APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN 2013-14: CHHATTISGARH

213 Ministry of Health & Family Welfare, Government of India APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN 213-14: CHHATTISGARH

Preface FY 212-13 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 213-14 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 213-14 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

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 213-14 Sir, This refers to the Programme Implementation Plan for the year 213-14 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. 715.93 crores, the administrative approval of PIP for your State is conveyed for an amount of Rs 693.96 crores. Details are provided in Table A, B and C below. Uncommitted and unspent balance available under NRHM as on 1.4.213 would also be a part of the resource envelope. TABLE- A Rs.Crores Uncommitted unspent balance available under NRHM as on 1.4.213 12.41 GOI Resource Envelope for 213-14 under NRHM (assuming no reduction on account of conditionalities) 414.13 Assuming 1% incentive based on performance 46.1 25% State Share (213-14) 153.38 Total 715.93

TABLE- B S.No. Name of Programme Uncommitted Unspent Balance available under NRHM as on 1.4.213 GOI Resource Envelope under NRHM 213-14 (Rs in Crores) Total 1 RCH Flexible Pool 56.2 126.88 182.9 2 Mission Flexible Pool 43.5 143.44 186.94 3 Immunization (from RCH Flexible Pool) 6.36 6.36 4 NIDDCP.24.24 5 IDSP.25 1.46 1.71 6 NVBDCP 1.24 29.99 31.23 7 NLEP 1.68 1.68 8 RNTCP 1.4 14.41 15.81 9 Infrastructure Maintenance (Treasury Route) 13.74 13.74 1 PPI Operational Cost 4.94 4.94 11 25% State Share 153.38 153.38 Total- Resource Envelope 12.41 613.52 715.93 Committed Unspent balance up to 212-13 to be revalidated in 213-14 28.71 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 228.28 1 2. NRHM Flexipool 242.6 2 3. Immunization and PPI operation cost 3.45 3

Sr. No. SUMMARY OFAPPROVAL Scheme/Programme Approved (Rs. Crores) Annex ref 4. NIDDCP.24 4A 5. IDSP 3.68 4B 6. NVBDCP 3.46 4C 7. NLEP 45.92 4D 8. RNTCP 22.92 4E 9. Infrastructure maintenance (Treasury route) 13.74 Total 693.96 3. 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 211-12 for the release of first installment,

Other aspects Timely submission of Statutory Audit Report for the year 212-13 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)

APPROVAL OF STATE PROGRAMME IMPLEMENTATION PLAN, 213-14: 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

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

SUMMARY

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 213-14 214-15 Target for 12 th Plan CAD (%) Maternal Health MMR (SRS 7-9) 212 269-5.8-7.1 164 149 122-9.4 Child Health U5MR (SRS 211) 55 57-7.3-7.1 46 41 - -1.2 IMR (SRS 211) 44 48-6. -5.6 39 35 28-1.2 NMR (SRS 211) 31 34-4. -4.5 28 25 - -1.2 Family Planning TFR (SRS 211) 2.4 2.7-2.6-3.5 2.56 2.49 2.36-2.64 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 213-14: Chhattisgarh

SERVICE DELIVERY TARGETS Indicators DLHS-2 (22-4) DLHS-3 (27-8) CES (29) State Targets 213-14 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 12163 18.1 % 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 12729 (HMIS 211-12) 3668 (HMIS 211-12) 689 (HMIS 211-12) 7831 (HMIS 211-12) 165 5 26 16 ABER for malaria (%) 13.57% (211) 13.33 % (212) >15% Approval of State PIP 213-14: Chhattisgarh Page 2

API for malaria (per 1 population) Annualized New Smear Positive Detection Rate of TB (%) Success Rate of New Smear Positive Treatment initiated on DOTS (%) 5.39 4.43 <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 213-14: Chhattisgarh Page 3

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 213-14: Chhattisgarh Page 4

KEY CONDITIONALITIES 5. As agreed, the following key conditionalities would be enforced during the year 213-14. 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 213-14: Chhattisgarh Page 5

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 213-14: Chhattisgarh Page 6

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) 27-8 152.72 26.95 12. 14.95 28-9 214.23 37.81 35. 2.81 29-1 235.9 41.49 31.11 1.38 21-11 299.45 52.84 47. 5.84 211-12 357.44 63.8 94. -3.92 212-13 369.1 123. 134.99-11.99 Total 1,627.94 345.17 354.1-8.93 State share for the 11 th Plan period (27-8 to 211-12) 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. 212-13 onwards release made to all programme under NRHM is considered. Further, with effect from 212-13, State s share would be 25%. 4. Release of funds up to 1% of BE for the year 213-14, would be contingent on the State providing Utilisation Certificate against the grant released to the state up to 211-12 for all the programme. The status of Pending Utilization Certificates for NRHM-RCH Flexible Pool against funds released up to 211-12 are as under : Programme RCH Flexible Pool Mission Flexible Pool Total (In Crore) 42.5 125.8 167.13 Approval of State PIP 213-14: Chhattisgarh Page 7

5. The appointment of Concurrent Auditor for the year 213-14 is a prerequisite for release of 2nd tranche of funds. 6. Timely submission of Statutory Audit Report for the year 212-13 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, 212. 8. State should ensure submission of Action Taken Report/ Compliance Report on the FMR Analysis (213-14) and Audit Report Analysis for FY 212-13. 9. 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 212-13 must be completed in the first quarter of 213-14 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 213-14 Approval of State PIP 213-14: Chhattisgarh Page 8

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 213-14: Chhattisgarh Page 9

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 213-14: Chhattisgarh Page 1

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 213-14: Chhattisgarh Page 11

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 213-14: Chhattisgarh Page 12

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 213-14: Chhattisgarh Page 13

Chhattisgarh: Approved (by Programme), 213-14: Total Rs. 69395.83 lakhs DCPs,6188.77 9% Infrastructure Maientance,1374 19% RCH,22828.7 33% Immunisation & PPI,344.62 4% MFP, 2426.37 35% Approval of State PIP 213-14: Chhattisgarh Page 14

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 213-14: Chhattisgarh Page 15

Approved Budget RCH Flexipool, 213-14 : Rs. 2324.87 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, 213-14: Rs. 2426.37 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 213-14: Chhattisgarh Page 16

Approved budget Immunization, 213-14 : Rs. 344.62 lakhs PPI 16% ASHA Incentive 27% RI strengthening 47% Training 9% Cold chain maintenance % Salary 1% Approved budget NDCP, 213-14 : Rs. 6188.77 lakhs NIDDCP % RNTCP 37% IDSP 6% NLEP 8% NVBDCP 49% Approval of State PIP 213-14: Chhattisgarh Page 17

SUMMARY BUDGET 213-14: CHHATTISGARH S. No. Budget Head FY 213-14 Budget ( Rs lakhs ) Proposed Approved % of RE 1. RCH FLEXI POOL A1 Maternal Health 3744.55 3951.27 5.66 A2 Child Health 1625.51 153.4 1.51 A3 Family Planning 1721.32 41.3.57 A4 ARSH 116.34 64.68.9 A5 Urban RCH 295.8 A6 Tribal RCH 48. A7 PNDT & Sex Ratio 139.4 36.86.5 A8 Infrastructure & HR 952.19 4285.57 6.14 A9 Training 2486.79 1951.16 2.8 A1 Programme Management 7316.1 2189.83 3.16 A11 Vulnerable groups 23. Total Base Flexi Pool 2718.92 13934.7 2.8 A12 JSY 787.5 787.5 1.15 A13 Sterilisation & IUD Compensation and NSV Camps 1822. 186.5 2.59 Total Demand Side 899.5 8894. 12.74 Total RCH Flexi Pool 35928.42 22828.7 32.9 2. MISSION FLEXI POOL B1 ASHA 7348.54 633.66 9.3 B2 Untied Funds 352.2 2513.55 3.6 Approval of State PIP 213-14: Chhattisgarh Page 18

S. No. Budget Head FY 213-14 Budget ( Rs lakhs ) Proposed Approved % of RE B3 Annual Maintenance Grants 973.5 623.5.89 B4 Hospital Strengthening 11881.4 1476.66 15.1 B5 New Constructions/ Renovation and Setting up 1368.52 11.93.15 B6 Corpus Grants to HMS/RKS 15.2 153. 1.51 B7 District Action Plans (including block, village) 61.2 61.2.9 B8 Panchayati Raj Initiative 95.46 6.9 B9 Mainstreaming of AYUSH 198.39 238.39.34 B1 IEC-BCC NRHM 1454.75 371.87.53 B11 Mobile Medical Units (Including recurring expenditures) 1296. B12 Referral Transport 3721.48 B13 PPP/ NGOs 1841.45 35.4.5 B14 Innovations (if any) 1366. 6..1 B15 Planning, Implementation and Monitoring 1662.88 68.63.87 B16 Procurement 3672.59 1756.58 2.52 B17 Regional drugs warehouses B18 New Initiatives B19 Health Insurance Scheme B2 Research, Studies, Analysis B21 State level Health Resources Center 19 5.7 B22 Support Services 5499.79 B23 Other Expenditures (Power Backup, 9561.43 Approval of State PIP 213-14: Chhattisgarh Page 19

S. No. Budget Head FY 213-14 Budget ( Rs lakhs ) Convergence etc) Proposed Approved % of RE TOTAL MFP 58112.77 2426.37 34.75 3. IMMUNIZATION C1 RI strengthening project (Review meeting, Mobility support, Outreach services etc) 1422.56 1419.18 2.3 C2 Salary of Contractual Staffs 4.68 17.1.2 C3 Training under Immunisation 34.8 284..41 C4 Cold chain maintenance 17.21 1.7.2 C5 ASHA Incentive 819.29 819.29 1.17 Total Immunization 264.53 255.27 3.65 C6 Pulse Polio Operational Cost 59.86 494.35.71 Total RI & PPO costs 3114.39 344.62 4.36 5. 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)* 141.4 24.3 54.6 367.93.53 6485.92 345.82 4.36 317.57 459.24.66 2986.51 2291.78 3.28 232.9 * Total NDCP 174.36 6188.77 8.87 5. INFRASTRUCTURE MAINTENANCE Approval of State PIP 213-14: Chhattisgarh Page 2

S. No. Budget Head FY 213-14 Budget ( Rs lakhs ) Proposed Approved % of RE Total Infrastructure Maintenance 157 1374. 18.73 GRAND TOTAL 123559.94 69395.83 1 *NPCCF PIP will be considered later along with PIPs from other states. Approval of State PIP 213-14: Chhattisgarh Page 21

Maternal Health Approval of State PIP 213-14: Chhattisgarh Page 22

GOALS AND SERVICE DELIVERY TARGETS: MATERNAL HEALTH Maternal Health: Goals and Targets for 213-14 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 43925 (61%) in 213-14 Institutional Deliveries (out of the total estimated deliveries) to be conducted in Public health institutions from 38% in 212-13 to 5%. in 213-14 Caesarean Section rate in public health facilities from 4 % in 212-13 to 1% in 213-14 Severely Anemic Pregnant Women** out of total anemic pregnant women (@2% 3245 in 213-14 3245 in 213-14 7658 in 213-14 **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 213-14: Chhattisgarh Page 23

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 213-14 214-15 215-16 216-17 32 38 44 5 Maintain Levels Present Status BEmOC(Level2)* Target 213-14 214-15 215-16 216-17 28 271 334 397 46 * 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 213-14: Chhattisgarh Page 24

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 213-14: Chhattisgarh Page 25

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 213-14: Chhattisgarh Page 26

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 213-14: Chhattisgarh Page 27

S. No. Budget Head A.1.1 A.1.3 A. 1.3.1. A.1.3.2. 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 72. 72. 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 8 9 72. 72. Approved as following: Rs 3 incentive to lady doctors Rs. 1 for LTs Monthly Village Health and Nutrition Days Janani Suraksha Yojana / JSY 168512 43 64 787.5 787.5 A.1.4.1 Home deliveries 5 5 25 25 Approved Rs 1 for LTs & Rs.4 to lady doctors towards mobility support A.1.4.2 A.1.4.2. a Institutional deliveries 353 59 465. 465. Rural 25 14 35 35 Approved Approval of State PIP 213-14: Chhattisgarh Page 28

S. No. Budget Head A.1.4.2. b A.1.4.2. c A.1.4.3 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) Urban 1 1 1 1 Approved REMARKS C-sections 3 35 15. 15. 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 332.5 332.5 Approved @ 5 % of JSY expenses A.1.4.4 Incentives to ASHA 19 19 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.1.6.1 A.1.6.2 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 5 5 2.5 2.5 Approved. Rs.5 includes Rs.3 as incentive and Rs.2 for other activity. 4969 24433 124.35 55.7 148 25 26.2 5 5 25. 8. Approved as following: Rs 5 Lakhs for ND @ Rs 1/- for 5 NDs and Rs 3 Lakhs for C-Sections @ Rs 15/- for 2 C- Sections Approval of State PIP 213-14: Chhattisgarh Page 29

S. No. Budget Head A.1.6.3 A.1.6.4 A.1.6.5 A.1.6.6 A.1.6.7 A.1.6.8 A.1.6.9 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 324 2 6.48 6. 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. 2 5.1.1 Approved 82 185 1.52 1.52 Approved 2.8 2.8 Lumpsum approved. 47 LSAS and 35 CEmONC trained doctors will be given fixed incentive @Rs. 2 after performing at least three C-sections/month and any additional c- section thereafter in a month will be paid @ Rs. 4/C-section /LSAS and CEmONC doctors. 2 5.1.1 Approved subject to State sharing the outcome of the meetings with MoHFW. 3 4 12. 12. Approved 25.6 5.4 2 MH Consultants are approved subject to State sharing their ToRs and all consultants should be IT savy. Approved @ Rs 45, per month for 6 months. Approval of State PIP 213-14: Chhattisgarh Page 3

S. No. Budget Head A.1.6.1 A.1.6.1 1 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. 4 135 5.4 Not approved 1 6758.68.68 Approved A.1.6.1 2 MTP Refresher Training 6 2 1.2 1.2 Approved A.1.7 JSSK- Janani Shishu 125112 68 3545.7 3821.7 Surakhsha Karyakram A.1.7.1 Drugs and consumables 31 3 187.5 1279.5 Approved: Rs 139.5 Lakhs for 297 NDs @ Rs 35/ND and Rs 24 Lakhs for 15 C-sections @ Rs 16/Csection A.1.7.2 Diagnostic 31 2 62. 62. Approved A.1.7.3 Blood Transfusion 3 3 9. 9. Approved A.1.7.4 Diet (3 days for Normal Delivery and 7 days for Caesarean) 3 912. 996. Approved: Rs 891 Lakhs for diet of 3 days @ Rs.1/day for 297 NDs and Rs 15 Lakhs for diet for 7 days @RS.1/day for 15 C-sections Approval of State PIP 213-14: Chhattisgarh Page 31

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A.1.7.5 Free Referral Transport 3 912. 912. Approved @ 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.1.7.6 Other JSSK activity 112 6 23.2 23.2 A.1.7.6. 1 A.1.7.6. 2 State level Review Meeting District level Review Meeting 4 4 1.6 1.6 Approved 18 2 21.6 21.6 Approved A.9.3 Sub-total Maternal Health (excluding JSY) Maternal Health Training 3744.55 3951.27 A.9.3.1 Skilled Attendance at Birth / SBA 15 57965 129.84 114.1 A.9.3.1. 1 A.9.3.1. 2 A.9.3.1. 4 A.9.3.1. 5 Setting up of SBA Training Centres 3 2 6. 6. Approved for setting up 3 training centres @ Rs 2 Lakhs/centre TOT for SBA 2 137425 2.75 2.75 Approved Training of Staff Nurses in SBA Training of ANMs / LHVs in SBA 12 1219 14.53 14.53 Approved 88 1219 16.56 9.82 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 213-14: Chhattisgarh Page 32

A.9.3.2 EmOC Training A.9.3.3 A.9.3.4 A.9.3.4. 1 Life saving Anaesthesia skills training Safe abortion services training (including MVA/ EVA and Medical abortion) TOT on safe abortion services 3 552 16.56 16.56 A.9.3.4. 2 Training of Medical Officers in safe abortion 3 552 16.56 16.56 Approved for 6 MOs. A.9.3.5 RTI / STI Training A.9.3.6 A.9.3.7 A.9.3.7. 6 A.9.3.7. 7 A.9.3.7. 8 A.9.3.7. 9 A.9.3.8 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 24 79925 19.18 19.18 Approved for 12 MOs. 67 47541 67.19 67.19 2 132825 2.66 Approved for training of state and district 27 142485 38.47 officials on MDR, 41.13 subject to training being conducted as per the GOI Training norms. 3 137425 4.12 4.12 Approved 35 62675 21.94 21.94 Approved A.9.3.9 Skill Lab Training 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months ASHA Incentive Approval of State PIP 213-14: Chhattisgarh Page 33

B1.1.3.1 B1.1.3.1. 1 B1.1.3.1. 2 B1.1.3.1. 3 BCC/IEC Activities B.1.2.1 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 12 22 153. 2 5 1. 1 15 15 2 2. 278.9 Approval of State PIP 213-14: Chhattisgarh Page 34.5.5 Approved Rs 5,/- for reporting of expected 1 maternal deaths @ 5/-. (Ongoing activity) Not approved (New activity) Not approved (Ongoing activity) as no targets are provided. B.1.2.1. 1 B.1.2.1. Mass media Mid-media 173.4 15.5 As mentioned in the remark column of B1.2 2 Procurement of Equipments and Drugs B16.1.1 B16.1.1.1 B16.1.1.2 B16.1.1.3 B.16.2.1 B.16.2.1. 1 B.16.2.1. 2 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 12 2 2.4 12 2 2.4 15 3 4.5 15 3 4.5 2.4 2.4 4.5 4.5 Approved (Ongoing activity) Approved Rs 4.5 lacs @ 3/- for 15 cases (ongoing activity)

CHILD HEALTH, RBSK & IMMUNIZATION Approval of State PIP 213-14: Chhattisgarh Page 35

TARGETS: CHILD HEALTH AND IMMUNIZATION Indicator CURRENT CAD (%) State Targets India Chhattisgarh India Chhattisgarh 213-14 214-15 Target for 12 th Plan (217) CAD (%) U5MR (SRS 55 57-7.3-7.1 46 41 - -1.2 211) IMR (SRS 211) 44 48-6. -5.6 39 35 28-1.2 NMR (SRS 211) 31 34-4. -4.5 28 25 - -1.2 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 57745 State Targets 212-13 213-14 214-15 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) 28 29 21 211 212 213 214 215 216 NMR 39 38 37 34 31 28 25 22 2 IMR 57 54 51 48 43 39 35 31 28 U5MR 71 67 61 57 51 46 41 37 33 Approval of State PIP 213-14: Chhattisgarh Page 36

1 2 Establishment & operationalization of SNCUs Establishment & operationalization of NBSU 3 NBCC at delivery points 4 Establishment of NRCs 5 6 7 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 213-14 3 13 1 46 75 38 4 61 1584 (including 432 RMA) No. 33 144 No. 4461 174 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 213-14: Chhattisgarh Page 37

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 213-14: Chhattisgarh Page 38

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 213-14) 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 213-14: Chhattisgarh Page 39

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 213-14, 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 213-14: Chhattisgarh Page 4

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 213-14: Chhattisgarh Page 41

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 1625.51 153.4 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.2.2.1 SNCU 8 1 5 15. 15. Approved for 4 new IMNCI training sites @ Rs.3. lakhs/ site (Rs.12 lakhs) and Rs.3 lakhs for formats & registers across all sites. 228.6 228.6 126. 126. Approved as following: 5 operational units @ Rs.1 Lakhs /unit 7 units under progress @Rs.5 Lakhs /unit and Rs. 41 lakhs for new unit at Raipur Approval of State PIP 213-14: Chhattisgarh Page 42

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A.2.2.2 NBSU 49. 49. Approved as following: 1 functional NBSUs @ Rs.1.75 Lakhs/NBSU and 36 NBSUs under progress @Rs. 875 /NBSU A.2.2.3 NBCC 53.6 53.6 Approved as following: @Rs. 2/per annum for 156 NBCCs and @ 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.) 4 5 2. 2. Approved for half yearly review meeting cum workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand divisions) @ Rs.5/meeting cum workshop 75 76.24 451.3 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 213-14: Chhattisgarh Page 43

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS the CH team. Rs. 334.8 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) 27 5 75.42 15. 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 batches @ Rs.5,/batch District Level Training for Block Medical Officers and One Medical Officer: 27 batches @ Rs.5/batch 36.2 36.2 Approved for mobility support for 2 rounds SSM @ Rs.18.1 lakhs/round 1 27.72 25.72 Approved as following: IDA of institutional 5 deaths @ Rs 5/death 2 half yearly meetings at State level @ Rs. 25,/meeting Printing of reporting formats @ Rs. 2/format for 1795 formats Another 15.47 budgeted as incentives under ASHA for reporting of infant deaths. State to follow national operational guidelines for child death audit. 75825 15 38.25 247.5 Approval of State PIP 213-14: Chhattisgarh Page 44

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A.2.1.1 Drugs & 3 2 6 6 Approved Consumables (other than reflected in Procurement) A.2.1.2 Diagnostics 3 3 9 3 Approved @ Rs.1/case. A.2.1.3 A.2.11 A.2.11.1 A.9.5 A.9.5.1 A.9.5.1.1 A.9.5.1.2 A.9.5.1.3 A.9.5.2 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 15825 1 158.25 157.5 Approved: Rs 15 Lakhs for to and fro (home to facility and drop back) @Rs 5/ neonate for 3, sick neonates and Rs 7.5 Lakhs for interfacility referral transport @Rs 25/-neonate for 3 seriously ill neonates 22 627 226.8 32.8 4 27 1.8 1.8 Approved 213 36938 68 11253 536.3 468.34 236.89 236.89 2 37396 7.48 7.48 Approved (1 doctors & 1 SNs in each batch) 54 33292 179.78 179.78 Approved 12 41365 49.64 49.64 Approved; 12 batches of 24 anganwadi workers in each. 11 13175 39.82 39.82 Approval of State PIP 213-14: Chhattisgarh Page 45

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) A.9.5.2.1 TOT on F-IMNCI 1 3758 3.76 3.76 Approved A.9.5.2.2 F-IMNCI 8 292325 23.39 23.39 Approved Training for Medical Officers A.9.5.2.3 F-IMNCI 2 633625 12.67 12.67 Approved Training for Staff Nurses A.9.5.3 Home Based Newborn Care / HBNC A.9.5.3.1 TOT on HBNC A.9.5.3.2 A.9.5.4 A.9.5.4.1 A.9.5.4.2 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 213-14: Chhattisgarh Page 46 1 86.6 57.76 1. 86.6 57.76 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 each @ Rs.6, per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.1587/block Reorientation of feeding deonstrators and cook: 12 persons@ Rs.3/person

S. No. Budget Head A.9.5.5 Other child health training (please specify) Quantity / Target Unit Cost ( Rs) 134 126152 Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) 172.99 133.87 A.9.5.5.1 NSSK Training 59 3193 43.98 43.98 REMARKS A.9.5.5.1. 1 A.9.5.5.1. 2 A.9.5.5.1. 3 A.9.5.5.1. 4 A.9.5.5.2 TOT for NSSK 1 9655.97.97 Approved NSSK Training for Medical Officers NSSK Training for SNs NSSK Training for ANMs Other Child Health training 22 7414 16.31 16.31 Approved 27 7417 2.3 2.3 Approved 9 7417 6.68 6.68 Approved 75 94249 129.1 89.89 A.9.5.5.2.a Ch-IYCF- TOT 1 34912 3.49 3.49 Approved. Details of expenditure & physical progress to be shared by the state. A.9.5.5.2. b CH- IYCF- District level A.9.5.5.2.c CH- FBNC - Training on Observership A.9.5.5.2. d CH- FBNC- Mos and Staff Nurses 18 25955 46.72 28.8 Approved for 1 MO + 14 SN per batch @ 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. 55 166 58.63 51.17 Approved for 48 persons @ Rs.166/per batch 17.9 4.16 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 24 @ Rs.2.8 lakhs/batch Approval of State PIP 213-14: Chhattisgarh Page 47

S. No. Budget Head A.9.5.5.2. e FBNC TOT for Mos Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS 1 22722 2.27 2.27 Approved (24 participants in the batch) A.9.7.6.3 SHP training A.9.7.6.3. 1 B1.1.3.2 School Health Training - Training of team technical and managerial Incentive under CH (HBNC) 39931 5 91.47 89.47 B1.1.3.2.1 ASHA incentive for HBNC 35 25 875. 875. Approved (Ongoing activity) B1.1.3.2.2 B1.1.3.2.3 ASHA incentive for NRC refferal and follow up for post referral NRC cases Infant death reporting 1 2 2 3931 5 15.47 15.47 Not approved as already included under Care of sick children (NRC budget) for 5, children @ 25 per child. Approved (Ongoing activity) B1.1.3.5 Other incentive B1.1.3.5.1 Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementar y Feeding and Prevention of Infections) 1 2 2 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 213-14: Chhattisgarh Page 48

S. No. Budget Head B16.1.2 Procurement of equipment: CH Quantity / Target Unit Cost ( Rs) 122 116 Budget (Rs. Lakhs) 197.6 B16.1.2.1 NBSU 9 575 51.75 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 B16.1.2.2 NBCC 11 85 85.85 B16.1.2.3 B16.1.2.4 B.16.2.2 B.16.2.2.1 Sishu Sanrakshan Mah (SSM) Genset for SNCU ( for 12 SNCUS) Drugs & supplies for CH Drugs of Sishu Sanrakshan Mah 12 5 6 6 546.5 422.5 546.5 422.5 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 422.5 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 213-14: Chhattisgarh Page 49

