Transcript Slide 1

NATIONAL PROGRAMME
COORDINATION COMMITTEE (NPCC)
APPRAISAL OF
STATE PIP
(PUNJAB)
March17, 2008
NIRMAN BHAWAN, NEW DELHI
NATIONAL RURAL HEALTH MISSION PUNJAB
1
PRESENT STATUS AS COMPARED TO NEIGHBORING
STATES AND ALL INDIA
PUNJAB
HRY
HP
RAJASTHAN
INDIA
BIRTH RATE
(SRS 2005)
18.1
24.3
20.0
28.6
23.8
DEATH RATE
(SRS 2005)
6.7
6.7
6.9
7.0
7.6
SEX RATIO
(CENSUS 2001)
876
861
968
921
933
IMR(SRS 2005)
44
60
53
68
58
TFR(SRS 2005)
2.1
2.8
2.2
3.7
2.9
ANTE NATAL CARE (AT LEAST
3 CHECKUP) (%)
(SRS 2005)
72.5
58.8
62.6
41.2
50.7
INSTITUTION DELIVERY (%)
(SRS 2005)
52.5
39.4
45.3
32.2
40.7
MATERNAL MORTALITY RATIO
178
162
-
445
301
CONTRACEPTIVE USE (%)
63.3
63.4
72.6
47.2
56.3
VACCINE COVERAGE (%)
60.1
65.3
74.2
26.5
43.5
2
INDICATORS & GOALS
INDICATORS
AT THE
START OF
RCH
SRS 98/99
PRESENT
STATUS
07/08
TARGET
TFR
2.5
2.1
1.8
IMR
(PER 1000 LIVE
BIRTHS)
49
44
<30
MMR
(PER 100000 LIVE
BIRTHS)
199
178
<100
INST. DELIVERIES
37.5%
(NFHS II)
52.5
80%
ANC CHECK-UP
WITH 03 CONTACTS
58.4%
(NFHS II)
72.5
100%
3
INSTITUTIONAL ARRANGEMENTS
INITIATIVES
STATE LEVEL
DISTRICT
LEVEL
BLOCK LEVEL /
VILLAGE LEVEL
Setting up of the
Health Missions
On 26th October
2005
constituted.
On 17th
August 2005
constituted.
Not applicable
Incorporation of
Health Societies
Incorporated on
26th February
2007
Incorporated
from 26th
August 2005
to January
2006.
Block Health
Committees notified
on 11.12.2007. 11319
Village Health &
Sanitation
Committees (VHSCs)
constituted on
21.10.2007.
Integration of
Vertical Programs
Integrated
Integrated
Integrated
Merger of
Vertical
Societies
Done on
21.12.2007
Being Done
Not required
4
INSTITUTIONAL ARRANGEMENTS
INITIATIVES
STATE
LEVEL
DISTRICT
LEVEL
BLOCK LEVEL
/ VILLAGE
LEVEL
Constitution of RKS
Not required
Already notified
and are
operational
At Block Level
Community Health
Centres already
notified and are
operational.
Program Management
Units
Recruitment
completed
Recruitment
completed
Recruitment under
process at block level.
Decentralized planning and
implementation of various
activities to PRIs.
PIP for FY
08/09
appraised by
Sub Group on
28.2.08
IDHAPs
prepared for all
districts. Facility
Surveys
completed.
Block level plans and
village level plans
prepared and
incorporated in State
PIP . Facility Surveys
completed.
The Department has decided in principle to out source the setting up of State Health
System Resource Centre and for finalization of consultancy firms. Offers have been
invited and short listing is being done.
5
RCH
• OUT OF 75 PHCs UNDERTAKEN UPTO 2007-08 FOR 24 HOUR
DELIVERY SERVICES WORK AT 40 PHCs COMPLETED
• ONE LAKH MANUAL MUCUS SUCKERS DISTRIBUTED, DAI
KITS & GENERATORS PURCHASED
• OUT OF 50 CHCs UNDERTAKEN UPTO 2007-08 FOR CEmONC,
NEW BORN CARE CENTRES WITH BLOOD STORAGE FACILITY
SET UP IN 25 CHCs
• CONTRACTUAL
APPOINTMENTS
OF
90
DOCTORS/
SPECIALISTS AND 345 STAFF NURSES COMPLETED UNDER
MATERNAL HEALTH.
• UNDER
JSY,
INCENTIVES
TO
18000
BENEFICIARIES
DISTRIBUTED TILL JANUARY 2008.
• UNDER
COMPENSATION
STERILIZATION70273,
IUDs
INSERTION-233424 AND CONTRACEPTIVE USERS-325940,
NSV-7764 UPTO 3RD QUARTER
• NSV 9000 CASES UPTO JANUARY 2008. TARGET 2007-08:
10000
• INITIATIVES TAKEN FOR HIRING CONSULATNCY FOR
CONDUCTING SURVEY ON SEX RATIO, IMR & MMR
6
NRHM FLEXI POOL
• Rs.285 LAKH UNTIED FUNDS TRANSFERRED FOR SUB
CENTRES. FUNDS UTILIZED. UCs UNDER PROCESS.
