f. no. m-11011/4/2010 nrhm- iii government of india
TRANSCRIPT
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F. No. M-11011/4/2010 NRHM- III
Government of India Ministry of Health & Family Welfare
Department of Health & Family Welfare Nirman Bhawan, New Delhi
Dated: 30th April’2010
To, The Mission Director, (NRHM) Government of Manipur
Subject: Approval of State Programme Implementation Plan of NRHM for the year 2010-11
Madam/Sir,
Please refer to your letter submitting draft Programme Implementation Plan (PIP) for
the year 2010-11 and the discussions of the same in the meeting of NPCC held on 10/03/2010 at
New Delhi and subsequent deliberations1.
2. The administrative approval of the PIP for your State is conveyed for an amount of Rs
97.13 Crore (Rupees Ninety Seven Crore and thirteen lakhs only). (Detail at Table C below)
against the resource envelope available comprising of the following:-
Table A
Likely Uncommitted Unspent Balance Available
under NRHM as on 1.4.2010
Rs. 2.00 Crore
GOI Resource Envelope for 2010-11 under NRHM (on
a 15% higher than current year’s Budget Estimate for
over planning purpose)2
Rs. 98.27 Crore
15% State share Rs. 15.08 Crore
Total Rs. 115.35 Crore
1.Budgets may be realigned within 3 months of the issue of the Order, to achieve Monitorable Targets indicated in Attachment F, in case there has been inadequate provision in the PIP, to meet national goals. 2. The actual resource allocation shall be in accordance with the budgetary allocation of 2010-11 and may be lower than the resource envelope being approved
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The Resource Pool wise break up of total NRHM resources is as follows:
(Rs. in Crore)
Table B
Sl No. Likely Uncommitted Unspent balance available as on 1.4.2010
GoI Resource Envelope under NRHM
Total
1 RCH Flexible Pool Nil Rs. 27.66 Cr. Rs. 27.66 Cr.
2 NRHM Flexible Pool Nil Rs. 29.36 Cr. Rs. 29.36 Cr.
3 Immunization ( from RCH Flexible Pool)
4 NVBDCP Nil Rs. 3.51 Cr. Rs. 3.51 Cr.
5 RNTCP Nil Rs. 2.56 Cr. Rs. 2.56 Cr.
6 NPCB Nil Rs. 2.30 Cr. Rs. 2.30 Cr.
7 NLEP Nil Rs. 0.50 Cr Rs. 0.50 Cr
8 IDSP Nil Rs. 0.37 Cr. Rs. 0.37 Cr.
9 NIDDCP Nil Rs. 0.36 Cr Rs. 0.36 Cr
10 Director & Admn. (Treasury route)
Nil Rs. 17.65 Cr. Rs. 17.65 Cr.
11 PPI Oper. Cost Nil Rs. 1.18 Cr Rs. 1.18 Cr
12 15% State share Rs. 2.00 Cr. Rs. 15.08 Cr Rs. 17.08 Cr
13 15% over and above GoI resource envelope for purpose of PIP approval
Nil Rs. 12.82 Cr Rs. 12.82 Cr
Total Rs. 2.00 Cr. Rs. 113.35 Cr. Rs. 115.35 Cr.
Committed Unspent Balance up to 2009-10 to be Revalidated in 2010-11
Rs. 14.50 Crore
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SUMMARY OF APPROVAL
(Details provided in respective Annexes)
Table C
Scheme/Programme Approved Amount ( In Rs. Crore)
1. RCH Flexible Pool (Details at Attachment A)
25.20
2. NRHM Mission Flexible Pool (Details at Attachment B)
42.69
3. Immunization ( from the RCH Flexible Pool) (Details at Attachment C)
1.19
4. NVBDCP (Details at Attachment D)
3.97
5. RNTCP (Details at Attachment D)
2.91
6. NPCB (Details at Attachment D)
0.72
7. NIDDCP (Details at Attachment D)
0.36
8. IDSP (Details at Attachment D)
0.81
9. NLEP (Details at Attachment D)
0.45
10 PPI Operation Cost 1.18 11 Infrastructure Maintenance 17.65 TOTAL 97.13
In addition to above following activities under NPPCD for provisioning of funding from
National Programme for Prevention and Control of Deafness.
Scheme/Programme Approved Amount ( In Rs. Crores)
12 NPPCD/Mental Health/ Tobacco/etc
(Details at Attachment E)
0.51
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3. The above approval is subject to the following mandatory requirements. Non
compliance to any of the following requirement may entail in suspension of grant to the
State.
A. Monitoring Requirements
1. State/UT shall ensure submission of quarterly report on the Measurable
Target/indicators at the end of every quarter as per Attachment F and expected outputs
stated in the Record of Proceeding in Annexures of Attachment G. Budgets may be
realigned within 3 months of the issue of the Order to achieve Monitorable Targets
indicated in Attachment F in case there has been inadequate provision in the PIP, to
meet national goals,
2. All approvals are subject to the observations made in the RoP of NPCC for NRHM
(Attachment G) which is inclusive of commodity grants under Disease Control
Programme in the respective Annexures.
B. Human Resource
3. All Posts under NRHM shall be on contract and for the Plan period. All such
appointments would be for a particular facility and non transferable in nature. Priority
in contractual recruitments and placements would be for backward districts, difficult,
most difficult and inaccessible health facilities.
4. All States would ensure that appropriate skill mix of human resource is made available
to ensure provision of minimum service guarantee to health facilities. All professionals
multi skilled under NRHM shall be placed in facilities where the skills can be utilized.
5. State shall submit action plan for recruitment, deployment and training of human
resources within six months from the issue of the Order.
C. Infrastructure
6. All civil works undertaken to achieve IPHS standards, would be based on expected
patient load and priority would be accorded to inaccessible and remote areas as per
prescribed criteria.
7. In all new constructions, care should be taken to ensure that the location of these
facilities are such that beneficiary households can access them easily. They should
preferably be located in the midst of habitation and definitely not in agriculture fields,
and outskirts of villages, under any circumstances. Any deviation from the above would
be treated as ineligible expenditure under NRHM.
8. All new constructions would require prior approval of GoI if names of facilities have not
been mentioned in the NRHM-PIP, and also if any shift is proposed. No shift from
backward and inaccessible areas would be allowed.
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9. The State shall set up implementation arrangement to monitor all civil works being
undertaken, on a monthly basis, to ensure quality of works and completion as per
schedule.
D. Communitization
10. The State shall ensure that all operational guidelines relating to VH&NDs are complied
with.
11. The State shall ensure timely performance based payments to ASHAs/Community Link
Workers. State to ensure that supportive supervision mechanism is put in place within
six months.
12. The State shall ensure that RKS meets as frequently as possible and mandatorily at least
once in every quarter to review proper utilisation of allocated funds for achievement of
goals. The proceedings of such meetings should be maintained for scrutiny.
E. Financial
13. The State shall not make any change in allocation among different components/
activities without approval of GoI. Any proposal for re-appropriation between activities
within activities should be informed to GoI in advance. However, such re-appropriation
should reflect realignment of activities in accordance with priority to high focus
districts/involvement of NGOs etc.
14. The State shall ensure that 15% of the State share, based on release of funds by
Government of India, is credited on the account of the State Health Society, within one
month of issue of the release order. The over-all expenditure on health by the State
Government should also go up by a minimum of 10 percent each year.
15. The State shall ensure the completion of delegation of administrative and financial
powers during the current financial year. Funding of NRHM to the State in 2010-2011
will be based on clear delegation as per earlier directions.
16. The State shall follow all the financial management systems under operation under
NRHM and shall submit Audit Reports, Quarterly Summary Concurrent Audit Report,
FMRs, Statement of Fund Position, as and when they are due. State also agrees to
undertake Monthly District Audit and periodic assessment of the financial system.
17. The accounts of the State/ grantee institution/ organization shall be open to inspection
by the sanctioning authority and audit by the Comptroller and Auditor General of India
under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts
Office of the Ministry of Health & Family Welfare.
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18. State shall ensure submission of details of unspent balance indicating, inter alia, funds
released in advance and funds available under State Health Societies. The State shall
also intimate the interest amount earned on unspent balance. This amount can be spent
against activities already approved and will also count towards the central share.
F. Miscellaneous
19. The State shall ensure establishment of supportive supervisory structures for RCH and
other national programmes in lagging districts and for ensuring quality services, within
six months of the issue of the Order.
20. The State shall maintain essential drug list /develop Standard Protocols , and enforce its
implementation through State machinery.
21. Component for the salary of staff and mobility support which is being approved in IDSP
Annexure would be subject to approval of EPC/MSG under NRHM. The support for
expenditure to be incurred by Central Surveillance Unit (CSU) and the State is subject to
approval of World Bank for restructuring and Extension.
22. State shall ensure taking appropriate action to monitor the performance of the cold chain
/ILR Points and implementation details of ProMIS.
Yours faithfully
(G.R Khetarpal)
Under Secretary to the Govt. of India
011-2306 1203
Copy to:
1. All JSs in the Ministry of Health and Family Welfare 1. All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes 2. DS/Director Finance (NRHM) 3. All Under Secretaries concerned 4. IFD 5. PPS to Secretary(H&FW)/PS to AS&MD, NRHM 6. Sanction Folder
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ATTACHMENT A
Approval of RCH II PIP 2010-11
S. No. Activity Proposed Approved Amount (Rs.
In Lakh)
Major Expected Output in the PIP
1 Maternal Health (excluding JSY) 40.27 4 workshops; 108 camps 2 JSY 131.89 8089 Home Deliveries, Institutional 8141 Deliveries 3 Child Health 31.50 Printing of 4 lakh school health cards, Observation of
ORS Week, Observation of New Born Care Week in collaboration with IAP etc
4 Family Planning 9.80 Motivator’s incentive 5 Sterilisation & IUD
compensation & NSV camps 38.00 3000 beneficiaries for Compensation for
male/female sterilisation 1500 beneficiaries for IUD services at health facilities / compensation
6 Urban RCH 80.12 8 MOs,8 PHNs,32 ANMs,8 lab tech and Support to state and district technical support units 10
7 Tribal RCH 12.86 Support staff, outsourcing of vehicles for field visits, and monitoring progress
8 Innovations/ PPP/ NGO 152.36 6 meetings, 2 field visits, 10 awareness camps and 50 wall paintings. Outsourcing of 3 PHCs and sub-centres under them in most difficult areas; PPP for EmOC services for one facility. One boat clinic.
9 Infrastructure & HR 1132.50 420 ANMs, 38 Laboratory technicians, 54 MOs,14 PHNs, 9 pharmacists , 7 District Hospitals, Construction of Incinerator Room at all Hill District Hospitals (15)
10 Institutional Strengthening 17.82 4 HR trainees for 3 months, Printing of 3000 registers, 70 HSC
11 Training 263.44 3 Batches EmOC Training, 180 paramedics IMEP Training, 15MOs Minilap Training, 24 MOs NSV Training, 310 SN & 350 ANMs IUD Insertion Training, 60 officials and MOs ARSH Training
12 BCC / IEC 133.34 13 Procurement of Drugs and
supplies 353.00
14 Program Management 123.45
GRAND TOTAL RCH II 2520.35
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ATTACHMENT B
Approval of Mission Flexi pool Manipur
Sl. No. Activity Approved amount (in Lakh)
Major expected output in the PIP
1. ASHA 387.8 3878 (100%) ASHA will be trained upto Module 6 and will have ASHA Drug kit. ASHA Support System to be made fully operational including positioning of ASHA Facilitators, holding of regular AMG meeting.
2. Untied fund 388.8 Untied fund to be provided to 1 SDH, 16 CHCs, 80 PHCs, 420 Sub Centers, 3203 VHSC to strengthen the quality of facilities.
3. Hospital Strengthening 340.75 Strengthening of facilities (Construction of BTQ & Patient Toilet at CHC-Yairipok & Land Development & Construction of IPD & Fencing at CHC Sekmai & Water supply & Sanitary installation, Internal Electrification & Barbwire fencing in 50 SCs) to be done.
4. Annual Maintenance Grant 84 Annual maintenance grant to be provided to 1 SDH (at Moreh) and in 16 CHCs, 80 PHCs, 350 Sub Centres to strengthen quality of services.
5. New Constructions/ Renovation and Setting up
656.67 Construction work (PHC building or quarter) to be initiated in 10 PHCs, Construction of 11 relocated PHSCs collocated with PHCs and CHCs. Mini-Training Centres for 7 Districts to be set up.
6. Corpus Grants to HMS/RKS 129.0 Corpus grants to be provided to 7 DHs and J.N Hospital, 1 SDH Moreh and 16 CHCs, 80 PHCs for facility improvement.
7. District Health Action Plans (Including Block, Village Health Plans)
72 All 9 districts will prepare DHAPs based on the VHAPs & BHAPs and to be submitted.
8. Mainstreaming of AYUSH 3 Salary of AYUSH Consultant to be given, Four health camps, State Level Workshop on Medicinal Plants & Bio Resources to be conducted.
9. IEC- NRHM 45 01 Health Mela to be conducted in all districts. 10. Mobile Medical Units (MMU) 222.02 MMU staffs are to be given performances based
incentive. Procurement of 4 Wheel Drive MMU for hilly areas.
11. Referral Transport 45 Procurement of 5 ambulances to be done. 12. Additional Contractual Staff
(Selection, Training, Remuneration)
297.81 Additional Staff/ Supervisory Nurses PHC, CHC (Including Ayush Stream) to be recruited. Continuation of 34 AYUSH Pharmacists and engagement of new 67 AYUSH Pharmacists is to be done. Salary and incentives are to be provided to Specialists and paramedics, who are to be recruited.
13. Planning, Implementation and Monitoring
359.41 State / district / block level meeting, workshop to be conducted, Monitoring & Supervision visits are to be made. Quality Assurances is to be made operational. Name Based Individual Case Tracking to be started.
14. Procurements 596.73 Equipment & Furniture to be procured for DH (Churachandpur & Thoubal), CHC (Sugnu and CHC
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Jiribam), Procurement of Solar Lighting System for 5 DHs (BPR, CDL, UKL, SPT and TML). Other facility wise procurement is to be done to improve the service quality.
15. New Initiatives/ Innovation as per need (Block/ District Action Plans)
335.99 Incentive for the staffs working at difficult, most difficult and inaccessible areas to ensure service guarantee. Solar Power Plant to be bought for DH (Churachandpur, Thoubal, SDH – Moreh & Chandel).
16. Support Services 20 Through capacity building trained manpower to be made available. Anti malaria campaign to be carried out.
