2013-14 - state health society tamil nadu

2013-14

Approval of State Programme

Implementation Plan:

Tamil Nadu

Ministry of Health & Family

Welfare, Government of India

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

F. No.10 (29)/2013 -NRHM-1 Government of India

Ministry of Health & Family Welfare (National Rural Health Mission)

Nirman Bhavan, New Delhi

Dated: 6th June 2013

To

Mission Director (NRHM), Government of Tamil Nadu, State Health Society-Tamil Nadu 359, Anna Salai, DMS Complex, 5th Floor, Teynampet, Chennai-6.

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 14th May 2013at New Delhi.

2. Against a resource envelope of Rs. 1319.81crores, the administrative approval of PIP for your State is conveyed for an amount of Rs. 1014.17crores. Details are provided in Table A, B and C below. Uncommitted and unspent balance available under NRHM as on 01.04.2013 (when available, at a later date) would also be a part of resource envelope.

TABLE- A

Particulars Rs. In Crore Uncommitted unspent balance available under NRHM as on 1.4.2013

141.24

GOI Resource Envelope for 2013-14 under NRHM (assuming no reduction on account of conditionalities)

795.54

Assuming 10% incentive based on performance 88.39

25% State Share (2013-14) 294.64

Total Envelope for FY 2013-14 1319.81

TABLE- B

Sr. No. Name of Programme

GOI Resource Envelope under NRHM 2013-14

1 RCH Flexible Pool 238.91 2 Mission Flexible Pool 270.09

3 Immunization (from RCH Flexible Pool)

11.98

4 NIDDCP 0.24 5 IDSP 1.57 6 NVBDCP 19.72 7 NLEP 2.28 8 RNTCP 31.27

9 Infrastructure Maintenance (Treasury Route)

298.14

10 PPI Operational Cost 9.73

Total GOI resource envelope (assuming 10% incentive)

883.93

11 25% State Share 294.64

12

i)Uncommitted Unspent Balance available under Mission-RCH-Immunization Flexipool as on 01.04.2013

141.24

ii) Uncommitted Unspent Balance available under NDCPs as on 01.04.2013

0.00

Total- Resource Envelope 1319.81

Committed Unspent balance up to 2012-13 to be revalidated in 2013-14 303.12

The funds under NIDDCP and Infrastructure Maintenance is routed through treasury, however their state share will be credited in the bank accounts of State Health Society and will be utilized for activities that are approved.

TABLE- C

Sr. No.

Scheme/Programme Approved Amount (Rs. Crore)

Annex ref

1 RCH Flexipool 319.29 1

2 NRHM Flexipool 310.83 2

3 Immunization and PPI operation cost

22.48 3

4 NIDDCP 0.24 4A

5 IDSP 6.80 4B 6 NVBDCP 19.86 4C

7 NLEP 2.78 4D 8 RNTCP 33.74 4E

9 Infrastructure maintenance (Treasury route) 298.14

Total 1014.17

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 25% 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

(Ashish Chandra Verma) Director (NRHM)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 2013-14: TAMIL NADU

Table of Contents SUMMARY .......................................................................................................................................... 10

STATE-SPECIFIC GOALS ............................................................................................................. 1

SERVICE DELIVERY TARGETS ................................................................................................. 2

KEY CONDITIONALITIES AND INCENTIVES ............................................................................ 4

FINANCE: KEY ISSUES AND GUIDING PRINCIPLES................................................................ 7

ROAD MAP FOR PRIORITY ACTION ............................................................................................ 9

MATERNAL HEALTH ..................................................................................................................... 21

GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH ........................... 22

DELIVERY POINTS: ..................................................................................................................... 22

ROAD MAP FOR PRIORITY ACTION: ..................................................................................... 23

DETAILED BUDGET: .................................................................................................................... 27

CHILD HEALTH, RBSK & IMMUNIZATION ................................................................................. 34

CHILD HEALTH TARGETS 2013-14 ............................................................................................ 35

PROCESS INDICATORS ................................................................................................................ 36

ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH ..................................................... 37

IMMUNIZATION AND PPI OPERATION COST ...................................................................... 47

FAMILY PLANNING .......................................................................................................................... 53

CONDITIONALITY FOR 2013-14 ................................................................................................. 55

ROAD MAP FOR PRIORITY ACTION ...................................................................................... 57

Budget Details:.................................................................................................................................. 59

ADOLESCENT HEALTH ................................................................................................................... 64

ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH ....................................... 65

Budget details: .................................................................................................................................. 67

URBAN RCH ....................................................................................................................................... 74

Detailed Budget: .............................................................................................................................. 75

ROAD MAP .................................................................................................................................... 80

Budget Details:.................................................................................................................................. 82

HUMAN RESOURCES AND PROGRAMME ................................................................................... 83

MANAGEMENT .................................................................................................................................. 83

ROAD MAP: HUMAN RESOURCES ............................................................................................ 84

Detailed Budget: ............................................................................................................................... 85

ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT ........................ 102

Detailed Budget: ............................................................................................................................ 104

OTHERS ............................................................................................................................................. 108

DETAILED BUDGET: TRAINING ........................................................................................... 108

MISSION FLEXIBLE POOL (MFP) .............................................................................................. 120

ASHA ................................................................................................................................................. 121

TARGETS: .................................................................................................................................... 121

ROAD MAP FOR PRIORITY ACTION: ................................................................................... 121

Detailed Budget: ............................................................................................................................. 122

UNTIED FUNDS, AMG, CORPUS GRANTUNTIED FUNDS/ RKS/ AMG ............................ 125


Detailed Budget: ............................................................................................................................. 127

NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP ............................................... 129


PROCUREMENT ............................................................................................................................. 132


Detailed Budget: ............................................................................................................................. 132

MOBILE MEDICAL UNITSMOBILE MEDICAL UNIT (MMU) ............................................. 137

ROAD MAP FOR PRIORITY ACTION: ...................................................................................... 138

Detailed Budget: ............................................................................................................................. 139

REFERRAL TRANSPORT .............................................................................................................. 140


Detailed Budget: ............................................................................................................................. 141

MAINSTREAMING OF AYUSH ................................................................................................... 143

ROAD MAP FOR PRIORITY ACTION ....................................................................................... 143

IEC/BCC ............................................................................................................................................ 146


MONITORING AND EVALUATION (HMIS)/MCTS ................................................................ 148


Others .................................................................................................................................................. 153

Detailed Budget: Hospital Strengthening ....................................................................................... 153

Detailed Budget: Regional drugs warehouses/Logistics management ........................................... 158

NATIONAL DISEASE CONTROL ................................................................................................... 160

PROGRAMMES (NDCPs) ................................................................................................................. 160

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP) ........ 161

DETAILED BUDGET: NIDDCP ................................................................................................... 162

*There is no activity –wise fund break up proposal in respect of NIDDCP in the PIP for the year 2013-14 ............................................................................................................................................... 163

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 21 endemic districts funds will be released through flexi pool of NRHM by GOI.INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) .................................... 163

DETAILED BUDGET: IDSP ......................................................................................................... 165

Based on past trend of expenditure, Rs 157.00 lakhs has been approved in BE for Tamil Nadu under IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norms, the budget for State could be increased at RE stage. .......................................................................... 167

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) ..................... 168

Physical Targets: ............................................................................................................................. 168

Priority areas for focused attention: ................................................................................................ 168

Essential Conditionality .................................................................................................................. 169

1. ... Minimum two review meeting in a year to be conducted under the Chairpersonship of Principle Secretary (Health)/ Mission Director - one before transmission period and second during transmission period ......................................................................................................................... 169

Desirable conditionality .................................................................................................................. 169

Road Map for priority Action: ........................................................................................................ 169

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) ................................................. 178

State specific Goals and Targets for the year 2013-14: .................................................................. 178

DETAILED BUDGET: .................................................................................................................. 178

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP) ........................ 182

Budget details: ................................................................................................................................ 183

ANNEXURESAnnexure-1 ................................................................................................................. 186

RCH FLEXIPOOL.......................................................................................................................... 187

Annexure 2 .......................................................................................................................................... 227

MISSION FLEXIBLE POOL ...................................................................................................... 227

ANNEXURE 3.................................................................................................................................... 256

IMMUNIZATION AND PPI OPERATION COST ................................................................... 256

ANNEXURE 4A ................................................................................................................................. 262

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP) ........................................................................................................................................................ 262

*There is no activity –wise fund break up proposal in respect of NIDDCP in the PIP for the year 2013-14 ............................................................................................................................................... 263

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 21 endemic districts funds will be released through flexi pool of NRHM by GOI.ANNEXURE 4B ......................................................................................................................... 263

INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP) ...................................... 264

Based on past trend of expenditure, Rs 157.00 lakhs has been approved in BE for Tamil Nadu under IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norms, the budget for State could be increased at RE stage.ANNEXURE 4C ............................................. 266

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) .......... 267

ANNEXURE 4E ................................................................................................................................ 278

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP) .................... 278

SUMMARY

Approval of State Programme Implementation Plan 2013-14: Tamil Nadu Page 1

STATE-SPECIFIC GOALS

The following are the agreed goals and service delivery targets for the state of Tamil Nadu:

Indicator CURRENT CAD (%) State Targets

India Tamil Nadu

India Tamil Nadu

2013-14 2014-15 Target for 12th

Plan

CAD (%)

Maternal Health

MMR (SRS 07-09)

212 97 -5.8 -4.4 59 53 44 -9.4

Child Health

U5MR (SRS 2011)

55 25 -7.3 -11.4 21 19 15 -10.0

IMR (SRS 2011) 44 22 -6.0 -10.8 18 16 13 -10.0

NMR (SRS 2011)

31 15 -4.0 -10.6 13 12 10 -10.0

Family Planning

TFR (SRS 2011) 2.4 1.7 -2.6 0.0 1.7 1.7 1.7 Maintain the

current levels

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.


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

95.6% 92.6% 1179742 (93%)

Deliveries taking place in public facilities*

891660 (77%)

Caesarean Section rate in public health facilities

133749 (15%)

Line listing and follow up of Severely Anaemic pregnant women

13664

Child Health

Full Immunisation (%) 77.3 95%

New borns visited by ASHA (as per HBNC guidelines)

416,519

(70%)

Line listing and follow up of Low Birth Weight babies

41235

(70%)

Percentage of SNCUs admitting at least 6 babies per month per bed

80%

Family Planning

Female sterilisations (lakhs) 254544 (HMIS 2011-

355000

Post-Partum sterilizations (lakhs) 291151 (HMIS 2011-

295000

Male sterilisations (lakhs) 1767 (HMIS 2011-

5000

IUD insertions (lakhs) 287674 (HMIS 2011-12)

375000

Disease Control

ABER for malaria (%) >10%


API for malaria (per 1000 population)

< 1%

Annualized New Smear Positive Detection Rate of TB (%)

80%

Success Rate of New Smear Positive Treatment initiated on DOTS (%)

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 07 high priority districts (Listed below) out of a total of 32 districts should be at least, on par with the state average; and subsequently in line with the performance of the top 10% of districts.

1 Vellore 2 Madurai 3 Krishnagiri 4 Tiruvannamalai 5 Trichy 6 Thirunelveli 7 Virudhanagar


KEY CONDITIONALITIES AND INCENTIVES

Following conditionalities shall be adhered to by the State and are to be treated as non-negotiable:

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.


KEY CONDITIONALITIES

5. As agreed, the following key conditionalities would be enforced during the year 2013-14.

a) Rational and equitable deployment of HR1with 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 upto 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 (upto 8% of the outlay).

b) Quality assurance (upto 3% of the outlay).

c) Inter-sectoral convergence (upto 3% of the outlay).

d) Recording of vital events including strengthening of civil registration of births and deaths (upto 2% of the outlay).

e) Creation of a public health cadre (by states which do not have it already) (upto 5% of the outlay)

f) Policy and systems to provide free generic medicines to all in public health facilities (upto 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 the

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.


g) Timely roll out of RBSK (upto 5% of the outlay)

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 (upto 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.


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. Statement of State share Contributions from the F.Y.2007-08 to 2012-13 :

(Rs. In Crore)

Year Amounts required on basis of releases

Amount Credited Short/ (Excess)

2007-08 88.91 98.70 -9.79

2008-09 81.52 58.02 23.50

2009-10 104.49 95.92 8.57

2010-11 117.06 162.00 -44.94

2011-12 130.59 117.66 12.93

2012-13* 315.88 319.78 -3.90

Total 838.45 852.08 -13.63

* Figures are provisional.

State is to ensure that outstanding state share needs to be deposited in to the Account of State Health Society. It is to be noted that from 2012-13, funding from the Centre and from the States will be in the ratio of 75:25.

4. Release of full funds as per the entitlements for the year 2013-14, would be contingent on the State providing Utilisation Certificate against the grant released to the state upto 2011-12 for all the programmes under NRHM.

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; competitiv ebidding must be ensured and only need-based procurement should take place.

13. State should ensure expenditure of at least 15% by June 2013 and 45% by September 2013 of their approved resource envelope under each pool in the FY 2013-14.

14. Unit Costs in relation to various procurements of equipments and printing etc. are only indicative for the purpose of estimations. However, actual expenditure must be incurred after following rules and due processes”.


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

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




management staff 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 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 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 the private sector

Implementation of Clinical Establishment Act; quality of services, 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


SUMMARY BUDGET 2013-14: TAMIL NADU

S. No. Budget Head FY 2013-14 Budget ( Rs lakhs )

Proposed Approved %

1. RCH FLEXI POOL

A1 Maternal Health 13223.42 12493.60 12.32

A2 Child Health 600.30 561.50 0.55

A3 Family Planning 471.21 471.21 0.46

A4 ARSH 1897.96 1471.72 1.45

A5 Urban RCH 1546.38 673.20 0.66

A6 Tribal RCH 375.26 36.60 0.04

A7 PNDT & Sex Ratio 0.00 0.00 0.00

A8 Infrastructure & HR 16423.82 7955.29 7.84

A9 Training 3254.59 1619.33 1.60

A10 Programme Management 2159.40 999.81 0.99

A11 Vulnerable groups 0.00 0.00 0.00

Total Base Flexi Pool 39952.35 26282.27 25.92

A12 JSY 3602.13 3602.13 3.55

A13 Sterilisation & IUD Compensation, and NSV Camps 2045.00 2045.00 2.02

Total Demand Side 5647.13 5647.13 5.57

Total RCH Flexi Pool 45599.48 31929.39 31.48

2. MISSION FLEXI POOL

B1 ASHA 700.02 424.89 0.42

B2 Untied Funds 3255.75 2879.74 2.84

B3 Annual Maintenance Grants 2039.50 1614.02 1.59

B4 Hospital Strengthening 18985.41 11993.91 11.83

B5 New Constructions/ Renovation and Setting up 6865.00 3562.09 3.51

B6 Corpus Grants to HMS/RKS 3182.00 2025.00 2.00

B7 District Action Plans (including block, village) 0.00 0.00 0.00

B8 Panchayati Raj Initiative 54.87 22.13 0.02

B9 Mainstreaming of AYUSH 2817.07 637.85 0.63

B10 IEC-BCC NRHM 1344.14 361.95 0.36



Proposed Approved %

B11 Mobile Medical Units (Including recurring expenditures) 3654.67 0.00 0.00

B12 Referral Transport 3592.62 0.00 0.00

B13 PPP/ NGOs 1800.00 0.00 0.00

B14 Innovations (if any) 5436.48 263.42 0.26

B15 Planning, Implementation and Monitoring 1626.65 187.86 0.19

B16 Procurement 11201.23 6971.38 6.87

B17 Regional drugs warehouses 786.57 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 40.00 40.00 0.04

B21 State level Health Resources Center 58.84 0.00 0.00

B22 Support Services 465.58 0.00 0.00

B23 Other Expenditures (Power Backup, Convergence etc) 326.96 99.00 0.10

TOTAL MFP 68233.36 31083.24 30.65

3. IMMUNIZATION

C1

RI strengthening project (Review meeting, Mobility support, Outreach services etc) 964.85 974.65 0.96

C2 Salary of Contractual Staffs 58.61 13.98 0.01

C3 Training under Immunisation 73.16 73.16 0.07

C4 Cold chain maintenance 20.00 16.89 0.02

C5 ASHA Incentive 196.69 196.69 0.19

Total Immunization 1313.30 1275.36 1.26

C6 Pulse Polio Operational Cost 972.88 972.88 0.96

Total RI & PPO costs 2286.18 2248.24 2.22 4. NATIONAL DISEASE CONTROL PROGRAMMES

4A National Iodine Deficiency Disorders Control Programme (NIDDCP) 133 24 0.02



Proposed Approved %

4B Integrated Disease Surveillance Programme(IDSP) 919.39 680.42 0.67

4C National Vector Borne Disease Control Programme (NVBDCP) 4960.08 1985.75 1.96

4D National Leprosy Eradication Programme (NLEP) 258.55 277.9 0.27

4E Revised National Tuberculosis Control Programme (RNTCP) 3961.15 3373.85 3.33

Total NDCP 10232.17 6341.92 6.25

5. INFRASTRUCTURE MAINTENANCE

Total Infrastructure Maintenance 29814.00 29814.00 29.40

GRAND TOTAL 156165.18 101416.79 100.00


Maternal Health


GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH

Indicator Target

MMR and expected Maternal Deaths 59 and 700

Nos. of Maternal Deaths Reported and Reviewed 700 (100%)

ANCs registered within first trimester 1179742 (93%)

Institutional Deliveries (out of the total estimated deliveries) to be conducted in Public health institutions from 47% in 2012-13 to 77% in 2013-14

891660 (77%)

Caesarean Section rate in public health facilities from 11% in 2012-13 to 15% in 2013-14

133749

Severely Anemic Pregnant Women** out of total anemic pregnant women (@2%)

13664

**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 (for three years) CEmOC(L3) Maintain Levels. BEmOC(L2) 121 (30 per year)


ROAD MAP FOR PRIORITY ACTION:

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 operationalizing 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.

The targets for different categories of facilities are:

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 2nd 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.

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 counselling. VHND and other outreach services on designated days.


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” with GOI prescribed color coding and other details.

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 referred facility within next 30 mins.

Monthly data on utilization of each ambulance (eg. Trips per day) to be maintained, analyzed and take corrective action if anything to be taken

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 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 process including periodic testing of drugs through govt. certified labs be carried out by the process of randomized sampling.

All the drugs should have atleast 5/6th of the shelf life at the time of receiving the drugs at indenting facility.

All other govt. procedure for procurement needs 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 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 operationalize 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 CENTRES 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 MH nodal officer and he should be involved in its monitoring.

All the MCH wing must be located within the campus of the existing health facility and completed in 2-3 years.

Non-negotiables under Janani Suraksha Yojana:

State needs to ensure strict compliance of the following non-negotiable under JSY:

1. State will ensure that JSY guidelines are strictly followed and payments are made as per the eligibility criteria.

2. State will ensure that AADHAAR numbers/EID and bank account details of the JSY beneficiaries are captured in the integrated RCH registers and seeded in the MCTS database.

3. State will ensure that there would be no delays in JSY payments to the beneficiaries and full amount of financial assistance is given to the beneficiary before being discharged from the health facility after delivery.

4. 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. In case, Direct Benefit Transfer mechanism is not implemented in the State/UT, JSY payments to be made only through account payee cheques. Compliance of the above is a pre-requisite for JSY releases to the State/UT.

5. State will ensure that strict monitoring and verification of beneficiaries is done by state and district level health authorities to check malpractices.

6. State will ensure that grievance redressal mechanisms as stipulated under JSY guidelines are activated at the district and state levels.

7. State will ensure the accuracy of JSY data reported at the HMIS portal of MOHFW and also furnish the Quarterly progress reports to the Ministry within the prescribed timeframe.


Detailed Budget:

S. No. Budget Head

Amount Approved (Rs.lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.1 MATERNAL HEALTH

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)

402 0 1233.88 1193.56

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

402 1233.88 1193.56 Rs.1193.56 Lakhs approved. Approval is given for existing HR at last year rate [HR for 402 ICTC units (LTs & ICTC counsellor)] . The no. of staff and salary to be shared with GoI. Rs.16.14 Lakhs for provision of disposable gloves and syringes and Rs.24.18 lakhs for supportive supervision should be a part of Comprehensive Procurement plan and Comprehensive Supportive Supervision Plan respectively, hence Not approved.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

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)

417888 0 0.00 0.00

A. 1.3.1. Outreach camps 0.00

A.1.3.2. Monthly Village Health and Nutrition Days

417888 0.00

A.1.4. Janani Suraksha Yojana / JSY

518024 2400 3602.13 3602.13

A.1.4.1 Home deliveries 376 500 1.88 1.88 Approved.

A.1.4.2 Institutional deliveries 475248 1300 3186.43 3186.43

A.1.4.2.a Rural 334943 700 2344.60 2344.60 Approved

A.1.4.2.b Urban 140305 600 841.83 841.83 Approved

A.1.4.2.c C-sections 0.00

A.1.4.3 Administrative Expenses

159.42 159.42 Approved.

A.1.4.4 Incentives to ASHA 42400 600 254.40 254.40 Approved.

A.1.5 Maternal Death Review (both in institutions and community)

800 10000 80.00 80.00 Approved. The state has to ensure that the honorarium should be as per RCH/NRHM norms and state reports on these clinical audits and confidential enquiry to be shared with GOI. State also needs to ensure that programmatic analysis is done besides core clinical findings.

A.1.6 Other strategies/activities (please specify)

9584 4500 151.73 151.73

A.1.6.1 Observation of high risk AN mothers

1470 1700 24.99 24.99 Approved.

A.1.6.2 Blood camp arrangements

770 1200 9.24 9.24 Approved.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.1.6.3 AN mothers in Tribal birth waiting room

7344 1600 117.50 117.50 Approved. Break up of Rs 1600 (Rs.80/ person x 2 persons x 10 days )

A.1.7 JSSK- Janani Shishu Surakhsha Karyakram

2765001 1200 11757.81 11068.31

A.1.7.1 Drugs and consumables

900000 4837.50 4837.50 Approved as following: 7.65 lakhs NDs @ Rs.350/ND and 1.35 lakhs C-sections @ Rs.1600/C-Sec

A.1.7.2 Diagnostic 40000 200 80.00 80.00 Approved for 40000 PW @Rs 200/PW

A.1.7.3 Blood Transfusion 0.00

A.1.7.4 Diet (3 days for Normal Delivery and 7 days for Caesarean)

690000 1060.00 920.50 Approved as following: Diet for 2.75 lakh NDs @ Rs.80/day for 3 days. 5000 C-Sections @ Rs. 80/day for 7 days and Diet of 310000 AN mothers @Rs 25/AN mother/visit for 3 visits when they come to the PHC /CHC for AN check.

A.1.7.5 Free Referral Transport

990000 5400.00 4950.00 Approved as following: Pick up to 9 lakhs AN women (7.65 lakhs NDs and 1.35 lakhs C-sections) @Rs 250/AN women, Drop back facility to 9 lakhs PN Women @ Rs 250/PN RT facility to 90000 sick new borns (10% of total deliveries)@ Rs. 500/ neonate.

A.1.7.6 Other JSSK activity 145001 1000 380.31 280.31

A.1.7.6.1 Establishment of JSSK Call centre AND Grievance redressal cell

1 180.31 180.31 Approved for comprehensive 104 call centre i.e. all types of grievance redressal as well as Health Help Line.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.1.7.6.2 Hiring of Specialists for MCH care

135000 100.00 100.00 Approved incentives to LSAS and EmOC trained doctors. State to reflect rate. Conditionality: Rs. 1000/- per visit for conducting C-Section can be given to the specialist (from private sector) where there is no Govt specialist available.

A.1.7.6.3 Hiring of Super Specialists for MCH care

10000 1000 100.00 0.00 Not approved.

Sub-total Maternal Health (excluding JSY) 13223.42 12493.60

Sub-total JSY 3602.13 3602.13 A.9.3 Maternal Health

Training

A.9.3.1 Skilled Attendance at Birth / SBA

360 52800 190.08 190.08

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

360 52800 190.08 190.08 Approved

A.9.3.1.5 Training of ANMs / LHVs in SBA

0.00

A.9.3.2 EmOC Training 5 2296640 58.37 55.87

A.9.3.2.1 Setting up of EmOC Training Centres

0.00

A.9.3.2.2 TOT for EmOC 1 1200000 12.00 12.00 Approved.

A.9.3.2.3 Training of Medical Officers in EmOC

4 1096640 46.37 43.87 Approved for 4 batches only

A.9.3.3 Life saving Anaesthesia skills training

25 482980 118.97 118.97

A.9.3.3.1 Setting up of Life saving Anaesthesia skills Training Centres

0.00


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.3.3.2 TOT for Anaesthesia skills training

1 49750 0.50 0.50 Approved.

A.9.3.3.3 Training of Medical Officers in life saving Anaesthesia skills

24 433230 118.48 118.48 Approved.

A.9.3.4 Safe abortion services training (including MVA/ EVA and Medical abortion)

216 0 21.24 21.24

A.9.3.4.1 TOT on safe abortion services

0.00

A.9.3.4.2 Training of Medical Officers in safe abortion

216 21.24 21.24 Approved.

A.9.3.5 RTI / STI Training 108 85425 46.13 46.13

A.9.3.5.1 TOT for RTI/STI training

0.00

A.9.3.5.2 Training of laboratory technicians in RTI/STI

54 32700 17.66 17.66 Approved

A.9.3.5.3 Training of Medical Officers in RTI/STI

54 52725 28.47 28.47 Approved

A.9.3.6 BEmOC training for MOs/LMOs

330 24000 79.20 79.20 Approved

A.9.3.7 Other maternal health training (please specify)

198 67250 66.74 66.74

A.9.3.7.1 AMTSL training (2nd spell)

144 33800 48.67 48.67 Approved.

A.9.3.7.2 Training of Staff Nurses in RTI/STI

54 33450 18.06 18.06 Approved.

A.9.3.8 Blood Storage Unit (BSU) Training

0.00

A.9.3.9 Skill Lab Training 108 59400 64.15 64.15 Approved 48 batches of Medical Officers and 60 batches of Staff nurse/ANM

Sub Total Maternal Health Training 644.87 642.37

B1.1.3.1 Incentive under MH (ANC/PNC)

B1.1.3.1.1 Accompanying non JSY mother

21200 200 42.40 42.40 Approved.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

B1.1.3.1.2 VHSWC meeting, VHN Day, Adolescent monthly meeting, MMU, PHC meeting

13625 550 74.94 74.94 Approved.

B1.1.3.1.3 Attending screening camps (NCD, Health Mela, Vitamin A, Deworming, etc.,)

21200 150 31.80 31.80 Approved.

Subtotal ASHA Incentive under MH (ANC/PNC) 149.14 149.14

B16.1.1 Procurement of equipment: MH

B16.1.1.1 Equipments for Blood Banks/ BSUs

108 947.93 807.10 Approved. Rs. 807.10 approved for refrigerator@Rs 56000/-*2=1.12 lacs, Binocular Microscope @ Rs 9000/-*2= 18000/-, Cold box @ Rs 5000/- *2=10,000/- Centrifuge @15000/-*2=30,000 for BSU at the maternity wing at Tiruvannamalai Medical College & Sivaganga Medical College, Component Separator Units in 15 District HQ Hospitals@ 53.695 lacs*15= 805.4 lacs.

B16.1.1.2 MVA /EVA for Safe Abortion services

500 1600 8.00 8.00 Approved.

B16.1.1.3 Others (please specify)

12063 32856 593.68 558.22

B16.1.1.3.1 Equipment ( Sahli's Hemoglobinometer) for 300 HSCs

300 2000 6.00 6.00 Approved.

B16.1.1.3.2 Equipment for CEmONC intensive care unit and Equipments for RCH-Centre of Excellence of Madurai and Salem Medical Colleges

57 537.00 537.00 Approved.

Sub-total Procurement of equipment: MH 1549.61 1373.32


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

B.16.2.1 Drugs & supplies for MH

B.16.2.1.1 RTI /STI drugs and consumables

0.00

B.16.2.1.2 Drugs for Safe Abortion

5850 428 25.04 7.31 Approved Rs 7.31 lacs for 5850 combi pack @ Rs 125/-.

B.16.2.1.3 Others (Please specify)

2 10000 0.20 0.20

B.16.2.1.3.1 Iron Sucrose 0.00 B.16.2.1.3.2 Lab reagents for

GDM 2 10000 0.20 0.20 Approved.

Subtotal Drugs & supplies for MH 25.24 7.51 Grand Total MH 19194.41 18268.07


CHILD HEALTH, RBSK & IMMUNIZATION


CHILD HEALTH TARGETS 2013-14

Indicator CURRENT CAD 2008/2011 (%)

State Targets

India Tamil Nadu

India Tamil Nadu

2013-14

2014-15

Target for 12th Plan(2017)

CAD (%)

Child Health

U5MR (SRS 2011)

55 25 -7.3% -11.4 21 19 15 -10.0

IMR (SRS 2011) 44 22 -6% -10.8 18 16 13 -10.0

NMR (SRS 2011) 31 15 -4% -10.6 13 12 10 -10.0

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 9.9% or 58908

NA 41235

(70%)

58908

(100%)

New borns visited by ASHA (as per HBNC guidelines){Nos; (%)}

Rural Live Births as per

HMIS data: 5,95,028

0 416,519

(70%)

595,028

(100%)

Percentage of SNCUs admitting at least 6 babies per month per bed

NA NA 80% 95%

Trend (SRS) Targets (SRS)

2008 2009 2010 2011 2012 2013 2014 2015 2016

NMR 21 18 16 15 14 13 12 11 10

IMR 31 28 24 22 20 18 16 14 13

U5MR 36 33 27 25 23 21 19 17 15


PROCESS INDICATORS

Current Status

Target for

2013-14

KEY PERFORMANCE INDICATORS (CUMULATIVE)

1 Establishment & operationalization of SNCUs

(Target 12-13: 64)

64 64

2 Establishment & operationalization of NBSU

(Target 12-13:156 )

114 156

3 NBCC at delivery points (Target 12-13:

1766 )

1766 1844

4 Establishment of NRCs (Target 12-13: 2 )

0 2

5 Personnel trained in IMNCI (ANM+LHV)

No.

65481 0

6 Personnel trained in F-IMNCI (MO+SN)

No. 9052 4836

7 Personnel trained in NSSK (MO+ANM+SN)

No. 9052 4386

KEY PERFORMANCE INDICATORS (NON CUMULATIVE)

1 New borns visited by ASHA (as per HBNC guidelines)

No. 0 416,519

% 70% Rural Live Birth

2 LBW children tracked(state HMIS) No. NA 41,235

% NA 70% LBW in Rural

3 Percentage of SNCUs admitting at least 6 babies per month per bed

% NA 80%


ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH

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 counseling 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.


Budget Details:

S. No. Budget Head

Amount Approved (Rs. lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.2. CHILD HEALTH A.2.1 IMNCI (including F-

IMNCI; primarily budget for planning for pre-service IMNCI activities in medical colleges, nursing colleges, and ANMTCs)

1.00 20.40 20.40 Approved. Detail available in Annexure IMNCI cell

A.2.2 Facility Based New born Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR, Infrastructure, procurement, training, IEC etc.) e.g. operating cost rent ,electricity etc. interest money

2064 537500 347.30 347.30

A.2.2.1 SNCU 64.00 500000 320.00 320.00 Approved

A.2.2.2 NBSU 156.00 17500 27.30 27.30 Approved

A.2.2.3 NBCC 1844.00 20000 0.00 0.00 Approved activity(operational cost for 1844 NBCCs@ Rs.20000/NBCC ), but since funds are available with State, no funds are being booked for the activity

A.2.3 Home Based Newborn Care/HBNC

1 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.)

