Mission Directorate - National Health Missionnrhmorissa.gov.in/writereaddata/PIP/State PIP 2015-161573430824.pdf · Mission Directorate National Health Mission, ... Assam), Hilly

SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012

MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha

Department of Health & Family Welfare, Government of Odisha.

Letter No. OSH & FWS/9354 Date:31.07.2015 From

Smt. Roopa Mishra, I.A.S. Mission Director, NHM & Ex- Officio, Addl. Secy. to Govt. H&FW Deptt. Odisha.

To All Directors/ Lead Agencies

Sub: Approved resource allocation for the State under NHM PIP, 2015-16.

Madam/Sir, The approved resource allocation for the State of Odisha for the year 2015-16 is Rs.1146,32.80

Lakhs. The Details of component wise break up are as follows. RCH Flexi Pool Rs. 413,33.35 Lakh Mission Flexi pool Rs. 432,14.61 Lakh(Including Rs.42.31 Crs of civil budget approved in principle, detailed at Annex*) NPPCD Rs. 1,37.15 Lakh Immunization Rs. 36,78.16 Lakh NIDDCP Rs. 51.00 Lakh NUHM Rs. 24,58.88 Lakh NVBDCP Rs. 39,91.07 Lakh IDSP Rs. 4,98.43 Lakh RNTCP Rs. 34,27.12 Lakh NLEP Rs. 4,88.81 Lakh NPCDCS Rs. 22,02.14 Lakh NTCP Rs. 2,45.45 Lakh NPCB Rs. 9,00.00 Lakh NPHCE Rs. 3,26.63 Lakh Infrastructure Maintenance Rs. 116,80.00 Lakh

The above approval is subject to the certain mandatory requirements as detailed in Terms & Conditions. Please note that non-compliance to any of the Terms & Conditions prescribed in PIP may entail audit objections & may result in withholding of grant to the implementing agency.

This year State has made three notable changes in the PIP approval. Firstly, activities for unspent balances form part of the PIP. Secondly, small disease control programmes have been brought under health systems strengthening pool to enable higher resources and integrated approach. Third, the approvals are based on the current sharing pattern but as announce in the Union Budget, 2015-16, the sharing pattern will undergo a change and hence some approvals which are indicated separately as Appendix is subject to additional resources becoming available on account of increased State share.

Last but not the least, we need to simultaneously work towards securing More money for health and get more health for money.

Yours faithfully,

Mission Director, NHM & Ex- Officio, Addl. Secy. to Govt.

H&FW Deptt. Odisha.

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YoYYYYYY urs faithfu

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Terms & Conditions

The approval is subject to the following mandatory requirements. Please note that non-compliance to

any of the following requirement may entail audit objections & result in with-holding / curtailment

of grant to the implementing agency.

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

programme guidelines prescribed by the Govt, of India/Govt. of Odisha/Mission

Directorate. A certificate to this effect should accompany the UC in due course.

2. The transactions of all the programmes under NHM, including payment to beneficiaries, must

be through PFMS at all levels.

3. The Implementing Agency shall not make any change in allocation amongst different

components/ activities without prior approval of Mission Director, NRHM.

4. All approvals are subject to the observations made in this document.

5. The implementing agency shall follow all the financial management guidelines in operation

under NHM and submit Audit Reports, Quarterly Summary report, Concurrent Audit Report,

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

6. Implementing agency shall ensure submission of details of unspent balance indicating, inter

alia, funds released in advance and funds available. The implementing agency shall also

intimate the interest amount earned on unspent balance. The interest money accrued under

a programme is treated as GIA and can be spent against the approved activities of that

particular programme only.

7. The implementing agency shall ensure submission of quarterly report on progress against

targets & expenditure including an analysis of adverse variances & corrective action proposed

to be taken.

8. Release of funds: Action on the following issues would be looked at while considering the

release of funds:

a) Compliance with conditionalities as prescribed by Department of Expenditure (DoE) under the Ministry of Finance.

b) Physical and financial progress.

c) Timely submission of Statutory Audit Report for the year 2014-15.

d) Utilization Certificates against the grant released to the State up to 2014-15 for releasing funds beyond 75% of BE.

e) Opeining of accounts in PFMS.

9. The concurrent audit must be undertaken as per the guideline. The action on the avservations of the auditor must be in time and Action Taken Report (ATR) on the observations must ve furnished to the State on monthly basis along with the quarterly




summary report. 10.The implementing agency has to ensure that the personal advances given for different

activities at their level are settled within 45 days of completion of the activity. In case of non-

settlement, the advancee should be issued a notice for settlement of the advance in next

seven days. However, if the same is not settled within the stipulated time, the advance should

be recovered from his/her salary. The guideline provided in this regard under the signature

of MD, NRHM & DHS, Odisha must be strictly followed.

