OUTCOME BUDGET 2016-17 - Finance Departmentfinance.odisha.gov.in/Budgets/Outcome_Budget-2016-17/HFW_outco… · Department of Health & Family Welfare, Govt. of Odisha 6 OUTCOME BUDGET

OUTCOME BUDGET

2016-17

DEPARTMENT OF HEALTH & FAMILY WELFARE

GOVERNMENT OF ODISHA

Department of Health & Family Welfare, Govt. of Odisha 1

OUTCOME BUDGET 2016-2017

CONTENTS Page No

List of Acronyms 2 – 6

Executive Summary 7 –9

CHAPTER I Introduction 10 – 51

CHAPTER II Statement of Budget Estimate 52 – 68

CHAPTER III Reform measures and policy

initiatives 69 – 70

CHAPTER IV Review of past performance 71 – 96

CHAPTER V Financial Review 97 – 101

CHAPTER VI Review of performance of Statutory

and Autonomous Bodies 102 –121



LIST OF ACRONYMS

1 ABER Annual Blood Examination Rate

2 ACDR Annual Case Detection Rate

3 ADMO Additional District Medical Officer

4 AHRCC Acharya Harihara Regional Cancer Centre

5 ALS Advance Life Support

6 ANM Auxiliary Nursing and Midwifery

7 API Annual Parasite Incidence

8 ARSH Adolescent Reproductive and Sexual Health

9 ART Anti-Retroviral Therapy

10 ASHA Accredited Social Health Activist

11 AWW Anganwadi Worker

12 AYUSH Ayurveda Yoga Neuropathy Unani Siddha & Homeopathy

13 BCC Behaviour Change Communication

14 BE Budget Estimate

15 BGSS Biju GraminaSwasthyaSibira

16 BLS Basic Life Support

17 BPMU Block Programme Management Unit

18 CBR Crude Birth Rate

19 CDMO Chief District Medical Officer

20 CGHS Central Government Health Scheme

21 CHC Community Health Centre

22 CO Controlling Officer

23 CP Central Plan

24 CSP Centrally Sponsored Plan

25 CUG Closed User Group

26 DDC Drug Distribution Counters

27 DDO Drawing and Disbursing Officer

28 DFID Department For International Development

29 DH District Hospital

30 DHF Dengue Hemorrhagic Fever

31 DHS District Health Society

32 DHS Directorate of Health Service

33 DLHS District Level Household Survey

34 DMET Directorate of Medical Education and Training

35 DoH&FW Department of Health and Family Welfare



36 DPMU District Programme Management Unit

37 Dr.ACHMC Doctor Abhinna Chandra Homeopathy Medical College

38 DTI Director of Treasuries and Inspection

39 DOTS Directly Observed Treatment Short Course

40 FRU First Referral Unit

41 GIS Geographic Information System

42 GKS Gaon Kalyan Samiti

43 GNM General Nursing and Midwifery

44 Gol Government of India

45 GoO Government of Odisha

46 GPS Global Positioning System

47 HFW Health and Family Welfare

48 HIV/AIDS Human Immuno Deficiency Virus/Acquired Immuno Deficiency Syndrome

49 HMIS Hospital Management Information System

50 HRMIS Human Resource Management Information System

51 ICMR Indian Council of Medical Research

52 IDD Iodine Deficiency Disorder

53 IDSP Integrated Disease Surveillance Programme

54 IEC Information, Education and Communication

55 IFA Iron Folic Acid

56 IMNCI Integrated Management of Neonatal and Childhood Illness

57 IMR Infant Mortality Rate

58 iOTMS Integrated Odisha Treasury Management System

59 ISM Indian System of Medicine

60 IT Information Technology

61 JE Japanese Encephalitis

62 JSSK Janani Sishu Surakshya Karyakram

63 JSY Janani Surakshya Yojana

64 LHV Lady Health Visitor

65 LLIN Long Lasting Insecticide Net

66 M&E Monitoring and Evaluation

67 MCC Mother and Child Care

68 MCH Medical College Hospital

69 MCTS Mother and Child Tracking System

70 MDR-TB Multi Drug Resistance - Tuberculosis

71 MHU Mobile Health Unit

72 MMR Maternal Mortality Rate

73 MMU Mobile Medical Unit



74 MO Medical Officer

75 MO Medical Officers

76 MOU Memorandum of Understanding

77 MPW` Multi Purpose Health Worker

78 MIS Management Information System

79 MPHW Multi Purpose Health Worker

80 MWH Maternal Waiting Home

81 NACP National AIDs Control Programme

82 NBSU New Born Stabilisation Unit

83 NCD Non Communicable Disease

84 NFEP National Filaria Eradication Programme

85 NFHS National Family Health Survey

86 NGO Non Government Organisation

87 NHM National Health Mission

88 NHP National Health Policy

89 NHRC National Health Resource Centre

90 NIC National Informatics Centre

91 NID National Immunization Days

92 NLEP National Leprosy Eradication Programme

93 NMEP National Malaria Eradication Programme

94 NMHP National Mental Health Programme

95 NMR Neonatal Mortality Rate

96 NOHP National Oral Health Programme

97 NP Non Plan

98 NPCB National Programme for Control of Blindness

99 NPCDS National Programme for Communicable Diseases

100 NPCDS National Programme for prevention of Cancer, Diabetes, Cardiovascular Diseases and Stroke

101 NPHCE National Programme for the Health Care of Elderly

102 NPPCD National Programme for prevention and Control of Deafness

103 NRC Nutrition Rehabilitation Centre

104 NRHM National Rural Health Mission

105 NSSK Nabjat Sishu Surakshya Karyakram

106 NSV No Scalpel Vasectomy

107 NT Non Tribal

108 NTCB National Tobacco Control Programme

109 NUHM National Urban Health Mission

110 NVBDCP National Vectors Borne Disease Control Programme



111 OEMAS Odisha Emergency Medical Ambulance Services

112 OHSP Odisha Health Sector Programme

113 OSACS Odisha State Aids Control Society

114 OSHFWS Odisha State Health and Family Welfare Society

115 P&C Planning and Coordination

116 PCPNDT Pre-Conception and Pre-Natal Diagnostic Techniques

117 PG Post Graduate

118 PHC Primary Health Centre

119 PIP Programme Implementation Plan

120 PMSSY Pradhan Mantri Swasthya Suraksha Yojana

121 PPOMU Programme Performance and Outcome Monitoring Unit

122 PPP Public Private Partnership

123 PRI Panchayat Raj Institution

124 PTG Primitive Tribal Group

125 RBSK Rastriya Bal Surakshya Karyakram

126 RCH Reproductive and Child Health

127 RE Revised Budget

128 RFWC Rural Family Welfare Centre

129 RHRC Regional Health Resource Centre

130 RIPS Regional Institute of Paramedics

131 RKS Rogi Kalyan Samiti

132 RMNCH Reproductive Maternal New borne and Child Health

133 RMNCH+A Reproductive Maternal New borne and Child Health + Adolescent

134 RNTCP Revised National Tuberculosis Control Programme

135 RSBY Rastriya Swasthya Bima Yojana

136 SAM Severely Acute Malnourished

137 SBA Skilled Birth Attendant

138 SC Sub-Centre

139 SC Scheduled Caste

140 SCBMCH Srirama Chandra Bhanja Medical College and Hospital

141 SCSP Scheduled Caste Sub Plan

142 SDH Sub Divisional Hospital

143 SDMO Sub-Divisional Medical Officer

144 SHRC State Health Resource Centre

145 SIHFW State Institute of Health and Family Welfare

146 SN Staff Nurse

147 SNCU Sick New Born Care Unit

148 SNID Sub National Immunization Days



149 SOE Statement of Expenditure

150 SP State Plan

151 SPMU State Programme Management Unit

152 SRS Sample Registration System

153 ST Scheduled Tribe

154 STD Sexually Transmitted Diseases

155 TB Tuberculosis

156 TCC Territory Cancer Centre

157 TFC Thirteenth Finance Commission

158 TFR Total Fertility Rate

159 TI Targeted Interventions

160 TSP Tribal area Sub Plan

161 UC Utilisation Certificate

162 UFWC Urban Family Welfare Centre

163 VHND Village Health Nutrition Day

164 VHSC Village Health & Sanitation Committee

165 WIFS Weekly Iron Folic Acid Supplementation

166 ZSS Zilla Swasthya Samiti



EXECUTIVE SUMMARY

I. An Overview

The Department of Health and Family Welfare, Govt. of Odisha is committed to provide

accessible affordable and equitable quality health care services to its fellow people with

special preference to marginalised and vulnerable sections of the population. In addition

population planning through family welfare services, public health matters and drug control

mechanisms are also included in its ambit. The Department is extending outreach of public

health services and moving towards the long term objective of establishing a system of Universal

Health coverage as envisaged in Twelfth Five Year Plan and SDG. Due emphasis is being

accorded to reduce disparities in health care across regions and communities by ensuring

steps for improved programme management, innovative practices in health care delivery and

improved& better drug availability.

State Health Budget contained in Demand for Grants Nos. 12 for the year 2016-17 comprises

of schemes under State Plan (SP), Central Plan (CP), Centrally Sponsored Plan (CSP) and

Non-Plan (NP). The SP includes the total provision for the activities planned by Odisha State

AIDS Control Society (OSACS) and National Health Mission (NHM), Odisha.

This document presents Outcome Budget 2016-17 for The Department of Health and Family

Welfare covering Demand for Grants Nos. 12. The outcome budget will provide an overview

of the objectives, financial outlays, quantifiable deliverables, projected outcomes, and scheme

implementation process (implementing agency/funds flow) and timeline. The outcome budget

is expected to be available for public information and scrutiny and thereby strengthen public

participation in the delivery of health care and family welfare services at the grass root level.

1These Directorates are: 1. Directorate of Health Services; 2. Directorate of Family Welfare; 3. Directorate

of Medical Education, Training & Research; 4. Directorate of AYUSH; 5. NHM Mission Directorate; 6. Directorate of Drugs Control; 7. Directorate ofNursing; 8. Directorate of Public Health and 9. State Institute of Health & Family Welfare



The structure of presentation of the Outcome Budget 2016-17 is summarised below:

Chapter I: This chapter presents an overview of health vision, policy, institutional set up

along with Organogram, brief description of major schemes under implementation, and funds

flow mechanism.

Chapter II: This chapter contains in tabular form the statement of Budget Statements 2016-

17 in the prescribed format.

Chapter III: The recent policy and reform initiatives taken by Department of Health and

Family Welfare are summarised in this chapter.

Chapter IV: Past performance of activities under Plan and Non-Plan for the year 2015-16

and 2014-15 and activities under NHM for the year 2015-16 and 2014-15 with respect to the

budgetary allocation for these years are summarised in this chapter. This chapter also

includes scheme wise revised estimate and surrender/saving for the year 2014-15.

Chapter V: To put Outcome Budget 2016-17 into a proper perspective, financial review of

outlay over the period from 2014-15 to 2016-17 is provided in this chapter.

Chapter VI: This chapter separately reviews the performance of statutory and autonomous

bodies.

II. Programme Implementation, Monitoring, and Evaluation

Public Financial Management System under NHM

Public Financial Management System (PFMS) was implemented under NHM in the State

during 2012. PFMS has basically two components, i.e. payment to the beneficiaries through

Direct Benefit Transfer (DBT) and Expenditure filing other than DBT.



Initially, DBT was rolled out in the State for payment of benefits to JSY beneficiaries and

incentives to the ASHAs. In 2015-16, DBT has been extended for payment of benefit to the

beneficiaries under Compensation for Sterilization. Payments to all the above beneficiaries

are now being paid through DBT under PFMS excepting the cases where there is non-

availability of bank account numbers & other relevant documents and connectivity issues at

some facilities. In such situations, the payments are made through account payee cheques as

per the guideline of GoI.

The second component, i.e. expenditure filing was rolled out in the State during Mar’15

quarter. During 2015-16, all the districts have started filing expenditure in PFMS. However,

out of 400 facilities, there are still 25 facilities in the State those have not yet started

expenditure filing in 2015-16. The concern districts have been issued with necessary

instructions for ensuring expenditure filing.

The percentage of total expenditure filed in PFMS during 2015-16, however, is not very

encouraging as compared to the percentage of facilities gone for expenditure filing. The

reason being that the expenditure heads in the PFMS portal are available only after approval

of NHM PIP. By the time the districts receive their PIPs, more than four months of the FY

are passed. Similar situation also arises for DBT. This issue has been discussed with GoI and

they have been requested not to freeze the expenditure heads before approval of the PIP.

III. Public Information System

Important policy documents, plans, reports are available in the website of the Department for

public scrutiny. These include inter alia: Odisha Health Policy and Perspective Plan

Mission Statement and NHM-Programme Implementation Plan(PIP)

Odisha Drug Policy

Annual Budget, Outcome Budget and Annual Activity Report

Besides Department of Health and Family Welfare is open to Right to Information Act.



CHAPTER I

1.0 INTRODUCTION

The Department of Health and Family Welfare, Government of Odisha is striving

continuously to implement various programmes to provide universal access to quality health

care and to achieve an acceptable standard of good health amongst the general population in

the state through its policy, planning and service delivery mechanism. The approach is to

increase access to the decentralized public health system by establishing new infrastructure in

deficient areas and by upgrading the infrastructure in the existing institutions. The strategy

focuses on increasing the aggregate public health investment and integrating the primary,

secondary and tertiary sectors in health system in consonance with the objectives of 12th

Plan

and SDG. The pursuit of better health outcomes in terms of reduction in IMR, MMR and

improvements in the life expectancy rate, etc. are expected to achieve through improved

efficiency, equity of access and quality of health services on the pedestal of greater financial

flexibility and efficient fund management.

1.1 Health Care System and Organizational Structure

Department of Health and Family Welfare functions through Secretariat, nine Directorates,1

other ancillary institutions like Acharya Harihara Regional Centre for Cancer (AHRCC),

Capital Hospital, Odisha State AIDS Control Society (OSACS). The Department is headed

by a Principal Secretary. The health care and family welfare schemes are implemented and

monitored by the respective Directorates. All the Directorates, AHRCC and Capital Hospital

are headed by Directors and OSACS is headed by a Project Director.

At the district level, Chief District Medical Officer (CDMO) is in overall charge of providing

health care services while Sub Divisional Medical Officer (SDMO) is responsible for

functioning of Sub-Divisional Hospital (SDH), Medical Officers (MOs) are in charge of

Community Health Centres (CHCs) and Primary Health Centres (PHCs).

All schemes under National Health Mission (NHM) are implemented and closely monitored

by the Mission Directorate. State Programme Management Unit provides technical support to

the State Health Mission. The Mission Directorate is the Secretariat to the Mission. The

Directorate comprises of Programme Managers and a group of specialists in the areas of



social development, human resource development, Economics, BCC, M&E, Public Private

Partnerships, Accounts/financial analysis etc.

Like in other states, there exists a state health society called Odisha State Health and Family

Welfare Society (OSHFWS) and district level health societies known as Zilla Swasthya

Samities (ZSSs) for implementing various vertical programmes such as Reproductive and

Child Health (RCH), tuberculosis, leprosy, malaria and blindness. Under National Health

Mission (NHM), all the societies for individual vertical programmes are merged with the

respective ZSS in all the districts.

State Programme Management Support Unit (SPMSU) acts as the secretariat to the State

Health Mission and OSHFWS. Headed by a Mission Director, SPMSU provides technical

support to the State Health Mission through its pool of skilled professionals for RCH and

other National Disease Control Programmes.

The district health societies operate through the Zilla Swasthya Samities (ZSSs) and the

District Programme Management Units (DPMUs). The Block Programme Management Units

(BPMUs) are responsible for preparation of block and village level plans, monitoring and

implementation of government programmes, training of ASHA, inter-sector co-ordination,

and developing public private partnerships for health care services.

Rogi Kalyan Samities (RKSs) have been formed to undertake management of the health

institutions up to PHC level through community participation. At present, RKSs are

operational at 32 District Hospitals (DHs), 27 SDH and 377 CHCs.

Under NHM’s mandate of decentralized planning, Gaon Kalyan Samities (GKS) are being

constituted in the State. GKS formed at the revenue village level is envisaged as a community

level platform designed to facilitate health and sanitation related activities in particular and

development programmes of the village in general. There are now 45,380 functional GKS in

the state.Exhibit 1.1 shows the Organogram of the department.



Exhibit 1.1: Organogram of Department of Health and Family Welfare (DoH&FW)

1.2 Health Facility and Human Resource

As shown in Table 1.1, Odisha has got fairly large network of health facilities. There are now

3 state owned and 5 private managed medical colleges (having total intake capacity of 1050

MBBS and 250 BDS); 32 districts headquarter hospitals; 27 sub-divisional hospitals; 377

community health centres; and 79 other hospitals. The state also has 8 Ayurveda hospitals (5

state owned and 3 privately managed colleges) and 6 Homeopathic hospitals (4 state owned

colleges and 2 privately managed colleges).At the grass root level, health care services are

Minister-H&FW

Principal

Secretary

DFW MD-NHM

Spl. Secretary Addl. Secretaries FA-cum –Jt. Secretary Jt. Secretaries Dy. Secretaries AFA-cum-Under Secretary Under Secretaries

AD-Finance

JD-

Technical

HRD

Manager

SPM/SFM

ADMO-

Medical

Addl.

Director

s/Jt.

Directo

rs

CDMO/CMO

Director-

Ayush

DMET DHS DDC SIHFW DPH PD-OSACS

Director-Nursing

Director-AHRCC

Director- Capital Hospital

ADMO-

FW

Addl.

Director

s/Jt.

Director

s

MOIC-CHC

ADMO-

PH

DMO

Superinten

dents of 3

MCH,

SVPPGIP,

Dy.

Director

s

Dy.

Director

s

Dy Drug

Controll

er

Drug

Inspecto

rs

DPMU SDMO Inspect

ors

ayurved

ic

Health

Officers

DSMO, DTO BPMU



delivered through 1226 primary health care centres; 6,688 sub-centres; 560 Homeopathic

dispensaries; 619 Ayurvedic dispensaries; and 9 Unani dispensaries.

Table 1.1: Health facilities in the state

Health Facility Number(Govt) Number(Pvt.)

Medical College and Hospitals 3 5

District Hospitals (30 districts + Capital Hospital, BBSR

& R.G.H, RKL) 32

********

Sub-Divisional Hospitals 27 ********

Community Health Centres 377 ********

Other Hospitals 79 ********

Infectious Disease Hospitals 5 ********

Training Centres 5 ********

Primary Health Centres (N) & others 1,226 ********

Sub-Centres 6,688 ********

A.N.M. Training Schools 19 47

G.N.M. Training School 4 24

M.P.H.W.(Male) Training School 3 ********

Ayurvedic Hospitals 2 ********

Ayurvedic College & Hospitals 3 ********

Ayurvedic Dispensaries 619 ********

Homoeopathic College & Hospitals 4 ********

Homoeopathic Dispensaries 560 ********

Unani Dispensaries 9 ********

B.Sc. (N) colleges 1 6

Post Basic B.Sc. (N) college 1 ********

M.Sc. (N) college 1 ********

Like other states, the state is faced with shortage of medical and paramedical staffs. Against

sanctioned post of 25,628, posts of 3,546 are still lying vacant. Table 1.2 shows the detailed

manpower position.



Table 1.2: Human resource position as on 01/05/2016

Designation Sanctioned In-place Vacant

Doctor 4842 4440*

402

Pharmacist 1,945 1,862 83

Staff Nurse 2167** 1831 336

Lab Technician (Path) 881** 658 223

Multi-Purpose Health Worker – Male 4670 3319 1351

Multi-Purpose Health Worker – Female 7907 7263 644

Radiographer 194 134 60

Multi-Purpose Health Supervisor – Male 1597 1371 226

Multi-Purpose Health Supervisor -

Female/ Lady Health Visitor

1228 1025 203

Ophthalmic Assistant 197 179 18

Total 25628 22082 3546

*3816 (Regular M.O) + 624 (Ad-hoc)

**Differences are because of creation of new posts

Table 1.3: Human resource position 2014-15

Designation Sanctioned In-place Vacant

Doctor 4842 4312 530

Pharmacist 1945 1846 99

Staff Nurse 2124 1863 261

Lab Technician (Path) 843 644 199

Multi-Purpose Health Worker - Male 4670 3562 1108

Multi-Purpose Health Worker - Female 7907 7319 588

Radiographer 194 131 63

Multi-Purpose Health Supervisor - Male 1597 1328 269

Multi-Purpose Health Supervisor - Female/ Lady

Health Visitor 1228 1017 211

Ophthalmic Assistant 197 183 14

Total 25547 22205 3342

1.3 Health and Nutrition Status

Odisha has made considerable progress over the decades in reducing Total Fertility Rate

(TFR) and Crude Birth Rate (CBR). NFHS-3 shows that TFR in Odisha at 2.4 births per

woman is slightly lower than all India average of 2.7 births per woman in India. Similarly,



crude birth rate at 19.6 per 1000 population (SRS 2013) is less than the country average of

21.4 per 1000 population. The low values of CBR and TFR indicate that Odisha is

approaching towards the replacement level.

Leaving aside low CBR/TFR, Odisha lags far behind the country in terms of Infant Mortality

Rate (IMR) and Maternal Mortality Rate (MMR). Though IMR has been falling rapidly over

the years, the state’s IMR at 51 per 1000 live births (SRS 2013) continues to be the second

highest in India after Madhya Pradesh and Assam which have IMR of 54 per 1000 live births.

The state’s MMR at 235 per 100,000 live births (SRS 2010-2012) has improved from 258 per

100,000 live births (SRS 2007-2009) but it is still way above the national average of 178 per

100,000 live births. According to AHS 2012-13, MMR of Odisha is 230 per 100,000 live

births.

