SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail:...
Transcript of SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail:...
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Letter No. OSH & FWS/9836 Date: 30/08/2017 From Shalini Pandit, IAS
Mission Director, NHM Odisha
To The CDMO-cum-District Mission Director Ganjam
Sub: Approved budget of NHM PIP 2017-18. Madam/Sir,
The approved resource allocation of Ganjam district for the year 2017-18 is Rs. 6447.75 Lakhs. The Details of component wise break up are as follows.
Sl. No. Name of Programme Total Allocation to the District (Rs. In Lakhs) 1 RCH Flexible Pool 1714.62
2 Mission Flexible Pool(including NOHP,NPPCD, NPPCF, Palliative Care and Assistance to State for Capacity building for Burns & Injury)
3926.93
3 Immunization including PPI Operational cost 195.90 4 NIDDCP 0.00 5 NUHM Flexible Pool 0.00 6 IDSP 4.16 7 NVBDCP 147.37 8 NLEP 68.52 9 RNTCP 201.30 10 NPCB 125.16 11 NPHCE 31.30 12 NPCDCS 8.96 13 NTCP 0.00 14 NMHP 0.00
Grand Total 6447.75
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 clause mentioned in Terms & Conditions may entail audit objections & may result in withholding of grants 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 meeting you to review the progress against these approvals. Let us work together to achieve the goals.
Yours Faithfully
Mission Director NHM, Odisha
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
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 fund 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 financial envelop in line with the District plan for undertaking approved activities & disseminate the same within fifteen days from receipt of respective PIP.
Strengthening Financial Management System: The following conditionalities must be adhered to strictly for ensuring sound Financial Management. 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.
Financial Management Report (FMR) & Statement of Fund Position (SFP):
CHC/SDH to Districts: To be furnished by 05th of the following month. PIP based FMR & SFP should be furnished. BRS is mandatory along with FMR & SFP.
District to State: To be furnished by 10th of the following month. PIP based FMR & SFP to be furnished separately. BRS is mandatory along with FMR & SFP.
The district shall ensure submission of compliance report to the observation of the State on the FMR. NB: The financial data in the FMR must be as per the books of accounts and the physical data as per HMIS/MCTS.
Record Keeping: Cash books, ledgers, advance registers, asset registers etc. along with relevant
documents must be maintained as prescribed in the Financial Management guideline.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
The records must be authenticated by the DDO on real time basis. All the financial transactions must be through FAMS. All the important and confidential documents like MoUs, contracts, audit reports etc.
must be kept under lock & key with designated custodian.
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, i.e. within 45 days
of completion of the quarter.
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 with proper
documentation. Further advances should be discouraged if 80% of the previous advance is not liquidated
/ adjusted.
Aadhaar based DBT: The district and sub-district level facilities must ensure payment of dues to the following
beneficiaries through Aadhaar based DBT under PFMS only. a. JSY beneficiaries b. Beneficiaries under Family Planning :
Enhanced Compensation Scheme for Sterilization for both beneficiaries and service providers. Post-Partum IUCD (PPIUCD) Incentive Scheme to both beneficiaries and service providers. Post-Abortion IUCD (PAIUCD) Incentive Scheme to both beneficiaries and service providers. Ensuring Spacing of Births (ESB) Scheme. Family Planning Indemnity Scheme (FPIS).
c. ASHAs (Incentives under all eligible schemes) d. Contractual staff under NHM
In order to ensure the same, the districts and sub-district facilities must take following actions:
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
As per Aadhaar Act, the Organization, who is paying the benefits, should ensure
seeding of Aadhaar numbers to the respective bank accounts. Further, in obedience to the Act, the payer organization has to also enroll the beneficiaries under Aadhaar in case they do not have the numbers.
Regular orientation of ASHAs regarding Aadhaar based payment is not being done. The ASHAs must be briefed on their roles and responsibilities in this regard on a continuous basis in the Sector level meetings.
Awareness of mothers relating to Aadhaar based payment is to be done on continuous basis. The ANMs should orient the pregnant mothers in the VHND on a regular basis regarding their roles. Instruction in this regard must flow to each ANM from the CHCs.
ANMs must ensure opening of bank accounts of pregnant mothers and seeding with the Aadhaar no., if it is already available. In case the Aadhaar no. is not available, the concerned CHC must ensure her enrollment under Aadhaar.
Other Conditionalities:
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.
The unit cost/ rate approved for all activities including procurement, printing etc. are indicative for purpose of estimation. However, actuals are subject to transparent and open bidding process as per the relevant and extant purchase rules.
District to ensure regular meetings of State and district health missions/ societies/DISHA. The performance of SHS/ DHS along with financials and audit report must be tabled in such meetings.
All services under National Health Programme/ Schemes should be provided free of cost. District shall ensure submission of quarterly report on physical progress against targets and
expenditure including an analysis of adverse variances and corrective action proposed to be taken.
The district shall not make any change in allocation among different budget heads without approval of state.
All approvals are subject to the framework for Implementation of NHM & guidelines issued from time to time & the observations made in this document.
The district must ensure proper internal control as regard to Receipts, Expenditure, Advances, Procurement, Inventory, Assets and other Administrative controls.
The accounts of district/ grantee institution/ organisation shall be open to inspection by the sanctioning authority and audit by the Comptroller & Auditor General of India under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health & Family Welfare.
District shall submit details of unspent balance indicating inter alia, funds released in advance & funds available under District Health Societies. The district shall also intimate the interest amount earned on unspent balance. This amount can be spent against approved activities.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
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.
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 advance 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.
District should ensure expenditure up to 15% by June 2017 and another 30% by September 2017 of their approved budget under each pool in the FY 2017-18.
Action on the following issues would be looked at while considering the release of second tranche of funds.
Compliance with conditionalities as prescribed by Department of Expenditure (DoE) under the Ministry of Finance.
Physical and financial progress made by the district Before the release of funds beyond 75% of BE for the year 2017-18, district needs to
provide Utilisation Certificates against the grant released to the district up to 2016-17 duly signed by CDMOs.
Funds will be released to district Pool wise instead of scheme wise. State to open accounts of all agencies in PFMS and ensure expenditure capturing, other
aspects.
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 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.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
For making payment/incurring expenditure/release of funds, the delegation of administrative & financial powers applicable for different levels must be followed strictly.
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.
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.
Infrastructure
The approval for new infrastructure is subject to the condition that District will use energy efficient lighting and appliances. District will submit non Duplication Certificate as per prescribed format.
