F. No. 11011/08/2011-NRHM-III Government of India Ministry ...nhmnagaland.in/Notification_file_path/RoP 2011-12.pdf · 30 Construction of sub-centre buildings 398 448 50 31 Construction

1

F. No. 11011/08/2011-NRHM-III Government of India

Ministry of Health & Family Welfare Department of Health & Family Welfare

Nirman Bhawan, New Delhi

Dated: 11/05/2011 To, The Mission Director, (NRHM) Government of Nagaland, Kohima, Nagaland. Subject: Approval of State Programme Implementation Plan of NRHM for the year

2011-12

Madam/Sir,

This refers to the draft Programme Implementation Plan (PIP) for the year

2011-12 submitted by the State and the discussions held on the same in the Pre

Appraisal meeting held on 08th February 2011 at Guwahati, Assam and NPCC meeting

held on 21st March 2011 at New Delhi.

2. The administrative approval of the PIP for your State is conveyed for an amount of

Rs 93.74 cr. (Detail at Table C below) against the resource envelope available

comprising of the following:-

Table A

(Rs. in Crore)

Likely Uncommitted Unspent Balance Available under NRHM as

on 1.4.2011

0.00

GOI Resource Envelope for 2011-12 under NRHM 83.31

15% State share ( 2011-12) 14.70

Total 98.01

2

Table B

The Resource Pool wise break up of total Resources under NRHM

(Rs. in Crores)

Sl

No.

Likely

Uncommitted

Unspent

balance

available as on

1.4.2010

GoI Resource

Envelope under

NRHM

Total

1 RCH Flexible Pool 0.00 23.55 23.55

2 NRHM Flexible Pool 0.00 27.80 27.80

3 Immunization

1.02

( from RCH Flexible Pool)

1.02

4 NVBDCP 0.00 9.15 9.15

5 RNTCP 0.00 2.10 2.1

6 NPCB 0.00 1.89 1.89

7 NLEP 0.00 0.60 0.60

8 IDSP 0.00 1.07 1.07

9 NIDDCP 0.00 0.36 0.36

10 Direction & Admn.

(Treasury route)

0.00 14.86 14.86

11 PPI Oper. Cost 0.00 0.91 0.91

12 15% State share 0.00 0.00 14.70

Total 98.01

Committed Unspent

Balance up to 2010-11

to be Revalidated in

2010-11

Rs.37.56 Crore

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Table C

SUMMARY OF APPROVAL

(Details provided in respective Annexure)

Scheme/Programme Approved Amount

( In Rs. Crores)

1. RCH Flexible Pool

(Details at Annexure-I)

35.52

2. NRHM Mission Flexible Pool

(Details at Annexure-II)

29.63

3. Immunization and PPI Operational cost

(Details at Annexure-III)

2.36

4. NVBDCP

(Details at Annexure-IV)

5.57

5. RNTCP


2.76

6. NPCB


1.89

7. NIDDCP


0.30

8. IDSP


0.34

9. NLEP


0.55

10. Infrastructure Maintenance

14.86

Grand Total 93.78

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3. The approval is subject to the following mandatory requirements. Non

compliance to any of the following requirement may result in withholding of

grant to the State:

A. Release of the first tranche of funds

The first tranche of funds would be released by GOI to States for PIPs 2011-12 on

fulfilment of the following conditions:

1. A full- time Mission Director for NRHM (for States having resource envelop of

more than Rs 50 crores), other than the administrative Secretary.

2. A full- time Director/Joint Director/Deputy Director (Finance) (depending on

resource envelop of State), from the State Finance Services not holding any

additional charge outside the Health Department.

B. Release of Second Tranche of Funds

Action on the following issues would be looked at while considering the release of

second tranche of funds:

3. The State shall ensure that 15% of the State share, based on release of funds by

Government of India is credited to the account of the State Health Society.

4. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15%

State share under NRHM.

5. State shall articulate policy on entitlements, and ensure rational prescriptions,

timely procurements, smooth distribution to facilities, prescription audits, EDL

in public domain, computerized drugs and logistic MIS System with the

objective of minimizing out-of-pocket expenses.

C. Monitoring Requirements

6. State shall ensure submission of quarterly report on the Measurable

Target/indicators at the end of every quarter as per Attachment A and expected

outputs stated in the Record of Proceeding (RoP) of NPCC in Attachment B. All

approvals are subject to the observations made in the RoP which is inclusive of

commodity grants under Disease Control Programme in the respective

Annexure.

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D. Human Resource

7. All Posts under NRHM shall be on contract and for the Plan period. All such

appointments would be for a particular facility and non transferable in nature.

Priority in contractual recruitments and placements would be for backward

districts, difficult, most difficult and inaccessible health facilities. The contractual

appointments would be need based. Performance must be measured against pre-

determined benchmarks regularly.

8. All States would ensure that there is rational deployment of trained HR and

appropriate skill mix of human resource is made available to ensure provision of

minimum service guarantee to health facilities. All professionals multi skilled

under NRHM shall be placed in facilities where the skills can be utilized.

Irrational deployment would render the expenditure ineligible under NRHM.

9. State shall prepare action plan for recruitment, deployment and training of

human resources within six months and send it to the ministry.

E. Infrastructure

10. All civil works undertaken to achieve IPHS standards, would be based on

expected patient load and priority would be accorded to the backward districts,

inaccessible and remote areas as per prescribed criteria.

11. In all new constructions, care should be taken to ensure that the locations of

these facilities are such that beneficiary households can access them easily. They

should preferably be located in the midst of habitation and definitely not in

agriculture fields, outskirts of villages, or in unhygienic environment under any

circumstances. Any deviation from the above would be treated as ineligible

expenditure under NRHM.

12. All new constructions would require prior approval of GoI if names of facilities

have not been mentioned in the NRHM-PIP, and also if any shift is proposed. No

shift from backward and inaccessible areas would be allowed.

13. The State shall set up implementation arrangement to monitor all civil works

being undertaken, on a monthly basis, to ensure quality of works and completion

as per schedule.

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F. Communitization

14. The State shall ensure that all operational guidelines relating to VH&NDs are

complied with.

15. The State shall ensure timely performance based payments to

ASHAs/Community Link Workers and put in place a supportive supervision

mechanism is put in place within six months.

16. The State shall ensure that RKS meets as frequently as possible and mandatorily

at least once in every quarter to review proper utilisation of allocated funds for

achievement of goals. The proceedings of such meetings should be maintained

for scrutiny.

G. Financial

17. The State shall not make any change in allocation among different components/

activities without approval of GoI. Any proposal for re-appropriation between

activities within activities should be informed to GoI in advance. However, such

re-appropriation should reflect realignment of activities in accordance with

priority to high focus districts/involvement of NGOs etc.

18. The State shall ensure the completion of delegation of administrative and

financial powers during the current financial year. Funding of NRHM to the

State in 2011-2012 will be based on clear delegation as per earlier directions.

19. The State shall follow all the financial management systems under operation

under NRHM and shall submit Audit Reports, Quarterly Summary Concurrent

Audit Report, FMRs, Statement of Fund Position, as and when they are due.

State shall undertake Monthly District Audit and periodic assessment of the

financial system.

20. The accounts of the State/ grantee institution/ organization shall be open to

inspection by the sanctioning authority and audit by the Comptroller and

Auditor General of India under the provisions of CAG (DPC) Act 1971 and

internal audit by Principal Accounts Office of the Ministry of Health & Family

Welfare.

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21. State shall ensure submission of details of unspent balance indicating, inter alia,

funds released in advance and funds available under State Health Societies. The

State shall also intimate the interest amount earned on unspent balance. This

amount can be spent against activities already approved.

H. Outcomes

22. The state shall focus on key NRHM goals of reduction in MMR,IMR & TFR and

overall disease burden. All activities and expenditure must be linked with

outcomes and technical interventions/strategies recommended by MoHFW

implemented in right earnest.

