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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Letter No. OSH & FWS/9354 Date:31.07.2015 From
Smt. Roopa Mishra, I.A.S. Mission Director, NHM & Ex- Officio, Addl. Secy. to Govt. H&FW Deptt. Odisha.
To All Directors/ Lead Agencies
Sub: Approved resource allocation for the State under NHM PIP, 2015-16.
Madam/Sir, The approved resource allocation for the State of Odisha for the year 2015-16 is Rs.1146,32.80
Lakhs. The Details of component wise break up are as follows. RCH Flexi Pool Rs. 413,33.35 Lakh Mission Flexi pool Rs. 432,14.61 Lakh(Including Rs.42.31 Crs of civil budget approved in principle, detailed at Annex*) NPPCD Rs. 1,37.15 Lakh Immunization Rs. 36,78.16 Lakh NIDDCP Rs. 51.00 Lakh NUHM Rs. 24,58.88 Lakh NVBDCP Rs. 39,91.07 Lakh IDSP Rs. 4,98.43 Lakh RNTCP Rs. 34,27.12 Lakh NLEP Rs. 4,88.81 Lakh NPCDCS Rs. 22,02.14 Lakh NTCP Rs. 2,45.45 Lakh NPCB Rs. 9,00.00 Lakh NPHCE Rs. 3,26.63 Lakh Infrastructure Maintenance Rs. 116,80.00 Lakh
The above approval is subject to the certain mandatory requirements as detailed in Terms & Conditions. Please note that non-compliance to any of the Terms & Conditions prescribed in PIP may entail audit objections & may result in withholding of grant to the implementing agency.
This year State has made three notable changes in the PIP approval. Firstly, activities for unspent balances form part of the PIP. Secondly, small disease control programmes have been brought under health systems strengthening pool to enable higher resources and integrated approach. Third, the approvals are based on the current sharing pattern but as announce in the Union Budget, 2015-16, the sharing pattern will undergo a change and hence some approvals which are indicated separately as Appendix is subject to additional resources becoming available on account of increased State share.
Last but not the least, we need to simultaneously work towards securing More money for health and get more health for money.
Yours faithfully,
Mission Director, NHM & Ex- Officio, Addl. Secy. to Govt.
H&FW Deptt. Odisha.
ng MMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMore money
YoYYYYYY urs faithfu
siooooioiooiooooooooiooiooioooooooiooooooooooooooooooooooooooooooioooooiooooooooooooiooooooiooooooooiooooooioioooooooooooooooiioioiooiiooooiiiioooon nnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn Director, NHM
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Terms & Conditions
The approval is subject to the following mandatory requirements. Please note that non-compliance to
any of the following requirement may entail audit objections & result in with-holding / curtailment
of grant to the implementing agency.
1. All expenditure under this sanction should be incurred with reference to the financial &
programme guidelines prescribed by the Govt, of India/Govt. of Odisha/Mission
Directorate. A certificate to this effect should accompany the UC in due course.
2. The transactions of all the programmes under NHM, including payment to beneficiaries, must
be through PFMS at all levels.
3. The Implementing Agency shall not make any change in allocation amongst different
components/ activities without prior approval of Mission Director, NRHM.
4. All approvals are subject to the observations made in this document.
5. The implementing agency shall follow all the financial management guidelines in operation
under NHM and submit Audit Reports, Quarterly Summary report, Concurrent Audit Report,
FMRs, Statement of Fund Position, as and when they are due.
6. Implementing agency shall ensure submission of details of unspent balance indicating, inter
alia, funds released in advance and funds available. The implementing agency shall also
intimate the interest amount earned on unspent balance. The interest money accrued under
a programme is treated as GIA and can be spent against the approved activities of that
particular programme only.
7. The implementing agency shall ensure submission of quarterly report on progress against
targets & expenditure including an analysis of adverse variances & corrective action proposed
to be taken.
8. Release of funds: Action on the following issues would be looked at while considering the
release of funds:
a) Compliance with conditionalities as prescribed by Department of Expenditure (DoE) under the Ministry of Finance.
b) Physical and financial progress.
c) Timely submission of Statutory Audit Report for the year 2014-15.
d) Utilization Certificates against the grant released to the State up to 2014-15 for releasing funds beyond 75% of BE.
e) Opeining of accounts in PFMS.
9. The concurrent audit must be undertaken as per the guideline. The action on the avservations of the auditor must be in time and Action Taken Report (ATR) on the observations must ve furnished to the State on monthly basis along with the quarterly
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
summary report. 10.The implementing agency has to ensure that the personal advances given for different
activities at their level are settled within 45 days of completion of the activity. In case of non-
settlement, the advancee should be issued a notice for settlement of the advance in next
seven days. However, if the same is not settled within the stipulated time, the advance should
be recovered from his/her salary. The guideline provided in this regard under the signature
of MD, NRHM & DHS, Odisha must be strictly followed.
11. Compliance to the observations of auditor of any audit (con-current / statutory / C&AG) must
be furnished within 10 days with a copy to the Mission Directorate.
12.The accounts of the grantee institution/ organization shall be open to inspection by the
sanctioning authority, internal as well as statutory auditors & by the Comptroller & Audit
Generl of India under the provision of CAG (DPC) Act, 1971.
13.The expenditure on the following items are disallowed
a) Creation of departmental/ district level posts & resultant payment of salaries.
b) Purchase of new vehicle.
c) Expenditure on accounts of activities sanctioned under the State budget.
Mission Director, NHM & Ex-Officio, Addl. Secy. to Govt. of, Odisha
e buddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddddgegggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggggg t.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Mandatory Disclosure
The following conditionalities shall be adhered to by the States and are to be treated as nonnegotiable:
Mandatory disclosures:
1. The State must ensure mandatory disclosures on the state NHM website of the following and
act on the information:
Facility wise deployment of all HR including contractual staff engaged under NHM with name and designation. This information should also be uploaded on HMIS
Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. on HMIS.
MMUs- total number of MMUs, monthly schedule format and service delivery data on a monthly basis capturing information on all fields mentioned in the specified format.
Patient Transport ambulances and emergency response ambulances- total number of vehicles, types of vehicle, registration number of vehicles, service delivery data including
clients served and kilometer logged on a monthly basis.
All procurements- including details of equipment procured (as per directions of CIC which have been communicated to the States by this Ministry vide letter No
'No.Z.28015/162/2011-H' dated 28th November 2011.) in specified format
Buildings under construction/renovation total number, name of the facility/hospital along with costs, executing agency and execution charges (if any), date of start &
expected date of completion in specified format.
Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise supervisory plan and reports should be uploaded on the website.
NGOs/PPP funded under NHM would be treated as 'public authority' and will fall under the ambit of the RTI Act 2005 under Section 2(h). Further, details of funds allotted
/released to NGOs/PPP to be uploaded on website.
