2013
Ministry of Health & Family
Welfare, Government of India
APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN 2013-14: CHHATTISGARH
Preface
FY 2012-13 has been a year of intense activity: States have responded very positively to conditionalities and incentives, programme management has been strengthened with the appointment of nodal persons for each thematic areas and introduction of Score Cards, JSSK has made further inroads, RBSK has been initiated and Child Survival Summit at Mahabalipuram provided an opportunity to take stock of our achievements and reflect on the challenges ahead.
I suggest that 2013-14 is treated as the “YEAR OF CONSOLIDATION” with focus on increased effectiveness and efficiency.
I would also like to draw your attention towards nursing which is the backbone of the public health but has remained on the backburner for the sometime. FY 2013-14 should be “dedicated to strengthening of the nurse cadre”. I would urge you to fill up all vacant positions of ANMs, Nurses, LHVs and PHNs and ensure that they become an integral part of planning, implementation and monitoring.
Effective monitoring and supportive supervision has the potential to yield tangible gains in a relatively short period of time but is still our weakest link. More meaningful use of HMIS and MCTS is way forward. We will be routinely using both HMIS and MCTS including Score Cards for all our reviews.
I am confident that under the able leadership of State Health Secretaries and Mission Directors the country would make visible progress in making the goal of “Health for All” a reality.
Anuradha Gupta Additional Secretary & Mission Director, NRHM
F. No. 10 (18)/2013-NRHM-1 Government of India Ministry of Health & Family Welfare (National Rural Health Mission)
Nirman Bhavan, New Delhi Dated 24th May 2013
To
The Mission Director National Rural Health Mission (Chhattisgarh) D.K.S. Bhwan, Mantralaya Parisar, Raipur Chhattisgarh.
Subject: Approval of NRHM State Programme Implementation Plan for the year 2013-14
Sir,
This refers to the Programme Implementation Plan for the year 2013-14 submitted by the State and subsequent discussions in the NPCC meeting held on 3rd May, 2013 at New Delhi.
2. Against a resource envelope of Rs. 715.93 crores, the administrative approval of PIP for your State is conveyed for an amount of Rs 693.96 crores. Details are provided in Table A, B and C below. Uncommitted and unspent balance available under NRHM as on 01.04.2013 would also be a part of the resource envelope.
TABLE- A
Rs.Crores Uncommitted unspent balance available under NRHM as on 1.4.2013 102.41
GOI Resource Envelope for 2013-14 under NRHM 414.13 (assuming no reduction on account of conditionalities)
Assuming 10% incentive based on performance 46.01
25% State Share (2013-14) 153.38
Total 715.93
TABLE- B
(Rs in Crores)
S.No. Name of Programme Uncommitted Unspent GOI Resource Total Balance available Envelope under NRHM as on under NRHM 01.04.2013 2013-14 1 RCH Flexible Pool 56.02 126.88 182.9 2 Mission Flexible Pool 43.5 143.44 186.94 Immunization (from RCH 3 Flexible Pool) 0 6.36 6.36 4 NIDDCP 0 0.24 0.24 5 IDSP 0.25 1.46 1.71 6 NVBDCP 1.24 29.99 31.23 7 NLEP 1.68 1.68 8 RNTCP 1.4 14.41 15.81 Infrastructure Maintenance (Treasury 9 Route) 130.74 130.74 10 PPI Operational Cost 0 4.94 4.94 11 25% State Share 153.38 153.38 Total- Resource Envelope 102.41 613.52 715.93 Committed Unspent balance up to 2012-13 280.71 to be revalidated in 2013-14
The funds under NIDDCP and Infrastructure Maintenance is routed through treasury, however their state share will be credited in the bank accounts of State Health Society and will be utilized for activities that are approved.
TABLE- C
SUMMARY OFAPPROVAL
Sr. Approved Amount Scheme/Programme Annex ref No. (Rs. Crores) 1. RCH Flexipool 228.28 1 2. NRHM Flexipool 242.60 2 3. Immunization and PPI operation cost 30.45 3 SUMMARY OFAPPROVAL
Sr. Approved Amount Scheme/Programme Annex ref No. (Rs. Crores) 4. NIDDCP 0.24 4A
5. IDSP 3.68 4B
6. NVBDCP 30.46 4C
7. NLEP 45.92 4D
8. RNTCP 22.92 4E
9. Infrastructure maintenance (Treasury route) 130.74
Total 693.96
3. State to convey the district approvals to the districts within 15 days of receiving the State RoP approvals. High priority districts must receive at least 30% more budget per capita compared to the other districts.
4. All buildings supported under NRHM should prominently carry NRHM logo in English/ Hindi & regional languages.
5. All ambulances to be branded as „National Ambulance Services‟ and adhere to the colour, design and logo as communicated by MOHFW.
6. All MMU to be branded as „National Mobile Medical Unit‟ and adhere to the colour, design and logo scheme as communicated by MOHFW.
7. The support under NRHM is intended to supplement and support and not to substitute state expenditure. All the support for HR will be to the extent of positions engaged over and above the regular positions.
Release of funds
8. Action on the following issues would be looked at while considering the release of second tranche of funds:
Compliance with conditionalities.
Physical and financial progress made by the State as communicated through the FMR.
Release of 25% of the State share, based on updated release of funds by Government of India, to the account of the State Health Society.
Timely submission of Statutory Audit Report and Utilization Certificates for the year 2011- 12 for the release of first installment, Timely submission of Statutory Audit Report for the year 2012-13 for the release of 2nd installment.
Performance on key conditionalities including mandatory disclosures and incentives will determine the final release.
Compliance of the provisions of the extant MoU between GOI, MOHFW and the State Government.
Other aspects
9. State shall ensure submission of quarterly report on physical progress against targets and expenditure including an analysis of adverse variances and corrective action proposed to be taken.
10. The State shall not make any change in allocation among different budget heads without approval of GoI.
11. The accounts of State/ grantee institution/ organization shall be open to inspection by the sanctioning authority and audit by the Comptroller& Auditor General of India under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health & Family Welfare.
12. State shall ensure submission of details of unspent balance indicating inter alia, funds released in advance & funds available under State Health Societies. The State shall also intimate the interest amount earned on unspent balance. This amount can be spent against approved activities.
Yours faithfully,
(Dr. Ashish. C. Verma) Director (NRHM)
APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14: CHHATTISGARH
CONTENTS PAGE NO. SUMMARY State specific goals 1 Key conditionalities and incentives 4 Finance: key issues and guiding principles 7 Road map for priority action 9 Approved budget (by program and function) 14 REPRODUCTIVE AND CHILD HEALTH Maternal Health 22 Child Health, RBSK (SHP) & Immunization 35 Family Planning 57 Adolescent Health 68 Urban RCH 73 PC-PNDT 75 Tribal RCH 79 Human Resources 81 Program management 93 Others 100 MISSION FLEXI POOL ASHA 101 Untied funds/RKS/AMG 120 New constructions/ renovation and setting up 123 Procurement 126 Mobile medical unit 132 Referral Transport 133 AYUSH 135 IEC / BCC 139 Monitoring and evaluation (HMIS/MCTS) 142 Others 150 NATIONAL DISEASE CONTROL PROGRAMMES National Iodine Deficiency Disorders Control Programme (NIDDCP) 159 Integrated Disease Surveillance Programme(IDSP) 162 National Vector Borne Disease Control Programme (NVBDCP) 165 National Leprosy Eradication Programme (NLEP) 177 Revised National Tuberculosis Control Programme (RNTCP) 181 National Programme for Prevention and Control of Flurosis 186 Annexure
Annex (Detailed budgets)
1. RCH Flexible Pool
2. Mission Flexible pool
3. Immunization and PPI Operation Cost
4A . National Iodine Deficiency Disorders Control Programme (NIDDCP)
4B . Integrated Disease Surveillance Programme (IDSP)
4C . National Vector Borne Disease Control Programme (NVBDCP)
4D . National Leprosy Eradication Programme (NLEP)
4E .Revised National Tuberculosis Control Programme (RNTCP)
4F . National Programme for Prevention and Control of Flurosis
4. Human Resources
5. Programme Management
6.
A. New Constructions
B. Ongoing works for CHC Upgradation
C. Ongoing construction of staff quarters at DHs, CHCs and 24X7 PHCs
D. MCH Wings
SUMMARY
STATE-SPECIFIC GOALS
The following are the agreed goals and service delivery targets for the state of Chhattisgarh:
Indicator CURRENT CAD (%) State Targets
India Chhattisga India Chhattisg 2013-14 2014-15 Target for CAD rh arh 12th Plan (%)
Maternal Health
MMR (SRS 07- 212 269 -5.8 -7.1 164 149 122 -9.4 09)
Child Health U5MR (SRS 55 57 -7.3 -7.1 46 41 - -10.2 2011) IMR (SRS 2011) 44 48 -6.0 -5.6 39 35 28 -10.2
NMR (SRS 2011) 31 34 -4.0 -4.5 28 25 - -10.2 Family Planning
TFR (SRS 2011) 2.4 2.7 -2.6 -3.5 2.56 2.49 2.36 -2.64
Note CAD: Compounded Annual Decline; MMR from 04-06 to 07-09; U5MR; IMR; NMR and TFR from 2008 to 2011; targets from latest current status to 2015.
Approval of State PIP 2013-14: Chhattisgarh
SERVICE DELIVERY TARGETS
DLHS-2 DLHS-3 State Targets CES Indicators (2002- (2007- (2009) 2013-14 04) 08)
Maternal Health
Mothers who had 3 or more ANCs 44.4% 51.2% ..
Deliveries taking place in public 324500 (50% of 18.1% 18.1% facilities* estimated deliveries) Caesarean Section rate in public health 32450 (10% of Instl facilities deliveries) Line listing and follow up of Severely Anaemic pregnant women 7658
Child Health Full Immunisation (%) 56.9% 59.3% 57.3% 80%
New borns visited by ASHA (as 3,60,903 per HBNC guidelines) (70%)
Line listing and follow up of Low 40,421 Birth Weight babies 121630 18.1 % of live births (State HMIS) (70%) Rural Nos; (% of live births)
Percentage of SNCUs admitting at 80% least 6 babies per month per bed
Family Planning 127029 Female sterilisations (lakhs) 165000 (HMIS 2011-12) 3668 Post-Partum sterilizations (lakhs) 5000 (HMIS 2011-12) 6809 Male sterilisations (lakhs) 26000 (HMIS 2011-12) 78310 IUD insertions (lakhs) 160000 (HMIS 2011- Disease Control 12) 13.57% 13.33 % (2012) ABER for malaria (%) >15% (2011)
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API for malaria (per 1000 5.39 4.43 <2 population) Annualized New Smear Positive 53% (2012) 70% Detection Rate of TB (%) Success Rate of New Smear Positive Treatment initiated on 89% (2012) 90% DOTS (%)
* DLHS and CES data reflect achievement in both public and private facilities. Performance to be assessed on the basis of MCTS and NIKSHAY, where available and on the basis of facility wise HMIS in other cases
High Priority Districts
Performance against the above service delivery indicators in the 5 high priority districts (Bijapur, Bilaspur, Dantewada, Jashpur, and Surguja) out of a total of 27 districts should be at least, on par with the state average; and subsequently in line with the performance of the top 10% of districts.
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KEY CONDITIONALITIES AND INCENTIVES
Chhattisgarh has made significant progress in responding to conditionalities particularly in the rational deployment of Human Resoruces, Mobile Medical Units, and Referral Transport. Following conditionalities shall be adhered to by the States and are to be treated as non-negotiables:
Mandatory disclosures
1. The State must ensure mandatory disclosure on the state NRHM website of the following and act on the information:
Facility wise deployment of all HR including contractual staff engaged under NRHM with name and designation.
Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule and service delivery data on a monthly basis. Patient Transport ambulances and emergency response ambulances- total number of vehicles, types of vehicle, registration number of vehicles, service delivery data including clients served and kilometres logged on a monthly basis. All procurements- including details of equipments procured (as per directions of CIC which have been communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011- H' dated 28th November 2011.). Buildings under construction/renovation –total number, name of the facility/hospital along with costs, executing agency and execution charges (if any), date of start & expected date of completion. Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise supervisory plan and reports should be uploaded on the website. NGOs/PPP funded under NRHM would be treated as 'public authority' and will fall under the ambit of the RTI Act 2005 under Section 2(h). Further, details of funds allotted /released to NGOs/PPP to be uploaded on website. 2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism through AADHAAR enabled payment system/Core Banking Solution where DBT mechanism has been rolled out. Further, cash payment or bearer cheque payment is henceforth disallowed across the States. 3. Timely updation of MCTS and HMIS data including facility wise reporting 4. Line listing of high risk pregnant women, including extremely anaemic and Low Birth Weight (LBW) babies.
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KEY CONDITIONALITIES
5. As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Rational and equitable deployment of HR1 with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit2 and corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its continuation for the next six months would be contingent on compliance of the above four conditionalities. Further, it is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending. Therefore, from 1st October 2013, under NRHM, funds for salary to contractual HR would be granted only to make payments to contractual staff over and above the sanctioned regular positions in the State. e) Gaps in implementation of JSSK may lead to a reduction in outlay upto 10% of RCH base flexipool.
INCENTIVES
6. Initiatives in the following areas would draw additional allocations by way of incentivisation of performance: a) Responsiveness, transparency and accountability (upto 8% of the outlay). b) Quality assurance (upto 3% of the outlay). c) Inter-sectoral convergence (upto 3% of the outlay). d) Recording of vital events including strengthening of civil registration of births and deaths (upto 2% of the outlay). e) Creation of a public health cadre (by states which do not have it already) (upto 5% of the outlay) f) Policy and systems to provide free generic medicines to all in public health facilities (upto 5% of the outlay) g) Timely roll out of RBSK (upto 5% of the outlay)
1 Many states have put in a place an HR policy which lays down norms of transfer and posting. It is expected that the States would now implement the policy. Rational and equitable deployment would include posting of staff on the basis of case load, posting of specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained doctors in FRUs, optimal utilization of specialists in FRUs and above and filling up vacancies in peripheral facilities in high focus/ remote areas.
2 Facility wise performance audit will also include the facility wise score card being developed.
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h) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their requirement, to regulate the quality and cost of health care in different public and private health facilities in the State (upto 5% of outlay). i) States providing more than 10% increase in its annual health budget as compared to the previous year will attract additional incentive. j) States to implement the nurse practitioner model to strengthen the nursing services. Note:
The Framework for Implementation of NRHM to be strictly adhered to while implementing the approved PIP. State should adhere to the clauses mentioned in the MOU signed and achieve the agreed performance benchmarks.
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FINANCE: KEY ISSUES AND GUIDING PRINCIPLES
1. Quarterly FMR must be submitted on time with both physical and financial progress duly reflected. 2. State must also furnish a monthly statement of fund position and expenditure in format prescribed in the operational guidelines, as Annexure XXIII and XXIV. 3. Status of Contribution of state share: (Rs. in crore) Amount Amounts Credited in Year Release required on basis Short/ (Excess) SHS Bank of releases A/C 2007-08 152.72 26.95 12.00 14.95
2008-09 214.23 37.81 35.00 2.81
2009-10 235.09 41.49 31.11 10.38
2010-11 299.45 52.84 47.00 5.84
2011-12 357.44 63.08 94.00 -30.92
2012-13 369.01 123.00 134.99 -11.99
Total 1,627.94 345.17 354.10 -8.93
State share for the 11th Plan period (2007-08 to 2011-12) is calculated on the basis of release made to the state (excluding three disease control programme i.e RNTCP, NPCB & NVBDCP) and from 12th plan period i.e. 2012-13 onwards release made to all programme under NRHM is considered. Further, with effect from 2012-13, State’s share would be 25%.
4. Release of funds up to 100% of BE for the year 2013-14, would be contingent on the State providing Utilisation Certificate against the grant released to the state up to 2011-12 for all the programme. The status of Pending Utilization Certificates for NRHM-RCH Flexible Pool against funds released up to 2011-12 are as under :
Programme Amount (In Crore)
RCH Flexible Pool 42.05
Mission Flexible Pool 125.08
Total 167.13
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5. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for release of 2nd tranche of funds. 6. Timely submission of Statutory Audit Report for the year 2012-13 is a must for release of 2nd tranche of funds. 7. State is required to comply with the instructions and/or guidelines issued for maintenance of bank account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012. 8. State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis (2013-14) and Audit Report Analysis for FY 2012-13. 9. State needs to strengthen the internal control procedures/mechanism for all transactions. 10. State should ensure proper maintenance of books of accounts at district and block level as per the operational guidelines for NRHM issued by the Ministry. 11. Appointment of Auditor for the year 2012-13 must be completed in the first quarter of 2013-14 as per the RFP issued by this Ministry. 12. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules, regulations, and procedures to maintain financial discipline and integrity particularly with regard to procurement; competitive bidding must be ensured and only need-based procurement should take place. 13. State should ensure expenditure upto 15% by June 2013 and another 30% by September 2013 of their approved budget under each pool in the FY 2013-14
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ROAD MAP FOR PRIORITY ACTION
NRHM must take a „systems approach‟ to Health. It is imperative that States take a holistic view and work towards putting in place policies and systems in several strategic areas so that there are optimal returns on investments made under NRHM. For effective outcomes, a sector wide implementation plan would be essential; states would be expected to prepare such a plan with effect from next year. Some of the key strategic areas in this regard are outlined below for urgent and accelerated action on the part of the State:
S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
PUBLIC HEALTH PLANNING & FINANCING
1. Planning and financing Mapping of facilities, differential planning for districts / blocks with poor health indicators; resources not to be spread too thin / targeted investments; at least 10% annual increase in state health budget (plan) over and above State share to NRHM resource envelope; addressing verticality in health programmes; planning for full spectrum of health services; emphasis on quality assurance in delivery points
2. Management Full time Mission Director for NRHM and a full-time Director/ strengthening Jt. Director/ Dy. Director Finance, not holding any additional responsibility outside the health department; fully staffed programme management support units at state, district and block levels; selection of staff to key positions such as head of health at the district and block level and facility-in charge to be based on performance; stability of tenure to be assured; training of key health functionaries in planning and use of data. Strong integration with Health & FW and AYUSH directorates
3. Developing a strong Separate public health cadre, induction training for Public Health focus all key cadres; public health training for doctors Working in health administrative positions; strengthening of public health nursing cadre, enactment of Public Health Act
HUMAN RESOURCES
4. HR policies for Minimizing regular vacancies; expeditious recruitment doctors, nurses (eg. taking recruitment of MOs out of Public Service paramedical staff and Commission purview); merit –based and transparent selection; programme management recruitment rules to be aligned to needs of health human staff resource; opportunities for career progression and professional development; rational and equitable deployment; effective skills utilization; stability of tenure; sustainability of contractual human resources under RCH / NRHM and plan for their inclusion in
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S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
State budget; suitable performance measurement mechanism and performance based incentives.
5. HR Accountability Facility based monitoring; incentives for both the health service provider and the facility based on functioning; performance appraisal against benchmarks; renewal of contracts/ promotions based on performance; incentives for performance above benchmark; incentives for difficult areas
6. Medical, Nursing and Planning for enhanced supply of doctors, nurses, ANMs, and Paramedical Education paramedical staff; mandatory rural posting after MBBS and PG (new institutions and education; more seats for Government doctors in PG courses upgradation of existing particularly in Gynecology, Anesthesia and pediatrics; expansion ones) of tertiary health care; use of medical colleges as resource centres for national health programmes; strengthening/ revamping of ANM / GNM training centres and paramedical institutions; re- structuring of pre service education; developing a highly skilled and specialized nursing cadre; developing good district hospitals as training sites for training nurses, ANMs and paramedics.
7. Training and capacity Strengthening of State Institute of Health & Family Welfare building (SIHFW)/ District Training Centres (DTCs); quality assurance; availability of centralised training log; monitoring of post training outcomes; expanding training capacity through partnerships with NGOs / institutions; up scaling of multi skilling initiatives, accreditation of training
STRENGTHENING SERVICES
8. Policies on drugs, Articulation of policy on entitlements on free drugs for out / in procurement system and patients; rational prescriptions and use of drugs; timely logistics management procurement of drugs and consumables; smooth distribution to facilities from the district hospital to the sub centre; uninterrupted availability to patients; minimization of out of pocket expenses; quality assurance; prescription audits; facility wise EDL; essential drug lists (EDL) in public domain; computerized drugs and logistics MIS system; setting up dedicated corporation on the lines of eg: TNMSC
9. Equipments Availability of essential functional equipments in all facilities; regular needs assessment; timely indenting and procurement; identification of unused/ faulty equipment; regular maintenance and MIS/ competitive and transparent bidding processes
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S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
10. Ambulance Services and Universal availability of GPS fitted Referral Transport ambulances; reliable, assured free transport for pregnant women and newborn/ infants; clear policy articulation on entitlements both for mother and sick infants; establishing integrated call centres for timely response and effective provision of services; drop back facility; a prudent mix of basic level ambulances and emergency response vehicles
11. New infrastructure New infrastructure, especially in backward areas; 24x7 and maintenance maintenance and round the clock plumbing, electrical, carpentry of buildings; sanitation, services; power backup; cleanliness and sanitation; upkeep of water, electricity, toilets; proper disposal of bio medical waste; drinking water; laundry, kitchen, water in toilets; electricity; clean linen; kitchens, facilities for facilities for attendants attendants, PPP outsourcing for such services.
12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable availability to patients; partnerships with private service providers; prescription audits, free for pregnant women and sick neonates
COMMUNITY INVOLVEMENT
13. Patient‟s feedback Feedback from patients; expeditious and grievance redressal grievance redressal; analysis of feedback for corrective action
14. Community participation Active community participation; empowered PRIs; strong VHSNCs; social audit; effective Village Health & Nutrition Days (VHNDs); strengthening of ASHAs; policies to encourage contributions from public/ community
15. IEC Comprehensive communication strategy with a strong behaviour change communication (BCC) component in the IEC strategy; dissemination in villages/ urban slums/ peri urban areas
CONVERGENCE, COORDINATION & REGULATION
16. Inter sectoral Effective coordination with key departments convergence to address health determinants viz. water, sanitation, hygiene, nutrition, infant and young child feeding, gender, education, woman empowerment, convergence with SABLA, SSA, ICDS etc.
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S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be part of active communitisation process; involvement of NGOs in filling service delivery gaps; active community monitoring
18. Private Public Partnership with private service providers to Partnership (PPP) supplement governmental efforts in underserved and vulnerable areas for deliveries, family planning services and diagnostics
19. Regulation of services in Implementation of Clinical Establishment Act; quality of the private sector services, e.g. safe abortion services; adherence to protocols; checking unqualified service providers; quality of vaccines and vaccinators, enforcement of PC-PNDT Act
MONITORING & SUPERVISION
20. Strengthening data 100% registration of births and deaths under Civil capturing, validity / Registration System (CRS); capturing of births in private triangulation institutions; data collection on key performance indicators; rationalizing HMIS indicators; reliability of health data/data triangulation mechanisms
21. Supportive Supervision Effective supervision of field activities/ performance; handholding; strengthening of Lady Health Visitors (LHVs), District Public Health Nurses (DPHNs), Multi Purpose Health Supervisors (MPHS) etc.
22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for periodic review and future road map; clear agenda and follow up action; Regular, focused reviews at different levels viz. Union Minister/ Chief Minister/ Health Minister/ Health Secretary/ Mission Director/ District Health Society headed by Collector/ Officers at Block/ PHC level; use of the HMIS/ MCTS data for reviews; concurrent evaluation
23. Quality assurance Quality assurance at all levels of service delivery; quality certification/ accreditation of facilities and services; institutionalized quality management systems
24. Surveillance Epidemiological surveillance; maternal and infant death review at facility level and verbal autopsy at community level to identify causes of death for corrective action; tracking of services to pregnant women and children under MCTS
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S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS for tracking ambulances and mobile health units; mobile phones/tablets for real time data entry; video conferencing for regular reviews; closed user group mobile phone facility for health staff; telemedicine and teleeducation; use of ICT technologies in E- Governance; development of Human Resource Information System (HRIS) and Hospital Management Information System endless opportunities-sky is the limit!
RMNCHA+ document released in Mahabalipuram Conference should serve as guidance note for integration and betterment of all RMNCH activities.
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Chhattisgarh: Approved (by Programme), 2013-14: Total Rs. 69395.83 lakhs
Infrastructure Maientance,13074 RCH,22828.07 19% 33% DCPs,6188.77 9%
Immunisation & MFP, 24260.37 PPI,3044.62 35% 4%
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Summary of functional head of Chhattisgarh Quality Assurance (including HR) Other Important Areas 0.15% 0.08%
Support Services Human Resources Out Reach Services 0.00% (All HR Except HR for 0.18% MMU/ Ambulances and Quality Assurance) E- Governance Infrastructure 9.81% 0.32% 16.74% Infrastructure State Specific Initiatives/ Maintenance Innovations 20.68% 0.07% IEC/ BCC 0.70%
Health Action Plans Other RCH Services 0.10% 19.68% Supportive Supervision/ Mobility Communitization Support 18.82% 1.30% Equipments & Diagnostics 1.51% Drugs and Consumables MMU (including HR) 4.39% Administrative 0.00% Costs & Office Capacity Expenses Building 0.06% Patient Transport Services 3.72% (including HR) 1.69%
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Approved Budget RCH Flexipool, 2013-14 : Rs. 23240.87 lakhs Sterilisation & IUD Compensation and NSV Camps FP 8% 2% MH 17% CH 5% JSY PNDT 31% 0%
HR 19% Programme Management Training 10% 8%
Vulnerable groups ARSH 0% 0%
Approved budget MFP, 2013-14: Rs. 24260.37 lakhs Planning, Panchayati Raj Initiative SHSRC Implementation and 0% Monitoring 0% Mainstreaming of 3% AYUSH 1% IEC-BCC RKS 2% 4% Procurement New Constructions 7% ASHA 1% 26%
District Action Plans 0%
Untied Funds 10% Hospital Strengthening 43%
AMG 3%
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Approved budget Immunization, 2013-14 : Rs. 3044.62 lakhs
PPI 16%
RI strengthening 47% ASHA Incentive 27%
Training 9%
Cold chain maintenance Salary 0% 1%
Approved budget NDCP, 2013-14 : Rs. 6188.77 lakhs NIDDCP 0% IDSP RNTCP 6% 37%
NVBDCP 49% NLEP 8%
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SUMMARY BUDGET 2013-14: CHHATTISGARH
S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved % of RE
1. RCH FLEXI POOL
A1 Maternal Health 3744.55 3951.27 5.66
A2 Child Health 1625.51 1053.40 1.51
A3 Family Planning 1721.32 401.30 0.57
A4 ARSH 116.34 64.68 0.09
A5 Urban RCH 295.80 0.00 0.00
A6 Tribal RCH 48.00 0.00 0.00
A7 PNDT & Sex Ratio 139.40 36.86 0.05
A8 Infrastructure & HR 9502.19 4285.57 6.14
A9 Training 2486.79 1951.16 2.80
A10 Programme Management 7316.01 2189.83 3.16
A11 Vulnerable groups 23.00 0.00 0.00
Total Base Flexi Pool 27018.92 13934.07 20.08
A12 JSY 7087.50 7087.50 10.15
Sterilisation & IUD Compensation and 1822.00 1806.50 2.59 A13 NSV Camps
Total Demand Side 8909.50 8894.00 12.74
Total RCH Flexi Pool 35928.42 22828.07 32.90
2. MISSION FLEXI POOL
B1 ASHA 7348.54 6303.66 9.03
B2 Untied Funds 3520.02 2513.55 3.60
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S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved % of RE
B3 Annual Maintenance Grants 973.05 623.50 0.89
B4 Hospital Strengthening 11881.04 10476.66 15.01
New Constructions/ Renovation and 0.15 B5 Setting up 1368.52 101.93
B6 Corpus Grants to HMS/RKS 1500.20 1053.00 1.51
District Action Plans (including block, 0.09 B7 village) 61.20 61.20
B8 Panchayati Raj Initiative 95.46 60.00 0.09
B9 Mainstreaming of AYUSH 1098.39 238.39 0.34
B10 IEC-BCC NRHM 1454.75 371.87 0.53
Mobile Medical Units (Including recurring 0.00 B11 expenditures) 1296.00 0.00
B12 Referral Transport 3721.48 0.00 0.00
B13 PPP/ NGOs 1841.45 35.40 0.05
B14 Innovations (if any) 1366.00 6.00 0.01
B15 Planning, Implementation and Monitoring 1662.88 608.63 0.87
B16 Procurement 3672.59 1756.58 2.52
B17 Regional drugs warehouses 0.00 0.00 0.00
B18 New Initiatives 0.00 0.00 0.00
B19 Health Insurance Scheme 0.00 0.00 0.00
B20 Research, Studies, Analysis 0.00 0.00 0.00
B21 State level Health Resources Center 190.00 50.00 0.07
B22 Support Services 5499.79 0.00 0.00
B23 Other Expenditures (Power Backup, 9561.43 0.00 0.00
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S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved % of RE
Convergence etc)
TOTAL MFP 58112.77 24260.37 34.75
3. IMMUNIZATION
RI strengthening project (Review meeting, 1422.56 1419.18 2.03 C1 Mobility support, Outreach services etc)
C2 Salary of Contractual Staffs 40.68 17.10 0.02
C3 Training under Immunisation 304.80 284.00 0.41
C4 Cold chain maintenance 17.21 10.70 0.02
C5 ASHA Incentive 819.29 819.29 1.17
Total Immunization 2604.53 2550.27 3.65
C6 Pulse Polio Operational Cost 509.86 494.35 0.71
Total RI & PPO costs 3114.39 3044.62 4.36 5. Disease Control Programmes
National Iodine Deficiency Disorders 141.4 24 0.03 4A Control Programme (NIDDCP)
Integrated Disease Surveillance 540.06 367.93 0.53 4B Programme(IDSP)
National Vector Borne Disease Control 6485.92 3045.82 4.36 4C Programme (NVBDCP)
National Leprosy Eradication Programme 317.57 459.24 0.66 4D (NLEP)
Revised National Tuberculosis Control 2986.51 2291.78 3.28 4E Programme (RNTCP)
National Programme for Preventio and 232.90 0* 0 4 F Control of Flurosis (NPPCF)*
Total NDCP 10704.36 6188.77 8.87
5. INFRASTRUCTURE MAINTENANCE
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S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved % of RE
Total Infrastructure Maintenance 15700.00 13074.00 18.73
GRAND TOTAL 123559.94 69395.83 100.00
*NPCCF PIP will be considered later along with PIPs from other states.
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Maternal Health
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GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH Maternal Health: Goals and Targets for 2013-14
Indicator Target MMR and expected Maternal Deaths MMR 164 /100,000 Live births Expected MDs: 1000 Nos. of Maternal Deaths Reported and Reviewed 750 (75%)
ANCs registered within first trimester 439025 (61%) in 2013-14
Institutional Deliveries (out of the total estimated 324500 in 2013-14 deliveries) to be conducted in Public health institutions from 38% in 2012-13 to 50%. in 2013-14 Caesarean Section rate in public health facilities from 4 32450 in 2013-14 % in 2012-13 to 10% in 2013-14 Severely Anemic Pregnant Women** out of total 7658 in 2013-14 anemic pregnant women (@2%
**At the rate of 2% of pregnant anemic women; this is critical for timely identification and management of severely anemic pregnant woman.
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ROAD MAP FOR PRIORITY ACTION: MATERNAL HEALTH
Road Map for essential commitments
Commitment No. 1- Operationalizing Delivery Points
Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the necessary resources in order to ensure quality of services and provision of comprehensive RMNCH+A services at these facilities as per the levels. MNH toolkit is to be used for planning and operationalizing services at different levels of delivery points. Level 3 should be planned for comprehensive CEmOC and RMNCH+A services and similarly level 2 for BEmOC and RMNCH+A services.
The targets for different categories of facilities are:
The targets for different categories of facilities are:
CEmOC (Level 3) Present Status Target 2013-14 2014-15 2015-16 2016-17 32 38 44 50 Maintain Levels BEmOC(Level2)* Present Status Target 2013-14 2014-15 2015-16 2016-17 208 271 334 397 460
* Target setting for BEmOC centers is not an ideal scenario since States like Bihar, UP may lack adequate infrastructure; on the other hand, States like Gujarat, Kerala , Punjab will have higher nos.of deliveries in private health facilities. Therefore it is suggested that States need to plan for operationalizing Level-2 (BEmOC) facilities as per MNH Toolkit. Ideally, at least one such facility should be functional for every 50,000-60,000 population, but the scenario may vary from State to State.
Level 3 delivery points functioning as CEmOC facilities a) District Hospitals and other similar district level facilities (e.g District women and children hospital) b) CHCs and other health facilities at sub district level (above block and below district level) functioning as FRUs To provide the following services:
24*7 service delivery for CS and other Emergency Obstetric Care.
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1st and 2nd trimester abortion services. Conduct Facility based MDR. Essential newborn care and facility based care for sick newborns. Family planning and adolescent friendly health services RTI/STI services. Have functional BSU/BB.
Level 2 delivery points functioning as BEmOC facilities: Non FRU-CHCs, 24*7 PHC and other PHCs to provide the following services 24*7 BeMOC services including conducting normal delivery and handling common obstetric complications. 1st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks) RTI/STI services. Essential newborn care. Family planning
All identified SC Level delivery point facilities will provide the following services: Delivery by SBAs. IUD insertion Essential new born care. ANC, PNC and Immunization. Nutritional and Family planning and Adolescent counselling. VHND and other outreach services on designated days.
All identified delivery points should be comprehensively planned for saturating them in terms of HR, Equipment, Capacity building, infrastructural requirements etc before spreading the resources to other health facilities.
Monthly performance monitoring of each delivery point needs to be undertaken and reviewed at District level and quarterly level at State level.
Commitment No. 2- Implementing free entitlements under JSSK
JSSK entitlements to be ensured to all PW and sick newborns accessing Public health facilities. At least 70% drop back to be ensured to PW delivering in the PHFs. Drop back should be given only after 48 hrs stay in the health facility.
Commitment No. 3- Centralized Call Centre and Assured Referral Transport
All NRHM Supported Ambulances should be designated as “National Ambulance Service” with GOI prescribed color coding and other details. Every State needs to ensure availability of a centralized call centre with 102 or 108 as Toll Free no. for referral transport at State or district level along with GPS fitted ambulances. Response time for the ambulance to reach the beneficiary not to exceed 30 minutes and should reach the referred facility within next 30 mins. Monthly data on utilization of each ambulance (eg. Trips per day) to be maintained, analyzed and take corrective action if anything to be taken
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Commitment No. 4- Essential Drug List
Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical colleges and ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and MCs. The EDL should include drugs for maternal and child health including drugs for safe abortion services, RTI/STI. Differential distribution of types and quantities of drugs to performing and non performing facilities and also as per level of facility. Procurement should be done through competitive bidding and indent to be taken from each facility based on consumption pattern through computerized inventory management system. All Procurement process including periodic testing of drugs through govt. certified labs be carried out by the process of randomized sampling. All the drugs should have atleast 5/6th of the shelf life at the time of receiving the durgs at indenting facility. All other govt. procedure for procurement needs to be followed.
Commitment No. 5- Capacity Building
Shortfall in trained human resource at delivery points particularly sub centres in High focus/ High Priority districts to be addressed on priority. Training load for skill based trainings to be estimated after gap analysis. Certification /accreditation of the training sites is mandatory. Training plan to factor in reorientation training of HR particularly for those posted at non functional facilities and being redeployed at delivery points. Orientation training of field functionaries on newer interventions e.g. MDR/ HBNC etc. Performance Monitoring during training/post-deployment needs to be ensured Specific steps to strengthen SIHFW/ any other nodal institution involved in planning, implementation, monitoring and post training follow up of all skill based trainings under NRHM.
Commitment No. 6– Tracking severe anemia
All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and line listed for providing treatment of anemia. The line listing should be maintained and followed up at SCs and PHCs.
Commitment No. 7– For High Priority Districts
The State to make use of the MNH toolkit to operationalize the identified facilities as delivery points. At least 25% of all sub centres under each PHC to be made functional as delivery points in the HPDs. At least one CEmOC CENTRES to be made functional. Planning for operationalizing 10-15 BEmOC Centres in phases.
Commitment No. 8—
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Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC and the other for outreach activities for the geographically demarcated population.
Commitment No. 9: Pre service Nursing Training (For 12 High Focus States)
At least one state Master Nodal centre shall be created and made functional. State nursing cell under the directorate of health should be created and made functional. A road map for strengthening of ANM and GNM schools be prepared as per GoI guidelines.
Commitment No. 10: State, district and regional quality assurance committees to be made functional.
Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and made functional for a group of 4-5 districts as per skill lab operational guidelines.
Commitment No. 12: MCH wings
All 100 bedded MCH wings should be planned comprehensively as per GoI road map and must include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing and other details as per MNH toolkit. The plan for MCH wing should be shared with the MH nodal officer and he should be involved in its monitoring. All the MCH wings must be located within the campus of the existing health facility and completed in 2-3 years.
Non-negotiables under Janani Suraksha Yojana:
State needs to ensure strict compliance of the following non-negotiable under JSY:
1. State will ensure that JSY guidelines are strictly followed and payments are made as per the eligibility criteria. 2. State will ensure that AADHAAR numbers/EID and bank account details of the JSY beneficiaries are captured in the integrated RCH registers and seeded in the MCTS database. 3. State will ensure that there would be no delays in JSY payments to the beneficiaries and full amount of financial assistance is given to the beneficiary before being discharged from the health facility after delivery. 4. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism through AADHAAR enabled payment system/Core Banking Solution where DBT mechanism has been rolled out. In case, Direct Benefit Transfer mechanism is not implemented in the State/UT, JSY payments to be made only through account payee cheques. Compliance of the above is a pre-requisite for JSY releases to the State/UT. 5. State will ensure that strict monitoring and verification of beneficiaries is done by state and district level health authorities to check malpractices. 6. State will ensure that grievance redressal mechanisms as stipulated under JSY guidelines are activated at the district and state levels. 7. State will ensure the accuracy of JSY data reported at the HMIS portal of MOHFW and also furnish the Quarterly progress reports to the Ministry within the prescribed timeframe.
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DETAILED BUDGET: MATERNAL HEALTH
Approved Quantity Unit Cost Budget S. No. Budget Head amount REMARKS / Target ( Rs) (Rs. Lakhs) (Rs.Lakhs) A.1.1 Operationalise 0.00 0.00 0.00 Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planning- identifying priority facilities,etc) A.1.3 Integrated 72.00 72.00 0.00 outreach RCH services (state should focus on facility based services and outreach camps to be restricted only to areas without functional health facilities) A. Oureach camps 8000 900 72.00 72.00 Approved as following: 1.3.1. Rs 300 incentive to lady doctors Rs. 100 for LTs Rs 100 for LTs & Rs.400 to lady doctors towards mobility support A.1.3.2. Monthly Village 168512 0.00 Health and Nutrition Days A.1.4. Janani Suraksha 403000 6400 7087.50 7087.50 Yojana / JSY A.1.4.1 Home deliveries 50000 500 250.00 250.00 Approved
A.1.4.2 Institutional 353000 5900 4605.00 4605.00 deliveries A.1.4.2. Rural 250000 1400 3500.00 3500.00 Approved a
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Approved Quantity Unit Cost Budget S. No. Budget Head amount REMARKS / Target ( Rs) (Rs. Lakhs) (Rs.Lakhs) A.1.4.2. Urban 100000 1000 1000.00 1000.00 Approved b A.1.4.2. C-sections 3000 3500 105.00 105.00 Approved as per last c year’s approval subject to condition that the approval is only meant for 8 Missionary Hospitals in naxalite affected areas. Rs. 3500/ per delivery includes C-section cost, and complete cashless delivery (diet, consumables, drugs etc.) A.1.4.3 Administrative 332.50 332.50 Approved @ 5 % of JSY Expenses expenses A.1.4.4 Incentives to ASHA 1900.00 1900.00 Approved as Rs.600/rural case and Rs. 400/urban cases for 250000 rural cases and 100000 urban cases A.1.5 Maternal Death 500 500 2.50 2.50 Approved. Rs.500 Review (both in includes Rs.300 as institutions and incentive and Rs.200 for community) other activity. A.1.6 Other 4969 244330 124.35 55.07 0.00 strategies/activities (please specify) A.1.6.1 MH -Other 1048 2500 26.20 Activities- HIV Positive Normal Deliveries - Incentive to Approved as following: Medical Team for Rs 5 Lakhs for ND @ Rs HIV Positive NDs 1000/- for 500 NDs and 8.00 A.1.6.2 MH - Other 500 5000 25.00 Rs 3 Lakhs for C-Sections Activities - for High @ Rs 1500/- for 200 C- Risk Pregnancy - Sections HIV Positive C- Section Deliveries - Incentive to Medical Team
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Approved Quantity Unit Cost Budget S. No. Budget Head amount REMARKS / Target ( Rs) (Rs. Lakhs) (Rs.Lakhs) A.1.6.3 MH - Other 324 2000 6.48 6.00 Approved for expected Activities - for High 2000 high risk referrals Risk Pregnancy - for which incentives to Other - Incentives ANM Rs 100 and ASHA to ANM for C - Rs 200 for Section (Hard to accompanying woman. Reach Area) Approval strictly for hard to reach areas in high focus districts at or below sub district level. A.1.6.4 MH - Other 2 5000 0.10 0.10 Approved Activities- for High Risk Pregnency A.1.6.5 Indemnity 82 1850 1.52 1.52 Approved Insurance for EMoC and LSAS A.1.6.6 Incentive for LSAS 20.08 20.08 Lumpsum approved. 47 and CEmONC LSAS and 35 CEmONC trained doctors trained doctors will be given fixed incentive @Rs. 2000 after performing at least three C-sections/month and any additional c- section thereafter in a month will be paid @ Rs. 400/C-section /LSAS and CEmONC doctors. A.1.6.7 LSAS CEmONC 2 5000 0.10 0.10 Approved subject to Doctors State sharing the performance outcome of the review meetings with MoHFW. A.1.6.8 Supportive 3000 400 12.00 12.00 Approved supervision of SBA trained by MO/RMA A.1.6.9 Strengthening of 25.60 5.40 2 MH Consultants are Maternal health approved subject to Programme State sharing their ToRs and all consultants should be IT savy. Approved @ Rs 45,000 per month for 6 months.
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Approved Quantity Unit Cost Budget S. No. Budget Head amount REMARKS / Target ( Rs) (Rs. Lakhs) (Rs.Lakhs) Consultants will regularly move in the field as per their ToRs. Mobility support is already approved under mobility support plan seaparately. OneProgramme Associate is not approved. All Consultants to be IT savy and basic IT skills should be part of their ToRs. A.1.6.1 Support staff for 4 135000 5.40 0.00 Not approved 0 Medical Colleges and one Secot Nine Hospital , Bhilai A.1.6.1 MTP Training -Staff 1 67580 0.68 0.68 Approved 1 Nurse A.1.6.1 MTP Refresher 6 20000 1.20 1.20 Approved 2 Training
A.1.7 JSSK- Janani Shishu 1205112 60800 3545.70 3821.70 0.00 Surakhsha Karyakram A.1.7.1 Drugs and 301000 300 1087.50 1279.50 Approved: consumables Rs 1039.5 Lakhs for 297000 NDs @ Rs 350/ND and Rs 240 Lakhs for 15000 C-sections @ Rs 1600/C- section A.1.7.2 Diagnostic 301000 200 602.00 602.00 Approved A.1.7.3 Blood Transfusion 3000 300 9.00 9.00 Approved A.1.7.4 Diet (3 days for 300000 912.00 996.00 Approved: Normal Delivery Rs 891 Lakhs for diet of and 7 days for 3 days @ Rs.100/day for Caesarean) 297000 NDs and Rs 105 Lakhs for diet for 7 days @RS.100/day for 15000 C-sections
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Approved Quantity Unit Cost Budget S. No. Budget Head amount REMARKS / Target ( Rs) (Rs. Lakhs) (Rs.Lakhs) A.1.7.5 Free Referral 300000 912.00 912.00 Approved @ Rs. 300/ for Transport 297000 NDs and Rs. 700/ for 3000 C- Sections. State has to ensure provision of all the three types of referral (home to facility, interfacility and drop back facility) A.1.7.6 Other JSSK activity 112 60000 23.20 23.20 0.00
A.1.7.6. State level Review 4 40000 1.60 1.60 Approved 1 Meeting
A.1.7.6. District level 108 20000 21.60 21.60 Approved 2 Review Meeting
Sub-total Maternal 3744.55 3951.27 Health (excluding JSY) A.9.3 Maternal Health Training A.9.3.1 Skilled Attendance 105 579605 129.84 114.10 0.00 at Birth / SBA
A.9.3.1. Setting up of SBA 3 200000 6.00 6.00 Approved for setting 1 Training Centres up 3 training centres @ Rs 2 Lakhs/centre A.9.3.1. TOT for SBA 2 137425 2.75 2.75 Approved 2 A.9.3.1. Training of Staff 12 121090 14.53 14.53 Approved 4 Nurses in SBA A.9.3.1. Training of ANMs / 88 121090 106.56 90.82 Approved for training 5 LHVs in SBA of 400 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load.