2 390000 7.80 7.80 Approved for 2NRCs.

A.2.6 Management of diarrhoea & ARI & micronutrient malnutrition

0.00


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)


15 72000 0.00 0.00 Approved activity (well-baby clinic in PHCs by paediatrician in NICU in 15 high IMR block. Prenatal screening to detect foetal anomaly in PPP mode - cost for online auditing and software. ), but since funds (Rs. 7.20 lakhs) are available with State, no funds are being booked for the activity

A.2.8 Infant Death Audit 4 150000 6.00 6.00 Approved for 4 seminars.

A.2.9 Incentive to ASHA under child health

0.00

A.2.10 JSSK (for Sick neonates up to 30 days)

109400 200 218.80 180.00

A.2.10.1 Drugs & Consumables (other than reflected in Procurement)

109400 200 218.80 180.00 Approved for drugs & consumables for 90000 sick neonates (10% of total delivery) @ Rs 200/neonate.

A.2.11 Any other interventions (eg; rapid assessments, protocol development)

0 0 0.00 0.00

A.2.11.1 Rapid assessment, State level review and NBSU review meeting

0.00

Sub-total Child Health 600.30 561.50 A.9.5 Child Health Training A.9.5.1 IMNCI Training (pre-

service and in-service) 510 765520 204.47 60.80

A.9.5.1.1 TOT on IMNCI (pre-service and in-service)


A.9.5.1.2 IMNCI Training for ANMs / LHVs

202 32580 65.81 32.58 Approved for 100 batches only.

A.9.5.1.3 IMNCI Training for Anganwadi Workers

300 27405 82.22 0.00 Not approved for Anganwadi Workers.

A.9.5.2 F-IMNCI Training 100 210660 105.33 52.67


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.5.2.1 TOT on F-IMNCI 0.00

A.9.5.2.2 F-IMNCI Training for Medical Officers

50 105330 52.67 26.33 Approved for 25 batches.

A.9.5.2.3 F-IMNCI Training for Staff Nurses


A.9.5.3 Home Based Newborn Care / HBNC

15 58500 8.78 8.78

A.9.5.3.1 TOT on HBNC 0.00

A.9.5.3.2 Training on HBNC for ASHA

15 58500 8.78 8.78 Approved.

A.9.5.4 Care of sick children and severe malnutrition at FRUs

22 124725 8.31 0.00

A.9.5.4.1 TOT on Care of sick children and severe malnutrition

1 89400 0.89 0.00 Not approved. TOT will be organised by MoHFW

A.9.5.4.2 Training on Care of sick children and severe malnutrition for Medical Officers

21 35325 7.42 0.00 Not approved. State to share the details of NRCs Programme with GoI.

A.9.5.5 Other child health training (please specify)

4090 192115 192.36 88.83

A.9.5.5.1 NSSK Training 72 64390 25.63 25.63

A.9.5.5.1.1 TOT for NSSK 1 28700 0.29 0.29 Approved.

A.9.5.5.1.2 NSSK Training for Medical Officers

0.00

A.9.5.5.1.3 NSSK Training for SNs 0.00

A.9.5.5.1.4 NSSK Training for ANMs

71 35690 25.34 25.34 Approved.

A.9.5.5.2 Other Child Health training

4018 127725 166.73 63.21

A.9.5.5.2.a Orientation on Infant Young Child Feeding Practice - TOT

9 74675 6.72 6.72 Approved.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.5.5.2.b FIMNCI and Pre IMNCI for Medical Students (Govt, Pvt)

3125 500 15.63 15.63 Approved.

A.9.5.5.2.c Training on Care of sick children and severe malnutrition for ANM/LHV/CDPO/Gr.I, II supervisors

95 18500 17.58 0.00 Not approved. State to share the details of NRC Programme in the State with GoI.

A.9.5.5.2.d Orientation on Infant Young Child Feeding Practice - MO/SN

341 24050 82.01 28.86 Approved for 6 regional centres conducting trainings of MO/SN (120 batches).

A.9.5.5.2.e Orientation on Infant Young Child Feeding Practice - ANM/LHV

448 10000 44.80 12.00 Approved for 120 batches of Health Functionaries

Sub Total Child health Training 519.24 211.07

A.4.2 School Health programme

A.4.2.1 Prepare and disseminate guidelines for School Health Programme.

4500 100 2.25 4.50 Approved for 4500 RBSK guidelines @ Rs 100 per copy. Conditionality Only RBSK guidelines to be disseminated with the first convergence meeting.

A.4.2.2 Prepare detailed operational plan for School Health Programme across districts (cost of plan meeting should be kept)

31.00 15.25 Rs 15.25 lakhs is approved for one State, District and block level convergence meeting as the grassroots level implementation is proposed for one month only.

A.4.2.3 Mobility support 1080000 250 270.00 0.00 Referral transport cost is not approved under RBSK, State patient transport facility and dedicated team vehicles to be used for the same.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4.2.4 Referral support 1015.49 0.00 Approval for comprehensive Dental health programme shifted to A 4.2.5.5 and Correction of Refractive error programme shifted to A 4.2.5.3

A.4.2.5 Other strategies for school health

1614 0 579.22 1451.97

A.4.2.5.1 MSHP 279.22 279.22 Approved. Conditionality State to report physical achievement of the programme as separate annexure of RBSK reporting.

A.4.2.5.2 Hiring of Doctors 1614 0.00

A.4.2.5.3 Correction of Refractive error programme

572.25 Approved. Shifted from A 4.2.4 Conditionality State to report physical achievement of the programme as separate annexure of RBSK reporting.

A.4.2.5.4 RBSK Cards and registers

0.00 157.26 Shifted from B.10.5.3.1. Approved Rs 153.86 lakhs is for printing of RBSK cards for 153.86 lakhs cards @ Rs 1 per card. Rs 1.54 lakhs is for printing of formats of planning @ Rs 200 per team. 0.07 lakhs is for printing of 3 RBSK registers each for 770 teams, 31 DEIC and 1614 PHC @ Rs 150 per registers, Rs 1.79 lakhs is for 6 referral registers each for 231 delivery points, 31 DEIC and 19 DH @ Rs 100 per register.

A.4.2.5.5 Comprehensive school children dental programme

0.00 443.24 Approved. Shifted from A 4.2.4 Conditionality State to report physical achievement of the programme as separate annexure of RBSK reporting.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4.2.5.6 Pilot Project on Children Muscular Dystrophy Disorder

300.00 0.00 Approval pended. Shifted from B.13.2.1. State may submit SPIP with details of proposed amount, unit cost and unit of measure for the component. Linkages between the NGO with DEICs and vice versa for referral and care to be established. The new born screening of the RBSK to be linked with the programme.

Sub-total School Health Program 1897.96 1471.72

B1.1.3.2 Incentive under CH (HBNC)

B1.1.3.2.1 HBNC 54400 250 136.00 136.00 Approved. Ongoing Activity. 2650 existing ASHAs x 16 newborns x 250 + 1500 programme specific ASHAs x 8 newborns x 250 = 136 lakhs approved.

B1.1.3.2.2 Birth / Death Reporting 13250 25 3.31 3.31 Approved. Rs. 3.31 Lakhs for 2650 ASHAs x 5 deaths reported / ASHA x25 rs.

Sub-total Incentive under CH (HBNC) 139.31 139.31

Procurement of equipment: CH

B16.1.2.1 0.00

B16.1.2.2 Equipment for training for prenatal screening fetal anamoly in 78 CEmONC and 154 PHCs

232 0.00

B16.1.2.3 Child Health equipment 87 85000 73.95 73.95 Approved.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

B16.1.6.2 Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens’ Charts)

1079.14 1307.30 Approved. RS 277.20 lakhs is for equipments for 770 mobile health teams @ Rs 36000 per team (Pure tone audiometer is not approved for mobile health teams to begin with). Rs 499.10 is for equipments for DEICs for 31 DEICs @ Rs 16.10 lakh per DEIC, Rs 31 lakh for computers and peripherals @ Rs 50000 per set @ 2 sets for each 31 DEICs, Rs 500 lakhs is MRI for ICH. Conditionality State to follow RBSK guidelines for equipment details. Procurement of DEIC equipments to be sequenced with infrastructural development of DEICs as the equipments are sensitive.

Sub-total Procurement of equipment-CH 1153.09 1381.25

Grand Total - CH 4309.91 3764.86

Annx IMNCI Cell

S.no State IMNCI cell- expenses -Implementation

of Mentoring Program , staff and Office expenses

Cost in Rs. For 1 month

Amount per annum (in Rs.)

1 Personnel(Project Manager-1)

Apr’13 – Nov’13 14,587 175,044

Dec’13 – Mar’14* 15,316 183,796

Sub-Total 358,840

2 Accounts &Administrative Assistant (Data manager)- 1

Apr’13 - Mar’14 10000 120000

Sub-Total 120,000 3 Personnel (Accounts

Assistant- 1) Apr’13 – Nov’13 7277 87,324 Dec’13- Mar’14* 7650 91,800

Sub-Total 179,124 4 Data Entry operator - 1 Apr’13 – Nov’13 7277 87,324


Dec’13- Mar’14* 7650 91,800 Sub-Total 179,124

5 Data Entry operator - 1 Apr’13 – Mar’14 Rs.6,600 79,200 Sub-Total 79,200 Total HR 916,288 Other expenses

1 Honororium for Technical Advisors – 2 (to be paid at actuals at the rate of Rs. 1000 per day)

10,000 200,000

2 Travel expenditure to be reimbursed at actual including of vehicle hiring, DA, etc. for the State IMNCI Nodal Center

100,000 100,000

3 Stationery 6,000 72,000 4 Contingency 2,500 30,000 5 Communication ( telephone and internet and

postal charges) 6000 72,000

6 Infrastructure Maintenance ( inclusive of Room, AC, Electrical repairing, Furniture, etc)

100,000

7 Maintenance of Desktop Computer with accessories including Fax machine, Printer, Scanning and UPS.

50,000

8 Miscellaneous expenses: 500,000 1. Conferences

2. Preconference workshops

Total 2,040,288


IMMUNIZATION AND PPI OPERATION COST

Sr.

No.

Budget Head Quantity/

Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

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.

42.00 80.00 80.00 Approved.

c.1.b

Mobility support for supervision at state level

Rs. 150000 per year.

1.00 1.50 1.50 Approved.

c.1.c

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

Rs. 10 beneficiaries

1614.00

119.80 119.80 Approved.

c.1.d

Support for Quarterly State level review meetings of district officer

Rs. 1250/ per participant/day for 3 persons (CMO/DIO/Dist. Cold Chain Officer)

4.00 4.80 4.80 Approved. 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)



Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

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)


c.1.g

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

Hiring of ANM@450/session for four session/month/slum of 10000 population and Rs. 300/- per month as contingency per slum i.e. Rs. 2100/- per month per slum of 10000 population

6960.00

146.16 146.16 Approved.

c.1.h

Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

6.27 6.27 Approved.

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

Rs. 150 per session

62868.00

94.30 94.30 Approved.

c.1.j Alternative Vaccine Delivery in other areas

Rs. 75 per session

389844.00

292.38 292.38 Approved.

c.1.k

To develop micro plan at sub-centre level

@ Rs 100/- per subcentre

8.71 8.71 Approved.


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

c.1.l For consolidation of micro plans at block level

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

0.00 4.69 4.49 Approved.

c.1.m

POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs1,50,000/ district/year

42.00 48.00 48.00 Approved.

c.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

1.54 1.54 Approved.

c.1.o

Red/Black plastic bags etc. Rs. 3/bags/session

15.54 15.54 Approved.

c.1.p

Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket

Rs. 1200 per PHC/CHCper year

0.00 0.00

c.1.q

Safety Pits Rs. 5250/pit 1614.00

84.74 84.74 Approved.

c.1.r State specific requirement (For 385 blocks, an average of one alternate vaccinator may be required per month per block. They may be provided Rs. 200 per Immunization session.385 blocks x One vaccinator x 12 months x Rs.200 = Rs. 9,24,000)

4620.00

9.24 9.24 Approved, however, the expenditure has to be as per actuals.

c.1.s Teeka Express Operational Cost

0.00 0.00 The State is not included under the liast of States proposed for Teeka Express introduction

c.1.t Measles SIA operational Cost 0.00 0.00 No Measles SIA is scheduled in F.Y. 2013-14

c.1.u

JE Campaign Operational Cost

28.69 38.69 Approved.


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

c.1.v

Others 0.00 0.00

C.1-Sub Total 964.85 974.65 C.2 Salary of Contractual Staffs C.2.1

Computer Assistants support for State level

Rs.12000-15000 per person per month

1.00 1.08 0.54 Approved. 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


C.2.3

Others(service delivery staff) - WIC attendant (18) - Rs 14.69 lakhs

6.00 14.69 0.00 Not approved for WIC attendant for new HR

C.2-Sub Total 58.61 13.98 C.3 Training under Immunization 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

31.00 26.00 26.00 Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division.

C.3.2

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

31.00 37.00 37.00


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

C.3.3

One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats

42.00 0.48 0.48

C.3.4

Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers

31.00 8.80 8.80

C.3.5

One day training of block level data handlers by DIOs and District cold chain officer

1.00 0.87 0.87

C.3.6

Others 0.00 0.00

C.3-Sub Total 73.16 73.16 C.4 Cold chain maintenance

Rs.750/PHC/CHCs per year District Rs.15000/year

42.00 20.00 16.89 Approved as per norms, However, the expenditure has to be as per actuals.Also, in case the expenditure exceeds the approved allocation , the state may request to MOHFW for additional allocation by reappropriating within part C.

C.5 ASHA incentive for full Immunization

Rs 100 per child for full immunization in first year

196.69 196.69


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

Rs 50 per child for ensuring complete immunization upto 2nd year of age

Total ROUTINE IMMUNIZATION

1313.30 1275.36

C.6 Pulse Polio Operational Cost (Tentative)

972.88 972.88 Approved, subject to approval for Pulse Polio Cost.

Grand Total - Immunisation 2286.18 2248.24


FAMILY PLANNING


Family Planning: Projections & Conditionality (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 2011) Maintain TFR level 1.2 Contraceptive Prevalence

Rate (CPR) 57.8 (DLHS-3) 70.0 72.5 75.0 80.0

1.3 Unmet Need 19.4 (DLHS-3) 12.0 11.0 9.0 8.0 2 Service delivery: 2.1 IUCD - Total 287674

(HMIS 2011-12) 375000 400000 435000 460000

2.2 Post-partum IUCD (subset of IUCD-total) 125000

25% of the Public Health Institution Deliveries of that year

2.3 Female Sterilisation 254544 (HMIS 2011-12)

355000 360000 365000 370000

2.4 Post-partum sterilisation (subset of tubectomy)

291151 (HMIS 2011-12)

295000 300000 305000 310000

2.5 Male sterilisation 1767 (HMIS 2011-12)

5000 6500 9000 10000

Total Sterilization 292918 (HMIS 2011-12) 360000 366500 374000 380000

3 Input/ facility operationalization:

3.1 Fixed Day service delivery:

3.1.1 IUCD Twice weekly at SC Weekly once at 8706 HSC All SHC All SHC All SHC All SHC

Daily at DH, SDH, CHC Daily PHCs (1614), PPCs(110) & UFWCs (108)

Weekly @ PHC + CHC

Weekly @ PHC +

CHC

Weekly @ PHC + CHC

Weekly @ PHC + CHC

3.1.2 Sterilisation FS- Daily-225 (Med College,DH & SDH), Wkly twice – 70 (SDH-Non Taluk), Weekly once-360 (Upgraded PHC & Block PHC), Once in 15 days – 48 H Facilities, Once in a month – 106 H Facilities. MS: 195 (DH, SDH & MCH)

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

172 FP counsellors DH + 1 SDH/ FRU

per dist

DH + all FRU per

dist

DH + all FRU per

dist

DH + all FRU per

dist


Conditionality for 2013-14

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 2011)

2 Service delivery (ELA):

2.1 IUCD: 375000 150000 337500

2.1.1 PPIUCD 125000 50000 112500

2.1.2 Interval IUCD 250000 100000 225000

2.2 Sterilisation: 360000 108000 288000

2.2.1 Tubectomy 355000 106500 284000

2.2.2 Post-partum sterilisation (subset of tubectomy)

295000 88500 236000

2.2.3 Vasectomy 5000 1500 4000

3 Training of personnel (target):

3.1 Post-partum IUCD 320 80 240

3.1.1 MO 0 0

TOTs: State Trainers (3 OG Specialist) and District Trainers: 79 OG Specialist.

3.1.2 SN 320 80 240 1State SN as TOT

3.2 Interval IUCD 2294 574 1721

3.2.1 MO 54 14 41

IUCD 380 A TOTs :112 Mos (8 at State , 104 at District), 38 DMCHO (1 at State, 37 at Districts) Trained IUCD 375-TOTs-2 MOS at State, 59 at Districts trained

3.2.2 SN 1240 310 930

IUCD 380 A : 48 SNs ( 1 at State, 47 at Districts)IUCD 375: 62 SNs


SN. Indicator Target/ ELA - 2013-14

Minimum Level of Achievement Remarks

By end of Sep. 2013

By end of March 2014

3.2.3 ANM/ LHV 1000 250 750

3.3 Minilap 100 25 75 31 TOTs(1 at State, 30 at District)

3.4 NSV 0 0

15 TOTs (1 at State, 14 at District)& 107 MOs Trained

3.5 Laparoscopic 390 98 293 117 Trained

4 Others (target):

4.1 Appointment of FP Counsellors

172 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

Weekly once at 8706 HSC & Daily PHCs (1614), PPCs(110) & UFWCs (108)

NA 100%

4.4 Fixed Day Services for Sterilisation

FS- Daily-225 (Med College,DH & SDH), Wkly twice – 70 (SDH-Non Taluk), Weekly once-360 (Upgraded PHC & Block PHC), Once in 15 days – 48 H Facilities, Once in a month – 106 H Facilities. MS: 195 (DH, SDH & MCH)

NA 100%


ROAD MAP FOR PRIORITY ACTION

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 of 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

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


Budget Details:

S. No. Budget Head

Amount

Approved (Rs.

lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.3 FAMILY PLANNING

A.3.1 Terminal/Limiting Methods

203486 38700 2060.20 2060.20

A.3.1.1 Orientation workshop, dissemination of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting

42 36200 15.20 15.20 Approved.

A.3.1.2 Female sterilisation camps

252 0 0.00 0.00 Approved activity, but since funds are available with State, no funds are being booked for the activity

A.3.1.3 NSV camps 192 0.00 0.00 Approved activity, but since funds are available with State, no funds are being booked for the activity

A.3.1.4 Compensation for female sterilisation

200000 1000 2000.00 2000.00 Approved

A.3.1.5 Compensation for male sterilization/NSV Acceptance

3000 1500 45.00 45.00 Approved.

A.3.1.6 Accreditation of private providers to provide sterilisation services

0.00

A.3.2 Spacing Methods 350624 2020 70.00 70.00

A.3.2.1 IUD camps 624 2000 0.00 0.00 Approved activity, but since funds are available with State, no funds are being booked for the activity


S. No. Budget Head

Amount

Approved (Rs.

lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.3.2.2 IUD services at health facilities (including fixed day services at SHC and PHC)

350000 20 70.00 70.00 Approved.

A.3.2.2.1 PPIUCD services 0.00

A.3.2.3 Accreditation of private providers to provide IUD insertion services

0.00

A.3.2.4 Social Marketing of contraceptives (including 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 mobility support to surgeon's team if req)

17 36000 6.12 6.12 Approved for 17 districts.

A.3.4 Repairs of Laparoscopes

0.00

A.3.5 Other strategies/activities (please specify):

100460 700000 379.89 379.89

A.3.5.1 Monitor progress and quality, QAC meetings /review of sterilization failures etc.

26 6.00 6.00 Approved for 12 meetings @ Rs. 50000/meeting

A.3.5.2 Performance reward if any

1 700000 7.00 7.00 Approved

A.3.5.3 World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities

33 20.00 20.00 Approved


S. No. Budget Head

Amount

Approved (Rs.

lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.3.5.4 Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.)

100400 0 346.89 346.89

A.3.5.4.1 Family Planning indemnity insurance scheme & Study on retention of PPIUCD

141.14 139.14 Approved as following: Rs.139.14 lakhs for the Family Planning Indemnity Scheme and Rs.2.00 lakhs for study on retention of PPIUCD shifted to FMR A. 3.5.4.3,

A.3.5.4.2 OT CONTINGENCIES & Dietary charges for FW acceptors

100400 205.75 205.75 Rs. 45.75 approved for PHC OTs. Rs. 205.75 lakhs approved for 1 lakh cases (81000 at PHCs and 19000 at Urban FW Centre) @ Rs.80/ day for 2 days

A.3.5.4.3 Study on retention of PPIUCD

0.00 2.00 Shifted from FMR A. 3.5.4.1, Rs.2.00 lakhs for study on retention of PPIUCD

Sub-total Family Planning (excluding Sterilisation Compensation and NSV Camps)

471.21 471.21

Sub-total Sterilisation Compensation and NSV Camps

2045.00 2045.00

A.9.6 Family Planning Training

A.9.6.1 Laparoscopic Sterilisation Training

130 81600 51.72 51.72

A.9.6.1.1 TOT on laparoscopic sterilisation

10 42000 4.20 4.20 Approved (3/batch, 10 batches).


S. No. Budget Head

Amount

Approved (Rs.

lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.6.1.2 Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant)


A.9.6.2 Minilap Training 50 28000 14.00 14.00

A.9.6.2.1 TOT on Minilap 0.00

A.9.6.2.2 Minilap training for medical officers


A.9.6.3 Non-Scalpel Vasectomy (NSV) Training

0 0 0.00 0.00

A.9.6.3.1 TOT on NSV 0 0 0.00

A.9.6.3.2 NSV Training of medical officers

0 0 0.00

A.9.6.4 IUD Insertion 166 124000 68.80 68.80

A.9.6.4.1 TOT for IUD insertion

0 0 0.00

A.9.6.4.2 Training of Medical officers in IUD insertion


A.9.6.4.3 Training of staff nurses in IUD insertion

62 46000 28.52 28.52 Approved. (20/batch, 62 batches).

A.9.6.4.4 Training of ANMs / LHVs in IUD insertion


A.9.6.5 Contraceptive update/ISD Training

0 0 0.00

A.9.6.6 Other family planning training (please specify)

70 37000 8.36 8.36

A.9.6.6.1 Refresher training on IUCD - 380 A


A.9.6.6.2 Training of FP Counsellors


A.9.6.7 PPIUCD insertion training

32 25200 8.06 8.06 Approved with batch size of 10 participants


S. No. Budget Head

Amount

Approved (Rs.

lakhs)

Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.6.8 IUCD 375 insertion training

0.00

A.9.6.9 Training of FP Counsellors

0.00

A.9.6.10 Training/ orientation on technical manuals

0.00

Sub-total Training - FP 150.94 150.94 B1.1.3.3 Incentive for FP(

PPIUCD/others)

B1.1.3.3.1 Spacing of 2 years after marriage

2650 500 13.25 13.25 Approved.

B1.1.3.3.2 Spacing of 3 years after birth of first child

2650 500 13.25 13.25 Approved.

B1.1.3.3.3 Male / Female sterilisation after 2 children

2650 1000 26.50 26.50 Approved.

B1.1.3.4 Incentive for AH 0.00

Sub Total Incentive under FP 53.00 53.00

B16.1.3 Procurement of equipment: FP

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 50 800000 400.00 315.00 Approved. Available Laprascopes: - Single Puncture: 200 ( Functional ; 99) - Double Puncture: 171 ( Functional: 124) Not procured for the last 3 years. Aprroved for 1 per 42 Health District @ Rs.7.5 lakhs forRs. 315.00 lakhs.

B16.1.3.5 PPIUCD forceps 0.00

Procurement of equipment: FP 400.00 315.00

Grand Total FP 3120.16 3035.15


ADOLESCENT HEALTH


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 IMPLEMENTATI ON:

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.

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.


Budget details:

S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

A.4.1 Adolescent health services

0 0 0.00 0.00

A.4.1.1 Disseminate ARSH guidelines.

0.00

A.4.1.2 Establishment of new clinics at DH level

0.00

A.4.1.3 Establishment of new clinics at CHC/PHC level

0.00

A.4.1.4 Operating expenses for existing clinics

0.00

A.4.1.5 Outreach activities including peer educators

0.00

A.4.1.6 Others 0.00 0.00 A.4.2 School Health

programme 1086114 350 1897.96 1471.72






S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)


A.4.2.4 Referral support 1015.49 0.00 Approval for comprehensive Dental health programme shifted to A 4.2.5.5 and Correction of Refractive error programme shifted to A 4.2.5.3


1614 0 579.22 1451.97

A.4.2.5.1 MSHP 279.22 279.22 Approved. Conditionality State to report physical acheivement of the programme as separate annexure of RBSK reporting.

A.4.2.5.2 Hiring of Doctors 1614 0.00

A.4.2.5.3 Correction of Refractive error programme

572.25 Approved. Shifted from A 4.2.4 Conditionality State to report physical achievement of the programme as separate annexure of RBSK reporting.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4.2.5.4 RBSK Cards and registers


A.4.2.5.5 Comprehensive school children dental programme


A.4.2.5.6 Pilot Project on Children Muscular Dystrophy Disorder



S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4.2.5.7 0.00

A.4.2.5.8 0.00

A.4.2.5.9 0.00

A.4.2.5.10 0.00


0 0 0.00 0.00

A.4.3.1 Mobility support for ARSH/ICTC counsellors

0.00

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 1897.96 1471.72 A.9.7 Adolescent

Reproductive and Sexual Health/ARSH Training

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

72 49000 35.28 35.28 Approved

A.9.7.4 ARSH training for ANMs/LHVs

72 61250 44.10 44.10 Approved

A.9.7.5 ARSH training for AWWs

0.00

A.9.7.6 Other ARSH training

253 122850 155.47 88.70

A.9.7.6.1 ARSH Training for SN and ICTC counsellor

144 61600 88.70 88.70 Approved.


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.7.6.2 ARSH training to HI

109 61250 66.76 0.00 Not approved.

A.9.7.6.1 WIFS training 0 0 0.00 0.00

A.9.7.6.1.1 State level/ District Level/ Block Level

0.00

A.9.7.6.1.2 refresher training –ANM/MO/ AWW/ Nodal Teacher

0.00

A.9.7.6.2 Menstrual hygiene training

0.00

A.9.7.6.3 SHP training 0 0 0.00 0.00

A.9.7.6.3.1 School Health Training -Training of team – technical and managerial

0.00

A.9.7.6.3.2 Training of Nodal teachers

0.00

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

Sub-Total Training ARSH 234.85 168.08 B.10.5 Other activities B.10.5.1 Printing of MCP

cards, safe motherhood booklets etc

834000 0.00 0.00

B.10.5.2 Printing of WIFS cards etc

617.30 349.95 Approved Rs. 349.95 Lakhs for printing of 8911644 compliance cards @ Rs.2 for WIFS and printing of registers

Sub-total IEC - ARSH 617.30 349.95 B16.1.6 Equipments for

ARSH/ School Health

B16.1.6.1 Equipments for ARSH Clinics

0.00


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

B16.1.6.2 Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens’ Charts)


Sub-total Equipments for ARSH/ School Health 1079.14 1307.30 B.16.2.6 Drugs & supplies

for WIFS

B.16.2.6.1 IFA 505533288 0.2 1011.07 1011.07 Approved.

B.16.2.6.2 Albendazole 19443588 0.85 165.27 165.27 Approved.

B.16.2.7 Drugs & supplies for SHP

59633 800 477.06 183.95 Approved. Rs 183.95 lakhs is approved for on-the-spot treatment of Mobile Health team @ Rs 50000 per team. Conditionality State to procure medicines according to RBSK EDL to be announced by GoI shortly. Medicine kit for schools are not approved as per RBSK


S. No. Budget Head


Remarks

Quantity / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

guidelines.

Sub-total Drugs & supplies for WIFS 1176.34 1176.34

Grand Total ARSH 5005.58 4473.40


URBAN RCH


Detailed Budget:

S. No. Budget Head

Proposed 2013-14 Remarks

Quantity / Target

Unit Cost ( Rs)

Amount Proposed (Rs. Lakhs)

Amount Approved (Rs. In Lakhs)

A.5 URBAN RCH (focus on Urban slums)

1546.38 673.20 As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Facility wise performance audit and corrective action based thereon. b) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. c) 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. - 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. - 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.

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

1215 774000 1456.38 583.20


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.5.2.1 Doctors/Mos 135 408000 550.80 307.80 Approved @ Rs.38000/m for 6 months

A.5.2.2 Specialist 0 0.00 A.5.2.3 Dentists 0 0.00

A.5.2.4 ANM 540 81600 440.64 64.80 Approved @ Rs.8000/m for 6 months for 135 ANMs

A.5.2.5 Staff Nurse 0.00 A.5.2.6 LHV 0 0.00

A.5.2.7 LT 135 102000 137.70 64.80 Approved @ Rs.8000/m for 6 months

A.5.2.8 Pharmacists 135 122400 165.24 97.20 Approved @ Rs.12000/m for 6 months

A.5.2.9 Radiographers 0.00 A.5.2.10 OT

Technician 0.00

A.5.2.11 Support staff 270 60000 162.00 48.60 Approved for 2 sanitary workers/UHC @ Rs.3000/m for 6 months

A.5.2.12 Others (pl specify)

0.00

A.5.3 Operating expenses for UHP and UHC

135 90.00 90.00 Approved.

A.5.4 Outreach activities

16 0.00

A.5.5 Others (pl specify)

0 0 0.00 0.00

Sub-total Urban Health 1546.38 673.20


Tribal RCH


Tribal RCH Detail Budget Sheet:

S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.6. TRIBAL RCH 375.26 36.60 A.6.1 Special plans for

tribal areas 17 156000 26.52 26.52 Approved. State need to

conduct evaluation of these birth waiting rooms in 17 Tribal PHCs and share with GoI.

A.6.2 HR for tribal areas ( in addition to normative HR)

42 26.50 6.00 Approved only for 10 existing tribal counselors @ Rs. 5000/- PM.

A.6.3 Outreach activities (Tribal MMUs)

20 1590800 318.16 0.00 Approval pended subject to State implementing ‘National MMU Guidelines’ for all the running MMUs under NRHM.

A.6.4 Other Tribal RCH strategies/activities (please specify)

116 6000 4.08 4.08

A.6.4.1 Referral services using four wheel drive vehicles

48 0 0.00

A.6.4.2 Honorarium for Birth waiting room staff

68 6000 4.08 4.08 Approved. State to conduct evaluation of these birth waiting rooms in 17 Tribal PHCs and share report with GoI.

