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RESULTS-ORIENTED GRANT NO. 4390-UHRC-07-03 Under USAID/Emerging Markets Group, Ltd. Prime Contract IQC No.

GHS-I-00-07-00016-00, Population, Health and Nutrition Technical Assistance to Support Contract 3 Global Health (TASC 3 Global Health), Task Order No. GHS-I-01-07-00016-00 Maternal Child Health Sustainable Technical Assistance and Research (MCH-STAR) Grantor: Emerging Markets Group, Ltd. (EMG) Colonial Place III 2107 Wilson Boulevard, Suite 800 Arlington, VA 22201-3096 Tel: (703) 373-7600 Fax: (703) 373-7601 Urban Health Resource Centre B-7/122A, Safdarjung Enclave New Delhi- 110 029 India Tel: +91-11-41010920 Fax: + 91-11-41669281 October 1, 2008 September 30, 2009 $1,606,265.00

Grantee:

Period of Performance: Amount of Award:

Grantor Emerging Markets Group, Ltd. Leslie Flinn ________________________ Name Managing Director Title _____________________________________ Date

Grantee

Urban Health Resource Centre


Dr. Siddharth Agarwal___________________ Name Executive Director Title ______________________________________ Date

Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

This Grant Agreement is executed on November 19, 2008, by Emerging Markets Group, Ltd. (hereinafter known as EMG and Grantor), a registered corporation under the laws of the state of Delaware having a National Office located at Colonial Place III, 2107 Wilson Boulevard, Suite 800, Arlington, VA 22201, and Urban Health Resource Centre located at B-7/122A, Safdarjung Enclave, New Delhi- 110 029, India (hereinafter known as UHRC and Grantee), for support under the Maternal Child Health Sustainable Technical Assistance and Research (MCH-STAR) Program, for the United States Agency for International Development (hereinafter known as USAID). WHEREAS, Emerging Markets Group has, on September 26, 2007, entered into a Task Order agreement (No. GHS-I-01-07-00016-00) under its Indefinite Quantity Contract (IQC, No. GHS-I-00-07-00016-00) with the U.S. Agency for International Development (USAID) (the Client). The following documents constitute part of this Agreement: 1) 2) 3) 4) 1. Appendix A: Appendix B: Appendix C: Appendix D: EUHP 12-month Workplan EUHP Performance Monitoring Plan Cash Advance Status Report, and Financial Report Standard Provisions

PURPOSE OF THE GRANT

The parties to this agreement desire to enter into an agreement for the undertaking of activities by this Grant, which support the objectives of the Maternal Child Health Sustainable Technical Assistance and Research (MCH-STAR) Project. 2. PERIOD OF AGREEMENT

The start date of the activities under this Agreement is October 1, 2008. The estimated completion date of activities under this Agreement is September 30, 2009. 3. AMOUNT OF AWARD AND PAYMENT A. B. The total estimated amount of this Award for the period shown in Section 2. above is $1,606300,265000. The Grantee will be given written notice by Emerging Markets Group, when funds will be released. Emerging Markets Group is not obligated to reimburse the Grantee for amounts in excess of the total obligated amount. Emerging Markets Group shall make payments to the Grantee by electronic transfer funds or by check. Additional funds up to the total grant amount shown in 3.A. above may be obligated by Emerging Markets Group subject to the availability of funds, satisfactory progress of the project, and continued relevance to Program Description.
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C. D.

Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

E.

Payments shall be made in accordance with the following schedule:

PAYMENT SCHEDULE Grant payments shall be made in accordance with the following schedule: (a) $200,000 shall be paid upon completion of (i). baseline Pre-Award Survey, (ii) assistance to the Uttar Pradesh Chapter of the Indian Association of Preventive and Social Medicine for the implementation of a Urban Health Symposium, and (iii). Draft newborn and child urban strategy paper. (b) $281,253440,000 (220% of remaining total grant amount) shall be paid upon completion of a draft quarterly report due on December 2615m, 2008. The final first quarterly progress report and quarterly financial report with all results between October 1, 2008 and December 31, 2008 attached is due on January 13, 2009. (c) $281,253 (20% of the remaining grant amount) shall be paid upon hiring of key personnel (Director of Programs, Director of Operations, HR Officer, and Grants/Contracts Officer). (dc) $421,87940,000 (320% of the remaining grant amount) shall be paid upon completion of a second pre-award survey by March 5, 2009. (e). $140,626 (10% of the remaining grant amount) shall be paid upon and submission of the second quarterly progress report with all deliverables and quarterly financial report for the period from January 1, 2009 to February 28, 2009 due March 315, 2009 due on April 13, 2009.
(fd) $1410,626000 (10% of the remaining grant amount) shall be paid upon submission of the third

