1
F. No. M11011/5/2010 NRHM-III
Government of India
Ministry of Health & Family Welfare
Department of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated: April 28, 2010
To,
The Mission Director, (NRHM)
Government of Meghalaya
Subject: Approval of State Programme Implementation Plan of NRHM for the year 2010-11
Madam/Sir,
Please refer to your letter submitting draft Programme Implementation Plan (PIP) for
the year 2010-11 and the discussions of the same in the meeting of NPCC held on 10/03/2010 at
New Delhi and subsequent deliberations
1.
2. The administrative approval of the PIP for your State is conveyed for an amount of Rs.
123.26 Cr. (Detail at Table C below) against the resource envelope available comprising of the
following:-
Table A
Likely Uncommitted Unspent Balance Available
under NRHM as on 1.4.2010
Rs.29.67 Cr.
GOI Resource Envelope for 2010-11 under NRHM (on
a 15% higher than current year’s Budget Estimate for
over planning purpose)
2Rs. 87.57 Cr.
15% State share
Rs. 13.44 Cr.
Total(**)
Rs. 130.68Cr.
1.Budgets may be realigned within 3 months of the issue of the Order, to achieve Monitorable Targets indicated in Attachment F, in case there has been inadequate provision in the PIP, to meet national goals.
2. The actual resource allocation shall be in accordance with the budgetary allocation of 2010-11 and may be lower than the resource envelope being approved
2
The Resource Pool wise break up of total NRHM resources is as follows:
(Rs. in Crores)
Table B
Sl No.
Likely
Uncommitted
Unspent balance
available as on
1.4.2010
GoI Resource
Envelope under
NRHM
Total
1
RCH Flexible Pool
Rs.17.91 Cr.
Rs. 26.75 Cr.
Rs.44.66 Cr.
2
NRHM Flexible Pool
Rs.11.76 Cr.
Rs. 28.40 Cr.
Rs 40.16 Cr.
3
Immunization ( from RCH Flexible Pool)
4
NVBDCP
-
Rs. 3.41 Cr.
Rs. 3.41 Cr.
5
RNTCP
-
Rs. 1.97 Cr.
Rs. 1.97 Cr.
6
NPCB
-
Rs.2.30 Cr.
Rs.2.30 Cr.
7
NLEP
-
Rs .0.40 Cr
Rs .0.40 Cr
8
IDSP
-
Rs.0.31 Cr.
Rs.0.31 Cr.
9
NIDDP
-
Rs.0.36 Cr
Rs.0.36 Cr
10
Director & Admn.
(Treasury route)
-
Rs. 10.77 Cr.
Rs. 10.77 Cr
11
PPI Oper. Cost
-
Rs.1.48 Cr
Rs.1.48 Cr
12.
15% State share
-
Rs. 13.44 Cr
Rs.13.44 Cr
13
15% over and above GoI
resource envelope for
purpose of PIP approval
-
RS. 11.42 Cr
RS. 11.42 Cr
Total (**)
Rs. 29.67 Cr.
Rs.101.01 Cr.
Rs.130.68 Cr
Committed Unspent
Balance up to 2009-10 to
be Revalidated in
2010-11
Rs.20.00 Cr.
3
SUMMARY OF APPROVAL
(Details provided in respective Annexes)
Table C
Scheme/Programme
Approved Amount
( In Rs. Crores)
1.
RCH Flexible Pool
(Details at Attachment A)
27.16
2.
NRHM Mission Flexible Pool
(Details at Attachment B)
72.34
3.
Immunization ( from the RCH Flexible Pool)
(Details at Attachment C)
2.04
4.
NVBDCP
(Details at Attachment D)
4.18
5.
RNTCP
(Details at Attachment D)
2.10
6.
NPCB
(Details at Attachment D)
1.75
7.
NIDDCP
(Details at Attachment D)
0.36
8.
IDSP
(Details at Attachment D)
0.67
9.
NLEP
(Details at Attachment D)
0.41
10
PPI Operation Cost
1.48
11
Infrastructure Maintenance
10.77
TOTAL
123.26
In addition to above following activities under NPPCD for provisioning of funding from
National Programme for Prevention and Control of Deafness.
Scheme/Programme
Approved Amount
( In Rs. Crores)
4
3. The above approval is subject to the following mandatory requirements. Non
compliance to any of the following requirement may entail in suspension of grant to the
State.
A.
Monitoring Requirements
1.
State/UT shall ensure submission of quarterly report on the Measurable
Target/indicators at the end of every quarter as per Attachment F and expected outputs
stated in the Record of Proceeding in Annexures of Attachment G. Budgets may be
realigned within 3 months of the issue of the Order to achieve Monitorable Targets
indicated in Attachment F in case there has been inadequate provision in the PIP, to
meet national goals,
2.
All approvals are subject to the observations made in the RoP of NPCC for NRHM
(Attachment G) which is inclusive of commodity grants under Disease Control
Programme in the respective Annexures.
B.
Human Resource
3.
All Posts under NRHM shall be on contract and for the Plan period. All such
appointments would be for a particular facility and non transferable in nature. Priority
in contractual recruitments and placements would be for backward districts, difficult,
most difficult and inaccessible health facilities.
4.
All States would ensure that appropriate skill mix of human resource is made available
to ensure provision of minimum service guarantee to health facilities. All professionals
multi skilled under NRHM shall be placed in facilities where the skills can be utilized.
5.
State shall submit action plan for recruitment, deployment and training of human
resources within six months from the issue of the Order.
C.
Infrastructure
6.
All civil works undertaken to achieve IPHS standards, would be based on expected
patient load and priority would be accorded to inaccessible and remote areas as per
prescribed criteria.
7.
In all new constructions, care should be taken to ensure that the locations of these
facilities are such that beneficiary households can access them easily. They should
preferably be located in the midst of habitation and definitely not in agriculture fields,
and outskirts of villages, under any circumstances. Any deviation from the above would
be treated as ineligible expenditure under NRHM.
5
8.
All new constructions would require prior approval of GoI if names of facilities have not
been mentioned in the NRHM-PIP, and also if any shift is proposed. No shift from
backward and inaccessible areas would be allowed.
9.
The State shall set up implementation arrangement to monitor all civil works being
undertaken, on a monthly basis, to ensure quality of works and completion as per
schedule.
D.
Communitization
10.
The State shall ensure that all operational guidelines relating to VH&NDs are complied
with.
11.
The State shall ensure timely performance based payments to ASHAs/Community Link
Workers. State to ensure that supportive supervision mechanism is put in place within
six months.
12.
The State shall ensure that RKS meets as frequently as possible and mandatorily at least
once in every quarter to review proper utilisation of allocated funds for achievement of
goals. The proceedings of such meetings should be maintained for scrutiny.
E.
Financial
13.
The State shall not make any change in allocation among different components/
activities without approval of GoI. Any proposal for re-appropriation between activities
within activities should be informed to GoI in advance. However, such re-appropriation
should reflect realignment of activities in accordance with priority to high focus
districts/involvement of NGOs etc.
