approval of state programme implementation plan...

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN 2012-13: CHHATTISGARH

Approval of Programme Implementation Plan- Chhattisgarh 2012-13

Foreword

I truly believe that the National Rural Health Mission affords us a

unique opportunity to be aspirational and to bring about transformational

change.

This document evolves out of a shared vision – about where the

Chhattisgarh State must reach and the path to be traversed. Strides in the

right direction get the State more money while there is danger too of losing

funds for slippages.

As NRHM embarks on the second phase of its journey, let us be

inspired by what Mahatma Gandhi said “A small body of determined spirits

fired by an unquenchable faith in their mission can alter the course of

history.’’

Let us believe in ourselves and our ability to make a difference.

Anuradha Gupta (Additional Secretary & Mission Director, NRHM)


F.No. 10(19)/2012-NRHM-I Government of India

Ministry of Health & Family Welfare Department of Health & Family Welfare

Nirman Bhawan, New Delhi

Dated : 31st May 2012

To, The Mission Director National Rural Health Mission, Chhattisgarh Directorate of Health Services, Old Nursing Hostel Near Mantralaya Raipur Chhattisgarh

Subject: Approval of NRHM State Programme Implementation Plan for the year 2012-13

Sir,

1. This refers to the Programme Implementation Plan (PIP) for the year 2012-13 submitted by the State and subsequent discussions in the NPCC meeting held on 16th May 2012 at New Delhi.

2. Against a resource envelope of Rs 838.26, the administrative approval of the PIP for your

State is conveyed for an amount of Rs 659.4 crores .Details are provided in Table A, B and C below:

TABLE-A

(Rs. in Crore)

Uncommitted Unspent Balance Available under NRHM as on 1.4.2012 206.65

GOI Resource Envelope for 2012-13 under NRHM 473.71

25% UT share ( 2012-13) 157.90

Total 838.26


TABLE-B

Sl No.

Programme Uncommitted Unspent balance available as on

1.4.2012 (Rs in Crore)

GoI Resource Envelope under NRHM (Rs in Crore)

Total (Rs in Crore)

1 RCH Flexible Pool 86.01 117.09 203.1

2 NRHM Flexible Pool 77.11 145.47 222.58

3 Routine Immunization 5.84 5.73 11.57

4 NVBDCP 6.96 33.39 40.35

5 RNTCP 8.10 27.39 35.49

6 NPCB 5.42 5.58 11.00

7 NLEP 1.16 1.68 2.84

8 IDSP 0.94 1.50 2.44

9 NIDDCP 0.00 0.24 0.24

10 Direction & Admn. (Treasury route)

12.30 130.74 143.04

11 PPI Operation Cost 2.79 4.90 7.69

12 25% State share 157.90

Total Resource Envelope

206.64 473.71 838.26

Committed Unspent Balance up to 2011-12 to be Revalidated in 2011-12 as on 01.04.2012

154.43 crore


TABLE-C

SUMMARY OF APPROVAL

Sl. No.

Scheme /Programme Approved Amount (Rs. in Crores)

Annex ref.

1 RCH Flexible Pool 184.77 1

2 NRHM Flexible Pool 254.50 2

3 Immunization and PPI operation cost 20.31 3

4 NIDDCP 0.44 4A

5 IDSP 2.24 4B

6 NVBDCP 36.34 4C

7 NLEP 1.67 4D

8 NPCB 5.57 4E

9 RNTCP 10.50 4F

10 Infrastructure maintenance(Treasury route) 143.04

Total 659.4

Thus, there is a cushion of Rs.178.8 crores (Rs. 838.2 crores – Rs 659.4.crores) for which,

State is advised to send a supplementary PIP urgently.

Targets, Conditionalities and road map 3. State has been assigned mutually agreed goals and targets. The state is expected to

achieve them, adhere to key conditionalities introduced this year and implement the road map provided in each of the sections of the approval document.

Mandatory disclosures 4. In addition, the State is directed to ensure mandatory disclosure on the state NRHM

website of the following:

Facility wise deployment of all contractual staff engaged under NRHM with name and designation.

MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule and service delivery data on a monthly basis.

Patient Transport ambulances and emergency response ambulances- total number of vehicles, types of vehicle, registration number of vehicles, service delivery data including clients served and kilometres logged on a monthly basis.

All procurements- including details of equipments procured (as per CIC directives).


Buildings under construction/renovation –total number, name of the facility/hospital along with costs, executing agency and execution charges (if any).

Release of second tranche of funds 5. Action on the following issues would be looked at while considering the release of second tranche of funds:

Compliance with conditionality’s.

Physical and financial progress made by the State.

The State to ensure that 25% of the State share, based on release of funds by Government of India is credited to the account of the State Health Society.

Monitoring Requirements 6. State shall ensure submission of quarterly report on progress against targets and expenditure including an analysis of adverse variances and corrective action proposed to be taken.

Yours faithfully,

Dr. Suresh. K. Mohammed Director (NRHM-I)


APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2012-13: CHHATTISGARH

CONTENTS PAGE NO.

SUMMARY 1-15

State specific goals 1

Key conditionality’s and incentives 3

Finance: key issues and guiding principles 4

Road map 6

Approved budget (by program and function) 10

REPRODUCTIVE AND CHILD HEALTH 16-86

Maternal Health 16

Child Health & Immunization 34

Family Planning 49

Adolescent Health 59

Urban RCH 65

Tribal RCH 67

PC-PNDT 70

Human Resources and programme management 74

MISSION FLEXI POOL 87-143

ASHA 88

Untied funds/RKS/AMG 93

New constructions/ renovation and setting up 98

Procurement 106

Mobile medical unit & Referral Transport 111

Mainstreaming of AYUSH 114

IEC / BCC 118

Monitoring and evaluation (HMIS) 120

Others 133

NATIONAL DISEASE CONTROL PROGRAMMES 144-276

National Iodine Deficiency Disorders Control Programme (NIDDCP)

145

Integrated Disease Surveillance Programme(IDSP) 148

National Vector Borne Disease Control Programme (NVBDCP) 152

National Leprosy Eradication Programme (NLEP) 162

National Programme for control of Blindness (NPCB) 166

Revised National Tuberculosis Control Programme (RNTCP) 170


Annex (Detailed budgets)

1. RCH 2. Mission Flexi pool 3. Immunization 4A. National Iodine Deficiency Disorders Control Programme (NIDDCP) 4B. Integrated Disease Surveillance Programme (IDSP) 4C. National Vector Borne Disease Control Programme (NVBDCP) 4D. National Leprosy Eradication Programme (NLEP) 4E. National Programme for control of Blindness (NPCB) 4F. Revised National Tuberculosis Control Programme (RNTCP)


SUMMARY

Approval of Programme Implementation Plan Chhattisgarh , 2012-13 Page 1

STATE-SPECIFIC GOALS The following are the goals and service delivery targets specifically laid out for the state

of Chhattisgarh

INDICATOR

INDIA Chhattisgarh STATE TARGETS

Current status

RCH II/ NRHM (2012)

goal

Trend (year & source) 2012-13 2013-14 2014-15

MATERNAL HEALTH

Maternal

Mortality Ratio

(MMR)

212

(SRS 07-09)

<100 379

(SRS 01-03)

335

(SRS 04-06)

269

(SRS 07-09)

205

(11-13)

191

(13-15)

179

(15-17)

CHILD HEALTH 2013 2014 2015 Under 5

Mortality 59

(SRS 2010)

71

(SRS 2008)

67

(SRS 2009)

61

(SRS 2010)

50 47 44

Infant Mortality

Rate (IMR) 47

(SRS 2010)

<30 57

(SRS 2008)

54

(SRS 2009)

51

(SRS 2010)

40 37 34

Neonatal

Mortality Rate

(NMR)

33

(SRS 2010)

39

(SRS 2008)

38

(SRS 2009)

37

(SRS 2010)

26 22 18

Early NMR 25

(SRS 2010)

36

(SRS 2008)

33

(SRS 2009)

26

(SRS 2010)

15 11 7

FAMILY PLANNING

2012-13 2013-14

2014-15

Total Fertility

Rate (TFR) 2.5

(SRS 2010)

2.1 3.0

(SRS 2008)

3.0

(SRS 2009)

2.8

(SRS 2010)

2.5 2.4 2.3


SERVICE DELIVERY TARGETS:

Indicators DLHS-2 (2002-

04)

DLHS-3 (2007-08)

CES (2009)

State Targets

2012-13 2013-14 2014-15

Maternal Health

Mothers who had 3 or more Ante Natal Check-ups

44.4 % 51.2 % 605660 650356 696874

Institutional delivery in public health facilities (%)

18.1% 18.1% 335153 50%

352810 52%

378157 55%

Line listing and follow up of Severely Anaemic pregnant women (nos)

8697 8803 8921

Child Health

Full Immunisation (%) 56.9 59.3 57.3 70 80 90

Line listing and follow up of Low Birth Weight babies RURAL Nos; (% of live births)

121630 18.1 % of live births (State HMIS)

28286 6 %

39600 6%

53744 10 %

Family Planning

Female sterilizations (lakhs)

142815 (HMIS: 2010-11)

160000 139945 142739

Post-Partum sterilizations (lakhs)

485 (HMIS: 2010-11)

1000 1500 2500

Male sterilisations (lakhs) 7216 (HMIS: 2010-11)

24000 15055 17261

IUD insertions (lakhs) 105100 (HMIS: 2010-11)

147437 118699 124634

Disease Control

ABER for malaria (%) 12.63%(2010) 12.52 % (2011) To sustain the ABER at the same level

API for malaria (per 1000 population)

< 5.0

Annualized New Smear Positive Detection Rate of TB (%)

60-65%

Success Rate of New Smear Positive Treatment initiated on DOTS (%)

87-90%

Cataract operations 610000


High focus districts Performance against the above service delivery indicator in the 16 high focus districts (Surguja Dantewada Korba , JAspur , Kanker , Bastar , Koriya Raigarh, Mahasamund, Janjgir Champa, Kawardha , Dhamtari Rajnandgaon , Bialpur Bijapur Narayanpur) out of a total 27 districts should be at least , on par with the State average ; and subsequently in line with the performance of the top 10% of Districts KEY CONDITIONALITIES AND INCENTIVES As agreed, the following key conditionalities would be enforced during the year 2012-13.

a) Rational and equitable deployment of HR with the highest priority accorded to high focus districts and delivery points1.

b) Facility wise performance audit and corrective action based thereon2.

Non-compliance with either of the above conditionalities may translate into a reduction in outlay upto 7 ½% and non-compliance with both translating into a reduction of upto 15%.

c) Gaps in implementation of JSSK may lead to a reduction in outlay upto 10%.

d) Continued support under NRHM for 2nd ANM would be contingent on improvement on ANC coverage and immunization as reflected in MCTS.

e) Vaccines, logistics and other operational costs would also be calculable on the basis of MCTS data.

INCENTIVES

Initiatives in the following areas would draw additional allocations by way of incentivisation of performance:

a) Responsiveness, transparency and accountability (upto 8% of the outlay).

b) Quality assurance (upto 3% of the outlay).

c) Inter-sectoral convergence (upto 3% of the outlay).

d) Recording of vital events including strengthening of civil registration of births and deaths (upto 2% of the outlay).

e) Creation of a public health cadre (by states which do not have it already) (upto 10% of the outlay)

f) Policy and systems to provide free generic medicines to all in public health facilities (upto 5% of the outlay)

Note: The Framework for Implementation of NRHM to be strictly adhered to while implementing the approved PIP.

1 Rational and equitable deployment would include posting of staff on the basis of case load, posting of

specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained doctors in FRUs,optimal utilization of specialists in FRUs and above and filling up vacancies in high focus/ remote areas. 2 Performance parameters must include OPD/ IPD/ normal deliveries/ C. Sections (wherever applicable).


FINANCE: KEY ISSUES AND GUIDING PRINCIPLES

Quality FMRs must be submitted on time with both physical and financial progress fully reflected.

1. Status of 15% Contribution of state share:

Year Amounts required on basis of releases

(Rs. in Crore)

Amount Credited in SHS Bank A/C (Rs. in Crore)

Short/ (Excess) (Rs. In Crore)

2007-08 33.68 12.00 21.68 2008-09 44.07 35.00 9.07 2009-10 46.17 31.11 15.06 2010-11 57.75 47.00 10.75 2011-12 74.39 94.00 -19.61

Total 256.06 219.11 36.95

Further with effect from 2012-13, State’s share would be 25%.

2. Before the release of funds upto 100% of BE of your state for the year 2012-13, State needs to provide Utilization Certificates against the grant released to the State up to 2010-11. The details for such pending UCs is as under:

Pending utilisation certificates

Programme Amount in Crore RCH Flexi Pool (Year 2010-11) 58.82

Mission Flexi Pool (Year 2008-09) 0.34 (Year 2009-10) 82.42 (Year 2010-11) 80.00

Total Mission Flexi Pool 162.76

3. Release of 100% of funds for the year 2012-13 would be contingent on the state providing utilisation certificates upto 2010-11.

4. The appointment of Concurrent Auditor for the year 2012-13 is a prerequisite for release of 2nd tranche of funds. The State shall ensure timely appointment of Concurrent Auditor for State and District level so that concurrent audit shall be completed on time. The State shall submit the executive summary of the audit report to Govt of India on regular basis

5. Timely submission of Statutory Audit Report for the year 2011-12 is must for release of 2nd tranche of funds.

6. State is required to comply with the instructions and/or guidelines issued for maintenance of bank account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.

7. State should provide a confirmation of submission of Action Taken Report/ Compliance Report on the FMR Analysis (2011-12) and Audit Report Analysis for FY 2010-11.

8. State needs to prioritise the internal control procedures for all transactions.


9. State should ensure proper maintenance of books of accounts at all districts and blocks within the State.

10. Appointment of Auditor for the year 2011-12 is pending and must be completed in the first quarter of 2012-13. The State shall submit the Audit report as per timelines of the RFP issued by the Govt of India for the appointment of Statutory Audit

11. The State shall ensure the reconciliation and of old advance lying at the state, district

and block level and also ensure the adjustment/recovery of old outstanding advances

within the first quarter of the year 2012-13.

12. The State shall refund the unspent grant of the closed programme like RCH-I and EC-SIP

to Govt of India within first quarter of the year 2012-13.

13. A full time Director (Finance & Accounts) from the State Finance Services not holding

any additional charge to be appointed.

14. The State shall submit the Monthly & Quarterly MIS report to the FMG, NRHM-finance,

and Govt of India on time.

15. The State should ensure integration of National Disease Control Programmes (NDCPs)

and timely submission of Consolidated Audit Report as per RFP under NRHM.

16. The state must ensure due diligence in expenditure and observe, in letter and spirit,

all rules, regulations, and procedures to maintain financial discipline and integrity

particularly with regard to procurement; competitive bidding must be ensured and

only need-based procurement should take place.


ROAD MAP FOR PRIORITY ACTION

NRHM must take a ‘systems approach’ to Health. It is imperative that States take a holistic view

and work towards putting in place policies and systems in several strategic areas so that there

are optimal returns on investments made under NRHM. For effective outcomes, a sector wide

implementation plan would be essential. Some of the key strategic areas in this regard are

outlined below for urgent and accelerated action on the part of the State:

S.

NO.

STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED

PUBLIC HEALTH PLANNING & FINANCING

1. Planning and financing Mapping of facilities, differential planning for districts / blocks with

poor health indicators; resources not to be spread too thin /

targeted investments; at least 10% annual increase in state health

budget (plan) over and above State share to NRHM resource

envelope; addressing verticality in health programmes; planning for

full spectrum of RCH services; emphasis on quality assurance in

delivery points

2. Management

strengthening

Full time Mission Director for NRHM and a full-time Director/ Jt.

Director/ Dy. Director Finance, not holding any additional

responsibility outside the health department; fully staffed

programme management support units at state, district and block

levels; training of key health functionaries in planning and use of

data. Strong integration with Health & FW and AYUSH directorates

3. Developing a strong Public

Health focus

Separate public health cadre, induction training for all key cadres;

public health training for doctors working in health administrative

positions; strengthening of public health nursing cadre, enactment

of Public Health Act

HUMAN RESOURCES

4. HR policies for doctors,

nurses paramedical staff

and programme

management staff

Minimising regular vacancies; expeditious recruitment (eg. taking

recruitment of MOs out of Public Service Commission purview);

merit –based and transparent selection; opportunities for career

progression and professional development; rational and equitable

deployment; effective skills utilization; stability of tenure;

sustainability of contractual human resources under RCH / NRHM

and plan for their inclusion in State budget

5. HR Accountability Facility based monitoring; incentives for both the health service

provider and the facility based on functioning; performance

appraisal against benchmarks; renewal of contracts/ promotions

based on performance; incentives for performance above

benchmark; incentives for difficult areas

6. Medical, Nursing and Planning for enhanced supply of doctors, nurses, ANMs, and


S.

NO.


Paramedical Education

(new institutions and

Upgradation of existing

ones)

paramedical staff; mandatory rural posting after MBBS and PG

education; expansion of tertiary health care; use of medical colleges

as resource centres for national health programmes; strengthening/

revamping of ANM / GNM training centres and paramedical

institutions; re-structuring of pre service education; developing a

highly skilled and specialised nursing cadre

7. Training and capacity

building

Strengthening of State Institute of Health & Family Welfare

(SIHFW)/ District Training Centres (DTCs); quality assurance;

availability of centralised training log; monitoring of post training

outcomes; expanding training capacity through partnerships with

NGOs / institutions; up scaling of multi skilling initiatives,

accreditation of training

STRENGTHENING SERVICES

8. Policies on drugs,

procurement system and

logistics management

Articulation of policy on entitlements on free drugs for out / in

patients; rational prescriptions and use of drugs; timely

procurement of drugs and consumables; smooth distribution to

facilities from the district hospital to the sub centre; uninterrupted

availability to patients; minimisation of out of pocket expenses;

quality assurance; prescription audits; essential drug lists (EDL) in

public domain; computerised drugs and logistics MIS system; setting

up dedicated corporation eg: TNMSC

9. Equipments Availability of essential functional equipments in all facilities; regular

needs assessment; timely indenting and procurement; identification

of unused/ faulty equipment; regular maintenance and MIS/

competitive and transparent bidding processes

10. Ambulance Services and

Referral Transport

Universal availability of GPS fitted ambulances; reliable, assured free

transport for pregnant women and newborn/ infants; clear policy

articulation on entitlements both for mother and newborn;

establishing control rooms for timely response and provision of

services; drop back facility; a prudent mix of basic level ambulances

and emergency response vehicles

11. New infrastructure and

Maintenance of buildings;

sanitation, water,

electricity, laundry,

kitchen, facilities for

attendants

New infrastructure, especially in backward areas; 24x7 maintenance

and round the clock plumbing, electrical, carpentry services; power

backup; cleanliness and sanitation; upkeep of toilets; proper

disposal of bio medical waste; drinking water; water in toilets;

electricity; clean linen; kitchens, facilities for attendants

12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable

availability to patients; partnerships with private service providers;


S.

NO.


prescription audits, free for pregnant women and sick neonates

COMMUNITY INVOLVEMENT

13. Patient’s feedback and

grievance redressal

Feedback from patients; expeditious grievance redressal; analysis of

feedback for corrective action

14. Community Participation Active community participation; empowered PRIs; strong VHSNCs;

social audit; effective Village Health & Nutrition Days (VHNDs),

strengthening of ASHAs, policies to encourage contributions from

public/ community

15. IEC Comprehensive communication strategy with a strong behaviour

change communication (BCC) component in the IEC strategy;

dissemination in villages/ urban slums/ peri urban areas

CONVERGENCE, COORDINATION & REGULATION

16. Inter Sectoral convergence Effective coordination with key departments to address health

determinants viz. water, sanitation, hygiene, nutrition, infant and

young child feeding, gender, education, woman empowerment,

convergence with SABLA, SSA, ICDS etc.

17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be

part of active communitisation process; involvement of NGOs in

filling service delivery gaps; active community monitoring

18. Private Public Partnership

(PPP)

Partnership with private service providers to supplement

governmental efforts in underserved and vulnerable areas for

deliveries, family planning services and diagnostics

19. Regulation of services in

the private sector

Implementation of Clinical Establishment Act; quality of services,

e.g. safe abortion services; adherence to protocols; checking

unqualified service providers; quality of vaccines and vaccinators,

enforcement of PC-PNDT Act

MONITORING & SUPERVISION

20. Strengthening data

capturing, validity /

triangulation

100% registration of births and deaths under Civil Registration

System (CRS); capturing of births in private institutions; data

collection on key performance indicators; rationalising HMIS

indicators; reliability of health data / data triangulation mechanisms

21. Supportive Supervision Effective supervision of field activities/ performance; handholding;

strengthening of Lady Health Visitors (LHVs), District Public Health

Nurses (DPHNs), Multi Purpose Health Supervisors (MPHS) etc.

22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for

periodic review and future road map; clear agenda and follow up


S.

NO.


action; Regular, focused reviews at different levels viz. Union

Minister/ Chief Minister/ Health Minister/ Health Secretary/ Mission

Director/ District Health Society headed by Collector/ Officers at

Block/ PHC level; use of the HMIS/ MCTS data for reviews;

concurrent evaluation

23. Quality assurance Quality assurance at all levels of service delivery; quality

certification/ accreditation of facilities and services; institutionalized

quality management systems

24. Surveillance Epidemiological surveillance; maternal and infant death review at

facility level and verbal autopsy at community level to identify

causes of death for corrective action; tracking of services to

pregnant women and children under MCTS

25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS for

tracking ambulances and mobile health units; mobile phones for

real time data entry; video conferencing for regular reviews; closed

user group mobile phone facility for health staff; endless

opportunities- sky is the limit!


PROGRAMME WISE BUDGET


SUMMARY BUDGET 2012-13: CHHATTISGARH

S. No. Budget Head

FY 2012-13 Budget ( Rs lakhs )

Proposed Approved %

1. RCH

A1 Maternal Health 4710.86 2023.54 3.07

A2 Child Health 2382.83 1132.26 1.72

A3 Family Planning 448.45 208.8 0.32

A4 ARSH 161.55 41.92 0.06

A5 Urban RCH 92 0 0.00

A6 Tribal RCH 140 49 0.07

A7 PNDT & Sex Ratio 14.5 14.5 0.02

A8 Infrastructure & HR 5614.75 2231.38 3.38

A9 Training 1538.98 1490.88 2.26

A10 Programme Management 5103.73 2920.77 4.43

A11 Vulnerable groups 28 23 0.03

Total Base Flexi Pool 20235.64 10136.04 15.36

A12 JSY 6659.13 6131.63 9.29

A13 Sterilization & IUD Compensation,

and NSV Camps

2210 2210

3.35

Total Demand Side 8869.13 8341.63 12.64

Total RCH Flexi Pool 29104.77 18477.67 28.00

B1 ASHA 2809.02 2747.62 4.16

B2 Untied Funds (ongoing) 2802.65 2768.45 4.20

B3 Annual Maintenance Grants

(ongoing) 884.3 564.5 0.86

B4 Hospital Strengthening 305 0 0.00

B5 New Constructions/ Renovation

and Setting up 19929.25 11338.75 17.18

B6 Corpus Grants to HMS/RKS 1181 1090 1.65


S. No. Budget Head


Proposed Approved %

(ongoing)

B7 District Action Plans (including

block, village) 101.2 32 0.05

B8 Panchayati Raj Initiative 82 82 0.12

B9 Mainstreaming of AYUSH 809.82 704.99 1.07

B10 IEC-BCC NRHM 711.75 250 0.38

B11 Mobile Medical Units (Including

recurring expenditures) 702 0 0.00

B12 Referral Transport 3166.96 2772.96 4.20

B13 PPP/ NGOs 435.4 35.4 0.05

B14 Innovations (if any) 0 0 0.00

B15 Planning, Implementation and

Monitoring 1612.21 490.51 0.74

B16 Procurement 2111.71 704.53 1.07

B17 Regional drugs warehouses 0.00

B18 New Initiatives 5084.08 50 0.08

B19 Health Insurance Scheme 0 0 0.00

B20 Research, Studies, Analysis 0 0 0.00

B21 State level Health Resources

Center 110.81 100 0.15

B22 Support Services 982.41 511.08 0.77

B23 Other Expenditures (Power

Backup, Convergence etc) 1207.06 1207.06 1.83

TOTAL MFP 45028.63 25449.85 38.57

C1 RI strengthening project (Review

meeting, Mobility support,

Outreach services etc)

818.34 1,001.57

1.52

C2 Salary of Contractual Staffs 50.3 33.84 0.05

C3 Training under Immunization 66.54 33.95 0.05


S. No. Budget Head


Proposed Approved %

C4 Cold chain maintenance 14.85 7.14 0.01

C5 ASHA Incentive 472.42 472.42 0.72

Total Immunization 1422.42 1548.92 2.35

C6 Pulse Polio Operational Cost 483.03 483.03 0.73

Total RI & PPO costs 1905.48 2031.95 3.08

4A. National Iodine Deficiency

Disorders Control Programme

(NIDDCP)

24 44.03

0.07

4B. Integrated Disease Surveillance

Programme(IDSP)

354.49 224.05

0.34

4C. National Vector Borne Disease

Control Programme (NVBDCP)

2343.11 3634.3

5.51

4D. National Leprosy Eradication

Programme (NLEP)

313.78 167.91

0.25

4E. National Programme for control

of Blindness (NPCB)

954 557.9

0.85

4F. Revised National Tuberculosis

Control Programme (RNTCP)

1400.42 1050.9

1.59

Total NDCP 5389.8 5679.09 8.61

Total Infrastructure Maintenance 14304 14304 21.68

GRAND TOTAL 95732.68 65942.56 99.93


MATERNAL HEALTH


GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH

Indicator Target

Maternal Mortality Ratio (2011-13) 205 (2013-15) 160

4 ANCs 605660 in 2012-13

Institutional Deliveries (out of the total estimated deliveries) to be conducted in Public health institutions from 45 % in 2010-11 to 50 % in 2012-13

335153 in 2012-13

Caesarean Section rate in public health facilities from 3 % in 2010-11 to 5 % in 2012-13

16758 in 2012-13

Severely anaemic pregnant women out of total anaemic pregnant women (@2%)to be line listed and managed

8697 in 2012-13

DELIVERY POINTS:

Level of Facility Target

DHs & DH Women’s Hospitals 17

CHCs and other health facilities at sub district level 19

24*7 PHCs and Non FRUs 293

SCs 770

Total 1099

TRAINING:

Training Programme Target

LSAS 60

EmOC 32

BEmOC 145 MOs*, 200 SNs, 175 RMAs*

SBA 400 ANM/LHVs/SNs

MTP 60 MOs, 30 SNs

RTI/STI 300 RMA doctors

*initiated on pilot basis in Chhattisgarh.


ROAD MAP FOR PRIORITY ACTION: MATERNAL HEALTH

Commitment No. 1- Operationalizing Delivery Points Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the necessary resources in order to ensure quality of services and provision of comprehensive RMNCH (Reproductive Maternal Neonatal and Child Health) services at these facilities. These must be branded and positioned as quality RMNCH 24x7 Service Centres within the current year. The targets for different categories of facilities are:

A) All District Hospitals and other similar district level facilities to provide the following services:

24*7 service delivery for CS and other Emergency Obstetric Care.

1st and 2nd trimester abortion services.

Facility based MDR.

Essential newborn care and facility based care for sick newborns.

Family planning and adolescent friendly health services

RTI/STI services.

Functional BSU/BB.

B) CHCs and other health facilities at sub district level (above block and below district level) functioning as FRUs to provide the same comprehensive RMNCH Services as the district hospitals.

C) 24*7 PHCs and Non FRUs to provide the following services:

24*7 BeMOC services including conducting normal delivery and handling common obstetric complications.

1st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks)

RTI/STI services.

Essential newborn care and facility based care for sick newborns.

Family planning

D) All identified SCs/ facilities will:

Conduct Delivery by SBAs.

Provide IUD Services

Provide Essential New born care services.

Provide ANC, PNC and Immunization services.

Provide Nutritional and Family planning counseling.


Conduct designated VHND and other outreach services.

Commitment No. 2- Implementing free entitlements under JSSK

A) JSSK entitlements to be ensured to all pregnant women and sick newborns accessing Public health facilities.

B) Drop back to be ensured to at least 70% of pregnant women delivering in the public health facilities.

C) Effective IEC and grievance redressal to be ensured.

Commitment No. 3- Centralized Call Centre and Assured Referral

A) To ensure availability of a centralized call centre for referral transport at State or district level as per requirements along with GPS fitted ambulances.

B) Response time for the ambulance to reach the beneficiary not to exceed 30 minutes.

Commitment No. 4- Essential Drug List

A) To formulate an Essential Drug List (EDL) for each level of facility viz. SC, PHCs, CHCs, DHs, and Medical colleges

B) Ensure timely procurement and supply linked to case load.

C) The EDL should include drugs for maternal and child health, safe abortion services, RTI/STI.

Commitment No. 5- Capacity Building

A) Delivery points to be first saturated with trained HR. Higgh focus/ remote areas to be covered first.

B) Shortfall in trained human resource at delivery points particularly sub centres and those in HFDs/ tribal/ remote areas to be addressed on priority.

C) Training load for skill based trainings to be estimated after gap analysis.

D) Certification /accreditation of the training sites is mandatory.

E) Training plan to factor in reorientation training of HR particularly for those posted at non functional facilities and being redeployed at delivery points. Orientation training of field functionaries on newer interventions e.g.MDR.

F) Performance Monitoring during training/post-deployment need to be ensured

G) Specific steps to strengthen SIHFW/ any other nodal institution involved in planning, implementation, monitoring and post training follow up of all skill based trainings under NRHM.


Commitment No. 6– Tracking severe anaemia

A) All severely anaemic pregnant woman (2% of the anaemic pregnant woman) to be tracked and line listed for providing timely treatment of anaemia followed by micro birth planning.

Commitment No. 7– For High Focus Districts

A) The State to make use of the MCH sub plans made for these districts in the recent past and develops and operationalise the identified facilities as delivery points.

B) At least 25% of all sub centres under each PHC to be made functional as delivery points in the HFDs.

Commitment No. 8—Demarcation /Division of population and job clarity between the two ANMs working at the Sub-centre. Ensuring availability of one ANM at the SC, while the other visits the assigned population/villages.

Commitment No. 9: For 12 High Focus States: Pre service Nursing Training

A) At least one state Master Nodal centre shall be created and made functional.

B) State nursing cell will be created and made functional.

Commitment No.10: Proper implementation of JSY: A) JSY guidelines to be strictly followed and payments made as per the eligibility criteria.

B) No delays in JSY payments to the beneficiaries and full amount of financial assistance to

be given to the beneficiary before being discharged from the health facility after

delivery.

C) All payments to be made through cheques and preferably into bank/ post office

accounts.

D) Strict monitoring and physical (at least 5%) verification of beneficiaries to be done by

state and district level health authorities to check malpractices.

E) Grievance redressal mechanisms as stipulated under JSY guidelines to be activated at

the district and state levels.

F) Accuracy of JSY data reported at the HMIS portal of MOHFW to be ensured besides

furnishing quarterly progress reports to the Ministry within the prescribed timeframe.


Commitment No. 11: Strengthening Mother & Child Tracking System A) State level MCTS call centre to be set up to monitor service delivery to pregnant women

and children.

MCTS to be made fully operational for regular and effective monitoring of service delivery

including tracking and monitoring of severely anaemic women, low birth weight babies and sick

neonates.

DETAILED BUDGET: MATERNAL HEALTH

FMR Code Activity Unit Rate (Rs.)

Physical Target/

BUDGET 12-13 (Rs. Lakhs) Remarks

Expected Output Proposed

Approved

A.1 Maternal Health (MH)

A.1.1 Operationalise Facilities

A.1.1.1 Operationalise FRUs 1,650.00 Indemnity Insurance of LSAS & EMOC Doc (131)

20.91 6.84 Rs. 2.15lakhs: Indemnity insurance. Recommended for approval with conditionality that performance needs to be monitored.

1) Insurance for LSAS trained doctors recommended for 69 doctors @Rs. 1650= Rs. 1.13 lakhs

Planning & Monitoring of service delivery (75)

2) Insurance for CEmOc trained doctors recommended for 62 doctors @ Rs.1650= 1.02 lakhs

Total = Rs.2.15lakhs



Physical Target/



Approved

25,000.00

25% of Rs. 18.75lakhs for planning and monitoring approved.

Operationalise Non-FRU CH/CHCs

25,000.00 Planning and monitoring of service delivery (97)

24.25 0 Not recommended for approval. Since all the monitoring related activities must be prepared comprehensively.

A.1.1.2 Operationalisation of 24x7 PHCs

15000 Planning and Monitoring of service delivery (200)

230

0 Rs. 30.00lakhs for planning and monitoring not recommended for approval. Since all the monitoring related activities must be prepared comprehensively.

Night security services (200)

Rs. 200.00lakhs for night security services is not recommended for approval as the proposed is like an employment generation scheme. There is no rationality no. linkages with the DPs so any Additionalities are not recommended

10000



Physical Target/



Approved

A.1.1.3 MTP - Safe abortion services

5000 150

7.5

0 Not recommended for approval. Since all the monitoring related activities must be prepared comprehensively.

A.1.1.4 RTI/STI Services at Health Facilities

5000 350 17.5 0 Not approved. Comprehensive plan

needed

A.1.1.5 Operationalise Sub Health Centre

A.1.2 Referral Transport 5000 Remuneration of drivers (225)

145 0 Not approved separately. JSSK funds may be utilized by the state judiciously to provide comprehensive patient transport

Incentive to drivers (10000)

100

A.1.3 Integrated Outreach RCH Services (Fixed day services)

300.00 /day LD Incentive to lady doctors/labtechs (15000)

135 135 For fixed day services.

100.00/day LT Rs. 60.00lakhs: Incentive to lady doctors

Mobility support to doctors/ labtechs (15000)

Rs. 75.00lakhs: Mobility support

400.00 /day LD

100.00/day LT

A.1.4 Janani Suraksha Yojana / JSY

A.1.4.1 JSY - Home Deliveries Rs. 500.00 50000 nos. 250 250 Approved.



Physical Target/



Approved

A.1.4.2 JSY - Institutional Deliveries

A.1.4.2.a

Rural 250 Incentive for travel (150000)

3875 3500 Rs.375 lakhs -Incentive for travel not recommended. Travel from home to hospital is provisioned under JSSK.

Incentive to beneficiary (250000)

Rs. 3500.00lakhs approved for incentive to beneficiary

1400

A.1.4.2.b

Urban 500 Incentive for travel from far towns (20000)

1100 1000 Incentive for travel not approved. Travel from home to hospital is provisioned under JSSK.

