Ministry of Health & Family Welfare, Government of Indiacghealth.nic.in/health/programonitoring/PIPHealth... · F. No. 10 (18)/2013-NRHM-1 Government of India Ministry of Health &

2013

Ministry of Health & Family

Welfare, Government of India

APPROVAL OF STATE PROGRAMME

IMPLEMENTATION PLAN 2013-14:

CHHATTISGARH

Preface

FY 2012-13 has been a year of intense activity: States have responded very positively to conditionalities

and incentives, programme management has been strengthened with the appointment of nodal persons for

each thematic areas and introduction of Score Cards, JSSK has made further inroads, RBSK has been

initiated and Child Survival Summit at Mahabalipuram provided an opportunity to take stock of our

achievements and reflect on the challenges ahead.

I suggest that 2013-14 is treated as the “YEAR OF CONSOLIDATION” with focus on increased

effectiveness and efficiency.

I would also like to draw your attention towards nursing which is the backbone of the public health but

has remained on the backburner for the sometime. FY 2013-14 should be “dedicated to strengthening of

the nurse cadre”. I would urge you to fill up all vacant positions of ANMs, Nurses, LHVs and PHNs and

ensure that they become an integral part of planning, implementation and monitoring.

Effective monitoring and supportive supervision has the potential to yield tangible gains in a relatively

short period of time but is still our weakest link. More meaningful use of HMIS and MCTS is way

forward. We will be routinely using both HMIS and MCTS including Score Cards for all our reviews.

I am confident that under the able leadership of State Health Secretaries and Mission Directors the

country would make visible progress in making the goal of “Health for All” a reality.

Anuradha Gupta

Additional Secretary & Mission Director, NRHM

F. No. 10 (18)/2013-NRHM-1

Government of India

Ministry of Health & Family Welfare

(National Rural Health Mission)

Nirman Bhavan, New Delhi

Dated 24th May 2013

To

The Mission Director

National Rural Health Mission (Chhattisgarh)

D.K.S. Bhwan,

Mantralaya Parisar, Raipur

Chhattisgarh.

Subject: Approval of NRHM State Programme Implementation Plan for the year 2013-14

Sir,

This refers to the Programme Implementation Plan for the year 2013-14 submitted by the State

and subsequent discussions in the NPCC meeting held on 3rd

May, 2013 at New Delhi.

2. Against a resource envelope of Rs. 715.93 crores, the administrative approval of PIP for your State

is conveyed for an amount of Rs 693.96 crores. Details are provided in Table A, B and C below.

Uncommitted and unspent balance available under NRHM as on 01.04.2013 would also be a part of the

resource envelope.

TABLE- A

Rs.Crores

Uncommitted unspent balance available under NRHM as on 1.4.2013

102.41

GOI Resource Envelope for 2013-14 under NRHM

(assuming no reduction on account of conditionalities)

414.13

Assuming 10% incentive based on performance

46.01

25% State Share (2013-14)

153.38

Total

715.93

TABLE- B

(Rs in Crores)

S.No. Name of Programme Uncommitted Unspent Balance available

under NRHM as on 01.04.2013

GOI Resource Envelope

under NRHM 2013-14

Total

1 RCH Flexible Pool 56.02 126.88 182.9

2 Mission Flexible Pool 43.5 143.44 186.94

3 Immunization (from RCH Flexible Pool) 0 6.36 6.36

4 NIDDCP 0 0.24 0.24

5 IDSP 0.25 1.46 1.71

6 NVBDCP 1.24 29.99 31.23

7 NLEP 1.68 1.68

8 RNTCP 1.4 14.41 15.81

9

Infrastructure Maintenance (Treasury Route)

130.74 130.74

10 PPI Operational Cost 0 4.94 4.94

11 25% State Share 153.38 153.38

Total- Resource Envelope 102.41 613.52 715.93

Committed Unspent balance up to 2012-13 to be revalidated in 2013-14

280.71

The funds under NIDDCP and Infrastructure Maintenance is routed through treasury, however

their state share will be credited in the bank accounts of State Health Society and will be utilized

for activities that are approved.

TABLE- C

SUMMARY OFAPPROVAL

Sr.

No. Scheme/Programme

Approved Amount

(Rs. Crores) Annex ref

1. RCH Flexipool 228.28 1

2. NRHM Flexipool 242.60 2

3. Immunization and PPI operation cost 30.45 3

SUMMARY OFAPPROVAL

Sr.

No. Scheme/Programme

Approved Amount

(Rs. Crores) Annex ref

4. NIDDCP 0.24 4A

5. IDSP 3.68 4B

6. NVBDCP 30.46 4C

7. NLEP 45.92 4D

8. RNTCP 22.92 4E

9. Infrastructure maintenance (Treasury route) 130.74

Total 693.96

3. State to convey the district approvals to the districts within 15 days of receiving the State RoP

approvals. High priority districts must receive at least 30% more budget per capita compared to the

other districts.

4. All buildings supported under NRHM should prominently carry NRHM logo in English/ Hindi &

regional languages.

5. All ambulances to be branded as „National Ambulance Services‟ and adhere to the colour, design

and logo as communicated by MOHFW.

6. All MMU to be branded as „National Mobile Medical Unit‟ and adhere to the colour, design and

logo scheme as communicated by MOHFW.

7. The support under NRHM is intended to supplement and support and not to substitute state

expenditure. All the support for HR will be to the extent of positions engaged over and above the

regular positions.

Release of funds

8. Action on the following issues would be looked at while considering the release of second tranche

of funds:

Compliance with conditionalities.

Physical and financial progress made by the State as communicated through the FMR.

Release of 25% of the State share, based on updated release of funds by Government of

India, to the account of the State Health Society.

Timely submission of Statutory Audit Report and Utilization Certificates for the year 2011-

12 for the release of first installment,

Timely submission of Statutory Audit Report for the year 2012-13 for the release of 2nd

installment.

Performance on key conditionalities including mandatory disclosures and incentives will

determine the final release.

Compliance of the provisions of the extant MoU between GOI, MOHFW and the State

Government.

Other aspects

9. State shall ensure submission of quarterly report on physical progress against targets and

expenditure including an analysis of adverse variances and corrective action proposed to be taken.

10. The State shall not make any change in allocation among different budget heads

without approval of GoI.

11. The accounts of State/ grantee institution/ organization shall be open to inspection by the

sanctioning authority and audit by the Comptroller& Auditor General of India under the provisions

of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health

& Family Welfare.

12. State shall ensure submission of details of unspent balance indicating inter alia, funds released in

advance & funds available under State Health Societies. The State shall also intimate the interest

amount earned on unspent balance. This amount can be spent against approved activities.

Yours faithfully,

(Dr. Ashish. C. Verma)

Director (NRHM)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14:

CHHATTISGARH

CONTENTS PAGE NO.

SUMMARY

State specific goals 1

Key conditionalities and incentives 4

Finance: key issues and guiding principles 7

Road map for priority action 9

Approved budget (by program and function) 14

REPRODUCTIVE AND CHILD HEALTH

Maternal Health 22

Child Health, RBSK (SHP) & Immunization 35

Family Planning 57

Adolescent Health 68

Urban RCH 73

PC-PNDT 75

Tribal RCH 79

Human Resources 81

Program management 93

Others 100

MISSION FLEXI POOL

ASHA 101

Untied funds/RKS/AMG 120

New constructions/ renovation and setting up 123

Procurement 126

Mobile medical unit 132

Referral Transport 133

AYUSH 135

IEC / BCC 139

Monitoring and evaluation (HMIS/MCTS) 142

Others 150

NATIONAL DISEASE CONTROL PROGRAMMES

National Iodine Deficiency Disorders Control Programme (NIDDCP) 159

Integrated Disease Surveillance Programme(IDSP) 162

National Vector Borne Disease Control Programme (NVBDCP) 165

National Leprosy Eradication Programme (NLEP) 177

Revised National Tuberculosis Control Programme (RNTCP) 181

National Programme for Prevention and Control of Flurosis 186

Annexure

Annex (Detailed budgets)

1. RCH Flexible Pool

2. Mission Flexible pool

3. Immunization and PPI Operation Cost

4A . National Iodine Deficiency Disorders Control Programme (NIDDCP)

4B . Integrated Disease Surveillance Programme (IDSP)

4C . National Vector Borne Disease Control Programme (NVBDCP)

4D . National Leprosy Eradication Programme (NLEP)

4E .Revised National Tuberculosis Control Programme (RNTCP)

4F . National Programme for Prevention and Control of Flurosis

4. Human Resources

5. Programme Management

6.

A. New Constructions

B. Ongoing works for CHC Upgradation

C. Ongoing construction of staff quarters at DHs, CHCs and 24X7 PHCs

D. MCH Wings

SUMMARY

Approval of State PIP 2013-14: Chhattisgarh

STATE-SPECIFIC GOALS

The following are the agreed goals and service delivery targets for the state of Chhattisgarh:

Indicator CURRENT CAD (%) State Targets

India Chhattisga

rh

India Chhattisg

arh

2013-14 2014-15 Target for

12th

Plan

CAD

(%)

Maternal Health

MMR (SRS 07-

09)

212 269 -5.8 -7.1 164 149 122 -9.4

Child Health

U5MR (SRS

2011)

55 57 -7.3 -7.1 46 41 - -10.2

IMR (SRS 2011) 44 48 -6.0 -5.6 39 35 28 -10.2

NMR (SRS 2011) 31 34 -4.0 -4.5 28 25 - -10.2

Family Planning

TFR (SRS 2011) 2.4 2.7 -2.6 -3.5 2.56 2.49 2.36 -2.64

Note

CAD: Compounded Annual Decline; MMR from 04-06 to 07-09; U5MR; IMR; NMR and TFR from

2008 to 2011; targets from latest current status to 2015.

Approval of State PIP 2013-14: Chhattisgarh Page 2

SERVICE DELIVERY TARGETS

Indicators

DLHS-2

(2002-

04)

DLHS-3

(2007-

08)

CES

(2009)

State Targets

2013-14

Maternal Health

Mothers who had 3 or more ANCs 44.4% 51.2% ..

Deliveries taking place in public

facilities* 18.1% 18.1%

324500 (50% of

estimated deliveries)

Caesarean Section rate in public health

facilities

32450 (10% of Instl

deliveries)

Line listing and follow up of Severely

Anaemic pregnant women

7658

Child Health

Full Immunisation (%)

56.9% 59.3% 57.3% 80%

New borns visited by ASHA (as

per HBNC guidelines)

3,60,903

(70%)

Line listing and follow up of Low

Birth Weight babies

Rural Nos; (% of live births)

121630 18.1 % of live births (State HMIS)

40,421

(70%)

Percentage of SNCUs admitting at

least 6 babies per month per bed 80%

Family Planning

Female sterilisations (lakhs) 127029

(HMIS 2011-12) 165000

Post-Partum sterilizations (lakhs) 3668

(HMIS 2011-12) 5000

Male sterilisations (lakhs) 6809

(HMIS 2011-12) 26000

IUD insertions (lakhs) 78310

(HMIS 2011-

12)

160000

Disease Control

ABER for malaria (%) 13.57% (2011)

13.33 % (2012)

>15%


API for malaria (per 1000

population) 5.39 4.43 <2

Annualized New Smear Positive

Detection Rate of TB (%) 53% (2012) 70%

Success Rate of New Smear

Positive Treatment initiated on

DOTS (%)

89% (2012) 90%

* DLHS and CES data reflect achievement in both public and private facilities. Performance to be

assessed on the basis of MCTS and NIKSHAY, where available and on the basis of facility wise HMIS in

other cases

High Priority Districts

Performance against the above service delivery indicators in the 5 high priority districts (Bijapur,

Bilaspur, Dantewada, Jashpur, and Surguja) out of a total of 27 districts should be at least, on par

with the state average; and subsequently in line with the performance of the top 10% of districts.


KEY CONDITIONALITIES AND INCENTIVES

Chhattisgarh has made significant progress in responding to conditionalities particularly in the rational

deployment of Human Resoruces, Mobile Medical Units, and Referral Transport. Following

conditionalities shall be adhered to by the States and are to be treated as non-negotiables:

Mandatory disclosures

1. The State must ensure mandatory disclosure on the state NRHM website of the following and act on

the information:

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

and designation.

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

Major and Minor surgeries etc.

MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule

and service delivery data on a monthly basis.

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

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

kilometres logged on a monthly basis.

All procurements- including details of equipments procured (as per directions of CIC which

have been communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011-

H' dated 28th November 2011.).

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

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

completion.

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

supervisory plan and reports should be uploaded on the website.

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

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

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

on website.

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

through AADHAAR enabled payment system/Core Banking Solution where DBT mechanism has

been rolled out. Further, cash payment or bearer cheque payment is henceforth disallowed

across the States.

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

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

(LBW) babies.


KEY CONDITIONALITIES

5. As agreed, the following key conditionalities would be enforced during the year 2013-14.

a) Rational and equitable deployment of HR1 with the highest priority accorded to high priority

districts and delivery points.

b) Facility wise performance audit2 and corrective action based thereon.

c) Performance Measurement system set up and implemented to monitor performance of

regular and contractual staff.

d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and

corrective action taken thereon.

- Approval is being granted for HR of all cadres under NRHM for six months only and its

continuation for the next six months would be contingent on compliance of the above four

conditionalities. Further, it is expected that the state will henceforth fill up their vacant

regular HR positions and will not use NRHM funds to substitute state spending. Therefore,

from 1st October 2013, under NRHM, funds for salary to contractual HR would be granted

only to make payments to contractual staff over and above the sanctioned regular positions

in the State.

e) Gaps in implementation of JSSK may lead to a reduction in outlay upto 10% of RCH base

flexipool.

INCENTIVES

6. Initiatives in the following areas would draw additional allocations by way of incentivisation

of performance:

a) Responsiveness, transparency and accountability (upto 8% of the outlay).

b) Quality assurance (upto 3% of the outlay).

c) Inter-sectoral convergence (upto 3% of the outlay).

d) Recording of vital events including strengthening of civil registration of births and deaths (upto 2%

of the outlay).

e) Creation of a public health cadre (by states which do not have it already) (upto 5% of the

outlay)

f) Policy and systems to provide free generic medicines to all in public health facilities (upto

5% of the outlay)

g) Timely roll out of RBSK (upto 5% of the outlay)

1 Many states have put in a place an HR policy which lays down norms of transfer and posting. It is expected that

the States would now implement the policy. Rational and equitable deployment would include posting of staff on the basis

of case load, posting of specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained

doctors in FRUs, optimal utilization of specialists in FRUs and above and filling up vacancies in peripheral facilities in high

focus/ remote areas.

2 Facility wise performance audit will also include the facility wise score card being developed.


h) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their

requirement, to regulate the quality and cost of health care in different public and private

health facilities in the State (upto 5% of outlay).

i) States providing more than 10% increase in its annual health budget as compared to the

previous year will attract additional incentive.

j) States to implement the nurse practitioner model to strengthen the nursing services.

Note:

The Framework for Implementation of NRHM to be strictly adhered to while implementing the

approved PIP. State should adhere to the clauses mentioned in the MOU signed and achieve the agreed

performance benchmarks.


FINANCE: KEY ISSUES AND GUIDING PRINCIPLES

1. Quarterly FMR must be submitted on time with both physical and financial progress duly reflected.

2. State must also furnish a monthly statement of fund position and expenditure in format prescribed in

the operational guidelines, as Annexure XXIII and XXIV.

3. Status of Contribution of state share:

(Rs. in crore)

Year Release

Amounts

required on basis

of releases

Amount

Credited in

SHS Bank

A/C

Short/ (Excess)

2007-08 152.72 26.95 12.00 14.95

2008-09 214.23 37.81 35.00 2.81

2009-10 235.09 41.49 31.11 10.38

2010-11 299.45 52.84 47.00 5.84

2011-12 357.44 63.08 94.00 -30.92

2012-13 369.01 123.00 134.99 -11.99

Total 1,627.94 345.17 354.10 -8.93

State share for the 11

th Plan period (2007-08 to 2011-12) is calculated on the basis of release

made to the state (excluding three disease control programme i.e RNTCP, NPCB &

NVBDCP) and from 12th

plan period i.e. 2012-13 onwards release made to all programme

under NRHM is considered. Further, with effect from 2012-13, State’s share would be 25%.

4. Release of funds up to 100% of BE for the year 2013-14, would be contingent on the State

providing Utilisation Certificate against the grant released to the state up to 2011-12 for all the

programme. The status of Pending Utilization Certificates for NRHM-RCH Flexible Pool against

funds released up to 2011-12 are as under :

Programme Amount (In Crore)

RCH Flexible Pool 42.05

Mission Flexible Pool 125.08

Total 167.13


5. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for release of 2nd

tranche of funds.

6. Timely submission of Statutory Audit Report for the year 2012-13 is a must for release of 2nd

tranche of funds.

7. State is required to comply with the instructions and/or guidelines issued for maintenance of bank

account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.

8. State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis

(2013-14) and Audit Report Analysis for FY 2012-13.

9. State needs to strengthen the internal control procedures/mechanism for all transactions.

10. State should ensure proper maintenance of books of accounts at district and block level as per the

operational guidelines for NRHM issued by the Ministry.

11. Appointment of Auditor for the year 2012-13 must be completed in the first quarter of 2013-14 as

per the RFP issued by this Ministry.

12. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules,

regulations, and procedures to maintain financial discipline and integrity particularly with

regard to procurement; competitive bidding must be ensured and only need-based

procurement should take place.

13. State should ensure expenditure upto 15% by June 2013 and another 30%

by September 2013 of their approved budget under each pool in the FY

2013-14


ROAD MAP FOR PRIORITY ACTION

NRHM must take a „systems approach‟ to Health. It is imperative that States take a holistic view and

work towards putting in place policies and systems in several strategic areas so that there are optimal returns

on investments made under NRHM. For effective outcomes, a sector wide implementation plan would

be essential; states would be expected to prepare such a plan with effect from next year. Some of the

key strategic areas in this regard are outlined below for urgent and accelerated action on the part of the

State:

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

PUBLIC HEALTH PLANNING & FINANCING

1. Planning and financing Mapping of facilities, differential planning for districts / blocks

with poor health indicators; resources not to be spread too thin /

targeted investments; at least 10% annual increase in state health

budget (plan) over and above State share to NRHM resource

envelope; addressing verticality in health programmes; planning

for full spectrum of health services; emphasis on quality

assurance in delivery points

2. Management

strengthening

Full time Mission Director for NRHM and a full-time Director/

Jt. Director/ Dy. Director Finance, not holding any additional

responsibility outside the health department; fully staffed

programme management support units at state, district and block

levels; selection of staff to key positions such as head of health at

the district and block level and facility-in charge to be based on

performance; stability of tenure to be assured; training of key

health functionaries in planning and use of data. Strong

integration with Health & FW and AYUSH directorates

3. Developing a strong

Public Health focus

Separate public health cadre, induction training for

all key cadres; public health training for doctors Working in

health administrative positions; strengthening of public health

nursing cadre, enactment of Public Health Act

HUMAN RESOURCES

4. HR policies for

doctors, nurses

paramedical staff and

programme management

staff

Minimizing regular vacancies; expeditious recruitment

(eg. taking recruitment of MOs out of Public Service

Commission purview); merit –based and transparent selection;

recruitment rules to be aligned to needs of health human

resource; opportunities for career progression and professional

development; rational and equitable deployment; effective skills

utilization; stability of tenure; sustainability of contractual human

resources under RCH / NRHM and plan for their inclusion in



State budget; suitable performance measurement mechanism and

performance based incentives.

5. HR Accountability Facility based monitoring; incentives for both the health service

provider and the facility based on functioning; performance

appraisal against benchmarks; renewal of contracts/ promotions

based on performance; incentives for performance above

benchmark; incentives for difficult areas

6. Medical, Nursing and

Paramedical Education

(new institutions and

upgradation of existing

ones)

Planning for enhanced supply of doctors, nurses, ANMs, and

paramedical staff; mandatory rural posting after MBBS and PG

education; more seats for Government doctors in PG courses

particularly in Gynecology, Anesthesia and pediatrics; expansion

of tertiary health care; use of medical colleges as resource centres

for national health programmes; strengthening/ revamping of

ANM / GNM training centres and paramedical institutions; re-

structuring of pre service education; developing a highly skilled

and specialized nursing cadre; developing good district hospitals

as training sites for training nurses, ANMs and paramedics.

7. Training and capacity

building

Strengthening of State Institute of Health & Family Welfare

(SIHFW)/ District Training Centres (DTCs); quality assurance;

availability of centralised training log; monitoring of post

training outcomes; expanding training capacity through

partnerships with NGOs / institutions; up scaling of multi skilling

initiatives, accreditation of training

STRENGTHENING SERVICES

8. Policies on drugs,

procurement system and

logistics management

Articulation of policy on entitlements on free drugs for out / in

patients; rational prescriptions and use of drugs; timely

procurement of drugs and consumables; smooth distribution to

facilities from the district hospital to the sub centre;

uninterrupted availability to patients; minimization of out of

pocket expenses; quality assurance; prescription audits; facility

wise EDL; essential drug lists (EDL) in public domain;

computerized drugs and logistics MIS system; setting up

dedicated corporation on the lines of eg: TNMSC

9. Equipments Availability of essential functional equipments in all facilities;

regular needs assessment; timely indenting and procurement;

identification of unused/ faulty equipment; regular maintenance

and MIS/ competitive and transparent bidding processes



10. Ambulance Services and

Referral Transport

Universal availability of GPS fitted

ambulances; reliable, assured free transport for pregnant women

and newborn/ infants; clear policy articulation on entitlements

both for mother and sick infants; establishing integrated call

centres for timely response and effective provision of services;

drop back facility; a prudent mix of basic level ambulances and

emergency response vehicles

11. New infrastructure

and maintenance

of buildings; sanitation,

water, electricity,

laundry, kitchen,

facilities for attendants

New infrastructure, especially in backward areas; 24x7

maintenance and round the clock plumbing, electrical, carpentry

services; power backup; cleanliness and sanitation; upkeep of

toilets; proper disposal of bio medical waste; drinking water;

water in toilets; electricity; clean linen; kitchens, facilities for

attendants, PPP outsourcing for such services.

12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable

availability to patients; partnerships with private service

providers; prescription audits, free for pregnant women and sick

neonates

COMMUNITY INVOLVEMENT

13. Patient‟s feedback

and grievance redressal

Feedback from patients; expeditious

grievance redressal; analysis of feedback for corrective

action

14. Community participation Active community participation; empowered PRIs; strong

VHSNCs; social audit; effective Village Health & Nutrition Days

(VHNDs); strengthening of ASHAs; policies to encourage

contributions from public/ community

15. IEC Comprehensive communication strategy with a strong

behaviour change communication (BCC) component in the IEC

strategy; dissemination in villages/ urban slums/ peri urban

areas

CONVERGENCE, COORDINATION & REGULATION

16. Inter sectoral

convergence

Effective coordination with key departments

to address health determinants viz. water, sanitation,

hygiene, nutrition, infant and young child feeding, gender,

education, woman empowerment, convergence with SABLA,

SSA, ICDS etc.



17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to

be part of active communitisation process; involvement of NGOs

in filling service delivery gaps; active community monitoring

18. Private Public

Partnership (PPP)

Partnership with private service providers to

supplement governmental efforts in underserved and vulnerable

areas for deliveries, family planning services and diagnostics

19. Regulation of services in

the private sector

Implementation of Clinical Establishment Act; quality of

services, e.g. safe abortion services; adherence to protocols;

checking unqualified service providers; quality of vaccines and

vaccinators, enforcement of PC-PNDT Act

MONITORING & SUPERVISION

20. Strengthening data

capturing, validity /

triangulation

100% registration of births and deaths under Civil

Registration System (CRS); capturing of births in private

institutions; data collection on key performance indicators;

rationalizing HMIS indicators; reliability of health

data/data triangulation mechanisms

21. Supportive Supervision Effective supervision of field activities/ performance;

handholding; strengthening of Lady Health Visitors (LHVs),

District Public Health Nurses (DPHNs), Multi Purpose Health

Supervisors (MPHS) etc.

22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for

periodic review and future road map; clear agenda and follow up

action; Regular, focused reviews at different levels viz. Union

Minister/ Chief Minister/ Health Minister/ Health Secretary/

Mission Director/ District Health Society headed by Collector/

Officers at Block/ PHC level; use of the HMIS/ MCTS data for

reviews; concurrent evaluation

23. Quality assurance Quality assurance at all levels of service delivery;

quality certification/ accreditation of facilities and services;

institutionalized quality management systems

24. Surveillance Epidemiological surveillance; maternal and infant death review

at facility level and verbal autopsy at community level to identify

causes of death for corrective action; tracking of services to

pregnant women and children under MCTS



25. Leveraging technology Use of GIS maps and databases for planning and monitoring;

GPS for tracking ambulances and mobile health units; mobile

phones/tablets for real time data entry; video conferencing for

regular reviews; closed user group mobile phone facility for

health staff; telemedicine and teleeducation; use of ICT

technologies in E- Governance; development of Human Resource

Information System (HRIS) and Hospital Management

Information System endless opportunities-sky is the limit!

RMNCHA+ document released in Mahabalipuram Conference should serve as guidance note for

integration and betterment of all RMNCH activities.


RCH,22828.07 33%

MFP, 24260.37 35%

Immunisation & PPI,3044.62

4%

DCPs,6188.77 9%

Infrastructure Maientance,13074

19%

Chhattisgarh: Approved (by Programme), 2013-14: Total Rs. 69395.83 lakhs


Infrastructure 16.74%

Human Resources (All HR Except HR for

MMU/ Ambulances and Quality Assurance)

9.81%

Drugs and Consumables

4.39%

Equipments & Diagnostics

1.51%

Capacity Building 3.72% Patient Transport Services

(including HR) 1.69%

MMU (including HR) 0.00%

Communitization 18.82%

Other RCH Services 19.68%

Supportive Supervision/

Mobility Support 1.30%

Administrative Costs & Office

Expenses 0.06%

Health Action Plans 0.10%

IEC/ BCC 0.70%

State Specific Initiatives/ Innovations

0.07%

E- Governance 0.32%

Out Reach Services 0.18%

Quality Assurance (including HR)

0.15%

Support Services 0.00%

Other Important Areas 0.08%

Infrastructure Maintenance

20.68%

Summary of functional head of Chhattisgarh


FP 2%

MH 17% CH

5% PNDT

0%

HR 19%

ARSH 0%

Training 8%

Programme Management

10%

Vulnerable groups 0%

JSY 31%

Sterilisation & IUD Compensation and

NSV Camps 8%

Approved Budget RCH Flexipool, 2013-14 : Rs. 23240.87 lakhs

Mainstreaming of AYUSH

1%

ASHA 26%

District Action Plans 0%

Untied Funds 10%

AMG 3%

Hospital Strengthening 43%

New Constructions 1%

RKS 4%

IEC-BCC 2%

Procurement 7%

Panchayati Raj Initiative 0%

SHSRC 0%

Planning, Implementation and

Monitoring 3%

Approved budget MFP, 2013-14: Rs. 24260.37 lakhs


RI strengthening 47%

Salary 1%

Training 9%

Cold chain maintenance

0%

ASHA Incentive 27%

PPI 16%

Approved budget Immunization, 2013-14 : Rs. 3044.62 lakhs

NIDDCP 0%

IDSP 6%

NVBDCP 49%

NLEP 8%

RNTCP 37%

Approved budget NDCP, 2013-14 : Rs. 6188.77 lakhs


SUMMARY BUDGET 2013-14: CHHATTISGARH

S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )

Proposed Approved % of RE

1. RCH FLEXI POOL

A1 Maternal Health 3744.55 3951.27 5.66

A2 Child Health 1625.51 1053.40 1.51

A3 Family Planning 1721.32 401.30 0.57

A4 ARSH 116.34 64.68 0.09

A5 Urban RCH 295.80 0.00 0.00

A6 Tribal RCH 48.00 0.00 0.00

A7 PNDT & Sex Ratio 139.40 36.86 0.05

A8 Infrastructure & HR 9502.19 4285.57 6.14

A9 Training 2486.79 1951.16 2.80

A10 Programme Management 7316.01 2189.83 3.16

A11 Vulnerable groups 23.00 0.00 0.00

Total Base Flexi Pool 27018.92 13934.07 20.08

A12 JSY 7087.50 7087.50 10.15

A13

Sterilisation & IUD Compensation and

NSV Camps 1822.00 1806.50 2.59

Total Demand Side 8909.50 8894.00 12.74

Total RCH Flexi Pool 35928.42 22828.07 32.90

2. MISSION FLEXI POOL

B1 ASHA 7348.54 6303.66 9.03

B2 Untied Funds 3520.02 2513.55 3.60




B3 Annual Maintenance Grants 973.05 623.50 0.89

B4 Hospital Strengthening 11881.04 10476.66 15.01

B5

New Constructions/ Renovation and

Setting up 1368.52 101.93 0.15

B6 Corpus Grants to HMS/RKS 1500.20 1053.00 1.51

B7

District Action Plans (including block,

village) 61.20 61.20 0.09

B8 Panchayati Raj Initiative 95.46 60.00 0.09

B9 Mainstreaming of AYUSH 1098.39 238.39 0.34

B10 IEC-BCC NRHM 1454.75 371.87 0.53

B11

Mobile Medical Units (Including recurring

expenditures) 1296.00 0.00 0.00

B12 Referral Transport 3721.48 0.00 0.00

B13 PPP/ NGOs 1841.45 35.40 0.05

B14 Innovations (if any) 1366.00 6.00 0.01

B15 Planning, Implementation and Monitoring 1662.88 608.63 0.87

B16 Procurement 3672.59 1756.58 2.52

B17 Regional drugs warehouses 0.00 0.00 0.00

B18 New Initiatives 0.00 0.00 0.00

B19 Health Insurance Scheme 0.00 0.00 0.00

B20 Research, Studies, Analysis 0.00 0.00 0.00

B21 State level Health Resources Center 190.00 50.00 0.07

B22 Support Services 5499.79 0.00 0.00

B23 Other Expenditures (Power Backup, 9561.43 0.00 0.00




Convergence etc)

TOTAL MFP 58112.77 24260.37 34.75

3. IMMUNIZATION

C1

RI strengthening project (Review meeting,

Mobility support, Outreach services etc) 1422.56 1419.18 2.03

C2 Salary of Contractual Staffs 40.68 17.10 0.02

C3 Training under Immunisation 304.80 284.00 0.41

C4 Cold chain maintenance 17.21 10.70 0.02

C5 ASHA Incentive 819.29 819.29 1.17

Total Immunization 2604.53 2550.27 3.65

C6 Pulse Polio Operational Cost 509.86 494.35 0.71

Total RI & PPO costs 3114.39 3044.62 4.36

5. Disease Control Programmes

4A

National Iodine Deficiency Disorders

Control Programme (NIDDCP) 141.4 24 0.03

4B

Integrated Disease Surveillance

Programme(IDSP) 540.06 367.93 0.53

4C

National Vector Borne Disease Control

Programme (NVBDCP) 6485.92 3045.82 4.36

4D

National Leprosy Eradication Programme

(NLEP) 317.57 459.24 0.66

4E

Revised National Tuberculosis Control

Programme (RNTCP) 2986.51 2291.78 3.28

4 F

National Programme for Preventio and

Control of Flurosis (NPPCF)* 232.90 0* 0

Total NDCP 10704.36 6188.77 8.87

5. INFRASTRUCTURE MAINTENANCE




Total Infrastructure Maintenance 15700.00 13074.00 18.73

GRAND TOTAL 123559.94 69395.83 100.00

*NPCCF PIP will be considered later along with PIPs from other states.


Maternal Health


GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH

Maternal Health: Goals and Targets for 2013-14

Indicator Target

MMR and expected Maternal Deaths MMR 164 /100,000 Live births

Expected MDs: 1000

Nos. of Maternal Deaths Reported and Reviewed 750 (75%)

ANCs registered within first trimester 439025 (61%) in 2013-14

Institutional Deliveries (out of the total estimated

deliveries) to be conducted in Public health institutions

from 38% in 2012-13 to 50%. in 2013-14

324500 in 2013-14

Caesarean Section rate in public health facilities from 4

% in 2012-13 to 10% in 2013-14

32450 in 2013-14

Severely Anemic Pregnant Women** out of total

anemic pregnant women (@2%

7658 in 2013-14

**At the rate of 2% of pregnant anemic women; this is critical for timely identification and management

of severely anemic pregnant woman.


ROAD MAP FOR PRIORITY ACTION: MATERNAL HEALTH

Road Map for essential commitments

Commitment No. 1- Operationalizing Delivery Points

Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the

necessary resources in order to ensure quality of services and provision of comprehensive RMNCH+A

services at these facilities as per the levels. MNH toolkit is to be used for planning and operationalizing

services at different levels of delivery points. Level 3 should be planned for comprehensive CEmOC and

RMNCH+A services and similarly level 2 for BEmOC and RMNCH+A services.

The targets for different categories of facilities are:

The targets for different categories of facilities are:

CEmOC (Level 3)

Present Status Target

2013-14 2014-15 2015-16 2016-17

32 38 44 50 Maintain Levels

BEmOC(Level2)*

Present Status Target

2013-14 2014-15 2015-16 2016-17

208 271 334 397 460

* Target setting for BEmOC centers is not an ideal scenario since States like Bihar, UP may lack

adequate infrastructure; on the other hand, States like Gujarat, Kerala , Punjab will have higher

nos.of deliveries in private health facilities. Therefore it is suggested that States need to plan for

operationalizing Level-2 (BEmOC) facilities as per MNH Toolkit. Ideally, at least one such

facility should be functional for every 50,000-60,000 population, but the scenario may vary from

State to State.

Level 3 delivery points functioning as CEmOC facilities

a) District Hospitals and other similar district level facilities (e.g District women and children

hospital)

b) CHCs and other health facilities at sub district level (above block and below district level)

functioning as FRUs

To provide the following services:

24*7 service delivery for CS and other Emergency Obstetric Care.


1st and 2nd trimester abortion services.

Conduct Facility based MDR.

Essential newborn care and facility based care for sick newborns.

Family planning and adolescent friendly health services

RTI/STI services.

Have functional BSU/BB.

Level 2 delivery points functioning as BEmOC facilities:

Non FRU-CHCs, 24*7 PHC and other PHCs to provide the following services

24*7 BeMOC services including conducting normal delivery and handling common

obstetric complications.

1st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks)

RTI/STI services.

Essential newborn care.

Family planning

All identified SC Level delivery point facilities will provide the following services:

Delivery by SBAs.

IUD insertion

Essential new born care.

ANC, PNC and Immunization.

Nutritional and Family planning and Adolescent counselling.

VHND and other outreach services on designated days.

All identified delivery points should be comprehensively planned for saturating them in terms of HR,

Equipment, Capacity building, infrastructural requirements etc before spreading the resources to other

health facilities.

Monthly performance monitoring of each delivery point needs to be undertaken and

reviewed at District level and quarterly level at State level.

Commitment No. 2- Implementing free entitlements under JSSK

JSSK entitlements to be ensured to all PW and sick newborns accessing Public health facilities.

At least 70% drop back to be ensured to PW delivering in the PHFs.

Drop back should be given only after 48 hrs stay in the health facility.

Commitment No. 3- Centralized Call Centre and Assured Referral Transport

All NRHM Supported Ambulances should be designated as “National Ambulance Service” with

GOI prescribed color coding and other details.

Every State needs to ensure availability of a centralized call centre with 102 or 108 as Toll Free

no. for referral transport at State or district level along with GPS fitted ambulances.

Response time for the ambulance to reach the beneficiary not to exceed 30 minutes and should

reach the referred facility within next 30 mins.

Monthly data on utilization of each ambulance (eg. Trips per day) to be maintained, analyzed and

take corrective action if anything to be taken


Commitment No. 4- Essential Drug List

Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical

colleges and ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and MCs.

The EDL should include drugs for maternal and child health including drugs for safe abortion

services, RTI/STI.

Differential distribution of types and quantities of drugs to performing and non performing

facilities and also as per level of facility.

Procurement should be done through competitive bidding and indent to be taken from each

facility based on consumption pattern through computerized inventory management system.

All Procurement process including periodic testing of drugs through govt. certified labs be carried

out by the process of randomized sampling.

All the drugs should have atleast 5/6th of the shelf life at the time of receiving the durgs at

indenting facility.

All other govt. procedure for procurement needs to be followed.

Commitment No. 5- Capacity Building

Shortfall in trained human resource at delivery points particularly sub centres in High focus/ High

Priority districts to be addressed on priority.

Training load for skill based trainings to be estimated after gap analysis.

Certification /accreditation of the training sites is mandatory.

Training plan to factor in reorientation training of HR particularly for those posted at non

functional facilities and being redeployed at delivery points. Orientation training of field

functionaries on newer interventions e.g. MDR/ HBNC etc.

Performance Monitoring during training/post-deployment needs to be ensured

Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,

implementation, monitoring and post training follow up of all skill based trainings under NRHM.

Commitment No. 6– Tracking severe anemia

All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and line

listed for providing treatment of anemia.

The line listing should be maintained and followed up at SCs and PHCs.

Commitment No. 7– For High Priority Districts

The State to make use of the MNH toolkit to operationalize the identified facilities as delivery

points.

At least 25% of all sub centres under each PHC to be made functional as delivery points in the

HPDs.

At least one CEmOC CENTRES to be made functional.

Planning for operationalizing 10-15 BEmOC Centres in phases.

Commitment No. 8—


Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC and the

other for outreach activities for the geographically demarcated population.

Commitment No. 9: Pre service Nursing Training (For 12 High Focus States)

At least one state Master Nodal centre shall be created and made functional.

State nursing cell under the directorate of health should be created and made functional.

A road map for strengthening of ANM and GNM schools be prepared as per GoI guidelines.

Commitment No. 10: State, district and regional quality assurance committees to be made functional.

Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and made

functional for a group of 4-5 districts as per skill lab operational guidelines.

Commitment No. 12: MCH wings

All 100 bedded MCH wings should be planned comprehensively as per GoI road map and must

include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing and other

details as per MNH toolkit.

The plan for MCH wing should be shared with the MH nodal officer and he should be involved in

its monitoring.

All the MCH wings must be located within the campus of the existing health facility and

completed in 2-3 years.

Non-negotiables under Janani Suraksha Yojana:

State needs to ensure strict compliance of the following non-negotiable under JSY:

1. State will ensure that JSY guidelines are strictly followed and payments are made as per the

eligibility criteria.

2. State will ensure that AADHAAR numbers/EID and bank account details of the JSY beneficiaries

are captured in the integrated RCH registers and seeded in the MCTS database.

3. State will ensure that there would be no delays in JSY payments to the beneficiaries and full

amount of financial assistance is given to the beneficiary before being discharged from the health

facility after delivery.

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

mechanism through AADHAAR enabled payment system/Core Banking Solution where DBT

mechanism has been rolled out. In case, Direct Benefit Transfer mechanism is not implemented in

the State/UT, JSY payments to be made only through account payee cheques. Compliance of the

above is a pre-requisite for JSY releases to the State/UT.

5. State will ensure that strict monitoring and verification of beneficiaries is done by state and

district level health authorities to check malpractices.

6. State will ensure that grievance redressal mechanisms as stipulated under JSY guidelines are

activated at the district and state levels.

7. State will ensure the accuracy of JSY data reported at the HMIS portal of MOHFW and also

furnish the Quarterly progress reports to the Ministry within the prescribed timeframe.


DETAILED BUDGET: MATERNAL HEALTH

S. No. Budget Head Quantity / Target

Unit Cost ( Rs)

Budget (Rs. Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.1.1 Operationalise Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planning-identifying priority facilities,etc)

0.00 0.00 0.00

A.1.3 Integrated outreach RCH services (state should focus on facility based services and outreach camps to be restricted only to areas without functional health facilities)

72.00 72.00 0.00

A. 1.3.1.

Oureach camps 8000 900 72.00 72.00 Approved as following:

Rs 300 incentive to lady doctors

Rs. 100 for LTs

Rs 100 for LTs & Rs.400 to lady doctors towards mobility support

A.1.3.2. Monthly Village Health and Nutrition Days

168512 0.00

A.1.4. Janani Suraksha Yojana / JSY

403000 6400 7087.50 7087.50

A.1.4.1 Home deliveries 50000 500 250.00 250.00 Approved

A.1.4.2 Institutional deliveries

353000 5900 4605.00 4605.00

A.1.4.2.a

Rural 250000 1400 3500.00 3500.00 Approved



Unit Cost ( Rs)

Budget (Rs. Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.1.4.2.b

Urban 100000 1000 1000.00 1000.00 Approved

A.1.4.2.c

C-sections 3000 3500 105.00 105.00 Approved as per last year’s approval subject to condition that the approval is only meant for 8 Missionary Hospitals in naxalite affected areas. Rs. 3500/ per delivery includes C-section cost, and complete cashless delivery (diet, consumables, drugs etc.)

A.1.4.3 Administrative Expenses

332.50 332.50 Approved @ 5 % of JSY expenses

A.1.4.4 Incentives to ASHA 1900.00 1900.00 Approved as Rs.600/rural case and Rs. 400/urban cases for 250000 rural cases and 100000 urban cases

A.1.5 Maternal Death Review (both in institutions and community)

500 500 2.50 2.50 Approved. Rs.500 includes Rs.300 as incentive and Rs.200 for other activity.

