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SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmOdisha.gov.in
Letter No. OSH & FWS/8198 Date: 08/07/2016 From
Smt. Shalini Pandit, I.A.S. Mission Director, NHM. Odisha
To The CDMO-cum-District Mission Director Dhenkanal
Sub: Approved resource allocation for the district under NHM PIP, 2016-17. Madam/Sir,
The approved resource allocation for the district of Dhenkanal for the year 2016-17 is Rs. 3798.00 Lakhs. The Details of component wise break up are as follows.
• RCH Flexi Pool Rs. 956.83 Lakh • Mission Flexi pool Rs. 2451.77 Lakh • Immunization Rs. 64.81 Lakh • NIDDCP Rs. 0.77 Lakh • NUHM Rs. 44.16 Lakh • IDSP Rs. 10.33 Lakh • NVBDCP Rs. 45.79 Lakh • NLEP Rs. 30.84 Lakh • RNTCP Rs. 76.89 Lakh • NPCB Rs. 33.89 Lakh • NPCDCS Rs. 18.86 Lakh • NTCP Rs. 14.27 Lakh • NPHCE Rs. 10.00 Lakh • NMHP Rs. 38.79 Lakh
The above approval is subject to the certain mandatory requirements as detailed in “Terms & Conditions“ mentioned at subsequent pages. Please note that non-compliance of any of the cluse mentioned in Terms & Conditions may entail audit objections & may result in with holding of grant to the district.
It is therefore requested to utilise the funds as per the guidelines issued by the State & ensure effectiveness & efficiency in programme implementation for desired result.
I look forward to hear from you on the progress against the approvals.
Yours faithfully,
Mission Director, NHM, Odisha
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Department of Health & Family Welfare, Government of Odisha.
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Terms & Conditions
The approval (Financial envelop) is subject to the following mandatory requirements. Please note that non-compliance to any of the following requirement may entail audit objections & may result in withholding of release to the district.
� The implementation of District PIP shall be the responsibility of the Zilla Swasthya Samittee. Therefore, the ZSS executive committee should hold its meeting within a fortnight for necessary ratification of the approved PIP. However, the ongoing activities may continue till the ZSS meeting is held. The district may propose additional proposal/s if any for necessary approval in the supplementary PIP.
� The districts shall finalize the Block PIP in line with the District PIP for undertaking approved activities & disseminate the same within a month from receipt of respective PIP.
1. Strengthening Financial Management System: The following conditionalities must be adhered to strictly for ensuring sound Financial Management.
1.1 Fund Release to sub-district level facilities:
� Funds to be released quarterly in Flexible-pool mechanism after adjusting the unspent balances.
� Funds must be released within 7 days of receipt of the same from State.
� Fund release has to be ensured through PFMS only.
� Audited Utilization Certificates against the grant released to the District up to 2015-16 for releasing funds beyond 75% of BE.
1.2 Financial Management Report (FMR) & Statement of Fund Position (SFP):
� CHC/SDH to Districts:
� To be furnished by 30th of the month. � PIP based FMR & SFP should be furnished. � BRS is mandatory along with FMR & SFP.
� District to State:
� To be furnished by 5th of the following month. � PIP based FMR & SFP to be furnished separately. � BRS is mandatory along with FMR & SFP.
NB: The financial data in the FMR must be as per the books of accounts and the physical data as per HMIS/MCTS/ any other manual rports collected for the purpose .
� Record Keeping:
� Cash books, ledgers, advance registers, asset registers etc. along with relevant documents must be maintained as prescribed in the Financial Management guideline.
� The records must be authenticated by the DDO without delay. � All the financial transactions must be entered in the FAMS.
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� Concurrent audit:
� Concurrent audit must be taken up in time as per the terms & conditions in the contract. � The observations of the auditor must be complied in action before taking up the audit of
next month. � The executive summary must be submitted to State on quarterly basis.
� Financial progress:
� Progressive expenditure status at the end of each quarter has to be as per the norms mentioned below. Quarter 1: 15%, Quarter 2: 45%, Quarter 3: 65% and Quarter 4: 100%.
� Age of advance:
� Age of advance under any scheme under NHM has to be less than 12 months at the end of the year for getting further grants of current year.
� Ageing of advance analysis must be prepared on quarterly basis for all facilities to identify long pending advances.
� All long pending advances must be followed-up rigorously for liquidation.
� Monitoring & Supportive supervision:
� Monitoring of the financial management processes must be done as per the comprehensive monitoring plan.
� If required, handholding support must be provided on the spot. � Financial records & documents of all facilities must be examined as per the checklist in the
fixed day review meeting of BPMU staff at district level and corrective measures be ensured accordingly. The detailed guidelines provided in this regard must be followed strictly.
� Corrective actions must be ensured based on the recommendations of the monitoring team. 1.3 Other conditionalities
� Delegation of financial Powers under OSH&FW Society: In absence of regular DDOs at District & Sub-district level to avoid any interruption in taking up the approved activities under NHM shall be adopted as per following norms:
� Collector & DM shall accord financial & administrative powers at district level � CDMO concerned will accord financial powers for officers at Sub-district level � It would be a temporary arrangement till regular position is filled up by the Govt. or financial
powers are formally issued by Govt. in favour of the person in-charge. � It shall only be delegated to the person in charge of that position � In absence of regular CDMO-cum-District Mission Director, the Collector & District
Magistrate may accord approval for sub-district level DDO positions. � For making payment/incurring expenditure/release of funds, the delegation of
administrative & financial powers applicable for different levels must be followed strictly.
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� Guideline for utilization against demand driven & Non-demand driven activities:
� Funds required for demand driven activities like JSY, Sterilization, JSSK, VHND, Sector level meeting of ASHAs, remuneration of staff etc. has to be released as per the actual requirement irrespective of the allotment in PIP. However, the unit cost of each activity has to be as per approved budget.
� Additional expenditure on demand driven activities, if any, does not deprive a district from taking up other approved activities due to want of funds.
� In case the expenditure against the demand driven activities exceeds the approved budget, the MD, NHM should be requested to release more funds for the same.
� Non-demand driven activities must be taken up as per approved PIP.
� In PIP 2015-16, the approved budget against some activities is less than 100%. In such cases, the districts can spend (max upto 100%) based on the approved unit cost and physical targets.
� Items like engagement of new manpower, operationalization of MHTs, NRCs, NBCs, NBSUs, SNCUs, Maternity Waiting Homes, VGP& PHC(N) management initiatives, all procurement (Kind & services) & civil works, even if proposed in later part of the year in the PIP, may be taken up from 1st qr.
� 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.
� The district has to ensure that no personal advance is given for taking any programmatic activities such as trainings, printings, organizing camps etc. All expenditure should be incurred by way of direct payment to concerned agencies. However, if any advance is given in case of emergencies (to be justified in file), the same at district / sub-district level must be settled within 45 days of completion of the activity. In case of non-settlement, the advancee should be issued a notice for settlement of the advance in next seven days. However, if the same is not settled within the stipulated time, the advance should be recovered from his/her salary. The guideline provided in this regard under the signature of MD, NHM & DHS, Odisha must be followed strictly.
� No due certificate / clearance from concerned programme management units must be insisted at the time of handing over the charges / relieve from the post held by Govt. officers on account of retirement / transfer as directed by Govt. vide resolution No. – 14434, dt,11.06.12.
� The district must ensure due diligence in expenditure and observe, in letter and spirit, all rules, regulations, and procedures to maintain financial discipline and integrity particularly with regard to procurement; competitive bidding must be ensured and only need-based procurement should take place.
� The accounts of the grantee institution/organization shall be open to inspection by the sanctioning authority, internal as well as statutory auditors and by the Comptroller & Audit General of India under the provisions of CAG (DPC) Act, 1971.
