ANNEXURES - Arogyakeralamarogyakeralam.gov.in/docs2/annexure190209.pdf · Sterilisation Rs.150 for...

ANNEXURES

Annexure I ASHA Training Budget

ASHA Training Budget (One batch of 25 ASHA)

Sl. No Particulars Unit cost No of Units Total cost

1 Training materials 150 25 3750

2 DA ( for 23 days) 2300 25 57500

3 TA ( Rs 75 *5 trainings) 375 25 9375

4 Food and Accommodation (150*23 days) 3450 30 103500

5 Banner, photo, publicity 500 5 2500

6 POL, AV Eqpts and Contingencies 400 23 9200

7 TA & Honorarium to R.P (5 sessions / day) ( 200*5) 1000 23 23000

8 Coordinators fee 100 23 2300

9 Miscellaneous 1375 1 1375

TOTAL 212500

Budget for Induction Training (7 days) for ASHA



2 DA ( for 7 days) 700 25 17500

3 TA 75 25 1875

4 Food and Accommodation (150*7days) 1050 30 31500






TOTAL 63500

Budget for Continuing Training (4 days)



2 DA ( for 4 days) 400 25 10000

3 TA 75 25 1875

4 Food and Accommodation (150*4 days) 600 30 18000






TOTAL 37250

SUMMARY

Induction Training - 7 days 63500 1 63500

Continuing training - 4 days 37250 4 149000

GRAND TOTAL 212500

Annexure -II Circular on implementation of ASHA Programme

No. NRHM/SD/5058/2007/SPMSU Dated, Thiruvananthapuram 09/12/2008

Sub: NRHM – ASHA Scheme – payment to ASHA – detailed revised guidelines

issued – reg

Ref: GO (RT) No: 649 / 2007 / H & FWD dated 24.02.2007

As per GO cited above, we have selected 20380 Accredited Social Health

Activists

( ASHA’s) and deployed 14062 after the induction training in fourteen districts during

2007-08 and 2008-09. Selection processes in rest of the districts are going on.

Performance linked incentives payable to ASHA have been detailed in the GO mentioned

above. As per the communication from Government of India, the following revised

detailed guidelines are being issued for payment of incentives to ASHA.

Sl

No.

Nature of Incentive Amount payable Source of

funds

Authority to

pay

Remarks

1 TA for trainings Actual rates DPM

2 DA for trainings @ Rs. 100 per

day

DPM

3 Monthly review

Meeting at

PHC/Panchayaths

Rs. 100 per day M.O to

authorise JPHN

to make

payment

4 Incentive for assisting

JSY Beneficiaries

Rs. 600 per case

in rural & 200 per

case in urban

areas

M.O to

authorise JPHN

to make

payment

Subject to

conditions as

detailed below

5 Social mobilisation for

Immunisation

Rs. 100 per

session

M.O to

authorise JPHN

to make

payment

Subject to

conditions as

detailed below

6 Mobilisation for

Sterilisation

Rs.150 for

Tubectomy and

200 for

Vasectomy

M.O to

authorise JPHN

to make

payment

Subject to

conditions as

detailed below

7 Social Mobililisation

for Monthly Health

& Nutrition Day

Rs. 150 per

session

Performance

related

Incentives to

ASHA - B.1.3

Convener to pay

Accounts to be

presented in

WH& SC

Subject to

conditions as

detailed below

8 Incentive for

cataract surgery

Rs. 175 per

operated eye

NPCB funds DPM(NPCB) Subject to

conditions as

detailed below

9 Remuneration for

DOTS providers

Rs. 250 per case RNTCP Funds DTO/ MOTC as per RNTCP

norms

Contd

To ensure that ASHA incentive is paid on time, all incentives have now been put

under a single head. Medical Officers should ensure that all field staff reports the

performance of ASHA on time. Based on the report of the field staff, Medical Officers

shall submit SoE of that month and the physical performance of ASHA during the month

(Proforma attached - Annexure - II) along with fund request in the attached Proforma

(Annexure – I) at the end of each month. DPMs shall ensure that SoE is collected in time

and funds are released to needy Institution before 15th

of the succeeding month.

Medical Officers shall ensure that incentive is paid to ASHA before 25th of the succeeding month..

General Instructions

All payments shall be made only on the basis of the monthly report submitted by the

ASHA to the JPHN. Claims made in the monthly report should be verified before making

payment. A register of claims made by ASHA and the amount paid should be maintained

at the Subcentre level along with an Aquittance roll as proof of payment. Monthly SOE in

this regard should be submitted without fail to the District Programme Manager before

the 2nd

working day of the next month.