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.
Reallocation of funds for new proposals within DPs is permissible provided the CDMO has to certify that all the gaps in the said DP has been fulfilled in all respects and no further funds are required for new construction.
All buildings, vehicles & other assets supported /created under NHM should prominently carry NHM logo and adhere to the prototypes communicated by MD, NHM.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
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.
Procurement:
Strict compliance of procurement procedures for purchase of medicines, equipment 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. District to submit Non Duplication Certificate as per prescribed format
Programme Management and Human Resource
Recruitment-Quality of HR shall be engaged through merit and appropriate and skill based competency test, through transparent recruitment process. Preference to be given to local candidates to ensure presence of services providers in the community. Comprehensive Baseline Skills Assessment must be part of the selection/ confirmation test for all frontline workers especially ANMs, SNs and LTs.
Clinical manpower sanctioned under RCH-II would be engaged exclusively at Delivery Points. Irrational deployment would render the expenditure ineligible under NHM.
For SCs 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
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
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 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 on core performance indicators.
EPF-The EPF under NHM is only for the Employer’s contribution part calculated @ 13.36% for staff drawing salary
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
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. 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.
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 District ASHA Coordinator 10 man days 2.1.6 District GKS Coordinator 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 1.2.2 ADMO(FW) 6 man days
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
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
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Sl No
Designation No of Tour
days(min)/PM Remarks
2.1.4 BPHCO 6 man days done on individual basis as per PIP conditionality. 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. JSSK
JSSK is an entitlement scheme, which means every pregnant women and sick infants (up to 1 year) has to be provided drugs, diagnostics, and diet and referral transport services free of cost mandatorily. The amount mentioned in the budget columns are calculated based on an average estimated cost. The individual amount spent on each beneficiary would vary. No beneficiary should be denied any entitlement on the basis of these cost estimates. If the variations in cost is examined, it should be got ratified by the RKS.
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.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Mandatory Disclosures
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.
MMUs- total number of MMUs, monthly schedule format and service delivery data on a monthly basis capturing information on all fields mentioned in the specified format.
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 kilometre logged on a monthly basis.
All procurements- including details of equipment procured (as per directions of CIC which have been communicated to the States by this Ministry vide letter No. Z.28015/162/2011-H, dated 28th November 2011) 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.
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
Key Conditionalities & Incentives 2017-18
SN Conditionality Incentive/penalty Source of
verification
% Incentive/
Penalty 1 Incentive or penalty
based on NITI Aayog ranking of states/Districts on 'Performance on Health Outcomes'
Based on the ranking which will measure incremental changes: 1. The states showing overall
improvement to be incentivized
2. States showing no overall increment get no penalty and no incentive
3. States showing decline in overall performance to be penalized
% of incentive/penalty to be in proportion to overall improvement shown by the best performing state and the worst performing state: +50 to -50 points
NITI Aayog report.
+-50 to -50
2 Rating of District Hospitals (DHH) in terms of input and service delivery
At least 75% (in Non EAG) and 60% (in EAG and NE states) of all District Hospitals to have at least 8 fully functional specialties as per IPHS : 10 points incentive
Less than 40% in Non EAG and 30% in EAG to be penalized up to 10 points
HMIS and NlTI Aayog DH ranking report
+10 to -10
3 Operationalization of Health and Wellness Centers (HWC)
More than 2% of SCs upgraded and functioning as HCWs: incentive from 4-10 points based on proportion of SCs made functional as HCWs
If 1-2% of SCs upgraded and operational as HCWs: No penalty,
State report NHSRC report RHS
+10 to -10
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
SN Conditionality Incentive/penalty Source of
verification
% Incentive/
Penalty no incentive
If less than 1% SCs upgraded and operational as HCWs: penalty up to 10 points
4 % districts covered under Mental health program and providing services as per framework
If 75% of the districts covered:10 points
If 50% districts in Non-EAG and 40% districts in EAG states: incentive 6 points. Less than 40% EAG and less than 50% Non EAG to be penalized 6 points. Less than 30% in EAG and 40% in Non EAG to be penalized 10 points
Report from Mental Health Division MoHFW
+10 to -10
5 % of 30 plus population screened for NCDs in targeted Districts/ MCs
15% of 30 plus population screened for NCDs: 10 points incentive
7% of 30 plus population screened for NCDs : 6 points incentive
Less than 3% of 30 plus population screened for NCDs : 6 points penalty
Less than 2% of 30 plus population screened for NCDs : 10 points penalty
Report from NCD division MoHFW and State reports Any Survey data available
+10 to -10
6 HMIS and HRIS : HR data to be in sync and to be used in performance monitoring
State/District where data matches : 5 points incentive States where data doesn't match: 5 points penalty
HRIS (State) and HMIS report
+5 to -5
7 Star rating of PHCs (both Urban and
75% (in Non EAG) and (60% in EAG and NE) of the PHCs having 3
HMIS +5 to -5
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SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in
Mission Directorate National Health Mission, Odisha
Department of Health & Family Welfare, Government of Odisha.
SN Conditionality Incentive/penalty Source of
verification
% Incentive/
Penalty rural) based on inputs and provision of the service package agreed
or more star rating : 5 points incentive
50% (in Non EAG) and 40% (in EAG and NE) PHCs having 3 or more star rating: 2 points incentive
Less than 40% (in Non EAG) and 30% (in EAG and NE) of PHCs having 3 or more star rating to be penalized: 5 points
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.300
/-)
3.Q
uart
erly
revi
ewm
eetin
g-I
nteg
rate
dw
ithRC
H m
eetin
g4.
Prin
ting
–To
bem
etou
tof
com
mitt
edex
pend
iture
5.IE
CM
ater
ial
-In
tegr
ated
with
MH
IEC
pack
age.
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
l hea
lth fa
cilit
ies)
9.29
9.29
9.29
9.29
37.1
6
A.1.
2.1
Out
reac
h ca
mps
0.00
Stat
eha
sm
anda
ted
tost
reng
then
Faci
litie
sfo
ren
surin
gse
rvic
ede
liver
yfo
rits
popu
latio
n. C
amp
- N
ot p
ropo
sed
A.1.
2.2
Mon
thly
Vill
age
Heal
th a
nd N
utrit
ion
Days
0.00
9.29
9.29
9.29
9.29
37.1
6
A.1.
2.2.