A.1.6 Other strategies/activities (please specify)

4969 244330 124.35 55.07 0.00

A.1.6.1 MH -Other Activities- HIV Positive Normal Deliveries - Incentive to Medical Team for HIV Positive NDs

1048 2500 26.20

8.00

Approved as following: Rs 5 Lakhs for ND @ Rs 1000/- for 500 NDs and Rs 3 Lakhs for C-Sections @ Rs 1500/- for 200 C-Sections

A.1.6.2 MH - Other Activities - for High Risk Pregnancy - HIV Positive C-Section Deliveries - Incentive to Medical Team

500 5000 25.00



Unit Cost ( Rs)

Budget (Rs. Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.1.6.3 MH - Other Activities - for High Risk Pregnancy - Other - Incentives to ANM for C - Section (Hard to Reach Area)

324 2000 6.48 6.00 Approved for expected 2000 high risk referrals for which incentives to ANM Rs 100 and ASHA Rs 200 for accompanying woman. Approval strictly for hard to reach areas in high focus districts at or below sub district level.

A.1.6.4 MH - Other Activities- for High Risk Pregnency

2 5000 0.10 0.10 Approved

A.1.6.5 Indemnity Insurance for EMoC and LSAS

82 1850 1.52 1.52 Approved

A.1.6.6 Incentive for LSAS and CEmONC trained doctors

20.08 20.08 Lumpsum approved. 47 LSAS and 35 CEmONC trained doctors will be given fixed incentive @Rs. 2000 after performing at least three C-sections/month and any additional c-section thereafter in a month will be paid @ Rs. 400/C-section /LSAS and CEmONC doctors.

A.1.6.7 LSAS CEmONC Doctors performance review

2 5000 0.10 0.10 Approved subject to State sharing the outcome of the meetings with MoHFW.

A.1.6.8 Supportive supervision of SBA trained by MO/RMA

3000 400 12.00 12.00 Approved

A.1.6.9 Strengthening of Maternal health Programme

25.60 5.40 2 MH Consultants are approved subject to State sharing their ToRs and all consultants should be IT savy. Approved @ Rs 45,000 per month for 6 months.



Unit Cost ( Rs)

Budget (Rs. Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

Consultants will regularly move in the field as per their ToRs. Mobility support is already approved under mobility support plan seaparately. OneProgramme Associate is not approved. All Consultants to be IT savy and basic IT skills should be part of their ToRs.

A.1.6.10

Support staff for Medical Colleges and one Secot Nine Hospital , Bhilai

4 135000 5.40 0.00 Not approved

A.1.6.11

MTP Training -Staff Nurse

1 67580 0.68 0.68 Approved

A.1.6.12

MTP Refresher Training

6 20000 1.20 1.20 Approved

A.1.7 JSSK- Janani Shishu Surakhsha Karyakram

1205112 60800 3545.70 3821.70 0.00

A.1.7.1 Drugs and consumables

301000 300 1087.50 1279.50 Approved: Rs 1039.5 Lakhs for 297000 NDs @ Rs 350/ND and Rs 240 Lakhs for 15000 C-sections @ Rs 1600/C-section

A.1.7.2 Diagnostic 301000 200 602.00 602.00 Approved

A.1.7.3 Blood Transfusion 3000 300 9.00 9.00 Approved

A.1.7.4 Diet (3 days for Normal Delivery and 7 days for Caesarean)

300000 912.00 996.00 Approved: Rs 891 Lakhs for diet of 3 days @ Rs.100/day for 297000 NDs and Rs 105 Lakhs for diet for 7 days @RS.100/day for 15000 C-sections



Unit Cost ( Rs)

Budget (Rs. Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.1.7.5 Free Referral Transport

300000 912.00 912.00 Approved @ Rs. 300/ for 297000 NDs and Rs. 700/ for 3000 C-Sections. State has to ensure provision of all the three types of referral (home to facility, interfacility and drop back facility)

A.1.7.6 Other JSSK activity 112 60000 23.20 23.20 0.00

A.1.7.6.1

State level Review Meeting

4 40000 1.60 1.60 Approved

A.1.7.6.2

District level Review Meeting

108 20000 21.60 21.60 Approved

Sub-total Maternal Health (excluding

JSY)

3744.55 3951.27

A.9.3 Maternal Health Training

A.9.3.1 Skilled Attendance at Birth / SBA

105 579605 129.84 114.10 0.00

A.9.3.1.1

Setting up of SBA Training Centres

3 200000 6.00 6.00 Approved for setting up 3 training centres @ Rs 2 Lakhs/centre

A.9.3.1.2

TOT for SBA 2 137425 2.75 2.75 Approved

A.9.3.1.4

Training of Staff Nurses in SBA

12 121090 14.53 14.53 Approved

A.9.3.1.5

Training of ANMs / LHVs in SBA

88 121090 106.56 90.82 Approved for training of 400 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load.


A.9.3.2 EmOC Training 0 0 0.00 0.00 0.00

A.9.3.3 Life saving Anaesthesia skills training

0 0 0.00 0.00 0.00

A.9.3.4 Safe abortion services training (including MVA/ EVA and Medical abortion)

30 55200 16.56 16.56 0.00

A.9.3.4.1

TOT on safe abortion services

0.00

A.9.3.4.2

Training of Medical Officers in safe abortion

30 55200 16.56 16.56 Approved for 60 MOs.

A.9.3.5 RTI / STI Training 0 0 0.00 0.00 0.00

A.9.3.6 BEmOC training for MOs/LMOs

24 79925 19.18 19.18 Approved for 120 MOs.

A.9.3.7 Other maternal health training (please specify)

67 475410 67.19 67.19

A.9.3.7.6

State level MDR training ToT

2 132825 2.66

41.13

Approved for training of state and district officials on MDR, subject to training being conducted as per the GOI Training norms.

A.9.3.7.7

District Level Training of MO s in MDR

27 142485 38.47

A.9.3.7.8

Supportive supervision for SBA training for Mos and RMAs

3 137425 4.12 4.12 Approved

A.9.3.7.9

10 Days BeMoc training for RMAs

35 62675 21.94 21.94 Approved

A.9.3.8 Blood Storage Unit (BSU) Training

0.00 0.00

A.9.3.9 Skill Lab Training 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months

ASHA Incentive


B1.1.3.1 Incentive under MH (ANC/PNC)

102000 202 153.00 0.50

B1.1.3.1.1

Incentive for Maternal Death Reporting

2000 50 1.00

0.50

Approved Rs 50,000/- for reporting of expected 1000 maternal deaths @ 50/-. (Ongoing activity)

B1.1.3.1.2

Incentive for Home visits to pregnant women for counseling on diet, rest and ANC check-ups

100000 150 150.00

0.00

Not approved (New activity)

B1.1.3.1.3

Incentive for Mitanin/ANM for linking Whole blood finger prick test reactive ANC to ICTC

2 2.00

0.00

Not approved (Ongoing activity) as no targets are provided.

BCC/IEC Activities

B.10.2.1 BCC/IEC activities for MH

0 0 278.90

B.10.2.1.1

Mass media 173.40

As mentioned in the remark column of B10.2 B.10.2.1.

2 Mid-media 105.50

Procurement of Equipments and Drugs

B16.1.1 Procurement of equipment: MH

120 2000 2.40 2.40

B16.1.1.1 Equipments for Blood Banks/ BSUs

B16.1.1.2 MVA /EVA for Safe Abortion services

120 2000 2.40 2.40

Approved (Ongoing activity)

B16.1.1.3 Others (please specify)

0 0 0.00

B.16.2.1 Drugs & supplies for MH

1500 300 4.50 4.50

B.16.2.1.1

RTI /STI drugs and consumables

B.16.2.1.2

Drugs for Safe Abortion

1500 300 4.50

4.50

Approved Rs 4.5 lacs @ 300/- for 1500 cases (ongoing activity)


CHILD HEALTH, RBSK & IMMUNIZATION


TARGETS: CHILD HEALTH AND IMMUNIZATION

Indicator CURRENT CAD (%) State Targets

India Chhattisgarh India Chhattisgarh 2013-

14

2014-15 Target for

12th

Plan

(2017)

CAD

(%)

U5MR (SRS

2011)

55 57 -7.3 -7.1 46 41 - -10.2

IMR (SRS 2011) 44 48 -6.0 -5.6 39 35 28 -10.2

NMR (SRS

2011)

31 34 -4.0 -4.5 28 25 - -10.2

Indicators DLHS-2

(2002-

04)

DLHS-

3

(2007-

08)

CES

(2009)

State Targets

2012-13 2013-14 2014-15

Child Health

Line listing and follow up of Low

Birth Weight babies {Nos; (%)}

HMIS incidence of LBW: is

11.2% or 57745

NA 40,421

(70%)

57,745

(100%)

New borns visited by ASHA (as per

HBNC guidelines){Nos; (%)}

Rural Live Births as per HMIS

data 5,15,576

0 3,60,903

(70%)

5,15,576

(100%)

Percentage of SNCUs admitting at

least 6 babies per month per bed

NA NA 80% 95%

TARGETS: CHILD HEALTH AND MMUNIZATION

Trend (SRS) Targets (SRS)

2008 2009 2010 2011 2012 2013 2014 2015 2016

NMR 39 38 37 34 31 28 25 22 20

IMR 57 54 51 48 43 39 35 31 28

U5MR 71 67 61 57 51 46 41 37 33


PROCESS INDICATORS

Current

Status

Target for

2013-14

KEY PERFORMANCE INDICATORS (CUMULATIVE)

1

Establishment &

operationalization of

SNCUs

(Target 12-13:12)

3 13

2

Establishment &

operationalization of

NBSU

(Target 12-13:46 )

10 46

3 NBCC at delivery points (Target 12-13: 480 )

75 380

4 Establishment of NRCs (Target 12-13:60 )

40 61

5 Personnel trained in

IMNCI (ANM+LHV) No. 48

1584 (including 432

RMA)

6 Personnel trained in F-

IMNCI (MO+SN) No. 33 144

7 Personnel trained in

NSSK (MO+ANM+SN) No. 4461 1740

KEY PERFORMANCE INDICATORS (NON CUMULATIVE)

1 New borns visited by

ASHA (as per HBNC

guidelines)

No. 0 3,60,903

% 70% Rural Live

Birth

2 LBW children

tracked(state HMIS)

No. NA 40,421

% NA 70% LBW in Rural

3 Percentage of SNCUs

admitting at least 6 babies

per month per bed

% NA 80%

Conditionality:

Equipment audit should be done and unused Radiant Warmers, Phototherapy machines and other

equipment mobilised from NBSUs and used in NBCCs and SNCUs. State must ensure that all

equipment purchased for NBSUs (for 275 units) must be put to use and not allowed to lie idle.


ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH

A. Priority Actions to be carried out by state for Child Health Interventions

1. All the delivery points should have a functional Newborn Care Corner consisting of essential

equipment and staff trained in NSSK. The staff must be trained in a 2 days NSSK training package

for skills development in providing Essential Newborn Care.

2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all

Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs should

be aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully operational.

3. SNCUs are referral centres with provision of care to sick new born the entire district and relevant

information must be given to all peripheral health facilities including ANM and ASHA for

optimum utilisation of the facility. Referral and admission of out born sick neonates should be

encouraged and monitored along with inborn admissions.

4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from

peripheral units. Dedicated staff posted to NBSU must be adequately trained and should have the

skills to provide care to sick newborns.

5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home Based

Newborn Care Scheme. The ASHA kit and incentives for home visits should be made available on

a regular basis to ASHAs who have completed the Round 1 of training in Module 6

6. All ANMs are to be trained in IMNCI.

7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be

prioritised for F-IMNCI training so that they can provide care to sick children with diarrhoea,

pneumonia and malnutrition.

8. Infant and Under fives Death Review must be initiated for deaths occurring both at community and

facility level.

9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and expectant

mothers should be ensured at all delivery points and breastfeeding initiated soon after birth. At least

two health care providers should be trained in „Lactation Management‟ at District Hospitals and

FRUs; other MCH staff should be provided 2 days training in IYCF and growth monitoring.

10. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs),

prioritising tribal and high focus districts with high prevalence of child malnutrition. The optimum

utilisation of NRCs must be ensured through identification and referral of Severe Acute

Malnutrition cases in the community through convergence with Anganwadi workers under ICDS

scheme.


11. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained by

the ANM and their follow-up must be ensured through ASHA.

12. In order to reduce the prevalence of anaemia among children, all children between the ages of 6

months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a preventive

measure for 100 days in a year. Accordingly appropriate formulation and logistics must be ensured

and proper implementation and monitoring should be emphasised through tracking of stocks using

HMIS. As per National Iron Plus Initiative, IFA syrup is to be administered in biweekly fashion

under supervision from ASHA.

13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in children.

Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs.

14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against

committed training load) must be transmitted on a monthly basis to the Child Health Division.

15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in current

financial year. Growth monitoring equipments to made available at each Health Facility i.e Sub

Centre, PHC, District Hospital. At District Hospitals and high case load facilities, RMNCHA

counsellor to undertake IYCF counselling after growth monitoring by Staff Nurse/ANM. IYCF

trainings for ASHA/ANM/Staff Nurses to be undertaken.

B.Rashtriya Bal Swastha Karyakram (School Health Programme):

1. Rashtriya Bal Swastha Karyakram (RBSK) Guidelines including terms of reference to be adhered

for operational plan, implementation and monitoring. School Health programme is now subsumed

under RBSK.

2. The programme should focus on four Ds- Defects at birth, Diseases, Deficiencies and

Development Delays including Disabilities as detailed in RBSK guideline.

3. All children (below 6 years) registered with Anganwadis to be screened at least twice a year

4. All children (6 years to 18 years) enrolled in government and government aided schools to be

screened at least once a year.

5. All designated delivery points (as agreed in annexure of PIP 2013-14) to start New born

screening and report findings in monthly monitoring formats

6. Recruitment and training of dedicated teams to complete within the first Quarter of the financial

Year.

7. Referral of children must be tied up and complete treatment at higher facilities through District

Early Intervention Centres.


8. Planning, implementation, monitoring formats - Health Cards, reporting formats under RBSK is

standardized. State to ensure adherence.

9. All approved DEICs to be established with in the current Financial Year. No spill over for

infrastructural cost would be allowed in the next year for the same facility.

10. State to establish State/District/Block level RBSK committees and/or submerge within existing

NRHM society structure at State/District and block with diverse stakeholders, Department of

Woman and Child Development, Department of Education – Sarba Siksha Abiyan, Rashtriya

Madhmik Sishkha Abhiyan, Department of Social Justice and empowerment. This committee

with representation of academia at State level is responsible for implementation and monitoring

of the programme.

11. Involvement of nodal teachers from schools and Anganwadi workers from Anganwadi Centres

and State District and Block level supervisory structure in the programme is to be ensured for

preventive and promotive Health communication and monitoring.

12. Visibility of Rashtriya Bal Swastha Karyakram (RBSK) with NRHM logo to be made noticeable

across programme implementation. In case State has different nomenclature other than Rashtriya

Bal Swastha Karyakram (RBSK) for similar programme, for which financial support is approved

under PIP 2013-14, RBSK and NRHM to be used as cobranded with local initiative.

13. The New programme would require State/District programme management unit handholding in

Physical and Financial achievement. State to support this initiative.

14. Formation of State and district level steering committees.

15. Training / re-orientation of service providers(MOs, ANMs, ASHAs)

16. Monthly meeting with BMO.

17. Regular feedback on quality of sanitary napkins to be sent to GoI

18. Identification of appropriate storage place for sanitary napkins.

19. Mechanism of distribution of sanitary napkins right upto the user level.

20. Reporting and accounting system in place at various levels.

21. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain

management of IFA tabs and Sanitary napkins.

22. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and

preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).


C. Priority Actions to be carried out by state for Immunization

1. Immunization weeks should be continued as a part of routine strategy during non – immunization

days to improve coverage especially in community where no immunization services are provided

or services are deficient or all high risk pockets or migrant population as identified in pulse polio

program etc. The available human resources to be redeployed during these weeks for effective

implementation

2. The micro plans for routine immunization must be updated on 6 monthly intervals both for

Routine Immunization and Immunization weeks, taking into account the information available

and information on migrant population/ missed areas covering inaccessible, remote areas and

urban slums. The missed areas or migrant population as identified during polio programme or any

other source of information must be incorporated in the micro plans and activities carried out as

per micro-plan.

3. Full time State Immunisation Officer should be in place.

4. District Immunisation Officer should be in place in all the districts. The placement of ANMs at

all session sites must be ensured.

5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of

beneficiaries should be available with ASHA after each session and tickler bags should be used

for monitoring in addition to the timely and regular updating of information in MCTS portal.

6. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/

24x7 PHCs with considerable case load in the OPD.

7. Cold chain mechanics must be placed in every district with a definite travel plan so as to ensure

that at least 3 facilities are visited every month as a preventive measure (check-up of equipment).

8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points and

their training must be ensured. In case of non-availability, the responsibility should be given to

next para medical staff in position that should be equally trained.

9. The coverage of immunization to children at 18 months of age is very low. The opportunity for

Full immunization of the children at 1year and ensuring that these children are also vaccinated at

2nd year of age must be emphasized and monitored. The ASHAs/link workers are especially

encouraged by providing financial incentive of Rs 100 and Rs 50 per child to achieve this.

10. District AEFI Committees must be in place and investigation report of every serious AEFI case

must be submitted within 15 days of occurrence.

11. Rapid response team should be in place in priority districts identified by the states.

12. There should be a regular evening meeting on Immunization days to review the implementation

of open vial policy and also reviewing implementation of programmatic gaps.


13. Quarterly review at all levels should be conducted on the issues as identified during evening

meetings, for which funds are provided under ROP.

DETAILED BUDGET: CH, RBSK & IMMUNIZATION


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.2. CHILD HEALTH 1625.51 1053.40

A.2.1 IMNCI (including F-IMNCI; primarily budget for planning for pre-serviceIMNCI activities in medical colleges, nursing colleges, and ANMTCs)

50000 15.00 15.00 Approved for 4 new IMNCI training sites @ Rs.3.00 lakhs/ site (Rs.12 lakhs) and Rs.3 lakhs for formats & registers across all sites.

A.2.2 Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructure, procurement, training,IEC etc.) e.g.operating cost rent,electricity etc. imprest money

8 1000000

228.60 228.60 0.00

A.2.2.1 SNCU 8 1000000

126.00 126.00 Approved as following: 5 operational units @ Rs.10 Lakhs /unit 7 units under progress @Rs.5 Lakhs /unit and Rs. 41 lakhs for new unit at Raipur



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.2.2.2 NBSU 49.00 49.00 Approved as following: 10 functional NBSUs @ Rs.1.75 Lakhs/NBSU and 36 NBSUs under progress @Rs. 87500 /NBSU

A.2.2.3 NBCC 53.60 53.60 Approved as following: @Rs. 20000/per annum for 156 NBCCs and @ Rs.10,000 (for 6 months) for 224 NBCCs

A.2.3 Home Based Newborn Care/HBNC

4 50000 2.00 2.00 Approved for half yearly review meeting cum workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand divisions) @ Rs.50000/meeting cum workshop

A.2.5 Care of Sick Children and Severe Malnutrition (e.g. NRCs, CDNCs etc.)

75 706.24 451.30 Approved ONLY for 61 NRCs as following: 10,000 children x Rs. 100 for food x 15 days 10,000 mothers x 15 days x Rs. 150 (wage compensation) Pharmacy charges 5000 x Rs. 60 x 12 Contingency 1500 x 12 x Rs.60 ASHA incentive for referral & follow up 5000 x Rs.250 Referral transport for severely ill children 2500 x Rs. 500 Rs. 2.5 lakhs for 1 new unit in Sarguja and Rs. 2.00 lakhs for review Concurrent monitoring may be done by State Lead Development Partners and SPMU. Consultants proposed for NRC cell must be part of



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

the CH team. Rs. 334.8 lakhs is for NRC HR, approved under relevant budget head.

A.2.6 Management of diarrhoea & ARI & micronutrient malnutrition

27 50000 75.42 15.00 Approved for following trainings. Trainings to include ARI component as well and State to conduct training as per revsied national guidelines. State Level ToT for District Child Health Nodal Officers and Pediatrician:3 batches @ Rs.50,000/batch District Level Training for Block Medical Officers and One Medical Officer: 27 batches @ Rs.50000/batch


36.20 36.20 Approved for mobility support for 2 rounds SSM @ Rs.18.10 lakhs/round

A.2.8 Infant Death Audit

1 27.72 25.72 Approved as following: IDA of institutional 5000 deaths @ Rs 500/death 2 half yearly meetings at State level @ Rs. 25,000/meeting Printing of reporting formats @ Rs. 2/format for 10795 formats Another 15.47 budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit.

A.2.10 JSSK (for Sick neonates up to 30 days)

75825 1500 308.25 247.50 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

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

30000 200 60.00 60.00 Approved

A.2.10.2 Diagnostics 30000 300 90.00 30.00 Approved @ Rs.100/case.


15825 1000 158.25 157.50 Approved: Rs 150 Lakhs for to and fro (home to facility and drop back) @Rs 500/ neonate for 30,000 sick neonates and Rs 7.50 Lakhs for interfacility referral transport @Rs 250/-neonate for 3000 seriously ill neonates

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

22 627000 226.08 32.08 0.00

A.2.11.1 FBNC Assessment

4 27000 1.08 1.08 Approved

A.9.5 Child Health Training

213 3693800

536.30 468.34

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

68 1120530

236.89 236.89

A.9.5.1.1 TOT on IMNCI (pre-service and in-service)

2 373960 7.48 7.48 Approved (10 doctors & 10 SNs in each batch)

A.9.5.1.2 IMNCI Training for ANMs / LHVs

54 332920 179.78 179.78 Approved

A.9.5.1.3 IMNCI Training for Anganwadi Workers

12 413650 49.64 49.64 Approved; 12 batches of 24 anganwadi workers in each.

A.9.5.2 F-IMNCI Training

11 1301750

39.82 39.82



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.9.5.2.1 TOT on F-IMNCI 1 375800 3.76 3.76 Approved

A.9.5.2.2 F-IMNCI Training for Medical Officers

8 292325 23.39 23.39 Approved

A.9.5.2.3 F-IMNCI Training for Staff Nurses

2 633625 12.67 12.67 Approved

A.9.5.3 Home Based Newborn Care / HBNC

0 0 0.00 0.00

A.9.5.3.1 TOT on HBNC 0.00

A.9.5.3.2 Training on HBNC for ASHA

0.00

A.9.5.4 Care of sick children and severe malnutrition at FRUs

0 10000 86.60 57.76

A.9.5.4.1 TOT on Care of sick children and severe malnutrition

0.00

A.9.5.4.2 Training on Care of sick children and severe malnutrition for Medical Officers

10000.00

86.60 57.76 Since new NRCs are not approved, budget proposed (28.8 lakhs) for training of new NRC staff has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 20 each @ Rs.6,000 per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.15870/block Reorientation of feeding deonstrators and cook: 120 persons@ Rs.3000/person



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.9.5.5 Other child health training (please specify)

134 1261520

172.99 133.87

A.9.5.5.1 NSSK Training 59 319030 43.98 43.98

A.9.5.5.1.1

TOT for NSSK 1 96550 0.97 0.97 Approved

A.9.5.5.1.2

NSSK Training for Medical Officers

22 74140 16.31 16.31 Approved

A.9.5.5.1.3

NSSK Training for SNs

27 74170 20.03 20.03 Approved

A.9.5.5.1.4

NSSK Training for ANMs

9 74170 6.68 6.68 Approved

A.9.5.5.2 Other Child Health training

75 942490 129.01 89.89

A.9.5.5.2.a Ch-IYCF- TOT 1 349120 3.49 3.49 Approved. Details of expenditure & physical progress to be shared by the state.

A.9.5.5.2.b

CH- IYCF- District level

18 259550 46.72 28.80 Approved for 10 MO + 14 SN per batch @ Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state.

A.9.5.5.2.c CH- FBNC - Training on Observership

55 106600 58.63 51.17 Approved for 48 persons @ Rs.106600/per batch

A.9.5.5.2.d

CH- FBNC- Mos and Staff Nurses

17.90 4.16 Approved for 2 batches only, as there is no possibility for larger numbers to undergo observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size 24 @ Rs.2.08 lakhs/batch



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.9.5.5.2.e

FBNC TOT for Mos

1 227220 2.27 2.27 Approved (24 participants in the batch)

A.9.7.6.3 SHP training 0 0 0.00

A.9.7.6.3.

1

School Health

Training -

Training of

team –

technical and

managerial

0.00

B1.1.3.2 Incentive under CH (HBNC)

390931 500 910.47 890.47

B1.1.3.2.1 ASHA incentive for HBNC

350000 250 875.00

875.00


B1.1.3.2.2 ASHA incentive for NRC refferal and follow up for post referral NRC cases

10000 200 20.00

0.00

Not approved as already included under Care of sick children (NRC budget) for 5,000 children @ 250 per child.

B1.1.3.2.3 Infant death reporting

30931 50 15.47

15.47


B1.1.3.5 Other incentive

B1.1.3.5.1 Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections)

100000 200 200.00

0.00

Approval pended (New activity). State may resubmit the proposal with detailed write up on the activity proposed in the supplementary PIP for reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the child for example, by demonstration of the growth curve in the MCP card

B16.1.2 Procurement of equipment: CH

122 1160000

197.60 60.00

B16.1.2.1 NBSU 9 575000 51.75

0.00

Not approved since no new NBSU is approved

B16.1.2.2 NBCC 101 85000 85.85

0.00

Not approved as no new NBCCs approved. State has to operationalise already sanctioned NBCCs and then new centres should be planned.

B16.1.2.3 Sishu Sanrakshan Mah (SSM)

B16.1.2.4 Genset for SNCU ( for 12 SNCUS)

12 500000 60.00

60.00

Approved (New activity)

B.16.2.2 Drugs & supplies for CH 0 0 546.50 422.50

B.16.2.2.1 Drugs of Sishu Sanrakshan Mah

546.50

422.50

Rs 422.50 lakhs is approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,000=30.25 Lakhs; Rs. 0.70 x 25,00,000 tabs Albendazole=17.50 lakhs; IFA syrup 12,00,000 bottles x Rs. 7=84.00; IFA small tablet 4,50,00,000 tabs x Rs. 0.12=54.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

lakhs. Amount of IFA revised as there is no wastage factor to be applied and based on 70% expected coverage.

DETAILED BUDGET: IMMUNIZATION

FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

C.1

c.1.a

Mobility Support for supervision for district level officers.

Rs.2,50,000/ Year /district level officers.

67.50 67.50

Approved To be continued from Previous year

c.1.b

Mobility support for supervision at state level

Rs. 150000 per year.

1.50 1.50

Approved. To be continued from Previous year

c.1.c

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

Rs. 10 beneficiaries

70.59 70.59

Approved for 705923 pregnant women for the F.Y.2013-14

c.1.d

Support for Quarterly State level review meetings of district officer

Rs. 1250/ per participant/day for 3 persons (CMO/DIO/Dist. Cold Chain Officer)

4.05 4.05

Approved Rs 1250X3 participantsX27 districts


FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

c.1.e

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

Rs. 100/per participant for meeting expenses for 5 persons (lunch, Organization expenses)

2.92 2.92

Approved Rs 100X5 participants/block X 146 blocks X 4 meetings

c.1.f

Quarterly review meetings exclusive for RI at block level

Rs. 50/ per person as honorarium for ASHA (Travel) and Rs. 25/person at the disposal of MO-IC for meeting expenses (refreshment, stationary and misc. expenses)

45.98 45.98

Approved. Rs 75 X 61300 Mitanins In Chattisgarh approx. 3-4 mitanins are placed for every one thousand population. Hence, all mitanins will be covered in 4 meetings at block level

c.1.g

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

Hiring of ANM@450/session for four session/month/slum of 10000 population and Rs. 300/- per month as contingency per slum i.e. Rs. 2100/- per month per slum of 10000 population

63.30 63.30

Approved. Total urban slums in the State are 3088 out of these 2255 slum clusters will be covered by ANMs recruited through Mukhya Mantri Shahari Swasthya Karyakram (MSSK) and placed at respective SSKs also including urban slum sessions in 4 Rounds of Immunization Week

c.1.h

Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

527.97 527.97

Approved Includes mobilization for sessions in 4 Rounds of Immunization Week


FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

c.1.i

Alternative vaccine delivery in hard to reach areas

Rs. 150 per session

87.67 87.67

Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total Hard to reach area is 4250.

c.1.j

Alternative Vaccine Delivery in other areas

Rs. 75 per session

218.34 218.34

Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total other area is 22866

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

@ Rs 100/- per subcentre 5.39 5.39

Approved. To be continued from Previous year.

c.1.l

For consolidation of micro plans at block level

Rs. 1000 per block/ PHC and Rs. 2000 per district

1.77 1.77 Approved for Blocks and Urban PHCs

c.1.m

POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs1,50,000/ district/year

40.50 40.50 Approved. To be continued from Previous year

c.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

1.30 1.30 Approved. To be continued from Previous year

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

Rs. 3/bags/session 24.99 24.99


c.1.p

Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket

Rs. 1200 per PHC/CHCper year 11.52 11.52


c.1.q

Safety Pits Rs. 5250/pit

23.07 23.07

Approved as following 267 new pits x 5250 unit cost and 622 old pits x 1450 unit cost


FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

c.1.r

State specific requirement

3.38 0.00

Not approved, as budget for mobility can be taken from c.1.a/b. Also, this is an ongoing activity, state should continue this activity with partners support.

c.1.s

Teeka Express Operational Cost

215.51 215.51

Approved. To be supplied throuhg in-kind from MoHFW, GOI.

c.1.t Measles SIA operational Cost

0.00

c.1.u JE Campaign Operational Cost

0.00

c.1.v

Others (Mobilization budget for Supervision during Immunization week)

5.31 5.31

Not approved as the details about monitoring plan not provided by state.

C.1-Sub Total 1422.56 1419.18

C.2

C.2.1

Computer Assistants support for State level

Rs.12000-15000 per person per month 1.80 0.90

Approved, however, any increment in salry will be examined by MSG.

C.2.2

Computer Assistants support for District level

8000-10000 per person per month 38.88 16.20

Approved, however, any increment in salry will be examined by MSG.

C.2.3 Others(service delivery staff)

0.00 0.00

C.2-Sub Total 40.68 17.10

C.3


FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

C.3.1

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

As per revised norms for trainings under RCH

30.49 9.69

This is same as last year's approved amount which is only for 18 batches, Needs to be revised

C.3.2

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

19.06 19.06

Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division. * Restricted for C.3.1, due to low expenditure in F.Y 2012-13.

C.3.3

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

0.25 0.25

C.3.4

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

5.63 5.63


FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

C.3.5

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

1.53 1.53

C.3.6

Others

247.84 247.84

Approved for half a day Intensive RI Training for Frontline Workers (ANM,LHV,ASHA/Mitanin, AWW) for a total no. of participants=92940 including Mitanin, Anganwadi Worker and ANM

C.3-Sub Total 304.80 284.00

C.4

Cold chain maintenance

Rs.750/PHC/CHCs per year District Rs.15000/year

17.21 10.70

Approved Restricted as per norms. Last year data taken as state has not provided details of PHCs/CHCs etc.

C.5

ASHA incentive for full Immunization

Rs 100 per child for full immunization in first year

819.29 819.29

Approved with assumption that 90 % children will be fully immunized in 13-14

Rs 50 per child for ensuring complete immunization upto 2nd year of age

Total ROUTINE IMMUNIZATION

2604.53 2550.27

C.6

Pulse Polio Operational Cost (Tentative)

509.86 494.35

Approved, subject to approval for Pulse Polio Cost.


FMR

Code

Activities( As

proposed by

the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approved

Amount

Approval Status

Total 3114.39 3044.62

B.22.6

Other NDCP Support Programmes

289.35 -

New Activity. As per Child Health Part-C


FAMILY PLANNING


PROJECTION of KEY INDICATORS (2013-14):

SN. Indicator Current Target/ ELA

Status 2013-14 2014-15 2015-16 2016-17

1 Goal Indicators

1.1 Total Fertility Rate (TFR) 2.7 (SRS 2011) 2.5 2.4 2.3 2.2

1.2 Contraceptive Prevalence

Rate (CPR) 47.1 (DLHS-3) 60.0 65.0 70.0 75.0

1.3 Unmet Need 20.9 (DLHS-3) 15.0 13.0 12.0 10.0

2 Service delivery

2.1 IUCD - Total 78310

(HMIS 2011-12) 160000 175000 200000 210000

2.2 Post-partum IUCD

(subset of IUCD-total) 53333 25% of the Public Health

Institution Deliveries of that year

2.3 Female Sterilisation 127029

(HMIS 2011-12) 165000 170000 175000 190000

2.4 Post-partum sterilisation

(subset of tubectomy) 3668

(HMIS 2011-12) 5000 70000 15000 20000

2.5 Male sterilisation 6809

(HMIS 2011-12) 26000 28000 30000 32000

Total Sterilization 133838

(HMIS 2011-12) 191000 198000 205000 222000

3 Input/ facility operationalization

3.1 Fixed Day service delivery

3.1.1 IUCD 124 Sites

Twice weekly at SC Not Available All SHC All SHC All SHC All SHC

Daily at DH, SDH, CHC Twice a week

at 18 Dhand

MC and 106

CHCs

Weekly

@ PHC +

CHC

Weekly

@ PHC +

CHC

Weekly @

PHC +

CHC

Weekly

@ PHC +

CHC

3.1.2 Sterilisation FS: 15 DH

twice a week,

106 CHC

fortnightly

DH + 1

SDH/

FRU per

dist

DH + all

FRU per

dist

DH + all

FRU +

25% PHC

per dist

DH + all

FRU +

50% PHC

per dist

3.2 Appointment of FP

counsellors 27 FP

counsellors

DH + 1

SDH/

FRU per

dist

DH + all

FRU per

dist

DH + all

FRU per

dist

DH + all

FRU per

dist


Conditionalities for 2013-14: Family Planning

Indicator Target/ ELA -

2013-14

Minimum Level of Achievement Remarks

By end of Sep. 2013

By end of March 2014

Goal (target)

Reduction in TFR -2013 2.5 NA NA 2.7 (SRS 2011)

Service delivery (ELA):

IUCD 160000 64000 144000

PPIUCD 53333 21333 48000

Interval IUCD 106667 42667 96000

Sterilisation 191000 57300 152800

Tubectomy 165000 49500 132000

Post-partum sterilisation (subset of tubectomy)

5000 1500 4000

Vasectomy 26000 7800 20800

Training of personnel (target)

Post-partum IUCD 0 0 0

MO 0 0

SN 0 0

Interval IUCD 681 170 511

MO 600 150 450 Not available

SN 0 0 0 Not available

ANM/ LHV (Bathces) 81 20 61 Not available

Minilap 16 4 12 128 Trained

NSV 4 1 3 84 Trained

Laparoscopic 24 6 18 80 Trained

Others (target)

Appointment of FP Counsellors 27 FP

counsellors Review & Reporting

Review & Reporting

Regular reporting of the scheme of “home delivery of contraceptives by ASHAs” from pilot states

Regular reporting

Regular reporting

Regular reporting

Fixed Day Services for IUCD 124 Sites NA 100%

Fixed Day Services for Sterilisation

FS: 15 DH twice a week, 106 CHC

fortnightly NA 100%


ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING

MISSION: “The mission of the National Family Planning Program is that all women and men (in

reproductive age group) in India will have knowledge of and access to comprehensive range of family

planning services, therefore enabling families to plan and space their children to improve the health of

women and children”.

GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal

emphasis on spacing and limiting methods; promoting „children by choice‟ in the context of

reproductive health.

STRATEGIES:

1. Strengthening spacing methods:

Increasing number of providers trained in IUCD 380A

Strengthening Fixed Day IUCD services at facilities

Introduction of Cu IUCD 375

Delivering contraceptives at homes of beneficiaries.

Delaying first pregnancy for at least two years after marriage, spacing of at least three years

between first and second child and adoption of permanent method after one or two children

(couples to be motivated by ASHA).

2. Emphasis on post-partum family planning services:

Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU, CHC/BPHC

level at high case load facilities.

Promoting Post-partum sterilisation (PPS)

Establishing Post-Partum Centers at women & child hospitals at district levels

Appointing counsellors at high case load facilities

3. Strengthening sterilization service delivery

Increasing pool of trained service providers (minilap, lap & NSV)

Operationalising FDS centers for sterilisation

Holding camps to increase accessibility and availability of services.

4. Strengthening quality of service delivery:

Strengthening QACs for monitoring/review

Disseminating/ following existing protocols/ guidelines/ manuals

Monitoring of FP Indemnity scheme

5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing

methods


6. Focus on using private sector capacity for service delivery (exploring PPP availability):

7. Strengthening programme management structures:

Establishing new structures for monitoring and supporting the programme

Strengthening programme management support to state and district levels

8. World Population Day Celebrations.

KEY PERFORMANCE INDICATORS:

a. % IUD inserted against ELA

b. % PPIUCD inserted against institutional deliveries

c. % PPIUCD inserted against total IUCD

d. % of sterilisations conducted against ELA

e. % post-partum sterilisations against total female sterilisations

f. % of male sterilisations out of total sterilisations conducted

g. % facilities delivering FDS services against planned

h. % of personnel trained against planned

i. % point decline in unmet need

j. Point decline in TFR

k. % utilization of funds against approved


DETAILED BUDGET: FAMILY PLANNING


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.3 FAMILY PLANNING 3543.32

2207.80

A.3.1 Terminal/Limiting Methods

1933.00

1863.50

A.3.1.1 Orientation workshop,dissemination of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting

6 50000 3.00 3.00 Approved

A.3.1.2 Female sterilisation camps

720 15000 108.00 54.00 Approved @ Rs. 7500/camp

A.3.1.3 NSV camps 60 35000 21.00 6.00 Approved @ Rs. 10000/camp

A.3.1.4 Compensation for female sterilisation

151200 1000 1512.00

1512.00 Approved

A.3.1.5 Compensation for male sterilization/NSV Acceptance

19200 1500 288.00 288.00 Approved

A.3.1.6 Accreditation of private providers to provide sterilisation services

20 5000 1.00 0.50 Approved @ Rs. 2500/visit

A.3.2 Spacing Methods 175372 11095 115.50 39.30 0.00

A.3.2.1 IUD camps 360 500 1.80 1.80 Approved

A.3.2.2 IUD services at health facilities (including fixed day services at SHC and PHC)

150000 20 30.00 37.50 Approved. Budget from A.3.2.3 has also been shifted to this head



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.3.2.2.1

PPIUCD services 15000 500 75.00 0.00 Not Approved. Drop back to mothers is already being provided under JSSK.

A.3.2.3 Accreditation of private providers to provide IUD insertion services

10000 75 7.50 0.00 Shifted to A.3.2.2.

A.3.2.4 Social Marketing of contraceptives (includng delivery of contraceptive by ASHA at door step)

0.00

A.3.2.5 Contraceptive Update seminars

12 10000 1.20 0.00 Not approved (the budget head and activity do not match)

A.3.3 POL for Family Planning/ Others (including additional mobilty support to surgeon's team if req)

2000 2000 40.00 40.00 Approved

A.3.4 Repairs of Laparoscopes

20 100000 20.00 5.00 Approved @ Rs. 25000/laparoscope for 20 laparoscopes

A.3.5 Other strategies/activities (please specify):

331045 26000 1434.82

260.00 0.00

A.3.5.1 Monitor progress and quality,QAC meetings /review of sterilization failures etc.

20 5000 1.00 5.00 Approved for: 2 State level meetings @ Rs. 10000/meeting and 4 Distt. level meetings @ Rs.5000/district. Approval has been given strictly for QAC meetings only.

A.3.5.2 Performance reward if any

25 20000 5.00 5.00 Approved but State to note that no cash awards are permissible.

A.3.5.3 World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for

Two rounds

299.20 200.00 Approved for 2 rounds of WPD @ Rs 100 lakhs/round.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

district and block level activities

A.3.5.4 Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.)

331000 1000 1129.62

50.00

A.3.5.4.1

World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities (Family Planning Indemnity Scheme)

200.00 50.00 Not approved, repeat budgetting (A.3.5.3) Approved for Family Planning Indemnity Scheme instead of World Population Day which has already been budgeted at A.3.5.3.

A.3.5.4.2

State Family Planning Cell

165000 250 12.12 0.00 APPROVAL PENDED

A.3.5.4.3

Promotional scheme of FP ( Newly proposed)

500.00 0.00 Not approved. Budget for incentives approved in the appropriate head under MFP in FMR head B.1.1.3.3

A.3.5.4.4

Printing of PPIUCD registeres (Patient & Follow up)

1000 500 5.00 0.00 Shifted to MFP under FMR head B.10.2.3.2

A.3.5.4.5

Incentive to the Beneficiaries of PPIUCD

165000 250 412.50 0.00 Not approved

Sub-total Family Planning (excluding Sterilisation Compensation and NSV Camps)

1721.32

401.30

Sub-total Sterilisation Compensation and NSV Camps

1822.00

1806.50

A.9.6 Family Planning Training

191 608555 175.63 134.96



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.9.6.1 Laparoscopic Sterilisation Training

6 101440 6.09 4.27

A.9.6.1.1

TOT on laparoscopic sterilisation

0.00

A.9.6.1.2

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

6 101440 6.09 4.27 Approved for 6 batches of 4 participants each @ Rs.71240/batch

A.9.6.2 Minilap Training 4 101440 4.06 2.85

A.9.6.2.1

TOT on Minilap 0.00

A.9.6.2.2

Minilap training for medical officers


A.9.6.3 Non-Scalpel Vasectomy (NSV) Training

5 32800 1.64 1.64

A.9.6.3.1

TOT on NSV 0.00

A.9.6.3.2

NSV Training of medical officers

5 32800 1.64 1.64 Approved

A.9.6.4 IUD Insertion 141 272975 107.51 107.51

A.9.6.4.1

TOT for IUD insertion

15 111025 16.65 16.65 Approved for 15 batches of 10 participants each.

