Operational Guidelines Financial Year 2019-20 - Assam

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Operational Guidelines

Financial Year 2019-20

State NCD Cell, Assam

National Health Mission, Assam

Saikia Commercial Complex, Christanbasti, Guwahati-5

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:BUDGET SUMMARY SHEET: HEALTH & WELLNESS CENTER (H&WC)

Sl. No

FMR Code

Activity State HQ

Allocation District

Allocation

Total Amount

Approved (Rs. in lakhs)

Page No

1 3.1.1.6.2 ASHA incentives for population

based screening and follow up 58.23 91.01 149.24 6 - 8

2 4.1.5 Unitied fund 135.50 159.50 295.00 9 - 11

3 5.1.1.2.h Infrastructure strengthening of SC

to H&WC 4,841.00 - 4,841.00 11

4 6.1.2.6.b

Procurement of any other

equipment: One Laptop/Desktop

for every PHC HWC(Linkage

Health Facility)

392.00 - 392.00 12

5 6.2.21.1 NHM Free Drug services ( Anti

hypertensive and anti diabetic drug for HWC SC and SC EDL)

273.04 - 273.04 12

6 6.2.22.1 Equipments/Instruments for

upgradation of SC to HWC 300.00 - 300.00 12 – 13

7 6.4.1 Free Pathological services 32.52 38.28 70.80 13 – 14

8 8.1.12.1 Mid-level Service Provider 432.00 - 432.00 14

9 8.1.12.2 Performance incentive for Mid-

level service providers 574.00 - 574.00 14 – 15

10 8.4.9 Team based incentives for Health

& Wellness Centers (H&WC) 319.00 - 319.00 15 – 16

11 9.5.27.1 Bridge Course/ training on the

Standard Treatment Protocols 746.48 15.00 761.48 16 – 17

12 9.5.27.2 Multi-skilling of ANMs, ASHA,

MPW 71.10 - 71.10 17 – 19

13 9.5.27.3 BSc Community Health/ Bridge

Course for MLPs for CPHC 22.41 - 22.41 19 – 20

14 9.5.27.4 Any other (please specify) 41.16 - 41.16 21 - 22

15 12.16.1 Printing of Modules etc 37.37 - 37.37 22 – 23

16 17.2 Telemedicine/ teleconsultation

facility at H&WC 9.10 - 9.10 23 – 24

17 18.6 Yoga & Mental Wellness in HWC 8.84 1.61 10.45 24 - 27

Total 8,293.75 305.40 8,599.15

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Preface

Introducing Comprehensive Primary Health Care (CPHC) – Game Changer for better health: Comprehensive Primary Health Care (CPHC) is an approach, which includes preventive, promotive, curative,

palliative and rehabilitative aspects of health care. It is comprehensive as it provides care to almost 95% of all

illness and covers RCH, communicable disease, non-communicable disease including management of emergency

and trauma.Lack of an effective primary health care services leads to overburdening of the secondary and

tertiary care health facilities, which resulted, the need for Comprehensive Primary Care.

The pre-requisite for a robust primary health care system is a direct and continuing relationship between the

service providers and service seekers. To ensure primary health care implementation, three important requisites

are: (a) Bringing care closer to people (b) Giving primary health care providers the responsibility for the health of

a defined population and (c) Strengthening the role of the primary health care team. Primary Health Care also

includes health education and health communication to promote healthy behaviors, practices that are

conducive to good health.CPHC functionaries advocate Continuum of Care, which envisaged delivering the

complete package of services in the community. At community level, trained frontline workers

(ASHA/ANM/AWW) will provide basic services, mostly on preventive and promotive health care. It focuses on

early detection of risk factors, screening, regular follow-up & improving understanding in the community

regarding diseases.

The Sub Centre, being the closest to the community, is the first point of providing CPHC. In order to take

comprehensive Primary Health Care (CPHC) closer to people, identified sub centres and PHCs are being

converted to Health and Wellness Centres (HWC), to deliver range of health services, (preventive, promotive

and curative services) are being be provided by a team, led by a trained mid-level healthcare provider (MLHP),

at Sub Centre and Medical Officer at the PHC-HWC.The core domain areas based on which the existing health

facilities will be upgraded as HWCs include:

1. Expanding Human Resource – MLHP and Multiskilling of HWC staffs;

2. Expanded service delivery, range and quality;

3. Availability of medicines and providing diagnostic facility;

4. Infrastructure upgradation including branding;

5. Putting robust IT system in place for real time data capturing and quality analysis;

6. Continuum of Care / Tele-Health and Referral;

7. Community Mobilization and Health Promotion;

8. Financing / Provider Payment Reforms;

9. Partnership for Knowledge Management and Implementation;

The range of services, which are to be covered by Health & Wellness Centre (HWC) include:

1. Care of pregnancy and child birth. 2. Neo natal and infant health care services. 3. Childhood & adolescent Care services including immunization. 4. Family Planning contraceptive and RCH services. 5. Management of common communicable diseases and general OPD care for acute simple illness & minor

ailments. 6. Management of communicable diseases under National Health programmes. 7. Screening and management of Non-Communicable Diseases. 8. Screening and management of mental health ailments. 9. Care of common ophthalmic and ENT problems. 10. Basic Dental health care. 11. Geriatric and Palliative health care services. 12. Basic Trauma Care and Emergency Medical services

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However, to begin with, emphasis has been given up to sl. no 7 (managing NCD) and over the period, rest services in phases will also be included.

Key priority areas for 2019-20 under operationalization of SC-Health & Wellness Centre: 1. Training of CHO, ANM, ASHA is to be finished for all SC-HWCs;

2. Population enumeration for all individuals to be finished by all trained ASHAs in their respective villages

by using Community Based Assessment Checklist (CBAC);

3. ASHAs to mobilize population in groups for screening at SC, irrespective of the risk score of the person

found at the CBAC;

4. ASHAs to work closely with the SC- CPHC team members to make the screening successful;

5. Availability of drugs (as per the EDL) at SC-HWC is to be ensured;

6. Diagnostic facility is to be made available at SC-HWC (as per the list);

7. Data capturing of the population enumeration and screening performances is to be captured manually

and once IT system is supplied and operationalised, then digital data capturing is to be done including

analysis of screening performances;

8. Referral of suspected cases to appropriate upper facility is to be ensured;

9. Follow up of the post referral cases is to be done to ensure compliance to treatment and data to be

maintained.

Key priorities for 2019-20 under operationalization of Linked PHC-Health & Wellness Centre:

1. Training of Medical Officer, Staff Nurseis to be finished for all link PHC-HWCs;

2. Availability of drugs (as per the EDL) at PHC-HWC is to be ensured;

3. Diagnostic facility is to be made available at PHC-HWC (as per the list);

4. Data capturing of the screening performances for both referred cases from SC-HWC as well as cases

come directly to PHC-HWC) is to be captured;

5. Examination of Suspected NCD cases from SC-HWC as well as cases coming directly to PHC-HWC) and

keeping the records in the NPCDCS register.

