Ministry of Health & Family Welfare, Government of Indiatripuranrhm.gov.in/home/ROPTRIPURA2013-14.pdf · NATIONAL DISEASE CONTROL PROGRAMMES National Iodine Deficiency Disorders Control

2013

Ministry of Health & Family

Welfare, Government of India

APPROVAL OF STATE PROGRAMME

IMPLEMENTATION PLAN 2013-14: TRIPURA

Preface

FY 2012-13 has been a year of intense activity: States have responded very positively to

conditionalities and incentives, programme management has been strengthened with the

appointment of nodal persons for each thematic areas and introduction of Score Cards, JSSK

has made further inroads, RBSK has been initiated and Child Survival Summit at

Mahabalipuram provided an opportunity to take stock of our achievements and reflect on the

challenges ahead.

I suggest that 2013-14 is treated as the “YEAR OF CONSOLIDATION” with focus on increased

effectiveness and efficiency.

I would also like to draw your attention towards nursing which is the backbone of the public

health but has remained on the backburner for the sometime. FY 2012-13 should be “dedicated

to strengthening of the nurse cadre”. I would urge you to fill up all vacant positions of ANMs,

Nurses, LHVs and PHNs and ensure that they become an integral part of planning,

implementation and monitoring.

Effective monitoring and supportive supervision has the potential to yield tangible gains in a

relatively short period of time but is still our weakest link. More meaningful use of HMIS and

MCTS is way forward. We will be routinely using both HMIS and MCTS including Score Cards

for all our reviews.

I am confident that under the able leadership of State Health Secretaries and Mission Directors

the country would make visible progress in making the goal of “Health for All” a reality.

Anuradha Gupta

Additional Secretary & Mission Director, NRHM

M-11011/6/2013-NRHM-III

Government of India

Ministry of Health & Family Welfare

(National Rural Health Mission)

Nirman Bhavan, New Delhi

Dated 12th June, 2013

To,

The Mission Director, NRHM

State Health & Family Welfare Society,

Health Directorate Building,

Government of Tripura,

3rd

Floor, Pt. Nehru Complex,

Agartala- 799006, West Tripura.

Subject: Approval of NRHM State Programme Implementation Plan for the year 2013-14

Sir,

This refers to the Programme Implementation Plan for the year 2013-14 submitted by the State

and subsequent discussions in the NPCC meeting held on May 10th, 2013 at New Delhi.

Against a resource envelope of Rs. 192.12 Crores, the administrative approval of PIP for your

State is conveyed for an amount of Rs.114.89 Crores. Details are provided in Table A, B and C below.

Uncommitted and unspent balance available under NRHM as on 01.04.2013 is also a part of the resource

envelope.

TABLE- A

Rs. Crores

Uncommitted unspent balance available under NRHM as on 1.4.2013 18.98

GOI Resource Envelope for 2013-14 under NRHM

(assuming no reduction on account of conditionalities)

140.24

Assuming 10% incentive based on performance 15.58

Total GoI Support 155.83

10% State Share (2013-14) 17.31

Total 192.12

Note- : ROP Envelope excludes NPCB

TABLE- B

(Rs. in Crore)

Sr.No Programme GoI Allocation under

NRHM

1 RCH Flexible Pool 49.19

2 NRHM Flexible Pool 55.75

3 Immunization (from RCH Flexible Pool) 2.01

4 NIDDCP 0.66

5 IDSP 0.17

6 NVBDCP 17.80

7 NLEP 0.21

8 RNTCP 5.84

9 Infrastructure Maintenance including Direction &

Administration 22.72

10 PPI Operational cost 1.46

Total GoI Allocation 155.83

10% state share 17.31

Uncommitted Unspent Balance 18.98

Grand Total 192.12

Committed Unspent Balance: Rs. 33.75 Crore

*The State share against the treasury route transfers needs to be contributed in to the account of State

Health Society may be utilised by the State as per their prerogative.

TABLE- C

SUMMARY OF APPROVAL

Sr.

No Scheme/Programme

Approved Amount (Rs.

Crores) Annex ref

1. RCH Flexipool 24.49 Annexure 1

2. NRHM Flexipool 45.18 Annexure 2

3. Immunization and PPI operation cost 3.66 Annexure 3

4. NIDDCP 0.66 Annexure 4A

5. IDSP 0.81 Annexure 4B

6. NVBDCP 13.70 Annexure 4C

7. NLEP 0.24 Annexure 4D

8. RNTCP 3.41 Annexure 4E

9. Infrastructure maintenance (Treasury route) 22.72

TOTAL 114.89

3. State to convey the district approvals to the districts within 15 days of receiving the State RoP

approvals. High priority districts must receive at least 30% more budget per capita compared to the other

districts.

4. All buildings supported under NRHM should prominently carry NRHM logo in English/ Hindi &

regional languages.

5. All ambulances to be branded as „National Ambulance Services‟ and adhere to the colour, design

and logo as communicated by MOHFW.

6. All MMU to be branded as „National Mobile Medical Unit‟ and adhere to the colour, design and

logo scheme as communicated by MOHFW.

7. The support under NRHM is intended to supplement and support and not to substitute state

expenditure. All the support for HR will be to the extent of positions engaged over and above the regular

positions.

Release of funds

8. Action on the following issues would be looked at while considering the release of second tranche

of funds:

Compliance with conditionalities.

Physical and financial progress made by the State as communicated through the FMR.

Release of 10% of the State share, based on updated release of funds by Government of

India, to the account of the State Health Society.

Timely submission of Statutory Audit Report and Utilization Certificates for the year 2011-

12 for the release of first installment,

Timely submission of Statutory Audit Report for the year 2012-13 for the release of 2nd

installment.

Performance on key conditionalities including mandatory disclosures and incentives will

determine the final release.

Compliance of the provisions of the extant MoU between GOI, MOHFW and the State

Government.

Other aspects

9. State shall ensure submission of quarterly report on physical progress against targets and

expenditure including an analysis of adverse variances and corrective action proposed to be taken.

10. The State shall not make any change in allocation among different budget heads

without approval of GoI.

11. The accounts of State/ grantee institution/ organization shall be open to inspection by the

sanctioning authority and audit by the Comptroller& Auditor General of India under the provisions of

CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health &

Family Welfare.

12. State shall ensure submission of details of unspent balance indicating inter alia, funds released in

advance & funds available under State Health Societies. The State shall also intimate the interest amount

earned on unspent balance. This amount can be spent against Approved activities.

Yours faithfully,

(Preeti Pant)

Director (NRHM)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14: TRIPURA

CONTENTS PAGE NO.

SUMMARY

State specific goals 1-3

Key conditionalities and incentives 4-6

Finance: key issues and guiding principles 7-8

Road map for priority action 9-12

Approved budget (by program and function) 13-18

REPRODUCTIVE AND CHILD HEALTH

Maternal Health 22-38

Child Health, RBSK (SHP) & Immunization 39-62

Family Planning 63-72

Adolescent Health 73-79

Urban RCH 80-81

PC-PNDT 82-84

Human Resources and program management 85-107

MISSION FLEXI POOL

ASHA 118-126

Untied funds/RKS/AMG 127-128

New constructions/ renovation and setting up 129-133

Procurement 135-142

Mobile medical unit 143-145

Referral Transport 146-149

AYUSH 150-155

IEC / BCC 156-158

Monitoring and evaluation (HMIS) 159-167

Others 168-178

NATIONAL DISEASE CONTROL PROGRAMMES

National Iodine Deficiency Disorders Control Programme (NIDDCP) 180-182

Integrated Disease Surveillance Programme(IDSP) 183-186

National Vector Borne Disease Control Programme (NVBDCP) 187-195

National Leprosy Eradication Programme (NLEP) 196-200

Revised National Tuberculosis Control Programme (RNTCP) 201-204

Annexure 205-330

Annex (Detailed budgets)

1. RCH Flexible Pool

2. Mission Flexible pool

3. Immunization and PPI Operation Cost

4A National Iodine Deficiency Disorders Control Programme (NIDDCP)

4B Integrated Disease Surveillance Programme (IDSP)

4C National Vector Borne Disease Control Programme (NVBDCP)

4D National Leprosy Eradication Programme (NLEP)

4E Revised National Tuberculosis Control Programme (RNTCP)

SUMMARY

Approval of State PIP 2013-14: TRIPURA Page 1

STATE-SPECIFIC GOALS

The following are the agreed goals and service delivery targets for the state of TRIPURA:

Indicator CURRENT CAD (%) State Targets

India Tripura India Tripura 2013-14 2014-15 Target for

12th

Plan

CAD

(%)

Maternal Health

MMR (SRS 07-

09)

212 -- ----

Child Health

U5MR (SRS

2011)

55 -- -7.3

IMR (SRS 2011) 44 29 -6.0 -5.2 23 21 17 -10.1

NMR (SRS 2011) 31 -4.0

Family Planning

TFR (SRS 2011) 2.4

1.7 (SRS

2007) -2.64%

Maintain

TFR level

Note

CAD: Compounded Annual Decline; MMR from 04-06 to 07-09; U5MR; IMR;

NMR and TFR from 2008 to 2011; targets from latest current status to 2015.


SERVICE DELIVERY TARGETS

Indicators

DLHS-2

(2002-

04)

DLHS-3

(2007-

08)

CES

(2009)

State Targets

2013-14

Maternal Health

Mothers who had 3 or

more ANCs

45.2% 66.4%

Deliveries taking place in

public facilities*

-- 46.3 82.6% 45202

(85%)

Caesarean Section rate in

public health facilities

NA NA NA 6780

(15%)

Line listing and follow up of

Severely Anaemic pregnant

women

NA NA NA 625

Child Health

Full Immunisation (%)

32.6 38.5 66.0 80%

New borns visited by

ASHA (as per HBNC

guidelines)

Rural Live Births as

per HMIS data

40922

0

.

28645

(70%)

Line listing and follow

up of Low Birth Weight

babies

HMIS incidence of

LBW: is 11% or

4542

NA 3180

(70%)

Percentage of SNCUs

admitting at least 6

babies per month per bed

80%

Family Planning

Female sterilizations

5949

(HMIS 2011-12) 8500

Post-Partum sterilizations

1352

(HMIS 2011-12)

1000

Male sterilizations

206

(HMIS 2011-12) 1300


Indicators

DLHS-2

(2002-

04)

DLHS-3

(2007-

08)

CES

(2009)

State Targets

2013-14

IUD insertions

1267

(HMIS 2011-12)

5750

Disease Control

ABER for malaria (%)

7.79%

(2011)

7.07%

(2012)

10% (2013)

ABER has decreased

need to be enhanced to

10% or above.

API for malaria (per

1000 population)

3.89

(2011)

3.09

(2012)

2.5

API has shown a

gradual decline . It

should be brought

down to 2.5 or below.

Annualized New Smear

Positive Detection Rate

of TB (%)

50% (2012) 70%

Success Rate of New

Smear Positive

Treatment initiated on

DOTS (%)

87% (2012) 90%

* DLHS and CES data reflect achievement in both public and private facilities. Performance to be

assessed on the basis of MCTS and NIKSHAY, where available and on the basis of facility wise HMIS in

other cases

High Priority Districts

Performance against the above service delivery indicators in the 1 high priority district (Dhalai) out

of a total of 8 districts should be at least, on par with the state average; and subsequently in line with

the performance of the top 10% of districts.


KEY CONDITIONALITIES AND INCENTIVES

Tripura has made significant progress in responding to conditionalities except mandatory disclosure

related to the Referral Transport. Following conditionalities shall be adhered to by the States and are to be

treated as non-negotiables:

Mandatory disclosures

1. The State must ensure mandatory disclosure on the state NRHM website of the following and act on

the information:

Facility wise deployment of all HR including contractual staff engaged under NRHM with name

and designation.

Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section,

Major and Minor surgeries etc.

MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule

and service delivery data on a monthly basis.

Patient Transport ambulances and emergency response ambulances- total number of vehicles,

types of vehicle, registration number of vehicles, service delivery data including clients served and

kilometres logged on a monthly basis.

All procurements- including details of equipments procured (as per directions of CIC which

have been communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011-

H' dated 28th November 2011.).

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.

Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise

supervisory plan and reports should be uploaded on the website.

NGOs/PPP funded under NRHM would be treated as 'public authority' and

will fall under the ambit of the RTI Act 2005 under Section 2(h).

Further, details of funds allotted /released to NGOs/PPP to be uploaded

on website.

2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism

through AADHAAR enabled payment system/Core Banking Solution where DBT mechanism has

been rolled out. Further, cash payment or bearer cheque payment is henceforth disallowed

across the States.

3. Timely updation of MCTS and HMIS data including facility wise reporting

4. Line listing of high risk pregnant women, including extremely anaemic and Low Birth Weight

(LBW) babies.


KEY CONDITIONALITIES

5. As agreed, the following key conditionalities would be enforced during the year 2013-14.

a) Rational and equitable deployment of HR1 with the highest priority accorded to high priority

districts and delivery points.

b) Facility wise performance audit2 and corrective action based thereon.

c) Performance Measurement system set up and implemented to monitor performance of

regular and contractual staff.

d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and

corrective action taken thereon.

- Approval is being granted for HR of all cadres under NRHM for six months only and its

continuation for the next six months would be contingent on compliance of the above four

conditionalities. Further, it is expected that the state will henceforth fill up their vacant

regular HR positions and will not use NRHM funds to substitute state spending. Therefore,

from 1st October 2013, under NRHM, funds for salary to contractual HR would be granted

only to make payments to contractual staff over and above the sanctioned regular positions

in the State.

e) Gaps in implementation of JSSK may lead to a reduction in outlay up to 10% of RCH base

flexipool.

INCENTIVES

6. 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).

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

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

d) Recording of vital events including strengthening of civil registration of births and deaths (up to

2% of the outlay).

e) Creation of a public health cadre (by states which do not have it already) (up to 5% of the

outlay)

f) Policy and systems to provide free generic medicines to all in public health facilities (up to

5% of the outlay)

g) Timely roll out of RBSK (up to 5% of the outlay)

1 Many states have put in a place an HR policy which lays down norms of transfer and posting. It is expected that

he States would now implement the policy. Rational and equitable deployment would include posting of staff on the basis

of case load, posting of specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained

doctors in FRUs, optimal utilization of specialists in FRUs and above and filling up vacancies in peripheral facilities in high

focus/ remote areas.

2 Facility wise performance audit will also include the facility wise score card being developed.


h) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their

requirement, to regulate the quality and cost of health care in different public and private

health facilities in the State (up to 5% of outlay).

i) States providing more than 10% increase in its annual health budget as compared to the

previous year will attract additional incentive.

j) States to implement the nurse practitioner model to strengthen the nursing services.

Note:

The Framework for Implementation of NRHM to be strictly adhered to while implementing the

Approved PIP. State should adhere to the clauses mentioned in the MOU signed and achieve the

agreed performance benchmarks.


FINANCE: KEY ISSUES AND GUIDING PRINCIPLES

1. Quarterly FMR must be submitted on time with both physical and financial progress duly reflected.

2. State must also furnish a monthly statement of fund position and expenditure in format prescribed in

the operational guidelines, as Annexure XXIII and XXIV.

3. Status of Contribution of state share: (Rs. in crore)

Year Release

Amounts

required on

basis of

releases

Amount

Credited

in SHS

Bank A/C

Short/ (Excess)

2007-08 67.60 11.93 - 11.93

2008-09 70.29 12.40 7.00 5.40

2009-10 99.11 17.49 10.25 7.24

2010-11 69.94 12.34 15.00 -2.66

2011-12 61.73 10.89 28.75 -17.86

2012-13 69.15 7.68 9.52 -1.84

Total 437.81 72.74 70.52 2.22

State share for the 11th Plan period (2007-08 to 2011-12) is calculated on the basis of release

made to the state (excluding three disease control programme i.e RNTCP, NPCB &

NVBDCP) and from 12th

plan period i.e. 2012-13 onwards release made to all programme

under NRHM is considered. Further, with effect from 2012-13, State’s share would be

10%.

4. Release of funds up to 100% of BE for the year 2013-14, would be contingent on the State

providing Utilisation Certificate against the grant released to the state up to 2011-12 for all the

programme. The status of Pending Utilization Certificates for NRHM-RCH Flexible Pool )against

funds released up to 2011-12 are as under :


Programme Amount (In Crore)

RCH Flexible Pool 33.62

Mission Flexible Pool 24.85

Total 58.47

5. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for release of 2nd

tranche of funds.

6. Timely submission of Statutory Audit Report for the year 2012-13 is a must for release of 2nd

tranche of funds.

7. State is required to comply with the instructions and/or guidelines issued for maintenance of bank

account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.

8. State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis

(2013-14) and Audit Report Analysis for FY 2012-13.

9. State needs to strengthen the internal control procedures/mechanism for all transactions.

10. State should ensure proper maintenance of books of accounts at district and block level as per the

operational guidelines for NRHM issued by the Ministry.

11. Appointment of Auditor for the year 2012-13 must be completed in the first quarter of 2013-14 as

per the RFP issued by this Ministry.

12. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules,

regulations, and procedures to maintain financial discipline and integrity particularly with

regard to procurement; competitive bidding must be ensured and only need-based

procurement should take place.

13. State should ensure expenditure upto 15% by June 2013 and another 30%

by September 2013 of their approved budget under each pool in the FY

2013-14


ROAD MAP FOR PRIORITY ACTION

NRHM must take a „systems approach‟ to Health. It is imperative that States take a holistic view and

work towards putting in place policies and systems in several strategic areas so that there are optimal returns

on investments made under NRHM. For effective outcomes, a sector wide implementation plan would

be essential; states would be expected to prepare such a plan with effect from next year. Some of the

key strategic areas in this regard are outlined below for urgent and accelerated action on the part of the

State:

S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED

PUBLIC HEALTH PLANNING & FINANCING

1. Planning and financing Mapping of facilities, differential planning for districts / blocks

with poor health indicators; resources not to be spread too thin /

targeted investments; at least 10% annual increase in state health

budget (plan) over and above State share to NRHM resource

envelope; addressing verticality in health programmes; planning

for full spectrum of health services; emphasis on quality assurance

in delivery points

2. Management

strengthening

Full time Mission Director for NRHM and a full-time Director/ Jt.

Director/ Dy. Director Finance, not holding any additional

responsibility outside the health department; fully staffed

programme management support units at state, district and block

levels; selection of staff to key positions such as head of health at

the district and block level and facility-in charge to be based on

performance; stability of tenure to be assured; training of key

health functionaries in planning and use of data. Strong integration

with Health & FW and AYUSH directorates

3. Developing a strong

Public Health focus

Separate public health cadre, induction training for

all key cadres; public health training for doctors Working in health

administrative positions; strengthening of public health nursing

cadre, enactment of Public Health Act

HUMAN RESOURCES

4. HR policies for

doctors, nurses

paramedical staff and

programme management

staff

Minimizing regular vacancies; expeditious recruitment

(eg. taking recruitment of MOs out of Public Service Commission

purview); merit –based and transparent selection; recruitment rules

to be aligned to needs of health human resource; opportunities for

career progression and professional development; rational and

equitable deployment; effective skills utilization; stability of

tenure; sustainability of contractual human resources under RCH /

NRHM and plan for their inclusion in State budget; suitable

performance measurement mechanism and performance based



incentives.

5. HR Accountability Facility based monitoring; incentives for both the health service

provider and the facility based on functioning; performance

appraisal against benchmarks; renewal of contracts/ promotions

based on performance; incentives for performance above

benchmark; incentives for difficult areas

6. Medical, Nursing and

Paramedical Education

(new institutions and

upgradation of existing

ones)

Planning for enhanced supply of doctors, nurses, ANMs, and

paramedical staff; mandatory rural posting after MBBS and PG

education; more seats for Government doctors in PG courses

particularly in Gynecology, Anesthesia and pediatrics; expansion

of tertiary health care; use of medical colleges as resource centres

for national health programmes; strengthening/ revamping of

ANM / GNM training centres and paramedical institutions; re-

structuring of pre service education; developing a highly skilled

and specialized nursing cadre; developing good district hospitals as

training sites for training nurses, ANMs and paramedics.

7. Training and capacity

building

Strengthening of State Institute of Health & Family Welfare

(SIHFW)/ District Training Centres (DTCs); quality assurance;

availability of centralised training log; monitoring of post training

outcomes; expanding training capacity through partnerships with

NGOs / institutions; up scaling of multi skilling initiatives,

accreditation of training

STRENGTHENING SERVICES

8. Policies on drugs,

procurement system and

logistics management

Articulation of policy on entitlements on free drugs for out / in

patients; rational prescriptions and use of drugs; timely

procurement of drugs and consumables; smooth distribution to

facilities from the district hospital to the sub centre; uninterrupted

availability to patients; minimization of out of pocket expenses;

quality assurance; prescription audits; facility wise EDL; essential

drug lists (EDL) in public domain; computerized drugs and

logistics MIS system; setting up dedicated corporation on the lines

of eg: TNMSC

9. Equipments Availability of essential functional equipments in all facilities;

regular needs assessment; timely indenting and procurement;

identification of unused/ faulty equipment; regular maintenance

and MIS/ competitive and transparent bidding processes

10. Ambulance Services and

Referral Transport

Universal availability of GPS fitted

ambulances; reliable, assured free transport for pregnant women

and newborn/ infants; clear policy articulation on entitlements



both for mother and sick infants; establishing integrated call

centres for timely response and effective provision of services;

drop back facility; a prudent mix of basic level ambulances and

emergency response vehicles

11. New infrastructure

and maintenance

of buildings; sanitation,

water, electricity,

laundry, kitchen,

facilities for attendants

New infrastructure, especially in backward areas; 24x7

maintenance and round the clock plumbing, electrical, carpentry

services; power backup; cleanliness and sanitation; upkeep of

toilets; proper disposal of bio medical waste; drinking water; water

in toilets; electricity; clean linen; kitchens, facilities for attendants,

PPP outsourcing for such services.

12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable

availability to patients; partnerships with private service providers;

prescription audits, free for pregnant women and sick neonates

COMMUNITY INVOLVEMENT

13. Patient‟s feedback

and grievance redressal

Feedback from patients; expeditious grievance

redressal; analysis of feedback for corrective action

14. Community participation Active community participation; empowered PRIs; strong

VHSNCs; social audit; effective Village Health & Nutrition Days

(VHNDs); strengthening of ASHAs; policies to encourage

contributions from public/ community

15. IEC Comprehensive communication strategy with a strong

behaviour change communication (BCC) component in the IEC

strategy; dissemination in villages/ urban slums/ peri urban areas

CONVERGENCE, COORDINATION & REGULATION

16. Inter sectoral

convergence

Effective coordination with key departments to

address health determinants viz. water, sanitation, hygiene,

nutrition, infant and young child feeding, gender, education,

woman empowerment, convergence with SABLA, SSA, ICDS etc.

17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be

part of active communitisation process; involvement of NGOs in

filling service delivery gaps; active community monitoring

18. Private Public

Partnership (PPP)

Partnership with private service providers to

supplement governmental efforts in underserved and vulnerable

areas for deliveries, family planning services and diagnostics

19. Regulation of services in Implementation of Clinical Establishment Act; quality of services,



the private sector e.g. safe abortion services; adherence to protocols; checking

unqualified service providers; quality of vaccines and vaccinators,

enforcement of PC-PNDT Act

MONITORING & SUPERVISION

20. Strengthening data

capturing, validity /

triangulation

100% registration of births and deaths under Civil

Registration System (CRS); capturing of births in private

institutions; data collection on key performance indicators;

rationalizing HMIS indicators; reliability of health

data/data triangulation mechanisms

21. Supportive Supervision Effective supervision of field activities/ performance; handholding;

strengthening of Lady Health Visitors (LHVs), District Public

Health Nurses (DPHNs), Multi Purpose Health Supervisors

(MPHS) etc.

22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for

periodic review and future road map; clear agenda and follow up

action; Regular, focused reviews at different levels viz. Union

Minister/ Chief Minister/ Health Minister/ Health Secretary/

Mission Director/ District Health Society headed by Collector/

Officers at Block/ PHC level; use of the HMIS/ MCTS data for

reviews; concurrent evaluation

23. Quality assurance Quality assurance at all levels of service delivery;

quality certification/ accreditation of facilities and services;

institutionalized quality management systems

24. Surveillance Epidemiological surveillance; maternal and infant death review

at facility level and verbal autopsy at community level to identify

causes of death for corrective action; tracking of services to

pregnant women and children under MCTS

25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS

for tracking ambulances and mobile health units; mobile

phones/tablets for real time data entry; video conferencing for

regular reviews; closed user group mobile phone facility for health

staff; telemedicine and teleeducation; use of ICT technologies in

E- Governance; development of Human Resource Information

System (HRIS) and Hospital Management Information System

endless opportunities-sky is the limit!

RMNCHA+ document released in Mahabalipuram Conference should serve as guidance note for

integration and betterment of all RMNCH activities.


PROGRAMME WISE APPROVED BUDGET

24.49, 21%

45.18, 39%

3.67, 3%

18.85, 17%

22.72, 20%

Approved Budget by Programme: 2013-14,

Rs 114.89 Crores

RCH Flexipool

Mission Flexipool

RI and PPO

NDCPs

Infrastructure Mainitainance


Infrastructure22%

Human Resources

(All HR Except HR for MMU/

Ambulances and Quality

Assurance)11%

Drugs and Consumables

4%

Equipments & Diagnostics

1%

Capacity Building1%

Patient Transport Services

(including HR)2%

MMU (including HR)0%

Communitization10%

Other RCH Services8%

Supportive Supervision/

Mobility Support2%

Administrative Costs & Office Expenses

0%

Health Action Plans 0%

IEC/ BCC1%

State Specific

Initiatives/ Innovations

7%

E- Governance0%

Out Reach Services5%

Quality Assurance

(including HR)0%

Support Services

0%

Other Important Areas

0%

Infrastructure Maintenance

24%

Approved Budget Functional Headwise 2013-14

Rs 9604.73 Lakhs


ASHA

12% Untied Funds

4%

AMG

2%

Hospital Stregthening

46%

New

Construction/Renovatio

n and setting up

1%

Corpus Grant

to HMS/RKS

2%

District

Action

Plan

0%

Panchayati

Raj Intiatives

0%

IEC/BCC

NRHM

1%

Main Streaming of

AYUSH

8%

Innovations

15%

Planning,

Implementation and

Monitoring

3%

Procurement

5%

Research Studies,

Analysis

0%

Regional Drug

warehouse

0%

Other

Expenditures(Power

Backup etc.)

0%

MMUs

0%

Refrral Transport

0%

SHSRC

0%

Approved Budget MFP, 2013-14: Rs. 4517.43 Lakhs


Maternal Health

38%

Child Health

2%

Family Planning

1%

ARSH

4%

Urban

RCH

0%

PNDT & Sex Ratio

0%

Infratructure & HR

18%

Trainning

4%

Programme

Management

15%

Vulnerable Groups

0%

JSY

13%

Sterlisation & IUD

Compensation and

NSV camps

5%

Approved Budget RCH Flexipool, 2013-14

Rs. 2448.35 Lakhs


169.03, 46%

3.12, 1%

3.92, 1%2.24, 1%

42.06, 11%

146.07, 40%

Approved Budget Immunisation 2013-14,

Rs 366.44 Lakhs

RI STRENGTHENING

SALARY OF CONTRACTUAL STAFFS

TRAINING UNDER IMMUNISATIONCOLD CHAIN MAINTAINNCEASHA INCENTIVE

COLD CHAIN MAINTAINANCE

ASHA INCENTIVE

PPO


66, 4%81.66,

4%

1370.6, 73%

24.4, 1%

341.51, 18%

Approved Budget NDCP, 2013-14

Rs 1884.17 Lakhs

NIDDCP

IDSP

NVBDCP

NLEP

RNTCP


SUMMARY BUDGET 2013-14: TRIPURA

S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )

Proposed Approved %

1. RCH FLEXI POOL

A1 Maternal Health 1138.55 931.97 8.11

A2 Child Health 97.68 37.82 0.33

A3 Family Planning 35.46 35.36 0.31

A4 ARSH 261.54 107.59 0.94

A5 Urban RCH 17.74 9.89 0.09

A6 Tribal RCH 0.00 0.00 0.00

A7 PNDT & Sex Ratio 2.26 0.80 0.01

A8 Infrastructure & HR 848.63 441.13 3.84

A9 Training 161.42 103.80 0.90

A10 Programme Management 568.86 353.71 3.08

A11 Vulnerable groups 0.00 0.00 0.00

Total Base Flexi Pool 3132.13 2022.05 17.60

A12 JSY 350.44 313.40 2.73

A13

Sterilisation & IUD Compensation and NSV

Camps 112.90 112.90 0.98

Total Demand Side 463.34 426.30 3.71

Total RCH Flexi Pool 3595.47 2448.35 21.31

2. MISSION FLEXI POOL

B1 ASHA 1448.04 525.99

4.58

B2 Untied Funds 215.55 186.34

1.62

B3 Annual Maintenance Grants 103.00 74.40

0.65

B4 Hospital Strengthening 2755.28 2082.54

18.13



Proposed Approved %

B5 New Constructions/ Renovation and Setting up 2484.92 50.00

0.44

B6 Corpus Grants to HMS/RKS 143.00 91.03

0.79

B7 District Action Plans (including block, village) 19.40 15.40

0.13

B8 Panchayati Raj Initiative 19.50 0.00

0.00

B9 Mainstreaming of AYUSH 746.48 373.35

3.25

B10 IEC-BCC NRHM 302.53 56.60

0.49

B11

Mobile Medical Units (Including recurring

expenditures) 100.03 0.00 0.00

B12 Referral Transport 715.59 0.00

0.00

B13 PPP/ NGOs 80.00 0.00

0.00

B14 Innovations (if any) 705.26 687.01

5.98

B15 Planning, Implementation and Monitoring 373.28 133.48

1.16

B16 Procurement 934.99 232.29

2.02

B17 Regional drugs warehouses 41.24 0.00

0.00

B18 New Initiatives 0.00 0.00

0.00

B19 Health Insurance Scheme 0.00 0.00

0.00

B20 Research, Studies, Analysis 77.95 9.00

0.07

B21 State level Health Resources Center 0.00 0.00

0.00

B22 Support Services 0.00 0.00

0.00

B23

Other Expenditures (Power Backup,

Convergence etc) 0.00 0.00 0.00

TOTAL MFP 11266.04 4517.43 39.32

3. IMMUNIZATION

C1

RI strengthening project (Review meeting,

Mobility support, Outreach services etc) 241.16 169.03 1.47



Proposed Approved %

C2 Salary of Contractual Staffs 7.10 3.12 0.03

C3 Training under Immunisation 3.92 3.92 0.03

C4 Cold chain maintenance 2.24 2.24 0.02

C5 ASHA Incentive 139.00 42.06 0.37

Total Immunization 393.42 220.37 1.92

C6 Pulse Polio Operational Cost 145.00 146.07 1.27

Total RI & PPO costs 538.42 366.44 3.19

4.DISEASE CONTROL PROGRAMMES

0.00

4A

National Iodine Deficiency Disorders Control

Programme (NIDDCP) 75.61 66.00 0.57

4B

Integrated Disease Surveillance

Programme(IDSP) 109.91 81.66 0.71

4C

National Vector Borne Disease Control

Programme (NVBDCP) 1130.48 1370.60 11.93

4D

National Leprosy Eradication Programme

(NLEP) 25.58 24.40 0.21

4E

Revised National Tuberculosis Control

Programme (RNTCP) 369.25 341.51 2.97

Total NDCP 1710.83 1884.17 16.40

5. INFRASTRUCTURE MAINTENANCE

Total Infrastructure Maintenance 2272.00 2272.00 19.78

GRAND TOTAL 19382.76 11488.39 100.00


MATERNAL HEALTH


GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH

Maternal Health: Goals and Targets for 2013-14

Indicator Target

MMR and expected Maternal Deaths NA

Nos. of Maternal Deaths Reported and Reviewed NA

ANCs registered within first trimester 52628 (90%) in 2013-14

Institutional Deliveries (out of the total estimated

deliveries) to be conducted in Public health institutions

from 81% in 2012-13 to 85%. in 2013-14

45202 (85%) in 2013-14

Caesarean Section rate in public health facilities 6780 (15%) in 2013-14

Severely Anemic Pregnant Women** out of total

anemic pregnant women (@2%)

625 in 2013-14

**At the rate of 2% of pregnant anemic women; this is critical for timely identification and management

of severely anemic pregnant woman.

DELIVERY POINTS:

Level of Facility Target

CEmOC(L3)

8 (maintain levels)

(Per year for 3 years)

BEmOC(L2) 1 (Per year for 4 years)


Road Map for Essential Commitments

Commitment No. 1- Operationalizing Delivery Points

Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the

necessary resources in order to ensure quality of services and provision of comprehensive RMNCH+A

services at these facilities as per the levels.

MNH toolkit is to be used for planning and operationalising services at different levels of

delivery points.

Level 3 should be planned for comprehensive CEmOC and RMNCH+A services and similarly

level 2 for BEmOC and RMNCH+A services.

Those States which have sparsely distributed population like NE states and other hilly states and

some of the tribal/inaccessible areas of other States, should have differential planning for

operationalizing delivery points.

Level 3 delivery points functioning as CEmOC facilities a) District Hospitals and other similar district level facilities (e.g District women and children

hospital)

b) CHCs and other health facilities at sub district level (above block and below district level)

functioning as FRUs

To provide the following services:

24*7 service delivery for CS and other Emergency Obstetric Care.

1st and 2

nd trimester abortion services.

Conduct Facility based MDR.

Essential newborn care and facility based care for sick newborns.

Family planning and adolescent friendly health services

RTI/STI services.

Have functional BSU/BB.

All District Hospitals irrespective of caseloads have to be a Level III institution.

Level 2 delivery points functioning as BEmOC facilities :

Non FRU-CHCs, 24*7 PHC and other PHCs

To provide the following services

24*7 BeMOC services including conducting normal delivery and handling common

obstetric complications.

1st trimester safe abortion services. ( MVA upto 8 weeks and MMA upto 7 weeks)

RTI/STI services.

Essential newborn care.

Family planning

All identified SC Level delivery point facilities will provide the following services :

Delivery by SBAs.

IUD insertion

Essential new born care.

ANC, PNC and Immunization.

Nutritional and Family planning and Adolescent counseling.

VHND and other outreach services on designated days.


All identified delivery points should be comprehensively planned for saturating them in

terms of HR, Equipment, Capacity building, infrastructural requirements etc before

spreading the resources to other health facilities.

Monthly performance monitoring of each delivery point needs to be undertaken and reviewed at

District level and quarterly level at State level.

Commitment No. 2- Implementing free entitlements under JSSK

JSSK entitlements to be ensured to all PW and sick newborns accessing Public health facilities.

At least 70% drop back to be ensured to PW delivering in the PHFs.

Drop back should be given only after 48 hrs stay in the health facility.

Commitment No. 3- Centralized Call Centre and Assured Referral Transport

All NRHM Supported Ambulances should be designated as “National Ambulance Service”

All NAS will have a common background color (White) and similar emblems, markings and

colour schemes.

The ambulances will carry logo of NRHM as well as the name - National Ambulance Service

Numbers “102/108 (Toll free)” in red color, along with design of phone receiver will be

displayed

“A joint initiative of MoHFW, Government of India and State of TRIPURA will be written on all

ambulances.

A sign of capital “H” in red colour denoting Hospital on top of the vehicle.

Every State needs to ensure availability of a centralized call centre with 102 or 108 as Toll Free

no. for referral transport at State or district level along with GPS fitted ambulances.

Response time for the ambulance to reach the beneficiary not to exceed 30 minutes and should

reach the facility to which referred within next 30 mins.

Monthly data on utilization of each ambulance ( eg. trips per day) to be maintained, analysed and

take corrective action if required .

Commitment No. 4- Essential Drug List

Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical

colleges and ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and MCs.

The EDL should include drugs for maternal and child health including drugs for safe abortion

services, RTI/STI.

Differential distribution of types and quantities of drugs to be made to performing and non

performing facilities and also as per level of facility.

Procurement should be done through competitive bidding and indent to be taken from each

facility based on consumption pattern through computerized inventory management system.

All Procurement processes including periodic testing of drugs through govt. certified labs to be

carried out by the process of randomized sampling.

All the drugs should have at least 5/6th of the shelf life at the time of receiving the drugs at

indenting facility.

All other govt. procedures for procurement need to be followed.

Commitment No. 5- Capacity Building

Shortfall in trained human resource at delivery points particularly sub centres in High focus/ High

Priority districts to be addressed on priority.

Training load for skill based trainings to be estimated after gap analysis.

Certification /accreditation of the training sites is mandatory.

Training plan to factor in reorientation training of HR particularly for those posted at non

functional facilities and being redeployed at delivery points. Orientation training of field

functionaries on newer interventions e.g. MDR/ HBNC etc.

Performance Monitoring during training/post-deployment needs to be ensured


Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,

implementation, monitoring and post training follow up of all skill based trainings under NRHM.

Commitment No. 6– Tracking severe anemia

All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and line

listed for providing treatment of anemia.

The line listing should be maintained and followed up at SCs and PHCs.

Commitment No. 7– For High Priority Districts

The State to make use of the MNH toolkit to operationalise the identified facilities as delivery

points.

At least 25% of all sub centres under each PHC to be made functional as delivery points in the

HPDs.

At least one CEmOC centre to be made functional.

Planning for operationalizing 10-15 BEmOC Centres in phases.

Commitment No. 8—

Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC and the

other for outreach activities for the geographically demarcated population.

Commitment No. 9: Pre service Nursing Training (For 12 High Focus States)

At least one state Master Nodal centre shall be created and made functional.

State nursing cell under the directorate of health should be created and made functional.

A road map for strengthening of ANM and GNM schools be prepared as per GoI

guidelines.

Commitment No. 10: State, district and regional quality assurance committees to be made

functional.

Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and made

functional for a group of 4-5 districts as per skill lab operational guidelines.

Commitment No. 12: MCH wings

All 100 bedded MCH wings should be planned comprehensively as per GoI road map and must

include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing and other

details as per MNH toolkit.

The plan for MCH wing should be shared with the State MH nodal officer and he should be

involved in its monitoring.

All the MCH wings must be located within the campus of the existing health facility and

completed in 2-3 years.


DETAILED BUDGET: MATERNAL HEALTH

S. No. Budget Head Unit of

Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

A.1 MATERNAL

HEALTH

218843 19150.00 1488.98 1245.37

A.1.1 Operationalise

Facilities (Any

cost other than

infrastructure,

HR, Training,

Procurement,

Monitoring etc.)

may include cost

of mapping,

planning-

identifying

priority

facilities,etc)

0 0.00 0.00 0.00

A.1.1.1 Operationalise

FRUs (Blood

bank/BSU -

Operational cost)

0.00


24x7 PHCs

0.00


Safe abortion

services

(including MVA/

EVA and medical

abortion)at health

facilities

0.00


RTI/STI services

at health facilities

0.00


sub-centres

0.00

A.1.2 Referral Transport 0.00

A.1.3 Integrated

outreach RCH

services (state

should focus on

facility based

services and

outreach camps to

be restricted only

to areas without

functional health

49884 9400.00 503.28 503.28



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

facilities)

A. 1.3.1. Oureach camps No. of

camp

60 8400.00 5.04 5.04 Approved Rs

5.04 lakhs for

60 out-reach

camps@ Rs

8400/ camp

A.1.3.2. Monthly Village

Health and

Nutrition Days

No. of

VHND

49824 1000.00 498.24 498.24 As per NPCC

decision,approva

l for organizing

49824

VHNDs@ Rs

1000/ VHND.

Out of This Rs

200/- per

VHND to be

given to ASHA

as incentive for

mobilizing

pregnant

womena and

neonates as per

due list. Total

amount

approved is Rs

498.24 lakhs

A.1.4. Janani Suraksha

Yojana / JSY

56780 1800.00 350.44 313.40

A.1.4.1 Home deliveries Beneficiar

y

1802 500.00 9.01 5.00 Approved

for1000 home

deliveries.

A.1.4.2 Institutional

deliveries

27489 1300.00 186.48 166.74

A.1.4.2.a Rural Beneficiar

y

21546 700.00 150.82 127.87 Approved for

18,267

insitutional

deliveries.

A.1.4.2.b Urban Beneficiar

y

5943 600.00 35.66 38.87 Approved for

6,478

insitutional

deliveries.



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

A.1.4.2.c C-sections 0.00

A.1.4.3 Administrative

Expenses

1.95 6.15 Approved. Fund

could be use for

JSY monitoring,

printing of JSY

registers,

formats, JSY

IEC etc.

A.1.4.4 Incentives to

ASHA

Delivery 27489 153.00 135.51 Approved

18,267 @Rs

600 for rural

insitutional

deliveries and

6,478 urban @

Rs 400 for

insitutional

deliveries.

A.1.5 Maternal Death

Review (both in

institutions and

community)

Meeting 1 5000.00 0.05 0.05 Rs. 0.05 lacs can

beapproved for

conducting 1

review meetings

for MDR at

State level

A.1.6 Other

strategies/activitie

s (please specify)

47514 400.00 95.03 28.92

A.1.6.1 Incentive to

ASHA

@Rs.200per

month per VHND

0.00


Mother for 4th

ANC

PW 37590 200.00 75.18 28.92 Cash incentive

to mothers is not

Approved. Rs

50/- for early

registration of

ANC within 12

weeks of

conception can

be given to

ASHA .

Payment will be

made as per

verification in



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

the MCP Card.

Total amount

recommended

for approval is

Rs 50* 57830

cases= Rs 28.92

lakhs.


ASHA for 4th

ANC (Non JSY

Target)

ASHA 9924 200.00 19.85

A.1.6.4 0.00

A.1.6.5 0.00

A.1.6.6 0.00

A.1.6.7 0.00

A.1.6.8 0.00

A.1.6.9 0.00

A.1.6.10 0.00



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

A.1.6.11 0.00

A.1.6.12 0.00

A.1.6.13 0.00

A.1.6.14 0.00

A.1.6.15 0.00

A.1.7 JSSK- Janani

Shishu Surakhsha

Karyakram

64665 2550.00 540.19 399.72

A.1.7.1 Drugs and

consumables

Beneficiar

y

23658 550.00 130.12 130.12 Approved Rs

130.12 lakhs for

provision of free

drugs subject to

all PW coming

to public health

institution are

provided free

drugs during

ANC, INC and

PNC period

A.1.7.2 Diagnostic PW 17349 1000.00 173.49 96.00 Approved Rs

96.00 lacs. @

Rs 200/- per

PW for an

estimated 48000



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

PW likely to

deliver in public

health facilities.

All PW to be

provided free

diagnostic.

A.1.7.3 Blood

Transfusion

0.00 It is hoped that

state has

sufficent funds

for provision of

free Blood for

PW at health

facilities

A.1.7.4 Diet (3 days for

Normal Delivery

and 7 days for

Caesarean)

0.00 It is hoped that

state has

sufficent funds

for provision of

free diet for

PW at health

facilities

A.1.7.5 Free Referral

Transport

Beneficiar

y

23658 1000.00 236.58 173.60 Approved Rs

200 lacs for

40000 PW @ Rs

500/-(Home to

facility Rs 250/-

and Drop back-

Rs 250/-) which

are likely to be

normal

deliveries. For

inter-facility and

drop back for

4800

cases(10%)

approved Rs

48.0 lakhs @ Rs

1000/-(inter-

facility and

drop back@ Rs

500/- per trip) .

Total amount

approved 70%

of Rs

200.00+48.00=

Rs 248.00

lakhs.= 70% of



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

Rs

248.00=173.6

lakhs The fund

is approved

subject to :

1) All

Ambulances

needs to be

Linked to a

centralized call

center

2) Needs to be

GPS fitted and

should be re-

stickered and

changed as per

National

Ambulance

service

guidelines

3) All PW and

infants as per

expanded JSSK

to be catered to.

A.1.7.6 Other JSSK

activity

0 0.00 0.00 0.00

A.1.7.6.1 0.00

A.1.7.6.2 0.00

A.1.7.6.3 0.00

Sub-total

Maternal Health

(excluding JSY)

162064 17350.00 1138.55 931.97

Sub-total JSY 56780 1800.00 350.44 313.40



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

A.9.3 Maternal Health

Training

58 1087987.0

0

48.55 48.54

A.9.3.1 Skilled

Attendance at

Birth / SBA

20 193114.00 19.31 19.31

A.9.3.1.1 Setting up of SBA

Training Centres

0.00

A.9.3.1.2 TOT for SBA 0.00

A.9.3.1.4 Training of Staff

Nurses in SBA

No. of

batch

14 96557.00 13.52 13.52 Approved

A.9.3.1.5 Training of

ANMs / LHVs in

SBA

No. of

batch

6 96557.00 5.79 5.79 Approved

A.9.3.2 EmOC Training 2 142168.00 2.84 2.84

A.9.3.2.1 Setting up of

EmOC Training

Centres

0.00

A.9.3.2.2 TOT for EmOC 0.00


Medical Officers

in EmOC

Candidate 2 142168.00 2.84 2.84 Approved

A.9.3.3 Life saving

Anaesthesia skills

training

2 158630.00 3.17 3.17

A.9.3.3.1 Setting up of Life

saving

Anaesthesia skills

Training Centres

0.00

A.9.3.3.2 TOT for

Anaesthesia skills

training

0.00



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks


Medical Officers

in life saving

Anaesthesia skills


A.9.3.4 Safe abortion

services training

(including MVA/

EVA and Medical

abortion)

7 149710.00 4.65 4.66

A.9.3.4.1 TOT on safe

abortion services



Medical Officers

in safe abortion


A.9.3.5 RTI / STI

Training

6 235838.00 6.56 6.56

A.9.3.5.1 TOT for RTI/STI

training

0.00


laboratory

technicians in

RTI/STI

No. of

batch

2 143600.00 2.87 2.87 Approved


Medical Officers

in RTI/STI

No. of

batch

4 92238.00 3.69 3.69 Approved

A.9.3.6 BEmOC training

for MOs/LMOs

No. of

batch

13 64613.00 8.40 8.40 Approved

A.9.3.7 Other maternal

health training

(please specify)

6 123914.00 3.21 3.20

A.9.3.7.1 Training on MTP

for O&G

No. of

batch

1 21875.00 0.22 0.22 Approved

A.9.3.7.2 Training on MTP

for MO

No. of

batch

1 36470.00 0.36 0.36 Approved

A.9.3.7.3 Training of SN in

RTI/STI

No. of

batch

4 65569.00 2.62 2.62 Approved



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

A.9.3.7.4 0.00

A.9.3.7.5 0.00

A.9.3.7.6 0.00

A.9.3.7.7 0.00

A.9.3.7.8 0.00

A.9.3.7.9 0.00

A.9.3.7.10 0.00

A.9.3.8 Blood Storage

Unit (BSU)

Training

No. of

batch

2 20000.00 0.40 0.40 Approved

A.9.3.9 Skill Lab Training 0.00

A.9.4 IMEP Training 4 22588.00 0.90 0.90

A.9.4.1 TOT on IMEP 0.00

A.9.4.2 IMEP training for

state and district

programme

managers


A.9.4.3 IMEP training for

medical officers

0.00



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B1.1.3.1 Incentive under

MH (ANC/PNC) 88404 200.00 176.81

B1.1.3.1.1 Incentive for

ASHA for VHND 88404 200.00 176.81 0.00

Not approved.

