Financial Attest Audlit Report on the Accounts of

National Immtunization Support Project (NISP)

Ministry of National Healthi Serv.ices, Regulations andCoordination

(IDA Credlit No.5786-PAK)

For the Financial Year 2017-18

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Aiditor General of t Pakistan slamab ad

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TABLE OF CONTENTS

LIST OF A BBREV IATIONS ...................................................................................................

PR EF ACE ................................................................................................................................. ii

P A R T -1I.......................... 1............................ ...................... .....................- .................................. 1

PROJECT OV ERVIE W .................................................... ...................................................... 2

A U DITOR S REPORT TO TI M A NAG EM E NT................................................................ 3

FINAN CIA L STATEMEN TS ................................................................................................. 4

P A R T -11 ...................................... 1..................................... 1. ................ ..................................... 5

CO VLRING L T 1i iE R 'lTO T liI ' M A NAGEM ENT E TTER .............................................. I'l 6

EXECUTIV E SUMM AR ...................................................................................................... 7

M ANAG EM ENT LETTER ............... ..................................... .......................... ..... 8

1. INTRODUCTION ............................................................................................................. 9

2. AUIDIT OBJECTIVE ........................................................................................................ 10

3. AUD SCOPE AND M1ET3H11 DO LOG Y ................................... ...................................... 10

4. AUD I ND INGS A N ID R1ECO M M N DATION S ......................................................... 10

4.1 Organization and M anagement ................................................................................ 10

1,4.2 linancial M anagem ent ................................................................... ,.......,................. Il

4.3 M onitoring and Evauation......... .................................. . ................................. 12

4.4 Sustainability................................................................................................. .... 12

4.5 Overall Assessm ent..................................................................................................13

5. CONCLUSIO N 13................................................................................................................. 13

ACKNO W EDG ENIENT ...................................................................................................... 14

IrIIeIi

LIST OF ABBREVIATIONS

AGP Auditor General of Pakistan

ECNEC Executive Committee of the National conomie Council

EP1I Expanded Program on Iimmunization

FY Financial Year

FSs Financial Statements

[DA International Development Agency

[[SAS International Public Sector Accounting Standards

ISSAls International Standards of Supreme Audit Institutions

MONISR&C Ministrv ol' National l lealth Services. Regulations and Coordination

N 1SIP National lmimniiizaiion Support Project

N BP National Bank of lPak istan

FSC Federal Steering Cominhttec

SBl State Bank of Pakistan

VPDl) Vaccine Preventable deceases

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PREFACE

Auditor General of Pakistan conducts audits subject to the Articles 169 and 170(2) of theConstitution of Islamic Republic of Pakistan, 1973 read with Sections 8 and 12 of the Auditor-General's (Functions, Powers and Terms and Conditions of Service) Ordinance, 2001. The audit of"National Immunization Support Project (NISP) under Ministry of National Health Services,

i Regulations and Coordination (MONHSR&C) was carried out accordingly.

Directorate General Audit (Federal Government) conducted audit of the project during October,2018 for the period 2017-18 with a view to report significant findings to stakeholders. Auditexamined the economy, efficiency, and effectiveness aspects of the project. In addition, Audit alsoassessed, on test check basis, whether the management complied with applicable laws, rules andregulations in managing the project. The Audit Report indicates specific actions that, if taken, will

help the management to realize the objectives of the project.

The report consists of two parts. Part-I contains Auditors Report (Audit Opinion) and FinancialStatements, while Part-Il contains Executive Summary, Management Letter and Audit Findings.

The report has been prepared for submission to the World Bank in terms of IDA Credit No. 5786 -PAK with the Government of the Islamic Republic of Pakistan.

