F. No. M 11011/04/2011 - NRHM Government of India Ministry ...rrcnes.gov.in/pdf_ppt_zip/assam_rop_2011-12.pdf · F. No. M 11011/04/2011 - NRHM Government of India Ministry of Health

Assam Administration Approval 2011-12 Page 1

F. No. M 11011/04/2011 - NRHM Government of India

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

Nirman Bhawan, New Delhi

Dated: 26.05.2011 To, The Mission Director, National Rural Health Mission Department of Health & Family Welfare

Government of Assam 16, Jana Path, Khanapara Guwahati-781022

Subject: Approval of State Programme Implementation Plan of NRHM for the year 2011-12

Sir,

This refers to the draft Programme Implementation Plan (PIP) for the year 2011-12

submitted by the State and the discussions held on the same in the Pre Appraisal meeting held

on 10.02.2011 at Guwahati and NPCC meeting held on 04.04.2011 at New Delhi.

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

870.34 Cr. (Rupees Eight Hundred seventy Crore and thirty four Lakh only) (Detail at Table C

below) against the resource envelope available comprising of the following:-

Table A

(Rs. In Crore)

Uncommitted Unspent Balance Available under NRHM as on

1.4.2011

0.00

GOI Resource Envelope for 2011-12 under NRHM 851.26

15% State share ( 2011-12) 150.22

Total 1001.48


Table B

The Resource Pool wise break up of total Resources under NRHM

(Rs. In Crore)

Sl

No.

Uncommitted

Unspent

balance

available as on

1.4.2011

GoI Resource

Envelope under

NRHM

Total

1 RCH Flexible Pool 0.00 316.76 316.76

2 NRHM Flexible Pool 0.00 373.98 373.98

3 Immunization ( from

RCH Flexible Pool) 0.00 13.72 13.72

4 NIDDCP 0.00 0.42 0.42

5 IDSP 0.00 1.85 1.85

6 NVBDCP 0.00 38.84 38.84

7 NLEP 0.00 1.20 1.20

8 NPCB 0.00 10.39 10.39

9 RNTCP 0.00 7.75 7.75

10 Direction & Admn.

(Treasury route) 0.00 77.42 77.42

11 PPI Operation Cost 0.00 8.93 8.93

12 15% State share 150.22

Total Resource

Envelope 1001.48

Committed Unspent

Balance up to 2010-11

to be Revalidated in

2011-12

5167.00


Table C

SUMMARY OF APPROVAL

(Details provided in respective Annexure)

Sl No. Scheme/Programme Approved Amount

( In Rs. Crores)

1. RCH Flexible Pool

(Details at Annexure-I)

315.09

2. NRHM Mission Flexible Pool

(Details at Annexure-II)

390.62

3. Immunization and PPI Operation Cost

(Details at Annexure-III)

23.73

4. NIDDCP

(Details at Annexure-IVA)

0.42

5. IDSP

(Details at Annexure-IV B)

2.69

6. NVBDCP

(Details at Annexure-IV C)

38.84

7. NLEP

(Details at Annexure-IV D)

1.50

8. NPCB

(Details at Annexure-IV E)

10.39

9 RNTCP

(Details at Annexure-IV F)

9.64

10 Infrastructure Maintenance

77.42

TOTAL

870.34

Notes:

• Rs. 870.34 Cr. is approved against the Total Resource Envelope of the state of Rs. 1001.48

Cr. The Resource Envelope of Rs. 1001.48 Cr. is inclusive of GOI resource envelope and

15% State, share and there is no Uncommitted Unspent balance for the year 2010-11.

• Thus, the State has a cushion of Rs. 131.14 Cr. (Rs. 1001.48 cr. – Rs 870.34 Cr.). The state

can plan for this amount during the current financial year subject to prior submission of a

detailed plan and approval from competent authority in the Ministry of Health,

Government of India.


3. The States are expected to keep in mind the management imperatives already outlined

in the PIP guidelines for 2011-12 for their attention & systemic reforms. Progress would

be reviewed in the light thereof. Further, the approval is subject to the following

mandatory requirements. Non compliance to any of the following requirement may

result in withholding of grant to the State:

A. Release of the first tranche of funds The first tranche of funds would be released by GOI to States for PIPs 2011-12 on fulfilment

of the following conditions:

1. A full- time Mission Director for NRHM (for States having resource envelop of more

than Rs 50 crores), other than the administrative Secretary.

2. A full- time Director/Joint Director/Deputy Director (Finance) (depending on resource

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

outside the Health Department.

B. Release of Second Tranche of Funds

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

tranche of funds:

3. The State shall ensure that 15% of the State share, based on release of funds by

Government of India is credited to the account of the State Health Society.

4. Increase in State Plan Budget for 2011-12 by at least 10% over and above the 15% State

share under NRHM.

5. State shall articulate policy on entitlements, and ensure rational prescriptions, timely

procurements, smooth distribution to facilities, prescription audits, EDL in public

domain, computerized drugs and logistic MIS System with the objective of minimizing

out-of-pocket expenses.

6. State shall submit report sharing progress against all the new construction and up

gradation work approved under NRHM. The percentage wise progress be indicated

against each facility taken up for new construction and up gradation.

Monitoring Requirements

7. State shall ensure submission of quarterly report on the Measurable Target/indicators at

the end of every quarter as per Attachment A and expected outputs stated in the Record

of Proceeding (RoP) of NPCC in Attachment B. All approvals are subject to the

observations made in the RoP which is inclusive of commodity grants under Disease

Control Programme in the respective Annexure.


C. Human Resource

8. All Posts under NRHM shall be on contract and for the Plan period. All such

appointments would be for a particular facility and non transferable in nature. Priority

in contractual recruitments and placements would be for backward districts, difficult,

most difficult and inaccessible health facilities. The contractual appointments would be

need based. Performance must be measured against pre-determined benchmarks

regularly.

9. State shall prepare action plan for recruitment, deployment and training of human

resources within six months and send it to the ministry.

D. Infrastructure

10. All civil works undertaken to achieve IPHS standards, would be based on expected

patient load and priority would be accorded to the backward districts, inaccessible and

remote areas as per prescribed criteria.

11. In all new constructions, care should be taken to ensure that the locations of these

facilities are such that beneficiary households can access them easily. They should

preferably be located in the midst of habitation and definitely not in agriculture fields,

outskirts of villages, or in unhygienic environment under

any circumstances. Any deviation from the above would be treated as ineligible

expenditure under NRHM.

12. All new constructions would require prior approval of GoI if names of facilities have not

been mentioned in the NRHM-PIP, and also if any shift is proposed. No shift from

backward and inaccessible areas would be allowed.

13. The State shall set up implementation arrangement to monitor all civil works being

undertaken, on a monthly basis, to ensure quality of works and completion as per

schedule

E. Communitization

14. The State shall ensure that all operational guidelines relating to VH&NDs are complied

with.

15. The State shall ensure timely performance based payments to ASHAs/Community Link

Workers and put in place a supportive supervision mechanism is put in place within six

months.


16. The State shall ensure that RKS meets as frequently as possible and mandatorily at least

once in every quarter to review proper utilisation of allocated funds for achievement of

goals. The proceedings of such meetings should be maintained for scrutiny.

F. Financial

17. The State shall not make any change in allocation among different components/

activities without approval of GoI. Any proposal for re-appropriation between activities

within activities should be informed to GoI in advance. However, such re-appropriation

should reflect realignment of activities in accordance with priority to high focus

districts/involvement of NGOs etc.

18. The State shall ensure the completion of delegation of administrative and financial

powers during the current financial year. Funding of NRHM to the State in 2011-2012

will be based on clear delegation as per earlier directions.

19. The State shall follow all the financial management systems under operation under

NRHM and shall submit Audit Reports, Quarterly Summary Concurrent Audit Report,

FMRs, Statement of Fund Position, as and when they are due. State shall also undertake

Monthly District Audit and periodic assessment of the financial system.

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

by the sanctioning authority and audit by the Comptroller and Auditor General of India

under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts

Office of the Ministry of Health & Family Welfare.

21. State shall ensure submission of details of unspent balance indicating, inter alia, funds

released in advance and funds available under State Health Societies. The State shall

also intimate the interest amount earned on unspent balance. This amount can be spent

against activities already approved.

G. Outcomes

22. The state shall focus on key NRHM goals of reduction in MMR, IMR & TFR and overall

disease burden. All activities and expenditure must be linked with outcomes and

technical interventions/strategies recommended by MoHFW implemented in right

earnest.

23. The State shall ensure establishment of supportive supervisory structures for RCH

programme, particularly in districts having low institutional delivery.


24. State shall ensure taking appropriate action to monitor the performance of the cold chain

/ILR Points and implementation of Supply Chain management System and improving

coverage and quality of Immunization services.

Yours faithfully,

(Ms. Jaya Bhagat) Director NRHM (NE/Finance)

Copy to:

1. All JSs in the Ministry

1. All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes 2. Director Finance (NRHM) 3. All Under Secretaries concerned 4. IFD 5. PPS to Secretary(H&FW)/PS to SS&MD, NRHM 6. Sanction Folder 7. File of Concerned States.


NATIONAL RURAL HEALTH MISSION

RECORD OF PROCEEDINGS 2011-12

Record of Proceedings of the National Programme Coordination Committee (NPCC) for

Assam held on 04.04.2011 under the Chairmanship of Shri P.K. Pradhan, Special Secretary

and Mission Director, NRHM for approval of NRHM Programme Implementation Plan (PIP)

for the year 2011-12.

I. A meeting of the NPCC of NRHM was held under the Chairmanship of SS & MD,

NRHM, to approve the PIP of Assam on 04.04.11. The list of members who attended the

meeting is placed at Annex. V. The NPCC meeting was convened after the pre-appraisal

meeting for the State, with written and oral comments provided to the State to modify the

proposal before the NPCC.

II. State Government informed that there is no uncommitted unspent balance available

under NRHM as on 1.4.2011, and were apprised of the GOI Resource Envelope for 2011-12

under NRHM. The Monitorable Indicators is placed at Attachment A. After detailed

discussions and subsequent deliberations, the PIP was finalised for amounts indicated under

different components as detailed in the Attachment B (Annexure I to IV).