Sub-total Tribal Health 375.26 36.60


PC-PNDT


ROAD MAP

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

Ͷ Reconstitution every three years (other than ex-officio members)

Ͷ Four meetings in a year

> Notification of three members Sate Appropriate Authority,

> Constitution of 8 member State Advisory Committee

Ͷ Reconstitution in every 3 years

Ͷ At least 6 meetings in a year

> Notification of District Appropriate Authorities

> Constitution of 8 member district Advisory Committees

Ͷ Reconstitution in every 3 years

Ͷ 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 > Appropriate Authorities

> Advisory committee members

> Nodal officers both State and District

ͻ Sensitisation and Alliance building with > Judiciary> Medical Council / associations >

Civil society. ͻ Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act

and promotion of Girl Child ͻ Convergence for Monitoring of Child sex Ratio at bir th

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 licenses of the convicted doctor cancelled or suspended


Budget Details:

S. No. Budget Head Quantity / Target

Unit Cost (Rs)


Amount Approved (Rs. Lakhs)

Remarks

A.7 PNDT Activities 0 0 0 0

Grant total PNDT

0.00 0.00


HUMAN RESOURCES AND PROGRAMME

MANAGEMENT


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).

Detailed Budget:

S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8 Human Resources 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

A.8.1 Contractual Staff & Services

317404 2971865 16423.82 7955.29


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



continuation for the next six months would be contingent on compliance of the above four conditionalities. - 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. - 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.

A.8.1.1 ANMs, Supervisory Nurses, LHVs,

8062 136715 6662.15 3641.65

A.8.1.1.1 ANMs 385 136715 344.79 187.00

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


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.1.1.d 24 X 7 PHC 211 124440 262.57 139.26 Approved @ Rs.11000/m for 6 months. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.1.e Non- 24 X 7 PHCs 62 12200 7.56 6.82 Approved @ Rs.11000/m for 1 month only(as proposed by State)

A.8.1.1.1.f Sub Centres 112 74.66 74.66 40.92 Approved @ Rs.11000/m for 62 ANMs for 6 months and Approval pended for 50 ANMs for 50 New HSCs as State needs to provide details of activity plan.

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 7677 0 6317.36 3454.65

A.8.1.1.2.a DH 1106 77.01

3454.65

Approved @ Rs.7500/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.2.b FRUs 311 301.58

A.8.1.1.2.c Non FRU SDH/ CHC 0 0.00

A.8.1.1.2.d 24 X 7 PHC 4842 4152.00

A.8.1.1.2.e Non- 24 X 7 PHCs 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.1.2.f SNCU/ NBSU/NRC etc

1116 1142.40

A.8.1.1.2.g Others 302 0 644.37

A.8.1.1.3 LHVs/supervisory nurses

0 0 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 A.8.1.2.1 Laboratory

Technicians 382 142000 232.32 41.70

A.8.1.2.1.a DH 28 10000 2.80 0.00 Approved for 132 LTs. Salary of 13 approved for 1 month only, as proposed by the State. Remaining for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. RBSK DEIC approval sifted to A 8.1.7.4.b

A.8.1.2.1.b FRUs 13 10000 1.30 1.30


A.8.1.2.1.d 24 X 7 PHC 211 102000 215.22 34.20

A.8.1.2.1.e Non- 24 X 7 PHCs 62 10000 6.20 6.20

A.8.1.2.1.f Others 68 10000 6.80 0.00

A.8.1.2.2 MPWs 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.3 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC )

512 1038000 661.69 595.89

A.8.1.3.1 Obstetricians and Gynecologists

159 70000 165.06 126.64

A.8.1.3.1.a DH 12 70000 7.14 7.14 Approved 12 OBG @ Rs.70000/m for 1 month and 85 % amount only (as proposed by State).

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) 147 157.92 119.50 36 EmOC trained

Medical Officers approved for 6 months @ Rs. 40000/-PM & 85 % amount (as proposed by State) . Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. 84 EmOC trained Medical Officers approved for 1 month @ Rs. 40000/-PM & 85


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



% amount proposed Specialists- OG for the RCH -Centres of excellence being established at Salem and Madurai Medical Colleges approved for 1 month. Rs.70000/month x 20 OBG x 1 month x 85% For the RCH- Centre of Excellence at IOG, approved 7 OBG as senior residents @ Rs.70000 per month. Rs.70000 x 7 OBG x 1 month

A.8.1.3.2 Pediatricians 72 70000 54.75 42.35

A.8.1.3.2.a DH 29 70000 20.30 20.30 Approved for 1 month only, as proposed by State.

A.8.1.3.2.b FRUs 0.00



S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.3.2.d Others (Please specify)

43 34.45 22.05 Approved for 10 paediatricians @ Rs. 70000/- for Salem and Madurai medical colleges for 3 months and 85% of the total amount (as proposed by State) and 2 paediatricians for the RCH -Centre of Excellence at IOG at Rs.70000 per month for 3 months. RBSK-DEIC (Rs. 12.40 lakhs)-Approval pended as HR is only be required once the DEIC infrastructural development is completed.

A.8.1.3.3 Anesthetists 48 140000 33.60 33.60

A.8.1.3.3.a DH 40 70000 28.00 28.00 Approved for 1 month only, as proposed by State.

A.8.1.3.3.b FRUs 0.00



S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)




8 70000 5.60 5.60 Approved 8 Anaesthetists. (6 Anaesthetists for the RCH -centre of Excellence at Salem and Madurai medical colleges for 1 month and 2 Approved for RCH -Centre of Excellence at IOG for 1 month only, as proposed by State).

A.8.1.3.4 Surgeons 179 210000 375.90 375.90

A.8.1.3.4.a DH 179 210000 375.90 375.90 Approved for 3 month only, as proposed by State. Approval is for Plastic Surgeons, Neuro-Surgeons, Uro-surgeons and Orthopaedic surgeons in 15 DHs (districts without an attached Medical College)

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 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


0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.3.6.1 Radiologists 18 70000 12.60 12.60 Approved for 1 month only, as proposed by State.

A.8.1.3.6.2 Pathologists 2 240000 4.80 4.80 Approved 2 pathologists @ Rs.40000 for 6 months = Rs.4.80 lakhs.

A.8.1.3.7 Dental surgeons and dentists

34 238000 14.98 0.00

A.8.1.3.7.a DH 3 210000 6.30 0.00 Approval pended. State needs to revise salary.

A.8.1.3.7.b FRUs 0.00

A.8.1.3.7.c Non FRU SDH/ CHC 0.00 A.8.1.3.7.d 24 X 7 PHC 0.00 A.8.1.3.7.e Non- 24 X 7 PHCs 0.00 A.8.1.3.7.f Others (pl specify) 31 28000 8.68 0.00 RBSK-DEIC (Rs.

8.68 lakhs)-Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.4 PHNs at CHC, PHC level

0.00

A.8.1.5 Medical Officers 1725 902000 6091.72 1982.92

A.8.1.5.1 DH 60 240000 144.00 218.88 Approved for 96 Mos @ Rs.38000/m for 6 months. State to rationalise deployment. Approval is being granted for six months only and its continuation for the next six months would be contingent on

A.8.1.5.2 FRUs 0.00

A.8.1.5.3 Non FRU SDH/ CHC 747 2598.96


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



compliance of the above mentioned conditionalities.

A.8.1.5.4 24 X 7 PHC 595 2590.80 1356.60 Approved 595 MOs @ Rs.38000/m for 6 months. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.5.5 Non- 24 X 7 PHCs/ APHCs

124 102000 126.48 120.16 Approved @ Rs.38000/m for 3 months and 85 % of the amount as proposed by State.

A.8.1.5.7 MOs for SNCU/ NBSU/NRC etc

126 480000 604.80 287.28 Approved @ Rs.38000/m for 6 months.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.5.8 Other MOs 42 40000 14.28 0.00 Not Approved. State to divert regular HR after filling up the vacant posts.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.5.9 Others 31 40000 12.40 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.6 Additional Allowances/ Incentives to M.O.s

22344 500 111.72 111.72 Approved.

A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc

2 77000 1.54 0.00 Not approved

A.8.1.7.1 Pharmacist 315 160600 291.99 102.77

A.8.1.7.1.a DH 0.00

A.8.1.7.1.b FRUs 0.00


A.8.1.7.1.d 24 X 7 PHC 211 132600 279.79 102.77 Approved 155 Pharmacists @ Rs.13000/m for 6 months. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.1.e Non- 24 X 7 PHCs 62 13000 6.85 0.00 Not Approved.

A.8.1.7.1.f Others 42 15000 5.36 0.00 Not Approved.

A.8.1.7.2 Radiographers 255 0 151.85 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.7.2.a DH 130 11.60 0.00 Not approved.

A.8.1.7.2.b FRUs 0.00

A.8.1.7.2.c Non FRU SDH/ CHC 125 140.25 0.00 Not approved.

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

222 26000 15.13 0.00

A.8.1.7.3.a DH 120 8000 8.16 0.00 Not approved.

A.8.1.7.3.b FRUs 100 8000 6.80 0.00 Not approved.

A.8.1.7.3.c Non FRU SDH/ CHC 0.00 Not approved.

A.8.1.7.3.d 24 X 7 PHC 0.00 Not approved.

A.8.1.7.3.e Non- 24 X 7 PHCs 0.00 Not approved.

A.8.1.7.3.f Other 2 10000 0.17 0.00 Not approved.

A.8.1.7.4 School health teams (Exclusively for SH)

3111 69500 772.95 770.00

A.8.1.7.4.a MOs 1540 40000 616.00 616.00 Approved for 2 MO in each of 770 Mobile Health Teams @ Rs 40000 per month for one month. Conditionality half of the MOs to be women.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.7.4.b LTs 0.00 0.00 Shifted from FMR A.8.1.2.1.F - Approval pended as HR wll be required once the DEIC infrastructural development is completed.

A.8.1.7.4.c Dental Technicians 0.00

A.8.1.7.4.d Ophthalmic Assistants

31 9500 2.95 0.00 Approval pended as HR is only be required once the DEIC infrastructural development is completed.

A.8.1.7.4.e Staff Nurse 770 10000 77.00 77.00 Approved for 770 staff nuses for RBSK mobile health teams @ 1 per team @Rs.10000/month for 1 month

A.8.1.7.4.f Pharmacists 770 10000 77.00 77.00 Approved for 770 pharmacist for RBSK mobile health teams @ 1 per team @Rs.10000/month for 1 month

A.8.1.7.4.g ANMs 0.00

A.8.1.7.4.h MPW 0.00 A.8.1.7.5 Counsellors 240 180000 352.44 166.10


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.7.5.1 RMNCH/FP Counsellors

238 226.64 103.20 Approved for 172 counsellors @ Rs.10000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.5.2 ARSH Counsellors 0.00

A.8.1.7.5.3 Honorarium to ICTC counsellors for ARSH activities

0.00

A.8.1.7.5.4 Other (please specify) 2 180000 3.60 1.80 Approved for 2 NRC counsellors @ Rs.15000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.6 All Technical HR for State Specific Initiatives

0.00

A.8.1.7.7 Others (pl specify) 0.00

A.8.1.7.8 Staff for Training Institutes/ SIHFW/ Nursing Training

122.20 61.10 Approved. Details available Annx Trng Staff


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.8 Incentive/ Awards etc. to SN, ANMs etc.

275000 50 137.50 68.75 Approved @ Rs 25/case for 275000 PWs subject to ANM /SN ensuring registration within 12 weeks, full ANC, Partograph, birth dose of OPV, BCG, Hep B, & Vit 12 etc.

A.8.1.9 Human Resources Development (Other than above)

0.00

A.8.1.10 Other Incentives Schemes (Pl. Specify)

223 188500 58.46 30.00

A.8.1.10.1 physiotherapist 31 10000 3.10 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.10.2 psychologist and early interventionist/special educator

62 13000 8.06 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.10.3 dental technician 31 9500 2.95 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.10.4 data manager 32 22000 7.04 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.10.5 data entry operator 32 9500 3.04 0.00 Approval pended as HR is only be required once the DEIC infrastructural development is completed.

A.8.1.10.6 Audiologist / speech therapist


A.8.1.10.7 state consulants for RBSK

1 50000 0.50 0.00 Approval shifted to A10.1.5

A.8.1.10.8 state consulants for RBSK


A.8.1.10.9 Medical Store Officer at Directorate

2 25000 0.43 0.00 Not approved

A.8.1.10.10 Operational cost for Trauma care services

30.00 30.00 Approved for operational cost of 14 trauma centres.

A.8.1.11 Support Staff for Health Facilities

5011 51000 882.36 443.80

A.8.1.11.a DH 42 0.00 A.8.1.11.b FRUs 0.00

A.8.1.11.c Non FRU SDH/ CHC 1130 592.95 299.10 Approved as per last year’s numbers. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.11.d 24 X 7 PHC 3228 51000 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.8.1.11.e Non- 24 X 7 PHCs 124 0.00 A.8.1.11.f SNCU/ NBSU/

NBCC/ NRC etc 487 289.41 144.70 Approved .Details

available in Annx. Supprt staffCH. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

Sub-total HR 16423.82 7955.29

Annex Support Staff CH

Budget Head Unit cost

Physical Target

No. of Months

No. of Units

Total Amount

(Rs.lakhs)

Hiring of contractual staff for NICU

MPA-Female on Contract basis at 42 SCNU (DH/SDH)

5000 126 6 756 37.80

MPA-Female on Contract basis at 22 SCNU (MCH)

5000 132 6 792 39.60

MPA-Male on Contract basis at 42 SCNU (DH/SDH)

5000 126 6 756 37.80

MPA-Male on Contract basis at 22 SCNU (MCH) 5000 66 6 396 19.80

Cook cum Care taker for NRC 5000 2 6 12 0.60

Attender for NRC 5000 4 6 24 1.20

Operationalisation of MCH level 1 centres

Multi-Purpose Hospital Worker 5000 31 6 186 7.91

TOTAL 487 144.7


ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT

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.


Detailed Budget:

S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.10 PROGRAMME MANAGEMENT

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 Measurement 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

70 4446590 240.68 144.19

Contractual Staff for SPMSU recruited and in position

70 4446590 240.68 144.19

A.10.1.1 State Programme Manager

1 652850 6.53

144.19

Rs.144.19 lakhs approved. Details

available in Annx PMgt

A.10.1.2 State Accounts Manager

1 915740 9.16

A.10.1.3 State Finance Manager

1 345000 3.45

A.10.1.4 State Data Manager

1 345000 3.45


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.10.1.5 Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.)

20 500000 100.00

A.10.1.6 Programme Assistants

10 120000 12.00

A.10.1.7 Accountants 1 300000 3.00

A.10.1.8 Data Entry Operators

12 120000 12.24

A.10.1.9 Support Staff (Kindly Specify)

7 48000 2.86

A.10.1.10 Salaries for Staff on Deputation (Please specify)

8 800000 64.00

A.10.1.11 Others (Please specify)

8 300000 24.00

A.10.1.11.1 Leave salary and pension contribution for deputation staff

8 300000 24.00

A.10.2 Strengthening of District society/ District Programme Management Support Unit

186 717000 221.29 167.22

Contractual Staff for DPMSU recruited and in position

186 717000 221.29 167.22

A.10.2.1 District Programme Manager

30 240000 61.20

167.22

Rs.167.22 lakhs approved. Details

available in Annx PMgt A.10.2.2 District Accounts

Manager 30 150000 38.25


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.10.2.3 District Data Manager

14 99000 11.78

A.10.2.4 Consultants/ Programme Officers (Kindly Specify)

0.00

A.10.2.5 Accountants 71 120000 72.42


41 108000 37.64


0.00


0.00 0.00

A.10.3 Strengthening of Block PMU

0 0 38.50 0.00

A.10.3.1 Block Programme Manager

0.00

A.10.3.2 Block Accounts Manager

0.00

A.10.3.3 Block Data Manager

0.00

A.10.3.4 Accountants 0.00


0.00


0.00


38.50 0.00

A.10.3.7.1 Block programme manager for RBSK

385 10000 38.50 0.00 Not approved as Block programme managers are not part of RBSK guidelines

A.10.4 Strengthening (Others)

0 0 0.00 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



A.10.4.1 Workshops and Conferences

0.00

A.10.7 Mobility Support, Field Visits

416 0 1658.93 688.40

A.10.7.1 SPMU/State 1 576.73 12.00 Approved at 4 vehicles @ Rs.3 L/vehicle/annum

A.10.7.2 DPMU/District 30 585.80 180.00 Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum

A.10.7.3 BPMU/Block 385 496.40 496.40 Approved.

A.10.7.4 Other Supportive Supervision costs

0.00 0.00

Sub-total Programme Management 2159.40 999.81

ANNEXURE – PROGRAMME MANAGEMENT Programme Management Units - TAMIL NADU

Sr. No Category Number Salary

(Rs./month) Amount

(Rs.lakhs)

SPMU 1 STATE PROGRAMME MANAGER 1 62565 3.75 2 STATE ACCOUNTS MANAGER 1 76312 4.58 3 STATE FINANCE MANAGER 1 28750 1.73 4 STATE DATA MANAGER 1 25000 1.50 5 CONSULTANTS (including 1 RBSK) 12 40000 28.80 6 PROGRAM ASST. (including 1 RBSK) 10 10000 6.00 7 ACCOUNTANTS 6 10000 3.60 8 DATA ENTRY OPERATORS 38 8500 19.38 9 SUPPORT STAFF 19 2500 2.85

10 STAFF ON DEPUTATION 24 50000 72.00 Sub Total 144.19

DPMU 1 DISTRICT PROGRAMME MANAGER 30 40000 72.00 2 DISTRICT ACCOUNTS MANAGER 30 11000 19.80 3 DISTRICT DATA MANAGER 30 21000 37.80 4 ACCOUNTANTS 30 9000 16.20 5 DATA ENTRY OPERATORS 42 8500 21.42 Sub Total 167.22

TOTAL 311.41


OTHERS

DETAILED BUDGET: TRAINING

S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9 TRAINING 3254.59 1619.33 A.9.1 Strengthening of

existing Training Institutions (SIHFW, ANMTCs, etc.)

0.00

A.9.2 Development of training packages

1 200000 2.00 2.00

A.9.2.1 Development/ translation and duplication of training materials

1 200000 2.00 2.00 Approved.

A.9.2.2 Other activities (pl. specify)

0 0 0.00 0.00

A.9.2.2.1 Centre of advanced midwifery training

0.00

A.9.2.2.2 Advanced midwifery Training

0.00

A.9.3 Maternal Health Training

1350 3068495

644.87 642.37


360 52800 190.08 190.08

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

360 52800 190.08 190.08 Approved


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.3.1.5 Training of ANMs / LHVs in SBA

0.00

A.9.3.2 EmOC Training 5 2296640

58.37 55.87

A.9.3.2.1 Setting up of EmOC Training Centres

0.00

A.9.3.2.2 TOT for EmOC 1 1200000

12.00 12.00 Approved.

A.9.3.2.3 Training of Medical Officers in EmOC

4 1096640

46.37 43.87 Approved for 4 batches only


25 482980 118.97 118.97

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

1 49750 0.50 0.50 Approved.

A.9.3.3.3 Training of Medical Officers in life saving Anaesthesia skills

24 433230 118.48 118.48 Approved.


216 0 21.24 21.24

A.9.3.4.1 TOT on safe abortion services

0.00

A.9.3.4.2 Training of Medical Officers in safe abortion

216 21.24 21.24 Approved.



S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.3.5.1 TOT for RTI/STI training

0.00

A.9.3.5.2 Training of laboratory technicians in RTI/STI

54 32700 17.66 17.66 Approved

A.9.3.5.3 Training of Medical Officers in RTI/STI

54 52725 28.47 28.47 Approved


330 24000 79.20 79.20 Approved


198 67250 66.74 66.74

A.9.3.7.1 AMTSL training (2nd spell)

144 33800 48.67 48.67 Approved.

A.9.3.7.2 Training of Staff Nurses in RTI/STI

54 33450 18.06 18.06 Approved.


0.00

A.9.3.9 Skill Lab Training 108 59400 64.15 64.15 Approved 48 batches of Medical Officersand 60 batche s of Staff nurse/ANM

A.9.4 IMEP Training 0 0 0.00 0.00

A.9.4.1 TOT on IMEP 0.00

A.9.4.2 IMEP training for state and district programme managers

0.00

A.9.4.3 IMEP training for medical officers

0.00

A.9.5 Child Health Training

4737 1351520

519.24 211.07


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.5.1 IMNCI Training (pre-service and in-service)

510 765520 204.47 60.80

A.9.5.1.1 TOT on IMNCI (pre-service and in-service)


A.9.5.1.2 IMNCI Training for ANMs / LHVs


A.9.5.1.3 IMNCI Training for Anganwadi Workers



A.9.5.2.1 TOT on F-IMNCI 0.00

A.9.5.2.2 F-IMNCI Training for Medical Officers


A.9.5.2.3 F-IMNCI Training for Staff Nurses



15 58500 8.78 8.78

A.9.5.3.1 TOT on HBNC 0.00

A.9.5.3.2 Training on HBNC for ASHA

15 58500 8.78 8.78 Approved.


22 124725 8.31 0.00

A.9.5.4.1 TOT on Care of sick children and severe malnutrition



S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.5.4.2 Training on Care of sick children and severe malnutrition for Medical Officers



4090 192115 192.36 88.83

A.9.5.5.1 NSSK Training 72 64390 25.63 25.63

A.9.5.5.1.1

TOT for NSSK 1 28700 0.29 0.29 Approved.

A.9.5.5.1.2

NSSK Training for Medical Officers

0.00

A.9.5.5.1.3

NSSK Training for SNs

0.00

A.9.5.5.1.4

NSSK Training for ANMs

71 35690 25.34 25.34 Approved.

A.9.5.5.2 Other Child Health training

4018 127725 166.73 63.21

A.9.5.5.2.a

Orientation on Infant Young Child Feeding Practice - TOT

9 74675 6.72 6.72 Approved.

A.9.5.5.2.b

FIMNCI and Pre IMNCI for Medical Students (Govt, Pvt)

3125 500 15.63 15.63 Approved.

A.9.5.5.2.c

Training on Care of sick children and severe malnutrition for ANM/LHV/CDPO/Gr.I, II supervisors



S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.5.5.2.d

Orientation on Infant Young Child Feeding Practice - MO/SN


A.9.5.5.2.e

Orientation on Infant Young Child Feeding Practice - ANM/LHV



448 295800 150.94 150.94


130 81600 51.72 51.72

A.9.6.1.1 TOT on laparoscopic sterilisation


A.9.6.1.2 Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant)



A.9.6.2.1 TOT on Minilap 0.00

A.9.6.2.2 Minilap training for medical officers



0 0 0.00 0.00

A.9.6.3.1 TOT on NSV 0 0 0.00

A.9.6.3.2 NSV Training of medical officers

0 0 0.00


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.6.4 IUD Insertion 166 124000 68.80 68.80

A.9.6.4.1 TOT for IUD insertion 0 0 0.00

A.9.6.4.2 Training of Medical officers in IUD insertion


A.9.6.4.3 Training of staff nurses in IUD insertion

62 46000 28.52 28.52 Approved.(20/batch, 62 batches).

A.9.6.4.4 Training of ANMs / LHVs in IUD insertion



0 0 0.00


70 37000 8.36 8.36

A.9.6.6.1 Refresher training on IUCD - 380 A


A.9.6.6.2 Training of FP Counselors


A.9.6.6.3 0.00

A.9.6.6.4 0.00

A.9.6.6.5 0.00




S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)




0.00

A.9.6.9 Training of FP Counselors

0.00


0.00

A.9.7 Adolescent Reproductive and Sexual Health/ARSH Training

397 233100 234.85 168.08

A.9.7.1 TOT for ARSH training

0.00


0.00


72 49000 35.28 35.28 Approved


72 61250 44.10 44.10 Approved


0.00

A.9.7.6 Other ARSH training 253 122850 155.47 88.70

A.9.7.6.1 ARSH Training for SN and ICTC counsellor

144 61600 88.70 88.70 Approved.

A.9.7.6.2 ARSH training to HI 109 61250 66.76 0.00 Not approved.

A.9.7.6.1 WIFS training 0 0 0.00 0.00

A.9.7.6.1.1

State level/ District Level/ Block Level

0.00


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.7.6.1.2

refresher training –ANM/MO/ AWW/ Nodal Teacher

0.00

A.9.7.6.2 Menstrual hygiene training

0.00

A.9.7.6.3 SHP training 0 0 0.00 0.00

A.9.7.6.3.1

School Health Training -Training of team – technical and managerial

0.00

A.9.7.6.3.2

Training of Nodal teachers

0.00

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.)

1027 439152 1030.46 0.00

A.9.8.1 Training of SPMSU staff

4 102235 0.00 0.00 Approval pended, State to provide details viz. type of training, per batch cost and size etc.


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.8.2 Training of DPMSU staff


A.9.8.3 Training of BPMSU staff


A.9.8.4 Other training (pl. specify)

627 251380 1030.46 0.00

A.9.8.4.1 RBSK training 500.80 0.00 Approval pended. The rationale of proposing of 10% cost is not clear. Would the Mobile health teams and DEIC staffs not be trained? If not, acheivement of the programme for this year would be incomplete.

A.9.8.4.2 Upgradrd Ultrasonagram -MO

59 39880 23.53 0.00 Not approved.

A.9.8.4.3 Leadership and Motivation Training-MO

122 136500 166.53 0.00 Not approved.

A.9.8.4.4 Integrated refresher Training

156 122.10 0.00 Not approved.

A.9.8.4.5 Leadership and Motivation Training-VHN

290 75000 217.50 0.00 Not approved.

A.9.9.1 PC/PNDT training 85 98.50 0.00 Not approved.


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.9.2 Others 72 206700 148.82 148.82 Approved to impart managerial skills to newly appointed MOs.

A.9.10 Training (Nursing) 0 0 0.00 0.00

A.9.10.1 Strengthening of Existing Training Institutions/Nursing School excluding infrastructure and HR.

0.00

A.9.10.2 New Training Institutions/School

0.00

A.9.11 Training (Other Health Personnel)

220 1056600

424.90 296.03

A.9.11.1 Promotional Training of ANMs to lady health visitor etc.

52 439500 228.54 228.54 Approved.

A.9.11.2 Training of ANMs,Staff nurses,AWW,AWS

161 111100 178.87 50.00 Lumpsum amount approved for the SNs working at DPs only.The DHs, high volumn SDH should have a regular LT even during emergency hours. So SN other than these facilities and designated DPs to be trained. State to ensure that training is strictly per RCH Norms.


S. No. Budget Head


Quantit

y / Target

Unit Cost ( Rs)



A.9.11.3 Other training and capacity building programmes (nursing tutors etc.)

4 231000 9.24 9.24 Approved for capacity building program for nursing tutors

A.9.11.3.1 PGDHM Courses 3 275000 8.25 8.25 Approved.

Sub-total Training 3254.59 1619.33

ANNEXURE - Staff for Training Institutes/ SIHFW/ Nursing Training

Details Unit Cost

Physical Target Months No. of

Units Amount (Rs.

Lakhs)

Strengthening of HR RTIs (exists)

Human resource Medical Officer 40000 12 6 72 24.48 MCHO 15000 12 6 72 9.18 Statistician 15000 6 6 36 4.59 System Manager 16000 6 6 36 4.90

Human resource (new Trg inst-Male)

MCHO 15000 4 6 24 3.06 Entomologist 15000 2 6 12 1.53 Statistician 15000 2 6 12 1.53 Strengthening of ANM Training Schools(Tirunelveli, Madurai, Villupuram, Marandahalli) MCHO 15000 8 6 48 6.12

Strengthening of computer Lab in RTI

System Manager 16000 7 6 42 5.71

Total 61.10


MISSION FLEXIBLE POOL (MFP)


ASHA

TARGETS:

S. No.

Activity Targets

1. ASHAs with Drug kits 2650 2. ASHAs trained in 6th and 7th modules 2831 training is ongoing


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


Quantity / Target

Unit Cost ( Rs)



B1 ASHA 257168 111340 700.02 424.89 B 1.1 ASHA Cost: 257168 111340 700.02 424.89 B1.1.1 Selection & Training

of ASHA 1388 5000 69.40 0.00

B1.1.1.1 Module I - IV 0.00

B1.1.1.2 Module V 0.00

B1.1.1.3 Module VI & VII 0.00

B1.1.1.4 Other Trainings 1388 5000 69.40 0.00 B1.1.1.4.1

Leprosy activities 1388 5000 69.40 0.00 Not approved. Rs. 69.40 Lakhs approved in 2012-13.

B1.1.2 Procurement of ASHA Drug Kit

5300 1100 29.15 0.00

B1.1.2.1 New Kits 0.00

B1.1.2.2 Replenishment 2650 750 19.88 0.00 Approved. Ongoing Activity. Rs. 9.28 Lakhs approved @ Rs. 350 per kit subject to the condition that State must replenish the drug kits from PHCs/SHCs. Approval shifted to FMR code B.16.2.5.2

B1.1.2.3 Procurement of ASHA HBNC Kit

2650 350 9.28 0.00

B1.1.2.4 New Kits 0.00


B1.1.3 Performance Incentive/Other Incentive to ASHAs (if any)

250268 12240 573.27 409.29


56025 900 149.14 149.14

B1.1.3.1.1

Accompanying non JSY mother

21200 200 42.40 42.40 Approved.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B1.1.3.1.2

VHSWC meeting, VHN Day, Adolescent monthly meeting, MMU, PHC meeting

13625 550 74.94 74.94 Approved.

B1.1.3.1.3

Attending screening camps (NCD, Health Mela, Vitamin A, Deworming, etc.,)

21200 150 31.80 31.80 Approved.


67650 275 139.31 139.31

B1.1.3.2.1

HBNC 54400 250 136.00 136.00 Approved. Ongoing Activity. 2650 existing ASHAs x 16 newborns x 250 + 1500 programme specific ASHAs x 8 newborns x 250 = 136 lakhs approved.

B1.1.3.2.2

Birth / Death Reporting

13250 25 3.31 3.31 Approved. Rs. 3.31 Lakhs for 2650 ASHAs x 5 deaths reported / ASHA x25 rs.

B1.1.3.2.3

0.00

B1.1.3.3 Incentive for FP( PPIUCD/others)

7950 2000 53.00 53.00

B1.1.3.3.1

Spacing of 2 years after marriage

2650 500 13.25 13.25 Approved.

B1.1.3.3.2

Spacing of 3 years after birth of first child

2650 500 13.25 13.25 Approved.

B1.1.3.3.3

Male / Female sterilisation after 2 children

2650 1000 26.50 26.50 Approved.


B1.1.3.5 Other incentive 51038 1040 58.05 31.80 B1.1.3.5.1

Malaria 12550 90 11.30 0.00 Approved under the NVBDCP.

B1.1.3.5.2

TB programme 2650 250 6.63 0.00 Approved under the RNTCP.

B1.1.3.5.3

Surevillance reporting 31800 100 31.80 31.80 Approved.

B1.1.3.5.11

Leprosy treatment for PB case

1388 600 8.33 0.00 Approved under the NLEP.

B1.1.3.5.12

Leprosy treatment for MB case

2650 0 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B1.1.3.6 Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc)

67605 8025 173.78 36.04

B1.1.3.6.1

Mobility and communication charges

31800 325 103.35 9.54 Approved for Communication charges @ Rs. 60 per month for 6 months for equivalent number of ASHAs validated mobile phone numbers on MCTS portal.

B1.1.3.6.2

Uniform charges 2650 1000 26.50 26.50 Approved.

