Transcript www.pipnrhm-mohfw.nic.in

PRESENTATION TO NATIONAL PROGRAM
COORDINATION COMMITTEE
On
State PIP of Rajasthan for 2011-12
13 April, 2011
Financial Overview
Resource Envelope of State-2010-11
Amount -1207.55 crore
Uncommitted Unspent Balance Available on
01.04.2010
Rs.180.00 Crore
GOI Resource Envelope for 2010-11 under NRHM
Rs.736.96 Crore
15% over & above GoI Resource Envelope
Rs. 110.54 Crore
15% State Share
Additional State Share
Rs.130.05 Crore
Rs.50.00 Crore
Total Financial Requirements Projected in PIP of
2011-12
Rs.1,390.46 Crore
Cumulative Outstanding State Share Contribution
Rs. 215.22 Crore
% Increase in State Health Budget (state plan) in 201112 (Rs 669.16 cr) over 2010-11 (Rs 481.03 cr)
Additional funding from other sources for Health
(NIPI, UNFPA, UNICEF )
39.11%
Rs.21.14 Crore
Reproductive
and
Child Health
BUDGET OVERVIEW
S.
N.
BUDGET HEAD
2010-11
BUDGET
2010-11
Tentative
Expenditure
2011-12
BUDGET
%
CHANGE
OVER
2010-11
1
MATERNAL HEALTH
461.72
162.73
1023.98
121.77
2
CHILD HEALTH
956.10
223.13
280.6
-70.65
3
FAMILY PLANNING
1318.10
421.69
1549
17.52
4
ARSH
12.00
14.82
15.00
5
URBAN RCH
768.82
430.56
13.8
567
6
TRIBAL RCH
133.43
4.62
7
INNOVATIONS/ PPP/NGO (Other
RCH Activities 2011-12)
528.26
8
INFRASTRUCTURE & HR
9
88.69
-26.25
Planned in diff heads
489.83
-7.27
21448.42(274) 599.68(18.72)
3065.44(224)
1660.53
INSTITUTIONAL STRENGTHENING
885.47
231.03
10
TRAINING
1554.26
848.98
1252.08
11
IEC/ BCC
551.90
517.71
In NRHM
12
PROCUREMENT
3616.74
811.11
13
PROGRAMME MANAGEMENT
994.00
732.20
In NRHM
5644.99
467.91
14
JSY
14300.00
17822.30
19318.91
35.10
15
STERILISATION COMPENSATION
3764.00
3243.84
4200
11.58
32910.24
27213.94
55788.60
69.52
TOTAL RCH II
-19.44
SERVICES OVERVIEW
S.
No.
INDICATOR
EXPECTED /
PLANNED in
2010-11
REPORTED
%
ACHIEV.
1
Institutional
delivery
1738319
1210200
69.6
2
Full immunisation 1645258
1344303
81.7
3
Sterilisation
481248
345611
71.8
4
IUD insertion
458207
387834
84.6
MATERNAL HEALTH
Facility
Cumulative
Cum.
Increment Progress
Incr.
target
Progress
al
10-11
Target
(2012)
till Mar ‘11 Target till Mar’11 (11-12)
(10-11)
FRU – DH
34
34
-
-
-
FRU – SDH, etc.
18
18
-
-
-
FRU – CHC
237
130
50
35
37+70
24x7 FACILITIES
1100
850
350
100
250
backlog
Sub-centres conducting
deliveries, with adequate
infrastructure, incl. LR
5000
2519
1000
919
1000 +
backlog
18
18
-
-
-
18
18
-
-
-
Sub-district facilities
providing safe abortion
services
Sub-district facilities
providing RTI/ STI services
Bottlenecks
Key-steps proposed
Manpower•Shortage of specialists at FRUs
•Hiring of specialists on contractual
basis.
• policy for deploying Specialists
• Services of Private Doctors – On call
basis at fixed package
•EmOC and LSAS training
•Transfer/Posting of specialist has been
•Non operating Gynae surgeons
done, further monitoring required
•Re
orientation
of
Gynecologist
ongoing
Involvement of Medical College
fraternity
•Steps to improve it, even from GOI
level
• Handholding at CHCs by Medical
College trainers and District trainers
Stay at head quarter of doctors and
nursing staff


Strong Monitoring
Fulfilling the requirement of
residential quarters for doctors and
nursing staff
Bottlenecks
Keysteps proposed
Skills and Attitude
•Plan for hands on training to OT staff
from CHCs
•Standard protocols for Safe Delivery
would be displayed in LR and OT
•Performance Benchmark have been
devised for individual monitoring
•Incentivisation
•Community ownership need to be
developed through VHSCs strengthening
Lack of basic amenities at place of
posting
•Basic amenities should be ensured
MATERNAL DEATH REVIEW
Training Completed up to Block Level.
 From April 2010 to Feb. 2011 No. of Maternal Deaths reported - 900
 No. of Maternal Deaths reviewed- 405


Major findings of causes of death are:-

PPH-46%

APH-7 %



Obstretic Causes
1%
7%
Septicemia-10%
Eclampsia- 12%
Delay in health seeking behavior
Medical Causes
26%
66%
unknown Causes
Maternal Death not
related to pregnancy
Causes
FREE & ASSURED REFERRAL TRANSPORT (BY 108)
Facility
Status 2010-11
(till Dec ’10)
Proposed
2011-12
No. Of districts having referral transport / EMRI
33 districts
All Blocks-348
No. of high focus districts having referral transport / EMRI
All districts
20
01 at state level
At all districts
214 (265)
464
Whether ambulances fitted with GPS (Y/N)
Yes
Yes
Total no. of patients using referral transport
170863
846800
No. of pregnant women using referral transport
43072
360000
No. of sick newborns using referral transport
Data NA
120000(10%)
Number of Calls received
7816884
Number of calls attended (trips)
170863
Number of pregnancy related calls attended
43072
Call centre at State/ district level (give NOs)
No. of ambulances (including for EMRI)
Total running cost
Average cost per trip
0.95 lac /mth
1 lac
Rs.1147.47
624+IEC+Consum
ables=800
FREE & ASSURED REFERRAL
SERVICE








Proposal for free referral services to pregnant women and neonates
is submitted
Amount for Second referral and drop back is calculated as 30% deliveries would be transferred by 108- 15km*2*6 Rs/ km*8.75
lac-1575 lac
70% deliveries will use local transport ( for 30 Km-50 km distance
to and fro) -8.75 lac*Rs 500=4375 lac
Drop back facility for 10.625 lac del@ 500 Rs per delivery ( for 30
Km-50 km distance to and fro) =5312.5 lac
Expecting 15 % deliveries requiring second referral=1.875 lac
del*Rs 1000*2=3750 lac
In total Rs 13437.5 lac would be required for referral transport.
Calculated for 9 months = 10078.12 lac
FREE & ASSURED REFERRAL








Future strategy –
By 108 ambulance
By local transport – state intends to provide referral service by
involving local vehicles in the village itself
Call centre may be established at district level
Mobile numbers of all the local drivers will be provided to ASHA,
AWW and ANM, would be painted outside sub centres / Panchayat
so that even public man can use the vehicle
Verification would be done by treating doctor
Payment would be made by the respective CHC/PHC of that area
to which patient belongs
Rate would be fixed Km (range) wise
To and Fro referral transport






.
Requisition to GoI for Additional Fund of Rs…..
Drop back facility will be provided to delivery cases on
getting additional fund
State pool will be created of Rs.92 lakh & each district will
be released Rs.12 lakh
Based on additional requirement, fund will be released to
the district from the state pool
IEC would be done by electronic media, paint at
Subcenters, agenda in VHSCs, local means
Increased Publicity of 108 for pregnancy and neonatal use
-For Emergency Ambulance Services 50% budgetary is planned
under PIP i.e. Rs.2684 lac. The another 50% will be provided by
State Government.
-For remote areas referral transport Rs. 500 lac is proposed in
RCH flexipool for which 15% will be provided by State
Government.
PROVISION OF FREE SERVICES FOR DELIVERY &
NEWBORN CARE FOR ALL CASES
Facility
Current Status
(Y/ N)
Provision of free drugs
• free drugs provided to all BPL, HIV/AIDS
patients & other few vulnerable categories
under BPL Jeevan Raksha Kosh
Provision of free blood
during complications
• yes in all emergency cases
Provision of free diet

