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8/2/2019 Revised NAC PPT (Final) 3
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ON 23rd 24th April, 2012
Of
AT NEC SECRETARIAT SHILLONG
CONSULTATIONs
The WORKING GROUP of
NATIONAL ADVISORY COUNCIL
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HEALTH AND FAMILY WELFARE
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Area 22,429 sq km
Population 29.64 lakh
Hospitals 11
Community Health Centres 29
Public Health Centres 108
Health Sub Centres 408Infant Mortality Rate 58/1000 (SRS-2008)
MMR* 300/100,000
Total Fertility Rate* 3.0
Doctors (incl. Specialists) 649
Nurses 1517
Paramedical Staff 579
Villages Connected with Roads 2992 out of 5782* Estimates by State Government
Health Profile
Health Sector - Profile
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HR- ISSUES
346 sub centers short, most sub centers lack regular power
supply.
Manpower shortage - PG specialists, doctors and general nurses Attempts to recruit doctors on contract have not produced
desired results
Telemedicine not feasible due to poor connectivity
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BRIDGING THE GAP
MOU with GVK EMRI for providing ambulatory services for
emergency cases - 42 ambulances operating through out the state.
Population of 70,000 per ambulance
OPEX : 60% 1st year, 40 % 2nd year & 20% 3rd year borne by NRHM.
From the fourth year onwards State has to bear the entire expenses
COMMUNITISATION APPROACH
Rogi Kalyan Samitis (RKS)
Decentralized funding at all the facilities
Minor civil work, procurement of equipments by RKSCommunity decides use of annual Untied Fund, Annual
Maintenance Grant and RKS fund
Rs. 10,000/- per year to all villages for health and sanitation
programs
Community monitoring taken up in 3 districts as a pilot.
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AYUSH
Supply of AYUSH medicines by Central Government insufficient &
irregular.
AYUSH health worker placed at the CHCs/PHCs have been
withdrawn by the centre.
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NEW INITIATIVES
PPP project on medical college approved, bidding in final stage
19 PHCs, 2 CHCs and 1 St. Dispensary outsourced to 6 NGOs
(Funding pattern- 90% State and 10% NRHM)
Increase in Bond amount for all students (State/Central quota)
going for PG/UG
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Liberalisation of funding norms for outsourcing PHCs (50:50),emergency ambulance services (beyond 4th year),
Ambulance for every 50,000 persons
The state supports restructuring of release of NEC funds.
Where LC is required to be signed with the Banks, the presentdispensation of 40:40:20 release needs review. In such cases100% funding in one installment with the caveat that the staterelease the state share first. For other equipments 75% bereleased as first installment
Restoration of AYUSH health worker at PHC/ CHC and regularsupply of medicines
Recognise Traditional/Herbal Health practitioners
POLICY SUPPORT REQUIRED
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Sports and Youth Affairs
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Marquee Projects identified by State may be supported by theMinistry of Sports, Government of India with upper cap of not
less than Rs.50 crore.
The Urban Infrastructure Scheme Cap should be increased to
Rs. 10 crore per project from Rs. 5 crore. Component for IEC for the PYKKA scheme.
A Centre of Excellence (Sports Academy) for at least one Major
Sport in each State to be supported by GOI.
Sports hostel for Boys and Girls in the District HQs.
SPORTS
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Better Integration of coordination of Central Government
agencies like the NYK, NSS with State organizations-
State/Regional level Monitoring Committees for Oversight and
Accountability.
A new Central Sector Scheme for Exposure of Youth from NEStates to successes at the national level- higher investments
in capacity building, business incubation and leadership
development.
Support for collaboration with institutions such as BharatYuva Shakti Trust etc.
YOUTH AFFAIRS
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Telecommunication
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Cellular Mobile Services were introduced only in 2003 after a
delay of eight years compared to the rest of the country.
Poor service quality complaints.
Data transfer through broadband remains unsatisfactory.
No reliable power backup, lot of disruptions including thosedue to natural calamities.
Ministry of DONERs recommendation to look at telecom
services in the NER as Essential Service and not as
Obligation needs to be accepted and implemented urgently.
