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FOREWORD
The State Programme Implementation Plan of NRHM for the year 2012-2013, seeks to intensify the State mandate on ensuring quality health care services at public health facilities in rural areas with special focus on comprehensive RCH services.
During the current year, special focus has been given for all round improvement of 700 Health Institutions at all levels and to saturate all its requirement in terms of civil infrastructure, equipments/ instruments, human resources, and capacity building to provide comprehensive RCH services , which will be made available as per the assured service package mandated for different level of institutions.
For successful implementation of all programmes / activities, special focus should be given on institutional strengthening including facility based output monitoring, extensive field monitoring and supportive supervision, implementation of CPSMS & all web based MIS. The fixed day review meetings at all levels as per PIP 2012-2013, should be organised to review all the programmes and to prepare action plan with specific timelines so as to address all gaps in programme implementation. In line with State Nodal Officer, district should also designate a nodal officer for each block for supportive supervision and to provide handholding support to the field functionaries to address all gaps and bottlenecks at the field level.
Further, rational posting and re deployment of human resource in all delivery points including capacity building should be given top priority in order to ensure availability of health care services in public health facilities.
Availability of free and quality drugs for all categories of patients in public health facilities is to be taken seriously, for proper utilization of substantial funds allocated under State budget in addition to NRHM funds. It can be ensured through timely procurement of drugs and proper supply chain management, rational prescription of drugs and prescription audit. The advantage of RSBY, State Treatment Fund including JSSK, should be mobilised efficiently to provide all types of services on free of cost to the patients attending public health facilities. All should take sincere
h facilities.
There are some critical and high budget activities like civil construction, expansion of JSSK services from 382 to in 700 delivery points, establishments of 44 NRCs, strengthening of ASHAs & GKSs, which requires constant review and monitoring for achieving the desired outputs.
Moreover, there has been an increase of 32% in the overall budget during the current year
expenditure has to be made in order to achieve 100% expenditure of the current year . Therefore, it is a huge challenge for all of us.
It is to emphasise that State will loose huge amount of funds in the next financial year due to non compliance of conditionalities like JSSK implementation, rational & equitable deployment of HR, facility wise performance audit & corrective action, successful implementation of MCTS, inter-sectoral convergence, transparency & accountability in public expenditure and recording of vital events and service delivery targets that have been fixed by Govt. of India.
Therefore, may I appeal to everybody to gear up the implementation of PIP, as per the strategies and guidelines reflected in it and to be communicated from time to time.
Shri P.K Mohapatra, IAS Commissioner-cum-Secretary to Govt.
Health & Family Welfare Deptt. Govt. of Odisha
SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
BUDGET SUMMARY 2012-13(ODISHA)
The approved budget of the State for the year 2012-13 is Rs. 107755.00 Lakh.The Details of component wise break up are as follows.
RCH -Rs. 32654.06 Lakh
Immunization -Rs. 2899.09 Lakh
IPPI -Rs. 607.99 Lakh
NRHM Initiatives -Rs. 46915.43 Lakh
NVBDCP -Rs. 1792.42 Lakh
NPCB -Rs. 853.49 Lakh
NLEP -Rs. 329.16 Lakh
RNTCP -Rs. 1458.95 Lakh
IDSP -Rs. 309.76 Lakh
NIDDCP -Rs. 99.00 Lakh
Treasury Route -Rs. 15734.00 Lakh
Drugs & other essentials- in kind -Rs. 4131.90 Lakh
Terms & Conditions
The above approval is subject to the following mandatory requirements. Please
note that non-compliance to any of the following requirement may entail audit objections & may result in withholding of grant to the implementing agency.
1. All expenditure under this sanction should be incurred with reference to the financial &
programme guidelines prescribed by the Govt, of India/Govt. of Odisha/Mission
Directorate. A certificate to this effect should accompany the UC in due course.
2. The Implementing Agency shall not make any change in allocation amongst different components/ activities without approval of Mission Director, NRHM.
3. All approvals are subject to the observations made in this document.
MMiissss iioonn DDiirreeccttoorraatteeNational Rural Health Mission, Odisha
Department of Health & Family Welfare,Government of Odisha.
SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
4. The activities which could not be taken up during any quarter due to any reason can be shifted to next quarter but not to the next financial year. All care should be taken to implement the activities as per the given time line which ensures completion of
the same within the financial year. However, in cases where activities are initiated but not
completed for any valid reasons and due to which funds could not be released, the
amount payable in such cases shall be treated as committed expenditure for the next
financial year.
5. For all the approved activities under RCH-II, NRHM initiatives & Immunisation funds will
be released to the district in the form of flexi-pool .
6. Funds under Disease Control Programmes (NVBDCP, GFATM, NLEP, NPCB,
RNTCP, IDSP) will be released separately as per the requisition of the concerned division & the same are to be spent in accordance to the approved PIP.
7. The implementing agency 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.
8. Implementing Agency shall ensure submission of details of unspent balance indicating, inter alia, funds released in advance and funds available. The implementing agency shall also intimate the interest amount earned on unspent
balance. This amount can be spent against approved activities with the approval of
MD, NRHM..
9. The implementing agency shall ensure submission of quarterly report on progress
against targets & expenditure including an analysis of adverse variances & corrective
action proposed to be taken.
10. Before asking for the next release, the statement of expenditure for the earlier
released fund should be provided to MD, NRHM by the implementing agency.
11. Release of 100% of funds for the year 2012-13 would be contigent on the agency
providing UC upto 2010-11.
12. Timely submission of statutory audit report for the year 2011-12 is must for release
of 2nd tranche of funds.
SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
13. The implementing agency has to ensure that the personal advances given for different activities at their level are settled within 15 days of completion of the activity. In case of non-settlement, the advancee should be issued a notice for settlement of the
advance in next seven days. However, if the same is not settled within the stipulated
time, the advance should be recovered from his/her salary. The guideline provided in this regard under the signature of MD, NRHM & DHS, Odisha must be strictlyfollowed.
14. The accounts of the grantee institution/ organization shall be open to inspection by the sanctioning authority, internal as well as statutory auditors & by the Comptroller &
Audit Generl of India under the provision of CAG (DPC) Act, 1971.