• Rs.1131 LAKH RELEASED TO 11319 VHSCs, UCs by
31.03.2008
• 13190 ASHAs SELECTED. Rs.1.32 Cr. RELEASED, UCs
by 31.03.2008
• UNTIED GRANTS RELEASED TO PHCs- Rs.121 LACS,
Rs.664 LAKH TO CHCs-STAND UTILIZED
• Rs. 244 LAKH DISTRIBUTED TO RKS- STAND UTILIZED
• IN 116 CHCs RENOVATION WORKS AT Rs. 20 LAKH
HAS BEEN DONE IN 1st PHASE.
• AWARDS FOR MMUs GIVEN, DELIVERY EXPECTED BY
END MARCH 08. Rs. 440 LAKH ALREADY UTILIZED
OUT OF 829 LAKH
7
IMMUNIZATION
• Rs. 125 LAKH ALLOCATED TO DISTRICTS
FOR IMMUNIZATION ACTIVITIES.
• Rs.680 LAKH FOR DIFFERENT PP ROUNDS
SPENT- NO NEW CASE of POLIO REPORTED
NDCP
•
•
•
•
FOR RNTCP, Rs. 258 LAKH SPENT
FOR NVBDCP, Rs.51 LAKH SPENT
FOR NLEP, Rs.33 LAKH SPENT
FOR NPCB, Rs.320 LAKH ALLOCATED FOR
PURCAHSE OF EQUIPMENT AND IEC
• FOR IDSP, Rs.31 LAKH SPENT ON 12TH
JANURARY, 2008 PILOT PROJECT ON LIFE
STYLE
DISEASES
LAUNCHED
IN
JALANDHAR
8
FINANCIAL PERFORMANCE 2007-08
Rs. In LAKH
FUNDS
BALANCE OUT LAY RELEASED AVAILABLE
1-4-07
DURING
07/08
TOTAL
ANTICIPATED
EXPENDITURE
OP
APPROVED
FUNDS
-
5511
4013
4013
5511
RCH II
2566
5109
-
2566
3252
NRHM
5459
6773
3008
8467
8243
50
185
85
135
185
-
680
680
680
680
NDCP
271
1105
457
728
1317
TOTAL
8346
19363
8243
16589
19188
FW
IMM.
PP
9
RESPONSE TO THE APPRAISAL REPORT OF
THE SUB GROUP
Comment
1.
Regarding payments being made to ASHA, it
should be program-wise and not in consolidated
manner. Further, all such payments to be made
through cheque only. In no circumstances cash
payments are to be made.
Response Addressed
Payments to ASHAs will be through bearer
cheques
Comment
2.
Since Punjab is not a high focus State booking
of expenditure for ASHA to be made against
RCH flexi pool head
Response Addressed
10
Comment
3.
In respect of up gradation of CHCs to IPHS the
status of each activity under the program needs
to be indicated, such as human resource etc.
Similarly, in respect of 24 x 7 PHCs, how many
have been completed and how many are in the
process of completion. Similarly, FRUs position
of anesthetists etc. are to be given.
Response
Addressed
75 PHCs taken up for 24x7, 40 have been
completed. 32 Female Medical Officers, 25
obstetricians
&
Gynecologists
and
18
Pediatricians
appointed
on
contract,
22
Anesthetists engaged on call basis
Comment
4.
About NSV activity, previous year’s progress
was significantly low, only 8%, the current year
status to be indicated.
Response
9000 cases up to January 2008. Target for 07/08
is 10,000.
11
Comment
5.
In regard to institutional deliveries, through
Public Private Partnership, the strategy of
Chiranjivi Jojana of Gujarat is to be followed,
instead of the separate cost per delivery as
indicated in the PIP. Since, in this system
there is chance of tempering the actual
position and most of the deliveries may be
shown under caesarean cases only..
Response
Addressed. Single package for each delivery
introduced
Comment
6.
Under BCC activity, in respect of inter-personal
communication, the same should be from
within the House only i.e. State’s own person.
Response
Incorporated
Comment
7.
Service guarantee in PHCs should be there and
the monitoring component should be kept very
strong to achieve good and quality progress.
Response
Will be addressed
implementation.
during
the
course
of
12
Comment
8.
It appears, the State governance issue is one
of the major crises. This needs to be tackled
with better management policy.
Response
Every effort will be made to improve this.
Comment
9.
Since the State of Punjab is already having
sufficient buildings, the State should make
these functional first for the purpose the
same were constructed, instead of going for
further civil constructions.
Response
Addressed.
Minimal civil works proposed.
Only one new CHC proposed to be
constructed.
Comment
10.
Since an amount of Rs. 10,000/- per SC is
being given every year as untied fund further
projection of funds requirement for SC seems
not justified.
The strategy followed by
Haryana State in this regard may be followed.
Response
Incorporated as suggested.
13
Comment
11.
Since immunization is also an activity under
the NRHM strategy, it should not be seen as a
vertical program.
Response
Suggestion well taken.
Comment
12.
The ANMs who are on deputation in other
districts need to be repatriated and the same
need to be certified.
Response
Orders for cancellation of deputations issued
Comment
13.
