity in the Health

Workforce: Analysis of the 104 countries, Health workforce working paper 1.

45

than men – and caring for relatives with the virus adds to the burden.25. Women in Pakistan are more vulnerable during disasters and emergencies owing to their lower literacy skills, less access to information technology and marketable skills, mobility constraints, less access and control over resources. Compared to boys, girls are given more household responsibilities. Prolonged closure of schools could exacerbate the inequalities in educational attainment as this will result in higher rates of female absenteeism and lower rates of school completion26. In Pakistan, women are mostly found in non-waged employment and mainly work in the informal economy. According to Labor Force Survey (2014-15) female labor force participation is 25% (lowest in the South Asia region) compared to 82% men. Women are more likely to be laid-off due to containment measures undertaken by the government amid coronavirus outbreak. Majority of them are home-based workers - paid on piece rate basis. Due to closure of industries and SMEs these women will be the first ones to lose their livelihoods. 55. This project is classified as effective gender mainstreaming and will have positive impacts on women’s well-being. In Pakistan, most nurses and other health workers are women, putting women at greater risk of exposure to the infection. They will benefit under the project from training on self-protection and safety measures, and the provision of properly sized PPE. Primary recipients of the cash transfers will be women, giving them livelihood support. Targeted distance-learning programs will be launched in remote communities to allow girls to continue their education from their homes while maintaining social distance.27 Caregivers at home are also predominantly women and would have much higher exposure to infections in case of self-quarantine and self-isolation cases in communities—the communication and awareness campaign will especially target protection measures for caregivers. To underscore its effective gender mainstreaming classification, the project will have the following additional gender actions: (i) produce sex-disaggregated data and gender analysis on countrywide COVID-19 mortality and morbidity rates; (ii) develop gender-sensitive COVID-19-related standard operating procedures28 to be followed at health facilities and isolation or quarantine centers; (iii) provide UCTs to eligible BISP beneficiary women; and (iv) conduct gender-inclusive awareness raising and community outreach programs on COVID-19 protection and prevention measures; Detailed Gender Action Plan with gender indicators is in RRP linked document 10.

IX. PERFORMANCE MONITORING, EVALUATION, REPORTING, AND

COMMUNICATION

A. Project Design and Monitoring Framework

56. The Project’s outcome is adverse health and socioeconomic impacts of the COVID-19 outbreak mitigated, which will be achieved under its two outputs: (i) Public health emergency preparedness and response strengthened, and (ii) social protection for the poor and the

25 .World Economic Forum, https://www.weforum.org/agenda/2020/03/the-coronavirus-fallout-may-be-worse-for-women-than-men-

heres-why/ - accessed on April 17, 2020. 26 Government of Pakistan. Ministry of Human Rights, UNWOMEN, and NCSW. 2020. Gendered Impact and Implications of COVID-

19 in Pakistan. Islamabad 27 High speed hotspot will be provided in schools with catchment of 100-200 houses (within 2 kilometers) where at least

50% can access with smart phones (44 million smartphone users in Pakistan, with broadband coverage of only 36%) and the remaining families will be provided school-owned tablets under rotational sharing arrangements among families.

28 Gender-sensitive standard operating procedures to include, among others, (i) clean and separate sanitary facilities for women at isolation and quarantine centers; (ii) separate and clean housing facilities; (iii) nursing and play rooms for mothers and children; and (iv) priority treatment for the elderly, disabled, women, and children in screening and other procedures performed at airports and other entry points.

46

vulnerable delivered. A number of performance targets with baseline values have been established. The complete project design and monitoring framework is provided in Appendix 3. B. Monitoring

57. Project performance monitoring. The achievement of the project performance targets will be assessed mainly following the design and monitoring framework (DMF). For project output 1,29 the NDRMF has employed a vigorous framework and systems to monitor, evaluate and report its activities and their results. Data for the monitoring system will be generated mainly by the fund implementation partners (external) and on its own progress and performance internally by the NDRMF. The data and reporting requirement (quality, quantity and frequency) for external partners will be defined in the grant agreements signed with the fund implementation partner which will be in line with project DMF. The project output 2 is primarily focused on the unconditional cash transfers. Therefore, monitoring of monthly and/or quarterly payments to beneficiaries is critical to the success of the overall project. The BISP payment system has improved significantly since it was first introduced in 2008-09. To further enhance monitoring, BISP’s Monitoring and evaluation (M&E) wing has devised an in-house payment monitoring plan to conduct both the spot checks and process evaluation at payment touchpoints. A quarterly payment monitoring report is submitted to top management each quarter to highlight achievements, lags, and deficiencies. The quarterly progress reports on output 1 and output 2 will provide information necessary to update ADB's project performance reporting system.30 58. Compliance monitoring. Compliance with covenants will be monitored through ADB's project administration missions—including project inception mission to discuss and confirm the timetable for compliance with the loan covenants; project review missions to review the Government and NDRMF and BISP's compliance with loan covenants and, where there is any noncompliance or delay, discuss proposed remedial measures with the Government and NDRMF and BISP; and mid-term review mission if necessary to review covenants to assess whether they are still relevant or need to be changed, or waived due to changing circumstances. Apart from ADB project review missions average two times a year, ADB’s Pakistan resident mission will also hold quarterly country portfolio review meetings with NDRMF and BISP to follow up and ensure the timely compliance of the loan covenants. 59. Safeguards monitoring. The project is classified as category B for environment and category C for involuntary resettlement and indigenous people, in accordance with the ADB Safeguard Policy Statement (2009). NDRMF will monitor and report the environmental performance of the project in compliance with the updated ESMS and submit the semi-annual Environmental Monitoring Report to ADB. Social safeguards monitoring will also be conducted along with environmental safeguards monitoring during implementation of the project. The results of such monitoring will be summarized in social safeguards section of semi-annual and annual safeguards monitoring reports. 60. Gender and social dimensions monitoring. A Gender Action Plan (GAP) has been prepared which comprises specific actions that help ensure women benefit from the project scope. The GAP will address: (i) Develop and implement gender-sensitive COVID-19 related standard

25 The list is indicative only, depending on the trajectory of COVID-19 spread, the changing requirements and related adjustments

made in the PPRP there can be changes in the outputs or new outputs could be added. The subproject eligibility criteria and approval procedures are detailed in in Appendix 1 of the PAM

30 ADB's project performance reporting system is available at http://www.adb.org/Documents/Slideshows/PPMS/default.asp?p=evaltool.

