PIP 2013-14-ROP - Department of Health & Family Welfare, Punjab ...

Ministry of Health and Family Welfare Government of India

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN 201314: PUNJAB

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 area and introduction of Score Cards, JSSK has made further inroads, RBSK has been initiated and the 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 public health but has remained on the backburner for some time. FY 2013-14 should be “dedicated to strengthening of the nursing cadre”. I would urge you to fill up all the 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 the HMIS and MCTS is the 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

No. 10(20)/2013-NRHM-1 Government of India Ministry of Health and Family Welfare (National Rural Health Mission) Nirman Bhavan, New Delhi Dated: 10 May 2013

The Mission Director (NRHM), Department of Health & Family Welfare, Room No. 1, 5th Floor, Prayas Building, Dakshin Marg, Sector 38-B, Chandigarh - 160036, Punjab Sub: Approval of NRHM State Programme Implementation Plan for the year 2013-14 Sir, 1.

2.

This refers to the Programme Implementation Plan (PIP) for the year 2013-14 submitted by the State of Punjab and subsequent discussions in the NPCC meeting held on April 17th 2013 at New Delhi. Against a resource envelope of Rs 474.24 crores, the administrative approval of the PIP for your State is conveyed for an amount of Rs 361.08 crores. Details are provided in Table A, B and C below.

TABLE-A

GOI Resource Envelope for 2013-14 under NRHM (assuming no reduction on account of conditionalities) Assuming 10% incentive based on performance

Rs. Crores 284.99 31.66

Total GoI Support

316.66

25% State Share (2013-14)

105.55

Uncommitted unspent balance available under NRHM as on 01.04.2013 Total Resource Envelope

52.03 474.24

TABLE-B S.No. Name of Programme

1

(a) RCH Flexible Pool

2

Mission Flexible Pool

3

Immunization and PPI Operational Cost Total(1+2+3)

Uncommitted GoI Unspent Allocation Balance as on 2013-14 1.4.2013

(Rs. Crores) Proportionate Total State Share (25 % of GoI allocation )

(b)

(d)

(c)

e=(b+c+d) 30.58 160.68

38.35

91.75

13.68

103.73

34.58

151.99

11.61

3.87

15.48

207.09

69.03

328.15

52.03

4

IDSP

2.00

0.67

2.67

5

NVBDCP

2.96

0.99

3.95

6

NLEP

1.75

0.58

2.33

7

RNTCP

12.05

4.02

16.07

8

NIDDCP* Total(4 to 8) Infrastructure Maintenance (Treasury Route)* *State share against treasury route transfers Grand Total-(1 to 10)

0.24 19.00 90.57

6.25 -

0.24 25.25 90.57

30.27

30.27

105.55

474.24

9

10

-

52.03

316.66

Committed Unspent balance up to 2012-13 to be revalidated in 2013-14

283.19 crore

* The State share against the treasury route transfers needs to be contributed in to the account of the State Health Society and may be utilized by the State as per their prerogative.

TABLE-C SUMMARY OF APPROVAL Sr. Scheme /Programme No

Amount Approved (Rs. Crores)

Annex ref

1

RCH Flexible Pool

92.25

1

2

Mission Flexible Pool

135.30

2

3

Immunization and PPI operation cost

20.56

3

4 5

NIDDCP IDSP

0.24 3.04

4A 4B

6 7 8

NVBDCP NLEP RNTCP

2.96 2.29 13.88

4C 4D 4E

9

Infrastructure maintenance (Treasury route)

90.57

Total

361.08

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 budgets 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 State shall not make any change in the names of the National initiatives such as Janani Shishu Suraksha Karyakram, Rashtriya Bal Swasthya Karyakram etc. 8. 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 9. 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 10. 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. 11. The State shall not make any change in allocation among different budget heads without approval of GoI. 12. 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. 13. 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

(Preeti Pant) Director (NRHM)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14: PUNJAB CONTENTS SUMMARY State specific goals Key conditionalities and incentives Finance: key issues and guiding principles Road map for priority action Approved budget (by program and function) REPRODUCTIVE AND CHILD HEALTH Maternal Health Child Health, RBSK (SHP) & Immunization Family Planning Adolescent Health Urban RCH PC-PNDT Human Resources and Program Management MISSION FLEXI POOL ASHA Untied funds/RKS/AMG New constructions/ renovation and setting up Procurement Referral Transport AYUSH IEC / BCC Monitoring and evaluation (HMIS) Others NATIONAL DISEASE CONTROL PROGRAMMES National Iodine Deficiency Disorders Control Programme (NIDDCP) Integrated Disease Surveillance Programme(IDSP) National Vector Borne Disease Control Programme (NVBDCP) National Leprosy Eradication Programme (NLEP) Revised National Tuberculosis Control Programme (RNTCP) Annexure

Annex (Detailed budgets) 1. RCH Flexible Pool

1.A Programme Management 2. Mission Flexible pool 2.A Other ASHA Incentives 3. Immunization and PPI Operation Cost 4A National Iodine Deficiency Disorders Control Programme (NIDDCP) 4B Integrated Disease Surveillance Programme (IDSP)

PAGE NO. 1 4 7 9 15 21 37 56 66 72 76 80 98 106 109 111 116 117 121 124 135 145 148 151 162 166 171

4C National Vector Borne Disease Control Programme (NVBDCP) 4D National Leprosy Eradication Programme (NLEP)

4E Revised National Tuberculosis Control Programme (RNTCP)

SUMMARY

STATE-SPECIFIC GOALS Punjab’s MMR at 172 (SRS 2007-09) has improved from 192 (SRS 2004-06), while the IMR at 30 (SRS 2011) has decreased from 38 (SRS 2008). TFR has also decreased from 1.9 (SRS 2008) to 1.8 (SRS 2011).The following are the agreed goals and service delivery targets for the State of Punjab:

Indicator

CURRENT India

Punjab

CAD (%) India

Punjab State Targets

Punjab

2013-14

2014-15

-3.6

105

95

Target for CAD (%) 12th Plan

Maternal Health MMR (SRS 07-09)

212

172

-5.8

78

-9.4

U5MR (SRS 2011)

55

38

-7.3

-8.1

30

26

20

-11.8

IMR (SRS 2011)

44

30

-6.0

-9.9

23

20

16

-11.8

NMR (SRS 2011)

31

24

-4.0

-5.0

19

17

13

-11.8

2.4

1.8

Child Health

Family Planning TFR (SRS 2011)

-2.6

-1.8

To maintain same level

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.

Administrative Approval of State PIP 2013-14: Punjab

Page - 1 -

SERVICE DELIVERY TARGETS Indicators

DLHS-2 DLHS-3 (2002- (200704) 08)

Maternal Health ANCs registered within first trimester

State Targets 2013-14

-

-

48.9%

63.3%

21.8%

Caesarean Section rate in public health facilities

NA

NA

NA

29969 (15 %)

Line listing and follow up of Severely Anaemic pregnant women

NA

NA

NA

5381

79.95

83.60%

95%

Deliveries facilities*

taking

place

in

-

CES (2009)

public

Child Health 72.9%

Full Immunisation (%)

417908.4 (83%) 199793 (44 %)

New borns visited by ASHA (as per HBNC guidelines)

NA

NA

NA

203646 (70%) Live Birth

Line listing and follow up of Low Birth Weight babies

NA

NA

NA

17310 (70%)

Percentage of SNCUs admitting at least 6 babies per month per bed

NA

NA

NA

80%

62759 (HMIS 2011-12)

85000

Family Planning 30.5% 32.6%

Female sterilisations

Post-Partum sterilizations

NA

NA

3497 (HMIS 2011-12)

7500

Male sterilisations

0.8%

0.6%

8267 (HMIS 2011-12)

22000

IUD insertions

5.5%

6.2%

225844 (HMIS 2011-12)

290000

Disease Control ABER for malaria (%) API for malaria (per 1000 Population) Administrative Approval of State PIP 2013-14: Punjab

>12% Six Visits in the Case of Institutional Delivery (Days 3rd, 7th,14th, 21st, 28 th& 42nd) >Seven visits in the case of Home Deliveries (Days 1st, 3rd, 7th,14th, 21st, 28 th& 42nd)

Physical target

Establishing New Born Stabilization Units in 28 Institutions including remaining 15 SDHs and CHCs conducting more than 50 deliveries

Amount Proposed (Rs in Lakhs)

Amount Approved (Rs in Lakhs)

REMARKS

22

245000

53.9

53.9

22

245000

53.9

53.9 Approved

120000

250

300

300 Approved. Ongoing Activity

4 For ensuring that Rs. Low Birth Weight 200/infants ( > 2.5 kg) per case to gain 2 kg weight in first three months B16. Procurement of 33 1.2 equipment: CH B16. 1.2.1

Unit Cost ( Rs)

28

30000

60.00

157500 0

211

575000

161

Adminstrative Approval of State PIP 2013-14: Punjab

60.00 Approved

161 New Activity. Approved.

Page - 47 -

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)



REMARKS

PM

B16. 1.2.2 B16. 1.2.3 B.16. 2.2 B.16. 2.2.1

B.16. 2.2.2 B.16. 2.2.3

B.16. 2.2.4

Procurement of Equipment for 10 SNCUs Procurement of equipments for NRCs Drugs & supplies for CH Supplies and drugs for 5 Nutritional Rehablitation Centres Supply of 10 lakh zinc sulphate tablets Supply of 90000 boltel of vitamin solution with 100ml pack IFA tablet to children

5

100000 0

50

2082846 7 5

780052

113.16

780000

39

1000000

0.17

1.7

1.7 New Activity. Approved.

90000

52

46.8


1973846 2

0.13

25.66

Grand Total Child Health

0 New Activity. Not Approved. 74.16 0 New Activity. Not Approved.

25.66 New Activity. Approved. State needs to budget for IFA syrup and forward required budget in supplementary PIP 1077.71

RBSK


Page - 48 -

FMR Code

A.4.2

BUDGET HEAD

Physic al target

Unit Cost ( Rs)

Amou nt Propo sed (Rs in Lakhs)

Amo unt Appr oved (Rs in Lakhs ) 729.83 0.00

School Health programme Prepare detailed operational plan for School Health Programme across districts (cost of plan meeting should be kept) Mobility support

286

240000

343.20

Other strategies for school health Individual Compliance Cards 47 Lakhs

472029 0 470000 0

210003

361.63

1

58.75

A.4.2.5. 3 A.4.2.5. 5

Other IEC Material Snellen Charts Complicated Disease among the children and adolescents i.e. RHD,CHD, Thalassemia etc

20000

2

0.38

140

125000

175.00

A.4.2.5. 6

Complicated Disease among the children and adolescents i.e. Cancer, Cleft palate & Juvenile diabetics Grand Total RBSK

150

85000

127.50

A.4.2.2

A.4.2.3

A.4.2.5 A.4.2.5. 1

25.00

729.83

REMARKS

0.00 Not approved as lumpsum amount proposed by State

0.00 Not approved. State has not proposed any teams hence its mobility support cannot be justified. 0.00 0.00 Not approved. Individual compliance card is part of WIFS and not RBSK. 0.00 Not approved. Snellen's chart is not an IEC component. 0.00 Not approved since details of RBSK implementation is not specified by the State. The attached proposal annexure includes only three diseases while RBSK covers 30 health conditions. 0.00 APPROVAL PENDED. To be submitted as part of the RBSK program.

0.00

BUDGET: IMMUNIZATION


Page - 49 -

FMR Code

BUDGET HEAD

Unit Cost

Amount Quantit Propose y/ d (Rs in Target Lakhs)

Amount Approve d (Rs in Lakhs)

Remarks

Mobility Support for supervision for district level officers.

Rs.2,50,000/ Year /district level officers.

22.00

55.00

55.00

Approved

c.1.b

Mobility support for supervision at state level

Rs. 150000 per year.

1.00

1.50

1.50

Approved

c.1.c

Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

Rs. 10 beneficiaries

576000 .00

57.60

57.60

Approved

c.1.d

Support for Quarterly State level review meetings of district officer

4.00

3.00

3.00

Approved. State to share the meeting notice and minutes with MOHFW .

c.1.e

Quarterly review meetings exclusive for RI at district level with one Block MOs, CDPO, and other stake holders

Rs. 1250/ per participant/day for 3 persons (CMO/DIO/Dist Cold Chain Officer) Rs. 100/per participant for meeting expenses for 5 persons (lunch, Organization expenses)

88.00

1.76

1.76


C.1 c.1.a


Page - 50 -

FMR Code

BUDGET HEAD

Unit Cost



Remarks

c.1.f

Quarterly review meetings exclusive for RI at block level

Rs. 50/ per person as honorarium for ASHA (Travel) and Rs. 25/person at the disposal of MOIC for meeting expenses (refreshment, stationary and misc. expenses)

688.00

30.96

30.96


c.1.g

Focus on slum & underserved areas in urban areas/alternative vaccinator for slums

544.00

11.42

11.42

Approved.

c.1.h

Mobilization of children through ASHA or other mobilizers Alternative vaccine delivery in hard to reach areas

Hiring of ANM@450/sessi on for four session/month/s lum of 10000 population and Rs. 300/- per month as contingency per slum i.e. Rs. 2100/- per month per slum of 10000 population Rs. 150 per session

191017 .00

286.53

286.53

Approved.

0.00

0.00

c.1.i

c.1.j

c.1.k

Alternative Vaccine Delivery in other areas To develop microplan at subcentre level

Rs. 150 per session Rs. 75 per session

181921 .00

136.44

136.44

Approved.

@ Rs 100/- per subcentre

2950.0 0

2.95

2.95

Approved.


Page - 51 -

FMR Code

BUDGET HEAD

Unit Cost



Remarks

c.1.l

For consolidation of microplans at block level

194.00

2.13

2.13

Approved.

c.1.m

POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs. 1000 per block/ PHC and Rs. 2000 per district Rs1,50,000/ district/year

22.00

33.00

33.00

Approved.

c.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ month/ district

22.00

1.06

1.06

Approved.

c.1.o

Red/Black plastic bags etc.

Rs. 3/bags/session

191017 .00

5.73

5.73

Approved.

Hub Cutter/Bleach/Hypoc hlorite solution/ Twin bucket c.1.q Safety Pits c.1.u JE Campaign Operational Cost c.1.v Others C.1-Sub Total C.2 C.2.1 Computer Assistants support for State level

Rs. 1200 per PHC/CHC per year

575.00

6.90

6.90

Approved.

0.00 0.00

0.00 5.00

Approved.

0.00 635.98

0.00 640.98

Rs.12000-15000 per person per month

1.00

1.44

0.75

C.2.2

8000-10000 per person per month

22.00

c.1.p

Computer Assistants support for District level

Rs. 5250/pit


* Salary is for 6 months * State to provide details of total sanctioned posts, filled up and vacancy. 31.68

13.20 * Salary is for 6 months * State to provide details of total sanctioned posts, filled up and Page - 52 -

FMR Code

BUDGET HEAD

Unit Cost



Remarks

vacancy. C.2.3

Others(service delivery staff)

C.2-Sub Total C.3 C.3.1 District level As per revised Orientation training norms for including Hep B, trainings under Measles & RCH JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse MidWives, BEEs & other staff ( as per RCH norms) C.3.2 Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module) C.3.3 One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats


9.00

42.00

9.72

0.00

42.84

13.95

0.00

0.00

0.00

0.00

0.42

0.42

Approval Shifted to Part A FMR A.8

Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division.

Page - 53 -

FMR Code

BUDGET HEAD

Unit Cost


C.3.4

Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers

0.00

0.00

One day training of block level data handlers by DIOs and District cold chain officer C.3.6 Others C.3-Sub Total C.4 Cold chain maintenance

0.00

0.00

0.00 0.42 25.73

0.00 0.42 7.61

693.00

693.00

C.3.5

C.5

ASHA incentive for full Immunization


Rs.750/PHC/CHC s per year District Rs.15000/year

Rs 100 per child for full immunization in first year

462000 .00

Remarks

Approved as per norms, However, the expenditure has to be as per actuals. Also, in case the expenditure exceeds the approved allocation , the state may request to MOHFW for additional allocation by reappropriating within part C. Approved.

Rs 50 per child for ensuring complete immunization upto 2nd year of age Administrative Approval of State PIP 2013-14: Punjab

Page - 54 -

FMR Code

C.6

BUDGET HEAD

Unit Cost

Total ROUTINE IMMUNIZATION Pulse Polio Operational Cost (Tentative) Total




1397.97

1355.96

1000.00

700.34

2397.97

2056.30

1.00

Remarks

Approved.

Page - 55 -

FAMILY PLANNING


Page - 56 -

PUNJAB: Projections & Conditionality (2013-14): Projection of Key Indicators (2013-14): Projection of Key Indicators (2013-14): SN. Indicator Current Status 1 Goal Indicators: 1.1 Total Fertility Rate 1.8 (SRS 2011) (TFR) 1.2 Contraceptive 62.9 (DLHS-3) Prevalence Rate (CPR) 1.3 2 2.1

Unmet Need Service delivery: IUCD - Total

2.2

Post-partum IUCD (subset of IUCD-total)

2.3

Female Sterilisation

2.4

Post-partum sterilisation (subset of tubectomy) 2.5 Male sterilisation Total Sterilization 3 3.1 3.1.1

Maintain TFR level 73.0

77.0

80.0

11.9 (DLHS-3)

9.0

8.0

7.0

6.0

225844 (HMIS 2011-12)

290000

305000

315000

325000

49948

25% of the Public Health Institution Deliveries of that year

62759 (HMIS 2011-12)

85000

90000

95000

100000

3497 (HMIS 2011-12)

7500

10000

15000

20000

8267 (HMIS 2011-12)

22000

24000

26000

28000

71026 (HMIS 2011-12)

107000

114000

121000

128000

All SHC

All SHC

All SHC

All SHC

Weekly @ PHC + CHC DH + 1 SDH/ FRU per dist DH + 1 SDH/ FRU per dist

Weekly @ PHC + CHC DH + all FRU per dist

Weekly @ PHC + CHC

Weekly @ PHC + CHC

DH + all FRU + 25% PHC per dist

DH + all FRU + 50% PHC per dist

DH + all FRU per dist


Input/ facility operationalization: Fixed Day service delivery: IUCD

Daily at DH, SDH, CHC

3.2

2016-17

70.0

Twice weekly at SC

3.1.2

2013-14

Target/ ELA 2014-15 2015-16

Sterilisation

Appointment of FP counsellors

23 DH,35 SDH and 114 CHCs Not Available

26 FP counsellors



Page - 57 -

Conditionality for 2013-14: Family Planning:

SN.

1

Indicator

Target/ ELA - 201314

Minimum Level of Achievement By end of By end of March Sep. 2013 2014

Goal (target): Maintain TFR level

NA

NA

290000 49948 240052 107000 85000

116000 19979 96021 32100 25500

261000 44953 216047 85600 68000

7500

2250

6000

22000

6600

17600

140 44 96 800

800 30 20 30

35 11 24 200 0 0 200 8 5 8

105 33 72 600 0 0 600 23 15 23

26 FP counsellors

Review & Reporting

Review & Reporting

4.2

Regular reporting of the scheme of “home delivery of contraceptives by ASHAs” from pilot states

Regular reporting

Regular reporting

Regular reporting

4.3

Fixed Day Services for IUCD

23 DH,35 SDH and 114 CHCs

NA

100%

4.4

Fixed Day Services for Sterilisation

Not Available

NA

100%

1.1 2 2.1 2.1.1 2.1.2 2.2 2.2.1 2.2.2 2.2.3 3 3.1 3.1.1 3.1.2 3.2 3.2.1 3.2.2 3.2.3 3.3 3.4 3.5 4 4.1

Remarks

Reduction in TFR -2013 Service delivery (ELA): IUCD: PPIUCD Interval IUCD Sterilisation: Tubectomy Post-partum sterilisation (subset of tubectomy) Vasectomy Training of personnel (target): Post-partum IUCD MO SN Interval IUCD MO SN ANM/ LHV Minilap NSV Laparoscopic Others (target): Appointment of FP Counsellors


1.8 (SRS 2011)

179 Trained 1435 Trained 1435 Trained 219 Trained NA 218 Trained

Page - 58 -

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: a. Increasing number of providers trained in IUCD 380A b. Strengthening Fixed Day IUCD services at facilities c. Introduction of Cu IUCD 375 d. Delivering contraceptives at homes of beneficiaries. 2. Emphasis on post-partum family planning services: a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU, CHC/BPHC level at high case load facilities. b. Promoting Post-partum sterilisation (PPS) c. Establishing Post-Partum Centers at women & child hospitals at district levels d. Appointing counsellors at high case load facilities 3. Strengthening sterilization service delivery a. Increasing pool of trained service providers (minilap, lap & NSV) b. Operationalising FDS centers for sterilisation c. Holding camps to increase accessibility and availability of services. 4. Strengthening quality of service delivery: a. Strengthening QACs for monitoring/review b. Disseminating/ following existing protocols/ guidelines/ manuals c. Monitoring of FP Indemnity scheme 5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing methods 6. Focus on using private sector capacity for service delivery (exploring PPP availability): 7. Strengthening programme management structures: a. Establishing new structures for monitoring and supporting the programme b. Strengthening programme management support to state and district levels 8.

World Population Day Celebrations.


Page - 59 -

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


Page - 60 -

DETAILED BUDGET: FAMILY PLANNING

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)

Amount Proposed (Rs in Lakhs) 821.45 696.83

Amount Approve d (Rs in Lakhs) 801.09 696.83

REMARKS

1

10000 0

1

1 Approved

100

17500

17.5

17.5 Approved

A.3 A.3.1

FAMILY PLANNING Terminal/Limiting Methods

A.3.1. 1

Orientation workshop,dissemination of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting

A.3.1. 3

NSV camps

A.3.1. 4

Compensation for female sterilisation

65000

767

498.33

A.3.1. 5

Compensation for male sterilization/NSV Acceptance

12000

1500

180

180 Approved

A.3.2 A.3.2. 2

Spacing Methods IUD services at health facilities (including fixed day services at SHC and PHC)

275000 275000

20 20

55 55

55 55 Approved

A.3.3

POL for Family Planning/ Others (including additional mobility support to surgeon's team if req)

24

5000

1.2

1.2 Approved

A.3.5

Other strategies/activities (please specify):

1001

22080 0

68.42


498.33 Approved for 65000 tubectomies out of which 43333 @ Rs. 650 per case and 21667 @ Rs. 1000 per case for BPL patients

48.06

Page - 61 -

FMR Code

BUDGET HEAD

Physical target

1

Unit Cost ( Rs)

Amount Proposed (Rs in Lakhs) 22000 2.2 0

Amount REMARKS Approve d (Rs in Lakhs) 2.2 Approved for: - quarterly meetings at district level for 88 meetings @ Rs.2000/meeting and -2 meetings at state level @Rs. 22,000/meeting. State level meetings to be held at halfyearly intervals.

