F. No Government of India Ministry of Health & Family ...jrhms.jharkhand.gov.in/ROP/Jharkhand_Draft_Administrative_Approval... · outputs stated in the Record of Proceeding (RoP)

Jharkhand: Administrative Approval 2011-12 Page 1

F. No.......................................... Government of India

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

Nirman Bhawan, New Delhi

Dated: 05.05.11 To, The Mission Director, (NRHM) Government of Jharkhand Government Vaccine Institute Campus RCH Namkum Ranchi-834010 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 of Jharkhand and the discussions held on the same in the Pre

Appraisal meeting held on.18.02.2011 at Ranchi and NPCC meeting held on 24.03.2011.

at New Delhi.

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

Rs 555.35 Cr. (Rupees Five Hundred Fifty-Five crore and Thirty Five lakh only).

(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

19.92

GOI Resource Envelope for 2011-12 under NRHM 458.88

15% State share ( 2011-12) 80.98

Total 559.78


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

1.4.2011

GoI Resource

Envelope under

NRHM

Total

1 RCH Flexible Pool 5.00 131.31 136.31

2 NRHM Flexible Pool 10.00 153.86 163.86

3 Immunization ( from

RCH Flexible Pool)

4 NIDDCP 0.00 0.24 0.24

5 IDSP 1.23 1.47 2.70

6 NVBDCP 2.25 50.69 52.94

7 NLEP 0.50 1.80 2.30

8 NPCB 0.60 5.93 6.53

9 RNTCP 0.34 10.12 10.46

10 Direction & Admn.

(Treasury route)

0 95.92 95.92

11 PPI Operation Cost 0 7.54 7.54

12 15% State share 0 80.98 80.98

Total Resource

Envelop

19.92 539.86 559.78

Committed Unspent

Balance up to 2010-11

to be Revalidated in

2010-11

136.65


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)

174.12

2. NRHM Mission Flexible Pool

(Details at Annexure-II)

189.96

3. Immunization ( from the RCH Flexible Pool)

(Details at Annexure-III)

23.77

4. NIDDCP

(Details at Annexure-IV)

0.24

5. IDSP


1.97

6. NVBDCP


51.29

7. NLEP


2.18

8. NPCB


6.16

9. RNTCP


9.74

10 PPI Operation Cost

(Details at Annexure-III)

Included in

Immunization

11 Infrastructure Maintenance 95.92

TOTAL

555.35


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

Annexures.

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.

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.

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 supply chain management

systems.

Yours faithfully,

(Dr. Sajjan Singh Yadav) Director NRHM

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.


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 317305 (34%) 528751 (55%) 211446(21%)

2 24x7 Facilities 20 75 55

3 Functional First Referral Units 22 52 30

B Child health

4 Sick New Born Care Units 2 7 5

5 New Born Care Corners 0 203 203

6 Stabilization Units in CHCs/ BPHCs

0 32 32

7 Full Immunization 64% 70% 6%

C Population Stabilization

8 Male Sterilization 13496 30000 16504

9 Female Sterilization 99288 175000 75712

10 No. of IUD Insertions 105693 300000 194307

D Disease Control

11 Annualized New Smear Positive Detection Rate of TB

77 85 8

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

93 (Success Rate) 93 (Cure Rate) 0

13 ABER for Malaria 10.64 % Above 15 % 4.36

14 API for malaria (per 1000 population)

5.07 Less than 4.0 1.07

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

12.74(Feb’2011)- -

16 Cataract Surgeries performed 54694 75000 20306

II Human Resources including Training

17 Appointment of ANMs 5000 5500 500

18 Appointment of staff nurses (contractual)

500 900 400

19 Doctors trained on EmOC 60 84 24

20 Doctors trained on LSAS 60 92 32

21 Doctors trained in NSV/ Conventional vasectomy

135 165 30





22 Doctors trained in Abdominal Tubectomy (Minilap)

44 68 24

23 Doctors trained in laparoscopic Tubectomy

2 - -

24 Personnel trained in IMNCI (MO/CDPO/ CDS/ AWW/ ANM/ Supervisor)

13576

17295

ANM + AWW – 3600 (150batch)

Supervisor 120 (5 Batch)

3720

III Communitization Processes

25 Functional VHSCs 30012 32000 1988

26 ASHAs with Drug kits 40964 (Replacement)

41000 (Refilling of Drug Kit)

36

IV Improved Management

27 Tracking of pregnant mothers and children

Till Dec. in all District

All 24 Districts -

28 Evaluation and Assessment of NRHM Activities

3

(Concurrent evaluation of NRHM activities

-Impact of MMU services.

-Impact of untied funds)

3 0

29 Cold Chain Management

(number of functional ILR points) 218 218 0

V Infrastructure

30 Construction of sub-centre buildings

73 (to be completed in June )

238 165

31 Construction of PHC buildings 5(to be completed in June )

15 10

32 Construction of CHC buildings 13(to be completed in June )

23 10

33 Construction of District Hospital buildings

- - -

34 Construction of Other Hospital buildings

- -





VI MMU and Referral Transport

35 Functional Mobile Medical Units 65 functional+38 non functional

103 Functional MMUs

38 functional MMUs

36 Emergency and Referral Transport 0 277 (Ambulance on PPP mode)

277


Attachment B

NATIONAL RURAL HEALTH MISSION

RECORD OF PROCEEDINGS 2011-12

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

for Jharkhand 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 Jharkhand on 24.03.2011. 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 reported 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 were 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 IV).

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.

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. Communitisation

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.

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.

16. State Specific Conditions/Observations:

a) State should establish a functional Quality Assurance Cell at state level and a

Quality Assurance Committee at district level. This cell will ensure


adaptation/preparation, dissemination and training on quality technical and

infrastructural protocols at the health facilities. The cell will also ensure the quality

of the different skill based trainings being conducted in the state.

b) All contractual human resource will have job specific ToRs with clearly defined

objective deliverables which should be monitored every quarter.

c) All deliveries and neonatal care up to one month should be free in respect of drugs,

consumables, diagnostics, blood charges, diet and referral transport to the admitted

beneficiaries.

d) Regular Surveillance and Reporting of various diseases should be ensured to catch

early signs of warning for outbreaks.

e) Tracking of every pregnancy and infant for due service delivery and review of all

maternal deaths should be ensured.

f) It was not possible to incorporate all the activity wise deliverables and

conditionalities since some activities have been merged to fit in the RoP format. The

state needs to submit the activity wise deliverables in the excel sheet as per the

discussion during Sub Group and NPCC. The budget details & deliverables need to

be revised in the PIP accordingly.

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) with summary of all

Functional Head at Annexure V.


Annexure-I

Consolidated Approval under RCH-II for FY 2011-12

FMR Code

Activity

Unit Cost (where-ever applicable)Rs.

Physical target/ Expected output

Amount Proposed (Rs. Lakhs)

Amount Approved (Rs. Lakhs)

Remarks/ Conditionalities

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

A.1 MATERNAL HEALTH

A.1.1 Operationalise facilities

A.1.1.1 Operationalise FRUs

10000

52 FRUs to be monitored for quality MH, CH and FP services as per technical protocols

5.20 5.20

A.1.1.2 Operationalise 24x7 PHCs

5000 as above for 75 24X7 PHCs

3.75 3.75

A.1.1.3

MTP services at health facilities (Accreditation of private health facilities & Operational cost of District level committee)

5000

For Ranchi, Hzbg, Dhanbad, Bokaro & E.Singh- 10 PHF per District & for rest 19 Dist. - 2 PHF per District. Total 88 PHFs

4.80 4.80

Accreditation as per GoI guidelines and MTP Act.

A.1.1.4 RTI/STI services at health facilities

A.1.1.5 Operationalise Sub-centres

A.1.2

Referral Transport (@ 20000x4qtr x 24 DH &

5000 x4qtr x 170 CHC )

Approx. 160 PW per district per year will be referred from DH to Medical

53.20 53.20

Assured referral (RT) should be made available.


FMR Code

Activity






College and Approx. 40 PW per CHC per year will be referred from CHC to DH 10640 PW (Pregnant women) to be benefitted

A.1.3 Integrated outreach RCH services

A.1.3.1 RCH Outreach Camps/ Others

5000

3492 RCH camps to be held

174.60 174.60

A.1.3.2

Monthly Village Health and Nutrition Days (Monitoring, Micro planning, HSC Meeting & Compilation of Micro Plan at Various level.)

All AWC will conduct comprehensive VHND

63.98 63.98

A.1.4 Janani Suraksha Yojana / JSY

A.1.4.1 Home Deliveries

500 240342 1201.71 500

80,000 rural and 20,000 urban home deliveries will be compensated. Additional requirement of funds can be re-appropriated from savings.


FMR Code

Activity






A.1.4.2 Institutional Deliveries

A.1.4.2.a

-Rural

1400/ pregnant women

440096

6161.344

4038.916

288494 rural & 41666 urban institutional deliveries will be compensated. Approvals are based on achievements of previous years. Additional requirement of funds can be re-appropriated from savings.

A.1.4.2.b

Urban

1000/ pregnant women

88655

886.55 416.668

A.1.4.2.c

Caesarean Section

A.1.4.3 -Administrative Expenses

442.70 200

A.1.4.4 Incentive to ASHAs

Rural institutional delivery

600 440096 2640.576 1730.964

288494 deliveries to be incentivised. They will ensure all due ANCs

Urban institutional delivery

200 88655 177.31 83.332 41666 deliveries to be incentivise.

