welcome to nhm tripura website

MINISTRY OF

HEALTH AND

FAMILY

WELFARE

GOVERNMENT

OF INDIA

APPROVAL OF STATE PROGRAMME

IMPLEMENTATION PLAN 2014-15: TRIPURA

Administrative Approval Tripura 2014-15 Page - 2 -

Preface

Programme Implementation plans (PIP) and their approvals in the form of Record of Proceedings (RoP) provide us with the opportunity to assess our progress, limitations and renew our efforts to achieve the Mission goals. With these RoP proceedings conveying the approval of NPCC for the year 2014-15, let us renew our pledge and commitment for improved quality and assured care. As discussed during the NPCC meetings, we look forward to suggestions from States to improvise the working and flexibility of the National Health Mission with special emphasis on ‘Value for money’, equity and quality of care, and optimal utilization of existing resources. We would need to continue implementing the approach of focusing our attention and resources on population and areas that have relatively poor health indices. This would help in sharper reduction in IMR, MMR and TFR besides addressing the equity concerns. This approach should be further extended to underserved areas and at sub-district level. The State prepared District Health Action Plans for High Priority Districts based in gap analysis and through this approval of your PIP, we have tried to address to the extent possible within the limitation of resource envelope available .We had also made a small beginning towards focusing on healthcare of the urban poor and vulnerable population Our responsibility now is to ensure that our endeavor translates to effective health care service delivery to these population. Among other things, I would like to emphasize the key importance of supportive supervision, effective Grievance redressal mechanisms and analysis of available data to come up with robust evidence based context specific interventions. Though supportive supervision and some form of Grievance redressal mechanism have been initiated by many States, there is lot of room for further strengthening and improvement to yield desired results. Similarly, data from various sources is being captured by the States and districts; however the analysis of this data to understand the utilization levels and utilizing it for improved programme implementation and policy correction is still a weak area. Continuous assessment and evaluation of the program is important to keep us focused and carry out timely necessary mid-course corrections. I look forward to hearing from you on the progress against the approvals soon.

CK Mishra Additional Secretary & Mission Director NHM


Government of India

Ministry of Health and Family Welfare Department of Health & family Welfare

(National Health Mission) F. No. M-11011/9/2014-NRHM-III

Nirman Bhavan, New Delhi Dated: 8th August, 2014

Subject: Approval of NHM State Programme Implementation Plan for the financial year 2014-15 for the State of Tripura

This refers to the Programme Implementation Plan (PIP) for the year 2014-15 submitted

by the State of Tripura and subsequent discussions in the NPCC meeting held on 17 July, 2014

at Nirman Bhawan, New Delhi.

2. Against a resource envelope of Rs 215.63 Crore, an administrative approval of the PIP

for your State is conveyed for an amount of Rs 129.73 Crore. Details are provided in Table A,

B and C below. Uncommitted and unspent balance available under NHM as on 01.04.2014 is also a

part of the resource envelope:

TABLE-A

Rs. Crores

Uncommitted unspent balance available under NHM as on 1.4.2014

40.75

GOI Resource Envelope for 2014-15 under NHM (assuming no reduction on account of conditionalities)

141.65

Assuming 10% incentive based on performance 15.74

10% State Share (2014-15) 17.49

Total* 215.63

*Excluding 3 programs of NCDs


TABLE-B- Break-up of Resource Envelope

Sr.No. Programme (Rs in Crore)

1 RCH Flexible Pool 43.96

2 NHM Flexible Pool 44.40

3 NUHM Flexible Pool 10.75

4 Immunization 2.01

5 NIDDCP 0.70

6 IDSP 0.40

7 NVBDCP 19.43

8 NLEP 0.09

9 RNTCP 5.84

10 NPCB 1.39

11 NPHCE 1.00

12 NTCP 0.86

13 NOHP 0.03

14 NPPCDS 2.35

15 Infrastructure Maintenance 22.72

16 PPI Operation Cost 1.46

17 State Share 17.49

18 Uncommitted Unspent balance 40.75

Grand Total Resource Envelope 215.63


TABLE-C

SUMMARY OF APPROVAL

Sr. No.

Scheme /Programme

Approved Amount

(Rs. in Crores) Annex ref

1 RCH Flexible Pool 38.72 1

22

NHM Flexible Pool 54.24 2

3

Immunization and PPI operation cost 3.85 3

4

NIDDCP Pended --

5

NUHM Flexible Pool 1.83 4

6 6

IDSP 0.83 5A

7

NLEP 0.30 5B

8

NVBDCP 7.23 5C

9

RNTCP Pended --

10

NPCB Pended --

111

NPCDCS Pended --

112

NMHP Pended --

113

NPHCE Pended --

114

NTCP Pended --

115

NOHP Pended --

16

Infrastructure maintenance (Treasury route)

22.72 --

TOTAL APPROVAL 129.73

3. State/UT to convey the district-wise approvals to the districts within 15 days of

receiving the State RoP approvals. High Priority Districts must receive at least 30% more

budget per capita as compared to the other districts.


4. All buildings supported under NHM should prominently carry NHM logo in English/

Hindi & regional languages.

5. All ambulances supported under NHM to be branded as ‘National Ambulance Services’

and adhere to the colour, design and logo as communicated by MOHFW.

6. All MMUs to be branded as ‘National Mobile Medical Unit’ and adhere to the colour,

design and logo scheme as communicated by MOHFW.

7. The support under NHM is intended to supplement and support and not to substitute

state expenditure. All the support for HR will be to the extent of positions engaged over and

above the regular positions

Release of funds

8. Action on the following issues would be looked at while considering the release of

second tranche of funds:

Compliance with conditionalities as prescribed by Department of Expenditure (DoE)

under the Ministry of Finance.

Physical and financial progress made by the State.

Pendency of the State share, if any, based on release of funds by Government of

India.

Timely submission of Statutory Audit Report for the year 2012-13 and laying of the

same before the General Body and intimation to the Ministry.

Before the release of funds beyond 75% of BE for the year 2014-15, State needs to

provide Utilization Certificates against the grant released to the State up to 2012-13

duly signed by Mission Director and Auditor.

State to open accounts of all agencies in PFMS.

Other aspects

9. State shall ensure submission of quarterly report on physical progress against targets and

expenditure including an analysis of adverse variances and corrective action proposed to be

taken.

10. The State shall not make any change in allocation among different budget heads

without approval of GoI.

11. All approvals are subject to the Framework for Implementation of NHM & guidelines

issued from time to time & the observations made in this document.


12. State should adhere to the clauses mentioned in the MOU signed and achieve the agreed

performance benchmarks.

13. The accounts of State/ grantee institution/ organization shall be open to inspection by

the sanctioning authority and audit by the Comptroller& Auditor General of India under the

provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the

Ministry of Health & Family Welfare.

14. State shall ensure submission of details of unspent balance indicating inter alia, funds

released in advance & funds available under State Health Societies. The State shall also intimate

the interest amount earned on unspent balance. This amount can be spent against approved

activities.

Yours faithfully

Director (NHM)


KEY CONDITIONALITIES AND INCENTIVES

Tripura has made significant progress in responding to conditionalities particularly in the area of

rational deployment of HR, facility wise performance audit and facility wise reporting on HMIS

portal. The following conditionalities shall be adhered to by the States and are to be treated as

non-negotiable:

Mandatory disclosures

1. The State must ensure mandatory disclosures on the state NHM website of the following

and act on the information:

Facility wise deployment of all HR including contractual staff engaged under NHM with

name and designation. This information should also be uploaded on HMIS

Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-

section, Major and Minor surgeries etc. on HMIS

MMUs- total number of MMUs, monthly schedule format and service delivery data

on a monthly basis capturing information on all fields mentioned in the specified

format

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 kilometer logged on a monthly basis.

All procurements- including details of equipment procured (as per directions of CIC

which have been communicated to the States by this Ministry vide letter No

'No.Z.28015/162/2011-H' dated 28th November 2011.) in specified format

Buildings under construction/renovation –total number, name of the

facility/hospital along with costs, executing agency and execution charges (if any),

date of start & expected date of completion in specified format.

Supportive supervision plan and reports shall be part of mandatory disclosures.

Block-wise supervisory plan and reports should be uploaded on the website.

NGOs/PPP funded under NHM would be treated as 'public authority' and

will fall under the ambit of the RTI Act 2005 under Section 2(h).

Further, details of funds allotted /released to NGOs/PPP to be uploaded

on website.


Facility wise list of package of services being provided through the U-PHCs & U-CHCs

2. State to ensure that JSY payments are made through Direct Benefit Transfer (DBT)

mechanism through AADHAAR enabled payment system, through NEFT under Core

Banking Solution or through A/C payee check (Cash payment or bearer cheque payment is

categorically disallowed across the States unless specifically agreed in case of certain areas in

hilly States and NE States where presence of bank network is inadequate).

3. Timely updation of MCTS and HMIS data including facility wise reporting.

4. Line listing of high risk pregnant women, including extremely anaemic pregnant women

and Low Birth Weight (LBW) babies.

KEY CONDITIONALITIES

5. The following key conditionalities would be enforced during the year 2014-15:

a) Rational and equitable deployment of HR1 with the highest priority accorded to high

priority districts and delivery points and facilities located in slum and low income

neighborhoods in urban area.

b) Introduction of Human resource Information Management System for regular and

contractual staff in a manner that salary bill is generated through the HRIS web portal,

which ensures that the HR deployment information remains updated

c) Facility wise performance audit2 and corrective action based thereon.

d) Performance Measurement system set up and implemented to monitor

performance of regular and contractual staff.

e) RBSK to be rolled out in at least 30% of the districts.

f) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be

done and corrective action taken thereon.

1 Many states have put in a place an HR policy which lays down norms of transfer and posting. It is

expected that the State ensures case load based posting, 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 peripheral facilities in high focus/ remote areas.

2 Facility wise performance audit will also include the facility wise score card being developed.


g) State should ensure expenditure upto 15% by June 2014 and another 30%

by September 2014 of their approved budget under each pool in the FY

2014-15

h) Expand the Governing Body (GB) and the Executive Committee of the State

Health Mission/Society to include Minister(s) in charge of Urban Development

and Housing, and Secretaries in charge of the Urban Development and Housing

departments.

i) The thematic areas will be appropriately strengthened at the State Health Society

and District Health Societies to support both NUHM and NRHM. Parallel

structures shall not be created for NRHM and NUHM.

j) State/UT will adopt Competency based Skill Tests and transparency in selection

and recruitment of all doctors, SNs, ANMs and LTs sanctioned under NHM.

k) All services under National Health Programme/Schemes should be provided

free of cost.

l) Investments in U-PHCs must lead to improved service offtake at these facilities,

which should be established through a baseline survey & regular reporting

through HMIS.

m) The UPHCs should provide the whole range of services enumerated in the

NUHM Implementation Framework.

INCENTIVES UNDER NRHM-RCH POOL

6. 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

5% of the outlay)


f) Policy and systems to provide free generic medicines to all in public health

facilities (upto 5% of the outlay)

g) Timely roll out of RBSK (upto 5% of the outlay)

h) Timely roll out of RKSK (incentive of upto 5% of the outlay)

i) Regular supportive supervision and corrective action based on reports of

visits. (Incentive of upto 5% of the outlay)

j) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their

requirement, to regulate the quality and cost of health care in different public

and private health facilities in the State (upto 5% of outlay).

k) States providing more than 10% increase in its annual health budget as compared

to the previous year will attract additional incentive.

DISINCENTIVES UNDER NRHM-RCH POOL

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

RCH base flexipool.

b) Gaps in introduction of Human Resource Information Management System may lead to

reduction in outlay of upto 10%

c) Gaps in roll out of RBSK in at least 30% of the districts may lead to reduction in outlay

of upto 5%.

Note: Incentives and disincentives are not applicable under NUHM


ROAD MAP FOR PRIORITY ACTION

NHM 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 NHM. For effective outcomes, a

sector wide implementation plan would be essential; states would be expected to prepare such

a plan with effect from next year. 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 High priority districts and blocks with poor health indicators; resources not to be spread too thin / targeted investments; at least 10% annual increase in state health budget; addressing verticality in health programmes and planning for integrated delivery of full spectrum of health services; emphasis on quality assurance at least 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; selection of staff to key positions such as head of health at the district and block level and facility-in charge to be based on performance; stability of tenure to be assured; training of key health functionaries in planning and use of data. Strong integration with Health & FW and AYUSH directorates strengthened DPMUs particularly in HPDs.

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 and programme management positions; strengthening of public health nursing cadre, enactment of Public Health Act.

HUMAN RESOURCES


S. NO. STRATEGIC


4. HR policies for doctors, nurses paramedical staff and programme management staff

Minimizing regular vacancies; expeditious recruitment (eg. taking recruitment of MOs out of Public Service Commission purview and having campus recruitments/walk in interview); Recruitment of paramedics including ANM , Nurses , LTs etc only after through competency assessment; merit –based public service oriented 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, performance measurement and performance linked payments.

5. HR Accountability Facility based monitoring; incentives for sub-centre team of ANMs , ASHAs and AWWs, the health service providers both individually and for team, for facilities based on functioning; performance appraisal against benchmarks; renewal of contracts/ promotions based on performance; incentives for performance above benchmark; incentives for difficult areas, performance based incentives.

6. Medical, Nursing and Paramedical Education (new institutions and upgradation of existing ones)

Planning for enhanced supply of doctors, nurses, ANMs, and 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 specialized nursing cadre, ensuring availability and use of skill labs, Use of tele-education

7. Training and capacity building

Strengthening of State Institute of Health & Family Welfare (SIHFW)/ District Training Centres (DTCs); quality assurance; availability of centralized training log; monitoring of post training outcomes; expanding training capacity through partnerships with NGOs / institutions; up scaling of multi skilling initiatives, accreditation of training and trainers

STRENGTHENING SERVICES


S. NO. STRATEGIC


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 d rugs ; t ime ly procurement of drugs and consumables; smooth distribution to facilities from the district hospital to the sub centre; uninterrupted availability to patients; minimization of out of pocket expenses; quality assurance; prescription audits; essential drug l ists (EDL) in public domain; computerized drugs and logistics MIS system; setting up dedicated corporation on the lines of eg: TNMSC/RMSC etc.

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 with toll free 102/108 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; prescription audits, free for pregnant women and sick neonates, free essential diagnostics.

COMMUNITY INVOLVEMENT

13. Patient’s feedback and grievance redressal

Feedback from patients; expeditious grievance redressal; analysis of feedback for corrective action, toll free help line , clear SOP and protocols to address grievances.

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


S. NO. STRATEGIC


15. IEC Comprehensive communication strategy with a strong Behavior Change Communication(BCC) component in the IEC strategy; dissemination in villages/ urban slums/ peri urban areas , using mobile networks for BCC/IEC

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 and action.

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; rationalizing 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.


S. NO. STRATEGIC


22. Monitoring and Review

Regular meetings of State/ District Health Mission/ Society for periodic review and future road map; clear agenda and follow up 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 and corrective action; concurrent evaluation

23. Quality assurance Quality assurance at all levels of service delivery; quality certification/ accreditation of facilities and services; institutionalized quality management systems, achieving Quality Assurance standards for at least 20% of DH&CHCs, adherence to QA guidelines

24. Surveillance Epidemiological surveillance; maternal andinfant 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/tablets for real time data entry; video conferencing for regular reviews; closed user group mobile phone facility for health staff; telemedicine and tele education; use of ICT technologies in E- Governance; development of Human Resource Information System (HRIS) and Hospital Management Information System, endless opportunities-sky is the limit!


ROADMAP FOR ACTION UNDER NUHM

This section outlines the broad overview of some of the key activities that are to be undertaken under NUHM as well as clearly defines the priority activities that have to be focused on in the current financial year.

I. Broad Overview of Activities to be undertaken under NUHM

SERVICE DELIVERY INFRASTRUCTURE:

Urban - Primary Health Centre (U-PHC): Functional for approximately 50,000

population, the U-PHC would be located within or 500 metres of the slum. The

working hours of the U-PHC would be from 12.00 noon to 8.00 pm. The services

provided by U-PHC would include OPD (consultation), basic lab diagnosis, drug

/contraceptive dispensing and delivery of Reproductive & Child Health (RCH) services,

as well as preventive and promotive aspects of all communicable and non-

communicable diseases.

Mobile PHCs: Could be utilized to promote services to the homeless, migrant workers

etc.

Urban-Community Health Centre (U-CHC) and Referral Hospitals: 30-50 bedded U-

CHC providing inpatient care in cities with population of above five lakhs, wherever

required and 75-100 bedded U-CHC facilities in metros. Existing maternity homes,

hospitals managed by the state government/ULB could be upgraded as U-CHCs.

In towns/ cities, where some sorts of public health institutions like Urban Family

Welfare Centres, Urban Health Posts, Maternity Homes etc. run by State Govt/ ULBs

exist, such facilities will be efforts will be made to strengthened as U-PHC and U-CHC.

OUTREACH:

Outreach services will be provided through Female Health Workers (FHWs)/ Auxiliary

Nursing Midwives (ANMs) headquartered at the UPHCs.

ANMs would provide preventive and promotive health care services to households

through routine outreach sessions. The special outreach sessions would be conducted

for the homeless, migrant workers, street children etc.

Existing AWCs, infrastructure created under JNNURM and RAY should be utilised for

holding of outreach sessions.

Various services to be delivered at the community level, UPHC and UCHC levels have

been elaborated in Table 17-1 of the NUHM Implementation Framework.

Services under RBSK should also be extended to slum areas.


COMMUNITY MOBILISATION:

Mahila Arogya Samiti (MAS) – will act as community based peer education group in

slums, involved in community mobilization, monitoring and referral with focus on

preventive and promotive care, facilitating access to identified facilities and management

of grants received.

Existing community based institutions created under different programme may be

utilized for above purpose.

ASHA - One frontline community worker (ASHA) would serve as an effective and

demand-generating link between the health facility and the urban slum population.

ASHA would have a well-defined service area of about 1000-2,500 beneficiaries

(between 200-500 households) based on spatial consideration. ASHAs will be paid

performance based incentive at the same rate as under NRHM. However, the states

would have the flexibility to either engage ASHA or entrust her responsibilities to MAS.

In that case, the incentives accruing to ASHA would accrue to the MAS.

PUBLIC PRIVATE PARTNERSHIPS:

In view of presence of large number of private (for-profit and not-for-profit) health

service providers in urban areas, public-private partnerships particularly with not-for-

profit service providers will be encouraged. However, clear and monitorable Service

Level Agreements (SLAs) need to be developed for engagement with Private Sector.

The performance of the private service providers should be regularly and strictly

monitored.

ROLE OF URBAN LOCAL BODIES

The NUHM envisages active participation of the ULBs in the planning and

management of the urban health programmes.

FUNDING/BUDGET MECHANISM

Funds will flow to the City Urban Health Society/ District Health Society as the case

may be, through the State Government / State Health Society. The SHS/DHS will have

to maintain separate accounts for NUHM. State Health Society (SHS) will sign a MoU

with the City Health Mission/ Society to ensure that the funds are utilized only for the

activities under NUHM.

CONVERGENCE:

Inter-sectoral convergence with Departments of Urban Development, Housing and

Urban Poverty Alleviation, Women & Child Development, School Education, Minority

Affairs, Labour will be established through city level Urban Health Committees headed

by the Municipal Commissioner/Deputy Commissioner/District Collector/ SDM, as

the case may be.


States are also encouraged to explore possibility of engaging the Railways, ESIC and

corporate sector (through Corporate Social Responsibility i.e. CSR) for optimising

utilization of resources & service delivery.

Intra-sectoral convergence is envisaged to be established through integrated planning

for implementation of various health programmes like RCH, RNTCP, NVBDCP,

NPCB, National Mental Health Programme, National Programme for Health Care of

the Elderly, etc. at the city level. However, support for various interventions under

NCDs & Communicable diseases, RMNCH+A should be arranged separately under the

respective National health Programmes.

OTHER ASPECTS: All the U-PHCs & U-CHCs supported under NUHM will be covered under MCTS,

HMIS, NIKSHAY, etc. Use of Information Technology would be encouraged for

hospital management, adoption of EHR, etc.


SUMMARY BUDGET 2014-15: TRIPURA

FMR Budget Head FY 2014-15 Budget ( Rs in Lakhs )

Proposed Approved %

1 RCH FLEXI POOL

A1 Maternal Health (Excluding JSY) 1694.17 1389.36 10.71

A2 Child Health 367.15 229.85 1.77

A3 Family Planning 61.14 45.66 0.35

A4 RKSK 41.62 28.26 0.22

A5 RBSK 115.19 97.06 0.75

A6 Tribal RCH 0.00 0.00 0.00

A7 PNDT & Sex Ratio 16.50 13.71 0.11

A8 HR 1114.45 939.19 7.24

A9 Training 284.09 152.73 1.18

A10 Programme Management 648.95 581.36 4.48

A11 Vulnerable groups 0.00 0.00 0.00

Total Base Flexi Pool 4343.26 3477.18 26.80

A12 JSY 400.93 291.87 2.25

A13 Sterilization & IUD Compensation, and NSV Camps

104.40 102.90 0.79

Total Demand Side 505.33 394.77 3.04

Total RCH Flexi Pool 4848.59 3871.95 29.85

2 MISSION FLEXI POOL

B1 ASHA 1867.23 1408.43 10.86

B2 Untied Funds/Annual Maintenance Grants /Corpus Grants to HMS/RKS 641.10 570.69 4.40

B3 Roll out of B.Sc. 0.00 0.00 0.00

B4 Hospital Strengthening 595.00 31.00 0.24

B5 New Constructions/ Renovation and Setting up 1000.00 1000.00 7.71

B6 Implementation of Clinical establishment Act 0.00 0.00 0.00

B7 District Action Plans (including block, village) 17.76 16.60 0.13

B8 Panchayati Raj Institutions 8.55 8.55 0.07

B9 Mainstreaming of AYUSH 900.07 540.84 4.17

B10 IEC-BCC NHM 281.86 134.45 1.04

B11 Mobile Medical Units 119.12 99.12 0.76

B12 Referral Transport 0.00 0.00 0.00

B13 PPP/ NGOs 105.00 0.00 0.00


FMR Budget Head FY 2014-15 Budget ( Rs in Lakhs )

Proposed Approved %

B14 Innovations (if any) 973.12 329.53 2.54

B15 Planning, Implementation and Monitoring 436.75 264.27 2.04

B16 Procurement 1519.71 984.10 7.59

B17 Drug Ware Houses 36.70 36.70 0.28

B18 New Initiatives 0.00 0.00 0.00

B19 Health Insurance Scheme 0.00 0.00 0.00

B20 Research, Studies, Analysis 0.00 0.00 0.00

B21 State level Health Resources Center 0.00 0.00 0.00

B22 Support Services 0.00 0.00 0.00

B23 Other Expenditures (Power Backup, Convergence etc) 0.00 0.00 0.00

Total MFP 8501.97 5424.28 41.81

3 IMMUNIZATION

0.00

C1 RI strengthening project 192.60 174.45 1.34

C2 Salary of Contractual Staffs 9.83 7.46 0.06

C3 Training under Immunization 6.40 5.38 0.04

C4 Cold chain maintenance 2.24 2.24 0.02

C5 ASHA Incentive 49.00 49.00 0.38

C6 Pulse Polio Operational Cost 153.37 146.00 1.13

Total RI & PPO costs 413.44 384.52 2.96

4 NUHM 323.52 183.58 1.42

5 Communicable Disease Control Programmes

0.00

5A Integrated Disease Surveillance Programme (IDSP) 88.09 83.52 0.64

5B National Leprosy Eradication Programme

(NLEP) 30.30 29.81 0.23

5C National Vector Borne Disease Control

Programme (NVBDCP) 1380.78 723.52 5.58

6 Non Communicable Disease Control Programmes

-- -- --

TOTAL 15586.69 10701.18 82.49

8 Infrastructure Maintenance

2272.00 17.51

GRAND TOTAL APPROVAL

12973.18 100.00


ANNEXURES


Annexure 1

REPRODUCTIVE & CHILD HEALTH (RCH) FLEXIBLE POOL

FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity

Budget Proposed (Rs. in Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

A REPRODUCTIVE AND CHILD HEALTH

4848.58 3871.95

A.1 MATERNAL HEALTH 2095.10 1681.23

A.1.1

Operationalise Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planning-identifying priority facilities,etc)

2.50 0.00

A.1.1.1

Operationalise Safe abortion services (including MVA/ EVA and medical abortion)at health facilities

0 0.00

A.1.1.2

Operationalise RTI/STI services at health facilities

No. of DP

5000 50 2.50 0.00 Not approved.