23. The State shall ensure establishment of supportive supervisory structures for

RCH programme, particularly in districts having low institutional delivery.

24. State shall ensure taking appropriate action to monitor the performance of the

cold chain /ILR Points and implementation of ProMIS and improving coverage

and quality of Immunization services.

Yours faithfully,

(Ms. Jaya Bhagat) Director NRHM-NE

Copy to:

1. All JSs in the Ministry

1. All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes

2. DS/Director Finance (NRHM)

3. All Under Secretaries concerned

4. IFD

5. PPS to Secretary(H&FW)/PS to SS&MD, NRHM

6. Sanction Folder

7. File of Concerned States.

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Attachment - A

MONITORING TARGETS TO BE ACHIEVED IN 2011-12

Activity / Measurable indicator

Achievement in/ up to 2010-11

Target in (Cumulative) up to 2011-2012

Addition during the year

I Monitoring Progress Against Standards:

A Maternal Health

1 Institutional Deliveries 9336 15000 5664

2 24x7 Facilities 33 66 33

3 Functional First Referral Units 11 16 5

B Child health

4 Sick New Born Care Units 0 1 1

5 New Born Care Corners 42 59 17

6 Stabilization Units in CHCs/ BPHCs

11 18 7

7 Full Immunization

C Population Stabilization

8 Male Sterilization 6 30 24

9 Female Sterilization 1302 2500 1198

10 No. of IUD Insertions

D Disease Control

11 Annualized New Smear Positive Detection Rate of TB

61 per lakh per year

62 per lakh per year

1 basis points

12 Success Rate of New Smear Positive Treatment initiated on DOTS.

91% 92% 1 basis points

13 ABER for malaria 9.09 10% of the total population

10% of the total population

14 API for malaria (per 1000 population)

2.5 nil nil

15 Annual New Case Detection Rate for Leprosy (per 1,00,000 population)

NA 0.10 Maintain ANCD rate

16 Cataract Surgeries performed 621 750 129

II Human Resources including Training

17 Appointment of ANMs 286 398 112

18 Appointment of staff nurses 215 247 32

19 Doctors trained on EmOC 6 16 10

20 Doctors trained on LSAS 8 18 10

21 Doctors trained in NSV/ 0 10 10

9

Activity / Measurable indicator

Achievement in/ up to 2010-11

Target in (Cumulative) up to 2011-2012

Addition during the year

Conventional vasectomy

22 Doctors trained in Abdominal Tubectomy (Minilap)

9 16 7

23 Doctors trained in laparoscopic Tubectomy

9 15 batches 2 doctors, 2 OT Techs. & 2 SNs in one batch

24 Personnel trained in IMNCI 163 298 135 health personnel

planned to be trained (MO- 30, GNMs- 45 and ANMs –

60) III Communitization Processes

25 Functional VHSCs 1324 1324 0

26 ASHAs with Drug kits 1700 2584 884 IV Improved Management

27 Tracking of pregnant mothers and children

11 districts 11 districts Covered all districts

28 Evaluation and Assessment of NRHM Activities

Initiated For ASHA & JSY

-----

29 Cold Chain Management

(number of functional ILR

points)

100 120 20

V Infrastructure

30 Construction of sub-centre buildings

398 448 50

31 Construction of PHC buildings 123 136 13

32 Construction of CHC buildings 21 24 3

33 Construction of District Hospital buildings

Nil Nil Nil

34 Construction of Other Hospital buildings

Nil Nil Nil

VI MMU and Referral Transport

35 Functional Mobile Medical Units

11 11 1 for each district

36 Emergency and Referral Transport

66 66 No new addition

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Attachment B

NATIONAL RURAL HEALTH MISSION

RECORD OF PROCEEDINGS 2011-12

Record of Proceedings of the National Programme Coordination Committee (NPCC)

for Nagaland held under the Chairmanship of Shri P.K. Pradhan, Special Secretary

and Mission Director, NRHM for approval of NRHM Programme Implementation

Plan (PIP) of States and UTs for the year 2011-12.

I. A meeting of the NPCC of NRHM was held under the Chairmanship of SS &

MD, NRHM, to approve the PIP of Nagaland on 21st March 2011. The list of members

who attended the meeting is placed at Annex. V. The NPCC meeting was convened

after the pre-appraisal meeting for the State, with written and oral comments provided

to the State to modify the proposal before the NPCC.

II. State Government apprised about the likely uncommitted unspent balance

available under NRHM as on 1.4.2011, and were apprised of the GOI Resource

Envelope for 2011-12 under NRHM. The Monitorable Indicators is placed at

Attachment A for the State was also indicated. After detailed discussions and

subsequent deliberations, the PIP was finalised for amounts indicated under different

components as detailed in the Attachment B (Annexure I to V).

III. The attention of the State was drawn to the following areas for further action :

A. Planning

1. The State Government shall, within 45 days of the issue of Record of Proceedings by

the Ministry of Health and Family Welfare, issue detailed resource envelop and

activities approved for each district.

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B. Human Resource

2. All posts under NRHM on contract and based on local criteria shall be done by the

Rogi Kalyan Samiti /District Health Society. Residence at place of posting must be

ensured.

3. Blended payments comprising of a base salary and a performance based component,

should be encouraged.

4. Transparent transfer and career progression systems should be implemented in the

State.

5. The State shall put in place a transparent and effective human resource policy so

that difficult, most difficult and inaccessible areas attract and retain human

resources for health.

C. Infrastructure

6. The State shall furnish list of facilities to be upgraded within three months if not

already not specified in the PIP.

7. The State shall furnish information relating to physical and financial status of

infrastructure and building works already taken up every quarter to Infrastructure

Division.

8. The State shall under take all construction activities in meeting health infrastructure

gaps with particular focus in backward districts and inaccessible facilities.

D. Communitazation

9. The State shall take up capacity building exercise of Village Health and Sanitation

Committees, Rogi Kalyan Samitis and other community /PRI institutions at all

levels, involving Non Governmental organizations where necessary after a selection

process.

10. The State shall ensure regular meetings of all community Organizations /District /

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

facilities.

11. The State shall also make contributions to Rogi Kalyan Samitis besides introducing

user charges wherever feasible protecting the interest of the poor.

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12. All performance based payments/incentives should be under the supervision of

Community Organizations (PRI)/RKS.

13. The State shall focus on the health entitlements of vulnerable social groups like SCs,

STs, OBCs, minorities, women, disabled friendly, migrants etc.

E. HMIS

14. State shall set up a transparent and credible procurement and logistics system. State

agrees to periodic procurement audit by third party to ascertain progress in this

regard.

15. The State shall undertake institution specific monitoring of performance of Sub

Centre, PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularly

uploaded as Monthly, Quarterly and Annual Data on the HMIS.

F. Specific Programme Related

16. State Specific Conditions/Observations: State Specific Conditions/Observations

(would be provided by Team leader/nodal officer for each State before issuing

administrative approval).

17. The funds approved under the Monitoring and Evaluation activities in the PIP are

subject to the State reporting facility-wise performance on the HMIS portal of the

Ministry. The States are to also periodically review the quality of data on the HMIS

portal at teh District and Sub-district levels.The funds approved for the Mother abd

Child Tracking Systems(MCTS) are to be utilized such that there is improved

coverage of maternal and care services and immunisation of children and reflected

on the MCTS portal of the Ministry.

IV. Based on the State’s PIP and deliberations thereon the Plan for the State is

finalised as per the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM

Flexible Pool), Annexure-III (Immunization) & Annexure –IV (National Disease Control

Programmes).

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Annexure-I

Consolidated Approval under RCH-II for FY 2011-12

S.

BUDGET HEAD

PROPOSED APPROVED AMOUNT

(Rs. Lakhs)

REMARKS

No.

