approval of state programme implementation plan: … · to assess our progress, limitations and...

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APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN: Punjab-

2015-16

MINISTRY OF HEALTH

AND FAMILY WELFARE, GOVERNMENT OF INDIA

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Preface

Programme Implementation Plans (PIP) and their approvals in the form of Record of Proceedings (RoP) provide us with an opportunity

to assess our progress, limitations and renew our efforts to achieve the Mission goals. Ideally this document must reflect the vision and the

direction that healthcare delivery in the concerned state is likely to take. With this RoP conveying the approval of NPCC for the year

2015-16, let us re-affirm our commitment for providing access to equitable and affordable health care. As discussed during the NPCC

meetings, we look forward to suggestions from States to accelerate our pace in fulfilling this commitment. While we run our programme

with efficiency, we also need to simplify what we are doing.

We would need to continue implementing the approach of focusing our attention and resources on population and areas that have

relatively poor health indices. This would help in sharping reduction in IMR, MMR and TFR besides addressing the equity concerns.

This approach should be further extended to underserved areas and at sub-district level. Our beginning towards focusing on healthcare of

the urban poor and vulnerable population must now start translating into effective health care service delivery to these populations with

targeted visibility. We should continue to move away from vertical interventions/programme to a ‘Systems’ approach, among others, to

ensure integrated service delivery at all levels of public health facilities. This is in line with our efforts to bridge the fragmentation of care

and move towards provision of comprehensive primary health care with effective referral system. This would require strengthening of

district hospitals as per IPHS. Secondary healthcare has not received its due attention due to other critical area needing priority attention

– It is time we focused on this.

I would also like to emphasize the critical need to focus on FRU operationalization, Quality Assurance, cleanliness of facilities, medical

equipment maintenance, provision of free drugs and diagnostics, strengthening institutional mechanism for free drugs and diagnostics,

supportive supervision, effective Grievance redressal mechanisms and utilization of data analysis to come up with robust evidence based

context specific interventions. I still find that while data is being captured from various sources by the States and districts, the analysis of

this data and utilizing it for improving efficiency and effectiveness of programme implementation and policy correction is still a weak area.

Continuous assessment and review is important to identify gaps and carry out timely mid-course corrections. The aim of whatsoever we do

is to provide Quality healthcare to all. Challenges of access have been addressed to some extent; Quality healthcare delivery continues to

challenge us. Let us take this upfront. Each state must clearly spell out how many facilities they would be able to Quality certify during

the present year. Let us start measuring ourselves on this yardstick.

This year we have made three notable changes in the RoP. Firstly, activities for unspent balances form part of the RoP as Part D.

Secondly, small disease control programmes have been brought under health systems strengthening pool to enable higher resources and

integrated approach. Third, the approvals are based on the current sharing pattern but as announced in the Union Budget 2015-16, the

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sharing pattern will undergo a change and hence some approvals which are indicated separately as Appendix is subject to additional

resources becoming available on account of increased State share.

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

I look forward to hearing from you on the progress against the approvals soon.

CK Mishra Additional Secretary & Mission Director NHM

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Appendix-1 RCH Flexi Pool

FMR Code

Budget Head Unit cost

Quantity/ Target

Amount Proposed (in Lakhs)

Amount Approved (in Lakhs)

Amount to be taken in case resources are available (in Lakhs)

Remarks

A.1.3.1 Home deliveries 500 22000 110 82.5 27.5

Ongoing activity. Approved for 25% of the total approved amount of Rs. 110 Lakh

A.1.3.2 Institutional deliveries

A.1.3.2.a Rural 700 63037 441.26 330.95 110.31

Approved for 25% of the total approved amount of Rs. 441.26 Lakh

A.1.3.4 Incentives to ASHA

561 78500 440.07 330 110.07


A.1.6 JSSK- Janani Shishu Surakhsha Karyakram

A.1.6.1 Drugs and consumables

650 211030 1371.7 823.02 548.68


A.1.6.2 Diagnostic 200 425464 850.93 638.2 212.73


A.1.6.4

Diet (3 days for Normal Delivery and 7 days for Caesarean)

360 126618 455.82 273.5 182.32


A.1.6.5 Free Referral Transport

300 158273 474.82 356.12 118.7


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FMR Code


Quantity/ Target

Amount Proposed (in Lakhs)


Amount to be taken in case resources are available (in Lakhs)

Remarks

A.2.11.1

To provide free treatment to girl child upto five year of age (approximately 10% of girl child of this age group) - 60000 girl child

200 60000 120 90 30

Approved for 25% of the total approved amount of Rs. 120 Lakh

A.5.1.3 Mobility support for Mobile health team

30473 258 943.44 707.58 235.86


A.5.2

Referral Support for Secondary/ Tertiary care (pl give unit cost and unit of measure as per RBSK guidelines)

1237 99619 1232.29 739.374 492.916 Approved for 40% of the total amount of Rs. 1232.29 Lakh

A.9.5.1.2 IMNCI Training for ANMs / LHVs


A.9.5.2.2 F-IMNCI Training for Medical Officers

292100 16 46.74 35.1 11.64


A.9.8.4.3 Orientation Training of MOs of NHM Programmes


A.10.7 Mobility Support, Field Visits

A.10.7.3 BPMU/Block 10000 118 141.6 84.96 56.64 Approved for 40% of the total amount of Rs. 141.60 Lakh

TOTAL 2181.676

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Appendix 2

Mission Flexi Pool

FMR Code


Quantity/ Target

Amount Proposed

(in Lakhs)

Amount Approved

(in Lakhs)

Amount to be taken in case resources are available (in

Lakhs)

Remarks

B1.1.1.2

Module VI & VII 2622 18258 478.72 287.23 191.49

Approved for 40% of the total

approved amount of Rs. 487.72 Lakh

B1.1.3.1.1

To Register every Pregnant Woman within three

months, Ensuring 3 ANC Check, 2 TT &

Immunization, 100 IFA Tablets and Institutional

Delivery

200 168824 337.65 202.59 135.06



B1.1.3.6.1

Incentives for routine activities - Assured

monthly package ( of Rs.1000 based on completion of the

prescribed activities)

12000 17360 2083.2 1249.92 833.28



B1.1.1.4

Post training support and supervision

B1.1.1.4.1

Supervision costs by ASHA facilitators(12

months) 4000 898 431.04 258.62 172.42



B4.1.5.1

New wings (to be initiated this year)

30000000

13 3900 1205 803.26



B16.1.1.3.10

Equipment maintenance (applies for all equipment - not restricted to Maternal

Health)

22600000

1 226 135.6 90.4



B16.1.6.3.2

Equipment for DEIC 5000000 5 250 150 100


approved amount of Rs.

250 Lakh

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FMR Code


Quantity/ Target

Amount Proposed

(in Lakhs)

Amount Approved

(in Lakhs)

Amount to be taken in case resources are available (in

Lakhs)

Remarks

B.16.2.5.1

NHM Free Drug services 20 27704234 5540.85 3324.51 2216.34



B.16.2.6.2.a

IFA tablets 0.15 64688000 129.38 77.63 51.75



B.16.3 National Free

Diagnostic services

800

B.16.3.3

Others 1600 50000 800 600 200



800 Lakh

B.23.6 Swachh Bharat Abhiyan 6000000 5 300 180 120



300 Lakh

TOTAL

4914.00

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KEY CONDITIONALITIES AND INCENTIVES

The following conditionalities shall be adhered to by the States and are to be treated as non-negotiable:

Mandatory disclosures

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

the information:

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

designation. This information should also be uploaded on HMIS

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

Minor surgeries etc. on HMIS

MMUs- total number of MMUs, monthly schedule format and service delivery data on a monthly basis

capturing information on all fields mentioned in the specified format

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

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

on a monthly basis.

All procurements- including details of equipment procured (as per directions of CIC which have been

communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011-H' dated 28th

November 2011.) in specified format

Buildings under construction/renovation –total number, name of the facility/hospital along with

costs, executing agency and execution charges (if any), date of start & expected date of completion in

specified format.

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

plan and reports should be uploaded on the website.

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

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

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

on website.

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

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

through AADHAAR enabled payment system, through NEFT under Core Banking Solution or through A/C

payee check (Cash payment or bearer cheque payment is categorically disallowed across the States unless

specifically agreed in case of certain areas in hilly States and NE States where presence of bank network is

inadequate).

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

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

Weight (LBW) babies.

KEY CONDITIONALITIES

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

SL Conditionality Description Source of Verification &

indicator

Incentive/Penalty

1 Reduction in IMR

Percentage decrease over last year

SRS Maximum incentive of 5% - Weightage=5

If decrease less than 5% – No incentive

If decrease between 5-7%– Incentive of 3%

If decrease greater than 7% – Incentive of 5%

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

SRS Maximum incentive of 5% - Weightage= 5

If decrease less than 5% – No incentive

If decrease between 5-10%– Incentive of 3%

If decrease greater than 10% – Incentive of 5%

3 Full Immunization Coverage

During the current FY, as on December31st –Infants fully immunised vs estimated beneficiaries

MCTS Maximum penalty and incentive of 5%. Weightage= 5/(-)5

If coverage less than 40% – Penalty of 5%

If coverage between 40-50% – No penalty

For coverage above 50% up to 100% – Incentive up to maximum of 5%, calculated as

Coverage above 50% 10

i.e. if coverage is 65%, then incentive of 1.5%; and if coverage is 87%, then

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indicator

Incentive/Penalty

incentive is 3.7%.

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

Adequacy of “functional” FRUs(conducting C-sections)

HMIS Facilities conducting C-Sections: 1. For Large States

Avg. 10 CS/month at DH level

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

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

Avg. 6 CS/month at DH level

Avg. 3 CS/ month at SDH and CHC level

Maximum penalty and incentive of 5%. Weightage= 5/(-) 5 Compared to required number of FRUs:

1. On a State-wide basis

If 50-75% FRUs “functional” – 3% penalty

If less than 50% FRUs “functional” – 5% penalty

2. On a State-wide basis, if more than 75% FRUs “functional”, AND in HPDs -

If less than 50% FRUs “functional” – 5% penalty

If 50-75% FRUs “functional” – 3% penalty

If 75-90% FRUs “functional” – 3% incentive

If more than 90% FRUs “functional” – 5% incentive.

5 Quality Certification

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

NHSRC Report Maximum incentive of 5%. Weightage= 5

3% incentive if at least 50% of DHs certified

2% incentive if at least 25% of CHCs / Block PHCs certified.

6 JSSK Implementation

Implementation status of JSSK entitlements

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

Maximum penalty of 10%. Weightage= (-)10

More than 50% gap in any of the components (drug, diet, diagnostics and transport) 10% penalty

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

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

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indicator

Incentive/Penalty

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

Star rating of facilities Based on the extent to which CHCs/PHCs meet the benchmark on key indicators. Five Star indicator Criteria: 1. Human Resource

and Infrastructure

2. Service availability

3. Drugs and supplies

4. Client Orientation

5. Service Utilization.

Maximum penalty of 5 %. Weightage=5

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

8 Implementation of Free drugs & Diagnostic services

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

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

Maximum incentive of 5% Weightage= 5

90% and above institutions effectively implementing free drugs & diagnostic services – 5%

60% to 90% institutions effectively implementing free drugs & diagnostic services – 3%

<60% institutions implementing free drugs & diagnostic services – No incentive (Based on survey/MCTFC calls)

9 Increase in State Health budget

States providing more than 10 % increase in its annual health budget as compared to the previous year.

Maximum incentive 5% Weightage= 5

If no increase / decrease - No incentive

If increase is 10 to 15% - 3%

If increase is > 15% - 5%

a) State should ensure expenditure upto 15% by June 2015 and another 30% by September 2015 of

their approved budget under each pool in the FY

2015-16

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b) Expand the Governing Body (GB) and the Executive Committee of the State Health

Mission/Society to include Minister(s) in charge of Urban Development and Housing, and

Secretaries in charge of the Urban Development and Housing departments.

c) Urban Health planning cell should be established in the State Health Society (SPMU)1. However,

the thematic areas will be appropriately strengthened at the State Health Society and District

Health Societies to support both NUHM and NRHM. Parallel structures shall not be created for

NRHM and NUHM.

d) State/UT will adopt Competency based Skill Tests and transparency in selection and recruitment

of all doctors, SNs, ANMs and LTs sanctioned under NHM.

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

f) Investments in U-PHCs must lead to improved service off take at these facilities, which should be

established through a baseline survey & regular reporting through HMIS.

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

Implementation Framework.

Note: Incentives and disincentives are not applicable under NUHM

1 Not applicable in NE States (except Assam) and UTs (except Bihar)

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ROAD MAP FOR PRIORITY ACTION

NHM must take a ‘systems approach’ to Health. It is imperative that States take a holistic view and work towards

putting in place policies and systems in several strategic areas so that there are optimal returns on investments made

under NHM. For effective outcomes, a sector wide implementation plan would be essential; states would be

expected to prepare such a plan with effect from next year. Some of the key strategic areas in this regard are

outlined below for urgent and accelerated action on the part of the State:

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

PUBLIC HEALTH PLANNING & FINANCING

1. Planning and financing Mapping of facilities, differential planning for High priority

districts and blocks with poor health indicators; resources not

to be spread too thin / targeted investments; at least 10%

annual increase in state health budget; addressing verticality in

health programmes and planning for integrated delivery of

full spectrum of health services; emphasis on quality

assurance at least in delivery points.

2. Management strengthening Full time Mission Director for NRHM and a full-time

Director/ Jt. Director/ Dy. Director Finance, not

holding any additional responsibility outside the health

department; fully staffed programme management support

units at state, district and block levels; selection of staff to key

positions such as head of health at the district and block level

and facility-in charge to be based on performance; stability of

tenure to be assured; training of key health functionaries in

planning and use of data. Strong integration with Health &

FW and AYUSH directorates, strengthened DPMUs

particularly in HPDs.

3. Developing a strong Public Health focus

Separate public health cadre, induction training for all key

cadres; public health training for doctors working in health

administrative and programme management positions;

strengthening of public health nursing cadre, enactment of

Public Health Act.

HUMAN RESOURCES

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4. HR policies for doctors, nurses paramedical staff and programme management staff

Minimizing regular vacancies; expeditious recruitment (eg. taking recruitment of MOs out of Public Service Commission purview and having campus recruitments/walk in interview); Recruitment of paramedics including ANM , Nurses , LTs etc only after through competency assessment; merit –based public service oriented and transparent selection; opportunities for career progression and professional development; rational and equitable deployment; effective skills utilization; stability of tenure; sustainability of contractual human resources under RCH / NRHM, performance measurement and performance linked payments.

5. HR Accountability Facility based monitoring; incentives for sub-centre team of ANMs , ASHAs and AWWs, the health service providers both individually and for team, for facilities based on functioning; performance appraisal against benchmarks; renewal of contracts/ promotions based on performance; incentives for performance above benchmark; incentives for difficult areas, performance based incentives.

6. Medical, Nursing and Paramedical Education (new institutions and upgradation of existing ones)

Planning for enhanced supply of doctors, nurses, ANMs, and paramedical staff; mandatory rural posting after MBBS and PG education; expansion of tertiary health care; use of medical colleges as resource centres for national health programmes; strengthening/ revamping of ANM / GNM training centres and paramedical institutions; re-structuring of pre service education; developing a highly skilled and specialized nursing cadre, ensuring availability and use of skill labs, Use of tele-education

7. Training and capacity building Strengthening of State Institute of Health & Family Welfare (SIHFW)/ District Training Centres (DTCs); quality assurance; availability of centralized training log; monitoring of post training outcomes; expanding training capacity through partnerships with NGOs / institutions; up scaling of multi skilling initiatives, accreditation of training and trainers

STRENGTHENING SERVICES 8. Policies on drugs, procurement

system and logistics management Articulation of policy on entitlements on free drugs for out / in patients; rational prescriptions and use of d rugs ; t ime l y p rocur ement o f drugs and consumables; smooth distribution to facilities from the district hospital to the sub centre; uninterrupted availability to patients; minimization of out of pocket expenses; quality assurance; prescription audits; essential drug lists (EDL) in public domain; computerized drugs and logistics MIS system; setting up dedicated corporation on the lines of eg: TNMSC/RMSC etc.

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9. Equipments Availability of essential functional equipments in all facilities; regular needs assessment; timely indenting and procurement; identification of unused/ faulty equipment; regular maintenance and MIS/ competitive and transparent bidding processes

10. Ambulance Services and Referral Transport

Universal availability of GPS fitted ambulances; reliable, assured free transport for pregnant women and newborn/ infants; clear policy articulation on entitlements both for mother and newborn; establishing control rooms with toll free 102/108 for timely response and provision of services; drop back facility; a prudent mix of basic level ambulances and emergency response vehicles

11. New infrastructure and maintenance of buildings; sanitation, water, electricity, laundry, kitchen, facilities for attendants

New infrastructure, especially in backward areas; 24x7 maintenance and round the clock plumbing, electrical, carpentry services; power backup; cleanliness and sanitation; upkeep of toilets; proper disposal of bio medical waste; drinking water; water in toilets; electricity; clean linen; kitchens, facilities for attendants

12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable availability to patients; partnerships with private service providers; prescription audits, free for pregnant women and sick neonates, free essential diagnostics.

COMMUNITY INVOLVEMENT

13. Patient’s feedback and grievance redressal

Feedback from patients; expeditious grievance redressal; analysis of feedback for corrective action, toll free help line , clear SOP and protocols to address grievances.

14. Community participation Active community participation; empowered PRIs; strong VHSNCs; social audit; effective Village Health & Nutrition Days (VHNDs); strengthening of ASHAs; policies to encourage contributions from public/ community

15. IEC Comprehensive communication strategy with a strong Behavior Change Communication (BCC) component in the IEC strategy; dissemination in villages/ urban slums/ peri urban areas , using mobile networks for BCC/IEC

CONVERGENCE, COORDINATION & REGULATION

16. Inter sectoral convergence Effective coordination with key departments to address health determinants viz. water, sanitation, hygiene, nutrition, infant and young child feeding, gender, education, woman empowerment, convergence with SABLA, SSA, ICDS etc.

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17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be part of active commoditization process; involvement of NGOs in filling service delivery gaps; active community monitoring and action.

18. Private Public Partnership (PPP) Partnership with private service providers to supplement governmental efforts in underserved and vulnerable areas for deliveries, family planning services and diagnostics

19. Regulation of services in the private sector

Implementation of Clinical Establishment Act; quality of services, e.g. safe abortion services; adherence to protocols; checking unqualified service providers; quality of vaccines and vaccinators, enforcement of PC-PNDT Act

MONITORING & SUPERVISION

20. Strengthening data capturing, validity / triangulation

100% registration of births and deaths under Civil Registration System (CRS); capturing of births in private institutions; data collection on key performance indicators; rationalizing HMIS indicators; reliability of health data / data triangulation mechanisms

21. Supportive Supervision Effective supervision of field activities/ performance; handholding; strengthening of Lady Health Visitors (LHVs), District Public Health Nurses (DPHNs), Multi Purpose Health Supervisors (MPHS) etc.

