Chapter 4.3 Immunization

State Programme Implementation Plan 2011-12

CHAPTER 4.3

IMMUNIZATION

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CHAPTER 4.3- IMMUNIZATION

UNIVERSAL IMMUNIZATION PLAN SITUATIONAL ANALYSIS OF IMM. PROGRAMME 1. Current scenario of implementation of Immunization Programme :

STATE PROFILE :

Total Population (2001) 2,66,34,407 Census 2001 Projected Population (2009) 3,10,66,714 As per RGI report Projected Population (2011-12) 3,08,06,271 Rural % 87.28 Census 2001

Urban % 12.72 Census 2001

Infant Mortality Rate (IMR) 64/1000 SRS 2008 Below Poverty Line (BPL) 36.09% NFHS 3 Crude Birth Rate (CBR) 23.9 SRS 2008 Growth Rate (GR) 1.67 SRS 2008 Infant / year (2011-12) 686265 Pop x CBR (1-IMR) Pregnancies / year (2011-12) 806508 Pop x 23.9 (1-0.64)

States 1 Divisions 49 Districts 27 Block 219 Gram Panchayat 2490

Villages 29248 Towns / Urban Areas 125

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Template for estimation beneficiaries per session-2011-12, ASSAM

Vaccination Annual Target Monthly Target

Sl. District BPHC/ CC Sub- ANM/ Addl. Projected Infants No urban centre Centre MPHW ANM Village Sites Population PW Infants PW 2011-12

1 Kamrup 13 43 305 339 285 1613 1193 1590849 41648 35439 3471 2953

2 Kamrup (M) 5 27 99 122 153 327 899 1122690 29392 25010 2449 2084

3 Dibrugarh 7 20 232 235 187 1255 1231 1310976 34321 29204 2860 2434

4 Cachar 9 27 272 321 248 1160 1818 1704628 44627 37974 3719 3164

5 Nagaon 12 50 359 419 238 1971 2059 2609236 68310 58125 5692 4844

6 Goalpara 6 21 151 150 152 1470 1123 943343 24697 21015 2058 1751

7 Dhubri 8 44 246 225 252 1359 1488 1922011 50318 42816 4193 3568

8 Kokrajhar 4 35 175 102 117 876 953 855055 22385 19048 1865 1587

9 Chirang 3 27 76 58 114 684 534 502039 13143 11184 1095 932

10 Barpeta 8 37 264 293 291 900 1487 1626657 42586 36237 3549 3020

11 Darrang 5 18 163 201 176 565 1075 977166 25582 21768 2132 1814

12 Udalguri 4 18 142 111 152 940 842 855758 22404 19064 1867 1589

13 Sonitpur 8 44 276 267 262 2031 1766 1948164 51003 43399 4250 3617

15 Jorhat 8 41 143 223 185 866 1110 1085635 28422 24184 2368 2015

16 Sibasagar 9 26 223 262 302 881 1476 1328399 34777 29592 2898 2466

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17 K-Anglong 9 30 136 193 64 1843 1125 883879 23140 19690 1928 1641

18 N.C.Hills 4 12 65 93 60 627 454 208903 5469 4654 456 388

19 Lakhimpur 7 34 156 228 171 1625 1130 1146312 30010 25536 2501 2128

20 Golaghat 6 35 144 179 141 1086 1282 1029236 26945 22928 2245 1911

21 Nalbari 5 42 121 199 130 837 881 786561 20592 17522 1716 1460

22 Baksa 6 23 157 166 147 767 808 964719 25256 21491 2105 1791

23 Morigaon 4 30 125 146 107 790 1024 922398 24148 20548 2012 1712

24 Bongaigaon 5 23 101 94 73 575 614 678373 17760 15112 1480 1259

25 Dhemaji 6 24 92 119 96 1447 915 665252 17416 14820 1451 1235

26 Tinsukia 5 24 164 121 330 1151 1125 1237106 32387 27559 2699 2297

27 Hailakandi 5 16 105 119 103 530 771 678436 17761 15113 1480 1259

ASSAM 177 788 4709 5215 4726 29248 30450 30806271 806508 686265 67209 57189

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CURRENT ORGANATIONAL STRUCTURE : Organizational Structure of Health & Family Welfare Deptt., Govt. of Assam :

HEALTH & FAMILY WELFARE DEPTT. GOVT. OF ASSAM

MINISTRY OF HEALTH & FAMILY WELFARE

ADDL. CHIEF SE CRETARY, GOVT. OF ASSAM, HEALTH & FW

COMMISSIONER & SECRETARY, GOVT. OF ASSAM, HEALTH & FW

SE CRETARY, HEALTH & F AMILY WELFARE, GOVT. OF ASSAM

Addl. Secy. Jt. Secy. OSD Sr. FA Under Secy. Sr. RO

DHS (FW) State FW Bureau

Jt. DHS Jt. DHS MCIO Demog- AO Supdt. Jt. DHS FAO Asstt. to DHS (UIP) (MCH) rapher Offset (SIHFW,Trg) Press CCO DISTRICT FW BUREAU

Addl. Chief Medical & Health Officer (FW)

DIO DEMO Dy. DEMO Supporting Staffs

MO Urban FW Center PPC Block PHC (RFWC) (Registrar, Birth and Deaths)

Sub Center (FHW) MO, PHC (FW) LHV, BEE, Computer, Field Worker

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Situational Analysis: Comparison of Reported and Evaluated Coverage 2005/06 – 2010/11 (%)

Reported Reported Reported Reported Reported Reported NFHS-3 DLHS-3 RRC (NE) ANTIGEN Coverage Coverage Coverage Coverage Coverage Coverage (05-06) (07-08) (2009) 05 – 06 06 – 07 07-08 08-09 09-10 10-11 (upto Dec’10)

Fully 31.6 50.9 57.6 78.40 81.54 70.23 75.29 82.40 65.07 Vaccinated

62.6 97.89 83.8 85.7 99.94 92.57 BCG 98.72 105.69 72.78

DPT-3 88.75 45.1 86.80 60.4 73.9 99.89 86.44 67.01 94.55

OPV-3 88.52 59.2 89.13 64.9 73.5 99.88 86.16 92.29 66.55

37.5 85.58 64.4 68.5 82.37 84.23 66.77 Measles 87.14 88.70

Drop-out 25.1 12.57 - - 17.6 9.0 BCG 15.16 16.07 8.3 Measles

TT 2 + - 77.10 - 77.41 - 71.97 73.71 16.93 62.56 Booster

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Present Status:

Indicator Assam India

MMR 480 333 254 (Source2004 -06, RGI) (Source 2009, CES, (Source 2004-06, RRC-NE) RGI) IMR 64 46 53 ( Source SRS, ( Source 2009, ( Source SRS, RGI, RGI,Oct’2009) CES,RRC-NE) October,2009)

Change In Full Immunization Coverage of Children

47 50 41 45 40 35 30 17 25 F.Imm 20 15 10 5 0 DLHS - 1 DLHS -2 DLHS -3

Routine Immunization Performance ( % of Full Immunized Child : Source DLHS,2007 -08)

Fully Immunized % (DLHS-3)

90 80 80.3 73.5 68.2 70 67.3 Assam 50.9% 58.9 57.6 56.8 56.5 60 56.4 54.5 54.2 53.5 51.3 50.9 50 49.1 49 47.3 47.1 50 46.7 38.6 36.5 34.8

40 34.6 34.1 32.9 30 23.2 20

% of Fully Immunized Fully of % 10 0

Jorhat Baska Dhubri Cachar Nalbari Barpeta Chirang Nagaon Darrang Sonitpur Udalguri Tinsukia Dhemaji

N.C.Hills Golaghat Sibsagar Morigaon Goalpara Kokrajhar Dibrugarh Karimganj Lakhimpur Bongaigaon Karbianglong Kamrup Rural Kamrup Metro Kamrup Hailakahandhi District

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FULL IMMUNIZATION COVERAGE OF CHILDREN AGED 12-23 MONTHS BY DISTRICTS

Routine Immunization Performance ( % of Full Immunized Child : Source CES-RRC-NE-2009)

% of Fully Immunied within 12 months of age

100.0

91.7 Assam 70% 88.3 86.3 86.3 90.0 85.7 82.3 78.7 78.3 77.7

80.0 74.7 72.7 66.0

70.0 64.9 64.0 60.7 59.7 59.0 58.7 56.7

60.0 55.0 53.0 50.0

40.3 40.0 % FI of 30.0 20.0 10.0 0.0

Jorhat Dhubri Nalbari Cachar Nagaon Barpeta Tinsukia Sonitpur Dhemaji Darrang Darrang Golaghat Goalpara Morigaon Kokrajhar Dibrugarh Sivasagar Karimganj Lakhimpur Hailakandi Kamrup (M) Kamrup Kamrup (R) (R) Kamrup Bongaigaon District

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RECENT PERFORMANCE : YEAR : 2006- 07 ANTIGEN TARGET ACHIEVEMENT % BCG 716086 702868 97.93 DPT -1 716086 691086 96.29 DPT -2 716086 634203 88.36 DPT -3 716086 621956 86.65 OPV -1 716086 687702 95.81 OPV -2 716086 624819 87.05 OPV -3 716086 637402 88.81 Measles 716086 612258 85.30 Fully Immunized 716086 538014 74.96 TT -1 846984 546242 64.38 TT -2+ Booster 846984 652089 76.86 Session planned/Held 258292 241317 93.43 YEAR : 2007- 08 ANTIGEN TARGET ACHIEVEMENT % BCG 689,922 729154 105.69 DPT -1 689,922 724339 104.99 DPT -2 689,922 690879 100.14 DPT -3 689,922 652294 94.20 OPV -1 689,922 702649 101.84 OPV -2 689922 665036 96.39 OPV -3 689,922 636749 92.29 Measles 689,922 611986 88.37 Fully Immunized 689,922 568494 82.40 TT -1 820,769 586042 71.40 TT -2+ Booster 820,769 617384 75.22 Session planned/Held 449,606 420783 93.58 YEAR : 2008-09 ANTIGEN TARGET ACHIEVEMENT % BCG 708,896 708480 99.94 DPT -1 708,896 708150 99.89 DPT -2 708,896 670118 94.53 DPT -3 708,896 631006 89.01 OPV -1 708,896 708050 99.88 OPV -2 708,896 669164 94.40 OPV -3 708,896 632553 89.23 Measles 708,896 583953 82.37 Fully Immunized 708,896 555741 78.40 TT -1 826,354 586593 70.98 TT -2+ Booster 826,354 594760 71.97 Session planned/Held 434788 390440 89.81

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YEAR : 2009-10

ANTIGEN TARGET ACHIEVEMENT % BCG 710332 657552 95.57 DPT -1 710332 640263 90.14 DPT -2 710332 629507 88.62 DPT -3 710332 614009 86.44 OPV -1 710332 639709 90.06 OPV -2 710332 627008 88.27 OPV -3 710332 611994 86.16 Measles 710332 598334 84.23 Fully Immunized 710332 579217 81.54 TT -1 808001 582319 72.07 TT -2+ Booster 808001 595597 73.71 Session planned/Held 213081 205437 96.41

YEAR : 2010-11 ( upto Dec’10)

ANTIGEN TARGET ACHIEVEMENT % BCG 668040 422500 72.78 DPT -1 668040 404756 70.14 DPT -2 668040 397988 68.55 DPT -3 668040 393379 67.01 OPV -1 668040 402582 69.51 OPV -2 668040 399628 68.06 OPV -3 668040 390220 66.55 Measles 668040 389253 66.76 Fully Immunized 668040 381660 65.0 7 TT -1 754486 413229 60.83 TT -2+ Booster 754486 420548 62.55 Session planned/Held 235261 210911 91.76

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FULLY IMMUNIZATION PERFORMANCE FOR LAST FEW YEARS 2005-06, 2006-07, 2007-08 ,2008-09,2009-10 & 2010-11 ( Upto Dec’10)