Incentive to beneficiary (100000)

Rs. 1000.00lakhs approved for incentive to beneficiary

1000

A.1.4.2.c

Caesarean Section Rs. 3,500.00 2500 87.5 37.5 Approved @ Rs. 1500/ per C-section

A.1.4.3 JSY - Administrative Expenses (5%)

Admn charges( 1% IEC, 2% monitoring & mobility, 2% office expenses & others

269.13 269.13 Approved



Physical Target/



Approved

A.1.4.4 Incentive to ASHA

200.00 /case

Incentive for motivation (350000)

1077.5 1075 Rs. 700.00lakhs: Incentive for motivation

Incentive for stay (250000)

Rs. 375.00lakhs: Incentive for stay

150.00 /case

Incentive for Maternal Death review (5000)

Incentive for MDR not recommended. No provision under JSY

50.00 /case

A.1.5 Maternal Death Review

100 Reporting of death (2000)

7.7 4.7 Rs. 1.00lakhs: Reporting of death incentive to Mitanin /Kotwar recommended for 2000 cases @ Rs. 0.50 each = 1.00lakhs

MDR external (lumpsum)

Rs. 2.00lakhs: External third party audit - not approved

200000

Review meetings state level (2)

Rs. 0.50lakhs: Review meetings state

25000 Review meetings regional

Rs. 3.20lakhs: Review meetings regional



Physical Target/



Approved

level (16)

20000

A.1.6 Maternal Health - Other activities

For High Risk Pregnancy

1000.00 /case Incentive to medical team for HIV positive NDs (700)

21 21 Rs. 7.00lakhs: Incentive for HIV positive NDs

Incentive to medical team for HIV positive C-Sections (300)

Incentive to ANM for C-section Hard to reach area (2000)

Rs. 6.00lakhs: Incentive for HIV positive C-Sections

2000.00 /case Incentives to ANM/Mitanin for linking reactive ANCs to ICTC (2000)



Physical Target/



Approved

Rs. 6.00lakhs: Incentive to ANM for C-section hard to risk areas - only in high risk pregnancy identified during 3rd ANC and registered in MCTS

300.00 /case

Rs.2.00 lakhs for Incentives to ANM/Mitanin for linking reactive ANCs to ICTC @ 100 * 2000= 200000

100.00/case

A.1.7 JSSK (for Pregnant Women)

A.1.7.1 Drugs and Consumables (other than reflected in Procurement)

A.1.7.1.1

Drugs consumables & treatment for Normal Delivery

750.00 /case 150000 1125 450 Recommended for 150000 PW @ Rs. 300 /PW

A.1.7.1.2

Drugs consumables & treatment for Caesarean Delivery

4000.00 /case 5000 200 80 Recommended for 5000 C-Section deliveries at public health facilities @ Rs. 1600/delivery

A.1.7.2 Diagnostic

500.00 /case

5000 25 10 Recommended for 200 PW @ Rs. 500/PW for all JSSK cases

A.1.7.3 Blood transfusion

850.00 /case

2000 17 6 Recommended for 2000 PW @ Rs. 300/PW



Physical Target/



Approved

A.1.7.4 Diet (3 days for ND and 7 days for C-section) 300.00 /case

Normal Deliveries (150000)

485 485 Rs. 450.00lakhs: Diet for normal delivery

700.00 /case

C-Sections (5000)

Rs. 35.00lakhs: Diet for all C-section cases in JSSK centres

A.1.7.5 Free Referral Transport (other than A1.2)

500.00 /case Home to hospital (150000)

2250 825 Rs. 325.00lakhs recommended for home to hospital RT for 150000 PW @Rs. 250/PW.

Interfacility (50000)

Rs. 75.00lakhsecommended for interfacility RT for 30000 PW @ Rs. 250.00/PW

750.00 /case

Hospital to home (150000)

Rs. 375.00lakhs recommended for hospital to home RT for 150000 PW @ Rs. 250.00/PW

750.00 /case

Sub-total Maternal Health (excluding

JSY)

4710.86 2023.54

Sub-total JSY 6659.13 6131.63

A.9.3 Maternal Health Training

A.9.3.1 Skilled Birth Attendance / SBA

A.9.3.1.1

SBA - Training of ANM / LHVs

Rs. 101,430.00 52 batches 52.74 52.74 52 batches with training centre

A.9.3.1.2

SBA - Training of ANM / LHVs

Rs. 111,430.00 48 batches 53.49 53.49 52 batches without training centre



Physical Target/



Approved

A.9.3.2 EmOC Training

A.9.3.2.1

EmOC - Training of MO's

Rs. 1,477,540.00 4 batches 59.1 59.1

A.9.3.3 Life Saving Anesthesia Skills Training

A.9.3.3.1

Training of LSAS ( Medical college)

Rs. 706,387.50 6 batches 42.38 42.38

A.9.3.3.2

Training of MO's ( district hospital)

Rs. 267,663.00 6 batches 16.06 16.06

A.9.3.3.3

Training of experts for examination

Rs. 310,000.00 2 batches 6.2 6.2

A.9.3.4 MTP Training

A.9.3.4.1

Training of MO's Rs. 50,025.00 30 batches 15.01 15.01

A.9.3.4.2

Training of SN / OT Attendant

Rs. 60,030.00 1 0.6 0.6

A.9.3.4.3

Training of MO's(refresher)

Rs. 86,250.00 1 0.86 0.86 Can only be approved if they give an undertaking that they will perform.

A.9.3.5 RTI/STI Training

A.9.3.5.1

RTI/STI Training of MO's/RMA

Rs. 72,450.00 10 batches 7.25 7.25

A.9.3.5.2

RTI/STI Training of Laboratory technicians

Rs. 72,450.00 10 batches 7.25 7.25

A.9.3.5.3

RTI/STI Training of Staff Nurse

Rs. 72,450.00 10 batches 7.25 7.25

A.9.3.6 BEmoc Training

A.9.3.6.1

BEmOC - TOT for BEmOc

Rs. 69,575.00 8 batches 5.57 5.57 2 days pilot BEMOC training of SN

A.9.3.6.2

BEmOC- Training of Mos

Rs. 75,325.00 24 batches 18.08 18.08

A.9.3.6.3

BEmOC- Training of RMAs

Rs. 58,075.00 35 batches 20.33 20.33

A.9.3.7 Other- Training Rs. 86,825.00 1 0.87 0.87 2 days pilot BEMOC training

A.9.3.7.1

Blood Storage training- MO

Rs. 13,963.00 50 6.98 6.98



Physical Target/



Approved

A.9.3.7.2

Blood Storage training-Lab Tech.

Rs. 10,868.00 50 5.43 5.43

A.9.4.2 Others- Quality ANC Care

A.9.4.2.1

ANC care TOT Rs. 135,700.00 1 1.36 1.36

A.9.4.2.2

ANC care ANM District TOT

Rs. 188,600.00 6 11.32 11.32

A.9.4.2.3

ANC care ANM Where DTC available

Rs. 120,980.00 45 54.44 108.88 Recommended for 90 batches @ Rs. 120980

A.9.4.2.4

ANC care ANM Where DTC NOT AVAILABLE

Rs. 130,980.00 30 39.29 78.59 Recommended for 60 batches @Rs. 130980

Sub Total

Training 431.86 525.6

B.16.2.1 Procurement - Equipment: FRU

24 no. of BSU 500000 120 120 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available

2) There should be competent human resource to handle the equipment



Physical Target/



Approved

@ Rs 23 Lakh pre BSU this included 1 Boyles Apparatus at per facility

100000 23 23 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available 2) There should be competent human resource to handle the equipment

This Included OT table, Delivery Table, Shadow lam , Pulse oxymeter , Suction Machine, Diathermy, Foetal Heart Monitor, Fumigator, Sterilizer, Hysterectomy Sets Kelly ped etc according to facility needs

44 no. of FRUs for other equipments State has budgeted total Rs 22 Lakh per facility

50000 22 22 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available 2) There should be competent human resource to handle the equipment



Physical Target/



Approved

Procurement -Equipments for 24x7 PHCs

90 25000 22.5 22.5 Approved for PHCs @ 25000*84 = Rs 21.00 Lakhs for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available 2) There should be competent human resource to handle the equipment

Procurement -whole blood finger prick test for HIV

275000 25 68.75 68.75 Approved

Sub Total

Procurement of equipment Maternal Health 256.25 256.25

B.16.2.1 Procurement - Drugs & Supplies for MH Mifepristone and Misoprostol (Rs 18 Lakhs )

6000 Rs 300 for MMA drugs

18 18 Approved

KITs 1-7 and RPR Kits ( Rs 31.1.Lakhs )

31.1 31.1 Approved

Procurement -Drug & Supplies - Parenteral Iron Therapy

Procurement -Drug & Supplies - JSSK Kit

250000 kits 350 875 0 Not Approved Already approved under JSSK

Sub Total

Drugs & supplies for Maternal Health

924.1 49.1



Physical Target/



Approved

Total Maternal Health 12,982.20 8986.12


CHILD HEALTH & IMMUNIZATION


TARGETS: CHILD HEALTH AND IMMUNIZATION

A OUTCOME INDICATORS

Current Status (SRS 2010)

SRS 2012 SRS 2013 SRS 2014

1 Early Neonatal Mortality

26 14 10 6

Early neonatal deaths estimated

15,871

8,546 6,104 3,662

2 NMR 37 27 23 19

Neonatal deaths Estimated

22,585 16,481 14,039 11,598

3 IMR 51 41 37 33

Infant deaths Estimated

31,131 25,027 22,585 20,144

4 U5MR 61 50 45 40

Under 5 deaths Estimated in an

year

37,235 30,521 27,468 24,416

Current Status Target for 2012-13 2013-14 2014-15

B KEY PERFORMANCE INDICATORS (CUMULATIVE)

1 Establishment & operationalisation of SNCUs

11* 11

* in process of operationalisation # line listing of NBSU to be

provided by the state

2 Establishment & operationalisation of NBSU

67# 92

3 NBCC at delivery points

195 480

4 Establishment of NRCs

40 60

5 Personnel trained in IMNCI (ANM+LHV)

No. 2403 3653

% 55% 84%

6 Personnel trained in F-IMNCI (MO+SN)

No. 75 216

7 Personnel trained in NSSK (MO+ANM+SN)

No. 3530 6430

% 55% 99%

8 ASHA trained in Module 6&7

No. 52300 60092

% 87% 100%

C KEY PERFORMANCE INDICATORS (NON CUMULATIVE)

1 New borns visited by ASHA (as per HBNC guidelines)

No. 0 366247 518849 610411

% 0 60% 85% 100%

2 New borns No. 271022 457808 518849 610411


breastfed with one hour of birth (CES 2009)

% 44.40% 75% 85% 100%

3 Rural LBW children to be line listed and followed

No. 51032 25516 35723 48481

%

11%(state HMIS) 5% 8% 10%

D KEY PERFORMANCE INDICATORS- IMMUNIZATION (NON CUMULATIVE)

1 Fully immunized children by age of 12-23 months (CES 2009)

No. 349766 518849 579890 610411

% 57.30% 85% 95% 100%

2 DPT-3 coverage for 12-23 months (CES 2009)

No. 405923 549370 579890 610411

% 66.50% 90% 95% 100%

3 DPT 1st booster in children aged 18-23months (CES 2009)

No. 158707 366247 457808 518849

% 26.00% 60% 75% 85%

4 Sesssions held (HMIS)

No. 220000 252000 254000 256000

% 87% 100% 100% 100%

ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH AND IMMUNIZATION

A. Priority Actions to be carried out by state for Child Health

1. All the delivery points should have a functional Newborn Care Corner consisting of

essential equipment and staff trained in NSSK. The staff must be trained in a 2 days

NSSK training package for skills development in providing Essential Newborn Care.

2. Special Newborn care Units (SNCU) for care of the sick newborn should be established

in all Medical Colleges and District Hospitals. All resources meant for establishment of

SNCUs should be aligned in terms of equipment, manpower, drugs etc. to make SNCUs

fully operational.

3. SNCUs are referral centres with provision of care to sick new bornthe entire district and

relevant information must be given to all peripheral health facilities including ANM and

ASHA for optimum utilisation of the facility. Referral and admission of outborn sick

neonates should be encouraged and monitored along with inborn admissions.

4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred

from peripheral units. Dedicated staff posted to NBSU must be adequately trained and

should have the skills to provide care to sick newborns.


5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing

Home Based Newborn Care Scheme. The ASHA kit and incentives for home visits should

be made available on a regular basis to ASHAs who have completed the Round 1 of

training in Module 6

6. All ANMs are to be trained in IMNCI. All Medical Officers and Staff Nurses, positioned in

FRUs/DH and 24x7 PHCs should be prioritised for F-IMNCI training so that they can

provide care to sick children with diarrhoea, pneumonia and malnutrition.

7. Infant and Under fives Death Review must be initiated for deaths occurring both at

community and facility level.

8. In order to promote early and exclusive breastfeeding, the counselling of all pregnant

and expectant mothers should be ensured at all delivery points and breastfeeding

initiated soon after birth. At least two health care providers should be trained in

‘Lactation Management’ at District Hospitals and FRUs; other MCH staff should be

provided 2 days training in IYCF and growth monitoring.

9. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs),

prioritising tribal and high focus districts with high prevalence of child malnutrition. The

optimum utilisation of NRCs must be ensured through identification and referral of

Severe Acute Malnutrition cases in the community through convergence with

Anganwadi workers under ICDS scheme.

10. Line listing of newly detected cases of SAM and Low birth weight babies must be

maintained by the ANM and their follow-up must be ensured through ASHA.

11. In order to reduce the prevalence of anaemia among children, all children between the

ages of 6 months to 5 years must receive Iron and Folic Acid tablets/ syrup (as

appropriate) as a preventive measure for 100 days in a year. Accordingly appropriate

formulation and logistics must be ensured and proper implementation and monitoring

should be emphasised through tracking of stocks using HMIS.

12. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in

children. Availability of ORS and Zinc should be ensured at all sub-centres and with

ASHAs.

13. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against

committed training load) must be transmitted on a regular basis to the Child Health

Division.


B. Priority Actions to be carried out by state for Immunisation

1. The year 2012 has been declared as the ‘Year of Intensification’ of Routine

Immunisation. Therefore, state must prepare a detailed district plan for Intensification

of Routine Immunization with special focus on districts with low coverage.

2. The birth dose of immunisation should be ensured for all newborns delivered in the

institutions, before discharge.

3. A dedicated State Immunisation Officer should be in place. District Immunisation Officer

should be in place in all the districts. The placement of ANMs at all session sites must be

ensured.

4. Due list of beneficiaries must be available with ANM and ASHA and village wise list of

beneficiaries should be available with ASHA after each session.

5. The immunisation session must be carried out on a daily basis in District Hospitals and

FRUs/ 24x7 PHCs with considerable case load in the OPD.

6. Cold chain mechanics must be placed in every district with a definite travel plan so as to

ensure that at least 3 facilities are visited every month as a preventive maintenance of

cold chain equipment.

7. The paramedic person instead of a clerical staff should be identified as the Cold Chain

Handler in all cold chain points and their training must be ensured along with one more

person as a backup.

8. It has been observed that the coverage of DPT 1st booster and Measles 2nd dose to be

given at the age of 18 months is less than 50% across the country. Therefore coverage

of DPT 1st booster and measles 2nd dose must be emphasised and monitored.

9. District AEFI Committees must be in place and investigation report of every serious AEFI

case must be submitted within 15 days of occurrence.

10. Rapid response team should be in place in priority districts of the states to identify

pockets of low immunization coverage and to respond to any threat of polio.


11. Special micro plans are to be developed for inaccessible, remote areas and urban slums.

The micro plans developed under polio programme must be utilised and special focus

should be given to the migrant population

DETAILED BUDGET: CHILD HEALTH AND IMMNUIZATION

FMR Code Activity

Unit Rate (Rs.)

Physical Target/

BUDGET 12-13 (Rs. Lakhs)

Remarks Expected Output Proposed Approved

A.2 CHILD HEALTH CH

A.2.1 IMNCI

A.2.1.1 IMNCI - Planning monitoring

Rs. 25,000.00 27 districts 6.75 6.75

A.2.1.2 IMNCI - Operationalisation

Rs. 25,000.00 27 districts

6.75 6.75

A.2.1.3 IMNCI - Pre-service training in medical college/ nursing college/ ANMTC

5 5

A.2.2 Facility Based New Born Care ( FBNC)( SNCU/NBSU/NBCC)

A.2.2.1 FBNC- Planning and Monitoring

Rs. 5,000.00 1500 delivery points

75 0 Not approved.

A.2.2.2 Sick New Born Care unit / SNCU

A.2.2.2.1

SNCU Establishment

A.2.2.2.2

SNCU Operational Cost+

Rs. 1,000,000.00

12; including power audit

120 60 Cost approved @10.00 lakhs for 4 units and @2.5 lakhs for 8 units (cost for 3 months for new


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



units)

A.2.2.2.2.1

SNCU Operational Cost- incentive to paediatrician

Rs. 750.00 5000 cases 37.5 0 Approval pending, criteria for providing incentives to be redefined.

Rs. 2500 for First 10 admissions thereafter Rs 250 per case per month

A.2.2.3 New Born Stabilization unit (NBSU)

A.2.2.3.1

NBSU Establishment

37 0 0 State has indicated that, this is to be met from committed amount of 2011-12 (Rs. 64.75 lakhs)

A.2.2.3.2

NBSU Operational Cost

Rs. 175,000.00

113 139.13 33.25 Approved for 38 NBSUs for 6 months. (38*Rs.87500)

(Full operational cost for 67 NBSU's & half operational cost for 25 NBSU's which will be made operational after 2nd quarter of 2012-13)

A.2.2.4 New Born Care Corner (NBCC)

A.2.2.4.1

NBCC Establishment

State has indicated that, this is to be met from committed amount of 2011-12 (Rs. 97.50


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



lakhs)

A.2.2.4.2

NBCC - Maintenance

Rs. 20,000.00 500 100 48 As per data there are 1126 delivery points. Cost being sanctioned for 195 existing NBCCs and 285 proposed for 2012-13 @ 10,000 for 6 months. (195*10000+285*10000)

A.2.3 Home Based New Born Care (HBNC)

A.2.3.1 HBNC Planning & Monitoring

A.2.4 Infant and Young Child Feeding / IYCF

A.2.5 Care of Sick Children and Severe Malnutrition CSCSM)

State has indicated that, establishment of NRCs to be met from committed amount of 2011-12 (Rs. 100.00 lakhs)

A.2.5.1 NRC - maintenance

Rs. 50,000.00 60 30 25 40 units @50,000 and 20units@25,000

A.2.5.2 NRC - Operational Cost

A.2.5.2.1

NRC - Salary of NRCs staff

A.2.5.2.1.1

NRC - Salary of NRCs staff - Feeding Demonstrator

Rs. 10,000.00 60 nos. 72 54 Cost for 30 units@ 6 months


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.2.5.2.1.2

NRC - Salary of NRCs staff - Cook

Rs. 4,500.00 60 nos. 32.4 24.3 Cost for 30 units @ 6 months

A.2.5.2.2

NRC - Food Mother & Child

Rs. 100.00 5000 nos. 80 80

A.2.5.2.3

NRC - Wage loss compensation to mother

Rs. 100.00 5000 cases 80 80 16 days Duration

A.2.5.2.4

NRC - Incentive to AWW for Referral

A.2.5.2.5

NRC - Contingency

Rs. 200.00 5000 nos. (SAM Referral

& Contingency)

10 3.33 provided for 33% cases only.

A.2.6 Mgmt of Diarrhoea, ARI and Micronutrient Mal / Shishu sanrashan Mahh

A.2.6.1 Mgmt of Diarrhoea, ARI Procurement of Zinc and Ors

A.2.6.2 Mgmt of Diarrhoea, others

Rs. 50,000.00 27 districts (referral &

treatment of patients.)

13.5 0 Approval pending. Details of activities needs to be shared.

A.2.7 Other strategies/activities - Shishu Sanrashan Mahh(SSM)


A.2.7.1 SSM - Drug & Nutrition suplliments


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.2.7.1.1

SSM - Drug - Vit. A solution Procurement

A.2.7.1.2

SSM - Drug - Tab Albendazole Procurment

A.2.7.1.3

SSM - Drug - Tab. IFA (Adult) Procurement

A.2.7.1.4

SSM - Drug - Syrup IFA Procurement

A.2.7.1.5

SSM - cost of drugs distribution

A.2.7.2 SSM - Social Mobilization -advertisement

Rs. 500,000.00

1 5 0 To be included in consolidated IEC/BCC budget

A.2.7.3 SSM - TV spots Rs. 500,000.00 1 5 0

A.2.7.4 SSM - Mobility support and monitoring

A.2.7.4.1

SSM - Mobility support and monitoring at District Level

Rs. 20,000.00 27 districts 5.4 1.35 25% approved.

A.2.7.4.2

SSM - Mobility support and monitoring at BlockLevel Rs. 5,000.00 146 blocks

7.3 1.83

A.2.7.5 SSM - Urban service delivery Rs. 20,000.00 27 districts

5.4 1.35

A.2.8 Infant Death Review (IDR)

A.2.8.1 IDR - Death Reporting

Rs. 50.00 20000 10 0 Duplication. Not approved. Incentive proposed for ASHAs under FMR 2.9.4


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.2.8.2 IDR - Death Audit

Rs. 500.00 20000 (Review of

infant deaths)

100 25 Rs. 500 (250 each for 2 investigators for community based child death review) for 5,000 deaths

A.2.8.3 IDR - Death Audit( External)

third party audit

5 5

A.2.9 Incentive Under Child Health

A.2.9.1 Incentive - ASHA - HBNC - Incentive for Services

Rs. 250.00 200000 500 500

A.2.9.2 Incentive - ASHA - FBNC - Incentive for Referral

Rs. 200.00 30000 60 0 Not approved.

A.2.9.3 Incentive - ASHA - NRC - Incentive for Referral

Rs. 150.00 5000 7.5 10 Approved @ Rs. 50 as per Operational guidelines for referral and Rs. 150 for follow-up visits for ASHAs only.

A.2.9.4 Incentive - ASHA - IDR - Incentive for Infant Death Reporting

Rs. 50.00 20000 10 10 Approved.

A.2.9.5 Incentive - JSSK - Incentive for Staff

Rs. 100.00 30000 (MO/RMA -

50%, support staff- 50%)

30 0 Not approved. Not backed by explanation or outputs.

A.2.10 JSSK (for Sick neonates up to 30 days)

A.2.10.1

JSSK - Child - Drugs & Consumables

Rs. 1,000.00 30000 cases 300 30 Rs.200 for 15000 cases


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.2.10.1.1

JSSK- Child - Blood transfusion

Rs. 850.00 200 cases 1.7 0.6 200 cases @ Rs.300

A.2.10.2

JSSK - Child - Diagnostics

Rs. 200.00 10000 cases 20 0 Already covered under drugs and consumables

A.2.10.2.1

JSSK- Child- Food for mother

Rs. 300.00 30000 cases 90 45 15000 cases @Rs.300

A.2.10.3

JSSK - Child - Referral Transport

A.2.10.3.1

JSSK - Child - Home to Hospital

Rs. 500.00 30000 cases 150

75.75

Rs.250 each for home to hospital, 2% interfacility, hospital to home 15000 cases

A.2.10.3.2

JSSK - Child - Interfacility Transfer

Rs. 750.00 5000 cases 37.5

A.2.10.3.3

JSSK - Child - Hospital to Home

Rs. 750.00 30000 cases

225

Sub-total Child Health

2382.83 1132.26

A.9.5 Child Health Training

A.9.5.1 IMNCI training

A.9.5.1.1

IMNCI - TOT on IMNCI

Rs. 252,080.00

5 batches 12.6 12.6 5batch x20 nos.

A.9.5.1.2

IMNCI - Training for ANMs

Rs. 226,320.00

20 batches 45.26 45.26 480 ANM

A.9.5.1.3

IMNCI - Training for LHS/MO/SN

Rs. 252,080.00

16 batches 40.33 40.33 384 SN/LHV

A.9.5.1.4

IMNCI - Training for RMA

Rs. 226,320.00

10 batches 22.63 22.63 240 RMA

A.9.5.2 F-IMNCI training

A.9.5.2.1

F-IMNCI - training-MO's

Rs. 283,360.00

12 batches 34 34


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.9.5.2.2

F-IMNCI - training- Staff Nurse

A.9.5.2.3

Facility Based Newborn Care training

A.9.5.2.3.1

FBNC- MOs Rs. 95,300.00 23 21.92 21.92 115 MOs

A.9.5.2.3.2

FBNC- SNs Rs. 22,831.00 155 35.39 35.39 413 SN

A.9.5.3 Home Based Newborn Care training

A.9.5.3.1

HBNC - TOT on HBNC

A.9.5.3.2

HBNC - Training for ASHA

Budgeted in ASHA Training

A.9.5.4 Care of Sick Children & Severe Malnutrition training at FRUs

A.9.5.4.1

CSCSM - TOT on CSCSM

A.9.5.4.2

CSCSM - Training for MO's

Rs. 10,000.00 40 4 4 Refresher training on NRC's

A.9.5.5 CH Other training

A.9.5.5.1

NSSK Training

A.9.5.5.1.1

NSSK Training- TOT on NSSK

A.9.5.5.1.2

NSSK - Training for MO's

A.9.5.5.1.3

NSSK - Training for RMAs

Rs. 74,170.00 17 12.61 12.61 RMA training

A.9.5.5.1.4

NSSK - Training for Staff Nurse

A.9.5.5.1.5

NSSK - Training for ANMs

Rs. 74,170.00 100 74.17 74.17

A.9.5.5.2

VHND training


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.9.5.5.2.1

VHND training- TOT

Rs. 80,000.00 2 1.6 1.6

A.9.5.5.2.2

VHND training- Block level

Rs. 80,000.00 18 14.4 14.4

A.9.5.5.2.3

VHND training- sector level

Rs. 80,000.00 104 83.2 83.2 training of AWW/ANM/LHV/MT/ Supervisor(ICDS)

A.9.5.5.3

CH-IYCF- Operational Exp.

Rs. 5,000.00 200 batches 10 10

Sub Total

Child Health Training 412.11 412.11

B.16.1.2

Procurement - Equipment: CH

Procurement - Equipment: CH- SNCU

9 no. of SNCU 100000 9 0 Approved As this is a Committed unspent balance State may use the last year’s fund

Procurement - Equipment: CH- NBSU

54 no. of NBSU

200000 108 16 Approved For Only 8 new units as per the data of delivery points.

Procurement - Equipment: CH- NBCC

no. of NBCC 0 0

Sub Total Procurement 117 16

16.2.2 Drugs for Sisu Sangrachan Mah

168.2 168.2 Approved

Sub Total

Drugs for Sisu Sangrachan Mah 168.2 168.2


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



Total Child Health 3080.14 1728.57


FAMILY PLANNING


5 YEARS PROJECTION OF KEY INDICATORS

SN. Indicator Current Status

Target/ ELA

2012-13 2013-14 2014-15 2015-16 2016-

17

1 Goal Indicators:

1.1 Total Fertility Rate (TFR)

2.8

(SRS 2010)

2.6 2.5 2.4 2.3 2.2

1.2 Contraceptive Prevalence Rate

(CPR)

47.1

(DLHS-3)

55.0 60.0 65.0 70.0 75.0

1.3 Unmet Need

20.9

(DLHS-3)

16.0 15.0 13.0 12.0 10.0

2 Service delivery:

2.1 IUCD - Total

105100

(HMIS: 2010-11)

150000 160000 175000 200000 210000

2.2 Post-partum IUCD (subset of IUCD-

total) 3000 5000 10000 15000 20000

2.3 Female Sterilisation

142815

(HMIS: 2010-11)

160000 165000 170000 175000 190000

2.4 Post-partum sterilisation (subset of

tubectomy)

485

(HMIS: 2010-11)

3000 5000 70000 15000 20000

2.5 Male sterilisation

7216

(HMIS: 2010-11)

24000 26000 28000 30000 32000

3 Input/ facility operationalisation:


SN. Indicator Current Status

Target/ ELA

2012-13 2013-14 2014-15 2015-16 2016-

17

3.1 Fixed Day service delivery:

3.1.1 IUCD (daily at DH, SDH, CHC)

2 days/ week at

PHCs and SHCs.

At DH, FRU and

CHCs on daily

basis

Weekly

@ PHC +

CHC

Weekly

@ PHC +

CHC

Weekly

@ PHC +

CHC

Weekly

@ PHC +

CHC

All SHC

3.1.2 Sterilisation 15 DH and 75

FRU All DH

DH + 1

SDH/

FRU per

dist

DH + all

FRU per

dist

DH + all

FRU +

25% PHC

per dist

DH + all

FRU +

50%

PHC

per dist

3.2 Appointment of FP counsellors 27 FP

Counsellors All DH

DH + 1

SDH/

FRU per

dist

DH + all

FRU per

dist

DH + all

FRU per

dist

DH + all

FRU per

dist

CONDITIONALITIES FOR 2012-13: FAMILY PLANNING

SN. Indicator Target / ELA-

2012-13

Minimum Level of Achievement Remarks

By Sep. 2012 By March 2013

1 Goal (target):

1.1 Reduction in TFR – 2013 2.6 NA NA

Current

TFR - 2.8

(SRS-

2010)

2 Service delivery (ELA):

2.1 IUCD: 0 0



2012-13



2.1.1 Post-partum IUCD 3000 1200 2700

2.1.2 Interval IUCD 147000 58800 132300

2.2 Sterilisation:

2.2.1 Tubectomy 160000 48000 128000

2.2.2 Post-partum sterilisation (subset of

tubectomy) 3000 900 2400

2.2.3 Vasectomy 24000 7200 19200

3 Training of personnel (target):

3.1 Post-partum IUCD

3.1.1 MO 630 158 473

3.1.2 SN/ ANM

3.2 interval IUCD

3.2.1 MO 225 56 169

3.2.2 SN 0 0

3.2.3 ANM/ LHV 500 125 375

3.3 Minilap 30 8 23 128

trained

3.4 NSV 20 5 15 84

trained

3.5 Laparoscopic 10 3 8 80

trained

4 Others (target):

4.1 Appointment of FP Counsellors 100% DH 100% DH NA

27 FP

Counsello

rs

4.3 Regular reporting of the scheme of “home

delivery of contraceptives by ASHAs”

Regular

reporting

Monthly

reporting till

Sep 12

Quarterly

reporting after

Sep 12

State's 16

districts

under the



2012-13



scheme

4.4 Fixed Day Services for IUCD

2 days/ week

at PHCs and

SHCs. At DH,

FRU and CHCs

on daily basis

NA 100%

Number

of

facilities

not

provided

4.5 Fixed Day Services for Sterilisation 15 DH and 75

FRU NA 100%

ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING

MISSION: “The mission of the national Family Planning Program is that all women and men (in

reproductive age group) in India will have knowledge of and access to

comprehensive range of family planning services, therefore enabling families to plan

and space their children to improve the health of women and children”.

GUIDING PRINCIPLES:

Target-free approach based on unmet needs for contraception; equal emphasis on spacing and

limiting methods; promoting ‘children by choice’ in the context of reproductive health.

STRATEGIES:

1. Strengthening spacing methods:

a. Increasing number of providers trained in IUCD 380A

b. Strengthening Fixed Day IUCD services at facilities

c. Introduction of Cu IUCD 375

d. Delivering contraceptives at homes of beneficiaries (in pilot states/ districts)

2. Emphasis on post-partum family planning services:

a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH level

b. Promoting Post-partum sterilisation (PPS)

c. Establishing Post-Partum Centers at women & child hospitals at district levels

d. Appointing counsellors at high case load facilities

3. Strengthening sterilization service delivery

a. Increasing pool of trained service providers (minilap, lap & NSV)

b. Operationalising FDS centers for sterilisation

c. Holding camps to clear back log

4. Strengthening quality of service delivery:

a. Strengthening QACs for monitoring

b. Disseminating/ following existing protocols/ guidelines/ manuals

c. Monitoring of FP Insurance


5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on

spacing methods

6. Focus on using private sector capacity for service delivery (exploring PPP availability):

7. Strengthening programme management structures:

a. Establishing new structures for monitoring and supporting the programme

b. Strengthening programme management support to state and district levels

KEY PERFORMANCE INDICATORS:

a. % IUD inserted against ELA

b. % PPIUCD inserted against total IUCD

c. % PPIUCD inserted against institutional deliveries

d. % of sterilisations conducted against ELA

e. % post-partum sterilisation against total female sterilisations

f. % of male sterilisation out of total sterilisations conducted

g. % facilities delivering FDS services against planned

h. % of personnel trained against planned

i. % point decline in unmet need

j. point decline in TFR

k. % utilisation of funds against approved

DETAILED BUDGET FAMILY PLANNING


Physical Target/



A.3 FAMILY PLANNING

A.3.1 Terminal / Limiting Methods

A.3.1.1 Dissemination of Manuals on Sterilization & QA of Sevices

Rs. 10,000.00 27

2.7

2.7

A.3.1.1.1 Field Review Meeting and Monitoring on Camp and Fixed Day Service

Rs. 25,000.00 173 43.25 0 Not approved. No details available in the write-up.

A.3.1.2 Organise Female Sterilisation Camp

Rs. 15,000.00 550 camps 82.5 82.5

A.3.1.3 Organise NSV Camp Rs. 35,000.00 200 camps 70 70



Physical Target/



A.3.1.4 Compensation for female sterilisation

A.3.1.4.1 Public - Compensation for Female Sterilization

1000 130000 nos. 1300 1300

A.3.1.5 Compensation for male sterilisation

Rs. 1,500.00 20000 300 300

A.3.1.6 Private - Compensation for Male Sterilization

Rs. 1,500.00 4000 nos. 60 60

A.3.1.6.1 Private - Compensation for Female Sterilization - Hospitals

Rs. 1,500.00 30000 nos. 450 450

A.3.1.6.2

Accreditation of Private Partner for Sterilization Servvice

1 1

A.3.2 Spacing Methods

A.3.2.1

IUD - fixed day service

Rs. 20.00 25000 nos.

5 5

A.3.2.2 IUD Services at Health Facilities

Rs. 20.00 125000 25 25

A.3.2.3

Accreditation of Private providers for IUD insertion services

A.3.2.4 Social Marketing of Contraceptives

A.3.2.5 Contraceptive update seminars

A.3.3 Mobility Support for Family Planning

Rs. 1,000.00 1000 camps 10 0 Fund for POL is already approved under camps; not recommended for approval.

A.3.4 Repairs of Laparoscopes

5 0 Not approved. No details available in the write-up.

A.3.5 Other Strategies / Activities

A.3.5.1 Monitoring of IUCD services - HLFPPT

Rs. 5,000,000.00

1 50 Shifted under training section (FMR code A.9.6.6.1).



Physical Target/



A.3.5.2 World Population Day Celebration

A.3.5.2.1 World Population Day Celebration - District level

Rs. 400,000.00 27 108

122.6

State has proposed Rs. 1.00 lakhs/ block. State may note that as per GoI norm Rs. 10000/ block is approved.

A.3.5.2.2 World Population Day Celebration - Block level

Rs. 100,000.00 146

146

Sub-total Family Planning (excluding

compensation)

448.45 208.8

Sub-total Sterilisation and IUD

compensation & NSV camps

2210 2210

A.9.6 Family Planning Training

A.9.6.1 Laparoscopic Sterilization Training

A.9.6.1.1 Laparoscopic Sterilization - TOT on Leparoscop

A.9.6.1.2 Laparoscopic Sterilization - MO's / SN / OT asst.