19.22

23.86 Calculation error by State. Rs.23.86 lakhs approved as following Rs. 1.00 Lakh for State, Rs. 10,000/district for 22 District Rs. 5000/ block for 118 Blocks. Rs. 500/SC for 2951 Sub Centres

A.3.5. 1

Monitor progress and quality, QAC meetings /review of sterilization failures etc.

A.3.5. 3

World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities

A.3.5. 4

Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.)

1000

800

47

A.3.5. 4.1

Purchase of NSV Sets

1000

800

8


22

0 Not approved here since state budgeted the same under FMR head B.16.

Page - 62 -

FMR Code

BUDGET HEAD

A.3.5. 4.2

Printing of sterilization files (1.25 Lakh files @ Rs. 2.74), Sterilization cards 1.00 lakh cards @ Rs. 1), NSV Cards (0.25 lakh cards @ Rs. 1), IUCD Cards (2.75 lakh cards @ Rs. 3), printing of guidelines & manuals on FDS, SOPs & repositioning of IUCD (3000 @ Rs. 50), printing brouchers on Epill & IUCD (50000 @ Rs. 5) and other printing

A.3.5. 4.3

Family Planning Indemnity Scheme (FPIS will be decentralized to the states from April 1st , 2013)

22

Sub-total Family Planning (excluding Sterilisation Compensation and NSV Camps)

125.62

105.26

Sub-total Sterilisation Compensation and NSV Camps

695.83

695.83

A.9.6

Family Planning Training

A.9.6. 1

Physical target

Unit Cost ( Rs)

Amount Proposed (Rs in Lakhs) 17

Amount REMARKS Approve d (Rs in Lakhs) 0 Approved but shifted to MFP, FMR head B.10.2.3.2

22 Approved as per the Family Planning Indemnity Scheme

177

34913 5

70.03

68.52

Laparoscopic Sterilisation Training

10

44440

4.44

4.44

A.9.6. 1.2

Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant)

10

44440

4.44

4.44 Approved

A.9.6. 2

Minilap Training

10

44440

4.44

4.44


Page - 63 -

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)

Amount Proposed (Rs in Lakhs) 44440 4.44

A.9.6. 2.2

Minilap training for medical officers

10

A.9.6. 3

Non-Scalpel Vasectomy (NSV) Training

5

37450

1.87

1.87

A.9.6. 3.2

NSV Training of medical officers

5

37450

1.87

1.87 Approved

A.9.6. 4 A.9.6. 4.4

IUD Insertion

80

52015

41.61

41.61

Training of ANMs / LHVs in IUD insertion

80

52015

41.61

41.61 Approved

A.9.6. 5

Contraceptive update/ISD Training

50

20890

10.45

10.45 Approved

A.9.6. 6

Other family planning training (please specify)

2

12650 0

2.53

0.9

A.9.6. 6.1

TOT for Postpartum Family Planning Training

2

12650 0

2.53

0.9 Approved @ Rs.45000/batch. Each batch to have 10 participants and duration of training is 3 days.

A.9.6. 7

PPIUCD insertion training

20

23400

4.68

4.8 Approved for 12 batches @ Rs.40000/batch. Each batch to have 10 participants (mix of doctors and nurses). Duration of training would be 3 days.

B16.1. 3

Procurement of equipment: FP

1023

90080 0

215

179

B16.1. 3.1

NSV kits

1000

800

8

B16.1. 3.2

IUCD kits


Amount REMARKS Approve d (Rs in Lakhs) 4.44 Approved

4 Ongoing Activity. Rs.4.000 Lakhs approved for 500 NSV Kits @ Rs 800 per kit.

0

Page - 64 -

FMR Code

BUDGET HEAD

B16.1. 3.3

minilap kits

B16.1. 3.4

laparoscopes

B16.1. 3.5

PPIUCD forceps

Physical target

Unit Cost ( Rs)

Amount Proposed (Rs in Lakhs) 0

23

90000 0

207

Grand Total Family Planning


0


REMARKS

172.5 Rs. 172.50 Lakhs approved for 23 laparoscopes @ Rs 7.5 Lakhs per laparoscope. 2.5 New Activity. Rs 2.50 lakhs approved for 500 PPIUCD forceps at unit cost of Rs 500.00 for PPIUCD services. 1781.18

Page - 65 -

ADOLESCENT HEALTH


Page - 66 -

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).


Page - 67 -

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.  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.


Page - 68 -

DETAILED BUDGET: ADOLESCENT HEALTH

FMR Code

A.4

A.4.1 A.4.1. 2 A.4.1. 3 A.4.1. 4 A.4.1. 5 A.4.1. 6 A.4.1. 6.1

A.4.1. 6.2

A.4.1. 6.3 A.4.2 A.4.2. 2

BUDGET HEAD

ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH Adolescent health services Establishment of new clinics at DH level Establishment of new clinics at CHC/PHC level Operating expenses for existing clinics Outreach activities including peer educators Others

Physical target

Unit Cost ( Rs)



806.35

74.52

76.52

74.52

REMARKS

2

10000 0

2

2 Approved

5

10000 0

5

5 Approved

57

24000

13.68

13.68 Approved

1536

250

3.84

3.84 Approved

Operational Cost Supportive Supervision and Review Implementation of Adolescent Health Programme through NGOs Printing of Handouts and Manuals School Health programme Prepare detailed operational plan for School Health Programme across districts (cost of plan meeting should be kept)


52

50

0

50

50 Approved

0 729.83 25

0 0 Not approved as lumpsum amount proposed by State

Page - 69 -

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)


286

24000 0

343.2

A.4.2. 3

Mobility support

A.4.2. 5

Other strategies for school health

472029 0

21000 3

361.63

A.4.2. 5.1

Individual Compliance Cards 47 Lakhs

470000 0

1

58.75

A.4.2. 5.3

Other IEC Material Snellen Charts

20000

2

0.38

A.4.2. 5.5

Complicated Disease among the children and adolescents i.e. RHD,CHD, Thallasemia etc

140

12500 0

175

A.4.2. 5.6

Complicated Disease among the children and adolescents i.e. Cancer, Cleft palate & Juvenile diabetics Other strategies/activities (please specify) Sub-total ARSH Adolescent Reproductive and Sexual Health/ARSH Training TOT for ARSH training

150

85000

127.5

A.4.3

A.9.7

A.9.7. 1 A.9.7. 2

1500

4105

Orientation training of state and district programme managers



REMARKS

0 Not approved. State has not proposed any teams hence its mobility support cannot be justified. 0 0 Not approved. Individual compliance card is part of WIFS and not RBSK. 0 Not approved. Snellen's chart is not an IEC component. 0 Not approved since details of RBSK implementation is not specified by the State. The attached proposal annexure includes only three diseases while RBSK covers 30 health conditions. 0 APPROVAL PENDED. To be submitted as part of the RBSK program.

0

0

806.35 30.09

74.52 30.09

0 0

Page - 70 -

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)


A.9.7. 3

ARSH training for medical officers

300

2130

6.39

A.9.7. 4

ARSH training for ANMs/LHVs

1200

1975

23.7

A.9.7. 5 B.16. 2.6 B.16. 2.6.1

ARSH training for AWWs Drugs & supplies for WIFS IFA

B.16. 2.6.2

Albendazole

B.16. 2.7

Drugs & supplies for SHP


REMARKS

6.39 Approved for 300 Medical Officers in 10 batches of 30 participants each batch. Cost per batch Rs. 63,900/23.7 Approved for 1200 Para Medics in 40 batches of 30 participants each batch. Cost per batch Rs. 59,250/-

0 256794 200 244400 000

1

394.56

394.56

0.13

317.72

317.72 Approved. Ongoing Activity.

123942 00

0.62

76.84


20000

250

50

0 Not Approved. New Activity.

Grand Total ARSH


499.17

Page - 71 -

URBAN RCH


Page - 72 -

ROAD MAP FOR PRIORITY ACTION: URBAN RCH

FMR Code

BUDGET: URBAN RCH BUDGET HEAD

Physica l target

Unit Cost ( Rs)

Amount Amount Propose Approve d (Rs in d (Rs in Lakhs) Lakhs)

A.5

URBAN RCH (focus on Urban slums)

260

1177 92

306.26

A.5.2

HR for urban health including doctors, ANMs, Lab techs

260

1177 92

306.26


REMARKS

144.46

As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Facility wise performance audit and 144.46 corrective action based thereon. b) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. c) 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 make payments to contractual staff over and above the sanctioned regular positions in the State. - It is expected that the Page - 73 -

State will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute State spending.

A.5.2. 4

260

ANM

1177 92

Sub-total Urban Health


306.26

306.26

144.46 Approved at last year salary i.e. Rs.9260/m for 6 months. 144.46

Page - 74 -

PC-PNDT


Page - 75 -

ROAD MAP: PNDT MISSION: The mission of PNDT program is to improve the sex ratio at birth by regulating the preconception 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 State 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


Page - 76 -

> Enumeration of all Ultrasound machines and identification of un-registered

ultrasound machine > Ensure compliance for maintenance of records mandatory under the Act > 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


Page - 77 -

DETAILED BUDGET: PNDT

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)

Amount Amount Proposed Approve (Rs in d (Rs in Lakhs) Lakhs) 142.26 142.26

REMARKS

A.7

PNDT Activities

A.7.1

Support to PNDT cell

1

8004000 80.04

80.04

A.7.3

Mobility support per district

22

15000

3.30

3.30

A.7.2

Other PNDT activities (please specify)

64

531000

58.92

58.92

A.7.2. 1

Budget for sting operation @ Rs. 50,000/- each for 10 operations

10

50000

5.00

5.00

Approved

A.7.2. 2

Prize money to informers/ Decoy patient @ Rs. 20000 per informer/ decoy patient

8

20000

1.60

1.60

Approved


Approved for following: Programme Manager (PNDT)-1 @ Rs. 28000/m, District PNDT Coordinator 22 @ Rs. 20000/m, Computer Assistant - 1 @ Rs. 11000/m, Statistical Asstt. - 1 @ Rs. 13000/m, Data Entry Operator - 22 @ Rs. 7500/m and Office Expenses @ Rs. 10000/m at State Level. Approved.

Page - 78 -

A.7.2. 3

Prize money to informer for unregistered machine @ 25000

10

25000

Amount Amount Proposed Approve (Rs in d (Rs in Lakhs) Lakhs) 2.50 2.50

A.7.2. 4

Budget for online complaint portal @ 11000/m

12

11000

1.32

1.32

Approved

A.7.2. 5

District Level PNDT Workshops, campaigns and other activities

22

200000

44.00

44.00

Approved

A.7.2. 6

Orientation of programme managers and service providers on PC & PNDT ActState level meeting

2

225000

4.50

4.50

Approved

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)

Sub-total PNDT activities


142.26

REMARKS Approved

142.26

Page - 79 -

HUMAN RESOURCES & PROGRAMME MANAGEMENT


Page - 80 -

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.


Page - 81 -



Performance appraisal and hence increments of contractual staff to be linked to progress against indicators.



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).


Page - 82 -

DETAILED BUDGET: HUMAN RESOURCES

A.8

Human Resources

4078

Amount Proposed (Rs in Lakhs) 6433.89

A.8.1

Contractual Staff & Services

4078

6433.89

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)


Amount Approved REMARKS (Rs in Lakhs) 2574.31 As agreed, the following key conditionalities would be enforced during the 2574.31 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 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 Page - 83 -

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)



REMARKS 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 A.8.1. 1.1 A.8.1. 1.1.f

ANMs,Supervisory Nurses, LHVs, ANMs

2827 1411

Sub Centres

1411

A.8.1. 1.1.g A.8.1. 1.1.h A.8.1. 1.2 A.8.1. 1.2.a A.8.1. 1.2.b

SNCU/ NBSU/NRC etc

0.00

Others

0.00

FRUs

570

152640

870.05

A.8.1. 1.2.d

24 X 7 PHC

726

152640

1108.17

Staff Nurses

1416

3640.94

1717.07

117840

1662.72

783.95

117840

1662.72

783.95 Approved @ Rs.9260/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.

305280

DH

1978.21

933.12

0.00


410.40 Approved @ 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. 522.72 Approved @ Rs.12000/m. Approval is being granted for six months only and its continuation for the next Page - 84 -

FMR Code

BUDGET HEAD

Unit Cost ( Rs)

Physical target



REMARKS six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1. 1.3 A.8.1. 2.1 A.8.1. 2.1.b

0 LHVs/supervisory nurses Laboratory Technicians 148

FRUs

A.8.1. 2.1.d A.8.1. 3

0.00

0.00

288000

213.12

0.00

48

144000

69.12

0.00

24 X 7 PHC

100

144000

144.00

Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) Obstetricians and Gynecologists DH

86

3464040

626.40

192.00

25

1320000

165.00

60.00

5

660000

33.00

A.8.1. 3.1.b

FRUs

20

660000

132.00

A.8.1. 3.2

Pediatricians

25

660000

165.00

A.8.1. 3.1 A.8.1. 3.1.a

0


Not approved. State has 348 regular vacant posts 0.00 of LTs.

12.00 Approved @ Rs.40000/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. 48.00 Approved @ Rs.40000/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. 60.00

Page - 85 -

A.8.1. 3.2.b

FRUs

25

660000


A.8.1. 3.3 A.8.1. 3.3.b

Anesthetists

30

864000

259.20

FRUs

30

864000

259.20

A.8.1. 3.4 A.8.1. 3.4.d A.8.1. 3.5

Surgeons

6

620040

37.20

Others (Please specify)

6

620040

37.20

Specialists for CH (Paediatrician etc) in SNCU,NBSU,NRC Dental surgeons and dentists Medical Officers

0

0

0.00

0.00

0

0

0.00

0.00

167

1500000

831.60

203.40

FRUs

114

480000

547.20

203.40

FMR Code

A.8.1. 3.7 A.8.1. 5 A.8.1. 5.2

BUDGET HEAD

Unit Cost ( Rs)

Physical target

A.8.1. 5.3 A.8.1. 5.4

Non FRU SDH/ CHC

0.00

24 X 7 PHC

50

540000

270.00

A.8.1. 5.8

Other MOs

3

480000

14.40

A.8.1.

Radiographers

0

0


0.00

Amount Approved REMARKS (Rs in Lakhs) 60.00 Approved @ Rs.40000/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. 72.00 72.00 Approved @ Rs.40000/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. 0.00 0.00 Not approved.

Approved as per last year. 113 MOs @Rs.30000/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. 0.00 Not approved 0.00 Page - 86 -

FMR Code 7.2 A.8.1. 7.3 A.8.1. 7.3.a A.8.1. 7.3.b

BUDGET HEAD

Unit Cost ( Rs)


152400

210.31

Physical target


REMARKS

OT technicians/assistants DH

138

FRUs

138

152400

A.8.1. 7.4

School health teams (Exclusively for SH)

280

0

0.00

A.8.1. 7.4.a A.8.1. 7.5 A.8.1. 7.5.1

MOs

280

0

0.00

Counsellors

196

126000

41.40

20.70

RMNCH/FP Counselors

26

120000

31.20

15.60 Approved. To be posted at all 22 DHs. (One each at 18 DHs and 2 each at DH Amritsar, Jalandhar, Bathinda, Patiala with high case load).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.

7.00

0.00


210.31

7.00 Approved as per last year. 10 OT assistants @ Rs.11660/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. 0.00 Dedicated team with other staff and MO (may be existing AYUSH doctors- 2/team) to be proposed. Detailed proposal on RBSK will be submitted by State as part of Supplementary PIP now.

Page - 87 -

FMR Code

BUDGET HEAD

Physical target 170

Unit Cost ( Rs) 6000


A.8.1. 7.5.3

Honorarium to ICTC counselors for ARSH activities Rs.500/m

A.8.1. 10 A.8.1. 10.1

Other Incentives Schemes Incentive to Specialists 161 -Obst. Paeds, Surgeons in most difficult areas @ Rs. 10000 PM

192600

806.40

120000

193.20

A.8.1. 10.2

Incentive to Specialists 526 -Obst. Paeds, Surgeons in difficult areas @ Rs. 5000 PM

60000

315.60

A.8.1. 10.3

Obstetrician for LevelIII institutions approximate cost Rs. 50000+Incentive after minimum 5 C-sections @ 1000 C-section + after 15 Deliveries after 15 deliveries at CHCs, 25 deliveries at SDH & 50 deliveries at DH @ Rs. 300 per delivery conducted + after 10 MTPs @ Rs 200/ MTP.

48000

600

288.00

A.8.1. 10.4

Incentives to Female Medical Officers/ Gynaecologists for weekly Health Clinics for female prison inmates in all prisons

80

12000


9.60

Amount Approved REMARKS (Rs in Lakhs) 5.10 Approved. 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. 408.00 96.60 Approved for 161 specialists to visit the 129 identified facilities in most difficult areas @Rs.10000/m for 6 months 157.80 Approved for 526 specialists to visit the 360 identified facilities in difficult areas @Rs.5000/m for 6 months 144.00 Lumpsum approved for : -incentive after minimum 5 C-sections @ 1000 Csection -after 15 Deliveries at CHCs, 25 deliveries at SDH & 50 deliveries at DH @ Rs. 300 per delivery conducted - after 10 MTPs @ Rs 200/ MTP. Only half of the amount approved in line with the 6 months conditionality for HR 9.60 Approved for incentives to Female Medical Officers/ Gynaecologists for weekly Health Clinics for female prison inmates in all prisons of the State - Rs. Page - 88 -

FMR Code

BUDGET HEAD

Physical target

Unit Cost ( Rs)



of the State - Rs. 1000 per visit A.8.1. 11 A.8.1. 11.a A.8.1. 11.b A.8.1. 11.c

Support Staff for Health Facilities DH

A.8.1. 11.d

24 X 7 PHC

REMARKS 1000 per visit

236

27000

63.72

26.14

0.00

FRUs

0.00

Non FRU SDH/ CHC

0.00

4.90 SHIFTED FROM C.2.3. Approved amount is for the post of 8 Cold Chain Technicians (at District Level) @ Rs. 8800/- pm and 1 Statistical Assistant (State Level) @ Rs. 11250/- pm. 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.

63.72

21.24 Proposed amount is honorarium for ASHAs/ other local lady staying with staff nurse during night duty at functional delivery points. Approved at last year’s rate of Rs.50/night for 6 months

236

27000

Sub-total HR 4078


6433.89 2574.31

Page - 89 -

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.


Page - 90 -

DETAILED BUDGET: PROGRAMME MANAGEMENT FMR Code A.10 A.10. 1

A.10. 1.1 A.10. 1.2 A.10. 1.4 A.10. 1.5

A.10. 1.6 A.10. 1.7 A.10. 1.8 A.10. 1.9

BUDGET HEAD

Physical target

Unit Cost ( Rs)

PROGRAMME MANAGEMENT Strengthening of State society/ State Programme Management Support Unit

Contractual Staff for SPMSU recruited and in position State Programme Manager State Accounts Manager State Data Manager

Amount Amount Proposed Approved (Rs in (Rs in Lakhs) Lakhs) 1769.13 672.67 224.72

224.72

1

1800000

18.00

1

514380

5.14

1

490788

4.91

Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.) Programme Assistants

15

459324

68.90

3

215868

6.48

Accountants

7

196320

13.74

Data Entry Operators

20

102000

20.40

Support Staff (Kindly Specify)

20

137532

27.51

71.17 Approval for Programme 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. 71.17

71.17


REMARKS

Rs.71.17 lakhs approved. Six months salary of staff approved in line with the conditionality of State having a performance appraisal management system in place. Details available in Annexure 1A Programme Management

Page - 91 -

FMR Code

BUDGET HEAD

A.10. 1.10

Salaries for Staff on Deputation (Please specify)

A.10. 1.11 A.10. 1.11. 1 A.10. 1.11. 2 A.10. 1.11. 3 A.10. 1.11. 4 A.10. 1.11. 5 A.10. 2

Others (Please specify)

A.10. 2.1 A.10. 2.2 A.10. 2.3 A.10. 2.4 A.10. 2.5

Physical target 1



REMARKS

51.25

Assistant Manager Finance, HRIS, and Accounts Officers Hardware Supervisor & System Analysts

6

303996

18.24

5

325620

16.28

BCC Facilitator

2

180000

3.60

Art & Exhibition Expert

1

180000

1.80

9 Peons, 2 Drivers and 1 Clerk

12

94380

11.33

Strengthening of District society/ District Programme Management Support Unit Contractual Staff for DPMSU recruited and in position District Programme Manager District Accounts Manager District Data Manager

154

1322988

593.93

154

1322988

593.93

22

392880

86.43

22

294900

64.88

22

294900

64.88

Consultants/ Programme Officers (Kindly Specify) Accountants


0.00

22

157404


34.63

191.39

191.39

Rs.191.39 lakhs approved. Six months salary of staff approved in line with the conditionality of State having a performance appraisal management system in place. Details available in Annexure 1A Programme Management

Page - 92 -

FMR Code

BUDGET HEAD

Unit Cost ( Rs)

Physical target


A.10. 2.6 A.10. 2.7 A.10. 2.8 A.10. 2.8.1 A.10. 2.8.2 A.10. 2.8.3 A.10. 2.8.4 A.10. 2.8.5


44

102000

Support Staff (Kindly Specify) Others (Please specify)

22

80904

Hospital Administrators Maintenance Engineer

22

480000

105.60

22

242700

53.39

BCC Facilitator

22

184560

40.60

School Health Coordinator Statistical Assistants

22

210000

46.20

22

157440

34.64

A.10. 3 A.10. 3.1 A.10. 3.4 A.10. 3.5 A.10. 3.7 A.10. 3.7.1

Strengthening of Block PMU Block Programme Manager Accountants

354

439404

704.28

118

180000

212.40

118

157404

185.74


118

102000

120.36

A.10. 4 A.10. 5 A.10. 7

Strengthening (Others) 0

REMARKS

17.80 280.43

Others (Please specify) Block Statistical Assistants


185.78 118

157440

0

175.91

185.78

0.00

Audit Fees

1

2000000

20.00

Mobility Support, Field Visits

160

300000

226.20


175.91 Rs.175.91 lakhs approved. As per NPCC discussion all HR is calculated for 23 districts in light of the new district being formed post split of Gurdaspur into new district. Six months salary of staff approved in line with the conditionality of State having a performance appraisal management system in place Details available in Annexure 1A Programme Management

0.00 20.00 Approved 214.20

Page - 93 -

FMR Code A.10. 7.1 A.10. 7.2 A.10. 7.3 A.10. 7.4 A.10. 7.4.1 A.10. 7.4.2 A.10. 7.4.3 A.10. 7.4.4

SPMU/State

20

120000


DPMU/District

22

120000

26.40

BPMU/Block

118

60000

70.80

BUDGET HEAD

Other Supportive Supervision costs Operational Cost at State Level @ Rs. 2.00 Lakh Per Month Rent Electricity Charges @ 4.00 Lakh per month Operational cost to districts @ Rs. 1-2 lakh per district Administrative Office for NRHM

Physical target

Unit Cost ( Rs)

105.00

Amount Approved REMARKS (Rs in Lakhs) 12.00 Approved for 4 vehicles @ Rs.3lakhs/vehicle/annum 26.40 Approved 70.80 Approved 105.00

12

200000

24.00

24.00 Approved

12

400000

48.00

48.00 Approved

22

150000

33.00

33.00 Approved

Sub-total Programme Management


0.00

0.00

1769.13

672.67

New Activity. Not Approved as no details have been provided by the State.