State to elaborate on:
Yes at all CHCs
Plan for 2011-12
(Y/ N)
Along with vulnerable
categories free drugs and
medicine from EDL (421)
is planned for all patients
at all govt facilities
Same as now
Yes at all CHCs
 of
Unit
per
c-section,
per &
day
for few
diet, etc.
Provision
freecost per delivery,
• all BPL,
HIV/AIDS
patients
other
Provision is made for the
diagnostics
are provided free
free diagnostics
 Total budgetary vulnerable
provision categories
made
diagnostic facility
 Sources of funds (e.g. NRHM, State budget)
 Plan (IEC, etc.) for putting the above entitlements in the public domain
Submitted in additional proposal
FREE SERVICE DELIVERY
Unit cost per deliveryNormal delivery Assisted delivery (15%) Caesarean delivery (5%) For Diet- 50/- per diet*4 diets
125/600/1500/200 /-
JANANI SURAKSHA YOJANA
Target
‘10-11
Home Deliv.
Inst. Deliv. – Rural
1200000
Achv.
‘10-11
(till Dec)
1454
20000
908645
937500
Inst. Deliv. –
Urban
C-sections
Proposed
‘11-12
318750
26343
upto
Feb,11
Budget
‘10-11
(Rs. lac)
14200.00
Exp. ‘1011
(till Dec)
(Rs. lac)
Budget ‘11-12
(Rs. lac)
7.27
100.00
13871.31
15937.50
3281.41
Average cost
of Rs 1500 per
C-section
inclusive of
drugs and
consumables1125 lac
Free Medicine for
Pregnant Women
1233333
1200.00
Partograph
printing
1233333
5.50 from JSY
admn cost
JSY CONTINUED

No. of beneficiaries verified by officers at various
levels (‘10-11 till Dec) –

all the officials visiting districts and district officials are
given the target to verify certain number of deliveries
12160 deliveries verified by different officials.

Beneficiaries are paid JSY incentive by Bearer

Cheque







Grievance redress mechanisms –
Three tier mechanism-District collector level, CMHO level,
BCMO level
Complaint box is maintained at all PHCs, CHCs and DH
Control room at Dist level and State level
Currently152 Private Facilities Accredited.
State wishes to undertake accreditation at district HQ if
GOI permits.
Deliveries conducted in private accredited facilities (‘10-11
till February) – 1,02,561
CHILD HEALTH
Facility
Cumulative
target (2012)
Cum.
progress till
Mar ‘11
Incremental
Target (1011)
Progress 1011 till Mar’11
Increme
ntal
Target
(11-12)
SNCU/FBNC at DH
36
36
00
36
0
NBSU – SDH, CHC, etc.
140
62
100
62
40
NBCC – DH, SDH, CHC,
24*7 PHC etc.
237+1100+5
2
412
412
412
408
138
38
100
38 (100 In
process)
To
complete
the
ongoing
task
NRC /MTC

All 33 districts are implementing IMNCI.
BOTTLENECKS & KEY STEPS PROPOSED
Bottlenecks






Delay in procurement
resulting in delayed
trainings and therefore
initiation of service
Steps Proposed


Lack of Supportive
Supervision in field
Insufficient newborn
corners


Delay in F-IMNCI training
Shortage of specialist for
round the clock services in
FBNC
Mobilization of sick
newborn, availability of
assured services

Standard protocols for FBNC, MTC
and Newborn care displayed
Joint planning, review and
supervision of health and ICDS is
planned to address malnutrition,
anemia and child development.
Monitoring would be strengthened.
Communication skill trainings for
Service providers initiated
Tool for Quality Assurance of
health services need to be prepared

Evaluation of existing activities

State Child Health resource Center
HBPNC PLAN FOR THE YEAR 2011-12

Intervention Area :

Currently HBPNC is implemented in 3 districts with support from (NIPI)


•
•
•
•
In 2011-12, HBPNC would be implemented in all high focused (22) districts
of Rajasthan.
Key activities:
5 home visits in case of institutional delivery(3rd, 7th, 14th, 28th, 42nd day
of delivery)
6 home visits in case of home delivery (1st, 3rd, 7th, 14th, 28th, 42nd day
after newborn’s birth)
Additional incentive of Rs. 100 to ASHA for PNC checkup of home delivery
Incentive of Rs 100 is already covered under JSY.
Referral card
To be filled by ASHA
PNC CARD
CURRENT STATUS OF MCP CARD
Introduced in July 2010
 In first phase these cards were initiated in 11
districts supported by UNICEF.
 6 lac new cards have been distributed .
 Subsequently in second phase remaining 22
districts will be introduced new cards.
Orientation of staff has been done.
 Total 21 lacks new MCH cards have been printed
in second phase with support of NRHM.

MAMTA CARD
Mother and child immunization card
FAMILY PLANNING
Fixed Day Static FP
Services
DH & SDH providing Lap
ster. services
DH & SDH providing
Minilap ster. services
DH & SDH providing NSV
services
Cum. target
(2012)
Cum. progress
till Mar ’11
Incremental
Target (1011)
Progress 1011
till Mar’11
Incr.
Target
(11-12)
34 + 18
33+18
-
33+18
1+0
-
-
-
6
-
34 + 18
33+18
-
33+18
1+0
9+9
48
52
111
CHC & PHC providing
Minilap services
CHC & PHC providing NSV
services
9+9
294
153
150
FAMILY PLANNING CONTINUED

Key issues in operationalization of Fixed Day Service and steps
proposed :
•
Availability of specialist at static center.
•
State has proposed to procure 40 new laparoscopes.
•
Total 212 Static Centers are functional. Additional 111 Static Centers will be
started in 2011-12.

Post partum FP services :

Total No of post partum sterilization in 2010-11 up to Feb,2011 is 53836
(18.34% of total sterilization)

State plan for conversion of institutional deliveries to Post partum
sterilization (%)




Present status (2010-11)
- 18.34%
Plan for 2011-12
- 25%
Postpartum sterilization training to all gynecologist at district
Hospitals
Total No. of accredited private and NGO facilities providing FP 335 Institutions
ARSH & SCHOOL HEALTH (SHP)
Facility
Target
10-11
Progress
10-11
Target
11-12
AFHS clinic – DH
-
-
-
AFHS clinic –
SDH, etc.
-
-
-
AFHS clinic –
CHC
438




72
366

AFHS clinic –
PHC
Districts covered
under SHP
33
33
33
Schools covered
108255
60745
108255
Students
covered
1822703
4534279
1822703
Major Steps for Strengthening
of AFHS:-
Completion of ANM / Counsellors
Trainings
Streamlining AFHS services
Streamlining AFHS Reporting
Mechanism
Monitoring of AFHS sessions by
ASHA facilitators
URBAN RCH & TRIBAL RCH
Total 43 URCH will be functional in the financial year 2011-12 @ 14 Lac
per centre thus total budget is 557 lac
 Baseline survey of Health conditions in urban area & evaluation studies
through External agencies / SHSRC.
 Urban Health Centers to be made functional through Medical Relief
Society of District Hospital in 2011-12.
 The monitoring of the program would be more effective
& reliable once it will be made operationalized through
government authority & staff.
 Till the recruitment of new staff the existing staff from periphery may be
utilized to render services at these centers.