1.1
For n
orm
al s
essio
nsPe
r ses
sion
100
0.00
9291
9291
9291
9291
3716
49.
299.
299.
299.
2937
.16
A.1.
2.2.
1.2
For h
ard
to re
ach
sess
ions
0.00
00.
000.
000.
000.
000.
00Fu
ndin
gun
der
"Acc
eler
ated
IMR/
MM
Rst
rate
gy"
thro
ugh
Stat
eBu
dget
for
15ta
rget
ed d
istric
tsA.
1.3
Jana
ni S
urak
sha
Yoja
na /
JSY
180
.04
180
.04
180
.04
180
.04
720
.17
A.1.
3.1
Hom
e de
liver
ies
Per
beni
ficia
ry50
00.
0112
712
712
712
750
80.
640.
640.
640.
642.
54
A.1.
3.2
Inst
itutio
nal d
eliv
erie
s 97
1397
1397
1397
1338
852
132
.16
132
.16
132
.16
132
.16
528
.65
Part
I: N
RHM
+ R
MN
CH p
lus A
* Fl
exip
ool
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
Page
1 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.1.
3.2.
aRu
ral
Per
beni
ficia
ry14
000.
0186
6386
6386
6386
6334
652
121.
2812
1.28
121.
2812
1.28
485.
13
A.1.
3.2.
bU
rban
Per
beni
ficia
ry10
000.
0110
3110
3110
3110
3141
2410
.31
10.3
110
.31
10.3
141
.24
A.1.
3.2.
cC-
sect
ions
Per c
ase
3000
0.03
1919
1919
760.
570.
570.
570.
572.
28A.
1.3.
3Ad
min
istra
tive
Expe
nses
1.
12%
1,9
9,66
0 2.
001
11
14
2.00
2.00
2.00
2.00
7.99
A.1.
3.4
Ince
ntiv
es to
ASH
A0.
0078
4778
4778
4778
4731
388
45.2
545
.25
45.2
545
.25
180.
99A.
1.3.
4.1
For R
ural
are
aPe
r cas
e60
00.
0169
3069
3069
3069
3027
720
41.5
841
.58
41.5
841
.58
166.
32
A.1.
3.4.
2Fo
r Urb
an a
rea
Per c
ase
400
0.00
917
917
917
917
3668
3.67
3.67
3.67
3.67
14.6
7
A.1.
4M
ater
nal
Deat
hRe
view
(bot
hin
inst
itutio
nsan
d co
mm
unity
)0.
000.
080.
080.
080.
080.
31
A.1.
4.1
ASHA
ince
ntiv
efo
rco
nfirm
atio
nof
mat
erna
lde
ath
0.00
Budg
eted
und
er A
SHA
A.1.
4.2
Hono
rariu
mto
inve
stig
ator
sfo
rCo
mm
unity
base
d m
ater
nal d
eath
inve
stig
atio
nPe
r cas
e30
00.
0026
2626
2610
40.
080.
080.
080.
080.
31
A.1.
5O
ther
stra
tegi
es/a
ctiv
ities
(ple
ase
spec
ify)
0.35
1.02
1.02
1.02
3.40
A.1.
5.1
Line
listin
gan
dfo
llow
-up
ofse
vere
lyan
aem
icw
omen
0.00
A.1.
5.2
Line
list
ing
of th
e w
omen
with
blo
od d
isord
ers
0.00
A.1.
5.3
Follo
wup
mec
hani
smfo
rth
ese
vere
lyan
aem
icw
omen
and
the
wom
en w
ith b
lood
diso
rder
s0.
00
A.1.
5.4
PMSM
A ac
tiviti
es a
t Sta
te/ D
istric
t lev
el
Addi
tiona
lfu
nds
have
been
appr
oved
whi
chw
illbe
used
asun
tied
gran
tto
beut
ilise
dun
der f
ollo
win
g pu
rpos
e.1.
Tra
nspo
rtat
ion
of p
rivat
e pr
actit
ione
rs
2.M
eetin
gw
ithva
rious
stak
ehol
ders
atSt
ate
and
Dist
rict l
evel
3.
Aw
ard
to v
olun
teer
s & o
ther
s4.
Mob
ility
cost
todo
ctor
san
dpa
ram
edic
alst
aff
thos
ear
ede
ploy
edfr
omot
her
faci
litie
sfo
r the
Clin
ic d
ay
5.IE
Cat
Stat
ean
ddi
stric
tle
vel
for
wid
epu
blic
ity o
f the
pro
gram
me
A.1.
5.4.
1At
Sta
te le
vel
Lum
psum
1666
671.
670
00
00.
000.
000.
000.
000.
00
A.1.
5.4.
2At
Dist
rict l
evel
(<=
5 bl
ocks
)Pe
r dist
1666
70.
170
00
00.
000.
000.
000.
000.
00
A.1.
5.4.
3At
Dist
rict l
evel
(6 to
10
blo
cks)
Per d
ist33
333
0.33
00
00
0.00
0.00
0.00
0.00
0.00
A.1.
5.4.
4At
Dist
rict l
evel
(11
to 1
5 b
lock
s)Pe
r dist
5000
00.
500
00
00.
000.
000.
000.
000.
00
Page
2 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.1.
5.4.
5At
Dist
rict l
evel
(16
to 1
6 b
lock
s)Pe
r dist
6666
70.
671
11
10.
000.
670.
670.
672.
00
A.1.
5.5
Stat
e sp
ecifi
c & n
ew in
itiat
ives
und
er M
H0.
350.
350.
350.
351.
40
A.1.
5.5.
1O
pera
tiona
lisat
ion
of M
ater
nity
Wai
ting
Hom
e
A.1.
5.5.
1.1
Non
-rec
urrin
g co
stPe
r MW
H20
0000
2.00
00
0.00
0.00
0.00
0.00
0.00
For
7N
ewM
WHs
atbl
ock
1.Dh
arm
agar
h,2.
Jaip
atan
aof
Kala
hand
idist
,3.
Mal
kang
iriof
Mal
kang
iridi
st,
4.Da
buga
on,
5.N
abar
anga
pur
ofN
abar
anga
pur
dist
,6.N
uapa
daof
Nua
pada
dist
& 7
.Kol
nara
of R
ayag
ada
dist
A.1.
5.5.
1.2
Recu
rrin
g co
stPe
r MW
H pe
r qtr
1464
421.