quarterly progress report with deliverables achieved between April March 1, 2009 and June 30, 2009 and quarterly financial report due on July 13, 2009. (ge) $1410,626000 (10% of the remaining grant amount) shall be paid upon submission of the final program report with deliverables achieved between July 1, 2009 and September 30, 2009 and the final financial report due no later than October 13, 2009. Results Requirements To be Completed by no later than these Due Dates November 21, 2008 Payment Amount Due (Expressed in USD) $200,000

1. (i). baseline Pre-Award Survey completed by MCHSTAR, (ii) Uttar Pradesh Chapter of the Indian Association of Preventive and Social Medicine for the implementation of a Urban Health Symposium completed, and (iii). Urban newborn and child strategy paper drafted for the Ministry of Health and Family Welfare. 2. Submission of draft quarterly report with results attached (final quarterly report and financial report due on January 13, 2009) 3. Hiring of four key personnel (Director Operations,

December 2915, 2008 January 15, 2009

$281,253440,000 $281,253
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

Director Programs, HR Officer, Grants/Contracts Officer) 43. Completion of the second pre-award survey and second quarterly report with results achieved during quarter attached. 5. Submission of the second quarterly progress report with deliverables achieved between April 1, 2009 and June 30, 2009 and quarterly financial report 54. Completion of third quarterly report with results achieved during the quarter attached. 65. Completion of final report with results achieved between July and September 2009. TOTAL/CEILING AMOUNT

March 5, 2009 April 13, 2009 July 13, 2009 October 13, 2009

$421,879440,000 $140,626 $140,626$110,000 $140,626$110,000 $1,606300,265000

4. DISBURSEMENT OF FUNDS a) Emerging Markets Group shall make funds available for approved activities to the Grantee. The Grantee shall accept from Emerging Markets Group funds available in support of the activities as specified by the terms of this Agreement up to the Grant amount as specified in Section 3.A. b) The Grantee must submit evidence of good financial management and responsibility to Emerging Markets Group before any portion of the Grant may be awarded. c) The schedule of disbursement will be subject to negotiations with the Grantee, and will be related to the requirements of the grant activities, and will be disbursed in a single tranch. Upon completion of the Grant activity and submission of a report, if the Grantee has expended less than the advanced amount, the Grantee will return the unexpended Grant amounts to Emerging Markets Group. d) It is further agreed that Emerging Markets Group shall not be obligated to pay any monies to the Grantee under the terms of this Agreement except for activities specified in the Program Description. e) All payments by Emerging Markets Group shall be made to the Grantee at the prevailing rate of exchange at the time of disbursement in the lawful currency of India. 5. PROGRAM DESCRIPTION

5.1 The Maternal and Child Health Sustainable Technical Assistance and Research Initiative Improving the health of women and children in India is paramount at this stage of Indias development. The major causes of under-five and maternal deaths are preventable and treatable. One half of deaths to under-fives occur in the first month of life. Life-saving interventions are known and saving lives does not require extraordinary interventions or technologies. Though rates of maternal and child mortality have declined over the last 25 years in India, according to the Human Development Report 2005, India has not been able to convert its substantial economic growth into human development gains. The Maternal and Child Health Sustainable Technical Assistance and Research initiative, known as MCH-STAR, is a multi-year project funded by USAID/India. MCH-STAR aims to improve the policies,
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

