F. No. 11011/08/2011-NRHM-III Government of India Ministry...
Transcript of F. No. 11011/08/2011-NRHM-III Government of India Ministry...
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F. No. 11011/08/2011-NRHM-III Government of India
Ministry of Health & Family Welfare Department of Health & Family Welfare
Nirman Bhawan, New Delhi
Dated: 11/05/2011 To, The Mission Director, (NRHM) Government of Nagaland, Kohima, Nagaland. Subject: Approval of State Programme Implementation Plan of NRHM for the year
2011-12
Madam/Sir,
This refers to the draft Programme Implementation Plan (PIP) for the year
2011-12 submitted by the State and the discussions held on the same in the Pre
Appraisal meeting held on 08th February 2011 at Guwahati, Assam and NPCC meeting
held on 21st March 2011 at New Delhi.
2. The administrative approval of the PIP for your State is conveyed for an amount of
Rs 93.74 cr. (Detail at Table C below) against the resource envelope available
comprising of the following:-
Table A
(Rs. in Crore)
Likely Uncommitted Unspent Balance Available under NRHM as
on 1.4.2011
0.00
GOI Resource Envelope for 2011-12 under NRHM 83.31
15% State share ( 2011-12) 14.70
Total 98.01
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Table B
The Resource Pool wise break up of total Resources under NRHM
(Rs. in Crores)
Sl
No.
Likely
Uncommitted
Unspent
balance
available as on
1.4.2010
GoI Resource
Envelope under
NRHM
Total
1 RCH Flexible Pool 0.00 23.55 23.55
2 NRHM Flexible Pool 0.00 27.80 27.80
3 Immunization
1.02
( from RCH Flexible Pool)
1.02
4 NVBDCP 0.00 9.15 9.15
5 RNTCP 0.00 2.10 2.1
6 NPCB 0.00 1.89 1.89
7 NLEP 0.00 0.60 0.60
8 IDSP 0.00 1.07 1.07
9 NIDDCP 0.00 0.36 0.36
10 Direction & Admn.
(Treasury route)
0.00 14.86 14.86
11 PPI Oper. Cost 0.00 0.91 0.91
12 15% State share 0.00 0.00 14.70
Total 98.01
Committed Unspent
Balance up to 2010-11
to be Revalidated in
2010-11
Rs.37.56 Crore
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Table C
SUMMARY OF APPROVAL
(Details provided in respective Annexure)
Scheme/Programme Approved Amount
( In Rs. Crores)
1. RCH Flexible Pool
(Details at Annexure-I)
35.52
2. NRHM Mission Flexible Pool
(Details at Annexure-II)
29.63
3. Immunization and PPI Operational cost
(Details at Annexure-III)
2.36
4. NVBDCP
(Details at Annexure-IV)
5.57
5. RNTCP
(Details at Annexure-IV)
2.76
6. NPCB
(Details at Annexure-IV)
1.89
7. NIDDCP
(Details at Annexure-IV)
0.30
8. IDSP
(Details at Annexure-IV)
0.34
9. NLEP
(Details at Annexure-IV)
0.55
10. Infrastructure Maintenance
14.86
Grand Total 93.78
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3. The approval is subject to the following mandatory requirements. Non
compliance to any of the following requirement may result in withholding of
grant to the State:
A. Release of the first tranche of funds
The first tranche of funds would be released by GOI to States for PIPs 2011-12 on
fulfilment of the following conditions:
1. A full- time Mission Director for NRHM (for States having resource envelop of
more than Rs 50 crores), other than the administrative Secretary.
2. A full- time Director/Joint Director/Deputy Director (Finance) (depending on
resource envelop of State), from the State Finance Services not holding any
additional charge outside the Health Department.
B. Release of Second Tranche of Funds
Action on the following issues would be looked at while considering the release of
second tranche of funds:
3. The State shall ensure that 15% of the State share, based on release of funds by
Government of India is credited to the account of the State Health Society.
4. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15%
State share under NRHM.
5. State shall articulate policy on entitlements, and ensure rational prescriptions,
timely procurements, smooth distribution to facilities, prescription audits, EDL
in public domain, computerized drugs and logistic MIS System with the
objective of minimizing out-of-pocket expenses.
C. Monitoring Requirements
6. State shall ensure submission of quarterly report on the Measurable
Target/indicators at the end of every quarter as per Attachment A and expected
outputs stated in the Record of Proceeding (RoP) of NPCC in Attachment B. All
approvals are subject to the observations made in the RoP which is inclusive of
commodity grants under Disease Control Programme in the respective
Annexure.
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D. Human Resource
7. 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. The contractual
appointments would be need based. Performance must be measured against pre-
determined benchmarks regularly.
8. All States would ensure that there is rational deployment of trained HR and
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.
Irrational deployment would render the expenditure ineligible under NRHM.
9. State shall prepare action plan for recruitment, deployment and training of
human resources within six months and send it to the ministry.
E. Infrastructure
10. All civil works undertaken to achieve IPHS standards, would be based on
expected patient load and priority would be accorded to the backward districts,
inaccessible and remote areas as per prescribed criteria.
11. 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, outskirts of villages, or in unhygienic environment under any
circumstances. Any deviation from the above would be treated as ineligible
expenditure under NRHM.
12. 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.
13. 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.
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F. Communitization
14. The State shall ensure that all operational guidelines relating to VH&NDs are
complied with.
15. The State shall ensure timely performance based payments to
ASHAs/Community Link Workers and put in place a supportive supervision
mechanism is put in place within six months.
16. 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.
G. Financial
17. 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.
18. 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 2011-2012 will be based on clear delegation as per earlier directions.
19. 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 shall undertake Monthly District Audit and periodic assessment of the
financial system.
20. 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.
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21. 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.
H. Outcomes
22. The state shall focus on key NRHM goals of reduction in MMR,IMR & TFR and
overall disease burden. All activities and expenditure must be linked with
outcomes and technical interventions/strategies recommended by MoHFW
implemented in right earnest.
23. The State shall ensure establishment of supportive supervisory structures for
RCH programme, particularly in districts having low institutional delivery.
24. State shall ensure taking appropriate action to monitor the performance of the
cold chain /ILR Points and implementation of ProMIS and improving coverage
and quality of Immunization services.
Yours faithfully,
(Ms. Jaya Bhagat) Director NRHM-NE
Copy to:
1. All JSs in the Ministry
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 SS&MD, NRHM
6. Sanction Folder
7. File of Concerned States.
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Attachment - A
MONITORING TARGETS TO BE ACHIEVED IN 2011-12
Activity / Measurable indicator
Achievement in/ up to 2010-11
Target in (Cumulative) up to 2011-2012
Addition during the year
I Monitoring Progress Against Standards:
A Maternal Health
1 Institutional Deliveries 9336 15000 5664
2 24x7 Facilities 33 66 33
3 Functional First Referral Units 11 16 5
B Child health
4 Sick New Born Care Units 0 1 1
5 New Born Care Corners 42 59 17
6 Stabilization Units in CHCs/ BPHCs
11 18 7
7 Full Immunization
C Population Stabilization
8 Male Sterilization 6 30 24
9 Female Sterilization 1302 2500 1198
10 No. of IUD Insertions
D Disease Control
11 Annualized New Smear Positive Detection Rate of TB
61 per lakh per year
62 per lakh per year
1 basis points
12 Success Rate of New Smear Positive Treatment initiated on DOTS.
91% 92% 1 basis points
13 ABER for malaria 9.09 10% of the total population
10% of the total population
14 API for malaria (per 1000 population)
2.5 nil nil
15 Annual New Case Detection Rate for Leprosy (per 1,00,000 population)
NA 0.10 Maintain ANCD rate
16 Cataract Surgeries performed 621 750 129
II Human Resources including Training
17 Appointment of ANMs 286 398 112
18 Appointment of staff nurses 215 247 32
19 Doctors trained on EmOC 6 16 10
20 Doctors trained on LSAS 8 18 10
21 Doctors trained in NSV/ 0 10 10
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Activity / Measurable indicator
Achievement in/ up to 2010-11
Target in (Cumulative) up to 2011-2012
Addition during the year
Conventional vasectomy
22 Doctors trained in Abdominal Tubectomy (Minilap)
9 16 7
23 Doctors trained in laparoscopic Tubectomy
9 15 batches 2 doctors, 2 OT Techs. & 2 SNs in one batch
24 Personnel trained in IMNCI 163 298 135 health personnel
planned to be trained (MO- 30, GNMs- 45 and ANMs –
60) III Communitization Processes
25 Functional VHSCs 1324 1324 0
26 ASHAs with Drug kits 1700 2584 884 IV Improved Management
27 Tracking of pregnant mothers and children
11 districts 11 districts Covered all districts
28 Evaluation and Assessment of NRHM Activities
Initiated For ASHA & JSY
-----
29 Cold Chain Management
(number of functional ILR
points)
100 120 20
V Infrastructure
30 Construction of sub-centre buildings
398 448 50
31 Construction of PHC buildings 123 136 13
32 Construction of CHC buildings 21 24 3
33 Construction of District Hospital buildings
Nil Nil Nil
34 Construction of Other Hospital buildings
Nil Nil Nil
VI MMU and Referral Transport
35 Functional Mobile Medical Units
11 11 1 for each district
36 Emergency and Referral Transport
66 66 No new addition
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Attachment B
NATIONAL RURAL HEALTH MISSION
RECORD OF PROCEEDINGS 2011-12
Record of Proceedings of the National Programme Coordination Committee (NPCC)
for Nagaland held under the Chairmanship of Shri P.K. Pradhan, Special Secretary
and Mission Director, NRHM for approval of NRHM Programme Implementation
Plan (PIP) of States and UTs for the year 2011-12.
I. A meeting of the NPCC of NRHM was held under the Chairmanship of SS &
MD, NRHM, to approve the PIP of Nagaland on 21st March 2011. The list of members
who attended the meeting is placed at Annex. V. 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 1.4.2011, and were apprised of the GOI Resource
Envelope for 2011-12 under NRHM. The Monitorable Indicators is placed at
Attachment A for the State was also indicated. After detailed discussions and
subsequent deliberations, the PIP was finalised for amounts indicated under different
components as detailed in the Attachment B (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 resource envelop and
activities approved for each district.
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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.
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 within three months if not
already not specified in the PIP.
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. Communitazation
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 where necessary 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.
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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.
F. Specific Programme Related
16. State Specific Conditions/Observations: State Specific Conditions/Observations
(would be provided by Team leader/nodal officer for each State before issuing
administrative approval).
17. The funds approved under the Monitoring and Evaluation activities in the PIP are
subject to the State reporting facility-wise performance on the HMIS portal of the
Ministry. The States are to also periodically review the quality of data on the HMIS
portal at teh District and Sub-district levels.The funds approved for the Mother abd
Child Tracking Systems(MCTS) are to be utilized such that there is improved
coverage of maternal and care services and immunisation of children and reflected
on the MCTS portal of the Ministry.
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).
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Annexure-I
Consolidated Approval under RCH-II for FY 2011-12
S.
BUDGET HEAD
PROPOSED APPROVED AMOUNT
(Rs. Lakhs)
REMARKS
No.
Amount (Rs. Lakhs)
1 Maternal Health 76.64 61.24
2 Child Health 41.36 33.86
3 Family Planning 19.95 11.50
Incorrect unit rate for camps
4 ARSH 36.00 36.00
5 Urban RCH 0.00 0.00
6 Tribal RCH 0.00 0.00
7 PNDT & Sex Ratio 22.64 21.64
8 Infrastructure & HR
2675.56 2598.16
29 MO’s of AYUSH & IMEP infrastructure costs to be shifted to Mission flexi pool
9 Training 208.81 208.81
10 Programme Management 282.00 282.00
11 Vulnerable Groups
Total RCH II Base Flexi Pool 3362.06 3253.21
12 JSY 305.59 273.00
13 Sterilisation & IUD Compensation, and NSV Camps 25.95 25.95
Total RCH II Demand Side 331.54 298.95
GRAND TOTAL RCH II 3693.60 3552.16
MO’s of AYUSH & IMEP Infrastructure costs to be shifted to Mission Flexipool.
School Health IEC budget of Rs. 4.36 lakhs to be shifted to Mission Flexipool
Procurement for School Health Programme of Rs. 11.87 lakhs is to be shifted to
Mission Flexipool.
PNDT & Sex ratio for an amount of Rs. 22.64 lakhs was shifted from MFP to RCH
Flexi Pool.
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
A. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)
A.1 MATERNAL HEALTH
A.1.1 Operationalise facilities
A.1.1.1 Operationalise FRUs
A.1.1.2 Operationalise 24x7 PHCs
A.1.1.3 MTP services at health facilities
A.1.1.4 RTI/STI services at health facilities
A.1.1.5 Operationalise Sub-centres
A.1.2 Referral Transport
9000 beneficiaries
45.00 45.00
A.1.3 Integrated outreach RCH services
Rs. 15000/Camp
44 Camps 22.00 6.60
A.1.3.1 RCH Outreach Camps/ Others
A.1.3.2 Monthly Village Health and Nutrition Days
1.00 1.00
A.1.4 Janani Suraksha Yojana / JSY
A.1.4.1 Home Deliveries
Rs. 500 13000 deliveries
65.00 65.00
A.1.4.2 Institutional Deliveries
Rs. 700 15000 deliveries
105.00 105.00 State to provide break up of rural and urban beneficiaries.
A.1.4.2.a
Rural
A.1.4.2. Urban
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
b
A.1.4.2.c
Caesarean Deliveries
A.1.4.3 Administrative expenses
Rs. 700/ case for PPP
JSY administration costs; PPP with 5 facilities for 96 deliveries
45.59 13.00 Admin. Expenses is approved @ 5%
A.1.4.4 Payment to Link Workers/ASHA
Rs. 600 90.00 90.00
A.1.5 Maternal Death Review
A.1.6 Other strategies/activities
Roll out of MCP cards
8.64 8.64
Sub-total Maternal Health (excluding JSY)
76.64 61.24
Sub-total JSY 305.59 273.00
A.2 CHILD HEALTH
A.2.1 IMNCI
A.2.2 Facility Based Newborn Care/FBNC
A.2.3 Home Based Newborn Care/HBNC
A.2.4 Infant and Young Child Feeding/IYCF
A.2.5 Care of Sick Children and Severe Malnutrition
A.2.6 Management of Diarrhoea, ARI and Micronutrient Malnutrition
18.86 18.86
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
A.2.7 Other strategies/activities
Rs. 500 Referral for 3000 critically sick infants
22.50 15.00 Corrected as per write up
A.2.8 Infant Death Audit
A.2.9 Incentives to ASHA under Child Health
Sub-total Child Health
41.36 33.86
A.3 FAMILY PLANNING
A.3.1 Terminal/Limiting Methods
A.3.1.1 Dissemination of manuals on sterilisation standards & QA of sterilisation services
1.00 1.00
A.3.1.2 Female Sterilisation camps
15,000/- 11Camps 5.50 1.65 Budgeted under MH camp & reclassified to FP section. Budget norms for female sterilization and male sterilization camps are 15,000 and 35,000 respectively.