Odisha also has a high prevalence of malnutrition among children and women. According to

NFHS-3 data, 45 percent of children under-five year are stunted (too short for their age

indicating chronic malnutrition) while 20 percent are wasted (too thin for their height

indicating acute malnutrition). Taking into account both chronic and acute malnutrition, 40

percent of children under-five year are under weight among adult women, 41 percent suffer

from malnutrition.

Anemia is another major health problem in the state. NFHS-3 data shows that almost two-

third (65 percent) of children in 6-59 months age group are anemic. Among women, 61

percent have anemia. NFHS-3 further reveals that 69 percent of pregnant women and 65

percent of women who are breastfeeding are anemic. As per the UNICEF Coverage

Evaluation Survey 2009, the percentage of women who availed a full ANC care package

(comprising 3 ANC checkups, 1 TT injection and 100+ IFA tables) was a low as 37.5%.

Malaria is the foremost public health problem of Odisha. Odisha contributes maximum to the

malaria burden of the nation. In 2007, nearly 22 percent of malaria cases and 20 percent of

malaria deaths were reported from Odisha. Though most of the districts show Falciparum

malaria, the problem is severe in southern and western districts with a predominant tribal

population.

1.4 Schemes and Activities The Department of Health and Family Welfare executes several schemes to ensure adequate

health care services to the people of Odisha. While implementing these schemes, steps are



being taken to cater to the health needs of the people in the rural areas, particularly in the

tribal and backward regions of the State. This section provides a brief description of the key

schemes currently under implementation by DoH&FW.

1.4.1 State Plan

1. National Health Mission (NHM)(60:40)

An amount of ₹1197.15crore has been provided in the BE 2016-17 for NHM. Government

of India will provide ₹718.29 crore and State matching contribution is ₹478.86 crore Out of

the total Provision ₹400.00 crore and ₹350.00 crore relates TASP and SCSP respectively.

The National Rural Health Mission (NRHM), a National effort at ensuring effective

healthcare, especially to the poor and vulnerable sections of the society was launched on 12th

April, 2005 and continued for a period of seven years (2005-2012) throughout the Country

with special focus on 18 states including Odisha. The Union Cabinet, on 1st May 2013,

approved the launch of National Urban Health Mission (NUHM) as a Sub-mission of an

over-arching National Health Mission (NHM), with National Rural Health Mission (NRHM)

being the other Sub-mission of NHM and has extended the mission up to 2017. NHM

(Odisha) is a Directorate under Department of Health and Family Welfare, Government of

Odisha. Its operation extends to entire State. Different programmes under state NHM are

being implemented through Odisha State Health and Family Welfare Society and District

Health Societies.

Broad objectives of the NHM in Odisha are as follows:

Reduction in maternal and child mortality.

Universal access to affordable and quality health care services.

Prevention & control of communicable & non-communicable diseases.

Access to integrated comprehensive primary health care.

Population stabilization.

Promotion of healthy life styles

Major activities undertaken under NHM are briefed below.



1. 0 Reproductive Maternal Newborn Child and Adolescent Health (RMNCH+A)

The RMNCH+A approach essentially looks to address the major causes of morbidity and

mortality among women and children as well as the delays in accessing and utilization of

health care and services. The main strategies for RMNCH+A include services for Pregnant

women/mothers, newborns, children, adolescents and women and men in the reproductive

age group, through a life cycle approach and through a continuum of care linking community

level services with facility based services, at different levels of referral.

1.1 Reproductive Health

The Reproductive Health programme is committed to promote informed choices and

voluntary decision making in matters relating to accepting reproductive health services by the

eligible clients without any coercion.

1.1.1 Family Planning Services

Despite visible improvements in family planning service delivery in the state and with

fertility level 2.1 (Total Fertility Rate), the unmet need continues to be high. Further, the

unmet need among scheduled tribes (26.9) is higher than the state average (18.9%) and they

constitute nearly 23 percent of total population. In order to address the high unmet need, and

provide quality Family Planning service and to achieve the FP 2020 commitment, following

major strategies/Activities have been prioritized:

Strengthening Fixed Day Static Service Delivery (any days of the week including

Monday &Thursday)

Focus on PP and PA Contraception (PPIUCD, PAIUCD & Postpartum Sterilization)

Home Delivery of Contraceptives by ASHA (HDCA): In order to improve access to

contraceptives by eligible couples, contraceptives and FP counselling services are

being provided by ASHAs at doorsteps of the beneficiaries.

Ensuring Quality of Care in Family Planning Services.

1.2 Maternal Health Maternal mortality and morbidity reflects the level of available health care services,

utilization and quality of care provided in the State/district/ facility level. A comprehensive



approach is necessary to tackle maternal mortality successfully through addressing issues of

social behaviour, infrastructure, skilled manpower, logistics, supportive supervision and

quality services for prenatal, antenatal and post natal care besides improving the education

and economic status of the population. Major strategies/Activities have been prioritized under

Maternal Health are as follows:

Strengthening Ante Natal Care (ANC) services : Village Health and Nutrition Day

are held on designated days (Tuesday & Friday) focusing on Quality ANC which

includes minimum of at least 4 ANCs including early registration

Strengthening Institutional Delivery- It has been taken up through deployment of

additional clinical human resource deployment, provisioning of

Equipment/Instruments, SAB Training, BEmOC training, & expansion of Delivery

Points.

Expanding Delivery Point (DP) network for providing quality & comprehensive

RMNCH (Reproductive, Maternal, Neonatal & Child Health) services by identifying

institutions having a certain minimum benchmark of performance (viz. SCs with >3

deliveries/month; PHCs and Non FRU CHC >10 deliveries/month, CHCs FRU &

SDH conducting > 20 deliveries /month, DH conducting > 50 deliveries /month are

designated as DP) to prioritize and direct resources in a focused manner to these

facilities for filling the gaps like trained and skilled human resources, infrastructure,

equipment, drugs and supplies, referral transport etc.

Establishment of Maternal and Child health (MCH) wings: 100/50/30 bedded are

being established at major facilities with advanced obstetric and neonatal care

including all relevant equipment and trained manpower to overcome the constraints of

increasing case loads.

Ensuring 48 hours stay after institutional delivery through improved counselling

services, Engagement of Counsellors at Institutions to promote 48 hrs stay &

strengthening of PNC ward infrastructure.

Maternity Waiting Home (MWH) in Tribal Areas: It is a temporary home ideally

located nearer to the hospital (designated delivery point) for expectant mothers where

they can wait for safe delivery. On onset of labour, they are to be shifted to nearby

health facility having BeMOC facilities for delivery. The basic objective being

providing alternative support infrastructure for addressing communication problems in

difficult tribal pockets for ensuring institutional delivery. These MWHs are run by

NGOs through NHM funding.



Ensuring safe home deliveries - SBA home deliveries in hard to reach areas &

distribution of oral misoprostol by ASHA/ANM to prevent PPH.

Strengthening Maternal Death Reviews - By holding death reviews at facility &

district level and ensuring corrective action for identified gaps.

Comprehensive Abortion Care in all major facilities including DPs with trained

manpower and Supply of Nischay Pregnancy detection kits to ASHAs for early

detection of pregnancy so that safe abortion services can be provided to unwanted

pregnancies covered under the MTP Act along with creating awareness on abortion

through ASHA/ANM and at facility level.

STI/RTI services to screen and ensure treatment for identified cases through

designated clinics at DPs and counsel on proper sexual and reproductive health.

Quality Assurance measures in improving maternal health through mentoring

support at community level to ANMs through Supervisors and facility level through

trained Doctors under Dakshyata programme.

Flagship Programmes

1.1 Janani Suraksha Yojana (JSY) Itis a safe motherhood intervention under the National Health Mission (NHM),

implemented with the objective of reducing maternal and neonatal mortality by

promoting institutional delivery among poor pregnant women with provision of cash

incentive.

Rate of cash Incentive for institutional delivery: ₹ 1400/- for Rural &₹ 1000/- for

urban area

Features:

All pregnant women (regardless of age/class/ no. of children) delivering in

Government health centres like Sub-centre, PHC, CHC/ FRU/ Sub Divisional, District

and State Hospitals and Govt, medical colleges.

In case of Accredited Private Institutions, all delivery cases will be eligible for JSY

benefit and ASHA will also get incentive.



1.2 Janani Sishu Suraksha Karyakram (JSSK)

JSSK aims at reducing out of pocket expenses related to maternal and new born care. This

includes assured cashless services to pregnant women and sick infants (under one year of

age) in Government health institutions in both rural & urban a Scheme Entitlements Free

Drugs and Consumables, Free Diagnostics, Free Diet during Stay in Hospital, Free provision

of blood, Exemption from user charges and Free transport (Home to Health Institution.

Higher referral, if required, Drop Back after 48 hrs stay)

1.3 Newborn and Child Health

Under RMNCH+A, newborn and child health will be ensured through a continuum of care

from the community to facility level. The major strategies/ activities include

1.3.1 Special Newborn Care Unit (SNCU)

Special Newborn Care Units are neonatal units established at the Medical College Hospitals,

DHH and SDH to provide special care to the sick newborns. A12 bedded unit is required for

DHHs where more than 3000 deliveries are conducted per annum. Basic provisions like

maintenance of temperature, proper feeding and cleanliness in the unit can save many

newborn lives. A system has been developed for tracking the cases after discharge from

SNCU for follow up & timely management if required along with tracking the exact outcome

of a particular newborn within one year.

1.3.2 New Born Stabilization Unit (NBSU)

Newborn Stabilization Unit (NBSU) is normally situated in selected CHCs, is a facility

within or in close proximity of the maternity ward where sick & low birth weight newborns

can be taken care or stabilized before referral to SNCU. So far 50 Newborn Stabilisation

Units are functional in Sub Divisional Hospitals & Community Health Centres in Odisha

(2013-14).

1.3.3 Newborn Care Corner (NBCC)

Newborn Care Corners are set up in the labour room & OT to provide immediate care to all

newborns like resuscitation, provision of warmth, prevention of infection, early initiation of



breastfeeding, weighing the newborn, immunization, identification & prompt referral of sick

newborns

1.3.4 Nutrition Rehabilitation Centres (NRC)

Severe Acute Malnutrition (SAM) is an important contributing factor for most deaths

amongst children suffering from common childhood illness, such as diarrhoea and

pneumonia. Deaths amongst SAM children are preventable, provided timely and appropriate

actions are taken. Nutrition Rehabilitation Centre is a unit established in a health facility for

inpatient management of severely malnourished children, with counselling of mothers for

proper feeding. Children are admitted as per the defined admission criteria and provided with

medical and nutritional therapeutic care.

1.3.5 Home Based Newborn Care (HBNC)

Home based Newborn care is launched in the country with an objective of providing essential

newborn care at home to all the newborns and early identification of sick newborns for

treatment and referral. ASHAs will make 6 visits to newborns delivered at institutions on 3rd,

7th, 14th, 21st, 28th up to 42 days of life and if it is a home delivery then she should make the

1st visit within 24 hours of home delivery and subsequent 6 additional home visits for

ensuring the following:

Recording of weight of the newborn in MCP card

BCG, 1st dose of OPV and DPT/Hepatitis B vaccination

Registration of birth & ensuring receipt of Birth Certificate by the family.

Early Identification of sick new born and referral in time when required.

1.3.6 Rastriya Bal Swasthya Karyakram (RBSK)

Rastriya Bal Swasthya Karyakram (RBSK) is a new initiative rolled out during 2013-2014 to

screen all children from birth till 18 years under '4D' approaches (Defects at birth,

Deficiencies, Diseases, Development delays including disabilities). The main objective of the

programme is to identify the conditions and prevent disability at the earliest. Under this

programme, Mobile Health Teams (MHTs) have been recruited to screen all children at

Anganwadi Centres and govt. &govt, aided schools. Further, necessary preparatory steps like

engagement of human resource, equipping mobile health teams (MHTs) with logistics,



capacity building of MHTs and service providers and preparation of micro plan were

undertaken for roll out of RBSK in all 30 districts of Odisha.

1.3.7 Infant and Young Child Feeding Practices (IYCF)

According to WHO under nutrition is associated with 45% of child deaths which can be

easily prevented using the recommended IYCF practices. Early initiation, exclusive

breastfeeding and complementary feeding interventions have huge impact on reduction of

child mortality Improving infant and young child feeding practices in children 0-23 months

of age is therefore critical to improved nutrition, health and development of children.

Optimal IYCF practices

Early initiation of breastfeeding; immediately after birth, preferably within one hour.

Exclusive breastfeeding for the first six months of life

Timely introduction of complementary foods after the age of six months

Continued breastfeeding for2 years or beyond

Age appropriate Complementary feeding for children 6-23 months including 4 or

more food groups

Active feeding for children during and after illness.

1.3.8 Integrated Action for Prevention of Pneumonia &Diarrhoea (IAPPD):

As pneumonia & diarrhoea are major causes of under-five child deaths, community health

workers are trained on detection of pneumonia by counting respiration and on assessment of

dehydration in case of a child suffering from diarrhoea. ANMs identify & treat pneumonia

with amoxicillin &gentamycin and diarrhoea with ORS & zinc. Recently RW (Rotavirus

Vaccine) has been introduced to prevent Rotavirus infected diarrhoea.

1.3.9 Routine Immunization

Immunization is one of the key interventions for protection of children from life threatening

vaccine preventable diseases. Under the Universal Immunization Programme, Government of

India is providing vaccination to prevent nine vaccine preventable diseases i.e. Diphtheria,

Pertussis, Hib, Diarrhoea, Tetanus, Polio, Measles, Tuberculosis and Hepatitis B. Now

IPV&Pentavalent, Rotavirus vaccine is also introduced in the state. One weekly day (i.e.

Wednesday) from 8.00 AM.to 4.00 P.M. was dedicated for immunization in Odisha. During



2015, Mission Indradhanush was launched to improve full immunization coverage against

nine life threatening diseases in 10 HPDs & 13 non HPDs with low full immunization

coverage through intensive immunization sessions.

1.3.10 National Iron Plus Initiative (NIPI)

This National initiative covers the age groups of children from 6 months to 5 years, 6 years to

10 years, adolescents (11-19 years), pregnant women & lactating mother and women under

reproductive age group for Iron and Folic Acid IFA supplementation and administration of de

worming tablets i.e. Albendazole.

1.4 Adolescent Health

The key principle of this programme is adolescent participation and leadership, equity and

inclusion, and strategic partnerships with other sectors and stakeholdersThe programme

envisions enabling adolescents to realize their full potential by making informed and

responsible decisions related to their health and well being and by accessing the services and

support they need to do. The programme is named as Rashtriya Kishor Swasthya

Karyakram (RKSK). The major strategies/activities under this programme include:

1.4.1 Peer Educators (PE) Programme

The PE programme will engage the Peer educators (4/1000 population or per ASHA), train

them and will:

target adolescents between the ages of 10-19 years, girls and boys, in and out of

school; and

cover key aspects of adolescent health, including nutrition, sexual and reproductive

health, conditions for non-communicable diseases, substance misuse, injuries and

violence (including GBV) and mental health. PE is eventually expected to improve

life skills, knowledge and aptitude of targeted adolescents.

1.4.2 Adolescent Health Day (AHD)

The AHD should be organized in VHND sites (But should not clubbed with VHND) every

quarter on a convenient day (preferably on a Sunday or the second half of VHND). Services

at AHDs should ensure that all adolescent sub-groups are reached, and other stakeholders



including parents, community leaders such as Panchayat and GKS members and teachers are

also reached.

1.4.3 Adolescent Friendly Health Clinic (AFHC)

AFHCs aim to provide clinical and counselling services to adolescents through the existing

health system with a slight physical makeover, training of existing staff, introduction of an

adolescent counsellor and provision of commodities in the existing facilities. It is an

integrated counselling cum facilitation centre for improving adolescent health, antenatal, post

natal and family planning services, Infant and young child feeding practices, diet and life

style changes and also act as crisis support centre for Gender Based Violence cases. The

AFHCs are branded as "SHRADDHA" clinics in Odisha.

1.4.4 Menstrual Hygiene Scheme (MHS)

The Scheme focus on supply of sanitary napkins to adolescent girls -10-19 years at

subsidized rate. In addition to adolescent girls institutional delivery cases and MTP cases will

also be provided the sanitary napkins understate budget.

Modalities of MHS implementation for adolescent girls:

The sanitary napkins will be supplied to blocks from state.

Social marketing through ASHA.

Sanitary napkins will be marketed at a subsidized rate of ₹6/- per pack. ASHA and the

Peer Educators would facilitate the process. From the sale of each pack, ASHA will

receive ₹.1/-as incentive.

1.4.5 Weekly Iron Folic Acid Supplementation (WIFS) for adolescents:

This programme envisages administration of supervised weekly IFA Supplementation and

biannual deworming tablets to rural and urban adolescents through the platform of

Govt/Govt, aided and municipal schools and Anganwadi Centres and combat the inter-

generational cycle of anemia.

2. System Strengthening

2.1. Accredited Social Health Activist (ASHA)



ASHAs have played a significant role in facilitating communitization process under National

Health Mission (NHM). A vibrant and effective ASHA enables the community to increasing

access and maximize utilization of health services and adoption of right health practices.

Strong support system at all levels, maximising number of incentive provisions (annexure

attached at the end), timely, transparent incentive payment, non-monetary incentive

provisions, need based capacity development has enabled ASHAs to perform effectively at

the community level. This has resulted in improvement in the health situation of the village

and contributed for the achievement of health indicators.

2.1.1. Activities performed by ASHA

ASHAs are involved in a number of activities as facilitator, motivator and link worker at the

community level. Some of the important activities are as follows:

Motivate for Male and Female Sterilizations

Facilitate Immunization and pulse polio programme

Attend sector and GKS meeting

Maintain Swasthya Kantha with important health message

Help for completion of Leprosy case treatment

Help for completion of DOTs treatment

Facilitate VHND session

Support screening camp under RBSK

Act as Fever Treatment Depot holders for treating uncomplicated Malaria cases

Facilitate First Aid services

Facilitate organization of Mobile Health Unit

Identify and facilitate cataract operation

2.1.2. Support Provisions

ASHA Gruha (ASHA Rest Shed) Established at 143 L3 delivery points to

provide temporary shelter for ASHAs

ASHA Cycle 41181 ASHAs provided with bi-cycles to

facilitate mobility support while performing the

task at the community level

ASHA Sathi Best performing ASHAs are selected as ASHA

Sathi to provide mentoring support to ASHAs.



CUG connection Provision of CUG for ASHA for better

connectivity and sharing of information

ASHA Award 1032 ASHAs awarded for better performance

Inclusion in

Swavaiamban

scheme

ASHAs are being included in NPS

Swavaiamban scheme.

Weight age in selection of ASHA as

ANM/GNM

Additional one percent extra mark of the total

marks for each completed year of continuous

service subject to the maximum of fifteen

percent will be added to the marks secured by

ASHA for deciding the merit position.

Compensation for death and permanent

disability

a. In case of death, while performing her duty

as ASHA, an amount of ₹1,00,000/- (Rupees

One lakh only) will be given as compensation

to the nearest kin of her like husband, son,

daughter or any other survivor.

b. In case of permanent disability, while

performing her duty as ASHA she will get

compensation amounting to ₹ 25,000/- (Twenty

Five thousands) per case for having 40% to

80% disability and ₹50,000/- (Fifty thousand)

per case for more than 80% disability.

Grievance Redressal mechanism ASHA Grievance Redressal mechanism in

place at the District and Block level to address

the grievances of ASHA.

ASHA Dairy Provided to all ASHAs (contains 16 sections

for daily activity writing, activity performance

& incentive, important health programmes and

days & drug kit replenishment, training

undergone etc.)

ASHA uniform Uniform is being provided to all ASHAs



2.2 Sanitation and Nutrition Committee (VHSNC)

Popularly known as Gaon Kalyan Samiti (GKS) in Odisha is a revenue village level

institution constituted by the community as a simple and effective management structure for

improvement of health and sanitation standard of the villages. An untied fund of Rs 10000/-

on a yearly basis has been given to each GKS for undertaking various need based activities at

the community level related to health, nutrition and water & sanitation. Gaon Kalyan Samiti

plays an important role with integration of the Panchayati Raj, Women & Child Development

and Rural Development departments. As a community level organization, the support and

involvement of community will strengthen the capacity of GKS to create a healthy

environment.

Organizing Gaon Swasthya Diwas meeting on the last Thursday of every month.

Preparation of quarterly and yearly village health plan for implementation of need

based activities at the village level by the GKS in order to improve health and other

social determinants.

Rational utilization of GKS untied fund based on guidelines and as per the prepared

health plan.

Active involvement for prevention and management of epidemic situation at

community level.

Facilitate need based support for organizing VHND session on a regular basis.

Provide referral and transportation support to the needy and destitute person to avail

requisite services.

Maintaining Swasthya Kantha and record activities of GKS in it.

2.3 Rogi Kalyan Samiti (Patient Welfare Committee) / Hospital Management

Society is a registered Society which acts as a group of trustees for the hospitals to manage

the affairs of the hospital. In fact it is the mode for granting functional/financial autonomy to

the Government Hospitals to improve the quality & efficiency of the health facilities through

community participation.



Provision of Annual Grant to RKS

for developmental activities: SI. No.

Facility Untied Fund (In ₹)

1 DHH 10,00000

2 SDH 5,00000

3 CHC 5,00000

4 PHC (N) 75000

5 Non DP Sub Centre 10000

6 DP Sub Centre 20000

2.4 Public Private Partnership (PPP)

Public Private Partnership is a key strategy for ushering reforms in the health sector.

Initiatives have been taken by NHM-Odisha to undertake different PPP projects to meet the

growing need for health services in rural as well as urban areas.

2.4.1. PHC (N) Management Project

The basic objectives of PHC (N) management are as follows:

To engage NGOs/Corporates to act on behalf of the government health institution in

effective planning and delivery of services in the PHC sector.