17. NRHM Management Costs/ Contingencies
284.59 Salary for all the BPMSU and other support staffs are to be given to strengthen program management structure at Block, District and at State level.
NRHM Flexi Pool (Total) 4268.57
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ATTACHMENT-C
APPROVAL OF IMMUNIZATION STRENGTHENING PROGRAMME
S. No. Activities
Approved Amount (Rs.
In Lakhs)
Major Expected Output in the PIP
1 Mobility support for Supervision and Monitoring at districts and state level.
6.00 Improved supervision for programme
2 Cold Chain Maintenance 1.47 Strengthening of cold chain 3 Alternate Vaccine Delivery to Session sites 14.55 Timely supply of vaccine to 14555
session sites 4 Focus on urban slum & underserved areas 6.82 Conduction of 1950 session to urban
area/urban slums 5 Social Mobilization by ASHA /Link
workers 21.83 Ensure universal access
6 Computer Assistants support at State/District Level
11.04 Strengthen Monitoring
7 Printing and dissemination of immunization cards, tally sheets, charts, registers, receipt book, monitoring formats etc
5.38 Strengthen Monitoring
8 Quarterly review meeting at state/district/block level
26.03 Regular meeting for Programme Review
9 Training & Orientation at District/Block Level
13.70 Capacity building of Medical Officers, Health Workers and other Immunization related staffs
10 Micro plan at Block/Sub-centre level 1.59 Conduction of 348 session regularly 11 POL for vaccine delivery from state to
District and PHC/CHCs 9.00
12 Consumables for computer including provision for internet access 0.48
13 Injection safety 1.28 Injection waste disposal as per CPCB guidelines
Total 119.17
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ATTACHMENT-D
APPROVAL OF NVBDCP
Sl.No. Activity Approved Amount (Rs.
In Lakhs)
Major Expected Output in the PIP
1.1 Malaria DBS (Domestic Budgetary Support GOI) 204.00 Adequate manpower available at sub-
centers, 2 round quality spray 1.1.1 Malaria-GFATM 180.00 The project monitoring unit at state as
well as district level strengthened, Increase no. of supervisory visits by different level of programme officials at districts, PHCs , Sub-centres and villages
1.2 Prevention and Control of JE 5.00 Laboratories equipped with diagnostic kits, Manpower trained in monitoring and supervision
1.3 Prevention and Control of Dengue 5.00 Laboratories equipped with diagnostic kits, Regular surveillance for increase in incidence of Dengue
Total Cash assistance 394.00 3 Assistance for decentralized
commodities which include Chloroquine, Primaquine, Quinine tab, inj Quinine and larvicides
2.63
Total cash assistance including cost of decentralised commodities.
396.63
4 Centrally procured commodity support by GoI
154.15
Grand Total cash + commodity support from NVBDCP
550.78
Sub Total (NRHM additionality) 20.00
NVBDCP + NRHM additionality 570.78
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APPROVAL OF RNTCP
Sr. No. Activity Approved
Amount (Rs. In Lakhs)
Major Expected Output in the PIP
1 Civil works 3.4 Civil work Up gradation and maintenance. 2 Laboratory materials 6.0 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.
3 Honorarium 7.0 All eligible Community DOT Providers are paid honorarium in all districts in the FY.
4 IEC/ Publicity 11.00 1) IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding.
5 Equipment maintenance 5.47 Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; All BMs are in functional condition.
6 Training 3.10 Induction training, Update and Re-training of all cadre of staff completed as planned.
7 Vehicle maintenance 26.98 All 4 wheelers and 2 wheelers in the state are in running condition and maintained.
8 Vehicle hiring 10.60 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding.
9 NGO/PP support 10.50 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.
10 Miscellaneous 15.00 All activities proposed under miscellaneous head in PIP completed.
11 Contractual services 140.05 All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount
12 Printing 5.00 All printing activities at state and district level completed as planned.
13 Medical Colleges 2.70 All activities proposed under Medical Colleges head in PIP completed.
14 Procurement –vehicles 40.70 Procurement of vehicles completed as planned.
15 Procurement – equipment 3.60 Procurement of equipments completed as planned.
Total 291.10
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APPROVAL OF NPCB
Sl. No. Activities Approved Amount (Rs. In
Lakhs)
Major Expected Output in the PIP
A District Hospital 39.59 Infrastructure Strengthening
B Training of MOs 1.27 Training
C Correction of Children with
refractive
25.00
D Motivation for ASHAs for
Catops
3.00
E Eye Health camps in 9 district witht he help of DMMU
2.70
Total 71.56
APPROVAL OF NIDDCP
Sl No. Activity Proposed
Approved Amount (Rs. In
lakhs)
Major Expected Output in the PIP
1 Establishment of IDD Control Cell
7.00 Better implementation and monitoring of programme activities.
2 Establishment of IDD Monitoring Lab
4.00 Monitoring of iodine content of salt and urine samples in districts.
3 Health Education and Publicity Salt Testing Kits supplies by GOI (30,000 No)
24.50
Increased awareness about IDD and iodated salt. Creating iodated salt demand and monitoring of the same at community level.
4 IDD surveys 0.50 Prevalence of IDD in 1 district of state
Total 36.00
14
APPROVAL OF IDSP
Activity Proposed Approved Amount (Rs. In Lakhs)
Major Expected Output in the PIP
1. Surveillance
preparedness, training &
staff salary
2. Outbreak investigation
3. Analysis & use of data
81.75 1.Training of professionals (DSO, Pharmacist
/ Nurses, Data Managers & DEO
Out Break Reporting
IDSP reports including alerts
APPROVAL OF NLEP
S. No. Activity proposed
Approved Amount (Rs.
In Lakhs) Major Expected Output in the PIP
1) Contractual Services 10.00 Functional leprosy cell at state/district level
2) Services through ASHA/USHA
1.00 Increase in percentage of cases reported by ASHA
3) Office expenses & Consumables
3.50 Functional leprosy cell at state/district level
4) Capacity building 5.00 Improvement in skills in diagnosis & treatment of leprosy
5) Behavioural Change Communication
9.00 Better self reporting as a result of increased awareness
6) POL/Vehicle operation & hiring
7.00 Improvement in mobility of SLOs & DLOs
7) DPMR 3.50 Decrease in recurrence of foot ulcers and reduction in grade II disability through RCS
8) Material & Supplies 2.50 Management of reaction cases
9) Urban Leprosy Control 0.50 Better diagnosis & treatment of leprosy in urban areas
10) Supervision, Monitoring & Review
1.00 Better, supervision & monitoring of programme
11) Cash assistance 2.00 Better, supervision & monitoring of programme
TOTAL 45.00
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ATTACHMENT-E
APPROVAL OF NPPCD
Sl.No Activities Proposed Approved
Amount (Rs. In Lakhs)
Major Expected Output in the PIP
1. Manpower at district level 10.80 Strengthened ear care service delivery system
2 Screening Camps 7.20 Early identification of Hearing impaired 3 Hearing Aids 29.20 Medical rehabilitation of Hearing impaired
children 4 Central Cell at state level 4.22 Coordinate, liaison with central and district
level for better and speedy implementation of the programme
Total 51.42
The state of Manipur has proposed the budget of Rs 119.00 lakh for the year 2010-11 but Rs 51.42 lakh (Rs 47.20 lakh may be given from the programme budget and Rs 4.22 lakh from NRHM Flexipool budget) may be considered for approval.
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ATTACHMENT-F
The State agrees to the following targets to be achieved during/up to 2010-2011.
Sl No. Activity / Measurable indicator Achievement
in/up to 2009-10 Target in/up to
2010-2011 Addition During
the Year
I. Monitoring Progress Against
Standards
A. Maternal Health
1. Institutional Deliveries 62% 70% 8%
2. 24X7 Primary Health Centres 11 38 27
3. Functional First Referral Units 1 11 10 (6 DH & 4 CHC)
4. Functional Sub Centres 397 420
(100%)
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B. Child Health
5. Sick New Born Care Units Nil 7 7
New Born Care Corner in PHCs 14 38 24
6. Stabilization Units in CHCs - 4 4
7. Full Immunisation 69.5% 90% 20.5%
C. Population Stabilisation
8. Male Sterilization 9 2000 2000
9. Female Sterilization 590 1000 1000
10. No. of IUD insertions 3003 1500 1500
D. Disease Control
11. Annualized New Smear Positive Detection Rate Case Detection Rate of TB among new sputum positive patients
15.07% 29% 13.93%
12. Success rate of new smear positive
Treatment success rate among new
sputum positive patiens initiated on
DOT
15%
29% 14%
13. ABER for malaria 4.1% 8% NA
14. API for malaria 0.4 There is chance of NA
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Sl No. Activity / Measurable indicator Achievement
in/up to 2009-10 Target in/up to
2010-2011 Addition During
the Year
increase due to
improvement in
surveillance ce.
15. No. of Reconstructive surgeries
performed under NLEP
NA NA NA
16. Annual New Case Detection Rate for
Leprosy
49 52 3
17. Cataract Surgeries performed 551 2000 2000
II Human Resources including
Training
18. Appointment of ANMs 247
327 80
19 Appointment of Staff Nurse 139 139 To continue with
the existing
20 Percent of ANMs trained as Skilled
Birth Attendant
247 (59%) 327 (78%) 80 (19%)
21 Doctors trained on EMoC 4 6 2
22 Doctors trained on LSAS 6 8 2
23. Doctors trained in NSV/
Conventional vasectomy
0
23 23
24. Doctors trained in Minilap Tubectomy 0 15 15
25. Doctors trained in laproscopic
Tubectomy
Nil Nil -
26. Personnel trained in IMNCI - 150 150
III. Communitisation Process
27. Functional VHSCs 3203 3203 (100%) Continue the
existing
28. ASHAs completed four modules of
training
3000 ASHAs
completed up to 5th
Module & 878
ASHAs 1st Module
completed
3878 878 newly selected ASHAs for 2nd to 5th module training and 6th module for 3878. (100%)
29. ASHAs with Drug kits 3000 3878
3878
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Sl No. Activity / Measurable indicator Achievement
in/up to 2009-10 Target in/up to
2010-2011 Addition During
the Year
30. Percent expenditure of NRHM funds
through Non Governmental
organizations.
2 MNGOs & 1
NGO (Vulnerable
group BPR)(100%)
3 NGOs
(100%)
100%
31 Percentage Districts having
community monitoring system in
place
Nil 9 districts.
(100%)
9 districts.
(100%)
IV Flexible Financing
32. Percent utilization of untied grants 73.78% 17 CHCs/ SDH,
80 PHCs & 420
SCs
(100%)
100%
V Improved Management
33 Percent districts uploading timely
HMIS Data and confirming
100% 100% 100%
34 Tracking of pregnant mothers and
children
Nil All districts
All districts
35. Computerisation of HMIS( level of
Data Entry and the end of data entry) District level Facility level Facility Level
36. Cold chain Management (No. of
functional ILR points)
80 95 15
37. Procurement system (implementation
of ProMIS/ TMNSC like structure)
NA NA
VI Backward district Focus
38. Functional Mobile Medical Units 9 Units (100%) Continue with 9
units
Continue with 9
units
39. Poor Performing districts sub plan
made with targets and quarterly
review shows progress
Nil 4 High focus district (CDL, CCPR, TML & UKL)
4 High focus district (CDL, CCPR, TML & UKL)
40. Difficult, Most Difficult, inaccessible
area thrust in provision of
infrastructure and human resources.
Nil 3 CHCs, 30 PHCs, 162 SCs
3 CHCs, 30 PHCs, 162 SCs
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Attachment G
NATIONAL RURAL HEALTH MISSION
RECORD OF PROCEEDINGS 2010-11
Record of Proceedings of the National Programme Coordination Committee (NPCC) for
Manipur held under the Chairmanship of Shri P.K. Pradhan, Additional Secretary and
Mission Director, NRHM for approval of NRHM Programme Implementation Plan (PIP) of
State and UTs for the year 2010-11.
I. A meeting of the NPCC of NRHM was held under the Chairmanship of AS & MD,
NRHM, to approve the PIP of Manipur on 10/03/2010. The list of members who attended the
meeting is placed at Annex. VI. The NPCC meeting was convened after the pre-appraisal
meeting for the State, with written and oral comments provided to the State to modify the
proposal before the NPCC.
II. State Government apprised about the likely uncommitted unspent balance available
under NRHM as on 1.4.2010, and were apprised of the GOI Resource Envelope for 2010-11
under NRHM which is 15% higher than current year’s Budget Estimate for over planning
purpose and 15% State share. It was also clarified that the actual resource allocation shall be in
accordance with the budgetary allocation of 2010-11 and may be lower than the resource
envelope indicated. The Monitorable Targets for the State was also indicated. It was stated that
the budgets may be realigned to achieve Monitorable Targets in case there has been inadequate
provision in the PIP, to meet national goals. After detailed discussions and subsequent
deliberations, the PIP was finalised for amounts indicated under different components as
detailed in the Annexure I to V.
III. The attention of the State was drawn to the following areas for further action :
A. Planning
1. The State Government shall, within 45 days of the issue of Record of Proceedings by the
Ministry of Health and Family Welfare, issue detailed Record of Proceedings for each district.
B. Human Resource
2. All posts under NRHM on contract and based on local criteria shall be done by the Rogi
Kalyan Samiti /District Health Society. Residence at place of posting must be ensured.
3. Blended payments comprising of a base salary and a performance based component, should
be encouraged.
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4. Transparent transfer and career progression systems should be implemented in the State.
5. The State shall put in place a transparent and effective human resource policy so that
difficult, most difficult and inaccessible areas attract and retain human resources for health.
C. Infrastructure
6. The State shall furnish list of facilities to be upgraded with identification of inaccessible
and remote facilities and finalization of district action plans for the identified backward districts
within three months.
7. The State shall furnish information relating to physical and financial status of
infrastructure and building works already taken up every quarter to Infrastructure Division.
8. The State shall under take all construction activities in meeting health infrastructure
gaps with particular focus in backward districts and inaccessible facilities.
D. Communitisation
9. The State shall take up capacity building exercise of Village Health and Sanitation
Committees, Rogi Kalyan Samitis and other community /PRI institutions at all levels, involving
Non Governmental organizations after a selection process.
10. The State shall ensure regular meetings of all community Organizations /District /State
Mission with public display of financial resources received by all health facilities.
11. The State shall also make contributions to Rogi Kalyan Samitis besides introducing user
charges wherever feasible protecting the interest of the poor.