New activity.

Already

approved above

under MH for

organizing

VHNDs @ Rs

1000/ VHND

out of which Rs

200/- to be

given as

incentive to

ASHA for

mobilizing PW

and children as

per due list to

the session site

B16.1.1 3Procurement of

equipment: MH 141 23000.00 14.10

B16.1.1.1

Equipments for

Blood Banks/

BSUs

0.00

B16.1.1.2

MVA /EVA for

Safe Abortion

services

No. of

item 94 7000.00 6.58 2.35

Approved @

Rs 2500 for

MVA kit for 94

kits for

procuring

MVA kits

B16.1.1.3.4 Oxygen Cylinder

with trolly

No. of

item 47 16000.00 7.52 7.52

Approved for

47 Oxygen

trolley's @ Rs

16000/ unit

3 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of

estimations. However, the actual expenditure must be incurred after following rules and due processes. The

competitive and transparent bidding should be ensured as well as only need based procurement must take place.



Measure

Quantit

y /

Target

Unit Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B.16.2.1 4Drugs &

supplies for MH 4053100 100.25 15.12

B.16.2.1.3 Others (Please

specify) 4053100 100.25 15.12

B.16.2.1.3.

1 Misoprostol Kit No. of Kit 5000 100.00 5.00 5.00

Approved for

5000 kits@ Rs

100/-. Total

amount

recommended

for approval is

Rs 5.0 lakhs

B.16.2.1.3.

2 IFA (large)

No. of

tablet 4048100 0.25 10.12 10.12

Approved.

For additional

40.48 lakh

tablets @ Rs

0.20 paisa/ tab .

Total amount

recommended

for approval Rs

10.12 lakhs.

This is addition

to the funds for

drugs allocated

uner JSSK

GRAND TOTAL

MH 1744.47 1319.8





CHILD HEALTH, RBSK & IMMUNIZATION


Tripura ROP TARGETS 2013-14

Indicator CURRENT CAD (%) State Targets

India Tripura India Tripura 2013-

14

2014-

15

Target for

12th

Plan

(2017)

CAD

(%)

Child Health

U5MR (SRS

2011)

55 -- -7.3 -- -- -- ---

IMR (SRS

2011)

44 29 -6.0 -5.2 23 21 17 -10.1

NMR (SRS

2011)

31 -- -4.0 -- --- --- ---

Indicators Current Status State Targets

2012-13 2013-14 2014-15

Child Health

Line listing and follow up of Low

Birth Weight babies {Nos;

(%)}

HMIS incidence of LBW: is

11.1% or 4542

NA 3180

(70%)

4542

(100%)

New borns visited by ASHA

(as per HBNC guidelines){Nos;

(%)}

Rural Live Births as per

HMIS data: 40922

NA 28645

(70%)

40922

(100%)

Percentage of SNCUs admitting

at least 6 babies per month per

bed

NA NA 80% 95%

TARGETS: CHILD HEALTH

Trend (SRS) Targets (SRS)

2008 2009 2010 2011 2012 2013 2014 2015 2016

NMR -- -- -- -- -- -- -- -- --

IMR 34 31 27 29 23 21 19 17 15


U5MR -- -- -- -- -- -- -- -- --

PROCESS INDICATORS

Current

Status

Target for

2013-14

KEY PERFORMANCE INDICATORS (CUMULATIVE)

1 Establishment &

operationalization of SNCUs

(Target 12-13: 5)

0 5

2 Establishment &

operationalization of NBSU

(Target 12-13: 8)

0 8

3 NBCC at delivery points (Target 12-13: 142)

62 166

4 Establishment of NRCs (Target 12-13: 2)

0 2

5 Personnel trained in IMNCI

(ANM+LHV)

No.

328 48

6 Personnel trained in F-IMNCI

(MO+SN)

No. 39 24

7 Personnel trained in NSSK

(MO+ANM+SN)

No. 147 96

KEY PERFORMANCE INDICATORS (NON CUMULATIVE)

1 New borns visited by ASHA (as

per HBNC guidelines)

No. NA 28645

% 70% Rural Live Birth

2 LBW children tracked(state

HMIS)

No. NA 3180

% NA 70% LBW in

Rural

3 Percentage of SNCUs admitting at

least 6 babies per month per bed

% NA 80%


ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH, SHP & IMMUNIZATION

(A) Priority Actions to be carried out by state for Child Health Interventions

1. All the delivery points should have a functional Newborn Care Corner consisting of essential

equipment and staff trained in NSSK. The staff must be trained in a 2 days NSSK training package

for skills development in providing Essential Newborn Care.

2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all

Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs should be

aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully operational.

3. SNCUs are referral centres with provision of care to sick new born the entire district and relevant

information must be given to all peripheral health facilities including ANM and ASHA for optimum

utilisation of the facility. Referral and admission of out born sick neonates should be encouraged and

monitored along with inborn admissions.

4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from

peripheral units. Dedicated staff posted to NBSU must be adequately trained and should have the

skills to provide care to sick newborns.

5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home Based

Newborn Care Scheme. The ASHA kit and incentives for home visits should be made available on a

regular basis to ASHAs who have completed the Round 1 of training in Module 6

6. All ANMs are to be trained in IMNCI.

7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be prioritised

for F-IMNCI training so that they can provide care to sick children with diarrhoea, pneumonia and

malnutrition.

8. Infant and Under fives Death Review must be initiated for deaths occurring both at community and

facility level.

9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and expectant

mothers should be ensured at all delivery points and breastfeeding initiated soon after birth. At least

two health care providers should be trained in „Lactation Management‟ at District Hospitals and

FRUs; other MCH staff should be provided 2 days training in IYCF and growth monitoring.

10. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs), prioritising

tribal and high focus districts with high prevalence of child malnutrition. The optimum utilisation of

NRCs must be ensured through identification and referral of Severe Acute Malnutrition cases in the

community through convergence with Anganwadi workers under ICDS scheme.

11. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained by the

ANM and their follow-up must be ensured through ASHA.

12. In order to reduce the prevalence of anaemia among children, all children between the ages of 6

months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a preventive

measure for 100 days in a year. Accordingly appropriate formulation and logistics must be ensured

and proper implementation and monitoring should be emphasised through tracking of stocks using

HMIS. As per National Iron Plus Initiative, IFA syrup is to be administered in biweekly fashion under

supervision from ASHA.

13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in children.

Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs.

14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against committed

training load) must be transmitted on a monthly basis to the Child Health Division.

15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in current

financial year. Growth monitoring equipments to made available at each Health Facility i.e Sub

Centre, PHC, District Hospital. At District Hospitals and high case load facilities, RMNCHA

counsellor to undertake IYCF counselling after growth monitoring by Staff Nurse/ANM. IYCF

trainings for ASHA/ANM/Staff Nurses to be undertaken.


B.Rashtriya Bal Swastha Karyakram (School Health Programme):

1. Rashtriya Bal Swastha Karyakram (RBSK) Guidelines including terms of reference to be

adhered for operational plan, implementation and monitoring. School Health programme is now

subsumed under RBSK.

2. The programme should focus on four Ds- Defects at birth, Diseases, Deficiencies and

Development Delays including Disabilities as detailed in RBSK guideline.

3. All children (below 6 years) registered with Anganwadis to be screened at least twice a year

4. All children (6 years to 18 years) enrolled in government and government aided schools to be

screened at least once a year.

5. All designated delivery points (as agreed in annexure of PIP 2013-14) to start New born

screening and report findings in monthly monitoring formats

6. Recruitment and training of dedicated teams to complete within the first Quarter of the financial

Year.

7. Referral of children must be tied up and complete treatment at higher facilities through District

Early Intervention Centres.

8. Planning, implementation, monitoring formats - Health Cards, reporting formats under RBSK is

standardized. State to ensure adherence.

9. All Approved DEICs to be established with in the current Financial Year. No spill over for

infrastructural cost would be allowed in the next year for the same facility.

10. State to establish State/District/Block level RBSK committees and/or submerge within existing

NRHM society structure at State/District and block with diverse stakeholders, Department of

Woman and Child Development, Department of Education – Sarba Siksha Abiyan, Rashtriya

Madhmik Sishkha Abhiyan, Department of Social Justice and empowerment. This committee

with representation of academia at State level is responsible for implementation and monitoring

of the programme.

11. Involvement of nodal teachers from schools and Anganwadi workers from Anganwadi Centres

and State District and Block level supervisory structure in the programme is to be ensured for

preventive and promotive Health communication and monitoring.

12. Visibility of Rashtriya Bal Swastha Karyakram (RBSK) with NRHM logo to be made noticeable

across programme implementation. In case State has different nomenclature other than Rashtriya

Bal Swastha Karyakram (RBSK) for similar programme, for which financial support is

Approved under PIP 2013-14, RBSK and NRHM to be used as cobranded with local initiative.

13. The New programme would require State/District programme management unit handholding in

Physical and Financial achievement. State to support this initiative.

14. Formation of State and district level steering committees.

15. Training / re-orientation of service providers(MOs, ANMs, ASHAs)

16. Monthly meeting with BMO.

17. Regular feedback on quality of sanitary napkins to be sent to GoI

18. Identification of appropriate storage place for sanitary napkins.

19. Mechanism of distribution of sanitary napkins right upto the user level.

20. Reporting and accounting system in place at various levels.

21. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain

management of IFA tabs and Sanitary napkins.


22. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and

preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).

C. Priority Actions to be carried out by state for Immunization

1. Immunization weeks should be continued as a part of routine strategy during non – immunization

days to improve coverage especially in community where no immunization services are provided

or services are deficient or all high risk pockets or migrant population as identified in pulse polio

program etc. The available human resources to be redeployed during these weeks for effective

implementation

2. The micro plans for routine immunization must be updated on 6 monthly intervals both for

Routine Immunization and Immunization weeks, taking into account the information available

and information on migrant population/ missed areas covering inaccessible, remote areas and

urban slums. The missed areas or migrant population as identified during polio programme or any

other source of information must be incorporated in the micro plans and activities carried out as

per micro-plan.

3. Full time State Immunisation Officer should be in place.

4. District Immunisation Officer should be in place in all the districts. The placement of ANMs at

all session sites must be ensured.

5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of

beneficiaries should be available with ASHA after each session and tickler bags should be used

for monitoring in addition to the timely and regular updating of information in MCTS portal.

6. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/

24x7 PHCs with considerable case load in the OPD.

7. Cold chain mechanics must be placed in every district with a definite travel plan so as to ensure

that at least 3 facilities are visited every month as a preventive measure (check-up of equipment).

8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points and

their training must be ensured. In case of non-availability, the responsibility should be given to

next para medical staff in position that should be equally trained.

9. The coverage of immunization to children at 18 months of age is very low. The opportunity for

Full immunization of the children at 1year and ensuring that these children are also vaccinated at

2nd year of age must be emphasized and monitored. The ASHAs/link workers are especially

encouraged by providing financial incentive of Rs 100 and Rs 50 per child to achieve this.

10. District AEFI Committees must be in place and investigation report of every serious AEFI case

must be submitted within 15 days of occurrence.

11. Rapid response team should be in place in priority districts identified by the states.

12. There should be a regular evening meeting on Immunization days to review the implementation

of open vial policy and also reviewing implementation of programmatic gaps.

13. Quarterly review at all levels should be conducted on the issues as identified during evening

meetings, for which funds are provided under ROP.


DETAILED BUDGET: CH, RBSK & IMMUNIZATION


Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.2. CHILD

HEALTH

5703 53000.00 97.68 37.82

A.2.1 IMNCI (including

F-IMNCI;

primarily budget

for planning for

pre-serviceIMNCI

activities in

medical colleges,

nursing colleges,

and ANMTCs)

0.00

A.2.2 Facility Based

Newborn

Care/FBNC

(SNCU, NBSU,

NBCC - any cost

not budgeted

under

HR,Infrastructure,

procurement,

training,IEC etc.)

e.g.operating cost

rent,electricity etc.

imprest money

25 50000.00 12.50 3.75

A.2.2.1 SNCU 0.00

A.2.2.2 NBSU 0.00

A.2.2.3 NBCC No. of NBCC 25 50000.00 12.50 3.75 Approved Rs.

3.75 lakhs as

operational

cost of the 25

new NBCCs

@ 0.20 lakhs

for 9 months

(3 quarters)

has been

approved.

Cost for

setting up new

NBCCs (Rs.

8.75 lakhs)

shifted to

Procurement



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

under CH

FMR.

B16.1.2.

A.2.3 Home Based

Newborn

Care/HBNC

0.00

A.2.4 Infant and Young

Child

Feeding/IYCF

0.00

A.2.5 Care of Sick

Children and

Severe

Malnutrition (e.g.

NRCs, CDNCs

etc.)

0.00

A.2.6 Management of

diarrhoea & ARI

& micronutrient

malnutrition

0.00

A.2.7 Other

strategies/activities

(please specify)

0.00

A.2.8 Infant Death Audit 0.00

A.2.9 Incentive to

ASHA under child

health

0.00

A.2.10 JSSK (for Sick

neonates up to 30

days)

5678 3000.00 85.18 34.07

A.2.10.1 Drugs &

Consumables

(other than

reflected in

Procurement)

Beneficiary 2839 2000.00 56.78 5.68 ApprovedRs

5.68 lakhs for

2839 sick-

new-born

cases @ Rs

200/- per sick-

new-born.

This is besides

drugs under

CH, SNCU etc

This is to

further inform

that all sick-

newborns and

infants are to



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

be extended

benefits under

JSSK . So

state may

consider

issuing G.O

in this regard.

A.2.10.2 Diagnostics 0.00

A.2.10.3 Free Referral

Transport

Beneficiary 2839 1000.00 28.39 28.39 Approved Rs

28.39 lakhs

for to and fro

Referral

Trsnsport for

2839 sick

new-borns

A.2.11 Any other

interventions (eg;

rapid assessments,

protocol

development)

0 0.00 0.00 0.00

A.2.11.1 0.00

A.2.11.2 0.00

A.2.11.3 0.00

A.2.11.4 0.00

A.2.11.5 0.00

SUB TOTAL

CHILD

HEALTH

97.68 37.82

A.4.2 School Health

programme

A.4.2.1 Prepare and

disseminate

guidelines for

School Health

Programme.

No. of

dissemination

Meeting

8 40000.00 3.20 1.40 Approved.

Rs 1.40 is

approved for

2000 copies of

RBSK

guidelines @

Rs 70 per

guideline to be

disseminated

at

convergence

meeting.

Meeting cost

is shifted to A

4.2.2

A.4.2.2 Prepare detailed 0.00 1.80 Approved.



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

operational plan

for School Health

Programme across

districts (cost of

plan meeting

should be kept)

Rs 1.80 lakh is

approved for 3

yearly

meetings at

State (@ Rs

20000 per

meeting) and

district level

(@ Rs 10000

per meeting)

with

Stakeholders

of RBSK -

School

Education

SSA and

RMSA, ICDS

and

Department of

Disability

under Ministry

of Social

Justice and

empowerment.

Shifted from

A 4.2.1.

A.4.2.3 Mobility support No of unit 15 20000.00 57.94 22.80 Approved.

Rs 22.80 lakhs

is approved

for 8 mobile

health teams

for 9 months

and 7 Mobile

Health teams

for 6 months

@ Rs 20000

per month.

Mobility

support for

Facility based

team visit is

not

recommended

under RBSK.

A.4.2.4 Referral support Number of

DEIC

4 100000.00 4.00 0.00 Not approved

A.4.2.5 Other strategies 67 222000.00 178.79 67.72



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

for school health

A.4.2.5.1 Tertiary level

treatment of

student

No. of case 48 200000.00 96.00 49.00 Approved.

Rs 49 lakhs is

approved for

support of 529

children as per

details of

secondary and

tertiary care

A.4.2.5.2 School Health

checkup visit

0.00

A.4.2.5.3 Specialist School

Health Camp

No of DH/SH 4 2000.00 0.96 0.00 DEIC

establishment

is shifted to B

4.1.5.4.4,

Specialist

Visit support

is shifted to A.

8.1.10.1.

Training for

DEIC staffs is

shifted to A

9.7.6.3.1.

Contengency

and running

cost would

only be

approved once

the DEICs are

made

functional.

Approval for

computers 2

per DEIC is to

be

recommended

only after the

DEICs (3in

number) are

put in place.

A.4.2.5.4 Printing of health

card and student

health register

No. of card &

register

1187703

card+450

Register

36.53 18.72 Approved.

Rs 18.72 lakhs

is approved

for printing

1187703 cards

@ Rs 1.5 per

card and 450



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

registers @ Rs

200 per

registers.

Conditionality

State to follow

RBSK formats

for card and

registers.

A.4.2.5.5 Review meeting &

workshop at state

& district level

(Programme

Management Cost

including

supportive

Supervision)

6.00 0.00 Not approved

A.4.2.5.6 Development of

screening tools

No. of SH

team

15 20000.00 3.00 0.00 Not

Approved

A.4.2.5.7 Yoga Project for

AYUSH


A.9.5 Child Health

Training

15 889858.00 18.86 15.27

A.9.5.1 IMNCI Training

(pre-service and

in-service)

2 175706.00 3.51 3.51

A.9.5.1.1 TOT on IMNCI

(pre-service and

in-service)

0.00

A.9.5.1.2 IMNCI Training

for ANMs / LHVs

No. of batch 2 175706.00 3.51 3.51 Approved

A.9.5.1.3 IMNCI Training

for Anganwadi

Workers

0.00

A.9.5.2 F-IMNCI Training 2 284166.00 2.84 2.84

A.9.5.2.1 TOT on F-IMNCI 0.00

A.9.5.2.2 F-IMNCI Training

for Medical

Officers


A.9.5.2.3 F-IMNCI Training

for Staff Nurses


A.9.5.3 Home Based

Newborn Care /

HBNC

0 0.00 0.00 0.00

A.9.5.3.1 TOT on HBNC 0.00

A.9.5.3.2 Training on

HBNC for ASHA

0.00



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.5.4 Care of sick

children and

severe

malnutrition at

FRUs

0 0.00 0.00 0.00

A.9.5.4.1 TOT on Care of

sick children and

severe

malnutrition

0.00

A.9.5.4.2 Training on Care

of sick children

and severe

malnutrition for

Medical Officers

0.00

A.9.5.5 Other child health

training (please

specify)

11 429986.00 12.50 8.92

A.9.5.5.1 NSSK Training 4 120878.00 2.42 2.42

A.9.5.5.1.1 TOT for NSSK candidate 0 0.00 0.00

A.9.5.5.1.2 NSSK Training for

Medical Officers



SNs



ANMs

No. of batch 0.00

A.9.5.5.2 Other Child Health

training

7 309108.00 10.08 6.50

A.9.5.5.2.a IMNCI Training

for SN

No. of batch 2 179108.00 3.58 0.00 Not approved

A.9.5.5.2.b SNCU Training

for MO/SN


A.9.7.6.3 SHP training 3 150000.00 4.50 9.00

A.9.7.6.3.1 School Health

Training -Training

of team – technical

and managerial

No. of batch 3 150000.00 4.50 9.00 Approved.

Rs 4.5 lakhs is

approved for

RBSK training

2 batches with

8 and 7 teams

each. Two

batchs one at

State level for

State level

master

trainers. Rs

4.5 Lakhs is

approved for 3

training of 15



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

days each for

DEIC staffs @

Rs 1.5 lakhs

each, shifted

from A

4.2.5.3.

A.9.7.6.3.2 Training of Nodal

teachers

No. of batch 0.00 0.00 Approved.

Not Approved

under RBSK

B1.1.3.2 Incentive under

CH (HBNC) 108546 500.00 173.33 71.60

B1.1.3.2.1

New born home

visit

No. new born

31544 250.00

78.86 71.60

Approved.

Ongoing

activity.

Total

estimated rural

live births are

40922. State

must cover

70% (28645)

of these rural

live births

under HBNC.

B1.1.3.2.2

Mobilization of

beneficiary in

immunization

Per session 34944 150.00 52.42 0.00

Not

approved.

State should

propose this

budget under

Immunization

B1.1.3.2.3 Full Immunization Per child 42058 100.00 42.06 0.00

Not

approved.

State should

propose this

budget under

Immunization

B.10.2.2 BCC/IEC

activities for CH 0 0.00 25.56

B.10.2.2.1 Mass media 5.41 0.00

Approval as

per remark

under FMR

B.10

B.10.2.2.2 Mid-media 20.15 0.00

Approval as

per remark

under FMR

B.10



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

5B16.1.2

Procurement of

equipment: CH 200 800.00 1.60

B16.1.2.1 Baby weighing

machine No. of item 200 800.00 1.60 1.60

Approved.

B16.1.2.2 Setting up new

NBCC 0.00 8.75

Approved.

Budget

shifted from

A.2.2.3.

B16.1.6.2

Equipments for

School Health

Equipments for

School Health

Screening

(weighing scale,

Height

measurement scale

and Snellens‟

Charts)

0.00 5.40

Approved as

per RBSK

guidelines,

Pure tone

audiometer is

not

recommended

for mobile

health teams

to begin with.

Equipments of

DEICs would

only be

recommended

after the

DEICs are

made

functional.

B.16.2.2 Drugs & supplies

for CH 30000 40.00 12.00

B.16.2.2.1 Drugs & Supplies

for Child health

B.16.2.2.2 Zink Syrup No. of Bottle 30000 40.00 12.00 12.00

Approved.

However State

should

propose the

budget for

dispersible

Zinc tablets

rather than

Zinc syrup.

Draft

calucation of

doses is as



competitive and transparent bidding should be ensured as well as only need based procurement must take place



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

follows:

Under 5year

children

population

(approx 10%

of total

popoulatyion

of the diatrict)

x 1.7

(diarrheal

episodes per

child per year)

x 40% of

above two

multiplier x 14

tablets ( of

zinc for every

episode of

diarrhea )

B.16.2.7 6Drugs &

supplies for SHP 256.51

148.72

Approved.

Rs 148.72

lakhs

recommended

for approval -

29.51 lakhs

for IFA small :

354742

student X 52

tablet X 0.16

= Rs. 29.51

Lakh, IFA

Syrup @

Rs.30

amounting

Rs.

55.50Lakh,

Albendazole

Syrup @ Rs.8

amounting Rs.

59.50 Lakh

and Rs 4.5

lakhs for on

the spot



competitive and transparent bidding should be ensured as well as only need based procurement must take place



Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

management

of children for

RBSK @ Rs

30000 for 15

teams.

Conditionality

RBSK

medicines

procurement

only to follow

RBSK EDL to

be announced

by MoHFW

shortly.

GRAND TOTAL

CHILD

HEALTH AND

RBSK

915.08 353.43


BUDGET: IMMUNIZATION

Immunization Approval 2013 - 14 (PART C) TRIPURA

FMR

Code Activities( As proposed by the State)

Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

C.1

RI Strengthening Project ( Review

meetings, Mobility support, Outreach

services etc)

c.1.a Mobility Support for supervision for

district level officers.

Rs.2,50,000/

Year

/district level

officers.

8.00 20.00 20.00

c.1.b Mobility support for supervision at

state level

Rs. 150000

per year. 1.00 1.50 1.50

c.1.c

Printing and dissemination of

Immunization cards, tally sheets,

monitoring forms etc.

Rs. 10

beneficiaries 64000.00 6.40 6.40

c.1.d Support for Quarterly State level

review meetings of district officer

Rs. 1250/

per

participant/d

ay for 3

persons

(CMO/DIO/

Dist. Cold

Chain

Officer)

4.00 1.60 1.20

State to

share the

meeting

notice and

minutes

with

MOHFW.

c.1.e

Quarterly review meetings exclusive

for RI at district level with one Block

MOs, CDPO, and other stake holders

Rs. 100/per

participant

for meeting

expenses for

5 persons

(lunch,

Organization

expenses)

32.00 12.80 4.00

State to

share the

meeting

notice and

minutes

with

MOHFW.



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

c.1.f Quarterly review meetings exclusive

for RI at block level

Rs. 50/ per

person as

honorarium

for ASHA

(Travel) and

Rs.

25/person at

the disposal

of MO-IC for

meeting

expenses

(refreshment,

stationary

and misc.

expenses)

32.00 12.80 12.80

State to

share the

meeting

notice and

minutes

with

MOHFW.

c.1.g

Focus on slum & underserved areas in

urban areas/alternative vaccinator

for slums

Hiring of

ANM@450/s

ession for

four

session/mont

h/slum of

10000

population

and Rs. 300/-

per month as

contingency

per slum i.e.

Rs. 2100/-

per month

per slum of

10000

population

0.00

c.1.h Mobilization of children through

ASHA or other mobilizers

Rs. 150 per

session 34944.00 104.83 52.42

c.1.i Alternative vaccine delivery in hard to

reach areas

Rs. 150 per

session 28188.00 42.28 42.28

c.1.j Alternative Vaccine Delivery in other

areas

Rs. 75 per

session 5520.00 4.14 4.14

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

level

@ Rs 100/-

per subcentre 767.00 0.77 0.77



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

c.1.l For consolidation of micro plans at

block level

Rs. 1000 per

block/ PHC

and Rs. 2000

per district

53.00 1.59 0.69

c.1.m POL for vaccine delivery from State to

district and from district to PHC/CHCs

Rs1,50,000/

district/year 8.00 12.00 12.00

c.1.n Consumables for computer including

provision for internet access for RIMs

@ 400/ -

month/

district

8.00 8.00 0.38

c.1.o Red/Black plastic bags etc.

Rs.

3/bags/sessio

n

69888.00 2.10 2.10

c.1.p Hub Cutter/Bleach/Hypochlorite

solution/ Twin bucket

Rs. 1200 per

PHC/CHCpe

r year

114.00 1.37 1.37

c.1.q Safety Pits Rs. 5250/pit 114.00 5.99 5.99

c.1.r State specific requirement 3.00 0.00

Not

recommend

ed, as no

details

provided

c.1.s Teeka Express Operational Cost 0.00 1.00

Recommen

ded for

Teeka

Express.

However

activity to

be

undertaken

with prior

approval of

Ministry.

c.1.t Measles SIA operational Cost 0.00

No Measles

SIA is

scheduled

in F.Y.

2013-14



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

c.1.u JE Campaign Operational Cost 0.00

No JE

Campaign

is

scheduled

for 2013-

14.

c.1.v Others 0.00

C.1-Sub Total 241.16 169.03

C.2 Salary of Contractual Staffs

C.2.1 Computer Assistants support for State

level

Rs.12000-

15000 per

person per

month

1.00 1.42 0.72

* Salary is

for 6

months

* State to

provide

details of

total

sanctioned

posts, filled

up and

vacancy.

C.2.2 Computer Assistants support for

District level

8000-10000

per person

per month

4.00 5.68 2.40

* Salary is

for 6

months

* State to

provide

details of

total

sanctioned

posts, filled

up and

vacancy.

C.2.3 Others(service delivery staff)

C.2-Sub Total 7.10 3.12

C.3 Training under Immunization



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

C.3.1

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 Midwives, BEEs & other staff (

as per RCH norms)

As per

revised

norms for

trainings

under RCH

2.00 1.20 1.20

Approved,

but

expenditure

has to be as

per NRHM

norms.

Also, all

the

trainings

should be

either

ongoing

approved

training or

new

training

activity

approved

by

Immunizati

on division

of Ministry.

C.3.2

Three day training including Hep B,

Measles & JE(wherever required) of

Medical Officers of RI using revised

MO training module)

2.00 1.81 1.81

C.3.3

One day refresher training of district

Computer assistants on RIMS/HIMS

and immunization formats

0.00 0.00

C.3.4

Two days cold chain handlers training

for block level cold chain handlers by

State and district cold chain officers

4.00 0.90 0.90



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

C.3.5

One day training of block level data

handlers by DIOs and District cold

chain officer

0.00 0.00

C.3.6 Others 0.00 0.00

C.3-Sub Total 3.92 3.92

C.4 Cold chain maintenance

Rs.750/PHC/

CHCs per

year District

Rs.15000/ye

ar

2.24 2.24

Expenditur

e to be

booked as

per actual.

Re-

appropriati

on of funds

within part

C can be

considered

on full

utilization

of the fund.

C.5 ASHA incentive for full Immunization

Rs 100 per

child for full

immunizatio

n in first year

139.00 0.00

42.06

Funds for

full

immunizati

on

budgeted in

FMR code

B1.1.3.2.3

is approved

under this

head.

Rs 50 per

child for

ensuring

complete

immunizatio

n upto 2nd

year of age

0.00

Total ROUTINE IMMUNIZATION 393.42 220.37



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco. by

Imm Div Remarks

C.6 Pulse Polio Operational Cost

(Tentative) 145.00 146.07

GRAND TOTAL IMMUNISATION 538.42 366.44


FAMILY PLANNING


PROJECTION OF KEY INDICATORS (2013-14):

Projection of Key Indicators (2013-14):

SN. Indicator Current Target/ ELA

Status 2013-14 2014-15 2015-16 2016-17

1 Goal Indicators:

1.1 Total Fertility Rate

(TFR) 1.7 (SRS 2007) Maintain TFR level

1.2 Contraceptive

Prevalence Rate (CPR) 40.6 (DLHS-3) 55.0 60.0 65.0 75.0

1.3 Unmet Need 12.9 (DLHS-3) 8.0 7.0 6.5 6.0

2 Service delivery:

2.1 IUCD - Total 1267

(HMIS 2011-12) 5750 6000 6250 6500

2.2 Post-partum IUCD

(subset of IUCD-total)

1000

25% of the Public Health Institution

Deliveries of that year

2.3 Female Sterilisation 5949

(HMIS 2011-12) 8500 9000 9500 10000

2.4 Post-partum

sterilisation (subset of

tubectomy)

1352

(HMIS 2011-12) 1000 2000 2500 3500

2.5 Male sterilisation 206

(HMIS 2011-12) 1300 1400 1500 1600

Total Sterilization 6155

(HMIS 2011-12) 9800 10400 11000 11600

3 Input/ facility

operationalization:

3.1 Fixed Day service

delivery:

3.1.1 IUCD

Twice weekly at SC once in a week in

8 HSC

All SHC All SHC All SHC All SHC

Daily at DH, SDH,

CHC

2 days In a week

CHCs and once

weekly in PHC

Weekly @

PHC +

CHC

Weekly @

PHC +

CHC

Weekly @

PHC + CHC

Weekly @

PHC + CHC

3.1.2 Sterilisation For Both FS & MS

at 2SHs & 3 DHs

DH + 1

SDH/ FRU

per dist

DH + all

FRU per

dist

DH + all

FRU + 25%

PHC per dist

DH + all

FRU + 50%

PHC per dist

3.2 Appointment of FP

counsellors No RMNCH

counsellors

DH + 1

SDH/ FRU

per dist

DH + all

FRU per

dist

DH + all

FRU per dist

DH + all

FRU per dist


Conditionality for 2013-14: Family Planning:

SN. Indicator Target/ ELA - 2013-14

Minimum Level of

Achievement Remarks

By end of

Sep. 2013

By end of

March 2014

1 Goal (target):

1.1 Reduction in TFR -2013 Maintain TFR level NA NA 1.7 (SRS

2007)

2 Service delivery (ELA):

2.1 IUCD: 5750 2300 5175

2.1.1 PPIUCD 1000 400 900

2.1.2 Interval IUCD 4750 1900 4275

2.2 Sterilisation: 9800 2940 7840

2.2.1 Tubectomy 8500 2550 6800

2.2.2 Post-partum sterilisation

(subset of tubectomy) 1000 300 800

2.2.3 Vasectomy 1300 390 1040

3 Training of personnel

(target):

3.1 Post-partum IUCD 26 7 20

3.1.1 MO 26 7 20

3.1.2 SN 0 0

3.2 Interval IUCD 80 20 60

3.2.1 MO 0 0

3.2.2 SN 0 0

3.2.3 ANM/ LHV 80 20 60

3.3 Minilap 0 0

3.4 NSV 6 2 5 12 Trained

3.5 Laparoscopic 4 1 3 14 Trained

4 Others (target):

4.1 Appointment of FP

Counsellors No FP counsellors

Review &

Reporting

Review &

Reporting

4.2

Regular reporting of the

scheme of “home delivery of

contraceptives by ASHAs”

from pilot states

Regular reporting Regular

reporting

Regular

reporting

4.3 Fixed Day Services for

IUCD

2 days In a week CHCs

and once weekly in PHC

& once in a week in 8

HSC

NA 100%

4.4 Fixed Day Services for

Sterilisation

For Both FS & MS at

2SHs & 3 DHs NA 100%


ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING

MISSION: “The mission of the National Family Planning Program is that all women and men (in

reproductive age group) in India will have knowledge of and access to comprehensive range of family

planning services, therefore enabling families to plan and space their children to improve the health of

women and children”.

GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal

emphasis on spacing and limiting methods; promoting „children by choice‟ in the context of

reproductive health.

STRATEGIES:

1. Strengthening spacing methods:

a. Increasing number of providers trained in IUCD 380A

b. Strengthening Fixed Day IUCD services at facilities

c. Introduction of Cu IUCD 375

d. Delivering contraceptives at homes of beneficiaries.

e. Delaying first pregnancy for at least two years after marriage, spacing of at least three

years between first and second child and adoption of permanent method after one or two

children ( couples to be motivated by ASHA).

2. Emphasis on post-partum family planning services:

a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU,

CHC/BPHC level at high case load facilities.

b. Promoting Post-partum sterilisation (PPS)

c. Establishing Post-Partum Centers at women & child hospitals at district levels

d. Appointing counsellors at high case load facilities

3. Strengthening sterilization service delivery

a. Increasing pool of trained service providers (minilap, lap & NSV)

b. Operationalising FDS centers for sterilisation

c. Holding camps to increase accessibility and availability o f services.

4. Strengthening quality of service delivery:

a. Strengthening QACs for monitoring/review

b. Disseminating/ following existing protocols/ guidelines/ manuals

c. Monitoring of FP Indemnity scheme

5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing

methods


6. Focus on using private sector capacity for service delivery (exploring PPP availability):

7. Strengthening programme management structures:

a. Establishing new structures for monitoring and supporting the programme

b. Strengthening programme management support to state and district levels

8. World Population Day Celebrations.

KEY PERFORMANCE INDICATORS:

a. % IUD inserted against ELA

b. % PPIUCD inserted against institutional deliveries

c. % PPIUCD inserted against total IUCD

d. % of sterilisations conducted against ELA

e. % post-partum sterilisations against total female sterilisations

f. % of male sterilisations out of total sterilisations conducted

g. % facilities delivering FDS services against planned

h. % of personnel trained against planned

i. % point decline in unmet need

j. Point decline in TFR

k. % utilization of funds against approved


DETAILED BUDGET: FAMILY PLANNING


Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.3 FAMILY PLANNING 15893 44590.00 148.36 148.26

A.3.1 Terminal/Limiting Methods 11031 32500.00 137.65 137.65

A.3.1.

1

Orientation

workshop,dissemination of

manuals on FP standards &

quality assurance of

sterilisation services, fixed day

planning meeting

no. of

workshop

0.00

A.3.1.

2

Female sterilisation camps No. of

camp

165 15000.00 24.75 24.75 Approved

A.3.1.

3

NSV camps No. of

camp

66 15000.00 9.90 9.90 Approved

A.3.1.

4

Compensation for female

sterilisation

Beneficiary 8500 1000.00 85.00 85.00 Approved

A.3.1.

5

Compensation for male

sterilization/NSV Acceptance

Beneficiary 1200 1500.00 18.00 18.00

Approved.

A.3.1.

6

Accreditation of private

providers to provide

sterilisation services

1100

A.3.2 Spacing Methods 4700 90.00 1.04 0.94

A.3.2.

1

IUD camps 0.00

A.3.2.

2

IUD services at health

facilities (including fixed day

services at SHC and PHC)

Beneficiary 4500 20.00 0.90 0.90 Approved.

A.3.2.

2.1

PPIUCD services Beneficiary 200 70.00 0.14 0.04 Approved

for 200

beneficiaries.

Motivator

money @

Rs.50/- per

benficiaries

is not

suported.

200 @

Rs.20/- for



Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

IUCD

insertion is

approved =

0.04 Lakhs

A.3.2.

3


providers to provide IUD

insertion services

0.00

A.3.2.

4

Social Marketing of

contraceptives (includng

delivery of contraceptive by

ASHA at door step)

0.00

A.3.2.

5

Contraceptive Update

seminars

0.00

A.3.3 POL for Family Planning/

Others (including additional

mobilty support to surgeon's

team if req)

0.00

A.3.4 Repairs of Laparoscopes 0.00

A.3.5 Other strategies/activities

(please specify):

162 12000.00 9.67 9.67

A.3.5.

1

Monitor progress and

quality,QAC meetings /review

of sterilization failures etc.

No. of

Meeting

18 10000.00 1.80 1.80 Approved

A.3.5.

2

Performance reward if any 0.00

A.3.5.

3

World Population Day‟

celebration (such as mobility,

IEC activities etc.): funds

earmarked for district and

block level activities

No. of

Programme

1.79 1.79 Approved

A.3.5.

4

Other strategies/ activities

(such as strengthening fixed

day services for IUCD and

sterilization etc.)

144 2000.00 6.08 6.08

A.3.5.

4.1

Operational cost of fixed day

starilization at SH & DH

A.3.5.

4.2

Supervisory Visit by State &

district

No. of visit 54 2000.00 1.08 1.08 Approved



Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.3.5.

4.3

1. Incentives for ASHA for

ensuring spacing of 2 years

after marriage and spacing of 3

years after the birth of 1st

child.

2. Incentives for ASHA for a

permanent limiting method up

to 2 children only ( 9month

target of NSV & LL is

proposed )

0.00

A.3.5.

4.4

Family Planning Indemnity

scheme

Beneficiary 90 5.00 5.00 Approved

A.3.5.

4.5

Printing of Elegible couple &

children register

0.00

Sub-total Family Planning

(excluding Sterilisation

Compensation and NSV

Camps)

35.46 35.36

Sub-total Sterilisation


Camps

112.90 112.90

A.9.6 Family Planning Training 37 141698.0

0

7.34 7.34

A.9.6.

1

Laparoscopic Sterilisation

Training

2 40710.00 0.81 0.81

A.9.6.

1.1

TOT on laparoscopic

sterilisation

0.00

A.9.6.

1.2

Laparoscopic sterilisation

training for doctors (teams of

doctor, SN and OT assistant)

No. of

batch

2 40710.00 0.81 0.81 Approved.

4 Particpants

(2/Batch).

A.9.6.

2

Minilap Training 0 0.00 0.00 0.00

A.9.6.

2.1

TOT on Minilap 0.00

A.9.6.

2.2

Minilap training for medical

officers

0.00

A.9.6.

3

Non-Scalpel Vasectomy

(NSV) Training

6 62920.00 2.26 2.26

A.9.6.

3.1

TOT on NSV canditate 4 50000.00 2.00 2.00 4 Particpants

(1/Batch).



Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

Approved.

A.9.6.

3.2

NSV Training of medical

officers

canditate 2 12920.00 0.26 0.26 2 partcipants

(1/batch)

Approved.

A.9.6.

4

IUD Insertion 16 18848.00 3.02 3.02

A.9.6.

4.1

TOT for IUD insertion 0.00

A.9.6.

4.2

Training of Medical officers in

IUD insertion

0.00

A.9.6.

4.3

Training of staff nurses in IUD

insertion

0.00

A.9.6.

4.4

Training of ANMs / LHVs in

IUD insertion

No. of

batch

16 18848.00 3.02 3.02 80

partcipants

(5/Batch).

Approved

A.9.6.

5

Contraceptive update/ISD

Training

0.00

A.9.6.

6

Other family planning training

(please specify)

8 9610.00 0.77 0.77

A.9.6.

6.1

PPIUCD insertion training for

MO

No. of

batch

8 9610.00 0.77 0.77 Approved

A.9.6.

6.2

0.00

A.9.6.

6.3

0.00

A.9.6.

6.4

0.00

A.9.6.

6.5

0.00

A.9.6.

7

PPIUCD insertion training No. of

batch

5 9610.00 0.48 0.48 Approved

B1.1.3

.3

Incentive for FP

(PPIUCD/others) 41944 2000.00 258.22

B1.1.3

.3.1

Ensuring spacing of 2 year

after marriage

Benerficiar

y No. 25226 500.00 126.13 126.13

Approved.



Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.3

.3.2

Ensuring spacing of 3 year

after marriage

Benerficiar

y No. 7018 500.00 35.09 35.09

Approved.

B1.1.3

.3.3

Permanent method of FP after

2 children

Benerficiar

y No. 9700 1000.00 97.00 0.00

Not

approved.

B.10.2

.3 BCC/IEC activities for FP 0 0.00 27.21 0.00

B.10.2

.3.1 Mass media 5.31 0.00

Approved

as per

remark in

FMR B.10

B.10.2

.3.2 Mid-media 21.90 0.00

Approved

as per

remark in

FMR B.10

B16.1.

3 Procurement of equipment:

FP 20 400.00 0.08

B16.1.

3.5 PPIUCD forceps

Number

20 400.00 0.08 0.08

Approved.

GRAND TOTAL FP

441.21 316.90


ADOLESCENT HEALTH


ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH

SETTING UP OF AH CELL

A unit for adolescent health at state level with a nodal officer supported by four consultants one each for

ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components

of Adolescent Health at district level to take care of Adolescent health programme including the SHP.

PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:

I. Adolescent Reproductive Sexual Health (ARSH) Programme

Clinics

Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days,

fixed time, trained manpower).

Number of clinics integrated with ICTCs

Quarterly Reporting from the ARSH clinics to be initiated to GoI.

Establish a Supportive supervision and Monitoring mechanism

Outreach

Utilisation of the VHND platform for improving the clinic attendance.

Demand generation in convergence with SABLA and also through Teen Clubs of

MOYAS

Capacity Building/Training:

Calculation of the training load and development of training plans, refresher trainings. -

Deployment of trained manpower at the functional clinics.

II Menstrual Hygiene Scheme (MHS)

Formation of State and district level steering committees.

Training / re-orientation of service providers(MOs, ANMs, ASHAs)

Monthly meeting with BMO.

Regular feedback on quality of sanitary napkins to be sent to GoI

Identification of appropriate storage place for sanitary napkins.

Mechanism of distribution of SN right upto the user level.

Reporting and accounting system in place at various levels.

Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain

management of IFA tabs and Sanitary napkins.

Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and

preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).

II Weekly Iron and Folic Acid Supplementation programme (WIFS)

Procurement policy in place for procurement of EDL including IFA and deworming tablets.

Establish “Monday” as a fixed day for WIFS.

Plan for training and capacity building of field level functionaries of concerned Departments(i.e.

Department of Women and Child Development and and Department of Education) and plan for

sensitization of Programme Planners on WIFS.


Ensure that monitoring mechanism as outlined in the operational framework (Shared with the

States during the National Adolescent Health Workshop) are put in place across levels and

departments.

DETAILED BUDGET: ADOLESCENT HEALTH

S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.4 ADOLESCENT

REPRODUCTIVE

AND SEXUAL

HEALTH / ARSH

1424 6884

00.00

261.54 107.59

A.4.1 Adolescent health

services

34 3060

00.00

12.43 12.43

A.4.1

.1

Disseminate ARSH

guidelines.

0.00

A.4.1

.2

Establishment of new

clinics at DH level

No.of clinic 1 1500

00.00

1.50 1.50 Approved

A.4.1

.3


clinics at CHC/PHC

level

No.of clinic 6 1500

00.00

9.00 9.00 Approved

A.4.1

.4

Operating expenses

for existing clinics

No.of clinic 27 6000.

00

1.62 1.62 Approved

A.4.1

.5

Outreach activities

including peer

educators

0.00

A.4.1

.6

Others 0.31 0.31

A.4.1

.6.1

Printing of flex for

disemination of

Helpline of ARSH

No. of center 7 300.0

0

0.02 0.02 Approved

A.4.1

.6.2

Printing of register,

reporting format, for

ARSH Clnic

No. of center 34 0.29 0.29 Aproved

A.4.1

.6.3

Printing of Register ,


WIFS

reporting

center

0.00 0.00 Committed

expenditure of 2012-

13

A.4.1

.6.4

0.00

A.4.1

.6.5

0.00

A.4.1

.6.6

0.00

A.4.1

.6.7

0.00

A.4.1

.6.8

0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.4.1

.6.9

0.00

A.4.1

.6.10

0.00

A.4.2 School Health

programme

94 3820

00.00

243.93 93.72

A.4.2

.1

Prepare and

disseminate guidelines

for School Health

Programme.

No. of

disseminatio

n Meeting

8 4000

0.00

3.20 1.40 Rs 1.40 is approved

for 2000 copies of

RBSK guidelines @

Rs 70 per guideline

to be disseminated at

convergence

meeting. Meeting

cost is shifted to A

4.2.2

A.4.2

.2

Prepare detailed

operational plan for

School Health

Programme across

districts (cost of plan

meeting should be

kept)

0.00 1.80 Rs 1.80 lakh is

approved for 3

yearly meetings at

State (@ Rs 20000

per meeting) and

district level (@ Rs

10000 per meeting)

with Stakeholders of

RBSK - School

Education SSA and

RMSA, ICDS and

Department of

Disability under

Ministry of Social

Justice and

empowerment.

Shifted from A

4.2.1.

A.4.2

.3

Mobility support No of unit 15 2000

0.00

57.94 22.80 Rs 22.80 lakhs is

approved for 8

mobile health teams

for 9 months and 7

Mobile Health teams

for 6 months @ Rs

20000 per month.