III. The attention of the State was drawn to the following areas for further action :

A. Planning

1. The State Government shall, within 45 days of the issue of Record of Proceedings by the

Ministry of Health and Family Welfare, issue detailed resource envelop and activities

approved for each district.

B. Human Resource

2. All posts under NRHM on contract and based on local criteria shall be done by the Rogi

Kalyan Samiti /District Health Society. Residence at place of posting must be ensured.

3. Blended payments comprising of a base salary and a performance based component, should

be encouraged.

4. Transparent transfer and career progression systems should be implemented in the State.

5. The State shall put in place a transparent and effective human resource policy so that

difficult, most difficult and inaccessible areas attract and retain human resources for health.


C. Infrastructure

6. The State shall furnish list of facilities to be upgraded within three months if not already not

specified in the PIP.

7. The State shall furnish information relating to physical and financial status of infrastructure

and building works already taken up every quarter to Infrastructure Division.

8. The State shall under take all construction activities in meeting health infrastructure gaps

with particular focus in backward districts and inaccessible facilities.

D. Communitisation

9. The State shall take up capacity building exercise of Village Health and Sanitation

Committees, Rogi Kalyan Samitis and other community /PRI institutions at all levels,

involving Non Governmental organizations where necessary after a selection process.

10. The State shall ensure regular meetings of all community Organizations /District / State

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

11. The State shall also make contributions to Rogi Kalyan Samitis besides introducing user

charges wherever feasible protecting the interest of the poor.

12. All performance based payments/incentives should be under the supervision of

Community Organizations (PRI)/RKS.

13. The State shall focus on the health entitlements of vulnerable social groups like SCs, STs,

OBCs, minorities, women, disabled friendly, migrants etc.

E. HMIS

14. State shall set up a transparent and credible procurement and logistics system. State agrees

to periodic procurement audit by third party to ascertain progress in this regard.

15. The State shall undertake institution specific monitoring of performance of Sub Centre,

PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularly uploaded as

Monthly, Quarterly and Annual Data on the HMIS.

16. The funds approved under the Monitoring and Evaluation activities in the PIP are subject to

the State reporting facility-wise performance on the HMIS portal of the Ministry. The States

are to also periodically review the quality of data on the HMIS portal at the District and

Sub-district levels. The funds approved for the Mother and Child Tracking Systems(MCTS)

are to be utilized such that there is improved coverage of maternal and care services and

immunisation of children and reflected on the MCTS portal of the Ministry.


IV. Based on the State’s PIP and deliberations thereon the Plan for the State is finalised as

per the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool), Annexure-

III (Immunization) & Annexure –IV (National Disease Control Programmes) .


Attachment - A

MONITORING TARGETS TO BE ACHIEVED IN 2011-12

Activity / Measurable indicator Achievement / up to 2010-11

Target (Cumulative) up to 2011-2012

Addition during the year

I Monitoring Progress Against Standards:

A Maternal Health

1 Institutional Deliveries 383050 457794 74744

2 24x7 Facilities 415 502 87

3 Functional First Referral Units 62 79 17

B Child health

4 Sick New Born Care Units 13 21 8

5 New Born Care Corners 323 323 0

6 Stabilization Units in CHCs/ BPHCs 100 257 157

7 Full Immunization

C Population Stabilization

8 Male Sterilization 11824 32698 20874

9 Female Sterilization 58396 110976 52580

10 No. of IUD Insertions 44253 97532 53279

D Disease Control

11 Annualized New Smear Positive Detection Rate of TB

75% Above 75%

12 Success Rate of New Smear Positive Treatment initiated on DOTS. 84% >85% 1%

13 ABER for malaria 13.52 15 1.58

14 API for malaria (per 1000 population) 1.9 1.5 0.4

15 Annual New Case Detection Rate for Leprosy (per 1,00,000 population)

2.8 < 2

16 Cataract Surgeries performed 56,186 83,300 27114

II Human Resources including Training

17 Appointment of ANMs 4921 4921 0

18 Appointment of staff nurses 2946 2946 0

19 Doctors trained on EmOC 18 42 24

20 Doctors trained on LSAS 30 46 16

21 Doctors trained in NSV/ Conventional vasectomy

NA 105 105

22 Doctors trained in Abdominal Tubectomy (Minilap)

125 185 60

23 Doctors trained in laparoscopic Tubectomy

164 239 75

24 Personnel trained in IMNCI 13474 21154 7680


Activity / Measurable indicator Achievement / up to 2010-11

Target (Cumulative) up to 2011-2012

Addition during the year

III Communitization Processes

25 Functional VHSCs 26312 26312 0

26 ASHAs with Drug kits 28799 29693 894

IV Improved Management

27 Tracking of pregnant mothers and children Started on pilot basis In all 27 districts

28 Evaluation and Assessment of NRHM Activities 1 6 5

29 Cold Chain Management

(number of functional ILR points) 843 913 70

V Infrastructure

30 Construction of sub-centre buildings 2250 2250 0

31 Construction of PHC buildings 150 150 0

32 Construction of CHC buildings 60 60 0

33 Construction of District Hospital buildings

8 8 0

34 Construction of Other Hospital buildings

VI MMU and Referral Transport

35 Functional Mobile Medical Units 50 50 0

36 Emergency and Referral Transport 280 280 0


Attachment B

Annexure-I

Consolidated Approval under RCH-II for FY 2011-12: Assam

S. No. BUDGET HEAD PROPOSED (Rs. Lakhs)

APPROVED AMOUNT (Rs. Lakhs) %

1 Maternal Health 711.05 711.05 3.5 2 Child Health 440.19 410.04 2.0 3 Family Planning 156.60 156.60 0.8 4 ARSH 943.49 257.17 1.3 5 Urban RCH 846.28 802.40 3.9 6 Tribal RCH 0.00 0.00 0.0 7 PNDT & Sex Ratio 0.00 0.00 0.0 8 Infrastructure & HR 26752.69 14355.16 70.1 9 Training 2487.09 2091.97 10.2

10 Programme Management 2632.33 1646.58 8.0 11 Vulnerable Groups 32.84 32.84 0.2

Total RCH II Base Flexi Pool 35002.56 20463.81 100.0 12 JSY 9631.43 9335.98 13 Sterilisation & IUD Compensation,

and NSV Camps 1709.14 1709.14

Total RCH II Demand Side 11340.56 11045.12

GRAND TOTAL RCH II 46343.12 31508.92

NOTE:- The following are shifted to Mission flexi pool (and not factored in the proposed amount above):

• Rs. 2396.76 lakhs for PPP

• Rs. 350.49 lakhs for HMIS/ M&E

• Rs. 108.33 lakhs for IMEP

• Rs. 3637.36 lakhs for Procurement

The following are shifted from Mission flexi pool (and factored in the proposed amount above):

• Rs. 171.11 lakhs for ASHA incentive for at least 5 visits for ANC and PNC

• Rs. 1019.98 lakhs for Mobility support

• Rs. 1352.79 lakhs for difficult area incentive

• Rs. 141 lakhs for skill upgradation training of ANMs

• Rs. 70.57 lakhs for Management Development training

• Rs. 1345.87 lakhs for PMU costs (except drug warehousing/ drug stores staff, and

Infrastructure Development Wing staff)


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

RCH TECHNICAL STRATEGIES & ACTIVITIES (RCH FLEXIBLE POOL) A.1 MATERNAL HEALTH

A.1.1 Operationalise facilities

A.1.1.1 Operationalise FRUs

A.1.1.2 Operationalise 24x7 PHCs

A.1.1.3 MTP services at health

facilities

A.1.1.4 RTI/STI services at health

facilities

A.1.1.5 Operationalise Sub-

centres

A.1.2 Referral Transport

A.1.3 Integrated outreach RCH

services

A.1.3.1 RCH Outreach Camps/

Others

A.1.3.2 Monthly Village Health

and Nutrition Days

A.1.4 Janani Suraksha Yojana /

JSY

A.1.4.1 Home Deliveries Rs 500/- 42326

beneficiaries

493.01 211.63 Till 3rd quarter

state has achieved

only 1133 JSY

home delivery

against targeted

42326. Therefore

the same number

of the previous

year i.e. 42,326

approved (against

98602 proposed).

A.1.4.2 Institutional Deliveries

A1.4.2.a Rural Rs 1400/- 398281

beneficiaries

5575.93 5575.93 Approved.

Beneficiaries

delivering in

private health

facility (PPP

model) are not

eligible to receive

JSY incentive.

This is also

applicable to


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

ASHA incentive.

A1.4.2.b Urban Rs 1000/- 59513

beneficiaries

595.13 595.13 Approved.

A1.4.2.c C-sections

A.1.4.3 Administrative Expenses 458.64 444.57 This includes JSY

administrative

cost (5%) such as

printing of JSY

card, registers,

IEC expense,

monitoring etc.

Amount adjusted

in light of

approval for

home deliveries

above.

A.1.4.4 Incentive to ASHAs Rs 600/- for rural,

Rs 200/- for urban

ASHA incentive

for 398281 rural

deliveries and

59513 urban

deliveries

2508.71 2508.71 Approved.

A.1.5 Maternal Death Review Rs 0.78 lakhs

/batch for MDR

Training, Rs 4

lakhs for state

level review

meeting, Rs 2.8

lakhs for dist level

review

State level

review meeting

on MDR, Dist

level review

meeting of

nodal officers,

training on

MDR software

(6 batches)

84.41 84.41 Approved. GOI

Guidelines on

MDR (Facility

and Community

Based) should be

followed.

A.1.6 Other strategies/activities Rs 100/- case

ASHA incentive

for full ANC

ASHA's of 27

districts will be

paid for

ensuring

complete ANC,

including IFA

consumption

for 626043 PW;

Orientation of

MOs of 2

districts on iron

sucrose injection

626.64 626.64 Approved.

Payment to

ASHA to be

linked to entry in

the joint MCH

Card and

signature of the

ANM in the card.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

for severe

anaemia

Sub-total Maternal

Health (excluding JSY)

711.05 711.05 Approved.

Sub-total JSY 9631.43 9335.98 Approved.

A.2 CHILD HEALTH

A.2.1 IMNCI

A.2.2 Facility Based Newborn

Care/ FBNC

Rs. 4.13 lakhs /

SNCU; Rs. 32,000

/ NBSU

Operational

costs for 21

SNCU's and 257

NBSU's.

168.93 168.93 Approved.