Amount (Rs. Lakhs)

1 Maternal Health 76.64 61.24

2 Child Health 41.36 33.86

3 Family Planning 19.95 11.50

Incorrect unit rate for camps

4 ARSH 36.00 36.00

5 Urban RCH 0.00 0.00

6 Tribal RCH 0.00 0.00

7 PNDT & Sex Ratio 22.64 21.64

8 Infrastructure & HR

2675.56 2598.16

29 MO’s of AYUSH & IMEP infrastructure costs to be shifted to Mission flexi pool

9 Training 208.81 208.81

10 Programme Management 282.00 282.00

11 Vulnerable Groups

Total RCH II Base Flexi Pool 3362.06 3253.21

12 JSY 305.59 273.00

13 Sterilisation & IUD Compensation, and NSV Camps 25.95 25.95

Total RCH II Demand Side 331.54 298.95

GRAND TOTAL RCH II 3693.60 3552.16

MO’s of AYUSH & IMEP Infrastructure costs to be shifted to Mission Flexipool.

School Health IEC budget of Rs. 4.36 lakhs to be shifted to Mission Flexipool

Procurement for School Health Programme of Rs. 11.87 lakhs is to be shifted to

Mission Flexipool.

PNDT & Sex ratio for an amount of Rs. 22.64 lakhs was shifted from MFP to RCH

Flexi Pool.

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FMR Code

Activity Unit Rate (where-

applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

A. RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL)

A.1 MATERNAL HEALTH

A.1.1 Operationalise facilities

A.1.1.1 Operationalise FRUs

A.1.1.2 Operationalise 24x7 PHCs

A.1.1.3 MTP services at health facilities

A.1.1.4 RTI/STI services at health facilities

A.1.1.5 Operationalise Sub-centres

A.1.2 Referral Transport

9000 beneficiaries

45.00 45.00

A.1.3 Integrated outreach RCH services

Rs. 15000/Camp

44 Camps 22.00 6.60

A.1.3.1 RCH Outreach Camps/ Others

A.1.3.2 Monthly Village Health and Nutrition Days

1.00 1.00

A.1.4 Janani Suraksha Yojana / JSY

A.1.4.1 Home Deliveries

Rs. 500 13000 deliveries

65.00 65.00

A.1.4.2 Institutional Deliveries

Rs. 700 15000 deliveries

105.00 105.00 State to provide break up of rural and urban beneficiaries.

A.1.4.2.a

Rural

A.1.4.2. Urban

15

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

b

A.1.4.2.c

Caesarean Deliveries

A.1.4.3 Administrative expenses

Rs. 700/ case for PPP

JSY administration costs; PPP with 5 facilities for 96 deliveries

45.59 13.00 Admin. Expenses is approved @ 5%

A.1.4.4 Payment to Link Workers/ASHA

Rs. 600 90.00 90.00

A.1.5 Maternal Death Review

A.1.6 Other strategies/activities

Roll out of MCP cards

8.64 8.64

Sub-total Maternal Health (excluding JSY)

76.64 61.24

Sub-total JSY 305.59 273.00

A.2 CHILD HEALTH

A.2.1 IMNCI

A.2.2 Facility Based Newborn Care/FBNC

A.2.3 Home Based Newborn Care/HBNC

A.2.4 Infant and Young Child Feeding/IYCF

A.2.5 Care of Sick Children and Severe Malnutrition

A.2.6 Management of Diarrhoea, ARI and Micronutrient Malnutrition

18.86 18.86

16

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

A.2.7 Other strategies/activities

Rs. 500 Referral for 3000 critically sick infants

22.50 15.00 Corrected as per write up

A.2.8 Infant Death Audit

A.2.9 Incentives to ASHA under Child Health

Sub-total Child Health

41.36 33.86

A.3 FAMILY PLANNING

A.3.1 Terminal/Limiting Methods

A.3.1.1 Dissemination of manuals on sterilisation standards & QA of sterilisation services

1.00 1.00

A.3.1.2 Female Sterilisation camps

15,000/- 11Camps 5.50 1.65 Budgeted under MH camp & reclassified to FP section. Budget norms for female sterilization and male sterilization camps are 15,000 and 35,000 respectively.

A.3.1.3 NSV camps

A.3.1.4 Compensation for female sterilisation

1000/- 2500 cases of female sterilization

25.00 25.00

17

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

A.3.1.5 Compensation for male sterilisation

1500/- 30 NSV cases

0.45 0.45

A.3.1.6 Accreditation of private providers for sterilisation services

A.3.2 Spacing Methods

A.3.2.1 IUD camps

A.3.2.2 IUD services at health facilities / compensation

20/- 2500 IUCD insertions

0.50 0.50

A.3.2.3 Accreditation of private providers for IUD insertion services

A.3.2.4 Social Marketing of contraceptives

A.3.2.5 Contraceptive Update seminars

A.3.3 POL for Family Planning/ Others

Rs. 5000 / month/ district

Monitoring of family planning services

6.60 6.6

A.3.4 Repairs of Laparoscopes

A.3.5. Other strategies/ activities

Review meetings; incentive to ASHAs for IUD retention;

5.95 2.25 Criteria for awarding to institutions are not clear and hence not approved.

Sub-total Family Planning (excluding

35.55 18.10

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FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

compensation)

Sub-total Sterilisation and IUD compensation & NSV camps

25.95 25.95

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

A.4.1 Adolescent services at health facilities

AFHS clinics in 10 DHs and 19 CHCs.

6.00 6.00

A.4.2 School Health Programme

Contractual salary of SHP Co-ordinators @ Rs 15,000 ; Contractual salary of 1(one) SHP at state HQ @ Rs 25000 ; Mobility support to) SHP co-ordinators @Rs 5000 ; Mobility support to 1(one) SHP co-ordinator at state HQ @ Rs 5000.

11(eleven) SHP Co-ordinators in 11 districts;

30.00

30.00 Shifted from Mission Flexipool

A.4.3 Other strategies/

19

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

activities

Sub-total ARSH

36.00 36.00

A.5 URBAN RCH

Sub-total Urban RCH

0.00 0.00

A.6 TRIBAL RCH

Sub-total Tribal RCH

0.00 0.00

A.7 PNDT & Sex Ratio

A.7.1. Support to PNDT Cell

@ 2000/ District

Office expenses

2.64 2.64 Shifted from Mission Flexipool

A.7.2 Other strategies/ activities

Orienting at State level @ 150000 and 100000/- district: Mobility Support at State level @ 100000 and at District level @ 50000

1)Orienting & sensitizing the service providers on the PNDT Act at State level and district level; 2) Mobility support for enforcement of PC & PNDT Act

20.00 19.00 Shifted from Mission Flexipool. Orienting & sensitizing the service providers on the PNDT Act @ 100000/- district comes to 11 lakhs instead of 12 lakhs proposed by the State.

Sub-total PNDT& Sex Ratio

22.64 21.64

A.8 INFRASTRUCT

20

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

URE & HUMAN RESOURCES

A.8.1 Contractual Staff & Services

A.8.1.1 ANMs and Staff Nurses

ANMs @ 15000, GNMs/ SNs @ 20000

398 ANM's, 227 GNM's, 20 GNM's for NBSU

1309.20 1309.20

A.8.1.2 Laboratory Technicians, MPWs

15000/-

39 lab. techs & 5 lab. techs at blood banks

79.20 79.20

A.8.1.3 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC )

52000/- 17 specialists

106.08 106.08

A.8.1.4 PHNs at CHC/ PHC level

20000/- 54 PHN at CHC /PHC level

129.60 129.60

A.8.1.5 Medical Officers at PHCs and CHCs

MO’s /GDMO’s @ 40000/- at PHCs, CHC, FRU’s & DH level

151 MO's at CHC/PHC level, & 16 GDMO's at 5 FRU's & 11 DH

871.20 801.60 Salary of 29 AYUSH MO's to be shifted to Mission flexi pool

A.8.1.6 Additional Allowances/ Incentives to M.O.s of PHCs

21

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

and CHCs

A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc

Pharmacist @ 15000/-, Refrigerator mechanics @ 8000/-, X ray tech @ 15000 & Dental doctors @ 20000

14 pharmacist, 3 refrigerator mechanics, 5 X ray tech & 21 dental doctors

92.28 87.48 5 ophthalmic assistant for NPCB is not allowed under RCH-II

A.8.1.8 Incentive/ Awards etc. to SN, ANMs etc.