Facility wise list of package of services being provided through the U-PHCs & U-CHCs
2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT)
mechanism through AADHAAR enabled payment system, through NEFT under Core Banking
Solution or through A/C payee check (Cash payment or bearer cheque payment is
categorically disallowed across the States unless specifically agreed in case of certain areas in
hilly States and NE States where presence of bank network is inadequate).
3. Timely updation of MCTS and HMIS data including facility wise reporting
4. Line listing of high risk pregnant women, including extremely anaemic pregnant women and
Low Birth Weight (LBW) babies.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
KEY CONDITIONALITIES 5. The following key conditionalities would be enforced during the year 2015-16
SL. No. Conditionality Description
Source of Verification &
indicator Incentive/Penalty
1 Reduction in IMR
Percentage decrease over last year
SRS Maximum incentive of 5% - Weightage=5 If decrease less than 5%
No incentive If decrease between 5-
7% Incentive of 3% If decrease greater than
7% Incentive of 5% 2 Reduction MMR
Percentage decrease over last year (only for 16 States for which IMR is available)
SRS
Maximum incentive of 5% - Weightage= 5 If decrease less than 5%
No incentive If decrease between 5-
10% Incentive of 3% If decrease greater than
10% Incentive of 5% 3 Full
Immunization Coverage
During the current FY, as on December 31st Infants fully immunised vs estimated beneficiaries
MCTS
Maximum penalty and incentive of 5%. Weightage= 5/(-)5 If coverage less than 40%
Penalty of 5% If coverage between 40-
50% No penalty For coverage above 50%
up to 100% Incentive up to maximum of 5%, calculated as
Coverage above 50% 10 I.e. if coverage is 65%, then incentive of 1.5%; and if coverage is 87%, then Incentive is 3.7%.
4 Functionality of FRUs/ CEmOC facilities (excluding Medical Colleges)
Adequacy of functional FRUs(conducting C-sections)
HMIS Facilities conducting C-Sections: 1. For Large
States Avg. 10
CS/month at DH level
Avg. 5 CS/month at SDH and CHC level.
Maximum penalty and incentive of 5%. Weightage= 5/(-) 5 Compared to required number of FRUs: On a State-wide basis If 50-75% FRUs
functional 3% penalty If less than 50% FRUs
functional 5% penalty On a State-wide basis, if
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
SL. No. Conditionality Description
Source of Verification &
indicator Incentive/Penalty
2. For NE States (excl. Assam), Hilly States Uttarakhand, HP, J&K), UTs (excl. Delhi)
Avg. 6 CS/ month at DH level
Avg. 3 CS/ month at SDH and CHC level
more than 75% FRUs functional, AND in HPDs-
If less than 50% FRUs functional 5% penalty
If 50-75% FRUs functional 3% penalty
If 75-90% FRUs functional 3% incentive
If more than 90% FRUs functional 5% incentive.
5 Quality Certification
Percentage of District hospitals and CHCs quality certified by State level body.
NHSRC Report
Maximum incentive of 5%. Weightage= 5 3% incentive if at least
50% of DHs certified 2% incentive if at least
25% of CHCs / Block PHCs certified.
6 JSSK
Implementation
Implementation status of JSSK entitlements
MCTFC Report (minimum sample of 300 beneficiaries for each state)
Maximum penalty of 10%.Weightage= (-)10 More than 50% gap in
any of the components (drug, diet, diagnostics and transport) 10% penalty
Less than 50% but more than 25% gap, 5% penalty
No penalty if performance more than 75% (based on survey/MCTFC calls)
7 Governance: Quality of Services and functionality of public health facilities
Star rating of facilities Based on the extent to which CHCs/PHCs meet the benchmark on key indicators. Five Star indicator Criteria:
Maximum penalty of 5 %. Weightage=5 To avoid penalty
minimum 50 % of CHCs to have 3 or more star rating
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
SL. No. Conditionality Description
Source of Verification &
indicator Incentive/Penalty
1. Human Resource and Infrastructure
2. Service availability
3. Drugs and supplies
4. Client Orientation
5. Service Utilization.
8 Implementation of Free drugs & Diagnostic services
Free drugs & Diagnostic services to be implemented as per GOI mandate
District report certified by State Nodal officers and assessments made by NHSRC teams and MCTFC.
Maximum incentive of 5% Weightage= 5 90% and above institutions effectively implementing free drugs & diagnostic services 5% 60% to 90% institutions effectively implementing free drugs & diagnostic services 3% 15% - 5%
Other Conditionalities :
a) State should ensure expenditure upto 15% by June 2015 and another 30% by September 2015 of their approved budget under each pool in the FY 2015-16
b)Expand the Governing Body (GB) and the Executive Committee of the State Health Mission/ Society to include Minister(s) in charge of Urban Development and Housing, and Secretaries in charge of the Urban Development and Housing departments.
c) Urban Health planning cell should be established in the State Health Society (SPMU)1. However, the thematic areas will be appropriately strengthened at the State Health Society and District Health Societies to support both NUHM and NRHM. Parallel structures shall not be created for NRHM and NUHM.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
d) State/UT will adopt Competency based Skill Tests and transparency in selection and recruitment of all doctors, SNs, ANMs and LTs sanctioned under NHM.
e)All services under National Health Programme/Schemes should be provided free of cost.
f) Investments in U-PHCs must lead to improved service off take at these facilities, which should be established through a baseline survey & regular reporting through HMIS.
g) The UPHCs should provide the whole range of services enumerated in the NUHM Implementation Framework
h)The State Health Budget should increase at least by 10% in 2015-16 over the previous year.
i) States needs to complete 100% registration of agencies and should start expenditure filing in PFMS
j) Funds to be timely transferred from the state treasury to the bank account of SHS.
k) The State should ensure to have a full time Director -Finance under NHM.
Note: Incentives and disincentives are not applicable under NUHM
Mission Director, NHM & Ex- Officio, Addl. Secy. to Govt.