A.1.2

Integrated outreach RCH services (state should focus on facility based services and outreach camps to be restricted only to areas without functional health facilities)

503.34 503.34

A. 1.2.1.

Outreach camps No. of Camp

8500 60 5.10 5.10

Approved. Approved Rs 5.10 L for 60 out-reach camps@ Rs 8500/ camp

A.1.2.2.

Monthly Village Health and Nutrition Days

No. of VHN

D 1000

49824

498.24 498.24

Approved. Approval for organizing 49824 VHNDs@ Rs 1000/ VHND. Out of this Rs 200/- per VHND to be given to ASHA as incentive for mobilizing pregnant women and neonates as per due list.

A.1.3

Janani Suraksha Yojana / JSY

400.93 291.87

A.1. Home deliveries No. of 500 100 5.00 4.50 Approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

3.1 Ben. 0 Approved for 900 home deliveries.

A.1.3.2

Institutional deliveries 213.87 152.66

A.1.3.2.a

Rural No. of Ben.

700 25000

175.00 140.66

Approved. Approved for 20094 rural instructional deliveries.

A.1.3.2.b

Urban No. of Ben.

600 647

8 38.87 12.00

Approved. Approved for 2000 urban instructional deliveries.

A.1.3.2.c

C-sections 0 0.00

A.1.3.3

Administrative Expenses Quarterly cost

153750

4 6.15 6.15 Approved.

A.1.3.4

Incentives to ASHA No. of Ben.

559 31478

175.91 128.56

Approved. Approved for 20094 rural area Inst. deliveries @ of Rs. 600 per Del. and 2000 urban area Inst. Del. @ of Rs. 400 per delivery.

A.1.4

Maternal Death Review (both in institutions and community)

No. of

Review

1235 34 0.42 0.42 Approved.

A.1.5

Other strategies/activities (please specify)

212.91 25.60

A.1.5.1

Line listing and follow-up of severely anemic & other high risk pregnant women

No. of Ben.

200 200

0 4.00 4.00

Approved. Approved for 130 SCs of one HPD

A.1.5.2

Incentive to ASHAs for early registration and recording in MCP Cards

No. of Ben.

50 30000

15.00 15.00

Approved. Approved, subject to no duplication in Mission Flexipool.

A.1.5.3

Incentive to ASHA @Rs.200 per month per VHND

No. of Ben.

200 88404

176.81 0.00

Not Approved. Activity already approved under A.1.2.2 above.

A.1.5.4

Incentivization to ANM for Delivery at HSC

No. of Delive

ry 300 200 0.60 0.60

Approved. Approved as per PBI, i.e., Rs 200 X 300 deliveries = 60,000/ for HPDs.

A.1.5.5

Gift Pack to Mother No. of Ben.

300 350

0 10.50 0.00 Not approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.1.5.6

Incentive to EmOC & LSAS trained Mos for C-Section Delivery

No. of C-

Section

2000 300 6.00 6.00

Approved. Approved Rs 6 L. For LSAS and EmOC, blended payment to be given i.e. @ Rs 2,000 fixed and Rs 400 per case up to max of Rs 7,000

A.1.5.7

0 0.00

A.1.5.8

0 0.00

A.1.5.9

0 0.00

A.1.5.10

0 0.00

A.1.6.1

Drugs and consumables No. of Ben.

711 57000

405.00 275.00

Approved. Approved Rs 275 L (Rs 350/- for 37,000 N.D. Total amount approved is Rs 129.50 L and Rs. 1600 for C-section for 8000 C-section cases = Rs 128.00 L. The amount approved is Rs 257.50 L which includes drugs for ANC, INC and PNC. In addition, approved Rs.17.50 L @Rs 50/ for 35,000 additional PW for getting ANC and PNC in Public Health Facilities. )

A.1.6.2

Diagnostic No. of Ben.

200 57000

114.00 90.00

Approved. Approved for Rs 90.00 L @ Rs 200/- per PW for an estimated 45000 PW likely to deliver in public health facilities subject to all PW to be provided free diagnostic.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.1.6.3

Blood Transfusion 0 0.00

All PW to be provided free blood transfusion as per their need.

A.1.6.4

Diet (3 days for Normal Delivery and 7 days for Caesarean)

0 0.00

All PW to be provided free diet during stay for the delivery.

A.1.6.5

Free Referral Transport No. of Ben.

800 57000

456.00 495.00

Approved. Approved Rs 495.00 L for 45000 PW @ Rs 1000/-( Home to facility Rs 500/- and Drop back-Rs 500/-) which are likely to be normal deliveries. For inter-facility and drop back for 4500 cases(10%) approval of Rs 45.0 L @ Rs 1000/-(inter-facility and drop back@ Rs 500/- per trip) . The fund approved subject to : 1) All Ambulances needs to be Linked to a centralized call center 2) Needs to be GPS fitted and should be re-stickered and changed as per National Ambulance service guidelines 3) All PW and infants as per expanded JSSK to be catered to.

A.1.6.6

Other JSSK activity 0.00 0.00

Sub-total Maternal Health

(excluding JSY) 1694.17 1389.36

Sub-total JSY 400.93 291.87

A.2.

CHILD HEALTH 367.15 229.85


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.2.1

IMNCI (including F-IMNCI; primarily budget for planning for pre-service IMNCI activities in medical colleges, nursing colleges, and ANMTCs other training)

No. of

Institution

100000

6 6.00 6.00 Approved.

A.2.2

Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructure, procurement, training,IEC etc.) e.g.operating cost rent, electricity etc. imprest money

8.90 8.90

A.2.2.1

SNCU Monthly

Cost 1000 50 0.50 0.50

Approved. As per the annexure there are 2 SNCUs operational, one is ready with civil work and 2 are newly proposed. The recurring cost for SNCU is Rs 10 lakh per annum per SNCU as per FBNC guidelines. State may revise and propose budget accordingly.

A.2.2.1.1

SNCU Data management 0 0.00

State may propose for SNCU data management including hardware, net connectivity and DEO for each SNCU so that the regular reporting is ensured.

A.2.2.2

NBSU 0 0.00

A.2.2.3

NBCC Monthly

Cost 1000 840 8.40 8.40 Approved

A.2.3

Home Based Newborn Care/HBNC

113.35 113.35

A.2.3.1

Visiting newborn in first 42 days of life

No. of Visit

250 45340

113.35 113.35 Approved


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.2.3.2

Line listing & follow up of LBW babies and SNCU discharges

0 0.00

State may propose for AHSA incentives for Line listing & follow up of LBW babies and SNCU discharges.

A.2.3.3

Others (if any) 0 0.00

A.2.4

Infant and Young Child Feeding/IYCF

0 0.00

A.2.5

Care of Sick Children and Severe Malnutrition (e.g. NRCs, CDNCs, Community Based Programme etc.)

270 809

4 21.85 19.60

Approved. Approved two NRCs @ Rs. 2 L as establishment cost and Rs. 7.8 L as annual operational cost. State should also plan for training of the Staff of these NRCs and also propose for ASHA incentive for follow up these SAM children from NRC

A.2.6

Management of Diarrhoea & ARI & micronutrient malnutrition

0 0.00

State may propose the activity for the management of Diarrhoea & ARI

A.2.7

Micronutrient Supplementation Programme ( cost of activities except cost of procurement of supplements)

0 0.00

A.2.8

Child Death Review

No. of

Review

5556 18 1.00 1.00 Approved

A.2.10

JSSK (for Sick infants up to 1 year)

216.05 81.00

A.2.10.1

Drugs & Consumables (other than reflected in Procurement)

No. of Ben.

3000 480

1 144.03 13.50

Approved. Approved for 6750 sick infants (15% of 45,000) @ Rs 200/ =13.50 L

A.2.10.2

Diagnostics 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.2.10.3

Free Referral Transport No. of Ben.

1500 480

1 72.02 67.50

Approved. Approved for 6750 sick infants (15% of 45,000) @ Rs 1000/ =Rs. 67.50 L for provision of free to and fro transport and inter facility transport for all sick infants accessing public health facilities for treatment subject to no duplication with Mission Flexipool.

A.2.11

Any other interventions (eg; rapid assessments, protocol development)

0.00 0.00

A.2.12

National Iron Plus Initiative ( procurement to be budgeted under B.16.2.6 & printing under IEC)

0.00 0.00

A.2.12.1

Provision for State & District level (Dissemination/ Trainings/ meetings/ workshops/ review meetings)

0 0.00

A.2.12.2

Others (if any) 0 0.00

Sub-total Child Health 367.15 229.85

A.3 FAMILY PLANNING 165.54 148.56

A.3.1

Terminal/Limiting Methods

124.00 124.00

A.3.1.1

Female sterilization camps No. of Camp

s 15000 160 24.00 24.00

Approved. Approved for 160 camps with at least 50 clients per camp @ Rs 15,000/- per camp

A.3.1.2

NSV camps No. of Camp

s 15000 20 3.00 3.00

Approved. Approved for 20 camps with at least 25 clients per camp @ Rs 15,000/- per camp


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.3.1.3

Compensation for female sterilization (Provide breakup: APL (@Rs 650)/BPL (@Rs 1000) ; Public Sector (@Rs 1000)/Private Sector (@Rs 1500))

No. of Ben.

1000 850

0 85.00 85.00 Approved

A.3.1.4

Compensation for male sterilization/NSV (@Rs 1500)

No. of Ben.

1500 800 12.00 12.00 Approved

A.3.1.5

Processing accreditation/empanelment for private facilities/providers to provide sterilization services

0 0.00

A.3.2

Spacing Methods 21.16 14.08

A.3.2.1

IUCD camps No. of Camp

s 4000 279 11.16 5.58

Approved. Approved @ Rs 2000 per IUCD Camp.

A.3.2.2

Compensation for IUCD insertion at health facilities (including fixed day services at SHC and PHC) [Provide breakup: Public Sector (@Rs. 20/insertion)/Private Sector (@Rs. 75/insertion for EAG states)]

No. of Ben.

20 700

0 1.40 1.40

Approved. Approved @ Rs 20/- per insertion for 7000 beneficiaries.

A.3.2.3

PPIUCD services (Incentive to provider @Rs 150 per PPIUCD insertion)

No. of Ben.

200 300

0 6.00 4.50

Approved. Approved @150/- per provider as per GoI guidelines.

A.3.2.4

Processing accreditation/empanelment for private facilities/providers to provide IUCD services

0 0.00

A.3.2.5

Orientation/review of ASHA/ANM/AWW (as applicable)for Scheme for home delivery of contraceptives (HDC), Ensuring spacing at birth (ESB {wherever applicable}), Pregnancy Testing Kits (PTK)

No. of Meeti

ng 15000 16 2.40 2.40

Approved. Approved for 16 meetings @ 15,000/- per meeting.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.3.2.6

Dissemination of FP manuals and guidelines

Guideline

20000 1 0.20 0.20 Approved.

A.3.3

POL for Family Planning/ Others (including additional mobility support to surgeon's team if req)

0 0.00 0.00

A.3.4

Repairs of Laparoscopes

No. of

Equipeme

nt

10000 2 0.20 0.20 Approved.

A.3.5

Other strategies/activities: 15.18 5.28

A.3.5.1

Orientation workshop,QAC meetings

No. of Meeti

ng 10000 8 0.80 0.80 Approved.

A.3.5.2

FP review meetings 0 0.00

A.3.5.3

Performance reward if any 66000

0 1 6.60 0.00

Not approved. No cash/ gifts / prizes are permissible for beneficiaries for sterilization.

A.3.5.4

World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities

424 845 3.58 3.58

Approved. Approved subject to the condition that the budget is utilised for WPD related activities and not for incentivization to participants

A.3.5.5

Other strategies/activities (such as strengthening fixed day services for IUCD & Sterilisation, etc.)

4.20 0.90

A.3.5.5.1

Printing of FP Manuals, Guidelines, etc.

No. of Copie

s 200 450 0.90 0.90 Approved.

A.3.5.5.2

Compensation for PPIUCD beneficiary

0 0.00

A.3.5.5.3

RMNCH+A/FP Counsellors Monthly

Salary 12990 18 2.34 0.00

Shifted to A.8.1.7.5.1.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.3.5.5.4

POL for Family Planning/ Others (including additional mobility support to surgeon's team if req)

Monthly

Consumptio

n

1000 96 0.96 0.00

Not approved as the cost for mobility support to surgeon's team is already budgeted for in the Sterilization and IUCD Camps budget heads.

A.3.5.5.5

0 0.00

A.3.6

Family Planning Indemnity Scheme

No. of

Benefifiary

5556 90 5.00 5.00 Approved.

Sub-total Family Planning

Compensation 104.40 102.90

Sub-total Family Planning (excluding compensation)

61.14 45.66

A.4

ADOLESCENT HEALTH / RKSK (Rashtriya Kishore Swasthya Karyakram)

41.62 28.26

A.4.1

Facility based services 14.96 11.37

A.4.1.1

Dissemination/meetings/workshops/review for AH ( including WIFS, MHS)

No. of Meeti

ng

300000

1 3.00 1.00

Approved. Proposed cost of workshop is very high. Approved @ Rs. 1,00,000.

A.4.1.2

Establishment of new clinics at DH/Medical college level

0 0.00

A.4.1.3

Establishment of new clinics at CHC/PHC level

25000 12 3.00 3.00

Approved. Approved as per revised proposal for 12 new clinics at PHCs in Dhalai district.

A.4.1.4

Operating expenses for existing clinics

No. of Mont

h 500 366 1.83 1.83 Approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.4.1.5

Mobility support for ARSH/ICTC counsellors

No. of Visit

450 158

4 7.13

5.54 Approved as per revised proposal for 27 existing counsellors and 12 new counsellors. New counsellors for 6 months only.

A.4.1.6

Others (Please specify) 0 0.00

A.4.2

Community level Services 16.30 8.15

A.4.2.1

Incentives for Peer Educators

0 0.00 State to propose for this @ Rs 50 per PE per year

A.4.2.2

Organizing Adolescent Health day

No of AHD

2500 652 16.30 8.15

Approved. Approved as per revised proposal for 326 AHDs in Dhalai district. Since the district has a high concentration of ASHAs, State will organize 1 AHD for every 3 ASHA catchment areas. As there are 978 ASHAs in Dhalai district, this amounts to 326 AHDs. Approval given for one quarter only.

A.4.2.3

Other (please specify) 0 0.00 State may propose for PE diaries and Adolescent clubs.

A.4.3

Weekly Iron and Folic Acid Supplementation Programme activities (procurement to be budgeted under B16.2.6)

0 0.00 0.00

A.4.4

Scheme for Promotion of Menstrual Hygiene activities (procurement to be budgeted under B16.2.11)

0 0.00 0.00

A.4.5


10.36 8.74

A.4.5.1

Peer Educator kit No of Peer

Educa350

1956

6.85 6.85 Approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

tor

A.4.5.2

Peer Educator monthly reporting format

No of format

1 50856

0.51

0.22 Approved for five months only.

A.4.5.3

Adolescent Health Day format No of

AHD 1

5914

0.06 0.03

Approved for one quarter only.

A.4.5.4

Supporting & Supervisory visit by the officials of Adolescent Health unit

No of visit

2500 18 0.45 0.45 Approved.

A.4.5.5

Meeting of District level WIFS advisory committee

No of meetin

g 10000 16 1.60

0.80 Approved @ 5000 per meeting and it should be the District Adolescent Health Committee meetings and not WIFS Advisory committee meetings

A.4.5.6

Mobility Support for Emergency Response Team for management of IFA Side effects.

No of team

5000 8 0.40 0.40

Approved

A.4.5.7

Cycle rally to generate awareness reg. drug abuse by the adolescent group(PLZ refer to the remarks )

No of rally

0 0.00

A.4.5.8

One laptop for adolescent health unit

No of laptop

50000 1 0.50 0.00 Not approved.

Sub-total Adolescent

Health 41.62 28.26

A.5 RBSK 115.19 97.06

A.5.1

Operational Cost of RBSK (Mobility support,DEIC etc)

72.03 53.90

A.5.1.1

Prepare and disseminate guidelines for RBSK

No of guideli

ne 100.00 100 0.10 0.10

Approved. Approved for printing of 100 copies of guidelines @ Rs 100 each.

A.5.1.2

Prepare detailed operational plan for RBSK across districts (cost of plan/ convergence/monitoring meetings should be kept seperately)

No of meetin

g

10000.00

8 0.80 0.80

Approved. Approved for 8 district level meetings @ Rs 10000 per meetings. Conditionality - all Stakeholders -


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

Health, SSA, RMSA, KV, KGBV and Ashram Schools of tribal welfare (if applicable); Women and child Development, Ministry of social justice and welfare to attend the meetings.

A.5.1.3

Mobility support for Mobile health team

No of Mont

h

25000.00

212 53.00 53.00

Approved. Approved for 15 vehicles for 12 months and 8 teams for 4 months @ 25000 per month per vehicle.

A.5.1.4

Operation cost of DEIC

Monthly cost of

each DEIC

10000 27 2.70 0.00

Not approved. DEIC operational cost is only for functional DEICs.

A.5.1.5

New born screening- Inborn error of metabolism (please give details per unit cost of screening, number of children to be screened and the delivery points Add details)

No. of Screen

ing 50

12864

6.43 0.00

Not approved, as the cost proposed is not for screening of inborn error of metabolism.

A.5.1.6

Printing of health card and student health register

0 0.00 0.00

A.5.1.7

Infrastructure cost for DEIC No. of DEIC

300000

3 9.00 0.00

Not approved. State to provide update on Status of approval of Rs 75 L for 3 DEICs at Agartala (Khowai, West tripura, Sipaitala and Part of Dhalai); Gomoti DH (Gomoti and South tripura) and Unakuti (dist Unakuti, North tripura and part of Dhalai) @ Rs 25 L per DEIC in FY 2013-14.

A.5. 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

1.8

A.5.1.9

0 0.00

A.5.1.10

0 0.00

A.5.2

Referral Support for Secondary/ Tertiary care (pl give unit cost and unit of measure as per RBSK guidelines)

No of Referr

al 9262 466 43.16 43.16

Rs 43.16 L is approved and also Rs29.00 L committed unspent may be used. Details of procedure are as per RBSK Annexure. Conditionality: State to follow RBSK Procedure and costing guidelines for details of procedure. State to maintain and submit Name wise details of children accessed the secondary and tertiary support under RBSK.

Sub-total RBSK 115.19 97.06

A.6. TRIBAL RCH 0.00 0.00

A.6.1

Special plans for tribal areas

0 0.00 0.00

A.6.2

HR for tribal areas ( in addition to normative HR)

0.00 0.00

A.6.3

Outreach activities 0 0.00 0.00

A.6.4

Other Tribal RCH strategies/activities (please specify)

0.00 0.00

Sub-total Tribal Health 0.00 0.00

A.7 PNDT Activities 16.50 13.71

A.7.1

Support to PNDT cell 0 0.00 0.00

A.7.2

Other PNDT activities (please specify)

16.50 13.71

A.7.2.1

Expenditure of POL for Supervisor of Appropriate Authority

No. of Visit

2500 32 0.80 0.80 Approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.7.2.2

State Supervisery Board Meeting

No. of Meeti

ng 9700 3 0.29 0.00 Not Approved.

A.7.2.3

State Level Multi Member Appropriate Authority Meeting

No. of Meeti

ng 1900 3 0.06 0.00 Not Approved.

A.7.2.4

State Inspection & monitoring Committee Meeting

No. of Meeti

ng 3300 3 0.10 0.00 Not Approved.

A.7.2.5

District Advisory Committee Meeting

No. of Meeti

ng 3450 32 1.10 0.00 Not Approved.

A.7.2.6

Stationary Articles & Consumables

Quarterly

Consumptio

n

3750 4 0.15 0.15 Approved.

A.7.2.7

Establishment of PNBT Cell - Legal Consultant

Monthly

Salary 20600 6 1.24 0.00

Not Approved: State has no court case under PNDT.

A.7.2.8

Holding of State level workshop

0 0.00

A.7.2.9

District level sensitization workshop

0 0.00

A.7.2.10

Ideal Girl-Child Award No. of Block

22000 58 12.76 12.76

Approved. Approved subject to State give details of the activity.

A.7.3

Mobility support 0 0.00 0.00

Sub-total PNDT activities 16.50 13.71

A.8 Human Resources 1114.45 939.19

A.8.1

Contractual Staff & Services

1114.45 939.19

A.8.1.1

ANMs,Supervisory Nurses, LHVs

197.34 189.80

A.8.1.1.1

ANMs 197.34 189.80

A.8.1.1.1.a

DH 0.00

A.8.1.1.1.b

FRUs 0.00

A.8.1.1.1.c

Non FRU SDH/ CHC 0.00

A.8. 24 X 7 PHC 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

1.1.1.d

A.8.1.1.1.e

Non- 24 X 7 PHCs 0.00

A.8.1.1.1.f

Sub Centres Monthly

Salary 10181 146 178.37 172.55

Approved. Approved with salary hike of 5% for 40 (@ 10619 pm); 40 (@ 10113pm); 44 (@ 9371 pm) and for remaining 22 ANMs @ 8925 pm for 12 months.

A.8.1.1.1.g

SNCU/ NBSU/NRC etc 0.00

A.8.1.1.1.h

Others Monthly

Salary 9880 16 18.97 17.24

Approved. Approved with salary hike of 5% for 1 ANM (@9818 pm)and for 15 ANMs (@ 8925pm).

A.8.1.1.2

Staff Nurses 0.00 0.00

A.8.1.1.3

LHVs/supervisory nurses 0.00 0.00

A.8.1.2.1

Laboratory Technicians 108.04 88.72

A.8.1.2.1.a

DH Monthly

Salary 16100 4 7.73

88.72

Approved Approved with 5% salary hike for 42 LTs @ 11867pm and for 23 LTs @ 10474pm; all for 12 months .