6. Referral of cases who require treatment at higher facility to appropriate facility (CHC / DH) is to be

ensured;

7. Status of the referred cases of SC-HWC is to be communicated back to SC-HWC;

8. MO of the link PHC is to work closely with all the SC-HWCs functioning under the PHC;

9. Data related to referred cases is to be done properly including post referral follow up;

Conditionalities Framework of RoP – 2019-20, which are to be adhered to:

The conditionalities mentioned below are to be adhered to so that state can achieve the given target of making HWC functional and thus state earns incentive instead of dis-incentive from MoHFW, GoI.

Conditionality No 1: Operationalization of 30% of the SCs, PHC, and UPHCs of the district as HWC. District (s), where notified facilities have not been operationalized in FY-2018-19, will have to be operationalised in the first quarter of the current financial year (2019-20).

Conditionality No 2: This conditionality is linked to % of 30 plus population screened for NCDs. If

15% of the 30 plus population is screened for NCDs then 5 points incentive would be given;

7% of the 30 plus population is screened for NCDs then 3 points incentive would be given;

Less than 3% of 30 plus population screened for NCDs then 3 points penalty;

Less than 2% of 30 plus population screened for NCDs then 5 points penalty;

50% of the screening data must be captured in NCD App (denominator will be total 30 plus population of

the district);

Data source for verification of conditionality performances would be State Report / NHSRC Report / NCD

Division Report of MoHFW, GoI or any survey data report.

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HWC target for 2018-19:

Sl District Total Sub

Centre Total PHC

(Phase 1+ Phase2) Total UPHC

District wise Total Health

Facility

1 Baksa 21 13 0 34

2 Barpeta 34 18 0 52

3 Bongaigaon 23 13 1 37

4 Cachar 15 10 1 26

5 Chirang 9 5 0 14

6 Darrang 21 7 0 28

7 Dhemaji 20 10 0 30

8 Dhubri 49 21 1 71

9 Dibrugarh 21 10 2 33

10 Dima Hasao 10 6 0 16

11 Golapara 35 20 1 56

12 Golaghat 11 8 0 19

13 Hailakandi 25 4 0 29

14 Jorhat 35 19 3 57

15 Kamrup R 26 15 0 41

16 Kamrup M 3 2 34 39

17 Karbi Anglong 30 17 1 48

18 Karimganj 37 13 1 51

19 Kokrajhar 28 8 0 36

20 Lakhimpur 20 15 1 36

21 Morigaon 18 9 0 27

22 Nagaon 53 25 3 81

23 Nalbari 20 13 0 33

24 Sibsagar 19 5 2 26

25 Sonitpur 18 11 1 30

26 Tinsukia 20 11 2 33

27 Udalguri 17 10 0 27

Total 638 318 54 1010

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1. F.M.R. Code – 3.1.1.6.2

Name of Activity: - ASHA incentives for Health & Wellness Centers (H&WC)

Amount Approved: Rs. 149.24 L

F.M. R. Owner- A) State Level: SPO NCD, SPM, SCM

B) Dist. Level: Not Applicable

Guideline for the activity: Fund under this FMR is approved for ASHA Incentive @ Rs. 10/- for filling up the CBAC form and mobilization during the day of screening (25% of estimated population above 30 years) & ASHA Incentive @ Rs. 50/- per patient every 6 months for initiation of treatment and compliance of patients diagnosed with the 5 common NCDs. The incentive will be paid to the HWC operationalized in 2018-19 and in the existing PBS Sub centers(Kamrup rural, Barpeta, Nagaon, Jorhat, Dibrugarh).

HWC HWC Population 37%

Population 25%

screening Total Population to be screened

ASHA incentive @ Rs. 10

HWC SC 2018-19 638 5000 1850 462.50 295075 2,950,750.00

HWC SC 2019-20 542 5000 1850 462.50 250675 2,506,750.00

HWC Link PHC 2018-19

316 5000 1850 462.50 146150 1,461,500.00

HWC Link PHC 2019-20

300 5000 1850 462.50 138750 1,387,500.00

Total planned 1796 830,650 8,306,500.00

HWC HWC

37% population

of the facilities

Screened population 25%

Estimated prevalence

15%

Incentive for follow up and treatment

compliance @ Rs. 100 annual

CHO HWC SC 2018-19 638 1180300 295075 44,261.25 4,426,125.00

Link PHC 2018-19 316 584600 146150 21,922.50 2,192,250.00

Total 954 6,618,375.00

Budget Breakup for District Release: FMR 3.1.1.6.2

A) Activity – ASHA Incentive @ Rs. 10 for filling up of CBAC and mobilizing individual for screening

SN District HWC Target

2018-19 HWC Target

2019-20

462 individuals per HWC CBAC @

Rs.10

ASHA Incentive @ Rs. 10 for CBAC for HWC 2018-19 (Rs.

In Lakhs)

1 Baksa 34 9 4620 1.57

2 Barpeta 52 95 4620 2.40

3 Bongaigaon 36 11 4620 1.66

4 Cachar 25 13 4620 1.16

5 Chirang 14 8 4620 0.65

6 Darrang 28 13 4620 1.29

7 Dhemaji 30 8 4620 1.39

8 Dhubri 70 5 4620 3.23

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SN District HWC Target

2018-19 HWC Target

2019-20

462 individuals per HWC CBAC @

Rs.10

ASHA Incentive @ Rs. 10 for CBAC for HWC 2018-19 (Rs.

In Lakhs)

9 Dibrugarh 31 126 4620 1.43

10 Dima Hasao 16 4 4620 0.74

11 Golapara 55 10 4620 2.54

12 Golaghat 19 9 4620 0.88

13 Hailakandi 29 9 4620 1.34

14 Jorhat 54 55 4620 2.49

15 Kamrup R 41 292 4620 1.89

16 Kamrup M 5 13 4620 0.23

17 Karbi Anglong 47 15 4620 2.17

18 Karimganj 50 7 4620 2.31

19 Kokrajhar 36 5 4620 1.66

20 Lakhimpur 35 4 4620 1.62

21 Morigaon 27 11 4620 1.25

22 Nagaon 78 67 4620 3.60

23 Nalbari 33 16 4620 1.52

24 Sibsagar 24 8 4620 1.11

25 Sonitpur 29 18 4620 1.34

26 Tinsukia 31 9 4620 1.43

27 Udalguri 27 2 4620 1.25

District Total: 956 842

44.17

28 State HQ - - - 38.89

Grand Total: 956 842

83.06

Fund at State HQ Rs. 38.89 Lakhs will be allocated to districts after notification

Total amount approved Rs. 83.06 lakhs ASHA Incentive for CBAC @ Rs. 10 for HWC operationalised in 2018-19 – Rs. 44.17 lakhs ASHA incentive for CBAC @ Rs. 10 for new HWC to be operationalized in 2019-20 will beallocated after notification

ASHAs are to be paid incentive @ Rs. 10 for filling up each CBAC form and mobilization of the individual

to the HWC for NCD screening.

Verification to be done by the ASHA Supervisor and ANM and countersigned by the CHO

The monthly incentive claim to be submitted to the BCM of the Block PHC for verification and ASHA

payment every month.

