F. No. M-11011/3/2010 NRHM-III Government of India

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F. No. M-11011/3/2010 – NRHM-III Government of India

Ministry of Health & Family Welfare Department of Health & Family Welfare

Nirman Bhawan, New Delhi

Dated: April 29, 2010 To, The Mission Director, (NRHM) Department of Health & Family Welfare, Government of Nagaland, Kohima.

Subject: Approval of State Programme Implementation Plan of NRHM for the year 2010-

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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

09/03/2010 at New Delhi and subsequent deliberations1.

2. The administrative approval of the PIP for your State is conveyed for an amount

of Rs 98.97 Crore (Rupees Ninety eight crore ninety seven 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 3.55 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. 82.25 Crore

15% State share Rs. 12.62 Crore

Total Rs. 98.42 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 Crores)

Table B

Sl No. Likely Uncommitted Unspent balance available as on 1.4.2010

GoI Resource Envelope under NRHM

Total

1 RCH Flexible Pool - Rs.23.13 Cr. Rs.23.13 Cr.

2 NRHM Flexible Pool Rs. 3.55 Cr. Rs. 24.55 Cr. Rs28.10 Cr

3 Immunization ( from RCH Flexible Pool)

4 NVBDCP - Rs. 4.70 Cr. Rs. 4.70 Cr.

5 RNTCP - Rs. 2.10 Cr. Rs. 2.10 Cr.

6 NPCB - Rs.3.29 Cr. Rs.3.29 Cr.

7 NLEP - Rs .0.55 Cr Rs .0.55 Cr

8 IDSP - Rs.0.45 Cr. Rs.0.45 Cr.

9 NIDDCP - Rs.0.36 Cr Rs.0.36 Cr

10 Director & Admn. (Treasury route)

- Rs. 11.53 Cr. Rs. 11.53 Cr.

11 PPI Oper. Cost - Rs.0.87 Cr Rs.0.87 Cr

12 15% State share - Rs. 12.62 Cr Rs. 12.62 Cr

13 15% over and above GoI resource envelope for purpose of PIP approval

- RS. 10.73 Cr RS. 10.73 Cr

Total Rs.3.55 Cr. Rs.94.87 Cr. Rs.98.42 Cr.

Committed Unspent Balance up to 2009-10 to be Revalidated in 2010-11

Rs.24.73 Cr.

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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) 32.34

2. NRHM Mission Flexible Pool (Details at Attachment B)

40.86

3. Immunization ( from the RCH Flexible Pool) (Details at Attachment C)

1.27

4. NVBDCP (Details at Attachment D)

5.53

5. RNTCP (Details at Attachment D)

3.03

6. NPCB (Details at Attachment D)

1.68

7. NIDDCP (Details at Attachment D)

0.36

8. IDSP (Details at Attachment D)

0.98

9. NLEP (Details at Attachment D)

0.52

10 PPI Operation Cost 0.87 11 Infrastructure Maintenance 11.53 TOTAL 98.97

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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 locations 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.

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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.

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.

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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.

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 Govt. of India

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)

77.87 JSY helpline; referral support for 2000 beneficiaries , Sensitisation 11 workshop - districts; review meetings; printing of formats

JSY 366.00 20000 home deliveries; 20000 institutional deliveries and 400 C-sections;

2 Child Health 35.40 Setting up IMNCI centres in 5 districts 3 Family Planning 7.60 44 female sterilisation camps 4 Sterilisation & IUD

compensation & NSV camps 48.88 Compensation for 2500 female sterilisations,

65 male sterilisations, 44 NSVcamps etc. 5 ARSH 27.50 29 ARSH clinics; printing of training

manuals; Monitoring of services 6 Innovations/ PPP/ NGO 333.36 10 MNGOs shall be supported

7 Infrastructure & HR 742.76 116 ANMs, 18 Lab Techs, 78 SNs, 10 PHNs and 64 GNMs, 15 specialists, 85 MOs and 2 paediatricians

8 Institutional Strengthening 160.27 State to provide details of the physical targets and achievements.

9 Training 227.93 SBA training 60 ANMs, EmOC Training 5 doctors, IMEP Training 633 MOs and 56 ANMs, ARSH Training 120 MOs, 120 ANMs, 55 LHVs & 80 SNs, IUD Insertion Training 80 ANMs and 40 SNs

10 BCC / IEC 444.57 11 Procurement 366.23 Procurement of 32 OT lamps, 54 ventouse, 33

MVA/EVA equipments, 1500 delivery kits; 11 phototherapy units, 3 incubator and 3 Foetal Doppler; 46 Minilap set, 9 Laparoscope and 100 NSV kits

12 Program Management 395.65

GRAND TOTAL RCH II 3234.02

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ATTACHMENT-B

APPROVAL OF MISSION FLEXI POOL NAGALAND:

S.No Activity Approved Amount (Rs.

In Lakhs)


1 ASHA 170.00 1700 ASHAs trained up to 6 modules along-with drug kits and ASHA Support system (AMG, SARC, and Block ASHA Coordinators) to be in place.

2 Untied Funds 203.40 Untied Funds to be provided to 21 CHCs, 86 PHCs, 397

SCs, and 1317 VHSCs in order to strengthen the quality of the health facilities.

3 Hospital Strengthening

100.00 Up-gradation of Nursing Training institute at Tuensang

4 Annual Maintenance Grants

94.90 AMG funds to be provided to 21 CHCs, 86 PHCs, and 309 SCs for institutional strengthening.

5 New Constructions/ Renovation and setting up

1348.92 CHCs: construction of 3 CHCs, 11 CHC staff quarter; PHCs: 50% fund for construction of 22 PHC staff quarters and 13 new PHC construction; SC: 400 lac for 50 SCs construction.

6 Corpus Grant to HMS/RKS

162.00 RKS fund provided to 11 DH, 21 CHCs and 86 PHCs

7 District Action Plan 60.00 Preparation of evidence based SPIP, DHAP & BHAP

8 Panchayat Raj Initiative

66.2 Orientation workshop of PRI at State, District, CHC, PHC level.

9 IEC-NRHM 65.00 One health mela each will be conducted in 11 districts and printing of posters to create awareness.

10 Mobile Medical Units 260.81 Funds provided for recurring cost of MMU (Trained Manpower, Drugs, PoL & Maintenance) for ensuring regular health camps at periphery with drugs and diagnostics.

11 Referral Transport 63.00 Funds provided for procurement of 9 ambulances

12 School Health Programme

50.44 School Health Programme to be implemented in 3039 Schools.

13 Additional Contractual Staff

709.20 Funds to be provided for ensuring quality service delivery to specialists, MOs, para medical staffs posted at different facilities.

14 PPP/NGOs 51.17 Continuing Financial Support to 3 Mission Hospital and adoption of one PHC; which is an initiative of the community.

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15 Community Monitoring

61.10 Regular systematic review at State level, District Level, CHC level, PHC level and village level of progresses made under NRHM and take corrective measures.

16 Procurement 39.98 Funds to be provided for procurement of dental equipment at DH and CHC, development software for ProMIS, workshop on ProMIS and strengthening the state procurement cell

17 New Initiatives 90.15 Study allowances for ANM course and GNM course and conducting 24 health camps

18 NRHM Management Costs/ Contingencies

490.00 Salary to be provided to BPMSU, DPMSU and other support staffs to strengthen the Program Management structure at Block, District and State level.

NRHM Flexi Pool (Total)

4086.27

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ATTACHMENT-C

APPROVAL OF IMMUNIZATION STRENGTHENING PROGRAMME

S. No. Activities

Approved Amount (Rs.

In Lakhs)


1 Mobility support for Supervision and Monitoring at districts and state level.

6.50 Improved supervision for programme

2 Cold Chain Maintenance 1.82 Strengthening of cold chain 3 Alternate Vaccine Delivery to Session sites 19.05 Timely supply of vaccine to 19056

session sites 4 Focus on urban slum & underserved areas 29.90 Conduction of 178 unit per month

session to urban area/urban slums 5 Social Mobilization by ASHA /Link

workers 23.00 Ensure universal access

6 Computer Assistants support at State/District Level

13.19 Strengthen Monitoring

7 Printing and dissemination of immunization cards, tally sheets, charts, registers, receipt book, monitoring formats etc

2.98 Strengthen Monitoring

8 Quarterly review meeting at state/district/block level

3.17 Regular meeting for Programme Review

9 Training & Orientation at District/Block Level

11.80 Capacity building of Medical Officers, Health Workers and other Immunization related staffs

10 Micro plan at Block/Sub-centre level 2.00 Conduction of 348 session regularly 11 POL for vaccine delivery from state to

District and PHC/CHCs 11.52 Injection waste disposal as per

CPCB guidelines 12 Injection safety 1.80

Total 126.79

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ATTACHMENT-D

APPROVAL OF RNTCP

Sr. No. Activity Approved Amount (Rs.

In Lakhs)


1 Civil works 15.15 1) Civil work Up gradation and maintenance

2 Laboratory materials 23.65 1) Sputum of TB Suspects Examined per L population per quarter; 2) All districts subjected to IRL OSE and Panel Testing in the year; 3) IRLs accredited and functioning optimally

3 Honorarium 10.00 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY.

4 IEC/ Publicity 10.00 1) All IEC/ACSM activities proposed in PIP 2) Increase in case detection and improved case holding;

5 Equipment maintenance 55.00 1) Maintenance of Office Equipments at State/Districts and IRL equipments

6 Training 15.00 1) Induction training, Update and Re-training of all cadre of staff completed as planned;

7 Vehicle maintenance 19.82 1) All 4 wheelers and 2 wheelers in the state to be in running condition and maintained

8 Vehicle hiring 19.42 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding;

9 NGO/PP support 10.00 1) Increase in number of NGOs/PPs . 2) Contribution of NGOs/PPS in case detection and provision of DOT

10 Miscellaneous 10.00 1) All activities proposed under miscellaneous head in PIP.

11 Contractual services 105.16 1) All contractual staff appointed and paid regularly as planned.

12 Printing 6.00 1) All printing activities at state and district level.

15 Procurement –vehicles 4.00 1) Procurement of vehicles.

Total 303.20

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APPROVAL OF NVBDCP

Sl.No. Activity Approved Amount (Rs.

In Lakhs)


1.1 Malaria DBS (Domestic Budgetary Support GOI) 308.65 Increase no of enhanced – Early Cases

detection and prompt treatment (EDPT) - Increase in no. of blood sample examination

1.1.1 Malaria-GFATM 220.00 The project monitoring unit at state as well as district level strengthened. The project monitoring unit at state as well as district level strengthened. Microscopy services functional in PHC labs

1.2 Dengue and Chikungunya 3.50 To built capacity for case surveillance and management.

1.3 Japanese Encephalitis 10.00 To built capacity for case surveillance, management and epidemic response.

2 Decentralized commodities: 10.47 To change in community behaviour

Total Cash assistance 542.15 3 Cash assistance for decentralised

commodity including 10.47

Total cash assistance including cost of decentralised commodities.