Rs. 181,380.00 5 batches 9.07 5.44 Proposed rate is very high, Recommended for approval @ Rs. 43900/ batch for a batch of 2 doctors

A.9.6.2 Minilap Training - TOT on Minilap

0

A.9.6.2.1 Minilap Training - Training for MO's

Rs. 151,150.00 6 batches 9.07 5.7 (1) State may note that as per GoI norm, maximum of 4 participants are allowed/ batch and rate/ batch is Rs. 71240.

(2) Number of batches have been increased to 8 and accordingly recommended for approval.

A.9.6.3 NSV Training



Physical Target/



A.9.6.3.1 NSV Training - Training for MO's

Rs. 66,625.00 4 2.67 1.63 (1) State may note that as per GoI norm, maximum of 4 participants are allowed/ batch and rate/ batch is Rs. 32600.

(2) Number of batches have been increased to 5 and accordingly recommended for approval.

A.9.6.4 IUD Insertion Training

A.9.6.4.1 TOT PPIUCD Rs. 49,950.00 6 3 3

A.9.6.4.2 PPIUCD Insertion Training-MO/SN/LHV

Rs. 111,025.00 22 24.43 24.43

A.9.6.4.3 IUD Insertion Training-ANM

Rs. 49,950.00 60 29.97 29.97

A.9.6.4.4 PPIUCD Insertion Training-MO/

Rs. 49,950.00 50 24.98 24.98

A.9.6.5 Contraceptive Update/ISD Training

A.9.6.6 Other FP training (pl. Specify)

A.9.6.6.1 IUCD training facilitated by HLFPPT

209.69 (1) Shifted from FMR A.3.4 of state budget sheet.

(2) State has proposed a lump sum amount of Rs. 50.00 lakhs.

(3) An amount of Rs. 206.69 lakhs is approved for IUCD training facilitated by HLFPPT.

Sub total Training 103.19 304.84

B.16.1.3 Procurement - Equipment: FP

25 No. of Laproscope

600000 150 150 Approved



Physical Target/



1500 NSV kits,5000 IUCD KITS, 270 Minilaps other equipment

20 20 Approved Although state has not provided unit cost, proposed amount is less than the total cost of individual kits (as per standard rates).

sub total

Equipment procurement 170 170

Total FP 2931.64 2893.64


ADOLESCENT HEALTH


ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH

SETTING UP OF AH CELL A unit for adolescent health at state level with a nodal officer supported by four consultants one each for ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components of Adolescent Health at district level to take care of Adolescent health programme including the SHP.

PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION: I. Adolescent Reproductive Sexual Health (ARSH) Programme

Clinics

Number of functional clinics at the DH, CHC, PHC and Medical Colleges(dedicated

days, fixed time, trained manpower).

Number of clinics integrated with ICTCs

Quarterly Reporting from the ARSH clinics to be initiated to GoI.

Establish a Supportive supervision and Monitoring mechanism

Outreach

Utilisation of the VHND platform for improving the clinic attendance.

Demand generation in convergence with SABLA and also through Teen Clubs of

MOYAS

Capacity Building/Training:

Calculation of the training load and development of training plans/ refresher

trainings.

Deployment of trained manpower at the functional clinics.

II. School Health Programme:

GoI Guidelines including terms of reference of stakeholders adapted by States and

operational plan in place..

School health committee with diverse stakeholders beyond the health department; this

committee with representation of academia will be responsible for implementation

and monitoring of the programme.

Involvement of nodal teachers from schools in the programme (Screening and

communication - preventive and promotive) is to be ensured.

Height / weight measurement and BMI calculation should be part of School Health Card.

All children in government and government aided schools should be covered.

The programme should focus on three Ds- Deficiency, Disease and Disability.

Referral of children must be tied up and complete treatment at higher facilities to be

ensured.


An effort should be made to have dedicated teams for school health. The teams should

also conduct health check- ups for children below 6 years at AWCs.

III. Menstrual Hygiene Scheme (MHS):

Formation of State and district level steering committees.

Training / re-orientation of service providers(MOs, ANMs, ASHAs)

Monthly meeting with BMO.

Regular feedback on quality of sanitary napkins to be sent to GoI

Identification of appropriate storage place for sanitary napkins.

Mechanism of distribution of SN right upto the user level.

Reporting and accounting system in place at various levels.

Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply

chain management of IFA tabs and Sanitary napkins.

Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in

schools and preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).

IV. Weekly Iron and Folic Acid Supplementation programme (WIFS):

Procurement policy in place for procurement of EDL including IFA and deworming

tablets.

Establish “Monday” as a fixed day for WIFS.

Plan for training and capacity building of field level functionaries of concerned

Departments(i.e. Department of Women and Child Development and Department of

Education) and plan for sensitization of Programme Planners on WIFS.

Ensure that monitoring mechanism as outlined in the operational framework (Shared

with the States during the National Adolescent Health Workshop) are put in place

across levels and departments.


DETAIL BUDGET: ARSH

FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH (ARSH)

A.4.1 Adolescent Services at Health Facilities

A.4.1.1 Planning, Dissemination and Monitoring

Rs. 20,000.0

0

27

5.4

5.4 Approved

A.4.1.2 Establishment of stand alone AFHC

A.4.1.2.1

Establishment of model AFHC

Rs. 800,000.

00

2

16

16 Approved

A.4.1.2.2

Establishment of other AFHC

Rs. 50,000.0

0 52

26 11.5 In the write-up, State has proposed setting up of 23 Stand Alone Clinics, hence budget for 23 Clinics may be approved.

A.4.1.3 Clinics - Operational expenses- stand alone AFHC

Rs. 25,000.0

0

54 13.5 2.76 In the write-up, State has proposed operational expenses @ Rs 1000/- per month for 23 Stand Alone Clinics, hence budget for 23 clinics approved.

A.4.1.4 Establishment of integrated AFHC

Rs. 20,000.0

0

27 5.4 3.6 In the write up State has provided a list of 18 AFHCs to be integrated with ICTC, but budget proposed is for 27 AFHCs. Budget for 18 AFHCs approved.


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.4.1.5 Clinics - Operational expenses- integrated AFHC

Rs. 25,000.0

0

27 6.75 2.16 In the writeup, Rs 1000/- per month is budgeted as operational expenses for the Integrated AFHCs but in the budget sheet,Rs 25000/- per clinic per month is proposed. Budget @ Rs 1000/- per clinic for 18 clinics approved.

A.4.1.6 Contractual appointment of Counsellors

A.4.1.7 Mobility support to ICTC councellor for Outreach activity

Rs. 100.00 500

0.5 0.5 Approved

A.4.2 School Health Programme

Approval pending. A revised proposal with dedicated team based approach is expected.


Rs. 50,000.0

0

27 13.5

A.4.2.2 Contractual Appointment of Dentists

A.4.2.3 Health education

A.4.2.3.1

Health cards Rs. 1.20 3000000 36

A.4.2.3.2

Health Education Books

Rs. 30.00 70000 21

A.4.2.4 Regional review meetings

Rs. 25,000.0

0

16 4

A.4.2.5 Online monitoring system of Sick students

Rs. 50,000.0

0

27 13.5

A.4.3 Other Stratigies/activities

Sub-total ARSH 161.55 41.92

A.9.7 TRG - ARSH Training


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.9.7.1 Training for MO's Rs. 112,987.

50

4 4.52 4.52 Approved

A.9.7.2 Training for ANMs / LHVs/RMA

Rs. 145,188.

00

8 11.62 5.81 In the write-up, 4 batches of training is proposed, budget for 4 batches may be approved.

A.9.7.3 Training for AWWs/ANM

Rs. 145,188.

00


Sub total training 21.95 16.14

B.16.2.2 Procurement - Drugs & Supplies for CH + ARSH

Approved 168.2 lakhs for SSM drugs (CH), Rs 44.98 for ARSH drugs detailed in write-up. School health drugs, drugs for diarrhoea management through VHND.13.5 added.

Procurement of IFA( For Out of School Adolescents)

6793700 0.6 40.76 40.76 Approved

Procurement of Albendazole(For Out of School Adolescents)

301340 1.4 4.22 4.22 Approved

Sub total ARSH drug 44.98 44.98

Total ARSH 228.48 103.04


URBAN RCH


ROAD MAP FOR PRIORITY ACTION: URBAN RCH

Carry out a comprehensive third party evaluation of UHCs/ NGO performance including an assessment of reasons for low expenditure (9.6 % in the first 9 months of 2011-12). State to apprise MoHFW of action taken on the basis of the findings of the evaluation by September 2012.

Monitor performance of UHCs/NGOs against targets.

Staffing at UHCs to be linked to case load

BUDGET: URBAN RCH

FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.5 URBAN RCH Approval pending. Details of service

delivery is not clear. Existing UHCs and

their functioning not mentioned.

A.5.1 Urban RCH Services

A.5.1.1 Planning for urban bodies

Rs. 100,000.00

27 27 0

A.5.1.2 Minor civil works

A.5.1.3 Minor equipment &others

Rs. 50,000.00 30 15 0

A.5.1.4 Urban RCH - Operational Exp.

A.5.1.4.1 Salary of MO, SN& LT for urban slums

A.5.1.4.2 Drugs and Consumables other than RCH kit

Rs. 100,000.00

30 30 0

A.5.1.4.3 Monitoring and quality control

5 0

A.5.1.4.4 Contingency Rs. 50,000.00 30 15 0

Sub-total Urban Health

92 0


TRIBAL HEALTH


ROAD MAP FOR PRIORITY ACTION: TRIBAL HEALTH

State to closely monitor progress (physical, expenditure) on all health activities in notified tribal

areas.

On a quarterly basis, a progress report, including constraints faced and action proposed to be

sent to MoHFW.

The State shall focus on health entitlements of vulnerable social groups like SCs, STs, OBCs,

minorities, women, disabled, migrants etc.

BUDGET: TRIBAL HEALTH

FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.6 TRIBAL RCH

A.6.1 Planning & Monitoring of Services

Rs. 100,000.00

10 10 10 Approved subject to details of planning & monitoring system being provided including break up of costs.

A.6.2 Health camps

A.6.3.1 Health camps in haat bazar

Rs. 25,000.00

120 30 12 120*Rs.10,000

A.6.3.2 Health camps In schools/others

Rs. 25,000.00

60 15 12 Should be a part of comprehensive school health

A.6.4 Incentives

A.6.4.1 Incentives- Institutional Deliveries - Incentive to attendant in LWE Blocks

Rs. 350.00 20000 70 0 Not approved

A.6.4.2 Incentive- ASHA- Additional Incentive to ASHA in LWE Blocks

Rs. 100.00 15000 15 15 for Insitutional delivery, NRC referral, FBNC

Sub-total Tribal Health

140 49


Detail budget: vulnerable group

FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.11 Vulnerable Groups

A.11.1 Planning and monitoring.

5 0

A.11.2 Services for Vulnerable groups

Rs. 15,000.00

100 15 15

A.11.3 Special camps in PTG clusters

Rs. 20,000.00

40 8 8

Sub-total Vulnerable groups

28 23


PC-PNDT


MISSION: The mission of PNDT program is to improve the sex ratio at birth by regulating the pre-

conception and prenatal diagnostic techniques misused for sex selection.

Guiding Principle:

Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio

STRATEGIES:

Strengthening programme management structures:

Appointment of Nodal officer

Strengthening of Human resource

Formation of PNDT Cell at state and district level

Establishment of statutory bodies under the PC&PNDT Act

Constitution of 20 member State Supervisory Board

Reconstitution every three years (other than ex-officio

members)

Four meetings in a year

Notification of three members Sate Appropriate Authority,

Constitution of 8 member State Advisory Committee

Reconstitution in every 3 years

At least 6 meetings in a year

Notification of District Appropriate Authorities

Constitution of 8 member district Advisory Committees

Reconstitution in every 3 years

At least 6 meetings in a year

Strengthening of monitoring mechanisms

Monitoring of sex ratio at birth through civil registration of birth data

Formulation of Inspection and Monitoring committees

Increasing the monitoring visits

Review and evaluation of registration records

Online availability of PNDT registration records

Online filling and medical audit of form Fs

Ensure regular reporting of sales of ultrasound machines from

manufactures

Enumeration of all Ultrasound machines and identification of un-registered

ultrasound machine

Ensure compliance for maintenance of records mandatory under the Act

Ensure regular quarterly progress reports at state and district level

Capacity building and sensitisation of program managers

Appropriate Authorities


Advisory committee members

Nodal officers both State and District

Sensitisation and Alliance building with

Judiciary

Medical Council / associations

Civil society

Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and

promotion of Girl Child

Convergence for Monitoring of Child sex Ratio at birth

KEY PERFORMANCE INDICATORS:

Improvement in child sex ratio at birth

% of civil registration of births

Statutory bodies in place

% registrations renewed

Increase in inspections and action taken

No. of unregistered machines identified

% of court cases filed

% of convictions secured

No. of medical licences of the convicted doctor cancelled or suspended


DEATIL BUDGET: PNDT

FMR Code Activity Unit Rate

(Rs.)

Physical Target/



A.7 PNDT Activities - RCH PNDT budgeted in IEC

A.7.1 PNDT - Support to PNDT Cell

A.7.1.1 Operationalise PNDT Cell Rs. 25,000.00

Incentive to informers (50)

12.5 12.5 Approved.

A.7.1.2 Orientation of Programme Managers and service provider on PC&PNDT Act.

Rs. 1,000.00

200 2 2 Approved.

A.7.2 PNDT - Other activities

Sub-total PNDT & Sex Ratio 14.5 14.5

Total PNDT & Sex Ratio activites 14.5 14.5


HUMAN RESOURCES AND PROGRAM MANAGEMENT


ROAD MAP FOR PRIORITY ACTION: HUMAN RESOURCES

A comprehensive HR policy to be formulated and implemented; to be uploaded on the

website too.

Underserved facilities particularly in high focus districts/ areas, to be first strengthened

through contractual staff engaged under NRHM. Similarly high case load facilities to be

supplemented as per need

All appointments under NRHM to be contractual; contracts to be renewed not routinely

but based on structured performance appraisal

Decentralized recruitment of all HR engaged under NRHM by delegating recruitment

process to the District Health Society under the chairpersonship of the District

Collector/ Rogi Kalyan Samitis.

Preference to be given to local candidates to ensure presence of service providers

in the community. Residence at place of posting to be ensured.

Quality of HR ensured through appropriate qualifications and a merit-based,

transparent recruitment process.

Vacant regular posts to be filled on a priority basis: at least 75% by March 2013.

It has been observed that contractual HR engaged under NRHM i.e. Specialists,

Doctors (both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired

extent in inaccessible/hard to reach areas thereby defeating the very purpose of the

Mission to take services to the remotest parts of the country, particularly the un-

served and under-served areas. It must therefore be ensured that the remotest Sub-

Centres and PHCs are staffed first. Contractual HR must not be deployed in better

served areas until the remotest areas are adequately staffed. No Sub-Centre in

remote/difficult to reach areas should remain without any ANM. No PHC in these

areas should be without a doctor. Further, CHCs in remote areas must get contractual

HR ahead of District Hospitals. Compliance with these conditionalities will be closely

monitored and salaries for contractual HR dis-allowed in case of a violation.

Details of facility wise deployment of all HR engaged under NRHM to be displayed on

the state NRHM web site.

For SHCs with 2 ANMs, population to be covered to be divided between them. Further,

one ANM to be available at the sub-centre throughout the day while the other ANM

undertakes field visits; timings for ANM’s availability in the SHC to be notified.

AYUSH doctors to be more effectively utilised eg for supportive supervision, school

health and WIFS.


All contractual staff to have job descriptions with reporting relationships and

quantifiable indicators of performance.

Performance appraisal and hence increments of contractual staff to be linked to

progress against indicators.

Staff productivity to be monitored. Continuation of additional staff recruited under

NRHM for 24/7 PHCs/FRUs/SDH, etc , who do not meet performance benchmarks, to

be reviewed by State on a priority basis.

All performance based payments/ difficult area incentives should be under the

supervision of RKS/ Community Organizations (PRI).

DETAILED BUDGET: HUMAN RESOURCES

FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.8 INFRASTRUCTURE (MINOR CIVIL WORKS) & HUMAN RESOURCES

A.8.1 Contractual Staff & Services

A.8.1.1 ANMs,Supervisory Nurses, LHVs

9000 ANMs 24x7 PHCs (100)

1368 236.04 281 ANMs approved for SCs where deliveries are being conducted as per last year's (2011-12) approval. State to come up with redeployment plan for ANMs and SNs. State needs to come up with HR plan woven around the delivery points. Rest HR not approved.

9000 2nd ANMs in SHC (500)

12000 SNs CD (29)

12000 SNs FRUs (180)

12000 SNs SNCUs (96)

12000 SNs Non FRU CHC (95)

12000 SNs 24x7 PHC (100)

A.8.1.2 Laboratory Technicians, MPWs

10,000.00 LTs CD (29) 26.1 26.1 Approved. State to fill up the existing vacancies at the earliest from the State budget.


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.8.1.3

Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC)

A.8.1.4 PHNs at CHC, PHC Level

A.8.1.5 Medical Officers at CHCs / PHCs

20000 Dentists at CHCs (141)

221.4 52.2 Approved : Rs. 52.20lakhs ( MOs at PHCs/CD) Not approved : Rs. 169.20lakhs (Dentists at CHCs)

30000 MOs at PHCs/CD (29)

A.8.1.6 Additional Allowances/ Incentives to M.O.S of PHCs and CHCs

A.8.1.7 Others - Computer Assistants/ BCC Co-Ordinator Etc

8000.00/ FP counsellor

27 0 19.44 (1) State was advised to propose for FP counsellors at high case load facilities; however, same has not been addressed in the revised PIP. As per the discussion with state nodal officer, it is recommended to approve 27 counsellors one at each district @ Rs. 8000/ month (2) Salary for counsellors is proposed for 9 months only considering it would take 2-3 months to complete recruitment process.


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



A.8.1.8 HR - Incentive/ Awards Etc. to SN, ANMs Etc.

2571.65

500 Approved as per last year's (2011-12)

A.8.1.8.1

Incentive for EMoC and LSAS

500.00 /case

EMoC Incentives for C-Section (2500)

50 20 Performance incentive to the LSASand EmOC trained doctor can be approved as lump sum for Rs. 20.00 lakhs against proposed budget of Rs.25.00 lakhs. State to ensure that incentive is applicable after a threshold level. Rs.25 lakhs -Nurse and OT Incentive for C-Section: Not recommended for approval in the present format for those working in the LWE area. Proposal needs revision.

LSAS Incentives for C-Section (2500)

500.00 /case

Nurse and OT Incentive for C-Section (2500)

1000.00 /case

A.8.1.9 Human Resources Development (Other Than Above)

15000 RMAs at CHC (282)

1377.6 1377.6 Approved. Rs. 507.60lakhs: RMAs at CHC

15000 RMAs at 24x7 PHC (400)

Rs. 540.00lakhs: RMAs at 24x7 PHC

15000 RMAs at other PHC (550)

Rs. 330.00lakhs: RMAs at other PHC

A.8.1.9.1

Technical staff for DH strengthening (from MFP)

Rs.135 lakhs shifted from MFP not approved. State to provide comprehensive HR plan weaved around the


FMR Code Activity

Unit Rate (Rs.)

Physical Target/



delivery points and OPD/IPD load.

Sub-total Infrastructure & HR 5614.75 2231.38

A.9.10 TRG - Training (Nursing)

A.9.10.1 Strengthening of Existing Training Institutions/Nursing School (HR)

Rs. 100,000.00

13 13 13

A.9.10.2 New Training Institutions/School (Other Strengthening)

A.9.11 Other Health Personnel

A.9.11.1 Training of emergency management of Mos

Rs. 10,000.00

146 14.6 14.6 at AIMS/ Hyderabad in co-ordination with GVK- EMRI

A.9.11.2 RMAs - programme management training

Rs. 10,000.00

750 75 0 at CMC Vellore

A.9.11.3 RMAs professional development prog

Rs. 15,000.00

100 15 0 at CMC Vellore on paediatrics.

A.9.11.3.2

Career Development of ANMs, Staff Nurses, AWW,AWS

A.9.11.3.2.1

Career Development of ANMs - GNM Course

Rs. 180,000.00

10 18 18

Sub-total Training 135.6 45.6

Total Infrastucture and HR 5750.35 2276.98


ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT

A full time Mission Director is a prerequisite. Stable tenure of the Mission Director

should also be ensured.

A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on

resource envelope of State), from the State Finance Services not holding any additional

charge outside the Health Department must be put in place, if not already done,

considering the quantum of funds under NRHM and the need for financial discipline and

diligence.

Regular meetings of state and district health missions/ societies must take place.

Key technical areas of RCH to have a dedicated / nodal person at state/ district levels;

staff performance to be monitored against targets and staff sensitised across all areas of

NRHM such that during field visits they do not limit themselves only to their area of

functional expertise.

Performance of staff to be monitored against benchmarks; qualifications , recruitment

process and training requirements to be reviewed.

Delegation of financial powers to district/ sub-district levels in line with guidelines

should be implemented.

Funds for implementation of programmes both at the State level and the district level

must be released expeditiously and no delays should take place.

Evidence based district plans prepared, appraised against pre determined criteria;

district plans to be a “live” document. Variance analysis (physical and financial) reports

prepared and discussed/action taken to correct variances.

Supportive supervision system to be established with identification of nodal persons for

districts; frequency of visits; checklists and action taken reports.

Remote/ hard to reach/ high focus areas to be intensively monitored and supervised. An

integrated plan and budget for providing mobility support to be prepared and

submitted for review/approval; this should include allocation to State/ District and Block

Levels.


DETAILED BUDGET: PROGRAMME MANAGEMENT

FMR Code Activity

Unit Rate (Rs.)

Physical Target


Remarks

Proposed Approved

A.10 PROGRAMME / NRHM MANAGEMENT COST (PMC)

A.10.1 Strengthening of SHS /SPMU

209.68 125 SPMU salary approved as per last year's (2011-12) RoP.

A.10.1.1 Mobility support 42 10.5 25% approved on interim basis. State to provide comprehensive mobility plan and budget.

A.10.1.2 Office rent/renovation/admin cost/contingency

196 58 As per last year

A.4.1.8 ARSH cell 18.2 18.2

A.10.2 Strengthening of DPMU/DHMU

1373.23 720.9 27 District Programme Manager @ Rs.40700/PM 27 DAM @ Rs. 29700/PM 27 District Training Coordinator @ Rs. 16500/PM 27 District Data Officer @ Rs. 26400/PM 27 Sub-engineer @ Rs. 30000/PM 27 Account Assistant @ 12100/- PM 81 Data entry operators @ Rs. 8800/-PM 27 Hospital Consultant @ Rs. 28600/PM


FMR Code Activity

Unit Rate (Rs.)

Physical Target


Remarks

Proposed Approved

27 Data Assistant @ Rs. 12100/-PM

Approved DPMU for 27 district staff including 9 new districts.

A.10.2.1 Mobility support Rs. 25,000.00

27 81 20.25 25% approved on interim basis. State to provide comprehensive mobility plan and budget.

A.10.2.2 Administrative exp. / Contingency exp

Rs. 10,000.00

27 48.6 48.6

A.10.3 Strengthening of Block PMU

2431.08 1493.82 Approved as per last year


146 175.2 43.8 25% approved on interim basis. State to provide comprehensive mobility plan and budget.

A.10.3.2 PHC Administrative exp./contingency

146 175.2 175.2

A.10.4 Other Strengthening - Strengthening of Commissioner's office

47.8 0 Not approved. State may use its own resources.


FMR Code Activity

Unit Rate (Rs.)

Physical Target


Remarks

Proposed Approved

A.10.4.1 PMC - Other - Strengthening of SHS

130.36 68.4 Based on the revised programme management strengthening proposal of the state following posts on contract /deputation approved: Director finance @ Rs75000, Programme manager-infrastructure, PM-procurement & logistics, PM-ASHA, PM-PPP/Referral transport, PM-HRD, PM-training, PM- Maternal health (2), PM-CH, PM-FP, PM-AH @Rs.45000 per month. State needs to share detailed job descriptions, key performance indicators, organization chart, and recruitment process to be followed to recruit the above mentioned personnel. It is suggested that steps to strengthen district and block PMU be taken only after completion of state level strengthening.

A.10.4.2 Strengthening of SIHFW

67.28 0 Not approved.

A.10.4.3 Financial Management

A.10.4.3 Tally


FMR Code Activity

Unit Rate (Rs.)

Physical Target


Remarks

Proposed Approved

.1

A.10.4.3.2

Tally- New licenses

Rs. 8,100.00 743 60.18 60.18

A.10.4.3.3

Tally- Annual Fee Rs. 1,620.00 165 2.67 2.67

A.10.4.3.4

Technical Support From Tally & NFMIS

10 40 Rs.30 lakhs for NFMIS -Pilot State for NFMIS

A.10.5 Statutory audit Rs. 1,000,000.0

0

1 10 10

A.10.6 Concurrent Audit - State

Rs. 500,000.00

1 5 5

Concurrent Audit - Dist

Rs. 75,000.00

27 20.25 20.25

Sub-total Programme

Management

5103.73 2920.77

A.9.8 Programme Management Training

A.9.8.1 SPMU training

A.9.8.1 Induction training - Newly Recruited staff 5days

Rs. 5,000.00 400 20 20

A.9.8.2 DPMU training

A.9.8.2.1

CMO/CS/BMO 3 days

Rs. 5,000.00 250 12.5 0

A.9.8.2.2

SPMU/DPMU for 3 days

Rs. 5,000.00 150 7.5 7.5

A.9.8.2.3

BPMU- 3 days Rs. 3,500.00 500 17.5 17.5

A.9.8.2.4

5 days Rs. 5,000.00 220 11 0

A.9.8.2.5

RMA/LHV/ and BEE

Rs. 3,000.00 600 18 0

A.9.8.2.6

HMIS- 3 days Rs. 3,000.00 800 24 24

A.9.8.2.7

PIP Planning 3 days

Rs. 3,000.00 200 6 0

A.9.8.2.8

Monitoring and evaluation 3 days

Rs. 5,000.00 200 10 0


FMR Code Activity

Unit Rate (Rs.)

Physical Target


Remarks

Proposed Approved

A.9.8.2.9

Change management and Leadership 5 days

Rs. 8,000.00 100 8 8

A.9.8.2.10

Workshops/ seminar

A.9.8.2.10.1

Workshops/ seminar National Level for 3 days

Rs. 1,000,000.0

0

1 10 0

A.9.8.2.10.2

Workshops/ seminar state Level for 3 days

Rs. 500,000.00

4 20 0

A.9.8.2.10.3

Workshops/ seminar regional level 3 days

Rs. 300,000.00

4 12 0

A.9.8.2.10.4

Workshops/ seminar District level 3 days

Rs. 200,000.00

10 20 0

Sub Total

Programme Management Training 196.5 77

Total 5300.23 2997.77


MISSION FLEXI POOL (MFP)


ASHA

TARGETS:

S. No. Activity Targets

1. ASHAs with Drug kits Refilling 60000

2. ASHAs trained in 17th Round 60000

ROAD MAP FOR PRIORITY ACTION:

Clear criteria for selection of ASHA

Well functioning ASHA support system including ASHA days, ASHA coordinators

Performance Monitoring system for ASHAs designed and implemented (including

analysis of pattern of monthly payments; identification of non/under-performing ASHAs

and their replacement; and reward for well performing ASHAs). State to report on a

quarterly basis on ASHA’s average earnings/ range per month.

Timely replenishment of ASHA kits.

Timely payments to ASHAs and move towards electronic payment.

Detailed data base of ASHAs created and continuously updated; village wise name list of

ASHA to be uploaded on website with address and cell phone number

DETAIL BUDGET: ASHA

FMR Code Activity Physical Targets

Unit cost Amount Proposed in Lakhs

Amount Approved in Lakhs

Remarks

B.1 ASHA

B 1.1 ASHA COST

B.1.1.1 ASHA - Selection & Training (Mitanin Training)

Sub total





Remarks

ASHA - TOT of State/ district coordinator (ASHA)

35 District Coordinator

3600 1.26 1.26 Approved

ASHA - TOT of Block coordinator (ASHA)

295 Block Coordinator (6 days)

3600 10.62 10.62 Approved

ASHA - TOT of Community Coordinators (ASHA)DHS

3100Mitanin Trainers (6 days)

3000 93 93 Approved

ASHA - Training for Mitanins

ASHA - Training for Mitanins 17th Module (6 days)

60000 No of Mitanins (6 days )

1200 720 720 Approved

Bridge Training for 6000 newly selected Mitanins (6 days)

6000 No of Mitanins

1200 72 72 Approved

ASHA - Development & Printing of training Materials SHRC

60000 50 30 30 Approved

ASHA - District level Meetings and review, contingencies

146X 12 months

500 8.76 8.76 Approved





Remarks

ASHA - Block Co- coordinator

295 co-coordinators for 25 days per monthX 12 months

6200 219 219 Approved

ASHA - Compensation- Mitanin Trainers

3100 co-coordinators for 20 days per month X 12 months

2800 1041.6 1041.6 Approved

ASHA - Block level Meetings and contingencies

146 blocksX 12 months

4500 78.84 78.84 Approved

Subtotal training

2275.08 2275.08

B.1.1.2 ASHA - Mitanin Drug Kit

ASHA - Mitanin Drug Kit Procurement

0 0 0 0

ASHA - Drug Kit Refilling

60000 450 270 210 Approved As the unit cost approved for drug Kit in other State is Rs 350.00

ASHA - Drug Kit Transportation and Logistics

60000 75 45 45 Not Approved

Subtotal Drug Kit

315 255

B.1.1.4 ASHA - Awards

ASHA - Awards- state level for 10 programmes

10 no. of awards Non-cash awards will be given

0 0 Approved





Remarks

ASHA - Awards- District level 1st prize-, 2nd prize

27 no. of districts Non-cash awards will be given

0 0 Approved

B.1.1.5. ASHA Resource centre /ASHA mentoring Group.

ASHA Resource Centre Team (in SHRC) for Design, Coordination and Monitoring of Mitanin Programme (includes State level costs and 35 District Coordinators)

1 13144000 131.44 131.44 Approved

ASHA- Mitanin Help Desk

197 3600 85.1 85.1 Approved.

ASHA -Mitanin Help Line

2.4 0 Not Approved.

Subtotal ARC,AWARDS,Incentives

218.94 217.54 Approved

SUB TOTAL ASHA

2809.02 2747.62





Remarks

A.9.11.3 Other Training & Capacity Building Programmes - RCH

A.9.11.3.1 Career Development of MITANIN

A.9.11.3.1.2

Career Development of MITANIN - BSc Nursing course

Rs. 70,000.00

27 18.9 18.9

SUB TOTAL ASHA

2827.92 2766.52


UNTIED FUND, CORPUS GRANT AND ANNUAL MAINTAINENCE GRANT


UNTIED FUNDS/ RKS/ AMG ROAD MAP FOR PRIORITY ACTION:

Timely release of untied funds to all facilities; differential allocation based on case load. Funds to be utilized by respective RKS only and not by higher levels.

Review of practice of utilising RKS funds for procurement of medicines from commercial medical stores and accordingly revisit guidelines for fund utilisation by RKS.

Well functioning system for monitoring utilization of funds as well as purposes for which funds are spent.

Plan for capacity building of RKS members developed and implemented.

RKS meetings to take place regularly.

Audit of all untied, annual maintenance grants and RKS funds.

The State must take up capacity building of Village Health & Sanitation Committees Rogi

Kalyan Samitis and other community/ PRI institutions at all levels

The State shall ensure regular meetings of all community Organizations/ District / State

Mission with public display of financial resources received by all health facilities

The State shall also make contributions to Rogi Kalyan Samitis

BUDGET: UNTIED FUND, CORPUS GRANT AND ANNUAL MAINTAINENCE GRANT

FMR Code

Activity Physical Targets



Remarks

B.2 Untied Funds

B.2.1 Untied Fund -CHCs

For 140 CHCs

50000 70 70 Approved. For 140 CHCs @ 50000 as per RHS 2011. As the Utilization in FY 2011-12 was more than 100%

B.2.2 Untied Fund -PHCs

For 741 PHCs

25000 185.25 160.05 Approved For 741 PHCs (RHS 2011) as per Utilization in the FY 2011-12. (86.40%).

B.2.3 Untied Fund -Sub Centers

For 5076 SHC

10000 507.6 507.6 Approved For 5076 SHCs (RHS 2011) as the Utilization in FY 2011-12 was more than 100%


B.2.4 Untied Fund -VHSNC

For 20308VHSCs

10000 2030.8 2030.8 Approved. For 20308 VHSNCs (RHS 2011) @Rs 10000 as the Utilization in the FY 2011-12 was more than 100%. State should make Joint Account Operational for all VHSNCs.

B.2.5 Untied Fund - Civil Dispensary

For 36 CD 25000 9 0 Not Approved

SUB TOTAL UNTIED

2802.65 2768.45

B.3 Annual Maintenance Grants (AMG)

B.3.1 AMG - CHCs - Annual Maintenance Grants

140 100000 140 135 Approved For 135 CHCs (RHS 2011) in government buildings @ Rs 1 Lakh.

B.3.2 AMG - PHCs - Annual Maintenance Grants

658 50000 329 194.5 Approved For 389 PHCs in government buildings (RHS 2011).

B.3.3 AMG - Sub Centers - Annual Maintenance Grants

4053 10000 405.3 235 Approved For 2350 SCs (RHS 2011) functional in government buildings @ Rs 10,000.

B.3.4 AMG - Civil Dispensary - Annual Maintenance Grants


SUB TOTAL AMG

884.3 564.5


B.6 Corpus Grants to HMS/RKS (JDS)

B.6.1 JDS - District Hospital

26 500000 130 85 Approved For 17 District Hospitals functional As per MIS 31.12.2011 Registered JDS @ Rs 5 lakhs Approval is Subjected to the implementation of deferential financing by the state.

B.6.2 JDS - CHCs 140 100000 140 140 Approved For 140 JDS at CHCs @ Rs 1 lakh each. Approval is Subjected to the implementation of deferential financing by the state.

B.6.3 JDS - PHCs 741 100000 741 695 Approved For 695 JDS registered at PHCs as per MIS 31.12.2011 PHCs @ Rs 1 lakh each. Approval is Subjected to the implementation of deferential financing by the state.


B.6.4 Other. JDS -Civil Hospitals

16 500000 80 80 Approved For 16 Civil Hospitals @ Rs 5 lakh.As per MIS 26 Registered above to CHC and below District level facilities. Approval is Subjected to the implementation of deferential financing by the state.

JDS – Training of JDS members 3 days training including training Material

3000 3000 90 90 Approved

SUB TOTAL JDS

1181 1090

Total 4867.95 4422.95


NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP

Construction of new SCs only in high focus districts. All newly constructed SCs to be strengthened with 2 ANMs and service delivery closely monitored. ROAD MAP FOR PRIORITY ACTION:

Works must be completed within a definite time frame. For new constructions upto CHC level, a maximum of two years and for a District Hospital, a maximum period of 3 years is envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be projected accordingly. Funds would not be permissible for constructions/ works that spill over beyond the stipulated timeframe. Progress of works being excecuted to be closely monitored

Standardized drawing/ detailed specifications and standard costs must be evolved keeping in view IPHS.