22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for periodic review and future road map; clear agenda and follow up action; Regular, focused reviews at different levels viz. Union Minister/ Chief Minister/ Health Minister/ Health Secretary/ Mission Director/ District Health Society headed by Collector/ Officers at Block/ PHC level; use of the HMIS/ MCTS data for reviews and corrective action; concurrent evaluation

23. Quality assurance Quality assurance at all levels of service delivery; quality certification/ accreditation of facilities and services; institutionalized quality management systems, achieving Quality Assurance standards for at least 20% of DH&CHCs, adherence to QA guidelines

24. Surveillance Epidemiological surveillance; maternal andinfant death review at facility level and verbal autopsy at community level to identify causes of death for corrective action; tracking of services to pregnant women and children under MCTS

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25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS for tracking ambulances and mobile health units; mobile phones/tablets for real time data entry; video conferencing for regular reviews; closed user group mobile phone facility for health staff; telemedicine and tele education; use of ICT technologies in E- Governance; development of Human Resource Information System (HRIS) and Hospital Management Information System endless opportunities-sky is the limit!

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ROADMAP FOR ACTION UNDER NUHM

This section outlines the broad overview of some of the key activities that are to be undertaken under NUHM as well as clearly defines the priority activities that have to be focused on in the current financial year.

I. Broad Overview of Activities to be undertaken under NUHM

SERVICE DELIVERY INFRASTRUCTURE:

Urban - Primary Health Centre (U-PHC): Functional for approximately 50,000 population, the U-PHC

would be located within or 500 metres of the slum. The working hours of the U-PHC would be from

12.00 noon to 8.00 pm. The services provided by U-PHC would include OPD (consultation), basic lab

diagnosis, drug /contraceptive dispensing and delivery of Reproductive & Child Health (RCH) services, as

well as preventive and promotive aspects of all communicable and non-communicable diseases.

Mobile PHCs: Could be utilized to promote services to the homeless, migrant workers etc.

Urban-Community Health Centre (U-CHC) and Referral Hospitals: 30-50 bedded U-CHC providing

inpatient care in cities with population of above five lakhs, wherever required and 75-100 bedded U-CHC

facilities in metros. Existing maternity homes, hospitals managed by the state government/ULB could be

upgraded as U-CHCs.

In towns/ cities, where some sorts of public health institutions like Urban Family Welfare Centres, Urban

Health Posts, Maternity Homes etc. run by State Govt/ ULBs exist, such facilities will be efforts will be

made to strengthened as U-PHC and U-CHC.

OUTREACH:

Outreach services will be provided through Female Health Workers (FHWs)/ Auxiliary Nursing Midwives

(ANMs) headquartered at the UPHCs.

ANMs would provide preventive and promotive health care services to households through routine

outreach sessions. The special outreach sessions would be conducted for the homeless, migrant workers,

street children etc.

Existing AWCs, infrastructure created under JNNURM and RAY should be utilised for holding of

outreach sessions.

Various services to be delivered at the community level, UPHC and UCHC levels have been elaborated in

Table 17-1 of the NUHM Implementation Framework.

Services under RBSK should also be extended to slum areas.

COMMUNITY MOBILISATION:

Mahila Arogya Samiti (MAS) – will act as community based peer education group in slums, involved in

community mobilization, monitoring and referral with focus on preventive and promotive care, facilitating

access to identified facilities and management of grants received.

Existing community based institutions created under different programme may be utilized for above

purpose.

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ASHA - One frontline community worker (ASHA) would serve as an effective and demand-generating link

between the health facility and the urban slum population. ASHA would have a well-defined service area

of about 1000-2,500 beneficiaries (between 200-500 households) based on spatial consideration. ASHAs

will be paid performance based incentive at the same rate as under NRHM. However, the states would

have the flexibility to either engage ASHA or entrust her responsibilities to MAS. In that case, the

incentives accruing to ASHA would accrue to the MAS.

PUBLIC PRIVATE PARTNERSHIPS:

In view of presence of large number of private (for-profit and not-for-profit) health service providers in

urban areas, public-private partnerships particularly with not-for-profit service providers will be

encouraged. However, clear and monitor-able Service Level Agreements (SLAs) need to be developed for

engagement with Private Sector. The performance of the private service providers should be regularly and

strictly monitored.

ROLE OF URBAN LOCAL BODIES

The NUHM envisages active participation of the ULBs in the planning and management of the urban

health programmes.

FUNDING/BUDGET MECHANISM

Funds will flow to the City Urban Health Society/ District Health Society as the case may be, through the

State Government / State Health Society. The SHS/DHS will have to maintain separate accounts for

NUHM. State Health Society (SHS) will sign a MoU with the City Health Mission/ Society to ensure that

the funds are utilized only for the activities under NUHM.

CONVERGENCE:

Inter-sectoral convergence with Departments of Urban Development, Housing and Urban Poverty

Alleviation, Women & Child Development, School Education, Minority Affairs, Labour will be established

through city level Urban Health Committees headed by the Municipal Commissioner/Deputy

Commissioner/District Collector/ SDM, as the case may be.

States are also encouraged to explore possibility of engaging the Railways, ESIC and corporate sector

(through Corporate Social Responsibility i.e. CSR) for optimising utilization of resources & service

delivery.

Intra-sectoral convergence is envisaged to be established through integrated planning for implementation

of various health programmes like RCH, RNTCP, NVBDCP, NPCB, National Mental Health Programme,

and National Programme for Health Care of the Elderly, etc. at the city level. However, support for

various interventions under NCDs & Communicable diseases, RMNCH+A should be arranged separately

under the respective National health Programmes.

OTHER ASPECTS:

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All the U-PHCs & U-CHCs supported under NUHM will be covered under MCTS, HMIS, NIKSHAY,

etc. Use of Information Technology would be encouraged for hospital management, adoption of EHR,

etc.

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Annexure- 1 RCH FLEXI POOL

FMR Code

Budget Head Unit Cost

Quantity/ Target

Budget Proposed (in Lakhs)

Amount Approved (in

Lakhs) Remarks

A REPRODUCTIVE AND

CHILD HEALTH

19832.59 15694.88

A.1 MATERNAL HEALTH

4330.69 3019.36

A.1.1

Operationalize Facilities (Any cost other than infrastructure, HR,

Training, Procurement, Monitoring etc.) may

include cost of mapping, planning-identifying priority facilities, etc)

4.00 4.00

A.1.1.1

Operationalize Safe abortion services (including MVA/

EVA and medical abortion)at health facilities

400000 1 4.00 4.00

Rs. 4 lakh is approved for Printing of CAC material

and Forms for documentation under MTP act ( Rs 4 lakh, printing of

form C-consent form, form I-RMP opinion form

, Form II, Form 3- admission register , MMA

Follow up card 10000; PAC contraception

register. Printing of the GoI CAC IEC material

after translation in Punjabi with conditionality of

availability of this material at designated delivery point

and printing should be done by competitive

bidding.

A.1.2

Integrated outreach RCH services (state should focus

on facility based services and outreach camps to be

restricted only to areas without functional health

facilities)

0.00 0.00

A.1.3 Janani Suraksha Yojana /

JSY

1109.23 861.36

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FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.1.3.1 Home deliveries 500 22000 110.00 82.50

Approved for 75% of the total approved amount of

Rs. 110 Lakh. Refer to Appendix 1 for remaining

25% of the approval.

A.1.3.2 Institutional deliveries

534.04 423.73

A.1.3.2.a Rural 700 63037 441.26 330.95

Approved for 75% of the total approved amount of Rs. 441.26 Lakh. Refer to Appendix 1 for remaining


A.1.3.2.b Urban 600 15463 92.78 92.78 Approved

A.1.3.3 Administrative Expenses 25 100500 25.13 25.13 Approved

A.1.3.4 Incentives to ASHA 561 78500 440.07 330.00


Rs. 440.07 Lakh. Approved as per JSY

norms i.e. Rs. 600 for rural institutional delivery and

Rs. 400 per case for urban institutional delivery

facilitated by ASHAs. Refer to Appendix 1 for remaining 25% of the

approval.

A.1.4 Maternal Death Review (both in institutions and

community) 700 500 3.50 3.50

Rs 3.50 lakhs is approved at the following rates :

ASHA incentive for reporting within 24 hrs =

Rs 200/ ,

Review of death by team / block facilitators = Rs

300 as per MDR guidelines

Reimbursement to the family for attending

review = Rs 200/

Total being Rs 700x 500 cases =Rs 3.50 lakhs.

A.1.5 Other strategies/activities

(please specify)

23

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.1.6 JSSK- Janani Shishu

Surakhsha Karyakram

3213.95 2150.50

A.1.6.1 Drugs and consumables 650 211030 1371.70 823.02


Rs. 1371.70 Lakh. For 160383 pregnant women @ Rs. 350/- for normal

delivery, for 50647 pregnant woman @ Rs. 1600/- for C-sections.

Refer to Appendix-1 for remaining 40% of the

approval.

A.1.6.2 Diagnostic 200 425464 850.93 638.20


Rs. 850.93 lakh for provision of diagnostic facility to all pregnant

women during ANC, INC and PNC. Refer to

Appendix-1 for remaining 25% of the approval.

A.1.6.3 Blood Transfusion 300 16883 50.65 50.64

Rs.50.64 lakh is approved for provision of blood to all p.w. needing blood, among those accessing govt. health facilities

A.1.6.4 Diet (3 days for Normal Delivery and 7 days for

Caesarean) 360 126618 455.82 273.50

Approved for 60% of the total approved amount of Rs. 455.82 lakhs. Refer to Appendix-1 for remaining


24

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.1.6.5 Free Referral Transport 300 158273 474.82 356.12


Rs. 474.82 lakhs for provision of free home to facility transport and drop back home for all pregnant

women accessing Govt. health facilities for delivery and to those p.w. requiring inter facility transfer. No cash reimbursement is to

be given and assured RT is to be made available.

Besides this, if RT is being sanctioned under any other

head, then the amount indicated here needs to be

deducted from the operational cost. Refer to Appendix-1 for remaining


A.1.6.6 Other JSSK activity

10.04 9.02

A.1.6.6.1 MVA Drugs - MTP 9.50 32000 3.04 3.02

Rs.3.02 lakh is approved for MVA drugs

Tb. Mifepristone 200 mg 7000 tablet @ Rs. 36.42/-

per tablet=254940/- Tab. Misoprostol 200 mcg-

25000 Tablets @ Rs. 1.89/- per tablet =

47250/-. Procurement should be

done by competitive bidding.

A.1.6.6.2 Mva Equipment - Kit Cost 2000 350 7.00 6.00

Rs. 6 lakhs is approved. Procurement should be based on competitive

bidding.

Sub-total Maternal Health

(excluding JSY)

3221.45 2158.00

Sub-total JSY

1109.23 861.36

A.2. CHILD HEALTH

901.13 330.85

25

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.2.2

Facility Based New-born Care/FBNC (SNCU,

NBSU, NBCC - any cost not budgeted under HR,

Infrastructure, procurement, training, IEC

etc.) e.g. operating cost rent, electricity etc. imp rest

money

132.84 44.78

A.2.2.1 SNCU 250000 25 62.50 7.50

Approved for 13 functional SNCUs on

normative basis. State to rationalize as per unit's

requirement.

A.2.2.1.1 SNCU Data management 10000 25 22.50 7.50

Approved for procurement of computes, broadband connection, telephone connection, etc @ Rs 30,000/SNCU for 25

SNCUs. State may propose budget for DEOs under the head of HR with clear budgetary

proposal.

A.2.2.2 NBSU 48000 78 37.44 26.88 Approved for 56 NBSUs @ Rs. 48000/- per NBSU

A.2.2.3 NBCC 5000 208 10.40 10.40 Approved

A.2.3 Home Based Newborn

Care/HBNC

425.00 0.00

A.2.3.1 Visiting newborn in first 42

days of life 250 170000 425.00 0.00 Shifted to B.1.1.3.2.1

A.2.8 Child Death Review 600 8496 50.98 50.98

Approved with the conditionality that state shares regular reports

with CH Division Govt. of India and the

expenditure is as per CDR Guidelines, 2014

(on actuals).

A.2.10 JSSK (for Sick infants up to

1 year)

172.31 145.09

A.2.10.1 Drugs & Consumables (other than reflected in Procurement)

200 42546 85.09 85.09 Approved for drugs and consumable under JSSK

for all sick infants.

26

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.2.10.2 Diagnostics 100 42546 42.55 42.55 Approved for Diagnostics services under JSSK for all

sick infants.

A.2.10.3 Free Referral Transport 150 29782 44.67 17.45

Rs. 17.45 lakh is approved for 11633 sick infants

@Rs. 150 for provision of all the 3 modes of referral transport to sick children

accessing Govt. health facilities. No cash

reimbursement is to be given and assured RT is to be made available. Besides

this, if RT is being sanctioned under any other

head, then the amount indicated here needs to be

deducted from the operational cost.

A.2.11 Any other interventions (eg; rapid assessments, protocol

development)

120.00 90.00

A.2.11.1

To provide free treatment to girl child up to five year of age

(approximately 10% of girl child of this age group) -

60000 girl child

200 60000 120.00 90.00


Rs. 120.00 Lakh with conditionality that state

shares the progress of this activity with GOI. Refer to Appendix-1 for remaining

25% of approval.

Sub-total Child Health

901.13 330.85

A.3 FAMILY PLANNING

743.75 743.22

A.3.1 Terminal/Limiting

Methods

596.25 596.03

A.3.1.2 NSV camps 17500 44 7.70 7.70 Approved for 44 camps @

Rs. 17500/camp

A.3.1.3

Compensation for female sterilization

(Provide breakup: APL (@Rs 650)/BPL (@Rs 1000) ;

Public Sector (@Rs 1000)/Private Sector (@Rs

1500))

767 65000 498.55 498.33

Approved for 43333 cases @ Rs. 650 per case and 21667 @ Rs. 1000/- per

case for BPL beneficiaries.

27

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.3.1.4 Compensation for male sterilization/NSV (@Rs

1500) 1500 6000 90.00 90.00 Approved

A.3.2 Spacing Methods

77.50 77.50

A.3.2.2

Compensation for IUCD insertion at health facilities

(including fixed day services at SHC and PHC) [Provide

breakup: Public Sector (@Rs. 20/insertion)/Private Sector (@Rs. 75/insertion for EAG

states)]

20 200000 40.00 40.00 Approved for 2,00,000

insertions @Rs. 20/insertion

A.3.2.3 PPIUCD services (Incentive

to provider @Rs 150 per PPIUCD insertion)

150 25000 37.50 37.50

Approved for approval for 25000 insertions @Rs.

150/insertion for provider incentive

A.3.3

POL for Family Planning/ Others (including

additional mobility support to surgeon's team if req)

24 14.40 14.40 Approved

A.3.5 Other strategies/activities:

30.60 30.29

A.3.5.1 Orientation workshop,QAC

meetings 150000 1 1.50 1.50 Approved

A.3.5.2 FP review meetings 2500 92 2.30 2.26

Approved for Quarterly meeting at District level @

Rs. 2000/- per meeting and 2 meetings at State

level @ Rs. 25,000/- per meeting

A.3.5.4

World Population Day’ celebration (such as mobility,

IEC activities etc.): funds earmarked for district and

block level activities

7000 141 9.87 9.60 Approved

A.3.5.5

Other strategies/activities (such as strengthening

fixed day services for IUCD & Sterilisation, etc.)

16.93 16.93

28

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.3.5.5.1 Printing of FP Manuals,

Guidelines, etc. 2.93 578000 16.93 16.93

Approved for Printing of sterilization files (1.25 Lakh files @ Rs. 2.74),

Sterilization cards 1.00 lakh cards @ Rs. 1), NSV Cards (0.25 lakh cards @ Rs. 1), IUCD Cards (2.75 lakh

cards @ Rs. 3), printing of guidelines & manuals on

FDS, SOPs & repositioning of IUCD

(3000 @ Rs. 50), printing broachers on E-pill &

IUCD (50000 @ Rs. 5) and other printing

A.3.6 Family Planning Indemnity

Scheme 1 25.00 25.00 Approved

Sub-total Family Planning

Compensation

666.05 665.83

Sub-total Family Planning (excluding compensation)

77.70 77.39

A.4 ADOLESCENT HEALTH / RKSK (Rashtriya Kishore

Swasthya Karyakram)

28.30 15.42

A.4.1 Facility based services

28.30 15.42

A.4.1.1 Dissemination/meetings/wor

kshops/review for AH ( including WIFS, MHS)

5130 92 4.72 1.56

Approved for 2 state level meetings @ Rs. 30,000/-each +quarterly meetings in 6 RKSK districts @ Rs.

4,000/- each

A.4.1.4 Operating expenses for

existing clinics 10000 183 18.30 9.90

Approved for existing clinics

A.4.1.5 Mobility support for

ARSH/ICTC counsellors 4800 110 5.28 3.96

Approved at Rs. 600 per AH counsellor/month for undertaking at least 4 visits per month for 6 months

Sub-total Adolescent

Health

28.30 15.42

A.5 RBSK

2284.08 1555.26

A.5.1 Operational Cost of RBSK (Mobility support,DEIC

etc)

1051.79 815.89

29

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.5.1.1 Prepare and disseminate

guidelines for RBSK 555 5500 30.53 30.50

Rs 30.50 lakhs is approved for printing of 2500 RBSK

guidelines @ Rs. 100/- each, 1000 Resource Material Book @ Rs.

2000/- each, 1000 Job Aids Books @ Rs. 700/-

each and 1000 set of reference charts @ Rs. 100 each. Expenditure is as per actuals and following state

rules and regulations.

A.5.1.2

Prepare detailed operational plan for RBSK across districts

(cost of plan/ convergence/monitoring meetings should be kept

seperately)

45000 3 1.35 1.35

Approved for 3 State level interdepartmental meetings @ Rs 45000 per meeting.

Conditionality Department of education, Women and child development, tribal

welfare and social justice to participate in the meetings. Each mobile team to have

developed yearly micro plans for respective area.

A.5.1.3 Mobility support for Mobile

health team 30473 258 943.44 707.58

Approved for 75% of the total approval of Rs.

943.44 Lakh for hiring of dedicated 258 vehicles for RBSK mobile health teams

@ Rs 30000 per vehicle per month for 12 months. State rules and regulation for hiring of vehicles are

applicable. Rs 2.64 lakhs is approved for 2 visits per month by District nodal officers/ coordinator @ Rs 5000 per visit for 12

months and Rs 12000 per month for visit by State

Nodal officer/coordinators.

Conditionality action taken report of field visit

observations by State and district officials to be

maintained at District and

30

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

State level. Refer to Appendix-1 for remaining

25% of approval.

A.5.1.6

Operational Expenditure for districts @ Rs. 8000 per

month and Rs. 20000 per month for State Health

11715 140 16.40 16.40

Rs 16.4 lakhs is approved for 22 Districts & 118 blocks. Operational

expenditure at Rs.10000/- per Districts and Rs.10000/- per

block.Rs.20000/- as operational expenditure

per month at State level for 12 months

A.5.1.7

Furniture for Mobile Health Team - 1400 Chairs, 280

Table, 280 Steel Almirah , 280 Stools & 140 computer table

2524 2380 60.07 60.06

Approved for 22 districts and 118 blocks for

furniture for RBSK mobile teams for 10 Chair-

Rs.1600/-, 2 Tables & 1 computer table @

Rs.3100/-each , 2 Steel Almira @ Rs.8000/-, 2 Stools @Rs.800/- each. Expenditure is as per

actuals and in accordance to State procurement rules

and regulations.