14.
The State shall ensure that 15% of the State share, based on release of funds by
Government of India, is credited on the account of the State Health Society, within one
month of issue of the release order. The over-all expenditure on health by the State
Government should also go up by a minimum of 10 percent each year.
15.
The State shall ensure the completion of delegation of administrative and financial
powers during the current financial year. Funding of NRHM to the State in 2010-2011
will be based on clear delegation as per earlier directions.
16.
The State shall follow all the financial management systems under operation under
NRHM and shall submit Audit Reports, Quarterly Summary Concurrent Audit Report,
FMRs, Statement of Fund Position, as and when they are due. State also agrees to
undertake Monthly District Audit and periodic assessment of the financial system.
6
17.
The accounts of the State/ grantee institution/ organization shall be open to inspection
by the sanctioning authority and audit by the Comptroller and Auditor General of India
under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts
Office of the Ministry of Health & Family Welfare.
18.
State shall ensure submission of details of unspent balance indicating, inter alia, funds
released in advance and funds available under State Health Societies. The State shall
also intimate the interest amount earned on unspent balance. This amount can be spent
against activities already approved and will also count towards the central share.
F.
Miscellaneous
19.
The State shall ensure establishment of supportive supervisory structures for RCH and
other national programmes in lagging districts and for ensuring quality services, within
six months of the issue of the Order.
20.
The State shall maintain essential drug list /develop Standard Protocols, and enforce its
implementation through State machinery.
21.
Component for the salary of staff and mobility support which is being approved in IDSP
Annexure would be subject to approval of EPC/MSG under NRHM. The support for
expenditure to be incurred by Central Surveillance Unit (CSU) and the State is subject to
approval of World Bank for restructuring and Extension.
22.
State shall ensure taking appropriate action to monitor the performance of the cold chain
/ILR Points and implementation details of ProMIS.
Yours faithfully
(G.R. Khetarpal)
Under Secretary to the Govt. of India
011-2306 1203
Copy to:
1.
All JSs in the Ministry of Health and Family Welfare
1.
All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes
2.
DS/Director Finance (NRHM)
3.
All Under Secretaries concerned
4.
IFD
5.
PPS to Secretary(H&FW)/PS to AS&MD, NRHM
6.
Sanction Folder
7
ATTACHMENT A
Approval of RCH II PIP 2010-11
S.
No
Activity Proposed
Approved
amount
(Rs. In
lakhs)
Major Expected Output In The PIP
1 Maternal Health
(Excl. JSY)
30 Conduction of 60 outreach camps, provision of 1 lakh MCH cards
and 4 district level meetings; 2 state level meetings; training of
ASHA and VHSC members
2 Janani Suraksha
Yojana
228.41 Home Deliveries 16374 beneficiaries, Rural 8585 beneficiaries,
Urban 3353 beneficiaries and Other JSY activities
3 Child Health
53.89 School Health Programme (Teachers from 280 schools to be
trained in health screening; 30 dental and oral hygiene camps;
salary of 1 MOs and 2 GNMs; CHC level school health festival
(29) and referral transport to sick infants(5000 beneficiaries)
4 Family Planning
(Excl.
Compensation)
8.06 2 contraceptive update seminars; printing of manuals, 1 state level
QAC meeting and 28 district level QAC meetings.
5 Sterilisation & IUD
Compensation
74 Compensation for female sterilisations (5000), Male sterilisations
(1000) and 10000 IUD insertions.
6 ARSH
70.34 2 baseline surveys; 1 state level conference; salary and mobility of
counsellors; renovation of 29 counselling centres; quarterly
meeting in 200 selected villages.
7 Urban RCH
271.08 18 UHCs (Salaries of staff and performance incentive to link
workers, Annual maintenance, rent for UHC and mobility. Drugs
approved and Miscellaneous expenditure.
8 Innovations/PPP/N
GO
44.7 PNDT & Sex Ratio (Surprise visit to Diagnostic centres, Annual
Review Meeting and capacity building) & Grant to MNGOs
9 Infrastructure & HR
263 Setting up of 5 Blood Storage Units. Transit home for
ASHAs/attendants, Repair and renovation of 14 labor rooms,
RTI/STI room for privacy and audio-visual; Computers for
RT/STI clinics, ORT corners in CHCs
10 Institutional
Strengthening
20.66 Salary for Office Asst., Mobility support and Reorientation
training and field visit for SQAG andDQAG members
11 Training
361.07 Strengthening of Training Institution (RHFTC, Shillong), training
on SBA, EmOC, Life saving Anaeathesia, MTP, RTI/STI, MH,
IMNCI, CH, Minilap, NSV, IUD Insertion and ARSH and other
trainings, to MOs, SNs, LHVs, ANMs, CDPOs and AWWs
12 BCC / IEC
199.88 For information, Education and communication
13 Procurement
896.42 Procurement of Equipments & Drugs Labor Tables,
Inverters/generators-ray Machines, MVA Kits, shadow less
lamps, radiant warmers etc. and General drugs and supplies.
14 Program
Management
194.4 Strengthening of SPMU, DPMU and Financial Management
systems.
GRAND TOTAL
8
ATTACHMENT-B
APPROVAL OF MISSION FLEXI POOL
S.No
Activity
Approved
Amount
(Rs. In
Lakhs)
Major Expected Output in the PIP
1 ASHA
625.00 6250 ASHAs to be trained up to 6 modules along-with
drug kits and ASHA Support system (AMG, SARC, ASHA
Facilitators, District Community Process Coordinator and
Block ASHA Coordinators) to be in place.
2 Untied Funds
703.85 Untied Funds to be provided to 26 CHCs, 103 PHCs, 407
SCs, and 625 VHSCs in order to strengthen the quality of
the health facilities.
3 Hospital
Strengthening
1667.00 Funds provided for ensuring equipment and furniture in
Jowai DH and Ganesh Das Hospital.
CHCs: construction of 12 MO quarters & 18 GNM
quarters at CHC, construction of annex building at Sohra
CHC, Upgradation of Selsella CHC and Extension of
Umsning CHC. PHCs: Construction of 1 new PHCs, 30
MO quarter, 48 GNM quarter for 3 GNMs, 20 major repair,
20 minor repair and 2 maternity wards. SCs: Renovation
of 17 existing old SCs, repairing of 50 old SCs,
construction of 40 ANM quarters.
4 Annual
Maintenance Grants
116.80 AMG to be provided to 26 CHCs, 103 PHCs, and 393 SCs
for institutional strengthening.
5 Corpus Grant to
HMS/RKS
164.00 RKS fund to be provided to 7 DH, 26 CHCs and 103 PHCs
6 IEC-NRHM
35.00 One health mela each will be conducted in 7 districts to
create awareness.
7 Mobile Medical
Units
165.97 Funds to be provided for recurring cost of MMU (Trained
Manpower, Drugs, PoL & Maintenance) for ensuring
regular health camps at periphery with drugs and
diagnostics.
