APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN : CHHATTISGARH

Transcription

1 213 Ministry of Health & Family Welfare, Government of India APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN : CHHATTISGARH

2 Preface FY has been a year of intense activity: States have responded very positively to conditionalities and incentives, programme management has been strengthened with the appointment of nodal persons for each thematic areas and introduction of Score Cards, JSSK has made further inroads, RBSK has been initiated and Child Survival Summit at Mahabalipuram provided an opportunity to take stock of our achievements and reflect on the challenges ahead. I suggest that is treated as the YEAR OF CONSOLIDATION with focus on increased effectiveness and efficiency. I would also like to draw your attention towards nursing which is the backbone of the public health but has remained on the backburner for the sometime. FY should be dedicated to strengthening of the nurse cadre. I would urge you to fill up all vacant positions of ANMs, Nurses, LHVs and PHNs and ensure that they become an integral part of planning, implementation and monitoring. Effective monitoring and supportive supervision has the potential to yield tangible gains in a relatively short period of time but is still our weakest link. More meaningful use of HMIS and MCTS is way forward. We will be routinely using both HMIS and MCTS including Score Cards for all our reviews. I am confident that under the able leadership of State Health Secretaries and Mission Directors the country would make visible progress in making the goal of Health for All a reality. Anuradha Gupta Additional Secretary & Mission Director, NRHM

3 F. No. 1 (18)/213-NRHM-1 Government of India Ministry of Health & Family Welfare (National Rural Health Mission) Nirman Bhavan, New Delhi Dated 24 th May 213 To The Mission Director National Rural Health Mission (Chhattisgarh) D.K.S. Bhwan, Mantralaya Parisar, Raipur Chhattisgarh. Subject: Approval of NRHM State Programme Implementation Plan for the year Sir, This refers to the Programme Implementation Plan for the year submitted by the State and subsequent discussions in the NPCC meeting held on 3 rd May, 213 at New Delhi. 2. Against a resource envelope of Rs crores, the administrative approval of PIP for your State is conveyed for an amount of Rs crores. Details are provided in Table A, B and C below. Uncommitted and unspent balance available under NRHM as on would also be a part of the resource envelope. TABLE- A Rs.Crores Uncommitted unspent balance available under NRHM as on GOI Resource Envelope for under NRHM (assuming no reduction on account of conditionalities) Assuming 1% incentive based on performance % State Share (213-14) Total

4 TABLE- B S.No. Name of Programme Uncommitted Unspent Balance available under NRHM as on GOI Resource Envelope under NRHM (Rs in Crores) Total 1 RCH Flexible Pool Mission Flexible Pool Immunization (from RCH Flexible Pool) NIDDCP IDSP NVBDCP NLEP RNTCP Infrastructure Maintenance (Treasury Route) PPI Operational Cost % State Share Total- Resource Envelope Committed Unspent balance up to to be revalidated in The funds under NIDDCP and Infrastructure Maintenance is routed through treasury, however their state share will be credited in the bank accounts of State Health Society and will be utilized for activities that are approved. TABLE- C Sr. No. SUMMARY OFAPPROVAL Scheme/Programme Approved (Rs. Crores) Annex ref 1. RCH Flexipool NRHM Flexipool Immunization and PPI operation cost

5 Sr. No. SUMMARY OFAPPROVAL Scheme/Programme Approved (Rs. Crores) Annex ref 4. NIDDCP.24 4A 5. IDSP B 6. NVBDCP C 7. NLEP D 8. RNTCP E 9. Infrastructure maintenance (Treasury route) Total State to convey the district approvals to the districts within 15 days of receiving the State RoP approvals. High priority districts must receive at least 3% more budget per capita compared to the other districts. 4. All buildings supported under NRHM should prominently carry NRHM logo in English/ Hindi & regional languages. 5. All ambulances to be branded as National Ambulance Services and adhere to the colour, design and logo as communicated by MOHFW. 6. All MMU to be branded as National Mobile Medical Unit and adhere to the colour, design and logo scheme as communicated by MOHFW. 7. The support under NRHM is intended to supplement and support and not to substitute state expenditure. All the support for HR will be to the extent of positions engaged over and above the regular positions. Release of funds 8. Action on the following issues would be looked at while considering the release of second tranche of funds: Compliance with conditionalities. Physical and financial progress made by the State as communicated through the FMR. Release of 25% of the State share, based on updated release of funds by Government of India, to the account of the State Health Society. Timely submission of Statutory Audit Report and Utilization Certificates for the year for the release of first installment,

6 Other aspects Timely submission of Statutory Audit Report for the year for the release of 2 nd installment. Performance on key conditionalities including mandatory disclosures and incentives will determine the final release. Compliance of the provisions of the extant MoU between GOI, MOHFW and the State Government. 9. State shall ensure submission of quarterly report on physical progress against targets and expenditure including an analysis of adverse variances and corrective action proposed to be taken. 1. The State shall not make any change in allocation among different budget heads without approval of GoI. 11. The accounts of State/ grantee institution/ organization shall be open to inspection by the sanctioning authority and audit by the Comptroller& Auditor General of India under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health & Family Welfare. 12. State shall ensure submission of details of unspent balance indicating inter alia, funds released in advance & funds available under State Health Societies. The State shall also intimate the interest amount earned on unspent balance. This amount can be spent against approved activities. Yours faithfully, (Dr. Ashish. C. Verma) Director (NRHM)

7 APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, : CHHATTISGARH CONTENTS PAGE NO. SUMMARY State specific goals 1 Key conditionalities and incentives 4 Finance: key issues and guiding principles 7 Road map for priority action 9 Approved budget (by program and function) 14 REPRODUCTIVE AND CHILD HEALTH Maternal Health 22 Child Health, RBSK (SHP) & Immunization 35 Family Planning 57 Adolescent Health 68 Urban RCH 73 PC-PNDT 75 Tribal RCH 79 Human Resources 81 Program management 93 Others 1 MISSION FLEXI POOL ASHA 11 Untied funds/rks/amg 12 New constructions/ renovation and setting up 123 Procurement 126 Mobile medical unit 132 Referral Transport 133 AYUSH 135 IEC / BCC 139 Monitoring and evaluation (HMIS/MCTS) 142

8 Others 15 NATIONAL DISEASE CONTROL PROGRAMMES National Iodine Deficiency Disorders Control Programme (NIDDCP) 159 Integrated Disease Surveillance Programme(IDSP) 162 National Vector Borne Disease Control Programme (NVBDCP) 165 National Leprosy Eradication Programme (NLEP) 177 Revised National Tuberculosis Control Programme (RNTCP) 181 National Programme for Prevention and Control of Flurosis 186 Annexure Annex (Detailed budgets) 1. RCH Flexible Pool 2. Mission Flexible pool 3. Immunization and PPI Operation Cost 4A. National Iodine Deficiency Disorders Control Programme (NIDDCP) 4B. Integrated Disease Surveillance Programme (IDSP) 4C. National Vector Borne Disease Control Programme (NVBDCP) 4D. National Leprosy Eradication Programme (NLEP) 4E.Revised National Tuberculosis Control Programme (RNTCP) 4F. National Programme for Prevention and Control of Flurosis 4. Human Resources 5. Programme Management 6. A. New Constructions B. Ongoing works for CHC Upgradation C. Ongoing construction of staff quarters at DHs, CHCs and 24X7 PHCs D. MCH Wings

9 SUMMARY

10 STATE-SPECIFIC GOALS The following are the agreed goals and service delivery targets for the state of Chhattisgarh: Indicator CURRENT CAD (%) State Targets India Chhattisga rh India Chhattisg arh Target for 12 th Plan CAD (%) Maternal Health MMR (SRS 7-9) Child Health U5MR (SRS 211) IMR (SRS 211) NMR (SRS 211) Family Planning TFR (SRS 211) Note CAD: Compounded Annual Decline; MMR from 4-6 to 7-9; U5MR; IMR; NMR and TFR from 28 to 211; targets from latest current status to 215. Approval of State PIP : Chhattisgarh

11 SERVICE DELIVERY TARGETS Indicators DLHS-2 (22-4) DLHS-3 (27-8) CES (29) State Targets Maternal Health Mothers who had 3 or more ANCs 44.4% 51.2%.. Deliveries taking place in public facilities* 18.1% 18.1% 3245 (5% of estimated deliveries) Caesarean Section rate in public health facilities 3245 (1% of Instl deliveries) Line listing and follow up of Severely Anaemic pregnant women 7658 Child Health Full Immunisation (%) New borns visited by ASHA (as per HBNC guidelines) 56.9% 59.3% 57.3% 8% 3,6,93 (7%) Line listing and follow up of Low Birth Weight babies Rural Nos; (% of live births) Percentage of SNCUs admitting at least 6 babies per month per bed % of live births (State HMIS) 4,421 (7%) 8% Family Planning Female sterilisations (lakhs) Post-Partum sterilizations (lakhs) Male sterilisations (lakhs) IUD insertions (lakhs) Disease Control (HMIS ) 3668 (HMIS ) 689 (HMIS ) 7831 (HMIS ) ABER for malaria (%) 13.57% (211) % (212) >15% Approval of State PIP : Chhattisgarh Page 2

12 API for malaria (per 1 population) Annualized New Smear Positive Detection Rate of TB (%) Success Rate of New Smear Positive Treatment initiated on DOTS (%) <2 53% (212) 7% 89% (212) 9% * DLHS and CES data reflect achievement in both public and private facilities. Performance to be assessed on the basis of MCTS and NIKSHAY, where available and on the basis of facility wise HMIS in other cases High Priority Districts Performance against the above service delivery indicators in the 5 high priority districts (Bijapur, Bilaspur, Dantewada, Jashpur, and Surguja) out of a total of 27 districts should be at least, on par with the state average; and subsequently in line with the performance of the top 1% of districts. Approval of State PIP : Chhattisgarh Page 3

13 KEY CONDITIONALITIES AND INCENTIVES Chhattisgarh has made significant progress in responding to conditionalities particularly in the rational deployment of Human Resoruces, Mobile Medical Units, and Referral Transport. Following conditionalities shall be adhered to by the States and are to be treated as non-negotiables: Mandatory disclosures 1. The State must ensure mandatory disclosure on the state NRHM website of the following and act on the information: Facility wise deployment of all HR including contractual staff engaged under NRHM with name and designation. Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. MMUs- total number of MMUs, registration numbers, operating agency, monthly schedule and service delivery data on a monthly basis. Patient Transport ambulances and emergency response ambulances- total number of vehicles, types of vehicle, registration number of vehicles, service delivery data including clients served and kilometres logged on a monthly basis. All procurements- including details of equipments procured (as per directions of CIC which have been communicated to the States by this Ministry vide letter No 'No.Z.2815/162/211- H' dated 28th November 211.). Buildings under construction/renovation total number, name of the facility/hospital along with costs, executing agency and execution charges (if any), date of start & expected date of completion. Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise supervisory plan and reports should be uploaded on the website. NGOs/PPP funded under NRHM would be treated as 'public authority' and will fall under the ambit of the RTI Act 25 under Section 2(h). Further, details of funds allotted /released to NGOs/PPP to be uploaded on website. 2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism through AADHAAR enabled payment system/core Banking Solution where DBT mechanism has been rolled out. Further, cash payment or bearer cheque payment is henceforth disallowed across the States. 3. Timely updation of MCTS and HMIS data including facility wise reporting 4. Line listing of high risk pregnant women, including extremely anaemic and Low Birth Weight (LBW) babies. Approval of State PIP : Chhattisgarh Page 4

14 KEY CONDITIONALITIES 5. As agreed, the following key conditionalities would be enforced during the year a) Rational and equitable deployment of HR 1 with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit 2 and corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its continuation for the next six months would be contingent on compliance of the above four conditionalities. Further, it is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending. Therefore, from 1 st October 213, under NRHM, funds for salary to contractual HR would be granted only to make payments to contractual staff over and above the sanctioned regular positions in the State. e) Gaps in implementation of JSSK may lead to a reduction in outlay upto 1% of RCH base flexipool. INCENTIVES 6. Initiatives in the following areas would draw additional allocations by way of incentivisation of performance: a) Responsiveness, transparency and accountability (upto 8% of the outlay). b) Quality assurance (upto 3% of the outlay). c) Inter-sectoral convergence (upto 3% of the outlay). d) Recording of vital events including strengthening of civil registration of births and deaths (upto 2% of the outlay). e) Creation of a public health cadre (by states which do not have it already) (upto 5% of the outlay) f) Policy and systems to provide free generic medicines to all in public health facilities (upto 5% of the outlay) g) Timely roll out of RBSK (upto 5% of the outlay) 1 Many states have put in a place an HR policy which lays down norms of transfer and posting. It is expected that the States would now implement the policy. Rational and equitable deployment would include posting of staff on the basis of case load, posting of specialists in teams (eg. Gynaecologist and Anaesthetist together), posting of EmOC/ LSAS trained doctors in FRUs, optimal utilization of specialists in FRUs and above and filling up vacancies in peripheral facilities in high focus/ remote areas. 2 Facility wise performance audit will also include the facility wise score card being developed. Approval of State PIP : Chhattisgarh Page 5

15 Note: h) Enacting/adopting a bill like the Clinical Establishment Act, 21 as per their requirement, to regulate the quality and cost of health care in different public and private health facilities in the State (upto 5% of outlay). i) States providing more than 1% increase in its annual health budget as compared to the previous year will attract additional incentive. j) States to implement the nurse practitioner model to strengthen the nursing services. The Framework for Implementation of NRHM to be strictly adhered to while implementing the approved PIP. State should adhere to the clauses mentioned in the MOU signed and achieve the agreed performance benchmarks. Approval of State PIP : Chhattisgarh Page 6

16 FINANCE: KEY ISSUES AND GUIDING PRINCIPLES 1. Quarterly FMR must be submitted on time with both physical and financial progress duly reflected. 2. State must also furnish a monthly statement of fund position and expenditure in format prescribed in the operational guidelines, as Annexure XXIII and XXIV. 3. Status of Contribution of state share: Year Release s required on basis of releases Credited in SHS Bank A/C (Rs. in crore) Short/ (Excess) Total 1, State share for the 11 th Plan period (27-8 to ) is calculated on the basis of release made to the state (excluding three disease control programme i.e RNTCP, NPCB & NVBDCP) and from 12 th plan period i.e onwards release made to all programme under NRHM is considered. Further, with effect from , State s share would be 25%. 4. Release of funds up to 1% of BE for the year , would be contingent on the State providing Utilisation Certificate against the grant released to the state up to for all the programme. The status of Pending Utilization Certificates for NRHM-RCH Flexible Pool against funds released up to are as under : Programme RCH Flexible Pool Mission Flexible Pool Total (In Crore) Approval of State PIP : Chhattisgarh Page 7

17 5. The appointment of Concurrent Auditor for the year is a prerequisite for release of 2nd tranche of funds. 6. Timely submission of Statutory Audit Report for the year is a must for release of 2nd tranche of funds. 7. State is required to comply with the instructions and/or guidelines issued for maintenance of bank account vide D. O. No. G-2717/21/21-NRHM-F dated January 23, State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis (213-14) and Audit Report Analysis for FY State needs to strengthen the internal control procedures/mechanism for all transactions. 1. State should ensure proper maintenance of books of accounts at district and block level as per the operational guidelines for NRHM issued by the Ministry. 11. Appointment of Auditor for the year must be completed in the first quarter of as per the RFP issued by this Ministry. 12. The state must ensure due diligence in expenditure and observe, in letter and spirit, all rules, regulations, and procedures to maintain financial discipline and integrity particularly with regard to procurement; competitive bidding must be ensured and only need-based procurement should take place. 13. State should ensure expenditure upto 15% by June 213 and another 3% by September 213 of their approved budget under each pool in the FY Approval of State PIP : Chhattisgarh Page 8

18 ROAD MAP FOR PRIORITY ACTION NRHM must take a systems approach to Health. It is imperative that States take a holistic view and work towards putting in place policies and systems in several strategic areas so that there are optimal returns on investments made under NRHM. For effective outcomes, a sector wide implementation plan would be essential; states would be expected to prepare such a plan with effect from next year. Some of the key strategic areas in this regard are outlined below for urgent and accelerated action on the part of the State: S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED PUBLIC HEALTH PLANNING & FINANCING 1. Planning and financing Mapping of facilities, differential planning for districts / blocks with poor health indicators; resources not to be spread too thin / targeted investments; at least 1% annual increase in state health budget (plan) over and above State share to NRHM resource envelope; addressing verticality in health programmes; planning for full spectrum of health services; emphasis on quality assurance in delivery points 2. Management strengthening 3. Developing a strong Public Health focus Full time Mission Director for NRHM and a full-time Director/ Jt. Director/ Dy. Director Finance, not holding any additional responsibility outside the health department; fully staffed programme management support units at state, district and block levels; selection of staff to key positions such as head of health at the district and block level and facility-in charge to be based on performance; stability of tenure to be assured; training of key health functionaries in planning and use of data. Strong integration with Health & FW and AYUSH directorates Separate public health cadre, induction training for all key cadres; public health training for doctors Working in health administrative positions; strengthening of public health nursing cadre, enactment of Public Health Act HUMAN RESOURCES 4. HR policies for doctors, nurses paramedical staff and programme management staff Minimizing regular vacancies; expeditious recruitment (eg. taking recruitment of MOs out of Public Service Commission purview); merit based and transparent selection; recruitment rules to be aligned to needs of health human resource; opportunities for career progression and professional development; rational and equitable deployment; effective skills utilization; stability of tenure; sustainability of contractual human resources under RCH / NRHM and plan for their inclusion in Approval of State PIP : Chhattisgarh Page 9

19 S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED State budget; suitable performance measurement mechanism and performance based incentives. 5. HR Accountability Facility based monitoring; incentives for both the health service provider and the facility based on functioning; performance appraisal against benchmarks; renewal of contracts/ promotions based on performance; incentives for performance above benchmark; incentives for difficult areas 6. Medical, Nursing and Paramedical Education (new institutions and upgradation of existing ones) 7. Training and capacity building Planning for enhanced supply of doctors, nurses, ANMs, and paramedical staff; mandatory rural posting after MBBS and PG education; more seats for Government doctors in PG courses particularly in Gynecology, Anesthesia and pediatrics; expansion of tertiary health care; use of medical colleges as resource centres for national health programmes; strengthening/ revamping of ANM / GNM training centres and paramedical institutions; restructuring of pre service education; developing a highly skilled and specialized nursing cadre; developing good district hospitals as training sites for training nurses, ANMs and paramedics. Strengthening of State Institute of Health & Family Welfare (SIHFW)/ District Training Centres (DTCs); quality assurance; availability of centralised training log; monitoring of post training outcomes; expanding training capacity through partnerships with NGOs / institutions; up scaling of multi skilling initiatives, accreditation of training STRENGTHENING SERVICES 8. Policies on drugs, procurement system and logistics management Articulation of policy on entitlements on free drugs for out / in patients; rational prescriptions and use of drugs; timely procurement of drugs and consumables; smooth distribution to facilities from the district hospital to the sub centre; uninterrupted availability to patients; minimization of out of pocket expenses; quality assurance; prescription audits; facility wise EDL; essential drug lists (EDL) in public domain; computerized drugs and logistics MIS system; setting up dedicated corporation on the lines of eg: TNMSC 9. Equipments Availability of essential functional equipments in all facilities; regular needs assessment; timely indenting and procurement; identification of unused/ faulty equipment; regular maintenance and MIS/ competitive and transparent bidding es Approval of State PIP : Chhattisgarh Page 1

20 S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED 1. Ambulance Services and Referral Transport 11. New infrastructure and maintenance of buildings; sanitation, water, electricity, laundry, kitchen, facilities for attendants Universal availability of GPS fitted ambulances; reliable, assured free transport for pregnant women and newborn/ infants; clear policy articulation on entitlements both for mother and sick infants; establishing integrated call centres for timely response and effective provision of services; drop back facility; a prudent mix of basic level ambulances and emergency response vehicles New infrastructure, especially in backward areas; 24x7 maintenance and round the clock plumbing, electrical, carpentry services; power backup; cleanliness and sanitation; upkeep of toilets; proper disposal of bio medical waste; drinking water; water in toilets; electricity; clean linen; kitchens, facilities for attendants, PPP outsourcing for such services. 12. Diagnostics Rational prescription of diagnostic tests; reliable and affordable availability to patients; partnerships with private service providers; prescription audits, free for pregnant women and sick neonates COMMUNITY INVOLVEMENT 13. Patient s feedback and grievance redressal Feedback from patients; expeditious grievance redressal; analysis of feedback for corrective action 14. Community participation Active community participation; empowered PRIs; strong VHSNCs; social audit; effective Village Health & Nutrition Days (VHNDs); strengthening of ASHAs; policies to encourage contributions from public/ community 15. IEC Comprehensive communication strategy with a strong behaviour change communication (BCC) component in the IEC strategy; dissemination in villages/ urban slums/ peri urban areas CONVERGENCE, COORDINATION & REGULATION 16. Inter sectoral convergence Effective coordination with key departments to address health determinants viz. water, sanitation, hygiene, nutrition, infant and young child feeding, gender, education, woman empowerment, convergence with SABLA, SSA, ICDS etc. Approval of State PIP : Chhattisgarh Page 11

21 S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED 17. NGO/ Civil Society Mechanisms for consultation with civil society; civil society to be part of active communitisation ; involvement of NGOs in filling service delivery gaps; active community monitoring 18. Private Public Partnership (PPP) 19. Regulation of services in the private sector Partnership with private service providers to supplement governmental efforts in underserved and vulnerable areas for deliveries, family planning services and diagnostics Implementation of Clinical Establishment Act; quality of services, e.g. safe abortion services; adherence to protocols; checking unqualified service providers; quality of vaccines and vaccinators, enforcement of PC-PNDT Act MONITORING & SUPERVISION 2. Strengthening data capturing, validity / triangulation 1% registration of births and deaths under Civil Registration System (CRS); capturing of births in private institutions; data collection on key performance indicators; rationalizing HMIS indicators; reliability of health data/data triangulation mechanisms 21. Supportive Supervision Effective supervision of field activities/ performance; handholding; strengthening of Lady Health Visitors (LHVs), District Public Health Nurses (DPHNs), Multi Purpose Health Supervisors (MPHS) etc. 22. Monitoring and Review Regular meetings of State/ District Health Mission/ Society for periodic review and future road map; clear agenda and follow up action; Regular, focused reviews at different levels viz. Union Minister/ Chief Minister/ Health Minister/ Health Secretary/ Mission Director/ District Health Society headed by Collector/ Officers at Block/ PHC level; use of the HMIS/ MCTS data for reviews; concurrent evaluation 23. Quality assurance Quality assurance at all levels of service delivery; quality certification/ accreditation of facilities and services; institutionalized quality management systems 24. Surveillance Epidemiological surveillance; maternal and infant death review at facility level and verbal autopsy at community level to identify causes of death for corrective action; tracking of services to pregnant women and children under MCTS Approval of State PIP : Chhattisgarh Page 12

22 S. NO. STRATEGIC AREAS ISSUES THAT NEED TO BE ADDRESSED 25. Leveraging technology Use of GIS maps and databases for planning and monitoring; GPS for tracking ambulances and mobile health units; mobile phones/tablets for real time data entry; video conferencing for regular reviews; closed user group mobile phone facility for health staff; telemedicine and teleeducation; use of ICT technologies in E- Governance; development of Human Resource Information System (HRIS) and Hospital Management Information System endless opportunities-sky is the limit! RMNCHA+ document released in Mahabalipuram Conference should serve as guidance note for integration and betterment of all RMNCH activities. Approval of State PIP : Chhattisgarh Page 13

23 Chhattisgarh: Approved (by Programme), : Total Rs lakhs DCPs, % Infrastructure Maientance, % RCH, % Immunisation & PPI, % MFP, % Approval of State PIP : Chhattisgarh Page 14

24 Quality Assurance (including HR).15% Summary of functional head of Chhattisgarh Other Important Areas.8% Out Reach Services.18% E- Governance.32% Support Services % State Specific Initiatives/ Innovations.7% IEC/ BCC.7% Infrastructure Maintenance 2.68% Infrastructure 16.74% Human Resources (All HR Except HR for MMU/ Ambulances and Quality Assurance) 9.81% Health Action Plans.1% Supportive Supervision/ Mobility Support 1.3% Other RCH Services 19.68% Communitization 18.82% Equipments & Diagnostics 1.51% Administrative Costs & Office Expenses.6% MMU (including HR) % Drugs and Consumables 4.39% Capacity Building Patient Transport Services 3.72% (including HR) 1.69% Approval of State PIP : Chhattisgarh Page 15

25 Approved Budget RCH Flexipool, : Rs lakhs Sterilisation & IUD Compensation and NSV Camps 8% FP 2% JSY 31% MH 17% CH 5% PNDT % Programme Management 1% Training 8% HR 19% Vulnerable groups % ARSH % New Constructions 1% Approved budget MFP, : Rs lakhs Panchayati Raj Initiative % RKS 4% IEC-BCC 2% SHSRC % Procurement 7% Planning, Implementation and Monitoring 3% Mainstreaming of AYUSH 1% ASHA 26% District Action Plans % Hospital Strengthening 43% Untied Funds 1% AMG 3% Approval of State PIP : Chhattisgarh Page 16

26 Approved budget Immunization, : Rs lakhs PPI 16% ASHA Incentive 27% RI strengthening 47% Training 9% Cold chain maintenance % Salary 1% Approved budget NDCP, : Rs lakhs NIDDCP % RNTCP 37% IDSP 6% NLEP 8% NVBDCP 49% Approval of State PIP : Chhattisgarh Page 17

27 SUMMARY BUDGET : CHHATTISGARH S. No. Budget Head FY Budget ( Rs lakhs ) Proposed Approved % of RE 1. RCH FLEXI POOL A1 Maternal Health A2 Child Health A3 Family Planning A4 ARSH A5 Urban RCH A6 Tribal RCH 48. A7 PNDT & Sex Ratio A8 Infrastructure & HR A9 Training A1 Programme Management A11 Vulnerable groups 23. Total Base Flexi Pool A12 JSY A13 Sterilisation & IUD Compensation and NSV Camps Total Demand Side Total RCH Flexi Pool MISSION FLEXI POOL B1 ASHA B2 Untied Funds Approval of State PIP : Chhattisgarh Page 18

28 S. No. Budget Head FY Budget ( Rs lakhs ) Proposed Approved % of RE B3 Annual Maintenance Grants B4 Hospital Strengthening B5 New Constructions/ Renovation and Setting up B6 Corpus Grants to HMS/RKS B7 District Action Plans (including block, village) B8 Panchayati Raj Initiative B9 Mainstreaming of AYUSH B1 IEC-BCC NRHM B11 Mobile Medical Units (Including recurring expenditures) B12 Referral Transport B13 PPP/ NGOs B14 Innovations (if any) B15 Planning, Implementation and Monitoring B16 Procurement B17 Regional drugs warehouses B18 New Initiatives B19 Health Insurance Scheme B2 Research, Studies, Analysis B21 State level Health Resources Center B22 Support Services B23 Other Expenditures (Power Backup, Approval of State PIP : Chhattisgarh Page 19

29 S. No. Budget Head FY Budget ( Rs lakhs ) Convergence etc) Proposed Approved % of RE TOTAL MFP IMMUNIZATION C1 RI strengthening project (Review meeting, Mobility support, Outreach services etc) C2 Salary of Contractual Staffs C3 Training under Immunisation C4 Cold chain maintenance C5 ASHA Incentive Total Immunization C6 Pulse Polio Operational Cost Total RI & PPO costs Disease Control Programmes 4A 4B 4C 4D 4E 4 F National Iodine Deficiency Disorders Control Programme (NIDDCP) Integrated Disease Surveillance Programme(IDSP) National Vector Borne Disease Control Programme (NVBDCP) National Leprosy Eradication Programme (NLEP) Revised National Tuberculosis Control Programme (RNTCP) National Programme for Preventio and Control of Flurosis (NPPCF)* * Total NDCP INFRASTRUCTURE MAINTENANCE Approval of State PIP : Chhattisgarh Page 2

30 S. No. Budget Head FY Budget ( Rs lakhs ) Proposed Approved % of RE Total Infrastructure Maintenance GRAND TOTAL *NPCCF PIP will be considered later along with PIPs from other states. Approval of State PIP : Chhattisgarh Page 21

31 Maternal Health Approval of State PIP : Chhattisgarh Page 22

32 GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH Maternal Health: Goals and Targets for Indicator Target MMR and expected Maternal Deaths MMR 164 /1, Live births Expected MDs: 1 Nos. of Maternal Deaths Reported and Reviewed 75 (75%) ANCs registered within first trimester (61%) in Institutional Deliveries (out of the total estimated deliveries) to be conducted in Public health institutions from 38% in to 5%. in Caesarean Section rate in public health facilities from 4 % in to 1% in Severely Anemic Pregnant Women** out of total anemic pregnant women (@2% 3245 in in in **At the rate of 2% of pregnant anemic women; this is critical for timely identification and management of severely anemic pregnant woman. Approval of State PIP : Chhattisgarh Page 23

33 ROAD MAP FOR PRIORITY ACTION: MATERNAL HEALTH Road Map for essential commitments Commitment No. 1- Operationalizing Delivery Points Gaps in the identified delivery points to be assessed and filled through prioritized allocation of the necessary resources in order to ensure quality of services and provision of comprehensive RMNCH+A services at these facilities as per the levels. MNH toolkit is to be used for planning and operationalizing services at different levels of delivery points. Level 3 should be planned for comprehensive CEmOC and RMNCH+A services and similarly level 2 for BEmOC and RMNCH+A services. The targets for different categories of facilities are: The targets for different categories of facilities are: Present Status CEmOC (Level 3) Target Maintain Levels Present Status BEmOC(Level2)* Target * Target setting for BEmOC centers is not an ideal scenario since States like Bihar, UP may lack adequate infrastructure; on the other hand, States like Gujarat, Kerala, Punjab will have higher nos.of deliveries in private health facilities. Therefore it is suggested that States need to plan for operationalizing Level-2 (BEmOC) facilities as per MNH Toolkit. Ideally, at least one such facility should be functional for every 5,-6, population, but the scenario may vary from State to State. Level 3 delivery points functioning as CEmOC facilities a) District Hospitals and other similar district level facilities (e.g District women and children hospital) b) CHCs and other health facilities at sub district level (above block and below district level) functioning as FRUs To provide the following services: 24*7 service delivery for CS and other Emergency Obstetric Care. Approval of State PIP : Chhattisgarh Page 24

34 1st and 2nd trimester abortion services. Conduct Facility based MDR. Essential newborn care and facility based care for sick newborns. Family planning and adolescent friendly health services RTI/STI services. Have functional BSU/BB. Level 2 delivery points functioning as BEmOC facilities: Non FRU-CHCs, 24*7 PHC and other PHCs to provide the following services 24*7 BeMOC services including conducting normal delivery and handling common obstetric complications. 1st trimester safe abortion services. (MVA upto 8 weeks and MMA upto 7 weeks) RTI/STI services. Essential newborn care. Family planning All identified SC Level delivery point facilities will provide the following services: Delivery by SBAs. IUD insertion Essential new born care. ANC, PNC and Immunization. Nutritional and Family planning and Adolescent counselling. VHND and other outreach services on designated days. All identified delivery points should be comprehensively planned for saturating them in terms of HR, Equipment, Capacity building, infrastructural requirements etc before spreading the resources to other health facilities. Monthly performance monitoring of each delivery point needs to be undertaken and reviewed at District level and quarterly level at State level. Commitment No. 2- Implementing free entitlements under JSSK JSSK entitlements to be ensured to all PW and sick newborns accessing Public health facilities. At least 7% drop back to be ensured to PW delivering in the PHFs. Drop back should be given only after 48 hrs stay in the health facility. Commitment No. 3- Centralized Call Centre and Assured Referral Transport All NRHM Supported Ambulances should be designated as National Ambulance Service with GOI prescribed color coding and other details. Every State needs to ensure availability of a centralized call centre with 12 or 18 as Toll Free no. for referral transport at State or district level along with GPS fitted ambulances. Response time for the ambulance to reach the beneficiary not to exceed 3 minutes and should reach the referred facility within next 3 mins. Monthly data on utilization of each ambulance (eg. Trips per day) to be maintained, analyzed and take corrective action if anything to be taken Approval of State PIP : Chhattisgarh Page 25

35 Commitment No. 4- Essential Drug List Every State to have an Essential Drug List (EDL) for SC, PHCs, CHCs, DHs, and Medical colleges and ensure timely procurement and supply to Sub centres, PHCs, CHCs, DHs and MCs. The EDL should include drugs for maternal and child health including drugs for safe abortion services, RTI/STI. Differential distribution of types and quantities of drugs to performing and non performing facilities and also as per level of facility. Procurement should be done through competitive bidding and indent to be taken from each facility based on consumption pattern through computerized inventory management system. All Procurement including periodic testing of drugs through govt. certified labs be carried out by the of randomized sampling. All the drugs should have atleast 5/6 th of the shelf life at the time of receiving the durgs at indenting facility. All other govt. procedure for procurement needs to be followed. Commitment No. 5- Capacity Building Shortfall in trained human resource at delivery points particularly sub centres in High focus/ High Priority districts to be addressed on priority. Training load for skill based trainings to be estimated after gap analysis. Certification /accreditation of the training sites is mandatory. Training plan to factor in reorientation training of HR particularly for those posted at non functional facilities and being redeployed at delivery points. Orientation training of field functionaries on newer interventions e.g. MDR/ HBNC etc. Performance Monitoring during training/post-deployment needs to be ensured Specific steps to strengthen SIHFW/ any other nodal institution involved in planning, implementation, monitoring and post training follow up of all skill based trainings under NRHM. Commitment No. 6 Tracking severe anemia All severely anemic pregnant women (2% of the anemic pregnant women) to be tracked and line listed for providing treatment of anemia. The line listing should be maintained and followed up at SCs and PHCs. Commitment No. 7 For High Priority Districts The State to make use of the MNH toolkit to operationalize the identified facilities as delivery points. At least 25% of all sub centres under each PHC to be made functional as delivery points in the HPDs. At least one CEmOC CENTRES to be made functional. Planning for operationalizing 1-15 BEmOC Centres in phases. Commitment No. 8 Approval of State PIP : Chhattisgarh Page 26