47

operating procedures at health facilities, isolation and quarantine centers; (ii) Develop and implement gender-inclusive capacity building and protection programs for Frontline Health Workers; (iii) Produce sex-disaggregated data and gender analysis on country-wide COVID-19 mortality and morbidity rates; and (iv) Conduct awareness by BISP field offices about additional support, new enrolments and knowledge of rights, entitlements and grievance redress mechanisms. The GAP is in RRP linked document 10. NDRMF and BISP will submit progress on GAP as part of the project’s quarterly progress reports. C. Evaluation

61. The project inception mission will be fielded soon after the legal agreements for the program are declared effective; thereafter, regular reviews will follow at least bi-annually. As necessary, special loan administration missions and a midterm review mission will be fielded, under which any changes in scope or implementation arrangement may be required to ensure achievement of project objectives. NDRMF and BISP as the executing agency and implementing agency will monitor project implementation in accordance with the schedule and time-bound milestones and keep ADB informed of any significant deviations that may result in the milestones not being met. Within 6 months of physical completion of the Project, NDRMF and BISP will submit a project completion report to ADB.31

D. Reporting

62. The NDRMF and the BISP will provide ADB with (i) quarterly progress reports in a format consistent with ADB's project performance reporting system; (ii) consolidated annual reports including (a) progress achieved by output as measured through the indicator's performance targets, (b) key implementation issues and solutions, (c) updated procurement plan including procurement progress by FIPs, (d) environmental monitoring report, and (e) updated implementation plan for the next 12 months; and (iii) a project completion report within 6 months of physical completion of the project. To ensure that projects will continue to be both viable and sustainable, project accounts and the executing agency audited financial statement together with the associated auditor's report, should be adequately reviewed.

E. Stakeholder Communication Strategy

63. The project intends to maximize transparency by communicating relevant project information to stakeholders in various means. The NDRMF and the BISP has respective website to disclose all key project-related information, including the scope, cost, and project progress. Project information will be disclosed in line with the requirements listed in the ADB’s Access to Information Policy. To the extent possible, NDRMF should disclose and update consolidated FIPs procurement activity regularly on its website and share the same with ADB and the project steering committee.

31 Project completion report format is available at: http://www.adb.org/Consulting/consultants-toolkits/PCR-Public-

Sector-Landscape.rar

48

Project Documents

Means of Communication

Responsible Party Frequency Audiences

Project date sheet (PDS) ADB’s website ADB

Initial project data sheet posted on the website no later than 2 weeks after approval of the concept paper; updated at least twice a year.

General Public

Design and Monitoring Framework (DMF)

ADB’s website ADB

Key information from the draft reflected in project data sheet; final version posted on the website at the same time it is circulated to the Board for approval, subject to the concurrence of the government

General Public

Legal Agreements ADB’s website ADB

Posted on the website no later than 2 weeks from their signing, after removing any information falling within exceptions at the time of the negotiations

General Public

Report and Recommendation of the President (RRP)

ADB’s website ADB

Posted on the website at the same time it is circulated to the Board for approval, subject to the concurrence of the government

General Public

Summary of Poverty Reduction and Social Strategy

ADB’s website

ADB

Posted on the website at the same time it is circulated to the Board for approval, subject to the concurrence of the government

General Public

Procurement requirements

Local newspaper advertisement

ADB

NDRMF

Available online (current and archive)

General Public, potential suppliers

Consulting services requirement

ADB’s website for recruitment notice for expression of interest

ADB

NDRMF When required

General Public, individual consultants/Firms

Project Administration Manual

ADB’s website ADB

Posted on the website at the same time it is circulated to the Board for approval, subject to the concurrence of the government

General Public

Audited project financial statements and the auditors’ report

ADB’s website

ADB Within 30 days of receipt General Public

49

Project Documents

Means of Communication

Responsible Party Frequency Audiences

Project Completion Report ADB’s website ADB Within 2 weeks of circulation

to the Board for information General Public

Evaluation Report ADB’s website ADB Within 2 weeks of circulation to Management and the Board

General Public

X. ANTICORRUPTION POLICY

64. ADB reserves the right to investigate, directly or through its agents, any violations of the Anticorruption Policy relating to the project. 32 All contracts financed by ADB shall include provisions specifying the right of ADB to audit and examine the records and accounts of the executing agency and all project contractors, suppliers, consultants, and other service providers. Individuals and/or entities on ADB’s anticorruption debarment list are ineligible to participate in ADB-financed activity and may not be awarded any contracts under the project.33 To support these efforts, relevant provisions are included in the loan agreement and the bidding documents for the project. The NDRMF and BSIP are advised to:

• familiarize themselves with ADB’s Anticorruption Policy <https://www.adb.org/documents/anticorruption-policy> and ADB’s Integrity Principles and Guidelines, available at: https://www.adb.org/documents/integrity-principles-and-guidelines;

• have access to ADB’s Complete Sanctions List and check the eligibility of FIPs, consultants, and suppliers. More information on debarment and sanctions list is available at: https://www.adb.org/sites/default/files/related/79926/adb-sanctions-list-faq.pdf

• are aware about where, how and what to report if there is an integrity concern or allegation of integrity violation on ADB-related activity <https://www.adb.org/site/integrity/how-to-report-fraud>

XI. ACCOUNTABILITY MECHANISM

65. People who are, or may in the future be, adversely affected by the project may submit complaints to ADB’s Accountability Mechanism. The Accountability Mechanism provides an independent forum and process whereby people adversely affected by ADB-assisted projects can voice, and seek a resolution of their problems, as well as report alleged violations of ADB’s operational policies and procedures. Before submitting a complaint to the Accountability Mechanism, affected people should make an effort in good faith to solve their problems by working with the concerned ADB operations department. Only after doing that, and if they are still dissatisfied, should they approach the Accountability Mechanism.34

32 Anticorruption Policy: http://www.adb.org/Documents/Policies/Anticorruption-Integrity/Policies-Strategies.pdf 33 ADB's Integrity Office web site: http://www.adb.org/integrity/unit.asp 34 Accountability Mechanism. http://www.adb.org/Accountability-Mechanism/default.asp.