552.62

4 Centrally procured commodity support by GoI

314.19

Grand Total cash + commodity support from NVBDCP

866.81

Sub Total (NRHM additionality) 10.00

NVBDCP + NRHM additionality 876.81

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APPROVAL OF IDSP

Activity Proposed Approved Amount (Rs. In Lakhs)


1. Surveillance

preparedness, training &

staff salary

2. Outbreak investigation

3. Analysis & use of data

98.23

1.Training of professionals (DSO, Pharmacist /

Nurses, Data Managers & DEO

Out Break Reporting

IDSP reports including alerts

APPROVAL OF NPCB

Sl. No. Activities Approved Amount (Rs. In

Lakhs)


A Recurring Grant in –Aid 70.25

B Non Recurring Grant in – Aid 77.50

C Contractual Manpower 20.25

Total 168.00

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APPROVAL OF NIDDCP

APPROVAL OF NLEP

S. No. Activity proposed

Approved Amount (Rs.

In Lakhs)


1) Contractual Services 10.00 Functional leprosy cell of state/district level

2) Services through ASHA/USHA

0.50 Increase in percentage of cases reported by ASHA

3) Office expenses & Consumables

4.40 Functional leprosy cell at state/district level

4) Capacity building 3.50 Improvement in skills in diagnosis & treatment of leprosy

5) Behavioural Change Communication

7.00 Better self reporting as a result of increased awareness

6) POL/Vehicle operation & hiring

10.00 Improvement in mobility of SLOs & DLOs

7) DPMR 5.00 Decrease in recurrence of foot ulcers and reduction in grade II disability through RCS

8) Material & Supplies 5.50 Management of reaction cases

9) Urban Leprosy Control 0.60 Better diagnosis & treatment of leprosy in urban areas

10) Supervision, Monitoring & Review

2.50 Better, supervision & monitoring of programme

11) Cash assistance 3.00 Better, supervision & monitoring of programme

TOTAL 52.00

Sl No. Activity Proposed

Approved Amount (Rs. In

lakhs)


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 a)Health Education and Publicity 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

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ATTACHMENT-E

APPROVAL OF NPPCD

Sl.No Activities Proposed Approved

Amount (Rs. In Lakhs)


1. Training of Manpower

88.00 Trained manpower leads to better services

2 Capacity building District Hospitals

104.50 Strengthened ear care service delivery system

3 Capacity building of PHCs/CHCs

10.70 Strengthened ear care service delivery system

4 Manpower at State level 3.54 Manpower at district level 19.80 Strengthened ear care service delivery

system 5 Screening Camps 14.40 Early identification of Hearing impaired 6 Hearing Aids 53.46

Medical rehabilitation of Hearing impaired children

7 Miscellaneous & Contingency

0.10

Total 294.50

The state has proposed the budget of Rs 69.56 L for the year 2010-11 but Rs 294.50 L may be considered for approval. Note: The selection of the district for implementation of the National Programme for Prevention and Control of Deafness and release of the budget is subject to the availability of ENT surgeon in the District hospital of the particular district.

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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 33%

50% 17%

2. 24X7 Primary Health Centres 33 PHCs Continue with 33 PHCs

3. Functional First Referral Units 10 DH 11 DH + 4 CHCs

1 DH + 4 CHCs

4. Functional Sub Centres 100% 100%

B. Child Health

5. Sick New Born Care Units Nil 2 2

6. Stabilization Units in CHCs Nil Nil Nil

7. Full Immunisation 43.7 as per HMIS

2009-10

70% 22.3%

C. Population Stabilisation

8. Male Sterilization 39 cases 129 cases 90 cases

9. Female Sterilization 1628 cases 4153 cases 2525 cases

10. No. of IUD insertions 1827 1827 0

D. Disease Control

11. Annualised New Smear

Positive Detection rate

70% 80% 10% improvement.

12. Success rate of new smear

positive Treatment success rate

among new sputum positive

patients initiated on DOTS

91% Maintain NSPT

success rate

Maintain NSPT

success rate

13. ABER for malaria 7.88 of total

population 10% of total

population 10% of total

population

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Year

14. API for malaria 4.28 -- --

15. No. of Reconstructive

surgeries performed under

NLEP

Nil Nil Nil

16. Annual New Case Detection

Rate for Leprosy

0.22% 0.10% Maintain ANCD rate

17. Cataract Surgeries performed 602 750 750

II Human Resources including

Training

18. Appointment of ANMs 166 ANMs, 286 120,

19 Appointment of staff nurse 114 215 101

20. Percent of ANMs trained as

Skilled Birth Attendant

168 (43%) 228 (57%) 60

21. Doctors trained on EMoC 2 7 5

22. Doctors trained on LSAS 4 9 5

23. Doctors trained in NSV/

Conventional vasectomy

66 66 0

24. Doctors trained in Minilap

Tubectomy

28 28 0

25. Doctors trained in laparoscopic

Tubectomy

Nil 0 0

26. Personnel trained in IMNCI 186 800 614

III. Communitisation Process

27. Functional VHSCs 1324 1324

28. ASHAs completed four

modules of training

1700 2074 374

29. ASHAs with Drug kits 1700 2074 2074

30. Percent expenditure of NRHM

funds through NGOs

100% of allocated

funds for NGOs

100% of

allocated funds

for NGOs

31. Percentage Districts having

community monitoring system

Initiated (3) 11 districts

(100%)

8 districts

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Year

in place

IV Flexible Financing

32. Percent utilization of untied

grants

100% 100% 100%

V Improved Management

33. Percent districts uploading

timely HMIS Data and

confirming

Fully functional 100% 100%

34. Tracking of pregnant mothers

and children

Initiated 11 districts 11 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

(Number of Functional ILR

points)

70 100 30

37. Procurement system

(Implementation of Pro

MIS/TNMSC like structure)

NA NA NA

VI Backward district Focus

38. Functional Mobile Medical

Units 11 11 units To continue with 11

MMU units

39. Poor Performing districts sub

plan made with targets and

quarterly review shows

progress

Initiated

(4)

4 districts To continue with 4

districts

40. Difficult, Most Difficult,

inaccessible area thrust in

provision of infrastructure and

human resources.

Initiated (10) 10 districts To continue

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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 Nagaland 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 Nagaland on 09/03/2010. 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.

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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.

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.

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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.

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. Encashing the Communitization Programme for health sector.

20. Transparent procurement and logistic system as per norms of EPW in ministry of

health.

21. Operationalise Concurrent Audit at district level and periodic review.

22. Ensuring service guarantee in 24X7 facilities, particularly in periphery areas by

ensuring stay of doctors/nurses in the facility.

23. Focused training of SBA in remote SC/PHC.

24. Improving MMU utilization, particularly in remote areas.

25. Priority action for DHs in difficult districts.

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.

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ANNEX-I

APPROVAL OF RCH II PIP 2010-11: Nagaland (Rs. Lakhs)

S. No.

BUDGET HEAD PROPOSED APPROVED

1 Maternal Health 87.87 77.87 2 Child Health 35.40 35.40 3 Family Planning 7.60 7.60 4 ARSH 27.50 27.50 5 Urban RCH 0.00 0.00 6 Tribal RCH 0.00 0.00 7 Vulnerable Groups 0.00 0.00 8 Innovations/ PPP/ NGO 341.76 333.36 9 Infrastructure & HR 758.60 742.76

10 Institutional Strengthening 160.27 160.27 11 Training 247.13 227.93 12 BCC / IEC 444.57 444.57 13 Procurement 473.62 366.23 14 Programme Management 395.65 395.65

Total RCH II Base Flexi Pool 2979.97 2819.14 15 JSY 366.00 366.00 16 Sterilisation & IUD Compensation, and NSV

Camps 48.88 48.88

Total RCH II Demand Side 414.88 414.88 GRAND TOTAL RCH II 3394.85 3234.02 NOTE:

1. Activities have been re-classified as per FMR/ Operating Manual heads; details are provided in attachment “A”.

2. Details of activities approved/ not approved, and specific comments, are provided in attachment “A”.

3. Expenses are to be booked as approved in attachment “A” below.

4. The above includes Rs. 107.39 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” NAGALAND

(Rs. Lakhs)

FMR Code

Activity Proposed

(Rs. Lakhs)

Approved (Rs.

Lakhs)


Remarks

A.1 MATERNAL HEALTH A.1.4 Janani Suraksha Yojana /

JSY

A.1.4.1 Home Deliveries 100.00 100.00 20000 home deliveries A.1.4.2 Institutional Deliveries 260.00 260.00 20000 institutional

deliveries Details of rural and urban beneficiaries be worked out.

A.1.4.2.3 Caesarean Deliveries 6.00 6.00 400 C-sections A.1.5 Other strategies/activities 71.07 61.07 JSY helpline; referral

support for 2000 beneficiaries

State has proposed Rs. 53.11 lakhs for JSY helpline out of which Rs. 20.00 lakhs is cost of referral transport linkages @ Rs. 1000 per case for 2000 cases. Benefit under JSY includes cost for referral transport to be utilised for referral purpose. Per case cost is restricted to Rs. 500 and JSY referral component should be used.

A.1.5.1. Maternal Death Audit 16.80 16.80 Sensitisation 11 workshop - districts; review meetings; printing of formats

Sub-total Maternal Health (excluding JSY)

87.87 77.87

Sub-total JSY 366.00 366.00 A.2 CHILD HEALTH A.2.1 Integrated Management of

Neonatal & Childhood Illness/ IMNCI

35.40 35.40 Setting up IMNCI centres in 5 districts

Sub-total Child Health 35.40 35.40 A.3 FAMILY PLANNING A.3.1 Terminal/Limiting

24

FMR Code Activity

Proposed (Rs. Lakhs)

Approved (Rs.

Lakhs)


Remarks

Methods A.3.1.1 Dissemination of manuals

on sterilisation standards & QA of sterilisation services

1.00 1.00 Printing of manuals

A.3.1.2 Female Sterilisation camps 6.60 6.60 44 camps A.3.1.3 NSV camps 15.40 15.40 44 camps A.3.1.4 Compensation for female

sterilisation 25.00 25.00 2500 sterilisations

A.3.1.5 Compensation for male sterilisation

0.98 0.98 65 sterilisations

A.3.1.6 Accreditation of private providers for sterilisation services

7.50 7.50 25 male and 25 female sterilisations

Sub-total Family Planning (excluding

compensation)

7.60 7.60

Sub-total Sterilisation & IUD compensation &

NSV camps

48.88 48.88

A.4 ARSH A.4.1 Adolescent services at

health facilities. 24.50 24.50 29 ARSH clinics;

printing of training manuals;

A.4.2 Other strategies/activities 3.00 3.00 Monitoring of services

Sub-total ARSH 27.50 27.50 A.5 URBAN RCH Sub-total Urban RCH 0.00 0.00 A.6 TRIBAL RCH Sub-total Tribal RCH 0.00 0.00 A.7 VULNERABLE GROUPS Sub-total Vulnerable

Groups 0.00 0.00

A.8 INNOVATIONS/ PPP/ NGO

A.8.3 NGO Programme 333.36 333.36 10 MNGOs A.8.4 Other innovations (if any) 8.40 0.00 Additional fund of

Rs. 700 per client under JSY is not approved.