Under AYUSH instead of fresh recruitment of
doctors and para medicos, they are to be relocated in PHCs and CHCs
Response
Suggestion well taken, action will be taken
accordingly.
14
Comment
14.
Under Disease Control Program, it appears
the plan is very ambitious, hence, the
achievement of Goal needs to be looked into.
Salary component charged is very high.
Response
Goals revised.
Salary discrepancy removed.
Comment
15.
Audit Report
pending
Response
Audit report sent on 11.03.2008
Comment
16.
In respect of each and every budgeted item, it
should be linked with physical target to be
achieved.
Response
Being looked into.
Comment
17.
For inter-sectoral convergence, no separate
budget needs be charged
Response
Budget being charged under NRHM only
of
2006-07
for
NVBDCP
is
15
Comment
18.
Executive Director, HNSRC pointed out that in
respect of GDP , the performance of the State
is very poor and the sex ratio is in declining
trend..
Response
Comments well taken. All efforts are being
made to improve the sex ratio.
Comment
19.
No budgeting for New Born Care activity. The
IMR of the State is very poor.
Response
Innovative New Born Care activities added
Comment
20.
Instead of paying rent for AYUSH dispensary,
re-locating needs to be done.
Response
Addressed
Comment
21.
No meeting of State Health Mission and
District Health Mission have been conducted.
Response
Will be conducted soon.
16
Comment
22.
In 50% of PHCs not even a single Medical
Officer is available
Response
New recruitments are under process
Comment
23.
In respect of PHCs facility survey needs to be
conducted.
Response
Facility surveys completed, report submitted
Comment
24.
Since already compensation package exists,
again separately the same cannot be charged
in the budget.
Response
Discrepancy corrected.
Comment
25.
The training activity is not proper, like multi
skilling training not being done considering
them under NRHM, focus is for skilled service
providers
Response
Addressed. Multi
undertaken.
skilling
training
being
17
Comment
26.
Under Urban Health Component, Urban slum
project needs to be acted upon for migrant
population, such as in harvesting season.
Response
Will be considered for next year
Comment
27.
The Bathinda District Area where Cancer is in
alarming stage need to be considered..
Response
Addressed.
Four Mobile Cancer
proposed for cancer prone belt.
Comment
28.
In
regard
to
purchase
of
computer,
duplication to be avoided, not to charge this
item separately for each program
Response
Suggestion well taken for compliance
Comment
29.
There is huge unspent balance with the State
(about 60 crores) for which UCs need to be
sent.
Response
UCs being collected from field and will be
submitted at the earliest possible
Vans
18
Comment
30.
The State’s share of 15% of the total budget
is to be credited to the State Health Society
and to be booked under Mission Flexi pool
Response
State’s share will be provided.
Comment
31.
For 2008, RCH II F.P.Mission F.P.
Total
-
Rs. 48.82 crores
Rs. 41.92 crores
Rs. 90.74 crores
+ unspent balance of
(2007-08)
+ 15% States share
Response
The State PIP 2008-09 is indeed over
budgeted but the State is now well on its feet
for implementation of the program at a much
faster pace. Activities proposed in the PIP
may be approved in principle, implementation
will be well within the overall allocation/
availability of funds.
19
PROPOSED INITIATIVES
IN 2008-09
20
PART A
RCH-II
MATERNAL HEALTH
Rs. 496.84 LAKH HAS BEEN PROPOSED DURING THE FY
08/09 FOR ACTIVITIES UNDER MATERNAL HEALTH
•
EARLY REGISTRATION OF PREGNANCY
ENSURING INSTITUTIONAL DELIVERY
AND
– INCENTIVE TO LINK WORKERS @ RS. 200/- PER ACTIVITY
•
MINIMUM 3 ANCs BY ANM OR MO AND 3 PNCs
•
ENSURING SAFE DELIVERY AT HOME
– TBAs/ANMs EQUIPPED WITH DISPOSABLE DAI KITS
•
24 HR DELIVERY SERVICES IN IDENTIFIED PHCs
–
–
–
–
–
DURING 2008-09 25 MORE PHCs TO BE STRENGTHENED 75 PHCS
ALREADY TAKEN UPTO 2007-08
INFRASTRUCTURE SUPPORT
FEMALE MEDICAL OFFICERS AND STAFF NURSES ON CONTRACT
GENERATOR FACILITIES TO BE PROVIDED
PROVISION OF TELEPHONE FACILITIES
Contd…
21
PART A
RCH-II
MATERNAL HEALTH
24 HR CEmONC SERVICES IN SELECTED CHCs
• 50 CHCs STRENGTHENED FOR CEmONC SERVICES
UPTO 2007-08
• 10 MORE CHCs ARE PROPOSED TO BE TAKEN UP IN
08/09.
• 5 STAFF NURSES PER CHC TO BE RECRUITED- ON
CONTRACT
• OBSTETRICIAN, PEDIATRICIANS, OT ASSISTANTS ON
CONTRACT
• ANAAESTHETISTS ON CALL BASIS FROM A PANEL
• NEW BORN CARE CORNERS IN THE IDENTIFIED CHCs.
