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2013
Ministry of Health & Family
Welfare, Government of India
APPROVAL OF STATE PROGRAMME
IMPLEMENTATION PLAN 2013-14: TRIPURA
Preface
FY 2012-13 has been a year of intense activity: States have responded very positively to
conditionalities and incentives, programme management has been strengthened with the
appointment of nodal persons for each thematic areas and introduction of Score Cards, JSSK
has made further inroads, RBSK has been initiated and Child Survival Summit at
Mahabalipuram provided an opportunity to take stock of our achievements and reflect on the
challenges ahead.
I suggest that 2013-14 is treated as the “YEAR OF CONSOLIDATION” with focus on increased
effectiveness and efficiency.
I would also like to draw your attention towards nursing which is the backbone of the public
health but has remained on the backburner for the sometime. FY 2012-13 should be “dedicated
to strengthening of the nurse cadre”. I would urge you to fill up all vacant positions of ANMs,
Nurses, LHVs and PHNs and ensure that they become an integral part of planning,
implementation and monitoring.
Effective monitoring and supportive supervision has the potential to yield tangible gains in a
relatively short period of time but is still our weakest link. More meaningful use of HMIS and
MCTS is way forward. We will be routinely using both HMIS and MCTS including Score Cards
for all our reviews.
I am confident that under the able leadership of State Health Secretaries and Mission Directors
the country would make visible progress in making the goal of “Health for All” a reality.
Anuradha Gupta
Additional Secretary & Mission Director, NRHM
M-11011/6/2013-NRHM-III
Government of India
Ministry of Health & Family Welfare
(National Rural Health Mission)
Nirman Bhavan, New Delhi
Dated 12th June, 2013
To,
The Mission Director, NRHM
State Health & Family Welfare Society,
Health Directorate Building,
Government of Tripura,
3rd
Floor, Pt. Nehru Complex,
Agartala- 799006, West Tripura.
Subject: Approval of NRHM State Programme Implementation Plan for the year 2013-14
Sir,
This refers to the Programme Implementation Plan for the year 2013-14 submitted by the State
and subsequent discussions in the NPCC meeting held on May 10th, 2013 at New Delhi.
Against a resource envelope of Rs. 192.12 Crores, the administrative approval of PIP for your
State is conveyed for an amount of Rs.114.89 Crores. Details are provided in Table A, B and C below.
Uncommitted and unspent balance available under NRHM as on 01.04.2013 is also a part of the resource
envelope.
TABLE- A
Rs. Crores
Uncommitted unspent balance available under NRHM as on 1.4.2013 18.98
GOI Resource Envelope for 2013-14 under NRHM
(assuming no reduction on account of conditionalities)
140.24
Assuming 10% incentive based on performance 15.58
Total GoI Support 155.83
10% State Share (2013-14) 17.31
Total 192.12
Note- : ROP Envelope excludes NPCB
TABLE- B
(Rs. in Crore)
Sr.No Programme GoI Allocation under
NRHM
1 RCH Flexible Pool 49.19
2 NRHM Flexible Pool 55.75
3 Immunization (from RCH Flexible Pool) 2.01
4 NIDDCP 0.66
5 IDSP 0.17
6 NVBDCP 17.80
7 NLEP 0.21
8 RNTCP 5.84
9 Infrastructure Maintenance including Direction &
Administration 22.72
10 PPI Operational cost 1.46
Total GoI Allocation 155.83
10% state share 17.31
Uncommitted Unspent Balance 18.98
Grand Total 192.12
Committed Unspent Balance: Rs. 33.75 Crore
*The State share against the treasury route transfers needs to be contributed in to the account of State
Health Society may be utilised by the State as per their prerogative.
TABLE- C
SUMMARY OF APPROVAL
Sr.
No Scheme/Programme
Approved Amount (Rs.
Crores) Annex ref
1. RCH Flexipool 24.49 Annexure 1
2. NRHM Flexipool 45.18 Annexure 2
3. Immunization and PPI operation cost 3.66 Annexure 3
4. NIDDCP 0.66 Annexure 4A
5. IDSP 0.81 Annexure 4B
6. NVBDCP 13.70 Annexure 4C
7. NLEP 0.24 Annexure 4D
8. RNTCP 3.41 Annexure 4E
9. Infrastructure maintenance (Treasury route) 22.72
TOTAL 114.89
3. State to convey the district approvals to the districts within 15 days of receiving the State RoP
approvals. High priority districts must receive at least 30% more budget per capita compared to the other
districts.
4. All buildings supported under NRHM should prominently carry NRHM logo in English/ Hindi &
regional languages.
5. All ambulances to be branded as „National Ambulance Services‟ and adhere to the colour, design
and logo as communicated by MOHFW.
6. All MMU to be branded as „National Mobile Medical Unit‟ and adhere to the colour, design and
logo scheme as communicated by MOHFW.
7. The support under NRHM is intended to supplement and support and not to substitute state
expenditure. All the support for HR will be to the extent of positions engaged over and above the regular
positions.
Release of funds
8. Action on the following issues would be looked at while considering the release of second tranche
of funds:
Compliance with conditionalities.
Physical and financial progress made by the State as communicated through the FMR.
Release of 10% of the State share, based on updated release of funds by Government of
India, to the account of the State Health Society.
Timely submission of Statutory Audit Report and Utilization Certificates for the year 2011-
12 for the release of first installment,
Timely submission of Statutory Audit Report for the year 2012-13 for the release of 2nd
installment.
Performance on key conditionalities including mandatory disclosures and incentives will
determine the final release.
Compliance of the provisions of the extant MoU between GOI, MOHFW and the State
Government.
Other aspects
9. State shall ensure submission of quarterly report on physical progress against targets and
expenditure including an analysis of adverse variances and corrective action proposed to be taken.
10. The State shall not make any change in allocation among different budget heads
without approval of GoI.
11. The accounts of State/ grantee institution/ organization shall be open to inspection by the
sanctioning authority and audit by the Comptroller& Auditor General of India under the provisions of
CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health &
Family Welfare.
12. State shall ensure submission of details of unspent balance indicating inter alia, funds released in
advance & funds available under State Health Societies. The State shall also intimate the interest amount
earned on unspent balance. This amount can be spent against Approved activities.
Yours faithfully,
(Preeti Pant)
Director (NRHM)
APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14: TRIPURA
CONTENTS PAGE NO.
SUMMARY
State specific goals 1-3
Key conditionalities and incentives 4-6
Finance: key issues and guiding principles 7-8
Road map for priority action 9-12
Approved budget (by program and function) 13-18
REPRODUCTIVE AND CHILD HEALTH
Maternal Health 22-38
Child Health, RBSK (SHP) & Immunization 39-62
Family Planning 63-72
Adolescent Health 73-79
Urban RCH 80-81
PC-PNDT 82-84
Human Resources and program management 85-107
MISSION FLEXI POOL
ASHA 118-126
Untied funds/RKS/AMG 127-128
New constructions/ renovation and setting up 129-133
Procurement 135-142
Mobile medical unit 143-145
Referral Transport 146-149
AYUSH 150-155
IEC / BCC 156-158
Monitoring and evaluation (HMIS) 159-167
Others 168-178
NATIONAL DISEASE CONTROL PROGRAMMES
National Iodine Deficiency Disorders Control Programme (NIDDCP) 180-182
Integrated Disease Surveillance Programme(IDSP) 183-186
National Vector Borne Disease Control Programme (NVBDCP) 187-195
National Leprosy Eradication Programme (NLEP) 196-200
Revised National Tuberculosis Control Programme (RNTCP) 201-204
Annexure 205-330
Annex (Detailed budgets)
1. RCH Flexible Pool
2. Mission Flexible pool
3. Immunization and PPI Operation Cost
4A National Iodine Deficiency Disorders Control Programme (NIDDCP)
4B Integrated Disease Surveillance Programme (IDSP)
4C National Vector Borne Disease Control Programme (NVBDCP)
4D National Leprosy Eradication Programme (NLEP)
4E Revised National Tuberculosis Control Programme (RNTCP)
SUMMARY
Approval of State PIP 2013-14: TRIPURA Page 1
STATE-SPECIFIC GOALS
The following are the agreed goals and service delivery targets for the state of TRIPURA:
Indicator CURRENT CAD (%) State Targets
India Tripura India Tripura 2013-14 2014-15 Target for
12th
Plan
CAD
(%)
Maternal Health
MMR (SRS 07-
09)
212 -- ----
Child Health
U5MR (SRS
2011)
55 -- -7.3
IMR (SRS 2011) 44 29 -6.0 -5.2 23 21 17 -10.1
NMR (SRS 2011) 31 -4.0
Family Planning
TFR (SRS 2011) 2.4
1.7 (SRS
2007) -2.64%
Maintain
TFR level
Note
CAD: Compounded Annual Decline; MMR from 04-06 to 07-09; U5MR; IMR;
NMR and TFR from 2008 to 2011; targets from latest current status to 2015.
Approval of State PIP 2013-14: TRIPURA Page 2
SERVICE DELIVERY TARGETS
Indicators
DLHS-2
(2002-
04)
DLHS-3
(2007-
08)
CES
(2009)
State Targets
2013-14
Maternal Health
Mothers who had 3 or
more ANCs
45.2% 66.4%
Deliveries taking place in
public facilities*
-- 46.3 82.6% 45202
(85%)
Caesarean Section rate in
public health facilities
NA NA NA 6780
(15%)
Line listing and follow up of
Severely Anaemic pregnant
women
NA NA NA 625
Child Health
Full Immunisation (%)
32.6 38.5 66.0 80%
New borns visited by
ASHA (as per HBNC
guidelines)
Rural Live Births as
per HMIS data
40922
0
.
28645
(70%)
Line listing and follow
up of Low Birth Weight
babies
HMIS incidence of
LBW: is 11% or
4542
NA 3180
(70%)
Percentage of SNCUs
admitting at least 6
babies per month per bed
80%
Family Planning
Female sterilizations
5949
(HMIS 2011-12) 8500
Post-Partum sterilizations
1352
(HMIS 2011-12)
1000
Male sterilizations
206
(HMIS 2011-12) 1300
Approval of State PIP 2013-14: TRIPURA Page 3
Indicators
DLHS-2
(2002-
04)
DLHS-3
(2007-
08)
CES
(2009)
State Targets
2013-14
IUD insertions
1267
(HMIS 2011-12)
5750
Disease Control
ABER for malaria (%)
7.79%
(2011)
7.07%
(2012)
10% (2013)
ABER has decreased
need to be enhanced to
10% or above.
API for malaria (per
1000 population)
3.89
(2011)
3.09
(2012)
2.5
API has shown a
gradual decline . It
should be brought
down to 2.5 or below.
Annualized New Smear
Positive Detection Rate
of TB (%)
50% (2012) 70%
Success Rate of New
Smear Positive
Treatment initiated on
DOTS (%)
87% (2012) 90%
* DLHS and CES data reflect achievement in both public and private facilities. Performance to be
assessed on the basis of MCTS and NIKSHAY, where available and on the basis of facility wise HMIS in
other cases
High Priority Districts
Performance against the above service delivery indicators in the 1 high priority district (Dhalai) out
of a total of 8 districts should be at least, on par with the state average; and subsequently in line with
the performance of the top 10% of districts.
Approval of State PIP 2013-14: TRIPURA Page 4
KEY CONDITIONALITIES AND INCENTIVES
Tripura has made significant progress in responding to conditionalities except mandatory disclosure
related to the Referral Transport. Following conditionalities shall be adhered to by the States and are to be
treated as non-negotiables:
Mandatory disclosures
1. The State must ensure mandatory disclosure on the state NRHM website of the following and act on
the information:
Facility wise deployment of all HR including contractual staff engaged under NRHM with name
and designation.
Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section,
Major and Minor surgeries etc.
MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule
and service delivery data on a monthly basis.
Patient Transport ambulances and emergency response ambulances- total number of vehicles,
types of vehicle, registration number of vehicles, service delivery data including clients served and
kilometres logged on a monthly basis.
All procurements- including details of equipments procured (as per directions of CIC which
have been communicated to the States by this Ministry vide letter No 'No.Z.28015/162/2011-
H' dated 28th November 2011.).
Buildings under construction/renovation –total number, name of the facility/hospital along
with costs, executing agency and execution charges (if any), date of start & expected date of
completion.
Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise
supervisory plan and reports should be uploaded on the website.
NGOs/PPP funded under NRHM would be treated as 'public authority' and
will fall under the ambit of the RTI Act 2005 under Section 2(h).
Further, details of funds allotted /released to NGOs/PPP to be uploaded
on website.
2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism
through AADHAAR enabled payment system/Core Banking Solution where DBT mechanism has
been rolled out. Further, cash payment or bearer cheque payment is henceforth disallowed
across the States.
3. Timely updation of MCTS and HMIS data including facility wise reporting
4. Line listing of high risk pregnant women, including extremely anaemic and Low Birth Weight
(LBW) babies.
Approval of State PIP 2013-14: TRIPURA Page 5
KEY CONDITIONALITIES
5. As agreed, the following key conditionalities would be enforced during the year 2013-14.
a) Rational and equitable deployment of HR1 with the highest priority accorded to high priority
districts and delivery points.
b) Facility wise performance audit2 and corrective action based thereon.
c) Performance Measurement system set up and implemented to monitor performance of
regular and contractual staff.
d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and
corrective action taken thereon.
- Approval is being granted for HR of all cadres under NRHM for six months only and its
continuation for the next six months would be contingent on compliance of the above four
conditionalities. Further, it is expected that the state will henceforth fill up their vacant
regular HR positions and will not use NRHM funds to substitute state spending. Therefore,
from 1st October 2013, under NRHM, funds for salary to contractual HR would be granted
only to make payments to contractual staff over and above the sanctioned regular positions
in the State.
e) Gaps in implementation of JSSK may lead to a reduction in outlay up to 10% of RCH base
flexipool.
INCENTIVES
6. Initiatives in the following areas would draw additional allocations by way of incentivisation
of performance:
a) Responsiveness, transparency and accountability (up to 8% of the outlay).
b) Quality assurance (up to 3% of the outlay).
c) Inter-sectoral convergence (up to 3% of the outlay).
d) Recording of vital events including strengthening of civil registration of births and deaths (up to
2% of the outlay).
e) Creation of a public health cadre (by states which do not have it already) (up to 5% of the
outlay)
f) Policy and systems to provide free generic medicines to all in public health facilities (up to
5% of the outlay)
g) Timely roll out of RBSK (up to 5% of the outlay)
1 Many states have put in a place an HR policy which lays down norms of transfer and posting. It is expected that
he States would now implement the policy. Rational and equitable deployment would include posting of staff on the basis
of case load, posting of specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained
doctors in FRUs, optimal utilization of specialists in FRUs and above and filling up vacancies in peripheral facilities in high
focus/ remote areas.
2 Facility wise performance audit will also include the facility wise score card being developed.
Approval of State PIP 2013-14: TRIPURA Page 6
h) Enacting/adopting a bill like the Clinical Establishment Act, 2010 as per their
requirement, to regulate the quality and cost of health care in different public and private
health facilities in the State (up to 5% of outlay).
i) States providing more than 10% increase in its annual health budget as compared to the
previous year will attract additional incentive.
j) States to implement the nurse practitioner model to strengthen the nursing services.
Note:
The Framework for Implementation of NRHM to be strictly adhered to while implementing the
Approved PIP. State should adhere to the clauses mentioned in the MOU signed and achieve the
agreed performance benchmarks.
Approval of State PIP 2013-14: TRIPURA Page 7
FINANCE: KEY ISSUES AND GUIDING PRINCIPLES
1. Quarterly FMR must be submitted on time with both physical and financial progress duly reflected.
2. State must also furnish a monthly statement of fund position and expenditure in format prescribed in
the operational guidelines, as Annexure XXIII and XXIV.
3. Status of Contribution of state share: (Rs. in crore)
Year Release
Amounts
required on
basis of
releases
Amount
Credited
in SHS
Bank A/C
Short/ (Excess)
2007-08 67.60 11.93 - 11.93
2008-09 70.29 12.40 7.00 5.40
2009-10 99.11 17.49 10.25 7.24
2010-11 69.94 12.34 15.00 -2.66
2011-12 61.73 10.89 28.75 -17.86
2012-13 69.15 7.68 9.52 -1.84
Total 437.81 72.74 70.52 2.22
State share for the 11th Plan period (2007-08 to 2011-12) is calculated on the basis of release
made to the state (excluding three disease control programme i.e RNTCP, NPCB &
NVBDCP) and from 12th
plan period i.e. 2012-13 onwards release made to all programme
under NRHM is considered. Further, with effect from 2012-13, State’s share would be
10%.
4. Release of funds up to 100% of BE for the year 2013-14, would be contingent on the State
providing Utilisation Certificate against the grant released to the state up to 2011-12 for all the
programme. The status of Pending Utilization Certificates for NRHM-RCH Flexible Pool )against
funds released up to 2011-12 are as under :
Approval of State PIP 2013-14: TRIPURA Page 8
Programme Amount (In Crore)
RCH Flexible Pool 33.62
Mission Flexible Pool 24.85
Total 58.47
5. The appointment of Concurrent Auditor for the year 2013-14 is a prerequisite for release of 2nd
tranche of funds.
6. Timely submission of Statutory Audit Report for the year 2012-13 is a must for release of 2nd
tranche of funds.
7. State is required to comply with the instructions and/or guidelines issued for maintenance of bank
account vide D. O. No. G-27017/21/2010-NRHM-F dated January 23, 2012.
8. State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis
(2013-14) and Audit Report Analysis for FY 2012-13.
9. State needs to strengthen the internal control procedures/mechanism for all transactions.
10. State should ensure proper maintenance of books of accounts at district and block level as per the
operational guidelines for NRHM issued by the Ministry.
11. Appointment of Auditor for the year 2012-13 must be completed in the first quarter of 2013-14 as
per the RFP issued by this Ministry.
12. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules,
regulations, and procedures to maintain financial discipline and integrity particularly with
regard to procurement; competitive bidding must be ensured and only need-based
procurement should take place.
13. State should ensure expenditure upto 15% by June 2013 and another 30%
by September 2013 of their approved budget under each pool in the FY
2013-14
Approval of State PIP 2013-14: TRIPURA Page 9
ROAD MAP FOR PRIORITY ACTION
NRHM must take a „systems approach‟ to Health. It is imperative that States take a holistic view and
work towards putting in place policies and systems in several strategic areas so that there are optimal returns
on investments made under NRHM. For effective outcomes, a sector wide implementation plan would
be essential; states would be expected to prepare such a plan with effect from next year. Some of the
key strategic areas in this regard are outlined below for urgent and accelerated action on the part of the
State:
S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
PUBLIC HEALTH PLANNING & FINANCING
1. Planning and financing Mapping of facilities, differential planning for districts / blocks
with poor health indicators; resources not to be spread too thin /
targeted investments; at least 10% annual increase in state health
budget (plan) over and above State share to NRHM resource
envelope; addressing verticality in health programmes; planning
for full spectrum of health services; emphasis on quality assurance
in delivery points
2. Management
strengthening
Full time Mission Director for NRHM and a full-time Director/ Jt.
Director/ Dy. Director Finance, not holding any additional
responsibility outside the health department; fully staffed
programme management support units at state, district and block
levels; selection of staff to key positions such as head of health at
the district and block level and facility-in charge to be based on
performance; stability of tenure to be assured; training of key
health functionaries in planning and use of data. Strong integration
with Health & FW and AYUSH directorates
3. Developing a strong
Public Health focus
Separate public health cadre, induction training for
all key cadres; public health training for doctors Working in health
administrative positions; strengthening of public health nursing
cadre, enactment of Public Health Act
HUMAN RESOURCES
4. HR policies for
doctors, nurses
paramedical staff and
programme management
staff
Minimizing regular vacancies; expeditious recruitment
(eg. taking recruitment of MOs out of Public Service Commission
purview); merit –based and transparent selection; recruitment rules
to be aligned to needs of health human resource; opportunities for
career progression and professional development; rational and
equitable deployment; effective skills utilization; stability of
tenure; sustainability of contractual human resources under RCH /
NRHM and plan for their inclusion in State budget; suitable
performance measurement mechanism and performance based
Approval of State PIP 2013-14: TRIPURA Page 10
S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
incentives.
5. HR Accountability Facility based monitoring; incentives for both the health service
provider and the facility based on functioning; performance
appraisal against benchmarks; renewal of contracts/ promotions
based on performance; incentives for performance above
benchmark; incentives for difficult areas
6. Medical, Nursing and
Paramedical Education
(new institutions and
upgradation of existing
ones)
Planning for enhanced supply of doctors, nurses, ANMs, and
paramedical staff; mandatory rural posting after MBBS and PG
education; more seats for Government doctors in PG courses
particularly in Gynecology, Anesthesia and pediatrics; expansion
of tertiary health care; use of medical colleges as resource centres
for national health programmes; strengthening/ revamping of
ANM / GNM training centres and paramedical institutions; re-
structuring of pre service education; developing a highly skilled
and specialized nursing cadre; developing good district hospitals as
training sites for training nurses, ANMs and paramedics.
7. Training and capacity
building
Strengthening of State Institute of Health & Family Welfare
(SIHFW)/ District Training Centres (DTCs); quality assurance;
availability of centralised training log; monitoring of post training
outcomes; expanding training capacity through partnerships with
NGOs / institutions; up scaling of multi skilling initiatives,
accreditation of training
STRENGTHENING SERVICES
8. Policies on drugs,
procurement system and
logistics management
Articulation of policy on entitlements on free drugs for out / in
patients; rational prescriptions and use of drugs; timely
procurement of drugs and consumables; smooth distribution to
facilities from the district hospital to the sub centre; uninterrupted
availability to patients; minimization of out of pocket expenses;
quality assurance; prescription audits; facility wise EDL; essential
drug lists (EDL) in public domain; computerized drugs and
logistics MIS system; setting up dedicated corporation on the lines
of eg: TNMSC
9. Equipments Availability of essential functional equipments in all facilities;
regular needs assessment; timely indenting and procurement;
identification of unused/ faulty equipment; regular maintenance
and MIS/ competitive and transparent bidding processes
10. Ambulance Services and
Referral Transport
Universal availability of GPS fitted
ambulances; reliable, assured free transport for pregnant women
and newborn/ infants; clear policy articulation on entitlements
Approval of State PIP 2013-14: TRIPURA Page 11
S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
both for mother and sick infants; establishing integrated call
centres for timely response and effective provision of services;
drop back facility; a prudent mix of basic level ambulances and
emergency response vehicles
11. New infrastructure
and maintenance
of buildings; sanitation,
water, electricity,
laundry, kitchen,
facilities for attendants
New infrastructure, especially in backward areas; 24x7
maintenance and round the clock plumbing, electrical, carpentry
services; power backup; cleanliness and sanitation; upkeep of
toilets; proper disposal of bio medical waste; drinking water; water
in toilets; electricity; clean linen; kitchens, facilities for attendants,
PPP outsourcing for such services.
12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable
availability to patients; partnerships with private service providers;
prescription audits, free for pregnant women and sick neonates
COMMUNITY INVOLVEMENT
13. Patient‟s feedback
and grievance redressal
Feedback from patients; expeditious grievance
redressal; analysis of feedback for corrective action
14. Community participation Active community participation; empowered PRIs; strong
VHSNCs; social audit; effective Village Health & Nutrition Days
(VHNDs); strengthening of ASHAs; policies to encourage
contributions from public/ community
15. IEC Comprehensive communication strategy with a strong
behaviour change communication (BCC) component in the IEC
strategy; dissemination in villages/ urban slums/ peri urban areas
CONVERGENCE, COORDINATION & REGULATION
16. Inter sectoral
convergence
Effective coordination with key departments to
address health determinants viz. water, sanitation, hygiene,
nutrition, infant and young child feeding, gender, education,
woman empowerment, convergence with SABLA, SSA, ICDS etc.
17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be
part of active communitisation process; involvement of NGOs in
filling service delivery gaps; active community monitoring
18. Private Public
Partnership (PPP)
Partnership with private service providers to
supplement governmental efforts in underserved and vulnerable
areas for deliveries, family planning services and diagnostics
19. Regulation of services in Implementation of Clinical Establishment Act; quality of services,
Approval of State PIP 2013-14: TRIPURA Page 12
S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED
the private sector e.g. safe abortion services; adherence to protocols; checking
unqualified service providers; quality of vaccines and vaccinators,
enforcement of PC-PNDT Act
MONITORING & SUPERVISION
20. Strengthening data
capturing, validity /
triangulation
100% registration of births and deaths under Civil
Registration System (CRS); capturing of births in private
institutions; data collection on key performance indicators;
rationalizing HMIS indicators; reliability of health
data/data triangulation mechanisms
21. Supportive Supervision Effective supervision of field activities/ performance; handholding;
strengthening of Lady Health Visitors (LHVs), District Public
Health Nurses (DPHNs), Multi Purpose Health Supervisors
(MPHS) etc.
22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for
periodic review and future road map; clear agenda and follow up
action; Regular, focused reviews at different levels viz. Union
Minister/ Chief Minister/ Health Minister/ Health Secretary/
Mission Director/ District Health Society headed by Collector/
Officers at Block/ PHC level; use of the HMIS/ MCTS data for
reviews; concurrent evaluation
23. Quality assurance Quality assurance at all levels of service delivery;
quality certification/ accreditation of facilities and services;
institutionalized quality management systems
24. Surveillance Epidemiological surveillance; maternal and infant death review
at facility level and verbal autopsy at community level to identify
causes of death for corrective action; tracking of services to
pregnant women and children under MCTS
25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS
for tracking ambulances and mobile health units; mobile
phones/tablets for real time data entry; video conferencing for
regular reviews; closed user group mobile phone facility for health
staff; telemedicine and teleeducation; use of ICT technologies in
E- Governance; development of Human Resource Information
System (HRIS) and Hospital Management Information System
endless opportunities-sky is the limit!
RMNCHA+ document released in Mahabalipuram Conference should serve as guidance note for
integration and betterment of all RMNCH activities.
Approval of State PIP 2013-14: TRIPURA Page 13
PROGRAMME WISE APPROVED BUDGET
24.49, 21%
45.18, 39%
3.67, 3%
18.85, 17%
22.72, 20%
Approved Budget by Programme: 2013-14,
Rs 114.89 Crores
RCH Flexipool
Mission Flexipool
RI and PPO
NDCPs
Infrastructure Mainitainance
Approval of State PIP 2013-14: TRIPURA Page 14
Infrastructure22%
Human Resources
(All HR Except HR for MMU/
Ambulances and Quality
Assurance)11%
Drugs and Consumables
4%
Equipments & Diagnostics
1%
Capacity Building1%
Patient Transport Services
(including HR)2%
MMU (including HR)0%
Communitization10%
Other RCH Services8%
Supportive Supervision/
Mobility Support2%
Administrative Costs & Office Expenses
0%
Health Action Plans 0%
IEC/ BCC1%
State Specific
Initiatives/ Innovations
7%
E- Governance0%
Out Reach Services5%
Quality Assurance
(including HR)0%
Support Services
0%
Other Important Areas
0%
Infrastructure Maintenance
24%
Approved Budget Functional Headwise 2013-14
Rs 9604.73 Lakhs
Approval of State PIP 2013-14: TRIPURA Page 15
ASHA
12% Untied Funds
4%
AMG
2%
Hospital Stregthening
46%
New
Construction/Renovatio
n and setting up
1%
Corpus Grant
to HMS/RKS
2%
District
Action
Plan
0%
Panchayati
Raj Intiatives
0%
IEC/BCC
NRHM
1%
Main Streaming of
AYUSH
8%
Innovations
15%
Planning,
Implementation and
Monitoring
3%
Procurement
5%
Research Studies,
Analysis
0%
Regional Drug
warehouse
0%
Other
Expenditures(Power
Backup etc.)
0%
MMUs
0%
Refrral Transport
0%
SHSRC
0%
Approved Budget MFP, 2013-14: Rs. 4517.43 Lakhs
Approval of State PIP 2013-14: TRIPURA Page 16
Maternal Health
38%
Child Health
2%
Family Planning
1%
ARSH
4%
Urban
RCH
0%
PNDT & Sex Ratio
0%
Infratructure & HR
18%
Trainning
4%
Programme
Management
15%
Vulnerable Groups
0%
JSY
13%
Sterlisation & IUD
Compensation and
NSV camps
5%
Approved Budget RCH Flexipool, 2013-14
Rs. 2448.35 Lakhs
Approval of State PIP 2013-14: TRIPURA Page 17
169.03, 46%
3.12, 1%
3.92, 1%2.24, 1%
42.06, 11%
146.07, 40%
Approved Budget Immunisation 2013-14,
Rs 366.44 Lakhs
RI STRENGTHENING
SALARY OF CONTRACTUAL STAFFS
TRAINING UNDER IMMUNISATIONCOLD CHAIN MAINTAINNCEASHA INCENTIVE
COLD CHAIN MAINTAINANCE
ASHA INCENTIVE
PPO
Approval of State PIP 2013-14: TRIPURA Page 18
66, 4%81.66,
4%
1370.6, 73%
24.4, 1%
341.51, 18%
Approved Budget NDCP, 2013-14
Rs 1884.17 Lakhs
NIDDCP
IDSP
NVBDCP
NLEP
RNTCP
Approval of State PIP 2013-14: TRIPURA Page 19
SUMMARY BUDGET 2013-14: TRIPURA
S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved %
1. RCH FLEXI POOL
A1 Maternal Health 1138.55 931.97 8.11
A2 Child Health 97.68 37.82 0.33
A3 Family Planning 35.46 35.36 0.31
A4 ARSH 261.54 107.59 0.94
A5 Urban RCH 17.74 9.89 0.09
A6 Tribal RCH 0.00 0.00 0.00
A7 PNDT & Sex Ratio 2.26 0.80 0.01
A8 Infrastructure & HR 848.63 441.13 3.84
A9 Training 161.42 103.80 0.90
A10 Programme Management 568.86 353.71 3.08
A11 Vulnerable groups 0.00 0.00 0.00
Total Base Flexi Pool 3132.13 2022.05 17.60
A12 JSY 350.44 313.40 2.73
A13
Sterilisation & IUD Compensation and NSV
Camps 112.90 112.90 0.98
Total Demand Side 463.34 426.30 3.71
Total RCH Flexi Pool 3595.47 2448.35 21.31
2. MISSION FLEXI POOL
B1 ASHA 1448.04 525.99
4.58
B2 Untied Funds 215.55 186.34
1.62
B3 Annual Maintenance Grants 103.00 74.40
0.65
B4 Hospital Strengthening 2755.28 2082.54
18.13
Approval of State PIP 2013-14: TRIPURA Page 20
S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved %
B5 New Constructions/ Renovation and Setting up 2484.92 50.00
0.44
B6 Corpus Grants to HMS/RKS 143.00 91.03
0.79
B7 District Action Plans (including block, village) 19.40 15.40
0.13
B8 Panchayati Raj Initiative 19.50 0.00
0.00
B9 Mainstreaming of AYUSH 746.48 373.35
3.25
B10 IEC-BCC NRHM 302.53 56.60
0.49
B11
Mobile Medical Units (Including recurring
expenditures) 100.03 0.00 0.00
B12 Referral Transport 715.59 0.00
0.00
B13 PPP/ NGOs 80.00 0.00
0.00
B14 Innovations (if any) 705.26 687.01
5.98
B15 Planning, Implementation and Monitoring 373.28 133.48
1.16
B16 Procurement 934.99 232.29
2.02
B17 Regional drugs warehouses 41.24 0.00
0.00
B18 New Initiatives 0.00 0.00
0.00
B19 Health Insurance Scheme 0.00 0.00
0.00
B20 Research, Studies, Analysis 77.95 9.00
0.07
B21 State level Health Resources Center 0.00 0.00
0.00
B22 Support Services 0.00 0.00
0.00
B23
Other Expenditures (Power Backup,
Convergence etc) 0.00 0.00 0.00
TOTAL MFP 11266.04 4517.43 39.32
3. IMMUNIZATION
C1
RI strengthening project (Review meeting,
Mobility support, Outreach services etc) 241.16 169.03 1.47
Approval of State PIP 2013-14: TRIPURA Page 21
S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )
Proposed Approved %
C2 Salary of Contractual Staffs 7.10 3.12 0.03
C3 Training under Immunisation 3.92 3.92 0.03
C4 Cold chain maintenance 2.24 2.24 0.02
C5 ASHA Incentive 139.00 42.06 0.37
Total Immunization 393.42 220.37 1.92
C6 Pulse Polio Operational Cost 145.00 146.07 1.27
Total RI & PPO costs 538.42 366.44 3.19
4.DISEASE CONTROL PROGRAMMES
0.00
4A
National Iodine Deficiency Disorders Control
Programme (NIDDCP) 75.61 66.00 0.57
4B
Integrated Disease Surveillance
Programme(IDSP) 109.91 81.66 0.71
4C
National Vector Borne Disease Control
Programme (NVBDCP) 1130.48 1370.60 11.93
4D
National Leprosy Eradication Programme
(NLEP) 25.58 24.40 0.21
4E
Revised National Tuberculosis Control
Programme (RNTCP) 369.25 341.51 2.97
Total NDCP 1710.83 1884.17 16.40
5. INFRASTRUCTURE MAINTENANCE
Total Infrastructure Maintenance 2272.00 2272.00 19.78
GRAND TOTAL 19382.76 11488.39 100.00
Approval of State PIP 2013-14: TRIPURA Page 22
MATERNAL HEALTH
Approval of State PIP 2013-14: TRIPURA Page 23
GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH
Maternal Health: Goals and Targets for 2013-14
Indicator Target
MMR and expected Maternal Deaths NA
Nos. of Maternal Deaths Reported and Reviewed NA
ANCs registered within first trimester 52628 (90%) in 2013-14
Institutional Deliveries (out of the total estimated
deliveries) to be conducted in Public health institutions
from 81% in 2012-13 to 85%. in 2013-14
45202 (85%) in 2013-14
Caesarean Section rate in public health facilities 6780 (15%) in 2013-14
Severely Anemic Pregnant Women** out of total
anemic pregnant women (@2%)
625 in 2013-14
**At the rate of 2% of pregnant anemic women; this is critical for timely identification and management
of severely anemic pregnant woman.
DELIVERY POINTS:
Level of Facility Target
CEmOC(L3)
8 (maintain levels)
(Per year for 3 years)
BEmOC(L2) 1 (Per year for 4 years)
Approval of State PIP 2013-14: TRIPURA Page 24
Road Map for Essential Commitments
Commitment No. 1- Operationalizing Delivery Points
Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the
necessary resources in order to ensure quality of services and provision of comprehensive RMNCH+A
services at these facilities as per the levels.
MNH toolkit is to be used for planning and operationalising services at different levels of
delivery points.
Level 3 should be planned for comprehensive CEmOC and RMNCH+A services and similarly
level 2 for BEmOC and RMNCH+A services.
Those States which have sparsely distributed population like NE states and other hilly states and
some of the tribal/inaccessible areas of other States, should have differential planning for
operationalizing delivery points.
Level 3 delivery points functioning as CEmOC facilities a) District Hospitals and other similar district level facilities (e.g District women and children
hospital)
b) CHCs and other health facilities at sub district level (above block and below district level)
functioning as FRUs
To provide the following services:
24*7 service delivery for CS and other Emergency Obstetric Care.
1st and 2
nd trimester abortion services.
Conduct Facility based MDR.
Essential newborn care and facility based care for sick newborns.
Family planning and adolescent friendly health services
RTI/STI services.
Have functional BSU/BB.
All District Hospitals irrespective of caseloads have to be a Level III institution.
Level 2 delivery points functioning as BEmOC facilities :
Non FRU-CHCs, 24*7 PHC and other PHCs
To provide the following services
24*7 BeMOC services including conducting normal delivery and handling common
obstetric complications.
1st trimester safe abortion services. ( MVA upto 8 weeks and MMA upto 7 weeks)
RTI/STI services.
Essential newborn care.
Family planning
All identified SC Level delivery point facilities will provide the following services :
Delivery by SBAs.
IUD insertion
Essential new born care.
ANC, PNC and Immunization.
Nutritional and Family planning and Adolescent counseling.
VHND and other outreach services on designated days.
Approval of State PIP 2013-14: TRIPURA Page 25
All identified delivery points should be comprehensively planned for saturating them in
terms of HR, Equipment, Capacity building, infrastructural requirements etc before
spreading the resources to other health facilities.
Monthly performance monitoring of each delivery point needs to be undertaken and reviewed at
District level and quarterly level at State level.
Commitment No. 2- Implementing free entitlements under JSSK
JSSK entitlements to be ensured to all PW and sick newborns accessing Public health facilities.
At least 70% drop back to be ensured to PW delivering in the PHFs.
Drop back should be given only after 48 hrs stay in the health facility.
Commitment No. 3- Centralized Call Centre and Assured Referral Transport
All NRHM Supported Ambulances should be designated as “National Ambulance Service”
All NAS will have a common background color (White) and similar emblems, markings and
colour schemes.
The ambulances will carry logo of NRHM as well as the name - National Ambulance Service
Numbers “102/108 (Toll free)” in red color, along with design of phone receiver will be
displayed
“A joint initiative of MoHFW, Government of India and State of TRIPURA will be written on all
ambulances.
A sign of capital “H” in red colour denoting Hospital on top of the vehicle.
Every State needs to ensure availability of a centralized call centre with 102 or 108 as Toll Free
no. for referral transport at State or district level along with GPS fitted ambulances.
Response time for the ambulance to reach the beneficiary not to exceed 30 minutes and should
reach the facility to which referred within next 30 mins.
Monthly data on utilization of each ambulance ( eg. trips per day) to be maintained, analysed and
take corrective action if required .
Commitment No. 4- Essential Drug List
Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical
colleges and ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and MCs.
The EDL should include drugs for maternal and child health including drugs for safe abortion
services, RTI/STI.
Differential distribution of types and quantities of drugs to be made to performing and non
performing facilities and also as per level of facility.
Procurement should be done through competitive bidding and indent to be taken from each
facility based on consumption pattern through computerized inventory management system.
All Procurement processes including periodic testing of drugs through govt. certified labs to be
carried out by the process of randomized sampling.
All the drugs should have at least 5/6th of the shelf life at the time of receiving the drugs at
indenting facility.
All other govt. procedures for procurement need to be followed.
Commitment No. 5- Capacity Building
Shortfall in trained human resource at delivery points particularly sub centres in High focus/ High
Priority districts to be addressed on priority.
Training load for skill based trainings to be estimated after gap analysis.
Certification /accreditation of the training sites is mandatory.
Training plan to factor in reorientation training of HR particularly for those posted at non
functional facilities and being redeployed at delivery points. Orientation training of field
functionaries on newer interventions e.g. MDR/ HBNC etc.
Performance Monitoring during training/post-deployment needs to be ensured
Approval of State PIP 2013-14: TRIPURA Page 26
Specific steps to strengthen SIHFW/ any other nodal institution involved in planning,
implementation, monitoring and post training follow up of all skill based trainings under NRHM.
Commitment No. 6– Tracking severe anemia
All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and line
listed for providing treatment of anemia.
The line listing should be maintained and followed up at SCs and PHCs.
Commitment No. 7– For High Priority Districts
The State to make use of the MNH toolkit to operationalise the identified facilities as delivery
points.
At least 25% of all sub centres under each PHC to be made functional as delivery points in the
HPDs.
At least one CEmOC centre to be made functional.
Planning for operationalizing 10-15 BEmOC Centres in phases.
Commitment No. 8—
Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC and the
other for outreach activities for the geographically demarcated population.
Commitment No. 9: Pre service Nursing Training (For 12 High Focus States)
At least one state Master Nodal centre shall be created and made functional.
State nursing cell under the directorate of health should be created and made functional.
A road map for strengthening of ANM and GNM schools be prepared as per GoI
guidelines.
Commitment No. 10: State, district and regional quality assurance committees to be made
functional.
Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and made
functional for a group of 4-5 districts as per skill lab operational guidelines.
Commitment No. 12: MCH wings
All 100 bedded MCH wings should be planned comprehensively as per GoI road map and must
include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing and other
details as per MNH toolkit.
The plan for MCH wing should be shared with the State MH nodal officer and he should be
involved in its monitoring.
All the MCH wings must be located within the campus of the existing health facility and
completed in 2-3 years.
Approval of State PIP 2013-14: TRIPURA Page 27
DETAILED BUDGET: MATERNAL HEALTH
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
A.1 MATERNAL
HEALTH
218843 19150.00 1488.98 1245.37
A.1.1 Operationalise
Facilities (Any
cost other than
infrastructure,
HR, Training,
Procurement,
Monitoring etc.)
may include cost
of mapping,
planning-
identifying
priority
facilities,etc)
0 0.00 0.00 0.00
A.1.1.1 Operationalise
FRUs (Blood
bank/BSU -
Operational cost)
0.00
A.1.1.2 Operationalise
24x7 PHCs
0.00
A.1.1.3 Operationalise
Safe abortion
services
(including MVA/
EVA and medical
abortion)at health
facilities
0.00
A.1.1.4 Operationalise
RTI/STI services
at health facilities
0.00
A.1.1.5 Operationalise
sub-centres
0.00
A.1.2 Referral Transport 0.00
A.1.3 Integrated
outreach RCH
services (state
should focus on
facility based
services and
outreach camps to
be restricted only
to areas without
functional health
49884 9400.00 503.28 503.28
Approval of State PIP 2013-14: TRIPURA Page 28
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
facilities)
A. 1.3.1. Oureach camps No. of
camp
60 8400.00 5.04 5.04 Approved Rs
5.04 lakhs for
60 out-reach
camps@ Rs
8400/ camp
A.1.3.2. Monthly Village
Health and
Nutrition Days
No. of
VHND
49824 1000.00 498.24 498.24 As per NPCC
decision,approva
l for organizing
49824
VHNDs@ Rs
1000/ VHND.
Out of This Rs
200/- per
VHND to be
given to ASHA
as incentive for
mobilizing
pregnant
womena and
neonates as per
due list. Total
amount
approved is Rs
498.24 lakhs
A.1.4. Janani Suraksha
Yojana / JSY
56780 1800.00 350.44 313.40
A.1.4.1 Home deliveries Beneficiar
y
1802 500.00 9.01 5.00 Approved
for1000 home
deliveries.
A.1.4.2 Institutional
deliveries
27489 1300.00 186.48 166.74
A.1.4.2.a Rural Beneficiar
y
21546 700.00 150.82 127.87 Approved for
18,267
insitutional
deliveries.
A.1.4.2.b Urban Beneficiar
y
5943 600.00 35.66 38.87 Approved for
6,478
insitutional
deliveries.
Approval of State PIP 2013-14: TRIPURA Page 29
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
A.1.4.2.c C-sections 0.00
A.1.4.3 Administrative
Expenses
1.95 6.15 Approved. Fund
could be use for
JSY monitoring,
printing of JSY
registers,
formats, JSY
IEC etc.
A.1.4.4 Incentives to
ASHA
Delivery 27489 153.00 135.51 Approved
18,267 @Rs
600 for rural
insitutional
deliveries and
6,478 urban @
Rs 400 for
insitutional
deliveries.
A.1.5 Maternal Death
Review (both in
institutions and
community)
Meeting 1 5000.00 0.05 0.05 Rs. 0.05 lacs can
beapproved for
conducting 1
review meetings
for MDR at
State level
A.1.6 Other
strategies/activitie
s (please specify)
47514 400.00 95.03 28.92
A.1.6.1 Incentive to
ASHA
@Rs.200per
month per VHND
0.00
A.1.6.2 Incentive to
Mother for 4th
ANC
PW 37590 200.00 75.18 28.92 Cash incentive
to mothers is not
Approved. Rs
50/- for early
registration of
ANC within 12
weeks of
conception can
be given to
ASHA .
Payment will be
made as per
verification in
Approval of State PIP 2013-14: TRIPURA Page 30
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
the MCP Card.
Total amount
recommended
for approval is
Rs 50* 57830
cases= Rs 28.92
lakhs.
A.1.6.3 Incentive to
ASHA for 4th
ANC (Non JSY
Target)
ASHA 9924 200.00 19.85
A.1.6.4 0.00
A.1.6.5 0.00
A.1.6.6 0.00
A.1.6.7 0.00
A.1.6.8 0.00
A.1.6.9 0.00
A.1.6.10 0.00
Approval of State PIP 2013-14: TRIPURA Page 31
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
A.1.6.11 0.00
A.1.6.12 0.00
A.1.6.13 0.00
A.1.6.14 0.00
A.1.6.15 0.00
A.1.7 JSSK- Janani
Shishu Surakhsha
Karyakram
64665 2550.00 540.19 399.72
A.1.7.1 Drugs and
consumables
Beneficiar
y
23658 550.00 130.12 130.12 Approved Rs
130.12 lakhs for
provision of free
drugs subject to
all PW coming
to public health
institution are
provided free
drugs during
ANC, INC and
PNC period
A.1.7.2 Diagnostic PW 17349 1000.00 173.49 96.00 Approved Rs
96.00 lacs. @
Rs 200/- per
PW for an
estimated 48000
Approval of State PIP 2013-14: TRIPURA Page 32
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
PW likely to
deliver in public
health facilities.
All PW to be
provided free
diagnostic.
A.1.7.3 Blood
Transfusion
0.00 It is hoped that
state has
sufficent funds
for provision of
free Blood for
PW at health
facilities
A.1.7.4 Diet (3 days for
Normal Delivery
and 7 days for
Caesarean)
0.00 It is hoped that
state has
sufficent funds
for provision of
free diet for
PW at health
facilities
A.1.7.5 Free Referral
Transport
Beneficiar
y
23658 1000.00 236.58 173.60 Approved Rs
200 lacs for
40000 PW @ Rs
500/-(Home to
facility Rs 250/-
and Drop back-
Rs 250/-) which
are likely to be
normal
deliveries. For
inter-facility and
drop back for
4800
cases(10%)
approved Rs
48.0 lakhs @ Rs
1000/-(inter-
facility and
drop back@ Rs
500/- per trip) .
Total amount
approved 70%
of Rs
200.00+48.00=
Rs 248.00
lakhs.= 70% of
Approval of State PIP 2013-14: TRIPURA Page 33
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
Rs
248.00=173.6
lakhs The fund
is approved
subject to :
1) All
Ambulances
needs to be
Linked to a
centralized call
center
2) Needs to be
GPS fitted and
should be re-
stickered and
changed as per
National
Ambulance
service
guidelines
3) All PW and
infants as per
expanded JSSK
to be catered to.
A.1.7.6 Other JSSK
activity
0 0.00 0.00 0.00
A.1.7.6.1 0.00
A.1.7.6.2 0.00
A.1.7.6.3 0.00
Sub-total
Maternal Health
(excluding JSY)
162064 17350.00 1138.55 931.97
Sub-total JSY 56780 1800.00 350.44 313.40
Approval of State PIP 2013-14: TRIPURA Page 34
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
A.9.3 Maternal Health
Training
58 1087987.0
0
48.55 48.54
A.9.3.1 Skilled
Attendance at
Birth / SBA
20 193114.00 19.31 19.31
A.9.3.1.1 Setting up of SBA
Training Centres
0.00
A.9.3.1.2 TOT for SBA 0.00
A.9.3.1.4 Training of Staff
Nurses in SBA
No. of
batch
14 96557.00 13.52 13.52 Approved
A.9.3.1.5 Training of
ANMs / LHVs in
SBA
No. of
batch
6 96557.00 5.79 5.79 Approved
A.9.3.2 EmOC Training 2 142168.00 2.84 2.84
A.9.3.2.1 Setting up of
EmOC Training
Centres
0.00
A.9.3.2.2 TOT for EmOC 0.00
A.9.3.2.3 Training of
Medical Officers
in EmOC
Candidate 2 142168.00 2.84 2.84 Approved
A.9.3.3 Life saving
Anaesthesia skills
training
2 158630.00 3.17 3.17
A.9.3.3.1 Setting up of Life
saving
Anaesthesia skills
Training Centres
0.00
A.9.3.3.2 TOT for
Anaesthesia skills
training
0.00
Approval of State PIP 2013-14: TRIPURA Page 35
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
A.9.3.3.3 Training of
Medical Officers
in life saving
Anaesthesia skills
Candidate 2 158630.00 3.17 3.17 Approved
A.9.3.4 Safe abortion
services training
(including MVA/
EVA and Medical
abortion)
7 149710.00 4.65 4.66
A.9.3.4.1 TOT on safe
abortion services
Candidate 1 86600.00 0.87 0.87 Approved
A.9.3.4.2 Training of
Medical Officers
in safe abortion
Candidate 6 63110.00 3.79 3.79 Approved
A.9.3.5 RTI / STI
Training
6 235838.00 6.56 6.56
A.9.3.5.1 TOT for RTI/STI
training
0.00
A.9.3.5.2 Training of
laboratory
technicians in
RTI/STI
No. of
batch
2 143600.00 2.87 2.87 Approved
A.9.3.5.3 Training of
Medical Officers
in RTI/STI
No. of
batch
4 92238.00 3.69 3.69 Approved
A.9.3.6 BEmOC training
for MOs/LMOs
No. of
batch
13 64613.00 8.40 8.40 Approved
A.9.3.7 Other maternal
health training
(please specify)
6 123914.00 3.21 3.20
A.9.3.7.1 Training on MTP
for O&G
No. of
batch
1 21875.00 0.22 0.22 Approved
A.9.3.7.2 Training on MTP
for MO
No. of
batch
1 36470.00 0.36 0.36 Approved
A.9.3.7.3 Training of SN in
RTI/STI
No. of
batch
4 65569.00 2.62 2.62 Approved
Approval of State PIP 2013-14: TRIPURA Page 36
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
A.9.3.7.4 0.00
A.9.3.7.5 0.00
A.9.3.7.6 0.00
A.9.3.7.7 0.00
A.9.3.7.8 0.00
A.9.3.7.9 0.00
A.9.3.7.10 0.00
A.9.3.8 Blood Storage
Unit (BSU)
Training
No. of
batch
2 20000.00 0.40 0.40 Approved
A.9.3.9 Skill Lab Training 0.00
A.9.4 IMEP Training 4 22588.00 0.90 0.90
A.9.4.1 TOT on IMEP 0.00
A.9.4.2 IMEP training for
state and district
programme
managers
Candidate 4 22588.00 0.90 0.90 Approved
A.9.4.3 IMEP training for
medical officers
0.00
Approval of State PIP 2013-14: TRIPURA Page 37
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B1.1.3.1 Incentive under
MH (ANC/PNC) 88404 200.00 176.81
B1.1.3.1.1 Incentive for
ASHA for VHND 88404 200.00 176.81 0.00
Not approved.