Third party monitoring of works through reputed institutions to be introduced to ensure quality.

Information on all ongoing works to be displayed on the NRHM website

Approved locations for constructions/ renovations will not be altered

All government health institutions in rural areas should carry a logo of NRHM as recognition of support provided by the Mission in English/ Hindi & Regional languages.

FMR Code




Remarks

B.5 Infrastructure ( INFRA)

B.5.1 INFRA- HOSPITAL

INFRA- HOSPITAL- New- SHC

120 2281000 2737 0 Approved As this is a Committed unspent balance State may use the last year’s fund

INFRA- HOSPITAL- Upgradation- DH

12 Rs. 15 Cr per unit cost for 12MCH centre in District hospitals ( 6 in Old Dist and 6 in New Dist.)

3600 3600 Approved This activity should be complete in 3 financial year conditionality’s for MCH wing The MCH wing will be created within the premises of the District Hospital. Approved This activity should be completed in 3 financial year Conditionality for MCH wing 1) The MCH wing will be created


FMR Code




Remarks

total cost is Rs. 180 Cr.to develop compressive MCH centre proposed amount for current Financial year is 20 % of the total projected amount = Rs.36.00 Cr.

within the premises of the District Hospital. 2)The State will give commitment that the manpower and other service requirement at DH with support from State budget and GoI will not give any operational expenses for running the MCH wing. 3) Advanced planning shall be done by the State Govt. for provision of additional manpower and other ancillary services if required, so that the centre remains functional 4) All the Technical Protocols of a Tertiary level delivery point such as maintaining partograph, ENBC and resuscitation, 48 hrs stay, birth doses, post natal care and counseling, Family planning services, etc shall be provided comprehensively for RMNCH (Reproductive & Maternal, Neonatal and Child Health services). 5) In addition, the hospital should be the hub for conduction of skill based training programs like LSAS, EmOC, Safe Abortion services, Mini-Lap, Child Health and FP trainings, etc 6) Last but not the least all procurements should be done based on competitive bidding and by following Government protocols. Procurement of equipment should be need based, linked with its utilization and availability of required manpower within the premises of the District Hospital.

INFRA- HOSPITAL- Upgradation- DH 50 bedded MCH wing in 3 New District

3 Rs. 9 Cr per unit cost for 3MCH centre in 3 new District hospitals total cost is Rs. 27 Cr.to develop compressive MCH centre proposed amount for current Financial year is 20 % of the total projected amount Rs.5.4 Cr.

540 540


FMR Code




Remarks

INFRA-HOSPITAL- Upgradation- CHC

20 Rs. 9 Cr per unit cost for 20 MCH centre CHC ( FRU and non FRU) where there is delivery load. Total cost is Rs.180 cr.to develop compressive MCH centre proposed amount for current Financial year is 15 % of the Total projected amount = Rs.27 cr.

2700 2700 Approved This activity should be complete in 3 financial year conditionality’s for MCH wing The MCH wing will be created within the premises of the District Hospital.

INFRA- HOSPITAL- Upgradation- FRU CHC 75 % Civil Works for OT & Store and BSU

46 Rs 12 Lakh pre facilities Total projected amount is Rs 5.52 Cr proposed for Current financial year is 75 % of Total projected amount =Rs 4.14 Cr

414 414 Approved Approval is subjected to condition that this activity should be completed in two financial years


FMR Code




Remarks

INFRA- HOSPITAL- Upgradation- CHC Non FRU

50 Rs 12 Lakh per facilities total projected amount is 6 Cr . Proposed for current financial year is 75 % of total projected amount = 450 Lakhs

450 450 Approved Approval is subjected to condition that this activity should be completed in next two financial years

INFRA- HOSPITAL- Upgradation- PHC

150 Rs 12 Lakhs per facilities Total projected amount is 18 Cr. Projected amount for Current Financial Year is 75% of total projected amount=13.50 Cr

1350 900 Approved for 100 PHCs @ 9 Lakhs per PHCs (75 % of the total projected amount )

INFRA- HOSPITAL- Upgradation- SHC

50 400000 200 0 Approved As this is a Committed unspend balance State may use the last year’s fund

INFRA- HOSPITAL- Upgradation- CH75 % Civil Works for OT & Store and BSU


INFRA- HOSPITAL-


FMR Code




Remarks

Renovation

INFRA- HOSPITAL- Renovation- CHC for establishment of NBSU

54 575000 310.5 0 Approval is pending State may give a revised proposal. Last year’s progress is poor state send a realistic proposal with plan to fulfill the manpower requirement for NBSU

Renovation of CHC, Baghbahera

2000000 20 0 Approved As this is a Committed unspent balance State may use the last year’s fund

INFRA- HOSPITAL- Renovation- CD

29 500000 145 0 Not Approved New Activity

B.5.2 INRFA- RESIDENTIAL

INRFA- RESIDENTIAL- 4F

1500 0 Approved As this is a Committed unspent balance State may use the last year’s fund

INRFA- RESIDENTIAL-2F (25% budget ) 52 Staff Quarter at 16 District Hospital 45 Staff Quarter at FRU CHCs and 3 at Civil Hospital Kondagaon

100 3243000 810.75 810.75 Approved for 100 2F type quarters in CHCs and PHCs (identified delivery points ) 25 % of total projected amount Approval is subjected to condition that this activity should be completed in two financial years


FMR Code




Remarks

INRFA- RESIDENTIAL- 4G


INRFA- RESIDENTIAL-2G (25% budget ) 64 staff quarter at 16 District Hospital 67 staff quarter at 42 FRU CHCs 64 Staff quarter at 30 Non FRU CHC and 5 at Kondagaon civil hospital

200 1786000 893 893 Approved for 200 2G type quarters in PHCs and CHCs (identified delivery points ) 25 % of the projected amount Approval is subjected to condition that this activity should be completed in next two financial years

INRFA- RESIDENTIAL-4H


INRFA- RESIDENTIAL-2H (25% budget ) 147 staff quarter at 147 24X7 PHCs, 58 staff quarter for 16 Diatrict Hospital 64 staff

400 1006000 1006 1006 Approved for 400 2G type quarters in PHCs and CHCs (identified delivery points ) 25 % of the projected amount Approval is subjected to condition that this activity should be completed in two financial years


FMR Code




Remarks

quarter at 45 FRU CHCs and 126 Staff quarter at 56 Non FRU CHCs

B.5.3 INFRA-INSTITUTIONS

INFRA-INSTITUTIONS- Renovation

INFRA-INSTITUTIONS- Renovation- - ANMTC

2 250000 5 5 Approved

INFRA-INSTITUTIONS- Renovation- - SIHFW

1 2000000 20 20 Approved

B.5.4 INFRA- Others

INFRA- Others -New

INFRA- Others -New - ERC/Health Info centre ERC info center new

1 50000000 125 0 Approved State may use the last year’s fund

INFRA- Others -New -

27 1000000 135 0 Not Approved


FMR Code




Remarks

District data Centre (50% Budget )

Total 19929.25 11338.75


PROCUREMENT ROAD MAP FOR PRIORITY ACTION:

Strict compliance of procurement procedures for purchase of medicines, equipments etc as per state guidelines.

Competitive bidding through open tenders and transparency in all procurements to be ensured.

Only need based procurement to be done strictly on indent/requisition by the concerned facility.

Procurement to be made well in time & not to be pushed to the end of the year.

Audit of equipment procured in the past to be carried out to ensure rational deployment.

Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.

A system for preventive maintenance of equipment to be put in place.

BUDGET:

FMR Code




Remarks

B.16 Procurement

B.16.1 Procurement of Equipment (Eqpt.)

B.16.1.1 Procurement - Equipment: MH

Procurement - Equipment: FRU

24 no. of BSU

500000 120 120 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available


FMR Code




Remarks










FMR Code




Remarks




275000 25 68.75 68.75 Approved

B.16.1.2 Procurement - Equipment: CH


9 no. of SNCU

100000 9 0 Approved As this is a Committed unspend balance State may use the last year’s fund


54 no. of NBSU

200000 108 16 Approved For Only 8 new units as per the data of delivery points.


no. of NBCC

0 0



FMR Code




Remarks


600000 150 150 Approved


20 20 Approved Although state has not provided unit cost, proposed amount is less than the total cost of individual kits (as per standard rates).

B.16.2 Procurement of Drugs and Supplies


6000 Rs 300 for

MMA

drugs

18 18 Approved


31.1 31.1 Approved



250000 kits 350 875 0 Not Approved Already approved under JSSK


FMR Code




Remarks


Approved 168.2 lakhs for SSM drugs (CH), Rs 44.98 for ARSH drugs detailed in write-up. School health drugs, drugs for diarrohea management through VHND.13.5 added.


6793700 0.6 40.76 40.76 Approved


301340 1.4 4.22 4.22 Approved

Drugs for Sisu Sangrachan Mah


B.16.2.3 Procurement - Drugs & Supplies for FP

B.16.2.4 Procurement - Supplies for IMEP

B.16.2.5 Procurement - Drugs & Supplies for health facilities (general)

SUB TOTAL Procurement

2111.71 704.53


MOBILE MEDICAL UNIT (MMU) ROAD MAP FOR PRIORITY ACTION:

Route chart to be widely publicised

GPS to be installed for tracking movement of vehicles

Performance of MMUs to be monitored on a monthly basis (including analysis of number of patients served and services rendered).

MMUs to be well integrated with Primary Health Care facilities and VHND.

Engagement with village panchayats / communities for monitoring of services

AWCs to be visited for services to children below 6 years of age

AWCs to maintain record of services rendered

Service delivery data to be regularly put in public domain on NRHM website.

A universal name ‘Rashtriya Mobile Medical Unit’ to be used for all MMUs funded under NRHM. Also uniform color with emblem of NRHM (in English/ Hindi & Regional languages), Government of India and State Government to be used on all the MMUs.

Budget

FMR Code




Remarks

B.11 B.11 Mobile Medical Units

MMU - CAPEX

27 Nos of unit

1200000 324 0 Approved State may use last year’s approved amount

MMU - OPEX For 7 months

27 Nos of unit

200000 378 0 Approved State may use last year’s approved amount @ Rs 1.65 Lakh per month as per MMU guideline

SUB TOTAL MMU

702 0


REFERRAL TRANSPORT Free referral transport to be ensured for all pregnant women and sick neonates

accessing public health facilities.

Universal access to referral transport throughout the State, including to difficult and

hard to reach areas, to be ensured.

A universal toll free number to be operationalized and 24x7 call centre based approach

adopted.

Vehicles to be GPS fitted for effective network and utilization.

Rigorous and regular monitoring of usage of vehicles to be done

Service delivery data to be regularly put in public domain on NRHM website.

FMR Code


Unit cost

Amount Proposed in Lakhs


Remarks

B.12 B.12 Referral Transport

B.12.1 EMRI - CAPEX

EMRI - CAPEX- Procurement of Ambulance

34 ambulances

Rs 11.59 Lakhs


300 Basic Ambulances

Rs 5 Lakh

1500 1500 Approved Operational cost may be made from JSSK funds

B.12.2 EMRI - Operational Cost (Opex)

34 Ambulances

20 % of 14.4 Lakh per year

97.92 97.92 Approved for 34 Ambulances @ 2.88 Lakh per year for 34 ambulances for 12 month ( 20 % of 14.4 lakhs per year for 34 procured in 2010-11)


FMR Code


Unit cost



Remarks

136 ambulances

40 % of 14.4 Lakhs per year

783.36 783.36 Approved for 136 ambulances @ 5.56 Lakhs per year for 12 month (40 % of 14.4 lakhs per year for 136 ambulances procured in 2011-12)

34 ambulances


195.84 195.84 Approved for 34 new Ambulances @ 5.76 Lakhs for 8 month (1.20 Lakh per month )

34 Ambulances

60 % of 14.4

Lakhs per year

195.84 195.84 Approved for 34 New State Government's ambulances @ 5.76 Lakhs for 8 month (1.20 Lakhs per month )

SUB TOTAL Referral transport/EMRI

3166.96 2772.96


MAINSTREAMING OF AYUSH ROAD MAP FOR PRIORITY ACTION:

State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two streams: Ayurveda and homoeopathy (or Unani, Siddha, Yoga as per the local demand). Panchakarma Unit should also be considered.

OPD in Ayush clinics will be monitored alongwith IPD/OPD for the facility as a whole.

The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.

Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable them to practice their own system of Medicine without difficulty.

At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered depending on local preference.

At CHC/PHC level, Post-Graduate Degree may not be insisted upon.

District Ayurveda Officer should be a member of District Health Society in order to participate in decision making with regard to indent, procurement and issue of AYUSH drugs.

Infrastructure at facilities proposed to be collocated would be provided by Department of AYUSH.

Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM should be given priority for collocation of AYUSH as these are functional facilities with substantial footfalls.

AYUSH medical officers should increasingly be involved in the implementation of national health programmes and for the purpose of supportive supervision and monitoring in the field. They should be encouraged to oversee VHND and outreach activities and in addition programmes such as school health, weekly supplementation of iron and folic acid for adolescents, distribution of contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.

AYUSH medical officer should also be member of the RKS of the facility and actively participate in decision making.

AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter in better served areas.


FMR Code


Unit cost



Remarks

B.9 Mainstreaming of AYUSH

B.9.1 AYUSH - strengthening of AYUSH hospitals

B.9.1 AYUSH - strengthening of Co located AYUSH centers

AYUSH - strengthening of Co located AYUSH centers- Mos-DH

For 95 no 20000 171 231.12 Approved As per approval of FY 2011-12 for 107 AYUSH Medical Officers @ 18000/pm 101 PHC and CHC 6

AYUSH - strengthening of Co located AYUSH centers- MO-CHCs ayurvedgram

For 50 No 20000 90

AYUSH - strengthening of Co located AYUSH centers- MOs-PHCf or 24x7 PHC and malaria endemic block

For 100 no 20000 180 180 Approved for 100 Homeopathy Doctors @ 15000/pm ( implementation of prevention of Malaria through prophylaxis by Chinum Sulph for 20 Blocks along with other National Health programme )


FMR Code


Unit cost



Remarks

B9.2 AYUSH - strengthening of Co located AYUSH centers- Para. Med-CHCs paramedical for CHCs

For 95 no 6600 37.62 0 Not Approved New Staff is not Approved

B.9.3 Other Activity (Excluding HR)

AYUSH - Health Camps in Ayurved grams

B.9.3.1 AYUSH-Yoga

AYUSH-Yoga popularization in Ayurved gram.

146 10,000 14.6 14.6 Approved

AYUSH-Yoga - integration with RCH services

146 15,000 21.9 0 Not Approved

B.9.3.2 AYUSH - new innovations

Prevention of Malaria through Homoeopathy in 20 blocks

Rs6.40/person for 20 blocks of average population of 1.5 lakhs each.

960000 192 192 Approved Subject to the condition that state may document the process along with outcome and share the finding with the GOI

Distribution of Decoction(kadha )for Prevention and Treatment of Seasonal Diseases

6 District Hospital

200000 12 12 Approved


FMR Code


Unit cost



Remarks

Prevention of Disability in Leprosy Cured Person Through AYUSH in 2 Districts in Janjgir Champa and Korba

2 District 2160000 43.2 43.2 Approved Subject to the condition that state may document the process along with outcome and share the finding with the GOI

Provision of pure Drinking Water in Ayurved g ramin florosis affected villages

3 1000000 30 30 Approved

B.9.3.3 Training for AYUSH

Training of AYUSH based treatment and National Health programme for AYUSH doctors in Collocated centre

250 1000 2.5 2.07 Approved For Training 207 AYUSH Doctors @ Rs 1000.

Training of ANM in AYUSH principle in home remedies


SUB TOTAL AYUSH

809.82 704.99


IEC/BCC NRHM ROAD MAP FOR PRIORITY ACTION:

Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter-sectoral convergence particularly with WCD.

Details of activities carried out to be displayed on the website

Budget

FMR Code




Remarks

B.10 IEC/BCC- NRHM (IEC)

B.10.1 IEC - Strengthening of BCC/IEC Bureaus

250 Approved State may submit a comprehensive plan for further approval

IEC - Strengthening of IEC/BCC Bureaus-State Level

1 100000 1

IEC - Strengthening of IEC/BCC Bureaus-District Level

27 25000 6.75

B.10.2 IEC - IEC/BCC strategy

0

B.10.2.1 IEC - development of State IEC/BCC strategy

1 2500000 25

B.10.2.2.1 IEC - IEC/BCC Activities for MH

Lumpsum 240


FMR Code




Remarks

B.10.2.2.2 IEC - IEC/BCC Activities for CH

Lumpsum 130

B.10.2.2.3 IEC - IEC/BCC Activities for FP

Lumpsum 120

B.10.2.2.4 IEC - IEC/BCC Activities for ARSH

Lumpsum 25

B.10.2.2.5 IEC - Other Activities - IEC/BCC-PNDT

10

B.10.3 IEC - IEC/BCC Health Mela

IEC - IEC/BCC Health Mela

IEC - IEC/BCC Health Mela - Dist level

27 200000 54

IEC - IEC/BCC - through ASHA the IEC/BCC material for door to door campaign by ASHA in Village

For 10000 No of panchayats.

1000/Per panchayats

100

SUB TOTAL IEC 711.75 250


MONITORING AND EVALUATION (HMIS)/ MCTS ROAD MAP FOR PRIORITY ACTION:

Data is uploaded, validated and committed; data for the month available by the 15th of the following month.

Uploading of facility wise data by the first quarter of 2012-13.

Facility based HMIS to be implemented. HMIS data to be analysed, discussed with concerned staff at state and district levels and necessary corrective action taken.

Program managers at all levels use HMIS for monthly reviews.

MCTS to be made fully operational for regular and effective monitoring of service delivery including tracking and monitoring of severely anemic women, low birth weight babies and sick neonates.

Pace of registration under MCTS to be speeded up to capture 100% pregnant women and children

Service delivery data to be uploaded regularly.

Progress to be monitored rigorously at all levels

MCTS call centre to be set up at the State level to check the veracity of data and service delivery.

Budget:


Unit cost



Remarks

B.15 Planning, Implementation and Monitoring

B.15.1.2 Community Monitoring ( CM)



Unit cost



Remarks

CM-District level community monitoring review meetings

27 50000 13.5 6.47 Approved for ongoing 70 Blocks @ Rs 9247 per block

CM - Exposure visit 27 200000 54 25.89 Approved for Ongoing 70 Blocks @ 36986 per block

CM-Community Audits based reporting system

27 200000 54 25.89 Approved for Ongoing 70 Blocks @ 36986 per block

B.15.2 Quality Assurance (QA)

Approved Except for the activities indicated at Regional level all other activities for QAC can be approved. With conditionality that all DPs must practice infection prevention protocols in the labour room and OT as a task for this FY year. Approved Amount Rs 107.8 lakhs

QA Cell establishment

QA Cell - state

QA Cell - state- HR



Unit cost



Remarks

QA Cell - state- HR- State Quality Assurance Manager

1Nos of Person

45000 4.05 4.05 Approved

QA Cell - state- HR- Programme Associate

2 30000 5.4 5.4 Approved

QA Cell - state- HR- Office assistant

2 15000 2.7 2.7 Approved

QA Cell - state- Mobility support

1 No. of vehicle

25000 2.25 2.25 Approved

QA Cell - state- Admin. Exp

1 10000 0.9 0.9 Approved

QA Cell - regional

QA Cell - regional- HR

QA Cell - regional- HR- Regional Quality Assurance Manager

4 35000 12.6 0 Not Approved

QA Cell - regional- HR- Office assistant


QA Cell - regional- Mobility support




Unit cost



Remarks

QA Cell - regional- Admin. Exp


QA Cell - Protocols

QA Cell - Protocols Devlopment

1 50000 0.5 0.5 Approved

QA Cell - Expousure visit

60 Nos of person

10000 6 6 Approved

QA Cell - Training on protocols,Including SOP

4 no of batch

100000 4 4 Approved

QA Cell - Workshops and seminars

4 25000 1 1 Approved

QA Cell - Monitoring of quality Including annual report.

27 300000 81 81 Approved

B.15.3 Monitoring and Evaluation (HMIS/ M & E)

B.15.3.1 HMIS

B.15.3.1.1 HMIS - establishment of health info. Center-



Unit cost



Remarks

HMIS - establishment of health info. Center- equipments

Not Approved

HMIS - establishment of health info. Center- equipments-IT

1Blade servers-3, padastal-1. 1Chasis rack 42 Unit, KVM Unit full set, FC switch, Fibre patch cords, 1. UPS 20KVA,

6200000

62


11server padastal, 25 desktop, networking, cooling system AC

2900000

29

HMIS - establishment of health info. Center- equipments- GIS

11Blade server, Internet GIS, GIS Plotter Big, GIS scanner big,

1600000

16


115 desktop, 5 laptop, networking

1100000

11

HMIS - establishment of health info. Center- equipments- Others

1office equipment

1000000

10



Unit cost



Remarks

B.15.3.1.1.3 HMIS - establishment of health info. Center- Operating software

HMIS - establishment of health info. Center- Operating software-IT

1SQL server, Window server 2010-x3 , virtual studio- 1 license

8500000

85

HMIS - establishment of health info. Center- Operating software-GIS

1ARC GIS 4500000

45

HMIS - establishment of health info. Center- Operating software-Others

5

B.15.3.1.1.4 HMIS -Procurement-Data

HMIS -Procurement-Data-ISRO

10

HMIS -Procurement-Data-Other

10

B.15.3.1.1.5 HMIS - Operationalisation



Unit cost



Remarks

HMIS - DSS-Software development and upgradation (IT/GIS/SMS)

1 500000 5 0 Not Approved Sub systems Parallel to National HMIS are not desirable.

HMIS-DSS-Integrated HMIS

1 500000 5 0

HMIS-DSS-Convergence of HMIS with other dept MIS

1 1000000

10 0

HMIS-DSS-GIS based DSS

1 500000 5 0

HMIS-DSS-Hospital Management

1 1500000

15 15 Approved

HMIS-DSS-Procurement Management (PROMIS)

1 1000000

10 10 Approved

HMIS-DSS-Financial management

1 1000000

10 0 Not Approved Sub system Parallel to national HMIS is not desirable.

HMIS - DSS- Software testing

1 500000 5 0

B.15.3.1.1.6 HMIS - Recurring expenditure

HMIS - Recurring expenditure - State -

1 100000 9 Not Approved



Unit cost



Remarks

HMIS - State - HR-IT

0

HMIS - State - HR- IT-system analyst

1Nos of person

60000 5.4

HMIS - State - HR- IT-Programmer

3 40000 10.8

HMIS - State - HR- Data -IT-Manager

1 40000 3.6

HMIS - State - HR- IT-Hardware Engineer-

2 25000 4.5

HMIS - State - HR- IT-Hardware -Data assistant

25 15000 33.75

HMIS - State - HR- GIS

HMIS - State - HR- GIS-analyst

1 80000 7.2

HMIS - State - HR- GIS-programmer

2 50000 9

HMIS - State - HR- GIS-Software specialist

2 40000 7.2

HMIS - State - HR- GIS-Operator

5 15000 6.75

HMIS - State - HR-Other



Unit cost



Remarks

HMIS - State - HR-Admin officer

1 45000 4.05 4.05 Approved (Existing Position as conveyed by State HMIS Officer)

HMIS - State - HR-Accountant

1 25000 2.25 Not Approved

HMIS - State - HR-store keeper

1 25000 2.25

HMIS - State - HR-relationship manager

1 25000 2.25

HMIS - State - HR-Training co-ordinator

1 30000 2.7

HMIS - Recurring expenditure - District

HMIS - Recurring expenditure - District level

27AMC, Internet etc

25000 81

HMIS - Recurring expenditure - Block level

146 10000 175.2

HMIS - Other Activities(MCTS)

HMIS -SMS based HMIS



Unit cost



Remarks

HMIS - SMS charges: Rs. 250.00 lakh including service tax (This includes mobile cost, software cost, SMS Cost, CUG Charges, system management & Support charges)

Target: 75 lakh transactional SMS @ Rs. 3.31/- plus service tax regarding Registration, ANC, PNC, Delivery, migration of patient, vaccination, deaths, expenditure, JSY amount distribution etc to be send by ANMs

3.31 250 0 Approved State may carry forward the approved budget of this activity held under ROP for 2011-12. State may ensure for universal coverage in terms of registration from all the health facility on MCTS Portal. Also and its regular updating as per the services delivered to the beneficiaries on real time basis on the MCTS Portal. As this is a Committed unspent balance State may use the last year’s fund

Handholding cost of 27 person (one for each district) for one year

50 Approved for this year only



Unit cost



Remarks

Set up of 10 - seat Call centre with one year operational cost with automated outbound dialling facility for campaigns, reminders etc {assumption: 12,000 incoming calls per month and 80,000 outbound calls per month)

50 50 Approved Provided that state may share activity wise details of Budget

HMIS - SMS- training

Training cost for 6000 ANMs

15.00

15 15 Approved

HMIS - Printing of registers and Formats

No of Register SHC Register(village wise)-25000;Delivery register-1000;Reporting Format-6000

46.86 46.86 Approved Subject to condition that registers are compatible with the integrated RCH Register (Village wise) designed by MOHFW.

B.15.3.2 Monitoring and Evaluation (M & E)

B.15.3.2.1 M&E- State review mission

B.15.3.2.1.1 M&E-SRM-HR

B.15.3.2.1.1.1 M&E-SRM-HR- SRM leader




Unit cost



Remarks

B.15.3.2.1.1.2 M&E-SRM-HR- Project Associates- (SRM)

12 30000 21.6 21.6

B.15.3.2.1.1.3 M&E-SRM-HR- Project Associates- logistic

1 30000 1.8 1.8

B.15.3.2.1.1.4 M&E-SRM-HR- Office Assistant

6 15000 5.4 5.4

M&E- State review mission-Mobility support

27(2 visit per district-with 3 vehicles@20000/vehicle)

20000 32.4 32.4 Approved

M&E- State review mission- Allowances

27(5 person per visit for 5daysX2 times for each district )

200000 54 54 Approved

M&E- State review mission- Report- State

2(1 midterm and 1 annual report )

500000 10 10 Approved

M&E- State review mission- Report- District

27(2 visit report)

25000 6.75 6.75 Approved

B.15.3.2.2 M&E- Review workshops

M&E- Review workshops- State

4 500000 20 20 Approved

M&E- Review workshops-Regional

8 200000 16 16 Approved



Unit cost



Remarks

M&E- Review workshops-District

12 50000 6 6 Approved

B.15.3.2.3 M&E- Helpline

M&E- Helpline 1 Integrated Call Centre

1000000

10 0 Not Approved for HMIS. A call centre has already been proposed under MCTS fmr.No.(B.15.3.1.3.2)

B.15.4. M&E- Tech. support agency

1 2500000

For Discussion Statistics Division: Details not submitted. Needs to be discussed

PIM Technical Support - Architecture & Engineering

Lump sum 4

PIM- Technical Support

Lump sum 2

-Procurement & supply chain Management

Lump sum 2

PIM - Technical Support

Lump sum 14

-HRD Support including recruitment & training

Lump sum 10

SUB TOTAL M&E 1612.21 490.51


OTHERS Budget: Hospital Strengthening

FMR Code




Remarks

B.4 Hospital Strengthening- (Hosp)

B.4.1 Hosp. Strength.- DH

50 305 0 Approved As this is a Committed unspent balance State may use the last year’s fund .

B.4.2 Hosp. Strength.- CHC

0 0

B.4.3 Hosp. Strength.- PHC

0 0

B.4.4 Hosp. Strength.- SHC

0 0

B.4.5 Hosp. Strength.- Civil hospital

0 0

B.4.6 Hosp. Strength.- Civil dispensary

0 0

SUB TOTAL HOS Strengthening

305 0


Budget: District Action Plans FMR Code




Remarks

B.7 State / District Action Plans (Including Block, Village) AP)

AP - State Action Plans - State Level

1 500000 5 5 Approved

AP - District Action Plans

AP - District Action Plans - District Level

27 100000 27 27 Approved

AP - District Action Plans - Block Level

146 20000 29.2 0 Not Approved

AP - District Action Plans - Village Level


SUB TOTAL Dist Action Plan

101.2 32 Approved

Budget: Panchayti Raj Initiative

FMR Code




Remarks

B.8 Panchayti Raj Initiative (PRI)

B.8.1 PRI- Orientation of PRI Members Towards Health issues and VHSNC. For members of 18500 VHSNCs

1,000 5,000 50 50 Approved. Subject to the condition that state may document the process along with outcome.


FMR Code




Remarks

B.8.2 PRI - Orientation Workshops of PRI at State/Dist. Health Societies, CHC,PHC

1 State Level 500000 5 5 Approved Subject to the condition that state may document the process along with outcome.

27 District Level

100000 27 27 Approved Subject to the condition that state may document the process along with outcome.

B.8.3 PRI - Others

SUB TOTAL PRI

82 82

Budget: PPP/NGOs

FMR Code




Remarks

B.13 PPP/ NGOs

B.13.1 Non Governmental Providers of Health Care RMPs/TBAs

B.13.2 Public Private Partnership diagnostic services and out sourcing 141 CHCs +59 PHCs

200 200000 400 0 Not Approved

B.13.3 NGO Programme / Grant in Aid to NGOs

NGO -RK Mission Narayanpur


FMR Code




Remarks

NGO -RK Mission Narayanpur-HR- Doctors

4 50000 18 18 Approved

NGO -RK Mission Narayanpur-HR- Staff nurse

4 15000 5.4 5.4 Approved

NGO -RK Mission Narayanpur-NRC- Operational cost - 20 beded

20 no. of beds

30000 6 6 Approved

Grant in Aid to RK Mission Bastar ( NRC 20 bedded)

20 no. of beds

30000 6 6 Approved

SUB TOTAL PPP/NGO

435.4 35.4

Budget : New Initiatives/Strategic Interventions

FMR Code


Unit cost



Remarks

B.18 New Initiatives/Strategic Interventions (NI)

NI - Bal Hriday Suraksha Yojna Including 35 Lacs for Technical Support Unit

500 surgery

cases

130000 650 0 Not Approved As advised in last year’s RoP state should bear cost out of their own resources. The State also explore the possibilities to getting the surgeries done in public health facilities


FMR Code


Unit cost



Remarks

NI - CM Bal Shravan yojana Chochler in plant

50 600000 300 Approved Approved in 2010-11 ROP Amount was Rs 100 Lakhs @ 6 Lakhs per Case

NI-Cleft lip& Cleft palate for 100 normal cases and 50 severe surgery

25 0 Not Approved.

NI - Sickle Cell management (Rs.200.00 Carry forward from last year, new initiative of neonatal sickle cell screening.)

300 0 Approved. As this is a Committed unspent balance State may use the last year’s fund

NI- Cervica; Cancer Prevention and control

200 0 Not Approved

NI - Food and Drug Control Carried forward for up gradation of drug testing lab.

450 0 Not Approved. As this is a Committed unspent balance State may use the last year’s fund

NI - Blood Safety 1000 0 Not Approved Blood Processing

Centre through NGO is not approved. State may Strengthen their own system and capacities for blood processing including its companionate. The areas of support from NACO should be identified 1st before NRHM

NI - Online 104medical advice services


FMR Code


Unit cost



Remarks

NI - Online 104 medical advice services- CAPEX

NI - Online 104 medical advice services- OPEX

50 50 Approved : State need to provide detail break up of Operational cost

B.18.12 NI-CG State Medical Service Corporation (CGMSC State has budgted ) 4 regional drug ware houses Rs 300 Lakh + 7 District drug ware houses Rs 420 Lakh + 16 drug ware houses Rs 800 Lakhs +Head office construction Rs 50 Lakhs + 539.08 for HR and other activity

2109.08 0 Approved State may utilize last year’s funds .No New Approval In the FY 2011-12 Total Rs 2199.60 Lakh was approved for Drug warehouse with condition that state need to provide name of drug warehouses along with the time line of construction. In wirte up state has not provided the details of Physical achievement of last year is only 1% (22.1 /2199.60)

SUB TOTAL New Initiatives/Strategic Interventions (NI)

5084.08 50

Budget: Research, Studies, Analysis FMR Code




Remarks

B.20 Research, Studies, Analysis

B.20 Operational research


FMR Code




Remarks

Research - study on Maternal & infant death

10 100000 10 0 Not Approved: New activity State may 1st implement the programme

Research- Dissertation by district


Research- Dissertation by Medical College


SUB TOTAL RESEARCH

34 0

Budget: Support Services

FMR Code


Unit cost



Remarks

B.22 Support Services - Support Strengthening NPCB

B.22.1 Support Services - NPCB - Camp

Support Services - NPCB - Operation

Support Services - NPCB - Others

146.19 0 Not Approved

B22.2 Support Services - Support Strengthening Midwifery Services


FMR Code


Unit cost



Remarks

B.22.3 Support Services - Support Strengthening - NVBDCP

Support Services - NVBDCP - Procurement

Support Services - NVBDCP - Rent for Hiring of store

Support Services: in NVBDCP

Biological and Environmental Management

6.92 6.92 Approved To intensify malaria control activities in the state

Wages for Spraying 300 300 Approved

B.22.4 Support Services - Support Strengthening - RNTCP

181.9 102.08 Approved.

Intermediate level references Lab (IRL)

29.85 19.85 Approved Proposal for IRL support. The proposal for electricity bill, wages for staff is not approved.

Multi-Drug Resistance TB (MDR-TB) and DOTS Plus. Dots Plus site Bilaspur and Raipur. Infrastructure and HR

37.03 37.03 Approved. The proposal for Bilaspur is Ongoing (Approved in 11-12). Similar proposal for Raipur hence approved.

Sputum Collection Kit @ Rs 600/kit for 4776 Sub-Centres

28.66 28.66 Approved May be approved as this is an innovative approach.


FMR Code


Unit cost



Remarks

Communication Charges (132 STS/STLS+307 LT) @100*450*12

5.04 5.04 Approved May be approved if converted into CUG.

1.5 ton Split Air Conditioners for District Durg Store for storage of 2nd line ATT = 18 @ 45,000

8.1 0 Not Approved There is budget provision under RNTCP, State can utilize that.

Illuminator Display Board - 1 each for 18 DTC + 3 Med Coll +1STC = 22 @ 30,000

22 6.6 0 Not Approved There is budget provision under RNTCP IEC head, State can utilize that.

Office Table - 1 for each TU - 66 @ 5000

3.3 0 Not approved.

Office Chair - 1 for each TU - 66 @ 2000


Almirah for 4 new Tus (2 per TU) & 23 new DMCs (1 per DMC) @ 10500


Wall Paintings in all PHI’s (950*3000)

28.5 0 Not Approved There is budget provision under RNTCP IEC head, State can utilize that.

State Drug Store (Rent @ 25000*12)

3 3 Approved There is no provision for this under RNTCP, can be approved


FMR Code


Unit cost



Remarks

Hiring one 4 wheeler on monthly/ per day basis (as per NRHM norms - @ 1800* 15 days* 12)

3.24 0 Not Approved There is budget provision under RNTCP vehicle hiring head, State can utilise that.