The incentive will be paid to the HWC operationalized in 2018-19

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Budget Breakup for District Release: FMR 3.1.1.6.2

B) Activity – ASHA Incentive @ Rs. 50 for follow up of patients diagnosed with 5 common NCD

Sl District HWC SC 2018-19

HWC Link health

facility 2018-19

Total HWC

2018-19

140 follow up pts per HWC @ Rs. 50

per 6 months

Total per district (Rs.

in lakhs)

70% fund release to

district (Rs. in lahs)

1 Baksa 21 13 34 7,000.00 2.38 1.67

2 Barpeta 34 18 52 7,000.00 3.64 2.55

3 Bongaigaon 23 13 36 7,000.00 2.52 1.76

4 Cachar 15 10 25 7,000.00 1.75 1.23

5 Chirang 9 5 14 7,000.00 0.98 0.69

6 Darrang 21 7 28 7,000.00 1.96 1.37

7 Dhemaji 20 10 30 7,000.00 2.1 1.47

8 Dhubri 49 21 70 7,000.00 4.9 3.43

9 Dibrugarh 21 10 31 7,000.00 2.17 1.52

10 Dima Hasao 10 6 16 7,000.00 1.12 0.78

11 Golapara 35 20 55 7,000.00 3.85 2.70

12 Golaghat 11 8 19 7,000.00 1.33 0.93

13 Hailakandi 25 4 29 7,000.00 2.03 1.42

14 Jorhat 35 19 54 7,000.00 3.78 2.65

15 Kamrup R 26 15 41 7,000.00 2.87 2.01

16 Kamrup M 3 2 5 7,000.00 0.35 0.25

17 Karbi Anglong 30 17 47 7,000.00 3.29 2.30

18 Karimganj 37 13 50 7,000.00 3.5 2.45

19 Kokrajhar 28 8 36 7,000.00 2.52 1.76

20 Lakhimpur 20 15 35 7,000.00 2.45 1.72

21 Morigaon 18 9 27 7,000.00 1.89 1.32

22 Nagaon 53 25 78 7,000.00 5.46 3.82

23 Nalbari 20 13 33 7,000.00 2.31 1.62

24 Sibsagar 19 5 24 7,000.00 1.68 1.18

25 Sonitpur 18 11 29 7,000.00 2.03 1.42

26 Tinsukia 20 11 31 7,000.00 2.17 1.52

27 Udalguri 17 10 27 7,000.00 1.89 1.32

District Total: 638 318 956

46.84

28 State HQ - - - - - 19.34

Grand Total: 638 318 956 - - 66.18

Total amount approved Rs. 66.18 lakhs

Amount to be released to districts Rs.46.84 lakhs

Amount to be retained at State HQ Rs. 19.34 lakhs

30% of the total budget in kept in the state HQ and remaining 70% will be distributed to the 27 districts based

on the HWC target till 2018-19

ASHAs are to be paid incentive @ Rs. 50 once every 6 months for follow up and uninterrupted treatment

of patients diagnosed with Diabetes or hypertension or 3 common cancers (breast, cervix and oral

cavity)

Verification to be done by the ASHA Supervisor and ANM and countersigned by the CHO.

The monthly incentive claim to be submitted to the BCM of the Block PHC for verification and ASHA

payment every month.

The incentive will be paid to the HWC operationalized in 2018-19

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2. F.M.R. Code - 4.1.5

Name of Activity: Untied Fund – HWC SC


F.M. R. Owner- A) State Level: Consultant Planning, Finance Manager

B) Dist. Level: DPM, DAM

Guideline for the activity:

Untied Grant (Rs. 50,000) for Sub Centre – Health & Wellness Centre (HWC):

For effective functioning of Sub Centre as Health & Wellness Centre (HWC), the MoHFW, GoIvide letter no DO NO Z-15015/11/2017, NHM-I (part I) of dated 20th June, 2018has enhanced the unitedgrant for the Sub Centre functioning as HWC to Rs. 50,000 from Rs. 20,000 per annum. The suggested areas, where untied grant may be used is discussed below:

A. Group A:Up keep of the SC-HWC premise to make it patients’ friendly:“Maximum” 30% fund of Untied Grant may be utilized (Nothing beyond this ceiling will be allowed)

Cleaning up of the SC-HWC premise regularly, especially, the OPD area, labour room, Laboratory room;

Procurement of office stationery;

Engaging a part time worker for regular upkeep of the SC-HWC.

B. Group B: SC-HWCInfrastructure Maintenance: “Maximum” 30% fund of Untied Grant may be utilised

Regular maintenance (minor repairing) of the existing SC-HWC building,repair of boundary fencing, entrance path of the SC-HWC, interior maintenance of the SC-HWC building

Curtains, colouring, up keep of electrical connection, putting sinages at the SC-HWC,

Repairing of septic tanks, making arrangement of disposal of wastage etc including bio-medical waste disposal

Maintenance / repair of medical equipment, procurement for urine test kit for protein (Albumin) and suger.

Fuel for generator back up, procurement of inverter, Refrigerator for storing medicine and vaccine etc;

C. Group C: Patient Amenities:“Maximum” 30% fund of Untied Grant may be utilised

Provision of safe drinking water (putting filter, getting water connection from Public Health Engineering),

Seating arrangement and separate toilets at SC-HWC with water connection inside toilet,

Emergency transportation of patients by hiring a car/taxi, buying of emergency medicines(in case of short supply),

Transport of laboratories samples during epidemics.

Providing security at Hospital Premises for safety/security of patients through outsourcing.

Printing of IEC materials related to 12 packages of CPHC services.

Citizen Charter of the SC-HWC;

D. Miscellaneous: “Maximum” 10% fund of Untied Grant may be utilised

SC Management committee meeting cost;

SC-HWC screening camp organizing miscellaneous cost;

Any special program / event organizing cost (as approved);

Any emergency expenditure to meet the extra-ordinary situation, mainly any epidemic / disease outbreak.

***** Note: SC Management Committee must prepare a SC improvement plan to make the SC-HWC more

patients’ friendly and accordingly budget estimate is to be prepared, which must be ratified by the SC Committee

before making any expenditure by the in-charge of the SC-HWC. 20% of the total grant should be kept as

emergency fund to meet any extra-ordinary situation.

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N.B:

List of people drawing wages from the Untied Grant shall be submitted on a yearly basis to the

respective Jt. DHS cum Member Secy, District Health Society.

The untied grants shall be utilised with the approval of RKS/HMC.

No new engagement of support staffs under RKS/HMC will not be done beyond 30% limit above

(Group A).

No activity shall be implemented beyond allocated fund provisions.

The SC Management Committee needs to be reconstituted as Health and Wellness Centre

Management Committee. The HWC Management Committee will have Community Health Officer (CHO) as

Member Secretary of the Health and Wellness Centre Management Committee in place of ANM but ANM will

continue to be a member of the Management Committee. The other members of the HWC Management

Committee (representation from VHSNC, NGO, school, AWC) will remain as notified earlier.