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A.9.3.2 EmOC Training 0 0 0.00 0.00 0.00
A.9.3.3 Life saving 0 0 0.00 0.00 0.00 Anaesthesia skills training A.9.3.4 Safe abortion 30 55200 16.56 16.56 0.00 services training (including MVA/ EVA and Medical abortion) A.9.3.4. TOT on safe 0.00 1 abortion services
A.9.3.4. Training of Medical 30 55200 16.56 16.56 Approved for 60 MOs. 2 Officers in safe abortion A.9.3.5 RTI / STI Training 0 0 0.00 0.00 0.00
A.9.3.6 BEmOC training 24 79925 19.18 19.18 Approved for 120 for MOs/LMOs MOs. A.9.3.7 Other maternal 67 475410 67.19 67.19 health training (please specify) A.9.3.7. State level MDR 2 132825 2.66 Approved for training 6 training ToT of state and district A.9.3.7. District Level 27 142485 38.47 officials on MDR, 7 Training of MO s in 41.13 subject to training MDR being conducted as per the GOI Training norms. A.9.3.7. Supportive 3 137425 4.12 4.12 Approved 8 supervision for SBA training for Mos and RMAs A.9.3.7. 10 Days BeMoc 35 62675 21.94 21.94 Approved 9 training for RMAs A.9.3.8 Blood Storage Unit 0.00 0.00 (BSU) Training
A.9.3.9 Skill Lab Training 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months ASHA Incentive
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B1.1.3.1 Incentive under 102000 202 153.00 MH (ANC/PNC) 0.50 B1.1.3.1. Incentive for 2000 50 1.00 Approved Rs 50,000/- 1 Maternal Death for reporting of Reporting expected 1000 0.50 maternal deaths @ 50/-. (Ongoing activity) B1.1.3.1. Incentive for 100000 150 150.00 Not approved (New 2 Home visits to activity) pregnant women 0.00 for counseling on diet, rest and ANC check-ups B1.1.3.1. Incentive for 2 2.00 Not approved 3 Mitanin/ANM for (Ongoing activity) as linking Whole no targets are 0.00 blood finger prick provided. test reactive ANC to ICTC BCC/IEC Activities B.10.2.1 BCC/IEC activities 0 0 278.90 for MH B.10.2.1. Mass media 173.40 As mentioned in the
1 remark column of B.10.2.1. Mid-media 105.50 B10.2
2 Procurement of Equipments and Drugs B16.1.1 Procurement of 120 2000 2.40 2.40 equipment: MH B16.1.1.1 Equipments for Blood Banks/ BSUs B16.1.1.2 MVA /EVA for 120 2000 2.40 Approved (Ongoing Safe Abortion 2.40 activity) services B16.1.1.3 Others (please 0 0 0.00
specify) B.16.2.1 Drugs & supplies 1500 300 4.50 4.50 for MH B.16.2.1. RTI /STI drugs
1 and consumables B.16.2.1. Drugs for Safe 1500 300 4.50 Approved Rs 4.5 lacs 2 Abortion @ 300/- for 1500 4.50 cases (ongoing activity)
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CHILD HEALTH, RBSK & IMMUNIZATION
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TARGETS: CHILD HEALTH AND IMMUNIZATION
Indicator CURRENT CAD (%) State Targets
India Chhattisgarh India Chhattisgarh 2013- 2014-15 Target for CAD 14 12th Plan (%) (2017) U5MR (SRS 55 57 -7.3 -7.1 46 41 - -10.2 2011) IMR (SRS 2011) 44 48 -6.0 -5.6 39 35 28 -10.2
NMR (SRS 31 34 -4.0 -4.5 28 25 - -10.2 2011)
Indicators DLHS-2 DLHS- CES State Targets (2002- 3 (2009) 2012-13 2013-14 2014-15 04) (2007- Child Health08) Line listing and follow up of Low HMIS incidence of LBW: is NA 40,421 57,745 Birth Weight babies {Nos; (%)} 11.2% or 57745 (70%) (100%) New borns visited by ASHA (as per Rural Live Births as per HMIS 0 3,60,903 5,15,576 HBNC guidelines){Nos; (%)} data 5,15,576 (70%) (100%)
Percentage of SNCUs admitting at NA NA 80% 95% least 6 babies per month per bed
TARGETS: CHILD HEALTH AND MMUNIZATION
Trend (SRS) Targets (SRS)
2008 2009 2010 2011 2012 2013 2014 2015 2016
NMR 39 38 37 34 31 28 25 22 20 IMR 57 54 51 48 43 39 35 31 28 U5MR 71 67 61 57 51 46 41 37 33
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PROCESS INDICATORS
Current Target for Status 2013-14 KEY PERFORMANCE INDICATORS (CUMULATIVE) Establishment & (Target 12-13:12) 1 operationalization of 3 13 SNCUs Establishment & (Target 12-13:46 ) 2 operationalization of 10 46
NBSU (Target 12-13: 480 ) 3 NBCC at delivery points 75 380
(Target 12-13:60 ) 4 Establishment of NRCs 40 61
Personnel trained in 1584 (including 432 5 No. 48 IMNCI (ANM+LHV) RMA) Personnel trained in F- 6 No. 33 144 IMNCI (MO+SN) Personnel trained in 7 No. 4461 1740 NSSK (MO+ANM+SN) KEY PERFORMANCE INDICATORS (NON CUMULATIVE) 1 New borns visited by No. 0 3,60,903 ASHA (as per HBNC % 70% Rural Live guidelines) Birth 2 LBW children No. NA 40,421 tracked(state HMIS) % NA 70% LBW in Rural 3 Percentage of SNCUs % NA 80% admitting at least 6 babies per month per bed
Conditionality:
Equipment audit should be done and unused Radiant Warmers, Phototherapy machines and other equipment mobilised from NBSUs and used in NBCCs and SNCUs. State must ensure that all equipment purchased for NBSUs (for 275 units) must be put to use and not allowed to lie idle.
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ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH
A. Priority Actions to be carried out by state for Child Health Interventions
1. All the delivery points should have a functional Newborn Care Corner consisting of essential equipment and staff trained in NSSK. The staff must be trained in a 2 days NSSK training package for skills development in providing Essential Newborn Care. 2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs should be aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully operational. 3. SNCUs are referral centres with provision of care to sick new born the entire district and relevant information must be given to all peripheral health facilities including ANM and ASHA for optimum utilisation of the facility. Referral and admission of out born sick neonates should be encouraged and monitored along with inborn admissions. 4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from peripheral units. Dedicated staff posted to NBSU must be adequately trained and should have the skills to provide care to sick newborns. 5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home Based Newborn Care Scheme. The ASHA kit and incentives for home visits should be made available on a regular basis to ASHAs who have completed the Round 1 of training in Module 6 6. All ANMs are to be trained in IMNCI. 7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be prioritised for F-IMNCI training so that they can provide care to sick children with diarrhoea, pneumonia and malnutrition. 8. Infant and Under fives Death Review must be initiated for deaths occurring both at community and facility level. 9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and expectant mothers should be ensured at all delivery points and breastfeeding initiated soon after birth. At least two health care providers should be trained in „Lactation Management‟ at District Hospitals and FRUs; other MCH staff should be provided 2 days training in IYCF and growth monitoring. 10. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs), prioritising tribal and high focus districts with high prevalence of child malnutrition. The optimum utilisation of NRCs must be ensured through identification and referral of Severe Acute Malnutrition cases in the community through convergence with Anganwadi workers under ICDS scheme.
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11. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained by the ANM and their follow-up must be ensured through ASHA. 12. In order to reduce the prevalence of anaemia among children, all children between the ages of 6 months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a preventive measure for 100 days in a year. Accordingly appropriate formulation and logistics must be ensured and proper implementation and monitoring should be emphasised through tracking of stocks using HMIS. As per National Iron Plus Initiative, IFA syrup is to be administered in biweekly fashion under supervision from ASHA. 13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in children. Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs. 14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against committed training load) must be transmitted on a monthly basis to the Child Health Division. 15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in current financial year. Growth monitoring equipments to made available at each Health Facility i.e Sub Centre, PHC, District Hospital. At District Hospitals and high case load facilities, RMNCHA counsellor to undertake IYCF counselling after growth monitoring by Staff Nurse/ANM. IYCF trainings for ASHA/ANM/Staff Nurses to be undertaken.
B.Rashtriya Bal Swastha Karyakram (School Health Programme):
1. Rashtriya Bal Swastha Karyakram (RBSK) Guidelines including terms of reference to be adhered for operational plan, implementation and monitoring. School Health programme is now subsumed under RBSK. 2. The programme should focus on four Ds- Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities as detailed in RBSK guideline. 3. All children (below 6 years) registered with Anganwadis to be screened at least twice a year 4. All children (6 years to 18 years) enrolled in government and government aided schools to be screened at least once a year. 5. All designated delivery points (as agreed in annexure of PIP 2013-14) to start New born screening and report findings in monthly monitoring formats 6. Recruitment and training of dedicated teams to complete within the first Quarter of the financial Year. 7. Referral of children must be tied up and complete treatment at higher facilities through District Early Intervention Centres.
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8. Planning, implementation, monitoring formats - Health Cards, reporting formats under RBSK is standardized. State to ensure adherence. 9. All approved DEICs to be established with in the current Financial Year. No spill over for infrastructural cost would be allowed in the next year for the same facility. 10. State to establish State/District/Block level RBSK committees and/or submerge within existing NRHM society structure at State/District and block with diverse stakeholders, Department of Woman and Child Development, Department of Education – Sarba Siksha Abiyan, Rashtriya Madhmik Sishkha Abhiyan, Department of Social Justice and empowerment. This committee with representation of academia at State level is responsible for implementation and monitoring of the programme. 11. Involvement of nodal teachers from schools and Anganwadi workers from Anganwadi Centres and State District and Block level supervisory structure in the programme is to be ensured for preventive and promotive Health communication and monitoring. 12. Visibility of Rashtriya Bal Swastha Karyakram (RBSK) with NRHM logo to be made noticeable across programme implementation. In case State has different nomenclature other than Rashtriya Bal Swastha Karyakram (RBSK) for similar programme, for which financial support is approved under PIP 2013-14, RBSK and NRHM to be used as cobranded with local initiative. 13. The New programme would require State/District programme management unit handholding in Physical and Financial achievement. State to support this initiative. 14. Formation of State and district level steering committees. 15. Training / re-orientation of service providers(MOs, ANMs, ASHAs) 16. Monthly meeting with BMO. 17. Regular feedback on quality of sanitary napkins to be sent to GoI 18. Identification of appropriate storage place for sanitary napkins. 19. Mechanism of distribution of sanitary napkins right upto the user level. 20. Reporting and accounting system in place at various levels. 21. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain management of IFA tabs and Sanitary napkins. 22. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).
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C. Priority Actions to be carried out by state for Immunization
1. Immunization weeks should be continued as a part of routine strategy during non – immunization days to improve coverage especially in community where no immunization services are provided or services are deficient or all high risk pockets or migrant population as identified in pulse polio program etc. The available human resources to be redeployed during these weeks for effective implementation 2. The micro plans for routine immunization must be updated on 6 monthly intervals both for Routine Immunization and Immunization weeks, taking into account the information available and information on migrant population/ missed areas covering inaccessible, remote areas and urban slums. The missed areas or migrant population as identified during polio programme or any other source of information must be incorporated in the micro plans and activities carried out as per micro-plan. 3. Full time State Immunisation Officer should be in place. 4. District Immunisation Officer should be in place in all the districts. The placement of ANMs at all session sites must be ensured. 5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of beneficiaries should be available with ASHA after each session and tickler bags should be used for monitoring in addition to the timely and regular updating of information in MCTS portal. 6. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/ 24x7 PHCs with considerable case load in the OPD. 7. Cold chain mechanics must be placed in every district with a definite travel plan so as to ensure that at least 3 facilities are visited every month as a preventive measure (check-up of equipment). 8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points and their training must be ensured. In case of non-availability, the responsibility should be given to next para medical staff in position that should be equally trained. 9. The coverage of immunization to children at 18 months of age is very low. The opportunity for Full immunization of the children at 1year and ensuring that these children are also vaccinated at 2nd year of age must be emphasized and monitored. The ASHAs/link workers are especially encouraged by providing financial incentive of Rs 100 and Rs 50 per child to achieve this. 10. District AEFI Committees must be in place and investigation report of every serious AEFI case must be submitted within 15 days of occurrence. 11. Rapid response team should be in place in priority districts identified by the states. 12. There should be a regular evening meeting on Immunization days to review the implementation of open vial policy and also reviewing implementation of programmatic gaps.
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13. Quarterly review at all levels should be conducted on the issues as identified during evening meetings, for which funds are provided under ROP.
DETAILED BUDGET: CH, RBSK & IMMUNIZATION
Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.2. CHILD HEALTH 1625.51 1053.40 A.2.1 IMNCI (including 50000 15.00 15.00 Approved for 4 new F-IMNCI; IMNCI training sites @ primarily budget Rs.3.00 lakhs/ site (Rs.12 for planning for lakhs) and Rs.3 lakhs for pre- formats & registers serviceIMNCI across all sites. activities in medical colleges, nursing colleges, and ANMTCs) A.2.2 Facility Based 8 100000 228.60 228.60 0.00 Newborn 0 Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructur e, procurement, training,IEC etc.) e.g.operating cost rent,electricity etc. imprest money A.2.2.1 SNCU 8 100000 126.00 126.00 Approved as following: 0 5 operational units @ Rs.10 Lakhs /unit 7 units under progress @Rs.5 Lakhs /unit and Rs. 41 lakhs for new unit at Raipur
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.2.2.2 NBSU 49.00 49.00 Approved as following: 10 functional NBSUs @ Rs.1.75 Lakhs/NBSU and 36 NBSUs under progress @Rs. 87500 /NBSU A.2.2.3 NBCC 53.60 53.60 Approved as following: @Rs. 20000/per annum for 156 NBCCs and @ Rs.10,000 (for 6 months) for 224 NBCCs A.2.3 Home Based 4 50000 2.00 2.00 Approved for half yearly Newborn review meeting cum Care/HBNC workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand divisions) @ Rs.50000/meeting cum workshop A.2.5 Care of Sick 75 706.24 451.30 Approved ONLY for 61 Children and NRCs as following: Severe 10,000 children x Rs. 100 Malnutrition for food x 15 days (e.g. NRCs, 10,000 mothers x 15 days CDNCs etc.) x Rs. 150 (wage compensation) Pharmacy charges 5000 x Rs. 60 x 12 Contingency 1500 x 12 x Rs.60 ASHA incentive for referral & follow up 5000 x Rs.250 Referral transport for severely ill children 2500 x Rs. 500 Rs. 2.5 lakhs for 1 new unit in Sarguja and Rs. 2.00 lakhs for review Concurrent monitoring may be done by State Lead Development Partners and SPMU. Consultants proposed for NRC cell must be part of
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) the CH team. Rs. 334.8 lakhs is for NRC HR, approved under relevant budget head. A.2.6 Management of 27 50000 75.42 15.00 Approved for following diarrhoea & ARI trainings. Trainings to & micronutrient include ARI component malnutrition as well and State to conduct training as per revsied national guidelines. State Level ToT for District Child Health Nodal Officers and Pediatrician:3 batches @ Rs.50,000/batch District Level Training for Block Medical Officers and One Medical Officer: 27 batches @ Rs.50000/batch A.2.7 Other 36.20 36.20 Approved for mobility strategies/activi support for 2 rounds SSM ties (please @ Rs.18.10 lakhs/round specify) A.2.8 Infant Death 1 27.72 25.72 Approved as following: Audit IDA of institutional 5000 deaths @ Rs 500/death 2 half yearly meetings at State level @ Rs. 25,000/meeting Printing of reporting formats @ Rs. 2/format for 10795 formats Another 15.47 budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit. A.2.10 JSSK (for Sick 75825 1500 308.25 247.50 0.00 neonates up to 30 days)
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.2.10.1 Drugs & 30000 200 60.00 60.00 Approved Consumables (other than reflected in Procurement) A.2.10.2 Diagnostics 30000 300 90.00 30.00 Approved @ Rs.100/case.
A.2.10.3 Free Referral 15825 1000 158.25 157.50 Approved: Transport Rs 150 Lakhs for to and fro (home to facility and drop back) @Rs 500/ neonate for 30,000 sick neonates and Rs 7.50 Lakhs for interfacility referral transport @Rs 250/-neonate for 3000 seriously ill neonates A.2.11 Any other 22 627000 226.08 32.08 0.00 interventions (eg; rapid assessments, protocol development) A.2.11.1 FBNC 4 27000 1.08 1.08 Approved Assessment A.9.5 Child Health 213 369380 536.30 468.34 Training 0
A.9.5.1 IMNCI Training 68 112053 236.89 236.89 (pre-service and 0 in-service) A.9.5.1.1 TOT on IMNCI 2 373960 7.48 7.48 Approved (10 doctors & (pre-service and 10 SNs in each batch) in-service) A.9.5.1.2 IMNCI Training 54 332920 179.78 179.78 Approved for ANMs / LHVs
A.9.5.1.3 IMNCI Training 12 413650 49.64 49.64 Approved; 12 batches of for Anganwadi 24 anganwadi workers in Workers each. A.9.5.2 F-IMNCI 11 130175 39.82 39.82 Training 0
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.9.5.2.1 TOT on F-IMNCI 1 375800 3.76 3.76 Approved A.9.5.2.2 F-IMNCI 8 292325 23.39 23.39 Approved Training for Medical Officers A.9.5.2.3 F-IMNCI 2 633625 12.67 12.67 Approved Training for Staff Nurses A.9.5.3 Home Based 0 0 0.00 0.00 Newborn Care / HBNC A.9.5.3.1 TOT on HBNC 0.00 A.9.5.3.2 Training on 0.00 HBNC for ASHA A.9.5.4 Care of sick 0 10000 86.60 57.76 children and severe malnutrition at FRUs A.9.5.4.1 TOT on Care of 0.00 sick children and severe malnutrition A.9.5.4.2 Training on Care 10000. 86.60 57.76 Since new NRCs are not of sick children 00 approved, budget and severe proposed (28.8 lakhs) for malnutrition for training of new NRC staff Medical Officers has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 20 each @ Rs.6,000 per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.15870/block Reorientation of feeding deonstrators and cook: 120 persons@ Rs.3000/person
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.9.5.5 Other child 134 126152 172.99 133.87 health training 0 (please specify) A.9.5.5.1 NSSK Training 59 319030 43.98 43.98
A.9.5.5.1. TOT for NSSK 1 96550 0.97 0.97 Approved 1 A.9.5.5.1. NSSK Training 22 74140 16.31 16.31 Approved 2 for Medical Officers A.9.5.5.1. NSSK Training 27 74170 20.03 20.03 Approved 3 for SNs A.9.5.5.1. NSSK Training 9 74170 6.68 6.68 Approved 4 for ANMs A.9.5.5.2 Other Child 75 942490 129.01 89.89 Health training A.9.5.5.2.a Ch-IYCF- TOT 1 349120 3.49 3.49 Approved. Details of expenditure & physical progress to be shared by the state. A.9.5.5.2. CH- IYCF- 18 259550 46.72 28.80 Approved for 10 MO + 14 b District level SN per batch @ Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state. A.9.5.5.2.c CH- FBNC - 55 106600 58.63 51.17 Approved for 48 persons Training on @ Rs.106600/per batch Observership A.9.5.5.2. CH- FBNC- Mos 17.90 4.16 Approved for 2 batches d and Staff Nurses only, as there is no possibility for larger numbers to undergo observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size 24 @ Rs.2.08 lakhs/batch
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.9.5.5.2. FBNC TOT for 1 227220 2.27 2.27 Approved (24 e Mos participants in the batch)
A.9.7.6.3 SHP training 0 0 0.00
A.9.7.6.3. School Health 0.00 1 Training - Training of team – technical and managerial B1.1.3.2 Incentive under 390931 500 910.47 CH (HBNC) 890.47 B1.1.3.2.1 ASHA incentive 350000 250 875.00 Approved (Ongoing for HBNC 875.00 activity)
B1.1.3.2.2 ASHA incentive 10000 200 20.00 Not approved as already for NRC refferal included under Care of and follow up 0.00 sick children (NRC for post referral budget) for 5,000 NRC cases children @ 250 per child. B1.1.3.2.3 Infant death 30931 50 15.47 Approved (Ongoing reporting 15.47 activity)
B1.1.3.5 Other incentive B1.1.3.5.1 Incentive for 100000 200 200.00 Approval pended (New Home visits for activity). State may 6-11 month resubmit the proposal children for with detailed write up on Nutrition the activity proposed in Counseling the supplementary PIP (Complementar for reconsideration. The y Feeding and write-up should include Prevention of details such as contents Infections) 0.00 of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the child for example, by demonstration of the growth curve in the MCP card B16.1.2 Procurement of 122 116000 197.60 equipment: CH 0 60.00 B16.1.2.1 NBSU 9 575000 51.75 Not approved since no 0.00 new NBSU is approved
B16.1.2.2 NBCC 101 85000 85.85 Not approved as no new NBCCs approved. State has to operationalise 0.00 already sanctioned NBCCs and then new centres should be planned. B16.1.2.3 Sishu Sanrakshan Mah (SSM) B16.1.2.4 Genset for 12 500000 60.00 Approved (New activity) SNCU ( for 12 60.00 SNCUS) B.16.2.2 Drugs & supplies for CH 0 0 546.50 422.50 B.16.2.2.1 Drugs of Sishu 546.50 Rs 422.50 lakhs is Sanrakshan approved. (Ongoing Mah activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,000=30.25 Lakhs; Rs. 422.50 0.70 x 25,00,000 tabs Albendazole=17.50 lakhs; IFA syrup 12,00,000 bottles x Rs. 7=84.00; IFA small tablet 4,50,00,000 tabs x Rs. 0.12=54.00
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) lakhs. Amount of IFA revised as there is no wastage factor to be applied and based on 70% expected coverage.
DETAILED BUDGET: IMMUNIZATION
Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount C.1
Mobility Support Rs.2,50,000/ Approved for supervision Year /district To be continued from c.1.a 67.50 67.50 for district level level officers. Previous year officers. Mobility support Rs. 150000 per Approved. for supervision at year. To be continued from c.1.b state level 1.50 1.50 Previous year
Printing and Rs. 10 Approved for 705923 dissemination of beneficiaries pregnant women for Immunization the F.Y.2013-14 c.1.c cards, tally 70.59 70.59 sheets, monitoring forms etc. Support for Rs. 1250/ per Approved Quarterly State participant/day Rs 1250X3 level review for 3 persons participantsX27 meetings of (CMO/DIO/Dist. districts c.1.d 4.05 4.05 district officer Cold Chain Officer)
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Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount Quarterly review Rs. 100/per Approved meetings participant for Rs 100X5 exclusive for RI at meeting participants/block X c.1.e district level with expenses for 5 2.92 2.92 146 blocks X 4 one Block MOs, persons (lunch, meetings CDPO, and other Organization stake holders expenses) Quarterly review Rs. 50/ per meetings person as Approved. exclusive for RI at honorarium for Rs 75 X 61300 block level ASHA (Travel) Mitanins and Rs. In Chattisgarh approx. 25/person at 3-4 mitanins are c.1.f the disposal of 45.98 45.98 placed for every one MO-IC for thousand population. meeting Hence, all mitanins expenses will be covered in 4 (refreshment, meetings at block stationary and level misc. expenses) Focus on slum & Hiring of Approved. underserved ANM@450/sessi Total urban slums in areas in urban on for four the State are 3088 out areas/alternative session/month/ of these 2255 slum vaccinator slum of 10000 clusters will be for slums population and covered by ANMs Rs. 300/- per recruited through c.1.g month as 63.30 63.30 Mukhya Mantri contingency per Shahari Swasthya slum i.e. Rs. Karyakram (MSSK) and 2100/- per placed at respective month per slum SSKs also including of 10000 urban slum sessions in population 4 Rounds of Immunization Week Mobilization of Rs. 150 per Approved children through session Includes mobilization c.1.h ASHA or other 527.97 527.97 for sessions in 4 mobilizers Rounds of Immunization Week
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Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount Alternative Rs. 150 per Approved. vaccine delivery session Includes AVD cost for in hard to reach sessions in 4 rounds of c.1.i 87.67 87.67 areas Immunization week, Total Hard to reach area is 4250. Alternative Rs. 75 per Approved. Vaccine Delivery session Includes AVD cost for in other areas sessions in 4 rounds of c.1.j 218.34 218.34 Immunization week, Total other area is 22866 To develop micro @ Rs 100/- per Approved. c.1.k plan at sub-centre subcentre 5.39 5.39 To be continued from level Previous year. For consolidation Rs. 1000 per of micro plans at block/ PHC and Approved for Blocks c.1.l block level Rs. 2000 per 1.77 1.77 and Urban PHCs district
POL for vaccine Rs1,50,000/ delivery from district/year Approved. c.1.m State to district 40.50 40.50 To be continued from and from district Previous year to PHC/CHCs Consumables for @ 400/ - computer month/ district Approved. including c.1.n 1.30 1.30 To be continued from provision for Previous year internet access for RIMs Red/Black plastic Rs. Approved. c.1.o bags etc. 3/bags/session 24.99 24.99 To be continued from Previous year Hub Rs. 1200 per Cutter/Bleach/Hy PHC/CHCper Approved. c.1.p pochlorite year 11.52 11.52 To be continued from solution/ Twin Previous year bucket Safety Pits Rs. 5250/pit Approved as following 267 new pits x 5250 c.1.q 23.07 23.07 unit cost and 622 old pits x 1450 unit cost
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Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount State specific Not approved, as requirement budget for mobility can be taken from c.1.a/b. Also, this is an c.1.r 3.38 0.00 ongoing activity, state should continue this activity with partners support. Teeka Express Approved. To be Operational Cost supplied throuhg in- c.1.s 215.51 215.51 kind from MoHFW, GOI. Measles SIA c.1.t operational Cost 0.00
JE Campaign c.1.u Operational Cost 0.00 Others Not approved as the (Mobilization details about budget for monitoring plan not c.1.v Supervision 5.31 5.31 provided by state. during Immunization week) C.1-Sub Total 1422.56 1419.18 C.2
Computer Rs.12000-15000 Approved, however, Assistants per person per any increment in salry C.2.1 support for State month 1.80 0.90 will be examined by level MSG. Computer 8000-10000 per Approved, however, Assistants person per any increment in salry C.2.2 support for month 38.88 16.20 will be examined by District level MSG. Others(service C.2.3 delivery staff) 0.00 0.00 C.2-Sub Total 40.68 17.10 C.3
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Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount District level As per revised This is same as last Orientation norms for year's approved training including trainings under amount which is only Hep B, Measles & RCH for 18 batches, Needs JE(wherever to be revised required) for 2 days ANM, Multi Purpose Health C.3.1 30.49 9.69 Worker (Male), LHV, Health Assistant (Male/Female), Nurse Midwives, BEEs & other staff ( as per RCH norms) Three day Approved, but training including expenditure has to be Hep B, Measles & as per NRHM norms. JE(wherever Also, all the trainings C.3.2 required) of 19.06 19.06 should be approved Medical Officers from Immunization of RI using revised division. MO training * Restricted for C.3.1, module) due to low One day expenditure in F.Y refresher training 2012-13. of district Computer C.3.3 0.25 0.25 assistants on RIMS/HIMS and immunization formats Two days cold chain handlers training for block C.3.4 level cold chain 5.63 5.63 handlers by State and district cold chain officers
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Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount One day training of block level data handlers by DIOs C.3.5 1.53 1.53 and District cold chain officer
Others Approved for half a day Intensive RI Training for Frontline Workers (ANM,LHV,ASHA/Mita C.3.6 247.84 247.84 nin, AWW) for a total no. of participants=92940 including Mitanin, Anganwadi Worker and ANM C.3-Sub Total 304.80 284.00 Cold chain Approved maintenance Rs.750/PHC/CH Restricted as per Cs per year norms. Last year data C.4 17.21 10.70 District taken as state has not Rs.15000/year provided details of PHCs/CHCs etc. ASHA incentive Rs 100 per child Approved with for full for full assumption that 90 % C.5 Immunization immunization in children will be fully first year immunized in 13-14
819.29 819.29 Rs 50 per child for ensuring complete
immunization upto 2nd year of age Total ROUTINE IMMUNIZATION 2604.53 2550.27 Pulse Polio Approved, subject to Operational Cost approval for Pulse C.6 (Tentative) 509.86 494.35 Polio Cost.
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Activities( As Unit Cost FMR Proposed proposed by (wherever Approved Approval Status Code by State the State) applicable) Amount Total 3114.39 3044.62 Other NDCP New Activity. As per Support Child Health Part-C B.22.6 Programmes 289.35 -
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FAMILY PLANNING
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PROJECTION of KEY INDICATORS (2013-14):
Current Target/ ELA SN. Indicator Status 2013-14 2014-15 2015-16 2016-17 1 Goal Indicators 1.1 Total Fertility Rate (TFR) 2.7 (SRS 2011) 2.5 2.4 2.3 2.2 1.2 Contraceptive Prevalence 47.1 (DLHS-3) Rate (CPR) 60.0 65.0 70.0 75.0 1.3 Unmet Need 20.9 (DLHS-3) 15.0 13.0 12.0 10.0 2 Service delivery 2.1 IUCD - Total 78310 160000 175000 200000 210000 (HMIS 2011-12) 2.2 Post-partum IUCD 25% of the Public Health 53333 (subset of IUCD-total) Institution Deliveries of that year 2.3 Female Sterilisation 127029 165000 170000 175000 190000 (HMIS 2011-12) 2.4 Post-partum sterilisation 3668 5000 70000 15000 20000 (subset of tubectomy) (HMIS 2011-12) 2.5 Male sterilisation 6809 26000 28000 30000 32000 (HMIS 2011-12) Total Sterilization 133838 191000 198000 205000 222000 (HMIS 2011-12)
3 Input/ facility operationalization
3.1 Fixed Day service delivery 3.1.1 IUCD 124 Sites Twice weekly at SC Not Available All SHC All SHC All SHC All SHC Daily at DH, SDH, CHC Twice a week Weekly Weekly Weekly @ Weekly at 18 Dhand @ PHC + @ PHC + PHC + @ PHC + MC and 106 CHC CHC CHC CHC CHCs 3.1.2 Sterilisation FS: 15 DH DH + 1 DH + all DH + all DH + all twice a week, SDH/ FRU per FRU + FRU + 106 CHC FRU per dist 25% PHC 50% PHC fortnightly dist per dist per dist
3.2 Appointment of FP DH + 1 DH + all DH + all DH + all counsellors 27 FP SDH/ FRU per FRU per FRU per counsellors FRU per dist dist dist dist
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Conditionalities for 2013-14: Family Planning
Minimum Level of Target/ ELA - Achievement Remarks Indicator 2013-14 By end of By end of Sep. 2013 March 2014 Goal (target)
Reduction in TFR -2013 2.5 NA NA 2.7 (SRS 2011)
Service delivery (ELA): IUCD 160000 64000 144000 PPIUCD 53333 21333 48000 Interval IUCD 106667 42667 96000 Sterilisation 191000 57300 152800 Tubectomy 165000 49500 132000 Post-partum sterilisation (subset 5000 1500 4000 of tubectomy) Vasectomy 26000 7800 20800 Training of personnel (target) Post-partum IUCD 0 0 0 MO 0 0 SN 0 0 Interval IUCD 681 170 511 MO 600 150 450 Not available SN 0 0 0 Not available ANM/ LHV (Bathces) 81 20 61 Not available Minilap 16 4 12 128 Trained NSV 4 1 3 84 Trained Laparoscopic 24 6 18 80 Trained Others (target) 27 FP Review & Review & Appointment of FP Counsellors counsellors Reporting Reporting Regular reporting of the scheme of “home delivery of Regular Regular Regular contraceptives by ASHAs” from reporting reporting reporting pilot states Fixed Day Services for IUCD 124 Sites NA 100% FS: 15 DH twice a Fixed Day Services for Sterilisation week, 106 CHC NA 100% fortnightly
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ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING
MISSION: “The mission of the National Family Planning Program is that all women and men (in reproductive age group) in India will have knowledge of and access to comprehensive range of family planning services, therefore enabling families to plan and space their children to improve the health of women and children”.
GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal emphasis on spacing and limiting methods; promoting „children by choice‟ in the context of reproductive health.
STRATEGIES:
1. Strengthening spacing methods:
Increasing number of providers trained in IUCD 380A Strengthening Fixed Day IUCD services at facilities Introduction of Cu IUCD 375 Delivering contraceptives at homes of beneficiaries. Delaying first pregnancy for at least two years after marriage, spacing of at least three years between first and second child and adoption of permanent method after one or two children (couples to be motivated by ASHA).
2. Emphasis on post-partum family planning services:
Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU, CHC/BPHC level at high case load facilities. Promoting Post-partum sterilisation (PPS) Establishing Post-Partum Centers at women & child hospitals at district levels Appointing counsellors at high case load facilities
3. Strengthening sterilization service delivery
Increasing pool of trained service providers (minilap, lap & NSV) Operationalising FDS centers for sterilisation Holding camps to increase accessibility and availability of services.
4. Strengthening quality of service delivery:
Strengthening QACs for monitoring/review Disseminating/ following existing protocols/ guidelines/ manuals Monitoring of FP Indemnity scheme
5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing methods
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6. Focus on using private sector capacity for service delivery (exploring PPP availability):
7. Strengthening programme management structures:
Establishing new structures for monitoring and supporting the programme Strengthening programme management support to state and district levels
8. World Population Day Celebrations.
KEY PERFORMANCE INDICATORS:
a. % IUD inserted against ELA
b. % PPIUCD inserted against institutional deliveries
c. % PPIUCD inserted against total IUCD
d. % of sterilisations conducted against ELA
e. % post-partum sterilisations against total female sterilisations
f. % of male sterilisations out of total sterilisations conducted
g. % facilities delivering FDS services against planned
h. % of personnel trained against planned
i. % point decline in unmet need
j. Point decline in TFR
k. % utilization of funds against approved
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DETAILED BUDGET: FAMILY PLANNING
Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.3 FAMILY PLANNING 3543.3 2207.80 2 A.3.1 Terminal/Limiting 1933.0 1863.50 Methods 0
A.3.1.1 Orientation 6 50000 3.00 3.00 Approved workshop,dissemina tion of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting A.3.1.2 Female sterilisation 720 15000 108.00 54.00 Approved @ Rs. camps 7500/camp
A.3.1.3 NSV camps 60 35000 21.00 6.00 Approved @ Rs. 10000/camp
A.3.1.4 Compensation for 151200 1000 1512.0 1512.00 Approved female sterilisation 0
A.3.1.5 Compensation for 19200 1500 288.00 288.00 Approved male sterilization/NSV Acceptance A.3.1.6 Accreditation of 20 5000 1.00 0.50 Approved @ Rs. private providers to 2500/visit provide sterilisation services A.3.2 Spacing Methods 175372 11095 115.50 39.30 0.00
A.3.2.1 IUD camps 360 500 1.80 1.80 Approved
A.3.2.2 IUD services at 150000 20 30.00 37.50 Approved. Budget from health facilities A.3.2.3 has also been (including fixed day shifted to this head services at SHC and PHC)
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.3.2.2. PPIUCD services 15000 500 75.00 0.00 Not Approved. Drop back 1 to mothers is already being provided under JSSK. A.3.2.3 Accreditation of 10000 75 7.50 0.00 Shifted to A.3.2.2. private providers to provide IUD insertion services A.3.2.4 Social Marketing of 0.00 contraceptives (includng delivery of contraceptive by ASHA at door step) A.3.2.5 Contraceptive 12 10000 1.20 0.00 Not approved (the Update seminars budget head and activity do not match) A.3.3 POL for Family 2000 2000 40.00 40.00 Approved Planning/ Others (including additional mobilty support to surgeon's team if req) A.3.4 Repairs of 20 100000 20.00 5.00 Approved @ Rs. Laparoscopes 25000/laparoscope for 20 laparoscopes A.3.5 Other 331045 26000 1434.8 260.00 0.00 strategies/activities 2 (please specify): A.3.5.1 Monitor progress 20 5000 1.00 5.00 Approved for: and quality,QAC 2 State level meetings @ meetings /review of Rs. 10000/meeting and sterilization failures 4 Distt. level meetings @ etc. Rs.5000/district. Approval has been given strictly for QAC meetings only. A.3.5.2 Performance reward 25 20000 5.00 5.00 Approved but State to if any note that no cash awards are permissible. A.3.5.3 World Population Two 299.20 200.00 Approved for 2 rounds of Day’ celebration rounds WPD @ Rs 100 (such as mobility, lakhs/round. IEC activities etc.): funds earmarked for
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) district and block level activities
A.3.5.4 Other strategies/ 331000 1000 1129.6 50.00 activities (such as 2 strengthening fixed day services for IUCD and sterilization etc.) A.3.5.4. World Population 200.00 50.00 Not approved, repeat 1 Day’ celebration budgetting (A.3.5.3) (such as mobility, Approved for Family IEC activities etc.): Planning Indemnity funds earmarked for Scheme instead of World district and block Population Day which has level activities already been budgeted at (Family Planning A.3.5.3. Indemnity Scheme) A.3.5.4. State Family 165000 250 12.12 0.00 APPROVAL PENDED 2 Planning Cell A.3.5.4. Promotional scheme 500.00 0.00 Not approved. Budget 3 of FP ( Newly for incentives approved proposed) in the appropriate head under MFP in FMR head B.1.1.3.3 A.3.5.4. Printing of PPIUCD 1000 500 5.00 0.00 Shifted to MFP under 4 registeres (Patient & FMR head B.10.2.3.2 Follow up) A.3.5.4. Incentive to the 165000 250 412.50 0.00 Not approved 5 Beneficiaries of PPIUCD Sub-total Family 1721.3 401.30 Planning (excluding 2 Sterilisation Compensation and NSV Camps) Sub-total 1822.0 1806.50 Sterilisation 0 Compensation and NSV Camps A.9.6 Family Planning 191 608555 175.63 134.96 Training
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.9.6.1 Laparoscopic 6 101440 6.09 4.27 Sterilisation Training A.9.6.1. TOT on laparoscopic 0.00 1 sterilisation A.9.6.1. Laparoscopic 6 101440 6.09 4.27 Approved for 6 batches 2 sterilisation training of 4 participants each @ for doctors (teams Rs.71240/batch of doctor, SN and OT assistant) A.9.6.2 Minilap Training 4 101440 4.06 2.85 A.9.6.2. TOT on Minilap 0.00 1 A.9.6.2. Minilap training for 4 101440 4.06 2.85 Approved for 4 batches 2 medical officers of 4 participants each @ Rs.71240/batch A.9.6.3 Non-Scalpel 5 32800 1.64 1.64 Vasectomy (NSV) Training A.9.6.3. TOT on NSV 0.00 1 A.9.6.3. NSV Training of 5 32800 1.64 1.64 Approved 2 medical officers
A.9.6.4 IUD Insertion 141 272975 107.51 107.51
A.9.6.4. TOT for IUD 15 111025 16.65 16.65 Approved for 15 batches 1 insertion of 10 participants each. A.9.6.4. Training of Medical 45 112000 50.40 50.40 Approved for 45 batches 2 officers in IUD of 10 participants each. insertion A.9.6.4. Training of staff 0.00 0.00 3 nurses in IUD insertion A.9.6.4. Training of ANMs / 81 49950 40.46 40.46 Approved 4 LHVs in IUD insertion A.9.6.5 Contraceptive 0.00 update/ISD Training
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.9.6.6 Other family 35 99900 56.34 17.48 planning training (please specify) A.9.6.6. TRG - FP - PPIUCD 30 49950 14.99 14.99 Approved 1 Insertion Training- MO/SN/O&G Specialist A.9.6.6. TOT for PPIUCD 5 49950 2.50 2.50 Approved 2 A.9.6.6. IUCD 375 insertion 17 111025 18.87 0.00 Not approved.GoI is in 3 training to MOS agreement with the activity which may be carried out with IUCD 380 training as a one day orientation, no separate batches required. A.9.6.6. Training to ANM on 40 49950 19.98 0.00 Not approved.GoI is in 4 IUCD 375 insertion agreement with the activity which may be carried out with IUCD 380 training as a one day orientation, no separate batches required. A.9.6.9 Training of FP 0.00 1.20 Approved. Budget has Counselors been sanctioned as per discussion with state for 2 batches of RMNCH counsellors @ Rs 60000/batch for 13-15 participants/batch. B1.1.3. Incentive for FP( 125000 1225 218.75 3 PPIUCD/others) 300.00
B1.1.3. Incentive for Female Not approved (New 3.1 Sterilisation (after 3 activity) 100000 100 100.00 0.00 or more living children) B1.1.3. Incentive for Male Not approved (Ongoing 3.2 Sterilisation (after 3 activity) 15000 125 18.75 0.00 or more living children) B1.1.3. Incentive for Approved Rs 200 lakhs 3.3 Sterilisation (after 10000 1000 100.00 200.00 (Ongoing activity) Budget 1st or 2nd child) approved @
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Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) Rs.1000/ASHA for 20000 sterilizations after one or two children. No payment to ANM is permissible. B1.1.3. Incentive for AH Approved (Ongoing 3.4 activity) for motivating couple for spacing of two years after marriage or 20000 500 100.00 100.00 spacing of 3 or more years between first and second child only. The budget is shifted from B1.1.3.4 to B1.1.3.3.4 B.10.2. BCC/IEC activities 0 0 111.60 3 for FP B.10.2. Mass media 61.60 Activity approved as 3.1 mentioned in the B.10.2. Mid-media 50.00 remarks column of FMR 3.2 B10.2 B16.1.3 Procurement of 2010 607145 183.06 180.98 equipment: FP B16.1.3 NSV kits 500 1000 5.00 Approved (Ongoing .1 5.00 activity) B16.1.3 IUCD kits 1000 2000 20.00 Approved (Ongoing .2 20.00 activity) B16.1.3 minilap kits 135 3000 4.05 Approved (Ongoing 4.05 .3 activity) B16.1.3 laparoscopes 25 600000 150.00 Approved (Ongoing 150.00 .4 activity) B16.1.3 PPIUCD forceps 350 1145 4.01 Approved Rs. 1.925 lakhs .5 1.925 for 350 forceps @ Rs. 550/forceps B16.1.3 Other (please 0 0 0.00 0.00 .6 specify) B.16.2. Drugs & supplies for 0 0 0.00 0.00 3 FP
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ADOLESCENT HEALTH
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ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH
SETTING UP OF AH CELL
A unit for adolescent health at state level with a nodal officer supported by four consultants one each for ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components of Adolescent Health at district level to take care of Adolescent health programme including the SHP.
PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:
I. Adolescent Reproductive Sexual Health (ARSH) Programme
Clinics • Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days, fixed time, trained manpower). • Number of clinics integrated with ICTCs • Quarterly Reporting from the ARSH clinics to be initiated to GoI. • Establish a Supportive supervision and Monitoring mechanism Outreach • Utilisation of the VHND platform for improving the clinic attendance. • Demand generation in convergence with SABLA and also through Teen Clubs of MOYAS Capacity Building/Training: • Calculation of the training load and development of training plans! refresher trainings. - Deployment of trained manpower at the functional clinics.
II Menstrual Hygiene Scheme (MHS)
Formation of State and district level steering committees. Training / re-orientation of service providers(MOs, ANMs, ASHAs) Monthly meeting with BMO. Regular feedback on quality of sanitary napkins to be sent to GoI Identification of appropriate storage place for sanitary napkins. Mechanism of distribution of SN right upto the user level. Reporting and accounting system in place at various levels. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain management of IFA tabs and Sanitary napkins. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).
II Weekly Iron and Folic Acid Supplementation programme (WIFS)
Procurement policy in place for procurement of EDL including IFA and deworming tablets. Establish “Monday” as a fixed day for WIFS.
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Plan for training and capacity building of field level functionaries of concerned Departments(i.e. Department of Women and Child Development and and Department of Education) and plan for sensitization of Programme Planners on WIFS. Ensure that monitoring mechanism as outlined in the operational framework (Shared with the States during the National Adolescent Health Workshop) are put in place across levels and departments.
DETAILED BUDGET: ADOLESCENT HEALTH
Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.4 ADOLESCENT 116.34 64.68 0.00 REPRODUCTIVE AND SEXUAL HEALTH / ARSH A.4.1 Adolescent 68.10 30.38 0.00 health services A.4.1.1 Disseminate 23 20000 4.60 4.60 Approved ARSH guidelines. A.4.1.2 Establishment of 21 50000 10.50 10.50 Approved new clinics at DH level A.4.1.3 Establishment of 20 50000 10.00 10.00 Approved new clinics at CHC/PHC level A.4.1.4 Operating 44 12000 5.28 5.28 Approved expenses for existing clinics A.4.1.5 Outreach 5000 500 25.00 0.00 Not approved as State activities needs to provide details including peer of activities proposed to educators be conducted through SHGs A.4.1.6 Others 12.72 0.00
A.4.1.6.1 ARSH Cell 12.72 0.00 APPROVAL PENDED A.4.2 School Health 0 0 13.94 0.00 programme A.4.2.1 Prepare and 0.00 0.00 Not approved as no disseminate programme component guidelines for is proposed. School Health Programme.