A.8.1.2.1.b

FRUs Monthly

Salary 16100 4 7.73

A.8.1.2.1.c

Non FRU SDH/ CHC Monthly

Salary 14627 19 33.35

A.8.1.2.1.d

24 X 7 PHC Monthly

Salary 12990 31 48.32

A.8.1.2.1.e

Non- 24 X 7 PHCs Monthly

Salary 12990 7 10.91

A.8.1.2.1.f

Others 0.00

A.8.1.2.2

MPWs (this cell needs to be frozen). As per MSG the

0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

MPWs should not be supported by NRHM

A.8.1.3

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

234.13 201.10

A.8.1.3.1

Obstetricians and Gynecologists

0.00 0.00

A.8.1.3.1.a

DH 0.00

A.8.1.3.1.b

FRUs 0.00

A.8.1.3.1.c

Non FRU SDH/ CHC 0.00

A.8.1.3.1.d

Others (Please specify) 0.00

A.8.1.3.2

Pediatricians 0.00 0.00

A.8.1.3.3

Anesthetists 0.00 0.00

A.8.1.3.4

Surgeons 0.00 0.00

A.8.1.3.5

Specialists for CH (Pediatrician etc) in SNCU,NBSU,NRC

0.00 0.00

A.8.1.3.7

Dental surgeons and dentists 234.13 201.10

A.8.1.3.7.a

DH Monthly

Salary 28970 4 13.91

201.10

Approved. Approved with salary hike of 5% for 50 dental surgeons @ 24255pm and for remaining 21 @22050 pm for 12 months.

A.8.1.3.7.b

FRUs Monthly

Salary 28970 2 6.95

A.8.1.3.7.c


Salary 28970 13 45.19

A.8.1.3.7.d

24 X 7 PHC Monthly

Salary 27131 42 136.74

A.8.1.3.7.e


Salary 26110 10 31.33


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.8.1.3.7.f

Others (pl specify) 0.00

A.8.1.4

PHNs at CHC, PHC level 0.00 0.00

A.8.1.5

Medical Officers 0.00 0.00

A.8.1.6

Additional Allowances/ Incentives to M.O.s

0.00 0.00

A.8.1.7

Others - Computer Assistants/ BCC Co-ordinator etc

389.99 333.00

A.8.1.7.1

Pharmacist 95.46 82.71

A.8.1.7.1.a

DH Monthly

salary 14545 2 3.49

82.71

Approved. Approved with 5% salary hike for 51 @ 11521pm; for 9 @ 9975 pm and for one @ 11867pm; all for 12 months.

A.8.1.7.1.b

FRUs Monthly

salary 12990 5 7.79

A.8.1.7.1.c


salary 12990 5 7.79

A.8.1.7.1.d

24 X 7 PHC Monthly

salary 12990 47 73.26

A.8.1.7.1.e


salary 12990 2 3.12

A.8.1.7.1.f

Others 0.00

A.8.1.7.2

Radiographers 0.00 0.00

A.8.1.7.3

OT technicians/assistants 0.00 0.00

A.8.1.7.4

RBSK teams (Exclusive mobile health team & DEIC Staff)

171.21 144.97

Sub Total RBSK mobile teams

171.21 144.97

A.8.1.7.4.1

MOs- AYUSH/MBBS Monthly

Salary 26110 46 119.06 99.54

Approved. Approved for 46 MOS for 23 teams - 15 existing teams (30 MOs) @ Rs. 22050/- per month for 12 months (with 5% salary hike) and 16


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

newly proposed MOs for 6 months @ Rs 21000 per month.

A.8.1.7.4.2

Staff Nurse/ ANM Monthly

Salary 9880 23 22.53 21.79

Approved. Rs 21.79 L is approved for 23 ANMs for 23 teams – 15 ongoing @ Rs.9653/- per month for 12 months (with 5% salary hike) and 8 newly proposed for 6 months @ Rs 9193 per month.

A.8.1.7.4.3

Pharmacists Monthly

Salary 12990 23 29.62 23.64

Approved. Rs 23.64 L is approved for 23 Pharmacists for 23 teams – 15 ongoing @ Rs. 10474/- per month for 12 months (with 5% salary hike) and 8 newly proposed for 6 months @ Rs 9975 per month.

A.8.1.7.4.4

DEIC 0.00

State may consider proposing for DEIC staffs to make DEICs functional.

A.8.1.7.5

Others 82.39 65.02

A.8.1.7.5.1

RMNCH/FP Counselors 0.00 1.80

Approved. Shifted from A.3.5.5.3. Approved for 3 counsellors @ Rs 9975/- per month for 6 months.

A.8.1.7.5.2

Adolescent Health counsellors

Monthly

Salary 13819 39 54.53 41.56

Approved as per revised proposal for 27 ongoing counsellors and 12 new counsellors. Approved with 5% salary hike (on last year's approvals) for 9 ARSH Counselors


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

@ Rs. 11867 pm for 12 months, for 13 ARSH Counselors @ Rs. 11522 pm for 12 months, for 5 ARSH Counselors @ Rs. 9975 pm for 12 months. Also approved for 12 new Counselors approved @ Rs. 9975 pm for 4 months.

A.8.1.7.5.3

Honorarium to ICTC counsellors for AH activities (State has proposed 2 Hospital Admin & 11 per Asst Hospital admin under this head)

Monthly

Salary 14101 13 22.00 21.66

Approved. Approved for 2 Hospital Admin @ 20213 and 11 per Asst Hospital admin @ 12734/ pm (with 5% increments).

A.8.1.7.5.4

Other (please specify) Monthly

Salary 19524 5 5.86 0.00

Not Approved. Approval for one DEIC Manager is shifted to A 10.2.8.3. Other HR is not as per RBSK guidelines.

A.8.1.7.6

All Technical HR for State Specific Initiatives

Monthly

Salary 15776 15 28.40 28.40

Approved. Approved for 1 Procurement Specialist @20790 pm, 1 Bio Medical Engineer @ 23502 pm, Quality Assurance Specialist @ 15540 pm, 4 Logistic Specialist @ 17325 pm, 1 Logistic Specialist @ 15000 pm, 4 MIS Experts @ 13629 pm, 1 MIS Expert @ 12990/- pm and 2 Dietition @ 12500 pm; all for 12 months. Salary hike has been approved for only those positions which have been proposed by state.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.8.1.7.7

Others (pl specify) Monthly

Salary 11613 9 12.54 11.91

Approved. Approved with salary hike of 5% from last year's approvals for 5 supervisors @ 11867 pm and for remaining four @ 9975 pm for 12 months

A.8.1.7.8

Staff for Training Institutes/ SIHFW/ Nursing Training

0.00

A.8.1.8

Incentive/ Awards etc. to SN, ANMs etc.

0 0.00 0.00

A.8.1.9

Human Resources Development (Other than above)

0 0.00 0.00

A.8.1.10

Other Incentives Schemes (Pl.Specify)

184.96 126.58

A.8.1.10.1

Rural Posting Incentive-Most Difficult/ inaccessible areas

Monthly

Cost

859700

12 103.16 71.12

Approved. Approved at last year's rate. State to develop and submit in supplementary PIP, a method of performance based incentives keeping a minimum base incentive package for each cadre.

A.8.1.10.2

Rural Posting Incentive- Difficult areas

Monthly

Cost

681600

12 81.79 55.46

A.8.1.10.3

Specialist Manpower 0 0.00

A.8.1.11

Support Staff for Health Facilities

0.00 0.00

A.8.1.11.f

SNCU/ NBSU/ NBCC/ NRC etc

0.00

Sub-total HR 1114.45 939.19

A.9 TRAINING 284.09 152.73

A.9.1

Skill lab 4.89 0.39

A.9.1.1

Setting up of Skill Lab

No. of

Institution

150000

3 4.50 0.00 Not approved. No Skill Lab in the State.

A.9.1.2

Human Resources 0.00

A.9.1.3

Training Motivation and follow up visit

0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.9.1.4

Onsite mentoring at Delivery Points

0 0.00

A.9.1.5

Other skill lab training No. of Batch

39013 1 0.39 0.39 Approved.

A.9.2

Development of training packages

0.00 0.00

A.9.2.1

Development/ translation and duplication of training materials

0 0.00

A.9.2.2

Other activities (pl. specify)

0.00 0.00

A.9.3

Maternal Health Training 49.91 48.60

A.9.3.1

Skilled Attendance at Birth / SBA

18.24 18.24

A.9.3.1.1

Setting up of SBA Training Centres

0 0.00

A.9.3.1.2

TOT for SBA No. of Participants

15000 8 1.20 1.20 Approved.

A.9.3.1.3

Training of Staff Nurses in SBA

No. of Batch

106498

16 17.04 17.04 Approved.

A.9.3.1.4

Training of ANMs / LHVs in SBA

0 0.00

A.9.3.2

EmOC Training 5.84 5.84

A.9.3.2.1

Setting up of EmOC Training Centres

10000

0 1 1.00 1.00 Approved.

A.9.3.2.2

TOT for EmOC

Group of

Participants

200000

1 2.00 2.00 Approved.

A.9.3.2.3

Training of Medical Officers in EmOC

No. of Participants

142000

2 2.84 2.84 Approved.

A.9.3.3

Life saving Anaesthesia skills training

6.17 6.17

A.9.3.3.1

Setting up of Life saving Anaesthesia skills Training Centres

10000

0 1 1.00 1.00 Approved.

A.9.3.3.2

TOT for Anaesthesia skills training

Group of

Participants

200000

1 2.00 2.00 Approved.

A.9.3.3.3

Training of Medical Officers in life saving Anaesthesia skills

No. of Participant

158500

2 3.17 3.17 Approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.9.3.4

Safe abortion services training (including MVA/ EVA and Medical abortion)

0.00 0.00

A.9.3.4.1

TOT on safe abortion services

0 0.00

A.9.3.4.2

Training of Medical Officers in safe abortion

0 0.00

A.9.3.5

RTI / STI Training 3.59 3.59

A.9.3.5.1

TOT for RTI/STI training 0 0.00

A.9.3.5.2

Training of laboratory technicians in RTI/STI

0 0.00

A.9.3.5.3

Training of Medical Officers in RTI/STI

No. of Batch

89755 4 3.59 3.59 Approved.

A.9.3.6

B-Emoc Training 11.70 10.40

A.9.3.6.1

TOT for BEmOC training No of Participant

100000

2 2.00 2.00 Approved.

A.9.3.6.2

BEmOC training for MOs/LMOs

No. of Batch

74613 13 9.70 8.40

Approved. Rs 8.4 L approved for 13 batches BEmOC training @ Rs. 65000/- per batch.

A.9.3.7

Other maternal health training (please specify)

4.37 4.36

A.9.3.7.1

0 0.00

A.9.3.7.2

0 0.00

A.9.3.7.3

Training of SN in RTI/STI No. of Batch

66863 4 2.67 2.67 Approved.

A.9.3.7.4

MDR Software Training for State TOT

No. of Batch

103343

1 1.03 1.03 Approved.

A.9.3.7.5

MDR Software Training at District Level

No. of Batch

33000 2 0.66 0.66 Approved.

A.9.3.7.6

TOT on BST No. of Batch

0 0.00

A.9.3.8

Blood Storage Unit (BSU) Training

0 0.00 0.00

A.9.4

IMEP Training 0.00 0.00

A.9.4.1

TOT on IMEP 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.9.4.2

IMEP training for state and district programme managers

0 0.00

A.9.4.3

IMEP training for medical officers

0 0.00

A.9.4.4

Others 0 0.00

A.9.5

Child Health Training 28.67 28.67

A.9.5.1

IMNCI Training (pre-service and in-service)

15.12 15.12

A.9.5.1.1

TOT on IMNCI (pre-service and in-service)

No. of Participants

35000 8 2.80 2.80 Approved.

A.9.5.1.2

IMNCI Training for ANMs / LHVs

No. of Batch

205400

6 12.32 12.32 Approved.

A.9.5.2

F-IMNCI Training 0.00 0.00

A.9.5.2.1

TOT on F-IMNCI 0 0.00

A.9.5.2.2

F-IMNCI Training for Medical Officers

0 0.00

A.9.5.2.3

F-IMNCI Training for Staff Nurses

0 0.00

A.9.5.3

Home Based Newborn Care / HBNC

0.00 0.00

A.9.5.3.1

TOT on HBNC 0 0.00

A.9.5.3.2

Training on HBNC for ASHA

0 0.00

A.9.5.4

Care of sick children and severe malnutrition at FRUs

0.00 0.00

A.9.5.4.1

TOT on Care of sick children and severe malnutrition

0 0.00

A.9.5.4.2

Training on Care of sick children and severe malnutrition for Medical Officers

0 0.00

A.9.5.5

Other child health training 13.55 13.55

A.9.5.5.1

NSSK Training 7.05 7.05

A.9.5.5.1.1

TOT for NSSK No. of Panticipants

25000 2 0.50 0.50 Approved.

A.9.5.5.1

NSSK Training for Medical Officers

No. of Batch

63520 2 1.27 1.27 Approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

.2

A.9.5.5.1.3

NSSK Training for SNs No. of Batch

62060 8 4.96 4.96 Approved.

A.9.5.5.1.4

NSSK Training for ANMs No. of Batch

31535 1 0.32 0.32 Approved.

A.9.5.5.2

Other Child Health training 6.50 6.50

A.9.5.5.2.a

4 days Training for facility based newborn care

0 0.00

A.9.5.5.2.b

2 weeks observership for facility based newborn care

0 0.00

A.9.5.5.2.c

Trainings on IYCF 0 0.00

A.9.5.5.2.d

SNCU Training for MO/SN

No. of Batch

130000

5 6.50 6.50

Approved. State may plan these trainings at RCC/NCC and accordingly propose the budget. The activity may be budgeted in FMR A.9.5.5.2a and A.9.5.5.2.b.

A.9.6

Family Planning Training 12.06 9.44

A.9.6.1

Laparoscopic Sterilization Training

0.00 0.00

A.9.6.1.1

TOT on laparoscopic sterilization

0 0.00

A.9.6.1.2

Laparoscopic sterilization training for doctors (teams of doctor, SN and OT assistant)

0 0.00

A.9.6.2

Minilap Training 0.00 0.00

A.9.6.2.1

TOT on Minilap 0 0.00

A.9.6.2.2

Minilap training for medical officers

0 0.00

A.9.6.3

Non-Scalpel Vasectomy (NSV) Training

0.32 0.32

A.9.6.3.1

TOT on NSV 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.9.6.3.2

NSV Training of medical officers

No. of Batch

16208 2 0.32 0.32

Approved. Approved @ Rs 16,208/- with atleast 2 no of participants in each batch for 5 days.

A.9.6.4

IUCD Insertion Training 4.84 4.84

A.9.6.4.1

TOT 0 0.00

A.9.6.4.2

Training of Medical officers 0 0.00

A.9.6.4.3

Training of AYUSH doctors 0 0.00

A.9.6.4.4

Training of staff nurses 0 0.00

A.9.6.4.5

Training of ANMs / LHVs No. of Batch

20155 24 4.84 4.84

Approved. Approved @ Rs 20,155/- for 5 no of participants in each batch but the training should be for 5 days.

A.9.6.5

PPIUCD insertion training 4.28 4.28

A.9.6.5.1

TOT 0 0.00

A.9.6.5.2

Training of Medical officers No of Batch

16450 10 1.65 1.65


A.9.6.5.3

Training of AYUSH doctors 0 0.00

A.9.6.5.4

Training of Nurses No. of Batch

16450 16 2.63 2.63


A.9.6.6

Other family planning training (please specify)

2.62 0.00

A.9.6.6.1

Training on MTP for O&G (TOT)

No. of Participants

25000 2 0.50 0.00 Not Approved


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.9.6.6.2

Training on MTP for MO No. of Batch

42333 5 2.12 0.00 Not Approved

A.9.6.7

Contraceptive Update Seminar/Meeting

0 0.00

A.9.6.8

Training of RMNCH+A/ FP Counsellors

0 0.00

A.9.6.9

Training / Orientaion technical mannuals

0 0.00

A.9.7

Adolescent Health Trainings / Rashtriya Kishor Swasthya Karyakram Training

142.15 46.72

A.9.7.1

RKSK trainings 18.75 10.43

A.9.7.1.1

TOT for Adolescent Friendly Health Service training

No. of Participant

30000 12 3.60 0.00

Not Approved. As discussed with State, State will train service providers directly at State level given the small training load.

A.9.7.1.2

AFHS training of Medical Officers

No. of Batch

184412

1 1.84 1.84

Approved. Approved as per revised proposal for MOs in Dhalai district only. However State has proposed to train only 25 MOs although there are 78 MOs in position in Dhalai district. State to propose for additional training of MOs in Dhalai district accordingly and MOs are to be trained in batches of 30.

A.9.7.1.3

AFHS training of ANM/LHV

No. of Batch

214575

3 6.44 6.44

Approved. Approved as per revised proposal for ANMs and Staff Nurses in Dhalai district only. However State has proposed to train only 86 ANMs and Staff Nurses


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

although there are 156 SNs, 49 existing ANMs, and 30 newly proposed ANMs in Dhalai district. State to propose for additional training of ANMs and Staff Nurses in Dhalai district accordingly. State to ensure that training is of 5 days duration and all trainings conform with RCH training norms

A.9.7.1.4

AFHS training of AWW/MPW

No. of Batch

117968

4 4.72 0.00 No proposal in revised PIP.

A.9.7.1.5

Training of counselors No. of Batch

214575

1 2.15 2.15

Approved. State to ensure a 6-day training in line with RKSK strategy.

A.9.7.2

Training of Peer Educators

123.41 36.29

A.9.7.2.1

State level 0 0.00

A.9.7.2.2

District level No. of Batch

239140

4 9.57 5.84

Approved. Approved as per revised proposal for training of 96 PE trainers in Dhalai district. Approved @ Rs. 194,700 per batch. State to ensure an 8-day ToT in line with RKSK strategy.

A.9.7.2.3

Block Level No. of Batch

162628

70 113.84 30.45

Approved. Approved as per revised proposal for training of 1956 Pes and 978 ASHAs in Dhalai district. However, proposed cost per batch is very high; approved @ Rs. 43,500 per batch.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.9.7.3

WIFS trainings 0.00 0.00

State may propose for training of service providers on Menstrual Hygiene Scheme as per the operational guidelines in order to roll out the program.

A.9.7.4

MHS trainings 0.00 0.00

A.9.7.6

Other Adolescent Health training

0.00 0.00

A.9.8

Programme Management Training (e.g. M&E, logistics management, HRD etc.)

14.95 14.95

A.9.8.1

Training of SPMSU staff 0 0.00

A.9.8.2

Training of DPMSU staff No.of Batch

22625 8 1.81 1.81

Approved. Approved. State to specify type of training.

A.9.8.3

Training of BPMSU staff 0 0.00

A.9.8.4

Other training (pl. specify) 13.14 13.14

A.9.8.4.1

Training on Pro-MIS No. of Batch

22588 1 0.23 0.23 Approved.

A.9.8.4.2

CME for MO / SN No. of Batch

50000 2 1.00 1.00 Approved.

A.9.8.4.3

Training of Staffs under NHM-refresher

No. of Batch

813288

1 8.13 8.13 Approved.

A.9.8.4.4

Capacity building of Finance personnel on PFMS/CPSMS (TOT at State Level)

No. of Batch

161058

1 1.61 1.61 Approved.

A.9.8.4.5

Training for Accounts Personnel on PFMS/CPSMS at District Level

No. of Batch

36218 6 2.17 2.17 Approved.

A.9.9

PC/PNDT training 7.50 0.00

A.9.9.1

PC/PNDT training 0 0.00

A.9.9.2

Others No. of Participants

150000

5 7.50 0.00 Not approved. No details have been provided.

A.9. Training (Nursing) 0.00 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

10

A.9.10.1

Strengthening of Existing Training Institutions/Nursing School excluding infrastructure and HR.

0 0.00

A.9.10.2

New Training Institutions/School

0 0.00

A.9.11

Training (Other Health Personnel)

11.00 0.00

A.9.11.1

Promotional Training of ANMs to lady health visitor etc.

0 0.00

A.9.11.2

Training of ANMs,Staff nurses,AWW,AWS

0 0.00

A.9.11.3

Other training and capacity building programmes (nursing tutors etc.)

0 0.00

A.9.11.3.1

PGDHM Courses No of Participants

275000

4 11.00 0.00

Not Approved. CSS not approved. State should meet this from State share as it is for the professional development of their employees. Also state may prefer getting PDC done which is under and of less duration.

A.9.12

RBSK training 12.95 3.96

A.9.12.1

RBSK Training -Training of Mobile health team – technical and managerial (5 days)

No. of Batch

150655

1 1.51 1.51

Approved. Rs 1.51 L is approved for 32 participants for five days training as per RBSK guidelines.

A.9.12.2

RBSK DEIC Staff training (15 days)

No of Participants

50000 18 9.00 0.00 Not approved. No dedicated DEIC HR is proposed.

A.9.12.3

One day orientation for MO / other staff Delivery points

No. of Batch

30598 8 2.45 2.45

Approved. Approved subject to State provide details of the participant.

A.9.12.4

Training/Refresher training -ANM (one day)

0 0.00

A.9.12.5

Training/Refresher training -ASHA (one day)

0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

Sub-total Training 284.09 152.73

A.10 PROGRAMME MANAGEMENT

648.95 581.36

A.10.1

Strengthening of State society/ State Programme Management Support Unit

95.11 89.07

Contractual Staff for SPMSU recruited and in position

95.11 89.07

A.10.1.1

State Programme Manager Monthly

Salary 29741 12 3.57 3.57

Approved. Approved for one SPM @ Rs. 29741 pm for 12 months.

A.10.1.2

State Accounts Manager Monthly

Salary 27362 12 3.28 3.28

Approved. Approved for one State Accounts Manager @ Rs. 27362 pm for 12 months.

A.10.1.3

State Finance Manager Monthly

Salary 27000 12 3.24 3.24

Approved. Approved for one State Finance Manager @ Rs. 27000 pm for 12 months.

A.10.1.4

State Data Manager Monthly

Salary 27362 12 3.28 3.28

Approved. Approved for one State Data Manager @ Rs. 27362 pm for 12 months.

A.10.1.5

Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS, RBSK, MHS etc.)

Monthly

Salary 27379 54 14.78 14.37

Approved. Approved for MO (RCH) @ Rs. 33310 pm, Consultant SHFWs @ Rs. 30030 pm, Consultant Adolescent Coordinator @ Rs. 26565 pm, BCC Consultant @ Rs. 23000 pm; all for 12 months. Also approved new post of Training Coordinator for 4 months @ Rs. 20600/- pm.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.10.1.6

Programme Assistants Monthly

Salary 17958 48 8.62 8.38

Approved. Approved for NGO Advisor @ Rs. 16864 pm for 12 months and remaining as proposed by the State : Asst. Programme Manager @Rs. 20213 pm, Editor @Rs. 17500 pm and Sr. Office Asst. @ Rs. 15220 pm; all for 12 months.

