CFPR Wok Plan 2009 for Health

7/31/2019 CFPR Wok Plan 2009 for Health

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1.5.7 Essential Health Care ProgrammeBased on the basic philosophy and components of primary health care approach, BRAC Health Program provides anintegrated package of preventive, promotional and basic curative care and referral services, all aimed at improving thehealth and nutritional status of the poor and ultra-poor, particularly women and children.In this respect, BRACs healthsector envisions to ensure more access by the poor to government health care services by raising public awareness

about the available services.

Efforts are also being made to address the ultra-poor and poor women health problems and advocate government andother health care service providers to ensure service that reaches the target population. The health issues that BRACgives priority to, are: health care for women and children, communicable and infectious diseases, illness due toenvironmental hazards.

(a) Expected Outcome:

The community has access to basic health services.

BRACs health programme is complementary to that of GOB and other organizations both at the extension andat policy level.

Specially targeted ultra poor have access to free basic health services and the provision of selected heath

products ensured at subsidy or cost price.

Mortality and morbidity reduced.

(b) Proposed activities:

(i) Pushing Down Strategies:

As per the proposal, the following Health Interventions are tailored for Specially Targeted Ultra Poor beneficiaries:

Health and Nutrition education

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Pregnancy related care

Family planning

Immunization

Water and sanitation

Tuberculosis

Basic curative services

Community based management of ARIPromotion of safe delivery practices

First Strategy: Social mobilization, health awareness, and basic health care.Second Strategy: Financial assistance for the provision of medical care for mild and severe morbidity.

(ii) Pushing Out:

The overall goal of the EHC programme is to reduce the vulnerability of the poor to sudden health shocks and toprevent them form sliding back into the vicious cycle of extreme poverty. EHC strives to increase access to healthservices, through demand-based strategies and by providing a package of basic health services to the whole

community.

The specific objectives of the EHC component are to:

Provide equitable and accessible health services for the poor.

Reduce the vulnerability of the people especially the poor and ultra poor to common diseases

Positively influence maternal and child morbidity and mortality.

Control the spread of infectious diseases.

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The pushing out strategy in the health care means ensuring the right to health services for programme participantsand the wider community. BRAC takes these services to the doorsteps at community through its community healthvolunteers and workers (Shasthya Shebikas and Shasthya Kormis ). The referral linkages with different governmentand private health facilities are also being strengthened.There is also a partnership programme with government and other NGOs.

1.6 Structure of the Work Plan

Project work plans have been prepared at two levels. One is a Perspective or 5-year Implementation Plan that gives anoverall view of the work to be done over the full duration of the project. This plan is intended to show how BRACproposes to meet the targets listed in the project LFA. It also provides the context in which the Annual Plans for eachyear of the project can be formulated. The Perspective Plan for the project is set out in Chapter 2.

The second level of project is the Annual Work Plan. The plan for 2009 is set out separately in Chapter 3. This planprovides a comprehensive picture of such things as the activities are to be taken under each project componentoutcome. Such as the number of staff required, the training required for staff and beneficiaries in order to fulfil theproject objectives, the number of workshops to be held and with whom etc. plus, where possible, details of thebudgeted costs for each of these activities.

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CHAPTER 2: FIVE-YEAR PERSPECTIVE PLAN

An Implementation or Perspective Plan has been prepared covering the five years of the CFPR project from 2007 to2011. This document shows the planned annual progression under each activity listed in the project LFA in order tomeet the various project Outcome and objectives. As such it provides an overview of the project plus a framework andguide for the formulation of work plans for the individual project years. It also serves as a basis for the several externaland internal monitoring/evaluation reviews that are scheduled to take place during the course of the project.

Wherever possible, the information is given in numerical form as measuring performance in quantifiable terms oftenprovides the easiest and surest way of assessing the progress of a project.