A.8.1.9 Human Resources Development (Other than above)

A.8.1.10

Other Incentives Schemes (Pl. Specify)

A.8.2 Minor civil works

18.00 15.00 Rs 3 lakh for five SC for minor civil work & RS 3 lakh for IMEP - IMEP costs to be shifted to Mission flexi pool

A.8.2.1 Minor civil works for operationalisation of FRUs

Civil works at CHC- 3 lakh for 15 CHC for water supply pipe

70 70

22

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

line & rain water harvest, RS 5 lakh for 5 CHC for bore well

A.8.2.2 Minor civil works for operationalisation of 24 hour services at PHCs

Sub-total Infrastructure & HR

2675.56 2598.16

A.9 TRAINING

A.9.1 Strengthening of Training Institutions

A.9.2 Development of training packages

A.9.3 Maternal Health Training

A.9.3.1 Skilled Birth Attendance / SBA training

30 ANM / SNs

15.44 15.44

A.9.3.2 Comprehensive EmOC training (including c-section)

10 MOs 17.98 17.98

A.9.3.3 Life saving Anaesthesia skills training

10 MOs 20.16 20.16

A.9.3.4 MTP training 9 MOs 3.26 3.26

A.9.3.5 RTI / STI training

60 MO & 70 SN

38.56 38.56

A.9.3.6 BEmOC training

23

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

A.9.3.7 Other MH Training (Training of TBAs as a community resource, any integrated training, etc.)

A.9.4 IMEP Training 43 MOs 4.12 4.12

A.9.5 Child Health Training

A.9.5.1 IMNCI training IMNCI - 30 MOs, 45 GNMs, and 60 ANMs; F-IMNCI - 18 MOs and 18 GNMs

11.66 11.66

A.9.5.2 F-IMNCI

A.9.5.3 Home Based Newborn Care training

A.9.5.4 Care of Sick Children and severe malnutrition training

A.9.5.5 Other CH training (pls specify)

NSSK - 80 MOs and 160 Nurses;

12.71 12.71

A.9.6 Family Planning Training

A.9.6.1 Laparoscopic Sterilisation training

16 batches 3.11 3.11

A.9.6.2 Minilap training 15 batches 12.59 12.59

A.9.6.3 NSV training 10 MOs 2.62 2.62

A.9.6.4 IUD Insertion training

42 MOs and 100 SNs

19.94 19.94

A.9.6.5 Contraceptive Update/ ISD

40 batches 1.63 1.63

24

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

training

A.9.6.6 Other FP training (please specify)

A.9.7 ARSH Training 206 MOs and SNs

13.81 13.81

A.9.8 Programme Management Training

A.9.8.1 SPMU Training 4.00 4.00

A.9.8.2 DPMU Training 6.00 6.00

A.9.9 Other Training - (Training for School health Programme and IEC Training)

TA – @ Rs.100; Refreshment @ Rs. 100; Stationary @ Rs.50; Honorarium to resource persons @ Rs 1000

6078 teachers to be trained; IEC training - 2 workshops

21.22 21.22 School Health Training is shifted from Mission Flexipool

A.9.10 Training (Nursing)

A.9.10.1

Strengthening of Existing Training Institutions/Nursing School

A.9.10.2

New Training Institutions/School

A.9.11 Training (Other Health Personnel)

A.9.11.1

Promotional Training of health workers females to lady health visitor etc.

25

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

A.9.11.2

Training of ANMs, Staff nurses, AWW, AWS

A.9.11.3

Other training and capacity building programmes

Sub-total Training

208.81 208.81

A.10 PROGRAMME MANAGEMENT

A.10.1 Strengthening of SHS/ SPMU (Including HR, Management Cost, Mobility Support, field visits)

87.00 87.00 In principal approved. Release of fund Subjected to the State providing the details.

A.10.2 Strengthening of DHS/ DPMU (Including HR, Management Cost, Mobility Support, field visits)

165.00 165.00 In principal approved. Release of fund Subjected to the State providing the details.

A.10.3 Strengthening of Block PMU (Including HR, Management Cost, Mobility Support, field visits)

A.10.4 Strengthening (others)

A.10.5 Audit Fees 12.00 12.00

A.10.6 Concurrent 18.00 18.00

26

FMR Code


applicable)

Physical Target /

Expected Output

Amount Proposed

(Rs lakhs)

Amount Approv

ed (Rs

lakhs)

Remarks

Audit

A.10.7 Mobility Support to BMO/ MO/ Others

Sub-total Programme Management

282.00 282.00

A.11 VULNERABLE GROUPS

Sub-total Vulnerable Groups

0.00 0.00

Total RCH II Base Flexi Pool

3362.06 3253.21

Total RCH II Demand Side

331.54 298.95

GRAND TOTAL RCH II

3693.60 3552.16

27

Annexure-II

Consolidated Approval under NRHM Flexi Pool for FY 2011-12

FMR Code

Activity Unit Cost (where-ever applicable)

Physical target

Amount Proposed

Amount Approved

Remarks

Mission Flexible Pool B1 ASHA

B.1.1 ASHA Cost

B1.1.1 Selection & Training of ASHA

192000 2490 184.99 170.00

Approved for 1700 ASHA’s which were earlier approved against 1317 villages additional ASHA’s for a population claimed to be less than the census population may further skew the Population : ASHA ratio.

B1.1.2 Procurement of ASHA Drug Kit

600 2584 20.67 Approved for 1700 ASHA’s.

B1.1.3 Other Incentive to ASHAs (if any)

B1.1.4 Awards to ASHA's/Link workers

3000 52 1.56

B1.1.5 ASHA Resource Centre/ASHA Mentoring Group

51.2

B2 Untied Funds

B2.1 Untied Fund for CHCs 50000 21 10.50 10.50

Utilized for Improvement in service delivery and cleanliness.

B2.2 Untied Fund for PHCs 25000 123 31.00 30.75

B2.3 Untied Fund for Sub Centres 10000 398 39.80 39.80

28

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B2.4 Untied fund for VHSC

10000 1324 132.40 127.80

B.3 Annual Maintenance Grants

B.3.1 CHCs 100000 21 21.00 21.00 Approved as per

number of Government Buildings

B.3.2 PHCs 50000 124 62.00 57.50

B.3.3 Sub Centres 10000 398 39.80 30.90

B.4 Hospital Strengthening

B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals to IPHS)

B4.1.1 District Hospitals

B4.1.2 CHCs

B4.1.3 PHCs

B4.1.4 Sub Centres

B4.1.5 Others

B 4.2 Strengthening of Districts, Sub-divisional Hospitals, CHCs, PHCs

B.4.3 Sub Centre Rent and Contingencies

B.4.4 Logistics management/ improvement. Construction of Drug Warehouse

3 433.00 433.00 Approved as Additional Approval of SPIP 2009-10. Proposed for release of the Balance amount during 2011-12.

29

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B5 New Constructions/ Renovation and Setting up

B5.1 CHCs

B5.1.1 CHCs - Construction of 3 new CHCs

Rs. 117.00 3 175.50 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.

B5.1.2 Construction of 11 CHC Staff quarters

Rs. 21.00 L 11 115.50 0.00 Release of fund Subjected to the State providing the details asked in 2010-11 RoP.