To provide curative, preventive and promotive health services in hard-to-reach &

inaccessible areas.

To promote comprehensive client-cantered integrated Public Health Communication

strategy to bring about a change in knowledge, attitude, behaviour and practices in the

population through Community Health Partnership Programme.

2.4.2. NGO Scheme for V4 Sub Centers

The basic objectives of NGO Scheme for V4 Centers is to complement and supplement the

role of the government in quality health care delivery in unserved and hard to reach areas by

bridging the gap in accessibility to health care service by the vulnerable community. The

major areas to be covered are:

4th ANC coverage: Increased at least by 10% every year in the project areas.



SAB Delivery (ID + Delivery by Trained Birth Attendant): increased by 10% every

year in the project areas.

Full Immunization Coverage: Increased at least by 10% every year in the project

area.

MCTS Work plan implementation must be ensured.

GKS: At least 10 meetings & 90% expenditure registered in a year of each GKS

existing in the project areas.

ASHA: The ASHAs under the project area should be able to be graded as 'A'

category based on their performance.

VHND: Ensure minimum attendance of 80% beneficiaries in the sessions of the

project area.

2.5 Quality Assurance and Quality Improvement (QA and Ql)

Quality of Health Care has emerged as an integral and major component of people's right,

though there has been considerable improvement in terms of infrastructure, skilled human

resource and increased budgetary allocation; quality of services still remains an issue. Quality

Assurance (QA) refers to the planned and systematic activities implemented in the system, so

that quality requirements for facility's service will be fulfilled.

Objectives The objective of QA and Ql is to facilitate establishment of an inbuilt and sustainable Quality

Assurance mechanism at Public Health Facilities through setting up quality standards,

measurable elements &checklists: to provide consistently high quality services.

2.5.1. Implementation of DAKSHYATA

Objective of this activity is to provide quality services in the labour room by developing

skills of service provider and upgrading the labour room infrastructure as per standard

Maternal and New born tool kit.

This programme will be implemented in the facilities with deliveries more than 50 per month.

Under this programme training will be given to labour room doctors and paramedical staff

and regular mentoring by trained mentors from district level through on the job handholding

support.



2.5.2. ANM Mentoring

This activity aims at building defined skill sets for ANMs for providing quality services in

VHNDs and Sub centres. The focus is given to poor performing ANMs through following

process;

Assessment of all ANMs at district level

Mentorship of Poor performing ANMs for a period of 3 months by a trained Mentor

Post assessment of poor performing ANMs at block level, coordinated by MOI/c

Performance incentive to Mentor if ANMs qualifies on post assessment test and

acquired all desirable set of skills.

2.5.3. Ensuring Cleanliness at Hospitals

Outsourcing of housekeeping & cleanliness services in major hospitals up to SDH

level.

Ensuring availability of separate functional toilets for both male & female at all

hospitals up to PHC (N) level.

Lifting of general waste from the hospital by Municipality or utilize RKS funds for

transportation of the garbage engaging private parties.

Quarterly cleanliness drives to be taken up in the hospitals under "Swachha Bharat

Abhiyan" utilizing RKS funds.

Provisioning of clean bed sheets & other linen to indoor patients and changing it

daily.

Condemnation of all unserviceable articles of the hospitals on campaign mode.

White washing /distempering of hospitals on yearly basis following colour code.

2.5.4. Ensuring Bio Medical Waste Management Practices

Frequent sensitization / on the job demonstration

All Hospitals to obtain authorization from State Pollution Control Board.

Provisioning of required Consumables (Colour coded bin, polythene, Needle

destroyer etc) at all hospitals

2.5.5. National Quality Assurance System (NQAS) Certification

Quality improvement process will be implemented in all the Delivery points. For this regular

internal assessment will be done periodically by the QA team of the concerned DHH/SDH



using the National Quality Assurance Standard (NQAS) checklist received from Gol which

includes Client feedback on services received, Assessing Key Performance Indicators,

Medical & Death Audits, monthly Review meeting and analysing of Health MIS. Time

Bound Action Plan to be prepared for closure of gaps identified during assessment and steps

to be taken for gap closure.

2.6 Patient Transport System

2.6.1. 108 (Emergency Ambulance Services)

The Government of Odisha with support from Gol has initiated comprehensive pre-hospital

emergency medical service with introduction of a fleet of ambulances to cover the entire

State. The aim is to provide Emergency Ambulance Service free of cost to the people of

Odisha. This will facilitate an integrated and comprehensive emergency health care

management in the State providing high-end ambulance transportation system from the

doorstep of the patient to the appropriate care in a hospital. This fleet comprises of both

'Basic Life Support' (BLS) and 'Advance Life Support' (ALS) ambulances.

Salient Features

As per the WHO norm, there will be one ambulance per one lakh population at an

average with the mix of Advance Life Support (ALS) and Basic Life Support (BLS)

The ambulances are positioned in a manner that each ambulance to cover an area of

30 Kms in radius and serving a population of 1 lakh.

The average response time of 20 minutes for urban locations, 25 minutes for semi-

urban and 35 minutes for rural locations kept as performance parameters

24x7 pre-hospital emergency ambulance services within golden hour.

Services of ambulances shall be availed by dialling 108 toll free number.

All the ambulances are monitored though GPS tracking system.

Ambulances are equipped with sophisticated emergency medical equipment for

prehospital care.

Ambulances are manned by specially trained Medical Technicians, helpers and

Drive₹ Whenever required the Emergency Medical Team (EMT) can seek medical

advice from highly trained doctors available round the clock at the call centre.



2.6.2. 102 ambulance services

In order to ensure free referral transport for pregnant women and sick neonates, 462 number

of 'Janani Express' were engaged in different health institutions of the State, since 2008.

However, the cost effectiveness and coverage of Janani Express was not very encouraging

due to absence of proper monitoring and management of vehicle. Therefore, in order to

maximize the benefit in accordance with the JSSK mandate, Government of Odisha has

outsourced the task to an external agency (service provider) selected through competitive

bidding process for operation & management of Centralized Call Centre '102', so as to ensure

the provision of round the clock free referral transportation services under 'National

Ambulance Services' to all eligible beneficiaries under JSSK.

Scope of Services

The Scope of Services of the 24x7 Referral Transportation services through centralized call

centre with single toll free number "102" are given below:

As per the mandate, transportation services are to be made available:

To all eligible beneficiaries of the State from Home to designated health facility

between designated health facilities, if required

drop back from the facility to home if stays for min 48 hrs after delivery in case of

Pregnant women but without any condition for sick neonates

Pick up point* to Maternity Waiting Home or to nearest Health facility as per need,

(in difficult area)

Drop back from facility to Home for Post Sterilization cases Eligible Beneficiaries

All delivery cases

Sick New born up to one year of age.

Complicated antenatal and postnatal cases

Post Sterilization cases

2.7. Swastya Sebika Nijukti Yojana (SSNY):

It is a sponsorship programme under NHM, Dept of H & FW. This Scheme is meant for the

ST and SC girl students perusing GNM/ B.Sc. Nursing courses as per the Govt /INC

guidelines. As per PIP, NHM, Odisha will provide a scholarship to the ST and SC girls those



are continuing their study in GNM/ B.Sc. course in recognized private Colleges/ School

approved by INC or ONC.

Amount of Scholarship:

@ of ₹15, 300 (w.e.f. 2011-12) for BSc Nursing and @ ₹12,650 (w.e.f. 2011-12)) for GNM

Nursing per year towards Partial scholarship as tuition fees to SC/ST girls students in non-

KBK districts

@ of ₹50,000 for full scholarship as tuition fees to SC/ST girls students in KBK+ districts for

GNM/B.Sc. nursing per year.

2.8. Training

To ensure quality health care services at health institutions and especially at 'Delivery Point

(DP)', training need is continuously increasing. Skill up-gradation is the call of the day. In

view of the requirement of delivery points and the shortage of health personnel, the paradigm

of training has been shifted from capacity building to Functionalization of health institution

through skill building and multi skilling. Skill building trainings like SBA, BEmOC,

RTI/STI, NSSK, IMNCI, FBNC, multi skilling of LTs and different FP trainings are

conducted to ensure Functionalization of delivery points. Multi skilling of MBBS doctors on

Life Saving Anaesthetic Skills (LSAS), Emergency Obstetric Care (EmOC), Blood Storage

management training are conducted to functionalise designated FRUs of the State. Skill

building trainings and rational utilisation of skilled manpower improves the quality of health

services. Quality health services shall reduce the IMR, MMR and TFR of Odisha.

the quality services.

trained doctors

Skill stations (7 stations) for skill assessment and CME.

Existence and performance of District Technical Supervisory Team (DTST)

Status of Training Management & Information System (TMIS). HR data base and

monthly update of TMIS.



ng status, with Audio visual aids, PA system, AC, Fan, adequate light, comfortable

sitting arrangements and other training material like white board, head table, soft

board, training protocols etc.

TA/DA &RP fees payment status and booking of training expenditure in FMR.

Monthly training review meeting status at Dist level, proceedings and action taken on

the decisions.

2.9. IEC/ BCC (Communication Plan)

Odisha has taken up extensive IEC BCC campaign across 30 districts in two different

approaches i.e. 15 High Focus Communication Districts (10 HPD + Khurda, Puri,

Kendrapada, Dhenkanal & Ganjam) in intensive approach and all 30 districts for Universal

approach. Intensive approach in 15 districts will focus on media dark and outreach areas and

extensive in all 30 districts covering all identified key behaviour

Major Activities covered

Formation of District Integrated BCC Cell at District level - DPHCO/ADPHCO is the

nodal officer of iBCC Cell

Printing of Poster and Calendar

Discussion on various theme at Gaon Swasthya Divas

Constituency wise Health awareness camp

Display of Poster on Swasthya Kantha as per the communication calendar

Writing of Messages on Swasthya kanth.

2.10. National Iodine Deficiency Disorder Control

Programme (NIDDCP)

Elimination of Iodine Deficiency Disorders (IDD) is an important public health problem.

Objectives The important objectives and components of National Iodine Deficiency Disorders Control

Programme (NIDDCP) are as follows:-

Ensuring supply of iodized salt instead of common salt.



To reduce the iodine deficiency disorders prevalence below 10 % in the districts Key

Strategies

Surveys to assess the magnitude of the Iodine Deficiency Disorders at district and

block level.

Resurvey after every 5 years to assess the extent of Iodine Deficiency Disorders and

the impact of use of iodized salt.

Laboratory monitoring of iodized salt and urinary iodine excretion.

Health education & Publicity iodized salt.

3. National Urban Health Mission

Proposed Budget 2016-17: ₹ 60.50 Cr

National Urban Health Mission (NUHM) seeks to improve the health status of the urban

population particularly slum dwellers and other vulnerable sections by facilitating their

access to quality primary health care. NUHM would cover the districts headquarters having

more than 30000 population and other cities/towns with a population of 50000. Cities and

towns with population below 50000 would be covered under NHM.

3.1. Governance / Programme Management Structure

State

Existing State Health Mission and State Health Society would take decisions on urban

health.

Addition of Housing & Urban Development Department in the existing setup

State Urban Health Cell under NHM with manpower

City/district

City Health Mission/City Health Society in 5 corporation cities to manage the

program.

City Program Management Unit (CPMU) 5 corporation cities with adequate

manpower.



Existing District Program Management Unit in 23 districts would take decision on

implementation of the program.

Preparation and implementation of Program implementation plan/ City Health Plan of

all ULBs/cities.

Mapping of all ULBs in urban infrastructure, health, sanitation& nutrition sector.

3.2. Health Institutions

Strengthening dispensaries/hospitals to act as Urban Primary Health Centre with 24x7

services in every 2,50,000 urban population and in the cities having more than 5 lakh

population.

Strengthening and establishment of a new Urban Primary Health Centre in 50,000

urban population

Provision of building grant of 5 crores for new UCHC and 75 lakh for new UPHC.

Accreditation of private institutions to provide services to urban poor.

RKS fund and other contingency support to all health institutions located in urban

areas.

Health Management Information System (HMIS) in hospital and for outreach services

Service Package for UPHC

Staff (MO-1, Part time specialist-3, Phamacist-1, LT-1, Staff Nurse-2,

attendant/support staff-2)

OPD Consultation (Morning - 8-11 AM and 5-8 PM)

Weekly specialist OPD services(0&G), Paediatric and Medicine/Dental/ENT/Skin-

VD

Free medicines as per the Govt. EDL

Diagnostic services: General pathology, malaria, dengue, Haemoglobin, Urine

albumin and sugar, RPR test for syphilis and Blood Grouping and Rh typing etc. will

be provided.

Referral services: RMNCH +A services including Family Planning and contraceptive

distribution.

Assured referral transportation service: All UPHCs tied up with 102 & 108 for free

referral transport service.



3.3. Community level activities

Mahila Arogya Samittee (MAS) formation for about 100 households /500 slum

population

Engagement of one ANM in every 10,000 urban population.

Engagement of Accredited Social Health Activist (ASHA) for every 1500 urban slum

population

Ward Kalyan Samiti in each ward to look after Health, Sanitation Nutrition

Committee in each ward with a provision of untied fund of ₹ 10,000/-pa. (only for

Bhubaneswar city)

Outreach activities: Focus on slums

Urban Mobile Health Unit in 5 corporation cities for services to the slum population

Outreach camp in slums under UPHC operational areas of the non-corporation cities

Urban Health & Nutrition day in every month in identified sites

Swasthya Kantha in each slums to update the slum people

Fixed day Immunization services

4. Disease Control Programme

4.1. National Vector borne diseases Control Programme (NVBDCP)

The National Vector borne diseases Control Programme (NVBDCP) is an umbrella

programme for prevention and control of vector borne diseases viz. Malaria, Lymphatic

Filariasis, Dengue, Chikungunya, Kala-Azar and Japanese Encephalitis (JE). Of these, Kala-

Azar and Japanese Encephalitis (JE) have so for not been reported in Odisha.

Key Strategies Employed:

Malaria

Early Diagnosis & Complete Treatment (EDCT)

Integrated Vector Management

Capacity Building, IEC & BCC, Advocacy, Inter-sectoral approach

Operational Research & Monitoring and Evaluation Dengue

Laboratory based Surveillance



Vector control (breeding source reduction , adult mosquito killing and

personal protection measures

Training & IEC & BCC, Inter-sect oral coordination

Lymphatic Filariasis

Mass Drug Administration (MDA)

Trainings IEC & BCC

Morbidity Management & Hydrocele surgeries

Anti larval measures (weekly application of appropriate larvecides and source

reduction)

4.2. Revised National Tuberculosis Control Programme (RNTCP)

The Revised National TB Control Programme (RNTCP) is implemented through 31

implementing units, 314 TB Units and 549 Microscopy centres. In addition a total of 48140

DOT Centers are functioning under the programme.

Programme Components

PMDT (Programmatic management of Drug resistant TB)

Entire State was covered with PMDT services since 2013 for management of Multi Drug

Resistance (MDR) / Extremely Drug Resistant (XDR) Cases. All drugs and investigations for

MDR/XDR patients are free under the programme. Culture & Drug Sensitivity (C& DST) is

done free of cost al IRL Cuttack SRMRC, Bhubaneswar.

TB HIV Collaborative activities

Under this collaboration all TB patients must be tested for HIV. For the same all Designated

Microscopic Centers (DMCs) must have a collocated HIV testing facility; the cross referral

from ICTC/FICTC is also done to have testing of TB.

NIKSHAY

All TB patients (Public & private facilities) must be entered in NIKSHAY (real time web

cased entry of TB patients). Govt, of India has declared TB as a Notifiable disease. All the

clinical establishments and private practitioners are to be monitored for reporting

Tuberculosis cases either diagnosed or treated by them.



4.3. National Leprosy Eradication Programme (NLEP)

Leprosy is a chronic infectious disease affecting the skin and peripheral nerves, but has a

wide range of clinical manifestations. The disease is characterized by long incubation period

generally 5-7 yea₹ Leprosy is a leading cause of permanent physical disability. Timely

diagnosis and treatment of cases, before nerve damage has occurred, is the most effective

way of preventing disability due to leprosy.

Key Strategies /Activities for NLEP

Early detection & complete treatment of new leprosy cases.

Carrying out house hold contact survey in detection of Multi-bacillary (MB) & child

cases in high endemic areas.

Early diagnosis & prompt MDT, through routine and special efforts

Strengthening of Disability Prevention & Medical Rehabilitation (DPMR) services.

Information, Education & Communication (IEC) activities in the community to

improve self-reporting to public health institutions and reduction of stigma.

4.4. Integrated Disease Surveillance Programme (IDSP)

IDSP is a decentralized disease surveillance project and is intended to detect early warning

signals of impending outbreaks and help initiate an effective response in a timely manner.

IDSP monitors core diseases of public health importance like Acute Diarrheal Diseases

(ADD), Dysentery, Jaundice, Typhoid, Measles, Malaria, Dengue, Chikungunya, Japanese

Encephalitis, Leptospirosis, Anthrax, Swine flu, Bird flu etc. It assumes the role of state

Health Control Room during natural calamities like flood, cyclone& Heat wave and initiates

a strong action oriented response System.

5. Non Communicable Disease Control Programme

Proposed Budget 2016-17: ₹ 51.64 Cr

5.1. National Programme for Prevention and Control of Cancer,

Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) and National

Programme for Health Care of Elderly (NPHCE)



The "National Programme for Prevention and Control of Cancer, Diabetes, CVDs and

Stroke" (NPCDCS) is being implemented in 20 districts & planned to scale up in all 30

districts in 2016-17.

Key Strategies/Activities:

State NCD Cell at Health Directorate and District NCD cells in 5 districts established

Construction of NCD Complex at DHH undertaken in the 5 initial districts.

6 bedded ICU established at the 5 initial districts for complication management.

10 Geriatric beds made functional at DHHs & Labs of DH H upgraded

ANMs involved in screening and referral of diabetes and hypertension cases.

Facilities for Cancer diagnosis at DHH for oral, cervical and breast cancer

5.2. National Programme for Control of Blindness (NPCB)

National Programme for Control of Blindness was launched with the goal to reduce the

prevalence of blindness. Main causes of blindness are as follows: - Cataract (about 60%),

Refractive Error (about 20%) and Glaucoma (about 6%).

Key Strategies/ Activities

Cataract Surgery: Cataract is the leading cause of visual loss in adults and the leading

cause of blindness worldwide.

School Eye Screening: During the primary screening, school teachers are trained to

assist Paramedical Ophthalmic Assistants (PMOAs). After screening by PMOAs, the

cases that need further screening are referred to the referral hospitals and cases related

to vision correction are provided with free glasses.

Eye Donation: Cornea collection for transplantation.

Spectacles for near vision to Old Persons (40+ age)

Treatment/management of other eye diseases

5.3. Mental Health Programme

The National Mental Health Programme is operational in Odisha in fourteen districts with the

State Institute of Mental Health located at SCB Medical College being the Centre of

Excellence.



Key Strategies/ activities

Operationalization of District Mental health Clinic at DHH with provision of

additional service providers like Project Officer, Clinical psychologist, psychiatric

social worker, psychiatric Staff Nurse, Community nurse , Record keeper, Case

registry asst.

Awareness generation in general public

5.4. National Tobacco Control Programme

The National Tobacco Control Programme (NTCP) is currently functioning in thirteen

districts of Odisha it will be scaled up to all 30 districts in FY 2016-17.

Key Strategies/ activities

Training of health and social workers, NGOs, teachers, enforcement officers etc.

Information, Education and Communication (EC) activities

Sensitization and awareness building campaign in schools

Monitoring enforcement of tobacco control laws

Coordination with Panchayati Raj Institutions for village level activities

5.5. National Programme for Prevention and Control of Deafness

(NPPCD)

Taking into account the prevalence of deafness in different districts of the State and

functioning of District Rehabilitation Centers (DRC) under the Department of Social Justice

and Empowerment, it has been decided to launch the NPPCD in districts of Khurda, Ganjam,

Phulbani, Kalahandi, Koraput, Cuttack, Sambalpur and Mayurbhanj during 2014-15 and

during 2015-16 it was planned to consolidate programme in same districts.

NPPCD is being implemented in close coordination with RBSK and NPHCE. All children of

age group 0-18 years while screening under RBSK will also be screened for hearing defects

and all such cases will be referred to DEIC of DHH and where they will be again examined

by trained persons and appropriate treatment will be provided. Similarly all older persons

having hearing loss will be provided the hearing aids at DHH. The programme will also be

integrated with the similar programs run under Women and CD Department of State



2. National Mission of AYUSH including Medicinal plant: (60:40)

Govt. of India have introduced this scheme from 2014-15. The objectives of the scheme are

to provide AYUSH Health Services, establishment of AYUSH Health Educational

Institutions and quality control of AYUSH drugs. A sum of ₹3500.00 lakh has been provided

for 2016-17. TASP & SCSP flow of funds are ₹1500.00 lakh and ₹1000.00 lakh

respectively. An amount of ₹247.00 lakh has been provided in BE 2016-17 for plantation

and improvement of medicinal plants. Government of Odisha has been taking effective

measures for promotion of these systems of medicine. The Action Plan for 2016-17 is as

follows:

Strengthening of IEC programme:

Citizen charters and wall paintings will be displayed at the strategic location of the co-

located PHC/CHCs of the state. Awareness creation and information dissemination among

the people in association with NGOs and members of Red Cross Society will be made as

outreach activities and through Behavioral Change Communication (BCC). AROGYA FAIR-

2016 shall be conducted for popularization of AYUSH.

Public Health Outreach Activities

PHOA are being delivered in Khurda block and under urban health delivery system through

urban PHC/CHC as per guideline of NAM.

Essential AYUSH Drugs and Equipments, Instrument & Furniture(EIF)

EIFsare now being procured through Odisha State Medical Corporation Ltd.

