PROJECT PROCUREMENT STRATEGY FOR DEVELOPMENT 1. Project Overview Country: Serbia Full Project Name: Additional Financing for Second Serbia Health Project Total Finance ($): EUR 25M (US$31.10 M equivalent) Project Number: P166025 1. Project Description and Development Objectives: a) The Project Development Objective (PDO) of the parent Second Serbia Health Project (P129539), which remains relevant, is to contribute to improving the efficiency and quality of the public health system of the Republic of Serbia through the strengthening of: (i) health financing, purchasing, and maintenance systems; and (ii) quality improvement systems and management of selected priority non-communicable diseases. Project effectiveness was extended twice due to delays in meeting the conditions of effectiveness, which postponed Project implementation by one year. b) The parent Project comprises four components: (a) Component 1: Improvement of Health Financing; (b) Component 2: Efficient Purchasing of Pharmaceuticals and Medical Products; (c) Component 3: Strengthening Quality of Service Delivery; and (d) Monitoring, Evaluation, and Project Management. c) The original PDO will remain unchanged and the AF activities are in line with the original development objective. The AF is in line with the current Country Partnership Framework (CPF), which pays special attention to improved efficiency, access and quality of cancer treatment, hospital and primary care, as well as efficient purchasing of pharmaceuticals. 2. Strategic Assessment of Country, Borrower and Marketplace a. Operational Context d) The Borrower requested additional financing in the amount of EUR 25 million for the Second Serbia Health Project (SSHP). The proposed AF is requested to scale-up the activities of the parent project that are critical in expanding and ensuring project’s impact to beneficiaries, including the Roma population. The activities to be financed by the AF are aligned with the PDO of the Second Serbia Health Project (SSHP) and aimed at fully achieving SSHP outcomes. The AF would further support the second-generation comprehensive reforms towards improving efficiency, enhancing quality, providing greater transparency, and rationalizing oversized health facilities using an integrative approach to addressing cancer management and covering radiotherapy services. Provision of modern diagnostic equipment under the Project would be fully aligned with the extended reform agenda, including optimization of health network and development of a long-term comprehensive national cancer strategy. 1 e) Results of the parent Project (such as centralized procurement of pharmaceuticals and initial results from the DRG reporting piloting) encouraged the MoH in pursuing a deeper reform. Building on the achievements of the parent Project, the AF would enable the Bank to seize an opportunity to support the MoH in scaling up activities through health care network optimization and comprehensive cancer management reform. f) The AF will also include: (i) adding a new sub-component under component 1; (ii) revising the Results Framework; and (iii) extending the parent project Closing Date by 24 months until September 30, 2021. b. Client Capability and PIU Assessment The project under the Additional Financing (AF) will continue to be implemented by the Project Coordination Unit (PCU) which is fully staffed except for the Deputy Director who will be hired under the AF. The PCU has the experience and technical capability to implement the activities. Where there is lack of expertise, consultants are positioned to be hired under open competition (international or national) as provided in the procurement plan to increase capacity of the PCU. c. Market analysis There are two big activities in the procurement plan: one for procurement of linear accelerators (LINACS) with a cost estimate of EUR 4,900,000 and the other for procurement of CT scanners, ultrasounds and MRIs with a cost estimate of EUR 12,240,000. Segmentation of the market and identification of key-players: Linear accelerators Linear accelerators market holds few players operating in the segment for years with expertise and experience. During the last years, companies with a long tradition of high-quality products in this field (GE Healthcare, Siemens) abandoned the market. Currently, in