2.1 Outcomes

Outcome 3: HealthItem

2007 2008 2009 2010 2011End ofProgramme

EHC services ensured for 4 million ultra poor and 14 million poor/community households3.1 58% ofeligible couple

50% 52% 54% 56% 58% 58%

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using moderncontraceptives3.2 80% ofhouseholdsusing slablatrines

45% 55% 65% 75% 80% 80%

3.3 85% ofchildren aged 0-1 years fullyvaccinated

73% 78% 79% 82% 85% 85%

3.4 70%detection ratefor TB; cure ratekept at over90%

Detection Rate70%

Detection Rate70%

Detection Rate70%

Detection Rate70%

Detection Rate70%

Detection Rate70%

Cure Rate85%

Cure Rate87%

Cure Rate89%

Cure Rate90%

Cure Rate90%

Cure Rate90%

4.6 All victimsof acid, rape, &other forms ofviolencereported toBRAC receivemedical care

Victims of acid,rape, & otherforms ofviolencereported toBRAC willreceive medical

care

Victims willcontinue toreceive medicalcare




All victims of acidrape, & otherforms of violencereceive medicalcare

2.2 Activities

Items 2007 2008 2009 2010 2011

3. Essential Health Care:3.1 Staff recruitment andemployment

STUP IRHC: 25Panel Doctors: 190

STUP IRHC: 30Panel Doctors:

STUP IRHC: 30 (includes 5 newrecruit in year 3)



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Items 2007 2008 2009 2010 2011SK: 190 200 (includes 10

new recruit inyear 2)SK: 200 (includes10 new recruit inyear 2)

Panel Doctors: 200SK: 200

200SK: 200

200SK: 200

STUP IIRHC: 15Panel Doctors: 110SK: 110

STUP IIRHC: 25 (includes10 new recruits inyear 2)Panel Doctors:120 (includes 10new recruits inyear 2)SK: 120 (includes10 new recruits inyear 2)

STUP IIRHC: 25Panel Doctors: 120SK: 120

STUP IIRHC: 25Panel Doctors:120SK: 120

STUP IIRHC: 25Panel Doctors:120SK: 120

VO members andCommunityRHC: 40PO: 650PO (trainer): 80SK: 938PO (Quality

Assurance): 20PO (ARI): 80

VO membersand CommunityRHC: 40PO: 775 (includes125 new recruitsin year 2)PO (trainer): 100

(includes 20 newrecruits in year 3)SK: 1,563(includes 625 newrecruits in year 2)PO (QualityAssurance): 25(includes 5 newrecruits in year 2)PO (ARI): 300(includes 220 new

VO members andCommunityRHC: 40PO: 800PO (trainer): 100SK: 3,938 (includes2,375 new recruits in

year 2)PO (Quality Assurance):25PO (ARI): 350 (includes50 new recruits in year2)

VO membersand CommunityRHC: 40PO: 800PO (trainer): 100SK: 4,250(includes 312

new recruits inyear 2)PO (QualityAssurance): 25PO (ARI): 350

VO membersand CommunitRHC: 40PO: 800PO (trainer): 10SK: 5,063(includes 813

new recruits inyear 2)PO (QualityAssurance): 25PO (ARI): 350

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Items 2007 2008 2009 2010 2011recruits in year 2)

3.2 Training of staff, healthworkers and community health

STUP IOrientation in paneldoctors (twice ayear): 10

STUP IOrientation forpanel doctors(twice a year): 10

STUP IOrientation for paneldoctors (twice a year):10



STUP IIOrientation forpanel doctors (twicea year): 6

STUP IIOrientation forpanel doctors(twice a year): 6

STUP IIOrientation for paneldoctors (twice a year): 6



VO members andcommunitySK basic training (4weeks): 438SS basic training (2weeks): 2,500ARI basic trainingfor POs (quarterly):160ARI basic trainingfor SKs (2 weeks):

1,600ARI basic trainingfor SSs (2 weeks):16,000Midwifery training ofSKs (6 month): 125Monthly refreshertraining: 125SK refreshertraining (1 day eachmonth): 938

VO membersand communitySK basic training(4 weeks): 500SS basic training(2 weeks): 2,500ARI basic trainingfor POs(quarterly): 300ARI basic trainingfor SKs (2 weeks):