A.2.3 Home Based Newborn

Care/ HBNC

A.2.4 Infant and Young Child

Feeding/ IYCF

Rs 7000/- for

assessment

Assessment of

BFHI hospitals

and orientation

of doctors

13.10 13.10 Approved.

A.2.5 Care of Sick Children and

Severe Malnutrition

Operationalize 3

existing & 1

new NRC,

maintenance

expenditure for

consumables

87.05 56.90 Non recurring

expenditure of Rs.

30.15 lakhs

proposed for 3

NRCs - Not

approved

A.2.6 Management of

Diarrhoea, ARI and

Micronutrient

Malnutrition

A.2.7 Other strategies/activities

A.2.8 Infant Death Audit

A.2.9 Incentive to ASHA under

Child Health

Rs. 100 / case ASHA incentive

for at least 5

visits for ANC

and PNC

171.11 171.11 Approved.

Incentive to

ASHA should be

linked to

achievement of

outcomes, i.e.

survival of the

newborn.

Sub-total Child Health 440.19 410.04 Approved.

A.3 FAMILY PLANNING

A.3.1 Terminal/ Limiting

Methods

A.3.1.1 Dissemination of manuals Printing of 6.00 6.00 Approved.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

on sterilisation standards

& QA of sterilisation

services

manuals on

sterilization

standards & QA

in sterilization

A.3.1.2 Female Sterilisation camps Rs 15000/- 596 camps 89.40 89.40 Approved.

A.3.1.3 NSV camps Rs 15000/- 596 camps 89.40 89.40 Approved.

A.3.1.4 Compensation for female

sterilisation

Rs 1000/- 110976 female

sterilizations

1109.76 1109.76 Approved.

A.3.1.5 Compensation for male

sterilisation

Rs 1500/- 32698 male

sterilizations

490.47 490.47 Approved.

A.3.1.6 Accreditation of private

providers for sterilisation

services

A.3.2 Spacing Methods

A.3.2.1 IUD camps

A.3.2.2 IUD services at health

facilities

Rs 20/- 97532 IUD

insertions

19.51 19.51 Approved.

A.3.2.3 Accreditation of private

providers for IUD

insertion services

A.3.2.4 Social Marketing of

contraceptives

A.3.2.5 Contraceptive Update

seminars

A.3.3 POL for Family Planning

A.3.4 Repairs of Laparoscopes

A.3.5 Other strategies/ activities Rs 1 lakh /- dist &

RS 20,000/-

provider- awards;

Rs 100/- case

ASHA incentive

for IUCD retention

Awards to best

institution /

provider based

on performance;

printing of

sterilisation

forms; Incentive

to ASHA for

ensuring

retention of IUD

(30000 cases)

61.20 61.20 Approved.

Sub-total Family

Planning (excluding

compensation)

156.60 156.60 Approved.

Sub-total Sterilisation

and IUD compensation,

1709.14 1709.14 Approved.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

and NSV camps

A.4 ADOLESCENT

REPRODUCTIVE AND

SEXUAL HEALTH /

ARSH

A.4.1 Adolescent services at

health facilities

Counselling

services at 50

centres (12

new),

4.50 4.00 Approved. Rs.

0.50 lakhs for

Refresher training

for 50 counsellors

is reflected under

ARSH Training.

A.4.2 School Health Programme Rs 40788/-school

for Yoga

programme;

Yoga

programme in

500 schools for

2.5 lakhs

students;

screening

programme in

12 districts,

covering 25000

schools and 15

lakhs students,

including de-

worming

922.76 236.94 Rs. 718.82 lakhs,

to be approved

only after

providing details

of salary, training

cost, unit cost of

cards, equipment

cost, mobility

support and other

items against the

proposed budget

for health

screening.

A.4.3 Other Strategies/

Activities

Rs. 3.60 lakhs

honorarium and

Rs. 4.80 lakhs

incentive to Sathee

Mitra; Rs. 0.36

lakhs office

contingency; Rs.

0.36 lakhs DYC

mobility; Rs. 0.75

lakhs Sathee

orientation; Rs.

0.36 lakhs monthly

review meeting;

Rs. 5 lacs

educational

activities with

adolescents;

World AIDS day -

Community

outreach

programme for

adolescent with

NYSK,

reorientation

workshop &

training,

honorarium and

performance

based incentive

to Sathee

16.23 16.23 Approved.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

Rs. 1 lakhs

Sub-total ARSH 943.49 257.17 Approved.

A.5 URBAN RCH Rs 14.63 lakhs per

UHC, Rs150 per

case of full

immunization,

booklet @ Rs. 100

Operational cost

for 48 UHC's;

Incentives to

LW for full

immunisation

in urban areas

(66911 infants);

Booklet printing

846.28 802.40 The operational

cost for setting up

3 new UHC's not

approved (Rs.

43.86 lakhs).

A.6 TRIBAL RCH 0.00 0.00

A.7 PNDT & Sex Ratio

A.7.1 Support to PNDT Cell State may submit

proposal to this

aspect.

A.7.2 Other PNDT Activities

Sub-total PNDT & Sex

Ratio

0.00 0.00

A.8 INFRASTRUCTURE

(Minor Civil Works) &

HR (Except AYUSH)

A.8.1 Contractual Staff &

Services

A.8.1.1 ANMs, Staff Nurses,

Supervisory Nurses

ANMs @ Rs. 8470,

Staff nurses @ Rs.

9900 for existing

and Rs. 7700 for

new recruited

4921 ANMs,

2946 Staff

nurses (2295

existing and 651

new recruited)

17169.82 8329.69 Rs. 1430.28 lakhs

for new 822 Staff

nurses - not

approved. Unit

cost for existing

staff @ 10%

increment over

last year.

A.8.1.2 Laboratory Technicians,

MPWs

Rs. 8800 488 LTs 943.99 515.33 Approved. Unit

cost for existing

staff @ 10%

increment over

last year.

A.8.1.3 Specialists (Anaesthetists,

Paediatricians, Ob/Gyn,

Surgeons, Physicians,

Dental Surgeons,

Radiologist, Sonologist,

Pathologist, Specialist for

Specialists:

existing @ Rs.

33000 p.m.; new @

Rs. 30000 p.m.;

difficult area @ Rs.

40000 p.m.

96 specialists (70

existing + 26

new), 17

specialists for

difficult areas, &

6 dental

836.21 468.24 33 new dental

surgeons not

approved. Unit

cost of existing

staff @ 10%

increment over


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

CHC ) Dental surgeons @

Rs. 22000 p.m.

surgeons last year.

A.8.1.4 PHNs at CHC, PHC level

A.8.1.5 Medical Officers at CHCs

/ PHCs

MO's @ Rs. 27500/

PM, MO's for

Difficult areas @

Rs. 32500 /- PM,

MO's rural posting

Rs 25000/- PM,

MO's for Rural

Posting for

difficult areas @ Rs

28000/-PM

373 MO-MBBS,

26 MO MBBS

posted in

difficult area,

457 MO Rural

posting, 63 MO

posted in rural

difficult area

3730.46 2915.88 Approved. Unit

cost for existing

staff @ 10%

increment over

last year.

A.8.1.6 Additional Allowances/

Incentives to M.O.s of

PHCs and CHCs

A.8.1.7 Others - Computer

Assistants / BCC Co-

ordinator etc

Rural Health

Practitioners -

existing @ Rs.

14300/-, new @ Rs.

13000/-;

pharmacist @ Rs.

8800/-; dietician

NRC @ Rs.

11000/-; SNCU

support staff @ Rs.

4400/-; ASHA

facilitators @ Rs.

4000/-

salary of 274

Rural Health

Practitioners

(182 existing

and 92 new),

150

pharmacists, 4

dieticians for

NRCs, 84 SNCU

support staff,

2857 ASHA

facilitators

2628.61 2035.22 Rs. 60.86 lakhs for

SIHFW staff not

approved.

Remaining staff

approved at last

year's numbers

with 10%

increment (unit

cost accordingly

revised).

A.8.1.8 Incentive/ Awards etc. to

SN, ANMs etc.

Incentives

awards to

CEmOC /LSAS

doctors

(budgeted for 48

trained & 20

new doctors).

40.80 40.80 Approved,

however

incentive is to be

provided only for

performance

above a minimum

monthly

benchmark

(which is to be

shared with GoI).

A.8.1.9 HRD (Other than above)

A.8.1.10 Other Incentives Schemes

(Pl. Specify)

Difficult Area

Allowance to

1352.79 0.00 Not approved.

Shifted from


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

Doctors and

paramedical

Staff in 944 SC,

23 PHC, 150

MPHC/ SD, 11

CHC, 2 SDCH

& 2 DH

MFP.

No write up was

provided.

However, in the

final budget post

NPCC, state has

proposed Rs.

1352.79 lakhs -

State may submit

details separately

for approval.

A.8.2 Minor civil works

A.8.2.1 Minor civil works for

operationalisation of FRUs

5 lakhs per FRU Minor civil

works in 10

FRUs

50.00 50.00 Approved.

A.8.2.2 Minor civil works for

operationalisation of 24

hour services at PHCs

Sub-total Infrastructure

& HR

26752.69 14355.16 Approved.

A.9 TRAINING

A.9.1 Strengthening of

Training Institutions

Strengthening

of SIHFW;

Monitoring of

trainings

72.60 72.60 Approved.

A.9.2 Development of training

packages

Development of

training

material, TA/

DA to DHS,

CMHO, & TA/

DA to national

level trainer,

development of

ARSH material

126.70 100.00 Rs. 100 lakhs

proposed for

development of

training packages.

Approved subject

to details being

provided on costs.

A.9.3 Maternal Health Training

A.9.3.1 Skilled Attendance at

Birth

Rs 1.32 lakhs/

batch of 6; Rs. 0.88

lakhs / batch of 3

1632

ANMs/LHVs

444.24 438.25 Rs. 5.99 lakhs for

TOT not

approved. State

has adequate no.

of trainers

available for

training load.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

A.9.3.2 Comprehensive EmOC

Training (including c-

section)

Rs. 1.86 lakhs /

MO

24 MOs 44.54 44.54 Approved.

A.9.3.3 Life saving Anaesthesia

skills training

Rs. 1.33 lakhs /

MO

16 MOs 21.25 21.25 Approved.

A.9.3.4 MTP training Rs. 1.11 lakhs /

batch

90 MOs 20.01 20.01 Approved.

A.9.3.5 RTI / STI Training Rs. 19370 / batch

MO; Rs. 15920 /

batch SN/ ANM/

LHV

Training of 100

MO's and 300

ANMs/ LHVs/

SNs

16.60 13.44 Rs. 3.16 lakhs for

TOT not

approved. State

has adequate no.

of trainers

available for

training load.