H&FW Deptt. Odisha.
issssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssioioioioioooioioioioioioiooiooiooooioooioooioiooooooooioiooooioioioioooooioiooooooooooioooooioooooiooooooioiiooioiooioioooiiioiiiiii n Director, NH
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Annex-1
Additional resources for civil works (to b econsidered for implementation if approved in the supplementary PIP)
Sl No
Name of the District
B4.1.1.1 B4.1.1.1 B4.1.5.3 Grand Total
(Rs. In Lakhs)
Additional Building/ Major Upgradation of
Drug Warehouse at DHH
Additional Building/ Major Upgradation of
Regional Vaccine store
Carry forward of new construction of MCH wing initiated last year, or the
year before
1 Angul 6.75 285.49 292.24 2 Balasore 6.75 244.50 251.25 3 Baragarh 6.75 30.00 36.75 4 Bhadrak 6.75 30.00 36.75 5 Bolangir 6.75 141.00 147.75 6 Boudh 6.75 0.00 6.75 7 Cuttack 6.75 0.00 6.75 8 Deogarh 6.75 0.00 6.75 9 Dhenkanal 6.75 0.00 6.75
10 Gajapati 6.75 150.00 156.75 11 Ganjam 6.75 0.00 6.75 12 Jagatsinghpur 6.75 45.00 51.75 13 Jajpur 6.75 239.73 246.48 14 Jharsuguda 6.75 0.00 6.75 15 Kalahandi 6.75 249.00 255.75 16 Kandhamal 6.75 75.00 81.75 17 Kendrapara 6.75 0.00 6.75 18 Keonjhar 6.75 255.00 261.75 19 Khurda 2.68 6.75 215.28 224.71 20 Koraput 2.68 6.75 105.00 114.43 21 Malkanagiri 6.75 0.00 6.75 22 Mayurbhanj 6.75 298.44 305.19 23 Nawarangpur 6.75 60.00 66.75 24 Nayagarh 6.75 150.00 156.75 25 Nuapada 6.75 225.00 231.75 26 Puri 6.75 150.60 157.35 27 Rayagada 6.75 238.50 245.25 28 Sambalpur 6.75 112.50 119.25 29 Sonepur 6.75 45.00 51.75 30 Sundargarh 2.68 6.75 151.05 160.48
31 RGH Rourkela 6.75 73.57 80.32
32 Capital Hospital 6.75 438.00 444.75
Grand Total 8.03 216.00 4007.66 4231.68
al
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Annex-2 List of Ongoing Activities to be executed out of unspent balance during Financial Year 2015-16
(Rs. In lakh)
Budget Head Name of the activities
Funds to be spent
Total amount to be spent in the
current year (A+B)
Out of Advance Released
(A)
Out of Bank Balance
(including interest)
(B) I. NRHM RCH Flexible Pool
A RCH-Flexible Pool 120.28 0.00 120.28 A.1 MATERNAL HEALTH 0.00 A.2 CHILD HEALTH 0.00 A.3 FAMILY PLANNING 0.00 A.4 RKSK 0.00 A.5 RBSK 0.00 A.6 Tribal RCH 0.00 A.7 PNDT Activities 0.00 A.8 INFRASTRUCTURE & HUMAN
RESOURCES 0.00
A.9 TRAINING 108.20 108.20 A.10 PROGRAMME/NRHM
MANAGEMENT COST 12.08 12.08
A.11 VULNERABLE GROUPS 0.00 B Mission Flexible Pool 8140.59 1190.00 9330.59
B.1 ASHA 250.00 250.00 B.2 Untied Fund /Annual Maintenance
Grants/Corpus Grant to HMS/RKS 0.00 0.00
B.3 Rollout of B.Sc ( Community Health) 0.00 0.00
B.4 Hospital Strengthening 5336.27 5336.27 B.5 New Construction/ Renovation and
Setting Up 967.67 967.67
B.6 Implementation of Clinical Establishment Act 0.00
B.7 District Action Plan (Including Block, Village) 0.00
B.8 Panchayti Raj Initiative 0.00 B.9 Mainstreaming of AYUSH 0.00
B.10 IEC-BCC NRHM 204.00 204.00 B.11 Mobile Medical Units (Including
recurring expenditures) 0.00
B.12 Referral Transport (National Ambulance Services) 0.00
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Budget Head Name of the activities
Funds to be spent
Total amount to be spent in the
current year (A+B)
Out of Advance Released
(A)
Out of Bank Balance
(including interest)
(B) B.13 PPP/NGOs 0.00 B.14 Innovations if any 0.00 107.87 170.87 B.15 Planning Implementation and
Monitoring 105.84 249.63 355.47
B.16 PROCUREMENT 1247.00 506.50 1753.50 B.17 Drugs Warehouses 233.81 0.00 233.81 B.18 New Initiatives/ Strategic
Interventions 0.00
B.19 Health Insurance Scheme 0.00 B.20 Research, Studies, Analysis 59.00 59.00 B.21 SHSRC & ARC 0.00 B.22 Support Services 0.00 B.23 Other Expenditures (Power
Backup, Convergence etc) 0.00
B.24 Collaboration with Medical Colleges and Knowledge partners 0.00
B.25 National Programme For prevention & Control of Deafness 0.00
B.26 National Oral Health Programme 0.00 B.27 National Program for Palliative
Care (New Initiatives under NCD) 0.00
B.28 Assistance to State for Capacity building (Burns & injury) 0.00
B.29 National Programme for Fluorosis 0.00 C RI and PPI 94.70 0.00 94.70
C.1 Routine Immunization 60.45 60.45 C.2 Pulse Polio 34.25 34.25 D NIDDCP 0.00 0.00 0.00
II. National Urban Health Mission-Flexible Pool 1331.75 2557.72 3889.47
III. Communicable Disease Control Flexible Pool 1055.56 85.30 1140.86
a National Vector Borne Diseases Control Programme 257.57 257.57
b Revised National Tuberculosis Control Programme 741.63 741.63
C National Leprosy Eradication Programme. 30.89 30.89
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012
MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Budget Head Name of the activities
Funds to be spent
Total amount to be spent in the
current year (A+B)
Out of Advance Released
(A)
Out of Bank Balance
(including interest)
(B) d Integrated Disease Surveillance
Programme 25.47 85.30 110.77
IV. Non Communicable Disease Flexible Pool 992.82 137.40 1130.22
a National Programme For prevention and Control of Cancer, Diabetes, Cardiovascular diseases and stroke (NPCDCS)
605.32 76.25 681.57
b National Programme For Control of Blindness 244.86 244.86
c National Mental Health Programme. 3.42 3.42
d National Tobacco Control Programme. 1.56 1.56
e National Programme for the Healthcare of the Elderly 137.66 61.15 198.81
Grand Total 11735.7 3970.42 15706.12
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CONTENTS
Sl. No Component Page
PART- I (NRHM & RMNCH+A Flexi pool)
1. RCH Flexi pool 1-91
2. Mission Flexi pool (including NPPCD, NOHP, NPPCF, Palliative Care and Assistance to State for Burns & Injury)
92-175
3. Immunisation 176-179
4. NIDDCP 180-181
PART- II (NUHM Flexi pool)
5. NUHM Flexi pool 182-209
PART- III (Flexi pool for Disease Control Programme)
6. IDSP 210-219
7. NVBDCP 220-258
8. NLEP 259-260
9. RNTCP 261-273
PART- IV (Flexi pool for Non-Communicable Disease)
10. NPCB 274-276
11. NPCDS 277-283
12. NTCP 284-286
13. NPHCE 287-289
14. NMHP 290-298
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RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
REPR
OD
UCT
IVE
AND
CH
ILD
HEA
LTH
1019
5.19
1053
2.62
1051
4.70
1009
0.83
4133
3.33
MAT
ERN
AL H
EALT
H37
53.0
437
83.6
437
70.3
537
99.0
415
106.