Specific Conditions with regard to JSY Scheme

1. Payment:

(i) An amount of Rs 200 for urban areas and Rs 600 for rural areas per delivery facilitated

by ASHA shall be provided as incentive to ASHA, which is part of ASHA package. This

amount shall be given by the JPHN to ASHA for assisting the mother in seeking

institutional delivery.

2. Role of ASHA with regard to JSY ASHA or an equivalent worker under supervision of JPHN/AWW would have the

following role:

• Identify pregnant women from BPL families as a beneficiary of the scheme.

• Report to the JPHN and bring the women to the sub-centre/PHC for registration.

• Assist the woman to obtain BPL certification if BPL card is not available

• Provide and / or help the lady to receive at least three ANC. At least three ante-

natal checkup mandatory for pregnant women.10

• Motivation and Mobilisation for institutional delivery. Institution for safe delivery

to be decided before 7th month of pregnancy, in close consultation with the

family, the JPHN and the PHC.

• Assist in administering two TT injections

• When the pregnant woman is in labour or in case faces complication, escort her

to the pre- identified higher centre foe expert care and stay with her till the

delivery is complete and woman is discharged

• Arrange to immunize the newborn till the age of 10 weeks

• Register birth of child or death of the child or mother

• Post natal visits within 7 days of delivery and track mother’s health and impart

contraceptive advice.

• Counseling for initiation of breastfeeding within one-hour of delivery and

exclusive breast feeding till 6 months weaning there after.

Contd

Specific Conditions with regard to mobilization for Immunization ASHA will be eligible for payment of Rs. 100/- for each session of Immunisation to

which she mobilises 5 or more eligible children for Immunisation

Specific Conditions with regard to Monthly Ward Health & Nutrition Day

ASHA will be eligible for payment of Rs. 150/- for each programme of Monthly

Health & Nutrition Day to which she mobilises at least 25 participants. (The

enhanced rate will be applicable with the effect from 1 December, 2008)

Specific Conditions with regard to Cataract Surgery

ASHA will be eligible to receive an incentive of Rs. 175/- per operated eye for

promoting cases for cataract surgery under National Programme for Control of

Blindness (NPCB). To be eligible for this incentive, they shall have to do the

following activities.

i) Motivate persons with cataract to undergo examination

ii) Arrange for medical examination

iii) Assist indicated cases to under go surgery at centers identified for cataract

surgery under NPCB( Govt / Private / NGO)

This incentive shall be applicable only for patients who undergo cataract Surgery in

Institutions identified for the same under NPCB. This shall not be applicable for cases

who under go surgery in other institutions.

Dr. Dinesh Aroroa IAS

State Mission Director, Arogyakeralam

Contd

INCENTIVE TO ASHA

STATEMENT OF EXPENDITURE CUM FUND REQUEST

Name of Institution: Month:

Sl.

No

Particulars Rate Amount paid

during the

month

Amount

required

1. JSY (Rural) 600

2. JSY (Urban) 200

3. Female Sterilisation 150

4. Male Sterilisation 200

5. Immunisation 100

6. Ward Health and Nutrition Day 150

7. Monthly review meeting 100

8. Others ( Specify)

Total

Contd

PEFORMANCE REPORT OF ASHA FOR THE MONTH OF ……..

Achievement Amount Spent

Particulars

No .of JSY beneficiaries assisted

Total Amount given to ASHA

RNTCP beneficiaries assisted


Amount given to ASHA under Immunisation

No. of camps conducted

No. of Children mobilised by ASHA

No .of Ward Health & Nutrition Day

conducted

Amount given to ASHA under WHND

F.W Activities

No. of NSV promoted


No. of tubectomy promoted


Source reduction Activities

Signature:

Name:

Designation:

Contd

Annexure –III Government Order for Standardisation of Public Health Institutions

Annexure –IV

CIRCULAR

Order No. NRHM/Admn/159/2008/SPMSU dated 24.01.2009

Sub:- Guidelines for usage of funds under Untied Funds, Annual Maintenance

Grant, Grant for Hospital Development Society, Ward Health & Sanitation

Committee reg.

The following are the revised guidelines for utilization of funds under the

category ‘Untied Funds’, ‘Annual maintenance Grant’, ‘Grants for Hospital

Development Society’ and ‘Ward Health & Sanitation committee’. It is to be noted that

the below-mentioned list is illustrative but not exhaustive. Any other activity deemed fit

can be decided by the HMC/ WH&SC.