Page - 94 -

Programme Management Annexure Category

1 State Programme Manager

No. of staff

Salary (Rs./month)

Amount approved (Rs.Lakhs)

SPMU 1

2 Director Finance (deputation/contract) 3 Manager Finance & Accounts 4 Manager (Monitoring & Evaluation) Consultants/ Programme Officers 5 Specialist - Maternal Health 6 Specialist - Family Welfare 7 Specialist - Child Health 8 Consultant AYUSH 9 State NGO Coordinator 10 Manager Human Resource Development 11 Manager Infrastructure 12 Manager Procurement 13 Programme Officer ARSH & Gender 14 Programme Officer BCC 15 Programme Officer School Health 16 Programme Officer WIFS & Menstrual Hygiene 17 Programme Officer – Response Services – 108, Help Line & MMU etc. 18 Programme Officer – Facility Operationalization (SNCUs, NBSUs, NRCs, FRUs etc.)

1

53,000

Last year, only post was approved. No funds were sanctioned. 3.18

1 1

40,439 38,584

2.43 Approved under MFP B15.3

1 1 1

38,213 37,100 37,100

1 1

46,322 38,584

2.29 2.23 2.23 Approved under MFP B.9.1 2.78 2.32

1 1 1

35000 37,100 35000

2.10 2.23 2.10

1 1 1

37,100 21200 35000

2.23 1.27 2.10

19 Programme Assistant - 2 20 Procurement Assistant 21 Accountant / Cashier Support Staff 22 Office Assistant 23 Office Assistant Assistant Managers 24 Assistant Manager (Finance)

2 1 7

18,565.90 13,780.00 15,433.60

2.23 0.83 6.48

1 20

16,968.48 10,812.00

1.02 12.97

1

26,500

1.59

New positions hence not approved New positions hence not approved


Page - 95 -

Category

No. of staff

Salary (Rs./month)

Amount approved (Rs.Lakhs)

23,320.00

New positions hence not approved New positions hence not approved 5.60

25 Assistant Manager (HRIS) 26 Assistant Manager (M&E) 27 Accounts Officer- Compilation & Audits 28 System Analyst 29 Hardware Supervisor 30 BCC Facilitator 31 Art & Exhibition Expert 32 Clerk 33 Driver 34 Peon 35 Statistical Assistant

1 2 3 4 5 6 7 8 9 10

District Programme Manager District Account Officer Monitoring & Evaluation Officer District Accountant / Cashier Hospital Administrator Maintenance Engineer BCC Facilitators School Health Coordinator District Statistical Assistant Peon

1 Block Accountant Cum Cashier 2 Block Statistical Assistant 3 Data Entry Operators at State level, District and Block Level

4 2 1 1 1 1 2 9 2

25,599 3.07 24,592.00 1.48 13780 0.83 14000 0.84 7,420.00 0.45 7,420.00 0.89 6,360.00 3.43 15,433.60 Approved under MFP B15.3 Sub Total SPMU 71.17 DPMU 23 30,884.16 42.62 23 23,182.20 31.99 23 23,182.20 Approved under MFP B15.3 23 12,374.44 17.08 22 18000 23.76 23 19,080.00 26.33 20 13000 15.60 23 18285 25.23 23 12,374.44 Approved under MFP B15.3 23 6,360.00 8.78 Sub Total DPMU 191.39 BPMU 118 12,374.44 87.61 118 12,374.44 Approved under MFP B15.3 173 8506.5 88.30 Sub Total BPMU 175.91 GRAND TOTAL 438.47


Page - 96 -

MISSION FLEXIBLE POOL (MFP)


Page - 97 -

ASHA TARGETS: S. No.

Activity

Targets

1.

ASHAs with Drug kits ASHAs trained in 6th and 7th modules

16463

2.

 

Round 1: 16483 (ASHA+ASHA Facilitators) Round 2: 16483 (ASHA+ASHA Facilitators)

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:

FMR Code B1 B 1.1 B1.1.1 B1.1.1.1 B1.1.1.2

Budget Head ASHA ASHA Cost: Selection & Training of ASHA Module I - IV Module V

Quantit y/ Target 519916 519916 1968

Unit Cost ( Rs) 576456 576456 6600


Amount Proposed (Rs. In Lakhs) 2314.06 2314.06 64.94

Amount Remarks Approved (Rs in Lakhs) 1796.28

0.00 0.00

Page - 98 -

Quantit y/ Target 1070

3300

Amount Proposed (Rs. In Lakhs) 35.31

B1.1.1.4 Other Trainings B1.1.1.4. Training of ASHA 1 Facilitators on Handbook for ASHA Facilitators

898 898

3300 3300

29.63 29.63

B1.1.2

Procurement of ASHA Drug Kit New Kits Replenishment

17826

1150

64.69

17316

350

0.00 60.61

Procurement of ASHA HBNC Kit New Kits Replenishment

510

800

4.08

510

800

0.00 4.08

499200

1454

1772.60

305000

200

305.00

272.50

185000

100

185.00

272.50 Approved. Ongoing Activity. Rs 272.50 lakhs

FMR Code

Budget Head

B1.1.1.3

Module VI & VII

B1.1.2.1 B1.1.2.2

B1.1.2.3 B1.1.2.4 B1.1.2.5

B1.1.3

Performance Incentive/Other Incentive to ASHAs (if any) B1.1.3.1 Incentive under MH (ANC/PNC) B1.1.3.1. Incentive to ASHA 1 to Register every

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 0.00 Approved. Ongoing Activity. State to use funds already available from FY 2012-13 for this activity. State to share details of training plan. 29.63 Approved. Ongoing Activity. State to share details of training plan and costing details of training.

0.00 Approved. Ongoing Activity. Rs 60.61 lakhs approved subject to the condition that State must replenish the drug kits from PHCs/SHCs. Approval shifted to FMR code B.16.2.5.2

0.00 Approved. Ongoing Activity. Rs 4.08 lakhs approved subject to the condition that State must replenish the drug kits from PHCs/SHCs. Approval shifted to FMR code B.16.2.5.2 1206.98

Page - 99 -

FMR Code

Budget Head

Pregnant Woman within three months B1.1.3.1. Incentive to ASHA 2 to ensure minimum 3 Ante Natal Checkups (ANC), 2 Tetanus Toxoid (TT) immunization and Institutional delivery. B1.1.3.2 Incentive under CH (HBNC) B1.1.3.2. To Conduct Home 1 Visit for the care of the New Born and Post Partum Mother -> Six Visits in the Case of Institutional Delivery (Days 3rd, 7th,14th, 21st, 28 th& 42nd) ->Seven visits in the case of Home Deliveries (Days 1st, 3rd, 7th,14th, 21st, 28 th& 42nd) B1.1.3.5 Other incentive B1.1.3.5. Other Incentives to 1 ASHA

Quantit y/ Target

Unit Cost ( Rs)

Amount Proposed (Rs. In Lakhs)

Amount Remarks Approved (Rs in Lakhs) approved for ensuring full ANC. Incentives can be given @ Rs 50.00 after registering the pregnant woman within 3 months and Rs 150.00 after ensuring 3 ANC, 2Tetanus Toxiod Immunization and Institutional Delivery along with zero dose of vaccines. 300.00

120000

100

120.00

120000

250

300.00

120000

250

300.00

300.00 Approved. Ongoing Activity

0

0

982.14 982.14

634.48 634.48 Approved Rs 634.48 lakhs as per 2012-13 approvals. Ongoing activity. New Incentives for organizing monthly VHSNC meetings and for household survey not approved. Details available in Annexure 2A ASHA Incentives.


Page - 100 -

FMR Code

Budget Head

B1.1.3.6

Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc) B1.1.3.6. Printing of ASHA 1 Diary B1.1.3.6. ASHA Uniform 2 B1.1.3.6. ASHA Bag 3 B1.1.3.6. Printing of books 4 on ASHA B1.1.4 Awards to ASHA's/Link workers

B1.1.5

B1.1.5.1

ASHA Resource Centre/ASHA Mentoring Group HR At State Level

Unit Cost ( Rs)




1004

18400

84

15.46

15.46 Approved. New Activity.

18400

600

110.40


18400

200

36.80


19000

120

22.80


0.60

922

567252

411.24

2

276000

5.52


0.60 Approved. Ongoing Activity. Annual performance awards to top 3 ASHAs at District Head Quarter @ Rs 1500, Rs 1000, Rs 500 for 1st, 2nd and 3rd ASHA respectively. 373.61

1.45 Ongoing Activity. Approved @ Rs 24,168 pm for 6 months = Rs 1.45 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff.

Page - 101 -

FMR Code

Budget Head

B1.1.5.2

HR at District Level

B1.1.5.3 B1.1.5.4

HR at Block Level Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify)


898


39000

Grand Total ASHA



0.00 350.22

2314.06

Amount Remarks Approved (Rs in Lakhs) 21.94 Ongoing Activity. Approved @ Rs 18, 285 pm for 20 positions as per 2012-13 approval for 6 months = Rs 21.94 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. 350.22 Approved. Ongoing Activity. Approved @ Rs 3250 pm for 898 facilitators (Rs 1000 fixed honorarium + Rs 150 per visit upto 15 visits per month) as per 2012-13 approvals. 1796.28

Page - 102 -

Annexure: ASHA Incentives approved under Other Incentives Sl. No

Incentive

Unit Cost (Amount proposed per ASHA)

Physical Amount Amount Remarks Target Proposed Approved (in lakhs) (Rs in Lakhs)

1 To ensure 100 Iron Folic Acid (IFA) Tablets to pregnant women.

Rs. 50/- per case

180000

90.00

90.00 Approved

2 If ASHA worker stays at night in the hospital with the pregnant woman for the delivery

Rs. 50/- per case

33600

16.80

16.80 Approved

3 For ensuring treatment/ cure of anemic women (any woman who has been found to be having HB less than 7 gm at the time of ANC is to make it reach 9 gm at the time of delivery 4 For ensuring that Low Birth Weight infants ( > 2.5 kg) to gain 2 kg weight in first three months

Rs. 250/per case

30000

75.00

75.00 Approved

Rs. 200/per case

30000

60.00

60.00 Approved

5 Reporting death of mother within 24 hrs. of delivery

Rs.100/per case

500

0.50

0.50 Approved

6 Reporting death of infant within 24 hrs. (Since Birth up to 1 year)

Rs. 100/per case

5000

5.00

5.00 Approved

7 For child birth registration & issue of birth certificate

Rs 30/- per case

120200

36.06


24.04 Approved @ Rs 20 per case as per 2012-13 approval.

Page - 103 -

Sl. No

Incentive



8 To provide first-hand Rs 100/information per regarding outbreak information of any disease in the concerned area along with reasons of disease.

2500

2.50

2.50 Approved

9 Support screening Rs 50/- per camp at school under school School Health Programme.

8400

4.20

4.20 Approved


10 Timely referral of dehydrated patients.

Rs. 50/- per case

5000

2.50

11 Identification of Cancer/ Cervical Cancer/ Breast Cancer & other Cancer patients, accompanying for detection & referring for treatment

Rs. 300/per case

10000

30.00

30.00 Approved

12 Identification of drug addicts & taking them to the rehabilitation center

Rs. 200/per case

50000

100.00

100.00 Approved

13 Follow up and completion of treatment of drug addicts at rehabilitation center

Rs 500/per case

5000

25.00

25.00 Approved

14 For attending the monthly meeting at PHC level

Rs 100/per monthly meeting

199944

199.94

199.94 Approved


Page - 104 -

Sl. No

Incentive



15 To organize Village Health Sanitation and Nutrition Committee (VHSNC) meeting once in a month.

Rs.150/per ASHA par meeting

199944

299.92

0.00 Not Approved. New incentive.

16 To do household survey

Rs 200/per survey per year

17360

34.72


TOTAL


982.14

634.48

Page - 105 -

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 ! State Mission with public display of financial resources received by all health facilities



The State shall also make contributions to Rogi Kalyan Samitis

  

BUDGET: Quantit y/ Target 16637

95000


Untied Fund for CHCs/SDH

141

50000

70.50

Untied Fund for PHCs

437

25000

109.25

FMR Code

Budget Head

B2

Untied Funds

B2.1

B2.2

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 1292.03 Ongoing activity. Approved as per expenditure upto 4th quarter for FY 2012-13. 47.94 On-going Activity. Approved 68% of funds = Rs 47.94 lakhs as per expenditure of FY 201213. 77.76 On-going Activity. Approved 72% of funds (as per expenditure of FY 2012-13) = Rs 77.76 lakhs for 432 PHCs as per RHS 2011.

Page - 106 -

FMR Code

Budget Head


10000


10000

1310.80

Unit Cost ( Rs)

B2.3

Untied Fund for Sub Centres

B2.4

Untied fund for VHSC

13108

B2.5 B.3

0 2193

160000

0.00 435.80

B3.1

Others Annual Maintenance Grants (only for Government institutions) CHC

141

100000

141.00

B3.2

PHCs

224

50000

112.00

B3.3

Sub Centres

1828

10000

182.80

B.6

Corpus Grants to HMS/RKS

642

800000

734.00


Amount Remarks Approved (Rs in Lakhs) 209.45 On-going Activity. Approved 71% of funds as per expenditure of FY 2012-13. = Rs 209.45 lakhs for 2950 Sub Centres as per RHS 2011. 956.88 On-going Activity. Approved 73% of funds = Rs 956.88 lakhs as per expenditure of FY 201213. 334.93 Ongoing activity. Approved as per expenditure upto 4th quarter for FY 2012-13. 91.65 On-going Activity. Approved 65% of funds = Rs 91.65lakhs as per expenditure of FY 201213. 106.40 On-going Activity. Approved 95% of funds = Rs 106.40 lakhs as per expenditure of FY 201213. 136.88 On-going Activity. Approved 75% of funds = Rs 136.88 lakhs as per expenditure and approval for 1825 Sub Centres for FY 2012-13. 522.03 Ongoing activity. Approved as per expenditure upto 4th quarter for FY 2012-13.

Page - 107 -

District Hospitals


500000


B6.2

CHCs

141

100000

141.00

B6.3

PHCs

437

100000

437.00

B6.4

Other or if not bifurcated as above

B6.5

SDH

FMR Code

Budget Head

B6.1

Unit Cost ( Rs)

Amount Remarks Approved (Rs in Lakhs) 74.55 Ongoing Activity. Approved 71% of funds = Rs 74.55 lakhs as per expenditure of FY 201213 for 21 DHs as per list provided by State in the PIP. 100.11 On-going Activity. Approved 71% of funds = Rs 100.11 lakhs as per expenditure of FY 201213. 319.68 Ongoing Activity. Approved 74% of funds (as per expenditure of FY 2012-13) = Rs 319.68 lakhs for 432 PHCs as per RHS 2011.

0.00

41

100000

Total (Untied Funds + AMG+ RKS Grants)


41.00

2955.45

27.69 Ongoing Activity. Approved 71% of funds = Rs 74.55 lakhs as per expenditure of FY 201213 for 39 SDHs as per list provided by State in the PIP.

2148.99

Page - 108 -

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 rojected accordingly. Funds would not be permissible for constructions/ worksthat 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.

BUDGET:

FMR Code B5

B5.4

B5.6

B.5.10

Budget Head New Constructions (proposed for the coming year) Setting up Infrastructure wing for Civil works Construction of BEmONC and CEmONC centres Infrastructure of Training Institutions --

Quantit y/ Target 8

0


0

0

0.00

8

0

0.00

0

0

315.00

Unit Cost ( Rs)



0.00

Page - 109 -

FMR Code

Budget Head

Quantit y/ Target

Unit Cost ( Rs)

B.5.10.1

Strengthening of Existing Training Institutions/Nursin g School( Other than HR)- --Infrastructure for GNM Schools and ANMTC B.5.10.1. Additional 1 Building/ Major Upgradation of existing Structure B.5.10.1. Repair/ 2 Renovation



200.00

115.00

Amount Remarks Approved (Rs in Lakhs)

0.00 New Activity. Approval pended. State to share the purpose of addition of a floor at SIHFW Mohali. 0.00 New Activity. Approval pended.

Page - 110 -

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.

BUDGET: FMR Code

Budget Head

B.16

PROCUREMENT

B16.1

B16.1.1. 1

Procurement of Equipment Procurement of equipment: MH Equipments for Blood Banks/ BSUs

B16.1.1. 2

MVA /EVA for Safe Abortion services

B16.1.1. 3

Others (please specify)

B16.1.1

Unit Quantit Cost ( y/ Rs) Target 2776441 504372 93 1033 1077 347580 0 21 100000 0

Amount Proposed (Rs. In Lakhs) 8911.24 3109.80

550.00

485.80

210.00

269.80

6.00

21

100000 0


210.00

0.00 Not Approved. New Activity.

0.00 Approval Pended. New Activity. State to share unit cost and numbers. 210.00

*

Unit Costs in relation to the various types of procurement including printing 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.


Page - 111 -

FMR Code B16.1.1. 3.4 B16.1.1. 3.5

B16.1.2 B16.1.2. 1

B16.1.2. 2 B16.1.2. 3 B16.1.3 B16.1.3. 1

B16.1.3. 2 B16.1.3. 3

Budget Head Color Doppler for 21 DHs @ Rs. 10.00 lakh per DH Black White Ultrasound Machine for 65 CHCs @ Rs. 4.00 each Procurement of equipment: CH Establishing New Born Stabilization Units in 28 Institutions including remaining 15 SDHs and CHCs conducting more than 50 deliveries PM Procurement of Equipment for 10 SNCUs Procurement of equipments for NRCs Procurement of equipment: FP NSV kits


Unit Cost ( Rs) 100000 04


Amount Remarks Approved (Rs in Lakhs) 210.00 New Activity. Approved as per the justification given in the PIP.

0

0

33

157500 0 575000

211.00

161.00

161.00


5

100000 0

50.00

1023

900800

215.00

1000

800

28

0.00

8.00

IUCD kits

0.00

minilap kits

0.00

0.00 New Activity. Not Approved. 179.00 4.00 Ongoing Activity. Rs.4.000 Lakhs approved for 500 NSV Kits @ Rs 800 per kit.

*



Page - 112 -

FMR Code

Budget Head

B16.1.3. 4

laparoscopes

B16.1.3. 5

PPIUCD forceps

B16.1.3. 6 B16.1.4

Other (please specify) Procurement of equipment: IMEP Procurement of equipment other than above Equipment for Drug Testing Laboratory

B16.1.5

B16.1.5. 4

B16.1.6

B16.1.9

B.16.2 B.16.2.1




5

0.00

0

0

0.00

0

0

0.00

Equipments for 0 ARSH/ School Health Procurement of Others/Diagnostics

0

Procurement of 2776431 500896 Drugs and supplies 16 303 Drugs & supplies 242 16000 for MH

Amount Remarks Approved (Rs in Lakhs) 172.50 Rs. 172.50 Lakhs approved for 23 laparoscopes @ Rs 7.5 Lakhs per laparoscope. 2.50 New Activity. Rs 2.50 lakhs approved for 500 PPIUCD forceps at unit cost of Rs 500.00 for PPIUCD services.

1142.00

0.00

1142.00

0.00 Approval Pended. New Activity.

0.00

1056.00

0.00

0.00 Approval pended. New Activity. Generic budgeting not recommended. Should be proposed after doing a gap analysis.

5801.44

876.21

38.72

38.72

*



Page - 113 -

FMR Code

Budget Head

B.16.2.1. RTI /STI drugs and 1 consumables

B.16.2.1. 2 B.16.2.1. 3 B.16.2.2 B.16.2.2. 1

B.16.2.2. 2 B.16.2.2. 3

B.16.2.2. 4

B.16.2.3 B.16.2.4 B.16.2.5

Drugs for Safe Abortion Others (Please specify) Drugs & supplies for CH Supplies and drugs for 5 Nutritional Rehabilitation Centres Supply of 10 lakh zinc sulphate tablets Supply of 90000 bottle of vitamin solution with 100ml pack IFA tablet to children

Drugs & supplies for FP Supplies for IMEP General drugs & supplies for health facilities

B.16.2.5. IPD 1




Amount Remarks Approved (Rs in Lakhs) 38.72 New Activity. Rs. 38.72 lakhs approved subject to procurement under competitive bidding.

0.00 0

0

2082846 780052 7 5 780000

1000000 0.17

90000

52

1973846 0.13 2

0.00 113.16 39.00

74.16 0.00 New Activity. Not Approved.