2010-11 DISTRICT 2005-06 2006-07 2007-08 2008-09 2009-10 ( upto Dec’10) 1 BARPETA 55.17 69.93 93.34 82.65 73.05 68.70 2 BONGAIGAON 64.12 80.85 73.92 77.97 72.094 66.50 3 BAKSA - - - - 81.88 52.09 4 CHIRANG - - - - 73.16 45.28 5 CACHAR 79.7 87.62 66.01 77.16 80.96 60.66 6 DARRANG 64.34 66.23 99.32 83.14 80.26 57.44 7 DHEMAJI 64.63 85.38 76.72 95.24 93.34 73.72 8 DHUBRI 69.09 74.14 83.45 74.05 77.68 68.10 9 DIBRUGARH 68.69 99.71 92.09 94.5 86.34 71.61 10 GOALPARA 68.2 92.71 82.77 86.79 80.33 61.16 11 GOLAGHAT 71.6 66.89 56.33 72.1 76.3 69.60 12 HAILAKANDI 67.97 88.72 74.69 65.84 79.11 72.33 13 JORHAT 84.38 91.52 82.09 94.89 79.01 66.46 14 KAMRUP (R) 83.2 91.48 71.20 15 KAMRUP (M) 81.51 71.65 83.81 83.29 80.86 58.86 16 K-ANGLONG 60.34 78.31 66.38 85.11 82.24 63.09 17 KARIMGANJ 77.55 68.22 97.09 67.9 74.49 61.43 18 KOKRAJHAR 86.64 84.68 116.43 84.52 88.65 63.96 19 LAKHIMPUR 64.75 74.02 86.79 73.62 81.53 71.75 20 MORIGAON 73.19 60.62 109.96 88.24 87.34 71.96 21 NAGAON 67.26 61.26 86.03 82.08 90.73 75.92 22 NALBARI 81.67 76.89 70.87 60.83 80.17 57.26 23 N.C.HILLS 29.35 72.84 63.95 87.52 68.31 50.81 24 SIBSAGAR 65.76 61.47 75.95 68.78 77.19 54.27 25 SONITPUR 62.57 64.35 56.71 70.37 76.24 64.65 26 TINSUKIA 81.86 90.61 85.5 78.39 86.12 70.48 27 UDALGURI - - - - 81.77 53.58 TOTAL 70.23 74.96 82.4 78.4 81.54 65.07

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District –wise Coverage reports (in numbers) Yearly Target Yearly Target BCG Coverage OPV - 1st Dose OPV - 3rd Dose DPT - 1st Dose DPT - 3rd Dose S. Name of (2009-10) (2010-11) ( in Numbers) Coverage (in Nos.) Coverage (in Nos.) Coverage (in Nos.) Coverage ( in Nos.) No District 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - Infants PW Infants PW 10* 11** 10* 11** 10* 11** 10* 11** 10* 11** 1. Barpeta 42,010 49,476 36223 39840 27400 27604 24988 26230 23336 24709 24102 26275 23347 24743 2. Bongaigaon 23,218 27,345 15047 14442 10894 10925 10804 10329 10355 9525 10803 10642 10367 9536 3. Baksa 19,766 23,279 19561 22179 12782 10660 13748 11027 12728 10756 13959 11355 12898 11054 4. Cachar 38,390 45,213 11207 13170 28256 32134 26367 27178 25890 26784 26736 28361 26404 27956 5. Chirang 10,077 11,868 38984 44270 5894 6146 6282 6410 5891 5949 6349 6410 5961 5946 6. Darrang 22,067 25,989 23347 27438 16020 16457 14415 13833 13777 13208 14581 14007 13910 13461 7. Dhemaji 15,400 16,320 15400 18231 10418 12104 10515 10759 10285 10454 10442 11130 10250 10771 8. Dhubri 37,161 43,766 42886 50400 31980 33805 32727 34699 29642 30608 32727 34699 29642 20608 9. Dibrugarh 28,904 34,041 25460 27376 21230 20361 19275 19107 18539 18607 19273 19105 18539 18607 10. Goalpara 21,706 25,564 21488 24747 15946 6876 14756 16182 14153 14567 14721 16214 14140 14603 11. Golaghat 24,025 28,296 18479 19002 13932 14490 13504 13561 13873 13003 13504 13418 13873 12867 12. Hailakandi 15,327 18,051 16902 19860 11029 14016 9964 13788 9472 13832 10161 13725 9696 3748 13. Jorhat 25,199 29,678 22680 24866 16487 16201 15875 15663 15582 15422 15680 15600 15442 15422 14. Kamrup® 41,687 49,096 30449 34321 20273 22054 19917 21396 20931 20424 19917 21396 20931 20424 15. Kamrup(M) 24,671 29,056 25940 28440 22863 19775 19478 16879 19919 16100 19478 16879 19919 16100 16. K-Anglong 19,437 22,892 20173 16424 13097 14651 12851 14290 12141 13661 12510 14290 12141 13662 17. Karimganj 28,337 33,374 28301 33668 20102 21059 20041 20259 18319 19094 20122 20213 18454 19032 18. Kokrajhar 22,273 26,232 21330 23463 13653 14118 14191 14321 13671 13566 14189 14321 13670 13566 19. Lakhimpur 27,801 32,742 22738 25264 14987 18230 15424 17569 14383 17210 15424 17569 14383 17210 20. Morigaon 23,103 27,209 21497 23444 14071 16839 14598 16388 14404 15938 14599 16388 14404 15938 21. Nagaon 57,942 68,241 50272 62967 41146 37366 39726 38163 39960 37820 39788 40689 40051 38962

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Yearly Target Yearly Target BCG Coverage OPV - 1st Dose OPV - 3rd Dose DPT - 1st Dose DPT - 3rd Dose S. Name of (2009-10) (2010-11) ( in Numbers) Coverage (in Nos.) Coverage (in Nos.) Coverage (in Nos.) Coverage ( in Nos.) No District 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - Infants PW Infants PW 10* 11** 10* 11** 10* 11** 10* 11** 10* 11** 22. Nalbari 17,543 20,661 17558 20634 10399 11111 10485 10111 9838 9490 10124 9937 9804 9457 23. N.C.Hills 4,540 5.241 5243 5931 3000 3152 2788 3093 2517 3041 2788 3093 2517 3041 24. Sivasagar 29,628 34,894 29653 34848 15571 16732 15115 15584 15124 15603 14897 15576 15064 15638 25. Sonitpur 43,970 51,785 40505 44359 27785 29004 27662 28126 25706 26921 28217 28124 26543 26953 26. Tinsukia 27,592 32,496 27615 32453 18768 20017 17406 19180 16654 18227 17410 19138 16646 18230 27. Udalguri 18,712 22,038 19102 22449 10617 10062 10926 10228 10731 10086 11135 10334 10861 10133 TOTAL 710,396 834,843 668040 754486 468600 486216 453825 464353 437811 444605 453977 468588 439827 447668 * Coverage for 2009-10 till Dec’09, * * Coverage for 2010-11 till Dec’10

Hep B - 3rd Dose TT2+Booster JE-routine S. Name of Hep B - Birth Dose Hep B - 1st Dose Coverage Vit A- 1st Dose Measles Coverage Coverage (Wherever No District Coverage Coverage (Wherever Coverage applicable) applicable) 2010 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009 - 2010 - 2009-10* 2010-11** 2009-10* 2009-10* 11** 11** 10* 11** 10* 11** 10* 11** 10* 11** 1. Barpeta - - - - 23931 25334 25499 26296 - - 20504 18025 2. Bongaigaon - - - - 10425 10271 10671 10942 - - 8876 9267 3. Baksa - - - - 12243 10222 12543 10847 - - 10210 8777 4. Cachar - - - - 23424 25976 25473 27207 - - 17228 21185 5. Chirang - - - - 5421 5817 6015 6252 - - 4430 4153 6. Darrang - - - - 13595 13550 14300 14549 - - 9947 11638 7. Dhemaji - - - - 11012 11353 10295 11488 5181 1034 19673 9960

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Hep B - 3rd Dose TT2+Booster JE-routine S. Name of Hep B - Birth Dose Hep B - 1st Dose Coverage Vit A- 1st Dose Measles Coverage Coverage (Wherever No District Coverage Coverage (Wherever Coverage applicable) applicable) 8. Dhubri - - - - 28407 31429 36559 37273 - - 15942 19299 9. Dibrugarh - - - - 18559 18271 18218 18589 27865 0 15942 15620 10. Goalpara - - - - 13377 13905 16461 17732 - - 11575 11433 11. Golaghat - - - - 13746 12912 12822 14154 11300 3798 11841 11414 12. Hailakandi - - - - 9015 12552 11681 14463 - - 5021 8243 13. Jorhat 14681 13560 14960 13611 14976 13416 14843 15233 15758 16544 16832 6622 12220 13179 14. Kamrup® ------22314 21725 21086 22275 - - 18234 18012 15. Kamrup(M) ------18653 15278 16898 13888 - - 13194 120028 16. K-Anglong ------10881 12998 12108 14212 - - 9468 11088 17. Karimganj ------16485 18138 20063 20233 - - 10148 12102 18. Kokrajhar ------12569 13643 14338 14769 - - 10124 11617 19. Lakhimpur ------14894 17340 15890 16459 - - 11592 15278 20. Morigaon ------15127 15542 13254 16212 - - 12227 13213 21. Nagaon ------37351 39419 11584 43014 - - 26589 23766 22. Nalbari ------9522 10058 85226 10047 - - 1763 6493 23. N.C.Hills ------2129 2686 2497 2792 - - 7661 2054 24. Sivasagar 13246 14042 12984 13799 12690 13916 14817 16130 14240 15201 19603 736 12273 13856 25. Sonitpur ------26330 26445 25892 27229 - - 23738 24562 26. Tinsukia ------18221 19578 15865 18973 4405 1729 11691 18035 27. Udalguri ------10798 10235 10224 10340 - - 9167 7071 TOTAL 27927 27602 27944 27410 27666 27332 428089 446040 451760 471980 85186 13919 334818 351368 * Coverage for 2009-10 till Dec’09, * * Coverage for 2010-11 till Dec’10

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District –wise VPD reports in 2010-11 (upto Dec ’10) (in numbers)

Whooping Neonatal Tetanus(Other AFP Diptheria Cough Tetanus ) Measles Polio S. Name of the Case Death Case Case Death Case Death Case Death No Districts s s Cases Deaths Cases Deaths s Deaths s s s s s s 1. Barpeta 0 0 0 0 0 0 0 0 456 0 0 0 0 0 2. Bongaigaon 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3. Baksa 0 0 0 0 0 0 0 0 339 0 0 0 0 0 4. Cachar 2 0 0 0 0 0 0 0 64 0 0 0 0 0 5. Chirang 0 0 0 0 0 0 0 0 627 0 0 0 18 0 6. Darrang 0 0 0 0 0 0 0 0 153 0 0 0 0 0 7. Dhemaji 0 0 0 0 2 0 0 0 88 0 0 0 0 0 8. Dhubri 0 0 0 0 2 0 0 0 224 0 0 0 17 0 9. Dibrugarh 0 0 0 0 0 0 0 0 183 0 0 0 0 0 10. Goalpara 1 0 0 0 0 0 0 0 0 0 0 0 5 0 11. Golaghat 0 0 0 0 0 0 0 0 163 0 0 0 3 0 12. Hailakandi 0 0 0 0 0 0 0 0 51 0 0 0 0 0 13. Jorhat 0 0 0 0 0 0 0 0 75 0 0 0 4 0 14. Kamrup® 0 0 0 0 0 0 0 0 42 0 0 0 3 0 15. Kamrup(M) 0 0 18 0 0 0 0 0 147 0 0 0 0 0 16. K-Anglong 0 0 0 0 0 0 0 0 58 0 0 0 0 0 17. Karimganj 0 0 0 0 0 0 0 0 133 0 0 0 0 0 18. Kokrajhar 0 0 0 0 0 0 0 0 167 0 0 0 0 0 19. Lakhimpur 0 0 0 0 0 0 0 0 0 0 0 0 3 0 20. Morigaon 0 0 0 0 0 0 0 0 329 0 0 0 0 0

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AEFI reports :

2006 - 07 2007 - 08 2008 - 09 2009 -10 Antigen Cases Death Cases Death Cases Death Cases Death BCG ------DPT 1 0 1 0 3 0 3 0 OPV ------Measles - - - - 4 4 - - Vit -A - - - - 7 0 4 0

VACCINE PREVENTABLE DISEASES :

2010-11 Antigen 2005-06 2006-07 2007-08 2008-09 2009-10 (upto

Dec’10) Measles 6479 6510 10430 8397 9534 4002

Diphtheria 54 13 65 26 10 15 Pertussis 111 120 155 23 16 18 Neonatal 19 1 83 30 25 4 Tetanus Polio 0 2 0 1 0 0 AFP 115 60 125 145 53 69

Estimated Birth rate, Death rate, Natural growth rate and Infant mortality rate,2008 (Source SRS Bulletin,2008 )

India/Stat Natural growth Infant mortality Birth rate Death rate es/ Union rate rate Territories Tot Rur Urba Tot Rur Urba Tot Rur Urba Tot Rur Urba al al n al al n al al n al al n 22. 24. 15. 16. India 8 4 18.5 7.4 8 5.9 4 5 12.6 53 58 36 23. 25. 15. 16. Assam 9 3 15.7 8.6 9 5.6 4 2 10.1 64 66 39

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(i) TREND OF IMR ( Source SRS,2008 ) RURAL URBAN TOTAL 1997 82 36 78 1998 80 36 76 1999 79 36 76 2000 78 35 75 2001 77 34 74 2002 73 38 70 2003 70 35 67 2004 69 38 66 2005 71 39 68 2006 70 42 67 2007 68 41 66 2008 66 39 64

(ii) TREND OF BIRTH RATE ( Source SRS,2008 ) RURAL URBAN TOTAL 1997 28.5 20.2 27.7 1998 28.7 20.2 27.9 1999 28.0 18.9 27.0 2000 27.9 18.6 26.9 2001 27.8 15.5 26.8 2002 27.5 18.3 26.6 2003 27.2 18.0 26.3 2004 27.0 14.3 25.1 2005 26.6 15.3 25.0 2006 26.1 15.4 24.6 2007 25.7 15.5 24.3 2008 25.3 15.7 23.9

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(iii) TREND OF NATURAL GROWTH RATE ( Source SRS,2008 ) RURAL URBAN TOTAL 1997 18.0 14.1 17.6 1998 18.2 14.1 17.8 1999 17.9 12.8 17.3 2000 17.9 12.5 17.4 2001 18.0 8.9 17.3 2002 17.9 12.3 17.4 2003 17.7 12.0 17.2 2004 17.7 8.8 16.3 2005 17.4 9.6 16.3 2006 16.9 9.6 15.9 2007 16.6 9.8 15.7 2008 16.2 10.1 15.4

(iv) TREND OF DEATH RATE ( Source SRS ,2008 ) RURAL URBAN TOTAL 1997 10.5 6.0 10.1 1998 10.5 6.0 10.0 1999 10.1 6.2 9.7 2000 10.0 6.1 9.6 2001 9.8 6.6 9.5 2002 9.6 6.0 9.2 2003 9.5 5.9 9.1 2004 9.3 5.5 8.8 2005 9.2 5.6 8.7 2006 9.2 5.8 8.7 2007 9.1 5.7 8.6 2008 9 5.6 8.6

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Reporting and Response to Outbreaks and AEFIs for 2006-07, 2007- 08, 2008-09 & 2009-10

2006-07: • 26 AEFI cases were reported from Districts.

