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JOINT MEDICAL SERVICE
Whereas the United Nations Office at Nairobi (UNON) has provided medical
services to a number of offices of UN Funds, Programmes and Agencies
in or operating from Kenya over the past years.
Whereas
the provision of these medical services has led to the establishment
of a constructive relationship between UNON and concerned offices of
UN Funds, Programmes and Agencies in or operating from Kenya.
Whereas
UNON and offices of UN Funds, Programmes and Agencies in or operating
from Kenya have jointly assessed the benefits and costs associated with
the provision of joint medical services and have found that a common
service in this area would work in their best interest.
Whereas
the United Nations General Assembly and Secretary-General have stressed
the importance of common services as a way to achieve further administrative
and technical uniformity, ensure the most efficient use of personnel
and resources and avoid establishment and operation of competitive or
overlapping facilities and services.
NOW
THEREFORE, the signatories of this Agreement agree as set out below.
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I
Objective
1.
The objective of this Agreement is to establish the terms and conditions
of the services to be provided by UNON (service manager) through the
Joint Medical Service (JMS) to (name of office of UN Fund, Programme
or Agency in or operating from Kenya), relating to overall management
including administrative and budgetary matters as agreed in a cost sharing
mechanism and the obligations of both parties.
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II
Applicability
2.
The services shall be available to offices of UN Funds, Programmes and
Agencies in or operating from Kenya that have approved the "Guidelines
on the Provision of Common Services to offices of UN Funds, Programmes
and Agencies in or operating from Kenya" and have signed this Agreement
(service users). This Agreement will be the basis for all funding commitments
and transactions incidental to the services provided. Subsequent detailed
procedures, arrangements and commitments will be set forth in an amendment
or supplement and may be added to this Agreement as a result of periodic
review provided for in Section V below. Such additional arrangements
and/or commitments will be documented, sequentially numbered, and signed
by parties to this Agreement and attached to the present Agreement as
an integral part thereof.
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III
Nature and Scope of Services
3.
JMS is situated at the UN complex in Nairobi. In order to perform its
functions JMS will be staffed with medical staff, as well as administrative
and other support staff. JMS has direct access to limited medical supplies.
Administratively JMS forms part of Human Resources Management Service
(HRMS), Division of Administrative Services (DAS) in UNON. JMS is headed
by a Chief of JMS/UN Medical Doctor who will have functional accountability
to the Medical Director at UN Headquarters in New York and will maintain
close liaison with medical departments of UN Funds, Programmes and Agencies
and relevant Kenyan medical facilities and authorities. The following
categories of services will be made available by JMS to staff and (where
applicable) dependants of service users:
i.
administration of medical insurance (van Breda, MIP):
enrollment, check receipts and invoices, assess reasonability of charges,
certification
ii.
sick leave certification:
check certificates, assess reasonability, signatory function
iii.
medical treatment and vaccinations:
curative, preventive, emergency response, immunization of staff
iv.
medical examination (incl. lab tests, ECG etc.) and clearance (incl.
medical evacuations): recruitment, extension of contracts and travel
related functions.
4.
(Name of office of UN Fund, Programme or Agency in or operating from
Kenya) has decided to subscribe to the following categories of services
(indicate i, ii, iii, iv or any combination of these):
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IV Management Structure and Oversight Mechanism
5.
The governance functions with respect to JMS will be performed by the
Inter-Agency Administrative Coordination Committee (IAACC) being the
only UN inter-agency body in Kenya that includes representatives of
all offices of UN Funds, Programmes and Agencies in or operating from
Kenya. For this purpose, meetings of IAACC will be conducted periodically,
at least once a year, at the level of Heads of offices of UN Funds,
Programmes and Agencies in or operating from Kenya. IAACC will approve
the annual work plan and budget for the JMS. The work plan and budget
will include both operating expenses and capital improvements. IAACC
will review on a periodic basis as determined by IAACC, progress made
in implementing the annual work plan and expenditures as shown in financial
statements. IAACC will periodically, at least once a year review JMS,
relevant annual activity reports and user satisfaction with the services.
IAACC will establish a sub-committee (IAACC/SC-JMS) composed of personnel
managers or their representatives of all service users to monitor and
evaluate the performance of JMS and related user satisfaction. IAACC/SC-JMS
will advise and recommend to IAACC measures for upgrading the quality
and efficiency of JMS as well as recommend sanctions for unsatisfactorily
performance of JMS.
6.
While UNON is the service manager for JMS the day-to-day management
of JMS will be performed by the Chief JMS/UN Medical Doctor, under supervision
of the Chief HRMS/UNON. The Chief JMS/UN Medical Doctor will also serve
as the Focal Point on behalf of the service manager for the service
users. The Focal Point for (name of office of UN Fund, Programme or
Agency in or operating from Kenya) is: (Name, Title).
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V Periodic Review
7.
This Agreement is subject to review at any time upon written request
of service manager or service users, but will be reviewed on an annual
basis in order to:
i.
