Project Implementation Plan National Rural Health Mission

(NRHM) Orissa2008-09

ORISSADemographic Profile

Total Population : 3.68 Crore

Scheduled Tribe : 22.13%

Scheduled Caste : 16.53%

Urban Population : 15%

No of Districts : 30

Sex ratio : 972

B.P.L : 47.15%

Life expectancy : 61.64

Health Infrastructure Dist. HQ Hosp. : 32

SD Hospitals : 22

Other Hospitals : 120

CHC : 231

PHC : 117

PHC (New) : 1162

Sub-centers : 6688

PPC : 79

MHU : 90

Human ResourceCategory of post Number

Medical Officers 762

Specialist 824

Assistant Surgeon 2629

Staff Nurse 2244

Pharmacist 2039

Health Supervisor (Male) 1551

Health Supervisor (Female) 1551

Health Worker (Male) 4911

Health Worker (Female) 7121

Laboratory Technician 801

Radiographer 162

2005-06 2008-09 2010

MMR 358 SRS 275 250

IMR 73- SRS /65* 60 50

TFR 2.4 SRS 2.2 2.1

Full ANC 61* 65 80

Institutional deliveries

39%* 75 80

Deliveries with SBA 46.4 85 90

Full immunization 44 ( 52%)* 70 85

CPR 47 58 65

* Sources NFHS - 3

State Goals

Important State Initiatives

Important State Initiatives

• Increase in MBBS seats in VSS, Burla and Berhampur Medical colleges (43 each).

• Doubling of seats in DMLT (Lab. Tech.) & DMRT(X-ray Tech.) courses in 3 medical colleges.

• 33% increase in seats in all the 16 ANM training centres.

• Enhancement of remuneration for contractual doctors in KBK and 3 difficult districts

• Doubling of rate of daily diet for indoor patients

• Doubling of State drug budget

Important State Initiatives

Running of new courses

• M.Sc Nursing course in Nursing College, Berhampur.

• B.Sc Nursing course in SCB medical college from 2008-09.

Additional incentive for regular doctors

FOR KBK & 3 backward districts

Level Existing Revised

DHH/SDH Rs. 2000 Rs. 4000

PHC/CHC/Area Hospitals/ PHC (New)

Rs. 5000 Rs. 8000

( Boudh, Phulbani & Gajapati)

Important State Initiatives

• Up gradation of post at entry level for doctors from class II to class I

• Restructuring of cadre for better promotional avenues

• Increase in specialist allowances from Rs. 150/- to Rs. 3000/-per month

• Enhancement of remuneration for Junior doctors • Enhancement of service condition of

paramedicals

State Budget

Financial Year

State Plan

Non-Plan Central Plan

Central Sponsored

Plan

Total % increas

e

2006-07 4937.04 51388.67 13231.75 50.00 69607.46

2007-08 9501.56 55658.20 14982.05 50.00 80191.81 15.21

2008-09 15119.50 64719.48 17046.05 50.00 100400.03 25.3

Rs. in lakhs

NRHM State PIP 2008-09

RCH-II Maternal Health• Improve facilities in health institutions• Strengthening Referral transport• Improve access to services • Enhance institutional deliveries (JSY)• Capacity Building of MOs and Paramedics • Training of TBAs • Improving out reach services • Strengthening the fixed health day • Clinical and Social Audit of Maternal deaths• Advocacy & IEC• New schemes

Operationalisation of FRUs

• Basic 3 criteria of GOI guideline to operationalise FRU

• Micro Planning for FRUs & 24X7 - Workshops, Field visits, Review & modification

Category Numbers Features

1 22 Fulfills all criteria*

2 39 One criteria absent

3 48 Two criteria absent

4 24 Three criteria absent

5 16 More than three criteria

Operationalisation of Facilities

RCH II- Janani Surakhya Yojana

•Total JSY beneficiaries : 6.60lakhs

Year Mothers benefited Financial Assistance

(Rs. In lakhs)

Home Institutional

2005-06 5281 21126 253.83

2006-07 75752 151452 2443.80

2007-08(till Jan) 65,559 340,966 5901.33

Total 146592 513544 8598.96

Impact of Janani Surakhya Yojana (JSY)

Impact of Janani Surakhya Yojana (JSY)

Janani Surakhya Yojana (JSY)

