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FOREWORD - National Health Mission Odisha. Jharsuguda.… · implementation. In line with State Nodal Officer, district should also designate a nodal officer for each block for supportive

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  • FOREWORD

    The State Programme Implementation Plan of NRHM for the year 2012-2013, seeks to intensify the State mandate on ensuring quality health care services at public health facilities in rural areas with special focus on comprehensive RCH services.

    During the current year, special focus has been given for all round improvement of 700 Health Institutions at all levels and to saturate all its requirement in terms of civil infrastructure, equipments/ instruments, human resources, and capacity building to provide comprehensive RCH services , which will be made available as per the assured service package mandated for different level of institutions.

    For successful implementation of all programmes / activities, special focus should be given on institutional strengthening including facility based output monitoring, extensive field monitoring and supportive supervision, implementation of CPSMS & all web based MIS. The fixed day review meetings at all levels as per PIP 2012-2013, should be organised to review all the programmes and to prepare action plan with specific timelines so as to address all gaps in programme implementation. In line with State Nodal Officer, district should also designate a nodal officer for each block for supportive supervision and to provide handholding support to the field functionaries to address all gaps and bottlenecks at the field level.

    Further, rational posting and re deployment of human resource in all delivery points including capacity building should be given top priority in order to ensure availability of health care services in public health facilities.

    Availability of free and quality drugs for all categories of patients in public health facilities is to be taken seriously, for proper utilization of substantial funds allocated under State budget in addition to NRHM funds. It can be ensured through timely procurement of drugs and proper supply chain management, rational prescription of drugs and prescription audit. The advantage of RSBY, State Treatment Fund including JSSK, should be mobilised efficiently to provide all types of services on free of cost to the patients attending public health facilities. All should take sincere

    h facilities.

    There are some critical and high budget activities like civil construction, expansion of JSSK services from 382 to in 700 delivery points, establishments of 44 NRCs, strengthening of ASHAs & GKSs, which requires constant review and monitoring for achieving the desired outputs.

    Moreover, there has been an increase of 32% in the overall budget during the current year

    expenditure has to be made in order to achieve 100% expenditure of the current year . Therefore, it is a huge challenge for all of us.

    It is to emphasise that State will loose huge amount of funds in the next financial year due to non compliance of conditionalities like JSSK implementation, rational & equitable deployment of HR, facility wise performance audit & corrective action, successful implementation of MCTS, inter-sectoral convergence, transparency & accountability in public expenditure and recording of vital events and service delivery targets that have been fixed by Govt. of India.

    Therefore, may I appeal to everybody to gear up the implementation of PIP, as per the strategies and guidelines reflected in it and to be communicated from time to time.

    Shri P.K Mohapatra, IAS Commissioner-cum-Secretary to Govt.

    Health & Family Welfare Deptt. Govt. of Odisha

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    Letter No: 11103 Date: 07/08/2012 File No : 784/ 11 To

    The CDMO-cum- District Mission Director Jharsuguda

    Sub: Approved resource allocation for the district under NRHM PIP, 2012-13

    Sir/Madam,

    The resource envelope for the district of Jharsuguda for the year 2012-13 is Rs.1,857.54 Lakh. The Details of component wise break up are as follows.

    RCH -Rs. 435.96 Lakh

    Immunization -Rs. 31.34 Lakh

    IPPI -To be released separately depending on the round NRHM Initiatives -Rs.1,311.18 Lakh

    NVBDCP -Rs.32.42 Lakh

    NPCB -Rs.8.14 Lakh

    NLEP -Rs.4.06 Lakh

    RNTCP -Rs.26.88 Lakh

    IDSP -Rs.7.57 Lakh

    Drugs & other essentials - in kind

    The above approval is subject to the following mandatory requirements. Please

    note that non-compliance to any of the following requirement may entail audit objections & may result in withholding of grant to the district.

    1. The implementation of District PIP shall be the responsibility of the Zilla Swasthya

    Samittee. Therefore, the ZSS executive committee should hold its meeting within a

    fortnight and approve the PIP. However, the ongoing activities may continue till the

    ZSS meeting is held.

    MMiissss iioonn DDiirreeccttoorraattee National Rural Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    2. The districts shall finalize the Block financial envelop in line with the District plan by

    31st Aug 2012 for undertaking approved activities & disseminate the same to the

    sub-district level personnel.