Tribal RCH- 6 identified tribal districts (Baran, Banswara, Pratapgarh,
Udaipur, Dungarpur & Sirohi)
RCH camps
MMU Camps:– Fix day services are provided through camps in remote
villages where no health institution is available.
Manpower:- Additional ANM (1213 posts sanctioned) serving
contractual basis.
on
Medicine to cater need of the tribal population would be taken care by
RMSC.
GENDER & SEX RATIO


•




•
•
Sex ratio at birth – Child sex ratio (0 to 6 Years) 883 /1000 Year 2011
Districts with poor sex ratio – Year -2011
Alwar- 894,
Bharatpur- 877, Dholpur-845, Hanumangarh- 906,
Jaisalmer- 849, Jhunjhunu- 950 , Karauli- 858, Sikar- 944,
Sriganganagar- 887
Steps taken to monitor sex ratio
Appropriate Authorities at State, District & Sub-District level have
been appointed
Total 1983 registrations under (PCPNDT) Act, 1994
State Inspection Team (SIT) constituted- accomlished 44 inspections.
43 seal & Seizure have been done and 09 complaints have been filed in
the Competent Courts•
664 inspections have been done at district level.
GENDER & SEX RATIO CONTINUED
Steps taken to improve sex ratio
 PIR System – for strict implementation of the Act, under this act each
& every offence is cognizable, non-boilable & Non-compoundable.
IEC through a Booklet of compilation of Judgments for the legal fraternity with the
support of National Law University, Jodhpur & UNFPA.
 Booklet for public representatives "Aaeye Kanoon ko Samjhen".
 One state level & 25 district levels awareness workshops in this F.Y.
2010-11.
 “ Save the Girl child Campaign” of the State Government through "
Swasthya Chetna Yatra" & various NGO's/ Institutions.

Through complained website www.hamaribeti.nic.in 78 complaints
have been received by this website, 39 vogues, 13 complaints and 26
by name , 22 in process 4 complained
Decoy operations
ACHIEVEMENT
UPTO
FEB, 2011
TRAINING
S.
No.
TRAINING
10-11
Target
10-11
Achiev.
11-12
Target
S.
No.
TRAINING
16
Lap
Sterilisation.
100
42
66
17
Minilap Ster.
100
26
66
18
NSV
100
10
63
19
IUD – MO
2236
1331
1
SBA - SN
4832
1994
2400
3
BEmOC – MO
200
123
240
4
CEmOC – MO
32
51 +TOT
for DT
48
5
LSAS – MO
60
24
60
6
CAC- MO
200
121
240
7
RTI/ STI – MO
1308
8
RTI/ STI – SN
4985
9
RTI/ STI – LT
TOT
Merge
d with
CAC/BE
mOC
10
IMNCI – ANM
1698
8160
11
IMNCI - ASHA
3984
12
F-IMNCI - MO
TOT
13
F-IMNCI – SN
14
NSSK – MO
1102
15
NSSK – SN /
ANM/LHV
2204
3600
2048
256
2368
10-11
Target
10-11 11-12
Achiev. Target
20
IUD – SN
600
21
IUD – ANM/
LHV
22
ARSH – MO
240
74
200
23
ARSH –
SN/ANM
811
0
455
TRAINING (CONTD...)



Training sites – 1 SIHFW, 02 Regional Training Centres & 32
ANMTCs are functional.
Masters trainers are available, in need of more trainers for LSAS &
NSSK.
Key issues in training
low utilisation of existing training capacity –

Many different type of training courses running simultaneously

Issues with trainee selection and post training placement – Post training
placement have already being done who had undergone through
Anaesthesia & EmOC trainings. Saturation in willing candidates.
- State quality monitoring cell will be strengthened, handholding with
Medical College Trainers.



Policy decision has been taken to deploy the trained staff at
designated place and it would be mentioned in the relieving orders.
Entire training programme is shifted to SIHFW.
5 training institutes proposed to be strengthened – 05 with an amt of
36 lac
IMMUNISATION
PIP OVERVIEW
IMMUNIZATIONBUDGET OVERVIEW
S.
NO.
BUDGET HEAD
(RS. LACS)
2010-11
BUDGET
2010-11
EXPENDITURE
2011-12
BUDGET
% CHANGE
OVER 2010-11
1848
671
1809
-2.59%
1
RI strengthening project (Review
meeting, Mobility support, Outreach
services etc)
2
Salary of Contractual Staff
35
24
61
74.28%
3
Training under Immunisation
60
38
110
83.33%
4
Cold chain maintenance
188
54
59
- 68.61%
5
Pulse Polio operating costs
1900
1492
787.00 2039.00
-4.31%
TOTAL IMMUNISATION
(Except Pulse Polio)
2131.00
Indicators
Target (10-11)
Progress 10-11
IMMUNISATION
No. of immunisation sessions
837024
Target
(11-12)
837024
Training of MOs
1590
518
1590
Training of HW
4000
2955
4000
Training of cold chain
handlers
500
206
500
2
2
2
Review meetings
IMMUNIZATION
CONTINUED

Alternate vaccine Delivery SystemVaccine delivery in the State is through hired vehicle from every vaccine depot
(PHC/CHC) to every MCHN session site for savings the time & proper
management of cold chain and sessions.

Status of Cold chain Equipment- Cold chain equipment maintenance by refrigerator mechanics posted in each
districts and through cold chain handlers posted at each cold chain depot.
- Repair work is taken care by department’s refrigerator mechanics and parts
are arranged by GOI. Major equipments like walk in coolers/walk in freezers
are periodically maintained by mechanics through one mobile workshop.
Refrigerator mechanics are trained at S.H.T.O. Pune regularly and cold chain
handlers are trained regularly at district headquarter.
- Total No. of WIF in state are 3 and WIC are 15 and all are in working
condition recently supplied by GOI. Total no. of IlR and DF are 4100 and 4238
respectively.
IMMUNIZATION
CONTINUE…………..

Supervision and Monitoring-Status of Routine Immunization
cell, Supportive Supervision Structure in field, Review meetings
and data analysis and action taken at all levels etc.

Supervision and monitoring is done by the state, district, block and PHC
officers.

Session is monitored by as per format provided by the GOI.

Regular review meetings are organized at all levels from sector to block
to district. At state level meeting of RCHOs is a regular feature.

Alternate vaccinators in Urban Slums
Total population in the slums in Rajasthan is projected to be 7% of total
population considering the emigration of people and population growth.
Rs. 175 per session is being given to hire ANM’s in urban slums for
vaccination of children.
MISSION FLEXIPOOL
INFRASTRUCTURE
Activity
•
•
SC
PHC
CHC
DH
Others
No Amou No Amou
nt
nt
No
Amount
No
Amou No Amount
nt
New
Const.
500
60.0
20
11.0
-
-
-
-
-
-
Upgradation
-
-
300
90.0
20
12.0
-
-
1
0.85
Infrastructure budget as % of total budget- 10.9%
Amt. for block and below level facilities (as % of Infra Budget)- 89.27%
Sub-Centre rent
No. of SC
Amt @ Rs 250/SC
Amt proposed in PIP
1250
-
Would be covered under U/F
Amount proposed for other activities
Hospital Strengthening
Mobility
Support
Others (Strengthening of
Engineering wing of NRHM)
-
23.76 lac
8 cr
HUMAN RESOURCE (MEDICAL)
Category
Existing (in
2010-11)
Proposed (in
2011-12)
Unit cost
proposed
Total Amount
(lac)
74
150
0.60 Lac
810.00
(9 months honorarium)
Doctors
(MBBS)
127 (MBBS)
127 (MBBS)
0.168 Lac
Ayush Doctors
1028
1397
AYUSH
compounders
1005
1397
0.075 Lac
962.40
ANM, Staff Nurses
11388
12363
.06/0.75 Lac
10763.95
Lab Tech/ECG
tech, physioth etc
650 (RCH)
158 (RCH)
492 (NRHM)
0.06 Lac
Pharmacist
500
500
0.07
418.49
Others-asstt drug
analyst,jr scietific
asstt trainee
12
12
0.09-.15
17.11
Specialists
0.168 Lac
201.60
2775.63
333.828
HUMAN RESOURCE
( STATE PROGRAMME MANAGEMENT STAFF)
Category
Existing (in
2010-11)
Proposed
(in 2011-12)
Unit cost
proposed
(lacs)
Total
Amount
(lacs)
Consultants
(SPMU)
24(27)
27
.30- 0.45
128.07
Data Officer/Data
Assistant
5
5
0.23
13
Programme
Officer-HR/IMEP
2
2
0.25
6.0
Programme
Officer (Plan,
SPMU, HR)
0
3
0.185
6.66
Accounts Manager
1
1
0.30
3.6
Accountant
(Clerk)
2
2
0.15
3.2
Accountant ((Tally
operator)
4
8
0.105
9.28
HUMAN RESOURCE
( DISTRICT PROGRAMME MANAGEMENT STAFF)
Category
Existing (in
2010-11)
Proposed
(in 2011-12)
Unit cost
proposed
(lacs)
Total
Amount
(lacs)
District Programme
Manager
26
34
0.38
155.04
District Accounts
Manager
33
34
0.30
122.4
District Nodal Officer
(M&E)
34
34
0.23
93.84
District PCPNDT
Coordinator
34
34
0.195
73.44
District ASHA
Coordinator
33
34
0.185
70.42
District IEC
Coordinator
34
34
0.185
70.72
Data Entry Operator
68
68
0.85
62.56
ASHAS