B1.1.3.6.3

Iodised salt test at AWC and house holds

31800 200 0.00 0.00

B1.1.3.6.4

Incentive for Programme specific ASHA (Leprosy 1388 and Malaria 1255)


B1.1.4 Awards to ASHA's/Link workers

100 3000 3.00 3.00 Approved.

B1.1.5 ASHA Resource Centre/ASHA Mentoring Group

112 90000 25.20 12.60

B1.1.5.1 HR At State Level 0.00

B1.1.5.2 HR at District Level 0.00

B1.1.5.3 HR at Block Level 112 90000 25.20 12.60 Approved Rs. 12.60 for salary of 6 months. State has proposed Rs. 25.20 lakhs as it has Rs. 75.6 lakhs as committed unspent balance which was approved in 2012-13. BCMs should be trained in Supportive supervision, performance monitoring and reaching the unreached.

B1.1.5.4 Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify)

0.00

Grand-total ASHA 700.02 424.89


UNTIED FUNDS, AMG, CORPUS GRANT


UNTIED FUNDS/ RKS/ AMG


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 Proposed 2013-14 Remarks

Quantity / Target

Unit Cost ( Rs)



B2.1 Untied Fund for CHCs/SDH

681 50000 340.50 200.49 Approved to the extent of utilization. (58.88%)

B2.2 Untied Fund for PHCs 1361 25000 340.25 297.25 Approved for 1164 existing PHCs and 25 New PHCs approved for this year @ 25000 per facility. According to norms Untied Funds are not given to UPHCs here, which will be covered under NUHM.

B2.3 Untied Fund for Sub Centres

8756 10000 875.60 875.60 Approved.

B2.4 Untied fund for VHSC 15064 10000 1506.40 1506.40 Approved

B2.5 Others 31 100000 193.00 0.00 Not approved. According to norms Untied Funds not approved for DHs.

Sub-total Untied Funds 3255.75 2879.74

B.3 Annual Maintenance Grants (only for Government institutions)

8539 460000 2039.50 1614.02

B3.1 CHC 450 100000 450.00 450.00 Approved.

B3.2 PHCs 1281 50000 640.50 582.00 Approved. As per norms AMG is not approved for UPHCs here, which will be covered under NUHM.

B3.3 Sub Centres 6510 10000 651.00 351.02 Approved to the extent of utilization. (53.92%)

B3.4 DH 31 100000 31.00 0.00 Not approved. According to norms AMG not approved for DHs.

B3.5 SDH 231 100000 231.00 231.00 Approved.

B3.6 Other 36 100000 36.00 0.00 Not approved. According to norms AMG not approved for MC attached institutions.

Sub-Total AMG 2039.50 1614.02

B.6 Corpus Grants to HMS/RKS

2254 1800000 3182.00 2025.00

B6.1 District Hospitals 43 500000 215.00 155.00 Approved for 31 DHs and not approved for 12 MC attached institutions. Amount approved to the extent of utilization. (31.59%)



Quantity / Target

Unit Cost ( Rs)



B6.2 CHCs 455 100000 455.00 450.00 Approved for 450 CHCs and not for 5 MC attached hospitals.

B6.3 PHCs 1361 100000 1361.00 1189.00 Approved for 1164 existing PHCs and 25 new PHCs approved this year.

B6.4 Other or if not bifurcated as above

84 1000000 840.00 0.00 Not approved.

B6.5 SDH 311 100000 311.00 231.00 Amount approved for only 231 SDH.

Grand Total Corpus Grants 3182.00 2025.00


NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP


Works must be completed within a definite time frame. For new constructions upto CHC level, a maximum of two years and for a District Hospital a maximum period of 3 years is envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be rojected accordingly. Funds would not be permissible for constructions/ worksthat 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.

S. No. Budget Head Proposed 2013-14

Remarks

Quantity / Target

Unit Cost ( Rs)



B5.1 CHCs 60 2610000 1566.00 287.10 Approved. New Activity. State has proposed for up gradation of 60 PHCs for the cost of Rs.1566 lakhs and has budgeted @Rs.26, 10,000 each (30%). Rs. 287.1 Lakhs approved for 11 High Priority Districts - Delivery Point PHCs only.

B5.2 PHCs 63 1140000 718.20 285.00 Approved. Rs. 285 Lakhs (30%) approved for new construction of 25 PHCs in High Priority Districts only. State needs to first saturate gaps in all High Priority Districts and then if remaining can be approved for Non-high Priority Districts.

B5.3 SHCs/Sub Centres 50 1500000 750.00 0.00 Approval Pended. State need to provide the detailed HR plan and activity plan.

B5.4 Setting up Infrastructure wing

0 0 0.00 0.00



Remarks

Quantity / Target

Unit Cost ( Rs)



for Civil works

B5.4.1 Staff at State level 0.00

B5.4.2 Staff at District level 0.00

B5.5 Govt. Dispensaries/ others renovations

0.00

B5.6 Construction of BEmONC and CEmONC centres

0 0 0.00 0.00

B.5.6.1 Absolutely new SNCU/NBSU/NBCC

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

58 3529.80 2688.99 Approved. New Activity. 1) Civil Works for 50 CEmONC Centres: Approved only for 10 High Priority District - Delivery Point facilities. Total amount proposed for these 10 facilities as per Annexure provided is Rs. 570 Lakhs out of which Rs. 171 Lakhs (30%) approved for this year 2013-14 2) Rs. 2517.99 lakhs approved for support services to Medical College Hospitals.

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

0.00

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

0.00

B.5.10 Infrastructure of Training Institutions --

8 12420000

301.00 301.00



Remarks

Quantity / Target

Unit Cost ( Rs)



B.5.10.1 Strengthening of Existing Training Institutions/Nursing School( Other than HR)- ---Infrastructure for GNM Schools and ANMTC

1 9000000 90.00 90.00 Approved. New activity. Establishment of MPHW(male) training centre at Thiruvarankulam for the cost of Rs.3 crores is budgeted. Rs.90 Lakhs (30%) is approved for 2013-14.

B.5.10.1.1

Additional Building/ Major Upgradation of existing Structure

2 40.00 211.00 Approved Rs. 40 Lakhs for ongoing establishment of 3 ANM Schools. Rs. 171 Lakhs approved for additional class room facilities in Regional Training Institutes of Poonamalle, Egmore, Salem, Madurai, Salem.

B.5.10.1.2

Repair/ Renovation 5 3420000 171.00 0.00 Shifted to B.5.10.1.1

B.5.10.1.3

Spillover of Ongoing Works

0.00

B.5.10.1.4

Quarters and hostels/residential facilities

0.00

B.5.10.1.5

New Training Institutions/School (SIHFW/GNMTC/ANMTC etc)

0.00

B.5.11 SDH 0.00

B.5.12 DH 0.00

Grand Total New Constructions 6865.00 3562.09


PROCUREMENT


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:


Quantity / Target

Unit Cost ( Rs)



B16.1 Procurement of Equipment


965 3600 1498.93 1358.10

B16.1.1.1

Equipments for Blood Banks/ BSUs


B16.1.1.2

MVA /EVA for Safe Abortion services

500 1600 8.00 8.00 Approved.

B16.1.1.3

Others (please specify)

357 2000 543.00 543.00



Quantity / Target

Unit Cost ( Rs)



B16.1.1.3.1

Equipment ( Sahli's Hemoglobinometer) for 300 HSCs

300 2000 6.00 6.00 Approved.

B16.1.1.3.2

Equipment for CEmONC intensive care unit and Equipments for RCH-Centre of Excellence of Madurai and Salem Medical Colleges

57 537.00 537.00 Approved.

B16.1.2 Procurement of equipment: CH

319 85000 73.95 73.95

B16.1.2.1

0.00

B16.1.2.2

Equipment for training for prenatal screening fetal anamoly in 78 CEmONC and 154 PHCs

232 0.00

B16.1.2.3

Child Health equipment

87 85000 73.95 73.95 Approved.


50 800000 400.00 315.00

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 50 800000 400.00 315.00 Approved. Available Laprascopes: - Single Puncture: 200 ( Functional ; 99) - Double Puncture: 171 ( Functional: 124) Not procured for the last 3 years. Aprroved for 1 per 42 Health District @ Rs.7.5 lakhs forRs. 315.00 lakhs.

B16.1.3.5

PPIUCD forceps 0.00



Quantity / Target

Unit Cost ( Rs)



B16.1.3.6

Other (please specify) 0 0 0.00 0.00

B16.1.3.6.1

Teaching Laparascope with camera

0.00

B16.1.4 Procurement of equipment: IMEP

931 200000 3332.00 2000.00

B16.1.4.1

Equipments to Secondary and Tertiary care Hospitals

265 2000.00 2000.00 Approved.

B16.1.4.2

Cell counter for Primary(CHC), Secondary and Tertiary care hospitals

666 200000 1332.00 0.00 Not approved.

B16.1.4.3

0.00

B16.1.4.4

0.00

B16.1.5 Procurement of equipment other than above

0.00 0.00

B16.1.6 Equipments for ARSH/ School Health

0 0 1079.14 1307.30

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)




Quantity / Target

Unit Cost ( Rs)



B16.1.7 Equipments for Training Institutes

6 804.30 6.30 State has proposed for 1. Strengthening of MPHW(M) training Schools: Approval pended since what is existing not indicated. Only Rs. 2.70 lakhs approved for Mobility Charges. 2. Strengthening of ANM schools: Approval pended since gap analysis as per GOL road map not done. Only Rs. 3.60 Lakhs approved for mobility support. 3. Strengthening of District Training Team: Not approved as lum sump budget proposed. Hence, total approval: 6.30 Lakhs

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

525055403

46223 4012.91 1910.73


5852 10428 25.24 7.51

B.16.2.1.1

RTI /STI drugs and consumables

0.00

B.16.2.1.2

Drugs for Safe Abortion


B.16.2.1.3

Others (Please specify)

2 10000 0.20 0.20

B.16.2.1.3.1

Iron Sucrose 0.00

B.16.2.1.3.2

Lab reagents for GDM 2 10000 0.20 0.20 Approved.

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

10658 11104 1183.46 0.00

B.16.2.2.1

HSC drugs (Kit A and Kit B)

10658 11104 1183.46 0.00 Not approved.

B.16.2.3 Drugs & supplies for FP

0 0 0.00 0.00



Quantity / Target

Unit Cost ( Rs)



B.16.2.4 Supplies for IMEP 1614 0 0.00 0.00 B.16.2.4.1

Disbosable gloves and syringes

1614 0 0.00

B.16.2.5 General drugs & supplies for health facilities

770 23890 183.94 18.56

B.16.2.5.1

IPD 0.00

B.16.2.5.2

OPD 770 23890 183.94 18.56 Approved. Rs. 9.28 Lakhs approved @ Rs. 350 per kit for ASHA drug kit and Rs. 9.28 Lakhs approved for replenishment of HBNC Kit @ Rs. 350 per kit subject to the condition that State must replenish the drug kits from PHCs/SHCs. Approval of drugs for mobile health team of Rs. 183.94 shifted to B 16.2.7

B.16.2.6 Drugs & supplies for WIFS

524976876

1 1176.34 1176.34

B.16.2.6.1

IFA 505533288

0.2 1011.07 1011.07 Approved.

B.16.2.6.2

Albendazole 19443588 0.85 165.27 165.27 Approved.


59633 800 477.06 183.95 Approved. Rs 183.95 lakhs is approved for on-the-spot treatment of Mobile Health team @ Rs 50000 per team. Conditionality State to procure medicines according to RBSK EDL to be announced by GoI shortly. Medicine kit for schools are not approved as per RBSK guidelines.

B.16.2.8 Drugs & supplies for UHCs

442.50 0.00 Not approved.

B.16.2.9 Drugs & supplies for AYUSH

524.37 524.37 Approved.

Grand Total Procurement of Equipment 11201.23 6971.38


MOBILE MEDICAL UNITS


MOBILE MEDICAL UNIT (MMU)


Route chart to be widely publicised 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 villag

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:


Remarks

Quantity / Target

Unit Cost ( Rs)



B11.1.1 Capex 0.00

B11.1.2 Opex 385 120000 462.00 0.00 Approval pended subject to the State implementing National MMU guidelines for all the running MMUs under NRHM. State has provided details in remarks for POL @ Rs. 10,000 per MMU but has proposed at 120000 per MMU.

B11.1.3 HR 385 770100 2653.67 0.00 Approval pended subject to the State implementing National MMU guidelines for all the running MMUs under NRHM.

B11.1.4 Training/orientation 0.00

B11.1.5 Others 385.00 140000.00

539.00 0.00

B11.1.5.1

GPS and Vehicle Maintenance

385 140000 539.00 0.00 Approval pended subject to the State implementing National MMU guidelines for all the running MMUs under NRHM.

B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units

0 0 0.00 0.00

B11.2.1 Capex 0.00

B11.2.2 Opex 0.00

B11.2.3 HR 0.00


B11.2.5 Others 0.00

Grand Total MMUs 3654.67 0.00


REFERRAL TRANSPORT


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 to 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:


Quantity / Target

Unit Cost ( Rs)



B12 Referral Transport/Patient transport System

1601 2920000 3592.62 0.00

B12.1 Ambulance/EMRI Capex

168 1000000 1680.00 0.00

B12.1.1 State basic ambulance/ 102 Capex

0.00

B12.1.2 Advanced life support Capex

0.00

B12.1.3 EMRI Capex-BLS 168 1000000 1680.00 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. (Rs 1680 lacs approved for replacement of the identified 168 ambulances @ Rs 10 lacs per abmulance)

B12.1.4 EMRI Capex-ALS 0.00

B12.2 Operating Cost /Opex for ambulance

1433 1920000 1912.62 0.00

B12.2.1 State basic ambulance/102 Opex

0.00

B12.2.2 Operating Cost /Opex for ASL ambulance

0.00

B12.2.3 Opex EMRI-BLS 628 1200000 1507.20 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. Operational cost of ambulance including call centre can be approved @ Rs. 1 lacs/ ambulance for 606 abmulances (BLS-548, ALS-58) being run under 108 Total cost Rs 606 lacs , 20% of this is approved.

B12.2.4 Opex EMRI-ALS 0.00

B12.2.5 HR Basic ambulance 0.00

B12.2.6 HR advanced life support ambulances

0.00




Quantity / Target

Unit Cost ( Rs)



B12.2.7 Call centre-capex 0.00

B12.2.8 call centre-opex 0.00

B12.2.9 Others 805 720000 405.42 0.00 B12.2.9.1

Free Hearse Vehicle with Freezer box

35 700000 245.00 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. New Activity. Rs 224 lacs approved for 32 mortuary van @ 7 lacs

B12.2.9.2

hiring of vehicles under RBSK

770 20000 154.00 0.00 Not approved as teams is proposed for one month 10 % of required training cost is being proposed, with which the teams cannot be trained, and RBSK roll out would be delayed, thus the mobility support of teams is not justified.

B12.2.9.3

Establishement of Transportation Cell

6.42 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. Rs. 6.42 approved for Transportation Cell

Grand total Referral Transport 3592.62 0.00


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 alongwith 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.


Detailed Budget:


Quantity / Target

Unit Cost ( Rs)



B9 Mainstreaming of AYUSH

1425 258570 2817.07 637.85

B.9.1 Medical Officers at CHCs/ PHCs (Only AYUSH)

475 212160 1007.76 307.18 Approved (ongoing activity) 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.9.1.1 DH 0.00

B.9.1.2 FRUs 0.00

B.9.1.3 Non FRU SDH/ CHC 0.00

B.9.1.4 24 X 7 PHC 475 212160 1007.76 307.18 Approved @ Rs. 800 per session for 6 months subject to above conditionalities

B.9.1.5 Non- 24 X 7 PHCs/ APHCs

0.00

B.9.2 Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH)

950 46410 707.88 330.67

B.9.2.1 DH 0.00

B.9.2.2 FRUs 0.00


B.9.2.4 24 X 7 PHC 475 46410 220.45 94.48 Approved for AYUSH MPW @ Rs. 150 per session for 6 months subject to above conditionalities

B.9.2.5 Non- 24 X 7 PHCs 0.00

B.9.2.6 Urban Clinics/ Health Posts

0.00

B.9.2.7 Other 475 487.43 236.19 Approved for AYUSH Pharmacist @ Rs. 375 per session for 6 months subject to above conditionalities

B9.3 Other Activities (Excluding HR)

0 0 1101.43 0.00


B9.3.1 IEC Activities, Monitoring and contingency


B9.3.2 Networking of ISM Commisionarate

25.82

0.00 Not approved. State first needs to sped the amount approed in 2012-13.

B9.3.3 Establishment of HMS in DH/SDH and MCH

323.00

0.00 Not approved.

B9.3.5 Establishment of Research Hub for ISM

554.90

0.00 Not Approved.

B9.4 Training 0.00 Grand total AYUSH 2817.07 637.85


IEC/BCC


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


Quantity / Target

Unit Cost ( Rs)



B10 IEC-BCC NRHM 839935 926000 1344.14 361.95 B.10 Strengthening of

BCC/IEC Bureaus (state and district levels)

0 0 0.00 0.00

B.10.1 Development of State BCC/IEC strategy

0.00

B.10.2 Implementation of BCC/IEC strategy

5927 776000 377.91 0.00 Not Approved. State needs to spend last year amount.

B.10.2.1 BCC/IEC activities for MH

6 400000 24.00 0.00

B.10.2.1.1

Mass media 0.00

B.10.2.1.2

Mid-media 6 400000 24.00 0.00

B.10.2.2 BCC/IEC activities for CH

5889 1000 0.00 0.00

B.10.2.2.1

Mass media 5889 1000 0.00 0.00

B.10.2.2.2

Mid-media 0.00 0.00

B.10.2.3 BCC/IEC activities for FP

1 300000 330.66 0.00

B.10.2.3.1

Mass media 1 300000 0.00 0.00

B.10.2.3.2

Mid-media 330.66 0.00

B.10.2.4 BCC/IEC activities for ARSH

0 0 0.00 0.00

B.10.2.4.1

Mass media 0.00 0.00

B.10.2.4.2

Mid-media 0.00 0.00

B.10.2.5 Other activities (please specify)

31 75000 23.25 0.00



Quantity / Target

Unit Cost ( Rs)



B.10.2.6 IPC initiatives/tools 0.00 0.00

B.10.3 Health Mela 0.00 0.00

B.10.4 Creating awareness on declining sex ratio issue

0.00 0.00

B.10.5 Other activities 834008 150000 966.23 361.95 B.10.5.1 Printing of MCP cards,

safe motherhood booklets etc

834000 0.00 0.00



B.10.5.3 Other printing 8 150000 348.93 12.00 B.10.5.3.1

RBSK- cards registers guidelines

336.93 0.00 Amount shifted to FMR A.4.2.5.4

B.10.5.3.2

Quarterly bulletin on Maternal Death

0.00 0.00

B.10.5.3.3

Maternal death workshop

8 150000 12.00 12.00 Approved. Rs. 12 lakhs approved for maternal death workshops which will be used for National & State level workshops. For State level workshop Rs. 1 Lakh, For national level workshop Rs. 5 Lakh & Rs. 4 Lakh can be utilised for other workshops. The opportunity can also be utilised for review of other MH activities.

Sub Total IEC-BCC 1344.14 361.95


MONITORING AND EVALUATION (HMIS)/MCTS


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:


Quantity / Target

Unit Cost ( Rs)



B15 Planning, Implementation and Monitoring

4470 1121810 1626.65 187.86

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

0 0 0.00 0.00

B15.1.1 State level 0.00

B15.1.2 District level 0.00

B15.1.3 Block level 0.00

B15.1.4 Other 0 0 0.00 0.00 B15.2 Quality Assurance 0 0 0.00 0.00

B15.2.1 Quality Assurance Committees at State level

0.00



Quantity / Target

Unit Cost ( Rs)



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 0.00 0.00

B15.2.4.1

State

B15.2.4.2

District

B15.2.4.3

Block

B15.2.5 Others 0 0 0.00 0.00

B15.3 Monitoring and Evaluation

4470 1121810 1626.65 187.86

B15.3.1 Monitoring & Evaluation / HMIS /MCTS

412 402000 206.00 23.00

B15.3.1.1

HR for M&E/HMIS/MCTS

0.00

B15.3.1.2

MIS Consultant/ Manager/ Coordinators

0.00

B15.3.1.3

Statistical Assistant/ Data Analyst

2 300000 6.00 3.00 Approved Rs. 3.0 lakhs with no increment on existing salaries. Salary approved is for 6 months for 2 existing personnel at Rs. 25,000 per month

B15.3.1.4

MIS/ M&E Assistants 10 102000 0.00 0.00 No budget proposed

B15.3.1.5

Data Entry Operators 0.00

B15.3.1.6


400 0 200.00 20.00

B15.3.1.6.1

Comprehensive Networking of all sections of DPH, DMS and DFW

400 200.00 20.00 Approved Rs 20.0 lakh. State may submit the gap analysis and detailed estimate if additional resources are required. Further, if this activity does not pertain to HMIS / MCTS, the activity may be booked under relevant budget head like Programme Management. Procurement should be based on competitive bidding



Quantity / Target

Unit Cost ( Rs)



following Govt Protocols.

B15.3.1.6.2

Computers with LAN and accessories for IOG, ICH, KGH and RSRM

0.00

B15.3.2 Computerization HMIS and e-governance, e-health

297 335000 166.46 87.76

B15.3.2.1.a

HMIS Operational Cost (excluding HR & Trainings)

0.00

B15.3.2.1.b

Procurement of Computers/ printers/ cartridges etc.

154 35000 53.90 0.00 Not approved. State may first identify gaps. If replacement is required then it may be specifically mentioned.

B15.3.2.1.c

Maintenance of Computers/ AMC/ etc.

42 10000 4.20 4.20 Approved subject to State shifting to 100% facility based reporting on HMIS web portal. Maintenance should be based on competitive bidding following Govt. Protocols.

B15.3.2.1.d

Other Office and admin expenses

101 290000 108.36 83.56

B15.3.2.1.d.1

AMC and replacement of batteries to 4 institutions

4 25.21 25.21 Approved.

B15.3.2.1.d.2

Contingency to 4 Institutions

4 25000 1.00 1.00 Approved.

B15.3.2.1.d.3

Office expenses & TA/DA

31 30000 9.30 Shifted to A 4.2.5.5

B15.3.2.1.d.4

Procurement of computer & peripherals (1 nos per unit)

31 50000 15.50 Shifted to B 16.1.6.2

B15.3.2.1.d.5

Funiture fixtures 31 185000 57.35 57.35 Approved.

B15.3.2.2.a

MCTS Operational Cost (excluding HR

1614 2000 32.28 32.28



Quantity / Target

Unit Cost ( Rs)



& Trainings)

B15.3.2.2.b


0.00

B15.3.2.2.c


1614 2000 32.28 32.28 Approved subject to State shifting to 100% facility based reporting on HMIS portal and timely entry of registration details and updation of service delivery data on MCTS portal. Maintenance should be based on competitive bidding following Govt Protocols.

B15.3.2.2.d


0.00

B15.3.3 Other M & E Activities

2147 382810 1221.91 44.82

B15.3.3.1

HMIS Training 0 0 84.90 34.02 Approved Rs. 34.02 Lakhs @ 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. The number of participant (3780) is taken from the breakup which the

State has provided in Annexure. TA / DA and other expenditure should be as per

extant rules. Amount approved is an indicative figure and

actual amount would be based on actual expenditure. The

amount approved is subject to State shifting to 100% facility

based reporting on HMIS portal and timely entry of registration details and

updation of service delivery data on MCTS portal.

B15.3.3.2

MCTS Training 0 0 15.91

B15.3.3.3

Mobility Support for HMIS/ MCTS

0 0 0.00

B15.3.3.4

Review Meetings for HMIS

4 120000 4.80 10.80 Approved for one day combined review meeting for HMIS & MCTS for at least 2 reviews every year at State level, 1 review every quarter at



Quantity / Target

Unit Cost ( Rs)



District level and 1 review every month at Block level. Amount approved is indicative figure and actual amount would be based on actual expenditure. TA / DA and other expenditure should be as extant rules subject to State shifting to 100% facility based reporting on HMIS portal and timely entry of registration details and updation of service delivery data on MCTS portal.

B15.3.3.5

Review Meetings for MCTS

4 150000 6.00

B15.3.3.6

Data Validation Call Centers - CAPEX

0.00

B15.3.3.7

Data Validation Call Centers - OPEX

0.00

B15.3.3.8

e-Governance Initiative

0.00

B15.3.3.9

Hospital Management Softwares 525 73500

385.88 0.00 Not approved since this activity pertains to tertiary care centres.

B15.3.3.10

Others 1614 39310 724.42 0.00

B15.3.3.10.1

Strengthening of Birth and Death Registration (Civil Registration System)

0.00 89.96 0.00 Not approved.

B15.3.3.10.2

Printing of PHC registers for 2 years 1614 39310


Grand Total Planning, Implementation and Monitoring

1626.65 187.86


Others

Detailed Budget: Hospital Strengthening


Quantity / Target

Unit Cost ( Rs)



B.4 Hospital Strengthening

2501565 218176031

18985.41 11993.91

B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals

2501511 212125031

18959.91 11993.91

B4.1.1 District Hospitals 0 0 3143.00 3143.00 B4.1.1.1 Additional Building/

Major Upgradation of existing Structure

3143.00 3143.00 Approved. 1) Ongoing Activity. Rs. 1920 Lakhs (40%) approved in RoP 2012-13 and balance Rs. 2943 Lakhs approved for 2013-14. 2) Rs. 200 Lakhs approved for upgradation of 15 District Head Quarter Hospitals in Non-medical College Districts

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 437 775000 4474.20 4226.20 B4.1.2.1 Additional Building/


20 1140.00 1140.00 Approved. Ongoing Activity. For Upgradation of PHCs - approved @ Rs.75 lakhs per PHC amounting to Rs1500 lakhs. During 2012-13 Rs. 600 Lakhs (40%) approved. Balance Rs. 900 Lakhs (60%) + Rs. 240 lakhs (cost escalation due to revised PWD estimate) approved for 2013-14



7 156.70 156.70 Approved. Ongoing Activity. Spill over works of PHCs - 13 units-under construction.44-Yet to be started. Rs.156.70 lakhs RAS of the approved activity of the year 2010-11.



Quantity / Target

Unit Cost ( Rs)



B4.1.2.4 Staff Quarters 410 775000 3177.50 2929.50 Approved. State has proposed for 410 facilities. Approved @ Rs. 7.75 Lakh (50%) per Staff Quarter for 1. 165 Delivery Point (6 or more deliveries per month) facilities in High Priority Districts. 2. 04 Non-delivery point facilities in High Priority Districts but with average monthly IP load of 60 patients or more. 3. 174 Delivery Point (10 or more deliveries per month) facilities in Non-High Priority Districts. 4. 10 Non-delivery point facilities in Non- High Priority Districts but with average monthly IP load of 60 patients or more. 5. 25 facilities out of remaining 57 which have average per day OP load of 100 patients or more. Hence, approval given for 378 facilities out of the proposed 410 facilities.

B4.1.3 PHCs 90 5000000 2928.21 828.21 B4.1.3.1 Additional Building/

Major Up gradation of existing Structure

20 560.00 560.00 Approved. Ongoing activity. For creation of new PHCs - approved @ Rs 250000 per PHC amounting to Rs.500 lakhs. During 2012-13 got Rs. 200 Lakhs (40%) approval. Balance Rs.300 lakhs (60%) + Rs. 260 lakhs (cost escalation due to revised PWD estimate - cost of Rs.13 lakhs per PHC) approved for 2013-14.

B4.1.3.2 Repair/ Renovation 42 5000000 2100.00 0.00 Not Approved.

B4.1.3.3 Spill over of Ongoing Works

28 268.21 268.21 Approved. Ongoing activity. Rs. 268.21 lakhs RAS of the approved activity of the year 2010-11, 2011-12 and 2012-



Quantity / Target

Unit Cost ( Rs)



13.


B4.1.4 Sub Centres 630 1250000 3675.00 292.50 B4.1.4.1 Additional Building/


0.00



0.00

B4.1.4.4 ANM Quarters 210 750000 1575.00 292.50 Approved. New Activity. Construction of Sub-Centres. Rs.292.50 Lakhs (50%) approved this year for 39 HSCs @ Rs. 15 lakhs per HSC which are in High Priority Districts. State has proposed for Rs. 15 lakhs per HSC in annexure but has mentioned here Rs. 7.5 Lakhs per HSC.

B4.1.5 Others (MCH Wings) 2500354 205100031

4739.50 3504.00

B4.1.5.1 (Absolutely) New / Rented to Own Building

349 3900.00 3104.50 Approved. New Activity. 1) Strengthen of maternity wings in the existing facilities in the CEmONC centres (14 Maternity wings of 13 Medical colleges and 31 District Head Quarters Hospitals) @ Rs.50.00 Lakhs each. Rs. 50 lakhs x 45 facilities= Rs.2250 lakhs out of which 50% i.e. Rs. 1125 lakhs approved for 2013-14. 2) Maternity Blocks approved for 214 Delivery Point PHCs @ Rs. 18.5 Lakhs per PHC i.e. Rs. 18.5 Lakhs * 214 = 3959.5 Lakhs of which Rs. 1979.5 Lakhs (50%) approved for this year.

B4.1.5.2 Additional requirement from previous work

0.00

B4.1.5.3 Carry forward /Spill 0.00



Quantity / Target

Unit Cost ( Rs)



over of Ongoing Works

B4.1.5.4 Other construction 2500005 205100031

839.50 399.50

B4.1.5.4.1

construction of DEIC 2500000 31 387.50 387.50 Rs 387.52 lakhs (50 % of total cost) is approved. Conditionality the DEIC infrastructural development to be in accordance to DEIC lay out plan and specification. Infrastructural development is to be completed within financial year.

B4.1.5.4.2

Center ofExcellence in Reproductive and Child Health in Salem and Madurai Medical colleges(Exists)

0.00

B4.1.5.4.3

Center ofExcellence in Reproductive and Child Health in Trichy and Tirunelveli Medical colleges(New)

2 200000000

400.00 10.00 Approved. New Activity. 200 bedded MCH Wing, one each at Trichy and Tirunelveli Medical College approved at a total cost of Rs 20 cr each which may include OT, Labor Room, ICU SNCU, Skill Labs, equipments and beds etc at per GOI Guidelines. Work to be completed in 2-3 years, this year Rs 5 cr for each centre means Rs 10 Cr for both the centres is approved.

B4.1.5.4.4

Establishment of Blood storage centres in MCH wings of Medical College Hospitals - new

2 100000 2.00 2.00 Approved.

B4.1.5.4.5

Establishment ofAccident and Emergency Services in Kuzhithurai GH

1 5000000 50.00 0.00 Not approved. State to include this activity under NCD flexipool.

B4.1.6 SDH 0 0 0.00 0.00 B4.1.6.1 Additional Building/


0.00



Quantity / Target

Unit Cost ( Rs)





0.00


B 4.2 Strengthening of Districts , Sub Divisional Hospitals, CHCs, PHCs

4 6000000 0.00

B.4.3 Sub Centre Rent and Contingencies

50 51000 25.50 0.00 Approval pended for rent of 50 new HSCs as State needs to provide the detailed HR plan and activity plan. Contingency funds not approved as it has to be proposed from State funds.