JSY Proposal for 2008-09

• Total no of deliveries - 9.54 lakhs• Targetted Coverage under JSY - 85%• Institutional Coverage - 75%• Rural beneficiaries - 80%• Total amount proposed - Rs.11051.25lakhs

• Strengthening District cell • Cheque payment for ASHA• Free of cost Referral transport Facility

Operationalisation of FRUs

Strategy - Anaesthesia (Short Term Course) -18x2 batches - 36 - Already trained - 18 - In service PG & others - 4 - Private Medical College - 6 - Total - 64

Operationalisation of Facilities

Multi Skilling of MBBS Doctors - Anesthesia - 23

- Emoc - 12

Blood Storage Training- 104

• Emoc Training

- No. to be trained 8x2 batches(16 Doctors)( To be placed to FRUs having higher delivery load)

• RTI/STI Training - 488 • Blood Storage training for MO/LT- 20• PNDT Training - 540

Operationalisation of Facilities

SBA Training

• District Level TOT - 30 Districts• 15 days Training - 367/748• 21 days Training - 78/487• Trg of MOs, O&G, Paediatrician- 422• Training of Paramedical - 264• No of Venues operational - 57• No of Districts Trg initiated - 21

New SchemesJanani Sahayata Yojana

- Accreditation of Private Hospitals for Institutional Delivery for BPL women

- Rs. 2000/- to be reimbursed to the institutions - Rs. 500/- to the Beneficiary

Incentive for Institutional Delivery

- To Health Providers at Block and Sub Block level - Gradation of institutions as per specialist availability and

delivery load - An amount of Rs.200 per delivery after the prescribed limit - Incentive amount to be provided - 50% to Medical officer - 25% to RKS - 25% to Staff

Comments and Compliance

• RCH- Goal for 2008-09 Already included• Maternal health Strategy Already included• JSY break up for institutional and Home delivery Already provided• Facility augmentation and planning Already provided• Emphasis on PNC Planned through Motivation by ASHA Strengthening of VHND • Training Other mismatch corrected

BUDGET SUMMARY OF MATERNAL HEALTH FOR THE YEAR 2008- 09  Rs. in Lakhs

Programme Total

Budget

Unspent balance of

previous year

Balance proposed

in 2008-09 PIP

Operationalise Block PHCs/CHCs/ SDHs/DHs as FRUs

191.05    

Operationalise PHCs to provide 24-hour services 578.70    

Referral Transport (Janani Express) 231.04    

Operationalise MTP services at health facilities 15.78    

Operationalise RTI/STI services at health facilities 37.20    

Integrated outreach RCH services 434.89    

Janani Suraksha Yojana (Other strategies) 1,147.26    

Orientation of SHG to support VHND 30.00    

Matru Smriti Yojana 9.60    

Incentive for Institutional delivery 245.16    

Other 0.54    

Sub-Total 2,921.22 153.65 2,767.57

JSY 11,851.25 800.00 11,051.25

Total of Maternal Health 14,772.47 953.65 13,818.82

Child Health Progress so far• IMNCI training in 12 high IMR districts Basic Health Worker–1908• Special New Born Care Unit (II) established in Mayurbhanj.• Prustikar Diwas for treating Malnourished children. • Treatment Protocol developed for Prustikar Diwas• 53% full immunization achieved

Month wise Admission Status of SNCU Mayurbhanj

0

20

40

60

80

100

120

Feb

-07

Mar-

07

Ap

r-07

May-0

7

Ju

n-0

7

Ju

l-07

Au

g-0

7

Sep

-07

Oct-

07

No

v-0

7

Dec-0

7

Jan

-08

• IMNCI training in 10 Districts -2976• FBNC training - 384• Establishment of SNCU - I in FRUs• Establishment of SNCU - II in 5 Districts• Establishment of SNCU - III in 3 Medical colleges• School Health programme 6 to 11 year

– 30% of the total child population of 232000• Support to Prustikar Diwas

– Investigation costs – Equipments– Referral transport cost

RCH Child Health Proposal

• Nutrition Rehabilitation Centre (NRC) Establishment of NRC in Kalahandi & Mayurbhanj• Incentive Scheme for Full immunisation Rs 500/- incentive on completion of full

immunisation to mother from supported OHSP funds

NIPI Supported activities• Home Based New born care Training for ASHAs

in one District• Strengthening of the Block and District Child

Health Resource units

Child Health Proposal

Compliances• FBNC target for Medical Officers and staff nurse

enhanced from 125 to 384• IMNCI logistic like drugs and monitoring has been

included under procurement and institutional strengthening in RCH-II

• Details of SNCU-I implies new born care corner, which has been provided under detailed compliance write up

• IYCF dissemination activities included under BCC/ IEC activities.