1.70


46.80


25.66

25.66 New Activity. Approved. State needs to budget for IFA syrup and forward required budget in supplementary PIP 0.00

0

0

0.00

0 2

0 500000 000

0.00 5000.00

0.00 368.77

1

225000 000

2250.00

300.00 Ongoing Activity. Rs 300.00 lakhs approved

*



Page - 114 -

FMR Code

Budget Head

B.16.2.5. OPD 2

B.16.2.5. 2.a B.16.2.5. 2.b B.16.2.6

Replenishment of ASHA drug kits Replenishment of HBNC kits Drugs & supplies for WIFS B.16.2.6. IFA 1 B.16.2.6. Albendazole 2 B.16.2.7 Drugs & supplies for SHP B.16.2.8 Drugs & supplies for UHCs B.16.2.9 Drugs & supplies for AYUSH TOTAL

Quantit y/ Target 1

2567942 00 2444000 00 1239420 0 20000

Unit Cost ( Rs) 275000 0007


1

394.56

0.130

317.72

0.62

76.84

250

50.00

Amount Remarks Approved (Rs in Lakhs) subject to the following conditions: 1) State to share the list of drugs mentioned under EDL and share the EDL list facility wise. 2) State to share the IPD & OPD cases load and do an analysis on per capita spent on the drugs. 3) Mechanism to monitor the pilferage at drugs stores through computerization to be put in place. 64.69 Approved. Shifted from FMR B.1.1.2.2 4.08 Approved Shifted from FMR B.1.1.2.5 394.56 317.72 Approved. Ongoing Activity. 76.84 Approved. Ongoing Activity. 0.00 Not Approved. New Activity.

0.00 205

100000

205.00 8911.24

0.00 Not Approved. New Activity. 1426.21

*



Page - 115 -

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: FMR Code

Budget Head


0


Unit Cost ( Rs)

B12

Referral Transport/Patient transport System

B12.1

0

0

0.00

240

0

1017.12

B12.2.3

Ambulance/EMRI Capex Operating Cost /Opex for ambulance Opex EMRI-BLS

B12.2.9

Others

0

B12.2

240

1017.12

0



0.00 Approval Pended subject to State implementing ‘National Ambulance Guidelines’ for all the running ambulances under NRHM

0.00

Page - 116 -

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.


Page - 117 -

BUDGET:

FMR Code B9

Budget Head


B.9.1.1

Mainstreaming of AYUSH Medical Officers at CHCs/ PHCs (Only AYUSH) DH

B.9.1.2 B.9.1.3

FRUs 114 Non FRU SDH/ CHC 35

B.9.1

470

85

Unit Cost ( Rs) 644811 6 133311 6


355716

302.36

325800 325800

371.41 114.03


Amount Remarks Approved (Rs in Lakhs) 760.84 527.04

164.54

Ongoing Activity. 104 positions of Homeopathy MOs approved @ Rs 25,600 pm for 6 months as per approval of FY 2012-13 = Rs 159.74 lakhs. 2 ongoing positions of Consultant Homeopathy and Ayurveda at State level approved @ Rs 40,000 pm for 6 months = Rs 4.80 lakhs. Total Rs 164.54 lakhs approved for 6 months. 130 New positions (including 27 specialists) Not Approved. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff.

Page - 118 -

FMR Code

Budget Head

B.9.1.4

24 X 7 PHC

B.9.1.5

B.9.2.1

Non- 24 X 7 PHCs/ APHCs Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH) DH

B.9.2.2 B.9.2.3 B.9.2.4

FRUs 114 Non FRU SDH/ CHC 35 24 X 7 PHC 236

B.9.2




Amount Remarks Approved (Rs in Lakhs) 362.50 Ongoing Activity. 236 positions of Ayurveda MOs approved @ Rs 25,600 pm for 6 months as per approval of FY 2012-13 = Rs 362.50 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff.

0.00 443

540000

598.05

58

135000

78.30

135000 135000 135000

153.90 47.25 318.60


183.80

183.80

Ongoing Activity. 289 positions of AYUSH Dispensers approved @ Rs 10,600 pm for 6 months as per approval of FY 2012-13 = Rs 183.80 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance Page - 119 -

FMR Code

B9.3

Budget Head

Quantit y/ Target

Other Activities (Excluding HR) State Health Mela

483

B9.3.2

Special Outreach camp - 100 camps @ Rs. 20000/- per camp

100

B9.3.3

Strengthening of 5 7 (50 Beded) Ayurvedic Hospitals, One GAD Nizra Jalandhar and Government Ayurvedic College Patiala with Specialized Panchkarama Units Strengthening of 3 Government Ayurvedic College Patiala and 2 (50 Bedded) Ayurvedic Hospitals with Specialized KasharSutra OT Centre

B9.3.1

B9.3.4

1

Unit Cost ( Rs)


457500 0 300000 0

319.60

20000

20.00

500000

35.00

100000 0

30.00


30.00

Amount Remarks Approved (Rs in Lakhs) of regular and contractual staff. 50.00 30.00 Approved. Ongoing Activity. To be organised as part of comprehensive outreach activity. State to provide service delivery details for the health melas held in 2012-13. 20.00 Approved. Ongoing Activity. To be organised as part of comprehensive outreach activity. State to provide service delivery details for the outreach camps held in 2012-13. 0.00 Not Approved. New Activity.


Page - 120 -

FMR Code B9.3.5

B9.4

Budget Head Supply of Medicines for AYUSH Co-located Institutions Training





0.00

Amount Remarks Approved (Rs in Lakhs) 0.00 Not Approved. New Activity.

0.00

Page - 121 -

IEC/BCC ROAD MAP FOR PRIORITY ACTION: 

Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter-sectoral convergence particularly with WCD.

BUDGET:

FMR Code

Budget Head

B10

IEC-BCC NRHM

B.10

B.10.1

B.10.2

B.10.2.1

Unit Cost ( Rs)



31328

Strengthening of BCC/IEC Bureaus (state and district levels) Development of State BCC/IEC strategy Implementation of BCC/IEC strategy

0

0

0

0

137.74

BCC/IEC activities for MH

0

0

49.56

0.00

Amount Remarks Approved (Rs in Lakhs) 253.60 Ongoing Activity. Rs 130 Lakhs approved for IEC/BCC activities under MH,CH,ARSH,FP,PNDT and Strengthening of BCC/IEC Bureaus at (State and district levels)( Approved Rs 65 Lakhs for 20 districts (including 2 new districts) @(Rs 3 Lakh *15 + Rs 5 Lakh * 5=65 Lakhs) and Rs 65 Lakhs for State level.) Not Approved for health mela.

0.00

130.00

*



Page - 122 -

FMR Code

Budget Head

B.10.2.1. Mass media 1 B.10.2.1. Mid-media 2 B.10.2.2 BCC/IEC activities for CH B.10.2.2. Mass media 1 B.10.2.2. Mid-media 2 B.10.2.3 BCC/IEC activities for FP

B.10.2.3. Mass media 1 B.10.2.3. Mid-media 2 B.10.2.4 BCC/IEC activities for ARSH B.10.2.4. Mass media 1

Quantit y/ Target

Unit Cost ( Rs)



11.56 0

0

49.56 38.00 11.56

09

0

20.00

0.00 20.00 0

0

17.00 Approved Rs 17.00 lakhs*, shifted from FMR A.3.5.4.2. Approved for Printing of sterilization files (1.25 Lakh files @ Rs. 2.74), Sterilization cards 1.00 lakh cards @ Rs. 1), NSV Cards (0.25 lakh cards @ Rs. 1), IUCD Cards (2.75 lakh cards @ Rs. 3), printing of guidelines & manuals on FDS, SOPs & repositioning of IUCD (3000 @ Rs. 50), printing brouchers on E-pill & IUCD (50000 @ Rs. 5) and other printing Approved as per comments at B.10.2 above.

12.98 0.00

*



Page - 123 -

FMR Code

Budget Head

Quantit y/ Target

Unit Cost ( Rs)

B.10.2.4. Mid-media 2 B.10.2.5 B.10.2.6

Other activities (please specify) IPC initiatives/tools

B.10.3

Health Mela

B.10.4

Creating awareness on declining sex ratio issue Other activities Printing of MCP cards, safe motherhood booklets etc Printing of WIFS cards etc

B.10.5 B.10.5.1

B.10.5.2

B.10.5.3 Other printing B.10.5.3. Printing of 1 handbooks & posters for Adolescents and WIFS B.10.5.3. Printing of posters 2 and pamphlets on MCH B.10.5.3. News Paper 3 Advertisements B.10.5.3. Other activities 4 TOTAL IEC-BCC



0.00 5.65

14.70 1400

3000

42.00

660000 300000

132 7

200.56 21.60

60000

100

60.00

300000 100000

25 25

118.96 25.00

10

200000

21.60 Approved Rs 21.60 lakhs for printing MCP cards*. Ongoing Activity. 60.00 Approved Rs 60.00 lakhs for printing WIFS cards*. Ongoing Activity. 25.00 Approved Rs 25 lakhs for printing handbooks and posters for Adolescents and WIFS*. Ongoing Activity.

0.00

50.00

Approved as per comments at B.10 above.

43.96 395.00

253.60

*



Page - 124 -

MONITORING AND EVALUATION (HMIS)/MCTS ROAD MAP FOR PRIORITY ACTION MONITORING AND EVALUATION 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.



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



Improve reporting of births and deaths (especially deaths) in HMIS portal.


Page - 125 -

MCTS: ROAD MAP FOR PRIORITY ACTION 











States/ UTs are requested to ensure the implementation of village wise integrated RCH Register from 2013 in the State. The newly designed Register has already been shared with States/UTs. Aadhaar number and bank details of all the pregnant women and health workers (ANM, ASHA) should be captured in MCTS portal for providing the JSY benefits to the beneficiaries. State may establish a dedicated Call Centre for validating the records of the beneficiaries, informing them about Government Schemes and promoting for availing the due services on time. State may ensure that all the health facilities are timely receiving the Work-plan for necessary follow-up and providing the services to the beneficiaries accordingly. State may ensure for universal coverage from all the health facilities and private institutions including urban areas on MCTS Portal. Also ensure for 100 % qualitative, timely reporting and updating of services delivery records from all the health institutions including private facilities on MCTS Portal. State may advise DMHO and BMHO for continuous monitoring, field visit and taking of corrective action based on MCTS information and ensure for using of MCTS data for policy formulation, micro planning at different levels and redressal of bottlenecks pertaining to various programs and schemes.

BUDGET:

FMR Code B15

B15.1

B15.1.4 B15.2 B15.2.1

Budget Head Planning, Implementation and Monitoring Community Monitoring (Visioning workshops at state, Dist, Block level) Other Quality Assurance Quality Assurance Committees at



0

0

0 276 12

0 15000 10000



0.00

0.00 64.40 1.20


0.00

39.40 1.20 Approved. Ongoing Activity. Page - 126 -

FMR Code

B15.2.2

B15.2.3 B15.2.4 B15.2.5 B15.2.5. 1

B15.3

Budget Head

Quantit y/ Target

State level Quality Assurance 264 Committees at District level Grievance handling system Review meetings 0 Others 0 Patient Satisfaction Survey

B15.3.1

Monitoring and Evaluation Monitoring & Evaluation / HMIS /MCTS

B15.3.1. 1

HR for M&E/HMIS/MCTS

510 196



Amount Remarks Approved (Rs in Lakhs) 13.20 Approved. Ongoing Activity.

0.00 0 0

153879 6 578796


0.00 50.00 50.00

928.85 503.89

293.16

25.00 New Activity. Rs. 25.00 lakhs approved for conducting baseline survey of health facilities and this will include all the delivery points. Approval subject to State establishing a Grievance Redressal Cell at all the delivery points. 461.98 Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. 136.74 Ongoing Activity. Approved Rs. 136.74 lakhs for six months salary under HR for M&E/HMIS/MCTS as projected under Programme Management by shifting heads from Project Page - 127 -

FMR Code

Budget Head

Quantit y/ Target

Unit Cost ( Rs)



Amount Remarks Approved (Rs in Lakhs) Management A10.1.4 Manager ( Monitoring & Evaluation) 1 @ 38584 p.m = Rs. 2.31 Lakhs for 6 months A10.1.4 Manager ( Monitoring & Evaluation) 1 @ 38584 p.m = Rs. 2.31 Lakhs for 6 months A10.2.3 Monitoring & Evaluation Officer 22 @23182 p.m.Rs. 30.60 Lakhs for 6 months A10.2.8.5 District Statistical Officer 22@ 12360 = Rs. 16.32 Lakhs for 6 months A 10.3.7.1 Block Statistical Assistant 118 @ 12360 = Rs. 87.51 lakhs) for 6 months. Salary approved for 6 months based on the conditionality above. These positions are related to M&E therefore they have been considered here and hence they should not be considered again in Programme Management. These posts are being recommended subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. Assistant Manager (M&E) not recommended since no new posts are being sanctioned this year. Page - 128 -

FMR Code B15.3.1. 2 B15.3.1. 3

Budget Head MIS Consultant/ Manager/ Coordinators Statistical Assistant/ Data Analyst

Quantit y/ Target

2

B15.3.1. 4 B15.3.1. 5

MIS/ M&E Assistants Data Entry Operators

B15.3.1. 6 B15.3.1. 6.1

Others (Please 5 specify) HMIS Divisional 5 Co-ordinators for 4 divisions and one at State HQ

Unit Cost ( Rs)

196320


3.93


1.85 Approved salary for Statistical Assistant/ Data Analyst 2 @ Rs 15434 pm for 6 months subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof.

0.00 189

102000

192.78

280476

14.02

280476

14.02


95.72 Approved salary @ 9222 pm for 6 months for existing 173 posts of Data Entry Operators 15 at SPMU, 40 at DPMU and 118 at BPMU. Salary approved for 6 months based on the conditionality above. 16 New posts Not Approved. State may share the details of existing HR and infrastructure available for MCTS data entry. State may explore the option of outsourcing the data entry activity.

6.61 Approved salary for HMIS Divisional Coordinators 5 @ 22048 for 6 months this year subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. Salary Page - 129 -

FMR Code

B15.3.2

B15.3.2. 1.d B15.3.2. 1.d.1

B15.3.2. 1.d.2

B15.3.2. 1.d.3

B15.3.2. 1.d.4

B15.3.2. 1.d.5

Budget Head

Computerization HMIS and egovernance, ehealth Other Office and admin expenses Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) - Rs. 50000/per Block Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) -Rs. 25000/District Hospital Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) -Rs. 15000/Sub Divisional Hospital Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) - Rs.30000/District HQ Internet connection and Consumable (Paper, CD, Floppy,

Unit Cost ( Rs)


200

820000

83.65

200

820000

83.65

118

50000

59.00

59.00 Ongoing Activity. Approved subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof.

22

25000

5.50

5.50 Ongoing Activity. Approved subject to Monthly, Quarterly and Annual data of each of these hospitals being entered in HMIS portal.

37

15000

5.55


22

30000

6.60


1

700000

7.00

7.00 Ongoing Activity. Approved subject to 100% facility based reporting on HMIS

Quantit y/ Target


Amount Remarks Approved (Rs in Lakhs) approved for 6 months based on the conditionality above.

Page - 130 -

FMR Code

Budget Head

Unit Cost ( Rs)


76

50000

62.00

76

50000

38.00

Quantit y/ Target

Printer Cartridge etc.) -State HQ B15.3.2. 2.a B15.3.2. 2.b

B15.3.2. 2.c B15.3.2. 2.d

B15.3.3

MCTS Operational Cost (excluding HR & Trainings) Procurement of Computers/ printers/ cartridges etc.

Maintenance of Computers/ AMC/ etc. Other Office and admin expenses

Other M & E Activities

Amount Remarks Approved (Rs in Lakhs) portal and improvement in data quality thereof.

0.00 Not Approved. State may give adequate justification regarding the requirement for procuring computer in the light of the fact that computers for Statistical / Information Assistants are already in place.

0.00

24.00

38

90000


18.39 Approved Rs 18.39 Lakh for printing of MCTS (Integrated RCH) Registers @ Rs. 150 per registers and 2 registers per ANM. Register must be compatible with the integrated RCH Register (Village wise) designed by 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. Not approved for mobile application.

279.31

Page - 131 -

B15.3.3. 1

HMIS Training


B15.3.3. 2 B15.3.3. 3

MCTS Training

0.00

Mobility Support for HMIS/ MCTS

22

40000

8.80

B15.3.3. 4

Review Meetings for HMIS

4

30000

1.20

B15.3.3. 5

Review Meetings for MCTS

1.20

B15.3.3. 6

Data Validation Call Centers CAPEX

0.00

FMR Code

Budget Head

Quantit y/ Target

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 7.29 Approved Rs. 7.29 lakhs subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. MCTS Training may also be covered. Total cost of training: 3 day combined training for HMIS and MCTS @ Rs 300 per day per person for 1 training per person per year

2.25 Approved Rs. 2.25 Lakhs. Mobility cost @ Rs 10000 per district and Rs 25000 for State level per annum for HMIS and MCTS. State may share the details of visit plan. 1.20 Approved subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. Expenditure should be incurred as per the Govt protocols. Minutes of the meetings should be placed on MCTS portal.

Page - 132 -

FMR Code

Budget Head

B15.3.3. 7

Data Validation Call Centers - OPEX

B15.3.3. 8 B15.3.3. 9

e-Governance Initiative Hospital Management Softwares Others

B15.3.3. 10 B15.3.3. 10.1

B15.3.3. 10.2

Quantit y/ Target

Unit Cost ( Rs)


45.00

Amount Remarks Approved (Rs in Lakhs) 12.64 Approved. State may use this call centre for the following activity: 1) Validating the records of the beneficiaries · 2) Informing them for availing the due services on time. 3) Informing them about health concerns and government benefits schemes. 0.00 New Activity. Not Approved.

0.00

12

20000

Digitilization of CRS Record

Printing of New Format under NRHM (Monthly, Quarterly and Annual for Subcenters, SHCs, PHC, CHC and Hospitals)


182.41 115.01

20.00



89.29 Ongoing Activity. Approved with salary of CRAs for 6 months @ Rs. 9010 pm (Rs. 17.84). Salary approved for 6 months based on the conditionality above. 6.35 Ongoing Activity. Approved Rs 6.35 Lakh @ Rs 0.40 per page based on competitive bidding as per Government Protocols. Since HMIS formats are under revision, State must interact with MoHFW before printing.

Page - 133 -

FMR Code

Budget Head

B15.3.3. 10.3

New Register for each ANM on Survey, MCH, Births and Deaths, FW, OPD, Disease etc (Rs120x6000 ANMs/LHVs)

B15.3.3. 10.4

Technical Support for customization and trouble shooting of DHIS2 @ Rs. 20000 PM

B15.3.3. 10.5

Quantit y/ Target

Unit Cost ( Rs)


2.40 12

20000

Outsourcing of CRS data for the period 2008 to 2000 @4/per entry Approx. 19 lakh entries TOTAL


Amount Remarks Approved (Rs in Lakhs) 0.00 Not Approved.

0.00 New Activity. Not Approved since the State has to shift to 100% facility based reporting on HMIS portal.

0.00

993.25

501.38

993.25

Page - 134 -

OTHERS BUDGET: HOSPITAL STRENGTHENING

FMR Code B.4

Budget Head


Unit Cost ( Rs)

B4.1.1

Hospital Strengthening Up gradation of CHCs, PHCs, Dist. Hospitals District Hospitals

B4.1.1.4

Staff Quarters

22

B4.1.2

CHCs

0

0

B4.1.3 B4.1.4 B4.1.5

PHCs Sub Centres Others (MCH Wings) (Absolutely) New / Rented to Own Building Additional requirement from previous work Carry forward /Spillover of Ongoing Works

0 0 5

0 0 200000

B.4.1

B4.1.5.1

B4.1.5.2

B4.1.5.3

65

22

208921 0 208921 0 122300 0 122300 0




5782.22

269.06 269.06

504.00 Approved. New Activity. Rs 504.00 lakhs approved at 21 DH /DWH conducting C sections for strengthening of labour room, ANC/PNC wards including wash - rooms for female & male. MNH Toolkit should be utilized for gap findings.

0.00 0.00 0.00 5260.00 0.00

0.00

4400.00

4400.00 Ongoing Activity. Approved the 2nd installment for the 5 MCH Wings approved in 2012-13 (i.e. DH Ludhiana 100 beds, MKH Patiala 100 beds, Page - 135 -

FMR Code

Budget Head

Quantit y/ Target

B4.1.5.4 Other construction B4.1.5.4. Establishment of 1 NRCs at 5 District Hospitals where MCH Centres have been established B4.1.5.4. Construction of 3 Drug Testing Laboratory for Generic Medicine

5 5

B4.1.6 B4.1.6.4

38 38

SDH Staff Quarters

Unit Cost ( Rs)


200000 200000

860.00 10.00

850.00

666210 666210


253.16 253.16

Amount Remarks Approved (Rs in Lakhs) DH Amritsar 73 beds, DH Bathinda & DH Jalandhar 50 beds each) amounting to Rs 44.00 crores subject to the State completing the 100 bedded MCH Wing as per the GoI Roadmap and should have Skills Lab, SNCU and other facilities as per GoI Guidelines. 0.00 Approval pended. New Activity.

0.00 New Activity. Approval pended subject to Detailed Project Report (DPR) to be submitted by the State. 546.00 New Activity. Approved. Rs 546.00 lakhs approved at 39 SDH conducting C –sections, for strengthening of labour room, ANC/PNC wards including wash rooms for female & male. MNH Toolkit should be utilized for gap findings.

Page - 136 -

BUDGET: HEALTH ACTION PLANS

FMR Code

B7

B7.1

Budget Head

Health Action Plans (Including Block, Village) State

Quantit y/ Target 0

Unit Cost ( Rs) 0


10.00

Amount Approved (Rs in Lakhs) 10.00

Remarks

10.00 Approved. New Activity. Funds proposed for Capacity Building of District Teams and expenses for preparation of Plans. Approved subject to the condition that District Level ROPs and DHAPs to be uploaded in the State’s NRHM website.

BUDGET: PPP/NGO

FMR Code

Budget Head

B.13

PPP/ NGOs

B13.2.1

Surakhiyat Janepa Yojna

B13.3

NGO Programme/ Grant in Aid to NGO

Quantit y/ Target 4



4

150000 0


Amount Remarks Approved (Rs in Lakhs) 0.00 0.00 Approved. On-going Activity. Funds of the previous years will be utilized.

61.00

Page - 137 -

FMR Code

Budget Head

B13.3.1

IInd year Grant in aid for 4MNGOs/ 2SNGOs @ Rs. 15 lacs per district

B13.3.2

Other - Monitoring and supervision (review meeting/ seminar/ workshop/ study tour as per need assessment)

Quantit y/ Target 4


0



Amount Remarks Approved (Rs in Lakhs) 0.00 Not Approved. Ongoing Activity. Approved in FY 2012-13 with the condition that "no further approvals will be given under NRHM scheme to be wound up in FY 2012-13." State to submit report of external evaluation of NGOs which was approved in FY 2012-13.