A.1.5 Maternal Death Review/Audit

A.1.6 Other Activities

A.2 CHILD HEALTH

A.2.1 IMNCI


FMR Code

Activity






Operational cost of district IMNCI cell (24 Dist. IMNCI Cell * 12 Month =288)

2000 per month per district

5.76

5.76 Quality training will be imparted and trained personnel will be monitored for service delivery in all 24 districts

and in 13 medical colleges and ANMTCs

Operational cost of IMNCI activity in 10 ANMTC & 3 Medical College

2000 per month per institute

3.12

3.12

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 (Operational Cost of 48 Existing MTC, 20 MTEC & software for MTC)

32400/MTC 52500/MTEC

48 MTC 10 MTEC 10 New MTEC Will be operationalized and provide quality services.

281.24 281.24

Software to be developed within three months and will have all the data related to MTC & MTECs including number of children treated

A.2.6

Management of Diarrhoea, ARI and Micronutrient Malnutrition


FMR Code

Activity






A.2.7 Other strategies/activities

1. Referral Transport Block/CHC District

10000 20000

20 children per Block/CHC & 40 Children per DH expected. Maximum of 500 reimbursed

21.20

21.20

Develop assured system of referral in 3 months.

2. Orientation of MCP Card & Bi-annual Round

MCP card will be adopted at all health facilities Biannual round will be conducted for Vit.A

10.29

10.29

Orientation to be completed in 3 months

3. Printing Cost MCP Card, Mother Support Group (MSG)Folder, MTC & MTEC Format, Printing Material of NSSK, IMNCI, NSU)

MCP @ Rs.10, MSG folder @Rs 5,MTC,KTEC format @Rs. 5000, printing format @ Rs.300,printing of material for

MCP Card 11 lakhs MTC and MTEC format 58 NSSK format for printing 1848 etc

149.32 149.32

All printing should be through competitive tendering. Printing & dissemination to be completed in next 3 months.


FMR Code

Activity






supportive supervision for IMNCI @Rs200, printing of material for [email protected],printing of material for NSU@Rs250.

A.2.8 Infant Death Audit

A.2.9

Incentive to ASHA under Child Health

Rs. 200 to Sahiyya for admission of SAM Children and 3 follow up to be paid after follow up. Budget included in operational cost of MTC & MTEC (A.2.5.)

A.2.10 Other Activities

A.3 FAMILY PLANNING

A.3.1 Terminal/Limiting Methods

A.3.1.1

Dissemination of manuals on sterilisation standards & QA


FMR Code

Activity






of sterilisation services

A.3.1.2 Female Sterilisation camps

10000 1700 Camps 170 170

A.3.1.3 NSV camps 10000 300 Camps 30 30

A.3.1.4 Compensation for female sterilisation

1000 175000 Beneficiary

1750 1150

Approval is Rs.1150 Based on the achievement of previous years. Rs.1000 includes Rs. 150 for motivator. Disbursement of compensation should be as per GoI Norms

A.3.1.5 Compensation for male sterilisation

1500 30000 Beneficiary

450 300

Approval of Rs.300 lakh based on achievement of previous years. Rs.1500 includes Rs.200 for motivator. Disbursement of compensation should be as per GoI Norms

A.3.1.6

Accreditation of private providers for sterilisation services

A.3.1.7

ASHA Incentive under Sterilisation

A.3.2 Spacing Methods

A.3.2.1 IUD camps

A.3.2.2 IUD services at health facilities

20 in Public

300000 Beneficiary

87.50 50.00


FMR Code

Activity






(Compensation at Public & Private Facilities)

facility 75 in private facility

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

10000

24 district monitoring

1.20 1.20

Regular monitoring & ensuring quality services

A.3.4 Repairs of Laparoscopes

A.3.5

Other Activities Review Workshop at State & Dist. Level

State 50000 and district level 25000

2 State Level & 24 Dist. Level Workshops will be conducted

7.00 7.00

Comprehensive review of all MH, CH, FP activities. Review report after workshop. Action taken report on recommendations.

A.4

ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

A.4.1

Adolescent services at health facilities. (1.State Level Review Workshop. 2.Setting up of ARSH clinics at DH,BPHC/CHC 3.Operationlising

50000 10000 8000

State Level Review Workshop 194 ARSH Clinics functional &

16.82 16.82


FMR Code

Activity






of ARSH Clinics at DH,BPHC/CHC

provide quality health services.

A.4.2 School Health Programme

Printing of Health card for school

1000 10000 100.00 100.00

24 districts Printing of health card and manual orientation of head masters, Nodal teachers Block Resource persons Mobility support etc.

Printing of Manual for school

30 10000 3.00 3.00

Orientation of Head Masters, Principals, Nodal Teacher & Children

250 41000 102.50 102.50

Orientation of Block Resource Person

300 508 1.52 1.52

Orientation cum meeting with missionary and NGO run educational Institutions

10000 24 2.40 2.40

Mobility Support for Block Prog Officer

25000 24 6.00 6.00

A.4.3 Other strategies/activities

Kishori Swasthya Saptah Organising & printing of training manuals,

Will be held in 24 districts & 194 blocks

44.50 44.50


FMR Code

Activity






reporting formats.

Menstrual Hygiene

Orientation of all Sahiyya in all selected districts

35.54 35.54

A.5 URBAN RCH

Review Meeting for urban health at state level

30000

2 meetings to be held

0.6 0.6 Utilize both for orientation and then for review

Review Meeting for urban health at district level

10000

14 Review Meetings at districts

1.4 1.4 Utilize both for orientation and then for review

Rent for hiring 50 Urban Health Centres (In case of Non Govt. building) '@ RS. 1500 per month for 50 urban centre

1500 50 UHCs will be functional

9 9 Only for existing centres

Recurring Cost - Office Expenses'@ RS. 1500 per month for 50 urban centre

1500 50 UHCs will be functional

9 9 Only for existing centres

Urban Health Mela (week)

50000 7 UH melas will be held

3.5 3.5

To be organised comprehensively for RCH, AYUSH and disease control programme

A.6 TRIBAL RCH

Orientation of programme managers and service providers at State Level

1,00,000

1Orientation Workshop will be held at state level

1.00 1.00


FMR Code

Activity






Orientation of programme managers and service providers at District Level

50000

1 workshop in each of the 24 districts will be conducted

12.00 12.00

Orientation should be for comprehensive RCH and Tribal services

Implementation of Integrated RCH activities (Outreach Camp) for Vulnerable Groups / PTG (1500 Hamlet * 1 camp per Qrt)

5000 3000 PTG Camp will be held

150 150

Additional Sahiyya for PVTG

1000

100 Additional Sahiyya for PVTG

1 1

At least 10% increase in the monitorable indicators of MH,CH and FP including institutional delivery

A.7 PNDT

A.7.1 Support to PNDT cell

A.7.2 PNDT other activities

PNDT (Orientation Workshop for Programme Managers)

State @ Rs. 2.5 Lakh & District level @ Rs. 1 Lakh

2 at State & 24 at district level workshops will be conducted

17.00 17.00

PNDT committees will be made functional

A.8

INFRASTRUCTURE(Minor Civil Works) & HUMAN


FMR Code

Activity






RESOURCES( Except AYUSH)

A.8.1 Contractual Staff & Services

10076.04

4508.11

Rs.4508.11 lakh approved for A.8.1 Priority should be given to recruitment of HR needed urgently for making the facility functional. HR recruitment should be linked with the availability of necessary infrastructure, equipment & other complementary.

A.8.1.1

ANMs, Staff Nurses, ANMs, Staff Nurses, (ANM-Rs 9000x5000x12) (NewANM-Rs.8000x500x12) (SN-Rs.13000x500x12) (SN-Rs.12000x400x12)

ANM 8000-9000 Staff Nurse 12000-13000

5500 ANM will provide services as per the ToR, 900 Staff Nurse will provide services as per the ToR

ToR& deliverables of first& second ANM to be defined& shared. Also indicate how many HSCs became functional.

A.8.1.2

Laboratory Technicians, ,MPWs, Radiographers, Pharmacist (LT-

LT- 9500

400 LT

Comprehensive order for all LTs doing all diagnostics required in the facility needs to


FMR Code

Activity






Rs.9500x400x12) (Radiographer-Rs.11000x150x12) (MPW-Rs.8000x500x12) (Pharmacist-Rs.9500x200x12)

Radiographer-11000 MPW-8000 Pharmacist-9500

150 Radiographer 500 MPW 200 Pharmacists Will provide services as per their ToR

be issued To be posted at the functional facility ToR and Deliverables of male health worker need to be communicated.

A.8.1.3

Specialists (Anaesthetists, Paediatricians, Ob/Gynae, Surgeons, Physicians, Dental Surgeons, Radiologist,

65000 150 Specialist

No. of CS done and other monitor able service delivery be defined and monitored for each facility where they are


FMR Code

Activity






Sonologist, Pathologist, Specialist for CHC ) (Rs.65000x150x12)

posted.

A.8.1.4 PHNs at CHC, PHC level

A.8.1.5 Medical Officers at CHCs / PHCs (Rs.35000x22x12)

35000 22 LMO

A.8.1.6

Additional Allowances/ Incentives to M.O.s of PHCs and CHCs

Mobile Recharge Voucher to 100 MO, 24 DRCHO

All VHND and SC activities to be monitored

A.8.1.7

Others - Computer Assistants/ BCC Co-ordinator etc

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

500

1000 ANM

Subject to conducting at least five deliveries at HSC per month.