• Detailed section on child health provided in the revised PIP

BUDGET SUMMARY OF CHILD HEALTH FOR THE YEAR 2008- 09

  Rs. in Lakhs

Programme Total Budget

Unspent balance of previous

year

Balance proposed in 2008-09

PIP

Facility Based Newborn Care/FBNC

410.06    

School Health Programme 352.40    

Care of Sick Children and Severe Malnutrition at FRUs

34.10    

Support for Prustikar Divas 115.64    

Addl Support for Immunization 53.50    

Total 965.70 95.86 869.84

Immunisation Compliance

• Status Report on training Provided.• Training of health worker presently ongoing.

• RIMS upload status completed in 15 districts.• Unicef support for monitoring of training sessions.

RCH-II Family Planning

• Total No of sterilization (Dec’ 07) – 52106• IUD insertion (Dec’07) – 15033• New compensation package from Dec’07• Contraceptive update training – 20 • SSD Training for 166 (MOs & Paramedics)• Regular District & State Quality Assurance Committee

meetings. • 73 Accredited Family Planning institutions in the

private sector

• Female sterilization target – 1,60,000 NSV -- 10,000 IUD -- 2,00,000 • Sterilization and NSV on fixed days • Training Contraceptive update (MOs) - 500 Mini Lap - 180 Laparoscopy - 180 NSV - 50• Establishing Condom vending machine• Piloting female condoms• NSV campaign• Accreditation of Private institutions

RCH - II Family Planning(Proposal)

Compliance• BCC/ IEC plan on Family Planning included under

BCC/ IEC Component • Fixed day sterilization and NSV concept specified in

the PIP.• Progress Monitoring, quality and audits by QA

committee proposed in PIP• Trainers for minilap, laparoscopic, NSV, IUD already

available • NSV, minilap, IUD kits have been included under

procurement• Repair, maintenance and procurement of

laparoscopes are being undertaken from 2007-08 funds

• Incentive to the MOs to be provided for achieving highest sterilization after a fixed benchmark

BUDGET SUMMARY OF FAMILY PLANNING FOR THE YEAR 2008- 09

  Rs. in Lakhs

Programme Total

Budget

Unspent balance of previous

year

Balance proposed

in 2008-09 PIP

Terminal/Limiting Methods 73.04    

Spacing Methods 62.91    

Condom Vending machine & Recurring cost

19.70    

Mobility at the State & District Level

2.78    

Compensation for IUD Acceptance 20.00    

Incentive to MO achieving Highest Sterilization

1.00    

Advisory committee meetings expenses for district

10.20    

Quality Assurance committee meeting expenditure

15.00    

Other 13.60    

Total 218.23 4.70 213.53

RCH-II Adolescent Health (Progress)• TOT for five districts completed. • Training Manual for ANMs & LHVs developed in Oriya

language• Sensitisation training of district level personnel

undertaken.• Planning for operationalisation of adolescent Health

clinics.• Convergence with MNGOs and establishment of

adolescent ‘Saathi’ Centres. • The budget for the component proposed – Rs.42.30

lakhs

Compliance on ADOLESCENT HEALTH

• Monitoring & evaluation Matrix - Shared with Prog Managers• Use of Matrix for - Shall be used monitoring & evaluation • Standards of services - Included in the revised PIP • State Adolescent Health - monitor the accessibility & Centre quality of services in the AFHC.

• Indicators for monitoring - Being Developed ARSH services

• Monitoring quality of ARSH services - During monitoring of other NRHM activities. • The budget for repair - Amount has been excluded.

• Implementation Guidelines would be followed to expand quality, access and profile of services.

• Operational plan included in the PIP and also the training budget for ARSH has been included under the training component.

• Proposed to designate SCB Medical College, Cuttack as the State Adolescent Health Centre. The terms of reference have been included in the PIP.