8 Referral Transport
170.70 Funds to be provided for procurement of 15 ambulances
and referral transport for 5 High Focus District
9 Additional
Contractual Staff
880.32 Funds to be provided to contractual staffs and specialists
for improving service quality.
10 PPP/NGOs
502.21 EMRI services: fund to be provided to run the 24 new and
& 30 Existing 108 ambulances. PPP operationalization for
9
24 PHCs, 1 SD and 2 CHCs to ensure services.
11 Training
323.34 Funds to be provided for strengthening of Nursing
Training Centre, Civil Hospital, Shillong, ANM training
School, Tura and orientation training of District and Block
level officials.
12 Incentive Schemes
128.76 Incentives to be provided to 20 Multi skilled MOs, 44 Mos,
104 SNs, 288 ANMs, 30 LTs and 26 supervisors posted in
difficult areas to sustain services.
13 Monitoring &
Evaluation
300.95 Funds to be provided for mobility support,
implementation of ProMIS, implementation of Hospital
MIS, Name Based Tracking System, GIS Mapping of
health facilities and strengthening of HMIS infrastructure.
14 Procurement
533.60 Funds to be provided for procurement of essential drugs
for 105 PHCs, 29 CHCs and 7 DH, procurement of
equipment & furniture for 43 new SC, equipments for 24
PHCs, 2 ultra sound machine for 2 CHCs and generator
for 10 PHCs.
15 Drug Warehouse
50.08 Fund to be provided for strengthening the State Drug
Warehouse and 7 District Warehouse & ProMIS to be
operationalized.
16 New Initiatives
107.55 Mobility Support to be provided for IDSP and operational
expenses of treatment of bed nets.
17 NRHM
Management Costs/
Contingencies
758.52 Funds to be provided to BPMU, PHC Accountant (118
Nos.), District Vaccine & Logistic Handler (7 Nos.),
District Store Keeper (7 Nos.) and other support staffs to
strengthen Program Management structure at Block,
District and State level.
NRHM Flexi Pool
(Total)
10
ATTACHMENT- C
Approval for Immunization Strengthening Programme
S.
No
Activity
Approved
Amount
(Rs. In
Lakhs)
Major Expected Output in the
PIP
1.
Mobility support for Supervision and
Monitoring at districts and state level.
4.50 Improved supervision for
programme
2
Cold Chain Maintenance
2.04 Strengthening of cold chain
3
Alternate Vaccine Delivery to Session sites
55.98 Timely supply of vaccine to 55984
session sites
4
Focus on urban slum & underserved areas
7.22 Conduction of 2400 session to
urban area/urban slums
5
Social Mobilization by ASHA /Link
workers
83.97 Ensure universal access
6
Computer Assistants support at State Level
1.80
7
Computer Assistants support at District
Level
8.40
8
Printing and dissemination of
immunization cards, tally sheets, charts,
registers, receipt book, monitoring formats
etc.
5.00
Strengthen Monitoring
9
Quarterly review meeting at state level
0.80 Regular meeting for Programme
Review
10
Quarterly review meeting at District level
1.56
11
Quarterly review meeting at block level
18.54
12
District level Orientation for 2 days ANMs,
MPHW,LHV
2.67
Capacity building of Medical
Officers, Health Workers and
other Immunization related staffs
13
Three days training of Mos on RI
1.70
14
To develop micro plan at sub-centre level
0.40 Conduction of 401 session
regularly
15
For consolidation of micro plan at block
level
1.45
16
POL for vaccine delivery from state to
District and PHC/CHCs
7.00
17
Red/Black/Zipper bags
0.90 Injection waste disposal as per
CPCB guidelines
18
Bleach/Hypochlorite solution
0.40
19
State Specific (10% of total amount of
approved PIP)
0.00
11
ATTACHMENT- D
Approval for NVBDCP
S.
No
Activity
Approved
Amount
(Rs. In
Lakhs)
Major Expected Output in the PIP
1
Malaria-(Domestic
Budgetary Support)
179.22
Enhanced – Early Cases detection and prompt treatment
(EDPT) - Increase in no. of blood sample examination &
ASHA Incentives, Effective Indoor Residual Spray in 2
rounds, Timely reporting by PHCs, districts and
states.Timely reporting by PHCs, districts and states,
Increased awareness of community regarding early
treatment and acceptance of IRS and use of LLINs,
Trained manpower in malaria available at all levels
GFATM
2
Human Resource
85.00
The project monitoring unit at state as well as district
level strengthened, · Microscopy services functional in
PHC labs, · Recording and reporting capacity built up
3
Planning and
Administration
45.00
Functional Project Monitoring Units at state and district
level established
4
Monitoring and
Evalution
50.00
• Increase no. of supervisory visits by different level of
programme officials at districts, PHCs , Sub-centers and
villages, • Quarterly review meeting conducted
5
IEC /BCC
40.00
Increase compliance for Diagnosis and treatment and
Increase acceptance of IRS other Vector control measures
by the community
6
Grant Total Malaria
399.22
7
JE
8.00
GRAND TOTAL
(Cash Grant)
407.22
1.Assistance for
decentralized
commodities
11.2
TOTAL Cash
Assistance
including cost of
decentralized
commodities
418.42
Commodities
support by GoI for
VBD
507.76
Grand Total (Cash
12
Approval for RNTCP
S.
No
Activity
Approved
Amount
(Rs. In
Lakhs)
Major Expected Output in the PIP
1
Civil works
2.00
1) Civil work Up gradation and maintenance
2
Laboratory
materials
15.00
1) Sputum of TB Suspects Examined per lac population per quarter;
2) All districts subjected to IRL OSE and Panel Testing in the year;
3) IRLs accredited and functioning optimally
3
Honorarium
11.00
All eligible Community DOT Providers are to be paid honorarium.
4
IEC/ Publicity
10.40
Increase in case detection and improved case holding
5
Equipment
maintenance
4.60
1) Maintenance of Office Equipments at State/Districts and IRL
equipments as planned
6
Training
10.00
1) Induction training, Update and Re-training of all cadre of staff as
planned
7
Vehicle
maintenance
17.89
1) All 4 wheelers and 2 wheelers in the state to be kept in running
condition and maintained
8
Vehicle hiring
7.09
1) Increase in supervisory visit of DTOs and MOTCs;
2) Increase in case detection and improved case holding
9
NGO/PP
support
10.00
1) Increase in number of NGOs/PPs involved in signed schemes of
RNTCP;
2) Contribution of NGOs/PPS in case detection and provision of DOT
10 Miscellaneous
11.00
1) All activities proposed under miscellaneous head in PIP.
11 Contractual
services
73.986
1) All contractual staff appointed and paid regularly as planned.
12 Printing
5.00
1) All printing activities at state and district level as planned.
14 Medical
Colleges
5.63
1) All activities proposed under Medical Colleges head in PIP.
15 Procurement –
vehicles
26.0
1) Procurement of vehicles as planned.