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. 67.5 67.5 1.5 1.5 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) 7.59 7.59 4.5 4.5 Approved for 75923 pregnant women for the F.Y.213-14 Approved Rs 125X3 participantsx27 districts Approval of State PIP 213-14: Chhattisgarh Page 5

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 2.92 2.92 45.98 45.98 63.3 63.3 527.97 527.97 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 213-14: Chhattisgarh Page 51

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 87.67 87.67 218.34 218.34 @ Rs 1/- per subcentre 5.39 5.39 Rs. 1 per block/ PHC and Rs. 2 per district 1.77 1.77 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 22866 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,/ district/year @ 4/ - month/ district 4.5 4.5 1.3 1.3 Rs. 3/bags/session 24.99 24.99 Rs. 12 per PHC/CHCper year 11.52 11.52 Rs. 525/pit 23.7 23.7 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 213-14: Chhattisgarh Page 52

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 215.51 215.51 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) 5.31 5.31 C.1-Sub Total 1422.56 1419.18 C.2 C.2.1 C.2.2 Computer Assistants support for State level Computer Assistants support for District level Rs.12-15 per person per month 1.8.9 8-1 per person per month 38.88 16.2 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 4.68 17.1 C.3 Approval of State PIP 213-14: Chhattisgarh Page 53

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 3.49 9.69 19.6 19.6.25.25 5.63 5.63 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 212-13. Approval of State PIP 213-14: Chhattisgarh Page 54

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 1.53 1.53 C.3.6 Others 247.84 247.84 C.3-Sub Total 34.8 284. Cold chain maintenance Rs.75/PHC/CH C.4 Cs per year District Rs.15/year 17.21 1.7 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 13-14 C.6 Total ROUTINE IMMUNIZATION Rs 5 per child for ensuring complete immunization upto 2nd year of age 819.29 819.29 264.53 255.27 Pulse Polio Operational Cost (Tentative) 59.86 494.35 Approved, subject to approval for Pulse Polio Cost. Approval of State PIP 213-14: Chhattisgarh Page 55

FMR Code B.22.6 Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approved Total 3114.39 344.62 Other NDCP Support Programmes 289.35 - Approval Status New Activity. As per Child Health Part-C Approval of State PIP 213-14: Chhattisgarh Page 56

FAMILY PLANNING Approval of State PIP 213-14: Chhattisgarh Page 57

PROJECTION of KEY INDICATORS (213-14): SN. Indicator Current Target/ ELA Status 213-14 214-15 215-16 216-17 1 Goal Indicators 1.1 Total Fertility Rate (TFR) 2.7 (SRS 211) 2.5 2.4 2.3 2.2 1.2 Contraceptive Prevalence Rate (CPR) 47.1 (DLHS-3) 6. 65. 7. 75. 1.3 Unmet Need 2.9 (DLHS-3) 15. 13. 12. 1. 2 Service delivery 2.1 IUCD - Total 7831 (HMIS 211-12) 2.2 Post-partum IUCD (subset of IUCD-total) 53333 2.3 Female Sterilisation 12729 (HMIS 211-12) 2.4 Post-partum sterilisation 3668 (subset of tubectomy) (HMIS 211-12) 2.5 Male sterilisation 689 (HMIS 211-12) Total Sterilization 3 Input/ facility operationalization 3.1 Fixed Day service delivery 133838 (HMIS 211-12) 3.1.1 IUCD 124 Sites 16 175 2 21 25% of the Public Health Institution Deliveries of that year 165 17 175 19 5 7 15 2 26 28 3 32 191 198 25 222 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 3.1.2 Sterilisation FS: 15 DH twice a week, 16 CHC fortnightly Weekly @ PHC + CHC DH + 1 SDH/ FRU per dist Weekly @ PHC + CHC DH + all FRU per dist Weekly @ PHC + CHC DH + all FRU + 25% PHC per dist Weekly @ 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 213-14: Chhattisgarh Page 58

Conditionalities for 213-14: Family Planning Goal (target) Indicator Target/ ELA - 213-14 Minimum Level of Achievement By end of Sep. 213 By end of March 214 Remarks Reduction in TFR -213 2.5 NA NA 2.7 (SRS 211) Service delivery (ELA): IUCD 16 64 144 PPIUCD 53333 21333 48 Interval IUCD 16667 42667 96 Sterilisation 191 573 1528 Tubectomy 165 495 132 Post-partum sterilisation (subset of tubectomy) 5 15 4 Vasectomy 26 78 28 Training of personnel (target) Post-partum IUCD MO SN Interval IUCD 681 17 511 MO 6 15 45 Not available SN Not available ANM/ LHV (Bathces) 81 2 61 Not available Minilap 16 4 12 128 Trained NSV 4 1 3 84 Trained Laparoscopic 24 6 18 8 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 213-14: Chhattisgarh Page 59

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 213-14: Chhattisgarh Page 6

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 213-14: Chhattisgarh Page 61

DETAILED BUDGET: FAMILY PLANNING S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) A.3 FAMILY PLANNING 3543.3 2 A.3.1 Terminal/Limiting Methods 1933. Approved amount (Rs.Lakhs) 227.8 1863.5 REMARKS A.3.1.1 A.3.1.2 Orientation workshop,dissemina tion of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting Female sterilisation camps 6 5 3. 3. Approved 72 15 18. 54. Approved @ Rs. 75/camp A.3.1.3 NSV camps 6 35 21. 6. Approved @ Rs. 1/camp A.3.1.4 Compensation for female sterilisation 1512 1 1512. 1512. Approved A.3.1.5 A.3.1.6 Compensation for male sterilization/nsv Acceptance Accreditation of private providers to provide sterilisation services 192 15 288. 288. Approved 2 5 1..5 Approved @ Rs. 25/visit A.3.2 Spacing Methods 175372 1195 115.5 39.3 A.3.2.1 IUD camps 36 5 1.8 1.8 Approved A.3.2.2 IUD services at health facilities (including fixed day services at SHC and PHC) 15 2 3 37.5 Approved. Budget from A.3.2.3 has also been shifted to this head Approval of State PIP 213-14: Chhattisgarh Page 62

S. No. Budget Head A.3.2.2. 1 A.3.2.3 A.3.2.4 A.3.2.5 A.3.3 A.3.4 A.3.5 A.3.5.1 A.3.5.2 A.3.5.3 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS PPIUCD services 15 5 75. Not Approved. Drop back to mothers is already being provided under JSSK. Accreditation of 1 75 7.5 Shifted to A.3.2.2. 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 12 1 1.2 Not approved (the budget head and activity do not match) 2 2 4 4 Approved 2 1 2 5. Approved @ Rs. 25/laparoscope for 2 laparoscopes 33145 26 1434.8 26 2 2 5 1. 5. Approved for: 2 State level meetings @ Rs. 1/meeting and 4 Distt. level meetings @ Rs.5/district. Approval has been given strictly for QAC meetings only. 25 2 5. 5. Approved but State to note that no cash awards are permissible. Two rounds 299.2 2 Approved for 2 rounds of WPD @ Rs 1 lakhs/round. Approval of State PIP 213-14: Chhattisgarh Page 63

S. No. Budget Head district and block level activities Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) REMARKS A.3.5.4 A.3.5.4. 1 A.3.5.4. 2 A.3.5.4. 3 A.3.5.4. 4 A.3.5.4. 5 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 331 1 1129.6 2 5 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.3.5.3. 165 25 12.12 APPROVAL PENDED 5 Not approved. Budget for incentives approved in the appropriate head under MFP in FMR head B.1.1.3.3 1 5 5. Shifted to MFP under FMR head B.1.2.3.2 165 25 412.5 Not approved 1721.3 2 1822. 41.3 186.5 191 68555 175.63 134.96 Approval of State PIP 213-14: Chhattisgarh Page 64

S. No. Budget Head A.9.6.1 A.9.6.1. 1 A.9.6.1. 2 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) 6 1144 6.9 4.27 REMARKS 6 1144 6.9 4.27 Approved for 6 batches of 4 participants each @ Rs.7124/batch A.9.6.2 Minilap Training 4 1144 4.6 2.85 A.9.6.2. 1 A.9.6.2. 2 A.9.6.3 A.9.6.3. 1 A.9.6.3. 2 TOT on Minilap Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training TOT on NSV NSV Training of medical officers 4 1144 4.6 2.85 Approved for 4 batches of 4 participants each @ Rs.7124/batch 5 328 1.64 1.64 5 328 1.64 1.64 Approved A.9.6.4 IUD Insertion 141 272975 17.51 17.51 A.9.6.4. 1 A.9.6.4. 2 A.9.6.4. 3 A.9.6.4. 4 A.9.6.5 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 15 11125 16.65 16.65 Approved for 15 batches of 1 participants each. 45 112 5.4 5.4 Approved for 45 batches of 1 participants each. 81 4995 4.46 4.46 Approved Approval of State PIP 213-14: Chhattisgarh Page 65

S. No. Budget Head A.9.6.6 A.9.6.6. 1 A.9.6.6. 2 A.9.6.6. 3 A.9.6.6. 4 A.9.6.9 B1.1.3. 3 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) Other family planning training (please specify) 35 999 56.34 17.48 TRG - FP - PPIUCD 3 4995 14.99 14.99 Approved Insertion Training- MO/SN/O&G Specialist TOT for PPIUCD 5 4995 2.5 2.5 Approved IUCD 375 insertion training to MOS Training to ANM on IUCD 375 insertion Training of FP Counselors Incentive for FP( PPIUCD/others) REMARKS 17 11125 18.87 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. 4 4995 19.98 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 counsellors @ Rs 6/batch for 13-15 participants/batch. 125 1225 218.75 3 B1.1.3. 3.1 B1.1.3. 3.2 B1.1.3. 3.3 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) 1 1 1 15 125 18.75 1 1 1 2 Not approved (New activity) Not approved (Ongoing activity) Approved Rs 2 lakhs (Ongoing activity) Budget approved @ Approval of State PIP 213-14: Chhattisgarh Page 66

S. No. Budget Head B1.1.3. 3.4 B.1.2. 3 B.1.2. 3.1 B.1.2. 3.2 B16.1.3 B16.1.3.1 Incentive for AH BCC/IEC activities for FP Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) 2 5 1 1 111.6 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 B1.1.3.4 to B1.1.3.3.4 Mass media 61.6 Activity approved as mentioned in the Mid-media 5 remarks column of FMR B1.2 Procurement of 21 67145 183.6 equipment: FP NSV kits 5 1 5. 18.98 5. Approved (Ongoing activity) B16.1.3.2 B16.1.3.3 B16.1.3.4 B16.1.3.5 B16.1.3.6 IUCD kits 1 2 2 minilap kits 135 3 4.5 laparoscopes 25 6 15 PPIUCD forceps 35 1145 4.1 Other (please specify) 2 4.5 15 1.925 Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved Rs. 1.925 lakhs for 35 forceps @ Rs. 55/forceps B.16.2. 3 Drugs & supplies for FP Approval of State PIP 213-14: Chhattisgarh Page 67

ADOLESCENT HEALTH Approval of State PIP 213-14: Chhattisgarh Page 68

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 213-14: Chhattisgarh Page 69

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.4.1.1 A.4.1.2 A.4.1.3 A.4.1.4 A.4.1.5 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 116.34 64.68 68.1 3.38 23 2 4.6 4.6 Approved 21 5 1.5 1.5 Approved 2 5 1 1 Approved 44 12 5.28 5.28 Approved 5 5 25. Not approved as State needs to provide details of activities proposed to be conducted through SHGs A.4.1.6 Others 12.72 A.4.1.6.1 ARSH Cell 12.72 APPROVAL PENDED A.4.2 A.4.2.1 School Health programme Prepare and disseminate guidelines for School Health Programme. 13.94 Not approved as no programme component is proposed. Approval of State PIP 213-14: Chhattisgarh Page 7

A.4.2.5 Other strategies for school health 13.94 A.4.2.5.1 A.4.3 A.4.3.1 A.4.3.2 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) 14 26 13.94 Not approved as no programme component is proposed, the proposed posts thereby are not justified. 34.3 34.3 18 1 1.8 1.8 Approved 5 2 1 1 Approved for logistics and storage of sanitary napkins in the 5 selected districts. A.4.3.3 WIFS actvity 27 5 13.5 13.5 Approved A.9.7 A.9.7.1 A.9.7.2 Sub-total ARSH 116.34 64.68 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 172855 4955 1 17 631.3 631.3 1.7 1.7 Approved A.9.7.3 3 17 5.1 5.1 Approved A.9.7.4 2 15 3. 3. Approved A.9.7.6.1 WIFS training 172849 55 621.5 621.5 A.9.7.6.1. 1 A.9.7.6.1. 2 State level/ District Level/ Block Level refresher training ANM/MO/ 172,849 55. 621.5 621.5 Approved for 113persons @Rs.55/person Approval of State PIP 213-14: Chhattisgarh Page 71

AWW/ Nodal Teacher A.9.7.6.2 Menstrual hygiene training A.9.7.6.3 SHP training B.1.2.4 B.1.2.4. 1 B.1.2.4. 2 B.1.5.2 B.1.5.3. 1 B16.1.6 B16.1.6.1 B16.1.6.2 B.16.2.6 B.16.2.6. 1 B.16.2.6. 2 B.16.2.7 BCC/IEC activities for ARSH 95.78 Mass media 35.78 Activity approved as mentioned in the Mid-media 6 remarks column of FMR B1.2 Printing of WIFS 51839 2 76.62 Approved (New activity) 76.62 cards etc Reporting 27 75 2.25 Approved (New activity) Mechanism 2.25 formats (WIFS) Equipments for 5 3 15 ARSH/ School Health Equipments for ARSH Clinics Equipments for 5 3 15 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 1123768 6 332,149, 596 11,237,6 86 1 112.38 776.68.2 664.3 1 112.38 664.3 112.38 Approved. Budget shifted from B.16.2.6.2 Approved. Budget shifted from B.16.2.6.1 Approval of State PIP 213-14: Chhattisgarh Page 72

URBAN RCH BUDGET: URBAN RCH Approval of State PIP 213-14: Chhattisgarh Page 73

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.5.2.1 Doctors/Mos 29 72 Budget (Rs. Lakhs) Approved amount (Rs.Lakhs) 295.8 REMARKS 295.8 Not approved. State will be asked to propose the same under NUHM. 28.8 A.5.2.4 ANM A.5.2.5 Staff Nurse 29 18 52.2 A.5.2.6 LHV A.5.2.7 LT 29 12 A.5.5.1 Establishmernt & Equipments ( PHCs and Sub centres ) Sub-total Urban Health 34.8 295.8 Approval of State PIP 213-14: Chhattisgarh Page 74

PC-PNDT Approval of State PIP 213-14: Chhattisgarh Page 75

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 213-14: Chhattisgarh Page 76

> 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 213-14: Chhattisgarh Page 77

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 139.4 36.86 A.7.1 Support to PNDT cell 8.7 2.16 Calculation error by State. Approved for State level: One Doctor @ Rs. 5,/- pm, One Consultant @ Rs. 4,/- pm and One DEO @ Rs. 18,/- pm 5 DEOs for five Districts @ Rs. 12,/- pm. A.7.3 Mobility support 11 2 2.2 2.2 Approved A.7.2 A.7.2.1 A.7.2.2 A.7.2.3 A.7.2.4 A.7.2.1 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 254 1276 128.5 14.5 2 1 2. 2. Approved 5 25 12.5 12.5 Approved 4 125 5 Not approved 64. Not approved 139.4 36.86 Approval of State PIP 213-14: Chhattisgarh Page 78

TRIBAL RCH Approval of State PIP 213-14: Chhattisgarh Page 79

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) 16 3 1 48. 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 213-14: Chhattisgarh Page 8

HUMAN RESOURCES AND PROGRAMME MANAGEMENT Approval of State PIP 213-14: Chhattisgarh Page 81

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 213-14: Chhattisgarh Page 82

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 952.19 4285.57 As agreed, the following key conditionalities would be enforced during the year 213-14. 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 213-14: Chhattisgarh Page 83

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.8.1.1 A.8.1.1. 1 A.8.1.1. 1.e Contractual Staff & Services ANMs,Super visory Nurses, LHVs, 5551 8812 1882 1656 952.19 4285.57 - 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. 1855.44 19.62 ANMs 1381 288 969.48 745.74 Non- 24 X 7 PHCs 69 72 24.84 745.74 Approved @ 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 213-14: Chhattisgarh Page 84

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8.1.1. 1.f A.8.1.1. 1.h A.8.1.1. 2 A.8.1.1. 2.a A.8.1.1. 2.b A.8.1.1. 2.c A.8.1.1. 2.d A.8.1.1. 2.e A.8.1.1. 2.f A.8.1.1. 2.g A.8.1.1. 3 A.8.1.1. 3.g A.8.1.2. 1 A.8.1.2. 1.a A.8.1.2. 1.b A.8.1.2. 1.c Sub Centres 129 144 928.8 Others 22 72 15.84 Staff Nurses 479 126 862.2 344.88 DH 18 FRUs 3 18 54. Non FRU 1 18 18. SDH/ CHC 24 X 7 PHC 2 18 36 Non- 24 X 7 PHCs 11 18 19.8 SNCU/ 216 18 388.8 NBSU/NRC etc Others 12 18 21.6 344.88 Approved @ 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 22 18 23.76 Others 22 18 23.76 Not approved Laboratory Technicians 257 432 21.96 17.4 DH 27 72 19.44 Approved for 29 LTs @ Rs. 1/- per month. FRUs 45 72 32.4 Approval is being granted 17.4 for six months only and its Non FRU 49 72 35.28 continuation for the next SDH/ CHC six months would be Approval of State PIP 213-14: Chhattisgarh Page 85

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8.1.2. 1.d A.8.1.2. 1.e A.8.1.2. 1.f A.8.1.2. 2 A.8.1.3 A.8.1.3. 1 A.8.1.3. 1.a A.8.1.3. 1.b A.8.1.3. 3 A.8.1.3. 3.a A.8.1.3. 3.b 24 X 7 PHC Non- 24 X 7 1 72 72. contingent on compliance of the above mentioned conditionalities. PHCs Others 36 144 51.84 MPWs 16 72 11.52 Specialists (Anaesthetis ts, Paediatricia ns, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) Obstetrician s and Gynecologis ts 186 294 395.4 435. 12 6 72. 72. DH FRUs 12 6 72. 72. 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 12 6 72. 72. DH FRUs 12 6 72. 72. Approved.Approval is being granted for six Approval of State PIP 213-14: Chhattisgarh Page 86

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8.1.3. 4 A.8.1.3. 4.a A.8.1.3. 5 A.8.1.3. 5.a A.8.1.3. 7 A.8.1.3. 7.a A.8.1.3. 7.b A.8.1.3. 7.c A.8.1.5 months only and its continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Surgeons 4 6 24. DH 4 6 24. Not approved Specialists for CH (Paediatricia n etc) in SNCU,NBSU, NRC 12 6 36. 72. DH 12 6 36. 72. 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. 146 54 191.4 219. DH FRUs 54 3 81. Non FRU SDH/ CHC Medical Officers 92 24 11.4 89 18 219. Approved @Rs.25/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. 32.4 19.8 Approval of State PIP 213-14: Chhattisgarh Page 87

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8.1.5. 3 A.8.1.5. 7 Non FRU SDH/ CHC MOs for SNCU/ NBSU/NRC etc 29 36 14.4 48 36 172.8 19.8 Approved for 61 MOs @ 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.8.1.5. Other MOs 8 A.8.1.5. Others 12 36 43.2 9 A.8.1.7 Others - Computer Assistants/ BCC Coordinator etc A.8.1.7. Pharmacist 22 432 15.84 1 A.8.1.7. DH 72 1.a A.8.1.7. FRUs 72 1.b A.8.1.7. Non FRU 72 1.c SDH/ CHC A.8.1.7. 1.d 24 X 7 PHC 72 A.8.1.7. 1.e A.8.1.7. 1.f A.8.1.7. 2.b Non- 24 X 7 72 PHCs Others 22 72 15.84 Not approved FRUs A.8.1.7. Non- 24 X 7 Approval of State PIP 213-14: Chhattisgarh Page 88

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks 2.e PHCs A.8.1.7. OT 3 technicians/ assitsants 84 528 77.4 A.8.1.7. 3.a DH 27 144 38.88 Not approved A.8.1.7. 3.b FRUs 45 144 32.4 A.8.1.7. 3.f A.8.1.7. 4.a A.8.1.7. 5 A.8.1.7. 5.1 A.8.1.7. 5.2 A.8.1.7. 5.3 A.8.1.7. 7 Other 12 96 5.76 MOs Counsellors 158 36 438.6 179.61 RMNCH/FP Counselors ARSH Counselors Honorarium to ICTC counselors for ARSH activities Others (pl specify) 18 12 129.6 64.8 Approved @ 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. 189. 54.81 Approved for 63 Feeding demonstrators @ Rs.1/m & 63 Cooks @ 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 213-14: Chhattisgarh Page 89

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8.1.7. 8 A.8.1.9 Staff for Training Institutes/ SIHFW/ Nursing Training Human Resources Developme nt (Other than above) contingent on compliance of the above mentioned conditionalities. 5 24 12 6 Approved for 5 BSc nursing tutors @ 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. 945.71 354.24 Approved Provident Fund @ 12% for 6 months. A.8.1.1 A.8.1.1.1 A.8.1.1.2 A.8.1.1.3 Other Incentives Schemes (Pl.Specify) HR - Awards Etc. to Emoc HR - Awards Etc. to LSAS Chhattisgar h Rural Medical Corp ( CRMC) 218 82 1971.3 979.3 2 5.1.1 Approved 2 5.1.1 Approved 1856. 864. 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 213-14: Chhattisgarh Page 9

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks A.8.1.1.4 A.8.1.1.5 A.8.1.1.6 A.8.1.1.7 A.8.1.1.8 A.8.1.1.9 A.8.1.1 1 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 3 3 9. 9. Approved 3 2 6. 6. Approved 2 1 2. 2. Approved 8 1 8. 8. Approved 52 75 39. 39. Approved 146 35 51.1 51.1 Approved 2639 492 3259.98 1119.6 A.8.1.1 DH 193 42 81.6 Not approved Approval of State PIP 213-14: Chhattisgarh Page 91

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Proposed (Rs. in lakhs) Approve d (Rs. in lakhs) Remarks 1.a A.8.1.1 1.b A.8.1.1 1.c A.8.1.1 1.d A.8.1.1 1.e A.8.1.1 1.f FRUs 23 42 85.26 Not approved Non FRU 399 42 167.58 Not approved SDH/ CHC 24 X 7 PHC 6 42 252. Not approved Non- 24 X 7 PHCs SNCU/ NBSU/ NBCC/ NRC etc Sub-total HR 1232 216 2661.12 118.8 Approved for 1232 RMAs @Rs.15/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. 12 18 12.96 1.8 Approved for Accountant cum DEOs @Rs. 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. 952.19 4285.57 Approval of State PIP 213-14: Chhattisgarh Page 92

PROGRAMME MANAGEMENT Approval of State PIP 213-14: Chhattisgarh Page 93

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 213-14: Chhattisgarh Page 94

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.1.1.1 A.1.1.2 Strengthening of State society/ State Programme Management Support Unit Contractual Staff for SPMSU recruited and in position State Programme Manager State Accounts Manager 79 468 79 468 1 84 8.4 1 6 6. 7316.1 262.63 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. 341.4 119.2 341.4 119.2 A.1.1.3 A.1.1.4 State Finance Manager State Data Manager 1 72 7.2 1 54 5.4 119.2 Rs.119.2 lakhs approved. Deatails available in Annx Programme Management A.1.1.5 Consultants/ Programme Officers (including for MH/CH/FP/ 5 72 36. Approval of State PIP 213-14: Chhattisgarh Page 95

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A.1.1.6 PNDT/ AH including WIFS SHP, MHS etc.) Programme Assistants 15 84.6 A.1.1.7 Accountants 12 3 36. A.1.1.8 A.1.1.9 A.1.1.1 A.1.1.11 A.1.1.11. 1 A.1.1.11. 2 A.1.1.11. 3 A.1.1.11. 4 A.1.1.11. 5 A.1.2 A.1.2.1 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 33 24 79.2 1 18 1.8 1 6 6. 1 6 6. 15 12 18. Engineer Civil & 3 42 12.6 Eletrical Programmer 6 42 25.2 Strengthening of District society/ District Programme Management Support Unit Contractual Staff for DPMSU recruited and in position District Programme Manager 328 2652 328 2652 27 6 162. 67.8 1682.64 528.17 1682.64 528.17 528.17 Rs.528.17 lakhs approved. Details available in Annx Approval of State PIP 213-14: Chhattisgarh Page 96