LCD for 18 Districts @ 75000 for improving quality of training


For storing PPD in ILR at SDS @ 1 Lakhs and 27 vaccine carriers

3 1 Approved. PPD can be stored in domestic/Commercial refrigerators, so deducted accordingly

One time support intended to cover the costs of the first visit to ART centre after diagnosis of HIV-TB

7.5 7.5 Approved There is no provision for this under RNTCP

B.22.5 Support Services - Other NDCP Support Programmes

B.22.6 Support Services - Other NDCP - Immunization

Support Services - Support Strengthening - NLEP

SUB TOTAL SUPPORT SERVICE

982.41 511.08


Budget: Solar Power

FMR Code




Remarks

B.23 INFRA- Others - Solar Power

INFRA- Others - Solar Power - CHC

Other Expenditure - Power Backup -CHC

42 1368000 574.56 574.56 Approved

Other Expenditure - Power Backup -PHC

125 506000 632.5 632.5 Approved

SUB TOTAL Infra - Solar Power

1207.06 1207.06


NATIONAL DISEASE CONTROL PROGRAMMES (NDCP)


NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)

TARGETS:

Bring the prevalence of IDD to below 5% by 2017

To ensure 100% consumption of adequately iodated salt (15ppm) at the household

level.

ROAD MAP FOR PRIORITY ACTION: Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to below 5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt (15ppm) at the household level under National Iodine Deficiency Disorders Control programme:

1. Establishment of State IDD Cell, if not established in the State/UT for

implementation programme activities.

2. Establishment of State IDD monitoring laboratory, if not established in the State/UT

for conducting quantitative analysis of iodated salt and urine for iodine content

and urinary iodine excretion.

3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab

Technician and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory

should be filled on regular/contractual basis on priority for smooth

implementation of programme.

4. Supply, availability and consumption of adequately iodated salt in the state should

be monitored.

5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to

assess the magnitude of IDD in the respective districts as approved in the PIP and

reports accordingly submitted.

6. Use of Salt testing kits by ASHA/Health Personnel being supplied in the endemic

districts for creating awareness & monitoring of iodated salt consumption at

household level should be monitored and monthly reports are to be submitted as

per the prescribed proforma.

7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in

endemic districts should be made available on regular basis to ASHA.

8. Health education and publicity should be conducted with more focus in the endemic

districts emphasizing about IDD and promotion of consumption of adequately

iodated salt. Should observe Global IDD Celebrations on 21st October by

conducting awareness activities at various level and submission of reports.


DETAILED BUDGET: NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)

FMR Code

Activity Unit cost Physical target Amount Proposed

Amount Approved

Remarks

D IDD

D.1 Establishment of IDD Control Cell-

Implementation & monitoring of the programme

10.00* 10 Filling up of sanctioned vacant posts i.e. Technical Officer, Statistical Assistant & LDC on regular/contract basis on priority.

D.1.a Technical Officer 1 State Government may conduct and co-ordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format.

D.1.b Statistical Assistant 1

D.1.c LDC Typist 1

D.2 IDD Monitoring Lab-

Monitoring of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines.

5.00* 5.00 The vacant sanctioned post of Lab Technician & Lab Asst. should be filled on regular/ contract basis on priority.


FMR Code


Amount Approved

Remarks

D.2.a Lab Technician 1 State Government may conduct quantitative analysis of salt & urine as per NIDDCP Guidelines and furnish monthly/quarterly statements.

D.2.b Lab. Assistant 1

D.3 Health Education & Publicity

Increased awareness about IDD and iodated salt

7.00 7.00 IDD publicity activities including Global IDD Day celebrations at various level.

D.4 IDD Survey/resurvey

Rs. 50,000 per district

4 districts 2 2 State Government may under take 4 district IDD survey as per guidelines and furnish report.

D.5 Salt Testing Kits supplies by GOI inform of kind grant for 2 endemic districts

12 STK per annum per ASH A

Creating iodated salt demand and monitoring of the same at the community level.

State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 2 endemic districts i.e. Bilaspur and Raigar

D.6 ASHA Incentive Rs. 25/- per month for testing 50 salt sample/month

50 salt samples per month per ASHA in 2 endemic district

20.03

TOTAL 24 44.03


INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

There are 11 vacant posts of technical contractual staff (8 Epidemiologists, 2

Microbiologist & 1 Entomologist) under IDSP in the State. The State needs to expedite the

recruitment of these staff by September 2012.

The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers

under IDSP has been completed for the State/Districts. However, the State may give the

additional list of participants to be trained for ToT and 2-week FETP.

In 2011, 61% of all the Reporting Units are reporting weekly surveillance data in P-form

through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance

data (S, P, L) by all the Reporting Units of all Districts through IDSP Portal.

Following district are reporting irregularly (50% or less reporting) /not reporting in IDSP

portal.

Narayanpur

Dantewada

The State has to ensure regular reporting from all districts by September 2012.

The State has to ensure consistent reporting of L form in portal by the district priority lab

at JLN Medical College, Raipur.

Appropriate clinical samples need to be sent for the required lab investigations for all

outbreaks. In 2011, clinical samples were sent for laboratory investigation for 71% of the

disease outbreaks in which 18% were lab confirmed.

The State has to report about the outbreaks every week. Even weekly “NIL” reporting

under IDSP is mandatory.

The State needs to send full investigation report for each disease outbreak. Presently,

such investigation reports are available for only a few outbreaks.

The Audit Report for the financial year 2010-11 has not been received.

State has to ensure timely submission of quarterly Financial monitoring Report and annual

audit report.


DETAILED BUDGET: INTEGRATED DISEASE SURVEILLANCE

PROGRAMME (IDSP)

FMR Code

Activity Unit Cost (where-ever applicable)

Amount Proposed

Amount Approved

Remarks

E.1 Operational Cost

Field Visits Rs 2,40,000 per District Surveillance Unit per annum Rs 5,00,000 State Surveillance Unit per annum

108.61 48.2(5x1+2.4x18)

Approved Office Expenses

Broad Band expenses

Outbreak investigations including Collection and Transport of samples

Review Meetings

Any other expenses

Sub Total 108.61 48.2

* Laboratory Support

District Priority Lab Rs. 4,00,000 per district priority lab per annum

7.5 4.0 Approved

Referral Network Lab Rs. 5,00,000 per referral lab per annum

4.00 Not Approved There is no approved referral lab network under IDSP in the state

Sub Total 11.50 4.0

E.2 Human Resources

E.2.1 Remuneration of Epidemiologists

Rs.25,000 - Rs. 40,000/ per month

95.1 (50,000 x 1 x12+30000x 18 x12+ 30000 x 9 x 12)

62.4 (40,000 × 1× 12+ 30000 x 10 x12 +30000x8x9)

Approved Remunerations for vacant posts are calculated for 9 months. Human resources for the newly formed districts may be requested

E.2.2 Remuneration of Microbiologists

Rs. 25,000 - Rs. 40,000 (Medical Graduates) Rs. 15,000 - Rs. 25,000

12.0 (50000 x 2 x 12)

7.2 (40,000 × 2 × 9)


FMR Code


Amount Proposed

Amount Approved

Remarks

(Others) subsequently.

E.2.3 Remuneration of Entomologists

Rs. 15,000 - Rs. 25,000

3.0 (25000 x 1 x 12)

2.25 (25,000 × 1 × 9)

Veterinary Consultant

Rs. 25,000 -Rs.40,000

4.5 (50000 x1x 9)

0.00

E.3 Consultant-Finance/ Procurement

Rs. 14,000 1.68 for 12 months

1.68 (14,000x1x 12)

E.3.1 Consultant-Training/ Technical

Rs. 28,000 3.36 for 12 months

2.52 (28,000x1x 9)

E.3.2 Data Manager Rs. 14,000 (State) Rs. 13,500 (District)

75.75 30.84 ([14,000 × 1 × 12] + [13,500 × 18 × 12])

E.3.3 Data Entry Operator Rs. 8,500 28.78 20.91 (8,500 × 13 × 12+8500 x10x9 )

E.3.4 State Helper Rs 5000 0.60 0.00

Sub Total 226.02 127.8

E.8 Training As per NRHM Guidelines

One day training of Hospital Doctors

9.09 (181,700 × 5)

1.1

Approved

One day training of Hospital Pharmacist / Nurses

7.20 (40,000 × 18)

1.5

One day training of Medical College Doctors

0.61 (60,500 × 1)

0.40

One day training for Data Entry and analysis for Block Health Team

23.33 (61,400 × 38)

2.0

One day training of DM & DEO

0.55 (54,600 × 1)

0.55

Sub Total 40.77 5.55


FMR Code


Amount Proposed

Amount Approved

Remarks

* New formed Districts Rs. 3,50, 000/- per newly formed district

38.50 38.50 Approved , if these districts are included in the NRHM, the same can be the part of IDSP

Total 354.49 224.05

Proposal under Additionalities

Establishment of New Districts - 11 DSUs for Computer Hardware & Accessories etc

350000 38.50 0.00 Not approved May be budgeted in IDSP budget

GIS Mapping of Epidemic Places

10 000 32.40 0.00 Not approved GIS mapping is budgeted in the expenditure of Central Surveillance unit.

Total 70.90 0.00

*FMR Code not allotted.

1. The following heads will be approved once approval from EFC is obtained.

Remuneration of Veterinary Consultant @ Rs. 25,000 - Rs.40, 000.

2. Based on past trend, Rs. 150.00 lakhs has been approved for Chhattisgarh under IDSP

for 2012-13. However, if there is increase in expenditure by State as per IDSP approved

norm, the budget for State could be increased at RE stage.


NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

TARGETS :

Sr. No.

Physical Targets

Indicator 2010 2011 2012 Remarks

1 Annual Blood Examinate Rate (ABER) i.e. percentage of persons screened annually for Malaria

13.82% 13.73% To sustain the ABER at the same level

Since this is annual figure the proportionate target for six months by monthly blood examination rate should also be fixed. Two districts Durg and Kawardha needs strengthening of surveillance and should be monitored at regular interval.

2 Annual Parasite Incidence (API) i.e. Malaria cases per 1000 population annually

6.14 6.13 < 5.0 Some districts have shown high API, Dantewada (55.45), Narayanpur (39.63) and Bijapur (30.7). Total 9 districts reporting more than 5 API and need to be focussed for micro level monitoring.

3 Sentinel Surveillance Hospital made functional for Dengue & Chikungunya

2 2 2 The functionality to be sustained & ensured and should be monitored by their regular reports

4 No. of districts with Mf rate less than 1% out of total endemic districts

4 out of 6

5 out of 6

6 out of 6

Sustaining Mf rate less than 1%.

Sr. No.

Priority Area for Focussed Attention

1 The districts Dantewada, Bijapur, Narayanpur and allmost all the districts need to be focussed for micro level monitoring to reduce API

2 Malaria control activities in Dantewada, Bijapur and Narayanpur has to be monitored regularly.

3 Mf rate is most crucial parameter and should be done under proper supervision

Sr. Essential Conditionality


No. Post Sanctioned In position

Vacant Target for 2012-13

1 District VBD Officer (VBDO)

18 0 18 Process to be initiated and recruitment to be made for VBDOs

2 Contactual Posts under EAC Project, (State consultants-6; District VBD consultants-16; Malaria Technical Supervisors-96; MPWs1144- LTs-48, FLA-16, DEO-16, IC-2

1361 951 410 All the posts 2 State Consultants, 7-District VBD Consultants, 260- MPWs, 61 MTS, 16 FLA, 1 IC and 34 LTs need to be filled up.

3 Two review meetings in a year to be conducted under the Chairmanship of Principal Secretary (Health)/Mission Director - one before transmission period and second during transmission period.

DesirableConditionality

1 MPWs (Regular) Desirable Conditionality

4918 2531 2387 2387 MPWs posts needs to be filled up on priority basis along with the training to be imparted in this year for malaria control actitvities.

District wise goals (To be done by State)

ABER API Deaths Mf Rate

Name of Districts 2011 2012

2011 2012

2011 2012

2011 2012

Road Map: Surveillance & monitoring under NVBDCP is done throughout the year. Following salient points are to monitor the implementation of programme activities in different quarters. • June- to July - 1st round spraying and observance of anti-malaria month to be ensured and accordingly funds availability at districts to be ensured • Sept. to Oct. - 2nd round of spray and observance of anti-dengue month. Preparatory activities for observance of Mass Drug Administration towards filaria elimination to be started. • Oct. to Dec.-Review and Monitor physical and financial performance and preparation of next annual plan. • Jan. to March - Consolidation of previous year's physical and financial achievement and plan for next year.


DETAILED BUDGET: NATIONAL VECTOR BORNE DISEASES CONTROL PROGRAMME

(NVBDCP)

FMR code Activity Unit Cost Physical target

Amount Proposed

Amount Approved

Remarks

F.1 Domestic Budget Support (DBS)

F.1.1 Malaria

F.1.1.a Contractual Payments

F.1.1.a.i MPW contractual 995.73 450.00 Approved

F.1.1.a.ii Lab Technicians ( against vacancy)

F.1.1.a.iii VBD Technical Supervisor (one for each block)

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

F.1.1.a.v State Consultant (Non – Project States), M&E Consultant (Medical Graduate with PH qualification) - VBD Consultant (preferably entomologist)

F.1.1.b ASHA Incentive 50.00 50.00 Approved For surveillance by active involvement of ASHA,S

F.1.1.c Operational Cost

F.1.1.c.i Spray Wages

F.1.1.c.ii Operational cost for IRS 34.50 Approved From state resource

F.1.1.c.iii Impregnation of Bed nets- for NE states

F.1.1.d Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

29.25 30.00 Approved M & E should be done intensively under strict supervision

F.1.1.e IEC/BCC 32.96 30.00 Approved Comprehensive IEC/BCC activities for all VBD,s

F.1.1.f PPP / NGO and Intersectoral Convergence

F.1.1.g Training / Capacity Building

23.36 25.00



Amount Proposed

Amount Approved

Remarks

F.1.1.h Zonal Entomological units This include EMP implementation plan F.1.1.i Biological and

Environmental Management through VHSC

F.1.1.j Larvivorous Fish support

F.1.1.k Construction and maintenance of Hatcheries

F.1.1.l Any other Activities (Pl. specify)

ASHA Talent Search/Annual Meet of ASHAs in 2 Zones

Sentinel Sites 50.00 0.00 Not approved

TA/DA to spray team, storage and procurement of PPE

Total Malaria (DBS) 1215.80 585.00

F.1.2 Dengue & Chikungunya

F.1.2.a Strengthening surveillance (As per GOI approval)

Approved To strenghten diagonsis facilities and case management .As per Norms, but balance may be used to another VBD also The State should plan the activities as per guidelines to achieve midterm plan objectives The amount under vector control and Environmental management may also be utilised for Malaria Environmental Management

F.1.2.a(i) Apex Referral Labs recurrent

3.50 0.00

F.1.2.a(ii) Sentinel surveillance Hospital recurrent

0.00 2.00

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs

F.1.2.b Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)

F.1.2.c Monitoring/supervision and Rapid response

1.80 2.00

F.1.2.d Epidemic preparedness 4.05 6.00

F.1.2.e Case management

F.1.2.f Vector Control & environmental management

F.1.2.g IEC BCC for Social Mobilization

8.10 5.20



Amount Proposed

Amount Approved

Remarks

F.1.2.h Inter-sectoral convergence

F.1.2.i Training & printing of guidelines, formats etc. including operational research

4.86 4.80

Total Dengue/Chikungunya

22.31 20.00

F.1.3 AES/JE

F.1.3.a Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI

F.1.3.b IEC/BCC specific to J.E. in endemic areas

F.1.3.c Capacity Building

F.1.3.d Monitoring and supervision

F.1.3.e Procurement of Insecticides (Technical Malathion)

F.1.3.f Fogging Machine

F.1.3.g Operational costs for malathion fogging

F.1.3.h Operational Research

F.1.3.i Rehabilitation Setup for selected endemic districts

F.1.3.j ICU Establishment in endemic districts

F.1.3.k ASHA Insentivization for sensitizing community

F.1.3.l Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter

Total AES/JE 0.00 0.00

F.1.4 Lymphatic Filariasis



Amount Proposed

Amount Approved

Remarks

F.1.4.a State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team and contingency support

55.25 12.25

Approved

F.1.4.b Microfilaria Survey

4.23 4.50

Approved Critical parameter; the state needs to ensure the activities

F.1.4.c Post MDA assessment by medical colleges (Govt. & private)/ICMR institutions

2.52 0.00

Not approved

F.1.4.d Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

27.00 42.40

Approved Specific training to be plan as per guidelines

F.1.4.e Specific IEC/BCC at state,district, PHC, Sub-centre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA

23.00 23.10

Approved

F.1.4.f Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA

56.00 74.40

Approved

F.1.4.g Verification and validation for stoppage of MDA in LF endemic districts

1.35

Approved

F.1.4.g.i a) Additional MF Survey

F.1.4.g.ii b) ICT Survey



Amount Proposed

Amount Approved

Remarks

F.1.4.g.iii c) ICT Cost 0.00

F.1.4.h Verification of LF endemicity in non-endemic districts

2.00

Approved

F.1.4.h.i a) LY & Hy Survey in 350 distt

F.1.4.h.ii b) Mf Survey in Non- endemic distt

F.1.4.h.iii c) ICT survey in 200 distt 0.00

F.1.4.i Post-MDA surveillance 1.00 0.00

Total Lymphatic Filariasis 169.00 160.00

F.1.5 Kala-azar

F.1.5 Case search/ Camp Approach

-- --

F.1.5.a Spray Pumps & accessories

F.1.5.b Operational cost for spray including spray wages

F.1.5.c Mobility/POL/supervision

F.1.5.d Monitoring & Evaluation

F.1.5.e Training for spraying

F.1.5.f IEC/ BCC/ Advocacy

Total Kala-azar 0.00 0.00

Total (DBS) 1407.11 765.00

F.2 Externally aided component

F.2.a World Bank support for Malaria (Identified state)

F.2.b Human Resource 259.05 145.00 Approved

F.2.c Training /Capacity building

45.60

40 Approved

F.2.d Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats)

22.90

15

Approved

Kala-azar World Bank assisted Project

F.2.e Human resource Not Applicable



Amount Proposed

Amount Approved

Remarks

F.2.f Capacity building

F.2.g Mobility

F.3 GFATM support for Malaria (NEStates)

Not Applicable

F.3.a Project Management Unit including human resource of N.E. states

F.3.b Training/Capacity Building

F.3.c Planning and Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

F.3.d Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings,

F.3.e IEC / BCC activities as per the project

F.3.f Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

Total : EAC component 327.55 200.00

F.4 Any Other Items ( Please Specify)

0.00 0.00

F.5 Operational costs ( mobility, Review Meeting, communication, formats & reports)

0.00 0.00

Grand total for cash assistance under NVBDCP (DBS + EAC) 1734.66 965.00

F.6 Cash grant for decentralized commodities



Amount Proposed

Amount Approved

Remarks

F.6.a Chloroquine phosphate tablets


F.6.b Primaquine tablets 7.5 mg

3.88

F.6.c Primaquine tablets 2.5 mg

1.34

F.6.d Quinine sulphate tablets 0.00

F.6.e Quinine Injections 4.44

F.6.f DEC 100 mg tablets 71.08

F.6.g Albendazole 400 mg tablets

F.6.h Dengue NS1 antigen kit

F.6.i Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water)

10.00

F.6.j Pyrethrum extract 2% for spare spray

5.00

F.6.k ACT ( For Non Project states)

55.58

Approved Being project state the ACT would be supplied by Centre

F.6.l RDT Malaria – bi-valent (For Non Project states)

F.6.m Any Other Items ( Please Specify)

Synthetic Pyrethroids 313.25 0.00 Not Approved To be met from state resources

Spray Pumps & accessories

42.88 0.00

Lancets/slides/swab/lab reagents etc.

7.30 0.00

Microscopes 43.80 0.00

Not approved May be procured from NRHM flexifund

Total grant for decentralized commodities

608.45 55.50

Grand Total for grant-in-aid under NVBDCP

2343.11 1020.50

Commodity Grants 0.00 2613.80

Total NVBDCP Cash + Commodity 2343.11 3634.30

Cash assistance required under NRHM flexi fund



Amount Proposed

Amount Approved

Remarks

Biological and Environmental Management through VHSC

6.92

306.92

Not approved To intensify malaria control activities in the state

Spray Wages 300.00

Total 306.92 306.92


NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) TARGETS FOR 2012-13:

S.No Goals & Target September'12 March 2013

1 Elimination at Sate level 0 0

2 Elimination at District level 1 2

3 Case detection through ASHA 2600 5167

4 Special activity plan in 91 blocks 91 Blocks Complete 91 Blocks

5 MCR footwear procurement & supply 1200 2400

6 RCS 125 250

7 Development of leprosy expertise 50% of Plan 100% of Plan

8 Treatment Completion Rate assessment for 2011-12 Completed -

9 Audited Report for the year 2011-12 Completed -

10 Expenditure incurred against approved plan budget 50% 100%


DETAILED BUDGET: NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

FMR code

Activity Unit Cost (In Rupees)

Physical Targets

Amount proposed

Amount approved

Remarks

G 1.

Improved early case detection

G 1.1 Incentive to ASHA MB 500 2584 12.92 5.00 Approved No reduced to MB-1000 & PB-1000 Cases

PB300 2583 7.75 3.00

G1.1 a

Sensitization of ASHA 50 - -

G 1.2

Specific -plan for High Endemic Distrcts

12 D 91 Blocks

17.82 17.82

G 2

Improved case management

MCR - 250/- Aids/Appliance -12500 Welfare/RCS - 10,000

2400 18

250

7.20 0.54

25.00

6.00 0.54

25.00

Approved

G 2.2

Urban L:eprosy Control, (Mega city - 0 , Medium

city (1) -3 , Med. City (2)- 1 Township -19)

Meg -280000 Med (1)- 120000 Med. (2) - 236000 Town - 57000

0 8 2 7

0 16.88 14.16

6.84

0 9 60 4.72 3.99

G 2.3 Material & Supplies

G 2.3 a

Supportive drugs, lab. reagents & equipments and printing works

52,000 18 14.40 9.36

G 2.4 NGO - SET Scheme 500000 - - -

G 3 Stigma Reduced

G 3.1

Mass media, Outdoor media, Rural media, Advocacy media

50,000 18 18.00 9.00


FMR code


Physical Targets

Amount proposed

Amount approved

Remarks

G 4.

Development of Leprosy Expertise sustained

G 4.1 Training of new MO 60000 - - - Approved As NLEP rates are very low, higher rates agreed in keeping with other programmes

G 4.2 Refresher training of MO 40000 600 14.90 8.00

G 4.3 Training to New H.S/H.W. 30000 900 10.80 9.00

G 4.4

Other training -Physiotherapist

30000 30 0.50 0.30

G 4.5 Training to Lab. Tech. 30000 60 1.00 0.60

G 4.6

Management training for District Nucleus Team

30000 90 3.24 0.90

G 5.

Monitoring, Supervision and Evaluation System improved

G 5.1

Travel Cost and Review Meeting

Approved

G 5.1 a

travel expenses - Contractual Staff at State level

50000 1 27.00 0.50

G 5.1 b

travel expenses - Contractual Staff at District level

15000 18 6.75 2.70

G 5.1 c Review meetings 25000 4 2.00 1.00

G 5.2

Office Operation & Maintenance

G 5.2 a Office operation - State Cell

38000 1 - 0.38 Approved

G 5.2 b

Office operation - District Cell

18000 18 14.40 3.24 Approved

G 5.2 c

Office equipment maint. State

30000 1 - 0.30 Approved

G 5.3 Consumables

G 5.3 a State Cell 28000 1 - 0.28 Approved

G 5.3 b District Cell 14000 18 - 2.52

G 5.4 Vehicle Hiring and POL

G 5.4 a State Cell 85000 2 9.60 1.70

G 5.4 b District Cell 75000 18 23.76 13.50

G 6. Programme Management ensured


FMR code


Physical Targets

Amount proposed

Amount approved

Remarks

G 6.1

Contractual Staff at State level

G 6.1 a SMO 40000 1x12 7.20 4.80 Approved

G 6.1 b BFO cum Admn. Officer 30000 1x13 3.60 3.60

G 6.1 c Admn. Asstt. 16000 1x14 1.92 1.92

G 6.1 d DEO 12000 1x15 1.44 1.44

G 6.1 e Driver 11000 1x16 1.32 1.32

G 6.2 Contractual Staff at Disrrict level

G 6.2 a Driver 11000 9x12 15.84 11.88 Approved

G 6.2 b

Contractual Staff in selected States, NMS 20000

- - -

G 7. Others

G 7.1

Travel expenses for regular staff for specific programme / training need, awards etc

27.00 4.00

TOTAL 313.78 167.91


NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)

ROAD MAP FOR PRIORITY ACTION: 1. The emphasis will be on primary health centre all vision centres will be established

immediately after receipt of grant with PMOA is in position to facilitate eye care

delivery at the primary health centre.

2. Eye Bank to be established only in Government Hospital and Government Medical

College. The names and address may be furnished in the reports submitted to GOI.

3. Management of Health Society be restricted within Rs.14 lakh only.

4. Payment of Rs.750/- will be made to NGO per operated case if the NGO has used all

facilities of their own like Drugs & Consumables, Sutures, Spectacles, Transports/POL,

organization and publicity and IOL, Viscoelastics & addl. Consumables including their

own Eye Hospital and Doctors.

5. For organizing and motivating identified persons & transporting them to Govt. / NGO

fixed facilities, the NGO would be eligible for support not exceeding Rs.175/- per

operated case. (Transport/POL and organization & publicity.)

6. No payment will be released towards reimbursement to be made to NGOs w. e. f.

01.04.2012 if data entry on Management Information System (MIS) is not completed by

them.

Full details of the NGO funded be provided including the facilities created and the free operations being done by them in lieu thereof


DETAILED BUDGET : NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)

FMR CODE

ACTIVITY Physical Target Amount Proposed

Amount Approved

Remarks

H *Recurring Grant-in aid

H 1.1 For Free Cataract Operation @Rs.750/- per case

61000 458 212.5 Approved on reimbursement basis

H 1.2 Other Eye Diseases@ Rs.1000/-

500 5 5 Approved

H 1.3 School Eye Screening Programme@ Rs.200/- per case

30000 60 60 Approved

H 1.4 Blindness Survey 18 18 0 Not approved

H 1.5 Private Practitioners @as per NGO norms

5000 38 37.5 Approved

H 1.6 Management of State Health Society and Dist. Health Society Remuneration (salary , review meeting, hiring of vehicle and Other Activities & Contingency) @ Rs.14 lakh/ Rs.7 lakh depending on the size of state

15 14 Approved

H 1.7 Recurring GIA to Eye Donation Centers @ Rs.1000/- per pair

0 0

H 1.8 Eye Ball Collection by Eye Bank @ Rs.1500/- per pair

300 5 4.5 Approved

H 1.9 Training PMOA and MIS training

200 10 10 Approved for PMOA and MIS training for 1 time


FMR CODE


Amount Approved

Remarks

H 1.10 IEC, Eye Donation Fortnight, World Sight Day & awareness programme in state & districts etc

663 45 18 Approved

1lac per District and 2 lac for state

H 1.11 Procurement of Ophthalmic Equipment

47 186 100 Approved

H 1.12 Maintenance of Ophthalmic Equipments

18 18 5 Approved

H.2 Non- Recurring Grant-in-aid

H.2.1 For RIO (new) @ Rs.60 lakh

0 0

H.2.2 For Medical College@ Rs.40 lakh

0 0

H.2.3 For vision Centre @ Rs.50000/-

100 50 50 Approved for 100 vision centre

H.2.4 For Eye Bank @ Rs.15 lakh

0 0

H.2.5 For Eye Donation Centre @ Rs.1 lakh

8 8 8 Approved for 8 EDC

H.2.6 For NGOs @ Rs.30 lakh 0 0

H.2.7 For Eye Wards and Eye OTS @ Rs.75 lakh

0 0

H.2.8 For Mobile Ophthalmic Units with tele-network @ Rs.60 lakh

0 0

H.2.9 Grant-in-aid for strengthening of Distt. Hospitals @ Rs.20 lakh

1 20 20 Approved for 1 Distt. Hospital


FMR CODE


Amount Approved

Remarks

H.2.10 Grant-in-aid for strengthening of Sub Divisional. Hospitals@ Rs.5 lakh

1 5 5 Approved for 1 Sub-Distt. Hospital

H.3 Contractual Man Power

H.3.1 Ophthalmic Surgeon@ Rs.25000/- p.m

2 10 6 Approved

H.3.2 Ophthalmic Assistant @ Rs.8000/- p.m

0 0

H.3.3 Eye Donation Counsellors @ Rs.10000/- p.m.

2 3 2.4 Approved

Total 954 557.9


REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)

TARGETS:

Annualized New Smear

Positive Case Detection

rate per lakh population

(April to September 2012)

Annualized New Smear

Positive Case Detection rate

per lakh population

(October to March 2013)

for Treatment Success

rate

(April to September

2012)

Treatment Success

rate

(October to March

2013)

60% 65% 87% 90%

S.No Indicators 2011 2012

1 Annual Suspects Examined Per Lakh

Population 107 180

2 Annual Smear Positive Case Notification

Rate (%) 60% 65%

3 Treatment Success Rate among new

smear positive cases 87% 90%

4 Default Rate among New Smear Positive

TB cases 8% 4%

5 Treatment Success rate among Smear

Positive Re-treatment cases 70% 85%

ROAD MAP FOR PRIORITY ACTION:

All the Key RNTCP contractual staff positions at State/Districts should be filled and

ensuring timely payment of salaries

The State level RNTCP review meetings to be chaired by Health Secretary/Mission

Director (NRHM) at least once in a quarter

To conduct State TB control society meeting, State Coordination committee meeting

(TBHIV) atleast once in a quarter

Scaling up of DOTS Plus services as per the State DOTS Plus action plan

Conduct ACSM/Training activities at State/Districts as per the State annual action plan

To involve Private Practitioners and NGOs in the RNTCP


Timely payment of DOT Providers honorarium at Districts

Strengthening Supervision and Monitoring at all levels

The state could be approved more funds based on expenditure pattern in the first six

months


DETAILED BUDGET: REVISED NATIONAL TUBERCULOSIS CONTROL

PROGRAMME (RNTCP)

FMR CODE.

Activity

Unit cost

Physical target/expected

output

Proposed amount

Approved amount

Remarks

I.1 Civil works

As per Revised Norms

and Basis of Costing

for RNTCP

1) Civil work Up gradation and maintenance completed as

planned; 2) Funds in the head utilized against the approved amount

30.15 30.15 Approved 100%. Approved the proposal for 3rd DOTS Plus site, 3 new DTCs.

I.2 Laboratory materials

As per Revised Norms and Basis of Costing for RNTCP

1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally; 4) Funds in the head utilized against the approved amount

42.14 42.14 Approved 100%.

I.3 Honorarium


1) All eligible Community DOT Providers are paid honorarium in all districts in the FY; 2) Funds in the head utilized against the

49.60 25.00 Approved 80% of the budget proposed for honorarium of DOTS patients. For DOTS Plus 30% approved.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

approved amount

I.4 IEC/ Publicity


1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding; 3) Funds in the head utilized against approved amount

40.10 10.00 Approved Amountlimited to fit into the budget envelop approved by GOI.

I.5 Equipment maintenance


1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition; 3) Funds in the head utilized against approved amount

15.79 11.05 Approved 70%.

I.6 Training


1) Induction training, Update and Re-training of all cadre of staff completed as planned; 2) Funds in the head utilized against approved amount

171.35 70.81 Approved limited to the norm.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

I.7 Vehicle maintenance


1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained; 2) Funds in the head utilized against approved amount

32.75 26.20 Approved 80% of the estimated budget.

I.8 Vehicle hiring


1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding; 3) Funds in the head utilized against approved amount

67.00 56.40 Approval limited to the norm.

I.9 NGO/PP support


1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT 3) Funds in the head utilized against approved amount

122.19 55.08 Approved 45%. *If the state is anticipating deficit in laboratory capacity to conduct C&DST test, then state may budget for funds under C&DST scheme in the NGO /PP head as the RNTCP guidelines for NGO and PPs, as a priority.

I.10 Miscellaneous

As per Revised Norms and Basis of

1) All activities proposed under miscellaneous head in PIP completed; 2)

51.05 43.31 Approved amount as per the norm.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

Costing for RNTCP

Funds in the head utilized against approved amount

I.11 Contractual services


1) All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount

559.61 559.61 Approved 100%.

I.12 Printing


1) All printing activities at state and district level completed as planned; 2) Funds in the head utilized against approved amount

36.49 18.24 Approved 50%.

I.13 Research and studies


1) Proposed Research has been initiated or completed in the FY as planned; 2) Funds in the head utilized against approved amount

4.00 4.00 Approved 100%.

I.14 Medical Colleges


1) All activities proposed under Medical Colleges head in PIP completed; 2) Funds in the head utilized against

21.92 19.30 Not approved Proposal for STLS in Medical College is not approved.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

approved amount

I.15

Procurement –vehicles


1) Procurement of vehicles completed as planned; 2) Funds in the head utilized against approved amount

Approved for amount as per the norm.

Four wheeler 5.00 4.30

Two Wheeler 0 0

I.16 Procurement – equipment


1) Procurement of equipments completed as planned; 2) Funds in the head utilized against approved amount

24.00 15.30 Approved proposal for Procurement of A/C and Computers .Amount budgeted for Photocopier procurement not approved as there is no provision.

I.17 Tribal Action Plan


Total (A) 1400.42

1050.90

B22.4 Additionality funds from NRHM (B) 182.26 102.44

TOTAL (A+B) Rs. 1153.34


Annexure-1

DETAILED BUDGET: RERODUCTIVE CHILD HEALTH (RCH)


(Rs.)

Physical Target/

Expected Output


Remarks Proposed Approved

A.1 Maternal Health (MH)

A.1.1 Operationalise Facilities

A.1.1.1 Operationalise FRUs

1,650.00 25,000.00

Indemnity Insurance of LSAS & EMOC Doc (131) Planning & Monitoring of service delivery (75)

20.91 6.84 Rs. 2.15lakhs: Indemnity insurance. Recommended for approval with conditionality that performance needs to be monitored. 1) Insurance for LSAS trained doctors recommended for 69 doctors @Rs. 1650= Rs. 1.13 lakhs 2) Insurance for CEmOc trained doctors recommended for 62 doctors @ Rs.1650= 1.02 lakhs Total = Rs.2.15lakhs 25% of Rs. 18.75lakhs for planning and monitoring approved.

Operationalise Non-FRU CH/CHCs

25,000.00 Planning and monitoring of service delivery (97)

24.25 0.00 Not recommended for approval. Since all the monitoring related activities must be prepared comprehensively.