12. All performance based payments/incentives should be under the supervision of
Community Organizations (PRI)/RKS.
13. The State shall focus on the health entitlements of vulnerable social groups like SCs, STs,
OBCs, minorities, women, disabled friendly, migrants etc.
E. HMIS
14. State shall set up a transparent and credible procurement and logistics system. State agrees
to periodic procurement audit by third party to ascertain progress in this regard.
15. The State shall undertake institution specific monitoring of performance of Sub Centre,
PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularly uploaded as Monthly,
Quarterly and Annual Data on the HMIS.
21
F. Specific Programme Related
16. The State shall operationalise fixed day services in family planning in addition to periodic
camps.
17. The states shall henceforth provide only F-IMNCI training to doctors and staff nurses
whilst IMNCI is to be provided only to ANMs/AWW and other field functionaries.
18. The State Govt. would co-locate AYUSH in PHCs/CHCs, wherever feasible.
19. Expedite operational of 24X7 PHC, CHC in the state.
20. Sanctioned sub-centres during 2006-07 to be completed and operational
21. Specialist Rationalisation in the state to operational district Hospitals 22. Procurement and supply of drugs to be streamlined
23. Audit of accounts and concurrent audit to be timely
24. Integration of NRHM with mainstream to be focused
25. Addressing the Frequent change of leadership at NRHM HQ
IV. Based on the State’s PIP and deliberations thereon the Plan for the State is finalised as
per the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool), Annexure-
III (Immunization) & Annexure –IV (National Disease Control Programmes) with summary of
Infrastructure , Human Resource and Training at Annexure V.
22
ANNEX-I
APPROVAL OF RCH II PIP 2010-11: MANIPUR (Rs. Lakhs)
S. No. BUDGET HEAD PROPOSED APPROVED 1 Maternal Health 40.27 40.27 2 Child Health 31.50 31.50 3 Family Planning 9.80 9.80 4 ARSH 0.00 0.00 5 Urban RCH 80.12 80.12 6 Tribal RCH 12.86 12.86 7 Vulnerable Groups 0.00 0.00 8 Innovations/ PPP/ NGO 152.36 152.36 9 Infrastructure & HR 1132.50 1132.50
10 Institutional Strengthening 17.82 17.82 11 Training 263.44 263.44 12 BCC / IEC 133.34 133.34 13 Procurement 353.00 353.00 14 Programme Management 123.45 123.45
Total RCH II Base Flexi Pool 2350.47 2350.46 15 JSY 150.54 131.89 16 Sterilisation & IUD Compensation, and NSV
Camps 33.00 38.00
Total RCH II Demand Side 183.54 169.89 GRAND TOTAL RCH II 2534.01 2520.35 NOTE:
1. Activities have been re-classified as per FMR/ Operating Manual heads; details are provided in attachment “A” below.
2. Details of activities approved/ not approved, and specific comments, are provided in attachment “A” below.
3. Expenses are to be booked as approved in attachment “A” below.
4. The above includes Rs. 353.00 lakhs for drugs, proposed by the State under Mission flexible pool, shifted to RCH II (see details in attachment “A”, under A.13 – Procurement).
5. The supplies of the RCH drugs from the Ministry of Health and family Welfare are likely to reach the States by September 2010. Therefore, the State may assess its RCH drugs requirement against the present supplies made/ being made by MOHFW through UNOPS as well as the State’s own procurement, and use the approved budget for procurement of RCH drugs only if required for meeting the need for the period up to September 2010.
23
ATTACHMENT “A” MANIPUR
(Rs. Lakhs) FMR Code ACTIVITY PROPOSED
(Rs. Lakhs) APPROVED (Rs. Lakhs)
EXPECTED OUTPUT REMARKS
A.1 MATERNAL HEALTH A.1.1 Operationalise facilities A.1.1.1 Operationalise FRUs 0.80 0.80 4 workshops A.1.3.1 RCH Outreach Camps 34.20 34.20 108 camps A.1.4 Janani Suraksha Yojana / JSY A.1.4.1 Home Deliveries
40.45 40.45 8089 deliveries Payments to be made as per JSY guidelines
A.1.4.2 Institutional Deliveries 52.55 52.55 8141 deliveries A.1.4.2.3 Caesarean Deliveries
2.63 2.55 170 CS deliveries
for projected 170 CS deliveries the amount comes to Rs 2.55 lakhs
A.1.4.3 Other activities (JSY)
54.91 36.34
ASHA Incentive Rs 30.06 ASHA incentive and 5% administrative expenses (5% of 125.61 lakhs) or Rs. 6.28 lakhs approved. Referral transport Rs.16.28 not approved as this cost is built in to ASHA incentive
A.1.5.1. Maternal Death Audit 5.27 5.27
4 valley districts and one hill district
To follow GOI guidelines
Sub-total Maternal Health (excluding JSY)
40.27 40.27
Sub-total JSY 150.54 131.89 A.2 CHILD HEALTH A.2.4 School Health Programme 18.00 18.00 Travel
allowance and Contingencies for Training of 270 primary school teachers, monitoring progress and quality of service and printing of 4 lakh school health cards
24
FMR Code ACTIVITY PROPOSED
(Rs. Lakhs) APPROVED (Rs. Lakhs)
EXPECTED OUTPUT REMARKS
A.2.8 Other strategies/activities 13.50 13.50 State and District level Healthy Baby and Best Mother Competition, Observation of State and District level Breast-feeding week Observation of ORS Week, Observation of New Born Care Week in collaboration with IAP etc
Sub-total Child Health 31.50 31.50 A.3 FAMILY PLANNING A.3.1.4 Compensation for female
sterilisation 20.00 20.00 2000 beneficiaries
A.3.1.5 Compensation for male sterilisation
10.00 15.00
1000 beneficiaries
The amount for the proposed NSV cases @ Rs.1,500/ comes to 15 lakhs and not 10 lakhs.
A.3.2 Spacing Methods A.3.2.2 IUD services at health facilities
/ compensation 3.00 3.00 1500 beneficiaries
A.3.5. Other strategies/activities 9.80 9.80 Motivator’s
incentive
Sub-total Family Planning (excluding compensation)
9.80 9.80
Sub-total Sterilisation & IUD compensation & NSV camps
33.00 38.00
A.4 ARSH Sub-total ARSH 0.00 0.00 A.5 URBAN RCH A.5.2 Other strategies/activities
80.12 80.12
8 MOs,8 PHNs,32 ANMs,8 lab tech and Support to state and district technical support units 10
25
FMR Code ACTIVITY PROPOSED
(Rs. Lakhs) APPROVED (Rs. Lakhs)
EXPECTED OUTPUT REMARKS
assistants Sub-total Urban RCH 80.12 80.12 A.6 TRIBAL RCH A.6.1. Tribal RCH services A.6.2 Other strategies/activities 12.86 12.86 Support staff,
outsourcing of vehicles for field visits, and monitoring progress
Human resource support of Rs.5.46 lakhs approved in principle. Calculations details to be furnished by the state.
Sub-total Tribal RCH 12.86 12.86 A.7 VULNERABLE GROUPS Sub-total Vulnerable Groups 0.00 0.00 A.8 INNOVATIONS/ PPP/ NGO A.8.1 PNDT and Sex Ratio
8.79 8.79
6 meetings, 2 field visits, 10 awareness camps and 50 wall paintings
A.8.2 Public Private Partnerships 105.07 105.07 Outsourcing of 3 PHCs and sub-centres under them in most difficult areas; PPP for EmOC services for one facility.
A.8.4 Other innovations (if any) 38.50 38.50 One boat clinic Sub-total
Innovations/PPP/NGO 152.36 152.36
A.9 INFRASTRUCTURE & HR A.9.1 Contractual Staff & Services A.9.1.1 ANMs 327.00 327.00 420 ANMs A.9.1.2 Laboratory Technicians
28.50 28.50 38 Laboratory technicians
A.9.1.3 Staff Nurses 126.00 126.00 140 SNs A.9.1.4 Doctors and Specialists
(Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians) 47.25
47.25 9 specialists
A.9.1.5 Other contractual staff 218.25 218.25
54 MOs,14 PHNs, 9 pharmacists ,
A.9.2 Major civil works (new
26
FMR Code ACTIVITY PROPOSED
(Rs. Lakhs) APPROVED (Rs. Lakhs)
EXPECTED OUTPUT REMARKS
construction /extension/ addition)
A.9.2.1 Major civil works for operationalisation of FRUS
70.00 70.00 7 District Hospitals
A.9.2.2 Major civil works for operationalisation of 24 hour services at PHCs
209.50 209.50 27 PHCs
A.9.3 Minor civil works A.9.3.1 Minor civil works for
operationalisation of FRUs 15.00 15.00 6 DH and 4
CHCs
A.9.3.2 Minor civil works for operationalisation of 24 hour services at PHCs
11.00 11.00 4 24x7 PHCs
A.9.4 Operationalise IMEP at health facilities
80.00 80.00
Construction of Incinerator Room at all Hill District Hospitals (15)
A.9.5 Other Activities Sub-total Infrastructure & HR 1132.50 1132.50 A.10 INSTITUTIONAL
STRENGTHENING
A.10.1 Human Resources Development
0.72 0.72 4 HR trainees for 3 months
A.10.3 Monitoring & Evaluation / HMIS
15.00 15.00 Printing of 3000 registers
A.10.4 Sub Centre Rent and Contingencies 2.10 2.10 70 HSC
Sub-total Institutional Strengthening
17.82 17.82
A.11 TRAINING A.11.1 Strengthening of Training
Institutions 34.80 34.80 3 institutes
A.11.3 Maternal Health Training A.11.3.1 Skilled Birth Attendance /
SBA
28.42 28.42 80 ANMs, 24 SNs
As per revised SBA Guidelines, training duration for all cadres for SBA Training ( ANMs/ SNs/ LHVs) is for 3 weeks
A.11.3.2 EmOC Training
8.51 8.51 3 batches
Budget proposed for trainings does not match the per unit cost and no. of
27
FMR Code ACTIVITY PROPOSED
(Rs. Lakhs) APPROVED (Rs. Lakhs)
EXPECTED OUTPUT REMARKS
batches given. The State to clarify and furnish details.
A.11.3.3 Life saving Anaesthesia skills training 6.39 6.39 2 batches
A.11.3.4 MTP training 8.38 8.38 10 batches A.11.3.7 Other MH Training
3.65 3.65
BEmOC - 24 MOs; Blood storage training – 12 MOs and 10 LTs
A.11.4 IMEP Training 1.68 1.68 180 paramedics A.11.5 Child Health Training A.11.5.1 IMNCI
13.37 13.37
Pre- service IMNCI for UG students 17 batches
F-IMNCI is meant for MOs/SNs. IMNCI approved for ANMs & Health Workers.
A.11.5.5 Other CH Training 4.77 4.77 270 Primary
school teachers
A.11.6 Family Planning Training A.11.6.2 Minilap Training 3.14 3.14 15MOs A.11.6.3 NSV Training 1.96 1.96 24 MOs A.11.6.4 IUD Insertion Training
61.17 61.17 310 SN and 350 ANMs
A.11.7 ARSH Training 2.44 2.44 60 officials and
MOs
A.11.8 Programme Management Training
A.11.9 Other training
84.76 84.76
Management training 2 batches, PGDPHM 9 MOs, PRI- VHSC members 3203, PRI training 1020, Fin training of MOs 4 batches, audit training-1 batch
Sub-total Training 263.44 263.44 A.12 BCC / IEC A.12.1 Strengthening of BCC/IEC
Bureaus 9.00 9.00
28
FMR Code ACTIVITY PROPOSED
(Rs. Lakhs) APPROVED (Rs. Lakhs)
EXPECTED OUTPUT REMARKS
A.12.2 Development of State BCC/IEC strategy
10.78 10.78
A.12.3 Implementation of BCC/IEC strategy
A.12.3.1 BCC/IEC activities for MH 0.40 0.40 A.12.4 Other activities 113.16 113.16 Sub-total BCC/ IEC 133.34 133.34 A.13.2 Procurement of Drugs and
supplies
A.13.2.5 General drugs & supplies 353.00 353.00
Shifted from Mission Flexi pool - for Kit A and Kit B.
Sub-total Procurement 353.00 353.00
Please see additional comments in Annex 2, below summary of RCH II approvals.
A.14 PROGRAM MANAGEMENT A.14.1 Strengthening of State
society/ SPMU 22.58 22.58
A.14.2 Strengthening of District society/ DPMU 63.94 63.94
A.14.3 Strengthening of Financial Management systems
A.14.4 Other activities (Program mgmt. expenses, mobility support)
36.93 36.93
Sub-total Program Management
123.45 123.45
Total RCH II Base Flexi Pool 2350.47 2350.46 Total RCH II Demand Side 183.54 169.89 GRAND TOTAL RCH II 2534.01 2520.35
RECLASSIFICATION OF ACTIVITIES Activities from the revised PIP sent by the state (post NPCC) have been reclassified as per the FMR/ operating manual heads. State needs to comply with this while booking the expenses and reporting in FMR:
1. 1.1.1.3 Continuation and Additional Engagement of Specialist Doctors Rs 47.25 lakhs budgeted under Infrastructure and HR A.9.1.4
2. IEC for outreach RCH camps budgeted under IEC/BCC for MH
3. Other activities under JSY include 1.4.2.3ASHA incentives, 1.4.2.6. JSY register and 1.4.3. Monitor quality and utilisation of services and referral transport
29
4. Other activities under FP include 3.2.2.2. M&E activities 3.2.2.3. Printing of Eligible
Couple Register and Family Planning register
5. In Urban Health, other strategies include • 5.1.1. Support for State and District Technical Support Units: The services of 10
Office Assistants engaged on contractual basis (02 at State Hdq. And 01 in each of the 08 UHCs
• 5.1.2. Program Administrative Support to State Technical Support Unit • 5.1.3. Support for MOs and Paramedics: The services of the 08 MOs, 08 PHNs,
32 ANMs, 08 Lab. Techs and 08 Grade IVs which were utilized in previous year, will be re-utilized in 2010-11
• 5.1.4. Monitor progress, quality and utilisation of services
6. Tribal Health includes • 6.1.3.1. Human Resource Support • 6.1.3.2. Outsourcing Vehicle for the Field visits • 6.1.4. Monitor progress, quality and utilisation of services
7. PNDT and Sex ratio includes activities mentioned under 8.1.1 -8.1.7
8. Public Private Partnership includes 8.2.1. pilot project for running PHCs in PPP model
and 8.2.2. PPP Model for EmOC in Ukhrul District
9. Other Innovations includes 8.4.1. Mobile Motor Boat RCH Clinic for Loktak
10. 9.2.1.1. Construction of Incinerator Room at all Hill District Hospitals has been budgeted under IMEP A.9.4
11. Strengthening of Training Institutions (SIHFW, ANMTCs, etc.) includes • Procurement of furniture and other training materials for RHFW, Porompat • Strengthening of Female Health Worker Training School, Lamphel • Strengthening of School of GNM and ANM/FHW Medical Directorate, Imphal • Monetary/Non-Monetary reward • Accredited of 2 Private Hospitals • Monitoring Training • NSS • Training Software for trained & logistics tracking
12. IMNCI includes F-IMNCI – Paramedics and Pre-Service-IMNCI-UG Medical Student
13. Other CH training includes School Health – PS Teachers
14. Other MH trainings include SBA/BEmOC for MOs and Blood storage training for MOs
and LTs
15. Other training includes
30
• Management Training • PGDPHM • SOHS • GNM Training • Mainstreaming AYUSH – MO • Mainstreaming AYUSH – Paramedic • PRI – VHSC members • PRI • Audit Training-DFM, CA • Finance Training-MO • Finance & Accounting Training – DFM, BFM & PHCs Accountant • Tally Training- PHCs accountant • Follow up Tally Training- DFM, BFM & PHCs accountant • QAC Training
16. Institutional strengthening A.10.4 Sub centre rent and contingencies includes 1.1.5.3.
Rent for hiring Sub-Centre building
17. Development of BCC/IEC strategy includes developing a strategic media mix as per the target population and issues- Group discussions at village/ block/Panchayat level and Half yearly Community meetings at 16 CHCs and 73 PHCs.