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A.1.2.2 A.1.2.3 District Accounts Manager District Data Manager 27 48 129.6 Programme Management 27 42 113.4 A.1.2.4 Consultants/ 81 48 388.8 Programme Officers (Kindly Specify) A.1.2.5 Accountants 27 24 64.8 A.1.2.6 A.1.2.7 A.1.2.8 A.1.2.8.1 A.1.2.8.2 Data Entry Operators Support Staff (Kindly Specify) Others (Please specify) District Training Coordinators Hospital Consultant 112 216 241.92 27 216 58.32 27 42 113.4 27 48 129.6 A.1.2.8.3 Sub Engineer 27 42 113.4 A.1.2.8.4 A.1.2.8.5 A.1.3 Assistant DPM (AYUSH) Incentive to Nodal Officers ( Programme ) Strengthening of Block PMU 18 3 54. 135 84 113.4 584 18 523.8 2538.72 93.86 A.1.3.1 A.1.3.2 A.1.3.3 Block Programme Manager Block Accounts Manager Block Data Manager 146 36 525.6 146 216 315.36 146 216 315.36 A.1.3.4 Accountants 93.86 Rs.93.86 lakhs approved. Details available in Annx Program Management Approval of State PIP 213-14: Chhattisgarh Page 97

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks A.1.3.5 A.1.3.6 Data Entry Operators Support Staff (Kindly Specify) 146 216 315.36 A.1.3.7 Others (Please specify) A.1.3.7.1 PADA 741 144 167.4 A.1.4 Strengthening (Others) 167.4 53 2418 16.2 8.22 A.1.4.1 Workshops and Conferences 3 25 75. 3 Approved for 15 workshops and conferences @2 A.1.4.2 AYUSH Cell - 12 17 2.4 APPROVAL PENDED SHRC ( Technical support) A.1.4.3 Programme 12 45 5.4 Not approved Associate - Biomedical cell ( State ) A.1.4.4 Technical 2. 2. Approved support for Tally ( Fin. Mgmt) A.1.4.5 Talley Annual 179 18 3.22 3.22 Approved Upgradation fees A.1.5 Audit Fees 1 8 8. 8. Approved A.1.6 Concurrent 3 3 Approved Audit system A.1.7 Mobility 173 165 269.23 96.36 Support, Field Visits A.1.7.1 SPMU/State 93 111.6 12. Approved for 4 vehicles @ Rs.3 L/vehicle/annum A.1.7.2 DPMU/District 27 6 162. 162. Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum A.1.7.3 BPMU/Block 146 12 175.2 175.2 Approved A.1.7.4 Other Supportive Supervision 216.43 557.16 Approval of State PIP 213-14: Chhattisgarh Page 98

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approved (Rs. in lakhs) Remarks costs A.1.7.4.1 A.1.7.4.2 A.1.7.4.3 A.1.7.4.4 A.1.7.4.5 Travel and supportive supervision of State Nodal officer SPMU Administration DPMU Administration BPMU administration Technical Support to NRHM by SHRC Sub-total Programme Management 15 36 54. Not approved. No separate mobility costs being approved this year. 14.42 14.28 Rs. 14.28 lakhs approved for Provident fund @ Rs. 12%. 27 3 1483.22 63.38 Rs.63.38 lakhs approved for Provident fund @ Rs. 12 %. 146 12 42.95 111.7 Rs.111.7 lakhs approved for Provident fund @ Rs. 12 %. 61.84 Not approved 7316.1 2189.83 Approval of State PIP 213-14: Chhattisgarh Page 99

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 2486.79 1951.16 A.9.1 A.9.2 A.9.2.1 A.9.2.2 Strengthening of existing Training Institutions (SIHFW, ANMTCs, etc.) Development of training packages Development/ translation and duplication of training materials Other activities (pl. specify) 78 52 56.92 141.92 75 2 15. 15. Approved for holding meetings to adopt the modules deveoped for nursing tutors. 3 5 491.92 126.92 A.9.2.2.1 A.9.2.2.2 A.9.2.2.3 A.9.2.2.4 Development of Training mdules Stregthening of existing training centres Stregthening SIHFW Establishment of Skill Lab 3 5 15. 15. 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. 111.92 111.92 Approved subject to availability of these skill labs in the 1 bedded MCH Wings. Approval of State PIP 213-14: Chhattisgarh Page 1

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 226 1191 4 288.39 272.65 A.9.3.1 A.9.3.1.1 Skilled Attendance at Birth / SBA Setting up of SBA Training Centres 15 5796 5 3 2 A.9.3.1.2 TOT for SBA 2 13742 5 A.9.3.1.4 Training of Staff 12 1219 Nurses in SBA A.9.3.1.5 Training of 88 1219 ANMs / LHVs in SBA 129.84 114.1 6. 6. Approved for setting up 3 training centres @ Rs 2 Lakhs/centre 2.75 2.75 Approved 14.53 14.53 Approved 16.56 9.82 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.9.3.2 EmOC Training A.9.3.2.1 Setting up of EmOC Training Centres A.9.3.2.2 TOT for EmOC A.9.3.2.3 A.9.3.3 A.9.3.4 Training of Medical Officers in EmOC Life saving Anaesthesia skills training Safe abortion services training (including MVA/ EVA and Medical abortion) 3 552 16.56 16.56 Approval of State PIP 213-14: Chhattisgarh Page 11

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.3.4.1 A.9.3.4.2 A.9.3.5 TOT on safe abortion services Training of Medical Officers in safe abortion RTI / STI Training 3 552 16.56 16.56 Approved for 6 MOs. A.9.3.6 A.9.3.7 A.9.3.7.6 A.9.3.7.7 A.9.3.7.8 A.9.3.7.9 A.9.3.8 A.9.3.9 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 24 79925 19.18 19.18 Approved for 12 MOs. 67 47541 2 13282 5 27 14248 5 3 13742 5 A.9.4 IMEP Training 27 1 67.19 67.19 2.66 Approved for training of 38.47 41.13 state and district officials on MDR, subject to training being conducted as per the GOI Training norms. 4.12 4.12 Approved 35 62675 21.94 21.94 Approved A.9.4.1 TOT on IMEP A.9.4.2 IMEP training for state and district programme 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months 27. 27. Approval of State PIP 213-14: Chhattisgarh Page 12

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks managers A.9.4.3 A.9.5 A.9.5.1 A.9.5.1.1 A.9.5.1.2 A.9.5.1.3 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 27 1 213 36938 68 1125 3 2 37396 54 33292 12 41365 A.9.5.2 11 1317 5 A.9.5.2.1 TOT on F-IMNCI 1 3758 A.9.5.2.2 F-IMNCI 8 29232 Training for 5 Medical Officers A.9.5.2.3 A.9.5.3 F-IMNCI Training for Staff Nurses Home Based Newborn Care / HBNC 2 63362 5 27. 27. Approved 536.3 468.34 236.89 236.89 7.48 7.48 Approved (1 doctors & 1 SNs in each batch) 179.78 179.78 Approved 49.64 49.64 Approved; 12 batches of 24 anganwadi workers in each. 39.82 39.82 3.76 3.76 Approved 23.39 23.39 Approved 12.67 12.67 Approved A.9.5.3.1 TOT on HBNC A.9.5.3.2 A.9.5.4 Training on HBNC for ASHA Care of sick children and severe malnutrition at FRUs 1 86.6 57.76 Approval of State PIP 213-14: Chhattisgarh Page 13

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.5.4.1 A.9.5.4.2 A.9.5.5 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) 1. 134 12615 2 A.9.5.5.1 NSSK Training 59 3193 86.6 57.76 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 each @ Rs.6, per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.1587/block Reorientation of feeding deonstrators and cook: 12 persons@ Rs.3/person 172.99 133.87 43.98 43.98 A.9.5.5.1. 1 A.9.5.5.1. 2 A.9.5.5.1. 3 A.9.5.5.1. 4 A.9.5.5.2 TOT for NSSK 1 9655.97.97 Approved NSSK Training for Medical Officers NSSK Training for SNs NSSK Training for ANMs Other Child Health training 22 7414 16.31 16.31 Approved 27 7417 2.3 2.3 Approved 9 7417 6.68 6.68 Approved 75 94249 129.1 89.89 Approval of State PIP 213-14: Chhattisgarh Page 14

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.5.5.2.a Ch-IYCF- TOT 1 34912 A.9.5.5.2. b CH- IYCF- District level A.9.5.5.2.c CH- FBNC - Training on Observership A.9.5.5.2. d A.9.5.5.2. e A.9.6 CH- FBNC- Mos and Staff Nurses FBNC TOT for Mos Family Planning Training 18 25955 55 166 1 22722 191 6855 5 3.49 3.49 Approved. Details of expenditure & physical progress to be shared by the state. 46.72 28.8 Approved for 1 MO + 14 SN per batch @ 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. 58.63 51.17 Approved for 48 persons @ Rs.166/per batch 17.9 4.16 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 24 @ Rs.2.8 lakhs/batch 2.27 2.27 Approved (24 participants in the batch) 175.63 134.96 A.9.6.1 A.9.6.1.1 A.9.6.1.2 Laparoscopic Sterilisation Training TOT on laparoscopic sterilisation Laparoscopic sterilisation training for doctors (teams 6 1144 6 1144 6.9 4.27 6.9 4.27 Approved for 6 batches of 4 participants each @ Rs.7124/batch Approval of State PIP 213-14: Chhattisgarh Page 15

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.9.6.2 Minilap Training 4 1144 4.6 2.85 A.9.6.2.1 TOT on Minilap A.9.6.2.2 A.9.6.3 Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training 4 1144 5 328 1.64 1.64 A.9.6.3.1 TOT on NSV 4.6 2.85 Approved for 4 batches of 4 participants each @ Rs.7124/batch A.9.6.3.2 NSV Training of 5 328 1.64 1.64 Approved medical officers A.9.6.4 IUD Insertion 141 27297 5 17.51 17.51 A.9.6.4.1 TOT for IUD insertion A.9.6.4.2 Training of Medical officers in IUD insertion A.9.6.4.3 Training of staff nurses in IUD insertion A.9.6.4.4 Training of ANMs / LHVs in IUD insertion A.9.6.5 Contraceptive update/isd Training A.9.6.6 Other family planning training (please specify) A.9.6.6.1 TRG - FP - PPIUCD Insertion Training- 15 1112 5 45 112 16.65 16.65 Approved for 15 batches of 1 participants each. 5.4 5.4 Approved for 45 batches of 1 participants each. 81 4995 4.46 4.46 Approved Approval of State PIP 213-14: Chhattisgarh Page 16 35 999 56.34 17.48 3 4995 14.99 14.99 Approved

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.9.6.6.2 TOT for PPIUCD 5 4995 2.5 2.5 Approved A.9.6.6.3 IUCD 375 insertion training to MOS A.9.6.6.4 A.9.6.9 A.9.7 A.9.7.1 Training to ANM on IUCD 375 insertion Training of FP Counselors Adolescent Reproductive and Sexual Health/ARSH Training TOT for ARSH training 17 1112 5 18.87 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. 4 4995 19.98 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. 172855 4955 1.2 Approved. Budget has been sanctioned as per discussion with state for 2 batches of RMNCH counsellors @ Rs 6/batch for 13-15 participants/batch. 631.3 631.3 A.9.7.2 A.9.7.3 A.9.7.4 Orientation training of state and district programme managers ARSH training for medical officers ARSH training for ANMs/LHVs 1 17 3 17 2 15 1.7 1.7 Approved 5.1 5.1 Approved 3. 3. Approved Approval of State PIP 213-14: Chhattisgarh Page 17

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.7.5 ARSH training for AWWs A.9.7.6 Other ARSH training A.9.7.6.1 WIFS training 172849 55 621.5 621.5 A.9.7.6.1. 1 A.9.7.6.1. 2 A.9.7.6.2 State level/ District Level/ Block Level refresher training ANM/MO/ AWW/ Nodal Teacher Menstrual hygiene training 172,849 55. 621.5 621.5 Approved for 113persons @Rs.55/person A.9.7.6.3 SHP training A.9.7.6.3. 4 A.9.7.6.3. 5 A.9.8 A.9.8.1 A.9.8.2 A.9.8.3 A.9.8.4 A.9.8.4.1 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 624 162 165. 155. 5 5 25. 25. Approved 5 3 15. 15. Approved 27 5 13.5 13.5 Approved 587 77 111.5 11.5 4 1 4 4 Approved Approval of State PIP 213-14: Chhattisgarh Page 18

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.8.4.2 A.9.8.4.3 A.9.8.4.4 A.9.8.4.5 A.9.9.1 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 146 1 14.6 14.6 Approved 27 7 18.9 18.9 Approved 1 18 4 5 18. 18. Approved 2 1 Approved for 2 A.9.9.2 Others 725 5 21.25 APPROVAL PENDED. State needs provide details of the activity A.9.1 Training (Nursing) 35 39. 39. A.9.1.1 A.9.1.2 Strengthening of Existing Training Institutions/Nur sing School excluding infrastructure and HR. New Training Institutions/Sch ool 35 39. 39. Approved for 2 GNM Trng Institutes @ 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 213-14: Chhattisgarh Page 19

FMR Code Budget Head Physical/ Target Unit Cost (Rs.) Propose d (Rs. in lakhs) Approv ed (Rs. in lakhs) Remarks A.9.11 A.9.11.1 A.9.11.2 A.9.11.3 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.) 77 32 A.9.11.3.1 PGDHM Courses 2 3 Sub-total Training 96. 81. 75. 75. Approved for training of 1 SN @ Rs 5/SN and Induction training of 5 newly joined MO/SN/LTS @ 5/HR 75 2 15. Not approved, State needs to propose as per the INC Guidelines. 2486.79 1951.16 6. 6. Approved for PGDHM training of MOs with 5 yrs service experience Approval of State PIP 213-14: Chhattisgarh Page 11

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 1 15 15. APPROVAL PENDED. No details given by the State. 4 2 8. APPROVAL PENDED. No details given by the State. 18. Approval of State PIP 213-14: Chhattisgarh Page 111

MISSION FLEXIBLE POOL (MFP) Approval of State PIP 213-14: Chhattisgarh Page 112

ASHA TARGETS: S. Activity Targets No. 1. ASHAs with Drug kits 66 2. 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: 18284 547857 7348.54 633.66 B1.1.1 B1.1.1. 1 B1.1.1. 2 B1.1.1. 3 B1.1.1. 4 Selection & Training 143442 12448 3315.41 of ASHA 3239.81 Module I - IV 66 14 924. 924. Module V 4 168 67.2 67.2 Module VI & VII 1 14 14 14 Other Trainings 63442 12 2184.21 218.61 Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approval of State PIP 213-14: Chhattisgarh Page 113

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1.1.1. 4.1 B1.1.1. 4.2 B1.1.1. 4.3 B1.1.1. 4.4 B1.1.1. 4.5 B1.1.2 B1.1.2. 1 B1.1.2. 2 B1.1.2. 3 B1.1.2. 4 B1.1.3 Compensation to Mitanin Trainrers 315 384 129.6 Block contingencies 146 72 15.12 Dist Contingencies 146 84 12.26 Cluster meetings of Mitanins Other trainings and activities under Mitanin selection and training Procurement of ASHA Drug Kit 6 12 72 1134. 15.12 12.264 72 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) 137.23 137.23 Approved Rs 137.23 Lakhs (Ongoing activity). Approval is for Rs 1.16 lakhs for State ToT of District Coordinators, Rs 14.45 Lakhs for TOT for Block coordinators and Resource persons, Rs 86.63 lakhs for TOT of Mitanin trainers, and Rs 35. lakhs for books and materials 198 235 1119. 756. New Kits 6 6 36. 36 Approved (Ongoing activity) Replenishment 66 55 363. The amount is budgeted under B16.2.5.2 (ongoing activity) Procurement of 126 12 72 ASHA HBNC Kit 72 New Kits 6 12 72 Performance Incentive/Other Incentive to ASHAs (if any) 73844 329427 251.16 72 2118.91 Approved (New Activity) Approval of State PIP 213-14: Chhattisgarh Page 114

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1.1.3. 1 B1.1.3. 1.1 B1.1.3. 1.2 B1.1.3. 1.3 B1.1.3. 2 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) 12 22 153. 2 5 1. 1 15 15 2 2. 39931 5 91.47.5.5 89.47 Approved Rs 5,/- for reporting of expected 1 maternal deaths @ 5/-. (Ongoing activity) Not approved (New activity) Not approved (Ongoing activity) as no targets are provided. B1.1.3. 2.1 ASHA incentive for HBNC 35 25 875. 875. Approved (Ongoing activity) B1.1.3. 2.2 B1.1.3. 2.3 B1.1.3. 3 ASHA incentive for NRC refferal and follow up for post referral NRC cases Infant death reporting Incentive for FP( PPIUCD/others) 1 2 2 3931 5 15.47 125 1225 218.75 15.47 3 Not approved as already included under Care of sick children (NRC budget) for 5, children @ 25 per child. Approved (Ongoing activity) B1.1.3. 3.1 Incentive for Female Sterilisation (after 3 or more living children) 1 1 1 Not approved (New activity) Approval of State PIP 213-14: Chhattisgarh Page 115

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1.1.3. 3.2 B1.1.3. 3.3 B1.1.3. 3.4 B1.1.3. 5 Incentive for Male Sterilisation (after 3 or more living children) Incentive for Sterilisation (after 1st or 2nd child) Incentive for AH 15 125 18.75 1 1 1 2 2 5 1 1 Other incentive 1 2 2 Not approved (Ongoing activity) Approved Rs 2 lakhs (Ongoing activity) Budget approved @ 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 B1.1.3.4 to B1.1.3.3.4 B1.1.3. 5.1 Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections) 1 2 2 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 213-14: Chhattisgarh Page 116

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1.1.3. 6 B1.1.3. 6.1 B1.1.3. 6.2 Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc) 473 3268 927.94 927.94 Mitanin Kalyan Kosh 797.5 ( Mitanin Welfare 797.5 Activites ) Mitanin Help Desk 18 468 84.24 84.24 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) B1.1.3. 6.3 B1.1.3. 6.4 B1.1.4 Mitanin Help Line 1 24 2.4 Mitanin Sammelans 146 3 43.8 Awards to ASHA's/Link workers 146 1 14.6 2.4 43.8 14.6 Approved (Ongoing activity) Approved for 146 blocks @Rs 3 (New activity) Approved (Ongoing activity) B1.1.5 ASHA Resource Centre/ASHA Mentoring Group 292 816 389.37 174.34 Approval of State PIP 213-14: Chhattisgarh Page 117

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1.1.5. 1 B1.1.5. 2 B1.1.5. 3 HR At State Level 151.1 65.72 HR at District Level HR at Block Level 292 816 238.27 18.624 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 212-13. The budget approved for six months is 5% of approved amount in 212-13. 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 212-13. Approval of State PIP 213-14: Chhattisgarh Page 118

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B1.1.5. 4 Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify) Sub Total for ASHA 7348.54 633.66 Approval of State PIP 213-14: Chhattisgarh Page 119

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 149 575 85.68 74.5 755 325 245.38 188.75 5111 13 664.43 511.1 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 213-14: Chhattisgarh Page 12

S. No. Budget Head B2.4 Untied fund for VHSC B2.5 Others Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved 19387 13 252.31 1739.2 13 325 4.23 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 212-13 for 1458 VHSNCs which have not been constituted. Not approved as Untied Funds was not approved for Civil Hospitals in 212-13. Sub Total Untied Funds 352.2 2513.55 B.3 Annual Maintenance Grants (only for Government institutions) B3.1 CHC 149 13 193.7 B3.2 PHCs 429 65 278.85 B3.3 Sub Centres 385 13 5.5 B4.1.1. 4 Staff Quarters 118.45 135. 214.5 274. 118.45 Sub Total of Annual Maintenance Grants 973.5 623.5 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 PHCs @ 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 213-14 Approval of State PIP 213-14: Chhattisgarh Page 121

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 149 13 193.7 B6.3 PHCs 755 13 981.5 B6.4 Other or if not bifurcated as above Approved 13 148. 71 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 26.4.213) 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 26.4.213)at the unit cost of Rs 1 lakhs Not approved since no details of the activities have been provided B6.5 SDH 13 5 65. 65. Sub Total of Corpus Grants 15.2 153. Approved (Ongoing activity) for 13 SDHs at the unit cost of Rs 5 Lakhs Approval of State PIP 213-14: Chhattisgarh Page 122

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 1 4953 198.12 19.81 Approved only for one PHC in Mungeli District Approval of State PIP 213-14: Chhattisgarh Page 123

Budget Head Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) B5.3 SHCs/Sub Centres 1 2281 912.4 Approv ed 82.12 Approval Status Approved Rs 82.12 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 -- 4 2 258. 3 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 213-14: Chhattisgarh Page 124

B.5.1. 1 B.5.1. 1.5 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) 4 2 8. Approv ed 25 1368.52 11.93 Approval Status Not approved (New activity) Approval pended (New activity) until state submits detailed DPR and budget requirements Approval of State PIP 213-14: Chhattisgarh Page 125

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 B16.1.1 B16.1.1.1 B16.1.1.2 Procurement of equipment: MH Equipments for Blood Banks/ BSUs MVA /EVA for Safe Abortion services Unit Cost ( Rs) Budget (Rs. Lakhs) Approved 12 2 2.4 2.4 12 2 2.4 2.4 Approval Status Approved (Ongoing activity) B16.1.1.3 Others (please specify) B16.1.2 Procurement of equipment: CH 122 116 197.6 6 Approval of State PIP 213-14: Chhattisgarh Page 126

S. No. Budget Head B16.1.2.1 Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) NBSU 9 575 51.75 Approved Approval Status Not approved since no new NBSU is approved B16.1.2.2 B16.1.2.3 B16.1.2.4 B16.1.3 NBCC 11 85 85.85 Sishu Sanrakshan Mah (SSM) Genset for SNCU ( for 12 SNCUS) Procurement of equipment: FP 12 5 6 21 67145 183.6 6 18.98 Not approved as no new NBCCs approved. State has to operationalise already sanctioned NBCCs and then new centres should be planned. Approved (New activity) B16.1.3.1 B16.1.3.2 B16.1.3.3 B16.1.3.4 B16.1.3.5 B16.1.3.6 NSV kits 5 1 5. IUCD kits 1 2 2 minilap kits 135 3 4.5 laparoscopes 25 6 15 PPIUCD forceps 35 1145 4.1 Other (please specify) 5. 2 4.5 15 1.925 Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved (Ongoing activity) Approved Rs. 1.925 lakhs for 35 forceps @ Rs. 55/forceps B16.1.4 Procurement of equipment: IMEP 16 1 94.53 78.53 B16.1.4.1 B16.1.4.2 Bins and golves for Biomedical waste Personal Protection Kits to service 78.53 16 1 16. 78.53 Approved (New activity) Rs 78.53 lacs for purchasing of bins (3264) @ Rs 2/- and gloves (7.2 lacs) @ 1/- Not approved (New activity) Approval of State PIP 213-14: Chhattisgarh Page 127

S. No. Budget Head delivery staff Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B16.1.5 B16.1.6 Procurement of equipment other than above Equipments for ARSH/ School Health 5 3 15 B16.1.6.1 Equipments for ARSH Clinics B16.1.6.2 B16.1.7 B16.1.8 B16.1.9 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 5 3 15 69.2 Sub Total of Procurement of Equipments 696.79 321.9 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.16.2. 1 Drugs & supplies for MH 15 3 4.5 4.5 B.16.2. 1.1 RTI /STI drugs and consumables B.16.2. 1.2 Drugs for Safe Abortion 15 3 4.5 4.5 Approved Rs 4.5 lacs @ 3/- for 15 cases (ongoing activity) Approval of State PIP 213-14: Chhattisgarh Page 128

S. No. Budget Head B.16.2. 1.3 Others (Please specify) Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B.16.2. 1.4 B.16.2. 1.5 B.16.2. 2 RPR Kits Whole blood finger prick test for HIV Drugs & supplies for CH 546.5 422.5 B.16.2. 2.1 B.16.2. 3 B.16.2. 4 B.16.2. 4.1 B.16.2. 5 Drugs of Sishu Sanrakshan Mah Drugs & supplies for FP 546.5 422.5 Supplies for IMEP Purchase of Bleaching powder and Phenyle under Bio-Medical Waste maangement General drugs & supplies for health facilities 2215.93 231. Rs 422.5 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 213-14: Chhattisgarh Page 129

S. No. Budget Head B.16.2. 5.1 Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) IPD 2215.93 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.16.2. 5.2 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.16.2. 6 Drugs & supplies for WIFS 112376 86 1 112.38 776.68 B.16.2. 6.1 B.16.2. 6.2 Albendazole IFA 332,149,596 11,237, 686.2 664.3 1 112.38 664.3 112.38 Approved. Budget shifted from B.16.2.6.2 Approved. Budget shifted from B.16.2.6.1 Approval of State PIP 213-14: Chhattisgarh Page 13

S. No. Budget Head B.16.2. 7 Drugs & supplies for SHP Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status B.16.2. 8 B.16.2. 9 Drugs & supplies for UHCs Drugs & supplies for AYUSH 193 5 96.5 SubTotal of Procurement of Drugs 2975.81 1434.68 Total of Procurement of Equipments and Drugs 3672.59 1756.58 Approval of State PIP 213-14: Chhattisgarh Page 131

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) B11.1.1 Capex 16 12 192. B11.1.2 Opex 46 24 114. B11.1.3 HR B11.1.4 Training/orientation B11.1.5 Others Approve d B11.2 Mobile Medical Vans (smaller vehicles) and specialised Mobile Medical Units B11.2.1 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 1296. Approval of State PIP 213-14: Chhattisgarh Page 132

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 31 155 8 B12.1. 1 B12.1. 2 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 1 8 8 Not approved (New Activity) 41478 988232 3641.48 Approval of State PIP 213-14: Chhattisgarh Page 133