program approaches and resource allocations through Indian institutions that specialize in Maternal, Neonatal, Child Health and Nutrition (MNCHN) technical leadership and services, policy analysis, and advocacy. The overall goal of MCH-STAR is to improve maternal, neonatal and child health and nutrition in India among rural and urban poor and underserved populations through effective programs that address priority issues and are guided by appropriate policies. MCH-STAR and its partners will work to support the goals of the National Rural Health Mission, the ICDS, the Reproductive and Child Health II (RCH II) for MNCHN research, and the soon to be launched National Urban Health Mission through research and evaluation, policy analysis and advocacy, and responsive technical assistance in Empowered Action Group States that have the greatest need, with a special focus on Uttar Pradesh and Jharkhand. The ultimate objective of MCH-STAR is to leave a legacy of sustainable Indian Institutions that provide technical leadership and critical technical inputs to public and private sector programs in India for MNCHN. MCH-STAR prime partners, Emerging Markets Group, Boston University and CEDPA, will provide high level capacity building and institution strengthening to 3-5 Indian Institutions (called STARSupported Institutions, or SSIs) to provide leadership and critical inputs on MNCHN matters through technical assistance, policy analyses, advocacy and research, responsive technical assistance, research and evaluation, and policy analysis and advocacy. Currently MCH-STAR provides support to 3 SSIs PHFI, PFI and UHRC. 5.2 Support to USAID/Indias Expanded Urban Health Program Recently, USAID has expanded the work of MCH-STAR in the Expanded Urban Health Program. The current grant is made to UHRC for the purpose of improving delivery of a comprehensive package of Reproductive & Child Health interventions, including the promotion of water supply, sanitation & hygiene services, to urban poor communities. The overall approach will be to leverage major, well funded national programs aimed at improving the health and environmental conditions of the urban poor namely the National Urban Health Mission (NUHM) and the Jawaharlal Nehru National Urban Renewal Mission 1 (JNNURM) specifically the SubMission for Basic Services to the Urban Poor. USAID/Indias strategy to address the health challenges of urban poor will also build the capacity of Indian Institutions to continue to deliver these support services in the long term. In order to leverage a planned investment by the GOI of $4.5 B in the NUHM over 12 months, activities will focus on supporting the NUHM and promoting convergence of NUHM, JNNURM, and ICDS at all levels national, state, and city. To this end technical assistance will support policy development,
1

Jawaharlal Nehru National Urban Renewal Mission is a seven year Mission announced by Ministry of Urban Development, Government of India in 2005. The aim of the Mission is to encourage reforms and fast track development of identified 63 cities. The Mission has two sub-missions: (1) Sub-Mission for Urban Infrastructure and Governance: Administered by the Ministry of Urban Development through the Sub- Mission Directorate for Urban Infrastructure and Governance, the main focus is on infrastructure projects relating to water supply and sanitation, sewerage, solid waste management, road network, urban transport and redevelopment of old city areas with a view to upgrading infrastructure therein, shifting industrial and commercial establishments to conforming areas, etc. (2) Sub-Mission for Basic Services to the Urban Poor: Administered by the Ministry of Urban Employment and Poverty Alleviation through the Sub-Mission Directorate for Basic Services to the Urban Poor, the main focus is on integrated development of slums through projects providing shelter, basic services (especially water supply and sanitation) and other related civic amenities to the urban poor.

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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

advocacy, planning, program learning, monitoring, and evaluation as well as increasing institutional resources that can provide TA in urban health and supporting the development of supporting private sector activities. The NUHM has been formulated to address those factors that can directly influence the health of urban poor populations, with specific focus on Reproductive and Child Health (RCH). To the extent that the final NUHM plan will be based on sound public health analysis, as we believe to be the case, then support for effective NUHM implementation can plausibly be linked directly to improved RCH health outcomes. Environmental health factors, that is improved water, sanitation and hygiene, will be addressed by supporting convergence of NUHM with the JNNURM, sub-mission for basic services to the urban poor, as well as supplementary private sector activities to address key issues not well addressed under NUHM and JNNURM. The geographic scope of the present Urban Health Program implemented by Urban Health Resource Center (UHRC) illustrated in the map below.

The geographic focus of the EUH will be consistent with that established by NUHM (national, focus on urban areas with the largest slum populations) and best opportunities assessed to be those where most progress can be made to influence the effective delivery of services to poor and underserved populations, as well as to influence the national program and other state and city programs. Consistent with the MOHFW priority of providing focused attention to underperforming EAG states, activities in those states, or activities that will best inform and influence the development and implementation of effective NUHM activities in the EAG states, will be a high priority. Within EAG states, activities in USAIDs RCH focus states of UP and Jharkhand would be a priority, provided that the criteria of best opportunity can be met. The Expanded Urban Health Program (EUHP) has two technical components and one institutional strengthening component - (1) support to the NUHM, (2) support for improved water, sanitation and hygiene services for the urban poor, and (3) institutional strengthening of UHRC.