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A.4.2.5 Other strategies 0 0 13.94 0.00 for school health
A.4.2.5.1 School Health 13.94 0.00 Not approved as no Cell at State level programme component is proposed, the proposed posts thereby are not justified. A.4.3 Other 140 26000 34.30 34.30 strategies/activiti 0 es (please specify) A.4.3.1 Mobility support 108 10000 10.80 10.80 Approved for ARSH/ICTC counsellors A.4.3.2 Menstrual 5 20000 10.00 10.00 Approved for logistics Hygiene (Sanitary 0 and storage of sanitary napkin napkins in the 5 selected procurement to districts. be booked under procurement) A.4.3.3 WIFS actvity 27 50000 13.50 13.50 Approved Sub-total ARSH 116.34 64.68
A.9.7 Adolescent 172855 49055 631.30 631.30 Reproductive 0 and Sexual Health/ARSH Training A.9.7.1 TOT for ARSH 0.00 training A.9.7.2 Orientation 1 17000 1.70 1.70 Approved training of state 0 and district programme managers A.9.7.3 ARSH training for 3 17000 5.10 5.10 Approved medical officers 0 A.9.7.4 ARSH training for 2 15000 3.00 3.00 Approved ANMs/LHVs 0 A.9.7.6.1 WIFS training 172849 550 621.50 621.50
A.9.7.6.1. State level/ 550.0 621.50 621.50 Approved for 1 District Level/ 172,849 0 113000persons Block Level @Rs.550/person A.9.7.6.1. refresher training 0.00 2 –ANM/MO/
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AWW/ Nodal Teacher A.9.7.6.2 Menstrual 0.00 hygiene training A.9.7.6.3 SHP training 0 0 0.00 0.00
B.10.2.4 BCC/IEC activities 0 0 95.78 for ARSH B.10.2.4. Mass media 35.78 Activity approved as 1 mentioned in the B.10.2.4. Mid-media 60.00 remarks column of FMR 2 B10.2 B.10.5.2 Printing of WIFS 5108039 2 76.62 Approved (New activity) 76.62 cards etc B.10.5.3. Reporting 27 75000 20.25 Approved (New activity) 1 Mechanism 20.25 formats (WIFS) B16.1.6 Equipments for 5000 3000 150.00 0.00 ARSH/ School Health B16.1.6.1 Equipments for 0.00 0.00 ARSH Clinics B16.1.6.2 Equipments for 5000 3000 150.00 Not approved as no School Health programme component Equipments for is proposed. The School Health proposed utilisation of Screening carry forward budget of 0.00 (weighing scale, Rs 730 lakhs towards Height procurement of dental measurement chairs is not approved. scale and Snellens’ Charts) B.16.2.6 Drugs & supplies 1123768 1 112.38 776.68 for WIFS 6 B.16.2.6. Albendazole 0.2 664.30 Approved. Budget shifted 1 332,149, 664.30 from B.16.2.6.2 596 B.16.2.6. IFA 1 112.38 Approved. Budget shifted 2 11,237,6 112.38 from B.16.2.6.1 86 B.16.2.7 Drugs & supplies 0.00
for SHP
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URBAN RCH
BUDGET: URBAN RCH Approval of State PIP 2013-14: Chhattisgarh Page 73
Unit Budget Approved Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakhs) A.5 URBAN RCH 295.80 0.00 (focus on Urban slums) A.5.1 Identification of urban areas / mapping of urban slums and planning A.5.2 HR for urban 295.80 0.00 Not approved. State will health including be asked to propose the doctors, ANMs, same under NUHM. Lab techs A.5.2.1 Doctors/Mos 29 72000 208.80 0.00 0 A.5.2.4 ANM 0.00 A.5.2.5 Staff Nurse 29 18000 52.20 0.00
0 A.5.2.6 LHV 0.00 A.5.2.7 LT 29 12000 34.80 0.00
0 A.5.5.10 Establishmernt & Equipments ( PHCs and Sub centres ) Sub-total Urban 295.80 0.00 Health
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PC-PNDT
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ROAD MAP: PNDT
MISSION:
The mission of PNDT program is to improve the sex ratio at birth by regulating the pre- conception and prenatal diagnostic techniques misused for sex selection.
Guiding Principle:
Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio
STRATEGIES:
Strengthening programme management structures: > Appointment of Nodal officer > Strengthening of Human resource > Formation of PNDT Cell at state and district level
Establishment of statutory bodies under the PC&PNDT Act > Constitution of 20 member State Supervisory Board — Reconstitution every three years (other than ex-officio members) — Four meetings in a year > Notification of three members Sate Appropriate Authority, > Constitution of 8 member State Advisory Committee — Reconstitution in every 3 years — At least 6 meetings in a year > Notification of District Appropriate Authorities > Constitution of 8 member district Advisory Committees — Reconstitution in every 3 years — At least 6 meetings in a year Strengthening of monitoring mechanisms > Monitoring of sex ratio at birth through civil registration of birth data > Formulation of Inspection and Monitoring committees > Increasing the monitoring visits > Review and evaluation of registration records > Online availability of PNDT registration records > Online filling and medical audit of form Fs > Ensure regular reporting of sales of ultrasound machines from manufactures > Enumeration of all Ultrasound machines and identification of un-registered ultrasound machine > Ensure compliance for maintenance of records mandatory under the Act
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> Ensure regular quarterly progress reports at state and district level Capacity building and sensitisation of program managers > Appropriate Authorities > Advisory committee members > Nodal officers both State and District
• Sensitisation and Alliance building with > Judiciary> Medical Council / associations > Civil society. • Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and promotion of Girl Child • Convergence for Monitoring of Child sex Ratio at birth
KEY PERFORMANCE INDICATORS:
. Improvement in child sex ratio at birth . % of civil registration of births . Statutory bodies in place . % registrations renewed . Increase in inspections and action taken . No. of unregistered machines identified . % of court cases filed . % of convictions secured . No. of medical licences of the convicted doctor cancelled or suspended
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DETAILED BUDGET: PNDT
Sr. No. Budget Head Quantity/ Unit Cost Amount Amount Remarks Target (Rs.) Proposed Approved (Rs. in (Rs. in lakhs) lakhs) A.7 PNDT Activities 139.40 36.86 A.7.1 Support to PNDT cell 8.70 20.16 Calculation error by State. Approved for State level: One Doctor @ Rs. 50,000/- pm, One Consultant @ Rs. 40,000/- pm and One DEO @ Rs. 18,000/- pm 5 DEOs for five Districts @ Rs. 12,000/- pm. A.7.3 Mobility support 11 20000 2.20 2.20 Approved A.7.2 Other PNDT activities 254 1276000 128.50 14.50 (please specify) A.7.2.1 Orientation of 200 1000 2.00 2.00 Approved programme managers and service providers A.7.2.2 Incentive for 50 25000 12.50 12.50 Approved Informer A.7.2.3 On line form 4 1250000 50.00 0.00 Not approved Submission A.7.2.4 International Girl 64.00 0.00 Not approved Child day celebration A.7.2.1 0.00 0 Sub-total PNDT 0 0 139.40 36.86 activities
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TRIBAL RCH
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DETAILED BUDGET: URBAN RCH
A.6. TRIBAL RCH 48.00 0.00
A.6.1 Special plans for 16 30000 48.00 0.00 APPROVAL PENDED. State tribal areas 0 has neither given any details of camps nor provide the desired justification for 0% expenditure and/or scale up of camps. A.6.2 HR for tribal 0.00 areas ( in addition to normative HR) A.6.3 Outreach 10000 0.00 activities
A.6.4 Other Tribal 0 0 0.00 0.00 RCH strategies/activi ties (please specify)
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HUMAN RESOURCES AND PROGRAMME MANAGEMENT
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ROAD MAP: HUMAN RESOURCES
A comprehensive HR policy to be formulated and implemented; to be uploaded on the website.
Underserved facilities particularly in high priority districts, to be first strengthened through contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as per need
All appointments under NRHM to be contractual; contracts to be renewed not routinely but based on structured performance appraisal Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to the District Health Society under the chairpersonship of the District Collector or Rogi Kalyan Samitis at facility level as applicable.
Preference to be given to local candidates to ensure presence of service providers in the community. Residence at place of posting to be ensured. Quality of HR ensured through appropriate qualifications and a merit- based, transparent recruitment process is mandatory. It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors (both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent in inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take services to the remotest parts of the country, particularly the un-served and under-served areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed first. Contractual HR must not be deployed in better served areas until the remotest areas are adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain without any ANM. No PHC in these areas should be without a doctor. Further, CHCs in remote areas must get contractual HR ahead of District Hospitals. Compliance with these conditionalities will be closely monitored and salaries for contractual HR dis-allowed in case of a violation. Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state NRHM web site. For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM to be available at the sub-centre throughout the day while the other ANM undertakes field visits; timings for ANM‟s availability in the SHC to be notified. AYUSH doctors to be more effectively utilized eg for supportive supervision, school health and WIFS. All contractual staff to have job descriptions with reporting relationships and quantifiable indicators of performance. Performance appraisal and hence increments of contractual staff to be linked to progress against indicators.
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Staff productivity to be monitored. Continuation of additional staff recruited under NRHM for 24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be reviewed by State on a priority basis. All performance based payments/difficult area incentives should be under the supervision of RKS/Community Organizations (PRI).
DETAILED BUDGET: HUMAN RESOURCES
FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
A.8 Human 9502.19 4285.57 As agreed, the following Resources key conditionalities would be enforced during the year 2013- 14. a) Rational and equitable deployment of HR with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit and corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
continuation for the next six months would be contingent on compliance of the above four conditionalities. - From 1st October 2013, under NRHM funds for salary to contractual HR would be done only to make payments to contractual staff over and above the sanctioned regular positions in the State.
- It is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending. A.8.1 Contractual 5551 881200 9502.19 4285.57 Staff & 0 Services A.8.1.1 ANMs,Super 1882 165600 1855.44 1090.62 0.00 visory 0 Nurses, LHVs, A.8.1.1. ANMs 1381 288000 969.48 745.74 0.00 1 A.8.1.1. Non- 24 X 7 69 72000 24.84 Approved @ Rs.9000/m. 1.e PHCs Approval is being granted for six months only and its continuation for the next 745.74 six months would be contingent on compliance of the above mentioned conditionalities.
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
A.8.1.1. Sub Centres 1290 144000 928.80 1.f A.8.1.1. Others 22 72000 15.84
1.h A.8.1.1. Staff Nurses 479 126000 862.20 344.88 0.00 2 0 A.8.1.1. DH 180000 0.00 2.a A.8.1.1. FRUs 30 180000 54.00 Approved @ 2.b Rs.12000/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.1. Non FRU 10 180000 18.00
2.c SDH/ CHC 344.88 A.8.1.1. 24 X 7 PHC 200 180000 360.00 2.d A.8.1.1. Non- 24 X 7 11 180000 19.80
2.e PHCs A.8.1.1. SNCU/ 216 180000 388.80 2.f NBSU/NRC etc A.8.1.1. Others 12 180000 21.60
2.g A.8.1.1. LHVs/superv 22 108000 23.76 0.00 0.00 3 isory nurses A.8.1.1. Others 22 108000 23.76 0.00 Not approved 3.g A.8.1.2. Laboratory 257 432000 210.96 17.40 0.00 1 Technicians A.8.1.2. DH 27 72000 19.44 Approved for 29 LTs @ Rs. 1.a 10000/- per month. A.8.1.2. FRUs 45 72000 32.40 Approval is being granted 1.b 17.40 for six months only and its A.8.1.2. Non FRU 49 72000 35.28 continuation for the next 1.c SDH/ CHC six months would be
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
A.8.1.2. 24 X 7 PHC 100 72000 72.00 contingent on compliance 1.d of the above mentioned A.8.1.2. Non- 24 X 7 0.00 conditionalities. 1.e PHCs A.8.1.2. Others 36 144000 51.84 1.f A.8.1.2. MPWs 16 72000 11.52 2 A.8.1.3 Specialists 186 294000 395.40 435.00 0.00 (Anaesthetis 0 ts, Paediatricia ns, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) A.8.1.3. Obstetrician 12 600000 72.00 72.00 0.00 1 s and Gynecologis ts A.8.1.3. DH 0 1.a A.8.1.3. FRUs 12 600000 72.00 72.00 Approved.Approval is 1.b being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Anesthetists 12 600000 72.00 72.00 0.00 3 A.8.1.3. DH 0.00 3.a A.8.1.3. FRUs 12 600000 72.00 72.00 Approved.Approval is 3.b being granted for six
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Surgeons 4 600000 24.00 0.00 0.00 4 A.8.1.3. DH 4 600000 24.00 0.00 Not approved 4.a A.8.1.3. Specialists 12 600000 36.00 72.00 0.00 5 for CH (Paediatricia n etc) in SNCU,NBSU, NRC A.8.1.3. DH 12 600000 36.00 72.00 Approved.Approval is 5.a being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Dental 146 540000 191.40 219.00 0.00 7 surgeons and dentists A.8.1.3. DH 0 0.00 7.a A.8.1.3. FRUs 54 300000 81.00 Approved 7.b @Rs.25000/m.Approval is being granted for six months only and its 219.00 continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Non FRU 92 240000 110.40
7.c SDH/ CHC A.8.1.5 Medical 89 108000 320.40 109.80 0.00 Officers 0
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
A.8.1.5. Non FRU 29 360000 104.40 Approved for 61 MOs @ 3 SDH/ CHC Rs.30000/m including 32 Mos for SNCUs. Approval is being granted for six months only and its 109.80 continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.5. MOs for 48 360000 172.80 7 SNCU/ NBSU/NRC etc
A.8.1.5. Other MOs 0.00
8 A.8.1.5. Others 12 360000 43.20
9 A.8.1.7 Others - 0.00 Computer Assistants/ BCC Co- ordinator etc A.8.1.7. Pharmacist 22 432000 15.84 0.00 0.00 1 A.8.1.7. DH 72000 0.00 1.a A.8.1.7. FRUs 72000 0.00 1.b A.8.1.7. Non FRU 72000 0.00 1.c SDH/ CHC A.8.1.7. 24 X 7 PHC 72000 0.00 1.d A.8.1.7. Non- 24 X 7 72000 0.00 1.e PHCs A.8.1.7. Others 22 72000 15.84 0.00 Not approved 1.f A.8.1.7. FRUs 0.00 0.00 2.b A.8.1.7. Non- 24 X 7 0.00 0.00
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
2.e PHCs A.8.1.7. OT 84 528000 77.04 0.00 0.00 3 technicians/ assitsants
A.8.1.7. DH 27 144000 38.88 3.a 0.00 Not approved
A.8.1.7. FRUs 45 144000 32.40 3.b
A.8.1.7. Other 12 96000 5.76
3.f A.8.1.7. MOs 0.00 0.00 4.a A.8.1.7. Counsellors 158 360000 438.60 179.61 0.00 5 A.8.1.7. RMNCH/FP 108 120000 129.60 64.80 Approved @ Rs 10000/- 5.1 Counselors per month for 108 RMNCH/FP counsellors. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.7. ARSH 0.00 5.2 Counselors A.8.1.7. Honorarium 0.00 5.3 to ICTC counselors for ARSH activities A.8.1.7. Others (pl 189.00 54.81 Approved for 63 Feeding 7 specify) demonstrators @ Rs.10000/m & 63 Cooks @ Rs.4500/m. Approval is being granted for six months only and its continuation for the next six months would be
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
contingent on compliance of the above mentioned conditionalities. A.8.1.7. Staff for 50 240000 120.00 60.00 Approved for 50 BSc 8 Training nursing tutors @ Institutes/ Rs.20000/m. Approval SIHFW/ subject to: Nursing 1) Rational deploymnet of Training the faculty . 2) These HR will be posted in high priority districts. 3) These faculty will be given 6 week induction training. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.9 Human 945.71 354.24 Approved Provident Fund Resources @ 12% for 6 months. Developme nt (Other than above)
A.8.1.1 Other 218 820000 1971.30 979.30 0.00 0 Incentives Schemes (Pl.Specify) A.8.1.1 HR - Awards 2 5000 0.10 0.10 Approved 0.1 Etc. to Emoc A.8.1.1 HR - Awards 2 5000 0.10 0.10 Approved 0.2 Etc. to LSAS A.8.1.1 Chhattisgar 1856.00 864.00 Approved. Approval is 0.3 h Rural being granted for 6 Medical months only and its Corp ( continutation for the next CRMC) six months would be contingent on compliance of the above mentioned
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
conditionalities. Details in Annex CRMC A.8.1.1 HR - 3 300000 9.00 9.00 Approved 0.4 Performanc e Based Incentives - DH A.8.1.1 HR - 3 200000 6.00 6.00 Approved 0.5 Performanc e Based Incentive - FRU- other than DH- Hospital Staff A.8.1.1 HR - 2 100000 2.00 2.00 Approved 0.6 Performanc e Based Incentive - Civil Dispensary Staff A.8.1.1 HR - 8 100000 8.00 8.00 Approved 0.7 Performanc e Based Incentive - Non FRU- CHC Staff A.8.1.1 HR - 52 75000 39.00 39.00 Approved 0.8 Performanc e Based Incentive - PHC Staff A.8.1.1 HR - 146 35000 51.10 51.10 Approved 0.9 Performanc e Based Incentive - SHC Staff A.8.1.1 Support 2639 492000 3259.98 1119.60 0.00 1 Staff for Health Facilities A.8.1.1 DH 193 42000 81.06 0.00 Not approved
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FMR Budget Physical/ Unit Amount Amount Remarks Code Head Target Cost Proposed Approve (Rs.) (Rs. in d (Rs. in lakhs) lakhs)
1.a A.8.1.1 FRUs 203 42000 85.26 0.00 Not approved 1.b A.8.1.1 Non FRU 399 42000 167.58 0.00 Not approved 1.c SDH/ CHC A.8.1.1 24 X 7 PHC 600 42000 252.00 0.00 Not approved 1.d A.8.1.1 Non- 24 X 7 1232 216000 2661.12 1108.80 Approved for 1232 RMAs 1.e PHCs @Rs.15000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.1 SNCU/ 12 108000 12.96 10.80 Approved for Accountant 1.f NBSU/ cum DEOs @Rs. 15000/m NBCC/ NRC for 12 units. Approval is etc being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Sub-total 9502.19 4285.57 HR
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PROGRAMME MANAGEMENT
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ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT
A full time Mission Director is a prerequisite. Stable tenure of the Mission Director (minimum 3 years) should also be ensured.
A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource envelope of State), from the State Finance Services not holding any additional charge outside the Health Department must be put in place, if not already done, considering the quantum of funds under NRHM and the need for financial discipline and diligence.
Regular meetings of state and district health missions/ societies.
Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff performance to be monitored against targets and staff sensitized across all areas of NRHM such that during field visits they do not limit themselves only to their area of functional expertise.
Performance of staff to be monitored against benchmarks; qualifications, recruitment process and training requirements to be reviewed.
Delegation of financial powers to district/ sub-district levels in line with guidelines should be implemented.
Funds for implementation of programmes both at the State level and the district level must be released expeditiously and no delays should take place.
Evidence based district plans prepared, appraised against pre determined criteria; district plans to be a “live” document. Variance analysis (physical and financial) reports prepared and discussed/action taken to correct variances.
Supportive supervision system to be established with identification of nodal persons for districts; frequency of visits; checklists and action taken reports.
Remote/ hard to reach/ high focus areas to be intensively monitored and supervised.
An integrated plan and budget for providing mobility support to be prepared and submitted for review/approval; this should include allocation to State/ District and Block Levels.
All facilities to maintain visitors registers. All supervisors should write their main observations and agreed action/recommendation. Supervisors should sign with their name and post (written legibly) with date of visit.
All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of block and district programme management unit respectively. Similarly a Nursing nodal person to be a part of SPMU. Nursing to be made an integral part of all planning, implementation and monitoring activities.
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DETAILED BUDGET: PROGRAMME MANAGEMENT
FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approved (Rs.) d (Rs. in (Rs. in lakhs) lakhs)
A.10 PROGRAMME 7316.01 2602.63 Approval for Programme MANAGEMENT Management staff is being granted for six months only and its continuation for the next six months would be contingent on compliance of condition that Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff. A.10.1 Strengthening 79 406800 341.40 119.02 0.00 of State 0 society/ State Programme Management Support Unit Contractual 79 406800 341.40 119.02 0.00 Staff for SPMSU 0 recruited and in position A.10.1.1 State 1 840000 8.40 Programme Manager A.10.1.2 State Accounts 1 600000 6.00 Manager A.10.1.3 State Finance 1 720000 7.20 Manager Rs.119.02 lakhs approved. 119.02 Deatails available in Annx A.10.1.4 State Data 1 540000 5.40 Programme Management Manager A.10.1.5 Consultants/ 5 720000 36.00 Programme Officers (including for MH/CH/FP/
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approved (Rs.) d (Rs. in (Rs. in lakhs) lakhs)
PNDT/ AH including WIFS SHP, MHS etc.) A.10.1.6 Programme 15 84.60 Assistants A.10.1.7 Accountants 12 300000 36.00
A.10.1.8 Data Entry 33 240000 79.20 Operators A.10.1.9 Support Staff 10 108000 10.80 (Kindly Specify) A.10.1.10 Salaries for Staff 0.00 on Deputation (Please specify) A.10.1.11 Others (Please 67.80 0.00 specify) A.10.1.11. State 1 600000 6.00 1 Programme Manager M&E A.10.1.11. State 1 600000 6.00 2 Programme Manager HMIS A.10.1.11. 15 120000 18.00 3 A.10.1.11. Engineer Civil & 3 420000 12.60 4 Eletrical A.10.1.11. Programmer 6 420000 25.20 5 A.10.2 Strengthening 328 265200 1682.64 528.17 0.00 of District 0 society/ District Programme Management Support Unit Contractual 328 265200 1682.64 528.17 0.00 Staff for DPMSU 0 recruited and in position A.10.2.1 District 27 600000 162.00 Rs.528.17 lakhs approved. Programme 528.17 Manager Details available in Annx
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approved (Rs.) d (Rs. in (Rs. in lakhs) lakhs)
A.10.2.2 District 27 480000 129.60 Programme Management Accounts Manager A.10.2.3 District Data 27 420000 113.40 Manager A.10.2.4 Consultants/ 81 480000 388.80 Programme Officers (Kindly Specify) A.10.2.5 Accountants 27 240000 64.80
A.10.2.6 Data Entry 112 216000 241.92 Operators A.10.2.7 Support Staff 27 216000 58.32 (Kindly Specify) A.10.2.8 Others (Please 523.80 0.00 specify) A.10.2.8.1 District Training 27 420000 113.40 Coordinators A.10.2.8.2 Hospital 27 480000 129.60 Consultant A.10.2.8.3 Sub Engineer 27 420000 113.40 A.10.2.8.4 Assistant DPM 18 300000 54.00 (AYUSH) A.10.2.8.5 Incentive to 135 84000 113.40 Nodal Officers ( Programme ) A.10.3 Strengthening 584 100800 2538.72 930.86 of Block PMU 0
A.10.3.1 Block 146 360000 525.60 Programme Manager A.10.3.2 Block Accounts 146 216000 315.36 Rs.930.86 lakhs approved. Manager 930.86 Details available in Annx A.10.3.3 Block Data 146 216000 315.36 Program Management Manager A.10.3.4 Accountants 0.00
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approved (Rs.) d (Rs. in (Rs. in lakhs) lakhs)
A.10.3.5 Data Entry 146 216000 315.36 Operators A.10.3.6 Support Staff 0.00 (Kindly Specify) A.10.3.7 Others (Please 1067.04 0.00 specify) A.10.3.7.1 PADA 741 144000 1067.04 A.10.4 Strengthening 503 241800 106.02 80.22 0.00 (Others) A.10.4.1 Workshops and 300 25000 75.00 30.00 Approved for 150 workshops Conferences and conferences @20000 A.10.4.2 AYUSH Cell - 12 170000 20.40 0.00 APPROVAL PENDED SHRC ( Technical support) A.10.4.3 Programme 12 45000 5.40 0.00 Not approved Associate - Bio- medical cell ( State ) A.10.4.4 Technical 2.00 2.00 Approved support for Tally ( Fin. Mgmt) A.10.4.5 Talley Annual 179 1800 3.22 3.22 Approved Upgradation fees A.10.5 Audit Fees 1 800000 8.00 8.00 Approved
A.10.6 Concurrent 30.00 30.00 Approved Audit system A.10.7 Mobility 173 165000 2609.23 906.36 0.00 Support, Field 0 Visits A.10.7.1 SPMU/State 930000 111.60 12.00 Approved for 4 vehicles @ Rs.3 L/vehicle/annum A.10.7.2 DPMU/District 27 600000 162.00 162.00 Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum A.10.7.3 BPMU/Block 146 120000 175.20 175.20 Approved
A.10.7.4 Other 2160.43 557.16 0.00 Supportive Supervision
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approved (Rs.) d (Rs. in (Rs. in lakhs) lakhs)
costs A.10.7.4.1 Travel and 15 360000 54.00 0.00 Not approved. No separate supportive mobility costs being supervision of approved this year. State Nodal officer A.10.7.4.2 SPMU 140.42 14.28 Rs. 14.28 lakhs approved for Administration Provident fund @ Rs. 12%. A.10.7.4.3 DPMU 27 300000 1483.22 63.38 Rs.63.38 lakhs approved for Administration Provident fund @ Rs. 12 %. A.10.7.4.4 BPMU 146 120000 420.95 111.70 Rs.111.70 lakhs approved for administration Provident fund @ Rs. 12 %. A.10.7.4.5 Technical 61.84 0.00 Not approved Support to NRHM by SHRC Sub-total 7316.01 2189.83 Programme Management
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OTHERS 1
DETAILED BUDGET: TRAINING
FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9 TRAINING 2486.79 1951.16 A.9.1 Strengthening 0.00 of existing Training Institutions (SIHFW, ANMTCs, etc.) A.9.2 Development of 78 52000 506.92 141.92 0.00 training 0 packages A.9.2.1 Development/ 75 20000 15.00 15.00 Approved for holding translation and meetings to adopt the duplication of modules deveoped for training nursing tutors. materials A.9.2.2 Other activities 3 50000 491.92 126.92 (pl. specify) 0
A.9.2.2.1 Development of 3 50000 15.00 15.00 Approved for Induction Training mdules 0 training modules for MOs, SNs and LTs A.9.2.2.2 Stregthening of 200.00 0.00 Approval Pended. Not existing training proposed as per the facility centres wise gap analysis and GoI Roadmap. State needs to do facility wise gap analysis and align with the GoI roadmap before submitting a comprehensive proposal A.9.2.2.3 Stregthening 165.00 0.00 APPROVAL PENDED. State SIHFW needs to revise the proposal. A.9.2.2.4 Establishment 111.92 111.92 Approved subject to of Skill Lab availability of these skill labs in the 100 bedded MCH Wings.
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9.3 Maternal 226 11901 288.39 272.65 Health Training 40
A.9.3.1 Skilled 105 57960 129.84 114.10 0.00 Attendance at 5 Birth / SBA A.9.3.1.1 Setting up of 3 20000 6.00 6.00 Approved for setting up 3 SBA Training 0 training centres @ Rs 2 Centres Lakhs/centre A.9.3.1.2 TOT for SBA 2 13742 2.75 2.75 Approved 5 A.9.3.1.4 Training of Staff 12 12109 14.53 14.53 Approved Nurses in SBA 0 A.9.3.1.5 Training of 88 12109 106.56 90.82 Approved for training of ANMs / LHVs in 0 400 ANMs/LHV/SNs in 75 SBA batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load. A.9.3.2 EmOC Training 0 0 0.00 0.00 0.00
A.9.3.2.1 Setting up of 0.00 EmOC Training Centres A.9.3.2.2 TOT for EmOC 0.00 A.9.3.2.3 Training of 0.00 Medical Officers in EmOC A.9.3.3 Life saving 0 0 0.00 0.00 0.00 Anaesthesia skills training A.9.3.4 Safe abortion 30 55200 16.56 16.56 0.00 services training (including MVA/ EVA and Medical abortion)
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9.3.4.1 TOT on safe 0.00 abortion services A.9.3.4.2 Training of 30 55200 16.56 16.56 Approved for 60 MOs. Medical Officers in safe abortion A.9.3.5 RTI / STI 0 0 0.00 0.00 0.00 Training
A.9.3.6 BEmOC training 24 79925 19.18 19.18 Approved for 120 MOs. for MOs/LMOs A.9.3.7 Other maternal 67 47541 67.19 67.19 health training 0 (please specify) A.9.3.7.6 State level MDR 2 13282 2.66 Approved for training of training ToT 5 state and district officials A.9.3.7.7 District Level 27 14248 38.47 41.13 on MDR, subject to training Training of MO s 5 being conducted as per the in MDR GOI Training norms. A.9.3.7.8 Supportive 3 13742 4.12 4.12 Approved supervision for 5 SBA training for Mos and RMAs A.9.3.7.9 10 Days BeMoc 35 62675 21.94 21.94 Approved training for RMAs A.9.3.8 Blood Storage 0.00 0.00 Unit (BSU) Training A.9.3.9 Skill Lab 55.62 55.62 Approved for 21 trainings Training @ Rs.37836/training at 1 skill lab/month for 7 months A.9.4 IMEP Training 27 10000 27.00 27.00 0 A.9.4.1 TOT on IMEP 0.00 A.9.4.2 IMEP training 0.00 for state and district programme
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
managers A.9.4.3 IMEP training 27 10000 27.00 27.00 Approved for medical 0 officers A.9.5 Child Health 213 36938 536.30 468.34 Training 00 A.9.5.1 IMNCI Training 68 11205 236.89 236.89 (pre-service and 30 in-service) A.9.5.1.1 TOT on IMNCI 2 37396 7.48 7.48 Approved (10 doctors & 10 (pre-service and 0 SNs in each batch) in-service) A.9.5.1.2 IMNCI Training 54 33292 179.78 179.78 Approved for ANMs / LHVs 0 A.9.5.1.3 IMNCI Training 12 41365 49.64 49.64 Approved; 12 batches of 24 for Anganwadi 0 anganwadi workers in Workers each. A.9.5.2 F-IMNCI 11 13017 39.82 39.82 Training 50 A.9.5.2.1 TOT on F-IMNCI 1 37580 3.76 3.76 Approved 0 A.9.5.2.2 F-IMNCI 8 29232 23.39 23.39 Approved Training for 5 Medical Officers A.9.5.2.3 F-IMNCI 2 63362 12.67 12.67 Approved Training for 5 Staff Nurses A.9.5.3 Home Based 0 0 0.00 0.00 Newborn Care / HBNC A.9.5.3.1 TOT on HBNC 0.00 A.9.5.3.2 Training on 0.00 HBNC for ASHA A.9.5.4 Care of sick 0 10000 86.60 57.76 children and severe malnutrition at FRUs
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9.5.4.1 TOT on Care of 0.00 sick children and severe malnutrition A.9.5.4.2 Training on Care 10000 86.60 57.76 Since new NRCs are not of sick children .00 approved, budget and severe proposed (28.8 lakhs) for malnutrition for training of new NRC staff Medical Officers has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 20 each @ Rs.6,000 per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.15870/block Reorientation of feeding deonstrators and cook: 120 persons@ Rs.3000/person A.9.5.5 Other child 134 12615 172.99 133.87 health training 20 (please specify) A.9.5.5.1 NSSK Training 59 31903 43.98 43.98 0
A.9.5.5.1. TOT for NSSK 1 96550 0.97 0.97 Approved 1 A.9.5.5.1. NSSK Training 22 74140 16.31 16.31 Approved 2 for Medical Officers A.9.5.5.1. NSSK Training 27 74170 20.03 20.03 Approved 3 for SNs A.9.5.5.1. NSSK Training 9 74170 6.68 6.68 Approved 4 for ANMs A.9.5.5.2 Other Child 75 94249 129.01 89.89 Health training 0
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9.5.5.2.a Ch-IYCF- TOT 1 34912 3.49 3.49 Approved. Details of 0 expenditure & physical progress to be shared by the state. A.9.5.5.2. CH- IYCF- 18 25955 46.72 28.80 Approved for 10 MO + 14 b District level 0 SN per batch @ Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state. A.9.5.5.2.c CH- FBNC - 55 10660 58.63 51.17 Approved for 48 persons @ Training on 0 Rs.106600/per batch Observership A.9.5.5.2. CH- FBNC- Mos 17.90 4.16 Approved for 2 batches d and Staff Nurses only, as there is no possibility for larger numbers to undergo observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size 24 @ Rs.2.08 lakhs/batch A.9.5.5.2. FBNC TOT for 1 22722 2.27 2.27 Approved (24 participants e Mos 0 in the batch) A.9.6 Family Planning 191 60855 175.63 134.96 Training 5
A.9.6.1 Laparoscopic 6 10144 6.09 4.27 Sterilisation 0 Training A.9.6.1.1 TOT on 0.00 laparoscopic sterilisation A.9.6.1.2 Laparoscopic 6 10144 6.09 4.27 Approved for 6 batches of sterilisation 0 4 participants each @ training for Rs.71240/batch doctors (teams
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
of doctor, SN and OT assistant) A.9.6.2 Minilap Training 4 10144 4.06 2.85 0 A.9.6.2.1 TOT on Minilap 0.00
A.9.6.2.2 Minilap training 4 10144 4.06 2.85 Approved for 4 batches of for medical 0 4 participants each @ officers Rs.71240/batch A.9.6.3 Non-Scalpel 5 32800 1.64 1.64 Vasectomy (NSV) Training A.9.6.3.1 TOT on NSV 0.00
A.9.6.3.2 NSV Training of 5 32800 1.64 1.64 Approved medical officers A.9.6.4 IUD Insertion 141 27297 107.51 107.51 5 A.9.6.4.1 TOT for IUD 15 11102 16.65 16.65 Approved for 15 batches of insertion 5 10 participants each. A.9.6.4.2 Training of 45 11200 50.40 50.40 Approved for 45 batches of Medical officers 0 10 participants each. in IUD insertion A.9.6.4.3 Training of staff 0.00 0.00 nurses in IUD insertion A.9.6.4.4 Training of 81 49950 40.46 40.46 Approved ANMs / LHVs in IUD insertion A.9.6.5 Contraceptive 0.00 update/ISD Training A.9.6.6 Other family 35 99900 56.34 17.48 planning training (please specify) A.9.6.6.1 TRG - FP - 30 49950 14.99 14.99 Approved PPIUCD Insertion Training-
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
MO/SN/O&G Specialist A.9.6.6.2 TOT for PPIUCD 5 49950 2.50 2.50 Approved
A.9.6.6.3 IUCD 375 17 11102 18.87 0.00 Not approved.GoI is in insertion 5 agreement with the activity training to MOS which may be carried out with IUCD 380 training as a one day orientation, no separate batches required. A.9.6.6.4 Training to ANM 40 49950 19.98 0.00 Not approved.GoI is in on IUCD 375 agreement with the activity insertion which may be carried out with IUCD 380 training as a one day orientation, no separate batches required. A.9.6.9 Training of FP 0.00 1.20 Approved. Budget has been Counselors sanctioned as per discussion with state for 2 batches of RMNCH counsellors @ Rs 60000/batch for 13-15 participants/batch. A.9.7 Adolescent 172855 49055 631.30 631.30 Reproductive 0 and Sexual Health/ARSH Training A.9.7.1 TOT for ARSH 0.00 training A.9.7.2 Orientation 1 17000 1.70 1.70 Approved training of state 0 and district programme managers A.9.7.3 ARSH training 3 17000 5.10 5.10 Approved for medical 0 officers A.9.7.4 ARSH training 2 15000 3.00 3.00 Approved for ANMs/LHVs 0
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9.7.5 ARSH training 0.00 for AWWs A.9.7.6 Other ARSH 0 0 0.00 0.00 training A.9.7.6.1 WIFS training 172849 550 621.50 621.50
A.9.7.6.1. State level/ 550.0 621.50 621.50 Approved for 1 District Level/ 172,849 0 113000persons Block Level @Rs.550/person A.9.7.6.1. refresher 0.00 2 training – ANM/MO/ AWW/ Nodal Teacher A.9.7.6.2 Menstrual 0.00 hygiene training A.9.7.6.3 SHP training 0 0 0.00 0.00
A.9.7.6.3. Training/Refresh 0.00 4 er training - ASHA A.9.7.6.3. Training/Refresh 0.00 5 er training - ANM A.9.8 Programme 624 16200 165.00 155.00 Management 00 Training (e.g. M&E, logistics management, HRD etc.) A.9.8.1 Training of 5 50000 25.00 25.00 Approved SPMSU staff 0 A.9.8.2 Training of 5 30000 15.00 15.00 Approved DPMSU staff 0 A.9.8.3 Training of 27 50000 13.50 13.50 Approved BPMSU staff A.9.8.4 Other training 587 77000 111.50 101.50 (pl. specify) 0 A.9.8.4.1 RMAs 400 10000 40.00 40.00 Approved professional
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
development course A.9.8.4.2 TRG - Training of 146 10000 14.60 14.60 Approved emergency management of Mos A.9.8.4.3 TRG - Career 27 70000 18.90 18.90 Approved Development of MITANIN - BSc Nursing course A.9.8.4.4 TRG - Career 10 18000 18.00 18.00 Approved Development of 0 ANMs - GNM Course A.9.8.4.5 PGDDHM 4 50000 20.00 10.00 Approved for 2 Fellowship 0 programme under IGNOU course A.9.9.1 PC/PNDT 0.00 training A.9.9.2 Others 725 5000 21.25 0.00 APPROVAL PENDED. State needs provide details of the activity A.9.10 Training 35 0 39.00 39.00 (Nursing)
A.9.10.1 Strengthening 35 39.00 39.00 Approved for 2 GNM Trng of Existing Institutes @ Rs.19.5 Training lakhs/Trng Inst. (Break up Institutions/Nur of budget: Rs 15 lakhs for sing School mannequins, Rs 2.5 lakhs excluding for teaching aids, Rs 1 lakh infrastructure for contingency, Rs 1 lakh and HR. for honorarium to tuters) A.9.10.2 New Training 0.00 Institutions/Sch ool
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FMR Budget Head Physical/ Unit Amount Amount Remarks Code Target Cost Propose Approv (Rs.) d (Rs. in ed (Rs. lakhs) in lakhs)
A.9.11 Training (Other 77 32000 96.00 81.00 Health 0 Personnel) A.9.11.1 Promotional 0.00 Training of ANMs to lady health visitor etc. A.9.11.2 Training of 75.00 75.00 Approved for training of ANMs,Staff 1000 SN @ Rs 5000/SN and nurses,AWW,A Induction training of 500 WS newly joined MO/SN/LTS @ 5000/HR A.9.11.3 Other training 75 20000 15.00 0.00 Not approved, State needs and capacity to propose as per the INC building Guidelines. programmes (nursing tutors etc.) A.9.11.3.1 PGDHM Courses 2 30000 6.00 6.00 Approved for PGDHM 0 training of MOs with 5 yrs service experience Sub-total 0 0 2486.79 1951.16 Training
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OTHERS 2
DETAILED BUDGET: VULNERABLE GROUPS
Sr. No. Budget Head Unit Quantity/ Amount Amount Remarks Cost Target Proposed Approved (Rs.) (Rs. in (Rs. in lakhs) lakhs) A.11 VULNERABLE GROUPS 23.00 0.00 A.11.1 Planning, including 0.00 mapping and co- ordination with other departments A.11.2 Services for Vulnerable 100 15000 15.00 0.00 APPROVAL groups PENDED. No details given by the State. A.11.3 LWE affected 40 20000 8.00 0.00 APPROVAL areasspecial plan PENDED. No details given by the State. A.11.4 Other 0 0 0.00 0.00 strategies/activities (please specify) Sub-total Vulnerable 0 0 18.00 0.00 Groups
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MISSION FLEXIBLE POOL (MFP)
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ASHA
TARGETS:
S. Activity Targets No. 1. ASHAs with Drug kits 66000 2. ASHAs trained in 6th and 7th modules 66000
ROAD MAP FOR PRIORITY ACTION:
Clear criteria for selection of ASHA Well functioning ASHA support system including ASHA days, ASHA coordinators Performance Monitoring system for ASHAs designed and implemented (including analysis of pattern of monthly payments; identification of non/under-performing ASHAs and their replacement; and reward for well performing ASHAs). State to report on a quarterly basis on ASHA‟s average earnings/ range per month. Timely replenishment of ASHA kits. Timely payments to ASHAs and move towards electronic payment. Detailed data base of ASHAs created and continuously updated; village wise name list of ASHA to be uploaded on website with address and cell phone number.
DETAILED BUDGET:
Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
B1 ASHA B 1.1 ASHA Cost: 1080284 547857 7348.54 6303.66 B1.1.1 Selection & Training 143442 124480 3315.41 3239.81 of ASHA B1.1.1. Module I - IV 66000 1400 924.00 Approved (Ongoing 1 924.00 activity) B1.1.1. Module V 4000 1680 67.20 Approved (Ongoing 2 67.2 activity) B1.1.1. Module VI & VII 10000 1400 140.00 Approved (Ongoing 3 140.00 activity) B1.1.1. Other Trainings 63442 120000 2184.21 2108.61 4
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
B1.1.1. Compensation to 3150 38400 1209.60 Approved as per 4.1 Mitanin Trainrers norms of Rs 150/day 1134.00 for 20 days per month for 12 months B1.1.1. Block contingencies 146 72000 105.12 Approved (Ongoing 4.2 105.12 activity) B1.1.1. Dist Contingencies 146 8400 12.26 Approved (Ongoing 4.3 12.264 activity) B1.1.1. Cluster meetings of 60000 1200 720.00 Approved (New 4.4 Mitanins 720 activity) B1.1.1. Other trainings and 137.23 137.23 Approved Rs 137.23 4.5 activities under Lakhs (Ongoing Mitanin selection activity). Approval is and training for Rs 1.16 lakhs for State ToT of District Coordinators, Rs 14.45 Lakhs for TOT for Block coordinators and Resource persons, Rs 86.63 lakhs for TOT of Mitanin trainers, and Rs 35.00 lakhs for books and materials B1.1.2 Procurement of 198000 2350 1119.00 ASHA Drug Kit 756.00 B1.1.2. New Kits 6000 600 36.00 Approved (Ongoing 1 36 activity) B1.1.2. Replenishment 66000 550 363.00 The amount is 2 budgeted under B16.2.5.2 (ongoing activity) B1.1.2. Procurement of 126000 1200 720.00 3 ASHA HBNC Kit 720.00 B1.1.2. New Kits 60000 1200 720.00 Approved (New 4 720.00 Activity) B1.1.3 Performance 738404 329427 2510.16 Incentive/Other 2118.91 Incentive to ASHAs (if any)
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
B1.1.3. Incentive under MH 102000 202 153.00 0.50 1 (ANC/PNC) B1.1.3. Incentive for 2000 50 1.00 Approved Rs 50,000/- 1.1 Maternal Death for reporting of Reporting expected 1000 0.50 maternal deaths @ 50/-. (Ongoing activity) B1.1.3. Incentive for Home 100000 150 150.00 Not approved (New 1.2 visits to pregnant activity) women for 0.00 counseling on diet, rest and ANC check- ups B1.1.3. Incentive for 2 2.00 Not approved 1.3 Mitanin/ANM for (Ongoing activity) as linking Whole blood 0.00 no targets are finger prick test provided. reactive ANC to ICTC B1.1.3. Incentive under CH 390931 500 910.47 2 (HBNC) 890.47
B1.1.3. ASHA incentive for 350000 250 875.00 Approved (Ongoing 2.1 HBNC 875.00 activity)
B1.1.3. ASHA incentive for 10000 200 20.00 Not approved as 2.2 NRC refferal and already included follow up for post under Care of sick 0.00 referral NRC cases children (NRC budget) for 5,000 children @ 250 per child. B1.1.3. Infant death 30931 50 15.47 Approved (Ongoing 15.47 2.3 reporting activity) B1.1.3. Incentive for FP( 125000 1225 218.75 3 PPIUCD/others) 300.00
B1.1.3. Incentive for Female Not approved (New 3.1 Sterilisation (after 3 activity) 100000 100 100.00 0.00 or more living children)
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
B1.1.3. Incentive for Male Not approved 3.2 Sterilisation (after 3 (Ongoing activity) 15000 125 18.75 0.00 or more living children) B1.1.3. Incentive for Approved Rs 200 lakhs 3.3 Sterilisation (after (Ongoing activity) 1st or 2nd child) Budget approved @ Rs.1000/ASHA for 10000 1000 100.00 200.00 20000 sterilizations after one or two children. No payment to ANM is permissible. B1.1.3. Incentive for AH Approved (Ongoing 3.4 activity) for motivating couple for spacing of two years after marriage or 20000 500 100.00 100.00 spacing of 3 or more years between first and second child only. The budget is shifted from B1.1.3.4 to B1.1.3.3.4 B1.1.3. Other incentive 100000 200 200.00 5 0.00
B1.1.3. Incentive for Home 100000 200 200.00 Approval pended 5.1 visits for 6-11 month (New activity). State children for may resubmit the Nutrition Counseling proposal with detailed (Complementary write up on the Feeding and activity proposed in Prevention of the supplementary PIP Infections) for reconsideration. 0.00 The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the child for example, by demonstration of the growth curve in the MCP card B1.1.3. Other (support 473 326800 927.94 927.94 6 provisions to ASHA such as uniform, diary, ASHA Ghar etc) B1.1.3. Mitanin Kalyan Kosh 797.50 Approved (Ongoing 6.1 ( Mitanin Welfare 797.50 activity) Activites ) B1.1.3. Mitanin Help Desk 180 46800 84.24 Approved (Ongoing 6.2 84.24 activity)
B1.1.3. Mitanin Help Line 1 240000 2.40 Approved (Ongoing 2.4 6.3 activity) B1.1.3. Mitanin Sammelans 146 30000 43.80 Approved for 146 6.4 43.8 blocks @Rs 30000 (New activity) B1.1.4 Awards to 146 10000 14.60 Approved (Ongoing ASHA's/Link workers 14.6 activity) B1.1.5 ASHA Resource 292 81600 389.37 Centre/ASHA 174.34 Mentoring Group
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
B1.1.5. HR At State Level 151.10 Approved (ongoing 1 activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided 65.72 in the remarks column against A.8.Salary for the staff is approved at the same unit costs approved in the RoP 2012-13. The budget approved for six months is 50% of approved amount in 2012-13. B1.1.5. HR at District Level 2 B1.1.5. HR at Block Level Approved (ongoing 3 activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities 292 81600 238.27 108.624 agreed about Human Resources as provided in the remarks column against A.8. Salary for the staff is approved at the same unit costs approved (Rs 6200/p.m) in the RoP 2012-13.
