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APPENDIX Merlin Standard Health Contract Agreement (Memorandum of Understanding)
Pages 81-88

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From page 81...
... population This protocol is concluded this first day of March 2002 between Merlin represented by the Medical Coordinator referred as "contractor" and the ................. Health Center represented by the Head Nurse, referred as "subcontractor," with the aim to provide basic health care to the ............
From page 82...
... 2. HYPOTHESIS AND TARGETS TO MEET · The provision of basic health care requires the presence of quali fied staff and staff continuity in the Health Centers, and requires that the necessary tools are available and used in optimal fash ion.
From page 83...
... MONTHLY IMMEDIATE INDICATORS TARGET TARGET 1 Number of out patient > 0.6 consultations/ consultations carried out _________ person/year 2 Vaccination BCG, DTP3, Coverage > 50% Polio3 and measles carried out _________ 3 Number of new cases > 70% of pregnant to ante-natal & pre- women attending school clinics _________ 4 Total number of women > 70% of pregnant attending 4 ante-natal women attending visits _________ 5 Anti-tetanus vaccinations > 70% of pregnant for pregnant women _________ women attending 6 % of pregnant women > 70% of pregnant who received prophylaxis women attending for malaria/anemia _________ 7 Number of deliveries > 60% of expected conducted by HC trained deliveries staff _________ 8 % of patients cared for > 80% of according to treatment consultations protocols _________ 9 % of indigents treated at 100% of indigents health facilities and declared by health verified by Merlin/health structure zone supervisors _________ 10 Epidemiological reports, By the 2nd of the drugs consumption and following month to financial reports health zone submitted monthly in a bureau, by the 5th of timely and complete the following month fashion _________ to Merlin 11 Presence of an All population operational health "stratums" committee _________ represented including women
From page 84...
... · The Head Nurse must strictly apply the drugs and medical ser vice fees as defined by Merlin and the health zone bureau. · The Head Nurse must manage the finances of the Health Cen ters in a transparent fashion and present a monthly financial re
From page 85...
... · In the case of exceptional drug shortages, the Head Nurse will be entitled to prepare and send Merlin an extra request, duly justified, and in a timely manner before rupture occurs. · The Head Nurse is not allowed, under any circumstances, other health zone bureau partners; this in order to avoid use of low quality drugs or high charges.
From page 86...
... · It will be the responsibility of the health zone bureau to prepare and submit job descriptions to all Health Center staff in collabo ration with Merlin. · The health zone bureau will ensure the health committee is ef fectively associated to the management of Health Center as well as to operational decision making.
From page 87...
... For the Health Center (Headnurse) ___________________ ____________________ For the Health Zone Bureau For the Health Committee (Chief Medical Officer)


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