The CHO and the elected PRI member will be the joint signatory of the Untied fund account

Guidelines for successfully holding the HWC SC Management Committee Meeting:

To have the meeting preferably on a fixed date and time (most convenient date and time), if the fixed

date falls on holiday then meeting can be held on next day;

Capture all discussion points of the meeting in meeting minute register;

Inform the members about the action taken status of the last meeting;

Be clear about what you want to have after the meeting;

Try to start on time and try to finish before time;

Maintain focus during the meeting;

Read out the action points agreed upon before closing the meeting;

Budget Breakup:

SN District No. of HWC SC Unit Cost per HWC SC

(Rs. In Lakh)

Total Fund Allocation

(Rs. In Lakhs)

1 Baksa 21 0.25 5.25

2 Barpeta 34 0.25 8.50

3 Bongaigaon 23 0.25 5.75

4 Cachar 15 0.25 3.75

5 Chirang 9 0.25 2.25

6 Darrang 21 0.25 5.25

7 Dhemaji 20 0.25 5.00

8 Dhubri 49 0.25 12.25

9 Dibrugarh 21 0.25 5.25

10 Dima Hasao 10 0.25 2.50

11 Golapara 35 0.25 8.75

12 Golaghat 11 0.25 2.75

13 Hailakandi 25 0.25 6.25

14 Jorhat 35 0.25 8.75

15 Kamrup R 26 0.25 6.50

16 Kamrup M 3 0.25 0.75

17 Karbi Anglong 30 0.25 7.50

18 Karimganj 37 0.25 9.25

19 Kokrajhar 28 0.25 7.00

20 Lakhimpur 20 0.25 5.00

21 Morigaon 18 0.25 4.50

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SN District No. of HWC SC Unit Cost per HWC SC

(Rs. In Lakh)

Total Fund Allocation

(Rs. In Lakhs)

22 Nagaon 53 0.25 13.25

23 Nalbari 20 0.25 5.00

24 Sibsagar 19 0.25 4.75

25 Sonitpur 18 0.25 4.50

26 Tinsukia 20 0.25 5.00

27 Udalguri 17 0.25 4.25

District Total: 638

159.50

28 State HQ 542 0.25 135.50

Grand Total: 1180

295.00

N.B: Fund under this FMR is allocated for 638Nos SC HWC (Operationalized in F.Y-2018-19), out of approved 1180 Nos HWC SC approved in ROP 2019-20. The Untied Grant for 542 Nos of SC HWC is approved in ROP 19-20 will be allocated after district wise notification SC HWC.

Untied fund for HWC SC approved @ Rs. 46,238 per HWC SC

Total Untied fund for HWC SC operationalized in 2018-19 will be allocated as top up as per utilization as on 31st March 2019

Untied fund for 2019-20 will be allocated after notification of HWC SC and after receiving fund in Supplementary PIP from GoI.

3. F.M.R. Code -5.1.1.2.h

Name of Activity: Infrastructure strengthening of SC to H&WC


F.M. R. Owner- A) State Level: SE- Civil, SPO (NCD)

B) District Level: Not Applicable

Guidelines for Districts:

Ongoing activity: Amount approved of Rs 2746 L(@ Rs 4 Lx691SC) to complete the ongoing works.

New activity: 50% of the total approved amount of Rs 4154 Lakhs ie Rs 2077.00 Lakhs for strengthening

542 SC and 300 PHCs.

Budget Breakup:

Sl. No. Unit of measure Unit Cost No. of units Total

(Rs. in lakhs)

1 Old Sub Centre- HWCS of FY 2018-19 4,00,000.00 691 2,764.00

2 HWC SC 2019-20 (50% fund proposed) 3,50,000.00 542 1,897.00

3 HWC link PHC 2019-20 (50% fund proposed) 60,000.00 300 180.00

TOTAL 4841.00

SN District Unit Total Fund Allocation

(Rs. In Lakhs)

1 State HQ 1 4841.00

2 District - -

Total 4841.00

N.B: Fund will be allocated to the districts in due course after notification of the H& WC for 2019-20 by

Infrastructure Cell.

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4. F.M.R. Code - 6.1.2.6.b

Name of Activity: Any Other-Procurement of any other equipment: One Laptop/Desktop for every

PHC HWC(Linkage Health Facility)


F.M. R. Owner- a) State Level: SPO (NCD), MIS manager

b) Dist. Level: Not Applicable

Guideline for the activity: The budget under this activity is proposed for the procurement of one Laptop/Desktop Computer for every Linkage Health Facility (302 for the FY 2018-19 and 300 for the FY 2019-20) for Teleconsultation and MO portal of NCD Software @ Rs 60,000 for purchase and @ Rs5,000 annually for recurring expenditure.

Desktop/Laptop for every linkage PHC-HWC

Sl. No. Unit of measure Unit Cost No. of units Budget (in Rs.)

1 Non- Recurring – cost of PC, UPS and printer 60000.00 602 3,61,20,000.00

2 Recurring – net connection charge 5000.00 616 30,80,000.00

Total 3,92,00,000.00

Budget Breakup:


(Rs. In Lakhs)

1 State HQ 1 392.00

2 District - -

Total 392.00

5. F.M.R. Code - 6.2.21.1

Name of Activity: NHM free drug initiative


F.M. R. Owner- a) State Level: DSM, NHM, SPO (NCD)


Guideline for the activity: Approved Rs. 273.04 lakhs in total for procurement of drugs for hypertension and diabetes to be made available at H&WC as per EDL (CPHC guideline). Budget Breakup:


(Rs. In Lakhs))

1 State HQ 1 273.04

2 District - -

Total 273.04

6. F.M.R. Code - 6.2.22.1

Name of Activity: Equipment/instrument for upgradation of SC H&WC


F.M. R. Owner- a) State Level: SPO (NCD), BME-NHM b) Dist. Level: Not Applicable

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Guideline for the activity: Fund under this FMR will be utilized for providing equipment and instrument to HWC Budget Breakup:


(Rs. In Lakhs)

1 State HQ 1 300.00

2 District - -

Total 300.00

7. F.M.R. Code - 6.4.1

Name of Activity: Free Pathological services – Lab recurring cost of SC for HWC


F.M. R. Owner- a) State Level: SPO (NCD), PE- Free Diagnostic services

b) Dist. Level: DNO (NCD), DPO (NCD), DPC (NCD), DDSM

Guideline for the activity: The fund under this FMR is approved for all recurrent expenditures for carrying out diagnostic services

at SC H&WC level. The amount @ Rs. 500 /month is to be provided to every functional H&WC for ensuring smooth uninterrupted provision of all the enlisted diagnostic services at SC H&WC level.The CHO/MLHP will ensure that this fund is utilized judiciously and laboratory services are uninterrupted and will also help in reducing out of pocket expenditure of the beneficiary. The fund is to be utilized for purchase of reagents, lancet, test strips (for Blood Sugar, Urine Albumin, Urine Sugar), consumables, etc for uninterrupted functioning of HWC laboratory. All the following test must be ensured in the HWC SC: 1) Random Blood Sugar (RBS), 2) Urine for Pregnancy Test, 3) Urine Sugar, 4) Urine Albumin, 5) HB% and 6) RDK Malaria.