RCH-II Urban Health(Progress)

• Guidelines developed for PPP in Urban Slum Health for Tier-I and Tier – II Programme

• 11 NGOs selected and supported to manage Tier-I Urban Health Centres.

• Urban Health Advisory Committee under the Chairmanship of Municipality Chairman formed.

Proposal for Urban Health• 6 Additional Tier-I and 4 Tier-II Urban Health Centres

to be established

• Laboratory services and other services under National Health Programmes like DOTS, NVBDCP and Family Planning services including IUD, NSV, RTI, STI and referral to the 2nd Tier.

• Two Tier Referral Centre of Municipal areas will be strengthened and upgraded.

• Appointment of Urban ASHAs.• Mega Slum Health Mela. • A total budget Rs. 324 lakhs is proposed

Compliances• Designated Nodal officer at State & District for Urban Slum Health

Programme

• Advisory committee for USHP constituted for policy & technical support

• Programme has already been started during 07-08, Rs-28.01 lakhs disbursed

• During 2007-08 substantial time taken in developing process and NGO selection. In 08-09 activities shall be accelerated

• Regional Workshop on tribal health needs and issues.

• Prototype message design on IEC/BCC • Tribal study.

• Swasthya Mela in 118 Tribal sub plan blocks.

• Maternity waiting hall at 10 blocks on pilot basis.

• RCH camps in approximately 2330 Tribal dominated sub centres.

RCH-II Tribal Health Proposal

Compliances

• Designated state consultant to look after Tribal Health programme.

• Local specific strategies developed to address Tribal health issues.

• Innovative strategies- Delivery Huts in tribal dominated Blocks.

• Expenditure made – Rs - 23.73 lakhs against released amount- Rs.68.43

• Total budget proposed Rs 284.29 lakhs

• Workshops/Consultative meeting on health needs • Mapping of facilities, needs of vulnerable group• Referral transport for pregnant women to the

institution• Establishment of maternity waiting hall• Undertaking need based health intervention for

Vulnerable groups.• A total of Rs. 67.10 lakhs proposed

RCH-II Vulnerable Groups Proposal

Behaviour Change Communication

• Provision in PIP for Skill Enhancement Training for District & Block level Health Officials

• Innovative BCC Programmes are in line with Activities Outlined in PIP

• Strategies & Activities have been designed to suit District & Local requirements

• Many BCC Activities in current PIP were not before implementation of NRHM

Behavior change communication

• Strategies & Activities as per the Provisions of ‘Intra-Communication Flow Chart’.

• BCC Consultants & Officials of different Programmes made to Operate from SIHFW-Nodal BCC Directorate.

• ‘Supervision & Monitoring’ streamlined by appointing District-wise Nodal Officers.

• Innovations/Advocacy Tools to be Publicized through a ‘News Letter’ for use by Stakeholders.

Behaviour change communication

• Steps have been taken for Integrating BCC at Implementation level

• Details of Activities have been enumerated in both District & Sub-District level Action Plan

• Discrete BCC Activities have been planned under each Component with emphasis on ‘Theme-based Campaign’

New BCC Initiatives by State

• SIHFW - officially made to function as the Nodal Centre for all IEC/BCC Activities

• ‘Communication Facilitators’ placed in Strategic locations for facilitating Integrated BCC Implementation

• Exhaustive Guidelines (both Operational & Financial) supplied to Districts better ‘Programmatic Intervention’

• ‘Monitoring & Supervision’ strengthened by appointing District wise Nodal Officers

New BCC Initiatives by State

• Initiatives taken to set up an ‘Integrated BCC Cell’ that will work as Technical Hub

• NRHM is making the best use of GRAMSAT platform for sensitizing & educating Stakeholders

• A total of Rs. 210.35 lakhs is proposed

Monitoring & Evaluation• Integrated approach for redesigning the MIES field

level format • Capacity Building training undertaken• Regular Reporting to GOI on integrated MIES since

April 2007• New MIS registers printed and distributed to

Districts and Sub district• Data centre being established at district level• GIS mapping for different programme on major

indicators• NIC involved in developing web enabled HMIS• IT infrastructure with internet connectivity provided

to district and sub-district • AMC process being initiated for IT infrastructure

Compliances

• Regular reporting on new MIES format since April 2007

• District Data centre being established for integration of all programmes information

• SRS 2006 data used as vital information• The M & E strategy and budget designed for

different programmes as per PIP frame work. • GIS being used to map health care resources

and also as a tool & for planning and monitoring for different.