Establishment of Yoga Wellness Centre at AYUSH educational Institutions:

All the system of medicines at their best aims at curing the disease whereas Yoga aims at

preventing the disease and promoting the health by reconditioning the psycho-

physiological mechanism of the individual. Yoga instructor and Yoga demonstrator shall

be engaged on outsource basis for the said purpose.

Involvement of AYUSH doctors in Public health. Non communicable diseases(NCD) pose some of the difficult challenges for the mankind.

Training will be conducted for five AMOs and five HMOs on public health at IIHP,

Bhubaneswar.



Adoption of AYUSH Gram:

Two villages of two blocks of District .Khordha and District .Ganjam shall be adopted

for promotion of AYUSH based dietary habits and life styles of the people through

BCC, training of village workers and use of local medicinal herbs as described in

AYUSH system of medicines.

Establishment of integrated AYUSH Hospitals in the State:

Proposal for establishment of a 50 bedded integrated AYUSH Hospital in the State.

3. Human Resource in Health & Medical Education (HRHME): (60:40)

Govt. of India have introduced this scheme from the year 2014-15 for establishment

of 5 new Medical Colleges in the State. An amount of ₹5395.00 lakh has been

provided in BE 2016-17, out of which TASP & SCSP flow of funds are ₹2000.00

lakh & ₹1500.00 lakh respectively.

4. Rastriya Swasthya Bima Yojana (RSBY) (60:40):

RSBY has been launched by Ministry of Labour and Employment, Government of

India to provide health insurance coverage for Below Poverty Line (BPL) families.

The objective of RSBY is to provide protection to BPL households from financial

liabilities arising out of health shocks that involve hospitalization. Beneficiaries under

RSBY are entitled to hospitalization coverage up to ₹30000/- for most of the diseases

that require hospitalization. The scheme was being implemented under Labour and

ESI Deptt during 2015-16. It has been decided by Govt. of India to implement RSBY

scheme under H & FW Deptt from 2016-17. Accordingly ₹14483.00 lakh has been

provided in the BE- 2016-17, out of which TASP & SCSP provisions are ₹5000.00

lakh and ₹2000.00 lakh respectively.

5. Emergency Medical Ambulance Services (EMAS):



EMAS has been providing pre-hospital care and free transportation service across the

state for all kinds of medical emergency arising due to accident, fire, natural calamity,

and pregnancy or otherwise where immediate medical attention is required, to provide

free Emergency Ambulance Services to the people of Odisha. Besides an amount of

₹6875.00 lakh has been provided under BE 2016-17. Out of which, TASP & SCSP

provisions are ₹2500.00lakh & ₹2000.00 lakh respectively.

6. Swasthya Sanjog:

A sum of ₹1100.00 lakh has been provided for the scheme “Swasthya Sanjog” in BE

2016-17wherein Mobile Health Units equipped with medicines, doctors for providing

services will be available at door steps of the people of far-flung areas. TASP & SCSP

flow of funds are ₹600.00 lakh &₹500.00 lakh respectively.

7. MHU in PPP mode:

For running of 41 MHU in PPP mode so as to provide patient care in remote areas of

the State, a sum of ₹200.00lakh has been provided in BE 2016-17.

8. Public Health Response:

In order to tackle different communicable and non-communicable diseases it has been

proposed to provide Logistic/ Mobility support, Training, Health Education activities,

research, IEC etc. A sum of ₹500.00 lakh has been provided in BE2016-17.

9. Bio Medical Waste Management (BMWM):

BMWM is an integrated part of environmental health and occupational safety. This

scheme aims at providing effective waste management up to level of 1749 PHC

Hospitals by strengthening activities like outsourcing, Training, Containment area

renovation, establishment of effluent treatment plant, authorization from OSPCB and



immunization. A sum of ₹800.00 lakh has been provided in BE 2016-17.In the last

year185 Institutions got authorization by State Pollution Control Board.

10. Mental Health Programme:

To ensure accessibility, affordability and availability of Mental Health care at

minimum cost to cases of mental illness and mental disable persons this scheme was

included in BE 2015-16.This year a sum of ₹100.00 lakh has been provided in BE

2016-17.

11. Food safety Programme:

The scheme intends to provide mobility support, collection of Food sampling for test

and analysis, periodical inspection of food business premises, issue of registration to

food Business operators and IEC activities / Sensitization meeting for effective

implementation of Food Safety and Standard Act, 2006. A sum of ₹50.00 lakh has

been provided in BE 2016-17.

12. Dedicated power supply:

This scheme aims at providing D.G. set for State Vaccine Store, Bhubaneswar, three

(03) Regional Vaccine Stores and District Vaccine Store for ensuring Power supply

round the clock. A sum of ₹83.00 lakh has been provided in BE2016-17.

13. Cancer Screening Programme:

It aims at strengthening Sub Centers, PHCs and CHCs for early detection of Cancer

by application of evidence based sample screening technology. It also encompasses

capacity building of field level health functionaries on Cancer Screening, developing

Cancer Diagnostic facilities at DHHs and referring cases to district/ Tertiary Hospitals

for confirmation and management. It is to create awareness among people for early

signs and symptoms of Cancer. Day care Chemotherapy is also proposed to be started



in 7 DHHs. Training of doctors & nurses of the same is under way. A sum of ₹350.00

lakh has been provided in BE 2016-17.

14. Special programme for reduction of IMR & MMR:

This scheme reiterates the commitment of Govt. to reduce MMR & IMR. Various key

activities shall be taken under the scheme for the treatment of pregnant women and

new born child.15 high burden districts have been identified for intensive

interventions. A sum of ₹4500.00 lakh has been provided in BE 2016-17.

15. Tele Medicine:

The Odisha Telemedicine Project was launched during the year 2003 by Govt. of

Odisha. The telemedicine project was implemented in three phases. It has been

playing a significant role in the state by augmenting the quality of health care of the

people of the state and skill development of Medical- cum-paramedical personnel

through Tele-consultations, Tele-follow ups, Tele-seminars, Online skill promotional

courses and Online training programmes. Funds were being provided from OHSP for

last three years prior to 2015-16. The scheme was implemented by the State Govt. for

2015-16. A sum of ₹290.00 lakh has been provided in BE 2016-17.

16. Emergency Fund:

This fund aims at providing facilities to tackle outbreak of diseases at any time on or

after disasters/ emergencies. To meet such exigency and to restore immediate health

care facilities, a sum of ₹200.00 lakh have been provided in BE 2016-17.

17. Blood Bank: The Blood Bank of the state provides services to all Sickle Cell and Thalassemia

patients of the State and Neighboring State. The main aim of Blood Bank is to provide

quality Blood to the patients round the clock as an emergency service. The Blood

Bank runs its operations out of funds generated from users’ fees starting from

purchase of pouch to paying salary to supporting staff of the Bank.



In order to cater the need of the Blood Banks, sophisticated equipment of

advanced technology is highly essential to maintain the quality of Blood as per the

guidelines and recommendations of D & C Act. Therefore, the Blood Banks will be

modernized and upgraded. Besides NAT PCR technology for blood testing will be

operationalized shortly. A sum of ₹500.00 lakh has been provided in BE 2016-17.

18. Equipment:

For improving Health Service delivery, a sum of ₹9842.00 lakh has been provided

for the BE 2016-17 towards purchase of equipment. Out of which an amount of

₹7477.00 lakh and ₹2365.00 lakh relate to Medical College & Hospitals and DHHs

respectively. In this regard, an equipment procurement policy has been issued to

ensure proper funds management under equipment head. OSMCL is the procurement

agency of the deptt and will also be in charge of maintenance.

19. Equipment for Up-gradation of State Drug Testing Laboratory:

The scheme provides for opening of Cosmetics Testing Wing for testing of cosmetics

and up-gradation of State Drug Testing Laboratory for NABL accreditation.

Activities under the scheme include purchase of Equipment, Books and Journals,

Consultancy fee & Infrastructure Development of Cosmetic testing wing and NABL

accreditation of SDT & RL. A sum of ₹145.00 lakh has been provided in BE 2016-

17.

20. Robotic Surgery:

It is the most advanced minimal surgical procedure as of now with the various

advantages like painless surgery, Blood less surgery, shorter hospital stay and

resumption to work of the patient at the earliest and most of the time in 24 hour This

facility can be used by different discipline of surgical surgery like Urology,

Gynecology, Cardiothoracic surgery and general surgery etc. A sum of ₹1200.00



lakh has been provided in BE 2016-17.for Robotic Surgery in SCB Medical College

& Hospital, Cuttack.

21. AMC/CMC equipment:

For Annual/comprehensive maintenance cost of existing equipments in different

Medical institutions of the State, a sum of ₹558.00 lakh has been provided in B.E for

2016-17.

22. Establishment of De-addiction centres in 3 Medical Colleges,

Capital Hospital, RGH Rourkela and other 4 DHHs viz Angul,

Bolangir, Mayurbhanj and Puri :

As per order of Hon’ble High Court it has been decided to establish above de-

addiction centres. ₹750.00 lakh has been provided in the budget estimate for BE

2016-17.

23. Malaria Control Programme:

For eradication of Malaria in the State the scheme “Malaria Control Programme”

has been introduced for which an amount of ₹1000.00lakh has been provided in BE

2016-17. It is proposed to take up an intensive strategy in highly endemic districts this

year.

24. Infrastructure Development

In order to strengthen the Health Infrastructure namely Hospitals, Colleges,

Laboratories, Hostels & Residential quarters an amount of ₹76500.00 lakh including

establishment of 5 new Medical Colleges has been provided in the BE for the year

2016-17.



(₹in Lakh)

SL No Nature of Work Name of C.O. Amount

1 Infs. Maintenance

(Sanitation) C.Eng., P.H. 1500.00

2 Infs. Maintenance

(Building) C.Eng., Works 1100.00

3 Infs. Development

(Non-Residential) C.Eng., Works/ R.D. 62900.00

4 Infs. Development

(Residential) C.Eng., Works/ R.D. 11000.00

Total:- 76500.00

1.4.2 Central Plan

Provision of materials under National Malaria Eradication Programme(NMEP)

Procurement and distribution of Long Lasting Insecticide Nets (LLIN) for prevention and

control of malaria in high burden districts for which budget provision is ₹ 3000 lakh for the

year 2016-17.

Purchase and distribution of Contraceptives

Procurement and distribution of contraceptives amongst the target group for birth control

with a view to stabilise the population of the state. The budget provision for the scheme is ₹

1500 lakh for the year 2016-17.

Medical Education – Training

Provision has been made in the 2016-17 BE to the tune of ₹ 17299000 for the programme of

education and training.

1.4.3 Non-Plan

An amount of ₹194156.80 lakh has been provided under Non Plan in the BE for 2016-17 as

against the provision of₹177490.01lakh in 2015-16. Some of the important highlights of

proposed Non Plan Budget Estimate are as follows:



1. Free distribution of Medicine ( Niramaya) :

The Government is well aware of impact of expenditure incurred on medicine and health

related issues on the pocket of a common man and is taking steps to reduce the burden by

investing more on procurement of medicines. Odisha State Medical Corporation has been set

up towards supply of free medicines to the patients of different health institution under

“Niramaya Scheme”. An amount of ₹22000.00 lakh has been provided in the BE for 2016-17

as against ₹20000.00 lakh in BE 2015-16.

2. Place based Incentives:

Place based incentive has been introduced for Medical Officers working indifferent

difficult/remote areas in the state as per vulnerability status of places taking into

consideration certain key parameters such as backwardness of the location, tribal dominance

leftwing extremisms, luck of train communication-road and transport facilities and distance

from the state headquarters. An amount of ₹2200.00 lakh has been provided inBE-2016-17.

3. Odisha State Treatment Fund (OSTF):

To meet Medical expenses up to ₹30.00 thousand for poor patients having income below

₹40,000/- per annum in Rural areas and ₹ 60,000/- per annum in Urban areas, under OSTF, a

sum of ₹ 30.00 crore has been provided in BE for 2016-17.

4. Corpus Fund:

Non- availability of Doctors at inaccessible remote location has been a case of concern to this

Department. To address this issue, the government has initiated a number of measures. In

order to provide necessary flexibility to the district administration, a corpus fund amounting

to ₹ 1100.00lakh has been provided in the BE-2016-17 @₹ 100.00 lakh to each collector of

the 11 back ward districts of the state to improve delivery of health care services. The

collector of the district shall be empowered for identifying the situation in which corpus fund

can be used in KBK and KBK+ Districts for providing health services to the people.



1.5 Funds Flow Mechanism

1.6.1 Funds flow

Funds flow in Odisha is routed through computerised treasury system. The budget allocations

to various Departments as approved by the State Legislature are uploaded in the Integrated

Financial Management System (IFMS). The Controlling Officers (COs) next allocates

department’s budget to the Drawing and Disbursing Officers (DDO). In case of DoH&FW,

there are seven COs and CDMOs, ADMOs, MOs and others who are designated as DDOs at

the district/block level. DDO wise budget details are again loaded into IFMS and then

transmitted to the respective treasuries and sub-treasuries through IOTMS network.

The disbursement of plan and Non-plan budget for the Department is done by DDOs through

the Treasury or Sub-Treasury offices located in the District or sub-District.

1.6.2 Funds flow under NHM

With effect from the financial year 2014-15 DHS will draw funds from state treasury as per

Govt. of India and Govt. of Odisha allocation and send it to Odisha State Health and Family

Welfare Society (OSHFWS) by bank transfer to its bank account. The responsibility of

operating this account is with the Member Secretary, Governing Body of OSHFWS. The

Mission Director, NHM is responsible for disbursement of funds and its proper accounting

with the support of Joint Director Finance, State Finance Manager and State Accounts

Manager.

OSHFWS allocates funds to Zilla Swasthya Samities (ZSS) as per their Project

Implementation Plans and based on funds Utilization Certificates. For quick transfer of funds,

e-banking facilities are being used in all the districts and in 314 blocks. District Programme

Manager accompanied with District Accounts Manager is responsible for maintaining

accounts and disbursement of funds at district level as per district PIP.



CHAPTER II

Statement of Budget Statement 2016-17

The summary statement of plan and non-plan allocation in respect of Department of

Health and Family Welfare for the financial year 2016-17, grouping it under the flagship

programme National Health Mission (NHM), Rastriya Swasthya Bima Yojana (RSBY) and

Schemes/ Programmes in Health segment is represented below in Table (1).

TABLE-I

OUTCOME BUDGET 2016-17 FOR DEPARTMENT OF HEALTH & FAMILY WELFARE

(in thousand rupees)

Name of Scheme

Approved Outlay (2016-17)

Department of Health and Family Welfare

Plan Non-Plan Total

NHM 11971500 ******** 11971500 RSBY 1448300 ******** 1448300 Health 14883198 19636701 34519899 Total 28302998 19636701 47939699

The objectives/outcomes, quantifiable deliverables and outlay for 2016-17 under NHM,

RSBY and other Health schemes are highlighted in Table II. It provides an overview of the

critical organizational structure and infrastructure that have been created/ strengthened for

preparing the ground to enable the Government to move towards its objective of accountable

and affordable healthcare delivery. Wherever possible, a one-to-one correspondence has been

attempted between financial and outcome budget as the outcomes cut across different

schemes. The exercise is primarily meant for converting the financial outlays into measurable

and monitor able outcomes. It is a performance measurement tool that helps in better service

delivery,decision making, evaluating program performance and results and enhancing

program effectiveness. The outcome budget is also aimed at changing the outlook of the

agencies entrusted with the responsibility of program execution and implementation. The idea

is to make the programme implementing agencies more result oriented by shifting the focus

from "outlays" to "outcomes".

The scheme wise details of the outcome budget for 2016-17 are indicated in Table II below.



Table 2.1: Outcome Budget, Department of Health and Family Welfare, 2016 – 17Plans

TABLE II

Sl. No.

Name of the Schemes/ Programme

Objective / Outcome Outlay 2016-17 Quantifiable/ Deliverable Physical Outputs

Project Outcome Processes/ Timelines

Remarks/ Risk Factors

(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget

PlanBudget ComplementaryExtra- Budgetary Resources

1 National Health Mission (NHM)

To carry out various activities relating RCH, NHM and DC programmes

11971500 CSS During the Financial Year

Draft NHM

PIP (2016-

17) is to be

approved

by GoI

2 RastriyaSwasthya

BimaYojana (

60:40) (New) (

SP)

The objective of RSBY is to provide

protection to BPL households from

financial liabilities arising out of

health shocks that involve

hospitalization. Beneficiaries under

RSBY are entitled to medical

coverage up to Rs. 30000/- for

most of the diseases that require

hospitalization.

1448300 CSS To provide

financial

facilities for BPL

house holds

During the

Financial

Year

New

Scheme

3 NMEP ( National

Malaria

Eradication

Programme) ( SP)

The scheme is continuing towards

2% of incidental charges against

the cost of materials received from

GOI

2900 State Reduced morbidity on

account of Malaria

Improved health

care services

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


4 NFCP ( National

Filarial

Eradication

Programme)( SP)

Prevention and control of vector

borne diseases. The provision

made towards procurement of M.L

oil.

6200 State Reduced morbidity

on account of Filaria

Improved health

care services

During the

Financial

Year

5 Equipments for

DHH ( SP)

For up-gradation of Peripheral

Health Institutions towards

purchase of equipments to be

installed in different District Head

Quarter Hospitals

236500 State Improve health care

services

Up gradation of

Medical

institutions

During the

Financial

Year

6 Emergency

Medical

Ambulance

Service (EMAS)

( SP)

Provide Emergency transport

service to the patients

5201 687500 State Operational cost of

420 ambulances in

30 districts &also

Operationalization of

Boat Ambulances

Free Ambulance

service for

greater

accessibility of

health facilities

to patients.

During the

Financial

Year

7 Decretal Dues(

Charged) ( SP)

To meet the legal charges 700 State To meet legal

expenses

During the

Financial

Year

8 AMC / CMC of

Equipments ( SP)

For Annual/comprehensive

maintenance of existing

equipments in different peripheral

10000 State Functional of

Equipments

During the

Financial



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


Medical institutions of the State Year

9 Bio- Medical

Waste-

Management (

SP)

BMWM is an integral part of

environmental health and

occupational safety. This scheme

aims at providing effective waste

management in 1749 PHC/CHC/

Hospitals

32903 80000 State Waste management

in all

district hospitals

Improved

sanitation in

public health

facilities

During the

Financial

Year

10 Food Safety

Programme ( SP)

The Scheme intends to provide

mobility support, collection of food

sampling for test and analysis,

periodical inspection of food

business premises &

implementation of Food Safety and

Standard Act, 2006.

5000 State Recurring expenses

for

implementation of

the scheme

Improve health

status of people

of Odisha

During the

Financial

Year

11 Public Health

Response ( SP)

To cope up with sudden outbreak of

communicable diseases

840 50000 State Urgent expenses

incurred

for outbreak of

Dengue,

Jaundice etc

Reducing the

risk of deaths

on account of

sudden

outbreak of

various

diseases

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


12 Blood Bank ( SP) The Blood Bank provides services

to all Sickle Cell and Thalassaemia

patients of the State as well as

neighbouring States.

8710 50000 State Access to health

service in public

health facilities

During the

Financial

Year

13 Mental Health

Care ( SP)

To ensure accessibility, affordability

and availability of Mental Health

Care at minimum possible cost for

mental disable persons

1100 10000 State Provision for

equipment

and office

contingencies

Access to health

care

During the

Financial

Year

14 Cancer Screening

Programme ( SP)

This Scheme aims at strengthening

of peripheral medical institutions for

early detection of Cancer by

application of Evidence Based

Sample Screening Technology

151703 35000 State Provide facilities of

free

cancer screening to

patients in health

facilities

Improved

access

of medical

services

During the

Financial

Year

15 SwathySanjog (

SP)

provided for the scheme

“SwasthyaSanjog”in BE 2016-17.

Under the Scheme, Mobile Health

Units equipped with medicines,

doctors

and paramedics are made available

at door steps of the needy people

of remote areas.

110000 State 114 Mobile Health

Units to be

operational

Improved

access of

medical services

in difficult areas

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


16 Mobile Health

Unit

( PPP Mode) (

SP)

For running of 22 MHU in PPP

mode so as to provide patient care

in remote areas of the State

550 20000 State Improved health

care services

During the

Financial

Year

17 Training ( SP) Training for ICU Personnel 5000 State Improved health

care services

During the

Financial

Year

18 Emergency Fund

( SP)

This fund aims to provide facility to

tackle outbreak of diseases

consequential to natural disasters.

To meet such exigency and to

restore immediate health care

facilities

5000 State Improved health

care services

During the

Financial

Year

19 IMR & MMR (

SP)

Reduce the IMR and MMR through

special intervention

450000 State Reduction in

IMR & MMR

through

Improved health

care services

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


20 Malaria Control

Programme

(New) ( SP)

The scheme is introduce to control

malaria in high malaria endemic

inaccessible areas in the State of

Odisha.

100000 State Control malaria

through

improved health

care services

During the

Financial

Year

21 Dedicated Power

Supply( SP)

Provide uninterrupted power supply

to health institutions

8300 State Construction of

Dedicated

Power supply

Improved health

services through

uninterrupted

power supply.

During the

Financial

Year

22 Human Resource

in Health and

Medical

Education

539500 CSS Improved health

care services

through

improved

Human

resources.

During the

Financial

Year

Salaries paid

23 Tertiary Cancer

Centre

1 SP During the

Financial

Year

24 Renal transplant

unit

3500 SP Renal transplant unit

in Cuttack SCB MCH

will be operational

Reduced

death on

account of

renal failure.