Mobility support for

Facility based team

visit is not

recommended under

RBSK.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.4.2

.4

Referral support Number of

DEIC

4 1000

00.00


A.4.2

.5

Other strategies for

school health

67 2220

00.00

178.79 67.72

A.4.2

.5.1

Tertiary level

treatment of student

No. of case 48 2000

00.00

96.00 49.00 Rs 49 lakhs is

approved for support

of 529 children as

per details of

secondary and

tertiary care

A.4.2

.5.2

School Health

checkup visit

0.00

A.4.2

.5.3

Specialist School

Health Camp

No of

DH/SH

4 2000.

00

0.96 0.00 DEIC establishment

is shifted to B

4.1.5.4.4, Specialist

Visit support is

shifted to A.

8.1.10.1. Training

for DEIC staffs is

shifted to A

9.7.6.3.1.

Contengency and

running cost would

only be approved

once the DEICs are

made functional.

Approval for

computers 2 per

DEIC is to be

recommended only

after the DEICs (3in

number) are put in

place.

A.4.2

.5.4

Printing of health card

and student health

register

No. of card

& register

1187703

card+45

0

Register

36.53 18.72 Rs 18.72 lakhs is

approved for

printing 1187703

cards @ Rs 1.5 per

card and 450

registers @ Rs 200

per registers.

Conditionality State

to follow RBSK

formats for card and

registers.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.4.2

.5.5

Review meeting &

workshop at state &

district level

(Programme

Management Cost

including supportive

Supervision)


A.4.2

.5.6

Development of

screening tools

No. of SH

team

15 2000

0.00

3.00 0.00 Not Approved

A.4.2

.5.7

Yoga Project for

AYUSH


A.4.2

.5.8

Micro nutrient in

tudentthe form of Iron

Folic Acid to each s

0.00

A.4.2

.5.9

0.00

A.4.2

.5.10

0.00

A.4.3 Other


(please specify)

1296 400.0

0

5.18 1.44

A.4.3

.1


ARSH/ICTC

counsellors

No. of visit 1296 400.0

0

5.18 1.44 Approved 24

VHNDs @ Rs 500/-

x12 month

A.4.3

.2

Menstrual Hygiene

(Sanitary napkin

procurement to be

booked under

procurement)

0.00

A.4.3

.3

WIFS actvity 0.00

Sub-total ARSH 1424 6884

00.00

261.54 107.59

A.9.7 Adolescent

Reproductive and

Sexual Health/ARSH

Training

8 4080

27.00

10.24 14.74

A.9.7

.1

TOT for ARSH

training

0.00

A.9.7

.2

Orientation training of

state and district

programme managers

0.00

A.9.7

.3

ARSH training for

medical officers

No. of batch 1 1331

40.00

1.33 1.33 Approved

A.9.7

.4

ARSH training for

ANMs/LHVs

No. of batch 0 0.00 0.00

A.9.7 ARSH training for 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.5 AWWs

A.9.7

.6

Other ARSH training 4 1101

70.00

4.41 4.41

A.9.7

.6.1

Training for SN &

counsellor on ARSH

No. of batch 4 1101

70.00

4.41 4.41 Approved

A.9.7

.6.2

Training of WIFS

:TOT -State level

No. of batch 0 0.00 0.00

A.9.7

.6.3

Training of WIFS

:TOT -District level

No. of batch 0 0.00 0.00

A.9.7

.6.4

0.00

A.9.7

.6.5

0.00

A.9.7

.6.1

WIFS training 0 1471

7.00

0.00 0.00

A.9.7

.6.1.

1

State level/ District

Level/ Block Level

1471

7.00

0.00

A.9.7

.6.1.

2

refresher training –

ANM/MO/ AWW/

Nodal Teacher

No. of batch 0.00 0.00

A.9.7

.6.2

Menstrual hygiene

training

0.00

B.10.

2.4

BCC/IEC activities

for ARSH 0 0.00 10.29

0.00

B.10.

2.4.1 Mass media 0.29

0.00 Approval as per

remark under FMR

B.10

B.10.

2.4.2 Mid-media 10.00

0.00 Approval as per

remark under FMR

B.10

B.16.

2.6

7Drugs & supplies

for WIFS 1948496 0.25 4.87

B.16.

2.6.1 IFA

No. of

tablets 1948496 0.25 4.87 4.87 Approved.

B.16.

2.6.2 Albendazole 0.00

GRAND TOTAL

ARSH

286.94 127.20





URBAN RCH

BUDGET: URBAN RCH


Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.5 URBAN RCH (focus

on Urban slums)

38 6000.00 17.74 9.89

A.5.1 Identification of

urban areas /

mapping of urban

slums and planning

0.00

A.5.2 HR for urban health

including doctors,

ANMs, Lab techs

16 0.00 16.42 8.57

A.5.2.1 Doctors/Mos 0.00

A.5.2.2 Specialist 0.00

A.5.2.3 Dentists 0.00

A.5.2.4 ANM No. of

ANM

16 16.42 8.57 Approved 16 ANM

@ 8925 pm.

Approval is being

granted for six

months only with the

conditionality

mendioned in the

HR head.

A.5.2.5 Staff Nurse 0.00

A.5.2.6 LHV 0.00

A.5.2.7 LT 0.00

A.5.2.8 Pharmacists 0.00

A.5.2.9 Radiographers 0.00

A.5.2.10 OT Technician 0.00

A.5.2.11 Support staff 0.00

A.5.2.12 Others (pl specify) 0.00

A.5.3 Operating expenses

for UHP and UHC

no. of

centre

22 6000.00 1.32 1.32 Same as last year

A.5.4 Outreach activities 0.00

A.5.5 Others (pl specify) 0 0.00 0.00 0.00

A.5.5.1 Procurement of

medicine

no. of

centre

0.00

A.5.5.2 0.00

A.5.5.3 0.00

A.5.5.4 0.00

A.5.5.5 0.00



Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.5.5.6 0.00

A.5.5.7 0.00

A.5.5.8 0.00

A.5.5.9 0.00

A.5.5.10 0.00

Sub-total Urban

Health

38 6000.00 17.74 9.89


PC-PNDT

ROAD MAP: PNDT

MISSION:

The mission of PNDT program is to improve the sex ratio at birth by regulating the pre-

conception and prenatal diagnostic techniques misused for sex selection.

Guiding Principle:

Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio

STRATEGIES:

Strengthening programme management structures:

> Appointment of Nodal officer

> Strengthening of Human resource

> Formation of PNDT Cell at state and district level

Establishment of statutory bodies under the PC&PNDT Act

> Constitution of 20 member State Supervisory Board

— Reconstitution every three years (other than ex-officio members)

— Four meetings in a year

> Notification of three members Sate Appropriate Authority,

> Constitution of 8 member State Advisory Committee

— Reconstitution in every 3 years

— At least 6 meetings in a year

> Notification of District Appropriate Authorities

> Constitution of 8 member district Advisory Committees

— Reconstitution in every 3 years

— At least 6 meetings in a year

Strengthening of monitoring mechanisms

> Monitoring of sex ratio at birth through civil registration of birth data

> Formulation of Inspection and Monitoring committees

> Increasing the monitoring visits

> Review and evaluation of registration records

> Online availability of PNDT registration records

> Online filling and medical audit of form Fs

> Ensure regular reporting of sales of ultrasound machines from manufactures

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

machine

> Ensure compliance for maintenance of records mandatory under the Act

> Ensure regular quarterly progress reports at state and district level

Capacity building and sensitisation of program managers


> Appropriate Authorities

> Advisory committee members

> Nodal officers both State and District

• Sensitisation and Alliance building with > Judiciary> Medical Council / associations > Civil

society.

• Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and

promotion of Girl Child

• Convergence for Monitoring of Child sex Ratio at birth

KEY PERFORMANCE INDICATORS:

> Improvement in child sex ratio at birth

> % of civil registration of births

> Statutory bodies in place

> % registrations renewed

> Increase in inspections and action taken

> No. of unregistered machines identified

> % of court cases filed

> % of convictions secured

> No. of medical licences of the convicted doctor cancelled or suspended


DETAILED BUDGET: PNDT


Measure

Quantity

/ Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.7 PNDT Activities 49 25450.00 2.26 0.80

A.7.1 Support to PNDT cell State cell 0.00

A.7.3 Mobility support 0.00

A.7.2 Other PNDT activities

(please specify)

49 25450.00 2.26 0.80

A.7.2.

1

Expenditure of POL

for Supervisor of

Appropriate Authority

District 8 10000.00 0.80 0.80 Approved

A.7.2.

2

Holding of State level

workshop

Workshop 0.00

A.7.2.

3

District level

sensitization workshop

Workshop 0.00

A.7.2.

4

State supervisory

Board meeting

No. of

Meeting

3 7950.00 0.24 0.00 Not Approved

A.7.2.

5

State level

multimember Meeting

3 1500.00 0.05 0.00 Not Approved

A.7.2.

6

State Inspection &

Monitoring committee

meeting

3 2550.00 0.08 0.00 Not Approved

A.7.2.

7

District Advisory

committee meeting

32 3450.00 1.10 0.00 Not Approved

A.7.2.

8

0.00

A.7.2.

9

0.00

A.7.2.

10

0.00

Sub-total PNDT

activities

49 25450.00 2.26 0.80


HUMAN RESOURCES AND PROGRAMME

MANAGEMENT


ROAD MAP: HUMAN RESOURCES

A comprehensive HR policy to be formulated and implemented; to be uploaded on the website.

Underserved facilities particularly in high priority districts, to be first strengthened through

contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as

per need

All appointments under NRHM to be contractual; contracts to be renewed not routinely but based

on structured performance appraisal

Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to

the District Health Society under the chairpersonship of the District Collector or Rogi Kalyan

Samitis at facility level as applicable.

Preference to be given to local candidates to ensure presence of service providers in the

community. Residence at place of posting to be ensured.

Quality of HR ensured through appropriate qualifications and a merit- based, transparent

recruitment process is mandatory.

It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors

(both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent

in inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take

services to the remotest parts of the country, particularly the un-served and under-served

areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed

first. Contractual HR must not be deployed in better served areas until the remotest areas

are adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain

without any ANM. No PHC in these areas should be without a doctor. Further, CHCs in

remote areas must get contractual HR ahead of District Hospitals. Compliance with these

conditionalities will be closely monitored and salaries for contractual HR dis-allowed in

case of a violation.

Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state

NRHM web site.

For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM

to be available at the sub-centre throughout the day while the other ANM undertakes field visits;

timings for ANM‟s availability in the SHC to be notified.

AYUSH doctors to be more effectively utilized eg for supportive supervision, school health and

WIFS.

All contractual staff to have job descriptions with reporting relationships and quantifiable indicators

of performance.

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

indicators.

Staff productivity to be monitored. Continuation of additional staff recruited under NRHM

for 24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be reviewed

by State on a priority basis.

All performance based payments/difficult area incentives should be under the supervision of

RKS/Community Organizations (PRI).


DETAILED BUDGET: HUMAN RESOURCES

S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8 Human Resources 1444 29500.

00

848.63 441.13 As agreed, the

following key

conditionalities

would be enforced

during the year 2013-

14.

a) Rational and

equitable deployment

of HR with the

highest priority

accorded to high

priority districts and

delivery points.

b) Facility wise

performance audit

and corrective action

based thereon.

c) Performance

Measurement system

set up and

implemented to

monitor performance

of regular and

contractual staff.

d) Baseline

assessment of

competencies of all

SNs, ANMs, Lab

Technicians to be

done and corrective

action taken thereon.

- Approval is

being granted for HR

of all cadres under

NRHM for six

months only and its

continuation for the

next six months

would be contingent

on compliance to the

above four

conditionalities.

- It is expected


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

that the state will

henceforth fill up

their vacant regular

HR positions and

will not use NRHM

funds to substitute

state spending.

- From 1st

October 2013, under

NRHM funds for

salary to contractual

HR would be done

only to make

payments to

contractual staff over

and above the

sanctioned regular

positions in the State.

A.8.1 Contractual Staff &

Services

1444 29500.

00

848.63 441.13

A.8.1

.1

ANMs,Supervisory

Nurses, LHVs,

146 0.00 172.51 83.41

A.8.1

.1.1

ANMs 146 0.00 172.51 83.41 Approved 146 (53@

10113, 27 @ 9818

and 66 @8500 per

month). Approval is

being granted for six


above mentioned

condition

A.8.1

.1.1.a

DH 0.00

A.8.1

.1.1.

b

FRUs 0.00

A.8.1

.1.1.c

Non FRU SDH/

CHC

0.00

A.8.1

.1.1.

d

24 X 7 PHC 0.00

A.8.1

.1.1.e

Non- 24 X 7 PHCs 0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.1.1.f

Sub Centres Manpowe

r

146 172.51

A.8.1

.1.1.

g

SNCU/ NBSU/NRC

etc

0.00

A.8.1

.1.1.

h

Others 0.00

A.8.1

.1.2

Staff Nurses 0 0.00 0.00 0.00

A.8.1

.1.2.a

DH 0.00

A.8.1

.1.2.

b

FRUs 0.00

A.8.1

.1.2.c

Non FRU SDH/

CHC

0.00

A.8.1

.1.2.

d

24 X 7 PHC 0.00

A.8.1

.1.2.e

Non- 24 X 7 PHCs 0.00

A.8.1

.1.2.f

SNCU/ NBSU/NRC

etc

0.00

A.8.1

.1.2.

g

Others 0.00

A.8.1

.1.3

LHVs/supervisory

nurses

0 0.00 0.00 0.00

A.8.1

.1.3.a

DH 0.00

A.8.1

.1.3.

b

FRUs 0.00

A.8.1

.1.3.c

Non FRU SDH/

CHC

0.00

A.8.1

.1.3.

d

24 X 7 PHC 0.00

A.8.1

.1.3.e

Non- 24 X 7 PHCs 0.00

A.8.1

.1.3.f

SNCU/ NBSU/NRC

etc

0.00

A.8.1

.1.3.

g

Others 0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.2.1

Laboratory

Technicians

65 0.00 85.90 42.25 Approved 65 LT

(42@ 11302 and

23@9975) per

month. Approval is



above mentioned

condition

A.8.1

.2.1.a

DH Manpowe

r

4 0.00

A.8.1

.2.1.

b

FRUs Manpowe

r

4 0.00

A.8.1

.2.1.c

Non FRU SDH/

CHC

Manpowe

r

19 0.00

A.8.1

.2.1.

d

24 X 7 PHC Manpowe

r

31 0.00

A.8.1

.2.1.e

Non- 24 X 7 PHCs Manpowe

r

7 0.00

A.8.1

.2.1.f

Others Manpowe

r

85.90

A.8.1

.2.2

MPWs 0.00

A.8.1

.3

Specialists

(Anaesthetists,

Paediatricians,

Ob/Gyn, Surgeons,

Physicians, Dental

Surgeons,

Radiologist,

Sonologist,

Pathologist,

Specialist for CHC )

71 0.00 197.28 95.76

A.8.1

.3.1

Obstetricians and

Gynecologists

0 0.00 0.00 0.00

A.8.1

.3.1.a

DH 0.00

A.8.1

.3.1.

b

FRUs 0.00

A.8.1

.3.1.c

Non FRU SDH/

CHC

0.00

A.8.1

.3.1.

d

Others (Please

specify)

0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.3.2

Pediatricians 0 0.00 0.00 0.00

A.8.1

.3.2.a

DH 0.00

A.8.1

.3.2.

b

FRUs 0.00

A.8.1

.3.2.c

Non FRU SDH/

CHC

0.00

A.8.1

.3.2.

d

Others (Please

specify)

0.00

A.8.1

.3.3

Anesthetists 0 0.00 0.00 0.00

A.8.1

.3.3.a

DH 0.00

A.8.1

.3.3.

b

FRUs 0.00

A.8.1

.3.3.c

Non FRU SDH/

CHC

0.00

A.8.1

.3.3.

d

Others (Please

specify)

0.00

A.8.1

.3.4

Surgeons 0 0.00 0.00 0.00

A.8.1

.3.4.a

DH 0.00

A.8.1

.3.4.

b

FRUs 0.00

A.8.1

.3.4.c

Non FRU SDH/

CHC

0.00

A.8.1

.3.4.

d

Others (Please

specify)

0.00

A.8.1

.3.5

Specialists for CH

(Paediatrician etc) in

SNCU,NBSU,NRC

0 0.00 0.00 0.00

A.8.1

.3.5.a

DH 0.00

A.8.1

.3.5.

b

FRUs 0.00

A.8.1

.3.5.c

Non FRU SDH/

CHC

0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.3.5.

d

Others (Please

specify)

0.00

A.8.1

.3.6.

1

Radiologists 0.00

A.8.1

.3.6.

2

Pathologists 0.00

A.8.1

.3.7

Dental surgeons and

dentists

71 0.00 197.28 95.76 Approved 71 Dental

surgeons (50 @

23100 pm and 21 @

21000 pm ).

Approval is being

granted for six


above mentioned

condition

A.8.1

.3.7.a

DH Manpowe

r

4 0.00

A.8.1

.3.7.

b

FRUs Manpowe

r

2 0.00

A.8.1

.3.7.c

Non FRU SDH/

CHC

Manpowe

r

13 0.00

A.8.1

.3.7.

d

24 X 7 PHC Manpowe

r

42 0.00

A.8.1

.3.7.e


r

10 0.00

A.8.1

.3.7.f

Others (pl specify) Manpowe

r

197.28

A.8.1

.4

PHNs at CHC, PHC

level

0.00

A.8.1

.5

Medical Officers 0 0.00 0.00 0.00

A.8.1

.5.1

DH 0.00

A.8.1

.5.2

FRUs 0.00

A.8.1

.5.3

Non FRU SDH/

CHC

0.00

A.8.1

.5.4

24 X 7 PHC 0.00

A.8.1

.5.5

Non- 24 X 7 PHCs/

APHCs

0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.5.7

MOs for SNCU/

NBSU/NRC etc

0.00

A.8.1

.5.8

Other MOs 0.00

A.8.1

.5.9

Others 0.00

A.8.1

.6

Additional

Allowances/

Incentives to M.O.s

0.00

A.8.1

.7

Others - Computer

Assistants/ BCC Co-

ordinator etc

0.00

A.8.1

.7.1

Pharmacist 61 0.00 82.02 39.88 Approved 61

Pharmacist(55@109

72 pm, 5@9975 pm

and 1 @ 11302).

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.1.a

DH Manpowe

r

2 0.00

A.8.1

.7.1.

b

FRUs Manpowe

r

5 0.00

A.8.1

.7.1.c

Non FRU SDH/

CHC

Manpowe

r

5 0.00

A.8.1

.7.1.

d

24 X 7 PHC Manpowe

r

47 0.00

A.8.1

.7.1.e


r

2 0.00

A.8.1

.7.1.f

Others Manpowe

r

82.02

A.8.1

.7.2

Radiographers 0 0.00 0.00 0.00

A.8.1

.7.2.a

DH 0.00

A.8.1

.7.2.

b

FRUs 0.00

A.8.1

.7.2.c

Non FRU SDH/

CHC

0.00

A.8.1

.7.2.

24 X 7 PHC 0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

d

A.8.1

.7.2.e

Non- 24 X 7 PHCs 0.00

A.8.1

.7.2.f

Other 0.00

A.8.1

.7.3

OT

technicians/assitsants

0 0.00 0.00 0.00

A.8.1

.7.3.a

DH 0.00

A.8.1

.7.3.

b

FRUs 0.00

A.8.1

.7.3.c

Non FRU SDH/

CHC

0.00

A.8.1

.7.3.

d

24 X 7 PHC 0.00

A.8.1

.7.3.e

Non- 24 X 7 PHCs 0.00

A.8.1

.7.3.f

Other 0.00

A.8.1

.7.4

School health teams

(Exclusively for SH)

45 29500.

00

54.95 69.73

A.8.1

.7.4.a

MOs number 30 20000.

00

44.40 47.88 Rs 47.88 lakhs is

approved for 16

ayush doctors for 9

months and 14

doctors for 6 months

two each for 15

teams @ 21000 per

month. Half of the

MO to be women

and all MO to have

degree in AYUSH

from recognised

institutions of

AYUSH directorate.

A.8.1

.7.4.

b

LTs 0.00 0.00

A.8.1

.7.4.c

Dental Technicians 0.00

A.8.1

.7.4.

d

Ophthalmic

Assistants

0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.7.4.e

Staff Nurse 0.00

A.8.1

.7.4.f

Pharmacists number 15 9500.0

0

10.55 11.37 Rs 11.37 lakhs is

approved as per

RBSK guidelines for

8 Pharmacist for 9

months and 7

pharmacists for 6

months @ Rs.

9975/PM.

A.8.1

.7.4.

g

ANMs 0.00 10.48 Rs 10.48 lakhs is

approved as per

RBSK guidelines for

8 ANMs for 9

months and 7 ANMs

for 6 months @ Rs.

9193/PM.

A.8.1

.7.4.

h

MPW 0.00

A.8.1

.7.5

Counsellors 66 0.00 99.39 44.08

A.8.1

.7.5.

1

RMNCH/FP

Counselors

0.00

A.8.1

.7.5.

2

ARSH Counselors Manpowe

r

27 36.42 17.77 Approved 27 ARSH

counsellors

(15@10973,

9@11302 and 3@

9975/pm). Approval

is being granted for

six months only with

the above mentioned

condition

A.8.1

.7.5.

3

Honorarium to ICTC

counselors for ARSH

activities

A.8.1

.7.5.

4

Other (please

specify)

Manpowe

r

15 23.74 8.21 Approved 2 Hospital

Admin @ 20213 and

11 per Asst Hospital

admin @ 12128/ pm.

Approval is being

granted for six


above mentioned

condition


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.7.6

All Technical HR for

State Specific

Initiatives

Manpowe

r

15 27.57 12.32 Approved 1

procurement

specialist @ 20790

pm, 1 Bio medical

Engineer @ 14175

pm, 1 Quality

assurance specialist

@ 15540 pm,5

logistic specalist @

17325 pm and 5 MIS

Expert @ 13629 pm.

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.7


r

9 11.66 5.78 Approved for 5 @

11302 pm and 4 @

Rs.9975 pm.

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.8

Staff for Training

Institutes/ SIHFW/

Nursing Training

0.00

A.8.1

.8

Incentive/ Awards

etc. to SN, ANMs

etc.

0.00

A.8.1

.9

Human Resources

Development (Other

than above)

A.8.1

.10

Other Incentives

Schemes (Pl.Specify)

990 0.00 156.58 66.02

A.8.1

.10.1

Rural Posting

Incentive-Most

Difficult/

inaccessible areas

Manpowe

r

529 71.12 24.44 State has identified

29 facilities and

categorized them as

Difficult and Most

Difficult. State has

proposed incentive to

different cadre of

health workers for

facilities in such

areas i.e. from MO,


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

MO- AYUSH, SN,

ANM, MPW etc.

Incentive ranges

from Rs 3000/ month

to Rs 600/ month.

Approved. The state

to share categorywise

basis of incentive

A.8.1

.10.2

Rural Posting

Incentive- Difficult

areas

461 55.46 31.58 State has identified

29 facilities and

categorized them as

Difficult and Most



different cadre of

health workers for

facilities in such

areas i.e. from MO,

MO- AYUSH, SN,

ANM, MPW etc.

Incentive ranges

from Rs 3000/ month

to Rs 600/ month.

Approved. The state


basis of incentive

A.8.1

.10.3

Specialist Manpower

(Central Health

Servises-Deputation)

30.00 10.00 Approved for a token

amount as decided in

NPCC

A.8.1

.10.4

Minor civil works 0.00

A.8.1

.10.5

other (increment for

paramedical staff+

undistributed fund)

0.00

A.8.1

.10.6

0.00

A.8.1

.10.7

0.00

A.8.1

.10.8

0.00

A.8.1

.10.9

0.00

A.8.1

.10.1

0

0.00

A.8.1 Support Staff for 0 0.00 0.00 0.00


S.

No. Budget Head

Unit of

Measure

Quantity /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.11 Health Facilities

A.8.1

.11.a

DH 0.00

A.8.1

.11.b

FRUs 0.00

A.8.1

.11.c

Non FRU SDH/

CHC

0.00

A.8.1

.11.d

24 X 7 PHC 0.00

A.8.1

.11.e

Non- 24 X 7 PHCs 0.00

A.8.1

.11.f

SNCU/ NBSU/

NBCC/ NRC etc

0.00

GRAND TOTAL

HR

1444 29500.

00

848.63 441.13


PROGRAMME MANAGEMENT

ROAD MAP FOR PRIORITY ACTION

A full time Mission Director is a prerequisite. Stable tenure of the Mission Director (minimum 3

years) should also be ensured.

A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource

envelope of State), from the State Finance Services not holding any additional charge outside the

Health Department must be put in place, if not already done, considering the quantum of funds

under NRHM and the need for financial discipline and diligence.

Regular meetings of state and district health missions/ societies.

Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff

performance to be monitored against targets and staff sensitized across all areas of NRHM such that

during field visits they do not limit themselves only to their area of functional expertise.

Performance of staff to be monitored against benchmarks; qualifications, recruitment process and

training requirements to be reviewed.

Delegation of financial powers to district/ sub-district levels in line with guidelines should be

implemented.

Funds for implementation of programmes both at the State level and the district level must be

released expeditiously and no delays should take place.

Evidence based district plans prepared, appraised against pre determined criteria; district plans to be

a “live” document. Variance analysis (physical and financial) reports prepared and discussed/action

taken to correct variances.

Supportive supervision system to be established with identification of nodal persons for districts;

frequency of visits; checklists and action taken reports.

Remote/ hard to reach/ high focus areas to be intensively monitored and supervised.

An integrated plan and budget for providing mobility support to be prepared and submitted for

review/approval; this should include allocation to State/ District and Block Levels.

All facilities to maintain visitors registers. All supervisors should write their main observations and

agreed action/recommendation. Supervisors should sign with their name and post (written legibly)

with date of visit.

All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of block and

district programme management unit respectively. Similarly a Nursing nodal person to be a part of

SPMU. Nursing to be made an integral part of all planning, implementation and monitoring

activities.


DETAILED BUDGET: PROGRAMME MANAGEMENT

S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10 PROGRAMME

MANAGEMENT 425

19500

0.00 568.86 353.71

Approval for programme

management staff is being

granted for six months

only and its continuation

for the next six months

would be contingent on

compliance of condition

that Performance

Appraisal system is set up

and implemented to

monitor performance of

regular and contractual

staff.

A.10.

1

Strengthening of

State society/ State

Programme

Management

Support Unit

42 0.00 79.85 39.51

Contractual Staff for

SPMSU recruited

and in position

42 0.00 79.85 39.51

A.10.

1.1

State Programme

Manager

Manpowe

r

1 3.74 1.78 Approved @ Rs.29741

pm . Same as last year.

Approval is being granted

for six months only with

the above mentioned

condition.

A.10.

1.2

State Accounts

Manager

Manpowe

r

1 3.44 1.64 Approved @Rs.

27362/pm . Approval is



above mentioned

condition.

A.10.

1.3

State Finance

Manager

Manpowe

r

1 3.24 1.70 Approved @ Rs. 28350

pm. Approval is being


only with the above

mentioned condition.

A.10.

1.4

State Data Manager Manpowe

r

1 3.44 1.64 Approved @ Rs. 27362

pm . Approval is being


only with the above


S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


A.10.

1.5

Consultants/

Programme Officers

(including for

MH/CH/FP/ PNDT/

AH including WIFS

SHP, MHS etc.)

Manpowe

r

4 14.07 6.84 Approved MO RCH @

Rs.33310 pm, Consultant

SHFWs @ Rs. 30030,

Adolescent Coordinator

@ Rs. 26565, BCC

consultant @Rs. 24150



only with the above


A.10.

1.6

Programme

Assistants

Manpowe

r

4 8.16 4.24 Approved for NGO

Advisor @ Rs. 16061 pm,

Asst programme manager

@ Rs. 20213, Editor

@Rs. 18375 pm , Sr

Office Asst @ Rs. 16061.



the above mentioned

condition.

A.10.

1.7 Accountants

Manpowe

r 2 2.28

1.20 Approved 2 Accounts

Asst @ Rs. 9975 pm.



the above mentioned

condition.

A.10.

1.8

Data Entry Operators

(Office Assistant)

Manpowe

r 7 9.06

4.49 Approved 3 office asst @

Rs. 11302 pm, 1 @ Rs.

10973 pm and 3 @ Rs.

9975/pm. Approval is



above mentioned

condition.

A.10.

1.9

Support Staff

(Kindly Specify)

Manpowe

r 12 11.04

5.55 Approved 2Work asst @

Rs. 7277/pm, 3 driver @

Rs. 8328/ pm, 1 driver @

Rs.7350/pm, 4 peon @

Rs.7495/pm, 1 Peon @

Rs. 7277/ pm and 1 Night

guard @ Rs. 8335/ pm.



S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


the above mentioned

condition.

A.10.

1.10

Salaries for Staff on

Deputation (Please

specify)

0.00

A.10.

1.11

Others (Please

specify) 9 0.00 21.37 10.42

A.10.

1.11.

1

Deputy Director

Finance

Manpowe

r 1 4.22 2.02

Approved @ Rs. 33600



only with the above


A.10.

1.11.

2

Manager Mass

Media

Manpowe

r 1 2.76 1.45

Approved @ Rs. 24150



only with the above


A.10.

1.11.

3

Jr. Engineer Manpowe

r 2 4.04

2.02 Approved 1 @ Rs. 17845

pm and 1 @ Rs. 15750

pm.



the above mentioned

condition.

A.10.

1.11.

4

AYUSH PMU Manpowe

r 4 8.93

4.26 Approved1 Ayush

Programme manager @

Rs. 24255, 1 Fin

Manager @ Rs.23100, 1

accountant @ Rs.12705

and 1 computer asst @

Rs. 10973 pm. Approval

is being granted for six


above mentioned

condition.

A.10.

1.11.

5

Store keeper Manpowe

r 1 1.42 0.68

Approved @ Rs.11302



only with the above



S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

2

Strengthening of

District society/

District Programme

Management

Support Unit

39 0.00 98.40 48.76

Contractual Staff

for DPMSU

recruited and in

position

39 0.00 98.40 48.76

A.10.

2.1

District Programme

Manager

Manpowe

r 8 25.17 12.70

Approved 8 DPM (3@

Rs. 28552 & 5 @ Rs.

25200/pm). Approval is



above mentioned

condition.

A.10.

2.2

District Accounts

Manager

Manpowe

r 8 23.60 11.91

Approved 8 District

Accounts Manager (3@

Rs. 26768 and 5 @ Rs.

23625). Approval is being


only with the above


A.10.

2.3

District Data

Manager

Manpowe

r 8 19.41 9.68

Approved 8 District Data

Manager (4@ Rs. 21414

and 4 @Rs. 18900/pm).



the above mentioned

condition.

A.10.

2.4

Consultants/

Programme Officers

(Kindly Specify)

0.00

A.10.

2.5 Accountants 0.00

A.10.

2.6


(Office Assistant)

Manpowe

r 4 5.40 2.63

Approved 3 office

assistant @ Rs. 11302 pm

and 1 @ Rs.9975 pm.

Same as last year.



the above mentioned

condition.


S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

2.7

Support Staff

(Kindly Specify)

Manpowe

r 11 10.23 4.89

Apprved 3 drivers @ Rs.

8328 pm and 4 SCA @

Rs.6615 pm and 4 peon

@ Rs. 7495 pm. Approval

is being granted for six


above mentioned

condition.

A.10.

2.8

Others (Please

specify) 14.59 6.96

A.10.

2.8.1

District Media

Expart

Manpowe

r 4 8.91 4.25

Approved 3 @ Rs. 17845

pm and 1 @ Rs.17325/



only with the above


A.10.

2.8.2 Store keeper

Manpowe

r 4 5.68 2.71

Approved 4 @ Rs.11302.



the above mentioned

condition.

A.10.

2.8.3 0.00

A.10.

2.8.4 0.00

A.10.

2.8.5 0.00

A.10.

3

Strengthening of

Block PMU 34 0.00 214.69 99.12

A.10.

3.1

Block Programme

Manager

Manpowe

r 17 32.73 15.93

Approved 13 @ Rs.

16061/- and 4 @ Rs.

14175/- pm. Approval is



above mentioned

condition.

A.10.

3.2

Block Accounts

Manager

Manpowe

r 17 25.86 12.65

Approved 12 @ Rs.

12848 and 5 @ Rs.

11340/- pm. Approval is



above mentioned

condition.

A.10.

3.3 Block Data Manager 0.00


S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.


A.10.

3.5 Data Entry Operators 0.00

A.10.

3.6

Support Staff

(Kindly Specify) 0.00

A.10.

3.7

Others (Please

specify) 156.10 70.54

A.10.

3.7.1 Media expart

Manpowe

r 11 15.18 7.61

Approved 5 @Rs. 12128/-

and 6 @ Rs. 11025/- pm.

.Approval is being


only with the above


A.10.

3.7.2

Administrative cum

Accounts Assistance

Manpowe

r 108 140.92 62.93

Approved existing 95

Administrative cum

Accounts Assistance. 74

@Rs. 11302 pm, 3 @ Rs.

10973 and 18 @ Rs. 9975

pm.Same as last year.

New positions not

approved.



the above mentioned

condition.

A.10.

3.7.3

HMIS assistant for

SH/MC/DH/SDH

Proposed in in part

MFP

A.10.

3.7.4

HMIS assistant for

CHC/ PHC

Proposed in in part

MFP

A.10.

3.7.5 0.00

A.10.

4

Strengthening

(Others) 10

13000

0.00 4.40 4.40

A.10.

4.1

Workshops and

Conferences

No. of

workshop 8

30000.

00 2.40

2.40 Approved Rs 2.40 lakhs

for 8 workshops @ Rs

30000/ workshop

A.10.

4.2

Workshop &

Conference at State

level

No. of

workshop 2

10000

0.00 2.00

2.00 Approved Rs 2.00 lakhs

for 2 workshops @ Rs

100000/ workshop at

State level

A.10.

4.3

HR Development -

SPMSU

A.10.

4.4

HR Development -

DPMSU


S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

4.5

HR Development -

SDPMSU

A.10.

5 Audit Fees

A.10.

6

Concurrent Audit

system 24.00 24.00 Approved

A.10.

7 Mobility Support,

Field Visits 300

65000.

00 147.52 137.92

A.10.

7.1 SPMU/State

no. of

month 72

30000.

00 21.60 12.00

Approved for4 vehicles @

Rs.3 lakhs/vehicle/annum

A.10.

7.2 DPMU/District

no. of

month 96

20000.

00 19.20 19.20 Approved

A.10.

7.3 BPMU/Block

no. of

month 132

15000.

00 19.80 19.80 Approved

A.10.

7.4

Other Supportive

Supervision costs 86.92 86.92 Approved

A.10.

7.4.1 SPMSU

No. of

Month 12

20000

0.00 35.00 35.00

Approved for office

contingency @ Rs. 2

Lakhs/PM (excluding

Statitutory Audit is

required RS.6/- Lakhs and

Rs. 5 Lakhs for

implementation of Tally.)

A.10.

7.4.2 DPMSU

No. of

Dist. 8

15000.

00 14.40 14.4

Approved for office

contingency of DPMSU

@ Rs. 15000/PM (08

unit)

A.10.

7.4.3 SDPMSU 30.72 30.72

Approved for office

contingency of SDPMSU

@ Rs. 5000/PM (7 unit as

4 unit merged with new

districts)

Not approved for office

contingency of 24X 7 hr

PHC,CHC, SDH,DH @

Rs. 2000/PM (97 unit) &

non 24 X 7 hr PHC 18

nos. @ Rs. 1500


S.

No. Budget Head

Unit of

Measure

Quant

ity /

Targe

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

(Rs.23.28+3.24 lakhs =

Rs. 26.52 lakhs not

approved)

A.10.

7.4.4

Strengthening of

PMU & HR Computer 17

40000.

00 6.80 6.80

Approved. 1.SPMSU 02

nos. DPMSU 08 nos.,

SDPMSU 7 nos.

A.10.

7.4.5 0.00

TOTAL

PROGRAMME

MANAGEMENT

425 19500

0.00 568.86 353.71


OTHERS

DETAILED BUDGET: TRAINING

S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9 TRAINING 168 2957922.00 161.42 103.80

A.9.1 Strengthening of existing

Training Institutions

(SIHFW, ANMTCs, etc.)

0.00

A.9.2 Development of training

packages

0 0.00 0.00 0.00

A.9.2

.1

Development/ translation

and duplication of

training materials

0.00

A.9.2

.2

Other activities (pl.

specify)

0 0.00 0.00 0.00

A.9.2

.2.1

Office Support &

Monitoring Support

number 0.00

A.9.2

.2.2

0.00

A.9.2

.2.3

0.00

A.9.2

.2.4

0.00

A.9.3 Maternal Health Training 58 1087987.00 48.55 48.54

A.9.3

.1

Skilled Attendance at

Birth / SBA

20 193114.00 19.31 19.31

A.9.3

.1.1

Setting up of SBA

Training Centres

0.00

A.9.3

.1.2

TOT for SBA 0.00

A.9.3

.1.4

Training of Staff Nurses

in SBA

No. of

batch

14 96557.00 13.52 13.52 Approved

A.9.3

.1.5

Training of ANMs /

LHVs in SBA

No. of

batch

6 96557.00 5.79 5.79 Approved

A.9.3

.2

EmOC Training 2 142168.00 2.84 2.84

A.9.3

.2.1

Setting up of EmOC

Training Centres

0.00

A.9.3

.2.2

TOT for EmOC 0.00

A.9.3

.2.3

Training of Medical

Officers in EmOC


A.9.3 Life saving Anaesthesia 2 158630.00 3.17 3.17


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.3 skills training

A.9.3

.3.1

Setting up of Life saving

Anaesthesia skills

Training Centres

0.00

A.9.3

.3.2

TOT for Anaesthesia

skills training

0.00

A.9.3

.3.3

Training of Medical

Officers in life saving

Anaesthesia skills


A.9.3

.4

Safe abortion services

training (including MVA/

EVA and Medical

abortion)

7 149710.00 4.65 4.66

A.9.3

.4.1

TOT on safe abortion

services


A.9.3

.4.2

Training of Medical

Officers in safe abortion


A.9.3

.5

RTI / STI Training 6 235838.00 6.56 6.56

A.9.3

.5.1

TOT for RTI/STI training 0.00

A.9.3

.5.2

Training of laboratory

technicians in RTI/STI

No. of

batch

2 143600.00 2.87 2.87 Approved

A.9.3

.5.3

Training of Medical

Officers in RTI/STI

No. of

batch

4 92238.00 3.69 3.69 Approved

A.9.3

.6

BEmOC training for

MOs/LMOs

No. of

batch

13 64613.00 8.40 8.40 Approved

A.9.3

.7

Other maternal health

training (please specify)

6 123914.00 3.21 3.20

A.9.3

.7.1

Training on MTP for

O&G

No. of

batch

1 21875.00 0.22 0.22 Approved

A.9.3

.7.2

Training on MTP for MO No. of

batch

1 36470.00 0.36 0.36 Approved

A.9.3

.7.3

Training of SN in

RTI/STI

No. of

batch

4 65569.00 2.62 2.62 Approved

A.9.3

.7.4

0.00

A.9.3

.7.5

0.00

A.9.3

.7.6

0.00

A.9.3

.7.7

0.00

A.9.3

.7.8

0.00

A.9.3 0.00


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.7.9

A.9.3

.7.10

0.00

A.9.3

.8

Blood Storage Unit

(BSU) Training

No. of

batch

2 20000.00 0.40 0.40 Approved

A.9.3

.9

Skill Lab Training 0.00

A.9.4 IMEP Training 4 22588.00 0.90 0.90

A.9.4

.1

TOT on IMEP 0.00

A.9.4

.2

IMEP training for state

and district programme

managers


A.9.4

.3

IMEP training for

medical officers

0.00

A.9.5 Child Health Training 15 889858.00 18.86 15.27

A.9.5

.1

IMNCI Training (pre-

service and in-service)

2 175706.00 3.51 3.51

A.9.5

.1.1

TOT on IMNCI (pre-


0.00

A.9.5

.1.2

IMNCI Training for

ANMs / LHVs

No. of

batch

2 175706.00 3.51 3.51 Approved

A.9.5

.1.3

IMNCI Training for

Anganwadi Workers

0.00

A.9.5

.2

F-IMNCI Training 2 284166.00 2.84 2.84

A.9.5

.2.1

TOT on F-IMNCI 0.00

A.9.5

.2.2

F-IMNCI Training for

Medical Officers

No. of

batch

1 143325.00 1.43 1.43 Approved

A.9.5

.2.3


Staff Nurses

No. of

batch

1 140841.00 1.41 1.41 Approved

A.9.5

.3

Home Based Newborn

Care / HBNC

0 0.00 0.00 0.00

A.9.5

.3.1

TOT on HBNC 0.00

A.9.5

.3.2

Training on HBNC for

ASHA

0.00

A.9.5

.4

Care of sick children and

severe malnutrition at

FRUs

0 0.00 0.00 0.00

A.9.5

.4.1

TOT on Care of sick

children and severe

malnutrition

0.00

A.9.5

.4.2

Training on Care of sick

children and severe

0.00


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

malnutrition for Medical

Officers

A.9.5

.5

Other child health


11 429986.00 12.50 8.92

A.9.5

.5.1

NSSK Training 4 120878.00 2.42 2.42

A.9.5

.5.1.

1

TOT for NSSK candidate 0 0.00 0.00

A.9.5

.5.1.

2

NSSK Training for

Medical Officers

No. of

batch

2 61060.00 1.22 1.22 Approved

A.9.5

.5.1.

3

NSSK Training for SNs No. of

batch

2 59818.00 1.20 1.20 Approved

A.9.5

.5.1.

4

NSSK Training for

ANMs

No. of

batch

0.00

A.9.5

.5.2

Other Child Health

training

7 309108.00 10.08 6.50

A.9.5

.5.2.a

IMNCI Training for SN No. of

batch

2 179108.00 3.58 0.00 Not approved

A.9.5

.5.2.

b

SNCU Training for

MO/SN

No. of

batch

5 130000.00 6.50 6.50 Approved

A.9.5

.5.2.c

0.00

A.9.5

.5.2.

d

0.00

A.9.5

.5.2.e

0.00

A.9.6 Family Planning Training 37 141698.00 7.34 7.34

A.9.6

.1

Laparoscopic

Sterilisation Training

2 40710.00 0.81 0.81

A.9.6

.1.1

TOT on laparoscopic

sterilisation

0.00

A.9.6

.1.2


training for doctors

(teams of doctor, SN and

OT assistant)

No. of

batch

2 40710.00 0.81 0.81 4 Particpants

(2/Batch).

Approved.

A.9.6

.2


A.9.6

.2.1

TOT on Minilap 0.00

A.9.6 Minilap training for 0.00


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.2.2 medical officers

A.9.6

.3


(NSV) Training

6 62920.00 2.26 2.26

A.9.6

.3.1

TOT on NSV canditate 4 50000.00 2.00 2.00 4 Particpants

(1/Batch).

Approved.

A.9.6

.3.2


officers

canditate 2 12920.00 0.26 0.26 2 partcipants

(1/batch)

Approved.

A.9.6

.4

IUD Insertion 16 18848.00 3.02 3.02

A.9.6

.4.1


A.9.6

.4.2

Training of Medical

officers in IUD insertion

0.00

A.9.6

.4.3

Training of staff nurses in

IUD insertion

0.00

A.9.6

.4.4

Training of ANMs /

LHVs in IUD insertion

No. of

batch

16 18848.00 3.02 3.02 80 partcipants

(5/Batch).

Approved

A.9.6

.5


Training

0.00

A.9.6

.6

Other family planning


8 9610.00 0.77 0.77

A.9.6

.6.1

PPIUCD insertion

training for MO

No. of

batch

8 9610.00 0.77 0.77 Approved

A.9.6

.6.2

0.00

A.9.6

.6.3

0.00

A.9.6

.6.4

0.00

A.9.6

.6.5

0.00

A.9.6

.7

PPIUCD insertion

training

No. of

batch

5 9610.00 0.48 0.48 Approved

A.9.6

.8

IUCD 375 insertion

training

0.00

A.9.6

.9

Training of FP

Counselors

0.00

A.9.6

.10

Training/ orientation on

technical manuals

0.00

A.9.7 Adolescent Reproductive

and Sexual Health/ARSH

Training

8 408027.00 10.24 14.74

A.9.7 TOT for ARSH training 0.00


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.1

A.9.7

.2


state and district

programme managers

0.00

A.9.7

.3

ARSH training for

medical officers

No. of

batch

1 133140.00 1.33 1.33 Approved

A.9.7

.4

ARSH training for

ANMs/LHVs

No. of

batch

0 0.00 0.00

A.9.7

.5

ARSH training for

AWWs

0.00

A.9.7

.6

Other ARSH training 4 110170.00 4.41 4.41

A.9.7

.6.1

Training for SN &

counsellor on ARSH

No. of

batch

4 110170.00 4.41 4.41 Approved

A.9.7

.6.2

Training of WIFS :TOT -

State level

No. of

batch

0 0.00 0.00

A.9.7

.6.3


District level

No. of

batch

0 0.00 0.00

A.9.7

.6.4

0.00

A.9.7

.6.5

0.00

A.9.7

.6.1

WIFS training 0 14717.00 0.00 0.00

A.9.7

.6.1.

1

State level/ District

Level/ Block Level

14717.00 0.00

A.9.7

.6.1.

2


ANM/MO/ AWW/ Nodal

Teacher

No. of

batch

0.00 0.00

A.9.7

.6.2

Menstrual hygiene

training

0.00

A.9.7

.6.3

SHP training 3 150000.00 4.50 9.00

A.9.7

.6.3.

1

School Health Training -

Training of team –

technical and managerial

No. of

batch

3 150000.00 4.50 9.00 Rs 4.5 lakhs is

approved for

RBSK training

2 batches with

8 and 7 teams

each. Two

batchs one at

State level for

State level

master trainers.

Rs 4.5 Lakhs is


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

approved for 3

training of 15

days each for

DEIC staffs @

Rs 1.5 lakhs

each, shifted

from A 4.2.5.3.

A.9.7

.6.3.

2

Training of Nodal

teachers

No. of

batch


under RBSK

A.9.7

.6.3.

3

One day orientation for

programme managers/

MO

0.00

A.9.7

.6.3.

4

Training/Refresher

training -ASHA

0.00

A.9.7

.6.3.