Sub-total Innovations/PPP/NGO

341.76 333.36

25

FMR Code Activity


Approved (Rs.

Lakhs)


Remarks

A.9 INFRASTRUCTURE & HR

A.9.1 Contractual Staff & Services

A.9.1.1 ANMs 76.56 76.56 116 ANMs A.9.1.2 Laboratory Technicians 11.88 11.88 18 Lab Techs A.9.1.3 Staff Nurses 136.80 136.80 78 SNs, 10 PHNs and

64 GNMs

A.9.1.4 Doctors and Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians)

255.00 255.00 15 specialists, 85 MOs and 2 paediatricians

A.9.1.5 Other contractual staff 15.84 0.00 State has proposed for 11 media officers; which has already been clubbed under total BCC/IEC budget. Not approved

A.9.3 Minor civil works A.9.3.1 Minor civil works for

operationalisation of FRUs 49.50 49.50 (1) Repair/ renovation

of 2 SNCUs in DH (2) Construction of Liquid Waste Management and H/T waste storage facility in 3 DH (3) Repair & Renovation of Blood Storage facilities in 3 DH & 4 CHC

A.9.3.2 Minor civil works for operationalisation of 24 hour services at PHCs

189.75 189.75 Repair / renovation of 8 labour rooms, Construction of 37 attached toilets, 23 New Born Care Centres and 2 New Born Care Centres at DH, Construction of Water Reservoir 11 Sharp/ Deep Burial

26

FMR Code Activity


Approved (Rs.

Lakhs)


Remarks

Pits and Repair/ renovation of 16 PHCs

A.9.4 Operationalise IMEP at health facilities

23.27 23.27 Physical targets for activities to be provided by the State

A.9.5 Other Activities Sub-total Infrastructure

& HR 758.60 742.76

A.10 INSTITUTIONAL STRENGTHENING

A.10.3 Monitoring & Evaluation/ HMIS

160.27 160.27 State to provide details of the physical targets and achievements.

Sub-total Institutional Strengthening

160.27 160.27

A.11 TRAINING A.11.3 Maternal Health Training A.11.3.1 Skilled Birth Attendance /

SBA 30.00 30.00 60 ANMs

A.11.3.2 EmOC Training 8.84 8.84 5 doctors A.11.3.3 Life saving Anaesthesia

skills training 9.93 9.93 5 doctors

A.11.4 IMEP Training 32.55 32.55 633 MOs and 56 ANMs

A.11.5 Child Health Training A.11.5.1 IMNCI 54.50 54.50 Training 120 MOs,

120 ANMs, 45 LHVs, 80 AWWs and 120 SNs

IMNCI for ANM/ AWW/ health workers only and F-IMNCI for MOs and SNs.

A.11.6 Family Planning Training A.11.6.4 IUD Insertion Training 38.40 19.20 80 ANMs and 40 SNs State has proposed

training of 160 ANMs and 80 SNs which has been reduced to 50% as per the request of Director FW - Nagaland

A.11.7 ARSH Training 27.65 27.65 Training of 120 MOs, 120 ANMs, 55 LHVs

27

FMR Code Activity


Approved (Rs.

Lakhs)


Remarks

& 80 SNs A.11.8 Programme Management

Training

A.11.8.1 SPMU Training 4.40 4.40 4 accountants. A.11.9 Other training

40.86 40.86

30 MOs in MTP and NSV; 90 MOs in RTI/STI and IUD insertion; 24 MOs in minilap and laparoscopic sterilisation

Sub-total Training 247.13 227.93 A.12 BCC / IEC A.12.3 Implementation of

BCC/IEC strategy 444.57 444.57

Sub-total BCC/ IEC 444.57 444.57 A.13 PROCUREMENT A.13.1 Procurement of Equipment A.13.1.1 Procurement of MH

equipment 108.58 108.58 32 OT lamps, 54

ventouse, 33 MVA/EVA equipments, 1500 delivery kits

Procurement of equipments to be linked with Operationalisation of facilities.

A.13.1.2 Procurement of CH equipment

8.73 8.73 11 phototherapy units, 3 incubator and 3 Foetal Doppler

A.13.1.3 Procurement of FP equipment

56.06 56.06 46 Minilap set, 9 Laparoscope and 100 NSV kits

A.13.2 Procurement of Drugs and supplies

A.13.2.1 Drugs & supplies for MH 214.78 107.39 State has budgeted for RTI/STI drug kits under both RCH as well as Mission Flexi Pool. Rs. 107.39 lakhs proposed under RCH flexi pool is only approved.

A.13.2.4 Supplies for IMEP 38.27 38.27 Syringe and needle destroyer/ wheel barrows, autoclave

28

FMR Code Activity


Approved (Rs.

Lakhs)


Remarks

machine etc. A.13.2.5 General drugs & supplies 47.20 47.20 Procurement of

equipments to be linked with operationalisation of facilities.

Sub-total Procurement 473.62 366.23 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

35.85 35.85 Details to be provided by the State.

A.14.2 Strengthening of District society/ DPMU

183.70 183.70

A.14.3 Strengthening of Financial Management systems

17.50 17.50

A.14.4 Other activities (Program mgmt. expenses, mobility support)

158.60 158.60

Sub-total Program Management

395.65 395.65

Total RCH II Base Flexi

Pool 2979.97 2819.14

Total RCH II Demand Side

414.88 414.88

GRAND TOTAL RCH II 3394.85 3234.02

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. 1.4.2.3 Other supportive activities- Maternal Death Audit has been shifted to “A.1.5.1.

Maternal Death Audit” 2. A.1.5. Other strategies/activities includes:

• 1.4.2.4 Others supportive activities-JSY Help Line & incentive to Service provider Referral Transport

29

• 1.4.5. Monitor quality and utilisation of services. 3. 3.2.2.4 Printing & Dissemination of Sterilization manual has been merged with

“A.3.1.1. Dissemination of manuals on sterilisation standards & quality assurance of sterilisation services”.

4. 4.2. Other strategies/activities - for 25Case/month for Male & 25 for Female

Sterilization @ Rs. 1000 for F & Rs. 1500 M has been shifted to “A.3.1.6. Accreditation of private providers for sterilisation services”.

5. A.4.1. Adolescent services at health facilities includes:

• 4.1.3.1. Setting up of Adolescent Clinics at health facilities. • 4.1.3.2 Printing of Training Manuals

6. 4.1.4. Monitor progress, quality and utilisation of services has been merged with

“A.4.2. Other strategies/activities”. 7. 4.2.1 PPP/Innovations/MNGOs has been merged with “A.8.3. NGO Programme”.

8. A.8.4. Other innovations (if any) includes:

• 4.2. Other strategies/activities - for JSY @ 700/- Delivery 9. A.9.1.3. Staff Nurses includes:

• 9.1.3. Staff Nurses recruited and in position • 9.1.5.2 SN - 4 each for 3 CHCs FRU • 9.1.6.2 SN- 2 each for 10 new 24x7 PHC • 9.1.6.3 PHN- 1 each for 10 new 24x7 PHC • 9.1.8.3 GNM for 3 FRU • 9.1.8.4 for 24X7 CHCs • 9.1.8.6 for 24X7 PHCs

10. A.9.1.4. Medical Officers and Specialists (Anaesthetists, Paediatricians, Ob/Gyn,

Surgeons, Physicians) • 9.1.4. Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians)

recruited and in position • 9.1.5.1 MO - 2 each for 3 CHCs FRU • 9.1.6.1 MO -1 each for 10 new 24x7 PHC • 9.1.7. Others (Medical Officers) recruited and in position • 9.1.8 2 Paediatrician for 2 FRU • 9.1.8.4 for 24X7 CHCs • 9.1.8.5 for 24X7 PHCs

11. 12.1.1 Contractual staff recruited and in position has been merged with “A.9.1.5.

Others - Computer Assistants/ BCC Co-ordinator/ ASHA Link Worker etc”.

30

12. A.9.3.1. Minor civil works for operationalisation of FRUs includes: • 9.3. Minor civil works R/R of SNCU • 9.3.1. Minor civil works for IMEP (Construction of Liquid Waste Management

for DH) • 9.3.2 Civil works for IMEP construction of H/T wast storage facility • 9.3.1.1 Minor civil works for operationalisation of FRUs(Repair & Renovation

of Blood Storage facilities) 13. A.9.3.2. Minor civil works for operationalisation of 24 hour services at PHCs includes:

• 9.3.1.2 Minor civil works for operationalisation of PHCs/ CHCs (R & R of labor room)

• 9.3.3 Minor Civil works for operationalisation of 24 hrs services in CHCs/PHCs(Contruction of attached Toilet)

• 9.3.4 Establishing New Born Care Centre • 9.3.4 Establishing New Born Care Centre • 9.3.4 Minor Civil Works construction of Water Reserviour • 9.3.5 Minor Civil Works under IMEP (Sharp burial pit) • 9.3.6 Minor Civil Work R/R of PHC

14. A.9.4. Operationalise Infection Management & Environment Plan at health facilities

includes: • 9.4. Operationalise Infection Management & Environment Plan at health

facilities (details of, equipment, drugs and supplies, in text) • 9.5. Other activities (pl. specify) Dissemination of IMEP materials

15. 11.3.1.4.1 Upgradation Training of Nurses in SBA has been merged with “A.11.3.1.

Skilled Birth Attendance / SBA” 16. 11.3.2.3. Training of Medical Officers in EmOC has been merged with “A.11.3.2.