15. Compliance to the observations of auditor of any audit (con-current / statutory / C&AG) must be furnished within 10 days with a copy to the Mission Directorate.
The expenditure on the following items is disallowed
1. Creation of departmental / district level posts & resultant payment of
salaries.
2. Purchase of new vehicle
3. Expenditure on accounts of activities sanctioned under the State budget.
4. Any activity not approved in the PIP for this year.
.
As agreed, the following key conditionality would be enforced during the year 2012-13
Key Conditionality
1. Rationale & equitable deployment of HR with the highest priority accorded to high
focus districts & delivery points.
2. Facility wise performance audit & corrective action based theron.
Non compliance with either of the above conditionality may translate into a
reduction in outlay upto 7 ½% and non-compliance with both translating into a
reduction of up to 15%.
SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
3. Gaps in implementation of JSSK may lead to a reduction in outlay up to 10%.
Beneficiary tracking through phone calls is being carried out at GoI and State
level. Districts should also use the call centre to track at least 2% of the JSSK
beneficiaries and validate the free services rendered.
4. Continued support for 2nd ANM under NRHM would be contingent on
improvement on ANC coverage and immunization as reflected in MCTS.
5. Vaccines, logistics and other operational costs would also be calculated on the
basis of MCTS data.
IncentivesInitiatives in the following areas would draw additional allocations by way of
incentivisation of performance:
1. Responsiveness, transparency and accountability (up to 8% of the outlay). This
may be ensured through implementation of following tools.
i. Central Plan Scheme Monitoring System (CPSMS) as per the timeline.
ii. Mandatory disclosures on the following to be hosted on the website and updated
on quarterly basis.
Facility wise deployment of all contractual staff engaged under NRHM with
name and designation.
Type of vehicle, registration numbers, operating agency, monthly schedule
and contract period of each MHUs.
Types of vehicle, registration number, operating agency and contract period
for each Ambulance, Janani Express, PMU vehicles.
Beneficiary wise data base (name, address and contact number) for JSY,
Sterilization & Cataract operation.
SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
Buildings under construction/renovation - total number, name of the
facility/hospital along with costs, executing agency and execution charges
(if any), date of start & expected date of completion.
Besides above, all the documents and records relating to procurements
(goods and services) and implementation of programmes have to be made
available for public information.
2. Quality assurance (up to 3% of the outlay). District Quality Assurance Committee
must be formed and ensure quality of service delivery through regular
monitoring.
3. Inter-sectoral convergence as mentioned below (up to 3% of the outlay).
Platforms of inter-sectoral
convergence
Frequency of Meetings
Nos. Planned
Nos held
% of Achievement
GKS Once in a month
Expected 80% + achievement for incentiveRKS EC- Once in a
monthGB- Quarterly
ZSS (DHS) EC- Quarterly GB- Half yearly
District level Vigilance Mon.Com.
Quarterly once
District Health Mission
Half yearly
State Health Mission Half yearly
Executive Committee Quarterly once
Governing Body Half yearly
SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
4. Recording of vital events including strengthening of civil registration of births and
deaths (up to 2% of the outlay).
5. Creation of Public health cadre (upto 10% of the outlay)
6. Policy & systems to provided free generic medicines to all public health
institutions(upto 5% of the outlay)
The framework for implementation of NRHM to be strictly adhered to while while
implementing the approved PIP.
Mission Director, NRHM & Ex- Officio, Addl. Secy. to Govt.
Sl. No. Programme Budget Non-committed Unspent balance
2011-12
Balance proposed in 2012-
13 PIP A RCHA1 Maternal Health 7,006.212 A2 Child Health 1,233.564 A3 Family Planning 64.066 A4 Adolescent Health and Gender 959.565 A5 Urban RCH 426.960 A6 Tribal RCH 247.405 A7 PNDT Activities 22.649 A8 Human Resources 3,772.918 A9 Training 1,759.106
A10 Programme Management 4,369.669 A11 Vulnerable Groups 80.700
Total RCH Flexible Pool 19,942.812 A10 JSY 11,023.584 A11 NSV Camps 14.000 A12 Compensation for female Sterilisation 1,402.038 A13 NSV Acceptance 229.500 A14 IUD Compensation 42.120
Total RCH 32,654.054 4,507.884 28,146.170 B NRHM InitiativeB1 ASHA 3,710.459 B2 Untied Fund 3,836.339 B3 Annual Maintenance Grant 716.511 B4 Hospital Strengthening (Infrastructure ) 21,376.573 B5 New Construction / Rennovation & Setting up 792.030 B6 Corpus Grants to HMS/RKS 1,692.701 B7 District Action Plan 20.700 B8 Panchayati Raj Initiatives - B9 Mainstreaming of AYUSH 1,889.540
B10 IEC/BCC NRHM 1,217.960 B11 Mobile Medical Unit (including recurring expenditure) - B12 Referral Transport 791.666 B13 PPP/NGOs 858.970 B14 Innovations (if any) 2,565.208 B15 Planning, Implementation & Monitoring 2,022.944 B16 Procurements 3,226.675 B17 Regional drugs warehouse 297.768 B18 New Initiatives/ Strategic Interventions 708.333 B19 Health Insurance Schemes - B20 Research, Studies, Analysis - B21 State level Health Resource Center 53.378 B22 Support Services 1,067.092 B23 Other expenditure 70.587
Total NRHM Initiative 46,915.431 7,944.028 38,971.403 C Immunisation & IPPI
C1 Immunisation 2,899.101 206.431 2,692.670 C2 IPPI 607.99 - 607.990
Total Immunisation 3,507.091 206.431 3,300.660 D Disease Control Programme 1 National TB Control Programme (RNTCP) 1,458.970 187.611 1,271.359 2 National Leprosy Eradication Programme (NLEP) 329.160 4.575 324.585 3 National Disease Surveillance Programme (IDSP) 309.760 39.618 270.142 4 National Programme for Control of Blindness (NPCB) 853.493 284.593 568.900 5 National Vector Borne Disease Control Programme (NVBDCP) 5,924.32 684.239 5,240.081 6 National Iodine Deficiency Disorder Control Programme (NIDDCP) 99.000 99.000
Total Disease Control Programme 8,974.703 1,200.636 7,774.067 92,051.279 13,858.979 78,192.300 15,734.000 15,734.000 107,785.279 13,858.979 93,926.300
21,784.000 72,142.300
Less : State contribution Amount requested from GOI
Total through Society route
Budget under NRHM for the year 2012-13 (Odisha) Amount in lakhs
Director & Admin (Treasury route)GRAND TOTAL
CONTENTS
Sl. No. Component Page
PART A - (RCH II) 1. RCH - II 1-69
PART B - (NRHM Initiatives)
2. NRHM Initiatives 70-160
PART- C - (Immunisation)
3. Immunisation 161-163
PART- D - (NDCP)
4. RNTCP 164
5. NLEP 165-166
6. Integrated Disease Surveillance Project 167-169
7. NPCB 170-171
8. NVBDCP 172-207
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evie
w m
eetin
g of
trai
ners
, tra
inee
s &
HoD
of M
CH
s at
st
ate
leve
l on
EmO
C30
/bat
ch1
5
0,00
0 1
1
A1.1
.1.8
.3M
onito
rqu
ality
ofse
rvic
ede
liver
yan
dut
ilisat
ion
thro
ugh
field
vis
its b
y Q
ualit
y As
sura
nce
Com
mitt
eeFi
eld
Visi
t
-
Budg
et to
be
met
from
M
on &
Sup
of S
PMU
/ D
PMU
resp
ectiv
ely
A1.