• Computerisation, manpower and MIS training has been kept under institutional strengthening under Monitoring & Evaluation.

• Evaluation survey and study reports like SRS, DLHS-II, NFHS-III, CES-2006, Regional Evaluation Team report observation has been taken up for situational analysis and planning.

• Record keeping register designing being initiated.

Compliances

PPP in PHC management

• Contracting out 20 nos. of PHC (N) and 5 CHCs to private agencies including corporate bodies.

• Develop and establish accreditation process

to facilitate partnership with credible NGOs & finalization of the PPP policy for the State.

• Recruitment of AYUSH doctors in PPP PHC[N]

RCH NGO Programme

• Continuation of MNGO programme in 22 districts and selection of MNGOs in 8 vacant districts with training support by RRC.

• Mid Term Evaluation of selected MNGOs on completion of one / two years performance.

• MNGOs / FNGOs convention at State level with the support of RRC.

• ASHA Training through MNGOs & FNGOs.

PPP in PHC Management

• Undertake social marketing of contraceptive and RCH Goods by PPP NGOs.

• Facilitating formation of Village Health and Sanitation Committee in revenue villages through PPP NGOs.

• A total of Rs 730.59 lakhs proposed

• Mapping of Human Resource • Development of HR system for contractual staff• Performance appraisal and reward system• Management Development Programmes for

Medical officers• Special allowance for Emoc and anaesthesia

trained Medical officers• Training of staff in logistics management• Strengthening of M&E cell and state level data

centre

INSTITUTIONAL STRENGTHENING

• Establishment of District level data centre• Strengthening of existing HMIS • Development web based programme and

financial reporting system• Monitoring and supervision of programmes• Mobility expenses of Districts and Blocks

INSTITUTIONAL STRENGTHENING

• Additional ANM- 620• Additional staff Nurse- 764

• Equipment maintenance at the district and Blocks

• Rent of of 3921 Sub-centres• Repair of 400 Sub-centres • Provision of Drinking Water for 100 Sub

centres

Infrastructure and Human Resource

Programme Management

• SPMU and DPMU established and functional• BPMU established• Block Programme organiser - 203• Block Accountant - 132• Training of all BPOs undertaken• Performance Based appraisal for contract renewal • Basic office infrastructure and mobility support provided

to Programme Management units• Revised TOR for DPMU and BPMU developed and

circulated

• Strengthening of State Programme Management Unit

- Joint Director (Technical)

- Joint Director (Adminstration)

- Programme Associate - 1

- Junior Engineer - 1

- Adminstrative Assistant -1

Additional support staff

Programme Management

• Strengthening of District Programme Management

- Associate Programme Manager

- Office Assistant in all DPMUs

- An accountant in all DPMUs

• Strengthening Sub-block level institution

- Accounts assistant to 1162 PHC(N)

Programme Management

• Development of Accounting Softwares

• Training of District and block level officials in Finance and software application

• Operationalise E-Banking to the Block level

• Training of Programme Management Staff

• Annual and Concurrent Audit

Programme Management

RCH –II Budget Summary 08-09

1 Maternal Health 2767.57

2 Child Health 869.84

3 Family Planning 213.53

4 Adolescent Health 42.30

5 Urban RCH 324.00

6 Tribal Health 284.29

7 Innovation/PPP/NGO 730.59

8 Infrastructure and Human Resource 1679.86

9 Institutional Strengthening 943.94

10 Training 632.96

11 BCC/IEC 210.35

12 Procurement 189.26

13 Programme Management 567.13

14 GIS & Public Health 46.59

JSYCompensation for Sterilization NSV Acceptance TOTAL

11051.251760.00

22617.44

Rs in lakhsRs in lakhs

NRHM Initiative -ASHA

ASHA 2005-06 2006-07

Target 12730 21594

Achieved 12730 21521

100% 99%

Compensation to ASHA

• Institutional delivery @ Rs. 600

• Motivation for Sterilisation @ Rs. 150 (Per case)

• Immunization @ Rs. 150 (per session)

