Presentation to National Program Coordination Committee On State PIP of Uttar Pradesh for 2011-12 4 th May, 2011 1

Presentation to National Program Coordination Committee

On State PIP of Uttar Pradesh for 2011-12

4th May, 2011

1

Part - AREPRODUCTIVE AND CHILD HEALTH

(RCH Flexi-pool)

2

BUDGET OVERVIEW (Rs. in Lacs)

Sl. BUDGET HEAD Budget 2010-11

ExpenditureUp to

March -11

% Expen- diture

(2010-11)2011-12Budget

% Change Over

2010-11

1 MATERNAL HEALTH 2043.47 1549.92 76% 1113.39 -46%2 CHILD HEALTH 1157.54 973.25 84%

667.47

(- S.H.P.) -42%

3 FAMILY PLANNING 8344.75 4427.11 53% 8029.3 -4%4 ADOLSCENT HEALTH (ARSH) 311 261.25 84% 556.86 79%5 URBAN RCH 1674.36 1071.81 64% 2062.68 23%6 INNOVATIONS/ PPP/ NGO 791.97 277.08 35% In MFP - 7 INFRASTRUCTURE & HR+

INCENTIVES/AWARDS 10379.16 6770.21 65% 21239.61 105%

8 INSTITUTIONAL STRENGTHENING 1185.55 546.29 46% ------ - 9 TRAINING 5373.54 1639.06 31% 8219.68 53%10 IEC/ BCC 2263.66 1384.83 61% In MFP - 11 PROCUREMENT 476.44 22.66 5% In MFP - 12 PROGRAMME MANAGEMENT 2210.1 1567.57 71% 4855.16 120%13 JSY 39937.59 45018.37 113% 47533.5 19%14 Other RCH Activities- Guaranteed

Cashless Delivery Services. 2840 New Activity

TOTAL RCH II 76149.13 65509.41 86% 97209.48 28%

3

SERVICES OVERVIEW Sl. Indicator Expected /

PlannedReportedMarch 11

% Achievement

1 Institutional delivery 21 Lacs 23.39 Lacs >100%

2 Full immunisation 56 Lacs 45.42 Lacs 81%

3 Sterilisation 7.45 Lacs 3.80 Lacs 51%

4 IUD insertion 22 Lacs 15.43 Lacs 70%

4

MATERNAL HEALTH First Referral Units (FRUs)

FacilityCum.target (2012)

Cum. Progress

till Mar ‘10

Incre.Target (10-11)

Progress 10-11

till Mar’11

Cum. Progress

till Mar ‘11

Incre. Target

(11-12) Comments

FRUs –District Women

Hospitals53 48 5 4 53 1

All FRUs to be strengthened this

year with adequate HR & Blood provision

FRUs – District Combined &

other Hospitals 20+6 8 18 13 21 5

Existing FRUs to be strengthened

this year

FRUs – CHCs 121 72 14 14 86 -

10 partially functional, 1-2

CS/month, to be strengthened this

yearTotal 200 128 37 31 160 6

5

(Figures in number)

MATERNAL HEALTH

FacilityCum.target (2012)

Cum. Progresstill Mar’

10

Incre.Target (10-11)

Progress 10-11

till Mar’11

Cum. Progresstill Mar

‘11

Incre. Target

(11-12) Comments

24x7 Facilities 1100 712 138 118 830 270 All 24*7 facilities to be strengthened

Sub-centres conducting

deliveries with adequate

infrastructure incl. Labour Room

4000 1800 700 600 2400 1600

3000 sub centres being strengthened

(2010-11); 1000 proposed to be strengthened

(2011-12)Sub-district

facilities providing safe abortion

services

15 SDH +107 CHC

4 SDH+80 CHC

4 SDH + 20 CHC

2SDH +20 CHC

6 SDH +100 CHC

9 SDH +7 CHC

All district woman hospitals & FRU

CHCs providing safe MTP services

Sub-district facilities providing RTI/ STI services

15 5 5 5 10 5All DWH & CHCs providing RTI/STI

services

6

(Figures in number)

JANANI SURAKSHA YOJANA

JSYTarget10-11(No.)

Achv. 10-11 (No.)

Proposed *11-12(No.)

Budget 10-11

(Rs. Lacs)Exp.10-11(Rs. Lacs)

Budget Proposed

11-12(Rs. Lacs)

Home Deliveries 42000 20124 30000 210.00

45018.37

250.00

Inst. Deliveries – Rural 1444800 1996250 2100000 34855.80 34400.00

Inst. Deliveries – Urban 252000 323114 370000 2520.00 3000.00

ASHA -escorting pregnant woman

14.45 lac 19.32 lacs 20 lacs 8670.00 10320.00

Admin. Costs - - - 1901.79 2263.50Total 39937.59 45018.37 47533.50

7

*This year, the efforts will be to conduct 30 Lacs deliveries under JSY, though the budget proposed is for 25 Lacs beneficiaries. An additional budget of Rs. 95.00 Crores will be required for 30 lac beneficiaries under JSY

Sl Particulars Status

1 No. of beneficiaries verified by officers at various levels

• State officers and functionaries verify beneficiaries during field visits• CMOs/CMS (F)/ACMOs/DPMs verify on regular basis in districts•State quality monitors verify the beneficiaries during visits in districts allotted to them

2 Mode of payment to beneficiaries (cash/ cheque)

Bearer cheque

3 What grievance redressal mechanisms are in place

• Grievance Redressal system at Tehsil level during Tehsil diwas,• At Distt. Level with CMO & CMS of the facility

4 No. of private facilities accredited – current and planned

• 17 accredited under JSY• Planned 140 for year 2011-12

5 No. of deliveries in private accredited facilities (till March11 )

3417

Other information under JSY

8

Issues identified & steps proposed by the State in JSY

1. District Woman Hospitals are overloaded and staff is overworked. Recruitment of more MBBS/specialist doctors and staff nurses proposed on contractual basis.

2. To address complaints of delayed payments, maintain transparency in systems and better monitoring of the programme, JSY is being computerized with development of website, where data from districts will be uploaded on daily basis with details of clients and payments. The development of software and monitoring systems are being supported by NIC.

3. A call centre (grievance redressal cell ) is being established in the secretariat with existing computer cell where on a toll free number, the caller from any where in the state will be able to register complaints/get information/solution of query will be available on 24*7 basis.

9

MATERNAL DEATH REVIEWSl Particulars Status

1 Whether training completed up to block level

State and district level training is complete. Block level training is in progress and will be completed by July 2011.

2 No. of maternal deaths reported in 10-11

551 (report received from District Women Hospitals between November, 2010 to March, 2011 )

3 No. of maternal deaths analysed in 10-11

431

4 Major causes of death 1. Anaemia is the most common cause (43%)

2. Sepsis (28%)3. Post Partum Haemorrhage (4%)4. Obstructed Labor (7%)5. Ecclempsia (5%)6. Others (13%) includes abortions &

APH

Key bottlenecks & steps proposed for improvement

Key Bottlenecks-• Acute shortage of Specialist Doctors in FRUs- Anaesthetists, Gynaecologists,

Paediatricians & Pathologists, Ultrasonologists etc.• Shortage of Staff Nurses & other paramedical staff.• Due to shortage of Doctors adequate numbers are not available for long term

training courses like EmOC & Anaesthesia training.Steps for Improvement-• 191 specialists are working on contract & 470 specialists are working on-call basis.

This year proposal for around 400 MBBS doctors and 330 specialists on contract to work in district woman/ combined hospitals, CHCs and blood banks has been made.

• 1484 staff nurses & 239 paramedical staff are working on contractual basis and this year the proposal for 2500 staff nurses and 700 paramedical has been made.

• Incentives for better performing ANMs has been proposed this year. • To operationalize FRUs, it has been proposed to incentivize the teams performing well

against set norms and standards. • Proposal to increase in monthly honoraria of the contractual staff working in rural and

backward areas has been included.

11

FREE & ASSURED REFERRAL TRANSPORTFacility Status

2010-11Proposed2011-12

No. Of districts having referral transport / EMRI Planned for 71 72No. of high focus districts having referral transport / EMRI Planned for 45 45Call centre at State/ district level (give nos) - 1 at StateNo. of ambulances (including for EMRI) 988 (EMTS) 1012 (EMTS)Whether ambulances fitted with GPS (Y/N) N YTotal no. of patients using referral transport Data NANo. of pregnant women using referral transport Data NANo. of sick newborns using referral transport Data NANumber of Calls received

Not yet functionalNumber of calls attended

Number of pregnancy related calls attended

Total monthly running cost 1.28lacs (estimated) 1.28 lacs

Average cost per trip - -

12

FREE & ASSURED REFERRALPlanned for Year 2011-12 Comments

Whether it is free for PW and sick newborns - Yes

Whether second referral and drop back facility is being provided

Yes

Budgetary provision for the above, including basics

• Procurement of 1012 new - 10879.00 Lacs

• Establishment of Call centre -1800.00 Lacs

• Operational cost (8 months) - 20480.00 Lacs

Steps to widely disseminate above services-

Through Print & Electronic media, IPC, Messages on Ambulances etc.

Source of funds for the budget 60% from NRHM GoI & 40 % from State

13

PROVISION OF FREE SERVICES FOR DELIVERY & NEWBORN CARE FOR ALL CASES

Facility Current Status 2010-11

Plan for 2011-12

Provision of free drugs From State Budget

Planned @Rs.100 per beneficiary x 25 lacs PW, Rs.200 for consumable per beneficiary of CS x 0.90 lacs PW

Provision of free blood during complications

Yes, from RKS or JSY Admin head

Planned @ Rs 800 per beneficiary for 0.25 lacs PW

Provision of free diet Yes, up to Distt. Woman Hospital

Planned @of Rs.100 per beneficiary x 15 lacs PW

Provision of free diagnostics

Yes, from State Budget

From State Budget

14

PROVISION OF FREE SERVICES FOR DELIVERY & NEWBORN CARE FOR ALL CASES

Unit cost per delivery, per

c-section, per day for diet, etc.