1.2
Ope
ratio
nalis
ePH
Cs
topr
ovid
e24
-hou
rse
rvic
es(D
P of
L2)
-
A1.1
.2.1
Civ
il w
ork
per u
nit
Budg
et u
nder
B4.
Civ
il co
nstru
ctio
n
A1.
1.2.
2Eq
uipm
ent &
inst
rum
ent
Budg
et u
nder
B16
Pr
ocur
emen
tA
1.1.
2.3
Hum
an R
esou
rce
-Bu
dget
und
er H
RA
1.1.
2.4
Trai
nin g
A1.1
.2.4
.1St
reng
then
ing
of S
BA T
rain
ing
Cen
tres
at D
istri
ct/
Cap
ital h
ospi
tal&
RG
H ro
urke
lace
ntre
93
25,
000
010
100
20
A1.1
.2.4
.2Tw
o da
ys T
OT
for S
BA (S
tate
): 20
Par
ticip
ants
/ ba
tch.
(8
0)Pe
rson
s11
7
3
,500
20
200
040
A1.1
.2.4
.321
da y
s Tr
aini
ng o
f Sta
ff N
urse
s in
SBA
(600
)Pe
rson
s25
81
12,
000
150
150
150
150
600
A1.1
.2.4
.421
days
Tra
inin
g of
AN
Ms
/ LH
Vs in
SBA
(100
0)Pe
rson
s47
78
12,
000
250
250
250
250
1000
A1.1
.2.4
.521
day
s Tr
aini
ng o
f Ayu
sh D
octo
rs o
n SB
A (N
RH
M):2
00Pe
rson
s12
45
12,
000
00
8081
161
A1.1
.2.4
.6O
ne d
ays
stat
e le
vel
Ref
resh
er t
rain
ing
on S
AB fo
r m
aste
r tra
iner
s(O
&G ,
Paed
and
AD
MO
Fw
)pe
rson
s0
1,7
00
100
100
00
200
A1.1
.2.4
.73
days
Zon
al le
vel
Ref
resh
er tr
aini
ng o
f SN
/AN
Ms
of L
1 &
L2 In
stitu
tions
on
SAB
follo
win
g LS
TM m
odul
e (
Med
ical
Col
lege
and
Sel
ecte
d D
HH
)Pe
rson
0
2
,500
25
025
025
025
010
00
A1.1
.2.4
.8 o
ne D
ay R
evie
w m
eetin
g of
O&G
sp
&, A
DM
O F
W o
n SA
B30
/ Bat
ch3
5
0,00
0 0
02
02
A1.1
.2.4
.9 T
wo
days
Reg
iona
l lev
el T
OT
on p
re S
AB fo
r fac
ulty
m
emeb
ers
of A
NM
TC ,
LHVT
C \n
ursh
ing
Scho
ol a
nd
\nur
shin
g C
olle
gepe
rson
s0
3,5
00
4044
00
84
A1.1
.2.4
.10
21 d
ays
pre
SAB
train
ing
for
stud
ents
of A
NM
TC,
LHVT
C, n
ursh
ing
Scho
ol a
nd N
ursh
ing
Col
lege
(one
tim
e in
stitu
tiona
l cos
t )pe
r Iin
stitu
tion
0
15,
000
00
1011
21
Budg
et u
nder
Tra
inin
g
Budg
et u
nder
Tra
inin
g
Budg
et u
nder
HR
Pag
e 2
of 2
07
RC
H B
udge
t
Q-I
Q-II
Q-II
IQ
-IVTo
tal T
arge
t Q
-I Q
-II
Q-II
I Q
-IV
Am
ount
(Rs.
Lak
hs)
Bud
get h
ead
Uni
t of m
easu
reB
ase-
line
(cur
rent
st
atus
)
Rat
e(R
s./u
nit)
R
emar
ks
Phys
ical
Tar
get f
or th
e qu
arte
r F
inan
cial
targ
et fo
r the
qua
rter
Po
int N
o.
A1.
1.3
Ope
ratio
nalis
eM
TPse
rvic
esat
heal
thfa
cilit
ies
(Tar
get -
392
inst
itutio
n)
-
A1.1
.3.1
Prep
are
plan
for
oper
atio
nalis
atio
nac
ross
dist
ricts
(incl
udin
g tra
inin
g, e
quip
men
t, dr
ugs
& su
pplie
s, e
tc.)
-
A1.
1.3.