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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

5.3. Activities and Expected Results MCH-STAR seeks the services of UHRC towards the initiation, implementation, and completion of a number of activities relating to USAID/Indias Expanded Urban Health Program. This program description and activities include a number of results expected from the implementation of activities in the approved workplan (Refer to Annex A for the workplan and complete representation of activities to be implemented by UHRC). The following activities are envisaged to be implemented by UHRC: Component 1: Technical Support for Effective Implementation of the National Urban Health Mission (NUHM)/Urban Health Component of NRHM or RCH II There have been several encouraging recent developments in GOI policy that offer new and exciting opportunities for addressing the problem of health of the urban poor from several different angles - most promising being the soon-to-be-launched National Urban Health Mission. The others are universalization of Integrated Child Development Services Scheme (ICDS) and Sub-Mission on basic services for urban poor under Jawaharlal Nehru National Urban Renewal Mission (JNNURM). The other important developments are convergence of vertical health programs and willingness of the Government of India to innovate. While continuing to build its policy, advocacy, planning, and documentation strengths, including tool development, UHRC will add a stronger focus in three areas: program learning in key city programs, supporting convergence among urban programs affecting health, and increasing Indian institutional resources to provide technical assistance to urban health programs. Sub-component 1.1: Provide technical support for effective roll-out and implementation of NUHM/Urban component of GoIs health program/other UH programs at National, State and City levels at national, state and city levels. 1. Provide Technical support for planning at national, state, city levels of the NUHM 2 a. Provide technical support to the Urban Health Division in getting the necessary approvals for launch and roll out of NUHM. b. Provide technical support to the urban health division for further refinement and finalization of NUHM document. c. Provide technical support to the urban health division for launch of the NUHM- preparation of material, speeches, PowerPoints, logistics, press release, sending invitations. d. Purchase and/or compile key documents and literature on Urban Health for the urban health division of MOHFW. e. Assist in recruitment and provide financial support for two consultants to work in the Urban Health Division of MOHFW. f. Collect and analyze city/state-based information and data in at least four cities to prioritize city needs among the 100 cities, in particular UP, Jharkhand and MP. g. Provide technical support to the Urban Health Division of MOHFW for organizing a postlaunch planning meeting. h. Assist the MOHFW Urban Health Division in preparing NUHM circulars, guidelines, and
2

In the advent that the government does not launch the NUHM, this component of the SOW will then work with the urban health component of the existing National Rural Health Mission/RCH II.

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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

i.

j.

other roll out documents. Coordinate with Municipal Corporation of Delhi (MCD) and Government of National Capital Territory of Delhi (GNCTD) for improving reach of health services to slum populations in Janta Mazdoor Colony (JMC) through a partnership with local NGO. Identify and enhance the capacity of a partner NGO in JMC and conduct periodic reviews.

Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Handover letter of documents and literature procured for the UH Division, MOHFW. Contracts of consultants working with UH Division, MOHFW. Reference sheets with compiled data on urban health information of four select cities of UP, MP, and Jharkhand. Post-launch plan with defined next steps for city level health planning. Copies of NUHM circulars, guidelines, and other roll out documents (subject to launch). Reports on review of NGO in Janta Mazdoor Colony 2. Provide technical support at the State and city levels for at least two states to prepare State and City Urban Health Plans. a. Create a matrix of technical assistance provided in the thirteen cities where UHRC and EHP have worked to date. b. Provide financial support for urban health consultants in UP, Jharkhand, Maharashtra, and Rajasthan to assist in developing State urban health plans. c. Facilitate grant to State level NGO to provide technical support to Government of Madhya Pradesh (GOMP) and district health department for planning, roll out and implementation of state urban health program. d. Provide technical direction and guidance to state level NGO in Madhya Pradesh (MP) to develop their capacity to provide technical support in urban health. e. Provide support to the states to initiate the process of establishing an institutional mechanism (cell /PMU) at state level for effective planning, monitoring and implementation of NUHM for UP, Jharkhand, Rajasthan and Maharashtra. f. Create lists of "listed" and "unlisted" slums of two selected cities with support from state consultants. g. Assist the states in developing procedures and TORs to undertake mapping of slums (listed and unlisted) and health facilities in select cities. h. Provide technical support to contracted agency/State government for developing GIS/Spatial maps of 2 cities with slums and health facilities marked. i. Collect and analyze city level information and data to help in effective planning and resource allocation in at least 10 cities across 2 states. j. Facilitate and support meetings for development of UH Plan and Budget of Meerut as a sample plan for Uttar Pradesh. k. Assist GOUP in organizing a review and finalization of the sample plan and budget. l. Facilitate 1 grant through a competitive process to NGO working in North East District Delhi to help develop pilot as part of city level technical assistance for improved slum level service uptake and records for maternal and child health services in through convergent efforts with Delhi Government and MCD. m. Purchase and or compile key documents and literature on Urban Health to handover to at least 2 States.
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