Mobile Recharge Voucher to 500 ANM

350

Mobile Recharge Voucher to 500 ANM

All pregnant women and children will be tracked for ANC, PNC, ID, FP and Immunization etc

A.8.1.9

Human Resources Development (Other than above) Cold

Details of the staff


FMR Code

Activity






Chain & PROMIS Operator

State Cold Chain Officer (Rs.45000x1x12)

45000

Preferably state cold chain officer should be from the state cadre.

Technical Asst. - Cold Chain – State (Rs.27500x1x12)

27500

Technical Asst. - Cold Chain – Regional (Rs.22000x1x12)

22000

Vaccine & Logistic Manager – State (Rs.27500x1x12)

27500

Vaccine & Logistic Manager – Regional (Rs.25000x1x12)

25000

Refrigerator Mechanic -27 (Rs.11000x27x12)

11000

No repair work should be pending once these posts are in place.

proMIS Manager (Rs.15000x1x12)

15000

All appointments under proMIS should lead to functional procurement system


FMR Code

Activity






PROMIS Operator/ Store Keeper for Central & Regional Warehouse 9 Store keeper (Rs.14000x9x12)

14000

proMIS Operator/ Store Keeper for District Warehouse 24 Store keeper (Rs.12000x24x12)

12000

Cold Chain Handler 27 Handlers (Rs.10000x27x12)

10000

WIC /WIF Operator - Regional 3 Operator (Rs.10000x3x12)

10000

Regional WIC /WIF cleaning outsource - Deoghar, Ranchi, Giridih (Rs.4000x3x12)

4000

A.8.1.10

Other Incentives Schemes (Pl. Specify)

Jharkhand Lok Swasthya Sewa Vistar Yojna

1000

0.00 Not Approved


FMR Code

Activity






Result Based Financing

10.75 0.00 Not Approved

A.8.2 Minor civil works

A.8.2.1

Minor civil works for operationalisation of FRUs

1,00,000

52 FRUs will have complete operational infrastructure in terms of LR, OT, Labs, wards etc

52 52 Name of the facilities to be shared with GoI

A.8.2.2

Minor civil works for operationalisation of 24 hour services at PHCs

50000

75 PHCs will have complete operational infrastructure in terms of LR, , Labs, etc

37.50 37.50 Name of the facilities to be shared with GoI

MTC & MTEC (Malnutrition Treatment Centres)

20000

58 MTCs and MTECs will have operational infrastructure including beds

11.60 11.60

A.9 TRAINING

A.9.1 Strengthening of Training Institutions

Strengthening in terms of IPH, RTC Hazaribagh, Training Centre ITKI and will function as per the norms.

Funds for current FY are approved. The institute should be self sufficient in 3 years period. The activity should be implemented in partnership with PHFI &

1.IPH (Setting up library, management expenses, furnishing of hostel, running water & electricity

399.63

399.63


FMR Code

Activity






i the hostel, setting up of mess, canteen etc.)

state as per the proposal.

List of deliverables in terms of types of training and training plan to be shared with GoI

2.RTC Hazaribagh

(Setting up library, management expenses, furnishing of hostel, class room, etc. Running water & electricity i the hostel, class room, seminar halls)

20.00

20.00

As above

3.Training Centre at Arogyashala, ITKI

(HR requirements, infrastructure up gradation of class rooms, seminar rooms & hostel, computerization, vehicle hiring etc.)

41.58 41.58

To be made functional in time bound. List of deliverables in terms of types of training and training plan to be shared with GoI

A.9.2 Development of training packages

A.9.3 Maternal Health Training

A.9.3.1 Skilled Attendance at Birth

177780/batch

117870/batch

624

138.67

107.26 245.93

Rational deployment of HR after training.


FMR Code

Activity






364 Health workers will be trained

A.9.3.2

Comprehensive EmOC Training (including c-section)

1200000 24 MOs will be trained

36 36 Do as above

A.9.3.3 Life saving Anaesthesia skills training

705870/batch

32 MOs will be trained

59.13 59.13 Do as above

A.9.3.4 MTP training 29900/batch


12.56 12.56 Do as above

A.9.3.5 RTI / STI Training

A.10.3.6

BEmOC training

75600/batch


6.05 6.05 Do as above

A.9.3.7

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

Core Skill of ANM

103500/ batch

1800 ANM will be trained in Core Skill

62.1

62.1

Do as above

FBMDR

48 person in TOT for FBMDR 600 person at district level

12.39

12.39


FMR Code

Activity






HIV Screening

21200/ batch

1170 ANMs/SNs will be trained in HIV Screening

8.27 8.27

A.19.4 IMEP Training

A.9.5 Child Health Training

A.9.5.1 IMNCI

1.HW

100800/ batch

3600 HWs will be trained

151.20

151.20

Do as above

2.Supervisory training

73400/ batch

120 HW for supervision of IMNCI

3.67 3.67 Do as above

A.9.5.2 F-IMNCI

A.9.5.3 Home Based Newborn Care

A.9.5.4

Care of Sick Children and severe malnutrition (Refresher Training for MTC & MTEC)

70300/ batch

300

7.03

7.03

Do as above Refresher training focused on MTC & MTECs.

A.9.5.5 Other CH Training (pl. Specify)

NSSK refresher training State level for MO

70500/ batch

90 MO will be trained

2.12 2.12

Do as above

NSSK training District level for MO

72600/ batch

696 MO will be trained

21.05

21.05


FMR Code

Activity






NSSK training District level (ANM,SN)

53000/ batch

1552 ANM,SN will be trained

25.44 25.44

A.9.6 Family Planning Training

A.9.6.1 Laparoscopic Sterilisation Training

A.9.6.2 Minilap Training 72500/ batch


8.7

8.7 Do as above

A.9.6.3 NSV Training

A.9.6.4 IUD Insertion Training

1. ToT State Level (MO,SN)

190400/ batch District

48 MOs & SNs will be trained

3.81

3.81 Do as above

2. Insertion training (MO)

82300/ batch


19.75

19.75

3. Insertion training (ANM)

62300/ batch

240 ANMs will be trained

14.95 14.95

A.9.6.5 Contraceptive Update/ISD Training

Contraceptive Technology Update Training TOT (MO)

86000/ batch District


0.86

0.86

Contraceptive Technology Update Training (MO)

70250 /batch


4.22 4.22


FMR Code

Activity






A.9.6.6 Other FP Training (pl. Specify)

PPIUCD TOT (MO,SN)

TOT 58400/ batch

96 MOs & SNs will be trained

4.67

4.67

Do as above

PPIUCD Training District Level (MO)

District 56600


13.58 13.58

A.9.7 ARSH Training

1.Refresher Training

93050/ batch

50

1.86

1.86

Do as above

2. Roll Out training at Regional Level (MO)

109600/ batch


5.48

5.48

3. Roll Out training at District Level (LHV/ Male Supervisor/ ANM/ MPW)

113300/ batch

600 HW will be trained

27.19 27.19

A.9.8 Programme Management Training

A.9.8.1 SPMU Training


FMR Code

Activity






A.9.8.2 DPMU Training

A.9.9 Other training (pl. Specify)

Urban Health (Orientation/training for ANM/service provider)

Rs49000 / batch

168 ANMs/ service providers will be trained

3.43 3.43

HMIS

Refresher Course on HMIS (CS,DPM,DAM,DDM)

24000

96 CS, DPM, DAM , DDM will be trained

0.96 0.96

Refresher Course on HMIS (MOICs, Computer, BPM)

30000

768 MOICs, BPMs will be trained

7.2 7.2

Training on PROMIS (CS,DDM, Storekeeper, PROMIS Operator)

35500

96 CS, DDM, Storekeeper, PROMIS Operators will be trained

1.42 1.42

Training on HMS & Untied fund (CS,DPM,DAM,DDM)

23000

72 CS,DPM,DAM,DDM will be trained

0.69 0.69


FMR Code

Activity






Training on Tally (DAM,BAM)

111400

243 DAM,BAMs will be trained

1.11 1.11

Training on HMIS including Mother & Child Tracking Format

19000 3350 ANMs will be trained

25.46 25.46

CBHI-In service Training Course (One member from each clinical dept. of Medical College)


2.43 2.43

PG Diploma in Public Health Management


12.5 12.5

Out Station Training of State & District Officers

25000

20 state & district officers will be trained

5 5


FMR Code

Activity






Training Review meeting Quarterly

79000 320

6.32 6.32

Orientation of Monitoring for Emoc & LSAs

100000 25 persons will be trained

1 1

Monthly Monitoring for Emoc & LSAA

22000 24 persons will be trained

2.64 2.64

Field Visit Monitoring During & After Training

5000 24 visits 1.2 1.2

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


FMR Code

Activity






workers females to lady health visitor etc.

A.9.11.2

Training of ANMs, Staff nurses, AWW, AWS

A.9.11.3

Other training and capacity building programmes

District level training of AYUSH (ANMs/AWWs)

1000 500 5.00 5.00

District level training of AYUSH (Compounders for medicine preparation)

130000 2 2.60 2.60

State level training of AYUSH (M.O.)