5

Training/Refresher

training -ANM

0.00

A.9.8 Programme Management

Training (e.g. M&E,

logistics management,

HRD etc.)

34 157764.00 19.41 9.51

A.9.8

.1

Training of SPMSU staff No. of

person

14 14.00 5.00 Approved for

short Course

Training for 10

person @ Rs.

0.50 lakhs

subject to

follow RCH

norms. Other

training not

approved.

A.9.8

.2

Training of DPMSU staff No. of

batch

8 22588.00 1.81 1.81 Approved

A.9.8

.3

Training of BPMSU staff 0.00

A.9.8

.4

Other training (pl.

specify)

12 135176.00 3.61 2.70

A.9.8

.4.1

Training on Pro-MIS No. of

batch

4 22588.00 0.90

A.9.8

.4.2

CME for MO No. of

batch

2 50000.00 1.00 1.00 Approved for

Rs 1.0 lakhs

for 2 batches

for CME@ Rs

0.50 lacs per

batch


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.8

.4.3

Training of nursing -

refresher/CME

No. of

batch

2 40000.00 0.80 0.80 Approved for

Rs 0.80 lakhs

for 2 batches

for CME in

Nursing @ Rs

0.40 lacs per

batch

A.9.8

.4.4

Undistributed fund 0.00

A.9.8

.4.5

Financial Management

Training

No. of

batch

4 22588.00 0.90 0.90 Approved.

A.9.9

.1

PC/PNDT training 0.00

A.9.9

.2

Others Candidate 9 48.62 0.00 Approval

Pended-No

Plan where

training will be

conducted,

duration of

training and

outcome to be

achieved

through these

trainings

A.9.1

0

Training (Nursing) 0 0.00 0.00 0.00

A.9.1

0.1

Strengthening of Existing

Training

Institutions/Nursing

School excluding

infrastructure and HR.

0.00

A.9.1

0.2

New Training

Institutions/School

0.00

A.9.1

1

Training (Other Health

Personnel)

3 250000.00 7.50 7.50

A.9.1

1.1

Promotional Training of

ANMs to lady health

visitor etc.

0.00

A.9.1

1.2

Training of ANMs,Staff

nurses,AWW,AWS

0.00

A.9.1

1.3

Other training and

capacity building

programmes (nursing

tutors etc.)

0.00

A.9.1

1.3.1 PGDHM Courses

candidate

3 250000.00 7.50 7.50

Approved Rs

7.50 lakhs for

3 candidates @


S.

No. Budget Head

Unit of

Measure

Quantity

/ Target

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

Rs 2.5 lakhs in

PGDHM

Courses

TOTAL TRAINING 168 2957922.00 161.42 103.80


MISSION FLEXIBLE POOL (MFP)


ASHA

TARGETS:

S.

No.

Activity Targets

1. ASHAs with Drug kits 7367

2. ASHAs trained in 6th

and 7th

modules 5333 (Round Three)

ROAD MAP FOR PRIORITY ACTION:

Clear criteria for selection of ASHA

Well functioning ASHA support system including ASHA days, ASHA coordinators

Performance Monitoring system for ASHAs designed and implemented (including

analysis of pattern of monthly payments; identification of non/under-performing ASHAs

and their replacement; and reward for well performing ASHAs). State to report on a

quarterly basis on ASHA‟s average earnings/ range per month.

Timely replenishment of ASHA kits.

Timely payments to ASHAs and move towards electronic payment.

Detailed data base of ASHAs created and continuously updated; village wise name list of

ASHA to be uploaded on website with address and cell phone number.

DETAILED BUDGET:

S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1 ASHA 430857 66858

8.00 1448.04

B 1.1 ASHA Cost: 430857 66858

8.00 1448.04

B1.1.

1

Selection & Training

of ASHA 523

54207

3.00 414.81

B1.1.

1.1 Module I - IV 0.00

B1.1.

1.2 Module V 0.00

B1.1.

1.3 Module VI & VII

No.

of

Batc

h

0.00


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

1.4 Other Trainings 523

54207

3.00 414.81

B1.1.

1.4.1 ToT for HBNC

No.

of

Batc

h

3 12340

0.00 3.70 3.70

Approved. Ongoing

activity.

ASHA refresher training

is proposed to be rolled

out after completion 6th

& 7th Module. Trainers

need to be sensitized

before rolling out

refresher training to

ASHAs in the state.

B1.1.

1.4.2

Refresher training for

ASHA

No.

of

Batc

h

494 42603.

00 210.46 0.00

Not approved. New

activity.

B1.1.

1.4.3

ASHA facilitator

training

No.

of

Batc

h

14 12626

2.00 17.68

17

.68

Approved. Ongoing

activity.

Total 26 days training

(5th module – 4 days, 6th

& 7th module – 20 days,

additional 2 days

monitoring & supervision

tool would be imparted to

each ASHA Facilitator.

• In ROP 12-13, out of 26

days training, 16 days was

approved and for

additional 10 days

training, budget

calculation has been done

and budget for 17.68 L

has been projected.

• State may implement the

proposed training.

• The proposed 4th round

training of AF for 5 days

on Module 6 & 7 is

subjected to the holding

of 3rd round TOT of

Module 6 & 7 at state

level.


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

1.4.4

Refresher training of

ASHA facilitator

No.

of

Batc

h

8 17902

5.00 14.32 0.00

Not approved. New

activity.

Based on the

observations made by the

6th CRM, state has

planned to impart training

and capacity building

training to ASHA

Facilitators.

• As because, presently

ASHA Facilitators are

mostly expected to

support ASHAs on the

contents of module 6 & 7,

so, it is suggested that

state may cover the

training input of this

proposed training with the

proposed ASHA

Facilitators training

(proposed under

B.1.1.1.4.3).

• AF training already

proposed on Module 6 &

7 and on performance

monitoring.

B1.1.

1.4.5 ASHA Varosa Divas

165.82 126.02

APPROVED as per

2012-13 expenditure

(76%).

State is advised to notify

this date for clearing all

monthly dues of ASHAs

using already notified

integrated ASHA

Incentive Package.

B1.1.

1.4.6

Capacity

Development

Training ARC

personals

No.

of

Batc

h

4 70783.

00 2.83 2.83

Approved. Ongoing

activity.

B1.1.

2

Procurement of

ASHA Drug Kit 14734

1150.0

0 84.72

B1.1.

2.1 New Kits 0.00


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

2.2 Replenishment

No.

of

ASH

A /

times

7367 350.00 25.78 0.00

May be replenished

from SC, PHC and

CHC. For budget please

see B. 16.2.5.1. Ongoing

activity.

B1.1.

2.3

Procurement of

ASHA HBNC Kit 7367 800.00 58.94 0.00

B1.1.

2.4 New Kits 0.00

B1.1.

2.5 Replenishment

No.

of

ASH

A

7367 800.00 58.94 22.10

Approved @ Rs 300.00..

Ongoing activity.

Weighing scale with sling

was distributed to all

ASHAs in 2011 and

mercury thermometer

(manual) was given to all

ASHAs in 2008 as a part

of ASHA drug kit.

B1.1.

3

Performance

Incentive/Other

Incentive to ASHAs

(if any)

414130 11166

5.00 790.79

B1.1.

3.1

Incentive under MH

(ANC/PNC) 88404 200.00 176.81

B1.1.

3.1.1

Incentive for ASHA

for VHND 88404 200.00 176.81 0.00

Not approved. New

activity.

Already approved above

under MH for organizing

VHNDs @ Rs 1000/

VHND out of which Rs

200/- to be given as

incentive to ASHA for

mobilizing PW and

children as per due list to

the session site

B1.1.

3.1.2 MCP card entry 0.00

B1.1.

3.1.3 0.00

B1.1.

3.2

Incentive under CH

(HBNC) 108546 500.00 173.33


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

3.2.1

New born home visit

No.

new

born

31544 250.00

78.86 71.60

Approved. Ongoing

activity.

Total estimated rural live

births are 40922. State

must cover 70% (28645)

of these rural live births

under HBNC.

B1.1.

3.2.2

Mobilization of

beneficiary in

immunization

Per

sessi

on

34944 150.00 52.42 0.00

Not approved.

State should propose this

budget under

Immunization

B1.1.

3.2.3 Full Immunization

Per

child 42058 100.00 42.06 0.00

Not approved.


budget under

Immunization

B1.1.

3.3

Incentive for FP(

PPIUCD/others) 41944

2000.0

0 258.22

B1.1.

3.3.1

Ensuring spacing of

2 year after marriage

Bene

rficia

ry

No.

25226 500.00 126.13 126.13

Approved.

B1.1.

3.3.2

Ensuring spacing of

3 year after marriage

Bene

rficia

ry

No.

7018 500.00 35.09 35.09

Approved.

B1.1.

3.3.3

Permanent method of

FP after 2 children

Bene

rficia

ry

No.

9700 1000.0

0 97.00 0.00

Not approved.

B1.1.

3.4 Incentive for AH 0.00

B1.1.

3.5 Other incentive 127063 550.00 122.47

B1.1.

3.5.1

Incentive to ASHA

for death reporting of

all ages

No.

of

case 9191 50.00 4.60 4.60

Approved. Ongoing

activity.

This may be considered as

per GoI guideline @ Rs.

50 and budget recasted

B1.1.

3.5.2

IPC in breastfeeding

week

No.

of

ASH

A

7367 100.00 7.37 0.00 Not approved. New

activity.


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

3.5.3

IPC in new born

week

No.

of

ASH

A

7367 100.00 7.37 0.00 Not approved. New

activity

B1.1.

3.5.4

IPC in world

population day

No.

of

ASH

A

7367 100.00 7.37 0.00 Not approved. New

activity

B1.1.

3.5.5 IPC in world TB day

No.

of

ASH

A

0.00

B1.1.

3.5.6

IPC in world matri

surakshya divas

No.

of

ASH

A

0.00

B1.1.

3.5.7

Mobilization in

Kanya Surakshya

Abhiyan

No.

of

ASH

A

0.00

B1.1.

3.5.8

Community Meeting

Sasthya Gram Sabha

No.

of

ASH

A

7367 100.00 7.37 0.00 Not approved

B1.1.

3.5.9

Facilitating VHSNC

Meeting

No.

of

ASH

A

88404 100.00 88.40 0.00

Not approved.

VHSNC untied fund may

be used for it.

B1.1.

3.5.1

0

0.00

B1.1.

3.5.1

1

Workshop of State

and District QAC

members (1) Budget

for monitoring

activities by QA cell

(lumpsum)

0.00

B1.1.

3.5.1

2

Different level

review meeting

0.00

B1.1.

3.6

Other (support

provisions to ASHA

such as uniform,

diary, ASHA Ghar

etc)

48173 10841

5.00 59.96


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

3.6.1 Flip Chart for ASHA

No.

of

ASH

A &

Facil

itator

7800 120.00 9.36 7.80

Approved for ASHA

diary @ Rs 100.00 for

7800 ASHA and ASHA

facilitator.

Ongoing activity.

B1.1.

3.6.2

Sari and Pachra for

ASHA & ASHA

facilitator

No.

of

ASH

A &

Facil

itator

7767 480.00 37.28 0.00

Not approved. Ongoing

activity.

Uniform to ASHAs

(Saree & Pachra) was

given to all ASHAs was

approved in RoP 12-13.

Last year‟s utilization 0

till Nov‟12.

B1.1.

3.6.3

ASHA convention at

Dist. Level

No.

of

dist.

8 10730

0.00 8.58 0.00

Not approved.

B1.1.

3.6.4

Printing of HBNC

format

No.

of

form

31544 15.00 4.73 4.73 Approved.

B1.1.

4

Awards to

ASHA's/Link

workers

No.

of

ASH

A

1054 500.00 5.27 0.00 Not approved.

B1.1.

5

ASHA Resource

Centre/ASHA

Mentoring Group

416 13200.

00 152.45

B1.1.

5.1 HR At State Level

Man

powe

r

1 3.40 1.58

Approved. On-going

activity.

For existing post with 5%

increment on last year‟s

salary.

Approved for 6 six month

and continuation for the


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

next six months would be

contingent on compliance

of condition that

Performance

Measurement system is

set up and implemented to



staff.

B1.1.

5.2

HR at District Level

ASHA coordinator /

programme manager

at district level, sub

divisional level as

community mobilise

for ASHA

Man

powe

r

15 25.58 12.26

Approved

On-going activity



salary.





of condition that

Performance





staff.

B1.1.

5.3

HR at Block Level

ASHA Facillitator

Man

powe

r

400 13200.

00 52.80 25.20

Approved (on-going

activity) for existing post

with 5% increment on last

year‟s salary.





of condition that

Performance





staff.


S.

No. Budget Head

Unit

of

Mea

sure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

5.4

Mobility Costs for

ASHA Resource

Centre/ASHA

Mentoring Group

(Kindly Specify)

70.67 64.67

Approved.

Software for ASHA not

approved.

ASHA SUB

TOTAL 1448.04 525.99


UNTIED FUNDS/ RKS/ AMG


Timely release of untied funds to all facilities; differential allocation based on case load. Funds

to be utilized by respective RKS only and not by higher levels.

Review of practice of utilising RKS funds for procurement of medicines from commercial

medical stores and accordingly revisit guidelines for fund utilisation by RKS.

Well functioning system for monitoring utilization of funds as well as purposes for which funds

are spent.

Plan for capacity building of RKS members developed and implemented.

RKS meetings to take place regularly.

Audit of all untied, annual maintenance grants and RKS funds.

The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan

Samitis and other community! PRI institutions at all levels

The State shall ensure regular meetings of all community Organizations! District! State Mission

with public display of financial resources received by all health facilities

The State shall also make contributions to Rogi Kalyan Samitis

DETAILED BUDGET:

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B2 Untied Funds 191

1

95000.0

0 215.55

B2.1 Untied Fund for

CHCs/SDH

No.

of

CH

C/S

DH

30 50000.0

0 15.00 11.50

Approved.

Approval given for 12CHC

and 11 SDH (as per RHs

2012) as per last utilization

in the year 2012-13 till 4th

Quarter ending (100%

Utilization) .

B2.2 Untied Fund for PHCs

No.

of

PH

C 83

25000.0

0 20.75 19.35

Approved.

Approval given for 79 PHCs

(as per RHS 2012) as per last

utilization in the year 2012-

13 till 4th Quarter ending

(98% Utilization).

B2.3 Untied Fund for Sub

Centres

No.

of

SC 760

10000.0

0 76.00 68.30

Approved.

Approval given for 719 SC




S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


(95% Utilization).

B2.4 Untied fund for VHSC

No.

of

VH

SC

103

8

10000.0

0 103.80 87.19

Approved for 1038 VHSNC

as per last utilization in the

year 2012-13 till 4th Quarter

ending (84% Utilization).

B2.5 Others 0.00

UNTIED FUND SUB

TOTAL 215.55 186.34


NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP


Works must be completed within a definite time frame. For new constructions up to CHC level, a

maximum of two & half years and for a District Hospital a maximum period of three & half years is

envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be

rejected accordingly. Funds would not be permissible for constructions/ works that spill over beyond

the stipulated timeframe.

Standardized drawing/ detailed specifications and standard costs must be evolved keeping in

view IPHS.

Third party monitoring of works through reputed institutions to be introduced to ensure

quality.

Information on all ongoing works to be displayed on the NRHM website

Approved locations for constructions/ renovations will not be altered

All government health institutions in rural areas should carry a logo of NRHM as

recognition of support provided by the Mission in English/ Hindi & Regional languages.

DETAILED BUDGET:

S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B5

New Constructions

(proposed for the

coming year)

61 2650000

0.00 2484.92

B5.1 CHCs 0.00

B5.2 PHCs

No.

of

PHC

1 5000000

.00 100.00 50.00

Approved. New activity.

Rs 50 L approved for

Lufunga PHC (Total Project

cost Rs 597.63). State to

submitt DPR and appropriate

justification for a new PHC

at Lufunga.

Ghorkkappa PHC is not

approved in second

supplementary ROP 2012-


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

13. To be managed by state

funding.

B5.3 SHCs/Sub Centres 50 1500000

.00 750.00 0.00

Approval pended.

Details of individual 50 SC

are not provided. State to

provide the list of new SCs

proposed.

• Further 100 Nos. of SCs

were approved during 11-12

in which the state has

modified the place of SC

construction against the GoI

approved list, the status of

these 100 SC construction

must be shared.

B5.4

Setting up

Infrastructure wing

for Civil works

0 0.00 0.00

B5.4.

1 Staff at State level 0.00

B5.4.

2 Staff at District level 0.00

B5.5 AYUSH warehouse

in 4 new district

No.

of

Ware

hous

e

5 1000000

0.00 500.00 0.00

Not approved. New

activity.

B5.6

Construction of

BEmONC and

CEmONC centres

0 0.00 0.00

B.5.6

.1

Absolutely new

SNCU/NBSU/NBCC 0.00


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.5.6

.2

Carry forward

/Spillover from

previous year‟s

sanction for SNCU,

NBSU, NBCC

0.00

B.5.6

.3

Additional

requirement for

SNCU, NBSU,

NBCC

0.00

B.5.7

Major civil works for

operationalization of

FRUS

0.00 0.00

B.5.8

Renovation of

Madhupur,

Maharani,

Raishyabari, 82 Mile

and Ganga Nagar

PHC

525.00 0.00

Rs 150 L approved in first

supplementary 2012-13.

However State mentions no

money has been released.

Rs 150.00 L is revalidated

as committed unspent

balance by the state.

B.5.9

Civil Works for

Operationalising

Infection

Management &

Environment Plan at

health facilities

0.00

B.5.1

0

Infrastructure of


--

5 1000000

0.00 559.92

B.5.1

0.1

1. Up gradation of

ANM Training

Institute at Udaipur

and Kailasha (Rs100

L proposed, Total

Project cost Rs 1000

L)

2. Construction of

ANM Training

Institute at Kulai

(Rs 50 L proposed,

Total Project cost Rs

No.

of

AN

M

traini

ng

Inst.

3 5000000

.00 459.92 0.00

Approval pended for Rs

150 proposed for Up

gradation and construction

of ANM Training

Institutes. New activity.

The state needs to share a

comprehensive plan for

strengthening of ANM

/GNM Schools as per GoI

Guidelines and Road Map

for strengthening pre-service

education on Nursing and

midwifery. Institute wise gap


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

500 L)

3. Construction of

SIHFW

analysis on infrastructure,

equipments, training of

nursing tutors as per road

map and activity proposed

needs to be shared.

Ongoing activity. For

SIHFW Rs 125 L approved

in 2009-10, Rs 350 L in

2010-11, Rs 400 L in 2011-

12 and Rs 100 L in 2012-13.

Total project cost was Rs

975 L. Hence, total amount

for SIHFW is already

approved. Any cost

overrun to be met by the

State.

B.5.1

0.1.1

Additional Building/

Major Upgradation

of existing Structure

0.00

B.5.1

0.1.2 Repair/ Renovation 0.00

B.5.1

0.1.3

Spillover of Ongoing

Works 0.00

B.5.1

0.1.4

Quarters and

hostels/residential

facilities

0.00

B.5.1

0.1.5

New Training

Institutions/School

(SIHFW/GNMTC/A

NMTC etc)

No.

of

Instit

ute

2 5000000

.00 100.00 0.00

Approval pended.





Guidelines and Road Map for

strengthening pre-service







needs to be shared.


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.5.1

1 SDH 50.00 0.00 Not approved.

B.5.1

2 DH 0.00

NEW

CONSTRUCTION

SUB TOTAL

2484.92 50.00


PROCUREMENT


Strict compliance of procurement procedures for purchase of medicines, equipments etc as per

state guidelines.

Online real time inventory management to be practiced.

Competitive bidding through open tenders and transparency in all procurements to be

ensured.

Only need based procurement to be done strictly on indent/requisition by the concerned facility.

Procurement to be made well in time & not to be pushed to the end of the year.

Audit of equipment procured in the past to be carried out to ensure rational deployment.

Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.

A system for preventive maintenance of equipment to be put in place.

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

indicative for the purpose of estimations. However, the actual expenditure must be incurred

after following rules and due processes. The competitive and transparent bidding should be

ensured as well as only need based procurement must take place

DETAILED BUDGET:

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.16 PROCUREMENT

603

195

7

24340.5

0 934.99

B16.

1

Procurement of

Equipment 361

24200.0

0 185.43

B16.

1.1 Procurement of

equipment: MH 141

23000.0

0 14.10

B16.

1.1.1

Equipments for Blood

Banks/ BSUs 0.00

B16.

1.1.2

MVA /EVA for Safe

Abortion services

No.

of

ite

m

94 7000.00 6.58 2.35

Approved @ Rs 2500 for

MVA kit for 94 kits for

procuring MVA kits

B16.

1.1.3 Others (please specify) 47

16000.0

0 7.52

B16.

1.1.3Fetoscope

No.

of 0.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.1 ite

m

B16.

1.1.3

.2

Hemoglobinometer

No.

of

ite

m

0.00

B16.

1.1.3

.3

BP aperatus

No.

of

ite

m

0.00

B16.

1.1.3

.4

Oxygen Cylinder with

trolly

No.

of

ite

m

47 16000.0

0 7.52 7.52

Approved for 47 Oxygen

trolley's @ Rs 16000/ unit

B16.

1.1.3

.5

Pregnency Test Kit

No.

of

kit

0.00

B16.

1.1.3

.6

0.00

B16.

1.1.3

.7

0.00

B16.

1.1.3

.8

0.00

B16.

1.1.3

.9

0.00

B16.

1.1.3

.10

0.00

B16.

1.2 Procurement of

equipment: CH 200 800.00 1.60

B16.

1.2.1

Baby weighing

machine

No.

of

ite

m

200 800.00 1.60 1.60 Approved.

B16.

1.2.2 Setting up new

NBCC 0.00 8.75

Approved. Budget shifted

from A.2.2.3.

B16.

1.2.3 0.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B16.

1.2.4 0.00

B16.

1.2.5 0.00

B16.

1.2.6 0.00

B16.

1.2.7 0.00

B16.

1.2.8 0.00

B16.

1.2.9 0.00

B16.

1.2.1

0 0.00

B16.

1.3 Procurement of

equipment: FP 20 400.00 0.08

B16.

1.3.1 NSV kits 0.00

B16.

1.3.2 IUCD kits 0.00

B16.

1.3.3 minilap kits

0.00

B16.

1.3.4 laparoscopes

Nu

mb

er

0.00

B16.

1.3.5 PPIUCD forceps

Nu

mb

er

20 400.00 0.08 0.08

Approved.

B16.

1.3.6 Other (please specify) 0 0.00 0.00

B16.

1.3.6

.1

0.00

B16.

1.3.6

.2

0.00

B16.

1.3.6

.3

0.00

B16.

1.3.6

.4

0.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B16.

1.3.6

.5

0.00

B16.

1.4 Procurement of

equipment: IMEP 0 0.00 0.00

B16.

1.4.1 Equipments 0.00

B16.

1.4.2 0.00

B16.

1.4.3 0.00

B16.

1.4.4 0.00

B16.

1.5

Procurement of

equipment other than

above

169.65

B16.

1.5.1 Manual Thermometer

No.

of

ite

m

200 50.00 0.10 0.10 Approved.

B16.

1.5.2

Semi Auto Analyzer

with Reagent 32.00 0.00

Not Approved.

Generic Procurement. Please

indicate facility-wise gap

analysis and the case load in

terms of IPD, N.D, C-section

etc before this can be

appraised.

B16.

1.5.3

Equipment for FRU &

Upcoming PHC &

CHC

94.05 0.00

Not Approved.


indicate detail break-up cost

along-with the service

delivery status of these

facilities

B16.

1.5.4 Dental Equipment

No.

of

ite

m

29 150000.

00 43.50 0.00

Not Approved.




terms of avaiability of

Dental doctor and no of

major/minor surgeries

conducted in these facilities

beofre the proposal is

appraised.


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B16.

1.5.5

Equipment of DH for

advance tretment

No.

of

Ho

spit

al

0.00

B16.

1.6 Equipments for

ARSH/ School Health 0 0.00 0.00

B16.

1.6.1

Equipments for ARSH

Clinics 0.00

B16.

1.6.2

Equipments for School

Health Equipments for

School Health

Screening (weighing

scale, Height

measurement scale and

Snellens‟ Charts)

0.00

5.40

Approved as per RBSK

guidelines, Pure tone

audiometer is not

recommended for mobile

health teams to begin with.

Equipments of DEICs would

only be recommended after

the DEICs are made

functional.

B16.

1.7 Equipments for

Training Institutes

B16.

1.8 Equipments for

AYUSH 0.00

B16.

1.9 Procurement of

Others/Diagnostics 0.00

B.16.

2

Procurement of

Drugs and supplies

603

159

6

140.50 749.56

B.16.

2.1 Drugs & supplies for

MH

405

310

0

100.25 15.12

B.16.

2.1.1

RTI /STI drugs and

consumables 0.00

B.16.

2.1.2

Drugs for Safe

Abortion 0.00

B.16.

2.1.3 Others (Please specify)

405

310

0

100.25 15.12

B.16.

2.1.3

.1

Misoprostol Kit

No.

of

Kit

500

0 100.00 5.00 5.00

Approved for 5000 kits@

Rs 100/-. Total amount

recommended for approval

is Rs 5.0 lakhs


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.16.

2.1.3

.2

IFA (large)

No.

of

tabl

et

404

810

0

0.25 10.12 10.12

Approved.

For additional 40.48

lakhtablets @ Rs 0.20 paisa/

tab . Total amount


Rs 10.12 lakhs. This is

addition to the funds for

drugs allocated uner JSSK

B.16.

2.1.3

.3

0.00

B.16.

2.1.3

.4

0.00

B.16.

2.1.3

.5

0.00

B.16.

2.1.4 RPR Kits 0.00

B.16.

2.1.5

Whole blood finger

prick test for HIV 0.00

B.16.


CH

300

00 40.00 12.00

B.16.

2.2.1

Drugs & Supplies for

Child health

B.16.

2.2.2 Zink Syrup

No.

of

Bot

tle

300

00 40.00 12.00 12.00

Approved.

However State should

propose the budget for

dispersible Zinc tablets rather

than Zinc syrup. Draft

calucation of doses is as

follows: Under 5year

children population (approx

10% of total popoulatyion of

the diatrict) x 1.7 (diarrheal

episodes per child per year) x

40% of above two multiplier

x 14 tablets ( of zinc for

every episode of diarrhea )

B.16.

2.2.3 0.00

B.16.

2.2.4 0.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.16.

2.2.5 0.00

B.16.


FP 0 0.00 0.00

B.16.

2.3.1 0.00

B.16.

2.3.2 0.00

B.16.

2.3.3 0.00

B.16.

2.3.4 0.00

B.16.

2.3.5 0.00

B.16.

2.4 Supplies for IMEP 0 0.00 0.00

B.16.

2.4.1 Consumables 0.00

B.16.

2.4.2 0.00

B.16.

2.4.3 0.00

B.16.

2.4.4 0.00

B.16.

2.4.5 0.00

B.16.

2.5

General drugs &

supplies for health

facilities

0 0.00 461.06

B.16.

2.5.1 IPD 461.06 25.78

Rs 25.78 approved for

replenishment of ASHA

drug kit. Budget shifted

from B.1.1.2.2.

Approval Pended.

For Rs 461.06 L proposed

under B.16.2.5. The state

need to clarify the following

:

1) Whether State has notfied

a policy of free drugs for all

B.16.

2.5.2 OPD


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

patients both OPD and IPD.

2) Contribution under state

budget for IPD and OPD

drugs

3) Has Put in system in

place for procurement and

inventory management of

drugs including dispensing

of drugs to the health

facilities.

4) Whether differential EDL

based on the type and

functionality of the facility

has been prepared.

5) Proper system of storage

and dispensing is available at

the district level.

B.16.


WIFS

194

849

6

0.25 4.87

B.16.

2.6.1 IFA

No.

of

tabl

ets

194

849

6

0.25 4.87 4.87 Approved.

B.16.


B.16.


SHP 256.51

148.72

Approved.

Rs 148.72 lakhs

recommended for approval -

29.51 lakhs for IFA small :

354742 student X 52 tablet X

0.16 = Rs. 29.51 Lakh, IFA

Syrup @ Rs.30 amounting

Rs. 55.50Lakh, Albendazole

Syrup @ Rs.8 amounting Rs.

59.50 Lakh and Rs 4.5 lakhs

for on the spot management

of children for RBSK @ Rs

30000 for 15 teams.

Conditionality RBSK

medicines procurement only

to follow RBSK EDL to be


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

announced by MoHFW

shortly.

B.16.


UHCs 0.00

B.16.


AYUSH 0.00

PROCUREMENT

SUB TOTAL 934.99 232.29


MOBILE MEDICAL UNIT (MMU)


Route chart to be widely publicized.

GPS to be installed for tracking movement of vehicles

Performance of MMUs to be monitored on a monthly basis (including analysis of number

of patients served and services rendered).

MMUs to be well integrated with Primary Health Care facilities and VHND.

Engagement with village panchayats / communities for monitoring of services. AWCs to

be visited for services to children below 6 years of age

AWCs to maintain record of services rendered

Service delivery data to be regularly put in public domain on NRHM website.

A universal name „National Mobile Medical Unit‟ to be used for all MMUs funded under

NRHM. Also uniform color with emblem of NRHM (in English/ Hindi & Regional

languages), Government of India and State Government to be used on all the MMUs.

DETAILED BUDGET:

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B11

Mobile Medical Units

(Including recurring

expenditures)

5 2568650

.00 100.03

B11.

1.1 Capex

No.

of

Dis

t

0.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B11.

1.2 Opex

No.

of

M

M

U

4 2478250

.00 99.13 0.00

Approval Pended (On-going

Activity) subject to State

implementing „National

MMU Guidelines‟ for all the

running MMUs under

NRHM.

B11.

1.3 HR 0.00

B11.

1.4 Training/orientation

Bat

ch 1

90400.0

0 0.90 0.00

Approval Pended (New




running MMUs under

NRHM.

B11.

1.5 Others 0.00

B11.

1.5.1 0.00

B11.

1.5.2 0.00

B11.

1.5.3 0.00

B11.

1.5.4 0.00

B11.

1.5.5 0.00

B11.

2

Mobile Medical Vans

(smaller vehicles) and

specialised Mobile

Medical Units

0 0.00 0.00

B11.

2.1 Capex

B11.

2.2 Opex 0.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B11.

2.3 HR 0.00

B11.

2.4 Training/orientation 0.00

B11.

2.5 Others

B11.

2.5.1

Installation of GPS for

tracking movement of

MMU vehicles @

Rs.1.70 Lakh

0.00

B11.

2.5.2

Display of approved

design and colour

scheme on all MMUs

under „NMMU‟

0.00

B11.

2.5.3 0.00

B11.

2.5.4 0.00

B11.

2.5.5 0.00

MMU SUB TOTAL 100.03 0.00


REFERRAL TRANSPORT


Free referral transport to be ensured for all pregnant women and sick neonates accessing public

health facilities.

Universal access to referral transport throughout the State, including too difficult and hard to reach

areas, to be ensured.

A universal toll free number to be operationalized and 24x7 call centre based approach adopted.

Vehicles to be GPS fitted for effective network and utilization.

Rigorous and regular monitoring of usage of vehicles to be done

Service delivery data to be regularly put in public domain on NRHM website.

All patient/referral transport vehicles engaged under NRHM to be branded as National Ambulance

Service and NRHM logo should be used extensively.

DETAILED BUDGET:

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B12

Referral

Transport/Patient

transport System

327 1074900

0.00 715.59

B12.

1

Ambulance/EMRI

Capex 65

1650000

.00 433.00

B12.

1.1

State basic ambulance/

102 Capex

No.

of

Am

bul

anc

e

62 650000.

00 403.00 0.00

Total amount

recommended for

revalidation is Rs 270.50

lakhs.

Recommended for

Revalidation for 37 BLS

ambulances and 3 ALS

ambulances @ Rs 6.5 lakhs

for BLS ambulances and 3

ALS ambulances@ Rs 10.00

lakhs.


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B12.

1.2

Advanced life support

Capex

No.

of

Am

bul

anc

e

3 1000000

.00 30.00 0.00

Conditionality:

1) All these ambulances need

to be Linked to a centralized

call center

2) Needs to be GPS fitted

and should be re-stickered

and changed as per National

Ambulance service

guidelines.

3)State should also plan to

bring 15-20 State

ambulances under the

integrated network to create

a consolidated pool of 55-60

ambulances which is linked

to centralized call cente and

catering to RT needs

4) Should also cover PW

and infants as per expanded

JSSK to be catered to.

(on-going activity)

B12.

1.3 EMRI Capex-BLS 0.00

B12.

1.4 EMRI Capex-ALS 0.00

B12.

2

Operating Cost /Opex

for ambulance 262

9099000

.00 282.59

B12.

2.1

State basic

ambulance/102 Opex

No.

of

Si

m

car

d

62 500.00 0.31

B12.

2.2

Operating Cost /Opex

for ASL ambulance

No.

of

Si

3 500.00 0.02


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

m

car

d

B12.

2.3 Opex EMRI-BLS 0.00

B12.

2.4 Opex EMRI-ALS 0.00

B12.

2.5 HR Basic ambulance

No.

of

HR

124 114000.

00 141.36 0.00

Recommended for

revalidation of Rs 84.36

lacs for HR for BLS

ambulances (Driver and

EMT 2 each for 37 BLS

vehicles for 6 months),

However funds for salary

of HR for 37 BLS

ambulances to be utilized

out of JSSK RT fund

approved above under

JSSK

B12.

2.6

HR advanced life

support ambulances

No.

of

HR

6 114000.

00 6.84 0.00

Recommended for


lacs for HR for ALS


EMT 2 each for 3ALS

vehicles for 6

months),However funds for

salary of HR for 3 ALS


out of JSSK RT fund


JSSK

B12.

2.6 Training/orientation 0.00

B12.

2.7 Call centre-capex

No.

of

Cal

l

cen

tre

1 5115000

.00 51.15 0.00

Recommendation for re-

validation for Rs 51.15

lakhs as CAPEX cost for

call centre.

B12.

2.8 call centre-opex

No.

of

Cal

l

cen

1 3611000

.00 36.11 0.00

Approval Pended (on-going

activity) subject to State


Ambulance Service

Guidelines‟ for all the


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

tre running Ambulances under

NRHM

B12.

2.9 Others 65

144000.

00 46.80

B12.

2.9.1

Pol for BLS

Ambulances @ Rs 40 /

per / litre X 10 ltr X 30

Days X 6 month

No

of

Am

bul

anc

es

62 72000.0

0 44.64 0.00




Ambulance Service


running Ambulances under

NRHM

B12.

2.9.2

Pol for ALS

Ambulances @ Rs 40 /

per / litre X 10 ltr X 30

Days X 6 month

No.

of

Am

bul

anc

es

3 72000.0

0 2.16 0.00




Ambulance Service



NRHM

B12.

2.9.3

Referral Transport for

general patient & POL 0.00

B12.

2.9.4 0.00

B12.

2.9.5 0.00

B12.

2.9.6 0.00

B12.

2.9.7 0.00

B12.

2.9.8 0.00

B12.

2.9.9 0.00

B12.

2.9.1

0

0.00

REFFERAL

TRANSPORT SUB

TOTAL

715.59 0.00


MAINSTREAMING OF AYUSH


State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two

streams: Ayurveda and homoeopathy (or Unani, siddha,Yoga as per the local demand). Panchakarma

Unit should also be considered.

OPD in Ayush clinics will be monitored along with IPD/OPD for the facility as a whole.

The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.

Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable them

to practice their own system of Medicine without difficulty.

At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered

depending on local preference.

At CHC/PHC level, Post-Graduate Degree may not be insisted upon.

District Ayurveda Officer should be a member of District Health Society in order to participate in decision

making with regard to indent, procurement and issue of AYUSH drugs.

Infrastructure at facilities proposed to be collocated would be provided by Department of Ayush.

Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM

should be given priority for collocation of Ayush as these are functional facilities with substantial

footfalls.

Ayush medical officers should increasingly be involved in the implementation of national health

programmes and for the purpose of supportive supervision and monitoring in the field. They should

be encouraged to oversee VHND and outreach activities and in addition programmes such as school

health, weekly supplementation of iron and folic acid for adolescents, distribution of

contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.

Ayush medical officer should also be member of the RKS of the facility and actively participate in

decision making.

AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter

in better served areas.


DETAILED BUDGET:

S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B9 Mainstreaming of

AYUSH 329 0.00 746.48

B.9.1

Medical Officers at

CHCs/ PHCs (Only

AYUSH)

137 0.00 393.44

B.9.1

.1 DH

Num

ber 11 27.53 9.70

Approved only for existing

MOs with 5% increment on

2012-13 salary.

Approval of Salary of

AYUSH HR is granted for 6

months and continuation for

the next six months would be

contingent on compliance of

condition that Performance

Measurement system is set

up and implemented to



B.9.1

.2 FRUs

Num

ber 4 11.62 5.55



2012-13 salary.











B.9.1

.3

Non FRU SDH/

CHC

Num

ber 28 81.31 38.81



2012-13 salary.












S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.9.1

.4 24 X 7 PHC

Num

ber 77 223.61 106.72



2012-13 salary.











B.9.1

.5

Non- 24 X 7 PHCs/

APHCs

Num

ber 17 49.37 23.57



2012-13 salary.











B.9.2

Other Staff Nurses

and Supervisory

Nurses/ AYUSH

pharmacists (Only

AYUSH)

60 0.00 69.17

B.9.2

.1 DH

Num

ber 6 6.18 1.31


HR with 5% increment on

2012-13 salary.












S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.9.2

.2 FRUs

Num

ber 1 1.38 0.65



2012-13 salary.











B.9.2

.3

Non FRU SDH/

CHC

Num

ber 16 18.93 6.58



2012-13 salary.











B.9.2

.4 24 X 7 PHC

Num

ber 28 33.91 12.51



2012-13 salary.











B.9.2

.5 Non- 24 X 7 PHCs

Num

ber 1 1.38 0.65



2012-13 salary.






S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks







B.9.2

.6

Urban Clinics/

Health Posts 0 0.00

B.9.2

.7 Other Masseure

Num

ber 8 7.39 3.53



2012-13 salary.











B9.3 Other Activities

(Excluding HR) 112 0.00 272.70

B9.3.

1

Tele- Homoeopathy

project

54.60 54.60

Approved subject to

condition that outcome is

documented and shared.

B9.3.

2

Programme

management cost

7.32 7.32 Approved

B9.3.

3 Consumables

50.00 50.00 Approved

B9.3.

4 Drugs.

120.10 0.00

Not approved.

State to clarify whether the

amount sought for purchase

of drugs for collocated

facilities.

B9.3.

5

Contingency for

Collocated AYUSH

OPD

No.

of

facili

ty

112 40.68 40.68 Approved


S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B9.4 Training

No.

of

Batc

h

20 11.17 11.17 Approved

AYUSH SUB

TOTAL 746.48 373.35


IEC/BCC


Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter-

sectoral convergence particularly with WCD.

Details of activities carried out to be displayed on the website

DETAILED BUDGET:

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B10 IEC-BCC NRHM 0 0.00 302.53

Approved.

Ongoing activity.

Rs 56.60 L approved.

Approved @ Rs 3 L per

district (3L *8) and Rs 24 L

for state and Rs 8.6 L for

printing of WIFS and MH/

CH/ FP.

B.10

Strengthening of

BCC/IEC Bureaus

(state and district

levels)

0 0.00 14.00

B.10.

1

Development of State

BCC/IEC strategy 14.00

B.10.

2

Implementation of

BCC/IEC strategy 0 0.00 210.49

B.10.

2.1

BCC/IEC activities for

MH 0 0.00 18.91

B.10.


B.10.

2.1.2 Mid-media 10.15

B.10.

2.2


CH 0 0.00 25.56

B.10.



S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.10.

2.2.2 Mid-media 20.15

B.10.

2.3


FP 0 0.00 27.21

B.10.


B.10.

2.3.2 Mid-media 21.90

B.10.

2.4


ARSH 0 0.00 10.29

B.10.


B.10.

2.4.2 Mid-media 10.00

B.10.

2.5

Other activities (please

specify) 37.17

B.10.

2.6 IPC initiatives/tools 91.35

B.10.

3 Health Mela 11.00

B.10.

4

Creating awareness on

declining sex ratio

issue

57.44

B.10.

5 Other activities 0 0.00 9.60


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.10.

5.1

Printing of MCP cards,

safe motherhood

booklets etc

1.00 0.00

B.10.

5.2

Printing of WIFS cards

etc 1.00

B.10.

5.3 Other printing 0 0.00 7.60

B.10.

5.3.1 MH,CH,FP & ARSH 7.60

B.10.

5.3.2 World Population Day

B.10.

5.3.3 0.00

B.10.

5.3.4 0.00

B.10.

5.3.5 0.00

IEC/ BCC SUB

TOTAL 302.53 56.60


MONITORING AND EVALUATION (HMIS)/MCTS


Data is uploaded, validated and committed; data for the month available by the 15th of the following

month.

Uploading of facility wise data by the first quarter of 2012-13.

Facility based HMIS for all the districts (100%) to be implemented. HMIS data to be analysed,

discussed with concerned staff at state and district levels and necessary corrective action taken.

Program managers at all levels use HMIS for monthly reviews.

MCTS to be made fully operational for regular and effective monitoring of service delivery

including tracking and monitoring of severely anemic women, low birth weight babies and sick

neonates.

Pace of registration under MCTS to be speeded up to capture 100% pregnant women and children

Service delivery data to be uploaded regularly.

Progress to be monitored rigorously at all levels

MCTS call centre to be set up at the State level to check the veracity of data and service delivery.

DETAILED BUDGET:

S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15

Planning,

Implementation

and Monitoring

764 553200.

00 373.28

B15.

1

Community

Monitoring

(Visioning

workshops at state,

Dist, Block level)

63 540000.

00 14.20

B15.

1.1 State level 1

200000.

00 2.00 2.00 Approved


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15.

1.2 District level 2

50000.0

0 1.00 0.50 Approved for Dhalai district

B15.

1.3 Block level 4

40000.0

0 1.60 0.80

Approved for two blocks

selected in Dhalai district

B15.

1.4 Other 56

250000.

00 9.60

B15.

1.4.1

Two Days State level

Training of Trainers/

Managers Training

with all stakeholders

including represented

by pilot districts

(Khowai & Dhalai)

by SMT & State

Nodal Institution.

1 100000.

00 1.00 0.00

Not approved. State to

justify the proposal.

B15.

1.4.2

Development State

specific guidelines

including translation

& printing, prototype

tools, framework for

community

monitoring &

facilitation process

@ Rs. 10000/- for 21

committees.

21 10000.0

0 2.10 2.10 Approved.

B15.

1.4.3

Half yearly Meetings

of District Mentoring

Teams of pilot

districts.

4 5000.00 0.20 0.10 Approved for Dhalai district

B15.

1.4.4

3 days workshop of

VHSNC members of

10 GP/ADC villages

@ 7 members each

10 15000.0

0 1.50 1.50 Approved.

B15.

1.4.5

2 days workshop of 4

Block Planning &

Monitoring

Committees by

District & Sub-

4 20000.0

0 0.80 0.40

Approved for blocks in

Dhalai district


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

division PMSU.

B15.

1.4.6

One day Block

Providers Workshop

by District & Sub-

division PMSU

4 10000.0

0 0.40 0.20


Dhalai district

B15.

1.4.7

2 days Capacity

Building of 4 PHC

level Community

Monitoring

Committee members

@ 10 members each

4 20000.0

0 0.80 0.00 Not approved.

B15.

1.4.8

PHC Jan Samvad for

4 pilot PHCs 4

30000.0


B15.

1.4.9

Block Jan Samvad

for 4 pilot Blocks 4

40000.0


B15.

1.4.1

0

0.00

B15.

2 Quality Assurance 0 0.00 0.00

B15.

2.1

Quality Assurance

Committees at State

level

0.00

B15.

2.2

Quality Assurance

Committees at

District level

0.00

B15.

2.3

Grievance handling

system 0.00

B15.

2.4 Review meetings 0 0.00 0.00

B15.

2.4.1 State 0.00

B15.

2.4.2 District 0.00

B15.

2.4.3 Block 0.00

B15.

2.5 Others 0 0.00 0.00

B15.

2.5.1 0.00


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15.

2.5.2 0.00

B15.

2.5.3 0.00

B15.

2.5.4 0.00

B15.

2.5.5 0.00

B15.

3

Monitoring and

Evaluation 701

13200.0

0 359.08

B15.

3.1

Monitoring &

Evaluation / HMIS

/MCTS

106 0.00 141.48

B15.

3.1.1

HR for

M&E/HMIS/MCTS

Man

powe

r

106 141.48

67.76

Approved Rs. 67.76 lakhs for

six months for existing 105

positions. New positions are

not approved. Salary of

10HMIS Assistant @Rs.

12474/-PM for 13-14 i.e.10X

Rs 12474/-PM X 6 months

=7.48 Lacs & 6 HMIS

Assistant (under process 06)

@Rs.10800/-PM X 6 months

recruitment under process

=3.88 Lacs. HMIS Assistant

(CHC & PHC): Salary of 64

personals @Rs. 10972.5/-PM

for 13-14 i.e. 64 X Rs

10972.5/-PM X 6 months

42.13 Lacs & 25 (under

process) @Rs.9500/-PM X 6

month = 14.25 Lacs.5%

increment has been approved

as no incentive was provided

to these staff last year also.

B15.

3.1.2

MIS Consultant/

Manager/

Coordinators

0.00


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15.

3.1.3

Statistical Assistant/

Data Analyst 0.00

B15.

3.1.4

MIS/ M&E

Assistants 0.00

B15.

3.1.5 Data Entry Operators 0.00

B15.

3.1.6

Others (Please

specify) 0 0.00 0.00

B15.

3.1.6

.1

0.00

B15.

3.1.6

.2

0.00

B15.

3.1.6

.3

0.00

B15.

3.1.6

.4

0.00

B15.

3.1.6

.5

0.00

B15.

3.2

Computerization

HMIS and e-

governance, e-health

0 0.00 56.59

B15.

3.2.1

.a

HMIS Operational

Cost (excluding HR

& Trainings)

43.53

20.00

Appproved.

Recommended, Rs.20 Lakhs

initially, since State could not

spend a large part of budget

allocated under this activity in

2012-13. State may come up

with supplementary PIP along

with expenditure incurred.