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� Action on the following issues would be looked at while considering the release of second
tranche of funds:
� Compliance with key conditionalities & incentives mentioned in point no 10. � Physical and financial progress made by the district, communicated through the FMR. � Timely submission of Statutory Audit Report for the year 2014-15.
2. Programme Priorities:District would seek to provide following range of services to attain goals envisaged under NHM :
2.1 Range and delivery of services � Prioritize achievement of universal coverage for Reproductive Maternal, Newborn, Child
Health and Adolescents (RMNCH+A) services, National Disease Control and Non Communicable Diseases programmes in rural and urban areas.
� Focus beyond maternal and child survival to ensure quality of life for women and children.
� Expand focus from child survival to development of all children 0-18 years through a mix of Community, Anganwadi and School based health services.
� Build an integrated network of all primary, secondary and a substantial part of tertiary care, providing a continuum from community level to the district hospital, with robust referral linkages to tertiary care and particular focus on strengthening the Primary Health Care System including outreach services in urban slums.
� Strengthening existing health care system to address the rising burden of Non-Communicable Diseases
� Ensure that all public health care facilities or publicly financed private care facilities provide assured quality of health care services.
2.2 Equity � Ensure differential financial investments and technical support to blocks, and cities, with
higher proportions of vulnerable population groups, including urban poor and destitute, and with difficult geographical terrain that face special challenges to meeting health goals.
� Address shortages of skilled workers in remote, rural areas, urban slums, and other under-served pockets through appropriate monetary and non-monetary incentives.
� Reduce out of pocket expenditure on health care, eliminate catastrophic health expenditures and provide social protection to the poor against the rising costs of health care, through cashless services delivered by public health care facilities, supplemented by contracted-in private sector facilities where-ever necessary.
2.3 Health system strengthening � Ensure Quality Assurance for improved credibility of public health services.
� Empower the ASHA to serve as a facilitator, mobilizer of community level care.
� Strengthen Health Management Information Systems as an effective instrument for
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programme planning and monitoring, supplemented by annual district level surveys and a strong disease surveillance system.
� Ensure universal registration of births and deaths with adequate information on cause of death, to assist in health outcome measurements and health planning.
� Create system & processes to strengthen Behaviour Change Communication efforts for preventive and promotive health activities, action on social determinants and to reach the most marginalized.
� Strengthen AYUSH system, so as to enhance choice of services for users and learning from and revitalizing local health care traditions.
� Strengthen partnerships with the not-for-profit, Non Governmental Organizations in all aspects of health care and with the for-profit, private sector to bring in additional capacity where needed to close gaps or improve quality of services.
� The district shall not make any change in the names of the National/State initiatives such as Janani Shishu Suraksha Karyakram, Rashtriya Bal Swasthya Karyakram etc.
� Establish Accountability Frameworks at all levels for improved oversight of programme implementation and achievement of programme goals.
3. Programme Management and Human Resource � All posts under NHM shall be on contract basis and for a term of 11 months only.
� Clinical manpower sanctioned under RCH-II would be engaged exclusively at Delivery Points. Irrational deployment would render the expenditure ineligible under NHM.
� For SCs DP with 2 ANMs, population to be covered will 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 & displayed.
� It is noted that sanctioned position of ANM is less in most of the districts than ANM in-position. In such case/s, surplus ANM in position can be continued. But, if vacancies arise anytime during this financial year, the said position/s should not be filled up till manpower in position is less than sanctioned nos. However, the expenditure incurred on the same head shall be booked under the same line item.
� In case the appointment of manpower has been done in ahead of the targeted quarter, then the additional funds required for the same can be met from the concerned line item.
� OPD in Ayush clinics have to be monitored & validated on sample cases on quarterly basis. Every effort should be made to increase OPD cases at each AYUSH unit.
� 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,FID and other outreach activities and in addition, programmes like school health, weekly supplementation of iron and folic acid for
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adolescents, distribution of contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.
� Performance Incentive to Clinical & management manpower must be provided as per existing guidelines till online performance management system is in place.
� Renewal of contract will be done as per existing guidelines.
� All activities except remuneration of PMU staff can be taken up as per approved PIP. The revised remuneration and increment projected in the PIP will be drawn after receipt of separate order from Mission Director, NHM in this regard. However, remuneration & PI can be drawn as per existing norm.
� PMU should ensure regular meetings of DLVMC/DHM/DHS/RKS/GKS at their respective levels.
� PMU should ensure compliance of all statutory and PIP conditionalities
� All necessary processing of file for settlement of PI, increment, leave as applicable & renewal of contractual manpower under NHM is to be done at DPMU level.
4. Procurement: Strict compliance of procurement procedures for purchase of medicines, equipments etc as per state guidelines to be maintained. � All the equipment’s are to be procured through competitive bidding as per the specification
provided by the State. Any additional funds required following the said process may be met out of the concerned line item.
� 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 and wage.
� Annual Maintenance Contract (AMC/CMC) to be built into equipment procurement contracts.
5. Infrastructure � In all new constructions of SCs, care should be taken to ensure that the locations of these
facilities are such that beneficiaries can access them easily. They should preferably be located in the habitation as decided by GKS and definitely not in outskirts of villages or in unhygienic environment under any circumstances.
� Any shift in the approved new proposals for DPs is not permissible. However, in case of NRC, location may be changed with the approval of CDMO. Further, the place of NBSU & BSU may be changed within the DPs of L3 facilities taking prior approval from MD, NHM following proposals with adequate justification.
� All buildings, vehicles & other assests supported /created under NHM should prominently carry NHM logo and adhere to the prototypes communicated by MD,NHM.
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� 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 reflected accordingly. Funds would not be permissible for constructions/ works that spill over beyond the stipulated timeframe.
� The district shall strengthen implementation arrangement to monitor all civil works being undertaken, on a monthly basis, to ensure quality of work and completion as per schedule. The district should also ensure up-dation of data in CMS on monthly basis.
� Any deviation from the above conditionality would be treated as ineligible expenditure under NHM.
6. RBSK
The quality of screening by MHTs and smooth management of identified cases will also be focused during the year. Activites need focused attention.
� Increase in screening coverage with focus on screening 100% new born and 0-6 year children at AWCs.
� Mentoring MHTs for proper screening of children as per RBSK norm.
� New born screening at all delivery points, SNCU and NRCs. Initially new born screening to be initiated at all DHHs.
� Operationalize all DEICs at district level and establishing convergence of DEIC activities with DDRCs, DRCs, NCD and other programmes.
� Roll out of RBSK software in the State with focus on real time reporting by MHT and child wise tracking of identified cases.
� Establishing linkage with Tertiary facilities like AIIMS, SVNIRTAR, AYJNIHH & MC&Hs for management of Birth defect and critical cases.
7. PPP Initiatives:
Irrespective of commencement of NGO projects during a particular financial year, each project period ends on 31st March of the same financial year to bring the uniformity in contract/agreement period of all ongoing NGO projects. The duration of the NGO projects shall be on financial year basis only.
� Adhere to revised norm on NGO contribution for PHC-N management projects i.e. 5% of the programme cost.
� Ensure bank guarantee for all NGO projects except PHC (N) management Projects i.e. 2% of project cost/released amount to be deposited with respective ZSS before release of funds to the NGO.
� The District NGO Committee should review the performance of all the NGO projects in health
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at district level and sort out issues therein, apart from deciding on selection and renewal of implementing agencies.
� The system of monitoring and supervision of NGO projects must be strengthened at the District and Block level. The work certificates of the PPP PHC(N) staff manged by NGOs should be certified by the concerned Block MO I/c every month to check absenteeism.
� A calendar stipulating timelines for stage-wise processing and endorsement by District NGO Committee, in respect of renwal and termination of contract, the following calendar shall be adhered to for the sake of timely and qualitatively execution of projects on regular basis.