A.10.1.7

Accountants Monthly

Salary 12990 24 3.12 2.39

Approved. Approved for 2 Accountants with salary hike of 5% of last year's salary: @Rs. 9975 for 12 months for 2 accountants.

A.10.1.8

Data Entry Operators Monthly

Salary 13879 84 11.66 9.26

Approved. Approved with salary hike of 5% of last year's approval: @ Rs.11867 for two, @Rs. 11525 pm for one and @Rs. 10474 for four DEOs; all for 12 months.

A.10.1.9

Support Staff (Kindly Specify)

Monthly

Salary 9211 144 13.26 11.66

Approved. Approved with salary hike of 5% of last year's approval: @Rs. 7645 pm for two work assts, @ Rs. 8745 pm for 3 drivers, @ Rs. 7720 pm for one driver, @ Rs. 7870 pm for 4 peons, @ Rs. 7645 pm for one peon and @ Rs. 8755 pm for one guard; all for 12 months.

A.10.1.10

Salaries for Staff on Deputation (Please specify)

Monthly

Salary 70000 12 8.40 8.40

Approved. Approved. Salary to be paid as per state norms.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

A.10.1.11

Others (Please specify) 21.89 21.24

A.10.1.11.1

Deputy Director Finance Monthly

Salary 33600 12 4.03 4.03

Approved. Approved. Salary to be paid as per state norms.

A.10.1.11.2

Manager Mass Media Monthly

Salary 23000 12 2.76 2.76

Approved. Approved @ Rs. 23000 pm for 12 months.

A.10.1.11.3

Jr. Engineer Monthly

Salary 17060 24 4.09 4.07

Approved. Approved for one Jr. Engineer @ Rs. 18737pm (with salary hike of 5%) and another @ Rs. 15220 pm (as proposed by state) for 12 months.

A.10.1.11.4

AYUSH PMU Monthly

Salary 18891 48 9.07 8.95

Approved. Approved with salary hike of 5% for Programme Manager (AYUSH) @ Rs. 25468 pm, Finance Manager (AYUSH) @Rs. 24255 pm for 12 months, Accountant (AYUSH) @ Rs. 13340 pm and one Computer Asst. (AYUSH) @Rs. 11525 pm.

A.10.1.11.5

Store keeper

Monthly

Salary 16100 12 1.93 1.42

Approved. Approved with salary hike of 5% of last year's approval: @Rs. 11867 pm for 12 months.

A.10.2

Strengthening of District society/ District Programme Management Support Unit

104.48 97.12

Contractual Staff for DPMSU recruited and in position

104.48 97.12

A.10.2.1

District Programme Manager Monthly

Salary 25707 96 24.68 24.68

Approved. Approved for 3 DPMs @Rs. 28552


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

pm and 5 DPMs @ Rs. 24000 pm for 12 months.

A.10.2.2

District Accounts Manager Monthly

Salary 24101 96 23.14 23.14

Approved. Approved for 3 DAMs @ Rs. 26768 pm and 5 DAMs @ Rs. 22500 pm for 12 months.

A.10.2.3

District Data Manager Monthly

Salary 19280 96 18.51 17.07

Approved. Approved for 3 DDMs @Rs. 21414 pm and 4 DDMs @ Rs. 18000 pm for 12 months and one new DDM @ Rs. 18000 pm for 4 months.

A.10.2.4

Consultants/ Programme Officers (Kindly Specify)

0 0.00

State may propose for dedicated Nodal Officer for Adolescent Health for Dhalai district.

A.10.2.5

Accountants 0 0.00

A.10.2.6

Data Entry Operators Monthly

Salary 12990 48 6.24 5.53

Approved. Approved with salary hike of 5% @ Rs. 11867 pm for 3 and @ Rs. 10474 pm for one DEO/Office Asst.

A.10.2.7


Monthly

Salary 8782 132 11.59 10.26

Approved. Approved with salary hike of 5% of last year's approval: @ Rs. 8744 m for 3 drivers, @ Rs. 7870 pm for 4 peons and @ Rs. 6946 pm for 4 SCA for 12 months.

A.10.2.8


A.10.2.8.1

District Media Expart Monthly

Salary 17498 72 12.60 10.15

Approved. Approved with salary hike of 5% for existing 3 DMEs @ Rs. 18737 pm for 12 months and one DME @ Rs. 18191


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

pm for 12 months. Also approved are 2 new posts for DME @ Rs. 15220 pm for 4 months. State to use media expert team for all IEC/BCC activities.

A.10.2.8.2

Store keeper Monthly

Salary 16100 48 7.73 5.70

Approved. Approved with salary hike of 5% of last year's approval: @ Rs. 11867 pm for 12 months for 4 store keepers.

A.10.2.8.3

DEIC Manager 0 0.00 0.61

Approved. Shifted from A.8.1.7.5.4. One DEIC manager in West District approved @ Rs 15220 per month for 4 months.

A.10.2.8.4

0 0.00

A.10.3

Strengthening of Block PMU

267.25 213.05

A.10.3.1

Block Programme Manager Monthly

Salary 17385 204 35.46 33.45

Approved. Approved with salary hike of 5% of last year's approval: @ Rs. 16864 pm for 13 BPMs and @ Rs. 14884 pm for 4 BPMs; all for 12 months.

A.10.3.2

Block Accounts Manager Monthly

Salary 15185 204 30.98 26.57

Approved. Approved with salary hike of 5% of last year's approval: @ Rs. 13490 pm for 12 and @ Rs. 11907 pm for 5 BAMs.

A.10.3.3

Block Data Manager 0 0.00

A.10.3.4

Accountants 0 0.00

A.10 Data Entry Operators 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

.3.5

A.10.3.6


0 0.00

A.10.3.7


A.10.3.7.1

Media expert Monthly

Salary 12990 108 14.03 12.92

Approved. Approved with salary hike of 5% for 3 Media experts @ Rs. 12734 pm for 12 months and 6 Media experts @ Rs. 11576 pm for 12 months.

A.10.3.7.2

Administrative cum Accounts Assistance

Monthly

Salary 14895

1254

186.78 140.11

Approved. Approved with salary hike of 5% of last year's approval: @ Rs. 11867 pm for 74, @ 11522 pm for 3 and @ Rs. 10474 pm for 18 ACAAs; all for 12 months. Also approved are 19 new Block Assistants@ Rs. 10474 pm for 4 months.

A.10.4

Strengthening (Others) 3.69 3.69

A.10.4.1

Workshops and Conferences 0 0.00

A.10.4.2

AMC for Office Equipment AMC 20000

0 1 2.00 2.00

Approved. Approved 2.00 L for AMC of office equipment.

A.10.4.3

Monitoring and Evaluation for Web Hosting

Monthly

Cost 1410 120 1.69 1.69

Approved. Approved 1.69 L for monitoring of Web hosting.

A.10.5

Audit Fees 0 0.00 0.00

A.10.6

Concurrent Audit system Quarterly Cost

600000

4 24.00 24.00 Approved. Approved 24.00 L for concurrent audit.

A.10.7

Mobility Support, Field Visits

64.20 64.20

A.10.7.1

SPMU/State Monthly

Cost 30000 72 21.60 21.60

Approved. Approved mobility support @ Rs. 30000 pm for 6 vehicles for


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

12 months at SPMU.

A.10.7.2

DPMU/District Monthly

Cost 20000 96 19.20 19.20

Approved. Approved mobility support @ Rs. 20000 pm for each district for 12 months at DPMU.

A.10.7.3

BPMU/Block Monthly

Cost 15000 156 23.40 23.40

Approved. Approved mobility support @ Rs. 15000 pm for each block/Sub-division for 12 months at BPMU.

A.10.8

Other Activities 90.22 90.22

A.10.8.1

SPMSU Quarterly Cost

985000

4 39.40 39.40

Approved. Approved for SPMU: Office Contingency @Rs.2.20 L PM, Rs.6.00 L for Statutory Audit and Rs.7.00 L for implementation of Treasury System, PFMS and Tally.

A.10.8.2

DPMSU Monthly

Cost 16500 96 15.84 15.84

Approved. Approved for office contingency for DPMU (8 districts) @ Rs. 16500 pm for 12 months.

A.10.8.3

SDPMSU Monthly

Cost 2225

1572

34.98 34.98

Approved. Approved: Office Contingency for SDPMU @Rs.5000/- PM for 13 SDPMU, Office Contingency for 24X7 hr PHC (65 nos), CHC (18 nos), SDH (13 nos) & DH (3 nos) @Rs.2000/- PM and Non-24X7 hr PHC (19 nos) @Rs.1500/- PM.

A.10 Strengthening of PMU & HR 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs. in Lakhs)

Remarks

.8.4

Sub-total Programme

Management 648.95 581.36

A.11 VULNERABLE GROUPS 0.00 0.00

A.11.1

Planning, including mapping and co-ordination with other

departments 0 0.00 0.00

A.11.2

Services for Vulnerable groups

0 0.00 0.00

A.11.3

LWE affected areas special plan

0 0.00 0.00

A.11.4


0.00 0.00

Sub-total Vulnerable

Groups 0.00 0.00

GRAND TOTAL RCH

4848.58 3871.95


Annexure 2

MISSION FLEXIBLE POOL (MFP)

FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B Additionalities under NRHM (Mission Flexible Pool)

B1 ASHA

B 1.1

ASHA Cost:

B1.1.1

Selection & Training of ASHA

B1.1.1.1

Induction training: Induction Training of 4 Days on 5th Module & 10 days for Ist & 2nd Round of 6th & 7th Module with 30 no. of Participants in each batch

No. of

Batch

188200

25 47.05 13.16

Approved. Ongoing activity as proposed by State. As per SPIP, shortfall in number of ASHA is 84 (as on Feb 2014) which are yet to be selected. In 2013-14, 125 new ASHAs were selected. Hence, total number of new ASHA comes to 209. Rs 13.17 L approved for induction training of 209 new ASHAs in 7 batches @ Rs 1.88L per batch as proposed by the State. State to select 84 new ASHAs at the earliest.

B1.1.1.2

Module 6th & 7th 4th Round training for 6420 ASHAs in 214 batches, with 30 no. of Participant in each batch.

No. of

Batch

135300

214 batches

289.54 148.31

Approved. Ongoing activity. Approved for 6420 existing ASHAs (214 batches), for 5 day long 4th round training of 6th and 7th module.

B1.1.1.3

Supplementary training for ASHAs

B1.1.1.3.1

ToT for HBNC Training of Trainers on 3rd Round for 6th & 7th ASHA 4th Round with 33 no. of

No. of

Batch

236985

3 batches

7.11 5.32

Approved. New activity. Rs 5.32 L approved for 74 existing ASHA trainers in 2


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

participant in each batch batches.

B1.1.1.3.2

Module 6th & 7th 4th Round Residential Training for 900 ASHAs in 30 batches.

No. of

Batch

274200

30 batches

82.26 44.46

Approved. Ongoing activity. Rs 44.46 L approved for 900 ASHAs (30 batches) for 5 day long, round 4 training of 6th and 7th Module.

B1.1.1.3.3

Capacity Development Training ARC personals

0 0.00

B1.1.1.4

Post training support and supervision

B1.1.1.4.1

Supervision costs by ASHA facilitators (AF) For 12 months

Monthly Cost per

ASHA

Facilator

4500 4800 216.00 216.00

Approved. Ongoing activity. Approved @ Rs 250.00 per visit per AF for 400 existing AF. As per GoI norm ASHA facilitator (AF) may carry out up to 20 visits per month including PHC review meeting. Amount approved per AF is within GoI norm.

B1.1.1.4.2

ASHA Varosa Divas TA for 7367 ASHA @Rs.150/-, TA for 400 ASHA Facilitator @Rs.100/-, 7767 no. of Tea & Snacks @Rs.35/- for each month.

Monthly cost

1416895

12 mon

ths 170.03 170.03

Approved. Ongoing activity.

B1.1.1.5

Other trainings


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B1.1.1.5.1

Training of ASHA facilitator: (4th Round on 6th & 7th module for 5 Days)

No. of

Batch

184485

14 batches

25.83 0.00

Not approved. Ongoing activity. In 2013-14 ROP, Rs 17.68 L was approved for 4th round of 6 and 7th module against which, State has shown expenditure of Rs 19.20 L. State to report the achievement in 2013-14. State to clarify the proposal for the same activity in 2014-15.

B1.1.1.5.3

Training of ASHA Resource Centre Personnel

No. of

Batch

110880

4 batches

4.44 4.44

Approved. Rs 4.44 L approved for 2 day long training of 44 ARC personnel in one batch. State to ensure that the training activity is in accordance to that stipulated by NHSRC.

B1.1.2

Procurement of ASHA Drug Kit

B1.1.2.1

New Kits 0 0.00 2.09

Approved. New activity. Rs 2.09 L approved for new ASHA drug kit for 209 new ASHAs @ Rs 1000/ kit.

B1.1.2.2

Replenishment No. of Kit

500 7367 36.84 0.00

Not approved. Ongoing activity. ASHA drug kit replenishment to be done from the PHC.

B1.1.2.3

Procurement of ASHA HBNC Kit

0.00

B1.1.3

Performance Incentive/Other Incentive to ASHAs (if any)

920.74

B1.1.3.1

ASHA incentives under Maternal Health

0.00

B1.1.3.2

Incentive to ASHA under Child Health

0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B1.1.3.3

ASHA Incentives under family planning (ESB/ PPIUCD/ Others)

126.38

B1.1.3.3.1

ASHA PPIUCD incentive for accompanying the client for PPIUCD insertion

No. of

Ben. 150 2000 3.00 3.00

Approved for 2000 beneficiaries @150/-

B1.1.3.3.2

ASHA incentive under ESB scheme for promoting spacing of births 70% of Total Trget is proposed.

No. of

Ben. 500

17658

88.29 88.29 Approved for 17658 beneficiaries @ Rs 500/-

B1.1.3.3.3

ASHA Incentive under ESB scheme for promoting adoption of limiting method upto two children

No. of

Ben. 500 7018 35.09 0.00

Not Approved. TFR of Tripura is 1.7. Incentive for promotion of limiting method not approved.

B.1.1.3.4

ASHA Incentives (Rashtriya Kishor Swasthya Karyakram)

11.74

B.1.1.3.4.1

Incentive for support to Peer Educator : In Dhalai (HPD), Rs.150 will be paid to each ASHA for 6 month.

No. of

Support

150 5868 8.80 2.93

Approved. Approved as per revised proposal for incentives to ASHA for selection of Peer Educators @ Rs. 100 per PE selected and to ASHA facilitator @ Rs. 50 per PE selected for 1956 PE. It may be noted that this incentive is only once in 2 years

B.1.1.3.4.2

Incentive for mobilizing adolescents for AHD 2014-15: Rs.In Dhalai, 150 wiil be paid to ASHA per AHD for 2 quarter.from the fund of AHD

Monthly Cost

150 1956 2.93 1.47 Approved. Rs 1.47 L approved for one quarter.

B.1.1.3.4.3

Other incentives under RKSK( AF incentive for PE selection)

50 1956 0.98 0.00

Approval shifted to FMR B.1.1.3.4.1


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B1.1.3.5

Incentive for National Iron Plus Initiative

0.00

B1.1.3.6

ASHA Incentives (other) 714.83

B1.1.3.6.1

Incentives for routine and recurrent activities

Monthly Incentive

to ASH

A

150 8840

4

Approved. Ongoing activity. Approved incentive of Rs 1000 per month for routine and recurrent activities are as follows: 1. Rs 200.00 for mobilizing and attending VHND (approved in FMR A.1.2.2). 2. Rs 150.00 for convening and guiding VHSNC meetings. 3. Rs 150 for attending the PHC monthly review meetings (AVD). 4. Rs 500.00 Approved for :- a) Line listing of households done at beginning of the year and updated after six months, b) Maintaining village health register and supporting Universal registration of births and deaths to be updated on monthly basis, c) Preparation of due list of children to be immunised to be updated on monthly basis, d) Preparation of list of ANC beneficiaries to be updated on monthly basis, e) Preparation of list of eligible couples to be updated on monthly basis


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

Convening & guiding VHSNC Meeting

132.61 18.68

Approved. Ongoing activity. Approved for monthly meeting of 1038 VHSNC @ Rs 150.00 per meeting. If, more than one ASHA are functioning in one VHSNC then amount may be distributed among ASHAs.

Incentive to ASHA for PHC monthly review meeting or ASHA Varosa Divas (AVD)

Monthly Incentive

to ASH

A

150 8840

4 132.61 132.61

Approved. New activity. Approved for 7367 ASHAs @ 150 Rs per ASHA pm.

Line listing of Households

Monthly Incentive

to ASH

A

100 8840

4 88.40 88.40


Maintaining Village Health Register (Birth & Death)

Monthly Incentive

to ASH

A

100 8840

4 88.40 88.40


Preparation of eligible couple register

Monthly Incentive

to ASH

A

100 8840

4 88.40 88.40


Preparation of due list for Children to be Immunized

Monthly Incentive

to ASH

A

100 8840

4 88.40 88.40


Preparation of list of ANC Beneficiary

Monthly Ince

100 8840

4 88.40 88.40

Approved. New activity. Approved for 7367


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

ntive to

ASHA

ASHAs @ 100 Rs per ASHA pm.

B1.1.3.6.2

Incentive to ASHA for death reporting of all ages

No. of

Death

Reporte

d

50 9191 4.60 4.60

Approved. Ongoing activity. Approved @ Rs 50.00 per death reported.

B1.1.3.6.3

Incentive to ASHA for Identification & Reporting of Bedridden Elderly Patent : Proposal for Incentive to ASHA for Identification & Reporting of Bedridden Elderly Patent at nearest Health Facilities.

No. of

Ben. 50 6000 3.00 0.00

Not approved. New activity.

B1.1.3.7

Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc)

66.82

B1.1.3.7.1

Uniform for ASHA & ASHA Facilitators

No. of

Uniform

360 7767 27.96 27.96

Approved. Ongoing activity. Approved for 7367 ASHA and 400 ASHA facillitator @ Rs 360.

B1.1.3.7.2

Carry Bag for ASHA & ASHA facilitator

No. of

Bag 200 7767 15.53 15.53

Approved. New activity. Approved for 7367 ASHA and 400 ASHA facillitator @ Rs 200.

B1.1.3.7.3

Recharge Voucher for ASHA Facilitator

No. of

Voucher

100 4800 4.80 0.00

Not Approved. New activity. State may consider proposal for CUG connectivity.

B1.1.3.7.4

Printing of HBNC format, Note Book, ASHA Module: The ASHA Induction Module, Reaching to Unreached book, HBNC Form, ASHA Note Book need to be printed as per GOI guideline

Avg. No. of

Copies

20 9376

7 18.52 8.27

Approved. Ongoing activity. Approved for ASHA Diary and AF Diary @ Rs. 60 for 7767 units (Rs 4.66 L), HBNC form @ Rs. 3 for 60000 deliveries (Rs 1.80 L), Reaching the unreached book @ Rs. 20 for 8000 units (Rs 1.60 L)


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

and Induction training module @ Rs. 100 for 209 new ASHAs (Rs 0.209 L). Total Rs 8.27 L approved.

B1.1.4

Awards to ASHA's/Link workers

No. of

Award

1000 230 2.30 2.30

Approved. Ongoing activity. Selection criteria for best ASHA has been provided.

B1.1.5

ASHA Resource Centre/ASHA Mentoring Group

65.10

B1.1.5.1

HR at State Level: State ASHA programme Manager

Monthly Salar

y

26565

1 3.19 3.19

Approved. Ongoing HR. Approved as proposed by the State.

B1.1.5.2

HR at District Level: Salary of 4 District ASHA programme managers: Salary for 2 nos. DAPM @Rs.20818/- pm, one DAPM @Rs.20213/- pm & one DAPM @Rs.15220/- pm.

Avg. Monthly Salar

y

19267

4 9.25

25.74

Approved. Ongoing HR. In 2013-14, Rs 24.52 L was approved for annual salary of 4 district ASHA Programme manager and 11 Sub-divisional ASHA programme manager. In 2013-14, 5 % increment over 2012-13 salary was approved. In current year, 2014-15, 5 % increment over 2013-14 salary approved.

B1.1.5.3

HR at Block Level: Salary of 11 Sub-divisional ASHA programme managers

Avg. Monthly Salar

y

15220

11 20.09


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B1.1.5.4

Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group : Meeting of ASHA Mentoring Group, Visit of AMG Members and Activities of ASHA Resource Centre at State (Rs.11.94 Lakh), District (Rs.15.32 Lakh) and SDH (Rs.5.31 Lakh) level

Quarterl

y Cost

814300

4 32.57 28.05

Approved. Ongoing activity. Approved for State level (Rs 9.42 Lakh), District level (Rs.13.32 Lakh) and SDH (Rs.5.31 Lakh) level. Budget for exposure visit of ASHAs not approved. State needs to plan for intra district or inter district exposure of ASHAs, which will be more useful and relevant for ASHAs. Desktop and camera approved for 4 new districts.

B1.1.6

Capacity Building of ASHA Resource Centre

0.00

B 1.2

Certification of ASHA by NIOS

0 0.00 No proposal

SUBTOTAL ASHA 1867.23 1408.43

B2

Untied Funds/Annual Maintenance Grants /Corpus Grants to HMS/RKS

Ongoing activity. Top up approval given as per last year utilisation of fund.

B2.1

Untied Fund for 6 RKS in DH and State Hospitals @Rs.10.00 Lakh each

Quarterl

y Consumptio

n

2,50,000

24 60.00 50.64

Approved. As per 2013-14 utilisation of fund Rs 50.64 L approved for 6 RKS in DHs and State hospitals. The State and District Health Societies are to release assured Fixed top up of up to 50% of facilities entitlement and remaining 50% would be pooled and allocated as per MoHFW Notification F. No. 7(80)/2014-NRHM-I, dated 5th June 2014


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B2.2

SDH Fund proposed for 13 Hospitals @Rs.5.00 Lakh each as Untied Fund, AMG & RKS Grant.

Quarterl

y Consumptio

n

1,25,000

52 65.00

155.00

Approved. Rs 155.00 L approved for 31 CHC and equivalent (SDH) @ Rs 5.00 per annum as per revised norm. As per RHS 2013, State has 13 SDH and 18 CHCs. Total number of CHC and equivalent (SDH) level health facility is 31. In 2013-14 State has reported 100% utilisation of all untied funds approved for CHC and SDH. The State and District Health Societies are to release assured Fixed top up of up to 50% of facilities entitlement and remaining 50% would be pooled and allocated as per MoHFW Notification F. No. 7(80)/2014-NRHM-I, dated 5th June 2014

B2.3

CHCs

Quarterl

y Consumptio

n

1,25,000

72 90.00

B2.4

PHCs Fund proposed for 84 PHCs @Rs.1.75 Lakh each as Untied Fund, AMG & RKS Grant.

Quarterl

y Consumptio

n

43,750

336 147.00 137.27

Approved. Rs 137.27 L approved as per previous year utilisation, for 83 PHCs ( RHS 2013) The State and District Health Societies are to release assured Fixed top up of up to 50% of facilities entitlement and remaining 50% would be pooled and allocated as per MoHFW Notification F. No. 7(80)/2014-NRHM-I, dated 5th June 2014


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B2.5

Sub Centres Fund proposed for 970 SCs @Rs.0.10 Lakh each as Untied Fund and 783 Govt. owned SCs @Rs.0.10 Lakh as AMG.