A.9.6.4.2

Training of Medical officers in IUD insertion


A.9.6.4.3

Training of staff nurses in IUD insertion

0.00 0.00

A.9.6.4.4

Training of ANMs / LHVs in IUD insertion

81 49950 40.46 40.46 Approved

A.9.6.5 Contraceptive update/ISD Training

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.9.6.6 Other family planning training (please specify)

35 99900 56.34 17.48

A.9.6.6.1

TRG - FP - PPIUCD Insertion Training-MO/SN/O&G Specialist

30 49950 14.99 14.99 Approved

A.9.6.6.2

TOT for PPIUCD 5 49950 2.50 2.50 Approved

A.9.6.6.3

IUCD 375 insertion training to MOS

17 111025 18.87 0.00 Not approved.GoI is in agreement with the activity which may be carried out with IUCD 380 training as a one day orientation, no separate batches required.

A.9.6.6.4

Training to ANM on IUCD 375 insertion


A.9.6.9 Training of FP Counselors

0.00 1.20 Approved. Budget has been sanctioned as per discussion with state for 2 batches of RMNCH counsellors @ Rs 60000/batch for 13-15 participants/batch.

B1.1.3.3

Incentive for FP( PPIUCD/others)

125000 1225 218.75

300.00

B1.1.3.3.1

Incentive for Female Sterilisation (after 3 or more living children)

100000 100 100.00 0.00


B1.1.3.3.2

Incentive for Male Sterilisation (after 3 or more living children)

15000 125 18.75 0.00

Not approved (Ongoing activity)

B1.1.3.3.3

Incentive for Sterilisation (after 1st or 2nd child)

10000 1000 100.00 200.00

Approved Rs 200 lakhs (Ongoing activity) Budget approved @



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

Rs.1000/ASHA for 20000 sterilizations after one or two children. No payment to ANM is permissible.

B1.1.3.3.4

Incentive for AH

20000 500 100.00 100.00

Approved (Ongoing activity) for motivating couple for spacing of two years after marriage or spacing of 3 or more years between first and second child only. The budget is shifted from B1.1.3.4 to B1.1.3.3.4

B.10.2.3

BCC/IEC activities for FP

0 0 111.60

B.10.2.3.1

Mass media 61.60 Activity approved as mentioned in the remarks column of FMR B10.2

B.10.2.3.2

Mid-media 50.00

B16.1.3 Procurement of equipment: FP

2010 607145 183.06 180.98

B16.1.3.1

NSV kits 500 1000 5.00 5.00


B16.1.3.2

IUCD kits 1000 2000 20.00 20.00


B16.1.3.3

minilap kits 135 3000 4.05 4.05


B16.1.3.4

laparoscopes 25 600000 150.00 150.00


B16.1.3.5

PPIUCD forceps 350 1145 4.01

1.925

Approved Rs. 1.925 lakhs for 350 forceps @ Rs. 550/forceps

B16.1.3.6

Other (please specify)

0 0 0.00 0.00

B.16.2.3

Drugs & supplies for FP

0 0 0.00 0.00


ADOLESCENT HEALTH


ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH

SETTING UP OF AH CELL

A unit for adolescent health at state level with a nodal officer supported by four consultants one each for

ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components

of Adolescent Health at district level to take care of Adolescent health programme including the SHP.

PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:

I. Adolescent Reproductive Sexual Health (ARSH) Programme

Clinics

Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days,

fixed time, trained manpower).

Number of clinics integrated with ICTCs

Quarterly Reporting from the ARSH clinics to be initiated to GoI.

Establish a Supportive supervision and Monitoring mechanism

Outreach

Utilisation of the VHND platform for improving the clinic attendance.

Demand generation in convergence with SABLA and also through Teen Clubs of

MOYAS

Capacity Building/Training:

Calculation of the training load and development of training plans! refresher trainings. -

Deployment of trained manpower at the functional clinics.

II Menstrual Hygiene Scheme (MHS)

Formation of State and district level steering committees.

Training / re-orientation of service providers(MOs, ANMs, ASHAs)

Monthly meeting with BMO.

Regular feedback on quality of sanitary napkins to be sent to GoI

Identification of appropriate storage place for sanitary napkins.

Mechanism of distribution of SN right upto the user level.

Reporting and accounting system in place at various levels.

Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain

management of IFA tabs and Sanitary napkins.

Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and

preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).

II Weekly Iron and Folic Acid Supplementation programme (WIFS)

Procurement policy in place for procurement of EDL including IFA and deworming tablets.

Establish “Monday” as a fixed day for WIFS.


Plan for training and capacity building of field level functionaries of concerned Departments(i.e.

Department of Women and Child Development and and Department of Education) and plan for

sensitization of Programme Planners on WIFS.

Ensure that monitoring mechanism as outlined in the operational framework (Shared with the

States during the National Adolescent Health Workshop) are put in place across levels and

departments.

DETAILED BUDGET: ADOLESCENT HEALTH


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

116.34 64.68 0.00

A.4.1 Adolescent health services

68.10 30.38 0.00

A.4.1.1 Disseminate ARSH guidelines.

23 20000 4.60 4.60 Approved

A.4.1.2 Establishment of new clinics at DH level

21 50000 10.50 10.50 Approved

A.4.1.3 Establishment of new clinics at CHC/PHC level

20 50000 10.00 10.00 Approved

A.4.1.4 Operating expenses for existing clinics

44 12000 5.28 5.28 Approved

A.4.1.5 Outreach activities including peer educators

5000 500 25.00 0.00 Not approved as State needs to provide details of activities proposed to be conducted through SHGs

A.4.1.6 Others 12.72 0.00

A.4.1.6.1 ARSH Cell 12.72 0.00 APPROVAL PENDED

A.4.2 School Health programme

0 0 13.94 0.00

A.4.2.1 Prepare and disseminate guidelines for School Health Programme.

0.00 0.00 Not approved as no programme component is proposed.


A.4.2.5 Other strategies for school health

0 0 13.94 0.00

A.4.2.5.1 School Health Cell at State level

13.94 0.00 Not approved as no programme component is proposed, the proposed posts thereby are not justified.


140 260000

34.30 34.30

A.4.3.1 Mobility support for ARSH/ICTC counsellors

108 10000 10.80 10.80 Approved

A.4.3.2 Menstrual Hygiene (Sanitary napkin procurement to be booked under procurement)

5 200000

10.00 10.00 Approved for logistics and storage of sanitary napkins in the 5 selected districts.

A.4.3.3 WIFS actvity 27 50000 13.50 13.50 Approved

Sub-total ARSH 116.34 64.68

A.9.7 Adolescent Reproductive and Sexual Health/ARSH Training

172855 490550

631.30 631.30

A.9.7.1 TOT for ARSH training

0.00

A.9.7.2 Orientation training of state and district programme managers

1 170000

1.70 1.70 Approved

A.9.7.3 ARSH training for medical officers

3 170000

5.10 5.10 Approved

A.9.7.4 ARSH training for ANMs/LHVs

2 150000

3.00 3.00 Approved

A.9.7.6.1 WIFS training 172849 550 621.50 621.50

A.9.7.6.1.1

State level/ District Level/ Block Level

172,849

550.00

621.50 621.50 Approved for 113000persons @Rs.550/person

A.9.7.6.1.2

refresher training –ANM/MO/

0.00


AWW/ Nodal Teacher

A.9.7.6.2 Menstrual hygiene training

0.00

A.9.7.6.3 SHP training 0 0 0.00 0.00

B.10.2.4 BCC/IEC activities for ARSH

0 0 95.78

B.10.2.4.1

Mass media 35.78 Activity approved as mentioned in the remarks column of FMR B10.2

B.10.2.4.2

Mid-media 60.00

B.10.5.2 Printing of WIFS cards etc

5108039 2 76.62 76.62


B.10.5.3.1

Reporting Mechanism formats (WIFS)

27 75000 20.25 20.25


B16.1.6 Equipments for ARSH/ School Health

5000 3000 150.00 0.00

B16.1.6.1 Equipments for ARSH Clinics

0.00 0.00

B16.1.6.2 Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens’ Charts)

5000 3000 150.00

0.00

Not approved as no programme component is proposed. The proposed utilisation of carry forward budget of Rs 730 lakhs towards procurement of dental chairs is not approved.

B.16.2.6 Drugs & supplies for WIFS

11237686

1 112.38 776.68

B.16.2.6.1

Albendazole 332,149,

596

0.2 664.30 664.30

Approved. Budget shifted from B.16.2.6.2

B.16.2.6.2

IFA 11,237,6

86

1 112.38 112.38


B.16.2.7 Drugs & supplies for SHP

0.00


URBAN RCH

BUDGET: URBAN RCH



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved amount

(Rs.Lakhs) REMARKS

A.5 URBAN RCH (focus on Urban slums)

295.80 0.00

A.5.1 Identification of urban areas / mapping of urban slums and planning

A.5.2 HR for urban health including doctors, ANMs, Lab techs

295.80 0.00 Not approved. State will be asked to propose the same under NUHM.

A.5.2.1 Doctors/Mos 29 720000

208.80 0.00

A.5.2.4 ANM 0.00

A.5.2.5 Staff Nurse 29 180000

52.20 0.00

A.5.2.6 LHV 0.00

A.5.2.7 LT 29 120000

34.80 0.00

A.5.5.10 Establishmernt & Equipments ( PHCs and Sub centres )

Sub-total Urban Health

295.80 0.00


PC-PNDT


ROAD MAP: PNDT

MISSION:

The mission of PNDT program is to improve the sex ratio at birth by regulating the pre-

conception and prenatal diagnostic techniques misused for sex selection.

Guiding Principle:

Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio

STRATEGIES:

Strengthening programme management structures:

> Appointment of Nodal officer

> Strengthening of Human resource

> Formation of PNDT Cell at state and district level

Establishment of statutory bodies under the PC&PNDT Act

> Constitution of 20 member State Supervisory Board

— Reconstitution every three years (other than ex-officio members)

— Four meetings in a year

> Notification of three members Sate Appropriate Authority,

> Constitution of 8 member State Advisory Committee

— Reconstitution in every 3 years

— At least 6 meetings in a year

> Notification of District Appropriate Authorities

> Constitution of 8 member district Advisory Committees

— Reconstitution in every 3 years

— At least 6 meetings in a year

Strengthening of monitoring mechanisms

> Monitoring of sex ratio at birth through civil registration of birth data

> Formulation of Inspection and Monitoring committees

> Increasing the monitoring visits

> Review and evaluation of registration records

> Online availability of PNDT registration records

> Online filling and medical audit of form Fs

> Ensure regular reporting of sales of ultrasound machines from manufactures

> Enumeration of all Ultrasound machines and identification of un-registered ultrasound

machine

> Ensure compliance for maintenance of records mandatory under the Act


> Ensure regular quarterly progress reports at state and district level

Capacity building and sensitisation of program managers

> Appropriate Authorities

> Advisory committee members

> Nodal officers both State and District

• Sensitisation and Alliance building with > Judiciary> Medical Council / associations > Civil

society.

• Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and

promotion of Girl Child

• Convergence for Monitoring of Child sex Ratio at birth

KEY PERFORMANCE INDICATORS:

Improvement in child sex ratio at birth

% of civil registration of births

Statutory bodies in place

% registrations renewed

Increase in inspections and action taken

No. of unregistered machines identified

% of court cases filed

% of convictions secured

No. of medical licences of the convicted doctor cancelled or suspended


DETAILED BUDGET: PNDT

Sr. No. Budget Head Quantity/

Target

Unit Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks

A.7 PNDT Activities 139.40 36.86

A.7.1 Support to PNDT cell 8.70 20.16 Calculation error by State. Approved for State level: One Doctor @ Rs. 50,000/- pm, One Consultant @ Rs. 40,000/- pm and One DEO @ Rs. 18,000/- pm 5 DEOs for five Districts @ Rs. 12,000/- pm.

A.7.3 Mobility support 11 20000 2.20 2.20 Approved

A.7.2 Other PNDT activities (please specify)

254 1276000 128.50 14.50

A.7.2.1 Orientation of programme managers and service providers

200 1000 2.00 2.00 Approved

A.7.2.2 Incentive for Informer

50 25000 12.50 12.50 Approved

A.7.2.3 On line form Submission

4 1250000 50.00 0.00 Not approved

A.7.2.4 International Girl Child day celebration

64.00 0.00 Not approved

A.7.2.10

0.00

Sub-total PNDT activities

0 0 139.40 36.86


TRIBAL RCH


DETAILED BUDGET: URBAN RCH

A.6. TRIBAL RCH 48.00 0.00

A.6.1 Special plans for tribal areas

16 300000

48.00 0.00 APPROVAL PENDED. State has neither given any details of camps nor provide the desired justification for 0% expenditure and/or scale up of camps.

A.6.2 HR for tribal areas ( in addition to normative HR)

0.00

A.6.3 Outreach activities

10000 0.00

A.6.4 Other Tribal RCH strategies/activities (please specify)

0 0 0.00 0.00


HUMAN RESOURCES AND PROGRAMME

MANAGEMENT


ROAD MAP: HUMAN RESOURCES

A comprehensive HR policy to be formulated and implemented; to be uploaded on the website.

Underserved facilities particularly in high priority districts, to be first strengthened through

contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as

per need

All appointments under NRHM to be contractual; contracts to be renewed not routinely but based

on structured performance appraisal

Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to

the District Health Society under the chairpersonship of the District Collector or Rogi Kalyan

Samitis at facility level as applicable.

Preference to be given to local candidates to ensure presence of service providers in the

community. Residence at place of posting to be ensured.

Quality of HR ensured through appropriate qualifications and a merit- based, transparent

recruitment process is mandatory.

It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors

(both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent

in inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take

services to the remotest parts of the country, particularly the un-served and under-served

areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed

first. Contractual HR must not be deployed in better served areas until the remotest areas

are adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain

without any ANM. No PHC in these areas should be without a doctor. Further, CHCs in

remote areas must get contractual HR ahead of District Hospitals. Compliance with these

conditionalities will be closely monitored and salaries for contractual HR dis-allowed in

case of a violation.

Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state

NRHM web site.

For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM

to be available at the sub-centre throughout the day while the other ANM undertakes field visits;

timings for ANM‟s availability in the SHC to be notified.

AYUSH doctors to be more effectively utilized eg for supportive supervision, school health and

WIFS.

All contractual staff to have job descriptions with reporting relationships and quantifiable indicators

of performance.

Performance appraisal and hence increments of contractual staff to be linked to progress against

indicators.


Staff productivity to be monitored. Continuation of additional staff recruited under NRHM for

24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be reviewed by

State on a priority basis.

All performance based payments/difficult area incentives should be under the supervision of

RKS/Community Organizations (PRI).

DETAILED BUDGET: HUMAN RESOURCES

FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

A.8 Human Resources

9502.19 4285.57 As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Rational and equitable deployment of HR with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit and corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

continuation for the next six months would be contingent on compliance of the above four conditionalities. - From 1st October 2013, under NRHM funds for salary to contractual HR would be done only to make payments to contractual staff over and above the sanctioned regular positions in the State. - It is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending.

A.8.1 Contractual Staff & Services

5551 8812000

9502.19 4285.57

A.8.1.1 ANMs,Supervisory Nurses, LHVs,

1882 1656000

1855.44 1090.62 0.00

A.8.1.1.1

ANMs 1381 288000 969.48 745.74 0.00

A.8.1.1.1.e

Non- 24 X 7 PHCs

69 72000 24.84

745.74

Approved @ Rs.9000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

A.8.1.1.1.f

Sub Centres 1290 144000 928.80

A.8.1.1.1.h

Others 22 72000 15.84

A.8.1.1.2

Staff Nurses 479 1260000

862.20 344.88 0.00

A.8.1.1.2.a

DH 180000 0.00

A.8.1.1.2.b

FRUs 30 180000 54.00

344.88

Approved @ Rs.12000/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.2.c

Non FRU SDH/ CHC

10 180000 18.00

A.8.1.1.2.d

24 X 7 PHC 200 180000 360.00

A.8.1.1.2.e

Non- 24 X 7 PHCs

11 180000 19.80

A.8.1.1.2.f

SNCU/ NBSU/NRC etc

216 180000 388.80

A.8.1.1.2.g

Others 12 180000 21.60

A.8.1.1.3

LHVs/supervisory nurses

22 108000 23.76 0.00 0.00

A.8.1.1.3.g

Others 22 108000 23.76 0.00 Not approved

A.8.1.2.1

Laboratory Technicians

257 432000 210.96 17.40 0.00

A.8.1.2.1.a

DH 27 72000 19.44

17.40

Approved for 29 LTs @ Rs. 10000/- per month. Approval is being granted for six months only and its continuation for the next six months would be

A.8.1.2.1.b

FRUs 45 72000 32.40

A.8.1.2.1.c

Non FRU SDH/ CHC

49 72000 35.28


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

A.8.1.2.1.d

24 X 7 PHC 100 72000 72.00 contingent on compliance of the above mentioned conditionalities. A.8.1.2.

1.e Non- 24 X 7 PHCs

0.00

A.8.1.2.1.f

Others 36 144000 51.84

A.8.1.2.2

MPWs 16 72000 11.52

A.8.1.3 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC )

186 2940000

395.40 435.00 0.00

A.8.1.3.1

Obstetricians and Gynecologists

12 600000 72.00 72.00 0.00

A.8.1.3.1.a

DH 0

A.8.1.3.1.b

FRUs 12 600000 72.00 72.00 Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.3.3

Anesthetists 12 600000 72.00 72.00 0.00

A.8.1.3.3.a

DH 0.00

A.8.1.3.3.b

FRUs 12 600000 72.00 72.00 Approved.Approval is being granted for six


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.3.4

Surgeons 4 600000 24.00 0.00 0.00

A.8.1.3.4.a

DH 4 600000 24.00 0.00 Not approved

A.8.1.3.5

Specialists for CH (Paediatrician etc) in SNCU,NBSU,NRC

12 600000 36.00 72.00 0.00

A.8.1.3.5.a

DH 12 600000 36.00 72.00 Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.3.7

Dental surgeons and dentists

146 540000 191.40 219.00 0.00

A.8.1.3.7.a

DH 0 0.00

A.8.1.3.7.b

FRUs 54 300000 81.00

219.00

Approved @Rs.25000/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.3.7.c

Non FRU SDH/ CHC

92 240000 110.40

A.8.1.5 Medical Officers

89 1080000

320.40 109.80 0.00


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

A.8.1.5.3

Non FRU SDH/ CHC

29 360000 104.40

109.80

Approved for 61 MOs @ Rs.30000/m including 32 Mos for SNCUs. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.5.7

MOs for SNCU/ NBSU/NRC etc

48 360000 172.80

A.8.1.5.8

Other MOs 0.00

A.8.1.5.9

Others 12 360000 43.20

A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc

0.00

A.8.1.7.1

Pharmacist 22 432000 15.84 0.00 0.00

A.8.1.7.1.a

DH 72000 0.00

A.8.1.7.1.b

FRUs 72000 0.00

A.8.1.7.1.c

Non FRU SDH/ CHC

72000 0.00

A.8.1.7.1.d

24 X 7 PHC 72000 0.00

A.8.1.7.1.e

Non- 24 X 7 PHCs

72000 0.00

A.8.1.7.1.f


A.8.1.7.2.b

FRUs 0.00 0.00

A.8.1.7. Non- 24 X 7 0.00 0.00


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

2.e PHCs

A.8.1.7.3

OT technicians/assitsants

84 528000 77.04 0.00 0.00

A.8.1.7.3.a

DH 27 144000 38.88

0.00 Not approved

A.8.1.7.3.b

FRUs 45 144000 32.40

A.8.1.7.3.f

Other 12 96000 5.76

A.8.1.7.4.a

MOs 0.00 0.00

A.8.1.7.5

Counsellors 158 360000 438.60 179.61 0.00

A.8.1.7.5.1

RMNCH/FP Counselors

108 120000 129.60 64.80 Approved @ Rs 10000/- per month for 108 RMNCH/FP counsellors. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.5.2

ARSH Counselors

0.00

A.8.1.7.5.3

Honorarium to ICTC counselors for ARSH activities

0.00

A.8.1.7.7

Others (pl specify)

189.00 54.81 Approved for 63 Feeding demonstrators @ Rs.10000/m & 63 Cooks @ Rs.4500/m. Approval is being granted for six months only and its continuation for the next six months would be


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

contingent on compliance of the above mentioned conditionalities.

A.8.1.7.8

Staff for Training Institutes/ SIHFW/ Nursing Training

50 240000 120.00 60.00 Approved for 50 BSc nursing tutors @ Rs.20000/m. Approval subject to: 1) Rational deploymnet of the faculty . 2) These HR will be posted in high priority districts. 3) These faculty will be given 6 week induction training. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.9 Human Resources Development (Other than above)

945.71 354.24 Approved Provident Fund @ 12% for 6 months.

A.8.1.10

Other Incentives Schemes (Pl.Specify)

218 820000 1971.30 979.30 0.00

A.8.1.10.1

HR - Awards Etc. to Emoc

2 5000 0.10 0.10 Approved

A.8.1.10.2

HR - Awards Etc. to LSAS

2 5000 0.10 0.10 Approved

A.8.1.10.3

Chhattisgarh Rural Medical Corp ( CRMC)

1856.00 864.00 Approved. Approval is being granted for 6 months only and its continutation for the next six months would be contingent on compliance of the above mentioned


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

conditionalities. Details in Annex CRMC

A.8.1.10.4

HR - Performance Based Incentives - DH

3 300000 9.00 9.00 Approved

A.8.1.10.5

HR - Performance Based Incentive - FRU- other than DH-Hospital Staff

3 200000 6.00 6.00 Approved

A.8.1.10.6

HR - Performance Based Incentive - Civil Dispensary Staff

2 100000 2.00 2.00 Approved

A.8.1.10.7

HR - Performance Based Incentive - Non FRU-CHC Staff

8 100000 8.00 8.00 Approved

A.8.1.10.8

HR - Performance Based Incentive - PHC Staff

52 75000 39.00 39.00 Approved

A.8.1.10.9

HR - Performance Based Incentive - SHC Staff

146 35000 51.10 51.10 Approved

A.8.1.11

Support Staff for Health Facilities

2639 492000 3259.98 1119.60 0.00

A.8.1.1 DH 193 42000 81.06 0.00 Not approved


FMR

Code

Budget

Head

Physical/

Target

Unit

Cost

(Rs.)

Amount

Proposed

(Rs. in

lakhs)

Amount

Approve

d (Rs. in

lakhs)

Remarks

1.a

A.8.1.11.b

FRUs 203 42000 85.26 0.00 Not approved

A.8.1.11.c

Non FRU SDH/ CHC

399 42000 167.58 0.00 Not approved

A.8.1.11.d

24 X 7 PHC 600 42000 252.00 0.00 Not approved

A.8.1.11.e

Non- 24 X 7 PHCs

1232 216000 2661.12 1108.80 Approved for 1232 RMAs @Rs.15000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.11.f

SNCU/ NBSU/ NBCC/ NRC etc

12 108000 12.96 10.80 Approved for Accountant cum DEOs @Rs. 15000/m for 12 units. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

Sub-total HR

9502.19 4285.57


PROGRAMME MANAGEMENT


ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT

A full time Mission Director is a prerequisite. Stable tenure of the Mission Director (minimum 3

years) should also be ensured.

A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource

envelope of State), from the State Finance Services not holding any additional charge outside the

Health Department must be put in place, if not already done, considering the quantum of funds

under NRHM and the need for financial discipline and diligence.

Regular meetings of state and district health missions/ societies.

Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff

performance to be monitored against targets and staff sensitized across all areas of NRHM such that

during field visits they do not limit themselves only to their area of functional expertise.

Performance of staff to be monitored against benchmarks; qualifications, recruitment process and

training requirements to be reviewed.

Delegation of financial powers to district/ sub-district levels in line with guidelines should be

implemented.

Funds for implementation of programmes both at the State level and the district level must be

released expeditiously and no delays should take place.

Evidence based district plans prepared, appraised against pre determined criteria; district plans to be

a “live” document. Variance analysis (physical and financial) reports prepared and discussed/action

taken to correct variances.

Supportive supervision system to be established with identification of nodal persons for districts;

frequency of visits; checklists and action taken reports.

Remote/ hard to reach/ high focus areas to be intensively monitored and supervised.

An integrated plan and budget for providing mobility support to be prepared and submitted for

review/approval; this should include allocation to State/ District and Block Levels.

All facilities to maintain visitors registers. All supervisors should write their main observations and

agreed action/recommendation. Supervisors should sign with their name and post (written legibly)

with date of visit.

All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of block and

district programme management unit respectively. Similarly a Nursing nodal person to be a part of

SPMU. Nursing to be made an integral part of all planning, implementation and monitoring

activities.


DETAILED BUDGET: PROGRAMME MANAGEMENT

FMR

Code

Budget Head Physical/

Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks

A.10 PROGRAMME MANAGEMENT

7316.01 2602.63 Approval for Programme Management staff is being granted for six months only and its continuation for the next six months would be contingent on compliance of condition that Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff.

A.10.1 Strengthening of State society/ State Programme Management Support Unit

79 4068000

341.40 119.02 0.00

Contractual Staff for SPMSU recruited and in position

79 4068000

341.40 119.02 0.00

A.10.1.1 State Programme Manager

1 840000 8.40

119.02

Rs.119.02 lakhs approved. Deatails available in Annx Programme Management

A.10.1.2 State Accounts Manager

1 600000 6.00

A.10.1.3 State Finance Manager

1 720000 7.20

A.10.1.4 State Data Manager

1 540000 5.40

A.10.1.5 Consultants/ Programme Officers (including for MH/CH/FP/

5 720000 36.00


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks

PNDT/ AH including WIFS SHP, MHS etc.)

A.10.1.6 Programme Assistants

15 84.60

A.10.1.7 Accountants 12 300000 36.00

A.10.1.8 Data Entry Operators

33 240000 79.20

A.10.1.9 Support Staff (Kindly Specify)

10 108000 10.80

A.10.1.10 Salaries for Staff on Deputation (Please specify)

0.00

A.10.1.11 Others (Please specify)

67.80 0.00

A.10.1.11.1

State Programme Manager M&E

1 600000 6.00

A.10.1.11.2

State Programme Manager HMIS

1 600000 6.00

A.10.1.11.3

15 120000 18.00

A.10.1.11.4

Engineer Civil & Eletrical

3 420000 12.60

A.10.1.11.5

Programmer 6 420000 25.20

A.10.2 Strengthening of District society/ District Programme Management Support Unit

328 2652000

1682.64 528.17 0.00

Contractual Staff for DPMSU recruited and in position

328 2652000

1682.64 528.17 0.00

A.10.2.1 District Programme Manager

27 600000 162.00

528.17 Rs.528.17 lakhs approved. Details available in Annx


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks

A.10.2.2 District Accounts Manager

27 480000 129.60 Programme Management

A.10.2.3 District Data Manager

27 420000 113.40

A.10.2.4 Consultants/ Programme Officers (Kindly Specify)

81 480000 388.80

A.10.2.5 Accountants 27 240000 64.80


112 216000 241.92


27 216000 58.32


523.80 0.00

A.10.2.8.1 District Training Coordinators

27 420000 113.40

A.10.2.8.2 Hospital Consultant

27 480000 129.60

A.10.2.8.3 Sub Engineer 27 420000 113.40

A.10.2.8.4 Assistant DPM (AYUSH)

18 300000 54.00

A.10.2.8.5 Incentive to Nodal Officers ( Programme )

135 84000 113.40

A.10.3 Strengthening of Block PMU

584 1008000

2538.72 930.86

A.10.3.1 Block Programme Manager

146 360000 525.60

930.86 Rs.930.86 lakhs approved. Details available in Annx Program Management

A.10.3.2 Block Accounts Manager

146 216000 315.36

A.10.3.3 Block Data Manager

146 216000 315.36

A.10.3.4 Accountants 0.00


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks


146 216000 315.36


0.00


1067.04 0.00

A.10.3.7.1 PADA 741 144000 1067.04

A.10.4 Strengthening (Others)

503 241800 106.02 80.22 0.00

A.10.4.1 Workshops and Conferences

300 25000 75.00 30.00 Approved for 150 workshops and conferences @20000

A.10.4.2 AYUSH Cell - SHRC ( Technical support)

12 170000 20.40 0.00 APPROVAL PENDED

A.10.4.3 Programme Associate - Bio-medical cell ( State )

12 45000 5.40 0.00 Not approved

A.10.4.4 Technical support for Tally ( Fin. Mgmt)

2.00 2.00 Approved

A.10.4.5 Talley Annual Upgradation fees

179 1800 3.22 3.22 Approved

A.10.5 Audit Fees 1 800000 8.00 8.00 Approved

A.10.6 Concurrent Audit system

30.00 30.00 Approved

A.10.7 Mobility Support, Field Visits

173 1650000

2609.23 906.36 0.00

A.10.7.1 SPMU/State 930000 111.60 12.00 Approved for 4 vehicles @ Rs.3 L/vehicle/annum

A.10.7.2 DPMU/District 27 600000 162.00 162.00 Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum

A.10.7.3 BPMU/Block 146 120000 175.20 175.20 Approved

A.10.7.4 Other Supportive Supervision

2160.43 557.16 0.00


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks

costs

A.10.7.4.1 Travel and supportive supervision of State Nodal officer

15 360000 54.00 0.00 Not approved. No separate mobility costs being approved this year.

A.10.7.4.2 SPMU Administration

140.42 14.28 Rs. 14.28 lakhs approved for Provident fund @ Rs. 12%.

A.10.7.4.3 DPMU Administration

27 300000 1483.22 63.38 Rs.63.38 lakhs approved for Provident fund @ Rs. 12 %.

A.10.7.4.4 BPMU administration


A.10.7.4.5 Technical Support to NRHM by SHRC


Sub-total Programme

Management

7316.01 2189.83


OTHERS 1

DETAILED BUDGET: TRAINING

FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

A.9 TRAINING 2486.79 1951.16

A.9.1 Strengthening of existing Training Institutions (SIHFW, ANMTCs, etc.)

0.00

A.9.2 Development of training packages

78 520000

506.92 141.92 0.00

A.9.2.1 Development/ translation and duplication of training materials

75 20000 15.00 15.00 Approved for holding meetings to adopt the modules deveoped for nursing tutors.

A.9.2.2 Other activities (pl. specify)

3 500000

491.92 126.92

A.9.2.2.1 Development of Training mdules

3 500000

15.00 15.00 Approved for Induction training modules for MOs, SNs and LTs

A.9.2.2.2 Stregthening of existing training centres

200.00 0.00 Approval Pended. Not proposed as per the facility wise gap analysis and GoI Roadmap. State needs to do facility wise gap analysis and align with the GoI roadmap before submitting a comprehensive proposal

A.9.2.2.3 Stregthening SIHFW

165.00 0.00 APPROVAL PENDED. State needs to revise the proposal.

A.9.2.2.4 Establishment of Skill Lab

111.92 111.92 Approved subject to availability of these skill labs in the 100 bedded MCH Wings.


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks


226 1190140

288.39 272.65


105 579605

129.84 114.10 0.00

A.9.3.1.1 Setting up of SBA Training Centres

3 200000

6.00 6.00 Approved for setting up 3 training centres @ Rs 2 Lakhs/centre

A.9.3.1.2 TOT for SBA 2 137425

2.75 2.75 Approved

A.9.3.1.4 Training of Staff Nurses in SBA

12 121090


A.9.3.1.5 Training of ANMs / LHVs in SBA

88 121090

106.56 90.82 Approved for training of 400 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load.

A.9.3.2 EmOC Training 0 0 0.00 0.00 0.00

A.9.3.2.1 Setting up of EmOC Training Centres

0.00

A.9.3.2.2 TOT for EmOC 0.00

A.9.3.2.3 Training of Medical Officers in EmOC

0.00


0 0 0.00 0.00 0.00


30 55200 16.56 16.56 0.00


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

A.9.3.4.1 TOT on safe abortion services

0.00

A.9.3.4.2 Training of Medical Officers in safe abortion

30 55200 16.56 16.56 Approved for 60 MOs.

A.9.3.5 RTI / STI Training

0 0 0.00 0.00 0.00


24 79925 19.18 19.18 Approved for 120 MOs.


67 475410

67.19 67.19

A.9.3.7.6 State level MDR training ToT

2 132825

2.66

41.13


A.9.3.7.7 District Level Training of MO s in MDR

27 142485

38.47

A.9.3.7.8 Supportive supervision for SBA training for Mos and RMAs

3 137425

4.12 4.12 Approved

A.9.3.7.9 10 Days BeMoc training for RMAs

35 62675 21.94 21.94 Approved


0.00 0.00

A.9.3.9 Skill Lab Training

55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months

A.9.4 IMEP Training 27 100000

27.00 27.00

A.9.4.1 TOT on IMEP 0.00

A.9.4.2 IMEP training for state and district programme

0.00


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

managers

A.9.4.3 IMEP training for medical officers

27 100000



213 3693800

536.30 468.34


68 1120530

236.89 236.89

A.9.5.1.1 TOT on IMNCI (pre-service and in-service)

2 373960

7.48 7.48 Approved (10 doctors & 10 SNs in each batch)

A.9.5.1.2 IMNCI Training for ANMs / LHVs

54 332920

179.78 179.78 Approved

A.9.5.1.3 IMNCI Training for Anganwadi Workers

12 413650

49.64 49.64 Approved; 12 batches of 24 anganwadi workers in each.

A.9.5.2 F-IMNCI Training

11 1301750

39.82 39.82

A.9.5.2.1 TOT on F-IMNCI 1 375800

3.76 3.76 Approved

A.9.5.2.2 F-IMNCI Training for Medical Officers

8 292325


A.9.5.2.3 F-IMNCI Training for Staff Nurses

2 633625



0 0 0.00 0.00

A.9.5.3.1 TOT on HBNC 0.00

A.9.5.3.2 Training on HBNC for ASHA

0.00


0 10000 86.60 57.76


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

A.9.5.4.1 TOT on Care of sick children and severe malnutrition

0.00

A.9.5.4.2 Training on Care of sick children and severe malnutrition for Medical Officers

10000.00

86.60 57.76 Since new NRCs are not approved, budget proposed (28.8 lakhs) for training of new NRC staff has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 20 each @ Rs.6,000 per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.15870/block Reorientation of feeding deonstrators and cook: 120 persons@ Rs.3000/person


134 1261520

172.99 133.87

A.9.5.5.1 NSSK Training 59 319030

43.98 43.98

A.9.5.5.1.1


A.9.5.5.1.2


22 74140 16.31 16.31 Approved

A.9.5.5.1.3


27 74170 20.03 20.03 Approved

A.9.5.5.1.4


9 74170 6.68 6.68 Approved

A.9.5.5.2 Other Child Health training

75 942490

129.01 89.89


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

A.9.5.5.2.a Ch-IYCF- TOT 1 349120

3.49 3.49 Approved. Details of expenditure & physical progress to be shared by the state.

A.9.5.5.2.b


18 259550

46.72 28.80 Approved for 10 MO + 14 SN per batch @ Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state.

A.9.5.5.2.c CH- FBNC - Training on Observership

55 106600

58.63 51.17 Approved for 48 persons @ Rs.106600/per batch

A.9.5.5.2.d


17.90 4.16 Approved for 2 batches only, as there is no possibility for larger numbers to undergo observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size 24 @ Rs.2.08 lakhs/batch

A.9.5.5.2.e

FBNC TOT for Mos

1 227220

2.27 2.27 Approved (24 participants in the batch)


191 608555

175.63 134.96


6 101440

6.09 4.27

A.9.6.1.1 TOT on laparoscopic sterilisation

0.00

A.9.6.1.2 Laparoscopic sterilisation training for doctors (teams

6 101440

6.09 4.27 Approved for 6 batches of 4 participants each @ Rs.71240/batch


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

of doctor, SN and OT assistant)

A.9.6.2 Minilap Training 4 101440

4.06 2.85

A.9.6.2.1 TOT on Minilap 0.00

A.9.6.2.2 Minilap training for medical officers

4 101440

4.06 2.85 Approved for 4 batches of 4 participants each @ Rs.71240/batch


5 32800 1.64 1.64

A.9.6.3.1 TOT on NSV 0.00

A.9.6.3.2 NSV Training of medical officers

5 32800 1.64 1.64 Approved

A.9.6.4 IUD Insertion 141 272975

107.51 107.51

A.9.6.4.1 TOT for IUD insertion

15 111025

16.65 16.65 Approved for 15 batches of 10 participants each.

A.9.6.4.2 Training of Medical officers in IUD insertion

45 112000

50.40 50.40 Approved for 45 batches of 10 participants each.

A.9.6.4.3 Training of staff nurses in IUD insertion

0.00 0.00

A.9.6.4.4 Training of ANMs / LHVs in IUD insertion

81 49950 40.46 40.46 Approved


0.00


35 99900 56.34 17.48

A.9.6.6.1 TRG - FP - PPIUCD Insertion Training-

30 49950 14.99 14.99 Approved


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

MO/SN/O&G Specialist

A.9.6.6.2 TOT for PPIUCD 5 49950 2.50 2.50 Approved

A.9.6.6.3 IUCD 375 insertion training to MOS

17 111025

18.87 0.00 Not approved.GoI is in agreement with the activity which may be carried out with IUCD 380 training as a one day orientation, no separate batches required.

A.9.6.6.4 Training to ANM on IUCD 375 insertion





172855 490550

631.30 631.30

A.9.7.1 TOT for ARSH training

0.00


1 170000

1.70 1.70 Approved


3 170000

5.10 5.10 Approved


2 150000

3.00 3.00 Approved


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

A.9.7.5 ARSH training for AWWs

0.00

A.9.7.6 Other ARSH training

0 0 0.00 0.00

A.9.7.6.1 WIFS training 172849 550 621.50 621.50

A.9.7.6.1.1


172,849

550.00

621.50 621.50 Approved for 113000persons @Rs.550/person

A.9.7.6.1.2

refresher training –ANM/MO/ AWW/ Nodal Teacher

0.00

A.9.7.6.2 Menstrual hygiene training

0.00

A.9.7.6.3 SHP training 0 0 0.00 0.00

A.9.7.6.3.4

Training/Refresher training -ASHA

0.00

A.9.7.6.3.5

Training/Refresher training -ANM

0.00

A.9.8 Programme Management Training (e.g. M&E, logistics management, HRD etc.)

624 1620000

165.00 155.00

A.9.8.1 Training of SPMSU staff

5 500000


A.9.8.2 Training of DPMSU staff

5 300000


A.9.8.3 Training of BPMSU staff

27 50000 13.50 13.50 Approved

A.9.8.4 Other training (pl. specify)

587 770000

111.50 101.50

A.9.8.4.1 RMAs professional

400 10000 40.00 40.00 Approved


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

development course

A.9.8.4.2 TRG - Training of emergency management of Mos

146 10000 14.60 14.60 Approved

A.9.8.4.3 TRG - Career Development of MITANIN - BSc Nursing course

27 70000 18.90 18.90 Approved

A.9.8.4.4 TRG - Career Development of ANMs - GNM Course

10 180000


A.9.8.4.5 PGDDHM Fellowship programme under IGNOU course

4 500000

20.00 10.00 Approved for 2

A.9.9.1 PC/PNDT training

0.00

A.9.9.2 Others 725 5000 21.25 0.00 APPROVAL PENDED. State needs provide details of the activity

A.9.10 Training (Nursing)

35 0 39.00 39.00

A.9.10.1 Strengthening of Existing Training Institutions/Nursing School excluding infrastructure and HR.

35 39.00 39.00 Approved for 2 GNM Trng Institutes @ Rs.19.5 lakhs/Trng Inst. (Break up of budget: Rs 15 lakhs for mannequins, Rs 2.5 lakhs for teaching aids, Rs 1 lakh for contingency, Rs 1 lakh for honorarium to tuters)

A.9.10.2 New Training Institutions/School

0.00


FMR

Code


Target

Unit

Cost

(Rs.)

Amount

Propose

d (Rs. in

lakhs)

Amount

Approv

ed (Rs.

in

lakhs)

Remarks

A.9.11 Training (Other Health Personnel)

77 320000

96.00 81.00

A.9.11.1 Promotional Training of ANMs to lady health visitor etc.

0.00

A.9.11.2 Training of ANMs,Staff nurses,AWW,AWS

75.00 75.00 Approved for training of 1000 SN @ Rs 5000/SN and Induction training of 500 newly joined MO/SN/LTS @ 5000/HR

A.9.11.3 Other training and capacity building programmes (nursing tutors etc.)

75 20000 15.00 0.00 Not approved, State needs to propose as per the INC Guidelines.