A.5.2

Referral Support for Secondary/ Tertiary care (pl give unit cost and unit of measure as per RBSK

guidelines)

1237 99619 1232.29 739.37

Approved 60% of the total approved amount of Rs. 1232.29 Lakh for

secondary/ tertiary care for estimated 61,911 children for selected

health conditions under RBSK as per guidelines.

Committed unspent amount of RS 600 lakhs

is also considered. Illustrative Details is in

annexure A5.2.a. Conditionality State to

31

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

follow RBSK Guidelines for secondary tertiary

care for disease, procedures and costing. State to submit FY 2014-15 physical and financial

achievement and physical achievement (name wise details) of FY 2015-16 in monthly

report of RBSK. Primary Immuno

Deficiency Disorder (PID), is not part of the

selected health conditions under RBSK as per RBSK guidelines

and the approval for secondary and tertiary

care is as per procedure and costing guidelines

of RBSK State is using fund for diseases which are not covered under RBSK in

PIP for FY 2014-15. Refer Appendix 1 for

remaining 40% of the approval.

Sub-total RBSK

2284.08 1555.26

A.7 PNDT Activities

143.44 143.44

A.7.1 Support to PNDT cell 1 80.04 80.04 Approved

A.7.2 Other PNDT activities

(please specify)

49.00 49.00

A.7.2.5 District Level PNDT

Workshops, campaigns and other activities

200000 22 44.00 44.00 Approved

A.7.2.6

Orientation of programme managers and service

providers on PC & PNDT Act

125000 4 5.00 5.00 Approved

A.7.3 Mobility support 24 14.40 14.40 Approved

Sub-total PNDT activities

143.44 143.44

32

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.8 Human Resources

8509.30 7373.91

A.8.1 Contractual Staff & Services

8509.30 7373.91

A.8.1.1 ANMs,Supervisory Nurses,

LHVs 1511 4442.97 3884.27

A.8.1.1.1 ANMs 1511 1994.52 1728.76

A.8.1.1.1.f

Sub Centres 11000 1511 1994.52 1728.76

Approved existing 1,411 ANMs @ Rs. 10210 /-pm

(5% increment in the existing salary of Rs.

9,723/-pm).

A.8.1.1.2 Staff Nurses

2448.45 2155.51

A.8.1.1.2.a

DH 14520 173 301.44

2155.51

Approved existing 1,296 staff nurses @ Rs.

13,860/-(5% hike in the existing salary of Rs

13,200/-) for 12 months.

A.8.1.1.2.b

FRUs 14520 596 1038.47

A.8.1.1.2.c

Non FRU SDH/ CHC

A.8.1.1.2.d

24 X 7 PHC 14520 586 1021.05

A.8.1.1.2.e

Non- 24 X 7 PHCs

A.8.1.1.2.f

SNCU/ NBSU/NRC etc 10000 125 87.50 0.00 Approval Pended.

A.8.1.3

Specialists (Anaesthetists, Paediatricians, Ob/Gyn,

Surgeons, Physicians, Dental Surgeons,

Radiologist, Sinologist, Pathologist, Specialist for

CHC )

609.00 589.50

A.8.1.3.1 Obstetricians and Gynaecologists

198.00 189.00

A.8.1.3.1.a

DH 55000 5 33.00 31.50

Approved for continuing 5 OBG specialists @

52500/-(5% hike in the existing salary of Rs

50,000/-) for 12 months

A.8.1.3.1.b

FRUs 55000 25 165.00 157.50

Approved for continuing 25 OBG specialists @ 52500/-(5% hike in the

existing salary of Rs 50,000/-) for 12 months

A.8.1.3.2 Paediatricians

231.00 220.50

33

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.8.1.3.2.b

FRUs 55000 35 231.00 220.50

Approved for continuing 35 Paediatricians @ Rs. 52500/-(5% hike in the

existing salary of Rs 50,000/-) for 12 months

A.8.1.3.3 Anaesthetists

180.00 180.00

A.8.1.3.3.b

FRUs 30000 50 180.00 180.00 Approved for hiring 50

Anaesthetists @ 30,000/- for 12 months.

A.8.1.4 PHNs at CHC, PHC level

A.8.1.5 Medical Officers 183 885.80 711.90

A.8.1.5.4 24 X 7 PHC 44000 100 528.00 504.00

Approved for continuing 100 MOs @ Rs. 42,000/-(5% hike in the existing

salary of Rs. 40,000/-) for 12 months

A.8.1.5.6 MOs for SNCU/ NBSU/NRC etc

40000 50 140.00 0.00

Approval Pended. State to submit revised proposal with specific inputs on

facility wise HR requirements.

A.8.1.5.7 Other MOs 55000 33 217.80 207.90

Approved for continuing 33 MOs @ Rs. 52,500/-(5% hike in the existing

salary of Rs. 50,000/-) for 12 months

A.8.1.6 Additional Allowances/

Incentives to M.O.s

A.8.1.7 Others - Computer

Assistants/ BCC Co-ordinator etc

1113 1855.24 1853.12

A.8.1.7.3 OT technicians/assistants 10 15.74 15.12

A.8.1.7.3.b

FRUs 13120 10 15.74 15.12

Approved for continuing 10 OT Technicians @ Rs.

12,600/-(5% hike in the existing salary of Rs.

12,000/-) for 12 months

A.8.1.7.4 RBSK teams (Exclusive

mobile health team & DEIC Staff)

968 1674.50 1674.50

Sub Total RBSK mobile

teams 903 1548.00 1548.00

34

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.8.1.7.4.1

MOs- AYUSH/MBBS 20000 387 928.80 928.80

Approved for 387 AYUSH MOs for 12 months @ Rs 20000 per month for 12 months. Each team to

have two AYUSH MOs - one male and one female

A.8.1.7.4.2

Staff Nurse/ ANM 10000 258 309.60 309.60 Approved for 258 ANMs

@ Rs 10000 per month for 12 months.

A.8.1.7.4.3

Pharmacists 10000 258 309.60 309.60 Approved for 258

Pharmacists @ Rs 10000 per month for 12 months.

A.8.1.7.4.4

DEIC 65 126.50 126.50

A.8.1.7.4.4.a

Pediatrician 50000 5 25.00 25.00

Approved for 5 paediatricians one per

DEIC @ RS 50000 per month for 10 months.

A.8.1.7.4.4.b

MO, MBBS 40000 5 20.00 20.00

Approved for 5 MBBS MOs one per DEIC @ RS

40000 per month for 10 months.

A.8.1.7.4.4.c

MO, Dental 27000 5 13.50 13.50

Approved for 5 Dental MOs one per DEIC @ RS

27000 per month for 10 months.

A.8.1.7.4.4.d

SN 10000 5 5.00 5.00 Approved for 5 SNs one

per DEIC @ RS 10000 per month for 10 months.

A.8.1.7.4.4.e

Physiotherapist 20000 5 10.00 10.00

Approved for 5 Physiotherapists one per DEIC @ RS 20000 per month for 10 months.

A.8.1.7.4.4.f

Audiologist & speech therapist

20000 5 10.00 10.00

Approved for 5 Audiologist & speech

therapists one per DEIC @ RS 20000 per month

for 10 months.

A.8.1.7.4.4.g

Psychologist 15000 5 7.50 7.50

Approved for 5 Psychologists one per


A.8.1.7.4.4.h

Optometrist 12000 5 6.00 6.00

Approved for 5 Optometrists one per


35

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.8.1.7.4.4.i

Early interventionist cum special educator

19000 5 9.50 9.50

Approved for 5 Early interventionist cum special educators one per DEIC

@ Rs 19000 per month for 10 months.

A.8.1.7.4.4.j

Social worker 10000 5 5.00 5.00

Approved for 5 Social workers one per DEIC @ RS 10000 per month for

10 months.

A.8.1.7.4.4.k

Lab technician 10000 5 5.00 5.00 Approved for 5LTs one

per DEIC @ RS 10000 per month for 10 months.

A.8.1.7.4.4.l

Dental technician 10000 5 5.00 5.00

Approved for 5Dental technicians one per DEIC @ RS 10000 per month

for 10 months.

A.8.1.7.4.4.m

Data entry operator 10000 5 5.00 5.00 Approved for 5 DEOs one per DEIC @ RS 10000 per

month for 10 months.

A.8.1.7.5 Others 135 165.00 163.50

A.8.1.7.5.1

RMNCH/FP Counsellors 11000 25 33.00 31.50

Approved for continuing 25 RMNCH Counsellors

@ Rs. 10,500/-(5% hike in the existing salary of Rs. 10,000/-) for 12 months

A.8.1.7.5.2

Adolescent Health counsellors 10000 110 132.00 132.00

Approved for continuing 110 Adolescent

Counsellors @ Rs. 10,000 as proposed.

A.8.1.10 Other Incentives Schemes

(Pl. Specify) 86348 489.72 234.32

A.8.1.10.1

Incentive to Specialists- Obst & Pediatricians for difficult

areas (11 SDHs, 73 CHCs) @ Rs. 5000/- per month and for more difficult areas (3 SDHs, 33 CHCs) -@ Rs. 10000/- per

month. (Rs. 30000 PM in selected institutions of HPDs and

district Ferozepur & Fazilka and SBS Nagar where there is acute shortage of Specialists -

Approximately 28)

7000 268 225.12 219.72

Approved Rs 219.72 Lakh for incentives to specialists (OBG & Paediatricians) Rs

5000/- pm for difficult areas (11 SDH, 73 CHC), Rs 10,000/-pm for more difficult areas (3 SDH, 33 CHC) and Rs 30,000/-pm

for selected facilities of HPDs and district

Ferozepur, Fazillka and SBS Nagar.

36

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.8.1.10.2

Incentives to EMOC team at FRU for C-section after 5 C-sections at SDH/ CHC level and 10 C-section at DH level

(restricted upto 20% C-section of total deliveries)

3000 4000 120.00 0.00 Approval pended.

A.8.1.10.3

Incentives to Female Medical Officers and Staff Nurses for

for institutional deliveries after 15 deliveries per month at PHC and 50 deliveries per

month at CHC

300 25000 75.00 0.00

Approval pended. Should be restricted to HPDs and modified as indicated in

PBI guideline.

A.8.1.10.4

Incentives to Female Medical Officers/ Gynaecologists for

weekly Health Clinics for female prison inmates in all

prisons of the State - Rs. 1000 per visit

1000 80 9.60 9.60 Rs. 9.60 lacs is approved

@Rs. 1000 per visit

A.8.1.10.5

Incentive to ANMs for identification, line listing of severely anaemic pregnant

women and confirmation of HB %age more than 7 gm @

Rs. 100/-

100 5000 5.00 5.00

Rs. 5 lakh is approved as incentive only in HPDs as per PBI guideline@100 rs

per case

A.8.1.10.6

Incentive to ANMs for identification, line listing of High Risk Pregnancy as per

GoI conditions of at least 7% High Risk Cases out of total

ANC registered in HPDs

250 2000 5.00 0.00 Approval pended.

A.8.1.10.7

Incentive to ANMs for achieving more than 70%

pregnancy registration in the 1st trimester Rs. 100/- per

case

100 50000 50.00 0.00 Approval Pended

A.8.1.11 Support Staff for Health

Facilities 236 226.56 100.80

A.8.1.11.d

24 X 7 PHC 8000 236 226.56 100.80

Approved. State needs to outsource security and

sanitation services at all the 24X7 PHCs which are

DELIVERY POINTs @ Rs 8000/- as proposed.

(NOTE: as per MH Annexure Dec 2014, 105 of 215 24X7 PHCs (49%)

37

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

are DPs.

Sub-total HR 0 8509.30 7373.91

A.9 TRAINING

827.75 660.97

A.9.2 Development of training

packages

17.05 17.05

A.9.2.1 Development/ translation and

duplication of training materials

1000000

1 10.00 10.00 Approved

A.9.2.2 Other activities (pl. specify)

7.05 7.05

A.9.2.2.1 Subscription of Journals of

Public Health and Purchase of Books

5000000

1 5.00 5.00 Approved

A.9.2.2.3 Orientation Training

Workshop of District Training Cell

145245 1 1.45 1.45 Approved

A.9.2.2.4 Meetings/ Review Meetings 15000 4 0.60 0.60 Approved

A.9.3 Maternal Health Training

255.64 205.78

A.9.3.1 Skilled Attendance at Birth

/ SBA

77.87 77.88

A.9.3.1.3 Training of Staff Nurses in

SBA 117990 50 59.00 59.00 Approved

A.9.3.1.4 Training of ANMs / LHVs in

SBA 117990 16 18.88 18.88 Approved

A.9.3.2 EmOC Training

89.36 57.53

A.9.3.2.1 Setting up of EmOC Training

Centres 318350

0 1 31.84 0.00 Not approved.

A.9.3.2.2 TOT for EmOC 650000 1 6.50 6.50 Approved

38

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.9.3.2.3 Training of Medical Officers

in EmOC 170086

0 3 51.03 51.03

Rs.51.03 lakh is approved for 3 batches of medical officer in EmOC @Rs.

17,00,860 per batch. Expenditure should be as

per RCH norms. Approval is subject to

1. Nomination of trainers for EmOC training should

be from designated CHC,FRUs and after

training to be posted to these CHC and FRU.

2. A clear cut positioning order to be issued for these

MOs at the time of nomination.

3. Training should be conducted as per RCH

norms of training. 4. Cost includes running cost for EmOC nodal

centre.

A.9.3.4 Safe abortion services

training (including MVA/ EVA and Medical abortion)

6.83 6.83


in safe abortion 62100 11 6.83 6.83 Approved.

A.9.3.5 RTI / STI Training

14.56 14.56

A.9.3.5.2 Training of laboratory technicians in RTI/STI

66413 4 2.66 2.66 Approved


in RTI/STI 79350 15 11.90 11.90 Approved

A.9.3.6 B-Emoc Training

16.56 16.56

A.9.3.6.2 BEmOC training for

MOs/LMOs 110400 15 16.56 16.56 Approved

A.9.3.7 Other maternal health

training (please specify)

50.46 32.42

A.9.3.7.1 Annual Refresher Training for

EmOC trained Medical Officers

506460 1 5.06 5.06 Approved

A.9.3.7.2 Annual Refresher Training for LSAS trained Medical Officers

65320 25 16.33 16.33 Approved.

39

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.9.3.7.4 Training of Staff Nurses/

LHV/ ANMs on RTI/ STI 78775 14 11.03 11.03 Approved

A.9.3.7.5 Training Workshop on quality

of Care for RMNCH+A Services

648600 2 12.97 0.00 Not approved

A.9.3.7.6 CME on Protocols for MCH

Services 506000 1 5.06 0.00 Not approved.

A.9.3.8 Blood Storage Unit (BSU)

Training

A.9.4 IMEP Training

23.06 20.54

A.9.4.2 IMEP training for state and

district programme managers 125925 3 3.78 1.26

One batch of IMEP

training for the State and District Programme

managers @ Rs.1.26 Lakh is approved. Trg.

curriculum should include Swachhta Guidelines,

launched by the MoHFW on 15th May 2015.

A.9.4.3

IMEP training for medical

officers 125925

7

8.81

8.81

Approved. Training curriculum should include

Swachhta Guidelines, launched by the MoHFW

on 15th May 2015

A.9.4.4 Others 104650 10 10.47 10.47

Approved. Training curriculum should include

Swachhta Guidelines, launched by the MoHFW

on 15th May 2015.

A.9.5 Child Health Training

252.21 179.32

A.9.5.1 IMNCI Training (pre-service and in-service)

58.77 35.62

A.9.5.1.2 IMNCI Training for ANMs /

LHVs 235060 25 58.77 35.62 Approved

A.9.5.2 F-IMNCI Training

94.62 82.97

A.9.5.2.1 TOT on F-IMNCI 344540 1 3.45 3.45 Approved

A.9.5.2.2 F-IMNCI Training for

Medical Officers 292100 16 46.74 35.10 Approved

A.9.5.2.3 F-IMNCI Training for Staff

Nurses 222180 20 44.44 44.42 Approved

A.9.5.5 Other child health training

98.82 60.73

40

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.9.5.5.1 NSSK Training

48.39 48.38

A.9.5.5.1.2

NSSK Training for Medical Officers

124200

12 14.90 14.90 Approved

A.9.5.5.1.3

NSSK Training for SNs 83720 20 16.74 16.74 Approved

A.9.5.5.1.4

NSSK Training for ANMs 83720 20 16.74 16.74 Approved

A.9.5.5.2 Other Child Health training

50.43 12.35

A.9.5.5.2.a

4 days Training for facility based newborn care

0 0.00 7.61

Approved for 11 batches @ Rs.0.692lakhs per batch.

State to note that FBNC training is for duration of 4

days and not 42 as projected in annexure. Hence the approved budget is lesser than

projected. Shifted from A.9.5.5.2d

A.9.5.5.2.d

SNCU Training of Medical Officers and Staff Nurses

411600

11 45.28 0.00 Shifted to A.9.5.5.2a

A.9.5.5.2.e

FBNC TOT 51566

0 1 5.16 4.74

Approved as per FBNC guidelines.

A.9.6 Family Planning Training

46.39 46.40

A.9.6.1 Laparoscopic Sterilization

Training

5.70 5.70

A.9.6.1.2 Laparoscopic sterilization

training for doctors (teams of doctor, SN and OT assistant)

51808 11 5.70 5.70 Approved

A.9.6.2 Minilap Training

5.70 5.70

A.9.6.2.2 Minilap training for medical

officers 51808 11 5.70 5.70 Approved

A.9.6.3 Non-Scalpel Vasectomy

(NSV) Training

2.66 2.66

A.9.6.3.2 NSV Training of medical

officers 37950 7 2.66 2.66 Approved

A.9.6.4 IUCD Insertion Training

16.70 16.70

A.9.6.4.5 Training of ANMs / LHVs 69575 24 16.70 16.70 Approved

A.9.6.7 Contraceptive Update

Seminar/Meeting 39100 40 15.64 15.64 Approved

41

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.9.8

Programme Management Training (e.g. M&E,

logistics management, HRD etc.)

168.63 127.11

A.9.8.4 Other training (pl. specify)

168.63 127.11

A.9.8.4.1 BCC Skill Building Training of

MOs,DMEIOs, BCC Facilitators

261913

14 36.67 16.31

Approved at last year’s rate i.e. District MEIOs,

ANMs, LHVs, MPHW (M), HA (M), BEE, Dy.

MEIO, at SIHFW, Mohali and HFWTC @ Rs.1.10

L/batch for 7 batches and for Medical Officers at SIHFW, Mohali and

HFWTC, Amritsar @ Rs.1.23 L/batch for 7

batches

A.9.8.4.2 Orinetation Training of newly

promoted SMOs 22425

0 5 11.21 11.21 Approved

A.9.8.4.3 Orinetation Training of MOs

of NHM Programmes 33062

5 16 52.90 31.74 Approved

A.9.8.4.4 Induction Training of Newly Recruited Medical Officers

483000

5 24.15 24.15 Approved

A.9.8.4.5 Orientation Training of

MPHW (M) 21850

0 20 43.70 43.70 Approved

A.9.11 Training (Other Health

Personnel)

33.95 33.95

A.9.11.2 Training of ANMs, Staff

nurses, AWW,AWS 77155 44 33.95 33.95 Rs. 33.95 lakh

A.9.12 RBSK training

30.82 30.82

A.9.12.1 RBSK Training -Training of

Mobile health team – technical and managerial (5 days)

124500 22 27.39 27.39 Approved

A.9.12.2 RBSK DEIC Staff training (15

days) 343000 1 3.43 3.43 Approved

Sub-total Training

827.75 660.97

A.10 PROGRAMME

MANAGEMENT

2064.16 1852.45

A.10.1 Strengthening of State

society/ State Programme Management Support Unit

235.11 215.77

42

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

Contractual Staff for SPMSU

recruited and in position

235.11 215.77

A.10.1.1 State Programme Manager 180000 1 21.60 21.60 Approved 1 SPM @

1,80,000/-pm from regular cadre.