A.3.1.3 NSV camps
A.3.1.4 Compensation for female sterilisation
1000/- 2500 cases of female sterilization
25.00 25.00
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
A.3.1.5 Compensation for male sterilisation
1500/- 30 NSV cases
0.45 0.45
A.3.1.6 Accreditation of private providers for sterilisation services
A.3.2 Spacing Methods
A.3.2.1 IUD camps
A.3.2.2 IUD services at health facilities / compensation
20/- 2500 IUCD insertions
0.50 0.50
A.3.2.3 Accreditation of private providers for IUD insertion services
A.3.2.4 Social Marketing of contraceptives
A.3.2.5 Contraceptive Update seminars
A.3.3 POL for Family Planning/ Others
Rs. 5000 / month/ district
Monitoring of family planning services
6.60 6.6
A.3.4 Repairs of Laparoscopes
A.3.5. Other strategies/ activities
Review meetings; incentive to ASHAs for IUD retention;
5.95 2.25 Criteria for awarding to institutions are not clear and hence not approved.
Sub-total Family Planning (excluding
35.55 18.10
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
compensation)
Sub-total Sterilisation and IUD compensation & NSV camps
25.95 25.95
A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH
A.4.1 Adolescent services at health facilities
AFHS clinics in 10 DHs and 19 CHCs.
6.00 6.00
A.4.2 School Health Programme
Contractual salary of SHP Co-ordinators @ Rs 15,000 ; Contractual salary of 1(one) SHP at state HQ @ Rs 25000 ; Mobility support to) SHP co-ordinators @Rs 5000 ; Mobility support to 1(one) SHP co-ordinator at state HQ @ Rs 5000.
11(eleven) SHP Co-ordinators in 11 districts;
30.00
30.00 Shifted from Mission Flexipool
A.4.3 Other strategies/
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
activities
Sub-total ARSH
36.00 36.00
A.5 URBAN RCH
Sub-total Urban RCH
0.00 0.00
A.6 TRIBAL RCH
Sub-total Tribal RCH
0.00 0.00
A.7 PNDT & Sex Ratio
A.7.1. Support to PNDT Cell
@ 2000/ District
Office expenses
2.64 2.64 Shifted from Mission Flexipool
A.7.2 Other strategies/ activities
Orienting at State level @ 150000 and 100000/- district: Mobility Support at State level @ 100000 and at District level @ 50000
1)Orienting & sensitizing the service providers on the PNDT Act at State level and district level; 2) Mobility support for enforcement of PC & PNDT Act
20.00 19.00 Shifted from Mission Flexipool. Orienting & sensitizing the service providers on the PNDT Act @ 100000/- district comes to 11 lakhs instead of 12 lakhs proposed by the State.
Sub-total PNDT& Sex Ratio
22.64 21.64
A.8 INFRASTRUCT
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
URE & HUMAN RESOURCES
A.8.1 Contractual Staff & Services
A.8.1.1 ANMs and Staff Nurses
ANMs @ 15000, GNMs/ SNs @ 20000
398 ANM's, 227 GNM's, 20 GNM's for NBSU
1309.20 1309.20
A.8.1.2 Laboratory Technicians, MPWs
15000/-
39 lab. techs & 5 lab. techs at blood banks
79.20 79.20
A.8.1.3 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC )
52000/- 17 specialists
106.08 106.08
A.8.1.4 PHNs at CHC/ PHC level
20000/- 54 PHN at CHC /PHC level
129.60 129.60
A.8.1.5 Medical Officers at PHCs and CHCs
MO’s /GDMO’s @ 40000/- at PHCs, CHC, FRU’s & DH level
151 MO's at CHC/PHC level, & 16 GDMO's at 5 FRU's & 11 DH
871.20 801.60 Salary of 29 AYUSH MO's to be shifted to Mission flexi pool
A.8.1.6 Additional Allowances/ Incentives to M.O.s of PHCs
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
and CHCs
A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc
Pharmacist @ 15000/-, Refrigerator mechanics @ 8000/-, X ray tech @ 15000 & Dental doctors @ 20000
14 pharmacist, 3 refrigerator mechanics, 5 X ray tech & 21 dental doctors
92.28 87.48 5 ophthalmic assistant for NPCB is not allowed under RCH-II
A.8.1.8 Incentive/ Awards etc. to SN, ANMs etc.
A.8.1.9 Human Resources Development (Other than above)
A.8.1.10
Other Incentives Schemes (Pl. Specify)
A.8.2 Minor civil works
18.00 15.00 Rs 3 lakh for five SC for minor civil work & RS 3 lakh for IMEP - IMEP costs to be shifted to Mission flexi pool
A.8.2.1 Minor civil works for operationalisation of FRUs
Civil works at CHC- 3 lakh for 15 CHC for water supply pipe
70 70
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
line & rain water harvest, RS 5 lakh for 5 CHC for bore well
A.8.2.2 Minor civil works for operationalisation of 24 hour services at PHCs
Sub-total Infrastructure & HR
2675.56 2598.16
A.9 TRAINING
A.9.1 Strengthening of Training Institutions
A.9.2 Development of training packages
A.9.3 Maternal Health Training
A.9.3.1 Skilled Birth Attendance / SBA training
30 ANM / SNs
15.44 15.44
A.9.3.2 Comprehensive EmOC training (including c-section)
10 MOs 17.98 17.98
A.9.3.3 Life saving Anaesthesia skills training
10 MOs 20.16 20.16
A.9.3.4 MTP training 9 MOs 3.26 3.26
A.9.3.5 RTI / STI training
60 MO & 70 SN
38.56 38.56
A.9.3.6 BEmOC training
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FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
A.9.3.7 Other MH Training (Training of TBAs as a community resource, any integrated training, etc.)
A.9.4 IMEP Training 43 MOs 4.12 4.12
A.9.5 Child Health Training
A.9.5.1 IMNCI training IMNCI - 30 MOs, 45 GNMs, and 60 ANMs; F-IMNCI - 18 MOs and 18 GNMs
11.66 11.66
A.9.5.2 F-IMNCI
A.9.5.3 Home Based Newborn Care training
A.9.5.4 Care of Sick Children and severe malnutrition training
A.9.5.5 Other CH training (pls specify)
NSSK - 80 MOs and 160 Nurses;
12.71 12.71
A.9.6 Family Planning Training
A.9.6.1 Laparoscopic Sterilisation training
16 batches 3.11 3.11
A.9.6.2 Minilap training 15 batches 12.59 12.59
A.9.6.3 NSV training 10 MOs 2.62 2.62
A.9.6.4 IUD Insertion training
42 MOs and 100 SNs
19.94 19.94
A.9.6.5 Contraceptive Update/ ISD
40 batches 1.63 1.63
24
FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
training
A.9.6.6 Other FP training (please specify)
A.9.7 ARSH Training 206 MOs and SNs
13.81 13.81
A.9.8 Programme Management Training
A.9.8.1 SPMU Training 4.00 4.00
A.9.8.2 DPMU Training 6.00 6.00
A.9.9 Other Training - (Training for School health Programme and IEC Training)
TA – @ Rs.100; Refreshment @ Rs. 100; Stationary @ Rs.50; Honorarium to resource persons @ Rs 1000
6078 teachers to be trained; IEC training - 2 workshops
21.22 21.22 School Health Training is shifted from Mission Flexipool
A.9.10 Training (Nursing)
A.9.10.1
Strengthening of Existing Training Institutions/Nursing School
A.9.10.2
New Training Institutions/School
A.9.11 Training (Other Health Personnel)
A.9.11.1
Promotional Training of health workers females to lady health visitor etc.