06
Back
grou
nd:
Expe
cted
targ
et V
rs. C
urre
nt s
tatu
sEx
pect
ed p
regn
anci
es :
9557
32Ex
pect
ed D
eliv
ery
: 893
225
Inst
itutio
nal D
eliv
ery
-714
580-
80%
(201
4-15
-71%
)At
Pub
lic fa
cilit
ies -
6431
22-7
0%(2
014-
15-6
4%)
AtPr
ivat
e+
Accr
edite
dPr
ivat
efa
cilit
ies
-714
10%
(201
4-15
-7%
)H
ome
Del
iver
y -7
1458
-8%
(201
4-15
: 9%
)Ho
me
Deliv
ery
(SBA
)-446
61(5
%),
Hom
eDe
liver
y(N
SBA)
-267
97 (3
%)
Un
repo
rted
Del
iver
y- 1
0718
7-12
% (2
014-
15-2
0%)
.1
Ope
ratio
nalis
e Fa
cilit
ies (
Any
cost
oth
er th
an
infr
astr
uctu
re, H
R, T
rain
ing,
Pro
cure
men
t, M
onito
ring
etc.
) m
ay in
clud
e co
st o
f map
ping
, pla
nnin
g-id
entif
ying
pr
iorit
y fa
cilit
ies,
etc)
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
5-16
The
man
date
ofth
est
ate
isto
prov
ide
Com
preh
ensiv
eAb
ortio
nCa
rew
MVA
,EVA
&M
MA
upto
allF
RUs
(95)
and
Safe
Abor
tion
Serv
ices
with
M&
MM
A up
to a
ll CH
C DP
s (43
5).
Stat
us:
1.1.
Achi
evm
ents
201
3-14
: 20
587
(upt
o 12
wee
k - 1
9676
+ >
12
wee
ks 9
1.2.
Achi
evm
ents
2014
-15
upto
Dec'
14:1
5476
(upt
o12
wee
k-1
4940
12 w
eeks
536
)1.
2.1.
Expe
cted
achi
evem
ent
by20
14-1
5(a
spe
rpro
port
iona
tein
crea
2063
52.
Inst
ituio
ncu
rren
tlyfu
nctio
nal
-15
5(u
pto
12w
eeks
-15
5/
upto
wee
ks -
22)
Budg
et H
eads
:1.
Inst
itutio
nal r
eadi
ness
1.
1. P
rocu
rem
ent
1.1.
1.M
VA/E
VA -
Alre
ady
appr
oved
in 2
014-
15.
1.1.
2.Es
sent
iald
rugs
&su
pplie
sex
cept
ing
Mife
prist
one
&M
isopo
sros
Met
out
of S
tate
bud
get.
1.1.
3.M
ifepr
iston
e&
Miso
posr
osto
l-Es
timat
ing
that
30%
ofth
eCA
Cc
i.e. 6
190
(30%
of 2
0635
) - B
udge
t und
er P
rocu
rem
ent.
1.2.
Trai
ning
- B
udge
ted
unde
r Tra
inin
gDe
tail
Trai
ning
pla
n in
(CAC
trai
ning
ann
ex)
1.2.
1.St
reng
then
ing
of13
regi
onal
trai
ning
venu
es-
Stre
ngth
enin
trai
ning
cent
er@
Rs50
,000
/-pe
rtr
aini
ngce
ntre
(Incl
udes
trai
ning
rost
reng
then
ing,
labo
urro
om,
trai
ning
aids
etc.
)+
Ute
rine
Pelv
icm
o@
Rs.5
0000
/- p
er se
t.1.
2.2.
Tra
inin
g de
tails
- 1.
2.2.
1. C
AC c
ertif
icat
ion
trai
ning
of M
Os
Tota
l ins
titut
ion
with
out t
rain
ed m
anpo
wer
-188
Targ
et/
Achi
evem
ent2
014-
15:6
9pa
rtic
ipan
ts;E
xpec
ted
tobe
trai
neM
arch
20no
s.,H
ence
inst
itutio
nsw
ithou
tany
trai
ned
man
pow
eris
16en
d of
Mar
ch 1
5.Ta
rget
2015
-16
:30
batc
hes
(2Do
ctor
sfo
r12
days
&2
Nur
sing
staf
ffda
ys p
er b
atch
)1.
2.2.
2. R
efre
sher
trai
ning
- 50
bat
ches
(3 D
octo
rs &
3 S
Ns p
er b
atch
)3.
Ince
ntiv
e to
ASH
A fo
r acc
ompa
nyin
g M
TP c
ases
- Bu
dget
ed u
nder
AS
3.1.
For s
urgi
cal i
nter
vent
ion
- one
tim
e (@
Rs.1
50/-
)3.
2.Fo
rm
edic
alm
etho
dof
inte
rven
tion
-tw
otim
esi.e
.Da
y-1
(@Rs
.225
/-)
4.O
pera
tiona
lisin
g CA
C se
rvic
es4.
1.Q
uart
erly
revi
ew m
eetin
g - I
nteg
rate
d w
ith R
CH m
eetin
g4.
2.Pr
intin
g(A
dmiss
ion
regi
ster
,op
inio
nfo
rm,
cons
ent
form
,fo
rmtr
aini
ng m
anua
ls) -
Budg
eted
und
er IE
C/BC
C5.
IEC
Mat
eria
l - In
tegr
ated
with
MH
IEC
pack
age.
A.1.
1.1
Ope
ratio
nalis
e Sa
fe a
bort
ion
serv
ices
(inc
ludi
ng M
VA/ E
VA
and
med
ical
abo
rtio
n)at
hea
lth fa
cilit
ies
Page
1 o
f 298
-
RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
5-16
.1.2
Ope
ratio
nalis
e RT
I/ST
I ser
vice
s at h
ealth
faci
litie
s0
0.00
0.00
0.00
0.00
0.00
RTI/
STIS
ervi
cece
nter
s-4
39(D
Pup
toCH
Cle
vel4
35M
CHs +
1 B
MC
hosp
ital)
HR
-Exc
lusiv
eHR
for
35ex
lusiv
eST
Dcl
inic
supp
orte
dO
SACS
(32
DHH
+3
MCH
s),
noad
dl.
HRfo
rin
tegr
atRT
I/ST
I clin
ics
Trai
ning
- Do
ctor
s-74
, LT-
100
(Det
ails
in T
rain
ing)
Proc
urm
ent o
f dru
gs -
Stat
e bu
dget
Han
dhol
ding
supp
ort
bytr
aine
dm
ento
rssu
ppor
tun
der O
SACS
.2
Inte
grat
ed o
utre
ach
RCH
serv
ices
(sta
te sh
ould
focu
s on
faci
lity
base
d se
rvic
es a
nd o
utre
ach
cam
ps to
be
rest
ricte
d on
ly to
are
as w
ithou
t fun
ctio
nal h
ealth
fa
cilit
ies)
127.