Sl No Details of activities Timeline
1 Assessment of ongoing NGO led health programmes by District level Assessment Team (desk & filed level assessment)
1st week of January
2 Meeting of the District NGO Committee of Dist. Health Society.
By 15th January
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Submission of the recommendation of District NGO Committee on ongoing NGO led health projects or any new partnership proposals to Mission Directrate for decision in the State NGO Committee meeting.
By 20th January
4 Renwal of contract in respect of ongoing NGO led health programmes at district level after approval of the State NGO Committee.
By 20th March
� For ensuring timely release of funds to the NGOs by the District, and submission of UCs/SoEs by the NGOs, timeline and condition as fixed below should be adhered to;
Year of operation
Funds release procedure Timeline and condition for release of funds to NGOs by district
1st year operation
1st installment: 50% of the approved project cost of the current year to the NGO.
Within 7-days of signing of the MoU and after deposit of the NGO contribution / bank guarantee (applicable to project specific).
2nd installment: Rest 50% of the approved project cost to the NGO.
Within 7 days of receipt of the SOE/UCs for 75% (minimum) of 1st installment.
2nd year operation
3rd installment: 50% of the approved project cost of the current year to the NGO.
(i) Within 10 days of renewal of MoU. Prior to that, performance assessment by the District Authority with support of Concurrent Auditor, and recommendation of District NGO Committee for renewal of contract should be done.
(ii) After receipt of the SOE/UC of 2nd installment
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Year of
operation Funds release procedure Timeline and condition for release of funds to
NGOs by district and deposit of the NGO contribution / bank guarantee (applicable to project specific).
4th installment: Rest 50% of the approved project cost to the NGO after obtaining satisfactory mid-term evaluation report by external evaluating Agency.
Within 10 days of receipt of the mid-term evaluation report from State, receipt of the last year annual audit report and annual progress report of the concerned project along with SOE/UCs for 75% (minimum) of 3rd installment.
3rd year operation
5th installment: 50% of the approved project cost of the current year to the NGO.
(i) Within 10 days of renewal of MoU. Prior to that, performance assessment by the District Authority with support of Concurrent Auditor, and recommendation of District NGO Committee for renewal of contract should be done.
(ii) After receipt of the SOE/UC of 4th installment and deposit of the NGO contribution / bank guarantee (applicable to project specific).
6th installment: Rest 50% of the approved project cost to the NGO after obtaining satisfactory final evaluation report by external evaluating Agency.
Within 10 days of receipt of the final evaluation report from State, receipt of the last year annual audit report and annual progress report of the concerned project along with SOE/UCs for 75% (minimum) of 5th installment.
4th year operation
7th installment: 50% of the approved project cost of the current year to the NGO.
(i) Within 10 days of renewal of MoU based on satisfactory report of final evaluation. Prior to that, performance assessment by the District Authority with support of Concurrent Auditor, and recommendation of District NGO Committee for renewal of contract should be done.
(ii) After receipt of the SOE/UC of last installment and deposit of the NGO contribution / bank guarantee (applicable to project specific).
8th installment: Rest 50% of the approved project cost to the NGO.
Within 10 days of receipt of the last year annual audit report and annual progress report of the concerned project along with SOE/UCs for 75% (minimum) of 7th installment.
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Year of
operation Funds release procedure Timeline and condition for release of funds to
NGOs by district From 5th year onwards
Approved funds as per NHM PIP shall be released in two installments (six month basis)
(i) For 1st 50% release: Within 10 days of renewal of MoU. Prior to that, performance assessment by the District Authority with support of Concurrent Auditor, and recommendation of District NGO Committee for renewal of contract should be done.
(ii) For 2nd 50% release: Within 10 days of receipt of the last year annual audit report and annual progress report of the project along with SOE/UCs for 75% (minimum) of last installment.
N.B: (i) Each installment contains six months duration. (ii) Mid-term evaluation (one time) to be conducted after completion of one year of project
operation (specif projects only). (iii) Final evaluation (one time) to be conducted just before or after completion of three years of
project operation (specif projects only). (iv) District has to regularly conduct audit of the NGO projects by the Concurrent Auditor. There
is no limit to conduct audit of any NGO projects by Concurrent Auditor at district level.
� Payment of remuneration to project staff by the NGOs should be ascertained at the Block and District level.
� It is the discretion of the district to decide whether to take up PVTG project through the Deptt. or on PPP mode in PVTG areas only. Final decision with this regard has to be taken with the approval of Collector-cum-Chairman, EC,ZSS.
8. Training � All training on RMNCH+A must be linked with functionalization of delivery points.
� Name based training micro plan to be prepared to cover the required functionaries at delivery points (DPs) and promising DPs.
� Venue wise monthly training calendar of the District must be developed.
� Institution wise individual training data base should be updated after completion of different training programmes at District level.
� Certification /accreditation of the training sites is mandatory.
� Performance of each trained staff must be maintained and monitored on regular basis.
� Selected MBBS doctors (Asst. Surgeons) must be deputed for EMOC/LSAS training & must be relieved as per GoO orders at the earliest to operationalize FRUs.
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� To optimize skill utilization of the trained manpower, mentoring support is emphasized in
2015-16 PIP. Each mentor would be assigned fixed number of DPs for mentoring visit.
� District training team (DTT) needs to monitor the quality of training at different levels.
� TIMS (Training Monitoring Information System) must be updated on monthly basis at District level.
9. Supportive Supervision � Supportive supervision system to be strengthened with identification of nodal
persons/mentors for both facilities/Community level interventions. Defined checklists provided by State to be used while monitored any institution/Community level intervention.
� All facilities to maintain visitor’s 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.
� The field visit report is essential for settlement of TA/DA. The expenditure in this head without record of evidence would render ineligible under NHM. Details of Tour reports in the desired format, need to be hosted in the website under mandatory disclosure. The next year allocation under M&E will depend on percentage of expenditure in the same head in the current financial year.
� Remote/ hard to reach/ high focus areas to be intensively monitored and supervised � All supervisors under NHM, both Technical & Management Consultant, have specific & well
defined TORs with definite no. of days for visit as detailed below, which need be strictly adhered to for strengthening programme implementation.
Sl No
Designation No of Tour
days(min)/PM Remarks
1 Districts level
2.1 Programme Management Unit
At district level, for regular monitoring, cross domain composite teams with minimum five members led by Programme Officer visit at least once a week/ four days per month as team to any selected block/s. Rest of the month monitoring is done on individual basis as per PIP conditionality. Field visit reports are mandatory for the team members. The reports and findings are reviewed by CDMO in district monthly review meeting. Sharing is done with Collector cum DM.
2.1.1 District Programme Manager 10 man days 2.1.2 District Accounts Manager 7 man days 2.1.3 District Data Manager 7 man days 2.1.4 Dy. Manager RCH 10 man days 2.1.5 Asst. Manager ASHA 10 man days 2.1.6 Asst. Manager GKS 10 man days
2.1.7 Engineer Average (1 JE /3 Blocks)
30 man days
2.1.8 DPHCO 6 man days Total 90 man days 1.2 Technical 1.2.1 CDMO 4 man days
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Sl No
Designation No of Tour
days(min)/PM Remarks
1.2.2 ADMO(FW) 6 man days Blocks are to submit action taken report based on the observations of FMT. Finally, Prog Associate at DPMU is assigned for tour report compilation and for following up with the blocks for action taken report.
1.2.3 DPHN/ Sister tutor 10 man days
Total 20 man days 2 Block level
2.1 Programme Management Unit
At block level, for regular monitoring, cross domain composite teams visit at least one Sub-centre per week. Rest of the month monitoring is done on individual basis as per PIP conditionality.