Quarterl

y Consumptio

n

2,50

0 7012 175.30 133.49

Approved. Rs 77.52 L approved for 828 SC (RHS 2013) as per expenditure reported previous year. Rs 55.97 L approved for 616 SC functioning in Govt. buildings (RHS 2013) as per expenditure reported previous year. Total amount approved Rs 133.49 l. The State and District Health Societies are to release assured Fixed top up of up to 50% of facilities entitlement and remaining 50% would be pooled and allocated as per MoHFW Notification F. No. 7(80)/2014-NRHM-I, dated 5th June 2014

B2.6

VHSC

Quarterl

y Consumptio

n

2,50

0 4152 103.80 94.29

Approved. Rs 94.29 L approved for 1038 VHSNCs constituted in 875 villages as per expenditure reported previous year.

B2.7

Others 0 0.00

UNTIED FUND SUBTOTAL

641.10 570.69

B3 Rollout of B.Sc ( Community Health)

0.00 No proposal

B.4

Hospital Strengthening 595.00

Repair renovation activities not approved. State may consider proposals for new constructions or such renovation works, where new additions are made to the existing building structure.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.4.1

Up gradation of CHCs, PHCs, Dist. Hospitals

595.00

B4.1.1

District Hospitals 0.00

B4.1.2

CHCs 50.00

B4.1.2.4

Staff Quarters Renovation of 12 Staff Quarters at Panisagar CHC (Rs.50 Lakh).

No. of

Staff Quarter

5000000

1 50.00 0.00 Not Approved. New activity.

B4.1.3

PHCs 490.00

B4.1.3.1

Additional building: (Labour Room Construction) for Ranirbazar PHC.

No. of

PHC

3100000

1 31.00 31.00

Approved. New activity. Rs 31.00 L approved for total project cost of labour room in Ranirbazar PHC. As informed by the State OPD load is 82 per day on an average. State to expedite provision of delivery service in the PHC. State to follow the timeline of 2015-16 as committed in SPIP 2014-15. State to submit a comprehensive plan for all health facility development.

B4.1.3.2

Repair/ Renovation : Renovation of Tulashikhar PHC building (Rs.40 Lakh), Brajendranagar PHC building (Rs.33 Lakh), Tilthai PHC building (Rs.33 Lakh), Jampui PHC building (Rs.33 Lakh) and Damcherra PHC building (Rs.20 Lakh)

No. of

PHC

3180000

5 159.00 0.00

Not Approved. New activity. State to ensure no duplication of fund from other sources such as funding under 13th Finance commission, for same activities.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B4.1.3.4

Staff Quarters: Renovation of Katlamara PHC (Rs.42 lakh), Damcherra (Rs.58 Lakh), Brajendranagar (Rs.56 Lakh), Konika Memorial (Rs.48 Lakh), Pecharthal (Rs.48 Lakh) and Kanchanbari (Rs.48 Lakh) staff quarter proposed.

No. of

PHC

5000000

6 300.00 0.00 Not Approved. New activity.

B4.1.4

Sub Centres 0.00

B4.1.5

Others (MCH Wings) 0.00

B4.1.5.4

Other construction 0.00

B4.1.6

SDH 55.00

B4.1.6.1

Additional Building/ Major Upgradation of existing Structure

0 0.00

B4.1.6.2

Repair/ Renovation 0 0.00

B4.1.6.3

Spillover of Ongoing Works 0 0.00

B4.1.6.4

Staff Quarters: Renovation of 12 Staff Quarter at Kanchanpur SDH (Rs.55 Lakh).

No. of

Staff Quarter

5500000

1 55.00 0.00 Not Approved. New Activity.

B 4.2

Strengthening of Districts , Sub Divisional Hospitals, CHCs, PHCs

0 0.00

B.4.3

Sub Centre Rent and Contingencies

0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

HOSPITA STRENGTHENING SUB TOTAL

595.00 31.00

B5 New Constructions 1000.00

B5.1

CHCs 0.00

B5.2

PHCs 1000.00

B5.2.1

New construction (to be initiated this year)

0 0.00

B5.2.2

Carry forward of new construction in Taxapara PHC, Baishnabpur PHC, Ratanpur PHC, Rajkandi PHC, Muraibari PHC, Bhaterbazar PHC, Lalcharra PHC & Masli PHC.

No. of

PHC

12500000

8 1000.00 1000.00

Approved. Ongoing work. Rs 1000.00 L approved for the ongoing construction of the 8 new PHCs which are in the finishing stage as mentioned by the State. State to complete the new PHC construction works in priority basis. As per RoP 2010-11, the total project cost approved for 8 new PHCs was Rs 5040.00 L, @ Rs 630 L per PHC. In 2010-11, Rs. 12 L was approved. In 2011-12, Rs. 630 L was approved. In 2012--13, Rs. 800 L was approved. In 2013-14 Rs. 500.00 L was approved. Total amount sanctioned till 2013-14 is Rs. 1942.00 L. Balance amount remained to complete the project Rs. 2098.00 L. Mandatory disclosure related to infrastructure works has been uploaded in State website. State to update it at regular basis.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B5.3

SHCs/Sub Centres 0.00

B5.3.1

New construction (to be initiated this year)

0 0.00

B5.13.2

Carry forward of new construction initiated last year

0 0.00

State to update on Status of sanction of Rs 75 L for 3 DEICs at Agartala, Gomoti DH and Unakuti @ Rs 25 L per DEIC which was approved in 2013-14.

NEW CONSTRUCTION SUBTOTAL

1000.00 1000.00

B6 Implementation of Clinical Establishment Act

0.00 0.00 No Proposal

B7 Health Action Plans (Including Block, Village)

17.76 Ongoing activity.

B7.1

State 1000

00 1 1.00 1.00 Approved.

B7.2

District

No. of

District

50000

8 4.00 4.00 Approved. Rs 4.00 L approved for preparation of 8 DHAPs.

B7.3

Block

No. of

Block

22000

58 12.76 11.60

Approved. Rs 11.60 L approved for 58 BHAPs, as proposed by the State @ Rs 20000.00 per block.

HEALTH ACTION PLAN SUBTOTAL

17.76 16.60

B8 Panchayati Raj Institutions

8.55 Ongoing activity.

B8.1

Orientation of Community leader & of VHSC,SHC,PHC,CHC etc 2014-15: 30 no of participant in each batch.

No. of

Batch

111000

5 5.55 5.55

Approved. Rs 5.55 L approved for orientation of 150 VHSNC members in 5 batches. As proposed by the State, orientation of all VHSNC members may be conducted in phased manner over next 2 years. State to ensure the residential training.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B8.2

Orientation Workshops, Trainings and capacity building of PRI for RKS at District Health Societies, CHC and PHC

No. of

Batch

150000

2 3.00 3.00

Approved. Rs 3.00 L approved for orientation of RKS members. State to provide details of orientation. Total registered RKS 117 (MIS Dec 2013).

B8.3

Others 0.00

B8.3.1

Residential training of PRI member under West District 0 0.00

B8.3.2

Training Module Development 0 0.00

PANCHAYATI RAJ INSTITUTIONS SUBTOTAL

8.55 8.55

B9 Mainstreaming of AYUSH

900.07

Ongoing HR approved. In 2013-14 5% increment was given to all HR under AYUSH. In current year 2014-15, 5% increment over 2013-14 salary is approved.

B.9.1

Medical Officers at CHCs/ PHCs (Only AYUSH)

434.91

B.9.1.1

DH 2014-15: Proposed Salary for 7 nos. MO @Rs.28970/- PM as they complete 5 years of service.

Monthly salary of M.O (AYUSH

)

28970

7 24.33 20.37

Approved. Rs 20.37 L approved for annual salary of 7 existing AYUSH MOs. Approved with 5% increment on 2013-14 salary.

B.9.1.2

FRUs 2014-15: Proposed Salary for 4 nos. MO @Rs.28970/- PM as they complete 5 years of service.


)

28970

4 13.91 11.65



FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.9.1.3

Non FRU SDH/ CHC 2014-15: Proposed Salary for 28 nos. MO @Rs.28970/- PM as they complete 5 years of service.


)

28970

28 97.34 81.50


B.9.1.4

24 X 7 PHC 2014-15: Proposed Salary for 14 nos. MO @Rs.28970/- PM as they complete 5 years of service and 63 nos. of MO @Rs.26110/- pm..


)

26630

77 246.06 224.11


B.9.1.5

Non- 24 X 7 PHCs/ APHCs: salary of 17 exsting AYUSH MOs @Rs.26110/- pm..


)

26110

17 53.26 49.50

Approved. Rs 49.50 L approved for annual salary of 17 existing AYUSH Mos. Approved with 5% increment on 2013-14 salary.

B.9.2

Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH)

64.28

B.9.2.1

DH 2014-15: Proposed Salary for 2 no. Pharmacists @Rs.16100/- pm as they complite 5 yaers of service.

Monthly salary of Pharmaci

st (AYUSH

)

16100

2 3.86 2.75

Approved. Rs 2.75 L approved for annual salary of 2 existing AYUSH Pharmacists. Approved with 5% increment on 2013-14 salary.

B.9.2.2

FRUs 2014-15: Proposed Salary for 1 no. Pharmacists @Rs.16100/- pm as they complete 5 years of service.


st (AYUSH

)

16100

1 1.93 1.36



FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.9.2.3

Non FRU SDH/ CHC 2014-15: Proposed Salary for 6 no. Pharmacists @Rs.16100/- pm as they complite 5 yaers of service & 4 nos. Pharmacists @Rs.12990/- pm.. Total 10 existing Pharmacists proposed.


st (AYUSH

)

14856

10 17.83 13.81


B.9.2.4

24 X 7 PHC 2014-15: Proposed Salary for 19 nos. Pharmacists @Rs.12990/- pm.


st (AYUSH

)

12990

19 29.62 26.27


B.9.2.5

Non- 24 X 7 PHCs 2014-15: Proposed Salary for 1 nos. Pharmacists @Rs.12990/- pm.


st (AYUSH

)

12990

1 1.56 1.36


B.9.2.6

Other 2014-15: Proposed Salary for 8 nos. Masseures @Rs.9880/- pm.

Monthly salary of Masseur (AYUSH

)

9880 8 9.48 7.41

Approved. Rs 7.41 L approved for annual salary of 8 existing Masseures. Approved with 5% increment on 2013-14 salary.

B9.3

Other Activities (Excluding HR)

393.09

B9.3.1

Yoga instructor @Rs.9,500/- PM for West District and other expenses Rs.49,000/- PA as new Activity.

Quarterl

y

40750

4 1.63 0.00 Not approved. New activity.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B9.3.2

Programme Managemnet Cost 2014-15: Hiring of vehicle Rs.30,000/ PM, Official Tour outside State Rs.20,000/- PM, Contengency Rs.8,000/- PM & Audit fee @ Rs.70000/- PA.

Quarterl

y

191500

4 7.66 7.32

Approved. Ongoing activity. 7. 32 L approved as per 2013-14 approval.

B9.3.3

A new warehouse is required for storage of AYUSH medicines (Project Cost Rs.2.00 Crore and Proposing Rs.50.00 Lakh in this year).

Numbe

r

5000000

1 50.00 0.00

Approval Pended. State may consider an integrated drug warehouse with separate storage facility for Allopathic and AUSH drugs. State to share DPR.

B9.3.4

AYUSH Drugs: 1. General AYURVEDIC drugs for the F.Y requirement is 3.46 Cr, out of that only 60 % proposed due to fund constraint, 2. General Homeopathic Drugs for the F. Y requirement is 0.75 Cr. Has been proposed 3. For Anemia Control Aurvedic Drugs requirement is 0.32 Cr out of which only 50 % has been proposed.

Quarterl

y

29815842

1 298.16 50.00

Approved. New activity. Provision of more funds may be made as per actual utilisation.

B9.3.5

Contingency for Collocated AYUSH OPD 2014-15:83 PHC Rs.6,000/-PQ , 18 CHC Rs.7500/- PQ, 13 SDH Rs.12000/- PQ , 03 DH Rs.18000/-PQ, 02 State Hospital Rs.24,000/- PQ.

quarterly contingen

cy for

Health

Institutions

7487 476 35.64 35.64 Approved. Ongoing activity.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B9.4

Training of AYUSH staffs: MO per batch 50 @Rs. 59500/- for 6 batches (Travelling charge of 2 nos. outsede trainers extra), Pharmacist per batch 40 @Rs.47400/- for 3 batches (Travelling charge of 2 nos. outsede trainers extra), ANMs per batch 50 @Rs.47000/- for 03 batches, Masseur per batch 8 @ Rs. 18600/- for 01 batch.

No. of

batch

59923

13 7.79 7.79 Approved. Ongoing activity.

AYUSH SUB TOTAL 900.07 540.84

B10

IEC-BCC NRHM Rs.25.67 Lakh was Committed (2012-13)

281.86 ONGOING ACTIVITY.

B.10.1

Strengthening of BCC/IEC Bureaus (state and district levels)

No. of

Unit

100000

8 8.00 0.00

Not approved. The IEC bureau will be part of the existing NHM infrastructure (office building) hence, establishment cost is not required. Computer, etc to be supported from State fund.

B.10.2

Development of State Communication strategy (comprising of district plans) : (Proposal for Set Up State IEC/BCC Bureau @Rs.600000/-, Procurement of 3 nos Computers (Desktop all one) for State @Rs.40000/- each and Procurement of 4 nos Almirah for State @Rs.20000/- each.)

No. of

Meeting

7333 9 0.66 0.40

Approved. The amount for the proposed activity is on the higher side. Hence, Rs 0.32 L approved for 8 meetings @ Rs 4000.00 at district level and Rs 8000 for one meeting at State level. Total Rs 0.40 L approved.

B.10.3

Implementation of BCC/IEC strategy

147.19

B.10.3.1

BCC/IEC activities for MH 49.31


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.3.1.1

Media Mix of Mid Media/ Mass Media 2014-15: Proposal for Broadcast of Radio Jingles, Telecasting of TV spot through DDK, Spot Telecasting through local cable channel, Advertisement through local cinema hall, TV Spot Preparation, Advertisement in News paper and Magazines, Designing of Advertisement and Flex, Flex during Durga Puja, Permanent board on Anaemia Control in each district and Bus panel for mobile advertisement etc.

1357 2454 33.31 17.05

Approved. Following activities are approved: 1.Broadcast of Radio Jingles Rs 50,000, 2. Broadcast of TV Spots -50,000. However, the State should provide the details of the Radio and TV Spots. 3.Advertisements in newspaper is approved for Rs 45000; 4.Bus panel for mobile advertisement for Rs 5,20,000; 5.Renovation of hoardings, flex up to PHC level for Rs 6,00,000; 6.Permanent board on anemia control in each district for Rs 4,40,000

B.10.3.1.2

Inter Personal Communication

IPC 1455 1100 16.00 8.00

Approved. IPC activity (Chalo Haspatale Jayein) is approved for Rs 600000 (2000 @ Rs 300) with the condition that the State provides details of the activities like Audio visual show, Miking, Drama/puppet show/jaari saari gaan, etc mentioned within this head. Similarly, different advocacy meetings are approved for Rs 200000 with the condition that State will provide details of their activities

B.10.3.2

BCC/IEC activities for CH 56.04


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.3.2.1

Media Mix of Mid Media/ Mass Media: Proposal for Broadcast and Preparation of Radio Jingles, Telecasting of TV spot through DDK, Spot Telecasting through local cable channel, AV spot screening in MCH clinic/doctors waiting area, Advertisement through local cinema hall, TV Spot Preparation in animated mode, Advertisement in News paper and Magazines on Immunization, Child Death etc, Flex, Bus panel for mobile advertisement, Digital display in State Hospital with backlit, Audio cassette preparation by state HQ and Mission flexi pool etc.

2005 2526 50.64 7.36

Approved. Rs 7.36 l approved for following ongoing activities for media mix : 1. Broadcast of Radio Jingles for Rs 50,000. 2.Telecast of TV Spots on DDK for Rs 50,000. 3.Spot telecast in local cable channels for Rs 50,000. 4. Advertisement in newspaper for Rs 36,000. 5. Bus Panel for mobile advertisement for Rs 260,000. 6. Flex during Durga pooja and festivals for Rs 240,000. 7. Advertisement through local cinema hall for Rs 50,000

B.10.3.2.2

Inter Personal Communication

3000 180 5.40 5.40

Approved. The State should document the proposed activity and share with MoHFW

B.10.3.3

BCC/IEC activities for FP 22.97


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.3.3.1

Media Mix of Mid Media/ Mass Media 2014-15: Proposal for Spot Telecasting, Advertisement through local cable channel, News paper, Magazines, Flex during Durga Puja, Bus panel etc.

2896 423 12.25 5.70

Approved. Rs 5.70 L approved for following activities of media mix, FP: 1.Spot Telecasting through local cable channel on NSV, LL, birth for Rs 50,000 2.TV Spot Preparation on Safe abortion, IUCD, sanitation, hygiene and nutrition for Rs 45,000 3. Advertisement through local cinema hall on NSV, etc for Rs 50,000 4.Advertisement in News paper on LL, NSV ,Post-partum sterilisation, spacing method ,emergency contraception, PPIUCD, Sterilisation, OC pills etc for Rs 45,000 5. Flex during durga pooja for Rs 1,20,000 6. Bus panels for Rs 260,000.

B.10.3.3.2

Inter Personal Communication Advocacy Meeting during Sammelan/ Youth Convention on NSV motivation, IPC through male health worker on modern contraceptive methods @Rs.200/- as incentive, IPC activity /GD Gram Sava/ miking / Street Drama/ Puppet show/ Zaari Saari Gaan etc.

2000 536 10.72 6.72

Approved. The activity proposed for IPC (GD Gram Sava/ miking / Street Drama/ Puppet show/ Zaari Saari Gaan etc.) is approved. The State to document the activity and share it with MoHFW. Rest of the activities not approved.

B.10.3.4

BCC/IEC activities for AH/ Rashtriya Kishore Swasthya Karyakram

11.67


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.3.4.1

Media Mix of Mid Media/ Mass Media 2014-15: Proposal for Advertisment in news paper and local cinema hall, Preparation of Audio visual spot on RKSK, Preparation of Short duration film on AH, Permanent road furniture with Iron structure, Short film, Bus panel for mobile advertisement, Flex and Cycle competition in Dhalai district etc.

8500 126 10.71 5.66

Approved. Rs 5.66 L approved for following activities as part of media-mix, AH: 1.Advertisement in news paper-Rs 36,000 2. Advertisement through local cinema hall-Rs 100,000 3.Bus panel for mobile advertisement-Rs 260,000 4. Flex, Banners display at city centre & big bazar-Rs 80,000 5. Flex during Durga Puja-Rs 90,000

B.10.3.4.2

Inter Personal Communication 2014-15: Proposal for School festival (Enjoy the learning initiative).

No. of

School

1000 96 0.96 0.96

Approved. The activity is approved in principle subject to the submission of details by the State.

B.10.3.5

Creating awareness on declining sex ratio issue (PNDT) Short film on 0-6 year child sex ratio, flex on Duga Duja, save the girl child campaign at state level on 8th March, Advocacy meeting through NGO/Women Commission.

2975 242 7.20 7.20 Approved.

B. 10.4

Interpersonal Communication Tools for the frontline health workers 2014-15: Printing of flipcharts for MPW under each Sub centre to keep it in the sub centre & to show pictorial messages to the mothers.

No. of

Flip Char

t

300 1000 3.00 3.00

Approved. Rs 3.00 L approved for creating State specific communication tools.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.5

Targeting Naturally Occurring Gathering of People/ Health Mela : Proposal for IPC activities through Quiz, folk media activities , discussion in different large scale district level Traditional festival cum fair in rural areas organized, Flex display, IEC displays in local festival and IPC activities in different small scale local Mela and exhibitions, Traditional fair in rural areas.

6639 238 15.80 4.80

Approved. Rs 4.80 L approved for IPC activities through folk media activities, discussion in different large scale district level fairs- Rs 240,000 and IEC display for Rs 240,000.

B. 10.6

Others 60.53

B.10.6.1

Innovative IEC/ BCC Strategies 2014-15: Proposal

for Organising Marathon, Walking Competition etc to

involve common people towards healthy life,

Sponsorship of difference sports tournaments, Road

writing in prominent places, Reflective Sticker Board, Pictorial message and Bus

panel etc.

360

10656

38.35 18.75

Approved. Following activities proposed by States under this head are approved: 1.Organising Marathon, Walking Competition etc for Rs 200,000; 2.Road writing in prominent places e.g. NH44 highway, in front of bus terminus- Rs 400,000; 3.Reflective Sticker Board on the back side of auto, tam tam, tuktuk etc - 500,000; 4.Different day observance on World Health Day, World Blood Donors Day, etc-Rs 500,000; 5.Preparation of docu feature on Posthumous Body Organ Donation-Rs 2,75,000

B. 10.6.2

Mobile based IEC/ BCC Solutions 2014-15: Proposal for Voice Massage through mobile for target beneficiary to create awareness.

no. of

Voice

Massage

1 3000

00 3.00 3.00

Approved. The activity of Voice Massage through mobile is approved.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.6.3

District IEC/ BCC/ Engagement of Youth through Social Media

0 0.00

B. 10.6.4

Monitoring of IEC/ BCC Activities : Super Vision and monitoring of IEC/BCC activities and training at grass root level by State, District and Sub-Divisional level.

Monthly Consumptio

n

20189

95 19.18 1.80

Approved. Rs 1.80 L approved for State and district level quarterly monitoring meetings. Other monitoring activities can be woven into the State Supportive Supervision Mechanism.

B.10.7

Printing activities (please specify) 46.68

B.10.7.1

Printing of MCP cards, safe motherhood booklets etc 0 0.00

B.10.7.2

Printing of WIFS cards etc 0 0.00

State may propose for printing of WIFS cards.

B.10.7.3

Printing of IUCD cards, FP manuals, guidelines etc

No. of

Card 3

10000

0.30 0.30 Approved.

B.10.7.4

Other printing 46.38

B.10.7.4.1

Printing of compliance cards for National Iron Plus Initiative 2014-15: Proposal for Printing of compliance cards for National Iron Plus Initiative. i) 6 to 5 years children- 491852, ii) 5 to 10 out of school children- 69180 iii) Pregnant and lactating mothers-118218, iv) Non pregnant and non lactating mothers between 19 to 45 in Reproductive age (20 -49)- 265729

No. of

Copies

3 944,980

28.35 28.35 Approved.

B.10.7.4.2

AFHC cards

0 0.00

State may propose for printing of AFHC cards.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.10.7.4.3 Printing of RBSK card and

registers: 14 L cards and 3000 registers

0 0.00 0.00

Shifted from A 5.1.6. Rs 18.75 L committed unspent balance is approved for FY 2014-15. State to follow RBSK guidelines Only to print screening and referral cards according to guidelines.

B.10.7.4.4

Printing cost for DEIC: Proposal for Printing cost for DEIC- 2 registers each for 3 DEIC.

