National Health Mission Madhya Pradesh Invites Financial Proposal from Specialists for Operationalization of Identified Government Health Institutions as First Referral Unit/Comprehensive Emergency Obstetric and Neonatal Care Centre (CEmONC) INTRODUCTION 148 health facilities (51 DH, 42 CH, 55 CHC) have been designated as Comprehensive Emergency Obstetric and Neonatal Care (CEmONC). Operationalization of Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) facilities are very essential for reducing maternal and neonatal mortality. By hiring specialists these identified institutions will be operationalized for providing round the clock services. Specialists (Gynaecologist, Paediatrician, Radiologist and Anaesthetist) and EmOC & LSAS trained doctors shall quote their desired fee for their services for operationalization of non functional Comprehensive Emergency Obstetric and Neonatal Care (CEmONC) facilities. OBJECTIVE • Operationalization of existing Non Functional CEmONC facilities having functional operation theatre into a functional CEmONC facility. • Ensuring availability of Ultrasonography Services. ELIGIBILITY CRETERIA o Specialists and PGMOs (Regular or Bonded) or Emergency Obstetric Care (EmOC) and Life Saving Anaesthesia Skills (LSAS) trained Medical Officers working under Department of Public Health & Family Welfare, Madhya Pradesh OR o Specialists working on Contractual basis under National Health Mission, Madhya Pradesh OR o Private Sector Specialists Age limit – upto 62 years Identified health institutions for inviting proposal from gynaecologist, anaesthetist and paediatrician S.No. District Name Block Facility 1 Singrauli Baidhan DH 2 Alirajpur Alirajpur DH 3 Dindori Dindori DH S.No. District Name Block Facility 4 Sidhi Sidhi DH 5 Tikamgarh Tikamgarh DH 6 Mandla Mandla DH 7 Agar Agar DH 8 Ashoknagar Ashoknagar DH 9 Rajgarh Rajgarh DH 10 Chhindwada Sausar CH 11 Mandla Nainpur CH 12 Raisen Begamganj CH 13 Vidisha Sironj CH 14 Ujjain Nagda CH 15 Khargone Sanawad CH 16 Rajgarh Narsinghgarh CH 17 Alirajpur Jobat CHC 18 Balaghat Katangi CHC 19 Betul Multai CHC 20 Chhatarpur Badamalehra CHC 21 Guna Raghogarh CHC 22 Jhabua Thandla CHC 23 Neemuch Manasa CHC 24 Sagar Deori CHC 25 Umaria Pali CHC 26 Sehore Nasrullaganj CHC 27 Rewa Sirmour CHC 28 Katni Vijayraghogarh CHC 29 Agar Susner CHC 30 Anuppur Pushprajgarh CHC 31 Ashoknagar Chanderi CHC 32 Bhind Gohad CHC 33 Dewas Bagli CHC 34 Dhar Dhamnod CHC 35 Jabalpur Shahpura CHC 36 Mandsaur Garoth CHC 37 Raisen Bareli CHC 38 Ratlam Bajna CHC 39 Satna Amarpatan CHC Identified health institutions for inviting proposal from Radiologist S.No. District Name Name of Facility Type of Facility 1 Hoshangabad Hoshangabad DH 2 Rajgarh Rajgarh DH 3 Burhanpur Burhanpur DH 4 Khandwa Khandwa DH 5 Dindori Dindori DH 6 Seoni Seoni DH 7 Chhatarpur Chhatarpur DH 8 Damoh Damoh DH 9 Panna Panna DH 10 Tikamgarh Tikamgarh DH 11 Agar Agar DH 12 Rewa Rewa DH 13 Satna Satna DH 14 Sidhi Sidhi DH 15 Singrauli Singrauli DH 16 Bhopal Bairagh CH 17 Bhopal KNK CH 18 Vidisha Ganjbasoda CH 19 Hoshangabad JSR Itarsi CH 20 Indore MHOW CH 21 Indore P.C Sethi Sanyogitaganj CH 22 Khargone Sanawad CH 23 Narsinghpur GADARWADA CH 24 Mandsaur Garoth CH 25 Ratlam Jaora CH 26 Shajapur Shujalpur CH 27 Ujjain Nagda CH 28 Ujjain Badnagar CH 29 Bhopal Berasia CHC 30 Dhar Dhamnod CHC 31 Indore Hukumchand Poly Clinic CHC 32 Indore Depalpur CHC 33 Alirajpur Jobat CHC 34 Jhabua Petlawad CHC 35 Chhindwara Sausar CHC 36 Badwani Pati CHC TERMS AND CONDITIONS • Eligible specialists can apply for serving in the identified institution on desired fee per month. • Individual financial proposals from specialist will only be processed when proposal of both Gynaecologist and Anaesthetist are received for a particular facility so that the facility can be made functional. • Specialists (Gynaecologist, Paediatrician, Radiologist and Anaesthetist), Emergency Obstetric Care & Life Saving Anaesthesia Skills trained doctors, specialists working under NHM and on Bond already working in the facility may participate in the process for the same facility in which they are posted or other identified facilities. • Specialists will neither be allowed private practice nor can provide their services in private institutions. • Spouse (medical doctor) of specialist will be considered for the post of Medical Officer at the same facility. • Specialist opting a facility will have to sign a contract agreement, which would be renewed annually. • Specialists can also apply by forming a team i.e. gynaecologist, anaesthetist (or) gynaecologist/anaesthetist/paediatrician. • Services