no. 10(25)/2013-nrhm-1 government of india ministry of health … · 2013-10-04 · nrhm, nuhm,...

Approval of Supplementary Programme Implementation Plan – Goa

No. 10(25)/2013-NRHM-1

Government of India

Ministry of Health and Family Welfare

(National Rural Health Mission)

Nirman Bhavan, New Delhi

Dated: 13th

September 2013

To,

Sh. Parimal Rai

Principal Secretary (Health and FW)

Government of Goa,

Secretariat, Porvorim,

Goa-403521

Subject: Approval of Supplementary NRHM State Programme Implementation Plan

for the year 2013-14

Sir,

This refers to the Supplementary Programme Implementation Plan (PIP) for the year

2013-14 submitted by the State on 14th

August, 2013. A supplementary proposal for Rs.

685.13 Lakhs was received. The approval of the supplementary proposal is summarized as

follows:

Programme

Total

Budget

(In Lakhs)

Total

Sanctioned

Amount in

ROP 2013-

14 (In Cr.)

Additional

Amount

Proposed in

supplementary

PIP 2013-14

(In Cr.)

Approved

Amount in

Supplementary

2013-14

(In Cr)

Annexure

RCH Flexipool 5.78 8.28 0.41 0.014 Annexure I

Mission

Flexipool

5.46 7.43 6.42 2.06 Annexure

II

IDSP 0.35 0.66 0.003 0.003 Annexure

III

NLEP 0.12 0.15 0.02 0.015 Annexure

IV

Total 11.71 16.52 6.85 2.092


The summary of approvals of till date is as follows:

Resource Envelope for FY 2013-14 Rs. 31.14 Crores

Approved Amount for FY 2013-14 in RoP dated 3rd

June,

2013

Rs. 28.98 Crores

Supplementary Proposal for FY 2013-14 Rs. 6.85 Crores

Supplementary Approval for FY 2013-14 Rs. 2.09 Crores

Total Approval for FY 2013-14 Rs. 31.07 Crores

Permissible Approval for FY 2013-14 (Assuming 20%

approval over and above the aggregate allocation of RCH,

MFP, Immunization (including PPI operational cost) and

total state share)

Rs 35.09 Crores

Cushion Available after Supplementary Approval (from

Permissible approval)

Rs. 4.02 Crores

Committed Liabilities towards salary for HR Rs. 2.99 Crores

Cushion Available after Supplementary Approval and

committed liabilities.

Rs. 1.03 Crores

In view of the above supplementary approvals of Rs. 2.09 Crores, there is cushion of

Rs. 1.03 Crores is left (against the permissible approval) for the year 2013-14.

Yours faithfully,

Limatula Yaden

Director (NRHM-IV)


Annexure 1

Supplementary RCH Flexible Pool Approval Goa 2013-14

FMR Code

Budget Head

Proposed 2013-14 Amount

Approved (Rs. In lakhs)

Remarks Quantity/

Target

Unit cost (Rs.)

Budget (Rs. In Lakhs)

A. 8 Human Resources

A.8.1.7.7

Others

I Refrigerator Mechanic

1 120000

0.60 0.00

Not Approved. State may use its own resources.

Subtotal HR 0.60 0.00

A.10 Programme Management

A.10.1

A.10.1.1

State Programme Manager

1 204000

0 13.20 0.00

Not Approved. Salary seems on the higher side. State may provide detailed break-up of the salary and submit along with the supporting documents. Rs. 7.20 lakhs already approved in the main RoP 2013-14 @Rs. 1.20 lakhs per month.

A.10.1.8

Data Entry Operators

6 144000

5.04 0

Not Approved. Being a policy decision, increments cannot be considered at this point of


FMR Code

Budget Head



Remarks Quantity/

Target

Unit cost (Rs.)


time, may be considered in due course.

A.10.1.10

Salaries for Staff on Deputation. Director Finance

1 900000

5.40 0.00

Not Approved. Salary seems on higher side. State may provide detailed break-up of the salary and submit along with the supporting documents. Rs. 3.60 Lakhs has already been approved in the RoP 2013-14.

A.10.1.11.2

Social Scientist

1 289800

2.90 1.38

Approved. State has missed to propose the existing post in the Main PIP budget sheet. Approved @23000/- per month for 6 months.

Subtotal A.10.1

26.54 1.38

A.10.3 Strengthening of Block PMU

A.10.3.4

Accountants 12 180000

12.60 0.00

Not approved. 10 accountants already approved in the main RoP 2013-14. For 2 additional accountants


FMR Code

Budget Head



Remarks Quantity/

Target

Unit cost (Rs.)