    3. The activities which could not be taken up during any quarter due to any reason

    can be shifted to next quarter but not to the next financial year. All care should be

    taken to implement the activities as per the given time line which ensures

    completion of the same within the financial year. However, in cases where activities

    are initiated but not completed for any valid reasons and due to which funds could

    not be released, the amount payable in such cases shall be treated as committed

    expenditure for the next financial year.

    4. All the files must be routed at district and sub-district level as per the guideline

    provided vide letter No. 5990, dt.31.05.2011 along with district PIP 2011-12. The

    files should not be routed through any person not coming under the perview of this

    guideline.

    A. Key Conditionality & Incentives:

    A.1. Conditionality: a) Rational and equitable deployment of HR with the highest priority accorded to

    delivery points as mentioned below.

    i. DP of L3 Facilities (operational / proposed): SN / ANM 9 (up to 100 deliveries per month). Over & above 9, 4 ANM/SN for every 100

    additional deliveries per month).

    ii. DP of L2 Facilities: SN / ANM 4 (up to 100 deliveries per month, additional 4 ANM/SN for every 100 additional deliveries per month).

    iii. Other DPs: 2 SN / ANM

    b) Facility wise performance audit and corrective action based thereon. Separate

    checklist will be provided for this activity.

    Non-compliance with either of the above conditionality may translate into a

    reduction in outlay up to 7 ½% and non-compliance with both translating into a

    reduction of up to 15%.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    c) Gaps in implementation of JSSK may lead to a reduction in outlay up to 10%.

    Beneficiary tracking through phone calls is being carried out at GoI and State

    level. Districts should also use the call centre to track at least 2% of the JSSK

    beneficiaries and validate the free services rendered.

    d) Continued support for 2nd ANM under NRHM would be contingent on

    improvement on ANC coverage and immunization as reflected in MCTS.

    e) Vaccines, logistics and other operational costs would also be calculated on

    the basis of MCTS data.

    A2. Incentives Initiatives in the following areas would draw additional allocations by way of

    incentivisation of performance:

    a) Responsiveness, transparency and accountability (up to 8% of the outlay). This

    may be ensured through implementation of following tools.

    i. Central Plan Scheme Monitoring System (CPSMS) as per the timeline.

    ii. Mandatory disclosures on the following to be hosted on the website and

    updated on quarterly basis.

    Facility wise deployment of all contractual staff engaged under NRHM

    with name and designation.

    Type of vehicle, registration numbers, operating agency, monthly

    schedule and contract period of each MHUs.

    Types of vehicle, registration number, operating agency and contract

    period for each Ambulance, Janani Express, PMU vehicles.

    Beneficiary wise data base (name, address and contact number) for JSY,

    Sterilization & Cataract operation.

    Buildings under construction/renovation - total number, name of the

    facility/hospital along with costs, executing agency and execution charges

    (if any), date of start & expected date of completion.

    Besides above, all the documents and records relating to procurements

    (goods and services) and implementation of programmes have to be made

    available for public information.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    b) Quality assurance (up to 3% of the outlay). District Quality Assurance

    Committee must be formed and ensure quality of service delivery through

    regular monitoring.

    c) Inter-sectoral convergence as mentioned below (up to 3% of the outlay).

    Platforms of inter- sectoral

    convergence

    Frequency of Meetings

    Nos. Planned

    Nos held

    % of Achievement

    GKS Once in a month

    Expected 80% + achievement for incentive RKS EC- Once in a

    month GB- Quarterly

    ZSS (DHS) EC- Quarterly GB- Half yearly

    District level Vigilance Mon.Com.

    Quarterly once

    District Health Mission

    Half yearly

    d) Recording of vital events including strengthening of civil registration of births

    and deaths (up to 2% of the outlay).

    B. Financial

    B.1. All expenditure under this sanction should be incurred with reference to the

    financial & programme guidelines prescribed by the Govt, of India/Govt. of

    Odisha/Mission Directorate. A certificate to this effect should accompany the UC

    in due course.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    B.2. The District shall not make any change in allocation amongst different components/ activities without approval of Mission Director, NRHM.

    The District shall ensure the implementation of revised delegation of administrative and financial powers during the current financial year.