B5.2 PHCs

B5.2.1 13 PHC for new Construction


B5.2.2 Construction of 22 PHC Staff quarters


B5.3 50 Sub Centres for new construction


B5.4 Setting up Infrastructure wing for Civil works

30

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B5.5 Govt. Dispensaries/ others renovations

B5.6 Construction of BHO, Facility improvement, civil work, BemOC and CemOC centres

500000 11 55.00 55.00 Approved

B.5.7 Major civil works for operationalisation of FRUS

B.5.8 Major civil works for operationalisation of 24 hour services at PHCs

B.5.9 Civil Works for Operationalising Infection Management & Environment Plan at health facilities

B.5.10 Infrastructure of Training Institutions

B.5.10.1

Strengthening of Existing Training Institutions/Nursing School( Other than HR) a. GNM Schools 1. Infrastructure 2. Equipment b. ANMTCs 1. Infrastructure 2. Equipment

B.5.10.2

New Training Institutions/School(Other than HR)

31

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B.6 Corpus Grants to HMS/RKS

B6.1 District Hospitals 500000 11 55.00 55.00 Approved

B6.2 CHCs 100000 21 21.00 21.00

B6.3 PHCs 100000 124 124.00 124.00

B6.4 Other or if not bifurcated as above

500000 3 15.00 0

Not agreed to as Sub-group meeting decision

B7 District Action Plans (Including Block, Village)

500000 11 60.00 55.00 Approved for 11 districts.

B8 Panchayati Raj Initiative

B8.1 Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc

400 2232 8.93 8.93 Approved

B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC

400 3972 15.89 15.89 Approved

B8.3 Others

B9 Mainstreaming of AYUSH

B9.1 Medical Officers at DH/CHCs/ PHCs (only AYUSH)

20000/- 29 MO’s

69.60 69.60 Approved & Shifted from RCH Flexi Pool.

B9.2 Other Staff Nurse/ Supervisory Nurses (for AYUSH)

B 9.3 Activities other than HR

18.52 18.52 Approved

32

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B10 IEC-BCC NRHM

B.10 Strengthening of BCC/IEC Bureaus (state and district levels)

2.00 2.00

B.10.1 Development of State BCC/IEC strategy

B.10.2 Implementation of BCC/IEC strategy

B.10.2.1

BCC/IEC activities for MH

55.73 55.73

B.10.2.2

BCC/IEC activities for CH

60.33 60.33

B.10.2.3

BCC/IEC activities for FP

47.56 47.56

B.10.2.4

BCC/IEC activities for ARSH

27.14 27.14

B.10.2.5

BCC/IEC activities for School Health

Posters (4 posters/school @ Rs 10/poster; Pamphlet/leaflet (200/school @ 0.50/each

12156 posters, 607800 pamphlets

4.26 4.26

B.10.2.5.1

NRHM weekly radio broadcast

B.10.2.5.2

Programme production cost

52 20000 10.40 10.40 Includes all DCPs

B.10.2.5.3

Programme broadcast cost

52 2240 4.66 4.66 For Weekly in 2 stations of AIR Kohima & FM Mokokchung

B.10.2.5.4

Jingles broadcast cost

52 5040 10.48 10.48 Thrice weekly in AIR Kohima & FM

33

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

Mokokchung.

B.10.2.5.5

NRHM TV programmes & PSAs

B.10.2.5.6

Programme telecast cost

12 2500 3.00 3.00

B.10.2.5.7

PSA telecast cost 24 13440 3.23 3.23 Twice a month in Doordarshan Kendra & local cables.

B.10.2.5.8

Integrated Health counseling Centres (IHCCs)

11 4.00 44.00 44.00 Includes infrastructural extension in DHs, furnishings, equipment.

B.10.2.5.9

Newsletter 2 400000 8.00 8.00 Half-yearly

B.10.2.5.10

Translation & dubbing of 24 PSAs into 5 local dialects

24 15000 18.00 18.00

B.10.2.5.11

Translation & dubbing of 40 radio jingles into 5 local dialects

40 5000 10.00 10.00

B.10.2.5.12

‘Where there is no doctor’ (translation & printing) into 4 languages

3000 x 4 languages

200 24.00 24.00 200 Rs/copy x 4 local dialects (total 12000 copies)

B.10.2.5.13

Print media booklets on NRHM, Roles & Responsibilities of ASHAs, VHND (with translation)

3 x 5000 copies each + 15000 (translation)

30 4.65 4.65 Avg. cost per item

B.10.2.5.14

Transit media 220 3000 6.60 6.60 20 buses and taxis per district

34

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B.10.2.5.15

Utility bills advertisement in Kohima & Dimapur Districts

12 months x 40000 bills

1 rupees

4.80 4.80 1 Advt/pm x 12 x 1 rupee/bill

B.10.2.5.16

Newspaper Advertisement

3 15000 0.45 0.45 3 half page advertisements

B.10.2.5.17

SMS Campaign 24 sms x 5 lac subscribers

8 paisa 9.60 9.60 SMS cost at 8 paise per/SMS for 24 SMS per/year to 5 lac subscribers.

B.10.2.5.18

Strengthening of MSS units in 3 districts (maintenance & training)

189 6530 12.34 12.34 Rs. 1530/unit x 189 units x 5000 (for training)/unit

B.10.3 Health Mela 500000 11 55.00 55.00

B.10.4 Creating awareness on declining sex ratio issue.

B.10.5 Other activities 34.96 34.96 B11 Mobile Medical

Units (Including recurring expenditures)

2060000 11 226.60 226.60 The State should ensure the increase in visits and in total number of cases seen.

B12 Referral Transport

B12.1 Ambulance/ EMRI/Other models

700000 19 133.00 00.00 New ambulances not approved.

B12.2 Operating Cost (POL)

66 16.68 15.25 Approved only for the existing 66 Ambulances

B13 PPP/ NGOs

B13.1 Nongovernmental providers of health care RMPs/TBAs

35

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B13.2 Public Private Partnerships (Continuing support to 3 Mission Hospitals in Wokha Mokokchung & Zunheboto)

500000 3 15.00 15.00

B13.3 NGO Programme/ Grant in Aid to NGO

11 325.34 00.00 Was not agreed to in the subgroup meeting.

B14. Innovations( if any)

B14.1 Partnership with Medecins Sans Frontiers (MSF) for Mon District Hospital

7980000 1 79.80 79.80

B14.2 Continuing support for Weaving a Dream-Peoples Initiative

8109000 1 81.09 81.09

B14.3

State PPP cell

280000 1 2.80 2.80 Activities as proposed in PIP

B14.4 Partnership with Police Department

4903000 1 49.03 49.03

B15 Planning, Implementation and Monitoring

B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level)

B15.1.1

State level 6.81 6.81

Regular systematic review and B15.1. District level 32.52 32.52

36

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

2 monitoring to be done under NRHM and to take corrective measures for the bottlenecks.

B15.1.3

Block level

60.24 60.24

B15.1.4

Other

B15.2 Quality Assurance

B 15 .2.1

Development of Standard Treatment Guideline

1.00 1.00 The State should asses the improvement in quality after developing these guidelines.

B 15 .2.2

Publication & distribution of QA literature

24.00 24.00

B 15 .2.3

Workshop of health staff on QA

4.28 4.28

B15.3 Monitoring and Evaluation

B15.3.1

Monitoring & Evaluation / HMIS/MCTS.

69.29 69.29

B15.3.2

Computerization HMIS and e-governance, e-health

56.52 56.52

B15.3.3

Other M & E

B15.3.4

MCTS

74.24 74.24

The state should show improvement in reporting.

B15.3.5

Mobility Support

128.62 0.00

To be considered after submission of details

B15.3.6 Forms & Registers

35.79 35.79

37

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B15.3.7 M & E Studies

45.76 45.76

B.16 PROCUREMENT

B16.1 Procurement of Equipment

B16.1.1

Procurement of equipment: MH

111.72 111.72 Approved

B16.1.2

Procurement of equipment: CH


B16.1.3

Procurement of equipment: FP


B16.1.4

Procurement of equipment: IMEP

B16.1.5

Procurement of Others (School Health)

Medical Supplies including Albendazole – 200mg, IFA tablets, Medical Kit

140 Medical Kit,


B16.1.6

Electrolyte Analyser

7,38,362.00 66.45+5% CST

0.00 These activities

were proposed

vide the

addendum sent

by the state after

the NPCC

meeting.