2212
7.22
127.
2212
7.22
508.
88
1.2.
1.O
utre
ach
cam
ps0
0.00
0.00
0.00
0.00
0.00
Stat
epr
opos
esfo
rfa
cilit
yup
grad
atio
nra
ther
than
adh
serv
ice
prov
ision
s thr
ough
cam
ps
.2.2
. M
onth
ly V
illag
e H
ealth
and
Nut
ritio
n D
ays
012
6007
1260
0712
6007
1260
0750
4028
1
27.2
2
127
.22
1
27.2
2
127
.22
508.
88
Spec
ial P
lan
unde
r Sta
te B
udge
t St
reng
then
ing
ofVH
ND
Site
sfo
rHPD
s:S
itere
adin
ess
each
VHN
DSi
tew
illbe
supp
orte
dun
der
Stat
eBu
dget
per
man
date
.Pr
ovisi
onin
gun
der
this
head
wou
ldin
term
sof
avai
labi
lity
ofes
sent
ial
equi
pm/in
stru
men
ts,e
nsur
ing
priv
acy
durin
gex
amin
atio
n,to
forf
acili
tatin
ged
ucat
iona
lses
sions
&av
aila
bilit
yof
baam
eniti
eslik
ew
ater
,m
ats
etc
for
bene
ficia
ries.
Apfr
omit,
mob
ility
supp
ortt
ose
rvic
epr
ovid
ers/
supe
rvis
wou
ldbe
give
nfo
ratt
endi
ngVH
ND
sess
ions
indi
fficu
lm
ostd
iffic
ulta
reas
.Bud
gett
oth
etu
neof
7cr
sha
sbe
earm
arke
d fo
r the
said
pur
pose
.Pl
an u
nder
NH
M :
Deta
iled
belo
w
.2.2
.1O
rient
atio
n of
Sec
tor s
uper
viso
rs fo
r upd
atio
n of
mic
orpl
anIn
tegr
ated
orie
ntat
ion
onM
Hac
tiviti
espr
opos
edre
com
men
ded
(A.1
.5.9
)
.2.2
.2Hi
ring
of v
enue
for o
rgan
satio
n of
sess
ion
Per s
ite90
00.
009
2332
2332
2332
2332
9328
-
Budg
etto
bem
etou
tof
VHSN
C(G
KS)
untie
dfu
ndw
the
appr
oval
resp
ectiv
e co
mm
ittee
.Ac
tivity
con
tinue
s w
ith n
o ad
ditio
nal b
udge
t.2
.2.3
Mob
ilisa
tion
of ta
rget
ed b
enifi
ciar
yBu
dget
ed u
nder
ASH
A in
cent
ive
.2.2
.4O
rgan
isat
ion
of V
NH
D c
ost (
For n
orm
al &
har
d to
reac
h se
ssio
ns)
.2.2
.4.1
For n
orm
al s
essio
nsPe
r ses
sion
100
0.00
112
0131
1201
3112
0131
1201
3148
0524
120.
1312
0.13
120.
1312
0.13
480.
52Ac
tivity
con
tinue
s as p
revi
ous
year
.
.2.2
.4.2
For h
ard
to re
ach
sess
ions
Per s
essio
n20
00.
002
3544
3544
3544
3544
1417
67.
097.
097.
097.
0928
.35
Excl
usiv
ely
for H
PDs
Activ
ity c
ontin
ues a
s pre
viou
s ye
ar.
.2.2
.5M
onito
ring
& su
perv
ision
Inte
grat
ed w
ith re
gula
r mon
itorin
g pr
oces
s.3
Jana
ni S
urak
sha
Yoja
na /
JSY
2554
.76
2554
.76
2554
.76
2554
.76
1021
9.03
.3.1
Hom
e de
liver
ies
Per
beni
ficia
ry50
00
1950
1950
1950
1950
7800
9.75
9.75
9.75
9.75
39.0
0
Tota
l Hom
e D
eliv
ery
: 714
58Ex
pect
ed B
PL c
ases
: 27
932
(39.
09%
)Pa
ymen
tdon
eup
to3r
dqt
r:4
255
(Exp
ecte
d56
73as
the
prop
ortio
nate
figu
re)
Henc
e bu
dget
ed fo
r 30%
elig
ible
cas
es i.
e. 8
384
.3.2
Inst
itutio
nal d
eliv
erie
s 18
23.0
818
23.0
818
23.0
818
23.0
872
92.3
2Re
fer A
1 fo
r bac
kgro
und
deta
ilsAc
tivity
con
tinue
s with
revi
sed
unit
nos.
.3.2
.aRu
ral
Per
beni
ficia
ry14
000
1154
0511
5405
1154
0511
5405
4616
2016
15.6
716
15.6
716
15.6
716
15.6
764
62.6
8Ta
rget
edbe
nific
iarie
s:
80%
ofto
tal
ID(P
ublic
Accr
edite
d Pv
t.) -
5430
80Pr
opos
ed fo
r 85%
.of b
enifi
ciar
ies =
461
620
Page
2 o
f 298
-
RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
5-16
.3.2
.bU
rban
Per
beni
ficia
ry10
000
2036
620
366
2036
620
366
8146
420
3.66
203.
6620
3.66
203.
6681
4.64
Targ
eted
beni
ficia
ries
:20
%of
tota
lID
(Pub
licAc
cred
ited
Pvt.)
- 13
5772
Prop
osed
for
60%
ofbe
nific
iarie
si.e
.81
464
base
dcu
rren
t exp
. tre
nd.3
.2.c
C-se
ctio
nsPe
r cas
e15
000
250
250
250
250
1000
3.75
3.75
3.75
3.75
15.0
0
.3.3
Adm
inist
rativ
e Ex
pens
es
1%
2
5,29
,462
25
11
11
425
.29
25.2
925
.29
25.2
910
1.18
Hea
dof
expe
nses
:O
ffice
stat
iona
ries,
Out
sour
cing
DEO
sfo
rda
taen
try
for
JSY
paym
ent
thro
ugh
PFM
Shi
ghca
selo
adfa
cilit
ies
(>50
0De
liver
ies
PM),
publ
icet
c..3
.4
Ince
ntiv
es to
ASH
A0
1222
1512
2215
1222
1512
2215
4888
60
696
.63
6
96.6
3
696
.63
6
96.6
3 27
86.5
3Ac
tivity
con
tinue
s with
revi
sed
unit
nos.
.3.4
.1Fo
r Rur
al a
rea
Per c
ase
600
0.00
610
3886
1038
8610
3886
1038
8641
5544
623.
3262
3.32
623.
3262
3.32
2,49
3.26
Ta
rget
ed b
enifi
ciar
ies -
543
080
Paym
ent
toAS
HA:p
ropo
sed
for
77%
ofbe
nific
iarie
s41
5544
con
sider
ing
exp.
tren
d
.3.4
.2Fo
r Urb
an a
rea
Per c
ase
400
0.00
418
329
1832
918
329
1832
973
316
73.3
273
.32
73.3
273
.32
293.