    B.4. Delegation of financial Powers under OSH&FW Society in absence of regular DDOs at District & Sub-district level to avoid any interruption in taking up the approved activities under NRHM shall be adopted as per following

    norms:

    Collector & DM shall accord financial powers at district level

    CDMO concerned will accord financial powers for officers at Sub-district

    level

    It would be a temporary arrangement till regular position is filled up by the

    Govt. or financial powers are formally issued by Govt. in favour of the

    person in-charge.

    It shall only be delegated to the person in charge of that position

    In absence of regular CDMO-cum-District Mission Director, the Collector &

    District Magistrate may accord approval for sub-district level DDO

    positions.

    B.5. For all the approved activities under RCH-II, funds will be released to the district in the form of flexi-pool & similar for the case NRHM initiatives & Immunisation Programme.

    B.6. Funds under Disease Control Programmes (NVBDCP, GFATM, NLEP, NPCB, RNTCP, IDSP) will be released separately as per the requisition of the concerned division & the same are to be spent in accordance to the approved

    PIP.

    B.7. For some of the NDCPs, there are different sources of funds. For example,

    there is provision for NVBDCP, NPCB etc. under NRHM Additionalty. A portion of these funds are spent at district level and the balance is released to

    the blocks for utilization at their level. For ensuring proper financial

    management of such funds, the funds meant for district level should be

    released to the concerned Programme Officers with instruction to

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    maintain separate books of accounts against this fund. Funds to be spent at block level have to be released to them against the programme under which the activity has been approved.

    B.8 Funds available under flexi-pool during the current year including the uncommitted unspent balance of the previous year has to be first allocated

    to different activities as per the approved PIP and the same has to be

    placed before FMG for approval.

    B.9. Any committed unspent balance against the year 2011-12 has to be spent within the 2nd qtr. of 2012-13.

    B.10. The district must ensure quarterly release of funds to sub-district level activity-

    wise, not in flexi-pool under each programme. A forwarding letter must follow all releases along with activity-wise fund distribution statement under each programme separately. Sub-district level institutions should also be

    instructed to follow this procedure for all releases to the institutions below their

    level.

    B.11. Release of funds for a particular quarter depends on the submission of FMR (both physical & financial) in the prescribed format in time till the previous

    month. The FMR must also be accompanied by Statement of Fund Position

    (SFP) and Bank Reconciliation Statement (BRS).

    B.12. The district has to ensure that the personal advances given for different activities at either district / sub-district level are settled within 15 days of completion of the activity. In case of non-settlement, the advancee should be

    issued a notice for settlement of the advance in next seven days. However, if

    the same is not settled within the stipulated time, the advance should be

    recovered from his/her salary. The guideline provided in this regard under the signature of MD, NRHM & DHS, Odisha must be strictly followed.

    B.13. The appointment of con-current auditor for the year 2011-12 should be completed and the audit should take place as per the guideline.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    B.14. No due certificate / clearance from concerned programme management units must be insisted at the time of handing over the charges / relieve from the post held by Govt. officers on account of retirement / transfer as directed by Govt.

    vide resolution No. 14434, dt,11.06.12.

    B.15. Certificates relating to Financial & Programme management have to be submitted every year by the end of first quarter.

    B.16. Compliance to the observations of auditor of any audit (con-current / statutory / C&AG) must be furnished within 10 days with a copy to the Mission Directorate.

    B.17. Guideline for utilization against demand driven & Non-demand driven activities:

    Funds required for demand driven activities like JSY, Sterilization, JSSK, VHND,

    Pustikar Diwas, Sector level meeting of ASHAs etc. has to be released as per the

    actual requirement irrespective of the allotment in PIP. However, the unit cost of

    each activity has to be as per approved budget.

    Additional expenditure on demand driven activities, if any, does not deprive a

    district from taking up other approved activities due to want of funds.

    In case the expenditure against the demand driven activities exceeds the

    approved budget, the MD, NRHM should be requested to release more funds for

    the same.

    However, the district should procure the JSSK drugs as per the allocation in the

    PIP as the balance requirement would be procured and supplied by SDMU.

    Non-demand driven activities must be taken up as per approved PIP.

    In PIP 2012-13, the approved budget against some activities is less than 100%.

    BPMU is 54% based on previous performances. In such cases, the districts can

    spend as per actual but based on the approved unit cost and physical targets.