2,400ARI basic trainingfor SSs (2 weeks):24,000Midwifery trainingof SKs (6 month):150Monthly refreshertraining: 275SK refreshertraining (1 day

VO members andcommunitySK basic training (4weeks): 500SS basic training (2weeks): 3,000ARI basic training forPOs (quarterly): 300ARI basic training forSKs ( 2 weeks):2,400ARI basic training for

SSs ( 2 weeks): 24,000Midwifery training ofSKs ( 6 month): 150Monthly refreshertraining: 425SK refresher training (1day each month): 3,938SS refresher training (1day each month):50,000

VO membersand communitySK basic training(4 weeks): 500SS basic training(2 weeks): 3,000Monthly refreshertraining: 425SK refreshertraining (1 dayeach month):

4250SS refreshertraining (1 dayeach month):52,500

VO membersand communitMonthly refreshtraining: 425SK refreshertraining (1 dayeach month):5,063SS refreshertraining (1 dayeach month):

52,500

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Items 2007 2008 2009 2010 2011SS refresher training(1 day each month):45,000

each month):1,563SS refreshertraining (1 dayeach month):47,500

3.3 Develop IEC materials 3,125 3,500 3,500 3,500 3,500

3.4 Provide health/nutritioneducation

Health and Nutritioneducation will beprovided throughmonthly healtheducation meetingsat the communitylevel

Health andNutritioneducation willcontinue to beprovided

Health and Nutritioneducation will continueto be provided



3.5 Deployment/orientation ofpanel doctors

STUP IPanel doctors: 190Orientations: 10

STUP IPanel doctors:200 (includes 10new recruits inyear 2)Orientations: 10

STUP IPanel doctors: 200Orientations: 10

STUP IPanel doctors:200Orientations: 10

STUP IPanel doctors:200Orientations: 10

STUP IIPanel doctors: 110

Orientations: 6

STUP IIPanel doctors:120 (includes 10

new recruits inyear 2)Orientations: 6

STUP IIPanel doctors: 120

Orientations: 6

STUP IIPanel doctors:

120Orientations: 6

STUP IIPanel doctors:

120Orientations: 6

3.6 Provision of health careservices: (family planning,antenatal care, immunization,basic curative treatment, TB)

Panel doctors willprovide outpatientconsultations inBRACs area officesat scheduled datesto provide bothpreventative andcurative health care

Panel doctors willcontinue toprovideconsultations

Panel doctors willcontinue to provideconsultations

Panel doctors willcontinue toprovideconsultations

Provision ofhealth careservices: (familyplanning,antenatal care,immunization,basic curativetreatment, TB)

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Items 2007 2008 2009 2010 2011services

3.7 Community based treatmentof ARI for children under 5

SK and SS willdiagnose andprovide ARItreatment, andeducate themothers of childrenunder 5 on theprevention andmanagement of ARI,danger signs of ARI ,and referral of casesto facility level

The SKs and SSswill continue tohelp diagnose and

provide ARItreatment

The SKs and SSs willcontinue to helpdiagnose and provideARI treatmen

The SKs and SSswill continue tohelp diagnose

and provide ARItreatmen

The SKs and SSwill continue tohelp diagnose

and provide ARItreatmen

3.8 Eye and ENT-camp, linkageswith GoB and other healthorganizations

Eye camps will beorganized incollaboration withSSI, and BSNB eyehospital. ENT campswill be organized incollaboration withSAHIC

Eye and ENTcamps willcontinue tooperate

Eye and ENT camps willcontinue to operate

Eye and ENTcamps willcontinue tooperate

Eye and ENT-camp linkageswith GoB andother healthorganizations

3.9 Referral linkage with GoB andother private facilities

The SS and SK willrefer patientsrequiring

specialized care todifferent healthfacilities.

The SS and SK willrefer patientsrequiring

specialized careto different healthfacilities

The SS and SK will referpatients requiringspecialized care to

different health facilities

The SS and SKwill refer patientsrequiring

specialized careto differenthealth facilities

The SS and SKwill refer patienrequiring

specialized careto differenthealth facilities

3.10 Financial assistance to ultrapoor for mild and severe morbidity

A health subsidy ofTk 300 per personper year for all STUPmembers, and up to50 per cent of theOTUP members willbe provided.