Total budgetary provision made

Sources of funds (e.g. NRHM, State

budget)

Plan (IEC etc.) for putting the above

entitlements in the public domain

Provision of Rs.100 for medicines in normal delivery,

Rs.200 additional in case of C-section &

Rs.50 for diet per day has been made in PIP .

Rs. 2500 lacs for medicines,

Rs. 180 lacs for consumables,

Rs. 160 lacs for blood transfusion arrangement &

Rs. 1500 lacs for diet

Consumables & routine medicines are solely from State budget.

For C-section cases, 50% of budget is from NRHM & 50% from State budget.

IEC through print & electronic media is being planned.

15

CHILD HEALTHFacility

Cum. target (2012)

Cum. progress

till Mar’ 10

Incremental Target (10-11)

Progress 10-11 till Mar’11

Cum. progress

till Mar’11

Incremental Target (11-12)

*Sick New Born Units – DH 30 7 5 5 ( Under

Establishment)12

10 DWH+8 Med

CollegesNew Born Stabilization Unit – SDH, CHC, etc.

180 25 155 85 110 70

New Born care corner – DH, SDH, CHC, PHC, etc.

1100 240 610 525 765 335

Nutritional Rehabilitation Centre

26 13 8 5 18 8

16

During 2010-11, total admissions in SNCUs were 9762, out of which 7828 were cured, 992 new born expired and 679 either referred to higher centre or left.

CHILD HEALTH

Key bottlenecks -• Non availability of paediatricians

& staff nurses to operationalize SNCUs.

• In community a few behaviours are not suitable for new born care (delaying colostrums, giving honey/ghutti after birth, bathing new born just after delivery and putting local medicines/mud on umbilical cord ) and they need to be addressed urgently

Steps proposed-• This year it has been proposed to

establish/strengthen SNCUs in govt. Medical colleges, where adequate faculty/resident paediatricians are available.

• Training of MBBS doctors in facility based new born care, so that they may work as paediatrician.

• Comprehensive Child Survival Programme (CCSP) which includes behaviour change communication strategies for community and ASHA is being trained as key person in this programme, is to be implemented with full efforts in whole of the state.

17

CHILD HEALTH• No. of districts implementing IMNCI (CCSP in UP)– current and planned

– 36 Districts are implementing Comprehensive Child Survival Programme (CCSP)

– In remaining 35 districts, TOT being conducted, ASHA/ANM will be trained from April onwards .

• No. of districts where training is saturated- - 10 districts (Aligarh, Banda Bulandshahar, Gorakhpur, Jhansi, Lakhimpur

Kheri, Mirzapur, Pratapgarh, Saharanpur & Varanasi)• Plan for Home based newborn care ( HBNC), including incentives to ASHAs-

– Home based newborn care is an essential part of CCSP training. Trained ASHAs are making 3 to 6 Home visits and getting incentives of Rs. 50 for 3 visits and Rs. 100 for 6 visits.

• Status of implementation of Joint MCH cards– Being implemented with ICDS jointly in all Districts.

18

FAMILY PLANNINGFixed Day Static FP

ServicesCum. target

(2012)Cum. progress

till Mar ’11Increment. Target (10-

11)Progress 10-

11 till Mar’11Increment.

Target(11-12)

DH & SDH providing Laparoscopic /Minilap sterilization services

53 DWH/ 20 DCH +15 SDH

53 DWH/11 DCH +12 SDH

5DCH +7 SDH 5DCH +7SDH 9DCH +

3 SDH

DH & SDH providing Non scalpel vasectomy services

61 DH + 20 DCH 50 DH+12 DCH 6DH +

5DCH 6DH + 5DCH 11DH+8DCH

CHC & PHC providing Minilap/Laproscopic services

At all 820 block CHC/PHC in camp mode

At all 820 block CHC/PHC in camp mode

- - -

CHC & PHC providing NSV services

NSV camps organized at

CHCs- - - -

19

Steps proposed for improving female sterilization services

53 District Women Hospitals are providing FP services on daily basis (6 days/week)

20 District combined hospitals/ 120 CHCs will provide fix day services twice/ week.

Facility based monitoring of sterilization cases performed at these facilities will be done.

Details of clients will include - type of family planning services opted, parity and method of sterilization. Districts are instructed to maintain detailed records as per guidelines.

Wide IEC activities in the form of wall writings, leaflets, brochure etc. will be carried out to create awareness in the community about fixed days.

20

Steps to promote post partum FP services

o At present, small number of PP ligation is being done. o This year, it has been planned to increase the number of post

partum ligations by –– Provision of Family Welfare Counsellors at every FRU to counsel the

client to adopt post partum family planning services. – Abdominal tubectomy (Minilap) induction training for 12 days is

planned for 810 medical officers (MBBS). These trained service providers will be able to provide post partum abdominal ligation on day to day basis.

– In identified divisional district hospitals, 9 batches of 5 trainees each will be trained for the purpose during the year 2011-12 .

– In addition, abdominal tubectomy refresher training will be given to 288 medical officers, who need to refresh their skills.

21

Steps to promote family planning services

Steps for scaling-up IUD services IUD trainings is planned for 688 doctors, 1376 staff nurses and

3870 ANMs through SIFPSA in the year 2011-12. Training will be conducted in 43 identified districts at DWHs and 2 CHCs, having good client load.

In addition, 3 districts (Lucknow, Jhansi and Allahabad) are also providing post partum IUCD services on pilot basis. This year it is planned to expand these services to 20 more districts.

22

Steps to promote family planning services

Family Planning services through private providers- At present, the number of accredited private and NGO facilities providing FP

services is very low. FPAI, some other institutions are providing quality family planning services consistently.

This year special initiative of providing compensation package of Rs. 1.5 Lacs as an advance for 100 cases to 50 identified private providers, who will perform 5000 cases of sterilization in the year.

These private provider will also be given an additional incentive of Rs. 500 per case, if the centre conducts more than 30 operations at a time on a pre-fix day.

This year, provision of accreditation of private providers for quality IUD services is also proposed and expected that 1 lac IUDs would be inserted for which Rs. 75.00 Lacs have been proposed (@Rs. 75/- per client)

Apart from this, through FOGSI initiative some more NGOs (PSI/Jhiepgo) are linked in for IUD services and training of private providers is being planned.

23

Steps proposed for NSV services

District Male/Combined hospitals /FRUs are providing fixed day NSV services.

There is provision to train young male doctors (MBBS) on NSV skills during existing NSV camps, wherever there is sufficient client load. The extra technical support for training will be provided through NGOs (Engender health).

Provision for sufficient NSV kits/sets is being made accordingly. Wide publicity for NSV on fixed days is being planned by wall

writing, leaflets, brochure, etc.

24

ADOLESCENT HEALTH PROGRAMME

Facility Target 2010-11

Progress2010-11

Target 2011-12

Adolescent Friendly health services (AFHS) clinic – DH - - 1 AFHS clinic

in Divisional level male &

female district hospitals (36)

AFHS clinic – SDH, etc. - -AFHS clinic – CHC - -AFHS clinic – PHC - -Districts covered under Adolescent Health Programme

71 71 71

Schools covered 8200 5733 8200Students covered 12 lacs 11.92 lacs 12 lacsStudents given IFA/ de-worming tablets 12 lacs 10.75 lacs 12 lacs

25

SCHOOL HEALTH PROGRAMME (SHP)

Facility Target 2010-11 (No.)

Progress2010-11 (No.)

Target 2011-12

(No.)Districts covered under SHP 71 71 72

Schools covered49200

(32800 in 1st year + 15200 in 2nd

Year + 1200 new)38618 57400

Students covered 73 Lacs 43.09 Lacs 84 Lacs

Students given IFA/ de-worming tablets 73 Lacs

42.52 lac (IFA)41.87 lac (De-

worming)84 Lacs

26

SCHOOL HEALTH PROGRAMME (SHP)

Issues/steps proposed in the programme• No. of enrolled children in primary schools is much more than the

actual presence in the schools.• Acceptance for de-worming tablets is less than that for IFA.

Counseling to students and parents for the same is being incorporated in teachers training.

• Elaborated teachers training programme is underway for which training modules have been developed in Hindi.

• Trained teachers will be able to screen the students on 6 monthly interval and refer as per need to relevant health facility.

27

URBAN RCH• Due to increase in urbanization existing health facilities can not provide

quality RCH services in the slums and Peri-urban areas.• To fulfill the gaps New Urban Health Posts were established under

European Commission, are now being funded with NRHM. These are in rented building, located near slum areas and having contractual staff.

• These Health Posts are providing Primary Medical care, MCH, Family Planning and referral services.

• 128 Urban Health Posts are functional in 67 Districts and additional Human resource, ambulances, drugs support to Bal Mahila Chikitsalaya in district Lucknow has been proposed for 2011-12

• Other than above activities, 150 New Urban Health Posts are proposed in newly established colonies to provide health services to poorest of poor .

28

URBAN RCHSl. Budget Head 2010-11

Budget2010-11

Expenditure2011-12Budget

1 Sustaining of Urban Cell at Directorate

Proposed under Programme Management head

2 Lucknow Urban RCH Programme 432.75 281.26

3 Urban RCH activities in 13 big cities 611.82 531.68

4 Urban RCH activities in 53 big cities 547.79 452.10

5 Baseline survey, Health facility survey and sensitization workshop for 14 cities under NUHM

81.90

6 Urban Health Posts in residential areas –Poorest of poor - - 789.00

Total Budget 1674.36 1071.81 2054.04

29

Rs. in lacs

GENDER & SEX RATIO

30

Year Sex ratio Child sex ratio

2001 898 916

2011 908 899

10 Districts with poor sex ratio

Agra 835

Baghpat 837

Bulandshaher 844

G.B.Nagar 845

Ghaziabad 850

Meerut 850

Muzaffar Nagar 858

Jhansi 859

Hathras 862

Hardoi 863

Steps taken to monitor sex ratio• District appropriate authorities are instructed to increase

the frequency of surprise inspections of ultrasound units/places

• They are also advised to discuss the issue of PC&PNDT Act during monthly monitoring meeting held under the chairmanship District Magistrate.