During the

Financial

Year

Expenses related to

salary and

office

expense



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


25 ANM and GNM

School

33200 SP Provision

of Salaries

and other

expenses

of ANM and

GNM school

Improved

service

delivery

During the

Financial

Year

Expenses

related to

salary and

office

expense

26 Bone marrow

transplant unit

Treatment of diseases

involving bone marrow

1000 SP One unit

will be

establish

ed in MCH,

Cuttack

To provide training to Medical and paramedical personnel, for

Bone Marrow

Transplantation

During the

Financial

Year

27 Effluent

Treatment plant

1 SP Improved health

care services

During the

Financial

Year

28 Establishment of

AIIMs

1 SP Up gradation of

Medical

institutions

During the

Financial

Year

29 Up gradation of

Medical College-

Cuttack for

new P G course (

Up gradation of MCHs for

increasing the PG seats

747700 SP Equipment

and instruments will be

procured an

d provision

for operating

Increased

numbers

of PG qualified

doctors

available in the

During the

Financial

Year

Equipment

to be

decided



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


Equipments) expenses state

30 Consultancy

Services

1 SP To meet legal

expenses

During the

Financial

Year

31 AMC & CMC For Annual/comprehensive

maintenance of existing

equipments in different

Govt. Medical Colleges

and Hospitals of the State

45800 SP Functional of

Equipments to

provide Health

Services

During the

Financial

Year

32 Robotic Surgery

Unit

This is the most advanced

minimal surgical procedure

as of now with various

advantages like painless

surgery, blood less surgery

, shorter hospital stay and

resumption to work of the

patient at the earliest.

120000 SP To improve

better Health

service like

painless

surgery, blood

less surgery etc.

During the

Financial

Year

New

Scheme

33 NAT PCR To provide up-graded Blood

testing facility

50000 SP Up-gradation of

Blood

testing.

During the

Financial

Year

34 Liver Transplant Super specialty health care of 2500 SP One Liver transplant unit

to be established in SCB

Improvement

of Tertiary care

During the

Financial



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


Unit at SCB liver transplantation in SCB medical college hospital health services

with the

inclusion of

services

like liver trans

plantation

Year

35 Telemedicine The quality of health care of

the people of the State

through tele-consultations,

tele-seminars, Online skill

promotional courses and

Online training programme.

29000 SP Improved

access of

medical services

During the

Financial

Year

36 Establishment of

De-addiction

Centres

to establish De-addiction

Centres in all three Medical

Colleges

75000 SP During the

Financial

Year

New

Scheme

37 National AYUSH

Mission including

Medicinal

Plant(60:40)

374700 CSS To improve

health care

services through

continuance of

scheme

During the

Financial

Year

38 Strengthening

Drugs Regulatory

85630 50000 CSS Establishment of

new drug testing

unit and related

During the

Financial



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


System(60:40) expenses Year

39 Drugs Controller 14500 SP Equipment for

state drug

testing

Research

Laboratory

During the

Financial

Year

40 AYUSH Services 5453 SP Salary for

district

Ayurvedic and

Homeopathic

establishments

During the

Financial

Year

41 Infrastructure

Maintenance of

FW Schemes

2750000 SP Salary and other

expenses F.W.

employees

During the

Financial

Year

42 Training of

Medical &

Paramedical Staff

137280 5000 SP Training

programmes

During the

Financial

Year

43 Emergency Fund

H & FW Deptt

15000 SP Sudden

epidemics

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


44 Infrastructure

Development(Res

)

Capital outlay on Housing 1100000 SP Construction of

staff quarters for

sub ordinate

offices under

Health & F.W.

Dept.

During the

Financial

Year

45 Infrastructure

Development(Non

Res)

Capital outlay on M & PH 6290000 SP Construction of

office and

Hospital

buildings under

Health & F.W.

Dept.

During the

Financial

Year

46 Infrastructure

Maintenance(Wor

ks)

110000 SP Renovation

work

During the

Financial

Year

47 Infrastructure

Maintenance(PH)

150000 SP Drainage and

sewerage

system

During the

Financial

Year

48 Training &

Employment of

multipurpose

Workers

2643 Training

programme

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


48 Token 8 SP During the

Financial

Year

TOTAL

STATE PLAN

27803765

CENTRALLY SPONSORED PLAN

1 NMEP ( National

Malaria

Eradication

Programme)

(CSP)

Provide State share to avail of

GoI funding

2900 Centrally

Sponsored

Plan

Supply of medicines

and salary provision

for the officials

Reduced

morbidity on

account of

Malaria

During the

Financial

Year

2 NFCP ( National

Filaria Eradication

Programme)

(CSP)

Prevention and control of vector

borne diseases

6200 Centrally

Sponsored

Plan

Filaria medicines to 5

lakh population

Reduced

morbidity on

account of

Filaria

During the

Financial

Year

CENTRALLY

SPONSORED

PLAN TOTAL

9100



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


CENTRAL PLAN

1 TB Control

Programme ( CP)

Towards cost of materials 20000 Central

Plan

50,000 nos of

positive case

detection

Reduced TB

prevalence

and death on

account of TB

During the

Financial

Year

2 Goitor Control

Programme ( CP)

Reduced prevalence of Goitre 1000 Central

Plan

Awareness

campaign continued

Reduced

prevalence of

Goitre

During the

Financial

Year

3 National Malaria

Eradication

Programme ( CP)

Provide support for the continuance

of the programme

300000 Central

Plan

10 lakh LLIN will be

procured and

distributed

Reduce Malaria

Prevalence

During the

Financial

Year

4 Urban health services

other system

734 Central

Plan

Salary and

related

expenses

During the

Financial

Year

5 Education and

Research

17299 Central

Plan

Homeopathic

Medical college

During the

Financial

Year

6 Purchase of

contraceptive,

MCH Extension

supplies,

150000 Central

Plan

Supply of

contraceptives

During the

Financial

Year



Sl. No.





(1) (2) (3) (4) (5) (6) (7) (8)

4(i) 4(ii) 4(iii)

Non-PlanBudget


Education Kits

CENTRAL

PLAN TOTAL

490133

Table 2.3: Outcome Budget, Department of Health and Family Welfare, 2016-17 – Non Plan

Sl. No.

Name of the Schemes/Programme

Proposed financial

Outlay (`000) Broad Objective of the Scheme

Quantifiable/Deliverable Physical Outputs

Project Outcome

Processes/ Timelines

Remarks/ Risk Factors Non-salary

(Deliverable Output)

(1) (2) (3) (4) (5) (6) (7) (8)

1 Medicines 2226051

Provide medicines free of cost to patients

Medicines will be procured and distributed

Improved health care services

Scheme will be implemented by DHS (Timeline: 2016-17)

NIL

2 Diet 272243

Provide diets to indoor patients

Diets will be provided at enhanced rates ` 50 per general in-patient and `60/- per TB/Cancer in-patient.

Improved health care services

Scheme will be implemented by DHS/DMET (Timeline: 2016-17)

NIL



Sl. No.


Proposed financial



Project Outcome




(1) (2) (3) (4) (5) (6) (7) (8)

3 Bedding, clothing and Linen

15710 Provide bed/clothing/linen for indoor patients

Beds/cloths/linen will be procured and supplied

Improved In-patientservices


NIL

4 Grants to spinal cord injury Centre

10001 Support to spinal cord injury for ongoing activities

Grants will be provided Improved health care services


NIL

5 Grants to blood transfusion council

550 Financial Support to blood transfusion council.

Grants will be released Improved health care services


Grants

6 Grants to AHRCC, Cuttack

145001 Contribute to support activities AHRCC, Cuttack



Grants

7 Grants to AHRCC, Cuttack for equipment

6700

Contribute to infrastructure development of AHRCC, Cuttack



Grants

8 Equipment for hospitals

7174 Purchase of medical Equipment

Equipment will be procured and used.

Improved health care Service


Planning will be done by individual directorate

9 Grants to State Branch of IRCS

8710 Financial Support to IRCS for its ongoing

Grants will be released Improved health care

Scheme will be implemented by

Grants



Sl. No.


Proposed financial



Project Outcome




(1) (2) (3) (4) (5) (6) (7) (8)

activities. services DHS (Timeline: 2016-17)

10 Grants to mental health authority

1100

Financial Support to mental health authority for its ongoing activities.



Grants

11 Odisha State Treatment Fund Society

300000

Financial support to poor people for treatment involving huge expenses

Financial support to poor patients for treatment in public and accredited private health facilities in case of critical disease

Reducing out of pocket expenses of poor patients


12 Salary , office expenses and other schemes

16643461

TOTAL Non Plan 19636701



CHAPTER 3: REFORM MEASURES AND POLICY INITIATIVES

Following reform measures and policy initiatives have been taken by the Department

in recent times.

3.1 Malaria Control Programme:

Proposed Outlay for 2016-17 is ₹ 10.00 crore.

For eradication of Malaria in the State the scheme “Malaria Control Programme”

has been introduced for which an amount of ₹1000.00 lakh has been provided in BE

2016-17. It is proposed to take up an intensive strategy in highly endemic districts this

year.

3.2 De-addiction Centre

Proposed Outlay for 2016-17 is ₹7.50crore

As per order of Hon’ble High Court it has been decided that nine de-addiction centres

to be established with budgeted outlay of ₹750.00 lakh in current financial year.

3.3 Robotic Surgery

Proposed Outlay for 2016-17 is ₹12.00 crore

The programme is about to start at SCB Medical College & Hospital, Cuttack in the

Department of urology with the purpose of facilitating painless surgery, Blood less

surgery, shorter hospital stay and resumption to work of the patient at the earliest and

most of the time in 24 hours. This facility can be used by different disciplines of

surgical surgery like Urology, Gynaecology, Cardiothoracic surgery and general

surgery etc.



3.4 Strengthening of Drugs Regulatory System (60:40)

Proposed Outlay for 2016-17 is ₹5.00 crore

The scheme aims at establishing a drug testing laboratory at Sambalpur and procuring

related equipments. Recruitment of manpower at Directorate also comes under its

ambit.

3.5 Rastriya Swasthya Bima Yojana (RSBY) (60:40)

Proposed Outlay for 2016-17 is ₹ 144.83 crore

The scheme being implemented under Labour and ESI Deptt during 2015-16 has been

decided by Govt. of India to be implemented under H & FW Deptt from 2016-17 to

provide health insurance coverage for Below Poverty Line (BPL) families.

3.6 Corpus fund

Proposed Outlay for 2016-17 is ₹ 11.00 crore

In order to address this issue of non- availability of Doctors at inaccessible remote

locations, the government has initiated this measure and has provided this fund to the

district administration to improve delivery of health care services. The collector of the

district is empowered for identifying the situation in which corpus fund can be used in

KBK and KBK+ Districts for providing health services to the people.



CHAPTER4: REVIEW OF PAST PERFORMNACES

Table 4.2: Physical and Financial Review 2014-15

Table 4.2: Physical and Financial Review 2014-15

Name of the Schemes/Programs

Physical Target for 2014-15

Physical Achievement in

2014-15

Financial Target for 2014-15 (`

000)

Financial Achievement in 2014-15

(` 000)

Reason for shortfall/deviation from original in achievement and

financial target

1. State Plan

DFID Assisted Health Sector Development

i) 6 sickle cell units are

in operatio

n ii) 1 critical unit

operational

50 sub centre to be constructed

iii) 6 sickle cell units

are in operati

on iv) 1 critical unit

operational

50 sub centre to be constructed

40,00,00 40,00,00 No deviation

National Health Mission (NHM)

1093,49,23 616,45,98 In Progress

MO Masari Procurement and distribution of 31

lakh LLIN to pregnant women

and others in malaria burden

districts

LLIN procurement

70,00,00 0 Tendering process is in progress

Directorate Equipment to be purchased under

Ayush and operating cost of

the directorate

Equipment purchased

1,86,22 1,10,93 No deviation

Renal transplant unit Renal transplant unit in Cuttack

SCBMCH will be operational

Operational cost incurred

1,50,00 17,17 New Scheme

Up gradation of Medical College Cuttack, for starting

new PG course

Equipment and instruments will be procured and

provision for operating expenses

Equipment purchased

57,00,01 29,33,80 In progress

HFW department Provision of Salaries and other expenses of HFW

department

Salaries paid 56,25

Head Quarter Organization (except Swasthya Sanjog

and BGSS)

Provision for equipment and

office contingencies

Equipment purchased

24,38,91 23,79,53

PG course in MCH under AYUSH directorate

Infrastructure development

13,02 0 New scheme

ANM and GNM School Provision of Salaries and other

Salaries paid 2,93,05 1,29,11 In progress



expenses of ANM and GNM school

Up gradation of Medical College Burla, for starting

new PG course

Operational expenses for new

PG seats

Yet to be started 1,00,00 0 New scheme

Multipurpose Training of Doctors and Para medics

90 Doctors and 330 paramedics

will be trained

Training conducted

50,00 34,74 In progress

Up gradation of Medical College Berhampur, for starting new PG course

Operational expenses for new

PG seats

Operational expenses incurred

1,00,00 0 Administrative decision delayed

Drug control Administration –

Up gradation of State Drug testing and research

Laboratory (Equipment)

Purchase of Equipment and

infrastructure development

Equipment to be purchased

1,15,60 0 Administrative decision delayed

Emergency Medical Ambulance Service

Operational cost of 420

Ambulances in 30 districts

420 Ambulances are in operation

46,35,32 20,29,26 In progress

Swasthya Sanjog 114 Mobile Health Unitsto be

operational

114 MHU operational

10,04,66 10,04,66

Biju Gramina Swasthya Sibira

Organisation of Health camps in

147 assembly constituencies

Action to be taken

2,94,00 0 New scheme

Tertiary Cancer Centre 1 TCC to be established at

MKCG, Berhampur

Action to be taken


Establishment of Regional Institute of Paramedical

Science (RIPS)

Establishment of RIPS

Action to be taken


MHU in PPP mode 22 Nos of MHU will be

operational

22 MHU are operational

3,40,00 3,40,00

National AIDS and STD Control Programme

Operational expenses of

OSACS for controlling AIDS

and STD

Expenses incurred under

AIDS control programme

42,17,08 20,39,53 In progress

Sanitary kits for Adolescent Girls in 15 districts

12099438 Nos of sanitary napkin to

be distributed to adolescent girls of

15 high burden districts

Action to be taken

14,00,00 0 Will be procured

Odisha State Medical Corporation

Establishment of Drug corporation

and Operationalization

Drug corporation functional

5,00,00 5,00,00

Improvement and Renovation of W/S Sewage

and sanitation works of Hospitals and dispensaries

Construction of drainage system

and water pipe line in the

periphery health facilities

Civil construction in progress

18,31,00 49,90 Civil works slow in progress

HMIS All the health facilities of 30

districts will be covered

Software development is

in progress

10,00,00 0 New Scheme



Renovation work Major and minor repairs of

buildings under the department

Renovation work undertaken

33,50,01 1,45,07 Civil works slow progress

Bone marrow transplant unit

One unit will be established in MCH, Cuttack

Action to be taken

1,10,00 0 New Scheme

13th

Finance Commission Award for up gradation of

health infrastructure

Construction of new building for 1207 sub center,

CHC, PHC and MCHs



Construction of building of H&FW department

Construction of new building for sub center, CHC, PHC and MCHs,

staff quarters



Head Quarter Organisation-DMET

Procurement and use of equipment in 3 govt. medical college hospitals

Equipment purchased

60,00,00 5,09,72 In progress

Liver Transplant Unit at SCB One Liver transplant unit to be established in

SCB medical college hospital

Token provision 25,01 0 New Scheme

Token provision 18

TOTAL 555.00,00

Central Plan National Goitre control

programme Awareness

campaign continued

Nil 30,00 0

National TB control programme

50,000 nos of positive case

detection

Nil 2,00,00 0

Cost of Material under NMEP

10 lakh LLIN will be procured and

distributed

Nil 30,00,00 0

State Family Welfare Bureau


operational


operational

1,46,81 82,28 In progress

Continuance of dist. F.W. Bureau in non tribal areas

District Family Welfare Bureau in

non tribal areas operational

District Family Welfare Bureau

in non tribal areas

operational

3,97,28 4,21,18 In progress

Continuance of dist. F.W. Bureau in Tribal area

District Family Welfare Bureau in

tribal areas operational

District Family Welfare Bureau

in tribal areas operational

2,21,52

Regional H & F.W. Training Centres at Cuttack

andSambalpur

Two regional H&FW Training

Centres operational

Two regional H&FW Training

Centres operational


Training of Nurses, Mid Wives & LHVs in non tribal

areas

Training of Paramedical staffs in non tribal areas


6,09,32 4,88,10 In progress



Continuance of training of Nurses, Mid Wives & LHVs

in tribal area

Training of Paramedical staffs

in tribal areas

Training of Paramedical

staffs in tribal areas

2,11,27

Continuance of Health Workers(M) training

Male health workers training


82,72 54,66

Continuance of rural FW Sub-centers in non tribal

areas

3805 RFWs in non tribal areas operational

3805 RFWs in non tribal areas

operational

124,92,26 86,59,36 In progress

Continuance of rural FW Sub-centers in tribal areas

2571 RFWs in tribal areas operational


82,47,25 57,18,26

Continuance of 1Urban FW Centers at Rourkela (Non-

Tribal)

1 UFWCs operational

1 UFWCs operational


Continuance of 3Urban FW Centers and 3 voluntary

organisations(Tribal)

5 UFWCs operational

5 UFWCs operational


Continuance of Urban Revamping scheme at

Bhubaneswar and Cuttack

2 Urban Revamping Slum units operational


1,68,88 1,13,17 In progress

Continuance of Urban Revamping scheme at

Rourkela




Purchase and distribution of contraceptives

Procurement and distribution of contraceptives

15,00,00 0 Central provision not received

Continuance of FW cell in the Department

FW cell operational

FW cell operational

20,00 14 In progress

Directorate - Strengthening of enforcement mechanism

of State drug controller (ISM),Odisha

Drugs testing lab (ISM) operational

NIL 7,34 0 Fund not received from GoI

Medical Education Homeo-Strengthening of Homoeo

pharmacy of Dr.ACHMC, Bhubaneswar

Essential Equipment will be

procured

NIL 1,10,00 0

Medical education Ayurvedic -Introduction of

PG Course at Govt. Ayurvedic College, Balangir

4 teaching Depts. to be up-graded

and PG Course will be launched

NIL 62,99 0

Hospital and Dispensaries –Medicines- Ayurvedic in

non tribal areas

Ayurvedic medicines will be

procured and distributed

NIL 6,81 0

Hospital and Dispensaries -Medicines- Ayurvedic in

tribal areas

Ayurvedic medicines will be


NIL 89 0

Hospital and Dispensaries - Supply of essential drugs to Homoeopathic dispensaries

in non tribal areas

Homeopathy medicines will be


NIL 3,26 0

Continuance of post under SIHFW

SIHFW operational

SIHFW operational

47,47 1,65,39 In progress

Continuance of District FW bureau in NT districts under

SIHFW

District FW bureau in NT

districts operational

District FW bureau in NT

districts operational

2,12,98

Continuance of District FW bureau in Tribal districts

under SIHFW

District FW bureau in Tribal

districts

District FW bureau in Tribal

districts

94,84



operational operational

Continuance of training centres of SIHFW

Training centres of SIHFW

operational

2,61

Token provision 3

Total Central Plan

III. Centrally Sponsored Plan

NFEP Continuance of program

Nil 62,00 0 Fund not received

NMEP Continuance of program


Orientation training of med para medic staffs

Continuance of program

Nil 10,06 15,21

Total of Centrally Sponsored Plan

IV. National Rural Health Mission (NRHM)

A. Reproductive and Child Health (RCH)

(i) Maternal Health

Village Health Nutrition Day (VHND)

482661 session targeted

462433 Session conducted

6,85,92 4,81,86 Progress is on track

JananiSurakshyaYojana (JSY)

672897 beneficiary

targeted

530089 beneficiaries

benefited


JSSK 650000 units of drugs,

consumables, and diets etc. required

for target beneficiaries

483587 units of drugs and

consumables, 477244 units of diet consumed


Others under Maternal health

Existing schemes continued


1,16,93 19,23 Progress is on track

Child Health 44 NRC, 31 SNCU, 50 NBSU to be

operational and 86033 child

referred under RBSK

41 NRC 45 NBSU and 26 SNCU

operational


Family Planning Compensation for 155589 female

and 16500 male cases sterilisation

Compensation paid for 136807

female and 1917 male


ARSH 723 vehicles to be used under RBSK,

26752 Kishorimela,

treatment support for 1900 different

serious child disease and

health awareness camps at 2000

tribal schools

346 vehicles used, 14345 Kishorimela

conducted


Urban RCH Continuance of 40 existing urban health centres



Tribal RCH Recurring cost of 50 maternity

waiting home



PNDT activities Operational cost of IEC/BCC and

others

Awareness programme

conducted

26,15 11,07 Progress is on track

Infrastructure and HR Remuneration of doctors, nurses,

Remuneration paid




and other paramedics

appointed under NRHM

Training 21 days induction training to 4

batches MBBS doctors, 830 ANM

and LHV trained on IUD, 540 MO

and SN to be trained on IUD insertion, SBA

training to 686 ANMs, 16625

ANM trained on ARSH etc.

21 days induction

training to 4 batches MBBS

doctors, 800 ANM and LHV

trained on IUD, 540 MO and SN trained on IUD insertion, SBA

training to 686 ANMs, 16900

ANM trained on ARSH etc.