B16.1.7

Blood Gas Analyser

8,25,862.00 74.32+5% CST

B16.1.8

Consumables for Electrolyte Analyser

17,23,260.00

162.95+5% CST

0.00

B16.1.9

Consumables for Blood gas analyser

17,87,344 168.91+5% CST

0.00

B.16.2 Procurement of Drugs and supplies

B.16.2.1

Drugs & supplies for MH

213.28 213.28 Approved

B.16.2.2

Drugs & supplies for CH

4.90 4.90 Approved

B.16.2.3

Drugs & supplies for FP


38

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

B.16.2.4

Supplies for IMEP

B.16.2.5

General drugs & supplies for health facilities

B.17 Regional drugs warehouses

B.18 New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans)

B.18.1 NRHM Health Helpline

50.15 50.15 To link with Jansankhya SthirataKosh" (JSK) for providing easy access and availability of reliable information on Reproductive, Sexual Health, Family Planning and mother and Child Health. No budget is approved for linking activity.

39

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

The amount approved is subjected to the installation of GPS/GSM vehicle tracking system in all the ambulances.

B.18.2 Medical Equipment Maintenance Unit


B.19 Health Insurance Scheme

B.20 Research, Studies, Analysis

1 9.00 9.00 APPROVED Subject to the condition the study may be conducted through a renowned research institute like IIMs.

B.21 State level health resources center(SHSRC)

B.22 Support Services

B22.1 Support Strengthening NPCB

B22.2 Support Strengthening Midwifery Services under medical services

B22.3 Support Strengthening NVBDCP

B22.4 Support Strengthening

45.64 0.00

40

FMR Code


Physical target

Amount Proposed

Amount Approved

Remarks

RNTCP

B22.5 Contingency support to Govt. dispensaries

B22.6 Other NDCP Support Programmes

237.3 0.00

B.23 Other Expenditures (Power Backup for IDSP)

250000 12 30.00 0.00

Total

5970.83 2962.87

41

Annexure-III

Consolidated Approval under Immunization for FY 2011-12

(Rs. in Lacs)

FMR Code

Activities( As proposed by the

State)

Unit Cost (whereever applicable)

Physical Target

Amount Proposed

Amount Approved Remarks

C.1 RI Strengthninig Project (Review meeting, Mobility Support, Outreach services etc

c.1.a

Mobility Support for supervision for distict level officers.

Rs.50000/ Year /district level officers.

5.50 5.50

-

c.1.b Mobility support for supervision at state level

Rs. 100000 per year.

1.00 1.00 -

c.1.c

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

Rs. 5 beneficiaries

3.73 3.73

-

c.1.d

Support for Quarterly State level review meetings of district officer

1.65 1.65

-

c.1.e

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

0. 44

0. 44

-

c.1.f Quarterly review meetings exclusive for RI at block level

1.98 1.98 -

c.1.g

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

29.90 29.90

-

c.1.h

Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

23.80 23.80

-

42

c.1.i Alternative vaccine delivery in hard to reach areas

Rs. 100 per session

19.05 19.05

c.1.j Alternative Vaccine Deliery in other areas

Rs. 50 per session

c.1.k To develop microplan at sub-centre level

@ Rs 100/- per subcentre

0.40

0.40

-

c.1.l

For consolidation of microplans at block level

Rs. 1000 per block/ PHC and Rs. 2000 per district

1.66 1.66

-

c.1.m

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

Rs100,000/ district/year

11.00 11.00

-

c.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

0.52

0.52

-

c.1.o

Red/Black plastic bags etc.

Rs. 2/bags/session

0.53

0.53

-

c.1.p

Hub Cutter/Bleach/Hypoc

hlorite solution/ Twin bucket

Rs. 900 per PHC/CHCper year

0.72

0.72

-

0.57

0.57 -

c.1.q Safety Pits

c.1.r State specific requirement

18.59

15.71

2,88,000

C.1-Sub Total

121.04 118.16

2,88,000

C.2 Salary of Contractual Staffs -Sub Total

c.2.a

Computer Assistants support for State level

Rs.12000-15000 per person per month

1.59

1.59

-

c.2.b

Computer Assistants support for District level

8000-10000 per person per month

11.60

11.60

-

43

C.2-Sub Total

13,19,000

13,19,000

-

C.3 Traininng under Immunization

c.3.a

District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse Mid Wives, BEEs & other staff ( as per RCH norms)

1.75 1.75

-

c.3.b

Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module)

6.75 6.75

-

c.3.c

One day refresher traning of distict Computer assistants on RIMS/HIMS and immunization formats

0.20

0.20

-

c.3.d

One day cold chain handlers traning for block level cold chain hadlers by State and district cold chain officers

1.10 1.10

-

c.3.e

One day traning of block level data handlers by DIOs and District cold chain officer

2.04 2.04

-

C.3-Sub Total 11.84

11.84

-

C.4

Cold chain maintenance

Rs.500/PHC/CHCs per year

1.82 1.82 -

44

District Rs.10000/year

C.5 ASHA incentive for full immunization

-

-

-

C.6 Pulse Polio Operational cost(Tentative)

90.61

TOTAL

147.89 235.62 2,88,000

45

Annexure-IV

Consolidated Approval under NIDDCP for FY 2011-12 (Rs. in Lacs)

FMR Code


Physical target/ Expected output

Amount Proposed

Amount Approved

Remarks

D.1 Establishment of IDD Control cell

Implementation & monitoring of the programme

4.62 4.62 State Government may complete IDD Survey one district and report may be sent accordingly.

D.1.a.

Technical Officer

D.1.b.

Statistical Officer

D.1.c.

LDC Typist

D.2 Establishment of IDD Monitoring Lab

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

4.3 4.3

D.2.a.

Lab Technician

D.2.b.

Lab Assistant

D.3 IEC/BCC Health Education & Publicity

Increased awareness about IDD and iodated salt.

31.1 20.0

D.4 IDD Surveys/Re Surveys

Rs. 50,000 per district

2.0 1.0

D.5. Supply of Salt Testing Kit (form of kind grant)

Creating iodated salt demand and

monitoring of the same at

46

the community

level. Total 42.00* 29.92

*This includes proposed fund for mobility support, strengthening of State IDD, monitoring, incentives to ASHA, organisation of meeting /seminar/workshop etc. which are not permitted under the programme.

47

Consolidated Approval under IDSP for FY 2011-12

(Rs. in Lacs)

FMR Code



Amount Proposed

Amount Approved

Remarks

E IDSP

E.1 Operational Cost

1.1 Mobility Support Except E1.2, other activities are clubbed and approved. (1.1, 1.3, 1.4, 1.5.)

1.2 Lab Consumables Rs. 2 lacs per

district priority

lab

2.00 2.00

1.3 Review Meetings

Rs 15,000/-

per district

per month

11.10

11.10

1.4 Field Visits

1.5 Formats and Reports

E.2 Human Resources

2.1 Remuneration of Epidemiologists

40,000 1 4.80 4.80

2.2 Remuneration of Microbiologists

20,000 1 2.40 2.40

2.3 Remuneration of Entomologists

20,000 1 2.40 2.40

E.3 Consultant-Finance 14,000 1 1.68 1.68

3.1 Consultant-Training 28,000 1 3.36 3.36

3.2 Data Managers 14,000 (State) 13500 (District)

1 1.68 1.68

3.3 Data Entry Operators 8500 1 1.02 1.02

3.4 Others

E.4 Procurements

4.1 Procurement -Equipments 19.8

0.00

4.2 Procurement -Drugs & Supplies

48

FMR Code



Amount Proposed

Amount Approved

Remarks

E.5 Innovations /PPP/NGOs

E.6 IEC-BCC Activities

E.7 Financial Aids to Medical Institutions

E.8 Training 6.90 4.00

TOTAL 57.14 34.44

49

Consolidated Approval under National Vector Borne Disease Control Program

(Rs. in Lacs)

FMR

Code

Activity Unit Cost wher

e ever applicable

Physical target/Deliverable

s

Amount Proposed

Amount Approved

Remarks

F.1 DBS (Domestic Budgetary Support)

F.1.1

Malaria

F.1.1.a

MPW 219.