16 Procurement –
equipment
0.60
1) Procurement of equipments as planned
13
Approval for NPCB
S. No
Activity
Approved
Amount
Major Expected Output in the PIP
1 Recurring Grant-In-Aid
1.1. Free Cataract Operations
@750/- Per case and other
approved schemes as per
financial norms (*)
15
1.2. School Eye Screening
6.75 Lakhs Specs
10 3.25 Lakhs Vehicle hiring & POL
1.3. State Society NPCB.
10 i) Staff remuneration - 4.20
i) Staff remuneration
ii) other Contingencies - 5.80
ii) other Contingencies
10
1.4. District Health Society
NPCB.
49
1.5. Training
10
1.6. I.E.C.
5
1.7. Maintenance of
Ophthalmic Equipments
8
2 Non Recurring Grant-In-Aid
2.1. Furnishing the State Eye
Hospital
7
Presently Occupied by Office of SPO,
NPCB, CMU & MBCS.
2.2. Medical College
40 Applied for by NEIGRIHMS
2.3. Eye Wards & Eye O.T
For Jaintia Hills
3 Contractual Man Power
3.1. Ophthalmic Surgeon
6
3.2. Ophthalmic Assistants
4.8
14
Approval for NIDDCP
Approval for IDSP
S. No
Activity
Approved Amount
Major Expected Output in the PIP
1.
2.
Surveillance
preparedness, training
& staff salary
3.
Outbreak
investigation
4.
Analysis & use of data
Rs 0.67 Crore
1.Training of professionals (DSO,
Epidemiologists, Microbiologists,
Entomologists
2. IT network for transmission of data and
outbreak reporting
3. Strengthening of lab.
4. Surveillance and reporting of disease
outbreaks
5. Strengthening of AI surveillance
S. No
Activity
Approved
Amount
Major Expected Output in the PIP
1
Establishment
of
IDD
Control Cell
7.00
4.00
24.50
0.50
Better implementation and monitoring of
programme activities.
2
Establishment
of
IDD
Monitoring Lab
Monitoring of iodine content of salt and
urine samples in districts.
3
a)Health Education and
Publicity
b)
Salt
Testing
Kits
supplies by GOI (30,000
No)
Increased awareness about IDD and
iodated salt.
Creating iodated salt demand and
monitoring of the same at community
level.
4
IDD surveys
Prevalence of IDD in 1 district of state
15
Approval for NLEP
S.
No
Activity
Approved
Amount
Major Expected Output in the PIP
1
Contractual Services
10.50 Functional leprosy cell at state/district level
2
Services through
ASHA/USHA
0.50
Increase in percentage of cases reported by
ASHA
3
Office expenses &
Consumables
3.00 Functional leprosy cell at state/district level
4
Capacity building
4.00
Improvement in skills in diagnosis & treatment
of leprosy
5
Behavioral Change
Communication
5.00
Better self reporting as a result of increased
awareness
6
POL/Vehicle operation &
hiring
6.50 Improvement in mobility of SLOs & DLOs
7
DPMR
3.50
Decrease in recurrence of foot ulcers and
reduction in grade II disability through RCS
8
Material & Supplies
3.50 Management of reaction cases
9
Urban Leprosy Control
0.50
Better diagnosis & treatment of leprosy in urban
areas
10
Supervision, Monitoring &
Review
2.00 Better, supervision & monitoring of programme
11
Cash assistance
2.00 Better, supervision & monitoring of programme
16
ATTACHMENT-E
Approval for NPPCD
S. No
Activity
Approved
Amount
Major Expected Output in the PIP
1.
Training of Manpower
24,00,000 Trained manpower
2
Capacity building District
Hospitals
28,50,000 Strengthened ear care service delivery system
3
Capacity
building
of
PHCs/CHCs
5, 20,000
4
Manpower at district level
5,40,000 Strengthened ear care service delivery system
5
Screening Camps
3,60,000 Early identification of Hearing impaired
6
Hearing Aids
14,59,800 Medical rehabilitation of Hearing impaired
children
7
Central Cell at state level
5,72,000 Coordinate, liaison with central and district level
for better and speedy implementation of the
programme
Misc. & Contingency
Nil
17
MONITORING TARGETS TO BE ACHIEVED IN 2010-11
ATTACHMENT- F
Activity / Measurable indicator
Achievement
in/ up to
2009-10
Target
in(Cumulative)
up to 2010-2011
Addition during
the year
I
Monitoring Progress Against
Standards
A
Maternal Health
1 Institutional Deliveries
43%
48%
5% increase
2 24x7 Facilities
14
26
12
3 Functional First Referral Units
5
6
1
4 Functional Sub Centres
407
407
0
B
Child health
5 Sick New Born Care Units
Not proposed
6 Stabilization Units in CHCs/ BPHCs
0
0
Not proposed
6.1 New Born Care Corner at PHCs
14
26
12
7 Full Immunization
65.93%
80%
15 % enhanced
coverage
C
Population Stabilization
8 Male Sterilization
25
1000
1000
9 Female Sterilization
1628
6628
6628
10 No. of IUD insertions
2051
12051
12051
D
Disease Control
11 Annualized New Smear Positive
Detection Rate
89%
>89% To be maintained
Case Detection Rate of TB among
new sputum positive patients
12 Success Rate of New Smear Positive
83%
85%
2% increase
Treatment Success Rate among new
sputum positive patients initiated on
DOTS
13 ABER for malaria
18.30%
20%
1.70 % increase
18
Activity / Measurable indicator
Achievement
in/ up to
2009-10
Target
in(Cumulative)
up to 2010-2011
Addition during
the year
15 No. of Reconstructive surgeries
performed under NLEP
0
Not proposed
16 Annual New Case Detection Rate for
Leprosy
(0.42/100000
11 cases
pop)
15 cases
17 Cataract Surgeries performed
1756
3000
3000
II
Human Resources including Training
18 Appointment of ANMs
258
369
111
19 Appointment of staff nurses
51
51
-
20 Percent of ANMs trained as Skilled
Birth Attendant
50%
80%
30% increased
21 Doctors trained on EmOC
4
28
24
22 Doctors trained on LSAS
4
10
6
23 Doctors trained in NSV/
Conventional vasectomy
0
29
29
24 Doctors trained in Abdominal
Tubectomy (Minilap)
26
29
3
25 Doctors trained in laparoscopic
Tubectomy
0
0
0
26 Personnel trained in IMNCI
2
371
369
III Communitisation Processes
27 Functional VHSCs
6266
6387
121
28 ASHAs completed four modules of
training (minimum 15 days training)
6264
6387
121
29 ASHAs with Drug kits
6264
6387
121
30 Percent expenditure of NRHM funds
through NGOs
47% of funds
allocated to
NGOs
100% of fund
allocated to
NGOs
31 Percentage Districts having
community monitoring system in
place
19
Activity / Measurable indicator
Achievement
in/ up to
2009-10
Target
in(Cumulative)
up to 2010-2011
Addition during
the year
IV Flexible Financing
32 Percent utilization of untied grants
80%
100%
V
Improved Management
33 Percent districts uploading timely
HMIS Data and confirming
100%
100%
100%
34 Tracking of pregnant mothers and
children
0
100%
all facilities
35 Computerisation of HMIS (level of
data entry, and unit of data entry)
District level
Facility level
Facility level
36 Cold Chain Management
NA
NA
NA
(number of functional ILR points)
37 Procurement System
(implementation of ProMIS /
TNMSC like structure)
Nil
Proposed during
10-11
Proposed during
10-11
VI Backward District Focus
S
38 Functional Mobile Medical Units
7
7
to sustain
39 Poor performing districts sub-plan
made with targets, and quarterly
review shows progress
District Sub-pan
for 5 high focus
districts made
5 districts
40 Difficult, Most Difficult, inaccessible
area thrust in provision of
infrastructure and human resources.