Programme/NRHM management cost

Remuneration and

administrative expenses of SPMU

and DPMU

Remuneration paid and other

expenses made by SPMU,

DPMUs and BPMUs


B. NRHM Initiative

ASHA 43530 uniform, diary; 2142

batches field training; 26118 ASHA meeting;

76740 cases incentive and

other expenses

43056 uniforms to ASHA,

incentive to 36214 ASHAs,

induction training of 42570

ASHAs


Untied Fund 45407 GKS, 6688 Sub centres, 377 CHC, 26 SDH, 79

other hospitals and 1228 PHC(N)

to be covered

45407 GKS, 6688 Sub centres, 377 CHC, 26 SDH, 79

other hospitals and 1228 PHC(N)

covered


Hospital Strengthening (Infrastructure)

New construction and continuance

of old construction of

health infrastructures

Construction activities

continued

121,39,61 103,27,11

Annual Maintenance Grant 26 SDH, 377 CHC, 1307 PHC(N)/OH

and 128 SC will be covered

AMG released 9,32,89 9,11,17 Progress is on track

New Construction / Renovation & Setting up

104 SC and others Construction is in progress


Corpus Grants to HMS/RKS Grants received by 435nos RKS

and other recurring

expenses for 5483 beds

Grants provided 5,63,00 6,69,40 Progress is on track

District Action Plan 314 blocks and 32District plans

development

Plans developed 39,70 25,82 Progress is on track

Panchayati Raj Initiative 47676 GKS members capacity

47676 GKS members




building and 45407 GKS convention

capacity building and convention

of all GKS

Mainstreaming of AYUSH Remuneration of 1487 Ayush

doctors, medicines and

others

Remuneration paid and

medicines and other

consumables procured and

distributed


IEC/BCC NRHM Multiple IEC/BCC activities

IEC and BCC activities

undertaken


Referral transport Purchase cost of 224 BLS and 56

ALS and their partial operating

cost

224 BLS and 56 ALS purchased and operated


PPP/NGO Management of 40 PHC new and

12 Sub-centre by NGO and grant in

aid to 182 field NGO

Management of 40 PHC new and

12 Sub-centre by NGO and grant in

aid to 182 field NGO


Innovations Operational cost of 12 sickle cell

units and 143 FRUs and

scholarship to 1325 nursing

students

Operational cost of 12 sickle cell

units and 143 FRUs and

scholarship to 1210 nursing

students


Planning, implementation, monitoring

Operational expenses for

review meeting, software etc.



Procurement- equipment Equipment purchased

Equipment purchased


Procurement- drugs and supplies

Drugs and supplies

purchased


31,35,65

Regional drug warehouses Operational cost of district and

block warehouses

Operational cost of district and

block warehouses


New initiatives/strategies CMAM piloted in 2 blocks

Work initiated 1,20,87 26,84 Progress is on track

State Level health resources centre

Operational cost Operational costs of existing

schemes


C. Immunisation

Immunisation 90% children fully immunised

85% children fully immunised


IPPI

D. Disease Control Programme

National TB Control Programme (RNTCP)

Continued support to the TB

cell

Continued support to the TB cell


National Leprosy Eradication Programme

(NLEP)

Continued support to the TB

cell

Continued support to the TB cell


National Disease Surveillance Programme

Continued support to the

Continued support to the IDSP cell




(IDSP) IDSP cell

National Programme for Control of Blindness (NPCB)


NPCB cell

Continued support to the NPCB cell

26,00 Progress is on track

National Vector Borne Disease Control Programme

(NVBDCP)


NVBDCP cell

Continued support to the NVBDCP cell


Other salary and other expenses

TOTAL National Rural Health Mission 849,96,54 721,46,18

V. Non-Plan

Medicine Medicines will be procured and distributed to

patients in the health facilities

Medicines procured and distributed to

health facilities through State Drug Management Unit


Diet Diets to be provided to the

in-patients

Diets to all inpatients provided


Bed, Clothing and Linen Bed/linen to be provided for in-

patients

Old bed/linen materials in the

public health facilities replaced

1,56,18 2,06 Progress is on track

Grants to Spinal Cord Injury Centre

Support for on going activities

Support provided 80,30 80,30 Progress is on track

Biomedical Waste management

Biomedical Waste

management unit to be operational

Biomedical Waste management unit to be operational


Grants to Blood Transfusion Council




Infrastructure dev grants to AHRCC

Grants will be provided for

infrastructure


infrastructure

9,37,00 9,36,98

Grants to AHRCC for Equipment

Grants will be provided for purchase of equipment

Grants provided for purchase of equipment

67,00 0

Equipment for Hospitals Grants will be provided for

equipment

Grants provided for equipment

54,31 27,50

Grants to state branch of IRCS


ongoing activities


ongoing activities

87,10 0

Grants to Mental health Authority


ongoing activities

Grants provided for ongoing activities

11,00 5,00

Grants to Odisha State Treatment Fund


ongoing activities


ongoing activities

20,00,00 20,00,00

Salary, office expenses etc. and token provisions

12,69,17,90

Total 1530,90,08



Table 4.1: Physical and Financial Review 2015-16 Name of the Schemes/Programs

Physical Target for 2015-16

Physical Achievement in 2015-16

Financial Target for 2015-16(000)

Financial Achievement in 2015-16(000)

Reason for shortfall/deviation from original in achievement and financial target

1 2 3 4 5 6

1. State Plan

National Health Mission (NHM)

1088,32,06 928,18,93

Directorate of AYUSH Equipment to be purchased under Ayush and operating cost of the directorate

Equipment purchased

1,21,00 1,21,00 No deviation

Up gradation of Medical Colleges

Equipment and instruments to be procured and provision for operating expenses

Equipment purchased

70,00,00 70,00,00 No deviation

District Head Quarter Hospitals

Provision for equipments

Equipment purchased

10,00,00 10,00,00

ANM and GNM School Provision of Salaries and other expenses of ANM and GNM school

Salaries paid 4,80,00 3,31,67 Vacancies not filled in

Multipurpose Training of Doctors and Para medics

90 Doctors and 330 paramedics will be trained

Training conducted

50,00 50,00 No deviation

Drug control Administration – Upgradation of State Drug testing and research Laboratory (Equipment)

Purchase of Equipment and infrastructure development

Equipment to be purchased

3,00,00 3,00,00 No deviation

Emergency Medical Ambulance Service

Operational cost of 420 Ambulances in 30 districts

420 +92 Ambulances are in operation

52,00,00 52,00,00 No deviation

SwasthyaSanjog 114 Mobile Health Unitsto be operational

114 MHU operational

4,00,00 4,00,00 No deviation

MHU in PPP mode 22 Nos of MHU will be operational

22 MHU are operational

2,00,00 00 Re appropriated at Supplementary stage

National AIDS and STD Control Programme

Operational expenses of OSACS for controlling AIDS and STD

Expenses incurred under AIDS control programme

46,39,00 21,60,04 Non receipt from GOI

Improvement and Renovation of W/S Sewage and sanitation works of Hospitals and dispensaries

Construction of drainage system and water pipe line in the periphery health facilities


15,00,00 Civil works slow in progress



Renovation work Major and minor repairs of buildings under the department

Renovation work undertaken

Civil works slow progress

Bone marrow transplant unit

One unit will be established in MCH, Cuttack

Action to be taken


Construction of building of H&FW department

Construction of new building for sub centre, CHC, PHC and MCHs, staff quarters


Civil works slow progress

Liver Transplant Unit at SCB

One Liver transplant unit to be established in SCB medical college hospital

Training 25,00 25,00 No deviation

Human Recourse in Health and Medical Education

Establishment of 5 New Medical Colleges

49,04,67 49,04,67 Work in progress

National AYUSH Mission AYUSH Services 32,18,30 32,04,57 Work in progress

Public Health Response Treatment for communicable/non-communicable diseases


Bio Medical Waste management

Environmental health and occupational safety in hospitals


Blood Bank Providing safe blood to he patient round the clock


Cancer Screening Programme

Early detection of cancer in periphery hospital


Mental Health Programme

Availability of Mental Health care at minimum cost


Food Safety Programme Effective implementation of Food Safety And Standard Act -2006

50,00 50,00 Work in progress

Dedicated Power Supply Ensuring power supply round the clock at vaccine stores


Renal Transplant Unit Establishment of renal transplant unit in the Urology Department of SCB Medical College and Hospital

60,00 24,78 Work in progress



Tele Medicine Heath care delivery through Telemedicine Network


Special Programme for reduction of IMR&MMR

Reduction of infant mortality rate and other mortality rate

Treatment of pregnant women and new born child


NAT PCR Blood screening in Blood Bank


Emergency Fund Managing disease outbreaks at anytime or after natural disasters


AMC/CMC equipment /Spare and services

Comprehensive maintenance cost of existing equipment


Consultancy Charges(CS)

Payment of CS to OSIC

4,00,00 4,00,00

Decretal Dues Payment towards Legal Charges


Training for ICU Personnel

Training for ICU Personnel

Training 1,00,00 14,58

Infrastructure maintenance of Family Welfare Scheme

Salary to the person engaged in Family Welfare scheme

323,68,91

Token provision 16

TOTAL 18146610 12842585

Central Plan National Goitre control programme

Awareness campaign continued

Nil 10,00 0

National TB control programme

50,000 nos of positive case detection

Nil 2,00,00 0

Cost of Material under NMEP

10 lakh LLIN will be procured and distributed

Nil 30,00,00 0


State Family Welfare Bureau operational

State Family Welfare Bureau operational

1,46,81 82,28 Transferred to State plan at Supplementary Stage

Continuance of dist. F.W. Bureau in non tribal areas

District Family Welfare Bureau in non tribal areas operational

District Family Welfare Bureau in non tribal areas operational

3,97,28 4,21,18 Transferred to State

plan at

Supplementary Stage

Continuance of dist. F.W. Bureau in Tribal area

District Family Welfare Bureau in tribal areas operational

District Family Welfare Bureau in tribal areas operational

2,21,52

Regional H &F.W. Training Centres at Cuttack and Sambalpur

Two regional H&FW Training Centres operational

Two regional H&FW Training Centres operational

1,11,14 66,03 Transferred to State

plan at

Supplementary Stage



Training of Nurses, Mid Wives &LHVs in non tribal areas




plan at

Supplementary Stage

Continuance of training of Nurses, Mid Wives &LHVs in tribal area

Training of Paramedical staffs in tribal areas

Training of Paramedical staffs in tribal areas

2,11,27

Continuance of Health Workers(M) training



82,72 54,66 Transferred to State

plan at

Supplementary Stage

Continuance of rural FW Sub-centers in non tribal areas




plan at

Supplementary Stage Continuance of rural FW Sub-centers in tribal areas



82,47,25 57,18,26

Continuance of 1Urban FW Centers at Rourkela (Non-Tribal)

1 UFWCs operational

1 UFWCs operational


plan at

Supplementary Stage

Continuance of 3Urban FW Centers and 3 voluntary organisations(Tribal)

5 UFWCs operational

5 UFWCs operational


plan at

Supplementary Stage

Continuance of Urban Revamping scheme at Bhubaneswar and Cuttack




plan at

Supplementary Stage

Continuance of Urban Revamping scheme at Rourkela



1,30,66 99,33 Transferred to State

plan at

Supplementary Stage

Purchase and distribution of contraceptives

Procurement and distribution of contraceptives

15,00,00 0 Central provision not received

Continuance of FW cell in the Department

FW cell operational

FW cell operational

20,00 14 In progress

Directorate - Strengthening of enforcement mechanism of State drug controller (ISM),Odisha

Drugs testing lab (ISM) operational

NIL 7,34 0 Fund not received from GoI

Medical Education Homeo-Strengthening of Homoeo pharmacy of Dr.ACHMC, Bhubaneswar

Essential Equipment will be procured

NIL 1,10,00 0

Medical education Ayurvedic -Introduction of PG Course at Govt. Ayurvedic College, Balangir

4 teaching Depts. to be up-graded and PG Course will be launched

NIL 62,99 0

Hospital and Dispensaries –Medicines- Ayurvedic in non tribal areas

Ayurvedic medicines will be procured and distributed

NIL 6,81 0

Hospital and Ayurvedicmedicin NIL 89 0




Sl No Item/Activities Unit of measure

Physical Target (2015-16)

Physical Achievement (2015-16)

Financial Target (2015-16)

Financial Achievement (2015-16)

Reason for shortfall/ deviation from original in achievement and financial target

1 2 3 4 5 6 7 8

Part -I. RMNCH+A, Immunization &NHMaddtionalities

A.1 Maternal Health 15,106.06 13,704.61

1 JananiSurakshyaYojana (JSY) No of beneficiary

550884 419871 10,219.03 9,513.51 Progress is on track

2 JananiSishuSurakshyaKaryakram (JSSK)-6 Free Entitlements for Mothers

Per beneficiary


Dispensaries -Medicines- Ayurvedic in tribal areas

es will be procured and distributed

Hospital and Dispensaries - Supply of essential drugs to Homoeopathic dispensaries in non tribal areas

Homeopathy medicines will be procured and distributed

NIL 3,26 0

Continuance of post under SIHFW

SIHFW operational

SIHFW operational

47,47 0 Transferred to State plan at Supplementary Stage Continuance of District

FW bureau in NT districts under SIHFW

District FW bureau in NT districts operational

District FW bureau in NT districts operational

2,12,98

Continuance of District FW bureau in Tribal districts under SIHFW

District FW bureau in Tribal districts operational

District FW bureau in Tribal districts operational

94,84

Continuance of training centres of SIHFW

Training centres of SIHFW operational

2,61

Token provision 4

Total Central Plan 2819932 1575689

III. Centrally Sponsored Plan

NFEP Continuance of program


NMEP Continuance of program


Orientation training of med para medic staffs

Continuance of program

Nil 15,00 10,94

Total of Centrally Sponsored Plan 10600 1094










3 Observation of Village Health & Nutrition Day (VHND) sessions at community level

Per session

494700 454464 508.88 480.15 Progress is on track

4 Maternity Waiting Home No of Institution


5 Maternal Death Review Per meeting

1404 756 12.38 2.98 Poor reporting of MDR from the field

5 Other MH Activities (Operationalisation of FRUs, Explanation of Delevery Point , RTI& STI services at DP, CAC services at DP etc)

No of Institution

Cont.69 FRUs.580 DPs,435 RTI/STI Centres & 435 CAC Centres

Cont.69 FRUs.580 DPs,435 RTI/STI Centres & 435 CAC Centres

251.51 63.85 Poor expenditure due to large HR vacancies

A.2 Child Health 1,333.37 698.41

1 JananiSishuSurakshyaKaryakram (JSSK)-6 Free Entitlements for Infants

Per beneficiary


2 New Born Care Corners (NBCC)

Per unit 1190 695 110.92 41.15 Establishment took time

3 New Born Stabilization Units (NBSU)

Per unit 49 49 60.03 17.54 BoR is low because of absence of Paediatric Spl.

4 Special New Born Care Unit (SNCU)

Per unit 36 30 178.85 130.43 Progress is on track

5 Establishment of Nutritional Rehabilitation Centre (NRC)

Per unit 61 45 388.05 188.76 Establishment of 1 6 new NRCs approved during the current year is yet to be established

6 Home based New Care (HBNC)

57.26 2.68 Backlog Payment

7 Child Death Review Per Case 3456 555 73.33 3.89 Programme initiated after due










training which took almost 6 months

8 Other CH activities (Integrated Diarrhoea Control Campaign (IDCF) , Observation of National Deworming Day)

Per campaign

Roll out of IDCF & NDD

IDCF & NDD campaign rolled out in field

86.98 19.02 Activities have been taken up and expenditure to be booked

A.3 Family Planning 3,301.23 2,553.23

1 Functionalization of fixed day Family Planning Centres

Per centre


2 Compensation for Sterilization Operations

Per case 200000 116179 2,642.22 2,135.25 Progress is on track

3 Compensation for NSV Operations

Per case 22000 297.00 57.95 Poor mutilation of cases for NSV operations

4 Spacing Method (Compensation IUCD & PPIUCD Services)

Per case 216000 112.82 115.26 Progress is on track

5 Other FP Initiatives Continuance of Family Planning Indemnity Scheme, Observation of Vasectomy Week, Implementation of Home Delivery of Contraceptives by ASHAs, Observation of Family Planning Fortnight etc.

Activities taken up as per plan

170.99 167.72 Progress is on track

A.4 Adolescent Health 524.15 39.09










1 Adolescent Friendly Health Clinic (AFHC)

Per clinic 241 148 14.91 11.29

2 Engagement of Peer Educators

Per PE 23588 5800 64.80 1.45 Selection of Peer Educators is in process

3 Organization of Adolescent Health Day

Per AHD 13824 488 262.66 26.35 Guideline issued in the 2nd Quarter & then training took another one quarter .

5 Other Services 181.78 -

A.5 RBSK 2,556.14 1,483.85

1 Fictionalization of Mobile Health Team (MHT)

Per MHT 723 640 1,900.26 1,396.52 Progress is on track

2 Operationalization of District Early Intervention centres

Per DEIC 32 20 104.16 22.48 Involves civil works which took long time

3 Other Services (operational cost of MHTs & DEICs)

Training & Development


551.72 64.85 12 DEICs are yet to be operationalized caused low expenditure

A.6 Tribal Health 69.00 23.61

1 Special Programme for PVTG

No. of District

18 12 54.00 15.24 Selection of implementing agency is in process

2 Tribal Health Camp No. of camp

150 15.00 8.37 Being Organised in convergence with ST&SC Deptt.

A.7 PCPNDT Intensive Drive at 500 villages, Save the girl child campaign , Statutory Meetings


93.98 63.58










etc.

A.8 Human Resource (ANM, Staff Nurse, LT, MOs)

Plan to engage 1394 ANMs, 3244 SNs,216 LTs 723 Pharmacists & 158 Mos

1138 ANMs,1331 SNs, 72 LTs, 723 Pharmacists & 620 Moss Engaged

10,322.45 9,781.24 With Supplementary Approval

A.9 Training 2,592.18 967.52

1 Maternal Health Training SBA Training, EMoC Training, LSAS Training, MVA /EVA Training etc.


471.09 183.55 Deployment of trainee for the said trainings is poor because of shortage of clinical manpower 2 Child Health Training IMNCI

Training, FBNC Training, FIMNCI Training, NSSK Training, CDR Training etc.


366.26 98.67

3 Family Planning Training Mini Lab Training, Laproscopic Training, IUCD& PPIUCD Training etc.


134.77 53.47

4 Adolescent Health Training AFHS training, Pear Education Training etc


423.88 97.87










5 Other Training Prog. Manag. Training, MIS Training, NGO Training & IMEP Training, Skill Lab training etc.

Continuing as per plan

1,196.18

533.96

A.10 Programme Management Contractual Appointments, Review Meetings & Office Expenses

SPMU,DPMU & BPMU established at all levels & functional


Sub-Total (A.1-A.10)

B Mission Flexi pool

1 ASHA Programme 5,325.59 5,294.14

2 ASHA Incentive No of ASHA

43539 43299 3,992.12 3,565.31

3 Other Activities Training as per need, ASHA Kit, ASHA resource Centre, ASHA Award etc.)


1,333.47 1,728.83

4 Untied Fund Annual grant given to all GKSs, SCs & other facilities as per norms


6,593.12 6,598.19

5 Civil works New construction & ongoing works


16,294.90 18,485.93

6 Health Action Plan Development & preparation of State/

PIP developed at all levels

33.42 31.74










District & Block PIP

7 Panchayat Raj Institution Capacity building of GKS, Community Monitoring, SusthaGaon Award etc.


258.18 185.95

8 Mainstreaming AYUSH 2,765.08 2,973.53

a Engagement of AYUSH Doctors

1485 2,744.28 2,956.18 Progress is on track

b Other Activities Mentoring, Field visit, PMU etc.


9 IEC/ BCC NRHM Mass Media, Mid Media, IPC activities planned

1,341.01 857.94

10 National Mobile Medical Unit (Boat clinic)

No. of Boat Clinic

3 0 88.67 - With Supplementary Approval

11 National Ambulance Services (Engagement of 108 Vehicle)

No. of Vehicle

420 420 1,079.37 1,044.72 With Supplementary Approval

12 PPP/ NGOs 884.50 668.01

a PHC New Management Per PHC 40 30 497.30 419.03

b Difficult SC Management Per SC 182 0 387.20 248.98

13 Innovations 3,506.36

2,409.75

a Establishment of skill lab, Computer Lab, Library & training development cost

Per lab 26 26 334.24 490.30 Progress is on track

b Operationalization of Sickle Cell unit at DHH & referral centre at VSS MCH

No of Units


c Strengthening of Ancillary Services


d One Stop Crises Centre No of Centre

5 1 30.25 6.88

e Help Desk at major hospitals No of hospital

95 95 241.34 - Tender in process

f PBI schemes for Sub-Centre performance

per SC 1334 0 133.40 - Guideline is yet to be










issued

g Blood Services 6 Mobile Blood Vans, E-blood bank initiatives, grouping & cross matching at major blood banks


512.35 81.94 Tender in process

h Other Activities (Co-terminus of Sub-centres, CUG connections, Swachhabharat Awards etc.)

611.44 173.94 Plan for coterminous of SCs with Panchayat boundary is still pending with Govt.

13 Community Action for Health (SwasthayaSamikhya)

47.82

35.21

14 Quality Assurance NQAS of 32 DHHs

1 157.48 28.25

15 Monitoring & Evaluation Sustenance of HMIS & MCTS


990.75 748.66

16 Procurement Procurement of Drugs & Equipments


2,539.97

1,034.77

Tender in process

17 Drug Ware Housing & Supply chain management

Storage & Transportation cost of drugs & logistics, Prescription audit etc.


1,305.41 592.37 Tender in process

18 Universal Health Coverage Piloting Health & Wellness centre at 2 PHCs of Kendrapada District


43.37 1.56 No clear cut guidelines received from GoI










19 SHSRC Programme management cost of SHSRC


71.31 70.77

20 Other Expenditure Procurement of Computer, Peripherals & AMC/ CMC


94.20 12.46

Sub-Total (B.1-B.20) 43,420.51 41,073.95

C Immunisation Services 3,678.16 2,747.53

1 Organization of Fixed Day Session

No. of Annual Sessions


2 Incentive to ASHA for full immunisation coverage

No. of Children

380120 1,151.22 767.02

Back log payment

3 Operationalization of Alternative Vaccine Delivery System for strengthening FID

No. of Blocks

314 284

513.97 399.74

Selection process for engagement of AVD has been initiated.