EmOC Training” 17. 11.3 Life Saving Anaesthesia Skill has been merged with “A.11.3.3. Life saving

Anaesthesia skills training” 18. A.11.4. IMEP Training includes:

• 11.4.3. IMEP training for medical officers • 11.4.3.1 IMEP training for Nurses

19. A.11.5.1. IMNCI training includes:

• 11.5.1.2. IMNCI Training for Medical Officers • 11.5.1.3. IMNCI Training for ANM • 11.5.1.4. IMNCI Training for CDPO, Paedetri, LHV, MO • 11.5.1.5. IMNCI Training for Anganwadi Workers • 11.5.1.3. IMNCI Training for SN

31

20. A.11.6.4. IUD Insertion Training includes: • 11.3.2.1. Orientation Workshop IUCD for ANM • 11.3.2.1. Orientation Workshop IUCD for SN

21. A.11.7. ARSH Training includes: • 11.7.3. ARSH training for medical officers • 11.7.4. ARSH training for Nurses & Counsellors • 11.7.4. ARSH training for LHVs • 11.7.4. ARSH training for SN

22. A.11.9. Other training: • 11.3.2 MTP & NSV Training • 11.3.5.3. Training of Medical Officers in RTI/STI & IUD • 11.6.2.2. Minilap & Laparoscopic Sterilization training for medical officers

23. A.13.1.1. Procurement of equipment: MH includes:

• 13.1. Procurement of Equipment of OT lamp (Floor Model) • 13.1.1. Procurement of equipment for Maternal Health ventouse • 13.1.1.0 Procurement of Labour Tables • 13.1.1.1. Procurement of equipment for FRU) • 13.1.1.3. Procurement of MVA/EVA equipment for health facilities • 13.2.3. Procurement of labour Table • 13.1.1.6 Procurement of delivery kits

24. A.13.1.2. Procurement of equipment: CH includes:

• 13.1.2. Procurement of equipment for Child Health (Phototherapy) • 13.1.2.2. Procurement of equipment (Incubator INC 2426) • 13.1.2.3. Procurement of Foetal Doppler Equipment (Touch Dopp D)

25. A.13.1.3. Procurement of equipment: FP

• 13.1.1.1. Procurement of Minilap Set • 13.1.3.1. Procurement of Laparoscopes • 13.1.3.2. Procurement of NSV kits

26. 13.1.4. Procurement of equipment for IMEP (Syringe and needle destroyer/ trolley/

wheel barrows, autoclave machine etc.) has been merged with “A.13.2.4. Supplies for IMEP”.

27. A.13.2.1. Drugs & supplies for MH includes:

• 13.1.1.4.1 Procurement of RTI/STI equipment for health facilities (CHC Kits Drugs) – RCH flexi pool

• RTI/ STI Kit – proposed under Mission flexi pool, shifted to RCH flexi pool 28. 13.1.2.1. Procurement of equipment for 24x7 has been merged with “A.13.2.5. General

drugs & supplies for health facilities”.

32

ANNEX-II

SUMMARY OF MISSION FLEXIBLE POOL (MFP) PIP 2010-11

NAGALAND

FMR Code

Activity Proposed Amount ( In Ls)

Approved Amount ( In Ls)


Remarks

B1 ASHA 2074 nos. B1.1 Selection & Training of

ASHA 207.4 170.0 100% ASHAs

trained and reoriented in all modules

1700 ASHAs were earlier approved against 1317 villages. Additional 374 ASHAs for a population, claimed to be less than the census population (2001) may further skew the population: ASHA ratio. Approved for Rs. 170.00 L @ Rs. 0.10 L for 1700 ASHAs,

B1.2 ASHA Kit 100% ASHAs with kit at all time

B1.3 ASHA Incentives B1.4 Others

SUB TOTAL 207.4 170.0 B2 Untied Funds B2.1 Untied Fund for 21 CHCs

@ Rs. 0.50 Ls 10.5 10.5 100% received

Annual Untied Fund and utilized for cleanliness and improvement of services.

There are 86 PHCs in RHS 2008. Approved for RS. 21.5 L. State may divide this among all the institutions.

B2.2 Untied Fund for 123 PHCs (86 PHCs+ 37 SHCs & BDs) @ Rs. 0.25 L

30.75 21.5

B2.3 Untied Fund for 397 Sub Centers @ Rs. 0.10 L

39.7 39.7

B2.4 Untied fund for 1324 VHSC @ Rs. 0.10 L

132.4 131.7

SUB TOTAL 213.35 203.4 B3 Hospital Strengthening B3.1 Upgradation of CHCs,

PHCs, Dist. Hospitals to IPHS)

B3.1.5 Others B.3.1.5.1

Renovation/ Upgradation of Nursing School • Training Institute at Tuensang: To increase the student uptake capacity to 40 from the present capacity of 20. For this

100.0 100.0 Availability of more nurses in the State.

Agreed in principle. Proposal is for lumpsum amount. Details to be provided to GOI.

33

expansion of hostel facility and class room requirements are worked out. Teaching faculty requirement will be taken care by the State government.

SUB TOTAL 100.0 100.0 B4 Annual Maintenance

Grants

B4.1 CHCs - Annual Maintenance Grant for 21CHCs @ Rs. 1.0 L.

21.0 21.0 Improved facilities with better care

Approved fund to be released

B4.2 PHCs - Annual Maintenance Grant for 123 PHCs @ Rs. 0.50 L.

61.5 43.0 As per RHS 2008 data, there are 86 PHCs, all functioning from govt. building.

B4.3 Sub Centers - Annual Maintenance Grant for 397 Sub Centres @ Rs. 0.10 L

39.7 30.9 Approved for 309 Sub Centres. As per RHS 2008 data, there are 260 SCs, functioning from govt. building and 137 are in other nongovt. buildings. Annual Maintenance Grant allowed to those sub centres which are functioning from govt. buildings.

SUB TOTAL 122.2 94.9 B5 New Constructions/

Renovation and Setting up

B5.1 CHCs - Construction of 4 new CHCs (Chiephobozou, Noklak & Tobu) @ Rs. 117.00 L as per Nagaland SOR

468.0 175.5 Increasing the public health facilities network through out the State.

Only three names are available in the write up but budgeted for four. Approved for three proposed locations at Chiephobozou, Noklak & Tobu. Only 50% of approved amount, Rs 351.0 L to be released this year.

34

B5.1.1 Construction of 11 CHC Staff quarters @ 21.00 L

231.0 115.5 Ensuring the retention of staff with in the premises for giving round the clock services.

Approved in principle. Construction of staff quarter (2 nos each) write up is not matching with the budget. Details to be furnished for consideration. 50% of approved amount, Rs 231.0 L to be released this year.

B5.2 PHCs - 13 PHC for new Construction @ Rs. 65.68 L as per Nagaland SOR


List of the locations along with site map and estimates as State PWD SOR to be provided. As per RHS 2008, there are 86 PHCs and all are housed in govt. buildings. For future inclusion of the 37 BDs, it needs to be included in the RHS report. Only 50% of approved amount to be released this year.

B5.2.1 Construction of 22 PHC Staff quarters @ Rs. 21.0 L


Approved in principle. Construction of staff quarter (2 nos each) at 13 PHC 24x7 facilities not matching with the budget. Details to be furnished for consideration. Only 50% of approved amount to be released this year.

B5.3 Sub Centers - 50 Sub 616.5 400.0 Ensuring the Approved.

35

Centres for new construction @ Rs. 12.33 L, totalling to Rs. 616.50 L.

retention of staff with in the premises for giving round the clock services.

As per RHS 2008, there are 137 Sub Centres buildings are yet to be constructed. Fund for construction of 60 S/C buildings were approved and released during 2006 - 07 and 2007 - 08. Further 25 Sub Centres building was approved in 2009-10. Location wise list with status to be furnished. Only 400 L of approved amount, Rs 616.50 L to be released this year.

SUB TOTAL 2631.34 1348.92 B6 Corpus Grants to

HMS/RKS

B6.1 District Hospitals @ Rs. 5.0 L for 11 DHs

55.0 55.0 100% received RKS fund and Community involvement for ownership and improvement of health facilities.

As per RHS 2008 data, there are 86 PHCs, functioning from govt. building. Fund to be released

B6.2 CHCs @ Rs.1.0 L for 21CHCs

21.0 21.0

B6.3 PHCs @ Rs. 1.0 L for 123 PHCs

123.0 86.0

SUB TOTAL 199.0 162.0 B7 District Action Plans

(Including Block, Village)

Preparation of 52 Block Health Action Plans @ Rs. 3.0 L

156.0 60.0 100% DHAPs & SPIP will be formulated and submitted within the stipulated timeline.

DHAPs need to be evidence based Health Action Plans. Preparation of 11 District

Health Action Plans @ Rs.5.0 L

55.0

Preparation of 1 DHAP & BHAP (? SPIP) @ Rs. 5.0 L

5.0

SUB TOTAL 216.0 60.0 B8 Panchayti Raj Initiative

36

B8.2 Orientation Workshops of PRI at State/Dist. Health Societies, CHC,PHC, - Re-orientation of 13240 community leaders

66.2 66.2 Knowledgeable society.

SUB TOTAL 66.2 66.2 B10 IEC- NRHM B10.1 Health Mela - in all 11

districts of the State @ Rs. 6.00 L per mela

66.0 55.0 Creating awareness among the population

The ceiling is 5.00 L per Health Mela per ditrict.

B10.3 Other IEC activities B10.3.1 Printing of Posters @ 25/- 30.0 10.0 Awareness creation Proposed to be

utilized at State HQ. Mismatch proposed numbers.

SUB TOTAL 96.0 65.0 B11 Mobile Medical Units Mobile Medical Units

(Including recurring expenditures) @ Rs. 25.0 L for 11 units.

275.0 260.81 Reaching out to un reached

23.71 L per district per annum is the ceiling for total recurring cost of MMUs, the break up is 14.56 L for manpower, 5.0 L for Drugs, 0.15 L for training of manpower, 4.0 L for maintenance & POL.

SUB TOTAL 275.0 260.81 B12 Referral Transport B12.1 Ambulance - Purchase of 9

ambulances @ Rs. 7.00 L each

63.0 63.0 Facilitating patients’ movement

Ambulances to be procured and supplied to prioritized PHCs.

SUB TOTAL 63 63 B13 School Health Programme Hardware & Medical

Supply @ Rs. 2527.00 for a Unit of 250 students of targeted 2.5 L students.

25.27 25.27 The program aims to reach out to 250000 students at Primary Schools in the State

Approved.

Printing of Training Manual (for 3039 schools @ Unit cost Rs.100/- per copy):

3.04 3.04

37

Cost of posters and leaflets 3.8 3.8 Lumpsum Orientation of ANMs for

SHP in Block CHC for 2 days

2.81 2.81

Mobility support to School Health Programme Co-ordinator at State and at District level

7.2 7.2

Mobility support to ANMs to visit schools

25.52 0 ANMs will be working within their geographical areas.

Mobility support to doctors 8.32 8.32 No mention in write up

SUB TOTAL 75.96 50.44 B14 Additional Contractual

Staff (Selection, Training, Remuneration)

B14.1 Additional Staff/ Supervisory Nurses PHC,CHC (Including Ayush Stream)

61.2 61.2 Ensuring fully functional public health facilities with adequate staff of required categories.

Continuation of 68 Staff Nurses @ Rs. 7500/- pm.

B14.2 Additional ANM, ,LHV, MPW for Sub-Center

165.0 165.0 Continuation of 250 ANMs @ Rs. 5500/- pm.

B14.3 PHNs at PHC level 48.6 48.6 Continuation of 54 PHNs @ Rs. 7500/- pm.