2007-08 : • One death case after DPT vaccination on 19/9/07 at Tingkhong under Naharani PHC in Dibrugarh District. FIR, PIR was submitted accordingly.

• One death case after BCG vaccination on 5/11/07 at Joypur under Naharani PHC in Dibrugarh District. FIR, PIR was submitted accordingly.

2008-09: • Reported 4 death cases after Measles vaccination on 22/10/08 at Nimua PHC under Baska District. FIR, PIR was submitted accordingly.

2009-10 : • 7 nos. of AEFI cases were reported from Districts.

AEFI Surveillance

2006 -07 2007 -08 2008 -09 2009 -10 Total AEFIs reported 26 2 24 7 Serious AEFIs reported

(deaths, hospitalized, clusters)

- 2 4 5 Total no of vaccine samples send for testing - - 1 (Measles) - Total no of vaccine results available - - Not Available -

• % districts (in nos.) that have established Distt. AEFI committee - 27

• Any State/ dist. AEFI workshop planned - Yes

IMMUNIZATION PROGRAMME : Immunization of Children against 6(six) vaccine preventable diseases (TB, Diphtheria, Pertusis, Poliomyelitis and Measles) has been carried on in our State also on a priority basis. Children ( below one year of age) who have received BCG, Measles and three doses each of DPT & Oral Polio Vaccine are considered to be Fully Immunized. Besides expectant mothers are vaccinated with Tetanus Toxoid (TT). These activities are covered under the Universal Immunization Programme (UIP).

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As part of the National Health Policy, the National Immunization Programme is being implemented on a priority basis. Children below one year of age who have received BCG, MEaseles and three doses each of DPT & Polio Vaccine are considered to Fully Immunized, besides expectant mothers are vaccinated with Tetanus Toxoid (TT). According to National Immunization Schedule, a Pregnant Woman should receive two doses of Tetanus Toxid, the first dose is on Ante-Natal check up and second is after 4 weeks. Re-inoculation is recommended in every three years. 1 st two doses were received less than three year earlier a single Booster injection is recommended. These activities are covered under National Immunization Programme (UIP).

During the year 2009-2010, the state has achieved 81.54% its annual target with Full Immunization of 579217 children (below 1 year of age). During the year 2008-09, the state has achieved 79.29 % Fully Immunized children (below 1 year age) and TT coverage was 77.4%. The Annual target set for the said year was 700896 for Infants and 820769 for Pregnant Women. It is found that during the year 2009-10, some of the districts of the state have not shown improvement on Immunization Activities over the achievement of the previous year 2008-09.

In recent years, Immunization Programme has been improving in the state and the coverage of the State has come above 80 % (2009-10). Likewise the Pulse Polio Immunization Programme has also been implemented in the state in successful manner. It may be stated that the Universal Immunization Programme in the state is taking a positive step to bring down the Infant Mortality Rate.

Maternal health status is not satisfactory in our state as well as in the country. A large number of mothers have lost their lives for the causes related to pregnancy and child birth. Maternal mortality ratio in Assam is estimated to be 333 per 1 (one) lakhs live birth as per Survey conducted by RRC, Guwahati in 2009.

The following activities are being carried out with the aim in view to reduce the incidence of Maternal Mortality in the state: 1) Ensuring of Three ANC for all pregnant women to be ensured. 2) Ensuring of Institutional Delivery of all pregnant women. 3) Strengthening of referral system providing comprehensive emergency obstetric care in each district by making all FRUs functional. 4) Improve assess to MTP/RTI/STI and post Natal Care at all identified facilities. 5) Janani Surakhya Yajona (JSY) to increase safe Institutional Deliveries, thus to reduce Maternal Mortality Rate & also Neo-Natal Mortality Rate.

As per data of Sample Registration System (SRS) the Infant Mortality Rate of Assam was estimated to be 64 per 1000 live births (as on 2008). It is observed that Infant Mortality Rate in the state is declining in recent years. For example, the Infant Mortality Rate of Assam was 76 in 1999 and it has come down to 64 in 2008 (SRS Data)

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STATE INICIATIVE FOR THE YEAR 2010-11 VMAT (Vaccine Management Assessment Tool) The VMAT is designed to investigate vaccine management knowledge and practices amongst health staff operating at national, sub-national (state level or regional) or intermediate (district) and service delivery(block) levels. It is based on the data and practices of the last six months. The tool helps assessors to identify and document the areas of strengths and good practices. It also helps to identify major knowledge and performance gaps in a consistent format. Targeted support and training can be provided to overcome these deficiencies.

The tool is based upon eleven global criteria essential for a performing vaccine and cold chain management system. These are listed below: 1. Vaccine arrival procedures 2. Vaccine storage temperatures 3. Cold storage capacity 4. Buildings, cold chain equipment and transport 5. Maintenance of cold chain equipment and Transportation 6. Stock management 7. Effective vaccine delivery 8. Correct diluents use for freeze dried vaccines 9. Effective Vaccine Vial Monitor (VVM) use 10 . Multi-Dose Vial Policy (MDVP) 11 . Vaccine wastage control

Grouped under each criterion there are a set of specific questions which are applied to the different levels of vaccine supply chain within the health system (State Vaccine Store (SVS) or Regional Vaccine Store(RVS), District Vaccine Store (DVS) and Block Vaccine Store (BVS) and to which one attributes a mark, i.e.(either zero (no), one (yes) or n/a (not applicable). The sum of these marks is then normalized to give an overall score for each criterion on a scale of 0 to 100 % by the software. These scores are then used to depict graphically on a spider web the strengths and weaknesses of a state’s vaccine management systems.

THE METHODOLOGY AND IMPLEMENTATION The Objective of the Vaccine Management Assessment of Assam using the VMAT is to identify: • Strengths and good practices • Major knowledge gaps • Major performance gaps • Resource and training needs • Develop internal capacity of the system to conduct similar self-assessment periodically. To achieve this objective, as a first step, health department staffs were given a three-day training (class room and field visits) on the use of the VMAT to conduct assessments at different levels so as to apply it periodically through self-assessment in future.

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FINDINGS

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Overall performance of State Assam

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Other Findings in Bar Diagrams

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MEASLES CAMPAIGN IN ASSAM Measles SIA In India Govt. of India decided to introduce 2 nd dose of Measles vaccine through campaign mode in 14 states of India GOI decided to conduct pilot of activity in 40 districts of the country. Marigaon was selected as pilot district from Assam. SIA campaign was started in Marigaon District from 8 th Nov’10. Marigaon was the 1 st district of the country to complete the Measles camping. Preparation Preparatory phase started in Marigaon from Sept’10. All Block PHC functionaries were trained for micro-planning organized by state HQ at Guwahati. Micro-plans were reviewed for 5 times for fine tuning before the implementation phase. All the Medical Officers of the District were trained by faculty members of Guwahati Medical College. All ANMs, ASHA and AW workers ere trained by the trained by the trained Medical Officers under supervision of Faculty Members of Medical College, WHO Medical Officers and UNICEF Consultants. 22 AEFI treatment centres were identified and all Medical Officers were trained for AEFI management. Social Mobilization Besides conventional methods of IEC i.e. banners, poster and mike announce and more stress was given to IPC. IPC was conducted by ASHA and AW workers- invitation card with site plan was given to each beneficiary to come to immunization sites. All the School teachers of the district were sensitized for social mobilization and supervision of school sites. Implementation All total 294 vaccinators (ANM/GNM) and 940 ASHA, 1051 AW worker were involved for implementation. 94 mid level supervisors were engaged. NRHM deployed 6 DIO from different districts to help in training and implementation of 1 st weak of the programme. AEFI kits (with adnenaline ample) were supplied to all vaccination sites. Waste management was done with the help of a private service provides agency centrally. National Focal person for Measles control, WHO India, monitored the training and implementation phase .

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Positive issues of the Programme Well co-ordination between Directorate (FW) and NRHM directorate for the programme. Though logistics supply from GOI were very delayed – all necessary logistics were procured locally in consultation with NRHM, Directorate. Highest level of ownership of district Administration. All the Medical officers and other health functionaries responded to the feedback of observer immediately. Not a single Major AEFI (needing hospitalization) was reported. 97.3 % of targeted beneficiary were vaccinated 206188 out of 211929 (GOI expectation is above 90%). Very good partnership co-ordination from WHO and UNICEF

Measles catch –up Campaign in Morigaon District (2010-11) VACCINATED TARGET % 9 m to < 5 5 Y to < 10 Total Yrs Yrs Number

Total 88760 117428 206188 211696 97.4

JE VACCINATION CAMPAIGN : As per proposed by Govt. of India a special J.E Campaign was organized at Dibrugarh and Sibsagar after enumeration of the Drop out Children during the camping held in the year 2006-07 so that the Drop out can be vaccinated and the JE Vaccination Campaign at Nagaon and Udalguri. Thus JE Campaign vaccination in Phase-I,2010 already completed successfully in Nagaon, Sivasagar and Dibrugarh from 15 th Nov’10 to 4 th Dec’10 without any AEFI cases.

Sl.No District GRAND TOTAL (1 -15 yrs) Target % Vaccine Consumed Male Female TOTAL ( in vials) COVERGAE 1. Nagaon 120457 137215 257672 859192 92.58 161804 2. Sivasagar 184328 185331 369659 437427 84.51 76245 3. Dibrugarh 205690 165299 400989 431690 92.89 85472 TOTAL 781995 784082 1566077 1728309 90.61 323521

Bodoland Territorial Council has proposed to lunch JE Vaccination in Udalguri district from 27 th Jan’2011 onwards to 11 th Feb’2011.

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COLD CHAIN Maintenance of Assam -2010-11

New WIC Received 3nos. during 2010-11 two installed at Guwahati, Dibrugarh one to be installed by Blue Star within 10 th Jan’11. Received one WIF along-with Gen. Set and installed at Guwahati One Data Logger ( supported by UNICEF) installed at State HQ Cold Chain Store, Guwahati attached with WIC and WIF. It is used for computerized temperature Monitoring System in graphical and Digital method. Assam is the 1 st State ( after GMSD, Mumbai) where this device is installed Received 600 nos. of Fridge Tag supported by UNICEF. – It is already introduces in Morigaon (20), Nagaon (53), Udalguri (18), Jorhat (45), Dhuhbri(50) and trained the Vaccine Handlers. The rest to be installed before PPI in Jan’11. – The electronic device is installed at PHC level ILR to monitor and record the (Min/Max) temoperatur3e for a period of 30 days. Received 20 nos. of Solar Refrigerator during 2010-11. the same to be installed by own Refrigerator Mechanics in K- Anglong, N.C.Hills, Karimganj, Dhubri, Nalbari within Feb’11. New ILR (390), DF(375) received during 201-11 against replacement of 788 Cold Chain points and 50 nos. Expansion, distribution and installation process is started. Insulated Vaccine Delivery Van (2Wd) proposed for replacement of 14 nos. and for expansion against New District ( Baska, Chirang, Udalguri) 3 nos. through PIP but not yet received from GOI. Again, we proposed 2 (two) Refrigerated Vaccine Delivery Van for State HQ. Vaccine Carrier to be replaced 15,000 nos. and for expansion required additional 8,600 nos. GOI is requested to replace the same before PIP – 2010 -11 BMDI, Hub-Cutter required 18,000 nos. GOI may release at an early date. Addl. Low Voltage Stabilizer requires 261 for the year 2010-11

SERVICE DELIVERY IMPROVEMENTS (2010-11):

Availability : Services facilities are available upto 95.31% Accessibility : 98.00% Utilization / Adequate Coverage : 83.32% Effective Coverage / Quality : 78.40 %

Outreach and Mobile Services for Uncovered Slum Areas of Assam :

Government of Assam is totally committed in building healthy people, not only by making available medical facilities at the door step of every citizen in the remotest corner of the State, but also by providing medical facilities of the highest order.