A.1.1.2 Operationalisation of 24x7 PHCs

15000.00 10000.00

Planning and Monitoring of service delivery (200) Night security services (200)

230.00

0.00 Rs. 30.00lakhs for planning and monitoring not recommended for approval. Since all the monitoring related activities must be prepared comprehensively. Rs. 200.00lakhs for night security services is not recommended for approval as the proposed is like an employment



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

generation scheme. There is no rationality no. linkages with the DPs so any Additionalities are not recommended

A.1.1.3 MTP - Safe abortion services

5000.00 150.00

7.50

0.00 Not recommended for approval. Since all the monitoring related activities must be prepared comprehensively.

A.1.1.4 RTI/STI Services at Health Facilities

5000.00 350 17.50 0.00 Not approved. Comprehensive plan

needed

A.1.1.5 Operationalise Sub Health Centre

A.1.2 Referral Transport 5000.00 100.00

Remuneration of drivers (225) Incentive to drivers (10000)

145.00 0.00 Not approved separately. JSSK funds may be utilized by the state judiciously to provide comprehensive patient transport

A.1.3 Integrated Outreach RCH Services (Fixed day services)

300.00 /day LD 100.00/day LT 400.00 /day LD 100.00/day LT

Incentive to lady doctors/labtechs (15000) Mobility support to doctors/ labtechs (15000)

135.00 135.00 For fixed day services. Rs. 60.00lakhs: Incentive to lady doctors Rs. 75.00lakhs: Mobility support

A.1.4 Janani Suraksha Yojana / JSY

A.1.4.1 JSY - Home Deliveries

Rs. 500.00 50000 nos. 250.00 250.00 Approved.

A.1.4.2 JSY - Institutional Deliveries

A.1.4.2.a Rural 250.00 1400.00

Incentive for travel (150000) Incentive to beneficiary (250000)

3875.00 3500.00 Rs.375 lakhs -Incentive for travel not recommended. Travel from home to hospital is provisioned under JSSK. Rs. 3500.00lakhs approved for incentive to



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

beneficiary

A.1.4.2.b Urban 500.00 1000.00

Incentive for travel from far towns (20000) Incentive to beneficiary (100000)

1100.00 1000.00 Incentive for travel not approved. Travel from home to hospital is provisioned under JSSK. Rs. 1000.00lakhs approved for incentive to beneficiary

A.1.4.2.c Caesarean Section Rs. 3,500.00 2500 87.50 37.50 Approved @ Rs. 1500/ per C-section

A.1.4.3 JSY - Administrative Expenses (5%)

Admn charges( 1% IEC, 2% monitoring & mobility, 2% office expenses & others

269.13 269.13 Approved

A.1.4.4 Incentive to ASHA 200.00 /case 150.00 /case 50.00 /case

Incentive for motivation (350000) Incentive for stay (250000) Incentive for Maternal Death review (5000)

1077.50 1075.00 Rs. 700.00lakhs: Incentive for motivation Rs. 375.00lakhs: Incentive for stay Incentive for MDR not recommended. No provision under JSY

A.1.5 Maternal Death Review

100.00 200000.00 25000.00 20000.00

Reporting of death (2000) MDR external (lumpsum) Review meetings state level (2) Review meetings regional level (16)

7.70 4.70 Rs. 1.00lakhs: Reporting of death incentive to Mitanin /Kotwar recommended for 2000 cases @ Rs. 0.50 each = 1.00lakhs Rs. 2.00lakhs: External third party audit - not approved Rs. 0.50lakhs: Review meetings state Rs. 3.20lakhs: Review meetings regional

A.1.6 Maternal Health - Other activities



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

For High Risk Pregnancy

1000.00 /case 2000.00 /case 300.00 /case 100.00/case

Incentive to medical team for HIV positive NDs (700) Incentive to medical team for HIV positive C-Sections (300) Incentive to ANM for C-section Hard to reach area (2000) Incentives to ANM/Mitanin for linking reactive ANCs to ICTC (2000)

21.00 21.00 Rs. 7.00lakhs: Incentive for HIV positive NDs Rs. 6.00lakhs: Incentive for HIV positive C-Sections Rs. 6.00lakhs: Incentive to ANM for C-section hard to risk areas - only in high risk pregnancy identified during 3rd ANC and registered in MCTS Rs.2.00 lakhs for Incentives to ANM/Mitanin for linking reactive ANCs to ICTC @ 100 * 2000= 200000

A.1.7 JSSK (for Pregnant Women)

A.1.7.1 Drugs and Consumables (other than reflected in Procurement)

A.1.7.1.1 Drugs consumables & treatment for Normal Delivery

750.00 /case 150000 1125.00 450.00 Recommended for 150000 PW @ Rs. 300 /PW

A.1.7.1.2 Drugs consumables & treatment for Caesarean Delivery

4000.00 /case

5000 200.00 80.00 Recommended for 5000 C-Section deliveries at public health facilities @ Rs. 1600/delivery

A.1.7.2 Diagnostic 500.00 /case

5000 25.00 10.00 Recommended for 200 PW @ Rs. 500/PW for all JSSK cases

A.1.7.3 Blood transfusion 850.00 /case

2000 17.00 6.00 Recommended for 2000 PW @ Rs. 300/PW

A.1.7.4 Diet (3 days for ND and 7 days for C-section) 300.00 /case

700.00 /case

Normal Deliveries (150000) C-Sections (5000)

485.00 485.00 Rs. 450.00lakhs: Diet for normal delivery Rs. 35.00lakhs: Diet for all C-section cases in JSSK centres



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.1.7.5 Free Referral Transport (other than A1.2)

500.00 /case 750.00 /case 750.00 /case

Home to hospital (150000) Interfacility (50000) Hospital to home (150000)

2250.00 825.00 Rs. 325.00lakhs recommended for home to hospital RT for 150000 PW @Rs. 250/PW. Rs. 75.00lakhsecommended for interfacility RT for 30000 PW @ Rs. 250.00/PW Rs. 375.00lakhs recommended for hospital to home RT for 150000 PW @ Rs. 250.00/PW

Sub-total Maternal Health (excluding

JSY)

4710.86 2023.54

Sub-total JSY 6659.13 6131.63

A.2 CHILD HEALTH CH

A.2.1 IMNCI

A.2.1.1 IMNCI - Planning monitoring

Rs. 25,000.00

27 districts 6.75 6.75

A.2.1.2 IMNCI - Operationalisation

Rs. 25,000.00


A.2.1.3 IMNCI - Pre-service trainning in medical college/ nursing college/ ANMTC

5.00 5.00

A.2.2 Facility Based New Born Care ( FBNC)( SNCU/NBSU/NBCC)

A.2.2.1 FBNC- Planning and Monitoring

Rs. 5,000.00 1500 delivery points

75.00 0.00 Not approved.

A.2.2.2 Sick New Born Care unit / SNCU

A.2.2.2.1 SNCU Establishment

A.2.2.2.2 SNCU Operational Cost+

Rs. 1,000,000.00

12; including power audit

120.00 60.00 Cost approved @10.00 lakhs for 4 units and @2.5 lakhs for 8 units (cost for 3 months for new units)



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.2.2.2.2.1 SNCU Operational Cost- incentive to Paedtirician

Rs. 750.00 5000 cases Rs. 2500 for First 10 admissions thereafter Rs 250 per case per month

37.50 0.00 Approval pending, criteria for providing incentives to be redefined.

A.2.2.3 New Born Stablization unit (NBSU)

A.2.2.3.1 NBSU Establishment

37 0.00 0.00 State has indicated that, this is to be met from committed amount of 2011-12 (Rs. 64.75 lakhs)

A.2.2.3.2 NBSU Operational Cost

Rs. 175,000.00

113 (Full operational cost for 67 NBSU's & half operational cost for 25 NBSU's which will be made operational after 2nd quarter of 2012-13)

139.13 33.25 Approved for 38 NBSUs for 6 months. (38*Rs.87500)

A.2.2.4 New Born Care Corner (NBCC)

A.2.2.4.1 NBCC Establishment

State has indicated that, this is to be met from committed amount of 2011-12 (Rs. 97.50 lakhs)

A.2.2.4.2 NBCC - Maintenance

Rs. 20,000.00

500 100.00 48 As per data there are 1126 delivery points.Cost being santioned for 195 existing NBCCs and 285 proposed for 2012-13 @ 10,000 for 6 months. (195*10000+285*10000)

A.2.3 Home Based New Born Care (HBNC)

A.2.3.1 HBNC Planning & Monitoring

A.2.4 Infant and Young Child Feeding / IYCF



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.2.5 Care of Sick Children and Severe Malnutrition CSCSM)


A.2.5.1 NRC - maintainence

Rs. 50,000.00

60 30.00 25.00 40 units @50,000 and 20units@25,000

A.2.5.2 NRC - Operational Cost

A.2.5.2.1 NRC - Salary of NRCs staff

A.2.5.2.1.1 NRC - Salary of NRCs staff - Feeding Demonstrator

Rs. 10,000.00

60 nos. 72.00 54.00 Cost for 30 units@ 6 months

A.2.5.2.1.2 NRC - Salary of NRCs staff - Cook

Rs. 4,500.00 60 nos. 32.40 24.30 Cost for 30 units @ 6 months

A.2.5.2.2 NRC - Food Mother & Child

Rs. 100.00 5000 nos. 80.00 80.00

A.2.5.2.3 NRC - Wage loss compensation to mother

Rs. 100.00 5000 cases 80.00 80.00 16 days Duration

A.2.5.2.4 NRC - Incentive to AWW for Referral

A.2.5.2.5 NRC - Contingency Rs. 200.00 5000 nos. (SAM Referral

& Contingency)

10.00 3.33 provided for 33% cases only.

A.2.6 Mgmt of Diarrohea,ARI and Micronutrient Mal / Shishu sanrashan Mahh

A.2.6.1 Mgmt of Diarrohea, ARI Procurement of Zinc and Ors

A.2.6.2 Mgmt of Diarrohea, others

Rs. 50,000.00

27 districts (referral &

treatment of patients.)

13.50 0.00 Approval pending. Details of activities needs to be shared.

A.2.7 Other strategies/activities - Shishu Sanrashan Mahh(SSM)


A.2.7.1 SSM - Drug & Nutrition



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

suplliments

A.2.7.1.1 SSM - Drug - Vit. A solution Procurment

A.2.7.1.2 SSM - Drug - Tab Albendazole Procurment

A.2.7.1.3 SSM - Drug - Tab. IFA (Adult) Procurment

A.2.7.1.4 SSM - Drug - Syrup IFA Procurment

A.2.7.1.5 SSM - cost of drugs distribution

A.2.7.2 SSM - Social Mobilization -advertisement

Rs. 500,000.00

1 5.00 0.00 To be included in consolidated IEC/BCC budget

A.2.7.3 SSM - TV spots Rs. 500,000.00 1 5.00 0.00

A.2.7.4 SSM - Mobility support and monitoring

A.2.7.4.1 SSM - Mobility support and monitoring at District Level

Rs. 20,000.00

27 districts 5.40 1.35 25% approved.

A.2.7.4.2 SSM - Mobility support and monitoring at BlockLevel Rs. 5,000.00 146 blocks

7.30 1.83

A.2.7.5 SSM - Urban service delivery

Rs. 20,000.00


A.2.8 Infant Death Review (IDR)

A.2.8.1 IDR - Death Reporting

Rs. 50.00 20000 10.00 0.00 Duplication. Not approved. Incentive proposed for ASHAs under FMR 2.9.4

A.2.8.2 IDR - Death Audit Rs. 500.00 20000 (Rewiew of

infant deaths)

100.00 25.00 Rs. 500 (250 each for 2 investigators for community based child death review) for 5,000 deaths

A.2.8.3 IDR - Death Audit( External)

third party audit

5.00 5.00

A.2.9 Incentive Under Child Health



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.2.9.1 Incentive - ASHA - HBNC - Incentive for Services

Rs. 250.00 200000 500.00 500.00

A.2.9.2 Incentive - ASHA - FBNC - Incentive for Referral

Rs. 200.00 30000 60.00 0.00 Not approved.

A.2.9.3 Incentive - ASHA - NRC - Incentive for Referral

Rs. 150.00 5000 7.50 10.00 Approved @ Rs. 50 as per Operational guidelines for referral and Rs. 150 for follow-up visits for ASHAs only.

A.2.9.4 Incentive - ASHA - IDR - Incentive for Infant Death Reporting

Rs. 50.00 20000 10.00 10.00 Approved.

A.2.9.5 Incentive - JSSK - Incentive for Staff

Rs. 100.00 30000 (MO/RMA -

50%, support staff- 50%)

30.00 0.00 Not approved. Not backed by explanation or outputs.

A.2.10 JSSK (for Sick neonates up to 30 days)

A.2.10.1 JSSK - Child - Drugs & Consumables

Rs. 1,000.00 30000 cases 300.00 30.00 Rs.200 for 15000 cases

A.2.10.1.1 JSSK- Child - Blood transfusion

Rs. 850.00 200 cases 1.70 0.60 200 cases @ Rs.300

A.2.10.2 JSSK - Child - Diagnostics

Rs. 200.00 10000 cases 20.00 0.00 Already covered under drugs and consumables

A.2.10.2.1 JSSK- Child- Food for mother

Rs. 300.00 30000 cases 90.00 45.00 15000 cases @Rs.300

A.2.10.3 JSSK - Child - Referral Transport

A.2.10.3.1 JSSK - Child - Home to Hospital

Rs. 500.00 30000 cases 150.00

75.75

Rs.250 each for home to hospital, 2% interfacility, hospital to home 15000 cases

A.2.10.3.2 JSSK - Child - Interfacility Transfer

Rs. 750.00 5000 cases 37.50

A.2.10.3.3 JSSK - Child - Hospital to Home

Rs. 750.00 30000 cases 225.00

Sub-total Child Health

2382.83 1132.26

A.3 FAMILY PLANNING

A.3.1 Terminal / Limiting Methods

A.3.1.1 Dissemination of Manuals on

Rs. 10,000.00

27 2.70

2.70



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

Sterilization & QA of Sevices

A.3.1.1.1 Field Review Meeting and Monitoring on Camp and Fixed Day Service

Rs. 25,000.00

173 43.25 0.00 Not approved.No details available in the write-up.

A.3.1.2 Organise Female Sterilisation Camp

Rs. 15,000.00

550 camps 82.50 82.50

A.3.1.3 Organise NSV Camp

Rs. 35,000.00

200 camps 70.00 70.00

A.3.1.4 Compensation for female sterilisation

A.3.1.4.1 Public - Compensation for Female Sterilization

1000.00 130000 nos. 1300.00 1300.00

A.3.1.5 Compensation for male sterilisation

Rs. 1,500.00 20000 300.00 300.00

A.3.1.6 Private - Compensation for Male Sterilization

Rs. 1,500.00 4000 nos. 60.00 60.00

A.3.1.6.1 Private - Compensation for Female Sterilization - Hospitals

Rs. 1,500.00 30000 nos. 450.00 450.00

A.3.1.6.2 Accreditation of Private Partner for Sterilization Servvice

1.00 1.00

A.3.2 Spacing Methods

A.3.2.1 IUD - fixed day service

Rs. 20.00 25000 nos. 5.00 5.00

A.3.2.2 IUD Services at Health Facilities

Rs. 20.00 125000 25.00 25.00

A.3.2.3 Accreditation of Private providers for IUD insertion services

A.3.2.4 Social Marketing of Contraceptives

A.3.2.5 Contraceptive update seminars

A.3.3 Mobility Support for Family Planning

Rs. 1,000.00 1000 camps 10.00 0.00 Fund for POL is already approved under camps; not recommended for approval.



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.3.4 Repairs of Laparoscopes

5.00 0.00 Not approved.No details available in the write-up.

A.3.5 Other Strategies / Activities

A.3.5.1 Monitoring of IUCD services - HLFPPT

Rs. 5,000,000.00

1 50.00 Shifted under training section (FMR code A.9.6.6.1).

A.3.5.2 World Population Day Celebration

A.3.5.2.1 World Population Day Celebration - District level

Rs. 400,000.00

27 108.00

122.60

State has proposed Rs. 1.00 lakhs/ block. State may note that as per GoI norm Rs. 10000/ block is approved.

A.3.5.2.2 World Population Day Celebration - Block level

Rs. 100,000.00

146 146.00

Sub-total Family Planning

(excluding compensation)

448.45 208.80

Sub-total Sterilisation and

IUD compensation & NSV camps

2210.00 2210.00

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH (ARSH)

A.4.1 Adolescent Services at Health Facilities


Rs. 20,000.00

27 5.40

5.40 Approved

A.4.1.2 Establishment of stand alone AFHC

A.4.1.2.1 Establishment of model AFHC

Rs. 800,000.00

2 16.00

16.00 Approved

A.4.1.2.2 Establishment of other AFHC

Rs. 50,000.00

52

26.00 11.50 In the write-up, State has proposed setting up of 23 Stand Alone Clinics, hence budget for 23 Clinics may be approved.

A.4.1.3 Clinics - Operational expenses- stand alone AFHC

Rs. 25,000.00

54 13.50 2.76 In the write-up, State has proposed operational expenses @ Rs 1000/- per month for 23 Stand Alone Clinics, hence budget for



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

23 clinics approved.

A.4.1.4 Establishment of integrated AFHC

Rs. 20,000.00

27 5.40 3.60 In the write up State has provided a list of 18 AFHCs to be integrated with ICTC, but budget proposed is for 27 AFHCs. Budget for 18 AFHCs approved.

A.4.1.5 Clinics - Operational expenses- integrated AFHC

Rs. 25,000.00

27 6.75 2.16 In the writeup, Rs 1000/- per month is budgeted as operational expenses for the Integrated AFHCs but in the budget sheet,Rs 25000/- per clinic per month is proposed. Budget @ Rs 1000/- per clinic for 18 clinics approved.

A.4.1.6 Contractual appointment of Counsellors

A.4.1.7 Mobility support to ICTC councellor for Outreach activity

Rs. 100.00 500 0.50 0.50 Approved

A.4.2 School Health Programme

Approval pending. A revised proposal with dedicated team based approach is expected.


Rs. 50,000.00

27 13.50

A.4.2.2 Contractual Appointment of Dentists

A.4.2.3 Health education

A.4.2.3.1 Health cards Rs. 1.20 3000000 36.00

A.4.2.3.2 Health Education Books

Rs. 30.00 70000 21.00

A.4.2.4 Regional review meetings

Rs. 25,000.00

16 4.00

A.4.2.5 Online monitoring system of Sick students

Rs. 50,000.00

27 13.50

A.4.3 Other Stratigies/activities

Sub-total ARSH 161.55 41.92



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.5 URBAN RCH

Approval pending. Details of service delivery is not clear. Existing UHCs and

their functioning not mentioned.

A.5.1 Urban RCH Services

A.5.1.1 Planning for urban bodies

Rs. 100,000.00

27 27.00 0.00

A.5.1.2 Minor civil works

A.5.1.3 Minor equipment &others

Rs. 50,000.00

30 15.00 0.00

A.5.1.4 Urban RCH - Operational Exp.

A.5.1.4.1 Salary of MO, SN& LT for urban slums

A.5.1.4.2 Drugs and Consumables other than RCH kit

Rs. 100,000.00

30 30.00 0.00

A.5.1.4.3 Monitoring and quality control

5.00 0.00

A.5.1.4.4 Contingency Rs. 50,000.00

30 15.00 0.00

Sub-total Urban Health

92.00 0.00

A.6 TRIBAL RCH

A.6.1 Planning & Monitoring of Services

Rs. 100,000.00

10 10.00 10.00 Approved subject to details of planning & monitoring system being provided including break up of costs.

A.6.2 Health camps

A.6.3.1 Health camps in haat bazar

Rs. 25,000.00

120 30.00 12.00 120*Rs.10,000

A.6.3.2 Health camps In schools/others

Rs. 25,000.00

60 15.00 12.00 Should be a part of comprehensive school health

A.6.4 Incentives

A.6.4.1 Incentives- Institutional Deliveries - Incentive to attendant in LWE Blocks

Rs. 350.00 20000 70.00 0.00 Not approved

A.6.4.2 Incentive- ASHA- Additional Incentive to ASHA in LWE Blocks

Rs. 100.00 15000 15.00 15.00 for Insitutional delivery, NRC referral, FBNC

Sub-total Tribal Health

140.00 49.00

A.7 PNDT Activities - RCH PNDT budgeted in IEC

A.7.1 PNDT - Support to



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

PNDT Cell

A.7.1.1 Operationalise PNDT Cell

Rs. 25,000.00

Incentive to informers (50)

12.50 12.50 Approved.

A.7.1.2 Orientation of Programme Managers and service provider on PC&PNDT Act.

Rs. 1,000.00 200 2.00 2.00 Approved.

A.7.2 PNDT - Other activities

Sub-total PNDT & Sex Ratio 14.50 14.50

A.8 INFRASTRUCTURE (MINOR CIVIL WORKS) & HUMAN RESOURCES

A.8.1 Contractual Staff & Services

A.8.1.1 ANMs,Supervisory Nurses, LHVs

9000.00 9000.00 12000.00 12000.00 12000.00 12000.00 12000.00

ANMs 24x7 PHCs (100) 2nd ANMs in SHC (500) SNs CD (29) SNs FRUs (180) SNs SNCUs (96) SNs Non FRU CHC (95) SNs 24x7 PHC (100)

1368.00 236.04 281 ANMs approved for SCs where deliveries are being conducted as per last year's (2011-12) approval. State to come up with redeployment plan for ANMs and SNs. State needs to come up with HR plan woven around the delivery points. Rest HR not approved.

A.8.1.2 Laboratory Technicians, MPWs

10,000.00 LTs CD (29) 26.10 26.1 Approved. State to fill up the existing vacancies at the earliest from the State budget.

A.8.1.3

Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC)

A.8.1.4 PHNs at CHC, PHC Level

A.8.1.5 Medical Officers at CHCs / PHCs

20000.00 30000.00

Dentists at CHCs (141) MOs at PHCs/CD (29)

221.40 52.2 Approved : Rs. 52.20lakhs ( MOs at PHCs/CD) Not approved : Rs. 169.20lakhs (Dentists at CHCs)



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.8.1.6 Additional Allowances/ Incentives to M.O.S of PHCs and CHCs

A.8.1.7 Others - Computer Assistants/ BCC Co-Ordinator Etc

8000.00/ FP counsellor

27.00 0.00 19.44 (1) State was advised to propose for FP counsellors at high case load facilities; however, same has not been addressed in the revised PIP. As per the discussion with state nodal officer, it is recommended to approve 27 counsellors one at each district @ Rs. 8000/ month (2) Salary for counsellors is proposed for 9 months only considering it would take 2-3 months to complete recruitment process.

A.8.1.8 HR - Incentive/ Awards Etc. to SN, ANMs Etc.

2571.65

500.00 Approved as per last year's (2011-12)

A.8.1.8.1 Incentive for EMoC and LSAS

500.00 /case 500.00 /case 1000.00 /case

EMoC Incentives for C-Section (2500) LSAS Incentives for C-Section (2500) Nurse and OT Incentive for C-Section (2500)

50.00 20.00 Performance incentive to the LSASand EmOC trained doctor can be approved as lump sum for Rs. 20.00 lakhs against proposed budget of Rs.25.00 lakhs. State to ensure that incentive is applicable after a threshold level. Rs.25 lakhs -Nurse and OT Incentive for C-Section: Not recommended for approval in the present format for those working in the LWE area. Proposal needs revision.



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.8.1.9 Human Resources Development (Other Than Above)

15000.00 15000.00 15000.00

RMAs at CHC (282) RMAs at 24x7 PHC (400) RMAs at other PHC (550)

1377.60 1377.6 Approved. Rs. 507.60lakhs: RMAs at CHC Rs. 540.00lakhs: RMAs at 24x7 PHC Rs. 330.00lakhs: RMAs at other PHC

A.8.1.9.1 Technical staff for DH strengthening (from MFP)

Rs.135 lakhs shifted from MFP not approved. State to provide comprehensive HR plan weaved around the delivery points and OPD/IPD load.

Sub-total Infrastructure & HR 5614.75 2231.38

A.9 TRAINING (TRG)

A.9.1 Strengthening of Training Institutions

A.9.1.1 Equipment and trainning aids to Training Institutions- ANMTC

Rs. 230,000.00

11 centres 25.30 25.30

A.9.1.2 Equipment and trainning aids to Training Institutions- skill lab at ANMTC

Rs. 1,500,000.00

4 centres 60.00 0.00 Not approved.

A.9.1.3 Equipment and trainning aids to Training Institutions- GNMS

Rs. 230,000.00

3 centres 6.90 6.90

A.9.1.4 Equipment and trainning aids to Training Institutions- RHFWTC

Rs. 230,000.00

3 centres 6.90 2.30

A.9.1.5 Equipment and trainning aids to Training Institutions- SIHFW

Rs. 1,500,000.00

1 15.00 15.00

A.9.1.6 Equipment and trainning aids to Training Institutions- DTC

Rs. 40,000.00

27 centres 10.80 7.20

A.9.2 Development of Training Packages

Rs. 200,000.00

10 20.00 20.00

A.9.3 Maternal Health Training



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.9.3.1 Skilled Birth Attendance / SBA

A.9.3.1.1 SBA - Training of ANM / LHVs

Rs. 101,430.00

52 batches 52.74 52.74 52 batches with training centre

A.9.3.1.2 SBA - Training of ANM / LHVs

Rs. 111,430.00

48 batches 53.49 53.49 52 batches without training centre

A.9.3.2 EmOC Training

A.9.3.2.1 EmOC - Training of MO's

Rs. 1,477,540.00

4 batches 59.10 59.10

A.9.3.3 Life Saving Anesthesia Skills Training

A.9.3.3.1 Training of LSAS ( Medical college)

Rs. 706,387.50

6 batches 42.38 42.38

A.9.3.3.2 Training of MO's ( district hospital)

Rs. 267,663.00

6 batches 16.06 16.06

A.9.3.3.3 Training of experts for examination

Rs. 310,000.00

2 batches 6.20 6.20

A.9.3.4 MTP Training

A.9.3.4.1 Training of MO's Rs. 50,025.00

30 batches 15.01 15.01

A.9.3.4.2 Training of SN / OT Attendant

Rs. 60,030.00

1 0.60 0.60

A.9.3.4.3 Training of MO's(refresher)

Rs. 86,250.00

1 0.86 0.86 Can only be approved if they give an undertaking that they will perform.

A.9.3.5 RTI/STI Training

A.9.3.5.1 RTI/STI Training of MO's/RMA

Rs. 72,450.00

10 batches 7.25 7.25

A.9.3.5.2 RTI/STI Training of Laboratory technicians

Rs. 72,450.00

10 batches 7.25 7.25

A.9.3.5.3 RTI/STI Training of Staff Nurse

Rs. 72,450.00

10 batches 7.25 7.25

A.9.3.6 BEmoc Training

A.9.3.6.1 BEmOC - TOT for BEmOc

Rs. 69,575.00

8 batches 5.57 5.57 2 days pilot BEMOC training of SN

A.9.3.6.2 BEmOC- Training of Mos

Rs. 75,325.00

24 batches 18.08 18.08

A.9.3.6.3 BEmOC- Training of RMAs

Rs. 58,075.00

35 batches 20.33 20.33

A.9.3.7 Other- Training Rs. 86,825.00

1 0.87 0.87 2 days pilot BEMOC training

A.9.3.7.1 Blood Storage training- MO

Rs. 13,963.00

50 6.98 6.98

A.9.3.7.2 Blood Storage training-Lab Tech.

Rs. 10,868.00

50 5.43 5.43

A.9.4 IMEP Training



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.9.4.1 IMEP Training of Medical & para medical

Rs. 2,800.00 500 participants

14.00 14.00

A.9.4.2 Others- Quality ANC Care

A.9.4.2.1 ANC care TOT Rs. 135,700.00

1 1.36 1.36

A.9.4.2.2 ANC care ANM District TOT

Rs. 188,600.00

6 11.32 11.32

A.9.4.2.3 ANC care ANM Where DTC available

Rs. 120,980.00

45 54.44 108.88 Recommended for 90 batches @ Rs. 120980

A.9.4.2.4 ANC care ANM Where DTC NOT AVAILABLE

Rs. 130,980.00

30 39.29 78.59 Recommended for 60 batches @Rs. 130980

A.9.5 Child Health Training

A.9.5.1 IMNCI training

A.9.5.1.1 IMNCI - TOT on IMNCI

Rs. 252,080.00

5 batches 12.60 12.60 5batch x20 nos

A.9.5.1.2 IMNCI - Training for ANMs

Rs. 226,320.00

20 batches 45.26 45.26 480 ANM

A.9.5.1.3 IMNCI - Training for LHS/MO/SN

Rs. 252,080.00

16 batches 40.33 40.33 384 SN/LHV

A.9.5.1.4 IMNCI - Training for RMA

Rs. 226,320.00

10 batches 22.63 22.63 240 RMA

A.9.5.2 F-IMNCI training

A.9.5.2.1 F-IMNCI - training-MO's

Rs. 283,360.00

12 batches 34.00 34.00

A.9.5.2.2 F-IMNCI - training- Staff Nurse

A.9.5.2.3 Facility Based Newborn Care training

A.9.5.2.3.1 FBNC- MOs Rs. 95,300.00

23 21.92 21.92 115 MOs

A.9.5.2.3.2 FBNC- SNs Rs. 22,831.00

155 35.39 35.39 413 SN

A.9.5.3 Home Based Newborn Care training

A.9.5.3.1 HBNC - TOT on HBNC

A.9.5.3.2 HBNC - Training for ASHA

Budgeted in ASHA Training

A.9.5.4 Care of Sick Children & Severe Malnutrition



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

training at FRUs

A.9.5.4.1 CSCSM - TOT on CSCSM

A.9.5.4.2 CSCSM - Training for MO's

Rs. 10,000.00

40 4.00 4.00 Refresher training on NRC's

A.9.5.5 CH Other training

A.9.5.5.1 NSSK Training

A.9.5.5.1.1 NSSK Training- TOT on NSSK

A.9.5.5.1.2 NSSK - Training for MO's

A.9.5.5.1.3 NSSK - Training for RMAs

Rs. 74,170.00

17 12.61 12.61 RMA training

A.9.5.5.1.4 NSSK - Training for Staff Nurse

A.9.5.5.1.5 NSSK - Training for ANMs

Rs. 74,170.00

100 74.17 74.17

A.9.5.5.2 VHND training

A.9.5.5.2.1 VHND training- TOT

Rs. 80,000.00

2 1.60 1.60

A.9.5.5.2.2 VHND training- Block level

Rs. 80,000.00

18 14.40 14.40

A.9.5.5.2.3 VHND training- sector level

Rs. 80,000.00

104 83.20 83.20 training of AWW/ANM/LHV/MT/ Supervisor(ICDS)

A.9.5.5.3 CH-IYCF- Operational Exp.

Rs. 5,000.00 200 batches 10.00 10.00

A.9.6 Family Planning Training

A.9.6.1 Laparoscopic Sterilization Training

A.9.6.1.1 Laparoscopic Sterilization - TOT on Leparoscop

A.9.6.1.2 Laparoscopic Sterilization - MO's / SN / OT asst.

Rs. 181,380.00

5 batches 9.07 5.44 Proposed rate is very high, Recommended for approval @ Rs. 43900/ batch for a batch of 2 doctors

A.9.6.2 Minilap Training - TOT on Minilap

0.00

A.9.6.2.1 Minilap Training - Training for MO's

Rs. 151,150.00

6 batches 9.07 5.70 (1) State may note that as per GoI nrom, maximum of 4 participants are allowed/ batch and rate/ batch is Rs. 71240.



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

(2) Number of batches have been increased to 8 and and accordingly recommended for approval.

A.9.6.3 NSV Training

A.9.6.3.1 NSV Training - Training for MO's

Rs. 66,625.00

4 2.67 1.63 (1) State may note that as per GoI nrom, maximum of 4 participants are allowed/ batch and rate/ batch is Rs. 32600. (2) Number of batches have been increased to 5 and and accordingly recommended for approval.

A.9.6.4 IUD Insertion Training

A.9.6.4.1 TOT PPIUCD Rs. 49,950.00

6 3.00 3.00

A.9.6.4.2 PPIUCD Insertion Training-MO/SN/LHV

Rs. 111,025.00

22 24.43 24.43

A.9.6.4.3 IUD Insertion Training-ANM

Rs. 49,950.00

60 29.97 29.97

A.9.6.4.4 PPIUCD Insertion Training-MO/

Rs. 49,950.00

50 24.98 24.98

A.9.6.5 Contraceptive Update/ISD Training

A.9.6.6 Other FP trainig (pl. Specify)

A.9.6.6.1

IUCD training facilitated by HLFPPT

209.69

(1) Shifted from FMR A.3.4 of state budget sheet. (2) State has proposed a lump sum amount of Rs. 50.00 lakhs. (3) An amount of Rs. 206.69 lakhs is approved for IUCD training facilitated by HLFPPT.

A.9.7 TRG - ARSH Training

A.9.7.1 Training for MO's Rs. 112,987.50




(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.9.7.2 Training for ANMs / LHVs/RMA

Rs. 145,188.00

8 11.62 5.81 In the write-up, 4 batches of training is proposed, budget for 4 batches may be approved.

A.9.7.3 Training for AWWs/ANM

Rs. 145,188.00


A.9.8 Programme Management Training

A.9.8.1 SPMU training

A.9.8.1 Induction training - Newly Recruited staff 5days

Rs. 5,000.00 400 20.00 20.00

A.9.8.2 DPMU training

A.9.8.2.1 CMO/CS/BMO 3 days

Rs. 5,000.00 250 12.50 0.00

A.9.8.2.2 SPMU/DPMU for 3 days

Rs. 5,000.00 150 7.50 7.50

A.9.8.2.3 BPMU- 3 days Rs. 3,500.00 500 17.50 17.50

A.9.8.2.4 5 days Rs. 5,000.00 220 11.00 0.00

A.9.8.2.5 RMA/LHV/ and BEE Rs. 3,000.00 600 18.00 0.00

A.9.8.2.6 HMIS- 3 days Rs. 3,000.00 800 24.00 24.00

A.9.8.2.7 PIP Planning 3 days

Rs. 3,000.00 200 6.00 0.00

A.9.8.2.8 Monitoring and evaluation 3 days

Rs. 5,000.00 200 10.00 0.00

A.9.8.2.9 Change management and Leadership 5 days

Rs. 8,000.00 100 8.00 8.00

A.9.8.2.10 Workshops/ seminar

A.9.8.2.10.1

Workshops/ seminar National Level for 3 days

Rs. 1,000,000.00

1 10.00 0.00

A.9.8.2.10.2

Workshops/ seminar state Level for 3 days

Rs. 500,000.00

4 20.00 0.00

A.9.8.2.10.3

Workshops/ seminar regional level 3 days

Rs. 300,000.00

4 12.00 0.00

A.9.8.2.10.4

Workshops/ seminar District level 3 days

Rs. 200,000.00

10 20.00 0.00

A.9.9 TRG - Other Training

A.9.9.1 Exposure visits

A.9.9.1.1 Exposure visits- CMO/ Nodal

Rs. 30,000.00

50 15.00 0.00



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

officers 5 days

A.9.9.1.2 Exposure visits- SPMU /DPMU

Rs. 30,000.00

50 15.00 0.00

A.9.9.1.3 Exposure visits- BMOs.