    B.18. Items like engagement of new manpower, operationalisation of MHUs, NRCs, NBCs, NBSUs, SNCUs, Maternity Waiting Homes, VGP& PHC(N) management

    initiatives, all procurement (Kind & services) & civil works, even if proposed in

    later part of the year in the PIP, may be taken up from 1st qr. onwards & related

    expenditure shall be booked under same head.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    B.19. The accounts of the grantee institution/organization shall be open to inspection by the sanctioning authority, internal as well as statutory auditors and by the

    Comptroller & Audit General of India under the provisions of CAG (DPC) Act,

    1971.

    C. Programme Management and Human Resource

    C1. All posts under NRHM shall be on contract basis and for a term of 11

    months only.

    C2. Clinical manpower sanctioned under RCH-II would be engaged exclusively at

    Delivery Points. Deployment of these clinical manpower made to non DPs, if

    any, may be re- Irrational deployment would render the expenditure ineligible under NRHM.

    C3. In case the appointment of manpower has been done in ahead of the targeted quarter, then the additional funds required for the same can be met from the

    concerned line item. However, the district should ensure that a person

    appointed must not remain idle more than a month.

    C4. The district wise detailed breakup of sanctioned SN/ ANM position is at annexure- 6(RCH). It is noted that sanctioned position of ANM is less in most of

    the districts then ANM in-position. In such case/s, surplus ANM in position can

    be continued. But, if vacancies arise anytime during this financial year, the said

    position/s should not be filled up till manpower in position is less than

    sanctioned nos. However, the expenditure incurred on the same head shall be

    booked under the same line item.

    The vacancy/ies (if exists for both the positions) shall be filled up at the

    earliest possible. If district after repeated advertisement (Minimum 2 times) is

    unable to fill up vacant position/s of SN, they should submit proposal to MD,

    NRHM for change in category of paramedics.

    C5. Performance Incentive to Clinical manpower must be provided as per mandate (Annexure-A)

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    C6. Performance Incentive to PMU staff shall be paid on quarterly basis on a fixed day (preferably by 25th of succeeding month of each quarter) as per

    composite index maximum up to 20 % of base salary.

    Amount of PI will be decided as per achievement against the assignment given on quarterly basis.

    Achievement (in %) as per composite Index

    Performance Incentive (%)

    Grade

    >= 80 100 Outstanding 70-80 75 Very Good 60-70 65 Good 50-60 55 Average

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    D. Infrastructure

    D1. In all new constructions, care should be taken to ensure that the locations of these facilities are such that beneficiaries can access them easily. They should preferably be located in the habitation as decided by GKS and definitely not in outskirts of villages or in unhygienic environment under any circumstances.

    D2. Any shift in the approved new proposals for DPs is not permissible. However, in case of NRC, location may be changed with the approval of CDMO. Further, the place of NBSU & BSU may be changed within the DPs of L3 facilities.

    D3. Reallocation of funds for new proposals within DPs is permissible provided the CDMO has to certify that all the gaps in the said DP has been fulfilled in all respects and no further funds are required for new construction. Similarly, any pending activities of 2011-12 relating to infrastructure of DPs can be reallocated among DPs only.

    D4. The principles mentioned at C2 & C3 also applies to procurement of equipment/instruments for DPs.

    D5. All the equipments are to be procured through competitive bidding as per the specification provided by the State. Any additional funds required following the said process may be met out of the concerned line item.

    D6. All buildings/Vehicles supported under NRHM should prominenetly carry NRHM logo in English & Odiya.

    Any deviation from the above conditionality would be treated as ineligible expenditure under NRHM.

    D7. The district shall strengthen implementation arrangement to monitor all civil works being undertaken, on a monthly basis, to ensure quality of work and completion as per schedule. The district should also ensure up-dation of data in CMS on monthly basis.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    E. Communitization

    E1. The District shall ensure timely performance based payments to ASHAs on every month

    E2. District will ensure organizing block and district level ASHA Diwas on monthly and quarterly basis respectively for grievance redressal of ASHAs.

    E3. Strengthen monthly sector meeting of ASHAs by ensuring designated nodal officers for each sector

    E4. Ensure fixed day meeting of GKS on Gaon Swathya Diwas.