• Information about Male/ Female child is also to be collected through other programmes routine immunization/ Jachcha Bachcha Surakhsha Abhiyan. This will help in knowing the trends of sex ratio in particular area and taking steps accordingly.

• Steps are taken to monitor and prevent second trimester abortions (unauthorized)

• Districts are instructed to monitor MTP Act closely. Updated report of all the MTP cases done by registered providers at registered places is to be made available at Districts and sent to State along with quarterly report.

Steps taken to Improve sex ratio

Steps taken to enforce PC&PNDT Act

• Ensure building up strong court cases for those violating the PC&PNDT Act and seek the required legal assistance for the same.

• Legal action is to be taken (as per act) for not keeping the proper records and unregistered ultrasound machine /centres /mobile centres (units).

• A total of 39 cases have been filled under PC&PNDT Act till date. Out of which 8 cases have been dropped, rest are under trial.

33

TRAININGSSl. Training Target

2010-11Achievement

2010-11Target

2011-12

MATERNAL HEALTH TRAINING

1 21 days Skill Birth Attendant (SBA) for Staff Nurses / ANM/ LHV 3000 1867 3000

2 12 days Basic Emergency Obstetric Care (BEmOC ) training - (SBA for Medical Officers) 336 327 288

3 16 weeks Comprehensive Emergency Obstetric Care (CEmOC) incl. c-section – MO 64 48 48

4 18 weeks Life Saving Anaesthesia Skills (LSAS) – MO 72 62 84

5 Medical Termination of Pregnancy (MTP) – MO 120 0 150

6 Reproductive Tract Infections/ Sexually Transmitted Infections (RTI/STI) – MO (District Trainers) 200 162

16507 Reproductive Tract Infections/ Sexually Transmitted Infections (RTI/STI) - MO 75 46

8 Reproductive Tract Infections/ Sexually Transmitted Infections (RTI/STI) – LT 50 45

34

Unit in No.

TRAININGSl. Training Target

2010-11Achievement

2010-11Target

2011-12

CHILD HEALTH TRAININGS

10 Comprehensive Child Survival Programme (CCSP) – ANM/LHV 6320 1861 5305

11 Comprehensive Child Survival Programme (CCSP) - ASHA 32180 11759 32585

12Facility based Integrated Management of Childhood Illnesses (F-IMNCI) – Medical Officers

142 89 1495

13 Facility based Integrated Management of Childhood Illnesses (F-IMNCI) – Staff Nurses 0 0 2745

14 Navjat Sishu Suraksha Karyakram (NSSK) – M O 1382 587 1622

15 Navjat Sishu Suraksha Karyakram (NSSK)– Staff Nurse 1033 586 1199

16 Navjat Sishu Suraksha Karyakram (NSSK) – ANM/ LHV 1040 735 1234

35

Unit in No.

TRAININGSl. Training Target

2010-11Achievement

2010-11Target

2011-12FAMILY PLANNING

17 Laparoscopic Sterilisation 240 54MO, 31 SN 240

18 Minilap Sterilisation 144 45MO, 22SN 135

19 Non- scalpel Vasectomy(NSV) 282 105 294

20 IUD (Copper –T) – MO 688 0 688

21 IUD (Copper –T)– SN 1376 0 1376

22 IUD(Copper –T) – ANM/ LHV 3870 0 3870

23 Post Partum IUCD-MO 27 27MO,17SN 100

ADOLSCENT REPRODUCTIVE & SEXUAL HEALTH (ARSH) TRAINING

24 ARSH –State Trainer 25 25 -

25 ARSH –Regional Trainer 55 55 -

26 ARSH – MO/PHN 1816 1360 264027 ARSH – HV/ANM 4263 1711 12000

36

Unit in No.

OTHER TRAININGSSl. Training Target

2010-11Achievement

2010-11Target

2011-12

1 NRHM Programme Management training- ACMOs/Dy.CMOs 200 143 50

2 NRHM Programme Management training- Sr. MOs 200 131 50

3 BCC training for DPMU (TOT) 30 22 100

4 Disaster management Training 200 105 150

5 Hospital waste management 210 169 75 MOs+ 3600 Workers

6 Administrative management training for CMS 100 59 100

7 Rogi Kalyan Samiti (RKS) – ToT (CMS & MS) 300 256 -

8 Rogi Kalyan Samiti (RKS) – ToT (CMO/Div. PM/DPM) 160 133 -

9 Family life education 100 91 150

10 Hospital Administration Course for CMS– NIHFW 40 39 -

11 Logistic Management & HMIS (trainers of RFWTCs) 200 47 -

37

Unit in No.

TRAINING (Contd...)• Availability of State and District training sites

State Institute of Health and Family Welfare – 1 Regional Health and Family Welfare Training Centres -11 PHN Training Centre - 1 LHV Training Centres - 4 ANM Training Centres - 40 District Training Centres – 30

• Availability of Trainers for various trainings State/Regional and District trainers are available for various trainings.

Trainers at pre service training sites are not available in adequate numbers. Therefore, proposed in PIP 2011-12.

38

TRAINING (Contd...)

• Key Issues in Training -

Due to non availability of adequate number of medical and paramedical staff in the districts, usually attendance in training sessions is poor. The CMS/MS do not allow the doctors and nurses to go for long term trainings.

• Steps proposed to address the above, and to enhance training capacity to meet targets for year 2011-12:

Proposal for establishment of district training labs for refresher trainings.

Proposal for establishment of mobile training labs for onsite trainings and quality issues has been included in PIP.

Efforts are being made to provide doctors on make shift arrangement basis for the facility, from where doctor is being sent for training.

39

TRAINING (Contd...)

• Steps taken to monitor quality of training and post-training skills utilisation

Qualified and dedicated personnel are being identified as trainers along with additional responsibility of monitoring the quality of trainings and ensuring post training skill utilization.

Training modules material and availability of teaching aids is being ensured.

Regular monitoring during training sessions and in the field by identified monitors and state officers as per the training calendar.

Data base for all the trainees is being maintained to rationalize the postings for proper utilization of the skills obtained in the training.

Independent evaluation of the training programme is being proposed.

40

TRAINING (Contd...)

Strengthening of Training Institute

Sl. Training Institutes Proposed to be Strengthened Nos.Amount requested for Strengthening Training Institutes

1 State Institute of Health and Family Welfare (SIHFW)

1 Rs. 380.00 lacs

2 State Nursing Colleges -4 4 Rs. 261.00 lacs

3 ANM Training centres -36 36 Rs. 360.00 Lacs

4 District Training Centres - 30 30 Rs. 225.00 lacs

Total 1226.00 Lacs

41

Part - B

MISSION FLEXIPOOL

42

Infrastructure Progress (2009-10)Sl. Name of work Physical

TargetAmount

Sanctioned (in lacs)

Expenditure 2010-11 (in lacs)

Physical Progress (till March-11)

1 Construction District drug ware house 30 1402.20 1367.65 All completed

2 Strengthening of hospital facilities 134 1340.00 1340.00 All completed

3Facility surveys for strengthening district hospitals and CHCs to IPHS

134+100 300.00 300.00 All completed

4 Construction of Sub centre 2908 24000.00 22896.72

2808 completed, 77 under progress, 23 land not available

5 Construction of CHCs 33 11000.00 5750.641 complete, 30 in

progress, 2 land not available

6 Up-gradation of CHCs to IPHS 50 8795.57 7394.14 9 completed , 41 in

progress

43

Infrastructure Progress (2009-10) Continued...

44

Sl. Name of work Physical Target

AmountSanctioned

(in lacs)

Expenditure 2010-11(in lacs)


7Up-gradation of district hospitals to IPHS

40 14553.36 8306.48>75%-4

50-75%-725-50%-21

<25%-8

8 Strengthening of RFWPTCs 11 1581.69 916.50

>75%-2 50-75%-625-50%-1<25%-2

9 Strengthening of ANMTCs 4 495.64 333.50

>75%-250-75%-125-50%-1

10 Construction of JSY wards at PHCs 942 7253.40 6513.10

858 completed, 74 in progress, land required for 10

Infrastructure Progress (2010-11)

Sl. Name of work Physical Target

AmountSanctioned

(in lacs)

Expenditure 2010-11(in lacs)


1Up-gradation of district hospitals to IPHS

89 8900.00 3500.98

71 in progress

(25%), rest to be started

soon

2Construction of regional drug ware houses

7 1148.77 74.683 in progress,

rest to be started soon

3 Construction of Sub centres 1756 14400.00 886.54

472 in progress, rest to be

started soon.