• BLOOD STORAGE UNITS IN THE IDENTIFIED CHCs.
Contd…
22
PART A
RCH-II
JANANI SURAKSHA YOJNA
RS. 216 LAKH HAS BEEN PROPOSED DURING THE FY 08/09
• IMPLEMENTATION TO BE AS PER GOI GUIDELINES
• PAYMENTS TO BE THROUGH BEARER CHEQUES
ACCREDITED
(ASHA)
SOCIAL
HEALTH
ACTIVIST
• TOTAL 13190 ASHAs SELECTED. RS. 780 LAKH
PROPOSED DURING THE FY 08/09 FOR INCENTIVES,
TRAININGS AND SUPPLY OF DRUG KITS.
• ASHA RESOURCE CENTRE AS A PART OF THE STATE
RESOURCE CENTRE TO BE ESTABLISHED. RS. 76
LAKH PROPOSED FOR THIS IN THE FY 08/09
23
PART A
RCH-II
CHILD HEALTH
RS. 630.89 LAKH HAVE BEEN PROPOSED DURING THE FY 08/09
–
NEW PROGRAMME OF INTEGRATED MANAGEMENT OF NEONATAL AND
CHILDHOOD ILLNESSES (IMNCI) IN 4 DISTRICTS (AMRITSAR, TARAN
TARAN, LUDHIANA AND PAITALA)- ALREADY LAUNCHED
–
STRENGTHENING IMNCI CELL AT STATE & 4 DISTRICTS BY PROVIDING
DATA RECORDING & ANALYSIS SUPPORT AND TRAINING FACILITIES.
–
IMNCI TRAINING FOR 22 TOTs, 360 MOs, 76 SNs, 335 LHVs AND 967
ANMs, 780 AWW (IDENTIFIED DISTRICTS) & DIOs OF ALL 20 DISTRICTS
–
STRENGTHENING
IMMUNIZATION)
–
25 NEW BORN CARE CENTRES ESTABLISHED AT CHC LEVEL, TOTAL 35
MORE TO BE ESTABLISHED UPTO 2008-09.
–
DISTRIBUTION WITH TRAINING OF MANUAL MUCUS SUCKERS TO SBAs
–
PROMOTION OF EXCLUSIVE BREAST FEEDING THROUGH IEC AND
FOCUSED GROUP DISCUSSIONS
–
PROMOTION OF DELIVERIES BY SBAs BY PROVIDING TRAININGS AND
SENSITIZATION THROUGH IEC ACTIVITIES
OF
IMMUNISATION
SERVICES
(DETAILS
UNDER
25
BREAST FEEDING SCHEME
RS. 188.04 LAKH PRPOSED DURING THE FY 08/09
• State-wide behaviour change effort to promote
breastfeeding by involving all grass root workers
(ANMs/ AWWs/ ASHAs).
• At PHC level Medical Officer, staff nurse to be
sensitized.
• ANMs/Male Health Workers to counsel mothers for
breast-feeding.
• Booklets to mothers on exclusive breast-feeding.
• Train ASHAs, TBAs, AWWs, ANMs, LHVs, Male
Workers to improve their counselling skills for
breast-feeding
• Adequately qualified ASHAs to be trained as breastfeeding counsellor at CHC level
• Supplementary diet in kind to BPL/ SC/ ST mothers
for promoting breast-feeding.
26
PART A
RCH-II
FAMILY PLANNING
RS. 1063.32 LAKH PRPOSED DURING THE FY 08/09
– DISSEMINATION OF REVISED MANUALS ON STERILIZATION
STANDARDS AND QUALITY ASSURANCE OF STERILIZATION
SERVICES
– ORGANIZING FEMALE STERILIZATION & IUD INSERTION
CAMPS IN DISTRICTS -ONE CAMP PER MONTH PER BLOCK– ORGANIZING NSV CAMPS – 40 CAMPS PER MONTH IN THE
STATE
– PRINTING OF STERILIZATION FILES, PRINTING OF CARDS,
INSURANCE MANUALS AND PURCHASE OF COMPUTERS-
CONTINUES PROCESS
– PROCUREMENT OF NSV SETS & LAPAROSCOPES- REPAIR OF
LAPAROSCOPES
– COMPENSATION PACKAGE FOR STERILIZATION / IUD AS PER
GOI GUIDELINES
27
PART A
RCH-II
ARSH
RS. 27.07 LAKH PROPOSED DURING THE FY 08/09
–
NEW PROGRAMME INTRODUCED BY GOI FROM YEAR 2007-08.
–
6 DISTRICTS COVERED DURING 2008-08.
–
SEVEN MORE DISTRICTS TO
(GURDASPUR,
FARIDKOT,
KAPURTHALA,MOHALI,PATIALA).