31
ANNEX-II
SUMMARY OF MISSION FLEXIBLE POOL (MFP) PIP 2010-11
FMR Code Activities
Proposed (Rs. In Lakhs)
Approved
(Rs. In Lakhs)
Major Expected Output in the PIP
Remarks
B1 ASHA B1.1 Selection & Training of 3878
ASHA (Budget for monthly periodic training of 3878 ASHAs in 2010 -11+ Budget for State level TOTs and 3878 ASHAs on 6th Module training (4 Days)
133.08 387.8 All ASHAs to complete monthly periodic training.
Approved. All expenditure regarding ASHA including purchase of weighing machine & thermometer under B.19.2.12 need to be within the total eligible amount of Rs. 387.80 Lakhs (3878 ASHAs x Rs. 0.10 Lakhs = Rs. 387.80 Lakhs)
B1.2 Procurement of ASHA Drug Kit @ Rs. 900/- X 2 times X 3878 ASHAs
69.8 All ASHA will get Drug kits.
B1.3 Performance related incentives to ASHAs (1st Best ASHA @ Rs. 0.05 L, 2nd Best ASHA @ Rs.0.03 L and 3rd Best ASHA @ Rs. 0.02 L
0.1
B1.4.1 AMG Meeting (including TA/DA) @ Rs.25,000 X 4 days
1
B1.4.2 Field Visit of AMG members @ Rs.3000 X 10 X 4 days
1.2
B1.4.3 ASHA Resource Centre at State level
4.62
B1.4.4 ASHA Resource Centre at District/Block level
107.58
B1.4.5 Newly selected ASHA Resource Centre staffs (District Community Mobaliser) for 3 Days State ToT
1.12
B1.4.6 Newly selected ASHA Resource centre staffs (ASHAs Facilitators - 1 Days orientation)
0.78
B1.4.7 4000 ASHA Diaries @ Rs. 100/- 4.00 B1.4.8 Printing & Translation of 6th
ASHA module . 4.15 100% ASHA will
received module after 6 sector training in the year
B1.4.9 Support Mechanism (transport package) for the 5 Hill Districts will be for ASHA @ Rs.200 X 2518 ASHAs X 12
60.43
SUB TOTAL 387.86 387.8
32
B2 Untied Funds B2.1 Untied Fund for 1 SDH Moreh,
16 CHCs @ Rs. 0.50 Lakhs
8.5 8.5 100% received Annual Untied Fund and utilized for cleanliness and facility improvement
Fund to be released by State through districts to facilities during 1st quarter
B2.2 Untied Fund for 80 PHCs @ Rs. 0.25 L
20 18 There are 72 PHCs in RHS 2008. Approved Rs.18.00 L for 72 PHCs.
B2.3 Untied Fund for 420 Sub Centers @ Rs. 0.10 L
42 42
B2.4 Untied fund for 3203 VHSC @ Rs.0.10 L
320.3 320.3
SUB TOTAL 390.8 388.8 B3 Hospital Strengthening B3.1 Upgradation of CHCs, PHCs,
Dist. Hospitals to IPHS)
B3.1.2 CHCs - Construction of BTQ (1), Patient Toilet (1), Land Development, Construction of IPD Building & Construction of Fencing. Total for Rs. 381.50 L, proposed for 50% during 2010 - 11.
190.75 190.75 Upgradation of infrastructure of public health facilities
Approved . However, amount for fencing for Sekmai CHC amounting Rs. 30.00 lakh is in higher side, details to be checked and furnished.
B3.1.4 Sub Centres - Additional fund requirement for Water supply & Sanitary installation, Internal Electrification & installation - & Barbwire fencing in 50 Sub Centres out of 100 numbers of S/Cs construction, approved in 2006 - 07. Total budget is Rs. 391.50 Lakhs & proposed for 50% during 2010-11.
197.75 150.00 Upgradation of infrastructure of public health facilities
The proposal for cost of water supply and Electric connection in one SC seems higher side. It should be around 15-20% of total civil cost. To be verified and furnished. Barbwire fencing @ Rs. 5.0 Lakhs and 4.50 L in Hill and Valley districts respectively not approved in view of high proposed budget.
SUB TOTAL 388.5 340.75 B4 Annual Maintenance Grants B4.1 CHCs - Annual Maintenance
Grant for 1 SDH at Moreh and in 16 CHCs @ Rs. 1.0 L.
17 17 100% received Maintenance grant and utilized up keeping of facility.
As per RHS 2008 data, there are 1 SDH at Moreh and in 16 CHCs functioning from govt. building.
33
B4.2 PHCs - Annual Maintenance Grant for 80 PHCs @ Rs. 0.50 L.
40 35 As per RHS 2008 data, there are 70 PHCs, functioning from govt. building and 2 PHCs are in non govt. buildings.
B4.3 Sub Centers - Annual Maintenance Grant for 350 Sub Centres @ Rs. 0.10 L
35 32 As per RHS 2008 data, there are 320 SCs, functioning from govt. building and 37 were under construction. During the 1st year, there is no need of AMG.
SUB TOTAL 92 84 B5 New Constructions/
Renovation and Settingup
B5.2 PHCs - 7 PHC up-gradation from PHSC at Bandramei, Yangkhullen, Khongdei Khuman under Senapati district, Rilram Centre under CDL, Sivapurikhal and Zezaw under CCP and Jessami & Tolloi in UKL districts.
522.83 0 As per RHS 2008 data, there is no need of additional PHCs as per 2001 population.
B.5.2.1 PHCs - Construction of either PHC buildings or quarters in 10 PHCs during 2010-11 at Phayeng (IW), Andro & Keirou Makting in IE, N. Sekmai,
434.79 434.79 Upgradation of infrastructure of public health facilities
Approved. As per RHS 2008 data, there are 70 PHCs, functioning from govt. building and 2 PHCs are in nongovt. buildings. Needs to be done as per Manipur SOR.
Lilong, Hiyanglem in TBL, Lambui in UKL, Thanlon in CCP, Maphaou Kuki & Lai in STP districts.
B5.3.1 Construction of 53 Sub Centre buildings budget needed as per MSR-2008 including construction of Barbwire Fencing in Valley Districts and in Hilly Districts.
539.88 0.0 As per RHS 2008, out of 420 Sub Centres, 320 Sub centres are functioning from govt. buildings and 100 are in rented buildings. Construction of 165 S/C buildings has already been approved (100 in 2007 - 08 and 65 in 2008 - 09).
B5.3.2 Construction of 11 relocated PHSCs collocated with PHCs and CHCs for Rs. 233.72 L. Proposed for 50% only during 2010-11.
116.88 116.88 Upgradation of infrastructure of public health facilities
34
B5.5 Govt. Dispensaries/ others renovations Renovation/Repairing of Ward and Repairing of Sanitation/Drainage systems of only functioning Leprosy Hospital (Temporary Hospitalization ward), Leihingol, Imphal East
35.0 35.0 Upgradation of infrastructure of public health facilities
Needs to be done as per Manipur SOR.
B.5.7.1 Fencing of 3 Health Institutions @ Rs. 20.0 L
30.0 0 Not approved
B.5.7.2 Setting up of Mini-Training Centres for 7 District (5 Hill and 2 Valley) @ Rs. 20.0 L, total requirement being Rs. 140.0 L. Proposed for 50% only during 2010-11.
70.0 70.0 Trainings of health staff will be held.
SUB TOTAL 1749.38 656.67 B6 Corpus Grants to HMS/RKS B6.1 District Hospitals @ Rs. 5.0 L for
7 DHs and J.N Hospital 40.0 40.0 100% received RKS
fund and utilized as per GOI guidelines
As per RHS 2008 data, there are 72 PHCs in position. B6.2 CHCs @ Rs.1.0 L for 1 SDH
Moreh and 16 CHCs 17.0 17.0
B6.3 PHCs @ Rs. 1.0 L for 80 PHCs 80.0 72.0 B6.4 Other or if not bifurcated as
above
SUB TOTAL 137.0 129.0 B7 District Action Plans
(Including Block, Village)
Preparation of 9 DHAP 2011-12 72.0 72.0 100% DHAPs preparation and submission within the time frame.
DHAPs need to be evidence based Health Action Plans. Findings of 30 cluster survey, FGDs need to be incorporated in Health action Plans.
SUB TOTAL 72 72 B9 Mainstreaming of AYUSH B.9.1 Salary of 1 AYUSH Consultant
@ Rs.0.25 L per month x 12 m 3.0 3.0
B.9.2 Creating public awareness of AYUSH
2.0 0.0 The cost of Manpower and training is from NRHM. Other may be from Ayush B udget.
B.9.3 Four health camps for each four systems costing @ Rs. 0.30 Lakhs per camp. Rs.1.20 L x 4
4.8 0.0 The cost of Manpower and training is from NRHM. Other may be from Ayush B udget.
35
B.9.4 Half yearly State Level Workshop on Medicinal Plants and Bio Resources @ Rs. 1.00 Lakhs per workshop
2.0 0.0 The cost of Manpower and training is from NRHM. Other may be from Ayush Budget.
SUB TOTAL 11.8 3.0 B10 IEC- NRHM B10.1 Health Mela - Health Melas are
proposed in all the existing 09 districts of the State @ Rs. 5.00 lakh per mela
45.0 45.0 Awareness generation
SUB TOTAL 45.0 45.0 B11 Mobile Medical Units Mobile Medical Units (Including
recurring expenditures) Mobile Medical Units comprising of 02 vehicles equipped with basic gadgets and equipments are provided in all the existing 09 districts and are functional. Services of 18 drivers, 9 Lab. Techs and 9 X-Ray Techs have been used on contractual basis by giving a monthly honorarium of Rs. 5,000/-, Rs. 7,000/- and Rs. 7,000/- respectively. The services of these contractual staffs will be continued. Also, a Performance-based incentive may be given to the MOs and paramedics
138.02 138.02 Expected 2,91,600 peoples will be benefited
Rs. 23.71 L per district per annum is the ceiling for total recurring cost of MMUs, the break up is Rs. 14.56 L for manpower, Rs. 5.0 L for Drugs, Rs. 0.15 L for training of manpower, Rs. 4.0 L for maintenance & POL.
B.11.1 Procurement of 4 Wheel Drive Mobile Medical Units @ Rs. 9.0 L and repairing & maintenance cost @ Rs. 5.0 L per annum for 5 difficult/hill districts + Jiribam Block in IE.
84.0 84.0 The proposed vehicles shall be utilized in Hilly districts. Existing vehicles to be optimally used at valley districts ..
SUB TOTAL 222.02 222.02 B12 Referral Transport B12.1 Ambulance - procurement of 5
ambulances @ Rs. 9 (nine) Lakh each and Salary for driver @ Rs. 5000/- per month
48.0 45.0 Improvement of referral services
Salary of driver may be borne by the State.
SUB TOTAL 48.0 45.0 B14 Additional Contractual Staff
(Selection, Training, Remuneration)
36
B14.1 Additional Staff/ Supervisory Nurses PHC,CHC (Including Ayush Stream) Continuation of 34 AYUSH Pharmacists and engagement of new 67 AYUSH Pharmacists @ Rs. 4500.00 pm + Rs. 3000.00 pm as Performance Based Incentives.
75.84 75.84 Availability of healthcare services of Indian system of medicines in collocated facilities.
B14.4 Medical Officers at PHCs (Including AYUSH stream) - Continuation of 88 AYUSH doctors, engagement of new 1 State Nodal Officer (AYUSH) and 8 AYUSH doctors
213.19 213.19 Approved
B14.6 Lab technicians, Gynaecologists, Anaesthetists, Paediatrician, Specialist CHC, Radiologist, Sonologist, Pathologist, Dental Surgeons. - Continuation of Specialist AYUSH doctor and engagement of new 3 Specialist
8.78 8.78 Approved
SUB TOTAL 297.81 297.81 B15 PPP/ NGOs B15.1 Non-governmental providers of
health care RMPs/TBAs EMERGENCY MANAGEMENT AND RESEARCH INSTITUTE UNDER PPP WITH GVK HYDERABAD, INDIA
1036.4 0.0 Fully functional facilities offering the minimum assured services should be the priority during this phase. In principle approved. Detail may be worked out and submitted.
