|During Project Design
A. Impact and outcome
1. The impact of the project will be improved health service delivery system in Bhutan. The outcome of the project is establishment of e-Services delivery platform capabilities in health services in Bhutan.
B. Outputs and Key Activities
2. Output 1: High performance telecommunications backbone infrastructure is established at the block level. This is established by (i) leasing bandwidth services from internet service providers; (ii) testing the internet capacity and stability provided by internet service providers; and (iii) if required, adding additional equipment to enhance capacity of broadband performance.
3. Output 2: Last mile connectivity at the remote location using TV white spaces technology is deployed. The approach involves (i) securing regulatory clearances from the MoIC for allocation of telecommunications spectrum; (ii) assessing the feasibility of providing wireless services at the remote location using TV white spaces; (iii) preparing detailed implementation plan; (iv) procuring and configuring the equipment; and (v) training and knowledge transfer to the maintenance team of MoIC for troubleshooting issues relating to TV white spaces. This output will be delivered in collaboration with TV white spaces vendors through Microsoft.
4. Output 3: Establishment of e-Health center. This component will establish an e-Health center to provide basic primary health services in the areas of gynecology, cardiology, and dermatology. This output will be delivered in collaboration with HP. The approach includes (i) assessing health service needs in the remote location; (ii) developing an implementation plan; (iii) configuring the HP e-Health unit; (iv) identifying maintenance team with support from MoH; and (v) training and knowledge transfer on operations of e-Health center to the maintenance team.
C. Cost and Financing
5. The technical assistance (TA) is estimated to cost $225,000, which will be financed on a grant basis by ADB's Technical Assistance Special Fund (TASF-V); The government will provide counterpart support including office space, office supplies, venues for conferences and seminars, and other in-kind contributions. The cost estimates and financing plan are in Appendix 2. Disbursements under the TA will follow ADB's Technical Assistance Disbursement Handbook (2010, as amended from time to time).
|During Project Implementation
1. The Ministry of Finance (MoF), will be the executing agency for the TA. MoF will oversee the project implementation, monitoring, and reporting; and will chair a committee comprising of the Government line agency representatives, ADB, HP, and Microsoft. As executing agency, MoF will facilitate smooth resolution of issues during the project implementation. At the end of the pilot, the ownership of equipment and other associated materials will be transferred to the respective line agencies at no cost. Necessary knowledge transfer and training for assumption of ownership for maintaining the equipment and facilities will be provided to the Government by equipment providers at no cost to the Government identified personnel.
2. Consulting services for implementation of the pilot are expected to commence in September 2013 and be completed within four months. The consulting services for the maintenance of the e-Health center will run till September 2014. The total duration of the project is from September 2013 till September 2014. The outline of the terms of reference for consultants is in Appendix 3. Individual Consultants or firms will be selected in accordance with the ADB's Guidelines on the Use of Consultants (2013, as amended from time to time). Procurement of equipment will be carried out in accordance with ADB procurement guidelines.
3. MoH is responsible for identifying the pilot location and provisioning of civil infrastructure facilities including electricity, water, land, generator fuel, IT consumables, human resources, insurance, and other needed requirements. The facility incurs recurring monthly operational expenses for continuing the service delivery. The monthly operational expenses for running the facility for the first year will be financed from ADB's TA, and from the second year onwards, will be funded by MoH, through its budgetary allocation procedures.
4. . The MoIC will also facilitate the needed policy and regulatory requirements associated with allocation of the telecommunications spectrum. The MoIC will also assume the responsibility to maintain the TV white spaces infrastructure after hand over and knowledge transfer by Microsoft. The MoIC will procure and manage the internet service providers. The annual subscription fees for leased line will be financed from ADB's TA and second year onwards, will be funded by MoIC, through its budgetary resources.
5. HP will bear the initial capital expenditure for the e-Health center estimated at $86,000 and annual hosting charge of $10,000 for the first years for the medical data processing service of the pilot implementation. The major capital expenditure expenses to be borne by HP include (i) container infrastructure, (ii) registration, (iii) telemedicine studio, (iv) initial pharmacy, (v) initial lab basics, (vi) transportation to port from base, and (vii) implementation services.
6. Microsoft through its TV white spaces vendor will be responsible for providing implementation support and services for the TV white spaces component. ADB will finance the equipment, annual equipment maintenance cost for the first year, and travel cost of a training resource for technical knowledge transfer of TV white spaces technology to MoIC staff. The annual maintenance cost from second year will be the responsibility of MoIC, to be funded through its budgetary allocation procedures.