B15.

3.2.1

.b

Procurement of

Computers/ printers/

cartridges etc.

9.30

2.70

Approved.

Recommended Rs. 2.70 lakhs

(Desktop @Rs.50,000 X 5 HI=

2,50,000 and 4 Scanners @ Rs.

5000/-= 20000) subject to,

continued facility based

reporting without data

uploading delay on HMIS

portal and improvement in


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

data quality thereof. Laptops

not recommended.

B15.

3.2.1

.c

Maintenance of

Computers/ AMC/

etc.

0.00

B15.

3.2.1

.d

Other Office and

admin expenses 0 0.00 3.76

B15.

3.2.1

.d.1

Mobile Bill for

regular

communication

3.76 3.76

Approved.

On-going activity.

Approved Rs 3.76 Lakh @

Rs. 400 per month for HMIS-

MCTS unit of State / District/

Sub-District & Rs. 200 per

month for PHC / CHC MCTS

Unit subject to improvement in

data reporting on HMIS and

MCTS portals.

B15.

3.2.1

.d.2

0.00

B15.

3.2.1

.d.3

0.00

B15.

3.2.1

.d.4

0.00

B15.

3.2.1

.d.5

0.00

B15.

3.2.2

.a

MCTS Operational

Cost (excluding HR

& Trainings)

0 0.00 24.84

B15.

3.2.2

.b

Procurement of

Computers/ printers/

cartridges etc.

18.00 18.00 Approved.

B15.

3.2.2

.c

Maintenance of

Computers/ AMC/

etc.

0.00


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15.

3.2.2

.d

Other Office and

admin expenses 6.84

0.00

Not Approved.

Not approved for mobile

charges since the linked

proposal of procurement of

mobile phones for ANMs /

MPWs at 800 Sub Centres

earlier proposed in B15.3.2.2.b

has been dropped. State may

share the details of mobile

application with MoHFW.

B15.

3.3

Other M & E

Activities 595

13200.0

0 136.17

B15.

3.3.1 HMIS Training 10.98

0.72

Approved.

Approved Rs.0.72 Lacs @ Rs

300 per day per person for 1

training per person per year

based on costing for 3 days

combined training for HMIS

and MCTS. Amount approved

is indicative figure and actual

amount would be based on

actual

B15.

3.3.2 MCTS Training 28.71

B15.

3.3.3

Mobility Support for

HMIS/ MCTS 16.51 1.05

Approved.

Approved Rs. 1.05 Lacs @ Rs

10000 per district and Rs

25000 for State level per

annum subject to outcome

reports in respect of HMIS &

MCTS being shared with

MoHFW. Amount approved is

indicative figure and actual


actual expenditure

B15.

3.3.4

Review Meetings for

HMIS 2.89

2.89

Approved.

Approved Rs. 2.89 Lakh for

combined 1 day review of

HMIS & MCTS for at least 2

reviews every year at State

level, 1review every quarter at

District level and 1 review

every month at Block level.

TA / DA and other expenditure

should be as per extant rules.

B15.

3.3.5

Review Meetings for

MCTS 0.00


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15.

3.3.6

Data Validation Call

Centers - CAPEX 13.10

9.00

Approved.

Approved Rs 9.00 Lakh on

outsourcing basis @ Rs 15000

per call agent per month

inclusive of all charges

(CAPEX + OPEX) for 3 call

agents subject to the condition

that the details of all the

ANMs / ASHAs and

beneficiaries on MCTS portal

will be validated. This is an

indicative figure and actuals

will be as per actual

expenditure. State should

outsource the activity on the

basis of competitive bidding

following Government

Protocols.

B15.

3.3.7

Data Validation Call

Centers - OPEX 27.80

B15.

3.3.8

e-Governance

Initiative 0.00

B15.

3.3.9

Hospital

Management

Softwares

0.00

B15.

3.3.1

0

Others 595 13200.0

0 36.18

B15.

3.3.1

0.1

Establishment of

SWAN

B15.

3.3.1

0.2

Advertisement of

MCTS

No.

of

Adve

rtise

555 6000.00 33.30

0.00

Not Approved.

May be taken under IEC/BCC

fund.

B15.

3.3.1

0.3

Advertisement in

News Paper on

ADHAR

No.

of

Adve

rtise

40 7200.00 2.88

0.00 Not approved. May be taken

under IEC/BCC fund.

B15.

3.3.1

0.4

0.00


S.

No. Budget Head

Unit

of

Mea

sure

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B15.

3.3.1

0.5

UNDISTRIBUTED

FUND 0.00

PLANNING,

Implementation

and Monitoring

SUB TOTAL

373.28 133.48


OTHERS

BUDGET: HOSPITAL STRENGTHENING

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B.4.1 Up gradation of CHCs,

PHCs, Dist. Hospitals 5

1000000

0.00 2755.28

B4.1.

1 District Hospitals 0 0.00 0.00

B4.1.

1.1


Major Upgradation of

existing Structure

0.00

B4.1.

1.2 Repair/ Renovation 0.00

B4.1.

1.3


Works 0.00

B4.1.

1.4 Staff Quarters 0.00

B4.1.

2 CHCs 0 0.00 50.00

B4.1.

2.1



existing Structure

0.00

B4.1.


B4.1.

2.3


Works of Rajnagar

PHC to CHC

50.00 50.00

Approved.

Ongoing activity.

As per the ROP 12-13 total

project cost is Rs. 461.24L.

However, project cost shown

in 2013-14 PIP annexure is Rs

416.24 lakhs. Rs 50 lakh

approved in 2012-13.

State needs to clarify the

correct total project cost and

also share the detail physical

progress of the project.

B4.1.


B4.1.

3 PHCs 4

5000000

.00 2610.93


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B4.1.

3.1

Additional building/

major upgradation of

existing structure

(New building of

existing PHC

Mungiakami,

Dhanarpur and

Maharani, ongoing

upgradation of Shantir

Bazar PHC to CHC,

expansion of existing

Muhuripur PHC

No.

of

PH

C

3 5000000

.00 442.00 350.00

1) Ongoing activity.

Approved for Shantir Bazar

PHC. Total project cost Rs

2253.40 out of which in 2011-

12 Rs 438.83, in 2012-13 Rs

562.87 was approved.

Remaining amount Rs 250 L

approved for Shantir Bazar

PHC and hence total project

cost approved.

2) New activity.


Mungiakami PHC.

(total project cost Rs 597.63L)

3) New activity


Dhanarpur PHC (total project

cost Rs 597.63L )

Not approved for expansion of

existing Mhuripur PHC.

B4.1.

3.2 Repair/ Renovation

No.

of

PH

C

1

B4.1.

3.3


Works 1195.81 894.24

Approved. Ongoing activity.

Approved for ----

1) Construction of 9 new

PHC- Taxapara, Baishnabpur,

Ratanpur(S), Rajkandi,

Muraibari, Bhaterbazar,

Lalcherra & Masli. and

Halaichara. (551.50 L).

2) Construction of new

building in existing PHC in

Karbook, Ambassa, Manikpur,

Dayarampara and kalachara

( 204.50 L)

3) Upgradation of PHC to

CHC in Kadamtala (138.24 L)

4) For Up gradation of PHC

to CHC as FRU in

Kherangbar Rs 301.57 L

may be revalidated as


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

committed unspent balance

by the state.

B4.1.

3.4 Staff Quarters

No.

of

PH

C

973.12 704.30

Approved.

Ongoing activity.

1. Rs 704.30 L approved for

ongoing upgradation of PHC

to IPHS in Bishramganj ,

Mandai, Muhuripur ,

Machamara, Khedacherra

2. Nakshipara PHC total

project cost Rs 230.64 out of

which Rs 42 L approved in

2012-13

Rs 42 L is revalidated as


by the state.

B4.1.

4 Sub Centres 0 0.00 10.35

B4.1.

4.1



existing Structure

0.00

B4.1.


B4.1.

4.3


Works 10.35 0.00

Rs 10.35 L approved in 2009-

10. However, fund not yet

released . Revalidated as


by the state.

B4.1.

4.4 ANM Quarters 0.00

B4.1.

5 Others (MCH Wings) 1

5000000

.00 59.00


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B4.1.

5.1

(Absolutely) New /

Rented to Own

Building

MCH wing in GBP

Hospital.

No.

of

MC

H

Wi

ngs

1 5000000

.00 50.00 0.00

Approval pended. New

activity. Proposal may be

revised for 30 beded MCH

wing.

DPR can be submitted.

Total project Cost proposed

Rs 4721.38 L, is on higher

side.

B4.1.

5.2

Additional

requirement from

previous work

0.00

B4.1.

5.3

Carry forward

/Spillover of Ongoing

Works

0.00

B4.1.

5.4 Other construction 0 0.00 9.00

B4.1.

5.4.1

Construction of Urban

& Rural Training

centre

0.00

B4.1.

5.4.2

Construction of Urban

Rural Training centre 0.00

B4.1.

5.4.3

AID to maintain

sustainability of ISO

certification of IGM

hospital (OPD

Registrer counter +

OPD Dispensary +

Medicine Store + 5

Lakh , Calibration of

Instrument &

equipments = 2 Lakh,

Bio-Medical Waste

Maagement = 2 Lakh,

Training on awareness

about internal audit &

ISO certification

among staff of IGM

hosital=1 lakh

9.00 9.00

Approved.

Rs 9.0 lakhs is recommended

for approval subject to next

year onwards, the activity will

be carried out by states own

quality assurance cell.


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B4.1.

5.4.4

Development of 3

DEIC one at State

Hospital two in

District hospitals.

0.00 75.00


from A4.2.5.3.

Rs 75 lakhs is approved for 3

DEICs at Agartala (Khowai,

West tripura, Sipaitala and Part

of Dhalai); Gomoti DH

(Gomoti and South tripura)

and Unakuti (dist Unakuti,

North tripura and part of

Dhalai) @ Rs 25 lakhs per

DEIC as per RBSK guideline.

Conditionality ----State to

follow RBSK DEIC lay out

guidelines for developing the

DEICs. While proposing

DEICs it should be kept in

mind that the DEICS are in

DH where secondary and

tertiary support facility beyond

DEIC level support is

available for linkages.

B4.1.

5.4.5

B4.1.

6 SDH 0 0.00 25.00

B4.1.

6.1



existing Structure

25.00 0.00

Upgradation of Melaghar

SDH to FRU was approved

in 2012-13. Total project cost

of Rs.131.56 Lakhs.

Rs. 25.00 Lakhs is

revalidated as committed

unspent balance by the state.


S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B4.1.


B4.1.

6.3


Works 0.00

B4.1.


B 4.2

Strengthening of

Districts , Sub

Divisional Hospitals,

CHCs, PHCs

0.00

B.4.3 Sub Centre Rent and

Contingencies 0.00

B.4.4 Logistics

management/

improvement

0.00

HOSPITAL

STRENGTHENING

SUB TOTAL

2755.28 2082.54


BUDGET: DISTRICT HEALTH ACTION PLAN

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B7

Health Action Plans

(Including Block,

Village)

54 272000.

00 19.40

B7.1 State

No.

of

Pla

n

1 150000.

00 1.50 1.50

Approved.

B7.2 District

No.

of

Pla

n

8 100000.

00 8.00 4.00

Approved.

Development of District

Health Action Plan: 2014-15@

Rs.50,000/- for eight districts

B7.3 Block

No.

of

Pla

n

45 22000.0

0 9.90 9.90

Approved.

HEALTH ACTION

PLAN SUB TOTAL 19.40 15.40


INNOVATIONS

Telemedicine Proposal is supported with following recommendations:

A. Possibility of updating of technology to Cloud System may be explored with IIT Kharagpur Support

already in place, the task could be considered to be given to IIT-Kharagpur to implement effectively

saving extra expenditures incurred on travels etc.

B. The software is very old; hence, there is a need of updation and customization

C. The specifications and the Branded Products procurement is based on recommendations of DeitY

long time back and now with time and advancements in technology specifications have changed and

State may consider forming a Committee of Experts in Technology and medical professionals ( to

express function needs ) to decide about specifications, updation etc. and other departments for

procurement issues with removal of proprietary products and introduction of generic specifications and

the specifications have to be validated.

D. The bandwidth 512 kbps is too low, we get less in practical terms. Hence, it is suggested to have

minimum 2 Mbps.

E. From the proposal it is not evident if there is any central sorage. State may explore the option of

storing in State Data Center

F. TORs and Deliverables with Performance Appraisals system of HR may be put in place and

informed to MoHFW.mention of separate budget asked for supervision and project management-Need

rectification in the proposal

G. Audit and reporting system if proposed / in- place in the State may be specified.

H. State may inform if there are any Clinical Telemedicine Practice Guidelines that are being followed

by the State.

I. The Project management essential guidelines spells Return on Investment as the outcome measure

that can only be assessed, if there is a well defined built-in Evaluation Parameters at the initiation of the

project and the same may be incorporated

J. It is expected that the pilot projects lead to establishment of a standardized Tele-health system for the

state and scaling up does not need investment for the R&D.

K. The budget heads need a critical appraisal e.g. in all the budget heads Sl. No. 1-4 one can find

Service Tax without defining on which items its calculated, e.g. there shall not be any Service Tax on

Manpower, Technical Support etc.

L. In respect of replacements of OEMs, State may state the system in place for attempts made for

repairs of the equipment. If the repairs are under AMC / FMS ?. There must be guidelines in place to

certify whether a particular equipment is condemned, or a demand for it's replacement has been made.

M. There is new demand for Radiology equipments and AMC for old equipments: State may clarify if

they are being integrated into the Telemedicine platform to create a Tele-radiology network ? An agency


must have been provided AMC for DIT funded project- SLA document needs to be provided.

Performance assessment done – Report may be provided.

N. The percentage of AMC in some items shows 15 % which appears to be very high. May reconsider

as per prevailing norms.

O. Need AMC for every equipment integrated in the system may be re-looked e.g. certain items can be

purchased new when they go out of order than paying more on AMC. Some items can be repaired with

less cost than paying more AMC e.g. Sony Digital Camera

P. CMOS is preferred over CCD in digital pathology. State may consider it

Q. Soon NOFN based 100 mbps bandwidth connectivity shall be in place upto every Gram Panchayat

and this can be utilised for connecting all CHCs, PHCs into the Telemedicine Network and NKN for

Medical College and Tele-education and e-Health activities thereby taking off BSNL Connectivity

charges from the proposal as and when NKN and NOFN are available in respective institutions.

State is requested to ensure implementation of National Rural Telemedicine Network Pilot Project

supported under NOFN at CHC Panisagar with GMC, Tripura.

State may apprise MoHFW

R. Evaluation of the Telemedicine Project/s in place to be done and reports submitted to MoHFW.

S. Pilot Project of NOFN Project with CHC Panisagar in North Tripura District may be implemented

with all details and schedules system to be informed to MoHFW.

BUDGET: INNOVATIONS

S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B14 Innovations( if

any) 3467

725680.0

0 705.26

B14.

1

Intersectoral

convergence 0.00

B14.

2

Telemedicine

Project Cost 240.89 240.89

Approved with the

recommendations

mentioned in page 175-176.


S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B14.

3

Teleopthalmology

Project Cost

No.

of

cente

r

47 654780.0

0 350.00 350.00

Approved with the

recommendations


B14.

4

B14.

5

Palliative care for

cancer patient No. 0.00

B14.

6

Support to NGO's

for Community

Monitoring Dist.

Level

No.

of

Dist

0.00

B14.

7

Support to NGO's

for capasity

building of

VHSNC members

under Community

Monitoring at

block level

no.

of

block

s

0.00

B14.

8

Implementation

of Community

mobilization &

advocacy scheme

No.

of

Sabh

a

2076 0.00

B14.

9

General Health

Camps

No.

of

camp

s

864 1000.00 8.64 8.64 Approved. Ongoing

activity.

B14.

10

General Health

Camps in difficult

area in all 4

Districts

No.

of

camp

s

360 1500.00 5.40 5.40 Approved. Ongoing activity

B14.

11

Health Camp by

helicopter(120

flying hr) in all 4

Districts

Flyin

g hrs. 120 68400.00 82.08 82.08 Approved. Ongoing activity

B14.

12

Diabetes Control

Programme


S.

No. Budget Head

Unit

of

Mea

sure

Qua

ntity

/

Targ

et

Unit Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B14.

13

Motivational

Session for

ASHA as Pilot

Basis

2.25 0.00 Not approved. New

activity.

B14.

14

E-Toilet Facility

at Government

School


activity.

B14.

15 0.00

B14.

16 0.00

INNOVATION

SUB TOTAL 705.26 687.01

BUDGET: RESEARCH STUDIES

S.

No. Budget Head

Uni

t of

Me

asu

re

Qu

ant

ity

/

Ta

rge

t

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approve

d

(Rs in

Lakhs)

Remarks

B.20 Research, Studies,

Analysis 77.95 9.00

Approved

For Research study to Assess

impact of MCH activities in

two sample districts

implemented under RCH

programmes through sector

PIP.


NATIONAL DISEASE CONTROL

PROGRAMMES (NDCPs)


NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME

(NIDDCP)

ROAD MAP

Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to

below 5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt

(15ppm) at the household level under National Iodine Deficiency Disorders Control programme:

1. Establishment of State IDD Cell, if not established in the State/UT for implementation

programme activities.

2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for

conducting quantitative analysis of iodized salt and urine for iodine content and urinary

iodine excretion.

3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab

Technician and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory

should be filled on regular/contractual basis on priority for smooth implementation of

programme.

4. Supply, availability and consumption of adequately iodized salt in the state should be

monitored.

5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess

the magnitude of IDD in the respective districts as approved in the PIP and reports

accordingly submitted.

6. Procurement of salt testing kits for endemic districts by State/UT for use of ASHA/Health

Personnel for creating awareness & monitoring of iodated salt consumption at household

level. Monthly reports are to be submitted as per the prescribed proforma.

7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic

districts should be made available on regular basis to ASHA.

8. Health education and publicity should be conducted with more focus in the endemic

districts emphasizing about IDD and promotion of consumption of adequately iodized salt.

Should observe Global IDD Celebrations on 21st October by conducting awareness activities

at various level and submission of reports.


DETAILED BUDGET: NIDDCP

VI NIDDCP

FM

R

Code

Activity Unit cost

(wherever

applicabl

e)

Physical target Amoun

t

Propos

ed

Amount

Approv

ed

Remarks

D

IDD

D.1 Establishment of

IDD Control Cell-

Implementation

& monitoring of

the programme

14.30 15.00 Filling up of sanctioned

vacant posts i.e.

Technical Officer,

Statistical Assistant &

LDC on regular/contract

basis on priority.

State Government may

conduct and co-ordinate

approved programme

activities and furnish

quarterly financial &

physical achievements

as per prescribed

format.

D.1.a Technical Officer 1

D.1.b Statistical

Assistant

1

D.1.c LDC Typist 1

D.2 Establishment of

IDD Monitoring

Lab-

Monitoring

of district level

iodine content of

salt and urinary

iodine excretion

as per Policy

Guidelines.

7.70 8.00 The vacant sanctioned

posts of Lab

Technician & Lab Asst.

should be filled on

regular/ contract basis

on priority.


conduct quantitative

analysis of salt & urine

as per NIDDCP

Guidelines and furnish

monthly/quarterly

statements.

D.2.a Lab Technician 1

D.2.b Lab. Assistant 1


VI NIDDCP

FM

R

Code

Activity Unit cost

(wherever

applicabl

e)


t

Propos

ed

Amount

Approv

ed

Remarks

D.3 Health education

& Publicity

Increased

awareness about

IDD and iodated

salt

20.00 41.00 IDD publicity activities

including Global IDD

Day celebrations at

various level

D.4 IDD Survey/Re

survey

Rs. 50,000

per district

4 districts 2.00 2.00 State Government may

under take 2 district s

IDD survey as per

guidelines and furnish

report.

D.5 Salt Testing to be

procured by the

State Government

for 3 endemic

districts

12 STK

per annum

per ASH

A

Creating iodated

salt demand and

monitoring of the

same at the

community

level.

3.50 ** State Government to

monitor the qualitative

analysis of iodated salt

by STK through ASHA

in 3 endemic districts

i.e.. North Tripura,

South Tripura and West

Tripura. D.6 ASHA Incentive Rs. 25/-

per month

for testing

50 salt

sample/m

onth

50 salt samples

per month per

ASHA in 3

endemic districts

22.11 **

TOTAL 75.61* 66.00

(*) This includes fund for POL/Vehicle hiring, Office expenses etc. which are not allowed under the

Programme.

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA

for 3 endemic districts funds will be released through flexi pool of NRHM by GOI.




INTEGRATED DISEASE SURVEILLANCE PROJECT (IDSP)

State specific issues:

There are 8 vacant posts of technical contractual staff (5 Epidemiologists, 2 Microbiologist & 1

Entomologist) under IDSP in the State. The State needs to expedite the recruitment of these staff.

The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under

IDSP has been completed for the State/Districts. However, the State may give the additional list of

participants to be trained for ToT and 2-week FETP.

Presently 3 of 4 Districts are reporting regularly on IDSP portal. Presently only 36%, 41% and 40%

of all the Reporting Units are reporting weekly surveillance data respectively in S, P & L-form

through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance data (S,

P, L) by all the Reporting Units of all Districts through IDSP Portal.

Districts reported irregular on the IDSP Portal is North Tripura.

The State has to ensure consistent reporting of L form in portal by the district priority labs at North

Tripura. Referral lab network has to be established in 2012-13.

Appropriate clinical samples need to be sent for the required lab investigations for all outbreaks. In

2012, clinical samples were sent for laboratory investigation for only 1 out of 3 of the disease

outbreaks which was not lab confirmed.

Non-negotiable IDSP priorities for States would be:

Dedicated State Surveillance Officer (SSO) for implementation of IDSP.

All States to provide weekly report on the disease surveillance data on epidemic prone diseases and

the weekly outbreak report regularly through portal.

All the States to timely submit their Statement of Expenditure, Utilization Certificate and Audit

reports.

Every State will undertake in-depth review of IDSP at least once in a year and will share the report

with Central Surveillance Unit (CSU), IDSP


DETAILED BUDGET: IDSP

Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura

FMR

Code

Activity Unit Cost (where-

ever applicable)

Amount Proposed

(Rs. in lakhs)

Amount

Approved

(Rs in lakhs)

Remarks

E1 Operational Cost

Field Visits

24.20

5+2.4 x 8

24.20

Office Expenses

Broad Band expenses

Outbreak investigations

including Collection

and Transport of

samples

Review Meetings

Any other expenditure

Sub Total 24.20 24.20

E 1.2 Laboratory Support

District Priority Lab-

Referral Network Lab

1X 5

5 5

District public health

lab equipment


lab manpower


lab consumables 1 x 4 4 4

Sub Total 9.0 9.0

E.2 Human Resources

E.2.1 Remuneration of

Epidemiologists

State Epidemiologists 3.6

(0.40x1 X9)

14.4

(0.40 X 4 X 9)

12

*Post of messenger

for SSU is currently

not approved under

IDSP

*Remuneration for

vacant positions

calculated for 6

months.

*Medical

Epidemiologists,

Consultant training

and Medical

District

Epidemiologists


Microbiologists

State Microbiologist

3.6

(0.40x1 X9)

+

3.6

(0.40x1 X9)

4.8

District

Microbiologist at

District Priority Labs.

E.2.3

Remuneration of

Entomologists

2.25

(0.25 X 1 X 9)

1.5

Veterinary

Consultant

0 0

E.3

Consultant-Finance/

Procurement

2.02

(0.168X1X12)

2.02



FMR

Code


ever applicable)

Amount Proposed

(Rs. in lakhs)

Amount

Approved

(Rs in lakhs)

Remarks

E.3.1

Consultant-Training/

Technical

2.52

(0.28 X 1 X9)

1.68 Microbiologists with

medical qualifications

should be paid higher

remuneration than the

non-medical

epidemiologists,

consultant training

and microbiologists

**Calculation error

E.3.2 Data Manager

State Data Manager **14.1

(0.162 X 1 X9)+

(0.162 X 8 X9)

8.75

District Data

Manager

E.3.3 Data Entry Operator

12.25

(1.23+11.02)

11.63

Messenger for SSU

0.72 0

Sub Total 59.06 42.38

E.8 Training

As per NRHM

Guidelines

State has spent Rs

68,000 on training in

last year

Medical Officers(3 days

)

4.2 2.1

One day training of

Hospital Pharmacist /

Nurses

1.8 0.9

One day training of

Medical College Doctors

0 0

One day training for Data

Entry and analysis for

Block Health Team

0 0

Lab technician (3 days) 0 0

Data managers (2 days) 0.27 0

DEO cum accountant

(2 days)

0.30

ASHA & MPWs,AWW

& community volunteers

(1 day)

4.00 Training to be

carried out in

monthly

meetings

Sub Total 10.57 3

For each newly formed

(Corporation as district)

District to cover for the

expenses on account of

Non-recurring costs on

Computer Hardware,

some office equipment &

accessories.

E.7 ID Hospital Network

*

Surveillance in Metro

Cities



FMR

Code


ever applicable)

Amount Proposed

(Rs. in lakhs)

Amount

Approved

(Rs in lakhs)

Remarks

* New formed Districts

4 3.08 3.08

Innovations/new

initiatives(Surveillance of

Hemophilia)

2 * 0

*The cost for these

activities may be

borne out of

operational costs.

Any state specific

activity(awareness for

prevention of

meningococcal

meningitis)

2

Total 109.91** 81.66 **Calculation error

Comments:

Based on past trend of expenditure, Rs 17 lakhs has been approved in BE for Tripura under IDSP for

2013-14. However, if there is increase in expenditure by State as per IDSP approved norm, the budget for

State could be increased at RE stage.


NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

Physical Targets:

Sr.

No.

Indicator 2011 2012 2013 Remarks

1 Annual Blood Examinate

Rate (ABER) i.e. persons

screened annually for

Malaria

7.79% 7.07% 10% ABER has decreased needs to be

enhanced to 10 and above

2 Annual Parasite Incidence

(API) i.e. Malaria cases per

1000 population annually

3.89 3.09 2.5 API has shown a gradual decline. It

should be brought down to 2.5 or below

3 Sentinel Surveillance

Hospital made functional

for Dengue & Chikungunya

2 1 1 Only 1 sentinel site has been approved,

i.e. Agartala Medical College

4 Sentinel Surveillance

Hospital made functional

for JE

2 0 0 The state is non endemic for JE/AES .

The sentinel site establishment needs to

be justified.The funds have not been

allocated for SS in the ROP

Priority areas for focused attention:

Sr. No. Priority areas for focussed attention

1 Newly created districts the DMOs and other infrastructure including the project staff needs to

be in place.

2 Entomological surveillance needs to be scaled up

Essential Conditionality

Sr. No. Post Sanctioned In

position

Vacant Target for

2013-14

1 District Malaria Officer (DMO) 4 4 4 Additional

DMOs for

newly created

districts must

be in place

2 Two review meetings in a year to be conducted under the Chairmanship of Principal

Secretary (Health)/Mission Director - one before transmission period and second during

transmission period.

Desirable Conditionality:

The vacant regular post for medical and Para medical staff should be filled up so as to strengthen the

surveillance in the state

District wise goals

(To be done by State)

ABER API Deaths


2013-14 2013-14 2013-

14

To be filled and monitored

Road Map: Surveillance & monitoring under NVBDCP is done throughout the year. Following

salient points are to monitor the implementation of programme activities in different quarters.

• April to June - 1st round spraying and observance of anti-malaria month to be ensured and

accordingly funds availability at districts to be ensured

• July to Sept. - 2nd round of spray and observance of anti-dengue month.

• Oct. to Dec.-Review and Monitor physical and financial performance and preparation of next annual

plan.

• Jan. to March - Consolidation of previous year's physical and financial achievement and plan for next

year.

DETAILED BUDGET NVBDCP:

S. No. Component (Sub-

Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.1 DBS (Domestic

Budget Support)

F.1.1 Malaria

F.1.1.a Human Resource

including MPW

contractual

61.92 360.00 Total

allocation to

the state is

500 MPW

however the

state has only

requested for

86 MPW

Lab Technicians (

against vacancy )

14.36 Due to

budgetary

restriction the

Human

resource are

not approved

VBD Technical

Supervisor (one for

each block)

37.80 TS VBD are

being funded

from Global

Fund

District VBD

Consultant (one per

district) (Non- Project

States)

28.98 VBD

Consultant

are being

funded from

Global Fund

State Consultant (Non –

Project States)

- M& E Consultant



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

(Medical Graduate with

PH qualification)

- VBD Consultant

(preferably

entomologist)

F.1.1.b ASHA Incentive 265.21 20.00 the budget

has been

allocated

under the

GFATM

project as it

is funded

under the

project

F.1.1.c Operational Cost

Spray Wages 210.79

104.50

Recommende

d but

restricted to

budget

Operational cost for

IRS

25.33

Impregnation of Bed

nets- for NE states

90.00

F.1.1.d Monitoring , Evaluation

& Supervision &

Epidemic Preparedness

including mobility

20.00 No budget

has been

requested

from the state

however the

state has to

perform the

M&E

activities

therefore the

budget has

been

allocated

F.1.1.e IEC/BCC 15.22 12.00 Recommende

d

F.1.1.f PPP / NGO and

Intersectoral

Convergence

12.00 Separate

proposal may

be submitted

with

justification

F.1.1.g Training / Capacity

Building 7.50 7.50 Recommende

d

F.1.1.h Zonal Entomological

units 12.20 Due to

budgetary

restriction the

Human

resource are



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

not approved

F.1.1.i Biological and

Environmental

Management through

VHSC

82.50 Due to

budgetary

restriction

activities are

not approved

F.1.1.j Larvivorous Fish

support

F.1.1.k Construction and

maintenance of

hatcheries

F.1.1.l Contingencies

Total Malaria (DBS) 863.81 524.00

F.1.2 Dengue &

Chikungunya

F.1.2.a Strengthening

surveillance (As per

GOI approval)

F.1.2.a(i

)

Apex Referral Labs

recurrent

The state has

not requested

in the PIP

any budget

for the

disease,

however the

disease is

prevelent in

the state and

it requires

regular

monitoring

and

supervision

therefore the

budget has

been

allocated for

the same.

F.1.2.a(ii

)

Sentinel surveillance

Hospital recurrent

1.00

ELISA facility to

Sentinel Surv Labs

F.1.2.b 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.c Monitoring and

evaluation 1.50

F.1.2.d Epidemic containment 0.75

F.1.2.e Case management 1.00

F.1.2.f Vector Control &

environmental

management

5.00

F.1.2.g IEC BCC for Social

Mobilization 5.25

F.1.2.h Inter-sectoral

convergence

0.50

F.1.2.i Training including

Operational Research

4.00

Total

Dengue/Chikungunya

0.00 19.00

F.1.3 Acute Encephalitis



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

Syndrome (AES)/

Japanese Encephalitis

(JE)

F.1.3.a Diagnostics and Case

Management including

rehabilitation

NA NA

F.1.3.b IEC/BCC specific to

J.E. in endemic areas

F.1.3.c Capacity Building

F.1.3.d Monitoring and

supervision

F.1.3.e Technical Malathion

F.1.3.f Fogging Machine

F.1.3.g Operational costs for

malathion fogging

F.1.3.h Operational Research

F.1.3.i Rehabilitation Setup for

selected endemic

districts

F.1.3.j ICU Establishment in

endemic districts

F.1.3.k ASHA Insentivization

for sensitizing

community

F.1.3.l Other Charges for

Training /Workshop

Meeting & payment to

NIV towards JE kits at

Head Quarter

Total AES/JE 0.00 0.00

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, mobility

support for Rapid

Response Team and

contingency support

NA NA



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.1.4.b Monitoring by

Microfilaria Survey

F.1.4.c Monitoring &

Evaluation

(Assessment)

F.1.4.d Training District

Officers, PHC MOs,

Paramedical staff, drug

distributors

F.1.4.e BCC/Advocacy/IEC at

state, district/PHC, sub

centre

F.1.4.f Honorarium for Drug

Distribution including

ASHAs and supervisors

Verification and

validation for

stoppage of MDA in

LF endemic districts

a) Additional MF

Survey

b) ICT Survey

c) ICT Cost

Verification of LF

endemicity in non-

endemic districts

a) LY & Hy Survey

b) Mf Survey in Non-

endemic distt

c) ICT survey

Post-MDA

surveillance

Total Lymphatic

Filariasis

0.00 0.00

F.1.5 Kala-azar

F.1.5 Case search/ Camp

Approach

Not

Applicabl

e

Not

Applicabl

e

F.1.5.a Spray Pumps &

accessories

F.1.5.b Operational cost for

spray including spray

wages

F.1.5.c Mobility/POL/supervisi

on

F.1.5.d Monitoring &

Evaluation

F.1.5.e Training for spraying



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.1.5.f IEC/ BCC/ Advocacy

Total Kala-azar 0.00 0.00

Total (DBS) 863.81 543.00

F.2 Externally aided

component

F.2.a World Bank support

for Malaria (Identified

state)

F.2.b Human Resource

Not

Applicabl

e

Not

Applicabl

e

F.2.c Training /Capacity

building

F.2.d Mobility support for

Monitoring Supervision

& Evaluation including

printing of format &

review meetings,

Reporting format (for

printing formats)

Kala-azar World

Bank assisted Project

F.2.e Human resource Not

Applicabl

e

Not

Applicabl

e

F.2.f Capacity building

F.2.g Mobility

F.3 GFATM support for

Malaria (NE states)

F.3.a Project Management

Unit including human

resource of N.E. states

45.02 300.00

The activities

have to be

scaled up as

per the

project

therefore the

budget has

been

allocated as

per the

components

in the project,

however the

release of

funds shall

depend upon

the utilization

of funds

F.3.b Training/Capacity

Building

51.14 100.00

F.3.c Planning and

Administration( Office

expenses recurring

expenses, Office

automation , printing

and stationary for

running of project)

17.46 100.00

F.3.d Monitoring Supervision

(supervisory visits

including travel

expenses, etc) including

printing of format and

review meetings,

41.93 110.00

F.3.e IEC / BCC activities as

per the project

33.56 100.00



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.3.f Operational cost for

treatment of bednet and

Infrastructure and Other

Equipment (Computer

Laptops, printers,

Motor cycles for MTS )

35.45 110.00

Total : EAC

component

224.56 820.00

F.4 Any Other Items (

Please Specify)

0.00 0.00

F.5 Operational costs (

mobility, Review

Meeting,

communication,

formats & reports)

0.00 0.00

Grand total for cash

assistance under

NVBDCP (DBS +

EAC)

1088.37 1363.00

F.6 Cash grant for

decentralized

commodities

F.6.a Chloroquine phosphate

tablets

8.25

7.60

ACT,

Injection

Arteether

shall be

provided by

Govt of India

only 25% of

the techincal

requirement

may be

procured if

required

F.6.b Primaquine tablets 7.5

mg

1.46

F.6.c Primaquine tablets 2.5

mg

1.82

F.6.d Quinine sulphate tablets 0.52

F.6.e Quinine Injections 0.48

F.6.f DEC 100 mg tablets 0.00

F.6.g Albendazole 400 mg

tablets

0.00

F.6.h Dengue NS1 antigen kit 3.25

F.6.i Temephos, Bti (AS) /

Bti (wp) (for polluted &

non polluted water)

6.00

F.6.j Pyrethrum extract 2%

for spare spray

2.00

F.6.k Any Other Items (

Please Specify)

ACT ( For Non Project

states)

3.33

RDT Malaria – bi-

valent (For Non Project

states)

15.00

F.6.m Any Other Items (



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

Please Specify)

Total grant for

decentralized

commodities

42.11 7.60

Grand Total for

grant-in-aid under

NVBDCP

1130.48 1370.60

Commodity to be

supplied by

NVBDCP

0.00

Total NVBDCP Cash

+ Commodity

1130.48 1370.60


NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

State specific Goals and Targets for the year 2013-14

S.No Goals & Target September'13 March 2014

1 Elimination at District level

- -

2 Case detection through ASHA

5 10

3 Special activity plan in blocks

4 MCR footwear procurement & supply

25 50

5 RCS

4 8

6 Development of leprosy expertise

50% of Plan 100% of Plan

7 Treatment Completion Rate assessment

for the year 2012-13 Completed -

8 Audited Report for the year 2012-13

Completed -

9 Expenditure incurred against approved

plan budget 50% 100%

NA: Not Applicable


DETAILED BUDGET:

Activity

proposed Unit

Unit Cost (In

Rupees)

Physical

Targets

Amount

proposed

(Rs. in

lakhs)

Amount

approved

(Rs. in

lakhs)

Remarks

G1.Case

detection &

Management

1.1 Specific -

plan for High

Endemic

Districts

Block - - -

1.2 Services in

Urban Areas

Town -

Med I -

Med II-

Mega-

Town -

Med I -

Med II-

Mega-

4 0.60 0.60

1.3. ASHA

Involvement - - -

No

demand

Sensitization 100 500 2.00 0.50 Execss

demand

* Incentive to

ASHA

Detection 250 10 0.25 0.25

PB 400 4 0.24 0.16

MB 600 6 0.36 0.36

1.4 Material &

Supplies

Supportive

drugs, lab.

reagents &

equipments and

printing works

District 68,000 8 1.80 1.80

1.5 NGO -

Scheme No. 600000 - - -

G2. DPMR

MCR footwear,

Aids and

appliances,

Welfare

allowance to

patients for RCS,

Support to govt.

institutions for

MCR - 300/- 50 0.15 0.15

2 pair per

person

Aids/Appliance -

17000 8 0.08 0.08

Welfare/RCS -

8000 8 0.24 0.64

At Institute - 5000 8 0.40 0.40


Activity

proposed Unit

Unit Cost (In

Rupees)

Physical

Targets

Amount

proposed

(Rs. in

lakhs)

Amount

approved

(Rs. in

lakhs)

Remarks

RCS

At camps - 10000

G3. **

IEC/BCC

Mass media,

Outdoor media,

Rural media,

Advocacy media

98,000 8 2.00 2.00

G4. Human

Resources &

Capacity

building

4.1 *** Capacity

building 8 3.20 3.20

4.2. Human

Resources on

contract

4.2.1. ****

Contractual Staff

at State level

SMO 1 40000 - - -

BFO cum Admn.

Officer 1 30000 1 2.52 2.52

Admn. Asstt. 1 16000 1 1.80 1.80

DEO 1 12000 1 1.44 1.44

Driver 1 11000 1 1.20 1.20

4.2.2. District

Leprosy

Consultant

30000 - - -

Post of

Driver of

districts

not

available

Physiotherapist 25000 - - -

4.2.3. Special

Provision for

selected States

NMS No. 25000 - - -

4.2.4. Staff for

blocks

PMW No. 16000 - - -

G5. Programme

Management

ensured


Activity

proposed Unit

Unit Cost (In

Rupees)

Physical

Targets

Amount

proposed

(Rs. in

lakhs)

Amount

approved

(Rs. in

lakhs)

Remarks

5.1. Travel Cost

travel expenses -

Contractual Staff

at State level

80000 8 0.20 0.20

travel expenses -

Contractual Staff

at District level

25000 8 0.20 0.20

5.2 Review

meetings 20000 to 50000 4 0.52 0.52

5.3 Office

Operation &

Maintenance

Office operation

- State Cell 1 75000 1 0.40 0.40

Office operation

- District Cell No. 35000 8 0.72 0.72

Office equipment

maint. State 1 50000 1 0.50 0.50

5.4 Consumables

State Cell 1 50000 1 0.30 0.30

District Cell No. 30000 8 0.56 0.56

5.5 Mobility

Support

State Cell 2 200000 1 1.50 1.50

District Cell 1 150000 8 2.40 2.40

G6 Others

travel expenses -

Contractual Staff

at State level

GRAND

TOTAL 25.58 24.40


*Incentive to ASHAs will be given at revised rate subject to the approval by MSG.

**The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual

requirements of each district keeping adequate funds at State level under Mass Media and Advocacy

meetings.

***Unit cost OF Training to be calculated as per State NRHM norm fixed for all health programmes.

**** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of

remuneration in other National Health Programmes.


*

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)

Targets

S.No Indicators 2012 2013-14

1 Case detection rate 50% 70%

2 Treatment success rate 87% 90%

3 MDR TB treatment success rate 60-70%

4 Treatment success rate among new TB patients tribal

districts and Poor and Backward districts 88%

5 Number of cases to be put on treatment

Increasing

trend

6 Default rate among new TB cases <5%

7 Proportion of estimated incident TB cases notified 80%

8 Proportion of TB patients with known HIV status. 90%

9 Proportion of microscopy centres using LED

microscopes 9%

10 Proportion of districts TU aligned at block levels

with health systems 25%

11 Proportion of Key RNTCP staff in place as per

approved ROP 90%

12 Proportion of Key RNTCP staff trained as per

approved ROP 90%

13 Proportion of TB patients treated under RNTCP by a

community DOT provider 50%

14 Proportion of pediatric cases diagnosed out of new

cases 8%

Action point for the State under RNTCP during FY 2013-14:

All the approved Key RNTCP contractual staff positions at State/Districts should be filled and

ensuring timely payment of salaries.

All the approved new position will be recruited by September 2013.

The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director

(NRHM) at least once in a quarter

To conduct State TB control society meeting, State Coordination committee meeting (TBHIV) at

least once in a quarter.

To ensure that District TB Control society meeting and District Coordination committee meetings

are conducted in the districts at least once in a quarter

Scaling up of DOTS Plus services as per the State DOTS Plus action plan

Conduct ACSM/Training activities at State/Districts as per the State annual action plan.

To involve Private Practitioners and NGOs in the RNTCP

Submission of SOE and UC as per the time lines communicated by MoHFW/CTD.

Timely payment of DOT Providers honorarium at Districts.


DETAILED BUDGET: RNTCP

S.No Category of

Expenditure

Unit cost

(wherever

applicable)

Physical target

/expected output Amount

Proposed

Amount

Approved Remarks

I.1 Civil works

As per Revised

Norms and Basis of

Costing for RNTCP

1) Civil work Up

gradation and

maintenance

completed as

planned 5.85 3.51

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

On Site

Evaluation and

Panel Testing in

the year;

3) IRLs

accredited and

functioning

optimally 7.5 7.5

I.3 Honorarium

As per Revised

Norms and Basis of

Costing for RNTCP

1) All eligible

Community DOT

Providers are paid

honorarium in all

districts in the FY 10.1 4.74

As per norms and data.

I.4 ACSM

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; 10.36 10.36

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 4.08 2.85

I.6 Training

As per Revised

Norms and Basis of

Costing for RNTCP

1) Induction

training, Update

and Re-training of

all cadre of staff

completed as 8.18 5.72


S.No Category of

Expenditure

Unit cost

(wherever

applicable)

Physical target


Proposed

Amount

Approved Remarks

planned;

I.7

Vehicle

maintenance/

operation

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; 8.37 6.69

As per norms

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 31.23 24.99

As per norms

I.9 NGO/PP

support

As per Revised

Norms and Basis of

Costing for RNTCP

1) Increase in

number of

NGOs/PPs

involved in signed

schemes of

RNTCP;

2) Contribution of

NGOs/PPS in

case detection and

provision of DOT 45.88 37.48

I.10 Medical

College

As per Revised

Norms and Basis of

Costing for RNTCP

1) All activities

proposed under

Medical Colleges

head in PIP

completed 18.94 18.94

I.11 Office

Operation

As per Revised

Norms and Basis of

Costing for RNTCP

1) All activities

proposed under

miscellaneous

head in PIP

completed 7.24 7.24

I.12 Contractual

services

As per Revised

Norms and Basis of

Costing for RNTCP

1) All contractual

staff appointed

and paid regularly

as planned 155.53 155.53

I.13 Printing

As per Revised

Norms and Basis of

Costing for RNTCP

1) All printing

activities at state

and district level

completed as

planned 2 2

I.14 Research and

studies

As per Revised

Norms and Basis of

Costing for RNTCP

1) Proposed

Research has been

initiated or

completed in the 2 2


S.No Category of

Expenditure

Unit cost

(wherever

applicable)

Physical target


Proposed

Amount

Approved Remarks

FY as planned

1.15 Procurement

of drugs

0 0

I.16 Procurement –

vehicles

As per Revised

Norms and Basis of

Costing for RNTCP

1) Procurement of

vehicles

completed as

planned 10.45 10.45

I.17 Procurement-

Equipments

As per Revised

Norms and Basis of

Costing for RNTCP

1)Procurement of

equipments

completed as

planned 5.2 29.4

C&DST equipments have

been approved here

I.18

Patient

support &

Transportation

As per Revised

Norms and Basis of

Costing for RNTCP

Payment of

transportation

charges to

patients 2.11 2.11

I.19 Supervision &

Monitoring

As per Revised

Norms and Basis of

Costing for RNTCP

Number of

evaluation and

review meeting

done by state 10 10

Subtotal 345.05 341.56

Disease control Flexi pool fund

24.2 0

Approved under

Procurement of

equipments head

TOTAL APPROVAL 369.25 341.51


ANNEXURES


ANNEX 1

RCH FLEXIPOOL

S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.1 MATERNAL HEALTH 218843 19150.0

0

1488.98 1245.37

A.1.1 Operationalise Facilities

(Any cost other than

infrastructure, HR,

Training, Procurement,

Monitoring etc.) may

include cost of mapping,

planning-identifying

priority facilities,etc)

0 0.00 0.00 0.00

A.1.1

.1

Operationalise FRUs

(Blood bank/BSU -

Operational cost)

0.00

A.1.1

.2

Operationalise 24x7

PHCs

0.00

A.1.1

.3

Operationalise Safe

abortion services

(including MVA/ EVA

and medical abortion)at

health facilities

0.00

A.1.1

.4

Operationalise RTI/STI

services at health facilities

0.00

A.1.1

.5

Operationalise sub-

centres

0.00

A.1.2 Referral Transport 0.00

A.1.3 Integrated outreach RCH

services (state should

focus on facility based

services and outreach

camps to be restricted

only to areas without

functional health

facilities)

49884 9400.00 503.28 503.28

A.

1.3.1

.

Oureach camps No. of

camp

60 8400.00 5.04 5.04 Approved Rs 5.04

lakhs for 60 out-

reach camps@ Rs

8400/ camp


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.1.3

.2.

Monthly Village Health

and Nutrition Days

No. of

VHND

49824 1000.00 498.24 498.24 Approved.