A health subsidyof Tk 300 perperson per yearfor all STUPmembers, and upto 50 per cent ofthe OTUPmembers will be

A health subsidy of Tk300 per person per yearfor all STUP members,and up to 50 per cent ofthe OTUP members willbe provided

A health subsidyof Tk 300 perperson per yearfor all STUPmembers, and upto 50 per cent ofthe OTUPmembers will be

Financialassistance toultra poor formild and severemorbidity

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Items 2007 2008 2009 2010 2011provided provided

3.11 Strengthen partnership withGoB and other organizations

Existingpartnershipsestablished in phaseI will be continuedand strengthened inwith Governmentand otherorganizations in thefield of TB control,ARI control,Immunization,Family Planning,Vitamin A,Sanitation, EyeCare, and ENTservices.

BRAC will

continue tomaintain andstrengthenpartnership

BRAC will continue tomaintain andstrengthen partnership

BRAC will

continue tomaintain andstrengthenpartnership

Strengthenpartnership withGoB and otherorganizations

8.4 Facilitation of donor reviewmission

Facilitation supportwill be provided todonor reviewmissions

Facilitation willcontinue

Facilitation will continueFacilitation willcontinue

Facilitation wilcontinue

2.3 Budgeted Expenditure

Item 2007 2008 2009 2010 2011Outcome 2: Health CareActivity 3: Essential HealthCare 296,282,947 346,601,435 420,299,692 335,056,858 340,428,498

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CHAPTER 3: ANNUAL WORK PLAN 2009

3.4 Essential Health Care Programme

Based on the basic philosophy and components of primary health careapproach, BRAC Health Program provides an integrated package of preventive,promotional and basic curative care and referral services, all aimed atimproving the health and nutritional status of the poor and ultra-poor,particularly women and children. In this respect, BRACs health sectorenvisions to ensure more access by the poor to government health careservices by raising public awareness about the available services.

Efforts are being made to develop pro-poor and pro-women health policies andto sensitise the providers to ensure quality service provision that reaches thetarget population. Also address the ultra-poor and poor women health

problems and advocate government and other health care service providers toensure service that reaches the target population. The health issues that BRACgives priority to, are: health care for women and children, communicable andinfectious diseases, illness due to environmental hazards.

3.4.1 Essential Health Care Services for the Ultra Poor

Health interventions tailored for the Specially Targeted Ultra PoorFirst strategy Social mobilization, health awareness, and basichealth care:

Health and Nutrition education Pregnancy related care FamilyplanningImmunization Water / sanitation

TuberculosisBasic curative services Health commoditiesCommunity mobilization for the ultra poor

Second strategy: Financial assistance for the provision of medicalcare for mild and severe morbidity:

Activity As per PP

(At the end ofprogramme)

Operation Plan for 2009

Annual Target2009 as perrevised PP

after addingAusAID funds

Jan-June2009 July-Dec.2009

Health andnutritioneducation

Provide healthand nutritioneducation

114,000 45,000 69,000

Health care Ante natal care 5,130 pregnant 2,025 3,105

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Activity As per PP(At the end ofprogramme)

Operation Plan for 2009Annual Target2009 as perrevised PP

after addingAusAID funds

Jan-June2009

July-Dec.2009

services increased to75%

women

Moderncontraceptivesmethodacceptorincreased to58%

55% 55% 55%

Immunizationcoverage under-1 yearincreased to

85%

80% 80% 80%

Immunizationcoverage ofpregnantwomenincreased to90%

85% 85% 85%

Using of slablatrinesincreased to80%

76% 75% 76%

Vitamin A

capsuledistributionamong 1-5 yrs.childrenincreased to95%

95% 95% 95%

TB casedetectionincreased to70% and curerate 91%

TB case detection

increased to 70% and

cure rate

85%

TB case detection

increased to 70%

and cure rate 85%

TB case detection

increased to 70%

and cure rate 85%

85% ofidentified ARIpatientstreated.