A.10.1.2 State Accounts Manager 46707 1 5.60 5.35

Approved 1 Manager Finance & Accounts @ Rs.

44,585/-pm (5% hike in the existing salary of Rs.

42,461/-pm) for 12 months.

A.10.1.4 State Data Manager 44564 1 5.35 5.10

Approved 1 Manager Monitoring & Evaluation @ Rs. 42,540/-pm (5%

hike in the existing salary of Rs. 40,513/-pm) for 12

months.

A.10.1.5

Consultants/ Programme Officers (including for

MH/CH/FP/ PNDT/ AH including WIFS, RBSK, MHS

etc.)

42449 13 66.22 63.71

Approved following existing positions with 5%

hike in existing salary: - Specialist MH @ Rs.

44,230 pm - Specialist CH and FP (1 each) @ Rs. 41,950 pm

- Programme Officers for ARSH & Gender, WIFS & MHS, and RBSK (1 each - 3 total) @ Rs. 40,425 pm

- 2 AYUSH Consultants @ Rs. 42,000 pm

- State NGO Coordinator @ Rs. 51,070 pm

- HR Manager @ Rs. 42,540 pm

- 1 each Manager for Infrastructure and

Procurement @ Rs. 31,500 pm

- Programme Officer BCC @ Rs. 40,900 pm

43

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.10.1.6 Programme Assistants 19587 3 7.05 6.74

Approved for existing 2 Program Assistants @ Rs.

20,470/-pm each & 1 Procurement Assistant @ Rs. 15,200/-(5% hike in the existing salary of Rs

19,494/-pm & 14,469/-pm respectively) for 12

months.

A.10.1.7 Accountants 15462 3 5.57 5.32

Approved for existing 1 Accountant @ Rs. 17,020/-pm & 2

Accountants @ Rs. 13,650/- pm each (5% hike in the existing salary of Rs 16206/-pm & 13,000/-pm

respectively) for 12 months.

A.10.1.8 Data Entry Operators 10000 15 18.00 16.88

Approved existing 15 Data Entry Operators @ Rs. 9,380/-pm/-(5% hike in the existing salary of Rs

8932/-pm) for 12 months.

A.10.1.9 Support Staff (Kindly Specify) 12476 20 29.94 28.58

Approved existing 19 Support Staff @ Rs

11550/-pm & 1 Support Staff @ Rs 18710 /-(5% hike in the existing salary

of Rs 11,000/-pm & 17,816/-pm respectively)

for 12 months.

A.10.1.10

Salaries for Staff on Deputation (Please specify)

70000 1 8.40 8.40

Approved 1 Director Finance on deputation @ Rs 70,000/-pm/-for 12

months.

A.10.1.11

Others (Please specify)

67.38 54.09

44

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.10.1.11.1

Assistant Managers - 1 Finance,1 HRIS, 1 M&E, 4

Accounts Officers and 1 School Health Coordinator + 2 positions of HR Executives

23775 10 28.53 23.79

Approved following positions with 5% hike in

existing salary: - 1 each Assistant Manager Finance and M&E @ Rs.

23,100 pm - HRIS Coordinator @ Rs.

26,940 pm - 4 Account Officers @

Rs. 25,710 pm - School Health

Coordinator @ Rs. 22,260 pm

2 new positions of HR Executives not

approved.

A.10.1.11.2

Hardware Supervisor/System Analyst

29181 3 10.51 10.03

Approved existing 1 Hardware Supervisor @

Rs. 27,115/-pm & 2 System Analysts @ Rs.

28,225 /-(5% hike in the existing salary of Rs. 25,822/-pm & Rs.

26,879/-pm respectively) for 12 months.

A.10.1.11.3

BCC Facilitator and Art and Exhibition Expert

15675 2 3.76 3.59

Approved existing 1 BCC Facilitator @ Rs. 15,200/-

pm & 1 Art cum Exhibition Expert @ Rs. 14,700 /-(5% hike in the

existing salary of Rs. 14,469/-pm & Rs.

14,000/-pm respectively) for 12 months.

A.10.1.11.4

Statistical Assistant 15462 4 7.42 5.32

Approved existing 1 Statistical Assistant @ Rs. 17,020/-pm & 2 Statistical Assistants @ Rs. 13,650/- pm each (5% hike in the

existing salary of Rs 16206/-pm & 13000/-pm


45

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

One new position of Statistical Assistant for

MH Division not approved.

A.10.1.11.5

10 Peons, 3 Driver 11000 13 17.16 11.36

Recommended for approval of 3 drivers each

@ Rs. 8,180/-pm & 10 Peons @ Rs. 7,012/- pm (5% hike in the existing

salary of Rs. 7,791/-pm & Rs. 6,678/-pm


A.10.2

Strengthening of District society/ District

Programme Management Support Unit

643.23 581.56

Contractual Staff for DPMSU recruited and in

position

643.23 581.55

A.10.2.1 District Programme Manager 35671 22 94.17 89.89

Approved existing 22 DPMs @ Rs. 34,050/-pm/-(5% hike in the existing salary of Rs

32428/-) for 12 months.

A.10.2.2 District Accounts Manager 26775 22 70.69 67.48

Approved existing 22 DAMs @ Rs 25560/-pm/-

(5% hike in the existing salary of Rs 24341/-) for

12 months.

A.10.2.3 District Data Manager 26775 22 70.69 67.48

Approved existing 22 DDMs @ Rs 25560/-pm/-(5% hike in the existing salary of Rs

24341/-) for 12 months.

A.10.2.4 Consultants/ Programme Officers (Kindly Specify)

22000 6 15.84 15.12

Approved 6 RKSK Coordinators @ Rs

21000/-pm/-(5% hike in the existing salary of Rs 20000/-) for 12 months.

A.10.2.5 Accountants 14292 22 37.73 36.04

Approved 22 Accountants @ Rs 13650/-pm/-(5% hike in the existing salary

of Rs 12993/-) for 12 months.

46

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks


Approved 44 DEOs @ Rs 9380/-pm/-(5% hike in the existing salary of Rs 8932/-) for 12 months.

State should outsource this activity.

A.10.2.7 Support Staff (Kindly Specify) 7346 22 19.39 18.51

Approved 22 Peons @ Rs 7010 /-pm/-(5% hike in the existing salary of Rs 6678/-) for 12 months.

A.10.2.8 Others (Please specify)

281.92 237.51

A.10.2.8.1

District RBSK Coordinators (School Health Coordinators

in previous PIPs) 22125 22 58.41 55.76

Approved 22 RBSK Coordinators @ Rs


A.10.2.8.2

BCC Facilitator 15015 22 39.64 37.83

Approved 22 BCC Facilitators @ Rs 14330/-

pm/-(5% hike in the existing salary of Rs

13650/-) for 12 months.

A.10.2.8.3

Maintenance engineer 22037 22 58.18 55.55

Approved 22 Maintenance Engineers @ Rs 21040/-


20034/-) for 12 months.

A.10.2.8.4


Recommended for approval of 22 Statistical Assistants @ Rs 13630/-


12978/-) for 12 months.

A.10.2.8.5

Assistant Hospital Administrator/District Quality/RMNCH+A

Coordinator

20000 44 88.00 52.39

Approved 22 Hospital Administrators @ Rs


22 New District Quality Managers not approved.

A.10.3 Strengthening of Block

PMU

705.42 678.40

A.10.3.1 Block Programme Manager 15000 118 159.30 159.30 Approved 118 BPMs @Rs 15000/-pm for 9 months.

47

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.10.3.4 Accountants 14292 118 202.38 193.28

Approved 118 Block Accountants @ Rs



Approved 118 DEOs @ Rs 9380/-pm/-(5% hike in

the existing salary of Rs 8932/-) for 12 months.

A.10.3.7 Others (Please specify)

202.15 193.00

A.10.3.7.1


Approved 118 Statistical Assistants @ Rs 13630/-


12978/-) for 12 months.

A.10.4 Strengthening (Others)

128.00 128.00

A.10.4.2 Operational Cost at State Level @ Rs. 3.00 lakh per

month 300000 12 36.00 36.00 Approved

A.10.4.3 Rent of NHM Office

Building, Electricity Charges etc.

400000 12 48.00 48.00 Approved

A.10.4.4 Operational Cost to District @ Rs. 1-2 Lakh per district

200000 22 44.00 44.00 Approved

A.10.5 Audit Fees 300000

0 1 30.00 30.00 Approved

A.10.7 Mobility Support, Field

Visits

303.60 199.92

A.10.7.1 SPMU/State 50000 5 30.00 30.00 Approved

A.10.7.2 DPMU/District 50000 22 132.00 84.96 Approved

A.10.7.3 BPMU/Block 10000 118 141.60 84.96 Approved

A.10.8 Other Activities

18.80 18.80

A.10.8.1 Training of Teams and

Analysis/ review of reports at block level

5000 118 5.90 5.90 Approved

A.10.8.2

Monthly meeting to review the reports of Supportive Supervision at State level

including trainings for Supportive Supervision

10000 24 2.40 2.40 Approved

A.10.8.3 Training of Accounts Staff of

CPSMS 27508

0 2 5.50 5.50

Approved for training of Account staff of CPSMS in

2 batches.

48

FMR Code


Quantity/ Target


Amount Approved (in

Lakhs) Remarks

A.10.8.4 Tally License Renewal 50000

0 1 5.00 5.00 Approved

Sub-total Programme

Management

2064.16 1852.45

A.11 VULNERABLE GROUPS

0.00 0.00

Annexure A 5.2.a RBSK

S No.

Disease Prevalance and conditionality

Target Group Population as per Census 2011, single age group

Estimated No.

RBSK Model Costing

Estimated No for FY 2015-16

Estimated Rs in Lakhs

Remarks

1 Rheumatic Heart Disease

1.5 per 1000 children in the age groups 5 to 9, too early for surgical requirement

2368019 355 110000 0 0.0 too early for surgical requirement

0.13 to 1.1 per 1000 in the age group of 10-14 years (estimataed 10 % children of this age would require surgical support as adult , as most of Rheumatic heart disease patients require surgery as adults, beyond age 16)

2583402 34 110000 34 36.9

2 Dental Conditions

50-60 % among preschool, below 6 years of age

2193349 1096675 300 54,834 164.5 5% considered for procedure

3 Otitis Media 8.6% among 3-6 years. Chronic suppuratide Otitis Media 6 % in 2-10 years

4193999 25164 10000 2,516 251.6 Chronic suppuratide Otitis Media 6 % in 2-10 years, 1% is considereed for the FY 2015-16

49

S No.



Estimated No.

RBSK Model Costing



Remarks

4 Neural Tube Defect

4.1 per 1000 live births, (of this 1.5 per 1000 live birth NTD cases will benefit from surgery)

470684 706 35000 353 123.6 1.5 per 1000 live birth NTD cases will benefit from surgery, 50% of estimated cases is considered in FY 2015-16

5 Down Syndrome

1.09 per 1000 live births

0 Surgery will depend on associated congenital malformations

6 Cleft Lip + Cleft Palate

Cleft Lip+ Cleft Palate 0.93 per 1000 live births

470684 438 15000 66 9.8 At present projected at 15% for the FY 2015-16. 9 smile train treatment centres are there in State. Surgeires in these centres are conducted by plastic surgeons especially trained to do the procedures and the treatment centres have facility to do the surgeries, free of Cost. State is encouraged to enter in MoU with

Cleft Palate 0.17 for every 1000 live birth

470684 80 18000 12 2.2

50

S No.



Estimated No.

RBSK Model Costing



Remarks

these facilities. If formally agreed, these procures should not be costed.

7 Talipes (Club foot)

1-2 in every 1000 live birth

470684 471 3000 471 14.1

8 Development Dysplasia of the hip

one in 1000 children is born with dislocated hip, and 10 in 1000 may have hip subluxation

470684 471 1000 471 4.7

9 Congenital Heart Disease

8-10 per 1000 live births

470684 3765 160000 188 301.2 Proposed for 5 % of estimated cases in FY 2015-16

10 Congenital Deafness

1 per 1000 live births are profoundly deaf (≥90 dB in better ear) only these caees require hearning aid

470684 471 0.0

Hearing Aid 471 10000 471 47.1 Linkage with National Deafness control programme to be established

11 Congenital Cataract

1-15/ 10,000 new born 470684 353 20000 353 70.6 Linkage with National Blindness control programme to be established

12 Retinopathy of prematurity

20-22 % in SNCU and 1/3rd require laser to prevent loss

4723 315 10000 315 31.5 Linkage with National Blindness control

51

S No.



Estimated No.

RBSK Model Costing



Remarks

programme to be established

13 Vision Impairment (Strabismus)

2-4 percent in preschool children, 5 % would require occular surgery, others would require occular patching

2612299 2612 8500 1,829 155.4 Linkage with National Blindness control programme to be established. 70% of estimated cases is considered for FY 2015-16

1232.29

Total 11,32,379 61,911 1,213.3

52

Annexure- 2 MISSION FLEXI POOL

FMR code

Activities Unit cost

Quantity/targ

et

Budget Proposed (Rs Lakh)

Budget Approved (Rs Lakh)

Remarks

B Additional ties under

NRHM (Mission Flexible Pool)

34403.88 16799.42

B1 ASHA

3906.25 2931.15

B 1.1 ASHA Cost:

3906.25 2931.15

B1.1.1 Selection & Training of

ASHA

909.76 545.85

B1.1.1.2 Module VI & VII 2622 18258 478.72 287.23

Ongoing activity. Approved for 60% of the total approved amount of

Rs. 478.72 Lakh. Refer Appendix for remaining


B1.1.1.4 Post training support and

supervision

431.04 258.62

B1.1.1.4.1

Supervision costs by ASHA facilitators(12

months) 4000 898 431.04 258.62

Ongoing activity. Approved for 60% of the total approved amount of Rs. 431.04 Lakh for Rs.

1000/- honorarium + Rs. 150 per visit up to 20

visits. Refer Appendix for remaining 40% of the

approval.

B1.1.2 Procurement of ASHA

Drug Kit

42.72 8.00

B1.1.2.2 Replenishment 200 17360 34.72 0.00

New Activity. Not approved. As per the

guidelines, ASHA Drug kits are to be replenished from the Sub centre or PHC and no additional

costs are required.

B1.1.2.3 Procurement of ASHA

HBNC Kit

8.00 8.00

B1.1.2.3.1

New Kits 800 1000 8.00 8.00 Ongoing activity.

Approved

53

FMR code


Quantity/targ

et



Remarks

B1.1.3

Performance Incentive/Other

Incentive to ASHAs (if any)

2889.36 2318.19

B1.1.3.1 ASHA incentives under

Maternal Health

356.25 218.69

B1.1.3.1.1

To Register every Pregnant Woman within three

months, Ensuring 3 ANC Check, 2 TT &

Immunization, 100 IFA Tablets and Institutional

Delivery

200 168824 337.65 202.59

Ongoing activity. Approved for 60% of the total approved amount of Rs. 337.65 Lakh as per last year’s rate. Refer appendix

for remaining 40% approval.

B1.1.3.1.2

Mobilizing & accompanying the pregnant women to ICTC and ensure HIV & RPR testing during

ANC and promoting institutional delivery of HIV positive pregnant

women and following up the Infant upto the age of

18 months. Rs 200 for registration, 300 after

delivery and 500 after the completion of 18 months

1000 500 5.00 2.50

Ongoing activity. Rs 2.5 lakhs is approved for

following with the conditionality specified: HIV incentive for HIV testing at ICTC can be

restricted to High Prevalence districts and

number of such suspected women to be indicated by the State before approval.

ASHA can be given Rs 500 for ensuring

institutional delivery + minimum 3 PNC visits.

Numbers to be indicated by State before approval.

Separate incentive for RPR is not recommended.

B1.1.3.1.3

Incentive cost to ASHA for IV iron sucrose

supplementation in 2 piloted high focus districts

400 3400 13.60 13.60 Ongoing activity.

Approved

B1.1.3.2 Incentive to ASHA under

Child Health

10.55 435.55

B1.1.3.2.1

Incentive for Home Based Newborn Care programme

50 170000 0.00 425.00 Ongoing activity. Shifted

from A.2.3.1.

54

FMR code


Quantity/targ

et



Remarks

B1.1.3.2.2

Incentive for follow up of LBW babies


Approved

B1.1.3.3 ASHA Incentives under family planning (ESB/

PPIUCD/ Others)

22.50 22.50

B1.1.3.3.1

ASHA PPIUCD incentive for accompanying the client

for PPIUCD insertion 150 15000 22.50 22.50

Ongoing activity. Approved

B.1.1.3.4

ASHA Incentives (Rashtriya Kishor Swasthya

Karyakram)

0.00 0.00

B1.1.3.5 Incentive for National Iron

Plus Initiative

0.00 0.00

B1.1.3.6 ASHA Incentives (other)

2216.02 1357.41

B1.1.3.6.1

Incentives for routine activities - Assured

monthly package ( of Rs.1000 based on completion of the

prescribed activities)

12000 17360 2083.20 1249.92

Ongoing activity. Approved 60% of the

total approved amount of Rs. 2083.20 Lakh. Refer Appendix for remaining

40% of approval.

B1.1.3.6.2

If ASHA worker stays at night in the hospital with

the pregnant woman for the delivery


Approved Rs. 8.44 Lakh.

B1.1.3.6.3

For ensuring treatment/ cure of anemic women (any

woman who has been found to be having HB less

than 7 gm at the time of ANC is to make it reach 9 gm at the time of delivery


Approved

B1.1.3.6.7

For child birth registration & issue of birth certificate


Approved

B1.1.3.6.8

To provide first-hand information regarding

outbreak of any disease in the concerned area along with reasons of disease.


Approved

55

FMR code


Quantity/targ

et



Remarks

B1.1.3.6.9

Support screening camp at school and Anganwadi

Centre under RBSK under School Health Programme.


Approved

B1.1.3.6.10

ASHA Incentive for accompanying the Cataract

patients to the Govt. institutions @ Rs. 225


Approved

B1.1.3.6.11

Incentive to ASHA for accompanying the women

for MTP Services 300 3500 10.50 10.50


B1.1.3.6.12

Identification of drug addicts & taking them to the rehabilitation centre

and Follow up and completion of treatment of

drug addicts at rehabilitation centre


Approved

B1.1.3.7 Other (support provisions to ASHA such as uniform,

diary, ASHA Ghar etc)

284.04 284.04

B1.1.3.7.1

Printing of ASHA Reporting format,

Performance Monitoring format I & II for ASHA

Facilitator


Approved

B1.1.3.7.2

Printing of ASHA Dairy & Register & Communication

Kit 100 18258 18.26 18.26


B1.1.3.7.3

ASHA Uniform and Bag for ASHA & ASHA

Facilitator 600 18258 109.55 109.55


B1.1.3.7.4

CUG Connection to ASHA @ Rs. 57 per month per

ASHA & ASHA Facilitator 57 20652 141.26 141.26


B1.1.4 Awards to ASHA's/Link

workers 0 0.00 0.00

B1.1.5 ASHA Resource

Centre/ASHA Mentoring Group

64.41 59.11

56

FMR code


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Remarks

B1.1.5.1 HR at State Level 25000 2 6.00 3.35

Ongoing activity. Approved Rs. 3.35 Lakh

for the position 1 Manager-ASHA @Rs. 27913/- pm (with 5%

hike). Position of Training Coordinator is not recommended for

approval.