A.9.3.6 BEmOC training Rs. 1.18 lakhs /

batch

216 MO's (36

batches of 6)

42.40 42.40 Approved.

A.9.3.7 Other MH Training

(Training of TBAs as a

community resource, any

integrated training, etc.)

i) Special MCH

training for

ANMs: ToT for

200 ANMs (Rs.

18.93 lakhs)

and training for

4860 ANMs

(Rs. 153.39

lakhs)

ii) Radiology

training for

MOs - Rs. 12.12

lakhs

iii) Skill

upgradation

training for

ANMs - Rs. 141

lakhs shifted

from MFP

325.44 0.00 Not approved

State may submit

details of the

training content.

A.9.4 IMEP Training

A.9.5 Child Health Training

A.9.5.1 IMNCI Rs. 2.02 lakhs /

batch ASHA/

AWW/ ANM; Rs.

Training of 7680

ASHA/ AWW/

ANM (320

686.79 667.35 Rs. 19.44 lakhs for

TOT not

approved. State


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

1.17 lakhs / batch

supervisory TOT;

Rs. 82050 / batch

for supervisory

training

batches); 72

supervisors

TOT (3 batches

of 24); 480

supervisory

training (20

batches of 24)

has adequate

number of

trainers available

for 2011-12

training load.

A.9.5.2 F-IMNCI Rs. 2.95 lakhs /

batch

960 MO's/ SNs

(60 batches)

177.15 177.15 Approved.

A.9.5.3 HBNC

A.9.5.4 Care of Sick Children and

severe malnutrition

A.9.5.5 Other CH Training (pl.

Specify)

NSSK - Rs 0.78

lakhs /- batch for

MO's and Rs 0.71

lakhs/- batch for

ANM's; Rs 17.74

lakhs/- batch for

neonatalogy

training of MO's;

Rs. 88700 / batch

for observership

training for MO's

and SNs; Rs.

100130 / batch for

FBNC training

NSSK training

for 1870 MOs &

4112 SNs in 187

batches, 7133

ANM's in 243

batches;

neonatology

training for 36

MOs (4 batches

of 9); FBNC

training of 216

MOs & 324 SNs

(27 batches);

Observership

training @

SNCU for 48

MOs & 48 SNs

(24 batches of 4)

200.31 200.31 Approved.

A.9.6 Family Planning

Training

A.9.6.1 Laparoscopic Sterilisation

Training

Rs. 64260 / team 75 teams

(doctor, SN, OT

assistant)

16.05 16.05 Approved.

A.9.6.2 Minilap Training Rs.50200 / batch 30 batches (60

MO's)

15.06 15.06 Approved.

A.9.6.3 NSV Training Rs.22860/ batch 35 batches (105

MO's)

8.00 8.00 Approved.

A.9.6.4 IUD Insertion Training Rs. 81860 / batch

for district level

40 batches

training (400

148.69 143.49 Rs. 5.20 lakhs for

TOT not


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

training; Rs. 61650

/ batch ANM;

PPIUCD - Rs.

90640 / batch TOT

and Rs .55385 /

batch MO/ SN

MOs/ SNs/

LHVs); 120

batches ANMs

(1200); PPIUCD

10 batches TOT

and 50 batches

MO/ SN

approved. State

has adequate

number of

trainers available

for 2011-12

training load.

A.9.6.5 Contraceptive Update

A.9.6.6 Other FP Training (pl.

Specify)

A.9.7 ARSH Training Rs. 2.21 lakhs /

batch for MO's, Rs

1.69 lakhs /- batch

for LHVs/ ANM's

Refresher

training for 50

counsellors,

Training for 180

MO's & 360

ANM's/ LHV

43.19 34.00 Rs. 9.69 lakhs for

TOT - not

approved. ToT

has already been

facilitated in the

state.

A.9.8 Programme Management

Training

A.9.8.1 SPMU Training

A.9.8.2 DPMU Training

A.9.9 Other training (pl.

Specify)

Rs. 5.43 lakhs /

batch

Management

development

training for

doctors and

PMU - 13

batches x 30

participants

(390)

70.57 70.57 Approved.

Shifted from

MFP.

A.9.10 Training (Nursing)

A.9.10.1 Strengthening of Existing

Training Institutions/

Nursing School

A.9.10.2 New Training

Institutions/ School

A.9.11 Training (Other Health

Personnel)

A.9.11.1 Promotional Training of

health workers females to

lady health visitor etc.

A.9.11.2 Training of ANMs, Staff

nurses, AWW, AWS

A.9.11.3 Other training and Rs. 50000 / batch TALLY re- 7.50 7.50 Approved.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

capacity building

programmes

orientation

training for 750

DAM, BAM,

PHC

accountants (15

batches of 50)

Sub-total Training 2487.09 2118.67 Approved.

A.10 PROGRAMME / NRHM

MANAGEMENT COSTS

A.10.1 Strengthening of SHS/

SPMU (Including HR,

Management Cost,

Mobility Support, field

visits )

SPM, SFM, MIS

Manager, NGO

Coordinator,

Media Expert,

BCC Expert,

Consultants (MH,

CH, HRD),

Finance

Coordinator - Rs.

36300; Biomedical

Engineer and

Procurement

Expert - Rs. 27500;

Programme

Executives Rs.

27830; Accounts

Managers Rs.

19800; Mobility

support Rs. 2.50

lakhs pm

2 SPMs; SFM;

MIS Manager;

Media, BCC

and

Procurement

experts; 3

Programme

Executives; MH

and CH

consultants;

HRD

consultant; 4

Accounts

Managers (HQ);

NGO

Coordinator,

Finance

Coordinator;

Biomedical

Engineer;

Mobility

support

168.15 104.04 i) Rs. 32.86 lakhs

shifted from MFP

for salaries and

Rs. 60 lakhs for

mobility support.

ii) Mobility

support approved

at Rs. 30 lakhs

iii) Finance

Advisor (Rs. 4.76

lakhs), 2 HR

executives (Rs.

7.44 lakhs),

Consultant Audit

(Rs. 4.76 lakhs),

and Consultant

(Electric Utility

System) (Rs. 3.84

lakhs) - new

proposed - Not

approved.

iv) Unit cost for

existing staff @

10% increment

over last year.

A.10.2 Strengthening of DHS/

DPMU (Including HR,

Management Cost,


visits )

DPM Rs. 29040;

Dist. Media Expert

Rs. 21780; DAM

and DDM Rs.

17420; Dist. FP

Coordinator Rs.

13200; Hospital

Administrator Rs.

27 DPMs, DAM,

DDMs, and

Dist. Media

Experts; 25

Hospital

Administrators;

11 Dist. FP

coordinators;

647.82 515.26 i) Includes Rs.

166.66 lakhs for

salaries (Hospital

Administrator,

District FP

coordinator, and

Asst. District Data

Manager) and Rs.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

24200; Mobility Rs.

42250/ month;

Equipment and

furniture

renovation

support Rs. 10.80

lakhs

Mobility

support;

Equipment and

furniture

renovation

support.

136.90 lakhs for

mobility support -

shifted from MFP.

ii) Rs. 60.26 lakhs

for Asst. Dist.

Data Manager

(new proposed) -

Not approved.

A.10.3 Strengthening of Block

PMU (Including HR,

Management Cost,


visits )

BPM Rs. 13310;

BAM Rs. 10650;

Mobility Rs. 20000

157 Block

Programme

Managers and

217 Block

Accounts

Managers

1593.36 885.69 i) BPMU salary

cost (Rs. 1146.35

lakhs) and

mobility (Rs.

357.60 lakhs)

shifted from MFP.

ii) Unit cost for

existing staff @

10% increment

over last year.

iii) Rs. 288.23

lakhs for Block

Data Manager

(new proposed) -

Not approved.

iv) Mobility

approved @ Rs.

2.40 lakhs /year

for 149 BPHCs.

A.10.4 Strengthening (Others)

A.10.5 Audit Fees 7.00 7.00 Approved.

A.10.6 Concurrent Audit 53.17 53.17 Approved.

A.10.7 Mobility Support to

BMO/ MO/ Others

Rs. 500 p.m. for

PHC accountant

and sector level

MO's

Monitoring

support to 650

PHC

accountants and

707 sector level

MO's

162.84 81.42 Approved.

Shifted from

MFP.

Sub-total Programme

Management

2632.33 1646.58 Approved.

A.11 VULNERABLE GROUPS Rs 4000/- per

camp in Relief

camps & RS

8000/- camp at

Operational cost

for 240 Health

camps at

Kokrajhar area

32.84 32.84 Approved.


FMR

Code Activity

Unit Cost (where-

ever applicable)

Physical target/

Expected

output

Amount

Proposed

(Rs. Lakhs)

Amount

Approved

(Rs. Lakhs)

Remarks

flood affected area,

Rs 450 /-boat

& operational

cost for 240

health camps at

lakmipur &

Dhemaji area

(flood affected),

hiring of boat

for Kabri

Aglong, 100

camps in kabri

aglong

TOTAL RCH II BASE

FLEXI POOL

35002.56 20463.81 Approved.

TOTAL RCH II

DEMAND SIDE

11340.56 11045.12 Approved.

GRAND TOTAL RCH

II

46343.12 31508.92 Approved.


Annexure-II

Consolidated Approval under NRHM Flexi Pool for FY 2011-12

FMR Code

Activity Unit Cost (where-ever applicable)

Physical target/

Deliverables

Amount Proposed Rs. In Lakhs

Amount Approved Rs. In Lakhs

Remarks

Mission Flexible Pool

B1 ASHA

B.1.1 ASHA Cost

B1.1.1 Selection & Training of ASHA

750 new ASHA will be selected and trained.