    E5. Ensure monthly SOE submission by the GKS

    E6. The District shall ensure that RKS meets as frequently as possible and mandatorily at least once in every month to review proper utilization of

    allocated funds for achievement of goals. The proceedings of such meetings

    should be maintained for scrutiny.

    E7. The district must ensure release of funds to the RKS of a facility after registration and opening of its bank account.

    F. Other Programmes

    F.1 Mobile Health Units must not to be located at district Hqr. & in no circumstances, visit to villages within the radius of 2 KMs from any functional

    health institutions(except SCs). Irrational deployment of MHU would render the expenditure ineligible under NRHM.

    PPP Initiatives:

    1. Adhere to revised norm on NGO contribution for PHC-N management projects i.e. 5% for institutions in difficult & most difficult blocks and 10% for other blocks.

    2. Ensure bank guarantee for all PPP projects except PHC (N) management Projects i.e. 2% of released amount in difficult & most difficult blocks and 5% in other blocks.

    3. Ensure timely release of grant to the partner NGOs as per the following norms:

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    Frequency of fund release Amount of release Conditions

    1st year

    1st installment 50% of total project cost (annual estimates)

    To be released within 7 days of MoU signing and submission of bank guarantee, wherever applicable.

    2nd installment Rest 50% Within 7 days soon after receipt of the utilization of 75% of 1st installment.

    4. It is the discretion of the district to decide whether to take up VG / MHU project

    through the Deptt. or on PPP mode. Final decision with this regard has to be

    taken with the approval of Collector-cum-Chairman, EC,ZSS.

    G. Training

    1. All training on RCH must be linked with functionalization of delivery points.

    2. Name based training micro plan to be prepared to cover the required

    functionaries at delivery points.

    3. Selected MBBS doctors (Asst. Surgeons) must be deputed for EMOC/LSAS

    training & must be relieved as per GoO orders at the earliest to operationalize

    L3 DPs.

    4. Performance of each trained staff must be maintained and monitored.

    H. Monitoring

    I.1. The field visit report is essential for settlement of TA/DA. The expenditure in this

    head without record of evidence would render ineligible under NRHM. The next year allocation under M&E will depend on percentage of expenditure in the

    same head in the current financial year.

    I. 2. Nodal person for each block should be designated for regular supportive

    supervision and monitoring.

    I.3. Frequent visit to poor performing blocks and facilities especially in hard to reach

    areas must be done.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    I. The expenditure on the following items is disallowed

    1. Creation of departmental / district level posts & resultant payment of salaries.

    2. Purchase of new vehicle 3. Expenditure on accounts of activities sanctioned under the State budget. 4. Any activity not approved in the PIP for this year.

    J. In case the ZSS plans to undertake any new initiative / proposal or to scale up the approved activities, then the district shall have to submit the same to the Mission Directorate, NRHM, Odisha for approval.

    Yours faithfully

    Mission Director, NRHM &

    Ex- Officio, Addl. Secy. to Govt. Memo No: 11104 Date:07/08/2012

    Copy submitted to Commissioner-cum-Secretary Health & Family Welfare Department Bhubaneswar for favour of kind information.

    Mission Director, NRHM &

    Ex- Officio, Addl. Secy. to Govt. Memo No: 11105 Date:07/08/2012

    Copy forwarded to the Director of Health Services (O)/ Director Family Welfare (O)/ Director, SIH&FW/Director, (PH)/ DMET & Director, ISM&H Bhubaneswar for information and necessary action.

    Mission Director, NRHM &

    Ex- Officio, Addl. Secy. to Govt. Memo No: 11106 Date:07/08/2012

    Copy forwarded to the Collector, Jharsuguda for information and necessary action.

    Mission Director, NRHM &

    Ex- Officio, Addl. Secy. to Govt. Memo No: 11107 Date:07/08/2012

    Copy forwarded to the DPMU for information and necessary action. They are also

    requested to download the document from the website & circulate the same to all concern.

    Mission Director, NRHM &

    Ex- Officio, Addl. Secy. to Govt.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    Deliverables for Performance Incentives / Allowances to Clinical Staff

    (Annexure- A)

    Category of Staff

    Deliverables

    AYUSH Doctor engaged at Health Institutions AYUSH Doctor

    S/he will be eligible to get PI (Rs.3000/- PM), if fulfills following conditionality; 1. Must have performed minimum five monitoring visit in a month 2. Must have OPD patient load average 10 per day 3. Must have managed OPD twice in a day (Morning + Evening) , except field

    work days 4. Payment will be made on the basis of self certification on qualifying all the

    above conditions, dully approved by Member Secretary, Executive Committee, RKS.