1.00

0.00 Not Approved. On-going Activity.

Page - 138 -

BUDGET: INNOVATIONS

FMR Code B14 B14.2

B14.3

Budget Head Innovations( if any) RE-imbursement of monthly cell phone bill to ANM/ LHV/ Block SA & Accountant @ Rs. 222 per month and to Block SMO @ Rs. 333 per month and to officers of SHQ @ Rs. 500 per month

Quantit y/ Target 0

Unit Cost ( Rs) 0


New Programme on supportive supervision and monitoring -

199.45

Amount Remarks Approved (Rs in Lakhs) 150.09 150.09 On-going Activity Approved Rs 150.09 lakhs for reimbursement of celphone bill to ANM/LHV/Block SA & Accountant @ Rs 22 per month and Block SMO @ Rs 333 per month as per 2012-13 approval. Rs 4.80 lakh for reimbursement to SHQ officer not approved. State may explore CUG type connection in future. 0.00 Not Approved. New Activity. Rs 214.20 lakhs already approved at FMR A.10.7 for Mobility support/Supportive Supervision.

BUDGET: DRUG WARE HOUSE

FMR Code B.17

B.17.1

Budget Head Regional drugs warehouses/Logis tics management Drug warehouses


3

Unit Cost ( Rs) 294756 00 293340 00



880.02


880.02 New Activity. Approved Rs 880.02 lakhs for construction and equipment for 3 regional drug warehouses at Kharar, Page - 139 -

Unit Cost ( Rs)


72000

0.72

0.00 Not Approved. New position - was not approved in FY 2012-13.

0.00

0.00

69600

16.97

16.97

Mobility Support 1 for transportation of drugs & supplies from State to Districts @ Rs.3000 Per Month at State Level. Mobility Support 22 for transportation of drugs & supplies from Districts to Blocks @ Rs. 2000 Per Month Per 22 District

36000

0.36


24000

5.28


Mobility Support 118 for transportation of drugs & supplies from Block to Institutions @ Rs. 800 per Month Per 118 Block

9600

11.33


FMR Code

Budget Head

B.17.2

Staff at State level

B.17.3

Staff at District level Others

B.17.4 B.17.4.1

B.17.4.2

B.17.4.3

Quantit y/ Target

1

141


Amount Remarks Approved (Rs in Lakhs) Bathinda and Amritsar. State to share DPR for the activity.

Page - 140 -

BUDGET: NEW INITIATIVES

FMR Code

Budget Head

B.18

New Initiatives/ Strategic Interventions / Innovation/ Projects as per need

B.18.1

Help Lines

Quantit y/ Target 0

Unit Cost ( Rs) 0



100.00


100.00 Approved. New Activity. Rs 100.00 lakhs approved subject to the conditions that a single number should be dedicated for the Helpline in the State which should function as: 1) A resource for grievance redressal especially for denial of services. 2) It should respond to general health related queries and 3) The helpline should act as a resource for ANMs, ASHAs, LHV, and other health workers to respond to their queries.

Page - 141 -

BUDGET: SHSRC

FMR Code B.21

B.21.1

Budget Head State level health resources centre(SHSRC) SHSRC - HR


518400


10

518400

51.84

Unit Cost ( Rs)



25.92 Ongoing Activity. Approved for 6 months the existing positions @ Rs 50,000 pm for 7 consultants = Rs 21.00 lakhs, Rs 32,000 pm for 1 documentation officer = Rs 1.92 lakhs and Rs 25,000 pm for 2 project assistants = Rs 3.00 lakhs. Total Rs 25.92 lakhs approved. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. State to fill the vacancies of the existing positions of PHP, HRH, QI consultants as a priority. New Positions of 1 health economist and 2 research assistants Not Approved.

Page - 142 -

FMR Code

Budget Head

B.21.2

Other cost

Quantit y/ Target

Unit Cost ( Rs)



Amount Remarks Approved (Rs in Lakhs) 9.32 Ongoing Activity. Rs 9.32 lakhs approved for the following activities: Rs 3.60 lakhs for hiring of vehicles, Rs 0.12 lakhs for internet data card, Rs 5.00 lakhs for computer hardware and software peripherals, Rs 0.60 lakhs for review meetings with districts. Not Approved Rs 38.84 lakhs for evaluation and other studies for want of details.

Page - 143 -

NATIONAL DISEASE CONTROL PROGRAMMES (NDCPs)


Page - 144 -

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 21 st October by conducting awareness activities at various level and submission of reports.


Page - 145 -

DETAILED BUDGET NIDDCP FMR Code

Activity

D D.1

IDD Establishment of IDD Control Cell-

Unit cost

Physical target

Amount Proposed (Rs. In lakh)

Amount Approve d (Rs. In lakh)

N.A.

D.1.a Technical Officer D.1.b Statistical Assistant D.1.c LDC Typist

D.2

D.4

IDD

8.00

12.00

Monitorin g of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines .

4.00

6.00

1 1 1

Establishment of I DD Monitoring Lab-

D.2.a Lab Technician D.2.b Lab. Assistant D.3 Health Education & Publicity

Implemen tation & monitorin g of the programm e

Remarks

The sanctioned posts i.e. Technical Officer, Statistical Assistant & LDC presently filled on contract basis the same should be filled on regular basis by the State Government for smooth functioning of the IDD Cell and implementation of programme in the State. State Govt. may conduct and co-ordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format. The sanctioned posts i.e. Lab Technician and Lab assistant presently filled on contract basis should be filled on regular basis by the State Government on priority. State Govt. may conduct quantitative analysis of salt & urine as per NIDDCP Guidelines and furnish monthly/quarterly statements.

1 1

Rs. 50,000

Increased 11.00 awareness about IDD and iodated salt. 4 districts 2.00


4.00

IDD publicity activities including Global IDD Day celebrations at various level.

2.00

State. Govt. may under Page - 146 -

FMR Code

Activity

Survey/resurvey

D.5

D.6

Unit cost

Physical target



per district

Creating 35.00 iodated salt demand and monitorin g of the same at the communit y level. ASHA Incentive Rs. 25/50 salt per month samples for testing per month 50 salt per ASHA sample/m in 5 onth endemic districts TOTAL 66.40*

Remarks

take 4 districts IDD survey as per guidelines and furnish report. State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 5 endemic districts i.e. Hoshiorpur, Gurdaspur, Rupnagar, S. Ajit Singh Nagar & Patiala

Salt Testing Kits 12 STK per to be procured annum by State/UT per ASH A Government for 5 endemic districts

24.00

*Including proposed activities i.e. orientation & review meetings, support for state IDD Cell and Lab etc which are not allowed under the Programme. ** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 5 endemic districts funds will be released through flexi pool of NRHM by GOI.


Page - 147 -

INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) Priority Actions to be carried out by the State:  There are 8 vacant posts of epidemiologists & 7 data managers 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. However, the State may give the additional list of participants to be trained for ToT and 2-week FETP.  Presently all the 20 districts are reporting regularly on IDSP portal. The State needs to continue regular weekly reporting of all surveillance data (S, P, L ) by all the Reporting Units of all Districts through IDSP Portal. In 2012, clinical samples were sent for laboratory investigation for 93% of the disease outbreaks in which 72% were lab confirmed. The proportion of lab confirmed outbreaks needs to be improved further.  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 States:  Dedicated State Surveillance Officer (SSO) for implementation of IDSP.  All States to provide weekly report on the disease surveillance data on epidemic prone diseases and the weekly outbreak report regularly through portal.  All the States to timely submit their Statement of Expenditure, Utilization Certificate and Audit reports.  Every State will undertake in-depth review of IDSP at least once in a year and will share the report with Central Surveillance Unit (CSU), IDSP.


Page - 148 -

DETAILED BUDGET IDSP FMR Code

Activity

E1

Operational Cost Field Visits Office Expenses Broad Band expenses Outbreak investigations including Collection and Transport of samples Review Meetings Any other expenditure Sub Total Laboratory Support District Priority Lab Rs. 4,00,000 per district priority lab per annum Referral Network Lab Rs. 5,00,000 per referral lab per annum District public health lab equipments District public health lab manpower District public health lab consumables Sub Total Human Resources

E 1.2

E.2 E.2.1

E.2.2

E.2.3

Remuneration Epidemiologists

Remuneration Microbiologists

Remuneration Entomologists Veterinary Consultant

Unit Cost (where-ever Amount applicable) Proposed (Rs. in lakhs)

of

of

75.00

Amount Approved (Rs in lakhs) 57.8 (5.0×1+2.4× 22)

75.00

57.8

4.00 (4.00×1)

4.00 (4.00×1)

20.00 (5.0×4)

20.00 (5.0×4)

24.00

24.00

State Epidemiologists

4.8 (0.4×12)

4.8 (0.4×12)

District Epidemiologists

105.6 (0.4×22×12)

State Microbiologists

3.42 (0.285×12)

96.0 (0.4×14×12+ 0.4×8×9) 3.42 (0.285×12)

District Microbiologists

3.42 (0.285×12)

3.42 (0.285×12)

3.42 (0.285×12) 3.6 (0.3×12)

3.42 (0.285×12) 2.7 (0.3×9)

of


Remarks

The approved amount is for 1 SSU & 22 DSU’s.

. Remunera tions for vacant positions are calculated for 9 months

Page - 149 -

FMR Code

Activity

E.3

Consultant-Finance/ Procurement Consultant-Training/ Technical Data Manager

E.3.1 E.3.2

E.3.3

E.8

Unit Cost (where-ever Amount applicable) Proposed (Rs. in lakhs) 2.76 (0.23×12) 4.80 (0.4×12) State Data Manager 2.76 (0.23×12)

Data Entry Operator

Training

District Data Manager

58.08 (0.22×22×12)

State Data Entry Operator

3.12 (0.13×2×12)

District Data Entry Operator

36.00 (0.12×25×12)

Sub Total As per Guidelines

Medical Officers (1 Day )

Senior Medical Officers (1 Day)

One day training of Hospital Pharmacist / Nurses

One day training of Medical College Doctors Epidemiologists (1 Day)


231.78

Amount Approved (Rs in lakhs) 2.76 (0.23×12) 4.80 (0.4×12) 2.4 (0.2×12) 43.74 (0.18×15×12+ 0.18×7×9) 1.56 (0.13×1×12)

35.28 (0.12×23×12+ 0.12×2×9) 204.30

NRHM 1.56 (0.51875×3) for 3 batches of 25 participants each 1.98 (0.66×3) for 3 batches of 25 participants each 4.8 (0.10912×44) for 44 batches of 22 participants each 0.40 (0.40×1) for 1 batch of 20 participants 1.02 ( 0.51×2) for 2 batches of 23 participants each

Remarks

1.56 (0.51875×3)

2.4 (0.10912×22)

0.30 (0.30×1)

Training budget has been computed keeping in mind the number of trainings conducted in 201213. However if there is need to increase the training budget, the same may be proposed in Suppleme ntary PIP.

Page - 150 -

FMR Code

Activity

One day workshop fro Inter-sectoral coordination with other departments like Local bodies, Water supply sanitation etc. regarding plan strategy for disease control/ outbreak management One day training for Data Entry and analysis for Block Health Team Lab technician (2 days)

Unit Cost (where-ever Amount Amount applicable) Proposed Approved (Rs. in lakhs) (Rs in lakhs) 1.5 (0.75×2) for 2 batches of 25 participants each

Data managers (1 day)

DEO cum accountant day)

(1

Mobile based data entry for surveillance Sub Total For each newly formed district. District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories. Sub Total Total


4.80 (0.21824×22) for 22 batches of 22 participants each 0.70 (0.35×2) for 2 batches of 23 participants each 0.80 (0.40×2) for 2 batches of 26 participants each

4.80 (0.21824×22)

17.56 11.26 (5.63×2)

10.56 7.0

11.26

7.0

359.60

303.66

Remarks

0.70 (0.35×2)

0.80 (0.40×2)

Page - 151 -

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) Physical Target Sr. No. 1

Indicator

2

3

2011

2012

2013

Remarks

Annual Blood 11.01% Examinate Rate (ABER) i.e. persons screened annually for Malaria

9.46%

Annual Parasite 0.094 Incidence (API) i.e. Malaria cases per 1000 population annually Sentinel Surveillance 10 Hospital made functional for Dengue & Chikungunya

0.058

To sustain the ABER > 10% API needs to be focussed for micro level monitoring

10

10

The functionality to be sustained & ensured and should be monitored by their regular reports

Priority areas for focussed attention: 1. Surveillance needs to be improved in malaria high risk / endemic districts and ASHA's involvement must be ensured 2. All the districts are endemic for Dengue / DHF state should strengthen surveillance and preventive measures Essential Conditionality: Post

Sanctioned In Vacant Target for 2013-14 position District Malaria Officer 20 10 10 The vacancy needs to be filled (DMO) Two review meetings in a year to be conducted under the Chairmanship of Principal Secretary (Health)/Mission Director - one before transmission period and second during transmission period.


Page - 152 -

District wise goals ABER (To be done by State) 2013-14

API

Deaths

2013-14 201314 To be filled and monitored

Desirable Conditionality: The vacant regular post for medical and Para medical staff should be filled up so as to strengthen the surveillance in the state Road Map for priority Action: Surveillance & monitoring under NVBDCP is done throughout the year. Following salient points are to monitor the implementation of programme activities in different quarters. 1. April to June - 1st round spraying & anti-malaria month observance to be ensured and accordingly funds availability at districts to be ensured 2. 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. 3. Oct. to Dec. - Review and Monitor physical and financial performance and preparation of next annual plan. 4. Jan. to March- Consolidation of previous year's physical and financial achievement and plan for next year.


Page - 153 -

DETAILED BUDGET FM R Cod e F.1 F.1. 1 F.1. 1.a

F.1. 1.b

F.1. 1.c

Component (SubComponent)

Unit Cost (wherever applicable)

Physical target/ Deliverab les



Remarks

DBS (Domestic Budget Support) Malaria Human Resource including MPW contractual Lab Technicians ( against vacancy ) VBD Technical Supervisor (one for each block) District VBD Consultant (one per district) (NonProject States) State Consultant (Non – Project States) - M& E Consultant (Medical Graduate with PH qualification) - VBD Consultant (preferably entomologist) ASHA Incentive

9.50

0.00 Due to budgetary restriction the Human resource are not approved

30.00

5.00 ASHAs involvement need to be intensified the allocation can be increased on the basis of expenditure

30.00

0.00 Should be from the state resources

Operational Cost Spray Wages

Operational cost for IRS Administrative Approval of State PIP 2013-14: Punjab

Page - 154 -

FM R Cod e

F.1. 1.d

F.1. 1.e F.1. 1.f F.1. 1.g F.1. 1.h

F.1. 1.i

F.1. 1.j F.1. 1.k F.1. 1.l F.1. 2 F.1. 2.a




Impregnation of Bed nets- for NE states Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility


Remarks

IEC/BCC

20.00

30.00 Funds can also be utilised for printing of new forms / strengthenin g of NAMMIS 20.00 Approved

PPP / NGO and Intersectoral Convergence Training / Capacity Building Zonal Entomological units

20.00

20.00 Approved

Biological and Environmental Management through VHSC Larvivorous Fish support

27.00


25.00


3.00

0.00 Recommend ed from flexipool 0.00 Recommend ed from flexipool

Construction and maintenance of hatcheries Contingencies

20.00

Total Malaria (DBS) Dengue & Chikungunya

184.50

75.00

Strengthening surveillance (As per GOI approval) F.1. Apex Referral Labs 2.a(i recurrent Adminstrative Approval of State PIP 2013-14: Punjab

Page - 155 -

FM Component (SubUnit Cost R Component) (wherever Cod applicable) e ) F.1. Sentinel surveillance 2.a(i Hospital recurrent i) ELISA facility to Sentinel Surv Labs F.1. Test kits (Nos.) to be 2.b supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately) F.1. Monitoring and 2.c evaluation F.1. Epidemic containment 2.d




Remarks

15.00

20.00

0.00 from state resources

12.00

11.50 Approved

13.00

F.1. 2.e

Case management

10.00

F.1. 2.f

Vector Control & environmental management

28.00

F.1. 2.g

IEC BCC for Social Mobilization

15.00

F.1. 2.h

Inter-sectoral convergence

2.50

F.1. 2.i

Training including Operational Research Total Dengue/Chikungunya Acute Encephalitis Syndrome (AES)/ Japanese Encephalitis (JE)

12.50

5.75 Approval restricted to budgetary allocation 21.00 Needs to be scaled up as per approved activity 20.00 Approval restricted to budgetary allocation 10.25 Approval restricted to budgetary allocation 0.50 Approved restricted to budgetary allocation 14.00 Approved

128.00

98.00

F.1. 3


Page - 156 -

FM R Cod e F.1. 3.a

F.1. 3.b F.1. 3.c F.1. 3.d F.1. 3.e

F.1. 4 F.1. 4.a






Not Applicabl e

Not Applicable

Remarks

Diagnostics and Case Management including rehabilitation IEC/BCC specific to J.E. in endemic areas Capacity Building Monitoring and supervision Technical Malathion Fogging Machine Operational costs for malathion fogging Operational Research Rehabilitation Setup for selected endemic districts ICU Establishment in endemic districts ASHA Insentivization for sensitizing community Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter Total AES/JE Lymphatic Filariasis State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring &


0.00

Not Applicabl e

0.00

Not Applicable

Page - 157 -

FM R Cod e






Remarks

supervision, mobility support for Rapid Response Team and contingency support

F.1. 4.b F.1. 4.c F.1. 4.d

Monitoring by Microfilaria Survey Monitoring & Evaluation (Assessment) Training District Officers, PHC MOs, Paramedical staff, drug distributors

F.1. 4.e

BCC/Advocacy/IEC at state, district/PHC, sub centre Honorarium for Drug Distribution including ASHAs and supervisors Verification and validation for stoppage of MDA in LF endemic districts a) Additional MF Survey b) ICT Survey c) ICT Cost Verification of LF endemicity in nonendemic districts a) LY & Hy Survey b) Mf Survey in Nonendemic distt c) ICT survey Post-MDA surveillance Total Lymphatic Filariasis Kala-azar

F.1. 4.f

F.1. 5


0.00

0.00

Page - 158 -

FM R Cod e F.1. 5 F.1. 5.a F.1. 5.b F.1. 5.c F.1. 5.d F.1. 5.e F.1. 5.f

F.2 F.2. a F.2. b F.2. c F.2. d






Not Applicabl e

Not Applicable

Remarks

Case search/ Camp Approach Spray Pumps & accessories Operational cost for spray including spray wages Mobility/POL/supervisio n Monitoring & Evaluation Training for spraying IEC/ BCC/ Advocacy Total Kala-azar Total (DBS) Externally aided component World Bank support for Malaria (Identified state) Human Resource Training /Capacity building Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats) Kala-azar World Bank assisted Project Human resource

F.2. e F.2.f Capacity building F.2. Mobility g F.3 GFATM support for Malaria (NE states)


0.00 312.50

0.00 173.00

Not Applicabl e

Not Applicable

Not Applicabl e

Not Applicable

Page - 159 -

FM R Cod e F.3. a




Project Management Unit including human resource of N.E. states F.3. Training/Capacity b Building F.3. Planning and c Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project) F.3. Monitoring Supervision d (supervisory visits including travel expenses, etc) including printing of format and review meetings, F.3. IEC / BCC activities as e per the project F.3.f Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS ) Total : EAC component F.4 Any Other Items ( Please Specify) F.5 Operational costs ( mobility, Review Meeting, communication, formats & reports) Grand total for cash assistance under NVBDCP (DBS + EAC) F.6 Cash grant for decentralized commodities




Not Applicabl e

Not Applicable

0.00 0.00

0.00 0.00

0.00

0.00

312.50

Remarks

173.00

Page - 160 -

FM R Cod e F.6. a

F.6. b F.6. c F.6. d F.6. e F.6.f F.6. g F.6. h F.6.i

F.6.j F.6. k






Remarks

Chloroquine phosphate tablets

Primaquine tablets 7.5 mg Primaquine tablets 2.5 mg Quinine sulphate tablets Quinine Injections DEC 100 mg tablets Albendazole 400 mg tablets Dengue NS1 antigen kit Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water) Pyrethrum extract 2% for spare spray Any Other Items ( Please Specify) ACT ( For Non Project states) RDT Malaria – bi-valent (For Non Project states) Total grant for decentralized commodities Grand Total for grantin-aid under NVBDCP Commodity to be supplied by NVBDCP Total NVBDCP Cash + Commodity


128.00

123.00

128.00

123.00

440.50

296.00

0.00

0.00

440.50

296.00

The commodities are recommende d however it may be restricted to budgetary allocation

`

Page - 161 -

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

S.No

Goals & Target

September'13

March 2014

Elimination at District level

NA

NA

Case detection through ASHA

25

53

Special activity plan in blocks

NA

NA

1000

2000

10

20

Development of leprosy expertise

50% of Plan

100% of Plan

Treatment Completion Rate assessment for the year 2013-14

Completed

-

Audited Report for the year 2013-14

Completed

-

50%

100%

1 2 3 4 MCR footwear procurement & supply 5 RCS 6 7 8 9

Expenditure incurred against approved plan budget

NA: Not Applicable


Page - 162 -

DETAILED BUDGET Activity proposed

Unit

Unit Cost (In Rupees)

Physic al Target s

Amount propose d (Rs. in lakh)

Amount Remarks approve d (Rs. in lakh)

-

-

-

Town 1,14,000 Med 2,42,000 Mega4,72,000 Metro-

9 2 2 0

10.26 9.44 11.20 -

10.26 4.84 9.44 -

100 250

5500 53

5.50

5.50

0.25

0.13

400 600

23 30

0.14 0.30

0.09 0.18

20

13.60

13.60

600000

-

-

-

MCR Footwear300/Aids/Applian ce -10000 Welfare/RCS - 8000 RCS at Instt. - 5000

2000 10 20 20

6.00 1.70 1.60 1.00

6.00 1.70 1.60 1.00

98,000

20

19.60

19.60

G1.Case detection & Management 1.1 Specific -plan for High Endemic Districts

Block

1.2 Services in Urban Areas

Town 17 Med - 2 Mega- 2 Metro0

1.3. ASHA Involvement Sensitization *Incentive to ASHA

1.4 Material & Supplies Supportive drugs, lab. reagents & equipments and printing works 1.5 NGO Schemes G 2. DPMR MCR footwear, Aids and appliances, Welfare allowance to leprosy patients for RCS, Support to govt. institutions for RCS

Detectio n PB MB

Plan for urban area not clearly defined

68,000 District No.