25
FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
A.9.11.2
Training of ANMs, Staff nurses, AWW, AWS
A.9.11.3
Other training and capacity building programmes
Sub-total Training
208.81 208.81
A.10 PROGRAMME MANAGEMENT
A.10.1 Strengthening of SHS/ SPMU (Including HR, Management Cost, Mobility Support, field visits)
87.00 87.00 In principal approved. Release of fund Subjected to the State providing the details.
A.10.2 Strengthening of DHS/ DPMU (Including HR, Management Cost, Mobility Support, field visits)
165.00 165.00 In principal approved. Release of fund Subjected to the State providing the details.
A.10.3 Strengthening of Block PMU (Including HR, Management Cost, Mobility Support, field visits)
A.10.4 Strengthening (others)
A.10.5 Audit Fees 12.00 12.00
A.10.6 Concurrent 18.00 18.00
26
FMR Code
Activity Unit Rate (where-
applicable)
Physical Target /
Expected Output
Amount Proposed
(Rs lakhs)
Amount Approv
ed (Rs
lakhs)
Remarks
Audit
A.10.7 Mobility Support to BMO/ MO/ Others
Sub-total Programme Management
282.00 282.00
A.11 VULNERABLE GROUPS
Sub-total Vulnerable Groups
0.00 0.00
Total RCH II Base Flexi Pool
3362.06 3253.21
Total RCH II Demand Side
331.54 298.95
GRAND TOTAL RCH II
3693.60 3552.16
27
Annexure-II
Consolidated Approval under NRHM Flexi Pool for FY 2011-12
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
Mission Flexible Pool B1 ASHA
B.1.1 ASHA Cost
B1.1.1 Selection & Training of ASHA
192000 2490 184.99 170.00
Approved for 1700 ASHA’s which were earlier approved against 1317 villages additional ASHA’s for a population claimed to be less than the census population may further skew the Population : ASHA ratio.
B1.1.2 Procurement of ASHA Drug Kit
600 2584 20.67 Approved for 1700 ASHA’s.
B1.1.3 Other Incentive to ASHAs (if any)
B1.1.4 Awards to ASHA's/Link workers
3000 52 1.56
B1.1.5 ASHA Resource Centre/ASHA Mentoring Group
51.2
B2 Untied Funds
B2.1 Untied Fund for CHCs 50000 21 10.50 10.50
Utilized for Improvement in service delivery and cleanliness.
B2.2 Untied Fund for PHCs 25000 123 31.00 30.75
B2.3 Untied Fund for Sub Centres 10000 398 39.80 39.80
28
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B2.4 Untied fund for VHSC
10000 1324 132.40 127.80
B.3 Annual Maintenance Grants
B.3.1 CHCs 100000 21 21.00 21.00 Approved as per
number of Government Buildings
B.3.2 PHCs 50000 124 62.00 57.50
B.3.3 Sub Centres 10000 398 39.80 30.90
B.4 Hospital Strengthening
B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals to IPHS)
B4.1.1 District Hospitals
B4.1.2 CHCs
B4.1.3 PHCs
B4.1.4 Sub Centres
B4.1.5 Others
B 4.2 Strengthening of Districts, Sub-divisional Hospitals, CHCs, PHCs
B.4.3 Sub Centre Rent and Contingencies
B.4.4 Logistics management/ improvement. Construction of Drug Warehouse
3 433.00 433.00 Approved as Additional Approval of SPIP 2009-10. Proposed for release of the Balance amount during 2011-12.
29
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B5 New Constructions/ Renovation and Setting up
B5.1 CHCs
B5.1.1 CHCs - Construction of 3 new CHCs
Rs. 117.00 3 175.50 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.
B5.1.2 Construction of 11 CHC Staff quarters
Rs. 21.00 L 11 115.50 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.
B5.2 PHCs
B5.2.1 13 PHC for new Construction
Rs. 65.68 L 13 426.92 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.
B5.2.2 Construction of 22 PHC Staff quarters
Rs. 21.0 L 22 231.00 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.
B5.3 50 Sub Centres for new construction
Rs. 12.33 L 50 216.50 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.
B5.4 Setting up Infrastructure wing for Civil works
30
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B5.5 Govt. Dispensaries/ others renovations
B5.6 Construction of BHO, Facility improvement, civil work, BemOC and CemOC centres
500000 11 55.00 55.00 Approved
B.5.7 Major civil works for operationalisation of FRUS
B.5.8 Major civil works for operationalisation of 24 hour services at PHCs
B.5.9 Civil Works for Operationalising Infection Management & Environment Plan at health facilities
B.5.10 Infrastructure of Training Institutions
B.5.10.1
Strengthening of Existing Training Institutions/Nursing School( Other than HR) a. GNM Schools 1. Infrastructure 2. Equipment b. ANMTCs 1. Infrastructure 2. Equipment
B.5.10.2
New Training Institutions/School(Other than HR)
31
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B.6 Corpus Grants to HMS/RKS
B6.1 District Hospitals 500000 11 55.00 55.00 Approved
B6.2 CHCs 100000 21 21.00 21.00
B6.3 PHCs 100000 124 124.00 124.00
B6.4 Other or if not bifurcated as above
500000 3 15.00 0
Not agreed to as Sub-group meeting decision
B7 District Action Plans (Including Block, Village)
500000 11 60.00 55.00 Approved for 11 districts.
B8 Panchayati Raj Initiative
B8.1 Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc
400 2232 8.93 8.93 Approved
B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC
400 3972 15.89 15.89 Approved
B8.3 Others
B9 Mainstreaming of AYUSH
B9.1 Medical Officers at DH/CHCs/ PHCs (only AYUSH)
20000/- 29 MO’s
69.60 69.60 Approved & Shifted from RCH Flexi Pool.
B9.2 Other Staff Nurse/ Supervisory Nurses (for AYUSH)
B 9.3 Activities other than HR
18.52 18.52 Approved
32
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B10 IEC-BCC NRHM
B.10 Strengthening of BCC/IEC Bureaus (state and district levels)
2.00 2.00
B.10.1 Development of State BCC/IEC strategy
B.10.2 Implementation of BCC/IEC strategy
B.10.2.1
BCC/IEC activities for MH
55.73 55.73
B.10.2.2
BCC/IEC activities for CH
60.33 60.33
B.10.2.3
BCC/IEC activities for FP
47.56 47.56
B.10.2.4
BCC/IEC activities for ARSH
27.14 27.14
B.10.2.5
BCC/IEC activities for School Health
Posters (4 posters/school @ Rs 10/poster; Pamphlet/leaflet (200/school @ 0.50/each
12156 posters, 607800 pamphlets
4.26 4.26
B.10.2.5.1
NRHM weekly radio broadcast
B.10.2.5.2
Programme production cost
52 20000 10.40 10.40 Includes all DCPs
B.10.2.5.3
Programme broadcast cost
52 2240 4.66 4.66 For Weekly in 2 stations of AIR Kohima & FM Mokokchung
B.10.2.5.4
Jingles broadcast cost
52 5040 10.48 10.48 Thrice weekly in AIR Kohima & FM
33
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
Mokokchung.