Current Status
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Policy Issues We fully support the recommendations of the Working Group for:
Special Comprehensive Telecom Plan for the NER.
Funding Support to Public sector agencies- BSNL and RAILTEL to provide Panchayat
level connectivity within 18 months. 18-month target is ambitious!
Last mile Connectivity to subscribers in remote and difficult areas core issue &
needs to be tackled on topmost priority, DoNER & USOF support may be explored.
Population Criteria need not be the only criteria.
Provision for adequate power and alternate energy sources. Right of Wayto BSNL for fibre optic cable proving to be a considerable constraint.
Farthest first principle can be implemented provided this right of way is guaranteed.
Establishment of commercial IT hubs and centers for Entrepreneurship
Development -potential partners need to be incentivized
Private service providers selected through competitive bidding process to providelast mile connectivity form Panchayat to subscriber.
The National Fibre Optic Network created as a SPV to give fibre optic connectivity
upto every Panchayat in the country.
Common Service Centres (CSC) on a commercial basis: 212 CSCs have been set up
under this initiative in Meghalaya
Response to Recommendations of the Working Group
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NER Telecom Survey for identification of strategic locations whereadditional technological and financial support may be required for the last
mile connectivity.
Development of local web content: This exercise has been initiated in the
State through the SSDG project and the State portal is now ready to be
launched.
Tele-medicine programme/contents will need to be developed by the
concerned agencies and systems developed to transmit the programmes
to the end-users. The issues of connectivity needs to be addressed
alongside for any progress on this.
Distance Learning for the higher education sector, appropriatetelecommunication facilities should be ensured for long distance learning
and virtual class rooms. The State supports this initiative.
Response to Recommendations of Working Group(2)
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16
HIGHER EDUCATION
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Number of Colleges - 67
Number of Polytechnics - 3
Number of ITIs - 7Number of Central Universities - 1
Number of Private Universities - 10
National Institutions (IIM, NIT, NIFT) - 3
Profile of Higher Education
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Arts Commerce Science
Students who have
passed HSSLC in 2011
10771 1628 2041
Availability of seats 5360 500 4050
Shortfall 5411 1128 - 2009
18
This is just the State Board of Meghalaya.
Demand also from students of other States in North East and those from
other Boards e.g. CBSE, ICSE
SHORTFALL/EXCESS SEATS
The Challenge in Higher Education
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Improving Access to Central Institutions: Quota system as in
RIMS Imphal or 50% for State as in case of NIT be examined
Other existing institutions: NEC funding for premier colleges as
these cater to whole region
New colleges: Funding stream for recurring expenditure needed
Department of Engineering & Technology at NEHU: Department
exists, more seats & infrastructure needed
Encourage vocational and entrepreneurship institutes
Alongside, an increase in scholarships & stipends from NEC
needed for poor ST students
IECT project: GoM supports proposal 19
More Seats, More Colleges
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Institutions to be set up offering vocational courses and tradeswhich are relevant for ongoing economic and Governmentactivities.
Incentives such as scholarships and work placements to beoffered.
Existing institutions can be strengthened and supported forrunning courses which will turn out students with attractiveemployability levels.
20
VOCATIONAL & EMPLOYABILITY ISSUES
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21
Civil aviation
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Meghalaya - a hilly region with inadequate road
connectivity, civil aviation is strategic need
State presently has two airports, one at Umroi, Ri-Bhoi
District (Shillong Airport) ,the other in Jengjal, West Garo
Hills (Baljek Airport). Helipad is proposed at ALG Eastern
Air Command in Upper Shillong
Comprehensive plan for civil aviation under preparation
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Shillong Airport (Umroi) is
connected to Kolkata only 6-days aweek. The service is also not
reliable due to frequent
cancellation of flights.
Absence of refueling facility at
Umroi Airport is a major hurdle.
Government has waived VAT on
ATF. IOC has been requested to
restore refueling facilities
Baljek Airport - not yet operational
State is keen to resume helicopter
services in the state. Tender has
been floated.