the area of traditional radiotherapy (medium and high-energy accelerators, with emission of X-ray and electron beams) only two major players, Varian Medical Systems (USA) and Elekta Group (Sweden), share the total of EU and North America market. More recently, an emerging company (Neusoft Corp, China) acquired significant shares of the Asian market for low-energy radiotherapy (linear accelerators up to 6 MeV). Some other players are also present on the market of radiotherapy, offering systems for non-conventional treatments (e.g.: robotic radiosurgery, Cyberknife, Gamma Knife), but these systems are out of the scope of the project because of their extreme high cost, high technical complexity, and low number of treatments. CT scanners The global CT scanners market is growing at a significant rate, wherein product innovation is at the forefront of strategies for the vendors striving to gain ground over their competitors. Moreoever, the number of manufacturers is still growing, and new competitive companies entered the international market during the last few years. Philips Healthcare, GE Healthcare, Medtronic, Accuray, Samsung Electronics, Shenzhen Anke High-Tech, Carestream Health, Hitachi, Koning, Neusoft, Planmed, Shimadzu, Toshiba, and Siemens are some of the key companies currently occupying prominent positions in the global CT scanners market. The increasing number of 2 manufacturers and the recent entry into the market of very competitive Asian companies resulted in the high level of competition among them and a significant reduction of prices for this diagnostic technology during the last few years. MRI scanners The global market for Magnetic Resonance Imaging is steadily growing, with applications in multiple clinical areas, including early detection and quantification of cancers, neurologic, and cardiovascular disorders. Key companies operating in the global MRI market include Siemens Medical, Philips Healthcare, GE Healthcare, Hitachi Ltd., Toshiba Corp., Neusoft, and Esaote SpA. Ultrasound imaging The global ultrasound imaging market is still growing with applications in multiple clinical areas, including the early detection of cancer pathologies. The global ultrasound imaging market is forecast to grow at a rate of 4.9% from 2018 to 2022. The major drivers for the growth of this market are the rising demand for minimal invasive and non-invasive diagnostic procedures, technology advancement, and an increasing number of patients. At least 10 major players are sharing this market and, besides the consolidated manufacturers (Philips, Siemens, GE, Toshiba, Esaote, Medison, etc.), a number of new Asian manufacturers from China and Korea (Mindray, Chison, Sonoscape, etc.) are acquiring important market shares with products of high quality offered at very competitive prices. Procurement approach: The parent project procured LINACS under competitive bidding and the contract was awarded to a Joint Venture led by Varian. The additional LINAC to be financed under AF will be procured through a Direct Selection from Varian based on the same unit price as in the contract signed in the parent project. As mentioned above there are only two manufacturers of the equipment and recent experiences under parent project was that even though some 20 bidding packages were bought by prospective bidders only one bid was received. It was a JV in which the manufacturer Varian participated as a JV member. Another manufacturer, Elekta, through its representatives provided some comments to the specifications but in the end didn’t submit a bid. Hence, the whole procurement process ended up with single bid from reputable manufacturer who also offered competitive price (within budget estimate). The entire procurement process from issuance of bidding documents (January 31, 2017) to contract signature (August 8, 2017) took a little over 6 months. In light of urgent need of the Client to have the additional equipment installed in hospitals for cancer patients, Direct Selection is the justified approach which will save significant time, as there is no obvious benefit in repeating a competitive process. Moreover, this is consistent with the provisions of Direct Selection, paras. 