n. Assess government urban health centers in at least three cities in Uttar Pradesh, e.g. Lucknow, Agra and Meerut. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Matrix of technical assistance provided to date by UHRC and EHP in 13 cities. Contracts of UH consultants working in UP, Jharkhand, Rajasthan, and Maharashtra. Draft TOR for UH Cell/PMU/UH consultant in 4 states. Slum lists (unlisted and listed) of 2 cities State guidelines for identifying and mapping listed and unlisted slums Maps of 2 cities with all slums and public health facilities Reference sheets with city level data for 10 cities in two states Meerut UH plan as sample plan for Uttar Pradesh Handover letter of documents and literature procured for the UH Division in two states Urban Health Center Assessment Reports for three cities in Uttar Pradesh 3. Conduct capacity building activities for select state & city level govt.& non govt. stakeholders a. Organize, support and facilitate workshop in at least 1 state for capacity building of key stakeholders to enable them to do the situation analysis, organize consultations and develop the city level PIPs. b. Assist GOUP in facilitating a workshop/meeting for city and state health managers on Developing City Level Urban Health Plans using the sample plan and budget of Meerut. c. Facilitate and support at least 2 study tours of state and city health officers and select NGO managers to successful urban health programs in Agra, Indore or in states such as Maharashtra/Karnataka/Tamil Nadu/West Bengal. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Report of workshop in one state with key stakeholders on NUHM planning and implementation processes Report of workshop in UP for developing city level UH plans based on sample Meerut plan Report of 2 study tours of stakeholders to successful UH program sites Sub-component 1.2: Improve NUHM/urban RCH II through Program learning 1. Identify additional program learning sites and conduct preliminary scoping and assessment activities a. Select 3 program learning cities that are best opportunities- including one for convergence in consultation with USAID/India, based on previous NUHM initial focus cities in EAG States, USAID investment in city program learning activities (most likely Indore, Agra and Bhubaneswar). b. Placement of UH consultant in Bhubaneswar city. c. Conduct situation analysis of new program learning city including meetings with health department, Municipal Corporation, JNNURM, ICDS, NGOs, and FIRE-D (Bhubaneswar). d. Hold a series of consultations in Bhubaneswar with stakeholders to identify synergetic opportunities, intervention sites, and potential roles for different stakeholders. e. Facilitate initial activities towards the establishment of a city level coordination committee/alternative mechanism for convergence that includes health department, Municipal Corporation, JNURM, ICDS, NGOs, and FIRE-D.
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

f.

In consultation with city stakeholders, design and initiate Baseline Study that includes child health, nutrition, maternal health, newborn health, and gender issues, for Bhubaneswar. g. Develop a graduation plan for the Indore Urban Health Program so that they are able to continue the urban health work in a sustainable manner. h. Design and plan an external end line evaluation of Indore sub-grantee urban health program. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Documentation of process used for selection of 3 program learning cities Contract of UH Consultant for Bhubaneswar city Bhubaneswar Situation analysis final report Consultation reports identifying resources and roles of stakeholders in Bhubaneswar city TOR of Coordination Committee in Bhubaneswar city Baseline design document for Bhubaneswar city Graduation plan for Indore Urban Health Program Endline external evaluation design and plan of the Indore Urban Health NGOs. 2. Support the program learning activities in Indore and Agra a. Fund and pProvide technical and management oversight to 8 NGO grantee working in Indore and Agra to carry out demonstration and learning activities in Indore for maternal, newborn, child health and nutrition, including demand generation and service improvement. b. Build capacity of NGO grantees to host and conduct study tours at program learning sites . c. Facilitate the submission of quarterly progress and financial reports by NGO grantees. d. Conduct quarterly program review, including service delivery data, as part of M&E activities e. Document lessons learned from non-USAID supported activities in Pimpri Chinchwad Municipal Corporation in Maharastra. f. Re-compete subgrants to NGOs by April 2009. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Eight subgrants provided to NGOs in Agra and Indore. Quarterly reports of management and technical support by UHRC to 8 NGO grantees Quarterly progress and financial reports of NGO grantees Reports of quarterly review of NGO grantee programs Report of lessons learned from non-USAID supported activities in Pimpri Chinchwad. New NGO grants provided through a competitive process Sub-component 1.3: Increase capacity and resource in India to provide support to NUHM and improve the health of the urban poor. 1. Mentor state-level NGO grantee periodically on site to improve the quality and responsiveness of technical support to GOMP so that they can become a nodal agency. 2. Procure and provide urban health literature and technical documents to strengthen knowledge and expertise of the state level NGO. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Quarterly reports of state-level NGO grantee in MP
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