2.1.1 Block Programme Manager 10 man days 2.1.2 Block Accounts Manager 7 man days 2.1.3 Block Data Manager 7 man days 2.1.4 BPHCO 6 man days Total 30 man days 2.2 Technical 2.2.1 MO I/c 10 man days
2.2.2 BPHN/ LHV (Hqr) Not in position
10 man days
Total 20 man days
3 Sector Level
3.1 Technical 3.1.1 AYUSH 8 man days 3.1.2 LHV/ Male Supervisor 16 man days Total 24 man days
� Vehicle provided up to block level for facilitating field visits whereas allowances provisioned in the PIP for supervisors (MPHS-M & MPHS–F at sector level) for independent mobility.
� Supervisors are to be supported by PMUs at various levels, to provide operational support related to cross cutting functions and are enabled for data analysis and use.
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Mandatory Disclosure
The following conditionalities shall be adhered to by the States and are to be treated as
nonnegotiable:
Mandatory disclosures:
1. The District must ensure mandatory disclosures on the state NHM website of the following and act on the information:
� Facility wise deployment of all HR including contractual staff engaged under NHM with name and designation. This information should also be uploaded on HMIS
� Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. on HMIS.
� 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 kilometer logged on a monthly basis.
� All procurements- including details of equipment procured in specified format
� 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 in specified format.
� 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 NHM 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.
� Facility wise list of package of services being provided through the U-PHCs & U-CHCs
2. District to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism through AADHAAR enabled payment system, through NEFT under Core Banking Solution.
3. Timely updation of MCTS and HMIS data including facility wise reporting
4. Line listing of high risk pregnant women, including extremely anaemic pregnant women and Low Birth Weight (LBW) babies.
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Key Conditionalities
The following key conditionalities would be enforced during the year 2016-17.
SL. No.
Conditionality Description Incentive/Penalty
1 Reduction in IMR
Percentage decrease over last year
Maximum incentive of 5% � If decrease less than 5% – No
incentive � If decrease between 5-7%–
Incentive of 3% � If decrease greater than 7% –
Incentive of 5% 2 Reduction MMR
Percentage decrease over last year (only for 16 States for which IMR is available)
Maximum incentive of 5% � If decrease less than 5% – No
incentive � If decrease between 5-10%–
Incentive of 3% � If decrease greater than 10% –
Incentive of 5% 3 Full Immunization
Coverage
During the current FY, as on December 31st – Infants fully immunised vs estimated beneficiaries
Maximum penalty and incentive of 5%. � If coverage less than 40% –
Penalty of 5% � If coverage between 40-50% –
No penalty � For coverage above 50% up to
100% – Incentive up to maximum of 5%, calculated as
Coverage above 50% 10 I.e. if coverage is 65%, then incentive of 1.5%; and if coverage is 87%, then Incentive is 3.7%.
4 Functionality of FRUs/ CEmOC facilities (excluding Medical Colleges)
Adequacy of “functional” FRUs (conducting C-sections)
Maximum penalty and incentive of Compared to required number of FRUs: On a State-wide basis � If 50-75% FRUs “functional” –
3% penalty
� If less than 50% FRUs
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SL. No.
Conditionality Description Incentive/Penalty
“functional” – 5% penalty
� On a State-wide basis, if more than 75% FRUs “functional”, AND in HPDs-
� If less than 50% FRUs “functional” – 5% penalty
� If 50-75% FRUs “functional” – 3% penalty
� If 75-90% FRUs “functional” – 3% incentive
� If more than 90% FRUs “functional” – 5% incentive.
5 Quality Certification
Percentage of District hospitals and CHCs quality certified by State level body.
Maximum incentive of 5%. � 3% incentive if at least 50% of
DHs certified
� 2% incentive if at least 25% of CHCs / Block PHCs certified.
6 Governance: Quality of Services and functionality of public health facilities
Star rating of facilities Based on the extent to which CHCs/PHCs meet the benchmark on key indicators. Five Star indicator Criteria: 1. Human Resource and
Infrastructure 2. Service availability 3. Drugs and supplies 4. Client Orientation 5. Service Utilization.
Maximum penalty of 5 %. � To avoid penalty minimum 50 %
of CHCs to have 3 or more star rating
7 Implementation of Free drugs Services Initiative
Free drugs to be implemented as per GOI mandate
Maximum incentive of 5% 90% and above institutions effectively implementing free drugs & diagnostic services – 5% 60% to 90% institutions effectively implementing free drugs & diagnostic services – 3%
-
SL. No.
Conditionality Description Incentive/Penalty
-
Funds available at the State level for ongoing activities to be executed out of unspent
balance during Financial Year 2015-16 (Rs. In lakh)
Budget Head Name of the Components
Funds to be spent
Out of Advance
Out of bank
balance
Total amount to be spent against ongoing
activities 1 NRHM-RCH Flexible Pool 9,383.45 230.81 9,614.26 A RCH Flexible Pool - - -
A.1 Maternal Health - - - A.2 Child Health - - - A.3 Family Planning - - - A.4 Adolescent Health and Gender (RKSK) - - - A.5 RastriyaBalSwasthyaKaryakram(RBSK) - - - A.6 Tribal Health - - - A.7 PNDT & Sex ratio - - - A.8 Infrastructure and Human Resource - - - A.9 Training - - -
A.10 Programme Management - - - B Mission Flexible Pool 9,383.45 230.81 9,614.26
B.1 ASHA 154.26 - 154.26 B.2 Untied Fund 814.58 - 814.58 B.3 Rollout of B.Sc (Community Health) - - - B.4 Hospital Strengthening (Infrastructure) 5,894.30 - 5,894.30 B.5 New Construction / Renovation &Setting up 528.16 - 528.16 B.6 Implementation of Clinical Establishment Act - - - B.7 District Action Plan - - - B.8 Panchayati Raj Initiatives 34.81 - 34.81 B.9 Mainstreaming of AYUSH - - -
B.10 IEC/BCC NRHM - 60.50 60.50 B.11 Mobile Medical Unit - - - B.12 National Ambulance Service - - - B.13 PPP/NGOs - - - B.14 Innovations 180.54 - 180.54 B.15 Planning, Implementation &Monitoring 180.59 - 180.59 B.16 Procurements 781.79 170.31 952.10 B.17 Drugs Ware Housing 812.42 - 812.42 B.18 New Initiatives/ Strategic Interventions - - - B.19 Health Insurance Schemes - - - B.20 Research Studies 2.00 - 2.00 B.21 State level Health Resource Center - - -
-
Budget Head Name of the Components
Funds to be spent
Out of Advance
Out of bank
balance
Total amount to be spent against ongoing
activities B.22 Support Services - - - B.23 Other expenditure - - - B.24 Collaboration with Medical Colleges and
Knowledge partners - - -
B.25 National Programme for Prevention and control of deafness
- - -
B.26 National Oral Health Programme - - - B.27 National Program for Palliative Care (New
Initiatives under NCD) - - -
B.28 Assistance to State for Capacity building (Burns & injury)
- - -
B.29 National Programme for Fluorosis - - - C RI&PPI - - -
C.1 Routine Immunization - - - C.6 Pulse Polio - - - 2 Communicable Diseases Control Flexible Pool 1,252.01 0.68 1,252.68 A National TB Control Programme(RNTCP) 598.00 - 598.00 B National Leprosy Eradication Programme
(NLEP) 58.16 0.68 58.83
C National Disease Surveillance Programme (IDSP)
109.00 - 109.00
D National Vector Borne Disease Control Programme (NVBDCP)
486.85 - 486.85
3 Non-Communicable Disease Flexible Pool 716.50 91.92 808.42 A National Programme for Control of Blindness
(NPCB) 178.00 91.92 269.92
B National Mental Health Programme (NMHP) - - - C National Programme for Health Care of the
Elderly (NPHCE) 142.00 - 142.00
D National Tabacco Control Programme (NTCP) - - - E National Programme for
Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS)
396.50 396.50
4 NUHM Flexible Pool 1,930.46 51.54 1,982.00 Grand Total 13,282.42 374.95 13,657.36
-
Dhe
nkan
al
STA
TEDh
enka
nal
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
ARE
PRO
DU
CTIV
E AN
D C
HIL
D H
EALT
H24
2.85
243.