11. Compliance to the observations of auditor of any audit (con-current / statutory / C&AG) must

be furnished within 10 days with a copy to the Mission Directorate.

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

sanctioning authority, internal as well as statutory auditors & by the Comptroller & Audit

Generl of India under the provision of CAG (DPC) Act, 1971.

13.The expenditure on the following items are disallowed

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

b) Purchase of new vehicle.

c) Expenditure on accounts of activities sanctioned under the State budget.

Mission Director, NHM & Ex-Officio, Addl. Secy. to Govt. of, Odisha

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Mandatory Disclosure

The following conditionalities shall be adhered to by the States and are to be treated as nonnegotiable:

Mandatory disclosures:

1. The State must ensure mandatory disclosures on the state NHM website of the following and

act on the information:

Facility wise deployment of all HR including contractual staff engaged under NHM with name and designation. This information should also be uploaded on HMIS

Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. on HMIS.

MMUs- total number of MMUs, monthly schedule format and service delivery data on a monthly basis capturing information on all fields mentioned in the specified format.

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 kilometer logged on a monthly basis.

All procurements- including details of equipment 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.) in specified format

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 in specified format.

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 NHM 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.

Facility wise list of package of services being provided through the U-PHCs & U-CHCs

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

mechanism through AADHAAR enabled payment system, through NEFT under Core Banking

Solution or through A/C payee check (Cash payment or bearer cheque payment is

categorically disallowed across the States unless specifically agreed in case of certain areas in

hilly States and NE States where presence of bank network is inadequate).

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

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

Low Birth Weight (LBW) babies.




KEY CONDITIONALITIES 5. The following key conditionalities would be enforced during the year 2015-16

SL. No. Conditionality Description

Source of Verification &

indicator Incentive/Penalty

1 Reduction in IMR

Percentage decrease over last year

SRS Maximum incentive of 5% - Weightage=5 If decrease less than 5%

No incentive If decrease between 5-

7% Incentive of 3% If decrease greater than

7% Incentive of 5% 2 Reduction MMR

Percentage decrease over last year (only for 16 States for which IMR is available)

SRS

Maximum incentive of 5% - Weightage= 5 If decrease less than 5%

No incentive If decrease between 5-

10% Incentive of 3% If decrease greater than

10% Incentive of 5% 3 Full

Immunization Coverage

During the current FY, as on December 31st Infants fully immunised vs estimated beneficiaries

MCTS

Maximum penalty and incentive of 5%. Weightage= 5/(-)5 If coverage less than 40%

Penalty of 5% If coverage between 40-

50% No penalty For coverage above 50%

up to 100% Incentive up to maximum of 5%, calculated as

Coverage above 50% 10 I.e. if coverage is 65%, then incentive of 1.5%; and if coverage is 87%, then Incentive is 3.7%.

4 Functionality of FRUs/ CEmOC facilities (excluding Medical Colleges)

Adequacy of functional FRUs(conducting C-sections)

HMIS Facilities conducting C-Sections: 1. For Large

States Avg. 10

CS/month at DH level

Avg. 5 CS/month at SDH and CHC level.

Maximum penalty and incentive of 5%. Weightage= 5/(-) 5 Compared to required number of FRUs: On a State-wide basis If 50-75% FRUs

functional 3% penalty If less than 50% FRUs

functional 5% penalty On a State-wide basis, if







2. For NE States (excl. Assam), Hilly States Uttarakhand, HP, J&K), UTs (excl. Delhi)

Avg. 6 CS/ month at DH level

Avg. 3 CS/ month at SDH and CHC level

more than 75% FRUs functional, AND in HPDs-

If less than 50% FRUs functional 5% penalty

If 50-75% FRUs functional 3% penalty

If 75-90% FRUs functional 3% incentive

If more than 90% FRUs functional 5% incentive.

5 Quality Certification

Percentage of District hospitals and CHCs quality certified by State level body.

NHSRC Report

Maximum incentive of 5%. Weightage= 5 3% incentive if at least

50% of DHs certified 2% incentive if at least

25% of CHCs / Block PHCs certified.

6 JSSK

Implementation

Implementation status of JSSK entitlements

MCTFC Report (minimum sample of 300 beneficiaries for each state)

Maximum penalty of 10%.Weightage= (-)10 More than 50% gap in

any of the components (drug, diet, diagnostics and transport) 10% penalty

Less than 50% but more than 25% gap, 5% penalty

No penalty if performance more than 75% (based on survey/MCTFC calls)

7 Governance: Quality of Services and functionality of public health facilities

Star rating of facilities Based on the extent to which CHCs/PHCs meet the benchmark on key indicators. Five Star indicator Criteria:

Maximum penalty of 5 %. Weightage=5 To avoid penalty

minimum 50 % of CHCs to have 3 or more star rating







1. Human Resource and Infrastructure

2. Service availability

3. Drugs and supplies

4. Client Orientation

5. Service Utilization.

8 Implementation of Free drugs & Diagnostic services

Free drugs & Diagnostic services to be implemented as per GOI mandate

District report certified by State Nodal officers and assessments made by NHSRC teams and MCTFC.