1.1
Equi
pmen
t
-
A1.1
.3.1
.1.1
MVA
for F
RU
(L3)
& 2
4x7(
L2)
Per u
nit
0A1
.1.3
.1.1
.2EV
A fo
r FR
Us (
L3)
Per U
nit
0
A1.1
.3.1
.2
One
day
Orie
ntat
ion
& Pl
anni
ng W
orks
hop
on M
TP
Trai
ning
for S
tate
& D
ist N
odal
Per
son,
Sta
te M
aste
r Tr
aine
rs, S
tate
Qua
lity
Assu
ranc
e ce
ll m
embe
r and
SI
H&F
W F
acul
ty a
t Sta
te L
evel
20/b
atch
4
39,
550
11
11
4
-
A1.1
.3.1
.3Tr
aini
ng o
f Med
ical
Offi
cers
in M
TP u
sing
MVA
: FR
U
and
24/7
PH
C M
O :
twel
ve w
orki
ng d
ays
dist
rict L
evel
3/ba
tch/
per
son
54
41,
625
77
88
30
-
A1.1
.3.1
.4Tr
aini
ng o
f MO
s in
MTP
usi
ng o
ther
met
hods
(suc
tion)
: on
ly fo
r FR
U M
os :
twel
ve w
orki
ng d
ays
dist
rict l
evel
3/
batc
h, p
erso
n16
5
41,
625
22
33
10
-
A1.1
.3.1
.5 3
day
s TO
T fo
r o&
G S
peci
alis
ts o
n M
TP a
s pe
r CAC
at
Sta
te L
evel
3/ba
tch
, per
son
0
41,
625
1010
100
30
-
A1.1
.3.1
.63
days
refe
resh
er tr
aini
ng o
n M
TP f
or a
lread
y C
ertif
ied
Doc
tors
at d
istri
ct le
vel
3/ba
tch
, per
son
0
41,
625
712
110
30
-
A1.
1.3.
1.7
MTP
Dru
gs
A1.1
.3.1
.7.1
Inj.
Tram
adol
HC
L-50
mg
/ ml
Per i
nj
2.50
13
550
1355
0
-
A1.1
.3.1
.7.2
Tab.
Ace
clof
enac
-100
mg
/ ml
Per t
able
t
0.30
67
7500
6775
00
-
A1.1
.3.1
.7.3
Tab.
Cef
adro
xil -
500
mg
/ Tab
Per t
able
t
3.50
67
750
6775
0
-
A1.1
.3.1
.7.4
Prov
idon
e Io
dine
Lot
ion
-5%
w/v
500
ml/B
ottle
Per b
ottle
15.
00
2710
2710
-A1
.1.3
.1.7
.5Ta
b. M
ifepr
isto
ne- 2
00m
cg/T
ab.
Per t
able
t
4
0.00
67
7567
75
-
A1.1
.3.1
.7.6
Tab.
Mis
opro
stol
-200
mg/
Tab.
Per t
able
t
6.00
27
100
2710
0
-
A1.1
.3.1
.7.7
Inj.
Etha
crid
ine
Lact
ate-
100m
l / B
ottle
Per b
ottle
55.
00
1084
1084
-A1
.1.3
.1.7
.8Fo
ley'
s C
athe
ter-
2way
Per u
nit
18.
00
1084
1084
-
A1.
1.4
Ope
ratio
nalis
e R
TI/S
TI s
ervi
ces
at h
ealth
faci
litie
s
-
A1.1
.4.1
Trai
ning
of M
edic
al O
ffice
rs in
RTI
/STI
(175
doc
tors
) :
Two
days
at Z
onal
leve
l25
/bat
ch41
6
70,
453
44
8
-
A1.1
.4.2
Trai
ning
of S
N/L
HV/
ANM
in R
TI/S
TI: T
wo
days
at
Dis
trict
leve
l for
Blo
ck le
vel P
artic
ipan
ts.
25/b
atch
1500
3
4,63
5 3
78
321
-
A1.1
.4.3
Trai
ning
of L
Ts in
RTI
/STI
(60)
at S
tate
Lev
el fo
r 2 d
ays
10/b
atch
2
5,00
0 4
44
12
-
A1.1
.4.4
RTI
/STI
Dru
gsBu
dget
und
er
Proc
urem
ent
A1.1
.4.5
Men
torin
g-
TA/D
A(a
spe
rac
tual
)&
hona
rariu
m@
rs.5
00/-
per c
linic
to m
ento
rsPe
r vis
it
2
,000
59
5960
6023
8
-
Tobe
met
out
of S
PMU
Pr
og. M
gt. c
ost
A1.1
.4.6
Infra
stru
ctur
est
reng
then
ing
(aud
itory
&vi
sual
priv
acy
atO
PD)
Per i
nst.
3
0,00
0 47
647
6M
et o
ut o
f RKS
fund
A1.1
.4.7
IEC
/BC
C a
ctiv
ities
Intig
rate
d in
oth
er M
H
activ
ities
A1.1
.4.8
Bi-m
onth
ly C
onve
rgen
ce m
eetin
gM
et fr
om p
rog.
Mgt
. cos
t of
SPM
U
A1.
1.5
Ope
ratio
nalis
esu
b-ce
ntre
s(T
arge
t-63
L1fu
nctio
nal
MC
HD
P+
81no
n-M
CH
func
tiona
lDP
+9
atst
rate
gic
loca
tion
= 15
3)
-
A1.
1.5.
1Pr
epar
epl
anfo
rop
erat
iona
lisin
gse
rvic
esat
sub-
cent
res
(for
ara
nge
ofR
CH
serv
ices
incl
udin
gan
tena
tal c
are
and
post
nat
al c
are)
-
A1.1
.5.1
.1N
ew c
onst
ruct
ion
Per
Sub
Cen
tre16
-Bu
dget
und
er C
ivil
cons
truct
ion
Com
mitt
ed b
udge
t
Budg
et u
nder
Pr
ocur
emen
t
Bud
get u
nder
Tra
inin
g
Bud
get u
nder
Tra
inin
g
Pag
e 3
of 2
07
RC
H B
udge
t
Q-I
Q-II
Q-II
IQ
-IVTo
tal T
arge
t Q
-I Q
-II
Q-II
I Q
-IV
Am
ount
(Rs.