New activity.
Already
approved above
under MH for
organizing
VHNDs @ Rs
1000/ VHND
out of which Rs
200/- to be
given as
incentive to
ASHA for
mobilizing PW
and children as
per due list to
the session site
B16.1.1 3Procurement of
equipment: MH 141 23000.00 14.10
B16.1.1.1
Equipments for
Blood Banks/
BSUs
0.00
B16.1.1.2
MVA /EVA for
Safe Abortion
services
No. of
item 94 7000.00 6.58 2.35
Approved @
Rs 2500 for
MVA kit for 94
kits for
procuring
MVA kits
B16.1.1.3.4 Oxygen Cylinder
with trolly
No. of
item 47 16000.00 7.52 7.52
Approved for
47 Oxygen
trolley's @ Rs
16000/ unit
3 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 38
S. No. Budget Head Unit of
Measure
Quantit
y /
Target
Unit Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B.16.2.1 4Drugs &
supplies for MH 4053100 100.25 15.12
B.16.2.1.3 Others (Please
specify) 4053100 100.25 15.12
B.16.2.1.3.
1 Misoprostol Kit No. of Kit 5000 100.00 5.00 5.00
Approved for
5000 kits@ Rs
100/-. Total
amount
recommended
for approval is
Rs 5.0 lakhs
B.16.2.1.3.
2 IFA (large)
No. of
tablet 4048100 0.25 10.12 10.12
Approved.
For additional
40.48 lakh
tablets @ Rs
0.20 paisa/ tab .
Total amount
recommended
for approval Rs
10.12 lakhs.
This is addition
to the funds for
drugs allocated
uner JSSK
GRAND TOTAL
MH 1744.47 1319.8
4 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 39
CHILD HEALTH, RBSK & IMMUNIZATION
Approval of State PIP 2013-14: TRIPURA Page 40
Tripura ROP TARGETS 2013-14
Indicator CURRENT CAD (%) State Targets
India Tripura India Tripura 2013-
14
2014-
15
Target for
12th
Plan
(2017)
CAD
(%)
Child Health
U5MR (SRS
2011)
55 -- -7.3 -- -- -- ---
IMR (SRS
2011)
44 29 -6.0 -5.2 23 21 17 -10.1
NMR (SRS
2011)
31 -- -4.0 -- --- --- ---
Indicators Current Status State Targets
2012-13 2013-14 2014-15
Child Health
Line listing and follow up of Low
Birth Weight babies {Nos;
(%)}
HMIS incidence of LBW: is
11.1% or 4542
NA 3180
(70%)
4542
(100%)
New borns visited by ASHA
(as per HBNC guidelines){Nos;
(%)}
Rural Live Births as per
HMIS data: 40922
NA 28645
(70%)
40922
(100%)
Percentage of SNCUs admitting
at least 6 babies per month per
bed
NA NA 80% 95%
TARGETS: CHILD HEALTH
Trend (SRS) Targets (SRS)
2008 2009 2010 2011 2012 2013 2014 2015 2016
NMR -- -- -- -- -- -- -- -- --
IMR 34 31 27 29 23 21 19 17 15
Approval of State PIP 2013-14: TRIPURA Page 41
U5MR -- -- -- -- -- -- -- -- --
PROCESS INDICATORS
Current
Status
Target for
2013-14
KEY PERFORMANCE INDICATORS (CUMULATIVE)
1 Establishment &
operationalization of SNCUs
(Target 12-13: 5)
0 5
2 Establishment &
operationalization of NBSU
(Target 12-13: 8)
0 8
3 NBCC at delivery points (Target 12-13: 142)
62 166
4 Establishment of NRCs (Target 12-13: 2)
0 2
5 Personnel trained in IMNCI
(ANM+LHV)
No.
328 48
6 Personnel trained in F-IMNCI
(MO+SN)
No. 39 24
7 Personnel trained in NSSK
(MO+ANM+SN)
No. 147 96
KEY PERFORMANCE INDICATORS (NON CUMULATIVE)
1 New borns visited by ASHA (as
per HBNC guidelines)
No. NA 28645
% 70% Rural Live Birth
2 LBW children tracked(state
HMIS)
No. NA 3180
% NA 70% LBW in
Rural
3 Percentage of SNCUs admitting at
least 6 babies per month per bed
% NA 80%
Approval of State PIP 2013-14: TRIPURA Page 42
ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH, SHP & IMMUNIZATION
(A) Priority Actions to be carried out by state for Child Health Interventions
1. All the delivery points should have a functional Newborn Care Corner consisting of essential
equipment and staff trained in NSSK. The staff must be trained in a 2 days NSSK training package
for skills development in providing Essential Newborn Care.
2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all
Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs should be
aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully operational.
3. SNCUs are referral centres with provision of care to sick new born the entire district and relevant
information must be given to all peripheral health facilities including ANM and ASHA for optimum
utilisation of the facility. Referral and admission of out born sick neonates should be encouraged and
monitored along with inborn admissions.
4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from
peripheral units. Dedicated staff posted to NBSU must be adequately trained and should have the
skills to provide care to sick newborns.
5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home Based
Newborn Care Scheme. The ASHA kit and incentives for home visits should be made available on a
regular basis to ASHAs who have completed the Round 1 of training in Module 6
6. All ANMs are to be trained in IMNCI.
7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be prioritised
for F-IMNCI training so that they can provide care to sick children with diarrhoea, pneumonia and
malnutrition.
8. Infant and Under fives Death Review must be initiated for deaths occurring both at community and
facility level.
9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and expectant
mothers should be ensured at all delivery points and breastfeeding initiated soon after birth. At least
two health care providers should be trained in „Lactation Management‟ at District Hospitals and
FRUs; other MCH staff should be provided 2 days training in IYCF and growth monitoring.
10. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs), prioritising
tribal and high focus districts with high prevalence of child malnutrition. The optimum utilisation of
NRCs must be ensured through identification and referral of Severe Acute Malnutrition cases in the
community through convergence with Anganwadi workers under ICDS scheme.
11. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained by the
ANM and their follow-up must be ensured through ASHA.
12. In order to reduce the prevalence of anaemia among children, all children between the ages of 6
months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a preventive
measure for 100 days in a year. Accordingly appropriate formulation and logistics must be ensured
and proper implementation and monitoring should be emphasised through tracking of stocks using
HMIS. As per National Iron Plus Initiative, IFA syrup is to be administered in biweekly fashion under
supervision from ASHA.
13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in children.
Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs.
14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against committed
training load) must be transmitted on a monthly basis to the Child Health Division.
15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in current
financial year. Growth monitoring equipments to made available at each Health Facility i.e Sub
Centre, PHC, District Hospital. At District Hospitals and high case load facilities, RMNCHA
counsellor to undertake IYCF counselling after growth monitoring by Staff Nurse/ANM. IYCF
trainings for ASHA/ANM/Staff Nurses to be undertaken.
Approval of State PIP 2013-14: TRIPURA Page 43
B.Rashtriya Bal Swastha Karyakram (School Health Programme):
1. Rashtriya Bal Swastha Karyakram (RBSK) Guidelines including terms of reference to be
adhered for operational plan, implementation and monitoring. School Health programme is now
subsumed under RBSK.
2. The programme should focus on four Ds- Defects at birth, Diseases, Deficiencies and
Development Delays including Disabilities as detailed in RBSK guideline.
3. All children (below 6 years) registered with Anganwadis to be screened at least twice a year
4. All children (6 years to 18 years) enrolled in government and government aided schools to be
screened at least once a year.
5. All designated delivery points (as agreed in annexure of PIP 2013-14) to start New born
screening and report findings in monthly monitoring formats
6. Recruitment and training of dedicated teams to complete within the first Quarter of the financial
Year.
7. Referral of children must be tied up and complete treatment at higher facilities through District
Early Intervention Centres.
8. Planning, implementation, monitoring formats - Health Cards, reporting formats under RBSK is
standardized. State to ensure adherence.
9. All Approved DEICs to be established with in the current Financial Year. No spill over for
infrastructural cost would be allowed in the next year for the same facility.
10. State to establish State/District/Block level RBSK committees and/or submerge within existing
NRHM society structure at State/District and block with diverse stakeholders, Department of
Woman and Child Development, Department of Education – Sarba Siksha Abiyan, Rashtriya
Madhmik Sishkha Abhiyan, Department of Social Justice and empowerment. This committee
with representation of academia at State level is responsible for implementation and monitoring
of the programme.
11. Involvement of nodal teachers from schools and Anganwadi workers from Anganwadi Centres
and State District and Block level supervisory structure in the programme is to be ensured for
preventive and promotive Health communication and monitoring.
12. Visibility of Rashtriya Bal Swastha Karyakram (RBSK) with NRHM logo to be made noticeable
across programme implementation. In case State has different nomenclature other than Rashtriya
Bal Swastha Karyakram (RBSK) for similar programme, for which financial support is
Approved under PIP 2013-14, RBSK and NRHM to be used as cobranded with local initiative.
13. The New programme would require State/District programme management unit handholding in
Physical and Financial achievement. State to support this initiative.
14. Formation of State and district level steering committees.
15. Training / re-orientation of service providers(MOs, ANMs, ASHAs)
16. Monthly meeting with BMO.
17. Regular feedback on quality of sanitary napkins to be sent to GoI
18. Identification of appropriate storage place for sanitary napkins.
19. Mechanism of distribution of sanitary napkins right upto the user level.
20. Reporting and accounting system in place at various levels.
21. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain
management of IFA tabs and Sanitary napkins.
Approval of State PIP 2013-14: TRIPURA Page 44
22. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and
preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).
C. Priority Actions to be carried out by state for Immunization
1. Immunization weeks should be continued as a part of routine strategy during non – immunization
days to improve coverage especially in community where no immunization services are provided
or services are deficient or all high risk pockets or migrant population as identified in pulse polio
program etc. The available human resources to be redeployed during these weeks for effective
implementation
2. The micro plans for routine immunization must be updated on 6 monthly intervals both for
Routine Immunization and Immunization weeks, taking into account the information available
and information on migrant population/ missed areas covering inaccessible, remote areas and
urban slums. The missed areas or migrant population as identified during polio programme or any
other source of information must be incorporated in the micro plans and activities carried out as
per micro-plan.
3. Full time State Immunisation Officer should be in place.
4. District Immunisation Officer should be in place in all the districts. The placement of ANMs at
all session sites must be ensured.
5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of
beneficiaries should be available with ASHA after each session and tickler bags should be used
for monitoring in addition to the timely and regular updating of information in MCTS portal.
6. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/
24x7 PHCs with considerable case load in the OPD.
7. Cold chain mechanics must be placed in every district with a definite travel plan so as to ensure
that at least 3 facilities are visited every month as a preventive measure (check-up of equipment).
8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points and
their training must be ensured. In case of non-availability, the responsibility should be given to
next para medical staff in position that should be equally trained.
9. The coverage of immunization to children at 18 months of age is very low. The opportunity for
Full immunization of the children at 1year and ensuring that these children are also vaccinated at
2nd year of age must be emphasized and monitored. The ASHAs/link workers are especially
encouraged by providing financial incentive of Rs 100 and Rs 50 per child to achieve this.
10. District AEFI Committees must be in place and investigation report of every serious AEFI case
must be submitted within 15 days of occurrence.
11. Rapid response team should be in place in priority districts identified by the states.
12. There should be a regular evening meeting on Immunization days to review the implementation
of open vial policy and also reviewing implementation of programmatic gaps.
13. Quarterly review at all levels should be conducted on the issues as identified during evening
meetings, for which funds are provided under ROP.
Approval of State PIP 2013-14: TRIPURA Page 45
DETAILED BUDGET: CH, RBSK & IMMUNIZATION
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.2. CHILD
HEALTH
5703 53000.00 97.68 37.82
A.2.1 IMNCI (including
F-IMNCI;
primarily budget
for planning for
pre-serviceIMNCI
activities in
medical colleges,
nursing colleges,
and ANMTCs)
0.00
A.2.2 Facility Based
Newborn
Care/FBNC
(SNCU, NBSU,
NBCC - any cost
not budgeted
under
HR,Infrastructure,
procurement,
training,IEC etc.)
e.g.operating cost
rent,electricity etc.
imprest money
25 50000.00 12.50 3.75
A.2.2.1 SNCU 0.00
A.2.2.2 NBSU 0.00
A.2.2.3 NBCC No. of NBCC 25 50000.00 12.50 3.75 Approved Rs.
3.75 lakhs as
operational
cost of the 25
new NBCCs
@ 0.20 lakhs
for 9 months
(3 quarters)
has been
approved.
Cost for
setting up new
NBCCs (Rs.
8.75 lakhs)
shifted to
Procurement
Approval of State PIP 2013-14: TRIPURA Page 46
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
under CH
FMR.
B16.1.2.
A.2.3 Home Based
Newborn
Care/HBNC
0.00
A.2.4 Infant and Young
Child
Feeding/IYCF
0.00
A.2.5 Care of Sick
Children and
Severe
Malnutrition (e.g.
NRCs, CDNCs
etc.)
0.00
A.2.6 Management of
diarrhoea & ARI
& micronutrient
malnutrition
0.00
A.2.7 Other
strategies/activities
(please specify)
0.00
A.2.8 Infant Death Audit 0.00
A.2.9 Incentive to
ASHA under child
health
0.00
A.2.10 JSSK (for Sick
neonates up to 30
days)
5678 3000.00 85.18 34.07
A.2.10.1 Drugs &
Consumables
(other than
reflected in
Procurement)
Beneficiary 2839 2000.00 56.78 5.68 ApprovedRs
5.68 lakhs for
2839 sick-
new-born
cases @ Rs
200/- per sick-
new-born.
This is besides
drugs under
CH, SNCU etc
This is to
further inform
that all sick-
newborns and
infants are to
Approval of State PIP 2013-14: TRIPURA Page 47
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
be extended
benefits under
JSSK . So
state may
consider
issuing G.O
in this regard.
A.2.10.2 Diagnostics 0.00
A.2.10.3 Free Referral
Transport
Beneficiary 2839 1000.00 28.39 28.39 Approved Rs
28.39 lakhs
for to and fro
Referral
Trsnsport for
2839 sick
new-borns
A.2.11 Any other
interventions (eg;
rapid assessments,
protocol
development)
0 0.00 0.00 0.00
A.2.11.1 0.00
A.2.11.2 0.00
A.2.11.3 0.00
A.2.11.4 0.00
A.2.11.5 0.00
SUB TOTAL
CHILD
HEALTH
97.68 37.82
A.4.2 School Health
programme
A.4.2.1 Prepare and
disseminate
guidelines for
School Health
Programme.
No. of
dissemination
Meeting
8 40000.00 3.20 1.40 Approved.
Rs 1.40 is
approved for
2000 copies of
RBSK
guidelines @
Rs 70 per
guideline to be
disseminated
at
convergence
meeting.
Meeting cost
is shifted to A
4.2.2
A.4.2.2 Prepare detailed 0.00 1.80 Approved.
Approval of State PIP 2013-14: TRIPURA Page 48
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
operational plan
for School Health
Programme across
districts (cost of
plan meeting
should be kept)
Rs 1.80 lakh is
approved for 3
yearly
meetings at
State (@ Rs
20000 per
meeting) and
district level
(@ Rs 10000
per meeting)
with
Stakeholders
of RBSK -
School
Education
SSA and
RMSA, ICDS
and
Department of
Disability
under Ministry
of Social
Justice and
empowerment.
Shifted from
A 4.2.1.
A.4.2.3 Mobility support No of unit 15 20000.00 57.94 22.80 Approved.
Rs 22.80 lakhs
is approved
for 8 mobile
health teams
for 9 months
and 7 Mobile
Health teams
for 6 months
@ Rs 20000
per month.
Mobility
support for
Facility based
team visit is
not
recommended
under RBSK.
A.4.2.4 Referral support Number of
DEIC
4 100000.00 4.00 0.00 Not approved
A.4.2.5 Other strategies 67 222000.00 178.79 67.72
Approval of State PIP 2013-14: TRIPURA Page 49
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
for school health
A.4.2.5.1 Tertiary level
treatment of
student
No. of case 48 200000.00 96.00 49.00 Approved.
Rs 49 lakhs is
approved for
support of 529
children as per
details of
secondary and
tertiary care
A.4.2.5.2 School Health
checkup visit
0.00
A.4.2.5.3 Specialist School
Health Camp
No of DH/SH 4 2000.00 0.96 0.00 DEIC
establishment
is shifted to B
4.1.5.4.4,
Specialist
Visit support
is shifted to A.
8.1.10.1.
Training for
DEIC staffs is
shifted to A
9.7.6.3.1.
Contengency
and running
cost would
only be
approved once
the DEICs are
made
functional.
Approval for
computers 2
per DEIC is to
be
recommended
only after the
DEICs (3in
number) are
put in place.
A.4.2.5.4 Printing of health
card and student
health register
No. of card &
register
1187703
card+450
Register
36.53 18.72 Approved.
Rs 18.72 lakhs
is approved
for printing
1187703 cards
@ Rs 1.5 per
card and 450
Approval of State PIP 2013-14: TRIPURA Page 50
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
registers @ Rs
200 per
registers.
Conditionality
State to follow
RBSK formats
for card and
registers.
A.4.2.5.5 Review meeting &
workshop at state
& district level
(Programme
Management Cost
including
supportive
Supervision)
6.00 0.00 Not approved
A.4.2.5.6 Development of
screening tools
No. of SH
team
15 20000.00 3.00 0.00 Not
Approved
A.4.2.5.7 Yoga Project for
AYUSH
36.30 0.00 Not approved
A.9.5 Child Health
Training
15 889858.00 18.86 15.27
A.9.5.1 IMNCI Training
(pre-service and
in-service)
2 175706.00 3.51 3.51
A.9.5.1.1 TOT on IMNCI
(pre-service and
in-service)
0.00
A.9.5.1.2 IMNCI Training
for ANMs / LHVs
No. of batch 2 175706.00 3.51 3.51 Approved
A.9.5.1.3 IMNCI Training
for Anganwadi
Workers
0.00
A.9.5.2 F-IMNCI Training 2 284166.00 2.84 2.84
A.9.5.2.1 TOT on F-IMNCI 0.00
A.9.5.2.2 F-IMNCI Training
for Medical
Officers
No. of batch 1 143325.00 1.43 1.43 Approved
A.9.5.2.3 F-IMNCI Training
for Staff Nurses
No. of batch 1 140841.00 1.41 1.41 Approved
A.9.5.3 Home Based
Newborn Care /
HBNC
0 0.00 0.00 0.00
A.9.5.3.1 TOT on HBNC 0.00
A.9.5.3.2 Training on
HBNC for ASHA
0.00
Approval of State PIP 2013-14: TRIPURA Page 51
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.5.4 Care of sick
children and
severe
malnutrition at
FRUs
0 0.00 0.00 0.00
A.9.5.4.1 TOT on Care of
sick children and
severe
malnutrition
0.00
A.9.5.4.2 Training on Care
of sick children
and severe
malnutrition for
Medical Officers
0.00
A.9.5.5 Other child health
training (please
specify)
11 429986.00 12.50 8.92
A.9.5.5.1 NSSK Training 4 120878.00 2.42 2.42
A.9.5.5.1.1 TOT for NSSK candidate 0 0.00 0.00
A.9.5.5.1.2 NSSK Training for
Medical Officers
No. of batch 2 61060.00 1.22 1.22 Approved
A.9.5.5.1.3 NSSK Training for
SNs
No. of batch 2 59818.00 1.20 1.20 Approved
A.9.5.5.1.4 NSSK Training for
ANMs
No. of batch 0.00
A.9.5.5.2 Other Child Health
training
7 309108.00 10.08 6.50
A.9.5.5.2.a IMNCI Training
for SN
No. of batch 2 179108.00 3.58 0.00 Not approved
A.9.5.5.2.b SNCU Training
for MO/SN
No. of batch 5 130000.00 6.50 6.50 Approved
A.9.7.6.3 SHP training 3 150000.00 4.50 9.00
A.9.7.6.3.1 School Health
Training -Training
of team – technical
and managerial
No. of batch 3 150000.00 4.50 9.00 Approved.
Rs 4.5 lakhs is
approved for
RBSK training
2 batches with
8 and 7 teams
each. Two
batchs one at
State level for
State level
master
trainers. Rs
4.5 Lakhs is
approved for 3
training of 15
Approval of State PIP 2013-14: TRIPURA Page 52
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
days each for
DEIC staffs @
Rs 1.5 lakhs
each, shifted
from A
4.2.5.3.
A.9.7.6.3.2 Training of Nodal
teachers
No. of batch 0.00 0.00 Approved.
Not Approved
under RBSK
B1.1.3.2 Incentive under
CH (HBNC) 108546 500.00 173.33 71.60
B1.1.3.2.1
New born home
visit
No. new born
31544 250.00
78.86 71.60
Approved.
Ongoing
activity.
Total
estimated rural
live births are
40922. State
must cover
70% (28645)
of these rural
live births
under HBNC.
B1.1.3.2.2
Mobilization of
beneficiary in
immunization
Per session 34944 150.00 52.42 0.00
Not
approved.
State should
propose this
budget under
Immunization
B1.1.3.2.3 Full Immunization Per child 42058 100.00 42.06 0.00
Not
approved.
State should
propose this
budget under
Immunization
B.10.2.2 BCC/IEC
activities for CH 0 0.00 25.56
B.10.2.2.1 Mass media 5.41 0.00
Approval as
per remark
under FMR
B.10
B.10.2.2.2 Mid-media 20.15 0.00
Approval as
per remark
under FMR
B.10
Approval of State PIP 2013-14: TRIPURA Page 53
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
5B16.1.2
Procurement of
equipment: CH 200 800.00 1.60
B16.1.2.1 Baby weighing
machine No. of item 200 800.00 1.60 1.60
Approved.
B16.1.2.2 Setting up new
NBCC 0.00 8.75
Approved.
Budget
shifted from
A.2.2.3.
B16.1.6.2
Equipments for
School Health
Equipments for
School Health
Screening
(weighing scale,
Height
measurement scale
and Snellens‟
Charts)
0.00 5.40
Approved as
per RBSK
guidelines,
Pure tone
audiometer is
not
recommended
for mobile
health teams
to begin with.
Equipments of
DEICs would
only be
recommended
after the
DEICs are
made
functional.
B.16.2.2 Drugs & supplies
for CH 30000 40.00 12.00
B.16.2.2.1 Drugs & Supplies
for Child health
B.16.2.2.2 Zink Syrup No. of Bottle 30000 40.00 12.00 12.00
Approved.
However State
should
propose the
budget for
dispersible
Zinc tablets
rather than
Zinc syrup.
Draft
calucation of
doses is as
5 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place
Approval of State PIP 2013-14: TRIPURA Page 54
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
follows:
Under 5year
children
population
(approx 10%
of total
popoulatyion
of the diatrict)
x 1.7
(diarrheal
episodes per
child per year)
x 40% of
above two
multiplier x 14
tablets ( of
zinc for every
episode of
diarrhea )
B.16.2.7 6Drugs &
supplies for SHP 256.51
148.72
Approved.
Rs 148.72
lakhs
recommended
for approval -
29.51 lakhs
for IFA small :
354742
student X 52
tablet X 0.16
= Rs. 29.51
Lakh, IFA
Syrup @
Rs.30
amounting
Rs.
55.50Lakh,
Albendazole
Syrup @ Rs.8
amounting Rs.
59.50 Lakh
and Rs 4.5
lakhs for on
the spot
6 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place
Approval of State PIP 2013-14: TRIPURA Page 55
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
management
of children for
RBSK @ Rs
30000 for 15
teams.
Conditionality
RBSK
medicines
procurement
only to follow
RBSK EDL to
be announced
by MoHFW
shortly.
GRAND TOTAL
CHILD
HEALTH AND
RBSK
915.08 353.43
Approval of State PIP 2013-14: TRIPURA Page 56
BUDGET: IMMUNIZATION
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
C.1
RI Strengthening Project ( Review
meetings, Mobility support, Outreach
services etc)
c.1.a Mobility Support for supervision for
district level officers.
Rs.2,50,000/
Year
/district level
officers.
8.00 20.00 20.00
c.1.b Mobility support for supervision at
state level
Rs. 150000
per year. 1.00 1.50 1.50
c.1.c
Printing and dissemination of
Immunization cards, tally sheets,
monitoring forms etc.
Rs. 10
beneficiaries 64000.00 6.40 6.40
c.1.d Support for Quarterly State level
review meetings of district officer
Rs. 1250/
per
participant/d
ay for 3
persons
(CMO/DIO/
Dist. Cold
Chain
Officer)
4.00 1.60 1.20
State to
share the
meeting
notice and
minutes
with
MOHFW.
c.1.e
Quarterly review meetings exclusive
for RI at district level with one Block
MOs, CDPO, and other stake holders
Rs. 100/per
participant
for meeting
expenses for
5 persons
(lunch,
Organization
expenses)
32.00 12.80 4.00
State to
share the
meeting
notice and
minutes
with
MOHFW.
Approval of State PIP 2013-14: TRIPURA Page 57
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
c.1.f Quarterly review meetings exclusive
for RI at block level
Rs. 50/ per
person as
honorarium
for ASHA
(Travel) and
Rs.
25/person at
the disposal
of MO-IC for
meeting
expenses
(refreshment,
stationary
and misc.
expenses)
32.00 12.80 12.80
State to
share the
meeting
notice and
minutes
with
MOHFW.
c.1.g
Focus on slum & underserved areas in
urban areas/alternative vaccinator
for slums
Hiring of
ANM@450/s
ession for
four
session/mont
h/slum of
10000
population
and Rs. 300/-
per month as
contingency
per slum i.e.
Rs. 2100/-
per month
per slum of
10000
population
0.00
c.1.h Mobilization of children through
ASHA or other mobilizers
Rs. 150 per
session 34944.00 104.83 52.42
c.1.i Alternative vaccine delivery in hard to
reach areas
Rs. 150 per
session 28188.00 42.28 42.28
c.1.j Alternative Vaccine Delivery in other
areas
Rs. 75 per
session 5520.00 4.14 4.14
c.1.k To develop micro plan at sub-centre
level
@ Rs 100/-
per subcentre 767.00 0.77 0.77
Approval of State PIP 2013-14: TRIPURA Page 58
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
c.1.l For consolidation of micro plans at
block level
Rs. 1000 per
block/ PHC
and Rs. 2000
per district
53.00 1.59 0.69
c.1.m POL for vaccine delivery from State to
district and from district to PHC/CHCs
Rs1,50,000/
district/year 8.00 12.00 12.00
c.1.n Consumables for computer including
provision for internet access for RIMs
@ 400/ -
month/
district
8.00 8.00 0.38
c.1.o Red/Black plastic bags etc.
Rs.
3/bags/sessio
n
69888.00 2.10 2.10
c.1.p Hub Cutter/Bleach/Hypochlorite
solution/ Twin bucket
Rs. 1200 per
PHC/CHCpe
r year
114.00 1.37 1.37
c.1.q Safety Pits Rs. 5250/pit 114.00 5.99 5.99
c.1.r State specific requirement 3.00 0.00
Not
recommend
ed, as no
details
provided
c.1.s Teeka Express Operational Cost 0.00 1.00
Recommen
ded for
Teeka
Express.
However
activity to
be
undertaken
with prior
approval of
Ministry.
c.1.t Measles SIA operational Cost 0.00
No Measles
SIA is
scheduled
in F.Y.
2013-14
Approval of State PIP 2013-14: TRIPURA Page 59
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
c.1.u JE Campaign Operational Cost 0.00
No JE
Campaign
is
scheduled
for 2013-
14.
c.1.v Others 0.00
C.1-Sub Total 241.16 169.03
C.2 Salary of Contractual Staffs
C.2.1 Computer Assistants support for State
level
Rs.12000-
15000 per
person per
month
1.00 1.42 0.72
* Salary is
for 6
months
* State to
provide
details of
total
sanctioned
posts, filled
up and
vacancy.
C.2.2 Computer Assistants support for
District level
8000-10000
per person
per month
4.00 5.68 2.40
* Salary is
for 6
months
* State to
provide
details of
total
sanctioned
posts, filled
up and
vacancy.
C.2.3 Others(service delivery staff)
C.2-Sub Total 7.10 3.12
C.3 Training under Immunization
Approval of State PIP 2013-14: TRIPURA Page 60
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
C.3.1
District level Orientation training
including Hep B, Measles &
JE(wherever required) for 2 days ANM,
Multi Purpose Health Worker (Male),
LHV, Health Assistant (Male/Female),
Nurse Midwives, BEEs & other staff (
as per RCH norms)
As per
revised
norms for
trainings
under RCH
2.00 1.20 1.20
Approved,
but
expenditure
has to be as
per NRHM
norms.
Also, all
the
trainings
should be
either
ongoing
approved
training or
new
training
activity
approved
by
Immunizati
on division
of Ministry.
C.3.2
Three day training including Hep B,
Measles & JE(wherever required) of
Medical Officers of RI using revised
MO training module)
2.00 1.81 1.81
C.3.3
One day refresher training of district
Computer assistants on RIMS/HIMS
and immunization formats
0.00 0.00
C.3.4
Two days cold chain handlers training
for block level cold chain handlers by
State and district cold chain officers
4.00 0.90 0.90
Approval of State PIP 2013-14: TRIPURA Page 61
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
C.3.5
One day training of block level data
handlers by DIOs and District cold
chain officer
0.00 0.00
C.3.6 Others 0.00 0.00
C.3-Sub Total 3.92 3.92
C.4 Cold chain maintenance
Rs.750/PHC/
CHCs per
year District
Rs.15000/ye
ar
2.24 2.24
Expenditur
e to be
booked as
per actual.
Re-
appropriati
on of funds
within part
C can be
considered
on full
utilization
of the fund.
C.5 ASHA incentive for full Immunization
Rs 100 per
child for full
immunizatio
n in first year
139.00 0.00
42.06
Funds for
full
immunizati
on
budgeted in
FMR code
B1.1.3.2.3
is approved
under this
head.
Rs 50 per
child for
ensuring
complete
immunizatio
n upto 2nd
year of age
0.00
Total ROUTINE IMMUNIZATION 393.42 220.37
Approval of State PIP 2013-14: TRIPURA Page 62
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco. by
Imm Div Remarks
C.6 Pulse Polio Operational Cost
(Tentative) 145.00 146.07
GRAND TOTAL IMMUNISATION 538.42 366.44
Approval of State PIP 2013-14: TRIPURA Page 63
FAMILY PLANNING
Approval of State PIP 2013-14: TRIPURA Page 64
PROJECTION OF KEY INDICATORS (2013-14):
Projection of Key Indicators (2013-14):
SN. Indicator Current Target/ ELA
Status 2013-14 2014-15 2015-16 2016-17
1 Goal Indicators:
1.1 Total Fertility Rate
(TFR) 1.7 (SRS 2007) Maintain TFR level
1.2 Contraceptive
Prevalence Rate (CPR) 40.6 (DLHS-3) 55.0 60.0 65.0 75.0
1.3 Unmet Need 12.9 (DLHS-3) 8.0 7.0 6.5 6.0
2 Service delivery:
2.1 IUCD - Total 1267
(HMIS 2011-12) 5750 6000 6250 6500
2.2 Post-partum IUCD
(subset of IUCD-total)
1000
25% of the Public Health Institution
Deliveries of that year
2.3 Female Sterilisation 5949
(HMIS 2011-12) 8500 9000 9500 10000
2.4 Post-partum
sterilisation (subset of
tubectomy)
1352
(HMIS 2011-12) 1000 2000 2500 3500
2.5 Male sterilisation 206
(HMIS 2011-12) 1300 1400 1500 1600
Total Sterilization 6155
(HMIS 2011-12) 9800 10400 11000 11600
3 Input/ facility
operationalization:
3.1 Fixed Day service
delivery:
3.1.1 IUCD
Twice weekly at SC once in a week in
8 HSC
All SHC All SHC All SHC All SHC
Daily at DH, SDH,
CHC
2 days In a week
CHCs and once
weekly in PHC
Weekly @
PHC +
CHC
Weekly @
PHC +
CHC
Weekly @
PHC + CHC
Weekly @
PHC + CHC
3.1.2 Sterilisation For Both FS & MS
at 2SHs & 3 DHs
DH + 1
SDH/ FRU
per dist
DH + all
FRU per
dist
DH + all
FRU + 25%
PHC per dist
DH + all
FRU + 50%
PHC per dist
3.2 Appointment of FP
counsellors No RMNCH
counsellors
DH + 1
SDH/ FRU
per dist
DH + all
FRU per
dist
DH + all
FRU per dist
DH + all
FRU per dist
Approval of State PIP 2013-14: TRIPURA Page 65
Conditionality for 2013-14: Family Planning:
SN. Indicator Target/ ELA - 2013-14
Minimum Level of
Achievement Remarks
By end of
Sep. 2013
By end of
March 2014
1 Goal (target):
1.1 Reduction in TFR -2013 Maintain TFR level NA NA 1.7 (SRS
2007)
2 Service delivery (ELA):
2.1 IUCD: 5750 2300 5175
2.1.1 PPIUCD 1000 400 900
2.1.2 Interval IUCD 4750 1900 4275
2.2 Sterilisation: 9800 2940 7840
2.2.1 Tubectomy 8500 2550 6800
2.2.2 Post-partum sterilisation
(subset of tubectomy) 1000 300 800
2.2.3 Vasectomy 1300 390 1040
3 Training of personnel
(target):
3.1 Post-partum IUCD 26 7 20
3.1.1 MO 26 7 20
3.1.2 SN 0 0
3.2 Interval IUCD 80 20 60
3.2.1 MO 0 0
3.2.2 SN 0 0
3.2.3 ANM/ LHV 80 20 60
3.3 Minilap 0 0
3.4 NSV 6 2 5 12 Trained
3.5 Laparoscopic 4 1 3 14 Trained
4 Others (target):
4.1 Appointment of FP
Counsellors No FP counsellors
Review &
Reporting
Review &
Reporting
4.2
Regular reporting of the
scheme of “home delivery of
contraceptives by ASHAs”
from pilot states
Regular reporting Regular
reporting
Regular
reporting
4.3 Fixed Day Services for
IUCD
2 days In a week CHCs
and once weekly in PHC
& once in a week in 8
HSC
NA 100%
4.4 Fixed Day Services for
Sterilisation
For Both FS & MS at
2SHs & 3 DHs NA 100%
Approval of State PIP 2013-14: TRIPURA Page 66
ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING
MISSION: “The mission of the National Family Planning Program is that all women and men (in
reproductive age group) in India will have knowledge of and access to comprehensive range of family
planning services, therefore enabling families to plan and space their children to improve the health of
women and children”.
GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal
emphasis on spacing and limiting methods; promoting „children by choice‟ in the context of
reproductive health.
STRATEGIES:
1. Strengthening spacing methods:
a. Increasing number of providers trained in IUCD 380A
b. Strengthening Fixed Day IUCD services at facilities
c. Introduction of Cu IUCD 375
d. Delivering contraceptives at homes of beneficiaries.
e. Delaying first pregnancy for at least two years after marriage, spacing of at least three
years between first and second child and adoption of permanent method after one or two
children ( couples to be motivated by ASHA).
2. Emphasis on post-partum family planning services:
a. Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU,
CHC/BPHC level at high case load facilities.
b. Promoting Post-partum sterilisation (PPS)
c. Establishing Post-Partum Centers at women & child hospitals at district levels
d. Appointing counsellors at high case load facilities
3. Strengthening sterilization service delivery
a. Increasing pool of trained service providers (minilap, lap & NSV)
b. Operationalising FDS centers for sterilisation
c. Holding camps to increase accessibility and availability o f services.
4. Strengthening quality of service delivery:
a. Strengthening QACs for monitoring/review
b. Disseminating/ following existing protocols/ guidelines/ manuals
c. Monitoring of FP Indemnity scheme
5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing
methods
Approval of State PIP 2013-14: TRIPURA Page 67
6. Focus on using private sector capacity for service delivery (exploring PPP availability):
7. Strengthening programme management structures:
a. Establishing new structures for monitoring and supporting the programme
b. Strengthening programme management support to state and district levels
8. World Population Day Celebrations.
KEY PERFORMANCE INDICATORS:
a. % IUD inserted against ELA
b. % PPIUCD inserted against institutional deliveries
c. % PPIUCD inserted against total IUCD
d. % of sterilisations conducted against ELA
e. % post-partum sterilisations against total female sterilisations
f. % of male sterilisations out of total sterilisations conducted
g. % facilities delivering FDS services against planned
h. % of personnel trained against planned
i. % point decline in unmet need
j. Point decline in TFR
k. % utilization of funds against approved
Approval of State PIP 2013-14: TRIPURA Page 68
DETAILED BUDGET: FAMILY PLANNING
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.3 FAMILY PLANNING 15893 44590.00 148.36 148.26
A.3.1 Terminal/Limiting Methods 11031 32500.00 137.65 137.65
A.3.1.
1
Orientation
workshop,dissemination of
manuals on FP standards &
quality assurance of
sterilisation services, fixed day
planning meeting
no. of
workshop
0.00
A.3.1.
2
Female sterilisation camps No. of
camp
165 15000.00 24.75 24.75 Approved
A.3.1.
3
NSV camps No. of
camp
66 15000.00 9.90 9.90 Approved
A.3.1.
4
Compensation for female
sterilisation
Beneficiary 8500 1000.00 85.00 85.00 Approved
A.3.1.
5
Compensation for male
sterilization/NSV Acceptance
Beneficiary 1200 1500.00 18.00 18.00
Approved.
A.3.1.
6
Accreditation of private
providers to provide
sterilisation services
1100
A.3.2 Spacing Methods 4700 90.00 1.04 0.94
A.3.2.
1
IUD camps 0.00
A.3.2.
2
IUD services at health
facilities (including fixed day
services at SHC and PHC)
Beneficiary 4500 20.00 0.90 0.90 Approved.
A.3.2.
2.1
PPIUCD services Beneficiary 200 70.00 0.14 0.04 Approved
for 200
beneficiaries.
Motivator
money @
Rs.50/- per
benficiaries
is not
suported.
200 @
Rs.20/- for
Approval of State PIP 2013-14: TRIPURA Page 69
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
IUCD
insertion is
approved =
0.04 Lakhs
A.3.2.
3
Accreditation of private
providers to provide IUD
insertion services
0.00
A.3.2.
4
Social Marketing of
contraceptives (includng
delivery of contraceptive by
ASHA at door step)
0.00
A.3.2.
5
Contraceptive Update
seminars
0.00
A.3.3 POL for Family Planning/
Others (including additional
mobilty support to surgeon's
team if req)
0.00
A.3.4 Repairs of Laparoscopes 0.00
A.3.5 Other strategies/activities
(please specify):
162 12000.00 9.67 9.67
A.3.5.
1
Monitor progress and
quality,QAC meetings /review
of sterilization failures etc.
No. of
Meeting
18 10000.00 1.80 1.80 Approved
A.3.5.
2
Performance reward if any 0.00
A.3.5.
3
World Population Day‟
celebration (such as mobility,
IEC activities etc.): funds
earmarked for district and
block level activities
No. of
Programme
1.79 1.79 Approved
A.3.5.
4
Other strategies/ activities
(such as strengthening fixed
day services for IUCD and
sterilization etc.)
144 2000.00 6.08 6.08
A.3.5.
4.1
Operational cost of fixed day
starilization at SH & DH
A.3.5.
4.2
Supervisory Visit by State &
district
No. of visit 54 2000.00 1.08 1.08 Approved
Approval of State PIP 2013-14: TRIPURA Page 70
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.3.5.
4.3
1. Incentives for ASHA for
ensuring spacing of 2 years
after marriage and spacing of 3
years after the birth of 1st
child.
2. Incentives for ASHA for a
permanent limiting method up
to 2 children only ( 9month
target of NSV & LL is
proposed )
0.00
A.3.5.
4.4
Family Planning Indemnity
scheme
Beneficiary 90 5.00 5.00 Approved
A.3.5.
4.5
Printing of Elegible couple &
children register
0.00
Sub-total Family Planning
(excluding Sterilisation
Compensation and NSV
Camps)
35.46 35.36
Sub-total Sterilisation
Compensation and NSV
Camps
112.90 112.90
A.9.6 Family Planning Training 37 141698.0
0
7.34 7.34
A.9.6.
1
Laparoscopic Sterilisation
Training
2 40710.00 0.81 0.81
A.9.6.
1.1
TOT on laparoscopic
sterilisation
0.00
A.9.6.
1.2
Laparoscopic sterilisation
training for doctors (teams of
doctor, SN and OT assistant)
No. of
batch
2 40710.00 0.81 0.81 Approved.
4 Particpants
(2/Batch).
A.9.6.
2
Minilap Training 0 0.00 0.00 0.00
A.9.6.
2.1
TOT on Minilap 0.00
A.9.6.
2.2
Minilap training for medical
officers
0.00
A.9.6.
3
Non-Scalpel Vasectomy
(NSV) Training
6 62920.00 2.26 2.26
A.9.6.
3.1
TOT on NSV canditate 4 50000.00 2.00 2.00 4 Particpants
(1/Batch).
Approval of State PIP 2013-14: TRIPURA Page 71
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
Approved.
A.9.6.
3.2
NSV Training of medical
officers
canditate 2 12920.00 0.26 0.26 2 partcipants
(1/batch)
Approved.
A.9.6.
4
IUD Insertion 16 18848.00 3.02 3.02
A.9.6.
4.1
TOT for IUD insertion 0.00
A.9.6.
4.2
Training of Medical officers in
IUD insertion
0.00
A.9.6.
4.3
Training of staff nurses in IUD
insertion
0.00
A.9.6.
4.4
Training of ANMs / LHVs in
IUD insertion
No. of
batch
16 18848.00 3.02 3.02 80
partcipants
(5/Batch).
Approved
A.9.6.
5
Contraceptive update/ISD
Training
0.00
A.9.6.
6
Other family planning training
(please specify)
8 9610.00 0.77 0.77
A.9.6.
6.1
PPIUCD insertion training for
MO
No. of
batch
8 9610.00 0.77 0.77 Approved
A.9.6.
6.2
0.00
A.9.6.
6.3
0.00
A.9.6.
6.4
0.00
A.9.6.
6.5
0.00
A.9.6.
7
PPIUCD insertion training No. of
batch
5 9610.00 0.48 0.48 Approved
B1.1.3
.3
Incentive for FP
(PPIUCD/others) 41944 2000.00 258.22
B1.1.3
.3.1
Ensuring spacing of 2 year
after marriage
Benerficiar
y No. 25226 500.00 126.13 126.13
Approved.
Approval of State PIP 2013-14: TRIPURA Page 72
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.3
.3.2
Ensuring spacing of 3 year
after marriage
Benerficiar
y No. 7018 500.00 35.09 35.09
Approved.
B1.1.3
.3.3
Permanent method of FP after
2 children
Benerficiar
y No. 9700 1000.00 97.00 0.00
Not
approved.
B.10.2
.3 BCC/IEC activities for FP 0 0.00 27.21 0.00
B.10.2
.3.1 Mass media 5.31 0.00
Approved
as per
remark in
FMR B.10
B.10.2
.3.2 Mid-media 21.90 0.00
Approved
as per
remark in
FMR B.10
B16.1.
3 Procurement of equipment:
FP 20 400.00 0.08
B16.1.
3.5 PPIUCD forceps
Number
20 400.00 0.08 0.08
Approved.
GRAND TOTAL FP
441.21 316.90
Approval of State PIP 2013-14: TRIPURA Page 73
ADOLESCENT HEALTH
Approval of State PIP 2013-14: TRIPURA Page 74
ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH
SETTING UP OF AH CELL
A unit for adolescent health at state level with a nodal officer supported by four consultants one each for
ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components
of Adolescent Health at district level to take care of Adolescent health programme including the SHP.
PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION:
I. Adolescent Reproductive Sexual Health (ARSH) Programme
Clinics
Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days,
fixed time, trained manpower).
Number of clinics integrated with ICTCs
Quarterly Reporting from the ARSH clinics to be initiated to GoI.
Establish a Supportive supervision and Monitoring mechanism
Outreach
Utilisation of the VHND platform for improving the clinic attendance.
Demand generation in convergence with SABLA and also through Teen Clubs of
MOYAS
Capacity Building/Training:
Calculation of the training load and development of training plans, refresher trainings. -
Deployment of trained manpower at the functional clinics.
II Menstrual Hygiene Scheme (MHS)
Formation of State and district level steering committees.
Training / re-orientation of service providers(MOs, ANMs, ASHAs)
Monthly meeting with BMO.
Regular feedback on quality of sanitary napkins to be sent to GoI
Identification of appropriate storage place for sanitary napkins.
Mechanism of distribution of SN right upto the user level.
Reporting and accounting system in place at various levels.
Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain
management of IFA tabs and Sanitary napkins.
Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and
preferably combined with Weekly Iron Folic Acid Supplementation (WIFS).
II Weekly Iron and Folic Acid Supplementation programme (WIFS)
Procurement policy in place for procurement of EDL including IFA and deworming tablets.
Establish “Monday” as a fixed day for WIFS.
Plan for training and capacity building of field level functionaries of concerned Departments(i.e.
Department of Women and Child Development and and Department of Education) and plan for
sensitization of Programme Planners on WIFS.
Approval of State PIP 2013-14: TRIPURA Page 75
Ensure that monitoring mechanism as outlined in the operational framework (Shared with the
States during the National Adolescent Health Workshop) are put in place across levels and
departments.
DETAILED BUDGET: ADOLESCENT HEALTH
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.4 ADOLESCENT
REPRODUCTIVE
AND SEXUAL
HEALTH / ARSH
1424 6884
00.00
261.54 107.59
A.4.1 Adolescent health
services
34 3060
00.00
12.43 12.43
A.4.1
.1
Disseminate ARSH
guidelines.
0.00
A.4.1
.2
Establishment of new
clinics at DH level
No.of clinic 1 1500
00.00
1.50 1.50 Approved
A.4.1
.3
Establishment of new
clinics at CHC/PHC
level
No.of clinic 6 1500
00.00
9.00 9.00 Approved
A.4.1
.4
Operating expenses
for existing clinics
No.of clinic 27 6000.
00
1.62 1.62 Approved
A.4.1
.5
Outreach activities
including peer
educators
0.00
A.4.1
.6
Others 0.31 0.31
A.4.1
.6.1
Printing of flex for
disemination of
Helpline of ARSH
No. of center 7 300.0
0
0.02 0.02 Approved
A.4.1
.6.2
Printing of register,
reporting format, for
ARSH Clnic
No. of center 34 0.29 0.29 Aproved
A.4.1
.6.3
Printing of Register ,
reporting format, for
WIFS
reporting
center
0.00 0.00 Committed
expenditure of 2012-
13
A.4.1
.6.4
0.00
A.4.1
.6.5
0.00
A.4.1
.6.6
0.00
A.4.1
.6.7
0.00
A.4.1
.6.8
0.00
Approval of State PIP 2013-14: TRIPURA Page 76
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.4.1
.6.9
0.00
A.4.1
.6.10
0.00
A.4.2 School Health
programme
94 3820
00.00
243.93 93.72
A.4.2
.1
Prepare and
disseminate guidelines
for School Health
Programme.
No. of
disseminatio
n Meeting
8 4000
0.00
3.20 1.40 Rs 1.40 is approved
for 2000 copies of
RBSK guidelines @
Rs 70 per guideline
to be disseminated at
convergence
meeting. Meeting
cost is shifted to A
4.2.2
A.4.2
.2
Prepare detailed
operational plan for
School Health
Programme across
districts (cost of plan
meeting should be
kept)
0.00 1.80 Rs 1.80 lakh is
approved for 3
yearly meetings at
State (@ Rs 20000
per meeting) and
district level (@ Rs
10000 per meeting)
with Stakeholders of
RBSK - School
Education SSA and
RMSA, ICDS and
Department of
Disability under
Ministry of Social
Justice and
empowerment.
Shifted from A
4.2.1.
A.4.2
.3
Mobility support No of unit 15 2000
0.00
57.94 22.80 Rs 22.80 lakhs is
approved for 8
mobile health teams
for 9 months and 7
Mobile Health teams
for 6 months @ Rs
20000 per month.
Mobility support for
Facility based team
visit is not
recommended under
RBSK.
Approval of State PIP 2013-14: TRIPURA Page 77
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.4.2
.4
Referral support Number of
DEIC
4 1000
00.00
4.00 0.00 Not approved
A.4.2
.5
Other strategies for
school health
67 2220
00.00
178.79 67.72
A.4.2
.5.1
Tertiary level
treatment of student
No. of case 48 2000
00.00
96.00 49.00 Rs 49 lakhs is
approved for support
of 529 children as
per details of
secondary and
tertiary care
A.4.2
.5.2
School Health
checkup visit
0.00
A.4.2
.5.3
Specialist School
Health Camp
No of
DH/SH
4 2000.
00
0.96 0.00 DEIC establishment
is shifted to B
4.1.5.4.4, Specialist
Visit support is
shifted to A.
8.1.10.1. Training
for DEIC staffs is
shifted to A
9.7.6.3.1.
Contengency and
running cost would
only be approved
once the DEICs are
made functional.
Approval for
computers 2 per
DEIC is to be
recommended only
after the DEICs (3in
number) are put in
place.
A.4.2
.5.4
Printing of health card
and student health
register
No. of card
& register
1187703
card+45
0
Register
36.53 18.72 Rs 18.72 lakhs is
approved for
printing 1187703
cards @ Rs 1.5 per
card and 450
registers @ Rs 200
per registers.
Conditionality State
to follow RBSK
formats for card and
registers.