6.8 to 5.10 of the Regulations. Procurement of CT scanners, ultrasounds and MRIs will be procured through a Request for Bids (open approach) as a large number of international manufacturers are available for all market segments, assuring a high level of competition and the participation of multiple bidders. 3 All remaining activities are small value consulting services and non-consulting services all subject to post review. 3. Procurement Risk Analysis The overall coordination, management, implementation and oversight of procurement will be carried out by PCU which is implementing the parent project. Procurement risk rating is Substantial as procurement of medical equipment is always a challenge due to complaints which could potentially delay procurement. Since the total cost of medical equipment is EUR 17,140,000 out of the EUR 25M or 68.56% of total additional financing, any delay on their procurement can adversely affect the project. PCU staff have been trained under the Regulations but are not yet familiar with their application. It will be appropriate that another training is conducted to address the procedures for the specified activities in the procurement plan. In addition to training, the procurement implementation support will include: (a) timely advice on various procurement related issues, (b) guidance on the Bank’s Procurement Regulations; and (c) monitoring of progress against the procurement plan. The prior review thresholds for Substantially risk projects as provided in the Procurement in IPF and Other Operational Procurement Matters, November 3, 2017 will apply: • Works (including turnkey, supply & installation of plant and equipment, and PPP): US$10 million • Goods, information technology, and non-consulting services, US$ 2 million • Consulting services: firms, US$ 1 million, • Consulting services: individuals, US$300,000 For the most part, the risks for selection of consulting services are low, since there is a robust market for the services required and they are not high value contracts. In addition, the PCU has already procured several consulting services in the parent project. 4 Summary of Risks Analysis Risk A B Overall Description Risk Procurement Description Likelihood Impact Risk of proposed Owner Process Rating Rating Score mitigation Likelihood (A*B) through the Stage procurement process Limited 3 5 15 Refresher PCU, Duration of exposure of training of MoH procurement PCU in PCU staff process undertaking on the procurement procedures under the under the Procurement Procurement Regulations Regulations for Borrowers Preparation 3 3 9 PCU has PCU, Pre-bidding of Technical technical MoH Specifications experts to (and bidding prepare the documents) TS and for the procurement medical expert to put equipment to together the be procured RfB Delay in 3 5 15 Close PCU, Evaluation evaluation of monitoring MoH and bids for high- and follow- Contract value up of Bank Award contracts team Handling of 5 5 25 PCU to PCU, Bidding Complaints promptly MoH. Process, address the Bank Notification complaint in of Contract consultation Award with the Bank. 4. Procurement Objectives The procurement objective is to carry out and complete the procedures for all contracts in a timely, efficient, transparent manner with an emphasis on fit-for-purpose, quality and value for money. 5 5. Recommended Procurement Arrangements for the Project The details on each activity, their estimated cost and proposed procurement method are provided in the attached initial procurement plan. Below is the summary of high-value procurement activities. Cost Estimate Selection Description Type (EUR) Method ‘000 Procurement of CT scanners, Goods 12,100 RFB Ultrasounds and MRIs (international) Supply and installation of two Goods 4,900 Direct LINACS & one CT, and Selection (DS) rehabilitation of the two bunkers Consultants services (Firm) CS 850 QCBS Independent Service NCS 425 RFB Organization, to provide highly qualified multi-vendor maintenance services in one or more pilot hospitals Selection of individual CS 1,550 DS (multiple consultants packages)* Other consulting services CS 5,175 Multiple packages Subtotal Goods & 17,425 NCS Subtotal CS 7,575 TOTAL 25,000 * These individual consultants have been selected on competitive basis are going to continue under the AF through Direct Selection and subject to post review. These consultants are identified in the attached procurement plan. Preferred arrangement