50000 2 1.00 1.00

A.10

PROGRAMME / NRHM MANAGEMENT COSTS

A.10.1

Strengthening of SHS / SPMU (Including HR-state consultants for-M&E, HRD, Training, logistics, NGO, MCH, Information & management, IEC etc. Co-ordinators PC PNDT, FP, AYUSH,

485.30 485.30

Comprehensive operationalization of facilities, quarterly analysis of data & FMR preparing bar charts and graphs should be incorporated in their deliverables up to block level. All programme


FMR Code

Activity






Account officer & Computer operator for State Medicinal plant board.etc. Statistical supervisor, computer operator SPM, SFM, SAM, S Data Manager etc. Management Cost-, Mobility Support, field visits )

managers should be given reorientation trainings for comprehensive management of MH, CH and FP activities.

A.10.2

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

24 DPMU functioning as per the guidelines

313.20 313.20

A.10.3

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

194 Block PMU will be functioning as per the guidelines

706.16 706.16

A.10.4 Strengthening (Others)

A.10.5 Audit Fees 10.00 10.00

A.10.6 Concurrent Audit 18.00 18.00

A.10.7 Mobility Support to BMO/MO/Others

A.11 VULNERABLE GROUPS


FMR Code

Activity






TOTAL 29318.86 17412.37


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


Mission Flexible Pool

B1 ASHA

B.1.1 ASHA Cost

B1.1.1 Selection & Training of ASHA

Sahiyya will go in each village & update as well as facilitate in conducting the health programmes. At least 10 to 15 % increase in the monitorable indicators of MH,CH and FP activities.

State TOT (Including DPC)

800 1216 9.73 9.73

Regional TOT 675 13600 91.8 91.8

SAHIYYA TRAINING

300 328000 984 984

Sahiyya Sathee Training (Sahiyya Sathi no. 2184)

220 4368 9.61 9.61

PTG Sahiyya Training

300 300 0.90 0.90

Travel & Facilitation Service

500 900 4.50 4.50

Sahiyya Sandesh Magazine

8 500000 48.00 48.00

Sahiyya Module 43 126000 54.18 54.18

B1.1.2 Procurement of ASHA Drug Kit

600

41,000 (Refilling

)

246.00 123.00

Drug [email protected] for 41000 refilling is approved. Most of the drugs can be filled from sub centres, only those which are not available can be


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


purchased

B1.1.3 Other Incentive to ASHAs (if any)

HIV Test During Pregnancy Care of HIV Positive Women

Rs. 500 to be paid to

Sahiyya

1000 HIV positive

pregnant women will be tested

5 5

Rs. 500 incentive to be given only after completion of 4 ANC of identified pregnant woman & after institutions delivery,3 PNC up to 7 days

B1.1.4 Awards to ASHA's/Link workers

Award for Outstanding Sahiyya (ASHA)

3000 520 15.60

15.60

To be given based on pre determined performance indicators

B1.1.5

ASHA Resource Centre/ASHA Mentoring Group (VSRC)

The sahiyya programme in the state will show improvement on selected indicator at the year end.

STATE PROGRAMME CO-ORDINATOR

35000 12 4.2 4.2

Coordinator- Training (New Recruit)

30000 12 3.6 3.6

Content Editor 1000 120 1.2 1.2


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


consultant(New Recruit)

Administration & Finance Officer

25000 12 3 3

District Programme Co-Ordinator

27000 288 77.76 77.76

3 LAPTOP for State VSRC team for DPC

35000 3 1.05 1.05

Travel support for VSRC

250000 4 10 10

Phone/ Internet/ Data Card for VSRC

65000 4 2.6 2.6

Sahiyya Sammelan at District Level Yearly

60000 24 14.40 14.40

Supportive Support to ASHA at Block Level by BTT for 6 days per month for supporting community meeting 424 BTT*8Days*12Mnth

300 33920 days

101.76 101.76

33920 days will be conducted with proper attendance record.

Supportive supervision to ASHA at State, Dist. & Block Level to STT for 6 days per month for supporting community meeting 24 STT*8 Days*12Mnth

500 1920 9.60 9.60

Operational cost 150 56448 84.67 84.67


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


(Hono. & Travel) for Sahiyya Help Desk (84 LWE Dist & PHC & 14 non LWE District Hospital) 12s*4d*Rs.150*98*12m

SAHIYYA Sathi honorarium for 2184 sahiyya sathi per month 2184ss*15d*Rs.100/day *12m

100 327600 327.60 327.60

Sahiyya Sathi will conduct cluster meetings, attend HSC meeting and report to MOIC

B2 Untied Funds

B2.1 Untied Fund for CHCs

50000 194 97.00 97.00 Including 6 SDHs

B2.2 Untied Fund for PHCs

25000 330 82.50 82.50

B2.3 Untied Fund for Sub Centres

10000 3958 395.80 395.80

B2.4 Untied fund for VHSC

10000 32615 3261.50 3001.10

Since the number of VHSCs constituted is 30011 (MIS on 31.3.2011)the Approved amount is Rs.3001.10 lakh

B.3 Annual Maintenance Grants

B.3.1 CHCs 100000

188 CHCs to

have basic

facilities for

188.00 188.00


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


treatment.

100000

6 SDHs to have

basic facilities

for treatment

.

6.00 6.00

B.3.2 PHCs 50000

120 PHCs to having

basic facilities

for treatment

.

60.00 60.00

B.3.3 Sub Centers 10000

1809 Sub centres to

have basic

facilities for

treatment.

180.90 172.40

Approval based on RHS-2010 provisional data. (1724 HSCs in Govt. Building)

B.4 Hospital Strengthening

B.4.1

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

B4.1.1 District Hospitals

400000

21 DHs with

improved

premises with

better electric

supply & water

84.00 84.00

To furnish the list of DH. Ensure quality service delivery for MH, CH & FP.


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


facilities

B4.1.2 CHCs 200000

52 CHCs with

improved

premises with

better electric

supply & water

facilities

104.00 104.00

To furnish the list of CHC. Ensure quality service delivery for MH, CH & FP.

B4.1.3 PHCs

B4.1.4 Sub Centers

B4.1.5

Others (Ongoing Construction of Regional Vaccine Store Palamau)

1200000 1

establishment

12.00 12.00

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

Transportation of Drugs, Equipment & Supply from Central Warehouse to the health facilities

200000 12 24.00 24.00


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Maintenance of Vehicles

100000 4 4.00 4.00

Maintenance of existing depot & office Building

6000 96 5.76 5.76

Office Expenses & Contingencies

25000 12 3.00 3.00

Stock Register 400 5000 20.00 20.00

Inventory Forms 100 5000 5.00 5.00

Indent Forms 100 5000 5.00 5.00

Supply Forms 100 5000 5.00 5.00

Supply Register 400 5000 20.00 20.00

Labour Room Register

400 2500 10.00 10.00 GoI register system to be adopted

B5

New Constructions/ Renovation and Setting up

B5.1 CHCs 318,00,000 10 1590.00 795

Balance Rs 795 lakh to be considered under priority projects fund. Name of the facilities to be submitted.


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


B5.2 PHCs 129,49,000 10 647.45 323.73

Balance Rs 323.73 lakh to be considered under priority projects fund. Name of the facilities to be submitted.

B5.3 SHCs/Sub Centers

22,49,000 475 10682.75 3710.85

165 sub centres to be constructed @Rs. 22.49 lakh (Rs 6971.9 lakh to be provided under priority projects fund). Name of the facilities to be sent. Based on the progress of work, additional requirement of funds can be re-appropriated from savings.

B5.4

Setting up Infrastructure wing for Civil works

B5.5

Govt. Dispensaries/ others renovations

B5.6

Construction of BHO, Facility improvement, civil work, BemOC and CemOC centers


FMR Code

Activity


Physical target

Amount Proposed

Amount 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

200 200

Detailed plan of activities and the name of facilities scheduled for implementation to be submitted to GoI before implementation of the plan.

500 Bedded Hospital at Dumka

500 1 500 00

To be Considered under additional projects.

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/Sch


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


ool(Other than HR)

B.6 Corpus Grants to HMS/RKS

B6.1 District Hospitals

5,00,000 21

District Hospitals

105.00 105.00 All health facilities to provide improved amenities and services

B6.2 CHCs 1,00,000 188

CHCs 188.00 188.00

B6.3 PHCs 1,00,000 330 PHCs 330.00 330.00

B6.4

Other or if not bifurcated as above (SDH)

1,00,000 6 SDHs 6.00 6.00

B7 District Action Plans (Including Block, Village)

SHAP @150,000

DHAP

@20,000

BHAP @5,000

State Plan, 24 DHAPs,

194 BHAPs will be

prepared within

the prescribe

d time.

16 16

B8 Panchayati Raj Initiative

B8.1

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

VHC Members 65

180072 VHC

members will be

oriented

117.05 117.05


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


VHC Module 45 31000 13.95 13.95

B8.2

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

PRI Members 60

84000 members

will be oriented

50.40 50.40

PRI Module 20 85000 17.00 17.00

B8.3

Others (Award for Outstanding VHC)

3000 520 15.60

15.60

B9 Mainstreaming of AYUSH

B9.1

Medical Officers at DH/CHCs/ PHCs (only AYUSH)

B9.2

Other Staff Nurse/ Supervisory Nurses (for AYUSH)


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


B 9.3 Activities other than HR

Review Meeting 35000

2 review meetings

will be conducte

d

0.70 0.70 Reports after meeting to be communicated

Planning Meeting for Herbal Treatment Hub & Ayurvedic Treatment Center

1,00,000 1 1.00 1.00

Pilot of Herbal Treatment Hub

5,00,000 1 5.00 5.00

Approved in principle. To be taken up after submitting the details to GoI

Ayurvedic Treatment Centre (PPP Mode)

5,00,000 1 5.00 5.00

B10 IEC-BCC NRHM

B.10

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

B.10.1

Development of State BCC/IEC strategy Workshop, Procurement of Camera display board for district, learning visits, Desktop for state IEC cell.