Approval of State PIP 2013-14: TRIPURA Page 78
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.4.2
.5.5
Review meeting &
workshop at state &
district level
(Programme
Management Cost
including supportive
Supervision)
6.00 0.00 Not approved
A.4.2
.5.6
Development of
screening tools
No. of SH
team
15 2000
0.00
3.00 0.00 Not Approved
A.4.2
.5.7
Yoga Project for
AYUSH
36.30 0.00 Not approved
A.4.2
.5.8
Micro nutrient in
tudentthe form of Iron
Folic Acid to each s
0.00
A.4.2
.5.9
0.00
A.4.2
.5.10
0.00
A.4.3 Other
strategies/activities
(please specify)
1296 400.0
0
5.18 1.44
A.4.3
.1
Mobility support for
ARSH/ICTC
counsellors
No. of visit 1296 400.0
0
5.18 1.44 Approved 24
VHNDs @ Rs 500/-
x12 month
A.4.3
.2
Menstrual Hygiene
(Sanitary napkin
procurement to be
booked under
procurement)
0.00
A.4.3
.3
WIFS actvity 0.00
Sub-total ARSH 1424 6884
00.00
261.54 107.59
A.9.7 Adolescent
Reproductive and
Sexual Health/ARSH
Training
8 4080
27.00
10.24 14.74
A.9.7
.1
TOT for ARSH
training
0.00
A.9.7
.2
Orientation training of
state and district
programme managers
0.00
A.9.7
.3
ARSH training for
medical officers
No. of batch 1 1331
40.00
1.33 1.33 Approved
A.9.7
.4
ARSH training for
ANMs/LHVs
No. of batch 0 0.00 0.00
A.9.7 ARSH training for 0.00
Approval of State PIP 2013-14: TRIPURA Page 79
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.5 AWWs
A.9.7
.6
Other ARSH training 4 1101
70.00
4.41 4.41
A.9.7
.6.1
Training for SN &
counsellor on ARSH
No. of batch 4 1101
70.00
4.41 4.41 Approved
A.9.7
.6.2
Training of WIFS
:TOT -State level
No. of batch 0 0.00 0.00
A.9.7
.6.3
Training of WIFS
:TOT -District level
No. of batch 0 0.00 0.00
A.9.7
.6.4
0.00
A.9.7
.6.5
0.00
A.9.7
.6.1
WIFS training 0 1471
7.00
0.00 0.00
A.9.7
.6.1.
1
State level/ District
Level/ Block Level
1471
7.00
0.00
A.9.7
.6.1.
2
refresher training –
ANM/MO/ AWW/
Nodal Teacher
No. of batch 0.00 0.00
A.9.7
.6.2
Menstrual hygiene
training
0.00
B.10.
2.4
BCC/IEC activities
for ARSH 0 0.00 10.29
0.00
B.10.
2.4.1 Mass media 0.29
0.00 Approval as per
remark under FMR
B.10
B.10.
2.4.2 Mid-media 10.00
0.00 Approval as per
remark under FMR
B.10
B.16.
2.6
7Drugs & supplies
for WIFS 1948496 0.25 4.87
B.16.
2.6.1 IFA
No. of
tablets 1948496 0.25 4.87 4.87 Approved.
B.16.
2.6.2 Albendazole 0.00
GRAND TOTAL
ARSH
286.94 127.20
7 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 80
URBAN RCH
BUDGET: URBAN RCH
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.5 URBAN RCH (focus
on Urban slums)
38 6000.00 17.74 9.89
A.5.1 Identification of
urban areas /
mapping of urban
slums and planning
0.00
A.5.2 HR for urban health
including doctors,
ANMs, Lab techs
16 0.00 16.42 8.57
A.5.2.1 Doctors/Mos 0.00
A.5.2.2 Specialist 0.00
A.5.2.3 Dentists 0.00
A.5.2.4 ANM No. of
ANM
16 16.42 8.57 Approved 16 ANM
@ 8925 pm.
Approval is being
granted for six
months only with the
conditionality
mendioned in the
HR head.
A.5.2.5 Staff Nurse 0.00
A.5.2.6 LHV 0.00
A.5.2.7 LT 0.00
A.5.2.8 Pharmacists 0.00
A.5.2.9 Radiographers 0.00
A.5.2.10 OT Technician 0.00
A.5.2.11 Support staff 0.00
A.5.2.12 Others (pl specify) 0.00
A.5.3 Operating expenses
for UHP and UHC
no. of
centre
22 6000.00 1.32 1.32 Same as last year
A.5.4 Outreach activities 0.00
A.5.5 Others (pl specify) 0 0.00 0.00 0.00
A.5.5.1 Procurement of
medicine
no. of
centre
0.00
A.5.5.2 0.00
A.5.5.3 0.00
A.5.5.4 0.00
A.5.5.5 0.00
Approval of State PIP 2013-14: TRIPURA Page 81
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.5.5.6 0.00
A.5.5.7 0.00
A.5.5.8 0.00
A.5.5.9 0.00
A.5.5.10 0.00
Sub-total Urban
Health
38 6000.00 17.74 9.89
Approval of State PIP 2013-14: TRIPURA Page 82
PC-PNDT
ROAD MAP: PNDT
MISSION:
The mission of PNDT program is to improve the sex ratio at birth by regulating the pre-
conception and prenatal diagnostic techniques misused for sex selection.
Guiding Principle:
Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio
STRATEGIES:
Strengthening programme management structures:
> Appointment of Nodal officer
> Strengthening of Human resource
> Formation of PNDT Cell at state and district level
Establishment of statutory bodies under the PC&PNDT Act
> Constitution of 20 member State Supervisory Board
— Reconstitution every three years (other than ex-officio members)
— Four meetings in a year
> Notification of three members Sate Appropriate Authority,
> Constitution of 8 member State Advisory Committee
— Reconstitution in every 3 years
— At least 6 meetings in a year
> Notification of District Appropriate Authorities
> Constitution of 8 member district Advisory Committees
— Reconstitution in every 3 years
— At least 6 meetings in a year
Strengthening of monitoring mechanisms
> Monitoring of sex ratio at birth through civil registration of birth data
> Formulation of Inspection and Monitoring committees
> Increasing the monitoring visits
> Review and evaluation of registration records
> Online availability of PNDT registration records
> Online filling and medical audit of form Fs
> Ensure regular reporting of sales of ultrasound machines from manufactures
> Enumeration of all Ultrasound machines and identification of un-registered ultrasound
machine
> Ensure compliance for maintenance of records mandatory under the Act
> Ensure regular quarterly progress reports at state and district level
Capacity building and sensitisation of program managers
Approval of State PIP 2013-14: TRIPURA Page 83
> Appropriate Authorities
> Advisory committee members
> Nodal officers both State and District
• Sensitisation and Alliance building with > Judiciary> Medical Council / associations > Civil
society.
• Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and
promotion of Girl Child
• Convergence for Monitoring of Child sex Ratio at birth
KEY PERFORMANCE INDICATORS:
> Improvement in child sex ratio at birth
> % of civil registration of births
> Statutory bodies in place
> % registrations renewed
> Increase in inspections and action taken
> No. of unregistered machines identified
> % of court cases filed
> % of convictions secured
> No. of medical licences of the convicted doctor cancelled or suspended
Approval of State PIP 2013-14: TRIPURA Page 84
DETAILED BUDGET: PNDT
S. No. Budget Head Unit of
Measure
Quantity
/ Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.7 PNDT Activities 49 25450.00 2.26 0.80
A.7.1 Support to PNDT cell State cell 0.00
A.7.3 Mobility support 0.00
A.7.2 Other PNDT activities
(please specify)
49 25450.00 2.26 0.80
A.7.2.
1
Expenditure of POL
for Supervisor of
Appropriate Authority
District 8 10000.00 0.80 0.80 Approved
A.7.2.
2
Holding of State level
workshop
Workshop 0.00
A.7.2.
3
District level
sensitization workshop
Workshop 0.00
A.7.2.
4
State supervisory
Board meeting
No. of
Meeting
3 7950.00 0.24 0.00 Not Approved
A.7.2.
5
State level
multimember Meeting
3 1500.00 0.05 0.00 Not Approved
A.7.2.
6
State Inspection &
Monitoring committee
meeting
3 2550.00 0.08 0.00 Not Approved
A.7.2.
7
District Advisory
committee meeting
32 3450.00 1.10 0.00 Not Approved
A.7.2.
8
0.00
A.7.2.
9
0.00
A.7.2.
10
0.00
Sub-total PNDT
activities
49 25450.00 2.26 0.80
Approval of State PIP 2013-14: TRIPURA Page 85
HUMAN RESOURCES AND PROGRAMME
MANAGEMENT
Approval of State PIP 2013-14: TRIPURA Page 86
ROAD MAP: HUMAN RESOURCES
A comprehensive HR policy to be formulated and implemented; to be uploaded on the website.
Underserved facilities particularly in high priority districts, to be first strengthened through
contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as
per need
All appointments under NRHM to be contractual; contracts to be renewed not routinely but based
on structured performance appraisal
Decentralized recruitment of all HR engaged under NRHM by delegating recruitment process to
the District Health Society under the chairpersonship of the District Collector or Rogi Kalyan
Samitis at facility level as applicable.
Preference to be given to local candidates to ensure presence of service providers in the
community. Residence at place of posting to be ensured.
Quality of HR ensured through appropriate qualifications and a merit- based, transparent
recruitment process is mandatory.
It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors
(both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent
in inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take
services to the remotest parts of the country, particularly the un-served and under-served
areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed
first. Contractual HR must not be deployed in better served areas until the remotest areas
are adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain
without any ANM. No PHC in these areas should be without a doctor. Further, CHCs in
remote areas must get contractual HR ahead of District Hospitals. Compliance with these
conditionalities will be closely monitored and salaries for contractual HR dis-allowed in
case of a violation.
Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state
NRHM web site.
For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM
to be available at the sub-centre throughout the day while the other ANM undertakes field visits;
timings for ANM‟s availability in the SHC to be notified.
AYUSH doctors to be more effectively utilized eg for supportive supervision, school health and
WIFS.
All contractual staff to have job descriptions with reporting relationships and quantifiable indicators
of performance.
Performance appraisal and hence increments of contractual staff to be linked to progress against
indicators.
Staff productivity to be monitored. Continuation of additional staff recruited under NRHM
for 24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be reviewed
by State on a priority basis.
All performance based payments/difficult area incentives should be under the supervision of
RKS/Community Organizations (PRI).
Approval of State PIP 2013-14: TRIPURA Page 87
DETAILED BUDGET: HUMAN RESOURCES
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8 Human Resources 1444 29500.
00
848.63 441.13 As agreed, the
following key
conditionalities
would be enforced
during the year 2013-
14.
a) Rational and
equitable deployment
of HR with the
highest priority
accorded to high
priority districts and
delivery points.
b) Facility wise
performance audit
and corrective action
based thereon.
c) Performance
Measurement system
set up and
implemented to
monitor performance
of regular and
contractual staff.
d) Baseline
assessment of
competencies of all
SNs, ANMs, Lab
Technicians to be
done and corrective
action taken thereon.
- Approval is
being granted for HR
of all cadres under
NRHM for six
months only and its
continuation for the
next six months
would be contingent
on compliance to the
above four
conditionalities.
- It is expected
Approval of State PIP 2013-14: TRIPURA Page 88
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
that the state will
henceforth fill up
their vacant regular
HR positions and
will not use NRHM
funds to substitute
state spending.
- From 1st
October 2013, under
NRHM funds for
salary to contractual
HR would be done
only to make
payments to
contractual staff over
and above the
sanctioned regular
positions in the State.
A.8.1 Contractual Staff &
Services
1444 29500.
00
848.63 441.13
A.8.1
.1
ANMs,Supervisory
Nurses, LHVs,
146 0.00 172.51 83.41
A.8.1
.1.1
ANMs 146 0.00 172.51 83.41 Approved 146 (53@
10113, 27 @ 9818
and 66 @8500 per
month). Approval is
being granted for six
months only with the
above mentioned
condition
A.8.1
.1.1.a
DH 0.00
A.8.1
.1.1.
b
FRUs 0.00
A.8.1
.1.1.c
Non FRU SDH/
CHC
0.00
A.8.1
.1.1.
d
24 X 7 PHC 0.00
A.8.1
.1.1.e
Non- 24 X 7 PHCs 0.00
Approval of State PIP 2013-14: TRIPURA Page 89
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.1.1.f
Sub Centres Manpowe
r
146 172.51
A.8.1
.1.1.
g
SNCU/ NBSU/NRC
etc
0.00
A.8.1
.1.1.
h
Others 0.00
A.8.1
.1.2
Staff Nurses 0 0.00 0.00 0.00
A.8.1
.1.2.a
DH 0.00
A.8.1
.1.2.
b
FRUs 0.00
A.8.1
.1.2.c
Non FRU SDH/
CHC
0.00
A.8.1
.1.2.
d
24 X 7 PHC 0.00
A.8.1
.1.2.e
Non- 24 X 7 PHCs 0.00
A.8.1
.1.2.f
SNCU/ NBSU/NRC
etc
0.00
A.8.1
.1.2.
g
Others 0.00
A.8.1
.1.3
LHVs/supervisory
nurses
0 0.00 0.00 0.00
A.8.1
.1.3.a
DH 0.00
A.8.1
.1.3.
b
FRUs 0.00
A.8.1
.1.3.c
Non FRU SDH/
CHC
0.00
A.8.1
.1.3.
d
24 X 7 PHC 0.00
A.8.1
.1.3.e
Non- 24 X 7 PHCs 0.00
A.8.1
.1.3.f
SNCU/ NBSU/NRC
etc
0.00
A.8.1
.1.3.
g
Others 0.00
Approval of State PIP 2013-14: TRIPURA Page 90
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.2.1
Laboratory
Technicians
65 0.00 85.90 42.25 Approved 65 LT
(42@ 11302 and
23@9975) per
month. Approval is
being granted for six
months only with the
above mentioned
condition
A.8.1
.2.1.a
DH Manpowe
r
4 0.00
A.8.1
.2.1.
b
FRUs Manpowe
r
4 0.00
A.8.1
.2.1.c
Non FRU SDH/
CHC
Manpowe
r
19 0.00
A.8.1
.2.1.
d
24 X 7 PHC Manpowe
r
31 0.00
A.8.1
.2.1.e
Non- 24 X 7 PHCs Manpowe
r
7 0.00
A.8.1
.2.1.f
Others Manpowe
r
85.90
A.8.1
.2.2
MPWs 0.00
A.8.1
.3
Specialists
(Anaesthetists,
Paediatricians,
Ob/Gyn, Surgeons,
Physicians, Dental
Surgeons,
Radiologist,
Sonologist,
Pathologist,
Specialist for CHC )
71 0.00 197.28 95.76
A.8.1
.3.1
Obstetricians and
Gynecologists
0 0.00 0.00 0.00
A.8.1
.3.1.a
DH 0.00
A.8.1
.3.1.
b
FRUs 0.00
A.8.1
.3.1.c
Non FRU SDH/
CHC
0.00
A.8.1
.3.1.
d
Others (Please
specify)
0.00
Approval of State PIP 2013-14: TRIPURA Page 91
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.3.2
Pediatricians 0 0.00 0.00 0.00
A.8.1
.3.2.a
DH 0.00
A.8.1
.3.2.
b
FRUs 0.00
A.8.1
.3.2.c
Non FRU SDH/
CHC
0.00
A.8.1
.3.2.
d
Others (Please
specify)
0.00
A.8.1
.3.3
Anesthetists 0 0.00 0.00 0.00
A.8.1
.3.3.a
DH 0.00
A.8.1
.3.3.
b
FRUs 0.00
A.8.1
.3.3.c
Non FRU SDH/
CHC
0.00
A.8.1
.3.3.
d
Others (Please
specify)
0.00
A.8.1
.3.4
Surgeons 0 0.00 0.00 0.00
A.8.1
.3.4.a
DH 0.00
A.8.1
.3.4.
b
FRUs 0.00
A.8.1
.3.4.c
Non FRU SDH/
CHC
0.00
A.8.1
.3.4.
d
Others (Please
specify)
0.00
A.8.1
.3.5
Specialists for CH
(Paediatrician etc) in
SNCU,NBSU,NRC
0 0.00 0.00 0.00
A.8.1
.3.5.a
DH 0.00
A.8.1
.3.5.
b
FRUs 0.00
A.8.1
.3.5.c
Non FRU SDH/
CHC
0.00
Approval of State PIP 2013-14: TRIPURA Page 92
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.3.5.
d
Others (Please
specify)
0.00
A.8.1
.3.6.
1
Radiologists 0.00
A.8.1
.3.6.
2
Pathologists 0.00
A.8.1
.3.7
Dental surgeons and
dentists
71 0.00 197.28 95.76 Approved 71 Dental
surgeons (50 @
23100 pm and 21 @
21000 pm ).
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.3.7.a
DH Manpowe
r
4 0.00
A.8.1
.3.7.
b
FRUs Manpowe
r
2 0.00
A.8.1
.3.7.c
Non FRU SDH/
CHC
Manpowe
r
13 0.00
A.8.1
.3.7.
d
24 X 7 PHC Manpowe
r
42 0.00
A.8.1
.3.7.e
Non- 24 X 7 PHCs Manpowe
r
10 0.00
A.8.1
.3.7.f
Others (pl specify) Manpowe
r
197.28
A.8.1
.4
PHNs at CHC, PHC
level
0.00
A.8.1
.5
Medical Officers 0 0.00 0.00 0.00
A.8.1
.5.1
DH 0.00
A.8.1
.5.2
FRUs 0.00
A.8.1
.5.3
Non FRU SDH/
CHC
0.00
A.8.1
.5.4
24 X 7 PHC 0.00
A.8.1
.5.5
Non- 24 X 7 PHCs/
APHCs
0.00
Approval of State PIP 2013-14: TRIPURA Page 93
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.5.7
MOs for SNCU/
NBSU/NRC etc
0.00
A.8.1
.5.8
Other MOs 0.00
A.8.1
.5.9
Others 0.00
A.8.1
.6
Additional
Allowances/
Incentives to M.O.s
0.00
A.8.1
.7
Others - Computer
Assistants/ BCC Co-
ordinator etc
0.00
A.8.1
.7.1
Pharmacist 61 0.00 82.02 39.88 Approved 61
Pharmacist(55@109
72 pm, 5@9975 pm
and 1 @ 11302).
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.1.a
DH Manpowe
r
2 0.00
A.8.1
.7.1.
b
FRUs Manpowe
r
5 0.00
A.8.1
.7.1.c
Non FRU SDH/
CHC
Manpowe
r
5 0.00
A.8.1
.7.1.
d
24 X 7 PHC Manpowe
r
47 0.00
A.8.1
.7.1.e
Non- 24 X 7 PHCs Manpowe
r
2 0.00
A.8.1
.7.1.f
Others Manpowe
r
82.02
A.8.1
.7.2
Radiographers 0 0.00 0.00 0.00
A.8.1
.7.2.a
DH 0.00
A.8.1
.7.2.
b
FRUs 0.00
A.8.1
.7.2.c
Non FRU SDH/
CHC
0.00
A.8.1
.7.2.
24 X 7 PHC 0.00
Approval of State PIP 2013-14: TRIPURA Page 94
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
d
A.8.1
.7.2.e
Non- 24 X 7 PHCs 0.00
A.8.1
.7.2.f
Other 0.00
A.8.1
.7.3
OT
technicians/assitsants
0 0.00 0.00 0.00
A.8.1
.7.3.a
DH 0.00
A.8.1
.7.3.
b
FRUs 0.00
A.8.1
.7.3.c
Non FRU SDH/
CHC
0.00
A.8.1
.7.3.
d
24 X 7 PHC 0.00
A.8.1
.7.3.e
Non- 24 X 7 PHCs 0.00
A.8.1
.7.3.f
Other 0.00
A.8.1
.7.4
School health teams
(Exclusively for SH)
45 29500.
00
54.95 69.73
A.8.1
.7.4.a
MOs number 30 20000.
00
44.40 47.88 Rs 47.88 lakhs is
approved for 16
ayush doctors for 9
months and 14
doctors for 6 months
two each for 15
teams @ 21000 per
month. Half of the
MO to be women
and all MO to have
degree in AYUSH
from recognised
institutions of
AYUSH directorate.
A.8.1
.7.4.
b
LTs 0.00 0.00
A.8.1
.7.4.c
Dental Technicians 0.00
A.8.1
.7.4.
d
Ophthalmic
Assistants
0.00
Approval of State PIP 2013-14: TRIPURA Page 95
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.7.4.e
Staff Nurse 0.00
A.8.1
.7.4.f
Pharmacists number 15 9500.0
0
10.55 11.37 Rs 11.37 lakhs is
approved as per
RBSK guidelines for
8 Pharmacist for 9
months and 7
pharmacists for 6
months @ Rs.
9975/PM.
A.8.1
.7.4.
g
ANMs 0.00 10.48 Rs 10.48 lakhs is
approved as per
RBSK guidelines for
8 ANMs for 9
months and 7 ANMs
for 6 months @ Rs.
9193/PM.
A.8.1
.7.4.
h
MPW 0.00
A.8.1
.7.5
Counsellors 66 0.00 99.39 44.08
A.8.1
.7.5.
1
RMNCH/FP
Counselors
0.00
A.8.1
.7.5.
2
ARSH Counselors Manpowe
r
27 36.42 17.77 Approved 27 ARSH
counsellors
(15@10973,
9@11302 and 3@
9975/pm). Approval
is being granted for
six months only with
the above mentioned
condition
A.8.1
.7.5.
3
Honorarium to ICTC
counselors for ARSH
activities
A.8.1
.7.5.
4
Other (please
specify)
Manpowe
r
15 23.74 8.21 Approved 2 Hospital
Admin @ 20213 and
11 per Asst Hospital
admin @ 12128/ pm.
Approval is being
granted for six
months only with the
above mentioned
condition
Approval of State PIP 2013-14: TRIPURA Page 96
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.7.6
All Technical HR for
State Specific
Initiatives
Manpowe
r
15 27.57 12.32 Approved 1
procurement
specialist @ 20790
pm, 1 Bio medical
Engineer @ 14175
pm, 1 Quality
assurance specialist
@ 15540 pm,5
logistic specalist @
17325 pm and 5 MIS
Expert @ 13629 pm.
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.7
Others (pl specify) Manpowe
r
9 11.66 5.78 Approved for 5 @
11302 pm and 4 @
Rs.9975 pm.
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.8
Staff for Training
Institutes/ SIHFW/
Nursing Training
0.00
A.8.1
.8
Incentive/ Awards
etc. to SN, ANMs
etc.
0.00
A.8.1
.9
Human Resources
Development (Other
than above)
A.8.1
.10
Other Incentives
Schemes (Pl.Specify)
990 0.00 156.58 66.02
A.8.1
.10.1
Rural Posting
Incentive-Most
Difficult/
inaccessible areas
Manpowe
r
529 71.12 24.44 State has identified
29 facilities and
categorized them as
Difficult and Most
Difficult. State has
proposed incentive to
different cadre of
health workers for
facilities in such
areas i.e. from MO,
Approval of State PIP 2013-14: TRIPURA Page 97
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
MO- AYUSH, SN,
ANM, MPW etc.
Incentive ranges
from Rs 3000/ month
to Rs 600/ month.
Approved. The state
to share categorywise
basis of incentive
A.8.1
.10.2
Rural Posting
Incentive- Difficult
areas
461 55.46 31.58 State has identified
29 facilities and
categorized them as
Difficult and Most
Difficult. State has
proposed incentive to
different cadre of
health workers for
facilities in such
areas i.e. from MO,
MO- AYUSH, SN,
ANM, MPW etc.
Incentive ranges
from Rs 3000/ month
to Rs 600/ month.
Approved. The state
to share categorywise
basis of incentive
A.8.1
.10.3
Specialist Manpower
(Central Health
Servises-Deputation)
30.00 10.00 Approved for a token
amount as decided in
NPCC
A.8.1
.10.4
Minor civil works 0.00
A.8.1
.10.5
other (increment for
paramedical staff+
undistributed fund)
0.00
A.8.1
.10.6
0.00
A.8.1
.10.7
0.00
A.8.1
.10.8
0.00
A.8.1
.10.9
0.00
A.8.1
.10.1
0
0.00
A.8.1 Support Staff for 0 0.00 0.00 0.00
Approval of State PIP 2013-14: TRIPURA Page 98
S.
No. Budget Head
Unit of
Measure
Quantity /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.11 Health Facilities
A.8.1
.11.a
DH 0.00
A.8.1
.11.b
FRUs 0.00
A.8.1
.11.c
Non FRU SDH/
CHC
0.00
A.8.1
.11.d
24 X 7 PHC 0.00
A.8.1
.11.e
Non- 24 X 7 PHCs 0.00
A.8.1
.11.f
SNCU/ NBSU/
NBCC/ NRC etc
0.00
GRAND TOTAL
HR
1444 29500.
00
848.63 441.13
Approval of State PIP 2013-14: TRIPURA Page 99
PROGRAMME MANAGEMENT
ROAD MAP FOR PRIORITY ACTION
A full time Mission Director is a prerequisite. Stable tenure of the Mission Director (minimum 3
years) should also be ensured.
A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource
envelope of State), from the State Finance Services not holding any additional charge outside the
Health Department must be put in place, if not already done, considering the quantum of funds
under NRHM and the need for financial discipline and diligence.
Regular meetings of state and district health missions/ societies.
Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff
performance to be monitored against targets and staff sensitized across all areas of NRHM such that
during field visits they do not limit themselves only to their area of functional expertise.
Performance of staff to be monitored against benchmarks; qualifications, recruitment process and
training requirements to be reviewed.
Delegation of financial powers to district/ sub-district levels in line with guidelines should be
implemented.
Funds for implementation of programmes both at the State level and the district level must be
released expeditiously and no delays should take place.
Evidence based district plans prepared, appraised against pre determined criteria; district plans to be
a “live” document. Variance analysis (physical and financial) reports prepared and discussed/action
taken to correct variances.
Supportive supervision system to be established with identification of nodal persons for districts;
frequency of visits; checklists and action taken reports.
Remote/ hard to reach/ high focus areas to be intensively monitored and supervised.
An integrated plan and budget for providing mobility support to be prepared and submitted for
review/approval; this should include allocation to State/ District and Block Levels.
All facilities to maintain visitors registers. All supervisors should write their main observations and
agreed action/recommendation. Supervisors should sign with their name and post (written legibly)
with date of visit.
All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of block and
district programme management unit respectively. Similarly a Nursing nodal person to be a part of
SPMU. Nursing to be made an integral part of all planning, implementation and monitoring
activities.
Approval of State PIP 2013-14: TRIPURA Page 100
DETAILED BUDGET: PROGRAMME MANAGEMENT
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10 PROGRAMME
MANAGEMENT 425
19500
0.00 568.86 353.71
Approval for programme
management staff is being
granted for six months
only and its continuation
for the next six months
would be contingent on
compliance of condition
that Performance
Appraisal system is set up
and implemented to
monitor performance of
regular and contractual
staff.
A.10.
1
Strengthening of
State society/ State
Programme
Management
Support Unit
42 0.00 79.85 39.51
Contractual Staff for
SPMSU recruited
and in position
42 0.00 79.85 39.51
A.10.
1.1
State Programme
Manager
Manpowe
r
1 3.74 1.78 Approved @ Rs.29741
pm . Same as last year.
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
1.2
State Accounts
Manager
Manpowe
r
1 3.44 1.64 Approved @Rs.
27362/pm . Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
1.3
State Finance
Manager
Manpowe
r
1 3.24 1.70 Approved @ Rs. 28350
pm. Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
1.4
State Data Manager Manpowe
r
1 3.44 1.64 Approved @ Rs. 27362
pm . Approval is being
granted for six months
only with the above
Approval of State PIP 2013-14: TRIPURA Page 101
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
mentioned condition.
A.10.
1.5
Consultants/
Programme Officers
(including for
MH/CH/FP/ PNDT/
AH including WIFS
SHP, MHS etc.)
Manpowe
r
4 14.07 6.84 Approved MO RCH @
Rs.33310 pm, Consultant
SHFWs @ Rs. 30030,
Adolescent Coordinator
@ Rs. 26565, BCC
consultant @Rs. 24150
pm. Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
1.6
Programme
Assistants
Manpowe
r
4 8.16 4.24 Approved for NGO
Advisor @ Rs. 16061 pm,
Asst programme manager
@ Rs. 20213, Editor
@Rs. 18375 pm , Sr
Office Asst @ Rs. 16061.
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
1.7 Accountants
Manpowe
r 2 2.28
1.20 Approved 2 Accounts
Asst @ Rs. 9975 pm.
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
1.8
Data Entry Operators
(Office Assistant)
Manpowe
r 7 9.06
4.49 Approved 3 office asst @
Rs. 11302 pm, 1 @ Rs.
10973 pm and 3 @ Rs.
9975/pm. Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
1.9
Support Staff
(Kindly Specify)
Manpowe
r 12 11.04
5.55 Approved 2Work asst @
Rs. 7277/pm, 3 driver @
Rs. 8328/ pm, 1 driver @
Rs.7350/pm, 4 peon @
Rs.7495/pm, 1 Peon @
Rs. 7277/ pm and 1 Night
guard @ Rs. 8335/ pm.
Approval is being granted
Approval of State PIP 2013-14: TRIPURA Page 102
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
for six months only with
the above mentioned
condition.
A.10.
1.10
Salaries for Staff on
Deputation (Please
specify)
0.00
A.10.
1.11
Others (Please
specify) 9 0.00 21.37 10.42
A.10.
1.11.
1
Deputy Director
Finance
Manpowe
r 1 4.22 2.02
Approved @ Rs. 33600
pm. Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
1.11.
2
Manager Mass
Media
Manpowe
r 1 2.76 1.45
Approved @ Rs. 24150
pm. Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
1.11.
3
Jr. Engineer Manpowe
r 2 4.04
2.02 Approved 1 @ Rs. 17845
pm and 1 @ Rs. 15750
pm.
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
1.11.
4
AYUSH PMU Manpowe
r 4 8.93
4.26 Approved1 Ayush
Programme manager @
Rs. 24255, 1 Fin
Manager @ Rs.23100, 1
accountant @ Rs.12705
and 1 computer asst @
Rs. 10973 pm. Approval
is being granted for six
months only with the
above mentioned
condition.
A.10.
1.11.
5
Store keeper Manpowe
r 1 1.42 0.68
Approved @ Rs.11302
pm. Approval is being
granted for six months
only with the above
mentioned condition.
Approval of State PIP 2013-14: TRIPURA Page 103
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
2
Strengthening of
District society/
District Programme
Management
Support Unit
39 0.00 98.40 48.76
Contractual Staff
for DPMSU
recruited and in
position
39 0.00 98.40 48.76
A.10.
2.1
District Programme
Manager
Manpowe
r 8 25.17 12.70
Approved 8 DPM (3@
Rs. 28552 & 5 @ Rs.
25200/pm). Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
2.2
District Accounts
Manager
Manpowe
r 8 23.60 11.91
Approved 8 District
Accounts Manager (3@
Rs. 26768 and 5 @ Rs.
23625). Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
2.3
District Data
Manager
Manpowe
r 8 19.41 9.68
Approved 8 District Data
Manager (4@ Rs. 21414
and 4 @Rs. 18900/pm).
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
2.4
Consultants/
Programme Officers
(Kindly Specify)
0.00
A.10.
2.5 Accountants 0.00
A.10.
2.6
Data Entry Operators
(Office Assistant)
Manpowe
r 4 5.40 2.63
Approved 3 office
assistant @ Rs. 11302 pm
and 1 @ Rs.9975 pm.
Same as last year.
Approval is being granted
for six months only with
the above mentioned
condition.
Approval of State PIP 2013-14: TRIPURA Page 104
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
2.7
Support Staff
(Kindly Specify)
Manpowe
r 11 10.23 4.89
Apprved 3 drivers @ Rs.
8328 pm and 4 SCA @
Rs.6615 pm and 4 peon
@ Rs. 7495 pm. Approval
is being granted for six
months only with the
above mentioned
condition.
A.10.
2.8
Others (Please
specify) 14.59 6.96
A.10.
2.8.1
District Media
Expart
Manpowe
r 4 8.91 4.25
Approved 3 @ Rs. 17845
pm and 1 @ Rs.17325/
pm. Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
2.8.2 Store keeper
Manpowe
r 4 5.68 2.71
Approved 4 @ Rs.11302.
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
2.8.3 0.00
A.10.
2.8.4 0.00
A.10.
2.8.5 0.00
A.10.
3
Strengthening of
Block PMU 34 0.00 214.69 99.12
A.10.
3.1
Block Programme
Manager
Manpowe
r 17 32.73 15.93
Approved 13 @ Rs.
16061/- and 4 @ Rs.
14175/- pm. Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
3.2
Block Accounts
Manager
Manpowe
r 17 25.86 12.65
Approved 12 @ Rs.
12848 and 5 @ Rs.
11340/- pm. Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
3.3 Block Data Manager 0.00
Approval of State PIP 2013-14: TRIPURA Page 105
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
3.4 Accountants 0.00
A.10.
3.5 Data Entry Operators 0.00
A.10.
3.6
Support Staff
(Kindly Specify) 0.00
A.10.
3.7
Others (Please
specify) 156.10 70.54
A.10.
3.7.1 Media expart
Manpowe
r 11 15.18 7.61
Approved 5 @Rs. 12128/-
and 6 @ Rs. 11025/- pm.
.Approval is being
granted for six months
only with the above
mentioned condition.
A.10.
3.7.2
Administrative cum
Accounts Assistance
Manpowe
r 108 140.92 62.93
Approved existing 95
Administrative cum
Accounts Assistance. 74
@Rs. 11302 pm, 3 @ Rs.
10973 and 18 @ Rs. 9975
pm.Same as last year.
New positions not
approved.
Approval is being granted
for six months only with
the above mentioned
condition.
A.10.
3.7.3
HMIS assistant for
SH/MC/DH/SDH
Proposed in in part
MFP
A.10.
3.7.4
HMIS assistant for
CHC/ PHC
Proposed in in part
MFP
A.10.
3.7.5 0.00
A.10.
4
Strengthening
(Others) 10
13000
0.00 4.40 4.40
A.10.
4.1
Workshops and
Conferences
No. of
workshop 8
30000.
00 2.40
2.40 Approved Rs 2.40 lakhs
for 8 workshops @ Rs
30000/ workshop
A.10.
4.2
Workshop &
Conference at State
level
No. of
workshop 2
10000
0.00 2.00
2.00 Approved Rs 2.00 lakhs
for 2 workshops @ Rs
100000/ workshop at
State level
A.10.
4.3
HR Development -
SPMSU
A.10.
4.4
HR Development -
DPMSU
Approval of State PIP 2013-14: TRIPURA Page 106
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
4.5
HR Development -
SDPMSU
A.10.
5 Audit Fees
A.10.
6
Concurrent Audit
system 24.00 24.00 Approved
A.10.
7 Mobility Support,
Field Visits 300
65000.
00 147.52 137.92
A.10.
7.1 SPMU/State
no. of
month 72
30000.
00 21.60 12.00
Approved for4 vehicles @
Rs.3 lakhs/vehicle/annum
A.10.
7.2 DPMU/District
no. of
month 96
20000.
00 19.20 19.20 Approved
A.10.
7.3 BPMU/Block
no. of
month 132
15000.
00 19.80 19.80 Approved
A.10.
7.4
Other Supportive
Supervision costs 86.92 86.92 Approved
A.10.
7.4.1 SPMSU
No. of
Month 12
20000
0.00 35.00 35.00
Approved for office
contingency @ Rs. 2
Lakhs/PM (excluding
Statitutory Audit is
required RS.6/- Lakhs and
Rs. 5 Lakhs for
implementation of Tally.)
A.10.
7.4.2 DPMSU
No. of
Dist. 8
15000.
00 14.40 14.4
Approved for office
contingency of DPMSU
@ Rs. 15000/PM (08
unit)
A.10.
7.4.3 SDPMSU 30.72 30.72
Approved for office
contingency of SDPMSU
@ Rs. 5000/PM (7 unit as
4 unit merged with new
districts)
Not approved for office
contingency of 24X 7 hr
PHC,CHC, SDH,DH @
Rs. 2000/PM (97 unit) &
non 24 X 7 hr PHC 18
nos. @ Rs. 1500
Approval of State PIP 2013-14: TRIPURA Page 107
S.
No. Budget Head
Unit of
Measure
Quant
ity /
Targe
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
(Rs.23.28+3.24 lakhs =
Rs. 26.52 lakhs not
approved)
A.10.
7.4.4
Strengthening of
PMU & HR Computer 17
40000.
00 6.80 6.80
Approved. 1.SPMSU 02
nos. DPMSU 08 nos.,
SDPMSU 7 nos.
A.10.
7.4.5 0.00
TOTAL
PROGRAMME
MANAGEMENT
425 19500
0.00 568.86 353.71
Approval of State PIP 2013-14: TRIPURA Page 108
OTHERS
DETAILED BUDGET: TRAINING
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9 TRAINING 168 2957922.00 161.42 103.80
A.9.1 Strengthening of existing
Training Institutions
(SIHFW, ANMTCs, etc.)
0.00
A.9.2 Development of training
packages
0 0.00 0.00 0.00
A.9.2
.1
Development/ translation
and duplication of
training materials
0.00
A.9.2
.2
Other activities (pl.
specify)
0 0.00 0.00 0.00
A.9.2
.2.1
Office Support &
Monitoring Support
number 0.00
A.9.2
.2.2
0.00
A.9.2
.2.3
0.00
A.9.2
.2.4
0.00
A.9.3 Maternal Health Training 58 1087987.00 48.55 48.54
A.9.3
.1
Skilled Attendance at
Birth / SBA
20 193114.00 19.31 19.31
A.9.3
.1.1
Setting up of SBA
Training Centres
0.00
A.9.3
.1.2
TOT for SBA 0.00
A.9.3
.1.4
Training of Staff Nurses
in SBA
No. of
batch
14 96557.00 13.52 13.52 Approved
A.9.3
.1.5
Training of ANMs /
LHVs in SBA
No. of
batch
6 96557.00 5.79 5.79 Approved
A.9.3
.2
EmOC Training 2 142168.00 2.84 2.84
A.9.3
.2.1
Setting up of EmOC
Training Centres
0.00
A.9.3
.2.2
TOT for EmOC 0.00
A.9.3
.2.3
Training of Medical
Officers in EmOC
Candidate 2 142168.00 2.84 2.84 Approved
A.9.3 Life saving Anaesthesia 2 158630.00 3.17 3.17
Approval of State PIP 2013-14: TRIPURA Page 109
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.3 skills training
A.9.3
.3.1
Setting up of Life saving
Anaesthesia skills
Training Centres
0.00
A.9.3
.3.2
TOT for Anaesthesia
skills training
0.00
A.9.3
.3.3
Training of Medical
Officers in life saving
Anaesthesia skills
Candidate 2 158630.00 3.17 3.17 Approved
A.9.3
.4
Safe abortion services
training (including MVA/
EVA and Medical
abortion)
7 149710.00 4.65 4.66
A.9.3
.4.1
TOT on safe abortion
services
Candidate 1 86600.00 0.87 0.87 Approved
A.9.3
.4.2
Training of Medical
Officers in safe abortion
Candidate 6 63110.00 3.79 3.79 Approved
A.9.3
.5
RTI / STI Training 6 235838.00 6.56 6.56
A.9.3
.5.1
TOT for RTI/STI training 0.00
A.9.3
.5.2
Training of laboratory
technicians in RTI/STI
No. of
batch
2 143600.00 2.87 2.87 Approved
A.9.3
.5.3
Training of Medical
Officers in RTI/STI
No. of
batch
4 92238.00 3.69 3.69 Approved
A.9.3
.6
BEmOC training for
MOs/LMOs
No. of
batch
13 64613.00 8.40 8.40 Approved
A.9.3
.7
Other maternal health
training (please specify)
6 123914.00 3.21 3.20
A.9.3
.7.1
Training on MTP for
O&G
No. of
batch
1 21875.00 0.22 0.22 Approved
A.9.3
.7.2
Training on MTP for MO No. of
batch
1 36470.00 0.36 0.36 Approved
A.9.3
.7.3
Training of SN in
RTI/STI
No. of
batch
4 65569.00 2.62 2.62 Approved
A.9.3
.7.4
0.00
A.9.3
.7.5
0.00
A.9.3
.7.6
0.00
A.9.3
.7.7
0.00
A.9.3
.7.8
0.00
A.9.3 0.00
Approval of State PIP 2013-14: TRIPURA Page 110
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.7.9
A.9.3
.7.10
0.00
A.9.3
.8
Blood Storage Unit
(BSU) Training
No. of
batch
2 20000.00 0.40 0.40 Approved
A.9.3
.9
Skill Lab Training 0.00
A.9.4 IMEP Training 4 22588.00 0.90 0.90
A.9.4
.1
TOT on IMEP 0.00
A.9.4
.2
IMEP training for state
and district programme
managers
Candidate 4 22588.00 0.90 0.90 Approved
A.9.4
.3
IMEP training for
medical officers
0.00
A.9.5 Child Health Training 15 889858.00 18.86 15.27
A.9.5
.1
IMNCI Training (pre-
service and in-service)
2 175706.00 3.51 3.51
A.9.5
.1.1
TOT on IMNCI (pre-
service and in-service)
0.00
A.9.5
.1.2
IMNCI Training for
ANMs / LHVs
No. of
batch
2 175706.00 3.51 3.51 Approved
A.9.5
.1.3
IMNCI Training for
Anganwadi Workers
0.00
A.9.5
.2
F-IMNCI Training 2 284166.00 2.84 2.84
A.9.5
.2.1
TOT on F-IMNCI 0.00
A.9.5
.2.2
F-IMNCI Training for
Medical Officers
No. of
batch
1 143325.00 1.43 1.43 Approved
A.9.5
.2.3
F-IMNCI Training for
Staff Nurses
No. of
batch
1 140841.00 1.41 1.41 Approved
A.9.5
.3
Home Based Newborn
Care / HBNC
0 0.00 0.00 0.00
A.9.5
.3.1
TOT on HBNC 0.00
A.9.5
.3.2
Training on HBNC for
ASHA
0.00
A.9.5
.4
Care of sick children and
severe malnutrition at
FRUs
0 0.00 0.00 0.00
A.9.5
.4.1
TOT on Care of sick
children and severe
malnutrition
0.00
A.9.5
.4.2
Training on Care of sick
children and severe
0.00
Approval of State PIP 2013-14: TRIPURA Page 111
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
malnutrition for Medical
Officers
A.9.5
.5
Other child health
training (please specify)
11 429986.00 12.50 8.92
A.9.5
.5.1
NSSK Training 4 120878.00 2.42 2.42
A.9.5
.5.1.
1
TOT for NSSK candidate 0 0.00 0.00
A.9.5
.5.1.
2
NSSK Training for
Medical Officers
No. of
batch
2 61060.00 1.22 1.22 Approved
A.9.5
.5.1.
3
NSSK Training for SNs No. of
batch
2 59818.00 1.20 1.20 Approved
A.9.5
.5.1.
4
NSSK Training for
ANMs
No. of
batch
0.00
A.9.5
.5.2
Other Child Health
training
7 309108.00 10.08 6.50
A.9.5
.5.2.a
IMNCI Training for SN No. of
batch
2 179108.00 3.58 0.00 Not approved
A.9.5
.5.2.
b
SNCU Training for
MO/SN
No. of
batch
5 130000.00 6.50 6.50 Approved
A.9.5
.5.2.c
0.00
A.9.5
.5.2.
d
0.00
A.9.5
.5.2.e
0.00
A.9.6 Family Planning Training 37 141698.00 7.34 7.34
A.9.6
.1
Laparoscopic
Sterilisation Training
2 40710.00 0.81 0.81
A.9.6
.1.1
TOT on laparoscopic
sterilisation
0.00
A.9.6
.1.2
Laparoscopic sterilisation
training for doctors
(teams of doctor, SN and
OT assistant)
No. of
batch
2 40710.00 0.81 0.81 4 Particpants
(2/Batch).
Approved.
A.9.6
.2
Minilap Training 0 0.00 0.00 0.00
A.9.6
.2.1
TOT on Minilap 0.00
A.9.6 Minilap training for 0.00
Approval of State PIP 2013-14: TRIPURA Page 112
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.2.2 medical officers
A.9.6
.3
Non-Scalpel Vasectomy
(NSV) Training
6 62920.00 2.26 2.26
A.9.6
.3.1
TOT on NSV canditate 4 50000.00 2.00 2.00 4 Particpants
(1/Batch).
Approved.
A.9.6
.3.2
NSV Training of medical
officers
canditate 2 12920.00 0.26 0.26 2 partcipants
(1/batch)
Approved.
A.9.6
.4
IUD Insertion 16 18848.00 3.02 3.02
A.9.6
.4.1
TOT for IUD insertion 0.00
A.9.6
.4.2
Training of Medical
officers in IUD insertion
0.00
A.9.6
.4.3
Training of staff nurses in
IUD insertion
0.00
A.9.6
.4.4
Training of ANMs /
LHVs in IUD insertion
No. of
batch
16 18848.00 3.02 3.02 80 partcipants
(5/Batch).
Approved
A.9.6
.5
Contraceptive update/ISD
Training
0.00
A.9.6
.6
Other family planning
training (please specify)
8 9610.00 0.77 0.77
A.9.6
.6.1
PPIUCD insertion
training for MO
No. of
batch
8 9610.00 0.77 0.77 Approved
A.9.6
.6.2
0.00
A.9.6
.6.3
0.00
A.9.6
.6.4
0.00
A.9.6
.6.5
0.00
A.9.6
.7
PPIUCD insertion
training
No. of
batch
5 9610.00 0.48 0.48 Approved
A.9.6
.8
IUCD 375 insertion
training
0.00
A.9.6
.9
Training of FP
Counselors
0.00
A.9.6
.10
Training/ orientation on
technical manuals
0.00
A.9.7 Adolescent Reproductive
and Sexual Health/ARSH
Training
8 408027.00 10.24 14.74
A.9.7 TOT for ARSH training 0.00
Approval of State PIP 2013-14: TRIPURA Page 113
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.1
A.9.7
.2
Orientation training of
state and district
programme managers
0.00
A.9.7
.3
ARSH training for
medical officers
No. of
batch
1 133140.00 1.33 1.33 Approved
A.9.7
.4
ARSH training for
ANMs/LHVs
No. of
batch
0 0.00 0.00
A.9.7
.5
ARSH training for
AWWs
0.00
A.9.7
.6
Other ARSH training 4 110170.00 4.41 4.41
A.9.7
.6.1
Training for SN &
counsellor on ARSH
No. of
batch
4 110170.00 4.41 4.41 Approved
A.9.7
.6.2
Training of WIFS :TOT -
State level
No. of
batch
0 0.00 0.00
A.9.7
.6.3
Training of WIFS :TOT -
District level
No. of
batch
0 0.00 0.00
A.9.7
.6.4
0.00
A.9.7
.6.5
0.00
A.9.7
.6.1
WIFS training 0 14717.00 0.00 0.00
A.9.7
.6.1.
1
State level/ District
Level/ Block Level
14717.00 0.00
A.9.7
.6.1.
2
refresher training –
ANM/MO/ AWW/ Nodal
Teacher
No. of
batch
0.00 0.00
A.9.7
.6.2
Menstrual hygiene
training
0.00
A.9.7
.6.3
SHP training 3 150000.00 4.50 9.00
A.9.7
.6.3.
1
School Health Training -
Training of team –
technical and managerial
No. of
batch
3 150000.00 4.50 9.00 Rs 4.5 lakhs is
approved for
RBSK training
2 batches with
8 and 7 teams
each. Two
batchs one at
State level for
State level
master trainers.
Rs 4.5 Lakhs is
Approval of State PIP 2013-14: TRIPURA Page 114
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
approved for 3
training of 15
days each for
DEIC staffs @
Rs 1.5 lakhs
each, shifted
from A 4.2.5.3.
A.9.7
.6.3.
2
Training of Nodal
teachers
No. of
batch
0.00 0.00 Not Approved
under RBSK
A.9.7
.6.3.
3
One day orientation for
programme managers/
MO
0.00
A.9.7
.6.3.
4
Training/Refresher
training -ASHA
0.00
A.9.7
.6.3.
5
Training/Refresher
training -ANM
0.00
A.9.8 Programme Management
Training (e.g. M&E,
logistics management,
HRD etc.)
34 157764.00 19.41 9.51
A.9.8
.1
Training of SPMSU staff No. of
person
14 14.00 5.00 Approved for
short Course
Training for 10
person @ Rs.
0.50 lakhs
subject to
follow RCH
norms. Other
training not
approved.
A.9.8
.2
Training of DPMSU staff No. of
batch
8 22588.00 1.81 1.81 Approved
A.9.8
.3
Training of BPMSU staff 0.00
A.9.8
.4
Other training (pl.
specify)
12 135176.00 3.61 2.70
A.9.8
.4.1
Training on Pro-MIS No. of
batch
4 22588.00 0.90
A.9.8
.4.2
CME for MO No. of
batch
2 50000.00 1.00 1.00 Approved for
Rs 1.0 lakhs
for 2 batches
for CME@ Rs
0.50 lacs per
batch
Approval of State PIP 2013-14: TRIPURA Page 115
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.8
.4.3
Training of nursing -
refresher/CME
No. of
batch
2 40000.00 0.80 0.80 Approved for
Rs 0.80 lakhs
for 2 batches
for CME in
Nursing @ Rs
0.40 lacs per
batch
A.9.8
.4.4
Undistributed fund 0.00
A.9.8
.4.5
Financial Management
Training
No. of
batch
4 22588.00 0.90 0.90 Approved.
A.9.9
.1
PC/PNDT training 0.00
A.9.9
.2
Others Candidate 9 48.62 0.00 Approval
Pended-No
Plan where
training will be
conducted,
duration of
training and
outcome to be
achieved
through these
trainings
A.9.1
0
Training (Nursing) 0 0.00 0.00 0.00
A.9.1
0.1
Strengthening of Existing
Training
Institutions/Nursing
School excluding
infrastructure and HR.
0.00
A.9.1
0.2
New Training
Institutions/School
0.00
A.9.1
1
Training (Other Health
Personnel)
3 250000.00 7.50 7.50
A.9.1
1.1
Promotional Training of
ANMs to lady health
visitor etc.
0.00
A.9.1
1.2
Training of ANMs,Staff
nurses,AWW,AWS
0.00
A.9.1
1.3
Other training and
capacity building
programmes (nursing
tutors etc.)