36 Job clarity of both ANMs working at the Sub-centre to ensure availability of one ANM at the SC and the other for outreach activities for the geographically demarcated population. Commitment No. 9: Pre service Nursing Training (For 12 High Focus States) At least one state Master Nodal centre shall be created and made functional. State nursing cell under the directorate of health should be created and made functional. A road map for strengthening of ANM and GNM schools be prepared as per GoI guidelines. Commitment No. 1: State, district and regional quality assurance committees to be made functional. Commitment No. 11: Establishment of Skill Labs: At least one skill lab to be established and made functional for a group of 4-5 districts as per skill lab operational guidelines. Commitment No. 12: MCH wings All 1 bedded MCH wings should be planned comprehensively as per GoI road map and must include equipments, obstetric ICU, SNCU, OT, labor room, Skill lab, academic wing and other details as per MNH toolkit. The plan for MCH wing should be shared with the MH nodal officer and he should be involved in its monitoring. All the MCH wings must be located within the campus of the existing health facility and completed in 2-3 years. Non-negotiables under Janani Suraksha Yojana: State needs to ensure strict compliance of the following non-negotiable under JSY: 1. State will ensure that JSY guidelines are strictly followed and payments are made as per the eligibility criteria. 2. State will ensure that AADHAAR numbers/eid and bank account details of the JSY beneficiaries are captured in the integrated RCH registers and seeded in the MCTS database. 3. State will ensure that there would be no delays in JSY payments to the beneficiaries and full amount of financial assistance is given to the beneficiary before being discharged from the health facility after delivery. 4. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism through AADHAAR enabled payment system/core Banking Solution where DBT mechanism has been rolled out. In case, Direct Benefit Transfer mechanism is not implemented in the State/UT, JSY payments to be made only through account payee cheques. Compliance of the above is a pre-requisite for JSY releases to the State/UT. 5. State will ensure that strict monitoring and verification of beneficiaries is done by state and district level health authorities to check malpractices. 6. State will ensure that grievance redressal mechanisms as stipulated under JSY guidelines are activated at the district and state levels. 7. State will ensure the accuracy of JSY data reported at the HMIS portal of MOHFW and also furnish the Quarterly progress reports to the Ministry within the prescribed timeframe. Approval of State PIP : Chhattisgarh Page 27

37 S. No. Budget Head A.1.1 A.1.3 A A A.1.4. DETAILED BUDGET: MATERNAL HEALTH Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Operationalise Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planningidentifying priority facilities,etc) Integrated outreach RCH services (state should focus on facility based services and outreach camps to be restricted only to areas without functional health facilities) Oureach camps Approved as following: Rs 3 incentive to lady doctors Rs. 1 for LTs Monthly Village Health and Nutrition Days Janani Suraksha Yojana / JSY A Home deliveries Approved Rs 1 for LTs & Rs.4 to lady doctors towards mobility support A A a Institutional deliveries Rural Approved Approval of State PIP : Chhattisgarh Page 28

38 S. No. Budget Head A b A c A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) Urban Approved REMARKS C-sections Approved as per last year s approval subject to condition that the approval is only meant for 8 Missionary Hospitals in naxalite affected areas. Rs. 35/ per delivery includes C-section cost, and complete cashless delivery (diet, consumables, drugs etc.) Administrative Expenses % of JSY expenses A Incentives to ASHA Approved as Rs.6/rural case and Rs. 4/urban cases for 25 rural cases and 1 urban cases A.1.5 A.1.6 A A Maternal Death Review (both in institutions and community) Other strategies/activities (please specify) MH -Other Activities- HIV Positive Normal Deliveries - Incentive to Medical Team for HIV Positive NDs MH - Other Activities - for High Risk Pregnancy - HIV Positive C- Section Deliveries - Incentive to Medical Team Approved. Rs.5 includes Rs.3 as incentive and Rs.2 for other activity Approved as following: Rs 5 Lakhs for Rs 1/- for 5 NDs and Rs 3 Lakhs for Rs 15/- for 2 C- Sections Approval of State PIP : Chhattisgarh Page 29

39 S. No. Budget Head A A A A A A A MH - Other Activities - for High Risk Pregnancy - Other - Incentives to ANM for C - Section (Hard to Reach Area) MH - Other Activities- for High Risk Pregnency Indemnity Insurance for EMoC and LSAS Incentive for LSAS and CEmONC trained doctors LSAS CEmONC Doctors performance review Supportive supervision of SBA trained by MO/RMA Strengthening of Maternal health Programme Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Approved for expected 2 high risk referrals for which incentives to ANM Rs 1 and ASHA Rs 2 for accompanying woman. Approval strictly for hard to reach areas in high focus districts at or below sub district level Approved Approved Lumpsum approved. 47 LSAS and 35 CEmONC trained doctors will be given fixed 2 after performing at least three C-sections/month and any additional c- section thereafter in a month will be Rs. 4/C-section /LSAS and CEmONC doctors Approved subject to State sharing the outcome of the meetings with MoHFW Approved MH Consultants are approved subject to State sharing their ToRs and all consultants should be IT savy. Rs 45, per month for 6 months. Approval of State PIP : Chhattisgarh Page 3

40 S. No. Budget Head A A Support staff for Medical Colleges and one Secot Nine Hospital, Bhilai MTP Training -Staff Nurse Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Consultants will regularly move in the field as per their ToRs. Mobility support is already approved under mobility support plan seaparately. OneProgramme Associate is not approved. All Consultants to be IT savy and basic IT skills should be part of their ToRs Not approved Approved A MTP Refresher Training Approved A.1.7 JSSK- Janani Shishu Surakhsha Karyakram A Drugs and consumables Approved: Rs Lakhs for 297 Rs 35/ND and Rs 24 Lakhs for 15 Rs 16/Csection A Diagnostic Approved A Blood Transfusion Approved A Diet (3 days for Normal Delivery and 7 days for Caesarean) Approved: Rs 891 Lakhs for diet of 3 Rs.1/day for 297 NDs and Rs 15 Lakhs for diet for 7 for 15 C-sections Approval of State PIP : Chhattisgarh Page 31

41 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A Free Referral Transport Rs. 3/ for 297 NDs and Rs. 7/ for 3 C- Sections. State has to ensure provision of all the three types of referral (home to facility, interfacility and drop back facility) A Other JSSK activity A A State level Review Meeting District level Review Meeting Approved Approved A.9.3 Sub-total Maternal Health (excluding JSY) Maternal Health Training A Skilled Attendance at Birth / SBA A A A A Setting up of SBA Training Centres Approved for setting up 3 training Rs 2 Lakhs/centre TOT for SBA Approved Training of Staff Nurses in SBA Training of ANMs / LHVs in SBA Approved Approved for training of 4 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load. Approval of State PIP : Chhattisgarh Page 32

42 A EmOC Training A A A Life saving Anaesthesia skills training Safe abortion services training (including MVA/ EVA and Medical abortion) TOT on safe abortion services A Training of Medical Officers in safe abortion Approved for 6 MOs. A RTI / STI Training A A A A A A A BEmOC training for MOs/LMOs Other maternal health training (please specify) State level MDR training ToT District Level Training of MO s in MDR Supportive supervision for SBA training for Mos and RMAs 1 Days BeMoc training for RMAs Blood Storage Unit (BSU) Training Approved for 12 MOs Approved for training of state and district officials on MDR, subject to training being conducted as per the GOI Training norms Approved Approved A Skill Lab Training Approved for 21 Rs.37836/training at 1 skill lab/month for 7 months ASHA Incentive Approval of State PIP : Chhattisgarh Page 33

43 B B B B BCC/IEC Activities B Incentive under MH (ANC/PNC) Incentive for Maternal Death Reporting Incentive for Home visits to pregnant women for counseling on diet, rest and ANC check-ups Incentive for Mitanin/ANM for linking Whole blood finger prick test reactive ANC to ICTC BCC/IEC activities for MH Approval of State PIP : Chhattisgarh Page Approved Rs 5,/- for reporting of expected 1 maternal 5/-. (Ongoing activity) Not approved (New activity) Not approved (Ongoing activity) as no targets are provided. B B Mass media Mid-media As mentioned in the remark column of B1.2 2 Procurement of Equipments and Drugs B B B B B B B Procurement of equipment: MH Equipments for Blood Banks/ BSUs MVA /EVA for Safe Abortion services Others (please specify) Drugs & supplies for MH RTI /STI drugs and consumables Drugs for Safe Abortion Approved (Ongoing activity) Approved Rs 4.5 3/- for 15 cases (ongoing activity)

44 CHILD HEALTH, RBSK & IMMUNIZATION Approval of State PIP : Chhattisgarh Page 35

45 TARGETS: CHILD HEALTH AND IMMUNIZATION Indicator CURRENT CAD (%) State Targets India Chhattisgarh India Chhattisgarh Target for 12 th Plan (217) CAD (%) U5MR (SRS ) IMR (SRS 211) NMR (SRS 211) Indicators Line listing and follow up of Low Birth Weight babies {Nos; (%)} DLHS-2 (22-4) DLHS- 3 (27- CES (29) Child Health 8) HMIS incidence of LBW: is 11.2% or State Targets NA 4,421 (7%) 57,745 (1%) New borns visited by ASHA (as per HBNC guidelines){nos; (%)} Rural Live Births as per HMIS data 5,15,576 3,6,93 (7%) 5,15,576 (1%) Percentage of SNCUs admitting at least 6 babies per month per bed NA NA 8% 95% TARGETS: CHILD HEALTH AND MMUNIZATION Trend (SRS) Targets (SRS) NMR IMR U5MR Approval of State PIP : Chhattisgarh Page 36

46 1 2 Establishment & operationalization of SNCUs Establishment & operationalization of NBSU 3 NBCC at delivery points 4 Establishment of NRCs PROCESS INDICATORS Current Status KEY PERFORMANCE INDICATORS (CUMULATIVE) Personnel trained in IMNCI (ANM+LHV) Personnel trained in F- IMNCI (MO+SN) Personnel trained in NSSK (MO+ANM+SN) 1 New borns visited by ASHA (as per HBNC guidelines) 2 LBW children tracked(state HMIS) (Target 12-13:12) (Target 12-13:46 ) (Target 12-13: 48 ) (Target 12-13:6 ) No. 48 Target for (including 432 RMA) No No KEY PERFORMANCE INDICATORS (NON CUMULATIVE) 3 Percentage of SNCUs admitting at least 6 babies per month per bed No. 3,6,93 % 7% Rural Live Birth No. NA 4,421 % NA 7% LBW in Rural % NA 8% Conditionality: Equipment audit should be done and unused Radiant Warmers, Phototherapy machines and other equipment mobilised from NBSUs and used in NBCCs and SNCUs. State must ensure that all equipment purchased for NBSUs (for 275 units) must be put to use and not allowed to lie idle. Approval of State PIP : Chhattisgarh Page 37

47 ROAD MAP FOR PRIORITY ACTION: CHILD HEALTH A. Priority Actions to be carried out by state for Child Health Interventions 1. All the delivery points should have a functional Newborn Care Corner consisting of essential equipment and staff trained in NSSK. The staff must be trained in a 2 days NSSK training package for skills development in providing Essential Newborn Care. 2. Special Newborn care Units (SNCU) for care of the sick newborn should be established in all Medical Colleges and District Hospitals. All resources meant for establishment of SNCUs should be aligned in terms of equipment, manpower, drugs etc. to make SNCUs fully operational. 3. SNCUs are referral centres with provision of care to sick new born the entire district and relevant information must be given to all peripheral health facilities including ANM and ASHA for optimum utilisation of the facility. Referral and admission of out born sick neonates should be encouraged and monitored along with inborn admissions. 4. NBSUs being set up at FRUs should be utilised for stabilization of sick newborns referred from peripheral units. Dedicated staff posted to NBSU must be adequately trained and should have the skills to provide care to sick newborns. 5. All ASHA workers are to be trained in Module 6 & 7 (IMNCI Plus) for implementing Home Based Newborn Care Scheme. The ASHA kit and incentives for home visits should be made available on a regular basis to ASHAs who have completed the Round 1 of training in Module 6 6. All ANMs are to be trained in IMNCI. 7. All Medical Officers and Staff Nurses, positioned in FRUs/DH and 24x7 PHCs should be prioritised for F-IMNCI training so that they can provide care to sick children with diarrhoea, pneumonia and malnutrition. 8. Infant and Under fives Death Review must be initiated for deaths occurring both at community and facility level. 9. In order to promote early and exclusive breastfeeding, the counselling of all pregnant and expectant mothers should be ensured at all delivery points and breastfeeding initiated soon after birth. At least two health care providers should be trained in Lactation Management at District Hospitals and FRUs; other MCH staff should be provided 2 days training in IYCF and growth monitoring. 1. Nutrition Rehabilitation Centres are to be established in District Hospitals (and/or FRUs), prioritising tribal and high focus districts with high prevalence of child malnutrition. The optimum utilisation of NRCs must be ensured through identification and referral of Severe Acute Malnutrition cases in the community through convergence with Anganwadi workers under ICDS scheme. Approval of State PIP : Chhattisgarh Page 38

48 11. Line listing of newly detected cases of SAM and Low birth weight babies must be maintained by the ANM and their follow-up must be ensured through ASHA. 12. In order to reduce the prevalence of anaemia among children, all children between the ages of 6 months to 5 years must receive Iron and Folic Acid tablets/ syrup (as appropriate) as a preventive measure for 1 days in a year. Accordingly appropriate formulation and logistics must be ensured and proper implementation and monitoring should be emphasised through tracking of stocks using HMIS. As per National Iron Plus Initiative, IFA syrup is to be administered in biweekly fashion under supervision from ASHA. 13. Use of Zinc should be actively promoted along with use of ORS in cases of diarrhoea in children. Availability of ORS and Zinc should be ensured at all sub-centres and with ASHAs. 14. Data from SNCU, NBSU and NRC utilisation and child health trainings (progress against committed training load) must be transmitted on a monthly basis to the Child Health Division. 15. Infant Young Child Feeding Practices Guidelines launched by GoI to be implemented in current financial year. Growth monitoring equipments to made available at each Health Facility i.e Sub Centre, PHC, District Hospital. At District Hospitals and high case load facilities, RMNCHA counsellor to undertake IYCF counselling after growth monitoring by Staff Nurse/ANM. IYCF trainings for ASHA/ANM/Staff Nurses to be undertaken. B.Rashtriya Bal Swastha Karyakram (School Health Programme): 1. Rashtriya Bal Swastha Karyakram (RBSK) Guidelines including terms of reference to be adhered for operational plan, implementation and monitoring. School Health programme is now subsumed under RBSK. 2. The programme should focus on four Ds- Defects at birth, Diseases, Deficiencies and Development Delays including Disabilities as detailed in RBSK guideline. 3. All children (below 6 years) registered with Anganwadis to be screened at least twice a year 4. All children (6 years to 18 years) enrolled in government and government aided schools to be screened at least once a year. 5. All designated delivery points (as agreed in annexure of PIP ) to start New born screening and report findings in monthly monitoring formats 6. Recruitment and training of dedicated teams to complete within the first Quarter of the financial Year. 7. Referral of children must be tied up and complete treatment at higher facilities through District Early Intervention Centres. Approval of State PIP : Chhattisgarh Page 39

49 8. Planning, implementation, monitoring formats - Health Cards, reporting formats under RBSK is standardized. State to ensure adherence. 9. All approved DEICs to be established with in the current Financial Year. No spill over for infrastructural cost would be allowed in the next year for the same facility. 1. State to establish State/District/Block level RBSK committees and/or submerge within existing NRHM society structure at State/District and block with diverse stakeholders, Department of Woman and Child Development, Department of Education Sarba Siksha Abiyan, Rashtriya Madhmik Sishkha Abhiyan, Department of Social Justice and empowerment. This committee with representation of academia at State level is responsible for implementation and monitoring of the programme. 11. Involvement of nodal teachers from schools and Anganwadi workers from Anganwadi Centres and State District and Block level supervisory structure in the programme is to be ensured for preventive and promotive Health communication and monitoring. 12. Visibility of Rashtriya Bal Swastha Karyakram (RBSK) with NRHM logo to be made noticeable across programme implementation. In case State has different nomenclature other than Rashtriya Bal Swastha Karyakram (RBSK) for similar programme, for which financial support is approved under PIP , RBSK and NRHM to be used as cobranded with local initiative. 13. The New programme would require State/District programme management unit handholding in Physical and Financial achievement. State to support this initiative. 14. Formation of State and district level steering committees. 15. Training / re-orientation of service providers(mos, ANMs, ASHAs) 16. Monthly meeting with BMO. 17. Regular feedback on quality of sanitary napkins to be sent to GoI 18. Identification of appropriate storage place for sanitary napkins. 19. Mechanism of distribution of sanitary napkins right upto the user level. 2. Reporting and accounting system in place at various levels. 21. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain management of IFA tabs and Sanitary napkins. 22. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and preferably combined with Weekly Iron Folic Acid Supplementation (WIFS). Approval of State PIP : Chhattisgarh Page 4

50 C. Priority Actions to be carried out by state for Immunization 1. Immunization weeks should be continued as a part of routine strategy during non immunization days to improve coverage especially in community where no immunization services are provided or services are deficient or all high risk pockets or migrant population as identified in pulse polio program etc. The available human resources to be redeployed during these weeks for effective implementation 2. The micro plans for routine immunization must be updated on 6 monthly intervals both for Routine Immunization and Immunization weeks, taking into account the information available and information on migrant population/ missed areas covering inaccessible, remote areas and urban slums. The missed areas or migrant population as identified during polio programme or any other source of information must be incorporated in the micro plans and activities carried out as per micro-plan. 3. Full time State Immunisation Officer should be in place. 4. District Immunisation Officer should be in place in all the districts. The placement of ANMs at all session sites must be ensured. 5. Due list of beneficiaries must be available with ANM and ASHA and village wise list of beneficiaries should be available with ASHA after each session and tickler bags should be used for monitoring in addition to the timely and regular updating of information in MCTS portal. 6. The immunisation session must be carried out on a daily basis in District Hospitals and FRUs/ 24x7 PHCs with considerable case load in the OPD. 7. Cold chain mechanics must be placed in every district with a definite travel plan so as to ensure that at least 3 facilities are visited every month as a preventive measure (check-up of equipment). 8. The paramedical staff should be identified as the Cold Chain Handler in all cold chain points and their training must be ensured. In case of non-availability, the responsibility should be given to next para medical staff in position that should be equally trained. 9. The coverage of immunization to children at 18 months of age is very low. The opportunity for Full immunization of the children at 1year and ensuring that these children are also vaccinated at 2nd year of age must be emphasized and monitored. The ASHAs/link workers are especially encouraged by providing financial incentive of Rs 1 and Rs 5 per child to achieve this. 1. District AEFI Committees must be in place and investigation report of every serious AEFI case must be submitted within 15 days of occurrence. 11. Rapid response team should be in place in priority districts identified by the states. 12. There should be a regular evening meeting on Immunization days to review the implementation of open vial policy and also reviewing implementation of programmatic gaps. Approval of State PIP : Chhattisgarh Page 41

51 13. Quarterly review at all levels should be conducted on the issues as identified during evening meetings, for which funds are provided under ROP. DETAILED BUDGET: CH, RBSK & IMMUNIZATION S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) A.2. CHILD HEALTH REMARKS A.2.1 A.2.2 IMNCI (including F-IMNCI; primarily budget for planning for preserviceimnci activities in medical colleges, nursing colleges, and ANMTCs) Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructur e, procurement, training,iec etc.) e.g.operating cost rent,electricity etc. imprest 8 1 money A SNCU Approved for 4 new IMNCI training Rs.3. lakhs/ site (Rs.12 lakhs) and Rs.3 lakhs for formats & registers across all sites Approved as following: 5 operational Rs.1 Lakhs /unit 7 units under Lakhs /unit and Rs. 41 lakhs for new unit at Raipur Approval of State PIP : Chhattisgarh Page 42

52 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A NBSU Approved as following: 1 functional Rs.1.75 Lakhs/NBSU and 36 NBSUs under 875 /NBSU A NBCC Approved as 2/per annum for 156 NBCCs Rs.1, (for 6 months) for 224 NBCCs A.2.3 A.2.5 Home Based Newborn Care/HBNC Care of Sick Children and Severe Malnutrition (e.g. NRCs, CDNCs etc.) Approved for half yearly review meeting cum workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand Rs.5/meeting cum workshop Approved ONLY for 61 NRCs as following: 1, children x Rs. 1 for food x 15 days 1, mothers x 15 days x Rs. 15 (wage compensation) Pharmacy charges 5 x Rs. 6 x 12 Contingency 15 x 12 x Rs.6 ASHA incentive for referral & follow up 5 x Rs.25 Referral transport for severely ill children 25 x Rs. 5 Rs. 2.5 lakhs for 1 new unit in Sarguja and Rs. 2. lakhs for review Concurrent monitoring may be done by State Lead Development Partners and SPMU. Consultants proposed for NRC cell must be part of Approval of State PIP : Chhattisgarh Page 43

53 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS the CH team. Rs lakhs is for NRC HR, approved under relevant budget head. A.2.6 A.2.7 A.2.8 A.2.1 Management of diarrhoea & ARI & micronutrient malnutrition Other strategies/activi ties (please specify) Infant Death Audit JSSK (for Sick neonates up to 3 days) Approved for following trainings. Trainings to include ARI component as well and State to conduct training as per revsied national guidelines. State Level ToT for District Child Health Nodal Officers and Pediatrician:3 Rs.5,/batch District Level Training for Block Medical Officers and One Medical Officer: 27 Rs.5/batch Approved for mobility support for 2 rounds Rs.18.1 lakhs/round Approved as following: IDA of institutional 5 Rs 5/death 2 half yearly meetings at State Rs. 25,/meeting Printing of reporting Rs. 2/format for 1795 formats Another budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit Approval of State PIP : Chhattisgarh Page 44

54 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A Drugs & Approved Consumables (other than reflected in Procurement) A Diagnostics Rs.1/case. A A.2.11 A A.9.5 A A A A A Free Referral Transport Any other interventions (eg; rapid assessments, protocol development) FBNC Assessment Child Health Training IMNCI Training (pre-service and in-service) TOT on IMNCI (pre-service and in-service) IMNCI Training for ANMs / LHVs IMNCI Training for Anganwadi Workers F-IMNCI Training Approved: Rs 15 Lakhs for to and fro (home to facility and drop 5/ neonate for 3, sick neonates and Rs 7.5 Lakhs for interfacility referral 25/-neonate for 3 seriously ill neonates Approved Approved (1 doctors & 1 SNs in each batch) Approved Approved; 12 batches of 24 anganwadi workers in each Approval of State PIP : Chhattisgarh Page 45

55 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) A TOT on F-IMNCI Approved A F-IMNCI Approved Training for Medical Officers A F-IMNCI Approved Training for Staff Nurses A Home Based Newborn Care / HBNC A TOT on HBNC A A A A Training on HBNC for ASHA Care of sick children and severe malnutrition at FRUs TOT on Care of sick children and severe malnutrition Training on Care of sick children and severe malnutrition for Medical Officers REMARKS Approval of State PIP : Chhattisgarh Page Since new NRCs are not approved, budget proposed (28.8 lakhs) for training of new NRC staff has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 2 Rs.6, per person Training of MOs for 6 days in another state: 2 Rs.2.55 lakhs/ per batch Block level screening of children in 294 Rs.1587/block Reorientation of feeding deonstrators and cook: 12 persons@ Rs.3/person

56 S. No. Budget Head A Other child health training (please specify) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) A NSSK Training REMARKS A A A A A TOT for NSSK Approved NSSK Training for Medical Officers NSSK Training for SNs NSSK Training for ANMs Other Child Health training Approved Approved Approved A a Ch-IYCF- TOT Approved. Details of expenditure & physical progress to be shared by the state. A b CH- IYCF- District level A c CH- FBNC - Training on Observership A d CH- FBNC- Mos and Staff Nurses Approved for 1 MO + 14 SN per Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state Approved for 48 Rs.166/per batch Approved for 2 batches only, as there is no possibility for larger numbers to undergo observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size Rs.2.8 lakhs/batch Approval of State PIP : Chhattisgarh Page 47

57 S. No. Budget Head A e FBNC TOT for Mos Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Approved (24 participants in the batch) A SHP training A B School Health Training - Training of team technical and managerial Incentive under CH (HBNC) B ASHA incentive for HBNC Approved (Ongoing activity) B B ASHA incentive for NRC refferal and follow up for post referral NRC cases Infant death reporting Not approved as already included under Care of sick children (NRC budget) for 5, 25 per child. Approved (Ongoing activity) B Other incentive B Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementar y Feeding and Prevention of Infections) Approval pended (New activity). State may resubmit the proposal with detailed write up on the activity proposed in the supplementary PIP for reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes Approval of State PIP : Chhattisgarh Page 48

58 S. No. Budget Head B Procurement of equipment: CH Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B NBSU Approved amount (Rs.Lakhs) 6 REMARKS expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the child for example, by demonstration of the growth curve in the MCP card Not approved since no new NBSU is approved B NBCC B B B B Sishu Sanrakshan Mah (SSM) Genset for SNCU ( for 12 SNCUS) Drugs & supplies for CH Drugs of Sishu Sanrakshan Mah Not approved as no new NBCCs approved. State has to operationalise already sanctioned NBCCs and then new centres should be planned. Approved (New activity) Rs lakhs is approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,=3.25 Lakhs; Rs..7 x 25,, tabs Albendazole=17.5 lakhs; IFA syrup 12,, bottles x Rs. 7=84.; IFA small tablet 4,5,, tabs x Rs..12=54. Approval of State PIP : Chhattisgarh Page 49

59 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS lakhs. of IFA revised as there is no wastage factor to be applied and based on 7% expected coverage. DETAILED BUDGET: IMMUNIZATION FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Approval Status C.1 c.1.a c.1.b Mobility Support for supervision for district level officers. Mobility support for supervision at state level Rs.2,5,/ Year /district level officers. Rs. 15 per year Approved To be continued from Previous year Approved. To be continued from Previous year c.1.c c.1.d Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc. Support for Quarterly State level review meetings of district officer Rs. 1 beneficiaries Rs. 125/ per participant/day for 3 persons (CMO/DIO/Dist. Cold Chain Officer) Approved for pregnant women for the F.Y Approved Rs 125X3 participantsx27 districts Approval of State PIP : Chhattisgarh Page 5

60 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Approval Status c.1.e c.1.f c.1.g c.1.h Quarterly review meetings exclusive for RI at district level with one Block MOs, CDPO, and other stake holders Quarterly review meetings exclusive for RI at block level Focus on slum & underserved areas in urban areas/alternative vaccinator for slums Mobilization of children through ASHA or other mobilizers Rs. 1/per participant for meeting expenses for 5 persons (lunch, Organization expenses) Rs. 5/ per person as honorarium for ASHA (Travel) and Rs. 25/person at the disposal of MO-IC for meeting expenses (refreshment, stationary and misc. expenses) Hiring of ANM@45/sessi on for four session/month/ slum of 1 population and Rs. 3/- per month as contingency per slum i.e. Rs. 21/- per month per slum of 1 population Rs. 15 per session Approved Rs 1X5 participants/block X 146 blocks X 4 meetings Approved. Rs 75 X 613 Mitanins In Chattisgarh approx. 3-4 mitanins are placed for every one thousand population. Hence, all mitanins will be covered in 4 meetings at block level Approved. Total urban slums in the State are 388 out of these 2255 slum clusters will be covered by ANMs recruited through Mukhya Mantri Shahari Swasthya Karyakram (MSSK) and placed at respective SSKs also including urban slum sessions in 4 Rounds of Immunization Week Approved Includes mobilization for sessions in 4 Rounds of Immunization Week Approval of State PIP : Chhattisgarh Page 51

61 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Approval Status c.1.i c.1.j c.1.k c.1.l Alternative vaccine delivery in hard to reach areas Alternative Vaccine Delivery in other areas To develop micro plan at sub-centre level For consolidation of micro plans at block level Rs. 15 per session Rs. 75 per session Rs 1/- per subcentre Rs. 1 per block/ PHC and Rs. 2 per district Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total Hard to reach area is 425. Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total other area is Approved. To be continued from Previous year. Approved for Blocks and Urban PHCs c.1.m c.1.n c.1.o c.1.p c.1.q POL for vaccine delivery from State to district and from district to PHC/CHCs Consumables for computer including provision for internet access for RIMs Red/Black plastic bags etc. Hub Cutter/Bleach/Hy pochlorite solution/ Twin bucket Safety Pits Rs1,5,/ 4/ - month/ district Rs. 3/bags/session Rs. 12 per PHC/CHCper year Rs. 525/pit Approved. To be continued from Previous year Approved. To be continued from Previous year Approved. To be continued from Previous year Approved. To be continued from Previous year Approved as following 267 new pits x 525 unit cost and 622 old pits x 145 unit cost Approval of State PIP : Chhattisgarh Page 52

62 FMR Code c.1.r c.1.s c.1.t Activities( As proposed by the State) State specific requirement Teeka Express Operational Cost Unit Cost (wherever applicable) Measles SIA operational Cost Proposed by State 3.38 Approved Approval Status Not approved, as budget for mobility can be taken from c.1.a/b. Also, this is an ongoing activity, state should continue this activity with partners support. Approved. To be supplied throuhg inkind from MoHFW, GOI. c.1.u JE Campaign Operational Cost c.1.v Others (Mobilization budget for Supervision during Immunization week) C.1-Sub Total C.2 C.2.1 C.2.2 Computer Assistants support for State level Computer Assistants support for District level Rs per person per month per person per month Not approved as the details about monitoring plan not provided by state. Approved, however, any increment in salry will be examined by MSG. Approved, however, any increment in salry will be examined by MSG. C.2.3 Others(service delivery staff) C.2-Sub Total C.3 Approval of State PIP : Chhattisgarh Page 53

63 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Approval Status C.3.1 C.3.2 C.3.3 C.3.4 District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female), Nurse Midwives, BEEs & other staff ( as per RCH norms) Three day training including Hep B, Measles & JE(wherever required) of Medical Officers of RI using revised MO training module) One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers As per revised norms for trainings under RCH This is same as last year's approved amount which is only for 18 batches, Needs to be revised Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division. * Restricted for C.3.1, due to low expenditure in F.Y Approval of State PIP : Chhattisgarh Page 54

64 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Approval Status C.3.5 One day training of block level data handlers by DIOs and District cold chain officer C.3.6 Others C.3-Sub Total Cold chain maintenance Rs.75/PHC/CH C.4 Cs per year District Rs.15/year C.5 ASHA incentive for full Immunization Rs 1 per child for full immunization in first year Approved for half a day Intensive RI Training for Frontline Workers (ANM,LHV,ASHA/Mita nin, AWW) for a total no. of participants=9294 including Mitanin, Anganwadi Worker and ANM Approved Restricted as per norms. Last year data taken as state has not provided details of PHCs/CHCs etc. Approved with assumption that 9 % children will be fully immunized in C.6 Total ROUTINE IMMUNIZATION Rs 5 per child for ensuring complete immunization upto 2nd year of age Pulse Polio Operational Cost (Tentative) Approved, subject to approval for Pulse Polio Cost. Approval of State PIP : Chhattisgarh Page 55

65 FMR Code B.22.6 Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Total Other NDCP Support Programmes Approval Status New Activity. As per Child Health Part-C Approval of State PIP : Chhattisgarh Page 56

66 FAMILY PLANNING Approval of State PIP : Chhattisgarh Page 57

67 PROJECTION of KEY INDICATORS (213-14): SN. Indicator Current Target/ ELA Status Goal Indicators 1.1 Total Fertility Rate (TFR) 2.7 (SRS 211) Contraceptive Prevalence Rate (CPR) 47.1 (DLHS-3) Unmet Need 2.9 (DLHS-3) Service delivery 2.1 IUCD - Total 7831 (HMIS ) 2.2 Post-partum IUCD (subset of IUCD-total) Female Sterilisation (HMIS ) 2.4 Post-partum sterilisation 3668 (subset of tubectomy) (HMIS ) 2.5 Male sterilisation 689 (HMIS ) Total Sterilization 3 Input/ facility operationalization 3.1 Fixed Day service delivery (HMIS ) IUCD 124 Sites % of the Public Health Institution Deliveries of that year Twice weekly at SC Not Available All SHC All SHC All SHC All SHC Daily at DH, SDH, CHC Twice a week at 18 Dhand MC and 16 CHCs Sterilisation FS: 15 DH twice a week, 16 CHC fortnightly PHC + CHC DH + 1 SDH/ FRU per dist PHC + CHC DH + all FRU per dist PHC + CHC DH + all FRU + 25% PHC per dist PHC + CHC DH + all FRU + 5% PHC per dist 3.2 Appointment of FP counsellors 27 FP counsellors DH + 1 SDH/ FRU per dist DH + all FRU per dist DH + all FRU per dist DH + all FRU per dist Approval of State PIP : Chhattisgarh Page 58

68 Conditionalities for : Family Planning Goal (target) Indicator Target/ ELA Minimum Level of Achievement By end of Sep. 213 By end of March 214 Remarks Reduction in TFR NA NA 2.7 (SRS 211) Service delivery (ELA): IUCD PPIUCD Interval IUCD Sterilisation Tubectomy Post-partum sterilisation (subset of tubectomy) Vasectomy Training of personnel (target) Post-partum IUCD MO SN Interval IUCD MO Not available SN Not available ANM/ LHV (Bathces) Not available Minilap Trained NSV Trained Laparoscopic Trained Others (target) Appointment of FP Counsellors Regular reporting of the scheme of home delivery of contraceptives by ASHAs from pilot states 27 FP counsellors Regular reporting Review & Reporting Regular reporting Review & Reporting Regular reporting Fixed Day Services for IUCD 124 Sites NA 1% FS: 15 DH twice a Fixed Day Services for Sterilisation week, 16 CHC fortnightly NA 1% Approval of State PIP : Chhattisgarh Page 59