4 Other Activities Monitoring & Supportive Supervision, Rollout of Mission Indradhanush, Cold Chain maintenance, Pulse Polio Immunization at all levels etc.


1,311.03

1,023.38

Progress is on track

D National Iodine Deficiency Disorder Control Programme

51.00 1.47

1 Provision of Salt testing Kit 17 17 10.00 -

Tender in process

2 ASHA Incentive for Salt testing

No of Test

750000

15.00

0.23

Kit is not available for salt testing










3 Other Services (IDD Survey, IEC/ BCC)

26.00

1.24

Survey could not be taken up

II National Urban Health Mission (NUHM)

2,906.20 4,333.08

a Operationalization of UPHCs No. of UPHC

51 51 812.08 389.00 Recruitment of HR is under process

b Operationalization of UCHCs No. of UCHC


c Functionalization of UHNDs No. of sessions

36108 19661 90.27 38.49 Out of targeted 488 ANM, 393 ANMs are in position are organising UHND sessions. Necessary furniture, fixture and equipments are not available at UHND site.

d Organisation of Special outreach camp

No. of sessions


e Operationalization of Mobile Health Unit

No. of MHUs

9 5 50.40 15.68 Advertisement has been issued and selection of NGO for 3 MHUs (approved in supplementary PIP) is on process.

f Functionalization of MahilaArogyaSamitis

No. of MAS


g Functionalization of ASHAs No. of ASHAs











h Functionalization of WKS No. of WKS

919 790 6.70 1.42 Sambalpur& Rourkela are newly declared corporation cities. Formation of WKS in Sambalpur& Rourkela is not completed as there are no elected corporators. Utilisation of untied fund at Bhubaneswar started after orientation of WKS members.

i Other Activities Training, prog mgt, IEC/BCC, IT monitoring, civil, etc


1,521.65 3,521.38

III Disease Control Programmes

6,241.78 4,444.35

1 Integrated Disease Surveillance Programme (IDSP)

498.43 351.82

a Functional Public Health lab Per lab 8 8 47.00

9.57

Public Health Labs could made functional in last quarter

b Other Activities Human Resource at State & district Level & Training












etc.

2 National Leprosy Elimination Programme (NLEP)

553.80 489.26 With Supplementary Approval

a Improved early case detection & LCDC Campaign

No. of case


b Improved case management Welfare allowances to RCS patients, DPMR Services

Welfare allowances given to 320 RCS patients, DPMR Services

82.57

97.50 Progress is on track

d Other Activities IEC/ BCC, Training, Monitoring Supervision, Office Operation, HR etc.



3 National Vector Bone Disease Control Programme (NVBDCP)

1,506.07

1,966.75

a ASHA Incentive for early case detection & management of malaria cases

per Case 4161138 200.00 525.04 Progress is on track

c Strengthening of Sentinel Sites for Dengue & Chikungunya

No. of SS labs


d Mass Drug Administration campaign

No of districts


e Other Activities (Contractual Manpower, Epidemic Preparedness & management, Monitoring & supervision, IEC/ BCC etc.)

953.32 1,194.39 Progress is on track

4 Revised National Tuberculosis Programme (RNTCP)

Continued support to RNTCP programme



IV Non Communicable 3,811.37 1,955.73










Disease Programme

1 National Programme for Control of Blindness (NPCB)

900.00 874.04

a Cataract operation No. of surgeries

157300 438.11 526.79 Progress is on track

b Other Activities Contractual manpower, Screening and free spectacles to school children etc.


461.89 347.25

2 National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)

2,202.14 982.15

a Establishment of District NCD Clinic

No of districts


b Establishment of NCD Cell No of districts


d Other Activities Contractual Manpower for Laboratories , Drugs & Consumables, Mobility support for State, District & Block, IEC/ BCC etc.)


1,839.44 868.88 Progress is on track

3 National Tobacco Control Programme (NTCP)

No. of District

13 13 245.45 18.70 New Scheme

4 National Programme for the Healthcare of the Elderly (NPHCE)

No. of District

8 8 326.63 80.84 Low Civil works progress causing low expenditure










5 National Programme for Prevention and Control of Deafness (NPPCD)

No. of District

8 8 137.15

-

New Scheme

Grand Total (Excluding Infrastructure maintenance)

94,866.78

82,501.44

Infrastructure Maintenance

11,680.00

30,875.17

Grand Total (Including Infrastructure maintenance)

1,06,546.78

1,13,376.61



CHAPTER 5: FINANCIAL REVIEW

In this Chapter actual expenditure of the financial year 2014-15, budget estimate and revised estimate of 2015-16 and budget estimate of 2016-17 are detailed in table 5.1 and table 5.2 for better assessment of financial assessment of financial performance of the schemes implemented through Health and Family Welfare Department.

Table 5.1: Financial Review, DoH&FW, FY 14-15, FY 15-16, and FY 16-17 (` 000) –

State Plan, Central Plan, Centrally Sponsored Plan, and Non Plan

Sl. No

Head of account

Name of the schemes 2014-15 Actual

2015-16 BE

2015-16 RE

2016-17 BE

1 2 3 4 5 6 7

State Plan

1 0618 Headquarters Organization 751009 250003 190005 386502

0618 Headquarters Organization(Decretal dues, Charged)

0 700 700 700

2 2873 Odisha State Medical Services Corporation

50000 1 1 1

3 1800 Odisha Health Sector Plan under DFID 493662 0 0 0

4 2872 Swasthya Bhawan 0 1 1 0

5 3044 Dedicated Power Supply to Health Institutions

0 15000 15000 8300

6 2242 Rastriya Swasthya Bima Yojana 0 0 0 14,48,300

7 1186 Renovation Works 114935 150000 150000 100000

8 2760 Emergency Medical Ambulance Services(EMAS)

463532 320000 520000 687500

9 0290 Directorate 22390 7161 19337 4817

10 3039 National Mission on AYUSH including Mission on Medicinal Plant

0 145100 340603 374700

11 0646 Hospitals and Dispensaries 0 151 151 151

12 2822 AYUSH Directorate 0 1 1 1

13 0062 Ayurvedic Hospitals and Dispensaries 0 1 1 1

14 0644 Homeopathic Hospitals and Dispensaries

0 1 1 1

15 0348 Education 0 668 668 482

16 0891 Medical College, Berhampur 0 1 1 1

17 1936 Establishment of AIIMS, Bhubaneswar(Near Sijua)

8145 1 1 1

18 2568 Renal Transplant Unit 11128 6000 6000 3500

19 2569 ANM & GNM Schools 25228 48000 48000 33200

20 2819 Bone Marrow Transplant Unit 11000 1000 1000 1000

21 0725 Inst. Pediatric-Effluent treatment plant 0 1 1 1



22 2521 Up gradation of Medical College-Cuttack for starting new P G course

559328 795000 795000 793501

23 2821 Robotic Surgery Unit 0 1 1 120000

24 2823 NAT PCR facilities for testing of blood 25400 1 65000 50000

25 2099 Improvement and Renovation of W/S Sewage and sanitation works of Hospital and Dispensaries

38869 150000 150000 150000

26 2942 Liver Transplant Unit 2500 2500 2500 2500

27 3037 Human Resource in health and medical education

0 15000 490467 539500

28 3041 Telemedicine 0 30000 30000 29000

29 3120 De-addiction Centres in Medical Colleges

0 0 0 75000

30 0953 National Filaria Eradication Programme(state share)

0 6200 6200 6200

31 0957 National Malaria Eradication Programme(state share)

0 2900 2900 2900

32 0622 Head quarters Drug Control Organization

11560 50000 50000 74500

33 3038 National AIDS and STD Control Programme

0 463900 463900 0

34 3040 Goiter Control Programme 0 1 1 0

35 3042 Special Programme for reduction of IMR & MMR

0 500000 500000 450000

36 3043 Public Health Response 0 100000 100000 50000

37 3049 Biomedical Waste Management 0 120000 120000 80000

38 3045 Food Safety Programme 0 5000 5000 5000

39 3047 Blood Bank 0 50000 50000 50000

40 3048 Cancer Screening Programme 0 35000 35000 35000

41 3046 Mental Health Care 0 10000 10000 10000

42 3121 Malaria Control Programme 0 0 0 100000

43 2820 Health Management Information System(HMIS)

0 2 2 2

44 2443 Headquarters Organization, D,M.E.T. 270758 1 1 0

45 2213 Construction of building of H& FW Deptt

3674484 5561145 5472358 7390000

46 2943 National Health Mission 7024153 10883200 9492200 11971500

47 0867 Malaria 700000 3 3 3

48 1344 State FW Bureau 0 0 5720 14700

49 1351 State Institute of Health and Family Welfare

0 0 23977 36987

50 0998 Orientation training of medical and Para-medical staffs

0 1500 1500 3000

51 1937 Multipurpose training of doctors and Para medics

3144 5000 5000 5000

52 0316 District Family Welfare Bureau 0 0 39895 84457

53 1173 Regional H&FW Training Center 0 0 6911 14200

54 1473 Training and employment of HW Male 0 0 5802 12008



55 1487 Training of Nurses, midwives and LHVs 0 0 58684 106094

56 1227 Rural Family Welfare Sub Centre 0 0 752791 1440360

57 1207 Revamping of Urban Slum 0 0 8947 22147

58 1519 Urban Family Welfare Centre 0 0 6272 12722

59 1228 Rural Family Welfare Sub Centre under Rural Family Welfare Service

0 0 472687 983910

60 1520 Urban Family Welfare Services-Revamping of Urban Slum

0 0 8572 18425

61 1532 Urban Family Welfare Sub Centre under Urban Family Welfare Service

0 0 748 990

62 0630 Health and FW Deptt 5040 42000 42000 15000

63 2588 13th F.C. Award for upgradation of Health Infrastructure

746650 875000 0 0

Deduction& Recoveries -1149

TOTAL 15011766 20647145 20571511 27803765

Central Plan:

1 1447 TB Control programme 0 20000 20000 20000

2 0290 Directorate 0 734 734 734

3 0348 Education: Ayurveda 0 6299 6299 6299

4 0348 Education: Homeopathy 0 11000 11000 11000

5 0954 National Goitre Control Programme 0 1000 1000 1000

6 0646 Hospital and Dispensaries-Ayurveda 0 681 681 681

7 0646 Hospital and dispensaries-Homeopathy 0 326 326 326

0646 Hospital and dispensaries-UNANI 0 1 1 1

8 0062 Ayurvedic Hospital and dispensaries 0 89 89 89

0644 Homeopathic Hospital and dispensaries 0 2 2 2

1506 Unani Hospital and dispensaries 0 1 1 1

9 0957 NMEP-Materials and equipment 0 300000 300000 300000

10 1344 State FW Bureau 11922 0 0 0

11 1351 State Institute of Health and Family Welfare

25034 0 0 0

12 1131 Purchase of contraceptive, MCH Extension supplies, Education Kits

98492 150000 150000 150000

13 1173 Regional H&FW Training Centre 9468 0 0 0

14 1487 Training of Nurses, midwives and LHVs 76241 0 0 0

15 1473 Training and employment of HW Male 8130 0 0 0

16 1227 Rural Family Welfare sub centre 1223887 0 0 0

17 1519 Urban Family Welfare Centre 8916 0 0 0

18 1207 Revamping of Urban Slum 16577 0 0 0

19 1532 Urban Family Welfare Centre under urban Family Welfare service

907 0 0 0

20 1520 Urban FW service- revamping of urban slum

13041 0 0 0

21 0316 District Family Welfare Bureau 60014 0 0 0



22 1228 Rural Family Welfare Sub centre-under Rural Family Welfare service

806318 0 0 0

23 0630 H&FW Department 1329 2170 2170 0

TOTAL 2360276 492303 492303 490133

Centrally Sponsored Plan:

1 953 NFEP 6195 6200 6200 6200

2 957 NMEP 0 2900 2900 2900

3 998 Orientation training of Para medic staff 2085 1500 1500 0

TOTAL 8280 10600 10600 9100

Non-Plan

1 1003 SALARIES 10605145 12980190 12997647 14254159

2 1004 Salaries for Consolidated Pay 464742 786544 795640 762734

3 6001 Travel Expenses 17943 20369 20669 21603

4 7001 LTC 644 3229 2964 3345

5 8001 Office Expenses 374996 425484 437944 461271

6 78393 BWM 28529 29078 29078 33648

7 25002 Medicine 1993434 2025551 2025551 2226051

8 15001 BCL 11073 15628 15628 15710

9 20002 Other Charges 4157 5991 5991 116226

10 12003 Legal Charges 28 153 153 138

11 78118 Upgradation of Computers 1087 1710 1810 2027

12 78012 Computer Consumables 1076 1307 1357 1922

13 33011 Spare Services 412 469 519 583

14 12001 Consulting Charges 139 241 241 210

15 2003 Wages 96447 116188 126501 125055

16 18045 OSTF 250000 200000 300000 300000

17 9001 RRT 5177 6665 6861 6525

18 78394 Sanitation Expenses 8 25915 26915 31691

19 40008 Stipend 480759 484740 533300 629239

20 24002 Diet 213562 237666 254366 272243

21 32004 Equipments 5417 5630 5830 7173

22 18034 Purchase of Books for Library 17200 18057 18257 26275

23 41486 Grants to Maternity & Child Welfare Centres 0 5 5 5

24 41487 Grants to State Branch of IRCS 8710 8710 8710 8710

25 41122 Other Grants 300 300 300 300

26 20002 Other Charges (Charged) 0 50 50 50

27 41424 GIA to OSH&FW 70688 5472 124841 81000

28 41048 Grants 15665 15656 15659 15660

29 41196 Grants to PS for Homoeopathy 0 1 1 1

30 41142 Grants to PS for CHC 0 1 1 1

31 18035 Purchase of Furniture 2298 2300 2300 2300

32 41488 Grants to SBTC 550 550 550 550



33 2001 Wages Salaries 55223 58802 58947 59032

34 21020 Maintenance of Building 508 1000 1000 1000

35 41066 Grants to NCWS 0 1 1 1

36 41489 Grants to AHRCC 93698 123375 127375 145001

37 41494 Grants to AHRCC UGC Arrear 0 1 1 1

38 41492 Grants to AHRCC DEV 0 1 1 1

39 41493 Grants to AHRCC Equip 6700 6700 6700 6700

40 41490 Grants to Mental Health Authority 1080 1100 1100 1100

41 41491 Grants to Spinal Injury 8028 8419 8719 10001

42 41260 Special Grants to HKNS 0 1 1 1

43 41495 Grants to St. John Ambulance 550 550 550 550

44 140014 Decretal Dues 1172 3000 3000 5000

45 12006 Professional & Special Services 950 1500 1500 1500

46 42005 Contributions 439 467 467 408

Total : 14838534 17628767 17969001 19636701

Festival Advance : -174209 -220000 -220000 -221021

Deduction& Recoveries -9314

Grand Total : 14655011 17408767 17749001 19415680

Table 5,2: Statement regarding surrenders/Savings, DoH&FW, FY 14-15 (`000)

Sl No

Name of the schemes 2014-15 BE 2014-15 RE Surrender/

Savings Remarks

State Plan

1 Human Resource in Health &Medical Education (75:25)

109305 75760 51524

2 National Health Mission (75:25) 10934923 9923935 2899782

3 National AIDS & STD Control programme (100% CS)

421708 266708 62755

4 National AYUSH Mission including Medicinal Plant (75:25)

11249 131212 111325

5 Equipments for MCHs OphthalmicEquipments for MCH

560001 560001 673

6 Equipments 600000 280000 8827

7 Renal Transplant 15000 15000 3872

8 Public Health Laboratory 92320 92320 0

9 Equipments for SDTRL 11560 11560 0

10 Equipments for DHHs Nabakalebar

149171 149171 0

11 Medical corporation 50000 50000 0

12 NATPCR 1 25401 1

13 Bone Marrow Transplant 11000 11000 0

14 Mobile Health Unit 134466 134466 0

15 Mo Mosari 700000 709000 9000



Sl No


Savings Remarks

16 Sanitary Kits 140000 140000 0

17 Biju Gramin Swasthya Sibir 29400 29400 0

18 Liver Transplant Unit 2501 2501 2501

19 Training- Nabakalebar DEW SIH &FW

7813 7813 1586

20 EMAS 463532 463532 0

21 AYUSH 8678 8684 6182

22 OHSP-DFID assisted 400000 493463 0

23 NFEP (CSP) 6200 6200 6200

24 NMEP (CSP) 2900 2900 2900

25 Tertiary Cancer Centre (CSP) 10000 10000 10000

26 HMIS 100000 6537 6537

27 AIIMS 1 8146 1

28 Decretal Dues 700 700 700

29 Department 5625 5625 556

30 Token 12 12 12

31 Infrastructure Development 5858178 5858178 1280141

TOTAL 20836244 19470219 4465063

Central Plan:

1 TB Control programme 20000 20000 20000

Non receipt of GOI fund

2 Directorate 734 734 734

3 Education: Ayurveda 6299 6299 6299

4 Education: Homeopathy 11000 11000 11000

5 National Goitre Control Programme

3000 3000 3000

6 Hospital and dispensaries-Ayurveda

770 770 770

7 Hospital and dispensaries-Homeopathy

326 326 326

8 NMEP-Materials and equipment 300000 300000 300000

9 State FW Bureau 14681 14681 2759

10 SIHFW 35789 35789 10757

11 Purchase of Contraceptive 150000 150000 150000

12 Regional H&FW Training Centre 11114 11114 1646

13 Training of Nurse, midwife 82059 82059 5728

14 Training and employment of HWM

8272 8272 142

15 Rural Family Welfare sub centre 1249226 1249226 25183

16 Urban Family Welfare Centre 9058 9058 141

17 Revamping of Urban Slum 16888 16888 311

18 Urban Family Welfare Centre under urban Family Welfare service

1040 1040 133



Sl No


Savings Remarks

29 Urban FW service- revamping of urban slum

13066 13066 25

20 District Family Welfare Bureau 61880 61880 1938

21 Rural Family Welfare Sub centre-under Rural Family Welfare service

824725 824725 18121

22 H&FW Department 2000 2000 671

23 Recoveries/Token provision 4 4 4

TOTAL 2821931 2821931 559688

Centrally Sponsored Plan:

1 NFEP 6200 6200 0

2 NMEP 2900 2900 2900

3 Orientation training of Para medical staff

1113 1113 61

TOTAL 10213 10213 2961

Non-Plan

1 Medicine 2025890 2025890 32455

Based on actuals

2 Diet 223791 229330 15756

Based on actuals

3 Bed, Clothing and Linen 15628 15628 4555

Based on actuals

4 Equipment 5275 5275 -142

Based on actuals

5 Biomedical Waste management 28034 28634 105

Based on actuals

6 Odisha Treatment Fund 200000 250000 247500

Based on actuals

7 Grants to AHRCC 93700 93700 2

Based on actuals

8 Grants to IRCs 8710 8710 0

Based on actuals

9 Grants to AHRCC for equipment 6700 6700 0

Based on actuals

10 Grants to Blood transfusion council

550 550 0 Based on actuals

11 Grants to Mental health 1100 1100 20

Based on actuals

12 Grants to spinal injury centre 8030 8030 2

Based on actuals

13 Grants to john ambulance 550 550 0

Based on actuals

14 Salary, office expenses etc, and token provisions

12691050 12888909 1421848 Based on actuals

TOTAL 15309008 15563006

1722101



CHAPTER VI

REVIEW OF SELECTED AUTONOMOUS INSTITUTIONS

1. INDIAN RED CROSS SOCIETY, ODISHA STATE BRANCH,

BHUBANESWAR

The Indian Red Cross Society, Odisha State Branch has been rendering humanitarian services

to the people of Odisha since 1936. The IRCS was established in 1920 through an Act of the

Parliament, the bill passed on 17th March, 1920 and became Act XV of 1920 with the

consent of the Governor General on 20th March, 1920 and established on 1st April, 1936.

All its humanitarian activities are based on the four core areas i.e

1) Disaster Response

2) Disaster Preparedness

3) Health & Care in the community

4) Promotion of Humanitarian Values & Fundamental Principles.

Binding by seven Fundamental Principles i.e. Humanity, Impartiality, Neutrality,

Independence, Voluntary Service, Unity and Universality the Indian Red Cross Society,

Odisha State Branch has promoted mutual understanding, friendship, cooperation and lasting

peace amongst all people. It has 30 District Branches, 1 City Branch, 1 Regional Branch and

3 Block Branches, besides Junior Red Cross and Youth Red Cross units in most of the

schools and colleges of Odisha.

The mission of the Indian Red Cross is to inspire, encourage and initiate at all times all forms

of humanitarian activities so that human suffering can be minimised and even prevented and

thus contribute to create more congenial climate for peace and development.

Organisational Statistics

Indicators 2015-16 Youth Red Cross Volunteers 6,76,596 Nos

Youth Red Cross Counselors 82

Number of Regd. Colleges 510

Junior Red Cross Volunteers 2,53,400 (This figures has been



approximately derived/taken on the basis of funds received from the District Education Officers and information received from different districts)

Junior Red Cross Counselors 320

Relief Operation( In Disaster Response) Relief in shape of NFI (Non food Items) were

provided to 1709 families especially the fire victims

Training Organized (In Disaster Preparedness) Trainings on First Aid , First Medical Responder

Health Camp Organized 11 health camps

Patients treated 10,000

Voluntary Blood Donation Camps ( by Central Red Cross

Blood Bank) & OSB

255 camps

Units of Blood Collected 43,342

Issued Blood to Thalassemia Patients in free 4778

Awareness Programme and important days observation 14 events

Livelihood support for PwD 4 persons (Stitching machine, Grinder, Harmonium)

Cases Registered for family Counseling 150

Cases solved 65

Social Service Camp 3 ( Nabakalebar, KartikaPurnami&Maha Shiva Ratri)

Mobilization of funds from Red Cross National

Headquarters (ICRC/DM)

19,43,440/-

Mobilization of funds from Red Cross District Branches 96, 11,789/-

Grants-in-Aid for providing free blood to thalassemia

and poor patients

9,00,000/-

(OBJECTIVES /OUTCOMES/ QUANTIFIABLE DELIVERABLES /

ACHIVEMENTS) 2015-2016

INDIAN RED CROSS SOCIETY, ODISHA STATE BRANCH,

BHUBANESWAR Sl. No.