B1.1.5.2 HR at District Level (including Grievance Redressal Committee)


Approved with 5% hike

B 1.2 Certification of ASHA by

NIOS

B2

Untied Funds/Annual Maintenance Grants /Corpus Grants to

HMS/RKS

2314.44 1665.63

B2.1 District Hospitals 100000

0 22 220.00 138.20

Ongoing activity. Approved as per the

utilization

B2.2 SDH 500000 41 205.00 127.31

B2.3 CHCs 250000 141 352.50 225.71

B2.4 PHCs 105000 434 455.70 334.32

B2.5 Sub Centres 10000 2950 295.00 157.06

B2.6 VHSC 6000 13104 786.24 683.03

B2.7 Others

B.4 Hospital Strengthening

5660.78 2865.78

B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals

5660.78 2865.78

B4.1.1 District Hospitals

1400.00 1300.00

B4.1.1.1 Additional Building/ Major

Upgradation of existing Structure

60000000

1 600.00 600.00

New activity. Approved for new Building of

District Hospital Fazilka. Total Cost Rs. 20.00 Crore (Rs. 6.00 Crore

Proposed for this year) Existing building of DH

Fazilka will be utilized for

57

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Remarks

MCH Wing

B4.1.1.2 Repair/ Renovation 300000

00 1 300.00 200.00

Ongoing activity. Approved addition/

major repair of District Hospital Ropar. Total

Funds required Rs. 5.00 Crore - Rs. 1.00 Crore

approved in the FY 14-15. Rs. 2.00 Crore approved this year PIP. Remaining

amount Rs. 2.00 Cr

B4.1.1.3 Spillover of Ongoing

Works 500000

00 1 500.00 500.00

Ongoing activity. Approved. New

Construction of building of District Hospital

Gurdaspur (HPD) - Total Funds required Rs. 20.00

Crore. Rs. 3.00 Crore approved in FY 14-15. Rs. 5.00 Crore approved this year. Remaining amount

Rs. 12.00 Cr.

B4.1.2 CHCs

60.78 60.78


Works 607800

0 1 60.78 60.78

Ongoing activity. Approved Major

Renovation + Addition at CHC Manawala

(Amritsar). Construction of new OPD, wall and other misc. works - Rs. 120.78 Lakh is required,

Rs. 60.00 lakh approved in the PIP 2014-15.

Remaining funds Rs. 60.78 lakh is approved in

this year PIP

B4.1.5 Others (MCH Wings)

3900.00 1205.00

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Remarks

B4.1.5.1 New wings (to be initiated

this year)

30000000

13 3900.00 1205.00

New activity. Approved for 60% of the total

approved amount of Rs. 2008.26 lakh for-

1. Rs. 143.14 lakh for additional 10 bedded MCH wing in SDH

Ajnala and 2. Rs. 166.55 lakh

recommended for additional 10 bedded MCH wing in CHC

Manawala. 3. Rs. 331.53 lakh

approved for 30 bedded MCH wings in

SDH Batala 4. Rs. 494.73 lakh is

approved for 30 bedded MCH wing at

DH Kapurthala. 5. 50 bedded MCH wing

is approved in DH Mohali @Rs.872.31

lakh

MCH wing in SDH Kotkapura and DH Mansa

is not approved. Hence total Rs. 2008.26 lakh is approved. Total

cost includes infrastructure and equipment cost. Refer Appendix for remaining


B4.1.6 SDH

300.00 300.00

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Remarks


Works 1 300.00 300.00

Ongoing activity. Approved new

construction of building of SDH Dera Bassi and

SDH Sardulgarh (HPD) - Total Cost Rs. 5.00 Crore

each, Rs. 2.00 Crore approved in the PIP 2014-

15. Rs. 3.00 Crore approved this year.

Remaining amount Rs. 5.00 Cr.

B5 New Constructions

500.00 150.00

B5.2 PHCs

200.00 150.00

B5.2.2 Carry forward of new

construction initiated last year, or the year before

5000000

3 150.00 150.00

Ongoing activity. Approved for HC Killian Wali (District Muktsar)

and PHC Jhandian Kalan (District Ropar),

Dharamkot (Moga) Total Fund requirement is Rs 3

Crore. Rs 1.5 Crore approved in the year

2014-15 and remaining amount of Rs. 1.5 Cr

approved this year

B5.3 SHCs/Sub Centres

300.00 0.00

B5.3.1 New construction (to be

initiated this year) 600000

50 300.00 0.00

New Activity. Not approved

B7 Health Action Plans

(Including Block, Village)

10.00 10.00

B7.1 State 340000 1 3.40 3.40 Ongoing activity.

Approved

B7.2 District 30000 22 6.60 6.60 Ongoing activity.

Approved

B9 Mainstreaming of

AYUSH

1741.08 1614.21

B.9.1 Medical Officers at

CHCs/ PHCs (Only AYUSH)

1263.82 1206.37

60

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Remarks

B.9.1.1 DH 30976 44 163.55

1206.37

Ongoing activity. 104 Homeopathy and 236

Ayurveda Medical officers are approved @ Rs 28160

+ 5% increment = Rs 29,568/- pm.

B.9.1.2 FRUs 30976 60 223.03

B.9.1.4 24 X 7 PHC 30976 236 877.24

B.9.2

Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists

(Only AYUSH)

427.26 407.84

B.9.2.1 DH 12320 44 65.05

407.84

Ongoing activity. Approved for 289 existing AYUSH dispensers @ Rs 11200 + 5% increment=

Rs 11,760/- pm

B.9.2.2 FRUs 12320 63 93.14

B.9.2.4 24 X 7 PHC 12320 182 269.07

B9.3 Other Activities (Excluding HR)

50.00 0.00

B9.3.1

100 Camps in 22 districts to create awareness ontreating

chronic diseases through AYUSH

20000 100 20.00 0.00 Approval pended. State to submit the performance

of previous year

B9.3.2 Organizing AYUSH Mela 300000

0 1 30.00 0.00

Approval pended. State to submit the performance

of previous year

B10 IEC-BCC NRHM

1129.20 807.47

B.10.1 Strengthening of BCC/IEC Bureaus (state and district

levels) 132000 2 2.64 2.52

Approved for 1 Printing Machine handler @ Rs.

12,600/m and 1 Helper @ Rs. 8400/m.

B.10.2

Development of State Communication strategy (comprising of district

plans)

39000.00

100 39.00 22.40

Approved only for TV sets at 56 Health Facilities @ Rs.40000/set. State to follow extent tendering process and ensure that TV sets are displayed in post natal wards and /or

the main reception/waiting area of

the facilities.

B.10.3 Implementation of BCC/IEC strategy

491.43 368.94

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Remarks

B.10.3.1 BCC/IEC activities for MH

200.80 174.85

B.10.3.1.1

Media Mix of Mid Media/ Mass Media

66.74

300871 200.80 174.85 Approved. Details

available as ANNEX IEC

B.10.3.2 BCC/IEC activities for CH

203.95 131.25

B.10.3.2.1


8.89 200046

0 177.90

131.25 Approved. Details

available as ANNEX IEC B.10.3.2.2

Inter Personal Communication

842.77 3091 26.05

B.10.3.3 BCC/IEC activities for FP

20.30 10.30

B.10.3.3.1


1000000

1 10.00 0.00 Not approved

B.10.3.3.2


7305 141 10.30 10.30

Approved for 22 District level workshops @

Rs.0.20L/workshop and 118 Block level workshops @

Rs.0.05L/workshop. State to submit quarterly report of the audience covered

and expected outcome of these workshops.

B.10.3.4 BCC/IEC activities for AH/ Rashtriya Kishore

Swasthya Karyakram

46.38 32.54

B.10.3.4.1


877500 4 35.10

32.54 Approved. Details

available as ANNEX IEC B.10.3.4.2


8000 141 11.28

B.10.3.5 Creating awareness on declining sex ratio issue

(PNDT)

677.60

2951 20.00 20.00 Approved

B. 10.4

Interpersonal Communication Tools for the frontline health

workers

62

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Remarks

B.10.5 Targeting Naturally

Occurring Gathering of People/ Health Mela

615318

22 135.37 80.11

Approved Rs.36.11 lakhs for the various Health

days as per details available as ANNEX IEC

and Rs.44.00 lakh for districts (2.00 lakh per district for local Melas)

B. 10.6 Others

190.80 64.00

B.10.6.1 Innovative IEC/ BCC

Strategies 400000

0 1 40.00 0.00 Not approved

B. 10.6.2

Mobile based IEC/ BCC Solutions

1000000

1 10.00 10.00

Approved. State to mention in numbers the

population covered through these SMSs and the frequency of these

SMS i.e once/quarter or such.

B.10.6.3 District IEC/ BCC/

Engagement of Youth through Social Media

1895000


B. 10.6.4

IEC for Blood Donation 650000

0 1 65.00 54.00

Approved. Details available as ANNEX IEC

B.10.7 Printing activities (please

specify)

269.96 269.50

B.10.7.1 Printing of MCP cards,

safe motherhood booklets etc

18 350000 63.00 63.00

Approved for Printing of 3.5 lakh Safe motherhood

book in Regional Language and poster on

JSSK @Rs.18/- per booklet. Printing should be done by competitive

bidding.

B.10.7.4 Other printing

206.96 206.50

B.10.7.4.3

Printing of RBSK card and registers

1.83 905000

0 165.46 165.00

Approved for screening cum referral cards @

Rs.1/- per card, 50,000 Moblie health team

registers @ Rs.150/- per register (for each RBSK

mobile health teams & for Delivery points). State to

63

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Remarks

follow RBSK guidelines for printing. Expenditure

is as per actual.

B.10.7.4.4

Printing cost for DEIC 30000 5 1.50 1.50 Approved

B.10.7.4.5

Newspapers Advertisements

4000000

1 40.00 40.00 Approved

B11 National Mobile Medical

Units (Including recurring expenditures)

606.86 606.86

B11.1.2 Opex 33262 33 131.72 131.72 Approved

B11.1.3 HR 119986 33 475.14 475.14 Ongoing Activity.

Approved

B11.1.4 Training/orientation

B11.1.5 Others

0.00

B11.2

National Mobile Medical Vans (smaller vehicles) and specialized Mobile

Medical Units

0.00

B12 National Ambulance

Service

1255.12 0.00

Approval pended. State may comply with NAS

guidelines of GoI to seek support for ambulances

B.13 PPP/ NGOs

39.33 19.33

B13.3 NGO Programme/ Grant

in Aid to NGO

39.33 19.33

B13.3.1 Grant in aid to

NGOs/NGO Programme 500000

4 20.00 0.00

Approval Pended. State to provide details on the

NGO Programme.

B13.3.2 RRC for NGO Programme 193300

0

1 19.33 19.33 Approved

B14 Innovations (if any)

183.42 68.42

B14.5 Strengthening of Tele Medicine at 50 Health

Institutions 285089 24 68.42 68.42

Approved to strengthen 27 existing telemedicine

centres

64

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Remarks

B14.6

Establishing 23 New Tele Medicine Centres at

Selected Sub-Division Hospitals

500000 23 115.00 0.00 Not approved

B15 Planning,

Implementation and Monitoring

923.18 675.71

B15.1

Community Action for Health (Visioning

workshops at state, dist, block level, Training of VHSNC, Training of

RKS)

110.66 23.30

B15.1.2 District level 10000 90 9.00 9.00 On-going Activity -

Approved

B15.1.3 Block level 5000 332 16.60 0.00 Approval pended. State may utilise committed

unspent on priority

B15.1.4 Other

85.06 14.30

B15.1.4.1

Strengthening Community Processes Division

20000 1 1.80 1.80 New Activity-Approved

B15.1.4.2

Training of Trainers 319000 4 12.76 0.00

Approval pended. Cost could not be reviewed as

details of batches and duration are not provided.

B15.1.4.3

Review Meetings at Different Levels

25000 6 1.50 1.50 On-going Activity -

Approved

B15.1.4.5

Printing of questionnaire & score card, village health register and guidelines

1000000

1 10.00 10.00 New Activity-Approved

B15.1.4.6

Visioning workshop for Community monitoring

10000 10 1.00 1.00 Approved

B15.1.4.7

Selection of NGO 60000 40 24.00 0.00

Approval pended subject to lack of details

B15.1.4.8

Evaluation of VHSNC 50000 12 6.00 0.00

B15.1.4.9

Jan Sunwai 70000 40 28.00 0.00

B15.2 Quality Assurance

189.02 167.10

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Remarks

B15.2.1 Quality Assurance

Committees at State level 590000 1 5.90 5.90

New Activity- Approved for-

1. One time establishment cost of

SQAU @Rs. 2,50,000.00 ( For Computer, laptop,

printer, scanner, fax photocopier) + @Rs.

1,00,000.00 for Air Conditioners +

Recurring cost for Electricity, telephone,

internet and contingencies@ Rs.

20,000,00 for 12 Months=2,50,000+1,00,000+2,40,000=Rs.

5,90,000.00

B15.2.2 Quality Assurance

Committees at District level 396000 26 102.96 88.08

New Activity-Approved for-

1. One time establishment cost of DQAU in 22 Districts @Rs. 2,50,000.00 (For

Computer, laptop, printer, scanner, fax

photocopier) + @50,000 Rs for Air

Conditioners+ Recurring cost for

Electricity, telephone, internet and

contingencies@ Rs. 8,000 Rs for 12

Months=22(3,00,000+96,000)= Rs.

87,12,000.00 may be approved.

2. For four Major Hospitals' Quality

team recurring cost for

66

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Miscellaneous expenses @Rs.

2000*12*4 = Rs. 96,000 for Internet,

conduct of the hospital quality team meeting, internal assessment, etc., as per provision

contained Annexure F of the Operational

Guidelines.

Total= Rs. 88,08,000.00 (Rs. 88.08 L) is approved

B15.2.4 Review meetings

14.40 14.40

B15.2.4.1

State 10000 12 1.20 1.20 On-going Activity-

Approved

B15.2.4.2

District 5000 264 13.20 13.20 On-going Activity-

Approved

B15.2.5 Others

65.76 58.72

B15.2.5.1

Monitoring & Supportive Supervision for State

Quality Assurance Team and State Quality

Assessment & Mentoring team

30000

1 3.60 3.60

New Activity- Approved- Rs. 30,000.00/ month for 10 man days in the field

for 12 Months under mobility support for

SQAU=Rs. 30,000*12= Rs. 3,60,000.00

B15.2.5.2

Monitoring & Supportive Supervision for District Quality Assurance Team

and District Quality Assessment & Mentoring

team

6000 22 15.84 15.84 New Activity-Approved

B15.2.5.3

One day awareness workshop

104000 2 2.08 1.04

New Activity. One Awareness workshop @

Rs. 1,04,000.00 is approved

B15.2.5.4

2 days Training for Service Providers

266000 4 10.64 10.64 New Activity- Approved

67

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Remarks

B15.2.5.5

Human Resources - 28 Office Assistants (2 at State level and 26 at district level

(22+4))

10000 28 33.60 27.60

New Activity-1 Programme cum

administrative assistant at state level and 22 at

district level= 23*10000*12=Rs.

27,60,000.00 approved. 4 programme cum

administrative assistants for District Hospitals are

not approved.

B15.3 Monitoring and

Evaluation

623.50 485.31

B15.3.1 HMIS

361.77 319.08

B15.3.1.1

Statistical Assistant/ Data Analyst / MIS Officer / M&E Assistant at Block level (personnel forming

part of SPMU / DPMU are to be proposed under budget head of HR for

SPMU / DPMU)

26677 5 16.01 15.28

On-going Activity-Approved Salary of 5

HMIS Coordinator @ Rs. 24252/- per month + 5%

increment

B15.3.1.2

Data Entry Operators at Block level

10935 203 266.38 240.69

On-going Activity - Salary of 159 Block DEOs @ Rs. 10144/- per month

and 30 CRAs @ Rs. 9911/- per month + 5% increment is approved

B15.3.1.4

Training cum review meeting for HMIS &

MCTS

29.38 29.38

B15.3.1.4.1

Training cum review meeting for HMIS & MCTS at State level

83333 3 2.50 2.50

On-going Activity-Approved. Expenses for

food to participants, accommodation for

trainers, accommodation for participants, incidental expenses and charges for venue hiring as per RCH

norms subject to following extant rules.

68

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Remarks

Expected participants: 10 from State and 5 from

each District.

B15.3.1.4.2

Training cum review meeting for HMIS &

MCTS at District level 24727 44 10.88 10.88

On-going Activity-Approved

B15.3.1.4.3

Training cum review meeting for HMIS & MCTS at Block level

6780

236 16.00 16.00 On-going Activity-

Approved

B15.3.1.5

Mobility Support for HMIS & MCTS

30.00 33.73

B15.3.1.5.1

Mobility Support for HMIS & MCTS at State level

30000 1 3.60 3.00

On-going Activity- Approved Rs 3.00 Lakh. State should share the visit plan. TA / DA

should be as per extant rules. It should be ensured

that funds for mobility support for HMIS/

MCTS are not proposed under any other budget

head.

B15.3.1.5.2

Mobility Support for HMIS & MCTS at District level

10000 22 26.40 20.00

On-going Activity-Approved Rs 20 Lakh. State should share the visit plan. TA / DA

should be as per extant rules.

B15.3.1.6

Printing of HMIS Formats 200000

0 1 20.00 10.73

Approved Rs 10.73 Lakh. Printing should be done

based on competitive bidding following

Government protocols. MoHFW may be

consulted before printing since HMIS formats are

under revision.

B15.3.2 MCTS

185.43 166.23

B15.3.2.3

Procurement of Computer/Printer/UPS

50000

20 10.00 10.00 Approved

69

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Remarks

B15.3.2.7

Internet Connectivity through LAN / data card

24235 204 49.44 30.24

Ongoing activity. Approved Rs 30.24 Lakh for internet connectivity

1. @ Rs 5000 per month for State M&E Cell,

2. @ Rs 3000 per month per district M&E Cell

for 22 districts , 3. @ Rs 1000 per month

per Block for 118 Blocks and

4. @ Rs 1000 per month for 22 DH,

5. @ Rs 1000 per month for 41 SDH.

This is subject to 100% facility based reporting on

HMIS & MCTS portal and improvement in data quality thereof. These are indicative rates, final rates are to be arrived at as per DGS & D rate contract or

after competitive bidding

following Government Protocols. Consumables have been considered in B15.3.2.12 (other office

expenditure).

