revised nac ppt (final) 3

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    ON 23rd 24th April, 2012

    Of

    AT NEC SECRETARIAT SHILLONG

    CONSULTATIONs

    The WORKING GROUP of

    NATIONAL ADVISORY COUNCIL

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    HEALTH AND FAMILY WELFARE

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    Area 22,429 sq km

    Population 29.64 lakh

    Hospitals 11

    Community Health Centres 29

    Public Health Centres 108

    Health Sub Centres 408Infant Mortality Rate 58/1000 (SRS-2008)

    MMR* 300/100,000

    Total Fertility Rate* 3.0

    Doctors (incl. Specialists) 649

    Nurses 1517

    Paramedical Staff 579

    Villages Connected with Roads 2992 out of 5782* Estimates by State Government

    Health Profile

    Health Sector - Profile

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    HR- ISSUES

    346 sub centers short, most sub centers lack regular power

    supply.

    Manpower shortage - PG specialists, doctors and general nurses Attempts to recruit doctors on contract have not produced

    desired results

    Telemedicine not feasible due to poor connectivity

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    BRIDGING THE GAP

    MOU with GVK EMRI for providing ambulatory services for

    emergency cases - 42 ambulances operating through out the state.

    Population of 70,000 per ambulance

    OPEX : 60% 1st year, 40 % 2nd year & 20% 3rd year borne by NRHM.

    From the fourth year onwards State has to bear the entire expenses

    COMMUNITISATION APPROACH

    Rogi Kalyan Samitis (RKS)

    Decentralized funding at all the facilities

    Minor civil work, procurement of equipments by RKSCommunity decides use of annual Untied Fund, Annual

    Maintenance Grant and RKS fund

    Rs. 10,000/- per year to all villages for health and sanitation

    programs

    Community monitoring taken up in 3 districts as a pilot.

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    AYUSH

    Supply of AYUSH medicines by Central Government insufficient &

    irregular.

    AYUSH health worker placed at the CHCs/PHCs have been

    withdrawn by the centre.

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    NEW INITIATIVES

    PPP project on medical college approved, bidding in final stage

    19 PHCs, 2 CHCs and 1 St. Dispensary outsourced to 6 NGOs

    (Funding pattern- 90% State and 10% NRHM)

    Increase in Bond amount for all students (State/Central quota)

    going for PG/UG

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    Liberalisation of funding norms for outsourcing PHCs (50:50),emergency ambulance services (beyond 4th year),

    Ambulance for every 50,000 persons

    The state supports restructuring of release of NEC funds.

    Where LC is required to be signed with the Banks, the presentdispensation of 40:40:20 release needs review. In such cases100% funding in one installment with the caveat that the staterelease the state share first. For other equipments 75% bereleased as first installment

    Restoration of AYUSH health worker at PHC/ CHC and regularsupply of medicines

    Recognise Traditional/Herbal Health practitioners

    POLICY SUPPORT REQUIRED

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    Sports and Youth Affairs

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    Marquee Projects identified by State may be supported by theMinistry of Sports, Government of India with upper cap of not

    less than Rs.50 crore.

    The Urban Infrastructure Scheme Cap should be increased to

    Rs. 10 crore per project from Rs. 5 crore. Component for IEC for the PYKKA scheme.

    A Centre of Excellence (Sports Academy) for at least one Major

    Sport in each State to be supported by GOI.

    Sports hostel for Boys and Girls in the District HQs.

    SPORTS

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    Better Integration of coordination of Central Government

    agencies like the NYK, NSS with State organizations-

    State/Regional level Monitoring Committees for Oversight and

    Accountability.

    A new Central Sector Scheme for Exposure of Youth from NEStates to successes at the national level- higher investments

    in capacity building, business incubation and leadership

    development.

    Support for collaboration with institutions such as BharatYuva Shakti Trust etc.

    YOUTH AFFAIRS

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    Telecommunication

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    Cellular Mobile Services were introduced only in 2003 after a

    delay of eight years compared to the rest of the country.

    Poor service quality complaints.

    Data transfer through broadband remains unsatisfactory.

    No reliable power backup, lot of disruptions including thosedue to natural calamities.

    Ministry of DONERs recommendation to look at telecom

    services in the NER as Essential Service and not as

    Obligation needs to be accepted and implemented urgently.