for low value, low risk activities are: Request for Quotations (RFQ) for goods and Open Competition and/or Direct Selection for Consulting Services. A. Procurement of works. Currently not envisaged. B. Procurement of Goods and Non-consulting Services. Goods may be procured using procedures and methods (Request for Proposals, Request for Bids, Request for Quotations and Direct Selection) in accordance with Section VI. Approved Selection Methods: Goods, Works and Non-consulting Services of the Regulations. C. Procurement of consulting services. Selection of consulting firms will be done using the World Bank standard procurement documents, such as Request for Proposal. Selection methods are: Quality-and Cost-Based Selection, Least Cost Selection, Fixed Budget Selection, or Quality Based Selection following provisions of Regulations for Borrowers, Section VII. Approved 6 Selection Methods: Consulting Services. For contracts below USD 300,000 equivalent, the Selection Based on Consultants’ Qualification (CQS) method may be used. The short list can entirely comprise national consultants if the contracts with the firms are below USD 300,000 equivalent. Individual consultants are selected from those that expressed interest in response to a REOI. For direct selection of individual consultants, due justifications under the circumstances specified in para. 7.39 of Section VII of the Regulations apply. D. General Procurement Notice (GPN). It will be prepared and submitted to the World Bank after negotiations. The World Bank will arrange for its publication in United Nations Development Business online and on the World Bank’s external website. The GPN will contain information concerning the Borrower, amount, and purpose of the loan; scope of procurement reflecting the procurement plan; the name, telephone (or fax) number, and address(es) of the borrower’s agencies responsible for procurement; and the address of a widely used electronic portal with free national and international access or website where the subsequent Specific Procurement Notices will be posted. Moreover, it will provide information on the scope of major procurements for the project, and soliciting expressions of interest from prospective bidders and/or consultants for this project. E. Procurement Plan. The Client prepared an initial procurement plan for the AF which is attached to the PPSD. The procurement plan will be updated in agreement with the WB project team at least annually or as required to reflect the actual project implementation needs and improvements in the PCU’s institutional capacity. F. Procurement supervision. Routine procurement reviews and supervision will be conducted by the APS (Accredited Procurement Specialist). In addition, one supervision visit is expected to take place per year when ex post reviews will be conducted. Procurement documents will be kept readily available for the WB’s ex post review during supervision missions or at any other point in time. A post review report will be prepared annually and shared with the PCU. Summary of PPSD Procurement under the project will be subject to the New Procurement Framework. All procurement will be conducted through the procedures as specified in the World Bank’s Procurement Regulations for IPF Borrowers - Procurement in Investment Project Financing Goods, Works, Non-Consulting and Consulting Services, July 2016 (Procurement Regulations). The project will also be subject to the World Bank’s Anti-Corruption Guidelines, dated July 1, 2016. 7 Procurement Plan Estimated Cost - taxes included (EUR) Method of Selection/ Procurement Actual Type - Category Prior / Post item # Item Description Planed vs 1 3 4 5 6 7 8 1 Component 1: Improving Health Financing (Eur 3 million) 2 Sub-component 1.1: Support Hospital Financing Reforms (Eur 0.9 million) 3 P 1.1.1 Member no:1 of the DRG team CS DS Post 4 1.1.1 Member no:1 of the DRG team CS DS 40,000 Post 5 P 1.1.2 Member no:2 of the DRG team CS DS Post 6 1.1.2 Member no:2 of the DRG team CS DS 40,000 Post 7 P 1.1.2 Financial Officer in DRG team CS DS Post 8 1.1.2 Financial Officer in DRG team CS DS 40,000 Post 9 P 1.1.3 Financial Officer in Hospitals team CS DS Post 10 1.1.3 Financial Officer in Hospitals team CS DS 30,000 Post 11 P 1.1.4 IT Support in DRG Unit (HIF) CS DS Post 12 1.1.4 IT Support in DRG