7.97 7.97 Approved

B1.1.2 Procurement of ASHA Drug Kit

600 28928 Drug Kits will be distributed to ASHA

178.16 173.56 Approved Drug Kit for 28928 existing ASHA @ Rs 600 per Kit

B1.1.3 Other Incentive to ASHAs (if any)

Incentive to ASHA for home visit after 6th Module Training

100 1,71,109 171.11 0.00 Not Approved

Incentive to ASHA for full immunisation

1440.39 1440.39 Approved

B1.1.4 Awards to ASHA's/Link workers

B1.1.5 ASHA Resource Centre/AHSA Mentoring Group

191.60 191. 60 Approved as per the guideline.

ASHA Diary 150 per Diary

32550 (29693 ASHA & 2857 ASHA Facilitator)

48.83 48.83 Approved

ASHA module 6 training

28928 ASHA 937.52 937.52 All the ASHA should be trained in the 6th module

B2 Untied Funds

B2.1 Untied Fund for CHCs

50000 108 54.00 54.00 Approved

B2.2 Untied Fund for PHCs

25000 964 241.00 214.00 As per RHS 2010 (Provisional), 844 PHCs are functional


FMR Code


Physical target/

Deliverables



Remarks

B2.3 Untied Fund for Sub Centres

10000 4604 460.40 460.40 Approved

B2.4 Untied fund for VHSC

10000 26312 2631.20 2631.20 Approved

Untied fund for SDCH

50000 13 6.50 6.50 Approved

B.3 Annual Maintenance Grants

B.3.1 CHCs 100000 108 108.00 108.00 Approved

B.3.2 PHCs 50000 964 482.00 428.00 RHS 2010: 856 PHC in Govt building

B.3.3 Sub Centers 10000 3819 381.90 215.20 As per RHS 2010 (Provisional) 2152 SCs are functional in Govt. Building.

SDCH 100000 13 13.00 13.00 Approved

B.4 Hospital Strengthening

B.4.1 Upgradation of CHCs, PHCs, Dist. Hospitals to IPHS)

- - 0 0 -

B4.1.1 District Hospitals - - 0 0 -

B4.1.2 CHCs - - 0 0 -

B4.1.3 PHCs - - 0 0 -

B4.1.4 Sub Centres - - 0 0 -

B4.1.5 Others - - 0 0 -

B 4.2 Strengthening of Districts, Sub-divisional Hospitals, CHCs, PHCs

- - 0 0 -

B.4.3 Sub Centre Rent and Contingencies

- - 0 0 -

B.4.4 Logistics management/ improvement

- - 0 0 -

B5 New Constructions/ Renovation and Setting up

B5.1 CHCs 200 60 12000.00 12000.00 Approved


FMR Code


Physical target/

Deliverables



Remarks

B5.2 PHCs 53.00 50 1150.00 1150.00 In PIP 2009-10 State has proposed for 50 PHC @ Rs.53 Lakhs (Rs.2650 Lakhs) and Rs.1500 lakhs were approved. In PIP 2011-12 remaining amount Rs 1150.00 lakhs approved.

B5.3 SHCs/Sub Centres

B5.4 Setting up Infrastructure wing for Civil works

- - 0 0 -

Consultant Civil Works –Rs.47120, Supdt Engineer- Rs.39680, EE for Jorhat Medical College- Rs. 35960, Project Engineer (Civil)- Rs.35960 , Project Engineer(Electrical)- Rs.35960, Asst Engineer (Civil)- Rs.28520 , Asst Engineer (Electrical)- Rs.28520, Asst Engineer (Civil)-for Jorhat Medical College Rs.28520 , Asst Engineer (Electrical)for Jorhat Medical College- Rs.28520, Asst engineer- Rs.28520, Junior Engineer (C) –Rs.22320, Junior Engineer (E) –Rs.22320 , Electrician- Rs. 18600

313.68 246.43 Consultant Civil Works (1)–Rs.39930, Supdt

Engineer(1)- Rs.33275, Project Engineer (Civil)(5)- Rs.27830 , Project

Engineer(Electrical)(1)- Rs.27830, , Asst

Engineer (Electrical)(5)- Rs.23958, Asst

engineer(24)- Rs.23958, Junior Engineer (C)(6) –Rs15972, Junior Engineer (E)(1) –Rs.15972 ,


FMR Code


Physical target/

Deliverables



Remarks

Electrician- Rs. 0.00 Salary

increased at 10 % hike for the old

existing staff. Post for Jorhat Medical College not approved. No new

recruitments as discussed in the NPCC

B5.5 Govt. Dispensaries/ others renovations

- - 0 0 -

B5.6 Construction of BHO, Facility improvement, civil work, BemOC and CemOC centers

- - 0 0 -

B.5.7 Major civil works for operationalisation of FRUS

- - 0 0 -

B.5.8 Major civil works for operationalisation of 24 hour services at PHCs

- - 0 0 -

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

- - 0 0 -

Doctors’ Quarter, Nurses’ Quarter & Attendants’ Quarter in the 500beded District Hospital at Amingaon

206.90 206.90 Approved

District Hospital-Sonapur

1693.00 1 693.00 693.00 Approved. As it is an ongoing activity.


FMR Code


Physical target/

Deliverables



Remarks

Upgradation of Kalgachia CHC to District Hospital

300.00 1 300.00 0.00 Not approved as discussed in the NPCC meeting.

B.5.10 Infrastructure of Training Institutions

B.5.10.1

Strengthening of Existing Training Institutions/Nursing School( Other than HR) a. GNM Schools 1. Infrastructure 2. Equipment b. ANMTCs 1. Infrastructure 2. Equipment

25,00,000 8 200.00 0 Not Approved. Share the List of name wise List of the 8 GNM training school to be operationalised by the third quarter.

B.5.10.2

New Training Institutions/School(Other than HR)

63,00,000 4 252.00 0 Not Approved. Share the List of name wise List of the2 GNM training school to be operationalised

B.6 Corpus Grants to HMS/RKS

B6.1 District Hospitals 5Lakhs 25 125.00 125.00 Approved

B6.2 CHCs 1 lakh 108 108.00 108.00 Approved

B6.3 PHCs 1 Lakh 964 964.00 844.00 Approved for 844 PHCs as per State data sheet as on 30.03.11

B6.4 Other or if not bifurcated as above(SDCH)

1 Lakh 13 13.00 13.00 Approved

B7 District Action Plans (Including Block, Village)

State Programme Implementation Plan

5 Lakhs 1 5.00 5.00 Approved


FMR Code


Physical target/

Deliverables



Remarks

District Action Plans - 27 Districts

1 lakh 27 27.00 27.00 Approved

Block Health Action Plan - 149 BPHC

20,000 149 29.80 29.80 Approved

B8 Panchayati Raj Initiative

B8.1 Constitution and Orientation of Community leader & of VHSC, SHC, PHC, CHC etc

- - 0 0 -

B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC

68200 22 Batches each of 40 participants.

15.00 15.00 Approved.

B8.3 Others – Printing of VHSC registers- 1 per VHSC

160 26312 42.10 31.57 Approved at Rs. 120 per register

B9 Mainstreaming of AYUSH

B9.1 Medical Officers at DH/CHCs/ PHCs (only AYUSH)

MO – AYUSH Existing

27,280 255 834.77 834.77 Approved

MO – AYUSH Difficult Area

33,600 32 129.02 129.02 Approved

MO- Homeo existing 27,280 50 163.68 163.68 Approved

MO – AYUSH Riverine PHC - New

26,640 50 159.84 0 Not approved in NPCC

MO – AYUSH - New 22,000 100 264.00 0

Specialist – AYUSH- New for AYUSH Wing at DH

30,000 14 18.00 0

Specialists – HOMEO- New AYUSH Wing at DH

30,000 10 18.00 0

B9.2 Other Staff Nurse/ Supervisory Nurses (for AYUSH)

B 9.3 Activities other than HR


FMR Code


Physical target/

Deliverables



Remarks

Capacity building –in-service training of AYUSH Doctors /ASHA Facilitator / LHV / Health Educator (State & District Level)

27.52 0.00 Not Approved

Medical camp 2.00 2.00 Approved

Monitoring (State Level)


B10 IEC-BCC NRHM

B.10 Strengthening of BCC/IEC Bureaus (state and district levels)

- - 0 0 -

B.10.1 Development of State BCC/IEC strategy

- - 0 0 -

B.10.2 Implementation of BCC/IEC strategy

- - 0 0 -

B.10.2.1

BCC/IEC activities for MH

- - 0 0 -

B.10.2.2

BCC/IEC activities for CH

- - 0 0 -

B.10.2.3

BCC/IEC activities for FP

- - 0 0 -

B.10.2.4

BCC/IEC activities for ARSH

- - 0 0 -

B.10.3 Health Mela 135.00 135.00 Approved

B.10.4 Creating awareness on declining sex ratio issue.

- - 0 0 -

B.10.5 Other activities

Other IEC activities- Campaign in print Media- Rs 191.55,T.V. campaign- Rs 324.96, Radio Campaign-Rs 227.27, Posters/ banners/ Hoardings – Rs 325,27 , News calendar etc- Rs 336.70, Folk Media- Rs 91.65, Video & Still

1735.90 1252.28 Other BCC activities- Campaign in print Media- Rs 191.55,T.V. campaign- Rs 324.96, Radio Campaign-Rs 227.27, Posters/


FMR Code


Physical target/

Deliverables



Remarks

coverage- Rs. 44.70 and Community Film screening- Rs 193.80

banners/ Hoardings – Rs 216.85 , News calendar etc- Rs 100.00, Folk Media- Rs 91.65, Video & Still coverage- Rs. 0.00 and Community Film screening- Rs 100.00

Other BCC activities- Formative research and Impact study- Rs 15.00, Interpersonal Communication- Rs 184.00, Workshops- Rs.291.80, Community media-Rs 201.30, Social Mobilization programme- Rs. 277.28, ASHA radio programme- Rs 54.40, Pamphlets/Leaflets/Posters- Rs. 129.73, Monitoring & Evaluation- Rs 5.00

1158.52 414.40 Other BCC activities- Formative research and Impact study- Rs 10.00, Interpersonal Communication- Rs 100.00, Workshops- Rs.100.00, Community media-Rs 100.00, Social Mobilization programme- Rs. 0.00, ASHA radio programme- Rs 54.40, Pamphlets/Leaflets/Posters- Rs. 50.00, Monitoring & Evaluation- Rs 0.00

B11 Mobile Medical Units (Including recurring expenditures)

23.1 27 District Units and 23 Sub Divisional Units

2063.00 623.70 Approved only for 27 MMU @ Rs.23.71 Lakhs as discussed in the NPCC.