    Current Status

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    Policy Issues We fully support the recommendations of the Working Group for:

    Special Comprehensive Telecom Plan for the NER.

    Funding Support to Public sector agencies- BSNL and RAILTEL to provide Panchayat

    level connectivity within 18 months. 18-month target is ambitious!

    Last mile Connectivity to subscribers in remote and difficult areas core issue &

    needs to be tackled on topmost priority, DoNER & USOF support may be explored.

    Population Criteria need not be the only criteria.

    Provision for adequate power and alternate energy sources. Right of Wayto BSNL for fibre optic cable proving to be a considerable constraint.

    Farthest first principle can be implemented provided this right of way is guaranteed.

    Establishment of commercial IT hubs and centers for Entrepreneurship

    Development -potential partners need to be incentivized

    Private service providers selected through competitive bidding process to providelast mile connectivity form Panchayat to subscriber.

    The National Fibre Optic Network created as a SPV to give fibre optic connectivity

    upto every Panchayat in the country.

    Common Service Centres (CSC) on a commercial basis: 212 CSCs have been set up

    under this initiative in Meghalaya

    Response to Recommendations of the Working Group

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    NER Telecom Survey for identification of strategic locations whereadditional technological and financial support may be required for the last

    mile connectivity.

    Development of local web content: This exercise has been initiated in the

    State through the SSDG project and the State portal is now ready to be

    launched.

    Tele-medicine programme/contents will need to be developed by the

    concerned agencies and systems developed to transmit the programmes

    to the end-users. The issues of connectivity needs to be addressed

    alongside for any progress on this.

    Distance Learning for the higher education sector, appropriatetelecommunication facilities should be ensured for long distance learning

    and virtual class rooms. The State supports this initiative.

    Response to Recommendations of Working Group(2)

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    16

    HIGHER EDUCATION

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    Number of Colleges - 67

    Number of Polytechnics - 3

    Number of ITIs - 7Number of Central Universities - 1

    Number of Private Universities - 10

    National Institutions (IIM, NIT, NIFT) - 3

    Profile of Higher Education

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    Arts Commerce Science

    Students who have

    passed HSSLC in 2011

    10771 1628 2041

    Availability of seats 5360 500 4050

    Shortfall 5411 1128 - 2009

    18

    This is just the State Board of Meghalaya.

    Demand also from students of other States in North East and those from

    other Boards e.g. CBSE, ICSE

    SHORTFALL/EXCESS SEATS

    The Challenge in Higher Education

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    Improving Access to Central Institutions: Quota system as in

    RIMS Imphal or 50% for State as in case of NIT be examined

    Other existing institutions: NEC funding for premier colleges as

    these cater to whole region

    New colleges: Funding stream for recurring expenditure needed

    Department of Engineering & Technology at NEHU: Department

    exists, more seats & infrastructure needed

    Encourage vocational and entrepreneurship institutes

    Alongside, an increase in scholarships & stipends from NEC

    needed for poor ST students

    IECT project: GoM supports proposal 19

    More Seats, More Colleges

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    Institutions to be set up offering vocational courses and tradeswhich are relevant for ongoing economic and Governmentactivities.

    Incentives such as scholarships and work placements to beoffered.

    Existing institutions can be strengthened and supported forrunning courses which will turn out students with attractiveemployability levels.

    20

    VOCATIONAL & EMPLOYABILITY ISSUES

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    21

    Civil aviation

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    Meghalaya - a hilly region with inadequate road

    connectivity, civil aviation is strategic need

    State presently has two airports, one at Umroi, Ri-Bhoi

    District (Shillong Airport) ,the other in Jengjal, West Garo

    Hills (Baljek Airport). Helipad is proposed at ALG Eastern

    Air Command in Upper Shillong

    Comprehensive plan for civil aviation under preparation

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    Shillong Airport (Umroi) is

    connected to Kolkata only 6-days aweek. The service is also not

    reliable due to frequent

    cancellation of flights.

    Absence of refueling facility at

    Umroi Airport is a major hurdle.

    Government has waived VAT on

    ATF. IOC has been requested to

    restore refueling facilities

    Baljek Airport - not yet operational

    State is keen to resume helicopter

    services in the state. Tender has

    been floated.