0.00
A.9.1
1.3.1 PGDHM Courses
candidate
3 250000.00 7.50 7.50
Approved Rs
7.50 lakhs for
3 candidates @
Approval of State PIP 2013-14: TRIPURA Page 116
S.
No. Budget Head
Unit of
Measure
Quantity
/ Target
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
Rs 2.5 lakhs in
PGDHM
Courses
TOTAL TRAINING 168 2957922.00 161.42 103.80
Approval of State PIP 2013-14: TRIPURA Page 117
MISSION FLEXIBLE POOL (MFP)
Approval of State PIP 2013-14: TRIPURA Page 118
ASHA
TARGETS:
S.
No.
Activity Targets
1. ASHAs with Drug kits 7367
2. ASHAs trained in 6th
and 7th
modules 5333 (Round Three)
ROAD MAP FOR PRIORITY ACTION:
Clear criteria for selection of ASHA
Well functioning ASHA support system including ASHA days, ASHA coordinators
Performance Monitoring system for ASHAs designed and implemented (including
analysis of pattern of monthly payments; identification of non/under-performing ASHAs
and their replacement; and reward for well performing ASHAs). State to report on a
quarterly basis on ASHA‟s average earnings/ range per month.
Timely replenishment of ASHA kits.
Timely payments to ASHAs and move towards electronic payment.
Detailed data base of ASHAs created and continuously updated; village wise name list of
ASHA to be uploaded on website with address and cell phone number.
DETAILED BUDGET:
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1 ASHA 430857 66858
8.00 1448.04
B 1.1 ASHA Cost: 430857 66858
8.00 1448.04
B1.1.
1
Selection & Training
of ASHA 523
54207
3.00 414.81
B1.1.
1.1 Module I - IV 0.00
B1.1.
1.2 Module V 0.00
B1.1.
1.3 Module VI & VII
No.
of
Batc
h
0.00
Approval of State PIP 2013-14: TRIPURA Page 119
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
1.4 Other Trainings 523
54207
3.00 414.81
B1.1.
1.4.1 ToT for HBNC
No.
of
Batc
h
3 12340
0.00 3.70 3.70
Approved. Ongoing
activity.
ASHA refresher training
is proposed to be rolled
out after completion 6th
& 7th Module. Trainers
need to be sensitized
before rolling out
refresher training to
ASHAs in the state.
B1.1.
1.4.2
Refresher training for
ASHA
No.
of
Batc
h
494 42603.
00 210.46 0.00
Not approved. New
activity.
B1.1.
1.4.3
ASHA facilitator
training
No.
of
Batc
h
14 12626
2.00 17.68
17
.68
Approved. Ongoing
activity.
Total 26 days training
(5th module – 4 days, 6th
& 7th module – 20 days,
additional 2 days
monitoring & supervision
tool would be imparted to
each ASHA Facilitator.
• In ROP 12-13, out of 26
days training, 16 days was
approved and for
additional 10 days
training, budget
calculation has been done
and budget for 17.68 L
has been projected.
• State may implement the
proposed training.
• The proposed 4th round
training of AF for 5 days
on Module 6 & 7 is
subjected to the holding
of 3rd round TOT of
Module 6 & 7 at state
level.
Approval of State PIP 2013-14: TRIPURA Page 120
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
1.4.4
Refresher training of
ASHA facilitator
No.
of
Batc
h
8 17902
5.00 14.32 0.00
Not approved. New
activity.
Based on the
observations made by the
6th CRM, state has
planned to impart training
and capacity building
training to ASHA
Facilitators.
• As because, presently
ASHA Facilitators are
mostly expected to
support ASHAs on the
contents of module 6 & 7,
so, it is suggested that
state may cover the
training input of this
proposed training with the
proposed ASHA
Facilitators training
(proposed under
B.1.1.1.4.3).
• AF training already
proposed on Module 6 &
7 and on performance
monitoring.
B1.1.
1.4.5 ASHA Varosa Divas
165.82 126.02
APPROVED as per
2012-13 expenditure
(76%).
State is advised to notify
this date for clearing all
monthly dues of ASHAs
using already notified
integrated ASHA
Incentive Package.
B1.1.
1.4.6
Capacity
Development
Training ARC
personals
No.
of
Batc
h
4 70783.
00 2.83 2.83
Approved. Ongoing
activity.
B1.1.
2
Procurement of
ASHA Drug Kit 14734
1150.0
0 84.72
B1.1.
2.1 New Kits 0.00
Approval of State PIP 2013-14: TRIPURA Page 121
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
2.2 Replenishment
No.
of
ASH
A /
times
7367 350.00 25.78 0.00
May be replenished
from SC, PHC and
CHC. For budget please
see B. 16.2.5.1. Ongoing
activity.
B1.1.
2.3
Procurement of
ASHA HBNC Kit 7367 800.00 58.94 0.00
B1.1.
2.4 New Kits 0.00
B1.1.
2.5 Replenishment
No.
of
ASH
A
7367 800.00 58.94 22.10
Approved @ Rs 300.00..
Ongoing activity.
Weighing scale with sling
was distributed to all
ASHAs in 2011 and
mercury thermometer
(manual) was given to all
ASHAs in 2008 as a part
of ASHA drug kit.
B1.1.
3
Performance
Incentive/Other
Incentive to ASHAs
(if any)
414130 11166
5.00 790.79
B1.1.
3.1
Incentive under MH
(ANC/PNC) 88404 200.00 176.81
B1.1.
3.1.1
Incentive for ASHA
for VHND 88404 200.00 176.81 0.00
Not approved. New
activity.
Already approved above
under MH for organizing
VHNDs @ Rs 1000/
VHND out of which Rs
200/- to be given as
incentive to ASHA for
mobilizing PW and
children as per due list to
the session site
B1.1.
3.1.2 MCP card entry 0.00
B1.1.
3.1.3 0.00
B1.1.
3.2
Incentive under CH
(HBNC) 108546 500.00 173.33
Approval of State PIP 2013-14: TRIPURA Page 122
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
3.2.1
New born home visit
No.
new
born
31544 250.00
78.86 71.60
Approved. Ongoing
activity.
Total estimated rural live
births are 40922. State
must cover 70% (28645)
of these rural live births
under HBNC.
B1.1.
3.2.2
Mobilization of
beneficiary in
immunization
Per
sessi
on
34944 150.00 52.42 0.00
Not approved.
State should propose this
budget under
Immunization
B1.1.
3.2.3 Full Immunization
Per
child 42058 100.00 42.06 0.00
Not approved.
State should propose this
budget under
Immunization
B1.1.
3.3
Incentive for FP(
PPIUCD/others) 41944
2000.0
0 258.22
B1.1.
3.3.1
Ensuring spacing of
2 year after marriage
Bene
rficia
ry
No.
25226 500.00 126.13 126.13
Approved.
B1.1.
3.3.2
Ensuring spacing of
3 year after marriage
Bene
rficia
ry
No.
7018 500.00 35.09 35.09
Approved.
B1.1.
3.3.3
Permanent method of
FP after 2 children
Bene
rficia
ry
No.
9700 1000.0
0 97.00 0.00
Not approved.
B1.1.
3.4 Incentive for AH 0.00
B1.1.
3.5 Other incentive 127063 550.00 122.47
B1.1.
3.5.1
Incentive to ASHA
for death reporting of
all ages
No.
of
case 9191 50.00 4.60 4.60
Approved. Ongoing
activity.
This may be considered as
per GoI guideline @ Rs.
50 and budget recasted
B1.1.
3.5.2
IPC in breastfeeding
week
No.
of
ASH
A
7367 100.00 7.37 0.00 Not approved. New
activity.
Approval of State PIP 2013-14: TRIPURA Page 123
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
3.5.3
IPC in new born
week
No.
of
ASH
A
7367 100.00 7.37 0.00 Not approved. New
activity
B1.1.
3.5.4
IPC in world
population day
No.
of
ASH
A
7367 100.00 7.37 0.00 Not approved. New
activity
B1.1.
3.5.5 IPC in world TB day
No.
of
ASH
A
0.00
B1.1.
3.5.6
IPC in world matri
surakshya divas
No.
of
ASH
A
0.00
B1.1.
3.5.7
Mobilization in
Kanya Surakshya
Abhiyan
No.
of
ASH
A
0.00
B1.1.
3.5.8
Community Meeting
Sasthya Gram Sabha
No.
of
ASH
A
7367 100.00 7.37 0.00 Not approved
B1.1.
3.5.9
Facilitating VHSNC
Meeting
No.
of
ASH
A
88404 100.00 88.40 0.00
Not approved.
VHSNC untied fund may
be used for it.
B1.1.
3.5.1
0
0.00
B1.1.
3.5.1
1
Workshop of State
and District QAC
members (1) Budget
for monitoring
activities by QA cell
(lumpsum)
0.00
B1.1.
3.5.1
2
Different level
review meeting
0.00
B1.1.
3.6
Other (support
provisions to ASHA
such as uniform,
diary, ASHA Ghar
etc)
48173 10841
5.00 59.96
Approval of State PIP 2013-14: TRIPURA Page 124
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
3.6.1 Flip Chart for ASHA
No.
of
ASH
A &
Facil
itator
7800 120.00 9.36 7.80
Approved for ASHA
diary @ Rs 100.00 for
7800 ASHA and ASHA
facilitator.
Ongoing activity.
B1.1.
3.6.2
Sari and Pachra for
ASHA & ASHA
facilitator
No.
of
ASH
A &
Facil
itator
7767 480.00 37.28 0.00
Not approved. Ongoing
activity.
Uniform to ASHAs
(Saree & Pachra) was
given to all ASHAs was
approved in RoP 12-13.
Last year‟s utilization 0
till Nov‟12.
B1.1.
3.6.3
ASHA convention at
Dist. Level
No.
of
dist.
8 10730
0.00 8.58 0.00
Not approved.
B1.1.
3.6.4
Printing of HBNC
format
No.
of
form
31544 15.00 4.73 4.73 Approved.
B1.1.
4
Awards to
ASHA's/Link
workers
No.
of
ASH
A
1054 500.00 5.27 0.00 Not approved.
B1.1.
5
ASHA Resource
Centre/ASHA
Mentoring Group
416 13200.
00 152.45
B1.1.
5.1 HR At State Level
Man
powe
r
1 3.40 1.58
Approved. On-going
activity.
For existing post with 5%
increment on last year‟s
salary.
Approved for 6 six month
and continuation for the
Approval of State PIP 2013-14: TRIPURA Page 125
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
next six months would be
contingent on compliance
of condition that
Performance
Measurement system is
set up and implemented to
monitor performance of
regular and contractual
staff.
B1.1.
5.2
HR at District Level
ASHA coordinator /
programme manager
at district level, sub
divisional level as
community mobilise
for ASHA
Man
powe
r
15 25.58 12.26
Approved
On-going activity
For existing post with 5%
increment on last year‟s
salary.
Approved for 6 six month
and continuation for the
next six months would be
contingent on compliance
of condition that
Performance
Measurement system is
set up and implemented to
monitor performance of
regular and contractual
staff.
B1.1.
5.3
HR at Block Level
ASHA Facillitator
Man
powe
r
400 13200.
00 52.80 25.20
Approved (on-going
activity) for existing post
with 5% increment on last
year‟s salary.
Approved for 6 six month
and continuation for the
next six months would be
contingent on compliance
of condition that
Performance
Measurement system is
set up and implemented to
monitor performance of
regular and contractual
staff.
Approval of State PIP 2013-14: TRIPURA Page 126
S.
No. Budget Head
Unit
of
Mea
sure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
5.4
Mobility Costs for
ASHA Resource
Centre/ASHA
Mentoring Group
(Kindly Specify)
70.67 64.67
Approved.
Software for ASHA not
approved.
ASHA SUB
TOTAL 1448.04 525.99
Approval of State PIP 2013-14: TRIPURA Page 127
UNTIED FUNDS/ RKS/ AMG
ROAD MAP FOR PRIORITY ACTION:
Timely release of untied funds to all facilities; differential allocation based on case load. Funds
to be utilized by respective RKS only and not by higher levels.
Review of practice of utilising RKS funds for procurement of medicines from commercial
medical stores and accordingly revisit guidelines for fund utilisation by RKS.
Well functioning system for monitoring utilization of funds as well as purposes for which funds
are spent.
Plan for capacity building of RKS members developed and implemented.
RKS meetings to take place regularly.
Audit of all untied, annual maintenance grants and RKS funds.
The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan
Samitis and other community! PRI institutions at all levels
The State shall ensure regular meetings of all community Organizations! District! State Mission
with public display of financial resources received by all health facilities
The State shall also make contributions to Rogi Kalyan Samitis
DETAILED BUDGET:
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B2 Untied Funds 191
1
95000.0
0 215.55
B2.1 Untied Fund for
CHCs/SDH
No.
of
CH
C/S
DH
30 50000.0
0 15.00 11.50
Approved.
Approval given for 12CHC
and 11 SDH (as per RHs
2012) as per last utilization
in the year 2012-13 till 4th
Quarter ending (100%
Utilization) .
B2.2 Untied Fund for PHCs
No.
of
PH
C 83
25000.0
0 20.75 19.35
Approved.
Approval given for 79 PHCs
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(98% Utilization).
B2.3 Untied Fund for Sub
Centres
No.
of
SC 760
10000.0
0 76.00 68.30
Approved.
Approval given for 719 SC
(as per RHS 2012) as per last
utilization in the year 2012-
Approval of State PIP 2013-14: TRIPURA Page 128
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
13 till 4th Quarter ending
(95% Utilization).
B2.4 Untied fund for VHSC
No.
of
VH
SC
103
8
10000.0
0 103.80 87.19
Approved for 1038 VHSNC
as per last utilization in the
year 2012-13 till 4th Quarter
ending (84% Utilization).
B2.5 Others 0.00
UNTIED FUND SUB
TOTAL 215.55 186.34
Approval of State PIP 2013-14: TRIPURA Page 129
NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP
ROAD MAP FOR PRIORITY ACTION:
Works must be completed within a definite time frame. For new constructions up to CHC level, a
maximum of two & half years and for a District Hospital a maximum period of three & half years is
envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be
rejected accordingly. Funds would not be permissible for constructions/ works that spill over beyond
the stipulated timeframe.
Standardized drawing/ detailed specifications and standard costs must be evolved keeping in
view IPHS.
Third party monitoring of works through reputed institutions to be introduced to ensure
quality.
Information on all ongoing works to be displayed on the NRHM website
Approved locations for constructions/ renovations will not be altered
All government health institutions in rural areas should carry a logo of NRHM as
recognition of support provided by the Mission in English/ Hindi & Regional languages.
DETAILED BUDGET:
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B5
New Constructions
(proposed for the
coming year)
61 2650000
0.00 2484.92
B5.1 CHCs 0.00
B5.2 PHCs
No.
of
PHC
1 5000000
.00 100.00 50.00
Approved. New activity.
Rs 50 L approved for
Lufunga PHC (Total Project
cost Rs 597.63). State to
submitt DPR and appropriate
justification for a new PHC
at Lufunga.
Ghorkkappa PHC is not
approved in second
supplementary ROP 2012-
Approval of State PIP 2013-14: TRIPURA Page 130
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
13. To be managed by state
funding.
B5.3 SHCs/Sub Centres 50 1500000
.00 750.00 0.00
Approval pended.
Details of individual 50 SC
are not provided. State to
provide the list of new SCs
proposed.
• Further 100 Nos. of SCs
were approved during 11-12
in which the state has
modified the place of SC
construction against the GoI
approved list, the status of
these 100 SC construction
must be shared.
B5.4
Setting up
Infrastructure wing
for Civil works
0 0.00 0.00
B5.4.
1 Staff at State level 0.00
B5.4.
2 Staff at District level 0.00
B5.5 AYUSH warehouse
in 4 new district
No.
of
Ware
hous
e
5 1000000
0.00 500.00 0.00
Not approved. New
activity.
B5.6
Construction of
BEmONC and
CEmONC centres
0 0.00 0.00
B.5.6
.1
Absolutely new
SNCU/NBSU/NBCC 0.00
Approval of State PIP 2013-14: TRIPURA Page 131
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.5.6
.2
Carry forward
/Spillover from
previous year‟s
sanction for SNCU,
NBSU, NBCC
0.00
B.5.6
.3
Additional
requirement for
SNCU, NBSU,
NBCC
0.00
B.5.7
Major civil works for
operationalization of
FRUS
0.00 0.00
B.5.8
Renovation of
Madhupur,
Maharani,
Raishyabari, 82 Mile
and Ganga Nagar
PHC
525.00 0.00
Rs 150 L approved in first
supplementary 2012-13.
However State mentions no
money has been released.
Rs 150.00 L is revalidated
as committed unspent
balance by the state.
B.5.9
Civil Works for
Operationalising
Infection
Management &
Environment Plan at
health facilities
0.00
B.5.1
0
Infrastructure of
Training Institutions
--
5 1000000
0.00 559.92
B.5.1
0.1
1. Up gradation of
ANM Training
Institute at Udaipur
and Kailasha (Rs100
L proposed, Total
Project cost Rs 1000
L)
2. Construction of
ANM Training
Institute at Kulai
(Rs 50 L proposed,
Total Project cost Rs
No.
of
AN
M
traini
ng
Inst.
3 5000000
.00 459.92 0.00
Approval pended for Rs
150 proposed for Up
gradation and construction
of ANM Training
Institutes. New activity.
The state needs to share a
comprehensive plan for
strengthening of ANM
/GNM Schools as per GoI
Guidelines and Road Map
for strengthening pre-service
education on Nursing and
midwifery. Institute wise gap
Approval of State PIP 2013-14: TRIPURA Page 132
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
500 L)
3. Construction of
SIHFW
analysis on infrastructure,
equipments, training of
nursing tutors as per road
map and activity proposed
needs to be shared.
Ongoing activity. For
SIHFW Rs 125 L approved
in 2009-10, Rs 350 L in
2010-11, Rs 400 L in 2011-
12 and Rs 100 L in 2012-13.
Total project cost was Rs
975 L. Hence, total amount
for SIHFW is already
approved. Any cost
overrun to be met by the
State.
B.5.1
0.1.1
Additional Building/
Major Upgradation
of existing Structure
0.00
B.5.1
0.1.2 Repair/ Renovation 0.00
B.5.1
0.1.3
Spillover of Ongoing
Works 0.00
B.5.1
0.1.4
Quarters and
hostels/residential
facilities
0.00
B.5.1
0.1.5
New Training
Institutions/School
(SIHFW/GNMTC/A
NMTC etc)
No.
of
Instit
ute
2 5000000
.00 100.00 0.00
Approval pended.
The state needs to share a
comprehensive plan for
strengthening of ANM
/GNM Schools as per GoI
Guidelines and Road Map for
strengthening pre-service
education on Nursing and
midwifery. Institute wise gap
analysis on infrastructure,
equipments, training of
nursing tutors as per road
map and activity proposed
needs to be shared.
Approval of State PIP 2013-14: TRIPURA Page 133
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.5.1
1 SDH 50.00 0.00 Not approved.
B.5.1
2 DH 0.00
NEW
CONSTRUCTION
SUB TOTAL
2484.92 50.00
Approval of State PIP 2013-14: TRIPURA Page 134
PROCUREMENT
ROAD MAP FOR PRIORITY ACTION:
Strict compliance of procurement procedures for purchase of medicines, equipments etc as per
state guidelines.
Online real time inventory management to be practiced.
Competitive bidding through open tenders and transparency in all procurements to be
ensured.
Only need based procurement to be done strictly on indent/requisition by the concerned facility.
Procurement to be made well in time & not to be pushed to the end of the year.
Audit of equipment procured in the past to be carried out to ensure rational deployment.
Annual Maintenance Contract (AMC) to be built into equipment procurement contracts.
A system for preventive maintenance of equipment to be put in place.
Unit Costs in relation to the various types of procurement including printing etc. are only
indicative for the purpose of estimations. However, the actual expenditure must be incurred
after following rules and due processes. The competitive and transparent bidding should be
ensured as well as only need based procurement must take place
DETAILED BUDGET:
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.16 PROCUREMENT
603
195
7
24340.5
0 934.99
B16.
1
Procurement of
Equipment 361
24200.0
0 185.43
B16.
1.1 Procurement of
equipment: MH 141
23000.0
0 14.10
B16.
1.1.1
Equipments for Blood
Banks/ BSUs 0.00
B16.
1.1.2
MVA /EVA for Safe
Abortion services
No.
of
ite
m
94 7000.00 6.58 2.35
Approved @ Rs 2500 for
MVA kit for 94 kits for
procuring MVA kits
B16.
1.1.3 Others (please specify) 47
16000.0
0 7.52
B16.
1.1.3Fetoscope
No.
of 0.00
Approval of State PIP 2013-14: TRIPURA Page 135
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.1 ite
m
B16.
1.1.3
.2
Hemoglobinometer
No.
of
ite
m
0.00
B16.
1.1.3
.3
BP aperatus
No.
of
ite
m
0.00
B16.
1.1.3
.4
Oxygen Cylinder with
trolly
No.
of
ite
m
47 16000.0
0 7.52 7.52
Approved for 47 Oxygen
trolley's @ Rs 16000/ unit
B16.
1.1.3
.5
Pregnency Test Kit
No.
of
kit
0.00
B16.
1.1.3
.6
0.00
B16.
1.1.3
.7
0.00
B16.
1.1.3
.8
0.00
B16.
1.1.3
.9
0.00
B16.
1.1.3
.10
0.00
B16.
1.2 Procurement of
equipment: CH 200 800.00 1.60
B16.
1.2.1
Baby weighing
machine
No.
of
ite
m
200 800.00 1.60 1.60 Approved.
B16.
1.2.2 Setting up new
NBCC 0.00 8.75
Approved. Budget shifted
from A.2.2.3.
B16.
1.2.3 0.00
Approval of State PIP 2013-14: TRIPURA Page 136
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B16.
1.2.4 0.00
B16.
1.2.5 0.00
B16.
1.2.6 0.00
B16.
1.2.7 0.00
B16.
1.2.8 0.00
B16.
1.2.9 0.00
B16.
1.2.1
0 0.00
B16.
1.3 Procurement of
equipment: FP 20 400.00 0.08
B16.
1.3.1 NSV kits 0.00
B16.
1.3.2 IUCD kits 0.00
B16.
1.3.3 minilap kits
0.00
B16.
1.3.4 laparoscopes
Nu
mb
er
0.00
B16.
1.3.5 PPIUCD forceps
Nu
mb
er
20 400.00 0.08 0.08
Approved.
B16.
1.3.6 Other (please specify) 0 0.00 0.00
B16.
1.3.6
.1
0.00
B16.
1.3.6
.2
0.00
B16.
1.3.6
.3
0.00
B16.
1.3.6
.4
0.00
Approval of State PIP 2013-14: TRIPURA Page 137
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B16.
1.3.6
.5
0.00
B16.
1.4 Procurement of
equipment: IMEP 0 0.00 0.00
B16.
1.4.1 Equipments 0.00
B16.
1.4.2 0.00
B16.
1.4.3 0.00
B16.
1.4.4 0.00
B16.
1.5
Procurement of
equipment other than
above
169.65
B16.
1.5.1 Manual Thermometer
No.
of
ite
m
200 50.00 0.10 0.10 Approved.
B16.
1.5.2
Semi Auto Analyzer
with Reagent 32.00 0.00
Not Approved.
Generic Procurement. Please
indicate facility-wise gap
analysis and the case load in
terms of IPD, N.D, C-section
etc before this can be
appraised.
B16.
1.5.3
Equipment for FRU &
Upcoming PHC &
CHC
94.05 0.00
Not Approved.
Generic Procurement. Please
indicate detail break-up cost
along-with the service
delivery status of these
facilities
B16.
1.5.4 Dental Equipment
No.
of
ite
m
29 150000.
00 43.50 0.00
Not Approved.
Generic Procurement. Please
indicate facility-wise gap
analysis and the case load in
terms of avaiability of
Dental doctor and no of
major/minor surgeries
conducted in these facilities
beofre the proposal is
appraised.
Approval of State PIP 2013-14: TRIPURA Page 138
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B16.
1.5.5
Equipment of DH for
advance tretment
No.
of
Ho
spit
al
0.00
B16.
1.6 Equipments for
ARSH/ School Health 0 0.00 0.00
B16.
1.6.1
Equipments for ARSH
Clinics 0.00
B16.
1.6.2
Equipments for School
Health Equipments for
School Health
Screening (weighing
scale, Height
measurement scale and
Snellens‟ Charts)
0.00
5.40
Approved as per RBSK
guidelines, Pure tone
audiometer is not
recommended for mobile
health teams to begin with.
Equipments of DEICs would
only be recommended after
the DEICs are made
functional.
B16.
1.7 Equipments for
Training Institutes
B16.
1.8 Equipments for
AYUSH 0.00
B16.
1.9 Procurement of
Others/Diagnostics 0.00
B.16.
2
Procurement of
Drugs and supplies
603
159
6
140.50 749.56
B.16.
2.1 Drugs & supplies for
MH
405
310
0
100.25 15.12
B.16.
2.1.1
RTI /STI drugs and
consumables 0.00
B.16.
2.1.2
Drugs for Safe
Abortion 0.00
B.16.
2.1.3 Others (Please specify)
405
310
0
100.25 15.12
B.16.
2.1.3
.1
Misoprostol Kit
No.
of
Kit
500
0 100.00 5.00 5.00
Approved for 5000 kits@
Rs 100/-. Total amount
recommended for approval
is Rs 5.0 lakhs
Approval of State PIP 2013-14: TRIPURA Page 139
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.16.
2.1.3
.2
IFA (large)
No.
of
tabl
et
404
810
0
0.25 10.12 10.12
Approved.
For additional 40.48
lakhtablets @ Rs 0.20 paisa/
tab . Total amount
recommended for approval
Rs 10.12 lakhs. This is
addition to the funds for
drugs allocated uner JSSK
B.16.
2.1.3
.3
0.00
B.16.
2.1.3
.4
0.00
B.16.
2.1.3
.5
0.00
B.16.
2.1.4 RPR Kits 0.00
B.16.
2.1.5
Whole blood finger
prick test for HIV 0.00
B.16.
2.2 Drugs & supplies for
CH
300
00 40.00 12.00
B.16.
2.2.1
Drugs & Supplies for
Child health
B.16.
2.2.2 Zink Syrup
No.
of
Bot
tle
300
00 40.00 12.00 12.00
Approved.
However State should
propose the budget for
dispersible Zinc tablets rather
than Zinc syrup. Draft
calucation of doses is as
follows: Under 5year
children population (approx
10% of total popoulatyion of
the diatrict) x 1.7 (diarrheal
episodes per child per year) x
40% of above two multiplier
x 14 tablets ( of zinc for
every episode of diarrhea )
B.16.
2.2.3 0.00
B.16.
2.2.4 0.00
Approval of State PIP 2013-14: TRIPURA Page 140
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.16.
2.2.5 0.00
B.16.
2.3 Drugs & supplies for
FP 0 0.00 0.00
B.16.
2.3.1 0.00
B.16.
2.3.2 0.00
B.16.
2.3.3 0.00
B.16.
2.3.4 0.00
B.16.
2.3.5 0.00
B.16.
2.4 Supplies for IMEP 0 0.00 0.00
B.16.
2.4.1 Consumables 0.00
B.16.
2.4.2 0.00
B.16.
2.4.3 0.00
B.16.
2.4.4 0.00
B.16.
2.4.5 0.00
B.16.
2.5
General drugs &
supplies for health
facilities
0 0.00 461.06
B.16.
2.5.1 IPD 461.06 25.78
Rs 25.78 approved for
replenishment of ASHA
drug kit. Budget shifted
from B.1.1.2.2.
Approval Pended.
For Rs 461.06 L proposed
under B.16.2.5. The state
need to clarify the following
:
1) Whether State has notfied
a policy of free drugs for all
B.16.
2.5.2 OPD
Approval of State PIP 2013-14: TRIPURA Page 141
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
patients both OPD and IPD.
2) Contribution under state
budget for IPD and OPD
drugs
3) Has Put in system in
place for procurement and
inventory management of
drugs including dispensing
of drugs to the health
facilities.
4) Whether differential EDL
based on the type and
functionality of the facility
has been prepared.
5) Proper system of storage
and dispensing is available at
the district level.
B.16.
2.6 Drugs & supplies for
WIFS
194
849
6
0.25 4.87
B.16.
2.6.1 IFA
No.
of
tabl
ets
194
849
6
0.25 4.87 4.87 Approved.
B.16.
2.6.2 Albendazole 0.00
B.16.
2.7 Drugs & supplies for
SHP 256.51
148.72
Approved.
Rs 148.72 lakhs
recommended for approval -
29.51 lakhs for IFA small :
354742 student X 52 tablet X
0.16 = Rs. 29.51 Lakh, IFA
Syrup @ Rs.30 amounting
Rs. 55.50Lakh, Albendazole
Syrup @ Rs.8 amounting Rs.
59.50 Lakh and Rs 4.5 lakhs
for on the spot management
of children for RBSK @ Rs
30000 for 15 teams.
Conditionality RBSK
medicines procurement only
to follow RBSK EDL to be
Approval of State PIP 2013-14: TRIPURA Page 142
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
announced by MoHFW
shortly.
B.16.
2.8 Drugs & supplies for
UHCs 0.00
B.16.
2.9 Drugs & supplies for
AYUSH 0.00
PROCUREMENT
SUB TOTAL 934.99 232.29
Approval of State PIP 2013-14: TRIPURA Page 143
MOBILE MEDICAL UNIT (MMU)
ROAD MAP FOR PRIORITY ACTION:
Route chart to be widely publicized.
GPS to be installed for tracking movement of vehicles
Performance of MMUs to be monitored on a monthly basis (including analysis of number
of patients served and services rendered).
MMUs to be well integrated with Primary Health Care facilities and VHND.
Engagement with village panchayats / communities for monitoring of services. AWCs to
be visited for services to children below 6 years of age
AWCs to maintain record of services rendered
Service delivery data to be regularly put in public domain on NRHM website.
A universal name „National Mobile Medical Unit‟ to be used for all MMUs funded under
NRHM. Also uniform color with emblem of NRHM (in English/ Hindi & Regional
languages), Government of India and State Government to be used on all the MMUs.
DETAILED BUDGET:
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B11
Mobile Medical Units
(Including recurring
expenditures)
5 2568650
.00 100.03
B11.
1.1 Capex
No.
of
Dis
t
0.00
Approval of State PIP 2013-14: TRIPURA Page 144
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B11.
1.2 Opex
No.
of
M
M
U
4 2478250
.00 99.13 0.00
Approval Pended (On-going
Activity) subject to State
implementing „National
MMU Guidelines‟ for all the
running MMUs under
NRHM.
B11.
1.3 HR 0.00
B11.
1.4 Training/orientation
Bat
ch 1
90400.0
0 0.90 0.00
Approval Pended (New
Activity) subject to State
implementing „National
MMU Guidelines‟ for all the
running MMUs under
NRHM.
B11.
1.5 Others 0.00
B11.
1.5.1 0.00
B11.
1.5.2 0.00
B11.
1.5.3 0.00
B11.
1.5.4 0.00
B11.
1.5.5 0.00
B11.
2
Mobile Medical Vans
(smaller vehicles) and
specialised Mobile
Medical Units
0 0.00 0.00
B11.
2.1 Capex
B11.
2.2 Opex 0.00
Approval of State PIP 2013-14: TRIPURA Page 145
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B11.
2.3 HR 0.00
B11.
2.4 Training/orientation 0.00
B11.
2.5 Others
B11.
2.5.1
Installation of GPS for
tracking movement of
MMU vehicles @
Rs.1.70 Lakh
0.00
B11.
2.5.2
Display of approved
design and colour
scheme on all MMUs
under „NMMU‟
0.00
B11.
2.5.3 0.00
B11.
2.5.4 0.00
B11.
2.5.5 0.00
MMU SUB TOTAL 100.03 0.00
Approval of State PIP 2013-14: TRIPURA Page 146
REFERRAL TRANSPORT
ROAD MAP FOR PRIORITY ACTION:
Free referral transport to be ensured for all pregnant women and sick neonates accessing public
health facilities.
Universal access to referral transport throughout the State, including too difficult and hard to reach
areas, to be ensured.
A universal toll free number to be operationalized and 24x7 call centre based approach adopted.
Vehicles to be GPS fitted for effective network and utilization.
Rigorous and regular monitoring of usage of vehicles to be done
Service delivery data to be regularly put in public domain on NRHM website.
All patient/referral transport vehicles engaged under NRHM to be branded as National Ambulance
Service and NRHM logo should be used extensively.
DETAILED BUDGET:
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B12
Referral
Transport/Patient
transport System
327 1074900
0.00 715.59
B12.
1
Ambulance/EMRI
Capex 65
1650000
.00 433.00
B12.
1.1
State basic ambulance/
102 Capex
No.
of
Am
bul
anc
e
62 650000.
00 403.00 0.00
Total amount
recommended for
revalidation is Rs 270.50
lakhs.
Recommended for
Revalidation for 37 BLS
ambulances and 3 ALS
ambulances @ Rs 6.5 lakhs
for BLS ambulances and 3
ALS ambulances@ Rs 10.00
lakhs.
Approval of State PIP 2013-14: TRIPURA Page 147
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B12.
1.2
Advanced life support
Capex
No.
of
Am
bul
anc
e
3 1000000
.00 30.00 0.00
Conditionality:
1) All these ambulances need
to be Linked to a centralized
call center
2) Needs to be GPS fitted
and should be re-stickered
and changed as per National
Ambulance service
guidelines.
3)State should also plan to
bring 15-20 State
ambulances under the
integrated network to create
a consolidated pool of 55-60
ambulances which is linked
to centralized call cente and
catering to RT needs
4) Should also cover PW
and infants as per expanded
JSSK to be catered to.
(on-going activity)
B12.
1.3 EMRI Capex-BLS 0.00
B12.
1.4 EMRI Capex-ALS 0.00
B12.
2
Operating Cost /Opex
for ambulance 262
9099000
.00 282.59
B12.
2.1
State basic
ambulance/102 Opex
No.
of
Si
m
car
d
62 500.00 0.31
B12.
2.2
Operating Cost /Opex
for ASL ambulance
No.
of
Si
3 500.00 0.02
Approval of State PIP 2013-14: TRIPURA Page 148
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
m
car
d
B12.
2.3 Opex EMRI-BLS 0.00
B12.
2.4 Opex EMRI-ALS 0.00
B12.
2.5 HR Basic ambulance
No.
of
HR
124 114000.
00 141.36 0.00
Recommended for
revalidation of Rs 84.36
lacs for HR for BLS
ambulances (Driver and
EMT 2 each for 37 BLS
vehicles for 6 months),
However funds for salary
of HR for 37 BLS
ambulances to be utilized
out of JSSK RT fund
approved above under
JSSK
B12.
2.6
HR advanced life
support ambulances
No.
of
HR
6 114000.
00 6.84 0.00
Recommended for
revalidation of Rs 6.84
lacs for HR for ALS
ambulances (Driver and
EMT 2 each for 3ALS
vehicles for 6
months),However funds for
salary of HR for 3 ALS
ambulances to be utilized
out of JSSK RT fund
approved above under
JSSK
B12.
2.6 Training/orientation 0.00
B12.
2.7 Call centre-capex
No.
of
Cal
l
cen
tre
1 5115000
.00 51.15 0.00
Recommendation for re-
validation for Rs 51.15
lakhs as CAPEX cost for
call centre.
B12.
2.8 call centre-opex
No.
of
Cal
l
cen
1 3611000
.00 36.11 0.00
Approval Pended (on-going
activity) subject to State
implementing „National
Ambulance Service
Guidelines‟ for all the
Approval of State PIP 2013-14: TRIPURA Page 149
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
tre running Ambulances under
NRHM
B12.
2.9 Others 65
144000.
00 46.80
B12.
2.9.1
Pol for BLS
Ambulances @ Rs 40 /
per / litre X 10 ltr X 30
Days X 6 month
No
of
Am
bul
anc
es
62 72000.0
0 44.64 0.00
Approval Pended (on-going
activity) subject to State
implementing „National
Ambulance Service
Guidelines‟ for all the
running Ambulances under
NRHM
B12.
2.9.2
Pol for ALS
Ambulances @ Rs 40 /
per / litre X 10 ltr X 30
Days X 6 month
No.
of
Am
bul
anc
es
3 72000.0
0 2.16 0.00
Approval Pended (on-going
activity) subject to State
implementing „National
Ambulance Service
Guidelines‟ for all the
running Ambulances under
NRHM
B12.
2.9.3
Referral Transport for
general patient & POL 0.00
B12.
2.9.4 0.00
B12.
2.9.5 0.00
B12.
2.9.6 0.00
B12.
2.9.7 0.00
B12.
2.9.8 0.00
B12.
2.9.9 0.00
B12.
2.9.1
0
0.00
REFFERAL
TRANSPORT SUB
TOTAL
715.59 0.00
Approval of State PIP 2013-14: TRIPURA Page 150
MAINSTREAMING OF AYUSH
ROAD MAP FOR PRIORITY ACTION:
State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two
streams: Ayurveda and homoeopathy (or Unani, siddha,Yoga as per the local demand). Panchakarma
Unit should also be considered.
OPD in Ayush clinics will be monitored along with IPD/OPD for the facility as a whole.
The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load.
Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable them
to practice their own system of Medicine without difficulty.
At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered
depending on local preference.
At CHC/PHC level, Post-Graduate Degree may not be insisted upon.
District Ayurveda Officer should be a member of District Health Society in order to participate in decision
making with regard to indent, procurement and issue of AYUSH drugs.
Infrastructure at facilities proposed to be collocated would be provided by Department of Ayush.
Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM
should be given priority for collocation of Ayush as these are functional facilities with substantial
footfalls.
Ayush medical officers should increasingly be involved in the implementation of national health
programmes and for the purpose of supportive supervision and monitoring in the field. They should
be encouraged to oversee VHND and outreach activities and in addition programmes such as school
health, weekly supplementation of iron and folic acid for adolescents, distribution of
contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.
Ayush medical officer should also be member of the RKS of the facility and actively participate in
decision making.
AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter
in better served areas.
Approval of State PIP 2013-14: TRIPURA Page 151
DETAILED BUDGET:
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B9 Mainstreaming of
AYUSH 329 0.00 746.48
B.9.1
Medical Officers at
CHCs/ PHCs (Only
AYUSH)
137 0.00 393.44
B.9.1
.1 DH
Num
ber 11 27.53 9.70
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.2 FRUs
Num
ber 4 11.62 5.55
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.3
Non FRU SDH/
CHC
Num
ber 28 81.31 38.81
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
Approval of State PIP 2013-14: TRIPURA Page 152
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.9.1
.4 24 X 7 PHC
Num
ber 77 223.61 106.72
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.5
Non- 24 X 7 PHCs/
APHCs
Num
ber 17 49.37 23.57
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
Other Staff Nurses
and Supervisory
Nurses/ AYUSH
pharmacists (Only
AYUSH)
60 0.00 69.17
B.9.2
.1 DH
Num
ber 6 6.18 1.31
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
Approval of State PIP 2013-14: TRIPURA Page 153
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.9.2
.2 FRUs
Num
ber 1 1.38 0.65
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.3
Non FRU SDH/
CHC
Num
ber 16 18.93 6.58
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.4 24 X 7 PHC
Num
ber 28 33.91 12.51
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.5 Non- 24 X 7 PHCs
Num
ber 1 1.38 0.65
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
Approval of State PIP 2013-14: TRIPURA Page 154
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.6
Urban Clinics/
Health Posts 0 0.00
B.9.2
.7 Other Masseure
Num
ber 8 7.39 3.53
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B9.3 Other Activities
(Excluding HR) 112 0.00 272.70
B9.3.
1
Tele- Homoeopathy
project
54.60 54.60
Approved subject to
condition that outcome is
documented and shared.
B9.3.
2
Programme
management cost
7.32 7.32 Approved
B9.3.
3 Consumables
50.00 50.00 Approved
B9.3.
4 Drugs.
120.10 0.00
Not approved.
State to clarify whether the
amount sought for purchase
of drugs for collocated
facilities.
B9.3.
5
Contingency for
Collocated AYUSH
OPD
No.
of
facili
ty
112 40.68 40.68 Approved
Approval of State PIP 2013-14: TRIPURA Page 155
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B9.4 Training
No.
of
Batc
h
20 11.17 11.17 Approved
AYUSH SUB
TOTAL 746.48 373.35
Approval of State PIP 2013-14: TRIPURA Page 156
IEC/BCC
ROAD MAP FOR PRIORITY ACTION:
Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved inter-
sectoral convergence particularly with WCD.
Details of activities carried out to be displayed on the website
DETAILED BUDGET:
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B10 IEC-BCC NRHM 0 0.00 302.53
Approved.
Ongoing activity.
Rs 56.60 L approved.
Approved @ Rs 3 L per
district (3L *8) and Rs 24 L
for state and Rs 8.6 L for
printing of WIFS and MH/
CH/ FP.
B.10
Strengthening of
BCC/IEC Bureaus
(state and district
levels)
0 0.00 14.00
B.10.
1
Development of State
BCC/IEC strategy 14.00
B.10.
2
Implementation of
BCC/IEC strategy 0 0.00 210.49
B.10.
2.1
BCC/IEC activities for
MH 0 0.00 18.91
B.10.
2.1.1 Mass media 8.76
B.10.
2.1.2 Mid-media 10.15
B.10.
2.2
BCC/IEC activities for
CH 0 0.00 25.56
B.10.
2.2.1 Mass media 5.41
Approval of State PIP 2013-14: TRIPURA Page 157
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.10.
2.2.2 Mid-media 20.15
B.10.
2.3
BCC/IEC activities for
FP 0 0.00 27.21
B.10.
2.3.1 Mass media 5.31
B.10.
2.3.2 Mid-media 21.90
B.10.
2.4
BCC/IEC activities for
ARSH 0 0.00 10.29
B.10.
2.4.1 Mass media 0.29
B.10.
2.4.2 Mid-media 10.00
B.10.
2.5
Other activities (please
specify) 37.17
B.10.
2.6 IPC initiatives/tools 91.35
B.10.
3 Health Mela 11.00
B.10.
4
Creating awareness on
declining sex ratio
issue
57.44
B.10.
5 Other activities 0 0.00 9.60
Approval of State PIP 2013-14: TRIPURA Page 158
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.10.
5.1
Printing of MCP cards,
safe motherhood
booklets etc
1.00 0.00
B.10.
5.2
Printing of WIFS cards
etc 1.00
B.10.
5.3 Other printing 0 0.00 7.60
B.10.
5.3.1 MH,CH,FP & ARSH 7.60
B.10.
5.3.2 World Population Day
B.10.
5.3.3 0.00
B.10.
5.3.4 0.00
B.10.
5.3.5 0.00
IEC/ BCC SUB
TOTAL 302.53 56.60
Approval of State PIP 2013-14: TRIPURA Page 159
MONITORING AND EVALUATION (HMIS)/MCTS
ROAD MAP FOR PRIORITY ACTION:
Data is uploaded, validated and committed; data for the month available by the 15th of the following
month.
Uploading of facility wise data by the first quarter of 2012-13.
Facility based HMIS for all the districts (100%) to be implemented. HMIS data to be analysed,
discussed with concerned staff at state and district levels and necessary corrective action taken.
Program managers at all levels use HMIS for monthly reviews.
MCTS to be made fully operational for regular and effective monitoring of service delivery
including tracking and monitoring of severely anemic women, low birth weight babies and sick
neonates.
Pace of registration under MCTS to be speeded up to capture 100% pregnant women and children
Service delivery data to be uploaded regularly.
Progress to be monitored rigorously at all levels
MCTS call centre to be set up at the State level to check the veracity of data and service delivery.
DETAILED BUDGET:
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15
Planning,
Implementation
and Monitoring
764 553200.
00 373.28
B15.
1
Community
Monitoring
(Visioning
workshops at state,
Dist, Block level)
63 540000.
00 14.20
B15.
1.1 State level 1
200000.
00 2.00 2.00 Approved
Approval of State PIP 2013-14: TRIPURA Page 160
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15.
1.2 District level 2
50000.0
0 1.00 0.50 Approved for Dhalai district
B15.
1.3 Block level 4
40000.0
0 1.60 0.80
Approved for two blocks
selected in Dhalai district
B15.
1.4 Other 56
250000.
00 9.60
B15.
1.4.1
Two Days State level
Training of Trainers/
Managers Training
with all stakeholders
including represented
by pilot districts
(Khowai & Dhalai)
by SMT & State
Nodal Institution.
1 100000.
00 1.00 0.00
Not approved. State to
justify the proposal.
B15.
1.4.2
Development State
specific guidelines
including translation
& printing, prototype
tools, framework for
community
monitoring &
facilitation process
@ Rs. 10000/- for 21
committees.
21 10000.0
0 2.10 2.10 Approved.
B15.
1.4.3
Half yearly Meetings
of District Mentoring
Teams of pilot
districts.
4 5000.00 0.20 0.10 Approved for Dhalai district
B15.
1.4.4
3 days workshop of
VHSNC members of
10 GP/ADC villages
@ 7 members each
10 15000.0
0 1.50 1.50 Approved.
B15.
1.4.5
2 days workshop of 4
Block Planning &
Monitoring
Committees by
District & Sub-
4 20000.0
0 0.80 0.40
Approved for blocks in
Dhalai district
Approval of State PIP 2013-14: TRIPURA Page 161
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
division PMSU.
B15.
1.4.6
One day Block
Providers Workshop
by District & Sub-
division PMSU
4 10000.0
0 0.40 0.20
Approved for blocks in
Dhalai district
B15.
1.4.7
2 days Capacity
Building of 4 PHC
level Community
Monitoring
Committee members
@ 10 members each
4 20000.0
0 0.80 0.00 Not approved.
B15.
1.4.8
PHC Jan Samvad for
4 pilot PHCs 4
30000.0
0 1.20 0.00 Not approved.
B15.
1.4.9
Block Jan Samvad
for 4 pilot Blocks 4
40000.0
0 1.60 0.00 Not approved.
B15.
1.4.1
0
0.00
B15.
2 Quality Assurance 0 0.00 0.00
B15.
2.1
Quality Assurance
Committees at State
level
0.00
B15.
2.2
Quality Assurance
Committees at
District level
0.00
B15.
2.3
Grievance handling
system 0.00
B15.
2.4 Review meetings 0 0.00 0.00
B15.
2.4.1 State 0.00
B15.
2.4.2 District 0.00
B15.
2.4.3 Block 0.00
B15.
2.5 Others 0 0.00 0.00
B15.
2.5.1 0.00
Approval of State PIP 2013-14: TRIPURA Page 162
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15.
2.5.2 0.00
B15.
2.5.3 0.00
B15.
2.5.4 0.00
B15.
2.5.5 0.00
B15.
3
Monitoring and
Evaluation 701
13200.0
0 359.08
B15.
3.1
Monitoring &
Evaluation / HMIS
/MCTS
106 0.00 141.48
B15.
3.1.1
HR for
M&E/HMIS/MCTS
Man
powe
r
106 141.48
67.76
Approved Rs. 67.76 lakhs for
six months for existing 105
positions. New positions are
not approved. Salary of
10HMIS Assistant @Rs.
12474/-PM for 13-14 i.e.10X
Rs 12474/-PM X 6 months
=7.48 Lacs & 6 HMIS
Assistant (under process 06)
@Rs.10800/-PM X 6 months
recruitment under process
=3.88 Lacs. HMIS Assistant
(CHC & PHC): Salary of 64
personals @Rs. 10972.5/-PM
for 13-14 i.e. 64 X Rs
10972.5/-PM X 6 months
42.13 Lacs & 25 (under
process) @Rs.9500/-PM X 6
month = 14.25 Lacs.5%
increment has been approved
as no incentive was provided
to these staff last year also.
B15.
3.1.2
MIS Consultant/
Manager/
Coordinators
0.00
Approval of State PIP 2013-14: TRIPURA Page 163
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15.
3.1.3
Statistical Assistant/
Data Analyst 0.00
B15.
3.1.4
MIS/ M&E
Assistants 0.00
B15.
3.1.5 Data Entry Operators 0.00
B15.
3.1.6
Others (Please
specify) 0 0.00 0.00
B15.
3.1.6
.1
0.00
B15.
3.1.6
.2
0.00
B15.
3.1.6
.3
0.00
B15.
3.1.6
.4
0.00
B15.
3.1.6
.5
0.00
B15.
3.2
Computerization
HMIS and e-
governance, e-health
0 0.00 56.59
B15.
3.2.1
.a
HMIS Operational
Cost (excluding HR
& Trainings)
43.53
20.00
Appproved.
Recommended, Rs.20 Lakhs
initially, since State could not
spend a large part of budget
allocated under this activity in
2012-13. State may come up
with supplementary PIP along
with expenditure incurred.
B15.
3.2.1
.b
Procurement of
Computers/ printers/
cartridges etc.
9.30
2.70
Approved.
Recommended Rs. 2.70 lakhs
(Desktop @Rs.50,000 X 5 HI=
2,50,000 and 4 Scanners @ Rs.
5000/-= 20000) subject to,
continued facility based
reporting without data
uploading delay on HMIS
portal and improvement in
Approval of State PIP 2013-14: TRIPURA Page 164
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
data quality thereof. Laptops
not recommended.
B15.
3.2.1
.c
Maintenance of
Computers/ AMC/
etc.
0.00
B15.
3.2.1
.d
Other Office and
admin expenses 0 0.00 3.76
B15.
3.2.1
.d.1
Mobile Bill for
regular
communication
3.76 3.76
Approved.
On-going activity.
Approved Rs 3.76 Lakh @
Rs. 400 per month for HMIS-
MCTS unit of State / District/
Sub-District & Rs. 200 per
month for PHC / CHC MCTS
Unit subject to improvement in
data reporting on HMIS and
MCTS portals.
B15.
3.2.1
.d.2
0.00
B15.
3.2.1
.d.3
0.00
B15.
3.2.1
.d.4
0.00
B15.
3.2.1
.d.5
0.00
B15.
3.2.2
.a
MCTS Operational
Cost (excluding HR
& Trainings)
0 0.00 24.84
B15.
3.2.2
.b
Procurement of
Computers/ printers/
cartridges etc.
18.00 18.00 Approved.
B15.
3.2.2
.c
Maintenance of
Computers/ AMC/
etc.