FMR Code


Physical target/

Deliverables



Remarks

B12 Referral Transport

B12.1 Ambulance/ EMRI/Other models

280 795.64 795.64 Approved 20 % of the operational Cost. (Rs. 3978.47 lakh)

B12.2 Operating Cost (POL) hiring of vehicles for distribution of drugs from 27 district drug ware house to Hospitals

15,000 27 48.60 48.60 Approved

B13 PPP/ NGOs

B13.1 Nongovernmental providers of health care RMPs/ TBAs

- - 0 0 -

B13.2 Public Private Partnerships

- - 0 0 -

B13.3 NGO Programme/ Grant in Aid to NGO

Other PPP / NGOs - Boat Clinic 15 Units in 13 Districts

15 810.90 810.90 Approved

Other PPP / NGOs - Emergency boat for 5 riverine island (only recurring)

90.00 90.00

PPP with Tea Garden Hospital

7,50,000 250 1875.00 1125.00 Approved for 150 Tea Gardens as discussed in NPCC.

PPP with Charitable Hospital

15,00,000

13 195.00 90.00 Budget approved for Charitable Hospitals in 6 High Focus Districts

PPP with Vivekananda Kendra

50,00,000

1 50.00 0.00 Not Approved


FMR Code


Physical target/

Deliverables



Remarks

Mother NGO Programme

21 NGO’s in 26 Districts

215.24 215.24 Approved

Quality Assurance 7 Districts 61.52 61.52 Approved

B14. Innovations( if any)

B15 Planning, Implementation and Monitoring

B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level)

- - 0 0 -

B15.1.1

State level - - 0 0 -

B15.1.2

District level - - 0 0 -

B15.1.3

Block level - - 0 0 -

B15.1.4

Other - - 0 0 -

B15.2 Quality Assurance

NABH for 2 (Tinsukia & N Lakhimpur) DH


B15.3 Monitoring and Evaluation

B15.3.1

Monitoring & Evaluation / HMIS/MCTS.

B15.3.2

Computerization HMIS and e-governance, e-health

B15.3.3

Other M & E

2 days orientation workshop on ProMIS for District Drugs Store Manager, Data Entry Operator & MO i/c Drugs Stores

100 participants in 5 batches

5.98 5.98 Approved

Procurement of Bar Code Label - 2500000 nos.

0.40

2500000

10.00

10.00 Approved

Procurement of Desktop Computer, Printer, MS Office 2007 CD

100 68.67

68.67 Approved


FMR Code


Physical target/

Deliverables



Remarks

Internet connectivity at State HQ, District HQ, Block PHC & Drug Warehouse - 149 Block PHC , 27 District HQ, 27 District Drugs Store, CDWH, State HQ

22.03

22.03 Approved

Annual Maintenance of Computers & accessories procured before 2009 and Annual maintenance of Web site

153.08

153.08 Approved

For procurement of Printer Cartridge, Tonner, Paper, Stationary for 25 DH, 13 SDCH, 109 CHC, 1006 PHC, SPMU, 27 DPMU, 27 DDS, CDWH

185.16

185.16 Approved

Implementation of Human Resource Development and Inventory Management Software


Printing of formats and Registers

175.38

175.38 Approved

Integrated HMIS workshops on formats, registers, data quality and Mother & Child Tracking system

56.22

56.22 Approved

Review Meeting Quarterly at State HQ and Monthly at District HQ and Block PHC

118.89

118.89 Approved

B.16 PROCUREMENT

B16.1 Procurement of Equipment

B16.1.1

Procurement of equipment: MH

Partograph 50 paisa 400000 2.00 2.00 Approved


FMR Code


Physical target/

Deliverables



Remarks

MCP card Rs 9 800000 77.48 77.48 Approved

Baby Kit

Rs 300 457994 1373.98 1373.98 Approved

Sanitary napkins Rs 48,89 per p.w.

11377 5.56 0.00 Not Approved as discussed in NPCC

B16.1.2

Procurement of equipment: CH

Newborn resuscitation Kit

5000/kit 1000 kits 50.00 50.00 Approved Condition to number of facilities where deliveries are conducted and NSSK trained personnel are available.

Newborn resuscitation Kit (simple)

Rs. 4000/kit 2500 100.00 0.00 These equipments are proposed for TBAs and ANMs

IMNCI kit 500/kit 10,000 50.00 0.00 Not Approved

IMNCI implementation kit

Rs. 3000/kit 10,000 300.00 0.00 Not Approved

Procurement of equipment for Child Health - Stabilization unit

Rs. 410,000 per NBSU

274 1096.00 431.00 (Discrepancy both in terms for cost per unit and no. of units proposed) Equipment procured for 128/402 approved units in 2010-2011. 157 units proposed in 2011-2012. However equipments are being


FMR Code


Physical target/

Deliverables



Remarks

asked for 274 units, which is 117 more than proposed numbers. Cost of equipment is also too high (which should be approx. 2.75 lacs/NBSU) 157 x 2.75 lakhs =431 lakhs approved

B16.1.3

Procurement of equipment: FP

- - 0 0 -

B16.1.4

Procurement of equipment: IMEP

- - 0 0 -

B16.1.5

Procurement of Others

Equipments for hospitals newly constructed 50 PHCs, 50 Riverine PHCs

4,36,800 100 436.80 436.80 Approved

Equipments for MCH Sub Centre where RHPs posted - 274 MCH SC

1,14,545 182 208.47 208.47 Approved

Equipments - 5 KVA generator for 50 PHCs and 50 Riverine PHCs

3,89,300 100 389.30 100 Approved @ Rs 2 Lakh per generator for only 25 PHC and 25 riverine PHC

Equipments and Furniture for 2 DH (Amingaon and Musalpur)

340.00 2 437.00 437.00 Approved

Annual Maintenance Contract for Equipments

128.06 0.00 Not Approved should be done by state govt.


FMR Code


Physical target/

Deliverables



Remarks

B.16.2 Procurement of Drugs and supplies

B.16.2.1

Drugs & supplies for MH

Iron sucrose injection- under RCH

Rs 264 per amp of iron sucrose and Rs 594 per pregnant women

6943 women 41.24 41.24 Approved

B.16.2.2

Drugs & supplies for CH

Procurement of Vit. A 50,000 bottles @ Rs. 52 (100 ml Bottle)

20,94,767 children (50% of the projected total population)


Procurement of Albendazole susp.

40,00,000 bottles of 10 ml @ Rs. 4.21

20,94,767 children (50% of the projected total population)

168.40 168.40 Approved

Procurement of Zinc tablets

Rs. 0.66 per tablet

50,00,000 tablets


B.16.2.3

Drugs & supplies for FP

IUD insertion Kit 2645.00 5000 132.25 132.25 Approved

Minilap Sets 13,666.00 50 6.83 6.83 Approved

Laparoscopes 2,99,794.00 27 80.94 80.94 Approved

Silastic rings 32.50 50000 16.25 0.00 Not Approved as rings are procured and supplied by centre.

B.16.2.4

Supplies for IMEP

Procurement of supplies for IMEP Colour Coded Bags – Red 32 L

179.38 179.38 Approved


FMR Code


Physical target/

Deliverables



Remarks

Procurement of supplies for IMEP Colour Coded Bags – Yellow 32 L

179.38 179.38 Approved

B.16.2.5

General drugs & supplies for health facilities

Sub centre – Kit A (1 Kit in a year)

4987 4604 183.56 0.00 Not Approved as discussed in the sub group meeting.

Sub centre – Kit B (1 Kit in a year)

2507 4604 83.19 0.00

Drugs for MCH Sub Centre

75,000 274 205.50 205.50 Approved in principle state has to submit details of state share budget and other

requirement as per EDL.

Drugs for Primary Health Centre

2,74,000 964 2641.36 2641.36

Drugs for Community Health Centre

10,00,000 108 540.00 540.00

Drugs for Sub Divisional Civil Hospital

10,00,000 13 65.00 65.00

Drugs for District Hospital

30,00,000 25 375.00 375.00

B.17 Regional drugs warehouses

Central Drug Ware House

7.76 7.76 Approved

Drug Warehouses rental at district level


Drug Store Manager, Central Drug Warehouse Rs.24800.00 Data Entry Operator, Central Drug Warehouse Rs.12400.00 District Drug Store Manager Rs.24800.00 Data Entry Operator (Drug Store) Rs.12400.00

127.97 30.49 Drug Store Manager, Central Drug Warehouse Rs.18150 Data Entry Operator, Central Drug Warehouse Rs.7865.00 District Drug Store Manager Rs.0.00 Data Entry Operator (Drug Store) Rs.7865


FMR Code


Physical target/

Deliverables



Remarks

Amount approved at the last year proposed amount. No new recruitment as discussed in the NPCC.

B.18 New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans)

‘SARATHI-104’ - A 24 X 7 Health Information Help Line (HIHL)

476.81

238.40 Approved 50% of the proposed fund as the cost for 50 seater call center is too high. If required the additional need of fund can be met by the state Government

Village Health Outreach Programme

1145.75

0.00 Not Approved as discussed in NPCC

Outsourcing of housekeeping in 25 District Hospital

14,40,000 for a year

25 District Hospital

360.00 90.00 Proposed budget is too high. The state should utilise the


FMR Code


Physical target/

Deliverables



Remarks

existing manpower of the Hospitals for housekeeping and for additional services like laundry etc. The state may meet under state budget.

Operation Smile (Repair of 2000 cases of cleft lip / palate)

20,000 1000 200.00 100.00 The state must share the activities and performance.

Evening OPD in 216 hospital

529.4 529.4 Approved. The performance need to be monitored.

Telephone and Mobile phone expenses Recurring cost to 4592 nos. SC mobile

120.02 55.10

Approved @ Rs 100 per month as per the decision of the NPCC

B.19 Health Insurance Scheme

- - 0 0 -

B.20 Research, Studies, Analysis

Assessment of Public Private Partnership with Tea Garden Hospitals.