Maximum incentive of 5% Weightage= 5 90% and above institutions effectively implementing free drugs & diagnostic services 5% 60% to 90% institutions effectively implementing free drugs & diagnostic services 3% 15% - 5%

Other Conditionalities :

a) State should ensure expenditure upto 15% by June 2015 and another 30% by September 2015 of their approved budget under each pool in the FY 2015-16

b)Expand the Governing Body (GB) and the Executive Committee of the State Health Mission/ Society to include Minister(s) in charge of Urban Development and Housing, and Secretaries in charge of the Urban Development and Housing departments.

c) Urban Health planning cell should be established in the State Health Society (SPMU)1. However, the thematic areas will be appropriately strengthened at the State Health Society and District Health Societies to support both NUHM and NRHM. Parallel structures shall not be created for NRHM and NUHM.




d) State/UT will adopt Competency based Skill Tests and transparency in selection and recruitment of all doctors, SNs, ANMs and LTs sanctioned under NHM.

e)All services under National Health Programme/Schemes should be provided free of cost.

f) Investments in U-PHCs must lead to improved service off take at these facilities, which should be established through a baseline survey & regular reporting through HMIS.

g) The UPHCs should provide the whole range of services enumerated in the NUHM Implementation Framework

h)The State Health Budget should increase at least by 10% in 2015-16 over the previous year.

i) States needs to complete 100% registration of agencies and should start expenditure filing in PFMS

j) Funds to be timely transferred from the state treasury to the bank account of SHS.

k) The State should ensure to have a full time Director -Finance under NHM.

Note: Incentives and disincentives are not applicable under NUHM

Mission Director, NHM & Ex- Officio, Addl. Secy. to Govt.

H&FW Deptt. Odisha.

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Annex-1

Additional resources for civil works (to b econsidered for implementation if approved in the supplementary PIP)

Sl No

Name of the District

B4.1.1.1 B4.1.1.1 B4.1.5.3 Grand Total

(Rs. In Lakhs)

Additional Building/ Major Upgradation of

Drug Warehouse at DHH

Additional Building/ Major Upgradation of

Regional Vaccine store

Carry forward of new construction of MCH wing initiated last year, or the

year before

1 Angul 6.75 285.49 292.24 2 Balasore 6.75 244.50 251.25 3 Baragarh 6.75 30.00 36.75 4 Bhadrak 6.75 30.00 36.75 5 Bolangir 6.75 141.00 147.75 6 Boudh 6.75 0.00 6.75 7 Cuttack 6.75 0.00 6.75 8 Deogarh 6.75 0.00 6.75 9 Dhenkanal 6.75 0.00 6.75

10 Gajapati 6.75 150.00 156.75 11 Ganjam 6.75 0.00 6.75 12 Jagatsinghpur 6.75 45.00 51.75 13 Jajpur 6.75 239.73 246.48 14 Jharsuguda 6.75 0.00 6.75 15 Kalahandi 6.75 249.00 255.75 16 Kandhamal 6.75 75.00 81.75 17 Kendrapara 6.75 0.00 6.75 18 Keonjhar 6.75 255.00 261.75 19 Khurda 2.68 6.75 215.28 224.71 20 Koraput 2.68 6.75 105.00 114.43 21 Malkanagiri 6.75 0.00 6.75 22 Mayurbhanj 6.75 298.44 305.19 23 Nawarangpur 6.75 60.00 66.75 24 Nayagarh 6.75 150.00 156.75 25 Nuapada 6.75 225.00 231.75 26 Puri 6.75 150.60 157.35 27 Rayagada 6.75 238.50 245.25 28 Sambalpur 6.75 112.50 119.25 29 Sonepur 6.75 45.00 51.75 30 Sundargarh 2.68 6.75 151.05 160.48

31 RGH Rourkela 6.75 73.57 80.32

32 Capital Hospital 6.75 438.00 444.75

Grand Total 8.03 216.00 4007.66 4231.68

al




Annex-2 List of Ongoing Activities to be executed out of unspent balance during Financial Year 2015-16

(Rs. In lakh)

Budget Head Name of the activities

Funds to be spent

Total amount to be spent in the

current year (A+B)

Out of Advance Released

(A)

Out of Bank Balance

(including interest)