Documented receipt of documents and literature handed over to NGO grantee

Sub-component 1.4: Ensure management and strategic dissemination of urban health knowledge 1. Support the maintenance of the Urban Health library and website through subscriptions to key journals/periodicals, procurement of urban health related books, posting of the latest urban health reports and documents. 2. Conduct and disseminate secondary urban health data analyses from the NFHS, census, and other existing studies. 3. Increase availability of urban health information and attention to urban health through research reports, working papers, articles a. Prepare and disseminate the State of Urban Health Report for Bihar. b. Prepare draft State of Urban Health Report for Jharkhand. c. Prepare Draft Thematic Report on Maternal and Child Nutrition among urban poor in India. d. Increase availability of urban health information and attention to urban health through research and media articles. e. Highlight urban health issues through print and electronic media. f. Advocacy events/consultations/related activities to promote policy and program development. g. Organize one national level urban health workshop/conference to further enhance attention to urban health in India. h. Documentation, secondary analyses, program learning evaluations and assessments. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Copy of State of Urban Health Report for Bihar Copy of State of Urban Health Report for Jharkhand Copy of Draft Thematic Report on Maternal and Child Nutrition among urban poor in India. Article submitted to scientific journal. 2 opinion editorials and 2 articles/news features in newspapers or webportals Reports of 2 UH Symposia in MP and one other state Report of national level UH conference Wall charts on UH for Maharashtra, Jharkhand, MP and Delhi Sub component 1.5: Facilitate convergence of NUHM with JNNURM or WCD 1. Develop a technical support plan for supporting convergence with JNNURM at National, State and City levels. 2. Organize study tours/cross visits to understand convergence related initiatives. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Technical Support Plan for convergence with JNNURM Report of convergence study tour with letter from State Government officials Component 2 - Improve Basic Water, Sanitation and Hygiene Services for the Urban Poor

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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

The living conditions of the urban poor and slum communities are characterized by poor environmental health conditions, including lack or poor quality of water, sanitation and hygiene services, and associated risk behaviors. Through activities listed under this component, the sub-contractor will facilitate and support convergence of NUHM with JNNURM, sub-mission for basic services to the urban poor. Since safe water and sanitation is the foundation of public health improvements, including many of those RCH indicators that the NUHM seeks to improve, Component 2 will address water, sanitation and hygiene improvement among the urban poor by leveraging USAID/FIRE-D project activities in one program learning city (Bhubaneswar). The objective of the partnership will be to demonstrate an effective program approach so as to reach the slum dwelling urban poor with meaningful interventions to improve water, sanitation and hygiene services. Sub component 2.1: Convergence of NUHM with JNNURM 1. Develop a Technical Support Plan for convergence with JNNURM at National, State and City levels. 2. Develop a plan for dissemination of key urban knowledge pertaining to cross-sectoral convergence. 3. Develop specific convergence with FIRE-D activities at city level. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Technical Support Plan for convergence with JNNURM (also under sub component 1.5). Compendium on convergence Minutes of coordination meeting with FIRE-D Sub component 2.2: Improve hygiene pilot under NUHM 1. Compile background literature of existing hygiene practices relevant to the UH slum context. Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved workplan: Compilation of background literature of existing hygiene practices in slums Component 3 Program planning and Institution Strengthening of UHRC for implementation of the Expanded Urban Health Program 1. Participate in a post-award meeting with MCH-STAR to finalize mechanisms for reporting 2. Organize an internal EUHP Program Planning and Review Workshop with staff and consultants of UHRC, MCH-STAR, USAID, and IntraHealth. 3. Participate and cooperate fully with pre-award surveys to be conducted by MCH-STAR, USAID, and IntraHealth in November and again in March to identify areas requiring institutional strengthening. 4. Work with MCH-STAR, USAID, and IntraHealth to develop and implement a joint Capacity and Institution Strengthening Plan for UHRC to strengthen financial, HR, procurement, grants management systems, procedures, and manuals. 5. UHRC Executive Director and Board Members will participate in MCH-STAR high level Power Breakfast on November 17th and follow-up meetings 6. Diversify the UHRC Governing Board membership by identifying additional Board Members that represent a range of individuals that include urban health champions, representatives of the private sector, and other appropriate persons. 7. Organize a UHRC Board Retreat to revise an organizational vision and five-year strategic plan 8. Hold quarterly Board Meetings that review organizational policies and practices
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