3223
7.31
233.
3595
6.83
A.1
MAT
ERN
AL H
EALT
H79
.22
79.2
279
.22
79.2
231
6.88
Dis
tric
t wis
e ta
rget
for F
Y 20
16-1
7 at
Ann
exur
e
A.1.
1
Ope
ratio
nalis
eFa
cilit
ies
(Any
cost
othe
rth
anin
fras
truc
ture
,H
R,Tr
aini
ng,
Proc
urem
ent,
Mon
itorin
get
c.)
may
incl
ude
cost
ofm
appi
ng,p
lann
ing-
iden
tifyi
ngpr
iorit
y fa
cilit
ies,
etc)
0.00
0.00
0.00
0.00
0.00
A.1.
1.1
Ope
ratio
nalis
eSa
feab
ortio
nse
rvic
es(in
clud
ing
MVA
/EV
A an
d m
edic
al a
bort
ion)
at h
ealth
faci
litie
s0
0.00
0.00
0.00
0.00
0.00
The
man
date
ofth
est
ate
isto
prov
ide
Com
preh
ensiv
eAb
ortio
nCa
rew
ithM
VA,
EVA
&M
MA
upto
all
FRU
san
dSa
feAb
ortio
nSe
rvic
es w
ith M
VA &
MM
A up
to a
ll CH
C DP
s + M
CHs
Budg
et H
eads
:1.
Inst
itutio
nal r
eadi
ness
1.
1. P
rocu
rem
ent o
f MVA
/EVA
1.2
Esse
ntia
l dru
gs &
supp
lies
- Met
out
of S
tate
bud
get.
1. 3
Tra
inin
g -
Budg
eted
und
er T
rain
ing
1.3.
1. S
tren
gthe
ning
of 1
3 re
gion
al tr
aini
ng v
enue
s 1.
3.2
CAC
cert
ifica
tion
trai
ning
of M
Os
1.3.
3 Re
fres
her t
rain
ing
2.In
cent
ive
toAS
HA
for
acco
mpa
nyin
gM
TPca
ses
-Bu
dget
edun
der A
SHA
2.1.
For s
urgi
cal i
nter
vent
ion
- one
tim
e (@
Rs.1
50/-
) 2.
2.Fo
rmed
ical
met
hod
ofin
terv
entio
n-t
wo
times
i.e.D
ay-1
&3
(@Rs
.300
/-)
3.Q
uart
erly
revi
ew m
eetin
g - I
nteg
rate
d w
ith R
CH m
eetin
g4.
Prin
ting
(Adm
issio
nre
gist
ers
,10
00op
inio
nre
gist
ers,
cons
ent
regi
ster
s,p
rovi
der
man
uals,
CAC
oper
atio
nal
guid
elin
e,CA
Cse
rvic
e de
liver
y gu
idel
ine)
- Bu
dget
ed u
nder
IEC/
BCC
5.IE
C M
ater
ial -
Inte
grat
ed w
ith M
H IE
C pa
ckag
e.
A.1.
1.2
Ope
ratio
nalis
e RT
I/ST
I ser
vice
s at h
ealth
faci
litie
s0
0.00
0.00
0.00
0.00
0.00
RTI/
STI S
ervi
ce c
ente
rs
HR
- Exc
lusiv
e HR
for 3
5 ex
lusiv
e ST
D cl
inic
Tr
aini
ng :
Deta
ils in
Tra
inin
gPr
ocur
men
t of d
rugs
- St
ate
budg
etH
andh
oldi
ng su
ppor
t by
trai
ned
men
tors
supp
orte
d un
der O
SACS
A.1.
2
Inte
grat
edou
trea
chRC
Hse
rvic
es(s
tate
shou
ldfo
cus
onfa
cilit
yba
sed
serv
ices
and
outr
each
cam
psto
bere
stric
ted
only
toar
eas
with
out
func
tiona
lhe
alth
faci
litie
s)
3.09
3.09
3.09
3.09
12.3
5
A. 1
.2.1
.O
utre
ach
cam
ps0
0.00
0.00
0.00
0.00
0.00
Stat
epr
opos
esfo
rfa
cilit
yfu
nctio
nalis
atio
nra
ther
than
adho
cse
rvic
e pr
ovisi
ons t
hrou
gh c
amps
A.1.
2.2.
M
onth
ly V
illag
e He
alth
and
Nut
ritio
n D
ays
030
8830
8830
8830
8812
352
3.09
3.
09
3.09
3.
09
12.3
5
Spec
ial P
lan
unde
r Sta
te B
udge
t St
reng
then
ing
ofVH
ND
Site
sfo
rH
PDs
:Si
tere
adin
ess
ofea
chVH
ND
Site
will
besu
ppor
ted
unde
r"A
ccel
erat
edIM
R/M
MR
stat
egy"
fund
edth
roug
hSt
ate
Budg
et.
Prov
ision
ing
unde
rth
ishe
adw
ould
bein
term
sof
avai
labi
lity
ofes
sent
ial
equi
pmen
t/in
stru
men
ts,
ensu
ring
priv
acy
durin
gex
amin
atio
n,to
ols
for
faci
litat
ing
educ
atio
nals
essio
ns&
avai
labi
lity
ofba
sicam
eniti
eslik
ew
ater
,m
ats
etc
for
bene
ficia
ries.
Apar
tfr
omit,
mob
ility
supp
ort
tose
rvic
epr
ovid
ers/
supe
rviso
rsw
ould
begi
ven
for
atte
ndin
g VH
ND
sess
ions
in d
iffic
ult &
mos
t diff
icul
t are
as.
Plan
und
er N
HM
: De
taile
d be
low
Rem
arks
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH
)
S. N
o.Bu
dget
Hea
d
PIP
2016
-17
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Page
1 o
f 327
-
Dhe
nkan
al
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Rem
arks
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH
)
S. N
o.Bu
dget
Hea
d
PIP
2016
-17
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
A.1.
2.2.
1O
rient
atio
nof
Sect
orsu
perv
isors
for
upda
tion
ofm
icor
plan
Inte
grat
edor
ient
atio
non
MH
activ
ities
prop
osed
asre
com
men
ded
(A.1
.5.9
)
A.1.
2.2.
2Hi
ring
of v
enue
for o
rgan
satio
n of
sess
ion
Per s
ite90
00.
009
0-
Mob
ilisin
gfu
ndsf
rom
W&
CDDe
ptt.
forA
ganw
ardi
Cent
erw
ithou
tbu
ildin
g.A.
1.2.
2.3
Mob
ilisa
tion
of ta
rget
ed b
enifi
ciar
yBu
dget
ed u
nder
ASH
A in
cent
ive
A.1.
2.2.
4O
rgan
isat
ion
ofVN
HD
cost
(For
norm
al&
hard
tore
ach
sess
ions
)
A.1.
2.2.
4.1
For n
orm
al s
essio
nsPe
r ses
sion
100
0.00
130
8830
8830
8830
8812
352
3.09
3.09
3.09
3.09
12.3
5
A.1.
2.2.
4.2
For h
ard
to re
ach
sess
ions
Per s
essio
n20
000.
020
0.00
0.00
0.00
0.00
0.00
Addi
tiona
lfun
dsov
er&
abov
eor
gani
satio
nco
stav
aila
ble
unde
r"A
ccel
erat
ed I
MR/
MM
R st
ateg
y" fu
nded
thro
ugh
Stat
e Bu
dget
.
A.1.
2.2.
5M
onito
ring
& su
perv
ision
Inte
grat
ed w
ith re
gula
r mon
itorin
g pr
oces
sA.