S. No. Budget Head B12.2. 1 B12.2. 2 B12.2. 3 B12.2. 4 B12.2. 5 B12.2. 6 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 1345 143 1923.35 HR advanced life support ambulances 25 3 75. Approved Approval Status Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM B12.2. 6 B12.2. 9 Training/orientation 2.75 Others 41341 545232 1442.38 B12.2. 9.1 B12.2. 9.2 B12.2. 9.3 B12.2. 9.4 B12.2. 9.5 Medical consumables 4122 32 131.9 Ambulance repiars/maitenance/i nsurance 24 12 288. Fuel cost 24 3 72 Communication cost 24 192 46.8 Administrative expenses 24 84 21.6 Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM B12.2. 9.6 B12.2. 9.7 B12.2. 9.8 Marketing expenses 24 12 28.8 Third Party Evaluation of Referral Transport Upgradation of Ambulance (EMRI- 18)-BLS to ALS 25. 1 1 1. Total of Referral Transport 3721.48 Approval of State PIP 213-14: Chhattisgarh Page 134

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 213-14: Chhattisgarh Page 135

BUDGET: MAINSTREAMING AYUSH S. No. Budget Head B9 Mainstreaming of AYUSH Quantity / Target Unit Cost ( Rs) 71 3391 Budget (Rs. Lakhs) Approved Approval Status B.9.1 B.9.1. 3 Medical Officers at CHCs/ PHCs (Only AYUSH) 37 72 736.8 Non FRU SDH/ CHC 1 24 24 184.2 Not approved (New activity) B.9.1. 4 B.9.1. 5 24 X 7 PHC 1 24 24 Non- 24 X 7 PHCs/ APHCs 17 24 256.8 12 64.2 Approved for 6 months for 1 AYUSH doctors @Rs 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 only @ 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 213-14: Chhattisgarh Page 136

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) 394 2671 38.4 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 225. 2 266 53.2 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 213-14: Chhattisgarh Page 137

S. No. Budget Head B9.3.3 Yoga Popularisation in Ayurved gram Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 292 1 29.2 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 1 1 1. 1. Approved (New activity) B9.4 Training 53.19 53.19 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 198.39 238.39 Approval of State PIP 213-14: Chhattisgarh Page 138

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.1.2.1 B.1.2.1.1 B.1.2.1.2 B.1.2.2 B.1.2.2.1 B.1.2.2.2 B.1.2.3 B.1.2.3.1 Development of State BCC/IEC strategy Implementation of BCC/IEC strategy BCC/IEC activities for MH 6 Mass media 173.4 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 213-14: Chhattisgarh Page 139 6 Approval pended (New Activity) 9.38 278.9 15 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 239.3 condition that State to ensure RBSK on all support IEC for branding of 15 programme. The 111.6 RBSK guideline and details to be used for developing these IECs and communication materials at School and Anganwadis. The

S. No. Budget Head B.1.2.3.2 B.1.2.4 B.1.2.4.1 B.1.2.4.2 B.1.2.5 B.1.2.6 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status Mid-media BCC/IEC activities for ARSH 5 95.78 budget shifted from A.3.5.4.4 for printing of PPIUCD registers is included in this budget. Mass media 35.78 Mid-media 6 Other activities (please specify) 174.8 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 51166 7552 281.87 221.87 B.1.5.1 B.1.5.2 Printing of MCP cards, safe motherhood booklets etc Printing of WIFS cards etc 15 51839 2 76.62 9 76.62 Approved Rs 9 lakhs. This includes approval of Rs 3 Lakhs for printing of MCP cards @ Rs 1/- for 3 lakhs pregnant women, and Rs 6 Lakhs for printing of Safe Motherhood booklets @ Rs 2/- for 3 lakhs pregnant women. Approved (New activity) B.1.5.3 Other printing 227 755 55.25 55.25 Approval of State PIP 213-14: Chhattisgarh Page 14

S. No. Budget Head B.1.5.3.1 Reporting Mechanism formats (WIFS) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 27 75 2.25 Approve d 2.25 Approval Status Approved (New activity) B.1.5.3.2 B.1.5.3.3 B.1.5.3.4 Printing of Maternal Health Training Modules Printing of Labor room register, OPD /IPD registers for PHCs & CHCs 2 5 1 1 25. 25. 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 1454.75 371.87 Approval of State PIP 213-14: Chhattisgarh Page 141

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 213-14: Chhattisgarh Page 142

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) 12 32 14 B15.1. State level 1 1 1. 1 B15.1. District level 19 1 19. 2 B15.1. 3 Block level 1 12 12 B15.1. Other 4 B15.2 Quality Assurance 166 31 162.7 56.99 1. 19. 36.99 96. Approved (New activity) Approved (Ongoing activity) Approved (Ongoing activity) @ Rs 36986 per block which is the unit cost approved for the F.Y.212-13. B15.2. 1 Quality Assurance Committees at State level 69. 69. 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 213-14: Chhattisgarh Page 143

S. No. Budget Head B15.2. 2 B15.2. 3 B15.2. 4 B15.2. 4.1 B15.2. 4.2 B15.2. 4.3 B15.2. 5 B15.2. 5.1 B15.2. 5.2 Quality Assurance Committees at District level Grievance handling system Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 27 1 27. Review meetings 112 11 14.8 State 4 1 4. District 18 1 1.8 Block Approved Others 27 1 51.9 27. NABH implementation Bio-medical Initiatives ( Authorisation and cell) B15.3 Monitoring and Evaluation B15.3. 1 B15.3. 1.1 B15.3. 1.2 B15.3. 1.3 B15.3. 1.4 B15.3. 1.5 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 24.9 27 1 27. 25758 13669 136.18 1 315 13.15 1 315 3.15 27. 455.64 1 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 213-14: Chhattisgarh Page 144

S. No. Budget Head B15.3. 1.6 Others (Please specify) Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 1 Approved 1 Approval Status B15.3. 1.6.1 B15.3. 1.6.2 GIS Mapping & Faciity survey of health facilties Third Party Evaluation of Mitanin (ASHA) programme 5 5 5 5 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 B15.3. 2 B15.3. 2.1.a Computerization HMIS and e- governance, e- health HMIS Operational Cost (excluding HR & Trainings) 186.6 186.6 93.3 Approved for six month as expenditure details of 212-13 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 213-14: Chhattisgarh Page 145

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 B15.3. 2.1.b B15.3. 2.1.c B15.3. 2.1.d Procurement of Computers/ printers/ cartridges etc. Maintenance of Computers/ AMC/ etc. Other Office and admin expenses B15.3. 2.2.a B15.3. 2.2.b B15.3. 2.2.c MCTS Operational Cost (excluding HR & Trainings) Procurement of Computers/ printers/ cartridges etc. Maintenance of Computers/ AMC/ etc. 1111 15 11.27 94 1111 15 16.67 96.44 87.6 8.84 Approved only for 146 desktop with accessories @ 6/- for Block data Assistants. Procurement should be based on competitive bidding and by following Government protocols. Approved @ Rs 1/- per computer for 884 computers B15.3. 2.2.d Other Office and admin expenses B15.3. 3 Other M & E Activities 24646 154 96.16 165.9 B15.3. 3.1 HMIS Training 6891 86.85 5.75 Approved Rs.5.75 Lakh @ Rs 3 per day per person for 1 training per person per year based on Approval of State PIP 213-14: Chhattisgarh Page 146

S. No. Budget Head B15.3. 3.2 B15.3. 3.3 B15.3. 3.4 B15.3. 3.5 B15.3. 3.6 B15.3. 3.7 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status MCTS Training 6 4 24. 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 12 5 6. 1978 178.48 1 33.5 2.95 26.92 1 Approved (New activity) Rs.2.95 lakh @Rs.1 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) B15.3. 3.8 e-governance Initiative 47. Not approved (New activity) Approval of State PIP 213-14: Chhattisgarh Page 147

S. No. Budget Head B15.3. 3.9 B15.3. 3.1 B15.3. 3.1.1 B15.3. 3.1.2 B15.3. 3.1.3 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) 153.83 Approved 765 1 42.5 12.28 75 Rs 2/ X 12 months 53.9 18. 95.6 24.68 95.6 Approval Status Not approved (New activity) Approved Rs 1.3 lakh @ Rs.4 per page for HMIS and Rs.14.37 lakh for MCTS registers @ 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 212-13 with MoHFW and uploading of the reports and recommendations hereforth on state NRHM website Approval of State PIP 213-14: Chhattisgarh Page 148

S. No. Budget Head B15.3. 3.1.4 B15.3. 3.1.5 Mobile based MCTS reporting system V-Sat Connectivity Quantity / Target Unit Cost ( Rs) 15 1 Budget (Rs. Lakhs) 13. 15 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 1662.88 68.63 Approval of State PIP 213-14: Chhattisgarh Page 149

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 3 86 11881.4 1476.66 B4.1.1 District Hospitals 1982.11 1824.45 B4.1.1. 1 Additional Building/ Major Upgradation of existing Structure B4.1.1. Repair/ Renovation 157 2 B4.1.1. Spillover of Ongoing 176 3 Works B4.1.1. 4 Staff Quarters 118.45 B4.1.2 CHCs 3233.21 176. 118.45 Not approved (New activity) Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 213-14. Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 213-14 3143.21 B4.1.2. 1 B4.1.2. 2 Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 9 Not approved (New activity) B4.1.2. 3 Spillover of Ongoing Works 288. 288 Approved (Ongoing activity) subject to the condition that the work will be completed in the Approval of State PIP 213-14: Chhattisgarh Page 15

S. No. Budget Head Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approved Approval Status F.Y 213-14 B4.1.2. 4 Staff Quarters B4.1.3 PHCs 755.22 B4.1.3. 1 B4.1.3. 2 B4.1.3. 3 Additional Building/ Major Upgradation of existing Structure Repair/ Renovation Spillover of Ongoing Works 2855.21 2855.21 739. 16 739 739. B4.1.3. Staff Quarters 4 B4.1.4 Sub Centres 2 26 54.5 Approved (Ongoing activity) on condition that the work will be completed in the F.Y 213-14 Not approved (New activity) Approved (Ongoing activity) on condition that the work will be completed in the F.Y 213-14 B4.1.4. 1 Additional Building/ Major Upgradation of existing Structure 2 26 52 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 213-14: Chhattisgarh Page 151

S. No. Budget Head B4.1.4. 2 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) B4.1.4. 3 Spillover of Ongoing Works B4.1.4. ANM Quarters 4 B4.1.5 Others (MCH Wings) 1 6 537 477 B4.1.5. 1 B4.1.5. 2 B4.1.5. 3 B4.1.5. 4 (Absolutely) New / Rented to Own Building Additional requirement from previous work Carry forward /Spillover of Ongoing Works 477 Other construction 1 6 6 477 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 213-14: Chhattisgarh Page 152

S. No. Budget Head B4.1.5. 4.1 Gap improvements in co-located centres of PHC/CHC-AYUSH Quantit y / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 1 6 6 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 11881.4 1476.66 Approval of State PIP 213-14: Chhattisgarh Page 153

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) 15 4 6 Approved 6 Total of Panchayati Raj Initiative 95.46 6 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 1 5 5. B7.2 District 27 1 27. B7.3 Block 146 2 29.2 Approved 5. 27. 29.2 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 61.2 61.2 Approval of State PIP 213-14: Chhattisgarh Page 154

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 39 915 1841.45 Partnerships (Out Sourcing set up, if applicable for State, to be budgeted under this head) B13.2.1 Out soursing PHC 52 B13.2.2 B13.2.3 B13.2.4 Grant in Aid to RK Mission Setting up of PPP cell in the state Outsourcing of Diagonastic services 35.4 26.2 27 1131.67 Approved 35.4 35.4 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 213-14: Chhattisgarh Page 155

S. No. Budget Head B13.2.5 Outsourcing Biomedical Wastage Management Quanti ty / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 12 915 18.18 B13.2.6 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 B13.2.7 PPP Monitoring Cell by SHRC B13.3 NGO Programme/ Grant in Aid to NGO B13.3.1 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 1841.45 35.4 Approval of State PIP 213-14: Chhattisgarh Page 156

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 1366. 6. 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 1366. 6. 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 212-13. 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 213-14: Chhattisgarh Page 157

NATIONAL DISEASE CONTROL PROGRAMMES (NDCPs) Approval of State PIP 213-14: Chhattisgarh Page 158

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 213-14: Chhattisgarh Page 159

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. 1.2 12. 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. 5.6 6. 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 19.7 4. IDD publicity activities including Global IDD Day celebrations at various levels. Approval of State PIP 213-14: Chhattisgarh Page 16

FMR Code Activity Unit cost (wherever applicable) Physical target Proposed Approved Remarks D.4 IDD Survey/resu rvey Rs. 5, per district 4 districts 8. 2. 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. 51.84 ** 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 213-14: Chhattisgarh Page 161

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 213-14: Chhattisgarh Page 162

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 99.94 86 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 99.94 86 1X4. 4. 4. 2 15(3X 5) 89.5 35.8 (5 X 17.9) (2 X 17.9) 24.3 9.72 (5X.81X6) (2X.81X6) District public health lab 24.65 8 consumables (5 X 4.93) (2 X 4) Sub Total 162.45 72.52 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 213-14: Chhattisgarh Page 163

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 61.38 (.165 X 31 X 12 ) 58.32 (.18X27X12) 55.8 (.15 X 31 X 12 ) Sub Total 246.96 198 E.8 Training As per NRHM Guidelines Medical Officers.15 X 46 4.46 4.46 (3 days ) One day training of.215x 46 2. 2. Hospital Pharmacist / Nurses One day training of.39x 13 1.14 1.14 Medical College Doctors One day training for Data.15X 14 3.2 3.2 Entry and analysis for Block Health Team Lab technician (3 days).215x 46.79.79 Data managers (2 days).28 X 1.78 DEO cum accountant.28 X 1.84 (2 days) ANM 17.52 The training of Data manager and Data entry operator has already been conducted in 212-13 Approval of State PIP 213-14: Chhattisgarh Page 164

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 52.25 11.41 * Surveillance in Metro Cities * New formed Districts.2X 11 2.2 Grand Total for IDSP 54.6 367.93 Remarks Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under IDSP for 213-14. 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 213-14: Chhattisgarh Page 165

NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) Physical Targets: Sr. Indicator 211 212 213 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 5.39 4.43 <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. 2 2 2 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 213-14 No. position 1 MPW contractual 1144 871 273 Process to be initited and 2 Lab Technicians 48 2 28 3 MTS/VBD Technical Supervisors 96 34 62 recruitment to be made under intimation to Directorate NVBDCP Approval of State PIP 213-14: Chhattisgarh Page 166

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 213-14 No. position 1 DMO/DVBDO 27 27 Crucial post and must be filled up 2 Lab Technicians 761 375 386 3 Multi Purpose Health Supervisor 4 Multi Purpose Health Assistant ot Multi purpose worker 929 54 389 4918 2531 2387 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 213-14 213-14 213-14 213-14 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 213-14: Chhattisgarh Page 167

DETAILED BUDGET: NVBDCP S. No. Component (Sub- Component) F.1 Domestic Budget Support (DBS) proposed in PIP -213-14 approved as per BE 213-14 Remarks F.1.1 F.1.1.a Malaria Contractual Payments F.1.1.a.i MPW contractual 823.68 295 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) 42.6 28.5 6.7 F.1.1.b ASHA Incentive 63 45 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 66.9 3 State has asked in F.1.1.e and F.1.1.f.i, hence it is reflected here Approval of State PIP 213-14: Chhattisgarh Page 168

S. No. Component (Sub- Component) proposed in PIP -213-14 F.1.1.e IEC/BCC 78.35 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 213-14 2 5.6 5 22.92 1.3 5 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-) 273.6 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) 1487.73 4 Approval of State PIP 213-14: Chhattisgarh Page 169

S. No. Component (Sub- Component) proposed in PIP -213-14 approved as per BE 213-14 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 2 2 2 8.4 5 F.1.2.d Epidemic preparedness 39 4.5 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 3 3 9 1.8.5 3.6 3.5 122.8 37.5 Can also be used for other VBD. Approval of State PIP 213-14: Chhattisgarh Page 17

S. No. F.1.3.b Component (Sub- Component) IEC/BCC specific to J.E. in endemic areas proposed in PIP -213-14 approved as per BE 213-14 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, 7.87 28.54 Approval of State PIP 213-14: Chhattisgarh Page 171

S. No. Component (Sub- Component) monitoring & supervision and mobility support for Rapid Response Team and contingency support proposed in PIP -213-14 approved as per BE 213-14 F.1.4.b Microfilaria Survey 4.45 4.5 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 2.4 1.35 8.15 42.15 35.2 14.3 138.92 35.2 2.1 4.5 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 213-14: Chhattisgarh Page 172

S. No. F.1.4.h.ii Component (Sub- Component) b) Mf Survey in Nonendemic distt proposed in PIP -213-14 approved as per BE 213-14 Remarks F.1.4.h.iii c) ICT survey F.1.4.i Post-MDA surveillance Total Filariasis Lymphatic 331.99 147.64 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) 1942.52 585.14 F.2 F.2.a Externally aided component World Bank support for Malaria (Identified state) F.2.b Human Resource 278.39 F.2.c F.2.d Training /Capacity building Mobility support for Monitoring Supervision & Evaluation including 27.6 47 2 Can be increased at RE stage based on physical and financial proposal Approval of State PIP 213-14: Chhattisgarh Page 173

S. No. Component (Sub- Component) printing of format & review meetings, Reporting format (for printing formats) Kala-azar World Bank assisted Project proposed in PIP -213-14 approved as per BE 213-14 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 352.99 2 F.4 Any Other Items ( Please Specify) Approval of State PIP 213-14: Chhattisgarh Page 174

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 -213-14 approved as per BE 213-14 2295.51 785.14 12 4.37 1.35 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 1.45 1 114.82 139.74 1 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 213-14: Chhattisgarh Page 175

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 -213-14 approved as per BE 213-14 472.41 1 2767.92 885.14 Remarks Commodity Grants 3718 216.68 Total NVBDCP Cash + Commodity 6485.92 345.82 NRHM Additionality 1 NVBDCP- RDT kits 419 2 3 4 5 6 7 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 489.38 147 2.7 32 6 1.68 197.76 May be met from Village Health senitation committee or flexi fund. Approval of State PIP 213-14: Chhattisgarh Page 176

NATIONAL LEPROSY ERADICATION PROGRAMME (NLEP) State specific Goals and Targets for the year 213-14 S.No Goals & Target September'13 March 214 1 Elimination at District level NA 2 2 Case detection through ASHA 1 2 3 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 213-14 8 Audited Report for the year 213-14 9 Expenditure incurred against approved plan budget 6 12 1 2 5% of Plan 1% of Plan Completed - Completed - 5% 1% NA: Not Applicable Approval of State PIP 213-14: Chhattisgarh Page 177

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 213-14: Chhattisgarh Page 178 7 5 5 7.98 12. 23.6 7.98 12. 23.6 1.3. ASHA Involvement Sensitization 1 - - - 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 5. 5. n PB 4 1 6. 4. MB 6 1 1 6. District No. 68, 6 1 MCR Footwear- 3/- Aids/Applianc e -17 Welfare/RCS - 8 At Institute - 5 At camps - 1 27 16.2 16.2 12 27 2 2 6. 6. 3.6.81 16. 1 3.6.81 16. 1

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 ****4.2.1. Contractual Staff at State level District 98, 27 26.46 26.46 No. of batch MO 89, 25 22.25 22.25 HW 71, 25 17.75 17.75 PT 5,6 1.51.51 DNT 71, 3 2.13 2.13 SMO 1 4 7.2 4.8 BFO cum Admn. 1 3, 5.4 3.6 Officer Admn. Asstt. 1 16 2.4 1.92 DEO 1 12 2.16 1.44 Driver 1 11 1.32 1.32 #District Leporsy 3 32.4 Consultant #Physiotherapist 25 2 27. 4.2.3. Special Provision for selected States NMS No. 25 - - 4.2.4. Staff for blocks #PMW No. 16 93 133.92 G5. Programme Management 5.1. Travel Cost State specific reuirements & rates Approval of State PIP 213-14: Chhattisgarh Page 179

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 5 1. 1. 25 6.75 6.75 1. 1. 1 75.75.75 No. 35 9.45 9.45 1 5.5.5 5.4 Consumables State Cell 1 5.5.5 District Cell No. 3 8.1 8.1 5.5 Mobility Support State Cell 2 2 4. 4. District Cell 1 15 6.75 4.5 G6. Others Essential Travel expenses requiremen for regular staff t for specific programme / training need, awards etc TOTAL of NLEP 317.57 459.24 Approval of State PIP 213-14: Chhattisgarh Page 18

REVISED NATIONAL TUBERCULOSIS CONTROL PROGRAMME (RNTCP) Targets S.No Indicators 212 213-14 1 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% 5 6 7 8 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 213-14: 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 213-14: Chhattisgarh Page 181

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 351.75 246.22 Approval is being given for 9 DTC, 1 C&DST lab, 2 TUs and 38 DMCs 88.15 79.33 9% approved. 52.42 47.18 9% approved. 73.33 5 Includes the Salary of State ACSM officer. Approval of State PIP 213-14: Chhattisgarh Page 182

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 24.16 19.32 8% approved. 87.78 52.66 6% approved 132.6 71.47 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 22.83 154.58 7% approved 125.88 113.29 9% approved. Approval of State PIP 213-14: Chhattisgarh Page 183

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 62.26 52.8 Includes 15 lakhs for the ZTF meeting. 44.63 35.7 8% approved. 192.15 873.72 8% approved 57.36 4.15 7% approved 3. 2.4 8% approved 19. 98.1 9% approved 289. 238.1 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 16. 11.2 7% approved Approval of State PIP 213-14: Chhattisgarh Page 184

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 2879.79 2226.29 Disease control Flexi pool fund 16.72 65.56 Disapproved activities are: Generator for STDC ; Diesel for generator at IRL and DOTS plus site TOTAL of RNTCP 2986.51 2291.85 Approval of State PIP 213-14: Chhattisgarh Page 185

ANNEXURES Approval of State PIP 213-14: Chhattisgarh Page 186

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.1.1.1 Operationalise FRUs (Blood bank/bsu - Operational cost) A.1.1.2 Operationalise 24x7 PHCs A.1.1.3 A.1.1.4 A.1.1.5 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 72. 72. Approval of State PIP 213-14: Chhattisgarh Page 187

S. No. Budget Head A. 1.3.1. A.1.3.2. 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 8 9 72. 72. Approved as following: Rs 3 incentive to lady doctors Monthly Village Health and Nutrition Days Janani Suraksha Yojana / JSY 168512 43 64 787.5 787.5 A.1.4.1 Home deliveries 5 5 25 25 Approved Rs. 1 for LTs Rs 1 for LTs & Rs.4 to lady doctors towards mobility support A.1.4.2 Institutional deliveries 353 59 465. 465. A.1.4.2. a A.1.4.2. b A.1.4.2. c A.1.4.3 Rural 25 14 35 35 Approved Urban 1 1 1 1 Approved C-sections 3 35 15. 15. 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 332.5 332.5 Approved @ 5 % of JSY expenses Approval of State PIP 213-14: Chhattisgarh Page 188

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.1.4.4 Incentives to ASHA 19 19 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.1.6.1 A.1.6.2 A.1.6.3 A.1.6.4 A.1.6.5 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 5 5 2.5 2.5 Approved. Rs.5 includes Rs.3 as incentive and Rs.2 for other activity. 4969 24433 124.35 55.7 148 25 26.2 5 5 25. 8. Approved as following: Rs 5 Lakhs for ND @ Rs 1/- for 5 NDs and Rs 3 Lakhs for C-Sections @ Rs 15/- for 2 C-Sections 324 2 6.48 6. 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. 2 5.1.1 Approved 82 185 1.52 1.52 Approved Approval of State PIP 213-14: Chhattisgarh Page 189

S. No. Budget Head A.1.6.6 A.1.6.7 A.1.6.8 A.1.6.9 A.1.6.1 A.1.6.1 1 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 2.8 2.8 Lumpsum approved. 47 LSAS and 35 CEmONC trained doctors will be given fixed incentive @Rs. 2 after performing at least three C- sections/month and any additional c-section thereafter in a month will be paid @ Rs. 4/C-section /LSAS and CEmONC doctors. 2 5.1.1 Approved subject to State sharing the outcome of the meetings with MoHFW. 3 4 12. 12. Approved 25.6 5.4 2 MH Consultants are approved subject to State sharing their ToRs and all consultants should be IT savy. Approved @ 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. 4 135 5.4 Not approved 1 6758.68.68 Approved Approval of State PIP 213-14: Chhattisgarh Page 19

S. No. Budget Head A.1.6.1 2 MTP Refresher Training Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) 6 2 1.2 1.2 Approved REMARKS A.1.6.1 3 A.1.6.1 4 A.1.6.1 5 A.1.7 A.1.7.1 JSSK- Janani Shishu Surakhsha Karyakram Drugs and consumables 125112 68 3545.7 3821.7 31 3 187.5 1279.5 Approved: Rs 139.5 Lakhs for 297 NDs @ Rs 35/ND and Rs 24 Lakhs for 15 C- sections @ Rs 16/C-section A.1.7.2 Diagnostic 31 2 62. 62. Approved A.1.7.3 Blood Transfusion 3 3 9. 9. Approved A.1.7.4 A.1.7.5 Diet (3 days for Normal Delivery and 7 days for Caesarean) Free Referral Transport 3 912. 996. Approved: Rs 891 Lakhs for diet of 3 days @ Rs.1/day for 297 NDs and Rs 15 Lakhs for diet for 7 days @RS.1/day for 15 C-sections 3 912. 912. Approved @ 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.1.7.6 Other JSSK activity 112 6 23.2 23.2 A.1.7.6. 1 State level Review Meeting 4 4 1.6 1.6 Approved Approval of State PIP 213-14: Chhattisgarh Page 191