Determine the need for its continuation, modification or termination;
ii.
Review performance and performance standards to evaluate the quality
and timeliness of the services, monitor user satisfaction, and to make
any needed changes in performance standards;
iii.
Make adjustments in any of the areas covered in the terms of this Agreement;
iv.
Review present and projected costs, including the cost sharing mechanism.
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VI Financial Matters
8.
The budget proposals for JMS will be prepared on an annual basis in
line with established UN regulations, rules and procedures by HRMS/UNON
in close consultation with and under the guidance of the Coordinator,
UN Common Services in Kenya. The proposed budget for a calendar year
together with a cost-sharing proposal will be submitted to IAACC for
approval in the forth quarter of the preceding calendar year. Based
on the approved budget and cost sharing mechanism, UNON will invoice
service users.
9.
The cost sharing mechanism will be based on the following principles:
i.
Costs under service categories III 3.i and ii above will be calculated
and invoiced based on actual staff numbers of each service user. The
Office of the Coordinator, UN Common Services in Kenya will conduct
a survey of the actual number of staff of offices of UN Funds, Programmes
and Agencies in or operating from Kenya as of 30 November of each year.
The number so established will be used for calculation of service users'
part of the costs for the related categories of services for the following
year.
ii.
Costs under service categories III 3 iii and iv above will be calculated
and invoiced based on the actual use by each service user.
10.
Invoices will be prepared in July and December based on staff statistics
and approved budget estimates of JMS and in addition, in February of
the next year, as a final adjusted billing, based on actual utilization
statistics for January - December of the year in question and actual
costs incurred for the operation of the related part of JMS.
11.
UNON will provide offices of UN Funds, Programme and Agencies in or
operating from Kenya with financial statements relating to the operation
of JMS on a yearly basis.
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VII
Obligations
12.
General terms and conditions as outlined in the "Guidelines on
the Provision of Common Services to offices of UN Funds, Programmes
and Agencies in or operating from Kenya" will apply.
i.
UNON, subject to timely payment in full by service users will ensure
that the approved staffing, property, equipment and logistical resources
are available to provide service users with the services specified in
Section III above.
ii.
(Name of office of UN Fund, Programme or Agency in or operating from
Kenya) will pay its share of the costs of the JMS in accordance with
Section VI above.
iii.
Service users may be required to contribute to the procurement of capital
assets required to establish JMS. Such contributions will be apportioned
to each service user as mutually agreed. Offices of UN Funds, Programmes
or Agencies in or operating from Kenya that decide subsequently to participate
may be requested to make a capital contribution as mutually agreed by
service users. Such contributions may be distributed as credits to service
users in proportion to their original contribution.
iv. (Name of office of UN Fund, Programme or Agency in or operating
from Kenya) will settle UNON's invoices not later than 30 working days
following receipt thereof.
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VIII
Effective Date, Duration Changes and Termination
13.
This Agreement will enter into force as of the date of the signature
by UNON and (name of office of UN Fund, Programme or Agency in or operating
from Kenya) and will remain in effect until terminated. Changes to this
Agreement resulting from reviews called by service manager, service
users or at scheduled intervals will be documented as described in Sections
II and V above. The approval authorities for UNON and (name of office
of UN Fund, Programme or Agency in or operating from Kenya) concerning
these changes will be the following:
On
behalf of UNON: Mr. Alexander Barabanov, Chief DAS/UNON
On
behalf of (name of office of UN Fund, Programme or Agency in or operating
from Kenya): (Name, Title)
14.
This Agreement may be terminated in whole or in part, as follows:
i.
At the initiative of UNON with six months advance notification to
(name of office of UN Fund, Programme or Agency in or operating from
Kenya).
ii.
At the initiative of (name of office of UN Fund, Programme or Agency
in or operating from Kenya) with six months advance notice to UNON.
If six month's notice is not provided for, an amount equivalent to the
budgeted financial contribution of (name of office of UN Fund, Programme
or Agency in or operating from Kenya) for the next six months period
will be charged.
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IX
Accountability
15. The individuals responsible for the administration and coordination
of the terms of this Agreement within and for their respective organization
will be those identified in Section VIII. Copies of this Agreement,
pertinent correspondence, and changes or other transactions pertaining
to this Agreement shall be furnished to each of those individuals.
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Verification of Records
16.
UNON will provide information and documentation as requested by service
users. UNON will also make available accounts records as well as financial
statements, which will be audited in accordance with the standards and
the frequency of UNON, as indicated in Section VI above.
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XI.
Disputes
17.
Disputes that cannot be resolved between UNON and (name of office of
UN
Fund, Programme or Agency in or operating from Kenya) will be referred
to IAACC. If IAACC is not able to resolve such disputes, IAACC will
appoint three arbitrators. The Parties will be bound by any arbitration
award rendered as a result of such arbitration as the final adjudication
of any dispute.