Lak
hs)
Bud
get h
ead
Uni
t of m
easu
reB
ase-
line
(cur
rent
st
atus
)
Rat
e(R
s./u
nit)
R
emar
ks
Phys
ical
Tar
get f
or th
e qu
arte
r F
inan
cial
targ
et fo
r the
qua
rter
Po
int N
o.
A1.1
.5.1
.2R
epai
r ren
ovat
ion
Per
Sub
Cen
tre
-
Budg
et u
nder
OH
SP &
13
th F
C
A1.1
.5.1
.3An
nual
Mai
nten
ance
Gra
ntto
SCs
allD
Ps(1
44-1
6ne
wpr
opse
d =
128)
Per
Sub
Cen
tre
10,
000
128
Budg
et u
nder
AM
G-S
C,
NR
HM
Initi
ativ
esA1
.1.5
.1.4
SBA
train
ing
Budg
et u
nder
Tra
inin
gA1
.1.5
.1.5
Rem
uner
atio
n fo
r Add
l. AN
M
Budg
et u
nder
HR
A1.1
.5.1
.6M
onito
ring
& su
perv
isio
n
-
-C
ost u
nder
Pla
nn.,
Imp
& M
ont.
8.7
1
8.
71
8
.71
8.72
3
4.85
A
1.2
Stre
n gth
enin
g R
efer
ral T
rans
port
atio
n A
1.2.
1Ja
nnan
i Exp
ress
A1.2
.1.1
Ong
oing
per m
onth
1
8,00
0
43
4
434
434
434
434
2
34.3
6
234.
36
234.
36
23
4.36
937
.44
A1.2
.1.2
New
per m
onth
1
8,00
0
32
3
2
3
2
-
-
1
7.28
17.
28
34.
56
A1.2
.1.2
Ambu
lanc
e
Gov
t. am
bula
nce
to b
e ut
ilised
. Per
km
cos
t as
deci
ded
in Z
SS to
be
met
ou
t of 1
st/2
nd re
ferr
al
cost
.
A1.2
.1.3
Empa
nnel
ed p
rivat
e ve
hicl
e
Hiri
ng c
ost p
er c
ase
(dec
ided
thro
ugh
com
pita
tive
bidd
ing)
in
clud
ing
DO
L to
be
met
ou
t of 1
st/ 2
nd re
ferr
al
cost
.
A1.2
.1.4
Bran
ding
of J
EPe
r JE
1
0,00
0
17
5
175
17.
50
-
-
-
1
7.50
Add
l. re
quire
men
t if a
ny,
may
be
met
out
of J
SY
cont
igen
cy fu
ndA1
.2.2
GPS
Tra
ckin
g (J
Es &
Am
bula
nces
)Pe
r uni
t
30,
000
532
5
32
159
.66
-
-
-
159
.66
A1.2
.3C
all
cent
erat
dist
rict
leve
l(s
ingl
eco
ntac
tnu
mbe
rfo
ren
tire
Stat
e)Pe
r dis
t p.m
.
30,
000
30
30
30
30
30
2
7.00
27.
00
27.
00
2
7.00
108
.00
Fina
nlis
atio
n of
rate
per
un
it pe
r mon
th to
be
mad
e th
roug
h co
mpi
tativ
e bi
ddin
g
A1.
2.4
Bas
ictr
aini
ngto
Driv
ers
onm
anag
emen
tof
emer
genc
ies
A1.2
.4.1
Stat
e le
vel T
OT
Pe
r bat
ch
135,
200
3
3
-
-
4
.06
-
4.
06
A1.2
.4.2
Dis
trict
leve
l bas
ic tr
aini
n g to
Driv
ers
Per b
atch
5
4,00
0
15
1
5
-
-
8.1
0
-
8.10
438.
52
26
1.36
29
0.80
278.
64
1,2
69.3
2 A
1.3
Inte
grat
ed o
utre
ach
RC
H s
ervi
ces
-
-
A1.3
.1R
CH
cam
ps in
hig
h fo
cus
dist
rcts
Not
pro
pose
dA
1.3.
2Vi
llage
Hea
lth a
nd N
utrit
ion
Day
s
A1.3
.2.1
Mic
ro p
lann
ing
To b
e pl
anne
d at
Sec
tor
mee
ting
A1.3
.2.2
Equi
pmen
t&
inst
rum
ent
(as
requ
ired)
-BP
inst
rum
net,
Hem
oglo
bino
met
er,
Wei
ghin
gsc
ale,
Ther
mom
eter
&ex
amin
atio
n ta
ble
with
cor
tain
ed p
artit
ion
Met
from
SC
UF
A1.3
.2.3
Mai
nten
ance
of e
quip
men
t & in
stru
men
t on
regu
lar b
asis
Cos
t in
SEM
U
A1.3
.2.4
Con
sum
able
sfo
rba
sic
esse
ntia
lte
stto
bedo
neat
VHN
D (R
DK
kit t
o be
sup
plie
d by
Gov
t.)Pe
r SC
p.m
50
6688
6688
6688
6688
6688
To b
e m
et o
ut o
f JSS
K di
gnos
tic c
ost
A1.3
.2.5
Bran
ding
of V
HN
D (P
roto
type
to b
e pr
ovid
ed b
y St
ate)
Met
for G
KS U
F.
A1.
3.2.
6C
omm
unity
resp
onse
& p
artic
ipat
ion
Sub-
tota
l A1.
1
Incl
usiv
e of
hiri
ng c
ost o
f ve
hicl
e (to
be
deci
ded
thro
ugh
com
pita
tive
bidd
ing)
& in
cent
ive
to
Driv
er
Sub-
tota
l A1.
2
Pag
e 4
of 2
07
RC
H B
udge
t
Q-I
Q-II
Q-II
IQ
-IVTo
tal T
arge
t Q
-I Q
-II
Q-II
I Q
-IV
Am
ount
(Rs.
Lak
hs)
Bud
get h
ead
Uni
t of m
easu
reB
ase-
line
(cur
rent
st
atus
)
Rat
e(R
s./u
nit)
R
emar
ks
Phys
ical
Tar
get f
or th
e qu
arte
r F
inan
cial
targ
et fo
r the
qua
rter
Po
int N
o.