45

Infrastructure Proposed 2011-12

ActivitySub Centers District Hospital Others

No Amount No Amount Unit in No. Amount in lacs

New Construction 710 6390.00 - -

•61 (18 District Drug ware houses & 32 Waiting homes for pregnant ladies )

2031.16

Up-gradation 1000 300.00 89 22625.65

Strengthening/Renovation

• 11 Regional drug ware houses • Strengthening Gyn/obs. Department -CSMMU, Lucknow • 8 SNCUs in Paediatric Departments of govt. Medical colleges

110.00

105.40

537.38

46

• Infrastructure budget as % of total budget- 9%

• Amt. for block and below level facilities (as % of Infra Budget)- 22%

Infrastructure Proposed 2011-12Sub-Centre rent

No. of SC Amt @ Rs 250/SC Amt proposed in PIP @ 8106 243.18 243.18

Amount proposed for other activitiesHospital Strengthening Mobility Support for

transportation of supplies

Others (pl specify)

- Rs.162.60 Rs. 280.90 (operationalization of 53 District drug ware houses)

47

HUMAN RESOURCE (Medical)

Human Resources Existing (in 2010-11)

Proposed (in 2011-

12) Unit cost

proposed Total

Amount in lacs

Specialists Contract for whole month 191 800 4,764.00 On call 14782 calls 30000 510.00

Doctors

MBBS/BDS 523 1250 5,179.80

ISM Male 1126 - -

ISM Female 802 1100 30000 3,960.00 Nurses 1484 2500 4,980.00 ANMs 807 2500 3,252.00 Para medicals - Lab tech/ ECG Tech/X-ray Tech/ Physio, Opto/etc 239 700 972.00

Data Entry Operators 129 138 10000 165.60

ISM Pharmacists 813 - -

PHNs/ Tutors /Others as teaching faculty at RHFWTs/ANMTCs/DPTCs, etc. - 100 20000 200.00

Total 3,983.40

48

Rs. in Lacs

Human Resource (Programme Management Staff - SPMU)Category

Sanctioned (in 2010-

11)

Working(in 2010-11)

Proposed (in 2011-12)

Unit Cost Proposed

Total Amount in

lacsGMs 8 6 8 100,000.00 96.00 DGMs 2 2 5 75,000.00 45.00 FC 1 1 1 100,000.00 12.00 Senior Finance and Accounts Manager - 1 60,000.00 7.20 Senior Accounts Manager - 1 50,000.00 6.00 Managers-Finance 4 3 4 45,000.00 21.60 Consultants (Nonmedical) 6 2 7 33,000.00 27.72 Consultants (medical) 3 2 3 35,000.00 12.60

Regional Managers-/Accountants -/Data Analysts/Sect.Steno/Office Coordinator

Reg.Mana-4/Account-3/Data Ana-5 /Sect.-4 /Office Coordinator-1

Accountants-1, Data

Analyst-5, 15 21,000.00 37.80

Data Assistant/Programme Assistant- 17 DA -4, PA-7 20 17,000.00 40.80 Internal Auditors 2 - 4 14,000.00 6.72

Typists/Computer Operators-/Guards Guards-3 Guard-3 8 10,000.00 9.60 Electrician 1 1 1 7,000.00 0.84 Office Attendants 13 8 13 6,500.00 10.14 Sweeper 3 - 3 4,500.00 1.62 Sub Total 335.64 Increment (10%) 33.56 Total 369.20

49

Human Resource (Programme Management Staff - DPMU)

Category Existing (in 2010-11)

Proposed (in 2011-12)

Unit Cost Proposed

Total Amount in

lacs

DPMs 60 72 27,000.00 233.28 DCMs (budgeted in Asha Support System in Mission Flexi pool) 64 72 22,000.00 -

DAMs 49 72 22,000.00 190.08

Data Cum Account Assistants 71 72 17,000.00 146.88

Class-IV 71 72 6,500.00 56.16

Sub Total 626.40

Increment (10%) 62.64

Total 689.04

50

ASHAs

• Total Number of ASHAs in the State – 136183• Population Per ASHA – Approx. 1000 population• Drug Kits (Norm: Rs 600/Kit) –

• Amount proposed per kit = Rs. 500/-• Total Number of Kits to be procured = 225130 (112565 *2 times)• Total Amount proposed = 1225.65 Lacs

• Expenditure on Selection, Training (Norm: Rs 10,000 per ASHA) • Total amount proposed = 1927.01 Lacs• Amount proposed per ASHA = Rs. 1415 (Approx.)

• Total amount proposed for paying incentives – Rs.10,283.26 Lacs• Incentive to ASHAs under Child Health - Home Visits New Borns (56580)= Rs.

1,131.60 Lacs• Other Incentives to ASHAs (122565) = Rs. 8,089.29 Lacs• ASHA Award Scheme (820) = Rs. 41.00 Lacs• Incentive to ASHA for complete ANC (136183) = Rs. 1,021.37 LacsNon monetary incentives (like uniforms, Umbrella etc) proposed for ASHA - None

51

Untied Funds/ AMG/ RKS/ VHSC

Facility Type /

No. of facilities Norm/Total Amount Proposed (in Lacs)

Total (As per RHS/No. Proposed in PIP) Untied funds AMG

Corpus Grant HMS/RKS VHSC

District Hospitals (DHM, DWH, DHC, T.B. and

Mental Hospital)

- - Rs. 5,00,000 -

152 - - 760.00 - 760.00

CHCs (block + Non block) Rs.50,000 Rs. 1,00,000 Rs. 1,00,000 -

466 233.00 466.00 466.00 - 1,165.00 Sub District Woman

Hospitals Rs.50,000 Rs. 1,00,000 Rs. 1,00,000 -

15 7.50 15.00 15.00 - 37.50 Block PHCs

Rs.50,000 Rs. 1,00,000 Rs. 1,00,000 -

460 230.00 460.00 460.00 - 1,150.00

PHCs (30,000 Population or 2294 APHCs-

Government building)

Rs.25,000 Rs. 50,000 Rs. 1,00,000 -

2,661 665.25 1,147.00 2,661.00 4,473.25

Sub Centre (12413 Government building)

Rs.10,000 Rs.10,000 - -

20,521 2,052.10 1,241.30 - 3,293.40

VHSCs - 51914

Rs.10,000 - - Rs.10,000 51,914 5,191.40 5,191.40

Total 8,379.25 3,329.30 4,362.00 - 16,070.55 52

MOBILE MEDICAL UNIT

• Cost of MMU (per unit per month) = Approx. Rs.1.98 Lac• Cases per MMU per month = 80-110 cases are being attended in every

session by these MMUs.

Category No. of Districts

Existing number

New Proposed

Capital Cost (per unit)

Operational Cost

Total

0 MMU

1 MMU

>1MMU Units Total

MMU 57 - 15 133 133 2,779.70 2,779.70

615 28.00 615 10282.80 27502.80

Tender/Prebid/Hiring Consultant and other related expenditure 90.00

Sub Total 30,372.50

Deduction - Committed liabilities ( only for operational cost) 850.64

Total 29521.86

Rs. In Lacs

53

STUDY TOURS & RESEARCH Name of Study tours &

researchEstimated Cost

(in Lacs) Proposed Institute

Study tours of state, district, facility doctors and programme managers

120.00 • Nutrition and Rehabilitation Centres – Madhya Pradesh• SNCU- West Bengal (Purulia) and Gujarat• Family Planning Services – Tamilnadu• Procurement Systems and mechanism - Tamilnadu • Adolescent (ARSH) – Karnataka and Maharashtra• MCTS – Gujarat• Communitization Processes – Chhattisgarh, Maharashtra and Rajasthan

Concurrent evaluation of various programmes like CCSP, SHP, etc.

25.00 PRC Lucknow/reputed Medical Colleges

54

IEC/BCC

Main Activities Amount Proposed Expected output

Strengthening of BCC/IEC Cell (state) 5.00 Better performanceDevelopment of State BCC/IEC strategy 1.00 Better implementation

BCC/IEC activities for MH 440.42 Reduction in maternal mortality and morbidity

BCC/IEC activities for CH 164.46 Reduction in IMRBCC/IEC activities for FP 676.81 Better acceptance of FP servicesBCC/IEC activities for ARSH 42.26 Better acceptance of youth friendly servicesOther activities

Urban RCH 82.80 Improvement in urban slums health indicators

Radio Drama Series for general Public 120.00 Increasing awareness

VHSC Advocacy Booklet 22.50 Better utilization of VHSC fundsRepublic day Celebration 1.50Routine Immunization 353.75 Reduction in Vaccine preventable diseases

BCC/IEC activities for School Health 80.93 Improvement in health status of school going children.

Total 1,991.43

55

Rs. In Lacs

Saubhagyawati Scheme – A PPP initiative by GO-UP

• The scheme was initiated in year 2008-09 with a package of 1.85 Lacs to private provider for 100 deliveries (including caesarean section).

• In the first year, overwhelming response was received when 158 nursing homes got accredited and in 8 months time, reported 12291 normal deliveries, 597 complicated deliveries and performed 1252 caesareans.

• From the year 2009-10, due to withdrawal of benefits to the beneficiary and ASHA, the number reaching in these centres reduced to 5754 normal delivery, 166 complicated and 693 caesarean sections, which further reduced to 493 normal deliveries, 27 complicated cases and 70 caesarean in 2010-11.

• At present only 111 nursing homes are accredited and that too are not enthusiastic or very responsive.

56

Alternative proposal under Saubhagyawati Scheme

• GOI is requested to either reinstate the same benefits as earlier to beneficiaries and ASHAs or an alternative proposal given in PIP, as per below:– Alternately it is proposed to pay Rs. 2000/- in case of normal

delivery and Rs. 7000/- in case of caesarean section to the private hospital, accredited under the scheme in line with RSBY.

– As per initial discussion with private hospitals, they are agreeable to this preposition.

– For 10000 normal deliveries, an amount of Rs. 200 Lacs and for approx. 1000 caesarean sections, an amount of Rs. 70.00 Lacs is being proposed under the scheme (Totalling Rs. 270.00 Lacs)

57

Name of Initiative Amount Proposed No of

Beneficiary Targeted

Accreditation of private providers for sterilization Services (@ 1500/case) 75.00 5000

Promoting FP through private providers @ 500/ case if more than 30 cases in one setting

12.50 2500

Family Friendly Hospitals (FFHs) 59.50 50 districts

Performance based rewards- Institutions & Providers for FP performance @ Rs. 1 Lac/ district

72.00 72

Accreditation of private providers for IUD insertion services @ Rs. 75/- per case 75.00 100000

NGO/PPP/Innovations

58

DECENTRALIZED HEALTH PLANNING

Issues Comments

• No. of districts in the State 72

• No. of DHAP prepared and sent to Ministry

72 prepared.