460
00
00
0.00
0.00
0.00
0.00
0.00
Deta
ils in
MW
H(An
nx)
Onl
y HR
cos
t app
rove
d
A.1.
5.5.
1.3
Eval
uatio
n of
MW
HPe
r MW
H60
000
0.60
00
0.00
0.00
0.00
0.00
0.00
Eval
uatio
nto
bedo
neof
MW
Hsth
ose
have
com
plet
ed2
yrs
ofop
erat
ion
byan
exte
rnal
agen
cy d
ecid
ed th
roug
h co
mpe
titiv
e bi
ddin
g.
A.1.
5.5.
2M
anag
emen
tof
PPH
thro
ugh
oral
miso
pros
tol
& e
nsur
ing
safe
hom
e de
liver
y0.
000
0.00
0.00
0.00
0.00
0.00
A.1.
5.5.
3Es
tabl
ishm
ent o
f obs
trat
ic H
DU/I
CUPr
ovisi
on:
Mad
eun
der
Stat
eBu
dget
for
IMR/
MM
R Di
stric
ts
A.1.
5.5.
3.1
Non
-rec
urrin
g co
st0.
000
0.00
0.00
0.00
0.00
0.00
A.1.
5.5.
3.2
Recu
rrin
g co
st0.
000
0.00
0.00
0.00
0.00
0.00
A.1.
5.5.
4St
reng
then
ing
OT/
Labo
ur R
oom
Prov
ision
:M
ade
unde
rSt
ate
Budg
etfo
rIM
R/M
MR
Dist
ricts
A.1.
5.5.
5St
reng
then
ing
BB/
BSU
A.1.
5.5.
5.1
Non
-rec
urrin
g co
st0.
000
0.00
0.00
0.00
0.00
0.00
A.1.
5.5.
5.2
Recu
rrin
g co
stPe
r uni
t pe
r qtr
5814
0.06
66
66
60.
350.
350.
350.
351.
40
A.1.
5.5.
6Im
plem
enta
tion
ofQ
Ain
itiat
ives
-DAK
SHAT
Apr
ogra
mm
eA.
1.5.
5.6.
1As
sess
men
t and
Men
torin
g
A.1.
5.5.
6.2
Base
line
/ Per
iodi
c As
sess
men
ts
per v
isit
2000
0.02
00
00
00.
000.
000.
000.
000.
00
A.1.
5.5.
6.3
Men
torin
g Vi
sits
Budg
et sh
ifted
to A
.10.
8.4.
1
A.1.
5.5.
6.4
MW
MIS
:So
ftw
are
mod
ifica
tions
base
don
Odi
sha
cont
ext
Lum
psum
1500
001.
50
A.1.
5.5.
6.5
MW
MIS
:Ha
rdw
are,
soft
war
e,fu
rnitu
rean
din
tern
et c
onne
ctiv
ity fo
r fac
ilitie
s Bu
dget
shift
ed to
A.1
0.8.
4.2
Page
3 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.1.
5.5.
7U
nive
rsal
scre
enin
g of
HIV
Targ
et d
istric
t: 30
dist
ricts
Targ
etPo
pula
tion:
All
ANC
tobe
scre
ened
once
dur
ing
preg
nanc
y.
Proc
urem
ent:
1.W
hole
bloo
dfin
gerp
rick
test
kits
-Scr
eeni
ngw
illbe
mad
eth
roug
hw
hole
bloo
dfin
gerp
rick
(W
BFP)
test
atal
lDel
iver
ypo
ints
&al
lCHC
sdu
ring
PMSM
A.Pr
ovisi
onfo
rpr
ocur
emen
tfor
WBF
Pki
tfo
r40
%be
nefic
iarie
sis
mad
efr
omN
ACO
,so
the
rest
WBF
Pte
stki
tfo
r60
%of
ANC
case
s is p
ropo
sed.
2.Sa
feDe
liver
yki
tfor
doct
ors
/par
amed
ical
-As
pern
orm
one
HIV
reac
tive
deliv
ery
requ
ires
3se
tsof
safe
deliv
ery
kit.
The
kit
will
bepr
ovisi
oned
at e
ach
DP .
Ince
ntiv
eto
ASHA
for
mob
ilize
and
acco
mpa
nypr
egna
ntw
omen
toIC
TCor
FICT
Can
den
sure
HIV
and
RPR
test
ing
durin
gAN
C-
Budg
eted
und
er A
SHA
ince
ntiv
e
A.1.
5.5.
8N
ewer
Mat
erna
l Hea
lth In
terv
entio
ns
A.1.
5.5.
8.1
Calc
ium
supp
lem
enta
tion
durin
gpr
egna
ncy
and
lact
atio
n0.
000
0.00
0.00
0.00
0.00
0.00
Prog
ram
me
stat
us-
Impl
emen
ted
inal
l30
dist
ricts
.1.
Proc
urem
ent o
f cal
cium
- St
ate
supp
ly2.
Trai
ning
/orie
ntat
ion
- Com
plet
ed
A.1.
5.5.
8.2
De w
orm
ing
in p
regn
ancy
0.
000
0.00
0.00
0.00
0.00
0.00
Prog
ram
me
stat
us-
Impl
emen
ted
inal
l30
dist
ricts
.1.
Proc
urem
ent o
f cal
cium
- St
ate
supp
ly2.
Trai
ning
/orie
ntat
ion
- Com
plet
ed
Page
4 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.1.
5.5.
8.3
Scre
enin
g of
Syp
hilis
dur
ing
preg
nanc
y0.
000
0.00
0.00
0.00
0.00
0.00
Tota
l tar
gete
d di
stric
ts :
20Ex
istin
gco
vera
ge-
10di
stric
ts(K
orap
ut,
Cutt
ack,
Sund
arga
rh,j
hars
ugud
a,M
ayur
bhan
j,Ga
njam
,Sa
mba
lpur
,Kh
urda
,Ra
yaga
da,
Gaja
pati)
New
-An
othe
r10
IMR
/M
MR
dist
ricts
(Keo
njha
r,So
nepu
r,De
ogar
h,Ka
laha
ndi,
Naw
aran
gpur
,M
alka
nagi
ri,Ka
ndha
mal
,Bo
udh,
Nua
pada
, Bol
angi
r) .
Plan
201
7-18
:1.
Trai
ning
: Bu
dget
und
er T
rain
ing
1.1.
One
day
Stat
ele
vel
TOT
(invo
lvin
g3
part
icip
ants
such
asO
&G
Spec
ialis
t,Sk
in&
VD a
nd I/
C of
STI
) fro
m e
ach
new
dist
rict
1.2.