50

XII. RECORD OF CHANGES TO THE PROJECT ADMINISTRATION MANUAL

PAM Version Created Date Revision Date Reasons for

Change Main Contents of Change

V1.0 23 April 2020 NA Initial NA V2.0 5 May 2020 Loan negs

Appendix 1 13

PROCESS OF THE FUND FOR ACCREIDATION AND GRANT APPROVALS35

1. The provincial and federal departments dealing with health response and implementation of PPRP will submit proposals to the federal, provincial or regional coordination committees established for disaster risk management that will be supported by the Fund staff. The proposals will be screened by these committees and consolidated proposal will be sent to the Fund for review by each region. Based on the risk assessment and proposals review criteria established for its core areas of support and core institutional capacities of the entity responsible for implementation (procurement, safeguards, financial management), the proposals will evaluated by the technical advisory committee of NDMRF that will have representation from National Institute of Health and the Ministry of National Health Services, Regulation & Coordination (MNHSRC). The Fund as part of the proposal review of public sector entities will undertake a rapid risk assessment exercise before approval proposals for funding. The Fund staff will engage with respective departments directly to improve the quality of submission where required, including the risk mitigation measures. For public sector entity the approved list of sub-project concepts for each region may be considered by the P&D of respective regions and may be processed as an Umbrella PC-I to solicit the required counterpart funding from their respective governments.

2. Each entity can hire additional resources to design and manage project implementation or collectively hire resources at the P&D level to provide these services to multiple departments simultaneously. Once the counterpart funding is approved a tripartite implementation agreements will be signed between the Fund, the respective P&D and the Public sector entity that initiated the proposal for subproject funding in case of public sector entities. 3. For non-government agencies the same approach will be followed but through a separate coordination

committee lead by the Fund, facilitated by disaster management authorities, with representation from regional non-government entities. For non-government entities there will be independent accreditation criteria for screening before proposal submission and all proposals will be treated independently. A dedicated team of staff from the Fund will maintain an ongoing engagement with non-government entities coordination committee and their interested members to improve

35 As outlined in the Project Administration Manual of the Loan 3473, 3474 and Grant 0519: National Disaster Risk

Management Fund Project (para. 27 – 37)

Appendix 1 14

their access to opportunities provided by the Fund. 4. All safeguards, procurement, accounting and reporting (monitoring) requirement of the Fund will be detailed in the Agreements with the FIP and regularly reported on by the FIP and monitored and evaluated by the Fund. The TA consultants will periodically review implementation of activities by the FIP on sample bases to provide a third-party view on quality control and progress and report the lessons learnt back into the project management cycle of the Fund. 5. The NDRMF management will collate reports of FIP and report against performance and progress targets outlined in the business plans to the Board and all contributing partners of the Fund. The Fund will also produce special reports in some cases targeting specific contributions in line with instruments of contributions signed with respective contributor.

6. The NDRMF will regularly report back to its constituency (general public, government, existing and potential contributors) on its progress, efficiency and quality parameters, along with lessons and achievements through multiple means using a proactive communication strategy. 7. ADB will undertake periodic reviews of the selected or all subprojects if required during review missions or through third party consultants under

separate technical assistance (TA) to help with project implementation. The design and monitoring framework (DMF) outlines the outcomes, outputs and key targets to be achieved by the Fund under each with timelines.36 The reporting from the Fund and the FIP will be based on this monitoring framework. The Fund will establish baselines for the targets for which this information is not available before the start of the implementation. 8. ADB will maintain multi-sector team to administer the activities of the Fund and apart from day to day oversight and guidance through core staff and staff hired through separate TA, will field detailed six monthly review mission to evaluate performance and progress of the Fund. All contributing partners will be invited to participate in such reviews and terms of reference for each review will be discussed and shared with all stakeholders in advance.

9. Accreditation Criteria. The NDRMF shall devise an accreditation mechanism for

36 The list is indicative only, depending on the trajectory of COVID-19 spread, the changing requirements and related adjustments made in the PPRP there can be changes in the outputs or new outputs could be added.

Appendix 1 15

assessment of a recipient’s capacity to implement grants before signing the grant agreement and releasing NDRMF money. The main objective of the recipient’s (other than a government departments) capacity assessment is to only engage with entities that meet the minimum capacity requirements at least and to establish the need for development of a risk mitigation plan before releasing the fund money to address the gaps. The accreditation criteria will be applied to all non-government grantees’ or Fund implementation partners (FIP) before receiving their proposals. For public sector entities and statutory authorities that follow standard government rules a tailored risk evaluation will be undertaken in tandem with their proposal evaluation. The accreditation criteria and risk assessment may broadly include reviewing the adequacy of the applicant’s: (i) organizational structure; (ii) regulatory and legal regime under which the organization is established and functions (for non-government entities); (iii) the management structure and its capacity; (iv) internal control, books/record keeping, accounting and auditing systems, and review three year financial record/audit of the entity; (v) technical expertise in the area of interest and related annual financial turnover; (vi) quality control mechanism and practices (safeguards, monitoring etc.); and (vii) procurement system and processes, including transparency of the procurement process and segregation of procurement responsibilities. Under quality control, social and environmental safeguard and gender policy and practices will be carefully assessed so that the corrective measures (if there are some gaps that needs to be addressed) could be included in the scope of the activities to be undertaken by the FIP. Further it will be ensured that these actions are included in the funding agreement to be signed between the NDRMF and FIP, if required. 10. Project Selection Criteria. The Technical Advisory Committee (TAC) will be selected and constituted with members from a roster of experts in a specific sector, along with members from core team of the NDRMF, coordinated by experts from Project and Operations Department of the NDRMF. The proposals will be grouped in number of categories, based on types of interventions, funding levels, geographic areas and types of FIPs. The membership of the TAC will be adjusted based on the categorization to ensure quality, autonomy and efficiency of proposal processing. The roster of experts apart from independent consultants and subject specialist on retainer contracts will have experts coopted from sector departments, think tanks and research and academic bodies. The membership of the TAC will be endorsed by the NDRMF Management, to conduct rigorous technical assessments of requests for financing from the NDRMF. It will review subproject concepts/proposals related to the respective sectors. If the TAC determines that the quality of a proposal is not up-to the mark, the related application will be either put on hold pending a reassessment of the proposal after all concerns are properly addressed or rejected it at the discretion of the TAC. The NDRMF management will review and recommend only those proposals that have been cleared by TAC and submit the recommended list after their due diligence for endorsement of its Board. The TAC may, through the management, also propose to the Board for consideration, strategic guidelines for prioritizing investments to be supported by the NDRMF. For the EAL sub-projects National Institute of Health and Ministry of National Health Services, Regulation & Coordination (MNHSRC) will be member of the TAC review process. 11. The criteria given below, provides the overall framework for subproject proposal selection and review process to be followed by the TAC. More sector specific and tailored criteria will be developed by the NDRMF Management, endorsed by ADB, and approved by its Board for subproject proposal review in core areas of funding:

(i) The subproject is in line with priorities highlighted in the NDMP and PPRP. (ii) The subproject scope is within activities outlined in the business plan of the Fund

as approved by its Board.