G3.** IEC/BCC Mass media, Outdoor media, Rural media, Advocacy media


Page - 163 -

Activity proposed

Unit


Physic al Target s



G4. Human Resource & Capacity building ***4.1 Capacity building 4.2. Human Resource on contract ****4.2.1. Contractual Staff at State level SMO BFO cum Admn. Officer Admn. Asstt. DEO Driver District Leporsy Consultant Physiotherapist 4.2.3. Special Provision for selected States NMS 4.2.4. Staff for blocks PMW G5. Programme Management 5.1. Travel Cost Contractual Staff at State level Contractual Staff at District level 5.2 Review meetings 5.3 Office Operation & Maintenance Office operation - State Cell Office operation - District Cell Office equipment maint. State

73,200

28

20.50

20.50

1 1 1

50000 37,500 17600

1 1 1

6.00 4.50 2.11

6.00 4.50 2.11

1 1

15000 13750 30000

1 1 -

1.80 1.65 -

1.80 1.65 -

25000

-

-

-

No.

25000

20

60.00

60.00

No.

16000

-

-

-

80,000

1

0.80

0.80

25000

30

5.00

5.00

4

30,000

4

1.20

1.20

1

75000

1

0.75

0.75

No.

35000

20

7.00

7.00

1

50000

1

0.50

0.50

Course

State specific requiremen ts & rates

Posts of Driver not available at District level

5.4 Consumables Administrative Approval of State PIP 2013-14: Punjab

Page - 164 -

Activity proposed

State Cell District Cell 5.5 Mobility Support State Cell District Cell G6. Others Travel expenses for regular staff for specific programme / training need, awards etc GRAND TOTAL

Unit


Physic al Target s


1 No.

50000 30000

1 20

0.50 6.00

0.50 6.00

2 1

200000 150000

1 20

4.00 30.00

4.00 30.00

Additionality in Annual Plan NRHM WHO ILEP Others

-


-

3.00

232.90

229.25

6.03

6.03

Essential requiremen t

*Incentive to ASHAs will be given at revised rate subject to the approval by MSG. **The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual requirements of each district keeping adequate funds at State level under Mass Media and Advocacy meetings. ***Unit cost of Training to be calculated as per State NRHM norm fixed for all health programmes. **** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of remuneration in other National Health Programmes.


Page - 165 -

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP) Targets S.No Indicators 1 Case detection rate 2 Treatment success rate 3 MDR TB treatment success rate Treatment success rate among new TB 4 patients tribal districts and Poor and Backward districts 5 Number of cases to be put on treatment 6 7 8 9 10 11 12 13 14

Default rate among new TB cases Proportion of estimated incident TB cases notified Proportion of TB patients with known HIV status. Proportion of microscopy centres using LED microscopes Proportion of districts TU aligned at block levels with health systems Proportion of Key RNTCP staff in place as per approved ROP Proportion of Key RNTCP staff trained as per approved ROP Proportion of TB patients treated under RNTCP by a community DOT provider Proportion of pediatric cases diagnosed out of new cases

2012 59% 88%

2013-14 70% 91% 60-70% 88% Increasing trend Six Visits in the Case of Institutional Delivery (Days 3rd, 7th,14th, 21st, 28 th& 42nd) ->Seven visits in the case of Home Deliveries (Days 1st, 3rd, 7th,14th, 21st, 28 th& 42nd) B1.1.3.5 Other incentive

Unit Cost ( Rs)




1454

305000

200

305.00

272.50

185000

100

185.00

120000

100

120.00

120000

250

300.00

272.50 Approved. Ongoing Activity. Rs 272.50 lakhs approved for ensuring full ANC. Incentives can be given @ Rs 50.00 after registering the pregnant woman within 3 months and Rs 150.00 after ensuring 3 ANC, 2Tetanus Toxiod Immunization and Institutional Delivery along with zero dose of vaccines. 300.00

120000

250

300.00

300.00 Approved. Ongoing Activity

0

0

982.14

634.48


Page - 203 -

FMR Code

Budget Head

185.46

Amount Remarks Approved (Rs in Lakhs) 634.48 Approved Rs 634.48 lakhs as per 2012-13 approvals. Ongoing activity. New Incentives for organizing monthly VHSNC meetings and for household survey not approved. Details available in Annexure 2A ASHA Incentives. 185.46

84

15.46


18400

600

110.40


18400

200

36.80


19000

120

22.80


Quantit y/ Target

Unit Cost ( Rs)

B1.1.3.5. Other Incentives to 1 ASHA

B1.1.3.6

Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc) B1.1.3.6. Printing of ASHA 1 Diary B1.1.3.6. ASHA Uniform 2 B1.1.3.6. ASHA Bag 3 B1.1.3.6. Printing of books 4 on ASHA B1.1.4 Awards to ASHA's/Link workers

74200

1004

18400

B1.1.5

922

ASHA Resource Centre/ASHA Mentoring Group


0.60

567252


411.24

0.60 Approved. Ongoing Activity. Annual performance awards to top 3 ASHAs at District Head Quarter @ Rs 1500, Rs 1000, Rs 500 for 1st, 2nd and 3rd ASHA respectively. 373.61

Page - 204 -

HR At State Level

Quantit y/ Target 2

276000


B1.1.5.2

HR at District Level

22

252252

55.50

B1.1.5.3 B1.1.5.4

HR at Block Level Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify)

39000

0.00 350.22

FMR Code

Budget Head

B1.1.5.1

898

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 1.45 Ongoing Activity. Approved @ Rs 24,168 pm for 6 months = Rs 1.45 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. 21.94 Ongoing Activity. Approved @ Rs 18, 285 pm for 20 positions as per 2012-13 approval for 6 months = Rs 21.94 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. 350.22 Approved. Ongoing Activity. Approved @ Rs 3250 pm for 898 facilitators (Rs 1000 fixed honorarium + Rs 150 per visit upto 15 visits per month) as per 2012-13 approvals. Page - 205 -


95000


Untied Fund for CHCs/SDH

141

50000

70.50

B2.2

Untied Fund for PHCs

437

25000

109.25

B2.3

Untied Fund for Sub Centres

2951

10000

295.10

B2.4

Untied fund for VHSC

13108

10000

1310.80

B2.5 B.3

0 2193

160000

0.00 435.80

B3.1

Others Annual Maintenance Grants (only for Government institutions) CHC

141

100000

141.00

B3.2

PHCs

224

50000

112.00

FMR Code

Budget Head

B2

Untied Funds

B2.1

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 1292.03 Ongoing activity. Approved as per expenditure upto 4th quarter for FY 2012-13. 47.94 On-going Activity. Approved 68% of funds = Rs 47.94 lakhs as per expenditure of FY 201213. 77.76 On-going Activity. Approved 72% of funds (as per expenditure of FY 2012-13) = Rs 77.76 lakhs for 432 PHCs as per RHS 2011. 209.45 On-going Activity. Approved 71% of funds as per expenditure of FY 2012-13. = Rs 209.45 lakhs for 2950 Sub Centres as per RHS 2011. 956.88 On-going Activity. Approved 73% of funds = Rs 956.88 lakhs as per expenditure of FY 201213. 334.93 Ongoing activity. Approved as per expenditure upto 4th quarter for FY 2012-13. 91.65 On-going Activity. Approved 65% of funds = Rs 91.65lakhs as per expenditure of FY 201213. 106.40 On-going Activity. Approved 95% of funds = Rs 106.40 lakhs as per expenditure of FY 2012Page - 206 -


FMR Code

Budget Head

B3.3

Sub Centres

1828

10000

182.80

B.4

65

208921 0 208921 0

5782.22

B4.1.1

Hospital Strengthening Up gradation of CHCs, PHCs, Dist. Hospitals District Hospitals

269.06

B4.1.1.4

Staff Quarters

22

122300 0 122300 0

B4.1.2

CHCs

0

0

B4.1.3 B4.1.4 B4.1.5

PHCs Sub Centres Others (MCH Wings) (Absolutely) New / Rented to Own Building Additional requirement from previous work

0 0 5

0 0 200000

B.4.1

B4.1.5.1

B4.1.5.2

Quantit y/ Target

Unit Cost ( Rs)

65

22


Amount Remarks Approved (Rs in Lakhs) 13.

136.88 On-going Activity. Approved 75% of funds = Rs 136.88 lakhs as per expenditure and approval for 1825 Sub Centres for FY 2012-13. 5450.00

5782.22

269.06

504.00 Approved. New Activity. Rs 504.00 lakhs approved at 21 DH /DWH conducting C sections for strengthening of labour room, ANC/PNC wards including wash - rooms for female & male. MNH Toolkit should be utilized for gap findings.

0.00 0.00 0.00 5260.00 0.00

0.00

Page - 207 -

FMR Code B4.1.5.3

Budget Head

Quantit y/ Target

Unit Cost ( Rs)

Carry forward /Spillover of Ongoing Works

B4.1.5.4 Other construction B4.1.5.4. Establishment of 1 NRCs at 5 District Hospitals where MCH Centres have been established B4.1.5.4. Construction of 3 Drug Testing Laboratory for Generic Medicine

5 5

B4.1.6 B4.1.6.4

38 38

SDH Staff Quarters

200000 200000


860.00 10.00

850.00

666210 666210


253.16 253.16

Amount Remarks Approved (Rs in Lakhs) 4400.00 Ongoing Activity. Approved the 2nd installment for the 5 MCH Wings approved in 2012-13 (i.e. DH Ludhiana 100 beds, MKH Patiala 100 beds, DH Amritsar 73 beds, DH Bathinda & DH Jalandhar 50 beds each) amounting to Rs 44.00 crores subject to the State completing the 100 bedded MCH Wing as per the GoI Roadmap and should have Skills Lab, SNCU and other facilities as per GoI Guidelines. 0.00 Approval pended. New Activity.

0.00 New Activity. Approval pended subject to Detailed Project Report (DPR) to be submitted by the State. 546.00 New Activity. Approved. Rs 546.00 lakhs approved at 39 SDH conducting C –sections, for strengthening of labour room, ANC/PNC wards including wash rooms for female & male. MNH Toolkit should be utilized for gap findings. Page - 208 -

FMR Code

Budget Head

B5

New Constructions (proposed for the coming year) B5.4 Setting up Infrastructure wing for Civil works B5.6 Construction of BEmONC and CEmONC centres B.5.10 Infrastructure of Training Institutions -B.5.10.1 Strengthening of Existing Training Institutions/Nursin g School( Other than HR)- --Infrastructure for GNM Schools and ANMTC B.5.10.1. Additional 1 Building/ Major Upgradation of existing Structure B.5.10.1. Repair/ 2 Renovation B.6 Corpus Grants to HMS/RKS

B6.1

District Hospitals

Quantit y/ Target

Unit Cost ( Rs)


8

0

315.00

0

0

0.00

8

0

0.00

0

0

315.00


0.00

0.00

0.00

200.00

115.00 642

800000

734.00

23

500000

115.00


0.00 New Activity. Approval pended. State to share the purpose of addition of a floor at SIHFW Mohali. 0.00 New Activity. Approval pended. 522.03 Ongoing activity. Approved as per expenditure upto 4th quarter for FY 2012-13. 74.55 Ongoing Activity. Approved 71% of funds = Rs 74.55 lakhs as per Page - 209 -


FMR Code

Budget Head

B6.2

CHCs

141

100000

141.00

B6.3

PHCs

437

100000

437.00

B6.4

Other or if not bifurcated as above SDH

B6.5

B7

B7.1

B8

Quantit y/ Target

Unit Cost ( Rs)

Amount Remarks Approved (Rs in Lakhs) expenditure of FY 201213 for 21 DHs as per list provided by State in the PIP. 100.11 On-going Activity. Approved 71% of funds = Rs 100.11 lakhs as per expenditure of FY 201213. 319.68 Ongoing Activity. Approved 74% of funds (as per expenditure of FY 2012-13) = Rs 319.68 lakhs for 432 PHCs as per RHS 2011.

0.00

41

100000

41.00

Health Action Plans (Including Block, Village) State

0

0

10.00

Panchayati Raj Initiative

0

10.00

0


0.00

27.69 Ongoing Activity. Approved 71% of funds = Rs 74.55 lakhs as per expenditure of FY 201213 for 39 SDHs as per list provided by State in the PIP. 10.00

10.00 Approved. New Activity. Funds proposed for Capacity Building of District Teams and expenses for preparation of Plans. Approved subject to the condition that District Level ROPs and DHAPs to be uploaded in the State’s NRHM website. 0.00

Page - 210 -

FMR Code B9

Budget Head


B.9.1.1

Mainstreaming of AYUSH Medical Officers at CHCs/ PHCs (Only AYUSH) DH

B.9.1.2 B.9.1.3

FRUs 114 Non FRU SDH/ CHC 35

B.9.1

470

85

Unit Cost ( Rs) 644811 6 133311 6


355716

302.36

325800 325800

371.41 114.03


Amount Remarks Approved (Rs in Lakhs) 760.84 527.04

164.54

Ongoing Activity. 104 positions of Homeopathy MOs approved @ Rs 25,600 pm for 6 months as per approval of FY 2012-13 = Rs 159.74 lakhs. 2 ongoing positions of Consultant Homeopathy and Ayurveda at State level approved @ Rs 40,000 pm for 6 months = Rs 4.80 lakhs. Total Rs 164.54 lakhs approved for 6 months. 130 New positions (including 27 specialists) Not Approved. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff.

Page - 211 -

FMR Code

Budget Head

B.9.1.4

24 X 7 PHC

B.9.1.5

B.9.2.1

Non- 24 X 7 PHCs/ APHCs Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH) DH

B.9.2.2 B.9.2.3 B.9.2.4

FRUs 114 Non FRU SDH/ CHC 35 24 X 7 PHC 236

B.9.2




Amount Remarks Approved (Rs in Lakhs) 362.50 Ongoing Activity. 236 positions of Ayurveda MOs approved @ Rs 25,600 pm for 6 months as per approval of FY 2012-13 = Rs 362.50 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff.

0.00 443

540000

598.05

58

135000

78.30

135000 135000 135000

153.90 47.25 318.60


183.80

183.80

Ongoing Activity. 289 positions of AYUSH Dispensers approved @ Rs 10,600 pm for 6 months as per approval of FY 2012-13 = Rs 183.80 lakhs. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented Page - 212 -

FMR Code

B9.3

Budget Head

Quantit y/ Target

Other Activities (Excluding HR) State Health Mela

483

B9.3.2

Special Outreach camp - 100 camps @ Rs. 20000/- per camp

100

B9.3.3

Strengthening of 5 7 (50 Beded) Ayurvedic Hospitals, One GAD Nizra Jalandhar and Government Ayurvedic College Patiala with Specialized Panchkarama Units Strengthening of 3 Government Ayurvedic College Patiala and 2 (50 Bedded) Ayurvedic Hospitals with Specialized KasharSutra OT Centre

B9.3.1

B9.3.4

1

Unit Cost ( Rs)


457500 0 300000 0

319.60

20000

20.00

500000

35.00

100000 0

30.00


30.00

Amount Remarks Approved (Rs in Lakhs) to monitor performance of regular and contractual staff. 50.00 30.00 Approved. Ongoing Activity. To be organised as part of comprehensive outreach activity. State to provide service delivery details for the health melas held in 2012-13. 20.00 Approved. Ongoing Activity. To be organised as part of comprehensive outreach activity. State to provide service delivery details for the outreach camps held in 2012-13. 0.00 Not Approved. New Activity.


Page - 213 -

FMR Code B9.3.5

B9.4 B10

B.10

B.10.1

B.10.2

B.10.2.1

Budget Head Supply of Medicines for AYUSH Co-located Institutions Training IEC-BCC NRHM

Strengthening of BCC/IEC Bureaus (state and district levels) Development of State BCC/IEC strategy Implementation of BCC/IEC strategy

BCC/IEC activities for MH B.10.2.1. Mass media 1 B.10.2.1. Mid-media 2 B.10.2.2 BCC/IEC activities for CH B.10.2.2. Mass media 1 B.10.2.2. Mid-media



661400

3132

0

0


0.00 395.00

0.00

Amount Remarks Approved (Rs in Lakhs) 0.00 Not Approved. New Activity.

0.00 253.60 Ongoing Activity. Rs 130 Lakhs approved for IEC/BCC activities under MH,CH,ARSH,FP,PNDT and Strengthening of BCC/IEC Bureaus at (State and district levels)( Approved Rs 65 Lakhs for 20 districts (including 2 new districts) @(Rs 3 Lakh *15 + Rs 5 Lakh * 5=65 Lakhs) and Rs 65 Lakhs for State level.) Not Approved for health mela.

0.00

0

0

137.74

0

0

49.56

130.00

38.00 11.56 0

0


49.56 38.00 11.56 Page - 214 -

FMR Code 2 B.10.2.3

Budget Head

BCC/IEC activities for FP

B.10.2.3. Mass media 1 B.10.2.3. Mid-media 2 B.10.2.4 BCC/IEC activities for ARSH B.10.2.4. Mass media 1 B.10.2.4. Mid-media 2 B.10.2.5 B.10.2.6

B.10.3

Quantit y/ Target 0

Unit Cost ( Rs) 0


0.00 20.00 0

0

Other activities (please specify) IPC initiatives/tools Health Mela

Amount Remarks Approved (Rs in Lakhs) 17.0011 Approved Rs 17.00 lakhs*, shifted from FMR A.3.5.4.2. Approved for Printing of sterilization files (1.25 Lakh files @ Rs. 2.74), Sterilization cards 1.00 lakh cards @ Rs. 1), NSV Cards (0.25 lakh cards @ Rs. 1), IUCD Cards (2.75 lakh cards @ Rs. 3), printing of guidelines & manuals on FDS, SOPs & repositioning of IUCD (3000 @ Rs. 50), printing brouchers on E-pill & IUCD (50000 @ Rs. 5) and other printing Approved as per comments at B.10.2 above.

12.98 0.00 12.98

0.00 5.65

14.70

*



Page - 215 -

FMR Code

Unit Cost ( Rs)



3000

660000 300000

132 712

200.56 21.60

60000

100

60.00

B.10.5.3 Other printing B.10.5.3. Printing of 1 handbooks & posters for Adolescents and WIFS B.10.5.3. Printing of posters 2 and pamphlets on MCH B.10.5.3. News Paper 3 Advertisements B.10.5.3. Other activities 4 B.10.5.3. 5 B11 Mobile Medical Units (Including recurring expenditures) B11.1.1 Capex

300000 100000

25 25

118.96 25.00

B11.1.2

24

B.10.4

B.10.5 B.10.5.1

B.10.5.2

Budget Head Creating awareness on declining sex ratio issue Other activities Printing of MCP cards, safe motherhood booklets etc Printing of WIFS cards etc

Opex

200000


21.60 Approved Rs 21.60 lakhs for printing MCP cards*. Ongoing Activity. 60.00 Approved Rs 60.00 lakhs for printing WIFS cards*. Ongoing Activity. 25.00 Approved Rs 25 lakhs for printing handbooks and posters for Adolescents and WIFS*. Ongoing Activity.

0.00

50.00

Approved as per comments at B.10 above.

43.96

48

276600 0

663.84

0.00

0.00

135000 0

324.00

0.00 Approval Pended subject to State

*



Page - 216 -

FMR Code

Budget Head

B11.1.3

HR

B11.1.4

Training/orientatio n Others Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units Referral Transport/Patient transport System

B11.1.5 B11.2




0.00

0

0

0.00 0.00

240

0

1017.12

0

0

0.00

240

0

1017.12

B12.2.3

Ambulance/EMRI Capex Operating Cost /Opex for ambulance Opex EMRI-BLS

B12.2.9 B.13

Others PPP/ NGOs

0 4

B13.2.1

Surakhiyat Janepa Yojna

B13.3

NGO Programme/ Grant in Aid to NGO

B12

B12.1 B12.2

Amount Remarks Approved (Rs in Lakhs) 0.00 implementing ‘National MMU Guidelines’ for all the running MMUs under NRHM

240

1017.12

0 150000 0

0.00 61.00 0.00

4

150000 0


0.00

0.00 Approval Pended subject to State implementing ‘National Ambulance Guidelines’ for all the running ambulances under NRHM

0.00 0.00 Approved. On-going Activity. Funds of the previous years will be utilized.

61.00

Page - 217 -

FMR Code

Budget Head

Quantit y/ Target 4

B13.3.1

IInd year Grant in aid for 4MNGOs/ 2SNGOs @ Rs. 15 lacs per district

B13.3.2

Other - Monitoring and supervision (review meeting/ seminar/ workshop/ study tour as per need assessment)

B14

Innovations( if 0 any) RE-imbursement of monthly cell phone bill to ANM/ LHV/ Block SA & Accountant @ Rs. 222 per month and to Block SMO @ Rs. 333 per month and to officers of SHQ @ Rs. 500 per month

B14.2


0

0



Amount Remarks Approved (Rs in Lakhs) 0.00 Not Approved. Ongoing Activity. Approved in FY 2012-13 with the condition that "no further approvals will be given under NRHM scheme to be wound up in FY 2012-13." State to submit report of external evaluation of NGOs which was approved in FY 2012-13.

1.00

0.00 Not Approved. On-going Activity.

354.34

150.09

154.89

150.09 On-going Activity Approved Rs 150.09 lakhs for reimbursement of celphone bill to ANM/LHV/Block SA & Accountant @ Rs 22 per month and Block SMO @ Rs 333 per month as per 2012-13 approval. Rs 4.80 lakh for reimbursement to SHQ officer not approved. Page - 218 -

FMR Code

Budget Head

B14.3

New Programme on supportive supervision and monitoring -

B15

Planning, Implementation and Monitoring Community Monitoring (Visioning workshops at state, Dist, Block level) Other Quality Assurance Quality Assurance Committees at State level Quality Assurance Committees at District level Grievance handling system Review meetings Others Patient Satisfaction Survey

B15.1

B15.1.4 B15.2 B15.2.1

B15.2.2

B15.2.3 B15.2.4 B15.2.5 B15.2.5. 1

Quantit y/ Target

Unit Cost ( Rs)


199.45

786

155379 6

993.25

0

0

0 276 12

0 15000 10000

0.00 64.40 1.20

264

5000

13.20

0.00

Amount Remarks Approved (Rs in Lakhs) State may explore CUG type connection in future.

0.00 Not Approved. New Activity. Rs 214.20 lakhs already approved at FMR A.10.7 for Mobility support/Supportive Supervision. 501.38

0.00

39.40 1.20 Approved. Ongoing Activity. 13.20 Approved. Ongoing Activity.