69 ROAD MAP FOR PRIORITY ACTION: FAMILY PLANNING MISSION: The mission of the National Family Planning Program is that all women and men (in reproductive age group) in India will have knowledge of and access to comprehensive range of family planning services, therefore enabling families to plan and space their children to improve the health of women and children. GUIDING PRINCIPLES: Target-free approach based on unmet needs for contraception; equal emphasis on spacing and limiting methods; promoting children by choice in the context of reproductive health. STRATEGIES: 1. Strengthening spacing methods: Increasing number of providers trained in IUCD 38A Strengthening Fixed Day IUCD services at facilities Introduction of Cu IUCD 375 Delivering contraceptives at homes of beneficiaries. Delaying first pregnancy for at least two years after marriage, spacing of at least three years between first and second child and adoption of permanent method after one or two children (couples to be motivated by ASHA). 2. Emphasis on post-partum family planning services: Strengthening Post-Partum IUCD (PPIUCD) services at least at DH, SDH, FRU, CHC/BPHC level at high case load facilities. Promoting Post-partum sterilisation (PPS) Establishing Post-Partum Centers at women & child hospitals at district levels Appointing counsellors at high case load facilities 3. Strengthening sterilization service delivery Increasing pool of trained service providers (minilap, lap & NSV) Operationalising FDS centers for sterilisation Holding camps to increase accessibility and availability of services. 4. Strengthening quality of service delivery: Strengthening QACs for monitoring/review Disseminating/ following existing protocols/ guidelines/ manuals Monitoring of FP Indemnity scheme 5. Development of BCC/ IEC tools highlighting benefits of Family Planning specially on spacing methods Approval of State PIP : Chhattisgarh Page 6

70 6. Focus on using private sector capacity for service delivery (exploring PPP availability): 7. Strengthening programme management structures: Establishing new structures for monitoring and supporting the programme Strengthening programme management support to state and district levels 8. World Population Day Celebrations. KEY PERFORMANCE INDICATORS: a. % IUD inserted against ELA b. % PPIUCD inserted against institutional deliveries c. % PPIUCD inserted against total IUCD d. % of sterilisations conducted against ELA e. % post-partum sterilisations against total female sterilisations f. % of male sterilisations out of total sterilisations conducted g. % facilities delivering FDS services against planned h. % of personnel trained against planned i. % point decline in unmet need j. Point decline in TFR k. % utilization of funds against approved Approval of State PIP : Chhattisgarh Page 61

71 DETAILED BUDGET: FAMILY PLANNING S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) A.3 FAMILY PLANNING A.3.1 Terminal/Limiting Methods Approved amount (Rs.Lakhs) REMARKS A A Orientation workshop,dissemina tion of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting Female sterilisation camps Approved Rs. 75/camp A NSV camps Rs. 1/camp A Compensation for female sterilisation Approved A A Compensation for male sterilization/nsv Acceptance Accreditation of private providers to provide sterilisation services Approved Rs. 25/visit A.3.2 Spacing Methods A IUD camps Approved A IUD services at health facilities (including fixed day services at SHC and PHC) Approved. Budget from A has also been shifted to this head Approval of State PIP : Chhattisgarh Page 62

72 S. No. Budget Head A A A A A.3.3 A.3.4 A.3.5 A A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS PPIUCD services Not Approved. Drop back to mothers is already being provided under JSSK. Accreditation of Shifted to A private providers to provide IUD insertion services Social Marketing of contraceptives (includng delivery of contraceptive by ASHA at door step) Contraceptive Update seminars POL for Family Planning/ Others (including additional mobilty support to surgeon's team if req) Repairs of Laparoscopes Other strategies/activities (please specify): Monitor progress and quality,qac meetings /review of sterilization failures etc. Performance reward if any World Population Day celebration (such as mobility, IEC activities etc.): funds earmarked for Not approved (the budget head and activity do not match) Approved Rs. 25/laparoscope for 2 laparoscopes Approved for: 2 State level Rs. 1/meeting and 4 Distt. level Rs.5/district. Approval has been given strictly for QAC meetings only Approved but State to note that no cash awards are permissible. Two rounds Approved for 2 rounds of Rs 1 lakhs/round. Approval of State PIP : Chhattisgarh Page 63

73 S. No. Budget Head district and block level activities Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A A A A A A A.9.6 Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.) World Population Day celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities (Family Planning Indemnity Scheme) State Family Planning Cell Promotional scheme of FP ( Newly proposed) Printing of PPIUCD registeres (Patient & Follow up) Incentive to the Beneficiaries of PPIUCD Sub-total Family Planning (excluding Sterilisation Compensation and NSV Camps) Sub-total Sterilisation Compensation and NSV Camps Family Planning Training Not approved, repeat budgetting (A.3.5.3) Approved for Family Planning Indemnity Scheme instead of World Population Day which has already been budgeted at A APPROVAL PENDED 5 Not approved. Budget for incentives approved in the appropriate head under MFP in FMR head B Shifted to MFP under FMR head B Not approved Approval of State PIP : Chhattisgarh Page 64

74 S. No. Budget Head A A A Laparoscopic Sterilisation Training TOT on laparoscopic sterilisation Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Approved for 6 batches of 4 participants Rs.7124/batch A Minilap Training A A A A A TOT on Minilap Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training TOT on NSV NSV Training of medical officers Approved for 4 batches of 4 participants Rs.7124/batch Approved A IUD Insertion A A A A A TOT for IUD insertion Training of Medical officers in IUD insertion Training of staff nurses in IUD insertion Training of ANMs / LHVs in IUD insertion Contraceptive update/isd Training Approved for 15 batches of 1 participants each Approved for 45 batches of 1 participants each Approved Approval of State PIP : Chhattisgarh Page 65

75 S. No. Budget Head A A A A A A B Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) Other family planning training (please specify) TRG - FP - PPIUCD Approved Insertion Training- MO/SN/O&G Specialist TOT for PPIUCD Approved IUCD 375 insertion training to MOS Training to ANM on IUCD 375 insertion Training of FP Counselors Incentive for FP( PPIUCD/others) REMARKS Not approved.goi is in agreement with the activity which may be carried out with IUCD 38 training as a one day orientation, no separate batches required Not approved.goi is in agreement with the activity which may be carried out with IUCD 38 training as a one day orientation, no separate batches required. 1.2 Approved. Budget has been sanctioned as per discussion with state for 2 batches of RMNCH Rs 6/batch for participants/batch B B B Incentive for Female Sterilisation (after 3 or more living children) Incentive for Male Sterilisation (after 3 or more living children) Incentive for Sterilisation (after 1st or 2nd child) Not approved (New activity) Not approved (Ongoing activity) Approved Rs 2 lakhs (Ongoing activity) Budget Approval of State PIP : Chhattisgarh Page 66

76 S. No. Budget Head B B B B B B Incentive for AH BCC/IEC activities for FP Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Rs.1/ASHA for 2 sterilizations after one or two children. No payment to ANM is permissible. Approved (Ongoing activity) for motivating couple for spacing of two years after marriage or spacing of 3 or more years between first and second child only. The budget is shifted from B to B Mass media 61.6 Activity approved as mentioned in the Mid-media 5 remarks column of FMR B1.2 Procurement of equipment: FP NSV kits Approved (Ongoing activity) B B B B B IUCD kits minilap kits laparoscopes PPIUCD forceps Other (please specify) Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved Rs lakhs for 35 Rs. 55/forceps B Drugs & supplies for FP Approval of State PIP : Chhattisgarh Page 67

77 ADOLESCENT HEALTH Approval of State PIP : Chhattisgarh Page 68

78 ROAD MAP FOR PRIORITY ACTION: ADOLESCENT HEALTH SETTING UP OF AH CELL A unit for adolescent health at state level with a nodal officer supported by four consultants one each for ARSH, SHP, Menstrual hygiene and WIFS; one nodal officer (rank of ACMHO) for all the components of Adolescent Health at district level to take care of Adolescent health programme including the SHP. PROGRAMME SPECIFIC ESSENTIAL STEPS FOR IMPLEMENTATION: I. Adolescent Reproductive Sexual Health (ARSH) Programme Clinics Number of functional clinics at the DH, CHC, PHC and Medical Colleges (dedicated days, fixed time, trained manpower). Number of clinics integrated with ICTCs Quarterly Reporting from the ARSH clinics to be initiated to GoI. Establish a Supportive supervision and Monitoring mechanism Outreach Utilisation of the VHND platform for improving the clinic attendance. Demand generation in convergence with SABLA and also through Teen Clubs of MOYAS Capacity Building/Training: Calculation of the training load and development of training plans! refresher trainings. - Deployment of trained manpower at the functional clinics. II Menstrual Hygiene Scheme (MHS) Formation of State and district level steering committees. Training / re-orientation of service providers(mos, ANMs, ASHAs) Monthly meeting with BMO. Regular feedback on quality of sanitary napkins to be sent to GoI Identification of appropriate storage place for sanitary napkins. Mechanism of distribution of SN right upto the user level. Reporting and accounting system in place at various levels. Utilizing MCTS for service delivery by checking with ASHAs and ANMs about supply chain management of IFA tabs and Sanitary napkins. Distribution of Sanitary Napkins to school going adolescent girls to be encouraged in schools and preferably combined with Weekly Iron Folic Acid Supplementation (WIFS). II Weekly Iron and Folic Acid Supplementation programme (WIFS) Procurement policy in place for procurement of EDL including IFA and deworming tablets. Establish Monday as a fixed day for WIFS. Approval of State PIP : Chhattisgarh Page 69

79 Plan for training and capacity building of field level functionaries of concerned Departments(i.e. Department of Women and Child Development and and Department of Education) and plan for sensitization of Programme Planners on WIFS. Ensure that monitoring mechanism as outlined in the operational framework (Shared with the States during the National Adolescent Health Workshop) are put in place across levels and departments. S. No. Budget Head A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH A.4.1 Adolescent health services A A A A A Disseminate ARSH guidelines. Establishment of new clinics at DH level Establishment of new clinics at CHC/PHC level Operating expenses for existing clinics Outreach activities including peer educators DETAILED BUDGET: ADOLESCENT HEALTH Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Approved Approved Approved Approved Not approved as State needs to provide details of activities proposed to be conducted through SHGs A Others A ARSH Cell APPROVAL PENDED A.4.2 A School Health programme Prepare and disseminate guidelines for School Health Programme Not approved as no programme component is proposed. Approval of State PIP : Chhattisgarh Page 7

80 A Other strategies for school health A A.4.3 A A School Health Cell at State level Other strategies/activiti es (please specify) Mobility support for ARSH/ICTC counsellors Menstrual Hygiene (Sanitary napkin procurement to be booked under procurement) Not approved as no programme component is proposed, the proposed posts thereby are not justified Approved Approved for logistics and storage of sanitary napkins in the 5 selected districts. A WIFS actvity Approved A.9.7 A A Sub-total ARSH Adolescent Reproductive and Sexual Health/ARSH Training TOT for ARSH training Orientation training of state and district programme managers ARSH training for medical officers ARSH training for ANMs/LHVs Approved A Approved A Approved A WIFS training A A State level/ District Level/ Block Level refresher training ANM/MO/ 172, Approved for Approval of State PIP : Chhattisgarh Page 71

81 AWW/ Nodal Teacher A Menstrual hygiene training A SHP training B B B B B B B B B B B B BCC/IEC activities for ARSH Mass media Activity approved as mentioned in the Mid-media 6 remarks column of FMR B1.2 Printing of WIFS Approved (New activity) cards etc Reporting Approved (New activity) Mechanism 2.25 formats (WIFS) Equipments for ARSH/ School Health Equipments for ARSH Clinics Equipments for Not approved as no School Health programme component Equipments for is proposed. The School Health proposed utilisation of Screening carry forward budget of (weighing scale, Rs 73 lakhs towards Height procurement of dental measurement chairs is not approved. scale and Snellens Charts) Drugs & supplies for WIFS Albendazole IFA Drugs & supplies for SHP ,149, ,237, Approved. Budget shifted from B Approved. Budget shifted from B Approval of State PIP : Chhattisgarh Page 72

82 URBAN RCH BUDGET: URBAN RCH Approval of State PIP : Chhattisgarh Page 73

83 S. No. Budget Head Quantity / Target Unit Cost ( Rs) A.5 URBAN RCH (focus on Urban slums) A.5.1 Identification of urban areas / mapping of urban slums and planning A.5.2 HR for urban health including doctors, ANMs, Lab techs A Doctors/Mos Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS Not approved. State will be asked to propose the same under NUHM A ANM A Staff Nurse A LHV A LT A Establishmernt & Equipments ( PHCs and Sub centres ) Sub-total Urban Health Approval of State PIP : Chhattisgarh Page 74

84 PC-PNDT Approval of State PIP : Chhattisgarh Page 75

85 ROAD MAP: PNDT MISSION: The mission of PNDT program is to improve the sex ratio at birth by regulating the preconception and prenatal diagnostic techniques misused for sex selection. Guiding Principle: Deterrence for unethical practice sex selection to ensure improvement in the child sex ratio STRATEGIES: Strengthening programme management structures: > Appointment of Nodal officer > Strengthening of Human resource > Formation of PNDT Cell at state and district level Establishment of statutory bodies under the PC&PNDT Act > Constitution of 2 member State Supervisory Board Reconstitution every three years (other than ex-officio members) Four meetings in a year > Notification of three members Sate Appropriate Authority, > Constitution of 8 member State Advisory Committee Reconstitution in every 3 years At least 6 meetings in a year > Notification of District Appropriate Authorities > Constitution of 8 member district Advisory Committees Reconstitution in every 3 years At least 6 meetings in a year Strengthening of monitoring mechanisms > Monitoring of sex ratio at birth through civil registration of birth data > Formulation of Inspection and Monitoring committees > Increasing the monitoring visits > Review and evaluation of registration records > Online availability of PNDT registration records > Online filling and medical audit of form Fs > Ensure regular reporting of sales of ultrasound machines from manufactures > Enumeration of all Ultrasound machines and identification of un-registered ultrasound machine > Ensure compliance for maintenance of records mandatory under the Act Approval of State PIP : Chhattisgarh Page 76

86 > Ensure regular quarterly progress reports at state and district level Capacity building and sensitisation of program managers > Appropriate Authorities > Advisory committee members > Nodal officers both State and District Sensitisation and Alliance building with > Judiciary> Medical Council / associations > Civil society. Development of BCC/ IEC/ IPC Campaigns highlighting provisions of PC& PNDT Act and promotion of Girl Child Convergence for Monitoring of Child sex Ratio at birth KEY PERFORMANCE INDICATORS: Improvement in child sex ratio at birth % of civil registration of births Statutory bodies in place % registrations renewed Increase in inspections and action taken No. of unregistered machines identified % of court cases filed % of convictions secured No. of medical licences of the convicted doctor cancelled or suspended Approval of State PIP : Chhattisgarh Page 77

87 Sr. No. Budget Head Quantity/ Target DETAILED BUDGET: PNDT Unit Cost (Rs.) Proposed (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A.7 PNDT Activities A.7.1 Support to PNDT cell Calculation error by State. Approved for State level: One Rs. 5,/- pm, One Rs. 4,/- pm and One Rs. 18,/- pm 5 DEOs for five Rs. 12,/- pm. A.7.3 Mobility support Approved A.7.2 A A A A A Other PNDT activities (please specify) Orientation of programme managers and service providers Incentive for Informer On line form Submission International Girl Child day celebration Sub-total PNDT activities Approved Approved Not approved 64. Not approved Approval of State PIP : Chhattisgarh Page 78

88 TRIBAL RCH Approval of State PIP : Chhattisgarh Page 79

89 DETAILED BUDGET: URBAN RCH A.6. TRIBAL RCH 48. A.6.1 A.6.2 A.6.3 A.6.4 Special plans for tribal areas HR for tribal areas ( in addition to normative HR) Outreach activities Other Tribal RCH strategies/activi ties (please specify) APPROVAL PENDED. State has neither given any details of camps nor provide the desired justification for % expenditure and/or scale up of camps. Approval of State PIP : Chhattisgarh Page 8

90 HUMAN RESOURCES AND PROGRAMME MANAGEMENT Approval of State PIP : Chhattisgarh Page 81

91 ROAD MAP: HUMAN RESOURCES A comprehensive HR policy to be formulated and implemented; to be uploaded on the website. Underserved facilities particularly in high priority districts, to be first strengthened through contractual staff engaged under NRHM. Similarly high case load facilities to be supplemented as per need All appointments under NRHM to be contractual; contracts to be renewed not routinely but based on structured performance appraisal Decentralized recruitment of all HR engaged under NRHM by delegating recruitment to the District Health Society under the chairpersonship of the District Collector or Rogi Kalyan Samitis at facility level as applicable. Preference to be given to local candidates to ensure presence of service providers in the community. Residence at place of posting to be ensured. Quality of HR ensured through appropriate qualifications and a merit- based, transparent recruitment is mandatory. It has been observed that contractual HR engaged under NRHM i.e. Specialists, Doctors (both MBBS and AYUSH), Staff Nurses and ANM are not posted to the desired extent in inaccessible/hard to reach areas thereby defeating the very purpose of the Mission to take services to the remotest parts of the country, particularly the un-served and under-served areas. It must therefore be ensured that the remotest Sub-Centres and PHCs are staffed first. Contractual HR must not be deployed in better served areas until the remotest areas are adequately staffed. No Sub-Centre in remote/difficult to reach areas should remain without any ANM. No PHC in these areas should be without a doctor. Further, CHCs in remote areas must get contractual HR ahead of District Hospitals. Compliance with these conditionalities will be closely monitored and salaries for contractual HR dis-allowed in case of a violation. Details of facility wise deployment of all HR engaged under NRHM to be displayed on the state NRHM web site. For SHCs with 2 ANMs, population to be covered to be divided between them. Further, one ANM to be available at the sub-centre throughout the day while the other ANM undertakes field visits; timings for ANM s availability in the SHC to be notified. AYUSH doctors to be more effectively utilized eg for supportive supervision, school health and WIFS. All contractual staff to have job descriptions with reporting relationships and quantifiable indicators of performance. Performance appraisal and hence increments of contractual staff to be linked to progress against indicators. Approval of State PIP : Chhattisgarh Page 82

92 Staff productivity to be monitored. Continuation of additional staff recruited under NRHM for 24x7 PHCs, FRUs, SDH, etc, who do not meet performance benchmarks, to be reviewed by State on a priority basis. All performance based payments/difficult area incentives should be under the supervision of RKS/Community Organizations (PRI). DETAILED BUDGET: HUMAN RESOURCES FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8 Human Resources As agreed, the following key conditionalities would be enforced during the year a) Rational and equitable deployment of HR with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit and corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its Approval of State PIP : Chhattisgarh Page 83

93 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks continuation for the next six months would be contingent on compliance of the above four conditionalities. - From 1st October 213, under NRHM funds for salary to contractual HR would be done only to make payments to contractual staff over and above the sanctioned regular positions in the State. A.8.1 A A A e Contractual Staff & Services ANMs,Super visory Nurses, LHVs, It is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending ANMs Non- 24 X 7 PHCs Rs.9/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Approval of State PIP : Chhattisgarh Page 84

94 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A f A h A A a A b A c A d A e A f A g A A g A A a A b A c Sub Centres Others Staff Nurses DH 18 FRUs Non FRU SDH/ CHC 24 X 7 PHC Non- 24 X 7 PHCs SNCU/ NBSU/NRC etc Others Rs.12/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. LHVs/superv isory nurses Others Not approved Laboratory Technicians DH Approved for 29 Rs. 1/- per month. FRUs Approval is being granted 17.4 for six months only and its Non FRU continuation for the next SDH/ CHC six months would be Approval of State PIP : Chhattisgarh Page 85

95 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A d A e A f A A A A a A b A A a A b 24 X 7 PHC Non- 24 X contingent on compliance of the above mentioned conditionalities. PHCs Others MPWs Specialists (Anaesthetis ts, Paediatricia ns, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) Obstetrician s and Gynecologis ts DH FRUs Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Anesthetists DH FRUs Approved.Approval is being granted for six Approval of State PIP : Chhattisgarh Page 86

96 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A A a A A a A A a A b A c A months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Surgeons DH Not approved Specialists for CH (Paediatricia n etc) in SNCU,NBSU, NRC DH Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned Dental surgeons and dentists conditionalities DH FRUs Non FRU SDH/ CHC Medical Officers is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities Approval of State PIP : Chhattisgarh Page 87

97 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A A Non FRU SDH/ CHC MOs for SNCU/ NBSU/NRC etc Approved for 61 Rs.3/m including 32 Mos for SNCUs. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A Other MOs 8 A Others A Others - Computer Assistants/ BCC Coordinator etc A Pharmacist A DH 72 1.a A FRUs 72 1.b A Non FRU 72 1.c SDH/ CHC A d 24 X 7 PHC 72 A e A f A b Non- 24 X 7 72 PHCs Others Not approved FRUs A Non- 24 X 7 Approval of State PIP : Chhattisgarh Page 88

98 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks 2.e PHCs A OT 3 technicians/ assitsants A a DH Not approved A b FRUs A f A a A A A A A Other MOs Counsellors RMNCH/FP Counselors ARSH Counselors Honorarium to ICTC counselors for ARSH activities Others (pl specify) Rs 1/- per month for 18 RMNCH/FP counsellors. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities Approved for 63 Feeding Rs.1/m & 63 Rs.45/m. Approval is being granted for six months only and its continuation for the next six months would be Approval of State PIP : Chhattisgarh Page 89

99 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A A Staff for Training Institutes/ SIHFW/ Nursing Training Human Resources Developme nt (Other than above) contingent on compliance of the above mentioned conditionalities Approved for 5 BSc nursing Rs.2/m. Approval subject to: 1) Rational deploymnet of the faculty. 2) These HR will be posted in high priority districts. 3) These faculty will be given 6 week induction training. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities Approved Provident 12% for 6 months. A A A A Other Incentives Schemes (Pl.Specify) HR - Awards Etc. to Emoc HR - Awards Etc. to LSAS Chhattisgar h Rural Medical Corp ( CRMC) Approved Approved Approved. Approval is being granted for 6 months only and its continutation for the next six months would be contingent on compliance of the above mentioned Approval of State PIP : Chhattisgarh Page 9

100 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A A A A A A A HR - Performanc e Based Incentives - DH HR - Performanc e Based Incentive - FRU- other than DH- Hospital Staff HR - Performanc e Based Incentive - Civil Dispensary Staff HR - Performanc e Based Incentive - Non FRU- CHC Staff HR - Performanc e Based Incentive - PHC Staff HR - Performanc e Based Incentive - SHC Staff Support Staff for Health Facilities conditionalities. Details in Annex CRMC Approved Approved Approved Approved Approved Approved A DH Not approved Approval of State PIP : Chhattisgarh Page 91

101 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks 1.a A b A c A d A e A f FRUs Not approved Non FRU Not approved SDH/ CHC 24 X 7 PHC Not approved Non- 24 X 7 PHCs SNCU/ NBSU/ NBCC/ NRC etc Sub-total HR Approved for 1232 Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities Approved for Accountant cum 15/m for 12 units. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities Approval of State PIP : Chhattisgarh Page 92

102 PROGRAMME MANAGEMENT Approval of State PIP : Chhattisgarh Page 93

103 ROAD MAP FOR PRIORITY ACTION: PROGRAMME MANAGEMENT A full time Mission Director is a prerequisite. Stable tenure of the Mission Director (minimum 3 years) should also be ensured. A regular full time Director/ Joint Director/ Deputy Director (Finance) (depending on resource envelope of State), from the State Finance Services not holding any additional charge outside the Health Department must be put in place, if not already done, considering the quantum of funds under NRHM and the need for financial discipline and diligence. Regular meetings of state and district health missions/ societies. Key technical areas of RCH to have a dedicated / nodal person at state/ district levels; staff performance to be monitored against targets and staff sensitized across all areas of NRHM such that during field visits they do not limit themselves only to their area of functional expertise. Performance of staff to be monitored against benchmarks; qualifications, recruitment and training requirements to be reviewed. Delegation of financial powers to district/ sub-district levels in line with guidelines should be implemented. Funds for implementation of programmes both at the State level and the district level must be released expeditiously and no delays should take place. Evidence based district plans prepared, appraised against pre determined criteria; district plans to be a live document. Variance analysis (physical and financial) reports prepared and discussed/action taken to correct variances. Supportive supervision system to be established with identification of nodal persons for districts; frequency of visits; checklists and action taken reports. Remote/ hard to reach/ high focus areas to be intensively monitored and supervised. An integrated plan and budget for providing mobility support to be prepared and submitted for review/approval; this should include allocation to State/ District and Block Levels. All facilities to maintain visitors registers. All supervisors should write their main observations and agreed action/recommendation. Supervisors should sign with their name and post (written legibly) with date of visit. All LHV positions to be filled on a priority basis. The block PHN and DPHN to be part of block and district programme management unit respectively. Similarly a Nursing nodal person to be a part of SPMU. Nursing to be made an integral part of all planning, implementation and monitoring activities. Approval of State PIP : Chhattisgarh Page 94

104 DETAILED BUDGET: PROGRAMME MANAGEMENT FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A.1 PROGRAMME MANAGEMENT A.1.1 A A Strengthening of State society/ State Programme Management Support Unit Contractual Staff for SPMSU recruited and in position State Programme Manager State Accounts Manager Approval for Programme Management staff is being granted for six months only and its continuation for the next six months would be contingent on compliance of condition that Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff A A State Finance Manager State Data Manager Rs lakhs approved. Deatails available in Annx Programme Management A Consultants/ Programme Officers (including for MH/CH/FP/ Approval of State PIP : Chhattisgarh Page 95

105 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A PNDT/ AH including WIFS SHP, MHS etc.) Programme Assistants A Accountants A A A A A A A A A A.1.2 A Data Entry Operators Support Staff (Kindly Specify) Salaries for Staff on Deputation (Please specify) Others (Please specify) State Programme Manager M&E State Programme Manager HMIS Engineer Civil & Eletrical Programmer Strengthening of District society/ District Programme Management Support Unit Contractual Staff for DPMSU recruited and in position District Programme Manager Rs lakhs approved. Details available in Annx Approval of State PIP : Chhattisgarh Page 96

106 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A A District Accounts Manager District Data Manager Programme Management A Consultants/ Programme Officers (Kindly Specify) A Accountants A A A A A Data Entry Operators Support Staff (Kindly Specify) Others (Please specify) District Training Coordinators Hospital Consultant A Sub Engineer A A A.1.3 Assistant DPM (AYUSH) Incentive to Nodal Officers ( Programme ) Strengthening of Block PMU A A A Block Programme Manager Block Accounts Manager Block Data Manager A Accountants Rs lakhs approved. Details available in Annx Program Management Approval of State PIP : Chhattisgarh Page 97

107 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A A Data Entry Operators Support Staff (Kindly Specify) A Others (Please specify) A PADA A.1.4 Strengthening (Others) A Workshops and Conferences Approved for 15 workshops and A AYUSH Cell APPROVAL PENDED SHRC ( Technical support) A Programme Not approved Associate - Biomedical cell ( State ) A Technical Approved support for Tally ( Fin. Mgmt) A Talley Annual Approved Upgradation fees A.1.5 Audit Fees Approved A.1.6 Concurrent 3 3 Approved Audit system A.1.7 Mobility Support, Field Visits A SPMU/State Approved for 4 Rs.3 L/vehicle/annum A DPMU/District Approved for 2 Rs.3 L/vehicle/annum A BPMU/Block Approved A Other Supportive Supervision Approval of State PIP : Chhattisgarh Page 98

108 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks costs A A A A A Travel and supportive supervision of State Nodal officer SPMU Administration DPMU Administration BPMU administration Technical Support to NRHM by SHRC Sub-total Programme Management Not approved. No separate mobility costs being approved this year Rs lakhs approved for Provident Rs. 12% Rs lakhs approved for Provident Rs. 12 % Rs lakhs approved for Provident Rs. 12 % Not approved Approval of State PIP : Chhattisgarh Page 99

109 OTHERS 1 DETAILED BUDGET: TRAINING FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9 TRAINING A.9.1 A.9.2 A A Strengthening of existing Training Institutions (SIHFW, ANMTCs, etc.) Development of training packages Development/ translation and duplication of training materials Other activities (pl. specify) Approved for holding meetings to adopt the modules deveoped for nursing tutors A A A A Development of Training mdules Stregthening of existing training centres Stregthening SIHFW Establishment of Skill Lab Approved for Induction training modules for MOs, SNs and LTs 2 Approval Pended. Not proposed as per the facility wise gap analysis and GoI Roadmap. State needs to do facility wise gap analysis and align with the GoI roadmap before submitting a comprehensive proposal 165. APPROVAL PENDED. State needs to revise the proposal Approved subject to availability of these skill labs in the 1 bedded MCH Wings. Approval of State PIP : Chhattisgarh Page 1

110 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.3 Maternal Health Training A A Skilled Attendance at Birth / SBA Setting up of SBA Training Centres A TOT for SBA A Training of Staff Nurses in SBA A Training of ANMs / LHVs in SBA Approved for setting up 3 training Rs 2 Lakhs/centre Approved Approved Approved for training of 4 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load. A EmOC Training A Setting up of EmOC Training Centres A TOT for EmOC A A A Training of Medical Officers in EmOC Life saving Anaesthesia skills training Safe abortion services training (including MVA/ EVA and Medical abortion) Approval of State PIP : Chhattisgarh Page 11

111 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A A A TOT on safe abortion services Training of Medical Officers in safe abortion RTI / STI Training Approved for 6 MOs. A A A A A A A A BEmOC training for MOs/LMOs Other maternal health training (please specify) State level MDR training ToT District Level Training of MO s in MDR Supportive supervision for SBA training for Mos and RMAs 1 Days BeMoc training for RMAs Blood Storage Unit (BSU) Training Skill Lab Training Approved for 12 MOs A.9.4 IMEP Training Approved for training of state and district officials on MDR, subject to training being conducted as per the GOI Training norms Approved Approved A TOT on IMEP A IMEP training for state and district programme Approved for 21 Rs.37836/training at 1 skill lab/month for 7 months Approval of State PIP : Chhattisgarh Page 12

112 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks managers A A.9.5 A A A A IMEP training for medical officers Child Health Training IMNCI Training (pre-service and in-service) TOT on IMNCI (pre-service and in-service) IMNCI Training for ANMs / LHVs IMNCI Training for Anganwadi Workers F-IMNCI Training A A TOT on F-IMNCI A F-IMNCI Training for 5 Medical Officers A A F-IMNCI Training for Staff Nurses Home Based Newborn Care / HBNC Approved Approved (1 doctors & 1 SNs in each batch) Approved Approved; 12 batches of 24 anganwadi workers in each Approved Approved Approved A TOT on HBNC A A Training on HBNC for ASHA Care of sick children and severe malnutrition at FRUs Approval of State PIP : Chhattisgarh Page 13

113 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A A A TOT on Care of sick children and severe malnutrition Training on Care of sick children and severe malnutrition for Medical Officers Other child health training (please specify) A NSSK Training Since new NRCs are not approved, budget proposed (28.8 lakhs) for training of new NRC staff has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 2 Rs.6, per person Training of MOs for 6 days in another state: 2 Rs.2.55 lakhs/ per batch Block level screening of children in 294 Rs.1587/block Reorientation of feeding deonstrators and cook: 12 persons@ Rs.3/person A A A A A TOT for NSSK Approved NSSK Training for Medical Officers NSSK Training for SNs NSSK Training for ANMs Other Child Health training Approved Approved Approved Approval of State PIP : Chhattisgarh Page 14

114 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A a Ch-IYCF- TOT A b CH- IYCF- District level A c CH- FBNC - Training on Observership A d A e A.9.6 CH- FBNC- Mos and Staff Nurses FBNC TOT for Mos Family Planning Training Approved. Details of expenditure & physical progress to be shared by the state Approved for 1 MO + 14 SN per Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state Approved for 48 Rs.166/per batch Approved for 2 batches only, as there is no possibility for larger numbers to undergo observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size Rs.2.8 lakhs/batch Approved (24 participants in the batch) A A A Laparoscopic Sterilisation Training TOT on laparoscopic sterilisation Laparoscopic sterilisation training for doctors (teams Approved for 6 batches of 4 participants Rs.7124/batch Approval of State PIP : Chhattisgarh Page 15

115 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks of doctor, SN and OT assistant) A Minilap Training A TOT on Minilap A A Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training A TOT on NSV Approved for 4 batches of 4 participants Rs.7124/batch A NSV Training of Approved medical officers A IUD Insertion A TOT for IUD insertion A Training of Medical officers in IUD insertion A Training of staff nurses in IUD insertion A Training of ANMs / LHVs in IUD insertion A Contraceptive update/isd Training A Other family planning training (please specify) A TRG - FP - PPIUCD Insertion Training Approved for 15 batches of 1 participants each Approved for 45 batches of 1 participants each Approved Approval of State PIP : Chhattisgarh Page Approved

116 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks MO/SN/O&G Specialist A TOT for PPIUCD Approved A IUCD 375 insertion training to MOS A A A.9.7 A Training to ANM on IUCD 375 insertion Training of FP Counselors Adolescent Reproductive and Sexual Health/ARSH Training TOT for ARSH training Not approved.goi is in agreement with the activity which may be carried out with IUCD 38 training as a one day orientation, no separate batches required Not approved.goi is in agreement with the activity which may be carried out with IUCD 38 training as a one day orientation, no separate batches required Approved. Budget has been sanctioned as per discussion with state for 2 batches of RMNCH Rs 6/batch for participants/batch A A A Orientation training of state and district programme managers ARSH training for medical officers ARSH training for ANMs/LHVs Approved Approved Approved Approval of State PIP : Chhattisgarh Page 17

117 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A ARSH training for AWWs A Other ARSH training A WIFS training A A A State level/ District Level/ Block Level refresher training ANM/MO/ AWW/ Nodal Teacher Menstrual hygiene training 172, Approved for A SHP training A A A.9.8 A A A A A Training/Refresh er training - ASHA Training/Refresh er training - ANM Programme Management Training (e.g. M&E, logistics management, HRD etc.) Training of SPMSU staff Training of DPMSU staff Training of BPMSU staff Other training (pl. specify) RMAs professional Approved Approved Approved Approved Approval of State PIP : Chhattisgarh Page 18