20
Attachment G
NATIONAL RURAL HEALTH MISSION
RECORD OF PROCEEDINGS 2010-11
Record of Proceedings of the National Programme Coordination Committee (NPCC) for
Meghalaya held under the Chairmanship of Shri P.K. Pradhan, Additional Secretary and
Mission Director, NRHM for approval of NRHM Programme Implementation Plan (PIP) of
State and UTs for the year 2010-11.
I.
A meeting of the NPCC of NRHM was held under the Chairmanship of AS & MD,
NRHM, to approve the PIP of Meghalaya on 10/03/2010. The list of members who attended the
meeting is placed at Annex. VI. The NPCC meeting was convened after the pre-appraisal
meeting for the State, with written and oral comments provided to the State to modify the
proposal before the NPCC.
II.
State Government apprised about the likely uncommitted unspent balance available
under NRHM as on 1.4.2010, and were apprised of the GOI Resource Envelope for 2010-11
under NRHM which is 15% higher than current year’s Budget Estimate for over planning
purpose and 15% State share. It was also clarified that the actual resource allocation shall be in
accordance with the budgetary allocation of 2010-11 and may be lower than the resource
envelope indicated. The Monitorable Targets for the State was also indicated. It was stated that
the budgets may be realigned to achieve Monitorable Targets in case there has been inadequate
provision in the PIP, to meet national goals. After detailed discussions and subsequent
deliberations, the PIP was finalised for amounts indicated under different components as
detailed in the Annexure I to V.
III. The attention of the State was drawn to the following areas for further action :
A.
Planning
1.
The State Government shall, within 45 days of the issue of Record of Proceedings by the
Ministry of Health and Family Welfare, issue detailed Record of Proceedings for each district.
B.
Human Resource
2.
All posts under NRHM on contract and based on local criteria shall be done by the Rogi
Kalyan Samiti /District Health Society. Residence at place of posting must be ensured.
21
3.
Blended payments comprising of a base salary and a performance based component, should
be encouraged.
4.
Transparent transfer and career progression systems should be implemented in the State.
5.
The State shall put in place a transparent and effective human resource policy so that
difficult, most difficult and inaccessible areas attract and retain human resources for health.
C.
Infrastructure
6.
The State shall furnish list of facilities to be upgraded with identification of inaccessible
and remote facilities and finalization of district action plans for the identified backward districts
within three months.
7.
The State shall furnish information relating to physical and financial status of
infrastructure and building works already taken up every quarter to Infrastructure Division.
8.
The State shall under take all construction activities in meeting health infrastructure
gaps with particular focus in backward districts and inaccessible facilities.
D.
Communitisation
9.
The State shall take up capacity building exercise of Village Health and Sanitation
Committees, Rogi Kalyan Samitis and other community /PRI institutions at all levels, involving
Non Governmental organizations after a selection process.
10.
The State shall ensure regular meetings of all community Organizations /District /State
Mission with public display of financial resources received by all health facilities.
11.
The State shall also make contributions to Rogi Kalyan Samitis besides introducing user
charges wherever feasible protecting the interest of the poor.
12.
All performance based payments/incentives should be under the supervision of
Community Organizations (PRI)/RKS.
13.
The State shall focus on the health entitlements of vulnerable social groups like SCs, STs,
OBCs, minorities, women, disabled friendly, migrants etc.
E.
HMIS
14.
State shall set up a transparent and credible procurement and logistics system. State agrees
to periodic procurement audit by third party to ascertain progress in this regard.
15.
The State shall undertake institution specific monitoring of performance of Sub Centre,
PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularly uploaded as Monthly,
Quarterly and Annual Data on the HMIS.
22
F.
Specific Programme Related
16.
The State shall operationalise fixed day services in family planning in addition to periodic
camps.
17.
The states shall henceforth provide only F-IMNCI training to doctors and staff nurses
whilst IMNCI is to be provided only to ANMs/AWW and other field functionaries.
18.
The State Govt. would co-locate AYUSH in PHCs/CHCs, wherever feasible.
19.
Planning and implementation to be more coordinated and health system leadership to be
sustainable for considerable time
20.
Directorate vacancies may be minimized to streamline working
21.
Service delivery at CHC and PHC level to be more focused considering lowering indicators
of maternal and child health services
22.
Delegation of Financial and administrative power to districts and level below and periodic
review of the execution
23.
Gaps of service delivery to be addressed by districts promptly
24.
Utilisation of VHSC and local body in NRHM implementation need Community level
intervention
25.
Fund utilization on Programme activities to be more focused
26.
Facility sanctioned during 2006-07, 07-08 to be operational and service output may be
measured
IV.
Based on the State’s PIP and deliberations thereon the Plan for the State is finalised as
per the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool),
Annexure-III (Immunization) & Annexure –IV (National Disease Control Programmes) with summary of
Infrastructure , Human Resource and Training at Annexure V.
23
ANNEX-I
APPROVAL OF RCH II PIP 2010-11
(Rs. Lakhs)
S. No.
BUDGET HEAD
PROPOSED
APPROVED
1 Maternal Health
30.00
30.00
2 Child Health
53.89
53.89
3 Family Planning
8.06
8.06
4 ARSH
70.34
70.34
5 Urban RCH
311.04
271.08
6 Tribal RCH
0.00
0.00
7 Vulnerable Groups
0.00
0.00
8 Innovations/ PPP/ NGO
44.70
44.70
9 Infrastructure & HR
263.00
263.00
10 Institutional Strengthening
20.66
20.66
11 Training
361.08
361.08
12 BCC / IEC
199.88
199.88
13 Procurement
910.17
896.42
14 Programme Management
412.44
194.40
Total RCH II Base Flexi Pool
2685.27
2413.51
15 JSY
228.40
228.40
16 Sterilisation & IUD Compensation, and NSV
Camps
74.00
74.00
Total RCH II Demand Side
302.40
302.40
GRAND TOTAL RCH II
2987.67
2715.92
NOTE:
1.
Activities have been re-classified as per FMR/ Operating Manual heads; details are
provided in attachment “A”.