    Incentive shall be paid if one avails CL or goes for on job training or any other official duty. It is not applicable, if one proceeds on maternity leave or EL for more than 10 days.

    Clinical Manpower engaged at Delivery Points Addl. ANM

    She will be eligible to get PI (Rs.2000/- PM), if fulfills following conditionality; 1. If posted in Delivery point/as second ANMs in Sub-center with higher

    population (more than 3000 in tribal areas and 5000 in coastal districts 2. Must have performed/ assisted in delivery (at least one per month), if posted

    at DP. 3. Must have organised 100% immunization and VHND sessions, if posted at

    Sub-center with higher population 4. Must have organized minimum 3clinics (for minor ailment treatment)in a week

    in any village/s of her SC area. 5. Payment will be made based on self certification on qualifying all the above

    conditions, recommended by GKS for sub-center, dully approved by Member Secretary, Executive Committee, RKS in case of other Delivery Point .

    Incentive shall be paid if one avails CL or goes for on job training or any other officials duty. it is not applicable, if one proceeds on maternity leave or EL for more than 10 days.

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    Staff Nurse

    She will be eligible to get PI (Rs.2500/- PM) & DP allowance(For HFD @ Rs.3000/- PM & for non HFD @ Rs.800/- PM), if fulfills following conditionality; 1. Posted in Delivery Point 2. Must have performed/ assisted in delivery (at least one per month), 3. Performing assigned duty/ies satisfactorily as assigned to her 4. Payment will be made based on satisfactory report by MO I/C, dully approved by Member Secretary, Executive Committee, RKS. Incentive shall be paid if one avails CL or goes for onjob training or any other officials duty. it is not applicable, if one proceeds on maternity leave or EL for more than 10 days.

    LT S/he will be eligible to get PI (Rs.3300/- PM), if fulfills following conditionality; 1. Multi-skilled performance conducting tests under different

    programme like RNTCP/ Malaria/ General path. 2. Payment will be made based on self certification on qualifying all the

    above conditions, countersigned by MO I/C, dully approved by Member Secretary, Executive Committee, RKS.

    Incentive shall be paid if one avails CL or goes for on job training or any other official duty. It is not applicable , if one proceeds on maternity leave or EL for more than 10 days.

    Pharmacist

    S/he will be eligible to get PI (Rs.3300/- PM), if fulfills following conditionality;

    1. Assigned additional responsibility of logistc supply chain management

    system. 2. Payment will be made based on self certification on qualifying all the

    above conditions, countersigned by MO I/C, dully approved by Member Secretary, Executive Committee, RKS.

    Incentive shall be paid if one avails CL or goes for on job training or any other officials duty. it is not applicable, if one proceeds on maternity leave or EL for more than 10 days.

    Allowances for SNCU Staff Doctor (including I/C)& Paramedics

    S/he will be eligible to get allowances (Rs.3000/- for paramedics & Rs.6000/- for Doctors PM) on qualifying following conditionality;

    For staff exclusively engaged at SNCU 1 2. Follow 3. IMEP & FBNC guideline to be practiced. 4. Reporting on/ before 10th of every month to the state 5. Free health services as per JSSK guideline to be followed.

    For part-time doctors Doctors carrying out min. 2 rounds on regular basis & attending cases on call will be eligible to get 50% of the total allowances PM(SNCU I/c to certify)

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    Allowances to Paramedics serving at V3/ V4 Institutions All Paramedics (regular + Contractual staff)

    Scope: Service providers in V3 and V4 facilities will be awarded with incentives under this scheme. An incentive amount for Rs 1000 /-and Rs 2000/- PM will be given to V3 and V4 facilities respectively. Eligibility Criteria : The following conditions will be admissible for incentives of paramedics for all categories : 1. Resides at head quarters of selected V3/V4 facilities 2. For Sub Centres that do not have its own building but HW (F) who reside

    at any of its targeted village are also eligible to get the incentive 3. Incentive can also be provided if one avails CL or goes for on job training or

    any other official duty.