–
ADOLESCENT FRIENDLY HEALTH SERVICES THROUGH 640 SPECIAL CLINICS
(PHCs, CHCs, CIVIL HOSPITALS AND SELECTED SUB CENTRES) TO BE
PROVIDED I.E. MANAGEMENT AND TREATMENT OF ANEMIA, MENSTRUAL
DISORDERS, TT IMMUNIZATION, NUTRITION COUNSELING, MANAGEMENT &
TREATMENT OF RTIs/STIs AND REDUCING THE INCIDENCE OF HIV/AIDS
–
PRINTING OF ARSH IEC MATERIAL FOR DISSEMINATION TO HEALTH CARE
PROVIDERS & STAKEHOLDERS
–
PRINTING OF GUIDELINES, HANDOUTS, FACILITATOR GUIDES FOR MOs ,
ANMs, LHVs
–
STATE LEVEL WORKSHOP
–
UNDER IEC ACTIVITIES ADVOCACY WORKSHOP AT 7 DISTRICTS & ALL
BLOCKS IN THE SELECTED DISTRICTS
BE COVERED
MUKATSAR,
IN
THE YEAR
FATEGARH
2008-09
SAHIB,
28
PART A
RCH-II
URBAN RCH
Rs.116.40 LAKH PROVIDED DURING THE FY
08/09
– CONTRACTUAL
APPOINTMENT
OF
230
MPHWs IN SLUM AREAS OF THE STATE TO
CONTINUE
– OUT REACH CAMPS 6 CAMPS PER DISTRICT
IN 08/09
– MOBILITY ALLOWANCE @ RS. 500/- PER
MONTH PER MPHW TO CONDUCT HOUSE TO
HOUSE
SURVEYS
AND
SPECIAL
IMMUNIZATION DRIVES TO REDUCE DROP
OUTS.
29
PART A
RCH-II
PNDT & SEX RATIO
Rs. 97.57 LAKH PROVIDED DURING THE FY 08/09 :
– THIRD PARTY SURVEY FOR SEX RATIO AT BIRTH
– ORGANIZATION OF SEMINARS, WORKSHOPS OF PROMINENT
PERSONALITIES ON THE DECLINING SEX RATIO
– MANPOWER & OPERATIONAL SUPPORT FOR PNDT CELL AT THE
STATE HQ BY INDUCTION OF A LAWYER, SOCIAL SCIENTIST,
– ANNUAL ANALYSIS OF SEX – RATIO IN THE STATE ON THE
BASIS
OF
INSTITUTIONAL
DELIVERIES
AND
CIVIL
REGISTRATION DATA.
– MONITORING OF SEX RATIO AT BIRTH THROUGH ASHA.
– MONITORING OF ENFORCEMENT OF PNDT ACT THROUGH
MOBILITY SUPPORT TO STATE & DISTRICT LEVEL OFFICERS
(POL)
– AWARD MONEY FOR INFORMERS @ RS. 20,000/- & PROVISION
FOR DECOY PATIENTS- @ RS. 10,000/- .
– AWARD TO PANCHAYATS – Rs. 1.5 LAC, 2 BEST PERFORMING
PANCHAYATS IN EACH DISTRICT.
30
PART A
RCH-II
INNOVATIONS / PPP / NGO
Rs. 468.50 LAKH PROPOSED DURING THE FY 08/09
– MNGO & NGO (SNGO)
– SELECTION OF MNGOs AND SNGOs FOR DIFFERENT DISTRICTS - 11
MNGOS SELECTED COVERING 14 DISTRICTS OUT OF 20
COMPLETED, REAMINING 6 TO BE COVERED DURING FY 08-09
– PREPARATORY GRANT TO NEWLY SELECTED MNGOs
PROPOSAL DEVELOPMENT @ Rs. 1.00 LAKH PER MNGO.
FOR
– Ist INSTALMENT OF GRANT-IN-AID FOR 18 MONTHS TO NEWLY
SELECTED MNGOS
– IInd INSTALMENT OF GRANT-IN-AID FOR 12 MONTHS TO Already
EXISTING MNGOs
– Ist INSTALMENT OF GRANT-IN-AID FOR 18 MONTHS TO EXISTING
SNGOs
– PREPARATORY GRANT TO
PROPOSAL DEVELOPMENT
NEWLY
SELECTED
SNGOs
FOR
– PPP INOVATIONS FOR CEmONC
YOJNA (SJY)
SERVICES – SURAKHIT JANEPA
– PROMOTIONAL
ACTIVITIESMEETINGS OF MNGOs/ SNGOs.
SEMINARS/WORKSHOPS/REVIEW
31
PART A
RCH-II
SURAKHIT JENEPA YOJNA (SJY) FOR
BPL/ SC WOMEN
Rs.200 LAKH PROPOSED DURING THE FY 08/09.
– CONTRACTING
OUT
ACCREDITED
PRIVATE
PRACTITIONERS/NGOs FOR PROVISION OF ANC/PNC/
MATERNITY SERVICES IN UNSERVED/UNDERSERVED
RURAL/URBAN AREAS
– IDENTIFICATION
/REGISTRATION
/TRACKING
OF
BENEFICIARIES BY ANM/ AWW/ ASHA AND MO I/c OF
THE CONCERNED PHC/CIVIL DISPENSARY ETC.
– AVERAGE FIXED RATE FOR ECH DELIVERY (NORMAL,
CAESAREAN OR COMPLICATED) INCLUDING ANC, PNC,
MEDICINES, TRANSPORT, LINK WORKER INCENTIVE
REFERRAL ETC.