A1.3
.2.6
.1AS
HA
Ince
ntiv
efo
rm
obiliz
atio
nof
min
imum
80%
targ
eted
beni
ficia
ries
per
sess
ion
toVH
ND
inhi
ghfo
cus
dist
ricts
Per A
SHA
per
mon
thly
ses
sion
1
00
1505
015
050
1505
015
050
6020
0
-
A1.3
.2.6
.2AS
HA
Ince
ntiv
efo
rm
obiliz
atio
nof
min
imum
80%
targ
eted
beni
ficia
ries
per
sess
ion
toVH
ND
inno
nfo
cus
dist
ricts
Per A
SHA
per
mon
thly
ses
sion
50
1557
315
573
1557
315
573
6229
2
-
A1.3
.2.7
Org
anis
atio
n co
st fo
r VH
ND
ses
sion
Pe
r ses
sion
per
m
onth
1
00
6019
860
198
6019
860
198
2407
92
144.
48
14
4.48
14
4.48
144.
48
5
77.9
0
Tota
l ses
sion
pla
nned
per
m
onth
- 60
198.
Budg
eted
80%
A1.3
.2.8
Prin
ting
of V
HN
D re
porti
ng fo
rmat
sBu
dget
und
er N
RH
M
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acy
14
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48
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48
14
4.48
577
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A1.
4Ja
nani
Sur
aksh
a Yo
jana
-
-A
1.4.
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ome
deliv
erie
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r Ben
ifici
ary
5
00
1549
415
494
1549
415
494
6197
6
77.
47
7
7.47
7
7.47
77.
47
3
09.8
8 A
1.4.
2In
stitu
tiona
l del
iver
ies
A1.4
.2.a
Rur
al
Per B
enifi
ciar
y
1
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13
4576
1345
7613
4576
1345
7653
8304
1,88
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06
1,
884.
06
1,88
4.06
7
,536
.26
A1.4
.2.b
Urb
an
Per B
enifi
ciar
y
1
,000
33
643
3364
333
643
3364
513
4574
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43
336.
43
33
6.45
1
,345
.74
A1.4
.2.c
Hiri
n g o
f exp
erts
Per E
xper
t
1
,500
50
050
050
050
020
00
-
A1.4
.3
Adm
inis
tativ
e co
st -
Tobe
spen
ton
IEC
,fie
ldva
lidat
ion/
mon
itorin
g,of
fice
expe
nses
,re
cord
stor
age
&m
aint
enan
ceet
c.Pr
intin
gco
stw
illno
tbe
requ
ired
asJS
Yca
rdha
sbe
enin
tegr
ated
with
MC
PC fr
om 2
011-
12
2
7.29
27.
29
27.
29
2
7.29
109
.14
A1.4
.4AS
HA
pack
age
(Rur
al)
Per A
SHA
3
50
1076
6110
7661
1076
6110
7661
4306
44
376.
81
37
6.81
37
6.81
376.
81
1,5
07.2
5
A1.4
.5AS
HA
pack
age
(Urb
an)
Per A
SHA
2
00
2691
426
914
2691
426
914
1076
56
53.
83
5
3.83
5
3.83
53.
83
2
15.3
1 To
tal J
SY
2 ,
755.
89
2,75
5.89
2,75
5.89
2,
755.
91
11,0
23.5
8
2,
755.
89
2,75
5.89
2,75
5.89
2,
755.
91
11,0
23.5
8
A1.4
.6Ac
crid
atio
n of
priv
ate
inst
itutio
ns fo
r Ins
t. D
el. &
FP
serv
ices
- M
obilit
y su
ppor
t to
the
appr
isal
team
Pe
r blo
ck
1
,000
94
94Bu
dget
und
er P
lan.
, mon
t &
sup.
A1.
5M
ater
nal D
eath
Rev
iew
(MD
R)
A1.5
.1AS
HA
ince
ntiv
efo
rre
porti
ngof
mat
erna
lde
ath
(15
to49
yr)
Per c
ase
50
330
330
330
330
1320
0.1
7
0.
17
0
.17
0.17
0.66
A1.5
.2In
cent
ive
for i
nves
ti gat
or
Per c
ase
3
00
200
200
200
200
800
0.6
0
0.
60
0
.60
0.60
2.40
A1.5
.3In
cent
ive
tofa
mily
mem
bers
(2pe
rson
)fo
rde
ceas
edw
oman
for M
DR
mee
ting
at d
istri
ct le
vel
Per c
ase
4
00
400
400
400
400
1600
1.3
2
1.
32
1
.32
1.32
5.28
Bu
dget
ed 8
2.5%
A1.5
.4O
neda
yfa
cilit
yba
sed
train
ing
for
MO
s(in
stitu
tions
expe
cted
tore
ach
500
mar
k+
MC
Hs
+Pv
t.H
osps
.)at
Stat
e le
vel
15/b
atch
17
22,
500
40
00
4
-
A1.
5.5
Qua
rter
lyVi
deo
conf
eren
ceon
MD
Rst
atus
revi
ewat
Stat
e le
vel e
xpen
ses
A1.5
.5.1
AtSt
ate
leve
lexp
ense
s(H
onar
irum
for
anal
ysis
ofM
DR
case
shee
tsto
sele
cted
Prof
.fro
mM
CH
&di
scus
sion
)To
talM
DR
case
wou
ldbe
1560
butS
tate
plan
sto
revi
ewat
leat
30%
cas
es
Per c
ase
0
500
11
711
711
711
746
8
-
A1.5
.5.2
At d
istri
ct le
vel
Per m
eetin
g0
5
00
3030
3030
120
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.6H
alf y
early
Sta
te ta
sk fo
rce
mee
ting
Per m
eetin
g2
1,0
00
11
2
-
2.0
9
2.
09
2
.09
2.09
8.34
A
1.6
Oth
er s
trat
egie
s/ac
tiviti
es
-A
1.6.
148
hou
r sta
y af
ter d
eliv
ery
Budg
et u
nder
HR
. App
rx.