Dist
rict
leve
ltra
inin
g(O
neda
y)in
all1
0ne
w d
istric
ts2.
Proc
urem
ent:
Plan
topr
ocur
ePo
into
fCar
eSy
phili
sTe
stki
t,Al
coho
lsw
abun
der
NHM
for
20di
stric
tsas
sam
ear
eno
tpar
tofs
tate
EDL
-bu
dget
ed u
nder
B.1
6.2.
1.1
A.1.
5.5.
8.4
Diag
nosis
&M
anag
emen
tof
Gest
atio
nal
Diab
etes
Mel
litus
0.
000
0.00
0.00
0.00
0.00
0.00
Prog
ram
me
stat
us-
ToT
com
plet
edin
in10
HPDs
. To
be ro
lled
out i
n 30
dist
s1.
Proc
urem
ent :
1.
1Pl
asm
aca
libra
ted
gluc
omet
ers,
gluc
omet
erst
rips
-Pr
ovisi
oned
unde
rN
CDpr
ogra
mm
e 1
.2 In
sulin
syrin
ge :
Stat
e su
pply
1.3.
Drug
s-I
nsul
in:p
re-m
ixed
30:7
0&
regu
lar
unde
r Sta
te b
udge
t1.
4.Gl
ucos
epo
uch
75gm
-Bu
dget
unde
rPr
ocur
emen
t2.
Trai
ning
-To
Tin
rest
20di
stric
ts,b
udge
ted
unde
r Tra
inin
g
A.1.
5.5.
8.5
Enga
gem
ento
fGen
eral
surg
eon
forp
erfo
rmin
gca
esar
ean
sect
ions
and
man
agin
gob
stet
ricco
mpl
icat
ions
0.00
00.
000.
000.
000.
000.
00De
taile
d at
trai
ning
sect
ion
A.1.
5.5.
8.6
Mat
erna
l Nea
rmiss
revi
ew0.
000
0.00
0.00
0.00
0.00
0.00
Prog
ram
me
stat
us-
ToT
com
plet
ed.
Prog
ram
me
tobe
rolle
dou
tin
3M
CHs
byAp
r'17.
Page
5 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.1.
5.5.
8.7
Scre
enin
g of
hyp
othy
roid
ism d
urin
g pr
egna
ncy
0.00
00.
000.
000.
000.
000.
00
Prog
ram
me
stat
us-
ToT
com
plet
ed.
Prog
ram
me
tobe
rolle
dou
tin
3M
CHs
byJu
n'17
.1.
Pror
urem
ent
1.1A
uto
anal
yser
-1pe
reac
hM
CHex
clus
ivel
yfo
rO
GDe
ptt.
Tobe
oper
ated
byLT
post
edat
OG
dept
t. 1.
2.Dr
ugs
:Le
voth
yrox
ine
tobe
proc
ured
unde
r sta
te b
udge
t
A.1.
5.5.
9
Tech
nica
lre
view
-cum
-Orie
ntat
ion
ofpr
ogra
mm
eof
ficer
&se
rvic
epr
ovid
ers
atal
lle
vels
for
impr
ovin
gim
plem
enta
tion
ofM
Hin
itiat
ives
Per r
evie
w60
000
0.60
00
00.
000.
000.
000.
000.
00
A.1.
5.5.
10St
udy
on im
pact
of H
ypot
hyro
idism
on
PW0.
000
0.00
0.00
0.00
0.00
0.00
A.1.
6JS
SK- J
anan
i Shi
shu
Sura
khsh
a Ka
ryak
ram
28.9
428
.94
28.9
428
.94
115.
76
A.1.
6.1
Diag
nost
ic
Per c
ase
100
0.00
1955
519
555
1955
519
555
7822
019
.56
19.5
619
.56
19.5
678
.22
Budg
etre
vise
din
view
ofco
mpu
lsory
Ultr
asou
ndfo
rev
ery
preg
nant
wom
enat
leas
ton
ceas
man
date
dun
der
PMSM
Apr
ogra
mm
e.A.
1.6.
2Bl
ood
Tran
sfus
ion
Per c
ase
300
0.00
1467
1467
1467
1467
5868
4.40
4.40
4.40
4.40
17.6
0
A.1.
6.3
Diet
(3da
ysfo
rN
orm
alDe
liver
yan
d7
days
for
Caes
area
n)
Bene
ficia
ries t
o be
cove
red
- 1.
Diet
tobe
nefic
iarie
sat
tend
ing
PMSM
A-
@Rs
.50/
- per
day
x 1
day
2.
Diet
tobe
nefic
iarie
sad
mitt
edat
SC&
PHC
(N)
Deliv
ery
Poin
tsw
here
sanc
tione
dbe
dsar
eno
t ava
ilabl
e @
Rs.5
0/- p
er d
ay x
3 d
ays
3.Di
etfo
rot
her
inst
s.ha
ving
sanc
tione
dbe
dst
reng
th is
pro
visio
ned
unde
r Sta
te b
udge
t.
A.1.
6.3.
1Fo
r PM
SMA
bene
ficia
ries
Per c
ase
500.
0058
6758
6758
6758
6723
468
2.93
2.93
2.93
2.93
11.7
3A.
1.6.
3.2
At S
C &
PHC
(N) D
PPe
r cas
e15
00.
0013
6713
6713
6713
6754
682.
052.
052.
052.
058.
20A.
1.6.
4Fr
ee R
efer
ral T
rans
port
Pe
r cas
e50
00.
010
00
00
0.00
0.00
0.00
0.00
0.00
Budg
et k
ept a
t sta
te le
vel
A.1.
6.5
Oth
er JS
SK a
ctiv
ity
A.1.
6.5.
1
Ante
nata
lSc
reen
ing
ofal
lpr
egna
ntw
omen
com
ing
toth
efa
cilit
ies
inth
eir
first
trim
este
rfo
rSic
kle
cell
trai
t,β
Thal
asse
mia
,Hae
mog
lobi
nva
riant
ses
p.Ha
emog
lobi
nE
and
Anae
mia
-Re
fer H
emog
lobi
nopa
thie
s gui
delin
es
0.00
00.
000.
000.
000.
000.
00
Inte
grat
edla
bof
allD
HHs
are
prop
osed
tobe
equi
pped
for
Scre
enin
gof
Sick
lece
lltr
ait,β
Thal
asse
mia
,Hae
mog
lobi
nva
riant
ses
pet
c.in
2017
-18.