SUB TOTAL 1036.4 0 B18 Planning, Implementation and
Monitoring
B18.1 Community Monitoring (Visioning workshops at state, Dist, Block level)
B18.1.1 State level - 2 Meetings at State level for the constitution of Community Monitoring @ Rs. 0.20 L and 1 Workshop at State level @ Rs. 0.50 L
0.9 0.9 1 Monitoring Committee Will be formed. 18 NGOs will be identified 45 Monitoring Committees will be formed
Approved
B18.1.2 District level - Workshops/Seminars at 9 Districts @ Rs. 0.50 L
4.5 4.5 Approved
B18.1.3 Block level - Workshops/Seminars at 36 blocks @ Rs. 0.30 L
10.8 10.8 Approved
37
B18.1.4 Other - Support for 368 Monitoring and supervision visits for state, Districts and Blocks
11.04 11.04 Approved
B18.2 Quality Assurance B18.2.1 4 Meetings at State level for
strengthening QAC 0.8 0.8 4 meeting at State Approved
B18.2.2 18 Meetings at State level for strengthening QAC
3.6 3.6 18 at District Approved
B18.2.3 Outsourcing two vehicles for QAC activities
1.8 1.8 Monthly field visits by state to Districts
Approved
B18.2.4 TA for Jiribam and remote facilities
1.5 1.5 For providing supportive supervision in implementation by identifying the bottlenecks and solutions thereof
Approved
B18.2.6 1. 1 (one) day per visit for each of the 4 valley districts @Rs. 500/day=1x8x500X4X4
0.64 0.64 Approved
B18.2.7 2. 2 (two) days per visit for each of 5 hill districts and Jiribam Sub-Division @Rs 1000/- per day= 8x1000/- x 6 x 2 x 4
3.84 3.84 Approved
B18.3 Monitoring and Evaluation B.18.3.2 Mobility for M & E Officers 53.28 53.28 Approved B.18.3.3 Workshops/ Training on M & E 60.6 60.6 Approved B.18.3.4 M&E quality review meeting 26.28 26.28 Approved B.18.3.5 Hardware/Software
Procurement 64.93 64.93 In SPMSU & in
DPMSUs, desktops and laptops are already available. V-sets are available in the district HQs under IDSP.
B.18.3.6 Operationalising HMIS at Sub District level
31.4 31.4 Approved
B.18.3.7 Name Based Individual Case Tracking Syatem
83.5 83.5 Approved
SUB TOTAL 359.41 359.41 B19 Procurements B19.1 Drugs - procurement of
essential dugs as per the State Essential Drug List with assistance from State level @ Rs. 2.00 lakh for each DH/CHC, Rs. 1.00 lakh per PHC/UHC and Rs. 0.20 per Sub-Centre. The amount needed for 7 DHs, 16 CHCs, 79 PHCs, 8 UHC and 397 SCs will be Rs. 353.00 Lakh
353 0 Approved in RCH.
38
B19.2.1 Equipment & Furniture gaps in DH Churachandpur which is in the process of ISO certification:
191.01 191.01 One ISO certified Hospital to render quality services to the people
The necessity to have a Colour Doppler USG with uterine probe @ Rs. 25.0 L , Dental Chair with drill & accessories @ Rs. 21.84 L and Incinerator @ Rs. 33.06 L need to be evaluated. The priority is to provide minimum assured quality services at first and then to improve upon. Details to be provide for considering the proposal.
B19.2.2 Equipment gaps in DH Thoubal which is to be up-graded from 50-bedded capacity to 100 bedded capacity. A total amount of Rs. 756.44 Lakhs will be needed to fill-in the identified gaps in the newly up-graded 100-bedded DH in Thoubal. Proposed for 50% during 2010-11.
378.22 179.72 Improved health care provision in public health facilities
Colour Doppler USG with uterine probe, 500 ma X-ray machine, Dialysis machine, Fully automated biochemical analyser and Incinerators not approved as these equipment needs specialist for running the equipment and they are not available at present.
B19.2.3 Equipment and Furniture gaps @ CHC Sugnu in Thoubal District and CHC Jiribam
36.74 36.74 do
B19.2.4 Procurement and Installation of Incubators for RNTCP
65.15 0 Numbers required not mentioned. Text @ P/238 and the budget sheet @ P/241 mismatch.
B19.2.5 Procurement of Sharps Disposal System from SHARPS BLASTER for all the 7 District Hospitals, 1 SDHs and 16 CHC @ Rs. 5.00 Lakhs per system
120 0 The priority is to provide minimum assured quality services at first and then to improve upon.
B19.2.6 Procurement of Solar Lighting System for all the 5 District Hospitals (BPR, CDL, UKL, SPT and TML) @ Rs. 4.00 Lakhs per system and installation & Logistic charge of Rs. 15,000 per system.
20.75 20.75 Alternate power supply ensured
39
B19.2.7 Procurement of 30 pieces W 45043 Zoe Gynaecologic Simulator for the IUCD 380- A training at district level
16.5 16.5 Improved quality of FP services
B19.2.8 Procurement of Sodium Hypochlorite (1% or 5%) Solutions, Trolley, Rubber- Hand Gloves up-to Elbow Joint, Rubber Shoes, Apron, Mask and Needle Destroyer
4.0 4.0
B19.2.10 Equipment of Electric Insuction 82 pieces @ Rs. 5000/- per pieces
4.1 4.1 Approved
B19.2.11 Procurement of IUCD kits for all the 523 health institutions (420 PHSCs, 80 PHCs, 16 CHCs and 7 DHs) @ Rs. 1500/- per kit
7.85 0
B19.2.12 Procurement of weighing machine and thermometer @ Rs. 600 per set for the 3878 ASHAs
23.27 0 Need to be within the total eligible amount of Rs. 387.80 Lakhs for 3878 ASHAs @ Rs. 10000/- per ASHA.
B19.2.13 Procurement Colour coded bins (Red, Yellow, White and Black bins). For all the District Hospitals, CHCs and 38 (Thirty eight) 24x7 targeted PHCs
94.81 94.81 Waste Management system will be in place
B19.3 Others Replenishment/ topping of
items 46.1 46.1 Approved
B19.3.1 Logistic Support for collection and distribution of equipment, furniture and drugs: A sum of Rs. 3.00 lakh will be needed for hiring a DI TATA at State level for timely collection and distribution of the items to the various destinations in the districts
3.0 3.0 Approved
SUB TOTAL 1365.69 596.73 B23 New Initiatives/ Innovation as
per need (Block/ District Action Plans)
40
B23.1 Proposed Incentives Structure: Staffs who are posted in the difficult to be accessed areas will be given incentives in the form of increased monthly honorarium according to the degree of difficulty as given below. Inaccessible areas - 150 % of Basic Pay Very difficult areas - 100% of Basic Pay Difficult areas - 75 % of Basic Pay The incentives will be applicable to those contractual staffs placed outside their home districts. The total budget for 2010-11 will be Rs. 230.988 Lakhs
230.99 230.99 Approved in principle. State should work out detail of payment to individual institution against posted workers. Amount of incentives are in higher side.
Approved
B23.2 SOLAR POWER PLANTS (Capacity - 25KWP) FOR DISTRICT HOSPITALS CHURACHANDPUR, THOUBAL AND SUB-DISTRICT HOSPITAL MOREH, CHANDEL. The unit cost of plant is @ Rs. 100.00 Lakh of which Rs. 65.50 Lakh shall be funded through Menistry of Renewable Energy, GOI and Rs. 32.50 Lakh is proposed to be provided by the State Health Society, Manipur under NRHM.
97.5 97.5 Alternate power provision for ensuring uninterrupted power supply in the facilities.
Approved
B23.3 GERIATRIC POPULATION/ELDERLY CITIZEN CARE
B23.3.1 Awareness program on various issue of geriatric population – 3 program for each district (27 Nos)
6.75 -
B23.3.2 Health camps for 60+ elderly one for each district – 9 Nos
7.11 0 Can be organised as an integrated one.
B23.3.3 Travelling allowance for hill districts and Jiribam for above activities
1.2 0
B23.3.4 Physical and Topographical Mapping
7.5 7.5 For better planning
SUB TOTAL 351.05 335.99 B26 State level health resources
center(SHSRC)
41
State level health resources center(SHSRC) Major Infrastructure for this resource centre is proposed costing 150.00 Lakhs. The Infrastructure activity will be completed in two years and during the financial year 2010-11 only 50% of the total budget will be required for initial implemtation as first phase
75 0 SPMU and DPMU are well staffed.
Lumpsum budgetting
SUB TOTAL 75 0 B27 Support Services Capacity Building (Training) 45.95 5.00 Trained manpower
available up to community level
Out of Rs.45.95 lakhs proposed by the state Rs. 5.0 lacs have been provisioned. Around 15 lakh worth training will be conducted by Civil society partners under Round 9.
IEC Anti Malaria Campaign 42.65 15.00 Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community
Out of Rs. 42.65 proposed by the state Rs 15 lacs is provisioned by National Vector Borne Disease Control Programme.
SUB TOTAL 88.6 20 B28 NRHM Management Costs/
Contingencies
B28.1 Block Level PMU Approved. It should be limited to
6% of the management cost.
36 BDMs are already there with minimal
workload.
B28.1.1 Continuation of 36 BPMs @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)
40.5 40.5 Proactive BPMSUs are in place
B28.1.2 Continuation of 36 BFMs @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)
40.5 40.5
B28.1.3 Continuation of 36 BDMs @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)
40.5 40.5
B28.1.4 Continuation of 46 PHC Account Officers @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)
51.75 51.75
B28.1.5 Engagement of new 36 HMIS assistant for PW tracking in 36 blocks @Rs.8000/-
25.92 25.92
B28.2 District level Engagement of 9 new Office
Assistant for 9 Districts @ Rs. 5.67 5.67 Approved
42
7000/-
B28.3 State level Approved B.28.3.1 Continuation of 1 State Engineer
Consultant @ Rs. 10000/- Basic Pay + Rs.18750/- (PBH)
3.45 3.45 Strengthening of SPMSU
Approved
B.28.3.2 Continuation of 1 HRD/Training Consultant @ Rs. 10000/- Basic Pay + Rs.12500/- (PBH)
2.7 2.7 Approved
B.28.3.3 Continuation of 1 BCC/IEC Consultant @ Rs. 10000/- Basic Pay + Rs.12500/- (PBH)
2.7 2.7 Approved
B.28.3.4 Continuation of 2 Computer Operator (Training Centre) @ Rs. 4500/- Basic Pay + Rs.4250/- (PBH)
2.1 2.1 Approved
B.28.3.5 Engagement of 1 new Assistant Engineer Consultant @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)
0.9 0.9 Approved
B.28.3.6 Engagement of 1 new Assistant HMIS Officer @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)
0.9 0.9 Approved
B.28.3.7 Engagement of 2 Accountant @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)
1.8 1.8 Approved
B.28.3.8 Engagement of 1 new Assistant Training Consultant @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)
0.9 0.9 Approved
B28.4 Audit Fees 2.5 2.5 No write up is available in the PIP B28.5 Concurrent Audit system 6 6
B28.6 Printing Exp. 4 4 B28.7 Telephone and Mobile phone
expenses 4 4
B28.8 Other Management Cost 40 40 B.29 Other expenses 7.8 7.8 SUB TOTAL 284.59 284.59 GRAND TOTAL (PART B) 7314.31 4268.57
43
ANNEX-III
Immunization Strengthening Programme Manipur (2010-11)
S. No.
Activities
Amount Proposed
(Rs. In Lakhs)
Amount Approved
(Rs. in Lakhs)
Outcome
1. Mobility support for Supervision and Monitoring at districts and state level.
6.00 6.00 Improved supervision for programme
2 Cold Chain Maintenance 1.47 1.47 Strengthening of cold chain
3 Alternate Vaccine Delivery to Session sites
14.55 14.55 Timely supply of vaccine to 14555 session sites
4 Focus on urban slum & underserved areas
6.82 6.82 Conduction of 1950 session to urban area/urban slums
5 Social Mobilization by ASHA /Link workers
21.83 21.83 Ensure universal access
6 Computer Assistants support at State Level
1.44 1.44
7 Computer Assistants support at District Level
9.60 9.60
8 Printing and dissemination of immunization cards, tally sheets, charts, registers, receipt book, monitoring formats etc. 5.38 5.38
Strengthen Monitoring
9 Quarterly review meeting at state level 2.92 2.92 Regular meeting for Programme Review 10 Quarterly review meeting at District
level 14.00 14.00 11 Quarterly review meeting at block level 9.11 9.11 12 District level Orientation for 2 days
ANMs, MPHW,LHV 5.80 5.80 Capacity building of Medical Officers, Health Workers and other Immunization related staffs
13 Three days training of Mos on RI 5.20 5.20 14 One day refresher training of District
Computer Assistant .50 0.50 15 One day Cold Chain Handlers Training 1.10 1.10 16 One day training of Block Level Data
Handlers 1.10 1.10 17 To develop micro plan at sub-centre
level 0.42 0.42 Conduction of 420 session regularly
18 For consolidation of micro plan at block level 1.17 1.17
19 POL for vaccine delivery from state to District and PHC/CHCs
10.00 9.00
20 Consumables for computer including provision for internet access
0.67 0.48
21 Red/Black/Zipper bags 0.42 0.42 Injection waste disposal as per CPCB guidelines 22 Bleach/Hypochlorite solution 2.54 0.48
23 Twin Bucket 2.03 0.38 Total 124.07 119.17
44
Strengths
Ø The State is showing an improving trend in immunization coverage.
Areas for improvement
Ø The State continues to have dual problem of poor accessibility to immunization coverage as well as high dropout from BCG to DPT 3. There is an urgent need to address these issues through measures like revision of microplans, beneficiary tracking, improved monitoring and supervision etc. for improvement in full immunization coverage.
Ø The disparity between reported and evaluated coverage is huge, this need to be rectified for better assessment of the issues and progress in the programme implementation
Ø The coverage has not been apparently commensurate with fiscal progress, reflecting status of operationalization of the PIP. There is need to optimally utilize the strategies under NRHM like ASHA scheme, VHND, IEC(RCH) to generate demand for immunization as well besides addressing the supply side issues through better supply chain management
Ø The AEFI Surveillance and VPD Surveillance systems need to be strengthened in the state.
45
ANNEX-IV
Approval under the National Disease Control Programmes
NVBDCP
ROP, National Vector Borne Disease Control Programme –Manipur
Component Wise Details
(Figures in lacs)
Sl. No. Budget Head Proposed
Amount Approved by NVBDCP
Expected output Remarks
1 DBS ( Domestic Budgetary Support)
1.1 Malaria-DBS a Humar Resource a Salary of 100 MPWs
a Salary of 100 MPWs 72.00 72.00
Adequate manpower available at sub-centers
100 MPW have already been allocated additional 65 MPW have been allocated for 2010-11 The budget will be enhanced as per the progress of expenditure at RE stage
ASHAs 0.00 6.00
Involvement of ASHA is very important for ensuring availability of diagnosis and treatment facility at community level and improving survillance
Sub Total 72.00 78.00
b) IRS
46
(a) Spray wages for 100 spray men of selected IRS districts @ Rs. 81.40 p. vide Govt. order No. 21/3/2003-PIC 16th December 2007
9.77
100.00 • 2 round
quality spray
This includes operational cost of other activities in addition to spray wages The budget will be enhanced at the RE stage according to progress of expenditure and submission of SOE
(b) Training spray squad supervisors, MO at District lelvel
1.00
(c) DDT transportation & dumping to spray sites etc 2.35
(d) Advance notification & other contingency 2.25
Supervision & monitoring 2.05 Other Operational Cost
Maintenance of vehicle, POL, procurement of Lab. item, office expenses, auditing and accounting, annual report publication, bazaar articles, entomological tools, hiring of ware house and spray equipments etc.