1.3
Jana
ni S
urak
sha
Yoja
na /
JSY
66.3
566
.35
66.3
566
.35
265.
40
A.1.
3.1
Hom
e de
liver
ies
Per
beni
ficia
ry50
00
2424
2424
960.
120.
120.
120.
120.
48
A.1.
3.2
Inst
itutio
nal d
eliv
erie
s 49
.31
49.3
149
.31
49.3
119
7.22
Refe
r A1
for b
ackg
roun
d de
tails
A.1.
3.2.
aRu
ral
Per
beni
ficia
ry14
000
3114
3114
3114
3114
1245
643
.60
43.6
043
.60
43.6
017
4.38
A.1.
3.2.
bU
rban
Per
beni
ficia
ry10
000
550
550
550
550
2200
5.50
5.50
5.50
5.50
22.0
0
A.1.
3.2.
cC-
sect
ions
Per c
ase
3000
07
77
728
0.21
0.21
0.21
0.21
0.84
incr
ease
dfr
omRs
.150
0/-
toRs
.300
0/-
(But
fund
shou
ldbe
utili
zed
judi
ciou
sly)
A.1.
3.3
Adm
inist
rativ
e Ex
pens
es
1%
65
,692
1
11
11
40.
660.
660.
660.
662.
63
A.1.
3.4
Ince
ntiv
es to
ASH
A0
2821
2821
2821
2821
1128
4
16.
27
16
.27
1
6.27
16.2
7 65
.06
Deliv
erab
les
-Pr
egna
ntw
oman
prov
ided
serv
ice
ofEa
rlyre
gist
ratio
n, 4
AN
C an
d m
obili
sed
for I
nstit
utio
nal d
eliv
ery
A.1.
3.4.
1Fo
r Rur
al a
rea
Per c
ase
600
0.00
624
9124
9124
9124
9199
6414
.95
14.9
514
.95
14.9
559
.78
A.
1.3.
4.2
For U
rban
are
aPe
r cas
e40
00.
004
330
330
330
330
1320
1.32
1.32
1.32
1.32
5.28
A.
1.4
Mat
erna
lDe
ath
Revi
ew(b
oth
inin
stitu
tions
and
com
mun
ity)
023
2323
2392
0.03
0.
03
0.03
0.
03
0.13
A.1.
4.1
ASHA
ince
ntiv
efo
rst
reng
then
ing
repo
rtin
gof
allw
omen
deat
hPe
r cas
e50
0.00
050
-
N
o in
cent
ive
prop
osed
.
A.1.
4.2
ASHA
ince
ntiv
e fo
r con
firm
atio
n of
mat
erna
l dea
thPe
r cas
e15
00.
0015
1111
1111
44-
Budg
eted
und
er A
SHA
A.1.
4.3
One
day
Ref
resh
er tr
aini
ng to
inve
stig
ator
s on
MDR
00
0.00
0.00
0.00
0.00
-
Bu
dget
ed u
nder
A.1
.5.9
A.1.
4.4
Com
mun
ity b
ased
mat
erna
l dea
th in
vest
igat
ion
Per c
ase
300
0.00
311
1111
1144
0.03
0.03
0.03
0.03
0.13
A.1.
4.5
Desk
revi
ewof
100%
MDR
case
shee
tsby
desig
nate
dM
DRof
ficer
for
rect
ifica
tion
ofre
port
ing
erro
rs&
faci
litat
ion
durin
g di
stric
t MDR
mee
tings
00
0.00
0.00
0.00
0.00
-
Ac
tivity
dro
pped
as p
er G
oI re
com
men
datio
n.
A.1.
4.6
Valid
atio
nof
MDR
inve
stig
atio
nsh
eet
onsa
mpl
eba
sis&
feed
back
by
FOG
SI (1
0% c
ases
)Pe
r cas
e10
000.
011
11
14
-
A.1.
4.7
Supp
ort
cost
for
fam
ilym
emeb
rsto
atte
ndre
view
mee
ting
cond
ucte
d by
Col
lect
orPe
r cas
e20
00.
002
00
00
00.
000.
000.
000.
00-
Cost
tobe
met
out
ofSC
untie
dfu
ndw
ithdu
eap
prov
alof
SCun
tied
fund
man
agem
ent
com
mitt
ee@
Rs.1
00/-
per
pers
onfo
rtw
ope
rson
s(r
elet
ives
)of
dece
ased
mot
her
for
atte
ndin
gM
DRre
view
mee
ting
chai
red
byCo
llect
or-
cum
-DM
aspe
rth
eM
DRgu
idel
ine
A.1.
5O
ther
str
ateg
ies/
activ
ities
(ple
ase
spec
ify)
0.27
0.27
0.27
0.27
1.08
A.1.
5.1
Line
list
ing
and
follo
w-u
p of
seve
rely
ane
mic
wom
en0.
000.
000.
000.
000.
00In
cent
ive
prop
osed
for A
NM
s in
HPDs
(ref
err A
.8.1
.10.
3.1)
A.1.
5.2
Line
list
ing
of th
e w
omen
with
blo
od d
isord
ers
0.00
0.00
0.00
0.00
0.00
Foc
us: H
PDs i
n 20
16-1
7N
on-b
udge
ted
activ
ty.
Orie
ntat
ion
ofAN
Ms
will
beta
ken
upat
exist
ing
mon
thly
mee
ting.
Prot
otyp
eof
form
ats
for
excl
usiv
ere
gist
erw
illbe
shar
edby
the
Stat
e.C
ostf
orpu
rcha
seof
regi
ster
will
be
met
out
of S
C un
tied
fund
.
Page
2 o
f 327
-
Dhe
nkan
al
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Rem
arks
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH
)
S. N
o.Bu
dget
Hea
d
PIP
2016
-17
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
A.1.
5.3
Follo
wup
mec
hani
smfo
rth
ese
verly
anem
icw
omen
and
the
wom
en w
ith b
lood
diso
rder
s0.
000.
000.
000.
000.
00 F
ocus
: HPD
s in
2016
-17
Fund
sea
rmar
ked
for
dete
ctio
n,re
ferr
al&
follo
wup
ofhi
ghris
kpr
egna
ncie
s exc
eptin
g a
nem
ic u
nder
A.8
.1.1
0.3.
2 fo
r HPD
s
A.1.
5.4
New
er M
ater
nal H
ealth
Inte
rven
tions
0.00
0.00
0.00
0.00
0.00
A.1.
5.4.
1Ca
lciu
m su
pple
men
tatio
n du
ring
preg
nnac
y an
d la
ctat
ion
00
0.00
0.00
0.00
0.00
-
Prog
ram
me
stat
us -
To b
e in
itiat
ed in
201
6-17
in a
ll 30
dist
ricts
.1.
Proc
urem
ent o
f cal
cium
- To
be
proc
ured
und
er S
tate
bud
get
2.Tr
aini
ng/o
rient
atio
n-
Stat
e&
dist
rict
leve
lTo
Tco
mpl
eted
,di
stric
t&
bloc
kle
vel
trai
ning
will
beta
ken
upw
ithth
efu
ndin
gfr
om U
NIC
EF
A.1.
5.4.
2De
wor
min
g in
pre
gnan
cy
00
0.00
0.00
0.00
0.00
-
Prog
ram
me
stat
us -
To b
e in
itiat
ed in
201
6-17
in
all 3
0 di
stric
ts.
1.Pr
ocur
emen
tof
albe
ndaz
ole
-To
bepr
ocur
edun
der
Stat
ebu
dget
2.Tr
aini
ng/o
rient
atio
n-
Stat
e&
dist
rict
leve
lTo
Tco
mpl
eted
,di
stric
t&
bloc
kle
vel
trai
ning
will
beta
ken
upw
ithth
efu
ndin
gfr
om U
NIC
EF
A.1.
5.4.