S. No. Budget Head A.1.7.6. 2 District level Review Meeting Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) 18 2 21.6 21.6 Approved REMARKS A.1.7.6. 3 Block Level Review Meetings Approved Sub-total Maternal 3744.55 3951.27 #VALUE! Health (excluding JSY) Sub-total JSY 787.5 787.5 #VALUE! A.2. CHILD HEALTH 1625.51 153.4 #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 8 1 5 15. 15. Approved for 4 new IMNCI training sites @ Rs.3. lakhs/ site (Rs.12 lakhs) and Rs.3 lakhs for formats & registers across all sites. 228.6 228.6 Approval of State PIP 213-14: Chhattisgarh Page 192

S. No. Budget Head Quantity / Target Unit Cost ( Rs) A.2.2.1 SNCU 8 1 Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS 126. 126. Approved as following: 5 operational units @ Rs.1 Lakhs /unit 7 units under progress @Rs.5 Lakhs /unit and Rs. 41 lakhs for new unit at Raipur A.2.2.2 NBSU 49. 49. Approved as following: 1 functional NBSUs @ Rs.1.75 Lakhs/NBSU and 36 NBSUs under progress @Rs. 875 /NBSU A.2.2.3 NBCC 53.6 53.6 Approved as following: @Rs. 2/per annum for 156 NBCCs and @ 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 4 5 2. 2. Approved for half yearly review meeting cum workshops at divisional level (Bilaspur, Dhamtari, Kawardha, Mahasamand divisions) @ Rs.5/meeting cum workshop Approval of State PIP 213-14: Chhattisgarh Page 193

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 75 76.24 451.3 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. 334.8 lakhs is for NRC HR, approved under relevant budget head. 27 5 75.42 15. 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 batches @ Rs.5,/batch District Level Training for Block Medical Officers and One Medical Officer: 27 batches @ Rs.5/batch Approval of State PIP 213-14: Chhattisgarh Page 194

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 36.2 36.2 Approved for mobility support for 2 rounds SSM @ Rs.18.1 lakhs/round A.2.8 Infant Death Audit 1 27.72 25.72 Approved as following: IDA of institutional 5 deaths @ Rs 5/death 2 half yearly meetings at State level @ Rs. 25,/meeting Printing of reporting formats @ Rs. 2/format for 1795 formats Another 15.47 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.2.1. 1 A.2.1. 2 JSSK (for Sick neonates up to 3 days) 75825 15 38.25 247.5 Drugs & 3 2 6 6 Approved Consumables (other than reflected in Procurement) Diagnostics 3 3 9 3 Approved @ Rs.1/case. A.2.1. 3 Free Referral Transport 15825 1 158.25 157.5 Approved: Rs 15 Lakhs for to and fro (home to facility and drop back) @Rs 5/ neonate for 3, sick neonates and Rs 7.5 Lakhs for interfacility referral transport @Rs 25/- neonate for 3 seriously ill neonates Approval of State PIP 213-14: Chhattisgarh Page 195

S. No. Budget Head A.2.11 A.2.11. 1 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Any other interventions (eg; rapid assessments, protocol development) 22 627 226.8 32.8 FBNC Assessment 4 27 1.8 1.8 Approved A.2.11. 2 power audit of SNCU 6 35 21. 21. Approved A.2.11. 3 A.2.11. 4 A.2.11. 5 Corrective measures of power audit findings 12 25 3 1 Approved for 4 units: Bilaspur, Dhamtari, Kawardha, Mahasamand @ Rs 25/- Child health Cell 174. APPROVAL PENDED Sub-total Child Health 1625.51 153.4 #VALUE! A.3 FAMILY PLANNING 3543.32 227.8 #VALUE! A.3.1 A.3.1.1 Terminal/Limiting Methods Orientation workshop,dissemin ation of manuals on FP standards & quality assurance of sterilisation services, fixed day planning meeting 1933. 1863.5 6 5 3. 3. Approved Approval of State PIP 213-14: Chhattisgarh Page 196

S. No. Budget Head A.3.1.2 Female sterilisation camps Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS 72 15 18. 54. Approved @ Rs. 75/camp A.3.1.3 NSV camps 6 35 21. 6. Approved @ Rs. 1/camp A.3.1.4 Compensation for female sterilisation 1512 1 1512. 1512. Approved A.3.1.5 Compensation for 192 15 288. 288. Approved male sterilization/nsv Acceptance A.3.1.6 Accreditation of 2 5 1..5 Approved @ Rs. 25/visit private providers to provide sterilisation services A.3.2 Spacing Methods 175372 1195 115.5 39.3 A.3.2.1 IUD camps 36 5 1.8 1.8 Approved A.3.2.2 A.3.2.2. 1 A.3.2.3 A.3.2.4 IUD services at health facilities (including fixed day services at SHC and PHC) 15 2 3 37.5 Approved. Budget from A.3.2.3 has also been shifted to this head PPIUCD services 15 5 75. 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) 1 75 7.5 Shifted to A.3.2.2. Approval of State PIP 213-14: Chhattisgarh Page 197

S. No. Budget Head A.3.2.5 A.3.3 A.3.4 A.3.5 A.3.5.1 A.3.5.2 A.3.5.3 A.3.5.4 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 12 1 1.2 Not approved (the budget head and activity do not match) 2 2 4 4 Approved 2 1 2 5. Approved @ Rs. 25/laparoscope for 2 laparoscopes 33145 26 1434.82 26 2 5 1. 5. Approved for: 2 State level meetings @ Rs. 1/meeting and 4 Distt. level meetings @ Rs.5/district. Approval has been given strictly for QAC meetings only. 25 2 5. 5. Approved but State to note that no cash awards are permissible. Two rounds 331 1 1129.62 5 299.2 2 Approved for 2 rounds of WPD @ Rs 1 lakhs/round. Approval of State PIP 213-14: Chhattisgarh Page 198

S. No. Budget Head A.3.5.4. 1 A.3.5.4. 2 A.3.5.4. 3 A.3.5.4. 4 A.3.5.4. 5 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.3.5.3. 165 25 12.12 APPROVAL PENDED 5 Not approved. Budget for incentives approved in the appropriate head under MFP in FMR head B.1.1.3.3 1 5 5. Shifted to MFP under FMR head B.1.2.3.2 165 25 412.5 Not approved 1721.32 41.3 #VALUE! 1822. 186.5 #VALUE! A.4 ADOLESCENT REPRODUCTIVE AND SEXUAL HEALTH / ARSH 116.34 64.68 Approval of State PIP 213-14: Chhattisgarh Page 199

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 68.1 3.38 A.4.1.1 Disseminate ARSH guidelines. 23 2 4.6 4.6 Approved A.4.1.2 A.4.1.3 A.4.1.4 A.4.1.5 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 21 5 1.5 1.5 Approved 2 5 1 1 Approved 44 12 5.28 5.28 Approved 5 5 25. Not approved as State needs to provide details of activities proposed to be conducted through SHGs A.4.1.6 Others 12.72 A.4.1.6. 1 A.4.1.6. 2 ARSH Cell 12.72 APPROVAL PENDED A.4.2 A.4.2.1 A.4.2.2 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) 13.94 Not approved as no programme component is proposed. Approval of State PIP 213-14: Chhattisgarh Page 2

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) A.4.2.3 Mobility support Approv ed amount (Rs.Lakh s) REMARKS A.4.2.4 Referral support A.4.2.5 A.4.2.5. 1 A.4.3 A.4.3.1 A.4.3.2 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) 13.94 13.94 Not approved as no programme component is proposed, the proposed posts thereby are not justified. 14 26 34.3 34.3 18 1 1.8 1.8 Approved 5 2 1 1 Approved for logistics and storage of sanitary napkins in the 5 selected districts. A.4.3.3 WIFS actvity 27 5 13.5 13.5 Approved Sub-total ARSH 116.34 64.68 A.5 URBAN RCH (focus on Urban slums) 295.8 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 295.8 Approval of State PIP 213-14: Chhattisgarh Page 21

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) A.5.2.1 Doctors/Mos 29 72 28.8 REMARKS A.5.2.5 Staff Nurse 29 18 52.2 A.5.2.7 LT 29 12 34.8 Not approved. State will be asked to propose the same under NUHM. A.5.5 Others (pl specify) Sub-total Urban Health 295.8 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 16 3 48. 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 139.4 36.86 Approval of State PIP 213-14: Chhattisgarh Page 22

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 8.7 2.16 Calculation error by State. Approved for State level: One Doctor @ Rs. 5,/- pm, One Consultant @ Rs. 4,/- pm and One DEO @ Rs. 18,/- pm 5 DEOs for five Districts @ Rs. 12,/- pm. A.7.3 Mobility support 11 2 2.2 2.2 Approved A.7.2 A.7.2.1 A.7.2.2 A.7.2.3 A.7.2.4 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 254 1276 128.5 14.5 2 1 2. 2. Approved 5 25 12.5 12.5 Approved 4 125 5 Not approved 64. Not approved 139.4 36.86 Approval of State PIP 213-14: Chhattisgarh Page 23

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.8 Human Resources 952.19 4285.57 As agreed, the following key conditionalities would be enforced during the year 213-14. 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 5551 8812 952.19 4285.57 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 213-14: Chhattisgarh Page 24

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.8.1.1 ANMs,Supervisory Nurses, LHVs, 1882 1656 - 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. 1855.44 19.62 A.8.1.1. 1 ANMs 1381 288 969.48 745.74 A.8.1.1. 1.a A.8.1.1. 1.b A.8.1.1. 1.c A.8.1.1. 1.d A.8.1.1. 1.e A.8.1.1. 1.f A.8.1.1. 1.g A.8.1.1. 1.h DH FRUs Non FRU SDH/ CHC 24 X 7 PHC Non- 24 X 7 PHCs 69 72 24.84 Sub Centres 129 144 928.8 SNCU/ NBSU/NRC etc Others 22 72 15.84 745.74 Approved @ 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.8.1.1. 2 Staff Nurses 479 126 862.2 344.88 Approval of State PIP 213-14: Chhattisgarh Page 25

S. No. Budget Head A.8.1.1. 2.a A.8.1.1. 2.b A.8.1.1. 2.c A.8.1.1. 2.d A.8.1.1. 2.e A.8.1.1. 2.f A.8.1.1. 2.g A.8.1.1. 3 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) DH 18 FRUs 3 18 54. Non FRU SDH/ CHC 1 18 18. 24 X 7 PHC 2 18 36 Non- 24 X 7 PHCs 11 18 19.8 SNCU/ NBSU/NRC 216 18 388.8 etc Others 12 18 21.6 LHVs/supervisory nurses Approv ed amount (Rs.Lakh s) 344.88 REMARKS Approved @ 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. 22 18 23.76 A.8.1.1. 3.a A.8.1.1. 3.b A.8.1.1. 3.c A.8.1.1. 3.d A.8.1.1. 3.e A.8.1.1. 3.f A.8.1.1. 3.g DH FRUs Non FRU SDH/ CHC 24 X 7 PHC Non- 24 X 7 PHCs SNCU/ NBSU/NRC etc Others 22 18 23.76 Not approved A.8.1.2. 1 Laboratory Technicians 257 432 21.96 17.4 A.8.1.2. 1.a A.8.1.2. 1.b DH 27 72 19.44 FRUs 45 72 32.4 17.4 Approved for 29 LTs @ Rs. 1/- per month. Approval is being granted for six months only and its Approval of State PIP 213-14: Chhattisgarh Page 26

S. No. Budget Head A.8.1.2. 1.c A.8.1.2. 1.d A.8.1.2. 1.e A.8.1.2. 1.f A.8.1.2. 2 A.8.1.3 A.8.1.3. 1 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS Non FRU SDH/ CHC 24 X 7 PHC 49 1 72 72 35.28 72. continuation for the next six months would be contingent on compliance of the above mentioned conditionalities. Non- 24 X 7 PHCs Others 36 144 51.84 MPWs 16 72 11.52 Specialists (Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians, Dental Surgeons, Radiologist, Sonologist, Pathologist, Specialist for CHC ) Obstetricians and Gynecologists 186 294 395.4 435. 12 6 72. 72. A.8.1.3. 1.b A.8.1.3. 1.c A.8.1.3. 2 A.8.1.3. 3 A.8.1.3. 3.a FRUs 12 6 72. 72. 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 12 6 72. 72. DH Approval of State PIP 213-14: Chhattisgarh Page 27

S. No. Budget Head A.8.1.3. 3.b A.8.1.3. 4 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS FRUs 12 6 72. 72. 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 4 6 24. A.8.1.3. 4.a A.8.1.3. 5 A.8.1.3. 5.a A.8.1.3. 7 DH 4 6 24. Not approved Specialists for CH (Paediatrician etc) in SNCU,NBSU,NRC 12 6 36. 72. DH 12 6 36. 72. 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. 146 54 191.4 219. A.8.1.3. 7.a A.8.1.3. 7.b A.8.1.3. 7.c DH FRUs 54 3 81. Non FRU SDH/ CHC 92 24 11.4 A.8.1.5 Medical Officers 89 18 Approved @Rs.25/m.Approval 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. 32.4 19.8 A.8.1.5. 3 Non FRU SDH/ CHC 29 36 14.4 19.8 Approved for 61 MOs @ Rs.3/m including 32 Mos for SNCUs. Approval is being Approval of State PIP 213-14: Chhattisgarh Page 28

S. No. Budget Head A.8.1.5. 4 A.8.1.5. 5 A.8.1.5. 7 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 48 36 172.8 next six months would be contingent on compliance of the above mentioned conditionalities. A.8.1.5. 8 A.8.1.5. 9 A.8.1.6 A.8.1.7 A.8.1.7. 1 A.8.1.7. 1.e A.8.1.7. 1.f A.8.1.7. 2 A.8.1.7. 3 A.8.1.7. 3.a A.8.1.7. 3.b A.8.1.7. 3.c Other MOs Others 12 36 43.2 Additional Allowances/ Incentives to M.O.s Others - Computer Assistants/ BCC Coordinator etc Pharmacist 22 432 15.84 Non- 24 X 7 PHCs 72 Others 22 72 15.84 Not approved Radiographers OT technicians/assitsa nts 84 528 77.4 DH 27 144 38.88 FRUs 45 144 32.4 Non FRU SDH/ CHC 144 Not approved Approval of State PIP 213-14: Chhattisgarh Page 29

S. No. Budget Head A.8.1.7. 3.d A.8.1.7. 3.e A.8.1.7. 3.f A.8.1.7. 4 A.8.1.7. 5 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) 24 X 7 PHC Non- 24 X 7 PHCs Other 12 96 5.76 Approv ed amount (Rs.Lakh s) REMARKS School health teams (Exclusively for SH) Counsellors 158 36 438.6 179.61 A.8.1.7. 5.1 A.8.1.7. 6 A.8.1.7. 7 A.8.1.7. 8 RMNCH/FP Counselors All Technical HR for State Specific Initiatives 18 12 129.6 64.8 Approved @ 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) 189. 54.81 Approved for 63 Feeding demonstrators @ Rs.1/m & 63 Cooks @ 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 5 24 12 6 Approved for 5 BSc nursing tutors @ 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 213-14: Chhattisgarh Page 21

S. No. Budget Head A.8.1.9 A.8.1.1 A.8.1.1.1 A.8.1.1.2 A.8.1.1.3 A.8.1.1.4 A.8.1.1.5 A.8.1.1.6 A.8.1.1.7 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. 945.71 354.24 Approved Provident Fund @ 12% for 6 months. 218 82 1971.3 979.3 2 5.1.1 Approved 2 5.1.1 Approved 1856. 864. 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 3 3 9. 9. Approved 3 2 6. 6. Approved 2 1 2. 2. Approved 8 1 8. 8. Approved A.8.1.1 HR - Performance 52 75 39. 39. Approved Approval of State PIP 213-14: Chhattisgarh Page 211

S. No. Budget Head.8 Based Incentive - PHC Staff A.8.1.1 HR - Performance.9 Based Incentive - A.8.1.1.1 A.8.1.1 1 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) 146 35 51.1 51.1 Approved REMARKS 2639 492 3259.98 1119.6 A.8.1.1 1.a A.8.1.1 1.b A.8.1.1 1.c A.8.1.1 1.d A.8.1.1 1.e A.8.1.1 1.f DH 193 42 81.6 Not approved FRUs 23 42 85.26 Not approved Non FRU SDH/ CHC 399 42 167.58 Not approved 24 X 7 PHC 6 42 252. Not approved Non- 24 X 7 PHCs 1232 216 2661.12 118.8 Approved for 1232 RMAs @Rs.15/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. SNCU/ NBSU/ NBCC/ NRC etc 12 18 12.96 1.8 Approved for Accountant cum DEOs @Rs. 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 952.19 4285.57 Approval of State PIP 213-14: Chhattisgarh Page 212

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.9.2.1 A.9.2.2 A.9.2.2. 1 A.9.2.2. 2 A.9.2.2. 3 A.9.2.2. 4 A.9.3 A.9.3.1 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 78 52 56.92 141.92 75 2 15. 15. Approved for holding meetings to adopt the modules deveoped for nursing tutors. 3 5 491.92 126.92 3 5 15. 15. 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. 111.92 111.92 Approved subject to availability of these skill labs in the 1 bedded MCH Wings. 226 11914 288.39 272.65 15 57965 129.84 114.1 Approval of State PIP 213-14: Chhattisgarh Page 213

S. No. Budget Head A.9.3.1. 1 A.9.3.1. 2 A.9.3.1. 4 A.9.3.1. 5 Setting up of SBA Training Centres Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS 3 2 6. 6. Approved for setting up 3 training centres @ Rs 2 Lakhs/centre TOT for SBA 2 137425 2.75 2.75 Approved Training of Staff Nurses in SBA Training of ANMs / LHVs in SBA 12 1219 14.53 14.53 Approved 88 1219 16.56 9.82 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.9.3.2 EmOC Training A.9.3.3 A.9.3.4 A.9.3.4. 1 Life saving Anaesthesia skills training Safe abortion services training (including MVA/ EVA and Medical abortion) TOT on safe abortion services 3 552 16.56 16.56 A.9.3.4. 2 Training of Medical Officers in safe abortion 3 552 16.56 16.56 Approved for 6 MOs. A.9.3.5 RTI / STI Training A.9.3.6 A.9.3.7 BEmOC training for MOs/LMOs Other maternal health training (please specify) 24 79925 19.18 19.18 Approved for 12 MOs. 67 47541 67.19 67.19 Approval of State PIP 213-14: Chhattisgarh Page 214

S. No. Budget Head A.9.3.7. 6 A.9.3.7. 7 A.9.3.7. 8 A.9.3.7. 9 A.9.3.8 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 2 27 132825 142485 2.66 38.47 41.13 Approved for training of state and district officials on MDR, subject to training being conducted as per the GOI Training norms. 3 137425 4.12 4.12 Approved 35 62675 21.94 21.94 Approved A.9.3.9 Skill Lab Training 55.62 55.62 Approved for 21 trainings @ Rs.37836/training at 1 skill lab/month for 7 months A.9.4 IMEP Training 27 1 27. 27. A.9.4.2 A.9.4.3 A.9.5 A.9.5.1 A.9.5.1. 1 A.9.5.1. 2 A.9.5.1. 3 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 27 1 27. 27. Approved 213 36938 68 11253 536.3 468.34 236.89 236.89 2 37396 7.48 7.48 Approved (1 doctors & 1 SNs in each batch) 54 33292 179.78 179.78 Approved 12 41365 49.64 49.64 Approved; 12 batches of 24 anganwadi workers in each. Approval of State PIP 213-14: Chhattisgarh Page 215

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) A.9.5.2 F-IMNCI Training 11 13175 39.82 39.82 A.9.5.2. TOT on F-IMNCI 1 3758 3.76 3.76 Approved 1 A.9.5.2. F-IMNCI Training 8 292325 23.39 23.39 Approved 2 for Medical Officers A.9.5.2. F-IMNCI Training 2 633625 12.67 12.67 Approved 3 A.9.5.3 A.9.5.3. 1 A.9.5.3. 2 A.9.5.4 A.9.5.4. 1 A.9.5.4. 2 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 213-14: Chhattisgarh Page 216 1 86.6 57.76 1. 86.6 57.76 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 each @ Rs.6, per person Training of MOs for 6 days in another state: 2 batches @ Rs.2.55 lakhs/ per batch Block level screening of children in 294 blocks @ Rs.1587/block Reorientation of feeding deonstrators and cook: 12

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS persons@ Rs.3/person A.9.5.5 A.9.5.5. 1 A.9.5.5. 1.1 A.9.5.5. 1.2 A.9.5.5. 1.3 A.9.5.5. 1.4 A.9.5.5. 2 A.9.5.5. 2.a A.9.5.5. 2.b A.9.5.5. 2.c A.9.5.5. 2.d Other child health training (please specify) 134 126152 172.99 133.87 NSSK Training 59 3193 43.98 43.98 TOT for NSSK 1 9655.97.97 Approved NSSK Training for Medical Officers NSSK Training for SNs NSSK Training for ANMs Other Child Health training 22 7414 16.31 16.31 Approved 27 7417 2.3 2.3 Approved 9 7417 6.68 6.68 Approved 75 94249 129.1 89.89 Ch-IYCF- TOT 1 34912 3.49 3.49 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 18 25955 46.72 28.8 Approved for 1 MO + 14 SN per batch @ 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. 55 166 58.63 51.17 Approved for 48 persons @ Rs.166/per batch 17.9 4.16 Approved for 2 batches only, as there is no possibility for larger numbers to undergo Approval of State PIP 213-14: Chhattisgarh Page 217

S. No. Budget Head A.9.5.5. 2.e A.9.6 A.9.6.1 A.9.6.1. 1 A.9.6.1. 2 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 24 @ Rs.2.8 lakhs/batch FBNC TOT for Mos 1 22722 2.27 2.27 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) 191 68555 175.63 134.96 6 1144 6.9 4.27 the batch) 6 1144 6.9 4.27 Approved for 6 batches of 4 participants each @ Rs.7124/batch A.9.6.2 Minilap Training 4 1144 4.6 2.85 A.9.6.2. 1 TOT on Minilap A.9.6.2. 2 A.9.6.3 A.9.6.3. 1 Minilap training for medical officers Non-Scalpel Vasectomy (NSV) Training 4 1144 4.6 2.85 Approved for 4 batches of 4 participants each @ Rs.7124/batch 5 328 1.64 1.64 TOT on NSV A.9.6.3. NSV Training of 5 328 1.64 1.64 Approved 2 medical officers A.9.6.4 IUD Insertion 141 272975 17.51 17.51 A.9.6.4. 1 TOT for IUD insertion 15 11125 16.65 16.65 Approved for 15 batches of 1 participants each. Approval of State PIP 213-14: Chhattisgarh Page 218

S. No. Budget Head A.9.6.4. 2 A.9.6.4. 3 A.9.6.4. 4 A.9.6.5 A.9.6.6 A.9.6.6. 1 A.9.6.6. 2 A.9.6.6. 3 A.9.6.6. 4 A.9.6.9 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 45 112 5.4 5.4 Approved for 45 batches of 1 participants each. 81 4995 4.46 4.46 Approved 35 999 56.34 17.48 3 4995 14.99 14.99 Approved TOT for PPIUCD 5 4995 2.5 2.5 Approved IUCD 375 insertion training to MOS Training to ANM on IUCD 375 insertion Training of FP Counselors 17 11125 18.87 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. 4 4995 19.98 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 counsellors @ Rs 6/batch for 13-15 participants/batch. Approval of State PIP 213-14: Chhattisgarh Page 219

S. No. Budget Head A.9.7 A.9.7.2 A.9.7.3 A.9.7.4 A.9.7.5 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) 172855 4955 631.3 631.3 1 17 1.7 1.7 Approved 3 17 5.1 5.1 Approved 2 15 3. 3. Approved REMARKS A.9.7.6 A.9.7.6. 1 A.9.7.6. 1.1 Other ARSH training WIFS training 172849 55 621.5 621.5 State level/ District Level/ Block Level 172,849 55 621.5 621.5 Approved for 113persons @Rs.55/person A.9.7.6. 1.2 A.9.7.6. 2 refresher training ANM/MO/ AWW/ Nodal Teacher Menstrual hygiene training A.9.7.6.3 SHP training A.9.8 Programme Management Training (e.g. M&E, logistics management, HRD etc.) 624 162 165. 155. A.9.8.1 Training of SPMSU 5 5 25. 25. Approved Approval of State PIP 213-14: Chhattisgarh Page 22

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS staff A.9.8.2 Training of DPMSU 5 3 15. 15. Approved staff A.9.8.3 Training of BPMSU 27 5 13.5 13.5 Approved staff A.9.8.4 Other training (pl. 587 77 111.5 11.5 specify) A.9.8.4. RMAs professional 4 1 4 4 Approved 1 development course A.9.8.4. TRG - Training of 146 1 14.6 14.6 Approved 2 emergency management of Mos A.9.8.4. TRG - Career 27 7 18.9 18.9 Approved 3 Development of MITANIN - BSc Nursing course A.9.8.4. TRG - Career 1 18 18. 18. Approved 4 Development of ANMs - GNM Course A.9.8.4. PGDDHM 4 5 2 1 Approved for 2 5 Fellowship programme under IGNOU course A.9.9.1 PC/PNDT training A.9.9.2 Others 725 5 21.25 APPROVAL PENDED. State needs provide details of the activity A.9.1 Training (Nursing) 35 39. 39. A.9.1. 1 Strengthening of Existing Training Institutions/Nursin g School excluding infrastructure and HR. 35 39. 39. Approved for 2 GNM Trng Institutes @ 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 213-14: Chhattisgarh Page 221