5 124 The calculation has

to be recalculated as per the guidelines

F.1.1.b

ASHA Honorarium

50 2

F.1.1.c

Operational Cost

F.1.1.c.1

Spray Wages - for NE states and UTs without legislation

121 121

F.1.1.c.2

Impregnation of Bed nets- for NE states

F.1.1.d

Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

85 19.25 Monitoring budget is also available under project

F.1.1.e

IEC/BCC

57.7 7 The details action plan is to be submitted. Funds have been provided under the project

F.1.1.f

PPP / NGO activities Urban Malaria Scheme

6 0.00

F.1. Training / 6.6 4

50

1.g Capacity Building

F.1.2

Dengue & Chikungunya

F.1.2.a

Strengthening surveillance (As per GOI approval)

F.1.2.b

Apex Referral Labs recurrent

5.75

The activity has to be performed as per the

guidelines

F.1.2.c

Sentinel surveillance Hospital recurrent

10

F.1.2.d

Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)

F.1.2.e

Monitoring/Supervision and Rapid Response

3.5

F.1.2.f

Epidemic Preparedness

2

F.1.2.g

IEC/BCC/Social Mobilization

F.1.2.h

Training/Workshop

6.5

F.1.3

Acute Encephalitis Syndrome (AES)/ Japanese Encephalitis (JE)

F.1.3.a

Strengthening of Sentinel Sites which will include diagnostics and management. Supply of kits by GoI

10

5

The Lab tech and maintenance of equipment may be funded from NRHM additionalities

51

F.1.3.b

IEC/BCC specific to J.E. in endemic areas

F.1.3.c

Training specific for J.E. prevention and management

F.1.3.d

Monitoring and supervision

F.1.3.e

Procurement of insecticides (Technical Malathion)

3.5

F.1.3.e.1

Salary for Lab Tech

1.92

F.1.3.e.2

Equipment maintenance & repair

2

F.1.4

Lymphatic Filariasis

F.1.4.a

State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team

F.1.4.b

Microfilaria survey

F.1.4.c

Post MDA assessment by medical colleges (Govt. &

52

private)/ ICMR institutions.

F.1.4.d.

Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

F.1.4.e.

Specific IEC/BCC at state, district, PHC, sub-centre and village level including VHSC/GKS for community mobilization efforts to realize the desired drug compliance of 85% during MDA

F.1.4.f

Honorarium to drug distributors including ASHA and supervisors involved in MDA

F.2

Externally aided component (EAC)

F2.1 World Bank Project

F.2.1.a

World Bank support for Malaria (Andhra Pradesh, Chattisgarh, Jharkhand, Madhya Pradesh, Orissa,

229.8

260

53

Gujarat, Karnataka & Maharashtra)

F.2.1.b.

Human Resource

F.2.1.c

Training /Capacity building

20.9

F.2.2.d

Mobility support for Monitoring Supervision & Evaluation & review meetings, Reporting format (for printing formats)

43.4

F.3 GFATM Project

F.3.a

Human Resource

F.3.b

Training Cost

F.3.c Planning & Administration

75.54

Jointly Approved

under F.2

F.3.d

Monitoring & Administration

F.3.e I.E.C / B.C.C

F.3.f

Operational expenses for treatment of bed nets

F.4 Any Other item (Please Specify)

F.5

Operational Costs (Mobility, Review Meeting, communication, formats & reports)

F.6 Cash grant for decentralized commodities

54

F.6.a

Chloroquine phosphate tablets

10

9

F.6.b

Primaquine tablets 2.5 mg

F.6.c Primaquine tablets 7.5 mg

F.6.d

Quinine sulphate tablets

F.6.e Quinine Injections

F.6.f Sulphadoxine + Pyremethamine tablets

F.6.g

ACT ( For Non Project states)

F.6.h

DEC 100 mg tablets

F.6.i Albendazole 400 mg tablets

F.6.j Dengue NS1 antigen kit

F.6.k

Temephos, Bti (for polluted & non polluted water)

4

F.6.l Pyrethrum extract 2%

F.6.m

Any Other (Pl. specify)

Total 979.8

6 557.00

55

Consolidated Approval under NLEP for FY 2011-12

(Rs. in Lacs)

S. No.

Activity proposed Unit Cost

Physical Targets

Amount propose

d

Amount approve

d

Remarks

G.1

Contractual Services

10.00

10.00

Unit cost as per the present NLEP norms

State - SMO, BFO cum AO, DEO, Administrative Assistant, Driver

5.7 Compilation the data and supervision

District - Drivers (6)

3.24

G.2 Services through ASHA/USHA

Improvement of case detection and treatment completion

0.50

0.50

Honorarium to ASHAs is necessary for improvement of case detection

Sensitization of ASHA

Honorarium to ASHA

G.3

Office expenses & Consumables

6.00

6.00

G.4 Capacity building (Training)

Improvement of skills of medical and paramedical staff

4.00

6.00

4 days training of newly appointed MO (rural & urban)

3 days training of newly appointed health worker & health supervisor

2 days refresher training of MO

5 days training of newly appointed

56

Lab. Technician

G.5

Behavioural Change Communication (IEC)

Improvement in self reporting of cases & reduction of social stigma against LAP

8.00

IEC activities should be an integral part of NRHM activity.

Quiz, folk show, IPC workshop, Meeting of opinion leaders, Health melas

8.00

Wall painting, Rallies, Hoardings etc

G.6 POL/Vehicle operation & hiring Improved

supervision & monitoring

10.00

2 vehicles at state level & 1 vehicle 10.00

at district level

G.7 DPMR

2.00

MCR footwear, Aids and appliances, Welfare allowance to BPL patients for RCS, Support to govt. institutions for RCS

Less no. of disabilities due to Leprosy

5.00

G.8 Material & Supplies

Less no. of disability & better record

6.00

Supportive drugs, lab. reagents & 6.00

equipments and printing forms

G.9 Urban Leprosy Control 1.00

1.00

G.10 NGO - SET Scheme 0.00

2.00

G.11

Supervision, Monitoring & Review

2.50

Review meetings 2.50

57

and travel expenses

G.12 Specific-plan for High Endemic 0 0.00

Districts

G.13

Others (maintenance of Vertical 3.50

3.50

Unit, Training & TA/DA

Total 58.50 55.50

58

Consolidated Approval under NPCB for FY 2011-12

(Rs. in Lacs)

FMR Code

ACTIVITY Unit cost

(wherever

applicable)

Physical target/ex

pected output

Amount Propose

d

Amount Approve

d

Remarks

H1. Recurring Grant-in aid

H.1.1. For Free Cataract Operation and other Approved schemes as per financial norms@

Rs.750/- per case

13.13 13.13 (*) Approved under scheme GIA for Catops and other approved activities

H.1.2. Other Eye Diseases@

Rs.1000/-

1.00 1.00

H.1.3. School Eye Screening Programme@

Rs.200/- per case

3.00 3.00

H.1.4 Private Practitioners @as per NGO norms

H.1.5. Remuneration/ salary Management of State Health Society and Distt. Health Society- (Remuneration/ salary etc. )

Rs.14 lakh/

Rs7 lakh

7.00 7.00

H.1.5.a. Ophthalmic Surgeon@

Rs.25000/- p.m

3 9.00 9.00 Approved

H.1.5.b. Ophthalmic Assistant @

Rs.8000/- p.m

12 11.52 11.52 Approved

H.1.5.c. Eye Donation Counsellors @

Rs.10000/ p.m.