of specialists from private sector will not be utilized for Medico Legal Case Examination and Post Mortem. • Specialist can also provide their services in other government CEmONC facilities on hiring basis as per norms approved in NHM PIP. • Specialist will work under the supervision of facility incharge. • Specialist will submit his/her performance report to CMHO through Facility Incharge and to Civil Surgeon (in case of DH) on monthly basis, based on which their desired fee will be processed for payment. • Final decision on selection of specialist for a particular facility will be taken by National Health Mission, Department of Health and Family Welfare. The final decision shall be binding on the applicant. • Specialists can quote his/her desired fee for a maximum of five facilities. If a specialist has dual degree he/she can apply for only one specialty. • The specialist not abiding the rules for online application will not be considered. • The specialist will have to reside at the place of posting 24*7 mandatorily. • Financial proposal of specialists already working with the Department of Public Health & Family Welfare will not be considered if facility in which they are posted gets vacant in case he/she opts for other facility. PACKAGE OF SERVICES TO BE OFFERED BY THE GYNAECOLOGIST • Round the clock management of complicated deliveries • Assisted vaginal deliveries • Capacity building of Medical Officers, Staff Nurses & Auxillary Nurse Midwifes on essential obstetric care and other Maternal Health services • Safe abortion services • Round the clock availability of c-section facilities for all indicated cases (The World Health Organization recommends an average of no more than 10-15% of births by c- section, for optimal maternal and neonatal outcomes) • Hysterectomy and other gynaecological surgeries in indicated cases • Administration of Inj. iron sucrose and blood transfusion in indicated cases • Ultrasonography services in case specialist is trained in ultrasound • Post partum, conventional and laparoscopic sterilization operations • Maternal Death Review • Gynaecologist & Obstetric OPD and IPD services • Any other work assigned by State office. PACKAGE OF SERVICES TO BE OFFERED BY THE ANAESTHETIST • Round the clock availability of c-section facilities for all indicated cases • Hysterectomy and other gynaecological surgeries in indicated cases • Family planning operations • As an intensivist in management of critical cases • OPD and IPD services • Any other work assigned by State office. PACKAGE OF SERVICES TO BE OFFERED BY THE PEDIATRICIAN • Round the clock management of paediatric Indoor patient department, Sick New Born Care Unit (SNCU), Paediatric Intensive Care Unit (PICU), Nutritional Rehabilitation Centre (NRC). • Technical support in District Early Intervention Centres (DEIC) & Rashtriye Bal Swasthya Karyakram (RBSK) Team. • Support staff Capacity building in Emergency Triage & Treatment (E-TAT), Kangaroo Mother Care (KMC). • Participation in Child Health Training & Child Death Review • Mentoring and monitoring of Facility Integrated Management of Neonatal & Childhood Illnesses (F-IMNCI), Newborn Stabilization Unit (NBSU), Newborn Care Corner (NBCC), Nutritional Rehabilitation Centre (NRC) and Pediatric ward Medical Officer/Staff at sub district facility. • Pediatric OPD and IPD services. • Any other work assigned by State office. PACKAGE OF SERVICES TO BE OFFERED BY THE RADIOLOGIST • Availability of ultrasonography services from 9am to 5pm (60 per day) • Availability of USG services in emergency hours as and when required. • Routine/emergency obstetric USG for fetal well being and anomaly scan/Target scan • USG in other indicated medical, surgical & gynaecological cases. • Any other work assigned by State office. TERMINATION OF AGREEMENT • In case specialists are not providing services at the facility the agreement of the specialists can be terminated immediately by giving one month notice period. • In case, if specialist does not want to continue with the agreement, he/she has to give prior notice of three months or can deposit the amount equivalent to three months fee. HOW TO APPLY • Logon to NHM website www.nhmmp.gov.in from 8th Jan. to 31th Jan. 2018 for online application and uploading of required documents. • The selected specialists will receive registration number after approval of candidature by the department (which will be displayed on the website). He/she will then be eligible to quote his/her desired fee from 6th Feb. to 10th Feb. 2018. The final selection of the specialists would be uploaded on the website. .