B14.4 Medical Officers at PHCs (Including AYUSH stream)

167.4 167.4 Salary of existing 21 AYUSH doctors located at 21 CHCs @ Rs. 0.15 L per month x 12 m ( 37.80 L) and 54 Doctors (Allopathic) @ Rs. 0.20 L pm ( Rs. 129.60 L)

B14.6 Lab technicians, Gynecologists, Anesthetists, Pedisterian, Specialist CHC, Radiologist, Sonologist, Pathologist, Dental Surgeons.

87.3 87.3 Continuation of 54 Pharmacists @ Rs. 5500/pm, 21 Lab. Techs @ Rs. 5500/ pm and 21 Dental doctors @ Rs. 15000/ pm

B14.7 Others Additional Contractual Staff

38

Salary of new engagement of 120 ANMs.

79.2 79.2 120 ANMs @ Rs. 5500/ pm

Salary of new engagement of 37 GNMs

33.3 33.3 37GNMs @ Rs. 7500/ pm

Salary of new engagement of 28 doctors

67.2 67.2 28 Doctors @ Rs. 20000/ pm

SUB TOTAL 709.2 709.2 B15 PPP/ NGOs B15.3.1. Continuing financial

support to 3 Mission Hospitals at Wokha, Mokokchung and Zunheboto @ Rs. 5.00 L

15.0 15.0 universalize delivery of primary health care delivery services

B15.3.2 Weaving a Dream: a People’s Initiative for Health Care ‘Changsang Range’ PHC shall function in PPP mode.(Details in PIP)

36.17 36.17 universalize delivery of primary health care delivery services

Caution must be exercised while drafting and budgeting. There are lots of avoidable mismatches.

SUB TOTAL 51.17 51.17 B18 Planning, Implementation

and Monitoring

B18.1 Community Monitoring (Visioning workshops at state, Dist, Block level)

B18.1.4.1

Review of NRHM progress with State Level Officers

1.0 1.0 Regular systematic review of progresses made under NRHM and to take corrective measures for addressing the bottlenecks.

Approved.

B18.1.4.2

One Review of NRHM progress with District Level Officers at State

1.0 1.0

B18.1.4.3

One Review of NRHM progress with CHC/PHC level officers at 11 districts

11.0 11.0 Approved.

B18.1.4.4

NGO/Village level review meeting at 11 districts

11.0 11.0 Approved.

B18.1.4.5

21 CHC level R.M Monthly @ 5000 x 12 m

12.6 12.6 Approved.

B18.1.4.6

District Level Bi-monthly @ 0.25 L x 6 m

16.5 16.5

B18.1.4.7

State Level Quarterly @ 2.0 L

8.0 8.0 Approved

SUB TOTAL 61.1 61.1 B19 Procurements

39

B19.1 Drugs - procurement of medicines for 21 CHCs @ 3.00 L for each CHC, 4 Big DHs @ 13.0 L and for remaining 7 DHs @ 10 0 L.

185.0 0.0 Not approved. Drugs provided from RCH Flexipool.

B19.2 Equipments B19.2.1 Purchase of Dental

equipments in 3 DHs and in 6 CHCs @ 3.24 L

29.16 29.16 Ensured dental services in the district HQs and in rural parts of the State.

Approved. It needs to be procured after observing all the codal formalities as per the Procurement Manual (EPW)

B19.2.2 Procurement (Details are @ P/204) 353.46 L out of total procurement budget of 3287.46 L has been proposed under Part B

353.46 0 The list of the equipment, proposed to be brought under Part B has to be provided.

B19.3 Others B19.3.1 Commissioning of ProMIS

- Strategic activities are: Establishment Procurement Cell in the SPMU

and DPMU,

Strengthening Physical Infrastructure and Training of store officers and staff

Provision of Office Equipment for SNO & SO (procurement)

2.0 0.0 May be within the 6% of the management cost.

Development software for ProMIS

5.0 5.0

Provision of Office Equipment for DEO at State (11) & at district level (11) @ 55000/- & 25000/-

8.8 0 At State level, there are two DEOs. Budgeted for 11 DEOs. May be within the 6% of the management cost.

Training: Inventory management system of the key staff of State Procurement Cell, district ware house and store house of the district hospitals

1.5 1.5 Better inventory management.

@ Rs 3000/head for 50 persons

40

11 Sensitization workshop of the key staff of DPMU and BPMU on ProMIS @ Rs 1500/head for 2 persons each from 21 CHC & 123 PHC

4.32 4.32

SUB TOTAL 589.24 39.98 B23 New Initiatives/

Innovation as per need (Block/ District Action Plans)

B23.1 Out of the total 558 public health units (excluding the 2 TBH & 1 Mental Hospital) in the state, 4 DH, 5 CHC, 30 PHC, 1 SHC & 118 SC are in difficult areas, while 4 PHC & 12 SC are in most difficult area and 15 SC are in inaccessible area. Graded incentives have been proposed.

418.44 0 Approved in Principle. Detailed plan needs to be submitted for consideration. Number of employees, regular or contractual, working in the category wise facilities to be specified.

B23.2 Study Allowances to 20 trainees for undergoing ANM course for 24 months (Is it 18 months or 24 months in Nagaland?) @ Rs. 1500/ x 24 m x 20 nos.

7.2 7.2 Locally resident trained ANM

B23.3 Study Allowances to 20 trainees for undergoing GNM course for 36 months @ Rs. 1500/ x 36 m x 20 nos.

10.8 10.8 Locally resident trained GNM

B23.3.1 Vehicle to 5 CHCs and 4 PHCs @ 7.0 L

63 0 Purchase of vehicle is not permissible under NRHM

B23.3.2 Motorbikes to 7 SC Staff for service delivery in Peren District @ 0.60 L

4.2 0 Purchase of vehicle is not permissible under NRHM

B23.3.3 Mobile Hospital Units on PPP mode in Kiphire § To procure three 4WD M/Gypsy and two 4WD medium size vehicle- two for transportation of

205.11 0 Duplication of MMU.

41

logistics and the other three for the team members

The Unit will be equipped with additional but appropriate equipments, instruments and other logistics to achieve its desired services. § The existing MMU vehicles minus the staff under Kiphire district will be redeployed to other districts

24 Health Camps (Alternate Delivery System), twice a month

Reaching the unreached

44 Specialist @ Locally resident trained Rs. 0.02 L x 24 visits = Rs. 21.22 L

21.22 21.22 Earlier approved and continuing

activities. There is mismatch between the proposed figure and rates/numbers

quoted.

44 Nurses @ Rs. 0.005 L x 24 visits = 5.28 L

5.28 5.28

44 Technicians @ Rs. 0.005 L x 24 visits = Rs. 5.28 L

5.28 5.28

44 Assistants @ Rs. 0.005 L x 24 visits = Rs. 5.28 L

5.28 5.28

44 vehicle hire @ Rs. 0.025 L x 24 visits = Rs. 26.4 L

26.4 26.4

11 overheads @ Rs. 0.033 L x 24 visits = Rs. 8.69 L

8.69 8.69

SUB TOTAL 780.9 90.15 B28 NRHM Management

Costs/ Contingencies

B28.1 Block Level PMU B28.1.1 Salary & OE of 52 Block

PMSU 156.0 106.08 To be borne out of

6% of Programme Management Cost.

B28.2 District level Salary & OE of 11

DPMSUs, having 11 DPMs, Statistical Assistants, Computer Assistants and District Media Officers @ Rs. 0.15 L pm, Rs. 0.07 L pm, Rs. 0.05 L pm and Rs.

110.0 110.0 Fully functional DPMSUs.

To be borne out of 6% of Programme Management Cost.

42

0.12 L pm respectively.

DEO (to be stationed in the district ware house) @ Rs 6000pm

7.92 7.92

B28.3 State level B.28.3.1 Salary of newly appointed

School Health Programme Coordinator at State Level @ 0.25 L per months x 12 m

3 3 Fully functional SPMSU

Needs to be borne out of 6% of Programme

Management Cost.

B.28.3.2 Salary of newly appointed School Health Programme Coordinator at 11 districts @ 0.15 L per months x 12 m

19.8 19.8

B.28.3.3 State Programme Management Unit

154.02 154.02

B.28.3.4 State Nodal Officer (Procurement) @ Rs 25000pm

3 3 Streamlining of procurement and inventory management

B.28.3.5 Store Officer (having computer skills) @ Rs 7000pm

84 84

B.28.3.6 DEO (1 each for State cell and State Ware House) @ Rs 7000pm

1.68 1.68

B.28.3.7 Legal Consultant (Part-time) @ Rs 50000pa

0.5 0.5

SUB TOTAL 539.92 490 GRAND TOTAL (PART

B) 6996.98 4086.27

43

ANNEX-III

Immunization Strengthening Programme (2010-11)

S. No.

Activities

Amount Proposed (Rs. In Ls)

Amount Approved (Rs. in Ls)


1. Mobility support for Supervision and

Monitoring at districts and state level. 6.50 6.50 Improved supervision

for programme 2 Cold Chain Maintenance 1.82 1.82 Strengthening of cold

chain 3 Alternate Vaccine Delivery to Session

sites 19.05 19.05 Timely supply of vaccine

to 19056 session sites 4 Focus on urban slum & underserved

areas 29.90 29.90 Conduction of 178 unit

per month session to urban area/urban slums

5 Social Mobilization by ASHA /Link workers

23.80 23.00 Ensure universal access

6 Computer Assistants support at State Level

1.59 1.59

7 Computer Assistants support at District Level

11.60 11.60

8 Printing and dissemination of immunization cards, tally sheets, charts, registers, receipt book, monitoring formats etc. 2.98 2.98

Strengthen Monitoring

9 Quarterly review meeting at state level 1.65 1.65 Regular meeting for Programme Review 10 Quarterly review meeting at District

level 0.44 0.44 11 Quarterly review meeting at block level 1.98 1.08 12 District level Orientation for 2 days

ANMs, MPHW,LHV 1.75 1.75 Capacity building of Medical Officers, Health Workers and other Immunization related staffs

13 Three days training of Mos on RI 6.75 6.75 14 One day refresher training of District

Computer Assistant 0.20 0.20 15 One day Cold Chain Handlers Training 1.10 1.10 16 One day training of Block Level Data

Handlers 2.04 2.04 17 To develop micro plan at sub-centre

level 0.38 0.34 Conduction of 348 session regularly

18 For consolidation of micro plan at block level 1.66 1.66

19 POL for vaccine delivery from state to District and PHC/CHCs

11.00 11.00

20 Consumables for computer including provision for internet access

0.52 0.52

21 Red/BLk/Zipper bags 0.53 0.53 Injection waste disposal as per CPCB guidelines 22 Bleach/Hypochlorite solution 0.72 0.72

23 Twin Bucket 0.57 0.57 Total 128.53 126.79

44

Strengths

Ø The State is showing an improving trend in immunization coverage.