100.00
These expenditure can be met under 100 % central assistance as well GFATM Planning and Administration. Bazzar article and hiring of Warehouses may be provisioned under state fund / NRHM additional ties
Sub Total IRS 117.42 100.00
c Capacity Building (Training)
Health Supervisors M&F 0.20
5.00
Trained manpower available upto community level
• Large no. of training from MO level to ASHA have been assigned to civil society partners during the period of implementation of Round -9 proposal, expected to commence from July 2010 • If required, some of the
2 Day composite Training : RR Team of District 1.00
One Training on Quality Assurance 1.00
3 Days Training of NAMMIS of District Level Officer & staff(Reorientation)
1.00
Training of new FTD holders/Community volunteer
20.00
Reorientation training of ASHA 20.00
Training of contract MPWs 0.65 Training of New MTS 0.30 Training of Medical Officer 1.00
47
Training of Lab. Technician 0.80
training can be integrated with the NRHM
Sub Total 45.95 5.00
d Urban Malaria Scheme
Operational Cost including equipments 12.00
is included in 100% central assistance
Sub Total 12.00
e IEC / BCC
IEC Anti Malaria Campaign
Meeting expenses of Task Force for Observation of Anti Malaria Month
0.10
15.00
Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community
The provision has also been made under GFATM and
also with civil society
partners.
Observation State Level Anti Malaria Month 0.50
Observation of District Level Anti Malaria Month 1.50
Panel discussion of Prevention & Control of Vector Borne Diseases
0.15
State Level student Quiz Competition 0.50
Health camps/Mela 0.10 Street play 4.00 Teleplay/Documentary Film 3.00
Advocacy Meeting
State Head Office 0.30 District 1.00
Coordination with
other sector
developed
Sensitization meeting of Media Person 0.50
Inter Sectoral Sensitization
State Head Office 0.30
District 0.50 School awareness session Student 0.60
Awareness Session of members of Indian Red Cross Society/NCC/NSS/PRI/Religious Leaders etc.
1.00
Awareness Session of leaders of SHG 12.00
48
Printing of IEC materials in different local dialect 10.00
Impact Study on IEC campaign in 2 (two) districts
4.00
Advertisement in Newspaper 2.00
Insertion of advertisement on Vector Borne Diseases Control Programme in Souvenir and other publications
0.60
Sub Total 42.65 15.00
f M&E including Data reporting 0.00 6.00
• Number of supervisory visits increased at ditrict PHC and village level • Timely reporting by PHCs, Districts and States
This activity is also reflected and explained in GFATM.
Total Malaria -DBS 290.02 204.00
1.1.1 Malaria-GFATM
a Human Resource
Salary PMU
Project Coordinator @ Rs. 25000/- per month 0.75
70.00
• The project monitoring unit at state as well as district level strengthened • The Planning , Monitoring, and Supervision capacity built up • Microscop
• The projected by the state for round-4 (upto june 10) and round-9 has been clubbed • Human resource has been kept as per GFATM project allocation keeping in view commencement of Round-9 from July 2010 • There is additional provision for
IEC Consultant @ Rs. 25000/- per month 0.75
Finance & Accounts Officer @ Rs. 15000/- per month
0.45
Data Entry Operator or Staticical Asst. @ Rs. 6000/- per month
0.18
Secretarial Asstt. @ Rs. 6000/- per month 0.18
VBD Project Manager @ Rs. 50000/- per month 4.50
M7E/MIS Project Manager @ Rs. 50000/- per month 4.50
BCC/PPP Manager @ Rs. 50000/- per month 0.00
PSCM Manager @ Rs. 0.00
49
25000/- per month y services functional in PHC labs • Recording and reporting capacity built up
engaging District Vector Borne Disease Consultant (DVBDC) at district level & Data Entry Operator and increase no. of MTS at sub district level during Round -9 project, expected to commence from July 2010 • The actual release will be based on the recruitments and progress of expenditure
Finance & Accounts Officer @ Rs. 25000/- per month
2.25
Data Entry Operator or Staticical Asst. @ Rs. 15000/- per month
1.35
Secretarial Asstt. @ Rs. 10000/- per month 0.90
Sub Total 15.81
District 0.00 District VBD pro. Officer MTS 21.63 Lab. Technician 12.96
Honorarium to District Accountant 0.30
Sub Total ( 34.89
Total HR Sate and District PMU 50.70 70.00
b Monitoring & Evaluation 0.00
Hiring of vehicles for field visit and supervision at state level each year
0.60
2.50
• Increase no. of supervisory visits by different level of programme officials at districts, PHCs , Sub-centres and villages • Quarterly review meeting conducted
• M&E has also been budgeted in DBS for the same purposes. • In case more funds are required, funds will be enhanced at RE stage.
Hiring of vehicles for field visit and supervision at District level each year
2.10
Travel related expenses for State Level Officers 0.06
Travel related expenses for District Level Officers 0.60
DA expenses for Consultant M&E 0.06
TA/DA for State Level Consultant i.e. PC, IEC, FC 0.18
DA for MTS 0.21
Review meeting of State of Centre 0.75
Review meeting of District twice in a year 0.25
Monthly Review meeting of DMOs at State Head Office
0.09
POL for MTS 1.05
Monthly Review meeting of MTS at State Head Office
0.09
Travel (State ) 3.90 22.50
50
Review Meeting (State with District) 4.00
Quarterly Meeting (At Distt. Level) 9.00
Travel (Dist) 10.80 Sub Total 33.74 25.00
c Planning & Administration
Office infrastructure – Laptop with all necessary software & Data card
1.50
45.00
Functional Project Monitoring Units at state and district level established
The budget approved by National Vector Borne Disease Control Programme for Planning and administration which includes office automation of State and District project units etc. Actual release will be based on the progress of expenditure
Office Infrastructure and equipment – Desktop with all with all necessary software & broad band connection
0.90
Office infrastructure and equipment – Office automation (1) Printer(1), Copier (1), Fax (1), Scanner (1), telephone with Intercom facility (5)
1.50
Office expenses – Documentation and Printing
0.90
Office Infrastructure and equipment (furniture etc.) 4.00
Office expenses – Space, Water, Electricity, Consumables and Rent etc.
3.60
Rent (Storage State) 1.08
Logistic arrangement state to distt (two round trips in a year)
2.70
District
Office infrastructure – Laptop with all necessary software & Data card
45.00
Office Infrastructure and equipment – Desktop with all with all necessary software & broad bank connection
27.00
Office infrastructure and equipment – Office automation (1) Printer(1), Copier (1), Fax (1), Scanner (1), telephone with Intercom facility (1)
45.00
Office expenses – Documentation and Printing
4.50
Office Infrastructure and 108.00
51
equipment (furniture etc.)
Office expenses – Space, Water, Electricity, Consumables and Rent etc.
13.50
Rent (Storage District) 3.60 Sub Total 262.78 45.00
d
BCC/IEC Activities (Miking Infortainment, Printing, Wall Writing, Dubing IPC Session, Group Meeting etc.
405.00 40.00
Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community
The budget projection by states is very high. The provision has also been made under Domestic component also. Futher civil society partners have been allocated funds for this component in Round-9 project. Some activities can be included with the intergrated IEC of State / NRHM
Sub Total 405.00 40.00
TOTAL Malaria-GFATM 752.22 180.00
TOTAL Malaria 1042.24 384.00
1.20 Prevention and Control of JE
Fogging Machine 9.60
5.00
• Laboratories equipped with diagnostic kits • Manpower trained in monitoring and supervision • Regular surveillance for increase in incidence of JE
The budget would be enhanced at RE stage according to prevailing JE situation and progress of activities Foggiong machine may be purhased through State budget. Traning may be intrgated with IDSP / NRHM Supervision and monitoring may funded from 100%
Elisa Kits - 4 test kits (NVBDCP,GOI)
IEC materials / IEC 2.00
Strengthening of surveillance, Monitoring & Evaluation
a) Field contingency for collection and transportation of samples
1.00
b) Printing of forms and formats 0.50
c) Supervision and monitoring of surveillance by NVBDCP staff
2.00
d) Training (MO and health staff) 4.00
e) Data entry operator, lab technician (pay @ Rs. 1.44
52
6000/- per month X 2 staff X 12 month on contract basis)
central assistance Technical malathion will be procured centrally and supplied
f) Entomological studies on vector surveillance and susceptibility
3.00
Technical Malathion 2.00
Strengthening of surveillance SSSL JN Hospital, Imphal
a) Lab equipments & supplies: (Details in Annexure -1)
9.30
Total JE 34.84 5.00
1.30 Prevention and Control of Dengue
Recurring grant to Sentinel surveillance Hospital@ Rs. 0.50 lakhs (As per GOI approval)
0.50
5.00
• Laboratories equipped with diagnostic kits • Manpower trained in monitoring and supervision • Regular surveillance for increase in incidence of Dengue
The budget would be enhanced at RE stage according to prevailing Dengue situation and progress of activities Supervision and monitoring may funded from 100% central assistance Training and epidemic prepared may be integrated with IDSP
Strengthening of surveillance and SSSL JNH :
a) Field contingency for collection and transportation of samples
1.00
b) Printing of forms and formats 0.50
c) Supervision and monitoring of surveillance by NVBDCP staff
2.00
d) Training (MO and health staff) 4.00
e) Data entry operator, lab technician 1.44
f) Entomological studies on vector surveillance and susceptibility
3.00
g) Lab equipments & supplies: (Details in Annexure -I)
9.30
Epidemic Preparedness/social mobilization: (logistics + operational cost : monthly fogging operation + breeding source elimination , Publicity & IEC etc)
3.00
IEC /BCC materials 5.00 Training / Workshop 2.00
Total Dengue 31.74 5.00
53
TOTAL DBS cash 1108.82 394.00 SUMMARY
1.Assistance for decentralized commodities which include Chloroquine, Primaquine, Quinine tab, inj Quinine and larvicides
24.27 2.63
1+2+3 TOTAL CASH including decentralized commodities
1133.09 396.63
` Commodities support by GoI for VBD 154.15
Grand Total 1133.09 550.78
Proposed Budget Under NRHM Additionality
Capacity Building (Training) 45.95 5.00
Trained manpower available upto community level
Out of Rs.45.95 lakhs proposed by the state Rs. 5 lacs have been provisioned. Around 15 lakh worth training will be conducted by Civil society partners under Round 9.Remaining Rs. 25.95 may be met from the NRHM additionality
IEC Anti Malaria Campaign 42.65 15.00
Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community
Out of Rs. 42.65 proposed by the state Rs 15 lacs is provisioned by National Vector Borne Disease Control Programme.Remaining Rs. 27.65 may be met from the NRHM additionality
54
PHYSICAL TARGETS
1. API
2008 2009* (P)
Average for 2008-09
Target for 2010
0.25 0.38 0.32
There is a chance of Increase in API due to improvement in
surveillance (ABER)
2. ABER
2008 2009* (P)
Average of five years
Target for 2010
4.8 4.09 4.45 8
3. LLIN
Total LLINs required for 80% coverage of
Households in Sub Centers with API >2
LLIN Supplied till 2009-
10
% coverage with LLINs till 2009-10
LLIN to be supplied in
2010-11
Targeted coverage for
2010
232331 0 0 55000 23.67
4. IRS
Population Rooms
Targeted
80% coverage
of the target
Targeted 80% coverage
of the target
507051 405641 240477 192381
55
5. HUMAN RESOURCES
A. Key Staff in Position
Particulars
Targeted to be in position
by end of 2010
VBD Consultants 9
MTS 27
Contractual LTs 12
Contractual MPW 165
B. Training
Particulars
Nos to be trained in
2010
DMOs 10
Contractual MPW 65
LTs 12
ASHA 492*
* 20 participants per batch
1.Senapati, Tamangleng, Chandel, Kangpokir, Imphal(E), Giribham, Thoubal, Bisnupur, Ukhrul, Imphal(U) Churachandpura are the distrits showing poor surveillance (ABER <10). Priority should be given to them for deployment of MPWs allocated under NVBDCP to improve the surveillance in these areas. 2. Jiribam S/D is the only area having API > 2. Efforts should be made to train all the ASHAs and community volunteers in these areas to enable early diagnosis and complete treatment of all cases. 3. Jiribam S/D and Churachandpur districts reported deaths. The refral mechanism should be strengthened in these districts and critcial care services should be ensured at the referal centers to prevent the deaths due to malaria.
56
RNTCP
Sr. No.
Activity Proposed
Approved (INR in lacs)
Expected Output (by 31st March 2011)
Remarks
1 Civil works 3.4 1) Civil work Up gradation and maintenance.
As per norms; Civil works for DTC is a one-time payment
2 Laboratory materials
6.0 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.
Please provide the justification for the excess amount requested
3 Honorarium 7.0 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY.
the amount spent in past 4 qurters is only 5.7 lakhs
4 IEC/ Publicity 11.00 1) IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding.
As per norms and previous expenditure
5 Equipment maintenance
5.47 1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition.
As per norms
6 Training 3.10 1) Induction training, Update and Re-training of all cadre of staff completed as planned.
Training of DTOs is a national level activity and cannot be budgeted by the state;TB/HIV trainings are funded by SACS; Calculation not as per norms
7 Vehicle maintenance
26.98 1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained.
8 Vehicle hiring 10.60 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding.
57
9 NGO/PP support 10.50 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.
Previous expenditure too low; More amount can be allocated based on expenditure in the first 2 quarters
10 Miscellaneous 15.00 1) All activities proposed under miscellaneous head in PIP completed.
11 Contractual services
140.05 1) All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount
12 Printing 5.00 1) All printing activities at state and district level completed as planned.
Based on previous expenditure
13 Research and studies
0 No justification provided; please provide more details
14 Medical Colleges 2.70 1) All activities proposed under Medical Colleges head in PIP completed.
As per norms
15 Procurement –vehicles
40.70 1) Procurement of vehicles completed as planned.