118 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A A A A A development course TRG - Training of emergency management of Mos TRG - Career Development of MITANIN - BSc Nursing course TRG - Career Development of ANMs - GNM Course PGDDHM Fellowship programme under IGNOU course PC/PNDT training Approved Approved Approved 2 1 Approved for 2 A Others APPROVAL PENDED. State needs provide details of the activity A.9.1 Training (Nursing) A A Strengthening of Existing Training Institutions/Nur sing School excluding infrastructure and HR. New Training Institutions/Sch ool Approved for 2 GNM Trng Rs.19.5 lakhs/trng Inst. (Break up of budget: Rs 15 lakhs for mannequins, Rs 2.5 lakhs for teaching aids, Rs 1 lakh for contingency, Rs 1 lakh for honorarium to tuters) Approval of State PIP : Chhattisgarh Page 19

119 FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.11 A A A Training (Other Health Personnel) Promotional Training of ANMs to lady health visitor etc. Training of ANMs,Staff nurses,aww,a WS Other training and capacity building programmes (nursing tutors etc.) A PGDHM Courses 2 3 Sub-total Training Approved for training of 1 Rs 5/SN and Induction training of 5 newly joined 5/HR Not approved, State needs to propose as per the INC Guidelines Approved for PGDHM training of MOs with 5 yrs service experience Approval of State PIP : Chhattisgarh Page 11

120 OTHERS 2 DETAILED BUDGET: VULNERABLE GROUPS Sr. No. Budget Head Unit Cost (Rs.) Quantity/ Target Proposed (Rs. in lakhs) Approved (Rs. in lakhs) A.11 VULNERABLE GROUPS 23. A.11.1 Planning, including mapping and coordination with other departments A.11.2 A.11.3 A.11.4 Services for Vulnerable groups LWE affected areasspecial plan Other strategies/activities (please specify) Sub-total Groups Vulnerable Remarks APPROVAL PENDED. No details given by the State APPROVAL PENDED. No details given by the State. 18. Approval of State PIP : Chhattisgarh Page 111

121 MISSION FLEXIBLE POOL (MFP) Approval of State PIP : Chhattisgarh Page 112

122 ASHA TARGETS: S. Activity Targets No. 1. ASHAs with Drug kits ASHAs trained in 6 th and 7 th modules 66 ROAD MAP FOR PRIORITY ACTION: Clear criteria for selection of ASHA Well functioning ASHA support system including ASHA days, ASHA coordinators Performance Monitoring system for ASHAs designed and implemented (including analysis of pattern of monthly payments; identification of non/under-performing ASHAs and their replacement; and reward for well performing ASHAs). State to report on a quarterly basis on ASHA s average earnings/ range per month. Timely replenishment of ASHA kits. Timely payments to ASHAs and move towards electronic payment. Detailed data base of ASHAs created and continuously updated; village wise name list of ASHA to be uploaded on website with address and cell phone number. DETAILED BUDGET: S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1 ASHA B 1.1 ASHA Cost: B1.1.1 B B B B Selection & Training of ASHA Module I - IV Module V Module VI & VII Other Trainings Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approval of State PIP : Chhattisgarh Page 113

123 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B B B B B1.1.2 B B B B B1.1.3 Compensation to Mitanin Trainrers Block contingencies Dist Contingencies Cluster meetings of Mitanins Other trainings and activities under Mitanin selection and training Procurement of ASHA Drug Kit Approved as per norms of Rs 15/day for 2 days per month for 12 months Approved (Ongoing activity) Approved (Ongoing activity) Approved (New activity) Approved Rs Lakhs (Ongoing activity). Approval is for Rs 1.16 lakhs for State ToT of District Coordinators, Rs Lakhs for TOT for Block coordinators and Resource persons, Rs lakhs for TOT of Mitanin trainers, and Rs 35. lakhs for books and materials New Kits Approved (Ongoing activity) Replenishment The amount is budgeted under B (ongoing activity) Procurement of ASHA HBNC Kit 72 New Kits Performance Incentive/Other Incentive to ASHAs (if any) Approved (New Activity) Approval of State PIP : Chhattisgarh Page 114

124 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B B B B Incentive under MH (ANC/PNC) Incentive for Maternal Death Reporting Incentive for Home visits to pregnant women for counseling on diet, rest and ANC checkups Incentive for Mitanin/ANM for linking Whole blood finger prick test reactive ANC to ICTC Incentive under CH (HBNC) Approved Rs 5,/- for reporting of expected 1 maternal 5/-. (Ongoing activity) Not approved (New activity) Not approved (Ongoing activity) as no targets are provided. B ASHA incentive for HBNC Approved (Ongoing activity) B B B ASHA incentive for NRC refferal and follow up for post referral NRC cases Infant death reporting Incentive for FP( PPIUCD/others) Not approved as already included under Care of sick children (NRC budget) for 5, 25 per child. Approved (Ongoing activity) B Incentive for Female Sterilisation (after 3 or more living children) Not approved (New activity) Approval of State PIP : Chhattisgarh Page 115

125 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B B B Incentive for Male Sterilisation (after 3 or more living children) Incentive for Sterilisation (after 1st or 2nd child) Incentive for AH Other incentive Not approved (Ongoing activity) Approved Rs 2 lakhs (Ongoing activity) Budget Rs.1/ASHA for 2 sterilizations after one or two children. No payment to ANM is permissible. Approved (Ongoing activity) for motivating couple for spacing of two years after marriage or spacing of 3 or more years between first and second child only. The budget is shifted from B to B B Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections) Approval pended (New activity). State may resubmit the proposal with detailed write up on the activity proposed in the supplementary PIP for reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by Approval of State PIP : Chhattisgarh Page 116

126 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B B Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc) Mitanin Kalyan Kosh ( Mitanin Welfare Activites ) Mitanin Help Desk ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the child for example, by demonstration of the growth curve in the MCP card Approved (Ongoing activity) Approved (Ongoing activity) B B B1.1.4 Mitanin Help Line Mitanin Sammelans Awards to ASHA's/Link workers Approved (Ongoing activity) Approved for (New activity) Approved (Ongoing activity) B1.1.5 ASHA Resource Centre/ASHA Mentoring Group Approval of State PIP : Chhattisgarh Page 117

127 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B B HR At State Level HR at District Level HR at Block Level Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.Salary for the staff is approved at the same unit costs approved in the RoP The budget approved for six months is 5% of approved amount in Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Salary for the staff is approved at the same unit costs approved (Rs 62/p.m) in the RoP Approval of State PIP : Chhattisgarh Page 118

128 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify) Sub Total for ASHA Approval of State PIP : Chhattisgarh Page 119

129 ROAD MAP FOR PRIORITY ACTION: UNTIED FUNDS/ RKS/ AMG Timely release of untied funds to all facilities; differential allocation based on case load. Funds to be utilized by respective RKS only and not by higher levels. Review of practice of utilising RKS funds for procurement of medicines from commercial medical stores and accordingly revisit guidelines for fund utilisation by RKS. Well functioning system for monitoring utilization of funds as well as purposes for which funds are spent. Plan for capacity building of RKS members developed and implemented. RKS meetings to take place regularly. Audit of all untied, annual maintenance grants and RKS funds. The State must take up capacity building of Village Health & Sanitation Committees Rogi Kalyan Samitis and other community! PRI institutions at all levels The State shall ensure regular meetings of all community Organizations, District and State Mission with public display of financial resources received by all health facilities The State shall also make contributions to Rogi Kalyan Samitis DETAILED BUDGET: UNTIED FUNDS/ RKS/ AMG S. No. Budget Head B2 Untied Funds B2.1 Untied Fund for CHCs/SDH B2.2 Untied Fund for PHCs B2.3 Untied Fund for Sub Centres Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status Approved (Ongoing activity) for 149 CHCs at the rate of Rs 5 per facility Approved (Ongoing activity) for 755 PHCs at the rate of Rs 25 Approved (Ongoing activity) for 5111 Sub Centers at the rate of Rs 1 Approval of State PIP : Chhattisgarh Page 12

130 S. No. Budget Head B2.4 Untied fund for VHSC B2.5 Others Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status Approved (ongoing activity) for 1885 VHSNCs as mentioned in the annexure sheet provided with the PIP at the rate of Rs 1. The amount approved is adjusted for the fund approved in for 1458 VHSNCs which have not been constituted. Not approved as Untied Funds was not approved for Civil Hospitals in Sub Total Untied Funds B.3 Annual Maintenance Grants (only for Government institutions) B3.1 CHC B3.2 PHCs B3.3 Sub Centres B Staff Quarters Sub Total of Annual Maintenance Grants Approved (Ongoing activity) for 135 CHCs functioning at Government buildings as per RHS 212 at the rate of Rs 1 lakh Approved (Ongoing activity) for 429 Rs 5 Approved (Ongoing activity)for 274 Sub Centers functioning at Government buildings as per RHS 212 at the rate of Rs 1. Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y Approval of State PIP : Chhattisgarh Page 121

131 S. No. Budget Head B.6 Corpus Grants to HMS/RKS Quanti ty / Target Unit Cost ( Rs) B6.1 District Hospitals 26 1 Budget (Rs. Lakhs) 26 B6.2 CHCs B6.3 PHCs B6.4 Other or if not bifurcated as above Approved Approval Status Approved (Ongoing activity) for 26 DHs at the unit cost of Rs 5 Lakhs Approved (Ongoing activity) for 148 CHCs which have registered RKS (as per the MIS report submitted by the state on ) at the unit cost of Rs 1 lakhs Approved (Ongoing activity) for 71 PHCs which have registered RKS (as per the MIS report submitted by the state on )at the unit cost of Rs 1 lakhs Not approved since no details of the activities have been provided B6.5 SDH Sub Total of Corpus Grants Approved (Ongoing activity) for 13 SDHs at the unit cost of Rs 5 Lakhs Approval of State PIP : Chhattisgarh Page 122

132 NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP ROAD MAP FOR PRIORITY ACTION: 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 projected accordingly. Funds would not be permissible for constructions/ works that spill over beyond the stipulated timeframe. Standardized drawing/ detailed specifications and standard costs must be evolved keeping in view IPHS. Third party monitoring of works through reputed institutions to be introduced to ensure quality. Information on all ongoing works to be displayed on the NRHM website Approved locations for constructions/ renovations will not be altered All government health institutions in rural areas should carry a logo of NRHM as recognition of support provided by the Mission in English/ Hindi & Regional languages. DETAILED BUDGET: NEW CONSTRUCTIONS/ RENOVATION AND SETTING UP B5 Budget Head Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) New Constructions (proposed for the coming year) Approv ed Approval Status B5.1 CHCs B5.2 PHCs Approved only for one PHC in Mungeli District Approval of State PIP : Chhattisgarh Page 123

133 Budget Head Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B5.3 SHCs/Sub Centres Approv ed Approval Status Approved Rs lakhs for a total of 9 sub centers as following a. 1 Sub center with minimum 2 deliverieries per month in High Priority Districts 3 b. 1 Sub Center with miniumum 2 deliveries in LWE and Tribal Districts 4 c. 7 Sub Centers with minimum 3 deliveries in non High Priority, non LWE, non Tribal Districts B5.4 Setting up Infrastructure wing for Civil works B5.6 Construction of BEmONC and CEmONC centres B.5.9 Civil Works for Operationalising Infection Management & Environment Plan at health 3 facilities B.5.1 Infrastructure of Training Institutions The districts considered as High Priority districts for sanctioning new constructions are Bijapur, Bilaspur, Dantewada, Jashpur, Surguja and the following districts which have been part of the before mentioned districts namely, Balrampur, Mungeli, Sukma and Surajpur. 4 The districts which are included in the Integrated Action Plan by the Planning Commission of India have been considered for LWE and Tribal Areas. Approval of State PIP : Chhattisgarh Page 124

134 B B Budget Head Strengthening of Existing Training Institutions/Nursin g School( Other than HR)- --- Infrastructure for GNM Schools and ANMTC New Training Institutions/School (SIHFW/GNMTC/A NMTC etc) Quanti ty / Target Sub Total of New Constructions and Renovations Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed Approval Status Not approved (New activity) Approval pended (New activity) until state submits detailed DPR and budget requirements Approval of State PIP : Chhattisgarh Page 125

135 PROCUREMENT ROAD MAP FOR PRIORITY ACTION: Strict compliance of procurement procedures for purchase of medicines, equipments etc as per state guidelines. Online real time inventory management to be practiced. Competitive bidding through open tenders and transparency in all procurements to be ensured. Only need based procurement to be done strictly on indent/requisition by the concerned facility. Procurement to be made well in time & not to be pushed to the end of the year. Audit of equipment procured in the past to be carried out to ensure rational deployment. Annual Maintenance Contract (AMC) to be built into equipment procurement contracts. A system for preventive maintenance of equipment to be put in place. Unit Costs in relation to the various types of procurement including printing etc.are only indicative for the purpose of estimations. However, the actual expenditure must be incurred after following rules and due es. The competitive and transparent bidding should be ensured as well as only need based procurement must take place BUDGET: PROCUREMENT OF EQUIPMENTS AND DRUGS S. No. Budget Head B.16 PROCUREMENT Quantit y / Target B16.1 Procurement of Equipment B B B Procurement of equipment: MH Equipments for Blood Banks/ BSUs MVA /EVA for Safe Abortion services Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status Approved (Ongoing activity) B Others (please specify) B Procurement of equipment: CH Approval of State PIP : Chhattisgarh Page 126

136 S. No. Budget Head B Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) NBSU Approved Approval Status Not approved since no new NBSU is approved B B B B NBCC Sishu Sanrakshan Mah (SSM) Genset for SNCU ( for 12 SNCUS) Procurement of equipment: FP Not approved as no new NBCCs approved. State has to operationalise already sanctioned NBCCs and then new centres should be planned. Approved (New activity) B B B B B B NSV kits IUCD kits minilap kits laparoscopes PPIUCD forceps Other (please specify) Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved Rs lakhs for 35 Rs. 55/forceps B Procurement of equipment: IMEP B B Bins and golves for Biomedical waste Personal Protection Kits to service Approved (New activity) Rs lacs for purchasing of bins Rs 2/- and gloves (7.2 1/- Not approved (New activity) Approval of State PIP : Chhattisgarh Page 127

137 S. No. Budget Head delivery staff Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B Procurement of equipment other than above Equipments for ARSH/ School Health B Equipments for ARSH Clinics B B B B B.16.2 Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens Charts) Equipments for Training Institutes Equipments for AYUSH Procurement of Others/Diagnostics Sub Total of Procurement of Equipments Procurement of Drugs and supplies Not approved as no programme component is proposed. The proposed utilisation of carry forward budget of Rs 73 lakhs towards procurement of dental chairs is not approved. Approval pended (New activity) for evaluation of Ayurved Gram by NHSRC. B Drugs & supplies for MH B RTI /STI drugs and consumables B Drugs for Safe Abortion Approved Rs 4.5 3/- for 15 cases (ongoing activity) Approval of State PIP : Chhattisgarh Page 128

138 S. No. Budget Head B Others (Please specify) Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B B RPR Kits Whole blood finger prick test for HIV Drugs & supplies for CH B B B B B Drugs of Sishu Sanrakshan Mah Drugs & supplies for FP Supplies for IMEP Purchase of Bleaching powder and Phenyle under Bio-Medical Waste maangement General drugs & supplies for health facilities Rs lakhs is approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,=3.25 Lakhs; Rs..7 x 25,, tabs Albendazole=17.5 lakhs; IFA syrup 12,, bottles x Rs. 7=84.; IFA small tablet 4,5,, tabs x Rs..12=54. lakhs. of IFA revised as there is no wastage factor to be applied and based on 7% expected coverage. Approval of State PIP : Chhattisgarh Page 129

139 S. No. Budget Head B Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) IPD Approved Approval Status Approved for Rs. 231 lakhs for replenishment of ASHA Drug kits only subject to the condition that State to replenish the drug kits from the PHC/SCs. B OPD 231. Approval pended for general drugs proposed. The State to ensure free drug policy, robust procurement management system, corporation like TNMSC, IT enabled drug logistic management systems, EDL, prescription audit etc. and adequate State budget. State to also prepare and submit EDL for Delivery ponts and Non Delivery Points, and medical colleges. The state may relook EDL prepared for DH & FRUs. B Drugs & supplies for WIFS B B Albendazole IFA 332,149,596 11,237, Approved. Budget shifted from B Approved. Budget shifted from B Approval of State PIP : Chhattisgarh Page 13

140 S. No. Budget Head B Drugs & supplies for SHP Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B B Drugs & supplies for UHCs Drugs & supplies for AYUSH SubTotal of Procurement of Drugs Total of Procurement of Equipments and Drugs Approval of State PIP : Chhattisgarh Page 131

141 MOBILE MEDICAL UNIT (MMU) ROAD MAP FOR PRIORITY ACTION: Route chart to be widely publicised GPS to be installed for tracking movement of vehicles Performance of MMUs to be monitored on a monthly basis (including analysis of number of patients served and services rendered). MMUs to be well integrated with Primary Health Care facilities and VHND. Engagement with villa to be visited for services to children below 6 years of age AWCs to maintain record of services rendered Service delivery data to be regularly put in public domain on NRHM website. A universal name National Mobile Medical Unit to be used for all MMUs funded under NRHM. Also uniform color with emblem of NRHM (in English/ Hindi & Regional languages), Government of India and State Government to be used on all the MMUs. BUDGET: MMU S. No. Budget Head B11 Quan tity / Targ et Unit Cost ( Rs) Budget (Rs. Lakhs) Mobile Medical Units (Including recurring expenditures) B Capex B Opex B HR B Training/orientation B Others Approve d B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units B Capex Approval Status Approval Pended (new activity) subject to State implementing National MMU Guidelines for all the running MMUs under NRHM Sub Total for MMU Approval of State PIP : Chhattisgarh Page 132

142 REFERRAL TRANSPORT ROAD MAP FOR PRIORITY ACTION: Free referral transport to be ensured for all pregnant women and sick neonates accessing public health facilities. Universal access to referral transport throughout the State, including to difficult and hard to reach areas, to be ensured. A universal toll free number to be operationalized and 24x7 call centre based approach adopted. Vehicles to be GPS fitted for effective network and utilization. Rigorous and regular monitoring of usage of vehicles to be done Service delivery data to be regularly put in public domain on NRHM website. All patient/referral transport vehicles engaged under NRHM to be branded as National Ambulance Service and NRHM logo should be used extensively. BUDGET: REFERRAL TRANSPORT S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B12 Referral Transport/Patient transport System B12.1 Ambulance/EMRI Capex B B State basic ambulance/ 12 Capex Advanced life support Capex B12.2 Operating Cost /Opex for ambulance 3 75 Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM Not approved (New Activity) Approval of State PIP : Chhattisgarh Page 133

143 S. No. Budget Head B B B B B B State basic ambulance/12 Opex Operating Cost /Opex for ASL ambulance Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Opex EMRI-BLS Opex EMRI-ALS HR Basic ambulance HR advanced life support ambulances Approved Approval Status Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM B B Training/orientation 2.75 Others B B B B B Medical consumables Ambulance repiars/maitenance/i nsurance Fuel cost Communication cost Administrative expenses Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM B B B Marketing expenses Third Party Evaluation of Referral Transport Upgradation of Ambulance (EMRI- 18)-BLS to ALS Total of Referral Transport Approval of State PIP : Chhattisgarh Page 134

144 ROAD MAP FOR PRIORITY ACTION: MAINSTREAMING OF AYUSH State to co-locate AYUSH in district hospitals and provide post graduate doctors for at least two streams: Ayurveda and homoeopathy (or Unani, siddha,yoga as per the local demand). Panchakarma Unit should also be considered. OPD in Ayush clinics will be monitored alongwith IPD/OPD for the facility as a whole. The AYUSH pharmacist/compounder to be engaged only in facilities with a minimum case load. Adequate availability of AYUSH medicines at facilities where AYUSH doctors are posted to enable them to practice their own system of Medicine without difficulty. At CHCs and PHCs any one system viz., Homeopathy/Ayurveda/ Unani/Sidha to be considered depending on local preference. At CHC/PHC level, Post-Graduate Degree may not be insisted upon. District Ayurveda Officer should be a member of District Health Society in order to participate in decision making with regard to indent, procurement and issue of AYUSH drugs. Infrastructure at facilities proposed to be collocated would be provided by Department of Ayush. Those PHC/CHC/Sub-Divisional hospitals which have been identified as delivery points under NRHM should be given priority for collocation of Ayush as these are functional facilities with substantial footfalls. Ayush medical officers should increasingly be involved in the implementation of national health programmes and for the purpose of supportive supervision and monitoring in the field. They should be encouraged to oversee VHND and outreach activities and in addition programmes such as school health, weekly supplementation of iron and folic acid for adolescents, distribution of contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc. Ayush medical officer should also be member of the RKS of the facility and actively participate in decision making. AYUSH doctors need to be provided under NRHM first in the remotest locations and only thereafter in better served areas. Approval of State PIP : Chhattisgarh Page 135

145 BUDGET: MAINSTREAMING AYUSH S. No. Budget Head B9 Mainstreaming of AYUSH Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B.9.1 B Medical Officers at CHCs/ PHCs (Only AYUSH) Non FRU SDH/ CHC Not approved (New activity) B B X 7 PHC Non- 24 X 7 PHCs/ APHCs Approved for 6 months for 1 AYUSH 2 per month) and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Approved for 3 months Rs 2/month subject to immediately sharing the findings of the study conducted by SHSRC on the activity of prevention of Malaria using homeopathic medicines with the ministry. Its continuation beyond 3 months Approval of State PIP : Chhattisgarh Page 136

146 S. No. Budget Head B.9.2 Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH) B9.3 Other Activities (Excluding HR) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status would be only with the approval of the ministry. If no specific approval received beyond June 213, state may examine ways to utilise the AYUSH doctors engaged and proposed. 1. B9.3.1 B9.3.2 Prevention of Malaria throuhg Homeopathic medicines Prevention of Disability in Leprosy cured persons throuhg AYUSH Approval pended (Ongoing activity). State to immediately share the findings of the study conducted by SHSRC on the activity. Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the program in the previous year and justify the increase in cost proposed. Approval of State PIP : Chhattisgarh Page 137

147 S. No. Budget Head B9.3.3 Yoga Popularisation in Ayurved gram Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the program in the previous year. B9.3.4 B9.3.5 Provision of pure Drinking Water in Ayurved gram Munga Plantation in 1 Ayurgrams Approved (New activity) B9.4 Training Approved (Ongoing activity) subject to provision of the specific training plan, national health programmes to be covered, the skill to be provided to the AYUSH doctors as well as their job descrption and deployement after the training. Total of Mainstreaming AYUSH Approval of State PIP : Chhattisgarh Page 138

148 IEC/BCC ROAD MAP FOR PRIORITY ACTION: Comprehensive IEC/ BCC strategy prepared. IPC given necessary emphasis and improved intersectoral convergence particularly with WCD. Details of activities carried out to be displayed on the website BUDGET: IEC/BCC S. No. Budget Head B1 IEC-BCC NRHM Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.1 Strengthening of BCC/IEC Bureaus (state and district levels) B.1.1 B.1.2 B B B B B B B B Development of State BCC/IEC strategy Implementation of BCC/IEC strategy BCC/IEC activities for MH 6 Mass media Mid-media 15.5 BCC/IEC activities for CH Mass media 17.8 Mid-media 68.5 BCC/IEC activities for FP Mass media 61.6 Approval of State PIP : Chhattisgarh Page Approval pended (New Activity) Approved (ongoing activity) for IEC/BCC activities of activites of MH, CH, FP, ARSH, AYUSH, SMS, printing and other activites mentioned in the budget head. The approval under RBSK subject to the condition that State to ensure RBSK on all support IEC for branding of 15 programme. The RBSK guideline and details to be used for developing these IECs and communication materials at School and Anganwadis. The

149 S. No. Budget Head B B B B B B Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status Mid-media BCC/IEC activities for ARSH budget shifted from A for printing of PPIUCD registers is included in this budget. Mass media Mid-media 6 Other activities (please specify) IPC initiatives/tools B.1.3 Health Mela 154. B.1.4 Creating awareness on declining sex ratio 58.5 issue B.1.5 Other activities B B Printing of MCP cards, safe motherhood booklets etc Printing of WIFS cards etc Approved Rs 9 lakhs. This includes approval of Rs 3 Lakhs for printing of MCP Rs 1/- for 3 lakhs pregnant women, and Rs 6 Lakhs for printing of Safe Motherhood Rs 2/- for 3 lakhs pregnant women. Approved (New activity) B Other printing Approval of State PIP : Chhattisgarh Page 14

150 S. No. Budget Head B Reporting Mechanism formats (WIFS) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d 2.25 Approval Status Approved (New activity) B B B Printing of Maternal Health Training Modules Printing of Labor room register, OPD /IPD registers for PHCs & CHCs Approved (New activity) Rs 1 lacs for printing of MH training modules. The state has to ensure that it should be on competitive bidding as per the guidelines released this year, MNH Toolkit, Nursing Roadmap and Skills Lab Approved (New activity) Rs 25 lacs for printing of Labor room register, OPD /IPD registers for PHCs & CHCs Total of IEC/BCC Approval of State PIP : Chhattisgarh Page 141

151 MONITORING AND EVALUATION (HMIS)/MCTS ROAD MAP FOR PRIORITY ACTION: HR and Infrastructure. For optimum utilisation of resources, State should integrate manpower, infrastructure, trainings, reviews, field visit etc for HMIS & MCTS since in most cases the persons to be trained, called for reviews and making field visits are same HMIS data reporting, improving data quality and its use State to ensure that 1 % HMIS facility wise data is uploaded, validated and committed; data for the month should be available by the 15 th of the following month Mission Director and Program Managers at all level to use HMIS data for monthly reviews. SAS software may be extensively used for State level analysis and feedback to be shared with GOI Regular field visits for trouble shooting, Data quality checks, clarification of conceptual issues regarding HMIS. Capacity building (Online/offline training, Refreshers training, Workshop etc) to be conducted as proposed in PIP Involvement of Regular Statistical Officials along with contractual staff for monitoring and data quality checks. Program managers at all levels use HMIS for monthly reviews. MCTS to be made fully operational for regular and effective monitoring of service delivery including tracking and monitoring of severely anemic women, low birth weight babies and sick neonates. Pace of registration under MCTS to be speeded up to capture 1% pregnant women and children MCTS call centre to be set up at the State level to check the veracity of data and service delivery. Regular feedback on HMIS and MCTS to district/blocks/facilities to be ensured. HMIS formats are under rationalization, so Printing of formats, registers may only be done after consulting MOHFW. Registration of Births and deaths: Strengthen birth and deaths registration and issue birth certificates before discharge from facility and ensure information flow from lower levels to chief registrar of births and deaths Approval of State PIP : Chhattisgarh Page 142

152 Improve reporting of births and deaths (especially deaths) in HMIS portal. BUDGET: MONITORING AND EVALUATION S. No. Budget Head B15 Quantity / Target Unit Cost ( Rs) Planning, Implementation and Monitoring Budget (Rs. Lakhs) Approved Approval Status B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level) B15.1. State level B15.1. District level B Block level B15.1. Other 4 B15.2 Quality Assurance Approved (New activity) Approved (Ongoing activity) Approved (Ongoing Rs per block which is the unit cost approved for the F.Y B Quality Assurance Committees at State level Approved with the following conditions (a) the state develops / adopts standard treatment guidelines (STG), (b) periodically conducts sensitization workshop on usage of STGs, (c) Internal Monitoring, and (d) Conduct of prescription audits at sample facilities followed by dissemination of the audit findings. Approval of State PIP : Chhattisgarh Page 143

153 S. No. Budget Head B B B B B B B B B Quality Assurance Committees at District level Grievance handling system Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Review meetings State District Block Approved Others NABH implementation Bio-medical Initiatives ( Authorisation and cell) B15.3 Monitoring and Evaluation B B B B B B Monitoring & Evaluation / HMIS /MCTS HR for M&E/HMIS/MCTS MIS Consultant/ Manager/ Coordinators Statistical Assistant/ Data Analyst MIS/ M&E Assistants Data Entry Operators Approval Status Approval pended until state submits a revised proposal which includes all the delivery points for monitoring and supervision. Not approved (New activity) Not approved (New activity) Approved (New activity) for authorization from CG Environment Control Board at the rate of Rs 1 lakhs for 27 districts Not approved (New activity) Approval of State PIP : Chhattisgarh Page 144

154 S. No. Budget Head B Others (Please specify) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 1 Approved 1 Approval Status B B GIS Mapping & Faciity survey of health facilties Third Party Evaluation of Mitanin (ASHA) programme Approved (New activity) subject to sharing GIS information with Statistics division, MoHFW. The work should be done based on competitive bidding and by following Government Protocols Approved (New activity). Services of Population Research Institute, Sagar may be considered B B a Computerization HMIS and e- governance, e- health HMIS Operational Cost (excluding HR & Trainings) Approved for six month as expenditure details of are not given 93.3 Internet Connectivity State level : 6x25=1.5 lakh District level:27x6x5=8.1 lakh Block Level:146x6x2=17.52 lakh PHC level:5x6x75=22.5 lakh Consumables and other accessories State level:1x6x5=.3 lakh District level:27x6x3=4.86 lakh Block Level:146x6x2=17.52 Approval of State PIP : Chhattisgarh Page 145

155 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status lakh PHC level:7x6x5=21 lakh Procurement should be based on competitive bidding and by following Government protocols B b B c B d Procurement of Computers/ printers/ cartridges etc. Maintenance of Computers/ AMC/ etc. Other Office and admin expenses B a B b B c MCTS Operational Cost (excluding HR & Trainings) Procurement of Computers/ printers/ cartridges etc. Maintenance of Computers/ AMC/ etc Approved only for 146 desktop with 6/- for Block data Assistants. Procurement should be based on competitive bidding and by following Government protocols. Rs 1/- per computer for 884 computers B d Other Office and admin expenses B Other M & E Activities B HMIS Training Approved Rs.5.75 Rs 3 per day per person for 1 training per person per year based on Approval of State PIP : Chhattisgarh Page 146

156 S. No. Budget Head B B B B B B Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status MCTS Training costing for 3 days combined training for HMIS and MCTS. approved is indicative figure and actual amount would be based on actual expenditure. TA / DA and other expenditure should be as per extant rules. Mobility Support for HMIS/ MCTS Review Meetings for HMIS Review Meetings for MCTS Data Validation Call Centers - CAPEX Data Validation Call Centers - OPEX Approved (New activity) Rs.2.95 per district and Rs.25 for State level per annum Approved for 1 day combined review of HMIS and MCTS for minimum two reviews at State level per year, at least one review every quarter at District level and at least one review per month at Block level. TA / DA and other expenditure should be as per extant rules. Approved (New activity). Procurement should be based on competitive bidding following Government Protocols. State must ensure that the contact details of all the ASHA/ANM and beneficiaries should be validated and services given to the beneficiaries to be verified and same should get reflected in MCTS. Not approved (New activity) B e-governance Initiative 47. Not approved (New activity) Approval of State PIP : Chhattisgarh Page 147

157 S. No. Budget Head B B B B B Hospital Management Softwares Others Printing of formats and Composite RCH register Monitoring Data Collectiona dn data Quality State Review Mission Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Rs 2/ X 12 months Approval Status Not approved (New activity) Approved Rs 1.3 Rs.4 per page for HMIS and Rs lakh for MCTS Rs 15 per register and not more than 2 registers per ANM. State should consult MoHFW before printing. Register must be compatible with the MCTS (Integrated RCH) register designed by MoHFW and shared with the state. Printing should be done based on competitive bidding and by following Government Protocols. State may show a sample register to MoHFW before proceeding with the printing. This is an indicative figure and actual would depend upon actual expenditure. Not approved (New activity) Approved (Ongoing activity) subject to state sharing the report of SRMs conducted in with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website Approval of State PIP : Chhattisgarh Page 148

158 S. No. Budget Head B B Mobile based MCTS reporting system V-Sat Connectivity Quantity / Target Unit Cost ( Rs) 15 1 Budget (Rs. Lakhs) Approved Approval Status State may continue the on-going activity for Dhamtari district out of unspent funds available for this activity with the State. Approval pended for rollout in the whole State. State to share the details of success of pilot project done in Dhamtari district as reflected in MCTS data with MoHFW Approval pended. State should share a concept note mentioning the details of Capex, Opex, number of terminals, bandwidth cost, technical architecture, the purpose for which connectivity would be used and how this will help HMIS / MCTS with MoHFW. State may also explore the possibility of getting connectivity from SWAN Total of Monitoring and Evaluation Approval of State PIP : Chhattisgarh Page 149

159 BUDGET: HOSPITAL STRENGTHENING OTHERS S. No. Budget Head B.4 Hospital Strengthening Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals B4.1.1 District Hospitals B Additional Building/ Major Upgradation of existing Structure B Repair/ Renovation B Spillover of Ongoing Works B Staff Quarters B4.1.2 CHCs Not approved (New activity) Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y B B Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 9 Not approved (New activity) B Spillover of Ongoing Works Approved (Ongoing activity) subject to the condition that the work will be completed in the Approval of State PIP : Chhattisgarh Page 15

160 S. No. Budget Head Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status F.Y B Staff Quarters B4.1.3 PHCs B B B Additional Building/ Major Upgradation of existing Structure Repair/ Renovation Spillover of Ongoing Works B Staff Quarters 4 B4.1.4 Sub Centres Approved (Ongoing activity) on condition that the work will be completed in the F.Y Not approved (New activity) Approved (Ongoing activity) on condition that the work will be completed in the F.Y B Additional Building/ Major Upgradation of existing Structure Approval pended (New activity) until state submits the service delivery data of the sub centers proposed for solar electrification. Approval will be subject to the report by NHSRC on proposal evaluation and site assessment. Subcenters only Approval of State PIP : Chhattisgarh Page 151

161 S. No. Budget Head B Repair/ Renovation Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved 2.5 Approval Status in identified High Priority Districts and districts which have performance below state average will be considered. Not approved (New activity) B Spillover of Ongoing Works B ANM Quarters 4 B4.1.5 Others (MCH Wings) B B B B (Absolutely) New / Rented to Own Building Additional requirement from previous work Carry forward /Spillover of Ongoing Works 477 Other construction Approved (Ongoing activity) Approved the 2nd Instalment for Rs 47.7 crores for the 35 existing MCH Wings, (12 MCH Wings (1 bedded) and 23 MCH Wings (5 bedded). Approval of State PIP : Chhattisgarh Page 152