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.9.1. 2 A.9.11 New Training Institutions/School Training (Other Health Personnel) 77 32 96. 81. A.9.11. 1 A.9.11. 2 A.9.11. 3 A.9.11. 3.1 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.) 75. 75. Approved for training of 1 SN @ Rs 5/SN and Induction training of 5 newly joined MO/SN/LTS @ 5/HR 75 2 15. Not approved, State needs to propose as per the INC Guidelines. PGDHM Courses 2 3 6. 6. Approved for PGDHM training of MOs with 5 yrs service experience Sub-total Training 2486.79 1951.16 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 213-14: Chhattisgarh Page 222

S. No. Budget Head A.1.1 A.1.1. 1 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) 79 468 79 468 Budget (Rs. Lakhs) 1 84 8.4 Approv ed amount (Rs.Lakh s) REMARKS Performance Measurement system is set up and implemented to monitor performance of regular and contractual staff. 341.4 119.2 341.4 119.2 A.1.1. 2 State Accounts Manager 1 6 6. A.1.1. 3 State Finance Manager 1 72 7.2 A.1.1. 4 A.1.1. 5 A.1.1. 6 State Data Manager Consultants/ Programme Officers (including for MH/CH/FP/ PNDT/ AH including WIFS SHP, MHS etc.) Programme Assistants 1 54 5.4 5 72 36. 15 84.6 119.2 Rs.119.2 lakhs approved. Deatails available in Annx Programme Management A.1.1. 7 Accountants 12 3 36. Approval of State PIP 213-14: Chhattisgarh Page 223

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.1.1. 8 Data Entry Operators 33 24 79.2 A.1.1. 9 A.1.1. 1 A.1.1. 11 A.1.1. 11.1 A.1.1. 11.2 A.1.1. 11.3 A.1.1. 11.4 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 1 18 1.8 67.8 1 6 6. 1 6 6. 15 12 18. 3 42 12.6 A.1.1. 11.5 A.1.2 A.1.2. 1 A.1.2. 2 A.1.2. 3 Programmer 6 42 25.2 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 328 2652 328 2652 27 6 162. 27 48 129.6 27 42 113.4 1682.64 528.17 1682.64 528.17 528.17 Rs.528.17 lakhs approved. Details available in Annx Programme Management Approval of State PIP 213-14: Chhattisgarh Page 224

S. No. Budget Head A.1.2. 4 A.1.2. 5 A.1.2. 6 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Consultants/ Programme Officers (Kindly Specify) 81 48 388.8 Accountants 27 24 64.8 Data Entry Operators 112 216 241.92 Approv ed amount (Rs.Lakh s) REMARKS A.1.2. 7 A.1.2. 8 Support Staff (Kindly Specify) Others (Please specify) 27 216 58.32 523.8 A.1.2. 8.1 A.1.2. 8.2 A.1.2. 8.3 A.1.2. 8.4 District Training Coordinators 27 42 113.4 Hospital Consultant 27 48 129.6 Sub Engineer 27 42 113.4 Assistant DPM (AYUSH) 18 3 54. A.1.2. 8.5 A.1.3 A.1.3. 1 Incentive to Nodal Officers ( Programme ) Strengthening of Block PMU Block Programme Manager 135 84 113.4 584 18 146 36 525.6 2538.72 93.86 A.1.3. 2 A.1.3. 3 Block Accounts Manager Block Data Manager 146 216 315.36 146 216 315.36 93.86 Rs.93.86 lakhs approved. Details available in Annx Program Management A.1.3. 4 Accountants Approval of State PIP 213-14: Chhattisgarh Page 225

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) REMARKS A.1.3. 5 Data Entry Operators 146 216 315.36 A.1.3. 6 A.1.3. 7 Support Staff (Kindly Specify) Others (Please specify) 167.4 A.1.3. 7.1 PADA 741 144 167.4 A.1.4 Strengthening (Others) 53 2418 16.2 8.22 A.1.4. Workshops and 3 25 75. 3 Approved 1 Conferences A.1.4. AYUSH Cell - SHRC ( 12 17 2.4 APPROVAL PENDED 2 Technical support) A.1.4. Programme 12 45 5.4 Not approved 3 Associate - Biomedical cell ( State ) A.1.4. Technical support 2. 2. Approved 4 for Tally ( Fin. Mgmt) A.1.4. Talley Annual 179 18 3.22 3.22 Approved 5 Upgradation fees A.1.5 Audit Fees 1 8 8. 8. Approved A.1.6 A.1.7 Concurrent Audit system Mobility Support, Field Visits 173 165 3 3 Approved 269.23 96.36 A.1.7. 1 A.1.7. 2 SPMU/State 93 111.6 12. Approved for 4 vehicles @ Rs.3 L/vehicle/annum DPMU/District 27 6 162. 162. Approved for 2 vehicles/district @ Rs.3 L/vehicle/annum Approval of State PIP 213-14: Chhattisgarh Page 226

S. No. Budget Head A.1.7. 3 A.1.7. 4 Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approv ed amount (Rs.Lakh s) BPMU/Block 146 12 175.2 175.2 Approved Other Supportive Supervision costs REMARKS 216.43 557.16 A.1.7. 4.1 A.1.7. 4.2 A.1.7. 4.3 A.1.7. 4.4 A.1.7. 4.5 Travel and supportive supervision of State Nodal officer SPMU Administration DPMU Administration BPMU administration Technical Support to NRHM by SHRC Sub-total Programme Management 15 36 54. Not approved. No separate mobility costs being approved this year. 14.42 14.28 Rs. 14.28 lakhs approved for Provident fund @ Rs. 12% 27 3 1483.22 63.38 Rs.63.38 lakhs approved for Provident fund @ Rs. 12 %. 146 12 42.95 111.7 Rs.111.7 lakhs approved for Provident fund @ Rs. 12 %. 61.84 Not approved 7316.1 2189.83 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 1 15 15. APPROVAL PENDED. No details given by the State. 4 2 8. APPROVAL PENDED. No details given by the State. A.11.4 A.11.4. 1 Other strategies/activities (please specify) PTGs Camp Approval of State PIP 213-14: Chhattisgarh Page 227

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 2718.9 2 14346.8 7 TOTAL RCH DEMAND SIDE 899.5 8894. GRAND TOTAL 35928.4 2 2324.8 7 Approval of State PIP 213-14: Chhattisgarh Page 228

ANNEX 2 MISSION FLEXIBLE POOL S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B 1856693 5 27711 58112. 77 B1 ASHA 18284 547857 7348.5 4 B 1.1 ASHA Cost: 18284 547857 7348.5 4 B1.1.1 Selection & Training 143442 12448 3315.4 of ASHA 1 B1.1.1 Module I - IV 66 14 924..1 B1.1.1.2 B1.1.1.3 B1.1.1.4 B1.1.1.4.1 B1.1.1.4.2 B1.1.1.4.3 B1.1.1.4.4 B1.1.1.4.5 Module V 4 168 67.2 Module VI & VII 1 14 14 Other Trainings 63442 12 2184.2 1 Compensation to 315 384 129.6 Mitanin Trainrers Block contingencies 146 72 15.12 Dist Contingencies 146 84 12.26 Cluster meetings of Mitanins Other trainings and activities under Mitanin selection and training 6 12 72 137.23 2426.37 633.66 633.66 3239.81 924. 67.2 14 218.61 1134. 15.12 12.264 72 137.23 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 137.23 Lakhs (Ongoing activity). Approval is for Rs 1.16 lakhs for State ToT of District Coordinators, Rs 14.45 Lakhs for TOT for Block coordinators and Resource persons, Rs 86.63 lakhs for TOT of Approval of State PIP 213-14: Chhattisgarh Page 229

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 B1.1.2.1 Procurement of ASHA Drug Kit 198 235 1119. New Kits 6 6 36. 756. 36 Approved (Ongoing activity) B1.1.2.2 B1.1.2.3 Replenishment 66 55 363. The amount is budgeted under B16.2.5.2 (ongoing activity) Procurement of 126 12 72 ASHA HBNC Kit 72 B1.1.2.4 New Kits 6 12 72 72 Approved (New Activity) B1.1.2.5 B1.1.3 B1.1.3.1 Replenishment 66 Performance Incentive/Other Incentive to ASHAs (if any) Incentive under MH (ANC/PNC) 73844 329427 251.1 6 12 22 153. 2118.91.5 B1.1.3.1.1 B1.1.3.1.2 Incentive for Maternal Death Reporting Incentive for Home visits to pregnant women for counseling on diet, rest and ANC checkups 2 5 1. 1 15 15.5 Approved Rs 5,/- for reporting of expected 1 maternal deaths @ 5/-. (Ongoing activity) Not approved (New activity) Approval of State PIP 213-14: Chhattisgarh Page 23

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B1.1.3.1.3 B1.1.3.2 Incentive for Mitanin/ANM for linking Whole blood finger prick test reactive ANC to ICTC Incentive under CH (HBNC) 2 2. 39931 5 91.47 89.47 Not approved (Ongoing activity) as no targets are provided. B1.1.3.2.1 ASHA incentive for HBNC 35 25 875. 875. Approved (Ongoing activity) B1.1.3.2.2 B1.1.3.2.3 B1.1.3.3 ASHA incentive for NRC refferal and follow up for post referral NRC cases Infant death reporting Incentive for FP( PPIUCD/others) 1 2 2 3931 5 15.47 125 1225 218.75 15.47 3 Not approved as already included under Care of sick children (NRC budget) for 5, children @ 25 per child. Approved (Ongoing activity) B1.1.3.3.1 B1.1.3.3.2 B1.1.3.3.3 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) 1 1 1 15 125 18.75 1 1 1 2 Not approved (New activity) Not approved (Ongoing activity) Approved Rs 2 lakhs (Ongoing activity) Budget approved @ Rs.1/ASHA for 2 sterilizations after one or two children. No payment to ANM is permissible. Approval of State PIP 213-14: Chhattisgarh Page 231

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B1.1.3.3.4 B1.1.3.5 Incentive for AH 2 5 1 1 Other incentive 1 2 2 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 B1.1.3.4 to B1.1.3.3.4 B1.1.3.5.1 Incentive for Home visits for 6-11 month children for Nutrition Counseling (Complementary Feeding and Prevention of Infections) 1 2 2 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 213-14: Chhattisgarh Page 232

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 B1.1.3.6 B1.1.3.6.1 B1.1.3.6.2 Other (support provisions to ASHA such as uniform, diary, ASHA Ghar etc) 473 3268 927.94 927.94 Mitanin Kalyan Kosh 797.5 ( Mitanin Welfare 797.5 Activites ) Mitanin Help Desk 18 468 84.24 84.24 Approved (Ongoing activity) Approved (Ongoing activity) B1.1.3.6.3 B1.1.3.6.4 B1.1.4 Mitanin Help Line 1 24 2.4 Mitanin Sammelans 146 3 43.8 Awards to ASHA's/Link workers 146 1 14.6 2.4 43.8 14.6 Approved (Ongoing activity) Approved for 146 blocks @Rs 3 (New activity) Approved (Ongoing activity) B1.1.5 B1.1.5.1 ASHA Resource Centre/ASHA Mentoring Group 292 816 389.37 HR At State Level 151.1 174.34 65.72 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 213-14: Chhattisgarh Page 233

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status the same unit costs approved in the RoP 212-13. The budget approved for six months is 5% of approved amount in 212-13. B1.1.5.2 B1.1.5.3 B1.1.5.4 HR at District Level HR at Block Level Mobility Costs for ASHA Resource Centre/ASHA Mentoring Group (Kindly Specify) 292 816 238.27 18.624 B2 Untied Funds 25415 1485 352. 2 2513.55 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 212-13. B2.1 Untied Fund for CHCs/SDH 149 575 85.68 74.5 Approved (Ongoing activity) for 149 CHCs at the rate of Rs 5 per facility Approval of State PIP 213-14: Chhattisgarh Page 234

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B2.2 Untied Fund for PHCs 755 325 245.38 188.75 B2.3 Untied Fund for Sub Centres B2.4 Untied fund for VHSC B2.5 Others 5111 13 664.43 511.1 19387 13 252.3 1 13 325 4.23 B.3 Annual Maintenance Grants (only for Government institutions) 4428 28 973.5 B3.1 CHC 149 13 193.7 B3.2 PHCs 429 65 278.85 B3.3 Sub Centres 385 13 5.5 1739.2 623.5 135. 214.5 274. 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 212-13 for 1458 VHSNCs which have not been constituted. Not approved as Untied Funds was not approved for Civil Hospitals in 212-13. 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 PHCs @ 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 213-14: Chhattisgarh Page 235

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.4 Hospital Strengthening 3 86 11881. 4 1476.66 B.4.1 Up gradation of CHCs, PHCs, Dist. Hospitals 3 86 11881. 4 1476.66 B4.1.1 District Hospitals 1982.1 1 1824.45 B4.1.1.1 B4.1.1.2 B4.1.1.3 B4.1.1.4 Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 157 Spillover of Ongoing Works 176 Staff Quarters 118.45 176. 118.45 Not approved (New activity) Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 213-14. Approved (Ongoing activity) subject to condition that the work will be completed in the F.Y 213-14 B4.1.2 CHCs 3233.2 1 3143.21 B4.1.2.1 B4.1.2.2 Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 9 Not approved (New activity) B4.1.2.3 B4.1.2.4 Spillover of Ongoing Works Staff Quarters 288. 288 2855.2 1 2855.21 Approved (Ongoing activity) subject to the condition that the work will be completed in the F.Y 213-14 Approved (Ongoing activity) on condition that the work will be completed in the F.Y Approval of State PIP 213-14: Chhattisgarh Page 236

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status 213-14 B4.1.3 PHCs 755.22 739. B4.1.3.1 B4.1.3.2 B4.1.3.3 Additional Building/ Major Upgradation of existing Structure Repair/ Renovation Spillover of Ongoing Works 16 739 739. B4.1.3 Staff Quarters.4 B4.1.4 Sub Centres 2 26 54.5 Not approved (New activity) Approved (Ongoing activity) on condition that the work will be completed in the F.Y 213-14 B4.1.4.1 B4.1.4.2 Additional Building/ Major Upgradation of existing Structure Repair/ Renovation 2 26 52 2.5 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 213-14: Chhattisgarh Page 237

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B4.1.4.3 Spillover of Ongoing Works B4.1.4.4 B4.1.5 ANM Quarters Others (MCH Wings) 1 6 537. 477 B4.1.5.1 B4.1.5.2 B4.1.5.3 B4.1.5.4 (Absolutely) New / Rented to Own Building Additional requirement from previous work Carry forward /Spillover of Ongoing Works 477. Other construction 1 6 6 477 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). B4.1.5.4.1 Gap improvements in co-located centres of PHC/CHC- AYUSH 1 6 6 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) 114 7434 1368.5 2 11.93 B5.1 CHCs Approval of State PIP 213-14: Chhattisgarh Page 238

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B5.2 PHCs 1 4953 198.12 19.81 Approved only for one PHC in Mungeli District B5.3 SHCs/Sub Centres 1 2281 912.4 82.12 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 82.12 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 213-14: Chhattisgarh Page 239

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.5.1 B.5.1.1 B.5.1.1.5 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) 4 2 258. 4 2 8. 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 26 1 26 B6.2 CHCs 149 13 193.7 B6.3 PHCs 755 13 981.5 943 176 15.2 153. 13 148. 71 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 26.4.213) 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 26.4.213)at the unit cost of Rs 1 lakhs Approval of State PIP 213-14: Chhattisgarh Page 24

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 13 5 65. B7 Health Action Plans (Including Block, Village) 174 62 61.2 B7.1 State 1 5 5. B7.2 District 27 1 27. B7.3 Block 146 2 29.2 B8 Panchayati Raj Initiative 15 4 95.46 65. 61.2 5. 27. 29.2 6 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 15 4 6 6 Approved (New activity) Approval of State PIP 213-14: Chhattisgarh Page 241

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B8.3 Others 35.46 B8.3.1 Panch Prayas 35.46 B9 Mainstreaming of AYUSH 71 3391 198.3 9 238.39 Not approved (New activity) B.9.1 B.9.1. 1 B.9.1. 2 B.9.1. 3 Medical Officers at CHCs/ PHCs (Only AYUSH) 37 72 736.8 DH FRUs Non FRU SDH/ CHC 1 24 24 184.2 Not approved (New activity) B.9.1. 4 B.9.1. 5 24 X 7 PHC 1 24 24 Non- 24 X 7 PHCs/ APHCs 17 24 256.8 12 64.2 Approved for 6 months for 1 AYUSH doctors @Rs 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 only @ 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 213-14: Chhattisgarh Page 242

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) 394 2671 38.4 1. B9.3.1 B9.3.2 Prevention of Malaria throuhg Homeopathic medicines Prevention of Disability in Leprosy cured persons throuhg AYUSH 225. 2 266 53.2 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 292 1 29.2 Approval pended (Ongoing activity) until the state shares the utilization and the outcomes of the Approval of State PIP 213-14: Chhattisgarh Page 243

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 1 1 1. 1. Approved (New activity) B9.4 Training 53.19 53.19 B1 IEC-BCC NRHM 51166 7552 1454.7 5 371.87 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.1.2.1 B.1.2.1.1 B.1.2.1.2 Development of State BCC/IEC strategy Implementation of BCC/IEC strategy BCC/IEC activities for MH 6 6 Approval pended (New Activity) 9.38 278.9 15 15 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 173.4 Mid-media 15.5 Approval of State PIP 213-14: Chhattisgarh Page 244

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.1.2.2 B.1.2.2.1 B.1.2.2.2 B.1.2.3 B.1.2.3.1 B.1.2.3.2 B.1.2.4 B.1.2.4.1 B.1.2.4.2 B.1.2.5 BCC/IEC activities for CH 239.3 condition that State to ensure RBSK on all support IEC for branding of programme. The RBSK guideline and details to be used for developing 111.6 these IECs and communication materials at School and Anganwadis. The budget shifted from A.3.5.4.4 for printing of PPIUCD registers is 95.78 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 35.78 Mid-media 6 Other activities (please specify) 174.8 B.1.2.6 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 51166 7552 281.87 221.87 B.1.5.1 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 cards @ Rs 1/- for 3 lakhs pregnant women, and Rs 6 Lakhs for printing of Safe Motherhood Approval of State PIP 213-14: Chhattisgarh Page 245

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status booklets @ Rs 2/- for 3 lakhs pregnant women. B.1.5.2 Printing of WIFS cards etc 51839 2 76.62 76.62 Approved (New activity) B.1.5.3 Other printing 227 755 55.25 55.25 B.1.5.3.1 B.1.5.3.2 B.1.5.3.3 B.1.5.3.4 B.1.5.3.5 Reporting Mechanism formats (WIFS) Printing of Maternal Health Training Modules Printing of Labor room register, OPD /IPD registers for PHCs & CHCs 27 75 2.25 2 5 1 2.25 1 25. 25. 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) 62 36 1296. Approval of State PIP 213-14: Chhattisgarh Page 246

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B11.1. 1 B11.1. 2 B11.1. 3 B11.1. 4 B11.1. 5 Capex 16 12 192. Opex 46 24 114. 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 4159 31 155 8 B12.1. 1 B12.1. 2 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 1 8 8 Not approved (New Activity) Approval of State PIP 213-14: Chhattisgarh Page 247

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 41478 988232 3641.4 /Opex for 8 ambulance B12.2. 1 State basic ambulance/12 B12.2. 2 B12.2. 3 B12.2. 4 B12.2. 5 B12.2. 6 Opex Operating Cost /Opex for ASL ambulance Opex EMRI-BLS Opex EMRI-ALS HR Basic ambulance 1345 143 1923.3 5 HR advanced life 25 3 75. support ambulances Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM B12.2. 6 B12.2. 7 B12.2. 8 B12.2. 9 Training/orientation 2.75 Call centre-capex call centre-opex Others 41341 545232 1442.3 8 B12.2. 9.1 B12.2. 9.2 B12.2. 9.3 B12.2. 9.4 B12.2. 9.5 Medical consumables Ambulance repiars/maitenance/ Insurance 4122 32 131.9 24 12 288. Fuel cost 24 3 72 Communication cost 24 192 46.8 Administrative expenses 24 84 21.6 Approval Pended (ongoing activity) subject to State implementing National Ambulance Guidelines for all the running ambulances under NRHM Approval of State PIP 213-14: Chhattisgarh Page 248

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B12.2. 9.6 B12.2. 9.7 B12.2. 9.8 Marketing expenses 24 12 28.8 Third Party Evaluation of Referral Transport Upgradation of Ambulance (EMRI- 18)-BLS to ALS 25. 1 1 1. B.13 PPP/ NGOs 78 183 1841.4 5 35.4 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 B13.2. 1 B13.2. 2 B13.2. 3 39 915 1841.4 5 under this head) Out soursing PHC 52 Grant in Aid to RK Mission Setting up of PPP cell in the state 35.4 26.2 35.4 35.4 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 213-14: Chhattisgarh Page 249

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. B13.2. 4 B13.2. 5 B13.2. 6 B13.2. 7 Outsourcing of Diagonastic services Outsourcing Biomedical Wastage Management PPP Monitoring Cell by SHRC B13.3 NGO Programme/ Grant in Aid to NGO 27 1131.6 7 12 915 18.18 2 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 213-14: Chhattisgarh Page 25

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B13.3. 1 Support to CGNP+ B13.3. 2 B14 Innovations( if any) 1366. 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) B15.1. 1 B15.1. 2 1366. 6. 2644 19969 1662.8 8 68.63 12 32 14 State level 1 1 1. District level 19 1 19. 56.99 1. 19. 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) B15.1. 3 B15.1. 4 B15.1. 4.1 Block level 1 12 12 Other 36.99 Approved (Ongoing activity) @ Rs 36986 per block which is the unit cost approved for the F.Y.212-13. Approval of State PIP 213-14: Chhattisgarh Page 251

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B15.2 Quality Assurance 166 31 162.7 96. B15.2. 1 B15.2. 2 B15.2. 3 B15.2. 4 B15.2. 4.1 B15.2. 4.2 B15.2. 4.3 B15.2. 5 B15.2. 5.1 Quality Assurance Committees at State level Quality Assurance Committees at District level Grievance handling system 69. 27 1 27. Review meetings 112 11 14.8 State 4 1 4. District 18 1 1.8 Block 69. Others 27 1 51.9 27. 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 213-14: Chhattisgarh Page 252

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B15.2. 5.2 Bio-medical Initiatives ( Authorisation and cell) B15.3 Monitoring and Evaluation B15.3. 1 B15.3. 1.1 B15.3. 1.2 B15.3. 1.3 B15.3. 1.4 B15.3. 1.5 B15.3. 1.6 B15.3. 1.6.1 B15.3. 1.6.2 B15.3. 2 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- 27 1 27. 27. 25758 13669 136.1 8 455.64 1 315 13.15 1 315 3.15 1 5 5 186.6 1 1 5 5 93.3 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 213-14: Chhattisgarh Page 253

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status health B15.3. 2.1.a HMIS Operational Cost (excluding HR & Trainings) 186.6 Approved for six month as expenditure details of 212-13 are not given Internet Connectivity State level : 6x25=1.5 lakh District level:27x6x5=8.1 lakh Block Level:146x6x2=17.5 2 lakh PHC level:5x6x75=22.5 lakh B15.3. 2.1.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=17.5 2 lakh PHC level:7x6x5=21 lakh Procurement should be based on competitive bidding and by following Government protocols Approval of State PIP 213-14: Chhattisgarh Page 254

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status etc. B15.3. 2.1.c B15.3. 2.1.d Maintenance of Computers/ AMC/ etc. Other Office and admin expenses B15.3. 2.2.a B15.3. 2.2.b B15.3. 2.2.c MCTS Operational Cost (excluding HR & Trainings) Procurement of Computers/ printers/ cartridges etc. Maintenance of Computers/ AMC/ etc. 1111 15 11.27 94 1111 15 16.67 96.44 87.6 8.84 Approved only for 146 desktop with accessories @ 6/- for Block data Assistants. Procurement should be based on competitive bidding and by following Government protocols. Approved @ Rs 1/- per computer for 884 computers B15.3. 2.2.d Other Office and admin expenses B15.3. 3 Other M & E Activities 24646 154 96.16 165.9 B15.3. 3.1 B15.3. 3.2 HMIS Training 6891 86.85 MCTS Training 6 4 24. 5.75 Approved Rs.5.75 Lakh @ 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 213-14: Chhattisgarh Page 255

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. B15.3. 3.3 B15.3. 3.4 B15.3. 3.5 B15.3. 3.6 B15.3. 3.7 Mobility Support for HMIS/ MCTS Review Meetings for HMIS Review Meetings for MCTS Data Validation Call Centers - CAPEX Data Validation Call Centers - OPEX 12 5 6. 1978 178.48 1 33.5 2.95 26.92 1 Approved (New activity) Rs.2.95 lakh @Rs.1 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) B15.3. 3.8 e-governance Initiative 47. Not approved (New Approval of State PIP 213-14: Chhattisgarh Page 256