State may use its own resources.

Subtotal A.10.3

12.60 0.00

A.10.7 Mobility Support, Field Visits

A.10.7.4.4

Attendant 1 96000

0.96 0 Not Approved.

Subtotal A.10.7

0.96 0

Subtotal Programme Management

40.10 1.38

Grand Total RCH Flexible Pool

40.70 1.38


Annexure II

Supplementary Mission Flexible Pool Approval Goa 2013-14

FMR Code

Budget Head



Comments from Divisions. Quantity

/ Target

Unit cost (Rs.)


B.2 Untied Funds

B.2.1 Untied Fund for CHCs / SDH

6 5000

0 0.70 0.00

Not Approved. Approval as per previous year expenditure already conveyed in the main RoP

B.2.2 Untied Funds for PHCs

20 2500

0 0.25 0.25

Approved as per the previous year expenditure.

Subtotal Untied Funds

0.95 0.25

B.6 Corpus Grants to HMS / RKS

B.6.2 CHCs 6 1000

00 6.00 6.00 Approved.

Subtotal Corpus Grants / RKS

6.00 6.00

B.10 IEC / BCC NRHM

B.10.2 Implementation of BCC / IEC Strategy

6.00 6.00 Approved.

Subtotal IEC/BCC NRHM

6.00 6.00

B.11 Mobile Medical Units

B.11.1


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


B11.1.3 HR 2680

00 2.68 2.58

Approved at the last year rates for 4 months and 9 days salary. Approved an amount of 2, 58,000 (including 2, 40,000 for 4 months salary of the staff proposed and 18,000 for additional 9 days salary ) Salary approved for 1 LT @ 10,000 p.m; 1 ECG technician @10,000 p.m; 2 DEOs @ 10,000 p.m and 2 Drivers @ 10,000 p.m .

B11.2 Mobile Medical Vans

B.11.2.3 HR

397416

3.97 3.86

Approved at last year rates for 4 months and 9 days salary. Approved an amount of 386250 (including 3,6000 for 4 months salary and 26,250 for additional 9 days salary for the staff proposed) Salary approved for 2 LTs @ 10,500 p.m; 1 ECG technician @10,000 p.m; 1 X ray technician @10,500 per month; 1 AC


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


Technician @10,000 p.m; 1 DEO at 10,000 p.m; 2 driver @ 10,000 p.m and 2 Attendant @8,000 p.m

Subtotal MMU

6.65 6.44

B.12

Referral Transport / Patient transport System

B12.1 Ambulance/EMRI Capex

B12.1.1 State basic ambulance/ 102 Capex

10 1300000

130.00 0.00

Not approved for any new ambulance whether 102 basic, BLS and ALS ambulances as the State has a fleet of 71 ambulances including State ambulances. With this fleet of ambulances, state

B12.1.2 Advanced life support Capex

0.00 0.00


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


B12.1.3 EMRI Capex-BLS

6 1300000

78.00 0.00

already has 1 ambulance per 20,000 population, so no more ambulances are required. State needs to implement NAS and also existing ambulance should be placed strategically for better geographical coverage. Existing ambulances need to be GPS fitted and should be linked to a centralized call centre with a 3 digit toll free no.

B12.1.4 EMRI Capex-ALS

6 1700000

102.00 0.00

Subtotal B.12.1

310.00 0.00

B12.2

Operating Cost /Opex for ambulance

State may share the no of trips covered per day along-with the Kms travelled. Whether they are utilized round the clock and have EMTs. The state needs to bring these under the umbrella of National Ambulance Service with GPS fitting and linking it with


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


centralized Call centre.

B12.2.3 Opex EMRI-BLS

15 3000

00 45.00 36.00

Approved Rs. 36 Lakhs for 15 EMRI-BLS ambulances @ Rs 2.4 lakhs per yr (20% of Rs 1.0 lakh/ month) and Rs. 43.2 lakhs for 18 EMRI-ALS ambulances @ Rs 2.4 lakhs per yr (20% of Rs 1.0 lakh/ month). The funds approved is subject to : 1) All ALS and BLS ambulances are brought under the umbrella of NAS 2) The computerized design of NAS is shared and approved by GOI 3 ) All vehicles are GPS fitted with linkage with centralized call centre 4) Call centre OPEX cost shall be the part of the overall OPEX cost approved 5) Analysis for the trip and kms travelled per vehicle for state ambulances shall be shared.