B.4.4 Logistics management/ improvement

0.00 0.00

Grand Total Hospital Strengthening 18985.41 11993.91


Detailed Budget: Regional drugs warehouses/Logistics management


Remarks

Quantity / Target

Unit Cost ( Rs)



B.17 Regional drugs warehouses/Logistics management

291 887400 786.57 0.00

B.17.1 Drug warehouses 15 600.00 0.00 Not Recommended.

B.17.2 Staff at State level 1 408000 4.08 0.00 Not recommended for New HR

B.17.3 Staff at District level 10 326400 32.64 0.00 Not recommended for New HR

B.17.4 Others 265 153000 149.85 0.00 B.17.4.1 Renovation ov

Vaccine stores 20 100000 20.00 0.00 Not recommended

B.17.4.2 Procurement ofILR and DF

245 53000 129.85 0.00 Not recommended, as central supply.

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 0.00 0.00

B.18.1 Help Lines 0.00

B.19 Health Insurance Scheme

0.00 0.00

B.20 Research, Studies, Analysis

2 2000000 40.00 40.00 Approved subject to condition that State to collaborate with NHSRC.

B.21 State level health resources centre(SHSRC)

2 0 58.84 0.00

B.21.1 SHSRC - HR 1 34.04 0.00 Approval pended. State should submit detailed proposal with timeline for setting-up SHSRC. If need state should take support of NHSRC in establishing SHSRC

B.21.2 Other cost 1 24.80 0.00



Remarks

Quantity / Target

Unit Cost ( Rs)



B22 Support Services 32 0 465.58 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

32 465.58 0.00 Not approved. State to include this activity under NCD flexipool.

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

312 536000 326.96 99.00

B.23.1 Fuel charges to generator for Blood Storage Centres

286 36000 102.96 0.00 Not approved.

B.23.3 Requirement of Vaccine Carrier Vans

25 500000 125.00 0.00 Not approved.

B.23.4 Infrastructre strengthening at SHS (civil works)

1 99.00 99.00 Approved. New Activity. Rs. 99 Lakhs (20%) approved for 2013-14 out of the total cost of Rs. 495 Lakhs.

Grand Total Others 1677.95 139


NATIONAL DISEASE CONTROL

PROGRAMMES (NDCPs)


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.


DETAILED BUDGET: NIDDCP

FMR Code

Activity Unit cost (wherever applicable

)

Physical target Amount Proposed (Rs. In Lakhs)


Remarks

D

IDD

The sanctioned vacant posts i.e. Statistical Assistant & LDC should be filled up on regular/contract basis on priority.

State Govt. may conduct and co-ordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format.

D.1 Establishment of IDD Control Cell-

Implementation & monitoring of the programme

12.00

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.

6.00 The sanctioned posts of Lab Technician & Lab Asst. should be filled up on regular/ contract basis on priority.

State Govt. 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

D.3 Health Education & Publicity

Increased awareness about IDD and iodated salt.

4.00 IDD publicity activities including Global IDD Day celebrations at various levels.


D.4 IDD Survey/Resurveys

Rs. 50,000 per district

4 districts 2.00 State. Govt. may under take 4 districts IDD survey as per guidelines and furnish report.

D.5 Salt Testing Kits to be procured by the State Government for 21 endemic districts

12 STK per annum per ASHA

Creating iodated salt demand and monitoring of the same at the community level.

** State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 21 endemic districts i.e. Trichrapalli

Dindigul, Madurai, Coimbatore, Ramananthapuram, The Nilgiris, Thiruvarur, Salem,

Virudhnagar, Villupuram, Kanyakumari, Dharmapuri, Pudukottai, Namakkal, Nagapattanum, Erode, Perambalur, Tuticoran, Thanjavur, Chennai, Cuddlore

D.6 ASHA Incentive Rs. 25/- per month for testing 50 salt samples/ month

50 salt samples per month per ASHA in 21 endemic districts

**

TOTAL 133.00* 24.00

*There is no activity –wise fund break up proposal in respect of NIDDCP in the PIP for the year 2013-14

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 21 endemic districts funds will be released through flexi pool of NRHM by GOI.


INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP)

Issues:

There are 31 vacant posts of technical contractual staff (29 Epidemiologists, 1

Microbiologists & 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 32 of 48 Districts are reporting regularly on IDSP portal. Presently only 45%, 35%

and 41% 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 never reported on the IDSP Portal are Anuppur, Badwani,

Chhatarpur, Dewas, Khandwa, Narsinghpur, Rajgarh, Siddhi, Sheopurkala.

Districts reported irregular on the IDSP Portal are Dindori, Bhopal, Dhaar,

Betul, Morena, Harda, Jhabhua.

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 23% of the

disease outbreaks in which 9% were lab confirmed.

The State needs to send full investigation report for each disease outbreak. Presently, such

investigation reports are not available for outbreaks.

Non-negotiable IDSP priorities for States would be:

a) Dedicated State Surveillance Officer (SSO) for implementation of IDSP.

b) All States to provide weekly report on the disease surveillance data on epidemic prone diseases and the weekly outbreak report regularly through portal.

c) All the States to timely submit their Statement of Expenditure, Utilization Certificate and

Audit reports.

d) 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.


DETAILED BUDGET: IDSP

FMR Code

Activity Unit Cost (where-ever applicable)

Amount Proposed (Rs. in lakhs)

Amount Approved (Rs in lakhs)

Remarks

E1 Operational Cost

Field Visits

SSU(2.5)+32 DSUs(48.0)

81.8

Office Expenses SSU (4.0)+ 32 DSUs(64.0)

Broad Band expenses

Outbreak investigations including Collection and Transport of samples

Review Meetings

Any other expenditure

Sub Total 118.5 81.8

E 1.2 Laboratory Support

District Priority Lab

Referral Network Lab

District public health lab equipments

District public health lab consumable s

32 DPHls (4.92*32)=157.44

4.0 * 32 DPHLs

Sub Total 157.44 128.0

E.2 Human Resources

E.2.1 Remuneration of Epidemiologists

State Epidemiologists

45000*1*12=5.4

5.4 The budget for current vacant posts is calculated for 9 months, keeping in view time frame for

District Epidemiologists

40000*15*11 + 40000*17*12=144

141.6

E.2.2 Remuneration of Microbiologists

State Microbiologists

30000*1*12=3.6

3.6

District Microbiologists

(DPL)30000*2*12=7.2 (DPHL) 25000*30*11=8

89.7


FMR Code




Remarks

2.5 filling up this vacancy.

*Medical Microbiologists should be paid higher remuneration than the non medical microbiologists.

E.2.3 Remuneration of Entomologists

25000*1*10=2.5

2.25

Veterinary Consultant 35000*1*10=3.5

3.15

E.3 Consultant-Finance/ Procurement

25000*1*10=2.5

1.8

E.3.1 Consultant-Training/ Technical

35000*1*12=4.2

3.96

E.3.2 Data Manager

State Data Manager

25000*1*12=3.0

2.4

District Data Manager

20000*30*12 + 20000*2*10 =76.0

68.4

E.3.3 Data Entry Operator

State Data Entry Operator

12000*2*12=2.88

2.88

District Data Entry Operator

12000*47*12 + 12000*8*10=77.28

77.28

District public health lab manpower

Lab technician at DPHL Lab attendant at DPHL

12000*32*10=38.4 5000*32*10=16.0

54.4

Sub Total 468.96 456.82

E.8 Training As per NRHM Guidelines

Medical Officers (3 Day ) 3 days 31522*32=10.09

Senior Medical Officers (1 Day)

One day training of Hospital Pharmacist / Nurses

64*15882=10.16

One day training of Medical College Doctors 15687*17=2.67

Epidemiologists (1 Day)

One day workshop for Inter-sectoral coordination with other departments like

ASHA & MPWs, AWW and community volunteers (1 day)

15882*64=10.16


FMR Code




Remarks

Local bodies, Water supply sanitation etc. regarding plan strategy for disease control/ outbreak management

5.0

One day training for Data Entry and analysis for Block Health Team

17757*96=17.05

Lab technician (3 days) 2*31522=0.63

Data managers (2 day) 1*74755=0.75

DEO cum accountant (2 day)

2 days 54279*4=2.17

Mobile based data entry for surveillance

Others Two day training for RRTs

50657*11=5.57

Sub Total 59.25 5.0

For each newly formed district. District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories.

2 new districts = 5.8

Sub Total 5.8 5.8

Innovations 109.44


Total 919.39 680.42

Comment:

Based on past trend of expenditure, Rs 157.00 lakhs has been approved in BE for Tamil Nadu under IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norms, the budget for State could be increased at RE stage.


NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP)

Physical Targets:

S.No. Indicator 2011 2012 2013 Remarks

1 Annual Blood Examinate Rate (ABER) i.e. percentage of persons screened annually for Malaria

10.81% 9.77% >10%

2 Annual Parasite Incidence (API) i.e. Malaria cases per 1000 population annually

0.31 0.22 <1 Ramanathapuram (4.95) and Chennai Corpn. (3.18) have shown high API. These districts need focussed attention.

3 Sentinel Surveillance Hospital made functional for Dengue & Chikungunya

27 30 30 The functionality to be sustained & ensured and should be monitored by their regular reports

4 Sentinel Surveillance Hospital made functional for JE

5 7 7 The functionality to be sustained & ensured and should be monitored by their regular reports

5 No. of districts with Mf rate less than 1% out of total encemic districts

20 20 20 Sustaining mf rate less than 1%

Priority areas for focused attention:

1. High malaria endemic districts like Ramanathapuram and Chennai Corpn. and

other towns need attention

2. Since all the districts are reporting less than 1% Mf rate and more than 5 rounds of MDA has been done in the state, the validation process must be initiated which includes procurement of ICT cards/sensitization of health professionals and obtaining data from department of education in respect of school entrants.


Essential Conditionality

1. Minimum two review meeting in a year to be conducted under the Chairpersonship of Principle Secretary (Health)/ Mission Director - one before transmission period and second during transmission period

Desirable conditionality

Sr. No.

Post Sanctioned In position

Vacant Target for 2013-14

1 Lab Technicians

1432 1073 359 Process to be initited and

recruitment to be made under intimation to Directorate NVBDCP

2

Multipurpose Health Supervisor

5700 2849 2851

District wise goals (to be done by States

ABER API Deaths Mf rate

2013-14 2013-14

2013-14 2013-14

To be filled by State/Districts and monitored

Road Map for priority Action:

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. Preparatory activities for stoppage of Mass Drug Administration towards filaria elimination to be started.

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:

FMR Code

Activity Unit Cost (in Rs.)

Physical Target

Amount proposed (Rs. In Lakhs)

Amount approved (Rs.

In Lakhs)

Remarks

F.1 Domestic Budget Support (DBS)

F.1.1 Malaria F.1.1.a Contractual Payments F.1.1.a.i MPW contractual 0.00 0.00 F.1.1.a.ii Lab Technicians ( against

vacancy) 0.00 0.00

F.1.1.a.iii VBD Technical Supervisor (one for each block)

0.00 0.00

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

0.00 0.00

Data Entry Operator one per district (Non-project states)

0.00

0.00

F.1.1.a.v State Consultant (Non – Project States),

0.00

0.00

M&E Consultant (Medical Graduate with PH qualification)

0.00

0.00

- VBD Consultant (preferably entomologist)

0.00

0.00

F.1.1.b ASHA Incentive 14.99 12.00 F.1.1.c Operational Cost F.1.1.c.i Spray Wages 34.98 25.00 Vector control is

essential; however, the cost of larvicides may be met from RKS/flexi pool as discussed in NPCC.

F.1.1.c.ii Operational cost for IRS 118.82 40.00

F.1.1.c.iii Impregnation of Bed nets- for NE states

0.00

F.1.1.d Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility and printing of formats

80.00 50.00

F.1.1.e IEC/BCC 50.00 30.00


FMR Code


Physical Target



In Lakhs)

Remarks

F.1.1.f PPP / NGO and Intersectoral Convergence

0.00 0.00

F.1.1.g Training / Capacity Building

50.00 30.00

F.1.1.h Zonal Entomological units

0.00 0.00

F.1.1.i Biological and Environmental Management through VHSC

0.00 0.00

F.1.1.j Larvivorous Fish support 0.00 0.00 F.1.1.k Construction and

maintenance of Hatcheries

0.00 0.00

F.1.1.l Any other Activities (Pl.

specify) 0.00

Total Malaria (DBS) 348.79 187.00

F.1.2 Dengue & Chikungunya F.1.2.a Strengthening

surveillance (As per GOI approval)

F.1.2.a(i) Apex Referral Labs

recurrent 3.00 1.00

As per discussion held during NPCC F.1.2.a(ii) Sentinel surveillance

Hospital recurrent 30.00 15.00

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs

0.00

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)

0.00

F.1.2.c Monitoring/supervision

and Rapid response

25.50 25.50


FMR Code


Physical Target



In Lakhs)

Remarks

F.1.2.d Epidemic preparedness 787.58 72.00 Fogging is not recommended in routine. Larvicides may be procured from Rogi Kalyan Samiti as per NRHM guidelines which are available on website and copy given during NPCC. This is as per discussions in NPCC.

F.1.2.e Case management 5.00 5.00 F.1.2.f Vector Control &

environmental management

887.04 600.00 Approval is for domestic breeding checkers as per discussion held during NPCC. Areas to be prioritized for activities.

F.1.2.g IEC BCC for Social Mobilization

15.75 10.00

F.1.2.h Inter-sectoral convergence

0.50 0.50

F.1.2.i Training & printing of guidelines, formats etc. including operational research

25.00 15.00

Total

Dengue/Chikungunya 1779.37 744.00

F.1.3 AES/JE F.1.3.a Strengthening of Sentinel

sites which will include Diagnostics and Case Management, supply of kits by GoI

145.40 100.00

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

91.45 10.00

F.1.3.c Capacity Building 18.53 10.00 F.1.3.d Monitoring and

supervision

155.40 10.00


FMR Code


Physical Target



In Lakhs)

Remarks

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

21.81 10.00

F.1.3.f Fogging Machine 70.00 5.00 F.1.3.g Operational costs for

malathion fogging

25.88 4.00

F.1.3.h Operational Research 0.00 F.1.3.i Rehabilitation Setup for

selected endemic districts

672.11 200.00 Process may be initiated & based on financial performance funds will be increased at RE stage.

F.1.3.j ICU Establishment in endemic districts

436.00 218.00

F.1.3.k ASHA Insentivization for sensitizing community

5.00 3.00

F.1.3.l Other Charges for

Training/Workshop Meeting

38.50 38.00

F.1.3.m Establishing district

counseling centre

51.50 2.50

Total AES/JE 1731.58 610.50 F.1.4 Lymphatic Filariasis F.1.4.a State Task Force, State

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

76.65 74.00

F.1.4.b Microfilaria Survey 0.00 0.00 F.1.4.c Post MDA assessment by

medical colleges (Govt. & private)/ICMR institutions

0.00 0.00


FMR Code


Physical Target



In Lakhs)

Remarks

F.1.4.d Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

0.00 10.00 For sensitization on morbidity management to the patients as well as for the school teachers and the community including peri-pheral health workers for TAS. State to plan the activity.

F.1.4.e Specific IEC/BCC at state, district, PHC, Sub-centre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA

0.00 0.00

F.1.4.f Honorarium for Drug

Distribution including ASHAs and supervisors involved in MDA

0.00 0.00

F.1.4.g Verification and

validation for stoppage of MDA in LF endemic districts

F.1.4.g.i a) Additional MF Survey 7.70 7.70 evaluation units

selected as per population norms (16 districts)

F.1.4.g.ii b) ICT Survey 18.00 18.00 Covering 16 districts F.1.4.g.iii c) ICT Cost 129.20 100.00 Covering 16 districts F.1.4.h Verification of LF

endemicity in non-endemic districts

F.1.4.h.i a) LY & Hy Survey in

non-endemic district 34.94 24.55

F.1.4.h.ii b) Mf Survey in Non-

endemic dist. 11.90 10.00

F.1.4.h.iii c) ICT survey F.1.4.i Post-MDA surveillance 0.00 0.00


FMR Code


Physical Target



In Lakhs)

Remarks

Total Lymphatic Filariasis

278.39 244.25

F.1.5 Kala-azar F.1.5 Case search/ Camp

Approach

Not Applicable

Not Applicable

F.1.5.a Spray Pumps &

accessories

F.1.5.b Operational cost for spray

including spray wages

F.1.5.c Mobility/POL/supervision 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) 4138.13 1785.75

F.2 Externally aided component

F.2.a World Bank support for Malaria (Identified state)

F.2.b Human Resource Not

Applicable Not Applicable

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 Applicable

Not Applicable F.2.f Capacity building F.2.g Mobility F.3 GFATM support for

Malaria (NEStates)

F.3.a Project Management Unit

including human resource of N.E. states

Not Applicable

Not Applicable F.3.b Training /Capacity

Building


FMR Code


Physical Target



In Lakhs)

Remarks

F.3.c Planning and Administration ( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

F.3.d Monitoring Supervision

(supervisory visits including travel expenses, etc) including printing of format and review meetings,

F.3.e IEC / BCC activities as

per the project

F.3.f Operational cost for

treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

Total : EAC component 0.00 0.00

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)

4138.13 1785.75

F.6 Cash grant for

decentralized commodities

F.6.a Chloroquine phosphate

tablets 1.69

200.00

Approved however, funds will be released within available budget & flexi pool. The gap may be met from flexi pool & larvicides from Rogi

F.6.b Primaquine tablets 7.5 mg 3.81 F.6.c Primaquine tablets 2.5 mg 2.93 F.6.d Quinine sulphate tablets 0.00 F.6.e Quinine Injections 0.00 F.6.f DEC 100 mg tablets 0.00 F.6.g Albendazole 400 mg 0.00


FMR Code


Physical Target



In Lakhs)

Remarks

tablets Kalyan Samiti as discussed in NPCC to avoid any shortage of drug and diagnostics.

F.6.h Dengue NS1 antigen kit 74.21 F.6.i Temephos, Bti (AS) / Bti

(wp) (for polluted & non polluted water)

630.46

F.6.j Pyrethrum extract 2% for spare spray

100.94

F.6.k ACT ( For Non Project states)

6.91

F.6.l RDT Malaria – bi-valent (For Non Project states)

1.00

F.6.m Any Other Items ( Please Specify)

0.00

Total grant for decentralized commodities

821.95 200.00

Grand Total for grant-

in-aid under NVBDCP 4960.08 1985.75

Commodity Grants 0.00 0.00 Total NVBDCP Cash +

Commodity 4960.08 1985.75


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 NA NA

2 Case detection through ASHA 400 800

3 Special activity plan in blocks NA NA

4 MCR footwear procurement & supply

6728 13456

5 RCS 10 20

6 Development of leprosy expertise 50% of Plan 100% of Plan

7 Treatment Completion Rate assessment for 2013-14

Completed -

8 Audited Report for the year 2013-14

Completed -

9 Expenditure incurred against approved plan budget

50% 100%

NA: Not Applicable

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 200000 - - -

1.2 Services in Urban Areas

Town - Town - 22 25.08 25.08

Med I- 4 9.60 9.60

Med II- 1 4.72 4.72

Mega- 1 5.60 5.60


Activity proposed Unit Unit Cost (In Rupees)

Physical Targets

Amount proposed

(Rs. in lakhs)

Amount approved

(Rs. in lakhs)

Remarks

1.3. ASHA Involvement

Sensitization 100 500 0.50 0.50

*Incentive to ASHA

Detection 250 800 2.00 2.00

PB 400 300 1.20 1.20

MB 600 500 3.00 3.00

1.4 Material & Supplies

Supportive drugs, lab. reagents & equipments and printing works

District 68,000 30 20.40 20.40

1.5 NGO - Scheme No. 600000 - - -

G2. DPMR

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

MCR - 300/- 13456 40.37 40.37

MCR-2 pair per person

Aids/Appliance -17000

30 5.10 5.10

Welfare/RCS - 8000

20 1.60 1.60

At Institute - 5000

20 1.00 1.00

At camps -

10000

G3. IEC/BCC

Mass media, Outdoor media, Rural media, Advocacy media

98,000 30 29.40 29.40

G4. Human Resources & Capacity building

4.1 Capacity building 156380 75 13.65 13.65 State specific requirements

& rate 4.2. Human Resources on contract



Physical Targets

Amount proposed

(Rs. in lakhs)

Amount approved

(Rs. in lakhs)

Remarks

4.2.1. Contractual Staff at State level

SMO 1 40000 1 4.80 4.80 BFO cum Admn. Officer

1 30000 1 3.60 3.60

Admn. Asstt. 1 16000 1 1.92 1.92 DEO 1 12000 1 1.44 1.44 Driver 1 11000 1 1.32 1.32

4.2.2. District Leprosy Consultant

30000 1 - 2.70

Post of Driver of

districts not available

Physiotherapist 25000 1 - 2.25

4.2.3. Special Provision for selected States

-

NMS No. 25000 - -

4.2.4. Staff for blocks

PMW No. 16000 10 - 14.40

G5. Programme Management ensured

5.1. Travel Cost travel expenses - Contractual Staff at State level

80000 1 0.80 0.80 No staff at

district travel expenses - Contractual Staff at District level

25000 - - -

5.2 Review meetings 4 20000 to 50000 4 1.20 1.20

5.3 Office Operation & Maintenance

Office operation - State Cell

1 75000 1 0.75 0.75

Office operation - District Cell

No. 35000 30 10.50 10.50



Physical Targets

Amount proposed

(Rs. in lakhs)

Amount approved

(Rs. in lakhs)

Remarks

Office equipment maint. State

1 50000 1 0.50 0.50

5.4 Consumables

State Cell 1 50000 1 0.50 0.50

District Cell No. 30000 30 9.00 9.00

5.5 Mobility Support

State Cell 2 200000 1 2.00 2.00

District Cell 1 150000 30 45.00 45.00

G6 Others

travel expenses for regular Staff for specific programme/training need, awards etc.

12.00 12.00 Essential

requirements

GRAND TOTAL 258.55 277.90

*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.


REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP)

Targets S.No Indicators 2012 2013-14

1 Case detection rate 61% 80% 2 Treatment success rate 86% 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.


Budget details:

FMR Code

Category of Expenditure

Unit cost (wherever applicable)

Physical target /expected output

Amount Proposed (Rs. In Lakhs)


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

381.24 306.24 Upgradation of DTC is approved @10 lakhs /dist.

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

308.62 220.07 As per norms

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

49.52 65.75 As per norms

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;

219.08 151.10

I.5 Equipment maintenance


1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition

71.14 42.68


FMR Code






Remarks

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;

166.44 122.93 As per norms

I.7 Vehicle maintenance/ operation


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


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

30.03 30.03

I.9 NGO/PP support


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

565.66 509.09

I.10 Medical College


1) All activities proposed under Medical Colleges head in PIP completed

375.83 300.66

I.11 Office Operation


1) All activities proposed under miscellaneous head in PIP completed

96.01 88.57

I.12 Contractual services


1) All contractual staff appointed and paid regularly as planned

916.88 916.88


FMR Code






Remarks

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

170.54 136.43 As per norms

I.14 Research and studies


1) Proposed Research has been initiated or completed in the FY as planned

0 0

1.15 Procurement of drugs

28.33 28.33

I.16 Procurement –vehicles


1) Procurement of vehicles completed as planned

0 0

I.17 Procurement- Equipments


1)Procurement of equipments completed as planned

23.55 23.55

I.18 Patient support & Transportation


Payment of transportation charges to patients

10.53 9.47

I.19 Supervision & Monitoring


Number of evaluation and review meeting done by state

244.02 222.76 As per norms.

Subtotal 3850.15 3322.85

Disease control Flexi pool fund

111.00 51.00 Disapproved activity is inclusion of 3 private labs.

TOTAL APPROVAL 3961.15 3373.85


ANNEXURES


Annexure-1

RCH FLEXIPOOL

S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.1 MATERNAL HEALTH

16825.55 16095.73

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)

402 0 1233.88 1193.56

A.1.1.4 Operationalise RTI/STI services at health facilities

402 1233.88 1193.56 Rs.1193.56 Lakhs approved. Approval is given for exisiting HR at last year rate [HR for 402 ICTC units (LTs & ICTC counsellor)] . The no. of staff and salary to be shared with GoI. Rs.16.14 Lakhs for provision of disposable gloves and syringes and Rs.24.18 lakhs for supportive supervision should be a part of Comprehensive Procurement plan and Comprehensive Supportive Supervision Plan respectively, hence Not approved.

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)

417888 0 0.00 0.00

A. 1.3.1. Oureach camps 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.1.3.2. Monthly Village Health and Nutrition Days

417888 0.00

A.1.4. Janani Suraksha Yojana / JSY

518024 2400 3602.13 3602.13

A.1.4.1 Home deliveries 376 500 1.88 1.88 Approved.

A.1.4.2 Institutional deliveries 475248 1300 3186.43 3186.43

A.1.4.2.a

Rural 334943 700 2344.60 2344.60 Approved

A.1.4.2.b

Urban 140305 600 841.83 841.83 Approved

A.1.4.2.c

C-sections 0.00

A.1.4.3 Administrative Expenses

159.42 159.42 Approved.

A.1.4.4 Incentives to ASHA 42400 600 254.40 254.40 Approved.

A.1.5 Maternal Death Review (both in institutions and community)

800 10000 80.00 80.00 Approved. The state has to ensure that the honorarium should be as per RCH/NRHM norms and state reports on these clinical audits and confidential enquiry to be shared with GOI. State also needs to ensure that programatic analysis is done besides core clinical findings.


9584 4500 151.73 151.73

A.1.6.1 Observation of high risk AN mothers

1470 1700 24.99 24.99 Approved.

A.1.6.2 Blood camp arrangements

770 1200 9.24 9.24 Approved.

A.1.6.3 AN mothers in Tribal birth waiting room

7344 1600 117.50 117.50 Approved. Break up of Rs 1600 (Rs.80/ person x 2 persons x 10 days )

A.1.7 JSSK- Janani Shishu Surakhsha Karyakram

2765001 1200 11757.81 11068.31

A.1.7.1 Drugs and consumables 900000 4837.50 4837.50 Approved as following: 7.65 lakhs NDs @ Rs.350/ND and 1.35 lakhs C-sections @ Rs.1600/C-Sec


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.1.7.2 Diagnostic 40000 200 80.00 80.00 Approved for 40000 PW @Rs 200/PW

A.1.7.3 Blood Transfusion 0.00

A.1.7.4 Diet (3 days for Normal Delivery and 7 days for Caesarean)

690000 1060.00 920.50 Approved as following: Diet for 2.75 lakh NDs @ Rs.80/day for 3 days. 5000 C-Sections @ Rs. 80/day for 7 days and Diet of 310000 AN mothers @Rs 25/AN mother/visit for 3 visits when they come to the PHC /CHC for AN check.

A.1.7.5 Free Referral Transport 990000 5400.00 4950.00 Approved as following: Pick up to 9 lakhs AN women (7.65 lakhs NDs and 1.35 lakhs C-sections) @Rs 250/AN women, Drop back facility to 9 lakhs PN Women @ Rs 250/PN RT facility to 90000 sick new borns (10% of total deliveries)@ Rs. 500/ neonate.

A.1.7.6 Other JSSK activity 145001 1000 380.31 280.31

A.1.7.6.1

Establishment of JSSK Call centre AND Grivance redressal cell

1 180.31 180.31 Approved for comprehensive 104 call centre i.e. all types of grievance redressal as well as Health Help Line.

A.1.7.6.2

Hiring of Specialists for MCH care

135000 100.00 100.00 Approved incentives to LSAS and EmOC traine doctors. State to reflect rate. Conditionality: Rs. 1000/- per visit for conducting C-Section can be given to the specilatis (from private sector) where there is no Govt specialist available.

A.1.7.6.3

Hiring of Super Specialists for MCH care

10000 1000 100.00 0.00 Not approved.

Sub-total Maternal Health (excluding JSY)

-518024 -2400 13223.42 12493.60

Sub-total JSY 518024 2400 3602.13 3602.13


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.2. CHILD HEALTH 600.30 561.50 A.2.1 IMNCI (including F-

IMNCI; primarily budget for planning for pre-serviceIMNCI activities in medical colleges, nursing colleges, and ANMTCs)

1.00 20.40 20.40 Approved. Detail availabe in Annx IMNCI cell

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

2064 537500 347.30 347.30

A.2.2.1 SNCU 64.00 500000 320.00 320.00 Approved

A.2.2.2 NBSU 156.00 17500 27.30 27.30 Approved

A.2.2.3 NBCC 1844.00 20000 0.00 0.00 Approved activity(operational cost for 1844 NBCCs@ Rs.20000/NBCC ), but since funds are available with State, no funds are being booked for the activity

A.2.3 Home Based Newborn Care/HBNC

1 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.)

2 390000 7.80 7.80 Approved for 2NRCs.

A.2.6 Management of diarrhoea & ARI & micronutrient malnutrition

0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)


15 72000 0.00 0.00 Approved activity(well baby clinic in PHCs by paediatrician in NICU in 15 high IMR block.Prenatal screening to detect foetal anamoly in PPP mode - cost for online auditing and software. ), but since funds (Rs. 7.20 lakhs) are available with State, no funds are being booked for the activity

A.2.8 Infant Death Audit 4 150000 6.00 6.00 Approved for 4 seminars.

A.2.9 Incentive to ASHA under child health

0.00

A.2.10 JSSK (for Sick neonates up to 30 days)

109400 200 218.80 180.00

A.2.10.1 Drugs & Consumables (other than reflected in Procurement)

109400 200 218.80 180.00 Approved for drugs & consumables for 90000 sick neonates (10% of total delivery) @ Rs 200/neonate.

A.2.10.2 Diagnostics 0.00

A.2.10.3 Free Referral Transport 0.00

A.2.11 Any other interventions (eg; rapid assessments, protocol development)

0 0 0.00 0.00

A.2.11.1 Rapid assessment, State level review and NBSU review meeting

0.00

Sub-total Child Health 600.30 561.50


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.3 FAMILY PLANNING 2516.21 2516.21

A.3.1 Terminal/Limiting Methods

203486 38700 2060.20 2060.20

A.3.1.1 Orientation workshop,dissemination of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting

42 36200 15.20 15.20 Approved.

A.3.1.2 Female sterilisation camps

252 0 0.00 0.00 Approved activity, but since funds are available with State, no funds are being booked for the activity

A.3.1.3 NSV camps 192 0.00 0.00 Approved activity, but since funds are available with State, no funds are being booked for the activity

A.3.1.4 Compensation for female sterilisation

200000 1000 2000.00 2000.00 Approved

A.3.1.5 Compensation for male sterilization/NSV Acceptance

3000 1500 45.00 45.00 Approved.

A.3.1.6 Accreditation of private providers to provide sterilisation services

0.00

A.3.2 Spacing Methods 350624 2020 70.00 70.00

A.3.2.1 IUD camps 624 2000 0.00 0.00 Approved activity, but since funds are available with State, no funds are being booked for the activity

A.3.2.2 IUD services at health facilities (including fixed day services at SHC and PHC)

350000 20 70.00 70.00 Approved.

A.3.2.2.1

PPIUCD services 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

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)

17 36000 6.12 6.12 Approved for 17 districts.

A.3.4 Repairs of Laparoscopes 0.00

A.3.5 Other strategies/activities (please specify):

100460 700000 379.89 379.89

A.3.5.1 Monitor progress and quality,QAC meetings /review of sterilization failures etc.