•No. of high focus districts 45

•Has resource envelop indicated to all districts

Yes

•Is higher weightage of 1:1.3 given to high focus districts

Yes

•No. of blocks where Block Plan made 410

•No of Villages 104022

•No of villages with VHSCs 51943 (at Gram Panchayat level)

•No. of villages where Village Plan made 1400

59

Drugs Equipment Others

Units Amount (in Lacs) Units Amount

(in Lacs) Units Amount (in Lacs)

Maternal Health

•2000 Medical Abortion drug kits @ 100•Consumable for RTI/STI

2.00

14.40

•100 Colour Doppler @Rs. 16 Lacs •100 Foetal Monitors @ Rs. 1.10 Lacs• 433 MVA kits @ Rs. 2000/- • 820 Glucometers @ Rs. 4500/-•20 Blood storage refrigerators @ Rs. 90000/-•316 Blood transportation boxes @ 15000/-

1600.00110.00 866.00

36.90

18.00

47.40

- -

Child Health• 20585 new kits @ Rs. 1000/kit

• 35287 kit replenishment @Rs. 535/ kit

205.85

188.79

•Equipment for 6 SNCUs at District Women Hospitals 40.00

PROCUREMENT OF EQUIPMENTS & DRUGS

60




Family Planning•1000 NSV kits @ Rs. 700/- , 5000 IUD kits @ Rs. 3000/- & 160 Minilap set @ Rs. 3000/-

161.80 AMRC for 400 laparoscopes

24.00

School Health• 8610.00Lac IFA paediatric tablets @ Rs. 14/- for 100 tablets •172.20 Lacs deworming tablets @ Rs. 2/- for 86.10 Lac children *2 tablets

1205.40

344.40•75000 Spectacles @ Rs. 200/- 150.00 - -


61




ARSH•IFA tablets for 12.30 Lacs girls @ Rs. 6.72 per girl•Deworming tablets for 12.30 girls @ Rs. 4/- per girl•Deworming tablets for 15.25 lac non school going girls under in districts of menstrual hygiene.

82.66

49.20

61.01

Urban RCH (Drugs & consumables•8 BMCs in Lucknow + 128 UHPs+ 150 New UHPs proposed

243.60

•Dental Equipments @50000/- 350 Facilities 175.00

Total (Rs. 4793.06 Lacs) 2,569.30 - 2,199.76 - 24.00


62

Monitoring & Evaluation (M&E)

1. HMIS • Computer systems and related hardware have been supplied

and installed up to the block level facilities.• Financial provision for internet connectivity has been made.• Block data assistants have been posted and training has

been planned. • It is expected to start the facility based reporting on HMIS

portal from September 2011 onwards.

63

2. Mother & Child Tracking System (MCTS)

• Presently data from community is being collected by ANMs on prescribed format.

• Offline data entry is being done at the block level.• Import of offline data on web portal of MCTS is not smooth.• Retrieval of data and generation of work plans from the

MCTS portal is difficult. • To avoid the above problems, it has been plan to upload

MCTS data directly from block level on the web portal from September 2011.

64

3. Capacity Building

• Training has been planned for HMIS and MCTS and analytical skills.• District level trainers will be trained at the state level, as master

trainers.• District level master trainers will conduct the block level training at

the district head quarter or at a place, where well equipped computer lab is available.

• All the trainings will be explanatory as well as hands-on skills on web portal.

• It is expected that the whole training programme will be completed by month of July-August 2011.

• Skills and Knowledge of faculties from NIC, PRC, SIHFW, SPMU other eminent institutions will be utilized for training of Master Trainers.

65

Major Head Minor Head Budget (in Lacs)

Details (including cost per

unit)

Remarks

1.Strengthening of M&E/ HMIS/ MCH Tracking

Salaries of M&E, MIS & Data Entry Consultants

235.00 195 Rs. 10000/month /operator

Mobility for M & E Officers 150.00 State, district and block level officialsWorkshops/Training on M & E 5.00 State level trainingM&E Studies 2.50 For research agency for HMISOthers (specify) 15.00 Hiring of IT related services from

external agency

2. Procurement of HW/SW and other equipments

Hardware/Software Procurement 195.00 90 90 computers with all accessoriesInternet connectivity 60.00 Rs. 400/month per unit Annual Maintenance 25.00 AMC for already procured H/W and

equipments during 2008- 10Operational Costs (consumables etc) 60.00

Rs. 400/ month per unit for computers, printers, stationery at state, district & block level

Others (Specify) 25.00 Wireless internet access – data cards for remote health facilities

66



unit)Remarks

3.Operationalising HMIS at Sub District level

Review of existing registers – to make them compatible with National HMIS

10.00Review of existing registers/formats and redesign in order to make compatible with national HMIS

Printing of new registers/Forms 15.00 Printing of registers/input formats for

health facilities

Training of staff 75.00 Training on M&E at division, district and block level

4. Computeri- zation of CMSD in directorate of Medical and Health- U.P, Lucknow

25.00Procurement of server unit, 10 computer sets, internet connection, outsourcing of data entry work and web based software, etc.

Total 897.50

67



unit)

Remarks

5.Operationalising MCH tracking

Printing and reproducing Registers/ Forms

72.00 Rs. 4.00 per unit

1800000 tracking formats

Capacity building of teams

State level 10.00 Rs. 2.50 Lacs For state level (4 times)

District level 72.00 Rs. 0.25 Lacs For 72 districts (4 times)

Block level 41.00 Rs. 0.05 Lacs For 820 Blocks (1 time)

Ongoing review of MCH tracking activities

17.28 Rs. 0.02 Lacs

4 review meetings at state, 3 participants per district (total 216)

Monitoring data collection and data quality

123.00Rs. 0.05 Lacs / month

25% of blocks, MCTS data will outsourced

Others (Specify) 82.00 Rs. 0.10 Lacs Contingency for 820 Blocks

Total 417.2868

OTHERS ACTIVITIESSL. Activity Amount Proposed

( In Lacs) Expected Output

B7District Action Plans (Including Block, Village) 200.00

1 State PIP, 72 DAPs, 820 Block PIPs and 10% Village plans to be developed

B 8.3a Tehsil Level Pradhan Sammelan 124.80 312 sammelans will be organized

B9 Mainstreaming of AYUSHSBA Training of ISM Lady Doctors (4 doctors per batch) 135.00 125 Batches (500 ISM

doctors will be trained)

B.10.4Grameen Swasthya Melas (Health Melas) 2,087.28 820 Melas per month will

be organized

B.10.5Creating awareness on declining sex ratio issues 158.20 Activities in 72 Districts

and state levelB.10.6 Other activities

Saas Bahu Sammelans 108.00 In 72 Districts

69

B12 Referral Transport (EMTS)

B12.1Ambulance - New (1012) with Equipments and accessories 10,879.00

1012 new ambulances with equipments and accessories will be procured

Equipment and accessories for 590 ambulances purchased in 2010-11 2,065.00 Equipments and accessories for 590

(already procured)Cost of 398 ambulances of 2010-11 along with equipments and accessories 4,278.50 Cost of 398 ambulances alongwith

equipments and accessories4 Operational Cost of1012 Ambulances( from

Oct. 11- March 12) 7,772.16 Operationalization of 1012 ambulances for 6 months

5 Operational Cost of 988 Ambulances( from Sept.11 to March 2012) 8,852.48 Operationalization of 988 ambulances

for 7 monthsEstablishment of Call Centre and Procurement of Toll free number 1,800.00

1 call centre will be established to manage issues related referral and transport with toll free number

Hiring consultant for selection of service provider, expenses of tender and related activities

50.001 agency will be hired for selection of service provider and processing of tender, etc.

Sub Total 35,697.14

Deduction of - a. 40% (Rs. 6625.86 lacs) of operational cost of Rs. 16564.64 Lacs to be borne by State Govt.-UP (item no. 4 & 5) and b. Committed liability of Rs. 11628.46 Lacs from last year

18,254.32

Sub Total 17,442.82

70

SL. ActivityAmount

Proposed( In Lacs)

Expected Output

B13 School Health Programme 729.36 Health status of 86.10 Lacs school going children to be improved.

B15 Planning, Implementation and MonitoringB15.1 Community Monitoring

B15.1.1 State level 20.00 1 state level Visioning workshop will be organized

a State Q.A.Cell 14.93 1 cell will be established to ensure quality assurance

b State Quality Monitors 89.64 Better monitoring of activities in districts

B15.3 Monitoring and EvaluationB15.3.3 Other M & E Activities

a Village Health Index Register 112.00 140000 VHI registers will be printedc ANM Supervision and Monitoring Systems 820.00 Monitoring through Block CHCs

dMobility support to ANM to conduct VHND sessions

794.64 1589271 session will be monitored by ANMs during VHNDs

eMobility Support to DWH & DCH Staff for supervision and monitoring activity

187.50 Verification and follow-up of JSY and FP beneficiaries through hospital staff

fMobility Support for Monitoring & Supervision – DCM and DAM

120.96 For supervision and monitoring of various activities and accounts

71

SL. ActivityAmount

Proposed( In Lacs)

Expected Output

g CCSP Programme Monitoring 368.14 Handholding of ASHAs and better implementation of the programme

h Hospital Information System (HIS) in hospitals 2,665.00

Establishment of Hospital Information Systems in Hospitals, Medical colleges (total 127units)

i State level Call centre/Grievance redressal cell 30.00

1 State level Call centre/ Grievance redressal cell will be established to address field level problems, complaints, grievances and queries related health services

B.17 PNDT Activities 41.23 At state and district levelB.18 Regional drugs warehouses 120.33 1state +11 regionalB.19 New Initiatives/ Strategic Interventions

a MCH Centres Operationalization (other than HR)Partial Construction (MCH Centre Level – I,II & III) 3,840.50 Repair of residences of 3625 level

–I, 1100 (24*7) +126 FRUsEquipments(MCH Centre Level – I &II) 900.00 72 districtsOne room set for 2nd ANM(MCH Centre Level – I) 250.00 100 one room set

72

SL. ActivityAmount

Proposed( In Lacs)

Expected Output

b Backward Districts Interventions 247.60 20 district mobile team & 10 district static labs

B.22 State level health resources centre (SHSRC) 115.00 Development of 200 model villages

B23 Support ServicesHospital Waste Management System 1,300.00 For all districts upto block level

Support to ANMs at Accredited Sub Centres 120.00

2000 sub centres performing good number of delivers @ Rs. 100 per delivery

Outsourcing of cleaning, upkeep & laundry services in DH and CHCs 3,744.00 @ Rs. 1000 per bed for 134 DH and

200 CHCsB23.3 Support Strengthening NVBDCP

BRD Medical College, Gorkhapur (Paediatrics Department) 359.15 Critical care unit for JE/AES cases

73

SL. ActivityAmount

Proposed( In Lacs)

Expected Output

B.24 Other Expenditures (Power Backup, Convergence etc)

I Diesel for generators

For District Hospitals 912.00 Uninterrupted power supply for 152 hospital @ Rs. 50000/month

For fully Functional CHCs 1,957.20 Uninterrupted power supply for 466 CHCs @ Rs. 35000/- month

For CHCs which are functional in Block PHC building 1,932.00 Uninterrupted power supply for 460

BPHCs @ 35000/- monthIi

POL for generator at District H.Q.Cold chain 216.00

Uninterrupted power supply for cold chain maintenance in 72 districts H.Q.