H.1.6 Operational Cost Management of State Health Society and Distt. Health Society (Review meeting, hiring of vehicle and Other Activities &

11 DPM & 11 PA

11.00 0.39

59

Contingency)

Total [Honorarium (1.5) + Operational Cost (1.6)] for ROP

H.1.7. Third party assessment (new initiative)

H.1.8. Recurring GIA to Eye Donation Centres@

Rs.1000/- per

pair and

Rs.1500/- per pair

H.1.9. Eye Ball Collection and

Eye Bank @

H.1.10. Eye Ball Collection

H.1.11. IEC(Eye Donation Fortnight, World Sight Day & awareness programme in state & districts)

10.00 10.00

H.1.12 Procurement of Ophthalmic Equipment

42.64 40.95

H.1.13. POL and Maintenance of Ophthalmic Equipments and Vehicles

5.00 5.00

H.1.14 Grant-in-aid for strengthening of 1 Distt. Hospitals.

H.1.15 Grant-in-aid for strengthening of 2 Sub Divisional. Hospitals

H.2 Non Recurring Grant -in-Aid

H.2.1. For RIO (new)

H.2.2. For Medical

60

College

H.2.4 For vision Centre Rs.50000/-

5 2.50 2.50

H.2.1. For Eye Bank

H.2.2. For Eye Donation Centre

H.2.4

For NGOs

Rs.30 lakh

1.00 Already approved

GIA scheme

H.2.5 For Eye Ward & Eye OTS

Rs.75 lakh

1 75.00 75.00 Approved

H.2.6 For Mobile Ophthalmic Units With Tele Network

H.3 Training 10.90 10.90

H.4. ASHA Incentive (if any)

1.58 0.00 Through NRHM flexi pool

H.5. Others

Total 204.27 189.39

(*) = Recurring Grant-in-Aid for Free Cataract Operations and various other schemes which include: Other Eye Diseases @ Rs 1000/-, School Eye Screening Programme @ Rs 200/- per pair of spectacles, Private Practitioners @ as per NGO norms , Management of State Health Society and District Health Society @ Rs 14 lakhs/ 7 lakhs, Recurring GIA to Eye Donation Centers @ Rs 1000/- pair of Eye Ball collection and Eye Banks @ Rs 1500/- per pair of Eye Ball collection Rs 1500 Training, IEC, Procurement of Ophthalmic Equipment, Maintenance of Ophthalmic Equipments, Remuneration, Other Activities & Contingency.

61

Consolidated Approval under RNTCP for FY 2011-12

(Rs. in lacs)

FMR

Code.

Activity unit cost

(wherever

applicable)

Amount Propose

d

Amount

Approved

Remarks

I.1 Civil works

23.51 22.81

One time cost of 1DP site, 3 DMCs, up gradation of SDS and 11 DDS for SLD and maintenance cost for 1 STC, 11 DTCs, 13 TUs and 43 DMCs approved

I.2 Laboratory materials

25.00 20.00 Amount approved is as per

expenditure trends and permissible norms.

I.3.a Honorarium/Counselling Charges

25.00 20.00

I.3.b Incentives to DOT Providers

0.00 0.00

I.4 IEC/ Publicity

13.57 10.00

Amount approved is as per expenditure trends and permissible norms.

I.5 Equipment maintenance

10.61 8.00

I.6 Training 29.90 10.00

I.7 Vehicle maintenance

23.79 17.00

I.8 Vehicle hiring

29.86 15.00

I.9 NGO/PPP support

28.98 12.00

I.10 Miscellaneous

33.00 30.00

I.11 Contractual services

139.13 97.39

Subsequent approval is admissible in accordance to expenditure in initial 2 quarters of FY

I.12 Printing 12.00 5.00

Amount approved is as per expenditure trends and permissible norms.

I.13 Research and studies

0 0

62

In addition to this, a commodity grant of Rs. 10.5 lacs has been approved for central level procurement of Anti TB Drugs and other commodity. Comments –

1. The resource envelope for the state for RNTCP is Rs.199.5 lakhs as cash, Rs.10.5 as commodity. The approved amount has been kept as Rs.275.8 lakhs which is as per expenditure trends and permissible norms.

2. Further deductions have been made in amount approved in a few heads based on expenditure trends to match the resource envelope. The state could be approved more funds based on expenditure pattern in the first six months.

I.14 Medical Colleges

0 0

I.15 Procurement –vehicles

0 0

I.16 Procurement – equipment

18.50 8.58

Approved 11 office equipment sets in accordance to revised financial norms against the condemned office equipment sets

I.17 Tribal Action Plan

0 0

Total Funds under Additionality Head

Grand Total 412.87 275.8

63

ANNEX -V

List of participants of National Programme Coordination Committee of NRHM to consider the state PIP of Nagaland held on 21st march 2011

Sl.No

Name and Designation

E-mail address/Phone

No.

1. Shri. P.K. Pradhan, SS & MD, NRHM, MoHFW

2. Shri Amit Mohan Prasad, JS (P), NRHM, MoHFW

3. Mrs. Anuradha Gupta JS (RCH), MoHFW

4. Ms. Jaya Bhagat, Dir. (NRHM-III & Finance) 23061360

5. Dr. Sajjan Yadav, Dir. (NRHM) 23061656

6. Dr. Suresh Mohammed Dir. (RCH) 23061333

7. Mr. Ajith Kumar.N, DD, NRHM 9868217781

8. Dr. Kiran Ambwani, DC (FP) 23062485

9. Dr. Anjana Saxena, DC (MH) 9810410625

10. Dr. P.K. Nayak, DC (Training) 9818972922

11. Dr. P.K. Prabhakar, AC (Child Health) 23062555/9810780500

12. Dr. Dilip Singh, Advisor, NERRC 9678553300

13. Mr. Narinder Singh Rawat 23731759

14. Dr. P.Haldar, AC (Immunization) 23062728

15. Dr. Neeraj kulshreshtra, Commissioner (TB) 23061107

16. Dr. B. K. Tiwari, Advisor (Nutrition), DGHS 23062113

17. Dr. J.K.Das, Dean & Prof & Head-Epidemiology, NIHFW

18. Dr. Amrita Kansal, consultant, FP 9958898464

19. Mr. Anil Garg 9810069780

20. Ms. Shraddha Masih

21. Dr. Sangeeta M, Consultant, TB 9899644885

22. Mrs. Mrudala Pandey, Consultant, TMSA 8527140888

23. Mr. Sanjeev Rathore, FMG 9899900367

24. Mr. Sanjeev Gupta, Finance controller 9871924655

25. Ms. Neetu Singh, Consultant, IT, stats div. 9810206438

26. Ms. Anamika Saxena, consultant, Training 8447556670

27. Dr. Sunita Paliwal, Consultant, MH 9810207421

28. Dr. Pradeep kheshobe, CMO, IDSP 9868289921

29. Dr. Bisworanjan Dash, Epidemiologist, IDSP 9711820960

30. Mr. Suresh Kumar Singh, Investigator, NRHM-III

31. Mr. R.K Thapliyal, SSO- NRHM-III

32. Mr. S.K.Bose, Investigator, NRHM-III

33. Dr. Jayant Pratap Singh, Consultant, NRHM-III

64

REPRESENTATIVES FROM STATE GOVERNMENT

Sl.No Name and Designation

E-mail address/Phone No.

1. Mr. Menukhol John C & S (H & FW) 9436000211

2. Dr. Toshevi Sema MD (H & FW) 09436005129

3. Dr. Watikala SPO/RCH, JD (H & FW) 9436431574

4. Dr. Kevichusa SPO NRHM

5. Dr. Kika Longekumer 9436006134

Documents

F. No. 11011/08/2011-NRHM-III Government of India Ministry ...nhmnagaland.in/Notification_file_path/RoP 2011-12.pdf · 30 Construction of sub-centre buildings 398 448 50 31 Construction