A.9.11.3.1 PGDHM Courses 2 300000

6.00 6.00 Approved for PGDHM training of MOs with 5 yrs service experience

Sub-total Training

0 0 2486.79 1951.16


OTHERS 2

DETAILED BUDGET: VULNERABLE GROUPS

Sr. No. Budget Head Unit

Cost

(Rs.)

Quantity/

Target

Amount

Proposed

(Rs. in

lakhs)

Amount

Approved

(Rs. in

lakhs)

Remarks

A.11 VULNERABLE GROUPS 23.00 0.00

A.11.1 Planning, including mapping and co-ordination with other departments

0.00

A.11.2 Services for Vulnerable groups

100 15000 15.00 0.00 APPROVAL PENDED. No details given by the State.

A.11.3 LWE affected areasspecial plan



0 0 0.00 0.00

Sub-total Vulnerable

Groups

0 0 18.00 0.00


MISSION FLEXIBLE POOL (MFP)


ASHA

TARGETS:

S.

No.

Activity Targets

1. ASHAs with Drug kits 66000

2. ASHAs trained in 6th

and 7th

modules 66000

ROAD MAP FOR PRIORITY ACTION:

Clear criteria for selection of ASHA

Well functioning ASHA support system including ASHA days, ASHA coordinators

Performance Monitoring system for ASHAs designed and implemented (including

analysis of pattern of monthly payments; identification of non/under-performing ASHAs

and their replacement; and reward for well performing ASHAs). State to report on a

quarterly basis on ASHA‟s average earnings/ range per month.

Timely replenishment of ASHA kits.

Timely payments to ASHAs and move towards electronic payment.

Detailed data base of ASHAs created and continuously updated; village wise name list of

ASHA to be uploaded on website with address and cell phone number.

DETAILED BUDGET:


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B1 ASHA

B 1.1 ASHA Cost: 1080284 547857 7348.54 6303.66

B1.1.1 Selection & Training of ASHA

143442 124480 3315.41 3239.81

B1.1.1.1

Module I - IV 66000 1400 924.00 924.00


B1.1.1.2

Module V 4000 1680 67.20 67.2


B1.1.1.3

Module VI & VII 10000 1400 140.00 140.00


B1.1.1.4

Other Trainings 63442 120000 2184.21 2108.61



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B1.1.1.4.1

Compensation to Mitanin Trainrers

3150 38400 1209.60

1134.00

Approved as per norms of Rs 150/day for 20 days per month for 12 months

B1.1.1.4.2

Block contingencies 146 72000 105.12 105.12


B1.1.1.4.3

Dist Contingencies 146 8400 12.26 12.264


B1.1.1.4.4

Cluster meetings of Mitanins

60000 1200 720.00 720


B1.1.1.4.5

Other trainings and activities under Mitanin selection and training

137.23 137.23 Approved Rs 137.23 Lakhs (Ongoing activity). Approval is for Rs 1.16 lakhs for State ToT of District Coordinators, Rs 14.45 Lakhs for TOT for Block coordinators and Resource persons, Rs 86.63 lakhs for TOT of Mitanin trainers, and Rs 35.00 lakhs for books and materials

B1.1.2 Procurement of ASHA Drug Kit

198000 2350 1119.00 756.00

B1.1.2.1

New Kits 6000 600 36.00 36


B1.1.2.2

Replenishment 66000 550 363.00

The amount is budgeted under B16.2.5.2 (ongoing activity)

B1.1.2.3

Procurement of ASHA HBNC Kit

126000 1200 720.00 720.00

B1.1.2.4

New Kits 60000 1200 720.00 720.00

Approved (New Activity)

B1.1.3 Performance Incentive/Other Incentive to ASHAs (if any)

738404 329427 2510.16

2118.91



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B1.1.3.1

Incentive under MH (ANC/PNC)

102000 202 153.00 0.50

B1.1.3.1.1


2000 50 1.00

0.50


B1.1.3.1.2


100000 150 150.00

0.00


B1.1.3.1.3


2 2.00

0.00


B1.1.3.2

Incentive under CH (HBNC)

390931 500 910.47

890.47

B1.1.3.2.1

ASHA incentive for HBNC

350000 250 875.00 875.00


B1.1.3.2.2

ASHA incentive for NRC refferal and follow up for post referral NRC cases

10000 200 20.00

0.00


B1.1.3.2.3

Infant death reporting

30931 50 15.47 15.47


B1.1.3.3


125000 1225 218.75

300.00

B1.1.3.3.1


100000 100 100.00 0.00




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B1.1.3.3.2


15000 125 18.75 0.00


B1.1.3.3.3


10000 1000 100.00 200.00

Approved Rs 200 lakhs (Ongoing activity) Budget approved @ Rs.1000/ASHA for 20000 sterilizations after one or two children. No payment to ANM is permissible.

B1.1.3.3.4

Incentive for AH

20000 500 100.00 100.00


B1.1.3.5

Other incentive 100000 200 200.00

0.00

B1.1.3.5.1

Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections)

100000 200 200.00

0.00

Approval pended (New activity). State may resubmit the proposal with detailed write up on the activity proposed in the supplementary PIP for reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the child for example, by demonstration of the growth curve in the MCP card

B1.1.3.6

Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc)

473 326800 927.94 927.94

B1.1.3.6.1

Mitanin Kalyan Kosh ( Mitanin Welfare Activites )

797.50 797.50


B1.1.3.6.2

Mitanin Help Desk 180 46800 84.24

84.24


B1.1.3.6.3

Mitanin Help Line 1 240000 2.40 2.4


B1.1.3.6.4

Mitanin Sammelans 146 30000 43.80 43.8

Approved for 146 blocks @Rs 30000 (New activity)

B1.1.4 Awards to ASHA's/Link workers

146 10000 14.60 14.6


B1.1.5 ASHA Resource Centre/ASHA Mentoring Group

292 81600 389.37

174.34



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B1.1.5.1

HR At State Level 151.10

65.72

Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.Salary for the staff is approved at the same unit costs approved in the RoP 2012-13. The budget approved for six months is 50% of approved amount in 2012-13.

B1.1.5.2

HR at District Level

B1.1.5.3

HR at Block Level

292 81600 238.27 108.624

Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Salary for the staff is approved at the same unit costs approved (Rs 6200/p.m) in the RoP 2012-13.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B1.1.5.4

Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify)

0.00

Sub Total for ASHA 7348.54 6303.66


UNTIED FUNDS/ RKS/ AMG


Timely release of untied funds to all facilities; differential allocation based on case load.

Funds to be utilized by respective RKS only and not by higher levels.

Review of practice of utilising RKS funds for procurement of medicines from commercial

medical stores and accordingly revisit guidelines for fund utilisation by RKS.

Well functioning system for monitoring utilization of funds as well as purposes for which

funds are spent.

Plan for capacity building of RKS members developed and implemented.

RKS meetings to take place regularly.

Audit of all untied, annual maintenance grants and RKS funds.

The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan

Samitis and other community! PRI institutions at all levels

The State shall ensure regular meetings of all community Organizations, District and State

Mission with public display of financial resources received by all health facilities

The State shall also make contributions to Rogi Kalyan Samitis

DETAILED BUDGET: UNTIED FUNDS/ RKS/ AMG

S. No. Budget Head

Quanti

ty / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B2 Untied Funds

B2.1 Untied Fund for CHCs/SDH

149 57500 85.68 74.50

Approved (Ongoing activity) for 149 CHCs at the rate of Rs 50000 per facility

B2.2 Untied Fund for PHCs

755 32500 245.38 188.75

Approved (Ongoing activity) for 755 PHCs at the rate of Rs 25000

B2.3 Untied Fund for Sub Centres

5111 13000 664.43 511.10

Approved (Ongoing activity) for 5111 Sub Centers at the rate of Rs 10000


S. No. Budget Head

Quanti

ty / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B2.4 Untied fund for VHSC

19387 13000 2520.31 1739.20

Approved (ongoing activity) for 18850 VHSNCs as mentioned in the annexure sheet provided with the PIP at the rate of Rs 10000. The amount approved is adjusted for the fund approved in 2012-13 for 1458 VHSNCs which have not been constituted.

B2.5 Others

13 32500 4.23

Not approved as Untied Funds was not approved for Civil Hospitals in 2012-13.

Sub Total Untied Funds 3520.02 2513.55

B.3 Annual Maintenance Grants (only for Government institutions)

B3.1 CHC 149 130000 193.70

135.00

Approved (Ongoing activity) for 135 CHCs functioning at Government buildings as per RHS 2012 at the rate of Rs 1 lakh

B3.2 PHCs 429 65000 278.85

214.50

Approved (Ongoing activity) for 429 PHCs @ Rs 50000

B3.3 Sub Centres 3850 13000 500.50

274.00

Approved (Ongoing activity)for 2740 Sub Centers functioning at Government buildings as per RHS 2012 at the rate of Rs 10000.

B4.1.1.4

Staff Quarters 118.45

118.45

Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 2013-14

Sub Total of Annual Maintenance Grants 973.05 623.50


S. No. Budget Head

Quanti

ty / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B.6 Corpus Grants to HMS/RKS

B6.1 District Hospitals 26 1000000

260.00

130.00

Approved (Ongoing activity) for 26 DHs at the unit cost of Rs 5 Lakhs

B6.2 CHCs 149 130000 193.70

148.00

Approved (Ongoing activity) for 148 CHCs which have registered RKS (as per the MIS report submitted by the state on 26.04.2013) at the unit cost of Rs 1 lakhs

B6.3 PHCs 755 130000 981.50

710.00

Approved (Ongoing activity) for 710 PHCs which have registered RKS (as per the MIS report submitted by the state on 26.04.2013)at the unit cost of Rs 1 lakhs

B6.4 Other or if not bifurcated as above

0.00

0.00

Not approved since no details of the activities have been provided

B6.5 SDH 13 500000 65.00

65.00

Approved (Ongoing activity) for 13 SDHs at the unit cost of Rs 5 Lakhs

Sub Total of Corpus Grants 1500.20 1053.00


NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP


Works must be completed within a definite time frame. For new constructions upto CHC level, a

maximum of two years and for a District Hospital a maximum period of 3 years is envisaged.

Renovation/ repair should be completed within a year. Requirement of funds should be projected

accordingly. Funds would not be permissible for constructions/ works that spill over beyond the

stipulated timeframe.

Standardized drawing/ detailed specifications and standard costs must be evolved keeping in

view IPHS.

Third party monitoring of works through reputed institutions to be introduced to ensure

quality.

Information on all ongoing works to be displayed on the NRHM website

Approved locations for constructions/ renovations will not be altered

All government health institutions in rural areas should carry a logo of NRHM as recognition

of support provided by the Mission in English/ Hindi & Regional languages.

DETAILED BUDGET: NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP

Budget Head

Quanti

ty / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approv

ed Approval Status

B5 New Constructions (proposed for the coming year)

B5.1 CHCs 0.00 0.00

B5.2 PHCs 10 4953000 198.12 19.81

Approved only for one PHC in Mungeli District


Budget Head

Quanti

ty / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approv

ed Approval Status

B5.3 SHCs/Sub Centres 100 2281000 912.40

82.12

Approved Rs 82.12 lakhs for a total of 9 sub centers as following a. 1 Sub center with minimum 2 deliverieries per month in High Priority Districts3

b. 1 Sub Center with miniumum 2 deliveries in LWE and Tribal Districts4

c. 7 Sub Centers with minimum 3 deliveries in non High Priority, non LWE, non Tribal Districts

B5.4 Setting up Infrastructure wing for Civil works

0 0 0.00 0.00

B5.6 Construction of BEmONC and CEmONC centres

0 0 0.00 0.00

B.5.9 Civil Works for Operationalising Infection Management & Environment Plan at health 3facilities

0.00

B.5.10 Infrastructure of Training Institutions --

4 200000 258.00

0.00

3 The districts considered as High Priority districts for sanctioning new constructions are Bijapur, Bilaspur,

Dantewada, Jashpur, Surguja and the following districts which have been part of the before mentioned districts namely, Balrampur, Mungeli, Sukma and Surajpur. 4The districts which are included in the Integrated Action Plan by the Planning Commission of India have been

considered for LWE and Tribal Areas.


Budget Head

Quanti

ty / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approv

ed Approval Status

B.5.10.1

Strengthening of Existing Training Institutions/Nursing School( Other than HR)- ---Infrastructure for GNM Schools and ANMTC

4 200000 8.00

0.00


B.5.10.1.5

New Training Institutions/School (SIHFW/GNMTC/ANMTC etc)

250.00 0.00

Approval pended (New activity) until state submits detailed DPR and budget requirements

Sub Total of New Constructions and Renovations

1368.52 101.93


PROCUREMENT


Strict compliance of procurement procedures for purchase of medicines, equipments etc as per

state guidelines.

Online real time inventory management to be practiced.

Competitive bidding through open tenders and transparency in all procurements to be

ensured.

Only need based procurement to be done strictly on indent/requisition by the concerned facility.

Procurement to be made well in time & not to be pushed to the end of the year.

Audit of equipment procured in the past to be carried out to ensure rational deployment.

Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.

A system for preventive maintenance of equipment to be put in place.

Unit Costs in relation to the various types of procurement including printing etc.are only

indicative for the purpose of estimations. However, the actual expenditure must be incurred

after following rules and due processes. The competitive and transparent bidding should be

ensured as well as only need based procurement must take place

BUDGET: PROCUREMENT OF EQUIPMENTS AND DRUGS

S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B.16 PROCUREMENT

B16.1 Procurement of Equipment

B16.1.1 Procurement of equipment: MH

120 2000 2.40 2.40

B16.1.1.1

Equipments for Blood Banks/ BSUs

B16.1.1.2

MVA /EVA for Safe Abortion services

120 2000 2.40

2.40


B16.1.1.3

Others (please specify)

0 0 0.00

B16.1.2 Procurement of equipment: CH

122 1160000

197.60

60.00


S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B16.1.2.1

NBSU 9 575000 51.75

0.00


B16.1.2.2

NBCC 101 85000 85.85

0.00


B16.1.2.3

Sishu Sanrakshan Mah (SSM)

B16.1.2.4

Genset for SNCU ( for 12 SNCUS)

12 500000 60.00 60.00


B16.1.3 Procurement of equipment: FP

2010 607145 183.06 180.98

B16.1.3.1

NSV kits 500 1000 5.00 5.00


B16.1.3.2

IUCD kits 1000 2000 20.00 20.00


B16.1.3.3

minilap kits 135 3000 4.05 4.05


B16.1.3.4

laparoscopes 25 600000 150.00 150.00


B16.1.3.5


1.925


B16.1.3.6


0 0 0.00 0.00

B16.1.4 Procurement of equipment: IMEP

1600 1000 94.53

78.53

B16.1.4.1

Bins and golves for Biomedical waste

78.53

78.53

Approved (New activity) Rs 78.53 lacs for purchasing of bins (3264) @ Rs 200/- and gloves (7.2 lacs) @ 10/-

B16.1.4.2

Personal Protection Kits to service

1600 1000 16.00 0.00



S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

delivery staff

B16.1.5 Procurement of equipment other than above

0.00 0.00

B16.1.6 Equipments for ARSH/ School Health

5000 3000 150.00 0.00

B16.1.6.1

Equipments for ARSH Clinics

0.00 0.00

B16.1.6.2

Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens’ Charts)

5000 3000 150.00

0.00


B16.1.7 Equipments for Training Institutes

0.00 0.00

B16.1.8 Equipments for AYUSH

69.20

0.00

Approval pended (New activity) for evaluation of Ayurved Gram by NHSRC.

B16.1.9 Procurement of Others/Diagnostics

0.00

Sub Total of Procurement of Equipments 696.79 321.90

B.16.2 Procurement of Drugs and supplies

B.16.2.1

Drugs & supplies for MH

1500 300 4.50 4.50

B.16.2.1.1


B.16.2.1.2


1500 300 4.50

4.50



S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B.16.2.1.3

Others (Please specify)

0 0 0.00

0.00 0.00

B.16.2.1.4

RPR Kits 0.00 0.00

B.16.2.1.5

Whole blood finger prick test for HIV

0.00

B.16.2.2

Drugs & supplies for CH

0 0 546.50

422.50 0.00

B.16.2.2.1

Drugs of Sishu Sanrakshan Mah

546.50

422.50

Rs 422.50 lakhs is approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,000=30.25 Lakhs; Rs. 0.70 x 25,00,000 tabs Albendazole=17.50 lakhs; IFA syrup 12,00,000 bottles x Rs. 7=84.00; IFA small tablet 4,50,00,000 tabs x Rs. 0.12=54.00 lakhs. Amount of IFA revised as there is no wastage factor to be applied and based on 70% expected coverage.

B.16.2.3


0 0 0.00 0.00

B.16.2.4

Supplies for IMEP 0 0 0.00 0.00

B.16.2.4.1

Purchase of Bleaching powder and Phenyle under Bio-Medical Waste maangement

B.16.2.5

General drugs & supplies for health facilities

0 0 2215.93 231.00


S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B.16.2.5.1

IPD 2215.93

231.00

Approved for Rs. 231 lakhs for replenishment of ASHA Drug kits only subject to the condition that State to replenish the drug kits from the PHC/SCs. Approval pended for general drugs proposed. The State to ensure free drug policy, robust procurement management system, corporation like TNMSC, IT enabled drug logistic management systems, EDL, prescription audit etc. and adequate State budget. State to also prepare and submit EDL for Delivery ponts and Non Delivery Points, and medical colleges. The state may relook EDL prepared for DH & FRUs.

B.16.2.5.2

OPD 0.00

B.16.2.6

Drugs & supplies for WIFS

11237686

1 112.38 776.68

B.16.2.6.1

Albendazole 332,149

,596

0.2 664.30 664.30


B.16.2.6.2

IFA 11,237,

686

1 112.38 112.38



S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B.16.2.7

Drugs & supplies for SHP

0.00

B.16.2.8

Drugs & supplies for UHCs

B.16.2.9

Drugs & supplies for AYUSH

193 50000 96.50

0.00

SubTotal of Procurement of Drugs 2975.81 1434.68

Total of Procurement of Equipments and Drugs

3672.59 1756.58


MOBILE MEDICAL UNIT (MMU)


Route chart to be widely publicised

GPS to be installed for tracking movement of vehicles

Performance of MMUs to be monitored on a monthly basis (including analysis of number

of patients served and services rendered).

MMUs to be well integrated with Primary Health Care facilities and VHND.

Engagement with villa

to be visited for services to children below 6 years of age

AWCs to maintain record of services rendered

Service delivery data to be regularly put in public domain on NRHM website.

A universal name „National Mobile Medical Unit‟ to be used for all MMUs funded under

NRHM. Also uniform color with emblem of NRHM (in English/ Hindi & Regional

languages), Government of India and State Government to be used on all the MMUs.

BUDGET: MMU

S. No. Budget Head

Quantity / Targ

et

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B11 Mobile Medical Units (Including recurring expenditures)

B11.1.1 Capex 16 1200000 192.00

0.00

Approval Pended (new activity) subject to State implementing ‘National MMU Guidelines’ for all the running MMUs under NRHM

B11.1.2 Opex 46 2400000 1104.00

B11.1.3 HR 0.00

B11.1.4 Training/orientation 0.00

B11.1.5 Others 0.00

B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units

0 0 0.00

0.00

B11.2.1 Capex 0.00 0.00

Sub Total for MMU 1296.00 0.00


REFERRAL TRANSPORT


Free referral transport to be ensured for all pregnant women and sick neonates accessing public

health facilities.

Universal access to referral transport throughout the State, including to difficult and hard to reach

areas, to be ensured.

A universal toll free number to be operationalized and 24x7 call centre based approach adopted.

Vehicles to be GPS fitted for effective network and utilization.

Rigorous and regular monitoring of usage of vehicles to be done

Service delivery data to be regularly put in public domain on NRHM website.

All patient/referral transport vehicles engaged under NRHM to be branded as National Ambulance

Service and NRHM logo should be used extensively.

BUDGET: REFERRAL TRANSPORT


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B12 Referral Transport/Patient transport System

B12.1 Ambulance/EMRI Capex

310 1550000 80.00

0.00

B12.1.1

State basic ambulance/ 102 Capex

300 750000

0.00

Approval Pended (ongoing activity) subject to State implementing ‘National Ambulance Guidelines’ for all the running ambulances under NRHM

B12.1.2

Advanced life support Capex

10 800000 80.00

Not approved (New Activity)

B12.2 Operating Cost /Opex for ambulance

414780 988232 3641.48

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B12.2.1

State basic ambulance/102 Opex

0.00

0.00


B12.2.2

Operating Cost /Opex for ASL ambulance

0.00

B12.2.3

Opex EMRI-BLS 0.00

B12.2.4

Opex EMRI-ALS 0.00

B12.2.5

HR Basic ambulance 1345 143000 1923.35

B12.2.6

HR advanced life support ambulances

25 300000 75.00

B12.2.6

Training/orientation 200.75

B12.2.9

Others 413410 545232 1442.38 0.00

B12.2.9.1

Medical consumables 412200 32 131.90

0.00


B12.2.9.2

Ambulance repiars/maitenance/Insurance

240 120000 288.00

B12.2.9.3

Fuel cost 240 300000 720.00

B12.2.9.4

Communication cost 240 19200 46.08

B12.2.9.5

Administrative expenses

240 84000 201.60

B12.2.9.6

Marketing expenses 240 12000 28.80

B12.2.9.7

Third Party Evaluation of Referral Transport

25.00

B12.2.9.8

Upgradation of Ambulance (EMRI-108)-BLS to ALS

10 10000 1.00

Total of Referral Transport 3721.48 0


MAINSTREAMING OF AYUSH


State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two

streams: Ayurveda and homoeopathy (or Unani, siddha,Yoga as per the local demand). Panchakarma

Unit should also be considered.

OPD in Ayush clinics will be monitored alongwith IPD/OPD for the facility as a whole.

The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.

Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable them

to practice their own system of Medicine without difficulty.

At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered

depending on local preference.

At CHC/PHC level, Post-Graduate Degree may not be insisted upon.

District Ayurveda Officer should be a member of District Health Society in order to participate in decision

making with regard to indent, procurement and issue of AYUSH drugs.

Infrastructure at facilities proposed to be collocated would be provided by Department of Ayush.

Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM

should be given priority for collocation of Ayush as these are functional facilities with substantial

footfalls.

Ayush medical officers should increasingly be involved in the implementation of national health

programmes and for the purpose of supportive supervision and monitoring in the field. They should

be encouraged to oversee VHND and outreach activities and in addition programmes such as school

health, weekly supplementation of iron and folic acid for adolescents, distribution of

contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.

Ayush medical officer should also be member of the RKS of the facility and actively participate in

decision making.

AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter

in better served areas.


BUDGET: MAINSTREAMING AYUSH


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B9 Mainstreaming of AYUSH

701 3391000

B.9.1 Medical Officers at CHCs/ PHCs (Only AYUSH)

307 720000 736.80 184.20

B.9.1.3

Non FRU SDH/ CHC 100 240000 240.00 0.00


B.9.1.4

24 X 7 PHC 100 240000 240.00

120.00

Approved for 6 months for 100 AYUSH doctors @Rs 20000 per month) and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.

B.9.1.5

Non- 24 X 7 PHCs/ APHCs

107 240000 256.80

64.20

Approved for 3 months only @ Rs 20000/month subject to immediately sharing the findings of the study conducted by SHSRC on the activity of prevention of Malaria using homeopathic medicines with the ministry. Its continuation beyond 3 months



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

would be only with the approval of the ministry. If no specific approval received beyond June 2013, state may examine ways to utilise the AYUSH doctors engaged and proposed.

B.9.2 Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH)

0 0 0.00

0.00 0.00

B9.3 Other Activities (Excluding HR)

394 2671000 308.40

1.00 0.00

B9.3.1 Prevention of Malaria throuhg Homeopathic medicines

225.00

0.00

Approval pended (Ongoing activity). State to immediately share the findings of the study conducted by SHSRC on the activity.

B9.3.2 Prevention of Disability in Leprosy cured persons throuhg AYUSH

2 2660000 53.20

0.00

Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the program in the previous year and justify the increase in cost proposed.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B9.3.3 Yoga Popularisation in Ayurved gram

292 10000 29.20

0.00

Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the program in the previous year.

B9.3.4 Provision of pure Drinking Water in Ayurved gram

0.00

B9.3.5 Munga Plantation in 100 Ayurgrams

100 1000 1.00

1.00


B9.4 Training 53.19

53.19

Approved (Ongoing activity) subject to provision of the specific training plan, national health programmes to be covered, the skill to be provided to the AYUSH doctors as well as their job descrption and deployement after the training.

Total of Mainstreaming AYUSH 1098.39 238.39


IEC/BCC


Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter-

sectoral convergence particularly with WCD.

Details of activities carried out to be displayed on the website

BUDGET: IEC/BCC


Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B10 IEC-BCC NRHM

B.10 Strengthening of BCC/IEC Bureaus (state and district levels)

0 0 60.00

0.00

B.10.1 Development of State BCC/IEC strategy

60.00 Approval pended (New Activity)

B.10.2 Implementation of BCC/IEC strategy

0 0 900.38 150.00 Approved (ongoing activity) for IEC/BCC activities of activites of MH, CH, FP, ARSH, AYUSH, SMS, printing and other activites mentioned in the budget head. The approval under RBSK subject to the condition that State to ensure RBSK on all support IEC for branding of programme. The RBSK guideline and details to be used for developing these IECs and communication materials at School and Anganwadis. The

B.10.2.1

BCC/IEC activities for MH

0 0 278.90

B.10.2.1.1

Mass media 173.40

150.00

B.10.2.1.2

Mid-media 105.50

B.10.2.2

BCC/IEC activities for CH

0 0 239.30

B.10.2.2.1

Mass media 170.80

B.10.2.2.2

Mid-media 68.50

B.10.2.3


0 0 111.60

B.10.2.3.1

Mass media 61.60



Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.10.2.3.2

Mid-media 50.00 budget shifted from A.3.5.4.4 for printing of PPIUCD registers is included in this budget.

B.10.2.4

BCC/IEC activities for ARSH

0 0 95.78

B.10.2.4.1

Mass media 35.78

B.10.2.4.2

Mid-media 60.00

B.10.2.5

Other activities (please specify)

174.80

B.10.2.6

IPC initiatives/tools 0.00

B.10.3 Health Mela 154.00

B.10.4 Creating awareness on declining sex ratio issue

58.50

B.10.5 Other activities 5110066 75502 281.87

221.87

B.10.5.1

Printing of MCP cards, safe motherhood booklets etc

150.00

90.00

Approved Rs 90 lakhs. This includes approval of Rs 30 Lakhs for printing of MCP cards @ Rs 10/- for 3 lakhs pregnant women, and Rs 60 Lakhs for printing of Safe Motherhood booklets @ Rs 20/- for 3 lakhs pregnant women.

B.10.5.2

Printing of WIFS cards etc

5108039 2 76.62

76.62


B.10.5.3

Other printing 2027 75500 55.25

55.25



Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.10.5.3.1


27 75000 20.25

20.25


B.10.5.3.2

0.00

B.10.5.3.3

Printing of Maternal Health Training Modules

2000 500 10.00

10.00

Approved (New activity) Rs 10 lacs for printing of MH training modules. The state has to ensure that it should be on competitive bidding as per the guidelines released this year, MNH Toolkit, Nursing Roadmap and Skills Lab

B.10.5.3.4

Printing of Labor room register, OPD /IPD registers for PHCs & CHCs

25.00 25.00

Approved (New activity) Rs 25 lacs for printing of Labor room register, OPD /IPD registers for PHCs & CHCs

Total of IEC/BCC 1454.75 371.87


MONITORING AND EVALUATION (HMIS)/MCTS


HR and Infrastructure.

For optimum utilisation of resources, State should integrate manpower, infrastructure, trainings,

reviews, field visit etc for HMIS & MCTS since in most cases the persons to be trained, called for

reviews and making field visits are same

HMIS data reporting, improving data quality and its use

State to ensure that 100 % HMIS facility wise data is uploaded, validated and committed; data for

the month should be available by the 15th of the following month

Mission Director and Program Managers at all level to use HMIS data for monthly reviews.

SAS software may be extensively used for State level analysis and feedback to be shared with

GOI

Regular field visits for trouble shooting, Data quality checks, clarification of conceptual issues

regarding HMIS.

Capacity building (Online/offline training, Refreshers training, Workshop etc) to be conducted as

proposed in PIP

Involvement of Regular Statistical Officials along with contractual staff for monitoring and data

quality checks.

Program managers at all levels use HMIS for monthly reviews.

MCTS to be made fully operational for regular and effective monitoring of service delivery

including tracking and monitoring of severely anemic women, low birth weight babies and sick

neonates.

Pace of registration under MCTS to be speeded up to capture 100% pregnant women and children

MCTS call centre to be set up at the State level to check the veracity of data and service delivery.

Regular feedback on HMIS and MCTS to district/Blocks/facilities to be ensured.

HMIS formats are under rationalization, so Printing of formats, registers may only be done after

consulting MOHFW.

Registration of Births and deaths:

Strengthen birth and deaths registration and issue birth certificates before discharge from facility

and ensure information flow from lower levels to chief registrar of births and deaths


Improve reporting of births and deaths (especially deaths) in HMIS portal.

BUDGET: MONITORING AND EVALUATION


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B15 Planning, Implementation and Monitoring

B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level)

120 320000 140.00

56.99

B15.1.1

State level 1 100000 1.00 1.00


B15.1.2

District level 19 100000 19.00 19.00


B15.1.3

Block level 100 120000 120.00

36.99

Approved (Ongoing activity) @ Rs 36986 per block which is the unit cost approved for the F.Y.2012-13.

B15.1.4

Other 0 0 0.00 0.00

B15.2 Quality Assurance 166 310000 162.70 96.00

B15.2.1

Quality Assurance Committees at State level

69.00

69.00

Approved with the following conditions (a) the state develops / adopts standard treatment guidelines (STG), (b) periodically conducts sensitization workshop on usage of STGs, (c) Internal Monitoring, and (d) Conduct of prescription audits at sample facilities followed by dissemination of the audit findings.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B15.2.2

Quality Assurance Committees at District level

27 100000 27.00

0.00

Approval pended until state submits a revised proposal which includes all the delivery points for monitoring and supervision.

B15.2.3

Grievance handling system

0.00 0.00

B15.2.4

Review meetings 112 110000 14.80 0.00

B15.2.4.1

State 4 100000 4.00

0.00


B15.2.4.2

District 108 10000 10.80

B15.2.4.3

Block 0.00

B15.2.5

Others 27 100000 51.90 27.00

B15.2.5.1

NABH implementation

24.90 0.00


B15.2.5.2

Bio-medical Initiatives ( Authorisation and cell)

27 100000 27.00

27.00

Approved (New activity) for authorization from CG Environment Control Board at the rate of Rs 1 lakhs for 27 districts

B15.3 Monitoring and Evaluation

25758 1366900 1360.18 455.64

B15.3.1

Monitoring & Evaluation / HMIS /MCTS

1 315000 103.15 100.00

B15.3.1.1

HR for M&E/HMIS/MCTS

0.00 0.00

B15.3.1.2

MIS Consultant/ Manager/ Coordinators

0.00

0.00

B15.3.1.3

Statistical Assistant/ Data Analyst

1 315000 3.15 0.00


B15.3.1.4

MIS/ M&E Assistants

0.00

B15.3.1.5

Data Entry Operators

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B15.3.1.6


0 0 100.00 100.00

B15.3.1.6.1

GIS Mapping & Faciity survey of health facilties

50.00

50.00

Approved (New activity) subject to sharing GIS information with Statistics division, MoHFW. The work should be done based on competitive bidding and by following Government Protocols

B15.3.1.6.2

Third Party Evaluation of Mitanin (ASHA) programme

50.00

50.00

Approved (New activity). Services of Population Research Institute, Sagar may be considered

B15.3.2

Computerization HMIS and e-governance, e-health

0 0 186.60

93.30

B15.3.2.1.a

HMIS Operational Cost (excluding HR & Trainings)

186.60

93.30

Approved for six month as expenditure details of 2012-13 are not given Internet Connectivity State level : 6x25000=1.5 lakh District level:27x6x5000=8.1 lakh Block Level:146x6x2000=17.52 lakh PHC level:500x6x750=22.50 lakh Consumables and other accessories State level:1x6x5000=0.3 lakh District level:27x6x3000=4.86 lakh Block Level:146x6x2000=17.52



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

lakh PHC level:700x6x500=21 lakh Procurement should be based on competitive bidding and by following Government protocols

B15.3.2.1.b

Procurement of Computers/ printers/ cartridges etc.

0.00

B15.3.2.1.c

Maintenance of Computers/ AMC/ etc.

0.00

B15.3.2.1.d

Other Office and admin expenses

0 0 0.00

0.00

B15.3.2.2.a

MCTS Operational Cost (excluding HR & Trainings)

1111 1500 110.27 96.44

B15.3.2.2.b


94

87.60

Approved only for 146 desktop with accessories @ 60000/- for Block data Assistants. Procurement should be based on competitive bidding and by following Government protocols.

B15.3.2.2.c


1111 1500 16.67

8.84

Approved @ Rs 1000/- per computer for 884 computers

B15.3.2.2.d


0.00

B15.3.3

Other M & E Activities

24646 1050400 960.16

165.90

B15.3.3.1

HMIS Training 6891 86.85

5.75

Approved Rs.5.75 Lakh @ Rs 300 per day per person for 1 training per person per year based on



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B15.3.3.2

MCTS Training 6000 400 24.00 costing for 3 days combined training for HMIS and MCTS. Amount approved is indicative figure and actual amount would be based on actual expenditure. TA / DA and other expenditure should be as per extant rules.

B15.3.3.3

Mobility Support for HMIS/ MCTS

12 50000 6.00

2.95

Approved (New activity) Rs.2.95 lakh @Rs.10000 per district and Rs.25000 for State level per annum

B15.3.3.4

Review Meetings for HMIS

10978 178.48

26.92

Approved for 1 day combined review of HMIS and MCTS for minimum two reviews at State level per year, at least one review every quarter at District level and at least one review per month at Block level. TA / DA and other expenditure should be as per extant rules.

B15.3.3.5

Review Meetings for MCTS

0.00

B15.3.3.6

Data Validation Call Centers - CAPEX

10.00

10.00

Approved (New activity). Procurement should be based on competitive bidding following Government Protocols. State must ensure that the contact details of all the ASHA/ANM and beneficiaries should be validated and services given to the beneficiaries to be verified and same should get reflected in MCTS.

B15.3.3.7

Data Validation Call Centers - OPEX

33.50 0.00


B15.3.3.8

e-Governance Initiative

47.00 0.00




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B15.3.3.9

Hospital Management Softwares

153.83

0.00


B15.3.3.10

Others 765 1000000 420.50 120.28

B15.3.3.10.1

Printing of formats and Composite RCH register

53.90

24.68

Approved Rs 10.30 lakh @ Rs 0.40 per page for HMIS and Rs.14.37 lakh for MCTS registers @ Rs 150 per register and not more than 2 registers per ANM. State should consult MoHFW before printing. Register must be compatible with the MCTS (Integrated RCH) register designed by MoHFW and shared with the state. Printing should be done based on competitive bidding and by following Government Protocols. State may show a sample register to MoHFW before proceeding with the printing. This is an indicative figure and actual would depend upon actual expenditure.

B15.3.3.10.2

Monitoring Data Collectiona dn data Quality

750 Rs 200/ X

12 months

18.00 0.00


B15.3.3.10.3

State Review Mission

95.60

95.60

Approved (Ongoing activity) subject to state sharing the report of SRMs conducted in 2012-13 with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B15.3.3.10.4

Mobile based MCTS reporting system

103.00

0.00

State may continue the on-going activity for Dhamtari district out of unspent funds available for this activity with the State. Approval pended for roll-out in the whole State. State to share the details of success of pilot project done in Dhamtari district as reflected in MCTS data with MoHFW

B15.3.3.10.5

V-Sat Connectivity

15 1000000

150.00

0.00

Approval pended. State should share a concept note mentioning the details of Capex, Opex, number of terminals, bandwidth cost, technical architecture, the purpose for which connectivity would be used and how this will help HMIS / MCTS with MoHFW. State may also explore the possibility of getting connectivity from SWAN

Total of Monitoring and Evaluation 1662.88 608.63


OTHERS

BUDGET: HOSPITAL STRENGTHENING

S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B.4 Hospital Strengthening

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

300 860000 11881.04 10476.66

B4.1.1 District Hospitals 0 0 1982.11 1824.45

B4.1.1.1

Additional Building/ Major Upgradation of existing Structure

0.00

0.00

B4.1.1.2

Repair/ Renovation 157 0.00


B4.1.1.3

Spillover of Ongoing Works

1706

1706.00

Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 2013-14.

B4.1.1.4


118.45


B4.1.2 CHCs 0 0 3233.21

3143.21 0.00

B4.1.2.1


0.00

0.00

B4.1.2.2

Repair/ Renovation 90.00 0.00


B4.1.2.3


288.00 288

Approved (Ongoing activity) subject to the condition that the work will be completed in the


S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

F.Y 2013-14

B4.1.2.4

Staff Quarters

2855.21 2855.21

Approved (Ongoing activity) on condition that the work will be completed in the F.Y 2013-14

B4.1.3 PHCs 0 0 755.22 739.00

B4.1.3.1


0.00

0.00

B4.1.3.2



B4.1.3.3


739 739.00


B4.1.3.4

Staff Quarters

B4.1.4 Sub Centres 200 260000 540.50 0.00

B4.1.4.1


200 260000 520.00 0.00

Approval pended (New activity) until state submits the service delivery data of the sub centers proposed for solar electrification. Approval will be subject to the report by NHSRC on proposal evaluation and site assessment. Subcenters only


S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

in identified High Priority Districts and districts which have performance below state average will be considered.

B4.1.4.2



B4.1.4.3


0.00

B4.1.4.4

ANM Quarters 0.00

B4.1.5 Others (MCH Wings) 100 600000 5370.00

4770.00

B4.1.5.1

(Absolutely) New / Rented to Own Building

0.00

0.00

B4.1.5.2

Additional requirement from previous work

0.00

0.00

B4.1.5.3

Carry forward /Spillover of Ongoing Works

4770.00

4770.00

Approved (Ongoing activity) Approved the 2nd Instalment for Rs 47.7 crores for the 35 existing MCH Wings, (12 MCH Wings (100 bedded) and 23 MCH Wings (50 bedded).

B4.1.5.4

Other construction 100 600000 600.00

0.00


S. No. Budget Head

Quantit

y / Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B4.1.5.4.1

Gap improvements in co-located centres of PHC/CHC-AYUSH

100 600000 600.00

0.00

Approval pended (New activity) until state submits list of facilities proposed, facility wise AYUSH OPD data and a note on proposed value addition by the activity.

B4.1.6 SDH 0 0 0.00 0.00

Total of Hospital Strengthening 11881.04 10476.66


BUDGET: PANCHAYATI RAJ INITIATIVE

S. No.

Budget Head Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B8 Panchayati Raj Initiative

B8.1 Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc

15000 400 60.00

60.00


B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC

0.00

0.00

Total of Panchayati Raj Initiative 95.46 60.00

BUDGET: HEALTH ACTION PLANS


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B7 Health Action Plans

B7.1 State 1 500000 5.00 5.00


B7.2 District 27 100000 27.00

27.00

Approved (Ongoing activity) subject to the condition that District Level ROPs and DHAPs to be uploaded in the State’s NRHM website.

B7.3 Block 146 20000 29.20

29.20

Approved subject to the condition that Block Level ROPs and BHAPs to be uploaded in the State NRHM website.

Total for Health Action Plans 61.20 61.20


BUDGET: PPP/NGOS

S. No. Budget Head

Quanti

ty / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B13 PPP/NGOs

B13.1 Non governmental providers of health care RMPs

0.00

0.00

B13.2 Public Private Partnerships (Out Sourcing set up, if applicable for State, to be budgeted under this head)

39 901500 1841.45

35.40

B13.2.1 Out soursing PHC 520.00

0.00

Approval pended subject to the State submitting the criteria set for selecting the agency and the proposed ToR.

B13.2.2 Grant in Aid to RK Mission

35.40 35.40


B13.2.3 Setting up of PPP cell in the state

26.20

0.00

Approval pended (New activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis.

B13.2.4 Outsourcing of Diagonastic services

27 1131.67

0.00

Not approved (Ongoing activity). State may revise the proposal based on the GoI recommendations and submit in the supplementary PIP.


S. No. Budget Head

Quanti

ty / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B13.2.5 Outsourcing Bio-medical Wastage Management

12 901500 108.18

0.00

Not approved (New Activity) in the present form. State may revise the proposal and submit in the supplementary PIP

B13.2.6 0.00

0.00

Carry forward is not approved since the activity is not specified

B13.2.7 PPP Monitoring Cell by SHRC

20.00

0.00


B13.3 NGO Programme/ Grant in Aid to NGO

0 0 0.00

0.00

B13.3.1 Support to CGNP+

0.00 0.00

Total of PPP/NGOs 1841.45 35.40


BUDGET: INNOVATIONS

S. No. Budget Head

Quantity /

Target

Unit Cost (

Rs)

Budget (Rs.