73%
of A
SHAs
(of t
otal
se
ssio
n he
ld) a
re
expe
cted
to q
ualif
iy a
s pe
r cr
iteria
for i
ncen
tive
Sub-
tota
l A1.
5
Sub-
tota
l A1.
4
Base
d on
dis
trict
wis
e pr
ojec
tion
(atta
ched
in
writ
e-up
) - In
crea
sed
targ
et b
y 20
% o
ver l
ast
year
pro
ject
ion
ASH
A in
cent
ive
will
not b
e pr
ovid
ed fo
r del
iver
y at
ac
crid
ated
inst
s.),
all
wom
en m
ay n
ot b
e ac
com
pane
d by
ASH
A,
henc
e 80
% b
udge
ted
Sub-
tota
l A1.
3
Bud
get u
nder
Tra
inin
g
Pag
e 5
of 2
07
RC
H B
udge
t
Q-I
Q-II
Q-II
IQ
-IVTo
tal T
arge
t Q
-I Q
-II
Q-II
I Q
-IV
Am
ount
(Rs.
Lak
hs)
Bud
get h
ead
Uni
t of m
easu
reB
ase-
line
(cur
rent
st
atus
)
Rat
e(R
s./u
nit)
R
emar
ks
Phys
ical
Tar
get f
or th
e qu
arte
r F
inan
cial
targ
et fo
r the
qua
rter
Po
int N
o.
A1.6
.1.1
Cou
nsilin
gse
rvic
es(B
yN
RC
Cou
nsel
lorw
here
NR
Cco
-ex
ists
& a
t oth
er in
stitu
tion
by tr
aine
d se
rvic
e pr
ovid
ors)
A1.
6.1.
2Po
stPa
rtum
Hom
eat
4di
stric
ts(B
arag
arh,
Bol
angi
r,M
alka
nagi
ri &
Sun
darg
arh)
A1.6
.1.2
.1R
ecur
ring
cost
Pe
r ins
t per
qu
arte
r
265,
500
02
44
-
-
4
.84
9.68
1
4.52
Po
stna
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ome
(Ann
x-1) Bu
dgte
d 91
%A1
.6.1
.2.2
Non
-Rec
urrin
g co
stPe
r ins
t
100,
000
44
-
4.00
-
-
4.
00
A1.6
.1.3
Hon
ariru
m to
YAS
OD
Ape
r mon
th
3
,000
15
915
915
915
915
9Bu
dget
und
er S
uppo
rt Se
rvic
e
A1.6
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IEC
/BC
Con
them
atic
area
"48h
rsst
ayaf
ter
deliv
ery
inho
spita
l"Bu
dget
und
er IE
C
A1.
6.2
Trai
ning
on
MC
P ca
rdA1
.6.2
.1Tw
o da
ys T
oT o
n M
CP
card
at S
tate
& d
istri
ct le
vel
Per p
artic
ipan
t64
50
-
00
00
0
-
A1.6
.2.2
Two
days
trai
ning
of H
W(F
) on
MC
P ca
rd a
t blo
ck le
vel
30/b
atch
200
2
6,10
0 79
00
079
-
A1.6
.2.3
Hal
fyea
rly C
onve
rgen
ce m
eetin
g of
&he
alth
& W
CD
de
partm
ent a
t Sta
te le
vel f
or \o
ne d
ay
30/b
atch
0
1
0,00
0 1
01
02
-
A1.6
.2.4
Prin
ting
of M
CP
card
Per c
ard
8
1300
000
1300
000
Bud
get u
nder
NR
HM
Ad
voca
cy
A1.
6.3
HIV
/AID
S Pr
o gra
mm
e In
tigra
tion
A1.6
.3.1
Who
le B
lood
Fin
ger P
rick
Test
kit
25
1
80,0
00
1800
00Bu
dget
und
er
Proc
urem
ent
A1.6
.3.2
Trai
nin g
on
Pric
king
test
Exis
ting
plat
form
A1.6
.3.3
ASH
A in
cent
ive
for m
obilis
ing/
ens
urin
g of
pre
gnan
t w
omen
for H
IV te
stin
gpe
r ASH
A pe
r be
nific
iary
.
100
81
000
8100
081
000
8100
032
4000
-
A1.6
.3.4
ASH
A in
cent
ive
for e
nsur
ing
inst
ituta
iona
l del
iver
y of
HIV
po
sitiv
e Pr
egna
nt w
omen
per A
SHA
per
beni
ficia
ry.
5
00
9797
9797
388
-
A1.6
.3.5
Ince
ntiv
e to
pos
itive
pre
gnan
t wom
en in
stitu
taio
nal
deliv
ery
abov
e JS
Y Pe
r ben
ifici
ary
5
00
9797
9797
388
-
A1.
6.4
Add
ress
ing
Mat
erna
l Mal
nutr
ition
A1.6
.4.1
IFA
supp
limen
tatio
n (IF
SO p
rogr
amm
e)Bu
dget
und
er
Proc
urem
ent
A1.
6.4.
2IV
iron
suc
rose
(2 H
FDs
in fo
cus)
A1.6
.4.2
.1R
efer
ral f
or in
stitu
tiona
l car
e fo
r ben
ifici
ary
(ave
rage
4
times
per
cas
e)Pe
r vis
t
250
37
837
837
837
815
12
0
.95
0.95
0.9
5
0.
95
3.
78
A1.6
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.2Ac
com
anyi
ng c
ost t
o AS
HA
Per v
ist
50
378
378
378
378
1512
0.1
9
0.
19
0
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0.19
0.76
A1.6
.4.2
.3In
cent
ive
to A
SHA
for r
ecov
erin
g ca
ses
Per c
ase
2
00
7676
7676
304
-M
et o
ut o
f SC
Unt
ied
Fund
A1.
6.4.
2.4
Proc
urem
ent f
or IV
iron
suc
rose
A1.6
.4.2
.4.1
Iron
Sucr
ose
[415
800
+10
%=
4199
58m
gms
say
4200
00m
gms
=42
00Am
p.,
100
mg/
5m
l.&
5m
l./Am
p.]