85% of identified

cases

85% of identified

cases

85% of identified

cases

Note: Services for 60,000 Specially targeted ultra poor selected in 2008 will be carriedforward to 2009.

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Health care subsidy for the STUP and OTUP:

Activity Annual

Targetfor 2009as per

PP

Operation Plan for 2009

AnnualTarget 2009

as perrevised PP

after addingAusAIDfunds

Jan-June2009

Jul-Dec2009

Treatment of mild

morbidity

67,125 67,125 26,497 40,628

Treatment of severe

morbidity

22,375 22,375 8,832 13,543

Tube-well Installation 1,200 1,200 400 800Slab Latrine Installation 68,400 68,400 27,000 41,400

Budget (Taka): Essential Health Care Services for Ultra Poor

DescriptionAnnualTarget

for 2009as per PP

Operational Budget for 2009AnnualTarget2009 as

perrevised PP

afteraddingAusAIDfunds

Jan.-June

2009

July-Dec.2009

Special Health Care Subsidy to (STUP I)

Special Health Care Subsidy16,641,00

014,214,188

7,107,094

7,107,094

Salaries and benefits of Regional Healthcoordinator

5,373,656 6,999,5523,449,7

763,449,776

Honorarium of Panel Doctor 6,587,063 6,933,750 3,466,875 3,466,875

Incentives for Female Medical Doctors 114,000 120,000 60,000 60,000

Orientation cost for Panel Doctor 462,250 462,250 277,350 184,900Resource person's cost in Orientation 138,675 138,675 83,205 55,470

Equipment for Panel Doctors - - - -

Furniture & Fixture - - - -Prescriptions 526,965 554,700 277,350 277,350

Honorarium of Shasthya Karmi (SK) 2,529,432 2,662,560 1,331,2 1,331,280

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for 2009as per PP

Operational Budget for 2009

AnnualTarget2009 as

perrevised PP


Jan.-June2009

July-Dec.2009

80

Fuel and maintenance cost of motorcycle 693,375 832,050 416,025 416,025Communication & Telephone 346,688 416,025 208,013 208,013

Management and Logistics Expenses2,338,917 2,333,362

1,170,888

1,162,475

Total Health care to STUP I35,752,0

2035,667,11

217,297,

85517,169,25

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Special Health Care Subsidy to (STUP II)

Special Health Care Subsidy7,280,438 12,134,063

5,460,3

286,673,734

Salaries and benefits of Regional Healthcoordinator

3,224,194 5,832,9602,916,4

802,916,480

Honorarium of Panel Doctor3,813,563 4,160,250

2,080,125

2,080,125

Orientation cost for Panel Doctor 277,350 277,350 138,675 138,675

Resource person's cost in Orientation 83,205 83,205 41,603 41,603Prescriptions 305,085 332,820 166,410 166,410

Honorarium of Shastho Karmi (SK) 1,464,408 1,597,536 798,768 798,768Incentives for Female Medical Doctors 66,000 72,000 36,000 36,000

Fuel and maintenance cost of motorcycle 416,025 693,375 346,688 346,688Communication & Telephone 208,013 346,688 173,344 173,344

Management and Logistics Expenses 1,199,680 1,787,117 851,089 936,028

Total Health care to STUP II18,337,9

5927,317,36

313,009,

50914,307,85

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Budget (Taka): Essential Health Care Services for Other TargetedUltra Poor


for 2009as per PP


AnnualTarget2009 as

perrevised PP


Jan.-June2009

July-Dec.2009

Special Health Care Subsidy to (OTUP I)

Special Health Care Subsidy 8,667,188 8,667,188 4,333,594 4,333,594

Management and Logistics Expenses 606,703 606,703 303,352 303,352

Total Health Care to OTUP I9,273,89

19,273,891 4,636,945 4,636,945

Special Health Care Subsidy to (OTUP II)

Special Health Care Subsidy 13,867,50 13,867,500 5,547,000 8,320,500

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0

Salaries and benefits of RegionalHealth coordinator

970,725 970,725 388,290 582,435

Total Health care to OTUP II14,838,2

2514,838,22

55,935,290 8,902,935

The programme appointed panel doctors for the ultra poor so they can haveaccess to both preventive and curative health services. The purpose ofappointing panel doctors was to make health services easily available to therural people specially the ultra poor in BRAC working areas and reduce thelevel of income erosion resulting from the common and water borne diseases.