2.
Details of activities approved/ not approved, and specific comments, are provided in
attachment “A”.
3.
Expenses are to be booked as approved in attachment “A” below.
4.
The above includes Rs. 745.00 lakhs for drugs, proposed by the State under Mission flexible
pool, shifted to RCH II (see details in attachment “A”, under A.13 – Procurement).
5.
The supplies of the RCH drugs from the Ministry of Health and family Welfare are likely to
reach the States by September 2010. Therefore, the State may assess its RCH drugs
requirement against the present supplies made/ being made by MOHFW through UNOPS
as well as the State’s own procurement, and use the approved budget for procurement of
RCH drugs only if required for meeting the need for the period up to September 2010.
24
ATTACHMENT “A”
MEGHALAYA
(Rs. Lakhs)
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
A.1
MATERNAL HEALTH
A.1.3
Integrated outreach RCH
services
A.1.3.1
RCH Outreach Camps
12.00
12.00 60 outreach camps
A.1.4
Janani Suraksha Yojana /
JSY
A.1.4.1
Home Deliveries
81.87
81.87 16374 beneficiaries
A.1.4.2
Institutional Deliveries
A.1.4.2.1 Rural
60.10
60.10 8585 beneficiaries
A.1.4.2.2 Urban
20.12
20.12 3353 beneficiaries
A.1.4.3
Other activities (JSY)
66.32
66.32
ASHA incentive for
8585 rural
institutional
deliveries
Includes
administrative
expenses
A.1.5
Other strategies/activities
2.00
2.00 1 lakh MCH cards.
A.1.5.1. Maternal Death Audit
16.00
16.00
4 district level
meetings; 2 state
level meetings;
training of ASHA
and VHSC
members
State to follow GOI
guidelines on
Community Based
and Facility Based
Maternal death
Review
Sub-total Maternal Health
(excluding JSY)
30.00
30.00
Sub-total JSY
228.40
228.40
A.2
CHILD HEALTH
A.2.4
School Health Programme
28.89
28.89 Teachers from 280
schools to be
trained in health
screening; 30 dental
and oral hygiene
camps; salary of 1
MOs and 2 GNMs;
CHC level school
health festival (29)
A.2.8
Other strategies/activities
25.00
25.00 5000 expected
beneficiaries
Referral transport for
sick infants
Sub-total Child Health
53.89
53.89
A.3
FAMILY PLANNING
25
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
Methods
A.3.1.3
NSV camps
7.00
7.00
35 camps
The 2 mega camps @
Rs. 50,000 each are
not approved. The
amount may be used
for conducting 5
additional camps @
Rs. 20,000 as
proposed.
A.3.1.4
Compensation for female
sterilisation
50.00
50.00
5000 sterilisations
A.3.1.5
Compensation for male
sterilisation
15.00
15.00
1000 sterilisations
A.3.2
Spacing Methods
A.3.2.2
IUD services at health
facilities / compensation
2.00
2.00 10000 IUD
insertions
A.3.2.5
Contraceptive Update
seminars
5.50
5.50 2 contraceptive
update seminars;
printing of manuals
A.3.5.
Other strategies/activities
2.56
2.56
1 state level QAC
meeting and 28
district level QAC
meetings.
Sub-total Family Planning
(excluding compensation)
8.06
8.06
Sub-total Sterilisation &
IUD compensation & NSV
camps
74.00
74.00
A.4
ARSH
A.4.2
Other strategies/activities
70.34
70.34
2 baseline surveys; 1
state level
conference; salary
and mobility of
counsellors;
renovation of 29
counselling centres;
quarterly meeting
in 200 selected
villages.
Sub-total ARSH
70.34
70.34
A.5
URBAN RCH
26
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
performance
incentive to link
workers Rs.20.30
lakhs, Annual
maintenance Rs.25.92
lakhs, rent for UHC
Rs.32.40 lakhs and
mobility Rs. 4.32
lakhs approved in
principle. Detail to be
communicated.
Drugs approved for
5.40 lakhs @30,000
per year per centre
against proposed Rs.
32.40 lakhs.
Miscellaneous
(Rs.12.96 lakhs) not
approved.
Sub-total Urban RCH
311.04
271.08
A.6
TRIBAL RCH
Sub-total Tribal RCH
0.00
0.00
A.7
VULNERABLE GROUPS
Sub-total Vulnerable
Groups
0.00
0.00
A.8
INNOVATIONS/ PPP/
NGO
A.8.1
PNDT and Sex Ratio
4.70
4.70
Surprise visit of
diagnostic centres,
Annual review
meeting of the state
supervisory board,
state advisory
committee, review
meetings of regional
advisory committees,
Capacity building
workshop for the
state health
functionaries on
various parameters of
gender and equity
27
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
mainstreaming.
A.8.3
NGO Programme
40.00
40.00
(1)
Grant to 2
MNGOs
(2)
Non
recurring grant for
NGO: 2
(3)
Rolling fund
for NGOs: 2
(4)
Grant to 4
MNGOs for
preparatory phase,
baseline and
implementation
Sub-total
Innovations/PPP/NGO
44.70
44.70
A.9
INFRASTRUCTURE & HR
A.9.2
Major civil works (new
construction /extension/
addition)
A.9.2.1
Major civil works for
Operationalisation of FRUS
17.50
17.50 Setting up of 5
Blood Storage
Units.
A.9.2.2
Major civil works for
Operationalisation of 24
hour services at PHCs
52.00
52.00 Transit home for
ASHAs/ attendants
of pregnant women
in 26 24 X 7
facilities.
A.9.3
Minor civil works
A.9.3.2
Minor civil works for
Operationalisation of 24
hour services at PHCs
56.00
56.00 Repair and
renovation of 14
labour rooms.
A.9.5
Other Activities
137.50
137.50 RTI/STI room for
privacy and
audio-visual; Computers
for RT/STI clinics,
ORT corners in
CHCs
Sub-total Infrastructure &
HR
263.00
263.00
A.10
INSTITUTIONAL
STRENGTHENING
28
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
HMIS
Office Asst. for Data
Entry at District
HQ:1
(2)
Mobility
support for 2 QA
members for field
visit:
(3)
Reorientatio
n training and field
visit for SQAG
andDQAG
members.
Sub-total Institutional
Strengthening
20.66
20.66
A.11
TRAINING
A.11.1
Strengthening of Training
Institutions
6.00
6.00 Strengthening of
RHFTC, Shillong
A.11.2
Development of training
packages
A.11.3
Maternal Health Training
A.11.3.1 Skilled Birth Attendance /
SBA
70.26
70.26
37 batches of
ANMs/ SNs/
LHVs
As per revised SBA
Guidelines Training
duration is of 21 days
for all cadre of
workers
(ANM/SNs/LHVs)
A.11.3.2 EmOC Training
12.69
12.69
3 batches of medical
officers
A.11.3.3 Life saving Anaesthesia
skills training
16.41
16.41
3 batches of medical
officers
A.11.3.4 MTP training
14.22
14.22
9 batches of medical
officers
A.11.3.5 RTI / STI Training
11.65
11.65
23 batches of
medical officers,
ANMs, and HW
(M)
A.11.3.7 Other MH Training
1.40
1.40
6 batches of
medical officers and
LTs
Training in blood
transfusion
A.11.4
IMEP Training
A.11.5
Child Health Training
29
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
LHVs, 70 ANMs, 39
CDPOs, 70 AWWs
ANM/AWW and
other Health
Workers and
F-IMNCI trainings as
for MOs/SNs to
address New born
and Child problems.