26
Targ
eted
ben
ifici
arie
s - 1
3577
2Pa
ymen
tto
ASHA
:pro
pose
dfo
r54
%of
beni
ficia
ries
7331
6 co
nsid
erin
g ex
p. tr
end
.4M
ater
nal D
eath
Rev
iew
(bot
h in
inst
itutio
ns a
nd
com
mun
ity)
015
0315
0315
0315
0360
12
3.10
3.10
3.10
3.10
12
.38
Back
grou
nd64
2nu
mbe
rsof
mat
erna
ldea
ths
has
been
repo
rted
the
end
ofO
ct20
14an
dis
expe
cted
toco
ver
1100
caby
end
of20
14-1
5.Du
ring
2015
-16
the
tota
lest
imat
deat
hsar
e20
04an
dex
pect
edto
beco
vere
d70
%i
1400
num
bers
.Re
vise
d st
rate
gies
To
impr
ove
repo
rtin
g,AS
HAto
bein
cent
ivise
d(R
s.5
per
case
)fo
rre
port
ing
ofal
lw
oman
(15-
49yr
s)de
case
san
dsp
ecia
lin
cent
ive
(Rs.
150/
-pe
rca
se)
conf
irmed
mat
erna
l dea
th c
ases
.
Man
dato
ryde
skre
view
byde
signa
ted
MDR
offi
iden
tifie
dby
CDM
Oat
dist
rict
leve
l,to
rect
ifyt
repo
rtin
ger
rors
inth
ein
vest
igat
ion
form
ats
and
faci
litin
MDR
mee
tings
.
Valid
atio
nof
20%
MD
case
shee
tsby
zona
lFO
chap
ter
for
anal
ysis
ofca
use
ofde
ath,
and
sugg
corr
ectiv
e/pr
even
tive
mea
sure
sto
the
polic
ym
aker
sfu
ture
act
ion
.4.1
ASHA
ince
ntiv
e fo
r str
engt
heni
ng re
port
ing
of a
ll w
omen
de
ath
Per c
ase
500.
0005
0-
New
Act
ivity
. (D
isco
untin
ed in
201
3-14
& 2
014-
15)
Calc
ulat
ion
-To
talm
idye
arpo
pula
tion
ofw
omen
15yr
sof
age
(2.1
8cr
.)X
CDR
7.5/
1000
)to
bere
port
edAS
HA w
ithin
24
hour
s of d
eath
. Exp
ecte
d 70
% c
over
age
Budg
eted
und
er A
SHA
Stat
eha
spr
opos
edto
prov
ide
Rs.5
0/-f
orre
port
ing
ofw
omen
deat
h&
Rs.1
50/-
onco
nfer
mat
ion
asm
ater
deat
h.
.4.2
ASHA
ince
ntiv
e fo
r con
firm
atio
n of
mat
erna
l dea
thPe
r cas
e15
00.
0015
351
351
351
351
1404
-
New
Act
ivity
. To
tal
expe
cted
mat
erna
lde
ath
aspe
rAH
S20
12-1
2004
. Exp
ecte
d co
vera
ge 7
0% i.
e. 1
404
Budg
eted
und
er A
SHA
.4.3
One
day
Ref
resh
er tr
aini
ng to
inve
stig
ator
s on
MDR
00
0.00
0.00
0.00
0.00
-
Budg
eted
und
er A
.1.5
.9.4
.4Co
mm
unity
bas
ed m
ater
nal d
eath
inve
stig
atio
nPe
r cas
e30
00.
003
351
351
351
351
1404
1.05
1.05
1.05
1.05
4.21
Activ
ity c
ontin
ues a
s pre
viou
s ye
ar.
.4.5
Desk
revi
ew o
f 100
% M
DR c
ase
shee
ts b
y de
signa
ted
MDR
of
ficer
for r
ectif
icat
ion
of re
port
ing
erro
rs &
faci
litat
ion
durin
g di
stric
t MDR
mee
tings
Per c
ase
100
0.00
135
135
135
135
114
040.
350.
350.
350.
351.
40
N
ew A
ctiv
ity. J
ustif
icat
ion
in A
.1.4
in m
ain
shee
t
.4.6
Valid
atio
n of
MDR
inve
stig
atio
n sh
eet o
n sa
mpl
e ba
sis &
fe
edba
ck b
y FO
GSI
(20%
cas
es)
Per c
ase
1000
0.01
9999
9999
396
0.99
0.99
0.99
0.99
3.96
Activ
ity c
ontin
ues a
s pre
viou
s ye
ar.
Page
3 o
f 298
-
RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
5-16
.4.7
Supp
ort c
ost f
or fa
mily
mem
ebrs
to a
tten
d re
view
mee
ting
cond
ucte
d by
Col
lect
orPe
r cas
e20
00.
002
351
351
351
351
1404
0.70
0.70
0.70
0.70
2.81
Activ
ity c
ontin
ues a
s pre
viou
s ye
ar.
.5O
ther
stra
tegi
es/a
ctiv
ities
(ple
ase
spec
ify)
182.
8221
3.42
200.
1322
8.81
825.
18
.5.1
Line
list
ing
and
follo
w-u
p of
seve
rely
ane
mic
wom
en0
0.00
0.00
0.00
0.00
-
Spec
ial P
lan
unde
r Sta
te B
udge
t Id
entif
icat
ion,
trea
tmen
t/m
anag
emen
tof
High
rca
ses
inH
PDs:
Spec
ialp
rovi
sions
have
been
mad
eun
Stat
ebu
dget
for
man
agem
ent
&tr
eatm
ent
ofhi
ghr
case
s.M
ajor
prov
ision
sar
elik
eco
mpu
lsory
visit
byL
tohi
ghris
kca
ses
forc
heck
updu
ring
ANC,
Pre
book
ing
beds
for
high
risk
case
sin
func
tiona
lFR
Us,
supp
ort
atte
ndan
tfor
min
48hr
sst
ayor
assu
gges
ted
bytr
eat
phys
icia
nsaf
ter
deliv
ery,
nutr
ition
alsu
pple
me
outc
ome
base
dto
pup
Ince
ntiv
eto
ASHA
sfo
ren
sur
surv
ival
ofhi
ghris
kba
bies
till2
mon
ths.
Budg
etto
ttu
ne o
f 39
crs h
as b
een
earm
arke
d fo
r the
said
pur
pose
Plan
ned
unde
r NH
M:
1.In
tegr
ated
mod
ular
regi
ster
for
ANM
sfo
rtr
acki
ngfo
llow
-up
ofan
emic
PW,
LWB,
disc
harg
edfr
omSN
CN
BSU
& N
RC. B
udge
t app
rove
in su
ppl.