Lakhs)

Amount Approved

Approval Status

B14 Innovations( if any)

B14.1 Intersectoral

convergence

0.00 0.00

B14.2 District Specific Plans 1366.00 6.00 Approved Rs 6 lakhs for

Anti-Venum Vaccine in

Sarguja (New activity)

Thanagudi at Bijapur and

NRHM Office cum

training centers for

districts are not approved.

Total of Innovations 1366.00 6.00

BUDGET: STATE LEVEL HEALTH RESOURCE CENTRE


Unit Cost ( Rs)

Budget (Rs. Lakhs)

Amount Approved

Approval Status

B21 SHSRC

B.21.1 SHSRC - HR 140.00

50.00

Approved (Ongoing activity) for six months only at the same rate as approved in 2012-13. It's continuation would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.

B.21.2 Other cost 50.00 0.00

Not approved

Total of SHSRC 190 50


NATIONAL DISEASE CONTROL

PROGRAMMES (NDCPs)


NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME

(NIDDCP)

ROAD MAP

Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to

below 5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt

(15ppm) at the household level under National Iodine Deficiency Disorders Control Programme:

1. Establishment of State IDD Cell, if not established in the State/UT for implementation

programme activities.

2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for

conducting quantitative analysis of iodized salt and urine for iodine content and urinary iodine

excretion.

3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab Technician

and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory should be filled on

regular/contractual basis on priority for smooth implementation of programme.

4. Supply, availability and consumption of adequately iodized salt in the state should be

monitored.

5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess the

magnitude of IDD in the respective districts as approved in the PIP and reports accordingly

submitted.

6. Procurement of salt testing kits for endemic districts by State/UT for use of ASHA/Health

Personnel for creating awareness & monitoring of iodated salt consumption at household level.

Monthly reports are to be submitted as per the prescribed proforma.

7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic districts

should be made available on regular basis to ASHA.

8. Health education and publicity should be conducted with more focus in the endemic districts

emphasizing about IDD and promotion of consumption of adequately iodized salt. Should

observe Global IDD Celebrations on 21st October by conducting awareness activities at various

level and submission of reports.


DETAILED BUDGET: NIDDCP

FMR

Code

Activity Unit cost

(wherever

applicable)

Physical

target

Amount

Proposed

Amount

Approved

Remarks

D IDD

D.1 Establishme

nt of IDD

Control Cell-

Implementa

tion &

monitoring

of the

programme

10.20 12.00 Filling up of sanctioned vacant

posts i.e. Technical Officer,

Statistical Assistant & LDC on

regular/contract basis on

priority.

State Government may

conduct and co-ordinate

approved programme activities

and furnish quarterly financial

& physical achievements as per

prescribed format.

D.1.a Technical

Officer

1

D.1.b Statistical

Assistant

1

D.1.c LDC Typist 1

D.2 IDD

Monitoring

Lab-

Monitoring

of district

level iodine

content of

salt and

urinary

iodine

excretion as

per Policy

Guidelines.

5.60 6.00 The vacant sanctioned post of

Lab Technician & Lab Asst.

should be filled on regular/

contract basis on priority.

State Government may

conduct quantitative analysis

of salt & urine as per NIDDCP

Guidelines and furnish

monthly/quarterly statements.

D.2.a Lab

Technician

1

D.2.b Lab.

Assistant

1

D.3 Health

Education &

Publicity

Increased

awareness

about IDD

and iodated

salt

19.70 4.00 IDD publicity activities

including Global IDD Day

celebrations at various levels.


FMR

Code

Activity Unit cost

(wherever

applicable)

Physical

target

Amount

Proposed

Amount

Approved

Remarks

D.4 IDD

Survey/resu

rvey

Rs. 50,000

per district

4 districts 8.00 2.00 State Government may under

take 4 districts IDD survey as

per guidelines and furnish

report.

D.5 Salt Testing

Kits to be

procured by

state

Government

for 2

endemic

districts

12 STK per

annum per

ASH A

Creating

iodated salt

demand

and

monitoring

of the same

at the

community

level.

51.84 ** State Govt. to monitor the

qualitative analysis of iodated

salt by STK through ASHA in 2

endemic districts i.e. Bilaspur

and Raigar

D.6 ASHA

Incentive

Rs. 25/- per

month for

testing 50

salt

sample/mo

nth

50 salt

samples per

month per

ASHA in 2

endemic

district

40.06 **

Total for IDD 141.40* 24.00

* Including fund proposed for Operational expenses of IDD Cell, workshop and review meetings which

are not allowed under the Programme

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA

for 2 endemic districts funds will be released through flexi pool of NRHM by GOI.


INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

Priority Actions to be carried out by the State:

There are 29 vacant posts of technical contractual staff (27 Epidemiologists, 1 Microbiologist & 1

Entomologist) under IDSP in the State. The State needs to expedite the recruitment of these staff.

The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under

IDSP has been completed for the State/Districts. However, the State may give the additional list of

participants to be trained for ToT and 2-week FETP.

Presently all 18 Districts are reporting regularly on IDSP portal. Presently only 80%, 74% and 56%

of all the Reporting Units are reporting weekly surveillance data respectively in S, P & L-form

through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance data (S,

P, L) by all the Reporting Units of all Districts through IDSP Portal.

The State has to ensure consistent reporting of L form in portal by the district priority lab at JLN

Medical College, Raipur.

Appropriate clinical samples need to be sent for the required lab investigations for all outbreaks. In

2012, clinical samples were sent for laboratory investigation for 11% of the disease outbreaks in

which 8% were lab confirmed.

The State needs to send full investigation report for each disease outbreak. Presently, such

investigation reports are not available for outbreaks.

Non-negotiable IDSP priorities for the State would be:

a) Dedicated State Surveillance Officer (SSO) for implementation of IDSP.

b) All States/UTs to provide weekly report on the disease surveillance data on epidemic prone

diseases and the weekly outbreak report regularly through portal.

c) All the States/UTs to timely submit their Statement of Expenditure, Utilization Certificate

and Audit reports.

d) Every State/UT will undertake in-depth review of IDSP at least once in a year and will share

the report with Central Surveillance Unit (CSU), IDSP

DETAILED BUDGET: IDSP


FMR Code

Activity Unit Cost Amount Proposed by

state

Amount Approved

Remarks

E1 Operational Cost

Field Visits

99.94

86

Office Expenses

Broad Band expenses

Outbreak investigations including Collection and Transport of samples

Review Meetings

Any other expenditure

Sub Total 99.94 86

E 1.2 Laboratory Support

District Priority Lab- 1 lab. The State has proposed only Recurring cost for this lab.

1X4.00

4.00

4.00

Referral Network Lab

20

15(3X 5)

District public health lab equipment

89.5 (5 X 17.9)

35.8 (2 X 17.9)

District public health lab manpower

24.3 (5X0.81X6)

9.72 (2X0.81X6)

Remuneration for staff at priority labs has been approved for 6 months initially.

District public health lab consumables

24.65 (5 X 4.93)

8 (2 X 4)

Sub Total 162.45 72.52

E.2 Human Resources

E.2.1 Remuneration of Epidemiologists

State Epidemiologists

4.8 (0.8x1x6)

3.3 (0.55x1x6)

Remunerations for vacant positions are calculated for 6 months

Remunerations

for the posts of

Epidemiologist,

District Epidemiologists

64.8 (0.4x27x6)

64.8 (0.4x27x6)

E.2.2 Remuneration of Microbiologists

State Microbiologist

3.0 (0.25x1x12)

3.0 (0.25x1x12)


FMR Code


state

Amount Approved

Remarks

District Microbiologist at 1 District Priority Lab

2.4 (0.4X1X6)

2.4 (0.4X1X6)

microbiologist

and Consultant

training, for

candidates with

medical

qualifications

should be more,

than those

without medical

qualification

E.2.3 Remuneration of Entomologists

1.5 (0.25x1x6)

1.5 (0.25x1x6)

Veterinary Consultant 2.4 (0.4x1x6)

2.4 (0.4x1x6)

E.3 Consultant-Finance/ Procurement

1.68 (0.14x1x12)

1.68 (0.14x1x12)

E.3.1 Consultant-Training/ Technical

3.6

(0.40x1x9)

2.4

(0.40x1x6)

E.3.2 Data Manager State Data Manager

4.2 (0.35X1X12)

2.4 (0.20X1X12)

District Data Manager

97.2

(0.30X27X12)

58.32 (0.18X27X12)

E.3.3 Data Entry Operator 61.38 (0.165 X 31 X

12 )

55.8 (0.15 X 31 X

12 )

Sub Total 246.96 198

E.8 Training As per NRHM Guidelines

Medical Officers (3 days )

0.15 X 46 4.46 4.46 The training of Data manager and Data entry operator has already been conducted in 2012-13

One day training of Hospital Pharmacist / Nurses

0.215X 46 2.00 2.00

One day training of Medical College Doctors

0.309X 13 1.14 1.14

One day training for Data Entry and analysis for Block Health Team

0.15X 140

3.02 3.02

Lab technician (3 days) 0.215X 46 0.79 0.79

Data managers (2 days) 0.28 X 1 0.78 0

DEO cum accountant (2 days)

0.28 X 1 0.84 0

ANM 17.52 0


FMR Code


state

Amount Approved

Remarks

Sub Total 52.25 11.41

For each newly formed (Corporation as district) District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories.

E.7 ID Hospital Network

* Surveillance in Metro Cities

* New formed Districts 0.20X 11 2.2 0

Grand Total for IDSP 540.06 367.93

Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under

IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norm, the

budget for State could be increased at RE stage.


NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

Physical Targets:

Sr. No.

Indicator 2011 2012 2013 Remarks

1 Annual Blood Examinate Rate (ABER) i.e. persons screened annually for Malaria

13.57% 13.33% >15% Kawardah district needs improvement in surveillance so that the ABER of 15% is achieved

2 Annual Parasite Incidence (API) i.e. Malaria cases per 1000 population annually

5.39 4.43 <2 8 districts namely Kondagaon (19.15), Bijapur (16.59), Dantewada (31.79), Sukma (37.21), Jashpur (14.25), Korba (17.40), Korea (13.53) and Narayanpur (14.42) reported >10 API in 2012. To achieve the target a special focus is to be given to these districts.

3 Sentinel Surveillance Hospital made functional for Dengue & Chikungunya

2 2 2 The functionality to be sustained & ensured and should be monitored by their regular reports

4 Sentinel Surveillance Hospital made functional for JE

5 out of 6

6 out of 9

9 out of 9

Sustaining mf rate less than 1%

Priority areas for focused attention:

1. The districts Kondagaon, Bijapur, Dantewada, Sukma, Jashpur, Korba, Korea and Narayanpur need

to be focussed for micro level monitoring to reduce API.

2. Mf rate is most crucial parameter and should be done under proper supervision. This night survey

should be done by experts technicians by involving state, district/PHCs, NIMR field station and

regional office (GoI) at RLTRI

Essential Conditionality:

Sr. No.

Post Sanctioned In position

Vacant Target for 2013-14

1 MPW contractual 1144 871 273 Process to be initited and

recruitment to be made under

intimation to Directorate

NVBDCP

2 Lab Technicians 48 20 28

3 MTS/VBD Technical Supervisors

96 34 62


4 Two review meetings in a year to be conducted under the Chairpersonship of Principle

Secretary (Health)/ Mission Director - one before transmission period and second during

transmission period

Desirable Conditionality

Sr. No.

Post Sanctioned In position

Vacant Target for 2013-14

1 DMO/DVBDO 27 0 27 Crucial post and must be filled

up

2 Lab Technicians 761 375 386

Process to be initited and

recruitment to be made under

intimation to Directorate

NVBDCP

3 Multi Purpose Health Supervisor

929 540 389

4 Multi Purpose Health Assistant ot Multi purpose worker

4918 2531 2387

District wise goals (to be done by the State)

Goal ABER API Deaths Mf rate

2013-14 2013-14 2013-14 2013-14

Road Map

Surveillance & monitoring under NVBDCP is done throughout the year. The following salient points are

to monitor the implementation of programme activities in different quarters.

• April to June

1st round spray & anti-malaria month observance to be ensured

• July to Sept.

2nd round spray and observance of anti-dengue month. Preparatory activities for observance of

Mass Drug Administration in some districts and MDA stoppage towards filaria elimination to be

started

• Oct. to Dec.

Review and monitor physical and financial performance and preparation of next annual plan.

• Jan. to March

Consolidation of previous year's physical and financial achievement and plan for next year.


DETAILED BUDGET: NVBDCP

S. No. Component (Sub-

Component)

Amount proposed in PIP

-2013-14

Amount approved as per BE 2013-14

Remarks

F.1 Domestic Budget Support (DBS)

F.1.1 Malaria

F.1.1.a Contractual Payments

F.1.1.a.i MPW contractual 823.68 295

Activity approved but funds will be enhanced at RE stage.

F.1.1.a.ii Lab Technicians ( against vacancy)

42.6 0

New activity, due to funds constraint it can not be approved

F.1.1.a.iii VBD Technical Supervisor (one for each block)

28.05 0

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

0

Data Entry Operator one per district (Non-project states)

6.07 0

F.1.1.a.v

State Consultant (Non – Project States),

0

M&E Consultant (Medical Graduate with PH qualification)

0

- VBD Consultant (preferably entomologist)

0

F.1.1.b ASHA Incentive 63 45

F.1.1.c Operational Cost

F.1.1.c.i Spray Wages 0

F.1.1.c.ii Operational cost for IRS 55.2 0

F.1.1.c.iii Impregnation of Bed nets- for NE states

0

F.1.1.d

Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

66.9 30

State has asked in F.1.1.e and F.1.1.f.i, hence it is reflected here



Component)


-2013-14


Remarks

F.1.1.e IEC/BCC 78.35

20

F.1.1.f PPP / NGO and Intersectoral Convergence

12 State has asked in F.1.1.m

F.1.1.g Training / Capacity Building

5.6 5 State has asked in F.1.1.i

F.1.1.h Zonal Entomological units

22.92 0

F.1.1.i

Biological and Environmental Management through VHSC

10.3 5


F.1.1.j Larvivorous Fish support 0

F.1.1.k Construction and maintenance of Hatcheries

0

F.1.1.l

Any other Activities (Pl. specify)

273.06 0

NVBDCP-DBS-Urban Malaria-HR-Field worker, NVBDCP-DBS-Urban MalariaOperational Cost purchase, NVBDCP-DBS-LLIN (Godown charges) state & transportation, NVBDCP-DBS-HR-State level-Entomologist, Training Consultant,

Programme Associate-procurement, finance, Accountant, GIS DEO, Secretarial, Division IC, District Programme Associate- VBD consultant, MTS all the bolck of 96 Blocks (Including pf-)

Total Malaria (DBS)

1487.73 400



Component)


-2013-14


Remarks

F.1.2 Dengue & Chikungunya

F.1.2.a Strengthening surveillance (As per GOI approval)

F.1.2.a(i) Apex Referral Labs recurrent

F.1.2.a(ii) Sentinel surveillance Hospital recurrent

2 2

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs

20

F.1.2.b

Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)

F.1.2.c Monitoring/supervision and Rapid response

8.4 5

Can also be used for other VBD.

F.1.2.d Epidemic preparedness 39 4.5

F.1.2.e Case management 18 10

F.1.2.f Vector Control & environmental management

0 3

F.1.2.g IEC BCC for Social Mobilization

30 9

F.1.2.h Inter-sectoral convergence

1.8 0.5

F.1.2.i

Training & printing of guidelines, formats etc. including operational research

3.6 3.5

Total Dengue/Chikungunya

122.8 37.5

F.1.3 AES/JE

F.1.3.a

Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI

0 0



Component)


-2013-14


Remarks

F.1.3.b IEC/BCC specific to J.E. in endemic areas

F.1.3.c Capacity Building

F.1.3.d Monitoring and supervision

F.1.3.e Procurement of Insecticides (Technical Malathion)

F.1.3.f Fogging Machine

F.1.3.g Operational costs for malathion fogging

F.1.3.h Operational Research

F.1.3.i Rehabilitation Setup for selected endemic districts

F.1.3.j ICU Establishment in endemic districts

F.1.3.k ASHA Insentivization for sensitizing community

F.1.3.l

Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter

F.1.3.m Establishing district counseling centre

Total AES/JE 0 0

F.1.4 Lymphatic Filariasis

F.1.4.a

State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management,

70.87 28.54



Component)


-2013-14


Remarks

monitoring & supervision and mobility support for Rapid Response Team and contingency support

F.1.4.b Microfilaria Survey 4.45 4.5

F.1.4.c

Post MDA assessment by medical colleges (Govt. & private)/ICMR institutions

2.4 1.35

F.1.4.d

Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

80.15 42.15

F.1.4.e

Specific IEC/BCC at state,district, PHC, Sub-centre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA

35.2 14.3

F.1.4.f

Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA

138.92 35.2

F.1.4.g

Verification and validation for stoppage of MDA in LF endemic districts

F.1.4.g.i a) Additional MF Survey for 3 districts

0 2.1 Out of 9 districts, 3 districts

F.1.4.g.ii b) ICT Survey for 3 districts

4.5

qualified for TAS, hence state should plan within six months

F.1.4.g.iii c) ICT Cost for 3 districts 15

F.1.4.h Verification of LF endemicity in non-endemic districts

F.1.4.h.i a) LY & Hy Survey in non-endemic district



Component)


-2013-14


Remarks

F.1.4.h.ii b) Mf Survey in Non- endemic distt

F.1.4.h.iii c) ICT survey

F.1.4.i Post-MDA surveillance

Total Lymphatic Filariasis

331.99 147.64

F.1.5 Kala-azar

F.1.5 Case search/ Camp Approach

Not Applicable 0

F.1.5.a Spray Pumps & accessories

F.1.5.b Operational cost for spray including spray wages

F.1.5.c Mobility/POL/supervision

F.1.5.d Monitoring & Evaluation

F.1.5.e Training for spraying

F.1.5.f IEC/ BCC/ Advocacy

Total Kala-azar 0 0

Total (DBS) 1942.52 585.14

F.2 Externally aided component

F.2.a World Bank support for Malaria (Identified state)

F.2.b Human Resource 278.39

200

Can be increased at RE stage based on physical and financial proposal

F.2.c Training /Capacity building

27.6

F.2.d Mobility support for Monitoring Supervision & Evaluation including

47



Component)


-2013-14


Remarks

printing of format & review meetings, Reporting format (for printing formats)

Kala-azar World Bank assisted Project

F.2.e Human resource

Not Applicable Not Applicable

F.2.f Capacity building

F.2.g Mobility

F.3 GFATM support for Malaria (NEStates)

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


F.3.b Training/Capacity Building

F.3.c

Planning and Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

F.3.d

Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings,

F.3.e IEC / BCC activities as per the project

F.3.f

Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

Total : EAC component 352.99 200

F.4 Any Other Items ( Please Specify)

0 0



Component)


-2013-14


Remarks

F.5

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

0 0

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

2295.51 785.14

F.6 Cash grant for decentralized commodities

F.6.a Chloroquine phosphate tablets

120

100

Approved however, funds will be released within available budget. The gap may be met from flexi fund to avoid any shortage of drug and diagnostics. The procurement procedure for anti-malarial and anti-filarial drugs may be initiated in 1st quarter of current financial year so as to ensure its availability in time.

F.6.b Primaquine tablets 7.5 mg

4.37

F.6.c Primaquine tablets 2.5 mg

1.35

F.6.d Quinine sulphate tablets 0

F.6.e Quinine Injections 4.8

F.6.f DEC 100 mg tablets 71.08

F.6.g Albendazole 400 mg tablets

0

F.6.h Dengue NS1 antigen kit 4.8

F.6.i Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water)

1.45

F.6.j Pyrethrum extract 2% for spare spray

10

F.6.k ACT ( For Non Project states)

114.82

F.6.l RDT Malaria – bi-valent (For Non Project states)

F.6.m

Any Other Items ( Please Specify)

139.74 NVBDCP-Arteether Injection, Deltamethrine, Suprey PUMP (purchase ,repair,for fogging



Component)


-2013-14


Remarks

pump), LLIN, New Microscope, Lancet, Slide, Swab & Laboratory Reagents.

Total grant for decentralized commodities

472.41 100

Grand Total for grant-in-aid under NVBDCP

2767.92 885.14

Commodity Grants 3718 2160.68

Total NVBDCP Cash + Commodity

6485.92 3045.82

NRHM Additionality

1 NVBDCP- RDT kits 419 0 May be met from Village Health senitation committee or flexi fund.

2 NVBDCP-DBS-Malaria-Spray wages

489.38 0

3 NVBDCP-Synthetic Pyrethroid (Alphacypermethrin 5%)

147 0

4 NVBDCP-DBS-Malara-HR-Driver for State Programme unit

2.7 0

5 NVBDCP-Malaria Offic Expenses including contingency

32 0

6 NVBDCP- Malaria-Support to Sentinel sites (incentives to SSLT)

6 0

7 NVBDCP-Support to State Office-Office Attendant(STATE)

1.68 0

Total of NRHM Additionality

1097.76 0


NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

State specific Goals and Targets for the year 2013-14

S.No Goals & Target September'13 March 2014

1 Elimination at District level NA 2

2 Case detection through ASHA 1000 2000

3 Special activity plan in blocks 0 0

4 MCR footwear procurement &

supply 600 1200

5 RCS 100 200

6 Development of leprosy expertise 50% of Plan 100% of Plan

7 Treatment Completion Rate

assessment for the year 2013-14 Completed -

8 Audited Report for the year 2013-14 Completed -

9 Expenditure incurred against

approved plan budget 50% 100%

NA: Not Applicable


DETAILED BUDGET: NLEP

Activity proposed

Unit Unit Cost (In Rupees)

Physical Targets

Amount proposed

(Rs. in lakh)

Amount approved

(Rs. in lakh)

Remarks

G1.Case detection & Management

1.1 Specific -plan for High Endemic Districts

Block 75,000 0.00

1.2 Services in Urban Areas

Town - Med I - Med II- Mega-

Town - 114,000 Med I -

2,40,000 Med II-

4,72,000 Mega-560000

07 05 05 00

7.98 12.00 23.60 00.00

7.98 12.00 23.60 00.00

1.3. ASHA Involvement

Sensitization 100 - - -

*Incentive to ASHA

Detection

250 2000 5.00 5.00

PB 400 1000 6.00 4.00

MB 600 1000 10.00 6.00

1.4 Material & Supplies

Supportive drugs, lab. reagents & equipments and printing works District

68,000

27 16.20 16.20

1.5 NGO Schemes No.

600000 1 6.00 6.00

G2. DPMR

MCR footwear, Aids and appliances, Welfare allowance to leprosy patients for RCS, Support to govt. institutions for RCS

MCR Footwear- 300/- Aids/Appliance -17000 Welfare/RCS - 8000 At Institute - 5000 At camps - 10000

1200 27

200 200

3.6 0.81

16.00 10.00

3.6 0.81

16.00 10.00


Activity proposed


Physical Targets

Amount proposed

(Rs. in lakh)

Amount approved

(Rs. in lakh)

Remarks

G3. **IEC/BCC

Mass media, Outdoor media, Rural media, Advocacy media

District

98,000 27 26.46 26.46

G4. Human Resource & Capacity building

State specific

reuirements & rates ***4.1 Capacity

building No. of

batch

MO 89,000 25 22.25 22.25

HW 71,000 25 17.75 17.75

PT 50,600 1 0.51 0.51

DNT 71,000 3 2.13 2.13

4.2. Human Resource on contract

****4.2.1. Contractual Staff at State level

SMO 1 40000 7.20 4.80

BFO cum Admn. Officer

1 30,000 5.40 3.60

Admn. Asstt. 1 16000 2.40 1.92

DEO 1 12000 2.16 1.44

Driver 1 11000 1.32 1.32

#District Leporsy Consultant

30000 0 32.4

#Physiotherapist 25000 20.00 27.00

4.2.3. Special Provision for selected States

NMS No. 25000 - -

4.2.4. Staff for blocks

#PMW No. 16000 93 133.92

G5. Programme Management

5.1. Travel Cost


Activity proposed


Physical Targets

Amount proposed

(Rs. in lakh)

Amount approved

(Rs. in lakh)

Remarks

Contractual Staff at State level

1.00 1.00

Contractual Staff at District level

25000 6.75 6.75

5.2 Review meetings

4 20000 to 50000

1.00 1.00

5.3 Office Operation & Maintenance

Office operation - State Cell

1 75000 0.75 0.75

Office operation - District Cell

No. 35000 9.45 9.45

Office equipment maint. State

1 50000 0.50 0.50

5.4 Consumables

State Cell 1 50000 0.50 0.50

District Cell No. 30000 8.10 8.10

5.5 Mobility Support

State Cell 2 200000 4.00 4.00

District Cell 1 150000 60.75 40.50

G6. Others Essential requiremen

t Travel expenses for regular staff for specific programme / training need, awards etc

TOTAL of NLEP 317.57 459.24


REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)

Targets S.No

Indicators 2012 2013-14

1 Case detection rate 53% 70%

2 Treatment success rate 89% 90%

3 MDR TB treatment success rate 60-70%

4 Treatment success rate among new TB patients

tribal districts and Poor and Backward districts 88%

5 Number of cases to be put on treatment

Increasing

trend

6 Default rate among new TB cases <5%

7 Proportion of estimated incident TB cases notified 80%

8 Proportion of TB patients with known HIV status. 90%

9 Proportion of microscopy centres using LED

microscopes 9%

10 Proportion of districts TU aligned at block levels

with health systems 25%

11 Proportion of Key RNTCP staff in place as per

approved ROP 90%

12 Proportion of Key RNTCP staff trained as per

approved ROP 90%

13 Proportion of TB patients treated under RNTCP by

a community DOT provider 50%

14 Proportion of pediatric cases diagnosed out of new

cases 8%

Action points for the State under RNTCP during FY 2013-14:

All the approved Key RNTCP contractual staff positions at State/Districts should be filled and

ensuring timely payment of salaries.

All the approved new position will be recruited by September 2013.

The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director

(NRHM) at least once in a quarter

To conduct State TB control society meeting, State Coordination committee meeting (TBHIV) at

least once in a quarter.


To ensure that District TB Control society meeting and District Coordination committee meetings

are conducted in the districts at least once in a quarter

Scaling up of DOTS Plus services as per the State DOTS Plus action plan

Conduct ACSM/Training activities at State/Districts as per the State annual action plan.

To involve Private Practitioners and NGOs in the RNTCP

Submission of SOE and UC as per the time lines communicated by MoHFW/CTD.

Timely payment of DOT Providers honorarium at districts.

DETAILED BUDGET: RNTCP

S.No Category of Expenditure

Unit cost Physical target /expected output

Amount Proposed

Amount Approved

Remarks

I.1 Civil works As per Revised Norms and Basis of Costing for RNTCP

1) Civil work Up gradation and maintenance completed as planned

351.75 246.22 Approval is

being given

for 9 DTC , 1

C&DST lab,

20 TUs and

38 DMCs

I.2 Laboratory materials

As per Revised Norms and Basis of Costing for RNTCP

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

88.15 79.33 90%

approved.

I.3 Honorarium As per Revised Norms and Basis of Costing for RNTCP

1) All eligible Community DOT Providers are paid honorarium in all districts in the FY

52.42 47.18 90%

approved.

I.4 ACSM As per Revised Norms and Basis of Costing for RNTCP

1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case

73.33 50.00 Includes the

Salary of

State ACSM

officer.




Amount Proposed

Amount Approved

Remarks

detection and improved case holding;

I.5 Equipment maintenance


1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition

24.16 19.32 80%

approved.

I.6 Training As per Revised Norms and Basis of Costing for RNTCP

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

87.78 52.66 60%

approved

I.7 Vehicle maintenance/ operation


1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained;

132.06 71.47 As per norms.

For new

position

operation

cost is

approved for

6 months.

I.8 Vehicle hiring


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

220.83 154.58 70%

approved

I.9 NGO/PP support


1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT

125.88 113.29 90%

approved.




Amount Proposed

Amount Approved

Remarks

I.10 Medical College


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

62.26 52.80 Includes 15

lakhs for the

ZTF meeting.

I.11 Office Operation


1) All activities proposed under miscellaneous head in PIP completed

44.63 35.70 80%

approved.

I.12 Contractual services


1) All contractual staff appointed and paid regularly as planned

1092.15 873.72 80%

approved

I.13 Printing As per Revised Norms and Basis of Costing for RNTCP

1) All printing activities at state and district level completed as planned

57.36 40.15 70%

approved

I.14 Research and studies


1) Proposed Research has been initiated or completed in the FY as planned

3.00 2.40 80%

approved

1.15 Procurement of drugs

0 0

I.16 Procurement –vehicles


1) Procurement of vehicles completed as planned

109.00 98.10 90%

approved

I.17 Procurement- Equipments


1)Procurement of equipments completed as planned

289.00000 238.1000

0

Hand held

devise has

not been

approved as

these will be

procured at

central level.

I.18 Patient support & Transportation


Payment of transportation charges to patients

16.00 11.20 70%

approved




Amount Proposed

Amount Approved

Remarks

I.19 Supervision & Monitoring


Number of evaluation and review meeting done by state

50.00 40.00 80%

approved.

Subtotal 2879.79 2226.29

Disease control Flexi pool fund

106.72 65.56 Disapproved

activities are:

Generator for

STDC ; Diesel

for generator

at IRL and

DOTS plus

site

TOTAL of RNTCP

2986.51 2291.85


ANNEXURES


ANNEX 1

RCH FLEXIBLE POOL


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.1 MATERNAL HEALTH

A.1.1 Operationalise Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planning-identifying priority facilities,etc)

0.00 0.00 0.00

A.1.1.1 Operationalise FRUs (Blood bank/BSU - Operational cost)

0.00

A.1.1.2 Operationalise 24x7 PHCs

0.00

A.1.1.3 Operationalise Safe abortion services (including MVA/ EVA and medical abortion)at health facilities

0.00

A.1.1.4 Operationalise RTI/STI services at health facilities

0.00

A.1.1.5 Operationalise sub-centres

0.00

A.1.2 Referral Transport 0.00

A.1.3 Integrated outreach RCH services (state should focus on facility based services and

72.00 72.00 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

outreach camps to be restricted only to areas without functional health facilities)

A. 1.3.1.

Oureach camps 8000 900 72.00 72.00 Approved as following:

Rs 300 incentive to lady doctors

Rs. 100 for LTs

Rs 100 for LTs & Rs.400 to lady doctors towards mobility support

A.1.3.2. Monthly Village Health and Nutrition Days

168512 0.00

A.1.4. Janani Suraksha Yojana / JSY

403000 6400 7087.50 7087.50

A.1.4.1 Home deliveries 50000 500 250.00 250.00 Approved

A.1.4.2 Institutional deliveries

353000 5900 4605.00 4605.00

A.1.4.2.a

Rural 250000 1400 3500.00 3500.00 Approved

A.1.4.2.b

Urban 100000 1000 1000.00 1000.00 Approved

A.1.4.2.c

C-sections 3000 3500 105.00 105.00 Approved as per last year’s approval subject to condition that the approval is only meant for 8 Missionary Hospitals in naxalite affected areas. Rs. 3500/ per delivery includes C-section cost, and complete cashless delivery (diet, consumables, drugs etc.)

A.1.4.3 Administrative Expenses

332.50 332.50 Approved @ 5 % of JSY expenses



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.1.4.4 Incentives to ASHA 1900.00 1900.00 Approved as Rs.600/rural case and Rs. 400/urban cases for 250000 rural cases and 100000 urban cases

A.1.5 Maternal Death Review (both in institutions and community)

500 500 2.50 2.50 Approved. Rs.500 includes Rs.300 as incentive and Rs.200 for other activity.


4969 244330 124.35 55.07 0.00

A.1.6.1 MH -Other Activities- HIV Positive Normal Deliveries - Incentive to Medical Team for HIV Positive NDs

1048 2500 26.20

8.00

Approved as following: Rs 5 Lakhs for ND @ Rs 1000/- for 500 NDs and Rs 3 Lakhs for C-Sections @ Rs 1500/- for 200 C-Sections

A.1.6.2 MH - Other Activities - for High Risk Pregnancy - HIV Positive C-Section Deliveries - Incentive to Medical Team

500 5000 25.00

A.1.6.3 MH - Other Activities - for High Risk Pregnancy - Other - Incentives to ANM for C - Section (Hard to Reach Area)

324 2000 6.48 6.00 Approved for expected 2000 high risk referrals for which incentives to ANM Rs 100 and ASHA Rs 200 for accompanying woman. Approval strictly for hard to reach areas in high focus districts at or below sub district level.

A.1.6.4 MH - Other Activities- for High Risk Pregnency

2 5000 0.10 0.10 Approved

A.1.6.5 Indemnity Insurance for EMoC and LSAS

82 1850 1.52 1.52 Approved



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.1.6.6 Incentive for LSAS and CEmONC trained doctors

20.08 20.08 Lumpsum approved. 47 LSAS and 35 CEmONC trained doctors will be given fixed incentive @Rs. 2000 after performing at least three C-sections/month and any additional c-section thereafter in a month will be paid @ Rs. 400/C-section /LSAS and CEmONC doctors.

A.1.6.7 LSAS CEmONC Doctors performance review

2 5000 0.10 0.10 Approved subject to State sharing the outcome of the meetings with MoHFW.

A.1.6.8 Supportive supervision of SBA trained by MO/RMA

3000 400 12.00 12.00 Approved

A.1.6.9 Strengthening of Maternal health Programme

25.60 5.40 2 MH Consultants are approved subject to State sharing their ToRs and all consultants should be IT savy. Approved @ Rs 45,000 per month for 6 months. Consultants will regularly move in the field as per their ToRs. Mobility support is already approved under mobility support plan seaparately. OneProgramme Associate is not approved. All Consultants to be IT savy and basic IT skills should be part of their ToRs.

A.1.6.10

Support staff for Medical Colleges and one Secot Nine Hospital , Bhilai

4 135000 5.40 0.00 Not approved

A.1.6.11

MTP Training -Staff Nurse

1 67580 0.68 0.68 Approved



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.1.6.12

MTP Refresher Training

6 20000 1.20 1.20 Approved

A.1.6.13

0.00

A.1.6.14

0.00

A.1.6.15

0.00

A.1.7 JSSK- Janani Shishu Surakhsha Karyakram

1205112 60800 3545.70 3821.70 0.00

A.1.7.1 Drugs and consumables

301000 300 1087.50 1279.50 Approved: Rs 1039.5 Lakhs for 297000 NDs @ Rs 350/ND and Rs 240 Lakhs for 15000 C-sections @ Rs 1600/C-section

A.1.7.2 Diagnostic 301000 200 602.00 602.00 Approved

A.1.7.3 Blood Transfusion 3000 300 9.00 9.00 Approved

A.1.7.4 Diet (3 days for Normal Delivery and 7 days for Caesarean)

300000 912.00 996.00 Approved: Rs 891 Lakhs for diet of 3 days @ Rs.100/day for 297000 NDs and Rs 105 Lakhs for diet for 7 days @RS.100/day for 15000 C-sections


300000 912.00 912.00 Approved @ Rs. 300/ for 297000 NDs and Rs. 700/ for 3000 C-Sections. State has to ensure provision of all the three types of referral (home to facility, interfacility and drop back facility)

A.1.7.6 Other JSSK activity 112 60000 23.20 23.20 0.00

A.1.7.6.1

State level Review Meeting

4 40000 1.60 1.60 Approved



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.1.7.6.2

District level Review Meeting

108 20000 21.60 21.60 Approved

A.1.7.6.3

Block Level Review Meetings

0.00 Approved

Sub-total Maternal Health (excluding

JSY)

3744.55 3951.27 #VALUE!

Sub-total JSY 7087.50 7087.50 #VALUE!

A.2. CHILD HEALTH 1625.51 1053.40 #VALUE!

A.2.1 IMNCI (including F-IMNCI; primarily budget for planning for pre-serviceIMNCI activities in medical colleges, nursing colleges, and ANMTCs)

50000 15.00 15.00 Approved for 4 new IMNCI training sites @ Rs.3.00 lakhs/ site (Rs.12 lakhs) and Rs.3 lakhs for formats & registers across all sites.

A.2.2 Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructure, procurement, training,IEC etc.) e.g.operating cost rent,electricity etc. imprest money

8 1000000

228.60 228.60 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.2.2.1 SNCU 8 1000000

126.00 126.00 Approved as following: 5 operational units @ Rs.10 Lakhs /unit 7 units under progress @Rs.5 Lakhs /unit and Rs. 41 lakhs for new unit at Raipur

A.2.2.2 NBSU 49.00 49.00 Approved as following: 10 functional NBSUs @ Rs.1.75 Lakhs/NBSU and 36 NBSUs under progress @Rs. 87500 /NBSU

A.2.2.3 NBCC 53.60 53.60 Approved as following: @Rs. 20000/per annum for 156 NBCCs and @ Rs.10,000 (for 6 months) for 224 NBCCs

A.2.3 Home Based Newborn Care/HBNC

4 50000 2.00 2.00 Approved for half yearly review meeting cum workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand divisions) @ Rs.50000/meeting cum workshop

A.2.4 Infant and Young Child Feeding/IYCF

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.2.5 Care of Sick Children and Severe Malnutrition (e.g. NRCs, CDNCs etc.)

75 706.24 451.30 Approved ONLY for 61 NRCs as following: 10,000 children x Rs. 100 for food x 15 days 10,000 mothers x 15 days x Rs. 150 (wage compensation) Pharmacy charges 5000 x Rs. 60 x 12 Contingency 1500 x 12 x Rs.60 ASHA incentive for referral & follow up 5000 x Rs.250 Referral transport for severely ill children 2500 x Rs. 500 Rs. 2.5 lakhs for 1 new unit in Sarguja and Rs. 2.00 lakhs for review Concurrent monitoring may be done by State Lead Development Partners and SPMU. Consultants proposed for NRC cell must be part of the CH team. Rs. 334.8 lakhs is for NRC HR, approved under relevant budget head.

A.2.6 Management of diarrhoea & ARI & micronutrient malnutrition

27 50000 75.42 15.00 Approved for following trainings. Trainings to include ARI component as well and State to conduct training as per revsied national guidelines. State Level ToT for District Child Health Nodal Officers and Pediatrician:3 batches @ Rs.50,000/batch District Level Training for Block Medical Officers and One Medical Officer: 27 batches @ Rs.50000/batch



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS


36.20 36.20 Approved for mobility support for 2 rounds SSM @ Rs.18.10 lakhs/round

A.2.8 Infant Death Audit 1 27.72 25.72 Approved as following: IDA of institutional 5000 deaths @ Rs 500/death 2 half yearly meetings at State level @ Rs. 25,000/meeting Printing of reporting formats @ Rs. 2/format for 10795 formats Another 15.47 budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit.

A.2.9 Incentive to ASHA under child health

0.00 0.00 0.00

A.2.10 JSSK (for Sick neonates up to 30 days)

75825 1500 308.25 247.50 0.00

A.2.10.1

Drugs & Consumables (other than reflected in Procurement)

30000 200 60.00 60.00 Approved

A.2.10.2

Diagnostics 30000 300 90.00 30.00 Approved @ Rs.100/case.

A.2.10.3

Free Referral Transport

15825 1000 158.25 157.50 Approved: Rs 150 Lakhs for to and fro (home to facility and drop back) @Rs 500/ neonate for 30,000 sick neonates and Rs 7.50 Lakhs for interfacility referral transport @Rs 250/-neonate for 3000 seriously ill neonates



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

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

22 627000 226.08 32.08 0.00

A.2.11.1

FBNC Assessment 4 27000 1.08 1.08 Approved

A.2.11.2

power audit of SNCU

6 350000 21.00 21.00 Approved

A.2.11.3

Corrective measures of power audit findings

12 250000 30.00 10.00 Approved for 4 units: Bilaspur, Dhamtari, Kawardha, Mahasamand @ Rs 250000/-

A.2.11.4

Child health Cell 174.00 0.00 APPROVAL PENDED

A.2.11.5

0.00

Sub-total Child Health

1625.51 1053.40 #VALUE!

A.3 FAMILY PLANNING 3543.32 2207.80 #VALUE!

A.3.1 Terminal/Limiting Methods

1933.00 1863.50 0.00

A.3.1.1 Orientation workshop,dissemination of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting

6 50000 3.00 3.00 Approved



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.3.1.2 Female sterilisation camps

720 15000 108.00 54.00 Approved @ Rs. 7500/camp

A.3.1.3 NSV camps 60 35000 21.00 6.00 Approved @ Rs. 10000/camp

A.3.1.4 Compensation for female sterilisation

151200 1000 1512.00 1512.00 Approved

A.3.1.5 Compensation for male sterilization/NSV Acceptance

19200 1500 288.00 288.00 Approved

A.3.1.6 Accreditation of private providers to provide sterilisation services

20 5000 1.00 0.50 Approved @ Rs. 2500/visit

A.3.2 Spacing Methods 175372 11095 115.50 39.30 0.00

A.3.2.1 IUD camps 360 500 1.80 1.80 Approved

A.3.2.2 IUD services at health facilities (including fixed day services at SHC and PHC)

150000 20 30.00 37.50 Approved. Budget from A.3.2.3 has also been shifted to this head

A.3.2.2.1

PPIUCD services 15000 500 75.00 0.00 Not Approved. Drop back to mothers is already being provided under JSSK.

A.3.2.3 Accreditation of private providers to provide IUD insertion services

10000 75 7.50 0.00 Shifted to A.3.2.2.