State needs to Ø The State continues to have dual problem of poor accessibility to immunization

coverage as well as high dropout from BCG to DPT 3. Even reported BCG coverage during 2008-09 is below 50%.

Ø 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 State may conduct regular review meetings and strengthen supervision to address the various bottlenecks.

Ø The VPD and AEFI Surveillance systems need to be strengthened

45

ANNEX-IV

Approval under the National Disease Control Programmes

RNTCP

Sr. No.

Activity Proposed

Approval (INR in Ls)

Expected Output (by 31st March 2011)

Remarks

1 Civil works 15.15 1) Civil work Up gradation and maintenance completed as planned

SDS civil works is one time payment and has

already been provided.

2 Laboratory materials

23.65 1) Sputum of TB Suspects Examined per L population per quarter; 2) All districts subjected to IRL OSE and Panel Testing in the year; 3) IRLs accredited and functioning optimally

Civil works for IRL cannot be budgeted

here

3 Honorarium 10.00 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY.

Expenditure too low; More amount to be

allocated of improve expenditure

4 IEC/ Publicity

10.00 1) All 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

55.00 1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned

As per norms

6 Training 15.00 1) Induction training, Update and Re-training of all cadre of staff completed as planned;

DTO training is a national level activity; TB/HIV trainings are

funded by SACS 7 Vehicle

maintenance 19.82 1) All 4 wheelers and 2 wheelers in

the state are in running condition and maintained;

8 Vehicle hiring 19.42 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding;

Drug transportation cannot be budgeted in

this head

46

9 NGO/PP support

10.00 1) Increase in number of NGOs/PPs . 2) Contribution of NGOs/PPS in case detection and provision of DOT

Previous expenditure too low; More amount

to be allocated of improve expenditure

10 Miscellaneous 10.00 1) All activities proposed under miscellaneous head in PIP completed.

Based on previous expenditure. No

justification for excess amount

11 Contractual services

105.16 1) All contractual staff appointed and paid regularly as planned.

TB/HIV co-ordinator post not sanctioned; Store assistant is for

2nd line drugs 12 Printing 6.00 1) All printing activities at state and

district level completed as planned. Based on previous

expenditure

13 Research and studies

0

14 Medical Colleges

0 1) All activities proposed under Medical Colleges head in PIP completed.

15 Procurement –vehicles

4.00 1) Procurement of vehicles completed as planned.

Clarify with DDG and consultant; 2 wheelers

to be condemned as per state rules

16 Procurement – equipment

0 1) Procurement of equipments completed as planned.

No provision for photocopier/laptop

17 Total 303.20

In addition to this, a commodity grant of 10.50 Ls has been approved for central level procurement of Anti TB Drugs and Laboratory Equipments for sputum culture & drug sensitivity. Annexure III – Summary of Mission Flexible Pool (MFP) PIP 2010-11: NIL

(i) Targets to be achieved during 2010-11: • Detection rate of at least 82% and maintain treatment success rate above

90%.

47

• All RNTCP districts have supervisory structure for disease control programme.

(ii) Information under 27-B:

PERFORMANCE: State Annualized NSP case detection rate Success rate of NSP Nagaland 80% 90%

Overall performance is good and shows significant improvement over the last one year. 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

Vacancy

Total in

pLe &

trained

Sanctioned

Vacancy

Total in

pLe &

trained

Sanctioned

Vacanc

y

Total in pLe

& traine

d

Sanctioned

Vacanc

y

Total in pLe

& traine

d

Sanctioned

Vacanc

y

Total in

pLe &

trained

11 1 8 5 0 5 13 0 13 13 0 13 43 0 38

Medical Officer (at BPHC /PHC /CHC /district

hospital /other)

Paramedical staff including health workers

Vacancy In pLe and

yet to be trained

Vacancy In pLe and yet to be trained

0 49 0 359 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

48

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.

49

NVBDCP ROP, National Vector Borne Disease Control Programme –Nagaland Component Wise Details (Figures in lacs)

Budget Head Proposed by state

Approved by

NVBDCP Expected Output Remarks

1 DBS ( Domestic Budgetary Support)

1.1 Malaria-DBS

a Human resources: 110

· Increase no of enhanced – Early Cases detection and prompt treatment (EDPT) - Increase in no. of blood sample examination

· Total 200 MPW posts have been approved and accordingly funds for the activity has been allocated and it shall be increased as per the progress of expenditure. · Salary of Zonal Enctomologist should be met from the state budget

i. (a) Salary for Contractual MPW 166 for 12 months @ 6000/- pm

119.52

(b) Salary for contractual MPW 84 for 9 months @ 6000/- pm

45.36

iii.Salaria for Zonal Entomologist 1 for 12 months @ 30000/-pm

3.6

iv. Salary for AMO 3 for 12 month @ 25000/- pm

9

ii. ASHA incentives 49.5 10 Performance based ASHA Incentive for all districts of Nagaland has been made. ASHAs should be trained in malaria diagnosis and treatment and involve in the programme.

Sub. Total 226.98 120

b 2. Operational Expenses: 0 129.15

> 2 round of quality spray

Includes other operational cost which are approved under 100% central assistance

ii. Wages for spray workers 515 for 5 months @ 2000/-pm

51.5

i. Transportation of DDT-Dimapur Store to District Dumping sites

10

50

ii. Local transportation DDT from Dumping site to spray

0 Dignostic Kits (RDT) and other commodities apart from items decentralized for procurement will be provided by NVBDCP

section/villages 5.5

iii. Transportation commodities Dte store to District/H. units

4.5

iv. Rate Rent & Taxes 5

v. Diagnostic Kits & commodities

35

vi. Quality Assurance 5 vii. NAMMIS 8

viii. Incidental charge (central)

3

Spray workers training 1.65 Sub. Total 129.15 129.15

c 3. Monitoring & Evaluation:

i. TA/DA for State and District Staff and hiring of vehicle , mobility support

87 42 · Increase no of enhanced – Early Cases detection and prompt treatment (EDPT) - Increase in no. of blood sample examination · Timely reporting by PHCs, Districts and States

· MIS has been integrated with HIMSof NRHM which include capacity building for HMIS Operationalization

Sub. Total 87 42

d

4. Training:

Trained manpower available upto community level All ASHA are trained in malaria All DMOs are reoriented All newly appointed MPWs are trained

· 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 training can be integrated with the NRHM

i. MPWs 3.3 7.5

ii. ASHAs / FTD Holders 4.95

51

Sub. Total 8.25 7.5

e

5. IEC/ BCC Activities 44.6 10 Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community

Some of the activities may be covered under integrated IEC / BCC fund of state / NRHM additionality

Sub Total 44.6 10

f 6. Planning & Administration:

The OE & POL are part of operational expenses of DBS. Provision for review meeting, hiring vehicle have been included in M&E/ Planning Administration of GFATM.

i) OE 10 ii) Review meeting 6

iii) Hiring of vehicle/ POL 20

Sub Total 36 0 g 7. UMS: i. Larvicidal operations 5 0 The cost of

larvicide has been included in commodity. M&E , Review ,training and vehicle maintenance may be clubbed with operational cost.

ii. Maintenances of Machines

3

iii. Maintenance of vehicles 1

iv. Procurement of equipments & Machines

7

v. Review meeting 1 vi Training 0.6

vii. Monitoring & Evaluation

2

Sub. Total 19.6 0 TOTAL Malaria-DBS 551.58 308.65 1.1.1 Malaria-GFATM Human resources: M&E/MIS Project Manager 3 100 · The project

monitoring unit at state as well as district level strengthened

This includes the additional manpower under Round-9

BCC/PPP Manager 3 PSCM Manager 1.5 Finance & Accounts Officer 1.5 Statistical Asstt. 0.9

52

Secretarial Asstt. 1.2 · The project monitoring unit at state as well as district level strengthened · Microscopy services functional in PHC labs

proposal which is likely to commence from July 2010.

District

District VBD (Mal) Project Officer

30.6

MTS 91.8

Secretarial Asstt. cum Data Entry Operator

10.2

Lab. Technician 13.2

Sub Total 156.9 100 100 b Monitoring & Evaluation:

Travel (State) 3.9

40

· Increased no. of supervisory visits by different level of programme officials at districts, PHCs , Sub-centers and villages · Quarterly review meetings conducted

· M&E has also been

budgeted in DBS for the

same purposes.

Review Meeting (State with District)

4

Quarterly Meeting (District level)

17

Travel (District) 20.4

Sub Total 45.3 40

c III. Planning & Administration

Office infrastructure–Laptop with all necessary software & Data card.

1.5

40

Functional Project Monitoring Units at state and district level established.

The budget approved by NVBDCP 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 & equipment-Desktop with all necessary software & Broadband connection

0.9

Office infrastructure & equipment-Office Automation units(1), Printer(1), Copier(1), Fax(1), Scanner(1), Telephone with intercom facility (6)

1.5

Office expenses-Documentation & Printing

0.9

Office infrastructure & equipment (Furniture, etc)

4

Office expenses-Space, water electricity, consumables & rents, etc

3.6

53

Rent (Storage State) 1.08

Logistic arrangement State to District (Two round trips in a year)

5.1

Office infrastructure–Laptop with all necessary software & Data card.

8.5

Office infrastructure & equipment-Desktop with all necessary software & Broadband connection

5.1

Office infrastructure & equipment-Office Automation units(1), Printer(1), Copier(1), Fax(1), Scanner(1), Telephone with intercom facility (1)

8.5

Office expenses-Documentation & Printing

7.65

Office infrastructure & equipment (Furniture, etc)

20.4

Office expenses-Space, water electricity, consumables & rents, etc.

15.3

Rent (Storage State) 4.08 Sub Total 88.11 40

d IV. BCC/IEC Activities

Making infotainment, Printing, Wall Writing, Dubbing IPC session, Group meeting, etc

76.5 40 Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community that includes use of LLIN

This is provisioned in Round-9 project both in NVBDCP and Civil Society Partner. Some activities may be clubbed with integrated state IEC.

Sub Total 76.5 40 Total Malaria -GFATM 366.81 220

Grand Total-

Malaria 918.39 528.65

1.2 Dengue and

Chikungunya

54

For establishing sentinel site and capacity building for surveillance and case management as well as community mobilization.

0 3.5 The built capacity for case surveillance and management.

During 2009, 25 cases of Dengue were reported from Dimapur, where sentinel sites have to be established.

Total 0 3.5

1.3 Japanese

Encephalitis

For establishing sentinel site and capacity building for surveillance and case management as well as community mobilization.

0 10 The built capacity for case surveillance, management and epidemic response.

5 confirmed cases have been reported from Mokokchung and Dimapur. State has agreed to establish a sentinel site (District Hospital). The support is for equipment, laboratory reagents, capacity building and IEC.