162 S. No. Budget Head B Gap improvements in co-located centres of PHC/CHC-AYUSH Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B4.1.6 SDH Approved Approval Status Approval pended (New activity) until state submits list of facilities proposed, facility wise AYUSH OPD data and a note on proposed value addition by the activity. Total of Hospital Strengthening Approval of State PIP : Chhattisgarh Page 153

163 BUDGET: PANCHAYATI RAJ INITIATIVE S. No. B8 Budget Head Panchayati Raj Initiative B8.1 Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved 6 Total of Panchayati Raj Initiative Approval Status Approved (New activity) BUDGET: HEALTH ACTION PLANS S. No. Budget Head B7 Health Action Plans Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B7.1 State B7.2 District B7.3 Block Approved Approval Status Approved activity) (Ongoing Approved (Ongoing activity) subject to the condition that District Level ROPs and DHAPs to be uploaded in the State s NRHM website. Approved subject to the condition that Block Level ROPs and BHAPs to be uploaded in the State NRHM website. Total for Health Action Plans Approval of State PIP : Chhattisgarh Page 154

164 BUDGET: PPP/NGOS S. No. Budget Head B13 PPP/NGOs Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B13.1 Non governmental providers of health care RMPs B13.2 Public Private Partnerships (Out Sourcing set up, if applicable for State, to be budgeted under this head) B Out soursing PHC 52 B B B Grant in Aid to RK Mission Setting up of PPP cell in the state Outsourcing of Diagonastic services Approved Approval Status Approval pended subject to the State submitting the criteria set for selecting the agency and the proposed ToR. Approved (Ongoing activity) Approval pended (New activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis. Not approved (Ongoing activity). State may revise the proposal based on the GoI recommendations and submit in the supplementary PIP. Approval of State PIP : Chhattisgarh Page 155

165 S. No. Budget Head B Outsourcing Biomedical Wastage Management Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B Approved Approval Status Not approved (New Activity) in the present form. State may revise the proposal and submit in the supplementary PIP Carry forward is not approved since the activity is not specified B PPP Monitoring Cell by SHRC B13.3 NGO Programme/ Grant in Aid to NGO B Support to CGNP+ 2 Approval pended (New activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis. Total of PPP/NGOs Approval of State PIP : Chhattisgarh Page 156

166 BUDGET: INNOVATIONS S. No. Budget Head B14 Innovations( if any) Quant ity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B14.1 Intersectoral convergence B14.2 District Specific Plans Approved Rs 6 lakhs for Anti-Venum Vaccine in Sarguja (New activity) Thanagudi at Bijapur and NRHM Office cum training centers for districts are not approved. Total of Innovations BUDGET: STATE LEVEL HEALTH RESOURCE CENTRE S. No. Budget Head B21 SHSRC Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B.21.1 SHSRC - HR 14 B.21.2 Other cost 5 Approved 5 Approval Status Approved (Ongoing activity) for six months only at the same rate as approved in It's continuation would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Not approved Total of SHSRC 19 5 Approval of State PIP : Chhattisgarh Page 157

167 NATIONAL DISEASE CONTROL PROGRAMMES (NDCPs) Approval of State PIP : Chhattisgarh Page 158

168 NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP) ROAD MAP Priority Actions to be carried out by State/UTs (i) to achieve goal to bring the prevalence of IDD to below 5% in the entire country by 217 and (ii) to ensure 1% consumption of adequately iodated salt (15ppm) at the household level under National Iodine Deficiency Disorders Control Programme: 1. Establishment of State IDD Cell, if not established in the State/UT for implementation programme activities. 2. Establishment of State IDD monitoring laboratory, if not established in the State/UT for conducting quantitative analysis of iodized salt and urine for iodine content and urinary iodine excretion. 3. All the sanctioned posts i.e. Technical Officer, Statistical Assistant, LDC/DEO, Lab Technician and Lab Assistant of State IDD Cell and State IDD Monitoring Laboratory should be filled on regular/contractual basis on priority for smooth implementation of programme. 4. Supply, availability and consumption of adequately iodized salt in the state should be monitored. 5. District IDD survey/re-surveys should be undertaken as per NIDDCP guidelines to assess the magnitude of IDD in the respective districts as approved in the PIP and reports accordingly submitted. 6. Procurement of salt testing kits for endemic districts by State/UT for use of ASHA/Health Personnel for creating awareness & monitoring of iodated salt consumption at household level. Monthly reports are to be submitted as per the prescribed proforma. 7. ASHA incentives Rs. 25/- per month for testing 5 salt samples per month in endemic districts should be made available on regular basis to ASHA. 8. Health education and publicity should be conducted with more focus in the endemic districts emphasizing about IDD and promotion of consumption of adequately iodized salt. Should observe Global IDD Celebrations on 21 st October by conducting awareness activities at various level and submission of reports. Approval of State PIP : Chhattisgarh Page 159

169 DETAILED BUDGET: NIDDCP FMR Code Activity Unit cost (wherever applicable) Physical target Proposed Approved Remarks D IDD D.1 Establishme nt of IDD Control Cell- D.1.a D.1.b Technical Officer Statistical Assistant D.1.c LDC Typist 1 D.2 IDD Monitoring Lab- 1 1 Implementa tion & monitoring of the programme Monitoring of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines Filling up of sanctioned vacant posts i.e. Technical Officer, Statistical Assistant & LDC on regular/contract basis on priority. State Government may conduct and co-ordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format The vacant sanctioned post of Lab Technician & Lab Asst. should be filled on regular/ contract basis on priority. State Government may conduct quantitative analysis of salt & urine as per NIDDCP Guidelines and furnish monthly/quarterly statements. D.2.a Lab Technician 1 D.2.b Lab. Assistant 1 D.3 Health Education & Publicity Increased awareness about IDD and iodated salt IDD publicity activities including Global IDD Day celebrations at various levels. Approval of State PIP : Chhattisgarh Page 16

170 FMR Code Activity Unit cost (wherever applicable) Physical target Proposed Approved Remarks D.4 IDD Survey/resu rvey Rs. 5, per district 4 districts State Government may under take 4 districts IDD survey as per guidelines and furnish report. D.5 Salt Testing Kits to be procured by state Government for 2 endemic districts 12 STK per annum per ASH A Creating iodated salt demand and monitoring of the same at the community level ** State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 2 endemic districts i.e. Bilaspur and Raigar D.6 ASHA Incentive Rs. 25/- per month for testing 5 salt sample/mo nth 5 salt samples per month per ASHA in 2 endemic district 4.6 ** Total for IDD 141.4* 24. * Including fund proposed for Operational expenses of IDD Cell, workshop and review meetings which are not allowed under the Programme ** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 2 endemic districts funds will be released through flexi pool of NRHM by GOI. Approval of State PIP : Chhattisgarh Page 161

171 INTEGRATED DISEASE SURVEILLANCE PROGRAMME (IDSP) Priority Actions to be carried out by the State: There are 29 vacant posts of technical contractual staff (27 Epidemiologists, 1 Microbiologist & 1 Entomologist) under IDSP in the State. The State needs to expedite the recruitment of these staff. The training of Master trainers (ToT) and 2-week FETP for District Surveillance Officers under IDSP has been completed for the State/Districts. However, the State may give the additional list of participants to be trained for ToT and 2-week FETP. Presently all 18 Districts are reporting regularly on IDSP portal. Presently only 8%, 74% and 56% of all the Reporting Units are reporting weekly surveillance data respectively in S, P & L-form through IDSP Portal. The State needs to ensure regular weekly reporting of all surveillance data (S, P, L) by all the Reporting Units of all Districts through IDSP Portal. The State has to ensure consistent reporting of L form in portal by the district priority lab at JLN Medical College, Raipur. Appropriate clinical samples need to be sent for the required lab investigations for all outbreaks. In 212, clinical samples were sent for laboratory investigation for 11% of the disease outbreaks in which 8% were lab confirmed. The State needs to send full investigation report for each disease outbreak. Presently, such investigation reports are not available for outbreaks. Non-negotiable IDSP priorities for the State would be: a) Dedicated State Surveillance Officer (SSO) for implementation of IDSP. b) All States/UTs to provide weekly report on the disease surveillance data on epidemic prone diseases and the weekly outbreak report regularly through portal. c) All the States/UTs to timely submit their Statement of Expenditure, Utilization Certificate and Audit reports. d) Every State/UT will undertake in-depth review of IDSP at least once in a year and will share the report with Central Surveillance Unit (CSU), IDSP DETAILED BUDGET: IDSP Approval of State PIP : Chhattisgarh Page 162

172 FMR Code E1 Activity Unit Cost Proposed by state Operational Cost Field Visits Office Expenses Broad Band expenses Outbreak investigations including Collection and Transport of samples Review Meetings Any other expenditure Approved Remarks E 1.2 Laboratory Support District Priority Lab- 1 lab. The State has proposed only Recurring cost for this lab. Referral Network Lab District public health lab equipment District public health lab manpower Sub Total X (3X 5) (5 X 17.9) (2 X 17.9) (5X.81X6) (2X.81X6) District public health lab consumables (5 X 4.93) (2 X 4) Sub Total E.2 Human Resources Remuneration for staff at priority labs has been approved for 6 months initially. E.2.1 E.2.2 Remuneration of Epidemiologists Remuneration of Microbiologists State Epidemiol ogists District Epidemiol ogists State Microbiol ogist 4.8 (.8x1x6) 64.8 (.4x27x6) 3. (.25x1x12) 3.3 (.55x1x6) 64.8 (.4x27x6) 3. (.25x1x12) Remunerations for vacant positions are calculated for 6 months Remunerations for the posts of Epidemiologist, Approval of State PIP : Chhattisgarh Page 163

173 FMR Code Activity Unit Cost Proposed by state District Microbiol ogist at 1 District Priority Lab 2.4 (.4X1X6) E.2.3 Remuneration of 1.5 Entomologists (.25x1x6) Veterinary Consultant 2.4 (.4x1x6) E.3 Consultant-Finance/ 1.68 Procurement (.14x1x12) E.3.1 Consultant-Training/ 3.6 Technical (.4x1x9) Approved 2.4 (.4X1X6) 1.5 (.25x1x6) 2.4 (.4x1x6) 1.68 (.14x1x12) 2.4 (.4x1x6) Remarks microbiologist and Consultant training, for candidates with medical qualifications should be more, than those without medical qualification E.3.2 Data Manager State Data Manager 4.2 (.35X1X12) 2.4 (.2X1X12) District Data Manager 97.2 (.3X27X12) E.3.3 Data Entry Operator (.165 X 31 X 12 ) (.18X27X12) 55.8 (.15 X 31 X 12 ) Sub Total E.8 Training As per NRHM Guidelines Medical Officers.15 X (3 days ) One day training of.215x Hospital Pharmacist / Nurses One day training of.39x Medical College Doctors One day training for Data.15X Entry and analysis for Block Health Team Lab technician (3 days).215x Data managers (2 days).28 X 1.78 DEO cum accountant.28 X 1.84 (2 days) ANM The training of Data manager and Data entry operator has already been conducted in Approval of State PIP : Chhattisgarh Page 164

174 FMR Code For each newly formed (Corporation as district) District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories. E.7 ID Hospital Network Activity Unit Cost Proposed by state Approved Sub Total * Surveillance in Metro Cities * New formed Districts.2X Grand Total for IDSP Remarks Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under IDSP for However, if there is increase in expenditure by State as per IDSP approved norm, the budget for State could be increased at RE stage. Approval of State PIP : Chhattisgarh Page 165

175 NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) Physical Targets: Sr. Indicator Remarks No. 1 Annual Blood Examinate Rate (ABER) i.e. persons screened annually for 13.57% 13.33% >15% Kawardah district needs improvement in surveillance so that the ABER of 15% is achieved Malaria 2 Annual Parasite Incidence (API) i.e. Malaria cases per 1 population annually <2 8 districts namely Kondagaon (19.15), Bijapur (16.59), Dantewada (31.79), Sukma (37.21), Jashpur (14.25), Korba (17.4), Korea (13.53) and Narayanpur (14.42) reported >1 API in 212. To achieve the target a special focus is to be given to these 3 Sentinel Surveillance Hospital made functional for Dengue & Chikungunya 4 Sentinel Surveillance Hospital made functional for JE Priority areas for focused attention: districts The functionality to be sustained & ensured and should be monitored by their regular reports 5 out of 6 6 out of 9 9 out of 9 Sustaining mf rate less than 1% 1. The districts Kondagaon, Bijapur, Dantewada, Sukma, Jashpur, Korba, Korea and Narayanpur need to be focussed for micro level monitoring to reduce API. 2. Mf rate is most crucial parameter and should be done under proper supervision. This night survey should be done by experts technicians by involving state, district/phcs, NIMR field station and regional office (GoI) at RLTRI Essential Conditionality: Sr. Post Sanctioned In Vacant Target for No. position 1 MPW contractual Process to be initited and 2 Lab Technicians MTS/VBD Technical Supervisors recruitment to be made under intimation to Directorate NVBDCP Approval of State PIP : Chhattisgarh Page 166

176 4 Two review meetings in a year to be conducted under the Chairpersonship of Principle Secretary (Health)/ Mission Director - one before transmission period and second during transmission period Desirable Conditionality Sr. Post Sanctioned In Vacant Target for No. position 1 DMO/DVBDO Crucial post and must be filled up 2 Lab Technicians Multi Purpose Health Supervisor 4 Multi Purpose Health Assistant ot Multi purpose worker Process to be initited and recruitment to be made under intimation to Directorate NVBDCP District wise goals (to be done by the State) Goal ABER API Deaths Mf rate Road Map Surveillance & monitoring under NVBDCP is done throughout the year. The following salient points are to monitor the implementation of programme activities in different quarters. April to June 1st round spray & anti-malaria month observance to be ensured July to Sept. 2nd round spray and observance of anti-dengue month. Preparatory activities for observance of Mass Drug Administration in some districts and MDA stoppage towards filaria elimination to be started Oct. to Dec. Review and monitor physical and financial performance and preparation of next annual plan. Jan. to March Consolidation of previous year's physical and financial achievement and plan for next year. Approval of State PIP : Chhattisgarh Page 167

177 DETAILED BUDGET: NVBDCP S. No. Component (Sub- Component) F.1 Domestic Budget Support (DBS) proposed in PIP approved as per BE Remarks F.1.1 F.1.1.a Malaria Contractual Payments F.1.1.a.i MPW contractual F.1.1.a.ii F.1.1.a.iii F.1.1.a.iv F.1.1.a.v Lab Technicians ( against vacancy) VBD Technical Supervisor (one for each block) District VBD Consultant (one per district) (Non- Project States) Data Entry Operator one per district (Non-project states) State Consultant (Non Project States), M&E Consultant (Medical Graduate with PH qualification) - VBD Consultant (preferably entomologist) F.1.1.b ASHA Incentive Activity approved but funds will be enhanced at RE stage. New activity, due to funds constraint it can not be approved F.1.1.c Operational Cost F.1.1.c.i Spray Wages F.1.1.c.ii Operational cost for IRS 55.2 F.1.1.c.iii F.1.1.d Impregnation of Bed nets- for NE states Monitoring, Evaluation & Supervision & Epidemic Preparedness including mobility State has asked in F.1.1.e and F.1.1.f.i, hence it is reflected here Approval of State PIP : Chhattisgarh Page 168

178 S. No. Component (Sub- Component) proposed in PIP F.1.1.e IEC/BCC F.1.1.f F.1.1.g F.1.1.h F.1.1.i PPP / NGO and Intersectoral Convergence Training / Capacity Building Zonal Entomological units Biological and Environmental Management through VHSC 12 approved as per BE F.1.1.j Larvivorous Fish support F.1.1.k F.1.1.l Construction and maintenance of Hatcheries Any other Activities (Pl. specify) NVBDCP-DBS-Urban Malaria-HR-Field worker, NVBDCP-DBS-Urban MalariaOperational Cost purchase, NVBDCP-DBS- LLIN (Godown charges) state & transportation, NVBDCP-DBS-HR-State level-entomologist, Training Consultant, Programme Associateprocurement, finance, Accountant, GIS DEO, Secretarial, Division IC, District Programme Associate- VBD consultant, MTS all the bolck of 96 Blocks (Including pf-) Remarks State has asked in F.1.1.m State has asked in F.1.1.i New activity, due to funds constraint it can not be approved Total Malaria (DBS) Approval of State PIP : Chhattisgarh Page 169

179 S. No. Component (Sub- Component) proposed in PIP approved as per BE Remarks F.1.2 Dengue & Chikungunya F.1.2.a F.1.2.a(i) F.1.2.a(ii) F.1.2.a(iii) F.1.2.b F.1.2.c Strengthening surveillance (As per GOI approval) Apex Referral Labs recurrent Sentinel surveillance Hospital recurrent ELISA facility to Sentinel Surv Labs Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately) Monitoring/supervision and Rapid response F.1.2.d Epidemic preparedness F.1.2.e Case management 18 1 F.1.2.f F.1.2.g F.1.2.h F.1.2.i F.1.3 F.1.3.a Vector Control & environmental management IEC BCC for Social Mobilization Inter-sectoral convergence Training & printing of guidelines, formats etc. including operational research Total Dengue/Chikungunya AES/JE Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI Can also be used for other VBD. Approval of State PIP : Chhattisgarh Page 17

180 S. No. F.1.3.b Component (Sub- Component) IEC/BCC specific to J.E. in endemic areas proposed in PIP approved as per BE Remarks F.1.3.c Capacity Building F.1.3.d F.1.3.e Monitoring and supervision Procurement of Insecticides (Technical Malathion) F.1.3.f Fogging Machine F.1.3.g Operational costs for malathion fogging F.1.3.h Operational Research F.1.3.i F.1.3.j F.1.3.k F.1.3.l F.1.3.m Rehabilitation Setup for selected endemic districts ICU Establishment in endemic districts ASHA Insentivization for sensitizing community Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter Establishing district counseling centre Total AES/JE F.1.4 F.1.4.a Lymphatic Filariasis State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, Approval of State PIP : Chhattisgarh Page 171

181 S. No. Component (Sub- Component) monitoring & supervision and mobility support for Rapid Response Team and contingency support proposed in PIP approved as per BE F.1.4.b Microfilaria Survey F.1.4.c F.1.4.d F.1.4.e F.1.4.f F.1.4.g F.1.4.g.i F.1.4.g.ii Post MDA assessment by medical colleges (Govt. & private)/icmr institutions Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers Specific IEC/BCC at state,district, PHC, Subcentre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA Verification and validation for stoppage of MDA in LF endemic districts a) Additional MF Survey for 3 districts b) ICT Survey for 3 districts Remarks Out of 9 districts, 3 districts qualified for TAS, hence state should plan within six months F.1.4.g.iii c) ICT Cost for 3 districts 15 F.1.4.h F.1.4.h.i Verification of LF endemicity in nonendemic districts a) LY & Hy Survey in nonendemic district Approval of State PIP : Chhattisgarh Page 172

182 S. No. F.1.4.h.ii Component (Sub- Component) b) Mf Survey in Nonendemic distt proposed in PIP approved as per BE Remarks F.1.4.h.iii c) ICT survey F.1.4.i Post-MDA surveillance Total Filariasis Lymphatic F.1.5 F.1.5 F.1.5.a F.1.5.b F.1.5.c F.1.5.d F.1.5.e F.1.5.f Kala-azar Case search/ Camp Approach Spray Pumps & accessories Operational cost for spray including spray wages Mobility/POL/supervision Monitoring & Evaluation Training for spraying IEC/ BCC/ Advocacy Not Applicable Total Kala-azar Total (DBS) F.2 F.2.a Externally aided component World Bank support for Malaria (Identified state) F.2.b Human Resource F.2.c F.2.d Training /Capacity building Mobility support for Monitoring Supervision & Evaluation including Can be increased at RE stage based on physical and financial proposal Approval of State PIP : Chhattisgarh Page 173

183 S. No. Component (Sub- Component) printing of format & review meetings, Reporting format (for printing formats) Kala-azar World Bank assisted Project proposed in PIP approved as per BE Remarks F.2.e Human resource F.2.f Capacity building Not Applicable Not Applicable F.2.g F.3 F.3.a F.3.b F.3.c F.3.d F.3.e F.3.f Mobility GFATM support for Malaria (NEStates) Project Management Unit including human resource of N.E. states Training/Capacity Building Planning and Administration( Office expenses recurring expenses, Office automation, printing and stationary for running of project) Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings, IEC / BCC activities as per the project Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS ) Not Applicable Not Applicable Total : EAC component F.4 Any Other Items ( Please Specify) Approval of State PIP : Chhattisgarh Page 174

184 S. No. F.5 F.6 F.6.a F.6.b F.6.c Component (Sub- Component) Operational costs ( mobility, Review Meeting, communication, formats & reports) Grand total for cash assistance under NVBDCP (DBS + EAC) Cash grant for decentralized commodities Chloroquine phosphate tablets Primaquine tablets 7.5 mg Primaquine tablets 2.5 mg proposed in PIP approved as per BE Remarks F.6.d Quinine sulphate tablets F.6.e Quinine Injections 4.8 F.6.f DEC 1 mg tablets 71.8 F.6.g Albendazole 4 mg tablets F.6.h Dengue NS1 antigen kit 4.8 F.6.i F.6.j F.6.k F.6.l F.6.m Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water) Pyrethrum extract 2% for spare spray ACT ( For Non Project states) RDT Malaria bi-valent (For Non Project states) Any Other Items ( Please Specify) NVBDCP-Arteether Injection, Deltamethrine, Suprey PUMP (purchase,repair,for fogging Approved however, funds will be released within available budget. The gap may be met from flexi fund to avoid any shortage of drug and diagnostics. The procurement procedure for antimalarial and antifilarial drugs may be initiated in 1st quarter of current financial year so as to ensure its availability in time. Approval of State PIP : Chhattisgarh Page 175

185 S. No. Component (Sub- Component) pump), LLIN, New Microscope, Lancet, Slide, Swab & Laboratory Reagents. Total grant for decentralized commodities Grand Total for grant-inaid under NVBDCP proposed in PIP approved as per BE Remarks Commodity Grants Total NVBDCP Cash + Commodity NRHM Additionality 1 NVBDCP- RDT kits NVBDCP-DBS-Malaria- Spray wages NVBDCP-Synthetic Pyrethroid (Alphacypermethrin 5%) NVBDCP-DBS-Malara-HR- Driver for State Programme unit NVBDCP-Malaria Offic Expenses including contingency NVBDCP- Malaria- Support to Sentinel sites (incentives to SSLT) NVBDCP-Support to State Office-Office Attendant(STATE) Total of NRHM Additionality May be met from Village Health senitation committee or flexi fund. Approval of State PIP : Chhattisgarh Page 176

186 NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) State specific Goals and Targets for the year S.No Goals & Target September'13 March Elimination at District level NA 2 2 Case detection through ASHA Special activity plan in blocks 4 5 RCS MCR footwear procurement & supply 6 Development of leprosy expertise 7 Treatment Completion Rate assessment for the year Audited Report for the year Expenditure incurred against approved plan budget % of Plan 1% of Plan Completed - Completed - 5% 1% NA: Not Applicable Approval of State PIP : Chhattisgarh Page 177

187 DETAILED BUDGET: NLEP Activity proposed Unit Unit Cost (In Rupees) Physical Targets proposed (Rs. in lakh) approved (Rs. in lakh) Remarks G1.Case detection & Management 1.1 Specific -plan for High Endemic Districts 1.2 Services in Urban Areas Block 75, Town - Med I - Med II- Mega- Town - 114, Med I - 2,4, Med II- 4,72, Mega-56 Approval of State PIP : Chhattisgarh Page ASHA Involvement Sensitization Detectio 25 2 *Incentive to ASHA 1.4 Material & Supplies Supportive drugs, lab. reagents & equipments and printing works 1.5 NGO Schemes G2. DPMR MCR footwear, Aids and appliances, Welfare allowance to leprosy patients for RCS, Support to govt. institutions for RCS n PB MB District No. 68, 6 1 MCR Footwear- 3/- Aids/Applianc e -17 Welfare/RCS - 8 At Institute - 5 At camps

188 Activity proposed Unit Unit Cost (In Rupees) Physical Targets proposed (Rs. in lakh) approved (Rs. in lakh) Remarks G3. **IEC/BCC Mass media, Outdoor media, Rural media, Advocacy media G4. Human Resource & Capacity building ***4.1 Capacity building 4.2. Human Resource on contract **** Contractual Staff at State level District 98, No. of batch MO 89, HW 71, PT 5, DNT 71, SMO BFO cum Admn. 1 3, Officer Admn. Asstt DEO Driver #District Leporsy Consultant #Physiotherapist Special Provision for selected States NMS No Staff for blocks #PMW No G5. Programme Management 5.1. Travel Cost State specific reuirements & rates Approval of State PIP : Chhattisgarh Page 179

189 Activity proposed Unit Unit Cost (In Rupees) Physical Targets proposed (Rs. in lakh) approved (Rs. in lakh) Remarks Contractual Staff at State level Contractual Staff at District level 5.2 Review meetings 5.3 Office Operation & Maintenance Office operation - State Cell Office operation - District Cell Office equipment maint. State 4 2 to No Consumables State Cell District Cell No Mobility Support State Cell District Cell G6. Others Essential Travel expenses requiremen for regular staff t for specific programme / training need, awards etc TOTAL of NLEP Approval of State PIP : Chhattisgarh Page 18

190 REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP) Targets S.No Indicators Case detection rate 53% 7% 2 3 Treatment success rate 89% 9% MDR TB treatment success rate 6-7% 4 Treatment success rate among new TB patients tribal districts and Poor and Backward districts 88% Number of cases to be put on treatment Increasing trend Default rate among new TB cases <5% Proportion of estimated incident TB cases notified 8% Proportion of TB patients with known HIV status. 9% 9 Proportion of microscopy centres using LED microscopes 1 Proportion of districts TU aligned at block levels with health systems 11 Proportion of Key RNTCP staff in place as per approved ROP 12 Proportion of Key RNTCP staff trained as per approved ROP 13 Proportion of TB patients treated under RNTCP by a community DOT provider 14 Proportion of pediatric cases diagnosed out of new cases 9% 25% 9% 9% 5% 8% Action points for the State under RNTCP during FY : All the approved Key RNTCP contractual staff positions at State/Districts should be filled and ensuring timely payment of salaries. All the approved new position will be recruited by September 213. The State level RNTCP review meetings to be chaired by Health Secretary/Mission Director (NRHM) at least once in a quarter To conduct State TB control society meeting, State Coordination committee meeting (TBHIV) at least once in a quarter. Approval of State PIP : Chhattisgarh Page 181

191 To ensure that District TB Control society meeting and District Coordination committee meetings are conducted in the districts at least once in a quarter Scaling up of DOTS Plus services as per the State DOTS Plus action plan Conduct ACSM/Training activities at State/Districts as per the State annual action plan. To involve Private Practitioners and NGOs in the RNTCP Submission of SOE and UC as per the time lines communicated by MoHFW/CTD. Timely payment of DOT Providers honorarium at districts. DETAILED BUDGET: RNTCP S.No Category of Expenditure Unit cost I.1 Civil works As per Revised Norms and Basis of Costing for RNTCP I.2 Laboratory materials As per Revised Norms and Basis of Costing for RNTCP I.3 Honorarium As per Revised Norms and Basis of Costing for RNTCP I.4 ACSM As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output 1) Civil work Up gradation and maintenance completed as planned 1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY 1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case Proposed Approved Remarks Approval is being given for 9 DTC, 1 C&DST lab, 2 TUs and 38 DMCs % approved % approved Includes the Salary of State ACSM officer. Approval of State PIP : Chhattisgarh Page 182

192 S.No Category of Expenditure I.5 Equipment maintenanc e Unit cost As per Revised Norms and Basis of Costing for RNTCP I.6 Training As per Revised Norms and Basis of Costing for RNTCP I.7 Vehicle maintenanc e/ operation As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output detection and improved case holding; 1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition 1) Induction training, Update and Re-training of all cadre of staff completed as planned; 1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained; Proposed Approved Remarks % approved % approved As per norms. For new position operation cost is approved for 6 months. I.8 Vehicle hiring I.9 NGO/PP support As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding 1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT % approved % approved. Approval of State PIP : Chhattisgarh Page 183

193 S.No Category of Expenditure I.1 Medical College I.11 Office Operation I.12 Contractual services Unit cost As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP I.13 Printing As per Revised Norms and Basis of Costing for RNTCP I.14 Research and studies 1.15 Procuremen t of drugs I.16 Procuremen t vehicles I.17 Procuremen t- Equipments As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output 1) All activities proposed under Medical Colleges head in PIP completed 1) All activities proposed under miscellaneous head in PIP completed 1) All contractual staff appointed and paid regularly as planned 1) All printing activities at state and district level completed as planned 1) Proposed Research has been initiated or completed in the FY as planned 1) Procurement of vehicles completed as planned 1)Procurement of equipments completed as planned Proposed Approved Remarks Includes 15 lakhs for the ZTF meeting % approved % approved % approved % approved % approved Hand held devise has not been approved as these will be procured at central level. I.18 Patient support & Transportati on As per Revised Norms and Basis of Costing for RNTCP Payment of transportation charges to patients % approved Approval of State PIP : Chhattisgarh Page 184

194 S.No Category of Expenditure I.19 Supervision & Monitoring Unit cost As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output Number of evaluation and review meeting done by state Proposed Approved Remarks 5 4 8% approved. Subtotal Disease control Flexi pool fund Disapproved activities are: Generator for STDC ; Diesel for generator at IRL and DOTS plus site TOTAL of RNTCP Approval of State PIP : Chhattisgarh Page 185

195 ANNEXURES Approval of State PIP : Chhattisgarh Page 186

196 ANNEX 1 RCH FLEXIBLE POOL S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.1 MATERNAL HEALTH A.1.1 Operationalise Facilities (Any cost other than infrastructure, HR, Training, Procurement, Monitoring etc.) may include cost of mapping, planningidentifying priority facilities,etc) A Operationalise FRUs (Blood bank/bsu - Operational cost) A Operationalise 24x7 PHCs A A A Operationalise Safe abortion services (including MVA/ EVA and medical abortion)at health facilities Operationalise RTI/STI services at health facilities Operationalise subcentres A.1.2 Referral Transport A.1.3 Integrated outreach RCH services (state should focus on facility based services and Approval of State PIP : Chhattisgarh Page 187

197 S. No. Budget Head A A A.1.4. Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS outreach camps to be restricted only to areas without functional health facilities) Oureach camps Approved as following: Rs 3 incentive to lady doctors Monthly Village Health and Nutrition Days Janani Suraksha Yojana / JSY A Home deliveries Approved Rs. 1 for LTs Rs 1 for LTs & Rs.4 to lady doctors towards mobility support A Institutional deliveries A a A b A c A Rural Approved Urban Approved C-sections Approved as per last year s approval subject to condition that the approval is only meant for 8 Missionary Hospitals in naxalite affected areas. Rs. 35/ per delivery includes C-section cost, and complete cashless delivery (diet, consumables, drugs etc.) Administrative Expenses % of JSY expenses Approval of State PIP : Chhattisgarh Page 188

198 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A Incentives to ASHA Approved as Rs.6/rural case and Rs. 4/urban cases for 25 rural cases and 1 urban cases A.1.5 A.1.6 A A A A A Maternal Death Review (both in institutions and community) Other strategies/activities (please specify) MH -Other Activities- HIV Positive Normal Deliveries - Incentive to Medical Team for HIV Positive NDs MH - Other Activities - for High Risk Pregnancy - HIV Positive C- Section Deliveries - Incentive to Medical Team MH - Other Activities - for High Risk Pregnancy - Other - Incentives to ANM for C - Section (Hard to Reach Area) MH - Other Activities- for High Risk Pregnency Indemnity Insurance for EMoC and LSAS Approved. Rs.5 includes Rs.3 as incentive and Rs.2 for other activity Approved as following: Rs 5 Lakhs for Rs 1/- for 5 NDs and Rs 3 Lakhs for Rs 15/- for 2 C-Sections Approved for expected 2 high risk referrals for which incentives to ANM Rs 1 and ASHA Rs 2 for accompanying woman. Approval strictly for hard to reach areas in high focus districts at or below sub district level Approved Approved Approval of State PIP : Chhattisgarh Page 189

199 S. No. Budget Head A A A A A A Incentive for LSAS and CEmONC trained doctors LSAS CEmONC Doctors performance review Supportive supervision of SBA trained by MO/RMA Strengthening of Maternal health Programme Support staff for Medical Colleges and one Secot Nine Hospital, Bhilai MTP Training -Staff Nurse Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Lumpsum approved. 47 LSAS and 35 CEmONC trained doctors will be given fixed 2 after performing at least three C- sections/month and any additional c-section thereafter in a month will be Rs. 4/C-section /LSAS and CEmONC doctors Approved subject to State sharing the outcome of the meetings with MoHFW Approved MH Consultants are approved subject to State sharing their ToRs and all consultants should be IT savy. Rs 45, per month for 6 months. Consultants will regularly move in the field as per their ToRs. Mobility support is already approved under mobility support plan seaparately. OneProgramme Associate is not approved. All Consultants to be IT savy and basic IT skills should be part of their ToRs Not approved Approved Approval of State PIP : Chhattisgarh Page 19

200 S. No. Budget Head A MTP Refresher Training Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) Approved REMARKS A A A A.1.7 A JSSK- Janani Shishu Surakhsha Karyakram Drugs and consumables Approved: Rs Lakhs for 297 Rs 35/ND and Rs 24 Lakhs for 15 C- Rs 16/C-section A Diagnostic Approved A Blood Transfusion Approved A A Diet (3 days for Normal Delivery and 7 days for Caesarean) Free Referral Transport Approved: Rs 891 Lakhs for diet of 3 Rs.1/day for 297 NDs and Rs 15 Lakhs for diet for 7 for 15 C-sections Rs. 3/ for 297 NDs and Rs. 7/ for 3 C-Sections. State has to ensure provision of all the three types of referral (home to facility, interfacility and drop back facility) A Other JSSK activity A State level Review Meeting Approved Approval of State PIP : Chhattisgarh Page 191