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs)
B1.1.5. Mobility Costs for 0.00 4 ASHA Resource Centre/ASHA
Mentoring Group (Kindly Specify) Sub Total for ASHA 7348.54 6303.66
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UNTIED FUNDS/ RKS/ AMG
ROAD MAP FOR PRIORITY ACTION:
Timely release of untied funds to all facilities; differential allocation based on case load. Funds to be utilized by respective RKS only and not by higher levels. Review of practice of utilising RKS funds for procurement of medicines from commercial medical stores and accordingly revisit guidelines for fund utilisation by RKS. Well functioning system for monitoring utilization of funds as well as purposes for which funds are spent. Plan for capacity building of RKS members developed and implemented. RKS meetings to take place regularly. Audit of all untied, annual maintenance grants and RKS funds. The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan Samitis and other community! PRI institutions at all levels The State shall ensure regular meetings of all community Organizations, District and State Mission with public display of financial resources received by all health facilities The State shall also make contributions to Rogi Kalyan Samitis
DETAILED BUDGET: UNTIED FUNDS/ RKS/ AMG
Unit Budget Quanti Amount S. No. Budget Head Cost ( (Rs. Approval Status ty / Approved Rs) Lakhs) Target B2 Untied Funds B2.1 Untied Fund for Approved (Ongoing CHCs/SDH activity) for 149 CHCs 149 57500 85.68 74.50 at the rate of Rs 50000 per facility B2.2 Untied Fund for PHCs Approved (Ongoing activity) for 755 PHCs 755 32500 245.38 188.75 at the rate of Rs 25000 B2.3 Untied Fund for Sub Approved (Ongoing Centres activity) for 5111 Sub 5111 13000 664.43 511.10 Centers at the rate of Rs 10000
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Unit Budget Quanti Amount S. No. Budget Head Cost ( (Rs. Approval Status ty / Approved Rs) Lakhs) Target B2.4 Untied fund for VHSC Approved (ongoing activity) for 18850 VHSNCs as mentioned in the annexure sheet provided with the PIP at the rate of Rs 19387 13000 2520.31 1739.20 10000. The amount approved is adjusted for the fund approved in 2012-13 for 1458 VHSNCs which have not been constituted. B2.5 Others Not approved as Untied Funds was not 13 32500 4.23 approved for Civil Hospitals in 2012-13.
Sub Total Untied Funds 3520.02 2513.55
B.3 Annual Maintenance Grants (only for Government institutions) B3.1 CHC 149 130000 193.70 Approved (Ongoing activity) for 135 CHCs functioning at 135.00 Government buildings as per RHS 2012 at the rate of Rs 1 lakh B3.2 PHCs 429 65000 278.85 Approved (Ongoing 214.50 activity) for 429 PHCs @ Rs 50000 B3.3 Sub Centres 3850 13000 500.50 Approved (Ongoing activity)for 2740 Sub Centers functioning at 274.00 Government buildings as per RHS 2012 at the rate of Rs 10000. B4.1.1. Staff Quarters 118.45 Approved (Ongoing 4 activity) subject to condition that the 118.45 work will be completed in the F.Y 2013-14 Sub Total of Annual Maintenance Grants 973.05 623.50
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Unit Budget Quanti Amount S. No. Budget Head Cost ( (Rs. Approval Status ty / Approved Rs) Lakhs) Target B.6 Corpus Grants to HMS/RKS B6.1 District Hospitals 26 100000 260.00 Approved (Ongoing 0 activity) for 26 DHs at 130.00 the unit cost of Rs 5 Lakhs B6.2 CHCs 149 130000 193.70 Approved (Ongoing activity) for 148 CHCs which have registered RKS (as per the MIS 148.00 report submitted by the state on 26.04.2013) at the unit cost of Rs 1 lakhs B6.3 PHCs 755 130000 981.50 Approved (Ongoing activity) for 710 PHCs which have registered RKS (as per the MIS 710.00 report submitted by the state on 26.04.2013)at the unit cost of Rs 1 lakhs B6.4 Other or if not 0.00 Not approved since no bifurcated as above details of the activities 0.00 have been provided
B6.5 SDH 13 500000 65.00 Approved (Ongoing activity) for 13 SDHs at 65.00 the unit cost of Rs 5 Lakhs Sub Total of Corpus Grants 1500.20 1053.00
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NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP
ROAD MAP FOR PRIORITY ACTION:
Works must be completed within a definite time frame. For new constructions upto CHC level, a maximum of two years and for a District Hospital a maximum period of 3 years is envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be projected accordingly. Funds would not be permissible for constructions/ works that spill over beyond the stipulated timeframe.
Standardized drawing/ detailed specifications and standard costs must be evolved keeping in view IPHS.
Third party monitoring of works through reputed institutions to be introduced to ensure quality.
Information on all ongoing works to be displayed on the NRHM website
Approved locations for constructions/ renovations will not be altered
All government health institutions in rural areas should carry a logo of NRHM as recognition of support provided by the Mission in English/ Hindi & Regional languages.
DETAILED BUDGET: NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP
Budget Amount Quanti Unit Cost Budget Head (Rs. Approv Approval Status ty / ( Rs) Lakhs) ed Target B5 New Constructions (proposed for the coming year)
B5.1 CHCs 0.00 0.00 B5.2 PHCs 10 4953000 198.12 Approved only for one 19.81 PHC in Mungeli District
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Budget Amount Quanti Unit Cost Budget Head (Rs. Approv Approval Status ty / ( Rs) Lakhs) ed Target B5.3 SHCs/Sub Centres 100 2281000 912.40 Approved Rs 82.12 lakhs for a total of 9 sub centers as following a. 1 Sub center with minimum 2 deliverieries per month in High Priority Districts3
82.12 b. 1 Sub Center with miniumum 2 deliveries in LWE and Tribal Districts4
c. 7 Sub Centers with minimum 3 deliveries in non High Priority, non LWE, non Tribal Districts
B5.4 Setting up 0 0 0.00 0.00 Infrastructure wing for Civil works B5.6 Construction of 0 0 0.00 0.00 BEmONC and CEmONC centres B.5.9 Civil Works for 0.00 Operationalising Infection
Management & Environment Plan at health 3facilities B.5.10 Infrastructure of 4 200000 258.00 Training 0.00 Institutions --
3 The districts considered as High Priority districts for sanctioning new constructions are Bijapur, Bilaspur, Dantewada, Jashpur, Surguja and the following districts which have been part of the before mentioned districts namely, Balrampur, Mungeli, Sukma and Surajpur.
4The districts which are included in the Integrated Action Plan by the Planning Commission of India have been considered for LWE and Tribal Areas.
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Budget Amount Quanti Unit Cost Budget Head (Rs. Approv Approval Status ty / ( Rs) Lakhs) ed Target B.5.10. Strengthening of 4 200000 8.00 Not approved (New 1 Existing Training activity) Institutions/Nursin g School( Other 0.00 than HR)- --- Infrastructure for GNM Schools and ANMTC B.5.10. New Training Approval pended 1.5 Institutions/School (New activity) until (SIHFW/GNMTC/A 250.00 0.00 state submits detailed NMTC etc) DPR and budget requirements Sub Total of New Constructions and 1368.52 101.93 Renovations
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PROCUREMENT
ROAD MAP FOR PRIORITY ACTION:
Strict compliance of procurement procedures for purchase of medicines, equipments etc as per state guidelines. Online real time inventory management to be practiced. Competitive bidding through open tenders and transparency in all procurements to be ensured. Only need based procurement to be done strictly on indent/requisition by the concerned facility. Procurement to be made well in time & not to be pushed to the end of the year. Audit of equipment procured in the past to be carried out to ensure rational deployment. Annual Maintenance Contract (AMC) to be built into equipment procurement contracts. A system for preventive maintenance of equipment to be put in place. Unit Costs in relation to the various types of procurement including printing etc.are only indicative for the purpose of estimations. However, the actual expenditure must be incurred after following rules and due processes. The competitive and transparent bidding should be ensured as well as only need based procurement must take place
BUDGET: PROCUREMENT OF EQUIPMENTS AND DRUGS
Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B.16 PROCUREMENT B16.1 Procurement of Equipment B16.1.1 Procurement of 120 2000 2.40 2.40 equipment: MH B16.1.1 Equipments for Blood .1 Banks/ BSUs B16.1.1 MVA /EVA for Safe 120 2000 2.40 Approved (Ongoing .2 Abortion services 2.40 activity)
B16.1.1 Others (please 0 0 0.00 .3 specify)
B16.1.2 Procurement of 122 116000 197.60 equipment: CH 0 60.00
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B16.1.2 NBSU 9 575000 51.75 Not approved since no .1 0.00 new NBSU is approved
B16.1.2 NBCC 101 85000 85.85 Not approved as no .2 new NBCCs approved. State has to 0.00 operationalise already sanctioned NBCCs and then new centres should be planned. B16.1.2 Sishu Sanrakshan .3 Mah (SSM) B16.1.2 Genset for SNCU ( 12 500000 60.00 Approved (New 60.00 .4 for 12 SNCUS) activity) B16.1.3 Procurement of 2010 607145 183.06 equipment: FP 180.98
B16.1.3 NSV kits 500 1000 5.00 Approved (Ongoing 5.00 .1 activity) B16.1.3 IUCD kits 1000 2000 20.00 Approved (Ongoing 20.00 .2 activity) B16.1.3 minilap kits 135 3000 4.05 Approved (Ongoing 4.05 .3 activity) B16.1.3 laparoscopes 25 600000 150.00 Approved (Ongoing 150.00 .4 activity) B16.1.3 PPIUCD forceps 350 1145 4.01 Approved Rs. 1.925 .5 1.925 lakhs for 350 forceps @ Rs. 550/forceps B16.1.3 Other (please 0 0 0.00 0.00 .6 specify)
B16.1.4 Procurement of 1600 1000 94.53 equipment: IMEP 78.53
B16.1.4 Bins and golves for 78.53 Approved (New .1 Biomedical waste activity) Rs 78.53 lacs for purchasing of bins 78.53 (3264) @ Rs 200/- and gloves (7.2 lacs) @ 10/- B16.1.4 Personal Protection 1600 1000 16.00 Not approved (New 0.00 .2 Kits to service activity)
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target delivery staff
B16.1.5 Procurement of 0.00 0.00 equipment other than above B16.1.6 Equipments for 5000 3000 150.00 0.00 ARSH/ School Health
B16.1.6 Equipments for ARSH 0.00 .1 Clinics 0.00
B16.1.6 Equipments for 5000 3000 150.00 Not approved as no .2 School Health programme Equipments for component is School Health proposed. The Screening (weighing proposed utilisation of 0.00 scale, Height carry forward budget measurement scale of Rs 730 lakhs and Snellens’ Charts) towards procurement of dental chairs is not approved. B16.1.7 Equipments for 0.00 Training Institutes 0.00 B16.1.8 Equipments for 69.20 Approval pended AYUSH (New activity) for 0.00 evaluation of Ayurved Gram by NHSRC. B16.1.9 Procurement of 0.00 Others/Diagnostics
Sub Total of Procurement of Equipments 696.79 321.90 B.16.2 Procurement of Drugs and supplies
B.16.2. Drugs & supplies for 1500 300 4.50 1 MH 4.50
B.16.2. RTI /STI drugs and 1.1 consumables B.16.2. Drugs for Safe 1500 300 4.50 Approved Rs 4.5 lacs 1.2 Abortion @ 300/- for 1500 4.50 cases (ongoing activity)
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B.16.2. Others (Please 0 0 0.00 1.3 specify) 0.00 0.00
B.16.2. RPR Kits 0.00 0.00 1.4 B.16.2. Whole blood finger 0.00 1.5 prick test for HIV B.16.2. Drugs & supplies for 0 0 546.50 2 CH 422.50 0.00
B.16.2. Drugs of Sishu 546.50 Rs 422.50 lakhs is 2.1 Sanrakshan Mah approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,000=30.25 Lakhs; Rs. 0.70 x 25,00,000 tabs Albendazole=17.50 lakhs; IFA syrup 422.50 12,00,000 bottles x Rs. 7=84.00; IFA small tablet 4,50,00,000 tabs x Rs. 0.12=54.00 lakhs. Amount of IFA revised as there is no wastage factor to be applied and based on 70% expected coverage. B.16.2. Drugs & supplies for 0 0 0.00 0.00 3 FP B.16.2. Supplies for IMEP 0 0 0.00 0.00 4 B.16.2. Purchase of 4.1 Bleaching powder and Phenyle under Bio-Medical Waste maangement B.16.2. General drugs & 0 0 2215.93 231.00 5 supplies for health facilities
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B.16.2. IPD 2215.93 Approved for Rs. 231 5.1 lakhs for replenishment of ASHA Drug kits only subject to the condition that State to replenish the drug kits from the PHC/SCs.
Approval pended for general drugs proposed. The State to ensure free drug policy, robust procurement 231.00 management system, corporation like TNMSC, IT enabled drug logistic management systems, EDL, prescription audit etc. and adequate State budget. State to also prepare and submit EDL for Delivery ponts and Non Delivery Points, and medical colleges. The state may relook EDL prepared for DH & FRUs. B.16.2. OPD 0.00 5.2
B.16.2. Drugs & supplies for 112376 1 112.38 776.68 6 WIFS 86
B.16.2. Albendazole 0.2 664.30 Approved. Budget 6.1 332,149 664.30 shifted from ,596 B.16.2.6.2 B.16.2. IFA 1 112.38 Approved. Budget 6.2 11,237, 112.38 shifted from 686 B.16.2.6.1
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B.16.2. Drugs & supplies for 0.00 7 SHP B.16.2. Drugs & supplies for 8 UHCs B.16.2. Drugs & supplies for 193 50000 96.50 9 AYUSH 0.00
SubTotal of Procurement of Drugs 2975.81 1434.68 Total of Procurement of Equipments and 3672.59 1756.58 Drugs
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MOBILE MEDICAL UNIT (MMU)
ROAD MAP FOR PRIORITY ACTION:
Route chart to be widely publicised GPS to be installed for tracking movement of vehicles Performance of MMUs to be monitored on a monthly basis (including analysis of number of patients served and services rendered). MMUs to be well integrated with Primary Health Care facilities and VHND. Engagement with villa to be visited for services to children below 6 years of age AWCs to maintain record of services rendered Service delivery data to be regularly put in public domain on NRHM website. A universal name „National Mobile Medical Unit‟ to be used for all MMUs funded under NRHM. Also uniform color with emblem of NRHM (in English/ Hindi & Regional languages), Government of India and State Government to be used on all the MMUs.
BUDGET: MMU
Quan Budget Amount Unit Cost S. No. Budget Head tity / (Rs. Approve Approval Status ( Rs) Targ Lakhs) d et B11 Mobile Medical Units (Including recurring expenditures)
B11.1.1 Capex 16 1200000 192.00 Approval Pended (new activity) subject to B11.1.2 Opex 46 2400000 1104.00 State implementing B11.1.3 HR 0.00 0.00 ‘National MMU Guidelines’ for all the B11.1.4 Training/orientation 0.00 running MMUs under NRHM B11.1.5 Others 0.00
B11.2 Mobile Medical Vans 0 0 0.00 (smaller vehicles) and specialised 0.00 Mobile Medical Units B11.2.1 Capex 0.00 0.00 Sub Total for MMU 1296.00 0.00
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REFERRAL TRANSPORT
ROAD MAP FOR PRIORITY ACTION:
Free referral transport to be ensured for all pregnant women and sick neonates accessing public health facilities.
Universal access to referral transport throughout the State, including to difficult and hard to reach areas, to be ensured.
A universal toll free number to be operationalized and 24x7 call centre based approach adopted.
Vehicles to be GPS fitted for effective network and utilization.
Rigorous and regular monitoring of usage of vehicles to be done
Service delivery data to be regularly put in public domain on NRHM website.
All patient/referral transport vehicles engaged under NRHM to be branded as National Ambulance Service and NRHM logo should be used extensively.
BUDGET: REFERRAL TRANSPORT
Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B12 Referral Transport/Patient transport System B12.1 Ambulance/EMRI 310 1550000 80.00 Capex 0.00
B12.1. State basic 300 750000 Approval Pended 1 ambulance/ 102 (ongoing activity) Capex subject to State implementing ‘National 0.00 Ambulance Guidelines’ for all the running ambulances under NRHM B12.1. Advanced life 10 800000 80.00 Not approved (New 2 support Capex Activity) B12.2 Operating Cost /Opex 414780 988232 3641.48 for ambulance 0.00
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B12.2. State basic 0.00 Approval Pended 1 ambulance/102 Opex (ongoing activity) B12.2. Operating Cost /Opex 0.00 subject to State 2 for ASL ambulance implementing ‘National Ambulance Guidelines’ B12.2. Opex EMRI-BLS 0.00 for all the running 3 ambulances under B12.2. Opex EMRI-ALS 0.00 NRHM 4 0.00 B12.2. HR Basic ambulance 1345 143000 1923.35 5 B12.2. HR advanced life 25 300000 75.00 6 support ambulances B12.2. Training/orientation 200.75 6 B12.2. Others 413410 545232 1442.38 9 0.00 B12.2. Medical consumables 412200 32 131.90 Approval Pended 9.1 (ongoing activity) B12.2. Ambulance 240 120000 288.00 subject to State 9.2 repiars/maitenance/I implementing ‘National nsurance Ambulance Guidelines’ B12.2. Fuel cost 240 300000 720.00 for all the running 9.3 ambulances under B12.2. Communication cost 240 19200 46.08 NRHM 9.4 B12.2. Administrative 240 84000 201.60 0.00 9.5 expenses B12.2. Marketing expenses 240 12000 28.80 9.6 B12.2. Third Party 25.00 9.7 Evaluation of Referral Transport B12.2. Upgradation of 10 10000 1.00 9.8 Ambulance (EMRI- 108)-BLS to ALS
Total of Referral Transport 3721.48 0
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MAINSTREAMING OF AYUSH
ROAD MAP FOR PRIORITY ACTION:
State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two streams: Ayurveda and homoeopathy (or Unani, siddha,Yoga as per the local demand). Panchakarma Unit should also be considered.
OPD in Ayush clinics will be monitored alongwith IPD/OPD for the facility as a whole.
The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.
Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable them to practice their own system of Medicine without difficulty.
At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered depending on local preference.
At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
District Ayurveda Officer should be a member of District Health Society in order to participate in decision making with regard to indent, procurement and issue of AYUSH drugs.
Infrastructure at facilities proposed to be collocated would be provided by Department of Ayush.
Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM should be given priority for collocation of Ayush as these are functional facilities with substantial footfalls.
Ayush medical officers should increasingly be involved in the implementation of national health programmes and for the purpose of supportive supervision and monitoring in the field. They should be encouraged to oversee VHND and outreach activities and in addition programmes such as school health, weekly supplementation of iron and folic acid for adolescents, distribution of contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.
Ayush medical officer should also be member of the RKS of the facility and actively participate in decision making.
AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter in better served areas.
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BUDGET: MAINSTREAMING AYUSH
Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B9 Mainstreaming of 701 3391000 AYUSH
B.9.1 Medical Officers at 307 720000 736.80 CHCs/ PHCs (Only 184.20 AYUSH) B.9.1. Non FRU SDH/ CHC 100 240000 240.00 Not approved 3 0.00 (New activity) B.9.1. 24 X 7 PHC 100 240000 240.00 Approved for 6 4 months for 100 AYUSH doctors @Rs 20000 per month) and its continuation for the next six months would be 120.00 contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. B.9.1. Non- 24 X 7 PHCs/ 107 240000 256.80 Approved for 3 5 APHCs months only @ Rs 20000/month subject to immediately sharing the findings of the study conducted 64.20 by SHSRC on the activity of prevention of Malaria using homeopathic medicines with the ministry. Its continuation beyond 3 months
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) would be only with the approval of the ministry. If no specific approval received beyond June 2013, state may examine ways to utilise the AYUSH doctors engaged and proposed. B.9.2 Other Staff Nurses 0 0 0.00 and Supervisory Nurses/ AYUSH 0.00 0.00 pharmacists (Only AYUSH) B9.3 Other Activities 394 2671000 308.40 (Excluding HR) 1.00 0.00
B9.3.1 Prevention of 225.00 Approval pended Malaria throuhg (Ongoing activity). Homeopathic State to medicines immediately share 0.00 the findings of the study conducted by SHSRC on the activity. B9.3.2 Prevention of 2 2660000 53.20 Approval pended Disability in Leprosy (Ongoing activity) cured persons until the state throuhg AYUSH shares the utilization and the outcomes of the 0.00 program in the previous year and justify the increase in cost proposed.
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B9.3.3 Yoga Popularisation 292 10000 29.20 Approval pended in Ayurved gram (Ongoing activity) until the state shares the utilization and the 0.00 outcomes of the program in the previous year.
B9.3.4 Provision of pure 0.00 Drinking Water in Ayurved gram B9.3.5 Munga Plantation in 100 1000 1.00 Approved (New 100 Ayurgrams 1.00 activity)
B9.4 Training 53.19 Approved (Ongoing activity) subject to provision of the specific training plan, national health programmes to be 53.19 covered, the skill to be provided to the AYUSH doctors as well as their job descrption and deployement after the training. Total of Mainstreaming AYUSH 1098.39 238.39
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IEC/BCC
ROAD MAP FOR PRIORITY ACTION:
Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter- sectoral convergence particularly with WCD. Details of activities carried out to be displayed on the website
BUDGET: IEC/BCC
Unit Budget Amount Quantity S. No. Budget Head Cost ( (Rs. Approve Approval Status / Target Rs) Lakhs) d B10 IEC-BCC NRHM
B.10 Strengthening of 0 0 60.00 BCC/IEC Bureaus (state and district 0.00 levels) B.10.1 Development of State 60.00 Approval pended BCC/IEC strategy (New Activity) B.10.2 Implementation of 0 0 900.38 150.00 Approved (ongoing BCC/IEC strategy activity) for IEC/BCC activities of activites B.10.2 BCC/IEC activities for 0 0 278.90 of MH, CH, FP, ARSH, .1 MH AYUSH, SMS, printing and other activites B.10.2 Mass media 173.40 mentioned in the .1.1 budget head. The B.10.2 Mid-media 105.50 approval under RBSK .1.2 subject to the B.10.2 BCC/IEC activities for 0 0 239.30 condition that State .2 CH to ensure RBSK on all support IEC for B.10.2 Mass media 170.80 branding of 150.00 .2.1 programme. The RBSK guideline and B.10.2 Mid-media 68.50 details to be used for .2.2 developing these B.10.2 BCC/IEC activities for 0 0 111.60 IECs and .3 FP communication materials at School B.10.2 Mass media 61.60 and Anganwadis. The .3.1
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Unit Budget Amount Quantity S. No. Budget Head Cost ( (Rs. Approve Approval Status / Target Rs) Lakhs) d B.10.2 Mid-media 50.00 budget shifted from .3.2 A.3.5.4.4 for printing B.10.2 BCC/IEC activities for 0 0 95.78 of PPIUCD registers is .4 ARSH included in this budget. B.10.2 Mass media 35.78 .4.1 B.10.2 Mid-media 60.00 .4.2 B.10.2 Other activities 174.80 .5 (please specify)
B.10.2 IPC initiatives/tools 0.00 .6 B.10.3 Health Mela 154.00
B.10.4 Creating awareness on declining sex ratio 58.50 issue B.10.5 Other activities 5110066 75502 281.87 221.87
B.10.5 Printing of MCP cards, 150.00 Approved Rs 90 .1 safe motherhood lakhs. booklets etc This includes approval of Rs 30 Lakhs for printing of MCP cards @ Rs 10/- 90.00 for 3 lakhs pregnant women, and Rs 60 Lakhs for printing of Safe Motherhood booklets @ Rs 20/- for 3 lakhs pregnant women. B.10.5 Printing of WIFS cards 5108039 2 76.62 Approved (New .2 etc 76.62 activity)
B.10.5 Other printing 2027 75500 55.25 .3 55.25
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Unit Budget Amount Quantity S. No. Budget Head Cost ( (Rs. Approve Approval Status / Target Rs) Lakhs) d B.10.5 Reporting Mechanism 27 75000 20.25 Approved (New .3.1 formats (WIFS) 20.25 activity)
B.10.5 0.00 .3.2 B.10.5 Printing of Maternal 2000 500 10.00 Approved (New .3.3 Health Training activity) Rs 10 lacs for Modules printing of MH training modules. The state has to ensure that it should 10.00 be on competitive bidding as per the guidelines released this year, MNH Toolkit, Nursing Roadmap and Skills Lab B.10.5 Printing of Labor room Approved (New .3.4 register, OPD /IPD activity) Rs 25 lacs for registers for PHCs & printing of Labor 25.00 25.00 CHCs room register, OPD /IPD registers for PHCs & CHCs
Total of IEC/BCC 1454.75 371.87
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MONITORING AND EVALUATION (HMIS)/MCTS
ROAD MAP FOR PRIORITY ACTION:
HR and Infrastructure. For optimum utilisation of resources, State should integrate manpower, infrastructure, trainings, reviews, field visit etc for HMIS & MCTS since in most cases the persons to be trained, called for reviews and making field visits are same
HMIS data reporting, improving data quality and its use State to ensure that 100 % HMIS facility wise data is uploaded, validated and committed; data for the month should be available by the 15th of the following month Mission Director and Program Managers at all level to use HMIS data for monthly reviews. SAS software may be extensively used for State level analysis and feedback to be shared with GOI Regular field visits for trouble shooting, Data quality checks, clarification of conceptual issues regarding HMIS. Capacity building (Online/offline training, Refreshers training, Workshop etc) to be conducted as proposed in PIP Involvement of Regular Statistical Officials along with contractual staff for monitoring and data quality checks. Program managers at all levels use HMIS for monthly reviews. MCTS to be made fully operational for regular and effective monitoring of service delivery including tracking and monitoring of severely anemic women, low birth weight babies and sick neonates. Pace of registration under MCTS to be speeded up to capture 100% pregnant women and children MCTS call centre to be set up at the State level to check the veracity of data and service delivery. Regular feedback on HMIS and MCTS to district/Blocks/facilities to be ensured. HMIS formats are under rationalization, so Printing of formats, registers may only be done after consulting MOHFW.
Registration of Births and deaths: Strengthen birth and deaths registration and issue birth certificates before discharge from facility and ensure information flow from lower levels to chief registrar of births and deaths
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Improve reporting of births and deaths (especially deaths) in HMIS portal.
BUDGET: MONITORING AND EVALUATION
Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B15 Planning, Implementation and Monitoring
B15.1 Community 120 320000 140.00 Monitoring (Visioning 56.99 workshops at state, Dist, Block level) B15.1. State level 1 100000 1.00 Approved (New activity) 1.00 1 B15.1. District level 19 100000 19.00 Approved (Ongoing 2 19.00 activity)
B15.1. Block level 100 120000 120.00 Approved (Ongoing 3 activity) @ Rs 36986 per 36.99 block which is the unit cost approved for the F.Y.2012-13. B15.1. Other 0 0 0.00 0.00 4 B15.2 Quality Assurance 166 310000 162.70 96.00 B15.2. Quality Assurance 69.00 Approved with the 1 Committees at State following conditions level (a) the state develops / adopts standard treatment guidelines (STG), (b) periodically conducts sensitization workshop 69.00 on usage of STGs, (c) Internal Monitoring, and (d) Conduct of prescription audits at sample facilities followed by dissemination of the audit findings.
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B15.2. Quality Assurance 27 100000 27.00 Approval pended until 2 Committees at state submits a revised District level proposal which includes 0.00 all the delivery points for monitoring and supervision. B15.2. Grievance handling 0.00 0.00 3 system B15.2. Review meetings 112 110000 14.80 0.00 4 B15.2. State 4 100000 4.00 Not approved (New 4.1 activity) B15.2. District 108 10000 10.80 0.00 4.2 B15.2. Block 0.00 4.3 B15.2. Others 27 100000 51.90 27.00 5 B15.2. NABH 24.90 Not approved (New 0.00 5.1 implementation activity) B15.2. Bio-medical 27 100000 27.00 Approved (New activity) 5.2 Initiatives ( for authorization from CG Authorisation and 27.00 Environment Control cell) Board at the rate of Rs 1 lakhs for 27 districts B15.3 Monitoring and 25758 1366900 1360.18 Evaluation 455.64 B15.3. Monitoring & 1 315000 103.15 1 Evaluation / HMIS 100.00 /MCTS B15.3. HR for 0.00 1.1 M&E/HMIS/MCTS 0.00 B15.3. MIS Consultant/ 0.00 1.2 Manager/ 0.00 Coordinators B15.3. Statistical Assistant/ 1 315000 3.15 Not approved (New 1.3 Data Analyst 0.00 activity) B15.3. MIS/ M&E 0.00
1.4 Assistants B15.3. Data Entry 0.00
1.5 Operators
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B15.3. Others (Please 0 0 100.00 1.6 specify) 100.00 B15.3. GIS Mapping & 50.00 Approved (New activity) 1.6.1 Faciity survey of subject to sharing GIS health facilties information with Statistics division, 50.00 MoHFW. The work should be done based on competitive bidding and by following Government Protocols B15.3. Third Party 50.00 Approved (New activity). 1.6.2 Evaluation of Services of Population Mitanin (ASHA) 50.00 Research Institute, Sagar programme may be considered B15.3. Computerization 0 0 186.60 2 HMIS and e- 93.30 governance, e- health B15.3. HMIS Operational 186.60 Approved for six month 2.1.a Cost (excluding HR as expenditure details of & Trainings) 2012-13 are not given
Internet Connectivity State level : 6x25000=1.5 lakh District level:27x6x5000=8.1 lakh Block Level:146x6x2000=17.52 lakh 93.30 PHC level:500x6x750=22.50 lakh
Consumables and other accessories State level:1x6x5000=0.3 lakh District level:27x6x3000=4.86 lakh Block Level:146x6x2000=17.52
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) lakh PHC level:700x6x500=21 lakh Procurement should be based on competitive bidding and by following Government protocols
B15.3. Procurement of 0.00 2.1.b Computers/
printers/ cartridges etc. B15.3. Maintenance of 0.00 2.1.c Computers/ AMC/ etc. B15.3. Other Office and 0 0 0.00 2.1.d admin expenses 0.00
B15.3. MCTS Operational 1111 1500 110.27 2.2.a Cost (excluding HR 96.44 & Trainings) B15.3. Procurement of 94 Approved only for 2.2.b Computers/ 146 desktop with printers/ cartridges accessories @ 60000/- etc. for Block data Assistants. 87.60 Procurement should be based on competitive bidding and by following Government protocols. B15.3. Maintenance of 1111 1500 16.67 Approved @ Rs 1000/- 2.2.c Computers/ AMC/ 8.84 per computer for 884 etc. computers B15.3. Other Office and 0.00 2.2.d admin expenses B15.3. Other M & E 24646 1050400 960.16 3 Activities 165.90
B15.3. HMIS Training 6891 86.85 Approved Rs.5.75 Lakh @ 3.1 Rs 300 per day per 5.75 person for 1 training per person per year based on
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B15.3. MCTS Training 6000 400 24.00 costing for 3 days 3.2 combined training for HMIS and MCTS. Amount approved is indicative figure and actual amount would be based on actual expenditure. TA / DA and other expenditure should be as per extant rules. B15.3. Mobility Support for 12 50000 6.00 Approved (New activity) 3.3 HMIS/ MCTS Rs.2.95 lakh @Rs.10000 2.95 per district and Rs.25000 for State level per annum B15.3. Review Meetings for 10978 178.48 Approved for 1 day 3.4 HMIS combined review of HMIS and MCTS for minimum two reviews at State level per year, at least one review every B15.3. Review Meetings for 0.00 26.92 3.5 MCTS quarter at District level and at least one review per month at Block level. TA / DA and other expenditure should be as per extant rules. B15.3. Data Validation Call 10.00 Approved (New activity). 3.6 Centers - CAPEX Procurement should be based on competitive bidding following Government Protocols. State must ensure that the contact details of all 10.00 the ASHA/ANM and beneficiaries should be validated and services given to the beneficiaries to be verified and same should get reflected in MCTS. B15.3. Data Validation Call 33.50 Not approved (New 3.7 Centers - OPEX 0.00 activity)
B15.3. e-Governance 47.00 Not approved (New 3.8 Initiative 0.00 activity)
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B15.3. Hospital 153.83 Not approved (New 3.9 Management 0.00 activity) Softwares B15.3. Others 3.10 765 1000000 420.50 120.28 B15.3. Printing of formats 53.90 Approved Rs 10.30 lakh 3.10.1 and Composite RCH @ Rs 0.40 per page for register HMIS and Rs.14.37 lakh for MCTS registers @ Rs 150 per register and not more than 2 registers per ANM. State should consult MoHFW before printing. Register must be compatible with the MCTS (Integrated RCH) register designed by 24.68 MoHFW and shared with the state. Printing should be done based on competitive bidding and by following Government Protocols. State may show a sample register to MoHFW before proceeding with the printing. This is an indicative figure and actual would depend upon actual expenditure. B15.3. Monitoring Data Rs 200/ X 18.00 Not approved (New 3.10.2 Collectiona dn data 750 12 0.00 activity) Quality months B15.3. State Review 95.60 Approved (Ongoing 3.10.3 Mission activity) subject to state sharing the report of SRMs conducted in 2012- 95.60 13 with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website
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Budget Quantity Unit Cost Amount S. No. Budget Head (Rs. Approval Status / Target ( Rs) Approved Lakhs) B15.3. Mobile based MCTS 103.00 State may continue the 3.10.4 reporting system on-going activity for Dhamtari district out of unspent funds available for this activity with the State. 0.00 Approval pended for roll- out in the whole State. State to share the details of success of pilot project done in Dhamtari district as reflected in MCTS data with MoHFW B15.3. V-Sat Connectivity 150.00 Approval pended. State 3.10.5 should share a concept note mentioning the details of Capex, Opex, number of terminals, bandwidth cost, technical architecture, the purpose 15 1000000 0.00 for which connectivity would be used and how this will help HMIS / MCTS with MoHFW. State may also explore the possibility of getting connectivity from SWAN
Total of Monitoring and Evaluation 1662.88 608.63
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OTHERS
BUDGET: HOSPITAL STRENGTHENING
Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B.4 Hospital Strengthening
B.4.1 Up gradation of CHCs, 300 860000 11881.04 PHCs, Dist. Hospitals 10476.66 B4.1.1 District Hospitals 0 0 1982.11 1824.45 B4.1.1. Additional Building/ 0.00 1 Major Upgradation of 0.00 existing Structure B4.1.1. Repair/ Renovation 157 Not approved 0.00 2 (New activity) B4.1.1. Spillover of Ongoing 1706 Approved 3 Works (Ongoing activity) subject to 1706.00 condition that the work will be completed in the F.Y 2013-14. B4.1.1. Staff Quarters 118.45 Approved 4 (Ongoing activity) subject to 118.45 condition that the work will be completed in the F.Y 2013-14 B4.1.2 CHCs 0 0 3233.21 3143.21 0.00
B4.1.2. Additional Building/ 0.00 1 Major Upgradation of 0.00 existing Structure B4.1.2. Repair/ Renovation Not approved 2 90.00 0.00 (New activity) B4.1.2. Spillover of Ongoing Approved 3 Works (Ongoing activity) subject to the 288.00 288 condition that the work will be completed in the
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target F.Y 2013-14
B4.1.2. Staff Quarters Approved 4 (Ongoing activity) on condition that 2855.21 2855.21 the work will be completed in the F.Y 2013-14 B4.1.3 PHCs 0 0 755.22 739.00 B4.1.3. Additional Building/ 0.00 1 Major Upgradation of 0.00 existing Structure B4.1.3. Repair/ Renovation Not approved 2 16 0.00 (New activity) B4.1.3. Spillover of Ongoing Approved 3 Works (Ongoing activity) on condition that 739 739.00 the work will be completed in the F.Y 2013-14 B4.1.3. Staff Quarters 4 B4.1.4 Sub Centres 200 260000 540.50 0.00
B4.1.4. Additional Building/ Approval pended 1 Major Upgradation of (New activity) existing Structure until state submits the service delivery data of the sub centers proposed for solar 200 260000 520.00 0.00 electrification. Approval will be subject to the report by NHSRC on proposal evaluation and site assessment. Subcenters only
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target in identified High Priority Districts and districts which have performance below state average will be considered. B4.1.4. Repair/ Renovation Not approved 2 20.50 0.00 (New activity) B4.1.4. Spillover of Ongoing 0.00 3 Works B4.1.4. ANM Quarters 0.00 4 B4.1.5 Others (MCH Wings) 100 600000 5370.00 4770.00
B4.1.5. (Absolutely) New / 0.00 1 Rented to Own 0.00 Building B4.1.5. Additional 0.00 2 requirement from 0.00 previous work B4.1.5. Carry forward 4770.00 Approved 3 /Spillover of Ongoing (Ongoing activity) Works Approved the 2nd Instalment for Rs 47.7 crores for the 35 4770.00 existing MCH Wings, (12 MCH Wings (100 bedded) and 23 MCH Wings (50 bedded). B4.1.5. Other construction 100 600000 600.00 4 0.00
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Unit Budget Quantit Amount S. No. Budget Head Cost ( (Rs. Approval Status y / Approved Rs) Lakhs) Target B4.1.5. Gap improvements in 100 600000 600.00 Approval pended 4.1 co-located centres of (New activity) PHC/CHC-AYUSH until state submits list of facilities 0.00 proposed, facility wise AYUSH OPD data and a note on proposed value addition by the activity. B4.1.6 SDH 0 0 0.00 0.00
Total of Hospital Strengthening 11881.04 10476.66
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BUDGET: PANCHAYATI RAJ INITIATIVE
Unit Budget S. Quantity Amount Budget Head Cost (Rs. Approval Status No. / Target Approved ( Rs) Lakhs) B8 Panchayati Raj Initiative B8.1 Constitution and 15000 400 60.00 Approved (New activity) Orientation of Community leader & 60.00 of VHSC,SHC,PHC,CHC etc B8.2 Orientation 0.00 Workshops, Trainings and capacity building 0.00 of PRI at State/Dist. Health Societies, CHC,PHC Total of Panchayati Raj Initiative 95.46 60.00
BUDGET: HEALTH ACTION PLANS
Unit Budget Quantity Amount S. No. Budget Head Cost (Rs. Approval Status / Target Approved ( Rs) Lakhs) B7 Health Action Plans B7.1 State 1 500000 5.00 Approved (Ongoing 5.00 activity) B7.2 District 27 100000 27.00 Approved (Ongoing activity) subject to the condition 27.00 that District Level ROPs and DHAPs to be uploaded in the State’s NRHM website. B7.3 Block 146 20000 29.20 Approved subject to the condition that Block 29.20 Level ROPs and BHAPs to be uploaded in the State NRHM website.
Total for Health Action Plans 61.20 61.20
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BUDGET: PPP/NGOS
Budget Quanti Unit Cost Amount S. No. Budget Head (Rs. Approval Status ty / ( Rs) Approved Lakhs) Target B13 PPP/NGOs B13.1 Non 0.00 governmental 0.00 providers of health care RMPs B13.2 Public Private 39 901500 1841.45 Partnerships (Out Sourcing set up, if applicable for 35.40 State, to be budgeted under this head) B13.2.1 Out soursing PHC 520.00 Approval pended subject to the State submitting the 0.00 criteria set for selecting the agency and the proposed ToR. B13.2.2 Grant in Aid to 35.40 Approved (Ongoing activity) RK Mission 35.40 B13.2.3 Setting up of PPP 26.20 Approval pended (New cell in the state activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP 0.00 monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis. B13.2.4 Outsourcing of 27 1131.67 Not approved (Ongoing Diagonastic activity). State may revise services the proposal based on the 0.00 GoI recommendations and submit in the supplementary PIP.
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Budget Quanti Unit Cost Amount S. No. Budget Head (Rs. Approval Status ty / ( Rs) Approved Lakhs) Target B13.2.5 Outsourcing Bio- 12 901500 108.18 Not approved (New Activity) medical Wastage in the present form. State Management 0.00 may revise the proposal and submit in the supplementary PIP B13.2.6 0.00 Carry forward is not 0.00 approved since the activity is not specified
B13.2.7 PPP Monitoring 20.00 Approval pended (New Cell by SHRC activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP 0.00 monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis. B13.3 NGO 0 0 0.00 Programme/ 0.00 Grant in Aid to NGO B13.3.1 Support to 0.00 CGNP+ 0.00
Total of PPP/NGOs 1841.45 35.40
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BUDGET: INNOVATIONS
Unit Budget Quant Amount S. No. Budget Head Cost ( (Rs. Approval Status ity / Approved Rs) Lakhs) Target B14 Innovations( if any)
B14.1 Intersectoral 0.00 0.00 convergence B14.2 District Specific Plans 1366.00 6.00 Approved Rs 6 lakhs for Anti-Venum Vaccine in Sarguja (New activity) Thanagudi at Bijapur and NRHM Office cum training centers for districts are not approved.
Total of Innovations 1366.00 6.00
BUDGET: STATE LEVEL HEALTH RESOURCE CENTRE
Quantity Unit Cost Budget Amount S. No. Budget Head Approval Status / Target ( Rs) (Rs. Lakhs) Approved B21 SHSRC B.21.1 SHSRC - HR 140.00 Approved (Ongoing activity) for six months only at the same rate as approved in 2012-13. It's continuation would be contingent on 50.00 compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. B.21.2 Other cost 50.00 Not approved 0.00
Total of SHSRC 190 50
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NATIONAL DISEASE CONTROL PROGRAMMES (NDCPs)
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NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)
ROAD MAP
Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to below 5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt (15ppm) at the household level under National Iodine Deficiency Disorders Control Programme:
1. Establishment of State IDD Cell, if not established in the State/UT for implementation programme activities.
2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for conducting quantitative analysis of iodized salt and urine for iodine content and urinary iodine excretion.
3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab Technician and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory should be filled on regular/contractual basis on priority for smooth implementation of programme.
4. Supply, availability and consumption of adequately iodized salt in the state should be monitored.
5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess the magnitude of IDD in the respective districts as approved in the PIP and reports accordingly submitted.
6. Procurement of salt testing kits for endemic districts by State/UT for use of ASHA/Health Personnel for creating awareness & monitoring of iodated salt consumption at household level. Monthly reports are to be submitted as per the prescribed proforma.
7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic districts should be made available on regular basis to ASHA.
8. Health education and publicity should be conducted with more focus in the endemic districts emphasizing about IDD and promotion of consumption of adequately iodized salt. Should observe Global IDD Celebrations on 21st October by conducting awareness activities at various level and submission of reports.