IDated: 10.12.2018 '(MAQBOOL MAD GONDAL)Place: Islamabad DIRE R GENERAL

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1. PROJECT OVERVIEW

2. AUDITOR'S REPORT TO THE MANAGEMENT (Audit Opinion)

3. FINANCIAL STATEMENTS

1

PROJ1 ECT OVERVIEWNV

Name: National lmmunization Support Project (NISP)

Sponsoring Agency: World Bank

Executing Agency: Federal EP Cell. lie Departments of Ieali of the Provinces

Loan No: 5786-PAK

PC-I cosi: Federal EPI Sharc- Rs. 3.746.981 million

LProvincial Share- Rs.25,568.985 million

FEC share - Rs. 8.328.706 million

Total Rs.37.644.682 million

Date of ('ommencement: 1 .07.2015

Actual D)at of Commencement: 01.09.2016

Date of Completion (as per PC-l): 30.06.2020

Date ofapproval by ECNEC: 08.03.2016

f'tilizaton Status in Y 2017-18: Rs.297.557 mil11011

Progressive E £xpenditure upto last NilFY:

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AUDITOR'S REPORT TO THE MANAGEMENT (Audit Opinion)

Mr. Zahid SaeedSecretaryMinistry of National Health Services, Regulations and CoordinationIslamabad

Auditor's Report on the National Immunization Support Project (NISP) Financial Statements

We have audited the accompanying Financial Statements of National Immunization Support ProjectL (NISP), IDA Credit No.5786-PAK, Ministry of National Health Services, Regulations and

Coordination, Islamabad that comprises Statements of Receipts and Payments for the year endedJune 30, 2018.

Management Responsibility

It is the responsibility of the project management to establish and maintain a system of internal16 controls, and prepare and present the Statement of Receipts and Payments in conformity with the

requirements of Cash Basis IPSAS, Financial Reporting under the Cash Basis of AccountingStandard (CBAS).

Auditor's Responsibility

The responsibility of the Auditor is to express an opinion on the financial statements based on theaudit conducted. We conducted audit in accordance with the International Standards of SupremeAudit Institutions (ISSAIs). These standards require that we plan and perform the audit to obtain

L reasonable assurance about whether the financial statements are free of material misstatements. Theaudit process includes examining, on a test basis, evidence supporting the amounts and disclosures3 in the financial statements. It also includes assessing the accounting principles used and significantestimates made by management, as well as evaluating the overall statement presentation. Webelieve that our audit provide a reasonable basis for our audit opinion.

L Opinion

In our opinion:a) The financial statements present fairly, in all material respects, the cash receipts andpayments made by the project for the year ended June 30, 2018 in accordance with Cash Basis

I IPSAS, Financial Reporting under the Cash Basis of Accounting Standard.

b) The expenditure has been incurred in accordance with the requirements of legal agreements.

aqbool Ahm Gondal)

Director GenerDirectorate General Audit (Federal Government)Benevolent Fund Building, Zero Point, IslamabadDated: Io.12.2018

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FINANCIAL STATEMENTS

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National Immunization Support Project (NISP)Statement of Cash Receipts and Paymentsunder IDA Credit No. 57860-Pak (Assignment Account No.4139031239)

For the Period from July 1, 2017 to June 30, 2018(PKR "in Million")

2018 2017Receipts I Payments by Receipts Payments byPayments Third Parties Payments Third Partiescontrolled by controlled bythe Project the Project

Note

RECEIPTSFunds received/ paid directly by the World Bank 270.296 -Advance- received by Project 8 - 523.800 -Reimbursement - received by provinces 9 -

TOTAL RECEIPTS 270.296 523.800

PAYMENTSProgram Related Payments: 10 - 270.296 -Incremental Operating Cost 11 12.859Consultants Services 12 14.402

Other Eligible Payment 13 - 2

2721 270.296-

Operation Related Payments:Adverlisement and Publicity - -TOTAL PAYMENTS 27.261 270.296NET RECEIPTI (PAYMENT) OF PROJECT FUND 2L261) - 523800

INCREASE / (DECREASE) IN CASH (27,261) 523.800 -CASH AT BEGINNING OF THE YEAR 523800 CASH AT END OF THE YEAR 14 496.539 523.800 -

IThe annexed notes I lo 20 form an integral part ofthese financial statements

Financial agement Specialist Nation rogramme Manager(Federal)- NISP (EPI/ NISP)

ZULFIQAR ALIFINANCIAL MANAGEMENT SPECIALIST P. a amExpanded Programme on Immunization R SY SM

ilo NOSR&C,Govemmenlt of Pakistan, Nat0na Prigfam eNatinamabadam Manager Ad W i O f'r- eFederai EApanded Program on D.G. Audit (F Gov)

lmmuniz8lion M1o NHORC, Islamabad llilr0

I

National Immunization Support Project (NISP)Statement of ExpenditureFor the Period from July 1, 2017 to June 30, 2018

2018 2017Note PKR "in Million" PKR "in Million"

EXPENDITURE

Incremental Operating Cost 11 12.859

Consulting Services 12 14.402

27.261 -

The annexed notes I to 20 form an integral part of these financial statements.