Appendix 1 16

(iii) The subproject results are fully aligned to the output and outcome targets of the design and monitoring framework of the Fund.

(iv) The subproject is located within Pakistan and prioritized according to available disaster risk modelling analysis or COVID-19 projection analysis (as updated from time to time).

(v) Technical data related to natural or health hazards is included in the subproject proposal, relating it to the DRM or health risk targets and outcomes that the project is expected to achieve. This could include hazard and risk analysis related to the health emergency and other information recorded by recognized agencies dealing with the subject.

(vi) The subproject has clearly defined inputs and costs that conform to the standard norms and reference quality control checklist developed (and updated) by the Fund for different DRM and health risk activities.

(vii) The subproject is technically feasible/viable and the proposed intervention provides the most cost effective solution (comparing different option), and where applicable the subproject's economically viability (an EIRR of 9% and above – optional for health emergencies) is established based on economic analysis procedures that ADB will support the NDMRF to develop where prioritization of investments is required. This criterion will be tested for subprojects related to infrastructure and equipment in the investment component.

(viii) The subproject is in compliance with applicable laws and ADB‟s Safeguard Policy Statement (SPS) (2009); and prepared in accordance with the requirements of the agreed environmental and social management system (ESMS) for the NDRMF. For subprojects requiring an initial environmental examination (IEE), the IEE as applicable will be prepared and included in the subprojects’ proposal and disclosed according to the ESMS. Government environment clearance, if required, will be obtained prior to commencing civil works for such subprojects. Subprojects that do not satisfy the ESMS will not be financed by the NDRMF. Category “A” subprojects for environment and Category “A and B” for social safeguards according to ADB‟s Safeguard Policy Statement (SPS) (2009) will not be financed by the NDRMF.

(ix) The subproject should be in compliance with the National Policy Guidelines on Vulnerable Groups in Disasters37. The Project is gender informed and should comply with the gender criteria developed for the subproject proposal screening and selection.

(x) The intervention financed by NDRMF should not adversely impact local population, property and will not involve land acquisition and involuntary resettlement (IR). Subprojects that involve land acquisition or IR impacts (Category “A or B” will not be eligible for financing as outlined in the Fund’s ESMS.

(xi) No category “A” (IR, environment, indigenous peoples) subprojects will be financed by NDRMF.

(xii) Only those subprojects that can be completed within the business plan implementation period (up to 2 years) will be selected.

(xiii) The subproject proposal should be submitted on the standard templates developed by the NDRMF for areas of PPRP activities.

(xiv) For subproject related to supplies of health equipment and supplies, Only those subproject proposals from the federation, provinces or regions will be considered,

37 National Disaster Management Act 2010, in its section 11 mandates NDMA to lay down Guidelines for

Minimum Standards for Relief for persons affected by disaster, specifically directs NDMA to make provisions for the vulnerable groups in the guidelines. It further emphasizes on ensuring equal access relief opportunities for the victims, without any discrimination.

Appendix 1 17

where there is an effective and functional inventory control system (ICS) already in place and the subproject proposal confirms that distribution of items procured under the subprojects will be controlled through ICS to the end-user health facility.

Appendix 2 13

CONSULTANTS’ OUTLINE TERMS OF REFERENCE (National Individual Consutlants)

The Project would require about 106 person-months input of different experts who will be

hired as national individual consultants. The Table 1 below provides name of expertise, and the estimated input in person-months, whereas the Table 2 provides indicative terms of reference.

Table 1: Consulting Services Input (person-months)

Name of Expertise Input 1. Epidemiologist 4 2. Pulmonologist 4 3. Health Coordination Specialists (5 Nos.) 40 4. Community Infrastructure Specialist 6 5. Procurement Oversight Specialists (2 Nos.) 8 6. Procurement Support Consultants (3 Nos.) 12 7. Monitoring and evaluation Specialist (2 Nos) 10 8. Financial Management Specialist 6 9. Advisor on Gender 4 10. Gender Specialist 12

Total 106

Table 2: Outline Terms of Reference of Individual Consultants

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

Monitoring and evaluation Specialist (Two positions for 10 person-months)

Must possess a master’s or advanced degree in management/business administration, project/development management, Civil engineering, social sciences or other closely related fields.

Preferably have 10-12 years of specific experience in M&E and/or Project Management, well-conversant with MIS tools

Prior experience in setting up and managing RBM frameworks and M&E systems is highly desirable Demonstrated ability to deliver high quality outputs while working under pressure and within tight time schedules;

Scope: The M&E Specialist will assist the Executing /Implementing Agency (NDRMF) in managing the overall monitoring and evaluation functions of the COVID-19 response project. Specific tasks includes: (i) The technical guidance on quality assurance

and integrating the existing monitoring and evaluation System of the NDRMF with the M&E requirements of the COVID-19 Response Project;

(ii) Ensuring that FIPs’ M&E systems are integrated with the NDRMF’s M&E system as well as the COVID-19 Response Project’s Design & Monitoring Framework (DMF) for the results-based monitoring & reporting;

(iii) Assisting the NDRMF in periodic review of the FIP’s and NDRMF’s related performance towards achieving the key targets and milestones of the Design & Monitoring Framework (DMF) of the COVID-19 Response Project

(iv) Ensuring that Covid’s Response Project’s DMF and related reporting requirements are integrated in the M&E information system

Appendix 2 14

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

Strong written and oral communication skills, with demonstrated ability to make effective presentations to diverse audiences.