Total 0 10

2 Decentralized

commodities: Anti- Malaria drugs 3.39 10.47 The allocation

made based on technical requirement and balance commodity available with the state. State may submit indent for CQ&PQ so that drugs available can be used before expiry

Larvicides 12.61

SUB TOTAL 16 10.47

TOTAL Cash Assistance including cost of decentralized commodities

934.39 552.62

55

Commodities support by GoI for VBD

314.19

Grand Total Cash+ Commodities

934.39 866.81

Proposed Budget Under NRHM Additionality

e

5. IEC/ BCC Activities (under DBS)

44.6 10 Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community

Additional sum of Rs.34.6 may be met from NRHM additionality

PHYSICAL TARGETS

1. API

2008 2009* (P) Average

for 2008-09 Target for 2010

2.56 4.29 3.43

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

6.86 7.99 7.43 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 296381 0 0 50000 16.87

4. IRS Population Rooms

Targeted

80% coverage

of the target Targeted

80% coverage of the target

878495 702796 488279 390623 5. HUMAN RESOURCES

56

A. Key Staff in Position

Particulars

Targeted to be in position

by end of 2010

VBD Consultants 17 MTS 51 Contractual LTs 11 Contractual MPW 200

B. Training

Particulars

Nos to be trained in

2010 DMOs 11 Contractual MPW 84 LTs 80 ASHA 550* * 25 participants per batch 1.Tikipur, Phek, Kohima, Wokha, Mokokchung, Mon & Dhimapur, Longleng, Tsuenseng, Zuneboto, Kiphire 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. Mokokchung, Phek, Wokha, Kohima, Tuensang, Mon, Zunheboto are the 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. Kohima, Wokha, Zunheboto, Mokokchung, Dimapur U.M.S districts reported deaths due to malaria. 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.

57

IDSP

Budget-sheet - Nagaland ( Districts - 11 ) Activity Sub-

activity Tasks Remarks

Surveillance Preparedness

1. Training 1.1 Training of Hospital Doctors

1.69 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

2.31 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

0.27 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 4.27 2. Staff Salary

2.1 Epidemiologists (12) 30.24 Rs 30000 per month 2.2 Microbiologists (3) 7.20 Rs 20000 per month 2.3 Entomologists (1) 2.40 Rs 20000 per month 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 (12) 19.50 Rs 13500 per month 2.7 Data Entry

Operators (12) 12.24 Rs 8500 per month

Sub Total 76.62 3.

Operational Cost

3.1 Mobility Support 5.28 (Rs 1000 per visit x 4 visits)/ per month per district

3.2 Office Expenses @ Rs.2000 P.M.

3.24 Rs 2000 at districts and Rs 5000 at SSU per month

Sub total 8.52 Sub Total (Surv.

Preparedness) 89.41

58

Outbreak investigation and response

4 4.1 ASHA incentives for Outbreak reporting

1.32 Estimated to get 10 information 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

4.00 Rs 200 000 per lab

4.3 Collection & transportation of samples

0.66 Rs 6000 per district per year

Sub Total (OB Investiga & Resp)

5.98

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

1.10 Rs 10000 per district and Medical College per year

5.3 Broadband Expenses 1.44 Rs 1000 per district+SSU+Medical Colleges

Sub Total 2.84 TOTAL 98.23

59

NPCB

NPCB Nagaland Budget Requirement for the Financial Year 2010-2011 No. Cost (in ) Total

( in Ls) Approved (Rs. In Ls)

Remarks

A Recurring Grant in –Aid i. Cataract Operation 1500x750 11.25 11.25 Approved ii. Other Eye Diseases 100x1000 1.00 1.00 Approved iii SES Spectacle 1000x200 2.00 2.00 Approved iv. Management of State

Health Society (NPCB) 7.00 7.00

Approved

v. Management of District Health Society (NPCB)

11x2.00 22.00 0.00

Not Approved

vi. Trainings 2.00 2.00 Approved vii. IEC 5.00 5.00 Approved viii. Procurement of

Ophthalmic Equipment for District Hospital

40.00 40.00

Approved

ix. Maintenance of Ophthalmic equipments

2.00 2.00 Approved

Total 92.25 B Non Recurring Grant in –

Aid

i. Vision centre 50,000 x 5 2.50 2.50 Approved

ii. Eye OT & Ward 75.00 75.00 Approved

iii.Mobile Tele Ophthalmology

60.00 0.00 Not Approved

Total 147.50

Contractual manpower

i. Eye Surgeon 3 x12x25000 9.00 9.00 Approved

ii. PMOA 12 x

12x8000/- 11.52 11.25

Approved

Total 20.52 168.00

Total of A+ B+C = 260.27 (Rupees Two Hundred Sixty Ls & Twenty Seven Thousand only)

60

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.

61

NIDDCP

Activity Proposed

Approval in Ls

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 @ 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) 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

62

NLEP

NAGALAND

The approved amount for Nagaland State under National Leprosy Eradication

Programme for 2010-11 is 0.52 crores. Targets to be achieved during 2010-11 are as follows

–

1. Annual New Case Detection Rate – 2.10 per 1,00,000 population

( in Ls)

S. No. Activity proposed

Amount proposed (Rs. In Ls)

Amount approved (Rs. In Ls)

Expected Output Remarks

1) Contractual Services

10.00 10.00

Functional leprosy cell of state/district level

State - SMO, BFO cum AO, DEO,Administrative Assistant, Driver

District - Drivers (6)

2) Services through ASHA/USHA

0.15 0.50

Increase in percentage of cases reported by ASHA

In pLe of ASHAs

VHNs to be sensitized and paid

incentive as per

guidelines

Honararium to ASHA, sensitization of ASHA

3) Office expenses & Consumables 6.20 4.40

Functional leprosy cell of state/district level

4) Capacity building

5.70 3.50

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

10.00 7.00

Better self reporting as a result of increased

Quiz,folk show,IPC workshop,Meeting of

63

opinion leaders,Health melas

awareness

Wall painting,Rallies,Hoardings etc

6) POL/Vehicle operation & hiring

15.00 10.00

Improvement in mobility of SLOs & DLOs

Purchase of new vehicle

is not permissible

2 vehicles at state level & 1 vehicle at district level

7) DPMR

10.00 5.00

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

9.65 5.50 Management of reaction cases

Supportive drugs, lab. reagents & equipments and printing forms

9) Urban Leprosy Control 6.00 0.60

Better diagnosis & treatment of leprosy in urban areas

10) NGO - SET Scheme 5.00 - No recognised NGO for receiving

grants under SET

11) Supervision, Monitoring & Review

2.50 2.50

Better, supervision & monitoring of programme

Review meetings and travel expenses

12) Equipments 5.00 - Purchase of laptops, photocopier

etc is not permissible

13) Cash assistance 7.40 3.00

Better, supervision & monitoring of programme

TOTAL 92.60 52.00

64

Deafness Programme

The Nagaland State PIP has been examined by the programme division of Directorate General of Health Services Following observations are made: SNo. State/UT Existing districts Proposed districts under

NPPCD (2010-11)* 1 Nagaland Nil

1. Wokha 2. Phek 3. Tuensang 4. Mon 5. Kohima 6. Zunheboto 7. Mokokchung 8. Dimapur 9. Longleng 10. Peren 11. Kiphrie

Nil districts 11 districts *names of the districts are not mentioned, instead it is proposed to implement the programme in all the 11 districts (whole of the state) The state has requested for Rs 69.56 L for the implementation of the programme in 11 districts of the state. The component wise details for the projected budget is as under;

S. No.

Component Total amount

proposed

Total amount

approved

Expected outcome

Remark

1. Training of Manpower

11,00,000 88,00,000 Trained manpower leads to better services

@ Rs 8.00 L per district for 7 levels of training as per NPPCD norm

2 Capacity building District Hospitals

9,50,000* 104,50,000 Strengthened ear care service delivery system

@ Rs 9.5 L per district hospital of the selected/proposed 11 district)

3 Capacity building of PHCs/CHCs

Nil 10,70,000 Strengthened ear care service delivery system

@ 10,000/- per CHC(21) and PHC(86) of the selected/proposed 11 district

65

4 Manpower at State level

3,54,000 3,54,000 The assistance provided under NPPCD is from district hospital level and below. As MCI

Manpower at district level

18,00,000 19,80,000 Strengthened ear care service delivery system

(Audiometric assistant & Instructor for hearing Impaired) @ 7500/- per person for 2 contractual person per district hospital

5 Screening Camps 1,32,000 14,40,000 Early identification of Hearing impaired

@ 10,0000/- per camp per month per district

6 Hearing Aids 25,00,000 53,46,000 Medical rehabilitation of Hearing impaired children

Provided activity at serial no 1-5 are initiated and functional @ Rs 4.86 L per district for 200 Hearing aids

7 Miscellaneous & Contingency

10,000 10,000

8 IEC Material 1, 10,000 nil Total 69,56,000 294,50,000

*the proposed budget for capacity building of district hospital is proposed only for One Hospital (NHAK) where as under the NPPCD programme there is provision of strengthening of all the district hospitals. The state has proposed the budget of Rs 69.56 L for the year 2010-11 but Rs 294.50 L may be considered for approval. Note: The selection of the district for implementation of the National Programme for Prevention and Control of Deafness and release of the budget is subject to the availability of ENT surgeon in the District hospital of the particular district.

66

ANNEX-V

SUMMARY of MAIN APPROVED ACTIVITIES

INFRASTRUCTURE, HUMAN RESOURCES, TRAINING

FMR Code Activity Proposed (Rs.