9. 10. 11. 12.

Invite MCH-STAR, IntraHealth and USAID as observers to one Board Meeting. Develop a business plan for UHRC with technical support from MCH-STAR. Fill all vacant UHRC positions to be funded through this contract. Build the capacity of UHRC technical staff by involving appropriate staff in MCH-STAR capacity building workshops on leadership, advocacy, research, evaluation, strategic communication, and technical updates. 13. Establish a donor advisory group for UHRC/Urban Health 14. Improve M&E systems of UHRC with technical support from MCH-STAR Results The following results are to be submitted to MCH-STAR within one month of the completion of the activity as per the approved work plan: Report of the Program Planning and Review Workshop with detailed implementation plan UHRC joint Capacity and Institution Strengthening Plan developed UHRC key personnel positions filled UHRC Board expanded, diversified, and fully functional UHRC five-year strategic plan completed Financial, HR, procurement, and grants management systems upgraded and improved UHRC Business Plan completed UHRC M&E Systems strengthened UHRC Donor Advisory Group established UHRC passes pre-award survey in March

Gender Consideration Expanded UH Program offers an excellent opportunity to build technical capacity of the sector to understand, address and program gender issues. Understanding gender necessarily includes understanding the perspectives of men as well and working in collaboration to address inequities. Specifically, Expanded UH Program will assure that gender is included for technical assistance, policy and advocacy activities it undertakes. By doing so, it will ensure that key social determinants of health and nutrition among mothers, newborns and children from urban poor communities are understood and addressed. Additionally, UHRC and NGO grantees will include gender analysis in their work and in their internal operations.
6. MONITORING THE PERFORMANCE OF UHRC

Due to the design and nature of MCH-STAR, benchmarks and indicators that will be used to monitor the work of MCH-STAR and EUHP partners are listed in Annex B and are illustrative indicators of how MCH-STAR will monitor the processes (inputs and outputs) of this Project. Outcome measures, such as maternal mortality rate, infant mortality rate, rates of malnutrition, can be obtained through other projects and sources, such as GOI and DHS data. MCH-STAR has been designed to affect policies that will directly impact these outcome measures. In addition, the research studies supported by MCH-STAR, conducted by SSIs will provide monitoring and evaluation data that will feed into the decision-making
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Emerging Markets Group/UHRC Associates India MCH-STAR Project

Grant Agreement No. 4390-UHRC-07-03

process to strengthen policies aimed at improving maternal, newborn and child health and nutrition. MCH-STAR will report on data on one USAID MCH Indicator: (1). The number of information gathering or research activities conducted by the US government. And One USAID Water, Sanitation and Hygiene indicator: (2) Number of feasibility/baseline studies conducted. 7. a) REPORTING The Grantee must submit brief quarterly financial reports and quarterly progress reports on activities with evidence of results attached as appendices supported by the Grant upon completion of the results specified on the cover sheet of this Grant Agreement. The Grantee will provide full accounts of funding incurred under this agreement. The Grantee shall maintain books, records, documents, and other evidence relating to the project. Accounting records that are supported by documentation will at a minimum be adequate to show all funding incurred under this agreement and the overall progress of the project. COMPLIANCE WITH DEADLINES

b) c)

8.

Emerging Markets Group expects the Grantee to complete proposed activities within the Period of Performance specified in this Grant Agreement, and the Grantee agrees to make every effort to comply with the project schedule.

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