B.10.2.5.5
NRHM TV programmes & PSAs
B.10.2.5.6
Programme telecast cost
12 2500 3.00 3.00
B.10.2.5.7
PSA telecast cost 24 13440 3.23 3.23 Twice a month in Doordarshan Kendra & local cables.
B.10.2.5.8
Integrated Health counseling Centres (IHCCs)
11 4.00 44.00 44.00 Includes infrastructural extension in DHs, furnishings, equipment.
B.10.2.5.9
Newsletter 2 400000 8.00 8.00 Half-yearly
B.10.2.5.10
Translation & dubbing of 24 PSAs into 5 local dialects
24 15000 18.00 18.00
B.10.2.5.11
Translation & dubbing of 40 radio jingles into 5 local dialects
40 5000 10.00 10.00
B.10.2.5.12
‘Where there is no doctor’ (translation & printing) into 4 languages
3000 x 4 languages
200 24.00 24.00 200 Rs/copy x 4 local dialects (total 12000 copies)
B.10.2.5.13
Print media booklets on NRHM, Roles & Responsibilities of ASHAs, VHND (with translation)
3 x 5000 copies each + 15000 (translation)
30 4.65 4.65 Avg. cost per item
B.10.2.5.14
Transit media 220 3000 6.60 6.60 20 buses and taxis per district
34
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B.10.2.5.15
Utility bills advertisement in Kohima & Dimapur Districts
12 months x 40000 bills
1 rupees
4.80 4.80 1 Advt/pm x 12 x 1 rupee/bill
B.10.2.5.16
Newspaper Advertisement
3 15000 0.45 0.45 3 half page advertisements
B.10.2.5.17
SMS Campaign 24 sms x 5 lac subscribers
8 paisa 9.60 9.60 SMS cost at 8 paise per/SMS for 24 SMS per/year to 5 lac subscribers.
B.10.2.5.18
Strengthening of MSS units in 3 districts (maintenance & training)
189 6530 12.34 12.34 Rs. 1530/unit x 189 units x 5000 (for training)/unit
B.10.3 Health Mela 500000 11 55.00 55.00
B.10.4 Creating awareness on declining sex ratio issue.
B.10.5 Other activities 34.96 34.96 B11 Mobile Medical
Units (Including recurring expenditures)
2060000 11 226.60 226.60 The State should ensure the increase in visits and in total number of cases seen.
B12 Referral Transport
B12.1 Ambulance/ EMRI/Other models
700000 19 133.00 00.00 New ambulances not approved.
B12.2 Operating Cost (POL)
66 16.68 15.25 Approved only for the existing 66 Ambulances
B13 PPP/ NGOs
B13.1 Nongovernmental providers of health care RMPs/TBAs
35
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B13.2 Public Private Partnerships (Continuing support to 3 Mission Hospitals in Wokha Mokokchung & Zunheboto)
500000 3 15.00 15.00
B13.3 NGO Programme/ Grant in Aid to NGO
11 325.34 00.00 Was not agreed to in the subgroup meeting.
B14. Innovations( if any)
B14.1 Partnership with Medecins Sans Frontiers (MSF) for Mon District Hospital
7980000 1 79.80 79.80
B14.2 Continuing support for Weaving a Dream-Peoples Initiative
8109000 1 81.09 81.09
B14.3
State PPP cell
280000 1 2.80 2.80 Activities as proposed in PIP
B14.4 Partnership with Police Department
4903000 1 49.03 49.03
B15 Planning, Implementation and Monitoring
B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level)
B15.1.1
State level 6.81 6.81
Regular systematic review and B15.1. District level 32.52 32.52
36
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
2 monitoring to be done under NRHM and to take corrective measures for the bottlenecks.
B15.1.3
Block level
60.24 60.24
B15.1.4
Other
B15.2 Quality Assurance
B 15 .2.1
Development of Standard Treatment Guideline
1.00 1.00 The State should asses the improvement in quality after developing these guidelines.
B 15 .2.2
Publication & distribution of QA literature
24.00 24.00
B 15 .2.3
Workshop of health staff on QA
4.28 4.28
B15.3 Monitoring and Evaluation
B15.3.1
Monitoring & Evaluation / HMIS/MCTS.
69.29 69.29
B15.3.2
Computerization HMIS and e-governance, e-health
56.52 56.52
B15.3.3
Other M & E
B15.3.4
MCTS
74.24 74.24
The state should show improvement in reporting.
B15.3.5
Mobility Support
128.62 0.00
To be considered after submission of details
B15.3.6 Forms & Registers
35.79 35.79
37
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B15.3.7 M & E Studies
45.76 45.76
B.16 PROCUREMENT
B16.1 Procurement of Equipment
B16.1.1
Procurement of equipment: MH
111.72 111.72 Approved
B16.1.2
Procurement of equipment: CH
66.15 66.15 Approved
B16.1.3
Procurement of equipment: FP
59.78 59.78 Approved
B16.1.4
Procurement of equipment: IMEP
B16.1.5
Procurement of Others (School Health)
Medical Supplies including Albendazole – 200mg, IFA tablets, Medical Kit
140 Medical Kit,
11.87 11.87 Approved
B16.1.6
Electrolyte Analyser
7,38,362.00 66.45+5% CST
0.00 These activities
were proposed
vide the
addendum sent
by the state after
the NPCC
meeting.
B16.1.7
Blood Gas Analyser
8,25,862.00 74.32+5% CST
B16.1.8
Consumables for Electrolyte Analyser
17,23,260.00
162.95+5% CST
0.00
B16.1.9
Consumables for Blood gas analyser
17,87,344 168.91+5% CST
0.00
B.16.2 Procurement of Drugs and supplies
B.16.2.1
Drugs & supplies for MH
213.28 213.28 Approved
B.16.2.2
Drugs & supplies for CH
4.90 4.90 Approved
B.16.2.3
Drugs & supplies for FP
11.00 11.00 Approved
38
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
B.16.2.4
Supplies for IMEP
B.16.2.5
General drugs & supplies for health facilities
B.17 Regional drugs warehouses
B.18 New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans)
B.18.1 NRHM Health Helpline
50.15 50.15 To link with Jansankhya SthirataKosh" (JSK) for providing easy access and availability of reliable information on Reproductive, Sexual Health, Family Planning and mother and Child Health. No budget is approved for linking activity.
39
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
The amount approved is subjected to the installation of GPS/GSM vehicle tracking system in all the ambulances.
B.18.2 Medical Equipment Maintenance Unit
74.16 74.16 Approved
B.19 Health Insurance Scheme
B.20 Research, Studies, Analysis
1 9.00 9.00 APPROVED Subject to the condition the study may be conducted through a renowned research institute like IIMs.