201 S. No. Budget Head A District level Review Meeting Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) Approved REMARKS A Block Level Review Meetings Approved Sub-total Maternal #VALUE! Health (excluding JSY) Sub-total JSY #VALUE! A.2. CHILD HEALTH #VALUE! A.2.1 IMNCI (including F- IMNCI; primarily budget for planning for preserviceimnci activities in medical colleges, nursing colleges, and ANMTCs) A.2.2 Facility Based Newborn Care/FBNC (SNCU, NBSU, NBCC - any cost not budgeted under HR,Infrastructure, procurement, training,iec etc.) e.g.operating cost rent,electricity etc. imprest money Approved for 4 new IMNCI training Rs.3. lakhs/ site (Rs.12 lakhs) and Rs.3 lakhs for formats & registers across all sites Approval of State PIP : Chhattisgarh Page 192

202 S. No. Budget Head Quantity / Target Unit Cost ( Rs) A SNCU 8 1 Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Approved as following: 5 operational Rs.1 Lakhs /unit 7 units under Lakhs /unit and Rs. 41 lakhs for new unit at Raipur A NBSU Approved as following: 1 functional Rs.1.75 Lakhs/NBSU and 36 NBSUs under 875 /NBSU A NBCC Approved as 2/per annum for 156 NBCCs Rs.1, (for 6 months) for 224 NBCCs A.2.3 A.2.4 Home Based Newborn Care/HBNC Infant and Young Child Feeding/IYCF Approved for half yearly review meeting cum workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand Rs.5/meeting cum workshop Approval of State PIP : Chhattisgarh Page 193

203 S. No. Budget Head A.2.5 A.2.6 Care of Sick Children and Severe Malnutrition (e.g. NRCs, CDNCs etc.) Management of diarrhoea & ARI & micronutrient malnutrition Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Approved ONLY for 61 NRCs as following: 1, children x Rs. 1 for food x 15 days 1, mothers x 15 days x Rs. 15 (wage compensation) Pharmacy charges 5 x Rs. 6 x 12 Contingency 15 x 12 x Rs.6 ASHA incentive for referral & follow up 5 x Rs.25 Referral transport for severely ill children 25 x Rs. 5 Rs. 2.5 lakhs for 1 new unit in Sarguja and Rs. 2. lakhs for review Concurrent monitoring may be done by State Lead Development Partners and SPMU. Consultants proposed for NRC cell must be part of the CH team. Rs lakhs is for NRC HR, approved under relevant budget head Approved for following trainings. Trainings to include ARI component as well and State to conduct training as per revsied national guidelines. State Level ToT for District Child Health Nodal Officers and Pediatrician:3 Rs.5,/batch District Level Training for Block Medical Officers and One Medical Officer: 27 Rs.5/batch Approval of State PIP : Chhattisgarh Page 194

204 S. No. Budget Head A.2.7 Other strategies/activities (please specify) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Approved for mobility support for 2 rounds Rs.18.1 lakhs/round A.2.8 Infant Death Audit Approved as following: IDA of institutional 5 Rs 5/death 2 half yearly meetings at State Rs. 25,/meeting Printing of reporting Rs. 2/format for 1795 formats Another budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit. A.2.9 Incentive to ASHA under child health A.2.1 A A JSSK (for Sick neonates up to 3 days) Drugs & Approved Consumables (other than reflected in Procurement) Diagnostics Rs.1/case. A Free Referral Transport Approved: Rs 15 Lakhs for to and fro (home to facility and drop 5/ neonate for 3, sick neonates and Rs 7.5 Lakhs for interfacility referral 25/- neonate for 3 seriously ill neonates Approval of State PIP : Chhattisgarh Page 195

205 S. No. Budget Head A.2.11 A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Any other interventions (eg; rapid assessments, protocol development) FBNC Assessment Approved A power audit of SNCU Approved A A A Corrective measures of power audit findings Approved for 4 units: Bilaspur, Dhamtari, Kawardha, Rs 25/- Child health Cell 174. APPROVAL PENDED Sub-total Child Health #VALUE! A.3 FAMILY PLANNING #VALUE! A.3.1 A Terminal/Limiting Methods Orientation workshop,dissemin ation of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting Approved Approval of State PIP : Chhattisgarh Page 196

206 S. No. Budget Head A Female sterilisation camps Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Rs. 75/camp A NSV camps Rs. 1/camp A Compensation for female sterilisation Approved A Compensation for Approved male sterilization/nsv Acceptance A Accreditation of Rs. 25/visit private providers to provide sterilisation services A.3.2 Spacing Methods A IUD camps Approved A A A A IUD services at health facilities (including fixed day services at SHC and PHC) Approved. Budget from A has also been shifted to this head PPIUCD services Not Approved. Drop back to mothers is already being provided under JSSK. Accreditation of private providers to provide IUD insertion services Social Marketing of contraceptives (includng delivery of contraceptive by ASHA at door step) Shifted to A Approval of State PIP : Chhattisgarh Page 197

207 S. No. Budget Head A A.3.3 A.3.4 A.3.5 A A A A Contraceptive Update seminars POL for Family Planning/ Others (including additional mobilty support to surgeon's team if req) Repairs of Laparoscopes Other strategies/activities (please specify): Monitor progress and quality,qac meetings /review of sterilization failures etc. Performance reward if any World Population Day celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities Other strategies/ activities (such as strengthening fixed day services for IUCD and sterilization etc.) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Not approved (the budget head and activity do not match) Approved Rs. 25/laparoscope for 2 laparoscopes Approved for: 2 State level Rs. 1/meeting and 4 Distt. level Rs.5/district. Approval has been given strictly for QAC meetings only Approved but State to note that no cash awards are permissible. Two rounds Approved for 2 rounds of Rs 1 lakhs/round. Approval of State PIP : Chhattisgarh Page 198

208 S. No. Budget Head A A A A A World Population Day celebration (such as mobility, IEC activities etc.): funds earmarked for district and block level activities (Family Planning Indemnity Scheme) State Family Planning Cell Promotional scheme of FP ( Newly proposed) Printing of PPIUCD registeres (Patient & Follow up) Incentive to the Beneficiaries of PPIUCD Sub-total Family Planning (excluding Sterilisation Compensation and NSV Camps) Sub-total Sterilisation Compensation and NSV Camps Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS 2 5 Not approved, repeat budgetting (A.3.5.3) Approved for Family Planning Indemnity Scheme instead of World Population Day which has already been budgeted at A APPROVAL PENDED 5 Not approved. Budget for incentives approved in the appropriate head under MFP in FMR head B Shifted to MFP under FMR head B Not approved #VALUE! #VALUE! A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH Approval of State PIP : Chhattisgarh Page 199

209 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.4.1 Adolescent health services A Disseminate ARSH guidelines Approved A A A A Establishment of new clinics at DH level Establishment of new clinics at CHC/PHC level Operating expenses for existing clinics Outreach activities including peer educators Approved Approved Approved Not approved as State needs to provide details of activities proposed to be conducted through SHGs A Others A A ARSH Cell APPROVAL PENDED A.4.2 A A School Health programme Prepare and disseminate guidelines for School Health Programme. Prepare detailed operational plan for School Health Programme across districts (cost of plan meeting should be kept) Not approved as no programme component is proposed. Approval of State PIP : Chhattisgarh Page 2

210 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) A Mobility support Approv ed amount (Rs.Lakh s) REMARKS A Referral support A A A.4.3 A A Other strategies for school health School Health Cell at State level Other strategies/activities (please specify) Mobility support for ARSH/ICTC counsellors Menstrual Hygiene (Sanitary napkin procurement to be booked under procurement) Not approved as no programme component is proposed, the proposed posts thereby are not justified Approved Approved for logistics and storage of sanitary napkins in the 5 selected districts. A WIFS actvity Approved Sub-total ARSH A.5 URBAN RCH (focus on Urban slums) A.5.1 A.5.2 Identification of urban areas / mapping of urban slums and planning HR for urban health including doctors, ANMs, Lab techs Approval of State PIP : Chhattisgarh Page 21

211 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) A Doctors/Mos REMARKS A Staff Nurse A LT Not approved. State will be asked to propose the same under NUHM. A.5.5 Others (pl specify) Sub-total Urban Health A.6. TRIBAL RCH 48. A.6.1 Special plans for tribal areas A.6.2 HR for tribal areas ( in addition to normative HR) A.6.3 Outreach activities 1 A.6.4 Other Tribal RCH strategies/activities (please specify) Sub-total Tribal Health APPROVAL PENDED. State has neither given any details of camps nor provide the desired justification for % expenditure and/or scale up of camps. 48. A.7 PNDT Activities Approval of State PIP : Chhattisgarh Page 22

212 S. No. Budget Head A.7.1 Support to PNDT cell Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Calculation error by State. Approved for State level: One Rs. 5,/- pm, One Rs. 4,/- pm and One Rs. 18,/- pm 5 DEOs for five Rs. 12,/- pm. A.7.3 Mobility support Approved A.7.2 A A A A Other PNDT activities (please specify) Orientation of programme managers and service providers Incentive for Informer On line form Submission International Girl Child day celebration Sub-total PNDT activities Approved Approved Not approved 64. Not approved Approval of State PIP : Chhattisgarh Page 23

213 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.8 Human Resources As agreed, the following key conditionalities would be enforced during the year a) Rational and equitable deployment of HR with the highest priority accorded to high priority districts and delivery points. b) Facility wise performance audit and A.8.1 Contractual Staff & Services corrective action based thereon. c) Performance Measurement system set up and implemented to monitor performance of regular and contractual staff. d) Baseline assessment of competencies of all SNs, ANMs, Lab Technicians to be done and corrective action taken thereon. - Approval is being granted for HR of all cadres under NRHM for six months only and its continuation for the next six months would be contingent on compliance of the above four conditionalities. - From 1st October 213, under NRHM funds for salary to contractual HR would be done only to Approval of State PIP : Chhattisgarh Page 24

214 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS make payments to contractual staff over and above the sanctioned regular positions in the State. A ANMs,Supervisory Nurses, LHVs, It is expected that the state will henceforth fill up their vacant regular HR positions and will not use NRHM funds to substitute state spending A ANMs A a A b A c A d A e A f A g A h DH FRUs Non FRU SDH/ CHC 24 X 7 PHC Non- 24 X 7 PHCs Sub Centres SNCU/ NBSU/NRC etc Others Rs.9/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. A Staff Nurses Approval of State PIP : Chhattisgarh Page 25

215 S. No. Budget Head A a A b A c A d A e A f A g A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) DH 18 FRUs Non FRU SDH/ CHC X 7 PHC Non- 24 X 7 PHCs SNCU/ NBSU/NRC etc Others LHVs/supervisory nurses Approv ed amount (Rs.Lakh s) REMARKS Rs.12/m.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities A a A b A c A d A e A f A g DH FRUs Non FRU SDH/ CHC 24 X 7 PHC Non- 24 X 7 PHCs SNCU/ NBSU/NRC etc Others Not approved A Laboratory Technicians A a A b DH FRUs Approved for 29 Rs. 1/- per month. Approval is being granted for six months only and its Approval of State PIP : Chhattisgarh Page 26

216 S. No. Budget Head A c A d A e A f A A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Non FRU SDH/ CHC 24 X 7 PHC continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Non- 24 X 7 PHCs Others MPWs Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) Obstetricians and Gynecologists A b A c A A A a FRUs Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Non FRU SDH/ CHC Pediatricians Anesthetists DH Approval of State PIP : Chhattisgarh Page 27

217 S. No. Budget Head A b A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS FRUs Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Surgeons A a A A a A DH Not approved Specialists for CH (Paediatrician etc) in SNCU,NBSU,NRC DH Approved.Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned Dental surgeons and dentists conditionalities A a A b A c DH FRUs Non FRU SDH/ CHC A Medical Officers is being granted for six months 219. only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities A Non FRU SDH/ CHC Approved for 61 Rs.3/m including 32 Mos for SNCUs. Approval is being Approval of State PIP : Chhattisgarh Page 28

218 S. No. Budget Head A A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS 24 X 7 PHC granted for six months only and its continuation for the Non- 24 X 7 PHCs/ APHCs MOs for SNCU/ NBSU/NRC etc next six months would be contingent on compliance of the above mentioned conditionalities. A A A A A A e A f A A A a A b A c Other MOs Others Additional Allowances/ Incentives to M.O.s Others - Computer Assistants/ BCC Coordinator etc Pharmacist Non- 24 X 7 PHCs 72 Others Not approved Radiographers OT technicians/assitsa nts DH FRUs Non FRU SDH/ CHC 144 Not approved Approval of State PIP : Chhattisgarh Page 29

219 S. No. Budget Head A d A e A f A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 24 X 7 PHC Non- 24 X 7 PHCs Other Approv ed amount (Rs.Lakh s) REMARKS School health teams (Exclusively for SH) Counsellors A A A A RMNCH/FP Counselors All Technical HR for State Specific Initiatives Rs 1/- per month for 18 RMNCH/FP counsellors. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Others (pl specify) Approved for 63 Feeding Rs.1/m & 63 Rs.45/m. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Staff for Training Institutes/ SIHFW/ Nursing Training Approved for 5 BSc nursing Rs.2/m. Approval subject to: 1) Rational deploymnet of the faculty. 2) These HR will be posted in high priority districts. Approval of State PIP : Chhattisgarh Page 21

220 S. No. Budget Head A A A A A A A A A Human Resources Development (Other than above) Other Incentives Schemes (Pl.Specify) HR - Awards Etc. to Emoc HR - Awards Etc. to LSAS Chhattisgarh Rural Medical Corp ( CRMC) HR - Performance Based Incentives - DH HR - Performance Based Incentive - FRU- other than DH-Hospital Staff HR - Performance Based Incentive - Civil Dispensary Staff HR - Performance Based Incentive - Non FRU-CHC Staff Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS 3) These faculty will be given 6 week induction training. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities Approved Provident 12% for 6 months Approved Approved Approved. Approval is being granted for 6 months only and its continutation for the next six months would be contingent on compliance of the above mentioned conditionalities. Details in Annex CRMC Approved Approved Approved Approved A HR - Performance Approved Approval of State PIP : Chhattisgarh Page 211

221 S. No. Budget Head.8 Based Incentive - PHC Staff A HR - Performance.9 Based Incentive - A A SHC Staff MCW - Minor Civil Works for Operationalization of 24 X7 PHCs (Labour Room) Support Staff for Health Facilities Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) Approved REMARKS A a A b A c A d A e A f DH Not approved FRUs Not approved Non FRU SDH/ CHC Not approved 24 X 7 PHC Not approved Non- 24 X 7 PHCs Approved for 1232 Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. SNCU/ NBSU/ NBCC/ NRC etc Approved for Accountant cum 15/m for 12 units. Approval is being granted for six months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Sub-total HR Approval of State PIP : Chhattisgarh Page 212

222 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.9 TRAINING A.9.1 A.9.2 A A A A A A A.9.3 A Strengthening of existing Training Institutions (SIHFW, ANMTCs, etc.) Development of training packages Development/ translation and duplication of training materials Other activities (pl. specify) Development of Training mdules Stregthening of existing training centres Stregthening SIHFW Establishment of Skill Lab Maternal Health Training Skilled Attendance at Birth / SBA Approved for holding meetings to adopt the modules deveoped for nursing tutors Approved for Induction training modules for MOs, SNs and LTs 2 Approval Pended. Not proposed as per the facility wise gap analysis and GoI Roadmap. State needs to do facility wise gap analysis and align with the GoI roadmap before submitting a comprehensive proposal 165. APPROVAL PENDED. State needs to revise the proposal Approved subject to availability of these skill labs in the 1 bedded MCH Wings Approval of State PIP : Chhattisgarh Page 213

223 S. No. Budget Head A A A A Setting up of SBA Training Centres Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Approved for setting up 3 training Rs 2 Lakhs/centre TOT for SBA Approved Training of Staff Nurses in SBA Training of ANMs / LHVs in SBA Approved Approved for training of 4 ANMs/LHV/SNs in 75 batches; subject to following RCH norms and all delivery points are saturated with SBA tarined staff. Batch size should be as per the delivery load. A EmOC Training A A A Life saving Anaesthesia skills training Safe abortion services training (including MVA/ EVA and Medical abortion) TOT on safe abortion services A Training of Medical Officers in safe abortion Approved for 6 MOs. A RTI / STI Training A A BEmOC training for MOs/LMOs Other maternal health training (please specify) Approved for 12 MOs Approval of State PIP : Chhattisgarh Page 214

224 S. No. Budget Head A A A A A State level MDR training ToT District Level Training of MO s in MDR Supportive supervision for SBA training for Mos and RMAs 1 Days BeMoc training for RMAs Blood Storage Unit (BSU) Training Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Approved for training of state and district officials on MDR, subject to training being conducted as per the GOI Training norms Approved Approved A Skill Lab Training Approved for 21 Rs.37836/training at 1 skill lab/month for 7 months A.9.4 IMEP Training A A A.9.5 A A A A IMEP training for state and district programme managers IMEP training for medical officers Child Health Training IMNCI Training (pre-service and in-service) TOT on IMNCI (preservice and inservice) IMNCI Training for ANMs / LHVs IMNCI Training for Anganwadi Workers Approved Approved (1 doctors & 1 SNs in each batch) Approved Approved; 12 batches of 24 anganwadi workers in each. Approval of State PIP : Chhattisgarh Page 215

225 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) A F-IMNCI Training A TOT on F-IMNCI Approved 1 A F-IMNCI Training Approved 2 for Medical Officers A F-IMNCI Training Approved 3 A A A A A A for Staff Nurses Home Based Newborn Care / HBNC TOT on HBNC Training on HBNC for ASHA Care of sick children and severe malnutrition at FRUs TOT on Care of sick children and severe malnutrition Training on Care of sick children and severe malnutrition for Medical Officers REMARKS Approval of State PIP : Chhattisgarh Page Since new NRCs are not approved, budget proposed (28.8 lakhs) for training of new NRC staff has not been approved. Approved amount is for following: Reorientation of MOs: 2 batches of 2 Rs.6, per person Training of MOs for 6 days in another state: 2 Rs.2.55 lakhs/ per batch Block level screening of children in 294 Rs.1587/block Reorientation of feeding deonstrators and cook: 12

226 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS persons@ Rs.3/person A A A A A A A A a A b A c A d Other child health training (please specify) NSSK Training TOT for NSSK Approved NSSK Training for Medical Officers NSSK Training for SNs NSSK Training for ANMs Other Child Health training Approved Approved Approved Ch-IYCF- TOT Approved. Details of expenditure & physical progress to be shared by the state. CH- IYCF- District level CH- FBNC - Training on Observership CH- FBNC- Mos and Staff Nurses Approved for 1 MO + 14 SN per Rs.1.6 lakhs per batch for 4 days training (and not for 7 days as proposed originally by the state) for 18 batches. Details of expenditure & physical progress to be shared by the state Approved for 48 Rs.166/per batch Approved for 2 batches only, as there is no possibility for larger numbers to undergo Approval of State PIP : Chhattisgarh Page 217

227 S. No. Budget Head A e A.9.6 A A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS observership in this year due to limited number of training sites. Batch would be mix of MO and SN; batch size Rs.2.8 lakhs/batch FBNC TOT for Mos Approved (24 participants in Family Planning Training Laparoscopic Sterilisation Training TOT on laparoscopic sterilisation Laparoscopic sterilisation training for doctors (teams of doctor, SN and OT assistant) the batch) Approved for 6 batches of 4 participants Rs.7124/batch A Minilap Training A TOT on Minilap A A A Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training Approved for 4 batches of 4 participants Rs.7124/batch TOT on NSV A NSV Training of Approved 2 medical officers A IUD Insertion A TOT for IUD insertion Approved for 15 batches of 1 participants each. Approval of State PIP : Chhattisgarh Page 218

228 S. No. Budget Head A A A A A A A A A A Training of Medical officers in IUD insertion Training of staff nurses in IUD insertion Training of ANMs / LHVs in IUD insertion Contraceptive update/isd Training Other family planning training (please specify) TRG - FP - PPIUCD Insertion Training- MO/SN/O&G Specialist Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Approved for 45 batches of 1 participants each Approved Approved TOT for PPIUCD Approved IUCD 375 insertion training to MOS Training to ANM on IUCD 375 insertion Training of FP Counselors Not approved.goi is in agreement with the activity which may be carried out with IUCD 38 training as a one day orientation, no separate batches required Not approved.goi is in agreement with the activity which may be carried out with IUCD 38 training as a one day orientation, no separate batches required. 1.2 Approved. Budget has been sanctioned as per discussion with state for 2 batches of RMNCH Rs 6/batch for participants/batch. Approval of State PIP : Chhattisgarh Page 219

229 S. No. Budget Head A.9.7 A A A A Adolescent Reproductive and Sexual Health/ARSH Training Orientation training of state and district programme managers ARSH training for medical officers ARSH training for ANMs/LHVs ARSH training for AWWs Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) Approved Approved Approved REMARKS A A A Other ARSH training WIFS training State level/ District Level/ Block Level 172, Approved for A A refresher training ANM/MO/ AWW/ Nodal Teacher Menstrual hygiene training A SHP training A.9.8 Programme Management Training (e.g. M&E, logistics management, HRD etc.) A Training of SPMSU Approved Approval of State PIP : Chhattisgarh Page 22

230 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS staff A Training of DPMSU Approved staff A Training of BPMSU Approved staff A Other training (pl specify) A RMAs professional Approved 1 development course A TRG - Training of Approved 2 emergency management of Mos A TRG - Career Approved 3 Development of MITANIN - BSc Nursing course A TRG - Career Approved 4 Development of ANMs - GNM Course A PGDDHM Approved for 2 5 Fellowship programme under IGNOU course A PC/PNDT training A Others APPROVAL PENDED. State needs provide details of the activity A.9.1 Training (Nursing) A Strengthening of Existing Training Institutions/Nursin g School excluding infrastructure and HR Approved for 2 GNM Trng Rs.19.5 lakhs/trng Inst. (Break up of budget: Rs 15 lakhs for mannequins, Rs 2.5 lakhs for teaching aids, Rs 1 lakh for Approval of State PIP : Chhattisgarh Page 221

231 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS contingency, Rs 1 lakh for honorarium to tuters) A A.9.11 New Training Institutions/School Training (Other Health Personnel) A A A A Promotional Training of ANMs to lady health visitor etc. Training of ANMs,Staff nurses,aww,aws Other training and capacity building programmes (nursing tutors etc.) Approved for training of 1 Rs 5/SN and Induction training of 5 newly joined 5/HR Not approved, State needs to propose as per the INC Guidelines. PGDHM Courses Approved for PGDHM training of MOs with 5 yrs service experience Sub-total Training A.1 PROGRAMME MANAGEMENT Approval for Programme Management staff is being granted for six months only and its continuation for the next six months would be contingent on compliance of condition that Approval of State PIP : Chhattisgarh Page 222

232 S. No. Budget Head A.1.1 A Strengthening of State society/ State Programme Management Support Unit Contractual Staff for SPMSU recruited and in position State Programme Manager Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff A State Accounts Manager A State Finance Manager A A A State Data Manager Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.) Programme Assistants Rs lakhs approved. Deatails available in Annx Programme Management A Accountants Approval of State PIP : Chhattisgarh Page 223

233 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A Data Entry Operators A A A A A A A Support Staff (Kindly Specify) Salaries for Staff on Deputation (Please specify) Others (Please specify) State Programme Manager M&E State Programme Manager HMIS Engineer Civil & Eletrical A A.1.2 A A A Programmer Strengthening of District society/ District Programme Management Support Unit Contractual Staff for DPMSU recruited and in position District Programme Manager District Accounts Manager District Data Manager Rs lakhs approved. Details available in Annx Programme Management Approval of State PIP : Chhattisgarh Page 224

234 S. No. Budget Head A A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Consultants/ Programme Officers (Kindly Specify) Accountants Data Entry Operators Approv ed amount (Rs.Lakh s) REMARKS A A Support Staff (Kindly Specify) Others (Please specify) A A A A District Training Coordinators Hospital Consultant Sub Engineer Assistant DPM (AYUSH) A A.1.3 A Incentive to Nodal Officers ( Programme ) Strengthening of Block PMU Block Programme Manager A A Block Accounts Manager Block Data Manager Rs lakhs approved. Details available in Annx Program Management A Accountants Approval of State PIP : Chhattisgarh Page 225

235 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A Data Entry Operators A A Support Staff (Kindly Specify) Others (Please specify) A PADA A.1.4 Strengthening (Others) A.1.4. Workshops and Approved 1 Conferences A.1.4. AYUSH Cell - SHRC ( APPROVAL PENDED 2 Technical support) A.1.4. Programme Not approved 3 Associate - Biomedical cell ( State ) A.1.4. Technical support Approved 4 for Tally ( Fin. Mgmt) A.1.4. Talley Annual Approved 5 Upgradation fees A.1.5 Audit Fees Approved A.1.6 A.1.7 Concurrent Audit system Mobility Support, Field Visits Approved A A SPMU/State Approved for 4 Rs.3 L/vehicle/annum DPMU/District Approved for 2 Rs.3 L/vehicle/annum Approval of State PIP : Chhattisgarh Page 226

236 S. No. Budget Head A A Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) BPMU/Block Approved Other Supportive Supervision costs REMARKS A A A A A Travel and supportive supervision of State Nodal officer SPMU Administration DPMU Administration BPMU administration Technical Support to NRHM by SHRC Sub-total Programme Management Not approved. No separate mobility costs being approved this year Rs lakhs approved for Provident Rs. 12% Rs lakhs approved for Provident Rs. 12 % Rs lakhs approved for Provident Rs. 12 % Not approved A.11 VULNERABLE GROUPS 23. A.11.1 A.11.2 A.11.3 Planning, including mapping and coordination with other departments Services for Vulnerable groups LWE affected areasspecial plan APPROVAL PENDED. No details given by the State APPROVAL PENDED. No details given by the State. A.11.4 A Other strategies/activities (please specify) PTGs Camp Approval of State PIP : Chhattisgarh Page 227

237 S. No. Budget Head Sub-total Vulnerable Groups Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) 23. REMARKS TOTAL RCH SUPPLY SIDE TOTAL RCH DEMAND SIDE GRAND TOTAL Approval of State PIP : Chhattisgarh Page 228

238 ANNEX 2 MISSION FLEXIBLE POOL S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B1 ASHA B 1.1 ASHA Cost: B1.1.1 Selection & Training of ASHA 1 B1.1.1 Module I - IV B B B B B B B B Module V Module VI & VII Other Trainings Compensation to Mitanin Trainrers Block contingencies Dist Contingencies Cluster meetings of Mitanins Other trainings and activities under Mitanin selection and training Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved as per norms of Rs 15/day for 2 days per month for 12 months Approved (Ongoing activity) Approved (Ongoing activity) Approved (New activity) Approved Rs Lakhs (Ongoing activity). Approval is for Rs 1.16 lakhs for State ToT of District Coordinators, Rs Lakhs for TOT for Block coordinators and Resource persons, Rs lakhs for TOT of Approval of State PIP : Chhattisgarh Page 229

239 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status Mitanin trainers, and Rs 35. lakhs for books and materials B1.1.2 B Procurement of ASHA Drug Kit New Kits Approved (Ongoing activity) B B Replenishment The amount is budgeted under B (ongoing activity) Procurement of ASHA HBNC Kit 72 B New Kits Approved (New Activity) B B1.1.3 B Replenishment 66 Performance Incentive/Other Incentive to ASHAs (if any) Incentive under MH (ANC/PNC) B B Incentive for Maternal Death Reporting Incentive for Home visits to pregnant women for counseling on diet, rest and ANC checkups Approved Rs 5,/- for reporting of expected 1 maternal 5/-. (Ongoing activity) Not approved (New activity) Approval of State PIP : Chhattisgarh Page 23

240 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B Incentive for Mitanin/ANM for linking Whole blood finger prick test reactive ANC to ICTC Incentive under CH (HBNC) Not approved (Ongoing activity) as no targets are provided. B ASHA incentive for HBNC Approved (Ongoing activity) B B B ASHA incentive for NRC refferal and follow up for post referral NRC cases Infant death reporting Incentive for FP( PPIUCD/others) Not approved as already included under Care of sick children (NRC budget) for 5, 25 per child. Approved (Ongoing activity) B B B Incentive for Female Sterilisation (after 3 or more living children) Incentive for Male Sterilisation (after 3 or more living children) Incentive for Sterilisation (after 1st or 2nd child) Not approved (New activity) Not approved (Ongoing activity) Approved Rs 2 lakhs (Ongoing activity) Budget Rs.1/ASHA for 2 sterilizations after one or two children. No payment to ANM is permissible. Approval of State PIP : Chhattisgarh Page 231

241 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B Incentive for AH Other incentive Approved (Ongoing activity) for motivating couple for spacing of two years after marriage or spacing of 3 or more years between first and second child only. The budget is shifted from B to B B Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections) Approval pended (New activity). State may resubmit the proposal with detailed write up on the activity proposed in the supplementary PIP for reconsideration. The write-up should include details such as contents of the visits, key messages to be given by ASHA/Mitanin at each stage of growth/visit to the child, activities to be performed by ASHA/Mitanin such as demonstration of preparation of meal for the child, and outcomes expected from the visits. The write up should also specify how the visits will be verified and how the incentives will be linked to outcomes like the improved nutrition status of the Approval of State PIP : Chhattisgarh Page 232

242 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status child for example, by demonstration of the growth curve in the MCP card B B B Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc) Mitanin Kalyan Kosh ( Mitanin Welfare Activites ) Mitanin Help Desk Approved (Ongoing activity) Approved (Ongoing activity) B B B1.1.4 Mitanin Help Line Mitanin Sammelans Awards to ASHA's/Link workers Approved (Ongoing activity) Approved for (New activity) Approved (Ongoing activity) B1.1.5 B ASHA Resource Centre/ASHA Mentoring Group HR At State Level Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8.Salary for the staff is approved at Approval of State PIP : Chhattisgarh Page 233

243 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status the same unit costs approved in the RoP The budget approved for six months is 5% of approved amount in B B B HR at District Level HR at Block Level Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify) B2 Untied Funds Approved (ongoing activity) for 6 months only and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Salary for the staff is approved at the same unit costs approved (Rs 62/p.m) in the RoP B2.1 Untied Fund for CHCs/SDH Approved (Ongoing activity) for 149 CHCs at the rate of Rs 5 per facility Approval of State PIP : Chhattisgarh Page 234

244 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B2.2 Untied Fund for PHCs B2.3 Untied Fund for Sub Centres B2.4 Untied fund for VHSC B2.5 Others B.3 Annual Maintenance Grants (only for Government institutions) B3.1 CHC B3.2 PHCs B3.3 Sub Centres Approved (Ongoing activity) for 755 PHCs at the rate of Rs 25 Approved (Ongoing activity) for 5111 Sub Centers at the rate of Rs 1 Approved (ongoing activity) for 1885 VHSNCs as mentioned in the annexure sheet provided with the PIP at the rate of Rs 1. The amount approved is adjusted for the fund approved in for 1458 VHSNCs which have not been constituted. Not approved as Untied Funds was not approved for Civil Hospitals in Approved (Ongoing activity) for 135 CHCs functioning at Government buildings as per RHS 212 at the rate of Rs 1 lakh Approved (Ongoing activity) for 429 Rs 5 Approved (Ongoing activity)for 274 Sub Centers functioning at Government buildings as per RHS 212 at the rate of Rs 1. Approval of State PIP : Chhattisgarh Page 235

245 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.4 Hospital Strengthening B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals B4.1.1 District Hospitals B B B B Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 157 Spillover of Ongoing Works 176 Staff Quarters Not approved (New activity) Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y B4.1.2 CHCs B B Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 9 Not approved (New activity) B B Spillover of Ongoing Works Staff Quarters Approved (Ongoing activity) subject to the condition that the work will be completed in the F.Y Approved (Ongoing activity) on condition that the work will be completed in the F.Y Approval of State PIP : Chhattisgarh Page 236

246 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B4.1.3 PHCs B B B Additional Building/ Major Upgradation of existing Structure Repair/ Renovation Spillover of Ongoing Works B4.1.3 Staff Quarters.4 B4.1.4 Sub Centres Not approved (New activity) Approved (Ongoing activity) on condition that the work will be completed in the F.Y B B Additional Building/ Major Upgradation of existing Structure Repair/ Renovation Approval pended (New activity) until state submits the service delivery data of the sub centers proposed for solar electrification. Approval will be subject to the report by NHSRC on proposal evaluation and site assessment. Subcenters only in identified High Priority Districts and districts which have performance below state average will be considered. Not approved (New activity) Approval of State PIP : Chhattisgarh Page 237

247 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B Spillover of Ongoing Works B B4.1.5 ANM Quarters Others (MCH Wings) B B B B (Absolutely) New / Rented to Own Building Additional requirement from previous work Carry forward /Spillover of Ongoing Works 477. Other construction Approved (Ongoing activity) Approved the 2nd Instalment for Rs 47.7 crores for the 35 existing MCH Wings, (12 MCH Wings (1 bedded) and 23 MCH Wings (5 bedded). B Gap improvements in co-located centres of PHC/CHC- AYUSH B4.1.6 SDH Approval pended (New activity) until state submits list of facilities proposed, facility wise AYUSH OPD data and a note on proposed value addition by the activity. B5 New Constructions (proposed for the coming year) B5.1 CHCs Approval of State PIP : Chhattisgarh Page 238

248 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B5.2 PHCs Approved only for one PHC in Mungeli District B5.3 SHCs/Sub Centres B5.4 Setting up Infrastructure wing for Civil works B5.4.1 Staff at State level B5.4.2 Staff at District level Approved Rs lakhs for a total of 9 sub centers as following a. 7 Sub Centers with minimum 3 deliveries in non High Priority, non LWE, non Tribal Districts* b. 1 Sub center with minimum 2 deliverieries per month in High Priority Districts** c. 1 Sub Center with miniumum 2 deliveries in LWE and Tribal Districts* * Considered the IAP districts identified by the Planning commission of India for LWE and Tribal Districts ** Considered the 5 High Priority districts identified by the MInistry and 4 districts which have been formed from them. B5.5 Govt. Dispensaries/ others renovations B5.6 Construction of BEmONC and CEmONC centres Approval of State PIP : Chhattisgarh Page 239