A.11.5.5 Other CH Training
2.50
2.50
200 MOs/ SNs/
ANMs
State to take up
NSSK training for all
MOs/SNs and ANM
conducting deliveries
to provide care at
birth services.
A.11.6
Family Planning Training
A.11.6.2 Minilap Training
0.84
0.84 29 MOs
A.11.6.3 NSV Training
2.15
2.15 29 MOs
A.11.6.4 IUD Insertion Training
27.51
27.51
MO-156 SN-150
PHN-37 LHV-25
ANM-404
MO-156 SN-150
PHN-37 LHV-25
ANM-404
A.11.7
ARSH Training
42.43
42.43 150 MOs 757 ANMs
A.11.8
Programme Management
Training
A.11.9
Other training
66.70
66.70
Approved
Sub-total Training
361.08
361.08
A.12
BCC / IEC
A.12.4
Other activities
199.88
199.88
Approved
Sub-total BCC/ IEC
199.88
199.88
A.13
PROCUREMENT
A.13.1
Procurement of Equipment
A.13.1.1 Procurement of MH
equipment
42.85
42.85 40 Labour tables, 14
inverters and
generators, 5 X-Ray
machines, 110 MVA
Kits and 5 shadow
less lamps.
Procurement of
Equipments should
be linked with
Operationalisation of
facilities and
availability of trained
manpower. provision
of AMC should also
be made
A.13.1.2 Procurement of CH
equipment
29.57
29.57 5 radiant warmers
with phototherapy,
34 Neonatal
Approved
30
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
Resuscitation Kit
with bag & mask, 21
Radiant Heat
Warmer &
Phototherapy unit,
14 Electric Suction
machine and 14
oxygen cylinders
with trolleys.
A.13.1.3 Procurement of FP
equipment
24.00
24.00 200 NSV kits and 6
laparoscopes
Approved
A.13.2
Procurement of Drugs and
supplies
A.13.2.1 Drugs & supplies for MH
68.75
55.00 Strengthening of
infrastructure for 55
Audio Visual rooms
for privacy (RTI/
STI)
Rs 13.75 lakh
RTI/STI diagnostic
kits not approved.
RTI/STI drug kits
will be supplied by
NACO for
sub-district health
facilities
A.13.2.5 General drugs & supplies
745.00
745.00
PHC kit Rs 315 lakhs,
CHC kits Rs 290
lakhs and DH/SDH
kits Rs. 140 lakhs
Sub-total Procurement
910.17
896.42
Please see additional
comments in Annex
2, below summary of
RCH II approvals.
A.14
PROGRAM
MANAGEMENT
A.14.1
Strengthening of State
society/ SPMU
153.48
64.08
Approved, see
reclassification below
for detailed
approvals.
A.14.2
Strengthening of District
society/ DPMU
99.12
60.48
A.14.3
Strengthening of Financial
Management systems
69.84
69.84
A.14.4
Other activities (Program
mgmt. expenses, mobility
support)
90.00
0.00
Approved, see
reclassification below
for detailed
approvals,.
Sub-total Program
412.44
194.40
31
FMR
Code
ACTIVITY
PROPOSED
(Rs. Lakhs)
APPROVED
(Rs. Lakhs)
EXPECTED
OUTPUT
REMARKS
Management
Total RCH II Base Flexi
Pool
2685.27
2413.51
Total RCH II Demand Side
302.40
302.40
GRAND TOTAL RCH II
2987.67
2715.92
RECLASSIFICATION OF ACTIVITIES
Activities from the revised PIP sent by the state (post NPCC) have been reclassified as per the
FMR/ operating manual heads. State needs to comply with this while booking the expenses and
reporting in FMR:
1.
Outreach Camps Rs 12 lakhs budgeted under A.1.3.1.1 RCH outreach camps
2.
Amount for MCH card printing Rs.2 lakhs budgeted under A.1.5 Other
Strategies/activities
3.
Transit home for ASHAs/Attendants of pregnant women in 26 of 24/7 Rs 52 lakhs
budgeted under Infrastructure and HR A.9.2.2
4.
Labour rooms repair and renovation Rs 56 lakhs, budgeted under A.9.3.2 Minor civil
works under Infrastructure and HR
5.
Labour tables for 40 SCs Rs 8 lakhs and Inverter and generator Rs 14 lakhs budgeted
under Procurement MH equipments A.13.1.1
6.
Maternal Death Audit, state level maternal death review and training of VHSC members
and AHSA on maternal death review total Rs 16 lakhs budgeted under A. 1.5.1
7.
Setting up of blood storage units Rs 17.50 lakhs budgeted Major Civil works for FRUs
A.9.2.1
8.
X-Ray machine Rs.1, 75,000, Shadow less lamps Rs.225, 000 Budgeted under
procurement for MH A.13.1.1 (Rs.19.75 lakhs) and Radiant Warmer with phototherapy
unit Rs.3.25 lakhs budgeted under CH procurement A.13.1.2.
9.
Activity A.1. 4 JSY includes
·
Rural Home- -Payments for 15366 beneficiaries @ 500 Rs76. 83lakhs
·
Rural Institute- -Payments -8585@ 700 Rs. 60.09 lakhs
·
Urban Home- -Payments -1008 @ 500 Rs 5.04 lakhs
32
·
Incentive to ASHA for escorting pregnant woman for Rural Institutional Delivery
-8585 @ 600 Rs 51.51lakhs
·
Incentive to ASHA for escorting pregnant woman for Urban Institutional Delivery
-Payments -3353 @ 200-6.70 lakhs
·
Administrative Expenses (7%) Rs 8.10lakhs
10.
Strengthening of Infrastructure for audio visual & room for privacy. Rs. 55 lakhs and
Provision of Computer for RTI/STI Clinic Rs.27.50 lakhs budgeted under A.9.5 Other
activities under Infrastructure strengthening.
11.
Drugs, Consumables & Contingency, Provision Rs. 55 lakhs and Procurement of
RTI/STI Diagnostic Kit, Rs. 13.75lakhs budgeted under procurement MH
12.
Neonatal Resuscitation Kit with bag & mask Rs. 3.4lakhs, Radiant Heat Warmer &
Phototherapy unit Rs. 20.40 lakhs for CHCs, Electric Suction machine1.12 lakhs, Oxygen
Cylinder with trolley Rs.1.40 lakhs budgeted under CH A.13.1.2
13.