A.3.2.4 Social Marketing of contraceptives (includng delivery of contraceptive by ASHA at door step)

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.3.2.5 Contraceptive Update seminars

12 10000 1.20 0.00 Not approved (the budget head and activity do not match)

A.3.3 POL for Family Planning/ Others (including additional mobilty support to surgeon's team if req)

2000 2000 40.00 40.00 Approved

A.3.4 Repairs of Laparoscopes

20 100000 20.00 5.00 Approved @ Rs. 25000/laparoscope for 20 laparoscopes

A.3.5 Other strategies/activities (please specify):

331045 26000 1434.82 260.00 0.00

A.3.5.1 Monitor progress and quality,QAC meetings /review of sterilization failures etc.

20 5000 1.00 5.00 Approved for: 2 State level meetings @ Rs. 10000/meeting and 4 Distt. level meetings @ Rs.5000/district. Approval has been given strictly for QAC meetings only.

A.3.5.2 Performance reward if any

25 20000 5.00 5.00 Approved but State to note that no cash awards are permissible.

A.3.5.3 World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities

Two rounds

299.20 200.00 Approved for 2 rounds of WPD @ Rs 100 lakhs/round.

A.3.5.4 Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.)

331000 1000 1129.62 50.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.3.5.4.1

World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities (Family Planning Indemnity Scheme)

200.00 50.00 Not approved, repeat budgetting (A.3.5.3) Approved for Family Planning Indemnity Scheme instead of World Population Day which has already been budgeted at A.3.5.3.

A.3.5.4.2

State Family Planning Cell

165000 250 12.12 0.00 APPROVAL PENDED

A.3.5.4.3

Promotional scheme of FP ( Newly proposed)

500.00 0.00 Not approved. Budget for incentives approved in the appropriate head under MFP in FMR head B.1.1.3.3

A.3.5.4.4

Printing of PPIUCD registeres (Patient & Follow up)

1000 500 5.00 0.00 Shifted to MFP under FMR head B.10.2.3.2

A.3.5.4.5

Incentive to the Beneficiaries of PPIUCD

165000 250 412.50 0.00 Not approved

Sub-total Family Planning

(excluding Sterilisation

Compensation and NSV Camps)

1721.32 401.30 #VALUE!

Sub-total Sterilisation

Compensation and NSV Camps

1822.00 1806.50 #VALUE!

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

116.34 64.68 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.4.1 Adolescent health services

68.10 30.38 0.00

A.4.1.1 Disseminate ARSH guidelines.

23 20000 4.60 4.60 Approved

A.4.1.2 Establishment of new clinics at DH level

21 50000 10.50 10.50 Approved

A.4.1.3 Establishment of new clinics at CHC/PHC level

20 50000 10.00 10.00 Approved

A.4.1.4 Operating expenses for existing clinics

44 12000 5.28 5.28 Approved

A.4.1.5 Outreach activities including peer educators

5000 500 25.00 0.00 Not approved as State needs to provide details of activities proposed to be conducted through SHGs

A.4.1.6 Others 12.72 0.00

A.4.1.6.1

ARSH Cell 12.72 0.00 APPROVAL PENDED

A.4.1.6.2

0.00

A.4.2 School Health programme

0 0 13.94 0.00

A.4.2.1 Prepare and disseminate guidelines for School Health Programme.

0.00 0.00 Not approved as no programme component is proposed.

A.4.2.2 Prepare detailed operational plan for School Health Programme across districts (cost of plan meeting should be kept)

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.4.2.3 Mobility support 0.00

A.4.2.4 Referral support 0.00

A.4.2.5 Other strategies for school health

0 0 13.94 0.00

A.4.2.5.1

School Health Cell at State level

13.94 0.00 Not approved as no programme component is proposed, the proposed posts thereby are not justified.


140 260000 34.30 34.30

A.4.3.1 Mobility support for ARSH/ICTC counsellors

108 10000 10.80 10.80 Approved

A.4.3.2 Menstrual Hygiene (Sanitary napkin procurement to be booked under procurement)

5 200000 10.00 10.00 Approved for logistics and storage of sanitary napkins in the 5 selected districts.

A.4.3.3 WIFS actvity 27 50000 13.50 13.50 Approved

Sub-total ARSH 116.34 64.68

A.5 URBAN RCH (focus on Urban slums)

295.80 0.00

A.5.1 Identification of urban areas / mapping of urban slums and planning

A.5.2 HR for urban health including doctors, ANMs, Lab techs

295.80 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.5.2.1 Doctors/Mos 29 720000 208.80 0.00

Not approved. State will be asked to propose the same under NUHM.

A.5.2.5 Staff Nurse 29 180000 52.20 0.00

A.5.2.7 LT 29 120000 34.80 0.00

A.5.5 Others (pl specify) 0 0 0.00 0.00

Sub-total Urban Health

295.80 0.00

A.6. TRIBAL RCH 48.00 0.00

A.6.1 Special plans for tribal areas

16 300000 48.00 0.00 APPROVAL PENDED. State has neither given any details of camps nor provide the desired justification for 0% expenditure and/or scale up of camps.

A.6.2 HR for tribal areas ( in addition to normative HR)

0.00

A.6.3 Outreach activities 10000 0.00

A.6.4 Other Tribal RCH strategies/activities (please specify)

0 0 0.00 0.00

Sub-total Tribal Health

48.00 0.00

A.7 PNDT Activities 139.40 36.86



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.7.1 Support to PNDT cell

8.70 20.16 Calculation error by State. Approved for State level: One Doctor @ Rs. 50,000/- pm, One Consultant @ Rs. 40,000/- pm and One DEO @ Rs. 18,000/- pm 5 DEOs for five Districts @ Rs. 12,000/- pm.

A.7.3 Mobility support 11 20000 2.20 2.20 Approved

A.7.2 Other PNDT activities (please specify)

254 1276000

128.50 14.50

A.7.2.1 Orientation of programme managers and service providers

200 1000 2.00 2.00 Approved

A.7.2.2 Incentive for Informer

50 25000 12.50 12.50 Approved

A.7.2.3 On line form Submission

4 1250000


A.7.2.4 International Girl Child day celebration


Sub-total PNDT activities

0 0 139.40 36.86



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.8 Human Resources 9502.19 4285.57 As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Rational and equitable deployment of HR with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit and corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its continuation for the next six months would be contingent on compliance of the above four conditionalities. - From 1st October 2013, under NRHM funds for salary to contractual HR would be done only to

A.8.1 Contractual Staff & Services

5551 8812000

9502.19 4285.57



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

make payments to contractual staff over and above the sanctioned regular positions in the State. - It is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending.

A.8.1.1 ANMs,Supervisory Nurses, LHVs,

1882 1656000

1855.44 1090.62 0.00

A.8.1.1.1

ANMs 1381 288000 969.48 745.74 0.00

A.8.1.1.1.a

DH 0.00

A.8.1.1.1.b

FRUs 0.00

A.8.1.1.1.c

Non FRU SDH/ CHC 0.00

A.8.1.1.1.d

24 X 7 PHC 0.00

A.8.1.1.1.e

Non- 24 X 7 PHCs 69 72000 24.84

745.74

Approved @ Rs.9000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.1.f

Sub Centres 1290 144000 928.80

A.8.1.1.1.g

SNCU/ NBSU/NRC etc

0.00

A.8.1.1.1.h

Others 22 72000 15.84

A.8.1.1.2

Staff Nurses 479 1260000

862.20 344.88 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.8.1.1.2.a

DH 180000 0.00

A.8.1.1.2.b

FRUs 30 180000 54.00

344.88

Approved @ Rs.12000/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.2.c

Non FRU SDH/ CHC 10 180000 18.00

A.8.1.1.2.d

24 X 7 PHC 200 180000 360.00

A.8.1.1.2.e

Non- 24 X 7 PHCs 11 180000 19.80

A.8.1.1.2.f

SNCU/ NBSU/NRC etc

216 180000 388.80

A.8.1.1.2.g

Others 12 180000 21.60

A.8.1.1.3

LHVs/supervisory nurses

22 108000 23.76 0.00 0.00

A.8.1.1.3.a

DH 0.00

A.8.1.1.3.b

FRUs 0.00

A.8.1.1.3.c


A.8.1.1.3.d

24 X 7 PHC 0.00

A.8.1.1.3.e

Non- 24 X 7 PHCs 0.00

A.8.1.1.3.f

SNCU/ NBSU/NRC etc

0.00

A.8.1.1.3.g


A.8.1.2.1

Laboratory Technicians

257 432000 210.96 17.40 0.00

A.8.1.2.1.a

DH 27 72000 19.44

17.40

Approved for 29 LTs @ Rs. 10000/- per month. Approval is being granted for six months only and its

A.8.1.2.1.b

FRUs 45 72000 32.40



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.8.1.2.1.c

Non FRU SDH/ CHC 49 72000 35.28 continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.2.1.d

24 X 7 PHC 100 72000 72.00

A.8.1.2.1.e

Non- 24 X 7 PHCs 0.00

A.8.1.2.1.f

Others 36 144000 51.84

A.8.1.2.2

MPWs 16 72000 11.52

A.8.1.3 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC )

186 2940000

395.40 435.00 0.00

A.8.1.3.1

Obstetricians and Gynecologists

12 600000 72.00 72.00 0.00

A.8.1.3.1.b


A.8.1.3.1.c


A.8.1.3.2

Pediatricians 0 0 0.00 0.00 0.00

A.8.1.3.3

Anesthetists 12 600000 72.00 72.00 0.00

A.8.1.3.3.a

DH 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.8.1.3.3.b


A.8.1.3.4

Surgeons 4 600000 24.00 0.00 0.00

A.8.1.3.4.a

DH 4 600000 24.00 0.00 Not approved

A.8.1.3.5

Specialists for CH (Paediatrician etc) in SNCU,NBSU,NRC

12 600000 36.00 72.00 0.00

A.8.1.3.5.a

DH 12 600000 36.00 72.00 Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.3.7

Dental surgeons and dentists

146 540000 191.40 219.00 0.00

A.8.1.3.7.a

DH 0 0.00

A.8.1.3.7.b

FRUs 54 300000 81.00

219.00

Approved @Rs.25000/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.3.7.c

Non FRU SDH/ CHC 92 240000 110.40

A.8.1.5 Medical Officers 89 1080000

320.40 109.80 0.00

A.8.1.5.3

Non FRU SDH/ CHC 29 360000 104.40

109.80 Approved for 61 MOs @ Rs.30000/m including 32 Mos for SNCUs. Approval is being



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.8.1.5.4

24 X 7 PHC 0 0.00 granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.5.5


0 0.00

A.8.1.5.7

MOs for SNCU/ NBSU/NRC etc

48 360000 172.80

A.8.1.5.8

Other MOs 0.00

A.8.1.5.9

Others 12 360000 43.20

A.8.1.6 Additional Allowances/ Incentives to M.O.s

0.00

A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc

0.00

A.8.1.7.1

Pharmacist 22 432000 15.84 0.00 0.00

A.8.1.7.1.e

Non- 24 X 7 PHCs 72000 0.00

A.8.1.7.1.f


A.8.1.7.2

Radiographers 0 0 0.00 0.00 0.00

A.8.1.7.3

OT technicians/assitsants

84 528000 77.04 0.00 0.00

A.8.1.7.3.a

DH 27 144000 38.88

0.00 Not approved A.8.1.7.3.b

FRUs 45 144000 32.40

A.8.1.7.3.c

Non FRU SDH/ CHC 144000 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.8.1.7.3.d

24 X 7 PHC 0.00

A.8.1.7.3.e

Non- 24 X 7 PHCs 0.00

A.8.1.7.3.f

Other 12 96000 5.76

A.8.1.7.4

School health teams (Exclusively for SH)

0 0 0.00 0.00 0.00

A.8.1.7.5

Counsellors 158 360000 438.60 179.61 0.00

A.8.1.7.5.1

RMNCH/FP Counselors

108 120000 129.60 64.80 Approved @ Rs 10000/- per month for 108 RMNCH/FP counsellors. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.6

All Technical HR for State Specific Initiatives

0.00

A.8.1.7.7

Others (pl specify) 189.00 54.81 Approved for 63 Feeding demonstrators @ Rs.10000/m & 63 Cooks @ Rs.4500/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.8

Staff for Training Institutes/ SIHFW/ Nursing Training

50 240000 120.00 60.00 Approved for 50 BSc nursing tutors @ Rs.20000/m. Approval subject to: 1) Rational deploymnet of the faculty . 2) These HR will be posted in high priority districts.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

3) These faculty will be given 6 week induction training. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.9 Human Resources Development (Other than above)

945.71 354.24 Approved Provident Fund @ 12% for 6 months.

A.8.1.10

Other Incentives Schemes (Pl.Specify)

218 820000 1971.30 979.30 0.00

A.8.1.10.1

HR - Awards Etc. to Emoc

2 5000 0.10 0.10 Approved

A.8.1.10.2

HR - Awards Etc. to LSAS

2 5000 0.10 0.10 Approved

A.8.1.10.3

Chhattisgarh Rural Medical Corp ( CRMC)

1856.00 864.00 Approved. Approval is being granted for 6 months only and its continutation for the next six months would be contingent on compliance of the above mentioned conditionalities. Details in Annex CRMC

A.8.1.10.4

HR - Performance Based Incentives - DH

3 300000 9.00 9.00 Approved

A.8.1.10.5

HR - Performance Based Incentive - FRU- other than DH-Hospital Staff

3 200000 6.00 6.00 Approved

A.8.1.10.6

HR - Performance Based Incentive - Civil Dispensary Staff

2 100000 2.00 2.00 Approved

A.8.1.10.7

HR - Performance Based Incentive - Non FRU-CHC Staff

8 100000 8.00 8.00 Approved

A.8.1.1 HR - Performance 52 75000 39.00 39.00 Approved



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

0.8 Based Incentive - PHC Staff

A.8.1.10.9

HR - Performance Based Incentive - SHC Staff

146 35000 51.10 51.10 Approved

A.8.1.10.10

MCW - Minor Civil Works for Operationalization of 24 X7 PHCs (Labour Room)

0.00

A.8.1.11

Support Staff for Health Facilities

2639 492000 3259.98 1119.60 0.00

A.8.1.11.a

DH 193 42000 81.06 0.00 Not approved

A.8.1.11.b

FRUs 203 42000 85.26 0.00 Not approved

A.8.1.11.c

Non FRU SDH/ CHC 399 42000 167.58 0.00 Not approved

A.8.1.11.d

24 X 7 PHC 600 42000 252.00 0.00 Not approved

A.8.1.11.e

Non- 24 X 7 PHCs 1232 216000 2661.12 1108.80 Approved for 1232 RMAs @Rs.15000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.11.f

SNCU/ NBSU/ NBCC/ NRC etc

12 108000 12.96 10.80 Approved for Accountant cum DEOs @Rs. 15000/m for 12 units. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

Sub-total HR 9502.19 4285.57



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.9 TRAINING

A.9.1 Strengthening of existing Training Institutions (SIHFW, ANMTCs, etc.)

0.00

A.9.2 Development of training packages

78 520000 506.92 141.92 0.00

A.9.2.1 Development/ translation and duplication of training materials

75 20000 15.00 15.00 Approved for holding meetings to adopt the modules deveoped for nursing tutors.

A.9.2.2 Other activities (pl. specify)

3 500000 491.92 126.92 0.00

A.9.2.2.1

Development of Training mdules

3 500000 15.00 15.00 Approved for Induction training modules for MOs, SNs and LTs

A.9.2.2.2

Stregthening of existing training centres

200.00 0.00 Approval Pended. Not proposed as per the facility wise gap analysis and GoI Roadmap. State needs to do facility wise gap analysis and align with the GoI roadmap before submitting a comprehensive proposal

A.9.2.2.3

Stregthening SIHFW

165.00 0.00 APPROVAL PENDED. State needs to revise the proposal.

A.9.2.2.4

Establishment of Skill Lab

111.92 111.92 Approved subject to availability of these skill labs in the 100 bedded MCH Wings.


226 1190140

288.39 272.65


105 579605 129.84 114.10 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.9.3.1.1

Setting up of SBA Training Centres

3 200000 6.00 6.00 Approved for setting up 3 training centres @ Rs 2 Lakhs/centre

A.9.3.1.2

TOT for SBA 2 137425 2.75 2.75 Approved

A.9.3.1.4

Training of Staff Nurses in SBA

12 121090 14.53 14.53 Approved

A.9.3.1.5

Training of ANMs / LHVs in SBA

88 121090 106.56 90.82 Approved for training of 400 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load.

A.9.3.2 EmOC Training 0 0 0.00 0.00 0.00


0 0 0.00 0.00 0.00


30 55200 16.56 16.56 0.00

A.9.3.4.1

TOT on safe abortion services

0.00

A.9.3.4.2

Training of Medical Officers in safe abortion

30 55200 16.56 16.56 Approved for 60 MOs.

A.9.3.5 RTI / STI Training 0 0 0.00 0.00 0.00


24 79925 19.18 19.18 Approved for 120 MOs.


67 475410 67.19 67.19



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.9.3.7.6

State level MDR training ToT

2 132825 2.66

41.13


A.9.3.7.7

District Level Training of MO s in MDR

27 142485 38.47

A.9.3.7.8

Supportive supervision for SBA training for Mos and RMAs

3 137425 4.12 4.12 Approved

A.9.3.7.9

10 Days BeMoc training for RMAs

35 62675 21.94 21.94 Approved


0.00 0.00

A.9.3.9 Skill Lab Training 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months

A.9.4 IMEP Training 27 100000 27.00 27.00

A.9.4.2 IMEP training for state and district programme managers

0.00

A.9.4.3 IMEP training for medical officers

27 100000 27.00 27.00 Approved


213 3693800

536.30 468.34


68 1120530

236.89 236.89

A.9.5.1.1

TOT on IMNCI (pre-service and in-service)

2 373960 7.48 7.48 Approved (10 doctors & 10 SNs in each batch)

A.9.5.1.2

IMNCI Training for ANMs / LHVs

54 332920 179.78 179.78 Approved

A.9.5.1.3

IMNCI Training for Anganwadi Workers

12 413650 49.64 49.64 Approved; 12 batches of 24 anganwadi workers in each.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.9.5.2 F-IMNCI Training 11 1301750

39.82 39.82

A.9.5.2.1

TOT on F-IMNCI 1 375800 3.76 3.76 Approved

A.9.5.2.2

F-IMNCI Training for Medical Officers

8 292325 23.39 23.39 Approved

A.9.5.2.3

F-IMNCI Training for Staff Nurses

2 633625 12.67 12.67 Approved


0 0 0.00 0.00

A.9.5.3.1

TOT on HBNC 0.00

A.9.5.3.2

Training on HBNC for ASHA

0.00


0 10000 86.60 57.76

A.9.5.4.1

TOT on Care of sick children and severe malnutrition

0.00

A.9.5.4.2

Training on Care of sick children and severe malnutrition for Medical Officers

10000.00

86.60 57.76 Since new NRCs are not approved, budget proposed (28.8 lakhs) for training of new NRC staff has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 20 each @ Rs.6,000 per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.15870/block Reorientation of feeding deonstrators and cook: 120



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

persons@ Rs.3000/person


134 1261520

172.99 133.87

A.9.5.5.1

NSSK Training 59 319030 43.98 43.98

A.9.5.5.1.1


A.9.5.5.1.2


22 74140 16.31 16.31 Approved

A.9.5.5.1.3


27 74170 20.03 20.03 Approved

A.9.5.5.1.4


9 74170 6.68 6.68 Approved

A.9.5.5.2

Other Child Health training

75 942490 129.01 89.89

A.9.5.5.2.a

Ch-IYCF- TOT 1 349120 3.49 3.49 Approved. Details of expenditure & physical progress to be shared by the state.

A.9.5.5.2.b


18 259550 46.72 28.80 Approved for 10 MO + 14 SN per batch @ Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state.

A.9.5.5.2.c

CH- FBNC - Training on Observership

55 106600 58.63 51.17 Approved for 48 persons @ Rs.106600/per batch

A.9.5.5.2.d


17.90 4.16 Approved for 2 batches only, as there is no possibility for larger numbers to undergo



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size 24 @ Rs.2.08 lakhs/batch

A.9.5.5.2.e

FBNC TOT for Mos 1 227220 2.27 2.27 Approved (24 participants in the batch)


191 608555 175.63 134.96


6 101440 6.09 4.27

A.9.6.1.1

TOT on laparoscopic sterilisation

0.00

A.9.6.1.2

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


A.9.6.2 Minilap Training 4 101440 4.06 2.85

A.9.6.2.1

TOT on Minilap 0.00

A.9.6.2.2

Minilap training for medical officers



5 32800 1.64 1.64

A.9.6.3.1

TOT on NSV 0.00

A.9.6.3.2

NSV Training of medical officers

5 32800 1.64 1.64 Approved

A.9.6.4 IUD Insertion 141 272975 107.51 107.51

A.9.6.4.1

TOT for IUD insertion




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.9.6.4.2

Training of Medical officers in IUD insertion


A.9.6.4.3

Training of staff nurses in IUD insertion

0.00 0.00

A.9.6.4.4

Training of ANMs / LHVs in IUD insertion

81 49950 40.46 40.46 Approved


0.00


35 99900 56.34 17.48

A.9.6.6.1

TRG - FP - PPIUCD Insertion Training-MO/SN/O&G Specialist

30 49950 14.99 14.99 Approved

A.9.6.6.2

TOT for PPIUCD 5 49950 2.50 2.50 Approved

A.9.6.6.3

IUCD 375 insertion training to MOS


A.9.6.6.4

Training to ANM on IUCD 375 insertion






Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS


172855 490550 631.30 631.30


1 170000 1.70 1.70 Approved


3 170000 5.10 5.10 Approved


2 150000 3.00 3.00 Approved

A.9.7.5 ARSH training for AWWs

0.00

A.9.7.6 Other ARSH training

0 0 0.00 0.00

A.9.7.6.1

WIFS training 172849 550 621.50 621.50

A.9.7.6.1.1


172,849

550.00 621.50 621.50 Approved for 113000persons @Rs.550/person

A.9.7.6.1.2

refresher training –ANM/MO/ AWW/ Nodal Teacher

0.00

A.9.7.6.2

Menstrual hygiene training

0.00

A.9.7.6.3

SHP training 0 0 0.00 0.00

A.9.8 Programme Management Training (e.g. M&E, logistics management, HRD etc.)

624 1620000

165.00 155.00

A.9.8.1 Training of SPMSU 5 500000 25.00 25.00 Approved



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

staff

A.9.8.2 Training of DPMSU staff

5 300000 15.00 15.00 Approved

A.9.8.3 Training of BPMSU staff

27 50000 13.50 13.50 Approved

A.9.8.4 Other training (pl. specify)

587 770000 111.50 101.50

A.9.8.4.1

RMAs professional development course

400 10000 40.00 40.00 Approved

A.9.8.4.2

TRG - Training of emergency management of Mos

146 10000 14.60 14.60 Approved

A.9.8.4.3

TRG - Career Development of MITANIN - BSc Nursing course

27 70000 18.90 18.90 Approved

A.9.8.4.4

TRG - Career Development of ANMs - GNM Course

10 180000 18.00 18.00 Approved

A.9.8.4.5

PGDDHM Fellowship programme under IGNOU course

4 500000 20.00 10.00 Approved for 2

A.9.9.1 PC/PNDT training 0.00

A.9.9.2 Others 725 5000 21.25 0.00 APPROVAL PENDED. State needs provide details of the activity

A.9.10 Training (Nursing) 35 0 39.00 39.00

A.9.10.1

Strengthening of Existing Training Institutions/Nursing School excluding infrastructure and HR.

35 39.00 39.00 Approved for 2 GNM Trng Institutes @ Rs.19.5 lakhs/Trng Inst. (Break up of budget: Rs 15 lakhs for mannequins, Rs 2.5 lakhs for teaching aids, Rs 1 lakh for



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

contingency, Rs 1 lakh for honorarium to tuters)

A.9.10.2

New Training Institutions/School

0.00

A.9.11 Training (Other Health Personnel)

77 320000 96.00 81.00

A.9.11.1

Promotional Training of ANMs to lady health visitor etc.

0.00

A.9.11.2

Training of ANMs,Staff nurses,AWW,AWS

75.00 75.00 Approved for training of 1000 SN @ Rs 5000/SN and Induction training of 500 newly joined MO/SN/LTS @ 5000/HR

A.9.11.3

Other training and capacity building programmes (nursing tutors etc.)

75 20000 15.00 0.00 Not approved, State needs to propose as per the INC Guidelines.

A.9.11.3.1

PGDHM Courses 2 300000 6.00 6.00 Approved for PGDHM training of MOs with 5 yrs service experience

Sub-total Training 0 0 2486.79 1951.16

A.10 PROGRAMME MANAGEMENT

Approval for Programme Management staff is being granted for six months only and its continuation for the next six months would be contingent on compliance of condition that



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff.

A.10.1 Strengthening of State society/ State Programme Management Support Unit

79 4068000

341.40 119.02 0.00

Contractual Staff for SPMSU recruited and in position

79 4068000

341.40 119.02 0.00

A.10.1.1

State Programme Manager

1 840000 8.40

119.02

Rs.119.02 lakhs approved. Deatails available in Annx Programme Management

A.10.1.2

State Accounts Manager

1 600000 6.00

A.10.1.3

State Finance Manager

1 720000 7.20

A.10.1.4

State Data Manager

1 540000 5.40

A.10.1.5

Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.)

5 720000 36.00

A.10.1.6

Programme Assistants

15 84.60

A.10.1.7

Accountants 12 300000 36.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.10.1.8


33 240000 79.20

A.10.1.9

Support Staff (Kindly Specify)

10 108000 10.80

A.10.1.10

Salaries for Staff on Deputation (Please specify)

0.00

A.10.1.11


67.80 0.00

A.10.1.11.1

State Programme Manager M&E

1 600000 6.00

A.10.1.11.2

State Programme Manager HMIS

1 600000 6.00

A.10.1.11.3

15 120000 18.00

A.10.1.11.4

Engineer Civil & Eletrical

3 420000 12.60

A.10.1.11.5

Programmer 6 420000 25.20

A.10.2 Strengthening of District society/ District Programme Management Support Unit

328 2652000

1682.64 528.17 0.00

Contractual Staff for DPMSU recruited and in position

328 2652000

1682.64 528.17 0.00

A.10.2.1

District Programme Manager

27 600000 162.00

528.17

Rs.528.17 lakhs approved. Details available in Annx Programme Management

A.10.2.2

District Accounts Manager

27 480000 129.60

A.10.2.3

District Data Manager

27 420000 113.40



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.10.2.4

Consultants/ Programme Officers (Kindly Specify)

81 480000 388.80

A.10.2.5

Accountants 27 240000 64.80

A.10.2.6


112 216000 241.92

A.10.2.7


27 216000 58.32

A.10.2.8


523.80 0.00

A.10.2.8.1

District Training Coordinators

27 420000 113.40

A.10.2.8.2

Hospital Consultant 27 480000 129.60

A.10.2.8.3

Sub Engineer 27 420000 113.40

A.10.2.8.4

Assistant DPM (AYUSH)

18 300000 54.00

A.10.2.8.5

Incentive to Nodal Officers ( Programme )

135 84000 113.40

A.10.3 Strengthening of Block PMU

584 1008000

2538.72 930.86

A.10.3.1

Block Programme Manager

146 360000 525.60

930.86 Rs.930.86 lakhs approved. Details available in Annx Program Management

A.10.3.2

Block Accounts Manager

146 216000 315.36

A.10.3.3

Block Data Manager

146 216000 315.36

A.10.3.4

Accountants 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.10.3.5


146 216000 315.36

A.10.3.6


0.00

A.10.3.7


1067.04 0.00

A.10.3.7.1

PADA 741 144000 1067.04

A.10.4 Strengthening (Others)

503 241800 106.02 80.22 0.00

A.10.4.1

Workshops and Conferences

300 25000 75.00 30.00 Approved

A.10.4.2

AYUSH Cell - SHRC ( Technical support)

12 170000 20.40 0.00 APPROVAL PENDED

A.10.4.3

Programme Associate - Bio-medical cell ( State )

12 45000 5.40 0.00 Not approved

A.10.4.4

Technical support for Tally ( Fin. Mgmt)

2.00 2.00 Approved

A.10.4.5

Talley Annual Upgradation fees

179 1800 3.22 3.22 Approved

A.10.5 Audit Fees 1 800000 8.00 8.00 Approved

A.10.6 Concurrent Audit system


A.10.7 Mobility Support, Field Visits

173 1650000

2609.23 906.36 0.00

A.10.7.1

SPMU/State 930000 111.60 12.00 Approved for 4 vehicles @ Rs.3 L/vehicle/annum

A.10.7.2

DPMU/District 27 600000 162.00 162.00 Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

A.10.7.3

BPMU/Block 146 120000 175.20 175.20 Approved

A.10.7.4

Other Supportive Supervision costs

2160.43 557.16 0.00

A.10.7.4.1

Travel and supportive supervision of State Nodal officer

15 360000 54.00 0.00 Not approved. No separate mobility costs being approved this year.

A.10.7.4.2

SPMU Administration

140.42 14.28 Rs. 14.28 lakhs approved for Provident fund @ Rs. 12%

A.10.7.4.3

DPMU Administration


A.10.7.4.4

BPMU administration


A.10.7.4.5

Technical Support to NRHM by SHRC


Sub-total Programme

Management

7316.01 2189.83

A.11 VULNERABLE GROUPS

23.00 0.00

A.11.1 Planning, including mapping and co-ordination with other departments

0.00

A.11.2 Services for Vulnerable groups


A.11.3 LWE affected areasspecial plan



0 0 0.00 0.00

A.11.4.1

PTGs Camp 0.00 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Approved

amount (Rs.Lakh

s)

REMARKS

Sub-total Vulnerable Groups

0 0 23.00 0.00

TOTAL RCH SUPPLY SIDE

27018.92

14346.87

TOTAL RCH DEMAND SIDE

8909.50 8894.00

GRAND TOTAL 35928.42

23240.87


ANNEX 2

MISSION FLEXIBLE POOL


Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B 18566935

27007101 58112.77

24260.37

B1 ASHA 1080284 547857 7348.54

6303.66

B 1.1 ASHA Cost: 1080284 547857 7348.54

6303.66

B1.1.1 Selection & Training of ASHA

143442 124480 3315.41

3239.81

B1.1.1.1

Module I - IV 66000 1400 924.00 924.00


B1.1.1.2

Module V 4000 1680 67.20 67.2


B1.1.1.3

Module VI & VII 10000 1400 140.00 140.00


B1.1.1.4

Other Trainings 63442 120000 2184.21

2108.61

B1.1.1.4.1

Compensation to Mitanin Trainrers

3150 38400 1209.60

1134.00

Approved as per norms of Rs 150/day for 20 days per month for 12 months

B1.1.1.4.2

Block contingencies 146 72000 105.12 105.12


B1.1.1.4.3

Dist Contingencies 146 8400 12.26 12.264


B1.1.1.4.4

Cluster meetings of Mitanins

60000 1200 720.00 720


B1.1.1.4.5

Other trainings and activities under Mitanin selection and training

137.23

137.23

Approved Rs 137.23 Lakhs (Ongoing activity). Approval is for Rs 1.16 lakhs for State ToT of District Coordinators, Rs 14.45 Lakhs for TOT for Block coordinators and Resource persons, Rs 86.63 lakhs for TOT of



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

Mitanin trainers, and Rs 35.00 lakhs for books and materials

B1.1.2 Procurement of ASHA Drug Kit

198000 2350 1119.00 756.00

B1.1.2.1

New Kits 6000 600 36.00 36


B1.1.2.2

Replenishment 66000 550 363.00

The amount is budgeted under B16.2.5.2 (ongoing activity)

B1.1.2.3

Procurement of ASHA HBNC Kit

126000 1200 720.00

720.00

B1.1.2.4

New Kits 60000 1200 720.00 720.00

Approved (New Activity)

B1.1.2.5

Replenishment 66000 0.00

B1.1.3 Performance Incentive/Other Incentive to ASHAs (if any)

738404 329427 2510.16

2118.91

B1.1.3.1

Incentive under MH (ANC/PNC)

102000 202 153.00 0.50

B1.1.3.1.1


2000 50 1.00

0.50


B1.1.3.1.2


100000 150 150.00

0.00




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B1.1.3.1.3


2 2.00

0.00


B1.1.3.2

Incentive under CH (HBNC)

390931 500 910.47

890.47

B1.1.3.2.1

ASHA incentive for HBNC

350000 250 875.00 875.00


B1.1.3.2.2

ASHA incentive for NRC refferal and follow up for post referral NRC cases

10000 200 20.00

0.00


B1.1.3.2.3

Infant death reporting

30931 50 15.47 15.47


B1.1.3.3


125000 1225 218.75

300.00

B1.1.3.3.1


100000 100 100.00 0.00


B1.1.3.3.2


15000 125 18.75 0.00


B1.1.3.3.3


10000 1000 100.00 200.00

Approved Rs 200 lakhs (Ongoing activity) Budget approved @ Rs.1000/ASHA for 20000 sterilizations after one or two children. No payment to ANM is permissible.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B1.1.3.3.4

Incentive for AH

20000 500 100.00 100.00


B1.1.3.5

Other incentive 100000 200 200.00

0.00

B1.1.3.5.1

Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections)

100000 200 200.00

0.00

Approval pended (New activity). State may resubmit the proposal with detailed write up on the activity proposed in the supplementary PIP for reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

child for example, by demonstration of the growth curve in the MCP card

B1.1.3.6

Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc)

473 326800 927.94 927.94

B1.1.3.6.1

Mitanin Kalyan Kosh ( Mitanin Welfare Activites )

797.50 797.50


B1.1.3.6.2

Mitanin Help Desk 180 46800 84.24

84.24


B1.1.3.6.3

Mitanin Help Line 1 240000 2.40 2.4


B1.1.3.6.4

Mitanin Sammelans 146 30000 43.80 43.8

Approved for 146 blocks @Rs 30000 (New activity)

B1.1.4 Awards to ASHA's/Link workers

146 10000 14.60 14.6


B1.1.5 ASHA Resource Centre/ASHA Mentoring Group

292 81600 389.37

174.34

B1.1.5.1

HR At State Level 151.10

65.72

Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.Salary for the staff is approved at



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

the same unit costs approved in the RoP 2012-13. The budget approved for six months is 50% of approved amount in 2012-13.

B1.1.5.2

HR at District Level

B1.1.5.3

HR at Block Level

292 81600 238.27 108.624

Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Salary for the staff is approved at the same unit costs approved (Rs 6200/p.m) in the RoP 2012-13.

B1.1.5.4

Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify)

0.00

B2 Untied Funds 25415 148500 3520.02

2513.55

B2.1 Untied Fund for CHCs/SDH

149 57500 85.68 74.50

Approved (Ongoing activity) for 149 CHCs at the rate of Rs 50000 per facility



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B2.2 Untied Fund for PHCs 755 32500 245.38 188.75

Approved (Ongoing activity) for 755 PHCs at the rate of Rs 25000

B2.3 Untied Fund for Sub Centres

5111 13000 664.43 511.10

Approved (Ongoing activity) for 5111 Sub Centers at the rate of Rs 10000

B2.4 Untied fund for VHSC

19387 13000 2520.3

1 1739.20

Approved (ongoing activity) for 18850 VHSNCs as mentioned in the annexure sheet provided with the PIP at the rate of Rs 10000. The amount approved is adjusted for the fund approved in 2012-13 for 1458 VHSNCs which have not been constituted.

B2.5 Others

13 32500 4.23

Not approved as Untied Funds was not approved for Civil Hospitals in 2012-13.

B.3 Annual Maintenance Grants (only for Government institutions)

4428 208000 973.05

623.50

B3.1 CHC 149 130000 193.70

135.00

Approved (Ongoing activity) for 135 CHCs functioning at Government buildings as per RHS 2012 at the rate of Rs 1 lakh

B3.2 PHCs 429 65000 278.85

214.50

Approved (Ongoing activity) for 429 PHCs @ Rs 50000

B3.3 Sub Centres 3850 13000 500.50

274.00

Approved (Ongoing activity)for 2740 Sub Centers functioning at Government buildings as per RHS 2012 at the rate of Rs 10000.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.4 Hospital Strengthening

300 860000 11881.04 10476.66

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

300 860000 11881.04 10476.66

B4.1.1 District Hospitals 0 0 1982.11 1824.45

B4.1.1.1


0.00

0.00

B4.1.1.2



B4.1.1.3


1706

1706.00

Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 2013-14.

B4.1.1.4


118.45


B4.1.2 CHCs 0 0 3233.21 3143.21 0.00

B4.1.2.1


0.00

0.00

B4.1.2.2



B4.1.2.3


288.00 288

Approved (Ongoing activity) subject to the condition that the work will be completed in the F.Y 2013-14

B4.1.2.4


1 2855.21

Approved (Ongoing activity) on condition that the work will be completed in the F.Y



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

2013-14

B4.1.3 PHCs 0 0 755.22

739.00

B4.1.3.1


0.00

0.00

B4.1.3.2



B4.1.3.3


739 739.00


B4.1.3.4

Staff Quarters

B4.1.4 Sub Centres 200 260000 540.50 0.00

B4.1.4.1


200 260000 520.00 0.00

Approval pended (New activity) until state submits the service delivery data of the sub centers proposed for solar electrification. Approval will be subject to the report by NHSRC on proposal evaluation and site assessment. Subcenters only in identified High Priority Districts and districts which have performance below state average will be considered.

B4.1.4.2





Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B4.1.4.3


0.00

B4.1.4.4

ANM Quarters 0.00

B4.1.5 Others (MCH Wings)

100 600000 5370.00 4770.00

B4.1.5.1

(Absolutely) New / Rented to Own Building

0.00

0.00

B4.1.5.2

Additional requirement from previous work

0.00

0.00

B4.1.5.3

Carry forward /Spillover of Ongoing Works

4770.00

4770.00

Approved (Ongoing activity) Approved the 2nd Instalment for Rs 47.7 crores for the 35 existing MCH Wings, (12 MCH Wings (100 bedded) and 23 MCH Wings (50 bedded).

B4.1.5.4

Other construction 100 600000 600.00

0.00

B4.1.5.4.1

Gap improvements in co-located centres of PHC/CHC-AYUSH

100 600000 600.00

0.00

Approval pended (New activity) until state submits list of facilities proposed, facility wise AYUSH OPD data and a note on proposed value addition by the activity.

B4.1.6 SDH 0 0 0.00

0.00

B5 New Constructions (proposed for the coming year)

114 7434000 1368.52 101.93

B5.1 CHCs 0.00 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B5.2 PHCs 10 4953000 198.12 19.81

Approved only for one PHC in Mungeli District

B5.3 SHCs/Sub Centres 100 2281000 912.40

82.12

Approved Rs 82.12 lakhs for a total of 9 sub centers as following a. 7 Sub Centers with minimum 3 deliveries in non High Priority, non LWE, non Tribal Districts* b. 1 Sub center with minimum 2 deliverieries per month in High Priority Districts** c. 1 Sub Center with miniumum 2 deliveries in LWE and Tribal Districts* * Considered the IAP districts identified by the Planning commission of India for LWE and Tribal Districts ** Considered the 5 High Priority districts identified by the MInistry and 4 districts which have been formed from them.

B5.4 Setting up Infrastructure wing for Civil works

0 0 0.00 0.00

B5.4.1 Staff at State level 0.00 0.00

B5.4.2 Staff at District level 0.00 0.00

B5.5 Govt. Dispensaries/ others renovations

0.00 0.00

B5.6 Construction of BEmONC and CEmONC centres

0 0 0.00 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.5.10 Infrastructure of Training Institutions --

4 200000 258.00

0.00

B.5.10.1

Strengthening of Existing Training Institutions/Nursing School( Other than HR)- ---Infrastructure for GNM Schools and ANMTC

4 200000 8.00

0.00


B.5.10.1.5

New Training Institutions/School (SIHFW/GNMTC/ANMTC etc)

250.00 0.00

Approval pended (New activity) until state submits detailed DPR and budget requirements

B.5.11 SDH 0.00

B.5.12 DH 0.00

B.6 Corpus Grants to HMS/RKS

943 1760000 1500.20 1053.00 0.00

B6.1 District Hospitals 26 1000000 260.00

130.00

Approved (Ongoing activity) for 26 DHs at the unit cost of Rs 5 Lakhs

B6.2 CHCs 149 130000 193.70

148.00

Approved (Ongoing activity) for 148 CHCs which have registered RKS (as per the MIS report submitted by the state on 26.04.2013) at the unit cost of Rs 1 lakhs

B6.3 PHCs 755 130000 981.50

710.00

Approved (Ongoing activity) for 710 PHCs which have registered RKS (as per the MIS report submitted by the state on 26.04.2013)at the unit cost of Rs 1 lakhs



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B6.4 Other or if not bifurcated as above

0.00 0.00

Not approved since no details of the activities have been provided

B6.5 SDH 13 500000 65.00

65.00

Approved (Ongoing activity) for 13 SDHs at the unit cost of Rs 5 Lakhs

B7 Health Action Plans (Including Block, Village)

174 620000 61.20

61.20

B7.1 State 1 500000 5.00 5.00


B7.2 District 27 100000 27.00

27.00

Approved (Ongoing activity) subject to the condition that District Level ROPs and DHAPs to be uploaded in the State’s NRHM website.