Unit (HIF) CS DS 30,000 Post 13 P 1.1.5 Administrative Assistant (MOH) CS DS Post 14 1.1.5 Administrative Assistant (MOH) CS DS 30,000 Post 15 P 1.1.6 Administrative Assistant (HIF) CS DS Post 16 1.1.6 Administrative Assistant (HIF) CS DS 30,000 Post 8 17 P 1.1.7 Driver CS DS Post 18 1.1.7 Driver CS DS 20,000 Post 19 P 1.1.8 Public Relations Officer 2 CS DS Post 20 1.1.8 Public Relations Officer 2 CS DS 30,000 Post International consultant for Improvement 21 P 1.1.9 CS DS Post of Health Financing in Hospitals International consultant for Improvement of 22 1.1.9 CS DS 60,000 Post Health Financing in Hospitals Procurement of Software for initial hospital matrix for performance 23 P 1.1.10 G RFB Post monitoring and incentive for hospital physicians and clinical teams Procurement of Software for initial hospital matrix for performance monitoring and 24 1.1.10 G RFB 130,000 Post incentive for hospital physicians and clinical teams Improvement of regulatory framework to recognize and define performance, 25 P 1.1.11 CS CQS Post expenditures and to account DRG into budgeting. Improvement of regulatory framework to recognize and define performance, 26 1.1.11 CS CQS 120,000 Post expenditures and to account DRG into budgeting. 27 UNALLOCATED 300,000 Sub-component 1.2: Strengthen Primary Health Care Financing (Eur 0.8 million) 28 29 P 1.2.1 International consultant CS Open Post 30 1.2.1 International consultant CS Open 60,000 Post 31 P 1.2.2 Local consultant PHC CS Open Post 32 1.2.2 Local consultant PHC CS Open 60,000 Post 33 P 1.2.3 Financial Officer 1 CS DS Post 34 1.2.3 Financial Officer 1 CS DS 35,000 Post 35 P 1.2.4 Financial Officer 2 CS Open Post 36 1.2.4 Financial Officer 2 CS Open 35,000 Post 37 P 1.2.5 IT Support in Unit (HIF) CS DS Post 38 1.2.5 IT Support in Unit (HIF) CS DS 30,000 Post 9 39 P 1.2.6 Legal consultant CS Open Post 40 1.2.6 Legal consultant CS Open 35,000 Post 41 P 1.2.7 IT Support in Unit (MOH) CS DS Post 42 1.2.7 IT Support in Unit (MOH) CS DS 50,000 Post Overview of the accounting practices in DZ and proposals for improvement. Study 43 P 1.2.8 on costs and efficiency in Primary Health CS CQS Post care centers. Development costing methodology. Overview of the accounting practices in DZ and proposals for improvement. Study on 44 1.2.8 CS CQS 75,000 Post costs and efficiency in Primary Health care centers. Development costing methodology. 45 P 1.2.9 Grants GR na 420,000 na Sub-component 1.3: Health Care Network Optimization Plan (Masterplan) (Eur 1.3 million) 46 Health Care Network Optimization Plan 47 P 1.3.1 CS QCBS Prior (Masterplan), Internat'l Health Care Network Optimization Plan 48 1.3.1 CS QCBS 850,000 Prior (Masterplan), Internat'l Health Care Network Optimization Plan 49 P 1.3.2 CS Open Post (Masterplan), National Health Care Network Optimization Plan 50 1.3.2 CS Open 185,000 Post (Masterplan), National Estimate the capacity and network of 51 P 1.3.3 CS Open Post healthcare institutions for redefining Estimate the capacity and network of 52 1.3.3 CS Open 15,000 Post healthcare institutions for redefining 53 Sub-component 1.4: Training and capacity building 54 P 1.4 Training and capacity building TR na 250,000 Prior 55 3,000,000 56 Component 2: Improve Access to Quality Health Care (Eur 1.5 million) 57 Sub-component 2.1: Improve access to medicines (Eur 0.2 million) 10 Campaign: Rational use of antibiotics:antibiotics (i) production of promotional printed and video materials and distribution via the Internet, electronic and printed national and local media. (ii) Printing and distribution of materials (ECDC 58 P 2.1.1 G RfQ Post promotion materials, printing of National program for rational use of antibiotics, printing of Guidelince good clinical practice for antibiotics and printing other promotional). (iii) Web presentation of the Campaign for the Rational use of antibiotics Campaign: Rational use of antibiotics: antibiotics (i) production of promotional printed and video materials and distribution via the Internet, electronic and printed national and local media. (iii) Printing and distribution of materials 59 2.1.1 (ECDC promotion materials, printing of G RFQ 75,000 Post National program for rational use of antibiotics, printing of Guidelince good clinical practice for antibiotics and printing other promotional). (iv) Web presentation of the