50"Financial agement Specialist National rogramme Manager

(Federal) - NISP (EPI/ NISP)ZULFIQAR ALI

FINANCIAL MANAGEMENT SPECIALISTExpanded Programme on InmitunizationMWo NHSR&C,Government of Pakistan, DR. SYED SAQLANAMDGLNftsfaPaa

National Programe ManagerFederal Expanded Program on

immunizatiOn M/ NHSR&C, Islamabad

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LNational Immunization Support Project (NISP)Notes to the Financial Statements

L For the Periodftom July 1, 2017 to June 30, 2018

!W I REPORTING ENTITV

L The financial statements are for'National Immunization Support Project'. These financial statements encompass the reportingentity as defined in the Trust Fund Agreement between the Islamic republic of Pakistan (" Borrower") and International Development Association("IDA"). This Grant Agreement was signed on 31-08-2016 for an amount of US $ 39,680,000. The project closing date is 31-12-2021,

L The Executing Agency (EA) of the aforesaid project is'Ftdcral EPI Cell, MONHSRC'.

V The objective of"National Immunization Support Project (NISP)' is to help the Government of Pakistan (Gap) by increasing the

L equitable coverage of services for immunization against VPD, including poliomyelitis, for children between 0 and 23 months in Pakistan-

The project shall comprise:

I - Strengthening Management, Governance and Stewardship functions ("Component IL 2- Improving Service Delivery Performance ("Component 2");

3- Demand Generation ("Component 3") ,4- Vaccine Supply Chain ("Component 4")

L 5- Improving Capacity for increased immunization coverage ("Component 5");

fim Financing

L The financing is made from the Multi donors Trust Funds under International Bank for Reconstruction and Development.

Responsible Agency

A primary responsibility for overall progress and management of the Multi Donors Trust Funds has been assigned to'Federal EPI Cell, MONHSRC'.

2 CERTIFICATION BV PROJECT MANAGEMENT ON APPLICATION OF FUNDSFederal EPI Cell, MONHSRC certifies that funds have not been applied/ expenditure have not been incurredfor the purposes intended in the loan agreement,

3 ACCOUNTING CONVENTION AND STATEMENT OF COMPLIANCEThese finwicial statements have been prepared in accordance with Cash Basis IPSAS Financial Reporting under the Cash Basis ofAccounting.These cash basis accounting recognizes transactions and events only, when cash is received or paid by the entity,

4 REPORTING PERIODL The reporting period of these financial statements is the financial period commencing from July I , 2017 to June 30, 2018,

5 REPORTING CURRENCV

Im The reporting currency of these financial statements is PKR which is Execming Agency's (Federal EPI Cell, M0NHSRQfunctional and presentational currency.

L 6 SIGNIFICANT ACCOUNTING POLICIES6.1 Revenue recognition

Revenue is recognized on the date of receipt of money by bank or clearance of cheque. Revenue is recognized on gross basis andany related costs are recorded separately.

6.2 Foreign Currency Transaction

Cash receipts and payments arising from transactions in foreign currenci I es are recognized in PKR by applying to the foreigncurrency amount, the weighted average exchange rate between the PKR and the US Dollar, For disbursements (payments), therate of the first tranche would be utilized and likewise, 'First In First Out'would be the basis for convertion in subsequent paymenttransactions,However, cash balances held in foreign currency is reported using the closing rate.

6.3 Rteognition of ExpenditureExpend itute i s recogn ize d on the date whe n paymen t i s made or cheque is issued. F inan c ial year to wh ich the payments pertain is

L determined by the date on which a cheque or payment advice is issued.6.4 Employte Terminal Benefits

Service benerms of deputation employees are accounted for in their respective departments while no service terminal

L benefits are paid to the contractual employees.