(v) Undertaking data need assessment for different levels of the COVID-19 Response Project (FIPs to NDRMF, NDRMF to ADB/Donors, and NDRMF to Project Steering Committee etc);

(vi) Developing and/or updating existing M&E

system of the NDRMF to ensure that the results-based monitoring and reporting requirements of the COVID-19 Response project are mainstreamed;

(vii) Developing a common reporting format for COVID-19 Response Project after consultations with all stakeholders.

(viii) Ensuring that the DMF of the COVID-19 Response Project is mainstreamed in the NDRMF’s M&E system, FIPs’ grant agreements, results’ framework, related M&E plans and reporting formats

(ix) Ensuring timely submission of the FIPs reports to the NDRMF as well NDRMF’s reports to the donors/stakeholders

(x) Reviewing and quality assurance o the FIPs’ progress reports to monitor their performance towards the key assigned targets and milestones of the approved results framework of the awarded sub-projects

(xi) Undertaking periodic field visits to review the M&E/RBM practices and capacities of the FIPs and performance against the indicators and results of the project’s DMF

(xii) Reviewing NDRMF’s internal performance towards the key targets and milestones of the projects DMF

(xiii) Capacity Building of FIPs and other stakeholders in Results Based Management and other related M&E requirements of the COVID-19 Response Project.

(xiv) Ensuring that DMF and the reporting requirements of the COVID-19 Response Project are mainstreamed in the M&E information system of the NDRMF

(xv) Undertaking periodic review of the NDRMF M&E system and suggest improvements to reduce redundancies and improve quality and efficiency.

Appendix 2 15

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

Procurement Experts (Post review -sampling) (Two positions for a total of 8 person months)

The Procurement Specialist should possess: (i) at least a Bachelor’s degree in law or engineering or management or any related fields (master’s degree will be an advantage); (ii) preferably 10 years of general experience with seven years of experience with procurement of works, goods, and consultancy services. Must be familiar with international best practices on procurement, as well as procurement and consulting services guidelines of the multilateral development banks and other bilateral development partners. Procurement experience with ADB, World Bank, or ADB/WB-financed Projects will be an advantage.

Objective: The objective of the consulting assignment is to assist NDRMF in conducting post review sampling of procurement transactions carried out by the Fund Implementation Partners (FIPs). The Consultant will be responsible to prepare the report in the format and manner agreed by NDRMF and ADB. Detailed Tasks: The consultant’s detail tasks will include but not limited to: (i) detailed post review of the procurement

transactions carried out by the FIPs under the project on sample basis. The selection of procurement samples shall meet the requirement of at least 20% of the number of the contracts procured under the project and shall cover for the 50% of the total value of the procurement. In case, the 20% of the number of contracts does not meet the 50% of the total value of the procurement then the Consultant shall increase the number of contracts.

(ii) review whether or not, the procurement is carried out in accordance with the applicable rules either federal or provincial public procurement rules or FIP’s own procurement guidelines and procedures, as described and agreed in grant implementation agreement (GIA) between the NDRMF and respective FIP.

(iii) Review if the procurement carried out by the FIPs adhere to the generally accepted principles of procurement namely economy, efficiency, transparency, fairness, quality and value for money and to the applicable procurement rules for the FIP.

(iv) review the procurement from acceptance of demand of FIP for procurement, solicitation through appropriate media i.e. newspaper, web, journal etc., review of the bidding documents for non-discriminatory and non-restrictive provisions, consistency of provisions and practices with the market, use of specifications from appropriate forum and authority, process of bid opening, evaluation and award.

(v) review of the contract administration practices and compliance to contractual

Appendix 2 16

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

provisions by both the Purchaser/Employer and Supplier/Contractor.

(vi) record of delivery of the products and distribution record, if available.

(vii) timely communicate to Implementation Agency (i.e. NDRMF), if any of the FIP does not share the necessary documents for the review of the procurement or delay or show reluctance in sharing the documents.

(viii) identify any shortcomings in the procurement process and either the shortcomings should be considered as material or nonmaterial, indication of any malpractices including if any of the items are procured at exceptionally high rates or substandard items are procured, recommendation to correct any practices or procedures if any procurements are ongoing.

(ix) Propose mitigation measure and recommendations if post review should be replaced with prior review by NDRMF

(x) If the procurement activity was eligible for payment or meeting

(xi) ensure compliance with the agreed timelines for the submission of report to the NDRMF.

Community Infrastructure Specialists (6 person-months)

Minimum Qualification Requirements

• M.Sc. Water Resources OR Civil Engineering or other closely related fields. with more than 10 years experience in community infrastructure like construction of wash facilities, and lining of channels. Working with communities for planning and implementation of projects

• Demonstrated ability to deliver high quality outputs while working under pressure and within tight time schedules;

• Demonstrated ability to work effectively with Government officials and technical staff,

Objective: The assignment is aimed at assisting NDRMF in assessing the proposals of subprojects submitted by Fund Implementing Partners (FIPs) whether they fulfill the criteria of disaster resilience and mitigation concerning Covid-19 in the proposed geographical areas. Scope of work. The Consultant will act as a technical resource to guide the team on the feasibility, justification and design related issues of the WASH facilities, tubewells and pumps installation and channels lining. As part of the TA team, he/she will assist the NDRMF and will provide technical support to the partners, and serve as an advisor to the Fund on feasibility, design, budgetary requirements, technical monitoring and integration of risk reduction measures. The Consultant will advise the technical efforts for effective utilization of NDRMF funds for the implementation of community infrastructural activities. Detailed Tasks and/or Expected Output (i) support the NDRMF staff in analyzing all

grant proposals for their objectivity and

Appendix 2 17

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

community and with other stakeholders,

• Strong written and oral communication skills, with demonstrated ability to make effective presentations to diverse audiences.

justification of the proposed infrastructure according to approved criteria.

(ii) Analyzing adequacy in scope related to Covid-19 control and mitigation measures.

(iii) Assist NDRMF staff in review of design, BOQs, endorsement of the potential projects and provide guidance in technical monitoring during implementation.

(iv) Ensure procedures/practices that increase the long term structural integrity of the proposed infrastructure.

(v) Assist in the vulnerability analysis of the concerned communities in relation to Covid-19 hazard.

(vi) Provide support to the fund management in the relevancy, efficiency and effectiveness of the proposed facilities and infrastructure.