Rs. 30,000.00

100 30.00 0.00

A.9.10 TRG - Training (Nursing)

A.9.10.1 Strengthening of Existing Training Institutions/Nursing School (HR)

Rs. 100,000.00

13 13.00 13.00

A.9.10.2 New Training Institutions/School (Other Strengthening)

A.9.11 Other Health Personnel

A.9.11.1 Training of emergency management of Mos

Rs. 10,000.00

146 14.60 14.60 at AIMS/ Hyderabad in co-ordination with GVK- EMRI

A.9.11.2 RMAs - programme management training

Rs. 10,000.00

750 75.00 0.00 at CMC Vellore

A.9.11.3 RMAs professional development prog

Rs. 15,000.00

100 15.00 0.00 at CMC Vellore on paediatrics.

A.9.11.3 Other Training & Capacity Building Programmes - RCH

A.9.11.3.1 Career Development of MITANIN

A.9.11.3.1.2

Career Development of MITANIN - BSc Nursing course

Rs. 70,000.00

27 18.90 18.90

A.9.11.3.2 Career Development of ANMs, Staff Nurses, AWW,AWS

A.9.11.3.2.1

Career Development of ANMs - GNM Course

Rs. 180,000.00

10 18.00 18.00

Sub-total Training 1538.98 1490.88



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

A.10 PROGRAMME / NRHM MANAGEMENT COST (PMC)

A.10.1 Strengthening of SHS /SPMU

209.68 125.00 SPMU salary approved as per last year's (2011-12) RoP.

A.10.1.1 Mobility support 42.00 10.50 25% approved on interim basis. State to provide comprehensive mobility plan and budget.

A.10.1.2 Office rent/renovation/admin cost/contingency

196.00 58.00 As per last year

A.4.1.8 ARSH cell 18.20 18.20

A.10.2 Strengthening of DPMU/DHMU

1373.23 720.90 27 District Programme Manager @ Rs.40700/PM 27 DAM @ Rs. 29700/PM 27 District Training Coordinator @ Rs. 16500/PM 27 District Data Officer @ Rs. 26400/PM 27 Sub-engineer @ Rs. 30000/PM 27 Account Assistant @ 12100/- PM 81 Data entry operators @ Rs. 8800/-PM 27 Hospital Consultant @ Rs. 28600/PM 27 Data Assistant @ Rs. 12100/-PM Approved DPMU for 27 district staff including 9 new districts.


27 81.00 20.25 25% approved on interim basis. State to provide comprehensive mobility plan and budget.

A.10.2.2 Administrative exp. / Contingency exp

Rs. 10,000.00

27 48.60 48.60

A.10.3 Strengthening of Block PMU

2431.08 1493.82 Approved as per last year


146 175.20 43.80 25% approved on interim basis. State to provide comprehensive mobility



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

plan and budget.

A.10.3.2 PHC Administrative exp./contingency

146 175.20 175.20

A.10.4 Other Strengthening - Strengthening of Commissioner's office

47.80 0.00 Not approved. State may use its own resources.

A.10.4.1 PMC - Other - Strengthening of SHS

130.36 68.4 Based on the revised programme management strengthening proposal of the state following posts on contract /deputation approved: Director finance @ Rs75000, Programme manager-infrastructure, PM-procurement & logistics, PM-ASHA, PM-PPP/Refrerral transport, PM-HRD, PM-training, PM- Maternal health (2), PM-CH, PM-FP, PM-AH @Rs.45000 per month. State needs to share detailed job descriptions, key performance indicators, organization chart, and recruitment process to be followed to recruit the above mentioned personnel. It is suggested that steps to strengthen district and block PMU be taken only after completion of state level strenghtening.

A.10.4.2 Strengthening of SIHFW

67.28 0.00 Not approved.

A.10.4.3 Financial Management

A.10.4.3.1 Tally

A.10.4.3.2 Tally- New licences Rs. 8,100.00 743 60.18 60.18

A.10.4.3.3 Tally- Annual Fee Rs. 1,620.00 165 2.67 2.67

A.10.4.3.4 Technical Suport From Tally & NFMIS

10.00 40.00 Rs.30 lakhs for NFMIS -Pilot State for NFMIS

A.10.5 Statutory audit Rs. 1 10.00 10.00



(Rs.)

Physical Target/

Expected Output


Remarks

Proposed Approved

1,000,000.00

A.10.6 Concurrent Audit - State

Rs. 500,000.00

1 5.00 5.00

Concurrent Audit - Dist

Rs. 75,000.00

27 20.25 20.25

Sub-total Programme

Management

5103.73 2920.77

A.11 Vulnerable Groups

A.11.1 Planning and monitoring.

5.00 0.00

A.11.2 Services for Vulnerable groups

Rs. 15,000.00

100 15.00 15.00

A.11.3 Special camps in PTG clusters

Rs. 20,000.00

40 8.00 8.00

Sub-total Vulnerable groups

28.00 23.00

Total RCH II Base Flexi Pool

20235.64 10136.04

Total RCH II Demand Side

8869.13 8341.63

GRAND TOTAL RCH II

29104.77 18477.67


Annexure-2 Detailed Budget Sheet Mission Flexible Pool 2011-12- Chhattisgarh


Unit cost



Remarks

B.1 ASHA

B 1.1 ASHA COST

B.1.1.1 ASHA - Selection & Training (Mitanin Training)

Sub total

ASHA - TOT of State/ district coordinator (ASHA)

35 District Coordinator

3600 1.26 1.26 Approved

ASHA - TOT of Block coordinator (ASHA)

295 Block Coordinator (6 days)

3600 10.62 10.62 Approved

ASHA - TOT of Community Coordinators (ASHA)DHS

3100Mitanin Trainers (6 days)

3000 93.00 93.00 Approved

ASHA - Training for Mitanins

ASHA - Training for Mitanins 17th Module (6 days)

60000 No of Mitanins (6 days )

1200 720.00 720.00 Approved

Bridge Training for 6000 newly selected Mitanins (6 days)

6000 No of Mitanins

1200 72.00 72.00 Approved

ASHA - Development & Printing of training Materials SHRC

60000 50 30.00 30.00 Approved

ASHA - District level Meetings and review, contingencies

146X 12 months

500 8.76 8.76 Approved

ASHA - Block Co- coordinator

295 co-coordinators for 25 days per monthX 12 months

6200 219.00 219.00 Approved



Unit cost



Remarks

ASHA - Compensation- Mitanin Trainers

3100 co-coordinators for 20 days per month X 12 months

2800 1041.60 1041.60 Approved

ASHA - Block level Meetings and contingencies

146 blocksX 12 months

4500 78.84 78.84 Approved

Sub total training

2275.08 2275.08

B.1.1.2 ASHA - Mitanin Drug Kit

ASHA - Mitanin Drug Kit Procurement

0 0 0.00 0.00

ASHA - Drug Kit Refilling

60000 450 270.00 210.00 Approved As the unit cost approved for drug Kit in other State is Rs 350.00

ASHA - Drug Kit Transportation and Logistics

60000 75 45.00 45.00 Not Approved

Sub total Drug Kit

315.00 255.00

B.1.1.4 ASHA - Awards

ASHA - Awards- state level for 10 programmes

10 no. of awards Non-cash awards will be given

0.00 0.00 Approved

ASHA - Awards- District level 1st prize-, 2nd prize

27 no. of districts Non-cash awards will be given

0.00 0.00 Approved

B.1.1.5. ASHA Resource centre /ASHA mentoring Group.

ASHA Resource Centre Team (in SHRC) for Design, Coordination and Monitoring of Mitanin Programme

1 13144000

131.44 131.44 Approved



Unit cost



Remarks

(includes State level costs and 35 District Coordinators)

ASHA- Mitanin Help Desk

197 3600 85.10 85.10 Approved.

ASHA -Mitanin Help Line

2.40 0.00 Not Approved.

Sub total ARC,AWARDS,Incentives

218.94 217.54 Approved

SUB TOTAL ASHA 2809.02 2747.62

B.2 Untied Funds

B.2.1 Untied Fund -CHCs For 140 CHCs 50000 70 70 Approved. For 140 CHCs @ 50000 as per RHS 2011. As the Utilization in FY 2011-12 was more than 100%

B.2.2 Untied Fund -PHCs For 741 PHCs 25000 185.25 160.05 Approved For 741 PHCs (RHS 2011) as per Utilization in the FY 2011-12 .(86.40% ).

B.2.3 Untied Fund -Sub Centers

For 5076 SHC 10000 507.6 507.6 Approved For 5076 SHCs (RHS 2011) as the Utilisation in FY 2011-12 was more than 100%

B.2.4 Untied Fund -VHSNC

For 20308VHSCs

10000 2030.8 2030.8 Approved. For 20308 VHSNCs (RHS 2011) @Rs 10000 as the Utilisation in the FY 2011-12 was more than 100%. State should make Joint Account Operational for all VHSNCs.



Unit cost



Remarks

B.2.5 Untied Fund - Civil Dispensary

For 36 CD 25000 9 0 Not Approved

SUB TOTAL UNTIED

2802.65 2768.45

B.3 Annual Maintenance Grants (AMG)

B.3.1 AMG - CHCs - Annual Maintenance Grants

140 100000 140.00 135.00 Approved For 135 CHCs (RHS 2011) in government buildings @ Rs 1 Lakh.

B.3.2 AMG - PHCs - Annual Maintenance Grants

658 50000 329.00 194.50 Approved For 389 PHCs in government buildings (RHS 2011).

B.3.3 AMG - Sub Centers - Annual Maintenance Grants

4053 10000 405.30 235.00 Approved For 2350 SCs (RHS 2011) functional in government buildings @ Rs 10,000.

B.3.4 AMG - Civil Dispensary - Annual Maintenance Grants

20 50000 10.00 0.00 Not Approved

SUB TOTAL AMG 884.30 564.50

B.4 Hospital Strengthening- (Hosp)

B.4.1 Hosp. Strength.- DH

50 305.00 0.00 Approved As this is a Committed unspent balance State may use the last year’s fund .

B.4.2 Hosp. Strength.- CHC

0.00 0.00

B.4.3 Hosp. Strength.- PHC

0.00 0.00



Unit cost



Remarks

B.4.4 Hosp. Strength.- SHC

0.00 0.00

B.4.5 Hosp. Strength.- Civil hospital

0.00 0.00

B.4.6 Hosp. Strength.- Civil dispensary

0.00 0.00

SUB TOTAL HOS Strengthening

305.00 0.00

B.5 Infrastructure ( INFRA)

B.5.1 INFRA- HOSPITAL

INFRA- HOSPITAL- New- SHC

120 2281000 2737.00 0.00 Approved As this is a Committed unspent balance State may use the last year’s fund

INFRA- HOSPITAL- Upgradation- DH

12 Rs. 15 Cr per unit cost for 12MCH centre in District hospitals ( 6 in Old Dist and 6 in New Dist.) total cost is Rs. 180 Cr.to develop compressive MCH centre proposed amount for current Financial year is 20 % of the total

3600.00 3600.0000 Approved This activity should be completed in 3 financial year Conditionality for MCH wing 1) The MCH wing will be created within the premises of the District Hospital. 2)The State will give commitment that the manpower and other service requirement at DH with support from State budget and GoI will not give any operational expenses for running the MCH wing. 3) Advance planning shall be done by the State



Unit cost



Remarks

projected amount = Rs.36.00 Cr.

Govt. for provision of additional manpower and other ancillary services if required, so that the centre remains functional 4) All the Technical Protocols of a Tertiary level delivery point such as maintaining partograph, ENBC and resuscitation, 48 hrs stay, birth doses, post natal care and counseling, Family planning services, etc shall be provided comprehensively for RMNCH (Reproductive & Maternal, Neonatal and Child Health services). 5) In addition, the hospital should be the hub for conduction of skill based training programs like LSAS, EmOC, Safe Abortion services, Mini-Lap, Child Health and FP trainings, etc 6) Last but not the least all procurements should be done

INFRA- HOSPITAL- Upgradation- DH 50 badded MCH wing in 3 New District

3 Rs. 9 Cr per unit cost for 3MCH centre in 3 new District hospitals total cost is Rs. 27 Cr.to develop compressive MCH centre proposed amount for current Financial year is 20 % of the total projected amount Rs.5.4 Cr.

540.00 540.00



Unit cost



Remarks

INFRA-HOSPITAL- Upgradation- CHC

20 Rs. 9 Cr per unit cost for 20 MCH centre CHC ( FRU and non FRU) where there is delivery load. Total cost is Rs.180 cr.to develop compreshive MCH centre proposed amount for current Financial year is 15 % of the Total projected amount = Rs.27 cr.

2700.00 2700.0000 based on competitive bidding and by following Government protocols. Procurement of equipment should be need based, linked with its utilization and availability of required manpower

INFRA- HOSPITAL- Upgradation- FRU CHC 75 % Civil Works for OT & Store and BSU

46 Rs 12 Lakh pre facilities Total projected amount is Rs 5.52 Cr proposed for

414.00 414.00 Approved Approval is subjected to condition that this activity should be completed in two financial years



Unit cost



Remarks

Current financial year is 75 % of Total projected amount =Rs 4.14 Cr

INFRA- HOSPITAL- Upgradation- CHC Non FRU

50 Rs 12 Lakh per facilities total projected amount is 6 Cr . Proposed for current financial year is 75 % of total projected amount = 450 Lakhs

450.00 450.00 Approved Approval is subjected to condition that this activity should be completed in two financial years

INFRA- HOSPITAL- Upgradation- PHC

150 Rs 12 Lakhs per facilities Total projected amount is 18 Cr. Projected amount for Current Fiancial Year is 75% of

1350.00 900.00 Approved for 100 PHCs @ 9 Lakhs per PHCs (75 % of the total projected amount )



Unit cost



Remarks

total projected amount=13.50 Cr

INFRA- HOSPITAL- Upgradation- SHC

50 400000 200.00 0.00 Approved As this is a Committed unspent balance State may use the last year’s fund

INFRA- HOSPITAL- Upgradation- CH75 % Civil Works for OT & Store and BSU

2 1200000 18.00 0.00 Not Approved

INFRA- HOSPITAL- Renovation

INFRA- HOSPITAL- Renovation- CHC for establishment of NBSU

54 575000 310.50 0.00 Approval is pending State may give a revised proposal. Last year’s progress is poor state send a realistic proposal with plan to fulfill the manpower requirement for NBSU

Renovation of CHC, Baghbahera

2000000 20.00 0.00 Approved As this is a Committed unspent balance State may use the last year’s fund

INFRA- HOSPITAL- Renovation- CD

29 500000 145.00 0.00 Not Approved New Activity

B.5.2 INRFA- RESIDENTIAL

INRFA- RESIDENTIAL- 4F

1500 0.00 Approved As this is a Committed unspent balance State may use the last year’s



Unit cost



Remarks

fund

INRFA- RESIDENTIAL-2F (25% budget ) 52 Staff Quarter at 16 District Hospital 45 Staff Quarter at FRU CHCs and 3 at Civil Hospital Kondagaon

100 3243000 810.75 810.75 Approved for 100 2F type quarters in CHCs and PHCs (identified delivery points ) 25 % of total projected amount Approval is subjected to condition that this activity should be completed in two financial years

INRFA- RESIDENTIAL- 4G

1600.00 0.00 Approved As this is a Committed unspent balance State may use the last year’s fund

INRFA- RESIDENTIAL-2G (25% budget ) 64 staff quarter at 16 District Hospital 67 staff quarter at 42 FRU CHCs 64 Staff quarter at 30 Non FRU CHC and 5 at Kondagaon civil hospital

200 1786000 893.00 893.00 Approved for 200 2G type quarters in PHCs and CHCs (identified delivery points ) 25 % of the projected amount Approval is subjected to condition that this activity should be completed in next two financial years

INRFA- RESIDENTIAL-4H




Unit cost



Remarks

INRFA- RESIDENTIAL-2H (25% budget ) 147 staff quarter at 147 24X7 PHCs, 58 staff quarter for 16 Diatrict Hospital 64 staff quarter at 45 FRU CHCs and 126 Staff quarter at 56 Non FRU CHCs

400 1006000 1006.00 1006.00 Approved for 400 2G type quarters in PHCs and CHCs (identified delivery points ) 25 % of the projected amount Approval is subjected to condition that this activity should be completed in two financial years

B.5.3 INFRA-INSTITUTIONS

INFRA-INSTITUTIONS- Renovation

INFRA-INSTITUTIONS- Renovation- - ANMTC

2 250000 5.00 5.00 Approved

INFRA-INSTITUTIONS- Renovation- - SIHFW

1 2000000 20.00 20.00 Approved

B.5.4 INFRA- Others

INFRA- Others -New

INFRA- Others -New - ERC/Health Info centre ERC info center new

1 50000000

125.00 0.00 Approved State may use the last year’s fund

INFRA- Others -New - District data Centre (50% Budget )

27 1000000 135.00 0.00 Not Approved

SUB TOTAL INFRA 19929.25 11338.75

B.6 Corpus Grants to HMS/RKS (JDS)



Unit cost



Remarks

B.6.1 JDS - District Hospital

26 500000 130.00 85.00 Approved For 17 District Hospitals functional As per MIS 31.12.2011 Registered JDS @ Rs 5 lakhs Approval is Subjected to the implementation of deferential financing by the state.

B.6.2 JDS - CHCs 140 100000 140.00 140.00 Approved For 140 JDS at CHCs @ Rs 1 lakh each. Approval is Subjected to the implementation of deferential financing by the state.

B.6.3 JDS - PHCs 741 100000 741.00 695.00 Approved For 695 JDS registered at PHCs as per MIS 31.12.2011 PHCs @ Rs 1 lakh each. Approval is Subjected to the implementation of deferential financing by the state.

B.6.4 Other. JDS -Civil Hospitals

16 500000 80.00 80.00 Approved For 16 Civil Hospitals @ Rs 5 lakh. As per MIS 26 Registered above to CHC and below District level facilities. Approval is Subjected to the implementation of deferential financing by the state.

JDS – Training of JDS members 3 days training including training

3000 3000 90.00 90.00 Approved



Unit cost



Remarks

Material

SUB TOTAL JDS 1181.00 1090.00

B.7 State / District Action Plans (Including Block, Village) AP)

AP - State Action Plans - State Level

1 500000 5 5 Approved

AP - District Action Plans

AP - District Action Plans - District Level

27 100000 27 27 Approved

AP - District Action Plans - Block Level

146 20000 29.2 0 Not Approved

AP - District Action Plans - Village Level


SUB TOTAL Dist Action Plan

101.20 32.00 Approved

B.8 Panchayti Raj Initiative (PRI)

B.8.1 PRI- Orientation of PRI Members Towards Health issues and VHSNC. For members of 18500 VHSNCs

1,000 5,000 50 50 Approved. Subject to the condition that state may document the process along with outcome.

B.8.2 PRI - Orientation Workshops of PRI at State/Dist. Health Societies, CHC,PHC

1 State Level 500000 5 5 Approved Subject to the condition that state may document the process along with outcome.

27 District Level

100000 27 27 Approved Subject to the condition that state may document the process along with outcome.

B.8.3 PRI - Others

SUB TOTAL PRI 82 82

B.9 Mainstreaming of AYUSH



Unit cost



Remarks

B.9.1 AYUSH - strengthening of AYUSH hospitals

B.9.1 AYUSH - strengthening of Co located AYUSH centers

AYUSH - strengthening of Co located AYUSH centers- Mos-DH

For 95 no 20000 171 231.12 Approved As per approval of FY 2011-12 for 107 AYUSH Medical Officers @ 18000/pm 101 PHC and CHC 6

AYUSH - strengthening of Co located AYUSH centers- MO-CHCs ayurvedgram

For 50 No 20000 90

AYUSH - strengthening of Co located AYUSH centers- MOs-PHCf or 24x7 PHC and malaria endemic block

For 100 no 20000 180.00 180.00 Approved for 100 Homeopathy Doctors @ 15000/pm ( implementation of prevention of Malaria through prophylaxis by Chinum Sulph for 20 Blocks along with other National Health programme )

B9.2 AYUSH - strengthening of Co located AYUSH centers- Para. Med-CHCs paramedical for CHCs

For 95 no 6600 37.62 0.00 Not Approved New Staff is not Approved

B.9.3 Other Activity (Excluding HR)

AYUSH - Health Camps in Ayurved grams



Unit cost



Remarks

B.9.3.1 AYUSH-Yoga

AYUSH-Yoga popularization in Ayurved gram.

146 10,000 14.6 14.6 Approved

AYUSH-Yoga - integration with RCH services

146 15,000 21.9 0 Not Approved

B.9.3.2 AYUSH - new innovations

Prevention of Malaria through Homoeopathy in 20 blocks

Rs6.40/person for 20 blocks of average population of 1.5 lakhs each.

960000 192.00 192.00 Approved Subject to the condition that state may document the process along with outcome and share the finding with the GOI

Distribution of Decoction(kadha )for Prevention and Treatment of Seasonal Diseases

6 District Hospital

200000 12.00 12.00 Approved

Prevention of Disability in Leprosy Cured Person Through AYUSH in 2 Districts in Janjgir Champa and Korba

2 District 2160000 43.20 43.20 Approved Subject to the condition that state may document the process along with outcome and share the finding with the GOI

Provision of pure Drinking Water in Ayurved gramin florosis affected viillages

3 1000000 30.00 30.00 Approved

B.9.3.3 Training for AYUSH

Training of AYUSH based treatment and National Health programme for AYUSH doctors in Collocated centre

250 1000 2.50 2.07 Approved For Training 207 AYUSH Doctors @ Rs 1000.



Unit cost



Remarks

Training of ANM in AYUSH principle in home remedies

1000 1500 15.00 0.00 Not Approved

SUB TOTAL AYUSH 809.82 704.99

B.10 IEC/BCC- NRHM (IEC)

B.10.1 IEC - Strengthening of BCC/IEC Bureaus

250.00 Approved State may submit a comprehensive plan for further approval

IEC - Strengthening of IEC/BCC Bureaus-State Level

1 100000 1.00

IEC - Strengthening of IEC/BCC Bureaus-District Level

27 25000 6.75

B.10.2 IEC - IEC/BCC strategy

0.00

B.10.2.1 IEC - development of State IEC/BCC strategy

1 2500000 25.00

B.10.2.2.1 IEC - IEC/BCC Activities for MH

Lumpsum 240.00

B.10.2.2.2 IEC - IEC/BCC Activities for CH

Lumpsum 130.00

B.10.2.2.3 IEC - IEC/BCC Activities for FP

Lumpsum 120.00

B.10.2.2.4 IEC - IEC/BCC Activities for ARSH

Lumpsum 25.00

B.10.2.2.5 IEC - Other Activities - IEC/BCC-PNDT

10.00

B.10.3 IEC - IEC/BCC Health Mela



Unit cost



Remarks

IEC - IEC/BCC Health Mela

IEC - IEC/BCC Health Mela - Dist level

27 200000 54.00

IEC - IEC/BCC - through ASHA the IEC/BCC material for door to door campaign by ASHA in Village

For 10000 No of panchayats.

1000/Per panchayats

100.00

SUB TOTAL IEC 711.75 250.00

B.11 B.11 Mobile Medical Units

MMU - CAPEX 27 Nos of unit 1200000 324.00 0.00 Approved State may use last year’s approved amount

MMU - OPEX For 7 months

27 Nos of unit 200000 378.00 0.00 Approved State may use last year’s approved amount @ Rs 1.65 Lakh per month as per MMU guideline

SUB TOTAL MMU 702.00 0.00

B.12 B.12 Referral Transport

B.12.1 EMRI - CAPEX

EMRI - CAPEX- Procurement of Ambulance

34 ambulances

Rs 11.59 Lakhs


300 Basic Ambulances

Rs 5 Lakhs

1500.00 1500.00 Approved Operational cost may be made from JSSK funds

B.12.2 EMRI - Operational Cost (Opex)



Unit cost



Remarks

34 Ambulances

20 % of 14.4 Lakh per year

97.92 97.92 Approved for 34 Ambulances @ 2.88 Lakh per year for 34 ambulances for 12 month ( 20 % of 14.4 lakhs per year for 34 procured in 2010-11)

136 Ambulances


783.36 783.36 Approved for 136 ambulances @ 5.56 Lakhs per year for 12 month (40 % of 14.4 lakhs per year for 136 ambulances procured in 2011-12)

34 Ambulances


195.84 195.84 Approved for 34 new Ambulances @ 5.76 Lakhs for 8 month (1.20 Lakh per month )

34 Ambulances

60 % of 14.4

Lakhs per year

195.84 195.84 Approved for 34 New State Government's ambulances @ 5.76 Lakhs for 8 month (1.20 Lakhs per month )

SUB TOTAL Referral transport/EMRI

3166.96 2772.96

B.13 PPP/ NGOs

B.13.1 Non Governmental Providers of Health Care RMPs/TBAs

B.13.2 Public Private Partnership diagnostic services and out sourcing 141 CHCs +59 PHCs

200 200000 400.00 0.00 Not Approved



Unit cost



Remarks

B.13.3 NGO Programme / Grant in Aid to NGOs

NGO -RK Mission Narayanpur

NGO -RK Mission Narayanpur-HR- Doctors

4 50000 18.00 18.00 Approved

NGO -RK Mission Narayanpur-HR- Staff nurse

4 15000 5.40 5.40 Approved

NGO -RK Mission Narayanpur-NRC- Operational cost - 20 beded

20 no. of beds 30000 6.00 6.00 Approved

Grant in Aid to RK Mission Bastar ( NRC 20 bedded)

20 no. of beds 30000 6.00 6.00 Approved

SUB TOTAL PPP/NGO

435.40 35.40

B.14 Innovations( If Any)

B.14.1 Innovations( If Any) 0

SUB TOTAL 0 0

B.15 Planning, Implementation and Monitoring

B.15.1.2 Community Monitoring ( CM)

CM-District level community monitoring review meetings

27 50000 13.50 6.47 Approved for ongoing 70 Blocks @ Rs 9247 per block

CM - Exposure visit 27 200000 54.00 25.89 Approved for Ongoing 70 Blocks @ 36986 per block

CM-Community Audits based reporting system

27 200000 54.00 25.89 Approved for Ongoing 70 Blocks @ 36986 per block



Unit cost



Remarks

B.15.2 Quality Assurance (QA)

Approved Except for the activities indicated at Regional level all other activities for QAC can be approved. With conditionality that all DPs must practice infection prevention protocols in the labour room and OT as a task for this FY year. Approved Amount Rs 107.8 lakhs

QA Cell establishment

QA Cell - state

QA Cell - state- HR

QA Cell - state- HR- State Quality Assurance Manager

1Nos of Person

45000 4.05 4.05 Approved

QA Cell - state- HR- Programme Associate

2 30000 5.40 5.40 Approved

QA Cell - state- HR- Office assistant

2 15000 2.70 2.70 Approved

QA Cell - state- Mobility support

1 No. of vehicle

25000 2.25 2.25 Approved

QA Cell - state- Admin. Exp

1 10000 0.90 0.90 Approved

QA Cell - regional

QA Cell - regional- HR

QA Cell - regional- HR- Regional Quality Assurance Manager

4 35000 12.60 0.00 Not Approved

QA Cell - regional- HR- Office assistant

4 15000 5.40 0.00 Not Approved



Unit cost



Remarks

QA Cell - regional- Mobility support

4 25000 9.00 0.00 Not Approved

QA Cell - regional- Admin. Exp

4 10000 3.60 0.00 Not Approved

QA Cell - Protocols

QA Cell - Protocols Devlopment

1 50000 0.50 0.50 Approved

QA Cell - Expousure visit

60 Nos of person

10000 6.00 6.00 Approved

QA Cell - Training on protocols,Including SOP

4 no of batch 100000 4.00 4.00 Approved

QA Cell - Workshops and seminars

4 25000 1.00 1.00 Approved

QA Cell - Monitoring of quality Including annual report.

27 300000 81.00 81.00 Approved

B.15.3 Monitoring and Evaluation (HMIS/ M & E)

B.15.3.1 HMIS

B.15.3.1.1 HMIS - establishment of health info. Center-

HMIS - establishment of health info. Center- equipments

Not Approved


1Blade servers-3, padastal-1. 1Chasis rack 42 Unit, KVM Unit full set, FC switch, Fibre patch cords, 1. UPS 20KVA,

6200000 62.00



Unit cost



Remarks


11server padastal, 25 desktop, networking, cooling system AC

2900000 29.00


11Blade server, Internet GIS, GIS Plotter Big, GIS scanner big,

1600000 16.00


115 desktop, 5 laptop, networking

1100000 11.00

HMIS - establishment of health info. Center- equipments- Others

1office equipment

1000000 10.00

B.15.3.1.1.3 HMIS - establishment of health info. Center- Operating software

HMIS - establishment of health info. Center- Operating software-IT

1SQL server, Window server 2010-x3 , virtual studio- 1 license

8500000 85.00

HMIS - establishment of health info. Center- Operating software-GIS

1ARC GIS 4500000 45.00

HMIS - establishment of health info. Center- Operating software-Others

5.00

B.15.3.1.1.4 HMIS -Procurement-Data



Unit cost



Remarks

HMIS -Procurement-Data-ISRO

10.00

HMIS -Procurement-Data-Other

10.00

B.15.3.1.1.5 HMIS - Operationalisation

HMIS - DSS-Software development and upgradation (IT/GIS/SMS)

1 500000 5.00 0.00 Not Approved Sub systems Parallel to National HMIS are not desirable.

HMIS-DSS-Integrated HMIS

1 500000 5.00 0.00

HMIS-DSS-Convergence of HMIS with other dept MIS

1 1000000 10.00 0.00

HMIS-DSS-GIS based DSS

1 500000 5.00 0.00

HMIS-DSS-Hospital Management

1 1500000 15.00 15.00 Approved

HMIS-DSS-Procurement Management (PROMIS)

1 1000000 10.00 10.00 Approved

HMIS-DSS-Financial management

1 1000000 10.00 0.00 Not Approved Sub system Parallel to national HMIS is not desirable.

HMIS - DSS- Software testing

1 500000 5.00 0.00

B.15.3.1.1.6 HMIS - Recurring expenditure

HMIS - Recurring expenditure - State -


HMIS - State - HR-IT

0.00

HMIS - State - HR- IT-system analyst

1Nos of person

60000 5.40

HMIS - State - HR- IT-Programmer

3 40000 10.80



Unit cost



Remarks

HMIS - State - HR- Data -IT-Manager

1 40000 3.60

HMIS - State - HR- IT-Hardware Engineer-

2 25000 4.50

HMIS - State - HR- IT-Hardware -Data assistant

25 15000 33.75

HMIS - State - HR- GIS

HMIS - State - HR- GIS-analyst

1 80000 7.20

HMIS - State - HR- GIS-programmer

2 50000 9.00

HMIS - State - HR- GIS-Software specialist

2 40000 7.20

HMIS - State - HR- GIS-Operator

5 15000 6.75

HMIS - State - HR-Other

HMIS - State - HR-Admin officer


HMIS - State - HR-Accountant


HMIS - State - HR-store keeper

1 25000 2.25

HMIS - State - HR-relationship manager

1 25000 2.25

HMIS - State - HR-Training co-ordinator

1 30000 2.70

HMIS - Recurring expenditure - District

HMIS - Recurring expenditure - District level

27AMC, Internet etc

25000 81.00



Unit cost



Remarks

HMIS - Recurring expenditure - Block level

146 10000 175.20

HMIS - Other Activities(MCTS)

HMIS -SMS based HMIS

HMIS - SMS charges: Rs. 250.00 lakh including service tax (This includes mobile cost, software cost, SMS Cost, CUG Charges, system management & Support charges)

Target: 75 lakh transactional SMS @ Rs. 3.31/- plus service tax regarding Registration, ANC, PNC, Delivery, migration of patient, vaccination, deaths, expenditure, JSY amount distribution etc to be send by ANMs

3.31 250.00 0.00 Approved State may carry forward the approved budget of this activity held under ROP for 2011-12. State may ensure for universal coverage in terms of registration from all the health facility on MCTS Portal. Also and its regular updating as per the services delivered to the beneficiaries on real time basis on the MCTS Portal. As this is a Committed unspent balance State may use the last year’s fund

Handholding cost of 27 person (one for each district) for one year

50.00 Approved for this year only

Set up of 10 - seat Call centre with one year operational cost with automated outbound dialing facility for campaigns, reminders etc {assumption:

50.00 50.00 Approved Provided that state may share activity wise details of Budget



Unit cost



Remarks

12,000 incoming calls per month and 80,000 outbound calls per month)

HMIS - SMS- training

Training cost for 6000 ANMs

15.00 15.00 15.00 Approved

HMIS - Printing of registers and Formats

No of Register SHC Register(village wise)-25000;Delivery register-1000;Reporting Format-6000

46.86 46.86 Approved Subject to condition that registers are compatible with the integrated RCH Register (Village wise) designed by MOHFW.

B.15.3.2 Monitoring and Evaluation (M & E)

B.15.3.2.1 M&E- State review mission

B.15.3.2.1.1 M&E-SRM-HR

B.15.3.2.1.1.1

M&E-SRM-HR- SRM leader


B.15.3.2.1.1.2

M&E-SRM-HR- Project Associates- (SRM)

12 30000 21.60 21.60

B.15.3.2.1.1.3

M&E-SRM-HR- Project Associates- logistic

1 30000 1.80 1.80

B.15.3.2.1.1.4

M&E-SRM-HR- Office Assistant

6 15000 5.40 5.40

M&E- State review mission-Mobility support

27(2 visit per district-with 3 vehicles@20000/vehicle)

20000 32.40 32.40 Approved



Unit cost



Remarks

M&E- State review mission- Allowances

27(5 person per visit for 5daysX2 times for each district )

200000 54.00 54.00 Approved

M&E- State review mission- Report- State

2(1 midterm and 1 annual report )

500000 10.00 10.00 Approved

M&E- State review mission- Report- District

27(2 visit report)

25000 6.75 6.75 Approved

B.15.3.2.2 M&E- Review workshops

M&E- Review workshops- State

4 500000 20.00 20.00 Approved

M&E- Review workshops-Regional

8 200000 16.00 16.00 Approved

M&E- Review workshops-District

12 50000 6.00 6.00 Approved

B.15.3.2.3 M&E- Helpline

M&E- Helpline 1 Integrated Call Centre

1000000 10.00 0.00 Not Approved for HMIS. A call centre has already been proposed under MCTS fmr.No.(B.15.3.1.3.2)

B.15.4. M&E- Tech. support agency

1 2500000 For Discussion Statistics Division: Details not submitted. Needs to be discussed

PIM Technical Support - Architecture & Engineering

Lump sum 4.00

PIM- Technical Support

Lump sum 2.00

-Procurement & supply chain

Lump sum 2.00



Unit cost



Remarks

Management

PIM - Technical Support

Lump sum 14.00

-HRD Support including recruitment & training

Lump sum 10.00

SUB TOTAL M&E 1612.21 490.51

B.16 Procurement

B.16.1 Procurement of Equipment (Eqpt.)