PIP
2.PB
Isc
hem
efo
rH
PDs
toim
prov
elin
elist
ing
trea
tmen
tfo
rse
ver
anem
ia@
Rs.1
00/-
per
case
toAN
onfu
lfilli
ngof
cond
ition
ality
sugg
este
dby
GO
I.Bu
dget
unde
r A.8
.1.1
0.3
(sub
com
pone
nt A
.8.1
.10.
6.3)
.5.2
Impr
ovin
g ea
rly re
gist
ratio
n0
0.00
0.00
0.00
0.00
-
Spec
ial P
lan
unde
r Sta
te B
udge
t for
HPD
s9
out
of10
high
prio
rity
dist
ricts
have
early
regi
stra
tco
vera
gele
ssth
enst
ate
aver
age
whi
chst
ands
at71
.as
perA
HS20
12-1
3.Th
eav
erag
eea
rlyre
gist
ratio
nra
t61
.37%
.So
prop
osal
isto
impr
ove
stat
usof
eare
gist
ratio
nin
HPDs
thro
ugh
intr
oduc
tion
ofha
lfye
aAS
HAin
cent
ive
for
mor
eth
an80
%co
vera
gein
targ
eted
area
.Bud
gett
oth
etu
neof
2.5
crs
crs
has
beea
rmar
ked
for t
he sa
id p
urpo
se.
.5.3
Uni
vers
ial s
cree
ning
of H
IV d
urin
g AN
C0
0.00
0.00
0.00
0.00
-
1Pr
ocur
emen
tof
Who
lebl
ood
finge
rpr
ick
test
k(1
1832
box
es) -
Bud
gete
d un
der P
rocu
rem
ent
2 Tr
aini
ng o
f MO
& A
NM
- Co
mpl
eted
3In
cent
ive
toAS
HA
for
mob
ilise
and
acco
mpa
preg
nant
wom
ento
ICTC
orFI
CTC
and
ensu
reHI
Va
RPR
test
ing
durin
gAN
C-
Budg
eted
unde
rAS
ince
ntiv
e4
Ince
ntiv
izat
ion
for
ensu
ring
ther
apeu
ticca
refo
rH
posit
ive
preg
nant
wom
an&
child
-Bu
dget
edun
dAS
HA
ince
ntiv
e of
CH
por
tion
.5.4
Stre
ngth
enin
g In
stitu
tiona
l Del
iver
y - D
iffre
ntia
l co
mm
unity
bas
ed st
reng
then
ing
initi
ativ
es0
4646
5262
206
1
28.1
0
128
.10
1
44.8
1
172
.65
573.
66
.5.4
.1M
ater
nity
Wai
ting
Hom
eTo
tal p
roje
ct a
ppro
ved
in 2
014-
15 :
62O
pera
tiona
l - 4
6Re
st e
xpec
ted
to b
e op
eart
iona
l by
end
of 2
nd q
tr.
.5.4
.1.1
Non
-rec
urrin
g co
stPe
r MW
H20
0000
20.
000.
000.
000.
00-
N
o ne
w p
ropo
sal s
ubm
itted
.5.4
.1.2
Recu
rrin
g co
stPe
r MW
H pe
r qtr
2784
752.
7847
546
4652
6220
612
8.10
128.
1014
4.81
172.
6557
3.66
Ac
tivity
con
tinue
s as
bef
ore
with
ext
ende
d pe
riod.
Deta
ils in
MW
H(An
nx)
Page
4 o
f 298
-
RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
5-16
.5.5
Man
agem
ent o
f PPH
thro
ugh
oral
miso
pros
tol &
ens
urin
g sa
fe h
ome
deliv
ery
00.
000.
000.
000.
00-
1.D
istr
ibut
ion
ofm
isop
rost
olin
SCar
eas
with
mo
than
20%
hom
e de
liver
y1.
1.Tr
aini
ng o
f AN
M &
ASH
A - C
ompl
eted
1.2.
Proc
urem
ento
fmiso
pros
tol-
9597
430
+10
%bu
ffe10
5571
73 -
Met
out
of S
tate
bud
get
2.Ho
me
deliv
erie
sat
tend
edby
SBA
trai
ned
ANM
Budg
eted
und
er A
.8.1
.10.
3
.5.6
Stre
ngth
enin
g FR
U o
pera
tatio
nalis
atio
n 0
126
136
136
138
536
27.
36
27.
96
27.
96
28.
08
111.
36
1.FR
U o
pera
tiona
lisat
ion
Targ
et -
95 (O
pera
tiona
l by
Dec'
14 -
69)
Reas
ons f
or n
on-o
pera
tiona
l :
Non
-ava
libili
tyof
criti
calH
R-O
Gsp
l.-6
FRU
s,Pa
edia
tric
Spl-
FRU
s,LS
AS/A
naes
thet
ist-8
FRU
son
the
basis
ofat
leat
1LS
AS/
per
inst
.(To
talr
eqas
per
man
date
-155
i.e.3
for
>300
deliv
ep.
m.&
1fo
r=10
0de
liver
x12
mon
ths
&@
Rs.5
000/
-p.m
.x20
FRU
s(= 1
00 d
eliv
erie
sPe
r DP
per
qtr
3000
00.
375
7575
7530
022
.50
22.5
022
.50
22.5
090
.00
Ac
tivity
con
tinue
s as
bef
ore
with
ext
ende
d pe
riod.
.5.6
.3M
aint
enan
ce c
ost o
f LR
& O
T of
FRU
DPs
(con
tigen
cy,
cons
umab
les e
tc.)
< 10
0 de
liver
ies
Per D
P pe
r qt
r15
000
0.15
2020
2020
803.
003.
003.
003.
0012
.00
Ac
tivity
con
tinue
s as
bef
ore
with
ext
ende
d pe
riod.
.5.7
Stre
ngth
enin
g In
stitu
tiona
l Del
iver
y th
roug
h ex
pans
on o
f D
P ne
twor
k - F
acili
ty b
ased
inte
rven
tion
.5.8
Men
torin
g su
ppor
t for
qua
lity
serv
ice
deliv
ery
at fu
nctio
nal
DPs
Per v
isit
2000
013
6813
6813
6814
0455
0827
.36
27.3
627
.36
28.0
811
0.16
Deta
ils o
f men
torin
g &
its p
rogr
ess i
n th
e se
part
e sh
ePe
riodi
city
of v
isit
1. F
or a
ll DP
s upt
o CH
C - 3
74 x
6 v
isits
p.a
. = 2
244
visit
s2.
For
rest
DPs
- 81
6 x
4 vi
sits
p.a
. = 3
264
visit
sDu
ratio
n of
stay
at i
nstit
utio
n - M
in. 6
hrs
Activ
ity c
ontin
ues w
ith re
vise
d un
it no
s.
.5.9
Orie
ntat
ion
of p
rogr
amm
e of
ficer
& se
rvic
e pr
ovid
ers a
t all
leve
ls fo
r im
prov
ing
impl
emen
tatio
n of
MH
initi
ativ
es (Q
A,
nurs
ing,
MN
H to
ll ki
t, CA
C, e
tc.)