26 6.00 6.00 Approved for 12 meetings @ Rs. 50000/meeting

A.3.5.2 Performance reward if any

1 700000 7.00 7.00 Approved

A.3.5.3 World Population Day’ celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities

33 20.00 20.00 Approved

A.3.5.4 Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.)

100400 0 346.89 346.89


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.3.5.4.1

Family Planning indemnity insurance scheme & Study on retention of PPIUCD

141.14 139.14 Approved as following: Rs.139.14 lakhs for the Family Planning Indemnity Scheme and Rs.2.00 lakhs for study on retention of PPIUCD shifted to FMR A. 3.5.4.3,

A.3.5.4.2

OT CONTINGENCIES & Dietary charges for FW acceptors

100400 205.75 205.75 Rs. 45.75 approved for PHC OTs. Rs. 205.75 lakhs approved for 1 lakh cases (81000 at PHCs and 19000 at Urban FW Centre) @ Rs.80/ day for 2 days

A.3.5.4.3

Study on retention of PPIUCD

0.00 2.00 Shifted from FMR A. 3.5.4.1, Rs.2.00 lakhs for study on retention of PPIUCD

Sub-total Family Planning (excluding

Sterilisation Compensation and

NSV Camps)

471.21 471.21

Sub-total Sterilisation Compensation and

NSV Camps

2045.00 2045.00

A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH

1897.96 1471.72

A.4.1 Adolescent health services

0 0 0.00 0.00

A.4.1.1 Disseminate ARSH guidelines.

0.00

A.4.1.2 Establishment of new clinics at DH level

0.00

A.4.1.3 Establishment of new clinics at CHC/PHC level

0.00

A.4.1.4 Operating expenses for existing clinics

0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4.1.5 Outreach activities including peer educators

0.00

A.4.1.6 Others 0.00 0.00 A.4.2 School Health

programme 1086114 350 1897.96 1471.72






A.4.2.4 Referral support 1015.49 0.00 Approval for comprehensive Dental health programme shifted to A 4.2.5.5 and Correction of Referractive error programme shifted to A 4.2.5.3


1614 0 579.22 1451.97

A.4.2.5.1

MSHP 279.22 279.22 Approved. Conditionality State to report physical acheivement of the programme as separate annexure of RBSK reporting.

A.4.2.5.2

Hiring of Doctors 1614 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.4.2.5.3

Correction of Referractive error programme

572.25 Approved. Shifted from A 4.2.4 Conditionality State to report physical acheivement of the programme as separate annexure of RBSK reporting.

A.4.2.5.4

RBSK Cards and registers


A.4.2.5.5

Comprehensive school children dental programme


A.4.2.5.6

Pilot Project on Children Muscular Dystrophy Disorder



0 0 0.00 0.00

A.4.3.1 Mobility support for ARSH/ICTC counsellors

0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

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 1897.96 1471.72

A.5 URBAN RCH (focus on Urban slums)

1546.38 673.20 As agreed, the following key conditionalities would be enforced during the year 2013-14. a) Facility wise performance audit and corrective action based thereon. b) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. c) 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. - 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. - It is expected that the state will henceforth fill up their vacant regular HR positions and will not use

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

1215 774000 1456.38 583.20


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

NRHM funds to substitute state spending.

A.5.2.1 Doctors/Mos 135 408000 550.80 307.80 Approved @ Rs.38000/m for 6 months

A.5.2.2 Specialist 0 0.00

A.5.2.3 Dentists 0 0.00

A.5.2.4 ANM 540 81600 440.64 64.80 Approved @ Rs.8000/m for 6 months for 135 ANMs

A.5.2.5 Staff Nurse 0.00

A.5.2.6 LHV 0 0.00

A.5.2.7 LT 135 102000 137.70 64.80 Approved @ Rs.8000/m for 6 months

A.5.2.8 Pharmacists 135 122400 165.24 97.20 Approved @ Rs.12000/m for 6 months

A.5.2.9 Radiographers 0.00

A.5.2.10 OT Technician 0.00

A.5.2.11 Support staff 270 60000 162.00 48.60 Approved for 2 sanitary workers/UHC @ Rs.3000/m for 6 months

A.5.2.12 Others (pl specify) 0.00

A.5.3 Operating expenses for UHP and UHC

135 90.00 90.00 Approved.

A.5.4 Outreach activities 16 0.00

A.5.5 Others (pl specify) 0 0 0.00 0.00

Sub-total Urban Health

0 0 1546.38 673.20

A.6. TRIBAL RCH 375.26 36.60 A.6.1 Special plans for tribal

areas 17 156000 26.52 26.52 Approved. State need to

conduct evaluation of these birth waiting rooms in 17 Tribal PHCs and share with GoI.

A.6.2 HR for tribal areas ( in addition to normative HR)

42 26.50 6.00 Approved only for 10 existing tribal counselors @ Rs. 5000/- PM.


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.6.3 Outreach activities (Tribal MMUs)

20 1590800 318.16 0.00 Approval pended subject to State implementing ‘National MMU Guidelines’ for all the running MMUs under NRHM.

A.6.4 Other Tribal RCH strategies/activities (please specify)

116 6000 4.08 4.08

A.6.4.1 Referral services using four wheel drive vehicles

48 0 0.00

A.6.4.2 Honororium for Birth waiting room staff

68 6000 4.08 4.08 Approved. State to conduct evaluation of these birth waiting rooms in 17 Tribal PHCs and share report with GoI.

Sub-total Tribal Health

0 0 375.26 36.60

A.7 PNDT Activities 0 0 0.00 0.00 A.7.1 Support to PNDT cell 0.00

A.7.3 Mobility support 0.00

A.7.2 Other PNDT activities (please specify)

0 0 0.00 0.00

Sub-total PNDT activities

0 0 0.00 0.00

A.8 Human Resources 16423.82 7955.29 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

A.8.1 Contractual Staff & Services

317404 2971865 16423.82 7955.29


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

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. - 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. - 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.

A.8.1.1 ANMs,Supervisory Nurses, LHVs,

8062 136715 6662.15 3641.65

A.8.1.1.1

ANMs 385 136715 344.79 187.00

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


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.1.1.d

24 X 7 PHC 211 124440 262.57 139.26 Approved @ Rs.11000/m for 6 months.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.1.e

Non- 24 X 7 PHCs 62 12200 7.56 6.82 Approved @ Rs.11000/m for 1 month only(as proposed by State)

A.8.1.1.1.f

Sub Centres 112 74.66 74.66 40.92 Approved @ Rs.11000/m for 62 ANMs for 6 months and Approval pended for 50 ANMs for 50 New HSCs as State needs to provide details of activity plan.

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 7677 0 6317.36 3454.65

A.8.1.1.2.a

DH 1106 77.01

3454.65

Approved @ Rs.7500/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.1.2.b

FRUs 311 301.58

A.8.1.1.2.c

Non FRU SDH/ CHC 0 0.00

A.8.1.1.2.d

24 X 7 PHC 4842 4152.00

A.8.1.1.2.e

Non- 24 X 7 PHCs 0.00

A.8.1.1.2.f

SNCU/ NBSU/NRC etc 1116 1142.40

A.8.1.1.2.g

Others 302 0 644.37

A.8.1.1.3

LHVs/supervisory nurses

0 0 0.00 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.1.3.a

DH 0.00

A.8.1.1.3.b

FRUs 0.00

A.8.1.1.3.c


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

A.8.1.2.1

Laboratory Technicians 382 142000 232.32 41.70

A.8.1.2.1.a

DH 28 10000 2.80 0.00

Approved for 132 LTs. Salary of 13 approved for 1 month only, as proposed by the State. Remaining for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. RBSK DEIC approval sifted to A 8.1.7.4.b

A.8.1.2.1.b

FRUs 13 10000 1.30 1.30

A.8.1.2.1.c


A.8.1.2.1.d

24 X 7 PHC 211 102000 215.22 34.20

A.8.1.2.1.e

Non- 24 X 7 PHCs 62 10000 6.20 6.20

A.8.1.2.1.f

Others 68 10000 6.80 0.00

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 )

512 1038000 661.69 595.89

A.8.1.3.1

Obstetricians and Gynecologists

159 70000 165.06 126.64


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.3.1.a

DH 12 70000 7.14 7.14 Approved 12 OBG @ Rs.70000/m for 1 month and 85 % amount only (as proposed by State).

A.8.1.3.1.b

FRUs 0.00

A.8.1.3.1.c


A.8.1.3.1.d

Others (Please specify) 147 157.92 119.50 36 EmOC trained Medical Officers approved for 6 months @ Rs. 40000/-PM & 85 % amount (as proposed by State) . Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. 84 EmOC trained Medical Officers approved for 1 month @ Rs. 40000/-PM & 85 % amount proposed Specialists- OG for the RCH -Centres of excellence being established at Salem and Madurai Medical Colleges approved for 1 month. Rs.70000/month x 20 OBG x 1 month x 85% For the RCH- Centre of Excellence at IOG, approved 7 OBG as senior residents @ Rs.70000 per month. Rs.70000 x 7 OBG x 1 month

A.8.1.3.2

Pediatricians 72 70000 54.75 42.35

A.8.1.3.2.a

DH 29 70000 20.30 20.30 Approved for 1 month only, as proposed by State.


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.3.2.b

FRUs 0.00

A.8.1.3.2.c


A.8.1.3.2.d

Others (Please specify) 43 34.45 22.05 Approved for 10 paediatricians @ Rs. 70000/- for Salem and Madurai medical colleges for 3 months and 85% of the total amount (as proposed by State) and 2 paediatricians for the RCH -Centre of Excellence at IOG at Rs.70000 per month for 3 months. RBSK-DEIC (Rs. 12.40 lakhs)-Approval pended as HR is only be required once the DEIC infrastructural development is completed.

A.8.1.3.3

Anesthetists 48 140000 33.60 33.60

A.8.1.3.3.a

DH 40 70000 28.00 28.00 Approved for 1 month only, as proposed by State.

A.8.1.3.3.b

FRUs 0.00

A.8.1.3.3.c


A.8.1.3.3.d

Others (Please specify) 8 70000 5.60 5.60 Approved 8 Anaesthetists. (6 Anaesthetists for the RCH -centre of Excellence at Salem and Madurai medical colleges for 1 month and 2 Approved for RCH -Centre of Excellence at IOG for 1 month only, as proposed by State).

A.8.1.3.4

Surgeons 179 210000 375.90 375.90


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.3.4.a

DH 179 210000 375.90 375.90 Approved for 3 month only, as proposed by State. Approval is for Plastic Surgeons, Neuro-Surgeons, Uro-surgeons and Orthopaedic surgeons in 15 DHs (districts without an attached Medical College)

A.8.1.3.4.b

FRUs 0.00

A.8.1.3.4.c


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 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


A.8.1.3.5.d

Others (Please specify) 0.00

A.8.1.3.6.1

Radiologists 18 70000 12.60 12.60 Approved for 1 month only, as proposed by State.

A.8.1.3.6.2

Pathologists 2 240000 4.80 4.80 Approved 2 pathologists @ Rs.40000 for 6 months = Rs.4.80 lakhs.

A.8.1.3.7

Dental surgeons and dentists

34 238000 14.98 0.00

A.8.1.3.7.a

DH 3 210000 6.30 0.00 Approval pended. State needs to revise salary.

A.8.1.3.7.b

FRUs 0.00

A.8.1.3.7.c


A.8.1.3.7.d

24 X 7 PHC 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.3.7.e

Non- 24 X 7 PHCs 0.00

A.8.1.3.7.f

Others (pl specify) 31 28000 8.68 0.00 RBSK-DEIC (Rs. 8.68 lakhs)-Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.4 PHNs at CHC, PHC level

0.00

A.8.1.5 Medical Officers 1725 902000 6091.72 1982.92 A.8.1.5.1

DH 60 240000 144.00 218.88 Approved for 96 MOs @ Rs.38000/m for 6 months. State to rationalise deployment. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.5.2

FRUs 0.00

A.8.1.5.3

Non FRU SDH/ CHC 747 2598.96

A.8.1.5.4

24 X 7 PHC 595 2590.80 1356.60 Approved 595 MOs @ Rs.38000/m for 6 months. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.5.5

Non- 24 X 7 PHCs/ APHCs

124 102000 126.48 120.16 Approved @ Rs.38000/m for 3 months and 85 % of the amount as proposed by State.

A.8.1.5.7

MOs for SNCU/ NBSU/NRC etc

126 480000 604.80 287.28 Approved @ Rs.38000/m for 6 months. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.5.8

Other MOs 42 40000 14.28 0.00 Not Approved. State to divert regular HR after filling up the vacant posts.

A.8.1.5.9

Others 31 40000 12.40 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.6 Additional Allowances/ Incentives to M.O.s

22344 500 111.72 111.72 Approved.

A.8.1.7 Others - Computer Assistants/ BCC Co-ordinator etc

2 77000 1.54 0.00 Not approved

A.8.1.7.1

Pharmacist 315 160600 291.99 102.77

A.8.1.7.1.a

DH 0.00

A.8.1.7.1.b

FRUs 0.00

A.8.1.7.1.c


A.8.1.7.1.d

24 X 7 PHC 211 132600 279.79 102.77 Approved 155 Pharmacists @ Rs.13000/m for 6 months. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.1.e

Non- 24 X 7 PHCs 62 13000 6.85 0.00 Not Approved.

A.8.1.7.1.f

Others 42 15000 5.36 0.00 Not Approved.

A.8.1.7.2

Radiographers 255 0 151.85 0.00

A.8.1.7.2.a

DH 130 11.60 0.00 Not approved.

A.8.1.7.2.b

FRUs 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.7.2.c

Non FRU SDH/ CHC 125 140.25 0.00 Not approved.

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

222 26000 15.13 0.00

A.8.1.7.3.a

DH 120 8000 8.16 0.00 Not approved.

A.8.1.7.3.b

FRUs 100 8000 6.80 0.00 Not approved.

A.8.1.7.3.c

Non FRU SDH/ CHC 0.00 Not approved.

A.8.1.7.3.d

24 X 7 PHC 0.00 Not approved.

A.8.1.7.3.e

Non- 24 X 7 PHCs 0.00 Not approved.

A.8.1.7.3.f

Other 2 10000 0.17 0.00 Not approved.

A.8.1.7.4

School health teams (Exclusively for SH)

3111 69500 772.95 770.00

A.8.1.7.4.a

MOs 1540 40000 616.00 616.00 Approved for 2 MO in each of 770 Mobile Health Teams @ Rs 40000 per month for one month. Conditionality half of the MOs to be women.

A.8.1.7.4.b

LTs 0.00 0.00 Shifted from FMR A.8.1.2.1.F - Approval pended as HR wll be required once the DEIC infrastructural development is completed.

A.8.1.7.4.c

Dental Technicians 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.7.4.d

Ophthalmic Assistants 31 9500 2.95 0.00 Approval pended as HR is only required once the DEIC infrastructural development is completed.

A.8.1.7.4.e

Staff Nurse 770 10000 77.00 77.00 Approved for 770 staff nuses for RBSK mobile health teams @ 1 per team @Rs.10000/month for 1 month

A.8.1.7.4.f

Pharmacists 770 10000 77.00 77.00 Approved for 770 pharmacist for RBSK mobile health teams @ 1 per team @Rs.10000/month for 1 month

A.8.1.7.4.g

ANMs 0.00

A.8.1.7.4.h

MPW 0.00

A.8.1.7.5

Counsellors 240 180000 352.44 166.10

A.8.1.7.5.1

RMNCH/FP Counselors 238 226.64 103.20 Approved for 172 counsellors @ Rs.10000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.5.2

ARSH Counselors 0.00

A.8.1.7.5.3

Honorarium to ICTC counselors for ARSH activities

0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.7.5.4

Other (please specify) 2 180000 3.60 1.80 Approved for 2 NRC counsellors @ Rs.15000/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.7.6

All Technical HR for State Specific Initiatives

0.00

A.8.1.7.7

Others (pl specify) 0.00

A.8.1.7.8

Staff for Training Institutes/ SIHFW/ Nursing Training

122.20 61.10 Approved. Details available Annx TrngStaff

A.8.1.8 Incentive/ Awards etc. to SN, ANMs etc.

275000 50 137.50 68.75 Approved @ Rs 25/case for 275000 PWs subject to ANM /SN ensuring registration within 12 weeks, full ANC, Partograph, birth dose of OPV, BCG, Hep B, & Vit 12 etc.

A.8.1.9 Human Resources Development (Other than above)

0.00

A.8.1.10 Other Incentives Schemes (Pl.Specify)

223 188500 58.46 30.00

A.8.1.10.1

physiotherapist 31 10000 3.10 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.10.2

psychologist and early interventionist/special educator

62 13000 8.06 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.10.3

dental technician 31 9500 2.95 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.10.4

data manager 32 22000 7.04 0.00 Approval pended as HR is required only after the DEIC infrastructural development is complete.

A.8.1.10.5

data entry operator 32 9500 3.04 0.00 Approval pended as HR is only required once the DEIC infrastructural development is completed.

A.8.1.10.6

Audiologist / speech therapist


A.8.1.10.7

state consultants for RBSK


A.8.1.10.8

state consultants for RBSK


A.8.1.10.9

Medical Store Officer at Directorate

2 25000 0.43 0.00 Not approved

A.8.1.10.10

Operational cost for Trauma care services

30.00 30.00 Approved for operational cost of 14 trauma centres.

A.8.1.11 Support Staff for Health Facilities

5011 51000 882.36 443.80

A.8.1.11.a

DH 42 0.00

A.8.1.11.b

FRUs 0.00

A.8.1.11.c

Non FRU SDH/ CHC 1130 592.95 299.10 Approved as per last year’s numbers. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

A.8.1.11.d

24 X 7 PHC 3228 51000 0.00

A.8.1.11.e

Non- 24 X 7 PHCs 124 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.8.1.11.f

SNCU/ NBSU/ NBCC/ NRC etc

487 289.41 144.70 Approved .Details available in Annx. Support staff CH. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities.

Sub-total HR 0 0 16423.82 7955.29 A.9 TRAINING 3254.59 1619.33 A.9.1 Strengthening of

existing Training Institutions (SIHFW, ANMTCs, etc.)

0.00

A.9.2 Development of training packages

1 200000 2.00 2.00

A.9.2.1 Development/ translation and duplication of training materials

1 200000 2.00 2.00 Approved.

A.9.2.2 Other activities (pl. specify)

0 0 0.00 0.00

A.9.2.2.1

Centre of advanced midwifery training

0.00

A.9.2.2.2

Advanced midwifery Training

0.00

A.9.3 Maternal Health Training

1350 3068495 644.87 642.37


360 52800 190.08 190.08

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

360 52800 190.08 190.08 Approved

A.9.3.1.5

Training of ANMs / LHVs in SBA

0.00

A.9.3.2 EmOC Training 5 2296640 58.37 55.87

A.9.3.2.1

Setting up of EmOC Training Centres

0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.3.2.2

TOT for EmOC 1 1200000 12.00 12.00 Approved.

A.9.3.2.3

Training of Medical Officers in EmOC



25 482980 118.97 118.97

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

1 49750 0.50 0.50 Approved.

A.9.3.3.3

Training of Medical Officers in life saving Anaesthesia skills

24 433230 118.48 118.48 Approved.


216 0 21.24 21.24

A.9.3.4.1

TOT on safe abortion services

0.00

A.9.3.4.2

Training of Medical Officers in safe abortion

216 21.24 21.24 Approved.


A.9.3.5.1

TOT for RTI/STI training

0.00

A.9.3.5.2

Training of laboratory technicians in RTI/STI

54 32700 17.66 17.66 Approved

A.9.3.5.3

Training of Medical Officers in RTI/STI

54 52725 28.47 28.47 Approved


330 24000 79.20 79.20 Approved


198 67250 66.74 66.74

A.9.3.7.1

AMTSL training (2nd spell)

144 33800 48.67 48.67 Approved.

A.9.3.7.2

Training of Staff Nurses in RTI/STI

54 33450 18.06 18.06 Approved.


0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.3.9 Skill Lab Training 108 59400 64.15 64.15 Approved 48 batches of Medical Officersand 60 batche s of Staff nurse/ANM

A.9.4 IMEP Training 0 0 0.00 0.00

A.9.4.1 TOT on IMEP 0.00

A.9.4.2 IMEP training for state and district programme managers

0.00

A.9.4.3 IMEP training for medical officers

0.00

A.9.5 Child Health Training 4737 1351520 519.24 211.07

A.9.5.1 IMNCI Training (pre-service and in-service)

510 765520 204.47 60.80

A.9.5.1.1

TOT on IMNCI (pre-service and in-service)


A.9.5.1.2

IMNCI Training for ANMs / LHVs


A.9.5.1.3

IMNCI Training for Anganwadi Workers



A.9.5.2.1

TOT on F-IMNCI 0.00

A.9.5.2.2

F-IMNCI Training for Medical Officers


A.9.5.2.3

F-IMNCI Training for Staff Nurses



15 58500 8.78 8.78

A.9.5.3.1

TOT on HBNC 0.00

A.9.5.3.2

Training on HBNC for ASHA

15 58500 8.78 8.78 Approved.


22 124725 8.31 0.00

A.9.5.4.1

TOT on Care of sick children and severe malnutrition



S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.5.4.2

Training on Care of sick children and severe malnutrition for Medical Officers



4090 192115 192.36 88.83

A.9.5.5.1

NSSK Training 72 64390 25.63 25.63

A.9.5.5.1.1

TOT for NSSK 1 28700 0.29 0.29 Approved.

A.9.5.5.1.2

NSSK Training for Medical Officers

0.00

A.9.5.5.1.3

NSSK Training for SNs 0.00

A.9.5.5.1.4

NSSK Training for ANMs

71 35690 25.34 25.34 Approved.

A.9.5.5.2

Other Child Health training

4018 127725 166.73 63.21

A.9.5.5.2.a

Orientation on Infant Young Child Feeding Practice - TOT

9 74675 6.72 6.72 Approved.

A.9.5.5.2.b

FIMNCI and Pre IMNCI for Medical Students (Govt, Pvt)

3125 500 15.63 15.63 Approved.

A.9.5.5.2.c

Training on Care of sick children and severe malnutrition for ANM/LHV/CDPO/Gr.I, II supervisors


A.9.5.5.2.d

Orientation on Infant Young Child Feeding Practice - MO/SN


A.9.5.5.2.e

Orientation on Infant Young Child Feeding Practice - ANM/LHV



448 295800 150.94 150.94


130 81600 51.72 51.72


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.6.1.1

TOT on laparoscopic sterilisation


A.9.6.1.2

Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant)



A.9.6.2.1

TOT on Minilap 0.00

A.9.6.2.2

Minilap training for medical officers



0 0 0.00 0.00

A.9.6.3.1

TOT on NSV 0 0 0.00

A.9.6.3.2

NSV Training of medical officers

0 0 0.00

A.9.6.4 IUD Insertion 166 124000 68.80 68.80

A.9.6.4.1

TOT for IUD insertion 0 0 0.00

A.9.6.4.2

Training of Medical officers in IUD insertion


A.9.6.4.3

Training of staff nurses in IUD insertion

62 46000 28.52 28.52 Approved.(20/batch, 62 batches).

A.9.6.4.4

Training of ANMs / LHVs in IUD insertion



0 0 0.00


70 37000 8.36 8.36

A.9.6.6.1

Refresher training on IUCD - 380 A


A.9.6.6.2

Training of FP Counselors



S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.6.6.3

0.00

A.9.6.6.4

0.00

A.9.6.6.5

0.00




0.00

A.9.6.9 Training of FP Counselors

0.00


0.00

A.9.7 Adolescent Reproductive and Sexual Health/ARSH Training

397 233100 234.85 168.08

A.9.7.1 TOT for ARSH training 0.00


0.00


72 49000 35.28 35.28 Approved


72 61250 44.10 44.10 Approved


0.00

A.9.7.6 Other ARSH training 253 122850 155.47 88.70

A.9.7.6.1

ARSH Training for SN and ICTC counsellor

144 61600 88.70 88.70 Approved.

A.9.7.6.2

ARSH training to HI 109 61250 66.76 0.00 Not approved.

A.9.7.6.1

WIFS training 0 0 0.00 0.00

A.9.7.6.1.1

State level/ District Level/ Block Level

0.00

A.9.7.6.1.2

refresher training –ANM/MO/ AWW/ Nodal Teacher

0.00

A.9.7.6.2

Menstrual hygiene training

0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.7.6.3

SHP training 0 0 0.00 0.00

A.9.7.6.3.1

School Health Training -Training of team – technical and managerial

0.00

A.9.7.6.3.2

Training of Nodal teachers

0.00

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.)

1027 439152 1030.46 0.00

A.9.8.1 Training of SPMSU staff


A.9.8.2 Training of DPMSU staff


A.9.8.3 Training of BPMSU staff


A.9.8.4 Other training (pl. specify)

627 251380 1030.46 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.8.4.1

RBSK training 500.80 0.00 Approval pended. The rationale of proposing of 10% cost is not clear. Would the Mobile health teams and DEIC staffs not be trained? If not, acheivement of the programme for this year would be incomplete.

A.9.8.4.2

Upgradrd Ultrasonagram -MO

59 39880 23.53 0.00 Not approved.

A.9.8.4.3

Leadership and Motivation Training-MO

122 136500 166.53 0.00 Not approved.

A.9.8.4.4

Integrated refresher Training

156 122.10 0.00 Not approved.

A.9.8.4.5

Leadership and Motivation Training-VHN

290 75000 217.50 0.00 Not approved.

A.9.9.1 PC/PNDT training 85 98.50 0.00 Not approved.

A.9.9.2 Others 72 206700 148.82 148.82 Approved to impart managerial skills to newly appointed MOs.

A.9.10 Training (Nursing) 0 0 0.00 0.00

A.9.10.1 Strengthening of Existing Training Institutions/Nursing School excluding infrastructure and HR.

0.00

A.9.10.2 New Training Institutions/School

0.00

A.9.11 Training (Other Health Personnel)

220 1056600 424.90 296.03

A.9.11.1 Promotional Training of ANMs to lady health visitor etc.

52 439500 228.54 228.54 Approved.


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

A.9.11.2 Training of ANMs,Staff nurses,AWW,AWS

161 111100 178.87 50.00 Lumpsum amount approved for the SNs working at DPs only.The DHs, high volumn SDH should have a regular LT even during emergency hours. So SN other than these facilities and designated DPs to be trained. State to ensure that training is strictly per RCH Norms.

A.9.11.3 Other training and capacity building programmes (nursing tutors etc.)

4 231000 9.24 9.24 Approved for capacity building program for nursing tutors

A.9.11.3.1

PGDHM Courses 3 275000 8.25 8.25 Approved.

Sub-total Training 0 0 3254.59 1619.33

A.10 PROGRAMME MANAGEMENT

2159.40 999.81

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 Measurement 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

70 4446590 240.68 144.19

Contractual Staff for SPMSU recruited and in position

70 4446590 240.68 144.19

A.10.1.1 State Programme 1 652850 6.53 144.19 Rs.144.19 lakhs approved.


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

Manager Details available in Annx PMgt A.10.1.2 State Accounts

Manager 1 915740 9.16

A.10.1.3 State Finance Manager 1 345000 3.45

A.10.1.4 State Data Manager 1 345000 3.45

A.10.1.5 Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.)

20 500000 100.00

A.10.1.6 Programme Assistants 10 120000 12.00

A.10.1.7 Accountants 1 300000 3.00

A.10.1.8 Data Entry Operators 12 120000 12.24


7 48000 2.86

A.10.1.10

Salaries for Staff on Deputation (Please specify)

8 800000 64.00

A.10.1.11

Others (Please specify) 8 300000 24.00

A.10.1.11.1

Leave salary and pension contribution for deputation staff

8 300000 24.00

A.10.2 Strengthening of District society/ District Programme Management Support Unit

186 717000 221.29 167.22

Contractual Staff for DPMSU recruited and in position

186 717000 221.29 167.22

A.10.2.1 District Programme Manager

30 240000 61.20

167.22 Rs.167.22 lakhs approved. Details available in Annx

PMgt

A.10.2.2 District Accounts Manager

30 150000 38.25

A.10.2.3 District Data Manager 14 99000 11.78

A.10.2.4 Consultants/ Programme Officers (Kindly Specify)

0.00

A.10.2.5 Accountants 71 120000 72.42

A.10.2.6 Data Entry Operators 41 108000 37.64


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)


0.00

A.10.2.8 Others (Please specify) 0.00 0.00

A.10.3 Strengthening of Block PMU

0 0 38.50 0.00

A.10.3.1 Block Programme Manager

0.00

A.10.3.2 Block Accounts Manager

0.00

A.10.3.3 Block Data Manager 0.00

A.10.3.4 Accountants 0.00

A.10.3.5 Data Entry Operators 0.00


0.00

A.10.3.7 Others (Please specify) 38.50 0.00

A.10.3.7.1

Block programme manager for RBSK

385 10000 38.50 0.00 Not approved as Block programme managers are not part of RBSK guidelines

A.10.4 Strengthening (Others) 0 0 0.00 0.00

A.10.4.1 Workshops and Conferences

0.00

A.10.6 Concurrent Audit system

0.00

A.10.7 Mobility Support, Field Visits

416 0 1658.93 688.40

A.10.7.1 SPMU/State 1 576.73 12.00 Approved at 4 vehicles @ Rs.3 L/vehicle/annum

A.10.7.2 DPMU/District 30 585.80 180.00 Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum

A.10.7.3 BPMU/Block 385 496.40 496.40 Approved.

A.10.7.4 Other Supportive Supervision costs

0.00 0.00

Sub-total Programme Management

0 0 2159.40 999.81

A.11 VULNERABLE GROUPS

0 0 0.00 0.00


S. No. Budget Head

Amount

Approved

(Rs.lakhs)

Remarks

Quantit

y / Target

Unit Cost ( Rs)

Budget (Rs.