21.13 21.13

Activities of MH, CH & FP to planned collectively and comprehensively.


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


B.10.2 Implementation of BCC/IEC strategy

B.10.2.1

BCC/IEC activities for MH

21.60 21.60 Poster, Pam let, flip chart etc. will used appropriately

B.10.2.2

BCC/IEC activities for CH

40.80 40.80

B.10.2.3

BCC/IEC activities for FP

30.24 30.24

B.10.2.4

BCC/IEC activities for ARSH

22.10 22.10

B.10.3 Health Mela

AYUSH Health Mela including RCH services

50000 22 11.00 11.00

B.10.4

Creating awareness on declining sex ratio issue Posters on PCPNDT act, Girl Child right & other PCPNDT activities.

30 30

B.10.5 Other activities

IEC for Urban Health

14 14

21000 booklets @ Rs 50for ANM/USHA & their IEC

IEC for Tribal Health

22.60 22.60

AV shows in tribal language on MH, immunization and disease prevention @Rs.90000 per district. Development &


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Dissemination of IEC material in vernacular scripts@ 25000 x4

IEC/ BCC activities for School Health

1,00,000 24 24.00 24.00

Quarterly News Letter

20 24000 4.8 4.8

Newspaper Advertisements

1,00,000 100 100 100

Job Aid Booklet on RCH for ANMs and Shaiya

25 60000 15 15

Community Radio (training, production and post production) -on selected thematic areas may be included

50000 20 10 10

Local FM Channels at least 20 audio spots per week (Five FM Channels )

200 4800 9.6 9.6

AIR spots for advertisements

1200 3600 43.2 43.2

Private Regional TV Channels (News and Entertainment)- ETV/Sahara/Mahua/etc

1500 1050 15.75 15.75

Cable Scroll Local TV channels( for Family planning, Maternal Health,

1500 432 6.48 6.48


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Adolescent Health service etc).

Doordarshan, Health Programme Spot (30-60 Sec for Ads(Twice in a week)

12000 360 43.2 43.2

Street plays/ Cultural programs on RCH

3000 1552 46.56 46.56

IEC for celebration of Special campaign /rally/Health Meals/ National Nutrition Week/ World Breastfeeding Week/ Anti TB Day/ Hand washing Day etc

5,00,000 1 5 5

IEC for celebration of Special campaign /rally/Health Meals/ National Nutrition Week/ World Breastfeeding Week/ Anti TB Day/ Hand washing Day etc

25,000 24 6 6

VHC Strengthening

25 60000 15 15

Documentary films on 2

3,50,000 2 7 7


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


thematic areas

Audio Visual spot development

50,000 20 10 10

IEC Display on Ambulance

30000 60 18 18

AYUSH IEC 20000 24 4.80 4.80

Hoardings - FP and Maternal Health- State level

30000 6 1.8 1.8

Hoardings - FP/Maternal Health/Adolescent Health/ Urban Health - District Level

20,000 374 74.8 74.8

B11

Mobile Medical Units (Including recurring expenditures)

Operational Cost including Maintenance & insurance for ongoing Mobile Medical Unit

22,5000 per month per

MMU

103 MMUs

will provide services

in the remote blocks.

2781.00

2500

All MMUs to be made functional in 3 months. Route plan will be prepared, Service delivery will be monitored by district and block programme managers. Community will certify service delivery on each day in their register.

GPRS (annually) 15000 103 15.45

B12 Referral Transport


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


B12.1 Ambulance/ EMRI/Other models

Operating Cost (Mamta Wahan)

30 000 per month

277 Ambulan

ces will provide effective referral

transport.

831.00

500

As per discussions during Sub Group 108 Model of emergency services through vehicles with ALS is not approved since the state does not have any Trauma Centre. Hence a simple referral vehicle like proposal under Mamta Vahan is the first requirement of the state and so approved. As discussed to be given on competitive bidding (Avg. 50 case per month per vehicle from Community to CHC)

Mobile Voucher

300 per mobile

8.31

B12.2 Operating Cost (POL)

B13 PPP/ NGOs

B13.1 Nongovernmental providers of health care


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


RMPs/TBAs

B13.2

Public Private Partnerships

(Outsourcing of 20 PHCs)

26.25 Lakh

To provide quality

services in 20

PHCs within 3 months

including program

me manage

ment.

525.04 525.04

PHC will work 24X7 and should have at least 6 beds Service delivery should be as per technical protocol.

B13.3

NGO Programme/ Grant in Aid to NGO

B14. Innovations( if any)

Call centre for referral transportation (Mamta Wahan and others)

3.86

23 Dist. will have functional referral

transport system

with call centre in

3 months

88.78 88.78

Community Waiting Hall for relatives of Pregnant Woman (Establishment of Waiting Hall/ BASA)

1.00

50 BASA will be

established at

appropriate

locations

50 50


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Genetic Disorders (Haemoglobinopathies e.g. Sickle Cell Anaemia, Thallasemia & Others): Instruments, Articles, awareness programme, establishment cost

28.79 28.79

identify, estimate and assess the disease load of hemoglobinopathy in identified districts of Jharkhand

Occupational Health Hazards Control Programme (Silicosis & Others) Workshops, Capacity Building, Setting up of ODDC

6 Worksho

ps& Capacity Building, Constitut

ing the Occupati

onal Health

Hazards Control

Cell at State,

Setting up of

ODDC at Jamshed

pur

12.00 12.00

Innovations in Tribal areas Printing of Manuals, Picture cards, Compensation to Sahiyya to attend trainings, Admin cost, Process

12 blocks-

two each from 6

districts 150

women’s groups in

each

35.68 35.68


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


evaluations block will be

facilitated to go

through a monthly

Participatory

Learning and

Action (PLA)

meeting cycle

Bi-Cycle for Sahiyya

2500

20,000 There

will be 10-15%

improvement in

the outcomes related to

ANC, PNC,

Immunization, FP services

etc.

500 250

Only for the high focus districts for 10000 Sahiyyas. Competitive bidding for procurement to be adopted. The maintenance will be borne by the Sahiyya. All monitorable indicators should improve by 10 to 15%.

B15 Planning, Implementation and Monitoring

B15.1

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

B15.1. State level State level 1,00,000 1 1 1


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


1

B15.1.2

District level District

level 25,000 24 6

B15.1.3

Block level Block level 30,000 48 14.4

B15.1.4

Other (Innovative activities for Community programme )

Saas bahu Sammelan in every cluster (2184) (Quarterly)convergence with ICDS - Mother support group

250 8736 21.84 21.84

Flag at Sahiyya House

50 40964 20.48 20.48

Exposure visit of VSRC members/DPC/STT/BTT/Sahiyya sathi/ Sahiyya

3,00,000 1 3.00 3.00

Corpus fund for supporting Sahiyya against Accidents and Deaths (Sahiyya Sahayta Nidhi)

10 41,000 4.10 4.10

B15.2 Quality Assurance

Quality assuranc

e cell will be made

functional in 3

months.

390.79

390.79

Ensure expected quality outcomes of the NRHM/RCH and FP services along with strengthening of the healthcare


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


delivery centres / facilities.

B15.3 Monitoring and Evaluation

B15.3.1

Monitoring & Evaluation / HMIS/MCTS.

25.68 25.68

Operationalising new MIS formats, Printing of new formats monitoring visits

B15.3.2

Computerization HMIS and e-governance, e-health ((Procurement & installation of inverters in CHCs@)Rs.20000 for 194 facilities. AMC for state, district & block level computer @ Rs.5000, Development & operationalization of server for website.)

56.25 56.25

Procurement of equipments Development of website Printing of new formats for PHCs & SHCs

B15.3.3

Other M & E

Quarterly review meeting at State Level (4 Quarter)

50,000 4 2.00 2.00

Field visit by State M&E cell

50,000 12 6.00 6.00

District level workshop

5000 96 4.80 4.80

Field visit by District M&E cell

3000 288 8.64 8.64


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Concurrent Evaluation & study

55.00 55.00

Study in PTG areas could be conducted on regional basis based on selecting adequate sample size. Objectives, agencies and expected outcomes to be shared.

Dissemination of SPIP

50,000 1 0.50 0.50

B.16 PROCUREMENT

B16.1 Procurement of Equipment

B16.1.1

Procurement of equipment: MH

a. Establishment for Blood Storage Unit

Establishment of blood

storage facility@ 2,50,000

Blood carry box@ 75000

Establishment of 15 BSUs

& 37 Blood Carry

Box

65.25 65.25 It will be made functional in 3 months.

b. Blood Bank 2.87 Crore

5 Blood Banks

1433.75 00

To be considered under priority project funds

c. MVA / EVA kits

@ Rs. 1650/-

3110 Kits 51.32 51.32

d. Equipment tray for MTP

@ Rs. 2000/-

224 equip.