32
PART A
RCH-II
LOGISTICS
Rs. 78.85 LAKH PROPOSED DURING THE FY 08/09
–
–
POL FOR TRANSPORTATION OF SUPPLIES FROM STATE UP TO SUB CENTRE
LEVEL
STRENGTHENING OF WAREHOUSE FACILITIES.
HMIS
Rs. 474.44 LAKH PROPOSED DURING THE FY 08/09
• STRENGTHENING OF HMIS SYSTEM
COMPUTERS & PERIPHERALS
AT
STATE
LEVEL
BY
PROVIDING
• 173 COMPUTER OPERATORS ON CONTRACT RECRUITED- 2 PROGRAMMERS 2
HARDWARE SUPERVISORS, 1 SYSTEM ANALYST ON CONTRACT TO BE
RECRUITED – 1 HARDWARE SUPERVISOR ALREADY RECRUITED
• OPERATIONALIZATION OF NEW MIES FORMATS
• INTERNET CONNECTIVITY UPTO BLOCK LEVEL
• NEED ASSESSMENT STUDY ON STRENGTHENING HMIS.
• MID TERM
AGENCIES.
AND
ENDLINE
EVALUATION
STUDY
THROUGH
EXTERNAL
• ESTABLISHING CRS, PRESERVATION AND DIGITALIZATION OF CRS REPORTS
• PRINTING OF NEW FORMATS, COMPILATION SHEETS AND PUBLICATION AND
DISSEMINATION OF STATE LEVEL REPORTS ON VARIOUS HEALTH
INDICATORS.
• TRAINING AND MONITORING BY THE M & E TEAM.
33
PART A
RCH-II
QUALITY ASSURANCE
Rs. 22.76 LAKH PROPOSED DURING THE FY 08/09
– QUALITY ASSURANCE COMMITTEES
DISTRICT AND BLOCK LEVEL
AT
STATE,
– PATIENT
SATISFACTION
SURVEY
WILL
CONDUCTED THROUGH PRIVATE AGENCY
BE
– PURCHASE OF HOT AIR OVENS, AUTOCLAVES,
NEEDLE SYRINGE DESTROYERS FOR 60 CHCs AND
100 PHCs
– TRAINING FOR MANAGEMENT OF WASTE
– TRAINING
OF
STAFF
FOR
TREATMENT OF MEDICAL WASTE
SEGREGATION
&
– ENACTMENT OF NURSING HOME REGISTRATION ACT
34
PART A
RCH-II
TRAININGS
RS. 543.88 LAKH PROPOSED DURING THE FY 08/09
– REPAIR & RENOVATION OF SIHFW, ANM-TCs D-TCs AND
PROVISION OF TRAINING AIDS
– 5 FACULTY POSTS ON CONTRACT
– PREPARATION OF TRAINING MATERIAL AND OPERATIONAL COST
OF SIHFW
– TRAININGS PLANNED FOR THE YEAR 2008-09 AND
ACHIEVEMENTS TILL DATE :
• PDC TRAINING FOR 80 DISTRICT LEVEL OFFICERS• BCC SKILL BUILDING TRAININGS FOR 300 MOS – YET TO BE
TRAINED
• BCC SKILL BUILDING TRAININGS ANMS+ LHVS+ HW(M)+ HS (M) +
BEE + DY. MEIO
• SBA TRAINING OF ANMS LHVS
• TOT ARSH TRAINING FOR 28 STATE AND DISTRICT MANAGERS,
• 288 MOS, 180 ANM, LHV,
MPHW (M), AWW OF THE DISTRICTS
IDENTIFIED DURING 2007-08.
• 360 MOS 840 ANMS/LHVS TO BE TRAINED IN THE YEAR 2008-09
• SBA TRAINING FOR 60 ANM, 60 LHV, 60 SN – 15 ANM, 15 LHV, 15 SN
TRAINED; 100 MO (PHC)35
PART A
RCH-II
TRAININGS
• LIFE SAVING ANESTHESIA SKILLS
–
TOT FOR ANESTHESIA SKILL TRAINING
–
TRAINING OF MBBS DOCTORS IN LIFE SAVING SKILLS- 18
BATCH
–
ORIENTATION OF TRAINING OF 40 DISTRICT ANESTHETIST-
•
•
•
•
•
CONTRACEPTIVE UPDATE TRAINING FOR 1200LHV/ANM –
CONTRACEPTIVE UPDATE TRAINING FOR 1200 HW (M)IUD INSERTION TRAINING TO 1200 LHV/ANMS
MTP TRAINING FOR 120 MOS
RTI/STI TRAININGS FOR 30 DISTRICT PROGRAMME
OFFICERS, 800 MOS, 1200 SNS/ANM/LHV.
• TRAINING OF MOS, PARA MEDICS ON ADOLESCENT
REPRODUCTIVE AND SEXUAL HEALTH.
• IMEP TRAINING FOR MOS AND PARA MEDICS.