Clarify with DDG and consultant
16 Procurement – equipment
3.60 1) Procurement of equipments completed as planned.
No provision for laptop or photocopier; computers to be condemned as per state govt rules before procuring the new ones
17 Total 291.10
In addition to this, a commodity grant of Rs. 12.77 lacs has been approved for central level procurement of Anti TB Drugs and Laboratory Equipments for sputum culture & drug sensitivity.
(i) Targets to be achieved during 2010-11: • Detection rate of at least 70% and maintain treatment success rate above 84%. • All RNTCP districts have supervisory structure for disease control programme.
(ii) Information under 27-B:
PERFORMANCE:
58
State Annualized NSP case detection rate Success rate of NSP Manipur 54% 84%
The State need to strengthen the services in the following districts: District ANSPCDR Success rate
Thoubal 30.1% 74.1% Ukhrul 40.8% 60.0%
HUMAN RESOURCE: Vacancy position of various categories of staff and the training status of existing staff is placed below:
DTO MOTC STS STLS DMC LT/Microscopist
Sanctioned
Vacanc
y
Total in
place &
trained
Sanctioned
Vacanc
y
Total in
place &
trained
Sanctioned
Vacanc
y
Total in
place &
trained
Sanctioned
Vacanc
y
Total in
place &
trained
Sanctioned
Vacanc
y
Total in
place &
trained
9 0 7 10 3 7 13 0 13 17 0 17 41 0 38
Medical Officer (at BPHC /PHC /CHC /district
hospital /other) Paramedical staff including
health workers
Vacancy In place and
yet to be trained
Vacancy In place and
yet to be trained
38 105 140 278 New Contractual Position: The following new contractual positions have been sanctioned under the revised financial norm of RNTCP for building capacity of districts and states to implement new initiatives like TB HIV Collaborative services and programmatic management of MDR TB: State Level Positions: • Asst. Programme Officer/Epidemiologist – 1 per state • DOTS Plus Site Sr. Medical Officer – 1 per DOTS Plus site • DOTS Plus Site Statistical Assistant – 1 per DOTS Plus site • Sr. LT at IRL – 1 per IRL • Store Assistant (SDS) – 1 per SDS • DEO (IRL) – I per IRL District Level Positions: • Sr. DOTS Plus and TB HIV Supervisor - 1 per district (as per phased expansion of DOTS Plus and intensified TB-HIV activities) State is requested to fill up all existing vacancies as well as new contractual postions and arrange for the training of the staff.
59
NPCB
Sl. No
Strategy Activity Time line
Total amount in lakhs
Approved(Rs in lakhs)
Remarks
A Screening Screening of 5000 children fir hill
1-4Q 1.50 Not approved .
Screening of 10000 children for valley
1-4Q 1.50 Not approved .
B 2000 Catops 1-4Q C Infrastruct
ure Strengthening
District Hospital 39.59 39.59 Approved
Vision Centres at PHC/CHC
1Q
Eye Bank 1Q
Eye Donation Centre 1Q
Eye Wings & OTs 1Q
Acc. Off. At State
1-4Q
Data Entry operator at state
D Training Training of MOs 1Q 1.27 1.27 Approved Training of
PMOAs 1Q Training of
Ophthalmic Nurse
1Q
School Teacher 1Q SN/ANMs 1Q ASHAs 1Q E DBCS for
all District Meeting per months at Dc level
1-4Q 1.08
Not approved .
F
Others Correction of Children with refractive
1-4Q 25.00 25.00 Approved
Motivation for ASHAs for Catops 1-4Q 3.00 3.00
Incentive @175/- per case of Operated cataract
Opening of tele hel line in 9 district hospital
1Q 2.70
Eye Health camps in 9 district witht he 1-4Q 2.70 2.70 Approved
60
help of DMMU
Total Budget
78.34 71.56
All the expenditures from the NPCB budget allocations and from the funds obtained from NRHM flexi-pool should be done strictly according to the Physical norms and Financial Norms approved in the 11th Plan five year plan of NPCB as communicated earlier.
The above said allocations are as per the requirements proposed by the state and in case the funds in a specific allocation are exhausted the funds from other unspent allocations for NPCB activities can be utilized ; with due intimation to GOI. Grant-in-aid for cataract operations and various other schemes includes free cataract operation, other eye diseases, School Eye Screening Programme, training, IEC, Private Practitioners, management of State Health Society and District Health Society, recurring GIA to Eye Donation Centres and Eye Banks, maintenance of Ophthalmic Equipments, SBCS, Remuneration, other activities & Contingency etc. How many of the targets projected in the PIP 2009-10 have been achieved.
NIDDCP
Activity Proposed
Approved Rs. in lakhs
Expected output Remarks
1 Establishment of IDD Control Cell
7.00 Better implementation and monitoring of programme activities.
Filling up of all sanctioned vacant posts of IDD Cell and IDD Lab by the state government on regular or contractual basis. Survey should be conducted as per GOI guidelines of NIDDCP @ Rs. 50,000/- per district.
2 Establishment of IDD Monitoring Lab
4.00 Monitoring of iodine content of salt and urine samples in districts.
3 a)Health Education and Publicity b) b) Salt Testing Kits supplies by GOI (30,000 No)
24.50
Increased awareness about IDD and iodated salt. Creating iodated salt demand and monitoring of the same at community level.
4 IDD surveys 0.50 Prevalence of IDD in 1 district of state
Total 36.00
61
IDSP
Budget-sheet - Manipur ( Districts - 9 )
Activity Sub-activity Tasks 2010 - 11
Remarks
Surveillance Preparedness
1. Training 1.1 Training of Hospital Doctors
1.39 20 per district, 10 per batch, 2 batch per district Per head training cost = Rs.1100/-.
Unit cost per participant: training material Rs.100; travel: Rs.300; Food: 250 (10
1.2 Training of Hospital Pharmacist / Nurses
1.89 40 per district, 20 per batch, 2 batch per district per head training cost = Rs.750/-.
Unit cost per participant: training material Rs.50; travel: Rs.100; Food: 150 (20 x 300) + Other exp
1.3 Training of Data Managers & DEO
0.24 Per head training cost= Rs.1600 /-, 2 days training
Unit cost per participant: {[training material Rs.50 + Food 150 x 2] + travel: Rs.500} x 20 + Other expenses (computer hiring) Rs.10000; Trainer charges: Rs.4000 = Total Rs.31,000/- per batch
Sub total 3.51
2. Staff Salary
2.1 Epidemiologists (10) 25.20 Rs 30000 per month
2.2 Microbiologists (2) 4.80 Rs 20000 per month
2.3 Entomologists (1) 2.40 Rs 20000 per month
62
2.4 Consultants (Finance) (1)
1.68 Rs 14000 per month
2.5 Consultants (Training) (1)
3.36 Rs 28000 per month
2.6 Data Managers (10) 16.26 Rs 13500 per month
2.7 Data Entry Operators (11)
11.22 Rs 8500 per month
Sub Total 64.92
3. Operational
Cost
3.1 Mobility Support 4.32 (Rs 1000 per visit x 4 visits)/ per month per district
3.2 Office Expenses @ Rs.2000 P.M.
2.76 Rs 2000 at districts and Rs 5000 at SSU per month
Sub total 7.08
Sub Total (Surv. Preparedness)
75.51
Outbreak investigation and response
4 4.1 ASHA incentives for Outbreak reporting
1.08 Estimated to get 10 informations per month from volunteers a total of 120 such information in a year per district. Each informant to be given an incentive of Rs.100/-
4.2 Consumables for District Labs
2.00 Rs 200 000 per lab
63
4.3 Collection & transportation of samples
0.54 Rs 6000 per district per year
Sub Total (OB Investiga & Resp)
3.62
Analysis and use of data
5 5.1 IDSP reports including alerts
0.30 Rs 30 000 per SSU per year
5.2 Printing of Reporting Forms
1.00 Rs 10000 per district and Medical College per year
5.3 Broadband Expenses 1.32 Rs 1000 per district+SSU+Medical Colleges
Sub Total 2.62
TOTAL 81.75
64
NLEP
The approved amount for Manipur State under National Leprosy Eradication Programme
for 2010-11 is 0.45 crores. Targets to be achieved during 2010-11 are as follows –
1. Annual New Case Detection Rate – 1.20 per 1,00,000 population
(Rs. in lakhs)
S. No.
Activity proposed Amount proposed
Amount approved
Expected Output
Remarks
1) Contractual Services
9.87 10.00
Functional leprosy cell at state/district level
State - SMO, BFO cum AO, DEO,Administrative Assistant, Driver
District - Drivers (6)
2) Services through ASHA/USHA
0.10 1.00
Increase in percentage of cases reported by ASHA
ASHA involvement to be strengthened
Honararium to ASHA, sensitization of ASHA
3) Office expenses & Consumables 7.20 3.50
Functional leprosy cell at state/district level
4) Capacity building
7.35 5.00
Improvement in skills in diagnosis & treatment of leprosy
4 days training of newly appointed MO (rural & urban)
3 days training of newly appointed health worker & health supervisor
2 days refresher training of MO
5 days training of newly appointed Lab. Technician
5) Behavioral Change Communication
9.78 9.00
Better self reporting as a result of increased awareness
Quiz,folk show,IPC workshop,Meeting of opinion leaders,Health melas
Wall painting,Rallies,Hoardings etc
65
6) POL/Vehicle operation & hiring
7.00 7.00 Improvement in mobility of SLOs & DLOs
2 vehicles at state level & 1 vehicle at district level
7) DPMR
3.40 3.50
Decrease in recurrence of foot ulcers and reduction in grade II disability through RCS
MCR footwear, Aids and appliances, Welfare allowance to BPL patients for RCS, Support to govt. institutions for RCS
8) Material & Supplies
2.30 2.50 Management of reaction cases
Supportive drugs, lab. reagents & equipments and printing forms
9) Urban Leprosy Control 0.80 0.50
Better diagnosis & treatment of leprosy in urban areas
10) Supervision, Monitoring & Review
1.00 1.00
Better, supervision & monitoring of programme
Review meetings and travel expenses
11) Cash assistance 1.00 2.00
Better, supervision & monitoring of programme
Anti Leprosy day
TOTAL 49.80 45.00
66
Deafness Programme
The Manipur State PIP has been examined by the programme division of Directorate General of Health Services Following observations are made: The proposal of NPPCD does not included details of the proposed activity except the budget in the submitted NRHM State PIP. The status of programme in the existing 4 districts has not been mentioned. Existing districts under the programme has not been mentioned in the state PIP. SNo State/UT Existing districts Proposed districts
under NPPCD (2010-11)
1 Manipur 1. Imphal 2. Senapati 3. Churachandpur 4. Ukhrul 5. Tamenglong 6. Chandel
Nil
6 districts Nil The state has requested for Rs. 119.00 lakh for the implementation of the programme during 2010-11. The component wise detail for projected budget is as under:
S. No.
Component Total amount
proposed in Rs lakh
Total amount
approved
Expected outcome
Remark
1. Training of Manpower
8.12 Nil Trained manpower
Funds were released in the year 2009-10
2 Capacity building of DLOs, DPMU, BPMU, CDPOs
60.00 Nil Details about the activity is not mentioned
3 Manpower at district level
10.80 10.80 Strengthened ear care service delivery system
4 Screening Camps 4.80 7.20 Early identification of Hearing impaired
5 Hearing Aids 29.20 29.20 Medical rehabilitation of Hearing impaired children
6 Central Cell at state 5.72 4.22 Coordinate, Recommended
67
level liaison with central and district level for better and speedy implementation of the programme
from Mission Flexible pool Consultant @ Rs 25000/-PM DEO @ Rs 6000/- PM and Office expenses of Rs 50000/- per year
7 Contingency 0.10 nil Total 119.00 51.42
The state of Manipur has proposed the budget of Rs 119.00 lakh for the year 2010-11 but Rs 51.42 lakh (Rs 47.20 lakh may be given from the programme budget and Rs 4.22 lakh from NRHM Flexipool budget) may be considered for approval.
68
ANNEX-V
SUMMARY of MAIN APPROVED ACTIVITIES (INFRASTRUCTURE, HUMAN RESOURCES, TRAINING)
FMR Code Activity
Proposed Amount (Rs. In Lakhs)
Approved Amount (Rs. In Lakhs)
Major Expected Output in the PIP
Budgeted under
INFRASTRUCTURE B1.2 Procurement of ASHA Drug
Kit @ Rs. 900/- X 2 times X 3878 ASHAs
69.8
100% ASHA will get Drug kits.
MFP
B3.1.2 CHCs - Construction of BTQ (1), Patient Toilet (1), Land Development, Construction of IPD Building & Construction of Fencing. Total for Rs. 381.50 L, proposed for 50% during 2010 - 11.
190.75 190.75 Upgradation of infrastructure of public health facilities
MFP
B3.1.4 Sub Centres - Additional fund requirement for Water supply & Sanitary installation, Internal Electrification & installation - & Barbwire fencing in 50 Sub Centres out of 100 numbers of S/Cs construction, approved in 2006 - 07. Total budget is Rs. 391.50 Lakhs & proposed for 50% during 2010-11.
197.75 150 Upgradation of infrastructure of public health facilities
MFP
MFP
B4.1 CHCs - Annual Maintenance Grant for 1 SDH at Moreh and in 16 CHCs @ Rs. 1.0 L.
17 17 100% received Maintenance grant and utilized up keeping of facility.
MFP
B4.2 PHCs - Annual Maintenance Grant for 80 PHCs @ Rs. 0.50 L.
40 35 MFP
B4.3 Sub Centers - Annual Maintenance Grant for 350 Sub Centres @ Rs. 0.10 L
35 32 MFP
B.5.2.1 PHCs - Construction of either PHC buildings or quarters in 10 PHCs during 2010-11 at Phayeng (IW), Andro & Keirou Makting in IE, N. Sekmai,
434.79 434.79 Upgradation of infrastructure of public health facilities
MFP
69
Lilong, Hiyanglem in TBL, Lambui in UKL, Thanlon in CCP, Maphaou Kuki & Lai in STP districts.
B5.3.2 Construction of 11 relocated PHSCs collocated with PHCs and CHCs for Rs. 233.72 L. Proposed for 50% only during 2010-11.
116.88 116.88 Upgradation of infrastructure of public health facilities
MFP
B5.5 Govt. Dispensaries/ others renovations Renovation/Repairing of Ward and Repairing of Sanitation/Drainage systems of only functioning Leprosy Hospital (Temporary Hospitalization ward), Leihingol, Imphal East
35 35 Upgradation of infrastructure of public health facilities
MFP
B.5.7.2 Setting up of Mini-Training Centres for 7 District (5 Hill and 2 Valley) @ Rs. 20.0 L, total requirement being Rs. 140.0 L. Proposed for 50% only during 2010-11.