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status activity) B15.3. 3.9 B15.3. 3.1 Hospital Management Softwares Others 153.83 765 1 42.5 12.28 Not approved (New activity) B15.3. 3.1.1 B15.3. 3.1.2 B15.3. 3.1.3 Printing of formats and Composite RCH register Monitoring Data Collectiona dn data Quality State Review Mission 75 Rs 2/ X 12 months 53.9 18. 95.6 24.68 95.6 Approved Rs 1.3 lakh @ Rs.4 per page for HMIS and Rs.14.37 lakh for MCTS registers @ 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 213-14: Chhattisgarh Page 257

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B15.3. 3.1.4 B15.3. 3.1.5 Mobile based MCTS reporting system V-Sat Connectivity B.16 PROCUREMENT 1124823 1 15 1 13. 15 1823446 3672.5 9 1756.58 212-13 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 8852 1773145 696.79 321.9 Approval of State PIP 213-14: Chhattisgarh Page 258

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B16.1. 1 Procurement of equipment: MH 12 2 2.4 2.4 B16.1. 1.1 Equipments for Blood Banks/ BSUs B16.1. 1.2 MVA /EVA for Safe Abortion services 12 2 2.4 2.4 Approved (Ongoing activity) B16.1. 1.3 Others (please specify) B16.1. 2 Procurement of equipment: CH 122 116 197.6 6 B16.1. 2.1 NBSU 9 575 51.75 Not approved since no new NBSU is approved B16.1. 2.2 B16.1. 2.3 NBCC 11 85 85.85 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. B16.1. 2.4 B16.1. 2.9 Genset for SNCU ( for 12 SNCUS) 12 5 6 6 Approved (New activity) B16.1. 2.1 B16.1. 3 Procurement of equipment: FP 21 67145 183.6 18.98 B16.1. 3.1 B16.1. 3.2 NSV kits 5 1 5. IUCD kits 1 2 2 5. 2 Approved (Ongoing activity) Approved (Ongoing activity) Approval of State PIP 213-14: Chhattisgarh Page 259

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B16.1. 3.3 B16.1. 3.4 B16.1. 3.5 B16.1. 3.6 minilap kits 135 3 4.5 laparoscopes 25 6 15 PPIUCD forceps 35 1145 4.1 Other (please specify) 4.5 15 1.925 Approved (Ongoing activity) Approved (Ongoing activity) Approved Rs. 1.925 lakhs for 35 forceps @ Rs. 55/forceps B16.1. 4 Procurement of equipment: IMEP 16 1 94.53 78.53 B16.1. 4.1 B16.1. 4.2 B16.1. 5 B16.1. 6 B16.1. 6.1 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 78.53 78.53 16 1 16. 5 3 15 Approved (New activity) Rs 78.53 lacs for purchasing of bins (3264) @ Rs 2/- and gloves (7.2 lacs) @ 1/- Not approved (New activity) B16.1. 6.2 B16.1. 7 Equipments for School Health Equipments for School Health Screening (weighing scale, Height measurement scale and Snellens Charts) Equipments for Training Institutes 5 3 15 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 213-14: Chhattisgarh Page 26

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B16.1. 8 B16.1. 9 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 1123937 9 531 2975.8 1 1434.68 B.16.2.1 Drugs & supplies for MH 15 3 4.5 4.5 B.16.2.1.1 RTI /STI drugs and consumables B.16.2.1.2 B.16.2.1.3 Drugs for Safe Abortion Others (Please specify) 15 3 4.5 4.5 Approved Rs 4.5 lacs @ 3/- for 15 cases (ongoing activity) B.16.2.1.4 B.16.2.1.5 B.16.2.2 RPR Kits Whole blood finger prick test for HIV Drugs & supplies for CH 546.5 422.5 B.16.2.2.1 Drugs of Sishu Sanrakshan Mah 546.5 422.5 Rs 422.5 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 213-14: Chhattisgarh Page 261

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.16.2.3 B.16.2.3.5 Drugs & supplies for FP as there is no wastage factor to be applied and based on 7% expected coverage. B.16.2.4 B.16.2.4.1 B.16.2.4.5 Supplies for IMEP Purchase of Bleaching powder and Phenyle under Bio-Medical Waste maangement B.16.2.5 General drugs & supplies for health facilities 2215.9 3 231. B.16.2.5.1 IPD 2215.9 3 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. 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 Approval of State PIP 213-14: Chhattisgarh Page 262

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.16.2.5.2 OPD B.16.2.6 Drugs & supplies for WIFS 1123768 6 1 112.38 776.68 B.16.2.6.1 B.16.2.6.2 B.16.2.7 Albendazole IFA Drugs & supplies for SHP 332,149, 596 11,237,6 86.2 664.3 1 112.38 664.3 112.38 Approved. Budget shifted from B.16.2.6.2 Approved. Budget shifted from B.16.2.6.1 B.16.2.8 Drugs & supplies for UHCs B.16.2.9 Drugs & supplies for AYUSH 193 5 96.5 B.17 Regional drugs warehouses/logisti cs management Approval of State PIP 213-14: Chhattisgarh Page 263

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 5 2 5499.7 9 5 5 Approved (Ongoing activity) for six months only at the same rate as approved in 212-13. 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 213-14: Chhattisgarh Page 264

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 782.3 1212.5 8 13.36 5 2 1 289.35 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 213-14: Chhattisgarh Page 265

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 312.4 7 Not approved under Mission Flexi Pool. State may propose this under Disease control flexible pool B.23 Other Expenditures (Power Backup, Convergence etc) 64 264 9561.4 3 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 213-14: Chhattisgarh Page 266

S. No. Budget Head Quantity / Target Unit Cost ( Rs) Budget (Rs. Lakhs) Approve d Approval Status B.23.4 CGMSC 4 32.4 5 B.23.5 Sickle cell Programme 476.5 7 B.23.6 CGSACS 113.41 B.23.7 Double Fortified Salt (New Activity ) 64 264 1689.6 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 213-14 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 213-14, including infrastructure, IT software, Human Resources and other activities. Approval of State PIP 213-14: Chhattisgarh Page 267

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. 67.5 67.5 Approved To be continued from Previous year c.1.b Mobility support for supervision at state level Rs. 15 per year. 1.5 1.5 Approved. To be continued from Previous year c.1.c Printing and dissemination of Immunization cards, tally sheets, monitoring forms etc. Rs. 1 beneficiaries 7.59 7.59 Approved for 75923 pregnant women for the F.Y.213-14 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) 4.5 4.5 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) 2.92 2.92 Approved Rs 1X5 participants/block X 146 blocks X 4 meetings Approval of State PIP 213-14: Chhattisgarh Page 268

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 45.98 45.98 63.3 63.3 527.97 527.97 87.67 87.67 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 213-14: Chhattisgarh Page 269

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 218.34 218.34 @ Rs 1/- per subcentre Rs. 1 per block/ PHC and Rs. 2 per district Rs1,5,/ district/year @ 4/ - month/ district 5.39 5.39 1.77 1.77 4.5 4.5 1.3 1.3 Rs. 3/bags/session 24.99 24.99 Rs. 12 per PHC/CHCper year 11.52 11.52 Approved. Includes AVD cost for sessions in 4 rounds of Immunization week, Total other area is 22866 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 213-14: Chhattisgarh Page 27

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 23.7 23.7 c.1.r c.1.s c.1.t State specific requirement Teeka Express Operational Cost Measles SIA operational Cost 3.38 215.51 215.51 c.1.u JE Campaign Operational Cost c.1.v Others (Mobilization budget for Supervision during Immunization week) 5.31 5.31 C.1-Sub Total 1422.56 1419.18 C.2 C.2.1 Computer Assistants support for State level Rs.12-15 per person per month 1.8.9 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 213-14: Chhattisgarh Page 271

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 38.88 16.2 Approved, however, any increment in salry will be examined by MSG. C.2.3 Others(servic e delivery staff) C.2-Sub Total 4.68 17.1 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 3.49 9.69 19.6 19.6 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 213-14: Chhattisgarh Page 272

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 212-13. 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.25.25 5.63 5.63 1.53 1.53 Approval of State PIP 213-14: Chhattisgarh Page 273

FMR Code Activities( As proposed by the State) Unit Cost (wherever applicable) Proposed by State Approve d Approval Status C.3.6 Others 247.84 247.84 C.4 C.3-Sub Total 34.8 284. Cold chain maintenance Rs.75/PHC/CHC s per year District Rs.15/year 17.21 1.7 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 819.29 819.29 Approved with assumption that 9 % children will be fully immunized in 13-14 Total ROUTINE IMMUNIZATI ON 264.53 255.27 Approval of State PIP 213-14: Chhattisgarh Page 274

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) 59.86 494.35 Approved, subject to approval for Pulse Polio Cost. Total 3114.39 344.62 B.22.6 Other NDCP Support Programmes 289.35 - New Activity. As per Child Health Part-C Approval of State PIP 213-14: Chhattisgarh Page 275

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 1 1 1 1 Implementati on & monitoring of the programme Monitoring of district level iodine content of salt and urinary iodine excretion as per Policy Guidelines. 1.2 12. 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. 5.6 6. 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 213-14: Chhattisgarh Page 276

FMR Code Activity Unit cost (wherever applicable) Physical target Proposed Approved Remarks D.3 Health Education & Publicity Increased awareness about IDD and iodated salt 19.7 4. IDD publicity activities including Global IDD Day celebrations at various levels. D.4 IDD Survey/resur vey Rs. 5, per district 4 districts 8. 2. 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. 51.84 ** 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 213-14: Chhattisgarh Page 277

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 99.94 86 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 99.94 86 1X4. 4. 4. 2 15(3X 5) 89.5 35.8 (5 X 17.9) (2 X 17.9) 24.3 9.72 (5X.81X6) (2X.81X6) District public health lab 24.65 8 consumables (5 X 4.93) (2 X 4) Sub Total 162.45 72.52 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 213-14: Chhattisgarh Page 278

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 1.68 1.68 (.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) 58.32 (.18X27X12) E.3.3 Data Entry Operator 61.38 (.165 X 31 X 12 ) 55.8 (.15 X 31 X 12 ) Sub Total 246.96 198 E.8 Training As per NRHM Guidelines Medical Officers.15 X 46 4.46 4.46 (3 days ) One day training of.215x 46 2. 2. Hospital Pharmacist / Nurses One day training of.39x 13 1.14 1.14 Medical College Doctors One day training for Data.15X 14 3.2 3.2 Entry and analysis for Block Health Team Lab technician (3 days).215x 46.79.79 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 212-13 Approval of State PIP 213-14: Chhattisgarh Page 279

FMR Code Activity Unit Cost Proposed by state ANM 17.52 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 11 2.2 Approved 52.25 11.41 Grand Total for IDSP 54.6 367.93 Remarks Note: Based on past trend of expenditure, Rs146 lakhs has been approved in BE for Chattisgarh under IDSP for 213-14. 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 213-14: Chhattisgarh Page 28

ANNEX 4C NATIONAL VECTOR BORNE DISEASE CONTROL PROGRAMME (NVBDCP) S. No. F.1 Component (Sub- Component) Domestic Budget Support (DBS) proposed in PIP -213-14 approved as per BE 213-14 Remarks F.1.1 Malaria F.1.1.a Contractual Payments F.1.1.a.i MPW contractual 823.68 295 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) 42.6 28.5 6.7 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 63 45 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 213-14: Chhattisgarh Page 281

S. No. F.1.1.d Component (Sub- Component) Monitoring, Evaluation & Supervision & Epidemic Preparedness including mobility proposed in PIP -213-14 approved as per BE 213-14 66.9 3 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 78.35 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 2 5.6 5 22.92 1.3 5 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-) 273.6 New activity, due to funds constraint it can not be approved Total Malaria (DBS) 1487.73 4 Approval of State PIP 213-14: Chhattisgarh Page 282

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 -213-14 approved as per BE 213-14 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 2 8.4 5 F.1.2.d Epidemic preparedness 39 4.5 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 3 3 9 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 1.8.5 3.6 3.5 122.8 37.5 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 213-14: Chhattisgarh Page 283

S. No. Component (Sub- Component) proposed in PIP -213-14 approved as per BE 213-14 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 7.87 28.54 Approval of State PIP 213-14: Chhattisgarh Page 284

S. No. Component (Sub- Component) proposed in PIP -213-14 approved as per BE 213-14 Remarks F.1.4.b Microfilaria Survey 4.45 4.5 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 2.4 1.35 8.15 42.15 35.2 14.3 138.92 35.2 2.1 4.5 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 213-14: Chhattisgarh Page 285

S. No. Component (Sub- Component) Total Filariasis Lymphatic proposed in PIP -213-14 approved as per BE 213-14 331.99 147.64 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) 1942.52 585.14 F.2 F.2.a Externally aided component World Bank support for Malaria (Identified state) F.2.b Human Resource 278.39 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 27.6 47 2 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 213-14: Chhattisgarh Page 286

S. No. Component (Sub- Component) proposed in PIP -213-14 approved as per BE 213-14 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 352.99 2 2295.51 785.14 Approval of State PIP 213-14: Chhattisgarh Page 287

S. No. F.6 Component (Sub- Component) Cash grant for decentralized commodities proposed in PIP -213-14 approved as per BE 213-14 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 1.45 1 114.82 139.74 1 472.41 1 2767.92 885.14 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 213-14: Chhattisgarh Page 288

S. No. Component (Sub- Component) proposed in PIP -213-14 approved as per BE 213-14 Remarks Commodity Grants 3718 216.68 Total NVBDCP Cash + Commodity 6485.92 345.82 NRHM Additionality 1 NVBDCP- RDT kits 419 2 3 4 5 6 7 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 489.38 147 2.7 32 6 1.68 197.76 May be met from Village Health senitation committee or flexi fund. Approval of State PIP 213-14: Chhattisgarh Page 289

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- 56 7 5 5 7.98 12. 23.6 7.98 12. 23.6 1.3. ASHA Involvement Sensitization 1 - - - Detectio 25 2 *Incentive to ASHA 1.4 Material & Supplies Supportive drugs, lab. reagents & equipments and printing works 1.5 NGO Schemes G2. DPMR 5. 5. n PB 4 1 6. 4. MB 6 1 1 6. District No. 68, 6 1 27 16.2 16.2 6. 6. Approval of State PIP 213-14: Chhattisgarh Page 29

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 ****4.2.1. Contractual Staff at State level District MCR Footwear- 3/- Aids/Applianc e -17 Welfare/RCS - 8 At Institute - 5 At camps - 1 12 27 2 2 3.6.81 16. 1 3.6.81 16. 1 98, 27 26.46 26.46 No. of batch MO 89, 25 22.25 22.25 HW 71, 25 17.75 17.75 PT 5,6 1.51.51 DNT 71, 3 2.13 2.13 SMO 1 4 7.2 4.8 BFO cum 1 3, 5.4 3.6 Admn. Officer Admn. Asstt. 1 16 2.4 1.92 DEO 1 12 2.16 1.44 Driver 1 11 1.32 1.32 State specific reuirement s & rates Approval of State PIP 213-14: Chhattisgarh Page 291

Activity proposed Unit Unit Cost (In Rupees) Physica l Targets propose d (Rs. in lakh) approve d (Rs. in lakh) Remarks #District 3 32.4 Leporsy Consultant #Physiotherapis 25 2 27. t 4.2.3. Special Provision for selected States NMS No. 25 - - 4.2.4. Staff for blocks #PMW No. 16 93 133.92 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 5 1. 1. 25 6.75 6.75 1. 1. 1 75.75.75 No. 35 9.45 9.45 1 5.5.5 5.4 Consumables State Cell 1 5.5.5 District Cell No. 3 8.1 8.1 5.5 Mobility Support Approval of State PIP 213-14: Chhattisgarh Page 292

Activity proposed Unit Unit Cost (In Rupees) Physica l Targets propose d (Rs. in lakh) approve d (Rs. in lakh) Remarks State Cell 2 2 4. 4. District Cell 1 15 6.75 4.5 G6. Others Essential Travel expenses requiremen for regular staff t for specific programme / training need, awards etc GRAND TOTAL 317.57 459.24 Approval of State PIP 213-14: Chhattisgarh Page 293

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 351.75 246.22 Approval is being given for 9 DTC, 1 C&DST lab, 2 TUs and 38 DMCs 88.15 79.33 9% approved. 52.42 47.18 9% approved. 73.33 5 Includes the Salary of State ACSM officer. 24.16 19.32 8% approved. Approval of State PIP 213-14: Chhattisgarh Page 294

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 87.78 52.66 6% approved 132.6 71.47 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 22.83 154.58 7% approved 125.88 113.29 9% approved. 62.26 52.8 Includes 15 lakhs for the ZTF meeting. 44.63 35.7 8% approved. 192.15 873.72 8% approved Approval of State PIP 213-14: Chhattisgarh Page 295

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 57.36 4.15 7% approved 3. 2.4 8% approved 19. 98.1 9% approved 289. 238.1 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 16. 11.2 7% approved 5 4 8% approved. Subtotal 2879.79 2226.29 Approval of State PIP 213-14: Chhattisgarh Page 296

S.No Category of Expenditur e Unit cost Physical target /expected output Proposed Approve d Remarks Disease control Flexi pool fund 16.72 65.56 Disapproved activities are: Generator for STDC ; Diesel for generator at IRL and DOTS plus site TOTAL APPROVAL 2986.51 2291.85 Approval of State PIP 213-14: Chhattisgarh Page 297

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.1.1.1 NPPCF-State Cell- Programme Officer J.1.1.2 NPPCF-State Cell-Field 5 Investigator J.1.1.3 NPPCF -State Cell-Mobility 6 Support J.1.1.4 NPPCF - State Cell- 7 Monitoring J.1.1.5 NPPCF - State Cell- Monitoring- State Monthly 8 Report J.1.1.6 NPPCF - State Cell- Monitoring- State Annual 9 Report J.1.1.7 NPPCF - State Cell- Monitoring-Monthly 1 Meeting J.1.1.8 NPPCF - State Cell-Office 11 Exp. 12 J.1.2 NPPCF - Distt Cell J.1.2.1 NPPCF- Distt Cell- 13 Consultant J.1.2.2 NPPCF- Distt Cell- 14 Technician J.1.2.3 NPPCF - Distt Cell-Field 15 Investigators J.1.2.4 NPPCF - Distt Cell-Training- Distt Medical & 16 Paramedical Personnel J.1.2.4a NPPCF - Distt Cell-Training- Distt Medical & 16 Paramedical Personnel J.1.2.5 NPPCF - Distt Cell- Monitoring- Distt Annual 17 Report J.1.2.6 NPPCF - Distt Cell- 18 Coordination Meeting J.1.2.7 NPPCF - Distt Cell-Office 19 Exp. (Travel & 1 66, 6.6 1 2, 2. 5 2,7, 27. 5 9, 9. 15 2,34, 23.4 4 1,2, 12. 1 1, 1. 5 5, 5. 5 1,, 1 The proposal is not considered now. State to propose separately along with other states as directed Approval of State PIP 213-14: Chhattisgarh Page 298

Sl. No. FMR Code Budget Head Unit Quantity Yearly Unit Cost Proposed Remarks Contingencies) J.1.3 NPPCF - Lab Support 2 J.1.3.1 NPPCF -Lab Support-Distt. 21 Lab- J.1.3.2 NPPCF -Lab Support- Distt. 4 2,8, 28. 22 Lab-Lab Equipment J.1.3.3 NPPCF -Lab Support- Distt. 5 1,, 1 23 Lab-Lab Consumables J.1.3.4 NPPCF -Lab Support- Distt. Lab- Exp. For Sample 24 Testing J.1.3.5 NPPCF -Lab Support- 25 Refferal Lab J.1.3.6 NPPCF -Lab Support- Other 26 J.1.4 NPPCF - Fluorosis Medical 27 Managment J.1.4.1 NPPCF - Fluorosis Medical 4 6,64, 66.4 28 Management-Treatment J.1.4.1a NPPCF - Fluorosis Medical 1 1,7, 17. 28 Management-Treatment J.1.4.2 NPPCF - Fluorosis Medical 29 Management-Surgery J.1.4.3 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, 1.5 31 32 J.1.6 NPPCF - Other 33 J.2 NPPCF Flexipool 34 J.2 NPPCF Flexipool PART - D.7 (NPPCF) Total 23,29, 232.9 Approval of State PIP 213-14: Chhattisgarh Page 299

Annexure 5 Sr. No. Chhattisgarh Rural Medical Corp HR Category Quantity Incentive Total (Rs./lakhs) Difficult Area 1 Specialist 17 3 3.6 2 PG-MO 15 25 22.5 3 LSAS/EmOC trained MO 1 22 13.2 4 MO 12 2 122.4 5 SN 16 2 19.2 6 RMA 15 3 27. Most Difficult Area 1 Specialist 38 4 91.2 2 PG-MO 37 35 77.7 3 LSAS/EmOC trained MO 1 3 18. 4 MO 6 25 9 5 SN 4 3 7.2 6 RMA 3 5 9 7 ANM 1 1 6 Inaccessible Area 1 MO 3 3 54. 2 SN 5 5 15. 3 RMA 1 1 6. 4 ANM 1 2 12 TOTAL 864. Approval of State PIP 213-14: Chhattisgarh Page 3

Annexure 6 Sr No. Category Programme Management No. Salary Rs./m Total Rs.Lakhs SPMU 1 State Programme Manager 1 523 3.12 2 Programme manager (Maternal Health) 1 45 2.7 3 Programme manager (child Health) 1 45 2.7 4 Programme manager (family Planing) 1 45 2.7 5 Programme manager (ARSH/School Health) 1 45 2.7 6 State Quality Assurance Manager 1 45 2.7 7 Programme Associate- State Level 2 3 3.6 8 PM- Infrastructure 1 45 2.7 9 PM- Proucrement & Logistics 1 45 2.7 1 PM-PPP/referal Transport 1 45 2.7 11 PM- Programme Manager Planning 1 45 2.7 12 Engineer (Civil & Electrical) 3 3 5.4 13 State- Director Finance 1 75 4.5 14 State Finance Manager 1 45 2.7 15 State Account Manager 1 45 2.7 16 Accountant- State Level 4 1716 4.12 17 Programme Manager M&E- SPMU 1 45 2.7 18 Programme Manager HMIS -SPMU 1 45 2.7 19 State Data Officer 1 33 1.98 2 State Coordinator (Community Monitoring) 1 22 1.32 21 State Reporting & Documentation Consultant 1 275 1.65 22 Computer Programmer 6 264 9.5 23 Project Associates-(SRM) 2 3 3.6 24 Programme Manager HRD 1 45 2.7 25 State Training Officer 1 3762 2.26 26 State Human Resource officer 1 2783 1.67 27 Admin Officer 1 45 2.7 28 Project Associates-Logistic State - M&E 1 3 1.8 29 Office Assistant- State Level -QA Cell 2 15 1.8 3 State Demography Officer 1 33 1.98 31 BCC/IEC Officer- State Level 1 2783 1.67 32 Office Assistant - State Level 31 1375 25.58 33 Peon/Chowkidar/Sweeper 1 495 2.97 Sub total 119.2 Approval of State PIP 213-14: Chhattisgarh Page 31

DPMU 1 District Programme Manager 27 47 65.93 2 Hospital Consultant 27 286 46.33 3 Programme Manager MH & FP 27 3 48.6 4 Programme Manager CH & Immunization 27 3 48.6 5 Programme Manager ARSH/SSP & WIFS 27 3 48.6 6 District- Sub Engineer 27 3 48.6 7 District Account Manager- District Level 27 297 48.11 8 Distirct Accontant Assistant 27 1573 25.48 9 District Data officer 27 264 42.77 1 Distirct Data Assistant 27 121 19.6 11 District Training Co-ordinator 27 264 42.77 12 Data Entry Operator 81 88 42.77 Sub total 528.17 BPMU 1 Block Programme Manager 146 198 173.45 2 Block Account Assistant 146 165 144.54 3 Account & Data Assistant 741 88 391.25 4 Block Data Assistant 146 165 144.54 5 Data Entry Operator 146 88 77.9 Sub total 93.86 GRAND TOTAL 1578.5 Approval of State PIP 213-14: Chhattisgarh Page 32

Annexure 7a Approved New Constructions for 213-14- 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 213-14 Total Funds approved for 213-14 Balodabazar Shc Amodi 52 23 2Year 22.81 9.124 9.124 Gariaband SHC Nahargaon 4 3 2Year 22.81 9.124 9.124 Gariaband SHC Bortula 5 3 2Year 22.81 9.124 9.124 Janjgir SHC Kashigarh - Jaijaipur 1594 3 2Year 22.81 9.124 9.124 Janjgir SHC Bundeli - Maalkharouda 5861 5 2Year 22.81 9.124 9.124 Janjgir SHC Pirda Maalkharouda 8494 6 2Year 22.81 9.124 9.124 Janjgir SHC Janjgir - Nawagarh 27343 4 2Year 22.81 9.124 9.124 Korea SHC Devgarh 3265 2 2Year 22.81 9.124 9.124 Surguja SHC Dandagaon 48 5 2 years 22.81 9.124 9.124 Total 9 SCs 25.29 82.116 82.116 Approval of State PIP 213-14: Chhattisgarh

Approved New Constructions for 213-14- 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 213-14 1717 9 2 Year 49.53 19.81 Approval of State PIP 213-14: Chhattisgarh Page 32