    It is not applicable, if one proceeds for on maternity leave or El for more than 10 days. Payment Modalities : Following documents have to be provided by the eligible Service providers for getting the incentive: Head Quarter staying certificate: 1. Signed by self 2. For SC, Sector MO/ for other institutions, Member Secretary, RKS to certify

    Performance Incentives to MHU Staff MO & Pharmacist of MHU

    Sl. No.

    Deliverable Weightage Means of Verification

    Certification Authority

    1. Field work days (minimum 22 days) No CL/ EL to be counted while calculating field work days.

    88 marks (for 100% attendance)

    Work Certificate

    MO I/c of Block CHC

    2. Impression of MO I/c of Block PHC/ CHC Parameters;

    Professional Skill/ Knowledge of staff

    Completeness & Timely reporting

    12 marks (6+6)

    Impression of MO (I/c) on work certificate

    MO I/c of Block CHC

    Total 100 marks

  • SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in

    Addl. ANM of MHU

    Sl. No.

    Deliverable Weightage Means of Verification

    Certification Authority

    1. Field work days (minimum 22 days). No CL/ EL to be counted while calculating field work days.

    88 marks (for 100% attendance)

    Work Certificate

    MO I/c of Block CHC

    2. Impression of MO I/c of Block PHC/ CHC Parameters;

    Professional comment

    Professional Skill/ Knowledge of staff

    12 marks (6+6)

    Impression of MHU MO on work certificate

    MO I/c of Block CHC

    Total 100 marks

  • Amount in lakhs

    Sl. No. Programme Budget

    A RCHA1 Maternal Health 79.04 A2 Child Health 20.26 A3 Family Planning 1.55 A4 Adolescent Health and Gender 10.83 A5 Urban RCH 13.63 A6 Tribal Health - A7 PNDT & Sex ratio - A8 Infrastructure and Human Resource 66.69 A9 Training 17.44

    A10 Programme Management 72.24 A11 Vulnerable Groups 1.65

    Total RCH Flexible Pool 283.33 A12 JSY 129.84 A13 NSV Camps - A14 Compensation for female Sterilisation 19.08 A15 NSV Acceptance 3.13 A16 IUD Compensation 0.58

    Total RCH 435.97 B NRHM InitiativeB1 ASHA 59.79 B2 Untied Fund 29.96 B3 Annual Maintenance Grant 9.81 B4 Hospital Strengthening (Infrastructure ) 1,031.92 B5 New Construction / Rennovation & Setting up 60.50 B6 Corpus Grants to HMS/RKS 27.85 B7 District Action Plan 0.25 B8 Panchayati Raj InitiativesB9 Mainstreaming of AYUSH 23.33

    B10 IEC/BCC NRHM 9.50 B11 Mobile Medical Unit (including recurring expenditure)B12 Referral Transport - B13 PPP/NGOs - B14 Innovations (if any) 13.73 B15 Planning, Implementation & Monitoring 16.70 B16 Procurements 11.68 B17 Regional drugs warehouse 5.08 B18 New Initiatives/ Strategic Interventions 1.53 B19 Health Insurance Schemes - B20 Research, Studies, AnalysisB21 State level Health Resource Center - B22 Support Services 9.54 B23 Other expenditure -

    Total NRHM Initiative 1,311.18 C Immunisation & IPPI

    C1 Immunisation 31.34 C2 IPPI

    Total Immunisation 31.34 D Disease Control Programme 1 National TB Control Programme (RNTCP) 26.88 2 National Leprosy Eradication Programme (NLEP) 4.06 3 National Disease Surveillance Programme (IDSP) 7.57 4 National Programme for Control of Blindness (NPCB) 8.14 5 National Vector Borne Disease Control Programme (NVBDCP) 32.42

    Total Disease Control Programme 79.07 1,857.55

    Summery Budget under NRHM for the year 2012-13

    GRAND TOTAL

  • CONTENTS

    Sl. No. Component Page

    PART A - (RCH II) 1. RCH - II 1-68

    PART B - (NRHM Initiatives)

    2. NRHM Initiatives 69-141

    PART- C - (Immunisation)

    3. Immunisation 142-144

    PART- D - (NDCP)

    4. RNTCP 145

    5. NLEP 146-147

    6. Integrated Disease Surveillance Project 148-150

    7. NPCB 151-152

    8. NVBDCP 153-186

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