0.00 0 0

0 0


0.00 50.00 50.00

25.00 New Activity. Rs. 25.00 lakhs approved for conducting baseline survey of health facilities and this will include all the delivery Page - 219 -

FMR Code

B15.3

Budget Head

B15.3.1

Monitoring and Evaluation Monitoring & Evaluation / HMIS /MCTS

B15.3.1. 1

HR for M&E/HMIS/MCTS

Quantit y/ Target

510 196

Unit Cost ( Rs)

153879 6 578796



Amount Remarks Approved (Rs in Lakhs) points. Approval subject to State establishing a Grievance Redressal Cell at all the delivery points.

928.85

461.98

503.89

Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. 136.74 Ongoing Activity. Approved Rs. 136.74 lakhs for six months salary under HR for M&E/HMIS/MCTS as projected under Programme Management by shifting heads from Project Management A10.1.4 Manager ( Monitoring & Evaluation) 1 @ 38584 p.m = Rs. 2.31 Lakhs for 6 months A10.1.4 Manager ( Monitoring & Evaluation) 1 @ 38584 p.m = Rs. 2.31 Lakhs for 6 months A10.2.3 Monitoring & Evaluation Officer 22 @23182 p.m.Rs. 30.60 Lakhs for 6

293.16

Page - 220 -

FMR Code

B15.3.1. 2 B15.3.1. 3

B15.3.1.

Budget Head

MIS Consultant/ Manager/ Coordinators Statistical Assistant/ Data Analyst

Quantit y/ Target

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) months A10.2.8.5 District Statistical Officer 22@ 12360 = Rs. 16.32 Lakhs for 6 months A 10.3.7.1 Block Statistical Assistant 118 @ 12360 = Rs. 87.51 lakhs) for 6 months. Salary approved for 6 months based on the conditionality above. These positions are related to M&E therefore they have been considered here and hence they should not be considered again in Programme Management. These posts are being recommended subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. Assistant Manager (M&E) not recommended since no new posts are being sanctioned this year.

0.00

2

196320

MIS/ M&E


3.93

1.85 Approved salary for Statistical Assistant/ Data Analyst 2 @ Rs 15434 pm for 6 months subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof.

0.00 Page - 221 -


102000

192.78

FMR Code

Budget Head

4 B15.3.1. 5

Assistants Data Entry Operators

B15.3.1. 6 B15.3.1. 6.1

Others (Please 5 specify) HMIS Divisional 5 Co-ordinators for 4 divisions and one at State HQ

280476

14.02

280476

14.02

B15.3.2

Computerization HMIS and egovernance, ehealth Other Office and admin expenses

200

820000

83.65

200

820000

83.65

B15.3.2. 1.d

Quantit y/ Target

Unit Cost ( Rs)

189


Amount Remarks Approved (Rs in Lakhs) 95.72 Approved salary @ 9222 pm for 6 months for existing 173 posts of Data Entry Operators 15 at SPMU, 40 at DPMU and 118 at BPMU. Salary approved for 6 months based on the conditionality above. 16 New posts Not Approved. State may share the details of existing HR and infrastructure available for MCTS data entry. State may explore the option of outsourcing the data entry activity.

6.61 Approved salary for HMIS Divisional Coordinators 5 @ 22048 for 6 months this year subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. Salary approved for 6 months based on the conditionality above.

Page - 222 -

FMR Code B15.3.2. 1.d.1

B15.3.2. 1.d.2

B15.3.2. 1.d.3

B15.3.2. 1.d.4

B15.3.2. 1.d.5

B15.3.2. 2.a

Budget Head Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) - Rs. 50000/per Block Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) -Rs. 25000/District Hospital Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) -Rs. 15000/Sub Divisional Hospital Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) - Rs.30000/District HQ Internet connection and Consumable (Paper, CD, Floppy, Printer Cartridge etc.) -State HQ MCTS Operational Cost (excluding HR & Trainings)


50000


22

25000

5.50


37

15000

5.55


22

30000

6.60


1

700000

7.00


76

50000

62.00

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 59.00 Ongoing Activity. Approved subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof.

Page - 223 -

FMR Code

Budget Head

B15.3.2. 2.b

Procurement of Computers/ printers/ cartridges etc.

B15.3.2. 2.c

Maintenance of Computers/ AMC/ etc. Other Office and admin expenses

B15.3.2. 2.d

B15.3.3 B15.3.3. 1

Other M & E Activities HMIS Training




Amount Remarks Approved (Rs in Lakhs) 0.00 Not Approved. State may give adequate justification regarding the requirement for procuring computer in the light of the fact that computers for Statistical / Information Assistants are already in place.

0.00

24.00

38

90000


18.39 Approved Rs 18.39 Lakh for printing of MCTS (Integrated RCH) Registers @ Rs. 150 per registers and 2 registers per ANM. Register must be compatible with the integrated RCH Register (Village wise) designed by 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. Not approved for mobile application.

279.31 28.06

7.29

Approved Rs. 7.29 lakhs subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. MCTS Training may also be Page - 224 -

FMR Code

Budget Head

Quantit y/ Target

Unit Cost ( Rs)


B15.3.3. 2 B15.3.3. 3

MCTS Training Mobility Support for HMIS/ MCTS

22

40000

8.80

B15.3.3. 4

Review Meetings for HMIS

4

30000

1.20

B15.3.3. 5

Review Meetings for MCTS

1.20

B15.3.3. 6

Data Validation Call Centers CAPEX Data Validation Call Centers - OPEX

0.00

B15.3.3. 7

Amount Remarks Approved (Rs in Lakhs) covered. Total cost of training: 3 day combined training for HMIS and MCTS @ Rs 300 per day per person for 1 training per person per year

0.00


12.64

2.25 Approved Rs. 2.25 Lakhs. Mobility cost @ Rs 10000 per district and Rs 25000 for State level per annum for HMIS and MCTS. State may share the details of visit plan. 1.20 Approved subject to 100% facility based reporting on HMIS portal and improvement in data quality thereof. Expenditure should be incurred as per the Govt protocols. Minutes of the meetings should be placed on MCTS portal.

12.64 Approved. State may use this call centre for the following activity: 1) Validating the records of the beneficiaries · 2) Informing them for availing the due services on time. 3) Informing them about health concerns and government benefits Page - 225 -

FMR Code

B15.3.3. 8 B15.3.3. 9 B15.3.3. 10 B15.3.3. 10.1

Budget Head

e-Governance Initiative Hospital Management Softwares Others

Quantit y/ Target

Unit Cost ( Rs)


45.00

Amount Remarks Approved (Rs in Lakhs) schemes.

0.00 New Activity. Not Approved.

0.00

12

20000

Digitilization of CRS Record

182.41 115.01

B15.3.3. 10.2

Printing of New Format under NRHM (Monthly, Quarterly and Annual for Subcenters, SHCs, PHC, CHC and Hospitals)

20.00

B15.3.3. 10.3

New Register for each ANM on Survey, MCH, Births and Deaths, FW, OPD, Disease etc (Rs120x6000 ANMs/LHVs)

45.00

B15.3.3. 10.4

Technical Support for customization and trouble shooting of DHIS2

2.40



89.29 Ongoing Activity. Approved with salary of CRAs for 6 months @ Rs. 9010 pm (Rs. 17.84). Salary approved for 6 months based on the conditionality above. 6.35 Ongoing Activity. Approved Rs 6.35 Lakh @ Rs 0.40 per page based on competitive bidding as per Government Protocols. Since HMIS formats are under revision, State must interact with MoHFW before printing. 0.00 Not Approved.

20000

0.00 New Activity. Not Approved since the State has to shift to 100% facility based


Page - 226 -

12

FMR Code

Budget Head

Quantit y/ Target

Unit Cost ( Rs)


@ Rs. 20000 PM

B15.3.3. 10.5

B16.1.1. 1

Outsourcing of CRS data for the period 2008 to 2000 @4/per entry Approx. 19 lakh entries PROCUREMENT 2776441 93 Procurement of 1077 Equipment Procurement of 21 equipment: MH Equipments for Blood Banks/ BSUs

B16.1.1. 2

MVA /EVA for Safe Abortion services

B16.1.1. 3 B16.1.1. 3.4

Others (please specify) Color Doppler for 21 DHs @ Rs. 10.00 lakh per DH Black White Ultrasound Machine for 65 CHCs @ Rs. 4.00 each Procurement of equipment: CH Establishing New Born Stabilization Units in 28 Institutions

B.16 B16.1 B16.1.1

B16.1.1. 3.5

B16.1.2 B16.1.2. 1

0.00

504372 103 347580 0 100000 0

8911.24

1426.2113

3109.80

550.00

485.80

210.00

269.80

6.00

21 21

100000 0 100000 0

0

0

33

157500 0 575000

28

Amount Remarks Approved (Rs in Lakhs) reporting on HMIS portal.

210.00 210.00


0.00 Approval Pended. New Activity. State to share unit cost and numbers. 210.00 210.00 New Activity. Approved * as per the justification given in the PIP.

0.00

211.00

161.00

161.00


*



Page - 227 -

FMR Code

B16.1.2. 2 B16.1.2. 3 B16.1.3 B16.1.3. 1

Budget Head including remaining 15 SDHs and CHCs conducting more than 50 deliveries PM Procurement of Equipment for 10 SNCUs Procurement of equipments for NRCs Procurement of equipment: FP NSV kits

Quantit y/ Target

Unit Cost ( Rs)


5

100000 0

50.00

1023

900800

215.00

1000

800

8.00

B16.1.3. 2 B16.1.3. 3 B16.1.3. 4

IUCD kits

0.00

minilap kits

0.00

B16.1.3. 5

PPIUCD forceps

B16.1.3. 6 B16.1.4

Other (please specify) Procurement of equipment: IMEP Procurement of equipment other

B16.1.5

laparoscopes

23

900000

207.00

0.00

0

0

0.00

0

0

0.00 1142.00


0.00 New Activity. Not Approved. 179.00 4.00 Ongoing Activity. Rs.4.000 Lakhs approved for 500 NSV Kits @ Rs 800 per kit.

172.50 Rs. 172.50 Lakhs approved * 14for 23 laparoscopes @ Rs 7.5 Lakhs per laparoscope. 2.50 New Activity. Rs 2.50 lakhs approved for 500 PPIUCD forceps at unit cost of Rs 500.00 for PPIUCD services.

0.00

*



Page - 228 -

FMR Code

Budget Head

B16.1.5. 4

than above Equipment for Drug Testing Laboratory

B16.1.6

B16.1.9

Procurement of Drugs and supplies B.16.2.1 Drugs & supplies for MH B.16.2.1. RTI /STI drugs and 1 consumables

Drugs for Safe Abortion Others (Please specify) Drugs & supplies for CH B.16.2.2. Supplies and drugs 1 for 5 Nutritional Rehabilitation Centres B.16.2.2. Supply of 10 lakh 2 zinc sulphate tablets B.16.2.2. Supply of 90000 3 bottle of vitamin solution with 100ml pack


Equipments for 0 ARSH/ School Health Procurement of Others/Diagnostics

B.16.2

B.16.2.1. 2 B.16.2.1. 3 B.16.2.2

Quantit y/ Target

Unit Cost ( Rs)

0

1056.00

2776431 500896 16 303 242 16000 242

0.00

16000

Amount Remarks Approved (Rs in Lakhs) 0.00 Approval Pended. New Activity.

0.00

0.00 Approval pended. New Activity. Generic budgeting not recommended. Should be proposed after doing a gap analysis.

5801.44

876.21

38.72

38.72

38.72

38.72 New Activity. Rs. 38.72 lakhs approved subject to procurement under competitive bidding.

0.00 0

0

2082846 780052 7 5 780000

1000000 0.17

90000

52


0.00 113.16 39.00

74.16 0.00 New Activity. Not Approved.

1.70


46.80


Page - 229 -

FMR Code

Unit Cost ( Rs)


Amount Remarks Approved (Rs in Lakhs) 25.66 New Activity. Approved. State needs to budget for IFA syrup and forward required budget in supplementary PIP 0.00

B.16.2.2. IFA tablet to 4 children

Quantit y/ Target 1973846 0.13 2

B.16.2.3

0

0

0 2

0 500000 000

0.00 5000.00

0.00 368.77

B.16.2.5. IPD 1

1

225000 000

2250.00

B.16.2.5. OPD 2

1

275000 000

2750.00

2567942 00 2444000 00 1239420 0 20000

1

394.56

300.00 Ongoing Activity. Rs 300.00 lakhs approved subject to the following conditions: 1) State to share the list of drugs mentioned under EDL and share the EDL list facility wise. 2) State to share the IPD & OPD cases load and do an analysis on per capita spent on the drugs. 3) Mechanism to monitor the pilferage at drugs stores through computerization to be put in place. 64.69 Approved. Shifted from FMR B.1.1.2.2 4.08 Approved Shifted from FMR B.1.1.2.5 394.56

0.130

317.72

0.62

76.84

250

50.00

B.16.2.4 B.16.2.5

B.16.2.5. 2.a B.16.2.5. 2.b B.16.2.6

Budget Head

Drugs & supplies for FP Supplies for IMEP General drugs & supplies for health facilities

Replenishment of ASHA drug kits Replenishment of HBNC kits Drugs & supplies for WIFS B.16.2.6. IFA 1 B.16.2.6. Albendazole 2 B.16.2.7 Drugs & supplies for SHP


0.00

317.72 Approved. Ongoing Activity. 76.84 Approved. Ongoing Activity. 0.00 Not Approved. New Activity. Page - 230 -

FMR Code B.16.2.8

Budget Head

B.17.1

Drugs & supplies for UHCs Drugs & supplies for AYUSH Regional drugs warehouses/Logis tics management Drug warehouses

B.17.2

Staff at State level

B.17.3

Staff at District level Others

B.16.2.9 B.17

B.17.4 B.17.4.1

B.17.4.2

Quantit y/ Target

Unit Cost ( Rs)



205

100000

205.00

145

294756 00

897.71

3

293340 00

880.02

880.02 New Activity. Approved Rs 880.02 lakhs for construction and equipment for 3 regional drug warehouses at Kharar, Bathinda and Amritsar. State to share DPR for the activity.

1

72000

0.72

0.00 Not Approved. New position - was not approved in FY 2012-13.

0.00

0.00

69600

16.97

16.97

36000

0.36


24000

5.28


141

Mobility Support 1 for transportation of drugs & supplies from State to Districts @ Rs.3000 Per Month at State Level. Mobility Support 22 for transportation of drugs & supplies from Districts to Blocks @ Rs. 2000 Per Month Per 22 District


0.00 Not Approved. New Activity. 896.99

Page - 231 -

FMR Code

Budget Head

B.17.4.3

Mobility Support for transportation of drugs & supplies from Block to Institutions @ Rs. 800 per Month Per 118 Block

B.18

New Initiatives/ Strategic Interventions / Innovation/ Projects as per need

B.18.1

Help Lines

B.19

Health Insurance Scheme

Unit Cost ( Rs)


9600

0

0



Amount Remarks Approved (Rs in Lakhs) 11.33 Approved. Ongoing Activity.

100.00

100.00

100.00

100.00 Approved. New Activity. Rs 100.00 lakhs approved subject to the conditions that a single number should be dedicated for the Helpline in the State which should function as: 1) A resource for grievance redressal especially for denial of services. 2) It should respond to general health related queries and 3) The helpline should act as a resource for ANMs, ASHAs, LHV, and other health workers to respond to their queries.

0.00

Page - 232 -

FMR Code

Budget Head

B.20

Research, Studies, Analysis

B.21

State level health resources centre(SHSRC) SHSRC - HR

B.21.1

Quantit y/ Target

Unit Cost ( Rs)


10

518400

100.00

10

518400

51.84


Amount Remarks Approved (Rs in Lakhs) 0.00 Approval Pended. New Activity. State to give details of each study proposed with cost.

35.24

25.92 Ongoing Activity. Approved for 6 months the existing positions @ Rs 50,000 pm for 7 consultants = Rs 21.00 lakhs, Rs 32,000 pm for 1 documentation officer = Rs 1.92 lakhs and Rs 25,000 pm for 2 project assistants = Rs 3.00 lakhs. Total Rs 25.92 lakhs approved. Approved salary for 6 months and its continuation for the next six months would be contingent on compliance of the conditionality that Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. State to fill the vacancies of the existing positions of PHP, HRH, QI consultants as a priority. New Positions of 1 health economist and 2 research assistants Not Approved. Page - 233 -

FMR Code

Budget Head

B.21.2

Other cost

B22 B.23

0 100

B.23.1

Support Services Other Expenditures (Power Backup, Convergence etc) Dental Fortnight

B.23.8

Dental Chair

100

B.23.9

Equipment for Drug Testing Laboratory Establishment of Cancer Treatment Facilities in the State GRAND TOTAL MFP

B.23.10

Quantit y/ Target

Unit Cost ( Rs)

0 250000

250000


0.00 298.50

Amount Remarks Approved (Rs in Lakhs) 9.32 Ongoing Activity. Rs 9.32 lakhs approved for the following activities: Rs 3.60 lakhs for hiring of vehicles, Rs 0.12 lakhs for internet data card, Rs 5.00 lakhs for computer hardware and software peripherals, Rs 0.60 lakhs for review meetings with districts. Not Approved Rs 38.84 lakhs for evaluation and other studies for want of details. 0.00

48.50

0.00 Approval Pended. Ongoing Activity. State to propose this activity under the NCD flexipool.

250.00

0.00 Approval Pended. New Activity. State to propose this activity under the NCD flexipool. New Activity. Shifted to FMR B.16.1.5.4

0.00

2788477 83

550607 813


27743.07

13529.62

Page - 234 -

Annexure 2 A ASHA Incentives approved under Other Incentives Head Sl. No

Incentive



1 To ensure 100 Iron Folic Acid (IFA) Tablets to pregnant women.

Rs. 50/- per case

180000

90.00

90.00 Approved

2 If ASHA worker stays at night in the hospital with the pregnant woman for the delivery

Rs. 50/- per case

33600

16.80

16.80 Approved

3 For ensuring treatment/ cure of anemic women (any woman who has been found to be having HB less than 7 gm at the time of ANC is to make it reach 9 gm at the time of delivery 4 For ensuring that Low Birth Weight infants ( > 2.5 kg) to gain 2 kg weight in first three months

Rs. 250/per case

30000

75.00

75.00 Approved

Rs. 200/per case

30000

60.00

60.00 Approved

5 Reporting death of mother within 24 hrs. of delivery

Rs.100/per case

500

0.50

0.50 Approved

6 Reporting death of infant within 24 hrs. (Since Birth up to 1 year)

Rs. 100/per case

5000

5.00

5.00 Approved

7 For child birth registration & issue of birth certificate

Rs 30/- per case

120200

36.06



Page - 235 -

Sl. No

Incentive



8 To provide first-hand information regarding outbreak of any disease in the concerned area along with reasons of disease.

Rs 100/per information

2500

2.50

2.50 Approved

9 Support screening camp at school under School Health Programme.

Rs 50/- per school

8400

4.20

4.20 Approved

10 Timely referral of dehydrated patients.

Rs. 50/- per case

5000

2.50


11 Identification of Cancer/ Cervical Cancer/ Breast Cancer & other Cancer patients, accompanying for detection & referring for treatment

Rs. 300/per case

10000

30.00

30.00 Approved

12 Identification of drug addicts & taking them to the rehabilitation center

Rs. 200/per case

50000

100.00

100.00 Approved

13 Follow up and completion of treatment of drug addicts at rehabilitation center

Rs 500/per case

5000

25.00

25.00 Approved

14 For attending the monthly meeting at PHC level

Rs 100/per monthly meeting

199944

199.94

199.94 Approved


Page - 236 -

Sl. No

Incentive



15 To organize Village Health Sanitation and Nutrition Committee (VHSNC) meeting once in a month.

Rs.150/per ASHA par meeting

199944

299.92


16 To do household survey

Rs 200/per survey per year

17360

34.72


TOTAL


982.14

634.48

Page - 237 -

Annexure 3 DETAILED BUDGET: IMMUNIZATION FMR Code

BUDGET HEAD

Unit Cost



Remarks

Mobility Support for supervision for district level officers.

Rs.2,50,000/ Year /district level officers.

22.00

55.00

55.00

Approved

C.1.b

Mobility support for supervision at state level

Rs. 150000 per year.

1.00

1.50

1.50

Approved

C.1.c

Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

Rs. 10 beneficiaries

576000 .00

57.60

57.60

Approved

C.1.d

Support for Quarterly State level review meetings of district officer

4.00

3.00

3.00


C.1.e

Quarterly review meetings exclusive for RI at district level with one Block MOs, CDPO, and other stake holders

Rs. 1250/ per participant/day for 3 persons (CMO/DIO/Dist Cold Chain Officer) Rs. 100/per participant for meeting expenses for 5 persons (lunch, Organization expenses)

88.00

1.76

1.76


C.1 C.1.a


Page - 238 -

FMR Code

BUDGET HEAD

Unit Cost



Remarks

C.1.f

Quarterly review meetings exclusive for RI at block level

Rs. 50/ per person as honorarium for ASHA (Travel) and Rs. 25/person at the disposal of MOIC for meeting expenses (refreshment, stationary and misc. expenses)

688.00

30.96

30.96


C.1.g

Focus on slum & underserved areas in urban areas/alternative vaccinator for slums

544.00

11.42

11.42

Approved.

C.1.h

Mobilization of children through ASHA or other mobilizers Alternative vaccine delivery in hard to reach areas

Hiring of ANM@450/sessi on for four session/month/s lum of 10000 population and Rs. 300/- per month as contingency per slum i.e. Rs. 2100/- per month per slum of 10000 population Rs. 150 per session

191017 .00

286.53

286.53

Approved.

0.00

0.00

C.1.i

C.1.j

C.1.k

Alternative Vaccine Delivery in other areas To develop microplan at subcentre level

Rs. 150 per session Rs. 75 per session

181921 .00

136.44

136.44

Approved.

@ Rs 100/- per subcentre

2950.0 0

2.95

2.95

Approved.


Page - 239 -

FMR Code

BUDGET HEAD

Unit Cost



Remarks

C.1.l

For consolidation of microplans at block level

Rs. 1000 per block/ PHC and Rs. 2000 per district Rs1,50,000/ district/year

194.00

2.13

2.13

Approved.

22.00

33.00

33.00

Approved.

C.1.m

POL for vaccine delivery from State to district and from district to PHC/CHCs

C.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ month/ district

22.00

1.06

1.06

Approved.

C.1.o

Red/Black plastic bags etc.