B15.3.2.12

Other office expenditure

1000000

1 10.00 10.00 Approved

70

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Remarks

B15.3.2.13

Mobile reimbursement (CUG SIM)

169 5725 115.99 115.99

Ongoing activity-Approved for mobile re-imbursement (CUG sim) @ Rs 169 per month per health provider for 5725

users. Valid only for those ANMs in respect of

whom the registration status and service delivery updating of beneficiaries in MCTS is more than

80%. State must ensure that all the phone

numbers of ANM should be updated and validated

on MCTS Portal. Procurement should be based on competitive

bidding following Government Protocols. The Telecom Service

Provider should be able to subscribe to USSD

gateway of NIC. Mobile reimbursement should be given only to those ANMs

whose mobile numbers are locked for using

USSD service and who are regularly using USSD

service for updating service delivery data on

MCTS portal.

B15.3.5 Other e-Governance

initiatives

76.31 0.00

B15.3.5.1

Incentive to ANMs for service updation in MCTS

portal through USSD 1 1 65.11 0.00 Approval pended.

71

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Remarks

B15.3.5.2

E-tablets for two blocks of District SBS Nagar on pilot basis for service updation through USSD using E-

tablets (District SBS Nagar has been selected as UHC Project has already been initiated in the district)

10000 10000 11.20 0.00

Approval Pended. State may submit the detail of the outcome of the pilot being utilized for service updation through USSD

using e -Tablets.

B.16 PROCUREMENT

9741.87 4994.55

B16.1 Procurement of

Equipment

2261.10 531.85

B16.1.1 Procurement of

equipment: MH

825.25 135.60

B16.1.1.1

Equipments for Blood Banks/ BSUs

129166 426 550.25 0.00 Approval pended

B16.1.1.3

Others (please specify)

275.00 135.60

B16.1.1.3.3

DG Sets for District Hospitals, Sub-division Hospitals and CHCs

50000 98 49.00 0.00 New Activity-Not

approved.

B16.1.1.3.10

Equipment maintenance (applies for all equipment - not restricted to Maternal

Health)

22600000

1 226.00 135.60

Approved 60% of the total approved amount of

Rs. 226 Lakh. Refer Appendix for remaining


B16.1.2 Procurement of equipment: CH

0.00 0.00

B16.1.3 Procurement of equipment: FP

8.80 7.80

B16.1.3.2

IUCD kits 3000 60 1.80 1.80 Approved for 60 kits @

Rs. 3000/kit

B16.1.3.3

minilap kits 6000 50 3.00 3.00 Approved for 50 kits @

Rs.6000/kit

B16.1.3.5

PPIUCD forceps 800 500 4.00 3.00 Approved for 500

PPIUCD forceps @ Rs. 600/forceps

B16.1.3.6

Other (please specify)

0.00 0.00


equipment: IMEP

980.00 1.00

72

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Remarks

B16.1.4.1

Standardization of Equipment for Bio Medical Waste Management - 2000

Bins and 272 Wheel Barrows

22007 2272 500.00 0.00 New Activity- Approval

pended

B16.1.4.2

Sewage Treatment Plant/ Effluent Treatment Plant

for 6 Hospitals

8000000

6 480.00 1.00

New Activity- Approval pended

Rs. 1.0 Lakh may be approved for the study tour to understand the

innovation. Subsequently, the state may put fresh

proposal for disinfection of liquid waste instead of

STP/ETP.


equipment other than above

150.00 0.00

B16.1.5.1

Equipment for Drug Testing Laboratory

10000000

1 100.00 0.00 Approval pended.

B16.1.5.5

Seed Money for Radiation Safety Agency

5000000

1 50.00 0.00 New Activity- Not

approved

B16.1.6 Equipment for RKSK &

RBSK

297.05 197.05

B16.1.6.3

Equipment for RBSK

297.05 197.05

B16.1.6.3.1

Equipment for Mobile health teams

38000 100 38.00 38.00 Ongoing activity-

Approved

B16.1.6.3.2

Equipment for DEIC 500000

0 5 250.00 150.00

Ongoing activity- Approved for 60% of the total approved amount of

Rs. 250 Lakh for 5 DEICs. State to follow RBSK DEIC guidelines

for procurement. Expenditure is as per

actual and to follow State rules and regulations for

procurement. Refer

73

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Remarks

Appendix for remaining 40% of the approval.

B16.1.6.3.3

Laptop for mobile health teams

50000 5 2.50 2.50

New activity-Approved for I Desktop, 1 Printer with Scanner for Each GMCH, 1 for PGI & 1 for GMCH -32 CHD.

State to report defects at birth in RBSK monthly reporting format from

delivery points.

B16.1.6.3.4

Desktop for DEIC 50000 10 5.00 5.00

New activity- Approved for 10 Desktop, printer

scanner 2 per DEIC @ Rs 50000 per set. State to

report on RBSK service access at each DEIC.

B16.1.6.3.5

Data card internet connection for laptops and

DEIC and rental 1000 155 1.55 1.55

New activity- Approved for 155 data cards @ 1000 each - 140 for MHT, 10

for DEIC and 3 for Each GMCH, 1 for PGI & 1 for GMCH -32 CHD. State to report on the online MIS of RBSK.

B.16.2 Procurement of Drugs

and supplies

6680.77 3862.70

B.16.2.1 Drugs & supplies for MH

105.62 105.61

B.16.2.1.1

RTI /STI drugs and consumables

16000

242 38.72 38.71

Rs. 38.71 lakh approved. RTI /STI drugs need to be procured in Kit form. From the proposal, it is not clear what is the unit cost of the RTI /STI kits. Procurement to be done by competitive bidding.

B.16.2.1.3

Others (Please specify)

66.90 66.90

74

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Remarks

B.16.2.1.3.1

300 Calcium Tablets per pregnant women (for 50%

PWs)

0.10

66900000

66.90 66.90

Rs. 66.90 lakh approved for approval for calcium

supplementation in pregnant women.

Program should be Implemented as per GOI

Guideline.

B.16.2.2

Drugs & supplies for CH

48.50 0.00

B.16.2.2.1

Zinc Sulphate Tablets 0.17 100000

0 1.70 0.00

Ongoing activity. Approval pended

B.16.2.2.2

Vitamin A Solution 52 90000 46.80 0.00 Ongoing activity. Approval pended

B.16.2.3

Drugs & supplies for FP

0.00 0.00

B.16.2.4

Supplies for IMEP

0.00 0.00

B.16.2.5

General drugs & supplies for health facilities

5540.85 3324.51

B.16.2.5.1

NHM Free Drug services 20.00

277042

34 5540.85 3324.51

Approved 60% of the total approved amount of Rs. 5540.85 Lakh. Refer appendix for remaining 40% of the approval.

B.16.2.6

National Iron Plus Initiative (Drugs &

Supplies)

921.30 368.08

B.16.2.6.1

Children (6m - 60months)

82.88 71.00

B.16.2.6.1.a

IFA syrups (with auto dispenser)

0.15

55250000

82.88 71.00


Rs. 129.38 Lakh. Refer Appendix for remaining


B.16.2.6.2

Children 5 - 10 years

145.55 93.80

B.16.2.6.2.a

IFA tablets 0.20 646880

00 129.38 77.63 Approved

B.16.2.6.2.b

Albendazole Tablets 0.65 248800

0 16.17 16.17 Approved

B.16.2. WIFS (10-19 years)

203.28 203.28

75

FMR code


Quantity/targ

et



Remarks

6.3

B.16.2.6.3.a


000 171.60 171.60

Approved for 11.44 crore tablets @ Rs. 0.15/- per

tablet

B.16.2.6.3.b


0 31.68 31.68

Approved for 44 lakh tablets @ Rs 0.72/- per

tablet

B.16.2.6.4

Women in Reproductive Age (non-pregnant & non-lactating) (20-49

years)

369.60 0.00

B.16.2.6.4.a


000 312.00 0.00 Not approved

B.16.2.6.4.b



B.16.2.6.5

Pregnant & Lactating Mothers

120.00 0.00

B.16.2.6.5.a


00 72.00 0.00

Not approved. Already approved under JSSK

head.

B.16.2.6.5.b

Folic Acid Tablets (400 mcg) for pregnant women

0.10 480000

00 48.00 0.00

Not approved. Already approved under JSSK

head.

B.16.2.7

Drugs & supplies for RBSK

64.50 64.50

B.16.2.7.1

Medicine for Mobile health team

5000

1290 64.50 64.50

On-going Activity--Approved for 258 teams.

State to ensure that requirement is identified by matching RBSK EDL

with State EDL and procure only medicines which are not available

with State EDL . Common medicines to be indented at the PHC level. Conditionality Each team to have all RBSK EDL

drug for on sopt management and maintain

76

FMR code


Quantity/targ

et



Remarks

stock position of drugs as per RBSK EDL.

Expenditure is as per actuals.

B.16.3 National Free Diagnostic

services

800.00 600.00

B.16.3.3 Others 1600 50000 800.00 600.00


Rs. 800 Lakh Free treatment for 1st 24-hour to the patients admitted in the emergency of District Hospital and SDH. Refer Appendix for remaining 25% of the approvals.

B.17 Drug Ware Housing

504.00 0.00

B.17.3 Others

504.00 0.00

B.17.3.1

Construction/ Renovation and strengthening of 100

(22 District & 41 Sub Division Level and 37

CHCs) Stores & Pharmacies. For District/

SDH Level @ Rs. 8.00 lakh each

800000


B.18 New Initiatives/

Strategic Interventions

192.00 60.00

B18.2 Others - Help Line 600000

0 1 60.00 60.00

On-going Activity- Approved

One stop crises management centre for

women victim of assaults

3300000

4 132.00 0.00 Not Approved

B.19 Health Insurance

Scheme

126.04 0.00

IT Support for Operationalization of

RSBY

12604000

1 126.04 0.00 Not Approved

B.21 State level health

resources centre(SHSRC)

77.40 77.40

77

FMR code


Quantity/targ

et



Remarks

B.21.1 SHSRC - HR 43000

15 77.40 77.40

Ongoing Activity. Approved. All the

positions have been approved on the same salary and approvals as

per the RoP 2014-15 (Rs. 55,000/- per month for

Consultants and Rs. 25,000/- per month for

Project Assistants and Rs. 1.50 lakh per month for

Executive Director).

B22 Support Services

5120.00 0.00

B22.6 Other NDCP Support

Programmes-HIV 1200

120.00 0.00 Not approved

B22.7 Non communicable

diseases

0.00

Support for Drug De-addiction Programme and setting up Rehabilitation

Centers

29411765

17 5000.00 0.00 Not approved

B.23 Other Expenditures

(Power Backup, Convergence etc)

372.91 252.91

B.23.6 Swachh Bharat Abhiyan 600000

0

5 300.00 180.00


Rs. 300 Lakh. Refer Appendix for remaining


B.23.7 Award to Public Health Facilities- KAYAKALP

72.91 72.91 Approved

B.24 Collaboration with

Medical Colleges and Knowledge partners

78

Annexure IEC

S.No Activity Physical

Target

Rate Amount

Prposed

(Rs.Lakhs

)

Amount

Approved

(Rs.Lakhs)

IEC Remarks

B.10.3.1.1

Use of Media Mix of Mid Media/ Mass Media

A. Hoardings (10X5) feet on JSSK, Early registration of pregnancy and Breast feeding

99 20,000 19.80 14.85 Approved @ Rs.15000/hoarding. State to follow extent tendering process.

B. Sun boards (6X4) feet in place of wall paintings

500 4000 20.00 5.00 Approved @ Rs.1000/sun board. State to follow extent tendering process.

C. Posters on JSSK 100000 7 7.00 5.00 Approved @ Rs.5/poster. State to follow extent tendering process.

D. Posters of Early registration of Pregnancy

100000 7 7.00 5.00

E. Posters on Breast Feeding 100000 7 7.00 5.00

F. Newspaper ads (6 bi monthly)

12 500000 60.00 60.00 Approved @ Rs.2.5lakh/advert. State should double the number of news paper adverts

G. Radio campaign 30 days per

quarter

500000 20.00 20.00 Approved, State needs to ensure that all themes of MH are covered.

H. TV and Cinema Slides 30 days in each quarter

TV spots on DD Jalandhar, DD Chandigarh, PTC Punjabi, etc.

4 1000000

40.00 40.00 Approved, State needs to ensure that all themes of MH are covered.

Cinema Slides 20 100000 20.00 20.00 Approved @ Rs. 1 lakh/cinema for 20 cinemas

Total B.10.3.1 200.80 174.85

B.10.3.2.1

Use of Media Mix of Mid Media/ Mass Media

79


Target

Rate Amount

Prposed

(Rs.Lakhs

)

Amount

Approved

(Rs.Lakhs)

IEC Remarks

A. Hoardings on Early and Exclusive Breast Feeding (10X5) feet at selected health institutions

22 20,000 4.40 0.00 Not Approved. Repeat proposal

B. Hoardings on Diarrhea (10X5) feet at selected health institutions

22 20,000 4.40 0.00 Not Approved. How can just 1 hoarding/distt lead to effective communication?

C. Hoardings on Pneumonia (10X5) feet at selected health institutions

22 20,000 4.40

D. Hoardings on Immunization (10X5) feet at selected health institutions

22 20,000 4.40

Hoardings on RBSK (10X5) feet at selected vantage points in the district

22 20,000 4.40

E. Sun boards (6X4) feet will be placed in place of using wall paintings covering issues related to Child Health and RBSK

350 4000 14.00 3.50 Approved @ Rs.1000/sun board. State to follow extent tendering process.

IEC & Publicity Material

a. 50 Thousand posters on ORS plus Zinc

50,000 7 3.50 2.50 Approved @ Rs.5/poster. State to follow extent tendering process.

b. 50 Thousand Posters on Diarrhea

50,000 7 3.50 2.50

c. 50 Thousand posters on Immunization

50,000 7 3.50 2.50

d. 50 Thousand Posters on Pneumonia

50,000 7 3.50 2.50

e. 3 lakh pamphlets on ORS plus Zinc

300000 80 p 2.40 2.40 Approved. State to follow extent tendering process. f. 3 lakh pamphlets on Diarrhea 300000 80 p 2.40 2.40

g. 3 lakh pamphlets on early and exclusive breast feeding

300000 80p 2.40 2.40

h. 3 lakh pamphlets on Immunization

300000 80 p 2.40 2.40

i. 3 lakh pamphlets on Pneumonia

300000 80 p 2.40 2.40

80


Target

Rate Amount

Prposed

(Rs.Lakhs

)

Amount

Approved

(Rs.Lakhs)

IEC Remarks

F. Newspaper Advertisements Approved

on CH issues in 8 – 10 leading newspapers (The Tribune, Hindustan Times, Times of India, Indian Express, Punjab Kesari, Dainik Bhaskar, Dainik Jagran, Ajit, Jagbani, Panjabi Jagran , etc.)

6 spots. Quarter

page (400sq

cm)

500000 30.00 30.00

G. Radio 30 day campai

gn in each

quarter

500000 20.00 20.00 Approved

Rdio campaign in on AIR, MY FM, BIG FM, etc.

Campaign on ORS plus Zinc (through the year)

Campaign on Pneumonia (Nov – Dec)

Campaign on Diarrhea (May – June)

Breast Feeding Week ( 1st – 7th Aug)

On Govt. DAVP consolidated rates

H. TV Ads & Cinema Slides

TV Ads on DD Jalandhar, DD Chandigarh, and PTC Punjabi etc. on Govt. DAVP rates.

30 days in each quarter

1000000


Cinema slides will be shown across Punjab on DAVP rates

20 cinema

s

100000 20.00 0.00 Not Approved. Rs.1 Lakh/cinema has been already recommended under MH, So all RMNCH+A themes should be displayed and not just MH

B10.3.2.2.

IPC Activities related to Child Health

81


Target

Rate Amount

Prposed

(Rs.Lakhs

)

Amount

Approved

(Rs.Lakhs)

IEC Remarks

A. Focus Group Discussions on Child Health

2950 500 14.75 14.75 Approved for FGD at each at 2950 SCs @ Rs.500/FGD. State to submit quarterly report of the audience covered and expected outcome of these FGDs.

B. State Level Workshop on Child Health

1 100000 1.00 1.00 Approved

District Level Workshop Child Health

22 20,000 4.40 0.00 Not Approved. The workshops were sanctioned last year as well, these cannot be sanctioned this year as they these do not provide SBCC to the population.

C. Block Level Workshop on Child Health

118 5000 5.90 0.00

D. Total B.10.3.2 203.95 131.25

B.10.3.4 .1

Media Mix of Mid Media and Mass Media

A. 4 spots of Ads in leading newspapers 400sqcm one in each quarter

4 50,000 20.00 8.00 Approved for 4 adverts in 4 leading news-papers in each quarter.

B. Radio Campaign in each quarter at consolidated Govt. DAVP rates

Quarterly

250000 10.00 10.00 Approved

C. IEC & Publicity Material on menstrual health, mental health, hygiene, Adolescent and Reproductive sexual health

a. Posters on different Adolescent Issues to be put up at AFHCs

50,000 Rs. 7.00 3.50 2.50 Approved @ Rs.5/poster. State to follow extent tendering process.

b. Pamphlets related to menstrual health and other adolescent issues

2,00,000

80p 1.60 1.60 Approved. State to follow extent tendering process.

B.10.3 Interpersonal Communication

82


Target

Rate Amount

Prposed

(Rs.Lakhs

)

Amount

Approved

(Rs.Lakhs)

IEC Remarks

.4.2

A. State level Workshop/ Seminar on adolescent and reproductive sexual health

1 100000 1.00 1.00 Approved

B. District Level Workshop on issues related to adolescent and reproductive sexual health

22 20000 4.40 0.00 Not Approved. The workshops were sanctioned last year as well, these cannot be sanctioned this year as they these do not provide SBCC to the population. Approved here for 4 outreach camps/block for 118 blocks @ Rs.2000/block

C. Block level workshop on topics related to adolescent and reproductive sexual health (118)

118 5000 5.90 9.44

Total B.10.3.4 46.40 32.54

83

Annexure- 3 Routine Immunization

FMR Code

Budget Head Quantity/ Target



Remarks

C.1

c.1.a Mobility Support for supervision for district level officers.

22.00 55.00 55.00 Approved as per norms

c.1.b Mobility support for supervision at state level


c.1.c Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

12593.00

57.30 57.30 Approved as per norms

c.1.d Support for Quarterly State level review meetings of district officer

66.00 3.30 3.30

Approved as per norms State to share the meeting notice & minutes with MoHFW

c.1.e

Quarterly review meetings exclusive for RI at district level with one Block MOs, CDPO, and other stake holders

22.00 1.76 1.76

Approved as per norms State to share the meeting notice & minutes with MoHFW

c.1.f Quarterly review meetings exclusive for RI at block level


c.1.g

Focus on slum & underserved areas in urban areas/alternative vaccinator for slums


c.1.h Mobilization of children through ASHA or other mobilizers

17360.00

312.48 312.48 Approved as per norms

c.1.i Alternative vaccine delivery in hard to reach areas

0.00 0.00

c.1.j Alternative Vaccine Delivery in other areas

182900.00

137.18 137.18

Approved as per norms The norms for AVD are for budgetary purpose, however, need based support need to be provided for vaccine delivery as per local situation.

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


84

FMR Code




Remarks

c.1.l For consolidation of micro plans at block level


c.1.m POL for vaccine delivery from State to district and from district to PHC/CHCs


c.1.n Consumables for computer including provision for internet access for RIMs


c.1.o Red/Black plastic bags etc. 182900.