Budget Breakup for District Release: FMR 6.4.1

Activity – Laboratory recurring cost @ Rs. 500 per month for 12 months for HWC SC operationalized in 18-19

The Laboratory recurring cost @ Rs. 500 per month for HWC to be operationalized in 2019-20 will be

allocatedafter notification

SN District Total HWC SC 2018-19 Lab recurring cost Rs. 500 per month

Total Fund Allocation (Rs. In Lakhs)

1 Baksa 21 500.00 1.26

2 Barpeta 34 500.00 2.04

3 Bongaigaon 23 500.00 1.38

4 Cachar 15 500.00 0.90

5 Chirang 9 500.00 0.54

6 Darrang 21 500.00 1.26

7 Dhemaji 20 500.00 1.20

8 Dhubri 49 500.00 2.94

9 Dibrugarh 21 500.00 1.26

10 Dima Hasao 10 500.00 0.60

11 Golapara 35 500.00 2.10

12 Golaghat 11 500.00 0.66

13 Hailakandi 25 500.00 1.50

14 Jorhat 35 500.00 2.10

15 Kamrup R 26 500.00 1.56

16 Kamrup M 3 500.00 0.18

17 Karbi Anglong 30 500.00 1.80

Page 14 of 28

SN District Total HWC SC 2018-19 Lab recurring cost Rs. 500 per month


18 Karimganj 37 500.00 2.22

19 Kokrajhar 28 500.00 1.68

20 Lakhimpur 20 500.00 1.20

21 Morigaon 18 500.00 1.08

22 Nagaon 53 500.00 3.18

23 Nalbari 20 500.00 1.20

24 Sibsagar 19 500.00 1.14

25 Sonitpur 18 500.00 1.08

26 Tinsukia 20 500.00 1.20

27 Udalguri 17 500.00 1.02

District Total: 638

38.28

28 State HQ - - 32.52

Grand Total: 638 - 70.80

Rs. 32.52 lakhs will be at state HQ and will be allocated to districts after HWC notification of HWC 2019-20

8. F.M.R. Code - 8.1.12.1

Name of Activity: Mid-level service provider (Stipend during bridge course)

Amount Approved: Rs. 432/- L

F.M. R. Owner- a) State Level: HRD consultant

b) Dist. Level:

Guideline for the activity: The stipend (living and sustenance cost) of MLHP during 6 months training under Certificate course in Community Health. Approved for 720 candidates for 2 batches of July 2019 and January 2020 @ Rs. 10000 per month. Budget Breakup:

SN District Unit Unit Cost Rs. 10000 per

month for 6 months Total Fund Allocation

(Rs. In Lakhs)

1 State HQ

July 2019 - 360 candidates

0.60 216.00

January 2020 - 360 candidates

0.60 216.00

2 District - - -

Total - 432.00

Fund distribution will be decided once the candidates are enrolled in July 2019 and January 2020 batch

9.F.M.R. Code - 8.1.12.2

Name of Activity: Performance incentive for Mid-level service providers


F.M. R. Owner- a) State Level: SPO (NCD), MIS manager, SPM

b) Dist. Level: DNO(NCD), DPO (NCD), DPC (NCD), DDM

Guideline for the activity:

State has planned team based incentive to the CHOs of the HWCs that has been operationalized in

2018-19. Incentive for CHO @ Rs. 15,000 per month for 638 HWC SC = Rs. 1148.40L based on 15

indicators. State proposed is 50% of Rs. 1148 L i.e. Rs. 574.20L. Rest will be proposed in SPIP.

Page 15 of 28

Budget Breakup:


(Rs. In Lakhs)

1 State HQ 1 574.20

2 District - -

Total 574.20

Budget Breakup for District Release: FMR 8.1.12.2

Activity – CHO incentive @ Rs. 15,000 per month for 6 months for 638 HWC operationalized in 2018-19

Fund notification after finalization of guideline by MoHFW

Sl District HWC SC 2018-19 Rs. 15000 per month for 6 months

(Amount in Rs.)

CHO incentive for 6 months

(Rs. in lakhs)

1 Baksa 21 90,000.00 18.90

2 Barpeta 34 90,000.00 30.60

3 Bongaigaon 23 90,000.00 20.70

4 Cachar 15 90,000.00 13.50

5 Chirang 9 90,000.00 8.10

6 Darrang 21 90,000.00 18.90

7 Dhemaji 20 90,000.00 18.00

8 Dhubri 49 90,000.00 44.10

9 Dibrugarh 21 90,000.00 18.90

10 Dima Hasao 10 90,000.00 9.00

11 Golapara 35 90,000.00 31.50

12 Golaghat 11 90,000.00 9.90

13 Hailakandi 25 90,000.00 22.50

14 Jorhat 35 90,000.00 31.50

15 Kamrup R 26 90,000.00 23.40

16 Kamrup M 3 90,000.00 2.70

17 Karbi Anglong 30 90,000.00 27.00

18 Karimganj 37 90,000.00 33.30

19 Kokrajhar 28 90,000.00 25.20

20 Lakhimpur 20 90,000.00 18.00

21 Morigaon 18 90,000.00 16.20

22 Nagaon 53 90,000.00 47.70

23 Nalbari 20 90,000.00 18.00

24 Sibsagar 19 90,000.00 17.10

25 Sonitpur 18 90,000.00 16.20

26 Tinsukia 20 90,000.00 18.00

27 Udalguri 17 90,000.00 15.30

Total 638 574.20

10. F.M.R. Code - 8.4.9

Name of Activity: Team Based Incentive


F.M. R. Owner- a) State Level: SPO (NCD), MIS manager, SPM b) Dist. Level: DNO(NCD), DPO (NCD), DPC (NCD), DDM

Page 16 of 28

District guidelines: State has planned to give team based incentive to the ANMS and ASHAs of the HWCs which are operationalized in 2018-19. Incentive for ANM/MPW/ASHA will be provided as per CPHC guideline. Budget breakup:


(Rs. In Lakhs)

1 State HQ 1 319.00

2 District - -

Total 319.00

District fund will be notified after finalization of guideline by MoHFW 11. F.M.R. Code - 9.5.27.1

Name of Activity: Bridge course/ Training on the Standard treatment protocol - BSc Community

Health/ Bridge Course for MLPs for CPHC


F.M. R. Owner- a) State Level: SPO (NCD), SPM

b) Dist. Level: DNO(NCD), DPO (NCD), DPC (NCD)

District guidelines: State is planning to start CPCH (Certificate Program in Community Health) from July 2019 through IGNOU. State

plans to enroll 360 candidates for the July 2019 batch and 360 candidates for January 2020 batch.

A total of 6 district hospitals(Goalpara/Bongaiagaon/Nalbari/Darang/Cachar/Karimganj) are taken for converting

them into Program Study Centre and each PSC will have batch size of 60.

Amount of Rs 1.00 L for orientation of candidates and counselling during induction for July 2019 and January

2020 batch for two batches has also been approved. PSC budget of 15 lakh@ Rs. 2.5 Lakh per center for total 6

center is also approved.