249 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.5.1 B B Infrastructure of Training Institutions -- Strengthening of Existing Training Institutions/Nursing School( Other than HR)- --- Infrastructure for GNM Schools and ANMTC New Training Institutions/School (SIHFW/GNMTC/AN MTC etc) B.5.11 SDH 25 Not approved (New activity) Approval pended (New activity) until state submits detailed DPR and budget requirements B.5.12 DH B.6 Corpus Grants to HMS/RKS B6.1 District Hospitals B6.2 CHCs B6.3 PHCs Approved (Ongoing activity) for 26 DHs at the unit cost of Rs 5 Lakhs Approved (Ongoing activity) for 148 CHCs which have registered RKS (as per the MIS report submitted by the state on ) at the unit cost of Rs 1 lakhs Approved (Ongoing activity) for 71 PHCs which have registered RKS (as per the MIS report submitted by the state on )at the unit cost of Rs 1 lakhs Approval of State PIP : Chhattisgarh Page 24

250 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B6.4 Other or if not bifurcated as above B6.5 SDH B7 Health Action Plans (Including Block, Village) B7.1 State B7.2 District B7.3 Block B8 Panchayati Raj Initiative Not approved since no details of the activities have been provided Approved (Ongoing activity) for 13 SDHs at the unit cost of Rs 5 Lakhs Approved (Ongoing activity) Approved (Ongoing activity) subject to the condition that District Level ROPs and DHAPs to be uploaded in the State s NRHM website. Approved subject to the condition that Block Level ROPs and BHAPs to be uploaded in the State NRHM website. B8.1 Constitution and Orientation of Community leader & of VHSC,SHC,PHC,CHC etc B8.2 Orientation Workshops, Trainings and capacity building of PRI at State/Dist. Health Societies, CHC,PHC Approved (New activity) Approval of State PIP : Chhattisgarh Page 241

251 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B8.3 Others B8.3.1 Panch Prayas B9 Mainstreaming of AYUSH Not approved (New activity) B.9.1 B B B Medical Officers at CHCs/ PHCs (Only AYUSH) DH FRUs Non FRU SDH/ CHC Not approved (New activity) B B X 7 PHC Non- 24 X 7 PHCs/ APHCs Approved for 6 months for 1 AYUSH 2 per month) and its continuation for the next six months would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Approved for 3 months Rs 2/month subject to immediately sharing the findings of the study conducted by SHSRC on the activity of prevention of Malaria using homeopathic medicines with the ministry. Its continuation beyond 3 Approval of State PIP : Chhattisgarh Page 242

252 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status months would be only with the approval of the ministry. If no specific approval received beyond June 213, state may examine ways to utilise the AYUSH doctors engaged and proposed. B.9.2 Other Staff Nurses and Supervisory Nurses/ AYUSH pharmacists (Only AYUSH) B9.3 Other Activities (Excluding HR) B9.3.1 B9.3.2 Prevention of Malaria throuhg Homeopathic medicines Prevention of Disability in Leprosy cured persons throuhg AYUSH Approval pended (Ongoing activity). State to immediately share the findings of the study conducted by SHSRC on the activity. Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the program in the previous year and justify the increase in cost proposed. B9.3.3 Yoga Popularisation in Ayurved gram Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the Approval of State PIP : Chhattisgarh Page 243

253 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status program in the previous year. B9.3.4 B9.3.5 Provision of pure Drinking Water in Ayurved gram Munga Plantation in 1 Ayurgrams Approved (New activity) B9.4 Training B1 IEC-BCC NRHM Approved (Ongoing activity) subject to provision of the specific training plan, national health programmes to be covered, the skill to be provided to the AYUSH doctors as well as their job descrption and deployement after the training. B.1 Strengthening of BCC/IEC Bureaus (state and district levels) B.1.1 B.1.2 B B B Development of State BCC/IEC strategy Implementation of BCC/IEC strategy BCC/IEC activities for MH 6 6 Approval pended (New Activity) Approved (ongoing activity) for IEC/BCC activities of activites of MH, CH, FP, ARSH, AYUSH, SMS, printing and other activites mentioned in the budget head. The approval under RBSK subject to the Mass media Mid-media 15.5 Approval of State PIP : Chhattisgarh Page 244

254 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B B B B B B B B B BCC/IEC activities for CH condition that State to ensure RBSK on all support IEC for branding of programme. The RBSK guideline and details to be used for developing these IECs and communication materials at School and Anganwadis. The budget shifted from A for printing of PPIUCD registers is included in this budget. Mass media 17.8 Mid-media 68.5 BCC/IEC activities for FP Mass media 61.6 Mid-media 5 BCC/IEC activities for ARSH Mass media Mid-media 6 Other activities (please specify) B IPC initiatives/tools B.1.3 Health Mela 154. B.1.4 Creating awareness on declining sex 58.5 ratio issue B.1.5 Other activities B Printing of MCP cards, safe motherhood booklets etc 15 9 Approved Rs 9 lakhs. This includes approval of Rs 3 Lakhs for printing of MCP Rs 1/- for 3 lakhs pregnant women, and Rs 6 Lakhs for printing of Safe Motherhood Approval of State PIP : Chhattisgarh Page 245

255 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status Rs 2/- for 3 lakhs pregnant women. B Printing of WIFS cards etc Approved (New activity) B Other printing B B B B B Reporting Mechanism formats (WIFS) Printing of Maternal Health Training Modules Printing of Labor room register, OPD /IPD registers for PHCs & CHCs Approved (New activity) Approved (New activity) Rs 1 lacs for printing of MH training modules. The state has to ensure that it should be on competitive bidding as per the guidelines released this year, MNH Toolkit, Nursing Roadmap and Skills Lab Approved (New activity) Rs 25 lacs for printing of Labor room register, OPD /IPD registers for PHCs & CHCs B11 Mobile Medical Units (Including recurring expenditures) Approval of State PIP : Chhattisgarh Page 246

256 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B B B B Capex Opex HR Training/orientation Others Approval Pended (new activity) subject to State implementing National MMU Guidelines for all the running MMUs under NRHM B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units B11.2. Capex 1 B11.2. Opex 2 B11.2. HR 3 B11.2. Training/orientation 4 B11.2. Others 5 B12 Referral Transport/Patient transport System B12.1 Ambulance/EMRI Capex B B State basic ambulance/ 12 Capex Advanced life support Capex 3 75 Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM Not approved (New Activity) Approval of State PIP : Chhattisgarh Page 247

257 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B12.1. EMRI Capex-BLS 3 B12.1. EMRI Capex-ALS 4 B12.2 Operating Cost /Opex for 8 ambulance B State basic ambulance/12 B B B B B Opex Operating Cost /Opex for ASL ambulance Opex EMRI-BLS Opex EMRI-ALS HR Basic ambulance HR advanced life support ambulances Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM B B B B Training/orientation 2.75 Call centre-capex call centre-opex Others B B B B B Medical consumables Ambulance repiars/maitenance/ Insurance Fuel cost Communication cost Administrative expenses Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM Approval of State PIP : Chhattisgarh Page 248

258 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B B Marketing expenses Third Party Evaluation of Referral Transport Upgradation of Ambulance (EMRI- 18)-BLS to ALS B.13 PPP/ NGOs B13.1 Non governmental providers of health care RMPs B13.2 Public Private Partnerships (Out Sourcing set up, if applicable for State, to be budgeted B B B under this head) Out soursing PHC 52 Grant in Aid to RK Mission Setting up of PPP cell in the state Approval pended subject to the State submitting the criteria set for selecting the agency and the proposed ToR. Approved (Ongoing activity) Approval pended (New activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing Approval of State PIP : Chhattisgarh Page 249

259 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status and using the monitoring tools which should be part of any program management on a real time basis. B B B B Outsourcing of Diagonastic services Outsourcing Biomedical Wastage Management PPP Monitoring Cell by SHRC B13.3 NGO Programme/ Grant in Aid to NGO Not approved (Ongoing activity). State may revise the proposal based on the GoI recommendations and submit in the supplementary PIP. Not approved (New Activity) in the present form. State may revise the proposal and submit in the supplementary PIP Carry forward is not approved since the activity is not specified Approval pended (New activity) subject to state submitting a comprehensive plan for management of PPP initiatives in the state. Sevaral activitiescurrently proposed for PPP monitoring cell at SHRC are to be integral part of the PPP cell at the Directorate, esepcialling developing and using the monitoring tools which should be part of any program management on a real time basis. Approval of State PIP : Chhattisgarh Page 25

260 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B Support to CGNP+ B B14 Innovations( if any) B14.1 Intersectoral convergence 6. B14.2 District Specific Plans B15 Planning, Implementation and Monitoring B15.1 Community Monitoring (Visioning workshops at state, Dist, Block level) B B State level District level Approved Rs 6 lakhs for Anti-Venum Vaccine in Sarguja (New activity) Thanagudi at Bijapur and NRHM Office cum training centers for districts are not approved. Approved (New activity) Approved (Ongoing activity) B B B Block level Other Approved (Ongoing Rs per block which is the unit cost approved for the F.Y Approval of State PIP : Chhattisgarh Page 251

261 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B15.2 Quality Assurance B B B B B B B B B Quality Assurance Committees at State level Quality Assurance Committees at District level Grievance handling system Review meetings State District Block 69. Others NABH implementation 24.9 Approved with the following conditions (a) the state develops / adopts standard treatment guidelines (STG), (b) periodically conducts sensitization workshop on usage of STGs, (c) Internal Monitoring, and (d) Conduct of prescription audits at sample facilities followed by dissemination of the audit findings. Approval pended until state submits a revised proposal which includes all the delivery points for monitoring and supervision. Not approved (New activity) Not approved (New activity) Approval of State PIP : Chhattisgarh Page 252

262 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B Bio-medical Initiatives ( Authorisation and cell) B15.3 Monitoring and Evaluation B B B B B B B B B B Monitoring & Evaluation / HMIS /MCTS HR for M&E/HMIS/MCTS MIS Consultant/ Manager/ Coordinators Statistical Assistant/ Data Analyst MIS/ M&E Assistants Data Entry Operators Others (Please specify) GIS Mapping & Faciity survey of health facilties Third Party Evaluation of Mitanin (ASHA) programme Computerization HMIS and e- governance, e Approved (New activity) for authorization from CG Environment Control Board at the rate of Rs 1 lakhs for 27 districts Not approved (New activity) Approved (New activity) subject to sharing GIS information with Statistics division, MoHFW. The work should be done based on competitive bidding and by following Government Protocols Approved (New activity). Services of Population Research Institute, Sagar may be considered Approval of State PIP : Chhattisgarh Page 253

263 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status health B a HMIS Operational Cost (excluding HR & Trainings) Approved for six month as expenditure details of are not given Internet Connectivity State level : 6x25=1.5 lakh District level:27x6x5=8.1 lakh Block Level:146x6x2= lakh PHC level:5x6x75=22.5 lakh B b Procurement of Computers/ printers/ cartridges 93.3 Consumables and other accessories State level:1x6x5=.3 lakh District level:27x6x3=4.86 lakh Block Level:146x6x2= lakh PHC level:7x6x5=21 lakh Procurement should be based on competitive bidding and by following Government protocols Approval of State PIP : Chhattisgarh Page 254

264 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status etc. B c B d Maintenance of Computers/ AMC/ etc. Other Office and admin expenses B a B b B c MCTS Operational Cost (excluding HR & Trainings) Procurement of Computers/ printers/ cartridges etc. Maintenance of Computers/ AMC/ etc Approved only for 146 desktop with 6/- for Block data Assistants. Procurement should be based on competitive bidding and by following Government protocols. Rs 1/- per computer for 884 computers B d Other Office and admin expenses B Other M & E Activities B B HMIS Training MCTS Training Approved Rs.5.75 Rs 3 per day per person for 1 training per person per year based on costing for 3 days combined training for HMIS and MCTS. approved is indicative figure and actual amount would be based on actual expenditure. TA / DA Approval of State PIP : Chhattisgarh Page 255

265 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status and other expenditure should be as per extant rules. B B B B B Mobility Support for HMIS/ MCTS Review Meetings for HMIS Review Meetings for MCTS Data Validation Call Centers - CAPEX Data Validation Call Centers - OPEX Approved (New activity) Rs.2.95 per district and Rs.25 for State level per annum Approved for 1 day combined review of HMIS and MCTS for minimum two reviews at State level per year, at least one review every quarter at District level and at least one review per month at Block level. TA / DA and other expenditure should be as per extant rules. Approved (New activity). Procurement should be based on competitive bidding following Government Protocols. State must ensure that the contact details of all the ASHA/ANM and beneficiaries should be validated and services given to the beneficiaries to be verified and same should get reflected in MCTS. Not approved (New activity) B e-governance Initiative 47. Not approved (New Approval of State PIP : Chhattisgarh Page 256

266 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status activity) B B Hospital Management Softwares Others Not approved (New activity) B B B Printing of formats and Composite RCH register Monitoring Data Collectiona dn data Quality State Review Mission 75 Rs 2/ X 12 months Approved Rs 1.3 Rs.4 per page for HMIS and Rs lakh for MCTS Rs 15 per register and not more than 2 registers per ANM. State should consult MoHFW before printing. Register must be compatible with the MCTS (Integrated RCH) register designed by MoHFW and shared with the state. Printing should be done based on competitive bidding and by following Government Protocols. State may show a sample register to MoHFW before proceeding with the printing. This is an indicative figure and actual would depend upon actual expenditure. Not approved (New activity) Approved (Ongoing activity) subject to state sharing the report of SRMs conducted in Approval of State PIP : Chhattisgarh Page 257

267 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B Mobile based MCTS reporting system V-Sat Connectivity B.16 PROCUREMENT with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website State may continue the on-going activity for Dhamtari district out of unspent funds available for this activity with the State. Approval pended for roll-out in the whole State. State to share the details of success of pilot project done in Dhamtari district as reflected in MCTS data with MoHFW Approval pended. State should share a concept note mentioning the details of Capex, Opex, number of terminals, bandwidth cost, technical architecture, the purpose for which connectivity would be used and how this will help HMIS / MCTS with MoHFW. State may also explore the possibility of getting connectivity from SWAN B16.1 Procurement of Equipment Approval of State PIP : Chhattisgarh Page 258

268 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B Procurement of equipment: MH B Equipments for Blood Banks/ BSUs B MVA /EVA for Safe Abortion services Approved (Ongoing activity) B Others (please specify) B Procurement of equipment: CH B NBSU Not approved since no new NBSU is approved B B NBCC Sishu Sanrakshan Mah (SSM) Not approved as no new NBCCs approved. State has to operationalise already sanctioned NBCCs and then new centres should be planned. B B Genset for SNCU ( for 12 SNCUS) Approved (New activity) B B Procurement of equipment: FP B B NSV kits IUCD kits Approved (Ongoing activity) Approved (Ongoing activity) Approval of State PIP : Chhattisgarh Page 259

269 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B B B minilap kits laparoscopes PPIUCD forceps Other (please specify) Approved (Ongoing activity) Approved (Ongoing activity) Approved Rs lakhs for 35 Rs. 55/forceps B Procurement of equipment: IMEP B B B B B Bins and golves for Biomedical waste Personal Protection Kits to service delivery staff Procurement of equipment other than above Equipments for ARSH/ School Health Equipments for ARSH Clinics Approved (New activity) Rs lacs for purchasing of bins Rs 2/- and gloves (7.2 1/- Not approved (New activity) B B Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens Charts) Equipments for Training Institutes Not approved as no programme component is proposed. The proposed utilisation of carry forward budget of Rs 73 lakhs towards procurement of dental chairs is not approved. Approval of State PIP : Chhattisgarh Page 26

270 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B Equipments for AYUSH Procurement of Others/Diagnostics 69.2 Approval pended (New activity) for evaluation of Ayurved Gram by NHSRC. B.16.2 Procurement of Drugs and supplies B Drugs & supplies for MH B RTI /STI drugs and consumables B B Drugs for Safe Abortion Others (Please specify) Approved Rs 4.5 3/- for 15 cases (ongoing activity) B B B RPR Kits Whole blood finger prick test for HIV Drugs & supplies for CH B Drugs of Sishu Sanrakshan Mah Rs lakhs is approved. (Ongoing activity) 1. Costs approved: VITAMIN A Rs. 55 x 55,=3.25 Lakhs; Rs..7 x 25,, tabs Albendazole=17.5 lakhs; IFA syrup 12,, bottles x Rs. 7=84.; IFA small tablet 4,5,, tabs x Rs..12=54. lakhs. of IFA revised Approval of State PIP : Chhattisgarh Page 261

271 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B B Drugs & supplies for FP as there is no wastage factor to be applied and based on 7% expected coverage. B B B Supplies for IMEP Purchase of Bleaching powder and Phenyle under Bio-Medical Waste maangement B General drugs & supplies for health facilities B IPD Approved for Rs. 231 lakhs for replenishment of ASHA Drug kits only subject to the condition that State to replenish the drug kits from the PHC/SCs Approval pended for general drugs proposed. The State to ensure free drug policy, robust procurement management system, corporation like TNMSC, IT enabled drug logistic management systems, EDL, prescription audit Approval of State PIP : Chhattisgarh Page 262

272 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status etc. and adequate State budget. State to also prepare and submit EDL for Delivery ponts and Non Delivery Points, and medical colleges. The state may relook EDL prepared for DH & FRUs. B OPD B Drugs & supplies for WIFS B B B Albendazole IFA Drugs & supplies for SHP 332,149, ,237, Approved. Budget shifted from B Approved. Budget shifted from B B Drugs & supplies for UHCs B Drugs & supplies for AYUSH B.17 Regional drugs warehouses/logisti cs management Approval of State PIP : Chhattisgarh Page 263

273 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.18 New Initiatives/ Strategic Interventions (As per State health policy)/ Innovation/ Projects (Telemedicine, Hepatitis, Mental Health, Nutrition Programme for Pregnant Women, Neonatal) NRHM Helpline) as per need (Block/ District Action Plans) B.18.1 Help Lines B.19 Health Insurance Scheme B.2 Research, Studies, Analysis B.21 State level health resources centre(shsrc) 19 B.21.1 SHSRC - HR 14 B.21.2 Other cost 5 B22 Support Services Approved (Ongoing activity) for six months only at the same rate as approved in It's continuation would be contingent on compliance of the four conditionalities agreed about Human Resources as provided in the remarks column against A.8. Not approved Approval of State PIP : Chhattisgarh Page 264

274 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B22.1 Support Strengthening NPCB B22.2 Support Strengthening Midwifery Services under medical services B22.3 Support Strengthening NVBDCP B22.4 Support Strengthening RNTCP B22.5 Contingency support to Govt. dispensaries B22.6 Other NDCP Support Programmes Not approved under Mission Flexi Pool. State may propose this under Disease control flexible pool Not approved under Mission Flexi Pool. State may propose this under Disease control flexible pool Not approved under Mission Flexi Pool. State may propose this under Disease control flexible pool Not approved (New activity) Not approved (New activity) Not approved for new HR. Also, the funds for Quaterly state level review meetings for review of Cold chain & logistics can be met out from C.1.d. The incentive for MO & RMA is not recommended, as funds for Mobility Support for supervision for district level officers are already provided under c.1.a. For field monitors for monitoring of RI Approval of State PIP : Chhattisgarh Page 265

275 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status sessions, state should send a comprehensive detailed plan for montoring & supervision for approval of budget i.e. the formats used for monitoring, the data analysis, feedback mechanism, role of partners and action taken. B22.7 Non communicable diseases Not approved under Mission Flexi Pool. State may propose this under Disease control flexible pool B.23 Other Expenditures (Power Backup, Convergence etc) B.23.2 Treatment of Hepatitis B 1 Not approved (New Activity) B.23.3 Secretariat establihsment of Nursing Home Act and clinical Establishment Rules 21.4 Approval pended (New activity) subject to state sharing detailed proposal and its plan for adopting Clinical Establishment Act, 21 or establishing state's own act. Approval of State PIP : Chhattisgarh Page 266

276 S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.23.4 CGMSC B.23.5 Sickle cell Programme B.23.6 CGSACS B.23.7 Double Fortified Salt (New Activity ) Approval pended (Ongoing activity) for want of details including the clear road map and role of the state government in sustaining CGMSC 5 Not approved as a separate initiative, should be the part of funds already sanctioned under RBSK for population below 18 years of age. Pended for the investigation and treatment costing for population above 18 years of age, which can be reflected in the supplementary PIP. Not approved (New activity) Not approved (New activity) 5. State is requested to share the details of year wise funds approved by NRHM, the State Government and any other source for CGMSC, yearwise physical and financial achievements, and activities proposed for with clear distinction of funds expected from NRHM, the state government and any other source. State is also requested to indicate what would be the commitment from the State Government and what is expected from NRHM for activities proposed for , including infrastructure, IT software, Human Resources and other activities. Approval of State PIP : Chhattisgarh Page 267

277 ANNEX 3 IMMUNIZATION AND PPI OPERATION COST FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status C.1 c.1.a Mobility Support for supervision for district level officers. Rs.2,5,/ Year /district level officers Approved To be continued from Previous year c.1.b Mobility support for supervision at state level Rs. 15 per year Approved. To be continued from Previous year c.1.c Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc. Rs. 1 beneficiaries Approved for pregnant women for the F.Y c.1.d Support for Quarterly State level review meetings of district officer Rs. 125/ per participant/day for 3 persons (CMO/DIO/Dist. Cold Chain Officer) Approved Rs 125X3 participantsx27 districts c.1.e Quarterly review meetings exclusive for RI at district level with one Block MOs, CDPO, and other stake holders Rs. 1/per participant for meeting expenses for 5 persons (lunch, Organization expenses) Approved Rs 1X5 participants/block X 146 blocks X 4 meetings Approval of State PIP : Chhattisgarh Page 268

278 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status c.1.f c.1.g c.1.h c.1.i Quarterly review meetings exclusive for RI at block level Focus on slum & underserved areas in urban areas/alternati ve vaccinator for slums Mobilization of children through ASHA or other mobilizers Alternative vaccine delivery in hard to reach areas Rs. 5/ per person as honorarium for ASHA (Travel) and Rs. 25/person at the disposal of MO-IC for meeting expenses (refreshment, stationary and misc. expenses) Hiring of ANM@45/sessio n for four session/month/slu m of 1 population and Rs. 3/- per month as contingency per slum i.e. Rs. 21/- per month per slum of 1 population Rs. 15 per session Rs. 15 per session Approved. Rs 75 X 613 Mitanins In Chattisgarh approx. 3-4 mitanins are placed for every one thousand population. Hence, all mitanins will be covered in 4 meetings at block level Approved. Total urban slums in the State are 388 out of these 2255 slum clusters will be covered by ANMs recruited through Mukhya Mantri Shahari Swasthya Karyakram (MSSK) and placed at respective SSKs also including urban slum sessions in 4 Rounds of Immunization Week Approved Includes mobilization for sessions in 4 Rounds of Immunization Week Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total Hard to reach area is 425. Approval of State PIP : Chhattisgarh Page 269

279 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status c.1.j c.1.k c.1.l c.1.m c.1.n c.1.o c.1.p Alternative Vaccine Delivery in other areas To develop micro plan at sub-centre level For consolidation of micro plans at block level POL for vaccine delivery from State to district and from district to PHC/CHCs Consumables for computer including provision for internet access for RIMs Red/Black plastic bags etc. Hub Cutter/Bleach /Hypochlorite solution/ Twin bucket Rs. 75 per session Rs 1/- per subcentre Rs. 1 per block/ PHC and Rs. 2 per district Rs1,5,/ 4/ - month/ district Rs. 3/bags/session Rs. 12 per PHC/CHCper year Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total other area is Approved. To be continued from Previous year. Approved for Blocks and Urban PHCs Approved. To be continued from Previous year Approved. To be continued from Previous year Approved. To be continued from Previous year Approved. To be continued from Previous year Approval of State PIP : Chhattisgarh Page 27

280 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status c.1.q Safety Pits Rs. 525/pit c.1.r c.1.s c.1.t State specific requirement Teeka Express Operational Cost Measles SIA operational Cost c.1.u JE Campaign Operational Cost c.1.v Others (Mobilization budget for Supervision during Immunization week) C.1-Sub Total C.2 C.2.1 Computer Assistants support for State level Rs per person per month Approved as following 267 new pits x 525 unit cost and 622 old pits x 145 unit cost Not approved, as budget for mobility can be taken from c.1.a/b. Also, this is an ongoing activity, state should continue this activity with partners support. Approved. To be supplied throuhg inkind from MoHFW, GOI. Not approved as the details about monitoring plan not provided by state. Approved, however, any increment in salry will be examined by MSG. Approval of State PIP : Chhattisgarh Page 271

281 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status C.2.2 Computer Assistants support for District level 8-1 per person per month Approved, however, any increment in salry will be examined by MSG. C.2.3 Others(servic e delivery staff) C.2-Sub Total C.3 C.3.1 C.3.2 District level Orientation training including Hep B, Measles & JE(wherever required) for 2 days ANM, Multi Purpose Health Worker (Male), LHV, Health Assistant (Male/Female ), Nurse Midwives, BEEs & other staff ( as per RCH norms) Three day training including Hep B, Measles & JE(wherever required) of Medical As per revised norms for trainings under RCH This is same as last year's approved amount which is only for 18 batches, Needs to be revised Approved, but expenditure has to be as per NRHM norms. Also, all the trainings should be approved from Immunization division. Approval of State PIP : Chhattisgarh Page 272

282 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status Officers of RI using revised MO training module) * Restricted for C.3.1, due to low expenditure in F.Y C.3.3 C.3.4 C.3.5 One day refresher training of district Computer assistants on RIMS/HIMS and immunization formats Two days cold chain handlers training for block level cold chain handlers by State and district cold chain officers One day training of block level data handlers by DIOs and District cold chain officer Approval of State PIP : Chhattisgarh Page 273

283 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status C.3.6 Others C.4 C.3-Sub Total Cold chain maintenance Rs.75/PHC/CHC s per year District Rs.15/year Approved for half a day Intensive RI Training for Frontline Workers (ANM,LHV,ASHA/ Mitanin, AWW) for a total no. of participants=9294 including Mitanin, Anganwadi Worker and ANM Approved Restricted as per norms. Last year data taken as state has not provided details of PHCs/CHCs etc. C.5 ASHA incentive for full Immunization Rs 1 per child for full immunization in first year Rs 5 per child for ensuring complete immunization upto 2nd year of age Approved with assumption that 9 % children will be fully immunized in Total ROUTINE IMMUNIZATI ON Approval of State PIP : Chhattisgarh Page 274

284 FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status C.6 Pulse Polio Operational Cost (Tentative) Approved, subject to approval for Pulse Polio Cost. Total B.22.6 Other NDCP Support Programmes New Activity. As per Child Health Part-C Approval of State PIP : Chhattisgarh Page 275

285 ANNEX 4A NATIONAL IODINE DEFICIENCY DISORDERS CONTROL PROGRAMME (NIDDCP) ( Rs. In lakhs) FMR Code Activity Unit cost (wherever applicable) Physical target Proposed Approved Remarks D IDD D.1 Establishmen t of IDD Control Cell- D.1.a D.1.b Technical Officer Statistical Assistant D.1.c LDC Typist 1 D.2 IDD Monitoring Lab- D.2.a Lab Technician D.2.b Lab. Assistant Implementati on & monitoring of the programme Monitoring of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines Filling up of sanctioned vacant posts i.e. Technical Officer, Statistical Assistant & LDC on regular/contract basis on priority. State Government may conduct and coordinate approved programme activities and furnish quarterly financial & physical achievements as per prescribed format The vacant sanctioned post of Lab Technician & Lab Asst. should be filled on regular/ contract basis on priority. State Government may conduct quantitative analysis of salt & urine as per NIDDCP Guidelines and furnish monthly/quarterly statements. Approval of State PIP : Chhattisgarh Page 276

286 FMR Code Activity Unit cost (wherever applicable) Physical target Proposed Approved Remarks D.3 Health Education & Publicity Increased awareness about IDD and iodated salt IDD publicity activities including Global IDD Day celebrations at various levels. D.4 IDD Survey/resur vey Rs. 5, per district 4 districts State Government may under take 4 districts IDD survey as per guidelines and furnish report. D.5 Salt Testing Kits to be procured by state Government for 2 endemic districts 12 STK per annum per ASH A Creating iodated salt demand and monitoring of the same at the community level ** State Govt. to monitor the qualitative analysis of iodated salt by STK through ASHA in 2 endemic districts i.e. Bilaspur and Raigar D.6 ASHA Incentive Rs. 25/- per month for testing 5 salt sample/mo nth 5 salt samples per month per ASHA in 2 endemic district 4.6 ** TOTAL 141.4* 24. * Including fund proposed for Operational expenses of IDD Cell, workshop and review meetings which are not allowed under the Programme ** Based on the demand of State/UT Govt. for procuring STK & performance based incentive to ASHA for 2 endemic districts funds will be released through flexi pool of NRHM by GOI. Approval of State PIP : Chhattisgarh Page 277

287 ANNEX 4B INTEGERATED DISEASE SURVILLIANCE PROGRAMME (IDSP) FMR Code E1 Activity Unit Cost Proposed by state Operational Cost Field Visits Office Expenses Broad Band expenses Outbreak investigations including Collection and Transport of samples Review Meetings Any other expenditure Approved Remarks E 1.2 Laboratory Support District Priority Lab- 1 lab. The State has proposed only Recurring cost for this lab. Referral Network Lab District public health lab equipment District public health lab manpower Sub Total X (3X 5) (5 X 17.9) (2 X 17.9) (5X.81X6) (2X.81X6) District public health lab consumables (5 X 4.93) (2 X 4) Sub Total E.2 Human Resources Remuneratio n for staff at priority labs has been approved for 6 months initially. E.2.1 Remuneration of Epidemiologists State Epidemiol ogists District Epidemiol ogists 4.8 (.8x1x6) 64.8 (.4x27x6) 3.3 (.55x1x6) 64.8 (.4x27x6) Remuneratio ns for vacant positions are calculated for 6 months Approval of State PIP : Chhattisgarh Page 278

288 FMR Code E.2.2 Activity Unit Cost Proposed by state Remuneration of Microbiologists State Microbiol ogist 3. (.25x1x12) Approved 3. (.25x1x12) District 2.4(.4X1X6) 2.4(.4X1X6) Microbiol ogist at 1 District Priority Lab E.2.3 Remuneration of 1.5(.25x1x6) 1.5(.25x1x6) Entomologists Veterinary Consultant 2.4(.4x1x6) 2.4(.4x1x6) E.3 Consultant-Finance/ Procurement E.3.1 Consultant-Training/ Technical E.3.2 Data Manager State Data Manager (.14x1x12) (.14x1x12) 3.6 (.4x1x9) 2.4 (.4x1x6) 4.2 (.35X1X12) 2.4 (.2X1X12) Remarks Remuneratio ns for the posts of Epidemiologi st, microbiologis t and Consultant training, for candidates with medical qualifications should be more, than those without medical qualification District Data Manager 97.2 (.3X27X12) (.18X27X12) E.3.3 Data Entry Operator (.165 X 31 X 12 ) 55.8 (.15 X 31 X 12 ) Sub Total E.8 Training As per NRHM Guidelines Medical Officers.15 X (3 days ) One day training of.215x Hospital Pharmacist / Nurses One day training of.39x Medical College Doctors One day training for Data.15X Entry and analysis for Block Health Team Lab technician (3 days).215x Data managers (2 days).28 X 1.78 DEO cum accountant (2 days).28 X 1.84 The training of Data manager and Data entry operator has already been conducted in Approval of State PIP : Chhattisgarh Page 279

289 FMR Code Activity Unit Cost Proposed by state ANM Total For each newly formed (Corporation as district) District to cover for the expenses on account of Non-recurring costs on Computer Hardware, some office equipment & accessories. E.7 ID Hospital Network Sub * Surveillance in Metro Cities * New formed Districts.2X Approved Grand Total for IDSP Remarks Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under IDSP for However, if there is increase in expenditure by State as per IDSP approved norm, the budget for State could be increased at RE stage. Approval of State PIP : Chhattisgarh Page 28

290 ANNEX 4C NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) S. No. F.1 Component (Sub- Component) Domestic Budget Support (DBS) proposed in PIP approved as per BE Remarks F.1.1 Malaria F.1.1.a Contractual Payments F.1.1.a.i MPW contractual F.1.1.a.ii F.1.1.a.iii F.1.1.a.iv F.1.1.a.v Lab Technicians ( against vacancy) VBD Technical Supervisor (one for each block) District VBD Consultant (one per district) (Non- Project States) Data Entry Operator one per district (Non-project states) State Consultant (Non Project States), M&E Consultant (Medical Graduate with PH qualification) - VBD Consultant (preferably entomologist) Activity approved but funds will be enhanced at RE stage. New activity, due to funds constraint it can not be approved F.1.1.b ASHA Incentive F.1.1.c Operational Cost F.1.1.c.i Spray Wages F.1.1.c.ii Operational cost for IRS 55.2 F.1.1.c.iii Impregnation of Bed nets- for NE states Approval of State PIP : Chhattisgarh Page 281

291 S. No. F.1.1.d Component (Sub- Component) Monitoring, Evaluation & Supervision & Epidemic Preparedness including mobility proposed in PIP approved as per BE Remarks State has asked in F.1.1.e and F.1.1.f.i, hence it is reflected here F.1.1.e IEC/BCC F.1.1.f F.1.1.g F.1.1.h F.1.1.i PPP / NGO and Intersectoral Convergence Training / Capacity Building Zonal Entomological units Biological and Environmental Management through VHSC State has asked in F.1.1.m State has asked in F.1.1.i F.1.1.j Larvivorous Fish support F.1.1.k Construction and maintenance of Hatcheries Any other Activities (Pl. specify) F.1.1.l NVBDCP-DBS-Urban Malaria-HR-Field worker, NVBDCP-DBS- Urban MalariaOperational Cost purchase, NVBDCP- DBS-LLIN (Godown charges) state & transportation, NVBDCP-DBS-HR-State level-entomologist, Training Consultant, Programme Associateprocurement, finance, Accountant, GIS DEO, Secretarial, Division IC, District Programme Associate- VBD consultant, MTS all the bolck of 96 Blocks (Including pf-) New activity, due to funds constraint it can not be approved Total Malaria (DBS) Approval of State PIP : Chhattisgarh Page 282