00 5.49 5.49 Approved as per norms

c.1.p Hub Cutter/ Bleach/ Hypochlorite solution/Twin bucket


C.1-Sub Total 661.91 661.91

C.2

C.2.1 Computer Assistants support for State level

1.00 1.66 1.58 Overall 5 % hike for 12 months

C.2.2 Computer Assistants support for District level

22.00 29.04 27.72 Overall 5 % hike for 12 months

C.2.3 Others(service delivery staff) 9.00 10.77 10.28

Overall 5 % hike for 12 months for continued post of 8 cold chain technicians and 1 statistical assistant at state This HR to be shifted in part A.

C.2-Sub Total 41.47 39.58

C.3

C.3.1

District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse Midwives, BEEs & other staff ( as per RCH norms)

5900.00 0.00 0.00

C.3.2

Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module)

1180.00 0.00 0.00

85

FMR Code




Remarks

C.3.3

One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats

1.00 0.56 0.56 Approved, but expenditure has to be as per NRHM

norms. Also, all the trainings should be approved from Immunization division. C.3.4

Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers

2950.00 72.69 72.69

C.3.5 One day training of block level data handlers by DIOs and District cold chain officer

1.00 0.00 0.00

C.3.6 Others

C.3-Sub Total 73.25 73.25

C.4 Cold chain maintenance 1.00 20.89 20.89

Approved as per norms. The expenditure to be booked as per actual. Re-appropriation of funds within part C can be considered on full utilization of the fund.

C.5 ASHA incentive for full Immunization

425000.00

637.50 637.50 Approved as per norms.

Total ROUTINE IMMUNIZATION

1435.02 1433.13

C.6 Pulse Polio Operational Cost (Tentative)

1.00 582.00 582.00 Approved

Total 2017.02 2015.13

86

Annexure 4 National Urban Health Mission (NUHM)

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

1 Planning & Mapping 0

2 Programme

Management 139.15 123.18

2.1 State PMU 11.4 11.17

2.1.1 Human Resources 2 22,500.

00 2 5.4 5.17

Ongoing Activity-

Approved 1 urban

health Manager @

Rs. 31,500/- per

month, Statistical

Assistant @ Rs.

11,550/- per month. 5

% salary Hike subject

to completion of one

year

2.1.2 Mobility support 1 30,000.

00 1 3.6 3.6

Ongoing Activity-

Approved

2.1.3 Office Expenses 1 20,000.

00 1 2.4 2.4

Ongoing Activity-

Approved

2.2 District PMU 87.91 86.32


00 28 35.11 33.52

Ongoing Activity-

Approved Salary of 6

Urban Project

Coordinators @ Rs.

15,750/- per month

and 22 Computer

Operators @ Rs.

8,400/- per month. 5

% salary Hike subject

to completion of one

year


00 22 26.4 26.4

Ongoing Activity- Approved

2.2.3 Office Expenses 22 10,000.

00 22 26.4 26.4

Ongoing Activity-

Approved

87

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

2.3 City PMU 39.84 25.69


00 9 14.64 13.99

Ongoing Activity-

Approved 3 City

Project Coordinator

@ Rs. 15,750/- per

month, 3 Statistical

Assistant @ Rs.

11,550/- per month

and 3 Accountant @

Rs. 11,550/- per

month for 3 CPMUs

(Ludhiana, Amritsar

and Jalandhar). 5 %

salary Hike subject to

completion of one

year


00 3 9.00 9.00

Ongoing Activity-

Approved

2.3.3 Office Expenses 18 7,500.0

0 18 16.2 2.7

Ongoing Activity-

Approved Office

Expenditure for 3

Cities @ Rs.7,500/-

month/city.

3 Training & Capacity

Building 191.52 0

3.6 Selection & Training

of ASHA 2394

8,000.0

0 2394 191.52 0

In FY 13-14 and 14-

15 already 247.87

lakh was approved for

training of 2394

ASHAs on Module

VI and VII, hence not

approved

3.7 Other

Trainings/Orientations

4 Strengthening of

Health Services 5928.19 3732.8

4.a Human Resource 1662.65 1418.39

88

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

4.b Infrastructure 1995 1250

4.c Untied grants 153 153

4.d Procurement (drugs

and consumable) 1307.84 145

4.e Other services 809.7 766.41

4.1

Outreach

services/camps/UHN

Ds

541.08 518.4

4.1.1 UHNDs 37872 250 37872 94.68 72

Ongoing Activity-

Approved UHND 4

per ANM per month

@ Rs. 250/- per

session for 600

existing ANMs.

4.1.2

Special outreach

camps in slums/

vulnerable areas

4464 10,000.

00 4464 446.4 446.4

Ongoing Activity-

Approved Special

Outreach Camp @

Rs. 10,000/- per

camp. 4 Camps per

UPHC for 93 UPHCs.

4.2 ANM/LHV 767.34 684.12

4.2.1 Salary support for

ANM/LHV 600

10,000.

00 600 720 646.08

Ongoing Activity-

Approved 5% hike in

salary for 260 ANMs

(shifted from U-RCH)

@ Rs.9723/- per

month and Rs. 8,400/-

per month for 340

ANMs. 5% salary

Hike subject to

completion of one

year

89

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

4.2.2 Mobility support for

ANM/LHV 789 500 789 47.34 38.04

Ongoing Activity-

Approved Rs. 500/-

per ANM for 600

existing and 34

existing LHVs

4.3 Urban PHC (UPHC) 3354.77 1265.27

4.3.1

Renovation/upgradati

on of existing facility

to UPHC

29 5,00,00

0.00 29 145 0 Not approved

4.3.2 Building of new

UPHC 12

50,00,0

00.00 12 600 0

Not approved as land

is not identified till

date. Funds approved

in FY 2013-14 and

2014-15 may be

utilised for other

NUHM activities

under FMR code 7.

4.3.3

Operating cost

support for running

UPHC (other than

untied grants and

medicines &

consumables)

1163.93 982.27

4.3.3.

1 Human Resource 942.65 772.3

90

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

4.3.3.

1.1 MO salary 155

22,275.

00 155 414.32 335.66

Ongoing Activity-

Approved-

(a)33 Full Time MOs

@ Rs. 31,500/- per

month for 12 months

(b) 93 Part Time MOs

@ Rs. 18,900/- per

month for 12 month.

5 % salary Hike

subject to completion

of one year.

Also recommended

for 29 Part time

Medical Officers @

Rs. 18,000/- per

month for UPHCs to

be created as separate

block in DH/SDH.

Approval shifted

under FMR 7:

Innovations & PPP

4.3.3.

1.2

Salary of paramedical

& nursing staff (Staff

Nurse/ Lab

Technician/

Pharmacist/ Other)

399 9,200.0

0 399 440.5 369.68

Ongoing Activity-

Approved

(a) 186 Staff Nurses

@ Rs. 10,500/- per

month for 12 months

(b) 33 Pharmacists @

Rs. 10,500/- per

month for 12 months

(c) 93 LTs @ Rs.

8400/- per month for

12 months.

5 % salary Hike

subject to completion

of one year

91

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

Also approved 29 Part

time Staff Nurses, 29

Part time Pharmacists

and 29 Part time LTs

@ Rs. 5,000/- per

month for UPHCs to

be created as separate

block in DH/SDH.

Approval shifted

under FMR 7:

Innovations & PPP

4.3.3.

1.3

Salary of support staff

(non clinical staff) 122

6,000.0

0 122 87.84 66.96

Ongoing Activity-

Approved

(a) 93 support staff @

Rs. 6000/month (as

proposed by the State)

for 93 U-PHCs for 12

months.

Also approved 29

support staff @ Rs.

5,000/- per month for

UPHCs to be created

as separate block in

DH/SDH. Approval

shifted under FMR 7:

Innovations & PPP

4.3.3.

1.4

Public Health

Manager

4.3.3.

2 Office Expenses 122

7,000.0

0 122 102.48 91.17

Ongoing Activity-

approved @ Rs.

7000/month per U-

PHC as an office

expenses for 93 U-

PHCs for 12 months.

Also approved @ Rs.

7000/month per U-

PHC as an office

expenses for 29 U-

PHCs for 9 months.

92

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

4.3.3.

3 Others 33

30,000.

00 33 118.8 118.8

Ongoing Activity-

Approved rent for 33

U-PHCs @ Rs.

30,000/mon for 12

months.

4.3.4 Untied grants to

UPHC 93

1,48,38

7.00 93 138 138

Ongoing Activity-

Approved 60 existing

U-PHCs functioning

in government

buildings @ Rs.1.75

lakh/U-PHC and 33

U-PHCs on rent @

Rs. 1 lakh/U-PHC.

4.3.5 Medicines &

Consumables for

UPHC

1307.84 145

4.3.5.

1 Emergency drugs

4.3.5.

2 Others 122

10,72,0

00.00 122 1307.84 145.00

New Activity

Approved. State may

utilize its committed

unspent on priority.

approved for 29

UPHCs @ Rs 5 Lakh

per UPHC to be

operationalized from

DH/ SDH building

4.4 Urban CHC (UCHC) 1265 1265

4.4.1 Capital cost support

for new UCHC 10

125,00,

000 10 1250 1250

Ongoing Activity-

Approved. In FY 14-

15, New construction

was approved for 10

U-CHCs @ Rs. 300

lakh. An amount of

Rs. 1500 lakh was

approved i.e 50% of

the total project cost.

Remaining 42%

proposed for the

current FY is

93

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

approved.

4.4.2 Human Resource 0 0

4.4.3 Untied grants for

UCHC 3

5,00,00

0.00 3 15 15

Ongoing Activity-

Approved for 3

UCHCs @ rs 5.00

lakh per UCHC

4.5 RBSK 0 0

4.6 IEC/BCC

5 Regulation &

Quality Assurance 0 0

6 Community

Processes 287.28 287.28

6.2 ASHA (urban) 287.28 287.28

6.2.1 ASHA Incentives 2394 2,000.0

0 2394 287.28 287.28

Ongoing Activity-

approved @ Rs.

2000/month for 2394

ASHAs for 6 month.

In FY 14-15 Rs.

143.64 lakh was

approved which has

been kept as

committed

expenditure and will

be utilized in the

current FY.

6.2.2 ASHA Drug kits and

HBNC kits

6.3 NGO support for

community processes

7 Innovative Actions &

PPP 23

25,000.

00 23 69 0

Ongoing Activity-

Approved total Rs.

140.30 Lakh for-

(a) Rs. 41.12 Lakh for

Operational cost of

Kiosk @ Rs 14,900

per kiosk for 23 kiosk

for 12 months.

94

S. No. Budget Head

Unit of

Measu

re

Unit

Cost

Quantity

/ Target

Budget

Propose

d (in

Lakhs)

Amount

Approved

(in Lakhs)

Remarks

New Activity:

(b) Rs. 99.18 Lakh

for- 29 Part-time MOs

@ Rs. 18,000/- per

month, 29 staff

nurses, 29

pharmacists, 29 LTs

& 29 support staff @

Rs. 5,000/- per month

for 9 months at 29

DHs is approved for

conducting evening

OPD.

State to share the list

of 29 DH/SDH. State

tp utilize the amount

approved in FMR

code 4.3.2 in FY 2013

– 14 and 2014 – 15

i.e. Rs. 125 lakh &

Rs. 375 lakh

respectively (Total

Rs. 500 lakh) for

these activities.

.

8 Monitoring &

Evaluation 0 0

TOTAL 6,615.14 4,143.26

95

Approvals: At a Glance

Indicators Number

approve

d in

2014-15

Number recommended for approval

(2015 - 16)

Remarks

Continued New Total

1.Planning and Mapping

a) Number of cities covered

under NUHM

40 40 0 40

b) Total population covered

under NUHM (lakh)

78.30 78.30 0 78.30

c) No. of slums covered under

NUHM

1296 1296 0 1296

d) Slum population covered

under NUHM (lakh)

28.16 28.16 0 28.16

e) Other vulnerable population

covered under NUHM

- - - -

2. Program Management

At State Level

Number of Personnel for the

SPMU

2 2 0 2

At District Level

a) Number of DPMUs to be

strengthened

22 22 0 22

b) Number of Personnel for the

DPMUs

28 28 0 28

At City Level

a) Number of city PMUs 3 3 0 3

b) Number of Personnel for city

PMUs 9 9 0

9

3. Training & Capacity Building

a) No. of Urban Local Bodies 0 0 0 0

b) No. of MOs to be trained 0 0 0 0

c) No. of ANMs to be trained 0 0 0 0

d) No. of Paramedical Staff

other than ANM to be trained

0 0 0 0

e) Other trainings (if any)

4. Strengthening of Health Services

4.a Human Resource

1.No. of Medical

Officers

Full

time

33 33 0 33 State has decided

that instead of

creating physical

infrastructure, Part

time

93 93 29 122

96

Indicators Number

approve

d in

2014-15


(2015 - 16)

Remarks

Continued New Total

2.No. of Specialists 0 0 0 0 existing

infrastructure of

these cities is to be

utilized for economy

of resources. So a

separate block will

be created in the

DH/ SDH for

UPHC. 29 UPHCs

in DHs & SDHs of

these cites (only

where more than 1

UPHC is to be

established) Rs 5

lakh each for

alternation/

modifications

proposed.

3. No. of Staff Nurses 186 186 29 (part

time)

215

4. No. of LHVs 0 0 0 0

5. Number of ANMs 600 600 0 600

6. No. of Para-

medical staff (other

than LHV, ANM)

Lab.

Tech.

93 93 29 (part

time)

122

Pharmaci

sts

33 33 29 (part

time)

62

Support

Staff

93 93 29 (part

time)

122 State may engage

Support Staff

through Outsourcing

4.b Infrastructure

1. No. of existing urban facilities

(UFWCs, UHCs, UHPs, RCH

Dispensaries, Maternity Homes

etc.)

60 60 0 60

2. Construction Work-

Renovation/New Construction

UPHCs Renovation and

Upgradation

22 0 0 0

New Construction 10 0 0 0 In FY 2013-14 and

2014-15, approval

for new construction

of 10 UPHCs was

given. State has not

yet identified the

land. They have

withdrawn their

proposal.

UCHCs Renovation and

Upgradation

0 0 0 0

97

Indicators Number

approve

d in

2014-15


(2015 - 16)

Remarks

Continued New Total

New Construction 10 10 0 10

3. No. of Mobile UPHCs 0 0 0 0

5. Community Process

(a) No. of RKS created at UPHC

and UCHC

0 0 0 0

(b) Number of

Accredited

Social Health

Activists

(ASHAs)

Selected 2394 2394 0 2394

Trained

2394 2394 0 2394

(c) Number of

Mahila Arogya

Samiti (MAS)

Formed 8974 8974 0 8974

Training 8974 8974 0 8974

98

Annexure 5 Integrated Disease Control Programme (IDSP)

FMR Code

Budget Head Quantity/

Target

Duration Budget Proposed

(in Lakhs)

Amount Approved (in

Lakhs)

Remarks

E.1

E.1.1 State Epidemiologist @Rs. 42,000/- PM

1 12 5.28 5.04

a.*Remuneration for vacant positions to be

calculated for 6 months.

b. Remunerations for the posts of

Epidemiologist, microbiologist and Consultant training, for candidates with

medical qualifications to be more, than those without medical

qualification. c. DEO for NUHM not approved under

IDSP.

E.1.2 State Microbiologist @Rs. 30,000/-pm

1 12 3.76 3.76

E.1.3 State Veterinary consultant @Rs. 30,000/- pm

1 6 1.98 1.80*

E.1.4 Consultant-Training/ Technical @Rs. 40,000/- pm

1 6 2.64 2.40*

E.1.5 Entomologist @Rs. 29,917/- pm 1 12 3.76 3.59

E.1.6 Consultant-Finance/ Procurement @Rs. 24,167/- pm

1 12 3.04 2.90

E.1.7 State Data Manager @Rs. 21,000/- pm

1 12 2.64 2.52

E.1.8 State Data Entry Operator @Rs. 13,667/- pm

2 12 3.43 3.28

E.1.9 District Epidemiologists @Rs. 42,000/- pm

12 12 63.36 60.48

District Epidemiologists @Rs. 40,000/-

10 6 26.40 24.00*

E.1.10 District Microbiologist @Rs. 31,500/-

13 12 51.48 49.14

District Microbiologist @Rs.31,333/- pm

1 12 3.76 3.76

E.1.11 District Data Manager @Rs.18,898/-pm

18 12 52.27 40.82

District Data Manager @Rs. 18,000/- pm

4 6 4.32*

E.1.12 Data Entry Operator @ Rs. 12600/- pm

21 12 39.60 31.75

Data Entry Operator @ Rs. 12,000/- pm

4 6 2.88*

E.1.13 Lab Assistants @ Rs. 8,397/- pm 13 12 27.98 13.10

Lab attendants @ Rs. 6,602/- pm 13 12 10.30

Others if any, For NUHM additional 1 District DEO for corporate cities of Ludhiana, Amritsar, Jalandhar, Patiala & Bathinda

5 6 0.00

Sub Total 291.38 265.85

E.2 Training

E.2.1 Medical Officers (3 Days) 2 1.46 11.00 a. A budget of Rs

99

FMR Code


Target


(in Lakhs)

Amount Approved (in

Lakhs)

Remarks

E.2.2 Medical College Doctors (1 day) 1 0.67 11.00 Lakhs is approved for Training

for F.Y. 2015-16. b. State to share

quarter wise training schedule with the

CSU.

E.2.3 Hospital Pharmacists/ Nurses Training (1 day)

44 6.13

E.2.4 Lab Technician

E.2.5 Data managers 2 0.98

E.2.6 Data entry operators cum accountants

1 0.55

E.2.10 Others if any (please Specify) 2 1.52

Sub Total 11.49 11.00

E 3 Laboratory Support

District Public Health Laboratory

E.3.1

Non-recurring costs on account of equipment for district public health labs requiring strengthening.

0.00 71.6

The budget proposed under E3.5 is

approved under E3.1 for DPHL at District Hospital of districts Fazilka, Tarn Taran, Moga and Pathankot @17.9 Lakhs per Lab

E.3.2

Recurring costs on account of Consumables, kits, communication, misc expenses etc at each district public health lab (applicable only for functional labs having requisite manpower).

28.04 28.04

A budget of Rs 28.04 Lakhs is approved as recurring cost for 13 DPL/DPHLs. State may budget for the

yet to be strengthened labs

after they are made functional.

E3.4

Referral Network of laboratories (Govt. Medical College labs) Reimbursement based payment for laboratory tests. (to be calculated for already approved labs in previous PIPs of States for corresponding next years)****


E 3.5

Expenses on account of consumables, operating expenses, office expenses, transport of samples, miscellaneous etc.


Sub Total 44.04 115.64

E4

100

FMR Code


Target


(in Lakhs)

Amount Approved (in

Lakhs)

Remarks

E.4.1 MOBILITY: Travel Cost, POL, mobility cost at SSU & DSU on need basis

29.20

50

A budget of Rs 50 Lakhs is approved as operational cost for

F.Y.2015-16. E.4.2

Office expenses on telephone, fax, Broadband Expenses, Weekly Alert Bulletin/Annual Disease Surveillance report, minor repairs and AMC of IT/office equipment supplied under IDSP, Meetings and other miscellaneous expenditures etc.