0.00
Approval of State PIP 2013-14: TRIPURA Page 165
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15.
3.2.2
.d
Other Office and
admin expenses 6.84
0.00
Not Approved.
Not approved for mobile
charges since the linked
proposal of procurement of
mobile phones for ANMs /
MPWs at 800 Sub Centres
earlier proposed in B15.3.2.2.b
has been dropped. State may
share the details of mobile
application with MoHFW.
B15.
3.3
Other M & E
Activities 595
13200.0
0 136.17
B15.
3.3.1 HMIS Training 10.98
0.72
Approved.
Approved Rs.0.72 Lacs @ Rs
300 per day per person for 1
training per person per year
based on costing for 3 days
combined training for HMIS
and MCTS. Amount approved
is indicative figure and actual
amount would be based on
actual
B15.
3.3.2 MCTS Training 28.71
B15.
3.3.3
Mobility Support for
HMIS/ MCTS 16.51 1.05
Approved.
Approved Rs. 1.05 Lacs @ Rs
10000 per district and Rs
25000 for State level per
annum subject to outcome
reports in respect of HMIS &
MCTS being shared with
MoHFW. Amount approved is
indicative figure and actual
amount would be based on
actual expenditure
B15.
3.3.4
Review Meetings for
HMIS 2.89
2.89
Approved.
Approved Rs. 2.89 Lakh for
combined 1 day review of
HMIS & MCTS for at least 2
reviews every year at State
level, 1review every quarter at
District level and 1 review
every month at Block level.
TA / DA and other expenditure
should be as per extant rules.
B15.
3.3.5
Review Meetings for
MCTS 0.00
Approval of State PIP 2013-14: TRIPURA Page 166
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15.
3.3.6
Data Validation Call
Centers - CAPEX 13.10
9.00
Approved.
Approved Rs 9.00 Lakh on
outsourcing basis @ Rs 15000
per call agent per month
inclusive of all charges
(CAPEX + OPEX) for 3 call
agents subject to the condition
that the details of all the
ANMs / ASHAs and
beneficiaries on MCTS portal
will be validated. This is an
indicative figure and actuals
will be as per actual
expenditure. State should
outsource the activity on the
basis of competitive bidding
following Government
Protocols.
B15.
3.3.7
Data Validation Call
Centers - OPEX 27.80
B15.
3.3.8
e-Governance
Initiative 0.00
B15.
3.3.9
Hospital
Management
Softwares
0.00
B15.
3.3.1
0
Others 595 13200.0
0 36.18
B15.
3.3.1
0.1
Establishment of
SWAN
B15.
3.3.1
0.2
Advertisement of
MCTS
No.
of
Adve
rtise
555 6000.00 33.30
0.00
Not Approved.
May be taken under IEC/BCC
fund.
B15.
3.3.1
0.3
Advertisement in
News Paper on
ADHAR
No.
of
Adve
rtise
40 7200.00 2.88
0.00 Not approved. May be taken
under IEC/BCC fund.
B15.
3.3.1
0.4
0.00
Approval of State PIP 2013-14: TRIPURA Page 167
S.
No. Budget Head
Unit
of
Mea
sure
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B15.
3.3.1
0.5
UNDISTRIBUTED
FUND 0.00
PLANNING,
Implementation
and Monitoring
SUB TOTAL
373.28 133.48
Approval of State PIP 2013-14: TRIPURA Page 168
OTHERS
BUDGET: HOSPITAL STRENGTHENING
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B.4.1 Up gradation of CHCs,
PHCs, Dist. Hospitals 5
1000000
0.00 2755.28
B4.1.
1 District Hospitals 0 0.00 0.00
B4.1.
1.1
Additional Building/
Major Upgradation of
existing Structure
0.00
B4.1.
1.2 Repair/ Renovation 0.00
B4.1.
1.3
Spillover of Ongoing
Works 0.00
B4.1.
1.4 Staff Quarters 0.00
B4.1.
2 CHCs 0 0.00 50.00
B4.1.
2.1
Additional Building/
Major Upgradation of
existing Structure
0.00
B4.1.
2.2 Repair/ Renovation 0.00
B4.1.
2.3
Spillover of Ongoing
Works of Rajnagar
PHC to CHC
50.00 50.00
Approved.
Ongoing activity.
As per the ROP 12-13 total
project cost is Rs. 461.24L.
However, project cost shown
in 2013-14 PIP annexure is Rs
416.24 lakhs. Rs 50 lakh
approved in 2012-13.
State needs to clarify the
correct total project cost and
also share the detail physical
progress of the project.
B4.1.
2.4 Staff Quarters 0.00
B4.1.
3 PHCs 4
5000000
.00 2610.93
Approval of State PIP 2013-14: TRIPURA Page 169
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B4.1.
3.1
Additional building/
major upgradation of
existing structure
(New building of
existing PHC
Mungiakami,
Dhanarpur and
Maharani, ongoing
upgradation of Shantir
Bazar PHC to CHC,
expansion of existing
Muhuripur PHC
No.
of
PH
C
3 5000000
.00 442.00 350.00
1) Ongoing activity.
Approved for Shantir Bazar
PHC. Total project cost Rs
2253.40 out of which in 2011-
12 Rs 438.83, in 2012-13 Rs
562.87 was approved.
Remaining amount Rs 250 L
approved for Shantir Bazar
PHC and hence total project
cost approved.
2) New activity.
Rs 50 L approved for
Mungiakami PHC.
(total project cost Rs 597.63L)
3) New activity
Rs 50 L approved for
Dhanarpur PHC (total project
cost Rs 597.63L )
Not approved for expansion of
existing Mhuripur PHC.
B4.1.
3.2 Repair/ Renovation
No.
of
PH
C
1
B4.1.
3.3
Spillover of Ongoing
Works 1195.81 894.24
Approved. Ongoing activity.
Approved for ----
1) Construction of 9 new
PHC- Taxapara, Baishnabpur,
Ratanpur(S), Rajkandi,
Muraibari, Bhaterbazar,
Lalcherra & Masli. and
Halaichara. (551.50 L).
2) Construction of new
building in existing PHC in
Karbook, Ambassa, Manikpur,
Dayarampara and kalachara
( 204.50 L)
3) Upgradation of PHC to
CHC in Kadamtala (138.24 L)
4) For Up gradation of PHC
to CHC as FRU in
Kherangbar Rs 301.57 L
may be revalidated as
Approval of State PIP 2013-14: TRIPURA Page 170
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
committed unspent balance
by the state.
B4.1.
3.4 Staff Quarters
No.
of
PH
C
973.12 704.30
Approved.
Ongoing activity.
1. Rs 704.30 L approved for
ongoing upgradation of PHC
to IPHS in Bishramganj ,
Mandai, Muhuripur ,
Machamara, Khedacherra
2. Nakshipara PHC total
project cost Rs 230.64 out of
which Rs 42 L approved in
2012-13
Rs 42 L is revalidated as
committed unspent balance
by the state.
B4.1.
4 Sub Centres 0 0.00 10.35
B4.1.
4.1
Additional Building/
Major Upgradation of
existing Structure
0.00
B4.1.
4.2 Repair/ Renovation 0.00
B4.1.
4.3
Spillover of Ongoing
Works 10.35 0.00
Rs 10.35 L approved in 2009-
10. However, fund not yet
released . Revalidated as
committed unspent balance
by the state.
B4.1.
4.4 ANM Quarters 0.00
B4.1.
5 Others (MCH Wings) 1
5000000
.00 59.00
Approval of State PIP 2013-14: TRIPURA Page 171
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B4.1.
5.1
(Absolutely) New /
Rented to Own
Building
MCH wing in GBP
Hospital.
No.
of
MC
H
Wi
ngs
1 5000000
.00 50.00 0.00
Approval pended. New
activity. Proposal may be
revised for 30 beded MCH
wing.
DPR can be submitted.
Total project Cost proposed
Rs 4721.38 L, is on higher
side.
B4.1.
5.2
Additional
requirement from
previous work
0.00
B4.1.
5.3
Carry forward
/Spillover of Ongoing
Works
0.00
B4.1.
5.4 Other construction 0 0.00 9.00
B4.1.
5.4.1
Construction of Urban
& Rural Training
centre
0.00
B4.1.
5.4.2
Construction of Urban
Rural Training centre 0.00
B4.1.
5.4.3
AID to maintain
sustainability of ISO
certification of IGM
hospital (OPD
Registrer counter +
OPD Dispensary +
Medicine Store + 5
Lakh , Calibration of
Instrument &
equipments = 2 Lakh,
Bio-Medical Waste
Maagement = 2 Lakh,
Training on awareness
about internal audit &
ISO certification
among staff of IGM
hosital=1 lakh
9.00 9.00
Approved.
Rs 9.0 lakhs is recommended
for approval subject to next
year onwards, the activity will
be carried out by states own
quality assurance cell.
Approval of State PIP 2013-14: TRIPURA Page 172
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B4.1.
5.4.4
Development of 3
DEIC one at State
Hospital two in
District hospitals.
0.00 75.00
Approved. Budget shifted
from A4.2.5.3.
Rs 75 lakhs is approved for 3
DEICs at Agartala (Khowai,
West tripura, Sipaitala and Part
of Dhalai); Gomoti DH
(Gomoti and South tripura)
and Unakuti (dist Unakuti,
North tripura and part of
Dhalai) @ Rs 25 lakhs per
DEIC as per RBSK guideline.
Conditionality ----State to
follow RBSK DEIC lay out
guidelines for developing the
DEICs. While proposing
DEICs it should be kept in
mind that the DEICS are in
DH where secondary and
tertiary support facility beyond
DEIC level support is
available for linkages.
B4.1.
5.4.5
B4.1.
6 SDH 0 0.00 25.00
B4.1.
6.1
Additional Building/
Major Upgradation of
existing Structure
25.00 0.00
Upgradation of Melaghar
SDH to FRU was approved
in 2012-13. Total project cost
of Rs.131.56 Lakhs.
Rs. 25.00 Lakhs is
revalidated as committed
unspent balance by the state.
Approval of State PIP 2013-14: TRIPURA Page 173
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B4.1.
6.2 Repair/ Renovation 0.00
B4.1.
6.3
Spillover of Ongoing
Works 0.00
B4.1.
6.4 Staff Quarters 0.00
B 4.2
Strengthening of
Districts , Sub
Divisional Hospitals,
CHCs, PHCs
0.00
B.4.3 Sub Centre Rent and
Contingencies 0.00
B.4.4 Logistics
management/
improvement
0.00
HOSPITAL
STRENGTHENING
SUB TOTAL
2755.28 2082.54
Approval of State PIP 2013-14: TRIPURA Page 174
BUDGET: DISTRICT HEALTH ACTION PLAN
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B7
Health Action Plans
(Including Block,
Village)
54 272000.
00 19.40
B7.1 State
No.
of
Pla
n
1 150000.
00 1.50 1.50
Approved.
B7.2 District
No.
of
Pla
n
8 100000.
00 8.00 4.00
Approved.
Development of District
Health Action Plan: 2014-15@
Rs.50,000/- for eight districts
B7.3 Block
No.
of
Pla
n
45 22000.0
0 9.90 9.90
Approved.
HEALTH ACTION
PLAN SUB TOTAL 19.40 15.40
Approval of State PIP 2013-14: TRIPURA Page 175
INNOVATIONS
Telemedicine Proposal is supported with following recommendations:
A. Possibility of updating of technology to Cloud System may be explored with IIT Kharagpur Support
already in place, the task could be considered to be given to IIT-Kharagpur to implement effectively
saving extra expenditures incurred on travels etc.
B. The software is very old; hence, there is a need of updation and customization
C. The specifications and the Branded Products procurement is based on recommendations of DeitY
long time back and now with time and advancements in technology specifications have changed and
State may consider forming a Committee of Experts in Technology and medical professionals ( to
express function needs ) to decide about specifications, updation etc. and other departments for
procurement issues with removal of proprietary products and introduction of generic specifications and
the specifications have to be validated.
D. The bandwidth 512 kbps is too low, we get less in practical terms. Hence, it is suggested to have
minimum 2 Mbps.
E. From the proposal it is not evident if there is any central sorage. State may explore the option of
storing in State Data Center
F. TORs and Deliverables with Performance Appraisals system of HR may be put in place and
informed to MoHFW.mention of separate budget asked for supervision and project management-Need
rectification in the proposal
G. Audit and reporting system if proposed / in- place in the State may be specified.
H. State may inform if there are any Clinical Telemedicine Practice Guidelines that are being followed
by the State.
I. The Project management essential guidelines spells Return on Investment as the outcome measure
that can only be assessed, if there is a well defined built-in Evaluation Parameters at the initiation of the
project and the same may be incorporated
J. It is expected that the pilot projects lead to establishment of a standardized Tele-health system for the
state and scaling up does not need investment for the R&D.
K. The budget heads need a critical appraisal e.g. in all the budget heads Sl. No. 1-4 one can find
Service Tax without defining on which items its calculated, e.g. there shall not be any Service Tax on
Manpower, Technical Support etc.
L. In respect of replacements of OEMs, State may state the system in place for attempts made for
repairs of the equipment. If the repairs are under AMC / FMS ?. There must be guidelines in place to
certify whether a particular equipment is condemned, or a demand for it's replacement has been made.
M. There is new demand for Radiology equipments and AMC for old equipments: State may clarify if
they are being integrated into the Telemedicine platform to create a Tele-radiology network ? An agency
Approval of State PIP 2013-14: TRIPURA Page 176
must have been provided AMC for DIT funded project- SLA document needs to be provided.
Performance assessment done – Report may be provided.
N. The percentage of AMC in some items shows 15 % which appears to be very high. May reconsider
as per prevailing norms.
O. Need AMC for every equipment integrated in the system may be re-looked e.g. certain items can be
purchased new when they go out of order than paying more on AMC. Some items can be repaired with
less cost than paying more AMC e.g. Sony Digital Camera
P. CMOS is preferred over CCD in digital pathology. State may consider it
Q. Soon NOFN based 100 mbps bandwidth connectivity shall be in place upto every Gram Panchayat
and this can be utilised for connecting all CHCs, PHCs into the Telemedicine Network and NKN for
Medical College and Tele-education and e-Health activities thereby taking off BSNL Connectivity
charges from the proposal as and when NKN and NOFN are available in respective institutions.
State is requested to ensure implementation of National Rural Telemedicine Network Pilot Project
supported under NOFN at CHC Panisagar with GMC, Tripura.
State may apprise MoHFW
R. Evaluation of the Telemedicine Project/s in place to be done and reports submitted to MoHFW.
S. Pilot Project of NOFN Project with CHC Panisagar in North Tripura District may be implemented
with all details and schedules system to be informed to MoHFW.
BUDGET: INNOVATIONS
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B14 Innovations( if
any) 3467
725680.0
0 705.26
B14.
1
Intersectoral
convergence 0.00
B14.
2
Telemedicine
Project Cost 240.89 240.89
Approved with the
recommendations
mentioned in page 175-176.
Approval of State PIP 2013-14: TRIPURA Page 177
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B14.
3
Teleopthalmology
Project Cost
No.
of
cente
r
47 654780.0
0 350.00 350.00
Approved with the
recommendations
mentioned in page 175-176.
B14.
4
B14.
5
Palliative care for
cancer patient No. 0.00
B14.
6
Support to NGO's
for Community
Monitoring Dist.
Level
No.
of
Dist
0.00
B14.
7
Support to NGO's
for capasity
building of
VHSNC members
under Community
Monitoring at
block level
no.
of
block
s
0.00
B14.
8
Implementation
of Community
mobilization &
advocacy scheme
No.
of
Sabh
a
2076 0.00
B14.
9
General Health
Camps
No.
of
camp
s
864 1000.00 8.64 8.64 Approved. Ongoing
activity.
B14.
10
General Health
Camps in difficult
area in all 4
Districts
No.
of
camp
s
360 1500.00 5.40 5.40 Approved. Ongoing activity
B14.
11
Health Camp by
helicopter(120
flying hr) in all 4
Districts
Flyin
g hrs. 120 68400.00 82.08 82.08 Approved. Ongoing activity
B14.
12
Diabetes Control
Programme
Approval of State PIP 2013-14: TRIPURA Page 178
S.
No. Budget Head
Unit
of
Mea
sure
Qua
ntity
/
Targ
et
Unit Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B14.
13
Motivational
Session for
ASHA as Pilot
Basis
2.25 0.00 Not approved. New
activity.
B14.
14
E-Toilet Facility
at Government
School
16.00 0.00 Not approved. New
activity.
B14.
15 0.00
B14.
16 0.00
INNOVATION
SUB TOTAL 705.26 687.01
BUDGET: RESEARCH STUDIES
S.
No. Budget Head
Uni
t of
Me
asu
re
Qu
ant
ity
/
Ta
rge
t
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approve
d
(Rs in
Lakhs)
Remarks
B.20 Research, Studies,
Analysis 77.95 9.00
Approved
For Research study to Assess
impact of MCH activities in
two sample districts
implemented under RCH
programmes through sector
PIP.
Approval of State PIP 2013-14: TRIPURA Page 179
NATIONAL DISEASE CONTROL
PROGRAMMES (NDCPs)
Approval of State PIP 2013-14: TRIPURA Page 180
NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME
(NIDDCP)
ROAD MAP
Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to
below 5% in the entire country by 2017 and (ii) to ensure 100% consumption of adequately iodated salt
(15ppm) at the household level under National Iodine Deficiency Disorders Control programme:
1. Establishment of State IDD Cell, if not established in the State/UT for implementation
programme activities.
2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for
conducting quantitative analysis of iodized salt and urine for iodine content and urinary
iodine excretion.
3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab
Technician and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory
should be filled on regular/contractual basis on priority for smooth implementation of
programme.
4. Supply, availability and consumption of adequately iodized salt in the state should be
monitored.
5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess
the magnitude of IDD in the respective districts as approved in the PIP and reports
accordingly submitted.
6. Procurement of salt testing kits for endemic districts by State/UT for use of ASHA/Health
Personnel for creating awareness & monitoring of iodated salt consumption at household
level. Monthly reports are to be submitted as per the prescribed proforma.
7. ASHA incentives Rs. 25/- per month for testing 50 salt samples per month in endemic
districts should be made available on regular basis to ASHA.
8. Health education and publicity should be conducted with more focus in the endemic
districts emphasizing about IDD and promotion of consumption of adequately iodized salt.
Should observe Global IDD Celebrations on 21st October by conducting awareness activities
at various level and submission of reports.
Approval of State PIP 2013-14: TRIPURA Page 181
DETAILED BUDGET: NIDDCP
VI NIDDCP
FM
R
Code
Activity Unit cost
(wherever
applicabl
e)
Physical target Amoun
t
Propos
ed
Amount
Approv
ed
Remarks
D
IDD
D.1 Establishment of
IDD Control Cell-
Implementation
& monitoring of
the programme
14.30 15.00 Filling up of sanctioned
vacant posts i.e.
Technical Officer,
Statistical Assistant &
LDC on regular/contract
basis on priority.
State Government may
conduct and co-ordinate
approved programme
activities and furnish
quarterly financial &
physical achievements
as per prescribed
format.
D.1.a Technical Officer 1
D.1.b Statistical
Assistant
1
D.1.c LDC Typist 1
D.2 Establishment of
IDD Monitoring
Lab-
Monitoring
of district level
iodine content of
salt and urinary
iodine excretion
as per Policy
Guidelines.
7.70 8.00 The vacant sanctioned
posts of Lab
Technician & Lab Asst.
should be filled on
regular/ contract basis
on priority.
State Government may
conduct quantitative
analysis of salt & urine
as per NIDDCP
Guidelines and furnish
monthly/quarterly
statements.
D.2.a Lab Technician 1
D.2.b Lab. Assistant 1
Approval of State PIP 2013-14: TRIPURA Page 182
VI NIDDCP
FM
R
Code
Activity Unit cost
(wherever
applicabl
e)
Physical target Amoun
t
Propos
ed
Amount
Approv
ed
Remarks
D.3 Health education
& Publicity
Increased
awareness about
IDD and iodated
salt
20.00 41.00 IDD publicity activities
including Global IDD
Day celebrations at
various level
D.4 IDD Survey/Re
survey
Rs. 50,000
per district
4 districts 2.00 2.00 State Government may
under take 2 district s
IDD survey as per
guidelines and furnish
report.
D.5 Salt Testing to be
procured by the
State Government
for 3 endemic
districts
12 STK
per annum
per ASH
A
Creating iodated
salt demand and
monitoring of the
same at the
community
level.
3.50 ** State Government to
monitor the qualitative
analysis of iodated salt
by STK through ASHA
in 3 endemic districts
i.e.. North Tripura,
South Tripura and West
Tripura. D.6 ASHA Incentive Rs. 25/-
per month
for testing
50 salt
sample/m
onth
50 salt samples
per month per
ASHA in 3
endemic districts
22.11 **
TOTAL 75.61* 66.00
(*) This includes fund for POL/Vehicle hiring, Office expenses etc. which are not allowed under the
Programme.
** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA
for 3 endemic districts funds will be released through flexi pool of NRHM by GOI.
** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA
for 14 endemic districts funds will be released through flexi pool of NRHM by GOI.
Approval of State PIP 2013-14: TRIPURA Page 183
INTEGRATED DISEASE SURVEILLANCE PROJECT (IDSP)
State specific issues:
There are 8 vacant posts of technical contractual staff (5 Epidemiologists, 2 Microbiologist & 1
Entomologist) under IDSP in the State. The State needs to expedite the recruitment of these staff.
The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under
IDSP has been completed for the State/Districts. However, the State may give the additional list of
participants to be trained for ToT and 2-week FETP.
Presently 3 of 4 Districts are reporting regularly on IDSP portal. Presently only 36%, 41% and 40%
of all the Reporting Units are reporting weekly surveillance data respectively in S, P & L-form
through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance data (S,
P, L) by all the Reporting Units of all Districts through IDSP Portal.
Districts reported irregular on the IDSP Portal is North Tripura.
The State has to ensure consistent reporting of L form in portal by the district priority labs at North
Tripura. Referral lab network has to be established in 2012-13.
Appropriate clinical samples need to be sent for the required lab investigations for all outbreaks. In
2012, clinical samples were sent for laboratory investigation for only 1 out of 3 of the disease
outbreaks which was not lab confirmed.
Non-negotiable IDSP priorities for States would be:
Dedicated State Surveillance Officer (SSO) for implementation of IDSP.
All States to provide weekly report on the disease surveillance data on epidemic prone diseases and
the weekly outbreak report regularly through portal.
All the States to timely submit their Statement of Expenditure, Utilization Certificate and Audit
reports.
Every State will undertake in-depth review of IDSP at least once in a year and will share the report
with Central Surveillance Unit (CSU), IDSP
Approval of State PIP 2013-14: TRIPURA Page 184
DETAILED BUDGET: IDSP
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura
FMR
Code
Activity Unit Cost (where-
ever applicable)
Amount Proposed
(Rs. in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
E1 Operational Cost
Field Visits
24.20
5+2.4 x 8
24.20
Office Expenses
Broad Band expenses
Outbreak investigations
including Collection
and Transport of
samples
Review Meetings
Any other expenditure
Sub Total 24.20 24.20
E 1.2 Laboratory Support
District Priority Lab-
Referral Network Lab
1X 5
5 5
District public health
lab equipment
District public health
lab manpower
District public health
lab consumables 1 x 4 4 4
Sub Total 9.0 9.0
E.2 Human Resources
E.2.1 Remuneration of
Epidemiologists
State Epidemiologists 3.6
(0.40x1 X9)
14.4
(0.40 X 4 X 9)
12
*Post of messenger
for SSU is currently
not approved under
IDSP
*Remuneration for
vacant positions
calculated for 6
months.
*Medical
Epidemiologists,
Consultant training
and Medical
District
Epidemiologists
E.2.2 Remuneration of
Microbiologists
State Microbiologist
3.6
(0.40x1 X9)
+
3.6
(0.40x1 X9)
4.8
District
Microbiologist at
District Priority Labs.
E.2.3
Remuneration of
Entomologists
2.25
(0.25 X 1 X 9)
1.5
Veterinary
Consultant
0 0
E.3
Consultant-Finance/
Procurement
2.02
(0.168X1X12)
2.02
Approval of State PIP 2013-14: TRIPURA Page 185
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura
FMR
Code
Activity Unit Cost (where-
ever applicable)
Amount Proposed
(Rs. in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
E.3.1
Consultant-Training/
Technical
2.52
(0.28 X 1 X9)
1.68 Microbiologists with
medical qualifications
should be paid higher
remuneration than the
non-medical
epidemiologists,
consultant training
and microbiologists
**Calculation error
E.3.2 Data Manager
State Data Manager **14.1
(0.162 X 1 X9)+
(0.162 X 8 X9)
8.75
District Data
Manager
E.3.3 Data Entry Operator
12.25
(1.23+11.02)
11.63
Messenger for SSU
0.72 0
Sub Total 59.06 42.38
E.8 Training
As per NRHM
Guidelines
State has spent Rs
68,000 on training in
last year
Medical Officers(3 days
)
4.2 2.1
One day training of
Hospital Pharmacist /
Nurses
1.8 0.9
One day training of
Medical College Doctors
0 0
One day training for Data
Entry and analysis for
Block Health Team
0 0
Lab technician (3 days) 0 0
Data managers (2 days) 0.27 0
DEO cum accountant
(2 days)
0.30
ASHA & MPWs,AWW
& community volunteers
(1 day)
4.00 Training to be
carried out in
monthly
meetings
Sub Total 10.57 3
For each newly formed
(Corporation as district)
District to cover for the
expenses on account of
Non-recurring costs on
Computer Hardware,
some office equipment &
accessories.
E.7 ID Hospital Network
*
Surveillance in Metro
Cities
Approval of State PIP 2013-14: TRIPURA Page 186
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura
FMR
Code
Activity Unit Cost (where-
ever applicable)
Amount Proposed
(Rs. in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
* New formed Districts
4 3.08 3.08
Innovations/new
initiatives(Surveillance of
Hemophilia)
2 * 0
*The cost for these
activities may be
borne out of
operational costs.
Any state specific
activity(awareness for
prevention of
meningococcal
meningitis)
2
Total 109.91** 81.66 **Calculation error
Comments:
Based on past trend of expenditure, Rs 17 lakhs has been approved in BE for Tripura under IDSP for
2013-14. However, if there is increase in expenditure by State as per IDSP approved norm, the budget for
State could be increased at RE stage.
Approval of State PIP 2013-14: TRIPURA Page 187
NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)
Physical Targets:
Sr.
No.
Indicator 2011 2012 2013 Remarks
1 Annual Blood Examinate
Rate (ABER) i.e. persons
screened annually for
Malaria
7.79% 7.07% 10% ABER has decreased needs to be
enhanced to 10 and above
2 Annual Parasite Incidence
(API) i.e. Malaria cases per
1000 population annually
3.89 3.09 2.5 API has shown a gradual decline. It
should be brought down to 2.5 or below
3 Sentinel Surveillance
Hospital made functional
for Dengue & Chikungunya
2 1 1 Only 1 sentinel site has been approved,
i.e. Agartala Medical College
4 Sentinel Surveillance
Hospital made functional
for JE
2 0 0 The state is non endemic for JE/AES .
The sentinel site establishment needs to
be justified.The funds have not been
allocated for SS in the ROP
Priority areas for focused attention:
Sr. No. Priority areas for focussed attention
1 Newly created districts the DMOs and other infrastructure including the project staff needs to
be in place.
2 Entomological surveillance needs to be scaled up
Essential Conditionality
Sr. No. Post Sanctioned In
position
Vacant Target for
2013-14
1 District Malaria Officer (DMO) 4 4 4 Additional
DMOs for
newly created
districts must
be in place
2 Two review meetings in a year to be conducted under the Chairmanship of Principal
Secretary (Health)/Mission Director - one before transmission period and second during
transmission period.
Desirable Conditionality:
The vacant regular post for medical and Para medical staff should be filled up so as to strengthen the
surveillance in the state
District wise goals
(To be done by State)
ABER API Deaths
Approval of State PIP 2013-14: TRIPURA Page 188
2013-14 2013-14 2013-
14
To be filled and monitored
Road Map: Surveillance & monitoring under NVBDCP is done throughout the year. Following
salient points are to monitor the implementation of programme activities in different quarters.
• April to June - 1st round spraying and observance of anti-malaria month to be ensured and
accordingly funds availability at districts to be ensured
• July to Sept. - 2nd round of spray and observance of anti-dengue month.
• Oct. to Dec.-Review and Monitor physical and financial performance and preparation of next annual
plan.
• Jan. to March - Consolidation of previous year's physical and financial achievement and plan for next
year.
DETAILED BUDGET NVBDCP:
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.1 DBS (Domestic
Budget Support)
F.1.1 Malaria
F.1.1.a Human Resource
including MPW
contractual
61.92 360.00 Total
allocation to
the state is
500 MPW
however the
state has only
requested for
86 MPW
Lab Technicians (
against vacancy )
14.36 Due to
budgetary
restriction the
Human
resource are
not approved
VBD Technical
Supervisor (one for
each block)
37.80 TS VBD are
being funded
from Global
Fund
District VBD
Consultant (one per
district) (Non- Project
States)
28.98 VBD
Consultant
are being
funded from
Global Fund
State Consultant (Non –
Project States)
- M& E Consultant
Approval of State PIP 2013-14: TRIPURA Page 189
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
(Medical Graduate with
PH qualification)
- VBD Consultant
(preferably
entomologist)
F.1.1.b ASHA Incentive 265.21 20.00 the budget
has been
allocated
under the
GFATM
project as it
is funded
under the
project
F.1.1.c Operational Cost
Spray Wages 210.79
104.50
Recommende
d but
restricted to
budget
Operational cost for
IRS
25.33
Impregnation of Bed
nets- for NE states
90.00
F.1.1.d Monitoring , Evaluation
& Supervision &
Epidemic Preparedness
including mobility
20.00 No budget
has been
requested
from the state
however the
state has to
perform the
M&E
activities
therefore the
budget has
been
allocated
F.1.1.e IEC/BCC 15.22 12.00 Recommende
d
F.1.1.f PPP / NGO and
Intersectoral
Convergence
12.00 Separate
proposal may
be submitted
with
justification
F.1.1.g Training / Capacity
Building 7.50 7.50 Recommende
d
F.1.1.h Zonal Entomological
units 12.20 Due to
budgetary
restriction the
Human
resource are
Approval of State PIP 2013-14: TRIPURA Page 190
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
not approved
F.1.1.i Biological and
Environmental
Management through
VHSC
82.50 Due to
budgetary
restriction
activities are
not approved
F.1.1.j Larvivorous Fish
support
F.1.1.k Construction and
maintenance of
hatcheries
F.1.1.l Contingencies
Total Malaria (DBS) 863.81 524.00
F.1.2 Dengue &
Chikungunya
F.1.2.a Strengthening
surveillance (As per
GOI approval)
F.1.2.a(i
)
Apex Referral Labs
recurrent
The state has
not requested
in the PIP
any budget
for the
disease,
however the
disease is
prevelent in
the state and
it requires
regular
monitoring
and
supervision
therefore the
budget has
been
allocated for
the same.
F.1.2.a(ii
)
Sentinel surveillance
Hospital recurrent
1.00
ELISA facility to
Sentinel Surv Labs
F.1.2.b Test kits (Nos.) to be
supplied by GoI (kindly
indicate numbers of
ELISA based NS1 kit
and Mac ELISA Kits
required separately)
F.1.2.c Monitoring and
evaluation 1.50
F.1.2.d Epidemic containment 0.75
F.1.2.e Case management 1.00
F.1.2.f Vector Control &
environmental
management
5.00
F.1.2.g IEC BCC for Social
Mobilization 5.25
F.1.2.h Inter-sectoral
convergence
0.50
F.1.2.i Training including
Operational Research
4.00
Total
Dengue/Chikungunya
0.00 19.00
F.1.3 Acute Encephalitis
Approval of State PIP 2013-14: TRIPURA Page 191
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
Syndrome (AES)/
Japanese Encephalitis
(JE)
F.1.3.a Diagnostics and Case
Management including
rehabilitation
NA NA
F.1.3.b IEC/BCC specific to
J.E. in endemic areas
F.1.3.c Capacity Building
F.1.3.d Monitoring and
supervision
F.1.3.e Technical Malathion
F.1.3.f Fogging Machine
F.1.3.g Operational costs for
malathion fogging
F.1.3.h Operational Research
F.1.3.i Rehabilitation Setup for
selected endemic
districts
F.1.3.j ICU Establishment in
endemic districts
F.1.3.k ASHA Insentivization
for sensitizing
community
F.1.3.l Other Charges for
Training /Workshop
Meeting & payment to
NIV towards JE kits at
Head Quarter
Total AES/JE 0.00 0.00
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, mobility
support for Rapid
Response Team and
contingency support
NA NA
Approval of State PIP 2013-14: TRIPURA Page 192
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.1.4.b Monitoring by
Microfilaria Survey
F.1.4.c Monitoring &
Evaluation
(Assessment)
F.1.4.d Training District
Officers, PHC MOs,
Paramedical staff, drug
distributors
F.1.4.e BCC/Advocacy/IEC at
state, district/PHC, sub
centre
F.1.4.f Honorarium for Drug
Distribution including
ASHAs and supervisors
Verification and
validation for
stoppage of MDA in
LF endemic districts
a) Additional MF
Survey
b) ICT Survey
c) ICT Cost
Verification of LF
endemicity in non-
endemic districts
a) LY & Hy Survey
b) Mf Survey in Non-
endemic distt
c) ICT survey
Post-MDA
surveillance
Total Lymphatic
Filariasis
0.00 0.00
F.1.5 Kala-azar
F.1.5 Case search/ Camp
Approach
Not
Applicabl
e
Not
Applicabl
e
F.1.5.a Spray Pumps &
accessories
F.1.5.b Operational cost for
spray including spray
wages
F.1.5.c Mobility/POL/supervisi
on
F.1.5.d Monitoring &
Evaluation
F.1.5.e Training for spraying
Approval of State PIP 2013-14: TRIPURA Page 193
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.1.5.f IEC/ BCC/ Advocacy
Total Kala-azar 0.00 0.00
Total (DBS) 863.81 543.00
F.2 Externally aided
component
F.2.a World Bank support
for Malaria (Identified
state)
F.2.b Human Resource
Not
Applicabl
e
Not
Applicabl
e
F.2.c Training /Capacity
building
F.2.d Mobility support for
Monitoring Supervision
& Evaluation including
printing of format &
review meetings,
Reporting format (for
printing formats)
Kala-azar World
Bank assisted Project
F.2.e Human resource Not
Applicabl
e
Not
Applicabl
e
F.2.f Capacity building
F.2.g Mobility
F.3 GFATM support for
Malaria (NE states)
F.3.a Project Management
Unit including human
resource of N.E. states
45.02 300.00
The activities
have to be
scaled up as
per the
project
therefore the
budget has
been
allocated as
per the
components
in the project,
however the
release of
funds shall
depend upon
the utilization
of funds
F.3.b Training/Capacity
Building
51.14 100.00
F.3.c Planning and
Administration( Office
expenses recurring
expenses, Office
automation , printing
and stationary for
running of project)
17.46 100.00
F.3.d Monitoring Supervision
(supervisory visits
including travel
expenses, etc) including
printing of format and
review meetings,
41.93 110.00
F.3.e IEC / BCC activities as
per the project
33.56 100.00
Approval of State PIP 2013-14: TRIPURA Page 194
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.3.f Operational cost for
treatment of bednet and
Infrastructure and Other
Equipment (Computer
Laptops, printers,
Motor cycles for MTS )
35.45 110.00
Total : EAC
component
224.56 820.00
F.4 Any Other Items (
Please Specify)
0.00 0.00
F.5 Operational costs (
mobility, Review
Meeting,
communication,
formats & reports)
0.00 0.00
Grand total for cash
assistance under
NVBDCP (DBS +
EAC)
1088.37 1363.00
F.6 Cash grant for
decentralized
commodities
F.6.a Chloroquine phosphate
tablets
8.25
7.60
ACT,
Injection
Arteether
shall be
provided by
Govt of India
only 25% of
the techincal
requirement
may be
procured if
required
F.6.b Primaquine tablets 7.5
mg
1.46
F.6.c Primaquine tablets 2.5
mg
1.82
F.6.d Quinine sulphate tablets 0.52
F.6.e Quinine Injections 0.48
F.6.f DEC 100 mg tablets 0.00
F.6.g Albendazole 400 mg
tablets
0.00
F.6.h Dengue NS1 antigen kit 3.25
F.6.i Temephos, Bti (AS) /
Bti (wp) (for polluted &
non polluted water)
6.00
F.6.j Pyrethrum extract 2%
for spare spray
2.00
F.6.k Any Other Items (
Please Specify)
ACT ( For Non Project
states)
3.33
RDT Malaria – bi-
valent (For Non Project
states)
15.00
F.6.m Any Other Items (
Approval of State PIP 2013-14: TRIPURA Page 195
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
Please Specify)
Total grant for
decentralized
commodities
42.11 7.60
Grand Total for
grant-in-aid under
NVBDCP
1130.48 1370.60
Commodity to be
supplied by
NVBDCP
0.00
Total NVBDCP Cash
+ Commodity
1130.48 1370.60
Approval of State PIP 2013-14: TRIPURA Page 196
NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
State specific Goals and Targets for the year 2013-14
S.No Goals & Target September'13 March 2014
1 Elimination at District level
- -
2 Case detection through ASHA
5 10
3 Special activity plan in blocks
4 MCR footwear procurement & supply
25 50
5 RCS
4 8
6 Development of leprosy expertise
50% of Plan 100% of Plan
7 Treatment Completion Rate assessment
for the year 2012-13 Completed -
8 Audited Report for the year 2012-13
Completed -
9 Expenditure incurred against approved
plan budget 50% 100%
NA: Not Applicable
Approval of State PIP 2013-14: TRIPURA Page 197
DETAILED BUDGET:
Activity
proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G1.Case
detection &
Management
1.1 Specific -
plan for High
Endemic
Districts
Block - - -
1.2 Services in
Urban Areas
Town -
Med I -
Med II-
Mega-
Town -
Med I -
Med II-
Mega-
4 0.60 0.60
1.3. ASHA
Involvement - - -
No
demand
Sensitization 100 500 2.00 0.50 Execss
demand
* Incentive to
ASHA
Detection 250 10 0.25 0.25
PB 400 4 0.24 0.16
MB 600 6 0.36 0.36
1.4 Material &
Supplies
Supportive
drugs, lab.
reagents &
equipments and
printing works
District 68,000 8 1.80 1.80
1.5 NGO -
Scheme No. 600000 - - -
G2. DPMR
MCR footwear,
Aids and
appliances,
Welfare
allowance to
patients for RCS,
Support to govt.
institutions for
MCR - 300/- 50 0.15 0.15
2 pair per
person
Aids/Appliance -
17000 8 0.08 0.08
Welfare/RCS -
8000 8 0.24 0.64
At Institute - 5000 8 0.40 0.40
Approval of State PIP 2013-14: TRIPURA Page 198
Activity
proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
RCS
At camps - 10000
G3. **
IEC/BCC
Mass media,
Outdoor media,
Rural media,
Advocacy media
98,000 8 2.00 2.00
G4. Human
Resources &
Capacity
building
4.1 *** Capacity
building 8 3.20 3.20
4.2. Human
Resources on
contract
4.2.1. ****
Contractual Staff
at State level
SMO 1 40000 - - -
BFO cum Admn.
Officer 1 30000 1 2.52 2.52
Admn. Asstt. 1 16000 1 1.80 1.80
DEO 1 12000 1 1.44 1.44
Driver 1 11000 1 1.20 1.20
4.2.2. District
Leprosy
Consultant
30000 - - -
Post of
Driver of
districts
not
available
Physiotherapist 25000 - - -
4.2.3. Special
Provision for
selected States
NMS No. 25000 - - -
4.2.4. Staff for
blocks
PMW No. 16000 - - -
G5. Programme
Management
ensured
Approval of State PIP 2013-14: TRIPURA Page 199
Activity
proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
5.1. Travel Cost
travel expenses -
Contractual Staff
at State level
80000 8 0.20 0.20
travel expenses -
Contractual Staff
at District level
25000 8 0.20 0.20
5.2 Review
meetings 20000 to 50000 4 0.52 0.52
5.3 Office
Operation &
Maintenance
Office operation
- State Cell 1 75000 1 0.40 0.40
Office operation
- District Cell No. 35000 8 0.72 0.72
Office equipment
maint. State 1 50000 1 0.50 0.50
5.4 Consumables
State Cell 1 50000 1 0.30 0.30
District Cell No. 30000 8 0.56 0.56
5.5 Mobility
Support
State Cell 2 200000 1 1.50 1.50
District Cell 1 150000 8 2.40 2.40
G6 Others
travel expenses -
Contractual Staff
at State level
GRAND
TOTAL 25.58 24.40
Approval of State PIP 2013-14: TRIPURA Page 200
*Incentive to ASHAs will be given at revised rate subject to the approval by MSG.
**The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual
requirements of each district keeping adequate funds at State level under Mass Media and Advocacy
meetings.
***Unit cost OF Training to be calculated as per State NRHM norm fixed for all health programmes.
**** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of
remuneration in other National Health Programmes.
Approval of State PIP 2013-14: TRIPURA Page 201
*
REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)
Targets
S.No Indicators 2012 2013-14
1 Case detection rate 50% 70%
2 Treatment success rate 87% 90%
3 MDR TB treatment success rate 60-70%
4 Treatment success rate among new TB patients tribal
districts and Poor and Backward districts 88%
5 Number of cases to be put on treatment
Increasing
trend
6 Default rate among new TB cases <5%
7 Proportion of estimated incident TB cases notified 80%
8 Proportion of TB patients with known HIV status. 90%
9 Proportion of microscopy centres using LED
microscopes 9%
10 Proportion of districts TU aligned at block levels
with health systems 25%
11 Proportion of Key RNTCP staff in place as per
approved ROP 90%
12 Proportion of Key RNTCP staff trained as per
approved ROP 90%
13 Proportion of TB patients treated under RNTCP by a
community DOT provider 50%
14 Proportion of pediatric cases diagnosed out of new
cases 8%
Action point for the State under RNTCP during FY 2013-14:
All the approved Key RNTCP contractual staff positions at State/Districts should be filled and
ensuring timely payment of salaries.
All the approved new position will be recruited by September 2013.
The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director
(NRHM) at least once in a quarter
To conduct State TB control society meeting, State Coordination committee meeting (TBHIV) at
least once in a quarter.
To ensure that District TB Control society meeting and District Coordination committee meetings
are conducted in the districts at least once in a quarter
Scaling up of DOTS Plus services as per the State DOTS Plus action plan
Conduct ACSM/Training activities at State/Districts as per the State annual action plan.
To involve Private Practitioners and NGOs in the RNTCP
Submission of SOE and UC as per the time lines communicated by MoHFW/CTD.
Timely payment of DOT Providers honorarium at Districts.
Approval of State PIP 2013-14: TRIPURA Page 202
DETAILED BUDGET: RNTCP
S.No Category of
Expenditure
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 as
planned 5.85 3.51
I.2 Laboratory
materials
As per Revised
Norms and Basis of
Costing for RNTCP
1) Sputum of TB
Suspects
Examined per lac
population per
quarter;
2) All districts
subjected to IRL
On Site
Evaluation and
Panel Testing in
the year;
3) IRLs
accredited and
functioning
optimally 7.5 7.5
I.3 Honorarium
As per Revised
Norms and Basis of
Costing for RNTCP
1) All eligible
Community DOT
Providers are paid
honorarium in all
districts in the FY 10.1 4.74
As per norms and data.
I.4 ACSM
As per Revised
Norms and Basis of
Costing for RNTCP
1) All IEC/ACSM
activities
proposed in PIP
completed;
2) Increase in case
detection and
improved case
holding; 10.36 10.36
I.5 Equipment
maintenance
As per Revised
Norms and Basis of
Costing for RNTCP
1) Maintenance of
Office
Equipments at
State/Districts and
IRL equipments
completed as
planned;
2) All BMs are in
functional
condition 4.08 2.85
I.6 Training
As per Revised
Norms and Basis of
Costing for RNTCP
1) Induction
training, Update
and Re-training of
all cadre of staff
completed as 8.18 5.72
Approval of State PIP 2013-14: TRIPURA Page 203
S.No Category of
Expenditure
Unit cost
(wherever
applicable)
Physical target
/expected output Amount
Proposed
Amount
Approved Remarks
planned;
I.7
Vehicle
maintenance/
operation
As per Revised
Norms and Basis of
Costing for RNTCP
1) All 4 wheelers
and 2 wheelers in
the state are in
running condition
and maintained; 8.37 6.69
As per norms
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 31.23 24.99
As per norms
I.9 NGO/PP
support
As per Revised
Norms and Basis of
Costing for RNTCP
1) Increase in
number of
NGOs/PPs
involved in signed
schemes of
RNTCP;
2) Contribution of
NGOs/PPS in
case detection and
provision of DOT 45.88 37.48
I.10 Medical
College
As per Revised
Norms and Basis of
Costing for RNTCP
1) All activities
proposed under
Medical Colleges
head in PIP
completed 18.94 18.94
I.11 Office
Operation
As per Revised
Norms and Basis of
Costing for RNTCP
1) All activities
proposed under
miscellaneous
head in PIP
completed 7.24 7.24
I.12 Contractual
services
As per Revised
Norms and Basis of
Costing for RNTCP
1) All contractual
staff appointed
and paid regularly
as planned 155.53 155.53
I.13 Printing
As per Revised
Norms and Basis of
Costing for RNTCP
1) All printing
activities at state
and district level
completed as
planned 2 2
I.14 Research and
studies
As per Revised
Norms and Basis of
Costing for RNTCP
1) Proposed
Research has been
initiated or
completed in the 2 2
Approval of State PIP 2013-14: TRIPURA Page 204
S.No Category of
Expenditure
Unit cost
(wherever
applicable)
Physical target
/expected output Amount
Proposed
Amount
Approved Remarks
FY as planned
1.15 Procurement
of drugs
0 0
I.16 Procurement –
vehicles
As per Revised
Norms and Basis of
Costing for RNTCP
1) Procurement of
vehicles
completed as
planned 10.45 10.45
I.17 Procurement-
Equipments
As per Revised
Norms and Basis of
Costing for RNTCP
1)Procurement of
equipments
completed as
planned 5.2 29.4
C&DST equipments have
been approved here
I.18
Patient
support &
Transportation
As per Revised
Norms and Basis of
Costing for RNTCP
Payment of
transportation
charges to
patients 2.11 2.11
I.19 Supervision &
Monitoring
As per Revised
Norms and Basis of
Costing for RNTCP
Number of
evaluation and
review meeting
done by state 10 10
Subtotal 345.05 341.56
Disease control Flexi pool fund
24.2 0
Approved under
Procurement of
equipments head
TOTAL APPROVAL 369.25 341.51
Approval of State PIP 2013-14: TRIPURA Page 205
ANNEXURES
Approval of State PIP 2013-14: TRIPURA Page 206
ANNEX 1
RCH FLEXIPOOL
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.1 MATERNAL HEALTH 218843 19150.0
0
1488.98 1245.37
A.1.1 Operationalise Facilities
(Any cost other than
infrastructure, HR,
Training, Procurement,
Monitoring etc.) may
include cost of mapping,
planning-identifying
priority facilities,etc)
0 0.00 0.00 0.00
A.1.1
.1
Operationalise FRUs
(Blood bank/BSU -
Operational cost)
0.00
A.1.1
.2
Operationalise 24x7
PHCs
0.00
A.1.1
.3
Operationalise Safe
abortion services
(including MVA/ EVA
and medical abortion)at
health facilities
0.00
A.1.1
.4
Operationalise RTI/STI
services at health facilities
0.00
A.1.1
.5
Operationalise sub-
centres
0.00
A.1.2 Referral Transport 0.00
A.1.3 Integrated outreach RCH
services (state should
focus on facility based
services and outreach
camps to be restricted
only to areas without
functional health
facilities)
49884 9400.00 503.28 503.28
A.
1.3.1
.
Oureach camps No. of
camp
60 8400.00 5.04 5.04 Approved Rs 5.04
lakhs for 60 out-
reach camps@ Rs
8400/ camp
Approval of State PIP 2013-14: TRIPURA Page 207
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.1.3
.2.
Monthly Village Health
and Nutrition Days
No. of
VHND
49824 1000.00 498.24 498.24 Approved.
As per NPCC
decision, approval
for organizing
49824 VHNDs@ Rs
1000/ VHND. Out of
This Rs 200/- per
VHND to be given to
ASHA as incentive
for mobilizing
pregnant womena
and neonates as per
due list.
A.1.4
.
Janani Suraksha Yojana /
JSY
56780 1800.00 350.44 313.40
A.1.4
.1
Home deliveries Beneficiar
y
1802 500.00 9.01 5.00 Approved for1000
home deliveries.
A.1.4
.2
Institutional deliveries 27489 1300.00 186.48 166.74
A.1.4
.2.a
Rural Beneficiar
y
21546 700.00 150.82 127.87 Approved for
18,267 insitutional
deliveries.
A.1.4
.2.b
Urban Beneficiar
y
5943 600.00 35.66 38.87 Approved for 6,478
insitutional
deliveries.
A.1.4
.2.c
C-sections 0.00
A.1.4
.3
Administrative Expenses 1.95 6.15 Approved. Fund
could be used for
JSY monitoring,
printing of JSY
registers, formats,
JSY IEC etc.
A.1.4
.4
Incentives to ASHA Delivery 27489 153.00 135.51 Approved 18,267
@Rs 600 for rural
insitutional deliveries
and 6,478 urban @
Rs 400 for
insitutional
deliveries.
A.1.5 Maternal Death Review
(both in institutions and
community)
Meeting 1 5000.00 0.05 0.05 Approved.
for conducting 1
review meetings for
MDR at State level
Approval of State PIP 2013-14: TRIPURA Page 208
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.1.6 Other strategies/activities
(please specify)
47514 400.00 95.03 28.92
A.1.6
.1
Incentive to ASHA
@Rs.200per month per
VHND
0.00
A.1.6
.2
Incentive to Mother for
4th ANC
PW 37590 200.00 75.18 28.92 Approved.