• INDUCTION TRAINING OF DPMU
• INTEGRATED NRHM TRAINING FOR MOs OF ‘PRIVATE
SERVICE PROVIDERS’ SCHEME
36
PART A
RCH-II
BEHAVIOUR CHANGE COMMUNICATION
RS. 352.50 LAKH PROPOSED DURING THE FY 08/09
–
STRATEGIES FOR INTRA COMMUNICATION DESIGNED AND RS 33.92 LACS
PROPOSED
–
PRINTING OF BOOKLETS FOR ADOLESCENTS ON ARSH ISSUES.
–
IMPLEMENTATION OF BCC STRATEGY AS PER GOI GUIDELINES
–
FOCUS GROUP DISCUSSIONS, WALL PAINTINGS, HOARDINGS, FOLDERS,
POSTERS, RADIO/TV COVERAGE, NEWSPAPERS ADDS & FOLK MEDIA FOR
COMPONENTS OF MATERNAL HEALTH, CHILD HEALTH, FAMILY PLANNING,
JSY, ARSH, WATER AND SANITATION, GENDER AND SEX RATIO
–
ADVOCACY WORKSHOP AT STATE, DISTRICT & BLOCK LEVEL ON ISSUES
OF EARLY REGISTRATION OF PREGNANCY, ANC AND INSTITUTIONAL
DELIVERY
–
FLIP BOOK FOR NEONATAL CARE AND NSV ETC.
–
STRENGTHENING OF BCC/IEC BUREAU (STATE & DISTRICT LEVEL)
–
SCHOOL BASED ACTIVITIES ON SANITATION PURCHASE OF EXHIBITION
STAND AND DIGITAL CAMERA.
–
EDUCATIONAL MATERIAL FOR LIFE STYLE DISEASES
37
S. NO
A: RCH-II BUDGET FOR THE YEAR: 2008-09
(RS IN LAKHS)
ACTIVITY
BUDGET
1
MATERNAL HEALTH + JSY
496.84
2
CHILD HEALTH
630.89
3
FAMILY PLANNING
4
ADOLESCENT HEALTH
5
URBAN RCH
116.40
6
ASHA
820.14
7
PNDT
97.57
8
INNOVATIONS/PPP/NGOS
9
INFRASTRUCTURE AND HUMAN RESOURCE
10
INSTITUTIONAL STRENGTHENING
576.05
11
TRAINING
543.88
12
BCC/IEC
352.50
13
PROCUREMENT
505.44
14
PROGRAMME MANAGEMENT
567.22
15
Flexi pool
100.00
TOTAL (EXCLUDING COMPENSATION FOR
STERILIZATION)
1063.32
27.07
468.50
1787.40
8153.2138
38
PART B- NEW INITIATIVES UNDER NRHM
VILLAGE
HEALTH
COMMITTEES
&
SANITATION
RS.1230 LAKH PROPOSED.
– DISSEMINATION OF GUIDELINES OF VHSC IN
LOCAL LANGUAGES.
– PROVISION FOR UNTIED FUND @ RS. 10000/- PER
VHSC PER ANNUM.
UNTIED FUNDS FOR SUB CENTRES, PHCS, CHCS
– RS. 10,000/ P.A. PER SUB CENTRE FOR 2862 SUB
CENTRES.
– RS. 25,000/- P.A. PER PHC FOR 484 PHCs
– RS. 50,000/- P.A. PER CHC FOR 128 CHCs
39
PART B- NEW INITIATIVES UNDER NRHM
ANNUAL MAINTENANCE GRANTS
RS.
615
LAKH
PROPOSED
MAINTENANCE GRANTS.
FOR
ANNUAL
– @ RS. 10000/- P.A. PER SUB CENTRE
– @ RS. 50000/- P.A. PER PHC.
– @ RS. 100000/- P.A. PER CHC
MOBILE MEDICAL UNITS (MMUs)
– RECURRENT COST FOR 20 MMUs @ RS. 397.40
LAKH P.A. Rs. 397.40 LAC PROPOSED FOR FY 08-09
– RECURRENT COST FOR SALARIES, MEDICINES etc
FOR 20 MMUs
40
PART B- NEW INITIATIVES UNDER NRHM
UPGRADATION OF CHCs TO IPHS
Rs. 2359.01 LAKH PROPOSED DURING THE FY 08/09
– 42 CHCS IN WHICH ADEQUATE INFRASTRUCTURE
COULD NOT BE PROVIDED UNDER THE WORLD BANK
PROJECT DUE TO CONSTRAINT ON FUNDS WILL BE
TAKEN UP FOR UPGRADATION IN PHASES UPTO YEAR
2012.
– NEW ADDITIONAL 1 CHC TO BE CONSTRUCTED in 200809.
– EQUIPMENT, FURNITURE FOR ALL CHCS AS PER IPHS
NORMS IN PHASES.
– PROVISION FOR DRUGS @ RS. 10.00 LAKH P.A. PER CHC
(50% CHCS) RS. 560 LAKH.
– MOBILITY SUPPORT FOR MO FOR HOLDING CLINICS IN
PHCs @ RS. 48000/- P.A. PER PHC.