41.20

Sub Total 70.40 50.00

E.5 Any state specific

8 New proposed District Lab at Amritsar, Fazilka, Tarn Taran, Moga, Pathankot, Ludhiana, Faridkot and Patiala

8 167.04 0.00 Approved under E.3.1

State Public Health Lab (Testing Lab for Bacteriological examination and Heavy Metals)

1 19.85 0.00

TOTAL 507.21 442.49

101

Annexure 6

National Vector Born Disease Control Programme (NVBDCP)

FMR Code




Remarks

F.1 DBS (Domestic Budget Support)

F.1.1 Malaria

F.1.1.a Human Resource including MPW contractual

17.70 0.00 Not approved

F.1.1.b ASHA Incentive 39.01 39.00 Approved

F.1.1.c Operational Cost

Spray Wages 5.50 0.00 Not approved. It should be from the state resources

Operational cost for IRS 2.00 0.00 Not approved

F.1.1.d Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

45.00 45.00

Approved. Funds can also be utilized for printing of new forms / strengthening of NAMMIS

F.1.1.e IEC/BCC 22.00 22.00 Approved

F.1.1.g Training / Capacity Building 15.00 15.00 Approved

F.1.1.h Zonal Entomological units 23.00 23.00 Approved

F.1.1.j Larvivorous Fish support 14.00 14.00 Approved

F.1.1.k Construction and maintenance of hatcheries


F.1.1.l Contingencies 75.00 75.00 Approved

Total Malaria (DBS) 285.71 260.50

F.1.2 Dengue & Chikungunya

F.1.2.a(ii)

Sentinel surveillance Hospital recurrent


ELISA facility to Sentinel Surv Labs 20.00 10.00 Approved F.1.2.c Monitoring and evaluation 10.00 10.00 Approved F.1.2.d Epidemic containment 15.00 7.00 Approved F.1.2.e Case management 5.00 5.00 Approved

F.1.2.f Vector Control & environmental management


F.1.2.g IEC BCC for Social Mobilization 15.00 15.00 Approved F.1.2.h Inter-sectoral convergence 3.00 3.00 Approved

F.1.2.i Training including Operational Research


Total Dengue/Chikungunya 145.05 105.00

F.1.3 Acute Encephalitis Syndrome (AES)/ Japanese Encephalitis (JE)

F.1.3.c Capacity Building 1.50 1.50 Approved

Total AES/JE 1.50 1.50

Total Lymphatic Filariasis 0.00 0.00

Total Kala-azar 0.00 0.00

102

FMR Code




Remarks

Total (DBS) 432.26 367.00

F.3 GFATM support for Malaria (NE states)

F.3.a Project Management Unit including human resource of N.E. states

Not Applicable

Not Applicable

Total : EAC component 0.00 0.00

F.4 Any Other Items ( Please Specify) 0.00 0.00

F.5 Operational costs ( mobility, Review Meeting, communication, formats & reports)

0.00 0.00

Grand total for cash assistance under NVBDCP (DBS + EAC)

432.26 367.00

F.6 Cash grant for decentralized commodities

F.6.a Chloroquine phosphate tablets 85.00 85.00 Approved. The commodities are recommended however it may be restricted to Norms.

Total grant for decentralized commodities

173.84 85.00

Grand Total for grant-in-aid under NVBDCP

606.10 452.00

Commodity to be supplied by NVBDCP

0.00 0.00

Total NVBDCP Cash + Commodity

606.10 452.00 `

103

Annexure 7

Revised National Tuberculosis Control Programme (RNTCP)

FMR Code




GoI Remarks

H.1 Civil works 1) Civil work Up gradation and maintenance completed as planned; 2) Funds in the head utilized against the approved amount

71.3 47.70 No new Infrastructure

approved

H.2 Laboratory materials 1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL OSE and Panel Testing in the year; 3) IRLs accredited and functioning optimally; 4) Funds in the head utilized against the approved amount

95.37 60.00 Approved Rs 60 Lakh.

H.3 Honorarium 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY; 2) Funds in the head utilized against the approved amount

285.644 149.03 Approved Rs. 149.03

Lakh

H.4 ACSM 1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding; 3) Funds in the head utilized against approved amount

71.444 40.00 Approved Rs. 40 Lakh

H.5 Equipment maintenance

1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition; 3) Funds in the head utilized against approved amount

35.85 22.72 Approved Rs. 22.72

Lakh

H.6 Training 1) Induction training, Update and Re-training of all cadre of staff completed as planned; 2) Funds in the head utilized against approved amount


H.7 Vehicle maintenance 1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained; 2) Funds in the head utilized against approved amount

200.35 136.89 Approved Rs. 136.89

Lakh

H.8 Vehicle hiring 1) Increase in supervisory visit of DTOs 17.5 17.5 Approved Rs. 17.50

104

FMR Code




GoI Remarks

and MOTCs; 2) Increase in case detection and improved case holding; 3) Funds in the head utilized against approved amount

Lakh

H.9 PPM (NGO/PP support)

1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT 3) Funds in the head utilized against approved amount

255.847 195.13

Total approved Rs. 195.13 Lakh. For

schemes only Rs. 16.75 lakhs approved as no detailed breakup was

there.

H.10 Medical Colleges 1) All activities proposed under Medical Colleges head in PIP completed; 2) Funds in the head utilized against approved amount

92.7 92.7 Approved

H.11 Office Operations 1) All activities proposed under miscellaneous head in PIP completed; 2) Funds in the head utilized against approved amount


H.12 Contractual services 1) All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount 807.84 783.53

Post of helper and safai karamchari not approved. Detailed

approved HR sheet is placed at Annexure

H.12.a. Annual increment is 5%.

H.13 Printing 1) All printing activities at state and district level completed as planned; 2) Funds in the head utilized against approved amount


H.14 Research, studies & Consultancy

1) Proposed Research has been initiated or completed in the FY as planned; 2) Funds in the head utilized against approved amount

5.00 5.00 Approved

H.15 Procurement of drugs


H.16 Procurement –vehicles

1) Procurement of vehicles completed as planned; 2) Funds in the head utilized against approved amount

3.50 3.50 Approved for the

procurement of two wheelers only

H.17 Procurement – equipment

1) Procurement of equipments completed as planned; 2) Funds in the head utilized against approved amount

0 0

H.18 Patients support & Transportation

1) All eligible patients and suspects are paid these supports in all districts in the FY; 2) Funds in the head utilized against the

35.5 35.50 Approved

105

FMR Code




GoI Remarks

approved amount

H.19 Supervision and Monitoring

1)S&M as planned, SIE has completed 2) Funds in the head utilized against approved amount


Total cash (A) 2278.961 1770.076

Total Commodity 216.58

Grand Total 1986.656

State share(25%) 496.664

GoI Share(75%) 1489.992

HUMAN RESOURCE ANNEXURE

S. No. Human Resource

No. of existing

approved posts to

be continued

No. of additional

posts approved

Total posts

Salary Per

Month

Budget approved

Contractual Salary Head

State level:

1 Asst Programme Officer/Epidemiologist

1 1 40000 480000

2 Medical officer – STC 1 1 36729 440748

3 DRTB Coordinator 1 1 40000 480000

4 TB/HIV Coordinator 1 1 44000 528000

5 Microbiologist for IRL 1 1 38500 462000

6 Sr.LT at IRL 1 1 9280 111360

7 State IEC Officer

8 Accounts Officer /State Accountant 1 1 25940 311282

9 SDS Pharmacist 1 1 13200 158400

10 Store Assistant (SDS) 1 1 8000 96000

11 DEO (State TB Cell) 1 1 14412 172946

12 DEO (IRL) 1 1 14412 172946

13 Secretarial Asst 1 1 10000 120000

14 DEO – STF (if approved) 0

15 Technical Officer – procurement & logistics

1 1 25000 300000

16 IRL – Microbiologist EQA 1 1 35000 420000

17 C&DST Lab – Microbiologist* 1 1 40000 480000

106


No. of existing

approved posts to

be continued

No. of additional

posts approved

Total posts

Salary Per

Month

Budget approved

18 C&DST Lab – Sr LT* 1 1 12000 144000

19 C&DST Lab – DEO* 1 1 13000 156000

20 Sr. MO-DRTB Centre 3 3 40000 1440000

21 SA- DRTB Centre 3 3 20900 752400

22 Councillor - DRTB Centre 3 3 10000 360000

23 Helper 0 10000 0

24 Safai Sewak/Sweeper 0 10000 0

25 Other (specify)

26 Other (specify)

TOTAL - STATE LEVEL 26 0 26 7586083

District Level:

Contractual Services

1 Medical Officer-DTC 3 3 40000 1440000

2 Senior DOTS plus TB – HIV Supervisor 22 22 21500 5676000

3 STS 134 4 134 15400 24763200

4 STLS 59 59 15400 10903200

5 DEO 22 22 14000 3696000

6 Accountant – full time 22 22 11000 2904000

7 Contractual LT 137 6 143 9280 15924480

8 Driver ( if sanctioned from RNTCP ) 1 1 5000 60000

9 Other (specify) 0

10 DRTB centre Sr. MO 3 3 40000 1440000

11 DR TB Centre Statistical Assistant 3 3 19000 684000

12 DRTB centre Counsellor 3 3 10000 360000

13 Microbiologist – C&DST lab (if approved

14 LTs – C&DST lab (if approved)

15 DEO – C&DST lab (if approved)

16 District Program Coordinator 22 22 22000 4356000

Any other (specify)

TOTAL 70766880

Medical college Head:

1 MO-Medical college 9 9 40000 4320000

2 LT-Medical college 9 9 10000 1080000

3 TBHV-Medical college 9 9 10000 1080000

107


No. of existing

approved posts to

be continued

No. of additional

posts approved

Total posts

Salary Per

Month

Budget approved

PP/NGO Head:

1 PPM/ACSM Coordinator 22 22 19000 3762000

2 TBHV 102 102 11500 14076000

108

Annexure 8

National Programme for Control of Blindness (NPCB)

FMR Code




GoI Remarks

I RECURRING GRANT-IN-AID

I 1.1

I 1.1

Reimbursement for cataract

operation for NGO and

Private Practitioners as per

NGO norms @Rs.1000/-

Assistance for

consumables/drugs/medicin

es to the Govt./District

Hospital for Cat sx etc.@

Rs.450/- per case

2000

2000

20.00

9.00

20.00

9.00

Approved

Approved

I 1.2 Other Eye Diseases Diabetic Retinopathy @Rs.1500/- childhood Blindness @Rs.1500/- Glaucoma @Rs.1500/- Keratoplastiy @Rs.5000/- Vitreoretinal Surgery @Rs.5000/-

400 100 200 150 150

6.00 1.50 3.00 7.50 7.50

6.00 1.50 3.00 5.00 5.00

Approved

I 1.3 Screening and free spectacles to school children @ Rs.275/- per case

6000 16.50 16.50 Approved

I 1.4 Screening and free spectacles for near work to Old Person (New component) @Rs.100/- per case

10000 10.00 10.00 Approved

I 1.5 Recurring GIA to Eye Bank

@ Rs.2000/- per pair(Eye

Bank will reimburse to

Eye Donation Centre for eye

collected by them @

Rs.1000/- per pair)

80 1.60 1.60 Approved

I 1.6 Training of PMOA @Rs.2 lakh per states


I 1.7 State level IEC @Rs.5 lakh for Minor State and Rs.10 lakh for Major States

- 5.00 5.00 Approved

109

FMR Code




GoI Remarks

I 1.8 Maintenance of Ophthalmic Equipment @Rs.5 lakh per unit

4 20.00 5.00 Approved

I 1.9 Management of Health Society

1 10.00 10.00 Approved

I2 NON RECURRING GRANT-IN-AID

I.2.1 Grant-in-aid for strengthening of Distt. Hospitals @ Rs.40 lakh

2 80.00 80.00 Approved

I.2.2 Grant-in-aid for Sub Divisional Hospitals @ Rs.20 lakh

1 20.00 20.00 Approved

I.2.3 For Vision Centre (PHC) (Govt. + NGO) @ Rs.1 lakh

35 35.00 20.00 Approved

I.2.4 For Eye Bank Rs.25 lakh 1 30.00 0 Not Approved

I.2.5 For Eye Donation Centre (New) @ Rs.1 lakh


I.2.6 For GIA to NGOs for setting up/expanding eye care unit in semi-urban/ rural area @ Rs.40 lakh

1 40.00 0 Not Approved

I.2.7 For Construction of Eye Wards and Eye OTS (renamed as dedicated eye unit)@ Rs.100 lakh


I.2.8 For Mobile Ophthalmic Units (renamed as Multipurpose distt. Mobile ophthalmic unit @ Rs.30 lakh


I.2.9 Fixed tele- ophthalmic network unit in Got. Set up/ internet based ophthalmic consultation unit) @Rs.15 lakh

5 75.00 30.00 2Unit Approved

I3 CONTRACTUAL MAN POWER

I.3.1 Ophthalmic Surgeon* 2 14.40 14.40 Approved

I.3.2 Ophthalmic Assistant * 30 45.36 45.36 Approved

I.3.3 Eye Donation Counsellors* 2 3.78 3.78 Approved

I.3.4 Data Entry Operator* 9 8.64 8.64 Approved

Total 603.78 323.78

110

Annexure 9 National Programme for Healthcare of the Elderly (NPHCE)

FMR Code




Remarks

K.1. Recurring Grant-in-Aid

K.1.1 District Hospital

K.1.1.1 3 Machinery & Equipment @ Rs. 3.00 lakh per unit

11 22.00 22.00 Approved @ Rs. 2 lacs/district

K.1.1.2 10 Drugs and Consumable @ Rs.10 lakh per unit


K.1.1.3 0.8 Training of doctors and staff from CHCs and PHCs @ Rs. 0.80 lakh per

unit

11 8.80 8.80 Approved @ Rs. .80 lacs/district

K.1.1.4 1 Public Awareness & IEC @ Rs. 2 lakh per unit


K.1.1.5 32.4 Human Resource (Contractual) @ Rs. 32.40 lakh per unit

Funds are approved under HR for one year of existing and for 06 months for new districts

K.1.1.6 12 Consultant Medicine 2 @ Rs. 50,000 p.m.

11 49.50 49.50 Approved

K.1.1.7 14.4 Nurses 6 @ Rs. 20,000 p.m. 33 35.64 35.64 Approved

K.1.1.8 2.40 Physiotherapist 1 @ Rs. 20,000 p.m. 0 0.00 0.00 No fund requested

K.1.1.9 1.80 Hospital Attendants 2 @ Rs. 7500 p.m.

11 7.43 7.43 Approved

K.1.1.10 1.80 Sanitary Attendants 2 @ Rs. 7500 p.m. 11 7.43 7.43 Approved

K.1.2 CHC (only to existing CHC)

K.1.2.1 1.20 Training @ Rs. 1.20 lakh per CHC

34 46.5 17.00 Approved for existing 34 CHC @ Rs. .5 lac/CHC as requested

K.1.2.2 2.16 Human Resource (Contractual) @ Rs. 2.16 lakh per CHC

34 0.00 No fund requested

K.1.2.3 2.16 Rehabilitation Worker 1 @ Rs. 18,000 p.m.

34 0.00 0.00

K.1.3 PHC only to existing PHC)

K.1.3.1. 0.30 Training & IEC @ Rs. 0.30 lakh per PHC

89

34.80

26.70 Approved for existing 89 PHC @ Rs. .3 lac/PHC as requested

K.1.4 Sub-Centre

K.1.4.1 0.30 Aids and Appliances @ Rs. 0.30 lakh per sub-Centre

670

222.45

100.50 Approved for existing 670 Sub-Centre @ Rs. .15 lac/SCs as

111

FMR Code




Remarks

requested

K.2 Non-Recurring Grant-in-Aid

K.2.1 Distrct Hospital

K.2.1.1 40.00 Constrauction/renovation/extension of the existing building and

Furniture of Geriatrics Unit with 10 beds and OPD facilities @ Rs.

80 lakh per unit

8 40.00 40.00 Approved @ Rs. 5.00 lacs/district

K.2.1.2 2.00 Machinery & Equipment @ Rs. 7.00 lakh per unit


K.2.2 CHC

1.00 Machinery & Equipment @ Rs. 1.00 lakh per unit

102

93.00

0.00 No fund requested

K.2.3 PHC

0.30 Machinery & Equipment @ Rs. 0.50 lakh per unit

398

58.00

0.00 No fund requested

Total 725.55

364.00

112

Annexure 10 National Programme for Prevention and Control of Deafness (NPPCD)

FMR Code




Remarks

L.1 Recurring Grant-in-aid

L.1.1 Monitoring at State level (Manpower)

L.1.1.a Consultant @Rs. 50,000/- pm 1 2.1 2.1 Approved @Rs. 35,000/- pm for the period Oct 2015- Mar 2016 as requested by state

L.1.1.b Programme Assistant @Rs. 25000/- pm

1 0.90 0.90 Approved @Rs. 15000/- pm for the period Oct 2015- Mar 2016 as requested by state

L.1.1.c Data Entry Operator @Rs. 15000/- pm

1 0.60 0.60 Approved @Rs. 10,000/- pm for the period Oct 2015- Mar 2016 as requested by state

L.1.2 Public Private Partnership

L.1.3 Manpower at District Level

L.1.3.a ENT Surgeon @Rs. 60000/- pm 3 9.00 9.00 Approved @Rs. 50000/- pm for the period Oct 2015- Mar 2016 as requested by state

L.1.3.b Audiologist @Rs. 30000/- pm 3 2.70 2.70 Approved @Rs. 15000/- pm for the period Oct 2015- Mar 2016 as requested by state

L.1.3.c Audiometric Assistant @Rs. 15000/- pm


L.1.3.d Instructor for Hearing Impaired Children @Rs. 15000/- pm


L.1.4 IEC

L.1.4.a State Level @Rs. 20 Lakh 1 20.00 20.00 Approved at State Level

L.1.4.b District level @ Rs. 2 Lakh 3 6.00 0.00

L.2 Non Recurring Grant-in-aid

L.2.1 Training @Rs. 10 Lakh/ District for 7 level training

3 15.00 15.00 Approved as requested by state

L.2.1.a Procurement of Equipment 200 28.50 28.50 Approved for procurement of equipment at district level as per Programme guidelines

L.2.1.b District Hospital @Rs. 20 Lakh/ Dist.

0.00 0.00 Not requested by state

L.2.1.c CHC @Rs. 50000/- Kit 0.00 0.00 Not requested by state

L.2.1.d PHC @Rs. 15000/ Kit 0.00 0.00 Not requested by state

TOTAL 89.66 83.66

113

Annexure 11 National Oral Health Programme (NOHP)

FMR Code




Remarks

N.1 Recurring GIA 64.56 0

N.1.1 Contractual Manpower -HR 0 0

N.1.2 Consumables

64.56 0

Not approved (State has requested for 6456 denture @ Rs 1000/denture under N.1.2 Funding for Denture delivery is not an approved component)

N.2 Non Recurrent GIA 9.00 0.00

N.2.1 GIA for strengthening of Distt Hospitals (Renovation, Dental Chair, Equipment)

9 0

Not approved (State has requested for support towards 3 intensive Dental Programs @Rs 3lakh/program under N.2.1 which can't be approved as it has approval to generate capital assets )

TOTAL 73.56 0

approval of state programme implementation plan: … · to assess our progress, limitations and...

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