A. Untied Funds for CHC / Bl.PHC / 24 x 7 PHC / Primary Health Centres

1. Minor modification to the centre (curtains to ensure privacy, repair of taps,

installation of bulbs etc.)

2. Patient examination table, delivery table, BP apparatus, hemoglobin meter,

copper-T insertion kit, instruments tray, baby tray, weighing scales for mothers

and for newborn babies, plastic / rubber sheets, dressing scissors, stethoscopes,

buckets, attendance stool, mackintosh sheet, needle destroyer etc.

3. Maintenance of running water supply.

4. Maintenance of electricity.

5. Adhoc payments (cleaning up the centre, especially after childbirth)

6. Referral transport

7. Payment / reward to ASHA for certain activities.

Source Reduction Activities

8. Purchase of bleaching powder, disinfectants, chlorine tablets etc.

9. Labour and supplies for environmental sanitation. (cleaning or larvicidal measures

for stagnant water)

10. Repair / operationalising soak pits.

11. Making functional existing hatcheries / construct new hatcheries for field release

of guppy fishes

12. Making ‘ovi traps’ for field level activities

Contd

B. Annual Maintenance Grant for CHC / Bl.PHC / 24 x 7 PHC / PHCs / SC

1. Maintenance of physical infrastructure (water, toilets etc)

2. Providing Electricity

3. Painting the centres.

4. Minor Maintenance (curtains, water supply systems, electrical items, minor

repairs etc)

5. Repair / Operationalising soak pits

6. Adhoc payments (cleaning up the centre, especially after childbirth)

7. Transport of samples during epidemics

8. Purchase of invertor, generator etc.

Source Reduction Activities

9. Purchase of bleaching powder and disinfectants


for stagnant water)



of guppy fishes


C. Untied fund for Sub-Centre (SC) under NRHM

Untied Fund - Rs. 10,000/- (Rupees Ten Thousand only)

Used only for common good and not for individual needs except for referral transport in

emergency situations.

Areas where untied fund may be used

1. Minor modification to sub-centre (curtains to ensure privacy, repair of taps,

installation of bulbs, other minor repairs, which can be done at local level)

2. Adhoc payments (cleaning up sub centre)

3. Transport of emergencies to appropriate referral centres

4. Transport of samples during epidemics.

5. Consumables such as bandages in sub centre.

6. Purchase of bleaching powder, disinfectants, chlorine tablets etc.


for stagnant water)


9. Payment / reward to ASHA for certain activities.

D. Hospital Development Society (Rogi Kalyan Samity)

Expenses can be incurred under three broad headings.

D.1. Reporting & Surveillance

Improving Health Information System

1. Procurement of hardware (being done state-wise)

2. Payment for internet connection

3. Modification of room meant for Hospital Information System including physical

infrastructure and software development

4. Capacity building for existing administrative & field staff including block

coordinators for using computers

5. Annual Maintenance Contract for computers, printers etc.

D.2. Source Reduction and Cleanliness 1. Source reduction activities

2. Contractual appointment of staff for source reduction in the “attack phase” after

getting approval of CEO & District Program Manager (NRHM)

3. Lab supplies – purchase of reagents

4. Mosquito nets at hospitals in wards, theatre, labour room etc.

5. Diagnostic Kits in case of “attack phase”

6. Cleaning of Water Tanks / Pond / Biological Control

7. Purchase of bleaching powder and disinfectants


for stagnant water)



of guppy fishes


12. IEC activities

D.3. Other Activities 1. Purchase of water purifier (like aqua guard) for purified water and purchase of jugs

1. Cleanliness of the Hospital

2. Purchase of Baby Warmer

3. Purchase of Baby resuscitation kit

4. Emergency Medicines Purchase

5. Repairing of intercom

6. Purchase of BP instruments and Rubber flex tube for Oxygen Cylinders

7. Purchase of Stethoscope

8. Repair of Quarters

9. Repair of BP Instruments

10. Providing TV and setting up of a Public Awareness System.

11. Cleaning of surrounding including landscaping, cleaning & sanitation (persons

can be hired occasionally)

12. Providing basic facilities for visitors

13. Purchase of invertor, generator etc.

14. Hospital Infection Control Activities

Contd

E. Ward Health & Sanitation Committees

1. Ward Health Nutrition Day – One Ward Health Nutrition Day to be conducted in

every ward every month, maximum of Rs.100/- can be utilised for organizational

expenses

2. Ward level public health activity (cleanliness drive, sanitation drive, school health

activities, ICDS Anganwadi level activities, household surveys etc.)