Lakhs)

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


0 0 0.00 0.00

Sub-total Vulnerable Groups

0 0 0.00 0.00

TOTAL RCH SUPPLY SIDE

-518024 -2400 39952.35 26282.27

TOTAL RCH DEMAND SIDE

518024 2400 5647.13 5647.13

GRAND TOTAL 0 0 45599.48 31929.39

ANNEXURE PROGRAMME MANAGEMENT

Programme Management Units - TAMIL NADU

Sr. No Category Number

Salary (Rs./month)

Amount (Rs.lakhs)

SPMU 1 STATE PROGRAMME MANAGER 1 62565 3.75 2 STATE ACCOUNTS MANAGER 1 76312 4.58 3 STATE FINANCE MANAGER 1 28750 1.73 4 STATE DATA MANAGER 1 25000 1.50 5 CONSULTANTS (including 1 RBSK) 12 40000 28.80 6 PROGRAM ASST. (including 1 RBSK) 10 10000 6.00 7 ACCOUNTANTS 6 10000 3.60 8 DATA ENTRY OPERATORS 38 8500 19.38 9 SUPPORT STAFF 19 2500 2.85

10 STAFF ON DEPUTATION 24 50000 72.00 Sub Total 144.19


DPMU 1 DISTRICT PROGRAMME MANAGER 30 40000 72.00 2 DISTRICT ACCOUNTS MANAGER 30 11000 19.80 3 DISTRICT DATA MANAGER 30 21000 37.80 4 ACCOUNTANTS 30 9000 16.20 5 DATA ENTRY OPERATORS 42 8500 21.42 Sub Total 167.22

TOTAL 311.41

Annex Support Staff CH

Budget Head Unit cost

Physical Target

No. of Months

No. of Units

Total Amount

(Rs.lakhs)

Hiring of contractual staff for NICU

MPA-Female on Contract basis at 42 SCNU (DH/SDH)

5000 126 6 756 37.80

MPA-Female on Contract basis at 22 SCNU (MCH)

5000 132 6 792 39.60

MPA-Male on Contract basis at 42 SCNU (DH/SDH)

5000 126 6 756 37.80

MPA-Male on Contract basis at 22 SCNU (MCH) 5000 66 6 396 19.80

Cook cum Care taker for NRC 5000 2 6 12 0.60

Attender for NRC 5000 4 6 24 1.20

Operationalisation of MCH level 1 centres

Multi-Purpose Hospital Worker 5000 31 6 186 7.91

TOTAL 487 144.7

ANNEXURE - Staff for Training Institutes/ SIHFW/ Nursing Training

Details Unit Cost

Physical Target

Months No. of Units

Amount (Rs. Lakhs)

Strengthening of HR RTIs (exists)

Human resource Medical Officer 40000 12 6 72 24.48 MCHO 15000 12 6 72 9.18 Statistician 15000 6 6 36 4.59 System Manager 16000 6 6 36 4.90

Human resource (new Trg inst-Male)

MCHO 15000 4 6 24 3.06 Entomologist 15000 2 6 12 1.53 Statistician 15000 2 6 12 1.53

Strengthening of ANM Training Schools(Tirunelveli, Madurai, Villupuram,


Marandahalli) MCHO 15000 8 6 48 6.12

Strengthening of computer Lab in RTI

System Manager 16000 7 6 42 5.71

Total 61.10

Annx IMNCI Cell

S.no State IMNCI cell- expenses -Implementation

of Mentoring Program , staff and Office expenses

Cost in Rs. For 1 month

Amount per annum (in Rs.)

1 Personnel(Project Manager-1)

Apr’13 – Nov’13 14,587 175,044

Dec’13 – Mar’14* 15,316 183,796

Sub-Total 358,840

2 Accounts &Administrative Assistant (Data manager)- 1

Apr’13 - Mar’14 10000 120000

Sub-Total 120,000 3 Personnel (Accounts

Assistant- 1) Apr’13 – Nov’13 7277 87,324 Dec’13- Mar’14* 7650 91,800

Sub-Total 179,124 4 Data Entry operator - 1 Apr’13 – Nov’13 7277 87,324

Dec’13- Mar’14* 7650 91,800 Sub-Total 179,124

5 Data Entry operator - 1 Apr’13 – Mar’14 Rs.6,600 79,200 Sub-Total 79,200 Total HR 916,288 Other expenses

1 Honororium for Technical Advisors – 2 (to be paid at actuals at the rate of Rs. 1000 per day)

10,000 200,000

2 Travel expenditure to be reimbursed at actual including of vehicle hiring, DA, etc. for the State IMNCI Nodal Center

100,000 100,000

3 Stationery 6,000 72,000 4 Contingency 2,500 30,000 5 Communication ( telephone and internet and

postal charges) 6000 72,000

6 Infrastructure Maintenance ( inclusive of Room, AC, Electrical repairing, Furniture, etc)

100,000

7 Maintenance of Desktop Computer with accessories including Fax machine, Printer, Scanning and UPS.

50,000

8 Miscellaneous expenses: 500,000


1. Conferences

2. Preconference workshops

Total 2,040,288


Annexure 2

MISSION FLEXIBLE PO OL

S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B1 ASHA 257168 111340 700.02 424.89 B 1.1 ASHA Cost: 257168 111340 700.02 424.89 B1.1.1 Selection & Training

of ASHA 1388 5000 69.40 0.00

B1.1.1.1 Module I - IV 0.00

B1.1.1.2 Module V 0.00

B1.1.1.3 Module VI & VII 0.00

B1.1.1.4 Other Trainings 1388 5000 69.40 0.00 B1.1.1.4.1

Leprosy activities 1388 5000 69.40 0.00 Not approved. Rs. 69.40 Lakhs approved in 2012-13.

B1.1.2 Procurement of ASHA Drug Kit

5300 1100 29.15 0.00

B1.1.2.1 New Kits 0.00


B1.1.2.3 Procurement of ASHA HBNC Kit

2650 350 9.28 0.00

B1.1.2.4 New Kits 0.00


B1.1.3 Performance Incentive/Other Incentive to ASHAs (if any)

250268 12240 573.27 409.29


56025 900 149.14 149.14

B1.1.3.1.1

Accompanying non JSY mother

21200 200 42.40 42.40 Approved.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B1.1.3.1.2

VHSWC meeting, VHN Day, Adolescent monthly meeting, MMU, PHC meeting

13625 550 74.94 74.94 Approved.

B1.1.3.1.3

Attending screening camps (NCD, Health Mela, Vitamin A, Deworming, etc.,)

21200 150 31.80 31.80 Approved.


67650 275 139.31 139.31

B1.1.3.2.1

HBNC 54400 250 136.00 136.00 Approved. Ongoing Activity. 2650 existing ASHAs x 16 newborns x 250 + 1500 programme specific ASHAs x 8 newborns x 250 = 136 lakhs approved.

B1.1.3.2.2

Birth / Death Reporting

13250 25 3.31 3.31 Approved. Rs. 3.31 Lakhs for 2650 ASHAs x 5 deaths reported / ASHA x25 rs.

B1.1.3.2.3

0.00

B1.1.3.3 Incentive for FP( PPIUCD/others)

7950 2000 53.00 53.00

B1.1.3.3.1

Spacing of 2 years after marriage

2650 500 13.25 13.25 Approved.

B1.1.3.3.2

Spacing of 3 years after birth of first child

2650 500 13.25 13.25 Approved.

B1.1.3.3.3

Male / Female sterilisation after 2 children

2650 1000 26.50 26.50 Approved.


B1.1.3.5 Other incentive 51038 1040 58.05 31.80 B1.1.3.5.1

Malaria 12550 90 11.30 0.00 Approved under the NVBDCP.

B1.1.3.5.2

TB programme 2650 250 6.63 0.00 Approved under the RNTCP.

B1.1.3.5.3

Surevillance reporting 31800 100 31.80 31.80 Approved.

B1.1.3.5.11

Leprosy treatment for PB case


B1.1.3.5.12

Leprosy treatment for MB case

2650 0 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B1.1.3.6 Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc)

67605 8025 173.78 36.04

B1.1.3.6.1

Mobility and communication charges

31800 325 103.35 9.54 Approved for Communication charges @ Rs. 60 per month for 6 months for equivalent number of ASHAs validated mobile phone numbers on MCTS portal.

B1.1.3.6.2

Uniform charges 2650 1000 26.50 26.50 Approved.

B1.1.3.6.3

Iodised salt test at AWC and house holds

31800 200 0.00 0.00

B1.1.3.6.4

Incentive for Programme specific ASHA (Leprosy 1388 and Malaria 1255)


B1.1.4 Awards to ASHA's/Link workers

100 3000 3.00 3.00 Approved.

B1.1.5 ASHA Resource Centre/ASHA Mentoring Group

112 90000 25.20 12.60

B1.1.5.1 HR At State Level 0.00

B1.1.5.2 HR at District Level 0.00

B1.1.5.3 HR at Block Level 112 90000 25.20 12.60 Approved Rs. 12.60 for salary of 6 months. State has proposed Rs. 25.20 lakhs as it has Rs. 75.6 lakhs as committed unspent balance which was approved in 2012-13. BCMs should be trained in Supportive supervision, performance monitoring and reaching the unreached.

B1.1.5.4 Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify)

0.00

B2 Untied Funds 25893 195000 3255.75 2879.74 B2.1 Untied Fund for 681 50000 340.50 200.49 Approved to the extent of


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



CHCs/SDH utilization. (58.88%)

B2.2 Untied Fund for PHCs 1361 25000 340.25 297.25 Approved for 1164 existing PHCs and 25 New PHCs approved for this year @ 25000 per facility. According to norms Untied Funds are not given to UPHCs here, which will be covered under NUHM.

B2.3 Untied Fund for Sub Centres

8756 10000 875.60 875.60 Approved.

B2.4 Untied fund for VHSC 15064 10000 1506.40 1506.40 Approved

B2.5 Others 31 100000 193.00 0.00 Not approved. According to norms Untied Funds not approved for DHs.

B.3 Annual Maintenance Grants (only for Government institutions)

8539 460000 2039.50 1614.02

B3.1 CHC 450 100000 450.00 450.00 Approved.

B3.2 PHCs 1281 50000 640.50 582.00 Approved. As per norms AMG is not approved for UPHCs here, which will be covered under NUHM.

B3.3 Sub Centres 6510 10000 651.00 351.02 Approved to the extent of utilization. (53.92%)

B3.4 DH 31 100000 31.00 0.00 Not approved. According to norms AMG not approved for DHs.

B3.5 SDH 231 100000 231.00 231.00 Approved.

B3.6 Other 36 100000 36.00 0.00 Not approved. According to norms AMG not approved for MC attached institutions.

B.4 Hospital Strengthening

2501565 218176031

18985.41 11993.91

B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals

2501511 212125031

18959.91 11993.91

B4.1.1 District Hospitals 0 0 3143.00 3143.00 B4.1.1.1 Additional Building/


3143.00 3143.00 Approved. 1) Ongoing Activity. Rs. 1920 Lakhs (40%) approved in RoP 2012-13 and balance Rs. 2943 Lakhs approved for 2013-14. 2) Rs. 200 Lakhs approved for upgradation of 15 District


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



Head Quarter Hospitals in Non-medical College Districts



0.00


B4.1.2 CHCs 437 775000 4474.20 4226.20 B4.1.2.1 Additional Building/


20 1140.00 1140.00 Approved. Ongoing Activity. For Upgradation of PHCs - approved @ Rs.75 lakhs per PHC amounting to Rs1500 lakhs. During 2012-13 Rs. 600 Lakhs (40%) approved. Balance Rs. 900 Lakhs (60%) + Rs. 240 lakhs (cost escalation due to revised PWD estimate) approved for 2013-14



7 156.70 156.70 Approved. Ongoing Activity. Spill over works of PHCs - 13 units-under construction.44-Yet to be started. Rs.156.70 lakhs RAS of the approved activity of the year 2010-11.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B4.1.2.4 Staff Quarters 410 775000 3177.50 2929.50 Approved. State has proposed for 410 facilities. Approved @ Rs. 7.75 Lakh (50%) per Staff Quarter for: Delivery Point (6 or more deliveries per month) facilities in High Priority Districts OR/AND Delivery Point (10 or more deliveries per month) facilities in Non-High Priority Districts OR/AND Facilities with average monthly IP load of 60 patients or more OR/AND Facilities with average per day OP load of 100 patients or more. Hence, approval given for 165+174+14+25=378 facilities out of the proposed 410 facilities.

B4.1.3 PHCs 90 5000000 2928.21 828.21 B4.1.3.1 Additional Building/


20 560.00 560.00 Approved. Ongoing activity. For creation of new PHCs - approved @ Rs 250000 per PHC amounting to Rs.500 lakhs. During 2012-13 got Rs. 200 Lakhs (40%) approval. Balance Rs.300 lakhs (60%) + Rs. 260 lakhs (cost escalation due to revised PWD estimate - cost of Rs.13 lakhs per PHC) approved for 2013-14.



28 268.21 268.21 Approved. Ongoing activity. Rs. 268.21 lakhs RAS of the approved activity of the year 2010-11, 2011-12 and 2012-13.


B4.1.4 Sub Centres 630 1250000 3675.00 292.50 B4.1.4.1 Additional Building/


0.00



S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)




0.00

B4.1.4.4 ANM Quarters 210 750000 1575.00 292.50 Approved. New Activity. Construction of Sub-Centres. Rs.292.50 Lakhs (50%) approved this year for 39 HSCs @ Rs. 15 lakhs per HSC which are in High Priority Districts. State has proposed for Rs. 15 lakhs per HSC in annexure but has mentioned here Rs. 7.5 Lakhs per HSC.

B4.1.5 Others (MCH Wings) 2500354 205100031

4739.50 3504.00

B4.1.5.1 (Absolutely) New / Rented to Own Building

349 3900.00 3104.50 Approved. New Activity. 1) Strengthen of maternity wings in the existing facilities in the CEmONC centres (14 Maternity wings of 13 Medical colleges and 31 District Head Quarters Hospitals) @ Rs.50.00 Lakhs each. Rs. 50 lakhs x 45 facilities= Rs.2250 lakhs out of which 50% i.e. Rs. 1125 lakhs approved for 2013-14. 2) Maternity Blocks approved for 214 Delivery Point PHCs @ Rs. 18.5 Lakhs per PHC i.e. Rs. 18.5 Lakhs * 214 = 3959.5 Lakhs of which Rs. 1979.5 Lakhs (50%) approved for this year.

B4.1.5.2 Additional requirement from previous work

0.00

B4.1.5.3 Carry forward /Spill over of Ongoing Works

0.00

B4.1.5.4 Other construction 2500005 205100031

839.50 399.50

B4.1.5.4.1

construction of DEIC 2500000 31 387.50 387.50 Rs 387.52 lakhs (50 % of total cost) is approved. Conditionality the DEIC infrastructural development to be in accordance to DEIC lay


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



out plan and specification. Infrastructural development is to be completed within financial year.

B4.1.5.4.2

Center ofExcellence in Reproductive and Child Health in Salem and Madurai Medical colleges(Exists)

0.00

B4.1.5.4.3

Center ofExcellence in Reproductive and Child Health in Trichy and Tirunelveli Medical colleges(New)

2 200000000

400.00 10.00 Approved. New Activity. 200 bedded MCH Wing, one each at Trichy and Tirunelveli Medical College approved at a total cost of Rs 20 cr each which may include OT, Labor Room, ICU SNCU, Skill Labs, equipments and beds etc at per GOI Guidelines. Work to be completed in 2-3 years, this year Rs 5 cr for each centre means Rs 10 Cr for both the centres is approved.

B4.1.5.4.4

Establishment of Blood storage centres in MCH wings of Medical College Hospitals - new

2 100000 2.00 2.00 Approved.

B4.1.5.4.5

Establishment ofAccident and Emergency Services in Kuzhithurai GH

1 5000000 50.00 0.00 Not approved. State to include this activity under NCD flexipool.

B4.1.6 SDH 0 0 0.00 0.00 B4.1.6.1 Additional Building/


0.00



0.00


B 4.2 Strengthening of Districts , Sub Divisional Hospitals,

4 6000000 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



CHCs, PHCs

B.4.3 Sub Centre Rent and Contingencies

50 51000 25.50 0.00 Approval pended for rent of 50 new HSCs as State needs to provide the detailed HR plan and activity plan. Contingency funds not approved as it has to be proposed from State funds.

B.4.4 Logistics management/ improvement

0.00 0.00

B5 New Constructions (proposed for the coming year)

239 17670000

6865.00 3562.09

B5.1 CHCs 60 2610000 1566.00 287.10 Approved. New Activity. State has proposed for up gradation of 60 PHCs for the cost of Rs.1566 lakhs and has budgeted @Rs.26, 10,000 each (30%). Rs. 287.1 Lakhs approved for 11 High Priority Districts - Delivery Point PHCs only.

B5.2 PHCs 63 1140000 718.20 285.00 Approved. Rs. 285 Lakhs (30%) approved for new construction of 25 PHCs in High Priority Districts only. State needs to first saturate gaps in all High Priority Districts and then if remaining can be approved for Non-high Priority Districts.

B5.3 SHCs/Sub Centres 50 1500000 750.00 0.00 Approval Pended. State need to provide the detailed HR plan and activity plan.

B5.4 Setting up Infrastructure wing for Civil works

0 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 Govt. Dispensaries/ others renovations

0.00

B5.6 Construction of BEmONC and CEmONC centres

0 0 0.00 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B.5.6.1 Absolutely new SNCU/NBSU/NBCC

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

58 3529.80 2688.99 Approved. New Activity. 1) Civil Works for 50 CEmONC Centres: Approved only for 10 High Priority District - Delivery Point facilities. Total amount proposed for these 10 facilities as per Annexure provided is Rs. 570 Lakhs out of which Rs. 171 Lakhs (30%) approved for this year 2013-14 2) Rs. 2517.99 lakhs approved for support services to Medical College Hospitals.

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

0.00

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

0.00

B.5.10 Infrastructure of Training Institutions --

8 12420000

301.00 301.00

B.5.10.1 Strengthening of Existing Training Institutions/Nursing School( Other than HR)- ---Infrastructure for GNM Schools and ANMTC

1 9000000 90.00 90.00 Approved. New activity. Establishment of MPHW(male) training centre at Thiruvarankulam for the cost of Rs.3 crores is budgeted. Rs.90 Lakhs (30%) is approved for 2013-14.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B.5.10.1.1

Additional Building/ Major Upgradation of existing Structure

2 40.00 211.00 Approved Rs. 40 Lakhs for ongoing establishment of 3 ANM Schools. Rs. 171 Lakhs approved for additional class room facilities in Regional Training Institutes of Poonamalle, Egmore, Salem, Madurai, Salem.

B.5.10.1.2

Repair/ Renovation 5 3420000 171.00 0.00 Shifted to B.5.10.1.1

B.5.10.1.3

Spillover of Ongoing Works

0.00

B.5.10.1.4

Quarters and hostels/residential facilities

0.00

B.5.10.1.5

New Training Institutions/School (SIHFW/GNMTC/ANMTC etc)

0.00

B.5.11 SDH 0.00

B.5.12 DH 0.00

B.6 Corpus Grants to HMS/RKS

2254 1800000 3182.00 2025.00

B6.1 District Hospitals 43 500000 215.00 155.00 Approved for 31 DHs and not approved for 12 MC attached institutions. Amount approved to the extent of utilization. (31.59%)

B6.2 CHCs 455 100000 455.00 450.00 Approved for 450 CHCs and not for 5 MC attached hospitals.

B6.3 PHCs 1361 100000 1361.00 1189.00 Approved for 1164 existing PHCs and 25 new PHCs approved this year.

B6.4 Other or if not bifurcated as above

84 1000000 840.00 0.00 Not approved.

B6.5 SDH 311 100000 311.00 231.00 Amount approved for only 231 SDH.

B7 Health Action Plans (Including Block, Village)

0 0 0.00 0.00

B7.1 State 0.00

B7.2 District 0.00

B7.3 Block 0.00

B8 Panchayati Raj 150702 88500 54.87 22.13


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



Initiative B8.1 Constitution and

Orientation of Community leader & of VHSC,SHC,PHC,CHC etc

0.00

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

150640 0.00

B8.3 Others 62 88500 54.87 22.13 B8.3.1 Other infrastructure

for new PHCs 62 88500 54.87 22.13 Approved. New Activity. Rs.

22.13 Lakhs approved for Consumables and Furnitures etc for approved 25 new PHCs.

B9 Mainstreaming of AYUSH

1425 258570 2817.07 637.85

B.9.1 Medical Officers at CHCs/ PHCs (Only AYUSH)

475 212160 1007.76 307.18 Approved (ongoing activity) 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.9.1.1 DH 0.00

B.9.1.2 FRUs 0.00


B.9.1.4 24 X 7 PHC 475 212160 1007.76 307.18 Approved @ Rs. 800 per session for 6 months subject to above conditionalities

B.9.1.5 Non- 24 X 7 PHCs/ APHCs

0.00

B.9.2 Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH)

950 46410 707.88 330.67


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B.9.2.1 DH 0.00

B.9.2.2 FRUs 0.00


B.9.2.4 24 X 7 PHC 475 46410 220.45 94.48 Approved for AYUSH MPW @ Rs. 150 per session for 6 months subject to above conditionalities

B.9.2.5 Non- 24 X 7 PHCs 0.00

B.9.2.6 Urban Clinics/ Health Posts

0.00

B.9.2.7 Other 475 487.43 236.19 Approved for AYUSH Pharmacist @ Rs. 375 per session for 6 months subject to above conditionalities

B9.3 Other Activities (Excluding HR)

0 0 1101.43 0.00

B9.3.1 IEC Activities, Monitoring and contingency


B9.3.2 Networking of ISM Commisionarate

25.82

0.00 Not approved. State first needs to sped the amount approed in 2012-13.

B9.3.3 Establishment of HMS in DH/SDH and MCH

323.00

0.00 Not approved.

B9.3.5 Establishment of Research Hub for ISM

554.90

0.00 Not Approved.

B9.4 Training 0.00 B10 IEC-BCC NRHM 839935 926000 1344.14 361.95 B.10 Strengthening of

BCC/IEC Bureaus (state and district levels)

0 0 0.00 0.00

B.10.1 Development of State BCC/IEC strategy

0.00

B.10.2 Implementation of BCC/IEC strategy

5927 776000 377.91 0.00 Not Approved. State needs to spend last year amount.

B.10.2.1 BCC/IEC activities for MH

6 400000 24.00 0.00

B.10.2.1.1

Mass media 0.00

B.10.2.1.2

Mid-media 6 400000 24.00 0.00

B.10.2.2 BCC/IEC activities 5889 1000 0.00 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



for CH B.10.2.2.1

Mass media 5889 1000 0.00 0.00

B.10.2.2.2

Mid-media 0.00 0.00

B.10.2.3 BCC/IEC activities for FP

1 300000 330.66 0.00

B.10.2.3.1

Mass media 1 300000 0.00 0.00

B.10.2.3.2

Mid-media 330.66 0.00

B.10.2.4 BCC/IEC activities for ARSH

0 0 0.00 0.00

B.10.2.4.1

Mass media 0.00 0.00

B.10.2.4.2

Mid-media 0.00 0.00

B.10.2.5 Other activities (please specify)

31 75000 23.25 0.00

B.10.2.6 IPC initiatives/tools 0.00 0.00

B.10.3 Health Mela 0.00 0.00

B.10.4 Creating awareness on declining sex ratio issue

0.00 0.00

B.10.5 Other activities 834008 150000 966.23 361.95 B.10.5.1 Printing of MCP cards,

safe motherhood booklets etc

834000 0.00 0.00



B.10.5.3 Other printing 8 150000 348.93 12.00 B.10.5.3.1

RBSK- cards registers guidelines

336.93 0.00 Amount shifted to FMR A.4.2.5.4

B.10.5.3.2

Quarterly bulletin on Maternal Death

0.00 0.00

B.10.5.3.3

Maternal death workshop

8 150000 12.00 12.00 Approved. Rs. 12 lakhs approved for maternal death workshops which will be used for National & State level workshops. For State level workshop Rs. 1 Lakh, For national level workshop Rs. 5 Lakh & Rs. 4 Lakh can be


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



utilised for other workshops. The opportunity can also be utilised for review of other MH activities.

B.10.5.3.4

0.00

B.10.5.3.5

0.00

B11 Mobile Medical Units (Including recurring expenditures)

1155 1030100 3654.67 0.00

B11.1.1 Capex 0.00

B11.1.2 Opex 385 120000 462.00 0.00 Approval pended subject to the State implementing National MMU guidelines for all the running MMUs under NRHM. State has provided details in remarks for POL @ Rs. 10,000 per MMU but has proposed at 120000 per MMU.

B11.1.3 HR 385 770100 2653.67 0.00 Approval pended subject to the State implementing National MMU guidelines for all the running MMUs under NRHM.


B11.1.5 Others 385.00 140000.00

539.00 0.00

B11.1.5.1

GPS and Vehicle Maintenance

385 140000 539.00 0.00 Approval pended subject to the State implementing National MMU guidelines for all the running MMUs under NRHM.

B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units

0 0 0.00 0.00

B11.2.1 Capex 0.00

B11.2.2 Opex 0.00

B11.2.3 HR 0.00


B11.2.5 Others 0.00

B12 Referral Transport/Patient

1601 2920000 3592.62 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



transport System

B12.1 Ambulance/EMRI Capex

168 1000000 1680.00 0.00

B12.1.1 State basic ambulance/ 102 Capex

0.00

B12.1.2 Advanced life support Capex

0.00

B12.1.3 EMRI Capex-BLS 168 1000000 1680.00 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. (Rs 1680 lacs approved for replacement of the identified 168 ambulances @ Rs 10 lacs per abmulance)

B12.1.4 EMRI Capex-ALS 0.00

B12.2 Operating Cost /Opex for ambulance

1433 1920000 1912.62 0.00

B12.2.1 State basic ambulance/102 Opex

0.00

B12.2.2 Operating Cost /Opex for ASL ambulance

0.00

B12.2.3 Opex EMRI-BLS 628 1200000 1507.20 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. Operational cost of ambulance including call centre can be approved @ Rs. 1 lacs/ ambulance for 606 abmulances (BLS-548, ALS-58) being run under 108 Total cost Rs 606 lacs , 20% of this is approved.

B12.2.4 Opex EMRI-ALS 0.00

B12.2.5 HR Basic ambulance 0.00

B12.2.6 HR advanced life support ambulances

0.00


B12.2.7 Call centre-capex 0.00

B12.2.8 call centre-opex 0.00

B12.2.9 Others 805 720000 405.42 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B12.2.9.1

Free Hearse Vehicle with Freezer box

35 700000 245.00 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. New Activity. Rs 224 lacs approved for 32 mortuary van @ 7 lacs

B12.2.9.2

hiring of vehicles under RBSK

770 20000 154.00 0.00 Not approved as teams is proposed for one month 10 % of required training cost is being proposed, with which the teams cannot be trained, and RBSK roll out would be delayed, thus the mobility support of teams is not justified.

B12.2.9.3

Establishement of Transportation Cell

6.42 0.00 Approval pended subject to State implementing 'National Ambulance Guidelines' for all the running ambulances under NRHM. Rs. 6.42 approved for Transportation Cell

B.13 PPP/ NGOs 320 3000000 1800.00 0.00 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)

160 1500000 1800.00 0.00

B13.2.1 Pilot Project on Children Muscular Dystrophy Disorder

10 300.00 0.00 This component is part of RBSK under Neuro-Motor developmental detays and shifted to A.4.2.5.6

B13.2.2 Pain and Palliative care

100 1500000 1500.00 0.00 Not approved. State to propose this activity under NCD flexipool.

B13.2.3 Anaemia Control Programme

50 0.00 0.00

B13.2.4 Early intervention services in two districts in PPP mode

0.00 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B13.2.5 management of children with development disorders (Pilot project)

0.00 0.00

B13.3 NGO Programme/ Grant in Aid to NGO

0 0 0.00 0.00

B13.3.1 HBNC on Gadhroli model

0.00 0.00

B13.3.2 0.00 0.00

B14 Innovations( if any) 296391 80 5436.48 263.42 B14.1 Intersectoral

convergence 834.26 0.00 Not approved. Under

restructured ICDS, there are funds available for various activties including all those budgeted here and can be proposed under ICDS PIP.

B14.2 Strengthening of Dental services

428 2541.82 0.00 Approved but expenditure to be booked for ongoing & expansion of the activity under NCD flexipool. Expenditure for ongoing activity for time being may be incurred from NRHM flexipool.

B14.5 Accreditation of Government Hospitals/PHCs

1657 1230.72 0.00 Not approved.

B14.6

B14.7 Biomedical Waste Management

1915 0.00

B14.8 Screening for oral Cancer in Tamil Nadu

208 0.00

B14.9 Community Mental Health Project extended outreach in Ramnad District

1 65.26 0.00 To be proposed under the NCD pool.

B14.10 Studies proposed under Maternal Health and others

31.00 31.00 Approved. State to conduct studies under the guidance & inputs from NHSRC & MH.


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B14.11 Statewide project for community monitoring and village plan development

36 0.00

B14.12 Continuation of support for Community Action for Health (CAH) in 6 HUDs

6 0.00

B14.13 Bio metric system 1615 501.00 0.00 Not approved.

B14.14

B14.15 Feeding and Dietary charges for other IP cases

290520 80 232.42 232.42 Approved. New Activity.

B14.16 Down Syndrome, Pengal nalamudan etc

5 0.00 0.00

B15 Planning, Implementation and Monitoring

4470 1121810 1626.65 187.86

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

0 0 0.00 0.00

B15.1.1 State level 0.00

B15.1.2 District level 0.00

B15.1.3 Block level 0.00

B15.1.4 Other 0 0 0.00 0.00 B15.2 Quality Assurance 0 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 0.00 0.00

B15.2.4.1

State

B15.2.4.2

District


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B15.2.4.3

Block

B15.2.5 Others 0 0 0.00 0.00

B15.3 Monitoring and Evaluation

4470 1121810 1626.65 187.86

B15.3.1 Monitoring & Evaluation / HMIS /MCTS

412 402000 206.00 23.00

B15.3.1.1

HR for M&E/HMIS/MCTS

0.00

B15.3.1.2

MIS Consultant/ Manager/ Coordinators

0.00

B15.3.1.3

Statistical Assistant/ Data Analyst

2 300000 6.00 3.00 Approved Rs. 3.0 lakhs with no increment on existing salaries. Salary approved is for 6 months for 2 existing personnel at Rs. 25,000 per month

B15.3.1.4

MIS/ M&E Assistants 10 102000 0.00 0.00 No budget proposed

B15.3.1.5

Data Entry Operators 0.00

B15.3.1.6


400 0 200.00 20.00

B15.3.1.6.1

Comprehensive Networking of all sections of DPH, DMS and DFW

400 200.00 20.00 Approved Rs 20.0 lakh. State may submit the gap analysis and detailed estimate if additional resources are required. Further, if this activity does not pertain to HMIS / MCTS, the activity may be booked under relevant budget head like Programme Management. Procurement should be based on competitive bidding following Govt Protocols.

B15.3.1.6.2

Computers with LAN and accessories for IOG, ICH, KGH and RSRM

0.00

B15.3.2 Computerization HMIS and e-governance, e-health

297 335000 166.46 87.76


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B15.3.2.1.a

HMIS Operational Cost (excluding HR & Trainings)

0.00

B15.3.2.1.b


154 35000 53.90 0.00 Not approved. State may first identify gaps. If replacement is required then it may be specifically mentioned.

B15.3.2.1.c


42 10000 4.20 4.20 Approved subject to State shifting to 100% facility based reporting on HMIS web portal. Maintenance should be based on competitive bidding following Govt. Protocols.

B15.3.2.1.d


101 290000 108.36 83.56

B15.3.2.1.d.1

AMC and replacement of batteries to 4 institutions

4 25.21 25.21 Approved.

B15.3.2.1.d.2

Contingency to 4 Institutions

4 25000 1.00 1.00 Approved.

B15.3.2.1.d.3

Office expenses & TA/DA

31 30000 9.30 Shifted to A 4.2.5.5

B15.3.2.1.d.4

Procurement of computer & peripherals (1 nos per unit)

31 50000 15.50 Shifted to B 16.1.6.2

B15.3.2.1.d.5

Funiture fixtures 31 185000 57.35 57.35 Approved.

B15.3.2.2.a

MCTS Operational Cost (excluding HR & Trainings)

1614 2000 32.28 32.28

B15.3.2.2.b


0.00

B15.3.2.2.c


1614 2000 32.28 32.28 Approved subject to State shifting to 100% facility based reporting on HMIS portal and timely entry of registration details and updation of service delivery data on MCTS portal. Maintenance should be based on competitive bidding following Govt Protocols.