No. of

Copies

500 6 0.03 0.00

Not approved. Printing cost for DEICs is only applicable for functional DEICs. No DEIC HR is proposed

B.10.7.4.5

Printing of leaflets, fliers, pamphlets, folders, flipcharts, booklets etc on various important programmes under MH,CH,FP,AH, RNTCP etc and also preparation of permanent IEC materials like string banner etc for PHC level

Leaflets/ Pamplets

/ Fold

er

179 1008

0 18.00 10.00 Approved.

IEC/ BCC SUB TOTAL

281.86 134.45

B11

National Mobile Medical Units (Including recurring expenditures)

119.12 ONGOING ACTIVITY.

B11.1.1

Capex 0 0.00

B11.1.2

OPEX : OPEX for 4 nos. of MMUs

Quarterl

y Consumptio

n

619500

16 99.12 99.12

Approved. Ongoing activity. Rs 99.12 L approved for OPEX of 4 existing MMUs, as per last year approval. No details for MMU available in state website. State to regularly update the MMU monthly plan and performance in Mandatory disclsure section in the State NHM website.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B11.1.3

HR 0.00

B11.1.4

Training/orientation 0 0.00

B11.1.5

Others 20.00

B11.1.5.1

Installation of GPS for tracking movement of MMU vehicles @ Rs.1.70 Lakh

0 0.00

B11.1.5.2

Comprehensive Annual Maintenance Cost of MMUs 2014-15: CAMC for 4 nos MMUs for upkeep of the vehicles including equipments/ accessories.

No. of

MMU

500000

4 20.00 0.00 Not approved. The maintenance cost already included in the OPEX.

B11.2

National Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units

0.00

MMU SUB TOTAL 119.12 99.12

B12

National Ambulance Service

0.00

No proposal for referral transport. State has committed this activity in the current FY (2014-15). 5% expenditure reported in 2013-14. Rs 357.96 L was revalidated in First supplementary 2013-14 for the 40 new ambulances which were approved in 2012-13. State to expedite procurement of new ambulances.

B12.2.9

Others 0.00

REFERRAL TRANSPORT SUBTOTAL

0.00 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.13

PPP/ NGOs 105.00

B13.1

Non Governmental providers of health care RMPs

0 0.00

B13.2

Public Private Partnerships (Out Sourcing set up, if applicable for State, to be budgeted under this head)

0.00

B13.3

NGO Programme/ Grant in Aid to NGO

105.00

B13.3.1

Accreditation of Private Health Facility for ID

No. of

Ben. 3500 3000 105.00 0.00

Not approved. As mentioned by the State, it is an ongoing activity. State to provide achievement till date.

PPP/ NGOs SUBTOTAL 105.00 0.00

B14

Innovations (if any) 973.12

B14.1

Intersectoral convergence 0 0.00

B14.2

Telemedicine Project Cost

Quarterl

y Cost

9934500

4 397.38 251.73

Approved. Ongoing activity. Rs 222.98 L approved for Annual Maintenance of 23 Centre Rs 28.75 L approved for Second Year Cost of Phase V Centre’s. (In 2012-13, three Phase V telemedicine centers were approved with total project cost of Rs 170.44 L, out of which Rs 110.59 L granted in first year of the project. The sanction for second year was Rs 28.75 L and for third year was Rs 31.10 L as mentioned in SPIP 2014-15) Total Rs 251. 73 L approved, excluding establishment cost of 4 new centers. State has provided details


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

of performance of the project. State to Evaluate the Projects of Teleophthalmology and Rural Telemedicine and submit the Impact Analysis at the earliest. The state to consolidate on the existing project without further expansion before evaluation. Note: Further remarks on this approval may be seen at page__

B14.3

Tele-Opthalmology Project Cost

Quarterl

y Cost

8750000

4 350.00 0.00

Not approved. Ongoing activity. State has committed the Rs 350.00 L, which was approved for this activity last year. State to share performance and output of the projest.

B14.4

AYUSH Health Camp 400 nos. Health Camp may be organised in 8 nos. of district @ Rs.1,000/- per Health Camp.

No. of

camp

1000 400 4.00 4.00 Approved. Ongoing activity. Last year expenditure 71%.

B14.5

General Health Camps

No. of

camp

1000 864 8.64 0.00 Approval Pended. State to provide details of the activity.

B14.6

General Health Camps in difficult area in all 4 Districts

No. of

camp

1500 360 5.40 5.40

Approved. Ongoing activity. Last year expenditure 63% as mentioned by the State. State to share break up of camp cost and last year achievement.

B14.7

Health Camp by helicopter(120 flying hr) in all 4 Districts

No. of

camp

42750

96 41.04 41.04

Approved. Ongoing activity. Last year expenditure 60%. State to share last year perfromance and budget break up


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B14.8

Transit Cum Hostel Facility : For setting up Transit Cum Hostel Facility under Amarpur, Kanchanpur, Gandacharra & Longtrai Valley Sub-Division.

No. of

Facilities

684000

4 27.36 27.36

Approved. New activity. Approved @ Rs 6.84 L per transit hostel. Accommodation hiring: rent approved @ Rs 15000 pm per Transit hostel.

B14.9

Use of Non-Pneumatic Anti-Shock Garments (NASG) in PPH

5867 113 6.63 0.00

Not approved. New activity. Only 10 % of maternal death reported was due to hemorrhage. State to focus on quality ANC and provide all services available for safe delivery. State must improve on micro birth planning. No technical evidence is available for efficacy of Non-Pneumatic Anti-Shock Garments.

B14.10

Tele-Radiology Project: 1.Setting up centers at 11 remote health facilities 2.Setting up of state level data center at Agartala 3.Setting up logistic equipments in remote centre and Data Centre. 4.Provision of Hiring Human Resources for Remote Centres and State Data Centre.

Quarterl

y Cost

3316692

4 132.67 0.00

Not Approved. New activity. The detail cost breakup is not given. State to strengthen the existing tele-medicine centers with tele-radiology facility. State may focus on comprehensive telemedicine services.

INNOVATION SUB TOTAL

973.12 329.53

B15

Planning, Implementation and Monitoring

436.75


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B15.1

Community Action for Health (Visioning workshops at state, dist, block level, Training of VHSNC, Training of RKS)

10.15

In the PIP write up, state has mentioned that the community monitoring program could not be started in the state but in the budget sheet, it has been shown that out of the approved 7.60 L, state has made expenditure of 3.05 L. State to clarify, discrepancy seen in the budget sheet and the write up.

B15.1.1

State level

No. of

Worksho

p

200000

1 2.00 0.00 Approval Pended.

B15.1.2

District level

No. of

Worksho

p

50000


B15.1.3

Block level

No. of

Worksho

p

40000


B15.1.4

Other 6.85

B15.1.4.1

3 days workshop of VHSNC members of 10 GP/ADC villages @ 7 members each

No. of

Worksho

p

15000


B15.1.4.2

Development State specific guidelines including translation & printing, prototype tools, framework for community monitoring & facilitation process @ Rs. 10000/- for 21 committees.

No. of

Committee

10000

21 2.10 0.00

Not approved. Ongoing activity. Last year 2.10 L was approved. State has not reported the expenditure nor committed this activity.

B15.1.4.

Half yearly Meetings of District Mentoring Teams of pilot districts.

No of

Meet5000 2 0.10 0.00 Approval Pended.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

3 ing

B15.1.4.4

2 days workshop of 4 Block Planning & Monitoring Committees by District & Sub-division PMSU.

No. of

Worksho

p

20000

2 0.40 0.00

Not approved. Ongoing activity. In 2013-14, 0.40 L was approved. State has not reported the expenditure nor committed this activity.

B15.1.4.5

One day Block Providers Workshop by District & Sub-division PMSU

No. of

Worksho

p

10000


B15.1.4.6

2 days Capacity Building of 13 PHC/CHC level Community Monitoring Committee members @ 10 members each

No. of

PHC

20000


B15.1.4.7

PHC/CHC Jan Samvad for 12 PHCs, 1 CHC

No. of

PHC

30000


B15.1.4.8

Block Jan Samvad for 6 Blocks

No. of

Sunwai

40000


B15.2

Quality Assurance 17.54

NEW ACTIVITY. State has not yet reconstituted the QA committee as per the new GOI guidelines, though budgeting has been made for its implementation. This needs to be done on priority.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B15.2.1

Quality Assurance Committees at State level : Proposed Salaries of Consultant (QA) for SQAU @Rs.50000/- pm & Operational Cost of SQAU @Rs.5000/- pm for 6 months.

Monthly Cost

55000

6 3.30 3.00

Approved. New HR. Rs 3 L is approved for 6 month salary of State QA consultant, subject to condition that State first reconstituting the new State and District committees as per the new GOI guidelines. GOI/ NHSRC representative must be part of the interview process.

B15.2.2

Quality Assurance Committees at District level : Proposal for Operational Cost @Rs.3000 p.m. for each DQAU.

Monthly Cost

3000 48 1.44 0.00 Not approved. New Activity

B15.2.3

Grievance handling system

0 0.00 No Proposal

B15.2.4

Review meetings 1.50

B15.2.4.1

State 2014-15: Proposal for 3 quarterly meeting.

No. of

Meeting

10000

3 0.30 0.30 Approved. New Activity

B15.2.4.2

District 2014-15: Proposal for 3 quarterly meeting for each District.

No. of

Meeting

5000 24 1.20 1.20 Approved. New Activity

B15.2.5

Others 11.30


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B15.2.5.1

Training : Proposal for one State level Awareness Workshop @Rs.30000/-, 8 nos. District level Assessors Training @Rs.22000/- for each District & 8 nos. District level Service Provider Training @Rs.30000/- for each District.

No. of

Batch

26235

17 4.46 4.46 Approved. New Activity

B15.2.5.2

Mobility Support : Proposal for Travel and Accommodation cost for SQAU @Rs.20000/- P.A. & DQAU @Rs.10000/- P.A.

Monthly Cost

926 108 1.00 1.00 Approved. New Activity

B15.2.5.3

Certification : Proposal for State Certification @Rs.50000/- per Certification for 5 nos. & Central (GoI) Certification @Rs.102000/- per Certification for 2 nos. HF

No. of

Certification

64857

7 4.54 0.00

Not Approved. New Activity State to share name and case load of health facilities. State to first share its comprehensive plan for QA implementation.

B15.2.5.4

Office Equipments : Proposal for Rs.50000/- as One time cost for SQAU Office Setup & Rs.10000/- for each DQAU as One time cost for DQAU Office Setup.

No. of

Unit

14444

9 1.30 0.00

Not Approved. New Activity State to share name and case load of health facilities. State to first share its comprehensive plan for QA implementation.

B15.3

Monitoring and Evaluation

409.06

B15.3.1

HMIS 241.94

B15.3.1.1

Statistical Assistant/ Data Analyst / MIS Officer / M&E Assistant at Block level (personnel forming part of SPMU / DPMU are to be proposed under budget head of HR for SPMU / DPMU) :

Monthly Salar

y

12990

121 176.14 151.39

Approved for (1) Ongoing 10 HMIS Asst. @Rs 13098 pm with 5% increment. Total salary 10*13098*12=Rs 15.71 L (2)Ongoing 6 HMIS Asst @Rs 11340 with 5%


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

3 nos. new HMIS Asst. proposed for RGM SDH, TSD SDH & Dhalai DH 13 nos. new HMIS Asst. proposed for newly functional PHCs for 6 months.

increment. Total Rs 8.16 L (3)3 new HMIS Asst. for DH Dhalai, Tripura Sundari SDH and RGM SDH @ Rs 9500 for 6 monhs Total 9500*3*6=Rs 1.71 L (4)Ongoing 64 HMIS Asst for CHC/PHC @11521with 5% increment. Total 11521 *64*12=Rs 88.48 L (5) Ongoing 25 HMIS Asst @9975 with 5% increment. Total 25*9975 *12=Rs 29.92 L (6)13 new HMIS Asst for 13 new PHCs @ 9500 for 6 months. Total 9500*13*6=Rs 7.41 L. Grand Total=Rs 151.39 L Outsourcing may be explored.

B15.3.1.2

Data Entry Operators at Block level

0.00

B15.3.1.3

Other Human Resource (HR)

0.00

B15.3.1.4

Training cum review meeting for HMIS & MCTS

39.43

B15.3.1.4.1

Training cum review meeting for HMIS & MCTS at State level: 60 no. participant in the each meeting.

No. of

Batch

60500

1 0.61 0.61

Approved. Ongoing activity. Approved for 2 State level 3 days training cum review meetings per year for HMIS & MCTS combined @ Rs. 500 per day per person per training and at least 1 district level 3 days training cum review meeting per quarter for HMIS & MCTS


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

combined @ Rs 500 per day per person per training and at least 1 block level 1 day training cum review meeting per month for HMIS & MCTS combined @ Rs 300 per day per person for training. All expenses should be as per extant rules.

B15.3.1.4.2

Training cum review meeting for HMIS & MCTS at District level 2014-15: 25 no. participant in the each meeting for 3 days online training cum review @Rs.80410/- 6 batch and 25 no. of participant in each batch for one day review cum training offline @Rs.16500/- for 6 batch in 3 quarter.

No. of

Batch

32478

24 7.79 4.20 Approved. Ongoing activity.

B15.3.1.4.3

Training cum review meeting for HMIS & MCTS at Block level : one day comprehensive training cum review for ANM, MPW two times in a year at health Sub-Division level @Rs.16500/- for 47 health Sub-Division and one day review cum traing for ANM, MPW nine times in year at PHC/CHC/SDH level @Rs.1500/- for 115 PHC/CHC/SDH.

No. of

Batch

2749 1129 31.04 31.04 Approved. New activity.

B15.3.1.5

Mobility Support for HMIS & MCTS

22.32


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B15.3.1.5.1

Mobility Support for HMIS & MCTS at State level: @Rs.1920/- per day per vehicle on hire for M&D/ HMIS/ MCTS.

Monthly Cost

9600 12 1.15 1.15

Approved. Ongoing activity. Approved Rs 1.15 L. State should share the visit plan. TA / DA should be as per extant rules.

B15.3.1.5.2

Mobility Support for HMIS & MCTS at District level: Rs.4800/- monthly cost for mobility supportr at District level and Rs.1128/- monthly cost for mobility support at PHC/CHC/SDH level personnel.

Monthly Cost

1434 1476 21.17 11.52

Approved. Ongoing activity. Approved Rs 11.52 L for Mobility cost @ Rs. 1, 44,000/- per district. State should share the visit plan and report performance. TA / DA should be as per extant rules.

B15.3.1.6

Printing of HMIS Formats

Quarterl

y Cost

15 2722

8 4.04 2.65

Approved. Ongoing activity. Approved Rs 2.65 L For printing HMIS format. Printing should be done based on competitive bidding following Government protocols.

B15.3.1.7

Other (Please specify) 0.00

B15.3.1.7.1

HMIS Operational Cost (excluding HR & Trainings)

0 0.00

B15.3.1.7.2

Procurement of Computers/ printers/ cartridges etc.

0 0.00

B15.3.2

MCTS 167.12


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B15.3.2.1

Printing of RCH Registers 2014-15: @Rs.850 per register has been proposed for 1421 GP/ADC/Ward two for each.

No. of

Register

850 2842 24.16 4.21

Approved. Ongoing activity. Approved Rs 4.21 L for printing of Integrated RCH Register Version 1.1 @ Rs 250 per register. One register per 1000 population and applicable for 2 years. Register must be compatible with the Integrated RCH Register (Village wise) designed by MoHFW and shared with the State. Printing should be done based on competitive bidding and by following Government protocols.

B15.3.2.2

Printing of MCTS follow-up formats/services due list/ work plan for 120 Health Institutions (84 PHC, 18 CHC, 13 SDH and 5 DH/SH)

Monthly Cost

4000 1440 57.60 4.21

Approved. Ongoing activity. Approved Rs 4.21 L for printing of follow-up formats to capture the service delivery data after immunization session @ Rs 3/- per ASHA per month @1000 population. Printing should be done based on competitive bidding and by following Government protocols.

B15.3.2.3

Procurement of Computer/Printer/UPS 2014-15: for newly functional Health Institution.

No. of

Desktop

50000

12 6.00 6.00

Approved. Approved for 12 computers @ 50000 per computer. This is subject to 100% facility based reporting on HMIS & MCTS portal and improvement in data quality thereof. These are indicative rates, final rates are to be arrived at as per DGS & D rate contract or after Competitive bidding following Government protocols.


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B15.3.2.4

Procurement of Laptop 2014-15: One for State and eight for each District.

No. of

Laptop

60000

9 5.40 4.50

Approved. Approved Rs 4.50 L for 9 Laptop @ 50000 per Laptop for 1 State MIS Manager and 8 District Data Managers. This is subject to 100% facility based reporting on HMIS & MCTS portal and improvement in data quality thereof. These are indicative rates, final rates are to be arrived at as per DGS & D rate contract or after Competitive bidding following Government protocols.

B15.3.2.7

Internet Connectivity through LAN / data card : Rs.950 per month for 145 Data point throughout the State & 12 new net Connection @Rs.2000/-.

Internet Connectivity

957 1752 16.77 16.77

Approved. Approved for internet connectivity through LAN/data Cards @ Rs.2000/- per modem / data card for 12 PHCs / SDH / DHs M&E Cell and @Rs.950 per month per data point for 145 data points (84 PHCs, 18 CHCs, 13 SDHs, 05 DHs, 15 Health Sub-division, 08 Districts and 02 for State). This is subject to 100% facility based reporting on HMIS & MCTS portal and improvement in data quality thereof. These are indicative rates; final rates are to be arrived at as per DGS & D rate contract or after competitive bidding following Government protocols.

B15.3.2.8

Procurement & Installation of VSAT (Capex)

0 0.00

B15.3.2.

Internet Connectivity through VSAT (Opex)

0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

9

B15.3.2.10

Call Centre (Capex) 2014-15: Rs.9.00 lakh was approved in 2013-14 for establishment of Call Centre which was insufficient. Therefore, a detail justification has been sought under M&D part. Therefore, Rs.9.00 Lakh for revalidation & balance Rs.27000/- has been proposed in adition.

No. of

Call Cent

re

927000

1 9.27

0.00

Not approved. New activity. State should resubmit the proposal after it shifts to central server.

B15.3.2.11

Call Centre (Opex) 2014-15: For operational cost of Call Centre- HR, Training , Contingecy & Phone Bill.

Quarterl

y Cost

845900

3 25.38

B15.3.2.12

Other office expenditure : Office Contingency of State & District Unit.

Monthly Cost

4000 108 4.32 4.32

Approved. Ongoing activity. Approved for other office expenditure. All procurements should be as Government protocols.

B15.3.2.13

Mobile reimbursement (CUG SIM) : Reimbursement of Mobile of ANM/MPW at SC level @Rs.100/- PM.

Monthly Cost

100 1038

0 10.38 10.38

Approved. Approved Rs 10.38 Lakh only for those ANMs / ASHAs in respect of whom the registration status and service delivery updation of beneficiaries in MCTS is more than 80%. State must ensure that all the phone numbers of ASHA/ANM should be updated and validated on MCTS Portal. Procurement should be based on competitive bidding following Government Protocols. The Telecom Service Provider should be able


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

to integrate with USSD gateway of NIC. This activity is being approved for 10 months as proposed by the State. This mobile reimbursement subject to condition that State implements CUG connection service.

B15.3.2.14

Other (Please specify) 7.85

B15.3.2.14.1

Mobile Bill for regular communication

Monthly Cost

427 1836 7.85 1.36

Approved. Approved Rs 1.36 Lakh for Mobile Bill for regular communication. Procurement should be based on competitive bidding following Government Protocols. The Telecom Service Provider should be able to integrate with USSD gateway of NIC.

Particulars

Amount (Rs in Lakh)

Re-imbursement of Mobile bills for State MIS Manager (Nodal M & E Officer), 01 State level HMIS Assistant @ Rs 300/- per month for 12 Month x 02 numbers

0.07

Re-imbursement of Mobile bills for 08 District

0.86


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

This mobile reimbursement subject to condition that State implements CUG connection service.

Nodal M & E Officer, 08 District MCTS Nodal Officer, 05 DH Nodal M & E Officer and 15 Sub-divisional Programme Manager @ Rs 200/- per month for 12 months for 36 numbers

Re-imbursement of Mobile bills for 115 PHCs/CHCs/SDH level HMIS Assistant @ Rs 100/- per month for 12 month X 115 numbers

0.43

Total 1.36

B15.3.3

Drugs & Vaccines Distribution Management System (DVDMS)

0.00 No Proposal

B15.3.4

Hospital Management System

0.00 No Proposal

B15.3.5

Other e-Governance initiatives

0.00 No Proposal

PLANNING, IMPLEMENTATION AND MONITORING SUBTOTAL

436.75 264.27

B.16

PROCUREMENT 1519.71


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B16.1

Procurement of Equipment

108.60

B16.1.1

Procurement of equipment: MH

13.50

B16.1.1.3

Others (please specify) 13.50

B16.1.1.3.1

Oxygen Cylinder with trolly 0 0.00

B16.1.1.3.2

Digital Haemoglobinometer(For SC with buffer stock)

No of

instrume

nt

600 250 1.50 0.00 Not approved. Maybe utilised from untied funds.

B16.1.1.3.10

Equipment maintenance (applies for all equipment - not restricted to Maternal Health) 2014-15: Proposal for CMC of 18 nos. X-ray machine @Rs.25000/- per machine & CMC of 15 nos. Laparoscope @Rs.50000/- per machine.

No. of

Machine

36364

33 12.00 0.00

Not Approved. New activity. Not approved for support any AMC/CMC cost. State may budget for repair of laparoscopes at A.3.4.

B16.1.2

Procurement of equipment: CH

26.00

B16.1.2.1

Baby weighing machine 0 0.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B16.1.2.2

NBCC 2013-14: Few nos of NBCC are out of order & in the year 2013-14, NBCC was approved @Rs.35000/- which is too low in the State like Tripura. As a result, the largeted 25 nos NBCC could not Procured. 2014-15: These will be given to 15 newly functional PHC and 11 nos CHC where deliveries take place Rs.100000/- per NBCC.

No of

unit

100000

26 26.00 26.00

Approved. State to share details and cost break up of NBCC procurement.

B16.1.3

Procurement of equipment: FP

2.50

B16.1.3.1

NSV kits 0 0.00

B16.1.3.2

IUCD kits 0 0.00 State may budget for IUCD Kits in supplementary PIP

B16.1.3.3

Minilap kits 0 0.00

B16.1.3.4

laparoscopes 0 0.00

B16.1.3.5

PPIUCD forceps 0 0.00 State may budget for PPIUCD forceps in supplementary PIP

B16.1.3.6

Other (please specify) 2.50

B16.1.3.6.1

Fumigation machine for LL camp

No of

machine

50000


B16.1.3.