As per NPCC

decision, approval

for organizing

49824 VHNDs@ Rs

1000/ VHND. Out of

This Rs 200/- per

VHND to be given to

ASHA as incentive

for mobilizing

pregnant womena

and neonates as per

due list.

A.1.4

.

Janani Suraksha Yojana /

JSY

56780 1800.00 350.44 313.40

A.1.4

.1

Home deliveries Beneficiar

y

1802 500.00 9.01 5.00 Approved for1000

home deliveries.

A.1.4

.2

Institutional deliveries 27489 1300.00 186.48 166.74

A.1.4

.2.a

Rural Beneficiar

y

21546 700.00 150.82 127.87 Approved for

18,267 insitutional

deliveries.

A.1.4

.2.b

Urban Beneficiar

y

5943 600.00 35.66 38.87 Approved for 6,478

insitutional

deliveries.

A.1.4

.2.c

C-sections 0.00

A.1.4

.3

Administrative Expenses 1.95 6.15 Approved. Fund

could be used for

JSY monitoring,

printing of JSY

registers, formats,

JSY IEC etc.

A.1.4

.4

Incentives to ASHA Delivery 27489 153.00 135.51 Approved 18,267

@Rs 600 for rural

insitutional deliveries

and 6,478 urban @

Rs 400 for

insitutional

deliveries.

A.1.5 Maternal Death Review

(both in institutions and

community)

Meeting 1 5000.00 0.05 0.05 Approved.

for conducting 1

review meetings for

MDR at State level


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


(please specify)

47514 400.00 95.03 28.92

A.1.6

.1

Incentive to ASHA

@Rs.200per month per

VHND

0.00

A.1.6

.2

Incentive to Mother for

4th ANC

PW 37590 200.00 75.18 28.92 Approved.

Cash incentive to

mothers is not

Approved.

Rs 50/- for early

registration of ANC

within 12 weeks of

conception can be

given to ASHA .

Payment will be

made as per

verification in the

MCP Card. Total

amount

recommended for

approval is Rs 50*

57830 cases= Rs

28.92 lakhs.

A.1.6

.3

Incentive to ASHA for

4th ANC (Non JSY

Target)

ASHA 9924 200.00 19.85

A.1.6

.4

0.00

A.1.6

.5

0.00

A.1.6

.6

0.00

A.1.6

.7

0.00

A.1.6

.8

0.00

A.1.6

.9

0.00

A.1.6

.10

0.00

A.1.6

.11

0.00

A.1.6

.12

0.00

A.1.6

.13

0.00

A.1.6

.14

0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.1.6

.15

0.00

A.1.7 JSSK- Janani Shishu

Surakhsha Karyakram

64665 2550.00 540.19 399.72

A.1.7

.1

Drugs and consumables Beneficiar

y

23658 550.00 130.12 130.12 Approved Rs

130.12 lakhs for

provision of free

drugs subject to all

PW coming to public

health institution are

provided free drugs

during ANC, INC

and PNC period

A.1.7

.2

Diagnostic PW 17349 1000.00 173.49 96.00 Approved Rs 96.00

lacs. @ Rs 200/- per

PW for an estimated

48000 PW likely to

deliver in public

health facilities. All

PW to be provided

free diagnostic.

A.1.7

.3

Blood Transfusion 0.00 It is hoped that state

has sufficent funds

for provision of free

Blood for PW at

health facilities

A.1.7

.4

Diet (3 days for Normal

Delivery and 7 days for

Caesarean)

0.00 It is hoped that state

has sufficent funds

for provision of free

diet for PW at

health facilities

A.1.7

.5

Free Referral Transport Beneficiar

y

23658 1000.00 236.58 173.60 Approved Rs 200

lacs for 40000 PW

@ Rs 500/-(Home to

facility Rs 250/- and

Drop back-Rs 250/-)

which are likely to be

normal deliveries.

For inter-facility and

drop back for 4800

cases(10%) approved

Rs 48.0 lakhs @ Rs

1000/-(inter-facility

and drop back@ Rs

500/- per trip) . Total

amount approved


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

70% of Rs

200.00+48.00= Rs

248.00 lakhs.= 70%

of Rs 248.00=173.6

lakhs

The fund is

approved subject to :

1) All Ambulances

needs to be Linked

to a centralized call

center

2) Needs to be GPS

fitted and should be

re-stickered and

changed as per

National Ambulance

service guidelines

3) All PW and

infants as per

expanded JSSK to

be catered to.

A.1.7

.6

Other JSSK activity 0 0.00 0.00 0.00

A.1.7

.6.1

0.00

A.1.7

.6.2

0.00

A.1.7

.6.3

0.00

Sub-total Maternal Health

(excluding JSY)

162064 17350.0

0

1138.55 931.97

Sub-total JSY 56780 1800.00 350.44 313.40

A.2. CHILD HEALTH 5703 53000.0

0

97.68 37.82

A.2.1 IMNCI (including F-

IMNCI; primarily budget

for planning for pre-

serviceIMNCI activities

in medical colleges,

nursing colleges, and

ANMTCs)

0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.2.2 Facility Based Newborn

Care/FBNC (SNCU,

NBSU, NBCC - any cost

not budgeted under

HR,Infrastructure,

procurement, training,IEC

etc.) e.g.operating cost

rent,electricity etc.

imprest money

25 50000.0

0

12.50 3.75

A.2.2

.1

SNCU 0.00

A.2.2

.2

NBSU 0.00

A.2.2

.3

NBCC No. of

NBCC

25 50000.0

0

12.50 3.75 Approved Rs. 3.75

lakhs as operational

cost of the 25 new

NBCCs @ 0.20 lakhs

for 9 months (3

quarters) has been

approved.

Cost for setting up

new NBCCs (Rs.

8.75 lakhs) shifted to

Procurement under

CH FMR. B16.1.2.

A.2.3 Home Based Newborn

Care/HBNC

0.00

A.2.4 Infant and Young Child

Feeding/IYCF

0.00

A.2.5 Care of Sick Children and

Severe Malnutrition (e.g.

NRCs, CDNCs etc.)

0.00

A.2.6 Management of diarrhoea

& ARI & micronutrient

malnutrition

0.00


(please specify)

0.00

A.2.8 Infant Death Audit 0.00

A.2.9 Incentive to ASHA under

child health

0.00

A.2.1

0

JSSK (for Sick neonates

up to 30 days)

5678 3000.00 85.18 34.07


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.2.1

0.1

Drugs & Consumables

(other than reflected in

Procurement)

Beneficiar

y

2839 2000.00 56.78 5.68 Approved Rs 5.68

lakhs for 2839 sick-

new-born cases @ Rs

200/- per sick- new-

born. This is besides

drugs under CH,

SNCU etc This is to

further inform that

all sick-newborns

and infants are to be

extended benefits

under JSSK . So state

may consider issuing

G.O in this regard.

A.2.1

0.2

Diagnostics 0.00

A.2.1

0.3

Free Referral Transport Beneficiar

y

2839 1000.00 28.39 28.39 Approved Rs 28.39

lakhs for to and fro

Referral Trsnsport

for 2839 sick new-

borns

A.2.1

1

Any other interventions

(eg; rapid assessments,

protocol development)

0 0.00 0.00 0.00

A.2.1

1.1

0.00

A.2.1

1.2

0.00

A.2.1

1.3

0.00

A.2.1

1.4

0.00

A.2.1

1.5

0.00

Sub-total Child Health 5703 53000.0

0

97.68 37.82

A.3 FAMILY PLANNING 15893 44590.0

0

148.36 148.26

A.3.1 Terminal/Limiting

Methods

11031 32500.0

0

137.65 137.65

A.3.1

.1

Orientation

workshop,dissemination

of manuals on FP

standards & quality

no. of

workshop

0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

assurance of sterilisation

services, fixed day

planning meeting

A.3.1

.2

Female sterilisation

camps

No. of

camp

165 15000.0

0


A.3.1

.3

NSV camps No. of

camp

66 15000.0

0

9.90 9.90 Approved

A.3.1

.4

Compensation for female

sterilisation

Beneficiar

y

8500 1000.00 85.00 85.00 Approved

A.3.1

.5

Compensation for male

sterilization/NSV

Acceptance

Beneficiar

y

1200 1500.00 18.00 18.00

Approved.

A.3.1

.6


providers to provide

sterilisation services

1100

A.3.2 Spacing Methods 4700 90.00 1.04 0.94

A.3.2

.1

IUD camps 0.00

A.3.2

.2

IUD services at health

facilities (including fixed

day services at SHC and

PHC)

Beneficiar

y

4500 20.00 0.90 0.90 Approved.

A.3.2

.2.1

PPIUCD services Beneficiar

y

200 70.00 0.14 0.04 Approved for 200

beneficiaries.

Motivator money @

Rs.50/- per

benficiaries is not

suported.

200 @ Rs.20/- for

IUCD insertion is

approved = 0.04

Lakhs

A.3.2

.3


providers to provide IUD

insertion services

0.00

A.3.2

.4

Social Marketing of

contraceptives (includng

delivery of contraceptive

by ASHA at door step)

0.00

A.3.2

.5

Contraceptive Update

seminars

0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.3.3 POL for Family Planning/

Others (including

additional mobilty support

to surgeon's team if req)

0.00

A.3.4 Repairs of Laparoscopes 0.00


(please specify):

162 12000.0

0

9.67 9.67

A.3.5

.1

Monitor progress and

quality,QAC meetings

/review of sterilization

failures etc.

No. of

Meeting

18 10000.0

0

1.80 1.80 Approved

A.3.5

.2

Performance reward if

any

0.00

A.3.5

.3

World Population Day‟

celebration (such as

mobility, IEC activities

etc.): funds earmarked for

district and block level

activities

No. of

Program

me

1.79 1.79 Approved

A.3.5

.4

Other strategies/ activities

(such as strengthening

fixed day services for

IUCD and sterilization

etc.)

144 2000.00 6.08 6.08

A.3.5

.4.1

Operational cost of fixed

day starilization at SH &

DH

A.3.5

.4.2

Supervisory Visit by State

& district

No. of

visit

54 2000.00 1.08 1.08 Approved

A.3.5

.4.3

1. Incentives for ASHA

for ensuring spacing of 2

years after marriage and

spacing of 3 years after

the birth of 1st child.

2. Incentives for ASHA

for a permanent limiting

method up to 2 children

only ( 9month target of

NSV & LL is proposed )

0.00

A.3.5

.4.4

Family Planning

Indemnity scheme

Beneficiar

y

90 5.00 5.00 Approved

A.3.5

.4.5

Printing of Elegible

couple & children register

0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

Sub-total Family Planning

(excluding Sterilisation


Camps)

10866 17500.0

0

35.46 35.36

Sub-total Sterilisation


Camps

5027 27090.0

0

112.90 112.90

A.4 ADOLESCENT

REPRODUCTIVE AND

SEXUAL HEALTH /

ARSH

1424 688400.

00

261.54 107.59

A.4.1 Adolescent health

services

34 306000.

00

12.43 12.43

A.4.1

.1

Disseminate ARSH

guidelines.

0.00

A.4.1

.2


clinics at DH level

No.of

clinic

1 150000.

00

1.50 1.50 Approved

A.4.1

.3


clinics at CHC/PHC level

No.of

clinic

6 150000.

00

9.00 9.00 Approved

A.4.1

.4

Operating expenses for

existing clinics

No.of

clinic

27 6000.00 1.62 1.62 Approved

A.4.1

.5

Outreach activities

including peer educators

0.00

A.4.1

.6

Others 0.31 0.31

A.4.1

.6.1

Printing of flex for

disemination of Helpline

of ARSH

No. of

center

7 300.00 0.02 0.02 Approved

A.4.1

.6.2

Printing of register,


ARSH Clnic

No. of

center

34 0.29 0.29 Aproved

A.4.1

.6.3

Printing of Register ,


WIFS

reporting

center

0.00 0.00 Committed

expenditure of 2012-

13

A.4.1

.6.4

0.00

A.4.1

.6.5

0.00

A.4.1

.6.6

0.00

A.4.1

.6.7

0.00

A.4.1 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.6.8

A.4.1

.6.9

0.00

A.4.1

.6.10

0.00

A.4.2 School Health programme 94 382000.

00

243.93 93.72

A.4.2

.1

Prepare and disseminate

guidelines for School

Health Programme.

No. of

dissemina

tion

Meeting

8 40000.0

0

3.20 1.40 Approved. Rs 1.40

is approved for 2000

copies of RBSK

guidelines @ Rs 70

per guideline to be

disseminated at

convergence

meeting. Meeting

cost is shifted to A

4.2.2

A.4.2

.2

Prepare detailed

operational plan for

School Health Programme

across districts (cost of

plan meeting should be

kept)

0.00 1.80 Approved.

Rs 1.80 lakh is

approved for 3 yearly

meetings at State (@

Rs 20000 per

meeting) and district

level (@ Rs 10000

per meeting) with

Stakeholders of

RBSK - School

Education SSA and

RMSA, ICDS and

Department of

Disability under

Ministry of Social

Justice and

empowerment.

Shifted from A 4.2.1.

A.4.2

.3

Mobility support No of unit 15 20000.0

0

57.94 22.80 Approved.

Rs 22.80 lakhs is

approved for 8

mobile health teams

for 9 months and 7

Mobile Health teams

for 6 months @ Rs

20000 per month.


Facility based team


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

visit is not

recommended under

RBSK.

A.4.2

.4

Referral support Number

of DEIC

4 100000.

00


A.4.2

.5

Other strategies for school

health

67 222000.

00

178.79 67.72

A.4.2

.5.1

Tertiary level treatment of

student

No. of

case

48 200000.

00

96.00 49.00 Approved.

Rs 49 lakhs is

approved for support

of 529 children as

per details of

secondary and

tertiary care

A.4.2

.5.2

School Health checkup

visit

0.00

A.4.2

.5.3

Specialist School Health

Camp

No of

DH/SH

4 2000.00 0.96 0.00 DEIC establishment

is shifted to B

4.1.5.4.4, Specialist

Visit support is

shifted to A.

8.1.10.1. Training

for DEIC staffs is

shifted to A

9.7.6.3.1.

Contengency and

running cost would

only be approved

once the DEICs are

made functional.

Approval for

computers 2 per

DEIC is to be

recommended only

after the DEICs (3in

number) are put in

place.

A.4.2

.5.4

Printing of health card

and student health register

No. of

card &

register

1187703

card+45

0

Register

36.53 18.72 Approved.

Rs 18.72 lakhs is

approved for printing

1187703 cards @ Rs

1.5 per card and 450

registers @ Rs 200


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

per registers.

Conditionality State

to follow RBSK

formats for card and

registers.

A.4.2

.5.5

Review meeting &

workshop at state &

district level (Programme

Management Cost

including supportive

Supervision)


A.4.2

.5.6

Development of screening

tools

No. of SH

team

15 20000.0

0


A.4.2

.5.7

Yoga Project for AYUSH 36.30 0.00 Not approved

A.4.2

.5.8

Micro nutrient in

tudentthe form of Iron

Folic Acid to each s

0.00

A.4.2

.5.9

0.00

A.4.2

.5.10

0.00


(please specify)

1296 400.00 5.18 1.44

A.4.3

.1


ARSH/ICTC counsellors

No. of

visit

1296 400.00 5.18 1.44 Approved.

Approved 24

VHNDs @ Rs 500/-

x12 month

A.4.3

.2

Menstrual Hygiene

(Sanitary napkin

procurement to be booked

under procurement)

0.00

A.4.3

.3

WIFS actvity 0.00

Sub-total ARSH 1424 688400.

00

261.54 107.59

A.5 URBAN RCH (focus on

Urban slums)

38 6000.00 17.74 9.89

A.5.1 Identification of urban

areas / mapping of urban

slums and planning

0.00

A.5.2 HR for urban health

including doctors, ANMs,

Lab techs

16 0.00 16.42 8.57


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.5.2

.1

Doctors/Mos 0.00

A.5.2

.2

Specialist 0.00

A.5.2

.3

Dentists 0.00

A.5.2

.4

ANM No. of

ANM

16 16.42 8.57 Approved 16 ANM

@ 8925 pm.

Approval is being

granted for six


conditionality

mendioned in the HR

head.

A.5.2

.5

Staff Nurse 0.00

A.5.2

.6

LHV 0.00

A.5.2

.7

LT 0.00

A.5.2

.8

Pharmacists 0.00

A.5.2

.9

Radiographers 0.00

A.5.2

.10

OT Technician 0.00

A.5.2

.11

Support staff 0.00

A.5.2

.12

Others (pl specify) 0.00

A.5.3 Operating expenses for

UHP and UHC

no. of

centre

22 6000.00 1.32 1.32 Same as last year


A.5.5 Others (pl specify) 0 0.00 0.00 0.00

A.5.5

.1

Procurement of medicine no. of

centre

0.00

A.5.5

.2

0.00

A.5.5

.3

0.00

A.5.5

.4

0.00

A.5.5

.5

0.00

A.5.5 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.6

A.5.5

.7

0.00

A.5.5

.8

0.00

A.5.5

.9

0.00

A.5.5

.10

0.00

Sub-total Urban Health 38 6000.00 17.74 9.89

A.6. TRIBAL RCH 0 0.00 0.00 0.00

A.6.1 Special plans for tribal

areas

0.00

A.6.2 HR for tribal areas ( in

addition to normative HR)

0.00


A.6.4 Other Tribal RCH


(please specify)

0 0.00 0.00 0.00

A.6.4

.1

0.00

A.6.4

.2

0.00

A.6.4

.3

0.00

A.6.4

.4

0.00

A.6.4

.5

0.00

A.6.4

.6

0.00

A.6.4

.7

0.00

A.6.4

.8

0.00

A.6.4

.9

0.00

A.6.4

.10

0.00

Sub-total Tribal Health 0 0.00 0.00 0.00

A.7 PNDT Activities 49 25450.0

0

2.26 0.80


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.7.1 Support to PNDT cell State cell 0.00

A.7.3 Mobility support 0.00

A.7.2 Other PNDT activities

(please specify)

49 25450.0

0

2.26 0.80

A.7.2

.1

Expenditure of POL for

Supervisor of Appropriate

Authority

District 8 10000.0

0

0.80 0.80 Approved

A.7.2

.2

Holding of State level

workshop

Workshop 0.00

A.7.2

.3

District level sensitization

workshop

Workshop 0.00

A.7.2

.4

State supervisory Board

meeting

No. of

Meeting

3 7950.00 0.24 0.00 Not Approved

A.7.2

.5

State level multimember

Meeting

3 1500.00 0.05 0.00 Not Approved

A.7.2

.6

State Inspection &

Monitoring committee

meeting

3 2550.00 0.08 0.00 Not Approved

A.7.2

.7

District Advisory

committee meeting

32 3450.00 1.10 0.00 Not Approved

A.7.2

.8

0.00

A.7.2

.9

0.00

A.7.2

.10

0.00

Sub-total PNDT activities 49 25450.0

0

2.26 0.80


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8 Human Resources 1444 29500.0

0

848.63 441.13 As agreed, the

following key

conditionalities

would be enforced

during the year 2013-

14.

a) Rational and

equitable deployment

of HR with the

highest priority

accorded to high

priority districts and

delivery points.

b) Facility wise

performance audit

and corrective action

based thereon.

c) Performance

Measurement system

set up and

implemented to

monitor performance

of regular and

contractual staff.

d) Baseline

assessment of

competencies of all

SNs, ANMs, Lab

Technicians to be

done and corrective

action taken thereon.

- Approval is

being granted for HR

of all cadres under

NRHM for six

months only and its


next six months

would be contingent

on compliance to the

above four

conditionalities.

- It is expected

that the state will

henceforth fill up

their vacant regular


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

HR positions and

will not use NRHM

funds to substitute

state spending.

- From 1st

October 2013, under

NRHM funds for

salary to contractual

HR would be done

only to make

payments to

contractual staff over

and above the

sanctioned regular

positions in the State.

A.8.1 Contractual Staff &

Services

1444 29500.0

0

848.63 441.13

A.8.1

.1

ANMs,Supervisory

Nurses, LHVs,

146 0.00 172.51 83.41

A.8.1

.1.1

ANMs 146 0.00 172.51 83.41 Approved.

Approved 146 (53@

10113, 27 @ 9818

and 66 @8500 per

month). Approval is



above mentioned

condition

A.8.1

.1.1.a

DH 0.00

A.8.1

.1.1.

b

FRUs 0.00

A.8.1

.1.1.c

Non FRU SDH/ CHC 0.00

A.8.1

.1.1.

d

24 X 7 PHC 0.00

A.8.1

.1.1.e

Non- 24 X 7 PHCs 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.1.1.f

Sub Centres Manpowe

r

146 172.51

A.8.1

.1.1.

g

SNCU/ NBSU/NRC etc 0.00

A.8.1

.1.1.

h

Others 0.00

A.8.1

.1.2

Staff Nurses 0 0.00 0.00 0.00

A.8.1

.1.2.a

DH 0.00

A.8.1

.1.2.

b

FRUs 0.00

A.8.1

.1.2.c


A.8.1

.1.2.

d

24 X 7 PHC 0.00

A.8.1

.1.2.e

Non- 24 X 7 PHCs 0.00

A.8.1

.1.2.f


A.8.1

.1.2.

g

Others 0.00

A.8.1

.1.3

LHVs/supervisory nurses 0 0.00 0.00 0.00

A.8.1

.1.3.a

DH 0.00

A.8.1

.1.3.

b

FRUs 0.00

A.8.1

.1.3.c


A.8.1

.1.3.

d

24 X 7 PHC 0.00

A.8.1

.1.3.e

Non- 24 X 7 PHCs 0.00

A.8.1

.1.3.f


A.8.1

.1.3.

Others 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

g

A.8.1

.2.1

Laboratory Technicians 65 0.00 85.90 42.25 Approved.

Approved 65 LT

(42@ 11302 and

23@9975) per

month. Approval is



above mentioned

condition

A.8.1

.2.1.a

DH Manpowe

r

4 0.00

A.8.1

.2.1.

b

FRUs Manpowe

r

4 0.00

A.8.1

.2.1.c

Non FRU SDH/ CHC Manpowe

r

19 0.00

A.8.1

.2.1.

d

24 X 7 PHC Manpowe

r

31 0.00

A.8.1

.2.1.e


r

7 0.00

A.8.1

.2.1.f

Others Manpowe

r

85.90

A.8.1

.2.2

MPWs 0.00

A.8.1

.3

Specialists (Anaesthetists,

Paediatricians, Ob/Gyn,

Surgeons, Physicians,

Dental Surgeons,

Radiologist, Sonologist,

Pathologist, Specialist for

CHC )

71 0.00 197.28 95.76

A.8.1

.3.1

Obstetricians and

Gynecologists

0 0.00 0.00 0.00

A.8.1

.3.1.a

DH 0.00

A.8.1

.3.1.

b

FRUs 0.00

A.8.1

.3.1.c


A.8.1

.3.1.

d

Others (Please specify) 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.3.2

Pediatricians 0 0.00 0.00 0.00

A.8.1

.3.2.a

DH 0.00

A.8.1

.3.2.

b

FRUs 0.00

A.8.1

.3.2.c


A.8.1

.3.2.

d


A.8.1

.3.3

Anesthetists 0 0.00 0.00 0.00

A.8.1

.3.3.a

DH 0.00

A.8.1

.3.3.

b

FRUs 0.00

A.8.1

.3.3.c


A.8.1

.3.3.

d


A.8.1

.3.4

Surgeons 0 0.00 0.00 0.00

A.8.1

.3.4.a

DH 0.00

A.8.1

.3.4.

b

FRUs 0.00

A.8.1

.3.4.c


A.8.1

.3.4.

d


A.8.1

.3.5

Specialists for CH

(Paediatrician etc) in

SNCU,NBSU,NRC

0 0.00 0.00 0.00

A.8.1

.3.5.a

DH 0.00

A.8.1

.3.5.

b

FRUs 0.00

A.8.1 Non FRU SDH/ CHC 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.3.5.c

A.8.1

.3.5.

d


A.8.1

.3.6.

1

Radiologists 0.00

A.8.1

.3.6.

2

Pathologists 0.00

A.8.1

.3.7

Dental surgeons and

dentists

71 0.00 197.28 95.76 Approved.

Approved 71 Dental

surgeons (50 @

23100 pm and 21 @

21000 pm ).

Approval is being

granted for six


above mentioned

condition

A.8.1

.3.7.a

DH Manpowe

r

4 0.00

A.8.1

.3.7.

b

FRUs Manpowe

r

2 0.00

A.8.1

.3.7.c


r

13 0.00

A.8.1

.3.7.

d

24 X 7 PHC Manpowe

r

42 0.00

A.8.1

.3.7.e


r

10 0.00

A.8.1

.3.7.f


r

197.28

A.8.1

.4

PHNs at CHC, PHC level 0.00

A.8.1

.5

Medical Officers 0 0.00 0.00 0.00

A.8.1

.5.1

DH 0.00

A.8.1

.5.2

FRUs 0.00

A.8.1

.5.3


A.8.1 24 X 7 PHC 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.5.4

A.8.1

.5.5

Non- 24 X 7 PHCs/

APHCs

0.00

A.8.1

.5.7

MOs for SNCU/

NBSU/NRC etc

0.00

A.8.1

.5.8

Other MOs 0.00

A.8.1

.5.9

Others 0.00

A.8.1

.6

Additional Allowances/

Incentives to M.O.s

0.00

A.8.1

.7

Others - Computer

Assistants/ BCC Co-

ordinator etc

0.00

A.8.1

.7.1

Pharmacist 61 0.00 82.02 39.88 Approved.

Approved 61

Pharmacist(55@109

72 pm, 5@9975 pm

and 1 @ 11302).

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.1.a

DH Manpowe

r

2 0.00

A.8.1

.7.1.

b

FRUs Manpowe

r

5 0.00

A.8.1

.7.1.c


r

5 0.00

A.8.1

.7.1.

d

24 X 7 PHC Manpowe

r

47 0.00

A.8.1

.7.1.e


r

2 0.00

A.8.1

.7.1.f

Others Manpowe

r

82.02

A.8.1

.7.2

Radiographers 0 0.00 0.00 0.00

A.8.1

.7.2.a

DH 0.00

A.8.1

.7.2.

b

FRUs 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.7.2.c


A.8.1

.7.2.

d

24 X 7 PHC 0.00

A.8.1

.7.2.e

Non- 24 X 7 PHCs 0.00

A.8.1

.7.2.f

Other 0.00

A.8.1

.7.3

OT technicians/assitsants 0 0.00 0.00 0.00

A.8.1

.7.3.a

DH 0.00

A.8.1

.7.3.

b

FRUs 0.00

A.8.1

.7.3.c


A.8.1

.7.3.

d

24 X 7 PHC 0.00

A.8.1

.7.3.e

Non- 24 X 7 PHCs 0.00

A.8.1

.7.3.f

Other 0.00

A.8.1

.7.4

School health teams

(Exclusively for SH)

45 29500.0

0

54.95 69.73

A.8.1

.7.4.a

MOs number 30 20000.0

0

44.40 47.88 Approved.

Rs 47.88 lakhs is

approved for 16

ayush doctors for 9

months and 14

doctors for 6 months

two each for 15

teams @ 21000 per

month. Half of the

MO to be women

and all MO to have

degree in AYUSH

from recognised

institutions of

AYUSH directorate.

A.8.1

.7.4.

LTs 0.00 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

b

A.8.1

.7.4.c

Dental Technicians 0.00

A.8.1

.7.4.

d

Ophthalmic Assistants 0.00

A.8.1

.7.4.e

Staff Nurse 0.00

A.8.1

.7.4.f

Pharmacists number 15 9500.00 10.55 11.37 Approved.

Rs 11.37 lakhs is

approved as per

RBSK guidelines for

8 Pharmacist for 9

months and 7

pharmacists for 6

months @ Rs.

9975/PM.

A.8.1

.7.4.

g

ANMs 0.00 10.48 Approved.

Rs 10.48 lakhs is

approved as per

RBSK guidelines for

8 ANMs for 9

months and 7 ANMs

for 6 months @ Rs.

9193/PM.

A.8.1

.7.4.

h

MPW 0.00

A.8.1

.7.5

Counsellors 66 0.00 99.39 44.08

A.8.1

.7.5.

1

RMNCH/FP Counselors 0.00

A.8.1

.7.5.

2

ARSH Counselors Manpowe

r

27 36.42 17.77 Approved.

Approved 27 ARSH

counsellors

(15@10973,

9@11302 and 3@

9975/pm). Approval



the above mentioned

condition

A.8.1

.7.5.

3

Honorarium to ICTC

counselors for ARSH

activities


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.7.5.

4

Other (please specify) Manpowe

r

15 23.74 8.21 Approved.

Approved 2 Hospital

Admin @ 20213 and

11 per Asst Hospital

admin @ 12128/ pm.

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.6

All Technical HR for

State Specific Initiatives

Manpowe

r

15 27.57 12.32 Approved.

Approved 1

procurement

specialist @ 20790

pm, 1 Bio medical

Engineer @ 14175

pm, 1 Quality

assurance specialist

@ 15540 pm,5

logistic specalist @

17325 pm and 5 MIS

Expert @ 13629 pm.

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.7


r

9 11.66 5.78 Approved.

Approved for 5 @

11302 pm and 4 @

Rs.9975 pm.

Approval is being

granted for six


above mentioned

condition

A.8.1

.7.8

Staff for Training

Institutes/ SIHFW/

Nursing Training

0.00

A.8.1

.8

Incentive/ Awards etc. to

SN, ANMs etc.

0.00

A.8.1

.9

Human Resources

Development (Other than

above)


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.8.1

.10

Other Incentives Schemes

(Pl.Specify)

990 0.00 156.58 66.02

A.8.1

.10.1

Rural Posting Incentive-

Most Difficult/

inaccessible areas

Manpowe

r

529 71.12 24.44 Approved.

State has identified

29 facilities and

categorized them as

Difficult and Most



different cadre of

health workers for

facilities in such

areas i.e. from MO,

MO- AYUSH, SN,

ANM, MPW etc.

Incentive ranges

from Rs 3000/ month

to Rs 600/ month.

Approved. The state


basis of incentive

A.8.1

.10.2

Rural Posting Incentive-

Difficult areas

461 55.46 31.58 Approved.

State has identified

29 facilities and

categorized them as

Difficult and Most



different cadre of

health workers for

facilities in such

areas i.e. from MO,

MO- AYUSH, SN,

ANM, MPW etc.

Incentive ranges

from Rs 3000/ month

to Rs 600/ month.

Approved. The state


basis of incentive

A.8.1

.10.3

Specialist Manpower

(Central Health Servises-

Deputation)

30.00 10.00 Approved.

Approved for a token

amount as decided in

NPCC

A.8.1 Minor civil works 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.10.4

A.8.1

.10.5

other (increment for

paramedical staff+

undistributed fund)

0.00

A.8.1

.10.6

0.00

A.8.1

.10.7

0.00

A.8.1

.10.8

0.00

A.8.1

.10.9

0.00

A.8.1

.10.1

0

0.00

A.8.1

.11

Support Staff for Health

Facilities

0 0.00 0.00 0.00

A.8.1

.11.a

DH 0.00

A.8.1

.11.b

FRUs 0.00

A.8.1

.11.c


A.8.1

.11.d

24 X 7 PHC 0.00

A.8.1

.11.e

Non- 24 X 7 PHCs 0.00

A.8.1

.11.f

SNCU/ NBSU/ NBCC/

NRC etc

0.00

Sub-total HR 1444 29500.0

0

848.63 441.13

A.9 TRAINING 168 2957922

.00

161.42 103.80

A.9.1 Strengthening of existing


(SIHFW, ANMTCs, etc.)

0.00

A.9.2 Development of training

packages

0 0.00 0.00 0.00

A.9.2

.1

Development/ translation

and duplication of

training materials

0.00

A.9.2

.2

Other activities (pl.

specify)

0 0.00 0.00 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.2

.2.1

Office Support &

Monitoring Support

number 0.00

A.9.2

.2.2

0.00

A.9.2

.2.3

0.00

A.9.2

.2.4

0.00

A.9.3 Maternal Health Training 58 1087987

.00

48.55 48.54

A.9.3

.1

Skilled Attendance at

Birth / SBA

20 193114.

00

19.31 19.31

A.9.3

.1.1

Setting up of SBA

Training Centres

0.00

A.9.3

.1.2

TOT for SBA 0.00

A.9.3

.1.4

Training of Staff Nurses

in SBA

No. of

batch

14 96557.0

0


A.9.3

.1.5

Training of ANMs /

LHVs in SBA

No. of

batch

6 96557.0

0

5.79 5.79 Approved

A.9.3

.2

EmOC Training 2 142168.

00

2.84 2.84

A.9.3

.2.1

Setting up of EmOC

Training Centres

0.00

A.9.3

.2.2

TOT for EmOC 0.00

A.9.3

.2.3

Training of Medical

Officers in EmOC

Candidate 2 142168.

00

2.84 2.84 Approved

A.9.3

.3

Life saving Anaesthesia

skills training

2 158630.

00

3.17 3.17

A.9.3

.3.1

Setting up of Life saving

Anaesthesia skills

Training Centres

0.00

A.9.3

.3.2

TOT for Anaesthesia

skills training

0.00

A.9.3

.3.3

Training of Medical

Officers in life saving

Anaesthesia skills

Candidate 2 158630.

00

3.17 3.17 Approved

A.9.3

.4

Safe abortion services

training (including MVA/

EVA and Medical

abortion)

7 149710.

00

4.65 4.66

A.9.3 TOT on safe abortion Candidate 1 86600.0 0.87 0.87 Approved


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

.4.1 services 0

A.9.3

.4.2

Training of Medical

Officers in safe abortion

Candidate 6 63110.0

0

3.79 3.79 Approved

A.9.3

.5

RTI / STI Training 6 235838.

00

6.56 6.56

A.9.3

.5.1

TOT for RTI/STI training 0.00

A.9.3

.5.2

Training of laboratory

technicians in RTI/STI

No. of

batch

2 143600.

00

2.87 2.87 Approved

A.9.3

.5.3

Training of Medical

Officers in RTI/STI

No. of

batch

4 92238.0

0

3.69 3.69 Approved

A.9.3

.6

BEmOC training for

MOs/LMOs

No. of

batch

13 64613.0

0

8.40 8.40 Approved

A.9.3

.7

Other maternal health


6 123914.

00

3.21 3.20

A.9.3

.7.1

Training on MTP for

O&G

No. of

batch

1 21875.0

0

0.22 0.22 Approved

A.9.3

.7.2

Training on MTP for MO No. of

batch

1 36470.0

0

0.36 0.36 Approved

A.9.3

.7.3

Training of SN in

RTI/STI

No. of

batch

4 65569.0

0

2.62 2.62 Approved

A.9.3

.7.4

0.00

A.9.3

.7.5

0.00

A.9.3

.7.6

0.00

A.9.3

.7.7

0.00

A.9.3

.7.8

0.00

A.9.3

.7.9

0.00

A.9.3

.7.10

0.00

A.9.3

.8

Blood Storage Unit

(BSU) Training

No. of

batch

2 20000.0

0

0.40 0.40 Approved

A.9.3

.9

Skill Lab Training 0.00

A.9.4 IMEP Training 4 22588.0

0

0.90 0.90

A.9.4

.1

TOT on IMEP 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.4

.2

IMEP training for state

and district programme

managers

Candidate 4 22588.0

0

0.90 0.90 Approved

A.9.4

.3

IMEP training for medical

officers

0.00

A.9.5 Child Health Training 15 889858.

00

18.86 15.27

A.9.5

.1

IMNCI Training (pre-


2 175706.

00

3.51 3.51

A.9.5

.1.1

TOT on IMNCI (pre-


0.00

A.9.5

.1.2

IMNCI Training for

ANMs / LHVs

No. of

batch

2 175706.

00

3.51 3.51 Approved

A.9.5

.1.3

IMNCI Training for

Anganwadi Workers

0.00

A.9.5

.2

F-IMNCI Training 2 284166.

00

2.84 2.84

A.9.5

.2.1

TOT on F-IMNCI 0.00

A.9.5

.2.2


Medical Officers

No. of

batch

1 143325.

00

1.43 1.43 Approved

A.9.5

.2.3


Staff Nurses

No. of

batch

1 140841.

00

1.41 1.41 Approved

A.9.5

.3

Home Based Newborn

Care / HBNC

0 0.00 0.00 0.00

A.9.5

.3.1

TOT on HBNC 0.00

A.9.5

.3.2

Training on HBNC for

ASHA

0.00

A.9.5

.4

Care of sick children and

severe malnutrition at

FRUs

0 0.00 0.00 0.00

A.9.5

.4.1

TOT on Care of sick

children and severe

malnutrition

0.00

A.9.5

.4.2

Training on Care of sick

children and severe

malnutrition for Medical

Officers

0.00

A.9.5

.5

Other child health training

(please specify)

11 429986.

00

12.50 8.92

A.9.5

.5.1

NSSK Training 4 120878.

00

2.42 2.42

A.9.5

.5.1.

TOT for NSSK candidate 0 0.00 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

1

A.9.5

.5.1.

2

NSSK Training for

Medical Officers

No. of

batch

2 61060.0

0

1.22 1.22 Approved

A.9.5

.5.1.

3

NSSK Training for SNs No. of

batch

2 59818.0

0

1.20 1.20 Approved

A.9.5

.5.1.

4

NSSK Training for

ANMs

No. of

batch

0.00

A.9.5

.5.2

Other Child Health

training

7 309108.

00

10.08 6.50

A.9.5

.5.2.a

IMNCI Training for SN No. of

batch

2 179108.

00


A.9.5

.5.2.

b

SNCU Training for

MO/SN

No. of

batch

5 130000.

00

6.50 6.50 Approved

A.9.5

.5.2.c

0.00

A.9.5

.5.2.

d

0.00

A.9.5

.5.2.e

0.00

A.9.6 Family Planning Training 37 141698.

00

7.34 7.34

A.9.6

.1

Laparoscopic Sterilisation

Training

2 40710.0

0

0.81 0.81

A.9.6

.1.1

TOT on laparoscopic

sterilisation

0.00

A.9.6

.1.2


training for doctors

(teams of doctor, SN and

OT assistant)

No. of

batch

2 40710.0

0

0.81 0.81 Approved.

4 Particpants

(2/Batch).

A.9.6

.2


A.9.6

.2.1

TOT on Minilap 0.00

A.9.6

.2.2

Minilap training for

medical officers

0.00

A.9.6

.3


(NSV) Training

6 62920.0

0

2.26 2.26

A.9.6

.3.1

TOT on NSV canditate 4 50000.0

0

2.00 2.00 4 Particpants

(1/Batch).

Approved.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.6

.3.2


officers

canditate 2 12920.0

0

0.26 0.26 2 partcipants

(1/batch) Approved.

A.9.6

.4

IUD Insertion 16 18848.0

0

3.02 3.02

A.9.6

.4.1


A.9.6

.4.2

Training of Medical

officers in IUD insertion

0.00

A.9.6

.4.3

Training of staff nurses in

IUD insertion

0.00

A.9.6

.4.4

Training of ANMs /

LHVs in IUD insertion

No. of

batch

16 18848.0

0

3.02 3.02 80 partcipants

(5/Batch).

Approved

A.9.6

.5


Training

0.00

A.9.6

.6

Other family planning


8 9610.00 0.77 0.77

A.9.6

.6.1

PPIUCD insertion

training for MO

No. of

batch

8 9610.00 0.77 0.77 Approved

A.9.6

.6.2

0.00

A.9.6

.6.3

0.00

A.9.6

.6.4

0.00

A.9.6

.6.5

0.00

A.9.6

.7

PPIUCD insertion

training

No. of

batch

5 9610.00 0.48 0.48 Approved

A.9.6

.8

IUCD 375 insertion

training

0.00

A.9.6

.9

Training of FP

Counselors

0.00

A.9.6

.10

Training/ orientation on

technical manuals

0.00

A.9.7 Adolescent Reproductive

and Sexual Health/ARSH

Training

8 408027.

00

10.24 14.74

A.9.7

.1

TOT for ARSH training 0.00

A.9.7

.2


state and district

programme managers

0.00

A.9.7

.3

ARSH training for

medical officers

No. of

batch

1 133140.

00

1.33 1.33 Approved


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.7

.4

ARSH training for

ANMs/LHVs

No. of

batch

0 0.00 0.00

A.9.7

.5

ARSH training for

AWWs

0.00

A.9.7

.6

Other ARSH training 4 110170.

00

4.41 4.41

A.9.7

.6.1

Training for SN &

counsellor on ARSH

No. of

batch

4 110170.

00

4.41 4.41 Approved

A.9.7

.6.2


State level

No. of

batch

0 0.00 0.00

A.9.7

.6.3


District level

No. of

batch

0 0.00 0.00

A.9.7

.6.4

0.00

A.9.7

.6.5

0.00

A.9.7

.6.1

WIFS training 0 14717.0

0

0.00 0.00

A.9.7

.6.1.

1

State level/ District Level/

Block Level

14717.0

0

0.00

A.9.7

.6.1.

2


ANM/MO/ AWW/ Nodal

Teacher

No. of

batch

0.00 0.00

A.9.7

.6.2

Menstrual hygiene

training

0.00

A.9.7

.6.3

SHP training 3 150000.

00

4.50 9.00

A.9.7

.6.3.

1

School Health Training -

Training of team –

technical and managerial

No. of

batch

3 150000.

00

4.50 9.00 Approved.

Rs 4.5 lakhs is

approved for RBSK

training 2 batches

with 8 and 7 teams

each. Two batchs one

at State level for

State level master

trainers. Rs 4.5

Lakhs is approved

for 3 training of 15

days each for DEIC

staffs @ Rs 1.5 lakhs

each, shifted from A

4.2.5.3.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.7

.6.3.

2

Training of Nodal

teachers

No. of

batch

0.00 0.00 Approved.

Not Approved under

RBSK

A.9.7

.6.3.

3

One day orientation for

programme managers/

MO

0.00

A.9.7

.6.3.

4

Training/Refresher

training -ASHA

0.00

A.9.7

.6.3.

5

Training/Refresher

training -ANM

0.00

A.9.8 Programme Management

Training (e.g. M&E,

logistics management,

HRD etc.)

34 157764.

00

19.41 9.51

A.9.8

.1

Training of SPMSU staff No. of

person

14 14.00 5.00 Approved.

Approved for short

Course Training for

10 person @ Rs. 0.50

lakhs subject to

follow RCH norms.

Other training not

approved.

A.9.8

.2

Training of DPMSU staff No. of

batch

8 22588.0

0

1.81 1.81 Approved

A.9.8

.3

Training of BPMSU staff 0.00

A.9.8

.4

Other training (pl.

specify)

12 135176.

00

3.61 2.70

A.9.8

.4.1

Training on Pro-MIS No. of

batch

4 22588.0

0

0.90

A.9.8

.4.2

CME for MO No. of

batch

2 50000.0

0

1.00 1.00 Approved for Rs

1.0 lakhs for 2

batches for CME@

Rs 0.50 lacs per

batch

A.9.8

.4.3

Training of nursing -

refresher/CME

No. of

batch

2 40000.0

0

0.80 0.80 Approved for Rs

0.80 lakhs for 2

batches for CME in

Nursing @ Rs 0.40

lacs per batch

A.9.8

.4.4

Undistributed fund 0.00

A.9.8

.4.5

Financial Management

Training

No. of

batch

4 22588.0

0

0.90 0.90 Approved.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.9.9

.1

PC/PNDT training 0.00

A.9.9

.2

Others Candidate 9 48.62 0.00 Approval Pended-

No Plan where

training will be

conducted, duration

of training and

outcome to be

achieved through

these trainings

A.9.1

0

Training (Nursing) 0 0.00 0.00 0.00

A.9.1

0.1

Strengthening of Existing

Training

Institutions/Nursing

School excluding

infrastructure and HR.

0.00

A.9.1

0.2

New Training

Institutions/School

0.00

A.9.1

1

Training (Other Health

Personnel)

3 250000.

00

7.50 7.50

A.9.1

1.1

Promotional Training of

ANMs to lady health

visitor etc.

0.00

A.9.1

1.2

Training of ANMs,Staff

nurses,AWW,AWS

0.00

A.9.1

1.3

Other training and

capacity building

programmes (nursing

tutors etc.)

0.00

A.9.1

1.3.1 PGDHM Courses

candidate

3 250000.

00 7.50 7.50

Approved Rs 7.50

lakhs for 3

candidates @ Rs 2.5

lakhs in PGDHM

Courses

Sub-total Training 168 2957922

.00 161.42 103.80

A.10 PROGRAMME

MANAGEMENT 425

195000.

00 568.86 353.71

Approval for

programme

management staff is


months only and its


next six months


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

would be contingent

on compliance of

condition that

Performance

Appraisal system is

set up and

implemented to

monitor performance

of regular and

contractual staff.

A.10.

1

Strengthening of State

society/ State

Programme

Management Support

Unit

42 0.00 79.85 39.51


SPMSU recruited and in

position

42 0.00 79.85 39.51

A.10.

1.1

State Programme

Manager

Manpowe

r

1 3.74 1.78 Approved.

Approved @

Rs.29741 pm . Same

as last year.

Approval is being

granted for six


above mentioned

condition.

A.10.

1.2

State Accounts Manager Manpowe

r

1 3.44 1.64 Approved.

Approved @Rs.

27362/pm . Approval



the above mentioned

condition.

A.10.

1.3

State Finance Manager Manpowe

r

1 3.24 1.70 Approved.

Approved @ Rs.

28350 pm. Approval



the above mentioned

condition.

A.10.

1.4

State Data Manager Manpowe

r

1 3.44 1.64 Approved.

Approved @ Rs.

27362 pm . Approval




S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

the above mentioned

condition.

A.10.

1.5

Consultants/ Programme

Officers (including for

MH/CH/FP/ PNDT/ AH

including WIFS SHP,

MHS etc.)

Manpowe

r

4 14.07 6.84 Approved.

Approved MO RCH

@ Rs.33310 pm,

Consultant SHFWs

@ Rs. 30030,

Adolescent

Coordinator @ Rs.

26565, BCC

consultant @Rs.

24150 pm. Approval



the above mentioned

condition.

A.10.

1.6

Programme Assistants Manpowe

r

4 8.16 4.24 Approved.

Approved for NGO

Advisor @ Rs.

16061 pm, Asst

programme manager

@ Rs. 20213, Editor

@Rs. 18375 pm , Sr

Office Asst @ Rs.

16061.