Evaluation on utilization of Rogi Kalyan Samiti fund at different Health Institutions


Assessment of quality of service during Village Health and Nutrition Day


Evaluation of Boat Clinic programme



FMR Code


Physical target/

Deliverables



Remarks

Assessment of ‘108’ Emergency Response


Evaluation of Civil works by IIT Guwhati


B.21 State level health resources center(SHSRC)

- - 0 0 -

B.22 Support Services

B22.1 Support Strengthening NPCB

- - 0 0 -

B22.2 Support Strengthening Midwifery Services under medical services

- - 0 0 -

B22.3 Support Strengthening NVBDCP

Vector Control


Strengthening of surveillance in char areas and in inter-state border areas


Special fever survey in 8 endemic district


Inter-state border meeting


B22.4 Support Strengthening RNTCP

Double Distillation Plant and De-mineralization Plant for IRL

5.00 5.00 Approved

Silent Generator (125 KVA)


Other equipments for IRL (UPS, Servo Voltage Stabiliser& electrical equipments etc)


Negative Pressure Room



FMR Code


Physical target/

Deliverables



Remarks

Civil Works 58.71 0.00 Not Approved

B22.5 Contingency support to Govt. dispensaries

B22.6 Other NDCP Support Programmes

B.23 Other Expenditures (Power Backup, Convergence etc)

Total 48494.57 39062.69


Annexure-III

Consolidated Approval under Immunization for FY 2011-12

FMR Code

Activities Unit Cost (where ever applicable)

Physical Target

Amount Proposed (Rs. in Lakhs)

Amount Approved (Rs. in Lakhs)

Remarks

C.1

RI Strengthening Project (Review meeting, Mobility Support, Outreach services etc

c.1.a

Mobility Support for supervision for district level officers.

Rs.50000/ Year/district level officers.

185.95 14.50

c.1.b Mobility support for supervision at state level

Rs. 100000 per year.

c.1.c Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc.

Rs. 5 beneficiaries

126.41 126.41

c.1.d Support for Quarterly State level review meetings of district officer

9.70 4.05

c.1.e

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

9.20 2.82

c.1.f Quarterly review meetings exclusive for RI at block level

37.70 27.55

c.1.g

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

46.19 46.19

c.1.h Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

505.89 505.89

c.1.i Alternative vaccine delivery in hard to reach areas

Rs. 100 per session

394.26 394.26

c.1.j Alternative Vaccine Delivery in other areas

Rs. 50 per session

32.86 32.86

c.1.k To develop microplan at sub-centre level

@ Rs 100/- per sub centre

c.1.l

For consolidation of microplans at block level

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

0.00 0.00

c.1.m POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs100,000/ district/year

138.24 27.00


c.1.n Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

5.46 1.34

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

2/bags/session

119.24

13.24

c.1.p Hub Cutter/ Bleach/ Hypochlorite solution/ Twin bucket

Rs. 900 per PHC/CHC/year

c.1.q Safety Pits - -

c.1.r State specific requirement 335.12 143.54

C.1-Sub Total 1946.21 1339.61

C.2 Salary of Contractual Staffs -Sub Total

c.2.a

Computer Assistants support for State level

Rs.12000-15000 per person per month

4.92 1.80

c.2.b Computer Assistants support for District level

8000-10000 per person per month

55.60 32.40

C.2-Sub Total 60.52 34.20

C.3 Training under Immunization

c.3.a

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

103.54 51.30

c.3.b

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

39.06 39.06

c.3.c

One day refresher traning of distict Computer assistants on RIMS/HIMS and immunization formats

2.40 0.68

c.3.d

One day cold chain handlers traning for block level cold chain hadlers by State and district cold chain officers

6.51 6.51

c.3.e One day traning of block level data handlers by DIOs and District cold chain officer

2.82 1.13

C.3-Sub Total 154.32 98.68


C.4

Cold chain maintenance Rs.500/PHC/CHCs per year District Rs.10000/year

77.27 7.44

C5 ASHA Incentives

1140.39 0.00

Approved in Part B

C6 PPI Operation Cost 893.23

TOTAL 3678.71 2373.16


Annexure-IV A

Consolidated Approval under NIDDCP for FY 2011-12

FMR Code


Physical target/ Expected output



Remarks

D.1 Establishment of IDD Control cell

7.00 7.00

D.1.a. Technical Officer

1

D.1.b. Statistical Officer

1

D.1.c. LDC Typist 1

D.2 Establishment of IDD Monitoring Lab

4.00 5.00

D.2.a. Lab Technician 1

D.2.b. Lab Assistant 1

D.3 IEC/BCC Health Education & Publicity

25.00 21.00

D.4 IDD Surveys/Re Surveys

50,000 6.00 6.00

D.5. Supply of Salt Testing Kit (form of kind grant)

Total 42.00 42.00


Consolidated Approval under IDSP for FY 2011-12 Annexure-IV B

FMR Code


Physical target/ Expected output



Remarks

E IDSP

E.1 Operational Cost

1.1 Mobility Support

1.2 Lab Consumables

1.3 Review Meetings

1.4 Field Visits

1.5 Formats and Reports

E.2 Human Resources

2.1 Remuneration of Epidemiologists

30000 100.80 97.58 The state has to recruit the vacant

contractual positions under IDSP; remuneration has been calculated accordingly.

2.2 Remuneration of Microbiologists

2.3 Remuneration of Entomologists

E.3 Consultant-Finance

3.1 Consultant-Training

3.2 Data Managers

3.3 Data Entry Operators

3.4 Others

E.4 Procurements

4.1 Procurement -Equipments NA

4.2 Procurement -Drugs & Supplies

NA

E.5 Innovations /PPP/NGOs NA

E.6 IEC-BCC Activities NA

E.7 Financial Aids to Medical Institutions

NA

E.8 Training 65.41 21.16 The training load was at the higher side and the number is curtailed.

TOTAL 814.20 269.24


Consolidated Approval under National Vector Borne Disease Control Program

Annexure-IVC

FMR Code

Activity

Unit Cost where ever

applicable

Physical target/Delivera

bles



Remarks

F.1 DBS (Domestic Budgetary Support)

F.1.1 Malaria

F.1.1.a MPW 281.52 220

F.1.1.b ASHA Honorarium 480 34

ASHA Honorarium to be calculated as per

guidelines.

F.1.1.c Operational Cost 362.68 239.8

Entomological studies and

larvivorous

fish culture and

outstanding rent.

F.1.1.d

Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility

46.32 33

The plan has to be readjusted as per

allocation

F.1.1.e IEC/BCC 47.21 34

The plan has to be readjusted as per

allocation

F.1.1.f PPP / NGO activities

F.1.1.g Training / Capacity Building

61 8

The training has also been

provided from the project

F.1.2 Dengue & Chikungunya

F.1.2.a Strengthening surveillance (As per GOI approval)


F.1.2.b Apex Referral Labs recurrent

F.1.2.c Sentinel surveillance Hospital recurrent

F.1.2.d

Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately)

F.1.2.e Monitoring/Supervision and Rapid Response

F.1.2.f Epidemic Preparedness 12

7

F.1.2.g IEC/BCC/Social Mobilization

8

F.1.2.h

Training/Workshop 0.5

F.1.3

Acute Encephalitis Syndrome (AES)/ Japanese Encephalitis (JE)

F.1.3.a

Strengthening of Sentinel Sites which will include diagnostics and management. Supply of kits by GoI

5

30.00

F.1.3.b IEC/BCC specific to J.E. in endemic areas

19.97

F.1.3.c Training specific for J.E. prevention and management

4.85

F.1.3.d

Monitoring and supervision

79.45

F.1.3.e Procurement of insecticides (Technical Malathion)

1069.98

F.1.4 Lymphatic Filariasis

F.1.4.a

State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team

21.5

90

F.1.4.b Microfilaria survey 19.39


F.1.4.c

Post MDA assessment by medical colleges (Govt. & private)/ ICMR institutions.

7.63

F.1.4.d.

Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

23

F.1.4.e.

Specific IEC/BCC at state, district, PHC, sub-centre and village level including VHSC/GKS for community mobilization efforts to realize the desired drug compliance of 85% during MDA

37.3

F.1.4.f

Honorarium to drug distributors including ASHA and supervisors involved in MDA

132

F.3 GFATM Project

F.3.a Human Resource 287.04

400.00

Activities has to be done as per

approved project

guidelines allocation may be revisited at the time of RE

F.3.b Training Cost 0

F.3.c Plannint & Administration

178.8

F.3.d Monitoring & Administration

197.57

F.3.e I.E.C / B.C.C

F.3.f Operational expenses for treatment of bed nets

F.4 Any Other item (Please Specify)

F.5

Operational Costs (Mobility, Review Meeting, communication, formats & reports)

F.6 Cash grant for decentralized commodities

F.6.a Chloroquine phosphate tablets

331.57

240.2

The

amount has been allocated as per the

F.6.b Primaquine tablets 2.5 mg

F.6.c Primaquine tablets 7.5 mg

F.6.d Quinine sulphate tablets

F.6.e Quinine Injections

F.6.f DEC 100 mg tablets


F.6.g Albendazole 400 mg tablets

availability of the funds may

be revisited at the time of RE.

F.6.h Dengue NS1 antigen kit

F.6.i Temephos, Bti (for polluted & non polluted water)

F.6.j Pyrethrum extract 2%

F.6.k. Any Other (Pl. specify)

Grant Total for grant- in – aid under NVBCP

3718.28 1336.00

Commodities to be supplied by NVBDCP

0 2547.71

Total NVBDCP (Cash + Commodities)

3718.28 3883.71


Consolidated Approval under NLEP for FY 2011-12

Annexure-IV D

FMR Code

Activity

Unit Cost /Where ever

applicable

Physical Targets/Deliverables

Amount proposed (Rs. in Lakhs)

Amount approved (Rs. in Lakhs)

Remarks

G.1.

Contractual Services

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

54500 1 each 11.88 11.88

At higher NRHM rates. Additional cost Rs. 5.58 L

District - Drivers 4500 10 districts 9.6 9.6

G.2.

Services through ASHA/USHA

Sensitization of ASHA 50 3333 1.6

1.6 As per norm

Honorarium to ASHA 300 500

150PB 250MB

0.45 1.25

0.45 1.25

At approved norms

G.3.

Office expenses & Consumables

96000 32000

1 state HQ 27 district 0.96

8.64

0.96 8.64

At approved norms

G.4.