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Partnership with other agencies / organization: UNICEF supporting technically to 7 (seven) RED districts namely Darrang, Barpeta, Dibrugarh, Golaghat, Sivsagar, Jorhat & Morigaon. Support by UNICEF on Strengthening R.I i) Technical assistants for Micro Planning and review of Routine Immunization. ii) Vaccine Monitoring and Assessment (VMAT) exercise at district and sub regional level vaccine management stores. iii) Support the State level Cold Chain store with Cold Chain and Logistic assistance. iv) Support temperature capturing device for Cold Chain Monitoring in Dibrugarh, Goalpara and Sonitpur. v) Gap-filling supply of Routine Immunization Monitoring tools ( monitoring formats, immunization cards, drop out charts etc) vi) Advocacy and technical support for continuation of biannual VAS + deworming as “ Special Activity”

OBJECTIVE : The overall goal is to increase immunization coverage rates. Based on review of past performance, assessment of critical bottlenecks and planned activities indicate below the current (2009/10).

Immunization Coverage Targets :

Current Planned INDICATORS 2009/10 (Nov’09) 2010/11

BCG coverage (%) 63.24 100% DTP -1 coverage (%) 60.59 98% DPT - 3 coverage (%) 58.89 96% Dist with over 80% DTP -3 coverage – No.(%)

Measles coverage (%) 58.27 % 94% Vit -A coverage (% 2+doses) 70% State with over 70% Vit. -A coverage – No. (%) Drop -out rate BCG – Measles (%) 7.9 % 6.00% Dist with under 6.6% BCG Measles Drop -out – No. 11 Dist. 20 Dist. Children fully vaccinated by 12 months of age (%) 57.13 94%

Key Performance Indicators: Current Planned INDICATORS 2010/11 (up to Nov’10) 2010/11 States with any antigen stock -out more than 1 month BCG, DT, Nil In the last 12 months – No. (%) 49.11% States with AD syringe/Dispo Syr. stock -out more than 1 month Nil Nil In the last 12 months – No. (%)

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Key Performance Indicators:

Current Planned INDICATORS 2009/10 2011/12 Cold chain assessment done within last 3 years Yes One (exact year done or planned) Proportion of ILR registered (not condemned) 0.8% 0.8% Non-functional (%)

Key Performance Indicators:

Current Planned INDICATORS 2010/11 (upto Nov’10) 2010/11 % States with routine immunization micro -plan 90.5 100 available % Villages (over 1,000 population) covered 1 or 92 95 more times a month % Villages (over 1,000 population) covered 1 or 8 5 more times a quarter % Slums / high risk areas covered monthly 62 70 % Urban areas covered monthly 68 76 % Session planned versus session held 90.1 99.5

Key Performance Indicators:

Current Planned INDICATORS 2010/11(upto Nov’10) 2011/12 PHCs using ADS for all immunization (%) 100% 100% PHCs with appropriate waste disposal in place (%) 20% 40%

Key Performance Indicators:

Current Planned INDICATORS 2010/11 2011/12 Reported : 81.54 Gap between reported and evaluated full Evaluated : 15 % Immunization coverage (%) (RRC-N.E-08-09)-57.6 Gap 20.8 %

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Key Performance Indicators:

INDICATORS Current - 2008/09 Planned - 2009/10

ANMs having received refresher training in 73.81% 100% Immunization within the last 3 years (%)

UNICEF SUPPORT IN IMPLEMENTATION OF Immunization –UIP Pt-C , IN ASSAM UNICEF has been working as development partner with the Govt. of Assam. UNICEF has provided support to strengthen Maternal and Child Care services in the state under Health Sector. To address the challenges relating to RI service delivery with quality technical support will focus on strengthening the Government’s health delivery system to improve and sustain RI coverage in the State and focus on decreasing the Drop outs and the left outs thereby improvement in the Routine Immunization and VHND.

The following supports will be provided by UNICEF Assam which are as Follows

1. Support State sensitization and orientation meetings on the second opportunity for measles. 2. Support planning and micro planning meeting for measles immunizations in focus Child Survival districts. 3. Technical support for IEC/BCC activities for the second opportunity of Measles vaccination. 4. Technical support for micro planning and RI reviews. 5. Facilitate sharing of EVM/VMAT exercise at the district and sub regional level vaccine management stores for strengthening the Routine Immunization activities. 6. Support state level cold chain store with cold chain and logistics assistance.

7. Support supply of temperature capturing device for cold chain monitoring, supportive training and IEC. 8. Support Routine Immunization & RCH data analysis and feedback to NRHM at State and District levels through technical institution 9. Strengthening through capacity-building, implementation and monitoring of RI/VHND through consultant support in seven districts and at the state level. . The district consultants will be monitoring the RI / VHND session in the district and provide support in micro planning, cold chain strengthening, improved reporting mechanism at the Block and the district level etc.

STATE SPECIFIC : Strengthening of immunization in Tea gardens of Assam No. of Reputed Tea Companies: 20 nos. Tea Companies with professional asso. : ABITA, ATPA, SVITA, TAI, BCP, NETA

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Group hospitals of Tea-garden are available as referral hospital in Chabua, Tengakhat in Dibrugarh district, Doomdooma, Panitala, Margherita in Tinsukia district Fulbari, Monabari in sonitpur district Paneri in Darrang district Silchar in Cachar district

Strategy :

1. Sensitization / orientation of Garden Managers, Tea Workers and Welfare Officers. 2. Training of MOs & Nurses. 3. Development of Micro-plans. 4. Supply of vaccine and logistics including cold chain equipments. 5. Supervision and monitoring. 6. Monthly / Quarterly Review Meetings.

STRATAGIC PLAN to improve RI For the Year 2011-12

Updating of RI micro plan to cover all outreach and difficult areas, by outreach mobile team. Strengthening of alternate vaccine delivery system and introducing quick mode of transport for vaccine delivery. Establishment of additional vaccine storage centers, by providing solar refrigerator, in areas without power connection and by providing additional cold chain equipments. Ensuring availability of ANM at all sub centers to cover all MCP sites, as per micro-plan. Preparation of advance Supervisory plan and utilization of supervisory checklist during supportive supervision. To reach each Tea-garden area/ Forest Area / border area / remote areas Mobile Team are in position. LHV will co-ordinate with the Tea-Garden Hospitals and concern authorities. Community Self Monitoring Tool to know the Immunization Status of under 1 (one) year children of an Immunization site has been introduced. Supervisory data are being compiled and analyzed at PHC level in each month and feedback and corrective measure (if any ) being taken. Fund flow system has been improved at District level. Fund Flow is planned as per approved District Action Plan and with the knowledge of Addl. CM & HO(FW)/ DIO. District Immunization Core Committee are being formed and monthly/ weekly/ meeting being held with specific Agenda Note. RI in Tea garden areas are being strengthened, by developing plan of operation for Tea Gardens. Development partner UNICEF is actively supporting R.I training activities in Tea Garden areas.

STATE INICIATIVES For the YEAR 2011-12

Hepatitis –B programme was lunched during the year 2004-05 for the piloted districts of Jorhat and Sibsagar. The State of Assam has decided to extent the service of Hepatitis-B Vaccination which is going on Two districts of Assam i.e Jorhat & Sivsagar but these year the Govt. of Assam is

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taking initiative to extend the Vaccination of Hepatitis to all other district of Assam. The proposed estimated beneficiaries is 6.86.265 and for which 4, 63,733 doses of vaccine is required for the year 2011-12. Training will be required for the ANM and Health Workers which is proposed to be included in the Routine Immunization. A District Level Training will be conducted for DIO/ Addl. CM&HO and other @ Rs. 23,000/- per District will total cost of Rs. 6,75,000/-. Implementation of Heb-B Vaccine will be as per Schedule of DPT-1, DPT-2, DPT-3 Vaccines

Japanese Encephalitis :

During the year 2009-10 the J.E Vaccination is being included in the Routine Immunization for the 6 (Six) districts from June’09 in Dibrugarh, Sivasagar, Golaghat, Jorhat, Tinsukia ,Dhemaji, Kamrup, Lakhimpur and Sonitpur. For the next session it will be include in two more district i.e Nagaon and Udalguri from April’11. The proposed estimated beneficiaries and Logistic per Session for the year 2011-12 requirement are :

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STATE : ASSAM

Sl. District Population Vaccination Total J.E. Dose J.E. Vials Diluent AD Syr. Re-Const. No Projected Village Target reqd. reqd. Reqd 0.5 ml Syr. for R.I. for R.I. 1 Dibrugarh 1310976 1255 30152 40103 8021 8021 44113 8823 2 Dhemaji 665252 1447 44971 59811 11962 11962 65793 13159 3 Tinsukia 1237106 1151 83628 111226 22245 22245 122348 24470 4 Golaghat 1029236 1086 69576 92537 18507 18507 101790 20358 5 Jorhat 1085635 866 73389 97607 19521 19521 107368 21474 6 Sibasagar 1328399 881 30553 40636 8127 8127 44699 8940 7 Sonitpur 1948164 2031 88447 117634 23527 23527 129397 25879 8 Kamrup 1590849 1613 72225 96059 19212 19212 105664 21133 9 Lakhimpur 1146312 1625 52043 69217 13843 13843 76138 15228 10 Nagaon 2609236 1971 60012 79817 15963 15963 87798 17560 11 Udalguri 855758 940 19682 26178 5236 5236 28795 5759 ASSAM 11341928.8 11955 544984 724829 144966 144966 797312 159462

The estimated Target is 5,44,984 vaccine requirement of1,44,966 vials along with AD 0.5ml syringes 7,97,312 and re-constitution syringes 1,59,462 is estimated to be required.

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Additionalities from NRHM:

ACTIVITY QUANTITY UNIT COST TOTAL (IN Rs) AMOUNT SN (Rs. IN LAKHS) Hiring of Cold Chain Room at Baska, 1 3 nos. 60,000.00 1.80 Udalguri, Chirang Laptop for Computer Asstt. for DIO for 2 27+1 65,000.00 18.20 tracking of individual infants for Full. Imm. 1 cold Construction of Cold Chain Room and dry chain 3 20,00,000.00 40.00 room at State HQ room + 1 Dry room TOTAL 60.00

ACTION PLAN ON UIP PART-C , ASSAM 2011-12: As per guideline laid down, outline action points for implementing delivery scheme at State / Block level, justifying State or States specific deviation from the establishment norms.

Total Projected Population : 30806271 Pregnant Women Target : 806508 Infant Target : 686265 Vaccination Sites : 30450 Sub - Centers : 4709 Village : 29248 ANM / MPHW : 5215 Addl. ANM : 4726

SERVICE DELIVERY IMPROVEMENT:

Mobilization of Children by ASHA : For every 28105 sites we have got one ASHA per site. Invitation Cards (IPC Slip) to be printed and distributed to ASHA. Missed children/ drop-out children are to be mobilized /invited by ASHA to reduce the drop-out. Tickler Pockets are also used to identify the missed infants. Payment of honorariums (Rs. 150 / month /site).Total Budget Rs.50,589,000/-. Details break up at Annexure C-7.

Focus on Urban Slum: Planned for immunization sessions in urban slum areas / underserved areas of 1299 sites by deputing ANM/ hired ANM. Rs.150/- as Honorarium and Rs.50/- as contingency are to be paid to ANM for holding the session. In addition Rs.300/- per site to be provided for Alternate Delivery of Vaccine/Mobility of vaccinators. Total Budget Rs.-.46,18,800/- Details break up at Focus Urban Slum ( Annexure C-5).

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Remote Area /Hard to Reach Area/ Unreached area : Identified 24953 sites under Tea- Garden Area/ forest area/ Border Area/ Difficult to reach areas /Char areas. For that Mobile-Team will cover the areas.

Focus on Tea Garden Areas : The Mobile-Team consisting of hired ANM will cover the areas. For which Rs. 300/- per site pm is to be provided for Alternate Delivery of Vaccine and mobility of Team in Tea- Garden Area. The Total Budget estimated is Rs. 49, 46,400/-

Focus on Char/Hilly Are/ Forest/Diff. sites Tea Garden Areas: Rs. 350/- per site pm is to be provided for Alternate Delivery of Vaccine and mobility of Team in Char/Hilly/Forest/Diff. area. Total proposed Budget Rs.69, 26,400/-.