Cash incentive to
mothers is not
Approved.
Rs 50/- for early
registration of ANC
within 12 weeks of
conception can be
given to ASHA .
Payment will be
made as per
verification in the
MCP Card. Total
amount
recommended for
approval is Rs 50*
57830 cases= Rs
28.92 lakhs.
A.1.6
.3
Incentive to ASHA for
4th ANC (Non JSY
Target)
ASHA 9924 200.00 19.85
A.1.6
.4
0.00
A.1.6
.5
0.00
A.1.6
.6
0.00
A.1.6
.7
0.00
A.1.6
.8
0.00
A.1.6
.9
0.00
A.1.6
.10
0.00
A.1.6
.11
0.00
A.1.6
.12
0.00
A.1.6
.13
0.00
A.1.6
.14
0.00
Approval of State PIP 2013-14: TRIPURA Page 209
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.1.6
.15
0.00
A.1.7 JSSK- Janani Shishu
Surakhsha Karyakram
64665 2550.00 540.19 399.72
A.1.7
.1
Drugs and consumables Beneficiar
y
23658 550.00 130.12 130.12 Approved Rs
130.12 lakhs for
provision of free
drugs subject to all
PW coming to public
health institution are
provided free drugs
during ANC, INC
and PNC period
A.1.7
.2
Diagnostic PW 17349 1000.00 173.49 96.00 Approved Rs 96.00
lacs. @ Rs 200/- per
PW for an estimated
48000 PW likely to
deliver in public
health facilities. All
PW to be provided
free diagnostic.
A.1.7
.3
Blood Transfusion 0.00 It is hoped that state
has sufficent funds
for provision of free
Blood for PW at
health facilities
A.1.7
.4
Diet (3 days for Normal
Delivery and 7 days for
Caesarean)
0.00 It is hoped that state
has sufficent funds
for provision of free
diet for PW at
health facilities
A.1.7
.5
Free Referral Transport Beneficiar
y
23658 1000.00 236.58 173.60 Approved Rs 200
lacs for 40000 PW
@ Rs 500/-(Home to
facility Rs 250/- and
Drop back-Rs 250/-)
which are likely to be
normal deliveries.
For inter-facility and
drop back for 4800
cases(10%) approved
Rs 48.0 lakhs @ Rs
1000/-(inter-facility
and drop back@ Rs
500/- per trip) . Total
amount approved
Approval of State PIP 2013-14: TRIPURA Page 210
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
70% of Rs
200.00+48.00= Rs
248.00 lakhs.= 70%
of Rs 248.00=173.6
lakhs
The fund is
approved subject to :
1) All Ambulances
needs to be Linked
to a centralized call
center
2) Needs to be GPS
fitted and should be
re-stickered and
changed as per
National Ambulance
service guidelines
3) All PW and
infants as per
expanded JSSK to
be catered to.
A.1.7
.6
Other JSSK activity 0 0.00 0.00 0.00
A.1.7
.6.1
0.00
A.1.7
.6.2
0.00
A.1.7
.6.3
0.00
Sub-total Maternal Health
(excluding JSY)
162064 17350.0
0
1138.55 931.97
Sub-total JSY 56780 1800.00 350.44 313.40
A.2. CHILD HEALTH 5703 53000.0
0
97.68 37.82
A.2.1 IMNCI (including F-
IMNCI; primarily budget
for planning for pre-
serviceIMNCI activities
in medical colleges,
nursing colleges, and
ANMTCs)
0.00
Approval of State PIP 2013-14: TRIPURA Page 211
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.2.2 Facility Based Newborn
Care/FBNC (SNCU,
NBSU, NBCC - any cost
not budgeted under
HR,Infrastructure,
procurement, training,IEC
etc.) e.g.operating cost
rent,electricity etc.
imprest money
25 50000.0
0
12.50 3.75
A.2.2
.1
SNCU 0.00
A.2.2
.2
NBSU 0.00
A.2.2
.3
NBCC No. of
NBCC
25 50000.0
0
12.50 3.75 Approved Rs. 3.75
lakhs as operational
cost of the 25 new
NBCCs @ 0.20 lakhs
for 9 months (3
quarters) has been
approved.
Cost for setting up
new NBCCs (Rs.
8.75 lakhs) shifted to
Procurement under
CH FMR. B16.1.2.
A.2.3 Home Based Newborn
Care/HBNC
0.00
A.2.4 Infant and Young Child
Feeding/IYCF
0.00
A.2.5 Care of Sick Children and
Severe Malnutrition (e.g.
NRCs, CDNCs etc.)
0.00
A.2.6 Management of diarrhoea
& ARI & micronutrient
malnutrition
0.00
A.2.7 Other strategies/activities
(please specify)
0.00
A.2.8 Infant Death Audit 0.00
A.2.9 Incentive to ASHA under
child health
0.00
A.2.1
0
JSSK (for Sick neonates
up to 30 days)
5678 3000.00 85.18 34.07
Approval of State PIP 2013-14: TRIPURA Page 212
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.2.1
0.1
Drugs & Consumables
(other than reflected in
Procurement)
Beneficiar
y
2839 2000.00 56.78 5.68 Approved Rs 5.68
lakhs for 2839 sick-
new-born cases @ Rs
200/- per sick- new-
born. This is besides
drugs under CH,
SNCU etc This is to
further inform that
all sick-newborns
and infants are to be
extended benefits
under JSSK . So state
may consider issuing
G.O in this regard.
A.2.1
0.2
Diagnostics 0.00
A.2.1
0.3
Free Referral Transport Beneficiar
y
2839 1000.00 28.39 28.39 Approved Rs 28.39
lakhs for to and fro
Referral Trsnsport
for 2839 sick new-
borns
A.2.1
1
Any other interventions
(eg; rapid assessments,
protocol development)
0 0.00 0.00 0.00
A.2.1
1.1
0.00
A.2.1
1.2
0.00
A.2.1
1.3
0.00
A.2.1
1.4
0.00
A.2.1
1.5
0.00
Sub-total Child Health 5703 53000.0
0
97.68 37.82
A.3 FAMILY PLANNING 15893 44590.0
0
148.36 148.26
A.3.1 Terminal/Limiting
Methods
11031 32500.0
0
137.65 137.65
A.3.1
.1
Orientation
workshop,dissemination
of manuals on FP
standards & quality
no. of
workshop
0.00
Approval of State PIP 2013-14: TRIPURA Page 213
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
assurance of sterilisation
services, fixed day
planning meeting
A.3.1
.2
Female sterilisation
camps
No. of
camp
165 15000.0
0
24.75 24.75 Approved
A.3.1
.3
NSV camps No. of
camp
66 15000.0
0
9.90 9.90 Approved
A.3.1
.4
Compensation for female
sterilisation
Beneficiar
y
8500 1000.00 85.00 85.00 Approved
A.3.1
.5
Compensation for male
sterilization/NSV
Acceptance
Beneficiar
y
1200 1500.00 18.00 18.00
Approved.
A.3.1
.6
Accreditation of private
providers to provide
sterilisation services
1100
A.3.2 Spacing Methods 4700 90.00 1.04 0.94
A.3.2
.1
IUD camps 0.00
A.3.2
.2
IUD services at health
facilities (including fixed
day services at SHC and
PHC)
Beneficiar
y
4500 20.00 0.90 0.90 Approved.
A.3.2
.2.1
PPIUCD services Beneficiar
y
200 70.00 0.14 0.04 Approved for 200
beneficiaries.
Motivator money @
Rs.50/- per
benficiaries is not
suported.
200 @ Rs.20/- for
IUCD insertion is
approved = 0.04
Lakhs
A.3.2
.3
Accreditation of private
providers to provide IUD
insertion services
0.00
A.3.2
.4
Social Marketing of
contraceptives (includng
delivery of contraceptive
by ASHA at door step)
0.00
A.3.2
.5
Contraceptive Update
seminars
0.00
Approval of State PIP 2013-14: TRIPURA Page 214
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.3.3 POL for Family Planning/
Others (including
additional mobilty support
to surgeon's team if req)
0.00
A.3.4 Repairs of Laparoscopes 0.00
A.3.5 Other strategies/activities
(please specify):
162 12000.0
0
9.67 9.67
A.3.5
.1
Monitor progress and
quality,QAC meetings
/review of sterilization
failures etc.
No. of
Meeting
18 10000.0
0
1.80 1.80 Approved
A.3.5
.2
Performance reward if
any
0.00
A.3.5
.3
World Population Day‟
celebration (such as
mobility, IEC activities
etc.): funds earmarked for
district and block level
activities
No. of
Program
me
1.79 1.79 Approved
A.3.5
.4
Other strategies/ activities
(such as strengthening
fixed day services for
IUCD and sterilization
etc.)
144 2000.00 6.08 6.08
A.3.5
.4.1
Operational cost of fixed
day starilization at SH &
DH
A.3.5
.4.2
Supervisory Visit by State
& district
No. of
visit
54 2000.00 1.08 1.08 Approved
A.3.5
.4.3
1. Incentives for ASHA
for ensuring spacing of 2
years after marriage and
spacing of 3 years after
the birth of 1st child.
2. Incentives for ASHA
for a permanent limiting
method up to 2 children
only ( 9month target of
NSV & LL is proposed )
0.00
A.3.5
.4.4
Family Planning
Indemnity scheme
Beneficiar
y
90 5.00 5.00 Approved
A.3.5
.4.5
Printing of Elegible
couple & children register
0.00
Approval of State PIP 2013-14: TRIPURA Page 215
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
Sub-total Family Planning
(excluding Sterilisation
Compensation and NSV
Camps)
10866 17500.0
0
35.46 35.36
Sub-total Sterilisation
Compensation and NSV
Camps
5027 27090.0
0
112.90 112.90
A.4 ADOLESCENT
REPRODUCTIVE AND
SEXUAL HEALTH /
ARSH
1424 688400.
00
261.54 107.59
A.4.1 Adolescent health
services
34 306000.
00
12.43 12.43
A.4.1
.1
Disseminate ARSH
guidelines.
0.00
A.4.1
.2
Establishment of new
clinics at DH level
No.of
clinic
1 150000.
00
1.50 1.50 Approved
A.4.1
.3
Establishment of new
clinics at CHC/PHC level
No.of
clinic
6 150000.
00
9.00 9.00 Approved
A.4.1
.4
Operating expenses for
existing clinics
No.of
clinic
27 6000.00 1.62 1.62 Approved
A.4.1
.5
Outreach activities
including peer educators
0.00
A.4.1
.6
Others 0.31 0.31
A.4.1
.6.1
Printing of flex for
disemination of Helpline
of ARSH
No. of
center
7 300.00 0.02 0.02 Approved
A.4.1
.6.2
Printing of register,
reporting format, for
ARSH Clnic
No. of
center
34 0.29 0.29 Aproved
A.4.1
.6.3
Printing of Register ,
reporting format, for
WIFS
reporting
center
0.00 0.00 Committed
expenditure of 2012-
13
A.4.1
.6.4
0.00
A.4.1
.6.5
0.00
A.4.1
.6.6
0.00
A.4.1
.6.7
0.00
A.4.1 0.00
Approval of State PIP 2013-14: TRIPURA Page 216
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.6.8
A.4.1
.6.9
0.00
A.4.1
.6.10
0.00
A.4.2 School Health programme 94 382000.
00
243.93 93.72
A.4.2
.1
Prepare and disseminate
guidelines for School
Health Programme.
No. of
dissemina
tion
Meeting
8 40000.0
0
3.20 1.40 Approved. Rs 1.40
is approved for 2000
copies of RBSK
guidelines @ Rs 70
per guideline to be
disseminated at
convergence
meeting. Meeting
cost is shifted to A
4.2.2
A.4.2
.2
Prepare detailed
operational plan for
School Health Programme
across districts (cost of
plan meeting should be
kept)
0.00 1.80 Approved.
Rs 1.80 lakh is
approved for 3 yearly
meetings at State (@
Rs 20000 per
meeting) and district
level (@ Rs 10000
per meeting) with
Stakeholders of
RBSK - School
Education SSA and
RMSA, ICDS and
Department of
Disability under
Ministry of Social
Justice and
empowerment.
Shifted from A 4.2.1.
A.4.2
.3
Mobility support No of unit 15 20000.0
0
57.94 22.80 Approved.
Rs 22.80 lakhs is
approved for 8
mobile health teams
for 9 months and 7
Mobile Health teams
for 6 months @ Rs
20000 per month.
Mobility support for
Facility based team
Approval of State PIP 2013-14: TRIPURA Page 217
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
visit is not
recommended under
RBSK.
A.4.2
.4
Referral support Number
of DEIC
4 100000.
00
4.00 0.00 Not approved
A.4.2
.5
Other strategies for school
health
67 222000.
00
178.79 67.72
A.4.2
.5.1
Tertiary level treatment of
student
No. of
case
48 200000.
00
96.00 49.00 Approved.
Rs 49 lakhs is
approved for support
of 529 children as
per details of
secondary and
tertiary care
A.4.2
.5.2
School Health checkup
visit
0.00
A.4.2
.5.3
Specialist School Health
Camp
No of
DH/SH
4 2000.00 0.96 0.00 DEIC establishment
is shifted to B
4.1.5.4.4, Specialist
Visit support is
shifted to A.
8.1.10.1. Training
for DEIC staffs is
shifted to A
9.7.6.3.1.
Contengency and
running cost would
only be approved
once the DEICs are
made functional.
Approval for
computers 2 per
DEIC is to be
recommended only
after the DEICs (3in
number) are put in
place.
A.4.2
.5.4
Printing of health card
and student health register
No. of
card &
register
1187703
card+45
0
Register
36.53 18.72 Approved.
Rs 18.72 lakhs is
approved for printing
1187703 cards @ Rs
1.5 per card and 450
registers @ Rs 200
Approval of State PIP 2013-14: TRIPURA Page 218
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
per registers.
Conditionality State
to follow RBSK
formats for card and
registers.
A.4.2
.5.5
Review meeting &
workshop at state &
district level (Programme
Management Cost
including supportive
Supervision)
6.00 0.00 Not approved
A.4.2
.5.6
Development of screening
tools
No. of SH
team
15 20000.0
0
3.00 0.00 Not Approved
A.4.2
.5.7
Yoga Project for AYUSH 36.30 0.00 Not approved
A.4.2
.5.8
Micro nutrient in
tudentthe form of Iron
Folic Acid to each s
0.00
A.4.2
.5.9
0.00
A.4.2
.5.10
0.00
A.4.3 Other strategies/activities
(please specify)
1296 400.00 5.18 1.44
A.4.3
.1
Mobility support for
ARSH/ICTC counsellors
No. of
visit
1296 400.00 5.18 1.44 Approved.
Approved 24
VHNDs @ Rs 500/-
x12 month
A.4.3
.2
Menstrual Hygiene
(Sanitary napkin
procurement to be booked
under procurement)
0.00
A.4.3
.3
WIFS actvity 0.00
Sub-total ARSH 1424 688400.
00
261.54 107.59
A.5 URBAN RCH (focus on
Urban slums)
38 6000.00 17.74 9.89
A.5.1 Identification of urban
areas / mapping of urban
slums and planning
0.00
A.5.2 HR for urban health
including doctors, ANMs,
Lab techs
16 0.00 16.42 8.57
Approval of State PIP 2013-14: TRIPURA Page 219
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.5.2
.1
Doctors/Mos 0.00
A.5.2
.2
Specialist 0.00
A.5.2
.3
Dentists 0.00
A.5.2
.4
ANM No. of
ANM
16 16.42 8.57 Approved 16 ANM
@ 8925 pm.
Approval is being
granted for six
months only with the
conditionality
mendioned in the HR
head.
A.5.2
.5
Staff Nurse 0.00
A.5.2
.6
LHV 0.00
A.5.2
.7
LT 0.00
A.5.2
.8
Pharmacists 0.00
A.5.2
.9
Radiographers 0.00
A.5.2
.10
OT Technician 0.00
A.5.2
.11
Support staff 0.00
A.5.2
.12
Others (pl specify) 0.00
A.5.3 Operating expenses for
UHP and UHC
no. of
centre
22 6000.00 1.32 1.32 Same as last year
A.5.4 Outreach activities 0.00
A.5.5 Others (pl specify) 0 0.00 0.00 0.00
A.5.5
.1
Procurement of medicine no. of
centre
0.00
A.5.5
.2
0.00
A.5.5
.3
0.00
A.5.5
.4
0.00
A.5.5
.5
0.00
A.5.5 0.00
Approval of State PIP 2013-14: TRIPURA Page 220
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.6
A.5.5
.7
0.00
A.5.5
.8
0.00
A.5.5
.9
0.00
A.5.5
.10
0.00
Sub-total Urban Health 38 6000.00 17.74 9.89
A.6. TRIBAL RCH 0 0.00 0.00 0.00
A.6.1 Special plans for tribal
areas
0.00
A.6.2 HR for tribal areas ( in
addition to normative HR)
0.00
A.6.3 Outreach activities 0.00
A.6.4 Other Tribal RCH
strategies/activities
(please specify)
0 0.00 0.00 0.00
A.6.4
.1
0.00
A.6.4
.2
0.00
A.6.4
.3
0.00
A.6.4
.4
0.00
A.6.4
.5
0.00
A.6.4
.6
0.00
A.6.4
.7
0.00
A.6.4
.8
0.00
A.6.4
.9
0.00
A.6.4
.10
0.00
Sub-total Tribal Health 0 0.00 0.00 0.00
A.7 PNDT Activities 49 25450.0
0
2.26 0.80
Approval of State PIP 2013-14: TRIPURA Page 221
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.7.1 Support to PNDT cell State cell 0.00
A.7.3 Mobility support 0.00
A.7.2 Other PNDT activities
(please specify)
49 25450.0
0
2.26 0.80
A.7.2
.1
Expenditure of POL for
Supervisor of Appropriate
Authority
District 8 10000.0
0
0.80 0.80 Approved
A.7.2
.2
Holding of State level
workshop
Workshop 0.00
A.7.2
.3
District level sensitization
workshop
Workshop 0.00
A.7.2
.4
State supervisory Board
meeting
No. of
Meeting
3 7950.00 0.24 0.00 Not Approved
A.7.2
.5
State level multimember
Meeting
3 1500.00 0.05 0.00 Not Approved
A.7.2
.6
State Inspection &
Monitoring committee
meeting
3 2550.00 0.08 0.00 Not Approved
A.7.2
.7
District Advisory
committee meeting
32 3450.00 1.10 0.00 Not Approved
A.7.2
.8
0.00
A.7.2
.9
0.00
A.7.2
.10
0.00
Sub-total PNDT activities 49 25450.0
0
2.26 0.80
Approval of State PIP 2013-14: TRIPURA Page 222
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8 Human Resources 1444 29500.0
0
848.63 441.13 As agreed, the
following key
conditionalities
would be enforced
during the year 2013-
14.
a) Rational and
equitable deployment
of HR with the
highest priority
accorded to high
priority districts and
delivery points.
b) Facility wise
performance audit
and corrective action
based thereon.
c) Performance
Measurement system
set up and
implemented to
monitor performance
of regular and
contractual staff.
d) Baseline
assessment of
competencies of all
SNs, ANMs, Lab
Technicians to be
done and corrective
action taken thereon.
- Approval is
being granted for HR
of all cadres under
NRHM for six
months only and its
continuation for the
next six months
would be contingent
on compliance to the
above four
conditionalities.
- It is expected
that the state will
henceforth fill up
their vacant regular
Approval of State PIP 2013-14: TRIPURA Page 223
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
HR positions and
will not use NRHM
funds to substitute
state spending.
- From 1st
October 2013, under
NRHM funds for
salary to contractual
HR would be done
only to make
payments to
contractual staff over
and above the
sanctioned regular
positions in the State.
A.8.1 Contractual Staff &
Services
1444 29500.0
0
848.63 441.13
A.8.1
.1
ANMs,Supervisory
Nurses, LHVs,
146 0.00 172.51 83.41
A.8.1
.1.1
ANMs 146 0.00 172.51 83.41 Approved.
Approved 146 (53@
10113, 27 @ 9818
and 66 @8500 per
month). Approval is
being granted for six
months only with the
above mentioned
condition
A.8.1
.1.1.a
DH 0.00
A.8.1
.1.1.
b
FRUs 0.00
A.8.1
.1.1.c
Non FRU SDH/ CHC 0.00
A.8.1
.1.1.
d
24 X 7 PHC 0.00
A.8.1
.1.1.e
Non- 24 X 7 PHCs 0.00
Approval of State PIP 2013-14: TRIPURA Page 224
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.1.1.f
Sub Centres Manpowe
r
146 172.51
A.8.1
.1.1.
g
SNCU/ NBSU/NRC etc 0.00
A.8.1
.1.1.
h
Others 0.00
A.8.1
.1.2
Staff Nurses 0 0.00 0.00 0.00
A.8.1
.1.2.a
DH 0.00
A.8.1
.1.2.
b
FRUs 0.00
A.8.1
.1.2.c
Non FRU SDH/ CHC 0.00
A.8.1
.1.2.
d
24 X 7 PHC 0.00
A.8.1
.1.2.e
Non- 24 X 7 PHCs 0.00
A.8.1
.1.2.f
SNCU/ NBSU/NRC etc 0.00
A.8.1
.1.2.
g
Others 0.00
A.8.1
.1.3
LHVs/supervisory nurses 0 0.00 0.00 0.00
A.8.1
.1.3.a
DH 0.00
A.8.1
.1.3.
b
FRUs 0.00
A.8.1
.1.3.c
Non FRU SDH/ CHC 0.00
A.8.1
.1.3.
d
24 X 7 PHC 0.00
A.8.1
.1.3.e
Non- 24 X 7 PHCs 0.00
A.8.1
.1.3.f
SNCU/ NBSU/NRC etc 0.00
A.8.1
.1.3.
Others 0.00
Approval of State PIP 2013-14: TRIPURA Page 225
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
g
A.8.1
.2.1
Laboratory Technicians 65 0.00 85.90 42.25 Approved.
Approved 65 LT
(42@ 11302 and
23@9975) per
month. Approval is
being granted for six
months only with the
above mentioned
condition
A.8.1
.2.1.a
DH Manpowe
r
4 0.00
A.8.1
.2.1.
b
FRUs Manpowe
r
4 0.00
A.8.1
.2.1.c
Non FRU SDH/ CHC Manpowe
r
19 0.00
A.8.1
.2.1.
d
24 X 7 PHC Manpowe
r
31 0.00
A.8.1
.2.1.e
Non- 24 X 7 PHCs Manpowe
r
7 0.00
A.8.1
.2.1.f
Others Manpowe
r
85.90
A.8.1
.2.2
MPWs 0.00
A.8.1
.3
Specialists (Anaesthetists,
Paediatricians, Ob/Gyn,
Surgeons, Physicians,
Dental Surgeons,
Radiologist, Sonologist,
Pathologist, Specialist for
CHC )
71 0.00 197.28 95.76
A.8.1
.3.1
Obstetricians and
Gynecologists
0 0.00 0.00 0.00
A.8.1
.3.1.a
DH 0.00
A.8.1
.3.1.
b
FRUs 0.00
A.8.1
.3.1.c
Non FRU SDH/ CHC 0.00
A.8.1
.3.1.
d
Others (Please specify) 0.00
Approval of State PIP 2013-14: TRIPURA Page 226
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.3.2
Pediatricians 0 0.00 0.00 0.00
A.8.1
.3.2.a
DH 0.00
A.8.1
.3.2.
b
FRUs 0.00
A.8.1
.3.2.c
Non FRU SDH/ CHC 0.00
A.8.1
.3.2.
d
Others (Please specify) 0.00
A.8.1
.3.3
Anesthetists 0 0.00 0.00 0.00
A.8.1
.3.3.a
DH 0.00
A.8.1
.3.3.
b
FRUs 0.00
A.8.1
.3.3.c
Non FRU SDH/ CHC 0.00
A.8.1
.3.3.
d
Others (Please specify) 0.00
A.8.1
.3.4
Surgeons 0 0.00 0.00 0.00
A.8.1
.3.4.a
DH 0.00
A.8.1
.3.4.
b
FRUs 0.00
A.8.1
.3.4.c
Non FRU SDH/ CHC 0.00
A.8.1
.3.4.
d
Others (Please specify) 0.00
A.8.1
.3.5
Specialists for CH
(Paediatrician etc) in
SNCU,NBSU,NRC
0 0.00 0.00 0.00
A.8.1
.3.5.a
DH 0.00
A.8.1
.3.5.
b
FRUs 0.00
A.8.1 Non FRU SDH/ CHC 0.00
Approval of State PIP 2013-14: TRIPURA Page 227
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.3.5.c
A.8.1
.3.5.
d
Others (Please specify) 0.00
A.8.1
.3.6.
1
Radiologists 0.00
A.8.1
.3.6.
2
Pathologists 0.00
A.8.1
.3.7
Dental surgeons and
dentists
71 0.00 197.28 95.76 Approved.
Approved 71 Dental
surgeons (50 @
23100 pm and 21 @
21000 pm ).
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.3.7.a
DH Manpowe
r
4 0.00
A.8.1
.3.7.
b
FRUs Manpowe
r
2 0.00
A.8.1
.3.7.c
Non FRU SDH/ CHC Manpowe
r
13 0.00
A.8.1
.3.7.
d
24 X 7 PHC Manpowe
r
42 0.00
A.8.1
.3.7.e
Non- 24 X 7 PHCs Manpowe
r
10 0.00
A.8.1
.3.7.f
Others (pl specify) Manpowe
r
197.28
A.8.1
.4
PHNs at CHC, PHC level 0.00
A.8.1
.5
Medical Officers 0 0.00 0.00 0.00
A.8.1
.5.1
DH 0.00
A.8.1
.5.2
FRUs 0.00
A.8.1
.5.3
Non FRU SDH/ CHC 0.00
A.8.1 24 X 7 PHC 0.00
Approval of State PIP 2013-14: TRIPURA Page 228
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.5.4
A.8.1
.5.5
Non- 24 X 7 PHCs/
APHCs
0.00
A.8.1
.5.7
MOs for SNCU/
NBSU/NRC etc
0.00
A.8.1
.5.8
Other MOs 0.00
A.8.1
.5.9
Others 0.00
A.8.1
.6
Additional Allowances/
Incentives to M.O.s
0.00
A.8.1
.7
Others - Computer
Assistants/ BCC Co-
ordinator etc
0.00
A.8.1
.7.1
Pharmacist 61 0.00 82.02 39.88 Approved.
Approved 61
Pharmacist(55@109
72 pm, 5@9975 pm
and 1 @ 11302).
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.1.a
DH Manpowe
r
2 0.00
A.8.1
.7.1.
b
FRUs Manpowe
r
5 0.00
A.8.1
.7.1.c
Non FRU SDH/ CHC Manpowe
r
5 0.00
A.8.1
.7.1.
d
24 X 7 PHC Manpowe
r
47 0.00
A.8.1
.7.1.e
Non- 24 X 7 PHCs Manpowe
r
2 0.00
A.8.1
.7.1.f
Others Manpowe
r
82.02
A.8.1
.7.2
Radiographers 0 0.00 0.00 0.00
A.8.1
.7.2.a
DH 0.00
A.8.1
.7.2.
b
FRUs 0.00
Approval of State PIP 2013-14: TRIPURA Page 229
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.7.2.c
Non FRU SDH/ CHC 0.00
A.8.1
.7.2.
d
24 X 7 PHC 0.00
A.8.1
.7.2.e
Non- 24 X 7 PHCs 0.00
A.8.1
.7.2.f
Other 0.00
A.8.1
.7.3
OT technicians/assitsants 0 0.00 0.00 0.00
A.8.1
.7.3.a
DH 0.00
A.8.1
.7.3.
b
FRUs 0.00
A.8.1
.7.3.c
Non FRU SDH/ CHC 0.00
A.8.1
.7.3.
d
24 X 7 PHC 0.00
A.8.1
.7.3.e
Non- 24 X 7 PHCs 0.00
A.8.1
.7.3.f
Other 0.00
A.8.1
.7.4
School health teams
(Exclusively for SH)
45 29500.0
0
54.95 69.73
A.8.1
.7.4.a
MOs number 30 20000.0
0
44.40 47.88 Approved.
Rs 47.88 lakhs is
approved for 16
ayush doctors for 9
months and 14
doctors for 6 months
two each for 15
teams @ 21000 per
month. Half of the
MO to be women
and all MO to have
degree in AYUSH
from recognised
institutions of
AYUSH directorate.
A.8.1
.7.4.
LTs 0.00 0.00
Approval of State PIP 2013-14: TRIPURA Page 230
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
b
A.8.1
.7.4.c
Dental Technicians 0.00
A.8.1
.7.4.
d
Ophthalmic Assistants 0.00
A.8.1
.7.4.e
Staff Nurse 0.00
A.8.1
.7.4.f
Pharmacists number 15 9500.00 10.55 11.37 Approved.
Rs 11.37 lakhs is
approved as per
RBSK guidelines for
8 Pharmacist for 9
months and 7
pharmacists for 6
months @ Rs.
9975/PM.
A.8.1
.7.4.
g
ANMs 0.00 10.48 Approved.
Rs 10.48 lakhs is
approved as per
RBSK guidelines for
8 ANMs for 9
months and 7 ANMs
for 6 months @ Rs.
9193/PM.
A.8.1
.7.4.
h
MPW 0.00
A.8.1
.7.5
Counsellors 66 0.00 99.39 44.08
A.8.1
.7.5.
1
RMNCH/FP Counselors 0.00
A.8.1
.7.5.
2
ARSH Counselors Manpowe
r
27 36.42 17.77 Approved.
Approved 27 ARSH
counsellors
(15@10973,
9@11302 and 3@
9975/pm). Approval
is being granted for
six months only with
the above mentioned
condition
A.8.1
.7.5.
3
Honorarium to ICTC
counselors for ARSH
activities
Approval of State PIP 2013-14: TRIPURA Page 231
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.7.5.
4
Other (please specify) Manpowe
r
15 23.74 8.21 Approved.
Approved 2 Hospital
Admin @ 20213 and
11 per Asst Hospital
admin @ 12128/ pm.
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.6
All Technical HR for
State Specific Initiatives
Manpowe
r
15 27.57 12.32 Approved.
Approved 1
procurement
specialist @ 20790
pm, 1 Bio medical
Engineer @ 14175
pm, 1 Quality
assurance specialist
@ 15540 pm,5
logistic specalist @
17325 pm and 5 MIS
Expert @ 13629 pm.
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.7
Others (pl specify) Manpowe
r
9 11.66 5.78 Approved.
Approved for 5 @
11302 pm and 4 @
Rs.9975 pm.
Approval is being
granted for six
months only with the
above mentioned
condition
A.8.1
.7.8
Staff for Training
Institutes/ SIHFW/
Nursing Training
0.00
A.8.1
.8
Incentive/ Awards etc. to
SN, ANMs etc.
0.00
A.8.1
.9
Human Resources
Development (Other than
above)
Approval of State PIP 2013-14: TRIPURA Page 232
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.8.1
.10
Other Incentives Schemes
(Pl.Specify)
990 0.00 156.58 66.02
A.8.1
.10.1
Rural Posting Incentive-
Most Difficult/
inaccessible areas
Manpowe
r
529 71.12 24.44 Approved.
State has identified
29 facilities and
categorized them as
Difficult and Most
Difficult. State has
proposed incentive to
different cadre of
health workers for
facilities in such
areas i.e. from MO,
MO- AYUSH, SN,
ANM, MPW etc.
Incentive ranges
from Rs 3000/ month
to Rs 600/ month.
Approved. The state
to share categorywise
basis of incentive
A.8.1
.10.2
Rural Posting Incentive-
Difficult areas
461 55.46 31.58 Approved.
State has identified
29 facilities and
categorized them as
Difficult and Most
Difficult. State has
proposed incentive to
different cadre of
health workers for
facilities in such
areas i.e. from MO,
MO- AYUSH, SN,
ANM, MPW etc.
Incentive ranges
from Rs 3000/ month
to Rs 600/ month.
Approved. The state
to share categorywise
basis of incentive
A.8.1
.10.3
Specialist Manpower
(Central Health Servises-
Deputation)
30.00 10.00 Approved.
Approved for a token
amount as decided in
NPCC
A.8.1 Minor civil works 0.00
Approval of State PIP 2013-14: TRIPURA Page 233
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.10.4
A.8.1
.10.5
other (increment for
paramedical staff+
undistributed fund)
0.00
A.8.1
.10.6
0.00
A.8.1
.10.7
0.00
A.8.1
.10.8
0.00
A.8.1
.10.9
0.00
A.8.1
.10.1
0
0.00
A.8.1
.11
Support Staff for Health
Facilities
0 0.00 0.00 0.00
A.8.1
.11.a
DH 0.00
A.8.1
.11.b
FRUs 0.00
A.8.1
.11.c
Non FRU SDH/ CHC 0.00
A.8.1
.11.d
24 X 7 PHC 0.00
A.8.1
.11.e
Non- 24 X 7 PHCs 0.00
A.8.1
.11.f
SNCU/ NBSU/ NBCC/
NRC etc
0.00
Sub-total HR 1444 29500.0
0
848.63 441.13
A.9 TRAINING 168 2957922
.00
161.42 103.80
A.9.1 Strengthening of existing
Training Institutions
(SIHFW, ANMTCs, etc.)
0.00
A.9.2 Development of training
packages
0 0.00 0.00 0.00
A.9.2
.1
Development/ translation
and duplication of
training materials
0.00
A.9.2
.2
Other activities (pl.
specify)
0 0.00 0.00 0.00
Approval of State PIP 2013-14: TRIPURA Page 234
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.2
.2.1
Office Support &
Monitoring Support
number 0.00
A.9.2
.2.2
0.00
A.9.2
.2.3
0.00
A.9.2
.2.4
0.00
A.9.3 Maternal Health Training 58 1087987
.00
48.55 48.54
A.9.3
.1
Skilled Attendance at
Birth / SBA
20 193114.
00
19.31 19.31
A.9.3
.1.1
Setting up of SBA
Training Centres
0.00
A.9.3
.1.2
TOT for SBA 0.00
A.9.3
.1.4
Training of Staff Nurses
in SBA
No. of
batch
14 96557.0
0
13.52 13.52 Approved
A.9.3
.1.5
Training of ANMs /
LHVs in SBA
No. of
batch
6 96557.0
0
5.79 5.79 Approved
A.9.3
.2
EmOC Training 2 142168.
00
2.84 2.84
A.9.3
.2.1
Setting up of EmOC
Training Centres
0.00
A.9.3
.2.2
TOT for EmOC 0.00
A.9.3
.2.3
Training of Medical
Officers in EmOC
Candidate 2 142168.
00
2.84 2.84 Approved
A.9.3
.3
Life saving Anaesthesia
skills training
2 158630.
00
3.17 3.17
A.9.3
.3.1
Setting up of Life saving
Anaesthesia skills
Training Centres
0.00
A.9.3
.3.2
TOT for Anaesthesia
skills training
0.00
A.9.3
.3.3
Training of Medical
Officers in life saving
Anaesthesia skills
Candidate 2 158630.
00
3.17 3.17 Approved
A.9.3
.4
Safe abortion services
training (including MVA/
EVA and Medical
abortion)
7 149710.
00
4.65 4.66
A.9.3 TOT on safe abortion Candidate 1 86600.0 0.87 0.87 Approved
Approval of State PIP 2013-14: TRIPURA Page 235
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
.4.1 services 0
A.9.3
.4.2
Training of Medical
Officers in safe abortion
Candidate 6 63110.0
0
3.79 3.79 Approved
A.9.3
.5
RTI / STI Training 6 235838.
00
6.56 6.56
A.9.3
.5.1
TOT for RTI/STI training 0.00
A.9.3
.5.2
Training of laboratory
technicians in RTI/STI
No. of
batch
2 143600.
00
2.87 2.87 Approved
A.9.3
.5.3
Training of Medical
Officers in RTI/STI
No. of
batch
4 92238.0
0
3.69 3.69 Approved
A.9.3
.6
BEmOC training for
MOs/LMOs
No. of
batch
13 64613.0
0
8.40 8.40 Approved
A.9.3
.7
Other maternal health
training (please specify)
6 123914.
00
3.21 3.20
A.9.3
.7.1
Training on MTP for
O&G
No. of
batch
1 21875.0
0
0.22 0.22 Approved
A.9.3
.7.2
Training on MTP for MO No. of
batch
1 36470.0
0
0.36 0.36 Approved
A.9.3
.7.3
Training of SN in
RTI/STI
No. of
batch
4 65569.0
0
2.62 2.62 Approved
A.9.3
.7.4
0.00
A.9.3
.7.5
0.00
A.9.3
.7.6
0.00
A.9.3
.7.7
0.00
A.9.3
.7.8
0.00
A.9.3
.7.9
0.00
A.9.3
.7.10
0.00
A.9.3
.8
Blood Storage Unit
(BSU) Training
No. of
batch
2 20000.0
0
0.40 0.40 Approved
A.9.3
.9
Skill Lab Training 0.00
A.9.4 IMEP Training 4 22588.0
0
0.90 0.90
A.9.4
.1
TOT on IMEP 0.00
Approval of State PIP 2013-14: TRIPURA Page 236
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.4
.2
IMEP training for state
and district programme
managers
Candidate 4 22588.0
0
0.90 0.90 Approved
A.9.4
.3
IMEP training for medical
officers
0.00
A.9.5 Child Health Training 15 889858.
00
18.86 15.27
A.9.5
.1
IMNCI Training (pre-
service and in-service)
2 175706.
00
3.51 3.51
A.9.5
.1.1
TOT on IMNCI (pre-
service and in-service)
0.00
A.9.5
.1.2
IMNCI Training for
ANMs / LHVs
No. of
batch
2 175706.
00
3.51 3.51 Approved
A.9.5
.1.3
IMNCI Training for
Anganwadi Workers
0.00
A.9.5
.2
F-IMNCI Training 2 284166.
00
2.84 2.84
A.9.5
.2.1
TOT on F-IMNCI 0.00
A.9.5
.2.2
F-IMNCI Training for
Medical Officers
No. of
batch
1 143325.
00
1.43 1.43 Approved
A.9.5
.2.3
F-IMNCI Training for
Staff Nurses
No. of
batch
1 140841.
00
1.41 1.41 Approved
A.9.5
.3
Home Based Newborn
Care / HBNC
0 0.00 0.00 0.00
A.9.5
.3.1
TOT on HBNC 0.00
A.9.5
.3.2
Training on HBNC for
ASHA
0.00
A.9.5
.4
Care of sick children and
severe malnutrition at
FRUs
0 0.00 0.00 0.00
A.9.5
.4.1
TOT on Care of sick
children and severe
malnutrition
0.00
A.9.5
.4.2
Training on Care of sick
children and severe
malnutrition for Medical
Officers
0.00
A.9.5
.5
Other child health training
(please specify)
11 429986.
00
12.50 8.92
A.9.5
.5.1
NSSK Training 4 120878.
00
2.42 2.42
A.9.5
.5.1.
TOT for NSSK candidate 0 0.00 0.00
Approval of State PIP 2013-14: TRIPURA Page 237
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
1
A.9.5
.5.1.
2
NSSK Training for
Medical Officers
No. of
batch
2 61060.0
0
1.22 1.22 Approved
A.9.5
.5.1.
3
NSSK Training for SNs No. of
batch
2 59818.0
0
1.20 1.20 Approved
A.9.5
.5.1.
4
NSSK Training for
ANMs
No. of
batch
0.00
A.9.5
.5.2
Other Child Health
training
7 309108.
00
10.08 6.50
A.9.5
.5.2.a
IMNCI Training for SN No. of
batch
2 179108.
00
3.58 0.00 Not approved
A.9.5
.5.2.
b
SNCU Training for
MO/SN
No. of
batch
5 130000.
00
6.50 6.50 Approved
A.9.5
.5.2.c
0.00
A.9.5
.5.2.
d
0.00
A.9.5
.5.2.e
0.00
A.9.6 Family Planning Training 37 141698.
00
7.34 7.34
A.9.6
.1
Laparoscopic Sterilisation
Training
2 40710.0
0
0.81 0.81
A.9.6
.1.1
TOT on laparoscopic
sterilisation
0.00
A.9.6
.1.2
Laparoscopic sterilisation
training for doctors
(teams of doctor, SN and
OT assistant)
No. of
batch
2 40710.0
0
0.81 0.81 Approved.
4 Particpants
(2/Batch).
A.9.6
.2
Minilap Training 0 0.00 0.00 0.00
A.9.6
.2.1
TOT on Minilap 0.00
A.9.6
.2.2
Minilap training for
medical officers
0.00
A.9.6
.3
Non-Scalpel Vasectomy
(NSV) Training
6 62920.0
0
2.26 2.26
A.9.6
.3.1
TOT on NSV canditate 4 50000.0
0
2.00 2.00 4 Particpants
(1/Batch).
Approved.
Approval of State PIP 2013-14: TRIPURA Page 238
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.6
.3.2
NSV Training of medical
officers
canditate 2 12920.0
0
0.26 0.26 2 partcipants
(1/batch) Approved.
A.9.6
.4
IUD Insertion 16 18848.0
0
3.02 3.02
A.9.6
.4.1
TOT for IUD insertion 0.00
A.9.6
.4.2
Training of Medical
officers in IUD insertion
0.00
A.9.6
.4.3
Training of staff nurses in
IUD insertion
0.00
A.9.6
.4.4
Training of ANMs /
LHVs in IUD insertion
No. of
batch
16 18848.0
0
3.02 3.02 80 partcipants
(5/Batch).
Approved
A.9.6
.5
Contraceptive update/ISD
Training
0.00
A.9.6
.6
Other family planning
training (please specify)
8 9610.00 0.77 0.77
A.9.6
.6.1
PPIUCD insertion
training for MO
No. of
batch
8 9610.00 0.77 0.77 Approved
A.9.6
.6.2
0.00
A.9.6
.6.3
0.00
A.9.6
.6.4
0.00
A.9.6
.6.5
0.00
A.9.6
.7
PPIUCD insertion
training
No. of
batch
5 9610.00 0.48 0.48 Approved
A.9.6
.8
IUCD 375 insertion
training
0.00
A.9.6
.9
Training of FP
Counselors
0.00
A.9.6
.10
Training/ orientation on
technical manuals
0.00
A.9.7 Adolescent Reproductive
and Sexual Health/ARSH
Training
8 408027.
00
10.24 14.74
A.9.7
.1
TOT for ARSH training 0.00
A.9.7
.2
Orientation training of
state and district
programme managers
0.00
A.9.7
.3
ARSH training for
medical officers
No. of
batch
1 133140.
00
1.33 1.33 Approved
Approval of State PIP 2013-14: TRIPURA Page 239
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.7
.4
ARSH training for
ANMs/LHVs
No. of
batch
0 0.00 0.00
A.9.7
.5
ARSH training for
AWWs
0.00
A.9.7
.6
Other ARSH training 4 110170.
00
4.41 4.41
A.9.7
.6.1
Training for SN &
counsellor on ARSH
No. of
batch
4 110170.
00
4.41 4.41 Approved
A.9.7
.6.2
Training of WIFS :TOT -
State level
No. of
batch
0 0.00 0.00
A.9.7
.6.3
Training of WIFS :TOT -
District level
No. of
batch
0 0.00 0.00
A.9.7
.6.4
0.00
A.9.7
.6.5
0.00
A.9.7
.6.1
WIFS training 0 14717.0
0
0.00 0.00
A.9.7
.6.1.
1
State level/ District Level/
Block Level
14717.0
0
0.00
A.9.7
.6.1.
2
refresher training –
ANM/MO/ AWW/ Nodal
Teacher
No. of
batch
0.00 0.00
A.9.7
.6.2
Menstrual hygiene
training
0.00
A.9.7
.6.3
SHP training 3 150000.
00
4.50 9.00
A.9.7
.6.3.
1
School Health Training -
Training of team –
technical and managerial
No. of
batch
3 150000.
00
4.50 9.00 Approved.
Rs 4.5 lakhs is
approved for RBSK
training 2 batches
with 8 and 7 teams
each. Two batchs one
at State level for
State level master
trainers. Rs 4.5
Lakhs is approved
for 3 training of 15
days each for DEIC
staffs @ Rs 1.5 lakhs
each, shifted from A
4.2.5.3.
Approval of State PIP 2013-14: TRIPURA Page 240
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.7
.6.3.
2
Training of Nodal
teachers
No. of
batch
0.00 0.00 Approved.
Not Approved under
RBSK
A.9.7
.6.3.
3
One day orientation for
programme managers/
MO
0.00
A.9.7
.6.3.
4
Training/Refresher
training -ASHA
0.00
A.9.7
.6.3.
5
Training/Refresher
training -ANM
0.00
A.9.8 Programme Management
Training (e.g. M&E,
logistics management,
HRD etc.)
34 157764.
00
19.41 9.51
A.9.8
.1
Training of SPMSU staff No. of
person
14 14.00 5.00 Approved.
Approved for short
Course Training for
10 person @ Rs. 0.50
lakhs subject to
follow RCH norms.
Other training not
approved.
A.9.8
.2
Training of DPMSU staff No. of
batch
8 22588.0
0
1.81 1.81 Approved
A.9.8
.3
Training of BPMSU staff 0.00
A.9.8
.4
Other training (pl.
specify)
12 135176.
00
3.61 2.70
A.9.8
.4.1
Training on Pro-MIS No. of
batch
4 22588.0
0
0.90
A.9.8
.4.2
CME for MO No. of
batch
2 50000.0
0
1.00 1.00 Approved for Rs
1.0 lakhs for 2
batches for CME@
Rs 0.50 lacs per
batch
A.9.8
.4.3
Training of nursing -
refresher/CME
No. of
batch
2 40000.0
0
0.80 0.80 Approved for Rs
0.80 lakhs for 2
batches for CME in
Nursing @ Rs 0.40
lacs per batch
A.9.8
.4.4
Undistributed fund 0.00
A.9.8
.4.5
Financial Management
Training
No. of
batch
4 22588.0
0
0.90 0.90 Approved.
Approval of State PIP 2013-14: TRIPURA Page 241
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.9.9
.1
PC/PNDT training 0.00
A.9.9
.2
Others Candidate 9 48.62 0.00 Approval Pended-
No Plan where
training will be
conducted, duration
of training and
outcome to be
achieved through
these trainings
A.9.1
0
Training (Nursing) 0 0.00 0.00 0.00
A.9.1
0.1
Strengthening of Existing
Training
Institutions/Nursing
School excluding
infrastructure and HR.
0.00
A.9.1
0.2
New Training
Institutions/School
0.00
A.9.1
1
Training (Other Health
Personnel)
3 250000.
00
7.50 7.50
A.9.1
1.1
Promotional Training of
ANMs to lady health
visitor etc.
0.00
A.9.1
1.2
Training of ANMs,Staff
nurses,AWW,AWS
0.00
A.9.1
1.3
Other training and
capacity building
programmes (nursing
tutors etc.)
0.00
A.9.1
1.3.1 PGDHM Courses
candidate
3 250000.
00 7.50 7.50
Approved Rs 7.50
lakhs for 3
candidates @ Rs 2.5
lakhs in PGDHM
Courses
Sub-total Training 168 2957922
.00 161.42 103.80
A.10 PROGRAMME
MANAGEMENT 425
195000.
00 568.86 353.71
Approval for
programme
management staff is
being granted for six
months only and its
continuation for the
next six months
Approval of State PIP 2013-14: TRIPURA Page 242
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
would be contingent
on compliance of
condition that
Performance
Appraisal system is
set up and
implemented to
monitor performance
of regular and
contractual staff.
A.10.
1
Strengthening of State
society/ State
Programme
Management Support
Unit
42 0.00 79.85 39.51
Contractual Staff for
SPMSU recruited and in
position
42 0.00 79.85 39.51
A.10.
1.1
State Programme
Manager
Manpowe
r
1 3.74 1.78 Approved.
Approved @
Rs.29741 pm . Same
as last year.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
1.2
State Accounts Manager Manpowe
r
1 3.44 1.64 Approved.
Approved @Rs.
27362/pm . Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.3
State Finance Manager Manpowe
r
1 3.24 1.70 Approved.
Approved @ Rs.
28350 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.4
State Data Manager Manpowe
r
1 3.44 1.64 Approved.
Approved @ Rs.
27362 pm . Approval
is being granted for
six months only with
Approval of State PIP 2013-14: TRIPURA Page 243
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
the above mentioned
condition.
A.10.
1.5
Consultants/ Programme
Officers (including for
MH/CH/FP/ PNDT/ AH
including WIFS SHP,
MHS etc.)
Manpowe
r
4 14.07 6.84 Approved.
Approved MO RCH
@ Rs.33310 pm,
Consultant SHFWs
@ Rs. 30030,
Adolescent
Coordinator @ Rs.
26565, BCC
consultant @Rs.
24150 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.6
Programme Assistants Manpowe
r
4 8.16 4.24 Approved.
Approved for NGO
Advisor @ Rs.
16061 pm, Asst
programme manager
@ Rs. 20213, Editor
@Rs. 18375 pm , Sr
Office Asst @ Rs.
16061.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
1.7 Accountants
Manpowe
r 2 2.28
1.20 Approved.
Approved 2
Accounts Asst @ Rs.
9975 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.8
Data Entry Operators
(Office Assistant)
Manpowe
r 7 9.06
4.49 Approved.
Approved 3 office
asst @ Rs. 11302
pm, 1 @ Rs. 10973
pm and 3 @ Rs.
9975/pm. Approval
is being granted for
Approval of State PIP 2013-14: TRIPURA Page 244
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
six months only with
the above mentioned
condition.
A.10.
1.9
Support Staff (Kindly
Specify)
Manpowe
r 12 11.04
5.55 Approved.
Approved 2Work
asst @ Rs. 7277/pm,
3 driver @ Rs. 8328/
pm, 1 driver @
Rs.7350/pm, 4 peon
@ Rs.7495/pm, 1
Peon @ Rs. 7277/
pm and 1 Night
guard @ Rs. 8335/
pm. Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
1.10
Salaries for Staff on
Deputation (Please
specify)
0.00
A.10.
1.11 Others (Please specify) 9 0.00 21.37 10.42
A.10.
1.11.
1
Deputy Director Finance Manpowe
r 1 4.22 2.02
Approved.
Approved @ Rs.