In 2009, 320 panel doctors will be deployed and oriented. Orientations will bedesigned to inculcate BRACs value of serving the poor as well as to enhancetheir technical skills. In phase II, BRAC will also attempt a larger number offemale doctors for the panel, in order to meet the requirements of ultra poorwomen.

The panel doctors will provide two-hour consultation/treatment to the patientsanytime within 3:00 pm to 5:00 pm at BRAC area office. They will providecounselling and treat all the patients enlisted by the area office. Each of thedoctors will get Tk. 2,889 as honorarium on a monthly basis. There will also beone Shastho Karmi assisting one panel doctor in each area. Therefore in 2009,there will be 320 Shastho karmis assisting the 320 panel doctors. The ShasthoKarmis will receive honorarium for their service of1,109 per month. The paneldoctors will also receive a prescription fee with a unit cost of Tk. 200 perprescription.

In the year 2009, the health care subsidy will be provided to 41,000 STUP Iwomen (includes 38,000 new members of STUP I, and 3,000 second round

support members of previous cohorts), and 35,000 STUP II women (including1,000 second round support beneficiaries). Health care subsidy will also beprovided to 12,500 OTUP I members (50% of OTUP I members), and 40,000OTUP II members (50% of OTUP II members).

3. 4. 2 Essential Health Care Services for VO/CommunityMembers

Pushing out in the context of health programme means that BRAC will extendits services to many more of the poor who lack basic health care. The primaryobjective of the regular EHC programme is to provide an essential package ofhealth services mainly through the Shastho Shebika (health Volunteer) atpeoples doorstep. The components are:

Health and nutrition education Pregnancy related care FamilyplanningImmunization Water and sanitation Tuberculosis controlBasic curative services Health commodities

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Table 10: Essential Health Care for VO/Community MembersActivity As per PP

(At the endofprogramme)

Target for 2009Annual

Target 2009as per

revised PPafter adding

AusAID funds

Jan-June2009

July-Dec.2009

Training ofShasthya

Shebikas

Providetraining to

ShasthyaShebikas

24,000 12,000 12,000

Training ofShasthyaKarmis

Providetraining toShasthyaKarmi

2,400 1,200 1,200

RefreshersTraining

Refresherstraining toShasthyaShebikas

50,000 50,000 50,000

Basic healthcare services

Ante natalcareincreased to75%

70% 70% 70%

Moderncontraceptives methodacceptorincreasedto58%

55% 55% 55%

Using of slablatrinesincreased to80%

65% 60% 65%

Immunizationcoverageunder-1 year

80% 80% 80%

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Activity As per PP(At the endofprogramme)


Target 2009as per


AusAID funds

Jan-June2009

July-Dec.2009

increased to85%

Immunizationcoverage ofpregnantwomenincreasedto90%

85% 84% 85%

Vitamin Acapsule

distributionamong 1-5yrs. childrenincreased to95%

95% 95% 95%

TB casedetectionincreased to70% and curerate 91%

TB case detection

increased to 70%

and cure rate 85%

TB case detection

increased to 70%

and cure rate 85%

TB case detection

increased to 70%

and cure rate 85%

85% ofidentified ARI

patientstreated.

85% of identified

cases

85% of identified

cases

85% of identified

cases

Linkage with Government and other Health facilitiesReferrallinkage withgovernmentand otherhealthfacilities

Mobilize, linkand refercommunitymembers togovernmenthealth servicefacilities andotherorganizations

70% referred cases

received health

care services fromgovernment and

other health carefacilities

70% referred cases

received health



70% referred cases

received health



Partnershipprogram withgovernmentand otherorganizations

Develop andcontinuepartnershipprogram withgovernmentand otherorganizations(such as TB,

Develop andcontinue

partnership

program with

government and

other organizations

(such as TB,Immunization,

Family planning,

Develop andcontinue

partnership

program with

government and

other organizations


Family planning,

Develop andcontinue

partnership

program with

government and

other organizations


Family planning,

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Activity As per PP(At the endofprogramme)


Target 2009as per


AusAID funds

Jan-June2009

July-Dec.2009

Immunization,Familyplanning,Vitamin A,Sanitation,Eye care andENT services).