(vii) Consultation on behalf of Fund with relevant stakeholders including the targeted communities and consortium partners, and other institutions.

(viii) Advise NDRMF and grantees on the institutionalization of staff and allocation of budgets for timely completion of infrastructure projects financed by the NDRMF.

(ix) Support in the training and capacity building of the fund staff and other institutions.

Financial Management Specialist (6 person-months)

Member of Institute of Chartered Accountants of Pakistan (ICAP) / Cost and Management Accountants of Pakistan (ICMAP) / Chartered Financial Analyst (CFA)

Objective: The consulting assignment aims to assess financial management (FM), budgeting, planning and internal control processes, Public Sector Companies, Corporate Governance Rules, 2013 (CG Rules) and Fund Implementation Partner’s (FIP) selection and audit criteria of National Disaster Risk Management Fund (NDRMF / Entity). Scope of Assignment: Consultant will review and assess (i) compliance with Memorandum of Association (MOA), Articles of Association (AOA), loan covenants, corporate governance rules and regulatory requirements of NDRMF, (ii) FM and audit capacity of NDRMF and its compliance with entity’s rules, manuals, criteria, guidelines, applicable laws, international financial reporting and auditing standards, and (iii) ability of internal audit department in audit of the FIP’s and monitoring of actual expenditures against budgeted. Detailed Task: Detailed task includes to review / assess:

Appendix 2 18

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

(i) Entity’s financial management operations

and status of compliance with approved financial management, disbursement, operational and limit of authority manuals.

(ii) Effectiveness of annual planning and budgeting process and updating of business plan.

(iii) actual results / expenditures with financial projections / approved budgets and analyze the variance

(iv) Status of compliance with approved investment guidelines for investment of surplus and working balance funds.

(v) Process of deployment of Enterprises Resource Planning System (ERP) and the capacity of NDRMF staff to deploy and implement ERP.

(vi) Compliance with NDRMF Memorandum and Articles of Association to assess whether entity is performing operations as per MOA & AoA.

(vii) Compliance with loan covenants, Companies Act, 2017, Public Sector Companies, Corporate Governance Rules, 2013 (CG Rules) and other regulatory compliances.

(viii) Effectiveness of Board of Directors and its committees.

(ix) NDRMF’s ability to effectively monitor the utilization of ADB’s resources for intended purposes

(x) Design and operating effectiveness of FIPs’ systems and the quality of monitoring and validation performed by NDRMF.

(xi) NDRMF’s treasury arrangements to be sufficiently robust to ensure accelerated availability and tracking of funds for the Project

Advisor on Gender (4 person-months)

Qualification and Experience Master's degree in Social Sciences, Public Policy, Economics, Gender-Social Protection or another relevant field required. Preferably more than 10 years in the field of Social Development and at least

Scope of the Assignment: The Advisor on Gender He/She will be based at NDRMF and will be mainly responsible for the overall technical and advisory inputs for the projects, overall implementation, reporting and oversight of the Gender Action Plan. He/She will be responsible for the following: (i) conduct orientation of the relevant staff

of NDRMF, and BISP and other stakeholders involved on Gender Action Plan its activities and targets;

Appendix 2 19

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

8 years in Gender specific expertise. Well versed with gender related issues related to emergency response and social protection programs. ADB or other International Donor-funded projects’ experience on similar projects at the national level would be an added advantage.

(ii) work in close coordination with all project’s stakeholders including; NDRMF, BISP and other concerned line agencies on regular basis to ensure that the GAP targets are fully complied by the project;

(iii) provide assistance in reviewing the project proposals to ensure that these are in line with the gender design of the project - submitted by FIPs through NDRMF;

(iv) provide assistance to Monitoring and Evaluation team at PIU in developing monitoring and reporting mechanisms aligned with GAP indicators and targets;

(v) work with the implementing agencies to design gender-specific multi-media campaigns and ensure that a gender-responsive communication plan is developed for Emergency Response and Social Protection components of the project.

(vi) work in close collaboration with all stakeholders to develop a comprehensive Gender-sensitive SoPs for the health facilities, isolation and Quarantine centers and policy addressing gender gaps.

(vii) work with gender and M&E unit of the project to ensure that sex-disaggregated data on all relevant indicators and targets is collected on regular basis.

(viii) provide support in conducting gender research, impact studies and documenting success stories.

(ix) work in close collaboration with civil society organizations and donor agencies to ensure women have equitable access to project benefits.

(x) any other task assigned by the NDRMF management.

Gender Specialist (12 person-months)

Qualification and Experience Bachelor's degree in Social Sciences, Public Policy, Gender or another relevant field required. Preferably more than 8 years in the field of Social Development and at least 5 years in Gender specific expertise. Well versed with gender related

Scope of the Assignment. The Gender Specialist will work under the guidance and supervision of the Advisor on Gender. He/she will be mainly responsible for the following: (i) assist NDFRMF in coordination with the

all key stakeholders including; NDRMF, and BISP on regular basis to ensure that the GAP targets are fully complied by the project;

Appendix 2 20

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

issues in relation to emergency response, disasters and social protection. ADB or other International Donor-funded projects’ experience on similar projects would be an added advantage.

(ii) assist Gender Officer of NDRMF in collecting GAP related data and preparing gender reports and documentation.

(iii) conduct field visits and consultation meetings with the project beneficiaries including BISP beneficiaries, health workers, and other concerned communities and identify areas of improvement.

(iv) assist the Advisor on Gender in collecting data for gender research and impacts.

(v) liaison with concerned stakeholders to ensure that concerns of women and girls are addressed, and GAP related targets are achieved.

(vi) assist Gender Officer, NDRMF in documenting best practices and success stories of project beneficiaries.

(vii) liaison with the CSOs and donors for better coordination and collaboration.

(viii) any other tasks assigned by the NDRMF management.