Computer Assistant : State Level : Two Comp. Asstt. are placed under State Immunization Officer , Both are entering data monthly which comes from districts. The Stationery may be utilized for the internet facility and for ink or other maintenance of the computer. Even one Logistic Manager cum Data operator is placed which is being technically supported by UNICEF for Vaccine Logistic Management. State Level : Rs. 18,000/- pm each ( 2 person) Computer Stationery : Rs. 5000/- pm Total Budget : Rs. 4,92,000/-. Details Break up at State HQ.

District Level : Already recruited 27 Computer Astt. under DIO at district level, and trained for RIMS . The Stationery may be utilized for the internet facility and for ink or other maintenance of the computer. Remuneration : District Level : Rs. 17160/-pm Computer Stationery : Rs. 1500/- pm Total Budget : Rs. 6,045,840/-. Details Break up at Annexure C-3.

Supervision and Monitoring: At State level, Jt.DHS(UIP), Jt.DHS(MCH), CCO, MCIO, Demographer, Asstt. To DHS will supervise and Monitor the UIP activity of all the districts As per RCH norms Honorarium of Rs.1000/- and Mobility Rs.5.20 per km to be provided. Total Budget Rs.7,20,000/- is proposed. At Dist. Level Addl. CM&HO and DIO will monitor the Immunization. Programme for which Rs. 6,000/- each per month is estimated. At Block PHC level Sr.Medical Officer will look after the Imm. programme and supervise the activity. In addition LHV, BEE, Multi-purpose Worker will supervise the activity in 4 sites per month Sr.MO. Rs.1000/- pm, Sector MO/HE Rs.800/-pm BEE/LHV Rs.400/-pm is proposed. Total Budget at District level is Rs.57,24,000/- and Total Budget at Block Level Supervision is Rs.1,21,51,200-. So, the Total Budget for Supervision is Rs. 1,78,75,200/-. Detail Break up at Annexure C-6 is placed.

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VACCINE DELIVERY (State-District To Cold-Chain pt.) : Vaccine Distribution Plans are prepared to distribute vaccine from State to 27 Dist. HQ by maintaining proper cold-chain. 20 Addl Cold-Chain pt. to be established faciliting with Solar Refrigerator in Char & Hilly Area . For State H.Q. 2 Refrigerated Vaccine Vans are requested. Total Budget proposed is Rs.3,50,59,920/- at State Level. Dist. To PHC : As per Vaccine distribution route map, Vaccine will distribute from 27 Dist.788 Vaccine Storage point by insulated vaccine Van covering 3 PHCs per trip for one month quota. Per trip POL cost Rs. 1500/-, DA of driver Rs.150/-, Loading/ Unloading of Vaccine and syringes Rs. 150/- and maintenance of Vehicle Rs. 5000/- pm is planned. For Hilly Districts 4 four wheel drive vaccine Vans (TATA Mobile) are requested. Total Budget proposed Rs. 1,03,17,588/- .

ALTERNATE DELIVERY OF VACCINE : For 20693 normal sites Alternate arrangement is planned for Vaccine Delivery so that ANM can attend the session site in time. In 2009-10 , 88% sites were covered, but in 11-12 it is arranged for 100%. For 2010-11 Rs. 100/- per normal site is provided. Rs. 32,85,500/- will involve for the purpose . In underserved slum area / char area of 2099 nos. it is planned to provide Rs. 300/- per site for Alternate Vaccine Delivery. Rs.3,94,26,000/- yearly. Total budget from District to PHC is Rs.4,27,11,500/- under POL & Trans. Detail break up at Annexure C-1.

TRAININGS : 2-Days Training. For ANM & LHV, GNM, MPHW : Present position of ANM / MPHW-5215, LHV-456, Contractual ANM-4726, Contractual GNM- 452 i.e. Total manpower is 10849. The number of Training Booklet needed is 11,934 nos. The financial involvement will be Rs. 1,03,53,562/-. Detail break up at Annexure C-14.

Vaccine Handlers Training : 1231 nos. of Vaccine Handlers, against 788 Cold-Chain Storage point, to be trained during 2011-12 1231 nos. as re-fresher for which Rs. 650,955/- will be involved. Detail break up at Annexure C-13. At PHC level Asst. Block Programme Manager will be involved for computerized record keeping of vaccine stock position.

Training ON MICRO-PLANNING : 2-days training on finalization of micro-planning to be organized at State Level for DIO,DPM,DDM,SI(UIP),CA from District in a batch of 6. Rs.6,30,900/- will be involved for the purpose. To develop sub-centre and PHC micro plan all ASHS and ANM to be trained against 5804 sub- centre @Rs.100/- per sub centre which is being proposed for meeting at Block Level for which Rs. 4,59,300/- will be required. For consolidation of micro-plan at Block PHC, Rs.1000/- per block PHC/Urban to be provided for which Rs.354000/- will be required against 176 reporting unit.

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For finalization of District Action Plan Rs.10, 000/- per District for 27 district i.e Rs.2,70, 000/- is estimated. Overall budget for micro planning is Rs.1,083,300/-. The detail break up is placed at Annexure C-10. 3 (Three) day’s Medical officers Training On R.I: District Level: Refresher course on revised Module on RI is scheduled to be conducted on 2011 Medical Officers in a batch of 20-30 to be trained. The fund requirement (as per RCH norms) will be as per following norms: Total Participant : 2101 No. of Batch : 84 Facilitator : State 1, District: 2 TA for Facilitator : Rs. 5.20 per km. Honorarium to Facilitator : State: 1000/- per day, District: 600/- per day Incidental expense : 250/- per participant. Tea-snacks : 150/- per participant. Venue Hiring : 1500/- per batch Perdiem for Participants : Rs.300/- par day per participant.

Total requirement of Fund will be Rs. 39,05,981/-. The detail break up at Annexure-C-11. BLOCK LEVEL DATA HANDLERS TRG. : For streamlining the reporting system the team of Block level Data Handlers to be trained on Reporting system to be conducted by DIO, Cold Chain Officer, Statistical Investigator. The participants will be BEE,LHV,BPM,BAM i.e of participation per Block PHC. The total participants will be 431. The expenditure is estimated as per revised RCH norms. The total Budget is estimated as Rs.2,81,716/-. The details break up at Annexure C-12.

Cold Chain / Vaccine Management (VMAT) Training for MOs. :- The state has decided to conduct a Vaccine Management Training for all the district of Assam as it has resulted for a great improvement in the district and BPHC where the Vaccine Management Training was conducted in the year 2010-11. 2101 no. of MOs in batch of 40- 50 nos. per batch will be conducted. The total Budget is estimated to be Rs. 12,04,545/-. The details break up at Annexure C-13. REVIEW MEETING : State Level: Quarterly Review Meeting to be organized at State HQ for all Jt. DHS, Addl. CM&HO (FW) ,DIO and DPM . The total expenditure will be Rs. 5,65,400/- District Level: Quarterly Review Meeting for MOs, ICDS, CDPO, BPM to be organized at District Level. The proposed fund provision is Rs. 200/- per participant. The total involvement of fund will be Rs. 9,19,800/-. The detail break up at Annexure C-12.

PHC Level:

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For quarterly feedback from ASHA and ANM, PHC level meeting to be organized quarterly. Total participants of ASHA and ANM will be 9324. Expenditure norms will be Rs.40/- per participants and Rs.25/- for refreshment. The total expenditure for 4 meeting in all PHCs will be Rs. 37,69,600/- The detail break up at Annexure C-12.

Cold Chain Maintenance:- District / PHC Level: District and PHC level maintenance cost will be Rs. 18,91,200/- per month for the Sub- Activities : District Cold Chain Contingency : Rs.12000/- pm per District. WIC contingency :Rs.25000/- pm per District for 4 District Repairing of ILR/DF by Ref. Mechanics : Rs. 2400/- per month per District Vaccine Handler : Rs. 200/- pm per Cold Chain point. Cold Chain Assessment : Rs. 200/- per District per month.

For the preparedness for Installation of New WIC & Gen-Set ( in 2 dist.) is estimated to be Rs. 2,36,000/-. Annual requirement of fund will be Rs.28,15,200/-. The detail break up at Annexure C-8.

State Level: In 16 district there is no Refrigerator Mechanic is posted and maintenance work is done centrally through Private Service provider. Two no. of Vaccine Handlers are engaged for State HQ. The monthly remuneration will be Rs. 8000/- each per month. The total Maintenance Fund will be Rs. 41,69,000/-

Cold Chain Room Up-gradation ( WHO Std,) Cold Chain Room of Baska, Chirang, Udalguri, Morigaon, Goalpara, Barpeta, Golaghat, Sivasagar, Darrang and Hailakandi District to be upgraded as per WHO Std, norms as per recommendation of UNICEF Cold Chain expert Mr. Soren Spanner. The area of per Cold Chain Storage point of District HQ will be 30 Sq,m and the cost will be Rs. 7500/- per sq.m. Total Budget will be Rs. 19,00,000/-

Cold Chain Item: Vial opener , Plastic Pouch, Freeze Tag, Battery for Solar Refrigerator, Voltage Stabilizer, Solar Panel, Dial/ Digital Thermometer, Basket for ILR, Automatic Control panel for Genset , Vaccine Trolly etc. to be procured. The total Budget estimated amounting Rs. 67,73,900/-.

Injection Safety: Red/Black Bag, Hub-Cutter, Twin Pole Mounted Bin, Bleaching Powder, Hypoclorite Solution etc. to be procured. In addition 36 nos. of Injection Pits to be developed. The total fund under Injection safety is estimated as Rs. 1,06,04,000/-

Tickler Box/Village Immunization Chart:

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Rs.6,25,000/- is estimated for 1200 nos of Tickler Box / Village Immunization Chart . AEFI Kit : In view for the safety of infants it is proposed to introduce an AEFI Kit for Medical Officers and ANMs AEFI KIT ( For Medical Officer) Drugs Available 1. Inj. Hydrocortisone 2 vial 2. Inj. Adrenaline 4 amp 3. Inj. Avil 2 amp 4. Inj. Calmpose 2 amp 5. Tab Paracetomal 20 tab 6. Tab. Avil 30 tab 7. Disposable Syringe a. 5 ml 4 nos. b. 2 ml 4 nos. c. Insulin Syr. 4 nos. 8. Cotton 2 nos. 9. Adhesive Plaster 1 nos. So, am amount of Rs. 27,60,000/- is estimated on trial basis with 3000 nos. for MOs and 8000 nos. for ANMs.

PRINTING MATERIALS : Immunization card, Imm. Master Register, Invitation Card, tally Sheet, Drop-out Graphics Chart, Temperature Record Book, AEFI booklet, Vaccine Stock Register, Booklet for Mtce. Of Cold-chain to be printed at Departmental Offset Press. Rs. 84,93,200/- will be required for the purpose.

District Specific The 3 ( three) newly created districts requires some addition requirements like hiring of Cold Chain Store, Logistic Vehicles etc for which an addition amount of Rs. 18,00,000 is estimated @ Rs. 50,000/- per district.

Contingency: Contingency fund required for Fax, Telephone etc. State Level :Rs. 2,39,232/- District Level :Rs. 40,68,000/-

Stationery: For State HQ fund for office stationery will be required as Rs.6,00,000/- Accounting of UIP Pt-C : For proper maintenance of account under UIP–pt-C an quarterly audit to be done by CA or Finance Department of State directorate for which it is estimated an amount of Rs. 7,08,000/-

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Total Requirement of Budget for District Budget : Rs. 176,660,784/- and for State Level : Rs. 47,171,452/- . Total UIP-Part-C – budget Required Will be Rs. 223,832,236/- to vaccinate 806508 Pregnant Women and 686265 Infant.

A. Basic information of the State/UT related to Immunization Programme Position Name & Designation Contact No./Email State Immunization Officer Dr. N.N.Deka, SIO 94350 -41887 [email protected] State Cold Chain Officer Er.B.K.Choudhuary 94354 -01095 [email protected] State Level Data Assistant NIL NIL District Immunization Officers (DIO) No. of Districts 27 nos. No. of DIOs in position 27nos.