Tray 4.48 4.48

d. Medical Abortion Kit

@ Rs. 400/- 5760 kits

will be made

23.04 23.04


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


available

B16.1.2

Procurement of equipment: CH

B16.1.3

Procurement of equipment: FP

Rs. 600/- NSV Kit

Rs. 1000/- IUD

Insertion Kit

550 NSV kit,

4182 IUD Insertion

Kit

45.12 45.12

B16.1.4

Procurement of equipment: IMEP

B16.1.5

Procurement of Others

B.16.2 Procurement of Drugs and supplies

B.16.2.1

Drugs & supplies for MH (Essential Obstetric Care Drug Kit for CHC and FRU, SBA kit for CHC, OPD register, MCH Register)

108.11 108.11

Kit for HIV Screening of pregnant women

30 Rs. Per kit

236000 70.80 70.80

Rapid diagnostic kit will used during ANC

B.16.2.2

Drugs & supplies for CH

Drug Kit for FRU/CHC

2000 191 Kits 3.82 3.82

Zero Diarrhoea death programme (ORS -Zinc Bleaching

50 50


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Powder, IV set)

Anti-Rabies Vaccine

220 100000 220 220

Drug for IMNCI (Co-trimoxazole, ORS etc.)

500000

5 5

Consumables & Maintenance of NBC

25000

203 NBCs will

provide quality

services

50.75 50.75 Names of the facilities to be provided& made functional in 3 months. Procurement can be through DPs or competitive bidding

Consumables & Maintenance of NSU

1,00,000

32 NSUs will

provide quality

services

32 32

Consumables & Maintenance of SNCU

5,00,000

7 SNCUs will

provide quality

services

35 35

Procurement of Albendazole

0.625 58,00,000 36.25 36.25

B.16.2.3

Drugs & supplies for FP

B.16.2.4

Supplies for IMEP

B.16.2.5

General drugs & supplies for health facilities

Procurement of IFA ARSH

0.1 1020 lakh

IFA 102.00 102.00

Tribal Health 0.10

Snake bite,

Animal bite

drugs

5.00 5.00


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


SBA Kit for HSC 13000 500 Kit 65.00 65.00

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.19 Health Insurance Scheme

B.20 Research, Studies, Analysis

B.21

State level health resources centre (SHSRC) HR and Institutional Strengthening (Setting up the workstation with computer, Accessories, internet, office

1 Co-ordinator, 1 executive planning & monitoring,

1 executive research

31.35 31.35

SHSRC will provide the technical support to the programmes


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


equipment, furniture etc. Conveyance Management cost Research and development works

& documentation and 1 account assistant

B.22 Support Services

B22.1 Support Strengthening NPCB

Honorarium of contractual employee cannot be given from two sources as per programme protocol.

Peon 2400 1 0.29 0.29

The Honorarium of all the contractual staff of a particular level should be equal and as per the program guidelines.

Driver 9000 1 1.08 1.08

Eye Donation Counsellor

10000 3 3.60 3.60

B22.2

Support Strengthening Midwifery Services under medical services

B22.3 Support Strengthening NVBDCP

ASHA Incentive (3000 cases)

200 3000

cases 6.00 6.00

Mobile phone recharge voucher

110.11 1.44


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Rs. 500x12 months

Equipments for Entomological work

6,00,000

6.00 6.00

Diagnostic Goods

58.76 0.00 Not Approved (Since no details provided)

Remuneration for contractual driver

9000

27 drivers

29.16 29.16

Xerox & Fax Machine

90,000

25 22.50 22.50

B22.4 Support Strengthening RNTCP

Uninterrupted electricity supply for IRL

499,000

4.99 4.99

Procurement of Laptop

40,000 3 1.20 1.20

Additional Cost of MDR TB Patient

50,000

0.50 0.00 Not Approved

Continuation of CUG for RNTCP Key Staff

814,000

8.14 8.14

B22.5 Contingency support to Govt. dispensaries

B22.6 Other NDCP Support Programmes

NLEP

2 Desktop (PC) 30,000 2 PCs 0.6 0.6 Better reporting

and smooth functional of district Leprosy

2 Laptop 40,000 2 PCs 0.8 0.8


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


One PC to Each District with Acc.

40,000 24 PCs 9.6 9.6 cell and State Leprosy Cell

Peon SLO Office 6,200 12 Month 1.488 1.48

Driver for Dist. 9,000 12 Month 5.4 5.4

Driver for State 9,000 12 Month 2.16 2.16

Fund Required for Difference amount of A contractual Service Payable to : BFO-1, DEO-1, Driver-3 for State and 16 Driver for District

Arrear for the staff

12 Months for Year 2010-11

12.04 00 Not approved

B.23

Other Expenditures (Power Backup, Convergence etc)

Support Strengthening RI

Genset 3,00,000 33 99.00 99.00

TA/DA for Mechanic

2,88,000 1 2.88 2.88

Supportive Supervision

50,000 48 24.00 24.00

JMSSPM - District

50,000 48 24.00 24.00

JMSSPM-CHC 20,000 388 77.60 77.60


FMR Code

Activity


Physical target

Amount Proposed

Amount Approved


Procurement of Non Electrical Cold Chain Equipment

50,00,000 1 50.00 0.00

Mapping of different Stake Holders

1,00,000 1 1.00 1.00

Resource book on convergence (printing)

150 3000 4.50 4.50

Convergence meeting at state level

50,000

2 meetings

will be conducte

d

1.00 1.00

Convergence meeting at district level

35000

48 meetings

will be conducted i.e. 2 in

each district.

16.80 16.80

Strengthening of Food & Drug Laboratory

1,00,00,000 1.00 100.00 100.00

Progress on the establishment of the laboratory will be shared with GoI

Total

30527.74 18995.74


Annexure-III

Consolidated Approval under Immunization for FY 2011-12

(Rs. in Lacs)

FMR Code

Activities( As proposed by the State)

Unit Cost (where ever applicable)

Physical Target

Amount Proposed (in lakh)

Amount Approved (in lakh)

Remark/ Conditionalities

C.1

RI Strengthening Project (Review meeting, Mobility Support, Outreach services etc

c.1.a Mobility Support for supervision for district level officers.

Rs.50000/ Year /district level officers.

13.00 13.00

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

Rs. 100000 per year.

c.1.c Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

Rs. 5 beneficiaries

55.00 55.00

c.1.d Support for Quarterly State level review meetings of district officer

3.60 3.60

c.1.e

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

3.10 3.10

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

123.00 123.00

c.1.g

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

100.80 100.80

c.1.h Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

738.00 738.00

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

Rs. 100 per session

96.00 96.00

c.1.j Alternative Vaccine Delivery in other areas

Rs. 50 per session

144.00 144.00

c.1.k To develop micro plan at sub-centre level

@ Rs 100/- per sub centre

6.42 6.42

c.1.l For consolidation of micro plans at block level

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


c.1.m POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs100,000/ district/year

24.00 24.00

c.1.n Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

2.15 1.15

c.1.o Red/Black plastic bags etc. Rs. 2/bags/session

28.80 28.80

c.1.p Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket

Rs. 900 per PHC/CHC per year

1.17 1.17

0.93 0.93

c.1.q Safety Pits 4.46 4.46

c.1.r State specific requirement 186.99

25.00

C.1-Sub Total 1531.43 1368.44

C.2 Salary of Contractual Staffs -Sub Total

c.2.a Computer Assistants support for State level

Rs.12000-15000 per person per month

1.80

1.80

c.2.b Computer Assistants support for District level

8000-10000 per person per month

28.80

28.80

C.2-Sub Total 30.60

30.60

C.3 Training 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)

114.63 114.63

c.3.b

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

73.62 73.62

c.3.c One day refresher training of district Computer assistants

-

-


on RIMS/HIMS and immunization formats

c.3.d

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

17.77 17.77

c.3.e One day training of block level data handlers by DIOs and District cold chain officer

14.67 14.67

C.3-Sub Total 220.70 220.70

C.4 Cold chain maintenance

Rs.500/PHC/CHCs per year District Rs.10000/year

7.37 3.37

C5 ASHA Incentives

C6 PPI Operation Cost

753.57

TOTAL 1790.08 2376.66


Annexure-IV

Consolidated Approval under NIDDCP for FY 2011-12

(Rs. in Lacs)

FMR Code

Activity



Amount Proposed

Amount Approved


D.1

Establishment of IDD Control cell

10.00 10.00

D.1.a. Technical Officer

D.1.b. Statistical Officer

D.1.c. LDC Typist

D.2

Establishment of IDD Monitoring Lab

5.00 5.00

D.2.a. Lab Technician

D.2.b. Lab Assistant

D.3

IEC/BCC Health Education & Publicity

7.00 7.00

D.4

IDD Surveys/Re Surveys

2.00 2.00

D.5.