Epidemiologist (4 person-months)

Qualifications Degree in medicine or epidemiology; post-graduate training in public health preferably holding Masters of Public Health Degree, having PhD in Public Health will be preferred. Experience Seven to ten years experience in epidemiology, including conducting mortality and morbidity surveys Analytical skills Should have demonstrated analytical skills over research methods, and skilled with statistical software including SPSS, as

Objective of the Assignment. The objective of the consulting assignment is to assist the Executing /Implementing Agency (i.e. NDRMF) in providing technical support in collecting and reporting and analysis on epidemic intelligence, outbreak verification and information, management, interacting with Ministry of National Health Services, Regulation and Coordination, WHO Country Offices to gather information required for COVID 19 epidemiology. The consultant will: (i) collaborate in providing technical support in

the detection, risk assessment, and verification of acute public health threats of international concern posed by epidemics through official and unofficial sources involving contacts with public health officials from Federal and Provincial Ministries of Health, WHO, and other Areas, as well as partners

(ii) support the client and Ministry of National Health Services Regulation and Coordination to collect, assess, and

Appendix 2 21

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

well as qualitative research software, as well as on Microsoft Office Language Fluent in English Skills • Ability to direct, guide

and supervise a diverse group of professionals and to coordinate activities of different

• health players. Strong verbal and written communications skills are a strong asset.

verify information on COVID 19 including projections;

(iii) collaborate in monitoring, analyzing and disseminating information generated from the COVID 19 platform of Ministry of Health Services, Regulation and Coordination;

(iv) ensure the quality and accuracy of the information registered in the system in collaboration with other technical staff; prepare statistical analyses, analyze disease risk profiles and assist in coordinating routine epidemiological reporting;

(v) support in conducting risk assessment on the emergency public health event of national and international concern by using the available information.

(vi) support epidemiology related techno-scientific analytical work for damage need assessment and scenario generation on COVID 19 outbreak, for informed decision-making.

(vii) support the client to respond to emergencies and disasters.

(viii) ensure compliance with the agreed timelines for the submission of report to the NDRMF.

Health Coordination Specialists 5 position, for 40 Person Months

Qualifications Advanced University degree or its equivalent in any of the following fields: health, Medicine, sociology, anthropology and/or other related social science field. Advanced degree in public health is an added advantage. Experience Five years of increasingly responsible professional experience in development work preferably in programme management in public health Language Fluent in English

Objective and Scope of Assignment. The objective of the consulting assignment is to provide representation in day to day implementation, monitoring and evaluation of the project by ensuring That the project outcomes are in line with the government, NDRMF and ADB policies UNFPA policies and procedures; and to ensure the use of appropriate mechanisms and systems and ensuring compliance with established procedures. The consultant shall be responsible for: (i) working closely with the provincial

counterparts, provincial DRR committee and other strategic partners to ensure that high quality, relevant, and cost effective project interventions are implemented in line with national policies/plans in the areas of COVID19

(ii) identifying gaps and priority areas of work in implementing the project. This includes proposing reasonable review and recommendations for adjustment of activities where necessary. c)

Appendix 2 22

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

Skills • Substantive knowledge

and practical experience in population, health, and gender programming

• Good understanding of the government systems, particularly in the social development areas

• Experience in working in a multi-cultural environment and at national and provincial level Strong results orientation, with proven experience in using results-based management tools

• Good coordination, analytical and strategic thinking and sound judgment and advocacy skills

• Experience in programme / project planning, design, follow-up, monitoring and evaluation

• Strong verbal and written communications skills are a strong asset.

• Field experience

(iii) identifying the capacity gaps and providing technical assistance and capacity building to the partners

(iv) overseeing the effective planning, implementation and monitoring of the project activities and shared results.

(v) participating in all coordination meetings at the project site to review project progress and address any bottlenecks

(vi) contributing to the process of program reviews

(vii) contributing to national and provincial meetings where experience on project progress as well as challenges can be shared.

(viii) ensuring compliance with the agreed timelines for the submission of report to the NDRMF.

Pulmonologist (4 Person Months)

Qualifications Degree in medicine or epidemiology; post-graduate training in public health preferably holding Masters of Public Health Degree, having PhD in Public Health will be preferred. Experience Seven to ten years experience in epidemiology, including conducting

The consultant will be responsible for (i) review of clinical management of COVID19

patients (ii) suggest alternate protocols of clinical

management of COVID19 (iii) identify gaps in diagnostic and therapeutic

facilities available in project sites (iv) lead in designing protocols for clinical trials (v) advise in development of clinical strategies

for COVID19 (vi) review the list of equipment and supplies with

specifications and advise to ensure quality and quantity in the project proposal

(vii) the consultant shall ensure compliance with the agreed timelines for the submission of report to the NDRMF.

Appendix 2 23

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

mortality and morbidity surveys Analytical skills Should have demonstrated analytical skills over research methods, and skilled with statistical software including SPSS, as well as qualitative research software, as well as on Microsoft Office Language Fluent in English Skills • Ability to direct, guide

and supervise a diverse group of professionals and to coordinate activities of different

• health players. Strong verbal and written communications skills are a strong asset.

(viii) support NDRMF in appraisal process on health related project

Procurement Experts -oversight/capacity building support (three positions for a total of 12 person months)

The Procurement Specialist should possess: (i) at least a Bachelor’s degree in law or engineering or management or any related fields (master’s degree will be an advantage); (ii) preferably 10 years of general experience with seven years of experience with procurement of works, goods, and consultancy services. Must be familiar with international best practices on procurement, as well as procurement and

Objective: The objective of the consulting assignment is to assist the FIPs in procurement process ). Detailed Tasks: The consultant’s detail tasks will include but not limited to:

(i) Participate in the bid opening and bid evaluations of all contracts $ 1 million and above as observer

(ii) timely communicate to Implementation Agency (i.e. NDRMF), if any of the FIP does not share the necessary documents for the review of the procurement or delay or show reluctance in sharing the documents.

(iii) Keep track of the all procurement activities by the FIPs

Appendix 2 24

Name of Expertise Required Qualification

and Experience Outline Terms of Reference

consulting services guidelines of the multilateral development banks and other bilateral development partners. Procurement experience with ADB, World Bank, or ADB/WB-financed Projects will be an advantage.

(iv) Support FIP in capacity building, finalizing the procurement requirements before FIPs proceed with bidding

(v) review evaluation reports / process

conducted by FIPs, when requested by FIPs. The Consultant shall promptly share his/her opinion with the NDRMF or other concerned if there are any shortcomings.

(vi) ensure compliance with the agreed timelines for the submission of report to the NDRMF.