3Sc
reen
ing
of S
yphi
llis d
urin
g pr
egna
ncy
00
0.00
0.00
0.00
0.00
-
Exist
ing
cove
rage
-10
dist
ricts
(Kor
aput
,Cu
ttac
k,Su
ndar
garh
,jh
arsu
guda
,May
urbh
anj,
Ganj
am,S
amba
lpur
,Khu
rda,
Raya
gada
,G
ajap
ati)
Prop
osal
2016
-17
-an
othe
r10
new
dist
ricts
(Deo
garh
,Bh
adra
k,Ba
laso
re,J
agat
singp
ur,A
ngul
,Pur
i,Ja
jpur
,Ken
drap
ada,
Keon
jhar
,Dh
enka
nal)
Prog
ress
- 1.
Trai
ning
-on
goin
g(D
etai
led
plan
of20
16-1
7at
A.9.
3.7.
6&
A.9.
3.7.
7)2.
Proc
urem
ent
-Fu
nds
appr
oved
for
proc
urem
net
ofPo
int
ofCa
reSy
phili
sTe
stki
t,Al
coho
lsw
ab&
RPR
kitA
lcoh
olsw
abun
der
NHM
(B.1
6.2.
1.3.
1,B.
16.2
.1.3
.2&
B.16
.2.1
.4)a
ssa
me
are
notp
art
of st
ate
EDL
A.1.
5.4.
4Di
agno
sis &
Man
gem
ent o
f Ges
tatio
nal D
iabe
tes M
ellit
us
00
0.00
0.00
0.00
0.00
-
Prog
ram
me
stat
us -
To b
e in
itiat
ed in
201
6-17
in
10 H
PDs.
1.Pr
ocur
emen
t :
1.1
Plas
ma
calib
rate
dgl
ucom
eter
s,gl
ucom
eter
strip
s-
Prov
ision
ed u
nder
NCD
pro
gram
me
1.2
Insu
line
syrin
ge :
40IU
& g
luco
se p
ouch
und
er st
ate
budg
et1.
3.Dr
ugs -
Insu
lin :
pre-
mix
ed 3
0:70
& re
gula
r und
er S
tate
bud
get
2.Pr
intin
g - B
udge
t und
er IE
C/BC
C2.
1.M
igra
tion
form
for P
W w
ith G
DM2.
2.Re
ferr
al sl
ip
3.Th
ree
days
Tra
inin
g - d
etai
ls in
Tra
inin
g Bu
dget
A.1.
5.4.
5En
gage
men
tofG
ener
alsu
rgeo
nfo
rper
form
ing
caes
area
nse
ctio
ns a
nd m
angi
ng o
bstr
etic
s com
plic
atio
ns0
00.
000.
000.
000.
00-
Man
date
- En
surin
g ro
und
the
cloc
k c-
sect
ion
serv
ices
at a
ll FR
Us
Targ
et 2
016-
17 -
DHH
&SD
H
Page
3 o
f 327
-
Dhe
nkan
al
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Rem
arks
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH
)
S. N
o.Bu
dget
Hea
d
PIP
2016
-17
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
A.1.
5.4.
6M
ater
nal N
earm
iss re
ivew
00
0.00
0.00
0.00
0.00
-
Toac
hiev
eth
ego
alw
ene
edto
have
true
repr
esen
tatio
nof
the
caus
esof
mat
erna
lde
aths
soas
toid
entif
yga
psan
dta
keco
rrec
tive
mea
sure
s.Th
epr
egna
ntw
omen
who
suffe
rfr
omse
vere
com
plic
atio
nsan
dco
me
clos
eto
mat
erna
ldea
th,
but
dono
tdie
due
toap
prop
riate
inte
rven
tions
are
calle
d“n
ear-
miss
es”
whi
chne
edto
bein
vest
igat
ed,
docu
men
ted
and
shar
eddu
ring
MDR
revi
ew fo
r fut
ure
repl
icat
ion.
Prog
ram
me
stat
us -
To b
e in
itiat
ed in
201
6-17
in
95 F
RUs
1.O
neda
ySt
ate
leve
lorie
ntat
ion
ofSt
ate
prog
ram
me
offic
ers
onM
NM
@ 2
0 pe
rson
s per
one
bat
ch @
Rs.1
0000
/-2.
Stat
eRe
sour
cepe
rson
will
orie
ntth
edi
stric
tre
sour
cepe
rson
,@
1da
y,5
pers
onfr
omea
chdi
stric
ti.e
150
Trai
nees
-Bud
gete
dun
der T
rain
ing.
A.1.
5.4.
7Sc
reen
ing
of h
ypth
yroi
dism
dur
ing
preg
nanc
y0
00.
000.
000.
000.
00-
Prog
ram
me
stat
us-
Tobe
initi
ated
in20
16-1
7in
10HP
Ds.
&fo
cusin
g 3
MCH
s & 3
2 DH
Hs1.
Pror
urem
ent
1.1S
emi
auto
anal
yise
r-
plan
ned
tobe
proc
ured
unde
rfr
eedi
gnos
tic se
rvic
es
1.2.
Drug
s : L
evot
hyro
xine
to b
e pr
ocur
ed u
nder
stat
e bu
dget
2.O
ne T
rain
ing
- De
taile
d in
Tra
inin
g bu
dget
A.1.
5.5
Impl
emen
tatio
nof
QA
initi
ativ
es-
DAKS
HAT
Apr
ogra
mm
e0.
000.
000.
000.
000.
00To
tal d
istr
icts
cov
ered
- 18
(sel
ecte
d du
ring
2015
-16)
A.1.
5.5.
1Tr
aini
ng
Budg
etco
mitt
edfo
rco
mpl
etin
gdi
stric
t&
sub-
dist
rict
leve
ltr
aini
ng b
y Ju
n'16
Oth
ertr
aini
ngpr
opos
edw
ithpa
rtia
lsup
port
ofJh
pieg
o-T
rain
ing
ofda
taha
ndle
rsfo
ref
ficie
ntre
port
ing
&an
alys
is.TA
/DA
&ac
com
odat
ion
met
out
of A
.1.5
.9
A.1.
5.5.
2As
sess
men
t,m
ento
ring
&su
perv
ision
visit
(MSV
)by
DAKS
HATA
coo
rdin
ator
& tr
aine
d DP
men
tors
Per v
isit
1000
00
00
00
0.00
0.00
0.00
0.00
-
Freq
uenc
yof
visit
-Af
ter
trai
ning
MSV
ever
y15
days
for
1st
2m
onth
sth
enm
onth
lyfo
rne
xt6
mon
ths
&th
enqu
rter
lyon
ongo
ing
basis
(Tot
alof
10M
SVpe
rfa
cilit
yp.
a.,
prop
osed
for
9vi
sits t
his y
ear)
Cost
pro
pose
d in
clud
es m
obili
ty &
ince
ntiv
e Im
port
ant
Inst
ruct
ions
:Men
tors
cond
uctin
gm
ento
ring
visit
sin
thei
rpl
ace
ofpo
stin
gw
illbe
paid
Rs.5
00/-
&m
ento
rsco
nduc
ting
men
torin
g at
oth
er in
stitu
tions
will
get
Rs.
100
0/-
per v
isit.
A.1.
5.5.
3Pr
intin
g0
-
Pr
intin
gof
revi
sed
LRre
gist
er@
4pe
rfa
cilit
y-
Budg
eted
unde
rPr
intin
gA.
1.5.
5.4
Revi
ew m
eetin
g0
-
Bu
dget
d un
der A
.1.5
.9A.
1.5.
5.5
Perf
oman
ce b
ased
aw
ards
to fa
cilit
ies
0-
Part
of N
atio
nal Q
ualit
y As
sura
nce
Cert
ifica
tion.
A.1.
5.6
Uni
vers
ial s
cree
ning
of H
IV d
urin
g AN
C0
00.