Rs. 3/bags/session

191017 .00

5.73

5.73

Approved.

Hub Cutter/Bleach/Hypoc hlorite solution/ Twin bucket C.1.q Safety Pits C.1.u JE Campaign Operational Cost C.1.v Others C.1-Sub Total C.2 C.2.1 Computer Assistants support for State level

Rs. 1200 per PHC/CHC per year

575.00

6.90

6.90

Approved.

0.00 0.00

0.00 5.00

Approved.

0.00 635.98

0.00 640.98

Rs.12000-15000 per person per month

1.00

1.44

0.75

C.2.2

8000-10000 per person per month

22.00

C.1.p

Computer Assistants support for District level

Rs. 5250/pit


* Salary is for 6 months * State to provide details of total sanctioned posts, filled up and vacancy. 31.68

13.20 * Salary is for 6 months * State to provide details of total sanctioned posts, filled up and Page - 240 -

FMR Code

BUDGET HEAD

Unit Cost



Remarks

vacancy.

C.2.3

Others(service delivery staff)

C.2-Sub Total C.3 C.3.1 District level As per revised Orientation training norms for including Hep B, trainings under Measles & RCH JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse MidWives, BEEs & other staff ( as per RCH norms) C.3.2 Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module) C.3.3 One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats


9.00

42.00

9.72

0.00

42.84

13.95

0.00

0.00

0.00

0.00

0.42

0.42

Approval Shifted to Part A FMR A.8

Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division.

Page - 241 -

FMR Code

BUDGET HEAD

Unit Cost


C.3.4

Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers

0.00

0.00

One day training of block level data handlers by DIOs and District cold chain officer C.3.6 Others C.3-Sub Total C.4 Cold chain maintenance

0.00

0.00

0.00 0.42 25.73

0.00 0.42 7.61

693.00

693.00

C.3.5

C.5

ASHA incentive for full Immunization


Rs.750/PHC/CHC s per year District Rs.15000/year

Rs 100 per child for full immunization in first year

462000 .00

Remarks

Approved as per norms, However, the expenditure has to be as per actuals. Also, in case the expenditure exceeds the approved allocation , the state may request to MOHFW for additional allocation by reappropriating within part C. Approved.

Rs 50 per child for ensuring complete immunization upto 2nd year of age Administrative Approval of State PIP 2013-14: Punjab

Page - 242 -

FMR Code

C.6

BUDGET HEAD

Unit Cost

Total ROUTINE IMMUNIZATION Pulse Polio Operational Cost (Tentative) Total




1397.97

1355.96

1000.00

700.34

2397.97

2056.30

1.00

Remarks

Approved.

Page - 243 -

Annexure 4A DETAILED BUDGET NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP) FMR Code

Activity

Unit cost

Physical target



N.A. D D.1

IDD Establishment of IDD Control Cell-

D.1.a Technical Officer D.1.b Statistical Assistant D.1.c LDC Typist

D.2

8.00

12.00

Monitorin g of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines .

4.00

6.00

Increased awareness about IDD and iodated

11.00

4.00

1 1 1

Establishment of I DD Monitoring Lab-

D.2.a Lab Technician D.2.b Lab. Assistant D.3 Health Education & Publicity

Implemen tation & monitorin g of the programm e

Remarks

The sanctioned posts i.e. Technical Officer, Statistical Assistant & LDC presently filled on contract basis the same should be filled on regular basis by the State Government for smooth functioning of the IDD Cell and implementation of programme in the State. State Govt. may conduct and co-ordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format. The sanctioned posts i.e. Lab Technician and Lab assistant presently filled on contract basis should be filled on regular basis by the State Government on priority. State Govt. may conduct quantitative analysis of salt & urine as per NIDDCP Guidelines and furnish monthly/quarterly statements.

1 1


IDD publicity activities including Global IDD Day celebrations at various level.

Page - 244 -

FMR Code

Activity

Unit cost

D.4

IDD Survey/resurvey

D.5

Salt Testing Kits 12 STK per to be procured annum by State/UT per ASH A Government for 5 endemic districts

D.6

Rs. 50,000 per district

Physical target

salt. 4 districts



2.00

2.00

Creating 35.00 iodated salt demand and monitorin g of the same at the communit y level. ASHA Incentive Rs. 25/50 salt per month samples for testing per month 50 salt per ASHA sample/m in 5 onth endemic districts TOTAL 66.40*

Remarks

State. Govt. may under take 4 districts IDD survey as per guidelines and furnish report. State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 5 endemic districts i.e. Hoshiorpur, Gurdaspur, Rupnagar, S. Ajit Singh Nagar & Patiala

24.00

*Including proposed activities i.e. orientation & review meetings, support for state IDD Cell and Lab etc which are not allowed under the Programme. ** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 5 endemic districts funds will be released through flexi pool of NRHM by GOI.


Page - 245 -

Annexure 4B DETAILED BUDGET INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) FMR Code

Activity

E1

Operational Cost Field Visits Office Expenses Broad Band expenses Outbreak investigations including Collection and Transport of samples Review Meetings Any other expenditure Sub Total Laboratory Support District Priority Lab Rs. 4,00,000 per district priority lab per annum Referral Network Lab Rs. 5,00,000 per referral lab per annum District public health lab equipments District public health lab manpower District public health lab consumables Sub Total Human Resources

E 1.2

E.2 E.2.1

E.2.2

E.2.3

Remuneration Epidemiologists

Remuneration Microbiologists

Remuneration

Unit Cost (where-ever Amount applicable) Proposed (Rs. in lakhs)

of

of

75.00

Amount Approved (Rs in lakhs) 57.8 (5.0×1+2.4× 22)

75.00

57.8

4.00 (4.00×1)

4.00 (4.00×1)

20.00 (5.0×4)

20.00 (5.0×4)

24.00

24.00

State Epidemiologists

4.8 (0.4×12)

4.8 (0.4×12)

District Epidemiologists

105.6 (0.4×22×12)

State Microbiologists

3.42 (0.285×12)

96.0 (0.4×14×12+ 0.4×8×9) 3.42 (0.285×12)

District Microbiologists

3.42 (0.285×12)

3.42 (0.285×12)

3.42

3.42

of


Remarks

The approved amount is for 1 SSU & 22 DSU’s.

. Remunera tions for vacant positions are calculated for 9 months

Page - 246 -

FMR Code

Activity

Unit Cost (where-ever Amount applicable) Proposed (Rs. in lakhs) (0.285×12) 3.6 (0.3×12) 2.76 (0.23×12) 4.80 (0.4×12) State Data Manager 2.76 (0.23×12)

Entomologists Veterinary Consultant E.3 E.3.1 E.3.2

E.3.3

E.8

Consultant-Finance/ Procurement Consultant-Training/ Technical Data Manager

Data Entry Operator

Training

District Data Manager

58.08 (0.22×22×12)

State Data Entry Operator

3.12 (0.13×2×12)

District Data Entry Operator

36.00 (0.12×25×12)

Sub Total As per Guidelines

Medical Officers (1 Day )

Senior Medical Officers (1 Day)

One day training of Hospital Pharmacist / Nurses

One day training of Medical College Doctors Epidemiologists (1 Day) Adminstrative Approval of State PIP 2013-14: Punjab

231.78

Amount Approved (Rs in lakhs) (0.285×12) 2.7 (0.3×9) 2.76 (0.23×12) 4.80 (0.4×12) 2.4 (0.2×12) 43.74 (0.18×15×12+ 0.18×7×9) 1.56 (0.13×1×12)

35.28 (0.12×23×12+ 0.12×2×9) 204.30

NRHM 1.56 (0.51875×3) for 3 batches of 25 participants each 1.98 (0.66×3) for 3 batches of 25 participants each 4.8 (0.10912×44) for 44 batches of 22 participants each 0.40 (0.40×1) for 1 batch of 20 participants 1.02 ( 0.51×2)

Remarks

1.56 (0.51875×3)

2.4 (0.10912×22)

0.30 (0.30×1)

Training budget has been computed keeping in mind the number of trainings conducted in 201213. However if there is need to increase the training budget, the same may be proposed

Page - 247 -

FMR Code

Activity

One day workshop fro Inter-sectoral coordination with other departments like Local bodies, Water supply sanitation etc. regarding plan strategy for disease control/ outbreak management One day training for Data Entry and analysis for Block Health Team Lab technician (2 days)

Unit Cost (where-ever Amount Amount applicable) Proposed Approved (Rs. in lakhs) (Rs in lakhs) for 2 batches of 23 participants each 1.5 (0.75×2) for 2 batches of 25 participants each

Data managers (1 day)

DEO cum accountant day)

(1

Mobile based data entry for surveillance Sub Total For each newly formed district. District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories. Sub Total Total


4.80 (0.21824×22) for 22 batches of 22 participants each 0.70 (0.35×2) for 2 batches of 23 participants each 0.80 (0.40×2) for 2 batches of 26 participants each

4.80 (0.21824×22)

17.56 11.26 (5.63×2)

10.56 7.0

11.26

7.0

359.60

303.66

Remarks

in Suppleme ntary PIP.

0.70 (0.35×2)

0.80 (0.40×2)

Page - 248 -

Annexure 4C DETAILED BUDGET NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) FM R Cod e F.1. 1 F.1. 1.a

F.1. 1.b

F.1. 1.c






Remarks

Malaria Human Resource including MPW contractual Lab Technicians ( against vacancy ) VBD Technical Supervisor (one for each block) District VBD Consultant (one per district) (NonProject States) State Consultant (Non – Project States) - M& E Consultant (Medical Graduate with PH qualification) - VBD Consultant (preferably entomologist) ASHA Incentive

9.50


30.00

5.00 ASHAs involvement need to be intensified the allocation can be increased on the basis of expenditure

30.00

0.00 Should be from the state resources

Operational Cost Spray Wages

Operational cost for IRS Adminstrative Approval of State PIP 2013-14: Punjab

Page - 249 -

FM R Cod e

F.1. 1.d

F.1. 1.e F.1. 1.f F.1. 1.g F.1. 1.h

F.1. 1.i

F.1. 1.j F.1. 1.k F.1. 1.l F.1. 2 F.1. 2.a




Impregnation of Bed nets- for NE states Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility


Remarks

IEC/BCC

20.00

30.00 Funds can also be utilised for printing of new forms / strengthenin g of NAMMIS 20.00 Approved

PPP / NGO and Intersectoral Convergence Training / Capacity Building Zonal Entomological units

20.00

20.00 Approved

Biological and Environmental Management through VHSC Larvivorous Fish support

27.00


25.00


3.00

0.00 Recommend ed from flexipool 0.00 Recommend ed from flexipool

Construction and maintenance of hatcheries Contingencies

20.00

Total Malaria (DBS) Dengue & Chikungunya

184.50

75.00

Strengthening surveillance (As per GOI approval) F.1. Apex Referral Labs 2.a(i recurrent Administrative Approval of State PIP 2013-14: Punjab

Page - 250 -

FM Component (SubUnit Cost R Component) (wherever Cod applicable) e ) F.1. Sentinel surveillance 2.a(i Hospital recurrent i) ELISA facility to Sentinel Surv Labs F.1. Test kits (Nos.) to be 2.b supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately) F.1. Monitoring and 2.c evaluation F.1. Epidemic containment 2.d




Remarks

15.00

20.00

0.00 from state resources

12.00

11.50 Approved

13.00

F.1. 2.e

Case management

10.00

F.1. 2.f

Vector Control & environmental management

28.00

F.1. 2.g

IEC BCC for Social Mobilization

15.00

F.1. 2.h

Inter-sectoral convergence

2.50

F.1. 2.i

Training including Operational Research Total Dengue/Chikungunya Acute Encephalitis Syndrome (AES)/ Japanese Encephalitis (JE)

12.50

5.75 Approval restricted to budgetary allocation 21.00 Needs to be scaled up as per approved activity 20.00 Approval restricted to budgetary allocation 10.25 Approval restricted to budgetary allocation 0.50 Approved restricted to budgetary allocation 14.00 Approved

128.00

98.00

F.1. 3


Page - 251 -

FM R Cod e F.1. 3.a

F.1. 3.b F.1. 3.c F.1. 3.d F.1. 3.e

F.1. 4 F.1. 4.a






Not Applicabl e

Not Applicable

Remarks

Diagnostics and Case Management including rehabilitation IEC/BCC specific to J.E. in endemic areas Capacity Building Monitoring and supervision Technical Malathion Fogging Machine Operational costs for malathion fogging Operational Research Rehabilitation Setup for selected endemic districts ICU Establishment in endemic districts ASHA Insentivization for sensitizing community Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter Total AES/JE Lymphatic Filariasis State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring &


0.00

Not Applicabl e

0.00

Not Applicable

Page - 252 -

FM R Cod e






Remarks

supervision, mobility support for Rapid Response Team and contingency support

F.1. 4.b F.1. 4.c F.1. 4.d

Monitoring by Microfilaria Survey Monitoring & Evaluation (Assessment) Training District Officers, PHC MOs, Paramedical staff, drug distributors

F.1. 4.e

BCC/Advocacy/IEC at state, district/PHC, sub centre Honorarium for Drug Distribution including ASHAs and supervisors Verification and validation for stoppage of MDA in LF endemic districts a) Additional MF Survey b) ICT Survey c) ICT Cost Verification of LF endemicity in nonendemic districts a) LY & Hy Survey b) Mf Survey in Nonendemic distt c) ICT survey Post-MDA surveillance Total Lymphatic Filariasis Kala-azar

F.1. 4.f

F.1. 5


0.00

0.00

Page - 253 -

FM R Cod e F.1. 5 F.1. 5.a F.1. 5.b F.1. 5.c F.1. 5.d F.1. 5.e F.1. 5.f

F.2 F.2. a F.2. b F.2. c F.2. d






Not Applicabl e

Not Applicable

Remarks

Case search/ Camp Approach Spray Pumps & accessories Operational cost for spray including spray wages Mobility/POL/supervisio n Monitoring & Evaluation Training for spraying IEC/ BCC/ Advocacy Total Kala-azar Total (DBS) Externally aided component World Bank support for Malaria (Identified state) Human Resource Training /Capacity building Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats) Kala-azar World Bank assisted Project Human resource

F.2. e F.2.f Capacity building F.2. Mobility g F.3 GFATM support for Malaria (NE states)


0.00 312.50

0.00 173.00

Not Applicabl e

Not Applicable

Not Applicabl e

Not Applicable

Page - 254 -

FM R Cod e F.3. a




Project Management Unit including human resource of N.E. states F.3. Training/Capacity b Building F.3. Planning and c Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project) F.3. Monitoring Supervision d (supervisory visits including travel expenses, etc) including printing of format and review meetings, F.3. IEC / BCC activities as e per the project F.3.f Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS ) Total : EAC component F.4 Any Other Items ( Please Specify) F.5 Operational costs ( mobility, Review Meeting, communication, formats & reports) Grand total for cash assistance under NVBDCP (DBS + EAC) F.6 Cash grant for decentralized commodities




Not Applicabl e

Not Applicable

0.00 0.00

0.00 0.00

0.00

0.00

312.50

Remarks

173.00

Page - 255 -

FM R Cod e F.6. a

F.6. b F.6. c F.6. d F.6. e F.6.f F.6. g F.6. h F.6.i

F.6.j F.6. k






Remarks

Chloroquine phosphate tablets

Primaquine tablets 7.5 mg Primaquine tablets 2.5 mg Quinine sulphate tablets Quinine Injections DEC 100 mg tablets Albendazole 400 mg tablets Dengue NS1 antigen kit Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water) Pyrethrum extract 2% for spare spray Any Other Items ( Please Specify) ACT ( For Non Project states) RDT Malaria – bi-valent (For Non Project states) Total grant for decentralized commodities Grand Total for grantin-aid under NVBDCP Commodity to be supplied by NVBDCP Total NVBDCP Cash + Commodity


128.00

123.00

128.00

123.00

440.50

296.00

0.00

0.00

440.50

296.00

The commodities are recommende d however it may be restricted to budgetary allocation

`

Page - 256 -

Annexure 4D DETAILED BUDGET NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) Activity proposed

Unit


Physic al Target s



-

-

-

Town 1,14,000 Med 2,42,000 Mega4,72,000 Metro-

9 2 2 0

10.26 9.44 11.20 -

10.26 4.84 9.44 -

100 250

5500 53

5.50

5.50

0.25

0.13

400 600

23 30

0.14 0.30

0.09 0.18

20

13.60

13.60

600000

-

-

-

MCR Footwear300/Aids/Applian ce -10000 Welfare/RCS - 8000 RCS at Instt. - 5000

2000 10 20 20

6.00 1.70 1.60 1.00

6.00 1.70 1.60 1.00

G1.Case detection & Management 1.1 Specific -plan for High Endemic Districts

Block

1.2 Services in Urban Areas

Town 17 Med - 2 Mega- 2 Metro0

1.3. ASHA Involvement Sensitization *Incentive to ASHA

1.4 Material & Supplies Supportive drugs, lab. reagents & equipments and printing works 1.5 NGO Schemes G 2. DPMR MCR footwear, Aids and appliances, Welfare allowance to leprosy patients for RCS, Support to govt. institutions for RCS

Detectio n PB MB

Plan for urban area not clearly defined

68,000 District No.

G3.** IEC/BCC


Page - 257 -

Activity proposed

Unit

Mass media, Outdoor media, Rural media, Advocacy media G4. Human Resource & Capacity building ***4.1 Capacity building 4.2. Human Resource on contract ****4.2.1. Contractual Staff at State level SMO BFO cum Admn. Officer Admn. Asstt. DEO Driver District Leporsy Consultant Physiotherapist 4.2.3. Special Provision for selected States NMS 4.2.4. Staff for blocks PMW G5. Programme Management 5.1. Travel Cost Contractual Staff at State level Contractual Staff at District level 5.2 Review meetings 5.3 Office Operation & Maintenance Office operation - State Cell Office operation - District Cell


Physic al Target s


98,000

20

19.60

Amount Remarks approve d (Rs. in lakh) 19.60

73,200

28

20.50

20.50

1 1 1

50000 37,500 17600

1 1 1

6.00 4.50 2.11

6.00 4.50 2.11

1 1

15000 13750 30000

1 1 -

1.80 1.65 -

1.80 1.65 -

25000

-

-

-

No.

25000

20

60.00

60.00

No.

16000

-

-

-

80,000

1

0.80

0.80

25000

30

5.00

5.00

4

30,000

4

1.20

1.20

1

75000

1

0.75

0.75

No.

35000

20

7.00

7.00

Course


State specific requiremen ts & rates

Posts of Driver not available at District level

Page - 258 -

Activity proposed

Office equipment maint. State 5.4 Consumables State Cell District Cell 5.5 Mobility Support State Cell District Cell G6. Others Travel expenses for regular staff for specific programme / training need, awards etc GRAND TOTAL

Unit


Physic al Target s


1

50000

1

0.50

0.50

1 No.

50000 30000

1 20

0.50 6.00

0.50 6.00

2 1

200000 150000

1 20

4.00 30.00

4.00 30.00

-


-

3.00

232.90

229.25

Essential requiremen t

Additionality in Annual Plan NRHM 6.03 6.03 WHO ILEP Others *Incentive to ASHAs will be given at revised rate subject to the approval by MSG. **The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual requirements of each district keeping adequate funds at State level under Mass Media and Advocacy meetings. ***Unit cost of Training to be calculated as per State NRHM norm fixed for all health programmes. **** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of remuneration in other National Health Programmes.


Page - 259 -

Annexure 4E REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP) FMR Code

Budget Head

Unit cost

Physical target

I.1

Civil works

1) Civil work Up gradation and maintenance completed as planned

I.2

Laboratory materials

As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP

I.3

Honorarium As per Revised Norms and Basis of Costing for RNTCP ACSM As per Revised Norms and Basis of Costing for RNTCP

I.4

I.5

Equipment maintenanc e

As per Revised Norms and Basis of Costing for


Remarks

1) Sputum of TB 97.9 Suspects Examined per lakh population per quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally 1) All eligible 30.00 Community DOT Providers are paid honorarium in all districts in the FY

78.32

80% approved

24.00

80% approved

1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding; 1) Maintenance of Office Equipments at State/Districts and IRL

63.49

53.9665

85% approved that include salary of ACSM officer

28.63

28.63

100% approved.



Approval for 15 TU is being given instead of 59.

Page - 260 -

FMR Code

Budget Head

Unit cost

Physical target

RNTCP

equipments completed as planned; 2) All BMs are in functional condition 1) Induction training, Update and Re-training of all cadre of staff completed as planned; 1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained;

I.6

Training

As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP

I.7

Vehicle maintenanc e/ operation

I.8

Vehicle hiring

I.9

NGO/PP support

As per Revised Norms and Basis of Costing for RNTCP

I.10

Medical college

As per Revised Norms and Basis of Costing for RNTCP

1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding 1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT 1) All activities proposed under Medical Colleges head in PIP completed




Remarks

74.8

59.84

80% has been approved

119.00

77.35

Amount is based on no. of new TU to be upgraded.

6.00

6.00

100% approved

31.06

170.811

Salary of PPM positions have been approved here.

111.25

89.00

80% approved.

Page - 261 -

FMR Code

Budget Head

Unit cost

Physical target



Remarks

I.11

Office Operation

1) All activities proposed under miscellaneous head in PIP completed

I.12

Contractual services


1) All contractual staff appointed and paid regularly as planned

710.85

479.032

1) All printing activities at state and district level completed as planned

63

50.4

PPM positions have been shifted to PPM head. Salary of STS have been calculated based on new TUs . 80% approved

I.13

Printing

I.14

Research and studies


1) Proposed Research has been initiated or completed in the FY as planned

4.00

4.00

100% approved

1.15

Procureme nt of drugs

I.16

Procureme nt –vehicles

1) Procurement of 96.2 vehicles completed as planned

74.1

114 two wheelers have been approved.

I.17

Procureme ntEquipments

1)Procurement of equipments completed as planned

11.27

Amount of PDA has been disapproved.

90% approved

-



13.94

Page - 262 -

FMR Code

Budget Head

Unit cost

Physical target



Remarks

I.18

Patient support & Transportat ion

Payment of transportation charges to patients

I.19

Supervision & Monitoring


104.33

83.464

80%approved.

Subtotal

1700.29

1,387.52

Disease control Flexipool fund TOTAL APPROVAL

18.91

10.35

1719.2

1,397.87

Number of evaluation and review meeting done by state


100% approved

Items disapproved are Ward boy and stair case.

Page - 263 -