Appendix 3 13

DESIGN AND MONITORING FRAMEWORK Impact the Project is Aligned with: Coping capacity of the country to deal with the COVID-19 pandemic and other public health emergencies improved by 2024 (Pakistan Preparedness and Response Plan to combat COVID-19)a

Results Chain Performance Indicators with Targets and

Baselines

Data Sources and Reporting Mechanisms Risks

Outcome By 2023: Adverse health and socioeconomic impacts of the COVID-19 outbreak mitigated

a. Financial support for food and basic needs during COVID-19 outbreak provided to at least 3.3 million poor households (2020 baseline: not applicable)

b. Improved health system capacity to detect, assess, notify, report on, and respond to public health risk, with International Health Regulations Country Score for Pakistan rising to 55% (2020 baseline: 49%)b

a. National economic data; BISP monitoring and evaluation reports b. State party annual reports via WHO's e-SPAR platform

The government's fiscal capacity and the availability of fiscal resources worsen because of the economic slowdown caused by the COVID-19 crisis.

Outputs BY 2022:

1. Public health emergency preparedness and response strengthened

1a. At least 3 months' supply of properly sized PPE for all male and female health workers as well as other hygiene materials (e.g., menstrual kits, diapers, as needed) delivered to 100 public hospitals, public laboratories, or public isolation centersc (2020 baseline: not applicable—these are consumable inventories)

1b. Existing public facilities restructured to add at least 10 sex-segregated patient wards (average 30 beds each), with separate changing and resting facilities for male and female health workers (2020 baseline: 2,900 ICU beds)

1c. At least 100 ambulances equipped with COVID care equipment provided and 200 staff with improved skills in line with WHO’s approved pre-hospital emergency medical service readiness for COVID-19. (2020 baseline: not applicable—refurbishing)

1d. At least 1,000 new public WASH facilities established or improved in public buildings, health facilities and public places with separate facilities for women meeting WHO standards (2020 baseline: not applicable)

1e. At least 10,000 front-line workersd at public health facilities, of whom at least 50% are female, improved COVID-19 case management skills (2020 baseline: not applicable)

1f. Testing kits to perform an additional 1 million COVID-19 tests delivered to approved

1a.–1f. NIH and MNHSRC inventory control database; National inventory of WHO’s COVID-19 data base 1g. Provincial annual statistical data 1h. Annual reports of Provincial Rescue 1122 agency. 1i. WHO database and Provincial education department data base 1a.–1i. NDRMF quarterly progress reports and Independent third-party evaluation report of the technical

Global production capacity and export restriction curtail options for imports, and supply chain restrictions delay deliveries. The national institutions have limited capacity and the country system is weak to timely deliver the outputs.

Appendix 3 14

Results Chain Performance Indicators with Targets and

Baselines

Data Sources and Reporting Mechanisms Risks

public sector labs of the health department (2020 baseline: 500,000)

1g. At least 40 new medium sized infectious waste management units (incinerators and autoclaves) installed and operational in hospitals, and laboratories dealing with COVID-19 (2020 baseline: not applicable)

1h. Multisector emergency response equipment provided to Rescue 1122 in at least 10 centers serving (coverage) a population of 4 million people in remote border arease (2020 baseline: 0—new areas with no rescue facilities)

1i. At least 2,000 communities in remote border areas, informal settlements, and schools (1,000 all-female schools) with limited or no access to telecommunication or internet facilities get access to COVID-19 communication campaign through high-speed hotspots; this includes distant-learning option (2020 baseline: 0—new areas without access to these facilities)

assistance consultants

Reconciliation process in preparing financial reports is not timely and may result in variances for the observed number of eligible beneficiaries.

2. Social protection for poor and vulnerable women delivered

2a. 3.3 million eligible BISP beneficiary women received additional emergency cash transfers of PRs4,000 each by 30 June 2020 (February 2020 baseline: 0) 2b. UCT payments of PRs2,000 per month for July to October received by 2.5 million eligible BISP beneficiary women by 31 December 2020 (February 2020 baseline: 0)

2a-2b. BISP Finance and Accounts reports confirmed by disbursement certificates by Banks.

Key Activities with Milestones 1. Public health emergency preparedness and response strengthened 1.1 Re-appraise existing FIPs and accredit new FIPs with capacity in health sector by May 2020 1.2 Identify, appraise, and approve the first batch of subprojects by June 2020. 1.3 Deliver the first batch of equipment and supplies or construct first batch of assets by September 2020. 2. Social protection for poor and vulnerable women delivered 2.1 Release additional emergency cash transfers to eligible BISP beneficiaries by June 2020 2.2 Provide UCT payments to eligible BISP beneficiaries for July-October by December 2020 2.3 Monitor timely delivery of cash transfers (until first quarter of 2021) Project Management Activities Recruit individual consultants to support the NDRMF with the first batch on board by June 2020 Prepare project completion report by November 2022 Inputs ADB: $300 million (emergency assistance loan) Government of Pakistan: $6.52 million (counterpart funding) Government of Norway: $5.28 million (grant)

Appendix 3 15

Assumptions for Partner Financing Not Applicable ADB = Asian Development Bank; BISP = Benazir Income Support Programme; COVID-19 = coronavirus disease; eSPAR = Electronic State Parties Self-Assessment Annual Reporting Tool; FIP = fund implementation partner; ICU = intensive care unit; MNHSRC = Ministry of National Health Services, Regulations and Coordination; NDMA = National Disaster Management Authority; NDRMF= National Disaster Risk Management Fund; NIH = National Institute of Health; PPE = personal protective equipment; UCT = unconditional cash transfer; WASH = water, sanitation, and hygiene; WHO = World Health Organization.

a Government of Pakistan, MNHSRC. 2020. Pakistan Preparedness & Response Plan to combat COVID-19. 23 April 2020. Islamabad.

b The emergency assistance project will in particular support an improvement in the Health Service Provision category (current score: 33%) by creating more resilient and responsive national health systems and local health service delivery to prevent, detect, respond to, and recover from public health events.

c The cost estimates are based on the need for 3 months of supplies of PPE and consumables for health facilities, as estimated by the MNHSRC for the Pakistan Preparedness and Response Plan to combat COVID-19 (footnote a).

d Front line workers = health care providers, critical care staff, and technicians. e Equipment includes firefighting equipment, computers and connectivity for decease surveillance, equipment for

ambulances, debris clearance equipment, among others, because these are multi-hazard response centers. Source: Asian Development Bank.