B7.3 Block 146 20000 29.20

29.20

Approved subject to the condition that Block Level ROPs and BHAPs to be uploaded in the State NRHM website.

B8 Panchayati Raj Initiative

15000 400 95.46

60.00

B8.1 Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc

15000 400 60.00

60.00


B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC

0.00

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B8.3 Others 0 0 35.46 0.00

B8.3.1 Panch Prayas 35.46 0.00


B9 Mainstreaming of AYUSH

701 3391000 1098.39 238.39

B.9.1 Medical Officers at CHCs/ PHCs (Only AYUSH)

307 720000 736.80

184.20

B.9.1.1

DH 0.00

B.9.1.2

FRUs 0.00

B.9.1.3

Non FRU SDH/ CHC 100 240000 240.00 0.00


B.9.1.4

24 X 7 PHC 100 240000 240.00

120.00

Approved for 6 months for 100 AYUSH doctors @Rs 20000 per month) and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.

B.9.1.5


107 240000 256.80

64.20

Approved for 3 months only @ Rs 20000/month subject to immediately sharing the findings of the study conducted by SHSRC on the activity of prevention of Malaria using homeopathic medicines with the ministry. Its continuation beyond 3



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

months would be only with the approval of the ministry. If no specific approval received beyond June 2013, state may examine ways to utilise the AYUSH doctors engaged and proposed.

B.9.2 Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH)

0 0 0.00

0.00 0.00

B9.3 Other Activities (Excluding HR)

394 2671000 308.40 1.00 0.00

B9.3.1 Prevention of Malaria throuhg Homeopathic medicines

225.00

0.00

Approval pended (Ongoing activity). State to immediately share the findings of the study conducted by SHSRC on the activity.

B9.3.2 Prevention of Disability in Leprosy cured persons throuhg AYUSH

2 2660000 53.20

0.00

Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the program in the previous year and justify the increase in cost proposed.

B9.3.3 Yoga Popularisation in Ayurved gram

292 10000 29.20

0.00

Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

program in the previous year.

B9.3.4 Provision of pure Drinking Water in Ayurved gram

0.00

B9.3.5 Munga Plantation in 100 Ayurgrams

100 1000 1.00

1.00


B9.4 Training 53.19

53.19

Approved (Ongoing activity) subject to provision of the specific training plan, national health programmes to be covered, the skill to be provided to the AYUSH doctors as well as their job descrption and deployement after the training.

B10 IEC-BCC NRHM 5110066 75502 1454.75 371.87

B.10 Strengthening of BCC/IEC Bureaus (state and district levels)

0 0 60.00

0.00

B.10.1 Development of State BCC/IEC strategy

60.00 Approval pended (New Activity)

B.10.2 Implementation of BCC/IEC strategy

0 0 900.38 150.00 Approved (ongoing activity) for IEC/BCC activities of activites of MH, CH, FP, ARSH, AYUSH, SMS, printing and other activites mentioned in the budget head. The approval under RBSK subject to the

B.10.2.1

BCC/IEC activities for MH

0 0 278.90

B.10.2.1.1

Mass media 173.40

150.00 B.10.2.1.2

Mid-media 105.50



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.10.2.2

BCC/IEC activities for CH

0 0 239.30 condition that State to ensure RBSK on all support IEC for branding of programme. The RBSK guideline and details to be used for developing these IECs and communication materials at School and Anganwadis. The budget shifted from A.3.5.4.4 for printing of PPIUCD registers is included in this budget.

B.10.2.2.1

Mass media 170.80

B.10.2.2.2

Mid-media 68.50

B.10.2.3


0 0 111.60

B.10.2.3.1

Mass media 61.60

B.10.2.3.2

Mid-media 50.00

B.10.2.4

BCC/IEC activities for ARSH

0 0 95.78

B.10.2.4.1

Mass media 35.78

B.10.2.4.2

Mid-media 60.00

B.10.2.5

Other activities (please specify)

174.80

B.10.2.6

IPC initiatives/tools 0.00

B.10.3 Health Mela 154.00

B.10.4 Creating awareness on declining sex ratio issue

58.50

B.10.5 Other activities 5110066 75502 281.87

221.87

B.10.5.1

Printing of MCP cards, safe motherhood booklets etc

150.00

90.00

Approved Rs 90 lakhs. This includes approval of Rs 30 Lakhs for printing of MCP cards @ Rs 10/- for 3 lakhs pregnant women, and Rs 60 Lakhs for printing of Safe Motherhood



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

booklets @ Rs 20/- for 3 lakhs pregnant women.

B.10.5.2

Printing of WIFS cards etc

5108039 2 76.62

76.62


B.10.5.3

Other printing 2027 75500 55.25

55.25

B.10.5.3.1


27 75000 20.25

20.25


B.10.5.3.2

0.00

B.10.5.3.3

Printing of Maternal Health Training Modules

2000 500 10.00

10.00

Approved (New activity) Rs 10 lacs for printing of MH training modules. The state has to ensure that it should be on competitive bidding as per the guidelines released this year, MNH Toolkit, Nursing Roadmap and Skills Lab

B.10.5.3.4

Printing of Labor room register, OPD /IPD registers for PHCs & CHCs

25.00 25.00

Approved (New activity) Rs 25 lacs for printing of Labor room register, OPD /IPD registers for PHCs & CHCs

B.10.5.3.5

0.00

B11 Mobile Medical Units (Including recurring expenditures)

62 3600000 1296.00

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B11.1.1

Capex 16 1200000 192.00

0.00

Approval Pended (new activity) subject to State implementing ‘National MMU Guidelines’ for all the running MMUs under NRHM

B11.1.2

Opex 46 2400000 1104.00

B11.1.3

HR 0.00

B11.1.4


B11.1.5

Others 0.00

B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units

0 0 0.00

0.00

B11.2.1

Capex 0.00 0.00

B11.2.2

Opex 0.00 0.00

B11.2.3

HR 0.00

B11.2.4


B11.2.5

Others 0.00

B12 Referral Transport/Patient transport System

415090 0.00

B12.1 Ambulance/EMRI Capex

310 1550000 80.00

0.00

B12.1.1

State basic ambulance/ 102 Capex

300 750000

0.00


B12.1.2

Advanced life support Capex

10 800000 80.00




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B12.1.3

EMRI Capex-BLS

B12.1.4

EMRI Capex-ALS 0.00

B12.2 Operating Cost /Opex for ambulance

414780 988232 3641.48 0.00

B12.2.1

State basic ambulance/102 Opex

0.00

0.00


B12.2.2

Operating Cost /Opex for ASL ambulance

0.00

B12.2.3

Opex EMRI-BLS 0.00

B12.2.4

Opex EMRI-ALS 0.00

B12.2.5

HR Basic ambulance 1345 143000 1923.35

B12.2.6

HR advanced life support ambulances

25 300000 75.00

B12.2.6


B12.2.7

Call centre-capex 0.00

B12.2.8

call centre-opex 0.00

B12.2.9

Others 413410 545232 1442.38 0.00

B12.2.9.1

Medical consumables

412200 32 131.90

0.00


B12.2.9.2

Ambulance repiars/maitenance/Insurance

240 120000 288.00

B12.2.9.3

Fuel cost 240 300000 720.00

B12.2.9.4

Communication cost 240 19200 46.08

B12.2.9.5

Administrative expenses

240 84000 201.60



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B12.2.9.6

Marketing expenses 240 12000 28.80

B12.2.9.7

Third Party Evaluation of Referral Transport

25.00

B12.2.9.8

Upgradation of Ambulance (EMRI-108)-BLS to ALS

10 10000 1.00

B.13 PPP/ NGOs 78 1803000 1841.45 35.40

B13.1 Non governmental providers of health care RMPs

0.00

0.00

B13.2 Public Private Partnerships (Out Sourcing set up, if applicable for State, to be budgeted under this head)

39 901500 1841.45

35.40

B13.2.1

Out soursing PHC 520.00

0.00

Approval pended subject to the State submitting the criteria set for selecting the agency and the proposed ToR.

B13.2.2

Grant in Aid to RK Mission

35.40 35.40


B13.2.3

Setting up of PPP cell in the state

26.20

0.00

Approval pended (New activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

and using the monitoring tools which should be part of any program management on a real time basis.

B13.2.4

Outsourcing of Diagonastic services

27 1131.67

0.00

Not approved (Ongoing activity). State may revise the proposal based on the GoI recommendations and submit in the supplementary PIP.

B13.2.5

Outsourcing Bio-medical Wastage Management

12 901500 108.18

0.00

Not approved (New Activity) in the present form. State may revise the proposal and submit in the supplementary PIP

B13.2.6

0.00 0.00

Carry forward is not approved since the activity is not specified

B13.2.7

PPP Monitoring Cell by SHRC

20.00

0.00


B13.3 NGO Programme/ Grant in Aid to NGO

0 0 0.00

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B13.3.1

Support to CGNP+ 0.00 0.00

B13.3.2

B14 Innovations( if any) 0 0 1366.00

6.00

B14.1 Intersectoral convergence

0.00 0.00

B14.2 District Specific Plans

1366.00

6.00

Approved Rs 6 lakhs for Anti-Venum Vaccine in Sarguja (New activity) Thanagudi at Bijapur and NRHM Office cum training centers for districts are not approved.

B15 Planning, Implementation and Monitoring

26044 1996900 1662.88 608.63

B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level)

120 320000 140.00

56.99

B15.1.1

State level 1 100000 1.00 1.00


B15.1.2

District level 19 100000 19.00 19.00


B15.1.3

Block level 100 120000 120.00

36.99

Approved (Ongoing activity) @ Rs 36986 per block which is the unit cost approved for the F.Y.2012-13.

B15.1.4

Other 0 0 0.00 0.00

B15.1.4.10

0.00

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B15.2 Quality Assurance 166 310000 162.70

96.00

B15.2.1

Quality Assurance Committees at State level

69.00

69.00

Approved with the following conditions (a) the state develops / adopts standard treatment guidelines (STG), (b) periodically conducts sensitization workshop on usage of STGs, (c) Internal Monitoring, and (d) Conduct of prescription audits at sample facilities followed by dissemination of the audit findings.

B15.2.2

Quality Assurance Committees at District level

27 100000 27.00

0.00

Approval pended until state submits a revised proposal which includes all the delivery points for monitoring and supervision.

B15.2.3

Grievance handling system

0.00 0.00

B15.2.4

Review meetings 112 110000 14.80 0.00

B15.2.4.1

State 4 100000 4.00

0.00


B15.2.4.2

District 108 10000 10.80

B15.2.4.3

Block 0.00

B15.2.5

Others 27 100000 51.90 27.00

B15.2.5.1

NABH implementation

24.90 0.00




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B15.2.5.2

Bio-medical Initiatives ( Authorisation and cell)

27 100000 27.00

27.00

Approved (New activity) for authorization from CG Environment Control Board at the rate of Rs 1 lakhs for 27 districts

B15.3 Monitoring and Evaluation

25758 1366900 1360.18 455.64

B15.3.1

Monitoring & Evaluation / HMIS /MCTS

1 315000 103.15 100.00

B15.3.1.1

HR for M&E/HMIS/MCTS

0.00 0.00

B15.3.1.2

MIS Consultant/ Manager/ Coordinators

0.00

0.00

B15.3.1.3

Statistical Assistant/ Data Analyst

1 315000 3.15 0.00


B15.3.1.4

MIS/ M&E Assistants

0.00

B15.3.1.5


0.00

B15.3.1.6


0 0 100.00 100.00

B15.3.1.6.1

GIS Mapping & Faciity survey of health facilties

50.00

50.00

Approved (New activity) subject to sharing GIS information with Statistics division, MoHFW. The work should be done based on competitive bidding and by following Government Protocols

B15.3.1.6.2

Third Party Evaluation of Mitanin (ASHA) programme

50.00

50.00

Approved (New activity). Services of Population Research Institute, Sagar may be considered

B15.3.2

Computerization HMIS and e-governance, e-

0 0 186.60

93.30



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

health

B15.3.2.1.a

HMIS Operational Cost (excluding HR & Trainings)

186.60

93.30

Approved for six month as expenditure details of 2012-13 are not given Internet Connectivity State level : 6x25000=1.5 lakh District level:27x6x5000=8.1 lakh Block Level:146x6x2000=17.52 lakh PHC level:500x6x750=22.50 lakh Consumables and other accessories State level:1x6x5000=0.3 lakh District level:27x6x3000=4.86 lakh Block Level:146x6x2000=17.52 lakh PHC level:700x6x500=21 lakh Procurement should be based on competitive bidding and by following Government protocols

B15.3.2.1.b

Procurement of Computers/ printers/ cartridges

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

etc.

B15.3.2.1.c


0.00

B15.3.2.1.d


0 0 0.00

0.00

B15.3.2.2.a

MCTS Operational Cost (excluding HR & Trainings)

1111 1500 110.27 96.44

B15.3.2.2.b


94

87.60

Approved only for 146 desktop with accessories @ 60000/- for Block data Assistants. Procurement should be based on competitive bidding and by following Government protocols.

B15.3.2.2.c


1111 1500 16.67

8.84

Approved @ Rs 1000/- per computer for 884 computers

B15.3.2.2.d


0.00

B15.3.3

Other M & E Activities

24646 1050400 960.16

165.90

B15.3.3.1

HMIS Training 6891 86.85

5.75

Approved Rs.5.75 Lakh @ Rs 300 per day per person for 1 training per person per year based on costing for 3 days combined training for HMIS and MCTS. Amount approved is indicative figure and actual amount would be based on actual expenditure. TA / DA

B15.3.3.2

MCTS Training 6000 400 24.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

and other expenditure should be as per extant rules.

B15.3.3.3

Mobility Support for HMIS/ MCTS

12 50000 6.00

2.95

Approved (New activity) Rs.2.95 lakh @Rs.10000 per district and Rs.25000 for State level per annum

B15.3.3.4

Review Meetings for HMIS

10978 178.48

26.92

Approved for 1 day combined review of HMIS and MCTS for minimum two reviews at State level per year, at least one review every quarter at District level and at least one review per month at Block level. TA / DA and other expenditure should be as per extant rules.

B15.3.3.5

Review Meetings for MCTS

0.00

B15.3.3.6

Data Validation Call Centers - CAPEX

10.00

10.00

Approved (New activity). Procurement should be based on competitive bidding following Government Protocols. State must ensure that the contact details of all the ASHA/ANM and beneficiaries should be validated and services given to the beneficiaries to be verified and same should get reflected in MCTS.

B15.3.3.7

Data Validation Call Centers - OPEX

33.50 0.00


B15.3.3.8

e-Governance Initiative

47.00 0.00

Not approved (New



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

activity)

B15.3.3.9

Hospital Management Softwares

153.83

0.00


B15.3.3.10

Others 765 1000000 420.50 120.28

B15.3.3.10.1

Printing of formats and Composite RCH register

53.90

24.68

Approved Rs 10.30 lakh @ Rs 0.40 per page for HMIS and Rs.14.37 lakh for MCTS registers @ Rs 150 per register and not more than 2 registers per ANM. State should consult MoHFW before printing. Register must be compatible with the MCTS (Integrated RCH) register designed by MoHFW and shared with the state. Printing should be done based on competitive bidding and by following Government Protocols. State may show a sample register to MoHFW before proceeding with the printing. This is an indicative figure and actual would depend upon actual expenditure.

B15.3.3.10.2

Monitoring Data Collectiona dn data Quality

750 Rs 200/ X 12

months

18.00 0.00


B15.3.3.10.3

State Review Mission

95.60

95.60

Approved (Ongoing activity) subject to state sharing the report of SRMs conducted in



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

2012-13 with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website

B15.3.3.10.4

Mobile based MCTS reporting system

103.00

0.00

State may continue the on-going activity for Dhamtari district out of unspent funds available for this activity with the State. Approval pended for roll-out in the whole State. State to share the details of success of pilot project done in Dhamtari district as reflected in MCTS data with MoHFW

B15.3.3.10.5

V-Sat Connectivity

15 1000000

150.00

0.00

Approval pended. State should share a concept note mentioning the details of Capex, Opex, number of terminals, bandwidth cost, technical architecture, the purpose for which connectivity would be used and how this will help HMIS / MCTS with MoHFW. State may also explore the possibility of getting connectivity from SWAN

B.16 PROCUREMENT 11248231

1823446 3672.59 1756.58

B16.1 Procurement of Equipment

8852 1773145 696.79 321.90



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B16.1.1

Procurement of equipment: MH

120 2000 2.40 2.40

B16.1.1.1

Equipments for Blood Banks/ BSUs

B16.1.1.2

MVA /EVA for Safe Abortion services

120 2000 2.40

2.40


B16.1.1.3

Others (please specify)

0 0 0.00

B16.1.2

Procurement of equipment: CH

122 1160000 197.60

60.00

B16.1.2.1

NBSU 9 575000 51.75

0.00


B16.1.2.2

NBCC 101 85000 85.85

0.00


B16.1.2.3

Sishu Sanrakshan Mah (SSM)

B16.1.2.4

Genset for SNCU ( for 12 SNCUS)

12 500000 60.00 60.00


B16.1.2.9

0.00

B16.1.2.10

0.00

B16.1.3

Procurement of equipment: FP

2010 607145 183.06

180.98

B16.1.3.1

NSV kits 500 1000 5.00 5.00


B16.1.3.2

IUCD kits 1000 2000 20.00 20.00




Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B16.1.3.3

minilap kits 135 3000 4.05 4.05


B16.1.3.4

laparoscopes 25 600000 150.00 150.00


B16.1.3.5


1.925


B16.1.3.6


0 0 0.00 0.00

B16.1.4

Procurement of equipment: IMEP

1600 1000 94.53

78.53

B16.1.4.1

Bins and golves for Biomedical waste

78.53

78.53

Approved (New activity) Rs 78.53 lacs for purchasing of bins (3264) @ Rs 200/- and gloves (7.2 lacs) @ 10/-

B16.1.4.2

Personal Protection Kits to service delivery staff

1600 1000 16.00 0.00


B16.1.5

Procurement of equipment other than above

0.00 0.00

B16.1.6

Equipments for ARSH/ School Health

5000 3000 150.00 0.00

B16.1.6.1

Equipments for ARSH Clinics

0.00 0.00

B16.1.6.2

Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens’ Charts)

5000 3000 150.00

0.00


B16.1.7

Equipments for Training Institutes

0.00 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B16.1.8

Equipments for AYUSH

69.20

0.00

Approval pended (New activity) for evaluation of Ayurved Gram by NHSRC.

B16.1.9

Procurement of Others/Diagnostics

0.00

B.16.2 Procurement of Drugs and supplies

11239379

50301 2975.81 1434.68

B.16.2.1

Drugs & supplies for MH

1500 300 4.50

4.50

B.16.2.1.1


B.16.2.1.2


1500 300 4.50 4.50


B.16.2.1.3


0 0 0.00 0.00 0.00

B.16.2.1.4

RPR Kits 0.00 0.00

B.16.2.1.5

Whole blood finger prick test for HIV

0.00

B.16.2.2

Drugs & supplies for CH

0 0 546.50

422.50 0.00

B.16.2.2.1

Drugs of Sishu Sanrakshan Mah

546.50

422.50

Rs 422.50 lakhs is approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,000=30.25 Lakhs; Rs. 0.70 x 25,00,000 tabs Albendazole=17.50 lakhs; IFA syrup 12,00,000 bottles x Rs. 7=84.00; IFA small tablet 4,50,00,000 tabs x Rs. 0.12=54.00 lakhs. Amount of IFA revised



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

as there is no wastage factor to be applied and based on 70% expected coverage.

B.16.2.3


0 0 0.00 0.00

B.16.2.3.5

0.00

B.16.2.4

Supplies for IMEP 0 0 0.00 0.00

B.16.2.4.1

Purchase of Bleaching powder and Phenyle under Bio-Medical Waste maangement

B.16.2.4.5

0.00

B.16.2.5

General drugs & supplies for health facilities

0 0 2215.93

231.00

B.16.2.5.1

IPD 2215.93

231.00

Approved for Rs. 231 lakhs for replenishment of ASHA Drug kits only subject to the condition that State to replenish the drug kits from the PHC/SCs. Approval pended for general drugs proposed. The State to ensure free drug policy, robust procurement management system, corporation like TNMSC, IT enabled drug logistic management systems, EDL, prescription audit



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

etc. and adequate State budget. State to also prepare and submit EDL for Delivery ponts and Non Delivery Points, and medical colleges. The state may relook EDL prepared for DH & FRUs.

B.16.2.5.2

OPD 0.00

B.16.2.6

Drugs & supplies for WIFS

11237686

1 112.38 776.68

B.16.2.6.1

Albendazole 332,149,

596

0.2 664.30 664.30


B.16.2.6.2

IFA 11,237,6

86

1 112.38 112.38


B.16.2.7

Drugs & supplies for SHP

0.00

B.16.2.8

Drugs & supplies for UHCs

B.16.2.9

Drugs & supplies for AYUSH

193 50000 96.50

0.00

B.17 Regional drugs warehouses/Logistics management

0 0 0.00

0.00 0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.18 New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans)

0 0 0.00

0.00 0.00

B.18.1 Help Lines 0.00

B.19 Health Insurance Scheme

0.00

0.00

B.20 Research, Studies, Analysis

0.00

B.21 State level health resources centre(SHSRC)

0 0 190.00

50.00 0.00

B.21.1 SHSRC - HR 140.00

50.00

Approved (Ongoing activity) for six months only at the same rate as approved in 2012-13. It's continuation would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.

B.21.2 Other cost 50.00 0.00

Not approved

B22 Support Services 5 200000 5499.79

0.00



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B22.1 Support Strengthening NPCB

782.03

0.00

Not approved under Mission Flexi Pool. State may propose this under Disease control flexible pool

B22.2 Support Strengthening Midwifery Services under medical services

0.00

B22.3 Support Strengthening NVBDCP

1212.58

0.00


B22.4 Support Strengthening RNTCP

103.36

0.00


B22.5 Contingency support to Govt. dispensaries

5 200000 10.00 0.00


B22.6 Other NDCP Support Programmes

289.35

0.00

Not approved (New activity) Not approved for new HR. Also, the funds for Quaterly state level review meetings for review of Cold chain & logistics can be met out from C.1.d. The incentive for MO & RMA is not recommended, as funds for Mobility Support for supervision for district level officers are already provided under c.1.a. For field monitors for monitoring of RI



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

sessions, state should send a comprehensive detailed plan for montoring & supervision for approval of budget i.e. the formats used for monitoring, the data analysis, feedback mechanism, role of partners and action taken.

B22.7 Non communicable diseases

3102.47

0.00


B.23 Other Expenditures (Power Backup, Convergence etc)

640000 264 9561.43

0.00

B.23.2 Treatment of Hepatitis B

10.00 0.00


B.23.3 Secretariat establihsment of Nursing Home Act and clinical Establishment Rules

21.40

0.00

Approval pended (New activity) subject to state sharing detailed proposal and its plan for adopting Clinical Establishment Act, 2010 or establishing state's own act.



Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Amount Approve

d Approval Status

B.23.4 CGMSC4 3020.45

0.00

Approval pended (Ongoing activity) for want of details including the clear road map and role of the state government in sustaining CGMSC5

B.23.5 Sickle cell Programme

4706.57

0.00

Not approved as a separate initiative, should be the part of funds already sanctioned under RBSK for population below 18 years of age. Pended for the investigation and treatment costing for population above 18 years of age, which can be reflected in the supplementary PIP.

B.23.6 CGSACS 113.41 0.00


B.23.7 Double Fortified Salt (New Activity )

640000 264 1689.60 0.00


5.

State is requested to share the details of year wise funds approved by NRHM, the State Government and any other source for CGMSC, yearwise physical and financial

achievements, and activities proposed for 2013-14 with

clear distinction of funds expected from NRHM, the state government and any other source. State is also requested to indicate what would be the commitment from the State Government and what is expected from NRHM for activities proposed for 2013-14, including infrastructure, IT software, Human Resources and other activities.


ANNEX 3

IMMUNIZATION AND PPI OPERATION COST

FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

C.1

c.1.a

Mobility

Support for

supervision

for district

level officers.

Rs.2,50,000/

Year /district level

officers.

67.50 67.50

Approved

To be continued

from Previous year

c.1.b

Mobility

support for

supervision at

state level

Rs. 150000 per

year. 1.50 1.50

Approved.

To be continued

from Previous year

c.1.c

Printing and

dissemination

of

Immunization

cards, tally

sheets,

monitoring

forms etc.

Rs. 10

beneficiaries 70.59 70.59

Approved for

705923 pregnant

women for the

F.Y.2013-14

c.1.d

Support for

Quarterly

State level

review

meetings of

district

officer

Rs. 1250/ per

participant/day for

3 persons

(CMO/DIO/Dist.

Cold Chain

Officer)

4.05 4.05

Approved

Rs 1250X3

participantsX27

districts

c.1.e

Quarterly

review

meetings

exclusive for

RI at district

level with one

Block MOs,

CDPO, and

other stake

holders

Rs. 100/per

participant for

meeting expenses

for 5 persons

(lunch,

Organization

expenses)

2.92 2.92

Approved

Rs 100X5

participants/block X

146 blocks X 4

meetings


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

c.1.f

Quarterly

review

meetings

exclusive for

RI at block

level

Rs. 50/ per person

as honorarium for

ASHA (Travel)

and Rs. 25/person

at the disposal of

MO-IC for

meeting expenses

(refreshment,

stationary and

misc. expenses)

45.98 45.98

Approved.

Rs 75 X 61300

Mitanins

In Chattisgarh

approx. 3-4 mitanins

are placed for every

one thousand

population. Hence,

all mitanins will be

covered in 4

meetings at block

level

c.1.g

Focus on

slum &

underserved

areas in urban

areas/alternati

ve vaccinator

for slums

Hiring of

ANM@450/sessio

n for four

session/month/slu

m of 10000

population and Rs.

300/- per month as

contingency per

slum i.e. Rs.

2100/- per month

per slum of 10000

population

63.30 63.30

Approved.

Total urban slums in

the State are 3088

out of these 2255

slum clusters will be

covered by ANMs

recruited through

Mukhya Mantri

Shahari Swasthya

Karyakram (MSSK)

and placed at

respective SSKs also

including urban

slum sessions in 4

Rounds of

Immunization Week

c.1.h

Mobilization

of children

through

ASHA or

other

mobilizers

Rs. 150 per

session 527.97 527.97

Approved

Includes

mobilization for

sessions in 4 Rounds

of Immunization

Week

c.1.i

Alternative

vaccine

delivery in

hard to reach

areas

Rs. 150 per

session 87.67 87.67

Approved.

Includes AVD cost

for sessions in 4

rounds of

Immunization week,

Total Hard to reach

area is 4250.


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

c.1.j

Alternative

Vaccine

Delivery in

other areas

Rs. 75 per session 218.34 218.34

Approved.

Includes AVD cost

for sessions in 4

rounds of

Immunization week,

Total other area is

22866

c.1.k

To develop

micro plan at

sub-centre

level

@ Rs 100/- per

subcentre 5.39 5.39

Approved.

To be continued

from Previous year.

c.1.l

For

consolidation

of micro

plans at block

level

Rs. 1000 per

block/ PHC and

Rs. 2000 per

district

1.77 1.77 Approved for Blocks

and Urban PHCs

c.1.m

POL for

vaccine

delivery from

State to

district and

from district

to

PHC/CHCs

Rs1,50,000/

district/year 40.50 40.50

Approved.

To be continued

from Previous year

c.1.n

Consumables

for computer

including

provision for

internet

access for

RIMs

@ 400/ - month/

district 1.30 1.30

Approved.

To be continued

from Previous year

c.1.o

Red/Black

plastic bags

etc.

Rs. 3/bags/session 24.99 24.99

Approved.

To be continued

from Previous year

c.1.p

Hub

Cutter/Bleach

/Hypochlorite

solution/

Twin bucket

Rs. 1200 per

PHC/CHCper year 11.52 11.52

Approved.

To be continued

from Previous year


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

c.1.q Safety Pits Rs. 5250/pit 23.07 23.07

Approved as

following

267 new pits x 5250

unit cost and 622 old

pits x 1450 unit cost

c.1.r State specific

requirement 3.38 0.00

Not approved, as

budget for mobility

can be taken from

c.1.a/b. Also, this is

an ongoing activity,

state should continue

this activity with

partners support.

c.1.s

Teeka

Express

Operational

Cost

215.51 215.51

Approved. To be

supplied throuhg in-

kind from MoHFW,

GOI.

c.1.t

Measles SIA

operational

Cost

0.00

c.1.u

JE Campaign

Operational

Cost

0.00

c.1.v

Others

(Mobilization

budget for

Supervision

during

Immunization

week)

5.31 5.31

Not approved as the

details about

monitoring plan not

provided by state.

C.1-Sub Total 1422.56 1419.18

C.2

C.2.1

Computer

Assistants

support for

State level

Rs.12000-15000

per person per

month

1.80 0.90

Approved, however,

any increment in

salry will be

examined by MSG.


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

C.2.2

Computer

Assistants

support for

District level

8000-10000 per

person per month 38.88 16.20

Approved, however,

any increment in

salry will be

examined by MSG.

C.2.3

Others(servic

e delivery

staff)

0.00 0.00

C.2-Sub Total 40.68 17.10

C.3

C.3.1

District level

Orientation

training

including

Hep B,

Measles &

JE(wherever

required) for

2 days ANM,

Multi

Purpose

Health

Worker

(Male), LHV,

Health

Assistant

(Male/Female

), Nurse

Midwives,

BEEs & other

staff ( as per

RCH norms)

As per revised

norms for trainings

under RCH

30.49 9.69

This is same as last

year's approved

amount which is

only for 18 batches,

Needs to be revised

C.3.2

Three day

training

including

Hep B,

Measles &

JE(wherever

required) of

Medical

19.06 19.06

Approved, but

expenditure has to

be as per NRHM

norms. Also, all the

trainings should be

approved from

Immunization

division.


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

Officers of RI

using revised

MO training

module)

* Restricted for

C.3.1, due to low

expenditure in F.Y

2012-13.

C.3.3

One day

refresher

training of

district

Computer

assistants on

RIMS/HIMS

and

immunization

formats

0.25 0.25

C.3.4

Two days

cold chain

handlers

training for

block level

cold chain

handlers by

State and

district cold

chain officers

5.63 5.63

C.3.5

One day

training of

block level

data handlers

by DIOs and

District cold

chain officer

1.53 1.53


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

C.3.6 Others 247.84 247.84

Approved for half a

day Intensive RI

Training for

Frontline Workers

(ANM,LHV,ASHA/

Mitanin, AWW) for

a total no. of

participants=92940

including Mitanin,

Anganwadi Worker

and ANM

C.3-Sub Total 304.80 284.00

C.4 Cold chain

maintenance

Rs.750/PHC/CHC

s per year District

Rs.15000/year

17.21 10.70

Approved

Restricted as per

norms. Last year

data taken as state

has not provided

details of

PHCs/CHCs etc.

C.5

ASHA

incentive for

full

Immunization

Rs 100 per child

for full

immunization in

first year

819.29 819.29

Approved with

assumption that 90

% children will be

fully immunized in

13-14

Rs 50 per child

for ensuring

complete

immunization upto

2nd year of age

Total

ROUTINE

IMMUNIZATI

ON

2604.53 2550.27


FMR

Code

Activities(

As proposed

by the State)

Unit Cost

(wherever

applicable)

Proposed

by State

Approve

d

Amount

Approval Status

C.6

Pulse Polio

Operational

Cost (Tentative)

509.86 494.35

Approved, subject to

approval for Pulse

Polio Cost.

Total 3114.39 3044.62

B.22

.6

Other NDCP

Support

Programmes

289.35

-

New Activity. As

per Child Health

Part-C


ANNEX 4A

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME

(NIDDCP)

( Rs. In lakhs)

FMR

Code

Activity Unit cost

(wherever

applicable)

Physical

target

Amount

Proposed

Amount

Approved

Remarks

D IDD

D.1 Establishmen

t of IDD

Control Cell-

Implementati

on &

monitoring of

the

programme

10.20 12.00 Filling up of

sanctioned vacant

posts i.e. Technical

Officer, Statistical

Assistant & LDC on

regular/contract basis

on priority.

State Government

may conduct and co-

ordinate approved

programme activities

and furnish quarterly

financial & physical

achievements as per

prescribed format.

D.1.a Technical

Officer

1

D.1.b Statistical

Assistant

1

D.1.c LDC Typist 1

D.2 IDD

Monitoring

Lab-

Monitoring

of district

level iodine

content of salt

and urinary

iodine

excretion as

per Policy

Guidelines.

5.60 6.00 The vacant

sanctioned post of

Lab Technician &

Lab Asst. should be

filled on regular/

contract basis on

priority.

State Government

may conduct

quantitative analysis

of salt & urine as per

NIDDCP Guidelines

and furnish

monthly/quarterly

statements.

D.2.a Lab

Technician

1

D.2.b Lab. Assistant 1


FMR

Code

Activity Unit cost

(wherever

applicable)

Physical

target

Amount

Proposed

Amount

Approved

Remarks

D.3 Health

Education &

Publicity

Increased

awareness

about IDD

and iodated

salt

19.70 4.00 IDD publicity

activities including

Global IDD Day

celebrations at

various levels.

D.4 IDD

Survey/resur

vey

Rs. 50,000

per district

4 districts 8.00 2.00 State Government

may under take 4

districts IDD survey

as per guidelines and

furnish report.

D.5 Salt Testing

Kits to be

procured by

state

Government

for 2 endemic

districts

12 STK

per annum

per ASH A

Creating

iodated salt

demand and

monitoring of

the same at

the

community

level.

51.84 ** State Govt. to

monitor the

qualitative analysis of

iodated salt by STK

through ASHA in 2

endemic districts i.e.

Bilaspur and Raigar

D.6 ASHA

Incentive

Rs. 25/-

per month

for testing

50 salt

sample/mo

nth

50 salt

samples per

month per

ASHA in 2

endemic

district

40.06 **

TOTAL 141.40* 24.00

* Including fund proposed for Operational expenses of IDD Cell, workshop and review meetings which

are not allowed under the Programme

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA

for 2 endemic districts funds will be released through flexi pool of NRHM by GOI.


ANNEX 4B

INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP)

FMR

Code

Activity Unit Cost Amount

Proposed by

state

Amount

Approved

Remarks

E1 Operational Cost

Field Visits

99.94

86

Office Expenses

Broad Band expenses

Outbreak investigations

including Collection and

Transport of samples

Review Meetings

Any other expenditure

Sub Total 99.94 86

E 1.2 Laboratory Support

District Priority Lab- 1

lab. The State has

proposed only Recurring

cost for this lab.

1X4.00

4.00

4.00

Referral Network Lab

20

15(3X 5)

District public health lab

equipment

89.5

(5 X 17.9)

35.8

(2 X 17.9)


manpower

24.3

(5X0.81X6)

9.72

(2X0.81X6)

Remuneratio

n for staff at

priority labs

has been

approved for

6 months

initially.


consumables

24.65

(5 X 4.93)

8

(2 X 4)

Sub Total 162.45 72.52

E.2 Human Resources

E.2.1 Remuneration of

Epidemiologists

State

Epidemiol

ogists

4.8

(0.8x1x6)

3.3

(0.55x1x6)

Remuneratio

ns for vacant

positions are

calculated for

6 months

District

Epidemiol

ogists

64.8

(0.4x27x6)

64.8

(0.4x27x6)


FMR

Code


Proposed by

state

Amount

Approved

Remarks


Microbiologists

State

Microbiol

ogist

3.0

(0.25x1x12)

3.0

(0.25x1x12)

Remuneratio

ns for the

posts of

Epidemiologi

st,

microbiologis

t and

Consultant

training, for

candidates

with medical

qualifications

should be

more, than

those without

medical

qualification

District

Microbiol

ogist at 1

District

Priority

Lab

2.4(0.4X1X6) 2.4(0.4X1X6)


Entomologists

1.5(0.25x1x6) 1.5(0.25x1x6)

Veterinary Consultant 2.4(0.4x1x6) 2.4(0.4x1x6)

E.3 Consultant-Finance/

Procurement

1.68

(0.14x1x12)

1.68

(0.14x1x12)

E.3.1 Consultant-Training/

Technical

3.6 (0.40x1x9) 2.4 (0.40x1x6)

E.3.2 Data Manager State Data

Manager

4.2

(0.35X1X12)

2.4

(0.20X1X12)

District

Data

Manager

97.2

(0.30X27X12)

58.32

(0.18X27X12)

E.3.3 Data Entry Operator 61.38

(0.165 X 31 X

12 )

55.8

(0.15 X 31 X

12 )

Sub Total 246.96 198

E.8 Training As per NRHM Guidelines

Medical Officers

(3 days )

0.15 X 46 4.46 4.46

The training

of Data

manager and

Data entry

operator has

already been

conducted in

2012-13

One day training of

Hospital Pharmacist /

Nurses

0.215X 46 2.00 2.00

One day training of

Medical College Doctors

0.309X 13 1.14 1.14

One day training for Data

Entry and analysis for

Block Health Team

0.15X 140

3.02 3.02

Lab technician (3 days) 0.215X 46 0.79 0.79

Data managers (2 days) 0.28 X 1 0.78 0

DEO cum accountant

(2 days)

0.28 X 1 0.84 0


FMR

Code


Proposed by

state

Amount

Approved

Remarks

ANM 17.52 0

Sub

Total

52.25 11.41

For each newly formed

(Corporation as district)

District to cover for the

expenses on account of

Non-recurring costs on

Computer Hardware,

some office equipment

& accessories.

E.7 ID Hospital Network

* Surveillance in Metro

Cities

* New formed Districts 0.20X 11 2.2 0

Grand Total for IDSP 540.06 367.93

Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under

IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norm, the

budget for State could be increased at RE stage.


ANNEX 4C

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)


Component)

Amount proposed in PIP -2013-14

Amount approved as per

BE 2013-14 Remarks

F.1 Domestic Budget Support (DBS)

F.1.1 Malaria

F.1.1.a Contractual Payments

F.1.1.a.i MPW contractual 823.68 295

Activity approved but funds will be enhanced at RE stage.

F.1.1.a.ii Lab Technicians ( against vacancy)

42.6 0


F.1.1.a.iii VBD Technical Supervisor (one for each block)

28.05 0

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

0

Data Entry Operator one per district (Non-project states)

6.07 0

F.1.1.a.v

State Consultant (Non – Project States),

0

M&E Consultant (Medical Graduate with PH qualification)

0

- VBD Consultant (preferably entomologist)

0

F.1.1.b ASHA Incentive 63 45

F.1.1.c Operational Cost

F.1.1.c.i Spray Wages 0

F.1.1.c.ii Operational cost for IRS 55.2 0

F.1.1.c.iii Impregnation of Bed nets- for NE states

0



Component)



BE 2013-14 Remarks

F.1.1.d

Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

66.9 30

State has asked in F.1.1.e and F.1.1.f.i, hence it is reflected here

F.1.1.e IEC/BCC 78.35

20

F.1.1.f PPP / NGO and Intersectoral Convergence

12 State has asked in F.1.1.m

F.1.1.g Training / Capacity Building

5.6 5 State has asked in F.1.1.i

F.1.1.h Zonal Entomological units

22.92 0

F.1.1.i

Biological and Environmental Management through VHSC

10.3 5


F.1.1.j Larvivorous Fish support 0

F.1.1.k Construction and maintenance of Hatcheries

0

F.1.1.l

Any other Activities (Pl. specify)

273.06 0

NVBDCP-DBS-Urban Malaria-HR-Field worker, NVBDCP-DBS-Urban MalariaOperational Cost purchase, NVBDCP-DBS-LLIN (Godown charges) state & transportation, NVBDCP-DBS-HR-State level-Entomologist, Training Consultant,

Programme Associate-procurement, finance, Accountant, GIS DEO, Secretarial, Division IC, District Programme Associate- VBD consultant, MTS all the bolck of 96 Blocks (Including pf-)

Total Malaria (DBS) 1487.73 400



Component)



BE 2013-14 Remarks

F.1.2 Dengue & Chikungunya

F.1.2.a Strengthening surveillance (As per GOI approval)

F.1.2.a(i) Apex Referral Labs recurrent

F.1.2.a(ii) Sentinel surveillance Hospital recurrent

2 2

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs

20

F.1.2.b

Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)

F.1.2.c Monitoring/supervision and Rapid response

8.4 5

Can also be used for other VBD.