Campaign for the Rational use of antibiotics 60 UNALLOCATED 125,000 Sub-component 2.2: Strengthening Health Technology Assessment Capacity (Eur 0.7 61 million) Perform HTA and EBM Situation Analysis. Define recommendations for 62 P 2.2.1 HTA institutionalization and CS CQS Post institutional arrangements. Develop expertise for local HTA implementation Perform HTA and EBM Situation Analysis. Define recommendations for HTA 63 2.2.1 institutionalization and institutional CS CQS 75,000 Post arrangements. Develop expertise for local HTA implementation Development of Health Technology 64 P 2.2.2 CS CQS Post Assessment Development of Health Technology 65 2.2.2 CS CQS 60,000 Post Assessment National consultancy for 66 P 2.2.3 CS Open Post Pharmacoeconomics National consultancy for 67 2.2.3 CS Open 55,000 Post Pharmacoeconomics International consultancy for 68 P 2.2.4 CS Open Post Pharmacoeconomics International consultancy for 69 2.2.4 CS Open 110,000 Post Pharmacoeconomics 70 Sub-component 2.3: Improve Medical Equipment Maintenance Systems (Eur 0.6 million) Selection of an Independent Service Organization, 71 P 2.3.1 to provide highly qualified multi-vendor NCS RFB Post maintenance services in one or more pilot hospitals 11 Selection of an Independent Service Organization, to 72 2.3.1 provide highly qualified multi-vendor maintenance NCS RFB 425,000 Post services in one or more pilot hospitals International consultant improve 73 P 2.3.2 medical equipment maintenance CS Open Post system International consultant improve medical 74 2.3.2 CS Open 100,000 Post equipment maintenance system National consultant to improve medical 75 P 2.3.3 CS Open Post equipment maintenance system National consultant to improve medical 76 2.3.3 CS Open 75,000 Post equipment maintenance system 77 P 2.3.4 Legal consultant for HTA, National CS Open Post 78 2.3.4 Legal consultant for HTA, National CS Open 100,000 Post 79 Sub-component 2.4: Training and capacity building 80 P 2.4 Training and capacity building TR na 300,000 na 81 1,500,000 82 Component 3: Strengthening Quality of Service Delivery (Euro 19.0 million) Sub-component 3.1: Strengthen Quality Improvemement Systems. Clinical Pathways 83 (Euro 0.8 million) Development of 16 clinical pathways 84 P 3.1.1 CS DS Post for PHC centers and applied Development of 16 clinical pathways for 85 3.1.1 CS DS 105,000 Post PHC centers and applied Digitalization of developed 16 clinical 86 P 3.1.2 G DS Post pathways for PHC centers Digitalization of developed 16 clinical 87 3.1.2 G DS 225,000 Post pathways for PHC centers National Registry development for top chronic non-communicable diseases 88 P 3.1.3 CS CQS Post (NCDs) in parallel with corresponding databases National Registry development for top chronic non-communicable diseases 89 3.1.3 CS CQS 60,000 Post (NCDs) in parallel with corresponding databases Evaluation of the outcome of the 2015 Health Care Development Plan, 90 P 3.1.4 CS CQS Post followed by the development of an Action Plan until 2020 Evaluation of the outcome of the 2015 Health Care Development Plan, followed 91 3.1.4 CS CQS 10,000 Post by the development of an Action Plan until 2020 Health Care Development Plan 2020- 92 P 3.1.5 CS CQS Post 2025 to be developed Health Care Development Plan 2020- 93 3.1.5 CS CQS 55,000 Post 2025 to be developed 12 94 UNALLOCATED 345,000 95 Sub-component 3.2: Improve Cancer Management (Euro 18.2 million) Sub-component 3.2.1: The Serbian Comprehensive Cancer 96 Management Strategy (Euro 0.5 million) Comprehensive Cancer Management 97 P 3.2.1.1 CS Open Post Strategy development - Int'l Comprehensive Cancer Management 98 3.2.1.1 CS Open 100,000 Post Strategy development - Int'l Comprehensive Cancer Management 99 P 3.2.1.2 Strategy development and CS Open Post implementation - Natn'l Comprehensive Cancer Management 100 3.2.1.2 Strategy development and implementation CS Open 100,000 Post - Natn'l 101 P 3.2.1.3 IT consultant _ BATUT CS Open Post 102 3.2.1.3 IT consultant _ BATUT CS Open 50,000 Post 103 UNALLOCATED 250,000 Sub-component 3.2.2: Improvement of National Coverage of 104 Radiotherapy Services (Euro 5.0 million) Supply and instalation of two LINACS 105 P 3.2.2.1 & one CT, and rehabilitation of the two G DS Prior bunkers Supply and instalation of two LINACS & 106 3.2.2.1 one CT, and rehabilitation of the