• DOTs Provider @ Rs. 250 (on completion of treatment in six months)

Assisted by ASHA  2006-07 2007-08   Amount paid

Nos. of mother accompanied by ASHA (JSY) 70814 103178 669.06Lakhs

Immunization, DOTs, Sterilisation etc.   11910 19.76Lakhs

ASHA

• ASHA Resource Centre

- At State District and Block level initiated

• Drug kit Provision

- 12676 ASHAs provided with Drug Kits

• ASHA thematic training being undertaken through

NGOs

NRHM ASHA - New ASHA to be recruited for new AWC - ASHA Resource Centre at the State , District

and block level to be functional - Training of ASHA - Provision of Drug Kit to ASHA - Reward mechanism to ASHA

Untied Fund - Sub-centre - PHC(N)

S.N.

Institution Target Achieved

1 DHH /Capital Hospital & RGH-Rourkela

32 32

2 SDH 22 22

3 PHC/CHC 403 391

4 PHC(N) 1162 531

Rogi Kalyan Samiti

Rogi Kalyan Samiti

No. of Meetings 913nos.

(G.B. –403 and E.B.- 510)

Funds released Rs.1036.65 lakhs

Expenditure Rs. 288.28lakhs

Major activities taken up Purchase and repair of equipment, minor repair / modification, maintenance, wage for sweeper & others, water purifier, generators, emergency lights, security services etc.

NRHM

• Rogi Kalyan Samitis

- Formation of New RKS in select institutions - Continuation of grant for existing institutions - Exposure visits and sensitization for members - Reward System for RKS

• Village Health and Sanitation committees - 20% VHSC in approx 14000 villages.

NRHM• Mainstreaming AYUSH

- Appointment of AYUSH Doctors in 1162 PHC(N)

- Appointment and training of 314 AYUSH paramedics

- Training of existing doctors in SBA

- AYUSH health camps in the Districts

• Drug procurement and Logistics

- Provision of kits to health institutions

- Strengthening the Drug procurement

system

New Advocacy Initiatives by State

• Process-oriented Approach followed in ‘Developing & Publishing’ Advocacy Resource Materials for different Stake Holders

• Sensitization of PRI members for effective implementation of NRHM

• Designated Health Days observed across the State for widening ‘Support Base’

• Customized Government Diaries-2008 with NRHM Logo &

Information distributed among Officials & Stakeholders

NRHM

Infrastructure

Special Renovation for 1 DHH Sundergarh Renovation 0f 28 DHH Construction of 10 Drug warehouse in the

Districts and 22 in SDH Attendant Rest Shed in 20 DHH Establishment of DPMU and construction for 27

district data centres Renovation of SDH CHC Upgradation

New Schemes-Swasthya Sebika Yojana

Objective• To sponsor SC/ST Nursing students to meet the

shortage of trained persons with Bsc Nursing/Msc nursing in the tribal pockets

• Sponsor the GNM SC/ST Nursing Students to serve compulsorily in rural areas for 5 years after course completion

• A bond of Rs 2.00lakhs to be signed with State Govt to serve for minimum of 5 years

- Will make institutions viable and also provide technical manpower in remote Districts

Financial Management

• E-Transfer of funds from state to district through SBI

• Viewing rights for accounts at District level to keep track on funds movement from District to Block.

• Financial Management reporting format prescribed by GOI adopted and physical progress closely monitored.

• Financial Management Group formed at state and district level.

• Financial and administrative powers delegated through FMG.

• DPMU at district level also delegated financial power as joint

signatory for operation of Bank Account along with Nodal officer

Financial Management

• Monthly internal audit system implemented in all 30 Districts and State for all the programmes under NRHM .

• Books of Account maintained through Tally package at the State and District level.

• All Procurement of stores / equipment / furniture etc. undertaken as per procurement guidelines of GOI or as per OGFR – 2A, with approval of purchase committee.

• ANMs at sub-centre level given one day simple Training on maintenance of cash book for JSY and Untied fund.

FINANCIAL MANAGEMENT

• Monthly internal audit system implemented in all 30 Districts and State for all the programmes under NRHM .

• Books of Account maintained through Tally package at the State and District level.

• All Procurement of stores / equipment / furniture etc. undertaken as per procurement guidelines of GOI or as per OGFR – 2A, with approval of purchase committee.