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DETAILED BUDGET: NIDDCP
FMR Activity Unit cost Physical Amount Amount Remarks Code (wherever target Proposed Approved applicable)
D IDD
D.1 Establishme Implementa 10.20 12.00 Filling up of sanctioned vacant nt of IDD tion & posts i.e. Technical Officer, Control Cell- monitoring Statistical Assistant & LDC on of the regular/contract basis on programme priority.
D.1.a Technical 1 State Government may Officer conduct and co-ordinate D.1.b Statistical 1 approved programme activities Assistant and furnish quarterly financial D.1.c LDC Typist 1 & physical achievements as per prescribed format.
D.2 IDD Monitoring 5.60 6.00 The vacant sanctioned post of Monitoring of district Lab Technician & Lab Asst. Lab- level iodine should be filled on regular/ content of contract basis on priority. salt and urinary State Government may conduct quantitative analysis iodine excretion as of salt & urine as per NIDDCP per Policy Guidelines and furnish monthly/quarterly statements. Guidelines.
D.2.a Lab 1 Technician D.2.b Lab. 1 Assistant D.3 Health Increased 19.70 4.00 IDD publicity activities Education & awareness including Global IDD Day Publicity about IDD celebrations at various levels. and iodated salt
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FMR Activity Unit cost Physical Amount Amount Remarks Code (wherever target Proposed Approved applicable)
D.4 IDD Rs. 50,000 4 districts 8.00 2.00 State Government may under Survey/resu per district take 4 districts IDD survey as rvey per guidelines and furnish report.
D.5 Salt Testing 12 STK per Creating 51.84 ** State Govt. to monitor the Kits to be annum per iodated salt qualitative analysis of iodated procured by ASH A demand salt by STK through ASHA in 2 state and endemic districts i.e. Bilaspur Government monitoring and Raigar for 2 of the same endemic at the districts community level.
D.6 ASHA Rs. 25/- per 50 salt 40.06 ** Incentive month for samples per testing 50 month per salt ASHA in 2 sample/mo endemic nth district
Total for IDD 141.40* 24.00
* Including fund proposed for Operational expenses of IDD Cell, workshop and review meetings which are not allowed under the Programme
** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 2 endemic districts funds will be released through flexi pool of NRHM by GOI.
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INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)
Priority Actions to be carried out by the State:
There are 29 vacant posts of technical contractual staff (27 Epidemiologists, 1 Microbiologist & 1 Entomologist) under IDSP in the State. The State needs to expedite the recruitment of these staff. The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under IDSP has been completed for the State/Districts. However, the State may give the additional list of participants to be trained for ToT and 2-week FETP. Presently all 18 Districts are reporting regularly on IDSP portal. Presently only 80%, 74% and 56% of all the Reporting Units are reporting weekly surveillance data respectively in S, P & L-form through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance data (S, P, L) by all the Reporting Units of all Districts through IDSP Portal. The State has to ensure consistent reporting of L form in portal by the district priority lab at JLN Medical College, Raipur. Appropriate clinical samples need to be sent for the required lab investigations for all outbreaks. In 2012, clinical samples were sent for laboratory investigation for 11% of the disease outbreaks in which 8% were lab confirmed. The State needs to send full investigation report for each disease outbreak. Presently, such investigation reports are not available for outbreaks. Non-negotiable IDSP priorities for the State would be:
a) Dedicated State Surveillance Officer (SSO) for implementation of IDSP. b) All States/UTs to provide weekly report on the disease surveillance data on epidemic prone diseases and the weekly outbreak report regularly through portal. c) All the States/UTs to timely submit their Statement of Expenditure, Utilization Certificate and Audit reports. d) Every State/UT will undertake in-depth review of IDSP at least once in a year and will share the report with Central Surveillance Unit (CSU), IDSP
DETAILED BUDGET: IDSP
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FMR Activity Unit Cost Amount Amount Remarks Code Proposed by Approved state E1 Operational Cost Field Visits Office Expenses 99.94 86 Broad Band expenses Outbreak investigations including Collection and Transport of samples Review Meetings Any other expenditure
Sub Total 99.94 86 E 1.2 Laboratory Support District Priority Lab- 1 lab. The State has 1X4.00 4.00 4.00 proposed only Recurring cost for this lab. Referral Network Lab 20 15(3X 5) District public health lab 89.5 35.8 equipment (5 X 17.9) (2 X 17.9) District public health lab 24.3 9.72 Remuneration manpower (5X0.81X6) (2X0.81X6) for staff at priority labs has been approved for 6 months initially. District public health lab 24.65 8 consumables (5 X 4.93) (2 X 4) Sub Total 162.45 72.52 E.2 Human Resources
E.2.1 Remuneration of State 4.8 3.3 Remunerations Epidemiologists Epidemiol (0.8x1x6) (0.55x1x6) for vacant ogists positions are calculated for 6 District 64.8 64.8 months Epidemiol (0.4x27x6) (0.4x27x6) ogists E.2.2 Remuneration of State 3.0 3.0 Remunerations Microbiologists Microbiol (0.25x1x12) (0.25x1x12) for the posts of ogist Epidemiologist,
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FMR Activity Unit Cost Amount Amount Remarks Code Proposed by Approved state District 2.4 2.4 microbiologist Microbiol (0.4X1X6) (0.4X1X6) and Consultant ogist at 1 training, for District candidates with Priority Lab medical E.2.3 Remuneration of 1.5 1.5 qualifications Entomologists (0.25x1x6) (0.25x1x6) should be more, Veterinary Consultant 2.4 2.4 than those (0.4x1x6) (0.4x1x6) without medical E.3 Consultant-Finance/ 1.68 1.68 qualification Procurement (0.14x1x12) (0.14x1x12) E.3.1 Consultant-Training/ 3.6 2.4 Technical (0.40x1x6) (0.40x1x9) E.3.2 Data Manager State Data 4.2 2.4 Manager (0.35X1X12) (0.20X1X12)
District 97.2 58.32 Data (0.30X27X12) (0.18X27X12) Manager E.3.3 Data Entry Operator 61.38 55.8 (0.165 X 31 X (0.15 X 31 X 12 ) 12 ) Sub Total 246.96 198 E.8 Training As per NRHM Guidelines
Medical Officers 0.15 X 46 4.46 4.46 (3 days ) The training of One day training of 0.215X 46 2.00 2.00 Data manager Hospital Pharmacist / and Data entry Nurses operator has One day training of 0.309X 13 1.14 1.14 already been Medical College Doctors conducted in One day training for Data 0.15X 140 3.02 3.02 2012-13 Entry and analysis for Block Health Team Lab technician (3 days) 0.215X 46 0.79 0.79 Data managers (2 days) 0.28 X 1 0.78 0 DEO cum accountant 0.28 X 1 0.84 0 (2 days) ANM 17.52 0
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FMR Activity Unit Cost Amount Amount Remarks Code Proposed by Approved state Sub Total 52.25 11.41 For each newly formed (Corporation as district) District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories. E.7 ID Hospital Network * Surveillance in Metro Cities * New formed Districts 0.20X 11 2.2 0 Grand Total for IDSP 540.06 367.93
Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norm, the budget for State could be increased at RE stage.
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NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)
Physical Targets:
Sr. Indicator 2011 2012 2013 Remarks No. 1 Annual Blood Examinate 13.57% 13.33% >15% Kawardah district needs Rate (ABER) i.e. persons improvement in surveillance so screened annually for that the ABER of 15% is achieved Malaria 2 Annual Parasite Incidence 5.39 4.43 <2 8 districts namely Kondagaon (API) i.e. Malaria cases per (19.15), Bijapur (16.59), 1000 population annually Dantewada (31.79), Sukma (37.21), Jashpur (14.25), Korba (17.40), Korea (13.53) and Narayanpur (14.42) reported >10 API in 2012. To achieve the target a special focus is to be given to these districts. 3 Sentinel Surveillance 2 2 2 The functionality to be sustained & Hospital made functional ensured and should be monitored for Dengue & Chikungunya by their regular reports 4 Sentinel Surveillance 5 out of 6 out 9 out of Sustaining mf rate less than 1% Hospital made functional 6 of 9 9 for JE
Priority areas for focused attention:
1. The districts Kondagaon, Bijapur, Dantewada, Sukma, Jashpur, Korba, Korea and Narayanpur need to be focussed for micro level monitoring to reduce API. 2. Mf rate is most crucial parameter and should be done under proper supervision. This night survey should be done by experts technicians by involving state, district/PHCs, NIMR field station and regional office (GoI) at RLTRI
Essential Conditionality:
Sr. Post Sanctioned In Vacant Target for 2013-14 No. position 1 MPW contractual 1144 871 273 Process to be initited and 2 Lab Technicians 48 20 28 recruitment to be made under intimation to Directorate 3 MTS/VBD 96 34 62 NVBDCP Technical Supervisors
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4 Two review meetings in a year to be conducted under the Chairpersonship of Principle Secretary (Health)/ Mission Director - one before transmission period and second during transmission period
Desirable Conditionality
Sr. Post Sanctioned In Vacant Target for 2013-14 No. position 1 DMO/DVBDO 27 0 27 Crucial post and must be filled up 2 Lab Technicians 761 375 386 Process to be initited and 3 Multi Purpose Health 929 540 389 recruitment to be made under Supervisor 4 Multi Purpose Health 4918 2531 2387 intimation to Directorate Assistant ot Multi NVBDCP purpose worker
District wise goals (to be done by the State)
Goal ABER API Deaths Mf rate 2013-14 2013-14 2013-14 2013-14
Road Map
Surveillance & monitoring under NVBDCP is done throughout the year. The following salient points are to monitor the implementation of programme activities in different quarters.
• April to June 1st round spray & anti-malaria month observance to be ensured • July to Sept. 2nd round spray and observance of anti-dengue month. Preparatory activities for observance of Mass Drug Administration in some districts and MDA stoppage towards filaria elimination to be started • Oct. to Dec. Review and monitor physical and financial performance and preparation of next annual plan. • Jan. to March Consolidation of previous year's physical and financial achievement and plan for next year.
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DETAILED BUDGET: NVBDCP
Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 F.1 Domestic Budget Support (DBS)
F.1.1 Malaria
F.1.1.a Contractual Payments
Activity approved but funds will be F.1.1.a.i MPW contractual 823.68 295 enhanced at RE stage. Lab Technicians ( against F.1.1.a.ii 42.6 0 vacancy) VBD Technical Supervisor F.1.1.a.iii 28.05 0 (one for each block) District VBD Consultant F.1.1.a.iv (one per district) (Non- 0 Project States) Data Entry Operator one New activity, due to per district (Non-project 6.07 0 funds constraint it states) can not be approved State Consultant (Non – 0 Project States), M&E Consultant (Medical Graduate with 0 F.1.1.a.v PH qualification) - VBD Consultant (preferably 0 entomologist) F.1.1.b ASHA Incentive 63 45
F.1.1.c Operational Cost
F.1.1.c.i Spray Wages 0 F.1.1.c.ii Operational cost for IRS 55.2 0 Impregnation of Bed F.1.1.c.iii 0 nets- for NE states Monitoring , Evaluation State has asked in & Supervision & F.1.1.e and F.1.1.f.i, F.1.1.d 66.9 30 Epidemic Preparedness hence it is reflected including mobility here
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 F.1.1.e IEC/BCC 78.35 PPP / NGO and 20 State has asked in F.1.1.f Intersectoral 12 F.1.1.m Convergence Training / Capacity State has asked in F.1.1.g 5.6 5 Building F.1.1.i Zonal Entomological F.1.1.h 22.92 0 units Biological and Environmental F.1.1.i 10.3 5 Management through VHSC F.1.1.j Larvivorous Fish support 0 Construction and F.1.1.k maintenance of 0 Hatcheries Any other Activities (Pl. specify) NVBDCP-DBS-Urban Malaria-HR-Field worker, NVBDCP-DBS-Urban New activity, due to MalariaOperational Cost funds constraint it purchase, NVBDCP-DBS- can not be approved LLIN (Godown charges) state & transportation, NVBDCP-DBS-HR-State F.1.1.l level-Entomologist, 273.06 0 Training Consultant, Programme Associate- procurement, finance, Accountant, GIS DEO, Secretarial, Division IC, District Programme Associate- VBD consultant, MTS all the bolck of 96 Blocks (Including pf-)
Total Malaria (DBS) 1487.73 400
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14
F.1.2 Dengue & Chikungunya
Strengthening F.1.2.a surveillance (As per GOI approval) Apex Referral Labs F.1.2.a(i) recurrent Sentinel surveillance F.1.2.a(ii) 2 2 Hospital recurrent ELISA facility to Sentinel F.1.2.a(iii) 20 Surv Labs Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of F.1.2.b ELISA based NS1 kit and Mac ELISA Kits required separately) Monitoring/supervision F.1.2.c 8.4 5 and Rapid response F.1.2.d Epidemic preparedness 39 4.5
F.1.2.e Case management 18 10 Vector Control & F.1.2.f environmental 0 3 management Can also be used for IEC BCC for Social other VBD. F.1.2.g 30 9 Mobilization Inter-sectoral F.1.2.h 1.8 0.5 convergence Training & printing of guidelines, formats etc. F.1.2.i 3.6 3.5 including operational research Total 122.8 37.5 Dengue/Chikungunya F.1.3 AES/JE Strengthening of Sentinel sites which will include F.1.3.a Diagnostics and Case 0 0 Management, supply of kits by GoI
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 IEC/BCC specific to J.E. in F.1.3.b endemic areas F.1.3.c Capacity Building Monitoring and F.1.3.d supervision Procurement of F.1.3.e Insecticides (Technical Malathion) F.1.3.f Fogging Machine Operational costs for F.1.3.g malathion fogging F.1.3.h Operational Research Rehabilitation Setup for F.1.3.i selected endemic districts ICU Establishment in F.1.3.j endemic districts ASHA Insentivization for F.1.3.k sensitizing community Other Charges for Training /Workshop F.1.3.l Meeting & payment to NIV towards JE kits at Head Quarter Establishing district F.1.3.m counseling centre
Total AES/JE 0 0
F.1.4 Lymphatic Filariasis
State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility F.1.4.a 70.87 28.54 support, district coordination meeting, sensitization of media etc., morbidity management,
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 monitoring & supervision and mobility support for Rapid Response Team and contingency support F.1.4.b Microfilaria Survey 4.45 4.5 Post MDA assessment by medical colleges (Govt. & F.1.4.c 2.4 1.35 private)/ICMR institutions Training/sensitization of district level officers on F.1.4.d ELF and drug distributors 80.15 42.15 including peripheral health workers Specific IEC/BCC at state,district, PHC, Sub- centre and village level including VHSC/GKs for F.1.4.e 35.2 14.3 community mobilization efforts to realize the desired drug compliance of 85% during MDA Honorarium for Drug Distribution including F.1.4.f 138.92 35.2 ASHAs and supervisors involved in MDA Verification and validation for stoppage F.1.4.g of MDA in LF endemic districts a) Additional MF Survey Out of 9 districts, 3 F.1.4.g.i 0 2.1 for 3 districts districts qualified for TAS, b) ICT Survey for 3 hence state should F.1.4.g.ii 4.5 districts plan within six months
F.1.4.g.iii c) ICT Cost for 3 districts 15
Verification of LF F.1.4.h endemicity in non- endemic districts a) LY & Hy Survey in non- F.1.4.h.i endemic district
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 b) Mf Survey in Non- F.1.4.h.ii endemic distt
F.1.4.h.iii c) ICT survey
F.1.4.i Post-MDA surveillance
Total Lymphatic 331.99 147.64 Filariasis
F.1.5 Kala-azar
Case search/ Camp F.1.5 Approach Spray Pumps & F.1.5.a accessories Operational cost for F.1.5.b spray including spray wages Not Applicable 0 F.1.5.c Mobility/POL/supervision
F.1.5.d Monitoring & Evaluation
F.1.5.e Training for spraying
F.1.5.f IEC/ BCC/ Advocacy
Total Kala-azar 0 0
Total (DBS) 1942.52 585.14
Externally aided F.2 component World Bank support for F.2.a Malaria (Identified state)
F.2.b Human Resource 278.39 Can be increased at Training /Capacity F.2.c 27.6 RE stage based on building 200 physical and Mobility support for financial proposal F.2.d Monitoring Supervision 47 & Evaluation including
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 printing of format & review meetings, Reporting format (for printing formats) Kala-azar World Bank
assisted Project F.2.e Human resource
F.2.f Capacity building Not Applicable Not Applicable F.2.g Mobility GFATM support for F.3 Malaria (NEStates) Project Management F.3.a Unit including human resource of N.E. states Training/Capacity F.3.b Building Planning and Administration( Office expenses recurring F.3.c expenses, Office automation , printing and stationary for running of project) Monitoring Supervision Not Applicable Not Applicable (supervisory visits including travel F.3.d expenses, etc) including printing of format and review meetings, IEC / BCC activities as per F.3.e the project Operational cost for treatment of bednet and Infrastructure and Other F.3.f Equipment (Computer Laptops, printers, Motor cycles for MTS )
Total : EAC component 352.99 200
Any Other Items ( Please F.4 0 0 Specify)
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 Operational costs ( mobility, Review F.5 Meeting, 0 0 communication, formats
& reports) Grand total for cash assistance under 2295.51 785.14 NVBDCP (DBS + EAC) Cash grant for F.6 decentralized commodities Chloroquine phosphate F.6.a 120 tablets Primaquine tablets 7.5 F.6.b 4.37 mg Primaquine tablets 2.5 F.6.c 1.35 mg
F.6.d Quinine sulphate tablets 0 Approved however, funds will be F.6.e Quinine Injections 4.8 released within available budget. F.6.f DEC 100 mg tablets 71.08 The gap may be met from flexi fund to Albendazole 400 mg F.6.g 0 avoid any shortage tablets of drug and diagnostics. The F.6.h Dengue NS1 antigen kit 4.8 100 procurement Temephos, Bti (AS) / Bti procedure for anti- F.6.i (wp) (for polluted & non 1.45 malarial and anti- polluted water) filarial drugs may be Pyrethrum extract 2% for initiated in 1st F.6.j 10 spare spray quarter of current ACT ( For Non Project financial year so as F.6.k 114.82 states) to ensure its availability in time. RDT Malaria – bi-valent F.6.l (For Non Project states) Any Other Items ( Please Specify) F.6.m NVBDCP-Arteether 139.74 Injection, Deltamethrine, Suprey PUMP (purchase ,repair,for fogging
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Amount Component (Sub- Amount approved S. No. proposed in PIP Remarks Component) as per BE 2013-14 -2013-14 pump), LLIN, New Microscope, Lancet, Slide, Swab & Laboratory Reagents. Total grant for decentralized 472.41 100 commodities Grand Total for grant-in- 2767.92 885.14 aid under NVBDCP
Commodity Grants 3718 2160.68
Total NVBDCP Cash + 6485.92 3045.82 Commodity
NRHM Additionality
1 NVBDCP- RDT kits 419 0 May be met from NVBDCP-DBS-Malaria- Village Health 2 489.38 0 Spray wages senitation NVBDCP-Synthetic committee or flexi 3 Pyrethroid 147 0 fund. (Alphacypermethrin 5%) NVBDCP-DBS-Malara-HR- 4 Driver for State 2.7 0 Programme unit NVBDCP-Malaria Offic 5 Expenses including 32 0 contingency NVBDCP- Malaria- 6 Support to Sentinel sites 6 0 (incentives to SSLT) NVBDCP-Support to State 7 Office-Office 1.68 0 Attendant(STATE) Total of NRHM 1097.76 0 Additionality
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NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
State specific Goals and Targets for the year 2013-14
S.No Goals & Target September'13 March 2014 1 Elimination at District level NA 2 2 Case detection through ASHA 1000 2000 0 0 3 Special activity plan in blocks
MCR footwear procurement & 600 1200 4 supply 100 200 5 RCS 50% of Plan 100% of Plan 6 Development of leprosy expertise
Treatment Completion Rate Completed - 7 assessment for the year 2013-14 Completed - 8 Audited Report for the year 2013-14 Expenditure incurred against 9 50% 100% approved plan budget
NA: Not Applicable
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DETAILED BUDGET: NLEP
Activity Unit Unit Cost (In Physical Amount Amount Remarks proposed Rupees) Targets proposed approved (Rs. in (Rs. in lakh) lakh) G1.Case detection & Management 1.1 Specific -plan Block 75,000 for High Endemic 0.00 Districts 1.2 Services in Town - Town - Urban Areas Med I - 114,000 07 7.98 7.98 Med II- Med I - 05 12.00 12.00 Mega- 2,40,000 05 23.60 23.60 Med II- 00 00.00 00.00 4,72,000 Mega-560000 1.3. ASHA
Involvement Sensitization 100 - - - *Incentive to Detectio 250 2000 5.00 5.00 ASHA n PB 400 1000 6.00 4.00 MB 600 1000 10.00 6.00 1.4 Material &
Supplies Supportive drugs, 68,000 lab. reagents & 27 16.20 16.20 equipments and printing works District 1.5 NGO 600000 1 6.00 6.00 Schemes No. G2. DPMR MCR MCR footwear, Footwear- Aids and 300/- appliances, Aids/Applianc Welfare 1200 3.6 3.6 e -17000 allowance to 27 0.81 0.81 Welfare/RCS - leprosy patients 200 16.00 16.00 8000 for RCS, Support 200 10.00 10.00 At Institute - to govt. 5000 institutions for At camps - RCS 10000
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Activity Unit Unit Cost (In Physical Amount Amount Remarks proposed Rupees) Targets proposed approved (Rs. in (Rs. in lakh) lakh)
G3. **IEC/BCC Mass media, 98,000 27 26.46 26.46 Outdoor media, District Rural media, Advocacy media G4. Human State Resource & specific Capacity building reuirements ***4.1 Capacity No. of & rates building batch MO 89,000 25 22.25 22.25 HW 71,000 25 17.75 17.75 PT 50,600 1 0.51 0.51 DNT 71,000 3 2.13 2.13 4.2. Human Resource on contract ****4.2.1. Contractual Staff at State level SMO 1 40000 7.20 4.80 BFO cum Admn. 1 30,000 5.40 3.60 Officer Admn. Asstt. 1 16000 2.40 1.92 DEO 1 12000 2.16 1.44 Driver 1 11000 1.32 1.32 #District Leporsy 30000 0 32.4 Consultant #Physiotherapist 25000 20.00 27.00 4.2.3. Special Provision for selected States NMS No. 25000 - - 4.2.4. Staff for blocks #PMW No. 16000 93 133.92 G5. Programme Management 5.1. Travel Cost
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Activity Unit Unit Cost (In Physical Amount Amount Remarks proposed Rupees) Targets proposed approved (Rs. in (Rs. in lakh) lakh) Contractual Staff 1.00 1.00 at State level Contractual Staff 25000 6.75 6.75 at District level 5.2 Review 4 20000 to 1.00 1.00 meetings 50000 5.3 Office Operation & Maintenance Office operation - 1 75000 0.75 0.75 State Cell Office operation - No. 35000 9.45 9.45 District Cell Office equipment 1 50000 0.50 0.50 maint. State 5.4 Consumables State Cell 1 50000 0.50 0.50 District Cell No. 30000 8.10 8.10 5.5 Mobility Support State Cell 2 200000 4.00 4.00 District Cell 1 150000 60.75 40.50 G6. Others Essential Travel expenses requiremen for regular staff t for specific
programme / training need, awards etc TOTAL of NLEP 317.57 459.24
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REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)
Targets S.No Indicators 2012 2013-14 1 Case detection rate 53% 70% 2 Treatment success rate 89% 90%
3 MDR TB treatment success rate 60-70%
Treatment success rate among new TB patients 4 88% tribal districts and Poor and Backward districts 5 Increasing Number of cases to be put on treatment trend 6 Default rate among new TB cases <5%
7 Proportion of estimated incident TB cases notified 80% 8 Proportion of TB patients with known HIV status. 90%
9 Proportion of microscopy centres using LED 9% microscopes 10 Proportion of districts TU aligned at block levels 25% with health systems 11 Proportion of Key RNTCP staff in place as per 90% approved ROP 12 Proportion of Key RNTCP staff trained as per 90% approved ROP 13 Proportion of TB patients treated under RNTCP by 50% a community DOT provider 14 Proportion of pediatric cases diagnosed out of new 8% cases
Action points for the State under RNTCP during FY 2013-14:
All the approved Key RNTCP contractual staff positions at State/Districts should be filled and ensuring timely payment of salaries. All the approved new position will be recruited by September 2013. The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director (NRHM) at least once in a quarter To conduct State TB control society meeting, State Coordination committee meeting (TBHIV) at least once in a quarter.
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To ensure that District TB Control society meeting and District Coordination committee meetings are conducted in the districts at least once in a quarter Scaling up of DOTS Plus services as per the State DOTS Plus action plan Conduct ACSM/Training activities at State/Districts as per the State annual action plan. To involve Private Practitioners and NGOs in the RNTCP Submission of SOE and UC as per the time lines communicated by MoHFW/CTD. Timely payment of DOT Providers honorarium at districts.
DETAILED BUDGET: RNTCP
Category of Unit cost Physical target Amount Amount S.No Remarks Expenditure /expected output Proposed Approved I.1 Civil works As per Revised 1) Civil work Up 351.75 246.22 Approval is Norms and gradation and being given Basis of Costing maintenance for 9 DTC , 1 for RNTCP completed as C&DST lab, planned 20 TUs and 38 DMCs
I.2 Laboratory As per Revised 1) Sputum of TB 88.15 79.33 90% materials Norms and Suspects approved. Basis of Costing Examined per lac for RNTCP population per quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally I.3 Honorarium As per Revised 1) All eligible 52.42 47.18 90% Norms and Community DOT approved. Basis of Costing Providers are paid for RNTCP honorarium in all districts in the FY I.4 ACSM As per Revised 1) All IEC/ACSM 73.33 50.00 Includes the Norms and activities Salary of Basis of Costing proposed in PIP State ACSM for RNTCP completed; officer. 2) Increase in case
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Category of Unit cost Physical target Amount Amount S.No Remarks Expenditure /expected output Proposed Approved detection and improved case holding; I.5 Equipment As per Revised 1) Maintenance of 24.16 19.32 80% maintenanc Norms and Office Equipments approved. e Basis of Costing at State/Districts for RNTCP and IRL equipments completed as planned; 2) All BMs are in functional condition I.6 Training As per Revised 1) Induction 87.78 52.66 60% Norms and training, Update approved Basis of Costing and Re-training of for RNTCP all cadre of staff completed as planned; I.7 Vehicle As per Revised 1) All 4 wheelers 132.06 71.47 As per norms. maintenanc Norms and and 2 wheelers in For new e/ operation Basis of Costing the state are in position for RNTCP running condition operation and maintained; cost is approved for 6 months.
I.8 Vehicle As per Revised 1) Increase in 220.83 154.58 70% hiring Norms and supervisory visit of approved Basis of Costing DTOs and MOTCs; for RNTCP 2) Increase in case detection and improved case holding I.9 NGO/PP As per Revised 1) Increase in 125.88 113.29 90% support Norms and number of approved. Basis of Costing NGOs/PPs for RNTCP involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT
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Category of Unit cost Physical target Amount Amount S.No Remarks Expenditure /expected output Proposed Approved I.10 Medical As per Revised 1) All activities 62.26 52.80 Includes 15 College Norms and proposed under lakhs for the Basis of Costing Medical Colleges ZTF meeting. for RNTCP head in PIP completed I.11 Office As per Revised 1) All activities 44.63 35.70 80% Operation Norms and proposed under approved. Basis of Costing miscellaneous for RNTCP head in PIP completed I.12 Contractual As per Revised 1) All contractual 1092.15 873.72 80% services Norms and staff appointed approved Basis of Costing and paid regularly for RNTCP as planned I.13 Printing As per Revised 1) All printing 57.36 40.15 70% Norms and activities at state approved Basis of Costing and district level for RNTCP completed as planned I.14 Research As per Revised 1) Proposed 3.00 2.40 80% and studies Norms and Research has been approved Basis of Costing initiated or for RNTCP completed in the FY as planned 1.15 Procuremen 0 0 t of drugs I.16 Procuremen As per Revised 1) Procurement of 109.00 98.10 90% t –vehicles Norms and vehicles approved Basis of Costing completed as for RNTCP planned I.17 Procuremen As per Revised 1)Procurement of 289.00000 238.1000 Hand held t- Norms and equipments 0 devise has Equipments Basis of Costing completed as not been for RNTCP planned approved as these will be procured at central level.
I.18 Patient As per Revised Payment of 16.00 11.20 70% support & Norms and transportation approved Transportati Basis of Costing charges to on for RNTCP patients
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Category of Unit cost Physical target Amount Amount S.No Remarks Expenditure /expected output Proposed Approved I.19 Supervision As per Revised Number of 50.00 40.00 80% & Norms and evaluation and approved. Monitoring Basis of Costing review meeting for RNTCP done by state Subtotal 2879.79 2226.29
Disease control Flexi pool fund 106.72 65.56 Disapproved activities are: Generator for STDC ; Diesel for generator at IRL and DOTS plus site
2986.51 2291.85 TOTAL of RNTCP
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ANNEXURES
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ANNEX 1
RCH FLEXIBLE POOL
Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.1 MATERNAL HEALTH A.1.1 Operationalise 0.00 0.00 0.00 Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planning- identifying priority facilities,etc) A.1.1.1 Operationalise 0.00 FRUs (Blood bank/BSU - Operational cost) A.1.1.2 Operationalise 0.00 24x7 PHCs A.1.1.3 Operationalise Safe 0.00 abortion services (including MVA/ EVA and medical abortion)at health facilities A.1.1.4 Operationalise 0.00 RTI/STI services at health facilities A.1.1.5 Operationalise sub- 0.00 centres A.1.2 Referral Transport 0.00 A.1.3 Integrated 72.00 72.00 0.00 outreach RCH services (state should focus on facility based services and
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) outreach camps to be restricted only to areas without functional health facilities) A. Oureach camps 8000 900 72.00 72.00 Approved as following: 1.3.1. Rs 300 incentive to lady doctors Rs. 100 for LTs Rs 100 for LTs & Rs.400 to lady doctors towards mobility support A.1.3.2. Monthly Village 168512 0.00 Health and Nutrition Days A.1.4. Janani Suraksha 403000 6400 7087.50 7087.50 Yojana / JSY
A.1.4.1 Home deliveries 50000 500 250.00 250.00 Approved
A.1.4.2 Institutional 353000 5900 4605.00 4605.00 deliveries
A.1.4.2. Rural 250000 1400 3500.00 3500.00 Approved a A.1.4.2. Urban 100000 1000 1000.00 1000.00 Approved b A.1.4.2. C-sections 3000 3500 105.00 105.00 Approved as per last year’s c approval subject to condition that the approval is only meant for 8 Missionary Hospitals in naxalite affected areas. Rs. 3500/ per delivery includes C-section cost, and complete cashless delivery (diet, consumables, drugs etc.) A.1.4.3 Administrative 332.50 332.50 Approved @ 5 % of JSY Expenses expenses
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.1.4.4 Incentives to ASHA 1900.00 1900.00 Approved as Rs.600/rural case and Rs. 400/urban cases for 250000 rural cases and 100000 urban cases A.1.5 Maternal Death 500 500 2.50 2.50 Approved. Rs.500 includes Review (both in Rs.300 as incentive and institutions and Rs.200 for other activity. community) A.1.6 Other 4969 244330 124.35 55.07 0.00 strategies/activities (please specify) A.1.6.1 MH -Other 1048 2500 26.20 Activities- HIV Positive Normal Deliveries - Incentive to Approved as following: Medical Team for Rs 5 Lakhs for ND @ Rs HIV Positive NDs 8.00 1000/- for 500 NDs and A.1.6.2 MH - Other 500 5000 25.00 Rs 3 Lakhs for C-Sections @ Activities - for High Rs 1500/- for 200 C-Sections Risk Pregnancy - HIV Positive C- Section Deliveries - Incentive to Medical Team A.1.6.3 324 2000 6.48 6.00 Approved for expected 2000 MH - Other high risk referrals for which Activities - for High incentives to ANM Rs 100 Risk Pregnancy - and ASHA Rs 200 for Other - Incentives accompanying woman. to ANM for C - Approval strictly for hard to Section (Hard to reach areas in high focus Reach Area) districts at or below sub district level. A.1.6.4 MH - Other 2 5000 0.10 0.10 Approved Activities- for High Risk Pregnency A.1.6.5 Indemnity 82 1850 1.52 1.52 Approved Insurance for EMoC and LSAS
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.1.6.6 Incentive for LSAS 20.08 20.08 Lumpsum approved. 47 LSAS and CEmONC and 35 CEmONC trained trained doctors doctors will be given fixed incentive @Rs. 2000 after performing at least three C- sections/month and any additional c-section thereafter in a month will be paid @ Rs. 400/C-section /LSAS and CEmONC doctors. A.1.6.7 LSAS CEmONC 2 5000 0.10 0.10 Approved subject to State Doctors sharing the outcome of the performance meetings with MoHFW. review A.1.6.8 Supportive 3000 400 12.00 12.00 Approved supervision of SBA trained by MO/RMA A.1.6.9 Strengthening of 25.60 5.40 2 MH Consultants are Maternal health approved subject to State Programme sharing their ToRs and all consultants should be IT savy. Approved @ Rs 45,000 per month for 6 months. Consultants will regularly move in the field as per their ToRs. Mobility support is already approved under mobility support plan seaparately. OneProgramme Associate is not approved. All Consultants to be IT savy and basic IT skills should be part of their ToRs. A.1.6.1 Support staff for 4 135000 5.40 0.00 Not approved 0 Medical Colleges and one Secot Nine Hospital , Bhilai A.1.6.1 MTP Training -Staff 1 67580 0.68 0.68 Approved 1 Nurse
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.1.6.1 MTP Refresher 6 20000 1.20 1.20 Approved 2 Training
A.1.6.1 0.00 3 A.1.6.1 0.00 4 A.1.6.1 0.00 5 A.1.7 JSSK- Janani Shishu 1205112 60800 3545.70 3821.70 0.00 Surakhsha Karyakram A.1.7.1 Drugs and 301000 300 1087.50 1279.50 Approved: consumables Rs 1039.5 Lakhs for 297000 NDs @ Rs 350/ND and Rs 240 Lakhs for 15000 C- sections @ Rs 1600/C-section A.1.7.2 Diagnostic 301000 200 602.00 602.00 Approved
A.1.7.3 Blood Transfusion 3000 300 9.00 9.00 Approved
A.1.7.4 Diet (3 days for 300000 912.00 996.00 Approved: Normal Delivery Rs 891 Lakhs for diet of 3 and 7 days for days @ Rs.100/day for Caesarean) 297000 NDs and Rs 105 Lakhs for diet for 7 days @RS.100/day for 15000 C-sections A.1.7.5 Free Referral 300000 912.00 912.00 Approved @ Rs. 300/ for Transport 297000 NDs and Rs. 700/ for 3000 C-Sections. State has to ensure provision of all the three types of referral (home to facility, interfacility and drop back facility) A.1.7.6 Other JSSK activity 112 60000 23.20 23.20 0.00
A.1.7.6. State level Review 4 40000 1.60 1.60 Approved 1 Meeting
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.1.7.6. District level 108 20000 21.60 21.60 Approved 2 Review Meeting
A.1.7.6. Block Level Review 0.00 Approved 3 Meetings
Sub-total Maternal 3744.55 3951.27 #VALUE! Health (excluding JSY) Sub-total JSY 7087.50 7087.50 #VALUE!
A.2. CHILD HEALTH 1625.51 1053.40 #VALUE!
A.2.1 IMNCI (including F- 50000 15.00 15.00 Approved for 4 new IMNCI IMNCI; primarily training sites @ Rs.3.00 budget for lakhs/ site (Rs.12 lakhs) and planning for pre- Rs.3 lakhs for formats & serviceIMNCI registers across all sites. activities in medical colleges, nursing colleges, and ANMTCs) A.2.2 Facility Based 8 100000 228.60 228.60 0.00 Newborn 0 Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructure, procurement, training,IEC etc.) e.g.operating cost rent,electricity etc. imprest money
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.2.2.1 SNCU 8 100000 126.00 126.00 Approved as following: 0 5 operational units @ Rs.10 Lakhs /unit 7 units under progress @Rs.5 Lakhs /unit and Rs. 41 lakhs for new unit at Raipur
A.2.2.2 NBSU 49.00 49.00 Approved as following: 10 functional NBSUs @ Rs.1.75 Lakhs/NBSU and 36 NBSUs under progress @Rs. 87500 /NBSU A.2.2.3 NBCC 53.60 53.60 Approved as following: @Rs. 20000/per annum for 156 NBCCs and @ Rs.10,000 (for 6 months) for 224 NBCCs A.2.3 Home Based 4 50000 2.00 2.00 Approved for half yearly Newborn review meeting cum Care/HBNC workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand divisions) @ Rs.50000/meeting cum workshop A.2.4 Infant and Young 0.00 Child Feeding/IYCF
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.2.5 Care of Sick 75 706.24 451.30 Approved ONLY for 61 NRCs Children and as following: Severe 10,000 children x Rs. 100 for Malnutrition (e.g. food x 15 days NRCs, CDNCs etc.) 10,000 mothers x 15 days x Rs. 150 (wage compensation) Pharmacy charges 5000 x Rs. 60 x 12 Contingency 1500 x 12 x Rs.60 ASHA incentive for referral & follow up 5000 x Rs.250 Referral transport for severely ill children 2500 x Rs. 500 Rs. 2.5 lakhs for 1 new unit in Sarguja and Rs. 2.00 lakhs for review Concurrent monitoring may be done by State Lead Development Partners and SPMU. Consultants proposed for NRC cell must be part of the CH team. Rs. 334.8 lakhs is for NRC HR, approved under relevant budget head. A.2.6 Management of 27 50000 75.42 15.00 Approved for following diarrhoea & ARI & trainings. Trainings to include micronutrient ARI component as well and malnutrition State to conduct training as per revsied national guidelines. State Level ToT for District Child Health Nodal Officers and Pediatrician:3 batches @ Rs.50,000/batch District Level Training for Block Medical Officers and One Medical Officer: 27 batches @ Rs.50000/batch
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.2.7 Other 36.20 36.20 Approved for mobility strategies/activities support for 2 rounds SSM @ (please specify) Rs.18.10 lakhs/round A.2.8 Infant Death Audit 1 27.72 25.72 Approved as following: IDA of institutional 5000 deaths @ Rs 500/death 2 half yearly meetings at State level @ Rs. 25,000/meeting Printing of reporting formats @ Rs. 2/format for 10795 formats Another 15.47 budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit. A.2.9 Incentive to ASHA 0.00 0.00 0.00 under child health
A.2.10 JSSK (for Sick 75825 1500 308.25 247.50 0.00 neonates up to 30 days) A.2.10. Drugs & 30000 200 60.00 60.00 Approved 1 Consumables (other than reflected in Procurement) A.2.10. Diagnostics 30000 300 90.00 30.00 Approved @ Rs.100/case. 2
A.2.10. Free Referral 15825 1000 158.25 157.50 Approved: 3 Transport Rs 150 Lakhs for to and fro (home to facility and drop back) @Rs 500/ neonate for 30,000 sick neonates and Rs 7.50 Lakhs for interfacility referral transport @Rs 250/- neonate for 3000 seriously ill neonates
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.2.11 Any other 22 627000 226.08 32.08 0.00 interventions (eg; rapid assessments, protocol development) A.2.11. FBNC Assessment 4 27000 1.08 1.08 Approved 1
A.2.11. power audit of 6 350000 21.00 21.00 Approved 2 SNCU
A.2.11. Corrective 12 250000 30.00 10.00 Approved for 4 units: 3 measures of power Bilaspur, Dhamtari, audit findings Kawardha, Mahasamand @ Rs 250000/- A.2.11. Child health Cell 174.00 0.00 APPROVAL PENDED 4 A.2.11. 0.00 5
Sub-total Child 1625.51 1053.40 #VALUE! Health
A.3 FAMILY PLANNING 3543.32 2207.80 #VALUE!
A.3.1 Terminal/Limiting 1933.00 1863.50 0.00 Methods
A.3.1.1 Orientation 6 50000 3.00 3.00 Approved workshop,dissemin ation of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.3.1.2 Female sterilisation 720 15000 108.00 54.00 Approved @ Rs. 7500/camp camps
A.3.1.3 NSV camps 60 35000 21.00 6.00 Approved @ Rs. 10000/camp
A.3.1.4 Compensation for 151200 1000 1512.00 1512.00 Approved female sterilisation
A.3.1.5 Compensation for 19200 1500 288.00 288.00 Approved male sterilization/NSV Acceptance A.3.1.6 Accreditation of 20 5000 1.00 0.50 Approved @ Rs. 2500/visit private providers to provide sterilisation services A.3.2 Spacing Methods 175372 11095 115.50 39.30 0.00
A.3.2.1 IUD camps 360 500 1.80 1.80 Approved
A.3.2.2 IUD services at 150000 20 30.00 37.50 Approved. Budget from health facilities A.3.2.3 has also been shifted (including fixed day to this head services at SHC and PHC) A.3.2.2. PPIUCD services 15000 500 75.00 0.00 Not Approved. Drop back to 1 mothers is already being provided under JSSK. A.3.2.3 Accreditation of 10000 75 7.50 0.00 Shifted to A.3.2.2. private providers to provide IUD insertion services A.3.2.4 Social Marketing 0.00 of contraceptives (includng delivery of contraceptive by ASHA at door step)
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.3.2.5 Contraceptive 12 10000 1.20 0.00 Not approved (the budget Update seminars head and activity do not match) A.3.3 POL for Family 2000 2000 40.00 40.00 Approved Planning/ Others (including additional mobilty support to surgeon's team if req) A.3.4 Repairs of 20 100000 20.00 5.00 Approved @ Rs. Laparoscopes 25000/laparoscope for 20 laparoscopes A.3.5 Other 331045 26000 1434.82 260.00 0.00 strategies/activities (please specify): A.3.5.1 Monitor progress 20 5000 1.00 5.00 Approved for: and quality,QAC 2 State level meetings @ Rs. meetings /review 10000/meeting and of sterilization 4 Distt. level meetings @ failures etc. Rs.5000/district. Approval has been given strictly for QAC meetings only. A.3.5.2 Performance 25 20000 5.00 5.00 Approved but State to note reward if any that no cash awards are permissible. A.3.5.3 World Population Two 299.20 200.00 Approved for 2 rounds of Day’ celebration rounds WPD @ Rs 100 lakhs/round. (such as mobility, IEC activities etc.): funds earmarked for district and block level activities A.3.5.4 Other strategies/ 331000 1000 1129.62 50.00 activities (such as strengthening fixed day services for IUCD and sterilization etc.)
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.3.5.4. World Population 200.00 50.00 Not approved, repeat 1 Day’ celebration budgetting (A.3.5.3) (such as mobility, Approved for Family Planning IEC activities etc.): Indemnity Scheme instead of funds earmarked World Population Day which for district and has already been budgeted at block level A.3.5.3. activities (Family Planning Indemnity Scheme) A.3.5.4. State Family 165000 250 12.12 0.00 APPROVAL PENDED 2 Planning Cell A.3.5.4. Promotional 500.00 0.00 Not approved. Budget for 3 scheme of FP ( incentives approved in the Newly proposed) appropriate head under MFP in FMR head B.1.1.3.3 A.3.5.4. Printing of PPIUCD 1000 500 5.00 0.00 Shifted to MFP under FMR 4 registeres (Patient head B.10.2.3.2 & Follow up) A.3.5.4. Incentive to the 165000 250 412.50 0.00 Not approved 5 Beneficiaries of PPIUCD Sub-total Family 1721.32 401.30 #VALUE! Planning (excluding Sterilisation Compensation and NSV Camps) Sub-total 1822.00 1806.50 #VALUE! Sterilisation Compensation and NSV Camps
A.4 ADOLESCENT 116.34 64.68 0.00 REPRODUCTIVE AND SEXUAL HEALTH / ARSH
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.4.1 Adolescent health 68.10 30.38 0.00 services
A.4.1.1 Disseminate ARSH 23 20000 4.60 4.60 Approved guidelines.