B.21 State level health resources center(SHSRC)
B.22 Support Services
B22.1 Support Strengthening NPCB
B22.2 Support Strengthening Midwifery Services under medical services
B22.3 Support Strengthening NVBDCP
B22.4 Support Strengthening
45.64 0.00
40
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target
Amount Proposed
Amount Approved
Remarks
RNTCP
B22.5 Contingency support to Govt. dispensaries
B22.6 Other NDCP Support Programmes
237.3 0.00
B.23 Other Expenditures (Power Backup for IDSP)
250000 12 30.00 0.00
Total
5970.83 2962.87
41
Annexure-III
Consolidated Approval under Immunization for FY 2011-12
(Rs. in Lacs)
FMR Code
Activities( As proposed by the
State)
Unit Cost (whereever applicable)
Physical Target
Amount Proposed
Amount Approved Remarks
C.1 RI Strengthninig Project (Review meeting, Mobility Support, Outreach services etc
c.1.a
Mobility Support for supervision for distict level officers.
Rs.50000/ Year /district level officers.
5.50 5.50
-
c.1.b Mobility support for supervision at state level
Rs. 100000 per year.
1.00 1.00 -
c.1.c
Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.
Rs. 5 beneficiaries
3.73 3.73
-
c.1.d
Support for Quarterly State level review meetings of district officer
1.65 1.65
-
c.1.e
Quarterly review meetings exclusive for RI at district level with one Block Mos, CDPO, and other stake holders
0. 44
0. 44
-
c.1.f Quarterly review meetings exclusive for RI at block level
1.98 1.98 -
c.1.g
Focus on slum & underserved areas in urban areas/alternative vaccinator for slums
29.90 29.90
-
c.1.h
Mobilization of children through ASHA or other mobilizers
Rs. 150 per session
23.80 23.80
-
42
c.1.i Alternative vaccine delivery in hard to reach areas
Rs. 100 per session
19.05 19.05
c.1.j Alternative Vaccine Deliery in other areas
Rs. 50 per session
c.1.k To develop microplan at sub-centre level
@ Rs 100/- per subcentre
0.40
0.40
-
c.1.l
For consolidation of microplans at block level
Rs. 1000 per block/ PHC and Rs. 2000 per district
1.66 1.66
-
c.1.m
POL for vaccine delivery from State to district and from district to PHC/CHCs
Rs100,000/ district/year
11.00 11.00
-
c.1.n
Consumables for computer including provision for internet access for RIMs
@ 400/ - month/ district
0.52
0.52
-
c.1.o
Red/Black plastic bags etc.
Rs. 2/bags/session
0.53
0.53
-
c.1.p
Hub Cutter/Bleach/Hypoc
hlorite solution/ Twin bucket
Rs. 900 per PHC/CHCper year
0.72
0.72
-
0.57
0.57 -
c.1.q Safety Pits
c.1.r State specific requirement
18.59
15.71
2,88,000
C.1-Sub Total
121.04 118.16
2,88,000
C.2 Salary of Contractual Staffs -Sub Total
c.2.a
Computer Assistants support for State level
Rs.12000-15000 per person per month
1.59
1.59
-
c.2.b
Computer Assistants support for District level
8000-10000 per person per month
11.60
11.60
-
43
C.2-Sub Total
13,19,000
13,19,000
-
C.3 Traininng under Immunization
c.3.a
District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse Mid Wives, BEEs & other staff ( as per RCH norms)
1.75 1.75
-
c.3.b
Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module)
6.75 6.75
-
c.3.c
One day refresher traning of distict Computer assistants on RIMS/HIMS and immunization formats
0.20
0.20
-
c.3.d
One day cold chain handlers traning for block level cold chain hadlers by State and district cold chain officers
1.10 1.10
-
c.3.e
One day traning of block level data handlers by DIOs and District cold chain officer
2.04 2.04
-
C.3-Sub Total 11.84
11.84
-
C.4
Cold chain maintenance
Rs.500/PHC/CHCs per year
1.82 1.82 -
44
District Rs.10000/year
C.5 ASHA incentive for full immunization
-
-
-
C.6 Pulse Polio Operational cost(Tentative)
90.61
TOTAL
147.89 235.62 2,88,000
45
Annexure-IV
Consolidated Approval under NIDDCP for FY 2011-12 (Rs. in Lacs)
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target/ Expected output
Amount Proposed
Amount Approved
Remarks
D.1 Establishment of IDD Control cell
Implementation & monitoring of the programme
4.62 4.62 State Government may complete IDD Survey one district and report may be sent accordingly.
D.1.a.
Technical Officer
D.1.b.
Statistical Officer
D.1.c.
LDC Typist
D.2 Establishment of IDD Monitoring Lab
Monitoring of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines.
4.3 4.3
D.2.a.
Lab Technician
D.2.b.
Lab Assistant
D.3 IEC/BCC Health Education & Publicity
Increased awareness about IDD and iodated salt.
31.1 20.0
D.4 IDD Surveys/Re Surveys
Rs. 50,000 per district
2.0 1.0
D.5. Supply of Salt Testing Kit (form of kind grant)
Creating iodated salt demand and
monitoring of the same at
46
the community
level. Total 42.00* 29.92
*This includes proposed fund for mobility support, strengthening of State IDD, monitoring, incentives to ASHA, organisation of meeting /seminar/workshop etc. which are not permitted under the programme.
47
Consolidated Approval under IDSP for FY 2011-12
(Rs. in Lacs)
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target/ Expected output
Amount Proposed
Amount Approved
Remarks
E IDSP
E.1 Operational Cost
1.1 Mobility Support Except E1.2, other activities are clubbed and approved. (1.1, 1.3, 1.4, 1.5.)
1.2 Lab Consumables Rs. 2 lacs per
district priority
lab
2.00 2.00
1.3 Review Meetings
Rs 15,000/-
per district
per month
11.10
11.10
1.4 Field Visits
1.5 Formats and Reports
E.2 Human Resources
2.1 Remuneration of Epidemiologists
40,000 1 4.80 4.80
2.2 Remuneration of Microbiologists
20,000 1 2.40 2.40
2.3 Remuneration of Entomologists
20,000 1 2.40 2.40
E.3 Consultant-Finance 14,000 1 1.68 1.68
3.1 Consultant-Training 28,000 1 3.36 3.36
3.2 Data Managers 14,000 (State) 13500 (District)
1 1.68 1.68
3.3 Data Entry Operators 8500 1 1.02 1.02
3.4 Others
E.4 Procurements
4.1 Procurement -Equipments 19.8
0.00
4.2 Procurement -Drugs & Supplies
48
FMR Code
Activity Unit Cost (where-ever applicable)
Physical target/ Expected output
Amount Proposed
Amount Approved
Remarks
E.5 Innovations /PPP/NGOs
E.6 IEC-BCC Activities
E.7 Financial Aids to Medical Institutions
E.8 Training 6.90 4.00
TOTAL 57.14 34.44
49
Consolidated Approval under National Vector Borne Disease Control Program
(Rs. in Lacs)
FMR
Code
Activity Unit Cost wher
e ever applicable
Physical target/Deliverable
s
Amount Proposed
Amount Approved
Remarks
F.1 DBS (Domestic Budgetary Support)
F.1.1
Malaria
F.1.1.a
MPW 219.