3. Referral transportation for destitute women or very poor member of the

ward(BPL). Maximum limit - Rs.1000/- (Rupees One Thousand only)

4. Communication allowance of Rs.300/month as phone charges for convenor of the

Ward Health & Sanitation Committee (eligible to get the allowance from only one

place)

5. Special case like mosquito control measures including source reduction

6. Community activities (Nutrition, Education and Sanitation, Environment

protection, Public Health Measures)

Community is free to contribute additional grant towards the Health and Sanitation

Committee. Utilization certificate for the financial year by 15th April of every financial

year.

Note:

1. Though NRHM funds cannot be generally used for purchase of furniture, it is

hereby clarified that furniture required for patient care can be purchased from the

funds available under Untied grant, Annual Maintenance Grant or Hospital

Development Society.

2. Though the limit for quotations for purchase from Govt funds is Rs. 20,000/,

Medical Officers are permitted to purchase articles / execute works on Quotation

basis to the tune of Rs.50,000/- (Rupees Fifty Thousand only) based on decisions

in the HMC under the heads Untied grant, Annual Maintenance Grant or Hospital

Development Society. The Engineer of Block Panchayat or Overseer of Grama

Panchayat or any approved Engineer of HMC or Beneficiary Committee can issue

Technical Sanction for the Civil Works being carried out. He/she will be given an

honorarium of Rs.250/- for estimates less than Rs.10,000/- and Rs.500/- for

estimates greater than Rs.10,000/-. This is to be met from the concerned fund

itself and included in the estimate for the work.

3. The Conveners of Ward Health & Sanitation Committees are permitted to

purchase articles / execute works using Subcentre / Ward Health & Sanitation

Committee funds on Quotation basis up to a limit of Rs. 10,000/- based on

decisions taken in the Ward Health & Sanitation Committee.

Sd/-

State Mission Director (Arogyakeralam)

Annexure –V

UNTIED FUND FOR CHC, 24 X 7 PHC, PHC & SC DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10

Sl. N

o

Nam

e o

f the D

istric

t

No. o

f CH

C &

24 x

7

PH

C

Unit A

mount (R

s.in

lakhs)

Am

ount in

lakhs

No. o

f PH

C

Unit A

mount (R

s.in

lakhs)

Am

ount in

lakhs

No. o

f SC

Unit A

mount (R

s.in

lakhs)

