4th August 2008

Ms. Usha Tyagi, 35, Anand Lok,Rurkee Road, Meerut-Uttar Pradesh,India

SUBJECT: Your appointment as ANM

Dear Ms. Usha Tyagi, We are pleased to appoint you as Auxiliary Nurse Mid Wife for Meerut Urban Health Program. The terms of appointment are as follow: 1. NATURE of CONTRACT Your appointment will be contractual and your Scope of Work (SOW) is explained in Annex A. This contract is applicable with effect from August 04, 2008, and end on Jan 31st, 2009. The extension of the contract shall be at the sole discretion of UHRC and will, depend, inter-alia on availability of funds. Your job will require to assist to effectively run the Urban Health Center (Lakhipura) and traveling to different destinations to accomplish the tasks under this contract for which you will be reimbursed actual reasonable cost. You will submit your claim in appropriate template within three working days of completion of travel. Urban Health Centers (UHCs) in Meerut are supposed to run by NGO partners based on RCH II guidelines. After selection of NGO Partners, you may be issued a fresh contract under the employment of an NGO partner. 2. TIME LINE You should submit the deliverables within the timelines specified in Annex A. Further, if UHRC feels that you may not be able to complete the specified task(s), then UHRC may apply closure to the contract as per the clause # 10 of this contract. 3. COMPENSATION You will be paid a consolidated salary of Rs. 5,575/= (Rupees Five Thousand Five Hundred Seventy Five Only) per month as per the RCH II guideline. Your compensation will be subject to taxation as per the Income Tax Act, 1961. You will not be entitled to any other benefit. 4. WORKING HOURS/ INVOICE: A working day is defined as a minimum of eightsix-hour period of work or work related travel in a day. Working hours also depends on community consensus and Govt directives. You cannot receive compensation for more than eightsix hours per day. Your working days will be six days week (Monday to Saturday). 5. LEAVE/ HOLIDAYs: This is a contractual agreement in line with RCH-II guidelines and henceforth you will not be entitled to any leave. 6. INSURANCE: UHRC does not bear any liability to compensate for the death, disability, or other hazards under this contract Therefore, you are advised in your own interest to arrange for your accident/medical insurance. The insurance premium paid by you will be non-reimbursable.

7. CONFIDENTIALITY You shall observe confidentiality of all information generated during the course of this assignment and after completion, regarding disclosure of such information to third parties. You will not reproduce, store in a retrieval system or transmit in any form or by any means - electronic, mechanical, recording, scanning or otherwise - any material which is the property of UHRC (including the reports/ deliverables generated under this assignment) - for your own benefit or for the benefit of any third party - either during the course of this contract or its completion. 8. GENERAL The rules and regulations as framed by UHRC from time to time shall be observed by you. UHRC may apply closure to this contract, without advance notice, for misconduct or misrepresentation on your part. UHRCs decision on this shall be final and binding. 9. CODE OF CONDUCT AND CONFLICT OF INTEREST: URHC has standard code of conduct and conflict of Interest Statement. Your are expected to adhere to those code of conduct described in Annex-B, attached with this letter, which form an integral part of this employment contract. 10. TERMINATION WITH NOTICE Either party may apply closure to this contract by giving two weeks written/email notice to other party or payment of salary in lieu of. Upon termination of your contract with UHRC for any reason whatsoever, before leaving the UHRC, you shall hand over charge, deliver all documents lying in your passion, surrender knowledge database to such person or persons as may be nominated by the UHRC. 11. MODIFICATION Modification to the terms and conditions of this contract, if necessary, will be done through mutually agreed amendment(s). Please do not hesitate to contact us for any clarification on the above. With best wishes for successful completion of the assignment and we look forward to a meaningful and mutually beneficial relationship with you, Thanking you. Yours truly, For Urban Health Resource Centre Siddharth Agarwal Executive Director Encl: Annex A & B
I have carefully read through the above and the enclosed Annexs (A and B) and I hereby accept the terms and conditions mentioned in the contract (including the Annexs). I fully understand that the continuation of this contract will be subject to quality of deliverables submitted by me and availability of funds for the contracted task.
Signed ( Ms. ____________ ) Date:

ANNEX-A Urban Health Resource Center (UHRC) India Urban Health Program for the Poor SOW for ANMLady Medical Officer (Meerut) From__04.08.2008 to _31.01.2009From__________ to _____________ Purpose and Overview The purpose of this Scope of Work is to provide MNCRH services through Urban Health Center to support Meerut MNCRH project of the department of health and Urban Health Resource Centre as described. Background The Urban Health Resource Centre (UHRC), formerly EHP-India, located at New Delhi, is a USAID supported urban health program committed to addressing the needs of the urban poor. UHRC works with key partners to raise awareness and to improve the health conditions in urban slums of select cities in India. The goal of UHRC is to learn from city based demonstration programs and then apply these lessons to influence larger programs such as the National Reproductive and Child Health (RCH II) program of the Government of India through proactive information dissemination and advocacy. There are four main components to the program: (a) demonstration models of urban health programs in select cities (currently in Indore, Agra, Meerut, Bhopal and Delhi) (b) Technical Assistance to the Government of India; State Governments (currently Uttar Pradesh, Uttaranchal, Rajasthan, Maharashtra Madhya Pradesh, Bihar and Jharkhand) non-government stakeholders and capacity building for urban health programming (c) research, advocacy and knowledge management, and (d) resource mobilization A Key area of work at UHRC is bridging the knowledge and information gaps which exist related to health of the urban poor. UHRC undertakes primary research studies in its program cities. Analysis of datasets such as NFHS and DLHS by Standard of Living indices have been undertaken which provide information about the health status of the urban poor compared with other economic groups in rural and urban areas. Urban health Resource Center (UHRC) has recently entered into a partnership with John Hopkins School of Public Health (JHU), Baltimore, USA, to develop and test a sustainable, costeffective and replicable health delivery approaches for the urban slums of Meerut city, Uttar Pradesh, India. Selection of the study area (Meerut) has been based on the presence of large urban slum population, existence of unlisted slums, pockets of underserved slum population and underutilization of existing services. The purpose of the program is to develop and test sustainable, cost-effective, and replicable health delivery approaches for the urban poor. Characterization of different sub-populations and identification of their needs, in addition to mapping of existing health services, followed by an assessment of the availability, coverage, and quality of the health services will be conducted in phase I. The out put of the phase I will help to design the intervention packages and approach of health service delivery more effectively. In phase II, the program will develop and test the effectiveness of different approaches on neonatal and infant mortality by improving behaviors at the household level, generating demand increasing utilization of services, and ensuring supply of quality health services. The Lady Medical Officer will support a range of activities associated with the UHRC Meerut especially through UHC. Specifically the tasks and deliverables are as follows: 3

Tasks : Sl No 1 Activities At Urban Health Center 6 Meeting and coordination Full time (8:0 AM to 2:0 PM) Registration of women and children Assistance to LMO in completing ANC as per intervention package Assistance to LMO in identification of high risk pregnancies Assistance tom LMO in completing PNC as per intervention package Vaccination for mother and child Counseling Assistance in IUD insertion Issue based group counseling at UHP Development of immunization roaster Conducting two outreach sessions per week or as per requirement Visit to high risk pregnancies/new born during outreach Group counseling on technical issues such as RTI/STI and New born care Ongoing counseling to beneficiaries Distribution of contraceptives and IFA IEC and BCC activities Follow up of critical cases, left outs, drop outs Regular group meetings with community in program area Home visits to beneficiaries as per intervention package Referral for sick mother and newborn Organizing IEC/BCC activities Community mobilization to get the client at UHC Coordination with local influential persons for improved coverage. Report preparation as per requirement Record keeping and Updation at UHC level Use of data to track Left out and drop out beneficiaries Timely and adequately indent for vaccines and drugs Preparation of progress report of UHC Active participation in all national health programs such as IPPI, DOTS etc. Awareness generation among communities of the assign area on national prgm. Active participation in UHC level meetings Participation in all meetings called by UHC or UHRC. Coordination with existing NGOs/individuals at community level for improved coverage Any other task assigned by UHRC-Meerut/Delhi Participation in all training programs as instructed by UHRC Coordinate with private providers for service provision at outreach sessions 4

At outreach sessions

At Community Level

Reports and records

National Programs

Others

Deliverables: (ANM to LMO) 1. 2. 3. 4. 5. Monthly Progress Report Monthly Indents to department of health Data base on service provisions and clients Monthly Patient register All other reports required by UHRC or department of health.

Personnel Requirements The ANM should possess the following competencies: Person should have required qualification for ANM Worked as ANM/HV with Government/NGO Ability to manage UHC Demonstrated ability to work with poor population Ability to mobilize community and to conduct outreach camps Ability to work at community level Understanding of health issues, particularly maternal and child health. Liasoning and coordination skills at community level Ability to work under pressure Desirable qualifications: MBBS from a recognized medical college. Supervision and Guidance The ANM will be based in Meerut and will require travel to other places based on the emerging needs. Mr. Mukesh Kumar Sharma will provide overall coordination and technical support. Dr. Siddharth Agarwal and Dr. Sainath Banerjee will provide guidance and support as and when required. The entire planning, monitoring and documentation requirement will be fulfilled and guided by UHRC-Meerut office.