B15.3.2.2.d


0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B15.3.3 Other M & E Activities

2147 382810 1221.91 44.82

B15.3.3.1

HMIS Training 0 0 84.90 34.02 Approved Rs. 34.02 Lakhs @ 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. The number of participant (3780) is taken from the breakup which the

State has provided in Annexure. TA / DA and other expenditure should be as per

extant rules. Amount approved is an indicative figure and

actual amount would be based on actual expenditure. The

amount approved is subject to State shifting to 100% facility

based reporting on HMIS portal and timely entry of registration details and

updation of service delivery data on MCTS portal.

B15.3.3.2

MCTS Training 0 0 15.91

B15.3.3.3

Mobility Support for HMIS/ MCTS

0 0 0.00

B15.3.3.4

Review Meetings for HMIS

4 120000 4.80 10.80 Approved for one day combined review meeting for HMIS & MCTS for at least 2 reviews every year at State level, 1 review every quarter at District level and 1 review every month at Block level. Amount approved is indicative figure and actual amount would be based on actual expenditure. TA / DA and other expenditure should be as extant rules subject to State shifting to 100% facility based reporting on HMIS portal and timely entry of registration details and updation of service delivery data on MCTS portal.

B15.3.3.5

Review Meetings for MCTS

4 150000 6.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B15.3.3.6

Data Validation Call Centers - CAPEX

0.00

B15.3.3.7

Data Validation Call Centers - OPEX

0.00

B15.3.3.8

e-Governance Initiative

0.00

B15.3.3.9

Hospital Management Softwares 525 73500

385.88 0.00 Not approved since this activity pertains to tertiary care centres.

B15.3.3.10

Others 1614 39310 724.42 0.00

B15.3.3.10.1

Strengthening of Birth and Death Registration (Civil Registration System)

0.00 89.96 0.00 Not approved.

B15.3.3.10.2

Printing of PHC registers for 2 years 1614 39310


B.16 PROCUREMENT 525057674

1134823 11201.23 6971.38

B16.1 Procurement of Equipment

2271 1088600 7188.32 5060.65


965 3600 1498.93 1358.10

B16.1.1.1

Equipments for Blood Banks/ BSUs


B16.1.1.2

MVA /EVA for Safe Abortion services

500 1600 8.00 8.00 Approved.

B16.1.1.3

Others (please specify)

357 2000 543.00 543.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B16.1.1.3.1

Equipment ( Sahli's Hemoglobinometer) for 300 HSCs

300 2000 6.00 6.00 Approved.

B16.1.1.3.2

Equipment for CEmONC intensive care unit and Equipments for RCH-Centre of Excellence of Madurai and Salem Medical Colleges

57 537.00 537.00 Approved.

B16.1.2 Procurement of equipment: CH

319 85000 73.95 73.95

B16.1.2.1

0.00

B16.1.2.2

Equipment for training for prenatal screening fetal anamoly in 78 CEmONC and 154 PHCs

232 0.00

B16.1.2.3

Child Health equipment

87 85000 73.95 73.95 Approved.


50 800000 400.00 315.00

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 50 800000 400.00 315.00 Approved. Available Laprascopes: - Single Puncture: 200 ( Functional ; 99) - Double Puncture: 171 ( Functional: 124) Not procured for the last 3 years. Aprroved for 1 per 42 Health District @ Rs.7.5 lakhs forRs. 315.00 lakhs.

B16.1.3. PPIUCD forceps 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



5

B16.1.3.6

Other (please specify) 0 0 0.00 0.00

B16.1.3.6.1

Teaching Laparascope with camera

0.00

B16.1.4 Procurement of equipment: IMEP

931 200000 3332.00 2000.00

B16.1.4.1

Equipments to Secondary and Tertiary care Hospitals

265 2000.00 2000.00 Approved.

B16.1.4.2

Cell counter for Primary(CHC), Secondary and Tertiary care hospitals

666 200000 1332.00 0.00 Not approved.

B16.1.4.3

0.00

B16.1.4.4

0.00

B16.1.5 Procurement of equipment other than above

0.00 0.00

B16.1.6 Equipments for ARSH/ School Health

0 0 1079.14 1307.30

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)

1079.14 1307.30 Approved. RS 277.20 lakhs is for equipments for 770 mobile health teams @ Rs 36000 per team (Pure tone audiometer is not approved for mobile health teams to begin with). Rs 499.10 is for equipments for DEICs for 31 DEICs @ Rs 16.10 lakh per DEIC, Rs 31 lakh for computers and peripherals @ Rs 50000 per set @ 2 sets for each 31 DEICs, Rs 500 lakhs is MRI for ICH. Conditionality State to follow RBSK guidelines for equipment details. Procurement of DEIC equipments to be sequenced with infrastructural


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



development of DEICs as the equipments are sensitive.

B16.1.7 Equipments for Training Institutes

6 804.30 6.30 State has proposed for 1. Strengthening of MPHW(M) training Schools: Approval pended since what is existing not indicated. Only Rs. 2.70 lakhs approved for Mobility Charges. 2. Strengthening of ANM schools: Approval pended since gap analysis as per GOL road map not done. Only Rs. 3.60 Lakhs approved for mobility support. 3. Strengthening of District Training Team: Not approved as lum sump budget proposed. Hence, total approval: 6.30 Lakhs

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

525055403

46223 4012.91 1910.73


5852 10428 25.24 7.51

B.16.2.1.1

RTI /STI drugs and consumables

0.00

B.16.2.1.2

Drugs for Safe Abortion


B.16.2.1.3


2 10000 0.20 0.20

B.16.2.1.3.1

Iron Sucrose 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



B.16.2.1.3.2

Lab reagents for GDM 2 10000 0.20 0.20 Approved.

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

10658 11104 1183.46 0.00

B.16.2.2.1

HSC drugs (Kit A and Kit B)

10658 11104 1183.46 0.00 Not approved.

B.16.2.3 Drugs & supplies for FP

0 0 0.00 0.00

B.16.2.4 Supplies for IMEP 1614 0 0.00 0.00 B.16.2.4.1

Disbosable gloves and syringes

1614 0 0.00

B.16.2.5 General drugs & supplies for health facilities

770 23890 183.94 18.56

B.16.2.5.1

IPD 0.00

B.16.2.5.2

OPD 770 23890 183.94 18.56 Approved. Rs. 9.28 Lakhs approved @ Rs. 350 per kit for ASHA drug kit and Rs. 9.28 Lakhs approved for replenishment of HBNC Kit @ Rs. 350 per kit subject to the condition that State must replenish the drug kits from PHCs/SHCs. Approval of drugs for mobile health team of Rs. 183.94 shifted to B 16.2.7

B.16.2.6 Drugs & supplies for WIFS

524976876

1 1176.34 1176.34

B.16.2.6.1

IFA 505533288

0.2 1011.07 1011.07 Approved.

B.16.2.6.2

Albendazole 19443588 0.85 165.27 165.27 Approved.


59633 800 477.06 183.95 Approved. Rs 183.95 lakhs is approved for on-the-spot treatment of Mobile Health team @ Rs 50000 per team. Conditionality State to procure medicines according to RBSK EDL to be


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



announced by GoI shortly. Medicine kit for schools are not approved as per RBSK guidelines.

B.16.2.8 Drugs & supplies for UHCs


B.16.2.9 Drugs & supplies for AYUSH

524.37 524.37 Approved.

B.17 Regional drugs warehouses/Logistics management

291 887400 786.57 0.00

B.17.1 Drug warehouses 15 600.00 0.00 Not Recommended.

B.17.2 Staff at State level 1 408000 4.08 0.00 Not recommended for New HR

B.17.3 Staff at District level 10 326400 32.64 0.00 Not recommended for New HR

B.17.4 Others 265 153000 149.85 0.00 B.17.4.1 Renovation ov

Vaccine stores 20 100000 20.00 0.00 Not recommended

B.17.4.2 Procurement ofILR and DF

245 53000 129.85 0.00 Not recommended, as central supply.

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 0.00 0.00

B.18.1 Help Lines 0.00

B.19 Health Insurance Scheme

0.00 0.00

B.20 Research, Studies, Analysis

2 2000000 40.00 40.00 Approved subject to condition that State to collaborate with NHSRC.

B.21 State level health resources

2 0 58.84 0.00


S. No. Budget Head


Quantity / Target

Unit Cost ( Rs)



centre(SHSRC)

B.21.1 SHSRC - HR 1 34.04 0.00 Approval pended. State should submit detailed proposal with timeline for setting-up SHSRC. If need state should take support of NHSRC in establishing SHSRC

B.21.2 Other cost 1 24.80 0.00

B22 Support Services 32 0 465.58 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

32 465.58 0.00 Not approved. State to include this activity under NCD flexipool.

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

312 536000 326.96 99.00

B.23.1 Fuel charges to generator for Blood Storage Centres

286 36000 102.96 0.00 Not approved.

B.23.3 Requirement of Vaccine Carrier Vans

25 500000 125.00 0.00 Not approved.

B.23.4 Infrastructre strengthening at SHS (civil works)

1 99.00 99.00 Approved. New Activity. Rs. 99 Lakhs (20%) approved for 2013-14 out of the total cost of Rs. 495 Lakhs.

Grand Total 68233.36 31083.24


ANNEXURE 3

IMMUNIZATION AND PPI OPERATION COST

Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

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.

42.00 80.00 80.00 Approved.

c.1.b

Mobility support for supervision at state level

Rs. 150000 per year.

1.00 1.50 1.50 Approved.

c.1.c

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

Rs. 10 beneficiaries

1614.00

119.80 119.80 Approved.

c.1.d

Support for Quarterly State level review meetings of district officer

Rs. 1250/ per participant/day for 3 persons (CMO/DIO/Dist. Cold Chain Officer)


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)



Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

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)


c.1.g

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

Hiring of ANM@450/session for four session/month/slum of 10000 population and Rs. 300/- per month as contingency per slum i.e. Rs. 2100/- per month per slum of 10000 population

6960.00

146.16 146.16 Approved.

c.1.h

Mobilization of children through ASHA or other mobilizers

Rs. 150 per session

6.27 6.27 Approved.

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

Rs. 150 per session

62868.00

94.30 94.30 Approved.

c.1.j Alternative Vaccine Delivery in other areas

Rs. 75 per session

389844.00

292.38 292.38 Approved.

c.1.k

To develop micro plan at sub-centre level

@ Rs 100/- per subcentre

8.71 8.71 Approved.


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

c.1.l For consolidation of micro plans at block level

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

0.00 4.69 4.49 Approved.

c.1.m

POL for vaccine delivery from State to district and from district to PHC/CHCs

Rs1,50,000/ district/year

42.00 48.00 48.00 Approved.

c.1.n

Consumables for computer including provision for internet access for RIMs

@ 400/ - month/ district

1.54 1.54 Approved.

c.1.o

Red/Black plastic bags etc. Rs. 3/bags/session

15.54 15.54 Approved.

c.1.p

Hub Cutter/Bleach/Hypochlorite solution/ Twin bucket

Rs. 1200 per PHC/CHCper year

0.00 0.00

c.1.q

Safety Pits Rs. 5250/pit 1614.00

84.74 84.74 Approved.

c.1.r State specific requirement (For 385 blocks, an average of one alternate vaccinator may be required per month per block. They may be provided Rs. 200 per Immunization session.385 blocks x One vaccinator x 12 months x Rs.200 = Rs. 9,24,000)

4620.00

9.24 9.24 Approved, however, the expenditure has to be as per actuals.

c.1.s Teeka Express Operational Cost

0.00 0.00 The State is not included under the liast of States proposed for Teeka Express introduction

c.1.t Measles SIA operational Cost 0.00 0.00 No Measles SIA is scheduled in F.Y. 2013-14

c.1.u

JE Campaign Operational Cost

28.69 38.69 Approved.


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

c.1.v

Others 0.00 0.00

C.1-Sub Total 964.85 974.65 C.2 Salary of Contractual Staffs C.2.1

Computer Assistants support for State level

Rs.12000-15000 per person per month


C.2.2

Computer Assistants support for District level

8000-10000 per person per month

42.00 42.84 13.44 Approved. Salary is for 6 months. State to provide details of total sanctioned posts, fi lled up and vacancy.

C.2.3

Others(service delivery staff) - WIC attendant (18) - Rs 14.69 lakhs

6.00 14.69 0.00 Not approved for WIC attendant for new HR

C.2-Sub Total 58.61 13.98 C.3 Training under Immunization 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

31.00 26.00 26.00 Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division.

C.3.2

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

31.00 37.00 37.00


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

C.3.3

One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats

42.00 0.48 0.48

C.3.4

Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers

31.00 8.80 8.80

C.3.5

One day training of block level data handlers by DIOs and District cold chain officer

1.00 0.87 0.87

C.3.6

Others 0.00 0.00

C.3-Sub Total 73.16 73.16 C.4 Cold chain maintenance

Rs.750/PHC/CHCs per year District Rs.15000/year

42.00 20.00 16.89 Approved as per norms, However, the expenditure has to be as per actuals.Also, in case the expenditure exceeds the approved allocation , the state may request to MOHFW for additional allocation by reappropriating within part C.

C.5 ASHA incentive for full Immunization

Rs 100 per child for full immunization in first year

196.69 196.69


Sr.

No.


Target

Unit

Cost (

Rs)

Amount

Propose

d

(Rs.

Lakhs)

Amount

Approve

d (Rs.

Lakhs)

Remarks

Rs 50 per child for ensuring complete immunization upto 2nd year of age

Total ROUTINE IMMUNIZATION

1313.30 1275.36

C.6 Pulse Polio Operational Cost (Tentative)

972.88 972.88 Approved, subject to approval for Pulse Polio Cost.

Grand Total - Immunisation 2286.18 2248.24


ANNEXURE 4A

NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRA MME (NIDDCP)

FMR Code


)



Remarks

D

IDD

The sanctioned vacant posts i.e. Statistical Assistant & LDC should be filled up on regular/contract basis on priority.

State Govt. may conduct and co-ordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format.

D.1 Establishment of IDD Control Cell-

Implementation & monitoring of the programme

12.00

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.

6.00 The sanctioned posts of Lab Technician & Lab Asst. should be filled up on regular/ contract basis on priority.

State Govt. 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

D.3 Health Education & Publicity

Increased awareness about IDD and iodated salt.

4.00 IDD publicity activities including Global IDD Day celebrations at various levels.


FMR Code


)



Remarks

D.4 IDD Survey/Resurveys

Rs. 50,000 per district

4 districts 2.00 State. Govt. may under take 4 districts IDD survey as per guidelines and furnish report.

D.5 Salt Testing Kits to be procured by the State Government for 21 endemic districts

12 STK per annum per ASHA

Creating iodated salt demand and monitoring of the same at the community level.

** State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 21 endemic districts i.e. Trichrapalli

Dindigul, Madurai, Coimbatore, Ramananthapuram, The Nilgiris, Thiruvarur, Salem,

Virudhnagar, Villupuram, Kanyakumari, Dharmapuri, Pudukottai, Namakkal, Nagapattanum, Erode, Perambalur, Tuticoran, Thanjavur, Chennai, Cuddlore

D.6 ASHA Incentive Rs. 25/- per month for testing 50 salt samples/ month

50 salt samples per month per ASHA in 21 endemic districts

**

TOTAL 133.00* 24.00

*There is no activity –wise fund break up proposal in respect of NIDDCP in the PIP for the year 2013-14

** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 21 endemic districts funds will be released through flexi pool of NRHM by GOI.


ANNEXURE 4B

INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP)

FMR Code




Remarks

E1 Operational Cost

Field Visits

SSU(2.5)+32 DSUs(48.0)

81.8

Office Expenses SSU (4.0)+ 32 DSUs(64.0)

Broad Band expenses

Outbreak investigations including Collection and Transport of samples

Review Meetings

Any other expenditure


E 1.2 Laboratory Support

District Priority Lab

Referral Network Lab

District public health lab equipments

District public health lab consumable s

32 DPHls (4.92*32)=157.44

4.0 * 32 DPHLs

Sub Total 157.44 128.0

E.2 Human Resources

E.2.1 Remuneration of Epidemiologists

State Epidemiologists

45000*1*12=5.4

5.4 The budget for current vacant posts is calculated for 9 months, keeping in view time

District Epidemiologists

40000*15*11 + 40000*17*12=144

141.6

E.2.2 Remuneration of Microbiologists

State Microbiologists

30000*1*12=3.6

3.6

District Microbiologists

(DPL)30000*2*12=7.2

89.7


(DPHL) 25000*30*11=82.5

frame for filling up this vacancy.

*Medical Microbiologists should be paid higher remuneration than the non medical microbiologists.

E.2.3 Remuneration of Entomologists

25000*1*10=2.5

2.25

Veterinary Consultant 35000*1*10=3.5

3.15

E.3 Consultant-Finance/ Procurement

25000*1*10=2.5

1.8

E.3.1 Consultant-Training/ Technical

35000*1*12=4.2

3.96

E.3.2 Data Manager

State Data Manager

25000*1*12=3.0

2.4

District Data Manager

20000*30*12 + 20000*2*10 =76.0

68.4

E.3.3 Data Entry Operator

State Data Entry Operator

12000*2*12=2.88

2.88

District Data Entry Operator

12000*47*12 + 12000*8*10=77.28

77.28

District public health lab manpower

Lab technician at DPHL Lab attendant at DPHL

12000*32*10=38.4 5000*32*10=16.0

54.4

Sub Total 468.96 456.82

E.8 Training As per NRHM Guidelines

Medical Officers (3 Day ) 3 days 31522*32=10.09

Senior Medical Officers (1 Day)

One day training of Hospital Pharmacist / Nurses

64*15882=10.16

One day training of Medical College Doctors 15687*17=2.67

Epidemiologists (1 Day)

One day workshop for Inter-sectoral coordination with other departments like Local bodies, Water supply

ASHA & MPWs, AWW and community volunteers (1 day)

15882*64=10.16


sanitation etc. regarding plan strategy for disease control/ outbreak management

5.0

One day training for Data Entry and analysis for Block Health Team

17757*96=17.05

Lab technician (3 days) 2*31522=0.63

Data managers (2 day) 1*74755=0.75

DEO cum accountant (2 day)

2 days 54279*4=2.17

Mobile based data entry for surveillance

Others Two day training for RRTs

50657*11=5.57

Sub Total 59.25 5.0

For each newly formed district. District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories.

2 new districts = 5.8

Sub Total 5.8 5.8

Innovations 109.44


Total 919.39 680.42

Comment:

Based on past trend of expenditure, Rs 157.00 lakhs has been approved in BE for Tamil Nadu under IDSP for 2013-14. However, if there is increase in expenditure by State as per IDSP approved norms, the budget for State could be increased at RE stage.


ANNEXURE 4C

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NV BDCP)

FMR Code


Physical Target



In Lakhs)

Remarks

F.1 Domestic Budget Support (DBS)

F.1.1 Malaria F.1.1.a Contractual Payments F.1.1.a.i MPW contractual 0.00 0.00 F.1.1.a.ii Lab Technicians ( against

vacancy) 0.00 0.00

F.1.1.a.iii VBD Technical Supervisor (one for each block)

0.00 0.00

F.1.1.a.iv District VBD Consultant (one per district) (Non- Project States)

0.00 0.00

Data Entry Operator one per district (Non-project states)

0.00

0.00

F.1.1.a.v State Consultant (Non – Project States),

0.00

0.00

M&E Consultant (Medical Graduate with PH qualification)

0.00

0.00

- VBD Consultant (preferably entomologist)

0.00

0.00

F.1.1.b ASHA Incentive 14.99 12.00 F.1.1.c Operational Cost F.1.1.c.i Spray Wages 34.98 25.00 Vector control is

essential; however, the cost of larvicides may be met from RKS/flexi pool as discussed in NPCC.

F.1.1.c.ii Operational cost for IRS 118.82 40.00

F.1.1.c.iii Impregnation of Bed nets- for NE states

0.00

F.1.1.d Monitoring , Evaluation & Supervision & Epidemic Preparedness including mobility and printing of formats

80.00 50.00


FMR Code


Physical Target



In Lakhs)

Remarks

F.1.1.e IEC/BCC 50.00 30.00 F.1.1.f PPP / NGO and

Intersectoral Convergence 0.00 0.00

F.1.1.g Training / Capacity

Building 50.00 30.00

F.1.1.h Zonal Entomological

units 0.00 0.00

F.1.1.i Biological and

Environmental Management through VHSC

0.00 0.00

F.1.1.j Larvivorous Fish support 0.00 0.00 F.1.1.k Construction and

maintenance of Hatcheries

0.00 0.00

F.1.1.l Any other Activities (Pl.

specify) 0.00

Total Malaria (DBS) 348.79 187.00

F.1.2 Dengue & Chikungunya F.1.2.a Strengthening

surveillance (As per GOI approval)

F.1.2.a(i) Apex Referral Labs

recurrent 3.00 1.00

As per discussion held during NPCC F.1.2.a(ii) Sentinel surveillance

Hospital recurrent 30.00 15.00

F.1.2.a(iii) ELISA facility to Sentinel Surv Labs

0.00

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)

0.00

F.1.2.c Monitoring/supervision

and Rapid response

25.50 25.50


FMR Code


Physical Target



In Lakhs)

Remarks

F.1.2.d Epidemic preparedness 787.58 72.00 Fogging is not recommended in routine. Larvicides may be procured from Rogi Kalyan Samiti as per NRHM guidelines which are available on website and copy given during NPCC. This is as per discussions in NPCC.

F.1.2.e Case management 5.00 5.00 F.1.2.f Vector Control &

environmental management

887.04 600.00 Approval is for domestic breeding checkers as per discussion held during NPCC. Areas to be prioritized for activities.

F.1.2.g IEC BCC for Social Mobilization

15.75 10.00

F.1.2.h Inter-sectoral convergence

0.50 0.50

F.1.2.i Training & printing of guidelines, formats etc. including operational research

25.00 15.00

Total

Dengue/Chikungunya 1779.37 744.00

F.1.3 AES/JE F.1.3.a Strengthening of Sentinel

sites which will include Diagnostics and Case Management, supply of kits by GoI

145.40 100.00

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

91.45 10.00

F.1.3.c Capacity Building 18.53 10.00 F.1.3.d Monitoring and

supervision

155.40 10.00


FMR Code


Physical Target



In Lakhs)

Remarks

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

21.81 10.00

F.1.3.f Fogging Machine 70.00 5.00 F.1.3.g Operational costs for

malathion fogging

25.88 4.00

F.1.3.h Operational Research 0.00 F.1.3.i Rehabilitation Setup for

selected endemic districts

672.11 200.00 Process may be initiated & based on financial performance funds will be increased at RE stage.

F.1.3.j ICU Establishment in endemic districts

436.00 218.00

F.1.3.k ASHA Insentivization for sensitizing community

5.00 3.00

F.1.3.l Other Charges for

Training/Workshop Meeting

38.50 38.00

F.1.3.m Establishing district

counseling centre

51.50 2.50

Total AES/JE 1731.58 610.50 F.1.4 Lymphatic Filariasis F.1.4.a State Task Force, State

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

76.65 74.00

F.1.4.b Microfilaria Survey 0.00 0.00 F.1.4.c Post MDA assessment by

medical colleges (Govt. & private)/ICMR institutions

0.00 0.00


FMR Code


Physical Target



In Lakhs)

Remarks

F.1.4.d Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers

0.00 10.00 For sensitization on morbidity management to the patients as well as for the school teachers and the community including peri-pheral health workers for TAS. State to plan the activity.

F.1.4.e Specific IEC/BCC at state, district, PHC, Sub-centre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA

0.00 0.00

F.1.4.f Honorarium for Drug

Distribution including ASHAs and supervisors involved in MDA

0.00 0.00

F.1.4.g Verification and

validation for stoppage of MDA in LF endemic districts

F.1.4.g.i a) Additional MF Survey 7.70 7.70 evaluation units

selected as per population norms (16 districts)

F.1.4.g.ii b) ICT Survey 18.00 18.00 Covering 16 districts F.1.4.g.iii c) ICT Cost 129.20 100.00 Covering 16 districts F.1.4.h Verification of LF

endemicity in non-endemic districts

F.1.4.h.i a) LY & Hy Survey in

non-endemic district 34.94 24.55

F.1.4.h.ii b) Mf Survey in Non-

endemic dist. 11.90 10.00

F.1.4.h.iii c) ICT survey F.1.4.i Post-MDA surveillance 0.00 0.00


FMR Code


Physical Target



In Lakhs)

Remarks

Total Lymphatic Filariasis

278.39 244.25

F.1.5 Kala-azar F.1.5 Case search/ Camp

Approach

Not Applicable

Not Applicable

F.1.5.a Spray Pumps &

accessories

F.1.5.b Operational cost for spray

including spray wages

F.1.5.c Mobility/POL/supervision 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) 4138.13 1785.75

F.2 Externally aided component

F.2.a World Bank support for Malaria (Identified state)

F.2.b Human Resource Not

Applicable Not Applicable

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 Applicable

Not Applicable F.2.f Capacity building F.2.g Mobility F.3 GFATM support for

Malaria (NEStates)

F.3.a Project Management Unit

including human resource of N.E. states

Not Applicable

Not Applicable F.3.b Training /Capacity

Building


FMR Code


Physical Target



In Lakhs)

Remarks

F.3.c Planning and Administration ( Office expenses recurring expenses, Office automation , printing and stationary for running of project)

F.3.d Monitoring Supervision

(supervisory visits including travel expenses, etc) including printing of format and review meetings,

F.3.e IEC / BCC activities as

per the project

F.3.f Operational cost for

treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS )

Total : EAC component 0.00 0.00

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)

4138.13 1785.75

F.6 Cash grant for

decentralized commodities

F.6.a Chloroquine phosphate

tablets 1.69

200.00

Approved however, funds will be released within available budget & flexi pool. The gap may be met from flexi pool & larvicides from Rogi

F.6.b Primaquine tablets 7.5 mg 3.81 F.6.c Primaquine tablets 2.5 mg 2.93 F.6.d Quinine sulphate tablets 0.00 F.6.e Quinine Injections 0.00 F.6.f DEC 100 mg tablets 0.00 F.6.g Albendazole 400 mg 0.00


FMR Code


Physical Target



In Lakhs)

Remarks

tablets Kalyan Samiti as discussed in NPCC to avoid any shortage of drug and diagnostics.

F.6.h Dengue NS1 antigen kit 74.21 F.6.i Temephos, Bti (AS) / Bti

(wp) (for polluted & non polluted water)

630.46

F.6.j Pyrethrum extract 2% for spare spray

100.94

F.6.k ACT ( For Non Project states)

6.91

F.6.l RDT Malaria – bi-valent (For Non Project states)

1.00

F.6.m Any Other Items ( Please Specify)

0.00

Total grant for decentralized commodities

821.95 200.00

Grand Total for grant-

in-aid under NVBDCP 4960.08 1985.75

Commodity Grants 0.00 0.00 Total NVBDCP Cash +

Commodity 4960.08 1985.75


ANNEXURE 4D

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP)


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 200000 - - -

1.2 Services in Urban Areas

Town - Town - 22 25.08 25.08

Med I- 4 9.60 9.60

Med II- 1 4.72 4.72

Mega- 1 5.60 5.60

1.3. ASHA Involvement

Sensitization 100 500 0.50 0.50

*Incentive to ASHA

Detection 250 800 2.00 2.00

PB 400 300 1.20 1.20

MB 600 500 3.00 3.00

1.4 Material & Supplies

Supportive drugs, lab. reagents & equipments and printing works

District 68,000 30 20.40 20.40

1.5 NGO - Scheme No. 600000 - - -

G2. DPMR

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

MCR - 300/- 13456 40.37 40.37

MCR-2 pair per person

Aids/Appliance -17000

30 5.10 5.10

Welfare/RCS - 8000

20 1.60 1.60

At Institute - 5000

20 1.00 1.00

At camps -

10000



Physical Targets

Amount proposed

(Rs. in lakhs)

Amount approved

(Rs. in lakhs)

Remarks

G3. IEC/BCC

Mass media, Outdoor media, Rural media, Advocacy media

98,000 30 29.40 29.40

G4. Human Resources & Capacity building

4.1 Capacity building 156380 75 13.65 13.65

State specific requirements

& rate

4.2. Human Resources on contract

4.2.1. Contractual Staff at State level

SMO 1 40000 1 4.80 4.80 BFO cum Admn. Officer

1 30000 1 3.60 3.60

Admn. Asstt. 1 16000 1 1.92 1.92 DEO 1 12000 1 1.44 1.44 Driver 1 11000 1 1.32 1.32

4.2.2. District Leprosy Consultant

30000 1 - 2.70

Post of Driver of

districts not available

Physiotherapist 25000 1 - 2.25

4.2.3. Special Provision for selected States

-

NMS No. 25000 - -

4.2.4. Staff for blocks

PMW No. 16000 10 - 14.40

G5. Programme Management ensured

5.1. Travel Cost travel expenses - Contractual Staff at State level

80000 1 0.80 0.80 No staff at district

travel expenses - 25000 - - -



Physical Targets

Amount proposed

(Rs. in lakhs)

Amount approved

(Rs. in lakhs)

Remarks

Contractual Staff at District level

5.2 Review meetings 4 20000 to 50000 4 1.20 1.20

5.3 Office Operation & Maintenance

Office operation - State Cell

1 75000 1 0.75 0.75

Office operation - District Cell

No. 35000 30 10.50 10.50

Office equipment maint. State

1 50000 1 0.50 0.50

5.4 Consumables

State Cell 1 50000 1 0.50 0.50

District Cell No. 30000 30 9.00 9.00

5.5 Mobility Support

State Cell 2 200000 1 2.00 2.00

District Cell 1 150000 30 45.00 45.00

G6 Others

travel expenses for regular Staff for specific programme/training need, awards etc.

12.00 12.00 Essential

requirements

GRAND TOTAL 258.55 277.90

*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.


ANNEXURE 4E

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTC P)

FMR Code






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

381.24 306.24 Upgradation of DTC is approved @10 lakhs /dist.

I.2 Laboratory materials


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

308.62 220.07 As per norms

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


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;

219.08 151.10

I.5 Equipment maintenance


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

71.14 42.68


FMR Code






Remarks

planned; 2) All BMs are in functional 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;

166.44 122.93 As per norms

I.7 Vehicle maintenance/ operation


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


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

30.03 30.03

I.9 NGO/PP support


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

565.66 509.09

I.10 Medical College


1) All activities proposed under Medical Colleges head in PIP completed

375.83 300.66

I.11 Office Operation


1) All activities proposed under miscellaneous head in PIP completed

96.01 88.57


FMR Code






Remarks

I.12 Contractual services


1) All contractual staff appointed and paid regularly as planned

916.88 916.88

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

170.54 136.43 As per norms

I.14 Research and studies


1) Proposed Research has been initiated or completed in the FY as planned

0 0

1.15 Procurement of drugs

28.33 28.33

I.16 Procurement –vehicles


1) Procurement of vehicles completed as planned

0 0

I.17 Procurement- Equipments


1)Procurement of equipments completed as planned

23.55 23.55

I.18 Patient support & Transportation


Payment of transportation charges to patients

10.53 9.47

I.19 Supervision & Monitoring


Number of evaluation and review meeting done by state

244.02 222.76 As per norms.

Subtotal 3850.15 3322.85

Disease control Flexi pool fund

111.00 51.00 Disapproved activity is inclusion of 3 private labs.

TOTAL APPROVAL 3961.15 3373.85

2013-14 - state health society tamil nadu

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