A.4.1.2 Establishment of 21 50000 10.50 10.50 Approved new clinics at DH level A.4.1.3 Establishment of 20 50000 10.00 10.00 Approved new clinics at CHC/PHC level A.4.1.4 Operating 44 12000 5.28 5.28 Approved expenses for existing clinics A.4.1.5 Outreach activities 5000 500 25.00 0.00 Not approved as State needs including peer to provide details of activities educators proposed to be conducted through SHGs A.4.1.6 Others 12.72 0.00
A.4.1.6. ARSH Cell 12.72 0.00 APPROVAL PENDED 1 A.4.1.6. 0.00 2
A.4.2 School Health 0 0 13.94 0.00 programme
A.4.2.1 Prepare and 0.00 0.00 Not approved as no disseminate programme component is guidelines for proposed. School Health Programme. A.4.2.2 Prepare detailed 0.00 operational plan for School Health Programme across districts (cost of plan meeting should be kept)
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.4.2.3 Mobility support 0.00
A.4.2.4 Referral support 0.00 A.4.2.5 Other strategies for 0 0 13.94 0.00 school health
A.4.2.5. School Health Cell 13.94 0.00 Not approved as no 1 at State level programme component is proposed, the proposed posts thereby are not justified. A.4.3 Other 140 260000 34.30 34.30 strategies/activities (please specify) A.4.3.1 Mobility support 108 10000 10.80 10.80 Approved for ARSH/ICTC counsellors A.4.3.2 Menstrual Hygiene 5 200000 10.00 10.00 Approved for logistics and (Sanitary napkin storage of sanitary napkins in procurement to be the 5 selected districts. booked under procurement) A.4.3.3 WIFS actvity 27 50000 13.50 13.50 Approved
Sub-total ARSH 116.34 64.68
A.5 URBAN RCH (focus 295.80 0.00 on Urban slums)
A.5.1 Identification of urban areas / mapping of urban slums and planning A.5.2 HR for urban 295.80 0.00 health including doctors, ANMs, Lab techs
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.5.2.1 Doctors/Mos 29 720000 208.80 0.00
A.5.2.5 Staff Nurse 29 180000 52.20 0.00 Not approved. State will be asked to propose the same under NUHM. A.5.2.7 LT 29 120000 34.80 0.00
A.5.5 Others (pl specify) 0 0 0.00 0.00
Sub-total Urban 295.80 0.00 Health
A.6. TRIBAL RCH 48.00 0.00
A.6.1 Special plans for 16 300000 48.00 0.00 APPROVAL PENDED. State tribal areas has neither given any details of camps nor provide the desired justification for 0% expenditure and/or scale up of camps. A.6.2 HR for tribal areas ( 0.00 in addition to normative HR) A.6.3 Outreach activities 10000 0.00
A.6.4 Other Tribal RCH 0 0 0.00 0.00 strategies/activities (please specify) Sub-total Tribal 48.00 0.00 Health A.7 PNDT Activities 139.40 36.86
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.7.1 Support to PNDT 8.70 20.16 Calculation error by State. cell Approved for State level: One Doctor @ Rs. 50,000/- pm, One Consultant @ Rs. 40,000/- pm and One DEO @ Rs. 18,000/- pm 5 DEOs for five Districts @ Rs. 12,000/- pm. A.7.3 Mobility support 11 20000 2.20 2.20 Approved
A.7.2 Other PNDT 254 127600 128.50 14.50 activities (please 0 specify) A.7.2.1 Orientation of 200 1000 2.00 2.00 Approved programme managers and service providers A.7.2.2 Incentive for 50 25000 12.50 12.50 Approved Informer A.7.2.3 On line form 4 125000 50.00 0.00 Not approved Submission 0
A.7.2.4 International Girl 64.00 0.00 Not approved Child day celebration Sub-total PNDT 0 0 139.40 36.86 activities
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.8 Human Resources 9502.19 4285.57 As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Rational and equitable deployment of HR with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit and corrective action based A.8.1 Contractual Staff & 5551 881200 9502.19 4285.57 thereon. Services 0 c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its continuation for the next six months would be contingent on compliance of the above four conditionalities. - From 1st October 2013, under NRHM funds for salary to contractual HR would be done only to
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) make payments to contractual staff over and above the sanctioned regular positions in the State.
- It is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending. A.8.1.1 ANMs,Supervisory 1882 165600 1855.44 1090.62 0.00 Nurses, LHVs, 0
A.8.1.1. ANMs 1381 288000 969.48 745.74 0.00 1
A.8.1.1. DH 0.00 1.a A.8.1.1. FRUs 0.00 1.b A.8.1.1. Non FRU SDH/ CHC 0.00 1.c A.8.1.1. 24 X 7 PHC 0.00 1.d A.8.1.1. Non- 24 X 7 PHCs 69 72000 24.84 1.e A.8.1.1. Sub Centres 1290 144000 928.80 Approved @ Rs.9000/m. 1.f Approval is being granted for six months only and its A.8.1.1. SNCU/ NBSU/NRC 0.00 745.74 continuation for the next six 1.g etc months would be contingent on compliance of the above A.8.1.1. Others 22 72000 15.84 mentioned conditionalities. 1.h
A.8.1.1. Staff Nurses 479 126000 862.20 344.88 0.00 2 0
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.8.1.1. DH 180000 0.00 2.a A.8.1.1. FRUs 30 180000 54.00 2.b A.8.1.1. Non FRU SDH/ CHC 10 180000 18.00 Approved @ 2.c Rs.12000/m.Approval is A.8.1.1. 24 X 7 PHC 200 180000 360.00 being granted for six months 2.d only and its continuation for 344.88 A.8.1.1. Non- 24 X 7 PHCs 11 180000 19.80 the next six months would be 2.e contingent on compliance of A.8.1.1. SNCU/ NBSU/NRC 216 180000 388.80 the above mentioned 2.f etc conditionalities. A.8.1.1. Others 12 180000 21.60 2.g A.8.1.1. LHVs/supervisory 22 108000 23.76 0.00 0.00 3 nurses
A.8.1.1. DH 0.00 3.a A.8.1.1. FRUs 0.00 3.b A.8.1.1. Non FRU SDH/ CHC 0.00 3.c A.8.1.1. 24 X 7 PHC 0.00 3.d A.8.1.1. Non- 24 X 7 PHCs 0.00 3.e A.8.1.1. SNCU/ NBSU/NRC 0.00 3.f etc A.8.1.1. Others 22 108000 23.76 0.00 Not approved 3.g
A.8.1.2. Laboratory 257 432000 210.96 17.40 0.00 1 Technicians
A.8.1.2. DH 27 72000 19.44 Approved for 29 LTs @ Rs. 1.a 10000/- per month. Approval 17.40 A.8.1.2. FRUs 45 72000 32.40 is being granted for six 1.b months only and its
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.8.1.2. Non FRU SDH/ CHC 49 72000 35.28 continuation for the next six 1.c months would be contingent A.8.1.2. 24 X 7 PHC 100 72000 72.00 on compliance of the above 1.d mentioned conditionalities. A.8.1.2. Non- 24 X 7 PHCs 0.00 1.e A.8.1.2. Others 36 144000 51.84 1.f A.8.1.2. MPWs 16 72000 11.52 2 A.8.1.3 Specialists 186 294000 395.40 435.00 0.00 (Anaesthetists, 0 Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) A.8.1.3. Obstetricians and 12 600000 72.00 72.00 0.00 1 Gynecologists
A.8.1.3. FRUs 12 600000 72.00 72.00 Approved.Approval is being 1.b granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Non FRU SDH/ CHC 0.00 1.c A.8.1.3. Pediatricians 0 0 0.00 0.00 0.00 2
A.8.1.3. Anesthetists 12 600000 72.00 72.00 0.00 3
A.8.1.3. DH 0.00 3.a
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.8.1.3. FRUs 12 600000 72.00 72.00 Approved.Approval is being 3.b granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Surgeons 4 600000 24.00 0.00 0.00 4
A.8.1.3. DH 4 600000 24.00 0.00 Not approved 4.a A.8.1.3. Specialists for CH 12 600000 36.00 72.00 0.00 5 (Paediatrician etc) in SNCU,NBSU,NRC A.8.1.3. DH 12 600000 36.00 72.00 Approved.Approval is being 5.a granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.3. Dental surgeons 146 540000 191.40 219.00 0.00 7 and dentists
A.8.1.3. DH 0 0.00 7.a A.8.1.3. FRUs 54 300000 81.00 Approved 7.b @Rs.25000/m.Approval is A.8.1.3. Non FRU SDH/ CHC 92 240000 110.40 being granted for six months only and its continuation for 7.c 219.00 the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.5 Medical Officers 89 108000 320.40 109.80 0.00 0
A.8.1.5. Non FRU SDH/ CHC 29 360000 104.40 Approved for 61 MOs @ 3 109.80 Rs.30000/m including 32 Mos for SNCUs. Approval is being
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.8.1.5. 24 X 7 PHC 0 0.00 granted for six months only 4 and its continuation for the next six months would be A.8.1.5. Non- 24 X 7 PHCs/ 0 0.00 contingent on compliance of 5 APHCs the above mentioned conditionalities. A.8.1.5. MOs for SNCU/ 48 360000 172.80 7 NBSU/NRC etc
A.8.1.5. Other MOs 0.00 8
A.8.1.5. Others 12 360000 43.20 9
A.8.1.6 Additional 0.00 Allowances/ Incentives to M.O.s A.8.1.7 Others - Computer 0.00 Assistants/ BCC Co- ordinator etc A.8.1.7. Pharmacist 22 432000 15.84 0.00 0.00 1
A.8.1.7. Non- 24 X 7 PHCs 72000 0.00 1.e A.8.1.7. Others 22 72000 15.84 0.00 Not approved 1.f A.8.1.7. Radiographers 0 0 0.00 0.00 0.00 2 A.8.1.7. OT 84 528000 77.04 0.00 0.00 3 technicians/assitsa nts A.8.1.7. DH 27 144000 38.88 3.a A.8.1.7. FRUs 45 144000 32.40 3.b 0.00 Not approved A.8.1.7. Non FRU SDH/ CHC 144000 0.00 3.c
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.8.1.7. 24 X 7 PHC 0.00 3.d A.8.1.7. Non- 24 X 7 PHCs 0.00 3.e A.8.1.7. Other 12 96000 5.76 3.f A.8.1.7. School health 0 0 0.00 0.00 0.00 4 teams (Exclusively for SH) A.8.1.7. Counsellors 158 360000 438.60 179.61 0.00 5
A.8.1.7. RMNCH/FP 108 120000 129.60 64.80 Approved @ Rs 10000/- per 5.1 Counselors month for 108 RMNCH/FP counsellors. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.7. All Technical HR for 0.00 6 State Specific Initiatives A.8.1.7. Others (pl specify) 189.00 54.81 Approved for 63 Feeding 7 demonstrators @ Rs.10000/m & 63 Cooks @ Rs.4500/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.7. Staff for Training 50 240000 120.00 60.00 Approved for 50 BSc nursing 8 Institutes/ SIHFW/ tutors @ Rs.20000/m. Nursing Training Approval subject to: 1) Rational deploymnet of the faculty . 2) These HR will be posted in high priority districts.
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) 3) These faculty will be given 6 week induction training. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.9 Human Resources 945.71 354.24 Approved Provident Fund @ Development 12% for 6 months. (Other than above) A.8.1.1 Other Incentives 218 820000 1971.30 979.30 0.00 0 Schemes (Pl.Specify) A.8.1.1 HR - Awards Etc. to 2 5000 0.10 0.10 Approved 0.1 Emoc A.8.1.1 HR - Awards Etc. to 2 5000 0.10 0.10 Approved 0.2 LSAS A.8.1.1 Chhattisgarh Rural 1856.00 864.00 Approved. Approval is being 0.3 Medical Corp ( granted for 6 months only CRMC) and its continutation for the next six months would be contingent on compliance of the above mentioned conditionalities. Details in Annex CRMC A.8.1.1 HR - Performance 3 300000 9.00 9.00 Approved 0.4 Based Incentives - DH A.8.1.1 HR - Performance 3 200000 6.00 6.00 Approved 0.5 Based Incentive - FRU- other than DH-Hospital Staff A.8.1.1 HR - Performance 2 100000 2.00 2.00 Approved 0.6 Based Incentive - Civil Dispensary Staff A.8.1.1 HR - Performance 8 100000 8.00 8.00 Approved 0.7 Based Incentive - Non FRU-CHC Staff A.8.1.1 HR - Performance 52 75000 39.00 39.00 Approved
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) 0.8 Based Incentive - PHC Staff A.8.1.1 HR - Performance 146 35000 51.10 51.10 Approved 0.9 Based Incentive - SHC Staff A.8.1.1 MCW - Minor Civil 0.00 0.10 Works for Operationalization of 24 X7 PHCs (Labour Room) A.8.1.1 Support Staff for 2639 492000 3259.98 1119.60 0.00 1 Health Facilities
A.8.1.1 DH 193 42000 81.06 0.00 Not approved 1.a A.8.1.1 FRUs 203 42000 85.26 0.00 Not approved 1.b A.8.1.1 Non FRU SDH/ CHC 399 42000 167.58 0.00 Not approved 1.c A.8.1.1 24 X 7 PHC 600 42000 252.00 0.00 Not approved 1.d A.8.1.1 Non- 24 X 7 PHCs 1232 216000 2661.12 1108.80 Approved for 1232 RMAs 1.e @Rs.15000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.1 SNCU/ NBSU/ 12 108000 12.96 10.80 Approved for Accountant 1.f NBCC/ NRC etc cum DEOs @Rs. 15000/m for 12 units. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Sub-total HR 9502.19 4285.57
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.9 TRAINING
A.9.1 Strengthening of 0.00 existing Training Institutions (SIHFW, ANMTCs, etc.) A.9.2 Development of 78 520000 506.92 141.92 0.00 training packages
A.9.2.1 Development/ 75 20000 15.00 15.00 Approved for holding translation and meetings to adopt the duplication of modules deveoped for training materials nursing tutors. A.9.2.2 Other activities (pl. 3 500000 491.92 126.92 0.00 specify)
A.9.2.2. Development of 3 500000 15.00 15.00 Approved for Induction 1 Training mdules training modules for MOs, SNs and LTs A.9.2.2. Stregthening of 200.00 0.00 Approval Pended. Not 2 existing training proposed as per the facility centres wise gap analysis and GoI Roadmap. State needs to do facility wise gap analysis and align with the GoI roadmap before submitting a comprehensive proposal A.9.2.2. Stregthening 165.00 0.00 APPROVAL PENDED. State 3 SIHFW needs to revise the proposal. A.9.2.2. Establishment of 111.92 111.92 Approved subject to 4 Skill Lab availability of these skill labs in the 100 bedded MCH Wings. A.9.3 Maternal Health 226 119014 288.39 272.65 Training 0
A.9.3.1 Skilled Attendance 105 579605 129.84 114.10 0.00 at Birth / SBA
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.9.3.1. Setting up of SBA 3 200000 6.00 6.00 Approved for setting up 3 1 Training Centres training centres @ Rs 2 Lakhs/centre A.9.3.1. TOT for SBA 2 137425 2.75 2.75 Approved 2 A.9.3.1. Training of Staff 12 121090 14.53 14.53 Approved 4 Nurses in SBA A.9.3.1. Training of ANMs / 88 121090 106.56 90.82 Approved for training of 400 5 LHVs in SBA ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load. A.9.3.2 EmOC Training 0 0 0.00 0.00 0.00
A.9.3.3 Life saving 0 0 0.00 0.00 0.00 Anaesthesia skills training A.9.3.4 Safe abortion 30 55200 16.56 16.56 0.00 services training (including MVA/ EVA and Medical abortion) A.9.3.4. TOT on safe 0.00 1 abortion services
A.9.3.4. Training of Medical 30 55200 16.56 16.56 Approved for 60 MOs. 2 Officers in safe abortion A.9.3.5 RTI / STI Training 0 0 0.00 0.00 0.00
A.9.3.6 BEmOC training 24 79925 19.18 19.18 Approved for 120 MOs. for MOs/LMOs A.9.3.7 Other maternal 67 475410 67.19 67.19 health training (please specify)
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.9.3.7. State level MDR 2 132825 2.66 Approved for training of 6 training ToT state and district officials on A.9.3.7. District Level 27 142485 38.47 41.13 MDR, subject to training 7 Training of MO s in being conducted as per the MDR GOI Training norms. A.9.3.7. Supportive 3 137425 4.12 4.12 Approved 8 supervision for SBA training for Mos and RMAs A.9.3.7. 10 Days BeMoc 35 62675 21.94 21.94 Approved 9 training for RMAs A.9.3.8 Blood Storage Unit 0.00 0.00 (BSU) Training
A.9.3.9 Skill Lab Training 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months A.9.4 IMEP Training 27 100000 27.00 27.00
A.9.4.2 IMEP training for 0.00 state and district programme managers A.9.4.3 IMEP training for 27 100000 27.00 27.00 Approved medical officers A.9.5 Child Health 213 369380 536.30 468.34 Training 0
A.9.5.1 IMNCI Training 68 112053 236.89 236.89 (pre-service and 0 in-service) A.9.5.1. TOT on IMNCI (pre- 2 373960 7.48 7.48 Approved (10 doctors & 10 1 service and in- SNs in each batch) service) A.9.5.1. IMNCI Training for 54 332920 179.78 179.78 Approved 2 ANMs / LHVs A.9.5.1. IMNCI Training for 12 413650 49.64 49.64 Approved; 12 batches of 24 3 Anganwadi anganwadi workers in each. Workers
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.9.5.2 F-IMNCI Training 11 130175 39.82 39.82 0 A.9.5.2. TOT on F-IMNCI 1 375800 3.76 3.76 Approved 1 A.9.5.2. F-IMNCI Training 8 292325 23.39 23.39 Approved 2 for Medical Officers A.9.5.2. F-IMNCI Training 2 633625 12.67 12.67 Approved 3 for Staff Nurses A.9.5.3 Home Based 0 0 0.00 0.00 Newborn Care / HBNC A.9.5.3. TOT on HBNC 0.00 1 A.9.5.3. Training on HBNC 0.00 2 for ASHA A.9.5.4 Care of sick 0 10000 86.60 57.76 children and severe malnutrition at FRUs A.9.5.4. TOT on Care of sick 0.00 1 children and severe malnutrition A.9.5.4. Training on Care of 10000. 86.60 57.76 Since new NRCs are not 2 sick children and 00 approved, budget proposed severe malnutrition (28.8 lakhs) for training of for Medical new NRC staff has not been Officers approved. Approved amount is for following: Reorientation of MOs: 2 batches of 20 each @ Rs.6,000 per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.15870/block Reorientation of feeding deonstrators and cook: 120
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) persons@ Rs.3000/person
A.9.5.5 Other child health 134 126152 172.99 133.87 training (please 0 specify) A.9.5.5. NSSK Training 59 319030 43.98 43.98 1 A.9.5.5. TOT for NSSK 1 96550 0.97 0.97 Approved 1.1 A.9.5.5. NSSK Training for 22 74140 16.31 16.31 Approved 1.2 Medical Officers A.9.5.5. NSSK Training for 27 74170 20.03 20.03 Approved 1.3 SNs A.9.5.5. NSSK Training for 9 74170 6.68 6.68 Approved 1.4 ANMs A.9.5.5. Other Child Health 75 942490 129.01 89.89 2 training A.9.5.5. Ch-IYCF- TOT 1 349120 3.49 3.49 Approved. Details of 2.a expenditure & physical progress to be shared by the state. A.9.5.5. CH- IYCF- District 18 259550 46.72 28.80 Approved for 10 MO + 14 SN 2.b level per batch @ Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state. A.9.5.5. CH- FBNC - Training 55 106600 58.63 51.17 Approved for 48 persons @ 2.c on Observership Rs.106600/per batch A.9.5.5. CH- FBNC- Mos and 17.90 4.16 Approved for 2 batches only, 2.d Staff Nurses as there is no possibility for larger numbers to undergo
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size 24 @ Rs.2.08 lakhs/batch A.9.5.5. FBNC TOT for Mos 1 227220 2.27 2.27 Approved (24 participants in 2.e the batch) A.9.6 Family Planning 191 608555 175.63 134.96 Training A.9.6.1 Laparoscopic 6 101440 6.09 4.27 Sterilisation Training A.9.6.1. TOT on 0.00 1 laparoscopic sterilisation A.9.6.1. Laparoscopic 6 101440 6.09 4.27 Approved for 6 batches of 4 2 sterilisation participants each @ training for doctors Rs.71240/batch (teams of doctor, SN and OT assistant) A.9.6.2 Minilap Training 4 101440 4.06 2.85
A.9.6.2. TOT on Minilap 0.00 1 A.9.6.2. Minilap training for 4 101440 4.06 2.85 Approved for 4 batches of 4 2 medical officers participants each @ Rs.71240/batch A.9.6.3 Non-Scalpel 5 32800 1.64 1.64 Vasectomy (NSV) Training A.9.6.3. TOT on NSV 0.00 1 A.9.6.3. NSV Training of 5 32800 1.64 1.64 Approved 2 medical officers A.9.6.4 IUD Insertion 141 272975 107.51 107.51
A.9.6.4. TOT for IUD 15 111025 16.65 16.65 Approved for 15 batches of 1 insertion 10 participants each.
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.9.6.4. Training of Medical 45 112000 50.40 50.40 Approved for 45 batches of 2 officers in IUD 10 participants each. insertion A.9.6.4. Training of staff 0.00 0.00 3 nurses in IUD insertion A.9.6.4. Training of ANMs / 81 49950 40.46 40.46 Approved 4 LHVs in IUD insertion A.9.6.5 Contraceptive 0.00 update/ISD Training A.9.6.6 Other family 35 99900 56.34 17.48 planning training (please specify) A.9.6.6. TRG - FP - PPIUCD 30 49950 14.99 14.99 Approved 1 Insertion Training- MO/SN/O&G Specialist A.9.6.6. TOT for PPIUCD 5 49950 2.50 2.50 Approved 2 A.9.6.6. IUCD 375 insertion 17 111025 18.87 0.00 Not approved.GoI is in 3 training to MOS agreement with the activity which may be carried out with IUCD 380 training as a one day orientation, no separate batches required. A.9.6.6. Training to ANM on 40 49950 19.98 0.00 Not approved.GoI is in 4 IUCD 375 insertion agreement with the activity which may be carried out with IUCD 380 training as a one day orientation, no separate batches required. A.9.6.9 Training of FP 0.00 1.20 Approved. Budget has been Counselors sanctioned as per discussion with state for 2 batches of RMNCH counsellors @ Rs 60000/batch for 13-15 participants/batch.
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.9.7 Adolescent 172855 490550 631.30 631.30 Reproductive and Sexual Health/ARSH Training A.9.7.2 Orientation 1 170000 1.70 1.70 Approved training of state and district programme managers A.9.7.3 ARSH training for 3 170000 5.10 5.10 Approved medical officers A.9.7.4 ARSH training for 2 150000 3.00 3.00 Approved ANMs/LHVs A.9.7.5 ARSH training for 0.00 AWWs
A.9.7.6 Other ARSH 0 0 0.00 0.00 training A.9.7.6. WIFS training 172849 550 621.50 621.50 1 A.9.7.6. State level/ District 550.00 621.50 621.50 Approved for 113000persons 1.1 Level/ Block Level 172,849 @Rs.550/person
A.9.7.6. refresher training – 0.00 1.2 ANM/MO/ AWW/ Nodal Teacher A.9.7.6. Menstrual hygiene 0.00 2 training
A.9.7.6 SHP training 0 0 0.00 0.00 .3
A.9.8 Programme 624 162000 165.00 155.00 Management 0 Training (e.g. M&E, logistics management, HRD etc.) A.9.8.1 Training of SPMSU 5 500000 25.00 25.00 Approved
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) staff
A.9.8.2 Training of DPMSU 5 300000 15.00 15.00 Approved staff A.9.8.3 Training of BPMSU 27 50000 13.50 13.50 Approved staff A.9.8.4 Other training (pl. 587 770000 111.50 101.50 specify) A.9.8.4. RMAs professional 400 10000 40.00 40.00 Approved 1 development course A.9.8.4. TRG - Training of 146 10000 14.60 14.60 Approved 2 emergency management of Mos A.9.8.4. TRG - Career 27 70000 18.90 18.90 Approved 3 Development of MITANIN - BSc Nursing course A.9.8.4. TRG - Career 10 180000 18.00 18.00 Approved 4 Development of ANMs - GNM Course A.9.8.4. PGDDHM 4 500000 20.00 10.00 Approved for 2 5 Fellowship programme under IGNOU course A.9.9.1 PC/PNDT training 0.00
A.9.9.2 Others 725 5000 21.25 0.00 APPROVAL PENDED. State needs provide details of the activity A.9.10 Training (Nursing) 35 0 39.00 39.00
A.9.10. Strengthening of 35 39.00 39.00 Approved for 2 GNM Trng 1 Existing Training Institutes @ Rs.19.5 Institutions/Nursin lakhs/Trng Inst. (Break up of g School excluding budget: Rs 15 lakhs for infrastructure and mannequins, Rs 2.5 lakhs for HR. teaching aids, Rs 1 lakh for
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) contingency, Rs 1 lakh for honorarium to tuters)
A.9.10. New Training 0.00 2 Institutions/School
A.9.11 Training (Other 77 320000 96.00 81.00 Health Personnel)
A.9.11. Promotional 0.00 1 Training of ANMs to lady health visitor etc. A.9.11. Training of 75.00 75.00 Approved for training of 2 ANMs,Staff 1000 SN @ Rs 5000/SN and nurses,AWW,AWS Induction training of 500 newly joined MO/SN/LTS @ 5000/HR A.9.11. Other training and 75 20000 15.00 0.00 Not approved, State needs to 3 capacity building propose as per the INC programmes Guidelines. (nursing tutors etc.) A.9.11. PGDHM Courses 2 300000 6.00 6.00 Approved for PGDHM 3.1 training of MOs with 5 yrs service experience Sub-total Training 0 0 2486.79 1951.16
A.10 PROGRAMME Approval for Programme MANAGEMENT Management staff is being granted for six months only and its continuation for the next six months would be contingent on compliance of condition that
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff. A.10.1 Strengthening of 79 406800 341.40 119.02 0.00 State society/ 0 State Programme Management Support Unit Contractual Staff 79 406800 341.40 119.02 0.00 for SPMSU 0 recruited and in position A.10.1. State Programme 1 840000 8.40 1 Manager
A.10.1. State Accounts 1 600000 6.00 2 Manager A.10.1. State Finance 1 720000 7.20 3 Manager A.10.1. State Data 1 540000 5.40 4 Manager A.10.1. Consultants/ 5 720000 36.00 Rs.119.02 lakhs approved. 5 Programme 119.02 Deatails available in Annx Officers (including Programme Management for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.) A.10.1. Programme 15 84.60 6 Assistants
A.10.1. Accountants 12 300000 36.00 7
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.10.1. Data Entry 33 240000 79.20 8 Operators
A.10.1. Support Staff 10 108000 10.80 9 (Kindly Specify)
A.10.1. Salaries for Staff on 0.00 10 Deputation (Please specify) A.10.1. Others (Please 67.80 0.00 11 specify)
A.10.1. State Programme 1 600000 6.00 11.1 Manager M&E A.10.1. State Programme 1 600000 6.00 11.2 Manager HMIS A.10.1. 15 120000 18.00 11.3 A.10.1. Engineer Civil & 3 420000 12.60 11.4 Eletrical
A.10.1. Programmer 6 420000 25.20 11.5 A.10.2 Strengthening of 328 265200 1682.64 528.17 0.00 District society/ 0 District Programme Management Support Unit Contractual Staff 328 265200 1682.64 528.17 0.00 for DPMSU 0 recruited and in position A.10.2. District Programme 27 600000 162.00 1 Manager A.10.2. District Accounts 27 480000 129.60 Rs.528.17 lakhs approved. 2 Manager 528.17 Details available in Annx Programme Management A.10.2. District Data 27 420000 113.40 3 Manager
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.10.2. Consultants/ 81 480000 388.80 4 Programme Officers (Kindly Specify) A.10.2. Accountants 27 240000 64.80 5 A.10.2. Data Entry 112 216000 241.92 6 Operators A.10.2. Support Staff 27 216000 58.32 7 (Kindly Specify)
A.10.2. Others (Please 523.80 0.00 8 specify)
A.10.2. District Training 27 420000 113.40 8.1 Coordinators A.10.2. Hospital Consultant 27 480000 129.60 8.2 A.10.2. Sub Engineer 27 420000 113.40 8.3 A.10.2. Assistant DPM 18 300000 54.00 8.4 (AYUSH)
A.10.2. Incentive to Nodal 135 84000 113.40 8.5 Officers ( Programme ) A.10.3 Strengthening of 584 100800 2538.72 930.86 Block PMU 0
A.10.3. Block Programme 146 360000 525.60 1 Manager
A.10.3. Block Accounts 146 216000 315.36 2 Manager Rs.930.86 lakhs approved. 930.86 Details available in Annx A.10.3. Block Data 146 216000 315.36 Program Management 3 Manager
A.10.3. Accountants 0.00 4
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.10.3. Data Entry 146 216000 315.36 5 Operators
A.10.3. Support Staff 0.00 6 (Kindly Specify)
A.10.3. Others (Please 1067.04 0.00 7 specify)
A.10.3. PADA 741 144000 1067.04 7.1
A.10.4 Strengthening 503 241800 106.02 80.22 0.00 (Others)
A.10.4. Workshops and 300 25000 75.00 30.00 Approved 1 Conferences A.10.4. AYUSH Cell - SHRC ( 12 170000 20.40 0.00 APPROVAL PENDED 2 Technical support) A.10.4. Programme 12 45000 5.40 0.00 Not approved 3 Associate - Bio- medical cell ( State ) A.10.4. Technical support 2.00 2.00 Approved 4 for Tally ( Fin. Mgmt) A.10.4. Talley Annual 179 1800 3.22 3.22 Approved 5 Upgradation fees A.10.5 Audit Fees 1 800000 8.00 8.00 Approved
A.10.6 Concurrent Audit 30.00 30.00 Approved system A.10.7 Mobility Support, 173 165000 2609.23 906.36 0.00 Field Visits 0
A.10.7. SPMU/State 930000 111.60 12.00 Approved for 4 vehicles @ 1 Rs.3 L/vehicle/annum A.10.7. DPMU/District 27 600000 162.00 162.00 Approved for 2 2 vehicles/district @ Rs.3 L/vehicle/annum
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) A.10.7. BPMU/Block 146 120000 175.20 175.20 Approved 3 A.10.7. Other Supportive 2160.43 557.16 0.00 4 Supervision costs
A.10.7. Travel and 15 360000 54.00 0.00 Not approved. No separate 4.1 supportive mobility costs being supervision of approved this year. State Nodal officer A.10.7. SPMU 140.42 14.28 Rs. 14.28 lakhs approved for 4.2 Administration Provident fund @ Rs. 12% A.10.7. DPMU 27 300000 1483.22 63.38 Rs.63.38 lakhs approved for 4.3 Administration Provident fund @ Rs. 12 %. A.10.7. BPMU 146 120000 420.95 111.70 Rs.111.70 lakhs approved for 4.4 administration Provident fund @ Rs. 12 %. A.10.7. Technical Support 61.84 0.00 Not approved 4.5 to NRHM by SHRC Sub-total 7316.01 2189.83 Programme Management
A.11 VULNERABLE 23.00 0.00 GROUPS
A.11.1 Planning, including 0.00 mapping and co- ordination with other departments A.11.2 Services for 100 15000 15.00 0.00 APPROVAL PENDED. No Vulnerable groups details given by the State.
A.11.3 LWE affected 40 20000 8.00 0.00 APPROVAL PENDED. No areasspecial plan details given by the State.
A.11.4 Other 0 0 0.00 0.00 strategies/activities (please specify) A.11.4. PTGs Camp 0.00 0.00 1
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Approv Unit Budget ed Quantity S. No. Budget Head Cost (Rs. amount REMARKS / Target ( Rs) Lakhs) (Rs.Lakh s) Sub-total 0 0 23.00 0.00 Vulnerable Groups
TOTAL RCH SUPPLY 27018.9 14346.8 SIDE 2 7
TOTAL RCH 8909.50 8894.00 DEMAND SIDE
GRAND TOTAL 35928.4 23240.8 2 7
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ANNEX 2
MISSION FLEXIBLE POOL
Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B 1856693 27007101 58112. 24260.37 5 77 B1 ASHA 1080284 547857 7348.5 6303.66 4 B 1.1 ASHA Cost: 1080284 547857 7348.5 6303.66 4 B1.1.1 Selection & Training 143442 124480 3315.4 3239.81 of ASHA 1 B1.1.1 Module I - IV 66000 1400 924.00 Approved (Ongoing .1 924.00 activity) B1.1.1 Module V 4000 1680 67.20 Approved (Ongoing .2 67.2 activity) B1.1.1 Module VI & VII 10000 1400 140.00 Approved (Ongoing .3 140.00 activity) B1.1.1 Other Trainings 63442 120000 2184.2 2108.61 .4 1 B1.1.1 Compensation to 3150 38400 1209.6 Approved as per norms .4.1 Mitanin Trainrers 0 of Rs 150/day for 20 1134.00 days per month for 12 months B1.1.1 Block contingencies 146 72000 105.12 Approved (Ongoing .4.2 105.12 activity) B1.1.1 Dist Contingencies 146 8400 12.26 Approved (Ongoing .4.3 12.264 activity) B1.1.1 Cluster meetings of 60000 1200 720.00 Approved (New .4.4 Mitanins 720 activity) B1.1.1 Other trainings and 137.23 Approved Rs 137.23 .4.5 activities under Lakhs (Ongoing Mitanin selection activity). Approval is for and training Rs 1.16 lakhs for State ToT of District 137.23 Coordinators, Rs 14.45 Lakhs for TOT for Block coordinators and Resource persons, Rs 86.63 lakhs for TOT of
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
Mitanin trainers, and Rs 35.00 lakhs for books and materials
B1.1.2 Procurement of 198000 2350 1119.0 ASHA Drug Kit 0 756.00 B1.1.2 New Kits 6000 600 36.00 Approved (Ongoing .1 36 activity) B1.1.2 Replenishment 66000 550 363.00 The amount is .2 budgeted under B16.2.5.2 (ongoing activity) B1.1.2 Procurement of 126000 1200 720.00 .3 ASHA HBNC Kit 720.00
B1.1.2 New Kits 60000 1200 720.00 Approved (New .4 720.00 Activity) B1.1.2 Replenishment 66000 0.00 .5 B1.1.3 Performance 738404 329427 2510.1 Incentive/Other 6 2118.91 Incentive to ASHAs (if any) B1.1.3 Incentive under MH 102000 202 153.00 .1 (ANC/PNC) 0.50
B1.1.3 Incentive for 2000 50 1.00 Approved Rs 50,000/- .1.1 Maternal Death for reporting of Reporting 0.50 expected 1000 maternal deaths @ 50/-. (Ongoing activity) B1.1.3 Incentive for Home 100000 150 150.00 Not approved (New .1.2 visits to pregnant activity) women for 0.00 counseling on diet, rest and ANC check- ups
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B1.1.3 Incentive for 2 2.00 Not approved (Ongoing .1.3 Mitanin/ANM for activity) as no targets linking Whole blood 0.00 are provided. finger prick test reactive ANC to ICTC B1.1.3 Incentive under CH 390931 500 910.47 .2 (HBNC) 890.47
B1.1.3 ASHA incentive for 350000 250 875.00 Approved (Ongoing .2.1 HBNC 875.00 activity)
B1.1.3 ASHA incentive for 10000 200 20.00 Not approved as .2.2 NRC refferal and already included under follow up for post Care of sick children 0.00 referral NRC cases (NRC budget) for 5,000 children @ 250 per child. B1.1.3 Infant death 30931 50 15.47 Approved (Ongoing 15.47 .2.3 reporting activity) B1.1.3 Incentive for FP( 125000 1225 218.75 .3 PPIUCD/others) 300.00
B1.1.3 Incentive for Female Not approved (New .3.1 Sterilisation (after 3 activity) 100000 100 100.00 0.00 or more living children) B1.1.3 Incentive for Male Not approved (Ongoing .3.2 Sterilisation (after 3 activity) 15000 125 18.75 0.00 or more living children) B1.1.3 Incentive for Approved Rs 200 lakhs .3.3 Sterilisation (after (Ongoing activity) 1st or 2nd child) Budget approved @ Rs.1000/ASHA for 10000 1000 100.00 200.00 20000 sterilizations after one or two children. No payment to ANM is permissible.
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B1.1.3 Incentive for AH Approved (Ongoing .3.4 activity) for motivating couple for spacing of two years after marriage or spacing of 20000 500 100.00 100.00 3 or more years between first and second child only. The budget is shifted from B1.1.3.4 to B1.1.3.3.4 B1.1.3 Other incentive 100000 200 200.00 .5 0.00
B1.1.3 Incentive for Home 100000 200 200.00 Approval pended (New .5.1 visits for 6-11 month activity). State may children for resubmit the proposal Nutrition Counseling with detailed write up (Complementary on the activity Feeding and proposed in the Prevention of supplementary PIP for Infections) reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the 0.00 child, activities to be performed by ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
child for example, by demonstration of the growth curve in the MCP card
B1.1.3 Other (support 473 326800 927.94 927.94 .6 provisions to ASHA such as uniform, diary, ASHA Ghar etc) B1.1.3 Mitanin Kalyan Kosh 797.50 Approved (Ongoing .6.1 ( Mitanin Welfare 797.50 activity) Activites ) B1.1.3 Mitanin Help Desk 180 46800 84.24 Approved (Ongoing .6.2 84.24 activity)
B1.1.3 Mitanin Help Line 1 240000 2.40 Approved (Ongoing 2.4 .6.3 activity) B1.1.3 Mitanin Sammelans 146 30000 43.80 Approved for 146 .6.4 43.8 blocks @Rs 30000 (New activity) B1.1.4 Awards to 146 10000 14.60 Approved (Ongoing ASHA's/Link workers 14.6 activity) B1.1.5 ASHA Resource 292 81600 389.37 Centre/ASHA 174.34 Mentoring Group B1.1.5 HR At State Level 151.10 Approved (ongoing .1 activity) for 6 months only and its continuation for the next six months would be contingent on 65.72 compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.Salary for the staff is approved at
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
the same unit costs approved in the RoP 2012-13. The budget approved for six months is 50% of approved amount in 2012-13.
B1.1.5 HR at District Level .2 B1.1.5 HR at Block Level Approved (ongoing .3 activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed 292 81600 238.27 108.624 about Human Resources as provided in the remarks column against A.8. Salary for the staff is approved at the same unit costs approved (Rs 6200/p.m) in the RoP 2012-13. B1.1.5 Mobility Costs for 0.00 .4 ASHA Resource Centre/ASHA
Mentoring Group (Kindly Specify) B2 Untied Funds 25415 148500 3520.0 2 2513.55
B2.1 Untied Fund for Approved (Ongoing CHCs/SDH activity) for 149 CHCs 149 57500 85.68 74.50 at the rate of Rs 50000 per facility
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B2.2 Untied Fund for Approved (Ongoing PHCs 755 32500 245.38 188.75 activity) for 755 PHCs at the rate of Rs 25000 B2.3 Untied Fund for Sub Approved (Ongoing Centres activity) for 5111 Sub 5111 13000 664.43 511.10 Centers at the rate of Rs 10000 B2.4 Untied fund for Approved (ongoing VHSC activity) for 18850 VHSNCs as mentioned in the annexure sheet provided with the PIP 2520.3 at the rate of Rs 10000. 19387 13000 1739.20 1 The amount approved is adjusted for the fund approved in 2012-13 for 1458 VHSNCs which have not been constituted. B2.5 Others Not approved as Untied Funds was not 13 32500 4.23 approved for Civil Hospitals in 2012-13. B.3 Annual 4428 208000 973.05 Maintenance Grants (only for 623.50 Government institutions) B3.1 CHC 149 130000 193.70 Approved (Ongoing activity) for 135 CHCs functioning at 135.00 Government buildings as per RHS 2012 at the rate of Rs 1 lakh B3.2 PHCs 429 65000 278.85 Approved (Ongoing 214.50 activity) for 429 PHCs @ Rs 50000 B3.3 Sub Centres 3850 13000 500.50 Approved (Ongoing activity)for 2740 Sub Centers functioning at 274.00 Government buildings as per RHS 2012 at the rate of Rs 10000.
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B.4 Hospital 300 860000 11881. Strengthening 04 10476.66
B.4.1 Up gradation of 300 860000 11881. CHCs, PHCs, Dist. 04 10476.66 Hospitals B4.1.1 District Hospitals 0 0 1982.1 1 1824.45
B4.1.1 Additional Building/ 0.00 .1 Major Upgradation 0.00 of existing Structure B4.1.1 Repair/ Renovation 157 Not approved (New 0.00 .2 activity) B4.1.1 Spillover of Ongoing 1706 Approved (Ongoing .3 Works activity) subject to 1706.00 condition that the work will be completed in the F.Y 2013-14. B4.1.1 Staff Quarters 118.45 Approved (Ongoing .4 activity) subject to 118.45 condition that the work will be completed in the F.Y 2013-14 B4.1.2 CHCs 0 0 3233.2 1 3143.21 0.00
B4.1.2 Additional Building/ 0.00 .1 Major Upgradation 0.00 of existing Structure B4.1.2 Repair/ Renovation Not approved (New .2 90.00 0.00 activity) B4.1.2 Spillover of Ongoing Approved (Ongoing .3 Works activity) subject to the 288.00 288 condition that the work will be completed in the F.Y 2013-14 B4.1.2 Staff Quarters Approved (Ongoing .4 2855.2 activity) on condition 2855.21 1 that the work will be completed in the F.Y
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
2013-14
B4.1.3 PHCs 0 0 755.22 739.00
B4.1.3 Additional Building/ 0.00 .1 Major Upgradation 0.00 of existing Structure B4.1.3 Repair/ Renovation Not approved (New .2 16 0.00 activity) B4.1.3 Spillover of Ongoing Approved (Ongoing .3 Works activity) on condition 739 739.00 that the work will be completed in the F.Y 2013-14 B4.1.3 Staff Quarters .4 B4.1.4 Sub Centres 200 260000 540.50 0.00
B4.1.4 Additional Building/ Approval pended (New .1 Major Upgradation activity) until state of existing Structure submits the service delivery data of the sub centers proposed for solar electrification. Approval will be subject to the report by NHSRC on proposal 200 260000 520.00 0.00 evaluation and site assessment. Subcenters only in identified High Priority Districts and districts which have performance below state average will be considered. B4.1.4 Repair/ Renovation Not approved (New .2 20.50 0.00 activity)
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B4.1.4 Spillover of Ongoing 0.00 .3 Works B4.1.4 ANM Quarters 0.00 .4 B4.1.5 Others (MCH 100 600000 5370.0 Wings) 0 4770.00
B4.1.5 (Absolutely) New / 0.00 .1 Rented to Own 0.00 Building B4.1.5 Additional 0.00 .2 requirement from 0.00 previous work B4.1.5 Carry forward 4770.0 Approved (Ongoing .3 /Spillover of 0 activity) Ongoing Works Approved the 2nd Instalment for Rs 47.7 4770.00 crores for the 35 existing MCH Wings, (12 MCH Wings (100 bedded) and 23 MCH Wings (50 bedded). B4.1.5 Other construction 100 600000 600.00 .4 0.00
B4.1.5 Gap improvements 100 600000 600.00 Approval pended (New .4.1 in co-located activity) until state centres of PHC/CHC- submits list of facilities AYUSH proposed, facility wise 0.00 AYUSH OPD data and a note on proposed value addition by the activity. B4.1.6 SDH 0 0 0.00 0.00
B5 New Constructions 114 7434000 1368.5 (proposed for the 2 101.93 coming year) B5.1 CHCs 0.00 0.00
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B5.2 PHCs 10 4953000 198.12 Approved only for one 19.81 PHC in Mungeli District
B5.3 SHCs/Sub Centres 100 2281000 912.40 Approved Rs 82.12 lakhs for a total of 9 sub centers as following a. 7 Sub Centers with minimum 3 deliveries in non High Priority, non LWE, non Tribal Districts* b. 1 Sub center with minimum 2 deliverieries per month in High Priority Districts** 82.12 c. 1 Sub Center with miniumum 2 deliveries in LWE and Tribal Districts* * Considered the IAP districts identified by the Planning commission of India for LWE and Tribal Districts ** Considered the 5 High Priority districts identified by the MInistry and 4 districts which have been formed from them. B5.4 Setting up 0 0 0.00 0.00 Infrastructure wing for Civil works B5.4.1 Staff at State level 0.00 0.00 B5.4.2 Staff at District level 0.00 0.00
B5.5 Govt. Dispensaries/ 0.00 0.00 others renovations B5.6 Construction of 0 0 0.00 0.00 BEmONC and CEmONC centres
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B.5.10 Infrastructure of 4 200000 258.00 Training Institutions 0.00 -- B.5.10 Strengthening of 4 200000 8.00 Not approved (New .1 Existing Training activity) Institutions/Nursing School( Other than 0.00 HR)- --- Infrastructure for GNM Schools and ANMTC B.5.10 New Training Approval pended (New .1.5 Institutions/School activity) until state (SIHFW/GNMTC/AN 250.00 0.00 submits detailed DPR MTC etc) and budget requirements B.5.11 SDH 0.00
B.5.12 DH 0.00
B.6 Corpus Grants to 943 1760000 1500.2 HMS/RKS 0 1053.00 0.00 B6.1 District Hospitals 26 1000000 260.00 Approved (Ongoing activity) for 26 DHs at 130.00 the unit cost of Rs 5 Lakhs B6.2 CHCs 149 130000 193.70 Approved (Ongoing activity) for 148 CHCs which have registered RKS (as per the MIS 148.00 report submitted by the state on 26.04.2013) at the unit cost of Rs 1 lakhs B6.3 PHCs 755 130000 981.50 Approved (Ongoing activity) for 710 PHCs which have registered RKS (as per the MIS 710.00 report submitted by the state on 26.04.2013)at the unit cost of Rs 1 lakhs
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B6.4 Other or if not 0.00 Not approved since no bifurcated as above 0.00 details of the activities have been provided B6.5 SDH 13 500000 65.00 Approved (Ongoing activity) for 13 SDHs at 65.00 the unit cost of Rs 5 Lakhs B7 Health Action Plans 174 620000 61.20 (Including Block, 61.20 Village) B7.1 State 1 500000 5.00 Approved (Ongoing 5.00 activity) B7.2 District 27 100000 27.00 Approved (Ongoing activity) subject to the 27.00 condition that District Level ROPs and DHAPs to be uploaded in the State’s NRHM website. B7.3 Block 146 20000 29.20 Approved subject to the condition that Block Level ROPs and 29.20 BHAPs to be uploaded in the State NRHM website. B8 Panchayati Raj 15000 400 95.46 Initiative 60.00
B8.1 Constitution and 15000 400 60.00 Approved (New Orientation of activity) Community leader 60.00 & of VHSC,SHC,PHC,CHC etc B8.2 Orientation 0.00 Workshops, Trainings and capacity building of 0.00 PRI at State/Dist. Health Societies, CHC,PHC
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B8.3 Others 0 0 35.46 0.00
B8.3.1 Panch Prayas 35.46 Not approved (New 0.00 activity) B9 Mainstreaming of 701 3391000 1098.3 AYUSH 9 238.39
B.9.1 Medical Officers at 307 720000 736.80 CHCs/ PHCs (Only 184.20 AYUSH) B.9.1. DH 0.00 1 B.9.1. FRUs 0.00 2 B.9.1. Non FRU SDH/ CHC 100 240000 240.00 Not approved (New 3 0.00 activity) B.9.1. 24 X 7 PHC 100 240000 240.00 Approved for 6 months 4 for 100 AYUSH doctors @Rs 20000 per month) and its continuation for the next six months would be contingent 120.00 on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. B.9.1. Non- 24 X 7 PHCs/ 107 240000 256.80 Approved for 3 months 5 APHCs only @ Rs 20000/month subject to immediately sharing the findings of the study conducted by 64.20 SHSRC on the activity of prevention of Malaria using homeopathic medicines with the ministry. Its continuation beyond 3
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months would be only with the approval of the ministry. If no specific approval received beyond June 2013, state may examine ways to utilise the AYUSH doctors engaged and proposed.