Target S.No Beneficiaries 2009-10 2010-11 2011-12 1. Pregnant women 808,001 754,486 806508 2. 0 to 1 yr infants 710,332 668,040 686,265 3. 1-2 yr 691127 707,017 708,544 4. 2-5 yr 710,560 749,260 752,546 5. 5 yr 727,186 743,905 745,512 6. 10 yr 733,196 750,053 751,673 7. 16 yr 637,039 651,685 653,093 The following information is to be filled based on the RI micro -plans. Please provide the details of held sessions for 2009-10 & 10-11, while for 2011-12 the number of planned sessions is to be provided:

S.No Routine Immunization Sessions 2010-11 2011-12

1. Total Sessions planned 235261 241231

2. Total Sessions Held 210911

3. No. of Outreach Sessions 26006 24953

4. No. of Fixed site sessions 4709 5497 5. No. of Sessions in Urban Areas 1249 1299 6. No. of Sessions in Rural Areas 21284 19394 7. No. of sessions in hard to reach areas 2099 2886 8. No. of session with hired vaccinators* 1374 1374

B. Existing Support to the State for COLD CHAIN EQUIPMENTS:

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Status of Cold-Chain equipments and Addl. Requirement: 2011-12

ASSAM 2010-11 2011-12 2012-13 Equipme Availa Worki Required Reqd. Required Reqd. Required Reqd. nts/ ble ng Replace Expans Replace Expans Replace Expans Status order ment ion ment ion ment ion WIC 5 5 - - - 1 - - WIF 1 1 - - - 0 - - WIC - 6 6 - - - 1 - - GEN.SET ILR (L) 1137 121 - - 16 149 16 31 ILR (S) 1550 1253 - - 297 24 134 24 D/F (L) 190 174 - - 6 149 16 81 D/F (S) 1212 915 - - 297 124 134 24 Solar 78 20 - - - 20 - 10 (ILR) Solar - 0 - - - 20 - 10 (D/F) Solar - 0 - - - 20 - - Chill Stabilize 1806 1606 280 - 600 200 400 100 rs (Normal) Stabilize 200 200 - 200 100 400 100 200 rs (low voltage) Cold 1035 1035 200 60 400 180 100 200 Boxes (L) Cold - 331 - 50 100 40 80 40 Boxes (s) Vaccine 57500 3295 5000 3000 15000 8600 10000 5000 Carriers 1 Spare Ice 26040 1614 - - 50000 10000 50000 50000 packs 0 41 0 Vaccine 24 10 6 3 14 4 10 2 van (2wd) Vaccine - - - 3 0 4 - 2 van (4wd Refrigera - - - 1 0 2 - - ted Van Hub - - 8123 6000 2000 12000 3000 6000 2000 Cutter Logistic - - 2 - 30 - 8 Carrying Truck DIO’s - - 2 - 30 - 8 Vehicle Mini Bus - - 2 - 30 - 8

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Vaccine stock and requirement (including 25% wastage and 25% buffer) Population : 30806271 P.W: 806508 Infant : 686265 Imm. Sites : 28105 Sess. Planned : Hep-B Target : 686265 J.E Target (RI): 544984

Stock as on Requirement Requirement Requirement Vaccine 31 st Dec’10 2010-11 2011-12 2012-13 TT 5.54 20.00 52.00 52.00 BCG 2.70 17.00 42.00 34.00 OPV 0.20 33.50 83.00 68.00 DPT 2.23 22.50 62.50 80.00 Measles 3.88 10.50 26.00 26.00 Hep B 1.52 2.00 4.63 5.73 JE (Routine) 0.40 5.00 7.24 6.60 DT - - - -

Syringes including wastage of 10% and 25 % buffer

Stock as on Requirement Syringes Requirement 2011-12 Requirement 2012-13 31 st 2010-11 Dec’10 0.1 ml 0.99 5.50 11.32 18.00 0.5 ml 3.41 34.00 72.27 90.00 Reconstitution 5.00 10.43 22.00 Syringes 0.00

Printing of Materials Requirement for 2011-12:

Items Requirement for 2011 -12 Reporting Formats 9 lakhs Immunization Cards 12 lakhs Immunization Master Register 30 thousand MCH Register 30 thousand Temperature Record Book 10 thousand Cold Chain Guide Book 10 thousand Immunization Hand Book for M.Os 4 thousand Immunization Hand Book for ANMs 14 thousand

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Receipt And Utilization of Fund under UIP part C since 2005-06 to 2010-11 (upto Dec’10). Receipt and Expenditure (Rs. In Lakhs) Programs 2006 -07 2007 -08 2008 -09 Receipt Expenditure Receipt Expenditure Receipt Expenditure UIP Part C 669.93 1006.47 669.93 1006.47 1023.96 1009.54

Total Requirement of 2009-10 2010-11 (upto Dec’10) FUND for 2011-12 Programme Receipt Expenditure Receipt Expenditure District State Total UIP Part C 1543.61 1130.13 1167.42 846.09 1766.6 471.7 2238.3

To streamline the component wise statement the following Strategy may be adopted ; 1) Auditor to be appointed by the Director of Health Services (FW) for component wise Audit of UIP-pt.C only. 2) In addition to Society’s Account, another UIP-pt.C account to be opened to be operated by Addl. CM&HO and Accounts Manager at Dist. Level. 3) One internal auditor team may be formed to collect SOE and Physical Progress of the activity.

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COMPONENT- WISE ANNUAL EXPENDITURE STATEMENT / ACHIEVEMENTS UNDER UIP-pt.C, ASSAM FOR THE FINANCIAL YEAR-2010-11 ( upto Dec’10) Funds Funds utilized Reason for Activities as Approved for by the state shortfall with Sl Achievements/ approved the activity as during the respect to the N No of Activities by Govt of per State PIP year 2010-11 target in the state o performed India for 2010-11 ( Upto PIP, if any %age of ( Upto Dec’10) Dec’10) Fund utilized. Vaccine delivery (State to Dist.) 26,38,000 No. of session 1 ( Dist. To 27,00,000/- 43,21,000 held : RI :

PHC) 186532 Remote Area Mobility No. of AVD held :(Normal): 168630 Alt. Vacc. No. of AVD 2 3,48,81,600/- 1,18,21,000/- Delivery held for Slum : 6 501 AVD for remote area session ; 12025 Focus on No. of out - Slum reach 3 57,45,600/- 28,12,000/- Underserve session held: d 504 No. of sess. Mobilization where ASHA 4 of Children 4,85,47,800/- 3,64,20,000/- engaged:18653 by ASHA 2 No. of comp. Comp. Asstt. Asstt. engaged; 5 At Dist 27,72,000/- 24,12,000/- Dist. 27, State At State 2,88,000/- 2,16,000/- HQ: 2 Micro Plan Micro Available: Block 6 8,10,000/- 6,18,000/- Planning : 177nos. S/C : 4712 Review No. of Meeting Dist. Meeting:

Dist. 394 2,82,000/- 2,11,500/- 7 Meeting PHC 27,55,800/- 18,22,000/- Block Meeting:2354 4,05,200/- 4,90,000/- Meeting State State Meeting:18

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Training of Trained : 2688 8 51,30,734/- 38,22,000/- ANMs nos. Training of No. of person 9 Vaccine 6,75,364/- 5,22,000/- trained: 694 Handlers nos. Training for Trained: 1131 10 on RI for 39,06,365/- 32,02,000/- Mos Mos Data No. of person 11 Handlers 1,13,000/- 1,02,000/- trained: 694 Training nos. Ref. Training Trained : 12 for Comp. 68,000/- 0 nos. Asstt. No. of Visits : Supervision State : 18 Dist: 13 State: 1,00,000/- 2,60,000/- 394 Dist: 13,50,000/- 48,08,000/- PHC: 2354 No. of Imm. Card Printed: Printing of 10 lkhs Imm. Card, 14 41,48,000/- 32,12,000/- No .of monitoring monitoring tools tools Printed: 1.80lkhs Activities Performed Cold-Chain Repairing, Volt. Maintenanc 15 Stab e 7,43,000/- 15,00,000/- Spare, dial Dist. & PHC Therm., V.C. At State belt, TA of R/M etc. Cold Chain ,Hub -cutter, 16 Item Thermometer, 8,00,000/- at State Basket for ILR, Volt.stabiliser Activities Injection performed : 17 Safety Red/black Bag, 13,20,000/- 6,12,000/- Materials Vial opener, Plastic pouch etc

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Funds Funds utilized Reason for Activities as Approved for by the state shortfall with Sl Achievements/ approved the activity as during the respect to the N No of Activities by Govt of per State PIP year 2010-11 target in the state o performed India for 2010-11 ( Upto PIP, if any %age of ( Upto Dec’10) Dec’10) Fund utilized. Activities performed; supplied to 18 Tickler Box - 2400l S/C and other Institution Stationery/ Consumable for Major item: computer Marker pen for 19 including 1,28,000/- IWS, office provision Stat, Computer for internet Ink, Internet access for RIMS

20 Contingency 3,60,000/-

Addl. IEC for Imm. Week District Dec.'08 21 specific/ IEC Banner, Poster,

Bill-board, Milking, Street IEC TOTAL 11,67,42,463/ - 8, 46 ,09,500/ - 71.61

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COMPONENT- WISE ANNUAL EXPENDITURE STATEMENT / ACHIEVEMENTS UNDER UIP-pt.C, ASSAM FOR THE FINANCIAL YEAR-2009-10

delivery (State held : RI : 26,38,673/- 1 to Dist.) 240903 27,00,000/- ( Dist. To PHC) No. of session 55,86,521/- Remote Area held : RI :

Mobility 240581 No. of AVD held :(Normal): 198645 No. of AVD held Alt. Vacc. 2 35,411,000/- for Slum : Delivery 3,14,20,370/- 7630 AVD for remote area session ; 19086 No. of out -reach Focus on Slum 2,03,78,000/- 3 31,09,760/- Planned : 6713 Underserved 1,18,04,000/- session held:7630 Mobilization of No. of sess. 4 Children by 482,74,000/- 360,87,150/- where ASHA ASHA engaged:240581 No. of comp. Comp. Asstt. asstt. engaged; 5 At Dist 2,721,600/- 1,602,503/- Dist. 27, State at State 2,98,000/- 2,54,930/- HQ: 2 Micro Plan 6 Micro Planning 8,10,000/- 4,82,194/- Available:264

Review Dist: No. of Meeting 7,73,524/- 2,82,000/- Dist. Meeting: 7 Dist. Meeting Block:17,76,0 34,82,000/- 289, PHC Block Meeting 92/- 4,05,000/- Meeting:2994 State Meeting State: 1,20,030/- Training of 8 58,65,000/- 26,17,212/- trained : 3526 ANMs Training of No. of person 9 Vaccine 7,04,000/- 5,06,591/- trained: 707 Handlers

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Reason for Funds Funds shortfall with Approved for Activities as utilized by Achievements/N respect to the Sl the activity approved by the state o of Activities target in the No as per State Govt of India during the performed state PIP, if any PIP for 2009- year 2009-10 %age of Fund 10 utilized. Training for on Trained: 1800 10 39,07,000/- 22,32,000/- RI for Mos Mos Data Handlers No. of person 11 1,13,000/- 1,79,325/- Training trained: 233 Ref. Training 12 for Comp. 68,000/- 1,63,460/- Trained : 29 nos. Asstt. No. of Visits : Supervision State : 84 13 District Level 1,350,000/- 93,94,678/- Dist:5091, State level 1,00,000/- PHC: 13295 No. of Imm. Card Printing of Printed: immunization 14,00,000 14 Card, 70,00,000/- 32,81,000/- No .of monitoring monitoring tools Printed: tools 14,00,000 Activities Performed Cold-Chain Repairing, Volt. 15 Maintenance Stab Dist. & PHC 4,65,000/- 18,35,998/- Spare, dial At State 17,93,000/- 9,58,038/- Therm., V.C. belt, TA of R/M etc. Cold Chain ,Hub -cutter, 16 Item 17,86,200/- Thermometer, 35,86,000/- at State Basket for ILR, Volt.stabiliser Activities Injection performed : 17 Safety 17,19,000/- 17,14,950/- Red/black Bag, Materials Vial opener,

Plastic pouch etc Activities performed; 18 Tickler Box 11,25,000/- 11,25,000/- supplied to 2400l S/C and other Institution Stationery/ Dist.:20,02,51 Major item: Consumable 0/- Marker pen for for computer 19 IWS, office Stat, including State:2,82,69 Computer Ink, provision for 7/- Internet internet access

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State:1,79,99 20 Contingency 5/-

Addl. IEC for Imm. Week District Dec.'08 21 7,15,930/- specific/ IEC Banner, Poster,

Bill-board, Milking, Street IEC TOTAL 15,43,61,000 11 ,30 ,13 ,9 50 73.21

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COMPONENT- WISE ANNUAL EXPENDITURE STATEMENT / ACHIEVEMENTS UNDER UIP-pt.C, ASSAM FOR THE FINANCIAL YEAR-2008-09 Funds Approve Funds Reason for d Utilized shortfall with SL Activities as for the by the Achievements/ No of respect to the N approved by activity state Activities performed target in the O. Govt of India as during (R.I. April to Nov.+ IW) state PIP, if per State the any PIP year %age of Fund for 2008- 2008-09 Utilized 09 9,581,36 8,605,1 No. of session held : RI : 1 Vaccine delivery 89.81 0/- 24/- 217218, IW :11115 No. of AVD held :(Normal): 262067 Alt. Vacc. 15,522,0 15,606, No. of AVD held for IW : 2 100.54 Delivery 00/- 350/- 32148 AVD for remote area session ; 8956 Focus on 5,094,60 5,028,6 No. of out-reach session 3 Slum/underserve 98.70 0/- 00/- held; 32148 d areas Mobilization of 46,566,4 39,044, No. of sess. where ASHA 4 83.85 Children by ASHA 00/- 000/- engaged: 390440 No. of comp. asstt. Comp. Asstt. At 2,460,00 2,460,0 5 engaged; Dist. 27, 100.00 State & Dist 0/- 00/- State HQ: 2 470,500 6 Micro Planning /- 203,600/ 128,600 No. of meetings held: 7 Review Meeting 63.16 - /- State HQ :11, Dist .: 168 4,314,17 3,184,2 No. of person trained: 8 Training of ANMs 73.81 7/- 08/- 3653 Training of 539,420/ 383,316 No. of person trained: 9 71.06 Vaccine Handlers - /- 1387 Training for CCM 721,285/ 716,221 10 Trained: 1894 Mos 99.30 for Mos - /- No. of Imm. Card Printed: Printing of imm. 4,200,00 3,764,0 14,00,000 11 Card, 89.62 0/- 00/- No. of monitoring tools monitoring tools Printed: 14,00,000 1,450,00 5,256,3 No. of Visits : state : 84 12 Supervision 0/- 75/- Dist : 178, PHC : 9134

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Reason for Achievements/ No of shortfall with SL Activities as Funds Approved Funds Utilized Activities performed respect to the N approved by for the activity as by the state (R.I. April to Nov.+ target in the O. Govt of India per State PIP during the year IW) state PIP, if any for 2008-09 2008-09 %age of Fund Utilized Activities performed Cold-Chain Repairing, Volt. Stab. 13 644,000/- 1,837,350/- Maintenance Spare dial Therm.