Name of the Project / Programme/ Training

Objective / Outcome Quantifiable Deliverables / Physical Outputs

Achievement Remarks / Reason for short fall, if any

1 Seven Numbers of FMR Refresher Training Programme ( 1 in Ganjam Dist. 1 in Sonepur Dist and 5nos at State Head

Develop the Capacity building of FMR Volunteers of Seven District (i.e. Ganjam, Sonepur, Denkanal, Puri, Cuttack, Khurdha, Jagatsingpur)

188 nos of Volunteers are get refreshed through this training

1. Regular Participation of FMR Volunteers in different D.M. activities 2.Involvement & availability of local trained volunteers in emergency



Quarter) situations

2 Two nos of FMR Instructors Refresher Training Programme at State Head Quarter, BBSR

Develop the Capacity building of FMR Instructors of our State

25 nos of FMR Instructors is getting refreshed through this training

1.Organizing community based Awareness programme like Mock Drill & WASH Programmes 2.Involvement & availability of local trained volunteers in emergency situations

3 32Nos of WASH programme conducted in Seven Districts 1.Ganjam-5Nos 2.Sonepur-4Nos 3.Jagatsingpur-4Nos 4.Puri-5Nos 5.Cuttack-5Nos 6.Khurdha-5Nos 7.Dhenkanal-4Nos

Promotion & awareness generation on WASH measures in different place like School/College & slums

1.Two main slums of Bhubaneswar by involving 220 participants 2.Covered 30 Schools & Colleges on WASH promotion including 293 students. 3. Sensitization regarding RC activities, principles.

1.Active participation of Local CBO’s in organizing the programme as well as inclusion in the WASH committee of RC 2. 32nos of WASH committee created at School, College & Slums area

4 8Nos of Mock Drills conducted in Seven Districts 1.Puri-2Nos 2.Cuttack-2Nos 3.Khurdha-2Nos 4.Dhenkanal-2Nos

Practice of the community peoples, on different types of search & rescue method of the calamities

1. Awareness amongst the community people & students on First Aid , Search & Rescue, early warning, etc for 960 participants. 2.Awareness raised on management the emergency situations among the target group in the target

1.Persons/ students who have attended mock drill have developed a voluntary tendency to render service during emergency

5 Mock Drills conducted in cyclone shelters

Awareness generation of the shelter communities in disaster management.

65 Nos of Mock Drills conducted in cyclone shelters located in Six costal

56 shelter communities conducted the mock drill which

9 shelters did not conducted the mock



located in Six costal Districts

Districts

was supported by OSDMA.

drill due to lack of shelter communities participation

6 First Aid training to shelter volunteers

Capacity building for providing Fast .Aid support during Nabakalebar 2015

135 shelter volunteers to be capacitated

135 shelter volunteers

7 Maintenance governance board and MMU meeting

Finalize the modalities for the operation of the MCF fund and its maintenance

1 meeting of each body

1 meeting of each body was called and discussed the matter

8 First Aid Training .

The objectives of these trainings are to control the crowd during the car festival and to manage the casualty and give them first-aid.

7 First Aid Trainings were organised by IRCS OSB where 350 YRC Volunteers has been Trained on basic First Aid

7 First Aid Trainings were organised by IRCS OSB where 350YRC Volunteers has been Trained on basic First Aid

9 A 3 days JRC/YRC Counselors training Programme

To enhance capacity of the Junior/Youth Red Cross structure at different levels.

Training to selected 20 JRC/YRC counselors

JRC & YRC Sub Committee has been newly formed and 16 counsellors have been trained on Red Cross activities.

10 5 day JRC & YRC Volunteers training Programme

To enhance the understanding about the Red Cross Movement and its fundamental principles and promote peace and harmony among the youth and the selected communities.

To strength the capacity of the YRC in the area of hygiene promotion, house hold water treatment, basic First Aid and promoting peace & harmony.

Trained 33 JRC &YRC volunteers in Nayagarh district.

11 Community Awareness Programme

The main objectives of this Programme are aware the community people regarding the use of sanitation, water treatment. cause of water bone diseases

House hold water treatment, aware about water & sanitation

Two tribal community of Nayagarh district has been aware in WASH.

Attended by more than 250 community level workers, volunteers and Women leaders. The



event was first of its kind in the operational area.

12 IHL (International Humanitarian Law ) Workshop

To oriented the participants about International humanitarian Law & communications.

The participants on different aspects of humanitarian law & Red Cross emblem etc. The event was attended by professional's from a diverse background including lawyers, Journalists, District Red Cross Secretaries etc.

40 participants are oriented IHL

13 Need Assessment Training for livelihood programme

To know about how to behave the community people and collect the data

Training on the tools & techniques of Assessment

23participants from three backward districts i.e. Kandhamal, Koraput&Malkanagiri have been trained on the need assessment tools and techniques.

14 Safer Access Frame Work & Contingency Planning Meeting

To inspire, encourage and initiate at all times all forms of humanitarian activities so that human suffering can be minimized, alleviated and even prevented and thus contribute to creating a more congenial climate for peace

Group work in 8 SAF elements

40 participants from DRCB & State branch have participated.

15 Livelihood Assessment Programme in three districts

To know the general situation of the community: their financial condition, livelihood condition and the impact of the interventions on livelihood system

Community Meeting

House Hold Visit

Secondary Data collection

124 house hold visit and 6 community meeting conducted



16 FA/FMR Training

to strengthen and learn about first-aid. People will come to know the basic fundamentals about first-aid by which they can help injured casualty and safe the life.

Provide training to 90 volunteers (30 each in 3 districts) on FA/FMR aspect.

Trained 90 FA/FMR volunteers in Kandhamal, Koraput&Malkanagiri districts

17 Organizing Health Camps in remote places of each districts

Making health care available in remote corners of each district

Organizing 30 health camps

11 numbers of Health Camp were organized in interior area in 11 districts in which more than 10,000 no. of patients were treated

19 district branches did not conducted the camp.

18 Organizing Free Blood Grouping Camps for PwDs

Provide free blood grouping facilities to PwDs

02 numbers of Free Blood Grouping Camp for Persons with Disabilities(PwDs)

Issued 256 nos. Of Laminated card

19 Organizing voluntary Blood Donation Camps at OSB level

Promoting voluntary blood donation

05 numbers of Blood Donation Camp organised by IRCS-OSB

152 nos. Of blood were collected in these camps

20 Organizing voluntary Blood Donation Camps by CRCBB, Cuttack

250 numbers of Blood Donation Camp was organized by CRCBB., Cuttack

43190 nos. Of blood were collect & free issued of Blood for Thalasemia patients

21 Support to needy and poor patients for medical treatment

Support to Poor and Needy

12 numbers of poor & needy persons were getting Financial Support for their Medical treatment

Financial support in tune of Rs. 69,000/- was provided

22 Awareness Programme on Dengue

Create awareness on dengue menance and how to prevent it.

Awareness camps with Youth and Junior volunteers

More than 300 JRC/YRC Volunteers, Counselors along with life members were participated

23 Heart Awareness

To raise awareness of the importance of our

Awareness camps with Youth and

More than 70 nos. of persons



Programme overall health and to reduce the frequency and impact of heart disease and its associated health problems,

Junior volunteers were participated

24 Inter State Youth Red Cross Study-cum-Training Camp from 22nd to 26th November, 2015

To build up the capacity of YRC Volunteers and to inculcate the spirit of selfless service/Volunteerism

348 YRC Volunteers and Counsellors participated from all over the Country in the Study-cum-Training Camp

The Volunteers and Counselors were oriented and awarded with prizes and certificates The programme was successfully organized.

25 State level Youth Red Cross Study-cum-Training Camp from 24th to 28th December, 2015

To build up the capacity of YRC Volunteers and to render skilled philanthropic service in disaster situation.

363 YRC Volunteers and Counselors participated from all over the State in the Study-cum-Training Camp

The Volunteers and Counselors were oriented on different subjects of Red Cross and were awarded with prize and Certificates. The programme was quite successful.

26 International Volunteers Day on 5th December,. 2015

To thank the Volunteers for their outstanding efforts and to encourage every one to get involved and make a difference in their own communities.

500 YRC Volunteers and Counselors were participated in the Programme

The day long programme was organized with mass rally, Signature Campaign, General Meeting . The Volunteers were distributed participation Certificate. The programme was successfully organized.

27

National Youth Day, on 12th January, 2016

National Youth Day is observed to commemorate the Birth Day of Swami Vivekananda the maker of the Modern India. The main objective of the Programme was to spread the knowledge

In the Programme 503 Volunteers were participated

The Volunteers were actively participated in the Debate Competitions, Human Chain and General Meeting organized on this occasion.



and the literature of Swami Vivekananda to the Society, to build good character and true citizens of the Nation.

28 State level Counsellors Training Programme for untrained YRCCounsellor

Two State level Counsellors Training Programme were organized from 18th to 20th January, 2016 and 18th to 20th March, 2016. The objective of the Training Programme was to build up the capacity of the Counsellors to train the Youth Volunteers on Volunteerism to render humanitarian service during the time of Disaster.

Altogether 82 Nos of Untrained Youth Red Cross Counselors were trained.

The trained Counsellors have organized different YRC activities in their respective Colleges and the Volunteers have been motivated and trained to render selfless service.

29 State level Refresher Training Programme for trained YRC Counsellors

The Refresher Training Programme was organised from 4th to 6th February, 2016. The objective of the training programme was to refresh the activities & core areas of Youth Red Cross with a view to strengthen the Youth Red Cross movement in the State.

In the Programme 67 Nos of YRC Counsellors were imparted the refresher training and the Programme was successfully organised.

The trained Counsellors have motivated and trained the Youth Volunteers in the objectives of Youth Red Cross to augment the YRC activities in their Colleges.

30 World AIDS Day, 2015

The World AIDS Day was observed on 1st December, 2015. The main objective of the observance of the Day was to create awareness among the Volunteers about the control and prevention of the deadly disease of HIV/AIDS.

More than 200 Youth Volunteers were participated in the mass awareness of Candel Rally organized on the occasion.

The Volunteers were oriented about the prevention and control of the deadly disease of HIV/AIDS.

31 State level YRC The Programme was 93 Nos of Girls The trained



Study-cum-Training Camp for YRC Girls Volunteers

organized from 28th to 30th March, 2016. The main objective of the training programme was to build up the capacity of the girls Volunteers to render selfless and humanitarian service in disaster situation.

Volunteers from different Colleges of the State were trained in the objectives of Youth Red Cross.

Youth Red Cross Volunteers have been motivated in YRC activities and rendered philanthropic service in the Community.

32 Awareness Programme on Environment Protection, sanitation, Global warming and Climate Change

The One day programme was organized on 29th February, 2016. The objective of the training programme was to promote awareness on Environment Protection, Sanitation, Global warming and Climate Change among the Youth Volunteers and the Community both in campus as well as in the Society

In the Programme 160 Nosof Youth Red Cross Volunteers were oriented on Environment Protection, sanitation, Global warming and Climate Change.

The trained Volunteers have been motivated towards the awareness programme and there is initiative for massive plantation programme.

33 Organization of First Aid Training Programmes for the YRC Volunteers

First Aid Training Programme were organized for the YRC Volunteers to gain basic knowledge on the First Aid and to render first Aid Service to the Community.

During the Year 1446 YRC Volunteers were imparted First Aid Training from 23 Colleges of different Districts.

The trained First Aid Volunteers have actively rendered First Aid Service to the pilgrims during Nabakalebara Programme in different First Aid Centers organized by Indian Red Cross Society-Odisha State Branch(IRCS-OSB).

34 Organization of District Education Officers and District Secretaries Conference

To finalize the annual Plan of Action of JRC

Annual action plan indicating the time line & venue for conducting the activities of Junior Red Cross have been

No of JRC Volunteers enrolled : 2,53,400 approximately No of JRC Counsellors:



finalized.

320 (This figures has been derived/taken on the basis of funds received from the District Education Officers and information received from different districts)

35

State level JRC Study-cum-Training camp

To enhance the knowledge/skill/capacity of JRC Juniors & Counsellors and to share their experience with others and to promote the fundamental principles of Red Cross across the country.

All the activities indicated under programme details have been undertaken during the financial year 2015-16. The details may please be seen at Annexure I.

Inter State JRC Study-cum-Training Camp

State level JRC Training Programme for Trainers (New Resource Person)

Deputation of JRC Volunteers to participate in the Inter-State Junior Red Cross Study-Cum-Training Camps organized by different State Branches

Organization of First Aid Training Camp

Observance of Global Hand Washing Day

District level Junior Red Cross Counsellors Training Camp

Observance of World Red Cross Day-2015

Participation of JRC juniors in the State Level Republic and Independence day Parade

36 Awareness programme

Aware to people about Family counselingcentre&sol

500 6 programmes were organized and More than

Continue



ved people’s problem, give legal support

no.300 Of participants were attending.

37 Neighborhood Meeting was organized.

Aware to people about Family counselling, mentally legally support & short out peoples problem.

170 2 meeting were organized and more than 100 no. Of participants were attending

continue

38 International women’s day was organised.

Specially aware to women improve themselves ,make her own destiny in society

87 47 continue

39 Cases Solve family problem 150 66 Referred & Continuing



Annexure-II

Indian Red Cross Society,Odisha State Branch,Bhubaneswar

FORMAT OF TABLES IN CHAPTER II OF OUTCOME BUDGET 2016-17 Sl.No.

Name of Scheme/programme

Objective / Out come

Outlay 2016-17 Quantifiable Derivable/ physical outputs

Projected outcomes

processes /timelines

Remarks/Risk factors

1 2 3 4(i) 4(ii) 4(iii) 5 6 7 8

Non-plan Budget (Rs.)

plan Budget (Rs.)

Complementary Extra Budget Resources (Rs.)

1 First-Aid Training, Training for First Medical Responder, Search & Rescue operations conducting social service camps

To createvolunteerism by providing First-Aid Services, Search & Rescue during Disaster

30,00,000 0 0 10000 volunteers

10000 volunteers

one year

2 Procurement of Capital Assets

To carry on blood banking and other related activities of Red Cross with developed instruments

22,10,000 0 0 50000 patents

50000 patients

one year

3 Payment of salary to staff

To carry on the Red Cross Activities by following its 7 Fundamental principles

35,00,000 0 0 100 employees

100 employees

one year



SPINAL INJURY CENTRE, CUTTACK

The Regional Spinal Injury, Cuttack was established in 2001 by PWD Act-9 under the

Administrative control of Health & Family Welfare Deptt, Govt. of Odisha

HOSPITAL STATISTICS

Indicators 2014-15 (April-2014-March 2015)

Hospital Beds 45

General Private 34

(Cabin) 11

Total Admission(inclusive of inpatient &

Outpatient) (OPD Attendance)

281 + 12744=13025

Inpatient Attendance 281

Sanctioned Strength of Faculty at all levels

1-Director 1

2-Medical Officer 3

3-Physiotherapist 7

4-Occpational therapist 2

5-Prosthetic & Orthotic Technician 2

6-Vocational counselor 1

7-Staff Nurse 15

8-Pharmacist 1

9-Leather technician 2

10-Sr. Clerk 1

11.Jr. Clerk 1

12-DEO 1

13-Ward Attendant 8

14-Office peon 1

15-Security Guard 3

16-C

RM operator

50



In-Position

1-Medical Officer-2 2

2-Physiotherapist-6. 6

3-Occpational therapist-2 2

4-Prosthetic & Orthotic Technician-2 2

5-Vocational councellor-2 2

6-Staff Nurse-9

2

7-Nursing orderly-1

1

8 - Pharmacist

1

9-Leather technician

2

10-Jr. Clerk

1

11-DEO

1

12-Ward Attendant

7

13-Office peon

1

14-Security Guard

3

15-LDC 1

Sanction Strength of Nurses at all levels 15

In-Position 10

Sanctioned Strength of Para-medical staff(other than nurses)

12

In-Position 11

Total sanctioned posts of

Administrative Staff

3

In-Position 3

Number of Operation theatres 1

No. of total operation undertaken:

18



The Objectives of the Organization is as follows:

i. To establish an institution for study and management of spinal injuries

and orthopaedics.

ii. To undertake basic, applied and statistical research in various specialties

of traumatic disorder.

iii. To generate technical and scientific man power in various specialties of

traumatic surgery.

iv. To organize and conduct technical updating and different course for

traumatic surgery paramedical services.

v. To train members of the medical profession in management of

traumatic surgery.

vi. To provide modern and advance clinical service to traumatic and

orthopedic patients in various Medical Institutions of State and the

S.C.B. Medical College Hospital in particular.

vii. To institute a faculty and service provision for above purpose.

viii. To design preventive services to minimize the risk of spinal injuries and

disabilities.

ix. To institute and maintain an update library related to various

specialties of traumatic handicapped.

x. To work in collaboration with medical institutions, service organization,

university etc to pursue above objects.

xi. To do all such things and perform all such act as may be necessary for

above objects.

xii. To find out ways and means of generating resources for maintenance

and sustenance.



THE SERVICES AVAILABLE AT R.S.I.C., CUTTACK

OUTDOOR SERVICES INDOOR SERVICES

1. Medical consultation for spinal injury and

spine related disorders, Orthopaedic Disorders &

Neurological disorders

1. Management of Spinal Injury along with

neurological deficit.

2. Physiotherapy services with sophisticated

Electro Medical Equipments

2. Regular Physiotherapy services to indoor

patients

3. Occupational therapy services for Neurology/

Orthopaedic/Paediatric Cases(Cerebral Palsy &

Mental Retardation Cases)

3. Regular Occupational therapy services to

indoor patients

4. Modern Orthotic workshop for Manufacturing

Aids & Appliances indoor

4. Aids & Appliances, Rehabilitative Aids

to patients

5. Continued Rehabilitation Education(CRE) for

NGO/Medical/Para Medical Personnel

5. Nursing Services with special care and

dressing of bed sores

6. Awareness programme for General Public and

their attendants for vocational rehabilitation and

guidance

6. Counselling to spinal Injury patients

7. Sharing of information in the field of disability

Programme for discharged patients at door step.

7. Community based Rehabilitation (CBR)



The list of beneficiaries as follows for the year 2015-16

Apr May June July August Sept. Oct. Nov. Dec. Janu

ary

TOTAL

Medical

Consultati

on

Paid 859 864 960 1033 1054 988 823 853 884 7

Free 295 211 185 304 281 237 246 244 195 1

Total 1154 1075 1145 1337 1335 1225 1069 1097 1079 9

Indoor

Patient (45

beds)

Paid 21 25 30 21 15 31 V9 20 29 2

Free 4 4 3 3 3 3 2 2 3

Total 25 29 30 24 18 34 22 22 31 2

Physiother

apy

Paid 2242 2146 2171 2592 2163 2085 1655 1955 2059 1

Free 940 819 1017 1035 829 620 581 510 662 5

Total 3182 3037 3188 3627 2992 2705 2236 2465 2721 2

Occupatio

nal

therapy

Paid 297 372 301 359 376 355 281 277 282 2

Free 458 451 326 380 438 398 256 389 112 1

Total 755 823 627 739 814 753 537 666 394 4

Orthotic-

Aids

&Applianc

es

Paid 179 180 231 225 229 210 160 163 218 1

Free ~ ~ ~ ~ - - - ~ ~

Total 179 180 231 225 229 210 160 163 218 1

Vocational

Counseling

Paid 62 67 70 60 53 80 51 56 79 7

Free — — — — — — ~ — —

Total 62 67 70 60 53 80 51 56 79 7



The list of beneficiaries as follows for the year 2014-15

Apr May June July August Sept. Oct. Nov. Dec. TOTAL

TOTAL

TOTAL

TOTAL

Medical

Consultation

Paid 744 965 914 870 890 946 757 864 833

Free 95 154 166 114 225 265 319 137 194

Total 839 1119 1080 984 1115 1211 1076 1001 1027

Indoor Patient

(45 beds)

Paid 13 15 20 13 16 20 10 27 22

Free 6 6 5 8 7 5 4 3 3

Total 19 21 25 21 23 25 14 30 25

Physiotherapy Paid 1647 2028 1745 1767 2163 2136 1580 1868 1825

Free 415 497 357 486 829 703 r397 810 729

Total 2062 2525 2102 2253 2992 2839 1977 2378 2554

Occupational

therapy

Paid 172 279 247 215 222 292 219 217 192

Free 157 176 147 595 544 491 297 372 412

Total 329 455 394 810 766 783 516 589 604

Orthotic- Aids

& Appliances

Paid 153 180 173 202 187 183 183 171 200

Free - - - - - - - - -

Total 153 180 173 202 187 183 183 171 200

Vocationa

l

Counselin

g

Paid - - - - - - - - -

Free 47 49 64 54 57 58 35 68 63

Total 47 49 64 54 57 58 35 68 63

Documents

OUTCOME BUDGET 2016-17 - Finance Departmentfinance.odisha.gov.in/Budgets/Outcome_Budget-2016-17/HFW_outco… · Department of Health & Family Welfare, Govt. of Odisha 6 OUTCOME BUDGET