B.9.2 Other Staff Nurses 0 0 0.00 and Supervisory Nurses/ AYUSH 0.00 0.00 pharmacists (Only AYUSH) B9.3 Other Activities 394 2671000 308.40 (Excluding HR) 1.00 0.00
B9.3.1 Prevention of 225.00 Approval pended Malaria throuhg (Ongoing activity). Homeopathic State to immediately 0.00 medicines share the findings of the study conducted by SHSRC on the activity. B9.3.2 Prevention of 2 2660000 53.20 Approval pended Disability in Leprosy (Ongoing activity) until cured persons the state shares the throuhg AYUSH utilization and the outcomes of the 0.00 program in the previous year and justify the increase in cost proposed.
B9.3.3 Yoga Popularisation 292 10000 29.20 Approval pended in Ayurved gram (Ongoing activity) until 0.00 the state shares the utilization and the outcomes of the
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program in the previous year.
B9.3.4 Provision of pure 0.00 Drinking Water in
Ayurved gram B9.3.5 Munga Plantation in 100 1000 1.00 Approved (New 100 Ayurgrams 1.00 activity)
B9.4 Training 53.19 Approved (Ongoing activity) subject to provision of the specific training plan, national health programmes to 53.19 be covered, the skill to be provided to the AYUSH doctors as well as their job descrption and deployement after the training. B10 IEC-BCC NRHM 5110066 75502 1454.7 5 371.87
B.10 Strengthening of 0 0 60.00 BCC/IEC Bureaus (state and district 0.00 levels) B.10.1 Development of 60.00 Approval pended (New State BCC/IEC Activity) strategy B.10.2 Implementation of 0 0 900.38 150.00 Approved (ongoing BCC/IEC strategy activity) for IEC/BCC activities of activites of B.10.2 BCC/IEC activities 0 0 278.90 MH, CH, FP, ARSH, .1 for MH AYUSH, SMS, printing and other activites B.10.2 Mass media 173.40 mentioned in the .1.1 budget head. The 150.00 B.10.2 Mid-media 105.50 approval under RBSK .1.2 subject to the
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B.10.2 BCC/IEC activities 0 0 239.30 condition that State to .2 for CH ensure RBSK on all support IEC for B.10.2 Mass media 170.80 branding of .2.1 programme. The RBSK B.10.2 Mid-media 68.50 guideline and details to .2.2 be used for developing B.10.2 BCC/IEC activities 0 0 111.60 these IECs and .3 for FP communication materials at School and B.10.2 Mass media 61.60 Anganwadis. The .3.1 budget shifted from B.10.2 Mid-media 50.00 A.3.5.4.4 for printing of .3.2 PPIUCD registers is B.10.2 BCC/IEC activities 0 0 95.78 included in this budget. .4 for ARSH
B.10.2 Mass media 35.78 .4.1 B.10.2 Mid-media 60.00 .4.2 B.10.2 Other activities 174.80 .5 (please specify)
B.10.2 IPC initiatives/tools 0.00 .6 B.10.3 Health Mela 154.00
B.10.4 Creating awareness on declining sex 58.50 ratio issue B.10.5 Other activities 5110066 75502 281.87 221.87
B.10.5 Printing of MCP 150.00 Approved Rs 90 lakhs. .1 cards, safe This includes approval motherhood of Rs 30 Lakhs for booklets etc printing of MCP cards 90.00 @ Rs 10/- for 3 lakhs pregnant women, and Rs 60 Lakhs for printing of Safe Motherhood
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booklets @ Rs 20/- for 3 lakhs pregnant women.
B.10.5 Printing of WIFS 5108039 2 76.62 Approved (New .2 cards etc 76.62 activity)
B.10.5 Other printing 2027 75500 55.25 .3 55.25
B.10.5 Reporting 27 75000 20.25 Approved (New .3.1 Mechanism formats 20.25 activity) (WIFS) B.10.5 0.00 .3.2 B.10.5 Printing of Maternal 2000 500 10.00 Approved (New .3.3 Health Training activity) Rs 10 lacs for Modules printing of MH training modules. The state has to ensure that it should 10.00 be on competitive bidding as per the guidelines released this year, MNH Toolkit, Nursing Roadmap and Skills Lab B.10.5 Printing of Labor Approved (New .3.4 room register, OPD activity) Rs 25 lacs for /IPD registers for printing of Labor room 25.00 25.00 PHCs & CHCs register, OPD /IPD registers for PHCs & CHCs B.10.5 0.00 .3.5 B11 Mobile Medical 62 3600000 1296.0 Units (Including 0 0.00 recurring expenditures)
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B11.1. Capex 16 1200000 192.00 Approval Pended (new 1 activity) subject to B11.1. Opex 46 2400000 1104.0 State implementing 2 0 ‘National MMU 0.00 Guidelines’ for all the B11.1. HR 0.00 running MMUs under 3 NRHM B11.1. Training/orientation 0.00 4 B11.1. Others 0.00 5
B11.2 Mobile Medical 0 0 0.00 Vans (smaller vehicles) and 0.00 specialised Mobile Medical Units B11.2. Capex 0.00 0.00 1 B11.2. Opex 0.00 0.00 2 B11.2. HR 0.00 3 B11.2. Training/orientation 0.00 4 B11.2. Others 0.00 5 B12 Referral 415090 0.00 Transport/Patient transport System B12.1 Ambulance/EMRI 310 1550000 80.00 Capex 0.00
B12.1. State basic 300 750000 Approval Pended 1 ambulance/ 102 (ongoing activity) Capex subject to State implementing ‘National 0.00 Ambulance Guidelines’ for all the running ambulances under NRHM B12.1. Advanced life 10 800000 80.00 Not approved (New 2 support Capex Activity)
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B12.1. EMRI Capex-BLS 3 B12.1. EMRI Capex-ALS 0.00 4 B12.2 Operating Cost 414780 988232 3641.4 /Opex for 8 0.00 ambulance B12.2. State basic 0.00 Approval Pended 1 ambulance/102 (ongoing activity) Opex subject to State B12.2. Operating Cost 0.00 implementing ‘National 2 /Opex for ASL Ambulance Guidelines’ ambulance for all the running B12.2. Opex EMRI-BLS 0.00 ambulances under 3 NRHM B12.2. Opex EMRI-ALS 0.00 4 B12.2. HR Basic ambulance 1345 143000 1923.3 0.00 5 5 B12.2. HR advanced life 25 300000 75.00 6 support ambulances B12.2. Training/orientation 200.75 6 B12.2. Call centre-capex 0.00 7 B12.2. call centre-opex 0.00 8 B12.2. Others 413410 545232 1442.3 9 8 0.00
B12.2. Medical 412200 32 131.90 Approval Pended 9.1 consumables (ongoing activity) B12.2. Ambulance 240 120000 288.00 subject to State 9.2 repiars/maitenance/ implementing ‘National Insurance Ambulance Guidelines’ B12.2. Fuel cost 240 300000 720.00 0.00 for all the running 9.3 ambulances under B12.2. Communication cost 240 19200 46.08 NRHM 9.4 B12.2. Administrative 240 84000 201.60 9.5 expenses
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B12.2. Marketing expenses 240 12000 28.80 9.6 B12.2. Third Party 25.00 9.7 Evaluation of Referral Transport B12.2. Upgradation of 10 10000 1.00 9.8 Ambulance (EMRI- 108)-BLS to ALS B.13 PPP/ NGOs 78 1803000 1841.4 5 35.40
B13.1 Non governmental 0.00 providers of health 0.00 care RMPs B13.2 Public Private 39 901500 1841.4 Partnerships (Out 5 Sourcing set up, if 35.40 applicable for State, to be budgeted under this head) B13.2. Out soursing PHC 520.00 Approval pended 1 subject to the State submitting the criteria 0.00 set for selecting the agency and the proposed ToR. B13.2. Grant in Aid to RK 35.40 Approved (Ongoing 2 Mission 35.40 activity) B13.2. Setting up of PPP 26.20 Approval pended (New 3 cell in the state activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral 0.00 activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing
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and using the monitoring tools which should be part of any program management on a real time basis. B13.2. Outsourcing of 27 1131.6 Not approved (Ongoing 4 Diagonastic services 7 activity). State may revise the proposal 0.00 based on the GoI recommendations and submit in the supplementary PIP. B13.2. Outsourcing Bio- 12 901500 108.18 Not approved (New 5 medical Wastage Activity) in the present Management form. State may revise 0.00 the proposal and submit in the supplementary PIP B13.2. 0.00 Carry forward is not 6 0.00 approved since the activity is not specified B13.2. PPP Monitoring Cell 20.00 Approval pended (New 7 by SHRC activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP 0.00 monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis. B13.3 NGO Programme/ 0 0 0.00 Grant in Aid to NGO 0.00
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B13.3. Support to CGNP+ 0.00 0.00 1 B13.3. 2 B14 Innovations( if any) 0 0 1366.0 6.00 0 B14.1 Intersectoral 0.00 convergence 0.00
B14.2 District Specific Approved Rs 6 lakhs for Plans Anti-Venum Vaccine in Sarguja (New activity) 1366.0 Thanagudi at Bijapur 6.00 0 and NRHM Office cum training centers for districts are not approved. B15 Planning, 26044 1996900 1662.8 Implementation 8 608.63 and Monitoring B15.1 Community 120 320000 140.00 Monitoring (Visioning 56.99 workshops at state, Dist, Block level) B15.1. State level 1 100000 1.00 Approved (New 1.00 1 activity) B15.1. District level 19 100000 19.00 Approved (Ongoing 2 19.00 activity)
B15.1. Block level 100 120000 120.00 Approved (Ongoing 3 activity) @ Rs 36986 36.99 per block which is the unit cost approved for the F.Y.2012-13. B15.1. Other 0 0 0.00 0.00 4 B15.1. 0.00 4.10 0.00
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B15.2 Quality Assurance 166 310000 162.70 96.00
B15.2. Quality Assurance 69.00 Approved with the 1 Committees at State following conditions level (a) the state develops / adopts standard treatment guidelines (STG), (b) periodically conducts sensitization workshop on usage of 69.00 STGs, (c) Internal Monitoring, and (d) Conduct of prescription audits at sample facilities followed by dissemination of the audit findings. B15.2. Quality Assurance 27 100000 27.00 Approval pended until 2 Committees at state submits a revised District level proposal which 0.00 includes all the delivery points for monitoring and supervision. B15.2. Grievance handling 0.00 0.00 3 system B15.2. Review meetings 112 110000 14.80 0.00 4 B15.2. State 4 100000 4.00 Not approved (New 4.1 activity) B15.2. District 108 10000 10.80 0.00 4.2 B15.2. Block 0.00 4.3 B15.2. Others 27 100000 51.90 27.00 5 B15.2. NABH 24.90 Not approved (New 0.00 5.1 implementation activity)
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B15.2. Bio-medical 27 100000 27.00 Approved (New 5.2 Initiatives ( activity) for Authorisation and authorization from CG 27.00 cell) Environment Control Board at the rate of Rs 1 lakhs for 27 districts B15.3 Monitoring and 25758 1366900 1360.1 Evaluation 8 455.64 B15.3. Monitoring & 1 315000 103.15 1 Evaluation / HMIS 100.00 /MCTS B15.3. HR for 0.00 1.1 M&E/HMIS/MCTS 0.00 B15.3. MIS Consultant/ 0.00 1.2 Manager/ 0.00 Coordinators B15.3. Statistical Assistant/ 1 315000 3.15 Not approved (New 1.3 Data Analyst 0.00 activity) B15.3. MIS/ M&E 0.00
1.4 Assistants B15.3. Data Entry 0.00
1.5 Operators B15.3. Others (Please 0 0 100.00 1.6 specify) 100.00 B15.3. GIS Mapping & 50.00 Approved (New 1.6.1 Faciity survey of activity) subject to health facilties sharing GIS information with Statistics division, 50.00 MoHFW. The work should be done based on competitive bidding and by following Government Protocols B15.3. Third Party 50.00 Approved (New 1.6.2 Evaluation of activity). Services of Mitanin (ASHA) 50.00 Population Research programme Institute, Sagar may be considered B15.3. Computerization 0 0 186.60 2 HMIS and e- 93.30 governance, e-
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health
B15.3. HMIS Operational 186.60 Approved for six month 2.1.a Cost (excluding HR as expenditure details & Trainings) of 2012-13 are not given
Internet Connectivity State level : 6x25000=1.5 lakh District level:27x6x5000=8.1 lakh Block Level:146x6x2000=17.5 2 lakh PHC level:500x6x750=22.50 lakh
93.30 Consumables and other accessories State level:1x6x5000=0.3 lakh District level:27x6x3000=4.86 lakh Block Level:146x6x2000=17.5 2 lakh PHC level:700x6x500=21 lakh Procurement should be based on competitive bidding and by following Government protocols B15.3. Procurement of 0.00 2.1.b Computers/ printers/ cartridges
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etc.
B15.3. Maintenance of 0.00 2.1.c Computers/ AMC/ etc. B15.3. Other Office and 0 0 0.00 2.1.d admin expenses 0.00
B15.3. MCTS Operational 1111 1500 110.27 2.2.a Cost (excluding HR 96.44 & Trainings) B15.3. Procurement of 94 Approved only for 2.2.b Computers/ 146 desktop with printers/ cartridges accessories @ 60000/- etc. for Block data Assistants. 87.60 Procurement should be based on competitive bidding and by following Government protocols. B15.3. Maintenance of 1111 1500 16.67 Approved @ Rs 1000/- 2.2.c Computers/ AMC/ 8.84 per computer for 884 etc. computers B15.3. Other Office and 0.00 2.2.d admin expenses B15.3. Other M & E 24646 1050400 960.16 3 Activities 165.90
B15.3. HMIS Training 6891 86.85 Approved Rs.5.75 Lakh 3.1 @ Rs 300 per day per person for 1 training per person per year based on costing for 3 B15.3. MCTS Training 6000 400 24.00 days combined training 5.75 3.2 for HMIS and MCTS. Amount approved is indicative figure and actual amount would be based on actual expenditure. TA / DA
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and other expenditure should be as per extant rules.
B15.3. Mobility Support for 12 50000 6.00 Approved (New 3.3 HMIS/ MCTS activity) Rs.2.95 lakh 2.95 @Rs.10000 per district and Rs.25000 for State level per annum B15.3. Review Meetings for 10978 178.48 Approved for 1 day 3.4 HMIS combined review of HMIS and MCTS for minimum two reviews at State level per year, B15.3. Review Meetings for 0.00 at least one review 3.5 MCTS 26.92 every quarter at District level and at least one review per month at Block level. TA / DA and other expenditure should be as per extant rules. B15.3. Data Validation Call 10.00 Approved (New 3.6 Centers - CAPEX activity). Procurement should be based on competitive bidding following Government Protocols. State must ensure that the contact details of all the 10.00 ASHA/ANM and beneficiaries should be validated and services given to the beneficiaries to be verified and same should get reflected in MCTS. B15.3. Data Validation Call 33.50 Not approved (New 3.7 Centers - OPEX 0.00 activity)
B15.3. e-Governance 47.00 Not approved (New 3.8 Initiative 0.00
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
activity)
B15.3. Hospital 153.83 Not approved (New 3.9 Management 0.00 activity) Softwares B15.3. Others 3.10 765 1000000 420.50 120.28 B15.3. Printing of formats 53.90 Approved Rs 10.30 lakh 3.10.1 and Composite RCH @ Rs 0.40 per page for register HMIS and Rs.14.37 lakh for MCTS registers @ Rs 150 per register and not more than 2 registers per ANM. State should consult MoHFW before printing. Register must be compatible with the MCTS (Integrated RCH) register designed by MoHFW and shared 24.68 with the state. Printing should be done based on competitive bidding and by following Government Protocols. State may show a sample register to MoHFW before proceeding with the printing. This is an indicative figure and actual would depend upon actual expenditure. B15.3. Monitoring Data 18.00 Not approved (New Rs 200/ X 12 3.10.2 Collectiona dn data 750 0.00 activity) months Quality B15.3. State Review 95.60 Approved (Ongoing 3.10.3 Mission activity) subject to 95.60 state sharing the report of SRMs conducted in
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2012-13 with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website B15.3. Mobile based MCTS 103.00 State may continue the 3.10.4 reporting system on-going activity for Dhamtari district out of unspent funds available for this activity with the State. Approval pended for 0.00 roll-out in the whole State. State to share the details of success of pilot project done in Dhamtari district as reflected in MCTS data with MoHFW B15.3. V-Sat Connectivity 150.00 Approval pended. State 3.10.5 should share a concept note mentioning the details of Capex, Opex, number of terminals, bandwidth cost, technical architecture, the purpose for which 15 1000000 0.00 connectivity would be used and how this will help HMIS / MCTS with MoHFW. State may also explore the possibility of getting connectivity from SWAN B.16 PROCUREMENT 1124823 1823446 3672.5 1 9 1756.58
B16.1 Procurement of 8852 1773145 696.79 321.90 Equipment
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B16.1. Procurement of 120 2000 2.40 2.40 1 equipment: MH
B16.1. Equipments for 1.1 Blood Banks/ BSUs B16.1. MVA /EVA for Safe 120 2000 2.40 Approved (Ongoing 1.2 Abortion services 2.40 activity)
B16.1. Others (please 0 0 0.00 1.3 specify)
B16.1. Procurement of 122 1160000 197.60 2 equipment: CH 60.00
B16.1. NBSU 9 575000 51.75 Not approved since no 2.1 0.00 new NBSU is approved
B16.1. NBCC 101 85000 85.85 Not approved as no 2.2 new NBCCs approved. State has to 0.00 operationalise already sanctioned NBCCs and then new centres should be planned. B16.1. Sishu Sanrakshan 2.3 Mah (SSM)
B16.1. Genset for SNCU ( 12 500000 60.00 Approved (New 60.00 2.4 for 12 SNCUS) activity) B16.1. 0.00 2.9
B16.1. 0.00 2.10
B16.1. Procurement of 2010 607145 183.06 3 equipment: FP 180.98
B16.1. NSV kits 500 1000 5.00 Approved (Ongoing 5.00 3.1 activity) B16.1. IUCD kits 1000 2000 20.00 Approved (Ongoing 20.00 3.2 activity)
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B16.1. minilap kits 135 3000 4.05 Approved (Ongoing 4.05 3.3 activity) B16.1. laparoscopes 25 600000 150.00 Approved (Ongoing 150.00 3.4 activity) B16.1. PPIUCD forceps 350 1145 4.01 Approved Rs. 1.925 3.5 1.925 lakhs for 350 forceps @ Rs. 550/forceps B16.1. Other (please 0 0 0.00 0.00 3.6 specify)
B16.1. Procurement of 1600 1000 94.53 4 equipment: IMEP 78.53
B16.1. Bins and golves for 78.53 Approved (New 4.1 Biomedical waste activity) Rs 78.53 lacs 78.53 for purchasing of bins (3264) @ Rs 200/- and gloves (7.2 lacs) @ 10/- B16.1. Personal Protection 1600 1000 16.00 Not approved (New 4.2 Kits to service 0.00 activity) delivery staff B16.1. Procurement of 0.00 0.00 5 equipment other than above B16.1. Equipments for 5000 3000 150.00 0.00 6 ARSH/ School Health B16.1. Equipments for 0.00 6.1 ARSH Clinics 0.00
B16.1. Equipments for 5000 3000 150.00 Not approved as no 6.2 School Health programme Equipments for component is School Health proposed. The Screening (weighing 0.00 proposed utilisation of scale, Height carry forward budget measurement scale of Rs 730 lakhs towards and Snellens’ procurement of dental Charts) chairs is not approved. B16.1. Equipments for 0.00 7 Training Institutes 0.00
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B16.1. Equipments for 69.20 Approval pended (New 8 AYUSH activity) for evaluation 0.00 of Ayurved Gram by NHSRC. B16.1. Procurement of 0.00 9 Others/Diagnostics B.16.2 Procurement of 1123937 50301 2975.8 Drugs and supplies 9 1 1434.68
B.16.2 Drugs & supplies for 1500 300 4.50 .1 MH 4.50
B.16.2 RTI /STI drugs and .1.1 consumables B.16.2 Drugs for Safe 1500 300 4.50 Approved Rs 4.5 lacs .1.2 Abortion 4.50 @ 300/- for 1500 cases (ongoing activity) B.16.2 Others (Please 0 0 0.00 .1.3 specify) 0.00 0.00
B.16.2 RPR Kits 0.00 0.00 .1.4 B.16.2 Whole blood finger 0.00 .1.5 prick test for HIV B.16.2 Drugs & supplies for 0 0 546.50 .2 CH 422.50 0.00
B.16.2 Drugs of Sishu 546.50 Rs 422.50 lakhs is .2.1 Sanrakshan Mah approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,000=30.25 Lakhs; Rs. 0.70 x 25,00,000 422.50 tabs Albendazole=17.50 lakhs; IFA syrup 12,00,000 bottles x Rs. 7=84.00; IFA small tablet 4,50,00,000 tabs x Rs. 0.12=54.00 lakhs. Amount of IFA revised
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as there is no wastage factor to be applied and based on 70% expected coverage. B.16.2 Drugs & supplies for 0 0 0.00 0.00 .3 FP B.16.2 0.00 .3.5
B.16.2 Supplies for IMEP 0 0 0.00 0.00 .4 B.16.2 Purchase of .4.1 Bleaching powder and Phenyle under Bio-Medical Waste maangement B.16.2 0.00 .4.5
B.16.2 General drugs & 0 0 2215.9 231.00 .5 supplies for health 3 facilities
B.16.2 IPD 2215.9 Approved for Rs. 231 .5.1 3 lakhs for replenishment of ASHA Drug kits only subject to the condition that State to replenish the drug kits from the PHC/SCs.
Approval pended for general drugs 231.00 proposed. The State to ensure free drug policy, robust procurement management system, corporation like TNMSC, IT enabled drug logistic management systems, EDL, prescription audit
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etc. and adequate State budget. State to also prepare and submit EDL for Delivery ponts and Non Delivery Points, and medical colleges. The state may relook EDL prepared for DH & FRUs.
B.16.2 OPD 0.00 .5.2
B.16.2 Drugs & supplies for 1123768 1 112.38 776.68 .6 WIFS 6
B.16.2 Albendazole 0.2 664.30 Approved. Budget .6.1 332,149, 664.30 shifted from B.16.2.6.2 596 B.16.2 IFA 1 112.38 Approved. Budget .6.2 11,237,6 112.38 shifted from B.16.2.6.1 86 B.16.2 Drugs & supplies for 0.00 .7 SHP B.16.2 Drugs & supplies for .8 UHCs B.16.2 Drugs & supplies for 193 50000 96.50 .9 AYUSH 0.00
B.17 Regional drugs 0 0 0.00 warehouses/Logisti 0.00 0.00 cs management
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B.18 New Initiatives/ 0 0 0.00 Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental 0.00 0.00 Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans) B.18.1 Help Lines 0.00 B.19 Health Insurance 0.00 Scheme 0.00
B.20 Research, Studies, Analysis 0.00 B.21 State level health 0 0 190.00 resources 50.00 0.00 centre(SHSRC) B.21.1 SHSRC - HR 140.00 Approved (Ongoing activity) for six months only at the same rate as approved in 2012- 13. It's continuation would be contingent 50.00 on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. B.21.2 Other cost 50.00 Not approved 0.00 B22 Support Services 5 200000 5499.7 0.00 9
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B22.1 Support 782.03 Not approved under Strengthening NPCB Mission Flexi Pool. 0.00 State may propose this under Disease control flexible pool B22.2 Support 0.00 Strengthening Midwifery Services under medical services B22.3 Support 1212.5 Not approved under Strengthening 8 Mission Flexi Pool. NVBDCP 0.00 State may propose this under Disease control flexible pool B22.4 Support 103.36 Not approved under Strengthening Mission Flexi Pool. RNTCP 0.00 State may propose this under Disease control flexible pool B22.5 Contingency 5 200000 10.00 Not approved (New support to Govt. 0.00 activity) dispensaries B22.6 Other NDCP Support 289.35 Not approved (New Programmes activity) Not approved for new HR. Also, the funds for Quaterly state level review meetings for review of Cold chain & logistics can be met out from C.1.d. 0.00 The incentive for MO & RMA is not recommended, as funds for Mobility Support for supervision for district level officers are already provided under c.1.a. For field monitors for monitoring of RI
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
sessions, state should send a comprehensive detailed plan for montoring & supervision for approval of budget i.e. the formats used for monitoring, the data analysis, feedback mechanism, role of partners and action taken.
B22.7 Non communicable 3102.4 Not approved under diseases 7 Mission Flexi Pool. State may propose this 0.00 under Disease control flexible pool
B.23 Other Expenditures 640000 264 9561.4 (Power Backup, 3 0.00 Convergence etc)
B.23.2 Treatment of 10.00 Not approved (New Hepatitis B 0.00 Activity) B.23.3 Secretariat 21.40 Approval pended (New establihsment of activity) subject to Nursing Home Act state sharing detailed and clinical proposal and its plan 0.00 Establishment Rules for adopting Clinical Establishment Act, 2010 or establishing state's own act.
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Budget Amount Quantity Unit Cost ( S. No. Budget Head (Rs. Approve Approval Status / Target Rs) Lakhs) d
B.23.4 CGMSC4 3020.4 Approval pended 5 (Ongoing activity) for want of details 0.00 including the clear road map and role of the state government in sustaining CGMSC5 B.23.5 Sickle cell 4706.5 Not approved as a Programme 7 separate initiative, should be the part of funds already sanctioned under RBSK for population below 18 years of age. 0.00 Pended for the investigation and treatment costing for population above 18 years of age, which can be reflected in the supplementary PIP. B.23.6 CGSACS 113.41 Not approved (New 0.00 activity) B.23.7 Double Fortified Salt 640000 264 1689.6 Not approved (New (New Activity ) 0 0.00 activity)
5. State is requested to share the details of year wise funds approved by NRHM, the State Government and any other source for CGMSC, yearwise physical and financial achievements, and activities proposed for 2013-14 with clear distinction of funds expected from NRHM, the state government and any other source. State is also requested to indicate what would be the commitment from the State Government and what is expected from NRHM for activities proposed for 2013-14, including infrastructure, IT software, Human Resources and other activities.
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ANNEX 3
IMMUNIZATION AND PPI OPERATION COST
Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
C.1
Mobility Support for Rs.2,50,000/ Approved c.1.a supervision Year /district level 67.50 67.50 To be continued for district officers. from Previous year level officers. Mobility Approved. support for Rs. 150000 per c.1.b 1.50 1.50 To be continued supervision at year. from Previous year state level Printing and dissemination of Approved for Immunization Rs. 10 705923 pregnant c.1.c 70.59 70.59 cards, tally beneficiaries women for the sheets, F.Y.2013-14 monitoring forms etc. Support for Rs. 1250/ per Quarterly participant/day for Approved State level 3 persons Rs 1250X3 c.1.d review 4.05 4.05 (CMO/DIO/Dist. participantsX27 meetings of Cold Chain districts district Officer) officer Quarterly Approved review Rs 100X5 Rs. 100/per meetings participants/block X participant for exclusive for 146 blocks X 4 meeting expenses RI at district meetings c.1.e for 5 persons 2.92 2.92 level with one (lunch, Block MOs, Organization CDPO, and expenses) other stake holders
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Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Approved. Rs. 50/ per person Rs 75 X 61300 as honorarium for Mitanins Quarterly ASHA (Travel) In Chattisgarh review and Rs. 25/person approx. 3-4 mitanins meetings at the disposal of are placed for every c.1.f 45.98 45.98 exclusive for MO-IC for one thousand RI at block meeting expenses population. Hence, level (refreshment, all mitanins will be stationary and covered in 4 misc. expenses) meetings at block level Approved. Total urban slums in Hiring of the State are 3088 ANM@450/sessio out of these 2255 Focus on n for four slum clusters will be slum & session/month/slu covered by ANMs underserved m of 10000 recruited through areas in urban population and Rs. Mukhya Mantri c.1.g 63.30 63.30 areas/alternati 300/- per month as Shahari Swasthya ve vaccinator contingency per Karyakram (MSSK) for slums slum i.e. Rs. and placed at 2100/- per month respective SSKs also per slum of 10000 including urban population slum sessions in 4 Rounds of Immunization Week Mobilization Approved of children Includes through Rs. 150 per mobilization for c.1.h 527.97 527.97 ASHA or session sessions in 4 Rounds other of Immunization mobilizers Week Approved. Alternative Includes AVD cost vaccine for sessions in 4 Rs. 150 per c.1.i delivery in 87.67 87.67 rounds of session hard to reach Immunization week, areas Total Hard to reach area is 4250.
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Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Approved. Includes AVD cost Alternative for sessions in 4 Vaccine c.1.j Rs. 75 per session 218.34 218.34 rounds of Delivery in Immunization week, other areas Total other area is 22866 To develop Approved. micro plan at @ Rs 100/- per c.1.k 5.39 5.39 To be continued sub-centre subcentre from Previous year. level For Rs. 1000 per consolidation block/ PHC and Approved for Blocks c.1.l of micro 1.77 1.77 Rs. 2000 per and Urban PHCs plans at block district level POL for vaccine delivery from Approved. State to Rs1,50,000/ c.1.m 40.50 40.50 To be continued district and district/year from Previous year from district to PHC/CHCs Consumables for computer including Approved. @ 400/ - month/ c.1.n provision for 1.30 1.30 To be continued district internet from Previous year access for RIMs Red/Black Approved. c.1.o plastic bags Rs. 3/bags/session 24.99 24.99 To be continued etc. from Previous year Hub Cutter/Bleach Approved. Rs. 1200 per c.1.p /Hypochlorite 11.52 11.52 To be continued PHC/CHCper year solution/ from Previous year Twin bucket
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Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Approved as following c.1.q Safety Pits Rs. 5250/pit 23.07 23.07 267 new pits x 5250 unit cost and 622 old pits x 1450 unit cost Not approved, as budget for mobility can be taken from State specific c.1.a/b. Also, this is c.1.r 3.38 0.00 requirement an ongoing activity, state should continue this activity with partners support. Teeka Approved. To be Express supplied throuhg in- c.1.s 215.51 215.51 Operational kind from MoHFW, Cost GOI. Measles SIA c.1.t operational 0.00 Cost JE Campaign c.1.u Operational 0.00 Cost Others (Mobilization Not approved as the budget for details about c.1.v Supervision 5.31 5.31 monitoring plan not during provided by state. Immunization week) C.1-Sub Total 1422.56 1419.18 C.2
Computer Approved, however, Rs.12000-15000 Assistants any increment in C.2.1 per person per 1.80 0.90 support for salry will be month State level examined by MSG.
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Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Computer Approved, however, Assistants 8000-10000 per any increment in C.2.2 38.88 16.20 support for person per month salry will be District level examined by MSG.
Others(servic C.2.3 0.00 0.00 e delivery staff) C.2-Sub Total 40.68 17.10 C.3
District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, This is same as last Multi year's approved Purpose C.3.1 30.49 9.69 amount which is Health only for 18 batches, Worker Needs to be revised (Male), LHV, As per revised Health norms for trainings Assistant under RCH (Male/Female ), Nurse Midwives, BEEs & other staff ( as per RCH norms) Three day Approved, but training expenditure has to including be as per NRHM Hep B, norms. Also, all the C.3.2 19.06 19.06 Measles & trainings should be JE(wherever approved from required) of Immunization Medical division.
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Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Officers of RI * Restricted for using revised C.3.1, due to low MO training expenditure in F.Y module) 2012-13.
One day refresher training of district Computer C.3.3 0.25 0.25 assistants on RIMS/HIMS and immunization formats Two days cold chain handlers training for block level C.3.4 5.63 5.63 cold chain handlers by State and district cold chain officers One day training of block level C.3.5 data handlers 1.53 1.53 by DIOs and District cold chain officer
Approval of State PIP 2013-14: Chhattisgarh Page 273
Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Approved for half a day Intensive RI Training for Frontline Workers (ANM,LHV,ASHA/ C.3.6 Others 247.84 247.84 Mitanin, AWW) for a total no. of participants=92940 including Mitanin, Anganwadi Worker and ANM C.3-Sub Total 304.80 284.00 Approved Restricted as per
norms. Last year Cold chain Rs.750/PHC/CHC C.4 17.21 10.70 data taken as state maintenance s per year District has not provided Rs.15000/year details of PHCs/CHCs etc.
ASHA Rs 100 per child incentive for for full C.5 full immunization in Approved with Immunization first year assumption that 90 819.29 819.29 % children will be Rs 50 per child fully immunized in for ensuring 13-14 complete immunization upto 2nd year of age Total ROUTINE 2604.53 2550.27 IMMUNIZATI ON
Approval of State PIP 2013-14: Chhattisgarh Page 274
Activities( Unit Cost FMR Proposed Approve As proposed (wherever Approval Status Code by State d by the State) applicable) Amount
Pulse Polio Approved, subject to C.6 Operational 509.86 494.35 approval for Pulse Cost (Tentative) Polio Cost.
Total 3114.39 3044.62
Other NDCP New Activity. As
B.22 Support 289.35 per Child Health - .6 Programmes Part-C
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ANNEX 4A
NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP)
( Rs. In lakhs)
FMR Activity Unit cost Physical Amount Amount Remarks Code (wherever target Proposed Approved applicable)
D IDD
D.1 Establishmen Implementati 10.20 12.00 Filling up of t of IDD on & sanctioned vacant Control Cell- monitoring of posts i.e. Technical the Officer, Statistical programme Assistant & LDC on regular/contract basis D.1.a Technical 1 on priority. Officer State Government D.1.b Statistical 1 may conduct and co- Assistant ordinate approved programme activities D.1.c LDC Typist 1 and furnish quarterly financial & physical achievements as per prescribed format.
D.2 IDD Monitoring 5.60 6.00 The vacant Monitoring of district sanctioned post of Lab- level iodine Lab Technician & content of salt Lab Asst. should be and urinary filled on regular/ iodine contract basis on excretion as priority. per Policy Guidelines. State Government may conduct D.2.a Lab 1 quantitative analysis Technician of salt & urine as per NIDDCP Guidelines D.2.b Lab. Assistant 1 and furnish monthly/quarterly statements.
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FMR Activity Unit cost Physical Amount Amount Remarks Code (wherever target Proposed Approved applicable)
D.3 Health Increased 19.70 4.00 IDD publicity Education & awareness activities including Publicity about IDD Global IDD Day and iodated celebrations at salt various levels.
D.4 IDD Rs. 50,000 4 districts 8.00 2.00 State Government Survey/resur per district may under take 4 vey districts IDD survey as per guidelines and furnish report.
D.5 Salt Testing 12 STK Creating 51.84 ** State Govt. to Kits to be per annum iodated salt monitor the procured by per ASH A demand and qualitative analysis of state monitoring of iodated salt by STK Government the same at through ASHA in 2 for 2 endemic the endemic districts i.e. districts community Bilaspur and Raigar level.
D.6 ASHA Rs. 25/- 50 salt 40.06 ** Incentive per month samples per for testing month per 50 salt ASHA in 2 sample/mo endemic nth district
TOTAL 141.40* 24.00
* Including fund proposed for Operational expenses of IDD Cell, workshop and review meetings which are not allowed under the Programme
** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 2 endemic districts funds will be released through flexi pool of NRHM by GOI.
Approval of State PIP 2013-14: Chhattisgarh Page 277
ANNEX 4B
INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP)
FMR Activity Unit Cost Amount Amount Remarks Code Proposed by Approved state E1 Operational Cost Field Visits Office Expenses 99.94 86 Broad Band expenses Outbreak investigations including Collection and Transport of samples Review Meetings Any other expenditure
Sub Total 99.94 86 E 1.2 Laboratory Support District Priority Lab- 1 lab. The State has 1X4.00 4.00 4.00 proposed only Recurring cost for this lab. Referral Network Lab 20 15(3X 5) District public health lab 89.5 35.8 equipment (5 X 17.9) (2 X 17.9) District public health lab 24.3 9.72 Remuneratio manpower (5X0.81X6) (2X0.81X6) n for staff at priority labs has been approved for 6 months initially. District public health lab 24.65 8 consumables (5 X 4.93) (2 X 4) Sub Total 162.45 72.52 E.2 Human Resources
E.2.1 Remuneration of State 4.8 3.3 Remuneratio Epidemiologists Epidemiol (0.8x1x6) (0.55x1x6) ns for vacant ogists positions are calculated for District 64.8 64.8 6 months Epidemiol (0.4x27x6) (0.4x27x6) ogists
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FMR Activity Unit Cost Amount Amount Remarks Code Proposed by Approved state E.2.2 Remuneration of State 3.0 3.0 Remuneratio Microbiologists Microbiol (0.25x1x12) (0.25x1x12) ns for the ogist posts of
Epidemiologi District 2.4(0.4X1X6) 2.4(0.4X1X6) st, Microbiol ogist at 1 microbiologis District t and Priority Consultant Lab training, for E.2.3 Remuneration of 1.5(0.25x1x6) 1.5(0.25x1x6) candidates Entomologists with medical Veterinary Consultant 2.4(0.4x1x6) 2.4(0.4x1x6) qualifications E.3 Consultant-Finance/ 1.68 1.68 should be Procurement (0.14x1x12) (0.14x1x12) more, than E.3.1 Consultant-Training/ 3.6 (0.40x1x9) 2.4 (0.40x1x6) Technical those without medical E.3.2 Data Manager State Data 4.2 2.4 qualification Manager (0.35X1X12) (0.20X1X12)
District 97.2 58.32
Data (0.30X27X12) (0.18X27X12) Manager
E.3.3 Data Entry Operator 61.38 55.8
(0.165 X 31 X (0.15 X 31 X 12 ) 12 ) Sub Total 246.96 198 E.8 Training As per NRHM Guidelines
Medical Officers 0.15 X 46 4.46 4.46 (3 days ) The training One day training of 0.215X 46 2.00 2.00 of Data Hospital Pharmacist / manager and Nurses Data entry One day training of 0.309X 13 1.14 1.14 operator has Medical College Doctors already been One day training for Data 0.15X 140 3.02 3.02 conducted in Entry and analysis for 2012-13 Block Health Team Lab technician (3 days) 0.215X 46 0.79 0.79
Data managers (2 days) 0.28 X 1 0.78 0 DEO cum accountant 0.28 X 1 0.84 0 (2 days)
Approval of State PIP 2013-14: Chhattisgarh Page 279
FMR Activity Unit Cost Amount Amount Remarks Code Proposed by Approved state ANM 17.52 0 Sub 52.25 11.41 Total For each newly formed (Corporation as district) District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories. E.7 ID Hospital Network * Surveillance in Metro Cities * New formed Districts 0.20X 11 2.2 0 Grand Total for IDSP 540.06 367.93
Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norm, the budget for State could be increased at RE stage.