(B) I. NRHM RCH Flexible Pool

A RCH-Flexible Pool 120.28 0.00 120.28 A.1 MATERNAL HEALTH 0.00 A.2 CHILD HEALTH 0.00 A.3 FAMILY PLANNING 0.00 A.4 RKSK 0.00 A.5 RBSK 0.00 A.6 Tribal RCH 0.00 A.7 PNDT Activities 0.00 A.8 INFRASTRUCTURE & HUMAN

RESOURCES 0.00

A.9 TRAINING 108.20 108.20 A.10 PROGRAMME/NRHM

MANAGEMENT COST 12.08 12.08

A.11 VULNERABLE GROUPS 0.00 B Mission Flexible Pool 8140.59 1190.00 9330.59

B.1 ASHA 250.00 250.00 B.2 Untied Fund /Annual Maintenance

Grants/Corpus Grant to HMS/RKS 0.00 0.00

B.3 Rollout of B.Sc ( Community Health) 0.00 0.00

B.4 Hospital Strengthening 5336.27 5336.27 B.5 New Construction/ Renovation and

Setting Up 967.67 967.67

B.6 Implementation of Clinical Establishment Act 0.00

B.7 District Action Plan (Including Block, Village) 0.00

B.8 Panchayti Raj Initiative 0.00 B.9 Mainstreaming of AYUSH 0.00

B.10 IEC-BCC NRHM 204.00 204.00 B.11 Mobile Medical Units (Including

recurring expenditures) 0.00

B.12 Referral Transport (National Ambulance Services) 0.00





Funds to be spent


current year (A+B)


(A)

Out of Bank Balance


(B) B.13 PPP/NGOs 0.00 B.14 Innovations if any 0.00 107.87 170.87 B.15 Planning Implementation and

Monitoring 105.84 249.63 355.47

B.16 PROCUREMENT 1247.00 506.50 1753.50 B.17 Drugs Warehouses 233.81 0.00 233.81 B.18 New Initiatives/ Strategic

Interventions 0.00

B.19 Health Insurance Scheme 0.00 B.20 Research, Studies, Analysis 59.00 59.00 B.21 SHSRC & ARC 0.00 B.22 Support Services 0.00 B.23 Other Expenditures (Power

Backup, Convergence etc) 0.00

B.24 Collaboration with Medical Colleges and Knowledge partners 0.00

B.25 National Programme For prevention & Control of Deafness 0.00

B.26 National Oral Health Programme 0.00 B.27 National Program for Palliative

Care (New Initiatives under NCD) 0.00

B.28 Assistance to State for Capacity building (Burns & injury) 0.00

B.29 National Programme for Fluorosis 0.00 C RI and PPI 94.70 0.00 94.70

C.1 Routine Immunization 60.45 60.45 C.2 Pulse Polio 34.25 34.25 D NIDDCP 0.00 0.00 0.00

II. National Urban Health Mission-Flexible Pool 1331.75 2557.72 3889.47

III. Communicable Disease Control Flexible Pool 1055.56 85.30 1140.86

a National Vector Borne Diseases Control Programme 257.57 257.57

b Revised National Tuberculosis Control Programme 741.63 741.63

C National Leprosy Eradication Programme. 30.89 30.89





Funds to be spent


current year (A+B)


(A)

Out of Bank Balance


(B) d Integrated Disease Surveillance

Programme 25.47 85.30 110.77

IV. Non Communicable Disease Flexible Pool 992.82 137.40 1130.22

a National Programme For prevention and Control of Cancer, Diabetes, Cardiovascular diseases and stroke (NPCDCS)

605.32 76.25 681.57

b National Programme For Control of Blindness 244.86 244.86

c National Mental Health Programme. 3.42 3.42

d National Tobacco Control Programme. 1.56 1.56

e National Programme for the Healthcare of the Elderly 137.66 61.15 198.81

Grand Total 11735.7 3970.42 15706.12

CONTENTS

Sl. No Component Page

PART- I (NRHM & RMNCH+A Flexi pool)

1. RCH Flexi pool 1-91

2. Mission Flexi pool (including NPPCD, NOHP, NPPCF, Palliative Care and Assistance to State for Burns & Injury)

92-175

3. Immunisation 176-179

4. NIDDCP 180-181

PART- II (NUHM Flexi pool)

5. NUHM Flexi pool 182-209

PART- III (Flexi pool for Disease Control Programme)

6. IDSP 210-219

7. NVBDCP 220-258

8. NLEP 259-260

9. RNTCP 261-273

PART- IV (Flexi pool for Non-Communicable Disease)

10. NPCB 274-276

11. NPCDS 277-283

12. NTCP 284-286

13. NPHCE 287-289

14. NMHP 290-298

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Page

1 o

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RCH

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RCH

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Page

3 o

f 298

RCH

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Rem

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ghr

case

s.M

ajor

prov

ision

sar

elik

eco

mpu

lsory

visit

byL

tohi

ghris

kca

ses

forc

heck

updu

ring

ANC,

Pre

book

ing

beds

for

high

risk

case

sin

func

tiona

lFR

Us,

supp

ort

atte

ndan

tfor

min

48hr

sst

ayor

assu

gges

ted

bytr

eat

phys

icia

nsaf

ter

deliv

ery,

nutr

ition

alsu

pple

me

outc

ome

base

dto

pup

Ince

ntiv

eto

ASHA

sfo

ren

sur

surv

ival

ofhi

ghris

kba

bies

till2

mon

ths.