Current Status
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24
FINANCIAL INCLUSION
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4 Districts identified for 100 % Financial Inclusion
Percentage of Villages covered : 73 to 95 %
Percentage of Households covered : 54 to 84 %
Villages having population of over 2000 allotted to 5 Banksfor coverage by existing Branches, B.C.s, Mobile Vans etc.
Current Status
Number of Banks 30CD ratio - 37.68% (60%)
12 Banks have CD ratio below 20%
Priority Sector Advance to NBC - 42.69%(40%)
Agri. Advance to total Advance- 12.27%(18%)
Banks with less than 20% CD ratio have been
asked to raise their CD ratio to 30%
Number of Bank Branches 277
Rural 150
Semi urban 47
Urban 80
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Current Status (Cont.)
RSETI
Only one RSETI set up. For remaining Districts Land identified and in
the process of handing over in 5 locations.
KISAN CREDIT CARDS NUMBER AMOUNT (CRORES OF RS)
TARGET (2011-12) 47400 142.31
ACHIEVEMENT (DEC,
2011)
11675 41.24
SELF HELP GROUPS
TOTAL NUMBER 13575
SHG THAT HAVE TAKEN UP ECONOMIC ACTIVITIES 9205
TARGET FOR SHG FINANCING Rs. 30.95 Crores
ACHIEVEMNET (DEC, 2011) Rs. 3.65 Crores
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We support the recommendations of Working Group for:
Assistance to B.C.s in remote areas to make their business
viable.
Co-option of Post Offices to act as B.C.s.Provision of VSAT connectivity to Bank on wheels.
Expansion of RRBs.
MoRD to prepare road map for promotion of SHGs Bank
linkage.
NABARD to examine risk sharing, viability funding to supportloan products.
Micro Finance institutions to be encouraged
Response to Recommendations of the Working Group
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Women Economic Empowerment through Financial Inclusion -
Scheme launched by State Government to identify partners for
entrepreneurship development .
Rs. 5000 margin money to be given to each family.
60,000 families to be covered in 2012 13.
4 lakh families in next five years.
Financial Inclusion Initiative of State Government
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Other Initiatives
Social capital to facilitate financial capital formation
Concept of Integrated Village Cooperatives (IVCS) being
experimented with
Financial Inclusion together with Livelihood Opportunities,
Natural Resource Management and Climate Change Adaptation
(credit demand for cleaner fuel and clean water).
Mobile bank units for financial outreach in weekly markets.
Subsidy to be replaced by Government Equity in thematic and
diversified activities.
Government equity to social institutions for maintenance of
rural assets and social financing of enterprises Need further relaxation in norm of 1000 for Ultra Small Bank
Branches
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The Financial Inclusion Initiative is an important component of the
State flagship programme- Integrated Basin Development & Livelihood
Promotion Programme- with thrust on effective NRM, Value Addition,
and leveraging of Social Capital for risk mitigation in promotion of
Financial Inclusion and Market Access Support.
Integrated basin Development & Livelihood Promotion
(IBDLP)
Entrepreneurs under the IBDLP need to be backed by
assured financial support (agreement with Banks/ Trade
Partners)
Needs Policy Support of Government of India
and pro-active support of Banks and Financial
Institutions.
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EnergyApiculture
Water
Forestry
Sericulture
Tourism
Livestock
Horticulture
Aquaculture
Livelihoods
11 Accompanying Measures
Information and Comm. tech
Knowledge Mgt.
CommunicationCapacity Building
Infrastructure
Governance
Policy Support/ Legislation
Institutional development
(SHG, Federations, WDC)
Financial inclusionMarket Linkages
Convergence
9
Missions
IBDLPFRAMEWORK
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Thanks
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Current Status (3)
Kisan Credit Cards : Nos Amount (Rs/Crore)
Target during 2011 12 : 47,400 142.31Achievement till Dec. 2011 : 11,675 41.24
Self Help Groups (SHGs)
Total No. of SHGs - 13575
No. of SHGs taken up economic activities - 9205Target for financing SHGs - Rs. 30.95 crore
Achievement till December 2011 - Rs. 3.65 crore
R S E T I S:
Only one RSETI set up. For remaining Districts Land identified andprocess of handing over in 5 locations.