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 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 33

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 3. 3. 3. 3. 3. 3. 3. Approval of State PIP 213-14: Chhattisgarh Page 34

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 3. 3. 3. 3. 3. 3. 3. 3. Approval of State PIP 213-14: Chhattisgarh Page 35

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 3. 3. 3. 3. 3. 3. 3. 3. Approval of State PIP 213-14: Chhattisgarh Page 36

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 3. 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. 2 Year 3. Approval of State PIP 213-14: Chhattisgarh Page 37

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 38

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 39

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 31

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 311

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 312

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 313

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 212-13 212-13 212-13 212-13 212-13 212-13 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 12. 12. 12. 12. 12. 12. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 9. 3. 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 213-14: Chhattisgarh Page 314

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 212-13 212-13 Tota l Proj ect Cost (Lak hs) 12. 12. 1152. Amou nt Appro ved in 212-13 Amou nt Propo sed for 213-14 (if any) 9. 3. 9. 3. 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 3. 864. 288. 288. Approval of State PIP 213-14: Chhattisgarh Page 315

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 212-13 Proposed in 213-14 Bijapur 3 4 5 212-13 219.3 54.7575 19.515 Bilaspur 1 1 1 212-13 6.35 15.875 3.175 Dantewada 2 2 2 212-13 12.7 3.175 6.35 Dhamtari 4 6 5 212-13 287.18 71.795 143.59 Durg 4 2 6 212-13 547.28 136.82 273.64 Janjgir 4 4 1 212-13 31.76 75.44 15.88 Jashpur 1 1 1 212-13 6.35 15.875 3.175 Kanker 3 3 4 212-13 191.11 47.7775 95.555 Kawardha 2 2 1 212-13 11.64 27.66 55.32 Korba 1 2 2 212-13 88.27 22.675 44.135 Korea 3 3 3 212-13 181.5 45.2625 9.525 Mahasamund 5 5 3 212-13 281.63 7.475 14.815 Narayanpur 2 3 2 212-13 138.56 34.64 69.28 Progress Time line of completion 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year 3year Approved for 213-14 19.515 3.175 6.35 143.59 273.64 15.88 3.175 95.555 55.32 44.135 9.525 14.815 69.28 Approval of State PIP 213-14: Chhattisgarh Page 316

Raigarh 212-13 3year Raipur 2 2 2 212-13 12.7 3.175 6.35 6.35 3year Rajnandgaon 1 1 1 212-13 352.22 88.55 176.11 176.11 3year Sarguja 5 5 1 212-13 352.5 88.125 176.25 176.25 3year 17 DHs 52 64 58 3412.88 853.22 176.44 176.44 Approval of State PIP 213-14: Chhattisgarh Page 317

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 212-13 Proposed in 213-14 Progress Time line of completion Approved for 213-14 Balod Balod 1 2 1 212-13 78.21 19.5525 39.15 Balod Gundrdehi 1 3 2 212-13 16.13 26.5325 53.65 Balod Gurur 1 2 212-13 37.98 9.495 18.99 Baloda Bazar Bhatapara 1 212-13 1.6 2.515 5.3 Balrampur Rajpur 1 1 1 212-13 6.35 15.875 3.175 Balrampur Wadrafnagar 1 1 1 212-13 6.35 15.875 3.175 Balrampur Kusmi 2 212-13 2.12 5.3 1.6 Balrampur Shankargarh 1 1 212-13 27.92 6.98 13.96 Balrampur Ramanujganj 2 212-13 2.12 5.3 1.6 Bastar Bakawand 1 2 2 212-13 88.27 22.675 44.135 Bastar Darbha 1 3 3 212-13 116.19 29.475 58.95 Bastar Badekilepal 2 1 212-13 45.78 11.445 22.89 3year 39.15 3year 53.65 3year 18.99 3year 5.3 3year 3.175 3year 3.175 3year 1.6 3year 13.96 3year 1.6 3year 44.135 3year 58.95 3year 22.89 Approval of State PIP 213-14: Chhattisgarh Page 318

Bastar Tokapal 2 212-13 35.72 8.93 17.86 Bastar Lohandiguda 1 2 212-13 37.98 9.495 18.99 Bastar Nangoor 1 1 212-13 27.92 6.98 13.96 Bemetara Bemetara 1 4 2 212-13 123.99 3.9975 61.995 Bemetara Berla 2 2 212-13 55.84 13.96 27.92 Bemetara Nawghar 2 2 212-13 55.84 13.96 27.92 Bemetara Saja 1 2 212-13 37.98 9.495 18.99 Bemetara Thankhamriya 1 2 212-13 37.98 9.495 18.99 Bijapur BHOPALPATNAM 1 1 212-13 27.92 6.98 13.96 Bilaspur Bilha 1 212-13 32.43 8.175 16.215 Bilaspur Gourella 1 1 1 212-13 6.35 15.875 3.175 Bilaspur Masturi 1 2 212-13 52.55 13.1375 26.275 Bilaspur Takhatpur 1 1 212-13 27.92 6.98 13.96 Bilaspur Marwahi 1 1 212-13 27.92 6.98 13.96 Dantewada Geedam 1 1 1 212-13 6.35 15.875 3.175 Dantewada Katekalyan 1 1 1 212-13 6.35 15.875 3.175 Dantewada KUAKONDA 2 2 212-13 55.84 13.96 27.92 Dhamtari Kurud 1 1 212-13 42.49 1.6225 21.245 3year 17.86 3year 18.99 3year 13.96 3year 61.995 3year 27.92 3year 27.92 3year 18.99 3year 18.99 3year 13.96 3year 16.215 3year 3.175 3year 26.275 3year 13.96 3year 13.96 3year 3.175 3year 3.175 3year 27.92 3year 21.245 Approval of State PIP 213-14: Chhattisgarh Page 319

Dhamtari Nagari 1 2 2 212-13 88.27 22.675 44.135 Dhamtari Magarload 1 2 2 212-13 88.27 22.675 44.135 Dhamtari GUJRA 1 1 212-13 27.92 6.98 13.96 Durg Dhamdha 1 1 1 212-13 6.35 15.875 3.175 Durg Patan 1 212-13 17.86 4.465 8.93 Durg Jhait 1 2 212-13 37.98 9.495 18.99 Gariyaband Gariaband 1 212-13 1.6 2.515 5.3 Janjgir Baloda 1 2 212-13 37.98 9.495 18.99 Janjgir Bamnidih 1 2 212-13 37.98 9.495 18.99 Janjgir dabhara 1 2 212-13 37.98 9.495 18.99 Janjgir Malkaroda 1 4 212-13 58.1 14.525 29.5 Jashpur Pharsabahar 1 2 1 212-13 78.21 19.5525 39.15 Jashpur Pathalgaon 1 3 1 212-13 96.7 24.175 48.35 Jashpur Kansabel 1 2 212-13 37.98 9.495 18.99 Jashpur Lodam 1 1 212-13 27.92 6.98 13.96 Jashpur Duldula 1 1 212-13 27.92 6.98 13.96 Kanker Charama 2 2 4 212-13 14.82 35.25 7.41 Kanker Bhanupratappur 2 4 4 212-13 176.54 44.135 88.27 3year 44.135 3year 44.135 3year 13.96 3year 3.175 3year 8.93 3year 18.99 3year 5.3 3year 18.99 3year 18.99 3year 18.99 3year 29.5 3year 39.15 3year 48.35 3year 18.99 3year 13.96 3year 13.96 3year 7.41 3year 88.27 Approval of State PIP 213-14: Chhattisgarh Page 32

Kanker Pakhanjur 2 2 4 212-13 14.82 35.25 7.41 Kanker Narharpur 1 8 212-13 98.34 24.585 49.17 Kanker Amoda 1 2 212-13 37.98 9.495 18.99 Kanker Antagarh 2 4 212-13 75.96 18.99 37.98 Kanker Koilibeda 1 3 212-13 48.4 12.1 24.2 Kanker Durgukondal 1 2 212-13 37.98 9.495 18.99 Kanker Dhanelikanhar 1 2 212-13 37.98 9.495 18.99 Kawardha BODLA 1 1 212-13 27.92 6.98 13.96 Kondagaon Keshkal 2 2 212-13 1.58 25.145 5.29 Kondagaon Pharasgaon 2 1 212-13 45.78 11.445 22.89 Kondagaon Vishrampuri 2 2 212-13 55.84 13.96 27.92 Kondagaon Makdi 2 1 212-13 45.78 11.445 22.89 Korba Katghora 1 1 1 212-13 6.35 15.875 3.175 Korba Kartala 1 1 1 212-13 6.35 15.875 3.175 Korba Pali 2 1 212-13 45.78 11.445 22.89 Korba PODIPODA 2 212-13 2.12 5.3 1.6 Korea Bharatpur 1 1 1 212-13 6.35 15.875 3.175 Korea Manendragarh 1 2 2 212-13 88.27 22.675 44.135 3year 7.41 3year 49.17 3year 18.99 3year 37.98 3year 24.2 3year 18.99 3year 18.99 3year 13.96 3year 5.29 3year 22.89 3year 27.92 3year 22.89 3year 3.175 3year 3.175 3year 22.89 3year 1.6 3year 3.175 3year 44.135 Approval of State PIP 213-14: Chhattisgarh Page 321

Korea patana 1 5 212-13 68.16 17.4 34.8 Korea sontat 1 3 212-13 48.4 12.1 24.2 Korea khadeguwa 1 5 212-13 68.16 17.4 34.8 Mahasamund Bagbahra 1 1 212-13 27.92 6.98 13.96 Mahasamund Pithora 1 1 212-13 27.92 6.98 13.96 Mahasamund Saraypali 1 1 1 212-13 6.35 15.875 3.175 Mahasamund BASANA 1 2 212-13 37.98 9.495 18.99 Mungeli Lormi 1 1 1 212-13 6.35 15.875 3.175 Mungeli Mungeli 1 1 1 212-13 6.35 15.875 3.175 Mungeli Pathariya 1 1 212-13 27.92 6.98 13.96 Narayanpur ORCHA 2 1 212-13 45.78 11.445 22.89 Raigarh Sarangarh 1 1 212-13 27.92 6.98 13.96 Raigarh Gharghoda 1 212-13 17.86 4.465 8.93 Raigarh Lailunga 1 1 1 212-13 6.35 15.875 3.175 Raigarh BARAMKELA 1 2 212-13 37.98 9.495 18.99 Raigarh LOING 1 2 212-13 37.98 9.495 18.99 Raigarh PUSORE 1 4 212-13 58.1 14.525 29.5 Raigarh TAMNAR 1 4 212-13 58.1 14.525 29.5 3year 34.8 3year 24.2 3year 34.8 3year 13.96 3year 13.96 3year 3.175 3year 18.99 3year 3.175 3year 3.175 3year 13.96 3year 22.89 3year 13.96 3year 8.93 3year 3.175 3year 18.99 3year 18.99 3year 29.5 3year 29.5 Approval of State PIP 213-14: Chhattisgarh Page 322

Raigarh VIJAYRNAGA 1 4 212-13 58.1 14.525 29.5 Raipur Abhanpur 1 1 1 212-13 6.35 15.875 3.175 Raipur Tilda 1 212-13 1.6 2.515 5.3 Rajnandgaon Dongargarh 1 2 1 212-13 78.21 19.5525 39.15 Rajnandgaon Churiya 1 2 1 212-13 78.21 19.5525 39.15 Rajnandgaon Mohala 1 1 1 212-13 6.35 15.875 3.175 Rajnandgaon Chuikhadan 1 1 1 212-13 6.35 15.875 3.175 Rajnandgaon Dongargaon 1 2 212-13 37.98 9.495 18.99 Rajnandgaon Gandai 1 2 212-13 37.98 9.495 18.99 Sarguja Udaypur 1 1 1 212-13 6.35 15.875 3.175 Sarguja Sitapur 1 1 1 212-13 6.35 15.875 3.175 Sarguja Mainapt 1 1 212-13 27.92 6.98 13.96 Sarguja Dhourpur 1 4 212-13 58.1 14.525 29.5 Sarguja Bhafouli 1 4 212-13 58.1 14.525 29.5 Sarguja Lakhanpur 1 3 212-13 48.4 12.1 24.2 Sukma Sukma 2 2 2 212-13 12.7 3.175 6.35 Surajpur Ramanujnagar 1 1 1 212-13 6.35 15.875 3.175 Surajpur Surajpur 1 1 1 212-13 6.35 15.875 3.175 3year 29.5 3year 3.175 3year 5.3 3year 39.15 3year 39.15 3year 3.175 3year 3.175 3year 18.99 3year 18.99 3year 3.175 3year 3.175 3year 13.96 3year 29.5 3year 29.5 3year 24.2 3year 6.35 3year 3.175 3year 3.175 Approval of State PIP 213-14: Chhattisgarh Page 323

Surajpur Odgi 3 212-13 3.18 7.545 15.9 Surajpur Bhaiyathan 2 212-13 35.72 8.93 17.86 Surajpur Premnagar 1 212-13 1.6 2.515 5.3 Surajpur Praptappur 2 212-13 2.12 5.3 1.6 Surajpur Bishrampur 1 2 212-13 37.98 9.495 18.99 3year 15.9 3year 17.86 3year 5.3 3year 1.6 3year 18.99 Total 17 CHCs 45 131 19 571.41 1427.625 2855.25 2855.25 Approval of State PIP 213-14: Chhattisgarh Page 324

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 212-13 Proposed in 213-14 Balod Surdongar 1 212-13 1.6 2.515 5.3 Balod Mahod B 1 212-13 1.6 2.515 5.3 Balod Palari 1 212-13 1.6 2.515 5.3 Baloda Bazar Baloda Bazar Baloda Bazar Baloda Bazar Baloda Bazar Baloda Bazar Katgi 1 212-13 1.6 2.515 5.3 Odan 1 212-13 1.6 2.515 5.3 Suhela 1 212-13 1.6 2.515 5.3 Rohara 1 212-13 1.6 2.515 5.3 Barpali 1 212-13 1.6 2.515 5.3 Hathband 1 212-13 1.6 2.515 5.3 Balrampur PHC Dumarkhola 1 212-13 1.6 2.515 5.3 Balrampur Raghunathnagar 1 212-13 1.6 2.515 5.3 Balrampur Bartikala 1 212-13 1.6 2.515 5.3 Balrampur Bartikala 1 212-13 1.6 2.515 5.3 Progress Time line of completion Approved for 213-14 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 213-14: Chhattisgarh Page 325

Bastar Bastar 1 212-13 1.6 2.515 5.3 Bastar manganar 1 212-13 1.6 2.515 5.3 Bastar Mardam 1 212-13 1.6 2.515 5.3 Bastar Ghotia 1 212-13 1.6 2.515 5.3 Bemetara Sambalpur 1 212-13 1.6 2.515 5.3 Bijapur Madded 1 212-13 1.6 2.515 5.3 Bijapur Kutaru 1 212-13 1.6 2.515 5.3 Bijapur Awapalli(Pusgudi) 1 212-13 1.6 2.515 5.3 Bijapur Cherpal 1 212-13 1.6 2.515 5.3 Bijapur Nelasnar 1 212-13 1.6 2.515 5.3 Bilaspur FRU Sanatorium 1 212-13 1.6 2.515 5.3 Bilaspur Junapara 1 212-13 1.6 2.515 5.3 Bilaspur Pondi 1 212-13 1.6 2.515 5.3 Bilaspur Chhapora 1 212-13 1.6 2.515 5.3 Dantewada Barsur 1 212-13 1.6 2.515 5.3 Dhamtari Karelibadi 1 212-13 1.6 2.515 5.3 Dhamtari Belargaon 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 326

Dhamtari Sirri 1 212-13 1.6 2.515 5.3 Dhamtari Megha 1 212-13 1.6 2.515 5.3 Dhamtari Sihawa 1 212-13 1.6 2.515 5.3 Dhamtari Jijamgaon 1 212-13 1.6 2.515 5.3 Dhamtari Nari 1 212-13 1.6 2.515 5.3 Durg Patan 1 212-13 1.6 2.515 5.3 Durg Bori 1 212-13 1.6 2.515 5.3 Durg Gudali 1 212-13 1.6 2.515 5.3 Gariyaband Amlipadar 1 212-13 1.6 2.515 5.3 Gariyaband Urmal 1 212-13 1.6 2.515 5.3 Gariyaband Jhargaon 1 212-13 1.6 2.515 5.3 Gariyaband Kondkera 1 212-13 1.6 2.515 5.3 Gariyaband Kopra 1 212-13 1.6 2.515 5.3 Janjgir Pamgarh 1 212-13 1.6 2.515 5.3 Janjgir Kurda 1 212-13 1.6 2.515 5.3 Janjgir Nariyara 1 212-13 1.6 2.515 5.3 Jashpur Kotba 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 327

Jashpur Bhelwa 1 212-13 1.6 2.515 5.3 Jashpur Arra 1 212-13 1.6 2.515 5.3 Jashpur Kilkila 1 212-13 1.6 2.515 5.3 Jashpur Surangpani 1 212-13 1.6 2.515 5.3 Jashpur Tapkara 1 212-13 1.6 2.515 5.3 Jashpur Bagbahar 1 212-13 1.6 2.515 5.3 Jashpur Pandrapath 1 212-13 1.6 2.515 5.3 Jashpur Kersai 1 212-13 1.6 2.515 5.3 Kanker Sarona 1 212-13 1.6 2.515 5.3 Kanker Basanwahi 1 212-13 1.6 2.515 5.3 Kanker Halba 1 212-13 1.6 2.515 5.3 Kanker Korar 1 212-13 1.6 2.515 5.3 Kanker Bande 1 212-13 1.6 2.515 5.3 Kanker Kotatara 1 212-13 1.6 2.515 5.3 Kanker Haradula 1 212-13 1.6 2.515 5.3 Kanker bhanbeda 1 212-13 1.6 2.515 5.3 Kanker Kewti 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 328

Kanker kodekurse 1 212-13 1.6 2.515 5.3 Kanker Kurenar 1 212-13 1.6 2.515 5.3 Kawardha Udiya kala 1 212-13 1.6 2.515 5.3 Kawardha Pondi 1 212-13 1.6 2.515 5.3 Kawardha Indouri 1 212-13 1.6 2.515 5.3 Kawardha Bamhni 1 212-13 1.6 2.515 5.3 Kawardha Kunda 1 212-13 1.6 2.515 5.3 Kondagaon Banskot 1 212-13 1.6 2.515 5.3 Kondagaon Chhipwand 1 212-13 1.6 2.515 5.3 Kondagaon Dahikonda 1 212-13 1.6 2.515 5.3 Kondagaon Mardapal 1 212-13 1.6 2.515 5.3 Korba Bhaisma 1 212-13 1.6 2.515 5.3 Korba Tuman 1 212-13 1.6 2.515 5.3 Korba Pasan 1 212-13 1.6 2.515 5.3 Korba Rampur 1 212-13 1.6 2.515 5.3 Korba Utarda 1 212-13 1.6 2.515 5.3 Korba Haldibazar 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 329

Korba Chaitma 1 212-13 1.6 2.515 5.3 Korba Bhilaibazar 1 212-13 1.6 2.515 5.3 Korba Chhuri 1 212-13 1.6 2.515 5.3 Korea Katgodi 1 212-13 1.6 2.515 5.3 Korea Pondi 1 212-13 1.6 2.515 5.3 Korea Kotadol 1 212-13 1.6 2.515 5.3 Korea Patna 1 212-13 1.6 2.515 5.3 Mahasamund Jhalap 1 212-13 1.6 2.515 5.3 Mahasamund Patewa 1 212-13 1.6 2.515 5.3 Mahasamund Pirda 1 212-13 1.6 2.515 5.3 Mahasamund Baroli 1 212-13 1.6 2.515 5.3 Mahasamund Birkoni 1 212-13 1.6 2.515 5.3 Mahasamund Khallari 1 212-13 1.6 2.515 5.3 Mahasamund Mungaser 1 212-13 1.6 2.515 5.3 Mahasamund Chanat 1 212-13 1.6 2.515 5.3 Mahasamund Baloda 1 212-13 1.6 2.515 5.3 Mahasamund Patsendri 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 33

Mungeli Jarhagaon 1 212-13 1.6 2.515 5.3 Narayanpur Orchcha 1 212-13 1.6 2.515 5.3 Narayanpur Narayanpur 1 212-13 1.6 2.515 5.3 Narayanpur Chhotedongar 1 212-13 1.6 2.515 5.3 Raigarh LENDHRA 1 212-13 1.6 2.515 5.3 Raigarh CHHAL 1 212-13 1.6 2.515 5.3 Raigarh HATI 1 212-13 1.6 2.515 5.3 Raigarh SISARINGA 1 212-13 1.6 2.515 5.3 Raigarh SARWANI 1 212-13 1.6 2.515 5.3 Raigarh NAURANGPUR 1 212-13 1.6 2.515 5.3 Raigarh DUMARPALI 1 212-13 1.6 2.515 5.3 Raigarh JAMGAON 1 212-13 1.6 2.515 5.3 Raigarh BHEDWAN 1 212-13 1.6 2.515 5.3 Raigarh GODAM 1 212-13 1.6 2.515 5.3 Raipur Riwa 1 212-13 1.6 2.515 5.3 Raipur Mandir Hasoud 1 212-13 1.6 2.515 5.3 Raipur Bangoli 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 331

Raipur Kharora 1 212-13 1.6 2.515 5.3 Raipur Chandkhuri 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Bharritola 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Khadgaon 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Gotatola 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Chilhati 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Kaudikasa 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Umarwahi 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Murmunda 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-L.B.Nagar 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Aujuni 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Aasra 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Tappa 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Tumdibod 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Salhebara 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC Gandai 1 212-13 1.6 2.515 5.3 Rajnandgaon PHC-Padadah 1 212-13 1.6 2.515 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 3year 5.3 Approval of State PIP 213-14: Chhattisgarh Page 332

Sarguja PHC Bhafouli 1 212-13 1.6 2.515 5.3 Sarguja PHC Gumgara 1 212-13 1.6 2.515 5.3 Sukma Gadiras 1 212-13 1.6 2.515 5.3 Sukma Dornapal 1 212-13 1.6 2.515 5.3 Surajpur PHC Batra 1 212-13 1.6 2.515 5.3 Surajpur PHC Bhatgaon 1 212-13 1.6 2.515 5.3 Surajpur PHC Salka 1 212-13 1.6 2.515 5.3 Surajpur PHC Biharpur 1 212-13 1.6 2.515 5.3 Surajpur PHC Silota 1 212-13 1.6 2.515 5.3 Surajpur PHC Songra 1 212-13 1.6 2.515 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 Surajpur PHC Umeshwar Pur 1 212-13 1.6 2.515 5.3 3year 5.3 Surajpur PHC Devnagar 1 212-13 1.6 2.515 5.3 Surajpur PHC Ganehspur 1 212-13 1.6 2.515 5.3 Surajpur PHC Basdei 1 212-13 1.6 2.515 5.3 Surajpur PHC Latori 1 212-13 1.6 2.515 5.3 3year 5.3 3year 5.3 3year 5.3 3year 5.3 Total 147 PHCs 147 1478.82 369.75 739.41 739.41 Approval of State PIP 213-14: Chhattisgarh Page 333

Approved Ongoing Construction of MCH Clinics for 213-14 District Location Facility Bed Strength Year of Approval Total Cost Approved Approved in 212-13 proposed for 213-14 Balod Balod DH 1 bedded 212-13 15 3 15 Baloda Bazar Baloda Bazar DH 5 bedded 212-13 9 18 9 Balrampur Balrampur DH 1 bedded 212-13 15 3 15 Bemetara Bemetara DH 1 bedded 212-13 15 3 15 Bilaspur Bilaspur DH 1 bedded 212-13 15 3 15 Durg Durg DH 1 bedded 212-13 15 3 15 Gariyabandh Gariyabandh DH 5 bedded 212-13 9 18 9 Kanker Kanker DH 1 bedded 212-13 15 3 15 Kondagaon Kondagaon DH 1 bedded 212-13 15 3 15 Mungeli Mungeli DH 1 bedded 212-13 15 3 15 Raigarh Raigarh DH 1 bedded 212-13 15 3 15 Rajnandgaon Rajnandgaon DH 1 bedded 212-13 15 3 15 Sukma Sukma DH 5 bedded 212-13 9 18 9 Surajpur Surajpur DH 1 bedded 212-13 15 3 15 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 213-14 4 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 213-14: Chhattisgarh Page 334

Surguja Surguja DH 1 bedded 212-13 15 3 15 Kanker Pankhanjur CH 5 bedded 212-13 9 135 135 Dantewada Gidam CHC 5 bedded 212-13 9 135 135 Durg Navagarh CHC 5 bedded 212-13 9 135 135 Jashpur Kansabel CHC 5 bedded 212-13 9 135 135 Mahasamund Pithora CHC 5 bedded 212-13 9 135 135 Kawardha Pandariya CHC 5 bedded 212-13 9 135 135 Surajpur Bhaiyathan CHC 5 bedded 212-13 9 135 135 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 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 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 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 4 year 135 Approval of State PIP 213-14: Chhattisgarh Page 335

Koriya Raigarh Surguja Sub Total Manendragarh Lailunga Sitapur FRU CHC FRU CHC FRU CHC 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 5 bedded 212-13 9 135 135 MCH Clinic-35 Site selecton Site selecton Site selecton 4 year 135 4 year 135 4 year 135 387 684 477 477 Approval of State PIP 213-14: Chhattisgarh Page 336