B12.2.4 Opex EMRI-ALS

18 3000

00 54.00 43.20


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


B12.2.9.1

Opex EMRI - EM Room

5 2057796

102.89 0.00

Not Approved. Separate EMRI-EM Room is not required. Casualty wing of the existing hospitals need to be strengthened.

Subtotal 12.2 201.89 79.20

Subtotal EMRI

511.89 79.20

B. 15

Planning Implementation & Monitoring

B.15.3 Monitoring & Evaluation

B.15.3.1.6.

Others

B.15.3.1.6.4

MCTS Call Centre

2 6000

0 1.20 1.20

Approved. Telephone expenses towards MCTS Call Centre

Subtotal B.15.3.1

1.20 1.20

B.15.3.2

Computerization HMIS and e-governance, e-health

B.15.3.2.1.d

Other Office and admin expenses

B.15.3.2.1.d.1

Telephone expenses

149 6000 8.94 8.94

Approved. Rs. 8.94 Lakhs for Internet connectivity charge


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


Subtotal B.15.3.2

8.94 8.94

B.15.3.3.10

Others

B.15.3.3.10.1

State NRHM Website

1 3500

00 3.50 3.50

Approved. Rs. 3.50 Lakhs for State NHM website including NRHM, NUHM, Communicable diseases and NCD pool.

Subtotal B.15.3.3

3.50 3.50

Subtotal Planning Implementation and Monitoring

13.64 13.64

B.16 Procurement

B.16.2 Procurement of Drugs & Supplies

B.16.2.4 Supplies for IMEP

B.16.2.4.1

Colour coded bags

1 5000

00 5.00 5.00

Approved. Rs 5.0 lacs for procurement of color coded bags with the conditionality that training of service providers, adherence to the protocols, designating a nodal officer for supervising quality at the facility shall


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


be ensured simultaneously.

Subtotal B.16.2.4

5.00 5.00

B.16.2.5

General Drugs & Supplies for Health Facilities

B.16.2.5.1

IPD 1 3000000

30.00

84.00

Approved. Rs 84.0 lacs in the light of the justification provided by the State subject to 1) State will share differential EDL based on the type and functionality of the facility To GOI 2) Computerized inventory management is implemented so that medicines are issued to the facilities based on their requirements.

B.16.2.5.2

OPD 1 5400000

54.00

Subtotal B.16.2.5

84.00 84.00

Subtotal Procurement of Drugs and Supplies

89.00 89.00

B.17

Regional Drug Warehouses /Logistics Management


FMR Code

Budget Head




/ Target

Unit cost (Rs.)


B.17.1 Drug warehouses

1 3000

00 3.00 0.00 Not Approved.

Subtotal regional Drug Warehouses

3.00 0.00

B.20 Research study

Research study

5000

00 5.00 5.00

Approved subject to the condition that State may share tools, TOR, Methodology and details of proposed study with NHSRC. Activity to be carried out only under the guidance of NHSRC and reports to be shared with GOI.

Subtotal Research Studies

5.00 5.00

Grand Total MFP

642.13 205.53


Annexure III

Integrated Disease Surveillance Project

FMR Code.

Budget Head

Proposed 2013-14

Amount Approved

(Rs. In lakhs)


/ Target

Unit cost (Rs.)


E.1.2 Operational Cost

E.1.2 Laboratory Support

District Public Health lab manpower

2 for 9 Months

10,000

0.30 0.30

Approved. The State had proposed the remuneration for two lab technicians @ Rs. 10000/ - for six months. The total comes to Rs. 1.2 lakhs. However, in the ROP Rs. 90000 was approved , the State has requested an additional budget of Rs. 30,000/ - (1,20,000- 90,000) towards the remuneration of lab technician to be posted at the District public health Lab.

Grand Total IDSP

0.30 0.30


Annexure IV

National Leprosy Eradication Programme

FMR Code.

Budget Head

Proposed 2013-14

Amount Approved

(Rs. In lakhs)


/ Target

Unit cost (Rs.)


G.5 Programme Management

G.5.5 Mobility Support

State Cell

2.0 1.5

Approved. State has requested for release of Rs. 2.00 lakhs under mobility support. We have recommended only Rs. 0.5 lakhs in ROP. There is a provision of Rs. 4.00 lakhs at state level. Rs. 2.00 lakhs is recommended to be allocated under mobility and additional amount of Rs. 1.5 lakhs under mobility support to state is approved.

Grand Total NLEP

2.0 1.5

no. 10(25)/2013-nrhm-1 government of india ministry of health … · 2013-10-04 · nrhm, nuhm,...

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