Lakhs) Approved (Rs. Lakhs)


Budgeted Under

Infrastructure

A.9.3 Minor civil works RCH-II

A.9.3.1 Minor civil works for

operationalisation of FRUs 49.5 49.5

(1) Repair/ renovation of 2 SNCUs in DH RCH-II (2) Construction of

Liquid Waste Management for 3 DH RCH-II

(3) Construction of H/T waste storage

facility in 3 DH RCH-II (4) Repair &

Renovation of Blood Storage facilities in 3

DH & 4 CHC RCH-II

A.9.3.2

Minor civil works for operationalisation of 24 hour services at PHCs 189.75 189.75

(1) Repair / renovation of 8 labour rooms RCH-II

(2) Construction of attached toilets: 37 RCH-II

(3) 23 New Born Care Centres for 24x7 PHCs RCH-II

(4) 2 New Born Care Centres for DH RCH-II

(5) Construction of Water Reservoir: 1 RCH-II (6) 11 Sharp/ Deep

Burial Pits RCH-II

(7) Repair/ renovation of 16 PHCs RCH-II

A.9.4 Operationalise IMEP at

health facilities 23.27 23.27 RCH-II

A.13.1.1 Procurement of MH equipment 108.58 108.58

32 OT lamps, 54 ventouse, 33 MVA/EVA

equipments, 1500 delivery kits RCH-II

A.13.1.2 Procurement of CH equipment 8.73 8.73

11 phototherapy units, 3 incubator and 3

Foetal Doppler RCH-II

67

A.13.1.3 Procurement of FP equipment 56.06 56.06

46 Minilap set, 9 Laparoscope and 100

NSV kits RCH-II

A.13.2.1 Drugs & supplies for MH 214.78 107.39 RCH-II

A.13.2.4 Supplies for IMEP 38.27 38.27

Syringe and needle destroyer/ trolley/

wheel barrows, autoclave machine RCH-II

A.13.2.5 General drugs & supplies 47.2 47.2 RCH-II

B3 Hospital Strengthening MFP

B.3.1.5.1

Renovation/ Upgradation of Nursing School • Training Institute at

Tuensang: The department would like to increase the student uptake capacity to

40 from the present capacity of 20. This is planned with the aim to train more ANM

from the difficult/ inaccessible areas where

they will be there permanently to extend

services to the needy. In this regard, expansion of hostel

facility and class room requirements are worked

out and pLed it for consideration. Teaching

faculty requirement will be taken care by the State

government. 100 100 Availability of more nurses in the State. MFP

B5 New Constructions/

Renovation and Setting up MFP

B5.1

CHCs - Construction of 4 new CHCs (Chiephobozou,

Noklak & Tobu) @ Rs. 117.00 L as per Nagaland

SOR 468 175.5

Increasing the public health facilities

network throughout the State. MFP

68

B5.1.1 Construction of 11 CHC Staff quarters @ 21.00 L 231 115.5

Ensuring the retention of staff with in the

premises for giving round the clock

services. MFP

B5.2

PHCs - 13 PHC for new Construction @ Rs. 65.68 L

as per Nagaland SOR 853.84 426.92



services. MFP

B5.2.1 Construction of 22 PHC

Staff quarters @ Rs. 21.0 L 462 231



services. MFP

B5.3

Sub Centers - 50 Sub Centres for new

construction @ Rs. 12.33 L, totalling to Rs. 616.50 L. 616.5 400



services.

MFP

MFP

69

Mobile Medical Units (Including recurring

expenditures) @ Rs. 25.0 L for 11 units.

275 260.81 Reaching out to un reached MFP

B12.1 Ambulance - Purchase of 9 ambulances @ Rs. 7.00 L

each 63 63 Facilitating patients’

movement MFP

B19.2.1 Purchase of Dental

equipments in 3 DHs and in 6 CHCs @ 3.24 L

29.16 29.16

Ensured dental services in the district HQs and in rural parts

of the State. MFP

Sub Total 3834.64 2430.64 Human Resources

A.9.1.1 ANMs 76.56 76.56 116 ANMs RCH-II A.9.1.2 Laboratory Technicians 11.88 11.88 18 Lab Techs RCH-II

A.9.1.3 Staff Nurses 136.8 136.8 78 SNs, 10 PHNs and

64 GNMs RCH-II

A.9.1.4

Doctors and Specialists (Anaesthetists,

Paediatricians, Ob/Gyn, Surgeons, Physicians) 255 255

15 specialists, 85 MOs and 2 pediatricians RCH-II

B14.1

Additional Staff/ Supervisory Nurses

PHC,CHC (Including Ayush Stream)

Continuation of 68 Staff Nurses @ Rs. 7500/- pm. 61.2 61.2

Ensuring fully functional public health facilities with adequate

staff of required categories.

MFP

B14.2

Additional ANM, ,LHV, MPW for Sub-Center

Continuation of 250 ANMs @ Rs. 5500/- pm. 165 165 MFP

B14.3

PHNs at PHC level - Continuation of 54 PHNs @

Rs. 7500/- pm. 48.6 48.6 MFP

B14.4

Medical Officers at PHCs (Including AYUSH stream)

- Salary of existing 21 AYUSH doctors located at 21 CHCs @ Rs. 0.15 L per

month x 12 m ( 37.80 L) and 54 Doctors (Allopathic) @

Rs. 0.20 L pm 167.4 167.4

MFP ( Rs. 129.60 L) MFP

70

B14.6

Lab technicians, Gynecologists, Anesthetists, Pedisterian, Specialist CHC,

Radiologist, Sonologist, Pathologist, Dental

Surgeons. - Continuation of 54 Pharmacists @ Rs.

5500/pm, 21 Lab. Techs @ Rs. 5500/ pm and 21 Dental doctors @ Rs. 15000/ pm. 87.3 87.3 MFP

B14.7

Others Additional Contractual Staff (Selection,

Training, Remuneration) MFP

Salary of new engagement of 120 ANMs @ Rs. 5500/

pm 79.2 79.2 MFP

Salary of new engagement of 37 GNMs @ Rs. 7500/

pm 33.3 33.3 MFP

Salary of new engagement of 28 doctors @ Rs. 20000/

pm 67.2 67.2 MFP

44 Specialist @ Locally resident trained Rs. 0.02 L x

24 visits = Rs. 21.22 L 21.22 21.22

MFP

44 Nurses @ Rs. 0.005 L x 24

visits = 5.28 L 5.28 5.28 MFP

44 Technicians @ Rs. 0.005 L

x 24 visits = Rs. 5.28 L 5.28 5.28 MFP

44 Assistants @ Rs. 0.005 L x

24 visits = Rs. 5.28 L 5.28 5.28 MFP B28.1 Block Level PMU MFP

B28.1.1 Salary & OE of 52 Block

PMSU 156 106.08 MFP

71

B28.2 District level MFP

Salary & OE of 11 DPMSUs, having 11 DPMs, Statistical

Assistants, Computer Assistants and District

Media Officers @ Rs. 0.15 L pm, Rs. 0.07 L pm, Rs. 0.05

L pm and Rs. 0.12 L pm respectively. 110 110 MFP

DEO (to be stationed in the district ware house) @ Rs

6000pm 7.92 7.92 Fully functional

DPMSUs. MFP B28.3 State level MFP

B.28.3.1

Salary of newly appointed School Health Programme Coordinator at State Level

@ 0.25 L per months x 12 m 3 3 MFP

B.28.3.2

Salary of newly appointed School Health Programme Coordinator at 11 districts

@ 0.15 L per months x 12 m 19.8 19.8 Fully functional

SPMSU MFP

B.28.3.3 State Programme Management Unit 154.02 154.02 MFP

B.28.3.4

State Nodal Officer (Procurement) @ Rs

25000pm 3 3 MFP

B.28.3.5

Store Officer (having computer skills) @ Rs

7000pm 84 84 MFP

B.28.3.6

DEO (1 each for State cell and State Ware House) @

Rs 7000pm 1.68 1.68

Streamlining of procurement and

inventory management MFP

B.28.3.7 Legal Consultant (Part-

time) @ Rs 50000pa 0.5 0.5 MFP

Sub Total 1766.42 1716.5 A.11 TRAINING

A.11.3 Maternal Health Training RCH-II

A.11.3.1 Skilled Birth Attendance /

SBA 30 30 60 ANMs RCH-II A.11.3.2 EmOC Training 8.84 8.84 5 doctors RCH-II

A.11.3.3 Life saving Anaesthesia

skills training 9.93 9.93 5 doctors RCH-II A.11.4 IMEP Training 32.55 32.55 633 MOs and 56 ANMs RCH-II A.11.5 Child Health Training RCH-II

72

A.11.5.1 IMNCI 54.5 54.5

Training 120 MOs, 120 ANMs, 45 LHVs, 80 AWWs and 120 SNs RCH-II

A.11.6 Family Planning Training RCH-II

A.11.6.4 IUD Insertion Training 38.4 19.2 80 ANMs and 40 SNs RCH-II

A.11.7 ARSH Training 27.65 27.65

Training of 120 MOs, 120 ANMs, 55 LHVs &

80 SNs RCH-II

A.11.8 Programme Management

Training RCH-II A.11.8.1 SPMU Training 4.4 4.4 4 accountants. RCH-II

A.11.9 Other training 40.86 40.86

30 MOs in MTP and NSV; 90 MOs in

RTI/STI and IUD insertion; 24 MOs in

minilap and laparoscopic sterilisation RCH-II

Sub Total 247.13 227.93 Grand Total 5848.19 4375.07

73

ANNEX -VI

List of participants for the meeting of the NPCC.

S.NO Name & Designation Mail ID/Contact No.

1. Shri. P. K. Pradhan, AS & MD (NRHM), MOHFW

[email protected]

2. Shri Amarjeet Sinha, JS(P), MOHFW [email protected] 3. Shri Amit Mohan Prasad, JS(RCH)

[email protected]

4. Shri Puneet Kansal, DS(NRHM-III/Finance)

[email protected]

5. Dr. Siddharth Saha, Consultant (Immunization)

[email protected]

6. Dr. Prema Sundararajan, Consultant, SPH (Child Health)

[email protected]

7. Dr. P.K. Prabhakar, Assistant Commissioner(ID)

[email protected]

8. Dr. Niraj Kulshresth(Central TB Division)

[email protected]

9. Dr. M. Malhotra, Assistant Commissioner (MH)

23063479

10. Renuka Patnaik, Consultant, NIHFW

[email protected]

11. Dr. G.S.Sonal, Joint Director,NVBDCP

23967780 EXT-116

12. Dr.V.K. Tewari, NPCB

23061429

13. Mr. G.R. Khetarpal , US (NE)

23061203

14. Mr. N.S.Chauhan, SO (NE)

[email protected]

15. Mr. Suresh Kumar Singh, Investigator- NRHM III

[email protected]

16. Mr. S.K. Bose, Investigator- NRHM III

[email protected]

17. Mr. Anil Garg, Consultant, FMG

23062121

18. Mr. Rahul Pandey, Consultant-TMSA/MSG

41327343

mailto:[email protected]

74

19. Dr. Suresh Kumar, Research Officer, AYUSH

8010288199

20. Sukhvinder Kaur, Consultant, Statistics Division

[email protected]

21. Dr. Vinay, Vishwanatha, Consultant, FP Division

23062427

22. Dr. Abhishek Gupta, Consultant (NE), NRHM III

[email protected]

List of participants from RRC-NE

24 Dr. A.C. Baishya, Director, (RRC- NE)

[email protected]

25 Dr. Ashoke Roy,Advisor-Public Health(RRC-NE)

[email protected]

26 Dr. Dilip Singh, Advisor-Public Health (RRC-NE)

[email protected]

27 Mr. Johnny, State Facilitator, NRHM, (RRC-NE)

[email protected]

List of Participants from States

27 Mr. T.Limsong, Secretary & Mission Director, NRHM, Nagaland

0370-2270062

28 Dr. Vizolie, Joint Director (SPO) NRHM, Nagaland

29 Dr. kevichusa, SNO (IDSP), NRHM, Nagaland

0370-2245016

30 Dr. Kika, Deputy Director, NRHM Nagaland

9436006134

31 Dr. Watileals, Joint Director, Nagaland

0370-2242636

mailto:[email protected]

Documents

F. No. M-11011/3/2010 NRHM-III Government of India