Supply of Salt Testing Kit (form of kind grant)

Total 24 24


Consolidated Approval under IDSP for FY 2011-12

(Rs. in Lacs)

FMR Code

Activity



Amount Proposed

Amount Approved

Remarks/Conditionalities

E IDSP

E.1 Operational Cost

1.2 Lab Consumables

Rs. 2 lakh per district priority lab

2.00 2.00

1.1 Mobility Support Rs 15,000/- per district per month

72.00 41.4

1.3 Review Meetings

1.4 Field Visits

1.5 Formats and Reports

E.2 Human Resources

2.1 Remuneration of Epidemiologists

35,000 23 96.60 75.60

The State has to recruit the vacant contractual positions under IDSP; Remuneration has been calculated accordingly

2.2 Remuneration of Microbiologists

38,000 2 13.68 4.56

2.3 Remuneration of Entomologists

25,000 1 4.20 3.00

E.3 Consultant-Finance 14,000 1 3.00 1.68

3.1 Consultant-Training

28,000 1 3.00 3.00

3.2 Data Managers

14,000 (State) 13500 (District)

23 38.64 37.32

3.3 Data Entry Operators

8,500 23 23.46 23.46

3.4 Others 44.1 0.00


FMR Code

Activity



Amount Proposed

Amount Approved


E.4 Procurements

4.1 Procurement -Equipments

4.2 Procurement -Drugs & Supplies

E.5 Innovations /PPP/NGOs

E.6 IEC-BCC Activities 14.00 0.00

E.7 Financial Aids to Medical Institutions

E.8 Training 49.90 5.00

One day of training of Health workers & one day training of laboratory technician is not permitted under IDSP. One day training for Medical college/hospital doctors should be conducted and restricted for faculties of medicine pediatrics and microbiology

TOTAL 364.58 197.02


Consolidated Approval under National Vector Borne Disease Control Program

(Rs. in Lacs) FMR Code

Activity Unit Cost

where ever

applicable

Physical target/Deliverabl

es

Amount Propose

d

Amount Approv

ed


F.1 DBS (Domestic Budgetary Support)

F.1.1 Malaria

F.1.1.a MPW 1590.00 1500.00

F.1.1.b

ASHA Honorarium

67.90 90.00 State needs to strengthen

surveillance and the

amount may also be used for detection

and treatment of kala-azar

cases

F.1.1.c Operational Cost

61.00 0.00 To be met from state resources

F.1.1.d

Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

20.00 48.00 Excess may be utilised for

more training and involving

PPP/NGO

F.1.1.e IEC/BCC 30.00 51.00

F.1.1.f PPP / NGO activities

50.00 0.00

F.1.1.g

Training / Capacity Building

12.40 30.00

F.1.2 Dengue & Chikungunya

F.1.2.a Strengthening surveillance (As per GOI approval)

F.1.2. Apex Referral 1 3.00 0.00


FMR Code

Activity Unit Cost

where ever

applicable


es

Amount Propose

d

Amount Approv

ed


b Labs recurrent

F.1.2.c Sentinel surveillance Hospital recurrent

4

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

2.00 3.00

F.1.2.f Epidemic Preparedness

1.25 6.00

F.1.2.g

IEC/BCC/Social Mobilization

1.50

F.1.2.h

Training/Workshop

1.20 2.00

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

0.00 0.00

F.1.3.b

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

0.50

F.1.3.c Training specific for J.E. prevention and management

0.60


FMR Code

Activity Unit Cost

where ever

applicable


es

Amount Propose

d

Amount Approv

ed


F.1.3.d

Monitoring and supervision

0.50

F.1.3.e

Procurement of insecticides (Technical Malathion)

0.00

Hiring of Storage at District

5000

24

storage sites

14.40 14.40

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

81.06 80.00

F.1.4.b

Microfilaria survey

11.28 7.12

F.1.4.c

Post MDA assessment by medical colleges (Govt. & private)/ ICMR institutions.

1.53 1.35


FMR Code

Activity Unit Cost

where ever

applicable


es

Amount Propose

d

Amount Approv

ed


F.1.4.d.

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

23.40 18.00

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

44.60 42.00

F.1.4.f

Honorarium to drug distributors including ASHA and supervisors involved in MDA

159.68 151.53

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, Gujarat, Karnataka & Maharashtra)

F.2.1. Human Resource

250.34 296.00


FMR Code

Activity Unit Cost

where ever

applicable


es

Amount Propose

d

Amount Approv

ed


b.

F.2.1.c Training /Capacity building

34.08

F.2.2.d

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

136.60

F.3 GFATM Project 0.00

Project Management Unit including human resource of N.E. states and erstwhile GFATM states viz., Jharkhand, Orissa and West Bengal

444.00

Kala-azar World Bank assisted Project

F.3.a Human Resource

58.54

F.3.b Training Cost 6.00

F.3.c Plannint & Administration

F.3.d Monitoring & Administration (Mobility)

38.00

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)


FMR Code

Activity Unit Cost

where ever

applicable


es

Amount Propose

d

Amount Approv

ed


Case search

3.00

12.00

Lab strenghtening

6.00

Operational cost for spray including spray wages

74.49

Mobility/POL

0.00

Monitoring & Evaluation

4.00

Training for spraying

0.00 00.00

BCC/IEC

3.00 3.00

Incentive to patient for loss of wages (3000 cases * 30 days)

50

3000

cases*30 days

45.00 45.00

F.5

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

F.6 Cash grant for decentralized commodities

F.6.a Chloroquine phosphate tablets

36.00

45.00

F.6.b Primaquine tablets 2.5 mg

12.00

F.6.c Primaquine tablets 7.5 mg

2.00

F.6.d Quinine sulphate tablets

4.00

F.6.e Quinine Injections

F.6.f DEC 100 mg tablets

F.6.g Albendazole 400 mg tablets

F.6.h Dengue NS1 antigen kit


FMR Code

Activity Unit Cost

where ever

applicable


es

Amount Propose

d

Amount Approv

ed


F.6.i Temephos, Bti (for polluted & non polluted water)

12.50

F.6.j Pyrethrum extract 2%

55.00

F.6.k. Any Other (Pl. specify)

Total

3342.46 2445.40

Commodity grant

2683.4

Grand Total 3401.86 5128.80


Consolidated Approval under NLEP for FY 2011-12

S. No.

Activity

Unit Cost /Where ever applicable

Physical Targets/Deliverables

Amount proposed

Amount approved


G.1.

Contractual Services

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

12.48 12.48

District - Drivers

SMO 15,000 12 Month 1.8 1.8 The Honorarium of all the contractual staff of a particular level should be equal and as per the program guidelines.

BFO cum AO 15,000 12 Month 1.8 1.8

DEO 4000 12 Month 0.48 0.48

Driver 4,500 12 Month 0.54 0.54

Driver of District 4,500 12 Month 5.94 5.94

Admin. Assistant 4,000 12 Month 0.48 0.48

G.2.

Services through ASHA/USHA

Sensitization of ASHA 5

Improvement of case detection and treatment

15.50

15.50

Honararium to ASHA 10.5

G.3.

Office expenses & Consumables

9.68 9.68

G.4.

Capacity building (Training)

51.54

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

3 days training of


newly appointed health worker & health supervisor

51.54

2 days refresher training of MO

5 days training of newly appointed Lab. Technician

G.5

Behavioral Change Communication (IEC)

41.89

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

41.89

Wall painting,Rallies,Hoardings etc

G.6

POL/Vehicle operation & hiring

20.55 2 vehicles at state level & 1 vehicle

20.55

at district level

G.7.

DPMR

17.70

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

17.70

G.8.

Material & Supplies

12.48 12.48 Supportive drugs, lab. reagents &

equipments and printing forms

G.9. Urban Leprosy Control

3.42 3.42

G.10.

NGO - SET Scheme 5 5

G.11.

Supervision, Monitoring & Review

3.9 3.9


Review meetings and travel expenses

G.12.

Specific-plan for High Endemic

0

Districts 0

G.13 Others (maintenance of Vertical Unit, Training & TA/DA)

13.30 13.30

Total 218.48 218.48


Consolidated Approval under NPCB for FY 2011-12

(Rs. in Lacs)

FMR Code

ACTIVITY

Unit cost (wherever applicable)

Physical target/expected output

Amount Proposed

Amount Approved


H1. Recurring Grant-in aid

H.1.1.

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

Rs.750/- per case

24 DBCS 578.36

383.40

H.1.2. Other Eye Diseases@

Rs.1000/-

h.1.3. School Eye Screening Programme@

Rs.200/- per case

H.1.4 Private Practitioners @as per NGO norms

16.76 0.00

H.1.5.

Remuneration/ salary Management of State Health Society and Distt. Health Society- Remuneration/ salary )

Budget & Finance Officer

15000 1 1.80 1.80 The Honorarium of all the contractual staff of a particular level should be equal and as per the program guidelines.

Administrative Assistant / S.A

7000 1 0.84 0.84

Data Entry Operator/Steno/LDC

8000 1 0.96 0.96

Ophthalmic Assistant Surgeon

4000 10 4.80 4.80

Eye Surgeon 15000 8 14.40 14.40

H.1.5.a. Ophthalmic Surgeon@

Rs.25000/- p.m

12.90

12.60


H.1.5.b. Ophthalmic Assistant @

Rs.8000/- p.m

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 & Contingency)

Rs.14 lakh/ Rs7 lakh

7.00

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

H.1.9. Eye Ball Collection and

Eye Bank @

Rs.1500/- per pair

H.1.10. Eye Ball Collection

Rs.1500/-

H.1.11.

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

H.1.12 Procurement of Ophthalmic Equipment

H.1.13.

POL and Maintenance of Ophthalmic Equipments and Vehicles

State/Distt. 5.00 5.00


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

2 40.00 20.00

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 College

Rs.40 lakh

1 Med. College + 1 RIO

80.00 40.00

H.2.4 For vision Centre Rs.50000/-

10 5.00 5.00

H.2.1. For Eye Bank Rs.15 lakh 3 45.00 15.00

H.2.2. For Eye Donation Centre

Rs.1 lakh

0.00 0.00

H.2.4 For NGOs Rs.30 lakh 2 60.00 30.00

H.2.5 For Eye Ward & Eye OTS

Rs.75 lakh 2 150.00 75.00

H.2.6

For Mobile Ophthalmic Units With Tele Network

Rs.60 lakh

H.3 Training

H.4. ASHA Incentive (if any)

H.5. Others

Total 1015.82 615.80


Consolidated Approval under RNTCP for FY 2011-12

(Rs. in lacs)

FMR Code.