Budget breakup:

MLHP (CPCH) COURSE 2019-20 (JULY'19 AND JANUARY 2020 BATCH)

SN ITEM COST PER MONTH /

UNIT (in Rs)

MONTHS/ UNIT

TOTAL (Rs. In lakhs)

No. OF DH & CANDISDATES

TO BE TAKEN UP

GRAND TOTAL (Rs. In lakhs)

1 Examination for selection of candidates

1000 1 0.01 360 3.60

2 Boarding, lodging and honorarium for candidates

10000 6 0.6 360 216.00

3

IGNOU fees (including registration, training materials, contact session, training, external assessment, evaluation)

15000 1 0.15 360 54.00

4 Transport for practicum 3000 6 0.18 360 64.80

5 Miscellaneous (10% of total)

0.09 360 33.84

TOTAL 372.24

GRAND TOTAL FOR 2 BATCHES 744.48

mailto:[email protected]

Page 17 of 28


Activity – MLHP training in 6 district hospitals

Fund release will be decided once the candidates are enrolled in July 2019 and January 2020 batch


(Rs. In Lakhs)

1 State HQ 1 746.48

2 Bongaigaon 1 2.50

3 Cachar 1 2.50

4 Darang 1 2.50

5 Goalpara 1 2.50

6 Karimganj 1 2.50

7 Nalbari 1 2.50

Total 761.48

12. F.M.R. Code - 9.5.27.2

Name of Activity: Multi-skilling ANM and ASHA of link PHC HWC



b) Dist. Level: DNO(NCD), DPO (NCD), DPC (NCD)

District guideline:

Training for the ASHAs and ANMs will be done for the 300 link PHCs HWC proposed for 2019-20. Due to less

number of candidates in individual district, zonal level training is planned for ANMs.

Budget details for training of ANM /MPW at zonal Level for Linkage PHCs HWC

Sl No Component Unit cost

Unit Duration Amount (In Rs.)

1 TA to participants ( subject to actual ) 200 30 2 12,000.00

2 DA to Participants 100 30 4 12,000.00

3 Honorarium for Resource Persons 500 3 4 6,000.00

4 Accommodation for the participants including(L/F)

300 30 4 36,000.00

5 Training Material (Bag, Pad, Pen, Pencil, Highlighter etc.)

100 30 1 3,000.00

6 Working lunch, snacks and Tea 200 35 4 28,000.00

7 Venue hiring Charge 500 1 4 2,000.00

8 Miscellaneous 2,000 1 2,000.00

A Total amount for one batch (in Rs.) 1,01,000.00

B Total amount for 10 batches 10,10,000.00


Activity – ANM training of 300 link PHCs to be operationalized as HWC in 2019-20

Training cost per ANM – Rs. 3,366.67, duration of training - 4 days. Last day of the training should be with

ASHAs

Page 18 of 28

Name of the Zone Name of districts included

in the Zone

Zonal Head quarter for

training

Estimated No of batch

Remarks

Barak Valley Zone Cachar, Karimganj,

Hailakandi, Dima Hasao Cachar

1 batch – 33 ANMs

Zone-wise fund allocation for the

activity will be done after District-wise notification of

Link PHC-HWC

Upper Assam (South Bank Zone)

Dibrugarh, Golaghat, Jorhat, Sivasagar, Tinsukia

Sivsagar 2 batch – 60

ANMs

Upper Assam (North Bank Zone)

Darang, Dhemaji, Lakhimpur, Sonitpur,

Udalguri Sonitpur

2 batch – 45 ANMs

Central Assam Zone

Kamrup(M), Kamrup (R),Karbi Anglong,

Nagaon, Marigaon, Nalbari, Barpeta

Kamrup (M) 3 batch – 114

ANMs

Lower Assam Zone Bongaigaon, Baksa,

Chirang, Dhubri, Goalpara, Kokrajhar

Bongaigaon 2 batch – 48

ANMs

TOTAL (at State HQ) Rs. 10.09 lakhs

Fund will be allotted to respective zones after district wise notification of link PHC

Budget details for training of ASHA at District Level for Linkage PHCs HWC







300 30 5 45,000.00


100 30 1 3,000.00






Budget Breakup for District Release: FMR 9.5.27.2 Activity – ASHA training of 300 link PHCs to be operationalized as HWC in 2019-20

Training cost per ASHA – Rs. 4,066.67, duration of training - 5 days. Last day of the training should be with

ANMs

Sl District Estimated number of HWC Link PHC

Estimated No. of ASHAs to be

trained

Unit cost per ASHA (Amount in Rs.)

Remarks

1 Baksa 9 45 4,066.67

District wise fund allocation for the

activity after Notification of the Link

PHC-HWC

2 Barpeta 7 35 4,066.67

3 Bongaigaon 11 55 4,066.67

4 Cachar 13 65 4,066.67

5 Chirang 8 40 4,066.67

6 Darrang 13 65 4,066.67

7 Dhemaji 8 40 4,066.67

8 Dhubri 5 25 4,066.67

9 Dibrugarh 15 75 4,066.67

10 Dima Hasao 4 20 4,066.67

Page 19 of 28

Sl District Estimated number of

HWC Link PHC

Estimated No. of ASHAs to be

trained

Unit cost per ASHA (Amount in Rs.)

Remarks

11 Goalpara 10 50 4,066.67

District wise fund allocation for the

activity after Notification of the

Link PHC-HWC

12 Golaghat 9 45 4,066.67

13 Hailakandi 9 45 4,066.67

14 Jorhat 19 95 4,066.67

15 Kamrup R 35 175 4,066.67

16 Kamrup M 13 65 4,066.67

17 Karbi Anglong 15 75 4,066.67

18 Karimganj 7 35 4,066.67

19 Kokrajhar 5 25 4,066.67

20 Lakhimpur 4 20 4,066.67

21 Morigaon 11 55 4,066.67

22 Nagaon 17 85 4,066.67

23 Nalbari 16 80 4,066.67

24 Sibsagar 8 40 4,066.67

25 Sonitpur 18 90 4,066.67

26 Tinsukia 9 45 4,066.67

27 Udalguri 2 10 4,066.67

Total: 300 1500 Rs. 61.00 Lakhs


Budget breakup:

SN District Unit ANM to be trained for

300 Linked PHC (Rs. In Lakhs)

ASHAs to be trained for 300 Linked PHC

(Rs. In Lakhs)


1 State HQ 1 10.10 61.00 71.10

2 District - - - -

Total 10.10 61.00 71.10

13. F.M.R. Code - 9.5.27.3 Name of Activity: BSc Community Health/Bridge course for MLPs for CPHC – Training of SN and CHO


F.M. R. Owner- a) State Level: SPO (NCD), SPM b) Dist. Level: DNO (NCD), DPO (NCD), DPC (NCD)

District Guidelines: A. To operationalize the Linked health facility, 1 SN from each facility to be trained at 5 zonal level

training.

Budget details for training of SN at Zonal Level for Linkage PHCs HWC






4 Accommodation for the participants including(L/F) 500 30 3 45,000.00


100 30 1 3,000.00



8 Miscellaneous 2,000 1 1 2,000.00



Page 20 of 28

Budget Breakup for District Release: FMR 9.5.27.3 Activity – SN training of 300 link PHCs to be operationalized as HWC in 2019-20 Training cost per SN – Rs. 3,941.67, duration of training - 3 days.