70 70 Trainings of health staff will be held.
MFP
Mobile Medical Units (Including recurring expenditures) Mobile Medical Units comprising of 02 vehicles equipped with basic gadgets and equipments are provided in all the existing 09 districts and are functional. Services of 18 drivers, 9 Lab. Techs and 9 X-Ray Techs have been used on contractual basis by giving a monthly honorarium of Rs. 5,000/-, Rs. 7,000/- and Rs. 7,000/- respectively. The services of these contractual staffs will be continued. Also, a Performance-based incentive may be given to the MOs and paramedics
138.02 138.02 Expected 2,91,600 peoples will be benefited
MFP
B.11.1 Procurement of 4 Wheel Drive Mobile Medical Units @ Rs. 9.0 L and repairing & maintenance cost @ Rs. 5.0 L per annum for 5 difficult/hill districts + Jiribam Block in IE.
84 84 MFP
B12.1 Ambulance - procurement of 5 ambulances @ Rs. 9 (nine) Lakh each and Salary for driver @ Rs. 5000/- per month
48 45 Improvement of referral services
MFP
70
B.18.3.5 Hardware/Software Procurement
64.93 64.93 MFP
B19.2.1 Equipment & Furniture gaps in DH Churachandpur which is in the process of ISO certification:
191.01 191.01 One ISO certified Hospital to render quality services to the people
MFP
B19.2.2 Equipment gaps in DH Thoubal which is to be up-graded from 50-bedded capacity to 100 bedded capacity. A total amount of Rs. 756.44 Lakhs will be needed to fill-in the identified gaps in the newly up-graded 100-bedded DH in Thoubal. Proposed for 50% during 2010-11.
378.22 179.72 Improved health care provision in public health facilities
MFP
B19.2.3 Equipment and Furniture gaps @ CHC Sugnu in Thoubal District and CHC Jiribam
36.74 36.74 do MFP
B19.2.6 Procurement of Solar Lighting System for all the 5 District Hospitals (BPR, CDL, UKL, SPT and TML) @ Rs. 4.00 Lakhs per system and installation & Logistic charge of Rs. 15,000 per system.
20.75 20.75 Alternate power supply ensured
MFP
B19.2.7 Procurement of 30 pieces W 45043 Zoe Gynaecologic Simulator for the IUCD 380- A training at district level
16.5 16.5 MFP
B19.2.8 Procurement of Sodium Hypochlorite (1% or 5%) Solutions, Trolley, Rubber- Hand Gloves up-to Elbow Joint, Rubber Shoes, Apron, Mask and Needle Destroyer
4 4 Improved quality of FP services
MFP
B19.2.10
Equipment of Electric Insuction 82 pieces @ Rs. 5000/- per pieces
4.1 4.1 MFP
B19.2.13
Procurement Colour coded bins (Red, Yellow, White and Black bins). For all the District Hospitals, CHCs and 38 (Thirty eight) 24x7 targeted PHCs
94.81 94.81 MFP
71
B23.2 SOLAR POWER PLANTS (Capacity - 25KWP) FOR DISTRICT HOSPITALS CHURACHANDPUR, THOUBAL AND SUB-DISTRICT HOSPITAL MOREH, CHANDEL. The unit cost of plant is @ Rs. 100.00 Lakh of which Rs. 65.50 Lakh shall be funded through Menistry of Renewable Energy, GOI and Rs. 32.50 Lakh is proposed to be provided by the State Health Society, Manipur under NRHM.
97.5 97.5 Alternate power provision for ensuring uninterrupted power supply in the facilities.
MFP
A.9.2.1 Major civil works for operationalisation of FRUS
70 70 7 District Hospitals RCH-II
A.9.2.2 Major civil works for operationalisation of 24 hour services at PHCs
209.5 209.5
27 PHCs RCH-II A.9.3.1 Minor civil works for
operationalisation of FRUs 15 15 6 DH and 4 CHCs
RCH-II A.9.3.2 Minor civil works for
operationalisation of 24 hour services at PHCs
11 11
4 24x7 PHCs RCH-II A.13.2.5 General drugs & supplies 353 353
RCH-II
SUB- TOTAL
(INFRASTRUCTURE) 3044.05 2717 HUMAN RESOURCES
B14.1
Additional Staff/ Supervisory Nurses PHC,CHC (Including Ayush Stream) Continuation
of 34 AYUSH Pharmacists and engagement of new 67 AYUSH Pharmacists @ Rs. 4500.00 pm
+ Rs. 3000.00 pm as Performance Based Incentives. 75.84 75.84
Availability of healthcare services of Indian system of
medicines in co-located facilities.
MFP
B14.4
Medical Officers at PHCs (Including AYUSH stream) - Continuation of 88 AYUSH
doctors, engagement of new 1 State Nodal Officer (AYUSH) and 8 AYUSH doctors @ Rs.
8000.00 pm + Rs. 10750.00 pm as Performance Based
Incentives. 213.19 213.19 MFP
72
B14.6
Lab technicians, Gynecologists, Anesthetists, Pediatrician, Specialist CHC,
Radiologist, Sonologist, Pathologist, Dental Surgeons. -
Continuation of Specialist AYUSH doctor and
engagement of new 3 Specialist AYUSH doctors @
Rs. 8000.00 pm + Rs. 14500.00 pm as Performance Based
Incentives. 8.78 8.78 MFP
B23.1
Proposed Incentives Structure: Staffs who are posted in the difficult to be accessed areas
will be given incentives in the form of increased monthly
honorarium according to the degree of difficulty as given
below. Inaccessible areas - 150 % of
Basic Pay Very difficult areas - 100% of Basic
Pay Difficult areas - 75 % of Basic Pay
The incentives will be applicable to those contractual
staffs placed outside their home districts. The total
budget for 2010-11 will be Rs. 230.988 Lakhs 230.99 230.99
Approved in principle. State
should work out detail of payment to
individual institution against posted workers.
Amount of incentives are in
higher side. MFP
B28.1.1
Continuation of 36 BPMs @ Rs. 5500/- Basic Pay + Rs. 3875/-
(PBH) 40.5 40.5
Proactive BPMSUs are in place
MFP
B28.1.2
Continuation of 36 BFMs @ Rs. 5500/- Basic Pay + Rs. 3875/-
(PBH) 40.5 40.5 MFP
B28.1.3
Continuation of 36 BDMs @ Rs. 5500/- Basic Pay + Rs.
3875/- (PBH) 40.5 40.5 MFP
B28.1.4
Continuation of 46 PHC Account Officers @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH) 51.75 51.75 MFP
B28.1.5
Engagement of new 36 HMIS assistant for PW tracking in 36
blocks @Rs.8000/- 25.92 25.92 MFP
Engagement of 9 new Office Assistant for 9 Districts @ Rs.
7000/- 5.67 5.67 MFP
B.28.3.1
Continuation of 1 State Engineer Consultant @ Rs.
10000/- Basic Pay + Rs.18750/- (PBH) 3.45 3.45 MFP
73
B.28.3.2
Continuation of 1 HRD/Training Consultant @
Rs. 10000/- Basic Pay + Rs.12500/- (PBH) 2.7 2.7 MFP
B.28.3.3
Continuation of 1 BCC/IEC Consultant @ Rs. 10000/- Basic
Pay + Rs.12500/- (PBH) 2.7 2.7 Strengthening of
SPMSU MFP
B.28.3.4
Continuation of 2 Computer Operator (Training Centre) @
Rs. 4500/- Basic Pay + Rs.4250/- (PBH) 2.1 2.1 MFP
B.28.3.5
Engagement of 1 new Assistant Engineer Consultant
@ Rs. 5500/- Basic Pay + Rs.4500/- (PBH) 0.9 0.9 MFP
B.28.3.6
Engagement of 1 new Assistant HMIS Officer @ Rs. 5500/- Basic Pay + Rs.4500/-
(PBH) 0.9 0.9 MFP
B.28.3.7
Engagement of 2 Accountant @ Rs. 5500/- Basic Pay +
Rs.4500/- (PBH) 1.8 1.8 MFP
B.28.3.8
Engagement of 1 new Assistant Training Consultant
@ Rs. 5500/- Basic Pay + Rs.4500/- (PBH) 0.9 0.9 MFP
A.9.1.1 ANMs 327 327 420 ANMs RCH-II
A.9.1.2 Laboratory Technicians 28.5 28.5 38 Laboratory
technicians RCH-II A.9.1.3 Staff Nurses 126 126 140 SNs RCH-II
A.9.1.4
Doctors and Specialists (Anaesthetists, Paediatricians,
Ob/Gyn, Surgeons, Physicians) 47.25 47.25 9 specialists RCH-II
A.9.1.5 Other contractual staff 218.25 218.25 54 MOs,14 PHNs, 9
pharmacists , RCH-II
A.10.1 Human Resources
Development 0.72 0.72 4 HR trainees for 3
months RCH-II SUB-TOTAL (HUMAN RESOURCES) 1496.81 1496.81
TRAINING
B18.1.2
District level - Workshops/Seminars at 9 Districts @ Rs.
0.50 L 4.5 4.5
1 Monitoring Committee Will be
formed. 18 NGOs will be
identified 45 Monitoring
Committees will be formed
MFP
B18.1.3
Block level - Workshops/Seminars at 36 blocks @ Rs.
0.30 L 10.8 10.8 MFP
B.18.3.3 Workshops/
Training on M & E 60.6 60.6 MFP
74
Capacity Building
(Training) 45.95 5
Trained manpower available upto
community level MFP
A.11.1 Strengthening of
Training Institutions 34.8 34.8 3 institutes RCH-II
A.11.3.1 Skilled Birth
Attendance / SBA 28.42 28.42 80 ANMs, 24 SNs RCH-II
A.11.3.2 EmOC Training 8.51 8.51 3 batches RCH-II
A.11.3.3
Life saving Anaesthesia skills
training 6.39 6.39 2 batches RCH-II A.11.3.4 MTP training 8.38 8.38 10 batches RCH-II
A.11.3.7 Other MH Training 3.65 3.65
BEmOC - 24 MOs; Blood storage
training – 12 MOs and 10 LTs RCH-II
A.11.4 IMEP Training 1.68 1.68 180 paramedics RCH-II
A.11.5.1 IMNCI 13.37 13.37
Pre- service IMNCI for UG students 17
batches RCH-II
A.11.5.5 Other CH Training 4.77 4.77 270 Primary school
teachers RCH-II A.11.6.2 Minilap Training 3.14 3.14 15MOs RCH-II A.11.6.3 NSV Training 1.96 1.96 24 MOs RCH-II
A.11.6.4 IUD Insertion
Training 61.17 61.17 310 SN and 350
ANMs RCH-II A.11.7 ARSH Training 2.44 2.44 60 officials and MOs RCH-II
A.11.9 Other training 84.76 84.76
Management training 2 batches, PGDPHM 9 MOs,
PRI- VHSC members 3203, PRI training
1020, Fin training of MOs 4 batches, audit
training-1 batch RCH-II
SUB-TOTAL (TRAINING) 385.29 344.34
GRAND TOTAL 3410.27 3321.57
75
ANNEX –VI
List of participants for the meeting of the National Programme Coordination Committee
Sl. No.
Name & Designation Tel. No./E-Mail Address
Participants from MoHFW
1 Shri P.K. Pradhan, AS&MD [email protected]
2 Shri Amarjeet Sinha, JS(P) [email protected]
3 Shri Amit Mohan Prasad, JS(RCH) [email protected]
4 Shri Puneet Kansal, DS(NRHM III) [email protected]
5 Dr. M. Malhotra, AC(MH-I) 23063479
6 Dr. B. Kishore, AC(CH-I) [email protected]
7 Dr. P.K. Prabhakar, AC(ID) [email protected]
8 Dr. A. Raghu, Asst. Adv(Ayush) [email protected]
9 Dr. G.S. Sonal, JD, NVBDCP 23967780/116
10 Dr. V.K. Tewari, HEO(O), NPCB 23061429
11 Dr. Niraj Klushrestha, CMO, RNTCP 23061107
12 Shri G.R. Khetarpal, US(NE) 23061203
13 Shri S.K. Bose, Investigator, NE Div. [email protected]
14 Shri S.K. Singh, Investigator, NE Div. [email protected]
15 Dr. Abhishek Gupta, Consultant, NE Div. [email protected]
16 Dr. Vinay Viswawadia, Consultant, FP Div. 23062427
17 Dr. Prema Sundararajan, Consultant, SHP [email protected]
18 Ms. Sukhvinder Kaur, Consultant, Stat. Div. [email protected]
19 Ms.Geetanjli Agrawal, Consultant, ARSH [email protected]
20 Ms. Asmita Jyoti Singh, Consultant, ID Div. 9654765096
76
21 Ms. Shraddha Masih, Consultant, NRHM IV
22 Shri Vipin Garg, Consultant, DC Div. 9212786892
23 Shri Sanjeev Gupta, Fin. Controller 9871924655
24 Shri Aman Kumar Ram, Fin. Asstt(FMG) 23062121
25 Ms. Mona Gupta , Consultant, TMSA 9818038688
26 Ms. Renuka Patnaik, Consultant, NIHFW [email protected]
27 Dr. M. H. Meitei, Sr. Lecturer, NIHFW 9873317434
28 Dr. L.L. Khan Piang, Lecturer, NIHFW 9711135357
Participants from NE_RRC
29 Dr. A.C. Baishya, Director, NE-RRC [email protected]
30 Dr. Ashoke Roy, Adv(PH), NE-RRC [email protected]
31 Dr. Dilip Singh, Adv(PH), NE-RRC [email protected]
Participants from State
32 Shri Pradeep K. Jha, MD(NRHM), Manipur [email protected]
33 Dr. W. Gulapi Singh, Addl. Dir(P), Manipur [email protected]
34 Dr. N.P. Singh, Addl. Dir(P&F), Manipur [email protected]
35 Dr. H. Nimaichand Singh, SPO, Manipur [email protected]
36 Ms. R.N. Sandhya, DD(Fin), Manipur [email protected]
37 Shri Khaliq Milan, Addl. SPM, Manipur 9862583275
38 Shri W. Tejendra, SFC, Manipur [email protected]
39 L. Romeo Singh, State Data Mgr. Manipur 985025468
40 Ms. Risabai Salam, HRD Consultant, Manipur
9856968597