Am

ount in

lakhs

Tota

l

1 Trivandrum 30 0.5 15 64 0.25 16 485 0.1 48.5 79.50

2 Kollam 24 0.5 12 49 0.25 12.25 468 0.1 46.8 71.05

3 Pathanamthitta 14 0.5 7 41 0.25 10.25 265 0.1 26.5 43.75

4 Alapuzha 32 0.5 16 42 0.25 10.5 381 0.1 38.1 64.60

5 Kottayam 27 0.5 13.5 45 0.25 11.25 334 0.1 33.4 58.15

6 Idukki 22 0.5 11 32 0.25 8 313 0.1 31.3 50.30

7 Ernakulam 57 0.5 28.5 45 0.25 11.25 425 0.1 42.5 82.25

8 Thrissur 32 0.5 16 72 0.25 18 471 0.1 47.1 81.10

9 Palakkad 29 0.5 14.5 68 0.25 17 515 0.1 51.5 83.00

10 Malappuram 37 0.5 18.5 68 0.25 17 596 0.1 59.6 95.10

11 Kozhikode 23 0.5 11.5 58 0.25 14.5 448 0.1 44.8 70.80

12 Wayanad 15 0.5 7.5 14 0.25 3.5 204 0.1 20.4 31.40

13 Kannur 26 0.5 13 69 0.25 17.25 414 0.1 41.4 71.65

14 Kasaragode 16 0.5 8 35 0.25 8.75 249 0.1 24.9 41.65

Total 384

192.00 702 175.50 5568 556.80 924.30

Annexure – VI

WARD HEALTH AND SANITATION COMMITTEE

DISTRICT WISE BUDGET REQUIREMENT FOR THE YEAR 2009 – 10

Sl. No Name of the District No. of wards

in rural area

Amount in

lakhs Total

1 Trivandrum 1784 0.1 178.40

2 Kollam 1339 0.1 133.90

3 Pathanamthitta 847 0.1 84.70

4 Alapuzha 1284 0.1 128.40

5 Kottayam 1269 0.1 126.90

6 Idukki 777 0.1 77.70

7 Ernakulam 1663 0.1 166.30

8 Thrissur 1703 0.1 170.30

9 Palakkad 1451 0.1 145.10

10 Malappuram 2043 0.1 204.30

11 Kozhikode 1326 0.1 132.60

12 Wayanad 459 0.1 45.90

13 Kannur 1505 0.1 150.50

14 Kasaragode 721 0.1 72.10

Total 18171 1817.10

Annexure – VII

AMG for CHC, 24 X 7 PHC, PHC & SC


Sl. No

Name of the

District

No. of

CHC &

24 x 7

PHC

Unit rate in

Lakhs

Amount in

lakhs

No. of

PHC

Unit rate in

Lakhs

Amount in

lakhs

No. of SC

Unit rate in

Lakhs

Amount in

lakhs

Total

1 TVM 30 1 30 64 0.5 32 198 0.1 19.8 81.8

2 KLM 24 1 24 49 0.5 24.5 198 0.1 19.8 68.3

3 PTA 14 1 14 41 0.5 20.5 174 0.1 17.4 51.9

4 ALPY 32 1 32 42 0.5 21 162 0.1 16.2 69.2

5 KTYM 27 1 27 45 0.5 22.5 235 0.1 23.5 73

6 IDK 22 1 22 32 0.5 16 189 0.1 18.9 56.9

7 EKM 57 1 57 45 0.5 22.5 326 0.1 32.6 112.1

8 TSR 32 1 32 72 0.5 36 230 0.1 23 91

9 PLKD 29 1 29 68 0.5 34 453 0.1 45.3 108.3

10 MLPM 37 1 37 68 0.5 34 533 0.1 53.3 124.3

11 KKD 23 1 23 58 0.5 29 162 0.1 16.2 68.2

12 WAYD 15 1 15 14 0.5 7 186 0.1 18.6 40.6

13 KNR 26 1 26 69 0.5 34.5 218 0.1 21.8 82.3

14 KZD 16 1 16 35 0.5 17.5 205 0.1 20.5 54

Total 384 384 702 351 3469 346.9 1081.9

Annexure – VIII-(A)

HOSPITAL MANAGEMENT SOCIETY


No. of

Sl. No

Name of the

District No. o

f Genl. H

osp /

Dis

t Hosp.

Unit ra

te in

Lakhs

Am

ount in

lakhs

Specia

lty H

osp.

Un

it rate

in L

akh

s

Am

ount in

lakhs

Talu

k H

ospita

ls

Un

it rate

in L

akh

s

Am

ount in

lakhs

Tota

l

1 TVM 2 5 10 3 5 15 4 5 20 45

2 KLM 1 5 5 1 5 5 5 5 25 35

3 PTA 3 5 15 0 5 0 3 5 15 30

4 ALPY 1 5 5 3 5 15 6 5 30 50

5 KTYM 2 5 10 1 5 5 4 5 20 35

6 IDK 1 5 5 0 5 0 4 5 20 25

7 EKM 1 5 5 1 5 5 8 5 40 50

8 TSR 1 5 5 2 5 10 6 5 30 45

9 PLKD 1 5 5 1 5 5 5 5 25 35

10 MLPM 1 5 5 0 5 0 6 5 30 35

11 KKD 1 5 5 3 5 15 6 5 30 50

12 WAYD 2 5 10 0 5 0 2 5 10 20

13 KNR 2 5 10 0 5 0 4 5 20 30

14 KZD 2 5 10 0 5 0 0 5 0 10

Total 21 5 105 15 5 75 63 5 315 495

Annexure – VIII-(B)