33600 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.11.
2
Manager Mass Media Manpowe
r 1 2.76 1.45
Approved.
Approved @ Rs.
24150 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.11.
3
Jr. Engineer Manpowe
r 2 4.04
2.02 Approved.
Approved 1 @ Rs.
17845 pm and 1 @
Rs. 15750 pm.
Approval is being
granted for six
months only with the
Approval of State PIP 2013-14: TRIPURA Page 245
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
above mentioned
condition.
A.10.
1.11.
4
AYUSH PMU Manpowe
r 4 8.93
4.26 Approved.
Approved1 Ayush
Programme manager
@ Rs. 24255, 1 Fin
Manager @
Rs.23100, 1
accountant @
Rs.12705 and 1
computer asst @ Rs.
10973 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
1.11.
5
Store keeper Manpowe
r 1 1.42 0.68
Approved.
Approved @
Rs.11302 pm.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
2
Strengthening of District
society/ District
Programme
Management Support
Unit
39 0.00 98.40 48.76
Contractual Staff for
DPMSU recruited and
in position
39 0.00 98.40 48.76
A.10.
2.1
District Programme
Manager
Manpowe
r 8 25.17 12.70
Approved.
Approved 8 DPM
(3@ Rs. 28552 & 5
@ Rs. 25200/pm).
Approval is being
granted for six
months only with the
above mentioned
condition.
Approval of State PIP 2013-14: TRIPURA Page 246
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
2.2
District Accounts
Manager
Manpowe
r 8 23.60 11.91
Approved.
Approved 8 District
Accounts Manager
(3@ Rs. 26768 and 5
@ Rs. 23625).
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
2.3 District Data Manager
Manpowe
r 8 19.41 9.68
Approved.
Approved 8 District
Data Manager (4@
Rs. 21414 and 4
@Rs. 18900/pm).
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
2.4
Consultants/ Programme
Officers (Kindly Specify) 0.00
A.10.
2.5 Accountants 0.00
A.10.
2.6
Data Entry Operators
(Office Assistant)
Manpowe
r 4 5.40 2.63
Approved.
Approved 3 office
assistant @ Rs.
11302 pm and 1 @
Rs.9975 pm. Same as
last year. Approval is
being granted for six
months only with the
above mentioned
condition.
A.10.
2.7
Support Staff (Kindly
Specify)
Manpowe
r 11 10.23 4.89
Approved.
Approved 3 drivers
@ Rs. 8328 pm and
4 SCA @ Rs.6615
pm and 4 peon @ Rs.
7495 pm. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
2.8 Others (Please specify) 14.59 6.96
Approval of State PIP 2013-14: TRIPURA Page 247
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
2.8.1 District Media Expart
Manpowe
r 4 8.91 4.25
Approved.
Approved 3 @ Rs.
17845 pm and 1 @
Rs.17325/ pm.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
2.8.2 Store keeper
Manpowe
r 4 5.68 2.71
Approved.
Approved 4 @
Rs.11302. Approval
is being granted for
six months only with
the above mentioned
condition.
A.10.
2.8.3 0.00
A.10.
2.8.4 0.00
A.10.
2.8.5 0.00
A.10.
3
Strengthening of Block
PMU 34 0.00 214.69 99.12
A.10.
3.1
Block Programme
Manager
Manpowe
r 17 32.73 15.93
Approved.
Approved 13 @ Rs.
16061/- and 4 @ Rs.
14175/- pm.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
3.2 Block Accounts Manager
Manpowe
r 17 25.86 12.65
Approved.
Approved 12 @ Rs.
12848 and 5 @ Rs.
11340/- pm.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
3.3 Block Data Manager 0.00
A.10.
3.4 Accountants 0.00
Approval of State PIP 2013-14: TRIPURA Page 248
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
3.5 Data Entry Operators 0.00
A.10.
3.6
Support Staff (Kindly
Specify) 0.00
A.10.
3.7 Others (Please specify) 156.10 70.54
A.10.
3.7.1 Media expart
Manpowe
r 11 15.18 7.61
Approved.
Approved 5 @Rs.
12128/- and 6 @ Rs.
11025/- pm.
.Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
3.7.2
Administrative cum
Accounts Assistance
Manpowe
r 108 140.92 62.93
Approved.
Approved existing
95 Administrative
cum Accounts
Assistance. 74
@Rs. 11302 pm, 3 @
Rs. 10973 and 18 @
Rs. 9975 pm.Same as
last year. New
positions not
approved.
Approval is being
granted for six
months only with the
above mentioned
condition.
A.10.
3.7.3
HMIS assistant for
SH/MC/DH/SDH
Proposed in part
MFP
A.10.
3.7.4
HMIS assistant for CHC/
PHC
Proposed in part
MFP
A.10.
3.7.5 0.00
A.10.
4 Strengthening (Others) 10
130000.
00 4.40 4.40
A.10.
4.1
Workshops and
Conferences
No. of
workshop 8
30000.0
0 2.40
2.40 Approved.
Approved Rs 2.40
lakhs for 8
workshops @ Rs
30000/ workshop
Approval of State PIP 2013-14: TRIPURA Page 249
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
A.10.
4.2
Workshop & Conference
at State level
No. of
workshop 2
100000.
00 2.00
2.00 Approved.
Approved Rs 2.00
lakhs for 2
workshops @ Rs
100000/ workshop at
State level
A.10.
4.3
HR Development -
SPMSU
A.10.
4.4
HR Development -
DPMSU
A.10.
4.5
HR Development -
SDPMSU
A.10.
5 Audit Fees
A.10.
6 Concurrent Audit system 24.00 24.00 Approved
A.10.
7 Mobility Support, Field
Visits 300
65000.0
0 147.52 137.92
A.10.
7.1 SPMU/State
no. of
month 72
30000.0
0 21.60 12.00
Approved for4
vehicles @ Rs.3
lakhs/vehicle/annum
A.10.
7.2 DPMU/District
no. of
month 96
20000.0
0 19.20 19.20 Approved
A.10.
7.3 BPMU/Block
no. of
month 132
15000.0
0 19.80 19.80 Approved
A.10.
7.4
Other Supportive
Supervision costs 86.92 86.92 Approved
A.10.
7.4.1 SPMSU
No. of
Month 12
200000.
00 35.00 35.00
Approved for office
contingency @ Rs. 2
Lakhs/PM
(excluding
Statitutory Audit is
required RS.6/-
Lakhs and Rs. 5
Lakhs for
implementation of
Tally.)
A.10.
7.4.2 DPMSU
No. of
Dist. 8
15000.0
0 14.40 14.4
Approved for office
contingency of
DPMSU @ Rs.
Approval of State PIP 2013-14: TRIPURA Page 250
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
15000/PM (08 unit)
A.10.
7.4.3 SDPMSU 30.72 30.72
Approved for office
contingency of
SDPMSU @ Rs.
5000/PM (7 unit as 4
unit merged with
new districts)
Not approved for
office contingency of
24X 7 hr PHC,CHC,
SDH,DH @ Rs.
2000/PM (97 unit) &
non 24 X 7 hr PHC
18 nos. @ Rs. 1500
(Rs.23.28+3.24 lakhs
= Rs. 26.52 lakhs not
approved)
A.10.
7.4.4
Strengthening of PMU &
HR Computer 17
40000.0
0 6.80 6.80
Approved.
1.SPMSU 02 nos.
DPMSU 08 nos.,
SDPMSU 7 nos.
A.10.
7.4.5 0.00
Sub-total Programme
Management 425
195000.
00 568.86 353.71
A.11 VULNERABLE
GROUPS 0 0.00 0.00 0.00
A.11.
1
Planning, including
mapping and co-
ordination with other
departments
0.00
A.11.
2
Services for Vulnerable
groups 0.00
A.11.
3
LWE affected
areasspecial plan 0.00
A.11.
4
Other strategies/activities
(please specify) 0 0.00 0.00 0.00
A.11.
4.1 0.00
A.11.
4.2 0.00
A.11. 0.00
Approval of State PIP 2013-14: TRIPURA Page 251
S.
No. Budget Head
Unit of
Measure
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
propose
d
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
4.3
A.11.
4.4 0.00
A.11.
4.5 0.00
Sub-total Vulnerable
Groups 0 0.00 0.00 0.00
TOTAL RCH SUPPLY
SIDE 182181
3990122
.00 3132.13 2022.05
TOTAL RCH
DEMAND SIDE 61807
28890.0
0 463.34 426.30
GRAND TOTAL
3595.
47 2448.35
Approval of State PIP 2013-14: TRIPURA Page 252
ANNEX 2
MISSION FLEXIBLE POOL
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1 ASHA 430857
6685
88.0
0
1448.04
B 1.1 ASHA Cost: 430857
6685
88.0
0
1448.04
B1.1.
1
Selection &
Training of
ASHA
523
5420
73.0
0
414.81
B1.1.
1.1 Module I - IV 0.00
B1.1.
1.2 Module V 0.00
B1.1.
1.3 Module VI & VII
No. of
Batch 0.00
B1.1.
1.4 Other Trainings 523
5420
73.0
0
414.81
B1.1.
1.4.1 ToT for HBNC
No. of
Batch
3
1234
00.0
0
3.70 3.70
Approved. Ongoing
activity.
ASHA refresher training is
proposed to be rolled out
after completion 6th & 7th
Module. Trainers need to be
sensitized before rolling out
refresher training to ASHAs
in the state.
B1.1.
1.4.2
Refresher training
for ASHA
No. of
Batch 494
4260
3.00 210.46 0.00
Not approved. New
activity.
B1.1.
1.4.3
ASHA facilitator
training
No. of
Batch
14
1262
62.0
0
17.68 17
.68
Approved. Ongoing
activity.
Total 26 days training (5th
module – 4 days, 6th & 7th
module – 20 days, additional
2 days monitoring &
supervision tool would be
imparted to each ASHA
Facilitator.
• In ROP 12-13, out of 26
Approval of State PIP 2013-14: TRIPURA Page 253
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
days training, 16 days was
approved and for additional
10 days training, budget
calculation has been done
and budget for 17.68 L has
been projected.
• State may implement the
proposed training.
• The proposed 4th round
training of AF for 5 days on
Module 6 & 7 is subjected to
the holding of 3rd round
TOT of Module 6 & 7 at
state level.
B1.1.
1.4.4
Refresher training
of ASHA
facilitator
No. of
Batch
8
1790
25.0
0
14.32 0.00
Not approved. New
activity.
Based on the observations
made by the 6th CRM, state
has planned to impart
training and capacity
building training to ASHA
Facilitators.
• As because, presently
ASHA Facilitators are
mostly expected to support
ASHAs on the contents of
module 6 & 7, so, it is
suggested that state may
cover the training input of
this proposed training with
the proposed ASHA
Facilitators training
(proposed under B.1.1.1.4.3).
• AF training already
proposed on Module 6 & 7
and on performance
monitoring.
B1.1.
1.4.5
ASHA Varosa
Divas
165.82 126.02
APPROVED as per 2012-
13 expenditure (76%).
State is advised to notify this
date for clearing all monthly
dues of ASHAs using already
notified integrated ASHA
Incentive Package.
Approval of State PIP 2013-14: TRIPURA Page 254
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
1.4.6
Capacity
Development
Training ARC
personals
No. of
Batch 4
7078
3.00 2.83 2.83
Approved. Ongoing
activity.
B1.1.
2
Procurement of
ASHA Drug Kit 14734
1150
.00 84.72
B1.1.
2.1 New Kits 0.00
B1.1.
2.2 Replenishment
No. of
ASHA
/ times 7367 350.
00 25.78 0.00
May be replenished from
SC, PHC and CHC. For
budget please see B.
16.2.5.1. Ongoing activity.
B1.1.
2.3
Procurement of
ASHA HBNC Kit 7367
800.
00 58.94 0.00
B1.1.
2.4 New Kits 0.00
B1.1.
2.5 Replenishment
No. of
ASHA 7367
800.
00 58.94 22.10
Approved @ Rs 300.00..
Ongoing activity.
Weighing scale with sling
was distributed to all ASHAs
in 2011 and mercury
thermometer (manual) was
given to all ASHAs in 2008
as a part of ASHA drug kit.
B1.1.
3
Performance
Incentive/Other
Incentive to
ASHAs (if any)
414130
1116
65.0
0
790.79
B1.1.
3.1
Incentive under
MH (ANC/PNC) 88404
200.
00 176.81
B1.1.
3.1.1
Incentive for
ASHA for VHND 88404
200.
00 176.81 0.00
Not approved. New
activity.
Already approved above
under MH for organizing
VHNDs @ Rs 1000/ VHND
out of which Rs 200/- to be
given as incentive to ASHA
for mobilizing PW and
children as per due list to the
session site
Approval of State PIP 2013-14: TRIPURA Page 255
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
3.1.2 MCP card entry 0.00
B1.1.
3.1.3 0.00
B1.1.
3.2
Incentive under
CH (HBNC) 108546
500.
00 173.33
B1.1.
3.2.1
New born home
visit
No.
new
born
31544
250.
00
78.86 71.60
Approved. Ongoing
activity.
Total estimated rural live
births are 40922. State must
cover 70% (28645) of these
rural live births under
HBNC.
B1.1.
3.2.2
Mobilization of
beneficiary in
immunization
Per
sessio
n
34944 150.
00 52.42 0.00
Not approved.
State should propose this
budget under Immunization
B1.1.
3.2.3
Full
Immunization
Per
child 42058
100.
00 42.06 0.00
Not approved.
State should propose this
budget under Immunization
B1.1.
3.3
Incentive for FP(
PPIUCD/others) 41944
2000
.00 258.22
B1.1.
3.3.1
Ensuring spacing
of 2 year after
marriage
Benerf
iciary
No.
25226 500.
00 126.13 126.13
Approved.
B1.1.
3.3.2
Ensuring spacing
of 3 year after
marriage
Benerf
iciary
No.
7018 500.
00 35.09 35.09
Approved.
B1.1.
3.3.3
Permanent
method of FP
after 2 children
Benerf
iciary
No.
9700 1000
.00 97.00 0.00
Not approved.
B1.1.
3.4 Incentive for AH 0.00
B1.1.
3.5 Other incentive 127063
550.
00 122.47
B1.1.
3.5.1
Incentive to
ASHA for death
reporting of all
No. of
case 9191 50.0
0 4.60 4.60
Approved. Ongoing
activity.
This may be considered as
Approval of State PIP 2013-14: TRIPURA Page 256
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
ages per GoI guideline @ Rs. 50
and budget recasted
B1.1.
3.5.2
IPC in
breastfeeding
week
No. of
ASHA 7367
100.
00 7.37 0.00
Not approved. New
activity.
B1.1.
3.5.3
IPC in new born
week
No. of
ASHA 7367
100.
00 7.37 0.00 Not approved. New activity
B1.1.
3.5.4
IPC in world
population day
No. of
ASHA 7367
100.
00 7.37 0.00 Not approved. New activity
B1.1.
3.5.5
IPC in world TB
day
No. of
ASHA 0.00
B1.1.
3.5.6
IPC in world
matri surakshya
divas
No. of
ASHA 0.00
B1.1.
3.5.7
Mobilization in
Kanya Surakshya
Abhiyan
No. of
ASHA 0.00
B1.1.
3.5.8
Community
Meeting Sasthya
Gram Sabha
No. of
ASHA 7367
100.
00 7.37 0.00
Not approved
B1.1.
3.5.9
Facilitating
VHSNC Meeting
No. of
ASHA 88404
100.
00 88.40 0.00
Not approved.
VHSNC untied fund may be
used for it.
B1.1.
3.5.1
0
0.00
B1.1.
3.5.1
1
Workshop of
State and District
QAC members
(1) Budget for
monitoring
activities by QA
cell (lumpsum)
0.00
B1.1.
3.5.1
2
Different level
review meeting
0.00
B1.1.
3.6
Other (support
provisions to
ASHA such as
uniform, diary,
48173
1084
15.0
0
59.96
Approval of State PIP 2013-14: TRIPURA Page 257
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
ASHA Ghar etc)
B1.1.
3.6.1
Flip Chart for
ASHA
No. of
ASHA
&
Facilit
ator
7800 120.
00 9.36 7.80
Approved for ASHA diary
@ Rs 100.00 for 7800 ASHA
and ASHA facilitator.
Ongoing activity.
B1.1.
3.6.2
Sari and Pachra
for ASHA &
ASHA facilitator
No. of
ASHA
&
Facilit
ator
7767 480.
00 37.28 0.00
Not approved. Ongoing
activity.
Uniform to ASHAs (Saree &
Pachra) was given to all
ASHAs was approved in RoP
12-13. Last year‟s utilization
0 till Nov‟12.
B1.1.
3.6.3
ASHA
convention at
Dist. Level
No. of
dist. 8
1073
00.0
0
8.58 0.00
Not approved.
B1.1.
3.6.4
Printing of HBNC
format
No. of
form 31544
15.0
0 4.73 4.73 Approved.
B1.1.
4
Awards to
ASHA's/Link
workers
No. of
ASHA 1054
500.
00 5.27 0.00 Not approved.
B1.1.
5
ASHA Resource
Centre/ASHA
Mentoring Group
416 1320
0.00 152.45
B1.1.
5.1
HR At State
Level
Manpo
wer 1 3.40 1.58
Approved. On-going
activity.
For existing post with 5%
increment on last year‟s
Approval of State PIP 2013-14: TRIPURA Page 258
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
salary.
Approved for 6 six month
and continuation for the next
six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B1.1.
5.2
HR at District
Level
ASHA
coordinator /
programme
manager at
district level, sub
divisional level as
community
mobilise for
ASHA
Manpo
wer 15 25.58 12.26
Approved
On-going activity
For existing post with 5%
increment on last year‟s
salary.
Approved for 6 six month
and continuation for the next
six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B1.1.
5.3
HR at Block
Level
ASHA Facillitator
Manpo
wer 400
1320
0.00 52.80 25.20
Approved (on-going
activity) for existing post
with 5% increment on last
year‟s salary.
Approved for 6 six month
and continuation for the next
six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
Approval of State PIP 2013-14: TRIPURA Page 259
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B1.1.
5.4
Mobility Costs for
ASHA Resource
Centre/ASHA
Mentoring Group
(Kindly Specify)
70.67 64.67
Approved.
Software for ASHA not
approved.
ASHA SUB
TOTAL 1448.04 525.99
B2 Untied Funds 1911 9500
0.00 215.55
B2.1 Untied Fund for
CHCs/SDH
No. of
CHC/
SDH
30 5000
0.00 15.00 11.50
Approved.
Approval given for 12CHC
and 11 SDH (as per RHs
2012) as per last utilization
in the year 2012-13 till 4th
Quarter ending (100%
Utilization) .
B2.2 Untied Fund for
PHCs
No. of
PHC
83 2500
0.00 20.75 19.35
Approved.
Approval given for 79 PHCs
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(98% Utilization).
B2.3 Untied Fund for
Sub Centres
No. of
SC
760 1000
0.00 76.00 68.30
Approved.
Approval given for 719 SC
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(95% Utilization).
B2.4 Untied fund for
VHSC
No. of
VHSC 1038
1000
0.00 103.80 87.19
Approved for 1038 VHSNC
as per last utilization in the
year 2012-13 till 4th Quarter
ending (84% Utilization).
B2.5 Others 0.00
UNTIED FUND
SUB TOTAL 215.55 186.34
B.3
Annual
Maintenance
Grants (only for
Government
444
2600
00.0
0
103.00
Approval of State PIP 2013-14: TRIPURA Page 260
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
institutions)
B3.1 CHC No. of
CHC 19
1000
00.0
0
19.00 9.36
Approved.
Approval given for 12CHC
(as per RHs 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(78% Utilization) .
B3.2 PHCs No. of
PHC 79
5000
0.00 39.50 35.55
Approved.
Approval given for 79 PHCs
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(90% Utilization).
B3.3 Sub Centres No. of
SC 335
1000
0.00 33.50 24.32
Approved.
Approval given for 477 SC
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(51% Utilization).
B3.4 DH No. of
DH 0.00
B3.5 SDH No. of
SDH 11
1000
00.0
0
11.00 5.17
Approved.
Approval given for 11 SDH
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(47% Utilization).
B3.6 Other 0.00
AMG SUB
TOTAL 103.00 74.40
B.4 Hospital
Strengthening 5
1000
0000
.00
2755.28
B.4.1
Up gradation of
CHCs, PHCs,
Dist. Hospitals
5
1000
0000
.00
2755.28
B4.1.
1 District
Hospitals 0 0.00 0.00
B4.1.
1.1
Additional
Building/ Major
Upgradation of
existing Structure
0.00
B4.1.
1.2
Repair/
Renovation 0.00
Approval of State PIP 2013-14: TRIPURA Page 261
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B4.1.
1.3
Spillover of
Ongoing Works 0.00
B4.1.
1.4 Staff Quarters 0.00
B4.1.
2 CHCs 0 0.00 50.00
B4.1.
2.1
Additional
Building/ Major
Upgradation of
existing Structure
0.00
B4.1.
2.2
Repair/
Renovation 0.00
B4.1.
2.3
Spillover of
Ongoing Works
of Rajnagar PHC
to CHC
50.00 50.00
Approved.
Ongoing activity.
As per the ROP 12-13 total
project cost is Rs. 461.24L.
However, project cost shown
in 2013-14 PIP annexure is
Rs 416.24 lakhs. Rs 50 lakh
approved in 2012-13.
State needs to clarify the
correct total project cost and
also share the detail physical
progress of the project.
B4.1.
2.4 Staff Quarters 0.00
B4.1.
3 PHCs 4
5000
000.
00
2610.93
B4.1.
3.1
Additional
building/ major
upgradation of
existing structure
(New building of
existing PHC
Mungiakami,
Dhanarpur and
Maharani,
ongoing
upgradation of
Shantir Bazar
PHC to CHC,
expansion of
existing
Muhuripur PHC
No. of
PHC 3
5000
000.
00
442.00 350.00
1) Ongoing activity.
Approved for Shantir
Bazar PHC. Total project
cost Rs 2253.40 out of which
in 2011-12 Rs 438.83, in
2012-13 Rs 562.87 was
approved. Remaining
amount Rs 250 L approved
for Shantir Bazar PHC and
hence total project cost
approved.
2) New activity.
Rs 50 L approved for
Mungiakami PHC.
(total project cost Rs
597.63L)
3) New activity
Approval of State PIP 2013-14: TRIPURA Page 262
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
Rs 50 L approved for
Dhanarpur PHC (total
project cost Rs 597.63L )
Not approved for expansion
of existing Mhuripur PHC.
B4.1.
3.2
Repair/
Renovation
No. of
PHC 1
B4.1.
3.3
Spillover of
Ongoing Works 1195.81 894.24
Approved. Ongoing
activity.
Approved for ----
1) Construction of 9 new
PHC- Taxapara,
Baishnabpur, Ratanpur(S),
Rajkandi, Muraibari,
Bhaterbazar, Lalcherra &
Masli. and Halaichara.
(551.50 L).
2) Construction of new
building in existing PHC in
Karbook, Ambassa,
Manikpur, Dayarampara and
kalachara
( 204.50 L)
3) Upgradation of PHC to
CHC in Kadamtala (138.24
L)
4) For Up gradation of
PHC to CHC as FRU in
Kherangbar Rs 301.57 L
may be revalidated as
committed unspent balance
by the state.
B4.1.
3.4 Staff Quarters
No. of
PHC 973.12 704.30
Approved.
Ongoing activity.
1. Rs 704.30 L approved for
ongoing upgradation of PHC
to IPHS in Bishramganj ,
Mandai, Muhuripur ,
Machamara, Khedacherra
2. Nakshipara PHC total
project cost Rs 230.64 out
of which Rs 42 L approved
in 2012-13
Rs 42 L is revalidated as
Approval of State PIP 2013-14: TRIPURA Page 263
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
committed unspent balance
by the state.
B4.1.
4 Sub Centres 0 0.00 10.35
B4.1.
4.1
Additional
Building/ Major
Upgradation of
existing Structure
0.00
B4.1.
4.2
Repair/
Renovation 0.00
B4.1.
4.3
Spillover of
Ongoing Works 10.35 0.00
Rs 10.35 L approved in
2009-10. However, fund not
yet released . Revalidated
as committed unspent
balance by the state.
B4.1.
4.4 ANM Quarters 0.00
B4.1.
5 Others (MCH
Wings) 1
5000
000.
00
59.00
B4.1.
5.1
(Absolutely) New
/ Rented to Own
Building
MCH wing in
GBP Hospital.
No. of
MCH
Wings
1
5000
000.
00
50.00 0.00
Approval pended. New
activity. Proposal may be
revised for 30 beded MCH
wing.
DPR can be submitted.
Total project Cost
proposed Rs 4721.38 L, is
on higher side.
B4.1.
5.2
Additional
requirement from
previous work
0.00
B4.1.
5.3
Carry forward
/Spillover of
Ongoing Works
0.00
B4.1.
5.4
Other
construction 0 0.00 9.00
Approval of State PIP 2013-14: TRIPURA Page 264
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B4.1.
5.4.1
Construction of
Urban & Rural
Training centre
0.00
B4.1.
5.4.2
Construction of
Urban Rural
Training centre
0.00
B4.1.
5.4.3
AID to maintain
sustainability of
ISO certification
of IGM hospital
(OPD Registrer
counter + OPD
Dispensary +
Medicine Store +
5 Lakh ,
Calibration of
Instrument &
equipments = 2
Lakh, Bio-
Medical Waste
Maagement = 2
Lakh, Training on
awareness about
internal audit &
ISO certification
among staff of
IGM hosital=1
lakh
9.00 9.00
Approved.
Rs 9.0 lakhs is recommended
for approval subject to next
year onwards, the activity
will be carried out by states
own quality assurance cell.
B4.1.
5.4.4
Development of 3
DEIC one at State
Hospital two in
District hospitals.
0.00 75.00
Approved. Budget shifted
from A4.2.5.3.
Rs 75 lakhs is approved for 3
DEICs at Agartala (Khowai,
West tripura, Sipaitala and
Part of Dhalai); Gomoti DH
(Gomoti and South tripura)
and Unakuti (dist Unakuti,
North tripura and part of
Dhalai) @ Rs 25 lakhs per
DEIC as per RBSK
guideline.
Conditionality ----State to
follow RBSK DEIC lay out
guidelines for developing the
DEICs. While proposing
DEICs it should be kept in
mind that the DEICS are in
Approval of State PIP 2013-14: TRIPURA Page 265
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
DH where secondary and
tertiary support facility
beyond DEIC level support is
available for linkages.
B4.1.
5.4.5
B4.1.
6 SDH 0 0.00 25.00
B4.1.
6.1
Additional
Building/ Major
Upgradation of
existing Structure
25.00 0.00
Upgradation of Melaghar
SDH to FRU was approved
in 2012-13. Total project
cost of Rs.131.56 Lakhs.
Rs. 25.00 Lakhs is
revalidated as committed
unspent balance by the
state.
B4.1.
6.2
Repair/
Renovation 0.00
B4.1.
6.3
Spillover of
Ongoing Works 0.00
B4.1.
6.4 Staff Quarters 0.00
B 4.2
Strengthening of
Districts , Sub
Divisional
Hospitals, CHCs,
PHCs
0.00
B.4.3
Sub Centre Rent
and
Contingencies
0.00
B.4.4 Logistics
management/ 0.00
Approval of State PIP 2013-14: TRIPURA Page 266
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
improvement
HOSPITAL
STRENGTHENI
NG SUB
TOTAL
2755.28 2082.54
B5
New
Constructions
(proposed for the
coming year)
61
2650
0000
.00
2484.92
B5.1 CHCs 0.00
B5.2 PHCs No. of
PHC 1
5000
000.
00
100.00 50.00
Approved. New activity.
Rs 50 L approved for
Lufunga PHC (Total Project
cost Rs 597.63). State to
submitt DPR and appropriate
justification for a new PHC
at Lufunga.
Ghorkkappa PHC is not
approved in second
supplementary ROP 2012-
13. To be managed by state
funding.
B5.3 SHCs/Sub
Centres 50
1500
000.
00
750.00 0.00
Approval pended.
Details of individual 50 SC
are not provided. State to
provide the list of new SCs
proposed.
• Further 100 Nos. of SCs
were approved during 11-12
in which the state has
modified the place of SC
construction against the GoI
approved list, the status of
these 100 SC construction
must be shared.
B5.4
Setting up
Infrastructure
wing for Civil
works
0 0.00 0.00
B5.4.
1 Staff at State level 0.00
B5.4.
2
Staff at District
level 0.00
Approval of State PIP 2013-14: TRIPURA Page 267
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B5.5
AYUSH
warehouse in 4
new district
No. of
Wareh
ouse
5
1000
0000
.00
500.00 0.00 Not approved. New
activity.
B5.6
Construction of
BEmONC and
CEmONC centres
0 0.00 0.00
B.5.6
.1
Absolutely new
SNCU/NBSU/NB
CC
0.00
B.5.6
.2
Carry forward
/Spillover from
previous year‟s
sanction for
SNCU, NBSU,
NBCC
0.00
B.5.6
.3
Additional
requirement for
SNCU, NBSU,
NBCC
0.00
B.5.7
Major civil works
for
operationalization
of FRUS
0.00 0.00
B.5.8
Renovation of
Madhupur,
Maharani,
Raishyabari, 82
Mile and Ganga
Nagar PHC
525.00 0.00
Rs 150 L approved in first
supplementary 2012-13.
However State mentions no
money has been released.
Rs 150.00 L is revalidated
as committed unspent
balance by the state.
B.5.9
Civil Works for
Operationalising
Infection
Management &
Environment Plan
at health facilities
0.00
B.5.1
0
Infrastructure of
Training
Institutions --
5
1000
0000
.00
559.92
Approval of State PIP 2013-14: TRIPURA Page 268
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.5.1
0.1
1. Up gradation of
ANM Training
Institute at
Udaipur and
Kailasha (Rs100
L proposed, Total
Project cost Rs
1000 L)
2. Construction of
ANM Training
Institute at Kulai
(Rs 50 L
proposed, Total
Project cost Rs
500 L)
3. Construction of
SIHFW
No. of
ANM
trainin
g Inst.
3
5000
000.
00
459.92 0.00
Approval pended for Rs
150 proposed for Up
gradation and construction
of ANM Training
Institutes. New activity.
The state needs to share a
comprehensive plan for
strengthening of ANM
/GNM Schools as per GoI
Guidelines and Road Map
for strengthening pre-service
education on Nursing and
midwifery. Institute wise gap
analysis on infrastructure,
equipments, training of
nursing tutors as per road
map and activity proposed
needs to be shared.
Ongoing activity. For
SIHFW Rs 125 L approved
in 2009-10, Rs 350 L in
2010-11, Rs 400 L in 2011-
12 and Rs 100 L in 2012-13.
Total project cost was Rs
975 L. Hence, total amount
for SIHFW is already
approved. Any cost
overrun to be met by the
State.
B.5.1
0.1.1
Additional
Building/ Major
Upgradation of
existing Structure
0.00
B.5.1
0.1.2
Repair/
Renovation 0.00
B.5.1
0.1.3
Spillover of
Ongoing Works 0.00
B.5.1
0.1.4
Quarters and
hostels/residential
facilities
0.00
Approval of State PIP 2013-14: TRIPURA Page 269
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.5.1
0.1.5
New Training
Institutions/Schoo
l
(SIHFW/GNMTC
/ANMTC etc)
No. of
Institut
e
2
5000
000.
00
100.00 0.00
Approval pended.
The state needs to share a
comprehensive plan for
strengthening of ANM
/GNM Schools as per GoI
Guidelines and Road Map for
strengthening pre-service
education on Nursing and
midwifery. Institute wise gap
analysis on infrastructure,
equipments, training of
nursing tutors as per road
map and activity proposed
needs to be shared.
B.5.1
1 SDH 50.00 0.00 Not approved.
B.5.1
2 DH 0.00
NEW
CONSTRUCTI
ON SUB
TOTAL
2484.92 50.00
B.6 Corpus Grants
to HMS/RKS 119
8000
00.0
0
143.00
B6.1 District Hospitals
No. of
DH
6
5000
00.0
0
30.00 3.40
Approved.
Approval given for 2 DH (as
per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(34% ).
B6.2 CHCs
No. of
CHC
19
1000
00.0
0
19.00
10.68
Approved.
Approval given for 12 CHC
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(89% )
B6.3 PHCs
No. of
PHC
83
1000
00.0
0
83.00 71.89
Approved.
Approval given for 79 PHC
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(91% Utilization
Approval of State PIP 2013-14: TRIPURA Page 270
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B6.4
Other or if not
bifurcated as
above
0.00
B6.5 SDH
No. of
SDH
11
1000
00.0
0
11.00 5.06
Approved.
Approval given for 11 SDH
(as per RHS 2012) as per last
utilization in the year 2012-
13 till 4th Quarter ending
(46% Utilization)
CORPUS
GRANT SUB
TOTAL
143.00 91.03
B7
Health Action
Plans (Including
Block, Village)
54
2720
00.0
0
19.40
B7.1 State No. of
Plan 1
1500
00.0
0
1.50 1.50 Approved.
B7.2 District No. of
Plan 8
1000
00.0
0
8.00 4.00
Approved.
Development of District
Health Action Plan: 2014-
15@ Rs.50,000/- for eight
districts
B7.3 Block No. of
Plan 45
2200
0.00 9.90 9.90
Approved.
HEALTH
ACTION PLAN
SUB TOTAL
19.40 15.40
B8 Panchayati Raj
Initiative 70
2785
0.00 19.50
B8.1
Constitution and
Orientation of
Community
leader & of
VHSC,SHC,PHC,
CHC etc
No. of
Batch 70
2785
0.00 19.50 0.00
Not Approved.
2012-13 expenditure was
13%. State has committed
the activity.
Approval of State PIP 2013-14: TRIPURA Page 271
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B8.2
Orientation
Workshops,
Trainings and
capacity building
of PRI at
State/Dist. Health
Societies,
CHC,PHC
No. of
Batch 0.00
B8.3 Others 0 0.00 0.00
B8.3.
1 0.00
B8.3.
2 0.00
B8.3.
3 0.00
B8.3.
4 0.00
B8.3.
5 0.00
PANCHAYATI
RAJ
INITIATIVE
SUB TOTAL
19.50 0.00
B9 Mainstreaming
of AYUSH 329 0.00 746.48
B.9.1
Medical Officers
at CHCs/ PHCs
(Only AYUSH)
137 0.00 393.44
B.9.1
.1 DH
Numb
er 11 27.53 9.70
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.2 FRUs
Numb
er 4 11.62 5.55
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
Approval of State PIP 2013-14: TRIPURA Page 272
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.3
Non FRU SDH/
CHC
Numb
er 28 81.31 38.81
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.4 24 X 7 PHC
Numb
er 77 223.61 106.72
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.1
.5
Non- 24 X 7
PHCs/ APHCs
Numb
er 17 49.37 23.57
Approved only for existing
MOs with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
Approval of State PIP 2013-14: TRIPURA Page 273
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.9.2
Other Staff
Nurses and
Supervisory
Nurses/ AYUSH
pharmacists
(Only AYUSH)
60 0.00 69.17
B.9.2
.1 DH
Numb
er 6 6.18 1.31
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.2 FRUs
Numb
er 1 1.38 0.65
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.3
Non FRU SDH/
CHC
Numb
er 16 18.93 6.58
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
Approval of State PIP 2013-14: TRIPURA Page 274
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.9.2
.4 24 X 7 PHC
Numb
er 28 33.91 12.51
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.5
Non- 24 X 7
PHCs
Numb
er 1 1.38 0.65
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B.9.2
.6
Urban Clinics/
Health Posts 0 0.00
B.9.2
.7 Other Masseure
Numb
er 8 7.39 3.53
Approved only for existing
HR with 5% increment on
2012-13 salary.
Approval of Salary of
AYUSH HR is granted for 6
months and continuation for
the next six months would be
contingent on compliance of
condition that Performance
Measurement system is set
up and implemented to
monitor performance of
regular and contractual staff.
B9.3 Other Activities
(Excluding HR) 112 0.00 272.70
B9.3.
1
Tele-
Homoeopathy
project
54.60 54.60
Approved subject to
condition that outcome is
documented and shared.
Approval of State PIP 2013-14: TRIPURA Page 275
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B9.3.
2
Programme
management cost
7.32 7.32 Approved
B9.3.
3 Consumables
50.00 50.00 Approved
B9.3.
4 Drugs.
120.10 0.00
Not approved.
State to clarify whether the
amount sought for purchase
of drugs for collocated
facilities.
B9.3.
5
Contingency for
Collocated
AYUSH OPD
No. of
facility 112 40.68 40.68 Approved
B9.4 Training No. of
Batch 20 11.17 11.17 Approved
AYUSH SUB
TOTAL 746.48 373.35
B10 IEC-BCC
NRHM 0 0.00 302.53 56.60
Approved.
Ongoing activity.
Rs 56.60 L approved.
Approved @ Rs 3 L per
district (3L *8) and Rs 24 L
for state and Rs 8.6 L for
printing of WIFS and MH/
CH/ FP.
B.10
Strengthening of
BCC/IEC
Bureaus
(state and district
levels)
0 0.00 14.00
B.10.
1
Development of
State BCC/IEC
strategy
14.00
B.10.
2
Implementation
of BCC/IEC
strategy
0 0.00 210.49
B.10.
2.1
BCC/IEC
activities for MH 0 0.00 18.91
B.10.
2.1.1 Mass media 8.76
Approval of State PIP 2013-14: TRIPURA Page 276
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.10.
2.1.2 Mid-media 10.15
B.10.
2.2
BCC/IEC
activities for CH 0 0.00 25.56
B.10.
2.2.1 Mass media 5.41
B.10.
2.2.2 Mid-media 20.15
B.10.
2.3
BCC/IEC
activities for FP 0 0.00 27.21
B.10.
2.3.1 Mass media 5.31
B.10.
2.3.2 Mid-media 21.90
B.10.
2.4
BCC/IEC
activities for
ARSH
0 0.00 10.29
B.10.
2.4.1 Mass media 0.29
B.10.
2.4.2 Mid-media 10.00
B.10.
2.5
Other activities
(please specify) 37.17
B.10.
2.6
IPC
initiatives/tools 91.35
B.10.
3 Health Mela 11.00
Approval of State PIP 2013-14: TRIPURA Page 277
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.10.
4
Creating
awareness on
declining sex ratio
issue
57.44
B.10.
5 Other activities 0 0.00 9.60
B.10.
5.1
Printing of MCP
cards, safe
motherhood
booklets etc
1.00 0.00
B.10.
5.2
Printing of WIFS
cards etc 1.00
B.10.
5.3 Other printing 0 0.00 7.60
B.10.
5.3.1
MH,CH,FP &
ARSH 7.60
B.10.
5.3.2
World Population
Day
B.10.
5.3.3 0.00
B.10.
5.3.4 0.00
B.10.
5.3.5 0.00
IEC/ BCC SUB
TOTAL 302.53 56.60
B11
Mobile Medical
Units (Including
recurring
expenditures)
5
2568
650.
00
100.03
B11.
1.1 Capex
No. of
Dist 0.00
Approval of State PIP 2013-14: TRIPURA Page 278
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B11.
1.2 Opex
No. of
MMU 4
2478
250.
00
99.13 0.00
Approval Pended (On-going
Activity) subject to State
implementing „National
MMU Guidelines‟ for all the
running MMUs under
NRHM.
B11.
1.3 HR 0.00
B11.
1.4
Training/orientati
on Batch 1
9040
0.00 0.90 0.00
Approval Pended (New
Activity) subject to State
implementing „National
MMU Guidelines‟ for all the
running MMUs under
NRHM.
B11.
1.5 Others 0.00
B11.
1.5.1 0.00
B11.
1.5.2 0.00
B11.
1.5.3 0.00
B11.
1.5.4 0.00
B11.
1.5.5 0.00
B11.
2
Mobile Medical
Vans (smaller
vehicles) and
specialised
Mobile Medical
Units
0 0.00 0.00
B11.
2.1 Capex
B11.
2.2 Opex 0.00
B11. HR 0.00
Approval of State PIP 2013-14: TRIPURA Page 279
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
2.3
B11.
2.4
Training/orientati
on 0.00
B11.
2.5 Others
B11.
2.5.1
Installation of
GPS for tracking
movement of
MMU vehicles @
Rs.1.70 Lakh
0.00
B11.
2.5.2
Display of
approved design
and colour
scheme on all
MMUs under
„NMMU‟
0.00
B11.
2.5.3 0.00
B11.
2.5.4 0.00
B11.
2.5.5 0.00
MMU SUB
TOTAL 100.03 0.00
B12
Referral
Transport/Patien
t transport
System
327
1074
9000
.00
715.59
B12.
1
Ambulance/EMRI
Capex 65
1650
000.
00
433.00
B12.
1.1
State basic
ambulance/ 102
Capex
No. of
Ambul
ance
62
6500
00.0
0
403.00 0.00
Total amount
recommended for
revalidation is Rs 270.50
lakhs.
Recommended for
Revalidation for 37 BLS
ambulances and 3 ALS
ambulances @ Rs 6.5 lakhs
for BLS ambulances and 3
ALS ambulances@ Rs 10.00
lakhs.
Approval of State PIP 2013-14: TRIPURA Page 280
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B12.
1.2
Advanced life
support Capex
No. of
Ambul
ance
3
1000
000.
00
30.00 0.00
Conditionality:
1) All these ambulances need
to be Linked to a centralized
call center
2) Needs to be GPS fitted
and should be re-stickered
and changed as per National
Ambulance service
guidelines.
3)State should also plan to
bring 15-20 State
ambulances under the
integrated network to create
a consolidated pool of 55-60
ambulances which is linked
to centralized call cente and
catering to RT needs
4) Should also cover PW
and infants as per expanded
JSSK to be catered to.
(on-going activity)
B12.
1.3
EMRI Capex-
BLS 0.00
B12.
1.4
EMRI Capex-
ALS 0.00
B12.
2
Operating Cost
/Opex for
ambulance
262
9099
000.
00
282.59
B12.
2.1
State basic
ambulance/102
Opex
No. of
Sim
card
62 500.
00 0.31
B12.
2.2
Operating Cost
/Opex for ASL
ambulance
No. of
Sim
card
3 500.
00 0.02
B12.
2.3 Opex EMRI-BLS 0.00
B12.
2.4 Opex EMRI-ALS 0.00
Approval of State PIP 2013-14: TRIPURA Page 281
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B12.
2.5
HR Basic
ambulance
No. of
HR 124
1140
00.0
0
141.36 0.00
Recommended for
revalidation of Rs 84.36
lacs for HR for BLS
ambulances (Driver and
EMT 2 each for 37 BLS
vehicles for 6 months),
However funds for salary
of HR for 37 BLS
ambulances to be utilized
out of JSSK RT fund
approved above under
JSSK
B12.
2.6
HR advanced life
support
ambulances
No. of
HR 6
1140
00.0
0
6.84 0.00
Recommended for
revalidation of Rs 6.84
lacs for HR for ALS
ambulances (Driver and
EMT 2 each for 3ALS
vehicles for 6
months),However funds for
salary of HR for 3 ALS
ambulances to be utilized
out of JSSK RT fund
approved above under
JSSK
B12.
2.6
Training/orientati
on 0.00
B12.
2.7 Call centre-capex
No. of
Call
centre
1
5115
000.
00
51.15 0.00
Recommendation for re-
validation for Rs 51.15
lakhs as CAPEX cost for
call centre.
B12.
2.8 call centre-opex
No. of
Call
centre
1
3611
000.
00
36.11 0.00
Approval Pended (on-going
activity) subject to State
implementing „National
Ambulance Service
Guidelines‟ for all the
running Ambulances under
NRHM
B12.
2.9 Others 65
1440
00.0
0
46.80
B12.
2.9.1
Pol for BLS
Ambulances @
Rs 40 / per / litre
X 10 ltr X 30
Days X 6 month
No of
Ambul
ances
62 7200
0.00 44.64 0.00
Approval Pended (on-going
activity) subject to State
implementing „National
Ambulance Service
Guidelines‟ for all the
running Ambulances under
NRHM
Approval of State PIP 2013-14: TRIPURA Page 282
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B12.
2.9.2
Pol for ALS
Ambulances @
Rs 40 / per / litre
X 10 ltr X 30
Days X 6 month
No. of
Ambul
ances
3 7200
0.00 2.16 0.00
Approval Pended (on-going
activity) subject to State
implementing „National
Ambulance Service
Guidelines‟ for all the
running Ambulances under
NRHM
B12.
2.9.3
Referral
Transport for
general patient &
POL
0.00
B12.
2.9.4 0.00
B12.
2.9.5 0.00
B12.
2.9.6 0.00
B12.
2.9.7 0.00
B12.
2.9.8 0.00
B12.
2.9.9 0.00
B12.
2.9.1
0
0.00
REFFERAL
TRANSPORT
SUB TOTAL
715.59 0.00
B.13 PPP/ NGOs 9036 5000
.00 80.00
B13.
1
Non
governmental
providers of
health care RMPs
0.00
B13.
2
Public Private
Partnerships (Out
Sourcing set up, if
applicable for
State, to be
budgeted under
this head)
4516 2500
.00 80.00
B13.
2.1
Implementation
RCH out reach
services
No. of
deliver
y
60 0.00
Approval of State PIP 2013-14: TRIPURA Page 283
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B13.
2.2
Permanent
method of
sterlization
155 0.00
B13.
2.3
Accreditation of
Pvt. Health
Facility for ID
No. of
deliver
y
3200 2500
.00 80.00 0.00
Rs 40.00 lakh
recommended for
revalidation i.e. 50% of
2012-13 approved amount.
@ Rs 2500/ delivery for
3200 deliveries provided
accreditation of PHFs for
provision of institutional
delivery subject to such
facilities are accreditated
below district level and
complete gamut of services
are provided to beneficiaries
like ANC, INC and PNC
B13.
2.4
Accreditation of
Pvt. Health
Facility for LL
1000 0.00
B13.
2.5
Accreditation of
Pvt. Health
Facility for NSV
100 0.00
B13.
2.6
MMU
operationalization
in earstwhile
West Tripura
1 0.00
B13.
2.7 0.00
B13.
2.8 0.00
B13.
2.9 0.00
B13.
2.10 0.00
B13.
3
NGO Programme/
Grant in Aid to
NGO
4 0.00 0.00
Approval of State PIP 2013-14: TRIPURA Page 284
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B13.
3.1
Undertaking
focus activities
schemes through
Ngo's for
improving
Immunization
No. of
NGOs 4 0.00
B13.
3.2 0.00
PPP/ NGOs SUB
TOTAL 80.00 0.00
B14 Innovations( if
any) 3467
7256
80.0
0
705.26
B14.
1
Intersectoral
convergence 0.00
B14.
2
Telemedicine
Project Cost 240.89 240.89
Approved with the
recommendations
mentioned in page 175-176.
B14.
3
Teleopthalmology
Project Cost
No. of
center 47
6547
80.0
0
350.00 350.00
Approved with the
recommendations
mentioned in page 175-176.
B14.
4
B14.
5
Palliative care for
cancer patient No. 0.00
B14.
6
Support to NGO's
for Community
Monitoring Dist.
Level
No. of
Dist 0.00
B14.
7
Support to NGO's
for capasity
building of
VHSNC members
under Community
Monitoring at
no. of
blocks 0.00
Approval of State PIP 2013-14: TRIPURA Page 285
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
block level
B14.
8
Implementation
of Community
mobilization &
advocacy scheme
No. of
Sabha 2076 0.00
B14.
9
General Health
Camps
No. of
camps 864
1000
.00 8.64 8.64
Approved. Ongoing
activity.
B14.
10
General Health
Camps in difficult
area in all 4
Districts
No. of
camps 360
1500
.00 5.40 5.40 Approved. Ongoing activity
B14.
11
Health Camp by
helicopter(120
flying hr) in all 4
Districts
Flying
hrs. 120
6840
0.00 82.08 82.08 Approved. Ongoing activity
B14.
12
Diabetes Control
Programme
B14.
13
Motivational
Session for
ASHA as Pilot
Basis
2.25 0.00 Not approved. New
activity.
B14.
14
E-Toilet Facility
at Government
School
16.00 0.00 Not approved. New
activity.
B14.
15 0.00
B14.
16 0.00
INNOVATION
SUB TOTAL 705.26 687.01
B15
Planning,
Implementation
and Monitoring
764
5532
00.0
0
373.28
Approval of State PIP 2013-14: TRIPURA Page 286
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B15.
1
Community
Monitoring
(Visioning
workshops at
state, Dist, Block
level)
63
5400
00.0
0
14.20
B15.
1.1 State level 1
2000
00.0
0
2.00 2.00 Approved
B15.
1.2 District level 2
5000
0.00 1.00 0.50
Approved for Dhalai
district
B15.
1.3 Block level 4
4000
0.00 1.60 0.80
Approved for two blocks
selected in Dhalai district
B15.
1.4 Other 56
2500
00.0
0
9.60
B15.
1.4.1
Two Days State
level Training of
Trainers/
Managers
Training with all
stakeholders
including
represented by
pilot districts
(Khowai &
Dhalai) by SMT
& State Nodal
Institution.
1
1000
00.0
0
1.00 0.00 Not approved. State to
justify the proposal.
B15.
1.4.2
Development
State specific
guidelines
including
translation &
printing,
prototype tools,
framework for
community
monitoring &
facilitation
21 1000
0.00 2.10 2.10 Approved.
Approval of State PIP 2013-14: TRIPURA Page 287
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
process @ Rs.
10000/- for 21
committees.
B15.
1.4.3
Half yearly
Meetings of
District
Mentoring Teams
of pilot districts.
4 5000
.00 0.20 0.10
Approved for Dhalai
district
B15.
1.4.4
3 days workshop
of VHSNC
members of 10
GP/ADC villages
@ 7 members
each
10 1500
0.00 1.50 1.50 Approved.
B15.
1.4.5
2 days workshop
of 4 Block
Planning &
Monitoring
Committees by
District & Sub-
division PMSU.
4 2000
0.00 0.80 0.40
Approved for blocks in
Dhalai district
B15.
1.4.6
One day Block
Providers
Workshop by
District & Sub-
division PMSU
4 1000
0.00 0.40 0.20
Approved for blocks in
Dhalai district
B15.