Name of the Zone Name of districts

included in the Zone Zonal Head quarter

for training Estimated No of batch required

Remarks


Hailakandi, Dima Hasao Cachar

1 batch – 33 ANMs


activity will be done after

District-wise notification of Link PHC-HWC


Dibrugarh, Golaghat, Jorhat, Sivasagar,

Tinsukia Sivsagar

2 batch – 60 ANMs



Udalguri Sonitpur

2 batch – 45 ANMs

Central Assam Zone

Kamrup (M), Kamrup (R),Karbi Anglong,


Kamrup (M) 3 batch – 114

ANMs

Lower Assam Zone Bongaigaon, Baksa,

Chirang, Dhubri, Goalpara, Kokrajhar

Bongaigaon 2 batch – 48

ANMs



b. Activity: training of MLHP(CHO)

The amount approved for refresher training of 3 batches (184 CHOs) for 5 days training for the HWC with

each batch budget of 3.53 lakhs

CHO Training at State level


Unit Duration Amount (in Rs) (In Rs.)





500 62 4 1,24,000.00


500 62 1 31,000.00


7 Venue hiring Charge 1,000 1 4 4,000.00


Total amount for one batch (in Rs.) 3,53,000.00

Total amount for 3 batches 10,59,000.00

Training of the CHOs will be done in the State HQ

Budget breakup:

SN District Unit

SN to be trained for 300 Linked PHC (Rs. In Lakhs)

MLHP (CHO) to be trained

(Rs. In Lakhs)


1 State HQ 1 11.82 10.59 22.41

2 District - - - -

Total 11.82 10.59 22.41

Page 21 of 28

14. F.M.R. Code - 9.5.27.4

Name of Activity: Any other- Training MO on NCD



b) Dist. Level: DNO (NCD), DPO (NCD), DPC (NCD)

District Guidelines:

Training of Medical officer of total 616(316 in 2018-19 and 300 in 2019-20) in 21 batch for batch size of 30

@1.96 lakh per batch. Training will be done in zonal level divided into 5 zones.

Budget details for training of MO at District Level for Linkage PHCs HWC







1000 30 3 90,000.00


100 30 1 3,000.00



8 Miscellaneous 2000 1 1750.00




Activity – MO training of 616 link PHCs operationalized in 2018-19 & to be operationalized as HWC in 2019-20

Training cost per MO – Rs. 6,541.67, duration of training - 3 days.

Name of the Zone Name of districts

included in the Zone

Zonal Head quarter for

training

Estimated No of batch

Remarks


Hailakandi, Dima Hasao Cachar 2 batch – 66 MOs


activity will be done after District-wise notification of

Link PHC-HWC


Dibrugarh, Golaghat, Jorhat, Sivasagar,

Tinsukia Sivsagar 4 batch – 113 MOs



Udalguri Sonitpur 3 batch – 98 MOs

Central Assam Zone

Kamrup(M), Kamrup (R),Karbi Anglong,


Kamrup (M) 7 batch – 213 MOs

Lower Assam Zone Bongaigaon, Baksa, Chirang, Dhubri, Goalpara, Kokrajhar

Bongaigaon 5 batch – 128 MOs


Fund will be allotted to respective zones after district wise notification of link PHC.

Page 22 of 28

Budget breakup:


(Rs. In Lakhs)

1 State HQ 1 41.16

2 District - -

Total 41.16

15 F.M.R. Code – 12.16.1

Name of Activity: Printing of Modules, etc


F.M. R. Owner- A) State Level: SPO (NCD), SPM

B) District Level:


1. Amount of Rs 2.13 lakhs is proposed for NCD module printing of MO, Staff Nurse, ANM/MPW, ASHA and

CPHC module of CHO. The modules will be printed in State HQ as per approved rate of RoP.

SN Module printing

Module Unit Unit Cost (in Rs.)

Total

1 Printing of MO Module on NCD 350 79.62 27,867.00

2 Printing of SN Module on NCD 350 79.52 27,832.00

3 Printing of CHOs Module on CPHC 200 79.52 15,904.00

4 Printing of ANM/MPW Module on NCD 300 120.96 36,288.00

5 Printing of ASHA Module on NCD 1500 70.56 1,05,840.00

Total 2,13,731.00

2. New Activity_Journey_of_The_First_1000_Days (Booklet for Printing): Amount of 0.47 lakhs is proposed

for booklet printing of “Journey of The First 1000 Days” for CHOs posted in 7 Aspirational districts.The

booklet will be printed in State HQ as per approved rate of RoP.

Sl. No District Total Nos of CHO of

HWC Quantity

4% buffer

Total Qnty.

Cost in Rs. @Rs.150/

copy

Total Cost in Lakhs

1 Baksa 34 34 2 36 5355 0

2 Barpeta 54 54 3 57 8505 0

3 Darrang 28 28 1 29 4410 0

4 Dhubri 72 72 4 76 11340 0

5 Goalpara 56 56 3 59 8820 0

6 Hailakandi 30 30 2 32 4725 0

7 Udalguri 27 27 1 28 4252.5 0

Total 301 15 316 47407.5 0.47

3. Amount of Rs 34.77 lakhs is proposed for Printing of CBAC form, NCD register, Family folder, UHC card etc.Printing will be done at State HQ as per approved rate of RoP

Page 23 of 28

Sl No

Item details Item type Item to be

used at Language No of Units

Rat (In Rs.) per unit

Total Amount (In Rs.)

1 NCD Management leaflet

Leaflets Sub Centre Assamese 207662

0.46 95,524.50

2 CBAC Form Register Sub Centre Assamese /

Bengali 830650

0.84

6,97,746.00

3 UHC Family folder

Card / Folder

Sub Centre Assamese 207663

5.04 10,46,619.00

4 Screening form (VIA - VILI)

Formats PHC / CHC Assamese 122105

0.72 87,915.60

5 NCD Register Register SC / PHC / CHC / DH

English 1800

160.48 2,88,864.00

6 UHC Individual Health record

Card Sub Centre Assamese 830650

1.33 11,04,764.50

7

Consent form for Cervical Cancer Screening

Formats PHC / CHC Assamese 122105

0.48 58,610.40

8

Steps to be followed for USC of Common NCDs

Wall Hanging /

Posters Sub Centre Assamese 1800

53.87

96,966.00

TOTAL: 34,77,010.00

Budget Breakup:

SN District Unit Total Approval (Rs. In Lakhs)

1 State HQ 1 37.37

2 District - -

Total 37.37

Note: There is no budget provision for districts.

16. F.M.R. Code – 17.2

Name of Activity: Telemedicine/ teleconsultation facility at H&WC


F.M. R. Owner- a) State Level: SPO (NCD), SPM, MIS Manager, BME



Under the Health & Wellness Center functionalization to provide quality service in terms of improved patient

care teleconsultation services will be started in Hub and spoke model with Medical college as hub for

teleconsultation. Hub once established will be providing teleconsultation services with respective HWC link PHCs

and SCs. To begin with, one Hub will be established in Gauhati Medical College and Hospital (GMCH) with

infrastructure and IT upgradation. Consultation will be provided with the spoke Health facilities at the frequency

of 3 days a week with specialty departments of Medicine, Pediatrics and O&G.