,V.C.belt, TA of R/M etc. Hub -cutter, Cold Chain thermometer, 14 6,336,000/- 3,948,367/- 62.32 Item Basket for ILR, Volt.stabiliser Activities performed : Injection Red/black Bag, 15 1,764,000/- 666,000/- 37.76 Safety Vial opener, Plastic pouch etc Activities performed: Tickler Box/ 16 3,000,000/- 1,500,000/- supplied to 2400l S/C 50.00 Hub Cutter and other institution Stationery/ Consumable for computer Major item: Marker including pen for Iws, office 17 152,400/- provision for Stat, Computer Ink, internet Internet access for RIMS No. of Activities performed ; Banner, 18 IEC 7,487,393/- Poster, Street Drama, sticker, milking for 5 IWs 19 Contingency Addl. IEC for Imm. District Week Dec.'08 20 715,930/- specific/ IEC Banner, Poster, Bill- board, Milking, St. IEC TOTAL 102,396,842/- 100,954,734/- 98.59

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COMPONENT- WISE ANNUAL EXPENDITURE STATEMENT / ACHIEVEMENTS UNDER UIP-pt.C, ASSAM FOR THE FINANCIAL YEAR-2007-08

Funds Reason for Funds Approved shortfall Utilized for the with SL Activities as by the activity Achievements/ No of respect to N approved by state As per Activities performed the target O. Govt of India during State PIP in the the year for 2007- state PIP, if 2007-08 08 any No. of session held : RI : Vaccine 19,347,976 6,378,2 1 291433 (91%) 32.97 delivery /- 65/- IW :129,350 (100%) No. of AVD held :(Normal): Alt. Vacc. 21,109,750 26,379, 402,530 2 124.96 Delivery /- 500/- AVD for remote area session ; 6253 Focus on Slum/ 2,266,250/ 2,188,5 No. of out-reach session held; 3 96.57 underserved - 50/- 6253 areas Mobilization No. of sess. where ASHA 75,595,000 22,147, 4 of Children engaged: 29.30 /- 900/- by ASHA IW:111220,RI:147012 Comp. Asstt. 2,100,000/ 2,324,0 No. of comp. asstt. engaged; 5 At State & 110.67 - 00/- Dist. 24, State HQ: 2 Dist Review Meeting/ 3,076,5 No. of meetings held: 6 172,500/- 1783.48 micro 00/- State HQ:11,Dist.: 138 planning Training of 5,378,328/ 2,468,4 7 No. of person trained: 3526 45.90 ANMs - 52/- Training of 111,781 8 Vaccine 517,209/- No. of person trained: 319 21.61 /- Handlers Printing of No. of Imm. Card Printed: immunization 3,000,000/ 4,734,5 14,00,000 9 Card, 157.82 - 50/- No. of monitoring tools monitoring Printed: 14,00,000 tools 1,250,000/ 14,068, No. of Visits: state : 142 10 Supervision 1125.48 - 555/- Dist : 267,PHC : 15715 Activities performed: 7,103,240/ 6,160,5 Repairing, Volt. Stab. 11 Cold-Chain 86.73 - 50/- Spare, dial Therm. V.C. belt, TA of R/M

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COMPONENT- WISE ANNUAL EXPENDITURE STATEMENT / ACHIEVEMENTS UNDER UIP-pt.C, ASSAM FOR THE FINANCIAL YEAR-2006-07

Funds Funds Achievements/ Reason for Approved Activities as Utilized No of shortfall with SL for the approved by by the state Activities respect to the NO. activity as Govt of India during the performed target in the per State year state PIP, if any PIP 2006-07 for 2006-07 No. of session held: RI: 241317 1 Vaccine delivery 5,924,540/- 5,735,559.00 (93%) IW:122,400 (100%) No. of AVD held :(Normal): Alt. Vacc. 12,717,600/ 20,030,000.0 273080 2 Delivery - 0 AVD for remote area session : 6376 Focus on No. of out -reach 3 Slum/underserv 5,090,400/- 2,231,600.00 session held; ed areas 6376 No. of sess. Mobilization of where ASHA Children by 28,448,400/ 13,926,500.0 4 /Link worker ASHA/ - 0 engaged : link worker 139265 No. of comp. Comp. Asstt. At asstt. engaged; 5 2,190,000/- 1,237,800.00 State & Dist Dist. 12,State HQ: 2 No. of meetings Review held: 6 Meeting/ micro 280,000/- 1,070,691.00 State HQ:6,Dist.: planning 92 Training of No. of person 7 996,150/- 4,916,651.00 ANMs trained: 5145 Training of No. of person 8 Vaccine 87,600/- 1,572,760.00 trained: 39319 Handlers for Wic No. of Imm. Card Printed:10,00,00 Printing of imm. 0 9 Card, 1,600,000/- 3,869,069.00 No. of

monitoring tools monitoring tools Printed: 16,00,000

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Funds Funds Achievements/ Reason for Approved Activities as Utilized No of shortfall with SL for the approved by by the state Activities respect to the NO. activity as Govt of India during the performed target in the per State year state PIP, if any PIP 2006-07 for 2006-07 No. of Visits : 14,368,552.0 state : 122 Dist : 10 Supervision 4,200,000/- 0 128, PHC : 7348 Activities performed: Repairing, R/B 11 Cold-Chain 983,500/- 4,814,139.00 Bag, Spare, dial Therm. V.C. belt, TA of R/M etc. Activities 12 Injection Safety 4,139,000/- - performed : Activities 13 Tickler Box - performed; No. of Activities performed ; Banner, Poster, 14 I.E.C. 25,810,611/- Street Drama, sticker, milking for 5 Iws Major item: 15 Stationery 936,000./- Marker pen for Iws, office Stat. Type of activity: 16 Contingency 336,260/- 128,000/- Phone, Fax, Postal, labour 17 District specific - specific Activity: 66,993,450/ 100,647,932/ TOTAL - -

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State Programme Implementation Plan 2011-12

SUMMARY BUDGET for UIP Pt-C, 2011-12, Assam

Sl.No MAJOR HEAD State HQ District Level Total Budget 1. POL& TRANS Vaccine Delivery ( State to Dist) 3505920 3,505,920 Vaccine Delivery ( Dist. To PHC) 10,317,588 10,317,588 2. ALT.VACC.DEL (Normal Sites) 3,285,500 42,711,500 AVD for Underserved Sites 39,426,000 3. COMP.ASSTT for Vacc. & Cold -Chain 492,000 5,559840 6,597,840 Computer Stationery 60,000 486,000 4. Review Meeting State Level 970,400 970,400 5. Review Meeting Dist. Level 919,800 919,800 Block Level 3,769,600 3,769,600 6. FOCUS ON URBAN SLUM AREA 4,618,800 4,618,800 7. Mobility for SUPERVISION 720,000 5,724,000 18,595,200 Block Level 12,151,200 8. MOBILISATION OF CHILDREN 50,589,000 50,589,000 9. COLD -CHAIN MAINTENANCE 4,912,000 2,815,200 7,727,200 10. Injection Safety Materials 11,924,000 11,924,000 11. Tickler Box /Village imm. Chart 625,000 625,000 12. Cold Chain Item 6,773,900 6,773,900 13. Accounting & auditing by CA 708,000 708,000 14. TRAINING i) 2-days Re -orientation of ANM 10,353,562 10,353,562 ii) Vacc./ Cold -Chain Handlers Trg. 650,953 650,953 iii) Bl.Data handlers Trg. On reporting. 281,716 281,716 iv) Trg.on Micro -planning (S/C,PHC) 1,095,200 1,095,200 v) 3-day MOs Trg.on Routine Imm. 3,905,981 3,905,981 vi) Cold -Chain Managemt. Trg.for Mos 1,204,545 1,204,545 vii) Training for Comp.Asstt. 239,800 239,800 15. STATIONERY & CONTINGENCY 600,000 4,068,000 4,668,000

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Sl.No MAJOR HEAD State HQ District Level Total Budget 16. Printing Materials (imm.card, format 12,641,200 12,641,200 etc.) 17. District Specific /Cont. 239,232 1,800,000 2,039,232 18. Focus on Tea -Garden 4,946,400 4,946,400 19. Focus on Char / hilly / Forest & 6,926,400 6,926,400 difficult Sites 20. AEFI Tool Kits for ANM & MO 2,760,000 2,760,000 21. Waste Management 1,765,500 1,765,500 TOTAL DIST. & STATE BUDGET – 201 1-12 47,171,452 176,660,784 223,832,236

ADDITIONAL REQUIREMENT FOR STRENGTHENING IMMUNIZATION.

A. NRHM ADDITIONALITY - - 60,00,000 B. State Level Workshop on AEFI/Hep -B/Measles and JE - 9,20,000 9,20,000

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

H.Q. Budget UIP-pt.C-2011-12 Activity wise Physical Financial Item-wise TOTAL TOTAL Sl.No . MAIN ACTIVITY Sub-Activity Norms NORMS Budget BUDGET Budget Monthly (yearly) 2011-12 2011-12 2011-12 Vacc.Delivery State Level from State to 27 Dist. POL & TRANS. Store Vacc. 27 trips, Syr.-27 trips Av. 4500/- per trip 243,000 2,916,000 3,505,920 for_VACCINE_DE LIVERY Logistics-27 trips 1 & other Logistics Vehicle mtce/ Delivery Rep. 2 VACC. VAN, 2 Trucks 5000/-pm per Veh 20,000 240,000 (A-D-SYRINGES) DA-Driver 54 trip X 2 days 150/-per day 16,200 194,400 Loading/Unloadin g 54 trip X 2 days 120/- each 12,960 155,520

COMPUTER St.Level Renm. 18000/ - X 2 2 ASSTT. Comp.Asstt.-2 Casual-1, Contractual- I pm 36,000 432,000 492,000 & Computer computer consumable & Stationery internet/ Internet Stationery:5000/- 5,000 60,000 Repairing/Station ery acess 3 St.Level Quarterly Participants: 4 person per Dist Review Meeting Review . Honm. : 600/- 64,800.00 259,200 970,400

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

H.Q. Budget UIP-pt.C-2011-12 Activity wise Physical Financial Item-wise TOTAL TOTAL Sl.No . MAIN ACTIVITY Sub-Activity Norms NORMS Budget BUDGET Budget Monthly (yearly) 2011-12 2011-12 2011-12 of District X 27 dist. per meeting X 4 TA : 5.2 per km./ Officers meetings 650/-pm 140,400.00 561,600 Lunch/Tea - for Exp.per meeting: Rs. 242,600/- snacks:250/- 27,000.00 108,000 Jt.DHS, Addl.CMHO, Contingency 5,400.00 21,600 20,000 DIO/DPM Venue Hiring: 5,000 Honm: 1000/ -per 4 Mobility for State Level DHS(FW), Jt.DHS (UIP), CCO day Demographer, MCIO.,Asstt.to Mileage: 5.20 per SUPERVISION DHS km 60,000 720,000 720,000 One day Honm. : 400/ -per 5 Comp.Asstt.trg. refresher Trg. Participants: C.A., S.I.per Dist day 32,400.00 129,600 239,800 for Dist.Computer on RIMS/HMIS Asstt. and State H.Q. TA : 500/-per way 13,800.00 55,200 S.I.and Acct. Lunch/Tea - Manager,. Total Participants: 90 snacks:250/- 8,750.00 35,000 on Imm.Format no.of Batch : 4 -