F.1.2.d Epidemic preparedness 39 4.5

F.1.2.e Case management 18 10

F.1.2.f Vector Control & environmental management

0 3

F.1.2.g IEC BCC for Social Mobilization

30 9

F.1.2.h Inter-sectoral convergence

1.8 0.5

F.1.2.i

Training & printing of guidelines, formats etc. including operational research

3.6 3.5

Total Dengue/Chikungunya

122.8 37.5

F.1.3 AES/JE

F.1.3.a

Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI

0 0

F.1.3.b IEC/BCC specific to J.E. in endemic areas



Component)



BE 2013-14 Remarks

F.1.3.c Capacity Building

F.1.3.d Monitoring and supervision

F.1.3.e Procurement of Insecticides (Technical Malathion)

F.1.3.f Fogging Machine

F.1.3.g Operational costs for malathion fogging

F.1.3.h Operational Research

F.1.3.i Rehabilitation Setup for selected endemic districts

F.1.3.j ICU Establishment in endemic districts

F.1.3.k ASHA Insentivization for sensitizing community

F.1.3.l

Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter

F.1.3.m Establishing district counseling centre

Total AES/JE 0 0

F.1.4 Lymphatic Filariasis

F.1.4.a

State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team and contingency support

70.87 28.54



Component)



BE 2013-14 Remarks

F.1.4.b Microfilaria Survey 4.45 4.5

F.1.4.c

Post MDA assessment by medical colleges (Govt. & private)/ICMR institutions

2.4 1.35

F.1.4.d

Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

80.15 42.15

F.1.4.e

Specific IEC/BCC at state,district, PHC, Sub-centre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA

35.2 14.3

F.1.4.f

Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA

138.92 35.2

F.1.4.g

Verification and validation for stoppage of MDA in LF endemic districts

F.1.4.g.i a) Additional MF Survey for 3 districts

0 2.1 Out of 9 districts, 3 districts

F.1.4.g.ii b) ICT Survey for 3 districts

4.5

qualified for TAS, hence state should plan within six months

F.1.4.g.iii c) ICT Cost for 3 districts 15

F.1.4.h Verification of LF endemicity in non-endemic districts

F.1.4.h.i a) LY & Hy Survey in non-endemic district

F.1.4.h.ii b) Mf Survey in Non- endemic distt

F.1.4.h.iii c) ICT survey

F.1.4.i Post-MDA surveillance



Component)



BE 2013-14 Remarks

Total Lymphatic Filariasis

331.99 147.64

F.1.5 Kala-azar

F.1.5 Case search/ Camp Approach

Not Applicable 0

F.1.5.a Spray Pumps & accessories

F.1.5.b Operational cost for spray including spray wages

F.1.5.c Mobility/POL/supervision

F.1.5.d Monitoring & Evaluation

F.1.5.e Training for spraying

F.1.5.f IEC/ BCC/ Advocacy

Total Kala-azar 0 0

Total (DBS) 1942.52 585.14

F.2 Externally aided component

F.2.a World Bank support for Malaria (Identified state)

F.2.b Human Resource 278.39

200

Can be increased at RE stage based on physical and financial proposal

F.2.c Training /Capacity building

27.6

F.2.d

Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats)

47

Kala-azar World Bank assisted Project

F.2.e Human resource Not Applicable Not Applicable



Component)



BE 2013-14 Remarks

F.2.f Capacity building

F.2.g Mobility

F.3 GFATM support for Malaria (NEStates)

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


F.3.b Training/Capacity Building

F.3.c

Planning and Administration( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

F.3.d

Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings,

F.3.e IEC / BCC activities as per the project

F.3.f

Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

Total : EAC component

352.99 200

F.4 Any Other Items ( Please Specify)

0 0

F.5

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

0 0

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

2295.51 785.14



Component)



BE 2013-14 Remarks

F.6 Cash grant for decentralized commodities

F.6.a Chloroquine phosphate tablets

120

100

Approved however, funds will be released within available budget. The gap may be met from flexi fund to avoid any shortage of drug and diagnostics. The procurement procedure for anti-malarial and anti-filarial drugs may be initiated in 1st quarter of current financial year so as to ensure its availability in time.

F.6.b Primaquine tablets 7.5 mg

4.37

F.6.c Primaquine tablets 2.5 mg

1.35

F.6.d Quinine sulphate tablets 0

F.6.e Quinine Injections 4.8

F.6.f DEC 100 mg tablets 71.08

F.6.g Albendazole 400 mg tablets

0

F.6.h Dengue NS1 antigen kit 4.8

F.6.i Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water)

1.45

F.6.j Pyrethrum extract 2% for spare spray

10

F.6.k ACT ( For Non Project states)

114.82

F.6.l RDT Malaria – bi-valent (For Non Project states)

F.6.m

Any Other Items ( Please Specify)

139.74

NVBDCP-Arteether Injection, Deltamethrine, Suprey PUMP (purchase ,repair,for fogging pump), LLIN, New Microscope, Lancet, Slide, Swab & Laboratory Reagents.

Total grant for decentralized commodities

472.41 100

Grand Total for grant-in-aid under NVBDCP

2767.92 885.14



Component)



BE 2013-14 Remarks

Commodity Grants 3718 2160.68

Total NVBDCP Cash + Commodity

6485.92 3045.82

NRHM Additionality

1 NVBDCP- RDT kits 419 0 May be met from Village Health senitation committee or flexi fund.

2 NVBDCP-DBS-Malaria-Spray wages

489.38 0

3 NVBDCP-Synthetic Pyrethroid (Alphacypermethrin 5%)

147 0

4 NVBDCP-DBS-Malara-HR-Driver for State Programme unit

2.7 0

5 NVBDCP-Malaria Offic Expenses including contingency

32 0

6 NVBDCP- Malaria-Support to Sentinel sites (incentives to SSLT)

6 0

7 NVBDCP-Support to State Office-Office Attendant(STATE)

1.68 0

Total NRHM Additionality

1097.76 0


ANNEX 4D

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)

Activity proposed

Unit Unit Cost (In

Rupees)

Physical

Targets

Amount proposed (Rs. in

lakh)

Amount approved (Rs. in

lakh)

Remarks

G1.Case detection & Management

1.1 Specific -plan for High Endemic Districts

Block 75,000

0.00

1.2 Services in Urban Areas

Town - Med I - Med II- Mega-

Town - 114,000 Med I -

2,40,000 Med II-

4,72,000 Mega-560000

07 05 05 00

7.98 12.00 23.60 00.00

7.98 12.00 23.60 00.00

1.3. ASHA Involvement

Sensitization 100 - - -

*Incentive to ASHA

Detection

250 2000 5.00 5.00

PB 400 1000 6.00 4.00

MB 600 1000 10.00 6.00

1.4 Material & Supplies

Supportive drugs, lab. reagents & equipments and printing works District

68,000

27 16.20 16.20

1.5 NGO Schemes No.

600000 1 6.00 6.00

G2. DPMR


Activity proposed

Unit Unit Cost (In

Rupees)

Physical

Targets


lakh)


lakh)

Remarks

MCR footwear, Aids and appliances, Welfare allowance to leprosy patients for RCS, Support to govt. institutions for RCS

MCR Footwear- 300/- Aids/Appliance -17000 Welfare/RCS - 8000 At Institute - 5000 At camps - 10000

1200 27

200 200

3.6 0.81

16.00 10.00

3.6 0.81

16.00 10.00

G3. **IEC/BCC

Mass media, Outdoor media, Rural media, Advocacy media

District

98,000 27 26.46 26.46

G4. Human Resource & Capacity building

State specific

reuirements & rates

***4.1 Capacity building

No. of batch

MO 89,000 25 22.25 22.25

HW 71,000 25 17.75 17.75

PT 50,600 1 0.51 0.51

DNT 71,000 3 2.13 2.13

4.2. Human Resource on contract

****4.2.1. Contractual Staff at State level

SMO 1 40000 7.20 4.80

BFO cum Admn. Officer

1 30,000 5.40 3.60

Admn. Asstt. 1 16000 2.40 1.92

DEO 1 12000 2.16 1.44

Driver 1 11000 1.32 1.32


Activity proposed

Unit Unit Cost (In

Rupees)

Physical

Targets


lakh)


lakh)

Remarks

#District Leporsy Consultant

30000 0 32.4

#Physiotherapist

25000 20.00 27.00

4.2.3. Special Provision for selected States

NMS No. 25000 - -

4.2.4. Staff for blocks

#PMW No. 16000 93 133.92

G5. Programme Management

5.1. Travel Cost

Contractual Staff at State level

1.00 1.00

Contractual Staff at District level

25000 6.75 6.75

5.2 Review meetings

4 20000 to 50000

1.00 1.00

5.3 Office Operation & Maintenance

Office operation - State Cell

1 75000 0.75 0.75

Office operation - District Cell

No. 35000 9.45 9.45

Office equipment maint. State

1 50000 0.50 0.50

5.4 Consumables

State Cell 1 50000 0.50 0.50

District Cell No. 30000 8.10 8.10

5.5 Mobility Support


Activity proposed

Unit Unit Cost (In

Rupees)

Physical

Targets


lakh)


lakh)

Remarks

State Cell 2 200000 4.00 4.00

District Cell 1 150000 60.75 40.50

G6. Others Essential requiremen

t Travel expenses for regular staff for specific programme / training need, awards etc

GRAND TOTAL 317.57 459.24


ANNEX 4E

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP)

S.No

Category of

Expenditur

e

Unit cost Physical target

/expected output Amount

Proposed

Amount

Approve

d

Remarks

I.1 Civil works As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Civil work Up

gradation and

maintenance

completed as

planned

351.75 246.22 Approval is

being given

for 9 DTC , 1

C&DST lab,

20 TUs and

38 DMCs

I.2 Laboratory

materials

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Sputum of TB

Suspects

Examined per lac

population per

quarter;

2) All districts

subjected to IRL

On Site Evaluation

and Panel Testing

in the year;

3) IRLs accredited

and functioning

optimally

88.15 79.33 90%

approved.

I.3 Honorarium As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All eligible

Community DOT

Providers are paid

honorarium in all

districts in the FY

52.42 47.18 90%

approved.

I.4 ACSM As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All IEC/ACSM

activities proposed

in PIP completed;

2) Increase in case

detection and

improved case

holding;

73.33 50.00 Includes the

Salary of

State ACSM

officer.

I.5 Equipment

maintenance

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Maintenance of

Office Equipments

at State/Districts

and IRL

equipments

completed as

planned;

2) All BMs are in

functional

condition

24.16 19.32 80%

approved.


S.No

Category of

Expenditur

e



Proposed

Amount

Approve

d

Remarks

I.6 Training As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Induction

training, Update

and Re-training of

all cadre of staff

completed as

planned;

87.78 52.66 60%

approved

I.7 Vehicle

maintenance

/ operation

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All 4 wheelers

and 2 wheelers in

the state are in

running condition

and maintained;

132.06 71.47 As per norms.

For new

position

operation cost

is approved

for 6 months.

I.8 Vehicle

hiring

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Increase in

supervisory visit

of DTOs and

MOTCs;

2) Increase in case

detection and

improved case

holding

220.83 154.58 70%

approved

I.9 NGO/PP

support

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Increase in

number of

NGOs/PPs

involved in signed

schemes of

RNTCP;

2) Contribution of

NGOs/PPS in case

detection and

provision of DOT

125.88 113.29 90%

approved.

I.10 Medical

College

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All activities

proposed under

Medical Colleges

head in PIP

completed

62.26 52.80 Includes 15

lakhs for the

ZTF meeting.

I.11 Office

Operation

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All activities

proposed under

miscellaneous

head in PIP

completed

44.63 35.70 80%

approved.

I.12 Contractual

services

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All contractual

staff appointed

and paid regularly

as planned

1092.15 873.72 80%

approved


S.No

Category of

Expenditur

e



Proposed

Amount

Approve

d

Remarks

I.13 Printing As per Revised

Norms and

Basis of

Costing for

RNTCP

1) All printing

activities at state

and district level

completed as

planned

57.36 40.15 70%

approved

I.14 Research

and studies

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Proposed

Research has been

initiated or

completed in the

FY as planned

3.00 2.40 80%

approved

1.15 Procurement

of drugs

0 0

I.16 Procurement

–vehicles

As per Revised

Norms and

Basis of

Costing for

RNTCP

1) Procurement of

vehicles

completed as

planned

109.00 98.10 90%

approved

I.17 Procurement

-

Equipments

As per Revised

Norms and

Basis of

Costing for

RNTCP

1)Procurement of

equipments

completed as

planned

289.00000 238.1000

0

Hand held

devise has not

been

approved as

these will be

procured at

central level.

I.18 Patient

support &

Transportati

on

As per Revised

Norms and

Basis of

Costing for

RNTCP

Payment of

transportation

charges to patients

16.00 11.20 70%

approved

I.19 Supervision

&

Monitoring

As per Revised

Norms and

Basis of

Costing for

RNTCP

Number of

evaluation and

review meeting

done by state

50.00 40.00 80%

approved.

Subtotal 2879.79 2226.29


S.No

Category of

Expenditur

e



Proposed

Amount

Approve

d

Remarks

Disease control Flexi pool fund

106.72 65.56 Disapproved

activities are:

Generator for

STDC ;

Diesel for

generator at

IRL and

DOTS plus

site

TOTAL APPROVAL 2986.51 2291.85


Annexure 4F

National Programme for Prevention and Control of Fluorosis (NPPCF)

Sl. No.

FMR Code

Budget Head Unit

Quantity Yearly

Unit Cost Amount

Proposed Remarks

3 J.1.1 NPPCF - State Cell

4 J.1.1.1 NPPCF-State Cell-

Programme Officer 1 660,000 6.60

The proposal is not considered now. State to propose separately along with other states as directed

5 J.1.1.2 NPPCF-State Cell-Field

Investigator

6 J.1.1.3 NPPCF -State Cell-Mobility

Support

7 J.1.1.4 NPPCF - State Cell-

Monitoring

8

J.1.1.5 NPPCF - State Cell-Monitoring- State Monthly Report

9

J.1.1.6 NPPCF - State Cell-Monitoring- State Annual Report

10

J.1.1.7 NPPCF - State Cell- Monitoring-Monthly Meeting

11 J.1.1.8 NPPCF - State Cell-Office

Exp. 1 200,000 2.00

12 J.1.2 NPPCF - Distt Cell

13 J.1.2.1 NPPCF- Distt Cell-

Consultant 5 2,700,000 27.00

14 J.1.2.2 NPPCF- Distt Cell-

Technician 5 900,000 9.00

15 J.1.2.3 NPPCF - Distt Cell-Field

Investigators 15 2,340,000 23.40

16

J.1.2.4 NPPCF - Distt Cell-Training- Distt Medical & Paramedical Personnel

4 1,200,000 12.00

16

J.1.2.4a NPPCF - Distt Cell-Training- Distt Medical & Paramedical Personnel

1 100,000 1.00

17

J.1.2.5 NPPCF - Distt Cell-Monitoring- Distt Annual Report

18 J.1.2.6 NPPCF - Distt Cell-

Coordination Meeting 5 500,000 5.00

19

J.1.2.7 NPPCF - Distt Cell-Office Exp. (Travel &

5 1,000,000 10.00


Sl. No.

FMR Code

Budget Head Unit

Quantity Yearly

Unit Cost Amount

Proposed Remarks

Contingencies)

20 J.1.3 NPPCF - Lab Support

21 J.1.3.1 NPPCF -Lab Support-Distt.

Lab-

22

J.1.3.2 NPPCF -Lab Support- Distt. Lab-Lab Equipment

4 2,800,000 28.00

23

J.1.3.3 NPPCF -Lab Support- Distt. Lab-Lab Consumables

5 1,000,000 10.00

24

J.1.3.4 NPPCF -Lab Support- Distt. Lab- Exp. For Sample Testing

25 J.1.3.5 NPPCF -Lab Support-

Refferal Lab

26 J.1.3.6 NPPCF -Lab Support- Other

27

J.1.4 NPPCF - Fluorosis Medical Managment

28

J.1.4.1 NPPCF - Fluorosis Medical Management-Treatment

4 6,640,000 66.40

28

J.1.4.1a NPPCF - Fluorosis Medical Management-Treatment

1 1,700,000 17.00

29

J.1.4.2 NPPCF - Fluorosis Medical Management-Surgery

30

J.1.4.3 NPPCF - Fluorosis Medical Management -Rehabilitation

31 J.1.5 NPPCF - IEC/BCC 4 1,400,000 14.00

31

J.1.5a NPPCF - IEC/BCC 1 150,000 1.50

32 J.1.6 NPPCF - Other

33 J.2 NPPCF Flexipool

34 J.2 NPPCF Flexipool

PART - D.7 (NPPCF) Total 23,290,000

232.90 0.00


Annexure 5

Chhattisgarh Rural Medical Corp

Sr. No.

HR Category Quantity Incentive Total (Rs./lakhs)

Difficult Area

1 Specialist 17 30000 30.60

2 PG-MO 15 25000 22.50

3 LSAS/EmOC trained MO 10 22000 13.20

4 MO 102 20000 122.40

5 SN 160 2000 19.20

6 RMA 150 3000 27.00

Most Difficult Area

1 Specialist 38 40000 91.20

2 PG-MO 37 35000 77.70

3 LSAS/EmOC trained MO 10 30000 18.00

4 MO 60 25000 90.00

5 SN 40 3000 7.20

6 RMA 300 5000 90.00

7 ANM 1000 1000 60.00

Inaccessible Area

1 MO 30 30000 54.00

2 SN 50 5000 15.00

3 RMA 10 10000 6.00

4 ANM 1000 2000 120.00

TOTAL 864.00


Annexure 6

Programme Management

Sr No.

Category No. Salary Rs./m

Total Rs.Lakhs

SPMU

1 State Programme Manager 1 52030 3.12

2 Programme manager (Maternal Health) 1 45000 2.70

3 Programme manager (child Health) 1 45000 2.70

4 Programme manager (family Planing) 1 45000 2.70

5 Programme manager (ARSH/School Health) 1 45000 2.70

6 State Quality Assurance Manager 1 45000 2.70

7 Programme Associate- State Level 2 30000 3.60

8 PM- Infrastructure 1 45000 2.70

9 PM- Proucrement & Logistics 1 45000 2.70

10 PM-PPP/referal Transport 1 45000 2.70

11 PM- Programme Manager Planning 1 45000 2.70

12 Engineer (Civil & Electrical) 3 30000 5.40

13 State- Director Finance 1 75000 4.50

14 State Finance Manager 1 45000 2.70

15 State Account Manager 1 45000 2.70

16 Accountant- State Level 4 17160 4.12

17 Programme Manager M&E- SPMU 1 45000 2.70

18 Programme Manager HMIS -SPMU 1 45000 2.70

19 State Data Officer 1 33000 1.98

20 State Coordinator (Community Monitoring) 1 22000 1.32

21 State Reporting & Documentation Consultant 1 27500 1.65

22 Computer Programmer 6 26400 9.50

23 Project Associates-(SRM) 2 30000 3.60

24 Programme Manager HRD 1 45000 2.70

25 State Training Officer 1 37620 2.26

26 State Human Resource officer 1 27830 1.67

27 Admin Officer 1 45000 2.70

28 Project Associates-Logistic State - M&E 1 30000 1.80

29 Office Assistant- State Level -QA Cell 2 15000 1.80

30 State Demography Officer 1 33000 1.98

31 BCC/IEC Officer- State Level 1 27830 1.67

32 Office Assistant - State Level 31 13750 25.58

33 Peon/Chowkidar/Sweeper 10 4950 2.97

Sub total 119.02


DPMU

1 District Programme Manager 27 40700 65.93

2 Hospital Consultant 27 28600 46.33

3 Programme Manager MH & FP 27 30000 48.60

4 Programme Manager CH & Immunization 27 30000 48.60

5 Programme Manager ARSH/SSP & WIFS 27 30000 48.60

6 District- Sub Engineer 27 30000 48.60

7 District Account Manager- District Level 27 29700 48.11

8 Distirct Accontant Assistant 27 15730 25.48

9 District Data officer 27 26400 42.77

10 Distirct Data Assistant 27 12100 19.60

11 District Training Co-ordinator 27 26400 42.77

12 Data Entry Operator 81 8800 42.77

Sub total 528.17

BPMU

1 Block Programme Manager 146 19800 173.45

2 Block Account Assistant 146 16500 144.54

3 Account & Data Assistant 741 8800 391.25

4 Block Data Assistant 146 16500 144.54

5 Data Entry Operator 146 8800 77.09

Sub total 930.86

GRAND TOTAL 1578.05

Approval of State PIP 2013-14: Chhattisgarh

Annexure 7a

Approved New Constructions for 2013-14- Sub Centers

Name of the

District

Type and Name of

the Facility

Population

covered by

the facility

Normal

Deliveries

per month

Timeline for

completion

Total

Project

cost

Total funds

proposed

for 2013-14

Total Funds

approved for

2013-14

Balodabazar Shc Amodi 5200 23 2Year 22.81 9.124 9.124

Gariaband SHC Nahargaon 4000 3 2Year 22.81 9.124 9.124

Gariaband SHC Bortula 5000 3 2Year 22.81 9.124 9.124

Janjgir SHC Kashigarh -

Jaijaipur

10594 3 2Year 22.81 9.124 9.124

Janjgir SHC Bundeli -

Maalkharouda

5861 5 2Year 22.81 9.124 9.124

Janjgir SHC Pirda

Maalkharouda

8494 6 2Year 22.81 9.124 9.124

Janjgir SHC Janjgir -

Nawagarh

27343 4 2Year 22.81 9.124 9.124

Korea SHC Devgarh 3265 2 2Year 22.81 9.124 9.124

Surguja SHC Dandagaon 4080 5 2 years 22.81 9.124 9.124

Total 9 SCs 205.29 82.116 82.116


Approved New Constructions for 2013-14- PHC

Name of the

District

Type and

Name of the

Facility

Population

covered by

the facility

Normal

Deliveries

per month

Timeline

for

completion

Total

Project

cost

Total funds

approved

for 2013-14

Mungeli PHC

Khamhariya 10717 9 2 Year 49.53 19.81


Annexure -7b

Spill Over Works Approved (CHCs)

Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Balod Balod FRU

CHC

Labour Room, OT, Drug

Store Cum Vaccin Storage

Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

Balod Gundrdehi FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

Balod Gurur CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

Baloda

Bazar Bhatapara

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

Baloda

Bazar Kasdol

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

Balrampu

r Kusmi CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Balrampu

r Rajpur

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

Balrampu

r

Wadrafnag

ar

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bastar Badekilep

al CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bastar Bakawand FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bastar Darbha FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bastar Lohandigu

da CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bastar Nangoor CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bastar Tokapal CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Bemetara Bemetara FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bemetara Berla CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bemetara Nawghar CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bemetara Saja CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bemetara Thankham

riya CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bijapur BAIRAM

GARH CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bijapur BHOPAL

PATNAM CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bijapur GANALU

R CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Bijapur USUR CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bilaspur Bilha FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bilaspur Kota FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bilaspur Marwahi FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bilaspur Masturi CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bilaspur Pendra CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Bilaspur Takhatpur CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Dantewad

a Geedam

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Dantewad

a

Katekalya

n

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Dhamtari GUJRA CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year

3.00

Dhamtari Kurud FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Dhamtari Magarload FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Dhamtari Nagari FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Durg Dhamdha FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Durg Jhait CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Durg Patan CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Gariyaban

d Gariaband

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Janjgir Akaltara FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Janjgir Baloda CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Janjgir Bamnidih CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Janjgir dabhara CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Janjgir Malkaroda CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Jashpur Bagicha CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Jashpur Duldula CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Jashpur Lodam CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Jashpur Manora CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Jashpur Pathalgaon FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Jashpur Pharsabah

ar

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kanker Antagarh CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kanker Bhanuprat

appur

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kanker Charama FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kanker Dhanelika

nhar CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Kanker Durgukon

dal CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kanker Narharpur CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kanker Pakhanjur FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kawardha BODLA CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kawardha Pandariya FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kawardha Pipriya CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kawardha S. Lohara FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kondagao

n Keshkal

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Kondagao

n Makdi CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kondagao

n

Pharasgao

n CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kondagao

n

RNT

Kondagao

n

(CH)

Civil

Hospital



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Kondagao

n

Vishrampu

ri CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korba Kartala FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korba Katghora FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korba Pali FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korba PODIPOD

A CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Korea khadeguw

a CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korea Manendra

garh

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korea patana CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Korea sontat CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Mahasam

und Bagbahra

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Mahasam

und BASANA CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Mahasam

und Pithora

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Mahasam

und Saraypali

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Mungeli Lormi FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Mungeli Mungeli FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Mungeli Pathariya CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Raigarh BARAMK

ELA CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Raigarh Lailunga FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Raigarh PUSORE CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Raigarh TAMNAR CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Raigarh VIJAYRN

AGA CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Rajnandg

aon A. Chowki CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Rajnandg

aon

Chuikhada

n

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Rajnandg

aon Churiya

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Rajnandg

aon

Dongargar

h

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Rajnandg

aon Mohala

FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Sarguja Mainapt CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Sarguja Udaypur FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Sukma Sukma FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00


Name of

the

District

Location Facility

Tyep Work Details

Year of

Approva

l of

Project

Tota

l

Proj

ect

Cost

(Lak

hs)

Amou

nt

Appro

ved in

2012-

13

Amou

nt

Propo

sed

for

2013-

14 (if

any)

Physi

cal

Progr

ess till

date

Time

Line for

Comple

tion

Amount

approv

ed

Surajpur Bishrampu

r CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Surajpur Surajpur FRU

CHC



Room & BSU

2012-13 12.0

0 9.00 3.00

TS/A

S

proces

s

2 Year 3.00

Sub Total 1152

.00 864.00 288.00 288.00


Annexure 7c

Ongoing works approved for construction of Staff Quarters (2013-14) - District Hospitals

District

Type of Quarters Year of

approval

Total

cost

approved

Amount

approved

in 2012-

13

Amount

Proposed

in 2013-14

Progress

Time line

of

completion

Amount

Approved

for 2013-

14 2F 2G 2H

Bijapur 3 4 5 2012-13 219.03 54.7575 109.515 TS/AS

process 3year

109.515

Bilaspur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS

process 3year

30.175

Dantewada 2 2 2 2012-13 120.7 30.175 60.35 TS/AS

process 3year

60.35

Dhamtari 4 6 5 2012-13 287.18 71.795 143.59 TS/AS

process 3year

143.59

Durg 4 20 6 2012-13 547.28 136.82 273.64 TS/AS

process 3year

273.64

Janjgir 4 4 10 2012-13 301.76 75.44 150.88 TS/AS

process 3year

150.88

Jashpur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS

process 3year

30.175

Kanker 3 3 4 2012-13 191.11 47.7775 95.555 TS/AS

process 3year

95.555

Kawardha 2 2 1 2012-13 110.64 27.66 55.32 TS/AS

process 3year

55.32

Korba 1 2 2 2012-13 88.27 22.0675 44.135 TS/AS

process 3year

44.135

Korea 3 3 3 2012-13 181.05 45.2625 90.525 TS/AS

process 3year

90.525

Mahasamund 5 5 3 2012-13 281.63 70.4075 140.815 TS/AS

process 3year

140.815

Narayanpur 2 3 2 2012-13 138.56 34.64 69.28 TS/AS

process 3year

69.28


Raigarh 0 0 0 2012-13 0 0 0 TS/AS

process 3year

0

Raipur 2 2 2 2012-13 120.7 30.175 60.35 TS/AS

process 3year

60.35

Rajnandgaon 10 1 1 2012-13 352.22 88.055 176.11 TS/AS

process 3year

176.11

Sarguja 5 5 10 2012-13 352.05 88.0125 176.025 TS/AS

process 3year

176.025

17 DHs 52 64 58 3412.88 853.22 1706.44 1706.44


Ongoing works approved for construction of Staff Quarters - CHCs

District CHC

Type of

Quarters Year of

approval

Total

cost

approved

Amount

approved

in 2012-

13

Amount

Proposed

in 2013-14

Progress

Time line

of

completion

Amount

Approved

for 2013-

14 2F 2G 2H

Balod Balod 1 2 1 2012-13 78.21 19.5525 39.105 TS/AS

process 3year 39.105

Balod Gundrdehi 1 3 2 2012-13 106.13 26.5325 53.065 TS/AS


Balod Gurur 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Baloda

Bazar Bhatapara 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Balrampur Rajpur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Balrampur Wadrafnagar 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Balrampur Kusmi 0 0 2 2012-13 20.12 5.03 10.06 TS/AS

process 3year 10.06

Balrampur Shankargarh 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Balrampur Ramanujganj 0 0 2 2012-13 20.12 5.03 10.06 TS/AS

process 3year 10.06

Bastar Bakawand 1 2 2 2012-13 88.27 22.0675 44.135 TS/AS


Bastar Darbha 1 3 3 2012-13 116.19 29.0475 58.095 TS/AS


Bastar Badekilepal 0 2 1 2012-13 45.78 11.445 22.89 TS/AS

process 3year 22.89


Bastar Tokapal 0 2 0 2012-13 35.72 8.93 17.86 TS/AS

process 3year 17.86

Bastar Lohandiguda 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Bastar Nangoor 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Bemetara Bemetara 1 4 2 2012-13 123.99 30.9975 61.995 TS/AS


Bemetara Berla 0 2 2 2012-13 55.84 13.96 27.92 TS/AS

process 3year 27.92

Bemetara Nawghar 0 2 2 2012-13 55.84 13.96 27.92 TS/AS

process 3year 27.92

Bemetara Saja 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Bemetara Thankhamriya 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Bijapur BHOPALPATNAM 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Bilaspur Bilha 1 0 0 2012-13 32.43 8.1075 16.215 TS/AS


Bilaspur Gourella 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Bilaspur Masturi 1 0 2 2012-13 52.55 13.1375 26.275 TS/AS


Bilaspur Takhatpur 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Bilaspur Marwahi 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Dantewada Geedam 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Dantewada Katekalyan 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Dantewada KUAKONDA 0 2 2 2012-13 55.84 13.96 27.92 TS/AS

process 3year 27.92

Dhamtari Kurud 1 0 1 2012-13 42.49 10.6225 21.245 TS/AS



Dhamtari Nagari 1 2 2 2012-13 88.27 22.0675 44.135 TS/AS


Dhamtari Magarload 1 2 2 2012-13 88.27 22.0675 44.135 TS/AS


Dhamtari GUJRA 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Durg Dhamdha 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Durg Patan 0 1 0 2012-13 17.86 4.465 8.93 TS/AS

process 3year 8.93

Durg Jhait 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Gariyaband Gariaband 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Janjgir Baloda 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Janjgir Bamnidih 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Janjgir dabhara 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Janjgir Malkaroda 0 1 4 2012-13 58.1 14.525 29.05 TS/AS

process 3year 29.05

Jashpur Pharsabahar 1 2 1 2012-13 78.21 19.5525 39.105 TS/AS


Jashpur Pathalgaon 1 3 1 2012-13 96.07 24.0175 48.035 TS/AS


Jashpur Kansabel 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Jashpur Lodam 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Jashpur Duldula 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Kanker Charama 2 2 4 2012-13 140.82 35.205 70.41 TS/AS

process 3year 70.41

Kanker Bhanupratappur 2 4 4 2012-13 176.54 44.135 88.27 TS/AS

process 3year 88.27


Kanker Pakhanjur 2 2 4 2012-13 140.82 35.205 70.41 TS/AS

process 3year 70.41

Kanker Narharpur 0 1 8 2012-13 98.34 24.585 49.17 TS/AS

process 3year 49.17

Kanker Amoda 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Kanker Antagarh 0 2 4 2012-13 75.96 18.99 37.98 TS/AS

process 3year 37.98

Kanker Koilibeda 0 1 3 2012-13 48.04 12.01 24.02 TS/AS

process 3year 24.02

Kanker Durgukondal 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Kanker Dhanelikanhar 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Kawardha BODLA 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Kondagaon Keshkal 2 2 0 2012-13 100.58 25.145 50.29 TS/AS

process 3year 50.29

Kondagaon Pharasgaon 0 2 1 2012-13 45.78 11.445 22.89 TS/AS

process 3year 22.89

Kondagaon Vishrampuri 0 2 2 2012-13 55.84 13.96 27.92 TS/AS

process 3year 27.92

Kondagaon Makdi 0 2 1 2012-13 45.78 11.445 22.89 TS/AS

process 3year 22.89

Korba Katghora 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Korba Kartala 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Korba Pali 0 2 1 2012-13 45.78 11.445 22.89 TS/AS

process 3year 22.89

Korba PODIPODA 0 0 2 2012-13 20.12 5.03 10.06 TS/AS

process 3year 10.06

Korea Bharatpur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Korea Manendragarh 1 2 2 2012-13 88.27 22.0675 44.135 TS/AS



Korea patana 0 1 5 2012-13 68.16 17.04 34.08 TS/AS

process 3year 34.08

Korea sontat 0 1 3 2012-13 48.04 12.01 24.02 TS/AS

process 3year 24.02

Korea khadeguwa 0 1 5 2012-13 68.16 17.04 34.08 TS/AS

process 3year 34.08

Mahasamund Bagbahra 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Mahasamund Pithora 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Mahasamund Saraypali 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Mahasamund BASANA 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Mungeli Lormi 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Mungeli Mungeli 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Mungeli Pathariya 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Narayanpur ORCHA 0 2 1 2012-13 45.78 11.445 22.89 TS/AS

process 3year 22.89

Raigarh Sarangarh 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Raigarh Gharghoda 0 1 0 2012-13 17.86 4.465 8.93 TS/AS

process 3year 8.93

Raigarh Lailunga 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Raigarh BARAMKELA 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Raigarh LOING 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Raigarh PUSORE 0 1 4 2012-13 58.1 14.525 29.05 TS/AS

process 3year 29.05

Raigarh TAMNAR 0 1 4 2012-13 58.1 14.525 29.05 TS/AS

process 3year 29.05


Raigarh VIJAYRNAGA 0 1 4 2012-13 58.1 14.525 29.05 TS/AS

process 3year 29.05

Raipur Abhanpur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Raipur Tilda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon Dongargarh 1 2 1 2012-13 78.21 19.5525 39.105 TS/AS


Rajnandgaon Churiya 1 2 1 2012-13 78.21 19.5525 39.105 TS/AS


Rajnandgaon Mohala 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Rajnandgaon Chuikhadan 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Rajnandgaon Dongargaon 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Rajnandgaon Gandai 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Sarguja Udaypur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Sarguja Sitapur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Sarguja Mainapt 0 1 1 2012-13 27.92 6.98 13.96 TS/AS

process 3year 13.96

Sarguja Dhourpur 0 1 4 2012-13 58.1 14.525 29.05 TS/AS

process 3year 29.05

Sarguja Bhafouli 0 1 4 2012-13 58.1 14.525 29.05 TS/AS

process 3year 29.05

Sarguja Lakhanpur 0 1 3 2012-13 48.04 12.01 24.02 TS/AS

process 3year 24.02

Sukma Sukma 2 2 2 2012-13 120.7 30.175 60.35 TS/AS

process 3year 60.35

Surajpur Ramanujnagar 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS


Surajpur Surajpur 1 1 1 2012-13 60.35 15.0875 30.175 TS/AS



Surajpur Odgi 0 0 3 2012-13 30.18 7.545 15.09 TS/AS

process 3year 15.09

Surajpur Bhaiyathan 0 2 0 2012-13 35.72 8.93 17.86 TS/AS

process 3year 17.86

Surajpur Premnagar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur Praptappur 0 0 2 2012-13 20.12 5.03 10.06 TS/AS

process 3year 10.06

Surajpur Bishrampur 0 1 2 2012-13 37.98 9.495 18.99 TS/AS

process 3year 18.99

Total 107 CHCs 45 131 190 5710.41 1427.6025 2855.205 2855.205


Ongoing works approved for construction of Staff Quarters - 24x7 PHCs

District CHC

Type of

Quarters Year of

approval

Total

cost

approved

Amount

approved

in 2012-

13

Amount

Proposed

in 2013-14

Progress

Time line

of

completion

Amount

Approved

for 2013-

14 2F 2G 2H

Balod Surdongar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Balod Mahod B 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Balod Palari 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Baloda

Bazar Katgi 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Baloda

Bazar Odan 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Baloda

Bazar Suhela 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Baloda

Bazar Rohara 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Baloda

Bazar Barpali 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Baloda

Bazar Hathband 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Balrampur PHC Dumarkhola 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Balrampur Raghunathnagar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Balrampur Bartikala 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Balrampur Bartikala 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Bastar Bastar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bastar manganar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bastar Mardam 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bastar Ghotia 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bemetara Sambalpur 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bijapur Madded 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bijapur Kutaru 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bijapur Awapalli(Pusgudi) 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bijapur Cherpal 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bijapur Nelasnar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bilaspur FRU Sanatorium 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bilaspur Junapara 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bilaspur Pondi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Bilaspur Chhapora 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dantewada Barsur 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dhamtari Karelibadi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dhamtari Belargaon 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Dhamtari Sirri 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dhamtari Megha 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dhamtari Sihawa 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dhamtari Jijamgaon 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Dhamtari Nari 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Durg Patan 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Durg Bori 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Durg Gudali 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Gariyaband Amlipadar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Gariyaband Urmal 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Gariyaband Jhargaon 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Gariyaband Kondkera 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Gariyaband Kopra 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Janjgir Pamgarh 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Janjgir Kurda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Janjgir Nariyara 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Kotba 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Jashpur Bhelwa 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Arra 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Kilkila 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Surangpani 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Tapkara 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Bagbahar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Pandrapath 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Jashpur Kersai 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Sarona 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Basanwahi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Halba 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Korar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Bande 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Kotatara 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Haradula 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker bhanbeda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Kewti 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Kanker kodekurse 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kanker Kurenar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kawardha Udiya kala 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kawardha Pondi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kawardha Indouri 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kawardha Bamhni 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kawardha Kunda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kondagaon Banskot 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kondagaon Chhipwand 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kondagaon Dahikonda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Kondagaon Mardapal 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Bhaisma 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Tuman 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Pasan 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Rampur 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Utarda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Haldibazar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Korba Chaitma 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Bhilaibazar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korba Chhuri 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korea Katgodi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korea Pondi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korea Kotadol 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Korea Patna 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Jhalap 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Patewa 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Pirda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Baroli 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Birkoni 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Khallari 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Mungaser 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Chanat 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Baloda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Mahasamund Patsendri 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Mungeli Jarhagaon 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Narayanpur Orchcha 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Narayanpur Narayanpur 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Narayanpur Chhotedongar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh LENDHRA 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh CHHAL 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh HATI 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh SISARINGA 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh SARWANI 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh NAURANGPUR 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh DUMARPALI 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh JAMGAON 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh BHEDWAN 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raigarh GODAM 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raipur Riwa 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raipur Mandir Hasoud 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raipur Bangoli 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Raipur Kharora 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Raipur Chandkhuri 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Bharritola 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Khadgaon 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Gotatola 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Chilhati 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Kaudikasa 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Umarwahi 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Murmunda 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-L.B.Nagar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Aujuni 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Aasra 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Tappa 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Tumdibod 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Salhebara 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC Gandai 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Rajnandgaon PHC-Padadah 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03


Sarguja PHC Bhafouli 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Sarguja PHC Gumgara 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Sukma Gadiras 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Sukma Dornapal 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Batra 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Bhatgaon 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Salka 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Biharpur 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Silota 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Songra 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Umeshwar

Pur 0 0 1 2012-13 10.06 2.515 5.03

TS/AS

process 3year 5.03

Surajpur PHC Devnagar 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Ganehspur 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Basdei 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Surajpur PHC Latori 0 0 1 2012-13 10.06 2.515 5.03 TS/AS

process 3year 5.03

Total 147 PHCs 0 0 147 0 1478.82 369.705 739.41 0 0 739.41


Annexure 7d Approved Ongoing Construction of MCH Clinics for 2013-14

(Rupees in Lakhs)

District Location Facility Bed

Strength Year of

Approval

Total Cost

Approved

Amount Approved in 2012-

13

Amount proposed for 2013-

14

Progress Time line

for completion

Amount Approved for 2013-

14

Balod Balod DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Baloda Bazar Baloda Bazar DH 50 bedded 2012-13 900 180 90 Site selecton

4 year 90

Balrampur Balrampur DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Bemetara Bemetara DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Bilaspur Bilaspur DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Durg Durg DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Gariyabandh Gariyabandh DH 50 bedded 2012-13 900 180 90 Site selecton

4 year 90

Kanker Kanker DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Kondagaon Kondagaon DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Mungeli Mungeli DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Raigarh Raigarh DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Rajnandgaon Rajnandgaon DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Sukma Sukma DH 50 bedded 2012-13 900 180 90 Site selecton

4 year 90

Surajpur Surajpur DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150


Surguja Surguja DH 100 bedded 2012-13 1500 300 150 Site selecton

4 year 150

Kanker Pankhanjur CH 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Dantewada Gidam CHC 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Durg Navagarh CHC 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Jashpur Kansabel CHC 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Mahasamund Pithora CHC 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Kawardha Pandariya CHC 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Surajpur Bhaiyathan CHC 50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Balrampur Rajpur FRU CHC

50 bedded 2012-13 900 135 135 Site selecton

4 year 135

Bastar Bakawand FRU CHC


4 year 135

Bilaspur Bilha FRU CHC


4 year 135

Bilaspur Gorela FRU CHC


4 year 135

Bilaspur Lormi FRU CHC


4 year 135

Dhamtari Nagari FRU CHC


4 year 135

Janjgir Sakti FRU CHC


4 year 135

Jashpur Patthalgaon FRU CHC


4 year 135

Korba Gharghoda FRU CHC


4 year 135

Koriya Bharatpur FRU CHC


4 year 135


Koriya Manendragarh FRU CHC


4 year 135

Raigarh Lailunga FRU CHC


4 year 135

Surguja Sitapur FRU CHC


4 year 135

Sub Total MCH

Clinic-35 38700 6840 4770 4770

Documents

Ministry of Health & Family Welfare, Government of Indiacghealth.nic.in/health/programonitoring/PIPHealth... · F. No. 10 (18)/2013-NRHM-1 Government of India Ministry of Health &