Approval is being

granted for six


above mentioned

condition.

A.10.

1.7 Accountants

Manpowe

r 2 2.28

1.20 Approved.

Approved 2

Accounts Asst @ Rs.

9975 pm. Approval



the above mentioned

condition.

A.10.

1.8


(Office Assistant)

Manpowe

r 7 9.06

4.49 Approved.

Approved 3 office

asst @ Rs. 11302

pm, 1 @ Rs. 10973

pm and 3 @ Rs.

9975/pm. Approval



S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


the above mentioned

condition.

A.10.

1.9

Support Staff (Kindly

Specify)

Manpowe

r 12 11.04

5.55 Approved.

Approved 2Work

asst @ Rs. 7277/pm,

3 driver @ Rs. 8328/

pm, 1 driver @

Rs.7350/pm, 4 peon

@ Rs.7495/pm, 1

Peon @ Rs. 7277/

pm and 1 Night

guard @ Rs. 8335/

pm. Approval is



above mentioned

condition.

A.10.

1.10

Salaries for Staff on

Deputation (Please

specify)

0.00

A.10.

1.11 Others (Please specify) 9 0.00 21.37 10.42

A.10.

1.11.

1

Deputy Director Finance Manpowe

r 1 4.22 2.02

Approved.

Approved @ Rs.

33600 pm. Approval



the above mentioned

condition.

A.10.

1.11.

2

Manager Mass Media Manpowe

r 1 2.76 1.45

Approved.

Approved @ Rs.

24150 pm. Approval



the above mentioned

condition.

A.10.

1.11.

3

Jr. Engineer Manpowe

r 2 4.04

2.02 Approved.

Approved 1 @ Rs.

17845 pm and 1 @

Rs. 15750 pm.

Approval is being

granted for six



S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

above mentioned

condition.

A.10.

1.11.

4

AYUSH PMU Manpowe

r 4 8.93

4.26 Approved.

Approved1 Ayush

Programme manager

@ Rs. 24255, 1 Fin

Manager @

Rs.23100, 1

accountant @

Rs.12705 and 1

computer asst @ Rs.

10973 pm. Approval



the above mentioned

condition.

A.10.

1.11.

5

Store keeper Manpowe

r 1 1.42 0.68

Approved.

Approved @

Rs.11302 pm.

Approval is being

granted for six


above mentioned

condition.

A.10.

2

Strengthening of District

society/ District

Programme

Management Support

Unit

39 0.00 98.40 48.76


DPMSU recruited and

in position

39 0.00 98.40 48.76

A.10.

2.1

District Programme

Manager

Manpowe

r 8 25.17 12.70

Approved.

Approved 8 DPM

(3@ Rs. 28552 & 5

@ Rs. 25200/pm).

Approval is being

granted for six


above mentioned

condition.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

2.2

District Accounts

Manager

Manpowe

r 8 23.60 11.91

Approved.

Approved 8 District

Accounts Manager

(3@ Rs. 26768 and 5

@ Rs. 23625).

Approval is being

granted for six


above mentioned

condition.

A.10.

2.3 District Data Manager

Manpowe

r 8 19.41 9.68

Approved.

Approved 8 District

Data Manager (4@

Rs. 21414 and 4

@Rs. 18900/pm).

Approval is being

granted for six


above mentioned

condition.

A.10.

2.4

Consultants/ Programme

Officers (Kindly Specify) 0.00

A.10.


A.10.

2.6


(Office Assistant)

Manpowe

r 4 5.40 2.63

Approved.

Approved 3 office

assistant @ Rs.

11302 pm and 1 @

Rs.9975 pm. Same as

last year. Approval is



above mentioned

condition.

A.10.

2.7


Specify)

Manpowe

r 11 10.23 4.89

Approved.

Approved 3 drivers

@ Rs. 8328 pm and

4 SCA @ Rs.6615

pm and 4 peon @ Rs.

7495 pm. Approval



the above mentioned

condition.

A.10.

2.8 Others (Please specify) 14.59 6.96


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

2.8.1 District Media Expart

Manpowe

r 4 8.91 4.25

Approved.

Approved 3 @ Rs.

17845 pm and 1 @

Rs.17325/ pm.

Approval is being

granted for six


above mentioned

condition.

A.10.

2.8.2 Store keeper

Manpowe

r 4 5.68 2.71

Approved.

Approved 4 @

Rs.11302. Approval



the above mentioned

condition.

A.10.

2.8.3 0.00

A.10.

2.8.4 0.00

A.10.

2.8.5 0.00

A.10.

3

Strengthening of Block

PMU 34 0.00 214.69 99.12

A.10.

3.1

Block Programme

Manager

Manpowe

r 17 32.73 15.93

Approved.

Approved 13 @ Rs.

16061/- and 4 @ Rs.

14175/- pm.

Approval is being

granted for six


above mentioned

condition.

A.10.

3.2 Block Accounts Manager

Manpowe

r 17 25.86 12.65

Approved.

Approved 12 @ Rs.

12848 and 5 @ Rs.

11340/- pm.

Approval is being

granted for six


above mentioned

condition.

A.10.

3.3 Block Data Manager 0.00

A.10.



S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

3.5 Data Entry Operators 0.00

A.10.

3.6


Specify) 0.00

A.10.

3.7 Others (Please specify) 156.10 70.54

A.10.

3.7.1 Media expart

Manpowe

r 11 15.18 7.61

Approved.

Approved 5 @Rs.

12128/- and 6 @ Rs.

11025/- pm.

.Approval is being

granted for six


above mentioned

condition.

A.10.

3.7.2

Administrative cum

Accounts Assistance

Manpowe

r 108 140.92 62.93

Approved.

Approved existing

95 Administrative

cum Accounts

Assistance. 74

@Rs. 11302 pm, 3 @

Rs. 10973 and 18 @

Rs. 9975 pm.Same as

last year. New

positions not

approved.

Approval is being

granted for six


above mentioned

condition.

A.10.

3.7.3

HMIS assistant for

SH/MC/DH/SDH

Proposed in part

MFP

A.10.

3.7.4

HMIS assistant for CHC/

PHC

Proposed in part

MFP

A.10.

3.7.5 0.00

A.10.

4 Strengthening (Others) 10

130000.

00 4.40 4.40

A.10.

4.1

Workshops and

Conferences

No. of

workshop 8

30000.0

0 2.40

2.40 Approved.

Approved Rs 2.40

lakhs for 8

workshops @ Rs

30000/ workshop


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

A.10.

4.2

Workshop & Conference

at State level

No. of

workshop 2

100000.

00 2.00

2.00 Approved.

Approved Rs 2.00

lakhs for 2

workshops @ Rs

100000/ workshop at

State level

A.10.

4.3

HR Development -

SPMSU

A.10.

4.4

HR Development -

DPMSU

A.10.

4.5

HR Development -

SDPMSU

A.10.

5 Audit Fees

A.10.

6 Concurrent Audit system 24.00 24.00 Approved

A.10.

7 Mobility Support, Field

Visits 300

65000.0

0 147.52 137.92

A.10.

7.1 SPMU/State

no. of

month 72

30000.0

0 21.60 12.00

Approved for4

vehicles @ Rs.3

lakhs/vehicle/annum

A.10.

7.2 DPMU/District

no. of

month 96

20000.0

0 19.20 19.20 Approved

A.10.

7.3 BPMU/Block

no. of

month 132

15000.0

0 19.80 19.80 Approved

A.10.

7.4

Other Supportive

Supervision costs 86.92 86.92 Approved

A.10.

7.4.1 SPMSU

No. of

Month 12

200000.

00 35.00 35.00

Approved for office

contingency @ Rs. 2

Lakhs/PM

(excluding

Statitutory Audit is

required RS.6/-

Lakhs and Rs. 5

Lakhs for

implementation of

Tally.)

A.10.

7.4.2 DPMSU

No. of

Dist. 8

15000.0

0 14.40 14.4

Approved for office

contingency of

DPMSU @ Rs.


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

15000/PM (08 unit)

A.10.

7.4.3 SDPMSU 30.72 30.72

Approved for office

contingency of

SDPMSU @ Rs.

5000/PM (7 unit as 4

unit merged with

new districts)

Not approved for

office contingency of

24X 7 hr PHC,CHC,

SDH,DH @ Rs.

2000/PM (97 unit) &

non 24 X 7 hr PHC

18 nos. @ Rs. 1500

(Rs.23.28+3.24 lakhs

= Rs. 26.52 lakhs not

approved)

A.10.

7.4.4

Strengthening of PMU &

HR Computer 17

40000.0

0 6.80 6.80

Approved.

1.SPMSU 02 nos.

DPMSU 08 nos.,

SDPMSU 7 nos.

A.10.

7.4.5 0.00

Sub-total Programme

Management 425

195000.

00 568.86 353.71

A.11 VULNERABLE

GROUPS 0 0.00 0.00 0.00

A.11.

1

Planning, including

mapping and co-

ordination with other

departments

0.00

A.11.

2

Services for Vulnerable

groups 0.00

A.11.

3

LWE affected

areasspecial plan 0.00

A.11.

4

Other strategies/activities

(please specify) 0 0.00 0.00 0.00

A.11.

4.1 0.00

A.11.

4.2 0.00

A.11. 0.00


S.

No. Budget Head

Unit of

Measure

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

propose

d

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

4.3

A.11.

4.4 0.00

A.11.

4.5 0.00

Sub-total Vulnerable

Groups 0 0.00 0.00 0.00

TOTAL RCH SUPPLY

SIDE 182181

3990122

.00 3132.13 2022.05

TOTAL RCH

DEMAND SIDE 61807

28890.0

0 463.34 426.30

GRAND TOTAL

3595.

47 2448.35


ANNEX 2

MISSION FLEXIBLE POOL

S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1 ASHA 430857

6685

88.0

0

1448.04

B 1.1 ASHA Cost: 430857

6685

88.0

0

1448.04

B1.1.

1

Selection &

Training of

ASHA

523

5420

73.0

0

414.81

B1.1.

1.1 Module I - IV 0.00

B1.1.

1.2 Module V 0.00

B1.1.

1.3 Module VI & VII

No. of

Batch 0.00

B1.1.

1.4 Other Trainings 523

5420

73.0

0

414.81

B1.1.

1.4.1 ToT for HBNC

No. of

Batch

3

1234

00.0

0

3.70 3.70

Approved. Ongoing

activity.

ASHA refresher training is

proposed to be rolled out

after completion 6th & 7th

Module. Trainers need to be

sensitized before rolling out

refresher training to ASHAs

in the state.

B1.1.

1.4.2

Refresher training

for ASHA

No. of

Batch 494

4260

3.00 210.46 0.00

Not approved. New

activity.

B1.1.

1.4.3

ASHA facilitator

training

No. of

Batch

14

1262

62.0

0

17.68 17

.68

Approved. Ongoing

activity.

Total 26 days training (5th

module – 4 days, 6th & 7th

module – 20 days, additional

2 days monitoring &

supervision tool would be

imparted to each ASHA

Facilitator.

• In ROP 12-13, out of 26


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

days training, 16 days was

approved and for additional

10 days training, budget

calculation has been done

and budget for 17.68 L has

been projected.

• State may implement the

proposed training.

• The proposed 4th round

training of AF for 5 days on

Module 6 & 7 is subjected to

the holding of 3rd round

TOT of Module 6 & 7 at

state level.

B1.1.

1.4.4

Refresher training

of ASHA

facilitator

No. of

Batch

8

1790

25.0

0

14.32 0.00

Not approved. New

activity.

Based on the observations

made by the 6th CRM, state

has planned to impart

training and capacity

building training to ASHA

Facilitators.

• As because, presently

ASHA Facilitators are

mostly expected to support

ASHAs on the contents of

module 6 & 7, so, it is

suggested that state may

cover the training input of

this proposed training with

the proposed ASHA

Facilitators training

(proposed under B.1.1.1.4.3).

• AF training already

proposed on Module 6 & 7

and on performance

monitoring.

B1.1.

1.4.5

ASHA Varosa

Divas

165.82 126.02

APPROVED as per 2012-

13 expenditure (76%).

State is advised to notify this

date for clearing all monthly

dues of ASHAs using already

notified integrated ASHA

Incentive Package.


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

1.4.6

Capacity

Development

Training ARC

personals

No. of

Batch 4

7078

3.00 2.83 2.83

Approved. Ongoing

activity.

B1.1.

2

Procurement of

ASHA Drug Kit 14734

1150

.00 84.72

B1.1.

2.1 New Kits 0.00

B1.1.

2.2 Replenishment

No. of

ASHA

/ times 7367 350.

00 25.78 0.00

May be replenished from

SC, PHC and CHC. For

budget please see B.

16.2.5.1. Ongoing activity.

B1.1.

2.3

Procurement of

ASHA HBNC Kit 7367

800.

00 58.94 0.00

B1.1.

2.4 New Kits 0.00

B1.1.

2.5 Replenishment

No. of

ASHA 7367

800.

00 58.94 22.10

Approved @ Rs 300.00..

Ongoing activity.

Weighing scale with sling

was distributed to all ASHAs

in 2011 and mercury

thermometer (manual) was

given to all ASHAs in 2008

as a part of ASHA drug kit.

B1.1.

3

Performance

Incentive/Other

Incentive to

ASHAs (if any)

414130

1116

65.0

0

790.79

B1.1.

3.1

Incentive under

MH (ANC/PNC) 88404

200.

00 176.81

B1.1.

3.1.1

Incentive for

ASHA for VHND 88404

200.

00 176.81 0.00

Not approved. New

activity.

Already approved above

under MH for organizing

VHNDs @ Rs 1000/ VHND

out of which Rs 200/- to be

given as incentive to ASHA

for mobilizing PW and

children as per due list to the

session site


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

3.1.2 MCP card entry 0.00

B1.1.

3.1.3 0.00

B1.1.

3.2

Incentive under

CH (HBNC) 108546

500.

00 173.33

B1.1.

3.2.1

New born home

visit

No.

new

born

31544

250.

00

78.86 71.60

Approved. Ongoing

activity.

Total estimated rural live

births are 40922. State must

cover 70% (28645) of these

rural live births under

HBNC.

B1.1.

3.2.2

Mobilization of

beneficiary in

immunization

Per

sessio

n

34944 150.

00 52.42 0.00

Not approved.


budget under Immunization

B1.1.

3.2.3

Full

Immunization

Per

child 42058

100.

00 42.06 0.00

Not approved.


budget under Immunization

B1.1.

3.3

Incentive for FP(

PPIUCD/others) 41944

2000

.00 258.22

B1.1.

3.3.1

Ensuring spacing

of 2 year after

marriage

Benerf

iciary

No.

25226 500.

00 126.13 126.13

Approved.

B1.1.

3.3.2

Ensuring spacing

of 3 year after

marriage

Benerf

iciary

No.

7018 500.

00 35.09 35.09

Approved.

B1.1.

3.3.3

Permanent

method of FP

after 2 children

Benerf

iciary

No.

9700 1000

.00 97.00 0.00

Not approved.

B1.1.

3.4 Incentive for AH 0.00

B1.1.

3.5 Other incentive 127063

550.

00 122.47

B1.1.

3.5.1

Incentive to

ASHA for death

reporting of all

No. of

case 9191 50.0

0 4.60 4.60

Approved. Ongoing

activity.

This may be considered as


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

ages per GoI guideline @ Rs. 50

and budget recasted

B1.1.

3.5.2

IPC in

breastfeeding

week

No. of

ASHA 7367

100.

00 7.37 0.00

Not approved. New

activity.

B1.1.

3.5.3

IPC in new born

week

No. of

ASHA 7367

100.

00 7.37 0.00 Not approved. New activity

B1.1.

3.5.4

IPC in world

population day

No. of

ASHA 7367

100.

00 7.37 0.00 Not approved. New activity

B1.1.

3.5.5

IPC in world TB

day

No. of

ASHA 0.00

B1.1.

3.5.6

IPC in world

matri surakshya

divas

No. of

ASHA 0.00

B1.1.

3.5.7

Mobilization in

Kanya Surakshya

Abhiyan

No. of

ASHA 0.00

B1.1.

3.5.8

Community

Meeting Sasthya

Gram Sabha

No. of

ASHA 7367

100.

00 7.37 0.00

Not approved

B1.1.

3.5.9

Facilitating

VHSNC Meeting

No. of

ASHA 88404

100.

00 88.40 0.00

Not approved.

VHSNC untied fund may be

used for it.

B1.1.

3.5.1

0

0.00

B1.1.

3.5.1

1

Workshop of

State and District

QAC members

(1) Budget for

monitoring

activities by QA

cell (lumpsum)

0.00

B1.1.

3.5.1

2

Different level

review meeting

0.00

B1.1.

3.6

Other (support

provisions to

ASHA such as

uniform, diary,

48173

1084

15.0

0

59.96


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

ASHA Ghar etc)

B1.1.

3.6.1

Flip Chart for

ASHA

No. of

ASHA

&

Facilit

ator

7800 120.

00 9.36 7.80

Approved for ASHA diary

@ Rs 100.00 for 7800 ASHA

and ASHA facilitator.

Ongoing activity.

B1.1.

3.6.2

Sari and Pachra

for ASHA &

ASHA facilitator

No. of

ASHA

&

Facilit

ator

7767 480.

00 37.28 0.00

Not approved. Ongoing

activity.

Uniform to ASHAs (Saree &

Pachra) was given to all

ASHAs was approved in RoP

12-13. Last year‟s utilization

0 till Nov‟12.

B1.1.

3.6.3

ASHA

convention at

Dist. Level

No. of

dist. 8

1073

00.0

0

8.58 0.00

Not approved.

B1.1.

3.6.4

Printing of HBNC

format

No. of

form 31544

15.0

0 4.73 4.73 Approved.

B1.1.

4

Awards to

ASHA's/Link

workers

No. of

ASHA 1054

500.


B1.1.

5

ASHA Resource

Centre/ASHA

Mentoring Group

416 1320

0.00 152.45

B1.1.

5.1

HR At State

Level

Manpo

wer 1 3.40 1.58

Approved. On-going

activity.




S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

salary.


and continuation for the next

six months would be







B1.1.

5.2

HR at District

Level

ASHA

coordinator /

programme

manager at

district level, sub

divisional level as

community

mobilise for

ASHA

Manpo

wer 15 25.58 12.26

Approved

On-going activity



salary.



six months would be







B1.1.

5.3

HR at Block

Level

ASHA Facillitator

Manpo

wer 400

1320

0.00 52.80 25.20

Approved (on-going

activity) for existing post

with 5% increment on last

year‟s salary.



six months would be








S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B1.1.

5.4

Mobility Costs for

ASHA Resource

Centre/ASHA

Mentoring Group

(Kindly Specify)

70.67 64.67

Approved.

Software for ASHA not

approved.

ASHA SUB

TOTAL 1448.04 525.99

B2 Untied Funds 1911 9500

0.00 215.55


CHCs/SDH

No. of

CHC/

SDH

30 5000

0.00 15.00 11.50

Approved.


and 11 SDH (as per RHs

2012) as per last utilization

in the year 2012-13 till 4th

Quarter ending (100%

Utilization) .


PHCs

No. of

PHC

83 2500

0.00 20.75 19.35

Approved.





(98% Utilization).


Sub Centres

No. of

SC

760 1000

0.00 76.00 68.30

Approved.





(95% Utilization).

B2.4 Untied fund for

VHSC

No. of

VHSC 1038

1000

0.00 103.80 87.19

Approved for 1038 VHSNC

as per last utilization in the

year 2012-13 till 4th Quarter

ending (84% Utilization).

B2.5 Others 0.00

UNTIED FUND

SUB TOTAL 215.55 186.34

B.3

Annual

Maintenance

Grants (only for

Government

444

2600

00.0

0

103.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

institutions)

B3.1 CHC No. of

CHC 19

1000

00.0

0

19.00 9.36

Approved.


(as per RHs 2012) as per last



(78% Utilization) .

B3.2 PHCs No. of

PHC 79

5000

0.00 39.50 35.55

Approved.





(90% Utilization).

B3.3 Sub Centres No. of

SC 335

1000

0.00 33.50 24.32

Approved.





(51% Utilization).

B3.4 DH No. of

DH 0.00

B3.5 SDH No. of

SDH 11

1000

00.0

0

11.00 5.17

Approved.

Approval given for 11 SDH




(47% Utilization).

B3.6 Other 0.00

AMG SUB

TOTAL 103.00 74.40

B.4 Hospital

Strengthening 5

1000

0000

.00

2755.28

B.4.1

Up gradation of

CHCs, PHCs,

Dist. Hospitals

5

1000

0000

.00

2755.28

B4.1.

1 District

Hospitals 0 0.00 0.00

B4.1.

1.1

Additional

Building/ Major

Upgradation of

existing Structure

0.00

B4.1.

1.2

Repair/

Renovation 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B4.1.

1.3

Spillover of

Ongoing Works 0.00

B4.1.


B4.1.

2 CHCs 0 0.00 50.00

B4.1.

2.1

Additional

Building/ Major

Upgradation of

existing Structure

0.00

B4.1.

2.2

Repair/

Renovation 0.00

B4.1.

2.3

Spillover of

Ongoing Works

of Rajnagar PHC

to CHC

50.00 50.00

Approved.

Ongoing activity.

As per the ROP 12-13 total

project cost is Rs. 461.24L.

However, project cost shown

in 2013-14 PIP annexure is

Rs 416.24 lakhs. Rs 50 lakh

approved in 2012-13.

State needs to clarify the

correct total project cost and

also share the detail physical

progress of the project.

B4.1.


B4.1.

3 PHCs 4

5000

000.

00

2610.93

B4.1.

3.1

Additional

building/ major

upgradation of

existing structure

(New building of

existing PHC

Mungiakami,

Dhanarpur and

Maharani,

ongoing

upgradation of

Shantir Bazar

PHC to CHC,

expansion of

existing

Muhuripur PHC

No. of

PHC 3

5000

000.

00

442.00 350.00

1) Ongoing activity.

Approved for Shantir

Bazar PHC. Total project

cost Rs 2253.40 out of which

in 2011-12 Rs 438.83, in

2012-13 Rs 562.87 was

approved. Remaining

amount Rs 250 L approved

for Shantir Bazar PHC and

hence total project cost

approved.

2) New activity.


Mungiakami PHC.

(total project cost Rs

597.63L)

3) New activity


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


Dhanarpur PHC (total

project cost Rs 597.63L )

Not approved for expansion

of existing Mhuripur PHC.

B4.1.

3.2

Repair/

Renovation

No. of

PHC 1

B4.1.

3.3

Spillover of

Ongoing Works 1195.81 894.24

Approved. Ongoing

activity.

Approved for ----

1) Construction of 9 new

PHC- Taxapara,

Baishnabpur, Ratanpur(S),

Rajkandi, Muraibari,

Bhaterbazar, Lalcherra &

Masli. and Halaichara.

(551.50 L).

2) Construction of new

building in existing PHC in

Karbook, Ambassa,

Manikpur, Dayarampara and

kalachara

( 204.50 L)

3) Upgradation of PHC to

CHC in Kadamtala (138.24

L)

4) For Up gradation of

PHC to CHC as FRU in

Kherangbar Rs 301.57 L

may be revalidated as


by the state.

B4.1.

3.4 Staff Quarters

No. of

PHC 973.12 704.30

Approved.

Ongoing activity.

1. Rs 704.30 L approved for

ongoing upgradation of PHC

to IPHS in Bishramganj ,

Mandai, Muhuripur ,

Machamara, Khedacherra

2. Nakshipara PHC total

project cost Rs 230.64 out

of which Rs 42 L approved

in 2012-13

Rs 42 L is revalidated as


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks


by the state.

B4.1.

4 Sub Centres 0 0.00 10.35

B4.1.

4.1

Additional

Building/ Major

Upgradation of

existing Structure

0.00

B4.1.

4.2

Repair/

Renovation 0.00

B4.1.

4.3

Spillover of

Ongoing Works 10.35 0.00

Rs 10.35 L approved in

2009-10. However, fund not

yet released . Revalidated



B4.1.

4.4 ANM Quarters 0.00

B4.1.

5 Others (MCH

Wings) 1

5000

000.

00

59.00

B4.1.

5.1

(Absolutely) New

/ Rented to Own

Building

MCH wing in

GBP Hospital.

No. of

MCH

Wings

1

5000

000.

00

50.00 0.00

Approval pended. New

activity. Proposal may be

revised for 30 beded MCH

wing.

DPR can be submitted.

Total project Cost

proposed Rs 4721.38 L, is

on higher side.

B4.1.

5.2

Additional

requirement from

previous work

0.00

B4.1.

5.3

Carry forward

/Spillover of

Ongoing Works

0.00

B4.1.

5.4

Other

construction 0 0.00 9.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B4.1.

5.4.1

Construction of

Urban & Rural

Training centre

0.00

B4.1.

5.4.2

Construction of

Urban Rural

Training centre

0.00

B4.1.

5.4.3

AID to maintain

sustainability of

ISO certification

of IGM hospital

(OPD Registrer

counter + OPD

Dispensary +

Medicine Store +

5 Lakh ,

Calibration of

Instrument &

equipments = 2

Lakh, Bio-

Medical Waste

Maagement = 2

Lakh, Training on

awareness about

internal audit &

ISO certification

among staff of

IGM hosital=1

lakh

9.00 9.00

Approved.

Rs 9.0 lakhs is recommended

for approval subject to next

year onwards, the activity

will be carried out by states

own quality assurance cell.

B4.1.

5.4.4

Development of 3

DEIC one at State

Hospital two in

District hospitals.

0.00 75.00


from A4.2.5.3.

Rs 75 lakhs is approved for 3

DEICs at Agartala (Khowai,

West tripura, Sipaitala and

Part of Dhalai); Gomoti DH

(Gomoti and South tripura)

and Unakuti (dist Unakuti,

North tripura and part of

Dhalai) @ Rs 25 lakhs per

DEIC as per RBSK

guideline.

Conditionality ----State to

follow RBSK DEIC lay out

guidelines for developing the

DEICs. While proposing

DEICs it should be kept in

mind that the DEICS are in


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

DH where secondary and

tertiary support facility

beyond DEIC level support is

available for linkages.

B4.1.

5.4.5

B4.1.

6 SDH 0 0.00 25.00

B4.1.

6.1

Additional

Building/ Major

Upgradation of

existing Structure

25.00 0.00

Upgradation of Melaghar

SDH to FRU was approved

in 2012-13. Total project

cost of Rs.131.56 Lakhs.

Rs. 25.00 Lakhs is

revalidated as committed

unspent balance by the

state.

B4.1.

6.2

Repair/

Renovation 0.00

B4.1.

6.3

Spillover of

Ongoing Works 0.00

B4.1.


B 4.2

Strengthening of

Districts , Sub

Divisional

Hospitals, CHCs,

PHCs

0.00

B.4.3

Sub Centre Rent

and

Contingencies

0.00

B.4.4 Logistics

management/ 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

improvement

HOSPITAL

STRENGTHENI

NG SUB

TOTAL

2755.28 2082.54

B5

New

Constructions

(proposed for the

coming year)

61

2650

0000

.00

2484.92

B5.1 CHCs 0.00

B5.2 PHCs No. of

PHC 1

5000

000.

00

100.00 50.00

Approved. New activity.


Lufunga PHC (Total Project

cost Rs 597.63). State to

submitt DPR and appropriate

justification for a new PHC

at Lufunga.

Ghorkkappa PHC is not

approved in second

supplementary ROP 2012-

13. To be managed by state

funding.

B5.3 SHCs/Sub

Centres 50

1500

000.

00

750.00 0.00

Approval pended.

Details of individual 50 SC

are not provided. State to

provide the list of new SCs

proposed.

• Further 100 Nos. of SCs

were approved during 11-12

in which the state has

modified the place of SC

construction against the GoI

approved list, the status of

these 100 SC construction

must be shared.

B5.4

Setting up

Infrastructure

wing for Civil

works

0 0.00 0.00

B5.4.


B5.4.

2

Staff at District

level 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B5.5

AYUSH

warehouse in 4

new district

No. of

Wareh

ouse

5

1000

0000

.00


activity.

B5.6

Construction of

BEmONC and

CEmONC centres

0 0.00 0.00

B.5.6

.1

Absolutely new

SNCU/NBSU/NB

CC

0.00

B.5.6

.2

Carry forward

/Spillover from

previous year‟s

sanction for

SNCU, NBSU,

NBCC

0.00

B.5.6

.3

Additional

requirement for

SNCU, NBSU,

NBCC

0.00

B.5.7

Major civil works

for

operationalization

of FRUS

0.00 0.00

B.5.8

Renovation of

Madhupur,

Maharani,

Raishyabari, 82

Mile and Ganga

Nagar PHC

525.00 0.00

Rs 150 L approved in first

supplementary 2012-13.

However State mentions no

money has been released.

Rs 150.00 L is revalidated



B.5.9

Civil Works for

Operationalising

Infection

Management &

Environment Plan

at health facilities

0.00

B.5.1

0

Infrastructure of

Training

Institutions --

5

1000

0000

.00

559.92


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.5.1

0.1

1. Up gradation of

ANM Training

Institute at

Udaipur and

Kailasha (Rs100

L proposed, Total

Project cost Rs

1000 L)

2. Construction of

ANM Training

Institute at Kulai

(Rs 50 L

proposed, Total

Project cost Rs

500 L)

3. Construction of

SIHFW

No. of

ANM

trainin

g Inst.

3

5000

000.

00

459.92 0.00

Approval pended for Rs

150 proposed for Up

gradation and construction

of ANM Training

Institutes. New activity.





Guidelines and Road Map

for strengthening pre-service







needs to be shared.

Ongoing activity. For

SIHFW Rs 125 L approved

in 2009-10, Rs 350 L in

2010-11, Rs 400 L in 2011-

12 and Rs 100 L in 2012-13.

Total project cost was Rs

975 L. Hence, total amount

for SIHFW is already

approved. Any cost

overrun to be met by the

State.

B.5.1

0.1.1

Additional

Building/ Major

Upgradation of

existing Structure

0.00

B.5.1

0.1.2

Repair/

Renovation 0.00

B.5.1

0.1.3

Spillover of

Ongoing Works 0.00

B.5.1

0.1.4

Quarters and

hostels/residential

facilities

0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.5.1

0.1.5

New Training

Institutions/Schoo

l

(SIHFW/GNMTC

/ANMTC etc)

No. of

Institut

e

2

5000

000.

00

100.00 0.00

Approval pended.





Guidelines and Road Map for

strengthening pre-service







needs to be shared.

B.5.1

1 SDH 50.00 0.00 Not approved.

B.5.1

2 DH 0.00

NEW

CONSTRUCTI

ON SUB

TOTAL

2484.92 50.00

B.6 Corpus Grants

to HMS/RKS 119

8000

00.0

0

143.00

B6.1 District Hospitals

No. of

DH

6

5000

00.0

0

30.00 3.40

Approved.

Approval given for 2 DH (as

per RHS 2012) as per last



(34% ).

B6.2 CHCs

No. of

CHC

19

1000

00.0

0

19.00

10.68

Approved.

Approval given for 12 CHC




(89% )

B6.3 PHCs

No. of

PHC

83

1000

00.0

0

83.00 71.89

Approved.

Approval given for 79 PHC




(91% Utilization


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B6.4

Other or if not

bifurcated as

above

0.00

B6.5 SDH

No. of

SDH

11

1000

00.0

0

11.00 5.06

Approved.

Approval given for 11 SDH




(46% Utilization)

CORPUS

GRANT SUB

TOTAL

143.00 91.03

B7

Health Action

Plans (Including

Block, Village)

54

2720

00.0

0

19.40

B7.1 State No. of

Plan 1

1500

00.0

0

1.50 1.50 Approved.

B7.2 District No. of

Plan 8

1000

00.0

0

8.00 4.00

Approved.

Development of District

Health Action Plan: 2014-

15@ Rs.50,000/- for eight

districts

B7.3 Block No. of

Plan 45

2200

0.00 9.90 9.90

Approved.

HEALTH

ACTION PLAN

SUB TOTAL

19.40 15.40

B8 Panchayati Raj

Initiative 70

2785

0.00 19.50

B8.1

Constitution and

Orientation of

Community

leader & of

VHSC,SHC,PHC,

CHC etc

No. of

Batch 70

2785

0.00 19.50 0.00

Not Approved.

2012-13 expenditure was

13%. State has committed

the activity.


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B8.2

Orientation

Workshops,

Trainings and

capacity building

of PRI at

State/Dist. Health

Societies,

CHC,PHC

No. of

Batch 0.00

B8.3 Others 0 0.00 0.00

B8.3.

1 0.00

B8.3.

2 0.00

B8.3.

3 0.00

B8.3.

4 0.00

B8.3.

5 0.00

PANCHAYATI

RAJ

INITIATIVE

SUB TOTAL

19.50 0.00

B9 Mainstreaming

of AYUSH 329 0.00 746.48

B.9.1

Medical Officers

at CHCs/ PHCs

(Only AYUSH)

137 0.00 393.44

B.9.1

.1 DH

Numb

er 11 27.53 9.70



2012-13 salary.











B.9.1

.2 FRUs

Numb

er 4 11.62 5.55



2012-13 salary.





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks








B.9.1

.3

Non FRU SDH/

CHC

Numb

er 28 81.31 38.81



2012-13 salary.











B.9.1

.4 24 X 7 PHC

Numb

er 77 223.61 106.72



2012-13 salary.











B.9.1

.5

Non- 24 X 7

PHCs/ APHCs

Numb

er 17 49.37 23.57



2012-13 salary.












S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.9.2

Other Staff

Nurses and

Supervisory

Nurses/ AYUSH

pharmacists

(Only AYUSH)

60 0.00 69.17

B.9.2

.1 DH

Numb

er 6 6.18 1.31



2012-13 salary.











B.9.2

.2 FRUs

Numb

er 1 1.38 0.65



2012-13 salary.











B.9.2

.3

Non FRU SDH/

CHC

Numb

er 16 18.93 6.58



2012-13 salary.












S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.9.2

.4 24 X 7 PHC

Numb

er 28 33.91 12.51



2012-13 salary.











B.9.2

.5

Non- 24 X 7

PHCs

Numb

er 1 1.38 0.65



2012-13 salary.











B.9.2

.6

Urban Clinics/

Health Posts 0 0.00

B.9.2

.7 Other Masseure

Numb

er 8 7.39 3.53



2012-13 salary.











B9.3 Other Activities

(Excluding HR) 112 0.00 272.70

B9.3.

1

Tele-

Homoeopathy

project

54.60 54.60

Approved subject to

condition that outcome is

documented and shared.


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B9.3.

2

Programme

management cost

7.32 7.32 Approved

B9.3.

3 Consumables


B9.3.

4 Drugs.

120.10 0.00

Not approved.

State to clarify whether the

amount sought for purchase

of drugs for collocated

facilities.

B9.3.

5

Contingency for

Collocated

AYUSH OPD

No. of

facility 112 40.68 40.68 Approved

B9.4 Training No. of

Batch 20 11.17 11.17 Approved

AYUSH SUB

TOTAL 746.48 373.35

B10 IEC-BCC

NRHM 0 0.00 302.53 56.60

Approved.

Ongoing activity.

Rs 56.60 L approved.

Approved @ Rs 3 L per

district (3L *8) and Rs 24 L

for state and Rs 8.6 L for

printing of WIFS and MH/

CH/ FP.

B.10

Strengthening of

BCC/IEC

Bureaus

(state and district

levels)

0 0.00 14.00

B.10.

1

Development of

State BCC/IEC

strategy

14.00

B.10.

2

Implementation

of BCC/IEC

strategy

0 0.00 210.49

B.10.

2.1

BCC/IEC

activities for MH 0 0.00 18.91

B.10.



S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.10.

2.1.2 Mid-media 10.15

B.10.

2.2

BCC/IEC

activities for CH 0 0.00 25.56

B.10.


B.10.

2.2.2 Mid-media 20.15

B.10.

2.3

BCC/IEC

activities for FP 0 0.00 27.21

B.10.


B.10.

2.3.2 Mid-media 21.90

B.10.

2.4

BCC/IEC

activities for

ARSH

0 0.00 10.29

B.10.


B.10.

2.4.2 Mid-media 10.00

B.10.

2.5

Other activities

(please specify) 37.17

B.10.

2.6

IPC

initiatives/tools 91.35

B.10.

3 Health Mela 11.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.10.

4

Creating

awareness on

declining sex ratio

issue

57.44

B.10.

5 Other activities 0 0.00 9.60

B.10.

5.1

Printing of MCP

cards, safe

motherhood

booklets etc

1.00 0.00

B.10.

5.2

Printing of WIFS

cards etc 1.00

B.10.

5.3 Other printing 0 0.00 7.60

B.10.

5.3.1

MH,CH,FP &

ARSH 7.60

B.10.

5.3.2

World Population

Day

B.10.

5.3.3 0.00

B.10.

5.3.4 0.00

B.10.

5.3.5 0.00

IEC/ BCC SUB

TOTAL 302.53 56.60

B11

Mobile Medical

Units (Including

recurring

expenditures)

5

2568

650.

00

100.03

B11.

1.1 Capex

No. of

Dist 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B11.

1.2 Opex

No. of

MMU 4

2478

250.

00

99.13 0.00

Approval Pended (On-going




running MMUs under

NRHM.

B11.

1.3 HR 0.00

B11.

1.4

Training/orientati

on Batch 1

9040

0.00 0.90 0.00

Approval Pended (New




running MMUs under

NRHM.

B11.

1.5 Others 0.00

B11.

1.5.1 0.00

B11.

1.5.2 0.00

B11.

1.5.3 0.00

B11.

1.5.4 0.00

B11.

1.5.5 0.00

B11.

2

Mobile Medical

Vans (smaller

vehicles) and

specialised

Mobile Medical

Units

0 0.00 0.00

B11.

2.1 Capex

B11.

2.2 Opex 0.00

B11. HR 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

2.3

B11.

2.4

Training/orientati

on 0.00

B11.

2.5 Others

B11.

2.5.1

Installation of

GPS for tracking

movement of

MMU vehicles @

Rs.1.70 Lakh

0.00

B11.

2.5.2

Display of

approved design

and colour

scheme on all

MMUs under

„NMMU‟

0.00

B11.

2.5.3 0.00

B11.

2.5.4 0.00

B11.

2.5.5 0.00

MMU SUB

TOTAL 100.03 0.00

B12

Referral

Transport/Patien

t transport

System

327

1074

9000

.00

715.59

B12.

1

Ambulance/EMRI

Capex 65

1650

000.

00

433.00

B12.

1.1

State basic

ambulance/ 102

Capex

No. of

Ambul

ance

62

6500

00.0

0

403.00 0.00

Total amount

recommended for

revalidation is Rs 270.50

lakhs.

Recommended for

Revalidation for 37 BLS

ambulances and 3 ALS

ambulances @ Rs 6.5 lakhs

for BLS ambulances and 3

ALS ambulances@ Rs 10.00

lakhs.


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B12.

1.2

Advanced life

support Capex

No. of

Ambul

ance

3

1000

000.

00

30.00 0.00

Conditionality:

1) All these ambulances need

to be Linked to a centralized

call center

2) Needs to be GPS fitted

and should be re-stickered

and changed as per National

Ambulance service

guidelines.

3)State should also plan to

bring 15-20 State

ambulances under the

integrated network to create

a consolidated pool of 55-60

ambulances which is linked

to centralized call cente and

catering to RT needs

4) Should also cover PW

and infants as per expanded

JSSK to be catered to.

(on-going activity)

B12.

1.3

EMRI Capex-

BLS 0.00

B12.

1.4

EMRI Capex-

ALS 0.00

B12.

2

Operating Cost

/Opex for

ambulance

262

9099

000.

00

282.59

B12.

2.1

State basic

ambulance/102

Opex

No. of

Sim

card

62 500.

00 0.31

B12.

2.2

Operating Cost

/Opex for ASL

ambulance

No. of

Sim

card

3 500.

00 0.02

B12.

2.3 Opex EMRI-BLS 0.00

B12.

2.4 Opex EMRI-ALS 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B12.

2.5

HR Basic

ambulance

No. of

HR 124

1140

00.0

0

141.36 0.00

Recommended for


lacs for HR for BLS


EMT 2 each for 37 BLS

vehicles for 6 months),

However funds for salary

of HR for 37 BLS


out of JSSK RT fund


JSSK

B12.

2.6

HR advanced life

support

ambulances

No. of

HR 6

1140

00.0

0

6.84 0.00

Recommended for


lacs for HR for ALS


EMT 2 each for 3ALS

vehicles for 6

months),However funds for

salary of HR for 3 ALS


out of JSSK RT fund


JSSK

B12.

2.6

Training/orientati

on 0.00

B12.

2.7 Call centre-capex

No. of

Call

centre

1

5115

000.

00

51.15 0.00

Recommendation for re-

validation for Rs 51.15

lakhs as CAPEX cost for

call centre.

B12.

2.8 call centre-opex

No. of

Call

centre

1

3611

000.

00

36.11 0.00




Ambulance Service



NRHM

B12.

2.9 Others 65

1440

00.0

0

46.80

B12.

2.9.1

Pol for BLS

Ambulances @

Rs 40 / per / litre

X 10 ltr X 30

Days X 6 month

No of

Ambul

ances

62 7200

0.00 44.64 0.00




Ambulance Service



NRHM


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B12.

2.9.2

Pol for ALS

Ambulances @

Rs 40 / per / litre

X 10 ltr X 30

Days X 6 month

No. of

Ambul

ances

3 7200

0.00 2.16 0.00




Ambulance Service



NRHM

B12.

2.9.3

Referral

Transport for

general patient &

POL

0.00

B12.

2.9.4 0.00

B12.

2.9.5 0.00

B12.

2.9.6 0.00

B12.

2.9.7 0.00

B12.

2.9.8 0.00

B12.

2.9.9 0.00

B12.

2.9.1

0

0.00

REFFERAL

TRANSPORT

SUB TOTAL

715.59 0.00

B.13 PPP/ NGOs 9036 5000

.00 80.00

B13.

1

Non

governmental

providers of

health care RMPs

0.00

B13.

2

Public Private

Partnerships (Out

Sourcing set up, if

applicable for

State, to be

budgeted under

this head)

4516 2500

.00 80.00

B13.

2.1

Implementation

RCH out reach

services

No. of

deliver

y

60 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B13.

2.2

Permanent

method of

sterlization

155 0.00

B13.

2.3

Accreditation of

Pvt. Health

Facility for ID

No. of

deliver

y

3200 2500

.00 80.00 0.00

Rs 40.00 lakh

recommended for

revalidation i.e. 50% of

2012-13 approved amount.

@ Rs 2500/ delivery for

3200 deliveries provided

accreditation of PHFs for

provision of institutional

delivery subject to such

facilities are accreditated

below district level and

complete gamut of services

are provided to beneficiaries

like ANC, INC and PNC

B13.

2.4

Accreditation of

Pvt. Health

Facility for LL

1000 0.00

B13.

2.5

Accreditation of

Pvt. Health

Facility for NSV

100 0.00

B13.

2.6

MMU

operationalization

in earstwhile

West Tripura

1 0.00

B13.

2.7 0.00

B13.

2.8 0.00

B13.

2.9 0.00

B13.

2.10 0.00

B13.

3

NGO Programme/

Grant in Aid to

NGO

4 0.00 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B13.

3.1

Undertaking

focus activities

schemes through

Ngo's for

improving

Immunization

No. of

NGOs 4 0.00

B13.

3.2 0.00

PPP/ NGOs SUB

TOTAL 80.00 0.00

B14 Innovations( if

any) 3467

7256

80.0

0

705.26

B14.

1

Intersectoral

convergence 0.00

B14.

2

Telemedicine

Project Cost 240.89 240.89

Approved with the

recommendations


B14.

3

Teleopthalmology

Project Cost

No. of

center 47

6547

80.0

0

350.00 350.00

Approved with the

recommendations


B14.

4

B14.

5

Palliative care for

cancer patient No. 0.00

B14.

6

Support to NGO's

for Community

Monitoring Dist.

Level

No. of

Dist 0.00

B14.

7

Support to NGO's

for capasity

building of

VHSNC members

under Community

Monitoring at

no. of

blocks 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

block level

B14.

8

Implementation

of Community

mobilization &

advocacy scheme

No. of

Sabha 2076 0.00

B14.

9

General Health

Camps

No. of

camps 864

1000

.00 8.64 8.64

Approved. Ongoing

activity.

B14.

10

General Health

Camps in difficult

area in all 4

Districts

No. of

camps 360

1500

.00 5.40 5.40 Approved. Ongoing activity

B14.

11

Health Camp by

helicopter(120

flying hr) in all 4

Districts

Flying

hrs. 120

6840

0.00 82.08 82.08 Approved. Ongoing activity

B14.

12

Diabetes Control

Programme

B14.

13

Motivational

Session for

ASHA as Pilot

Basis


activity.

B14.

14

E-Toilet Facility

at Government

School


activity.

B14.

15 0.00

B14.

16 0.00

INNOVATION

SUB TOTAL 705.26 687.01

B15

Planning,

Implementation

and Monitoring

764

5532

00.0

0

373.28


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B15.

1

Community

Monitoring

(Visioning

workshops at

state, Dist, Block

level)

63

5400

00.0

0

14.20

B15.

1.1 State level 1

2000

00.0

0

2.00 2.00 Approved

B15.

1.2 District level 2

5000

0.00 1.00 0.50

Approved for Dhalai

district

B15.

1.3 Block level 4

4000

0.00 1.60 0.80

Approved for two blocks

selected in Dhalai district

B15.

1.4 Other 56

2500

00.0

0

9.60

B15.

1.4.1

Two Days State

level Training of

Trainers/

Managers

Training with all

stakeholders

including

represented by

pilot districts

(Khowai &

Dhalai) by SMT

& State Nodal

Institution.

1

1000

00.0

0

1.00 0.00 Not approved. State to

justify the proposal.

B15.

1.4.2

Development

State specific

guidelines

including

translation &

printing,

prototype tools,

framework for

community

monitoring &

facilitation

21 1000

0.00 2.10 2.10 Approved.


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

process @ Rs.

10000/- for 21

committees.

B15.

1.4.3

Half yearly

Meetings of

District

Mentoring Teams

of pilot districts.

4 5000

.00 0.20 0.10

Approved for Dhalai

district

B15.

1.4.4

3 days workshop

of VHSNC

members of 10

GP/ADC villages

@ 7 members

each

10 1500

0.00 1.50 1.50 Approved.

B15.