Budg
et u
nder
Pro
cure
men
t.
A.1.
6.5.
20.
000
0.00
0.00
0.00
0.00
0.00
Sub-
tota
l Mat
erna
l Hea
lth (e
xclu
ding
JSY)
38
.66
39
.32
39
.32
39
.32
156
.63
Sub-
tota
l JSY
180
.04
180
.04
180
.04
180
.04
720
.17
Page
6 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.2
CHIL
D HE
ALTH
8.24
8.60
8.24
8.24
33.3
0
A.2.
1
IMN
CI(in
clud
ing
F-IM
NCI
;prim
arily
budg
etfo
rpl
anni
ngfo
rpr
e-se
rvic
eIM
NCI
activ
ities
inm
edic
alco
llege
s,nu
rsin
gco
llege
s,an
dAN
MTC
sot
her t
rain
ing)
0.00
A.2.
2
Faci
lity
Base
dN
ewbo
rnCa
re/F
BNC
(SN
CU,
NBS
U,N
BCC
-an
yco
stno
tbu
dget
edun
der
HR,
Infr
astr
uctu
re,p
rocu
rem
ent,
trai
ning
,IEC
etc.
)e.
g.op
erat
ing
cost
rent
,el
ectr
icity
etc.
impr
est m
oney
2.99
2.99
2.99
2.99
11.9
7
A.2.
2.1
SNCU
11
11
11.
051.
051.
051.
054.
20
A.2.
2.1.
1SN
CU D
ata
man
agem
ent (
excl
udin
g HR
)0.
00
A.2.
2.1.
2SN
CU (H
R)
A.2.
2.1.
2.1
For 1
2 be
ded
Per U
nit
per q
tr15
0000
1.50
11
11
11.
051.
051.
051.
054.
20
A.2.
2.1.
2.2
For 2
4 be
ded
Per U
nit
per q
tr25
0000
2.50
00
00
00.
000.
000.
000.
000.
00
A.2.
2.1.
2.3
For 3
6 be
ded
Per U
nit
per q
tr42
5000
4.25
00
00
00.
000.
000.
000.
000.
00
A.2.
2.1.
2.4
For 4
8 be
ded
Per U
nit
per q
tr70
0000
7.00
00
00
00.
000.
000.
000.
000.
00
A.2.
2.2
NBS
UPe
r Uni
t pe
r qtr
4375
00.
441
11
11
0.44
0.44
0.44
0.44
1.75
Budg
eted
70%
A.2.
2.3
NBC
CPe
r Uni
t pe
r qtr
5000
0.05
4343
4343
431.
511.
511.
511.
516.
02Bu
dget
ed 7
0%
A.2.
3Ho
me
Base
d Ne
wbo
rn C
are/
HBNC
0.
000.
000.
000.
000.
000.
00
A.2.
3.1
Visit
ing
new
born
in fi
rst 4
2 da
ys o
f life
0.00
00.
000.
000.
000.
000.
00Pr
ojec
ted
unde
r ASH
A In
cent
ive
A.2.
3.2
Line
listin
g&
follo
wup
ofLB
Wba
bies
and
SNCU
disc
harg
es0.
000
0.00
0.00
0.00
0.00
0.00
Proj
ecte
d un
der A
SHA
Ince
ntiv
e
A.2.
3.3
Half
year
lyre
view
cum
orie
ntat
ion
ofsu
perv
isors
atdi
stric
tle
vel
for
stre
ngth
enin
gim
plem
enta
tion
of H
BNC.
0.00
00.
000.
000.
000.
000.
00To
be
met
out
of
Prog
. Mgt
. bud
get A
.10
A.2.
4In
fant
and
You
ng C
hild
Fee
ding
/IYC
F 0.
000.
360.
000.
000.
36
Budg
eted
70%
Page
7 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.2.
4.1
Und
er M
AA p
rogr
amm
e O
neda
yse
nsiti
zatio
nAN
M/
Nur
ses/
Doct
ors
ofDP
sand
SCsa
tDist
ricta
ndBl
ock
mee
tings
(IYC
Ftr
aini
ng w
ill b
e pr
opos
ed u
nder
FM
R
40 /
batc
h12
000
0.12
33
0.00
0.36
0.00
0.00
0.36
MAA
prog
ram
me
wou
ldbe
impl
emen
ted
acro
ss a
ll 30
dist
ricts
of t
he st
ate.
Inte
rven
tions
:1.
One
day
sens
itiza
tion
prog
ram
me
2.Tr
aini
ng-
ToT
&ot
her
field
trai
ning
sbu
dget
ed in
A.9
.5.5
.2.c
3.IE
C/BC
C - B
udge
ted
in B
.10.
3.2.
3.AS
HAIn
cent
ive
-N
otse
para
tely
prop
osed
,in
tegr
ated
with
exist
ing
Hom
eBa
sed
Neo
nata
lCa
re (H
BNC)
pro
gram
me
5.In
nova
tion
-Pr
oPAN
(Sup
port
edun
der
UN
ICEF
)
A.2.
4.2
Mon
itorin
gan
dAw
ard/
Reco
gniti
onfo
rM
AApr
ogra
mm
e0.
000
0.00
0.00
0.00
0.00
0.00
A.2.
5Ca
reof
Sick
Child
ren
and
Seve
reM
alnu
triti
on(e
.g.
NRC
s,CD
NCs
,Co
mm
unity
Base
dPr
ogra
mm
e et
c.)
0.00
33
33
33.
513.
513.
513.
5114
.04
A.2.
5.1
NRC
- N
on-R
ecur
ring
cost
Per N
RC0.
000
00
00
0.00
0.00
0.00
0.00
0.00
1. C
ivil
cost
is p
ropo
sed
unde
r Civ
il 2.
Equi
pmen
t&
inst
rum
ent
prop
osed
unde
rPr
ocur
emen
t A.
2.5.
1.1
Ope
ratio
nal c
ost
Per N
RC20
0000
2.00
00
0.00
0.00
0.00
0.00
0.00
A.2.
5.1.
2Pr
ocur
emen
tfo
rad
ditio
nal
beds
for
the
upgr
aded
NRC
sPe
r NRC
5000
00.
500
00.
000.
000.
000.
000.
00
A.2.