Per u
nit
1
50
4200
4200
-
A1.6
.4.2
.4.2
I.V S
odiu
m C
hlor
ide
(Nor
mal
Sal
ine)
: 10
0 m
l.Pe
r uni
t
6.50
22
6876
2268
76
-
A1.6
.4.2
.4.3
IV S
etPe
r uni
t
5
37
8137
81
-
A1.
6.4.
2.5
Mo
Mas
ari s
chem
e in
hig
h fo
cus
high
bud
ern
dist
ricts
A1.6
.4.2
.5.1
Mo
Mas
riSc
hem
e(D
oubl
esi
zeLL
INne
tto
preg
nant
wom
enin
8hi
ghM
MR
with
high
mal
aria
dist
rict
-G
ajap
ati,
Kand
ham
al,
Boud
h,N
uapa
da,
Kala
hand
i,R
ayag
ada,
Kor
aput
& M
alka
nagi
ri)
Per n
et
300
13
3066
1330
66To
be
met
out
of k
ind
gran
t fro
m G
oI u
nder
N
VBD
CP
A1.6
.4.2
.6Be
nific
ary
cont
ribut
ion
toAS
HAs
for
esta
blis
hmen
tin
door
hou
seho
ld la
rtins
(BPL
cas
es)
Per c
ase
3
00
1128
911
289
-
50%
bud
gete
d of
tota
l ta
rget
(225
77) c
ase
this
ye
ar. B
udge
ted
unde
r AS
HA
A1.
6.5
SBA
ser
vice
s in
diff
icul
t are
a
Bud
get u
nder
Tra
inin
g
Budg
et u
nder
HR
Budg
et u
nder
Pr
ocur
emen
t
Pag
e 6
of 2
07
RC
H B
udge
t
Q-I
Q-II
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-IVTo
tal T
arge
t Q
-I Q
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Q-II
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-IV
Am
ount
(Rs.
Lak
hs)
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get h
ead
Uni
t of m
easu
reB
ase-
line
(cur
rent
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atus
)
Rat
e(R
s./u
nit)
R
emar
ks
Phys
ical
Tar
get f
or th
e qu
arte
r F
inan
cial
targ
et fo
r the
qua
rter
Po
int N
o.
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Ince
ntiv
eto
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for
cond
uctin
gde
liver
ies
in18
2V4
SCar
ea (b
oth
inst
itutio
nal &
hom
e).
Per c
ase
2
00
2730
2730
2730
2730
1092
0
5
.46
5.46
5.4
6
5.
46
21.
84
A1.
6.6
Ref
erra
l & m
anag
emen
t of h
igh
risk
preg
nanc
ies
A1.6
.6.1
Asse
ssm
ent o
f hig
h ris
k ca
ses
ANM
to ta
ke-u
p
A1.6
.6.2
Ref
erra
lfo
rm
anag
emen
tof
high
risk
preg
nanc
yot
herth
anca
ses
refe
rred
for
iron
sucr
ose
supp
limen
tatio
n at
inst
itutio
n (a
vera
ge th
rice)
Per c
ase
5269
252
692
5269
252
692
2107
68To
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met
out
of J
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st
refe
rral
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t
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gs &
logi
sitic
for i
nstit
utio
nal t
reat
men
tM
et o
ut o
f JSS
K dr
ug
budg
et
A1.6
.6.4
Ince
ntiv
eto
ASH
A&
ANM
(Rs.
50/-
each
)fo
rfa
cilit
atio
n&
mob
ilisat
ion
ofid
entif
ied
high
risk
case
sfo
rtre
atm
ent
at in
stitu
tion
Con
ditio
nalit
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atte
nded
inst
itutio
nm
inim
umon
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ring
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erio
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deliv
ery
at in
stitu
tion
Per c
ase
1
00
6640
6640
6640
6640
2656
0
6
.64
6.64
6.6
4
6.
64
26.
56
Budg
eted
for 3
0% o
f hig
h ris
k ca
ses.
1
3.23
17.
23
18.
07
2
2.91
7
1.45
A
1.7
JSSK
(fo
r Pre
gnan
t Wom
en)
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Dru
gs&
Con
sum
able
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ther
than
refle
cted
inPr
ocur
emen
t ) (o
nly
for P
ublic
inst
s.)
20%
of t
he b
udge
t met
fro
m S
tate
bud
get
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For n
orm
al d
eliv
ery
Per c
ase
3
50
1585
0015
8500
1585
0015
8500
6340
00
554.
75
55
4.75
55
4.75
554.
75
2,2
19.0
0 A1
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r C-s
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r cas
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1
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000
14
4.00
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00
144.
00
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4.00
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iagn
ostic
sPe
r cas
e
50
16
7500
1675
0016
7500
1675
0067
0000
8
3.75
83.
75
83.
75
8
3.75
335
.00
A1.
7.3
Blo
od T
rans
fusi
on
A1.7
.3.1
Free
bloo
d-
unit
cost
ofbl
ood
may
vary
(dep
end
onN
ACO
supp
ly)
henc
epa
ymen
tm
aybe
mad
eas
per
advi
ce o
f BB/
BSU
MO
Per u
nit
3
00
1260
012
600
1260
012
600
5040
0
37.
80
3
7.80
3
7.80
37.
80
1
51.2
0
A.1
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D
iet
Det
ails
in w
rite-
u p.
A.1.
7.4.
1D
iet
toD
Ps(P
HC
(N)
&SC
)w
ithou
tsa
nctio
ned
bed
stre
ngth
(@R
s.50
/- pe
r day
x 3
day
s)Pe
r cas
e
150
11
250
1125
011
250
1125
045
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1
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ade
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Pag
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07
RC
H B
udge
t
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arge
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ount
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ead
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ase-
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rent
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or th
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arte
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inan
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et fo
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o.
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I
A2.1
.1Pr
epar
ede
taile
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rIM
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ross
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udin
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plet
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1.1.
1Fa
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sed
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CI t
rain
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even
day
s tra
inin
g on
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ll 17
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55
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udge
t und
er N
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.3Pr
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ays
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ays
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onito
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150
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300
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Prin
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ats
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ats,
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ats
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ats
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Eigh
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ased
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