Total Number of ASHAs in the State - 42373
Population Per ASHA - 1000
Drug Kits (Norm: Rs 600/Kit)
• Amount proposed per kit – 600/• Total Number of Kits to be procured - 22000
• Total Amount proposed – 132 lac
Expenditure on Selection, Training (Norm: Rs 10,000 per ASHA)
• Total amount proposed – 669 lac
• Amount proposed per ASHA – Rs.4550 per ASHA
Total amount proposed for paying incentives
– 1006.353 lac
Non monetary incentives (like uniforms, Umbrella etc) proposed
for ASHA – Uniform already provided
UNTIED FUNDS/AMG/RKS/VHSC
Facility No. of facilities
Type /
(As per
RHS/No.
Proposed in
PIP)
Norm/Total Amount Proposed
Untied
funds (lacs)
AMG
34
-
-
376
(.50) 188
1517
(.25) 379.25
11487
43437
Corpus Grant
HMS/RKS
5 lac/170
VHSC
Total
( lac)
-
170
DH
CHC
Rs. 958
(1 lac) 1517
Rs. 2654.75
(.10)
1148.7 lac
(.50) 758.5
Lakh
(.10)
1023.7 lac
-
Rs. 2172.4
-
-
-
PHC
SC
(1 lac) 376
(1 lac) 394
lac
(CHC,SDH & SH)
Rs 10,000
Villages
40695
Total
Rs. 5785.45
Lac
Rs. 2158.2
Lac
Rs. 2081.0 Lac
Rs. 4069.5
Lac
Rs. 4069.5
Lac
Rs. 4069.5
Lac
Rs.
10024.65
Lac
MMU
Category
No. of Districts
Exist New
ing
Propos
num ed
ber
Total
(Rs.
In
Lac)
952.00
MMU
0
1
MMU MMU
8
19
>1MM
U
6
32
MMV
-
-
-
Vehicle
Tracking
System
(VTS)
Total
-
Capital Operational
Cost In Cost
Lac
(per
unit)
Units
Tota
l
21 Lac/ 952.0
MMU/y 0
r
150 Old 12.63
10
1249.
+ 50
Lac/M
00
New
MV/Yr
304
0.10 per
VTS
3775.0
0
30.40
4757.4
0
•Except 32 running MMU additional 12 MMUs already received & PO
of 8 MMUs issued.
• Operational Cost of MMU (per unit per month) – Rs.1.75 Lakh
• Cases per MMU per month – 1465 AV
RESEARCH STUDIES
Name of Study
Estimated Cost
Proposed Institute
a) CES of immunization
b) District specific IPHS
assessment
c) Functioning of FRU
d) District specific HR
e) District specific payment
process of ASHA
f) Quality issues
g) Effectiveness of FBNC
and SNSU services in
districts
h) Role of FRU in delivering
emergency maternal and
child health services etc.
60 Lac
RHSRC
Other Institutes will be
identified as per
requirement
IEC/BCC
Main Activities
Strengthening of BCC/IEC Bureau
(State and district level)
Development of State BCC/IEC
strategy (IEC Hub and Head
quarter publicity)
Implementation of BCC/IEC
strategy (State and District)
IEC/BCC activities for Maternal
health (Print, electronic, Outdoor
and Folk media )
IEC/BCC activities for Child health
(Print, electronic, Outdoor and Folk
media )
IEC/BCC activities for Family
planning (Print, electronic, Outdoor
and Folk media )
Amount
Proposed
Expected output
2.00
State level IEC activities, State IEC
strategy and Action plan State level
capacity building workshop ,Seminars
and exposure visits.
15.00
Development of IEC material,
Establishment of IEC hub and Head
quarter publicity.
34.0
VCD and IEC/BCC activities through
Exhibitions, Film Shows during Local
Fairs and festivals, Haat Bazaar,
Zhankis on Republic day, Rajasthan
Sthapna Divas and other Health
days..IEC equipment.
37.76
Activities through Print, electronic,
Outdoor and Folk media+News paper
advertisement.
33.44
Activities through Print, electronic,
Outdoor and Folk media+ News paper
advertisement.
30.0
Activities through Print, electronic,
Outdoor and Folk media+ News paper
advertisement.
IEC/BCC CONTINUED
Main Activities
Health Mela
Swasthya Mitra Yojna
Amount
Proposed
Expected output
200.0
IEC for Swasthaya Chetna Yatra
2.00
Health messages and slogans by
school children in govt rural
schools
Other activities
Other activities – In house
publications, baseline research,
surveys, monitoring and evaluations
of IEC/BCC activities etc
45.00
Total
399.20
Urban RCH, AYUSH, MMU, 108
ambulance, Universal assurance of
free medicine for vulnerable
group, Thallesemia & Cancer
awareness.
NRHM Booklet, calendar,
monitoring & evaluation of
IEC/BCC activities
NGO/PPP/INNOVATIONS
Name of Initiative Amount Proposed
Name of the
agency involved
HBPNC
Merged with main
component
ARTH
PPH Management
10.00
Path Finder
VHSC training
Merged with main
component
Through NGOs
MMU
Merged with main
component
Through NGOs
DECENTRALIZED HEALTH PLANNING
o No. of districts in the State – 33
o No. of high focus districts - 20
o No. of DHAP prepared and sent to Ministry-once the PIP
is approved, all 33 DAP will be submitted to GOI
o Resource envelope has been indicated to all districts
 Is higher weightage of 1:1.3 given to high focus districts Yes
 No. of blocks where Block Plan made - 237
 No of Villages - 43437
 No of villages with VHSCs - 43437
 No. of villages where Village Plan made - 40695
Procurement of Equipments & Drugs
Category
Drugs
Units
Amount
Equipment
Units
Amount
MH
RMSC
MVA syringes
27.35
CH
RMSC
336.00
FP
Merged
with FP
NBSU
equipments
Laparoscope,
minilap kit, NSV
kit
Bins, needle
cutter etc
IMEP
Other – Generic
Drugs &
Medicines, IFA
Total
100.00
Proposed in
additional
resource
100.00
300.00
100.00
763.35
MONITORING & EVALUATION (M&E)
S.N
Subject
Action
1.
HMIS
Rajasthan is already using its own Block level / Facility
Action plan for shifting to based PCTS online system in which data reporting is
Block level / facility based being done from block level.
reporting on HMIS of MoHFW
2.
Mother & Child Tracking
On PCTS, data of MCH from block level is being
System (MCTS)
uploaded. Data is sent to GOI timely, is uploaded till
Plan for roll-out of MCTS and Feb 2011.
uploading data.
3.
Capacity Building
Action Plan for enhancing
analytical
capabilities
for
improving Data Quality on
HMIS and MCH.
Monthly data review meeting of all District Statistical
Official and Data Assistant is organized on 10th of
every month.
Every month 5 districts, having
validation errors will be selected and trained.
1. Phase wise, all DPM, BPM, Computer Operators and
other supervisory staff will be trained.
2.
Regular feed back will be given to concerned
person.
3. Monthly data validation is being reviewed.
Remarks
Major Head
Budget
(In Rs)
Minor Head
Salaries of M&E, MIS &
Data Entry Consultants
1.1
Mobility for M & E
Officers
1.2
1.Strengthening of
M&E/HMIS/ MCH Workshops/Training
M&E
Tracking
on
Merged in