5.2
NRC
-Rec
urrin
g co
st3
33
33
3.51
3.51
3.51
3.51
14.0
4De
tails
in N
RC R
ecur
ring(
Annx
)
A.2.
5.2.
1Re
curr
ing
cost
for f
unct
iona
l 10
bede
d N
RCs
Per N
RC
per q
tr19
5000
1.95
33
33
33.
513.
513.
513.
5114
.04
Budg
eted
60%
A.2.
5.2.
2Re
curr
ing
cost
for n
ew 1
0 be
ded
NRC
sPe
r NRC
pe
r qtr
1950
001.
950
00
0.00
0.00
0.00
0.00
0.00
A.2.
5.2.
3Re
curr
ing
cost
for u
pgra
ded
15 b
eded
NRC
sPe
r NRC
pe
r qtr
2925
002.
930
00
00
0.00
0.00
0.00
0.00
0.00
A.2.
6M
anag
emen
tof
Diar
rhoe
a&
ARI
&m
icro
nutr
ient
mal
nutr
ition
0.00
00
00
00.
000.
000.
000.
000.
00
A.2.
6.1
Child
hood
dia
rrho
ea co
ntro
l pro
gram
me
IDCF
cam
paig
n - o
ngoi
ng a
ctiv
ityAr
eaco
vera
ge-
30di
sts
&5
Mun
icip
alCo
rpor
atio
ns
A.2.
6.1.
1AS
HA in
cent
ive:
Ince
ntiv
efo
rID
CFfo
rpr
ophy
lact
icdi
strib
utio
nof
ORS
to
fam
ily w
ith u
nder
-five
chi
ldre
n.
0.00
00.
000.
000.
000.
000.
00Bu
dget
ed u
nder
ASH
A
A.2.
6.1.
2Pr
intin
gCo
sts:
mon
itorin
gfo
rmat
s@
Rs.3
0000
/- p
er d
ist0.
000
0.00
0.00
0.00
0.00
0.00
Budg
eted
und
er IE
C/BC
C
A.2.
6.1.
3Pr
ocur
emen
tof
ORS
-fo
rpr
ophy
lact
icdi
strib
utio
n0.
000
0.00
0.00
0.00
0.00
0.00
Proc
ured
und
er st
ate
budg
et.
Page
8 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.2.
6.1.
4Da
ily M
obili
ty S
uppo
rt fo
r fie
ld le
vel m
onito
ring
0.00
00.
000.
000.
000.
000.
00In
tegr
ated
with
regu
lar m
onito
ring
A.2.
6.1.
5W
ASH
activ
ities
in S
choo
ls0.
000
0.00
0.00
0.00
0.00
0.00
To b
e ta
ken
up w
ith th
e su
ppor
t of R
BSK
team
, no
n bu
dget
ed a
ctiv
ity
A.2.
6.1.
6IE
C/ B
CC c
ampg
ain@
Rs.2
0000
0/- p
er d
ist0.
000
0.00
0.00
0.00
0.00
0.00
Budg
eted
und
er IE
C/BC
C
A.2.
6.1.
7O
ne d
ay o
rient
atio
n of
serv
ice
prov
ider
s 0.
000
0.00
0.00
0.00
0.00
0.00
Inte
grat
ed w
ith re
gula
r mon
thly
mee
ting
A.2.
7
Mic
ronu
trie
ntSu
pple
men
tatio
nPr
ogra
mm
e(
cost
ofac
tiviti
esex
cept
cost
ofpr
ocur
emen
tof
supp
lem
ents
)Pe
r rou
nd10
0000
1.00
00
00.
000.
000.
000.
000.
00
1.Vi
t.A
bi-a
nnua
lca
mpa
ign-
Sche
dule
onFe
b &
Aug
, int
egra
ted
with
NDD
cam
paig
nVi
t. A
: Sta
te to
supp
lyAl
bend
azol
e Sy
p. -S
tate
to su
pply
2.M
onito
ring
&su
perv
ision
-To
bem
etou
tof
Prog
. Mgt
. cos
t
A.2.
8Ch
ild D
eath
Rev
iew
0.84
0.84
0.84
0.84
3.34
A.2.
8.1
Brie
f inv
estig
atio
n by
AN
M (a
ll de
aths
) Pe
r cas
e10
00.
0032
932
932
932
913
160.
330.
330.
330.
331.
32
A.2.
8.2
Inve
stig
atio
nby
inve
stig
ator
team
s(N
oof
verb
alau
tops
yto
bedo
ne@
6ca
ses
per
mon
th)
Per c
ase
500
0.01
9999
9999
396
0.50
0.50
0.50
0.50
1.98
Unit
cost
-1.
Hono
rariu
mfo
rver
bala
utop
syin
vest
igat
ion
@Rs
.300
/- p
er te
am p
er c
ase
2.Tr
avel
expe
nses
@Rs
.200
/-pe
rte
ampe
rca
seAs
per
CDR
norm
s6
case
spe
rbl
ock
p.m
.has
to b
e in
vest
igat
ed b
y in
vest
igat
or te
am
A.2.
8.3
Supp
ort
cost
for
fam
ilym
embe
rsto
atte
ndre
view
mee
ting
cond
ucte
d by
Col
lect
orPe
r cas
e20
00.
006
66
624
0.01
0.01
0.01
0.01
0.05
Case
s to
be re
view
ed @
2 ca
ses p
.m. p
er d
ist.
A.2.
9JS
SK (
for S
ick
infa
nts u
p to
1 y
ear)
0.
560.
560.
560.
562.
25
A.2.
9.1
Diag
nost
ics
Per c
ase
500.
0011
2311
2311
2311
2344
920.
560.
560.
560.
562.
25
A.2.
9.2
Free
Ref
erra
l Tra
nspo
rt
Per c
ase
500
0.01
00
00
00.
000.
000.
000.
000.
00Bu
dget
kep
t at S
tate
leve
l
A.2.
10An
yot
her
inte
rven
tions
(e.g
.;ra
pid
asse
ssm
ents
, pro
toco
l dev
elop
men
t)0.
340.
340.
340.
341.
34
A.2.
10.1
one
time
Scre
enin
gto
Iden
tify
the
carr
iers
ofSi
ckle
cell
trai
t,β
Thal
asse
mia
,Ha
emog
lobi
nva
riant
s at s
choo
l esp
ecia
lly c
lass
8 st
uden
ts
0.00
00.
000.
000.
000.
000.
00
A.2.