Budg

etto

ttu

ne o

f 39

crs h

as b

een

earm

arke

d fo

r the

said

pur

pose

Plan

ned

unde

r NH

M:

1.In

tegr

ated

mod

ular

regi

ster

for

ANM

sfo

rtr

acki

ngfo

llow

-up

ofan

emic

PW,

LWB,

disc

harg

edfr

omSN

CN

BSU

& N

RC. B

udge

t app

rove

in su

ppl.

PIP

2.PB

Isc

hem

efo

rH

PDs

toim

prov

elin

elist

ing

trea

tmen

tfo

rse

ver

anem

ia@

Rs.1

00/-

per

case

toAN

onfu

lfilli

ngof

cond

ition

ality

sugg

este

dby

GO

I.Bu

dget

unde

r A.8

.1.1

0.3

(sub

com

pone

nt A

.8.1

.10.

6.3)

.5.2

Impr

ovin

g ea

rly re

gist

ratio

n0

0.00

0.00

0.00

0.00

-

Spec

ial P

lan

unde

r Sta

te B

udge

t for

HPD

s9

out

of10

high

prio

rity

dist

ricts

have

early

regi

stra

tco

vera

gele

ssth

enst

ate

aver

age

whi

chst

ands

at71

.as

perA

HS20

12-1

3.Th

eav

erag

eea

rlyre

gist

ratio

nra

t61

.37%

.So

prop

osal

isto

impr

ove

stat

usof

eare

gist

ratio

nin

HPDs

thro

ugh

intr

oduc

tion

ofha

lfye

aAS

HAin

cent

ive

for

mor

eth

an80

%co

vera

gein

targ

eted

area

.Bud

gett

oth

etu

neof

2.5

crs

crs

has

beea

rmar

ked

for t

he sa

id p

urpo

se.

.5.3

Uni

vers

ial s

cree

ning

of H

IV d

urin

g AN

C0

0.00

0.00

0.00

0.00

-

1Pr

ocur

emen

tof

Who

lebl

ood

finge

rpr

ick

test

k(1

1832

box

es) -

Bud

gete

d un

der P

rocu

rem

ent

2 Tr

aini

ng o

f MO

& A

NM

- Co

mpl

eted

3In

cent

ive

toAS

HA

for

mob

ilise

and

acco

mpa

preg

nant

wom

ento

ICTC

orFI

CTC

and

ensu

reHI

Va

RPR

test

ing

durin

gAN

C-

Budg

eted

unde

rAS

ince

ntiv

e4

Ince

ntiv

izat

ion

for

ensu

ring

ther

apeu

ticca

refo

rH

posit

ive

preg

nant

wom

an&

child

-Bu

dget

edun

dAS

HA

ince

ntiv

e of

CH

por

tion

.5.4

Stre

ngth

enin

g In

stitu

tiona

l Del

iver

y - D

iffre

ntia

l co

mm

unity

bas

ed st

reng

then

ing

initi

ativ

es0

4646

5262

206

1

28.1

0

128

.10

1

44.8

1

172

.65

573.

66

.5.4

.1M

ater

nity

Wai

ting

Hom

eTo

tal p

roje

ct a

ppro

ved

in 2

014-

15 :

62O

pera

tiona

l - 4

6Re

st e

xpec

ted

to b

e op

eart

iona

l by

end

of 2

nd q

tr.

.5.4

.1.1

Non

-rec

urrin

g co

stPe

r MW

H20

0000

20.

000.

000.

000.

00-

N

o ne

w p

ropo

sal s

ubm

itted

.5.4

.1.2

Recu

rrin

g co

stPe

r MW

H pe

r qtr

2784

752.

7847

546

4652

6220

612

8.10

128.

1014

4.81

172.

6557

3.66

Ac

tivity

con

tinue

s as

bef

ore

with

ext

ende

d pe

riod.

Deta

ils in

MW

H(An

nx)

Page

4 o

f 298

RCH

Flex

i

Rem

arks

Uni

t of

Mea

sure

Uni

t Cos

t (Rs

) U

nit C

ost

(Rs.