two G DS 4,900,000 Prior bunkers Design and supervision on 107 P 3.2.2.2 rehabilitation of the two bunkers CS DS Post needed for installations of two LINACS Design and supervision on rehabilitation 108 3.2.2.2 of the two bunkers needed for installations CS DS 45,000 Post of two LINACS 109 P 3.2.2.3 Technical Control CS CQS Post 110 3.2.2.3 Technical Control CS CQS 25,000 Post 111 P 3.2.2.5 Building Expert CS DS Post 112 3.2.2.5 Building Expert CS DS 15,000 Post 113 P 3.2.2.6 Environmental Specialist CS DS Post 114 3.2.2.6 Environmental Specialist CS DS 15,000 Post Networking all radiotherapeutic 115 P 3.2.2.7 G NCB Post centers in Serbia Networking all radiotherapeutic centers in 116 3.2.2.7 G NCB 500,000 Post Serbia 13 Sub-component 3.2.3: Improvement ofTumely Diagnostics in 117 Oncology (Euro 12.7 million). Comprehensive analysis of Precise 118 P 3.2.3.1 number and distribution of new CS Open Post diagnostic equipment Comprehensive analysis of precise 119 3.2.3.1 number and distribution of new diagnostic CS Open 10,000 Post equipment Procurement of CT scanners, 120 P 3.2.3.2 G RFB Prior Ultrasounds and MRIs Procurement of CT scanners, Ultrasounds 121 3.2.3.2 G RFB 12,240,000 Prior and MRIs 122 Sub-component 3.3: Training and capacity building 123 P 3.4 Training and capacity building TR na 450,000 na 124 19,000,000 Component 4: Monitoring, Evaluation, and Project 125 Management (Euro 1.5 million). 126 P 4.1 PCU Coordinator CS DS Post 127 4.1 PCU Coordinator CS DS 90,000 Post 128 P 4.2 Deputy PCU Coordinator CS Open Post 129 4.2 Deputy PCU Coordinator CS Open 75,000 Post 130 P 4.3 Component I Coordinator CS DS Post 131 4.3 Component I Coordinator CS DS 75,000 Post 132 P 4.4 Component II Coordinator CS DS Post 133 4.4 Component II Coordinator CS DS 75,000 Post 134 P 4.5 Component III Coordinator CS DS Post 135 4.5 Component III Coordinator CS DS 75,000 Post 136 P 4.6 PR Consultant CS DS Post 137 4.6 PR Consultant CS DS 70,000 Post 138 P 4.7 Translator CS DS Post 139 4.7 Translator CS DS 70,000 Post 14 140 P 4.8 Administrative Assistant 1 CS DS Post 141 4.8 Administrative Assistant 1 CS DS 40,000 Post 142 P 4.9 Administrative Assistant 2 CS DS Post 143 4.9 Administrative Assistant 2 CS DS 40,000 Post 144 P 4.10 Financial Specialist CS DS Post 145 4.1 Financial Specialist CS DS 75,000 Post 146 P 4.11 Procurement Specialist CS DS Post 147 4.11 Procurement Specialist CS DS 75,000 Post 148 P 4.12 Grant Specialist CS DS Post 149 4.12 Grant Specialist CS DS 75,000 Post 150 P 4.13 Finance Officer CS DS Post 151 4.13 Finance Officer CS DS 60,000 Post 152 P 4.14 Procurement Assistant CS DS Post 153 4.14 Procurement Assistant CS DS 40,000 Post 154 4.15 OC na 150,000 na 155 4.15.1 2019 - Operating Costs OC na na na 156 4.15.2 2020 - Operating Costs OC na na na 157 4.15.3 2021 - Operating Costs OC na na na 158 P 4.16 Office Equipment G Post 159 4.16 Office Equipment G RFQ 100,000 Post 160 P 4.17 M & E of project activities CS CQS Post 161 4.17 M & E of project activities CS CQS 30,000 Post 162 P 4.18 Audit CS LCS Post 163 4.19 Audit CS LCS 40,000 Post 164 P 4.20 Training and capacity building TR na 245,000 na 15 165 TOTAL COMPONENT 4 1,437,500 166 Front end fee 62,500 167 TOTAL 1+2+3+4 25,000,000 16 PROCUREMENT Serbia : Second Serbia Health Project PLAN General Information Country: Serbia Bank’s Approval Date of the Original Procurement Plan: 2018-08-22 2019-05-14 Revised Plan Date(s): (comma delineated, leave blank if none) Project ID: P129539 GPN Date: Project Name: Second Serbia Health Project Loan / Credit No: IBRD / 83380, IBRD / 88300 Executing Agency(ies): Project Coordination Unit (PCU) WORKS Bid Evaluation Activity Reference No. / Draft Bidding Loan / Credit Market Procurement Prequalification Actual Amount Process Draft Pre-qualification Prequalification Specific Procurement Bidding Documents Proposal Submission / Report and Description Component Review Type Method Document / Signed Contract Contract Completion No. Approach Process (Y/N) (US$) Status Documents Evaluation Report Notice / Invitation as Issued Opening / Minutes Recommendation for Justification Award Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual GOODS Bid Evaluation Activity Reference No. / Draft Bidding Loan / Credit Market Procurement Prequalification Actual Amount Process Draft Pre-qualification