Carbon di oxide insufflator machine for LL Camp

No of

mac

200000



FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

6.2 hine

B16.1.4

Procurement of equipment: IMEP

0.00

B16.1.5

Procurement of equipment other than above

0.00

B16.1.6

Equipments for RKSK & RBSK

66.60

B16.1.6.3

Equipments for RBSK 66.60

B16.1.6.3.1

Equipment for Mobile health teams 2014-15: 23 nos tool kit for 23 no mobile health teams(new activity)

No. of Kit

20000

23 4.60 4.60

Approved. Rs 4.60 L is approved. Conditionality: Each RBSK mobile health team to have the required equipment as per Guidelines. .

B16.1.6.3.2

Equipment for DEIC 2014-15: Proposal of Equipments for DEIC unit as per guideline.

No. of

Unit

1610000

3 48.30 46.71

Approved. Rs 46.71 L is approved for 3 DEICs @ Rs 15.57 L per DEIC as per RBSK guidelines. State to follow RBSK guidelines for procurement.

B16.1.6.3.3

Laptop for mobile health teams 2014-15: Proposal for procurement of one Laptop with Data Card for each mobile health team.

No. of

Unit

50000

25 12.50 10.58

Approved. Rs 10.58 L is approved for 23 laptops one each for each team @ Rs 46000 per laptop. Conditionality: State regulation and rate contract is applicable. Approval of data card is shifted to B 16.1.6.3.5.

B16.1.6.3.4

Desktop for DEIC 2014-15: 3 Desktop for 3 DEIC.

No. of

DEIC

40000

3 1.20 1.20

Approved. Approved for 3 Desktop, UPS, printer and scanner combo @ Rs 40000 per set.

B16.1.6.3.5

Data card internet connection for laptops and DEIC and rental

0 0.00 1.38

Approved. Shifted from B 16.1.6.3.3. Rs 1.38 L is approved for 23 data cards @ Rs 1500


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

per data card to procure and Rs 750 per data card for rental per month for 6 months.

B16.1.6.3.6

CUG connection per team and rental

0 0.00

B16.1.7

Equipments for Training Institutes

0 0.00

B16.1.8

Equipments for AYUSH 0 0.00

B16.1.9

Procurement of Other equipments

0 0.00

B.16.2

Procurement of Drugs and supplies

1411.11

B.16.2.1

Drugs & supplies for MH 26.55

B.16.2.1.1

RTI /STI drugs and consumables

Avg. Cost of Kit

33 5341

3 17.80 17.63

Approved. Rs 17.63 L approved for procurement of RTI/STI syndrome kits @Rs 33/ per kit for 53,413 kits.

B.16.2.1.2

Drugs for Safe Abortion 0 0.00

B.16.2.1.3

Others (Please specify) 8.75

B.16.2.1.3.1

Misoprostol Kit 0 0.00 0.00

Rs 5.00 L already approved in 13-14 for procurement of Misoprostol kits. State has Committed this activity in 2014-15.

B.16.2.1

RPR Kits No of kit

5 1750

00 8.75 2.25

Approved. Rs 2.25 L approved for RPR kits. (5X 45000


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

.4 PW)

B.16.2.1.5

Whole blood finger prick test for HIV

0 0.00

B.16.2.2

Drugs & supplies for CH 0.00

B.16.2.2.1

Zink Syrup 0 0.00

B.16.2.3

Drugs & supplies for FP 0.00

B.16.2.4

Supplies for IMEP 0.00 No Proposal

B.16.2.5

General drugs & supplies for health facilities

652.34

B.16.2.5.1

NHM Free Drug services State has a notified policy of free drug services in respect of general drugs i.e. essential drugs. An amount of Rs.5,86,33,709 is proposed..

Quarterl

y Cost

14658427

4 586.34 350.00

Approved. Ongoing activity. Approval subject to fulfillment of following conditions: 1.State to name the initiative as "National Health Mission- Free Drug Service" or its appropriate translation in regional language/Hindi 2.State to set up within 6 months: -A robust procurement, logistics & supply chain system that is IT backed. -A sound drug regulatory and quality assurance system. DVDMS may be used.

B.16.2.5.2

Other Free Drug Services 1200 vial Anti Snake Venom Serum @Rs.500/- per vial & 30000 vial Anti Rabies vaccine @Rs.200/- per Vial.

No of

vials 212

31200

66.00 66.00


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

3. State to lay down Standard Treatment Guidelines and provides for prescription audits to ensure rational use of drugs. State has already notified free drug policy notification and facility wise differential EDL. State to provide details of Snake and dog bite cases reported in public health facilities in 2013-14.

B.16.2.6

National Iron Plus Initiative (Drugs& Supplies)

460.22

B.16.2.6.1

Children (6m - 60months) 170.51

B.16.2.6.1.a

IFA syrups (with auto dispenser)

No. of

Bottle

30 5410

37 162.31 81.15

Approved. For bi-weekly IFA supplementation strictly as per NIPI guidelines. However State may re-look into the unit cost of the IFA Syrup bottle. The proposed unit cost is too high. State may share how they have arrived at the unit cost of Rs. 30.

B.16.2.6.1.b

Albendazole Tablets : Albendazole Suspension was approved.

No. of

Tab. 1

819753

8.20 8.20 Approved

B.16.2.6.2

Children 5 - 10 years 81.09

B.16.2.6.2.a

IFA tablets No. of

Tab.

0.30

23958272

71.87 71.87 Approved


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.16.2.6.2.b

Albendazole Tablets No. of

Tab. 1

921472

9.21 9.21 Approved

B.16.2.6.3

WIFS (10-19 years) 114.03

B.16.2.6.3.a

IFA tablets: Total IFA tablet required for the Adolescents = 454681 x 52+10% extra = 26007753 no tablets. Total fund required to procure 26007753 no IFA large tables= [email protected]= RS. 1,04,03,101 /-

No. of

tab.

0.40

26007753

104.03 104.03 Approved. Rs 104.03 L approved for 26007753 IFA tablets

B.16.2.6.3.b

Albendazole Tablets: Total Albendazole tablet required for the Adolescents = 454681 nos x 2 + 10% extra = 10,00,298 tab Total fund required to procure 10,00,298 nos Albendazole tablets = 10,00,[email protected] = Rs. 10,00,298 /-

No. of

tab. 1

1000298

10.00 8.15

Approved. Approved for 8,15,040 tablets. State has not adjusted the balance stock of 1,85,258 tablets from the proposed requirement.

B.16.2.6.4

Women in Reproductive Age (non-pregnant & non-lactating) (20-49 years)

60.59

B.16.2.6.4.a

IFA tablets No. of

Tab.

0.40

13817908

55.27 0.00

Not approved. State to share the Strategy plan for IFA supplementation to WRA

B.16.2.6.4.b

Albendazole Tablets No. of

Tab. 1

531458

5.31 0.00 Not approved. State to share the Strategy plan for Deworming to WRA


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

B.16.2.6.5

Pregnant & Lactating Mothers

34.00

B.16.2.6.5.a

IFA tablets

No of

tablet-

large-red

0.40 8500000

34.00 0.00

Not approved. IFA for pregnant and lactating mothers to be budgeted under JSSK. The compliance and coverage of IFA tablets to be reported to GoI as part of reporting under NIPI.

B.16.2.6.5.b

Folic Acid Tablets (400 mcg) for pregnant women

0 0.00

B.16.2.7

Drugs & supplies for RBSK

13.70

B.16.2.7.1

Medicine for Mobile health team: 23 nos. of EDL @Rs.30000/- each and 4 times refiling of essential drugs for 15 mobile health teams & 1 time refiling for 8 mobile health teams @ Rs.10000/refiling.

No. of

Refilling/ EDL

15055

91 13.70 13.70

Approved. Approved as per communication from State Dated July 14, 2014. Conditionality: Each team to have all medicines as per RBSK EDL for on spot management of cases. State to ensure that each team have all medicines during visit and each team maintain stock register for RBSK EDL and receives replenishment from block BPHCs.

B.16.2.8

Drugs & supplies for AYUSH

0 0.00

B.16.2.9

Drugs and Supplies for RKSK

258.30

B.16.2.9.1

Sanitary napkins procurement 2014-15: Procurement of napkins from central supply from GoI.

No of

packet

6 4304988

258.30 161.44

Approved. Approved for 358749 beneficiaries(351382 AGs +7367 ASHA) for 6months @ Rs.7.5 per


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

pack. State may procure by competitive bidding.

B.16.2.10

Others 0 0.00

B.16.3

National Free Diagnostic services

0.00 No Proposal

PROCUREMENT SUBTOTAL

1519.71 984.10

B.17

Drug Ware Housing 36.70

B.17.1

Drug warehouses (include all operating costs)

0.00

B.17.2

Supply chain logistic system

0 0.00

B.17.3

Others 36.70

B.17.3.2

Computer with internet facility along with bar code scanner: Required for Central Stores, Madical College/ State Hospital Store, new District Warehouse & Society Store.

No of

unit

60000

18 10.80 10.80

Approved. New activity. Rs 36.70 L approved for strengthening of existing State drug ware house. State to fulfill conditionality mentioned in FMR B.16.2.5.1 State to share utilisation plan.

B.17.3.3

High Density PVC platform 2014-15: For State & District Stores.

No of

platform

10000

100 10.00 10.00

B.17.3.4

Steel racks (7 ft x 6 ft x 2 ft) 2014-15: For State & District Stores.

No of

racks

10000

50 5.00 5.00

B.17.3.5

Re-arrangement of the store of S0H&FWS : 6 nos AC machine for SHFWS, one Fire Alarming System for SHFWS, 4 nos Fire Exteiguishers & furniture for Stores of State Society.

No of

unit

1090000

1 10.90 10.90


FMR

Budget Head

Unit of

Measure

Unit Cost (Rs)

Quantity


Amount Approved

(Rs in Lakhs)

Remarks

SUB TOTAL DRUG WARE HOUSING

36.70 36.70

B.18

New Initiatives/ Strategic Interventions

0.00 0.00

B18.1

Universal Health Coverage (pilot))

0 0.00 No proposal.

B18.2

Others 0 0.00

B.19

Health Insurance Scheme 0 0.00

B.20

Research, Studies, Analysis 2014-15: Proposal for Health Related Research Study on Internally Displaced People (IDP) & migrant workers. Due to calculation error in the budget sheet the proposed amount is not reflected in the Total Budget.

No. of

Researc

h

900000

1 0.00 0.00

B.21

State level health resources centre(SHSRC)

0.00

B.21.1

SHSRC - HR 0.00

B.21.2

Other cost 0 0.00

SUB TOTAL SHSRC 0.00 0.00

B22

Support Services 0.00

SUB TOTAL SUPPORT SERVICES

0.00 0.00

B.23

Other Expenditures (Power Backup, Convergence etc)

0.00

B.24

Collaboration with Medical Colleges and Knowledge partners

0 0.00

GRAND TOTAL MISSION FLEXIPOOL

8501.97 5424.28


Note: Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of estimations. However, the actual expenditure must be incurred after following rules and due processes. The competitive and transparent bidding should be ensured as well as only need based procurement must take place.


Annexure 3

IMMUNIZATION

FMR

Code

Activities (As proposed by the State)

Unit Cost (wherever

applicable)

Quanti

ty / Target

Budget Proposed in Lakhs

Amount Approved in Lakhs

Remarks

C.1 RI strengthening project

c.1.a

Mobility Support for supervision for distict level officers.

Rs.2,50,000/ Year /district level officers.

96.00 21.00 20.00

Approved. Budget is restricted as per norms, based on no. of districts.

c.1.b

Mobility support for supervision at state level

Rs. 150000 per year.

4.00 1.00 1.00 Approved. Approved as per norms

c.1.c

Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

Rs. 10 beneficiaries

100000.00

15.00 10.00

Approved. The budget is restricted as per norms based on targets provided by state.

c.1.d

Support for Quarterly State level review meetings of district officer

Rs. 1250/ per participant/day for 3 persons (CMO/DIO/Dist Cold Chain Officer)

4.00 1.68 1.20

Approved. The budget is restricted as per norms.

c.1.e

Quarterly review meetings exclusive for RI at district level with one Block Mos, CDPO, and other stake holders

Rs. 100/per participant for meeting expenses for 5 persons (lunch, Organization expenses)

32.00 9.60 4.00

Approved. The budget is restricted as per norms, on the basis of last year allocation.

c.1.f Quarterly review meetings exclusive for RI at block level

Rs. 50/ per person as honorarium for ASHA (Travel) and Rs. 25/person at the disposal of MO-IC for meeting

52.00 7.80 5.53

Approved. The budget is restricted as per norms


FMR

Code


Unit Cost (wherever

applicable)

Quanti

ty / Target



Remarks

expenses (refreshment, stationary and misc. expenses)

c.1.g

Focus on slum & underserved areas in urban areas/alternative vaccinator for slums

Hiring of ANM@450/session for four session/month/slum of 10000 population and Rs. 300/- per month as contingency per slum i.e. Rs. 2100/- per month per slum of 10000 population

0.00 0.00

c.1.h

Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

40170.00

60.26 60.26 Approved as per norms

c.1.i Alternative vaccine delivery in hard to reach areas

Rs. 150 per session

26012.00


c.1.j Alternative Vaccine Deliery in other areas

Rs. 75 per session

8660.00 6.50 6.50 Approved as per norms

c.1.k

To develop microplan at sub-centre level

@ Rs 100/- per subcentre


c.1.l For consolidation of microplans at block level

Rs. 1000 per block/ PHC and Rs. 2000 per district


c.1.m

POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs1,50,000/ district/year

32.00 12.60 12.00



FMR

Code


Unit Cost (wherever

applicable)

Quanti

ty / Target



Remarks

c.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

108.00 0.43 0.38


c.1.o

Red/Black plastic bags etc. Rs. 3/bags/session

176365.00


c.1.p

Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket

Rs. 1200 per PHC/CHCper year


c.1.q

Safety Pits Rs. 5250/pit


c.1.r

State specific requirement 2.00 3.15 0.00

Not Approved. *The state has requested additional funds for cold chain maintenance, the expenditure is to be met out from C.4 (cold chain maintenance funds) * Other activities are not approved.

c.1.s

Teeka Express Operational Cost

0.00 0.00

c.1.t Measles SIA operational Cost

0.00 0.00

c.1.u

JE Campaign Operational Cost

0.00 0.00

c.1.v

Others 0.00 0.00

C.1-Sub Total 192.60 174.45

C.2 Salary of Contractual Staffs


FMR

Code


Unit Cost (wherever

applicable)

Quanti

ty / Target



Remarks

C.2.

1

Computer Assistants support for State level

Rs.12000-15000 per person per month

1.93 1.51 Approved(5 % appraisal)

C.2.

2

Computer Assistants support for District level

8000-10000 per person per month

6.98 5.04 Approved(5 % appraisal)

C.2.

3

Others(service delivery staff)

0.91 0.91

Approved. The new post of Vaccine & Logistic Manager is Approved by Immunization division; however, this should be placed under Part A (A.8) for approval.

C.2-Sub Total 9.83 7.46

C.3 Training under Immunization

C.3.

1

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 MidWives, BEEs & other staff ( as per RCH norms)

As per revised

norms for trainings

under RCH

4.00 2.57 2.57

Approved. Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division.


FMR

Code


Unit Cost (wherever

applicable)

Quanti

ty / Target



Remarks

C.3.

2

Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module)

2.00 1.83 1.83

C.3.

3

One day refresher traning of distict Computer assistants on RIMS/HIMS and immunization formats

0.00 0.00 0.00

C.3.

4

Two days cold chain handlers traning for block level cold chain hadlers by State and district cold chain officers

4.00 0.98 0.98

C.3.

5

One day traning of block level data handlers by DIOs and District cold chain officer

0.00 0.00 0.00

C.3.

6 Others 1.00 1.03 0.00

C.3-Sub Total 6.40 5.38

C.4 Cold chain maintenance

Rs.750/PHC/CHCs per year District Rs.15000/year

4.00 2.24 2.24

Approved. Approved as per norms. Expenditure to be booked as per actual. Re-appropriation of funds within part C can be considered on full utilization of the fund.

C.5 ASHA incentive for full Immunization

Rs 100 per child for full immunization in first year

48997.00



FMR

Code


Unit Cost (wherever

applicable)

Quanti

ty / Target



Remarks

Rs 50 per child for ensuring complete immunization upto 2nd year of age

Total ROUTINE IMMUNIZATION

260.07 238.52

C.6 Pulse Polio Operational Cost (Tentative)

2.00 153.37 146.00

Approved. The provision proposed by the division for the PPI is tentative.

GRAND TOTAL IMMUNISATION

413.44 384.52


Annexure 4

NATIONAL URBAN HEALTH MISSION (NUHM)

Summary of Budget approved \

FMR Code

Budget Head Budget

Proposed (Rs. Lakhs)

Amount Approved

(Rs. Lakhs)

% of Total Amount

Approved

1 Planning & Mapping 10.00 4 2.18

2 Programme Management 17.12 10.32 5.62

3 Training & Capacity Building 3.77 3.77 2.05

4 Strengthening of Health Services 161.50 154.36 84.08

4.a Human Resource 22.89 39.36 21.44

4.b Infrastructure 1.40 0 0.00

4.c Untied grants 5.00 3.5 1.91

4.d Procurement (drugs and consumable)

93.50 77.88 42.42

4.e Other services 38.71 33.63 18.32

5 Regulation & Quality Assurance 0.00 0 0.00

6 Community Processes 8.13 8.13 4.43

7 Innovative Actions & PPP 120.00 0 0.00

8 Monitoring & Evaluation 3.00 3 1.63

TOTAL 323.52 183.58


DETAILED NUHM BUDGET:

FMR Code

Budget Head

Unit Cost (Rs. Lakh

s)

Quantity

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. Lakhs)

Remarks

1 Planning & Mapping 10.00

1.1 Metro cities 0.00

1.2 Million+ cities 0.00

1.3 Cities (1 lakh to 10 lakh population)

0.00

1.4 Towns (50,000 to 1 lakh population)

10.00 4.00

Approved. New Activity. As per norms approval is accorded for planning & mapping of 2 additional cities i.e. Udaipur & Dharmanagar @ Rs.2 lakh / city.

1.4.1 Mapping 1.00 2 2.00 Shifted to 1.4

1.4.2 Data gathering (secondary/primary)

4.00 2 8.00 Shifted to 1.4

2 Programme Management

17.12

2.1 State PMU 5.00

2.1.1 Human Resources 0.00 0.00

2.1.2 Mobility support 0.25 9 2.25 2.25 Approved.New Activity. @ Rs.25000X 9 months

2.1.3 Office Expenses 0.25 11 2.75 1.20 Approved. Ongoing activity. @ Rs.10,000 per month

2.2 District PMU 12.12

2.2.1 Human Resources 0.10 0.57 0.57

Approved. Ongoing activity. Approval is accorded for 1 HMIS-MCTS Assistant @ Rs.9500/- per month

2.2.2 Mobility support 0.25 33 8.25 3.00

Approved. Ongoing activity. Approval is accorded for 1 city Agartala @ Rs.25,000 per month


FMR Code

Budget Head

Unit Cost (Rs. Lakh

s)

Quantity

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. Lakhs)

Remarks

2.2.3 Office Expenses 0.10 33 3.30 3.30 Approved. Ongoing activity. as proposed

2.3 City PMU 0.00

3 Training & Capacity Building

3.77

3.1 Orientation of Urban Local Bodies (ULB)

0.50 2 1.00 1.00

Approved. New Activity As proposed approval is given for additional 2 towns.

3.2 Training of ANM/paramedical staff

0.85 2 1.69 1.69


3.3 Training of Medical Officers

0.30 2 0.60 0.60


3.4 Orientation of Specialists 0.00 0 0.00

3.5 Constitution and Training of MAS

0.03 16 0.48 0.48


4 Strengthening of Health Services

161.50

4.a Human Resource 22.89

4.b Infrastructure 1.40

4.c Untied grants 5.00

4.d Procurement (drugs and consumable)

93.50

4.e Other services 38.71

4.1 Outreach services/camps/UHNDs

11.40

4.1.1 UHNDs 0.01 720 7.20 2.12

Approved.Ongoing activity. As per norms approval is accorded as per follows: Rs.250/ session/month for 9 months in 94 slum area.

4.1.2 Special outreach camps in slums/ vulnerable areas

0.10 42 4.20 4.2

Approved. Ongoing activity. Approved as proposed. State to ensure participation of Medical


FMR Code

Budget Head

Unit Cost (Rs. Lakh

s)

Quantity

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. Lakhs)

Remarks

Officers in the team while conducting special outreach camps

4.2 ANM/LHV 2.31

4.2.1 Salary support for ANM/LHV

0.00 0.00 16.47

Approved. Ongoing activity. 5% hike in salary approved @ Rs.8580 X 16 existing ANMs Shifted from RCH - A.8.1.1.1.h (others)

4.2.2 Mobility support for ANM/LHV

0.01 462 2.31 2.31 Approved.Ongoing acivity.

4.3 Urban PHC (UPHC) 122.79

4.3.1 Renovation/upgradation of existing facility to UPHC

0.20 7 1.40 0 Not Approved.

4.3.2 Building of new UPHC 0.00 0 0.00

4.3.3

Operating cost support for running UPHC (other than untied grants and medicines & consumables)

22.89

4.3.3.1 Human Resource 22.89

4.3.3.1.1

MO salary 0.30 18.90 18.9

Approved. One Ongoing & 6 new MO approved as proposed. Approval is accorded for 7 MOs @ Rs.30,000 per month

4.3.3.1.2

Salary of paramedical & nursing staff (Staff Nurse/ Lab Technician/ Pharmacist/ Other)

0.10 3.99 3.99

Approved. 5 Ongoing LT & 2 new LT approved as proposed. Approval is accorded for 7 LT @ Rs.9,500 per month

4.3.3.1.3

Salary of support staff (non clinical staff)

0.00 0.00

4.3.3.1.4

Public Health Manager 0.00 0.00

4.3.4 Untied grants to UPHC

2.50 2 5.00 3.5

Approved. New Activity Approval is accorded @ Rs.1.75 L/ UPHC X 2 UPHC


FMR Code

Budget Head

Unit Cost (Rs. Lakh

s)

Quantity

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. Lakhs)

Remarks

4.3.5 Medicines & Consumables for UPHC

93.50

4.3.5.1 Emergency drugs 12.50 7 87.50 71.88

Approved.Ongoing activity. Approval is accorded as per follows:- a. Approval is given for the purchase of medicines & consumables (& not for the purchase of emergency drugs) b. For 5 existing UPHC approval is given @Rs. 9.38 L/ UPHC & for additional 2 UPHC approvals is given @ Rs.12.5 L/UPHC.

4.3.5.2 Others 3.00 2 6.00 6

Approved. New Activity. Approved for 2 new Satellite Dispensaries at Dharamnagar & Udaipur.