Activity unit cost (wherever applicable)

Physical target/expected output

Amount Proposed

Amount Approved


I.1 Civil works

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1)Civil work

Up gradation

and

maintenance

completed as

planned;

64.947 61.697

One time cost for up

gradation of one SDS, 19

DDS for SLD, 3 new DP

sites, 2 DTCs, 9TUs, 35

DMCs and maintenance

cost of

STC/SDS/STDC/IRL, 22

DTCs,69 TUs and 296

DMCs approved

I.2

Laboratory materials

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) Sputum of

TB Suspects

Examined per

lac population

per quarter;

2) All districts

subjected to

IRL OSE and

Panel Testing

in the year;

3) IRLs

accredited and

functioning

optimally;

45.50 36.40

Approved 80% of the

estimated budget based

on expenditure of last 4

quarters

I.3. Honorar As per 1) All eligible 41.25 40.00 Approved Rs 40.00 lakh


a ium/Counselling Charges

Revised

Norms and

Basis of

Costing for

RNTCP

Community

DOT Providers

are paid

honorarium in

all districts in

the FY

against the estimated

budget based on

expenditure of last 4

quarters

I.3.b

Incentive to Dot Providers

I.4 IEC/ Publicity

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) All

IEC/ACSM

activities

proposed in

PIP completed;

2) Increase in

case detection

and improved

case holding

62.537 15.00

Approved 34% of the

estimated based on


quarters. More may be

sanctioned in accordance

to expenditure pattern

during initial 2 quarters

of FY

I.5

Equipment maintenance

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) Maintenance

of Office

Equipments at

State/Districts

and IRL

equipments

completed as

planned;

2) All BMs are

in functional

condition

19.10

18.00

Approved 75% of the




sanctioned based on

expenditure during

initial 2 quarters of FY

I.6 Training As per

Revised

1) Induction

training, 51.71 32.82

Approved Rs 32.8 (62%)

lakh of the estimated


Norms and

Basis of

Costing for

RNTCP

Update and

Re-training of

all cadre of

staff completed

as planned;

budget based on



sanctioned in accordance

to expenditure pattern

during initial 2 quarters

of FY

I.7 Vehicle maintenance

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) All 4

wheelers and 2

wheelers in the

state are in

running

condition and

maintained;

47.00 36.00

Approved 76% of the



quarters

I.8 Vehicle hiring

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;

16.50 4.25

As utilization under 4

wheelers not mentioned

by the state, Approved

Rs 4.25 lakh of the




sanctioned if expenditure

improves during initial 2

quarters of FY

I.9 NGO/PPP support

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) Increase in

number of

NGOs/PPs

involved in

signed schemes

of RNTCP;

65.06 26.00

Approved 17% of the




sanctioned if expenditure

improves during initial 2


2) Contribution

of NGOs/PPS

in case

detection and

provision of

DOT

quarters of FY

I.10

Miscellaneous

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) All activities

proposed

under

miscellaneous

head in PIP

completed

50.00 33.00

Approved 70% of the

estimated budget in

accordance to

expenditure pattern last

4 quarters

I.11

Contractual services

As per

Revised

Norms and

Basis of

Costing for

RNTCP

Appointment

of contractual

staff

621.144 621.144

I.12

Printing

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) All printing

activities at

state and

district level

completed as

planned

35.00 20.00

Approved 51% of the

estimated budget in

accordance to


4 quarters

I.13

Research and studies

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) Proposed

Research has

been initiated

or completed

in the FY

5.00 5.00

Approved 100% of the

estimated budget in

accordance to


4 quarters

I.1 Medical As per 1) All activities 25.638 9.638 37% of the estimated


4 Colleges Revised

Norms and

Basis of

Costing for

RNTCP

proposed

under Medical

Colleges

budget under Trainings

and CME approved.

I.15

Procurement –vehicles

As per Revised Norms and Basis of Costing for RNTCP

1) Procurement of vehicles

Approved 25 Two wheelers in accordance to revised financial norms

Four wheeler

Two wheeler

12.50 12.50

I.16

Procurement – equipment

As per

Revised

Norms and

Basis of

Costing for

RNTCP

1) Procurement

of equipments 9.60 2.40

Approved 4 Office

Equipment sets in

accordance to revised

financial norms.

I.17

Tribal Action Plan

Total 1172.486 973.85

Total Funds under Additionality Head

49.31 14.33

Rs 4.99 lakh for POL and

maintenance for IRL

generator, Rs 8.14 lakh

for CUG communication

extension, Rs 1.2 lakh for

three laptops , Rs 0.5 lakh

for additional

investigations &

travelling charges for

MDR TB patients

approved

G.Total 988.18


In addition to this, a commodity grant of Rs. ____ lacs has been approved for central level procurement of Anti TB Drugs and Laboratory Equipments for sputum culture & drug sensitivity.

A. Additional Approval under Mission Flexible Pool ( if any)

Sr.

No. Activity

unit cost

(wherever

applicable)

Physical

target/expected

output

Amount

Proposed

Amount

Approved

Remarks/

Conditionalities

1

Uninterrupted

Electric Supply

to IRL-POL

4.99 4.99 Approved

2

Communication

Expenses for

RNTCP Key

Staff with

limited

reimbursement

13.57 8.14

Approval for

contractual STS,

STLS&TBHV.

For others the

communication

facilities have

already been

provisioned

under RNTCP.

Purchase of

mobile handsets

Reimbursement

of call charges,

for which

certain

mechanism

needs to be

defined, only

could be


approved.

3

Remuneration

of additional

contractual

Staffs-Driver

2.16 Not as per

guidelines

4

Contractual

fourth grade

staff

0.89 Not as per

guidelines

5 Procurement of

Laptop 1.20 1.20

6 Procurement of

Bus for STDC 15.00

The state has

been advised to

make it a

exceptional case

with

appropriate

justification.

7

4 wheelers, One

for STCS & One

for STDC

11.00 5.50

For STCs

provision of

vehicle under

RNTCP. For

STDC may be

approved.

8

Additional cost

involving need

based

Pathological

investigations,

consultation &

travelling cost

of specialist for

0.50 0.00


ANNEX -V

MDR-TB

patients

Total 49.31 14.33


List of participants of National Programme Coordination Committee of NRHM to consider the state PIP of Jharkhand. held on 24th March,2011

Sr. No.

Name & Designation Email-ID & Mob.No.

1. Mr. P.K. Pradhan, SS & MD [email protected]

2. Mr. A.M. Prasad,JS, NRHM [email protected]

3. Ms Anuradha Gupta, JS, RCH [email protected]

4. Dr. Sajjan Yadav, Director NRHM [email protected] ,23061656

5. Dr. Suresh K. Mohammed, Director (RCH)

[email protected] ,23061333

6. Dr.P. K. Nayar, DC (Training) [email protected] ,9818972922

7. Dr. Sila Deb, AC (CH) [email protected] , 9868843430

8. Dr. S.N. Sharma, UJoint Director [email protected] ,9810538795

9. Dr. Sushma Dureja ,AC (FP) [email protected] ,9811138931

10. Dr. H. Bhushan, AC(MH) [email protected] ,23062930

11. Dr.Parveen Chandra ,Director (Health) [email protected] ,

12. Rajan Kumar (Jharkhand) [email protected] ,

13. Dr. Syed Imran Farooq (RTAP) farooqs@RNTCP-ORG ,9838768555

14. Dr. Rakesh Dyal ,State TB officer (Jharkhand)

[email protected] 9931100664

15. Dr. Himanshu Bhushan Barwar , State Leprosy officer (Jharkhand)


16. A.T.S.Sinha ,Consultant (Training NVBDCP),JRHMS


17. Arvind Kumar ,Consultant (FMG)NVBDCP, Jharkhand


18. Dr.Pradeep Vheswbis, IDSE,NCDC ,(Delhi)


19. Dr. P. Haldhar AC (Imm) [email protected]

20. Dr. A. K. Prasad Deputy Director [email protected] ,

21. N.S. Rawat ,Programme Manager ,Deptt.of AYUSH New Delhi


22. Dr. Megha Khobragale ,Assistant Director (IDSP)


23. S.Vevek ,ADHISH Proffesior(NIHFW) [email protected] ,9868740629

24. Dr. Niraj Kulshrestra ,CMO (SAC) TB [email protected] ,011-23061107

25. Dr.Sengupta M. Consultant (TB) CTD msengupta

26. Mona Gupta TMSA,MSG Strategic Consulting


mailto:[email protected]



















27. Dr. Shahab Ali Siddiqui Consultant NRHM

09650318464 [email protected]

28. Dr. Dinesh Jagtap NHSRC [email protected] ,9958988299

29. Dr.Pradeep Tandan Consultant (NRHM-)


30. Rakesh Kumar,PIP Coordinator, Consultant (RCH)


31. Sukhvinder Kaur ,Stats Division [email protected] ,9868250071

32. Sanjeev Gupta, Finance Controller sanjivbcegmail.com, 9871924655




Documents

F. No Government of India Ministry of Health & Family ...jrhms.jharkhand.gov.in/ROP/Jharkhand_Draft_Administrative_Approval... · outputs stated in the Record of Proceeding (RoP)