Prequalification Specific Procurement Bidding Documents Proposal Submission / Report and Description Component Review Type Method Document / Signed Contract Contract Completion No. Approach Process (Y/N) (US$) Status Documents Evaluation Report Notice / Invitation as Issued Opening / Minutes Recommendation for Justification Award Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual SER-SSHP-8338YF-ICB1-G- 16.. / Linear Accelerators and Accompanying Equipment with Construction, Reconstruction, Upgrade and Adaptation of Open - Single Stage - One IBRD / 83380 Prior Request for Bids 21,104,204.85 Signed Radiation Therapy Facilities International Envelope in The Institute for Oncology and Radiology of Serbia, Clinical Centre(CC)Kragujevac,CC Nis and Health Centre Kladovo RS-SSHP-8338YF-G-SH-18- 3113 / Printing and distribution of materials for Request for Single Stage - One IBRD / 83380 Post Limited 0.00 Canceled 2018-10-03 2018-11-28 2019-05-27 quality improvement Quotations Envelope (Strategy, quality indicators, leaflets, clinical pathways) RS-SSHP-8338YF-G-SH-18- Request for Single Stage - One 218 / Printing publications IBRD / 83380 Post Limited 0.00 Canceled 2018-10-03 2018-11-28 2019-05-27 Quotations Envelope for SSHP RS-SSHP-8338YF-G-SH-18- Under Request for Single Stage - One 2/1/8 / Printing publications IBRD / 83380 Post Limited 0.00 Implementati 2018-11-19 2019-01-14 2019-07-13 Quotations Envelope for SSHP on RS-SSHP-8338YF-G-SH-18- 4/22 / Supply of IT Single Stage - One IBRD / 83380 Post Request for Bids Open - National 0.00 Canceled 2018-11-26 2018-12-01 2019-01-12 2019-02-11 2019-03-18 2019-09-14 equipment (laptops) for Envelope Roma health mediators RS-SSHP-8338YF-ICB-G-19- 1/1/26 / Procurement of development software for Under grouping, controlling and Open - Single Stage - One IBRD / 83380 Post Request for Bids 0.00 Implementati 2019-03-01 2019-03-06 2019-04-17 2019-05-17 2019-06-21 2019-12-18 reporting of data from International Envelope on healthcare institutions for the needs of the Health Insurance Fund (HIF). Page 1 RS-SSHPAF-8830YF-DS-G- 19-3/2/2/1 / Supply of two Linear Accelerators & Accompanying Equipment Under and one CT simulator IBRD / 88300 Prior Direct Selection Direct 0.00 Implementati 2019-03-18 2019-03-23 2019-04-27 2019-10-24 including rehabilitation of on the two bunkers in the Vojvodina Oncology Institute in Sremska Kamenica NON CONSULTING SERVICES Bid Evaluation Activity Reference No. / Draft Bidding Loan / Credit Market Procurement Prequalification Actual Amount Process Draft Pre-qualification Prequalification Specific Procurement Bidding Documents Proposal Submission / Report and Description Component Review Type Method Document / Signed Contract Contract Completion No. Approach Process (Y/N) (US$) Status Documents Evaluation Report Notice / Invitation as Issued Opening / Minutes Recommendation for Justification Award Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual RS-SSHP-8338YF-TS-DC-18- 3/2/12 / Networking of the IBRD / 83380 Prior Direct Selection Direct 237,130.40 Signed 2018-10-04 2018-10-09 2018-11-13 2019-05-12 existing RT equipment CONSULTING FIRMS Activity Reference No. / Combined Evaluation Loan / Credit Market Contract Type Actual Amount Expression of Interest Short List and Draft Request for Proposals Opening of Technical Evaluation of Description Component Review Type Method Process Status Terms of Reference Report and Draft Signed Contract Contract Completion No. Approach (US$) Notice Request for Proposals as Issued Proposals / Minutes Technical Proposal Negotiated Contract Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual Planned Actual RS-SSHP-8338YF-CQS-CS-15- 3.2.1 / Design, Supervision, Project Management and Technical Support Services for Construction, Consultant Reconstruction, Upgrade and Open - IBRD / 83380 Prior Qualification 227,517.58 Signed Adaptation of Radiation International Selection Therapy Facilities in the Institute for Oncology and Radiology of Serbia, Clinical Centre Kragujevac, Clinical Ce RS-AFSSHP-8830YF-CS- QCBS-18-131 / HEALTH Quality And Cost- Open - Under IBRD / 88300 Prior 0.00 2018-09-07 2018-10-05 2018-11-28 2018-12-26 2019-01-25 2019-03-01 2019-04-05 2020-04-04 CARE NETWORK Based Selection International Implementation OPTIMIZATION PLAN INDIVIDUAL CONSULTANTS Page 2