HR
2.16
DEO mobility
support Rs.2.16
lakh
11.00
Training of CNA
& 3 workshops
1.3
M&E Studies
1.4
Others (specify)
1.5
Details (including
cost per unit)
Planned
with
SHSRC
Hardware/Software
Procurement
2.1
2. Procurement of
HW/SW and other Internet connectivity
equipments
2.2
Annual Maintenance
2.3
Review
of
existing
registers – to make them
compatible with National
3.Operationalising
HMIS
HMIS at Sub
District level
Printing
of
new
registers/Forms
Alredy procured
at most of the
PHCs
. Managed
1000/- for
from U/F
installation per
PHC
Managed
from U/F
3.1
3.2
80.00
Printing and reproducing
Registers/ Forms
4.1
Capacity building of
teams
4.2
With CNA
training
4.3
Sector, block
district and
state level
review
meetings
4.Operationalising
MCH tracking
Ongoing review of MCH
tracking activities
Monitoring
collection
quality
and
data
data
4.4
35
15
Data validation
& verification
OTHERS ACTIVITIES
Amount
Expected output
Proposed
(In Lakh)
1.00
Power Backup
Universal Assurance of Health to Vulnerable Free treatment, diagnostic
services & also free medicine will
Population
be provided to all BPL,
handicapped, HIV/AIDS & other
50.00
• Training & IEC for vulnerable
vulnerable category population
population
of the state. Medicine & supply
budget planned in Special
Budgetary Plan.
50.00
Equipment Procurement
EPMC
Maintenance Cell will be
established. Civil works has been
taken care by RHSDP
10.00
will run in SIHFW
Communication Research
Center
111.00
TOTAL
Activity
SPECIAL PROJECTJEEVANDAYINI YOJANA
Safe DeliveryHealthy Newborn
JEEVANDAYiNI YOJANA
(Safe Delivery Healthy New Born)
SN
Budget Head
A ASSURED AVAILABILITY OF MEDICINES &
SUPPLIES
A.1 Free drugs & supplies for all deliveries in
government facilities
Normal Delivery
A.2
Unit Cost
Qty.
Rs.125 per delivery
9.84 lakh
Assisted Delivery
Rs.600 per delivery
1.85 lakh
C-section
Rs.1500 per delivery
0.62 lakh
Sub Total
Free drugs & supplies for sick new borns
Mildly ill neonates
Rs.150 per x3 times per
neonates
Moderate to severe ill neonates
Rs.500 per x 7 times per
neonates
1.35 lakh
0.9 lakh
OPD
Rs.58 per patient
95 lakh
IPD
Rs.250 per patient
9 lakh
A4
Vitamin - A
A5
Iron Folic Acid (IFA)
Total institutional delivery in Govt.
1230 sector would be 12.5 lac. Out of that
normal delivery would be 80%,
1110 assisted delivery would be 15% & CS
would be 5%
930
607.5 Out of total 15 lac delivery 15%
delivery consider as neonatal illness
i.e 2.25 lac delivery. Out of that 60%
3150 consider as moderate ill & 40%
consider as moderate to severe ill
3757.5
Free supply of essential generic drugs for
OPD & IPD patients
Sub Total
Remark
3270
Sub Total
A.3
Amount (In
Lakh)
24 hours Pharmacies (Fair Price
5510 Medicine Shops) at Dist. Hospitals &
CHCs with user charges. BPL & other
2250 vulnerable population will be given
free of cost
7760
200To ensure 9 dozes of Vit-A upto 5 yrs.
Children
100
B
B.1
B.2
B.3
B.4
B.5
B.6
C
D
DIAGNOSTIC FACILITIES
Basic daignostic facilities (50) at all DH
Basic daignostic facilities (30) at all CHC
Basic daignostic facilities (20) at all PHC
Basic daignostic facilities (04) at all SC
Facilities for BPL & vulnerable groups
Equipment Procurement Management Cell
Sub Total
Diet for Pregnant ladies in 1100 24*7 PHC Rs.100 per
day for 02
days
Refferal Transport
Referral transport from home to health
institutions
2nd Refferal Transport
Drop Back Facility
E
Sub Total
Counselling & Ibnformation Centers
Grand Total
Rs.400 per
case
396000
5.25 lac
Rs.800 per
1.875 lac
case per side
for 2 side
transportatio
n
Rs.400 per 7.4375 lac
case
500Will be provided free of cost to delivery cases,
300 sick new borns, BPL & other vulnerable
150 population. Rest of population will be given user
50 charges
300implants, chemicals, reagents etc.
50
1350
792In 1100 24*7 PHCs average delivery consider as
30 delivery per month per PHC. The budgetary
plan for diet is Rs.100 per day for 02 days.
2100Out of total 12.5 lac institutional delivery 40 %
delivery will be transported through 108
emergency ambulance services. For remaining
70% delivery i.e 7.5 lac. Out of which 70% delivery
cases will be used local transport. Average 30 to
50 km range will be calculated fro transportation
(to & fro)
300015% cases will be counted for 2nd referral as
complicated cases i.e 1.875 lac delivery. Average
60 to 100 km range will be calculated fro
transportation (to & fro)
2975Out of total 12.5 lac institutional delivery 85 %
delivery i.e. 10.625 lakh delivery will be provided
drop back facility after deduction of 2 nd referral
transport cases transportation. Out of 10.625 lakh
delivery 70% will acquire Govt. drop back facility.
Average 30 to 50 km range will be calculated fro
transportation (to & fro)
8075
91.5It will be established in all 34 DH
24304
RNTCP
DISTRICTS WITH POOR TO MODERATE PERFORMANCE*
State Name :- Rajasthan
RNTCP Performance Indicators :- NSP CDR /TSR Year 2010
Name of the
district/district
s
NSP
CDR/Treatme
nt Success
Rate (TSR)
Reasons for
poor
performance
Proposed solutions /Activities in PIP
Constraints
Sikar
52%/87%
Low NSP CDR
Intensive supervision and monitoring
by a team from State level Monthly
review by CMHO & BCMO
DTO and MO posts remained
vacant most of the time.
Nagaur
54%/87%
Do
Do
Sub optimal supervision and
monitoring by DTO
Jaisalmer
56%/92%
Do
Do
Desert District
Jhunjhunu
86%/85%
Do
Do
Poor referral by PHI Mos
Bharatpur
57%/89%
Do
Do
Sub optimal supervision and
monitoring by DTO
Barmer
58%/89%
Do
Do
DTO and MO posts remained
vacant most of the time.
Churu
60%/89%
Do
Do
Sub optimal supervision and
monitoring by DTO
Jodhpur
65%/90%
Do
Do
Desert District
Dausa
66%/88%
Do
Do
Sub optimal supervision and
monitoring by DTO
Jhalawar
69%/88%
Do
Do
Sub optimal supervision and
monitoring by DTO
STATUS OF IRL AND DOTS PLUS
Districts Implementing
DOTS Plus/Proposed
Status of IRL and services
offered
Districts
already
implementing
Districts
proposed
for 2011-12
Solid
Culture
1, Jaipur,
2 Ajmer
3 Bhilwara
4. Tonk
5. Dausa
6. Alwar
7. Sikar
8.
Junjhunu
9. Nagaur
10.
Jodhpur
11. Pali
12. Barmer
13.
Jaisalmer