Capacity building (Training)

4 days training of newly appointed MO (rural & urban)

29200 11 Batch

3.21

3.21

3 days training of newly appointed health worker & health supervisor

30350 307 Batch

10.00 10.00

2 days refresher training of MO

16700 287 Batch

11.72

11.72

5 days training of newly appointed Lab. Technician

24100 -

-

-

G.5

Behavioural Change Communication (IEC)

10.03 9.97

Agreed but need to be re casted toward more.

Quiz folk show, IPC workshop, Meeting of opinion leaders, Health melas

52600 10.03

Wall painting, Rallies, Hoardings etc

22850 9.97

G.6 POL/Vehicle operation & hiring

At


2 vehicles at state level & 1 vehicle 85000 2 1.7

1.7

approved norms

at district level 75000 27 20.25

20.25

G.7.

DPMR

5.02 2.18 2.00 1.00

MCR footwear, Aids and appliances, Welfare allowance to BPL patients for RCS, Support to govt. institutions for RCS

MCR - 250/- Aids/Appliance - 12500 Welfare/RCS - 10,000

2010 pairs 19 Dist. 20 cases

5.02 2.18 2.00 1.00

G.8.

Material & Supplies

11.07 11.07 Supportive drugs, lab. reagents &

52000

27 districts

equipments and printing forms

G.9.

Urban Leprosy Control

1.18 2.28

Mega city - 0, Medium city - 1, Township -4

Meg -280000 Med - 120000 Town - 57000

0 1 4

1.18 2.28

G.10. NGO - SET Scheme 50000 - -

G.11.

Supervision, Monitoring & Review

10.65

Review meetings and travel expenses 110000

4 1 state HQ+ 27 districts

11.80

G.12.

Specific-plan for High Endemic

Districts

Special Activity - 4 districts

3 Dist. Survey + Awareness

14.53 14.53

G.13 Others (maintenance of Vertical Unit, Training & TA/DA)

Total 153.40 150.28


Consolidated Approval under NPCB for FY 2011-12

Annexure-IV E

FMR Code

Activity Unit Cost

Physical Target

Proposed Amount (Rs. In Lakhs)

Amount Approved (Rs. In Lakhs)

Remarks

H.1 Recurring Grant-in aid

H.1.1 For Free Cataract Operation and other Approved schemes as per financial norms@

Rs.750/- per case

83300

624.75 624.75

(*) Approved under scheme GIA for Catops and other approved activities

H.1.2 Other Eye Diseases@ Rs.1000/- 800 8.00 8.00

H.1.3 School Eye Screening Programme@

Rs.200/- per case

4000*5 21.00 21.00

H.1.4 Private Practitioners @as per NGO norms

H.1.5 Management of State Health Society and Dist. Health Society Remuneration (salary , review meeting, hiring of vehicle and Other Activities & Contingency)

Rs.14 lakh/ Rs7 lakh

14.00

H.1.6 Management of District of Health Society

H.1.7 Recurring GIA to Eye Donation [email protected]/- and Eye [email protected]/- per pair of Eye Ball Collection

Rs.1000/- per pair and

Rs.1500/- per pair

420

3.15 3.15

H.1.8 Training 5400 75.60 0.00

Through NRHM Flexi pool

H.1.9 IEC 1 25.00 25.00

Grant –in –aid for strengthening of @ SDH

7 35.00 10.00

Approved

H.2 Non- Recurring Grant-in-aid

H.2.1 Procurement of Ophthalmic


Equipment

H.2.2 Maintenance of Ophthalmic Equipments

H.2.3 For RIO (new) @ Rs. 60 Lakh

H.2.4 For Medical College@

Rs. 40 Lakhs

1 40.00 40.00

Approved

For vision Centre @ Rs.50000/-

H.2.5 For Eye Bank @ Rs.15 lakh

1 15.00 15.00

Approved

H.2.6 For Eye Donation Centre @

Rs.1 lakh 2 2.00 2.00

Approved

H.2.7 For NGOs @ Rs.30 lakh

2 60.00 30.00

Approved

H.2.8 For Eye Wards and Eye OTS @

Rs.75 lakh

6 450.00 225.00

Approved

H.2.9 For Mobile Ophthalmic Units with tele-network @

Rs.60 lakh

H.3 Contractual Man Power

H.3.1 Ophthalmic Surgeon@

Rs.25000/- p.m

3 9.00

Approved

H.3.2 Ophthalmic Assistant @

Rs.8000/- p.m

13 12.48

Approved

H.3.3 Eye Donation Counselors @

Rs.10000/ p.m.

Total 1436.23 1039.38


Consolidated Approval under RNTCP for Assam FY 2011-12

Annexure-IV F

FMR Code.

Activity

unit cost (wherever applicable

)

Physical target/expected output

Amount Proposed

Amount Approved

Remarks

I.1 Civil works As per Revised Norms and Basis of Costing for RNTCP

1) Civil work Up gradation and maintenance completed

3501000 3001000

One time cost for 3 DTCs, 10 TUs, 14 DMCs and maintenance cost for STC, STDC, SDS, IRL, 24 DTCs, 69 TUs and 341 DMCs approved.

I.2 Laboratory materials As per Revised Norms and Basis of Costing for RNTCP

1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL OSE and Panel Testing in the year

7075000 6000000

Amount approved is as per expenditure trends and permissible norms.

I.3.a Honorarium/Counselling Charges

As per Revised Norms and Basis of Costing for RNTCP

1) All eligible Community DOT Providers are paid honorarium in all districts

4700000 2000000


I.3.b Incentives to DOT Providers

I.4 IEC/ Publicity As per Revised Norms and Basis of Costing for RNTCP

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

5203000 3000000


I.5 Equipment maintenance


1) Maintenance of Office Equipments at State/Districts and IRL equipments

4320000 2000000



I.6 Training As per Revised Norms and Basis of Costing for RNTCP

1) Induction training, Update and Re-training of all cadre of staff

4360000 1800000


I.7 Vehicle maintenance As per Revised Norms and Basis of Costing for RNTCP

1) All 4 wheelers and 2 wheelers in the state are in running condition

6559000 3800000


I.8 Vehicle hiring As per Revised Norms and Basis of Costing for RNTCP

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

5745000 1600000


I.9 NGO/PPP support As per Revised Norms and Basis of Costing for RNTCP

1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT

4166000 320000


I.10 Miscellaneous As per Revised Norms and Basis of Costing for RNTCP

1) All activities proposed under miscellaneous head in PIP completed;

7490000 5300000


I.11 Contractual services As per Revised Norms and Basis of Costing for RNTCP

1) All contractual staff appointed and paid regularly as planned;

54625200 54625200


I.12 Printing As per Revised Norms and Basis

1) All printing activities at state and district level completed

6000000 2000000

Amount approved is as per expenditure trends and


of Costing for RNTCP

permissible norms.

I.13 Research and studies As per Revised Norms and Basis of Costing for RNTCP

1) Proposed Research has been initiated or completed 500000 500000

Approved Rs.5 lacs for research and studies

I.14 Medical Colleges As per Revised Norms and Basis of Costing for RNTCP

1) All activities proposed under Medical Colleges head in PIP

3844900 2000000

Approved Rs 19.00 lacs for travel expenses and conducting STF, and rest 100% of estimated budget.

I.15 Procurement –vehicles As per Revised Norms and Basis of Costing for RNTCP

1) Procurement of vehicles completed

7150000 7735000

Approved procurement of Ten (10) 4 wheelers and Thirty three (33) 2 wheelers in accordance to revised financial norms.

I.16 Procurement – equipment


1) Procurement of equipments completed as planned; 2) Funds in the head utilized against approved amount

525000 234000

Approved procurement of 3 office equipment sets for new DTCs and IRL

I.17 Tribal Action Plan

Total 125764100 95915200

Total Funds under Additionality Head

17798000 500,000

Grand Total 143562100 96415200


ANNEX –V

List of participants of National Programme Coordination Committee of NRHM To consider the State PIP of Assam held on 04.04.11

Sl.No Name and Designation E-mail address/Phone No.

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

23061451

2 Shri Amit Mohan Prasad, JS (AMP)

[email protected] 23061195

3 Ms. Jaya Bhagat, Dir (MOHFW)

23061360

4 Dr Pradeep Halder, AC

8800495771

5 Dr P.K.Prabhakar, AC-CH (MOHFW)

23062555

6 Dr. S.K.Solanki, AC(RO)

28062421

7 Dr N.K.Aggrawal, DDG(O), NPCB

[email protected]

8 Shri. A. K. Puri, ADG(Leprosy) Nirman Bhawan

23063203

9 Dr Pradeep khanobes, CMO(IDSP) NCDC, Delhi

9868289914

10 B.R.Thapar, Jt-Dir, NVBDCP

23990008

11 Dr. Suman, T., NPCB

9818759248

12 Dr. Dilip Singh, Adviser Public (R.R.C)

9678553300

13 Himanshu Sharma, Consultant, EPW

9873872484

14 Dr. B.N.Sharetb, Consultant, RNTCP

9871105264

15 Shraddha Masih, Consultant, NRHM

[email protected]

16 Ritu Arwa, Stats Division(MoHFW)

9868329617

17 Dr. Pushkar Kumar, Consultant, MH Division

[email protected]

18 Dr. Rakesh Kumar, Consultant, RCH Division

[email protected]

19 Sanjeev Rathore, Consultant, FMG

20 Mudrila Pandey, Consultant, TMSA

[email protected]

21 Dr. Amrita Kansal, [email protected]


Consultant, FMG

22 Dr. Prayas joshi, Consultant, Stat Division

[email protected]

23 J.B.Tanwar, Consultant, NPCB

9899598396

REPRESENTATIVES FROM STATE GOVERNMENT

Sl.No Name and Designation E-mail address

1. Dr J.B. Ekka, MD Assam (NRHM)

0361-236062, 9954095488

2. Prateek Hajela, Assam

9435062180 [email protected]

3. Dr. Sandip Ghosh, SPM, Assam (NRHM)


4. Dr. Joydeep Das, SF, RRC-NE, Assam


5. Dr. P.N.BORA SPM, NRHM


6. Chandra Sekhar, SFM, NRHM Assam

Documents

F. No. M 11011/04/2011 - NRHM Government of India Ministry ...rrcnes.gov.in/pdf_ppt_zip/assam_rop_2011-12.pdf · F. No. M 11011/04/2011 - NRHM Government of India Ministry of Health