    Current Status

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    24

    FINANCIAL INCLUSION

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    4 Districts identified for 100 % Financial Inclusion

    Percentage of Villages covered : 73 to 95 %

    Percentage of Households covered : 54 to 84 %

    Villages having population of over 2000 allotted to 5 Banksfor coverage by existing Branches, B.C.s, Mobile Vans etc.

    Current Status

    Number of Banks 30CD ratio - 37.68% (60%)

    12 Banks have CD ratio below 20%

    Priority Sector Advance to NBC - 42.69%(40%)

    Agri. Advance to total Advance- 12.27%(18%)

    Banks with less than 20% CD ratio have been

    asked to raise their CD ratio to 30%

    Number of Bank Branches 277

    Rural 150

    Semi urban 47

    Urban 80

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    Current Status (Cont.)

    RSETI

    Only one RSETI set up. For remaining Districts Land identified and in

    the process of handing over in 5 locations.

    KISAN CREDIT CARDS NUMBER AMOUNT (CRORES OF RS)

    TARGET (2011-12) 47400 142.31

    ACHIEVEMENT (DEC,

    2011)

    11675 41.24

    SELF HELP GROUPS

    TOTAL NUMBER 13575

    SHG THAT HAVE TAKEN UP ECONOMIC ACTIVITIES 9205

    TARGET FOR SHG FINANCING Rs. 30.95 Crores

    ACHIEVEMNET (DEC, 2011) Rs. 3.65 Crores

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    We support the recommendations of Working Group for:

    Assistance to B.C.s in remote areas to make their business

    viable.

    Co-option of Post Offices to act as B.C.s.Provision of VSAT connectivity to Bank on wheels.

    Expansion of RRBs.

    MoRD to prepare road map for promotion of SHGs Bank

    linkage.

    NABARD to examine risk sharing, viability funding to supportloan products.

    Micro Finance institutions to be encouraged

    Response to Recommendations of the Working Group

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    Women Economic Empowerment through Financial Inclusion -

    Scheme launched by State Government to identify partners for

    entrepreneurship development .

    Rs. 5000 margin money to be given to each family.

    60,000 families to be covered in 2012 13.

    4 lakh families in next five years.

    Financial Inclusion Initiative of State Government

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    Other Initiatives

    Social capital to facilitate financial capital formation

    Concept of Integrated Village Cooperatives (IVCS) being

    experimented with

    Financial Inclusion together with Livelihood Opportunities,

    Natural Resource Management and Climate Change Adaptation

    (credit demand for cleaner fuel and clean water).

    Mobile bank units for financial outreach in weekly markets.

    Subsidy to be replaced by Government Equity in thematic and

    diversified activities.

    Government equity to social institutions for maintenance of

    rural assets and social financing of enterprises Need further relaxation in norm of 1000 for Ultra Small Bank

    Branches

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    The Financial Inclusion Initiative is an important component of the

    State flagship programme- Integrated Basin Development & Livelihood

    Promotion Programme- with thrust on effective NRM, Value Addition,

    and leveraging of Social Capital for risk mitigation in promotion of

    Financial Inclusion and Market Access Support.

    Integrated basin Development & Livelihood Promotion

    (IBDLP)

    Entrepreneurs under the IBDLP need to be backed by

    assured financial support (agreement with Banks/ Trade

    Partners)

    Needs Policy Support of Government of India

    and pro-active support of Banks and Financial

    Institutions.

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    EnergyApiculture

    Water

    Forestry

    Sericulture

    Tourism

    Livestock

    Horticulture

    Aquaculture

    Livelihoods

    11 Accompanying Measures

    Information and Comm. tech

    Knowledge Mgt.

    CommunicationCapacity Building

    Infrastructure

    Governance

    Policy Support/ Legislation

    Institutional development

    (SHG, Federations, WDC)

    Financial inclusionMarket Linkages

    Convergence

    9

    Missions

    IBDLPFRAMEWORK

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    Thanks

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    Current Status (3)

    Kisan Credit Cards : Nos Amount (Rs/Crore)

    Target during 2011 12 : 47,400 142.31Achievement till Dec. 2011 : 11,675 41.24

    Self Help Groups (SHGs)

    Total No. of SHGs - 13575

    No. of SHGs taken up economic activities - 9205Target for financing SHGs - Rs. 30.95 crore

    Achievement till December 2011 - Rs. 3.65 crore

    R S E T I S:

    Only one RSETI set up. For remaining Districts Land identified andprocess of handing over in 5 locations.