B.16.1.1 Procurement - Equipment: MH

Procurement - Equipment: FRU

24 no. of BSU 500000 120 120.00 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available 2) There should be competent human resource to handle the equipment


100000 23 23.00 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available 2) There should be competent human resource to handle



Unit cost



Remarks

the equipment



50000 22 22.00 Approved for identified delivery points with condition 1) Equipment should be procured only for the facilities with adequate infrastructure is available 2) There should be competent human resource to handle the equipment




275000 25 68.75 68.75 Approved

B.16.1.2 Procurement - Equipment: CH



Unit cost



Remarks


9 no. of SNCU 100000 9.00 0.00 Approved As this is a Committed unspend balance State may use the last year’s fund


54 no. of NBSU

200000 108 16.00 Approved For Only 8 new units as per the data of delivery points.


no. of NBCC 0 0.00



600000 150 150.00 Approved


20 20.00 Approved Although state has not provided unit cost, proposed amount is less than the total cost of individual kits (as per standard rates).

B.16.2 Procurement of Drugs and Supplies


6000 Rs 300 for MMA drugs







Unit cost



Remarks


250000 kits 350 875.00 0.00 Not Approved Already approved under JSSK


Approved 168.2 lakhs for SSM drugs (CH), Rs 44.98 for ARSH drugs detailed in write-up. School health drugs, drugs for diarrohea management through VHND.13.5 added.


6793700 0.6 40.76 40.76 Approved


301340 1.4 4.22 4.22 Approved

Drugs for Sisu Sangrachan Mah

168.20 168.20 Approved

B.16.2.3 Procurement - Drugs & Supplies for FP

B.16.2.4 Procurement - Supplies for IMEP

B.16.2.5 Procurement - Drugs & Supplies for health facilities (general)

SUB TOTAL Procurement

2111.71 704.53

B.17

SUB TOTAL 0



Unit cost



Remarks

B.18 New Initiatives/Strategic Interventions (NI)

NI - Bal Hriday Suraksha Yojna Including 35 Lacs for Technical Support Unit

500 surgery cases

130000 650 0 Not Approved As advised in last year’s RoP state should bear cost out of their own resources. The State also explore the possibilities to getting the surgeries done in public health facilities

NI - CM Bal Shravan yojana Chochler in plant

50 600000 300 Approved Approved in 2010-11 ROP Amount was Rs 100 Lakhs @ 6 Lakhs per Case

NI-Cleft lip& Cleft palate for 100 normal cases and 50 severe surgery

25 0 Not Approved.

NI - Sickle Cell management (Rs.200.00 Carry forward from last year, new initiative of neonatal sickle cell screening.)

300 0 Approved. As this is a Committed unspent balance State may use the last year’s fund

NI- Cervica; Cancer Prevention and control

200 0 Not Approved

NI - Food and Drug Control Carried forward for up gradation of drug testing lab.

450 0 Not Approved. As this is a Committed unspent balance State may use the last year’s fund



Unit cost



Remarks

NI - Blood Safety 1000 0 Not Approved: Blood Processing Centre through NGO is not approved. State may Strengthen their own system and capacities for blood processing including its companionate. The areas of support from NACO should be identified 1st before NRHM

NI - Online 104medical advice services

NI - Online 104 medical advice services- CAPEX

NI - Online 104 medical advice services- OPEX

50 50 Approved : State need to provide detail break up of Operational cost

B.18.12 NI-CG State Medical Service Corporation (CGMSC State has budgeted ) 4 regional drug ware houses Rs 300 Lakh + 7 District drug ware houses Rs 420 Lakh + 16 drug ware houses Rs 800 Lakhs +Head office construction Rs 50 Lakhs + 539.08 for HR and other activity

2109.08 0 Approved State may utilize last year’s funds .No New Approval In the FY 2011-12 Total Rs 2199.60 Lakh was approved for Drug warehouse with condition that state need to provide name of drug warehouses along with the time line of construction. In write up state has not provided the details of Physical achievement of last year is only 1% (22.1 /2199.60)



Unit cost



Remarks

SUB TOTAL New Initiatives/Strategic Interventions (NI)

5084.08 50

B.19 Health Insurance Scheme

SUB TOTAL HIS 0 0

B.20 Research, Studies, Analysis

B.20 Operational reseach

Research - study on Maternal & infant death

10 100000 10 0 Not Approved: New activity State may 1st implement the programme

Research- Dissertation by district


Research- Dissertation by Medical College


SUB TOTAL RESEARCH

34 0

B.21 State Level Health Resources Centre(SHRC)

B.21 SHRC - HR- (only for state office)

SHRC - HR- State - support

110.81 100 Approved As per the approval of ROP 2011-12 for existing staff with same salary

SUB TOTAL SHRC 110.81 100

B.22 Support Services - Support Strengthening NPCB

B.22.1 Support Services - NPCB - Camp



Unit cost



Remarks

Support Services - NPCB - Operation

Support Services - NPCB - Others

146.19 0.00 Not Approved

B22.2 Support Services - Support Strengthening Midwifery Services

B.22.3 Support Services - Support Strengthening - NVBDCP

Support Services - NVBDCP - Procurment

Support Services - NVBDCP - Rent for Hiring of store

Support Services: in NVBDCP

Biological and Environmental Management

6.92 6.92 Approved To intensify malaria control activities in the state

Wages for Spraying

300 300 Approved

B.22.4 Support Services - Support Strengthening - RNTCP

181.9 102.08 Approved.

Intermediate level references Lab (IRL)

29.85 19.85 Approved Proposal for IRL support. The proposal for electricity bill, wages for staff is not approved.



Unit cost



Remarks

Multi-Drug Resistance TB (MDR-TB) and DOTS Plus.Dots Plus site Bilaspur and Raipur.Infrastructure and HR

37.03 37.03 Approved. The proposal for Bilaspur is Ongoing (Approved in 11-12). Similar proposal for Raipur hence approved.

Sputum Collection Kit @ Rs 600/kit for 4776 Sub-Centres

28.66 28.66 Approved May be approved as this is an innovative approach.

Communication Charges (132 STS/STLS+307 LT) @100*450*12

5.04 5.04 Approved May be approved if converted into CUG.

1.5 ton Split Air Conditioners for District Durg Store for storage of 2nd line ATT = 18 @ 45,000

8.1 0 Not Approved There is budget provision under RNTCP, State can utilize that.

Illuminator Display Board - 1 each for 18 DTC + 3 Med Coll +1STC = 22 @ 30,000

22 6.6 0 Not Approved There is budget provision under RNTCP IEC head, State can utilize that.

Office Table - 1 for each TU - 66 @ 5000

3.3 0 Not approved.

Office Chair - 1 for each TU - 66 @ 2000


Almirah for 4 new Tus (2 per TU) & 23 new DMCs (1 per DMC) @ 10500




Unit cost



Remarks

Wall Paintings in all PHI’s (950*3000)

28.5 0 Not Approved There is budget provision under RNTCP IEC head, State can utilize that.

State Drug Store (Rent @ 25000*12)

3 3 Approved There is no provision for this under RNTCP, can be approved

Hiring one 4 wheeler on monthly/ per day basis (as per NRHM norms - @ 1800* 15 days* 12)

3.24 0 Not Approved There is budget provision under RNTCP vehicle hiring head, State can utilise that.

LCD for 18 Districts @ 75000 for improving quality of training


For storing PPD in ILR at SDS @ 1 Lakhs and 27 vaccine carriers

3 1 Approved. PPD can be stored in domestic/Commercial refrigerators, so deducted accordingly

One time support intended to cover the costs of the first visit to ART centre after diagnosis of HIV-TB

7.5 7.5 Approved There is no provision for this under RNTCP

B.22.5 Support Services - Other NDCP Support Programmes

B.22.6 Support Services - Other NDCP - Immunization



Unit cost



Remarks

Support Services - Support Strengthening - NLEP

SUB TOTAL SUPPORT SERVICE

982.41 511.08

B.23 INFRA- Others - Solar Power

INFRA- Others - Solar Power - CHC

Other Expenditure - Power Backup -CHC

42 1368000 574.56 574.56 Approved

Other Expenditure - Power Backup -PHC

125 506000 632.5 632.5 Approved

SUB TOTAL Infra - Solar Power

1207.06 1207.06

GRANT TOTAL OF MISSION FLEXIPOOL 45028.63 25449.85

DETAILED BUDGET : MISSION FLEXI POOL (MFP)


Annexure-3

DETAILED BUDGET : IMMUNISATION and PPI OPERATION COST

FMR Code

Activities Unit Cost Physical Target

Amount Proposed(in

lakhs)

Amount Approved(i

n lakhs)

Remarks

C.1 RI Strengthninig Project (Review meeting, Mobility Support, Outreach services etc

c.1.a Mobility Support for supervision for distict level officers.

Rs.50000/ Year /district level officers.

13.50

13.50

Approved

c.1.b Mobility support for supervision at state level

Rs. 100000 per year.

1.00

1.00

Approved

c.1.c Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

Rs. 5 beneficiaries

24.29

34.29

Approved

c.1.d Support for Quarterly State level review meetings of district officer

4.05

4.05

Approved

c.1.e Quarterly review meetings exclusive for RI at district level with one Block Mos, CDPO, and other stake holders

7.30

7.30

Approved

c.1.f Quarterly review meetings exclusive for RI at block level

22.99

22.99

Approved

c.1.g Focus on slum & underserved areas in urban areas/alternative vaccinator for slums

85.76

85.76

Approved

c.1.h Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

386.59

386.59

Approved

c.1.i Alternative vaccine delivery in hard to reach areas

Rs. 100 per session

48.00

48.00

Approved


FMR Code


Amount Proposed(in

lakhs)

Amount Approved(i

n lakhs)

Remarks

c.1.j Alternative Vaccine Deliery in other areas

Rs. 50 per session

102.00

102.00

Approved

c.1.k To develop microplan at sub-centre level

@ Rs 100/- per subcentre

5.08

5.08

Approved

c.1.l For consolidation of microplans at block level

Rs. 1000 per block/ PHC and Rs. 2000 per district

9.41

9.41

Approved

c.1.m POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs100,000/ district/year

27.00

27.00

Approved

c.1.n Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

1.30

1.30

Approved

c.1.o Red/Black plastic bags etc.

Rs. 2/bags/session

11.60

11.60

Approved

c.1.p Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket

Rs. 900 per PHC/CHCper year

8.15

7.98

Approved

c.1.q Safety Pits

19.51

18.21

Approved

c.1.r State specific requirement

40.81

-

c.1.s Teeka Express Operational cost

215.51

Approved

C.1-Sub Total

818.34

1,001.57

Approved

C.2 Salary of Contractual Staffs -Sub Total

c.2.a Computer Assistants support for State level

Rs.12000-15000 per person per month

1.80

1.44

Approved

c.2.b Computer Assistants support for District level

8000-10000 per person per month

48.50

32.40

Approved

C.2-Sub Total

50.30

33.84


FMR Code


Amount Proposed(in

lakhs)

Amount Approved(i

n lakhs)

Remarks

C.3 Traininng under Immunization

c.3.a District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse Mid Wives, BEEs & other staff ( as per RCH norms)

9.69

9.69

Approved

c.3.b Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module)

43.47

21.10

Approved

c.3.c One day refresher traning of distict Computer assistants on RIMS/HIMS and immunization formats

0.25

0.25

Approved

c.3.d One day cold chain handlers traning for block level cold chain hadlers by State and district cold chain officers

11.34

1.38

Approved

c.3.e One day traning of block level data handlers by DIOs and District cold chain officer

1.79

1.53

Approved

C.3-Sub Total

66.54

33.95

C.4 Cold chain maintenance Rs.500/PHC/CHCs per year District Rs.10000/year

14.85

7.14

Approved


FMR Code


Amount Proposed(in

lakhs)

Amount Approved(i

n lakhs)

Remarks

C.5 ASHA incentive for full Immunization

472.42

472.42 Approved

Activity approved. It has been factored into part C from MFP as per discussion in NPCC.

Total

1,422.45

1,548.92

C.6 Pulse Polio Operational Cost (Tentative)

483.03

483.03 Approved

Total

1,905.48

2,031.95

The amount recommended is more than the amount projected because of the provisioning of Teeka

Express Operational cost


Annexure-4A

DETAILED BUDGET: NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)

FMR Code


Amount Approved

Remarks

D IDD

D.1 Establishment of IDD Control Cell-

Implementation & monitoring of the programme

10.00* 10 Filling up of sanctioned vacant posts i.e. Technical Officer, Statistical Assistant & LDC on regular/contract basis on priority.

D.1.a Technical Officer 1 State Government may conduct and co-ordinate approved programme activities and furnishes quarterly financial & physical achievements as per prescribed format.

D.1.b Statistical Assistant 1

D.1.c LDC Typist 1

D.2 IDD Monitoring Lab-

Monitoring of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines.

5.00* 5.00 The vacant sanctioned post of Lab Technician & Lab Asst. should be filled on regular/ contract basis on priority.


FMR Code


Amount Approved

Remarks

D.2.a Lab Technician 1 State Government may conduct quantitative analysis of salt & urine as per NIDDCP Guidelines and furnish monthly/quarterly statements.

D.2.b Lab. Assistant 1

D.3 Health Education & Publicity

Increased awareness about IDD and iodated salt

7.00 7.00 IDD publicity activities including Global IDD Day celebrations at various level.

D.4 IDD Survey/resurvey

Rs. 50,000 per district

4 districts 2 2 State Government may under take 4 district IDD survey as per guidelines and furnish report.

D.5 Salt Testing Kits supplies by GOI inform of kind grant for 2 endemic districts

12 STK per annum per ASH A

Creating iodated salt demand and monitoring of the same at the community level.

State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 2 endemic districts i.e. Bilaspur and Raigar

D.6 ASHA Incentive Rs. 25/- per month for testing 50 salt sample/month

50 salt samples per month per ASHA in 2 endemic district

20.03

TOTAL 24 44.03


Annexure-4B

DETAILED BUDGET: INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

FMR Code


Amount Proposed

Amount Approved

Remarks

E.1 Operational Cost

Field Visits Rs 2,40,000 per District Surveillance Unit per annum Rs 5,00,000 State Surveillance Unit per annum

108.61 48.2(5x1+2.4x18)

Approved Office Expenses

Broad Band expenses

Outbreak investigations including Collection and Transport of samples

Review Meetings

Any other expenses

Sub Total 108.61 48.2

* Laboratory Support

District Priority Lab Rs. 4,00,000 per district priority lab per annum

7.5 4.0 Approved

Referral Network Lab Rs. 5,00,000 per referral lab per annum

4.00 Not Approved There is no approved referral lab network under IDSP in the state

Sub Total 11.50 4.0

E.2 Human Resources

E.2.1 Remuneration of Epidemiologists

Rs.25,000 - Rs. 40,000/ per month

95.1 (50,000 x 1 x12+30000x 18 x12+ 30000 x 9 x 12)

62.4 (40,000 × 1× 12+ 30000 x 10 x12 +30000x8x9)

Approved Remunerations for vacant posts are calculated for 9 months. Human resources for the newly formed districts may be

E.2.2 Remuneration of Microbiologists

Rs. 25,000 - Rs. 40,000 (Medical Graduates) Rs. 15,000 -

12.0 (50000 x 2 x 12)

7.2 (40,000 × 2 × 9)


Rs. 25,000 (Others)

requested subsequently.

E.2.3 Remuneration of Entomologists

Rs. 15,000 - Rs. 25,000

3.0 (25000 x 1 x 12)

2.25 (25,000 × 1 × 9)

Veterinary Consultant

Rs. 25,000 -Rs.40,000

4.5 (50000 x1x 9)

0.00

E.3 Consultant-Finance/ Procurement

Rs. 14,000 1.68 for 12 months

1.68 (14,000x1x 12)

E.3.1 Consultant-Training/ Technical

Rs. 28,000 3.36 for 12 months

2.52 (28,000x1x 9)

E.3.2 Data Manager Rs. 14,000 (State) Rs. 13,500 (District)

75.75 30.84 ([14,000 × 1 × 12] + [13,500 × 18 × 12])

E.3.3 Data Entry Operator Rs. 8,500 28.78 20.91 (8,500 × 13 × 12+8500 x10x9 )

E.3.4 State Helper Rs 5000 0.60 0.00

Sub Total 226.02 127.8

E.8 Training As per NRHM Guidelines

One day training of Hospital Doctors

9.09 (181,700 × 5)

1.1

Approved

One day training of Hospital Pharmacist / Nurses

7.20 (40,000 × 18)

1.5

One day training of Medical College Doctors

0.61 (60,500 × 1)

0.40

One day training for Data Entry and analysis for Block Health Team

23.33 (61,400 × 38)

2.0

One day training of DM & DEO

0.55 (54,600 × 1)

0.55

Sub Total 40.77 5.55

* New formed Districts Rs. 3,50, 000/- per newly formed district

38.50 38.50 Approved , if these districts


are included in the NRHM, the same can be the part of IDSP

Total 354.49 224.05

Proposal under Additionalities

Establishment of New Districts - 11 DSUs for Computer Hardware & Accessories etc

350000 38.50 0.00 Not approved May be budgeted in IDSP budget

GIS Mapping of Epidemic Places

10 000 32.40 0.00 Not approved GIS mapping is budgeted in the expenditure of Central Surveillance unit.

Total 70.90 0.00


Annexure-4C

DETAILED BUDGET: NATIONAL VECTOR BORNE DISEASES CONTROL PROGRAMME (NVBDCP)

FMR code Activity Unit Cost Physical

target Amount

Proposed Amount

Approved Remarks

F.1 Domestic Budget Support (DBS)

F.1.1 Malaria

F.1.1.a Contractual Payments

F.1.1.a.i MPW contractual 995.73 450.00 Approved

F.1.1.a.ii Lab Technicians ( against vacancy)

F.1.1.a.iii VBD Technical Supervisor (one for each block)

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

F.1.1.a.v State Consultant (Non – Project States), M&E Consultant (Medical Graduate with PH qualification) - VBD Consultant (preferably entomologist)

F.1.1.b ASHA Incentive 50.00 50.00 Approved For surveillance by active involvement of ASHA,S

F.1.1.c Operational Cost

F.1.1.c.i Spray Wages

F.1.1.c.ii Operational cost for IRS 34.50 Approved From state resource

F.1.1.c.iii Impregnation of Bed nets- for NE states

F.1.1.d Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

29.25 30.00 Approved M & E should be done intensively under strict supervision

F.1.1.e IEC/BCC 32.96 30.00 Approved Comprehensive IEC/BCC activities for all VBD,s

F.1.1.f PPP / NGO and Intersectoral Convergence

F.1.1.g Training / Capacity 23.36 25.00



Amount Proposed

Amount Approved

Remarks

Building

F.1.1.h Zonal Entomological units This include EMP implementation plan F.1.1.i Biological and

Environmental Management through VHSC

F.1.1.j Larvivorous Fish support

F.1.1.k Construction and maintenance of Hatcheries

F.1.1.l Any other Activities (Pl. specify)

ASHA Talent Search/Annual Meet of ASHAs in 2 Zones

Sentinel Sites 50.00 0.00 Not approved

TA/DA to spray team, storage and procurement of PPE

Total Malaria (DBS) 1215.80 585.00

F.1.2 Dengue & Chikungunya

F.1.2.a Strengthening surveillance (As per GOI approval)

Approved To strenghten diagonsis facilities and case management .As per Norms, but balance may be used to another VBD also The State should plan the activities as per guidelines to achive mid-term plan objectives The amount under vector control and Environmental management may also be utilised for Malaria Environmental Management

F.1.2.a(i) Apex Referral Labs recurrent

3.50 0.00

F.1.2.a(ii) Sentinel surveillance Hospital recurrent

0.00 2.00

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs

F.1.2.b Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)

F.1.2.c Monitoring/supervision and Rapid response

1.80 2.00

F.1.2.d Epidemic preparedness 4.05 6.00

F.1.2.e Case management

F.1.2.f Vector Control & environmental management



Amount Proposed

Amount Approved

Remarks

F.1.2.g IEC BCC for Social Mobilization

8.10 5.20

F.1.2.h Inter-sectoral convergence

F.1.2.i Training & printing of guidelines, formats etc. including operational research

4.86 4.80

Total Dengue/Chikungunya

22.31 20.00

F.1.3 AES/JE

F.1.3.a Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI

F.1.3.b IEC/BCC specific to J.E. in endemic areas

F.1.3.c Capacity Building

F.1.3.d Monitoring and supervision

F.1.3.e Procurement of Insecticides (Technical Malathion)

F.1.3.f Fogging Machine

F.1.3.g Operational costs for malathion fogging

F.1.3.h Operational Research

F.1.3.i Rehabilitation Setup for selected endemic districts

F.1.3.j ICU Establishment in endemic districts

F.1.3.k ASHA Insentivization for sensitizing community

F.1.3.l Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter

Total AES/JE 0.00 0.00

F.1.4 Lymphatic Filariasis



Amount Proposed

Amount Approved

Remarks

F.1.4.a State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team and contingency support

55.25 12.25

Approved

F.1.4.b Microfilaria Survey

4.23 4.50

Approved Critical parameter; the state needs to ensure the activities

F.1.4.c Post MDA assessment by medical colleges (Govt. & private)/ICMR institutions

2.52 0.00

Not approved

F.1.4.d Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

27.00 42.40

Approved Specific training to be plan as per guidelines

F.1.4.e Specific IEC/BCC at state,district, PHC, Sub-centre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA

23.00 23.10

Approved

F.1.4.f Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA

56.00 74.40

Approved

F.1.4.g Verification and validation for stoppage of MDA in LF endemic districts

1.35

Approved

F.1.4.g.i a) Additional MF Survey

F.1.4.g.ii b) ICT Survey



Amount Proposed

Amount Approved

Remarks

F.1.4.g.iii c) ICT Cost 0.00

F.1.4.h Verification of LF endemicity in non-endemic districts

2.00

Approved

F.1.4.h.i a) LY & Hy Survey in 350 distt

F.1.4.h.ii b) Mf Survey in Non- endemic distt

F.1.4.h.iii c) ICT survey in 200 distt 0.00

F.1.4.i Post-MDA surveillance 1.00 0.00

Total Lymphatic Filariasis 169.00 160.00

F.1.5 Kala-azar

F.1.5 Case search/ Camp Approach

-- --

F.1.5.a Spray Pumps & accessories

F.1.5.b Operational cost for spray including spray wages

F.1.5.c Mobility/POL/supervision

F.1.5.d Monitoring & Evaluation

F.1.5.e Training for spraying

F.1.5.f IEC/ BCC/ Advocacy

Total Kala-azar 0.00 0.00

Total (DBS) 1407.11 765.00

F.2 Externally aided component

F.2.a World Bank support for Malaria (Identified state)

F.2.b Human Resource 259.05 145.00 Approved

F.2.c Training /Capacity building

45.60

40 Approved

F.2.d Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats)

22.90

15

Approved

Kala-azar World Bank assisted Project

F.2.e Human resource Not Applicable



Amount Proposed

Amount Approved

Remarks

F.2.f Capacity building

F.2.g Mobility

F.3 GFATM support for Malaria (NEStates)

Not Applicable

F.3.a Project Management Unit including human resource of N.E. states

F.3.b Training/Capacity Building

F.3.c Planning and Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

F.3.d Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings,

F.3.e IEC / BCC activities as per the project

F.3.f Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

Total : EAC component 327.55 200.00

F.4 Any Other Items ( Please Specify)

0.00 0.00

F.5 Operational costs ( mobility, Review Meeting, communication, formats & reports)

0.00 0.00

Grand total for cash assistance under NVBDCP (DBS + EAC) 1734.66 965.00

F.6 Cash grant for decentralized commodities



Amount Proposed

Amount Approved

Remarks

F.6.a Chloroquine phosphate tablets


F.6.b Primaquine tablets 7.5 mg

3.88

F.6.c Primaquine tablets 2.5 mg

1.34

F.6.d Quinine sulphate tablets 0.00

F.6.e Quinine Injections 4.44

F.6.f DEC 100 mg tablets 71.08

F.6.g Albendazole 400 mg tablets

F.6.h Dengue NS1 antigen kit

F.6.i Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water)

10.00

F.6.j Pyrethrum extract 2% for spare spray

5.00

F.6.k ACT ( For Non Project states)

55.58

Approved Being project state the ACT would be supplied by Centre

F.6.l RDT Malaria – bi-valent (For Non Project states)

F.6.m Any Other Items ( Please Specify)

Synthetic Pyrethroids 313.25 0.00 Not Approved To be met from state resources

Spray Pumps & accessories

42.88 0.00

Lancets/slides/swab/lab reagents etc.

7.30 0.00

Microscopes 43.80 0.00

Not approved May be procured from NRHM flexifund

Total grant for decentralized commodities

608.45 55.50

Grand Total for grant-in-aid under NVBDCP

2343.11 1020.50

Commodity Grants 0.00 2613.80

Total NVBDCP Cash + Commodity 2343.11 3634.30

Cash assistance required under NRHM flexi fund



Amount Proposed

Amount Approved

Remarks

Biological and Environmental Management through VHSC

6.92

306.92

Not approved To intensify malaria control activities in the state

Spray Wages 300.00

Total 306.92 306.92


Annexure-4D

DETAILED BUDGET: NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

FMR code


Physical Targets

Amount proposed

Amount approved

Remarks

G 1.

Improved early case detection

G 1.1 Incentive to ASHA MB 500 2584 12.92 5.00 Approved No reduced to MB-1000 & PB-1000 Cases

PB300 2583 7.75 3.00

G1.1 a

Sensitization of ASHA 50 - -

G 1.2

Specific -plan for High Endemic Distrcts

12 D 91 Blocks

17.82 17.82

G 2

Improved case management

MCR - 250/- Aids/Appliance -12500 Welfare/RCS - 10,000

2400 18

250

7.20 0.54

25.00

6.00 0.54

25.00

Approved

G 2.2

Urban L:eprosy Control, (Mega city - 0 , Medium

city (1) -3 , Med. City (2)- 1 Township -19)

Meg -280000 Med (1)- 120000 Med. (2) - 236000 Town - 57000

0 8 2 7

0 16.88 14.16

6.84

0 9 60 4.72 3.99

G 2.3 Material & Supplies

G 2.3 a

Supportive drugs, lab. reagents & equipments and printing works

52,000 18 14.40 9.36

G 2.4 NGO - SET Scheme 500000 - - -

G 3 Stigma Reduced


FMR code


Physical Targets

Amount proposed

Amount approved

Remarks

G 3.1

Mass media, Outdoor media, Rural media, Advocacy media

50,000 18 18.00 9.00

G 4.

Development of Leprosy Expertise sustained

G 4.1 Training of new MO 60000 - - - Approved As NLEP rates are very low, higher rates agreed in keeping with other programmes

G 4.2 Refresher training of MO 40000 600 14.90 8.00

G 4.3 Training to New H.S/H.W. 30000 900 10.80 9.00

G 4.4

Other training -Physiotherapist

30000 30 0.50 0.30

G 4.5 Training to Lab. Tech. 30000 60 1.00 0.60

G 4.6

Management training for District Nucleus Team

30000 90 3.24 0.90

G 5.

Monitoring, Supervision and Evaluation System improved

G 5.1

Travel Cost and Review Meeting

Approved

G 5.1 a

travel expenses - Contractual Staff at State level

50000 1 27.00 0.50

G 5.1 b

travel expenses - Contractual Staff at District level

15000 18 6.75 2.70

G 5.1 c Review meetings 25000 4 2.00 1.00

G 5.2

Office Operation & Maintenance

G 5.2 a Office operation - State Cell

38000 1 - 0.38 Approved

G 5.2 b

Office operation - District Cell

18000 18 14.40 3.24 Approved

G 5.2 c

Office equipment maint. State

30000 1 - 0.30 Approved

G 5.3 Consumables

G 5.3 a State Cell 28000 1 - 0.28 Approved

G 5.3 b District Cell 14000 18 - 2.52

G 5.4 Vehicle Hiring and POL

G 5.4 a State Cell 85000 2 9.60 1.70

G 5.4 b District Cell 75000 18 23.76 13.50


FMR code


Physical Targets

Amount proposed

Amount approved

Remarks

G 6. Programme Management ensured

G 6.1

Contractual Staff at State level

G 6.1 a SMO 40000 1x12 7.20 4.80 Approved

G 6.1 b BFO cum Admn. Officer 30000 1x13 3.60 3.60

G 6.1 c Admn. Asstt. 16000 1x14 1.92 1.92

G 6.1 d DEO 12000 1x15 1.44 1.44

G 6.1 e Driver 11000 1x16 1.32 1.32

G 6.2 Contractual Staff at Disrrict level

G 6.2 a Driver 11000 9x12 15.84 11.88 Approved

G 6.2 b

Contractual Staff in selected States, NMS 20000

- - -

G 7. Others

G 7.1

Travel expenses for regular staff for specific programme / training need, awards etc

27.00 4.00

TOTAL 313.78 167.91


Annexure-4E DETAILED BUDGET : NATIONAL PROGRAMME FOR CONTROL OF BLINDNESS (NPCB)

FMR CODE


Amount Approved

Remarks

H *Recurring Grant-in aid

H 1.1 For Free Cataract Operation @Rs.750/- per case

61000 458 212.5 Approved on reimbursement basis

H 1.2 Other Eye Diseases@ Rs.1000/-

500 5 5 Approved

H 1.3 School Eye Screening Programme@ Rs.200/- per case

30000 60 60 Approved

H 1.4 Blindness Survey 18 18 0 Not approved

H 1.5 Private Practitioners @as per NGO norms

5000 38 37.5 Approved

H 1.6 Management of State Health Society and Distt. Health Society Remuneration (salary , review meeting, hiring of vehicle and Other Activities & Contingency) @ Rs.14 lakh/ Rs.7 lakh depending on the size of state

15 14 Approved

H 1.7 Recurring GIA to Eye Donation Centers @ Rs.1000/- per pair

0 0

H 1.8 Eye Ball Collection by Eye Bank @ Rs.1500/- per pair

300 5 4.5 Approved

H 1.9 Training PMOA and MIS training

200 10 10 Approved for PMOA and MIS training for 1 time


FMR CODE


Amount Approved

Remarks

H 1.10 IEC, Eye Donation Fortnight, World Sight Day & awareness programme in state & districts etc

663 45 18 Approved

1lac per District and 2 lac for state

H 1.11 Procurement of Ophthalmic Equipment

47 186 100 Approved

H 1.12 Maintenance of Ophthalmic Equipments

18 18 5 Approved

H.2 Non- Recurring Grant-in-aid

H.2.1 For RIO (new) @ Rs.60 lakh

0 0

H.2.2 For Medical College@ Rs.40 lakh

0 0

H.2.3 For vision Centre @ Rs.50000/-

100 50 50 Approved for 100 vision centre

H.2.4 For Eye Bank @ Rs.15 lakh

0 0

H.2.5 For Eye Donation Centre @ Rs.1 lakh

8 8 8 Approved for 8 EDC

H.2.6 For NGOs @ Rs.30 lakh 0 0

H.2.7 For Eye Wards and Eye OTS @ Rs.75 lakh

0 0

H.2.8 For Mobile Ophthalmic Units with tele-network @ Rs.60 lakh

0 0

H.2.9 Grant-in-aid for strengthening of Distt. Hospitals @ Rs.20 lakh

1 20 20 Approved for 1 Distt. Hospital


FMR CODE


Amount Approved

Remarks

H.2.10 Grant-in-aid for strengthening of Sub Divisional. Hospitals@ Rs.5 lakh

1 5 5 Approved for 1 Sub-Distt. Hospital

H.3 Contractual Man Power

H.3.1 Ophthalmic Surgeon@ Rs.25000/- p.m

2 10 6 Approved

H.3.2 Ophthalmic Assistant @ Rs.8000/- p.m

0 0

H.3.3 Eye Donation Counsellors @ Rs.10000/- p.m.

2 3 2.4 Approved

Total 954 557.9


Annexure-4F DETAILED BUDGET: REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME

(RNTCP)

FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

I.1 Civil works

As per Revised Norms

and Basis of Costing

for RNTCP

1) Civil work Up gradation and maintenance completed as

planned; 2) Funds in the head utilized against the approved amount

30.15 30.15 Approved 100%. Approved the proposal for 3rd DOTS Plus site, 3 new DTCs.

I.2 Laboratory materials


1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally; 4) Funds in the head utilized against the approved amount

42.14 42.14 Approved 100%.

I.3 Honorarium


1) All eligible Community DOT Providers are paid honorarium in all districts in the FY; 2) Funds in the head utilized against the

49.60 25.00 Approved 80% of the budget proposed for honorarium of DOTS patients. For DOTS Plus 30% approved.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

approved amount

I.4 IEC/ Publicity


1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding; 3) Funds in the head utilized against approved amount

40.10 10.00 Approved Amount limited to fit into the budget envelop approved by GOI.

I.5 Equipment maintenance


1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition; 3) Funds in the head utilized against approved amount

15.79 11.05 Approved 70%.

I.6 Training


1) Induction training, Update and Re-training of all cadre of staff completed as planned; 2) Funds in the head utilized against approved amount

171.35 70.81 Approved limited to the norm.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

I.7 Vehicle maintenance


1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained; 2) Funds in the head utilized against approved amount

32.75 26.20 Approved 80% of the estimated budget.

I.8 Vehicle hiring


1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding; 3) Funds in the head utilized against approved amount

67.00 56.40 Approval limited to the norm.

I.9 NGO/PP support


1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT 3) Funds in the head utilized against approved amount

122.19 55.08 Approved 45%. *If the state is anticipating deficit in laboratory capacity to conduct C&DST test, then state may budget for funds under C&DST scheme in the NGO /PP head as the RNTCP guidelines for NGO and PPs, as a priority.

I.10 Miscellaneous

As per Revised Norms and Basis of

1) All activities proposed under miscellaneous head in PIP completed; 2)

51.05 43.31 Approved Amount as per the norm.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

Costing for RNTCP

Funds in the head utilized against approved amount

I.11 Contractual services


1) All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount

559.61 559.61 Approved 100%.

I.12 Printing


1) All printing activities at state and district level completed as planned; 2) Funds in the head utilized against approved amount

36.49 18.24 Approved 50%.

I.13 Research and studies


1) Proposed Research has been initiated or completed in the FY as planned; 2) Funds in the head utilized against approved amount

4.00 4.00 Approved 100%.

I.14 Medical Colleges


1) All activities proposed under Medical Colleges head in PIP completed; 2) Funds in the head utilized against

21.92 19.30 Not approved Proposal for STLS in Medical College is not approved.


FMR CODE.

Activity

Unit cost


output

Proposed amount

Approved amount

Remarks

approved amount

I.15

Procurement –vehicles


1) Procurement of vehicles completed as planned; 2) Funds in the head utilized against approved amount

Approved for amount as per the norm.

Four wheeler 5.00 4.30

Two Wheeler 0 0

I.16 Procurement – equipment


1) Procurement of equipments completed as planned; 2) Funds in the head utilized against approved amount

24.00 15.30 Approved proposal for Procurement of A/C and Computers .Amount budgeted for Photocopier procurement not approved as there is no provision.

I.17 Tribal Action Plan


Total (A) 1400.42

1050.90

B22.4 Additionality funds from NRHM (B) 182.26 102.44

TOTAL (A+B) Rs. 1153.34

approval of state programme implementation plan...

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