Iii Provision of Food for JSY beneficiaries 1,500.00 Availability of fresh food for 15 Lacs

beneficiaries iv

Refrigerators (CHCs & BPHCs) 73.80 Provision of proper emergency drug storage in 820 Blocks facilities.

Total Mission Flexi pool 149566.0074

Part - C

IMMUNISATION

75

BUDGET OVERVIEW (Rs. Lacs)

Sl. Budget head Budget2010-11

Expenditure2010-11

Budget2011-12

% Change Over 2010-

11

1 RI strengthening project (Review meeting, Mobility support, Outreach services etc) 5069.50 4860.89 5544.50 +9.36%

2 Salary of Contractual Staff 269.90 101.60 295.24 +9.38%3 Training under Immunisation 543.77 124.47 267.37 -50.8%4 Cold chain maintenance 220.15 114.84 393.40 +78.6%

Sub Total 6103.32 5201.80 6500.51 +6.5%In 2010-11, Rs. 5002.81 Lacs in Part C and Rs. 1100.51 Lacs in Mission Flexi pool.In 2011-12, Rs 6077.47 Lacs in Part C and Rs. 216.00 Lacs in Mission Flexi pool and Rs. 207.72 Lacs in RCH Flexi pool. In 2010-11, Expenditure of Rs. 4650.92 Lacs in Part-C and Rs. 550.88 Lacs in Mission Flexipool.

5 Pulse Polio operating costs 17858.00 12866.34 15000.00 -16%

76

IMMUNISATION

Indicators Target 2010-11

Progress 2010-11

Target2011-12

No. of immunisation sessions 1980386 1760062 (88 %) 2090588

Training of MOs 3223 1362 3223

Training of HW 7680 2490 3547

Training of cold chain handlers 900 111 1000

Review meetings 4 3 4

77

Strengthening Routine immunization

1. Alternate Vaccine Delivery :

• Alternate vaccine delivery is as per GOI norm Rs.50/- per session in rural and urban slum areas. Rs. 1000/- for 4 sessions to cover vacant sub-centre and hard to reach areas.

2. Status of alternate vaccinators in urban slums:

• In Urban slum areas of 11 big cities ,along with regular vaccinator , provision of hired vaccinator has been made. 42384 session were planned in 2010-11 out of that 33600 sessions were held with hired vaccinators.

3. Status of cold chain maintenance:

• Human resource: Contractual manpower hired at State, Divisional and District level

• Equipments: 4 WIF and 18 WIC are functional. New WIC/WIF are being installed . 20 Solar refrigerators have been supplied from GOI and are in process of installation . Old/CFC equipments (ILRs/DFs) need to be replaced .

78

Strengthening Routine immunization…

4. Systems for supervision and monitoring : • AD UIP is Nodal Officer for implementing and monitoring of immunization

activities.

• District Immunization Officer is nodal officer at District level

• Monitoring of RI sessions are taking place by Govt. Officers and partners NPSP/WHO and UNICEF

• RI revised Monitoring formats are being used and are compiling at District NPSP office and after analysis compilation at State level for feedback.

• No. of supervisory visit by State: 108 by the State Officers and State Quality Monitor on a regular basis (average 8-10/ per month/SQM)

• No of report submitted : 12875 Sessions were monitored in year 10-11 as per their monitoring formats.

79

Part - D

National Disease Control Programmes

80

81

Revised National Tuberculosis Control Programme (RNTCP)

Major Interventions & plan for 2011-12:• Diagnosis and treatment for MDR cases: two Dots plus sites developed

at Agra & Lucknow. Agra has started implementation & Lucknow is almost ready to deliver services. Plan for expansion of DOTS plus services in phased manner in 7 more DOTS Plus sites in 2011-12

• Intensified TB HIV package under TB HIV coordination program: Initiated in 5 high prevalence districts- Deoria, Mau, Allahabad, Banda and Etawah; to be extended to entire state by 2011-12

• “Universal access to TB care”- intensified case finding by contact tracing of Sm positive patients and for vulnerable groups

• Strengthening of Basic DOTS by intensive supervision & monitoring• Strengthening collaboration between partners from Global funds

through– UNION (International Union Against TB & Lung Diseases- IUTALD) by MAMTA, Mahila Samajik Sansthan, CHAI. etc

82

Districts with poor to moderate performanceState - Uttar Pradesh RNTCP Performance Indicators- NSP CDR /TSR

Name of the district

NSP CDR/Treatment

Success Rate Reasons for poor

performanceProposed solutions /Activities in PIP Constraints

NSP CDR Cure rate

1 a) Further improvement in referral of TB suspects from PHIs to DMCs by strengthening of health system, Encourage referral of TB suspects through ASHA

1 b) Awareness about free diagnostic & treatment services by effective *ACSM activities. Thrust on involving more NGO & PPs in revised schemes under the programme

1 c)Further improving quality of microscopy services by monitoring under EQA by both IRLs ( Lucknow & Agra )

1 d) Further strengthening & monitoring of other sectors: , ESI, Railway, Corporate, CGHS

Low awareness

level for free TB

diagnostic &

treatment services in community

Low referral by

PHIs (including

Distt. Hospitals)

Deoria 38% 81% Low CDR & cure rate

Mau 42% 89% Low CDR (< 50%)

Azamgarh 43% 82% Low CDR & cure rate

Mainpuri 46% 88% Low CDR (< 50%)

Banda 47% 87% Low CDR (< 50%)

Kushinagar 48% 90% Low CDR (< 50%)Siddharthnag

ar 48% 90% Low CDR (< 50%)

Ghazipur 50% 79% Low CDR & cure rate

Maharajganj 50% 89% Low CDR (< 50%)

*Advocacy, Communication and Social Mobilization

83

Districts with poor to moderate performance – contd..

Name of the district

NSP CDR/Treatment

Success Rate Reasons for poor

performance

Proposed solutions /Activities in PIP Constraints

1 e) Support to IMA-GFATM-RNTCP-PPM partnership project under IMA

1 f) Support to Global Round partners “G R- 9” Akshya Project, financially supported by Global funds

1 g) Implementation of TB-HIV collaborative activities in all districts & monitoring referral of chest symptomatic from ICTC & vice versa.

1 h) Strengthening inter district/inter state referral feedback mechanism

1 g) Opening new TU s/DMCs to meet population norms

2 a) Further strengthening of DOT network by involvement of ASHA, AWW and general health staff.

2 b) Retrieval of defaulting patients by general health staff & ASHA ; Monitoring by MO- PHIs.

2 c)Thrust on involvement of NGOs in DOTS adherence schemes under the programme.

2 d) Emphasis on patient provider & community meetings

Low awareness

level for free TB

diagnostic &

treatment services in

community, Low

referral by PHIs

(including Distt.

Hospitals)

NSP CDR Cure rate

Sitapur 52% 83% Moderate CDR (50-59%) & low cure rates < 85%

Chandauli 53% 83%Ballia 55% 83%

Sant Kabir Nagar

56% 83%

Kanpur Nagar 56% 80%Firozabad 58% 84%

Kheri 59% 82%Allahabad 59% 82%Fatehpur 59% 70%

84

Status of IRL and DOTS Plus

Districts Implementing DOTS

Plus/Proposed Status of IRL and

services offeredDOTS

Plus Site

No of Patients

proposed to Put on DOTS Plus ( 2011-

12)

Human Resource status for DOTS Plus

Districts already

implementing

Districts proposed

Solid Culture

Liquid culture *LPA

1 implementing, 1 near

completion, 7

planned in 2011-

12

300

Contractual staff for DOTS Plus was appointed on 1st March 2011 till 31st March 2011 for Two DP sites, Renewal of contract pending awaiting approval of PIP 2011-12

123

in phased manner

Yes, by IRL Luckn

ow

Planned in

FY 11-12

Planned in

FY 11-12

*Line, Probe, Assay

85

Budget heads and Amount proposed Sl. Budget heads Amount proposed

(in lacs)Amount approved

(in lacs) Remarks

1 Civil works 182.94 182.94

As communicated by Central TB Division by E mail dated 6th March 2011

2 Laboratory materials 341.87 331.303 Honorarium 585.67 292.844 IEC/ Publicity 257.16 102.875 Equipment maintenance 93.90 54.356 Training 291.22 116.497 Vehicle maintenance 107.20 99.708 Vehicle hiring 398.00 220.099 NGO/PP support 741.87 259.65

10 Miscellaneous 324.29 224.2911 Contractual services 2799.85 2799.8512 Printing 335.44 117.4013 Research and studies 0.00 0.0014 Medical Colleges 114.47 112.9115 Procurement –vehicles 68.50 68.5016 Procurement – equipment 22.00 21.6017 Tribal Action Plan 0.00 0.00

Total(A) 6664.37 5004.78Additionality funds from NRHM (B) 116.60 101.60

Total (A+B) 5106.38

86

Additionality Funds from NRHM

Sl. Budget heads Amount proposed

Amount approved

Remarks (As communicated by

CTD, GoI)

1

Additional Instruments for Intermediate Reference Lab (IRL) Lucknow for LPA of MDR suspects under DOTS Plus-for additional 100 KVA generator for LPA

2000000 2000000 May be approved

2 Rooms for Hostel facility at Thakurganj TB hospital, Lucknow, being developed as State training centre for TB

3500000 3500000 May be approved

3 Repair of Drain, furnishing of hostel rooms, minor repair in IRL at STDC Agra 660000 660000 May be approved

4 CUG mobile connection for Programme officers & supervisory staff 1500000 0 Detailed proposal

required.