000.
000.
000.
00-
1 Pr
ocur
emen
t - B
udge
ted
unde
r Pro
cure
men
t1.
1.W
hole
blo
od fi
nger
pric
k te
st k
its
1.2.
Safe
Del
iver
y ki
t for
doc
tors
/par
amed
ical
2
Trai
ning
of M
O, S
N &
AN
M -
Supp
orte
d by
UN
ICEF
3
Ince
ntiv
eto
ASHA
for
mob
ilisin
gpr
egna
ntw
omen
toIC
TCor
FICT
Can
den
sure
HIV
and
RPR
test
ing
durin
gAN
C-B
udge
ted
unde
r ASH
A in
cent
ive
A.1.
5.7
Stre
ngth
enin
gIn
stitu
tiona
lD
eliv
ery
-Di
ffren
tial
com
mun
ity b
ased
stre
ngth
enin
g in
itiat
ives
00
00
00
-
-
-
-
0.00
A.1.
5.7.
1M
ater
nity
Wai
ting
Hom
eA.
1.5.
7.1.
1N
on-r
ecur
ring
cost
Per M
WH
2000
002
00
0.00
0.00
0.00
0.00
-
A.1.
5.7.
1.2
Recu
rrin
g co
stPe
r MW
H pe
r qtr
2838
002.
838
00
00
00.
000.
000.
000.
00-
Deta
ils in
MW
H(An
nx)
Page
4 o
f 327
-
Dhe
nkan
al
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Rem
arks
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH
)
S. N
o.Bu
dget
Hea
d
PIP
2016
-17
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
A.1.
5.8
Man
agem
ento
fPPH
thro
ugh
oral
miso
pros
tol&
ensu
ring
safe
hom
e de
liver
y0
0.00
0.00
0.00
0.00
-
Activ
ity-C
omm
unity
leve
lDist
ribut
ion
ofM
isopr
osto
ltab
lets
for
hom
ede
liver
yca
ses
thro
ugh
ANM
san
dAS
HAs
for
prev
entio
nof
PPH
Back
grou
nd:
•To
talD
istric
ts/B
lock
sco
vere
d:To
tald
istric
tsco
vere
d-13
;Tot
albl
ocks
-118
•Cr
iteria
for
dist
rict/
bloc
kse
lect
ion:
Dist
ricts
with
>20%
hom
ede
liver
ies,
High
Prio
rity
dist
ricts
,Trib
alan
dHi
llybl
ocks
with
any
num
ber o
f SCs
hav
ing
Hom
e de
liver
y m
ore
than
20%
A.1.
5.9
Stre
ngth
enin
g FR
U o
pera
tatio
nalis
atio
n 0
55
55
20
0.
12
0.12
0.
12
0.12
0.
48
Prop
osal
201
6-17
1.1
Trai
ning
of L
SAS
Doc
tor
1.2.
Ince
ntiv
isat
ion
of L
SAS
Doc
otor
-
Perf
orm
ance
ince
ntiv
e@
Rs.3
000/
-fo
rm
inim
um2
case
sp.
m.p
ropo
sed
1.3.
Trai
ning
of E
MoC
Doc
tor
1.4.
Ince
ntiv
isat
ion
ofEM
oCD
octo
r-Pe
rfor
man
cein
cent
ive
@Rs
.300
0/- f
or m
inim
um 2
cas
es p
.m.p
ropo
sed
1.5.
Esta
blis
hem
ent o
f BSU
1.
5.1.
Equi
pmen
t/in
stru
men
tof
BSU
-1
(for
repl
acem
ent
ofex
istin
g BS
U a
t Pat
kura
)1.
5.2.
Recu
rrin
g co
st fo
r BSU
@Rs
.240
00/-
per
ann
um
1.6.
Ensu
ring
an e
nvio
rnm
ent f
or a
sept
ic d
eliv
ery
at L
R of
FRU
s
A.1.
5.9.
1Re
curr
ing
cost
for B
SUPe
r qtr
6000
0.06
22
22
20.
120.
120.
120.
120.
48
A.1.
5.9.
2M
aint
enan
ceco
stof
LR&
OT
ofFR
UDP
s(c
ontig
ency
,co
nsum
able
s etc
.) >=
100
del
iver
ies
Per D
P pe
r qt
r30
000
0.3
11
11
1-
Tobe
met
out
ofRK
Sgr
ant
with
due
appr
oval
ofEC
.Cos
tno
rmm
ay b
e re
vise
d as
per
act
ual r
equi
rem
ent.
A.1.
5.9.
3M
aint
enan
ceco
stof
LR&
OT
ofFR
UDP
s(c
ontig
ency
,co
nsum
able
s etc
.) <
100
deliv
erie
sPe
r DP
per
qtr
1500
00.
152
22
22
-
To
bem
etou
tof
RKS
gran
tw
ithdu
eap
prov
alof
EC.C
ost
norm
may
be
revi
sed
as p
er a
ctua
l req
uire
men
t.
A.1.
5.10
Stre
ngth
enin
gIn
stitu
tiona
lDel
iver
yth
roug
hex
pans
onof
DP n
etw
ork
- Fac
ility
bas
ed in
terv
entio
n
Targ
et-(
20%
ofpr
omisi
ngDP
tobe
conv
erte
das
func
tiona
lDP
in20
16-1
7)Pr
opos
ed a
ctiv
ities
:1.
DPre
adin
ess
inte
rms
ofEq
uipm
ent
and
Inst
rum
ents
-St
ate
budg
et2.
Eng
agem
ent o
f HR
as p
er lo
ad (S
tate
+ N
HM b
udge
t)2.
Sen
sitisa
tion
of A
SHAs
at S
ecto
r Mee
ting
(Bud
gete
d in
resp
ectiv
e se
ctio
ns)
A.1.
5.11
Men
torin
gsu
ppor
tfo
rqu
ality
serv
ice
deliv
ery
atfu
nctio
nal D
PsPe
r visi
t20
000
00.
000.
000.
000.
00-
Inte
grat
ed w
ith D
AKSH
ATA
A.1.
5.12
Tech
nica
lrev
iew
-cum
-Orie
ntat
ion
ofpr
ogra
mm
eof
ficer
&se
rvic
epr
ovid
ers
atal
lle
vels
for
impr
ovin
gim
plem
enta
tion
of M
H in
itiat
ives
Per d
ist p
er
qtr
1500
00.
21
11
14
0.15
0.15
0.15
0.15
0.60
Prog
ram
mes
like
excl
usiv
equ
rter
lyre
view
onDA
KSHA
TA&
othe
rex
istin
g&
new
MH
intit
iativ
essh
ould
beta
ken
uput
ilisin
gth
isfu
ndFu
nds k
ept a
t Sta
te le
vel:
Rs. 1
2.00
Lak
hsFu
nds
allo
cate
dto
dist
ricts
:Rs
.18
.00
Lakh
s@
Rs.
6000
0/-
Per
Dist
for 3
0 di
stric
ts
Page
5 o
f 327
-
Dhe
nkan
al
Uni
t of
Mea
sure
Uni
t Cos
t (Rs
) U
nit C
ost
(Rs.
Lak
hs)
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
Rem
arks
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool (
RCH
)
S. N
o.Bu
dget
Hea
d
PIP
2016
-17
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
A.1.
5.13
Stre
gthe
ning
OT
for q
ualit
y CS
serv
ices
Per D
HH30
0000
30
00.
000.
000.
000.
00-
Man
date
:-E
nsur
e qu
ality
CS
serv
ices
Co
mpo
nent
s 1
.Infr
a D
evel
opm
ent
1.1
Min
orm
odifi
catio
nof
exis
ting
Infr
astr
uctu
re(
Focu
son
Zoni
ngof
faci
lites
with
inth
eex
istin
gO
Ti.e
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