HOSPITAL MANAGEMENT SOCIETY


Sl. N

o

Nam

e o

f the D

istric

t

No. o

f CH

C

Unit ra

te in

Lakhs

Am

ount in

lakhs

No. o

f 24 X

7 P

HC

Unit ra

te in

Lakhs

Am

ount in

lakhs

No. o

f PH

C

Unit ra

te in

Lakhs

Am

ount in

lakhs

Tota

l

1 TVM 24 1 24 6 1 6 64 1 64 94

2 KLM 20 1 20 4 1 4 49 1 49 73

3 PTA 11 1 11 3 1 3 41 1 41 55

4 ALPY 17 1 17 15 1 15 42 1 42 74

5 KTYM 18 1 18 9 1 9 45 1 45 72

6 IDK 12 1 12 10 1 10 32 1 32 54

7 EKM 23 1 23 34 1 34 45 1 45 102

8 TSR 24 1 24 8 1 8 72 1 72 104

9 PLKD 18 1 18 11 1 11 68 1 68 97

10 MLPM 19 1 19 18 1 18 68 1 68 105

11 KKD 15 1 15 8 1 8 58 1 58 81

12 WAYD 7 1 7 8 1 8 14 1 14 29

13 KNR 12 1 12 14 1 14 69 1 69 95

14 KZD 11 1 11 5 1 5 35 1 35 51

Total 231 1 231 153 1 153 702 1 702 1086

BUDGET PROPOSAL FOR PART B- ADDITIONALITIES UNDER NRHM

PART B Rs. In Lakhs

B1 ASHA

B.1.1 Selection and Training of ASHA 1325.77

B.1.2 Procurement of ASHA Drug Kits 457.50

B.1.3 Performance related incentives to ASHA 394.24

Total for ASHA 2177.51

B2 Untied Funds

B.2.1 Untied Funds for Sub centre 556.80

Untied Funds for PHC 175.50

Untied Funds for CHC/24x7 PHC 192.00

B2.4 Untied fund for VHSC 1817.10

Total for Untied Funds 2741.40

B3.1 Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS)

B3.1.1 District Hospitals /General Hospitals 1950.00

B3.1.2 CHCs 0.00

B3.1.3 PHCs 0.00

B3.1.4 IMCH 1000.00

Sub Total 2950.00

B3.2 Strengthening of District and Su-divisional Hospitals(Thaluk)

1085.00

B4 Annual Maintenance Grants

B4.1 CHCs 384.00

B4.2 PHCs 351.00

B4.3 Subcentre 346.90

Total for AMG 1081.90

B5 New Constructions/ Renovation and Settingup

B5.1 CHC 759.40

B5.2 PHC 850.00

B5.3 Sub Centre 660.00

Sub Total 2269.40

B6 Corpus Grants to HMS/RKS

District / General Hospitals 105.00

CHC/24X7 PHC 384.00

PHC 702.00

Others 390.00

Sub Total 1581.00

B7 District Action Plans (Including Block, Village) 140.00

B8 Panchayti Raj Initiative 0.00

B9 Mainstreaming of AYUSH 1983.77

B10 IEC-BCC NRHM - Health Mela 210.00

B11 Mobile Medical Units (Including recurring expenditures)

B12 Referral Transport 0.00

B13 School Health Programme 0.00

B14 Additional Contractual Staff (Selection, Training, Remuneration)

Medical Officers 899.76

JHI 400.80

Total for additional contract staff 1300.56

B15 PPP/ NGOs 0.00

B16 Strengthening of Training Institution/ Nursing School 1500.00

B17 Incentives Schemes

Incentive to Specialist 784.72

Incentive to medical officers 76.68

Other incentives 218.18

Total for Incentives 1079.58

B18 Planning, Implementation and Monitoring 0.00

B18.2 Quality Assurance 530.13

B18.3 Monitoring and Evaluation 0.00

B19 Procurements

B.19.1 Drugs 314.80

B20 PNDT Activities 0.00

B21 Regional drugs warehouses 75.00

B22

New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline, setting up of EMRI,RIO, community based care as per need (Block/ District Action Plans)

B.22.1 Pain and Palliative Care 150.00

B.22.2 Mental Health 180.00

B.22.3 ICCONS Project 500.00

B.22.4 Kerala Emergency medical Services Project 2048.00

B.22.5 Child Development Service 13.63

B.22.6 Institute of Non Communicable Diseases 300.00

B.22.7 Geriatric Care 170.61

Sub Total 3362.24

B23 Health Insurance Scheme 189.80

B24 Research, Studies, Analysis 100.00

B25 State level health resources center (SHSRC) 200.00

B26 Support Services

B.26.1 Support Strengthening RNTCP 120.64

B.26.2 Support Strengthening IDSP 419.44

B.26.3 Contingency Support to Govt. dispensaries 69.00

B.26.4 Support Services to NVBDCP 229.76

Sub Total 838.84

B27 NRHM Management Costs/ Contingencies

B27.1 Block Level PMU 529.92

B27.2 District level 67.20

B27.3 State level 37.00

B27.4 Other management cost (Financial Management Cost) 75.37

B27.8 Mobility Support to BMO/MO/Others 1426.00

Sub Total 2135.49

Total for Part B 27846.42

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