Page 24 of 28

Budget breakup:

Estimated cost of IT infrastructure for teleconsultation at Guwahati medical College and Hospital

Sl No. Name of the Items Specification Unit cost Quantity Estimated Cost (inclusive of taxes)

1 Desktop computer with accessories

Two desktop computer with headphone, mic, speaker, web camera, printer, scanner and 1 KV UPS

75,000.00 2 1,50,000.00

2

Broadband connection(upload and download speed of at least 8 Mbps)

8 Mbps internet connectivity

1,20,000.00 1 1,20,000.00

3 Furniture Office furniture-Table, Chair 20,000.00 2 40,00.000

4 Medical Officer @ Rs. 50,000 pm for 6 months

50,000.00 2 6,00,000.00

Total 910,000.00

SN District Unit Committed

Unspent Amount (Rs. In Lakhs)

ROP Approval Amount

(Rs. In Lakhs)

Total Approval (Rs. In Lakhs)

1 State HQ 1 - 9.10 9.10

2 District - - - -

Total - 9.10 9.10

17. F.M.R. Code – 18.6

Name of Activity: Innovation -Yoga and Mental wellness in HWC



b) Dist. Level: DNO (NCD), DPO (NCD), DPC (NCD)

District guidelines:

SL Activity Budget in Lakhs

1 Yoga in Pregnancy & Lactation through Health & Wellness Centers 9.60 Lakhs

2 Mental Wellness to mother through Health & Wellness Centers 0.85 lakhs

Total 10.45 lakhs

State of Assam with support from Ministry of Health and Ministry of Ayush, want to improve the overall journey

of pregnancy and childbirth in a mother’s life with the help of yoga practices, through the platform of Health &

Wellness centers. In the first phase, state will roll out the “Yoga in Pregnancy & Lactation” Program in one

Aspirational district and one NCD district (Barpeta & Nagaon). Eventually it will rolled out in all Health &

Wellness centers in subsequent years.

Yoga classes will be provided by the trained ANMs & Yoga instructors 4 times in a month in Health and wellness

centers. The yoga classes will also serve a good platform to educate the pregnant and lactation mothers on

nutrition and lifestyle modification in pregnancy, which will help in achieve a healthier mother and child in

future.

Page 25 of 28

The Yoga instructors will be incentivized with Rs. 2500 a month to conduct the Yoga activities at HWCs.

As we are focusing on pregnant women and high-risk cases, yoga instructors need to be trained separately to

understand the process of pregnancy and physical changes during that period. Therefore, state has planned to

train the 12 identified instructors at one of the center of excellences to have a better community Yoga session.

The instructors will further train the ANMs of the HWCs to pass on the legacy in the long run as well as help in

conducting Yoga sessions at HWCs.

Total budget for training and incentives for 86 HWCs (2 ANMs each & 12 Yoga instructors) in two district is Rs.

9.596 lakhs.

Activity 1: Budget details for training of yoga instructor at AYUSH center of excellence for Yoga in Pregnancy for HWCs



1 DA to Participants with accommodation

3000 12 3 108,000.00

3 To and fro ticket to AYUSH center, Bangalore

14000 12 1 168,000.00

4 Average Course fee 15000 12 1 180,000.00

5 Miscellaneous 5% of total cost 45,600.00

Total cost for one batch 5,01,600.00

Activity 2: Budget details for training of ANM at District Level for Yoga in Pregnancy for HWCs







150 30 1 4,500.00


6 Venue hiring Charge 500 1 1 500.00

7 Miscellaneous 2000 1 2,000.00

A Total amount for one batch (in Rs.) 26,750.00


Budget Breakup for District Release: FMR 18.6

Activity – ANM training of 52 HWC-SCs in Nagaon and 34 HWC-SCs in Barpeta (operationalized in 2018-19)

Training cost per MO – Rs. 6,541.67, duration of training - 3 days.

SN District Unit Unit Cost

ROP Approval Amount

Total Approval

(Rs. In Lakh) (Rs. In Lakhs) (Rs. In Lakhs)

1 Barpeta (34 HWC) 2 0.2675 0.54 0.54

2 Nagaon (52 HWC) 4 0.2675 1.07 1.07

3 State HQ - - 7.99 7.99

Total 9.60 9.60

Page 26 of 28

SN

Activity 3: Module printing for yoga in Pregnancy

Module Unit Unit Cost

Total (in Rs.)

1 Printing of Module on Yoga for Pregnant ladies

172 80.00 13,760.00

2 Printing of Module on Yoga for lactating mothers

172 80.00 13,760.00

Total 27,520.00

Printing will be done at State HQ as approved ROP

SN

Activity 4: Incentive for Yoga instructors

Yoga instructor Unit cost (in Rs.) Months Total(In Lakhs)

1 12 2500.00 9 2.70

Fund for activity 1, 3 and 4 will be at the State HQ

Fund for activity 2 will be released to the districts

B. Mental Wellness to mother through Health & Wellness Centers

Budget proposed: 0.85 Lakhs

To address the gap in identification of common mental illness, Assam is planning to pilot Mental Wellness to

mothers in 86 Health and wellness centers in Nagaon and Barpeta district (1 NCD district and 1 Aspirational

district). A plan has been developed to train the 86 MLHPs in counseling and early detection of mental health, so

that cases can be referred to the specialists in time which in turn reduce the burden. Special emphasis will be

given to eligible couples, Adolescent group and pregnant women. MOs will be trained under National Mental

Health Program budget.

Important Mental health activities planned in the HWCs are:

Eligible couples are counselled by MLHPs in HWCs for creating Mental Health Awareness &

promote Positive Mental Health. H/o any mental illness, epilepsy and treatment are elicited and

promptly referral to DMHP for expert advice.

Screening for stress, depression, anxiety and other mental illnesses by MLHPs and proper referral.

Screening for stress, depression, anxiety and other mental illnesses are done by JPHN

during the 6th week, 14th week & 9th month post delivery period.

Training of the MLHPs on common mental health illness and counselling for 1 day.

(Adopted from Kerela ‘AMMA MANASS’)

Total Budget proposed for Training and module printing is 0.85 lakhs for 86 CHOs

Budget details for training of CHO at District Level for Mental Wellness to mother






4 Training Material (Bag, Pad, Pen, Pencil, Highlighter etc.) 100 30 1 3,000.00



7 Miscellaneous 2000 1 2,000.00

A Total amount for one batch (in Rs.) 25,750.00

B Total amount for 3 batches 77,250.00

Training will be done at State HQ with support from NMHP

Page 27 of 28

SN Activity 2: Module printing for Mental Wellness to mothers

Module Unit Unit Cost (in Rs.) Total

1 Printing of Module on Mental wellness to mothers 90 80 7,200.00

Total 7,200.00

Printing will be done at State HQ as approved ROP

SN District Unit Committed

Unspent Amount (Rs. In Lakhs)

ROP Approval Amount

(Rs. In Lakhs)

Total Approval (Rs. In Lakhs)

1 State HQ 1 - 0.85 0.85

2 District - - - -

Total - 0.85 0.85

Page 28 of 28

Documents

Operational Guidelines Financial Year 2019-20 - Assam