ORT Corner for 26 24/7s & 29 CHCs 55 lakhs budgeted under A.9.5 other activities in
infrastructure and HR
14.
Referral Services for Sick Infants Rs. 25 lakhs budgeted under A.2.8 Other Strategies in
Child health
15.
State level Quality Assurance Committee Meeting, Monitoring & Printing Guidelines,
Rs. 2 lakh Quarterly District level QAC meeting Rs.0.56 lakhs budgeted under FP A.3.5
Other Strategies/activities
16.
Compensation for Sterilization Rs. 98 lakhs budgeted under A.3.1.4 Female sterilization
compensation
17.
Contraceptive updates seminar for Shillong & Tura Rs. 4 lakhs and Printing of
Contraceptive updates manual & other expenses, Rs1.5 lakhs budgeted under A.3.2.5
Contraceptive Update Seminar
18.
MVA Kits, Rs.1.10 lakhs budgeted under Procurement of equipment: MH A.13.1.1
19.
Following have been included in A.4.2 Other Strategies/activities under ARSH
·
Baseline survey on adolescents in 2 districts Rs. 6 lakhs
·
State level conference on adolescents involving NHSRC, NEIGRIMS and RRC Rs
5lakhs
·
Salary of 9 existing counsellors, Rs 16.20 lakhs
·
Mobility amount for Adolescent Councellor, Rs 3.24 lakhs
·
Advt in newspaper about various issues of adolescent services Rs. 2.40 lakhs
·
TV & DVD for 29 CHCs, Rs. 2.90lakhs
33
·
Renovation of Counselling rooms with furniture,Rs. 29 lakhs,
·
Organise quarterly meetings in selected 200 villages with adolescent groups , Rs
5.60 lakhs
20.
Following have been included under A.10.3 Monitoring and Evaluation
·
Salary for Office Asst. for Data Entry at District HQ, Rs 0.84 lakhs
·
Mobility support for 2 QA members for field visit, Rs 4 lakhs
·
Reorientation training for SQAG members, Rs.0.90 lakhs
·
TA/DA for SQAG members, Rs. 1.20lakhs
·
Salary for Office Asst for data entry at District HQ, Rs. 1.68 lakhs,
·
Mobility support for 2 QA members for field visit, Rs. 2 lakhs,
·
Honorarium for the team during field visits Rs.1 lakh,
·
DQAG monthly meeting Rs.0.24 lakh
·
Reorientation training of DQAG members, Rs.3.2 lakhs,,
·
Administrative expense,Rs 1.20 lakhs,
·
Contingency Rs.0. 40 lakhs
·
Office Setup, Rs.4 lakhs
21.
Following have been included under A.8.1 PNDT and Sex ratio
·
Cost of surprise checks in diagnostic centres per visit in a year Rs.0.72 lakhs,
·
Annual review meetings of the state supervisory board 0.05 lakhs
·
Annual meeting of the state advisory committee Rs.0.07 lakhs
·
Annual review meetings of regional advisory committees , Rs.0.06 lakhs
·
Capacity building workshops for the state health functionary on various
parameters of gender and equity mainstreaming Rs.1lakh
·
Capacity building workshops for the district health functionary on various
parameters of gender and equity mainstreaming, Rs 2.80 lakhs
22.
Following have been included under A.2.4 School Health Programme
·
Salary for Mos, Rs 3 lakhs,
·
Salary of GNM, Rs 2.88lakhs,
·
Office Expenses, Rs. 0.36 lakhs
·
Mobility for USHP,Rs. 1.2 lakhs
·
Teaching Aids,1 lakh
·
School Health Festivals & BCC Activities,1.2 lakhs,
·
Camps for Dental Health & Oral Hygiene awareness for 30 Schools,Rs.1.50 lakhs
·
Training in Basic Health Screening of 280 School teachers by CHC Rs.1.80 lakhs,
·
Mobility support for 28 School health teams by CHCs Rs 11.60 lakhs
·
Equipment for 29 school health teams one per CHC Rs 1.45 lakhs
·
CHC level School Health Festival Rs. 2.90 lakhs,
23.
Following have been included under A.11.1 Strengthening of Training Institution
·
Books, manuals, journals for Library, Rs.2 lakhs,
34
·
Provision of running water, Rs 0.50 lakhs,
·
Audio Visual Aids plus lecture halls, Rs. 2.5 lakhs,
·
Photocopier Machine, 1 lakh
24.
Following have been included under A.8.3.NGO programme
·
Grant to MNGO for implementation cost Rs.10 lakhs,
·
Non recurring grant for NGO 3 lakhs,
·
Rolling fund for NGOs 2 lakhs
·
Grant for preparatory phase and baseline Rs. 4 lakhs
·
Grant to MNGO for implementation cost. Rs 21 lakhs,
25.
Under training following reclassification has been done:
·
Training of MOs on Obstetric Mgnt & Skills, Rs, 12.69 lakhs, included in A.11.3.2
·
TOT on MTP Rs 1.32 lakh and Training on Early Safe Abortion (MTP including
MVA Rs.12.89lakhs included in A.11.3.4
·
Training in RTI/STI Case management, Rs. 1.66 lakhs and Management on
RTI/STI Rs 9.99 lakhs included in A.11.3.5
·
Training in blood transfusion, Rs1.39 lakhs included in A.11.3.7
·
Training in LSAS for emergency obstetric case Rs. 16.41 lakhs, included in
A.11.3.3
·
Training for Minilap for Tubal Litigation,Rs.0.84 lakhs included under A.11.6.2
·
NSSK (MO/SN/ANM), Rs2.50 lakhs included under Other CH training A.11.5.5.
·
Adolescent Health Services, Rs. 2.24 lakhs and Training in Adolescent friendly
reproductive & sexual Health Services, Rs. 40.18 lakhs included in A.11.7
·
Skilled Attendance at Birth, Rs. 70.26 lakhs included in A.11.3.1
·
Non- Scalpel Vasectomy Rs. 2.15 lakhs,A.11.6.3
·
IUCD 27.50 lakhs included in A.11.6.4
·
IMNCI training Rs. 86.31 lakhs included in A.11.5.1
·
NRHM training, Rs.66.70 lakhs included in other trainings A.11.9
26.
Following have been included under A.5.1.Urban RCH Services
·
Salary to MOS, Rs. 54 lakhs,
·
Salary to SN, Rs. 25.92 lakhs,
·
Salary to ANM, Rs. 51.84 lakhs,
·
Performance based incentive to Link workers Rs.43.20 lakhs
·
Salary to Clerk, Rs. 15.12 lakhs,
·
Salary to Chowkidar, Rs. 12.96 lakhs
·
Annual maintenance of equipment & furniture, Rs. 25.92 lakhs,
·
Rent for UHC, Rs. 32.40 lakhs,
·
Drugs & medicine for UHC, Rs 32.40 lakhs,,
·
Mobility, Rs 4.32 lakhs,
35
27.
A.12.4 Other activitie