5 124 The calculation has
to be recalculated as per the guidelines
F.1.1.b
ASHA Honorarium
50 2
F.1.1.c
Operational Cost
F.1.1.c.1
Spray Wages - for NE states and UTs without legislation
121 121
F.1.1.c.2
Impregnation of Bed nets- for NE states
F.1.1.d
Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility
85 19.25 Monitoring budget is also available under project
F.1.1.e
IEC/BCC
57.7 7 The details action plan is to be submitted. Funds have been provided under the project
F.1.1.f
PPP / NGO activities Urban Malaria Scheme
6 0.00
F.1. Training / 6.6 4
50
1.g Capacity Building
F.1.2
Dengue & Chikungunya
F.1.2.a
Strengthening surveillance (As per GOI approval)
F.1.2.b
Apex Referral Labs recurrent
5.75
The activity has to be performed as per the
guidelines
F.1.2.c
Sentinel surveillance Hospital recurrent
10
F.1.2.d
Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)
F.1.2.e
Monitoring/Supervision and Rapid Response
3.5
F.1.2.f
Epidemic Preparedness
2
F.1.2.g
IEC/BCC/Social Mobilization
F.1.2.h
Training/Workshop
6.5
F.1.3
Acute Encephalitis Syndrome (AES)/ Japanese Encephalitis (JE)
F.1.3.a
Strengthening of Sentinel Sites which will include diagnostics and management. Supply of kits by GoI
10
5
The Lab tech and maintenance of equipment may be funded from NRHM additionalities
51
F.1.3.b
IEC/BCC specific to J.E. in endemic areas
F.1.3.c
Training specific for J.E. prevention and management
F.1.3.d
Monitoring and supervision
F.1.3.e
Procurement of insecticides (Technical Malathion)
3.5
F.1.3.e.1
Salary for Lab Tech
1.92
F.1.3.e.2
Equipment maintenance & repair
2
F.1.4
Lymphatic Filariasis
F.1.4.a
State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team
F.1.4.b
Microfilaria survey
F.1.4.c
Post MDA assessment by medical colleges (Govt. &
52
private)/ ICMR institutions.
F.1.4.d.
Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers
F.1.4.e.
Specific IEC/BCC at state, district, PHC, sub-centre and village level including VHSC/GKS for community mobilization efforts to realize the desired drug compliance of 85% during MDA
F.1.4.f
Honorarium to drug distributors including ASHA and supervisors involved in MDA
F.2
Externally aided component (EAC)
F2.1 World Bank Project
F.2.1.a
World Bank support for Malaria (Andhra Pradesh, Chattisgarh, Jharkhand, Madhya Pradesh, Orissa,
229.8
260
53
Gujarat, Karnataka & Maharashtra)
F.2.1.b.
Human Resource
F.2.1.c
Training /Capacity building
20.9
F.2.2.d
Mobility support for Monitoring Supervision & Evaluation & review meetings, Reporting format (for printing formats)
43.4
F.3 GFATM Project
F.3.a
Human Resource
F.3.b
Training Cost
F.3.c Planning & Administration
75.54
Jointly Approved
under F.2
F.3.d
Monitoring & Administration
F.3.e I.E.C / B.C.C
F.3.f
Operational expenses for treatment of bed nets
F.4 Any Other item (Please Specify)
F.5
Operational Costs (Mobility, Review Meeting, communication, formats & reports)
F.6 Cash grant for decentralized commodities
54
F.6.a
Chloroquine phosphate tablets
10
9
F.6.b
Primaquine tablets 2.5 mg
F.6.c Primaquine tablets 7.5 mg
F.6.d
Quinine sulphate tablets
F.6.e Quinine Injections
F.6.f Sulphadoxine + Pyremethamine tablets
F.6.g
ACT ( For Non Project states)
F.6.h
DEC 100 mg tablets
F.6.i Albendazole 400 mg tablets
F.6.j Dengue NS1 antigen kit
F.6.k
Temephos, Bti (for polluted & non polluted water)
4
F.6.l Pyrethrum extract 2%
F.6.m
Any Other (Pl. specify)
Total 979.8
6 557.00
55
Consolidated Approval under NLEP for FY 2011-12
(Rs. in Lacs)
S. No.
Activity proposed Unit Cost
Physical Targets
Amount propose
d
Amount approve
d
Remarks
G.1
Contractual Services
10.00
10.00
Unit cost as per the present NLEP norms
State - SMO, BFO cum AO, DEO, Administrative Assistant, Driver
5.7 Compilation the data and supervision
District - Drivers (6)
3.24
G.2 Services through ASHA/USHA
Improvement of case detection and treatment completion
0.50
0.50
Honorarium to ASHAs is necessary for improvement of case detection
Sensitization of ASHA
Honorarium to ASHA
G.3
Office expenses & Consumables
6.00
6.00
G.4 Capacity building (Training)
Improvement of skills of medical and paramedical staff
4.00
6.00
4 days training of newly appointed MO (rural & urban)
3 days training of newly appointed health worker & health supervisor
2 days refresher training of MO
5 days training of newly appointed
56
Lab. Technician
G.5
Behavioural Change Communication (IEC)
Improvement in self reporting of cases & reduction of social stigma against LAP
8.00
IEC activities should be an integral part of NRHM activity.
Quiz, folk show, IPC workshop, Meeting of opinion leaders, Health melas
8.00
Wall painting, Rallies, Hoardings etc
G.6 POL/Vehicle operation & hiring Improved
supervision & monitoring
10.00
2 vehicles at state level & 1 vehicle 10.00
at district level
G.7 DPMR
2.00
MCR footwear, Aids and appliances, Welfare allowance to BPL patients for RCS, Support to govt. institutions for RCS
Less no. of disabilities due to Leprosy
5.00
G.8 Material & Supplies
Less no. of disability & better record
6.00
Supportive drugs, lab. reagents & 6.00
equipments and printing forms
G.9 Urban Leprosy Control 1.00
1.00
G.10 NGO - SET Scheme 0.00
2.00
G.11
Supervision, Monitoring & Review
2.50
Review meetings 2.50
57
and travel expenses
G.12 Specific-plan for High Endemic 0 0.00
Districts
G.13
Others (maintenance of Vertical 3.50
3.50
Unit, Training & TA/DA
Total 58.50 55.50
58
Consolidated Approval under NPCB for FY 2011-12
(Rs. in Lacs)
FMR Code
ACTIVITY Unit cost
(wherever
applicable)
Physical target/ex
pected output
Amount Propose
d
Amount Approve
d
Remarks
H1. Recurring Grant-in aid
H.1.1. For Free Cataract Operation and other Approved schemes as per financial norms@
Rs.750/- per case
13.13 13.13 (*) Approved under scheme GIA for Catops and other approved activities
H.1.2. Other Eye Diseases@
Rs.1000/-
1.00 1.00
H.1.3. School Eye Screening Programme@
Rs.200/- per case
3.00 3.00
H.1.4 Private Practitioners @as per NGO norms
H.1.5. Remuneration/ salary Management of State Health Society and Distt. Health Society- (Remuneration/ salary etc. )
Rs.14 lakh/
Rs7 lakh
7.00 7.00
H.1.5.a. Ophthalmic Surgeon@
Rs.25000/- p.m
3 9.00 9.00 Approved
H.1.5.b. Ophthalmic Assistant @
Rs.8000/- p.m
12 11.52 11.52 Approved
H.1.5.c. Eye Donation Counsellors @
Rs.10000/ p.m.