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ANNEX 4C
NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)
Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14 Domestic Budget F.1 Support (DBS)
F.1.1 Malaria
F.1.1.a Contractual Payments
Activity approved but funds will be F.1.1.a.i MPW contractual 823.68 295 enhanced at RE stage. Lab Technicians ( F.1.1.a.ii 42.6 against vacancy) 0 VBD Technical F.1.1.a.iii Supervisor (one for each 28.05 0 block) District VBD Consultant F.1.1.a.iv (one per district) (Non- 0 Project States) Data Entry Operator one New activity, due to per district (Non-project 6.07 0 funds constraint it states) can not be approved State Consultant (Non –
Project States), 0 M&E Consultant F.1.1.a.v (Medical Graduate with 0 PH qualification) - VBD Consultant (preferably 0 entomologist)
F.1.1.b ASHA Incentive 63 45
F.1.1.c Operational Cost
F.1.1.c.i Spray Wages 0
F.1.1.c.ii Operational cost for IRS 55.2 0
Impregnation of Bed F.1.1.c.iii nets- for NE states 0
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Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14 Monitoring , Evaluation State has asked in & Supervision & F.1.1.e and F.1.1.f.i, F.1.1.d 66.9 30 Epidemic Preparedness hence it is reflected including mobility here
F.1.1.e IEC/BCC 78.35 20 PPP / NGO and State has asked in F.1.1.f Intersectoral 12 Convergence F.1.1.m Training / Capacity State has asked in F.1.1.g 5.6 5 Building F.1.1.i Zonal Entomological F.1.1.h 22.92 units 0 Biological and Environmental F.1.1.i 10.3 Management through 5 VHSC
F.1.1.j Larvivorous Fish support 0
Construction and F.1.1.k maintenance of 0 Hatcheries Any other Activities (Pl. specify) NVBDCP-DBS-Urban Malaria-HR-Field worker, NVBDCP-DBS- Urban New activity, due to MalariaOperational Cost funds constraint it purchase, NVBDCP- can not be approved DBS-LLIN (Godown charges) state & transportation, F.1.1.l NVBDCP-DBS-HR-State 273.06 0 level-Entomologist, Training Consultant, Programme Associate- procurement, finance, Accountant, GIS DEO, Secretarial, Division IC, District Programme Associate- VBD consultant, MTS all the bolck of 96 Blocks (Including pf-)
Total Malaria (DBS) 1487.73 400
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Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14 Dengue & F.1.2 Chikungunya Strengthening F.1.2.a surveillance (As per GOI approval) Apex Referral Labs F.1.2.a(i) recurrent Sentinel surveillance F.1.2.a(ii) 2 Hospital recurrent 2 ELISA facility to F.1.2.a(iii) 20 Sentinel Surv Labs Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of F.1.2.b ELISA based NS1 kit and Mac ELISA Kits required separately) Monitoring/supervision F.1.2.c 8.4 and Rapid response 5
F.1.2.d Epidemic preparedness 39 4.5
F.1.2.e Case management 18 10
Vector Control & F.1.2.f environmental 0 3 Can also be used for management other VBD. IEC BCC for Social F.1.2.g 30 Mobilization 9 Inter-sectoral F.1.2.h 1.8 convergence 0.5 Training & printing of guidelines, formats etc. F.1.2.i 3.6 including operational 3.5 research Total 122.8 37.5 Dengue/Chikungunya
F.1.3 AES/JE
Strengthening of Sentinel sites which will F.1.3.a include Diagnostics and Case Management, 0 0 supply of kits by GoI IEC/BCC specific to J.E. F.1.3.b in endemic areas
Approval of State PIP 2013-14: Chhattisgarh Page 283
Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14
F.1.3.c Capacity Building
Monitoring and F.1.3.d supervision Procurement of F.1.3.e Insecticides (Technical Malathion)
F.1.3.f Fogging Machine
Operational costs for F.1.3.g malathion fogging
F.1.3.h Operational Research
Rehabilitation Setup for F.1.3.i selected endemic districts ICU Establishment in F.1.3.j endemic districts ASHA Insentivization for F.1.3.k sensitizing community Other Charges for Training /Workshop F.1.3.l Meeting & payment to NIV towards JE kits at Head Quarter Establishing district F.1.3.m counseling centre
Total AES/JE 0 0
F.1.4 Lymphatic Filariasis
State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, F.1.4.a 70.87 sensitization of media 28.54 etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team and contingency support
Approval of State PIP 2013-14: Chhattisgarh Page 284
Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14
F.1.4.b Microfilaria Survey 4.45 4.5
Post MDA assessment by medical colleges F.1.4.c 2.4 (Govt. & private)/ICMR 1.35 institutions Training/sensitization of district level officers on ELF and drug F.1.4.d 80.15 distributors including 42.15 peripheral health workers Specific IEC/BCC at state,district, PHC, Sub- centre and village level including VHSC/GKs for F.1.4.e 35.2 community mobilization 14.3 efforts to realize the desired drug compliance of 85% during MDA Honorarium for Drug Distribution including F.1.4.f 138.92 ASHAs and supervisors 35.2 involved in MDA Verification and validation for stoppage F.1.4.g of MDA in LF endemic districts a) Additional MF Survey Out of 9 districts, 3 F.1.4.g.i 0 2.1 for 3 districts districts qualified for TAS, b) ICT Survey for 3 hence state should F.1.4.g.ii 4.5 districts plan within six months
F.1.4.g.iii c) ICT Cost for 3 districts 15
Verification of LF F.1.4.h endemicity in non- endemic districts a) LY & Hy Survey in F.1.4.h.i non-endemic district b) Mf Survey in Non- F.1.4.h.ii endemic distt
F.1.4.h.iii c) ICT survey
F.1.4.i Post-MDA surveillance
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Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14 Total Lymphatic 331.99 147.64 Filariasis
F.1.5 Kala-azar
Case search/ Camp F.1.5 Approach Spray Pumps & F.1.5.a accessories Operational cost for F.1.5.b spray including spray wages
F.1.5.c Mobility/POL/supervision Not Applicable 0
F.1.5.d Monitoring & Evaluation
F.1.5.e Training for spraying
F.1.5.f IEC/ BCC/ Advocacy
Total Kala-azar 0 0
Total (DBS) 1942.52 585.14
Externally aided F.2 component World Bank support F.2.a for Malaria (Identified state)
F.2.b Human Resource 278.39
Training /Capacity F.2.c 27.6 building Can be increased at RE stage based on Mobility support for 200 Monitoring Supervision physical and & Evaluation including financial proposal F.2.d printing of format & 47 review meetings, Reporting format (for printing formats) Kala-azar World Bank
assisted Project
F.2.e Human resource Not Applicable Not Applicable
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Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14
F.2.f Capacity building
F.2.g Mobility
GFATM support for F.3 Malaria (NEStates) Project Management F.3.a Unit including human resource of N.E. states Training/Capacity F.3.b Building Planning and Administration( Office expenses recurring F.3.c expenses, Office automation , printing and stationary for running of project) Monitoring Supervision Not Applicable Not Applicable (supervisory visits F.3.d including travel expenses, etc) including printing of format and review meetings, IEC / BCC activities as F.3.e per the project Operational cost for treatment of bednet and Infrastructure and F.3.f Other Equipment (Computer Laptops, printers, Motor cycles for MTS ) Total : EAC 352.99 200 component Any Other Items ( F.4 0 0 Please Specify) Operational costs ( mobility, Review F.5 Meeting, 0 0 communication, formats & reports) Grand total for cash assistance under 2295.51 785.14 NVBDCP (DBS + EAC)
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Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14 Cash grant for F.6 decentralized commodities Chloroquine phosphate F.6.a 120 tablets Primaquine tablets 7.5 F.6.b 4.37 mg Primaquine tablets 2.5 F.6.c 1.35 mg
F.6.d Quinine sulphate tablets 0
F.6.e Quinine Injections 4.8 Approved however, funds will be released within F.6.f DEC 100 mg tablets 71.08 available budget. Albendazole 400 mg The gap may be met F.6.g 0 tablets from flexi fund to avoid any shortage F.6.h Dengue NS1 antigen kit 4.8 of drug and diagnostics. The 100 Temephos, Bti (AS) / Bti procurement F.6.i (wp) (for polluted & non 1.45 polluted water) procedure for anti- malarial and anti- Pyrethrum extract 2% F.6.j 10 for spare spray filarial drugs may be initiated in 1st ACT ( For Non Project F.6.k 114.82 quarter of current states) financial year so as RDT Malaria – bi-valent F.6.l to ensure its (For Non Project states) availability in time. Any Other Items ( Please Specify) NVBDCP-Arteether Injection, Deltamethrine, F.6.m Suprey PUMP 139.74 (purchase ,repair,for fogging pump), LLIN, New Microscope, Lancet, Slide, Swab & Laboratory Reagents. Total grant for decentralized 472.41 100 commodities Grand Total for grant- 2767.92 885.14 in-aid under NVBDCP
Approval of State PIP 2013-14: Chhattisgarh Page 288
Amount Amount Component (Sub- S. No. proposed in approved as per Remarks Component) PIP -2013-14 BE 2013-14
Commodity Grants 3718 2160.68
Total NVBDCP Cash + 6485.92 3045.82 Commodity
NRHM Additionality
1 NVBDCP- RDT kits 419 0 May be met from NVBDCP-DBS-Malaria- Village Health 2 Spray wages 489.38 0 senitation NVBDCP-Synthetic committee or flexi 3 Pyrethroid 147 0 fund. (Alphacypermethrin 5%) NVBDCP-DBS-Malara- 4 HR-Driver for State 2.7 0 Programme unit NVBDCP-Malaria Offic 5 Expenses including 32 0 contingency NVBDCP- Malaria- 6 Support to Sentinel sites 6 0 (incentives to SSLT) NVBDCP-Support to 7 State Office-Office 1.68 0 Attendant(STATE) Total NRHM Additionality 1097.76 0
Approval of State PIP 2013-14: Chhattisgarh Page 289
ANNEX 4D
NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
Activity Unit Unit Cost Physica Amount Amount Remarks proposed (In l propose approve Rupees) Targets d (Rs. in d (Rs. in lakh) lakh)
G1.Case detection & Management 1.1 Specific - Block 75,000 plan for High 0.00 Endemic Districts 1.2 Services in Town - Town - Urban Areas Med I - 114,000 Med II- Med I - 07 7.98 7.98 Mega- 2,40,000 05 12.00 12.00 Med II- 05 23.60 23.60 4,72,000 00 00.00 00.00 Mega- 560000 1.3. ASHA
Involvement Sensitization 100 - - - *Incentive to Detectio 250 2000 5.00 5.00 ASHA n PB 400 1000 6.00 4.00 MB 600 1000 10.00 6.00 1.4 Material &
Supplies Supportive 68,000 drugs, lab. reagents & 27 16.20 16.20 equipments and printing works District 1.5 NGO 600000 1 6.00 6.00 Schemes No. G2. DPMR
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Activity Unit Unit Cost Physica Amount Amount Remarks proposed (In l propose approve Rupees) Targets d (Rs. in d (Rs. in lakh) lakh)
MCR footwear, Aids and MCR appliances, Footwear- Welfare 300/- Aids/Applianc 1200 3.6 3.6 allowance to e -17000 27 0.81 0.81 Welfare/RCS - leprosy patients 200 16.00 16.00 8000 for RCS, 200 10.00 10.00 At Institute - Support to 5000 govt. At camps - institutions for 10000 RCS G3. **IEC/BCC Mass media, 98,000 27 26.46 26.46 Outdoor media, Rural media, District Advocacy media G4. Human State Resource & specific Capacity reuirement building s & rates ***4.1 Capacity No. of building batch MO 89,000 25 22.25 22.25 HW 71,000 25 17.75 17.75 PT 50,600 1 0.51 0.51 DNT 71,000 3 2.13 2.13 4.2. Human Resource on contract ****4.2.1. Contractual Staff at State level SMO 1 40000 7.20 4.80 BFO cum 1 30,000 5.40 3.60 Admn. Officer Admn. Asstt. 1 16000 2.40 1.92 DEO 1 12000 2.16 1.44 Driver 1 11000 1.32 1.32
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Activity Unit Unit Cost Physica Amount Amount Remarks proposed (In l propose approve Rupees) Targets d (Rs. in d (Rs. in lakh) lakh)
#District 30000 0 32.4 Leporsy Consultant #Physiotherapis 25000 20.00 27.00 t 4.2.3. Special Provision for selected States NMS No. 25000 - - 4.2.4. Staff for blocks #PMW No. 16000 93 133.92 G5. Programme Management 5.1. Travel Cost Contractual 1.00 1.00 Staff at State level Contractual 25000 6.75 6.75 Staff at District level 5.2 Review 4 20000 to 1.00 1.00 meetings 50000 5.3 Office Operation & Maintenance Office 1 75000 0.75 0.75 operation - State Cell Office No. 35000 9.45 9.45 operation - District Cell Office 1 50000 0.50 0.50 equipment maint. State 5.4
Consumables State Cell 1 50000 0.50 0.50 District Cell No. 30000 8.10 8.10 5.5 Mobility Support
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Activity Unit Unit Cost Physica Amount Amount Remarks proposed (In l propose approve Rupees) Targets d (Rs. in d (Rs. in lakh) lakh)
State Cell 2 200000 4.00 4.00 District Cell 1 150000 60.75 40.50 G6. Others Essential Travel expenses requiremen for regular staff t for specific
programme / training need, awards etc GRAND TOTAL 317.57 459.24
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ANNEX 4E
REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP)
Category of Unit cost Physical target Amount Amount S.No Expenditur /expected output Approve Remarks Proposed e d I.1 Civil works As per Revised 1) Civil work Up 351.75 246.22 Approval is Norms and gradation and being given Basis of maintenance for 9 DTC , 1 Costing for completed as C&DST lab, RNTCP planned 20 TUs and 38 DMCs
I.2 Laboratory As per Revised 1) Sputum of TB 88.15 79.33 90% materials Norms and Suspects approved. Basis of Examined per lac Costing for population per RNTCP quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally I.3 Honorarium As per Revised 1) All eligible 52.42 47.18 90% Norms and Community DOT approved. Basis of Providers are paid Costing for honorarium in all RNTCP districts in the FY I.4 ACSM As per Revised 1) All IEC/ACSM 73.33 50.00 Includes the Norms and activities proposed Salary of Basis of in PIP completed; State ACSM Costing for 2) Increase in case officer. RNTCP detection and improved case holding; I.5 Equipment As per Revised 1) Maintenance of 24.16 19.32 80% maintenance Norms and Office Equipments approved. Basis of at State/Districts Costing for and IRL RNTCP equipments completed as planned; 2) All BMs are in functional condition
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Category of Unit cost Physical target Amount Amount S.No Expenditur /expected output Approve Remarks Proposed e d I.6 Training As per Revised 1) Induction 87.78 52.66 60% Norms and training, Update approved Basis of and Re-training of Costing for all cadre of staff RNTCP completed as planned; I.7 Vehicle As per Revised 1) All 4 wheelers 132.06 71.47 As per norms. maintenance Norms and and 2 wheelers in For new / operation Basis of the state are in position Costing for running condition operation cost RNTCP and maintained; is approved for 6 months.
I.8 Vehicle As per Revised 1) Increase in 220.83 154.58 70% hiring Norms and supervisory visit approved Basis of of DTOs and Costing for MOTCs; RNTCP 2) Increase in case detection and improved case holding I.9 NGO/PP As per Revised 1) Increase in 125.88 113.29 90% support Norms and number of approved. Basis of NGOs/PPs Costing for involved in signed RNTCP schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT I.10 Medical As per Revised 1) All activities 62.26 52.80 Includes 15 College Norms and proposed under lakhs for the Basis of Medical Colleges ZTF meeting. Costing for head in PIP RNTCP completed I.11 Office As per Revised 1) All activities 44.63 35.70 80% Operation Norms and proposed under approved. Basis of miscellaneous Costing for head in PIP RNTCP completed I.12 Contractual As per Revised 1) All contractual 1092.15 873.72 80% services Norms and staff appointed approved Basis of and paid regularly Costing for as planned RNTCP
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Category of Unit cost Physical target Amount Amount S.No Expenditur /expected output Approve Remarks Proposed e d I.13 Printing As per Revised 1) All printing 57.36 40.15 70% Norms and activities at state approved Basis of and district level Costing for completed as RNTCP planned I.14 Research As per Revised 1) Proposed 3.00 2.40 80% and studies Norms and Research has been approved Basis of initiated or Costing for completed in the RNTCP FY as planned 1.15 Procurement 0 0 of drugs I.16 Procurement As per Revised 1) Procurement of 109.00 98.10 90% –vehicles Norms and vehicles approved Basis of completed as Costing for planned RNTCP I.17 Procurement As per Revised 1)Procurement of 289.00000 238.1000 Hand held - Norms and equipments 0 devise has not Equipments Basis of completed as been Costing for planned approved as RNTCP these will be procured at central level.
I.18 Patient As per Revised Payment of 16.00 11.20 70% support & Norms and transportation approved Transportati Basis of charges to patients on Costing for RNTCP I.19 Supervision As per Revised Number of 50.00 40.00 80% & Norms and evaluation and approved. Monitoring Basis of review meeting Costing for done by state RNTCP Subtotal 2879.79 2226.29
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Category of Unit cost Physical target Amount Amount S.No Expenditur /expected output Approve Remarks Proposed e d Disease control Flexi pool fund 106.72 65.56 Disapproved activities are: Generator for STDC ;
Diesel for generator at IRL and DOTS plus site
TOTAL APPROVAL 2986.51 2291.85
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Annexure 4F
National Programme for Prevention and Control of Fluorosis (NPPCF)
Sl. FMR Unit Yearly Amount Budget Head Remarks No. Code Quantity Unit Cost Proposed
3 J.1.1 NPPCF - State Cell J.1.1.1 NPPCF-State Cell- 1 660,000 6.60 4 Programme Officer The proposal is J.1.1.2 NPPCF-State Cell-Field not considered 5 Investigator now. State to J.1.1.3 NPPCF -State Cell-Mobility propose 6 Support separately along J.1.1.4 NPPCF - State Cell- with other states 7 Monitoring as directed J.1.1.5 NPPCF - State Cell- Monitoring- State Monthly 8 Report J.1.1.6 NPPCF - State Cell- Monitoring- State Annual 9 Report J.1.1.7 NPPCF - State Cell- Monitoring-Monthly 10 Meeting J.1.1.8 NPPCF - State Cell-Office 1 200,000 2.00 11 Exp.
12 J.1.2 NPPCF - Distt Cell
J.1.2.1 NPPCF- Distt Cell- 5 2,700,000 27.00
13 Consultant
J.1.2.2 NPPCF- Distt Cell- 5 900,000 9.00
14 Technician
J.1.2.3 NPPCF - Distt Cell-Field 15 2,340,000 23.40
15 Investigators
J.1.2.4 NPPCF - Distt Cell-Training- 4 1,200,000 12.00
Distt Medical &
16 Paramedical Personnel
J.1.2.4a NPPCF - Distt Cell-Training- 1 100,000 1.00 Distt Medical & 16 Paramedical Personnel J.1.2.5 NPPCF - Distt Cell- Monitoring- Distt Annual 17 Report J.1.2.6 NPPCF - Distt Cell- 5 500,000 5.00 18 Coordination Meeting J.1.2.7 NPPCF - Distt Cell-Office 5 1,000,000 10.00 19 Exp. (Travel &
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Sl. FMR Unit Yearly Amount Budget Head Remarks No. Code Quantity Unit Cost Proposed
Contingencies)
J.1.3 NPPCF - Lab Support 20 J.1.3.1 NPPCF -Lab Support-Distt. 21 Lab- J.1.3.2 NPPCF -Lab Support- Distt. 4 2,800,000 28.00 22 Lab-Lab Equipment J.1.3.3 NPPCF -Lab Support- Distt. 5 1,000,000 10.00 Lab-Lab Consumables 23 J.1.3.4 NPPCF -Lab Support- Distt. Lab- Exp. For Sample 24 Testing J.1.3.5 NPPCF -Lab Support- 25 Refferal Lab J.1.3.6 NPPCF -Lab Support- Other 26 J.1.4 NPPCF - Fluorosis Medical 27 Managment J.1.4.1 NPPCF - Fluorosis Medical 4 6,640,000 66.40 28 Management-Treatment J.1.4.1a NPPCF - Fluorosis Medical 1 1,700,000 17.00 Management-Treatment 28 J.1.4.2 NPPCF - Fluorosis Medical 29 Management-Surgery J.1.4.3 NPPCF - Fluorosis Medical Management - 30 Rehabilitation 31 J.1.5 NPPCF - IEC/BCC 4 1,400,000 14.00 J.1.5a NPPCF - IEC/BCC 1 150,000 1.50 31 32 J.1.6 NPPCF - Other 33 J.2 NPPCF Flexipool 34 J.2 NPPCF Flexipool
PART - D.7 (NPPCF) Total 23,290,00 232.90 0.00 0
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Annexure 5
Chhattisgarh Rural Medical Corp Sr. HR Category Quantity Incentive Total (Rs./lakhs) No. Difficult Area 1 Specialist 17 30000 30.60 2 PG-MO 15 25000 22.50 3 LSAS/EmOC trained MO 10 22000 13.20 4 MO 102 20000 122.40 5 SN 160 2000 19.20 6 RMA 150 3000 27.00 Most Difficult Area 1 Specialist 38 40000 91.20 2 PG-MO 37 35000 77.70 3 LSAS/EmOC trained MO 10 30000 18.00 4 MO 60 25000 90.00 5 SN 40 3000 7.20 6 RMA 300 5000 90.00 7 ANM 1000 1000 60.00 Inaccessible Area 1 MO 30 30000 54.00 2 SN 50 5000 15.00 3 RMA 10 10000 6.00 4 ANM 1000 2000 120.00 TOTAL 864.00
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Annexure 6
Programme Management Sr Salary Total Category No. No. Rs./m Rs.Lakhs SPMU 1 State Programme Manager 1 52030 3.12 2 Programme manager (Maternal Health) 1 45000 2.70 3 Programme manager (child Health) 1 45000 2.70 4 Programme manager (family Planing) 1 45000 2.70 5 Programme manager (ARSH/School Health) 1 45000 2.70 6 State Quality Assurance Manager 1 45000 2.70 7 Programme Associate- State Level 2 30000 3.60 8 PM- Infrastructure 1 45000 2.70 9 PM- Proucrement & Logistics 1 45000 2.70 10 PM-PPP/referal Transport 1 45000 2.70 11 PM- Programme Manager Planning 1 45000 2.70 12 Engineer (Civil & Electrical) 3 30000 5.40 13 State- Director Finance 1 75000 4.50 14 State Finance Manager 1 45000 2.70 15 State Account Manager 1 45000 2.70 16 Accountant- State Level 4 17160 4.12 17 Programme Manager M&E- SPMU 1 45000 2.70 18 Programme Manager HMIS -SPMU 1 45000 2.70 19 State Data Officer 1 33000 1.98 20 State Coordinator (Community Monitoring) 1 22000 1.32 21 State Reporting & Documentation Consultant 1 27500 1.65 22 Computer Programmer 6 26400 9.50 23 Project Associates-(SRM) 2 30000 3.60 24 Programme Manager HRD 1 45000 2.70 25 State Training Officer 1 37620 2.26 26 State Human Resource officer 1 27830 1.67 27 Admin Officer 1 45000 2.70 28 Project Associates-Logistic State - M&E 1 30000 1.80 29 Office Assistant- State Level -QA Cell 2 15000 1.80 30 State Demography Officer 1 33000 1.98 31 BCC/IEC Officer- State Level 1 27830 1.67 32 Office Assistant - State Level 31 13750 25.58 33 Peon/Chowkidar/Sweeper 10 4950 2.97 Sub total 119.02
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DPMU 1 District Programme Manager 27 40700 65.93 2 Hospital Consultant 27 28600 46.33 3 Programme Manager MH & FP 27 30000 48.60 4 Programme Manager CH & Immunization 27 30000 48.60 5 Programme Manager ARSH/SSP & WIFS 27 30000 48.60 6 District- Sub Engineer 27 30000 48.60 7 District Account Manager- District Level 27 29700 48.11 8 Distirct Accontant Assistant 27 15730 25.48 9 District Data officer 27 26400 42.77 10 Distirct Data Assistant 27 12100 19.60 11 District Training Co-ordinator 27 26400 42.77 12 Data Entry Operator 81 8800 42.77 Sub total 528.17 BPMU 1 Block Programme Manager 146 19800 173.45 2 Block Account Assistant 146 16500 144.54 3 Account & Data Assistant 741 8800 391.25 4 Block Data Assistant 146 16500 144.54 5 Data Entry Operator 146 8800 77.09 Sub total 930.86 GRAND TOTAL 1578.05
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Annexure 7a
Approved New Constructions for 2013-14- Sub Centers
Population Normal Total Total funds Total Funds Name of the Type and Name of Timeline for covered by Deliveries Project proposed approved for District the Facility completion the facility per month cost for 2013-14 2013-14
Balodabazar Shc Amodi 5200 23 2Year 22.81 9.124 9.124 Gariaband SHC Nahargaon 4000 3 2Year 22.81 9.124 9.124 Gariaband SHC Bortula 5000 3 2Year 22.81 9.124 9.124 Janjgir SHC Kashigarh - 10594 3 2Year 22.81 9.124 9.124 Jaijaipur Janjgir SHC Bundeli - 5861 5 2Year 22.81 9.124 9.124 Maalkharouda Janjgir SHC Pirda 8494 6 2Year 22.81 9.124 9.124 Maalkharouda Janjgir SHC Janjgir - 27343 4 2Year 22.81 9.124 9.124 Nawagarh Korea SHC Devgarh 3265 2 2Year 22.81 9.124 9.124 Surguja SHC Dandagaon 4080 5 2 years 22.81 9.124 9.124 Total 9 SCs 205.29 82.116 82.116
Approval of State PIP 2013-14: Chhattisgarh
Approved New Constructions for 2013-14- PHC
Type and Population Normal Timeline Total Total funds Name of the Name of the covered by Deliveries for Project approved District Facility the facility per month completion cost for 2013-14 PHC Mungeli 10717 9 2 Year 49.53 19.81 Khamhariya
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Annexure -7b
Spill Over Works Approved (CHCs)
Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A Labour Room, OT, Drug FRU 12.0 S Balod Balod Store Cum Vaccin Storage 2012-13 9.00 3.00 2 Year CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Balod Gundrdehi Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Balod Gurur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Baloda FRU 12.0 S Bhatapara Store Cum Vaccin Storage 2012-13 9.00 3.00 Bazar CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Baloda FRU 12.0 S Kasdol Store Cum Vaccin Storage 2012-13 9.00 3.00 Bazar CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Balrampu 12.0 S Kusmi CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 r 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year Labour Room, OT, Drug Balrampu FRU 12.0 S Rajpur Store Cum Vaccin Storage 2012-13 9.00 3.00 r CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Balrampu Wadrafnag FRU 12.0 S Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 r ar CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Badekilep 12.0 S Bastar CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 al 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Bastar Bakawand Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Bastar Darbha Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Lohandigu 12.0 S Bastar CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 da 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bastar Nangoor CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bastar Tokapal CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Bemetara Bemetara Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bemetara Berla CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bemetara Nawghar CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bemetara Saja CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Thankham 12.0 S Bemetara CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 riya 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug BAIRAM 12.0 S Bijapur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 GARH 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug BHOPAL 12.0 S Bijapur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 PATNAM 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug GANALU 12.0 S Bijapur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 R 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year Labour Room, OT, Drug 12.0 S Bijapur USUR CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Bilaspur Bilha Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Bilaspur Kota Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug FRU 12.0 S Bilaspur Marwahi Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bilaspur Masturi CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bilaspur Pendra CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Bilaspur Takhatpur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug Dantewad FRU 12.0 S Geedam Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 a CHC 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year Labour Room, OT, Drug Dantewad Katekalya FRU 12.0 S Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 a n CHC 0 proces Room & BSU s TS/A 2 Year Labour Room, OT, Drug 12.0 S Dhamtari GUJRA CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Dhamtari Kurud Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Dhamtari Magarload Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Dhamtari Nagari Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Durg Dhamdha Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Durg Jhait CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Durg Patan CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug Gariyaban FRU 12.0 S Gariaband Store Cum Vaccin Storage 2012-13 9.00 3.00 d CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Janjgir Akaltara Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Janjgir Baloda CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Janjgir Bamnidih CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Janjgir dabhara CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Janjgir Malkaroda CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Jashpur Bagicha CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Jashpur Duldula CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Jashpur Lodam CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Jashpur Manora CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Jashpur Pathalgaon Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Pharsabah FRU 12.0 S Jashpur Store Cum Vaccin Storage 2012-13 9.00 3.00 ar CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Kanker Antagarh CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Bhanuprat FRU 12.0 S Kanker Store Cum Vaccin Storage 2012-13 9.00 3.00 appur CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Kanker Charama Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Dhanelika 12.0 S Kanker CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 nhar 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug Durgukon 12.0 S Kanker CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 dal 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Kanker Narharpur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Kanker Pakhanjur Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Kawardha BODLA CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Kawardha Pandariya Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Kawardha Pipriya CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Kawardha S. Lohara Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Kondagao FRU 12.0 S Keshkal Store Cum Vaccin Storage 2012-13 9.00 3.00 n CHC 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug Kondagao 12.0 S Makdi CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 n 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Kondagao Pharasgao 12.0 S CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 n n 0 proces Room & BSU s RNT TS/A 2 Year 3.00 Labour Room, OT, Drug Kondagao Kondagao Civil 12.0 S Store Cum Vaccin Storage 2012-13 9.00 3.00 n n Hospital 0 proces Room & BSU (CH) s TS/A 2 Year 3.00 Labour Room, OT, Drug Kondagao Vishrampu 12.0 S CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 n ri 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Korba Kartala Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Korba Katghora Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Korba Pali Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug PODIPOD 12.0 S Korba CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 A 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug khadeguw 12.0 S Korea CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 a 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Manendra FRU 12.0 S Korea Store Cum Vaccin Storage 2012-13 9.00 3.00 garh CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Korea patana CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Korea sontat CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Mahasam FRU 12.0 S Bagbahra Store Cum Vaccin Storage 2012-13 9.00 3.00 und CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Mahasam 12.0 S BASANA CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 und 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Mahasam FRU 12.0 S Pithora Store Cum Vaccin Storage 2012-13 9.00 3.00 und CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Mahasam FRU 12.0 S Saraypali Store Cum Vaccin Storage 2012-13 9.00 3.00 und CHC 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Mungeli Lormi Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Mungeli Mungeli Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Mungeli Pathariya CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug BARAMK 12.0 S Raigarh CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 ELA 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Raigarh Lailunga Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Raigarh PUSORE CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Raigarh TAMNAR CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug VIJAYRN 12.0 S Raigarh CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 AGA 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug Rajnandg 12.0 S A. Chowki CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 aon 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Rajnandg Chuikhada FRU 12.0 S Store Cum Vaccin Storage 2012-13 9.00 3.00 aon n CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Rajnandg FRU 12.0 S Churiya Store Cum Vaccin Storage 2012-13 9.00 3.00 aon CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Rajnandg Dongargar FRU 12.0 S Store Cum Vaccin Storage 2012-13 9.00 3.00 aon h CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug Rajnandg FRU 12.0 S Mohala Store Cum Vaccin Storage 2012-13 9.00 3.00 aon CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug 12.0 S Sarguja Mainapt CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Sarguja Udaypur Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Sukma Sukma Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s
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Amou Tota Amou nt l Physi Year of nt Propo Time Name of Proj cal Amount Facility Approva Appro sed Line for the Location Work Details ect Progr approv Tyep l of ved in for Comple District Cost ess till ed Project 2012- 2013- tion (Lak date 13 14 (if hs) any) TS/A 2 Year 3.00 Labour Room, OT, Drug Bishrampu 12.0 S Surajpur CHC Store Cum Vaccin Storage 2012-13 9.00 3.00 r 0 proces Room & BSU s TS/A 2 Year 3.00 Labour Room, OT, Drug FRU 12.0 S Surajpur Surajpur Store Cum Vaccin Storage 2012-13 9.00 3.00 CHC 0 proces Room & BSU s 1152 Sub Total 864.00 288.00 288.00 .00
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Annexure 7c
Ongoing works approved for construction of Staff Quarters (2013-14) - District Hospitals
Amount Amount Type of Quarters Total Amount Time line Year of approved Approved District cost Proposed Progress of approval in 2012- for 2013- 2F 2G 2H approved in 2013-14 completion 13 14 TS/AS 109.515 Bijapur 3 4 5 2012-13 219.03 54.7575 109.515 3year process TS/AS 30.175 Bilaspur 1 1 1 2012-13 60.35 15.0875 30.175 3year process TS/AS 60.35 Dantewada 2 2 2 2012-13 120.7 30.175 60.35 3year process TS/AS 143.59 Dhamtari 4 6 5 2012-13 287.18 71.795 143.59 3year process TS/AS 273.64 Durg 4 20 6 2012-13 547.28 136.82 273.64 3year process TS/AS 150.88 Janjgir 4 4 10 2012-13 301.76 75.44 150.88 3year process TS/AS 30.175 Jashpur 1 1 1 2012-13 60.35 15.0875 30.175 3year process TS/AS 95.555 Kanker 3 3 4 2012-13 191.11 47.7775 95.555 3year process TS/AS 55.32 Kawardha 2 2 1 2012-13 110.64 27.66 55.32 3year process TS/AS 44.135 Korba 1 2 2 2012-13 88.27 22.0675 44.135 3year process TS/AS 90.525 Korea 3 3 3 2012-13 181.05 45.2625 90.525 3year process TS/AS 140.815 Mahasamund 5 5 3 2012-13 281.63 70.4075 140.815 3year process TS/AS 69.28 Narayanpur 2 3 2 2012-13 138.56 34.64 69.28 3year process
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TS/AS 0 Raigarh 0 0 0 2012-13 0 0 0 3year process TS/AS 60.35 Raipur 2 2 2 2012-13 120.7 30.175 60.35 3year process TS/AS 176.11 Rajnandgaon 10 1 1 2012-13 352.22 88.055 176.11 3year process TS/AS 176.025 Sarguja 5 5 10 2012-13 352.05 88.0125 176.025 3year process 17 DHs 52 64 58 3412.88 853.22 1706.44 1706.44
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Ongoing works approved for construction of Staff Quarters - CHCs
Type of Amount Amount Quarters Total Amount Time line Year of approved Approved District CHC cost Proposed Progress of approval in 2012- for 2013- 2F 2G 2H approved in 2013-14 completion 13 14
TS/AS Balod Balod 1 2 1 2012-13 78.21 19.5525 39.105 3year 39.105 process TS/AS Balod Gundrdehi 1 3 2 2012-13 106.13 26.5325 53.065 3year 53.065 process TS/AS Balod Gurur 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process Baloda TS/AS Bhatapara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process TS/AS Balrampur Rajpur 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Balrampur Wadrafnagar 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Balrampur Kusmi 0 0 2 2012-13 20.12 5.03 10.06 3year 10.06 process TS/AS Balrampur Shankargarh 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Balrampur Ramanujganj 0 0 2 2012-13 20.12 5.03 10.06 3year 10.06 process TS/AS Bastar Bakawand 1 2 2 2012-13 88.27 22.0675 44.135 3year 44.135 process TS/AS Bastar Darbha 1 3 3 2012-13 116.19 29.0475 58.095 3year 58.095 process TS/AS Bastar Badekilepal 0 2 1 2012-13 45.78 11.445 22.89 3year 22.89 process
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TS/AS Bastar Tokapal 0 2 0 2012-13 35.72 8.93 17.86 3year 17.86 process TS/AS Bastar Lohandiguda 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Bastar Nangoor 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Bemetara Bemetara 1 4 2 2012-13 123.99 30.9975 61.995 3year 61.995 process TS/AS Bemetara Berla 0 2 2 2012-13 55.84 13.96 27.92 3year 27.92 process TS/AS Bemetara Nawghar 0 2 2 2012-13 55.84 13.96 27.92 3year 27.92 process TS/AS Bemetara Saja 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Bemetara Thankhamriya 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Bijapur BHOPALPATNAM 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Bilaspur Bilha 1 0 0 2012-13 32.43 8.1075 16.215 3year 16.215 process TS/AS Bilaspur Gourella 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Bilaspur Masturi 1 0 2 2012-13 52.55 13.1375 26.275 3year 26.275 process TS/AS Bilaspur Takhatpur 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Bilaspur Marwahi 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Dantewada Geedam 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Dantewada Katekalyan 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Dantewada KUAKONDA 0 2 2 2012-13 55.84 13.96 27.92 3year 27.92 process TS/AS Dhamtari Kurud 1 0 1 2012-13 42.49 10.6225 21.245 3year 21.245 process
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TS/AS Dhamtari Nagari 1 2 2 2012-13 88.27 22.0675 44.135 3year 44.135 process TS/AS Dhamtari Magarload 1 2 2 2012-13 88.27 22.0675 44.135 3year 44.135 process TS/AS Dhamtari GUJRA 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Durg Dhamdha 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Durg Patan 0 1 0 2012-13 17.86 4.465 8.93 3year 8.93 process TS/AS Durg Jhait 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Gariyaband Gariaband 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Janjgir Baloda 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Janjgir Bamnidih 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Janjgir dabhara 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Janjgir Malkaroda 0 1 4 2012-13 58.1 14.525 29.05 3year 29.05 process TS/AS Jashpur Pharsabahar 1 2 1 2012-13 78.21 19.5525 39.105 3year 39.105 process TS/AS Jashpur Pathalgaon 1 3 1 2012-13 96.07 24.0175 48.035 3year 48.035 process TS/AS Jashpur Kansabel 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Jashpur Lodam 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Jashpur Duldula 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Kanker Charama 2 2 4 2012-13 140.82 35.205 70.41 3year 70.41 process TS/AS Kanker Bhanupratappur 2 4 4 2012-13 176.54 44.135 88.27 3year 88.27 process
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TS/AS Kanker Pakhanjur 2 2 4 2012-13 140.82 35.205 70.41 3year 70.41 process TS/AS Kanker Narharpur 0 1 8 2012-13 98.34 24.585 49.17 3year 49.17 process TS/AS Kanker Amoda 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Kanker Antagarh 0 2 4 2012-13 75.96 18.99 37.98 3year 37.98 process TS/AS Kanker Koilibeda 0 1 3 2012-13 48.04 12.01 24.02 3year 24.02 process TS/AS Kanker Durgukondal 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Kanker Dhanelikanhar 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Kawardha BODLA 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Kondagaon Keshkal 2 2 0 2012-13 100.58 25.145 50.29 3year 50.29 process TS/AS Kondagaon Pharasgaon 0 2 1 2012-13 45.78 11.445 22.89 3year 22.89 process TS/AS Kondagaon Vishrampuri 0 2 2 2012-13 55.84 13.96 27.92 3year 27.92 process TS/AS Kondagaon Makdi 0 2 1 2012-13 45.78 11.445 22.89 3year 22.89 process TS/AS Korba Katghora 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Korba Kartala 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Korba Pali 0 2 1 2012-13 45.78 11.445 22.89 3year 22.89 process TS/AS Korba PODIPODA 0 0 2 2012-13 20.12 5.03 10.06 3year 10.06 process TS/AS Korea Bharatpur 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Korea Manendragarh 1 2 2 2012-13 88.27 22.0675 44.135 3year 44.135 process
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TS/AS Korea patana 0 1 5 2012-13 68.16 17.04 34.08 3year 34.08 process TS/AS Korea sontat 0 1 3 2012-13 48.04 12.01 24.02 3year 24.02 process TS/AS Korea khadeguwa 0 1 5 2012-13 68.16 17.04 34.08 3year 34.08 process TS/AS Mahasamund Bagbahra 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Mahasamund Pithora 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Mahasamund Saraypali 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Mahasamund BASANA 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Mungeli Lormi 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Mungeli Mungeli 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Mungeli Pathariya 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Narayanpur ORCHA 0 2 1 2012-13 45.78 11.445 22.89 3year 22.89 process TS/AS Raigarh Sarangarh 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Raigarh Gharghoda 0 1 0 2012-13 17.86 4.465 8.93 3year 8.93 process TS/AS Raigarh Lailunga 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Raigarh BARAMKELA 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Raigarh LOING 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Raigarh PUSORE 0 1 4 2012-13 58.1 14.525 29.05 3year 29.05 process TS/AS Raigarh TAMNAR 0 1 4 2012-13 58.1 14.525 29.05 3year 29.05 process
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TS/AS Raigarh VIJAYRNAGA 0 1 4 2012-13 58.1 14.525 29.05 3year 29.05 process TS/AS Raipur Abhanpur 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Raipur Tilda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon Dongargarh 1 2 1 2012-13 78.21 19.5525 39.105 3year 39.105 process TS/AS Rajnandgaon Churiya 1 2 1 2012-13 78.21 19.5525 39.105 3year 39.105 process TS/AS Rajnandgaon Mohala 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Rajnandgaon Chuikhadan 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Rajnandgaon Dongargaon 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Rajnandgaon Gandai 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process TS/AS Sarguja Udaypur 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Sarguja Sitapur 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Sarguja Mainapt 0 1 1 2012-13 27.92 6.98 13.96 3year 13.96 process TS/AS Sarguja Dhourpur 0 1 4 2012-13 58.1 14.525 29.05 3year 29.05 process TS/AS Sarguja Bhafouli 0 1 4 2012-13 58.1 14.525 29.05 3year 29.05 process TS/AS Sarguja Lakhanpur 0 1 3 2012-13 48.04 12.01 24.02 3year 24.02 process TS/AS Sukma Sukma 2 2 2 2012-13 120.7 30.175 60.35 3year 60.35 process TS/AS Surajpur Ramanujnagar 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process TS/AS Surajpur Surajpur 1 1 1 2012-13 60.35 15.0875 30.175 3year 30.175 process
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TS/AS Surajpur Odgi 0 0 3 2012-13 30.18 7.545 15.09 3year 15.09 process TS/AS Surajpur Bhaiyathan 0 2 0 2012-13 35.72 8.93 17.86 3year 17.86 process TS/AS Surajpur Premnagar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur Praptappur 0 0 2 2012-13 20.12 5.03 10.06 3year 10.06 process TS/AS Surajpur Bishrampur 0 1 2 2012-13 37.98 9.495 18.99 3year 18.99 process Total 107 CHCs 45 131 190 5710.41 1427.6025 2855.205 2855.205
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Ongoing works approved for construction of Staff Quarters - 24x7 PHCs
Type of Amount Amount Total Amount Time line Quarters Year of approved Approved District CHC cost Proposed Progress of approval in 2012- for 2013- 2F 2G 2H approved in 2013-14 completion 13 14 TS/AS Balod Surdongar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Balod Mahod B 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Balod Palari 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process Baloda TS/AS Katgi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process Baloda TS/AS Odan 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process Baloda TS/AS Suhela 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process Baloda TS/AS Rohara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process Baloda TS/AS Barpali 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process Baloda TS/AS Hathband 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Bazar process TS/AS Balrampur PHC Dumarkhola 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Balrampur Raghunathnagar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Balrampur Bartikala 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Balrampur Bartikala 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Bastar Bastar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bastar manganar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bastar Mardam 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bastar Ghotia 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bemetara Sambalpur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bijapur Madded 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bijapur Kutaru 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bijapur Awapalli(Pusgudi) 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bijapur Cherpal 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bijapur Nelasnar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bilaspur FRU Sanatorium 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bilaspur Junapara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bilaspur Pondi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Bilaspur Chhapora 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dantewada Barsur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dhamtari Karelibadi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dhamtari Belargaon 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Dhamtari Sirri 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dhamtari Megha 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dhamtari Sihawa 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dhamtari Jijamgaon 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Dhamtari Nari 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Durg Patan 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Durg Bori 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Durg Gudali 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Gariyaband Amlipadar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Gariyaband Urmal 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Gariyaband Jhargaon 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Gariyaband Kondkera 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Gariyaband Kopra 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Janjgir Pamgarh 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Janjgir Kurda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Janjgir Nariyara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Kotba 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Jashpur Bhelwa 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Arra 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Kilkila 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Surangpani 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Tapkara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Bagbahar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Pandrapath 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Jashpur Kersai 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Sarona 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Basanwahi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Halba 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Korar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Bande 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Kotatara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Haradula 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker bhanbeda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Kewti 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Kanker kodekurse 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kanker Kurenar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kawardha Udiya kala 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kawardha Pondi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kawardha Indouri 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kawardha Bamhni 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kawardha Kunda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kondagaon Banskot 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kondagaon Chhipwand 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kondagaon Dahikonda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Kondagaon Mardapal 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Bhaisma 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Tuman 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Pasan 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Rampur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Utarda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Haldibazar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Korba Chaitma 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Bhilaibazar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korba Chhuri 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korea Katgodi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korea Pondi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korea Kotadol 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Korea Patna 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Jhalap 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Patewa 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Pirda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Baroli 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Birkoni 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Khallari 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Mungaser 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Chanat 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Baloda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Mahasamund Patsendri 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Mungeli Jarhagaon 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Narayanpur Orchcha 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Narayanpur Narayanpur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Narayanpur Chhotedongar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh LENDHRA 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh CHHAL 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh HATI 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh SISARINGA 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh SARWANI 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh NAURANGPUR 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh DUMARPALI 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh JAMGAON 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh BHEDWAN 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raigarh GODAM 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raipur Riwa 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raipur Mandir Hasoud 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raipur Bangoli 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Raipur Kharora 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Raipur Chandkhuri 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Bharritola 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Khadgaon 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Gotatola 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Chilhati 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Kaudikasa 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Umarwahi 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Murmunda 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-L.B.Nagar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Aujuni 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Aasra 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Tappa 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Tumdibod 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Salhebara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC Gandai 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Rajnandgaon PHC-Padadah 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
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TS/AS Sarguja PHC Bhafouli 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Sarguja PHC Gumgara 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Sukma Gadiras 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Sukma Dornapal 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Batra 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Bhatgaon 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Salka 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Biharpur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Silota 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Songra 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process
PHC Umeshwar TS/AS Surajpur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 Pur process
TS/AS Surajpur PHC Devnagar 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Ganehspur 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Basdei 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process TS/AS Surajpur PHC Latori 0 0 1 2012-13 10.06 2.515 5.03 3year 5.03 process Total 147 PHCs 0 0 147 0 1478.82 369.705 739.41 0 0 739.41
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Annexure 7d Approved Ongoing Construction of MCH Clinics for 2013-14 (Rupees in Lakhs) Amount Amount Amount Total Bed Year of Approved proposed Time line Approved District Location Facility Cost Progress for Strength Approval in 2012- for 2013- for 2013- Approved completion 13 14 14 Site Balod Balod DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Baloda Bazar Baloda Bazar DH 50 bedded 2012-13 900 180 90 4 year 90 selecton Site Balrampur Balrampur DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Bemetara Bemetara DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Bilaspur Bilaspur DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Durg Durg DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Gariyabandh Gariyabandh DH 50 bedded 2012-13 900 180 90 4 year 90 selecton Site Kanker Kanker DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Kondagaon Kondagaon DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Mungeli Mungeli DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Raigarh Raigarh DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Rajnandgaon Rajnandgaon DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Sukma Sukma DH 50 bedded 2012-13 900 180 90 4 year 90 selecton Site Surajpur Surajpur DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton
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Site Surguja Surguja DH 100 bedded 2012-13 1500 300 150 4 year 150 selecton Site Kanker Pankhanjur CH 50 bedded 2012-13 900 135 135 4 year 135 selecton Site Dantewada Gidam CHC 50 bedded 2012-13 900 135 135 4 year 135 selecton Site Durg Navagarh CHC 50 bedded 2012-13 900 135 135 4 year 135 selecton Site Jashpur Kansabel CHC 50 bedded 2012-13 900 135 135 4 year 135 selecton Site Mahasamund Pithora CHC 50 bedded 2012-13 900 135 135 4 year 135 selecton Site Kawardha Pandariya CHC 50 bedded 2012-13 900 135 135 4 year 135 selecton Site Surajpur Bhaiyathan CHC 50 bedded 2012-13 900 135 135 4 year 135 selecton FRU Site Balrampur Rajpur 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Bastar Bakawand 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Bilaspur Bilha 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Bilaspur Gorela 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Bilaspur Lormi 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Dhamtari Nagari 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Janjgir Sakti 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Jashpur Patthalgaon 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Korba Gharghoda 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Koriya Bharatpur 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton
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FRU Site Koriya Manendragarh 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Raigarh Lailunga 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton FRU Site Surguja Sitapur 50 bedded 2012-13 900 135 135 4 year 135 CHC selecton MCH Sub Total 38700 6840 4770 4770 Clinic-35
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