292 S. No. F.1.2 F.1.2.a F.1.2.a(i) Component (Sub- Component) Dengue Chikungunya & Strengthening surveillance (As per GOI approval) Apex Referral Labs recurrent proposed in PIP approved as per BE Remarks F.1.2.a(ii) Sentinel surveillance Hospital recurrent 2 2 F.1.2.a(iii) F.1.2.b F.1.2.c ELISA facility to Sentinel Surv Labs Test kits (Nos.) to be supplied by GoI (kindly indicate numbers of ELISA based NS1 kit and Mac ELISA Kits required separately) Monitoring/supervision and Rapid response F.1.2.d Epidemic preparedness F.1.2.e Case management 18 1 F.1.2.f F.1.2.g Vector Control & environmental management IEC BCC for Social Mobilization Can also be used for other VBD. F.1.2.h F.1.2.i Inter-sectoral convergence Training & printing of guidelines, formats etc. including operational research Total Dengue/Chikungunya F.1.3 AES/JE F.1.3.a F.1.3.b Strengthening of Sentinel sites which will include Diagnostics and Case Management, supply of kits by GoI IEC/BCC specific to J.E. in endemic areas Approval of State PIP : Chhattisgarh Page 283

293 S. No. Component (Sub- Component) proposed in PIP approved as per BE Remarks F.1.3.c Capacity Building F.1.3.d F.1.3.e Monitoring supervision and Procurement of Insecticides (Technical Malathion) F.1.3.f Fogging Machine F.1.3.g Operational costs for malathion fogging F.1.3.h Operational Research F.1.3.i F.1.3.j Rehabilitation Setup for selected endemic districts ICU Establishment in endemic districts F.1.3.k F.1.3.l F.1.3.m ASHA Insentivization for sensitizing community Other Charges for Training /Workshop Meeting & payment to NIV towards JE kits at Head Quarter Establishing district counseling centre Total AES/JE F.1.4 F.1.4.a Lymphatic Filariasis State Task Force, State Technical Advisory Committee meeting, printing of forms/registers, mobility support, district coordination meeting, sensitization of media etc., morbidity management, monitoring & supervision and mobility support for Rapid Response Team and contingency support Approval of State PIP : Chhattisgarh Page 284

294 S. No. Component (Sub- Component) proposed in PIP approved as per BE Remarks F.1.4.b Microfilaria Survey F.1.4.c F.1.4.d F.1.4.e F.1.4.f F.1.4.g F.1.4.g.i F.1.4.g.ii Post MDA assessment by medical colleges (Govt. & private)/icmr institutions Training/sensitization of district level officers on ELF and drug distributors including peripheral health workers Specific IEC/BCC at state,district, PHC, Subcentre and village level including VHSC/GKs for community mobilization efforts to realize the desired drug compliance of 85% during MDA Honorarium for Drug Distribution including ASHAs and supervisors involved in MDA Verification and validation for stoppage of MDA in LF endemic districts a) Additional MF Survey for 3 districts b) ICT Survey for 3 districts Out of 9 districts, 3 districts qualified for TAS, hence state should plan within six months F.1.4.g.iii c) ICT Cost for 3 districts 15 F.1.4.h F.1.4.h.i F.1.4.h.ii F.1.4.h.iii Verification of LF endemicity in nonendemic districts a) LY & Hy Survey in non-endemic district b) Mf Survey in Nonendemic distt c) ICT survey F.1.4.i Post-MDA surveillance Approval of State PIP : Chhattisgarh Page 285

295 S. No. Component (Sub- Component) Total Filariasis Lymphatic proposed in PIP approved as per BE Remarks F.1.5 Kala-azar F.1.5 Case search/ Camp Approach F.1.5.a F.1.5.b Spray Pumps & accessories Operational cost for spray including spray wages F.1.5.c Mobility/POL/supervision Not Applicable F.1.5.d Monitoring & Evaluation F.1.5.e Training for spraying F.1.5.f IEC/ BCC/ Advocacy Total Kala-azar Total (DBS) F.2 F.2.a Externally aided component World Bank support for Malaria (Identified state) F.2.b Human Resource F.2.c F.2.d Training /Capacity building Mobility support for Monitoring Supervision & Evaluation including printing of format & review meetings, Reporting format (for printing formats) Kala-azar World Bank assisted Project Can be increased at RE stage based on physical and financial proposal F.2.e Human resource Not Applicable Not Applicable Approval of State PIP : Chhattisgarh Page 286

296 S. No. Component (Sub- Component) proposed in PIP approved as per BE Remarks F.2.f Capacity building F.2.g Mobility F.3 F.3.a F.3.b F.3.c F.3.d F.3.e F.3.f F.4 F.5 GFATM support for Malaria (NEStates) Project Management Unit including human resource of N.E. states Training/Capacity Building Planning and Administration( Office expenses recurring expenses, Office automation, printing and stationary for running of project) Monitoring Supervision (supervisory visits including travel expenses, etc) including printing of format and review meetings, IEC / BCC activities as per the project Operational cost for treatment of bednet and Infrastructure and Other Equipment (Computer Laptops, printers, Motor cycles for MTS ) Total : EAC component Any Other Items ( Please Specify) Operational costs ( mobility, Review Meeting, communication, formats & reports) Grand total for cash assistance under NVBDCP (DBS + EAC) Not Applicable Not Applicable Approval of State PIP : Chhattisgarh Page 287

297 S. No. F.6 Component (Sub- Component) Cash grant for decentralized commodities proposed in PIP approved as per BE Remarks F.6.a Chloroquine phosphate tablets 12 F.6.b Primaquine tablets 7.5 mg 4.37 F.6.c Primaquine tablets 2.5 mg 1.35 F.6.d Quinine sulphate tablets F.6.e Quinine Injections 4.8 F.6.f DEC 1 mg tablets 71.8 F.6.g Albendazole 4 mg tablets F.6.h Dengue NS1 antigen kit 4.8 F.6.i F.6.j F.6.k F.6.l F.6.m Temephos, Bti (AS) / Bti (wp) (for polluted & non polluted water) Pyrethrum extract 2% for spare spray ACT ( For Non Project states) RDT Malaria bi-valent (For Non Project states) Any Other Items ( Please Specify) NVBDCP-Arteether Injection, Deltamethrine, Suprey PUMP (purchase,repair,for fogging pump), LLIN, New Microscope, Lancet, Slide, Swab & Laboratory Reagents. Total grant for decentralized commodities Grand Total for grantin-aid under NVBDCP Approved however, funds will be released within available budget. The gap may be met from flexi fund to avoid any shortage of drug and diagnostics. The procurement procedure for antimalarial and antifilarial drugs may be initiated in 1st quarter of current financial year so as to ensure its availability in time. Approval of State PIP : Chhattisgarh Page 288

298 S. No. Component (Sub- Component) proposed in PIP approved as per BE Remarks Commodity Grants Total NVBDCP Cash + Commodity NRHM Additionality 1 NVBDCP- RDT kits NVBDCP-DBS-Malaria- Spray wages NVBDCP-Synthetic Pyrethroid (Alphacypermethrin 5%) NVBDCP-DBS-Malara- HR-Driver for State Programme unit NVBDCP-Malaria Offic Expenses including contingency NVBDCP- Malaria- Support to Sentinel sites (incentives to SSLT) NVBDCP-Support to State Office-Office Attendant(STATE) Total NRHM Additionality May be met from Village Health senitation committee or flexi fund. Approval of State PIP : Chhattisgarh Page 289

299 ANNEX 4D NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) Activity proposed Unit Unit Cost (In Rupees) Physica l Targets propose d (Rs. in lakh) approve d (Rs. in lakh) Remarks G1.Case detection & Management 1.1 Specific - plan for High Endemic Districts 1.2 Services in Urban Areas Block 75, Town - Med I - Med II- Mega- Town - 114, Med I - 2,4, Med II- 4,72, Mega ASHA Involvement Sensitization Detectio 25 2 *Incentive to ASHA 1.4 Material & Supplies Supportive drugs, lab. reagents & equipments and printing works 1.5 NGO Schemes G2. DPMR n PB MB District No. 68, Approval of State PIP : Chhattisgarh Page 29

300 Activity proposed Unit Unit Cost (In Rupees) Physica l Targets propose d (Rs. in lakh) approve d (Rs. in lakh) Remarks MCR footwear, Aids and appliances, Welfare allowance to leprosy patients for RCS, Support to govt. institutions for RCS G3. **IEC/BCC Mass media, Outdoor media, Rural media, Advocacy media G4. Human Resource & Capacity building ***4.1 Capacity building 4.2. Human Resource on contract **** Contractual Staff at State level District MCR Footwear- 3/- Aids/Applianc e -17 Welfare/RCS - 8 At Institute - 5 At camps , No. of batch MO 89, HW 71, PT 5, DNT 71, SMO BFO cum 1 3, Admn. Officer Admn. Asstt DEO Driver State specific reuirement s & rates Approval of State PIP : Chhattisgarh Page 291

301 Activity proposed Unit Unit Cost (In Rupees) Physica l Targets propose d (Rs. in lakh) approve d (Rs. in lakh) Remarks #District Leporsy Consultant #Physiotherapis t Special Provision for selected States NMS No Staff for blocks #PMW No G5. Programme Management 5.1. Travel Cost Contractual Staff at State level Contractual Staff at District level 5.2 Review meetings 5.3 Office Operation & Maintenance Office operation - State Cell Office operation - District Cell Office equipment maint. State 4 2 to No Consumables State Cell District Cell No Mobility Support Approval of State PIP : Chhattisgarh Page 292

302 Activity proposed Unit Unit Cost (In Rupees) Physica l Targets propose d (Rs. in lakh) approve d (Rs. in lakh) Remarks State Cell District Cell G6. Others Essential Travel expenses requiremen for regular staff t for specific programme / training need, awards etc GRAND TOTAL Approval of State PIP : Chhattisgarh Page 293

303 ANNEX 4E REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAM (RNTCP) Category of Unit cost S.No Expenditur e I.1 Civil works As per Revised Norms and Basis of Costing for RNTCP I.2 Laboratory materials As per Revised Norms and Basis of Costing for RNTCP I.3 Honorarium As per Revised Norms and Basis of Costing for RNTCP I.4 ACSM As per Revised Norms and Basis of Costing for RNTCP I.5 Equipment maintenance As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output 1) Civil work Up gradation and maintenance completed as planned 1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL On Site Evaluation and Panel Testing in the year; 3) IRLs accredited and functioning optimally 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY 1) All IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding; 1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition Proposed Approve d Remarks Approval is being given for 9 DTC, 1 C&DST lab, 2 TUs and 38 DMCs % approved % approved Includes the Salary of State ACSM officer % approved. Approval of State PIP : Chhattisgarh Page 294

304 Category of Unit cost S.No Expenditur e I.6 Training As per Revised Norms and Basis of Costing for RNTCP I.7 Vehicle maintenance / operation As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output 1) Induction training, Update and Re-training of all cadre of staff completed as planned; 1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained; Proposed Approve d Remarks % approved As per norms. For new position operation cost is approved for 6 months. I.8 Vehicle hiring I.9 NGO/PP support I.1 Medical College I.11 Office Operation I.12 Contractual services As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding 1) Increase in number of NGOs/PPs involved in signed schemes of RNTCP; 2) Contribution of NGOs/PPS in case detection and provision of DOT 1) All activities proposed under Medical Colleges head in PIP completed 1) All activities proposed under miscellaneous head in PIP completed 1) All contractual staff appointed and paid regularly as planned % approved % approved Includes 15 lakhs for the ZTF meeting % approved % approved Approval of State PIP : Chhattisgarh Page 295

305 Category of Unit cost S.No Expenditur e I.13 Printing As per Revised Norms and Basis of Costing for I.14 Research and studies 1.15 Procurement of drugs I.16 Procurement vehicles I.17 Procurement - Equipments RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP Physical target /expected output 1) All printing activities at state and district level completed as planned 1) Proposed Research has been initiated or completed in the FY as planned 1) Procurement of vehicles completed as planned 1)Procurement of equipments completed as planned Proposed Approve d Remarks % approved % approved % approved Hand held devise has not been approved as these will be procured at central level. I.18 Patient support & Transportati on I.19 Supervision & Monitoring As per Revised Norms and Basis of Costing for RNTCP As per Revised Norms and Basis of Costing for RNTCP Payment of transportation charges to patients Number of evaluation and review meeting done by state % approved 5 4 8% approved. Subtotal Approval of State PIP : Chhattisgarh Page 296

306 S.No Category of Expenditur e Unit cost Physical target /expected output Proposed Approve d Remarks Disease control Flexi pool fund Disapproved activities are: Generator for STDC ; Diesel for generator at IRL and DOTS plus site TOTAL APPROVAL Approval of State PIP : Chhattisgarh Page 297

307 National Programme for Prevention and Control of Fluorosis (NPPCF) Annexure 4F Sl. No. FMR Code Budget Head Unit Quantity Yearly Unit Cost Proposed Remarks 3 J.1.1 NPPCF - State Cell 4 J NPPCF-State Cell- Programme Officer J NPPCF-State Cell-Field 5 Investigator J NPPCF -State Cell-Mobility 6 Support J NPPCF - State Cell- 7 Monitoring J NPPCF - State Cell- Monitoring- State Monthly 8 Report J NPPCF - State Cell- Monitoring- State Annual 9 Report J NPPCF - State Cell- Monitoring-Monthly 1 Meeting J NPPCF - State Cell-Office 11 Exp. 12 J.1.2 NPPCF - Distt Cell J NPPCF- Distt Cell- 13 Consultant J NPPCF- Distt Cell- 14 Technician J NPPCF - Distt Cell-Field 15 Investigators J NPPCF - Distt Cell-Training- Distt Medical & 16 Paramedical Personnel J.1.2.4a NPPCF - Distt Cell-Training- Distt Medical & 16 Paramedical Personnel J NPPCF - Distt Cell- Monitoring- Distt Annual 17 Report J NPPCF - Distt Cell- 18 Coordination Meeting J NPPCF - Distt Cell-Office 19 Exp. (Travel & 1 66, , ,7, , ,34, ,2, , , ,, 1 The proposal is not considered now. State to propose separately along with other states as directed Approval of State PIP : Chhattisgarh Page 298

308 Sl. No. FMR Code Budget Head Unit Quantity Yearly Unit Cost Proposed Remarks Contingencies) J.1.3 NPPCF - Lab Support 2 J NPPCF -Lab Support-Distt. 21 Lab- J NPPCF -Lab Support- Distt. 4 2,8, Lab-Lab Equipment J NPPCF -Lab Support- Distt. 5 1,, 1 23 Lab-Lab Consumables J NPPCF -Lab Support- Distt. Lab- Exp. For Sample 24 Testing J NPPCF -Lab Support- 25 Refferal Lab J NPPCF -Lab Support- Other 26 J.1.4 NPPCF - Fluorosis Medical 27 Managment J NPPCF - Fluorosis Medical 4 6,64, Management-Treatment J.1.4.1a NPPCF - Fluorosis Medical 1 1,7, Management-Treatment J NPPCF - Fluorosis Medical 29 Management-Surgery J NPPCF - Fluorosis Medical Management - 3 Rehabilitation 31 J.1.5 NPPCF - IEC/BCC 4 1,4, 14. J.1.5a NPPCF - IEC/BCC 1 15, J.1.6 NPPCF - Other 33 J.2 NPPCF Flexipool 34 J.2 NPPCF Flexipool PART - D.7 (NPPCF) Total 23,29, Approval of State PIP : Chhattisgarh Page 299

309 Annexure 5 Sr. No. Chhattisgarh Rural Medical Corp HR Category Quantity Incentive Total (Rs./lakhs) Difficult Area 1 Specialist PG-MO LSAS/EmOC trained MO MO SN RMA Most Difficult Area 1 Specialist PG-MO LSAS/EmOC trained MO MO SN RMA ANM Inaccessible Area 1 MO SN RMA ANM TOTAL 864. Approval of State PIP : Chhattisgarh Page 3

310 Annexure 6 Sr No. Category Programme Management No. Salary Rs./m Total Rs.Lakhs SPMU 1 State Programme Manager Programme manager (Maternal Health) Programme manager (child Health) Programme manager (family Planing) Programme manager (ARSH/School Health) State Quality Assurance Manager Programme Associate- State Level PM- Infrastructure PM- Proucrement & Logistics PM-PPP/referal Transport PM- Programme Manager Planning Engineer (Civil & Electrical) State- Director Finance State Finance Manager State Account Manager Accountant- State Level Programme Manager M&E- SPMU Programme Manager HMIS -SPMU State Data Officer State Coordinator (Community Monitoring) State Reporting & Documentation Consultant Computer Programmer Project Associates-(SRM) Programme Manager HRD State Training Officer State Human Resource officer Admin Officer Project Associates-Logistic State - M&E Office Assistant- State Level -QA Cell State Demography Officer BCC/IEC Officer- State Level Office Assistant - State Level Peon/Chowkidar/Sweeper Sub total Approval of State PIP : Chhattisgarh Page 31

311 DPMU 1 District Programme Manager Hospital Consultant Programme Manager MH & FP Programme Manager CH & Immunization Programme Manager ARSH/SSP & WIFS District- Sub Engineer District Account Manager- District Level Distirct Accontant Assistant District Data officer Distirct Data Assistant District Training Co-ordinator Data Entry Operator Sub total BPMU 1 Block Programme Manager Block Account Assistant Account & Data Assistant Block Data Assistant Data Entry Operator Sub total GRAND TOTAL Approval of State PIP : Chhattisgarh Page 32

312 Annexure 7a Approved New Constructions for Sub Centers Name of the District Type and Name of the Facility Population covered by the facility Normal Deliveries per month Timeline for completion Total Project cost Total funds proposed for Total Funds approved for Balodabazar Shc Amodi Year Gariaband SHC Nahargaon 4 3 2Year Gariaband SHC Bortula 5 3 2Year Janjgir SHC Kashigarh - Jaijaipur Year Janjgir SHC Bundeli - Maalkharouda Year Janjgir SHC Pirda Maalkharouda Year Janjgir SHC Janjgir - Nawagarh Year Korea SHC Devgarh Year Surguja SHC Dandagaon years Total 9 SCs Approval of State PIP : Chhattisgarh

313 Approved New Constructions for PHC Name of the District Mungeli Type and Name of the Facility PHC Khamhariya Population covered by the facility Normal Deliveries per month Timeline for completion Total Project cost Total funds approved for Year Approval of State PIP : Chhattisgarh Page 32

314 Annexure -7b Spill Over Works Approved (CHCs) Name of the District Balod Balod Location Balod Gundrdehi Facility Tyep FRU CHC FRU CHC Balod Gurur CHC Baloda Bazar Baloda Bazar Balrampu r Bhatapara Kasdol Kusmi FRU CHC FRU CHC CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year approv ed Approval of State PIP : Chhattisgarh Page 33

315 Name of the District Balrampu r Balrampu r Bastar Bastar Bastar Bastar Location Rajpur Wadrafnag ar Badekilep al Bakawand Darbha Lohandigu da Facility Tyep FRU CHC FRU CHC CHC FRU CHC FRU CHC CHC Bastar Nangoor CHC Bastar Tokapal CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year approv ed Approval of State PIP : Chhattisgarh Page 34

316 Name of the District Bemetara Location Bemetara Facility Tyep FRU CHC Bemetara Berla CHC Bemetara Nawghar CHC Bemetara Saja CHC Bemetara Bijapur Bijapur Bijapur Thankham riya BAIRAM GARH BHOPAL PATNAM GANALU R CHC CHC CHC CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year approv ed Approval of State PIP : Chhattisgarh Page 35

317 Name of the District Location Facility Tyep Bijapur USUR CHC Bilaspur Bilaspur Bilaspur Bilha Kota Marwahi FRU CHC FRU CHC FRU CHC Bilaspur Masturi CHC Bilaspur Pendra CHC Bilaspur Takhatpur CHC Dantewad a Geedam FRU CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year 2 Year approv ed Approval of State PIP : Chhattisgarh Page 36

318 Name of the District Dantewad a Location Katekalya n Facility Tyep FRU CHC Dhamtari GUJRA CHC Dhamtari Dhamtari Dhamtari Durg Kurud Magarload Nagari Dhamdha FRU CHC FRU CHC FRU CHC FRU CHC Durg Jhait CHC Durg Patan CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion 2 Year 2 Year approv ed Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 37

319 Name of the District Gariyaban d Janjgir Location Gariaband Akaltara Facility Tyep FRU CHC FRU CHC Janjgir Baloda CHC Janjgir Bamnidih CHC Janjgir dabhara CHC Janjgir Malkaroda CHC Jashpur Bagicha CHC Jashpur Duldula CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 38

320 Name of the District Location Facility Tyep Jashpur Lodam CHC Jashpur Manora CHC Jashpur Jashpur Pathalgaon Pharsabah ar FRU CHC FRU CHC Kanker Antagarh CHC Kanker Kanker Kanker Bhanuprat appur Charama Dhanelika nhar FRU CHC FRU CHC CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 39

321 Name of the District Kanker Location Durgukon dal Facility Tyep CHC Kanker Narharpur CHC Kanker Pakhanjur FRU CHC Kawardha BODLA CHC Kawardha Pandariya FRU CHC Kawardha Pipriya CHC Kawardha Kondagao n S. Lohara Keshkal FRU CHC FRU CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 31

322 Name of the District Kondagao n Kondagao n Kondagao n Kondagao n Korba Korba Korba Korba Location Makdi Pharasgao n RNT Kondagao n (CH) Vishrampu ri Kartala Katghora Pali PODIPOD A Facility Tyep CHC CHC Civil Hospital CHC FRU CHC FRU CHC FRU CHC CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 311

323 Name of the District Korea Korea Location khadeguw a Manendra garh Facility Tyep CHC FRU CHC Korea patana CHC Korea sontat CHC Mahasam und Mahasam und Mahasam und Mahasam und Bagbahra BASANA Pithora Saraypali FRU CHC CHC FRU CHC FRU CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 312

324 Name of the District Mungeli Mungeli Location Lormi Mungeli Facility Tyep FRU CHC FRU CHC Mungeli Pathariya CHC Raigarh Raigarh BARAMK ELA Lailunga CHC FRU CHC Raigarh PUSORE CHC Raigarh TAMNAR CHC Raigarh VIJAYRN AGA CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 313

325 Name of the District Rajnandg aon Rajnandg aon Rajnandg aon Rajnandg aon Rajnandg aon Location Facility Tyep A. Chowki CHC Chuikhada n Churiya Dongargar h Mohala FRU CHC FRU CHC FRU CHC FRU CHC Sarguja Mainapt CHC Sarguja Sukma Udaypur Sukma FRU CHC FRU CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP : Chhattisgarh Page 314

326 Name of the District Surajpur Surajpur Sub Total Location Bishrampu r Surajpur Facility Tyep CHC FRU CHC Work Details Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Labour Room, OT, Drug Store Cum Vaccin Storage Room & BSU Year of Approva l of Project Tota l Proj ect Cost (Lak hs) Amou nt Appro ved in Amou nt Propo sed for (if any) Physi cal Progr ess till date TS/A S proces s TS/A S proces s Time Line for Comple tion approv ed 2 Year 3. 2 Year Approval of State PIP : Chhattisgarh Page 315

327 Annexure 7c Ongoing works approved for construction of Staff Quarters (213-14) - District Hospitals District Type of Quarters 2F 2G 2H Year of approval Total cost approved approved in Proposed in Bijapur Bilaspur Dantewada Dhamtari Durg Janjgir Jashpur Kanker Kawardha Korba Korea Mahasamund Narayanpur Progress Time line of completion 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year Approved for Approval of State PIP : Chhattisgarh Page 316

328 Raigarh year Raipur year Rajnandgaon year Sarguja year 17 DHs Approval of State PIP : Chhattisgarh Page 317

329 Ongoing works approved for construction of Staff Quarters - CHCs District CHC Type of Quarters 2F 2G 2H Year of approval Total cost approved approved in Proposed in Progress Time line of completion Approved for Balod Balod Balod Gundrdehi Balod Gurur Baloda Bazar Bhatapara Balrampur Rajpur Balrampur Wadrafnagar Balrampur Kusmi Balrampur Shankargarh Balrampur Ramanujganj Bastar Bakawand Bastar Darbha Bastar Badekilepal year year year year 5.3 3year year year 1.6 3year year 1.6 3year year year Approval of State PIP : Chhattisgarh Page 318

330 Bastar Tokapal Bastar Lohandiguda Bastar Nangoor Bemetara Bemetara Bemetara Berla Bemetara Nawghar Bemetara Saja Bemetara Thankhamriya Bijapur BHOPALPATNAM Bilaspur Bilha Bilaspur Gourella Bilaspur Masturi Bilaspur Takhatpur Bilaspur Marwahi Dantewada Geedam Dantewada Katekalyan Dantewada KUAKONDA Dhamtari Kurud year year year year year year year year year year year year year year year year year year Approval of State PIP : Chhattisgarh Page 319

331 Dhamtari Nagari Dhamtari Magarload Dhamtari GUJRA Durg Dhamdha Durg Patan Durg Jhait Gariyaband Gariaband Janjgir Baloda Janjgir Bamnidih Janjgir dabhara Janjgir Malkaroda Jashpur Pharsabahar Jashpur Pathalgaon Jashpur Kansabel Jashpur Lodam Jashpur Duldula Kanker Charama Kanker Bhanupratappur year year year year year year year 5.3 3year year year year year year year year year year year Approval of State PIP : Chhattisgarh Page 32

332 Kanker Pakhanjur Kanker Narharpur Kanker Amoda Kanker Antagarh Kanker Koilibeda Kanker Durgukondal Kanker Dhanelikanhar Kawardha BODLA Kondagaon Keshkal Kondagaon Pharasgaon Kondagaon Vishrampuri Kondagaon Makdi Korba Katghora Korba Kartala Korba Pali Korba PODIPODA Korea Bharatpur Korea Manendragarh year year year year year year year year year year year year year year year year 1.6 3year year Approval of State PIP : Chhattisgarh Page 321

333 Korea patana Korea sontat Korea khadeguwa Mahasamund Bagbahra Mahasamund Pithora Mahasamund Saraypali Mahasamund BASANA Mungeli Lormi Mungeli Mungeli Mungeli Pathariya Narayanpur ORCHA Raigarh Sarangarh Raigarh Gharghoda Raigarh Lailunga Raigarh BARAMKELA Raigarh LOING Raigarh PUSORE Raigarh TAMNAR year year year year year year year year year year year year year year year year year year 29.5 Approval of State PIP : Chhattisgarh Page 322

334 Raigarh VIJAYRNAGA Raipur Abhanpur Raipur Tilda Rajnandgaon Dongargarh Rajnandgaon Churiya Rajnandgaon Mohala Rajnandgaon Chuikhadan Rajnandgaon Dongargaon Rajnandgaon Gandai Sarguja Udaypur Sarguja Sitapur Sarguja Mainapt Sarguja Dhourpur Sarguja Bhafouli Sarguja Lakhanpur Sukma Sukma Surajpur Ramanujnagar Surajpur Surajpur year year year 5.3 3year year year year year year year year year year year year year year year Approval of State PIP : Chhattisgarh Page 323

335 Surajpur Odgi Surajpur Bhaiyathan Surajpur Premnagar Surajpur Praptappur Surajpur Bishrampur year year year 5.3 3year 1.6 3year Total 17 CHCs Approval of State PIP : Chhattisgarh Page 324

336 Ongoing works approved for construction of Staff Quarters - 24x7 PHCs District CHC Type of Quarters 2F 2G 2H Year of approval Total cost approved approved in Proposed in Balod Surdongar Balod Mahod B Balod Palari Baloda Bazar Baloda Bazar Baloda Bazar Baloda Bazar Baloda Bazar Baloda Bazar Katgi Odan Suhela Rohara Barpali Hathband Balrampur PHC Dumarkhola Balrampur Raghunathnagar Balrampur Bartikala Balrampur Bartikala Progress Time line of completion Approved for year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 325

337 Bastar Bastar Bastar manganar Bastar Mardam Bastar Ghotia Bemetara Sambalpur Bijapur Madded Bijapur Kutaru Bijapur Awapalli(Pusgudi) Bijapur Cherpal Bijapur Nelasnar Bilaspur FRU Sanatorium Bilaspur Junapara Bilaspur Pondi Bilaspur Chhapora Dantewada Barsur Dhamtari Karelibadi Dhamtari Belargaon year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 326

338 Dhamtari Sirri Dhamtari Megha Dhamtari Sihawa Dhamtari Jijamgaon Dhamtari Nari Durg Patan Durg Bori Durg Gudali Gariyaband Amlipadar Gariyaband Urmal Gariyaband Jhargaon Gariyaband Kondkera Gariyaband Kopra Janjgir Pamgarh Janjgir Kurda Janjgir Nariyara Jashpur Kotba year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 327

339 Jashpur Bhelwa Jashpur Arra Jashpur Kilkila Jashpur Surangpani Jashpur Tapkara Jashpur Bagbahar Jashpur Pandrapath Jashpur Kersai Kanker Sarona Kanker Basanwahi Kanker Halba Kanker Korar Kanker Bande Kanker Kotatara Kanker Haradula Kanker bhanbeda Kanker Kewti year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 328

340 Kanker kodekurse Kanker Kurenar Kawardha Udiya kala Kawardha Pondi Kawardha Indouri Kawardha Bamhni Kawardha Kunda Kondagaon Banskot Kondagaon Chhipwand Kondagaon Dahikonda Kondagaon Mardapal Korba Bhaisma Korba Tuman Korba Pasan Korba Rampur Korba Utarda Korba Haldibazar year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 329

341 Korba Chaitma Korba Bhilaibazar Korba Chhuri Korea Katgodi Korea Pondi Korea Kotadol Korea Patna Mahasamund Jhalap Mahasamund Patewa Mahasamund Pirda Mahasamund Baroli Mahasamund Birkoni Mahasamund Khallari Mahasamund Mungaser Mahasamund Chanat Mahasamund Baloda Mahasamund Patsendri year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 33

342 Mungeli Jarhagaon Narayanpur Orchcha Narayanpur Narayanpur Narayanpur Chhotedongar Raigarh LENDHRA Raigarh CHHAL Raigarh HATI Raigarh SISARINGA Raigarh SARWANI Raigarh NAURANGPUR Raigarh DUMARPALI Raigarh JAMGAON Raigarh BHEDWAN Raigarh GODAM Raipur Riwa Raipur Mandir Hasoud Raipur Bangoli year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 331

343 Raipur Kharora Raipur Chandkhuri Rajnandgaon PHC-Bharritola Rajnandgaon PHC-Khadgaon Rajnandgaon PHC-Gotatola Rajnandgaon PHC-Chilhati Rajnandgaon PHC-Kaudikasa Rajnandgaon PHC-Umarwahi Rajnandgaon PHC-Murmunda Rajnandgaon PHC-L.B.Nagar Rajnandgaon PHC-Aujuni Rajnandgaon PHC-Aasra Rajnandgaon PHC-Tappa Rajnandgaon PHC-Tumdibod Rajnandgaon PHC-Salhebara Rajnandgaon PHC Gandai Rajnandgaon PHC-Padadah year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Approval of State PIP : Chhattisgarh Page 332

344 Sarguja PHC Bhafouli Sarguja PHC Gumgara Sukma Gadiras Sukma Dornapal Surajpur PHC Batra Surajpur PHC Bhatgaon Surajpur PHC Salka Surajpur PHC Biharpur Surajpur PHC Silota Surajpur PHC Songra year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Surajpur PHC Umeshwar Pur year 5.3 Surajpur PHC Devnagar Surajpur PHC Ganehspur Surajpur PHC Basdei Surajpur PHC Latori year 5.3 3year 5.3 3year 5.3 3year 5.3 Total 147 PHCs Approval of State PIP : Chhattisgarh Page 333

345 Approved Ongoing Construction of MCH Clinics for District Location Facility Bed Strength Year of Approval Total Cost Approved Approved in proposed for Balod Balod DH 1 bedded Baloda Bazar Baloda Bazar DH 5 bedded Balrampur Balrampur DH 1 bedded Bemetara Bemetara DH 1 bedded Bilaspur Bilaspur DH 1 bedded Durg Durg DH 1 bedded Gariyabandh Gariyabandh DH 5 bedded Kanker Kanker DH 1 bedded Kondagaon Kondagaon DH 1 bedded Mungeli Mungeli DH 1 bedded Raigarh Raigarh DH 1 bedded Rajnandgaon Rajnandgaon DH 1 bedded Sukma Sukma DH 5 bedded Surajpur Surajpur DH 1 bedded Progress Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton (Rupees in Lakhs) Time line for completion Annexure 7d Approved for year 15 4 year 9 4 year 15 4 year 15 4 year 15 4 year 15 4 year 9 4 year 15 4 year 15 4 year 15 4 year 15 4 year 15 4 year 9 4 year 15 Approval of State PIP : Chhattisgarh Page 334

346 Surguja Surguja DH 1 bedded Kanker Pankhanjur CH 5 bedded Dantewada Gidam CHC 5 bedded Durg Navagarh CHC 5 bedded Jashpur Kansabel CHC 5 bedded Mahasamund Pithora CHC 5 bedded Kawardha Pandariya CHC 5 bedded Surajpur Bhaiyathan CHC 5 bedded Balrampur Bastar Bilaspur Bilaspur Bilaspur Dhamtari Janjgir Jashpur Korba Koriya Rajpur Bakawand Bilha Gorela Lormi Nagari Sakti Patthalgaon Gharghoda Bharatpur FRU CHC FRU CHC FRU CHC FRU CHC FRU CHC FRU CHC FRU CHC FRU CHC FRU CHC FRU CHC 5 bedded bedded bedded bedded bedded bedded bedded bedded bedded bedded Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton Site selecton 4 year 15 4 year year year year year year year year year year year year year year year year year 135 Approval of State PIP : Chhattisgarh Page 335

347 Koriya Raigarh Surguja Sub Total Manendragarh Lailunga Sitapur FRU CHC FRU CHC FRU CHC 5 bedded bedded bedded MCH Clinic-35 Site selecton Site selecton Site selecton 4 year year year Approval of State PIP : Chhattisgarh Page 336