1.4.5

2 days workshop

of 4 Block

Planning &

Monitoring

Committees by

District & Sub-

division PMSU.

4 2000

0.00 0.80 0.40


Dhalai district

B15.

1.4.6

One day Block

Providers

Workshop by

District & Sub-

division PMSU

4 1000

0.00 0.40 0.20


Dhalai district

B15.

1.4.7

2 days Capacity

Building of 4

PHC level

Community

Monitoring

Committee

members @ 10

members each

4 2000

0.00 0.80 0.00 Not approved.

B15.

1.4.8

PHC Jan Samvad

for 4 pilot PHCs 4

3000

0.00 1.20 0.00 Not approved.

B15.

1.4.9

Block Jan

Samvad for 4

pilot Blocks

4 4000

0.00 1.60 0.00 Not approved.

B15.

1.4.1

0

0.00

B15.

2

Quality

Assurance 0 0.00 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B15.

2.1

Quality

Assurance

Committees at

State level

0.00

B15.

2.2

Quality

Assurance

Committees at

District level

0.00

B15.

2.3

Grievance

handling system 0.00

B15.

2.4 Review meetings 0 0.00 0.00

B15.

2.4.1 State 0.00

B15.

2.4.2 District 0.00

B15.

2.4.3 Block 0.00

B15.

2.5 Others 0 0.00 0.00

B15.

2.5.1 0.00

B15.

2.5.2 0.00

B15.

2.5.3 0.00

B15.

2.5.4 0.00

B15.

2.5.5 0.00

B15.

3

Monitoring and

Evaluation 701

1320

0.00 359.08

B15.

3.1

Monitoring &

Evaluation /

HMIS /MCTS

106 0.00 141.48

B15.

3.1.1

HR for

M&E/HMIS/MC

TS

Manpo

wer 106 141.48

67.76

Approved Rs. 67.76 lakhs for

six months for existing 105

positions. New positions are

not approved. Salary of

10HMIS Assistant @Rs.

12474/-PM for 13-14 i.e.10X

Rs 12474/-PM X 6 months

=7.48 Lacs & 6 HMIS

Assistant (under process 06)

@Rs.10800/-PM X 6 months


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

recruitment under process

=3.88 Lacs. HMIS Assistant

(CHC & PHC): Salary of 64

personals @Rs. 10972.5/-PM

for 13-14 i.e. 64 X Rs

10972.5/-PM X 6 months

42.13 Lacs & 25 (under

process) @Rs.9500/-PM X 6

month = 14.25 Lacs.5%

increment has been approved

as no incentive was provided

to these staff last year also.

B15.

3.1.2

MIS Consultant/

Manager/

Coordinators

0.00

B15.

3.1.3

Statistical

Assistant/ Data

Analyst

0.00

B15.

3.1.4

MIS/ M&E

Assistants 0.00

B15.

3.1.5

Data Entry

Operators 0.00

B15.

3.1.6

Others (Please

specify) 0 0.00 0.00

B15.

3.1.6

.1

0.00

B15.

3.1.6

.2

0.00

B15.

3.1.6

.3

0.00

B15.

3.1.6

.4

0.00

B15.

3.1.6

.5

0.00

B15.

3.2

Computerization

HMIS and e-

governance, e-

health

0 0.00 56.59


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B15.

3.2.1

.a

HMIS

Operational Cost

(excluding HR &

Trainings)

43.53

20.00

Appproved.

Recommended, Rs.20 Lakhs

initially, since State could

not spend a large part of

budget allocated under this

activity in 2012-13. State

may come up with

supplementary PIP along

with expenditure incurred.

B15.

3.2.1

.b

Procurement of

Computers/

printers/

cartridges etc.

9.30

2.70

Approved.

Recommended Rs. 2.70

lakhs (Desktop @Rs.50,000

X 5 HI= 2,50,000 and 4

Scanners @ Rs. 5000/-=

20000) subject to, continued

facility based reporting

without data uploading delay

on HMIS portal and

improvement in data quality

thereof. Laptops not

recommended.

B15.

3.2.1

.c

Maintenance of

Computers/

AMC/ etc.

0.00

B15.

3.2.1

.d

Other Office and

admin expenses 0 0.00 3.76

B15.

3.2.1

.d.1

Mobile Bill for

regular

communication

3.76 3.76

Approved.

On-going activity.

Approved Rs 3.76 Lakh @

Rs. 400 per month for HMIS-

MCTS unit of State /

District/ Sub-District & Rs.

200 per month for PHC /

CHC MCTS Unit subject to

improvement in data

reporting on HMIS and

MCTS portals.

B15.

3.2.1

.d.2

0.00

B15.

3.2.1

.d.3

0.00

B15.

3.2.1

.d.4

0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B15.

3.2.1

.d.5

0.00

B15.

3.2.2

.a

MCTS

Operational Cost

(excluding HR &

Trainings)

0 0.00 24.84

B15.

3.2.2

.b

Procurement of

Computers/

printers/

cartridges etc.

18.00 18.00 Approved.

B15.

3.2.2

.c

Maintenance of

Computers/

AMC/ etc.

0.00

B15.

3.2.2

.d

Other Office and

admin expenses 6.84

0.00

Not Approved.

Not approved for mobile

charges since the linked

proposal of procurement of

mobile phones for ANMs /

MPWs at 800 Sub Centres

earlier proposed in

B15.3.2.2.b has been

dropped. State may share the

details of mobile application

with MoHFW.

B15.

3.3

Other M & E

Activities 595

1320

0.00 136.17

B15.

3.3.1 HMIS Training 10.98

0.72

Approved.

Approved Rs.0.72 Lacs @

Rs 300 per day per person for

1 training per person per year

based on costing for 3 days

combined training for HMIS

and MCTS. Amount

approved is indicative figure

and actual amount would be

based on actual

B15.

3.3.2 MCTS Training 28.71

B15.

3.3.3

Mobility Support

for HMIS/ MCTS 16.51 1.05

Approved.

Approved Rs. 1.05 Lacs @

Rs 10000 per district and Rs

25000 for State level per

annum subject to outcome

reports in respect of HMIS &

MCTS being shared with

MoHFW. Amount approved

is indicative figure and actual



S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

actual expenditure

B15.

3.3.4

Review Meetings

for HMIS 2.89

2.89

Approved.

Approved Rs. 2.89 Lakh for

combined 1 day review of

HMIS & MCTS for at least 2

reviews every year at State

level, 1review every quarter

at District level and 1 review

every month at Block level.

TA / DA and other

expenditure should be as per

extant rules.

B15.

3.3.5

Review Meetings

for MCTS 0.00

B15.

3.3.6

Data Validation

Call Centers -

CAPEX

13.10

9.00

Approved.

Approved Rs 9.00 Lakh on

outsourcing basis @ Rs

15000 per call agent per

month inclusive of all

charges (CAPEX + OPEX)

for 3 call agents subject to

the condition that the details

of all the ANMs / ASHAs

and beneficiaries on MCTS

portal will be validated. This

is an indicative figure and

actuals will be as per actual

expenditure. State should

outsource the activity on the

basis of competitive bidding

following Government

Protocols.

B15.

3.3.7

Data Validation

Call Centers -

OPEX

27.80

B15.

3.3.8

e-Governance

Initiative 0.00

B15.

3.3.9

Hospital

Management

Softwares

0.00

B15.

3.3.1

0

Others 595 1320

0.00 36.18

B15.

3.3.1

0.1

Establishment of

SWAN


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B15.

3.3.1

0.2

Advertisement of

MCTS

No. of

Advert

ise

555 6000

.00 33.30

0.00

Not Approved.

May be taken under

IEC/BCC fund.

B15.

3.3.1

0.3

Advertisement in

News Paper on

ADHAR

No. of

Advert

ise

40 7200

.00 2.88

0.00 Not approved. May be taken

under IEC/BCC fund.

B15.

3.3.1

0.4

0.00

B15.

3.3.1

0.5

UNDISTRIBUTE

D FUND 0.00

PLANNING,

Implementation

and Monitoring

SUB TOTAL

373.28 133.48

B.16 PROCUREMEN

T 6031957

2434

0.50 934.99

B16.

1

Procurement of

Equipment 361

2420

0.00 185.43

B16.

1.1

8Procurement of

equipment: MH 141

2300

0.00 14.10

B16.

1.1.1

Equipments for

Blood Banks/

BSUs

0.00

B16.

1.1.2

MVA /EVA for

Safe Abortion

services

No. of

item 94

7000

.00 6.58 2.35

Approved @ Rs 2500 for

MVA kit for 94 kits for

procuring MVA kits

B16.

1.1.3

Others (please

specify) 47

1600

0.00 7.52

B16.

1.1.3

.1

Fetoscope

No. of

item 0.00

B16.

1.1.3

.2

Hemoglobinomet

er

No. of

item 0.00





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B16.

1.1.3

.3

BP aperatus

No. of

item 0.00

B16.

1.1.3

.4

Oxygen Cylinder

with trolly

No. of

item 47

1600

0.00 7.52 7.52

Approved for 47 Oxygen

trolley's @ Rs 16000/ unit

B16.

1.1.3

.5

Pregnency Test

Kit

No. of

kit 0.00

B16.

1.1.3

.6

0.00

B16.

1.1.3

.7

0.00

B16.

1.1.3

.8

0.00

B16.

1.1.3

.9

0.00

B16.

1.1.3

.10

0.00

B16.

1.2

9Procurement of

equipment: CH 200

800.

00 1.60

B16.

1.2.1

Baby weighing

machine

No. of

item 200

800.

00 1.60 1.60

Approved.

B16.

1.2.2 Setting up new

NBCC 0.00 8.75


from A.2.2.3.

B16.

1.2.3 0.00

B16.

1.2.4 0.00

B16.

1.2.5 0.00

B16.

1.2.6 0.00

B16.

1.2.7 0.00

B16. 0.00





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

1.2.8

B16.

1.2.9 0.00

B16.

1.2.1

0 0.00

B16.

1.3

10Procurement of

equipment: FP 20

400.

00 0.08

B16.

1.3.1 NSV kits 0.00

B16.

1.3.2 IUCD kits 0.00

B16.

1.3.3 minilap kits

0.00

B16.

1.3.4 laparoscopes

Numb

er 0.00

B16.

1.3.5 PPIUCD forceps

Numb

er 20 400.

00 0.08 0.08

Approved.

B16.

1.3.6

Other (please

specify) 0 0.00 0.00

B16.

1.3.6

.1

0.00

B16.

1.3.6

.2

0.00

B16.

1.3.6

.3

0.00

B16.

1.3.6

.4

0.00

B16.

1.3.6

.5

0.00

B16.

1.4

Procurement of

equipment:

IMEP

0 0.00 0.00

B16.

1.4.1 Equipments 0.00

B16.

1.4.2 0.00

10

Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of




S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B16.

1.4.3 0.00

B16.

1.4.4 0.00

B16.

1.5

11Procurement of

equipment other

than above

169.65

B16.

1.5.1

Manual

Thermometer

No. of

item 200

50.0

0 0.10 0.10

Approved.

B16.

1.5.2

Semi Auto

Analyzer with

Reagent

32.00 0.00

Not Approved.




terms of IPD, N.D, C-section

etc before this can be

appraised.

B16.

1.5.3

Equipment for

FRU &

Upcoming PHC

& CHC

94.05 0.00

Not Approved.


indicate detail break-up cost

along-with the service

delivery status of these

facilities

B16.

1.5.4 Dental Equipment

No. of

item 29

1500

00.0

0

43.50 0.00

Not Approved.




terms of avaiability of

Dental doctor and no of

major/minor surgeries

conducted in these facilities

beofre the proposal is

appraised.

B16.

1.5.5

Equipment of DH

for advance

tretment

No. of

Hospit

al

0.00

B16.

1.6

Equipments for

ARSH/ School

Health

0 0.00 0.00

B16.

1.6.1

Equipments for

ARSH Clinics 0.00

11





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B16.

1.6.2

Equipments for

School Health

Equipments for

School Health

Screening

(weighing scale,

Height

measurement

scale and

Snellens‟ Charts)

0.00

5.40

Approved as per RBSK

guidelines, Pure tone

audiometer is not

recommended for mobile

health teams to begin with.

Equipments of DEICs would

only be recommended after

the DEICs are made

functional.

B16.

1.7

12Equipments for

Training

Institutes

B16.

1.8 Equipments for

AYUSH 0.00

B16.

1.9

Procurement of

Others/Diagnosti

cs

0.00

B.16.

2

Procurement of

Drugs and

supplies

6031596 140.

50 749.56

B.16.

2.1 Drugs & supplies

for MH 4053100

100.

25 15.12

B.16.

2.1.1

RTI /STI drugs

and consumables 0.00

B.16.

2.1.2

Drugs for Safe

Abortion 0.00

B.16.

2.1.3

Others (Please

specify) 4053100

100.

25 15.12

B.16.

2.1.3

.1

Misoprostol Kit No. of

Kit 5000

100.

00 5.00 5.00

Approved for 5000 kits@

Rs 100/-. Total amount


is Rs 5.0 lakhs

B.16.

2.1.3

.2

IFA (large) No. of

tablet 4048100 0.25 10.12 10.12

Approved.

For additional 40.48

lakhtablets @ Rs 0.20 paisa/

tab . Total amount


Rs 10.12 lakhs. This is

addition to the funds for

drugs allocated uner JSSK

B.16. 0.00

12





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

2.1.3

.3

B.16.

2.1.3

.4

0.00

B.16.

2.1.3

.5

0.00

B.16.

2.1.4 RPR Kits 0.00

B.16.

2.1.5

Whole blood

finger prick test

for HIV

0.00

B.16.

2.2

13Drugs &

supplies for CH 30000

40.0

0 12.00

B.16.

2.2.1

Drugs & Supplies

for Child health

B.16.

2.2.2 Zink Syrup

No. of

Bottle 30000

40.0

0 12.00 12.00

Approved.

However State should

propose the budget for

dispersible Zinc tablets rather

than Zinc syrup. Draft

calucation of doses is as

follows: Under 5year

children population (approx

10% of total popoulatyion of

the diatrict) x 1.7 (diarrheal

episodes per child per year) x

40% of above two multiplier

x 14 tablets ( of zinc for

every episode of diarrhea )

B.16.

2.2.3 0.00

B.16.

2.2.4 0.00

B.16.

2.2.5 0.00

B.16.


for FP 0 0.00 0.00

B.16.

2.3.1 0.00

B.16.

2.3.2 0.00

13





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.16.

2.3.3 0.00

B.16.

2.3.4 0.00

B.16.

2.3.5 0.00

B.16.

2.4

14Supplies for

IMEP 0 0.00 0.00

B.16.

2.4.1 Consumables 0.00

B.16.

2.4.2 0.00

B.16.

2.4.3 0.00

B.16.

2.4.4 0.00

B.16.

2.4.5 0.00

B.16.

2.5

General drugs &

supplies for

health facilities

0 0.00 461.06

B.16.

2.5.1 IPD 461.06 25.78

Rs 25.78 approved for

replenishment of ASHA

drug kit. Budget shifted

from B.1.1.2.2.

Approval Pended.

For Rs 461.06 L proposed

under B.16.2.5. The state

need to clarify the following

:

1) Whether State has notfied

a policy of free drugs for all

patients both OPD and IPD.

2) Contribution under state

budget for IPD and OPD

drugs

3) Has Put in system in

place for procurement and

inventory management of

drugs including dispensing

B.16.

2.5.2 OPD

14





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

of drugs to the health

facilities.

4) Whether differential EDL

based on the type and

functionality of the facility

has been prepared.

5) Proper system of storage

and dispensing is available at

the district level.

B.16.

2.6

15Drugs &

supplies for

WIFS

1948496 0.25 4.87

B.16.

2.6.1 IFA

No. of

tablets 1948496 0.25 4.87 4.87 Approved.

B.16.


B.16.


for SHP 256.51

148.72

Approved.

Rs 148.72 lakhs

recommended for approval -

29.51 lakhs for IFA small :

354742 student X 52 tablet X

0.16 = Rs. 29.51 Lakh, IFA

Syrup @ Rs.30 amounting

Rs. 55.50Lakh, Albendazole

Syrup @ Rs.8 amounting Rs.

59.50 Lakh and Rs 4.5 lakhs

for on the spot management

of children for RBSK @ Rs

30000 for 15 teams.

Conditionality RBSK

medicines procurement only

to follow RBSK EDL to be

announced by MoHFW

shortly.

B.16.


for UHCs 0.00

B.16.


for AYUSH 0.00

15





S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

PROCUREMEN

T SUB TOTAL 934.99 232.29

B.17

Regional drugs

warehouses/Logi

stics

management

12 2000

0.00 41.24

B.17.

1 Drug warehouses 0.00

B.17.


B.17.

3

Staff at District

level 0.00

B.17.

4 Others 12

2000

0.00 41.24 0.00

Not approved. Expenditure

in 2012-13 was nil.

B.17.

4.1

PRO MIS:

Procurement of

Computer with

Internet

connectivity

No. of

Comp

uter

4 2.82

B.17.

4.2

PRO MIS: Store

Management

System Software

3.99

B.17.

4.3

PRO MIS:

Printing &

computer

Stationeries

0.45

B.17.

4.4

PRO

MIS:Furniture:

Iron platform for

State warehouse

0.88

B.17.

4.5

PRO MIS : AMC

for Laparoscope

& Xray Machine

11.50

B.17.

4.6

AMC for 117nos.

DG Set 20.00

B.17.

4.7 NRHM website

No. of

years 8

2000

0.00 1.60

B.17.

4.8 0.00

B.17.

4.9 0.00

B.17.

4.10 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

REGIONAL

DRUG WARE

HOUSE SUB

TOTAL

41.24 0.00

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)

0 0.00 0.00

B.18.

1 Help Lines 0.00

NEW

INITIATIVE

SUB TOTAL

0.00 0.00

B.19

Health

Insurance

Scheme

0.00 0.00

B.20 Research,

Studies, Analysis 77.95 9.00

Approved

For Research study to Assess

impact of MCH activities in

two sample districts

implemented under RCH

programmes through sector

PIP.

B.21

State level health

resources

centre(SHSRC)

0 0.00 0.00 0.00

B.21.

1 SHSRC - HR 0.00

B.21.

2 Other cost 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B22 Support Services 0 0.00 0.00 0.00

B22.

1

Support

Strengthening

NPCB

0.00

B22.

2

Support

Strengthening

Midwifery

Services under

medical services

0.00

B22.

3

Support

Strengthening

NVBDCP

0.00

B22.

4

Support

Strengthening

RNTCP

0.00

B22.

5

Contingency

support to Govt.

dispensaries

0.00

B22.

6

Other NDCP

Support

Programmes

0.00

B22.

7

Non

communicable

diseases

0.00

B.23

Other

Expenditures

(Power Backup,

Convergence etc)

0 0.00 0.00 0.00

B.23.

1

Exp from Interest

component 0.00

B.23.

2 0.00

B.23.

3 0.00

B.23.

4 0.00

B.23.

5 0.00

B.23.

6 0.00

B.23.

7 0.00

B.23.

8 0.00

B.23.

9 0.00


S.

No. Budget Head

Unit

of

Measu

re

Quantit

y /

Target

Unit

Cost

( Rs)

Budget

proposed

(Rs.

Lakhs)

Amount

approved

(Rs in

Lakhs)

Remarks

B.23.

10 0.00

MISSION FLEXIPOOL GRAND

TOTAL 11266.04 4517.43


ANNEX 3

IMMUNIZATION AND PPI OPERATION COST


FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

C.1

RI Strengthening Project ( Review

meetings, Mobility support, Outreach

services etc)

c.1.a Mobility Support for supervision for

district level officers.

Rs.2,50,000/

Year

/district level

officers.

8.00 20.00 20.00

c.1.b Mobility support for supervision at

state level

Rs. 150000

per year. 1.00 1.50 1.50

c.1.c

Printing and dissemination of

Immunization cards, tally sheets,

monitoring forms etc.

Rs. 10

beneficiaries 64000.00 6.40 6.40

c.1.d Support for Quarterly State level

review meetings of district officer

Rs. 1250/

per

participant/d

ay for 3

persons

(CMO/DIO/

Dist. Cold

Chain

Officer)

4.00 1.60 1.20

State to share

the meeting

notice and

minutes with

MOHFW.

c.1.e

Quarterly review meetings exclusive

for RI at district level with one Block

MOs, CDPO, and other stake holders

Rs. 100/per

participant

for meeting

expenses for

5 persons

(lunch,

Organization

expenses)

32.00 12.80 4.00

State to share

the meeting

notice and

minutes with

MOHFW.



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

c.1.f Quarterly review meetings exclusive

for RI at block level

Rs. 50/ per

person as

honorarium

for ASHA

(Travel) and

Rs.

25/person at

the disposal

of MO-IC for

meeting

expenses

(refreshment,

stationary

and misc.

expenses)

32.00 12.80 12.80

State to share

the meeting

notice and

minutes with

MOHFW.

c.1.g

Focus on slum & underserved areas in

urban areas/alternative vaccinator

for slums

Hiring of

ANM@450/s

ession for

four

session/mont

h/slum of

10000

population

and Rs. 300/-

per month as

contingency

per slum i.e.

Rs. 2100/-

per month

per slum of

10000

population

0.00

c.1.h Mobilization of children through

ASHA or other mobilizers

Rs. 150 per

session 34944.00 104.83 52.42

c.1.i Alternative vaccine delivery in hard to

reach areas

Rs. 150 per

session 28188.00 42.28 42.28

c.1.j Alternative Vaccine Delivery in other

areas

Rs. 75 per

session 5520.00 4.14 4.14

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

level

@ Rs 100/-

per subcentre 767.00 0.77 0.77



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

c.1.l For consolidation of micro plans at

block level

Rs. 1000 per

block/ PHC

and Rs. 2000

per district

53.00 1.59 0.69

c.1.m POL for vaccine delivery from State to

district and from district to PHC/CHCs

Rs1,50,000/

district/year 8.00 12.00 12.00

c.1.n Consumables for computer including

provision for internet access for RIMs

@ 400/ -

month/

district

8.00 8.00 0.38

c.1.o Red/Black plastic bags etc.

Rs.

3/bags/sessio

n

69888.00 2.10 2.10

c.1.p Hub Cutter/Bleach/Hypochlorite

solution/ Twin bucket

Rs. 1200 per

PHC/CHCpe

r year

114.00 1.37 1.37

c.1.q Safety Pits Rs. 5250/pit 114.00 5.99 5.99

c.1.r State specific requirement 3.00 0.00

Not

recommended,

as no details

provided

c.1.s Teeka Express Operational Cost 0.00 1.00

Recommended

for Teeka

Express.

However

activity to be

undertaken

with prior

approval of

Ministry.

c.1.t Measles SIA operational Cost 0.00

No Measles

SIA is

scheduled in

F.Y. 2013-14



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

c.1.u JE Campaign Operational Cost 0.00

No JE

Campaign is

scheduled for

2013-14.

c.1.v Others 0.00

C.1-Sub Total 241.16 169.03

C.2 Salary of Contractual Staffs

C.2.1 Computer Assistants support for State

level

Rs.12000-

15000 per

person per

month

1.00 1.42 0.72

* Salary is for

6 months

* State to

provide

details of total

sanctioned

posts, filled

up and

vacancy.

C.2.2 Computer Assistants support for

District level

8000-10000

per person

per month

4.00 5.68 2.40

* Salary is for

6 months

* State to

provide

details of total

sanctioned

posts, filled

up and

vacancy.

C.2.3 Others(service delivery staff)

C.2-Sub Total 7.10 3.12

C.3 Training under Immunization



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

C.3.1

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 Midwives, BEEs & other staff (

as per RCH norms)

As per

revised

norms for

trainings

under RCH

2.00 1.20 1.20

Approved, but

expenditure

has to be as

per NRHM

norms. Also,

all the

trainings

should be

either ongoing

approved

training or

new training

activity

approved by

Immunization

division of

Ministry.

C.3.2

Three day training including Hep B,

Measles & JE(wherever required) of

Medical Officers of RI using revised

MO training module)

2.00 1.81 1.81

C.3.3

One day refresher training of district

Computer assistants on RIMS/HIMS

and immunization formats

0.00 0.00

C.3.4

Two days cold chain handlers training

for block level cold chain handlers by

State and district cold chain officers

4.00 0.90 0.90



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

C.3.5

One day training of block level data

handlers by DIOs and District cold

chain officer

0.00 0.00

C.3.6 Others 0.00 0.00

C.3-Sub Total 3.92 3.92

C.4 Cold chain maintenance

Rs.750/PHC/

CHCs per

year District

Rs.15000/ye

ar

2.24 2.24

Expenditure to

be booked as

per actual. Re-

appropriation

of funds

within part C

can be

considered on

full utilization

of the fund.

C.5 ASHA incentive for full Immunization

Rs 100 per

child for full

immunizatio

n in first year

139.00 0.00

42.06

Funds for full

immunization

budgeted in

FMR code

B1.1.3.2.3 is

approved

under this

head.

Rs 50 per

child for

ensuring

complete

immunizatio

n upto 2nd

year of age

0.00

Total ROUTINE IMMUNIZATION 393.42 220.37

C.6 Pulse Polio Operational Cost

(Tentative) 145.00 146.07



FMR


Unit Cost

(wherever

applicable)

Quantity /

Target

Propose

d by

State

Reco.

by

Imm

Div

Remarks

Total 538.42 366.4

4


ANNEX 4A

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME

(NIDDCP)

VI NIDDCP

FMR

Code

Activity Unit cost

(wherever

applicabl

e)


t

Propos

ed

Amount

Approv

ed

Remarks

D

IDD

D.1 Establishment of IDD

Control Cell-

Implementation

& monitoring of

the programme

14.30 15.00 Filling up of sanctioned

vacant posts i.e.

Technical Officer,

Statistical Assistant &

LDC on regular/contract

basis on priority.


conduct and co-ordinate

approved programme

activities and furnish

quarterly financial &

physical achievements

as per prescribed

format.

D.1.a Technical Officer 1

D.1.b Statistical Assistant 1

D.1.c LDC Typist 1

D.2 Establishment of IDD

Monitoring Lab-

Monitoring

of district level

iodine content of

salt and urinary

iodine excretion

as per Policy

Guidelines.

7.70 8.00 The vacant sanctioned

posts of Lab

Technician & Lab Asst.

should be filled on

regular/ contract basis

on priority.


conduct quantitative

analysis of salt & urine

as per NIDDCP

Guidelines and furnish

monthly/quarterly

D.2.a Lab Technician 1

D.2.b Lab. Assistant 1


VI NIDDCP

FMR

Code

Activity Unit cost

(wherever

applicabl

e)


t

Propos

ed

Amount

Approv

ed

Remarks

statements.

D.3 Health education &

Publicity

Increased

awareness about

IDD and iodated

salt

20.00 41.00 IDD publicity activities

including Global IDD

Day celebrations at

various level

D.4 IDD Survey/Re survey Rs. 50,000

per district

4 districts 2.00 2.00 State Government may

under take 2 district s

IDD survey as per

guidelines and furnish

report.

D.5 Salt Testing to be

procured by the State

Government for 3

endemic districts

12 STK

per annum

per ASH

A

Creating iodated

salt demand and

monitoring of the

same at the

community

level.

3.50 ** State Government to

monitor the qualitative

analysis of iodated salt

by STK through ASHA

in 3 endemic districts

i.e.. North Tripura,

South Tripura and West

Tripura. D.6 ASHA Incentive Rs. 25/-

per month

for testing

50 salt

sample/m

onth

50 salt samples

per month per

ASHA in 3

endemic districts

22.11 **

TOTAL 75.61* 66.00

(*) This includes fund for POL/Vehicle hiring, Office expenses etc. which are not allowed under the

Programme.




ANNEX 4B

INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP)


FMR

Code


ever applicable)

Amount Proposed

(Rs. in lakhs)

Amount

Approved

(Rs in lakhs)

Remarks

E1 Operational Cost

Field Visits

24.20

5+2.4 x 8

24.20

Office Expenses

Broad Band expenses

Outbreak investigations

including Collection

and Transport of

samples

Review Meetings

Any other expenditure

Sub Total 24.20 24.20

E 1.2 Laboratory Support

District Priority Lab-

Referral Network Lab

1X 5

5 5


lab equipment


lab manpower


lab consumables 1 x 4 4 4

Sub Total 9.0 9.0

E.2 Human Resources


Epidemiologists

State Epidemiologists 3.6

(0.40x1 X9)

14.4

(0.40 X 4 X 9)

12

*Post of messenger

for SSU is currently

not approved under

IDSP

*Remuneration for

vacant positions

calculated for 6

months.

*Medical

Epidemiologists,

District

Epidemiologists


Microbiologists

State Microbiologist

3.6

(0.40x1 X9)

+

3.6

(0.40x1 X9)

4.8

District

Microbiologist at

District Priority Labs.

E.2.3

Remuneration of

Entomologists

2.25

(0.25 X 1 X 9)

1.5

Veterinary

Consultant

0 0



FMR

Code


ever applicable)

Amount Proposed

(Rs. in lakhs)

Amount

Approved

(Rs in lakhs)

Remarks

E.3

Consultant-Finance/

Procurement

2.02

(0.168X1X12)

2.02

Consultant training

and Medical

Microbiologists with

medical qualifications

should be paid higher

remuneration than the

non-medical

epidemiologists,

consultant training

and microbiologists

**Calculation error

E.3.1

Consultant-Training/

Technical

2.52

(0.28 X 1 X9)

1.68

E.3.2 Data Manager

State Data Manager **14.1

(0.162 X 1 X9)+

(0.162 X 8 X9)

8.75

District Data

Manager

E.3.3 Data Entry Operator

12.25

(1.23+11.02)

11.63

Messenger for SSU

0.72 0

Sub Total 59.06 42.38

E.8 Training

As per NRHM

Guidelines

State has spent Rs

68,000 on training in

last year

Medical Officers(3 days

)

4.2 2.1

One day training of

Hospital Pharmacist /

Nurses

1.8 0.9

One day training of

Medical College Doctors

0 0

One day training for Data

Entry and analysis for

Block Health Team

0 0

Lab technician (3 days) 0 0

Data managers (2 days) 0.27 0

DEO cum accountant

(2 days)

0.30

ASHA & MPWs,AWW

& community volunteers

(1 day)

4.00 Training to be

carried out in

monthly

meetings

Sub Total 10.57 3

For each newly formed

(Corporation as district)

District to cover for the

expenses on account of

Non-recurring costs on

Computer Hardware,

some office equipment &

accessories.

E.7 ID Hospital Network



FMR

Code


ever applicable)

Amount Proposed

(Rs. in lakhs)

Amount

Approved

(Rs in lakhs)

Remarks

*

Surveillance in Metro

Cities

* New formed Districts

4 3.08 3.08

Innovations/new

initiatives(Surveillance of

Hemophilia)

2 * 0

*The cost for these

activities may be

borne out of

operational costs.

Any state specific

activity(awareness for

prevention of

meningococcal

meningitis)

2

Total 109.91** 81.66 **Calculation

error


ANNEX 4C

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)


Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.1 DBS (Domestic

Budget Support)

F.1.1 Malaria

F.1.1.a Human Resource

including MPW

contractual

61.92 360.00 Total

allocation to

the state is

500 MPW

however the

state has only

requested for

86 MPW

Lab Technicians (

against vacancy )

14.36 Due to

budgetary

restriction the

Human

resource are

not approved

VBD Technical

Supervisor (one for

each block)

37.80 TS VBD are

being funded

from Global

Fund

District VBD

Consultant (one per

district) (Non- Project

States)

28.98 VBD

Consultant

are being

funded from

Global Fund

State Consultant (Non –

Project States)

- M& E Consultant

(Medical Graduate with

PH qualification)

- VBD Consultant

(preferably

entomologist)

F.1.1.b ASHA Incentive 265.21 20.00 the budget

has been

allocated

under the

GFATM

project as it

is funded

under the

project



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.1.1.c Operational Cost

Spray Wages 210.79

104.50

Recommende

d but

restricted to

budget

Operational cost for

IRS

25.33

Impregnation of Bed

nets- for NE states

90.00

F.1.1.d Monitoring , Evaluation

& Supervision &

Epidemic Preparedness

including mobility

20.00 No budget

has been

requested

from the state

however the

state has to

perform the

M&E

activities

therefore the

budget has

been

allocated

F.1.1.e IEC/BCC 15.22 12.00 Recommende

d

F.1.1.f PPP / NGO and

Intersectoral

Convergence

12.00 Separate

proposal may

be submitted

with

justification

F.1.1.g Training / Capacity

Building 7.50 7.50 Recommende

d

F.1.1.h Zonal Entomological

units 12.20 Due to

budgetary

restriction the

Human

resource are

not approved

F.1.1.i Biological and

Environmental

Management through

VHSC

82.50 Due to

budgetary

restriction

activities are

not approved

F.1.1.j Larvivorous Fish

support

F.1.1.k Construction and

maintenance of

hatcheries

F.1.1.l Contingencies

Total Malaria (DBS) 863.81 524.00

F.1.2 Dengue &



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

Chikungunya

F.1.2.a Strengthening

surveillance (As per

GOI approval)

F.1.2.a(i

)

Apex Referral Labs

recurrent

The state has

not requested

in the PIP

any budget

for the

disease,

however the

disease is

prevelent in

the state and

it requires

regular

monitoring

and

supervision

therefore the

budget has

been

allocated for

the same.

F.1.2.a(ii

)

Sentinel surveillance

Hospital recurrent

1.00

ELISA facility to

Sentinel Surv Labs

F.1.2.b 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.c Monitoring and

evaluation 1.50

F.1.2.d Epidemic containment 0.75

F.1.2.e Case management 1.00

F.1.2.f Vector Control &

environmental

management

5.00

F.1.2.g IEC BCC for Social

Mobilization 5.25

F.1.2.h Inter-sectoral

convergence

0.50

F.1.2.i Training including

Operational Research

4.00

Total

Dengue/Chikungunya

0.00 19.00

F.1.3 Acute Encephalitis

Syndrome (AES)/

Japanese Encephalitis

(JE)

F.1.3.a Diagnostics and Case

Management including

rehabilitation

NA NA

F.1.3.b IEC/BCC specific to

J.E. in endemic areas

F.1.3.c Capacity Building

F.1.3.d Monitoring and

supervision

F.1.3.e Technical Malathion

F.1.3.f Fogging Machine



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

F.1.3.g Operational costs for

malathion fogging

F.1.3.h Operational Research

F.1.3.i Rehabilitation Setup for

selected endemic

districts

F.1.3.j ICU Establishment in

endemic districts

F.1.3.k ASHA Insentivization

for sensitizing

community

F.1.3.l Other Charges for

Training /Workshop

Meeting & payment to

NIV towards JE kits at

Head Quarter

Total AES/JE 0.00 0.00

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, mobility

support for Rapid

Response Team and

contingency support

NA NA

F.1.4.b Monitoring by

Microfilaria Survey

F.1.4.c Monitoring &

Evaluation

(Assessment)

F.1.4.d Training District

Officers, PHC MOs,

Paramedical staff, drug

distributors

F.1.4.e BCC/Advocacy/IEC at

state, district/PHC, sub

centre

F.1.4.f Honorarium for Drug

Distribution including

ASHAs and supervisors



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

Verification and

validation for

stoppage of MDA in

LF endemic districts

a) Additional MF

Survey

b) ICT Survey

c) ICT Cost

Verification of LF

endemicity in non-

endemic districts

a) LY & Hy Survey

b) Mf Survey in Non-

endemic distt

c) ICT survey

Post-MDA

surveillance

Total Lymphatic

Filariasis

0.00 0.00

F.1.5 Kala-azar

F.1.5 Case search/ Camp

Approach

Not

Applicabl

e

Not

Applicabl

e

F.1.5.a Spray Pumps &

accessories

F.1.5.b Operational cost for

spray including spray

wages

F.1.5.c Mobility/POL/supervisi

on

F.1.5.d Monitoring &

Evaluation

F.1.5.e Training for spraying

F.1.5.f IEC/ BCC/ Advocacy

Total Kala-azar 0.00 0.00

Total (DBS) 863.81 543.00

F.2 Externally aided

component

F.2.a World Bank support

for Malaria (Identified

state)

F.2.b Human Resource

Not

Applicabl

e

Not

Applicabl

e

F.2.c Training /Capacity

building

F.2.d Mobility support for

Monitoring Supervision

& Evaluation including



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

printing of format &

review meetings,

Reporting format (for

printing formats)

Kala-azar World

Bank assisted Project

F.2.e Human resource Not

Applicabl

e

Not

Applicabl

e

F.2.f Capacity building

F.2.g Mobility

F.3 GFATM support for

Malaria (NE states)

F.3.a Project Management

Unit including human

resource of N.E. states

45.02 300.00

The activities

have to be

scaled up as

per the

project

therefore the

budget has

been

allocated as

per the

components

in the project,

however the

release of

funds shall

depend upon

the utilization

of funds

F.3.b Training/Capacity

Building

51.14 100.00

F.3.c Planning and

Administration( Office

expenses recurring

expenses, Office

automation , printing

and stationary for

running of project)

17.46 100.00

F.3.d Monitoring Supervision

(supervisory visits

including travel

expenses, etc) including

printing of format and

review meetings,

41.93 110.00

F.3.e IEC / BCC activities as

per the project

33.56 100.00

F.3.f Operational cost for

treatment of bednet and

Infrastructure and Other

Equipment (Computer

Laptops, printers,

Motor cycles for MTS )

35.45 110.00

Total : EAC

component

224.56 820.00

F.4 Any Other Items (

Please Specify)

0.00 0.00

F.5 Operational costs (

mobility, Review

Meeting,

communication,

formats & reports)

0.00 0.00

Grand total for cash

assistance under

1088.37 1363.00



Component)

Unit Cost

(wherever

applicabl

e)

Physical

target/

Deliverabl

es

Amount

Proposed

Amount

Approve

d

Remarks

NVBDCP (DBS +

EAC)

F.6 Cash grant for

decentralized

commodities

F.6.a Chloroquine phosphate

tablets

8.25

7.60

ACT,

Injection

Arteether

shall be

provided by

Govt of India

only 25% of

the techincal

requirement

may be

procured if

required

F.6.b Primaquine tablets 7.5

mg

1.46

F.6.c Primaquine tablets 2.5

mg

1.82

F.6.d Quinine sulphate tablets 0.52

F.6.e Quinine Injections 0.48

F.6.f DEC 100 mg tablets 0.00

F.6.g Albendazole 400 mg

tablets

0.00

F.6.h Dengue NS1 antigen kit 3.25

F.6.i Temephos, Bti (AS) /

Bti (wp) (for polluted &

non polluted water)

6.00

F.6.j Pyrethrum extract 2%

for spare spray

2.00

F.6.k Any Other Items (

Please Specify)

ACT ( For Non Project

states)

3.33

RDT Malaria – bi-

valent (For Non Project

states)

15.00

F.6.m Any Other Items (

Please Specify)

Total grant for

decentralized

commodities

42.11 7.60

Grand Total for

grant-in-aid under

NVBDCP

1130.48 1370.60

Commodity to be

supplied by

NVBDCP

0.00

Total NVBDCP

Cash +

Commodity

1130.4

8

1370.6

0


ANNEX 4D

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

Activity

proposed Unit

Unit Cost (In

Rupees)

Physical

Targets

Amount

proposed

(Rs. in

lakhs)

Amount

approved

(Rs. in

lakhs)

Remarks

G1.Case

detection &

Management

1.1 Specific -

plan for High

Endemic

Districts

Block - - -

1.2 Services in

Urban Areas

Town -

Med I -

Med II-

Mega-

Town -

Med I -

Med II-

Mega-

4 0.60 0.60

1.3. ASHA

Involvement - - -

No

demand

Sensitization 100 500 2.00 0.50 Execss

demand

* Incentive to

ASHA

Detection 250 10 0.25 0.25

PB 400 4 0.24 0.16

MB 600 6 0.36 0.36

1.4 Material &

Supplies

Supportive

drugs, lab.

reagents &

equipments and

printing works

District 68,000 8 1.80 1.80

1.5 NGO -

Scheme No. 600000 - - -

G2. DPMR

MCR footwear,

Aids and

appliances,

Welfare

allowance to

patients for RCS,

Support to govt.

institutions for

MCR - 300/- 50 0.15 0.15

2 pair per

person

Aids/Appliance -

17000 8 0.08 0.08

Welfare/RCS -

8000 8 0.24 0.64

At Institute - 5000 8 0.40 0.40


Activity

proposed Unit

Unit Cost (In

Rupees)

Physical

Targets

Amount

proposed

(Rs. in

lakhs)

Amount

approved

(Rs. in

lakhs)

Remarks

RCS

At camps - 10000

G3. **

IEC/BCC

Mass media,

Outdoor media,

Rural media,

Advocacy media

98,000 8 2.00 2.00

G4. Human

Resources &

Capacity

building

4.1 *** Capacity

building 8 3.20 3.20

4.2. Human

Resources on

contract

4.2.1. ****

Contractual Staff

at State level

SMO 1 40000 - - -

BFO cum Admn.

Officer 1 30000 1 2.52 2.52

Admn. Asstt. 1 16000 1 1.80 1.80

DEO 1 12000 1 1.44 1.44

Driver 1 11000 1 1.20 1.20

4.2.2. District

Leprosy

Consultant

30000 - - -

Post of

Driver of

districts

not

available

Physiotherapist 25000 - - -

4.2.3. Special

Provision for

selected States

NMS No. 25000 - - -

4.2.4. Staff for

blocks

PMW No. 16000 - - -

G5. Programme

Management

ensured


Activity

proposed Unit

Unit Cost (In

Rupees)

Physical

Targets

Amount

proposed

(Rs. in

lakhs)

Amount

approved

(Rs. in

lakhs)

Remarks

5.1. Travel Cost

travel expenses -

Contractual Staff

at State level

80000 8 0.20 0.20

travel expenses -

Contractual Staff

at District level

25000 8 0.20 0.20

5.2 Review

meetings 20000 to 50000 4 0.52 0.52

5.3 Office

Operation &

Maintenance

Office operation

- State Cell 1 75000 1 0.40 0.40

Office operation

- District Cell No. 35000 8 0.72 0.72

Office equipment

maint. State 1 50000 1 0.50 0.50

5.4 Consumables

State Cell 1 50000 1 0.30 0.30

District Cell No. 30000 8 0.56 0.56

5.5 Mobility

Support

State Cell 2 200000 1 1.50 1.50

District Cell 1 150000 8 2.40 2.40

G6 Others

travel expenses -

Contractual Staff

at State level

GRAND

TOTAL 25.58 24.40


*Incentive to ASHAs will be given at revised rate subject to the approval by MSG.

**The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual

requirements of each district keeping adequate funds at State level under Mass Media and Advocacy

meetings.

***Unit cost of Training to be calculated as per State NRHM norm fixed for all health programmes.

**** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of

remuneration in other National Health Programmes.


ANNEX 4E

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP)

S.

No

Category of

Expenditure

Unit cost

(wherever

applicable)

Physical target


Proposed

Amount

Approved Remarks

I.1 Civil works

As per Revised

Norms and Basis of

Costing for RNTCP

1) Civil work Up

gradation and

maintenance

completed as

planned 5.85 3.51

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

On Site

Evaluation and

Panel Testing in

the year;

3) IRLs

accredited and

functioning

optimally 7.5 7.5

I.3 Honorarium

As per Revised

Norms and Basis of

Costing for RNTCP

1) All eligible

Community DOT

Providers are paid

honorarium in all

districts in the FY 10.1 4.74

As per norms and data.

I.4 ACSM

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; 10.36 10.36

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 4.08 2.85


S.

No

Category of

Expenditure

Unit cost

(wherever

applicable)

Physical target


Proposed

Amount

Approved Remarks

condition

I.6 Training

As per Revised

Norms and Basis of

Costing for RNTCP

1) Induction

training, Update

and Re-training of

all cadre of staff

completed as

planned; 8.18 5.72

I.7

Vehicle

maintenance/

operation

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; 8.37 6.69

As per norms

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 31.23 24.99

As per norms

I.9 NGO/PP

support

As per Revised

Norms and Basis of

Costing for RNTCP

1) Increase in

number of

NGOs/PPs

involved in signed

schemes of

RNTCP;

2) Contribution of

NGOs/PPS in

case detection and

provision of DOT 45.88 37.48

I.1

0

Medical

College

As per Revised

Norms and Basis of

Costing for RNTCP

1) All activities

proposed under

Medical Colleges

head in PIP

completed 18.94 18.94

I.1

1

Office

Operation

As per Revised

Norms and Basis of

Costing for RNTCP

1) All activities

proposed under

miscellaneous

head in PIP

completed 7.24 7.24

I.1

2

Contractual

services

As per Revised

Norms and Basis of

Costing for RNTCP

1) All contractual

staff appointed

and paid regularly

as planned 155.53 155.53

I.1

3 Printing

As per Revised

Norms and Basis of

Costing for RNTCP

1) All printing

activities at state

and district level 2 2


S.

No

Category of

Expenditure

Unit cost

(wherever

applicable)

Physical target


Proposed

Amount

Approved Remarks

completed as

planned

I.1

4

Research and

studies

As per Revised

Norms and Basis of

Costing for RNTCP

1) Proposed

Research has been

initiated or

completed in the

FY as planned 2 2

1.1

5

Procurement

of drugs

0 0

I.1

6

Procurement –

vehicles

As per Revised

Norms and Basis of

Costing for RNTCP

1) Procurement of

vehicles

completed as

planned 10.45 10.45

I.1

7

Procurement-

Equipments

As per Revised

Norms and Basis of

Costing for RNTCP

1)Procurement of

equipments

completed as

planned 5.2 29.4

C&DST equipments

have been approved

here

I.1

8

Patient

support &

Transportation

As per Revised

Norms and Basis of

Costing for RNTCP

Payment of

transportation

charges to

patients 2.11 2.11

I.1

9

Supervision &

Monitoring

As per Revised

Norms and Basis of

Costing for RNTCP

Number of

evaluation and

review meeting

done by state 10 10

Subtotal 345.05 341.56

Disease control Flexi pool fund

24.2 0

Approved under

Procurement of

equipments head

TOTAL APPROVAL 369.25 341.51


Documents

Ministry of Health & Family Welfare, Government of Indiatripuranrhm.gov.in/home/ROPTRIPURA2013-14.pdf · NATIONAL DISEASE CONTROL PROGRAMMES National Iodine Deficiency Disorders Control