Lak

hs)

Qtr

-1Q

tr-2

Qtr

-3Q

tr-4

Tota

lQ

tr-1

Qtr

-2Q

tr-3

Qtr

-4To

tal

Part

I: N

RHM

+ R

MN

CH p

lus A

* Fl

exip

ool (

RCH)

Stat

e to

men

tion

whe

ther

the

activ

ity p

ropo

sed

is n

eor

to b

e co

ntin

ued

from

pre

viou

s ye

ar. J

ustif

icat

ion

tbe

giv

en.

Phys

ical

Tar

get

Fina

ncia

l Tar

get (

Rs. I

n la

khs)

No.

Budg

et H

ead

Prop

osed

201

5-16

.5.5

Man

agem

ent o

f PPH

thro

ugh

oral

miso

pros

tol &

ens

urin

g sa

fe h

ome

deliv

ery

00.

000.

000.

000.

00-

1.D

istr

ibut

ion

ofm

isop

rost

olin

SCar

eas

with

mo

than

20%

hom

e de

liver

y1.

1.Tr

aini

ng o

f AN

M &

ASH

A - C

ompl

eted

1.2.

Proc

urem

ento

fmiso

pros

tol-

9597

430

+10

%bu

ffe10

5571

73 -

Met

out

of S

tate

bud

get

2.Ho

me

deliv

erie

sat

tend

edby

SBA

trai

ned

ANM

Budg

eted

und

er A

.8.1

.10.

3

.5.6

Stre

ngth

enin

g FR

U o

pera

tatio

nalis

atio

n 0

126

136

136

138

536

27.

36

27.

96

27.

96

28.

08

111.

36

1.FR

U o

pera

tiona

lisat

ion

Targ

et -

95 (O

pera

tiona

l by

Dec'

14 -

69)

Reas

ons f

or n

on-o

pera

tiona

l :

Non

-ava

libili

tyof

criti

calH

R-O

Gsp

l.-6

FRU

s,Pa

edia

tric

Spl-

FRU

s,LS

AS/A

naes

thet

ist-8

FRU

son

the

basis

ofat

leat

1LS

AS/

per

inst

.(To

talr

eqas

per

man

date

-155

i.e.3

for

>300

deliv

ep.

m.&

1fo

r=10

0de

liver

x12

mon

ths

&@

Rs.5

000/

-p.m

.x20

FRU

s(= 1

00 d

eliv

erie

sPe

r DP

per

qtr

3000

00.

375

7575

7530

022

.50

22.5

022

.50

22.5

090

.00

Ac

tivity

con

tinue

s as

bef

ore

with

ext

ende

d pe

riod.

.5.6

.3M

aint

enan

ce c

ost o

f LR

& O

T of

FRU

DPs

(con

tigen

cy,

cons

umab

les e

tc.)

< 10

0 de

liver

ies

Per D

P pe

r qt

r15

000

0.15

2020

2020

803.

003.

003.

003.

0012

.00

Ac

tivity

con

tinue

s as

bef

ore

with

ext

ende

d pe

riod.

.5.7

Stre

ngth

enin

g In

stitu

tiona

l Del

iver

y th

roug

h ex

pans

on o

f D

P ne

twor

k - F

acili

ty b

ased

inte

rven

tion

.5.8

Men

torin

g su

ppor

t for

qua

lity

serv

ice

deliv

ery

at fu

nctio

nal

DPs

Per v

isit

2000

013

6813

6813

6814

0455

0827

.36

27.3

627

.36

28.0

811

0.16

Deta

ils o

f men

torin

g &

its p

rogr

ess i

n th

e se

part

e sh

ePe

riodi

city

of v

isit

1. F

or a

ll DP

s upt

o CH

C - 3

74 x

6 v

isits

p.a

. = 2

244

visit

s2.

For

rest

DPs

- 81

6 x

4 vi

sits

p.a

. = 3

264

visit

sDu

ratio

n of

stay

at i

nstit

utio

n - M

in. 6

hrs

Activ

ity c

ontin

ues w

ith re

vise

d un

it no

s.

.5.9

Orie

ntat

ion

of p

rogr

amm

e of

ficer

& se

rvic

e pr

ovid

ers a

t all

leve

ls fo

r im

prov

ing

impl

emen

tatio

n of

MH

initi

ativ

es (Q

A,

nurs

ing,

MN

H to

ll ki

t, CA

C, e

tc.)

Per d

ist10

0000

130

300.

0030

.00

0.00

0.00

30.0

0

Activ

ity c

ontin

ues a

s pre

viou

s ye

ar.

Page

5 o

f 298

RCH

Flex

i

Rem

arks

Uni

t of

Mea

sure

Uni

t Cos

t (Rs

) U

nit C

ost

(Rs.