H.1.6 Operational Cost Management of State Health Society and Distt. Health Society (Review meeting, hiring of vehicle and Other Activities &
11 DPM & 11 PA
11.00 0.39
59
Contingency)
Total [Honorarium (1.5) + Operational Cost (1.6)] for ROP
H.1.7. Third party assessment (new initiative)
H.1.8. Recurring GIA to Eye Donation Centres@
Rs.1000/- per
pair and
Rs.1500/- per pair
H.1.9. Eye Ball Collection and
Eye Bank @
H.1.10. Eye Ball Collection
H.1.11. IEC(Eye Donation Fortnight, World Sight Day & awareness programme in state & districts)
10.00 10.00
H.1.12 Procurement of Ophthalmic Equipment
42.64 40.95
H.1.13. POL and Maintenance of Ophthalmic Equipments and Vehicles
5.00 5.00
H.1.14 Grant-in-aid for strengthening of 1 Distt. Hospitals.
H.1.15 Grant-in-aid for strengthening of 2 Sub Divisional. Hospitals
H.2 Non Recurring Grant -in-Aid
H.2.1. For RIO (new)
H.2.2. For Medical
60
College
H.2.4 For vision Centre Rs.50000/-
5 2.50 2.50
H.2.1. For Eye Bank
H.2.2. For Eye Donation Centre
H.2.4
For NGOs
Rs.30 lakh
1.00 Already approved
GIA scheme
H.2.5 For Eye Ward & Eye OTS
Rs.75 lakh
1 75.00 75.00 Approved
H.2.6 For Mobile Ophthalmic Units With Tele Network
H.3 Training 10.90 10.90
H.4. ASHA Incentive (if any)
1.58 0.00 Through NRHM flexi pool
H.5. Others
Total 204.27 189.39
(*) = Recurring Grant-in-Aid for Free Cataract Operations and various other schemes which include: Other Eye Diseases @ Rs 1000/-, School Eye Screening Programme @ Rs 200/- per pair of spectacles, Private Practitioners @ as per NGO norms , Management of State Health Society and District Health Society @ Rs 14 lakhs/ 7 lakhs, Recurring GIA to Eye Donation Centers @ Rs 1000/- pair of Eye Ball collection and Eye Banks @ Rs 1500/- per pair of Eye Ball collection Rs 1500 Training, IEC, Procurement of Ophthalmic Equipment, Maintenance of Ophthalmic Equipments, Remuneration, Other Activities & Contingency.
61
Consolidated Approval under RNTCP for FY 2011-12
(Rs. in lacs)
FMR
Code.
Activity unit cost
(wherever
applicable)
Amount Propose
d
Amount
Approved
Remarks
I.1 Civil works
23.51 22.81
One time cost of 1DP site, 3 DMCs, up gradation of SDS and 11 DDS for SLD and maintenance cost for 1 STC, 11 DTCs, 13 TUs and 43 DMCs approved
I.2 Laboratory materials
25.00 20.00 Amount approved is as per
expenditure trends and permissible norms.
I.3.a Honorarium/Counselling Charges
25.00 20.00
I.3.b Incentives to DOT Providers
0.00 0.00
I.4 IEC/ Publicity
13.57 10.00
Amount approved is as per expenditure trends and permissible norms.
I.5 Equipment maintenance
10.61 8.00
I.6 Training 29.90 10.00
I.7 Vehicle maintenance
23.79 17.00
I.8 Vehicle hiring
29.86 15.00
I.9 NGO/PPP support
28.98 12.00
I.10 Miscellaneous
33.00 30.00
I.11 Contractual services
139.13 97.39
Subsequent approval is admissible in accordance to expenditure in initial 2 quarters of FY
I.12 Printing 12.00 5.00
Amount approved is as per expenditure trends and permissible norms.
I.13 Research and studies
0 0
62
In addition to this, a commodity grant of Rs. 10.5 lacs has been approved for central level procurement of Anti TB Drugs and other commodity. Comments –
1. The resource envelope for the state for RNTCP is Rs.199.5 lakhs as cash, Rs.10.5 as commodity. The approved amount has been kept as Rs.275.8 lakhs which is as per expenditure trends and permissible norms.
2. Further deductions have been made in amount approved in a few heads based on expenditure trends to match the resource envelope. The state could be approved more funds based on expenditure pattern in the first six months.
I.14 Medical Colleges
0 0
I.15 Procurement –vehicles
0 0
I.16 Procurement – equipment
18.50 8.58
Approved 11 office equipment sets in accordance to revised financial norms against the condemned office equipment sets
I.17 Tribal Action Plan
0 0
Total Funds under Additionality Head
Grand Total 412.87 275.8
63
ANNEX -V
List of participants of National Programme Coordination Committee of NRHM to consider the state PIP of Nagaland held on 21st march 2011
Sl.No
Name and Designation
E-mail address/Phone
No.
1. Shri. P.K. Pradhan, SS & MD, NRHM, MoHFW
2. Shri Amit Mohan Prasad, JS (P), NRHM, MoHFW
3. Mrs. Anuradha Gupta JS (RCH), MoHFW
4. Ms. Jaya Bhagat, Dir. (NRHM-III & Finance) 23061360
5. Dr. Sajjan Yadav, Dir. (NRHM) 23061656
6. Dr. Suresh Mohammed Dir. (RCH) 23061333
7. Mr. Ajith Kumar.N, DD, NRHM 9868217781
8. Dr. Kiran Ambwani, DC (FP) 23062485
9. Dr. Anjana Saxena, DC (MH) 9810410625
10. Dr. P.K. Nayak, DC (Training) 9818972922
11. Dr. P.K. Prabhakar, AC (Child Health) 23062555/9810780500
12. Dr. Dilip Singh, Advisor, NERRC 9678553300
13. Mr. Narinder Singh Rawat 23731759
14. Dr. P.Haldar, AC (Immunization) 23062728
15. Dr. Neeraj kulshreshtra, Commissioner (TB) 23061107
16. Dr. B. K. Tiwari, Advisor (Nutrition), DGHS 23062113
17. Dr. J.K.Das, Dean & Prof & Head-Epidemiology, NIHFW
18. Dr. Amrita Kansal, consultant, FP 9958898464
19. Mr. Anil Garg 9810069780
20. Ms. Shraddha Masih
21. Dr. Sangeeta M, Consultant, TB 9899644885
22. Mrs. Mrudala Pandey, Consultant, TMSA 8527140888
23. Mr. Sanjeev Rathore, FMG 9899900367
24. Mr. Sanjeev Gupta, Finance controller 9871924655
25. Ms. Neetu Singh, Consultant, IT, stats div. 9810206438
26. Ms. Anamika Saxena, consultant, Training 8447556670
27. Dr. Sunita Paliwal, Consultant, MH 9810207421
28. Dr. Pradeep kheshobe, CMO, IDSP 9868289921
29. Dr. Bisworanjan Dash, Epidemiologist, IDSP 9711820960
30. Mr. Suresh Kumar Singh, Investigator, NRHM-III
31. Mr. R.K Thapliyal, SSO- NRHM-III
32. Mr. S.K.Bose, Investigator, NRHM-III
33. Dr. Jayant Pratap Singh, Consultant, NRHM-III
64
REPRESENTATIVES FROM STATE GOVERNMENT
Sl.No Name and Designation
E-mail address/Phone No.
1. Mr. Menukhol John C & S (H & FW) 9436000211
2. Dr. Toshevi Sema MD (H & FW) 09436005129
3. Dr. Watikala SPO/RCH, JD (H & FW) 9436431574
4. Dr. Kevichusa SPO NRHM
5. Dr. Kika Longekumer 9436006134