1.4.7
2 days Capacity
Building of 4
PHC level
Community
Monitoring
Committee
members @ 10
members each
4 2000
0.00 0.80 0.00 Not approved.
B15.
1.4.8
PHC Jan Samvad
for 4 pilot PHCs 4
3000
0.00 1.20 0.00 Not approved.
B15.
1.4.9
Block Jan
Samvad for 4
pilot Blocks
4 4000
0.00 1.60 0.00 Not approved.
B15.
1.4.1
0
0.00
B15.
2
Quality
Assurance 0 0.00 0.00
Approval of State PIP 2013-14: TRIPURA Page 288
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B15.
2.1
Quality
Assurance
Committees at
State level
0.00
B15.
2.2
Quality
Assurance
Committees at
District level
0.00
B15.
2.3
Grievance
handling system 0.00
B15.
2.4 Review meetings 0 0.00 0.00
B15.
2.4.1 State 0.00
B15.
2.4.2 District 0.00
B15.
2.4.3 Block 0.00
B15.
2.5 Others 0 0.00 0.00
B15.
2.5.1 0.00
B15.
2.5.2 0.00
B15.
2.5.3 0.00
B15.
2.5.4 0.00
B15.
2.5.5 0.00
B15.
3
Monitoring and
Evaluation 701
1320
0.00 359.08
B15.
3.1
Monitoring &
Evaluation /
HMIS /MCTS
106 0.00 141.48
B15.
3.1.1
HR for
M&E/HMIS/MC
TS
Manpo
wer 106 141.48
67.76
Approved Rs. 67.76 lakhs for
six months for existing 105
positions. New positions are
not approved. Salary of
10HMIS Assistant @Rs.
12474/-PM for 13-14 i.e.10X
Rs 12474/-PM X 6 months
=7.48 Lacs & 6 HMIS
Assistant (under process 06)
@Rs.10800/-PM X 6 months
Approval of State PIP 2013-14: TRIPURA Page 289
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
recruitment under process
=3.88 Lacs. HMIS Assistant
(CHC & PHC): Salary of 64
personals @Rs. 10972.5/-PM
for 13-14 i.e. 64 X Rs
10972.5/-PM X 6 months
42.13 Lacs & 25 (under
process) @Rs.9500/-PM X 6
month = 14.25 Lacs.5%
increment has been approved
as no incentive was provided
to these staff last year also.
B15.
3.1.2
MIS Consultant/
Manager/
Coordinators
0.00
B15.
3.1.3
Statistical
Assistant/ Data
Analyst
0.00
B15.
3.1.4
MIS/ M&E
Assistants 0.00
B15.
3.1.5
Data Entry
Operators 0.00
B15.
3.1.6
Others (Please
specify) 0 0.00 0.00
B15.
3.1.6
.1
0.00
B15.
3.1.6
.2
0.00
B15.
3.1.6
.3
0.00
B15.
3.1.6
.4
0.00
B15.
3.1.6
.5
0.00
B15.
3.2
Computerization
HMIS and e-
governance, e-
health
0 0.00 56.59
Approval of State PIP 2013-14: TRIPURA Page 290
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B15.
3.2.1
.a
HMIS
Operational Cost
(excluding HR &
Trainings)
43.53
20.00
Appproved.
Recommended, Rs.20 Lakhs
initially, since State could
not spend a large part of
budget allocated under this
activity in 2012-13. State
may come up with
supplementary PIP along
with expenditure incurred.
B15.
3.2.1
.b
Procurement of
Computers/
printers/
cartridges etc.
9.30
2.70
Approved.
Recommended Rs. 2.70
lakhs (Desktop @Rs.50,000
X 5 HI= 2,50,000 and 4
Scanners @ Rs. 5000/-=
20000) subject to, continued
facility based reporting
without data uploading delay
on HMIS portal and
improvement in data quality
thereof. Laptops not
recommended.
B15.
3.2.1
.c
Maintenance of
Computers/
AMC/ etc.
0.00
B15.
3.2.1
.d
Other Office and
admin expenses 0 0.00 3.76
B15.
3.2.1
.d.1
Mobile Bill for
regular
communication
3.76 3.76
Approved.
On-going activity.
Approved Rs 3.76 Lakh @
Rs. 400 per month for HMIS-
MCTS unit of State /
District/ Sub-District & Rs.
200 per month for PHC /
CHC MCTS Unit subject to
improvement in data
reporting on HMIS and
MCTS portals.
B15.
3.2.1
.d.2
0.00
B15.
3.2.1
.d.3
0.00
B15.
3.2.1
.d.4
0.00
Approval of State PIP 2013-14: TRIPURA Page 291
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B15.
3.2.1
.d.5
0.00
B15.
3.2.2
.a
MCTS
Operational Cost
(excluding HR &
Trainings)
0 0.00 24.84
B15.
3.2.2
.b
Procurement of
Computers/
printers/
cartridges etc.
18.00 18.00 Approved.
B15.
3.2.2
.c
Maintenance of
Computers/
AMC/ etc.
0.00
B15.
3.2.2
.d
Other Office and
admin expenses 6.84
0.00
Not Approved.
Not approved for mobile
charges since the linked
proposal of procurement of
mobile phones for ANMs /
MPWs at 800 Sub Centres
earlier proposed in
B15.3.2.2.b has been
dropped. State may share the
details of mobile application
with MoHFW.
B15.
3.3
Other M & E
Activities 595
1320
0.00 136.17
B15.
3.3.1 HMIS Training 10.98
0.72
Approved.
Approved Rs.0.72 Lacs @
Rs 300 per day per person for
1 training per person per year
based on costing for 3 days
combined training for HMIS
and MCTS. Amount
approved is indicative figure
and actual amount would be
based on actual
B15.
3.3.2 MCTS Training 28.71
B15.
3.3.3
Mobility Support
for HMIS/ MCTS 16.51 1.05
Approved.
Approved Rs. 1.05 Lacs @
Rs 10000 per district and Rs
25000 for State level per
annum subject to outcome
reports in respect of HMIS &
MCTS being shared with
MoHFW. Amount approved
is indicative figure and actual
amount would be based on
Approval of State PIP 2013-14: TRIPURA Page 292
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
actual expenditure
B15.
3.3.4
Review Meetings
for HMIS 2.89
2.89
Approved.
Approved Rs. 2.89 Lakh for
combined 1 day review of
HMIS & MCTS for at least 2
reviews every year at State
level, 1review every quarter
at District level and 1 review
every month at Block level.
TA / DA and other
expenditure should be as per
extant rules.
B15.
3.3.5
Review Meetings
for MCTS 0.00
B15.
3.3.6
Data Validation
Call Centers -
CAPEX
13.10
9.00
Approved.
Approved Rs 9.00 Lakh on
outsourcing basis @ Rs
15000 per call agent per
month inclusive of all
charges (CAPEX + OPEX)
for 3 call agents subject to
the condition that the details
of all the ANMs / ASHAs
and beneficiaries on MCTS
portal will be validated. This
is an indicative figure and
actuals will be as per actual
expenditure. State should
outsource the activity on the
basis of competitive bidding
following Government
Protocols.
B15.
3.3.7
Data Validation
Call Centers -
OPEX
27.80
B15.
3.3.8
e-Governance
Initiative 0.00
B15.
3.3.9
Hospital
Management
Softwares
0.00
B15.
3.3.1
0
Others 595 1320
0.00 36.18
B15.
3.3.1
0.1
Establishment of
SWAN
Approval of State PIP 2013-14: TRIPURA Page 293
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B15.
3.3.1
0.2
Advertisement of
MCTS
No. of
Advert
ise
555 6000
.00 33.30
0.00
Not Approved.
May be taken under
IEC/BCC fund.
B15.
3.3.1
0.3
Advertisement in
News Paper on
ADHAR
No. of
Advert
ise
40 7200
.00 2.88
0.00 Not approved. May be taken
under IEC/BCC fund.
B15.
3.3.1
0.4
0.00
B15.
3.3.1
0.5
UNDISTRIBUTE
D FUND 0.00
PLANNING,
Implementation
and Monitoring
SUB TOTAL
373.28 133.48
B.16 PROCUREMEN
T 6031957
2434
0.50 934.99
B16.
1
Procurement of
Equipment 361
2420
0.00 185.43
B16.
1.1
8Procurement of
equipment: MH 141
2300
0.00 14.10
B16.
1.1.1
Equipments for
Blood Banks/
BSUs
0.00
B16.
1.1.2
MVA /EVA for
Safe Abortion
services
No. of
item 94
7000
.00 6.58 2.35
Approved @ Rs 2500 for
MVA kit for 94 kits for
procuring MVA kits
B16.
1.1.3
Others (please
specify) 47
1600
0.00 7.52
B16.
1.1.3
.1
Fetoscope
No. of
item 0.00
B16.
1.1.3
.2
Hemoglobinomet
er
No. of
item 0.00
8 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 294
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B16.
1.1.3
.3
BP aperatus
No. of
item 0.00
B16.
1.1.3
.4
Oxygen Cylinder
with trolly
No. of
item 47
1600
0.00 7.52 7.52
Approved for 47 Oxygen
trolley's @ Rs 16000/ unit
B16.
1.1.3
.5
Pregnency Test
Kit
No. of
kit 0.00
B16.
1.1.3
.6
0.00
B16.
1.1.3
.7
0.00
B16.
1.1.3
.8
0.00
B16.
1.1.3
.9
0.00
B16.
1.1.3
.10
0.00
B16.
1.2
9Procurement of
equipment: CH 200
800.
00 1.60
B16.
1.2.1
Baby weighing
machine
No. of
item 200
800.
00 1.60 1.60
Approved.
B16.
1.2.2 Setting up new
NBCC 0.00 8.75
Approved. Budget shifted
from A.2.2.3.
B16.
1.2.3 0.00
B16.
1.2.4 0.00
B16.
1.2.5 0.00
B16.
1.2.6 0.00
B16.
1.2.7 0.00
B16. 0.00
9 Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 295
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
1.2.8
B16.
1.2.9 0.00
B16.
1.2.1
0 0.00
B16.
1.3
10Procurement of
equipment: FP 20
400.
00 0.08
B16.
1.3.1 NSV kits 0.00
B16.
1.3.2 IUCD kits 0.00
B16.
1.3.3 minilap kits
0.00
B16.
1.3.4 laparoscopes
Numb
er 0.00
B16.
1.3.5 PPIUCD forceps
Numb
er 20 400.
00 0.08 0.08
Approved.
B16.
1.3.6
Other (please
specify) 0 0.00 0.00
B16.
1.3.6
.1
0.00
B16.
1.3.6
.2
0.00
B16.
1.3.6
.3
0.00
B16.
1.3.6
.4
0.00
B16.
1.3.6
.5
0.00
B16.
1.4
Procurement of
equipment:
IMEP
0 0.00 0.00
B16.
1.4.1 Equipments 0.00
B16.
1.4.2 0.00
10
Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 296
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B16.
1.4.3 0.00
B16.
1.4.4 0.00
B16.
1.5
11Procurement of
equipment other
than above
169.65
B16.
1.5.1
Manual
Thermometer
No. of
item 200
50.0
0 0.10 0.10
Approved.
B16.
1.5.2
Semi Auto
Analyzer with
Reagent
32.00 0.00
Not Approved.
Generic Procurement. Please
indicate facility-wise gap
analysis and the case load in
terms of IPD, N.D, C-section
etc before this can be
appraised.
B16.
1.5.3
Equipment for
FRU &
Upcoming PHC
& CHC
94.05 0.00
Not Approved.
Generic Procurement. Please
indicate detail break-up cost
along-with the service
delivery status of these
facilities
B16.
1.5.4 Dental Equipment
No. of
item 29
1500
00.0
0
43.50 0.00
Not Approved.
Generic Procurement. Please
indicate facility-wise gap
analysis and the case load in
terms of avaiability of
Dental doctor and no of
major/minor surgeries
conducted in these facilities
beofre the proposal is
appraised.
B16.
1.5.5
Equipment of DH
for advance
tretment
No. of
Hospit
al
0.00
B16.
1.6
Equipments for
ARSH/ School
Health
0 0.00 0.00
B16.
1.6.1
Equipments for
ARSH Clinics 0.00
11
Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 297
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B16.
1.6.2
Equipments for
School Health
Equipments for
School Health
Screening
(weighing scale,
Height
measurement
scale and
Snellens‟ Charts)
0.00
5.40
Approved as per RBSK
guidelines, Pure tone
audiometer is not
recommended for mobile
health teams to begin with.
Equipments of DEICs would
only be recommended after
the DEICs are made
functional.
B16.
1.7
12Equipments for
Training
Institutes
B16.
1.8 Equipments for
AYUSH 0.00
B16.
1.9
Procurement of
Others/Diagnosti
cs
0.00
B.16.
2
Procurement of
Drugs and
supplies
6031596 140.
50 749.56
B.16.
2.1 Drugs & supplies
for MH 4053100
100.
25 15.12
B.16.
2.1.1
RTI /STI drugs
and consumables 0.00
B.16.
2.1.2
Drugs for Safe
Abortion 0.00
B.16.
2.1.3
Others (Please
specify) 4053100
100.
25 15.12
B.16.
2.1.3
.1
Misoprostol Kit No. of
Kit 5000
100.
00 5.00 5.00
Approved for 5000 kits@
Rs 100/-. Total amount
recommended for approval
is Rs 5.0 lakhs
B.16.
2.1.3
.2
IFA (large) No. of
tablet 4048100 0.25 10.12 10.12
Approved.
For additional 40.48
lakhtablets @ Rs 0.20 paisa/
tab . Total amount
recommended for approval
Rs 10.12 lakhs. This is
addition to the funds for
drugs allocated uner JSSK
B.16. 0.00
12
Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 298
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
2.1.3
.3
B.16.
2.1.3
.4
0.00
B.16.
2.1.3
.5
0.00
B.16.
2.1.4 RPR Kits 0.00
B.16.
2.1.5
Whole blood
finger prick test
for HIV
0.00
B.16.
2.2
13Drugs &
supplies for CH 30000
40.0
0 12.00
B.16.
2.2.1
Drugs & Supplies
for Child health
B.16.
2.2.2 Zink Syrup
No. of
Bottle 30000
40.0
0 12.00 12.00
Approved.
However State should
propose the budget for
dispersible Zinc tablets rather
than Zinc syrup. Draft
calucation of doses is as
follows: Under 5year
children population (approx
10% of total popoulatyion of
the diatrict) x 1.7 (diarrheal
episodes per child per year) x
40% of above two multiplier
x 14 tablets ( of zinc for
every episode of diarrhea )
B.16.
2.2.3 0.00
B.16.
2.2.4 0.00
B.16.
2.2.5 0.00
B.16.
2.3 Drugs & supplies
for FP 0 0.00 0.00
B.16.
2.3.1 0.00
B.16.
2.3.2 0.00
13
Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 299
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.16.
2.3.3 0.00
B.16.
2.3.4 0.00
B.16.
2.3.5 0.00
B.16.
2.4
14Supplies for
IMEP 0 0.00 0.00
B.16.
2.4.1 Consumables 0.00
B.16.
2.4.2 0.00
B.16.
2.4.3 0.00
B.16.
2.4.4 0.00
B.16.
2.4.5 0.00
B.16.
2.5
General drugs &
supplies for
health facilities
0 0.00 461.06
B.16.
2.5.1 IPD 461.06 25.78
Rs 25.78 approved for
replenishment of ASHA
drug kit. Budget shifted
from B.1.1.2.2.
Approval Pended.
For Rs 461.06 L proposed
under B.16.2.5. The state
need to clarify the following
:
1) Whether State has notfied
a policy of free drugs for all
patients both OPD and IPD.
2) Contribution under state
budget for IPD and OPD
drugs
3) Has Put in system in
place for procurement and
inventory management of
drugs including dispensing
B.16.
2.5.2 OPD
14
Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 300
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
of drugs to the health
facilities.
4) Whether differential EDL
based on the type and
functionality of the facility
has been prepared.
5) Proper system of storage
and dispensing is available at
the district level.
B.16.
2.6
15Drugs &
supplies for
WIFS
1948496 0.25 4.87
B.16.
2.6.1 IFA
No. of
tablets 1948496 0.25 4.87 4.87 Approved.
B.16.
2.6.2 Albendazole 0.00
B.16.
2.7 Drugs & supplies
for SHP 256.51
148.72
Approved.
Rs 148.72 lakhs
recommended for approval -
29.51 lakhs for IFA small :
354742 student X 52 tablet X
0.16 = Rs. 29.51 Lakh, IFA
Syrup @ Rs.30 amounting
Rs. 55.50Lakh, Albendazole
Syrup @ Rs.8 amounting Rs.
59.50 Lakh and Rs 4.5 lakhs
for on the spot management
of children for RBSK @ Rs
30000 for 15 teams.
Conditionality RBSK
medicines procurement only
to follow RBSK EDL to be
announced by MoHFW
shortly.
B.16.
2.8 Drugs & supplies
for UHCs 0.00
B.16.
2.9 Drugs & supplies
for AYUSH 0.00
15
Unit Costs in relation to the various types of procurement including printing are only indicative for the purpose of
estimations. However, the actual expenditure must be incurred after following rules and due processes. The
competitive and transparent bidding should be ensured as well as only need based procurement must take place.
Approval of State PIP 2013-14: TRIPURA Page 301
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
PROCUREMEN
T SUB TOTAL 934.99 232.29
B.17
Regional drugs
warehouses/Logi
stics
management
12 2000
0.00 41.24
B.17.
1 Drug warehouses 0.00
B.17.
2 Staff at State level 0.00
B.17.
3
Staff at District
level 0.00
B.17.
4 Others 12
2000
0.00 41.24 0.00
Not approved. Expenditure
in 2012-13 was nil.
B.17.
4.1
PRO MIS:
Procurement of
Computer with
Internet
connectivity
No. of
Comp
uter
4 2.82
B.17.
4.2
PRO MIS: Store
Management
System Software
3.99
B.17.
4.3
PRO MIS:
Printing &
computer
Stationeries
0.45
B.17.
4.4
PRO
MIS:Furniture:
Iron platform for
State warehouse
0.88
B.17.
4.5
PRO MIS : AMC
for Laparoscope
& Xray Machine
11.50
B.17.
4.6
AMC for 117nos.
DG Set 20.00
B.17.
4.7 NRHM website
No. of
years 8
2000
0.00 1.60
B.17.
4.8 0.00
B.17.
4.9 0.00
B.17.
4.10 0.00
Approval of State PIP 2013-14: TRIPURA Page 302
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
REGIONAL
DRUG WARE
HOUSE SUB
TOTAL
41.24 0.00
B.18
New Initiatives/
Strategic
Interventions
(As per State
health policy)/
Innovation/
Projects
(Telemedicine,
Hepatitis,
Mental Health,
Nutrition
Programme for
Pregnant
Women,
Neonatal)
NRHM Helpline)
as per need
(Block/ District
Action Plans)
0 0.00 0.00
B.18.
1 Help Lines 0.00
NEW
INITIATIVE
SUB TOTAL
0.00 0.00
B.19
Health
Insurance
Scheme
0.00 0.00
B.20 Research,
Studies, Analysis 77.95 9.00
Approved
For Research study to Assess
impact of MCH activities in
two sample districts
implemented under RCH
programmes through sector
PIP.
B.21
State level health
resources
centre(SHSRC)
0 0.00 0.00 0.00
B.21.
1 SHSRC - HR 0.00
B.21.
2 Other cost 0.00
Approval of State PIP 2013-14: TRIPURA Page 303
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B22 Support Services 0 0.00 0.00 0.00
B22.
1
Support
Strengthening
NPCB
0.00
B22.
2
Support
Strengthening
Midwifery
Services under
medical services
0.00
B22.
3
Support
Strengthening
NVBDCP
0.00
B22.
4
Support
Strengthening
RNTCP
0.00
B22.
5
Contingency
support to Govt.
dispensaries
0.00
B22.
6
Other NDCP
Support
Programmes
0.00
B22.
7
Non
communicable
diseases
0.00
B.23
Other
Expenditures
(Power Backup,
Convergence etc)
0 0.00 0.00 0.00
B.23.
1
Exp from Interest
component 0.00
B.23.
2 0.00
B.23.
3 0.00
B.23.
4 0.00
B.23.
5 0.00
B.23.
6 0.00
B.23.
7 0.00
B.23.
8 0.00
B.23.
9 0.00
Approval of State PIP 2013-14: TRIPURA Page 304
S.
No. Budget Head
Unit
of
Measu
re
Quantit
y /
Target
Unit
Cost
( Rs)
Budget
proposed
(Rs.
Lakhs)
Amount
approved
(Rs in
Lakhs)
Remarks
B.23.
10 0.00
MISSION FLEXIPOOL GRAND
TOTAL 11266.04 4517.43
Approval of State PIP 2013-14: TRIPURA Page 305
ANNEX 3
IMMUNIZATION AND PPI OPERATION COST
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
C.1
RI Strengthening Project ( Review
meetings, Mobility support, Outreach
services etc)
c.1.a Mobility Support for supervision for
district level officers.
Rs.2,50,000/
Year
/district level
officers.
8.00 20.00 20.00
c.1.b Mobility support for supervision at
state level
Rs. 150000
per year. 1.00 1.50 1.50
c.1.c
Printing and dissemination of
Immunization cards, tally sheets,
monitoring forms etc.
Rs. 10
beneficiaries 64000.00 6.40 6.40
c.1.d Support for Quarterly State level
review meetings of district officer
Rs. 1250/
per
participant/d
ay for 3
persons
(CMO/DIO/
Dist. Cold
Chain
Officer)
4.00 1.60 1.20
State to share
the meeting
notice and
minutes with
MOHFW.
c.1.e
Quarterly review meetings exclusive
for RI at district level with one Block
MOs, CDPO, and other stake holders
Rs. 100/per
participant
for meeting
expenses for
5 persons
(lunch,
Organization
expenses)
32.00 12.80 4.00
State to share
the meeting
notice and
minutes with
MOHFW.
Approval of State PIP 2013-14: TRIPURA Page 306
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
c.1.f Quarterly review meetings exclusive
for RI at block level
Rs. 50/ per
person as
honorarium
for ASHA
(Travel) and
Rs.
25/person at
the disposal
of MO-IC for
meeting
expenses
(refreshment,
stationary
and misc.
expenses)
32.00 12.80 12.80
State to share
the meeting
notice and
minutes with
MOHFW.
c.1.g
Focus on slum & underserved areas in
urban areas/alternative vaccinator
for slums
Hiring of
ANM@450/s
ession for
four
session/mont
h/slum of
10000
population
and Rs. 300/-
per month as
contingency
per slum i.e.
Rs. 2100/-
per month
per slum of
10000
population
0.00
c.1.h Mobilization of children through
ASHA or other mobilizers
Rs. 150 per
session 34944.00 104.83 52.42
c.1.i Alternative vaccine delivery in hard to
reach areas
Rs. 150 per
session 28188.00 42.28 42.28
c.1.j Alternative Vaccine Delivery in other
areas
Rs. 75 per
session 5520.00 4.14 4.14
c.1.k To develop micro plan at sub-centre
level
@ Rs 100/-
per subcentre 767.00 0.77 0.77
Approval of State PIP 2013-14: TRIPURA Page 307
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
c.1.l For consolidation of micro plans at
block level
Rs. 1000 per
block/ PHC
and Rs. 2000
per district
53.00 1.59 0.69
c.1.m POL for vaccine delivery from State to
district and from district to PHC/CHCs
Rs1,50,000/
district/year 8.00 12.00 12.00
c.1.n Consumables for computer including
provision for internet access for RIMs
@ 400/ -
month/
district
8.00 8.00 0.38
c.1.o Red/Black plastic bags etc.
Rs.
3/bags/sessio
n
69888.00 2.10 2.10
c.1.p Hub Cutter/Bleach/Hypochlorite
solution/ Twin bucket
Rs. 1200 per
PHC/CHCpe
r year
114.00 1.37 1.37
c.1.q Safety Pits Rs. 5250/pit 114.00 5.99 5.99
c.1.r State specific requirement 3.00 0.00
Not
recommended,
as no details
provided
c.1.s Teeka Express Operational Cost 0.00 1.00
Recommended
for Teeka
Express.
However
activity to be
undertaken
with prior
approval of
Ministry.
c.1.t Measles SIA operational Cost 0.00
No Measles
SIA is
scheduled in
F.Y. 2013-14
Approval of State PIP 2013-14: TRIPURA Page 308
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
c.1.u JE Campaign Operational Cost 0.00
No JE
Campaign is
scheduled for
2013-14.
c.1.v Others 0.00
C.1-Sub Total 241.16 169.03
C.2 Salary of Contractual Staffs
C.2.1 Computer Assistants support for State
level
Rs.12000-
15000 per
person per
month
1.00 1.42 0.72
* Salary is for
6 months
* State to
provide
details of total
sanctioned
posts, filled
up and
vacancy.
C.2.2 Computer Assistants support for
District level
8000-10000
per person
per month
4.00 5.68 2.40
* Salary is for
6 months
* State to
provide
details of total
sanctioned
posts, filled
up and
vacancy.
C.2.3 Others(service delivery staff)
C.2-Sub Total 7.10 3.12
C.3 Training under Immunization
Approval of State PIP 2013-14: TRIPURA Page 309
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
C.3.1
District level Orientation training
including Hep B, Measles &
JE(wherever required) for 2 days ANM,
Multi Purpose Health Worker (Male),
LHV, Health Assistant (Male/Female),
Nurse Midwives, BEEs & other staff (
as per RCH norms)
As per
revised
norms for
trainings
under RCH
2.00 1.20 1.20
Approved, but
expenditure
has to be as
per NRHM
norms. Also,
all the
trainings
should be
either ongoing
approved
training or
new training
activity
approved by
Immunization
division of
Ministry.
C.3.2
Three day training including Hep B,
Measles & JE(wherever required) of
Medical Officers of RI using revised
MO training module)
2.00 1.81 1.81
C.3.3
One day refresher training of district
Computer assistants on RIMS/HIMS
and immunization formats
0.00 0.00
C.3.4
Two days cold chain handlers training
for block level cold chain handlers by
State and district cold chain officers
4.00 0.90 0.90
Approval of State PIP 2013-14: TRIPURA Page 310
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
C.3.5
One day training of block level data
handlers by DIOs and District cold
chain officer
0.00 0.00
C.3.6 Others 0.00 0.00
C.3-Sub Total 3.92 3.92
C.4 Cold chain maintenance
Rs.750/PHC/
CHCs per
year District
Rs.15000/ye
ar
2.24 2.24
Expenditure to
be booked as
per actual. Re-
appropriation
of funds
within part C
can be
considered on
full utilization
of the fund.
C.5 ASHA incentive for full Immunization
Rs 100 per
child for full
immunizatio
n in first year
139.00 0.00
42.06
Funds for full
immunization
budgeted in
FMR code
B1.1.3.2.3 is
approved
under this
head.
Rs 50 per
child for
ensuring
complete
immunizatio
n upto 2nd
year of age
0.00
Total ROUTINE IMMUNIZATION 393.42 220.37
C.6 Pulse Polio Operational Cost
(Tentative) 145.00 146.07
Approval of State PIP 2013-14: TRIPURA Page 311
Immunization Approval 2013 - 14 (PART C) TRIPURA
FMR
Code Activities( As proposed by the State)
Unit Cost
(wherever
applicable)
Quantity /
Target
Propose
d by
State
Reco.
by
Imm
Div
Remarks
Total 538.42 366.4
4
Approval of State PIP 2013-14: TRIPURA Page 312
ANNEX 4A
NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME
(NIDDCP)
VI NIDDCP
FMR
Code
Activity Unit cost
(wherever
applicabl
e)
Physical target Amoun
t
Propos
ed
Amount
Approv
ed
Remarks
D
IDD
D.1 Establishment of IDD
Control Cell-
Implementation
& monitoring of
the programme
14.30 15.00 Filling up of sanctioned
vacant posts i.e.
Technical Officer,
Statistical Assistant &
LDC on regular/contract
basis on priority.
State Government may
conduct and co-ordinate
approved programme
activities and furnish
quarterly financial &
physical achievements
as per prescribed
format.
D.1.a Technical Officer 1
D.1.b Statistical Assistant 1
D.1.c LDC Typist 1
D.2 Establishment of IDD
Monitoring Lab-
Monitoring
of district level
iodine content of
salt and urinary
iodine excretion
as per Policy
Guidelines.
7.70 8.00 The vacant sanctioned
posts of Lab
Technician & Lab Asst.
should be filled on
regular/ contract basis
on priority.
State Government may
conduct quantitative
analysis of salt & urine
as per NIDDCP
Guidelines and furnish
monthly/quarterly
D.2.a Lab Technician 1
D.2.b Lab. Assistant 1
Approval of State PIP 2013-14: TRIPURA Page 313
VI NIDDCP
FMR
Code
Activity Unit cost
(wherever
applicabl
e)
Physical target Amoun
t
Propos
ed
Amount
Approv
ed
Remarks
statements.
D.3 Health education &
Publicity
Increased
awareness about
IDD and iodated
salt
20.00 41.00 IDD publicity activities
including Global IDD
Day celebrations at
various level
D.4 IDD Survey/Re survey Rs. 50,000
per district
4 districts 2.00 2.00 State Government may
under take 2 district s
IDD survey as per
guidelines and furnish
report.
D.5 Salt Testing to be
procured by the State
Government for 3
endemic districts
12 STK
per annum
per ASH
A
Creating iodated
salt demand and
monitoring of the
same at the
community
level.
3.50 ** State Government to
monitor the qualitative
analysis of iodated salt
by STK through ASHA
in 3 endemic districts
i.e.. North Tripura,
South Tripura and West
Tripura. D.6 ASHA Incentive Rs. 25/-
per month
for testing
50 salt
sample/m
onth
50 salt samples
per month per
ASHA in 3
endemic districts
22.11 **
TOTAL 75.61* 66.00
(*) This includes fund for POL/Vehicle hiring, Office expenses etc. which are not allowed under the
Programme.
** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA
for 3 endemic districts funds will be released through flexi pool of NRHM by GOI.
Approval of State PIP 2013-14: TRIPURA Page 314
ANNEX 4B
INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP)
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura
FMR
Code
Activity Unit Cost (where-
ever applicable)
Amount Proposed
(Rs. in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
E1 Operational Cost
Field Visits
24.20
5+2.4 x 8
24.20
Office Expenses
Broad Band expenses
Outbreak investigations
including Collection
and Transport of
samples
Review Meetings
Any other expenditure
Sub Total 24.20 24.20
E 1.2 Laboratory Support
District Priority Lab-
Referral Network Lab
1X 5
5 5
District public health
lab equipment
District public health
lab manpower
District public health
lab consumables 1 x 4 4 4
Sub Total 9.0 9.0
E.2 Human Resources
E.2.1 Remuneration of
Epidemiologists
State Epidemiologists 3.6
(0.40x1 X9)
14.4
(0.40 X 4 X 9)
12
*Post of messenger
for SSU is currently
not approved under
IDSP
*Remuneration for
vacant positions
calculated for 6
months.
*Medical
Epidemiologists,
District
Epidemiologists
E.2.2 Remuneration of
Microbiologists
State Microbiologist
3.6
(0.40x1 X9)
+
3.6
(0.40x1 X9)
4.8
District
Microbiologist at
District Priority Labs.
E.2.3
Remuneration of
Entomologists
2.25
(0.25 X 1 X 9)
1.5
Veterinary
Consultant
0 0
Approval of State PIP 2013-14: TRIPURA Page 315
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura
FMR
Code
Activity Unit Cost (where-
ever applicable)
Amount Proposed
(Rs. in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
E.3
Consultant-Finance/
Procurement
2.02
(0.168X1X12)
2.02
Consultant training
and Medical
Microbiologists with
medical qualifications
should be paid higher
remuneration than the
non-medical
epidemiologists,
consultant training
and microbiologists
**Calculation error
E.3.1
Consultant-Training/
Technical
2.52
(0.28 X 1 X9)
1.68
E.3.2 Data Manager
State Data Manager **14.1
(0.162 X 1 X9)+
(0.162 X 8 X9)
8.75
District Data
Manager
E.3.3 Data Entry Operator
12.25
(1.23+11.02)
11.63
Messenger for SSU
0.72 0
Sub Total 59.06 42.38
E.8 Training
As per NRHM
Guidelines
State has spent Rs
68,000 on training in
last year
Medical Officers(3 days
)
4.2 2.1
One day training of
Hospital Pharmacist /
Nurses
1.8 0.9
One day training of
Medical College Doctors
0 0
One day training for Data
Entry and analysis for
Block Health Team
0 0
Lab technician (3 days) 0 0
Data managers (2 days) 0.27 0
DEO cum accountant
(2 days)
0.30
ASHA & MPWs,AWW
& community volunteers
(1 day)
4.00 Training to be
carried out in
monthly
meetings
Sub Total 10.57 3
For each newly formed
(Corporation as district)
District to cover for the
expenses on account of
Non-recurring costs on
Computer Hardware,
some office equipment &
accessories.
E.7 ID Hospital Network
Approval of State PIP 2013-14: TRIPURA Page 316
Comments from CSU, IDSP on proposed NPCC budget (2013-14) for Tripura
FMR
Code
Activity Unit Cost (where-
ever applicable)
Amount Proposed
(Rs. in lakhs)
Amount
Approved
(Rs in lakhs)
Remarks
*
Surveillance in Metro
Cities
* New formed Districts
4 3.08 3.08
Innovations/new
initiatives(Surveillance of
Hemophilia)
2 * 0
*The cost for these
activities may be
borne out of
operational costs.
Any state specific
activity(awareness for
prevention of
meningococcal
meningitis)
2
Total 109.91** 81.66 **Calculation
error
Approval of State PIP 2013-14: TRIPURA Page 317
ANNEX 4C
NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.1 DBS (Domestic
Budget Support)
F.1.1 Malaria
F.1.1.a Human Resource
including MPW
contractual
61.92 360.00 Total
allocation to
the state is
500 MPW
however the
state has only
requested for
86 MPW
Lab Technicians (
against vacancy )
14.36 Due to
budgetary
restriction the
Human
resource are
not approved
VBD Technical
Supervisor (one for
each block)
37.80 TS VBD are
being funded
from Global
Fund
District VBD
Consultant (one per
district) (Non- Project
States)
28.98 VBD
Consultant
are being
funded from
Global Fund
State Consultant (Non –
Project States)
- M& E Consultant
(Medical Graduate with
PH qualification)
- VBD Consultant
(preferably
entomologist)
F.1.1.b ASHA Incentive 265.21 20.00 the budget
has been
allocated
under the
GFATM
project as it
is funded
under the
project
Approval of State PIP 2013-14: TRIPURA Page 318
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.1.1.c Operational Cost
Spray Wages 210.79
104.50
Recommende
d but
restricted to
budget
Operational cost for
IRS
25.33
Impregnation of Bed
nets- for NE states
90.00
F.1.1.d Monitoring , Evaluation
& Supervision &
Epidemic Preparedness
including mobility
20.00 No budget
has been
requested
from the state
however the
state has to
perform the
M&E
activities
therefore the
budget has
been
allocated
F.1.1.e IEC/BCC 15.22 12.00 Recommende
d
F.1.1.f PPP / NGO and
Intersectoral
Convergence
12.00 Separate
proposal may
be submitted
with
justification
F.1.1.g Training / Capacity
Building 7.50 7.50 Recommende
d
F.1.1.h Zonal Entomological
units 12.20 Due to
budgetary
restriction the
Human
resource are
not approved
F.1.1.i Biological and
Environmental
Management through
VHSC
82.50 Due to
budgetary
restriction
activities are
not approved
F.1.1.j Larvivorous Fish
support
F.1.1.k Construction and
maintenance of
hatcheries
F.1.1.l Contingencies
Total Malaria (DBS) 863.81 524.00
F.1.2 Dengue &
Approval of State PIP 2013-14: TRIPURA Page 319
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
Chikungunya
F.1.2.a Strengthening
surveillance (As per
GOI approval)
F.1.2.a(i
)
Apex Referral Labs
recurrent
The state has
not requested
in the PIP
any budget
for the
disease,
however the
disease is
prevelent in
the state and
it requires
regular
monitoring
and
supervision
therefore the
budget has
been
allocated for
the same.
F.1.2.a(ii
)
Sentinel surveillance
Hospital recurrent
1.00
ELISA facility to
Sentinel Surv Labs
F.1.2.b Test kits (Nos.) to be
supplied by GoI (kindly
indicate numbers of
ELISA based NS1 kit
and Mac ELISA Kits
required separately)
F.1.2.c Monitoring and
evaluation 1.50
F.1.2.d Epidemic containment 0.75
F.1.2.e Case management 1.00
F.1.2.f Vector Control &
environmental
management
5.00
F.1.2.g IEC BCC for Social
Mobilization 5.25
F.1.2.h Inter-sectoral
convergence
0.50
F.1.2.i Training including
Operational Research
4.00
Total
Dengue/Chikungunya
0.00 19.00
F.1.3 Acute Encephalitis
Syndrome (AES)/
Japanese Encephalitis
(JE)
F.1.3.a Diagnostics and Case
Management including
rehabilitation
NA NA
F.1.3.b IEC/BCC specific to
J.E. in endemic areas
F.1.3.c Capacity Building
F.1.3.d Monitoring and
supervision
F.1.3.e Technical Malathion
F.1.3.f Fogging Machine
Approval of State PIP 2013-14: TRIPURA Page 320
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
F.1.3.g Operational costs for
malathion fogging
F.1.3.h Operational Research
F.1.3.i Rehabilitation Setup for
selected endemic
districts
F.1.3.j ICU Establishment in
endemic districts
F.1.3.k ASHA Insentivization
for sensitizing
community
F.1.3.l Other Charges for
Training /Workshop
Meeting & payment to
NIV towards JE kits at
Head Quarter
Total AES/JE 0.00 0.00
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, mobility
support for Rapid
Response Team and
contingency support
NA NA
F.1.4.b Monitoring by
Microfilaria Survey
F.1.4.c Monitoring &
Evaluation
(Assessment)
F.1.4.d Training District
Officers, PHC MOs,
Paramedical staff, drug
distributors
F.1.4.e BCC/Advocacy/IEC at
state, district/PHC, sub
centre
F.1.4.f Honorarium for Drug
Distribution including
ASHAs and supervisors
Approval of State PIP 2013-14: TRIPURA Page 321
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
Verification and
validation for
stoppage of MDA in
LF endemic districts
a) Additional MF
Survey
b) ICT Survey
c) ICT Cost
Verification of LF
endemicity in non-
endemic districts
a) LY & Hy Survey
b) Mf Survey in Non-
endemic distt
c) ICT survey
Post-MDA
surveillance
Total Lymphatic
Filariasis
0.00 0.00
F.1.5 Kala-azar
F.1.5 Case search/ Camp
Approach
Not
Applicabl
e
Not
Applicabl
e
F.1.5.a Spray Pumps &
accessories
F.1.5.b Operational cost for
spray including spray
wages
F.1.5.c Mobility/POL/supervisi
on
F.1.5.d Monitoring &
Evaluation
F.1.5.e Training for spraying
F.1.5.f IEC/ BCC/ Advocacy
Total Kala-azar 0.00 0.00
Total (DBS) 863.81 543.00
F.2 Externally aided
component
F.2.a World Bank support
for Malaria (Identified
state)
F.2.b Human Resource
Not
Applicabl
e
Not
Applicabl
e
F.2.c Training /Capacity
building
F.2.d Mobility support for
Monitoring Supervision
& Evaluation including
Approval of State PIP 2013-14: TRIPURA Page 322
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
printing of format &
review meetings,
Reporting format (for
printing formats)
Kala-azar World
Bank assisted Project
F.2.e Human resource Not
Applicabl
e
Not
Applicabl
e
F.2.f Capacity building
F.2.g Mobility
F.3 GFATM support for
Malaria (NE states)
F.3.a Project Management
Unit including human
resource of N.E. states
45.02 300.00
The activities
have to be
scaled up as
per the
project
therefore the
budget has
been
allocated as
per the
components
in the project,
however the
release of
funds shall
depend upon
the utilization
of funds
F.3.b Training/Capacity
Building
51.14 100.00
F.3.c Planning and
Administration( Office
expenses recurring
expenses, Office
automation , printing
and stationary for
running of project)
17.46 100.00
F.3.d Monitoring Supervision
(supervisory visits
including travel
expenses, etc) including
printing of format and
review meetings,
41.93 110.00
F.3.e IEC / BCC activities as
per the project
33.56 100.00
F.3.f Operational cost for
treatment of bednet and
Infrastructure and Other
Equipment (Computer
Laptops, printers,
Motor cycles for MTS )
35.45 110.00
Total : EAC
component
224.56 820.00
F.4 Any Other Items (
Please Specify)
0.00 0.00
F.5 Operational costs (
mobility, Review
Meeting,
communication,
formats & reports)
0.00 0.00
Grand total for cash
assistance under
1088.37 1363.00
Approval of State PIP 2013-14: TRIPURA Page 323
S. No. Component (Sub-
Component)
Unit Cost
(wherever
applicabl
e)
Physical
target/
Deliverabl
es
Amount
Proposed
Amount
Approve
d
Remarks
NVBDCP (DBS +
EAC)
F.6 Cash grant for
decentralized
commodities
F.6.a Chloroquine phosphate
tablets
8.25
7.60
ACT,
Injection
Arteether
shall be
provided by
Govt of India
only 25% of
the techincal
requirement
may be
procured if
required
F.6.b Primaquine tablets 7.5
mg
1.46
F.6.c Primaquine tablets 2.5
mg
1.82
F.6.d Quinine sulphate tablets 0.52
F.6.e Quinine Injections 0.48
F.6.f DEC 100 mg tablets 0.00
F.6.g Albendazole 400 mg
tablets
0.00
F.6.h Dengue NS1 antigen kit 3.25
F.6.i Temephos, Bti (AS) /
Bti (wp) (for polluted &
non polluted water)
6.00
F.6.j Pyrethrum extract 2%
for spare spray
2.00
F.6.k Any Other Items (
Please Specify)
ACT ( For Non Project
states)
3.33
RDT Malaria – bi-
valent (For Non Project
states)
15.00
F.6.m Any Other Items (
Please Specify)
Total grant for
decentralized
commodities
42.11 7.60
Grand Total for
grant-in-aid under
NVBDCP
1130.48 1370.60
Commodity to be
supplied by
NVBDCP
0.00
Total NVBDCP
Cash +
Commodity
1130.4
8
1370.6
0
Approval of State PIP 2013-14: TRIPURA Page 324
ANNEX 4D
NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)
Activity
proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
G1.Case
detection &
Management
1.1 Specific -
plan for High
Endemic
Districts
Block - - -
1.2 Services in
Urban Areas
Town -
Med I -
Med II-
Mega-
Town -
Med I -
Med II-
Mega-
4 0.60 0.60
1.3. ASHA
Involvement - - -
No
demand
Sensitization 100 500 2.00 0.50 Execss
demand
* Incentive to
ASHA
Detection 250 10 0.25 0.25
PB 400 4 0.24 0.16
MB 600 6 0.36 0.36
1.4 Material &
Supplies
Supportive
drugs, lab.
reagents &
equipments and
printing works
District 68,000 8 1.80 1.80
1.5 NGO -
Scheme No. 600000 - - -
G2. DPMR
MCR footwear,
Aids and
appliances,
Welfare
allowance to
patients for RCS,
Support to govt.
institutions for
MCR - 300/- 50 0.15 0.15
2 pair per
person
Aids/Appliance -
17000 8 0.08 0.08
Welfare/RCS -
8000 8 0.24 0.64
At Institute - 5000 8 0.40 0.40
Approval of State PIP 2013-14: TRIPURA Page 325
Activity
proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
RCS
At camps - 10000
G3. **
IEC/BCC
Mass media,
Outdoor media,
Rural media,
Advocacy media
98,000 8 2.00 2.00
G4. Human
Resources &
Capacity
building
4.1 *** Capacity
building 8 3.20 3.20
4.2. Human
Resources on
contract
4.2.1. ****
Contractual Staff
at State level
SMO 1 40000 - - -
BFO cum Admn.
Officer 1 30000 1 2.52 2.52
Admn. Asstt. 1 16000 1 1.80 1.80
DEO 1 12000 1 1.44 1.44
Driver 1 11000 1 1.20 1.20
4.2.2. District
Leprosy
Consultant
30000 - - -
Post of
Driver of
districts
not
available
Physiotherapist 25000 - - -
4.2.3. Special
Provision for
selected States
NMS No. 25000 - - -
4.2.4. Staff for
blocks
PMW No. 16000 - - -
G5. Programme
Management
ensured
Approval of State PIP 2013-14: TRIPURA Page 326
Activity
proposed Unit
Unit Cost (In
Rupees)
Physical
Targets
Amount
proposed
(Rs. in
lakhs)
Amount
approved
(Rs. in
lakhs)
Remarks
5.1. Travel Cost
travel expenses -
Contractual Staff
at State level
80000 8 0.20 0.20
travel expenses -
Contractual Staff
at District level
25000 8 0.20 0.20
5.2 Review
meetings 20000 to 50000 4 0.52 0.52
5.3 Office
Operation &
Maintenance
Office operation
- State Cell 1 75000 1 0.40 0.40
Office operation
- District Cell No. 35000 8 0.72 0.72
Office equipment
maint. State 1 50000 1 0.50 0.50
5.4 Consumables
State Cell 1 50000 1 0.30 0.30
District Cell No. 30000 8 0.56 0.56
5.5 Mobility
Support
State Cell 2 200000 1 1.50 1.50
District Cell 1 150000 8 2.40 2.40
G6 Others
travel expenses -
Contractual Staff
at State level
GRAND
TOTAL 25.58 24.40
Approval of State PIP 2013-14: TRIPURA Page 327
*Incentive to ASHAs will be given at revised rate subject to the approval by MSG.
**The State Leprosy Officer will be able to distribute the total IEC funds on the basis of actual
requirements of each district keeping adequate funds at State level under Mass Media and Advocacy
meetings.
***Unit cost of Training to be calculated as per State NRHM norm fixed for all health programmes.
**** Remuneration of Contractual staff may be revised keeping in view the prevailing rate of
remuneration in other National Health Programmes.
Approval of State PIP 2013-14: TRIPURA Page 328
ANNEX 4E
REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP)
S.
No
Category of
Expenditure
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 as
planned 5.85 3.51
I.2 Laboratory
materials
As per Revised
Norms and Basis of
Costing for RNTCP
1) Sputum of TB
Suspects
Examined per lac
population per
quarter;
2) All districts
subjected to IRL
On Site
Evaluation and
Panel Testing in
the year;
3) IRLs
accredited and
functioning
optimally 7.5 7.5
I.3 Honorarium
As per Revised
Norms and Basis of
Costing for RNTCP
1) All eligible
Community DOT
Providers are paid
honorarium in all
districts in the FY 10.1 4.74
As per norms and data.
I.4 ACSM
As per Revised
Norms and Basis of
Costing for RNTCP
1) All IEC/ACSM
activities
proposed in PIP
completed;
2) Increase in case
detection and
improved case
holding; 10.36 10.36
I.5 Equipment
maintenance
As per Revised
Norms and Basis of
Costing for RNTCP
1) Maintenance of
Office
Equipments at
State/Districts and
IRL equipments
completed as
planned;
2) All BMs are in
functional 4.08 2.85
Approval of State PIP 2013-14: TRIPURA Page 329
S.
No
Category of
Expenditure
Unit cost
(wherever
applicable)
Physical target
/expected output Amount
Proposed
Amount
Approved Remarks
condition
I.6 Training
As per Revised
Norms and Basis of
Costing for RNTCP
1) Induction
training, Update
and Re-training of
all cadre of staff
completed as
planned; 8.18 5.72
I.7
Vehicle
maintenance/
operation
As per Revised
Norms and Basis of
Costing for RNTCP
1) All 4 wheelers
and 2 wheelers in
the state are in
running condition
and maintained; 8.37 6.69
As per norms
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 31.23 24.99
As per norms
I.9 NGO/PP
support
As per Revised
Norms and Basis of
Costing for RNTCP
1) Increase in
number of
NGOs/PPs
involved in signed
schemes of
RNTCP;
2) Contribution of
NGOs/PPS in
case detection and
provision of DOT 45.88 37.48
I.1
0
Medical
College
As per Revised
Norms and Basis of
Costing for RNTCP
1) All activities
proposed under
Medical Colleges
head in PIP
completed 18.94 18.94
I.1
1
Office
Operation
As per Revised
Norms and Basis of
Costing for RNTCP
1) All activities
proposed under
miscellaneous
head in PIP
completed 7.24 7.24
I.1
2
Contractual
services
As per Revised
Norms and Basis of
Costing for RNTCP
1) All contractual
staff appointed
and paid regularly
as planned 155.53 155.53
I.1
3 Printing
As per Revised
Norms and Basis of
Costing for RNTCP
1) All printing
activities at state
and district level 2 2
Approval of State PIP 2013-14: TRIPURA Page 330
S.
No
Category of
Expenditure
Unit cost
(wherever
applicable)
Physical target
/expected output Amount
Proposed
Amount
Approved Remarks
completed as
planned
I.1
4
Research and
studies
As per Revised
Norms and Basis of
Costing for RNTCP
1) Proposed
Research has been
initiated or
completed in the
FY as planned 2 2
1.1
5
Procurement
of drugs
0 0
I.1
6
Procurement –
vehicles
As per Revised
Norms and Basis of
Costing for RNTCP
1) Procurement of
vehicles
completed as
planned 10.45 10.45
I.1
7
Procurement-
Equipments
As per Revised
Norms and Basis of
Costing for RNTCP
1)Procurement of
equipments
completed as
planned 5.2 29.4
C&DST equipments
have been approved
here
I.1
8
Patient
support &
Transportation
As per Revised
Norms and Basis of
Costing for RNTCP
Payment of
transportation
charges to
patients 2.11 2.11
I.1
9
Supervision &
Monitoring
As per Revised
Norms and Basis of
Costing for RNTCP
Number of
evaluation and
review meeting
done by state 10 10
Subtotal 345.05 341.56
Disease control Flexi pool fund
24.2 0
Approved under
Procurement of
equipments head
TOTAL APPROVAL 369.25 341.51
Approval of State PIP 2013-14: TRIPURA Page 1