Lak

hs)

Qtr

-1Q

tr-2

Qtr

-3Q

tr-4

Tota

lQ

tr-1

Qtr

-2Q

tr-3

Qtr

-4To

tal

Part

I: N

RHM

+ R

MN

CH p

lus A

* Fl

exip

ool (

RCH)

Stat

e to

men

tion

whe

ther

the

activ

ity p

ropo

sed

is n

eor

to b

e co

ntin

ued

from

pre

viou

s ye

ar. J

ustif

icat

ion

tbe

giv

en.

Phys

ical

Tar

get

Fina

ncia

l Tar

get (

Rs. I

n la

khs)

No.

Budg

et H

ead

Prop

osed

201

5-16

.5.1

0Sc

reen

ing

for S

yphi

lis d

urin

g pr

egna

ncy

00

0.00

0.00

0.00

0.00

-

Deta

ils in

Syp

hilis

Bud

get(

Annx

).5

.11

00

0.00

0.00

0.00

0.00

-

.5.1

20

00.

000.

000.

000.

00-

.5

.13

00

0.00

0.00

0.00

0.00

-

.5.1

40

00.

000.

000.

000.

00-

.5

.15

00

0.00

0.00

0.00

0.00

-

.6JS

SK- J

anan

i Shi

shu

Sura

khsh

a Ka

ryak

ram

885.

1588

5.15

885.

1588

5.15

3540

.60

.6.1

Dru

gs a

nd c

onsu

mab

les

016

104

1610

416

104

1610

464

416

53.

63

53.

63

53.

63

53.

63

214.

52

Budg

eted

10%

&re

stto

bem

etou

tof

Stat

ebu

dgTh

isfu

ndha

sto

beut

ilise

dfo

rm

eetin

gdr

ugs

cons

umab

les,

ifno

tava

ilabl

eat

that

poin

toft

ime

wth

ere

spec

tive

faci

lity

from

Stat

esu

pply

.Pro

cure

me

has

tobe

done

thro

ugh

loca

lpur

chas

e,ob

serv

ing

dpr

oced

ure.

.6.1

.1Fo

r Nor

mal

del

iver

yPe

r cas

e35

00.

0035

1448

414

484

1448

414

484

5793

635

.49

35.4

9

35

.49

35.4

9

14

1.94

.6.1

.2Fo

r C-s

ectio

n de

liver

yPe

r cas

e16

000.

016

1620

1620

1620

1620

6480

18.1

4

18

.14

18.1

4

18

.14

72.5

8

.6.2

Diag

nost

ic

Per c

ase

500

2389

3623

8936

2389

3623

8936

9557

4483

.63

83.6

3

83

.63

83.6

3

33

4.51

Estim

ated

ben

ifici

arie

s : E

x.Pr

g*10

0%Bu

dget

ed70

%(b

alan

cefu

nds

shal

lbe

proj

ecte

dre

quire

d at

supp

lem

enta

ry st

age)

.6.3

Bloo

d Tr

ansf

usio

nPe

r cas

e30

00

1792

017

920

1792

017

920

7168

037

.63

37.6

3

37

.63

37.6

3

15

0.53

Estim

ated

ben

ifici

arie

s : E

x.Pr

g*15

% /5

0%Bu

dget

ed70

%(b

alan

cefu

nds

shal

lbe

proj

ecte

dre

quire

d at

supp

lem

enta

ry st

age)

.6.4

Die

t (3

days

for N

orm

al D

eliv

ery

and

7 da

ys fo

r Ca

esar

ean)

011

760

1176

011

760

1176

047

040

17.

64

17.

64

17.

64

17.

64

70.5

6

.6.4

.1At

PHC

(N) D

PPe

r cas

e15

00.

0015

9168

9168

9168

9168

3667

213

.75

13.7

513

.75

13.7

555

.01

.6.4

.2At

SC

DPPe

r cas

e15

00.

0015

2592

2592

2592

2592

1036

83.

893.

893.

893.

8915

.55

.6.5

Free

Ref

erra

l Tra

nspo

rt

Per c

ase

500

013

8524

1385

2413

8524

1385

2455

4096

692.

62

69

2.62

692.

62

69

2.62

2770

.48

Tota

lID

repo

rted

inHM

IS(u

pto

Dec'

14):

5306

51(P

ub47

9211

+ P

vt. 5

1440

)To

tale

xpec

ted

IDin

publ

iche

alth

inst

s.In

12m

onth

6389

48 (4

7921

1 / 9

x 1

2)

Budg

et p

ropo

sed

for 8

6.72

% o

f ben

ifici

arie

s i.e

. 554

096

.6.6

Oth

er JS

SK a

ctiv

ity0.

000.

000.

000.

00.6

.6.1

00

0.00

0.00

0.00

0.00

-

.6.6

.20

00.

000.

000.

000.