5.Intensified monitoring activities and MIS to be developed for 13 identified low performing district in the state

2000000 2000000Details to be shared

with CTD may be approved

6 Silico- tuberculosis project 2000000 2000000Detail project to be

shared with CTD, may be approved

Total 11660000 10160000

Details of the activities for which Additionality Funds are proposed to be sought.

National Vector Borne Disease Control Programme (NVBDC)

Key achievements- 2010-11

• By Active & Passive surveillance 67468 Malaria positive including 1389 Pf cases were diagnosed and treated.

• Involved 13800 ASHAs of 10 districts in surveillance work after providing training skill.

• IRS with DDT50% conducted in high risk areas of 39 districts covering 70.85 lakhs population.

• Special provision of antilarval activities in 40 flood affected districts and 42 urban areas covered under U.M.U.& F.C.U.

Key Interventions & Strategy-2011-12

• Special surveys involving ASHAs, science teachers, science students & private doctors with incentives.

• Reorientation of LTs for parasite identification.

• IRS in high risk areas of 41 districts.• Involvement of village health &

sanitation committees.• To abide civic bye-laws for not

creating mosquito-genic conditions and prevention for mosquito-bite.

MALARIA

87

Lymphatic Filariasis


• MDA observed on 27th Dec.2010 with mop-up rounds on 28th and 29th Dec.2010 in 50 Filaria endemic districts covering 974.02 lakhs population.

• Updated 85014 Lymphoedema and 34831 Hydrocel cases.

• 3559 Hydrocelectomy operations under taken.


• MDA observing with high coverage in 50 endemic districts.

• Hydrocelectomy operation of at least 50% of existing line listed Hydrocel cases.

• 34 clinics to be activated for diagnosis of Mf as per norms & night blood surveys to be done as per norms.

88

Dengue/ Chikungunya

Key achievements – 2010-11

• 22 Sentinel & 1 Apex lab strengthened.

• 702 cases of Dengue were confirmed by Eliza IgM technique.

• Source reduction & vector surveillance in 54 districts together with fogging, space spray anti larval operations was done.

• Identified 8-10 beds as isolation ward in all districts hospitals


• Activation of sentinel surveillance units where blood banks exists and have Eliza readers in addition to existing sentinel labs.

• Source reduction, Antilarval measures/ IEC/ BCC to be done as per norms.

• Space spray/ fogging in case of exigency.

89

Kala-azar


• Fortnight observed in Feb./March, in Deoria, Ballia, Kushi Nagar and Varanasi.

• Surveillance activities could trace only 14 cases which were 100% treated.

• 1.70 lakhs population covered under IRS with DDT 50%


• Special surveys to be carried out in addition to fortnight, preferring village hot days (market days) and ensuring complete treatment.

• 10 affected villages of 4 endemic districts together with adjoining 60 villages to be surveyed and all Kala-azar to be treated completely to rule out their presence in future.

• IRS to be conducted to protect 8.66 lakh population.

90

JAPANESE ENCEPHALITIS /AES

Key achievements –2010-11

• In the year 2005, the disease was prevalent in 34 district of UP, whereas in the beginning of 2010, 20 districts were affected and at the end of 2010 only 13 districts are found to be affected.


YearNo. of District

Affected

A.E.S. JE Confirmation

Cases Deaths Confirmed cases Death

% of JE +vity

2005 34 5581 1593 1042 18.67

2006 22 2075 476 170 8.19

2007 24 2675 577 235 29 8.78

2008 23 2730 486 168 36 6.15

2009 26 3073 556 328 50 10.67

2010 20 3548 498 344 59 9.69

91

AES/JE Status in UP at a GlanceIn year 2006, 22 districts

(Cases- 2075, Deaths-476, CFR- 23)

Azamgarh Gazipur Lucknow SaharanpurBehraich Gonda Maharajganj Siddarth NagarBalia Gorakhpur Mau SitapurBalrampur Kausambi Muzaffar Nagar Sarawasti Basti Khiri RaibareliDeoria Kushi Nagar Sant Kabir Nagar

Districts of U.P. Highly affected by J.E. Dec. 2010

KRI

SBD

STPHDO

LLP

JNS

JAL

AHB

BJN

BRC

BAD

PIL

ETA

SHA

SULRBL

MZP

FTP

UNN

JNP

BRL

BNA

MZN

BBK

AZG

AGR

SHP

HMP

ALG

GND

PTG

BLS

MRD

KSN

BRP

GZP

GRPBST

KPN

MTR

BAL

CKT

MAI

KPD

MHB

FAI

SDN

MRT

LNO

DOR

CND

JPN

FERFKB

RMP

MHG

ABN

ETW

KNA

AUR

GZA

SRWHTR

KSM

MAU

SKN

VRN

BGT

GBN

BDH

Gorakhpur (56) Sant Kabir Nagar (51)Maharajganj (52) Siddarth Nagar (45)Kushinagar (58) Balrampur (70)Deoria (57) Behraich (25)Basti (44)

92


Year DistrictsTarget

Children (1-15 Yrs)

Vaccinated Children (1-15Yrs)

Vaccinated %

2006 7 6838380 6836506 99.97

2007 11 9818873 9499157 96.7

2008 9 10800000 10940009 100.95

2009 7 9253748 7837563 84.7

2010 7 6790820 6623012 97.5

AES detected Cases

2009 2010No. Detected

(AES) 3073 3548

No. Investigated (AES) 2802 2965

JE Outbreaks 328 344Other Outbreaks

(Non JE) 2745 3204

Special campaign of JE vaccination conducted at 7 Districts of Gorakhpur and Basti division with good results, as shown bellow :-

Note: J.E. Vaccination programme was extended for another 26 days in Jan. 2011 and 99% vaccination was achieved.

Out of the total cases of AES detected only aprox. 10% is of

JE

93

Targets for –2011 -12

• To improve the Vector and Disease Surveillance of Epidemic Prone Diseases.

• Strengthening of Regional Lab Swasthya Bhawan, Lucknow and other 15 identified sentinel Labs.

• JE vaccination already included in the routine immunization of the age group 1 – 2 years, to be continued in the sensitive Districts.

• Private sector Hospitals and Nursing Homes are to be involved in disease surveillance.

• Appointment of vacant posts of Data Entry Operators.


• Upgrading of PHCs and CHCs for admitting mild and moderately sick patients

• Strengthening of district hospitals – with ventilators and fully trained medical staff.

• Strengthening and upgradation of JE Epidemic ward of BRD Medical college Gorakhpur.

• Strengthening of diagnostic facilities at District lab of sensitive Districts.

• Vector surveillance of the sensitive districts to be improved by training of malaria and filaria workers.

• Sampling and examination of water sources in AES/JE sensitive areas.

• Training of HEO/ANMs/AWW/WARD boys and ASHAs – for dissemination of information to the community for AES/JE prevention and control

• Training of traditional healers - guiding sick patients for early treatment at PHC / CHS. /Distt. Hospital. 94

95

Budget Heads & Amount Proposed

Sl. Activity Amount(in Lacs)

1 MALARIA 178.00

2 FILARIA 911.94

3 DENGUE 87.30

4 KALA AZAR 37.00

5 JE/AES 757.75

TOTAL 1,971.99

96

National Blindness Control Programme (NBCP)

Key Achievements (2005-2011)

1. Total Cataract Operations during 2005-2011 NRHM period are 40,40,338 against target of 42 lacs.

2. School Eye Screening Programme 2005-2011 NRHM Period are 164.10 lacs against target of 259.33 lacs. Out of Which 4.32 lacs Free Spectacles were distributed against the target of 5.48 lacs

3. In Cornea Collection 2005-2011 NRHM Period are 1988 against target of 8100 cornea.

4. Management of other Eye diseases( New Activity from 2009-10) - achievements 54323 against target of 23570

5. 230 Vision Centers have been developed so far.

97

Proposed Interventions(2011-2012)

1. Phaco Surgeries will be added.2. Training of Eye Surgeons and

Staff Nurses and Ophthalmic Assistants.

3. Strengthening of IOL Centres at CHCs

4. New Eye Banks will be stabilized.5. Encouragement to New NGO

Hospitals.

Sl. Intervention Targets

1 Cataract Operation 7,70,000

2 School eye Screening 33,00,000

3 Free Spectacles for Poor Children 70000

4 Corneal Collection 500

5 Vision Centre 50

6 Other Eye Desases 15000

98

Budgetary Provisions (2011-12)Activities Physical Targets Budget Proposed

1 Cataract Operation 770000 2887.502 Other Eye Diseases 15000 150.00

3 Purchase of Equipments 10 Pheco, 10 Microscope, 50 Appl. Tonometer, 50 Flash Autoclave 365.00

4 School Eye Screening 70000 140.005 Corneal Transplantation 500 7.506 Vision Centre 50 25.00

7 Repair and Maintenance of Ophthalmic Equipments 1 lacs for 88 district Hospitals 88.00

8 Training of Surgeons/PMOA and Staff Nurse 50 eye Surgeons and other 78.009 IEC(World Sight Day) 72 dist and 10 lacs for State level 82.00

10 Office Expenses and Contract Staff Salary State level 14.00

11 Office Expenses at District level and Honorarium District level 2 lacs each district. 144.00

12 Recurring GIA to EDC 100 EDC 1000 each 1.0013 Non Recurring Grant to 2 eye bank 15 lacs each eye bank 30.0014 Non Recurring Grant NGO Hospital 2 30 lacs each NGO Hospital 60.0015 Non Recurring Grant 5 EDC 1.00 lacs each for 5 EDC 5.00

Total PIP for 2011-12 4057.00

Rs. In Lacs

National Iodine Deficiency Disorder Control Programme (NIDDCP)


• Goiter rate came down below 10% in children aged 6-12 years.