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National Immunization Support Project (NISP)N Notes to the Financial StatementsFor the Periodfrom July 1, 2017 to June 30, 2018

6.5 Payments by Third Parties

6.5.1 The payments made by third parties do not constitute cash receipts or payments controlled by the project but do benefit the Projectas the Project does not receive cash (including cash equivalents) directly from, or gain control of the bank accounts or similarfacility established for its benefit by, the third parties. Payments by third parties, if any, are disclosed in the Payments by ThirdParties column on the face of Statement of Cash Receipts and Payments and Notes to the Financial Statements.

6.5.2 In pursuance of the Agreement, Payment of US$ 2442 M equivalent to PKR 270.296 M was made to UNICEFdirectly by the World Bank for procurement of Cold Chains.

6.6 External Assistance

External assistance was received in the form of Loan and Grant bearing reference IDA Loan No. "5786-PK" and lBRD GrantNo.TF A2189 Pak from the world bank under Financing Agreements dated 31st August, 2016 for the purpose of "National ImmunizationSupport Project". The following amounts were received by the project during the period.

2018 2017PKR PKR

Note jin Millie in MillionReimbursement 6.6.1 0 aAdvance for Imprest Fund 6.6.2 - 523.800

I- 523.800

6.6.1 This represents funds transferred to the Projects designated Bank Account by the world bank on thebasis of Withdrawal Applications submitted by the Project Management. Presently, the reimbursement is zero.

6.6.2 This represents the world Bank's advance disbursement from the Grant amount for deposit to an imprest Account to be used exclusively forthe Multi Donors Trust Funds for eligible expenditures.

6.6.3 Disbursement Procedures such as 'Direct Payment' and 'Commitment' are not used for funds transferred to the project,6.6.4 There has been no instance of non-compliance with the terms and conditions of the loan and project agreements between the world bank

and GoP, which have resulted in cancellation of loan.6.7 Undrawn External Assistance

Undrawn balance of loan at reporting date represents amount specified in the loan agreement between the world bank and GoP that thethe world bank will disburse for Project purposes.

USD PKRNote in Million in Million us S

.Closing halance 6.8 2980 3,116.400 PKR.105.029.680 3.116.400

N 6.8 Closing Balance of IDA Credit US $ 40.000 Million (against total committed US$50.00 M) is converted @PKR 105 per US $fo r rep orti ng pu rpose.

7 COUNTERPART FUNDSGovernment of Pakistan (GoP) 7.1 1581.200 29,315.975 as provided in PC-13 1610.880 15.089.525

7.1 GOP funding to the Project is US $ 1581.200 million as per Project Appraisal Document (PAD) equivalent to PKR 29,315.976 millionasper approved PC-1.

8 Advance of US$ 5.00 M equivalent to Rs.523.800M was received on 10th May 2017 through Withdrawal Application to operate US Dollar RevolvingFund / Assignment Account under Grant No.TF A 2189-Pak during FY 2016-17. The same is credited in the Projects designated account.

9 This receipt is to be received by provinces under Eligible Expenditure. Presently there is zero reimbursement.10 This reflects program related eligible expenditure. Presently, it is zero expense,

NN

National Immunization Support Project (NISP)Notes to the Financial StatementsFor the Period from July 1, 2017 to June 30, 2018

2018 2017

PKR PKRNote in Million in Million

S11 Incremental Operating CostExpenditure related to support capacity building activities in areas offinancial management, procurement, environment and social etc. 12.859

12 Consultants Services 14.402L 13 Other Eligible Payment

27.261 -2018 2017

14 CASH AND BANK / CASH AT THE END OF THE YEAR in Million in MillionCash at Bank 496.596 523.800

496.596 523.80014.1 This account is being maintained in National Bank of Pakistan and designated for the world bank

funded project "National Immunization Support Project (NISP)".