Vitamin A,Sanitation, Eye

care and ENT

services).


care and ENT

services).


care and ENT

services).

Budget (Taka): Essential Health Care Services for VO members and

community

DescriptionAnnual

Target for2009 asper PP


AnnualTarget2009 as

perrevised PP


Jan.-June2009

July-Dec.2009

Salaries and Benefits of RegionalHealth Coordinator

9,818,190 10,657,382 5,328,691 5,328,691

Salaries and Benefits of Programorganiser

72,111,000 96,337,920 48,168,960 48,168,960

Salaries and Benefits of Programorganiser

12,203,400 16,558,080 8,279,040 8,279,040

Honorarium for Shastho Karmi 57,211,758 65,532,258 32,766,129 32,766,129

Salaries and Benefits of ProgramOrganiser

3,050,850 4,139,520 2,069,760 2,069,760

Fuel and maintenance cost ofmotorcycle

1,109,400 1,109,400 554,700 554,700

Shastho Karmis Basic Training 1,113,560 1,271,188 610,170 661,018Shastho Shebikas Basic Training 3,900,234 4,680,281 2,246,535 2,433,746

Salary & benefits of ARI PO-VII 50,588,640 55,331,325 27,665,663 27,665,663ARI Basic Training of POs 776,580 970,725 417,412 553,313

One day Refreshers training forARI POs

591,680 462,250 198,768 263,483

ARI Basic Training of SKs 5,547,000 5,547,000 2,939,910 2,607,090ARI Basic Training of SSs 47,149,500 47,149,500 24,989,235 22,160,265

Materials for ARI SS 11,371,350 13,266,575 6,898,619 6,367,956Education Materials for ARI 762,713 878,275 456,703 421,572

Procure Motorcycle for ARI 12,000,000 14,000,000 7,000,000 7,000,000Fuel & maintenance cost for ARIStaff

8,875,200 9,984,600 4,992,300 4,992,300

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DescriptionAnnual

Target for2009 asper PP


AnnualTarget2009 as

perrevised PP


Jan.-June2009

July-Dec.2009

Midwifery Training of SKs 22,853,640 17,140,230 8,570,115 8,570,115

Monthly Refreshers Training 693,375 589,369 300,578 288,791Mobile telephone bills 693,375 589,369 300,578 288,791

Miscellaneous Expenses 693,375 589,369 300,578 288,791Capacity Development (Refreshers Training)

Shastho Karmis Refresherstraining

496,630 568,856 295,805 273,051

Shastho Shebikas RefreshersTraining

17,334,375 17,334,375 9,013,875 8,320,500

Regional Health CoordinatorsTraining

981,819 1,065,738 554,184 511,554

Program Organizers Training 8,431,440 11,289,600 5,870,668 2,991,386

Printing and Stationeries 5,119,188 6,232,055 3,240,668 2,991,,386Communication & Telephone 554,700 554,700 277,350 277,350

Area Office staff accommodationand utilities

9,568,575 11,648,700 5,824,350 5,824,350

Travelling and Transportation 4,506,938 5,547,000 2,773,500 2,773,500Health Education Materials

IEC Materials 361,133 404,469 206,279 198,190

ANC materials 4,044,688 6,067,031 3,094,186 2,972,845Training Centre rent & utilities 4,437,600 4,437,600 2,263,176 2,174,424

Training centre set-up cost - - - -

Management and LogisticsExpenses

26,526,639 30,235,438 15,292,789 14,942,649

Total405,478,5

44462,170,1

77233,170,1

77228,408,1

97

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CFPR Wok Plan 2009 for Health

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