Per d
ist10
0000
130
300.
0030
.00
0.00
0.00
30.0
0
Activ
ity c
ontin
ues a
s pre
viou
s ye
ar.
Page
5 o
f 298
-
RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
5-16
.5.1
0Sc
reen
ing
for S
yphi
lis d
urin
g pr
egna
ncy
00
0.00
0.00
0.00
0.00
-
Deta
ils in
Syp
hilis
Bud
get(
Annx
).5
.11
00
0.00
0.00
0.00
0.00
-
.5.1
20
00.
000.
000.
000.
00-
.5
.13
00
0.00
0.00
0.00
0.00
-
.5.1
40
00.
000.
000.
000.
00-
.5
.15
00
0.00
0.00
0.00
0.00
-
.6JS
SK- J
anan
i Shi
shu
Sura
khsh
a Ka
ryak
ram
885.
1588
5.15
885.
1588
5.15
3540
.60
.6.1
Dru
gs a
nd c
onsu
mab
les
016
104
1610
416
104
1610
464
416
53.
63
53.
63
53.
63
53.
63
214.
52
Budg
eted
10%
&re
stto
bem
etou
tof
Stat
ebu
dgTh
isfu
ndha
sto
beut
ilise
dfo
rm
eetin
gdr
ugs
cons
umab
les,
ifno
tava
ilabl
eat
that
poin
toft
ime
wth
ere
spec
tive
faci
lity
from
Stat
esu
pply
.Pro
cure
me
has
tobe
done
thro
ugh
loca
lpur
chas
e,ob
serv
ing
dpr
oced
ure.
.6.1
.1Fo
r Nor
mal
del
iver
yPe
r cas
e35
00.
0035
1448
414
484
1448
414
484
5793
635
.49
35.4
9
35
.49
35.4
9
14
1.94
.6.1
.2Fo
r C-s
ectio
n de
liver
yPe
r cas
e16
000.
016
1620
1620
1620
1620
6480
18.1
4
18
.14
18.1
4
18
.14
72.5
8
.6.2
Diag
nost
ic
Per c
ase
500
2389
3623
8936
2389
3623
8936
9557
4483
.63
83.6
3
83
.63
83.6
3
33
4.51
Estim
ated
ben
ifici
arie
s : E
x.Pr
g*10
0%Bu
dget
ed70
%(b
alan
cefu
nds
shal
lbe
proj
ecte
dre
quire
d at
supp
lem
enta
ry st
age)
.6.3
Bloo
d Tr
ansf
usio
nPe
r cas
e30
00
1792
017
920
1792
017
920
7168
037
.63
37.6
3
37
.63
37.6
3
15
0.53
Estim
ated
ben
ifici
arie
s : E
x.Pr
g*15
% /5
0%Bu
dget
ed70
%(b
alan
cefu
nds
shal
lbe
proj
ecte
dre
quire
d at
supp
lem
enta
ry st
age)
.6.4
Die
t (3
days
for N
orm
al D
eliv
ery
and
7 da
ys fo
r Ca
esar
ean)
011
760
1176
011
760
1176
047
040
17.
64
17.
64
17.
64
17.
64
70.5
6
.6.4
.1At
PHC
(N) D
PPe
r cas
e15
00.
0015
9168
9168
9168
9168
3667
213
.75
13.7
513
.75
13.7
555
.01
.6.4
.2At
SC
DPPe
r cas
e15
00.
0015
2592
2592
2592
2592
1036
83.
893.
893.
893.
8915
.55
.6.5
Free
Ref
erra
l Tra
nspo
rt
Per c
ase
500
013
8524
1385
2413
8524
1385
2455
4096
692.
62
69
2.62
692.
62
69
2.62
2770
.48
Tota
lID
repo
rted
inHM
IS(u
pto
Dec'
14):
5306
51(P
ub47
9211
+ P
vt. 5
1440
)To
tale
xpec
ted
IDin
publ
iche
alth
inst
s.In
12m
onth
6389
48 (4
7921
1 / 9
x 1
2)
Budg
et p
ropo
sed
for 8
6.72
% o
f ben
ifici
arie
s i.e
. 554
096
.6.6
Oth
er JS
SK a
ctiv
ity0.
000.
000.
000.
00.6
.6.1
00
0.00
0.00
0.00
0.00
-
.6.6
.20
00.
000.
000.
000.
00-
.6
.6.3
00
0.00
0.00
0.00
0.00
-
Sub-
tota
l Mat
erna
l Hea
lth (e
xclu
ding
JSY)
1198
.28
1228
.88
1215
.59
1244
.28
4887
.04
Sub-
tota
l JSY
2554
.76
2554
.76
2554
.76
2554
.76
1021
9.03
Budg
eted
70%
(bal
ance
fund
ssh
all
bere
leas
edre
quire
d at
supp
lem
enta
ry st
age)
Activ
ity c
ontin
ues w
ith re
vise
d un
it no
s.
Prop
osal
isfo
rPH
C(N
)&
SCDP
whe
resa
nctio
ned
bear
eno
tav
aila
ble
@Rs
.50/
-pe
rda
y.Fo
rot
her
inpr
ovisi
onis
bein
gm
ade
unde
rSta
tebu
dget
@Rs
.50/
-da
y pe
r cas
e.Bu
dget
ed70
%(b
alan
cefu
nds
shal
lbe
rele
ased
requ
ired
at su
pple
men
tary
stag
e)Ac
tivity
con
tinue
s with
revi
sed
unit
nos.
Page
6 o
f 298
-
RCH
Flex
i
Rem
arks
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH)
Stat
e to
men
tion
whe
ther
the
activ
ity p
ropo
sed
is n
eor
to b
e co
ntin
ued
from
pre
viou
s ye
ar. J
ustif
icat
ion
tbe
giv
en.
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
No.
Budg
et H
ead
Prop
osed
201
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udge
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1 D
istr
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rogr
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e M
anag
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2.2
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tric
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s M
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No.
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th
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al p
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q.
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0%)
Tota
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Rem
uner
atio
n DP
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Page
72
of 2
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Sl. N
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ewTo
tal
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34
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Page
73
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98
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Sl. N
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ewTo
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0
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15
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4.3
Prog
ram
me
Ass
ocia
te (I
EC/B
CC
& T
rain
ing)
A.1
0.2.
4.4
Prog
ram
me
Ass
ocia
te, L
egal
Affa
irs &
Inst
itutio
nal S
tren
gthe
ning
(p
revi
ousl
y de
gina
ted
as P
A, P
CPN
DT)
Tot
al p
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m re
q.
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al
prop
osed
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No.
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Rem
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atio
n DP
MU
Page
74
of 2
98
-
Rem
DPM
U(A
n
/7.
C+3
C373
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