14. Jalore
15. Sirohi
Udaipur,
Dungarpur,
Banswara,
Rajsamand,
Chittore,
Pratapgarh
-STDC,
Ajmer
(Accredite
d)
-SMS
Medical
College,
(Accredite
d)
Liq
uid
cult
ure
DOTS Plus Site
No of
Patients
proposed
to Put on
DOTS Plus
( 2011-12)
Human Resource status for
DOTS Plus
•FunctionalTB & chest
Hospital SMS
Medical
college Jaipur
• Under
Process – KNS
TB & Chest
Hospital, Dr.
S.N. Medical
Jodhpur
• Proposed JLN Medical
College, Ajmer
& SP Medical
College,
Bikaner
5000
In place State level • SR Medical Officer DOTS
Plus Site - 1
• Microbiologist (IRL) STDC,
Ajmer - 1
• Sr. L.T. (IRL) STDC Ajmer- 1
• DOTS Plus Site – Statistical
Assistant1
DEO- (IRL) STDC, Ajmer- 1
• District level – Under
Process
• Sr. DOTS –Plus & TB-HIV
Supervisors – 1 each districts
• HR from NRHM – LT SMS
Medical College – 1, DEO SMS
Medical College -1, Lab.
Attendants – 8
LPA
Proposed
-SMS
Medical
CollegeApril
2011
STDC,
Ajmer
2011-12
BUDGET HEADS AND AMOUNT PROPOSED
Sr. No.
1
2
Budget heads
Laboratory
materials
Honorarium
4
IEC/ Publicity
6
7
8
9
10
Amount
approved (INR in
lacs)
Civil works
3
5
Amount
proposed (INR
in lacs)
Equipment
maintenance
Training
Vehicle
maintenance
Vehicle hiring
NGO/PP
support
Miscellaneous
4137000
4137000
12204300
12204300
6359801
6359801
5686224
5686224
1829000
1829000
8322638
8322638
6875000
6875000
7864500
7864500
2597350
2597350
11514500
11514500
Remarks
One time cost for , 1 SDS, 2 DOTS-PLUS, 5 TU 15 DMCs
and maintenance of STC/STDC/SDS/IRL, 1 SDS, 2 DOTS
PLUS site,34 DTC, 150 TUs 814 DMCs approved.
Approved 100% of the estimated budget in accordance to
expenditure pattern and lab material and consumable for IRL
and Other accredited CST labs
Approved 100% in accordance to expenditure pattern last 4
quarters and provision for the DOT providers of cat IV patients
80% of the estimated budget approved. More may be
sanctioned in accordance to expenditure pattern in initial 2
quarters of FY
Utilized 13.2 lacs in last 4 qts.Approved 80% for computers in
accordance to expenditure last 4 quarters. Approved 100% for
BMs and IRL equipment in accordance to revised financial
norms
Approved 100% against the estimated budget.
Approved 100% of the estimated budget in accordance to
expenditure pattern
Approved 70% of the estimated budget in accordance to
expenditure pattern. More may be sanctioned in accordance
to expenditure pattern in initial 2 quarters of FY
Utilized 5.4 laks in last 4 qts. Approved 70% of planned
budget, approved in accordance to expenditure pattern.
Approved 100% against estimated budget in accordance to
the expenditure pattern last 4 quarters
Sr. No.
11
12
13
14
15
16
17
18
Budget heads
Contractual
services
Printing
Research and
studies
Medical
Colleges
Procurement –
vehicles
Procurement –
equipment
Tribal Action
Plan
Additional
Requirement from
NRHM
Additinalities
Total
Amount
proposed (INR
in lacs)
Amount
approved (INR in
lacs)
Remarks
79966000
79966000
4835939
4835939
2000000
2000000
Approved 100% of the estimated budget.
4383000
4383000
Approved 100% of the estimated budget.
3400000
3400000
2930000
2930000
3036500
3036500
3738000
3738000
171679752
171679752
Approved 100% of the estimated budget in accordance to
expenditure pattern
Utilized only 25% of the planned budget, approved 70% of the
estimated budget n accordance to expenditure pattern.
Approved 68 Two wheelers against condemned vehicles. Hiring of
four wheelers may be considered.
Approved 22 computer systems for replacement which are
more than 8 year old and are not functional. Condemnation
rules of the state will be followed as per Revised Financial
norms.
NVBDCP
FINANCIAL PROGRESS - NVBDCP (UPTO FEB. 2011)
Total Fund
available
Unspent
Fund Approved/ Released by
during the
Amount of
Recommended
GOI
year (incl. of
previous year
misc.
receipts)
% of
Unspent
Expenditure
Expenditure balance as on
to fund
01.02.11
Approved
S. No.
Year
Outlay
1
2005-06
1027.00
571.13
266.96
30.24
305.73
261.02
44.71
45.70
2
2006-07
1301.91
362.70
220.50
44.71
275.94
46.30
229.64
12.77
3
2007-08
1319.29
469.08
406.76
229.64
636.40
290.41
298.54
61.91
4
2008-09
1165.85
578.02
213.32
387.78
610.76
402.75
208.01
69.68
5
2009-10
210.00
148.00
509.01
208.01
723.53
226.02
497.51
152.72
6
2010-11
341.46
347.38
92.98
497.51
599.52
264.75
334.77
76.21
5365.51
2476.31
1709.53
Total
1491.25
Note:•Out of Unspent Balance of Rs. 334.77lacs, Rs. 156.72 lacs available with SHS, Jaipur & Remaining Rs. 178.05 lacs
available with others (including Fund Available with DHS, advances given to SSHs, JDs & others).
60.22
BUDGET PROPOSAL FOR NVBDCP IN PIP 2011-12 FOR RAJASTHAN
(RS. IN LACS)
Sr.
No
.
1.1
a
b
c
d
Activity proposed
MALARIA
DBS
MPW
Remuneration to New Fresh 150 Contractual
MPW (Male)- Rs. 6000/- per month for one
year).
Remuneration to old working 100 MPW (M) @
Rs. 7200/- per month for one year (including
additional fund for those MPW who has
completed 2 years. (as per Finance Deptt. rules
10% per year increments).
ASHA
ASHA Incentive @ Rs. 75/- ( Rs. 50/- for
ensuring RT) and (Rs. 25/- for taking Slide,
testing slides & RDK per case) (there will be
about 60000 Malaria cases to be reported in
2010) (on active slide collection)
Monitoring & Evaluation and Reporting incl.
Operational Cost
NAMMIS including Honorarium of 36 Data Entry
Operators (2 at State HQ & 34 at each CM & HO
Office) (Rs. 0.72 lacs per year each DEO)
MIS including Communication Support, Internet
facility, back log data entry & Reporting.
Audit Cost, TA, DA, Consumables and Printing &
Stationary etc.
Office equipments , IT equipment & office furniture
with Repair & Maintenance.
Total
Amount
Proposed
to NRHM
Major Expected Output in PIP
72.00 To Improve Surveillance and treatment, all
250 contracutual MPW (M) has been
required for the financial year 2011-12.
15.00 Enhanced - Early cases detection and
prompt treatment (EDPT)-Increase in no. of
blood sample examination acco- mpanied to
the patient upto the institution for treatment.
50.00
Timely reporting by PHCs, Districts and State .
Increased numbers of supervisory visits by