• ANMs at sub-centre level given one day simple Training on maintenance of cash book for JSY and Untied fund.

FINANCE MANAGEMENT

.• E-Transfer of funds from state to district through SBI. • Viewing rights for accounts at District level to keep

track on funds moment from District to Block.• Financial Management reporting format prescribed by

GOI adopted and physical progress closely monitored.• Financial Management Group formed at state and

district level.• Financial and administrative powers delegated through

FMG. • DPMU at district level also delegated financial power as

joint signatory for operation of Bank Account along with Nodal officer.

Proposed Budget for Disease Control 08-09

Sl NO

PROGRAMME Amount in lakhs

1 RNTCP 1260.87

2 NLEP 522.06

3 IDSP 190.99

4 NPCB 1694.75

5 NVBDCP 2840.39

6 IDD 20.00

TOTAL 6529.05

SUMMARY BUDGET FOR 2008-09

Rs. in lakhs

Sl No

Programme Total

Budget

Unspent Balance of Previous

years

Balance proposedin o8-09

85% GOI share

15% State matching Share

1 RCH-II 24166.62 1549.18 22617.44 19224.82 3392.62

2 Immunization 1115.541115.54

948.21 161.33

3 IPPI 518.00 92.34 425.66 361.81 63.85

4NRHM Initiative

21270.80 5798.87 15471.193 13151.14 2320.79

5 NDCPs 6584.87 55.82 6529.05 5549.69 979.36

Total 53655.83 7496.21 46159.61 39235.67 6923.95

RCH-II Budget

The original budget proposed for RCH-II including JSY, Compensation for Sterilization and NSV was Rs.26577.00 lakhs which was reduced to Rs.22617.44 lakhs subsequently. The allocation suggested by GOI and the budget proposed for RCH-II is as follows:

Sl No.

Particular Amount allocated by

GOI

Amount proposed in

the PIP

Increase

Amount %

1 RCH Flexible pool 8489.00 9806.18 1317.18 15.52

2 JSY 11540.00 11051.25 (488.75) (4.23)

3 Compensation for Sterilization & NSV

1790.00 1760.00 (30.00) (1.68)

4 Immunization 700.00 1115.54 415.54 59.36

Total 22519.00 23732.98 1213.98 5.39

Rs. in lakhs

Mission Flexible Pool Budget

Rs. in lakhs

Sl No.

Particular Amount allocated by

GOI

Amount proposed in

the PIP

Increase

Amount %

1 Likely unspent balance as on 01.04.08

5798.87 5798.87 - -

2 Mission Flexible pool 8255.00 10928.00 2673.00 32.38

3 15 % state Share 1238.00 2320.00 1082.00 87.39

4 15 % extra for Innovation and New activities

1238.00 2223.93 985.93 79.64

Total 16529.87 21270.80 4740.93 28.68

Year Receipt Expenditure

2005-06 114.64 35.34

2006-07 154.95 94.17

2007-08 (Till Feb’08) 256.35 144.65

(Rs. in Crores)

11

4.6

4

15

4.9

5

25

6.3

5

35

.34

94

.17 1

44

.65

31

61

57

0

50

100

150

200

250

300

2005-06 2006-07 2007-08 (TillFeb'08)

Receipt

Expenditure

% of utilisation

Financial Progress under NRHM

Statement Showing Programme wise Fund Position under NRHM for the year 2007-08 (upto 29.02.08)

Rs. in lakhs

Sl No

Components Opening

Balance as on 01.04.07

Funds received including

GOO share

Total fund available

Fund released to executing

agencies till 29.02.08

Expenditure incurred

from 01.04.07 to 29.02.08

Balance

1 RCH-II 4,436.30 11,928.95 16,365.25 13053.84 8,386.37 7,978.88

2 Immunization 337.69 546.26 883.95 773.06 391.41 492.54

3 IPPI 33.54 659.85 693.39 601.05 557.79 135.60

4 NRHM Initiative 9,031.78 10,382.20 19,413.98 11253.37 3,441.41 15,972.57

5 NDCPs 652.14 2,117.95 2,770.08 2383.07 1,688.37 1,081.71

Total 14,491.45 25,635.21 40,126.65 28064.39 14,465.36 25,661.29