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

H.Q. Budget UIP-pt.C-2011-12 Activity wise Physical Financial Item-wise TOTAL TOTAL Sl.No . MAIN ACTIVITY Sub-Activity Norms NORMS Budget BUDGET Budget Monthly (yearly) 2011-12 2011-12 2011-12 Honm.for Res. Physical/Financial Exp. Per Batch : 45250/- Person (5) 5,000 20,000 Red/Black Bag 6 Injection Safety (20 mic) 35000 pair (R/B) pm Rs. 1.60 per bag 56,000 672,000 11,924,000 Hub -Cutter Rs.1200/ -+Tax Materials (BMDI) QTY; 6000 Nos (500 Nos. pm) (13.5%) + Fr. 681,000 8,172,000 Hypoclorite Solution Qty.500ml bottlesX 800 X 2 Rs. 300/- per bottle 240,000 480,000 Injection Pits For block PHC/urban : 36 nos. 25000/- each 75,000 900,000 av. 2 nos. pm, Dia:3.5ft,depth:12ft Total Rs. 900000/- Twin Pole One Set per Vacc. Store, Qty.= Rs.800/ - each (40 mounted Bin 800 pair lit) 106,667 1,280,000 1 pkt per Vacc.Store per 7 Bleaching Powder month Rs.35/- per pkt. 35,000 420,000

Cold-Chain Item Vial Opener 20000 Nos.pm 3.50 each 70,000 840,000 6,773,900

Plastic Pouch 20000 Nos.pm for V/C 1.50 each 30,000 360,000 Fridge Tag Alarm for DPT Vacc at 0 Deg.C: 1200 each , Total

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

H.Q. Budget UIP-pt.C-2011-12 Activity wise Physical Financial Item-wise TOTAL TOTAL Sl.No . MAIN ACTIVITY Sub-Activity Norms NORMS Budget BUDGET Budget Monthly (yearly) 2011-12 2011-12 2011-12 30 pm 432000/ - 36,000 432,000 Computerised Tini tag Temp.monitoring for ILR 600/- each, 600 nos 30,000 360,000 Battery for Solar Refr. Replacement of 30 batteries 12000 each 30,000 360,000

Voltage Stabilizer 300 Nos. Rs.3800/-+13.5 % 107,825 1,293,900

solar Panel 4 Nos. Rs. 80,000/- each 26,667 320,000 Dial / Dig. Thermometer 100Nos.pm / total:1200 nos Rs. 400/- 29,000 348,000 total; 1800 nos for MSL & Vaccine carrier J.E.camp. Rs. 1200/-, 180,000 2,160,000

Vaccine Trolly 30 Nos Rs. 10000 25,000 300,000

Repairing:ILR/DF/ ILR/DF;1500/ - Cold-Chain WIC ILR/DF ; 14 Nos pm WIC:12000/- 45,000 540,000 4,912,000 Installation& maintenance Comm. new ILR/DF: 500 nos Rs. 800/- each 33,333 400,000

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

H.Q. Budget UIP-pt.C-2011-12 Activity wise Physical Financial Item-wise TOTAL TOTAL Sl.No . MAIN ACTIVITY Sub-Activity Norms NORMS Budget BUDGET Budget Monthly (yearly) 2011-12 2011-12 2011-12 Contractual Where no Refr.Mech.is posted Rs.14000/ -per Refr.Mech ( 9 Dist.)/ AMC Dist.per month 126,000 1,512,000 Technical Asstt.at Under CCO for Cold -Chain State Store 15000 per pm 15,000 180,000 Vacc/Logistic Under CCO for State Cold - Manager Chain Store 18000 per month 18,000 216,000

Spare-parts / gas locally available 50000 pm 50,000 600,000 Solar Refriger. Refresher Training for all 144000/ - for one 8 workshop Refr.Mech. meet. 12,000 144,000 Electrification & Phase -I in 27 Dist. Cold -chain 40000 per cold - earthing / vacc. Store chain centre 90,000 1,080,000

Cleaner Cleaning State Store 4000/- 4,000 48,000

Vaccine Handlers 2 person 8000/- each 16,000 192,000

Drop -out Tracing TICKLER BOX / pocket 14 pocket, Qty.1200 nos T/Box: 625/- each 52,083 625,000 625,000 Village Imm.

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

H.Q. Budget UIP-pt.C-2011-12 Activity wise Physical Financial Item-wise TOTAL TOTAL Sl.No . MAIN ACTIVITY Sub-Activity Norms NORMS Budget BUDGET Budget Monthly (yearly) 2011-12 2011-12 2011-12 Chart

9 STATIONERY Office Stationery 50,000 600,000 600,000 Accounting -UIP - 149 Block,27 Dist.HQ & State Block :3000/ - 10 pt.C Audited by C.A. HQ ,Dist.HQ:8000/- 59,000 708,000 708,000 Compilation at Guwahati State HQ : 25000/- Printing Materials Reporting Format 300000 sheets 0.8 each sheet 20,000 240,000 12,641,200 ( FW -Offset Imm.Card (10 Press) pg,multi-co) 800000 Nos. Rs. 11/- each 733,333 8,800,000 Jacket for 11 imm.card 800000 Nos. Rs.2/- each 133,333 1,600,000

tally sheets 30000 nos pm x 12 0.80 each 24,000 288,000 Imm.Master Register 10000 Nos Rs. 44/- each 36,667 440,000 Drop -Out Graphics Chart 27000 Nos. Rs. 8/- each 18,000 216,000 Invitation Slip for missed 30000 Slip pm Rs. 0.35 21,000 252,000

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State Programme Implementation Plan 2011-12

BUDGET FOR ROUTINE IMMUNIZATION AT STATE HQ (2011-12)

Cold-Chain Book 8000 Books X 40 pages Rs.0.80 per pg. 21,333 256,000 Temp.Record Book 6,000 BookX26pg. Rs.0.70 per pg. 9,100 109,200 FAX,Telephone,p 12 CONTINGENCY ostal for RI Cell 20000/- pm 19,936 239,232 239,232

Emergency Life Rs.210/ - per ANM's 13 AEFI Tool Kits saving ANM's Tool kits: 8000 Nos kits 140,000 1,680,000 2,760,000 drug kits upto S/C Rs.360/ - per MO's level MO's Tool Kits : 3000 Nos kits 90,000 1,080,000

TOTAL BUDGET STATE-HQ UIP-pt.C, 2011-12 4,327,654 47,171,452 47,171,452

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A) BUDGET FOR ROUTINE IMM. FOR DISTRICTS under UIP (Pt. C), 2011-12, Assam

District Budget UIP-pt.C,2011-12 Dist. Level Dist.wise TOTAL Sl.No. MAIN ACTIVITY Sub-Activity Physical Norms Financial Norms yrly. Budget breakup Budget 2011-12 at POL:1200/ - per Storage pt.843 trip DA of Driver:100/ - 1 POL & TRANS. For Dist. To PHC Vacc. No.of Veh. Trips; 290, Av.3 Unloading : 100/- 10,317,588 C-1 Vaccine Delivery Trans PHC per trip per trip, 10,317,588 Veh.Mtce:3000/-

Alternate Vaccine AVD for Normal Site:26006 100/-pm per site 3,285,500 C-2 42,711,500 300/ -pm per Delivery PHC to Session Sites AVD for Difficult Site:2099 39,426,000 U.site Dist. COMPUTER Renm.: 17,160 /- Comp.Asstt.- 27 Contactual-27 5,559,840 C-3 ASSTT. pm 6,045,840 2 Stationery: 15 00/ - & Computer Stationery Repairing/Stationery Internet/telephone/AMC 486,000 pm TA: Rs. 200/ per District Review participants:MOs,ICDS, participant , Rs. Review Meeting quarterly @ 200 per 919,800 C-4 CDPO, BPM X 511 100/- X 4 x 511 per 4,689,400 participant 3 qr.(Lunch) Rs.40/ -per PHC review meeting Participants: ASHA, ANM, participant Rs. 25/- 3,769,600 Quarterly FEEDBACK (9324) refreshment

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State Programme Implementation Plan 2011-12

District Budget UIP-pt.C,2011-12

Dist. Level Dist.wise TOTAL Sl.No. MAIN ACTIVITY Sub-Activity Physical Norms Financial Norms yrly. Budget breakup Budget 2011-12 at Honm.ANM - Focus on Urban urban Slum : 1368 4,618,800 C-5 Rs.300/- 4,618,800 Slum Area Cont. Rs. 50/-

Mobility for District Level ACM&HO, DIO :2 5000 pm per head 5,724,000 17,875,200 4 SUPERVISION PHC LEVEL Sr.M&HO : 175 1000/-pm 12,151,200 C-6 Sector Level Mos : 705 500/- pm

BEE/LHV/Others 400/- pm

a) Mobilisation of GOI norms; Rs.150/- per MOBILISATION OF Revised norms 5 Children by ASHA / Sess. Site pm for 26971 sites 50,589,000 C-7 CHILDREN Rs. 250/- per F.I. 50,589,000 Link workers pm

Cold-Chain District Level Mtce TA/DA of Refr. Mech 2000/- pm 312,000 C-8 2,815,200 maintenance Dist C.C. contingency 12000/- ,25000 pa 376,000

7 WIC Installation (Dib, (126000/ -+ 236,000 Silchar) 110000) Vaccine Handlers : 788 x 2 200/-per CC- PHC level Mtce 1,891,200 per C.Cpt. centre pm

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State Programme Implementation Plan 2011-12

Dist. Level TOTAL Dist.wise Sl.No. MAIN ACTIVITY Sub-Activity Physical Norms Financial Norms yrly. Budget Budget breakup 2011-12 at Perdium:150/- 2-days Re-orientation Already Trained; 10-11; TRAINING pdX2 lunch/Tea: C-9 of ANM (5376) 4305 10,353,562 10,353,562 200/-X2 i) Pending Trg. 10-11: 1789 Res.P; 600/-+TA

To be Trained (11 -12): Inst.Cost: 15% 5376

ii) Vaccine Handlers Trg. 1387 Vaccine Handlers perdium:200/- pd 650,953 C-10 650,953 to be Trained Lunch/Tea: 200/-

7 t.Facilitator:1000/- TA : 5.2 per km

To be conducted by DIO, 4 participants per Block Level Data iii) CCO for BEE, LHV, BPM, block (790),RCH 281,716 C-11 Handlers Training 281,716 BAM under UIP-pt-C norms Rs.100/ - per S/c Rs.1000/- per PHC To develop sub-centre iv) Prepn. of Micro Plan / CHC Level, C-12 and PHC Microplans 1,095,200 1,095,200 Rs.5000/- per Dist. Level Perdiem: 300/ - Refresher course on 3-day Medical per day, unch/Tea revised Module of RI v) Officers Training on : 200/- St. C-13 Training. Mos to be 3,905,981 3,905,981 Routine Imm. (2262) Facilitator : 1000/- trained; 2262 TA: Rs.5.20 perkm.

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Dist. Level Dist.wise TOTAL Sl.No. MAIN ACTIVITY Sub-Activity Physical Norms Financial Norms yrly. Budget breakup Budget 2011-12 at Perdiem: 300/ - per day, Cold-Chain Lunch/Tea : 150/- vi) Management C-15 St.Facilitator : 1,204,545 1,204,545 Training for MOs 1000/- TA: Rs.5.20 per km. Implementation Stationery: 5000/ - 8. CONTINGENCY Dist. Level for 27 dist. HQ 4,068,000 C-14 Cont. pm 4,068,000 (No. other sources At AddlCM&HO(FW)'s Contingency:

available) Office 3000/-pm Hiring of Cold -Chain New Districts : Chirang, Store, Vacc.Handlers, Rs.50000/- per 9. District Specific Baska, Udalguri under 150,000 1,800,000 Logistic Vehicle, Genr. Dist per year BTAD Area Set., tea-Garden monthly Mobile Team,supervision, Addl. Rs.300/-per 10. Focus on Tea-Garden 412,200 4,946,400 session sites:1374, Meeting ,IPC reqd. site per month Focus on Char/Hilly Addl.Boat fare/Porter Total Difficult sites: Addl. Rs.200/-per 11. area/ Forest/ Diff. charge etc. as special 577,200 6,926,400 2886 site per month sites mobility reqd. Disposal of Waste Collection from sites to Rs.1500/- per 12. Waste Management materials after 147,125 1,765,500 destroy at BPHC BPHC pm session

TOTAL BUDGET DIST.-27 UIP-pt.C, 2010-11 162,361,884 176,660,784

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State Programme Implementation Plan 2011-12

Budget For UIP-Pt-C-2011-12, Assam

ACTVITY AMOUNT (IN Rs.)

District Budget 176,660,784.00

State Budget 47,171,452.00

Total Budget 223,832,236.00

Additionalities From NRHM Fund: Rs.60,00,000/-

State Level Workshop on AEFI/Hep-B/Measles and JE : Rs. 9,20,000/-

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