different levels of programme officials at
District, PHCs Sub-centres and villages.
50.00
BUDGET PROPOSAL FOR NVBDCP IN PIP 2011-12 FOR RAJASTHAN
(RS. IN LACS)
Sr.
No.
Activity proposed
Total Amount
Proposed to
NRHM
Major Expected Output in PIP
Honorarium to State Accounts Consultant (Rs.3.36acs per
year), Secretarial Assi. cum computer operators (Rs.1.02lacs
per year), Driver (Rs. 0.66lacs per year) & Peon (Rs. 0.54 lacs
per year) each at State Level & Rs. 0.18 lacs per year
additional allowance to each Accountant per district.
Mobility support (including Hiring of Vehicle and POL,
Diesel) for intensive supervision and preventive measures.
Spray Wages (about 1200 workers @ Rs. 156/- per day for 90
days) and Spray Pumps with repair & Maintance.
0.00
0.00
g
New construction of Hatcheries in each CM & HO Office
@ Rs. 0.50 lacs per hatchery &Rs. 0.25 lacs each district for
repair & Main.
50000 LLINs Bednets for 16 High Risk Districts @ Rs.
200/- per Bed Nets
IEC, BCC & PPP
h.
Training:
e
f
2 batch of 30 Medical specialists at District Hospital @ Rs.
1.35 lac per batch,
28 batches of 25 MO @ Rs.1.00 lac per batch,
6 batches of 20 LT induction/ reorientation training @Rs. 0.75
lac per batch,
For New Construction & maintenance of hatcheries
and transportation of seeds.
0.00
25.00
8.00
Increase compliance for diagnosis and treatment and
increase acceptance of IRS other vector control
measures by the community.
1 Improved capacity of hospitals in management of
sever cases.
2 Improved capacity of MOs, Entomologist, Health
Supervisors, Health Workers, MPW (M),
ANM/ASHA.
BUDGET PROPOSAL FOR NVBDCP IN PIP 2011-12 FOR RAJASTHAN
(RS. IN LACS)
Sr.
No.
Activity proposed
Total Amount
Proposed to
NRHM
Additionalty
10 batches of 25 Health supervisory staff @ Rs. 0.60
lac per batch,
30 batch of 25 LTs/MPWs/ Health Worker (M/F) @
Rs. 0.75 lac per batch,
15 batches of 30 ANM/ASHA @ Rs.0.30 lac per batch,
Major Expected Output in PIP
3 Skilled spray workers are available for indoor
residual spraying
40 batch of 30 Spray Worker @ Rs.0.15 lac per batch,
i
Diagnostices (RDK)
j
UMS - Larvicides (for polluted & non-polluted
water, Pyrethrum extract 2%
Total Malaria (A)
170
1.2
a
b
c
d
e
DENGUE AND CHIKUNGUNYA
For all 9 Sentinal Surveillance Hospital Rs. 2.00 lacs
per SSHs & One Elesa Reader for SMS, Hospital,
Jaipur (STATE)
4.50
Monitoring & Evaluation/ Supervision and rapid
response (Mobility Support including Hiring of
Vechicle, POL & Diesel etc).
Epidemic preparedness (logistics+ opera.cost)
Fogging Machine with Repair & Maintence (40
Machine @ Rs.20000/- and Rs. 2 lacs for maintenance
15.00
Training/ Workshop (4 State level work shop Rs. 2.00
lac & 30 batches of 25 MOs @ Rs. 1.00 lacs)
4.00
Function of Sentinel site hospitals is sustained
including honorarium of LTs & Data Entry operators
for collecting of reports under transmission season (6
months).
Cases detected at early stage and response to
epidemic exists
12.00
0.00
Trained manpower is available for
response.
epidemic
BUDGET PROPOSAL FOR NVBDCP IN PIP 2011-12 FOR RAJASTHAN
(RS. IN LACS)
Sr.
No.
f
Activity proposed
Total Amount
Proposed to
NRHM
Additionalty
IEC/BCC
5.00
Total Dengue/Chikungunya (B)
2
40.50
Total Cash assistance (A+B)
210.50
Cash Assistance for decentralized commodities and
larvicides
136.88
Drugs which include Chloroquine,
Quinine tab, inj Quinine
primaquine,
Larvicides including Pyrthrum Extt 2%, Temephose
& Bti (liq. & wp.)
Grand Total Assistance Cash + Commodity
Remuneration to Malaria Link Volunteers (3000
MLVs on contract basis in 16 High Risk Districts @
Rs. 500/- per month in transmission season for six
month.
347.38
90.00
437.38
GRAND TOTAL
Major Expected Output in PIP
Change in commu- -nity behaviour for personal
protection and participation
NBCP
National Programme for Control of Blindness
Physical Achivements in 2010-11
Activities
Cataract Operation
Eye Collection
Children Screened
Spectacle Distribution
Target
3,00,000
2,000
1252
(62.60 %)
5,00,000
597561
(119.51 %)
9,000
16378
(181.97 %)
Procurement of Equipments for
District Hospital
Strengthening of Eye Bank
Strengthening of Medical
College
Strengthening of NGO
Eye Donation Center
Vision Center
Achievements (upto Feb.-11)
212993
(71.00 %)
32 Flash Autoclave & 13
Microscope have been purchased
Jaipur & Udaipur Medical
College
Ajmer & Kota
1 NGO
2 Eye Donation Center
20 Vision Center
Procurement of Specular
Microscope is Under Process
6 Flash Autoclave & 2 Microscope
have been purchased
Procurement of Phaco, Auto Ref &
Vitrectomy are Under Process
NGO Selected, Sanction issued
Chittorgarh & Kishangarh (Ajmer)
have been established
13 Vision Center have been
established
Budget Requirement for Proposed activities 2011-12
GRANT-IN-AID TO STATES/UTs FOR VARIOUS
COMPONENT DURING 2011-12
Recurring
Grant-in-aid
For free Cataract Operation @ Rs. 750
Per case and other approved scheme as
per financial norms (*)
For Medical Colleges @ Rs. 40 Lacs
Nonrecurring
Grant-in-aid
Physical Target
Cat. Op. -3 Lacs
Eye Collection 2000
Spees. Dist. -33000
2
Funds Required
(in Lacs)
Remarks
962.80
80.00
Bikaner, Jodhpur
20 PHC’s/CHC’s @
Rs.50,000 each
@ Rs.15 Lacs/ Eye
Bank
Bikaner,Ajmer
@ Rs.1 lac / donation
center
@ Rs 30 Lac /Selected
NGO
For Vision Centers @ Rs. 50000/-
20
10.00
For Eye Banks @ Rs. 15 Lacs
2
30.00
For Eye Donation Centers @ Rs. 1 Lac
2
2.00
For NGOs @ Rs. 30 Lacs
1
30.00
Ophthalmic Surgeon (Salary of Rs.
10
30.00
25,000/- p.m.)
Contractual
Ophthalmic Assistant (Salary of Rs.
25
24.00
Manpower
8000/- p.m.)
Eye Donation Counsellor (Salary of Rs.
6
7.20
10,000/- p.m.)
Total Grant-in-aid
1176.00
(*)= Other Eye Diseases @ Rs 1000/- , School Eye Screening @ Rs 200/- per spectacles, Management of State Health
Society /District Health Society @ Rs 14 lakhs / 7 lakhs ,Eye Ball collection @ Rs 1500/- per pair , Training , IEC
,Procurement of Equipment , Maintenance of Opthalmic Equipments , Remuneration , Other Activities
NIDDCP
IDDCP-RAJASTHAN
ONGOING EFFORTS
DIRECTORATE OF
MEDICAL AND HEALTH
SERVICES RAJASTHAN
OBJECTIVES OF PROGRAMME:





Survey to access the magnitude of Iodine
Deficiency Disorders
Upscale supply of iodised salt in place of common
salt .
Resurvey after every 5 years to assess the extent
of Iodine Deficiency Disorders and impact of
iodised salt.
Laboratory monitoring of iodised salt and urinary
iodine excretion.
Health Education and IEC/BCC
ORGANIZATIONAL STRUCTURE:






The Addl. Director ( Rural Health ) is State
Programme Officer . He is also looking after the
implementation of PFA act.
State Nodal Officer has been appointed to
monitor regular reporting.
To assist him there is one post of Technical
Officer, sponsored by GOI
One post of Statistical Assistant
One post of LDC.
34 Chief Medical and Health Officers in the
districts are nodal officers for implementation of
Programme in districts.
BUDGET ALLOCATION FOR IDD
PROGRAM-2010-11
IDD
control
Cell
Publicity
IDD lab
Survey
Total (Rs
in lakhs)
6.00
6.00
3.50
2.50
18
Expenditure(Upto IIIrd Qyr.)
IDD
control
Cell
Publicity
IDD lab
Survey
Total (Rs
in lakhs)
4.38
1.28
2.15
0
7.81
PHYSICAL ACHIEVEMENT: (2010 )
1 Samples taken under PFA
257
2 Samples tested with MBI kits
543028
3 Samples with Iodine Less than 15 116908
PPM
4 Samples with Iodine More than 15 408145
PPM
HEALTH EDUCATION AND PROMOTIONAL
ACTIVITIES
S.No Activity
No
01
Mass meetings
8183
02
Group Advocacy meetings
14084
03
School Health Programmes
4603
04
Other IEC activities
Distribution of IEC material,
IPC,Demonstrations etc.
502
NIDDCP- BUDGET PROPOSAL
NRHM PIP 2011-12
FOR
S.No
PIP sections
Proposed ceiling in
F.Y. 2011-12 (100%)
Proposed ceiling
in F.Y. 2011-12
(115%)
Proposed
ceiling in F.Y.
2011-12 (130%)
1.Establishment of IDD
Control Cell
6.00
6.9
7.8
2.Establishment of IDD
Monitoring Lab
3.50
4.02
4.55
4.Health & Education &
Publicity
6.00
6.9
7.8
5.IDD survey Rs. 100000/Per distt/ (for 05 districts-)
2.50
2.87
3.25
6Data Entry Operator (On
contractual basis)
(New Demand)
1.02
1.17
1.32
IDSP
INTEGRATED DISEASE SURVEILLENCE PROJECT (PIP 2011-12)
S.No.
Unit Cost
Activity
Physical
Required 201112
Remarks
33 x 12
8,28,000
1 SSU & 32 DSU (Pratapgarh is not sanctioned
as DSU)
33 x 12
3,840,000
For routine monitoring & investigation & control
of out-breaks
1
OPERATIONAL COST
a
Office Expenses
b
Mobility Support
Rs.970 per visit, 10 per month x 33
c
Lab consumables
Rs. 2,00,000 Per Priority Lab
2
4,00,000
d
Review Meetings
Rs. 50,000 SSU Level
1
50,000
e
Formats and Reports
Rs. 1,00,00 per Distt, SSU
& Med. Coll.
32+6
3,80,000
SSU* Rs. 5,000/- & DSU**
Rs. 2,000/- per month
TOTAL 1
2
a
Review meetings at the State level
From the Sub-center, PHC, CHC, Districts Hosp.,
Private Hosp. & 6 Medical Colleges
54,98,000
HUMAN RESOURSES
Epidemiologist
Rs. 30,000
33 x 12
83,16,000
Sanctioned fund is insufficient according to the
salary range guidelines. Recruitments for the
vacant posts are in process so this year more
funds will be needed.
1 post at SSU & 2 at District priority labs at
Sikar & Ajmer each
b
Microbiologist
Rs. 20,000
3 x 12
7,20,000
c
Entomologist
Rs. 20,000
1 x 12
2,40,000
1 post at SSU
d
Consultant Training
Rs. 28,000
1 x 12
3,36,000
1 post at SSU
e
Consultant Finance
Rs. 14,000
1 x 12
1,68,000
1 post at SSU
f
Data Manager
14,000 x 12
13,500 x 32 x 12
53,52,000
Total annual cost SSU Rs. 1,68,000 & DSU
Rs. 51,84,000
33+6 x 12
39,78,000
1 post at SSU, 32 at DSUs & 6 at Medical
Colleges
g
Data Entry Operator
SSU Rs .14,000 & DSU Rs. 13,500
Rs. 8,500
TOTAL 2
*
2 District priority labs at Sikar & Ajmer
SSU “State surveillance Unit ”
** DSU “ District surveillance Unit ”
1,91,10,000
IDSP PIP 2011-12 Contd.
S.No.
3
Activity
Unit Cost
Physical
Required
2011-12
15,400 x 32
4,93,000
1 SSU & 32 DSU (Pratapgarh is not
sanctioned as DSU)
Remarks
TRAINING
a
Training of Hospital Doctors
20 participants per Distt. Per
head unit cost = Rs. 770/- &
Per batch unit Cost Rs.
15,400/-
b
Training of Hospital Pharmacist/
Nurses
40 participants per Distt. Per
head unit cost = Rs. 525/- &
Per batch unit Cost Rs.
21000/-
21,000 x 32
6,72,000
Districts level training
10 participants per Medical
College. Per head unit cost =
Rs. 2400/- & Per batch unit
Cost Rs. 24,000/-
24,000 x 6
1,44,000
Districts level training
d
Training of Medical Colleges
Pharmacist/ Nurses/ Medical Record
Technician
10 participants per Medical
College. Per head unit cost =
Rs. 717/- & Per batch unit
Cost Rs. 7,170/-
7,170 x 6
43,000
Districts level training
e
Data Entry and Analysis for Block
Health Team
15 participants per Distt. Per
head unit cost = Rs. 700/- &
Per batch unit Cost Rs.
10,500/-
10,500 x 32
3,36,000
Districts level training
DM & DEO Training
2 participant per SSU/ DSU
& 1 participant per Medical
college. 36 participant per
batch (2 Batch & Duration 2
Days) . Per batch unit cost (2
days) Rs. 57,500/-
57,500 x 2
1,15,000
State level training (2 batches & 2 days
training)
c
f
Training of Medical Colleges Doctors
TOTAL 3
18,03,000
IDSP PIP 2011-12 Contd.
S.N
.
Activity
Unit Cost
Physical
Required
2011-12
Remarks
4
OUT BREAK INVESTIGATION & RESPONSE
a
ASHA incentives for
Outbreak reporting
Rs. 100 per out-break
120 out-break per year
100 X 120 X 32
3,84,000
Estimated to get 10
informations per month from
volunteers. A total of 120 such
information in a year district.
b
Medical College/ Institute
participation outbreak
investigation
Rs. 5,000 per District
5000 X 32
1,60,000
Rs 5000 per district per year
c
Collection & Transportation
of samples
Rs. 6,000 Per Distt. Per
year
32
1,92,000
District are attached to each
laboratory in the referral lab
network
d
Referral lab network
Rs. 5,00,000 per Referral
Lab
per year
6+2
40,00,000
TOTAL 4
5
ANALYSIS & USE OF DATA
A
State IDSP
Bulletin
b
Annual IDSP Report
c
Broadband Expenses
Weekly
Alert
Rs.30,000 SSU Level
Rs. 20,000 at SSU level
per year
Rs.
950
per Districts
SSU
& Medical Colleges
6 Medical Colleges & 2 District
priority labs at Sikar & Ajmer
47,36,000
1
30,000
At the State level
1
20,000
At the State level
39 x 12
4,44,000
TOTAL 5
4,94,000
GRAND TOTAL (1+2+3+4+5)
3,16,41,00
0
At SSU, 32 DSUs & 6 Medical
Colleges
LEPROSY
Action Plan for the year 2011-12
S.
N
Head of Accounts
Activities
BFO, DEO, Epidemiologist
Adm. Assistant Driver
1
Contractual
Services
2
Incentive to ASHA PB, MB
3
4
Office expenses &
Consumables
Capacity building
(Training)
5
IEC
6
POL/ Vehicle
operation & hiring
Amount in Rs.
Total Amount
Rs. 1656000
Rs. 460000
Relephone Elect, Rent,
Consumable and Stationary
4 Days MO, 3 Days Para
Medical , 5 Days L.T., Two
Days Workshop
Rs. 569200
Hoarding, Bus Panel, Posters,
Wall Painting, Rallies, Quiz,
Folk Show
Rs. 4039500
Hiring of Vehicle/ POL
Rs. 1810000
Rs. 1500000
Amount in Rs
S
Head of Accounts
Activities
Total Amount
Rs. 2253750
7
MCR Footwear Appliances,
Disability Prevention &
RCS
Medical Rehabilitation
Rs. 1914000
8
Material &
Supplies
Supportive Drugs,
LabReagent & Equipments,
Printing Forms
Urban Leprosy
Control
Suportive Medicine, MDT
Delivery, Monitoring &
Supervision
Rs. 900000
4 Review Meeting Per
Quarter
Rs. 100000
9
Review
10
meeting
11
Cash Assistance
Total
Rs. 3000000
Rs. 1,82,02,450
THANKS