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FOREWORD - National Health Mission Odisha PIP 2012-13.pdf · rural areas with special focus on comprehensive RCH services. During the current year, special focus has been given for

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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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