10.2
Stat
e sp
ecifi
c & n
ew in
itiat
ives
und
er C
H0.
340.
340.
340.
341.
34A.
2.10
.2.1
KMC
unit
at S
NCU
s0.
000
0.00
0.00
0.00
0.00
0.00
A.2.
10.2
.2Em
erge
ncy
Tria
ge &
Tre
atm
ent C
entr
e (E
TAT
)0.
000
0.00
0.00
0.00
0.00
0.00
Budg
eted
und
er S
tate
IMR/
MM
R Fu
nd
A.2.
10.2
.3Fa
mily
Cen
tere
d Ca
re (F
CC)
0.00
00.
000.
000.
000.
000.
00
Page
9 o
f 289
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.2.
10.2
.4HB
NC
+0.
000
0.00
0.00
0.00
0.00
0.00
Budg
et:
1.Tr
aini
ngfo
r3
new
lyap
prov
eddi
stric
ts(B
oudh
,Bal
angi
ran
dKa
ndha
mal
)-
Budg
eted
unde
r Tra
inin
g2.
Prin
ting
oftr
aini
ngm
ater
ials
ispr
opos
edfo
r3
new
lyap
prov
eddi
stric
ts&
prin
ting
ofre
cord
s,re
gist
ers
&ch
eckl
ists
ispr
opos
edfo
ral
l 6 d
istric
ts -
Budg
et u
nder
IEC/
BCC
3.AS
HAIn
cent
ives
for
all6
dist
ricts
-Bu
dget
unde
r ASH
A
A.2.
10.2
.5Fr
ee B
lood
und
er JS
SKPe
r uni
t30
00.
0011
211
211
211
244
80.
340.
340.
340.
341.
34
Targ
et:
Non
criti
cal
babi
es(A
sse
para
tein
cent
ives
for
follo
wup
ofcr
itica
lcas
es,i.
e.LB
W&
SNCU
disc
harg
edca
ses
thro
ugh
ASHA
sis
alre
ady
prov
ision
ed )
A.2.
10.2
.6N
ew C
H In
itiat
ives
A.2.
10.2
.6.1
Indi
an N
ew B
orn
Actio
n Pl
an (I
NAP
)
A.2.
10.2
.6.1
.1Ad
min
istra
tion
of V
it.K
to a
ll ne
w b
orns
0.00
00.
000.
000.
000.
000.
001.
Proc
urem
ent
ofin
ject
ion
Vit.
K1fo
rad
min
istra
tion
toal
lne
wbo
rns
-St
ate
tosu
pply
A.2.
10.2
.6.1
.2Ad
min
istra
tion
ofIn
j.An
tena
tal
Cort
icos
tero
idin
pre
-ter
m la
bour
0.00
00.
000.
000.
000.
000.
001.
Proc
urem
ento
fInj
.Ant
enat
alCo
rtic
oste
roid
for p
rete
rm la
bour
cas
es S
tate
to su
pply
A.2.
10.2
.6.1
.3U
seof
Inj.
Gent
amyc
inby
ANM
fort
reat
men
tof
seps
is0.
000
0.00
0.00
0.00
0.00
0.00
1.Pr
ocur
emen
t 1.
1.Pr
ocur
emen
tof
Inj.
Gent
amyc
info
ral
lse
psis
& p
neum
onia
cas
es -
Stat
e to
supp
ly1.
2.Pr
ocur
emen
tof
Syp.
Amox
icill
info
rse
psis
& p
neum
onia
cas
es -
Stat
e to
supp
ly
Page
10
of 2
89
-
Ganj
am
Qtr
-1Q
tr-2
Qtr
-3Q
tr-4
Tota
lQ
tr-1
Qtr
-2Q
tr-3
Qtr
-4To
tal
S. N
o.Bu
dget
Hea
d
Appr
oved
PIP
FY
2017
-18
Unit
of
Mea
sure
Unit
Cost
(R
s)
Unit
Cost
(R
s.
Lakh
s)
Phys
ical
Tar
get
Fina
ncia
l Tar
get (
Rs. I
n la
khs)
Rem
arks
A.2.
10.2
.6.1
.4Ka
ngar
oo m
othe
r car
e0.
000
0.00
0.00
0.00
0.00
0.00
1.Fa
cilit
y le
vel a
ctiv
ity -
prop
osed
in A
.2.1
0.2.
12.
Com
mun
ityle
vel
activ
ity-
Trai
ning
(Inte
grat
edtr
aini
ngpl
anof
alln
ewin
itiat
ives
deve
lope
d,w
hich
will
beco
mpl
eted
atal
lle
vels
by 2
nd q
tr. o
f 201
7-18
)
A.2.
10.2
.6.2
IAPP
D
A.2.
10.2
.6.2
.1U
se o
f ORS
& zi
nc fo
r tre
atm
ent o
f dia
rrho
ea0.
000
0.00
0.00
0.00
0.00
0.00
1.Pr
ocur
emen
t(D
etai
led
atDr
ugca
lcul
atio
nan
nex)
- 1.
1.Pr
ocur
emen
tof
ORS
(pro
pose
dun
der
stat
ebu
dget
asth
esa
me
isth
epa
rtof
stat
eED
L)1.
2.Pr
ocur
emen
tof
zinc
for
U5
(pro
pose
dun
der
stat
ebu
dget
asth
esa
me
isth
epa
rtof
stat
e ED
L)
A.2.
10.2
.6.2
.2U
seof
Inj.
Gent
amyc
in&
Syp.
Amox
icill
info
rtr
eatm
ent o
f pne
umon
ia0.
000
0.00
0.00
0.00
0.00
0.00
1.Pr
ocur
emen
tof
Inj.
Gent
amyc
inan
dSy
p.Am
oxic
illin
(pro
pose
dun
der
stat
ebu
dget
asth
e sa
me
is th
e pa
rt o
f sta
te E
DL)
A.2.
10.2
.6.3
Obs
erva
tion
of N
atio
nal D
ewor
min
g Da
y0.
000
0.00
0.00
0.00
0.00
0.00
Bian
nual
roun
dsw
illbe
cond
ucte
din
Feb
&Au
g in
27
dist
ricts
(3 M
DA d
istric
ts).
Deta
ils a
t Nat
iona
l Dew
Day
(Ann
x)
A.2.
10.2
.6.4
Stat
e N
ew B
orn
Care
Res
ourc
e Ce
nter
(SN
BCRC
)Pe
r qtr
1090
001.