00-

.6

.6.3

00

0.00

0.00

0.00

0.00

-

Sub-

tota

l Mat

erna

l Hea

lth (e

xclu

ding

JSY)

1198

.28

1228

.88

1215

.59

1244

.28

4887

.04

Sub-

tota

l JSY

2554

.76

2554

.76

2554

.76

2554

.76

1021

9.03

Budg

eted

70%

(bal

ance

fund

ssh

all

bere

leas

edre

quire

d at

supp

lem

enta

ry st

age)

Activ

ity c

ontin

ues w

ith re

vise

d un

it no

s.

Prop

osal

isfo

rPH

C(N

)&

SCDP

whe

resa

nctio

ned

bear

eno

tav

aila

ble

@Rs

.50/

-pe

rda

y.Fo

rot

her

inpr

ovisi

onis

bein

gm

ade

unde

rSta

tebu

dget

@Rs

.50/

-da

y pe

r cas

e.Bu

dget

ed70

%(b

alan

cefu

nds

shal

lbe

rele

ased

requ

ired

at su

pple

men

tary

stag

e)Ac

tivity

con

tinue

s with

revi

sed

unit

nos.

Page

6 o

f 298

RCH

Flex

i

Rem

arks

Uni

t of

Mea

sure

Uni

t Cos

t (Rs

) U

nit C

ost

(Rs.

Lak

hs)

Qtr

-1Q

tr-2

Qtr

-3Q

tr-4

Tota

lQ

tr-1

Qtr

-2Q

tr-3

Qtr

-4To

tal

Part

I: N

RHM

+ R

MN

CH p

lus A

* Fl

exip

ool (

RCH)

Stat

e to

men

tion

whe

ther

the

activ

ity p

ropo

sed

is n

eor

to b

e co

ntin

ued

from

pre

viou

s ye

ar. J

ustif

icat

ion

tbe

giv

en.

Phys

ical

Tar

get

Fina

ncia

l Tar

get (

Rs. I

n la

khs)

No.

Budg

et H

ead

Prop

osed

201

5-16

. CH

ILD

HEA

LTH

364.

6832

9.31

308.

5333

0.86

1333

.37

Back

grou

ndIM

R- 5

1 O

dish

a(SR

S-20

13),

40 In

dia(

SRS-

2013

)N

MR-

37

Odi

sha(

SRS-

2013

), 28

Indi

a(SR

S-20

13)

U5M

R-66

Odi

sha(

SRS-

2013

), 49

Indi

a(SR

S-20

13)

Mid

Yea

r Pop

ulat

ion

44

2143

60Ex

pect

ed L

ive

Birt

h

8688

43

Estim

ate

Neo

nate

s 1

3264

1 (0

.3%

)Ch

ildre

n 0

to 5

yea

rs o

f age

4

6425

10Ch

ildre

n 06

Mon

th to

5 y

ears

of C

hild

ren-

417

8268

.1IM

NCI

(inc

ludi

ng F

-IMN

CI; p

rimar

ily b

udge

t for

pla

nnin

g fo

r pre

-ser

vice

IMN

CI a

ctiv

ities

in m

edic

al c

olle

ges,

nu

rsin

g co

llege

s, a

nd A

NM

TCs

othe

r tra

inin

g)0

0.00

0.00

0.00

0.00

0.00

.2

Faci

lity

Base

d N

ewbo

rn C

are/

FBN

C (S

NCU

, NBS

U, N

BCC

- an

y co

st n

ot b

udge

ted

unde

r HR,

Infr

astr

uctu

re,

proc

urem

ent,

trai

ning

,IEC

etc.

) e.g

.ope

ratin

g co

st re

nt,

elec

tric

ity e

tc. i

mpr

est m

oney

67.8

273

.46

98.1

311

0.38

349.

79

.2.1

SNCU

030

3036

3636

35.

70

35.

70

53.

73

53.

73

178.

85

Pers

pect

ive

targ

et -

60 (S

NCU

II -

56 +

SN

CU II

I - 4

)Ap

prov

edtil

l20

14-1

5:

Ope

ratio

nal

30+

New

6Ex

pans

ion

10 o

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proc

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s per

last

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itted

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Tot

al p

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q.

Tot

al

prop

osed

(7

0%)

Tota

l

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uner

atio

n DP

MU

Page

72

of 2

98

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DPM

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n

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C3,

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@/

@/3)3

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@.3

@+3).

,/7232

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7

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Page

73

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98

Rem

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onth

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Rem

uner

atio

n DP

MU

Page

74

of 2

98

Rem

DPM

U(A

n

/7.

C+3

C373

C

Documents

Mission Directorate - National Health Missionnrhmorissa.gov.in/writereaddata/PIP/State PIP 2015-161573430824.pdf · Mission Directorate National Health Mission, ... Assam), Hilly