• Availability & consumption of Iodized salt by the community is on increase.

• U.S.I. Cell has been constructed by UNICEF in 4 Medical Colleges namely Gorakhpur, Meerut, Agra & Allahabad

• Regular mass awareness activities through radio and doordarshan.


• Establishment of IDD Control Cell

• Establishment of IDD Monitoring Lab

• Conduction of surveys in 5 districts by medical colleges.

• Community level IEC activities• Testing of iodine in salt at the

consumer level through FTK.• Skill development of PRI and

Grassroot level workers

99

100


Sl. Activity Amount (in Lacs)

1 IDD Cell 6.502 Establishment & Maintenance of IDD Lab 4.003 Survey 2.504 Health Education & Publicity 13.00

Total 26.00

101

INTEGRATED DISEASE SURVEILLANCE PROJECT (IDSP)

Achievements (2010-11) –• Epidemiologists are posted in 46 districts and are trained. • Microbiologist posted at regional lab, at Lucknow .• IDSP played an important role in monitoring, testing and evaluating in case

of an outbreak.• IDSP collects information from all the districts on S, P and L formats which

is then complied and sent weekly to NCDC, New Delhi.• Data Manager posted State Surveillance Unit has undergone TOT Training,

at NCDC New Delhi for online portal Entry.• Online data reporting is being done from all districts.• Swine flu vaccination completed in all the districts in two phases.• IDSP has played a remarkable role in prevention and treatment of Swine

Flu.

102

Targets For 2011 -12

• Covering communicable and other vaccine preventable diseases like Measles, Pertussis, Diphtheria, Influenza A, H1N1 and Malaria under IDSP Surveillance.

• One model lab per district for diagnosis of epidemic prone to be established.

• Involvement of all Medical Colleges of the state for data collection and disease surveillance.

• Involvement of private sector hospitals and nursing homes.• Strengthening of State Priority Labs of IDSP (Regional Lab -Lucknow

and district Lab Ghazi bad).• The call centre 1075 will be activated in all the districts for the

outbreak information.• Ensuring collaboration between epidemiologists, microbiologists /

state lab coordinators at all levels.

103

Proposed Interventions

• District outbreak investigation team in each district - Epidemiologist as the nodal officer

• Rapid response team in each district under the district surveillance officer / ACMO.

• Strengthening of data quality analysis and linkages to action – online entry and analysis, reporting, e-mail services, health alerts to public health staff and lab information.

• Training of District Surveillance Officers.

104

Budget Heads & Amount Proposed Sl. Activity Amount (in Lacs)

1 Operational Cost 163.42

2 Human Resources 585.96

3 Training 3.14

4 Procurements -

5 ASHA Incentives 8.64

6 Referral Services -

7 Innovations/PPP -

8 IEC-BCC Activities 38.60

9 Financial aid to medical institution -

Grand Total 799.76

105

National Leprosy Eradication Programme (NLEP)

Year 2007 2011(Jan)Annual New

Case Detection Rate

17 12.7

Districts that have achieved

elimination36 51

Blocks that have achieved

elimination427 555

Key achievements-NLEP


• Prevention of Deformity (POD) initiatives for early detection and management of nerve damage & self care training

• Medical Rehabilitation by screening of disabled cases for Reconstructive surgery

• Implementation of awareness programmes at Block level & ASHA sensitization workshops

• Intensive Awareness Campaign in 453 high endemic blocks


• Active Search in 50 highest endemic blocks

• ASHA and Health Staff sensitization and active search in high endemic villages

• Screening of disabled leprosy affected persons fit for Reconstructive surgery

• Self Care training and supportive medicines for affected persons of 72 Leprosy Colonies

• Urban Leprosy Control (PPP) activities in 52 urban areas

106

107

Budget Heads & Amount Proposed Sl Activity Amount (in Lacs)

1 Mobility Support 105.7

2 Office expenses 54.73

3 Urban Leprosy Control 18.84

4 Human Resource 56.04

5 Training 45.08

6 Procurement of Drugs 32.0

7 ASHA Incentive 16.12

8 Disability Prevention & Rehab 60.0

9 NGO Support 51.0

10 IEC BCC 258.12

11 Monitoring Supervision 10.44

12 Additionalities 19.52

Total 727.59

108

National Mental Health Programme (NMHP)

• Currently being implemented in 4 districts

• Construction of Centre of excellence in Psychiatry Deptt. Of CSSMU, Lucknow is being done.

• Financial Support to all medical colleges for upgradation of building and equipments.

• Initiation of Diploma courses in clinical psychology, psychiatric social work and psychiatric nursing through state medical faculty involving public and private sector hospitals.

• Training of physicians working in district hospitals in psychiatry to ensure detection and treatment in early state.

• Initiatives for execute Life skill education and counselling in schools, counselling services in colleges, work place stress management and district counselling centres in 4 districts.

• Convergence with NGOs (MSJE supported) and department of health.

• Development of Independent psychiatry department as per MCI norms.

Status & Key achievements-2010-11


109


Sl Budget Heads Amount (in Lacs)

1 Operational Cost 3.64

2 Human Resource 37.46

3 Training 21.92

4 Procurement 27.90

5 ASHA Incentive -

6 Referral Services -

7 Innovation PPP -

8 IEC 8.00

Grand Total 98.92

110

National Programme for Prevention and Control of Deafness (NPPCD)

• Sound proof rooms constructed in 4 districts and construction is in progress in one more district.

• Training of personnel up to PHC/CHCs level is completed in 2 districts (Ist phase).

• 18 medical doctors trained in 3 districts (2nd phase).

• 5 districts selected in 1st & 2nd phase are delivering patient care services.

• Construction of sound proof rooms in 3 districts of 3rd phase.

• Capacity building and Training of doctors and para-medicals upto CHCs and school teachers.

• Recruitment of human resources (Audio logical assistant, speech trainers, etc.)

• Procurement of equipments & hearing aids.• Strengthening of state & district nodal offices.• IEC/BCC activities in all the 8 districts• Identification and capacity building of district

hospitals and facilities to provide preventive/screening/curative services on daily basis.

• Strengthening of district hospitals with equipments, infrastructure and manpower

Key achievements till 2010-11 Key Interventions & Strategy-2011-12

1st phase - Gorkhapur & Barabanki; 2nd phase- Banda, Varanasi, Lucknow; 3rd phase- Agra, Moradaba, Saharanpur

111

Budget Heads & Amount Proposed Sl Budget Heads Amount

(in Lacs) A Establishment of State Nodal Officers Officer 17.69

B District Hospital Capacity Building 59.44

C Three New District Hospital Staff 5.40

D Establishment of District Nodal Officer at three new districts 7.50

E Training of three new districts 48.73

F Capacity Building of continuous phase of old 5 districts 89.10

G Continuous phase of 5 districts hospital staff expenses 9.00

H Continuous phase of 5 districts nodal officer expenses 12.50

Grand Total 249.36

112

National Tobacco Control Programme (NTCP)


• Setting up of TCC’s in Districts.• Training of School teachers, health workers, health

professionals, law enforcers, NGO’s, women SHG’s.• IEC activities at the regional languages at grass root level.

Awareness programs by the trained Women SHG/ NGO’s.• School Programme for Govt. Schools (50 per district) with

the help of NGOs. • Regular meetings with religious leaders to drum up support

for Tobacco Control Program.• Monitoring enforcement of tobacco control laws

113


Sl. Activity Amount (in Lacs)

1 Operational cost 36.50 2 Manpower for 12 months 209.28 3 Training 72.50 4 Procurement 43.20 5 ASHA Incentive 6 Referral Services 7 Innovations/PPP/NGO 8 IEC/BCC 217.50 9 Financial aid to institutions

10 Monitoring for Tobacco Control Laws & reporting (lumpsum) 36.00

Grand Total 614.98

114

(Rs. in Crores)

Budget Summary – National Disease Control Programmes

Sl. Scheme/Programme

Approved amount

(2010-11)

Amount Proposed (2010-12)

1. NVBDCP 10.22 19.722. RNTCP 45.96 67.813. NPCB 35.00 40.574. NIDDCP 0.24 0.265. IDSP 5.1 8.006. NLEP 5.72 7.287. NTCP - 6.158. MHP - 0.999. NPPCD - 2.50

Total 102.24 153.28

BUDGET SUMMARY – PIP 2011-12

115

Sl. Scheme/Programme

Approved Amount (2010-11)

Amount Proposed (2011-12)

1 RCH Flexi-Pool 761.49 972.092 NRHM Flexi-Pool 1230.99 1,495.663 Immunization 50.03 60.774 NVBDCP 10.22 19.725 RNTCP 45.96 67.816 NPCB 35.00 40.577 NIDDCP 0.24 0.268 IDSP 5.10 8.009 NLEP 5.72 7.28

10 NTCP - 6.1511 MHP - 0.9912 NPPCD 2.4913 PPI Operation Cost 178.58 100.0014 Infrastructure Maintenance** 465.60 529.07

Total 2788.93 3,309.87** The amount of Rs. 529.07 Crores has been included as per GOI allocation sheet for the year 2011-12. If the state requires additional amount, separate requisition letter will be submitted accordingly.

(Rs. In Crores)

Thanking You...

116

Documents

Presentation to National Program Coordination Committee On State PIP of Uttar Pradesh for 2011-12 4 th May, 2011 1