I 15 EXCHANGE GAIN/ LOSS

The rate of exchange applied by the State Bank of Pakistan (SLIP) for converting foreign currency into PKR for that trancheat the time of receipt of funds in the SBP from the donor. In case of more than one tranches, the rate applied for eachI tranche will be used for project reporting purposes and funds received in the first tranche will be utilized first and theutilized balance shall be attributed to the last tranche.

Therefore by adopting the aforesaid policy; being issued by the Finance Division, GoP; it does not result any exchangegain/ loss.

LI

National Immunization Support Project (NISP)Notes to the Financial StatementsFor the Period from July 1, 2017 to June 30, 2018

2018 2017PKR PKR

Note in Million in Million* 11 Incremental Operating Cost

Expenditure related to support capacity building activities in areas offinancial management, procurement, environment and social etc. 12,859

12 Consultants Services 14.40213 Other Eligible Payment

27.261 -2018 2017

14 CASH AND BANK / CASH AT THE END OF THE YEAR in Million in MillionCash at Bank 496.596 523.800

496.596 523.80014.1 This account is being maintained in National Bank of Pakistan and designated for the world bank

funded project "National Immunization Support Project (NISP)".

15 EXCHANGE GAIN/ LOSS

The rate of exchange applied by the State Bank of Pakistan (SBP) for converting foreign currency into PKR for that trancheat the time of receipt of funds in the SBP from the donor. In case of more than one tranches, the rate applied for eachtranche will be used for project reporting purposes and funds received in the first tranche will be utilized first and theutilized balance shall be attributed to the last tranche.

Therefore by adopting the aforesaid policy; being issued by the Finance Division, GoP; it does not result any exchangegain/ loss.

INational Immunization Support Project (NISP)Notes to the Financial StatementsFor the Period from July 1, 2017 to June 30, 2018

2018USD PKR

16 PROJECT COST- MOVEMENT Note in Million lin Million

Total Committed Loan by the world bank's share in total Project 161 50.000 5,250.000

Total IDA Trust Funds 162 79.600 8,358.000GoP share in total Project Cost- PKR as reflectedin approved cost of PC-I 16.3 1,581.200 29,315.976

Total Project Cost- 'C=(A+B)' 1,710.800 42,923.976Loan instalment received directly by Provinces- 'D' 5,000 5231800Total payments by Project-'E* 7.442 653.070Cash at bank- F' 17 4740 523.800Loan instalments received by the Project- 'G=(E+F)' 12.182 1,176.8703 Total withdrawals (loan instalments received)- 'H=(D+G)' 8 17.182 12700.670

Undrawn total Project proceeds- '=C-l' 1,693.618 41,223306

Undrawn foreign loan proceeds- 'J=A-H' 6.7 32.818 3,549.330

16.1 Total Committed Loan by the world bank under Loan No.5786 Pak is converted into PKR 105 per US $16.2 Total IDA Trust Funds under Grant of TF A 2189 Pak is converted into PKR 105 per US S

16.3 GOP funding to the Project is US $ 1581.200 million as per Project Appraisal Document (PAD) equivalent to PKR 29,315.976 million

as per approved PC-1.

17 CASH AND BANK / CASH AT THE END OF THE YEAR in Million

Cash at Bank on 30th June 2018 496.596496.596

18 CORRESPONDING FIGURES- COMPARATIVE FINANCIAL INFORMATIONComparative financial information are not stated in these financial statements, as the receipts / payments took place in the

current financial period However, the Loan and ProJect Appraisal Agreements were signedon 31st August 2016 and 17th March 2016 respectively,

19 AUTHORIZATION FOR ISSUEThese Financial Statements have been authorized for issue by National Programme Manager EPI/NISP on 14-09-2018.

20 GENERAL20.1 Level of Precision

Figures in these Financial Statements have been rounded off to the nearest million of PKR, unless otherwise stated.

Financial nagement Specialist Nation Programme Manager(Federal) - NISP (EPI / ISP)

ZULFIQAR ALlIR YDSQAI HA IAFINANCIAL MANAGEMENT SPECIAUST DL MAD GILNExpanded Programme on Immunization National rg gMo NHSR&C,GovernMent of Pakistan,

sama Federal Expanded Program onImmuization M/o NHSR&C, Islamabad

IW