4.4 Urban CHC (UCHC) 0.00

4.4.1 Capital cost support for new UCHC

0.00 0 0.00

4.4.2 Human Resource 0.00

4.4.3 Untied grants for UCHC 0.00 0 0.00

4.4.4 Medicines & Consumables for UCHC

0.00 0 0.00

4.5 RBSK 0.00

4.5.1 Human Resource 0.00 0.00

4.5.2 Other RBSK services 0.00 0 0.00

4.6 IEC/BCC 0.00 25.00 25 Approved. Ongoing activity. Approved as proposed.

5 Regulation & Quality Assurance

0.00 0.00

6 Community Processes 8.13

6.1 MAS/community groups 0.05 16 0.80 0.8

Approved. New Activity. Approval is accorded for 16 MAS in 2 addtional towns of Dhamanagar & Udaipur

6.2 ASHA (urban)


FMR Code

Budget Head

Unit Cost (Rs. Lakh

s)

Quantity

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. Lakhs)

Remarks

6.2.1 ASHA Incentives 0.00 3663 7.33 7.33 Approved. New Activity as proposed.

6.2.2 ASHA Drug kits and HBNC kits

0.00 0 0.00

6.3 NGO support for community processes

0.00 0 0.00

7 Innovative Actions & PPP

60.00 120.00 0.00 NOT APPROVED

8 Monitoring & Evaluation

3.00

8.1 Baseline/endline surveys 0.00 0 0.00

8.2 Research Studies in Urban Public Health

0.00 0 0.00

8.3 IT based monitoring initiatives

1.00 3 3.00 3.00 Approved. New Activity

TOTAL 323.52 183.58


Annexure 5A

INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

State specific Issues:

Posts of all Epidemiologists (state and districts), all Microbiologist (State and district labs) and

Consultant Training are vacant in the state. The state needs to expedite the recruitment of

contractual staff under IDSP.

Only 44% reporting units are reporting in P form and 37% in L form under IDSP. State needs to

start the reporting of the remaining units on IDSP portal. District reported irregular on the IDSP

Portal are Dhalai & North Tripura.

In 2013, State reported 4 outbreaks under IDSP. State has been requested to send the full

investigation report of each outbreak, including the etiological confirmation of diagnosis by

sending the required clinical samples for appropriate lab tests.

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

North Tripura.

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

State to strengthen the surveillance activity, so as to improve the early sensing of impending

outbreaks. Also, report the same to IDSP.

Non-negotiable IDSP priorities for States would be:

Dedicated State Surveillance Officer (SSO) for implementation of IDSP.

All States to provide weekly report on the disease surveillance data on epidemic prone diseases

and the weekly outbreak report regularly through portal.

All the States to timely submit their Statement of Expenditure, Utilization Certificate and Audit

reports.

Every State will undertake in-depth review of IDSP at least once in a year and will share the

report with Central Surveillance Unit (CSU), IDSP


DETAILED BUDGET IDSP:

Activity

Budget Proposed

(Rs. In Lakhs)

Unit Cost

No. Of

Units

Duration

Amount Approved

(Rs in Lakhs)

Remarks

Remuneration for Contractual Human Resource

Remuneration of State Epidemiologist

2.4 0.4 1 6 2.4 a. Remuneration for vacant positions to be calculated for 6 months. b. Remunerations for the posts of Epidemiologist and microbiologist for candidates with medical qualifications to be more, than those without medical qualification.

Remuneration of State Microbiologist

2.4 0.4 1 6 2.4

State Veterinary consultant

0 0 0

Consultant-Training/ Technical

0 0 0

Remuneration of Entomologists

3.16 0.26 1 12 3.16

Consultant-Finance/ Procurement

2.22 0.18 1 12 2.22

State Data Manager 2.16 0.18 1 12 2.14

State Data Entry Operator 1.34 0.11 1 12 1.34

Remuneration of District Epidemiologists

9.6 0.4 4 6 9.6

Microbiologist at District labs

2.4 0.4 1 6 2.4

District Data Manager 17.09 0.18 8 12 17.09

District Data Entry Operator

12.09 0.11 9 12 12.09

Others if any 0 0

Sub Total 54.84 54.84

Training A budget of Rs 5.5 L is approved for training for FY 14-15.

Medical Officers (3 Days) 2.8 0.035

Medical College Doctors (1 day)

0 0

Hospital Pharmacists/Nurses Training (1 Day)

0.9 0.009

Lab Technician 0 0 5.50

Data managers 0.18 0.02

Data entry operators cum accountants

0.22 0.02

ASHA,AWW and MPW 1.4 0.007

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

One day sensitization for


Activity

Budget Proposed

(Rs. In Lakhs)

Unit Cost

No. Of

Units

Duration

Amount Approved

(Rs in Lakhs)

Remarks

PRIs

Others if any (please Specify)

Sub Total 5.50 5.50

Laboratory Support

District Public Health Laboratory

Non-recurring costs on account of equipment for district public health labs requiring strengthening.

0 0 A budget of Rs 4.00 L is approved for existing DPL at Kailashahar

Recurring costs on account of Consumables, kits, communication, misc expenses etc at each district public health lab (applicable only for functional labs having requisite manpower).

4 2 2 4

Equipment AMC cost

Referral Lab Network

Reimbursement based payment for laboratory tests. (to be calculated for already approved labs in previous PIPs of States for corresponding next years)

0 0 0 0

Expenses on account of consumables, operating expenses, office expenses, transport of samples, miscellaneous etc.

5 2.5 2 2 A budget of Rs 2.00 L is approved for referral lab at AGMC, Tripura.

Sub Total 9.00 6.00

Operational Cost

MOBILITY: Travel Cost, POL, mobility cost at SSU & DSU on need basis

A budget of Rs 13.1 L is approved for FY 14-15 under operational costs Office expenses on

telephone, fax, Broadband Expenses, Weekly Alert Bulletin/Annual Disease Surveillance report, minor repairs and AMC of IT/office equipment supplied under IDSP, Meetings and other miscellaneous


Activity

Budget Proposed

(Rs. In Lakhs)

Unit Cost

No. Of

Units

Duration

Amount Approved

(Rs in Lakhs)

Remarks

expenditures etc.

Sub Total 13.10 13.10

Any state specific

2014-15: Procurement of 4 nos od Desktop Computer @Rs45000/-, 4 nos of UPS @Rs.4000/-, 4 nos of Scanner @Rs.8000/-, 4 nos of Laser Printer @Rs.10000/- and nos of Fax Machine @Rs.Rs.10000/- for new District.

3.08 3.08 A budget of Rs 3.08 L is approved for FY 14-15 for procurement of ICT equipments except Fax machines for 4 new districts. State to procure 1 webcam, headphones and speakers instead of fax machines for each new district.

2014-15: Procurement of One Desktop & One Laptop @Rs.45000/-, One nos of Laser Printer @Rs.10000/-, One UPS @Rs.4000/- and One Photocopier @Rs.55000/- for SSU.

1.59 1

A budget of Rs 1.00 L is approved for FY 14-15 for replacement of desktop computers

2014-15: Procurement of 2 Desktop @Rs.45000/- and 2 nos of UPS @Rs.4000/- for 2 DSU.

0.98

Sub Total 5.65 4.08

GRAND TOTAL 88.09 83.52


Annexure 5B

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

State specific Goals and Targets for Tripura for the year 2014-15

S.No Goals & Target September'14 March 2015

1 Elimination at Sate level NA NA

2 Elimination at District level NA NA

3 Case detection through ASHA 10 20

4 Special activity plan in high endemic blocks NA NA

5 MCR footwear procurement & supply 30 50

6 RCS 20

7 Development of leprosy expertise 5 courses 10 courses

8 Treatment Completion Rate assessment for 2013-14 completed

9 Audited Report for the year 2013-14 completed

10 Expenditure incurred against approved plan budget 50% of plan 100% plan


DETAILED BUDGET NLEP:

APPROVAL FOR 2014-15 NLEP

Activity proposed

Unit Unit Cost

(In Rupees)

Physical Targets

Budget Proposed

(Rs. in Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

G1.Case detection & Management

1.1 Specific -plan for Endemic Districts

Block - -

1.2 Services in Urban Areas

Town -

Med I -

Med II-

Mega-

Town - 0.16 Med I - Med II- Mega-

4 0.63 0.63

1.3. ASHA Involvement

Sensitization 100 263 0.53 0.26

* Incentive to ASHA

Detection

250 20 0.05 0.05

PB 400 10 0.04 0.04

MB 600 10 0.06 0.06

1.4 Material & Supplies

Supportive drugs, lab. reagents & equipments and printing works

District

68,000 8 1.80 1.80

1.5 NGO - Scheme

No. 600000

G2. DPMR

MCR footwear, Aids and appliances, Welfare allowance to patients for RCS, Support to govt. institutions for RCS

MCR - 300/-

50 0.17 0.15

Aids/Appliance -17000

8 0.08 0.08

Welfare/RCS - 8000

20 1.60 1.60

At Institute -

5000 20 1.00 1.00

At camps - 10000



Activity proposed

Unit Unit Cost

(In Rupees)

Physical Targets

Budget Proposed

(Rs. in Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

G3. ** IEC/BCC

Mass media, Outdoor media, Rural media, Advocacy media

District

26,250 8 2.10 2.10

G4. Human Resources & Capacity building

4.1 *** Capacity building

Courses

10 3.65 3.65

4.2. Human Resources on contract

4.2.1. Contractual Staff at State level

SMO No. 35,000 1 4.20 4.20

BFO cum Admn. Officer

No. 18,000 1 2.16 2.16

Admn. Asstt. No. 15,750 1 1.89 1.89

DEO No. 9,500 1 1.14 1.14

Driver No. 10,500 1 1.26 1.26

4.2.2. District Leprosy Consultant

No. 30000

Physiotherapist No. 25000

4.2.3. Special Provision for selected States

NMS No. 25000

4.2.4. Staff for blocks

PMW No. 16000

G5. Programme Management ensured

5.1. Travel Cost

travel expenses - Contractual Staff at State level

State 60000 0.20 0.20 No Contractual Staff available at

district Level travel expenses - Contractual Staff at District level

Districts

25000 8 0.20

5.2 Review meetings

No. 20000 to

50000 4 0.54 0.54



Activity proposed

Unit Unit Cost

(In Rupees)

Physical Targets

Budget Proposed

(Rs. in Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

5.3 Office Operation & Maintenance

Office operation - State Cell

No. 75000 1 0.42 0.42

Office operation - District Cell

No. 35000 8 0.72 0.72

Office equipment maint. State

No. 50000 1 0.50 0.50

5.4 Consumables

State Cell No. 50000 1 0.32 0.32

District Cell No. 30000 8 0.56 0.56

5.5 Mobility Support

State Cell No. 200000 2 1.58 1.58

District Cell No. 150000 8 2.40 2.40

G6 Others

travel expenses for traing of regular staff outside the state/UT,Awards etc..

0.50 0.50

GRAND TOTAL

30.30 29.81


Annexure 5C

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

Tripura - State Specific Goal

Physical Target

S.No. Indicator 2012 2013 2014 Remarks

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

7.26 6.76 12.00

ABER is very low in 2012-13.

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

3.13 1.94 8.43

This is estimated API as per the cases reported till 31st July 2014. The state is having an outbreak of malaria.

3 Sentinel Surveillance Hospital made functional for Dengue & Chikungunya

1 1 1

4 Sentinel Surveillance Hospital made functional for JE

S.No Priority Area for Focused attention

1 Enhanced surveilliance and monitoring as the state is having a malaria outbreak

2

Essential Conditionality

1 All contractual post supported by NVBDCP should be filled up

2 Daily monitoring of the malaria outbreak by the senior state health officials for containment.

Desirable conditionality

S.No Post Santioned In

position Vacant

Target for 2014-15

1 DMO/DVBDO 8 8 0

District wise goals (to be done by States ABER API Deaths Mf rate

2014-15 2014-15 2014-15 2014-15

To be filled by State/Districts and

monitored

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.

· April to June - 1st round spraying & observance of anti-malaria month to be ensured and accordingly funds availability at districts to be ensured


· July to Sept.- 2nd round spray and observance of anti-dengue month.

· 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 NVBDCP:

S. No. Budget Head

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

F NVBDCP 1380.78 723.52

F.1 DBS (Domestic Budgetary Support)

F.1.1 Malaria 525.41 100.00

F.1.1.a Contractual Payments 0.00 0.00

F.1.1.a.i MPW contractual 0.00

F.1.1.a.ii Lab Technicians ( against vacancy) 0.00

F.1.1.a.iii VBD Technical Supervisor (one for each block)

0.00

Under GF Budget Support

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

0.00

F.1.1.a.v State Consultant (Non – Project States), 0.00

F.1.1.a.vi M&E Consultant (Medical Graduate with PH qualification)

0.00

F.1.1.a.vii VBD Consultant (preferably entomologist) 0.00

F.1.1.b ASHA Incentive 66.00 50.00

F.1.1.c Operational Cost 211.73 50.00

F.1.1.c.i Spray Wages 109.71

50.00

F.1.1.c.ii Operational cost for IRS 3.00

F.1.1.c.iii Impregnation of Bed nets- for NE states 75.02

F.1.1.d

Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility & NAMMIS and MPW monitoring incentive

3.00 Under GF

Budget Support

F.1.1.e IEC/BCC 183.28 Both

under GF & DBS

F.1.1.f PPP / NGO and Intersectoral Convergence

24.00

Under GF Budget Support

F.1.1.g Training / Capacity Building 0.00

F.1.1.h Zonal Entomological units 0.00

F.1.1.i Biological and Environmental Management through VHSC

0.00

F.1.1.j Larvivorous Fish support 0.00

F.1.1.k Construction and maintenance of Hatcheries

0.00

F.1.1.l Any other Activities (Pl. specify) 37.40 0.00


S. No. Budget Head

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

F.1.1.l a

2014-15: All the fiver cases attending for blood exm. are required to be given 300000 Tab PCM irrespective of detection of Malaria. 2.58 Lakh of blood slides examined in 2013 and Procurment of 300000 nos of Micro blood slide & lancet. @Rs.2.50/-.

15.00

F.1.1.l.b

2014-15: Procurment of 200 nos of HC Pump (For DDT Spray) @Rs.11000/- and Procurment of 100 nos of Stains I & II ( Each) @Rs.400/-.

22.40

Total Malaria (DBS) 525.41 100.00

F.1.2 Dengue & Chikungunya 43.22 12.00

F.1.2.a Strengthening surveillance (As per GOI approval)

5.00

12.00

F.1.2.a(i) Apex Referral Labs recurrent 1.00

F.1.2.a(ii) Sentinel surveillance Hospital recurrent 1.00

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs 3.00

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)

0.00

F.1.2.c Monitoring/supervision and Rapid response 0.00

F.1.2.d Epidemic preparedness 0.00

F.1.2.e Case management 0.00

F.1.2.f Vector Control, environmental management & fogging machine

0.00

F.1.2.g IEC BCC for Social Mobilization 21.80

F.1.2.h Inter-sectoral convergence 16.42

F.1.2.i Training & printing of guidelines, formats etc. including operational research

0.00

Total Dengue/Chikungunya 43.22 12.00

F.1.3 AES/JE 110.98 5.00

F.1.3.a Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI

10.00

5.00

Though the funds have not been

allocated for JE/AES but the division has alloted Rs. 5 Lacs

because the State had an outbreak of

JE/AES in 2012

F.1.3.b IEC/BCC specific to J.E. in endemic areas 37.38

F.1.3.c Capacity Building 0.00

F.1.3.d Monitoring and supervision 1.50

F.1.3.e Procurement of Insecticides (Technical Malathion)

4.50

F.1.3.f Fogging Machine 15.60

F.1.3.g Operational costs for malathion fogging 2.00

F.1.3.h Operational Research 0.00

F.1.3.i Rehabilitation Setup for selected endemic districts

0.00

F.1.3.j ICU Establishment in endemic districts 40.00

F.1.3.k ASHA Insentivization for sensitizing 0.00


S. No. Budget Head

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

community

F.1.3.l Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter

0.00

F.1.3.m ASHA incentive for referral of AES/JE cases to the nearest CHC/DH/Medical College

0.00

Total AES/JE 110.98 5.00

F.1.4 Lymphatic Filariasis 0.00 0.00

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

0.00

0.00

F.1.4.b Microfilaria Survey 0.00

F.1.4.c Monitoring &Evaluation (Post MDA assessment by medical colleges (Govt. & private)/ICMR institutions )

0.00

F.1.4.d Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

0.00

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

0.00

F.1.4.f Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA

0.00

F.1.4.g Verification and validation for stoppage of MDA in LF endemic districts

0.00

F.1.4.g.i a) Additional MF Survey 0.00

F.1.4.g.ii b) ICT Survey 0.00

F.1.4.g.iii c) ICT Cost 0.00

F.1.4.h Verification of LF endemicity in non-endemic districts

0.00

F.1.4.h.i a) LY & Hy Survey in 350 distt 0.00

F.1.4.h.ii b) Mf Survey in Non- endemic distt 0.00

F.1.4.h.iii c) ICT survey in 200 distt 0.00

F.1.4.i Post-MDA surveillance 0.00

F.1.4.j ASHA incentive for one time linelisting of Lymphoedema and Hydrocele cases in non-endemic distt.

0.00

Total Lymphatic Filariasis 0.00 0.00

F.1.5 Kala-azar 0.00 0.00

F.1.5 Case search/ Camp Approach 0.00

F.1.5.a Spray Pumps & accessories 0.00

F.1.5.b Operational cost for spray including spray 0.00


S. No. Budget Head

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

wages

F.1.5.c Mobility/POL/supervision 0.00

F.1.5.d Monitoring & Evaluation 0.00

F.1.5.e Training for spraying 0.00

F.1.5.f IEC/ BCC/ Advocacy 0.00

Total Kala-azar 0.00 0.00

Total (DBS) 679.61 117.00

F.2 Externally aided component 0.00 0.00

F.2.a World Bank support for Malaria (Identified state)

0.00 0.00

F.2.b Human Resource 0.00

F.2.c Training /Capacity building 0.00

F.2.d

Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats)

0.00

Kala-azar World Bank assisted Project 0.00

F.2.e Human resource 0.00

F.2.f Capacity building 0.00

F.2.g Mobility 0.00

F.3 GFATM support for Malaria (NEStates) 602.52 602.52

F.3.a Project Management Unit including human resource of N.E. states

170.88

602.52

F.3.b Training/Capacity Building 100.00

F.3.c

Planning and Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

90.00

F.3.d Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings,

99.99

F.3.e IEC / BCC activities as per the project 31.65

F.3.f

Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

110.00 Impregnation of Bed Nets is under DBS

Total : EAC component 602.52 602.52

F.4 Any Other Items ( Please Specify) 0.00

F.5 Operational costs ( mobility, Review Meeting, communication, formats & reports) SCRUB TYPHUS

5.00

Grand total for cash assistance under NVBDCP (DBS + EAC)

1287.13 719.52

F.6 Cash grant for decentralized commodities 93.65 4.00

F.6.a Chloroquine phosphate tablets 0.00

4.00

F.6.b Primaquine tablets 2.5 mg 5.00

F.6.c Primaquine tablets 7.5 mg 3.00


S. No. Budget Head

Budget Proposed

(Rs. Lakhs)

Amount Approved

(Rs. in Lakhs)

Remarks

F.6.d Quinine sulphate tablets 27.00

F.6.e Quinine Injections and Artisunate Injection 0.40

F.6.f DEC 100 mg tablets 0.00

F.6.g Albendazole 400 mg tablets 0.00

F.6.h Dengue NS1 antigen kit 0.25

F.6.i Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water)

9.00

F.6.j Pyrethrum extract 2% for spare spray 9.00

F.6.k ACT ( For Non Project states) 0.00

F.6.l RDT Malaria – bi-valent (For Non Project states)

0.00

F.6.m Any Other Items ( SP 5%) SP 2.5% Deltametherin Flow

40.00

Total NVBDCP Cash + Commodity 1380.78 723.52


RBSK ANNEXURE Approval for FY 2014-15 Cost Estimate for Management of identified Health Conditions under RBSK, State estimation

S No.

Disease Prevalence and conditionality

Target Group Population as

per Census 2011, single age group

Estimated No.

RBSK Model

Costing

Estimated No for FY 2014-15

Estimated

Rs in Lakhs

Remarks

1 Rheumatic

Heart Disease

1.5 per 1000 children in the age groups 5 to 9, too early for surgical requirement

337735 51 110000 0 0.0 Too early for surgical requirement

0.13 to 1.1 per 1000 in the age group of 10-14 years (estimated 10 % children of this age would require surgical support as adult , as most of Rheumatic heart disease patients require surgery as adults, beyond age 16)

357690 507 110000 5 5.6

2 Dental

Conditions 50-60 % among preschool, below 6 years of age

335511 167756 300 1,678 5.0 1% considered for procedure

3 Otitis Media 8.6% among 3-6 years. Chronic suppurated Otitis Media 6 % in 2-10 years

614364 3686 10000 37 3.7

Chronic suppurated Otitis Media 6 % in 2-10 years, 1% is considered for the FY 2014-15

4 Neural Tube

Defect

4.1 per 1000 live births, (of this 1.5 per 1000 live birth NTD cases will benefit from surgery)

53369 80 35000 4 1.4 1.5 per 1000 live birth NTD cases will benefit from surgery



S No.




Estimated No.

RBSK Model

Costing


Estimated

Rs in Lakhs

Remarks

5 Down

Syndrome 1.09 per 1000 live births

0

Surgery will depend on associated congenital malformations

6 Cleft Lip + Cleft Palate

Cleft Lip+ Cleft Palate 0.93 per 1000 live births

53369 50 15000 50 7.4

1 smile train treatment centres are there in State. Surgeries in these centres are conducted by plastic surgeons especially trained to do the procedures and the treatment centres have facility to do the surgeries, free of Cost. State is encouraged to enter in MoU with these facilities. If formally agreed, these procures should not be costed.

Cleft Palate 0.17 for every 1000 live birth

53369 9 18000 9 1.6

7 Talipes (Club

foot) 1-2 in every 1000 live birth 53369 53 3000 53 1.6



S No.




Estimated No.

RBSK Model

Costing


Estimated

Rs in Lakhs

Remarks

8 Development Dysplasia of

the hip

one in 1000 children is born with dislocated hip, and 10 in 1000 may have hip subluxation

53369 53 1000 53 0.5

9 Congenital

Heart Disease 8-10 per 1000 live births 53369 427 160000 21 34.2

Proposed for 5 % of estimated cases in FY 2014-15

10 Congenital Deafness

1 per 1000 live births are profoundly deaf (≥90 dB in better ear) only these caees require hearing aid

5600 6

0.0

Hearing Aid

6 10000 6 0.6 Proposed for 10 % of estimated cases in FY 2014-15

11 Congenital

Cataract 1-15/ 10,000 new born 53369 40 20000 40 8.0

Proposed for 5 % of estimated cases in FY 2014-15

12 Retinopathy of

prematurity 20-22 % in SNCU and 1/3rd require laser to prevent loss

0 0 10000 0 0.0 there is no SNCU in the State thus the base population is not known

13 Vision

Impairment (Strabismus)

2-4 percent in preschool children, 5 % would require occular surgery, others would require occular patching

355511 356 8500 18 1.5 Proposed for 5 % of estimated cases in FY 2014-15



S No.




Estimated No.

RBSK Model

Costing


Estimated

Rs in Lakhs

Remarks

Total

1,73,078

1,974 71.2

Smile Train Treatment Centers in Tripura:

Tripura Medical College & Dr. B.R. Ambedkar Memorial Teaching Hospital

Hapania

Agartala 799014

Tripura

Tel: 0381-2319627, 2319628, 2232159

Cleft Surgeon: No name yet

welcome to nhm tripura website

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