– MANPOWER SUPPORT AS PER IPHS NORMS IN PHASES
41
PART B- NEW INITIATIVES UNDER NRHM
UPGRADATION
SERVICES
OF
PHCs
FOR
24
HRS
RS. 2570.93 LAKH PROPOSED DURING THE FY 08/09
– EQUIPMENT & FURNITURE FOR 578 PHCS IN PHASES
– DRUGS @ RS. 3.00 LAKH PER PHC P.A.
– SALARY FOR NEW STAFF AS PER IPHS NORMS IN PHASES.
UPGRADATION OF SUB CENTRES
RS. 3553.82 LAKH PROPOSED DURING THE FY 08/09
– CONSTRUCTION OF 403 EXISTING SCs LOCATED IN RENTED
BUILDINGS IN PHASES OUT OF WHICH 50 TO BE TAKEN UP IN
2008-09.
– 900 EXISTING SCs NEED RESTORATION, OUT OF WHICH 77
WILL BE TAKEN UP IN 2008-09
– CONSTRUCTION OF 615 SCs REQUIRED AS PER IPHS NORMS.
– SALARY OF ANMS ONE ADDITIONAL ANM IN ALL EXISTING
2862 SCs. 2 ANM FOR 615 NEW SCs.
42
PART B- NEW INITIATIVES UNDER NRHM
UPGRADATION OF SHCs
DELIVERY SYSTEM)
(ALTERNATE HEALTH
– DRUGS FOR 1310 SHCS Rs.600 LAKH.
UPGRADATION OF SDH/FRUs
Rs. 300 LAKH PROPOSED DURING THE FY 08/09
– EPAIR, RENOVATION, ALTERNATION OF SDHs.
UPGRADATION OF DISTRICT HOSPITALS
Rs. 370 LAKH PROPOSED DURING THE FY 08/09 (TOTAL 3700 LAKHS)
PHASED OUT IN PLAN PERIOD
– THREE NEW DISTRICTS CREATED WHERE THE EXISTING SDHs
ARE TO BE UPGRADED TO 100 BEDDED DHs.
– HOSPITALS AT GURDASPUR AND LUDHIANA TO BE UPGRADED
TO 200 BEDDED HOSPITALS IN PHASES
43
PART B- NEW INITIATIVES UNDER NRHM
SCHOOL HEALTH
• PROVISION FOR SCREENING OF ALL THE
SCHOOL CHILDREN FOR WHICH RS. 500
LAKH HAVE BEEN PROPOSED.
ROGI KALYAN SAMITIS
• PROVISION FOR PRINTING OF GUIDELINES
OF RKS IN LOCAL LANGUAGE
• ANNUAL CONVENTION OF RKSs.
44
PART B- NEW INITIATIVES UNDER NRHM
BUDGET FOR THE YEAR: 2008-09
ACTIVITY
S. NO
(RS IN LAKHS)
BUDGET
1230.00
1
VILLAGE HEALTH & SANITATION COMMITTEES
2
SC UNTIED FUND & MAINTENANCE
286.20
3
PHC UNTIED FUND & MAINTENANCE
121.00
4
CHC UNTIED FUND & MAINTENANCE
64.00
5
ANNUAL MAINTENANCE GRANT
615.20
6
MOBILE MEDICAL/ HEALTH UNITS
397.40
7
UP-GRADATION OF CHC
2359.01
8
UP-GRADATION OF PHC
2570.91
9
UP-GRADATION OF SC
3553.82
10
UP-GRADATION OF SHC
600.00
11
UP-GRADATION ON SDH/ FRUS
300.00
12
UP-GRADATION OF DH
370.00
13
SCHOOL HEALTH
500.00
14
ROGI KALYAN SAMITIES
15
Strengthening of Prog. Management
16
Strengthening of Logistics Mgmnt.
12.33
TOTAL B
476.56
50.00
13506.45
PART C- IMMUNIZATION
•
ALTERNATE VACCINE DELIVERY, MOBILIZATION OF CHILDREN, SLUMS
AND UNDER SERVED AREAS, STRENGTHENING AND MONITORING,
COMPUTERIZATION AS PER GOI GUIDELINES.
•
STATE SPECIFIC STRATEGIES
•
SOCIAL
MOBILIZATION
TO
INCREASE
UNCOVERED AND LEFTOVER CHILDREN
•
ENHANCED IMMUNIZATION COVERAGE AND URBAN AND PERI URBAN
COLONIES
•
WASTE DISPOSAL PLAN AT PHCS LEVEL
•
TOTALLY MICRO-PLAN BASED AT THE SUB-CENTRE LEVEL
•
VISITING UNCOVERED AREAS BOTH URBAN AND RURAL
MOBILE TEAMS
•
PULSE-POLIO DRIVE STRATEGY USED IN UNCOVERED URBAN AREAS
•
MONITORING AND SUPERVISION AT STATE, DISTRICT AND PHC LEVEL
•
IDENTIFICATION & COVERAGE OF SLUMS AREAS
•
STATE WIDE IMMUNIZATION IN PARTIALLY COVERED/ UNCOVERED AREAS
ON SATURDAYS
•
TRAINING /ORIENTATION OF DIO/DFPO AND OTHER FUNCTIONARIES
AWARENESS
TO
SERVE
THROUGH
46
PART C- IMMUNIZATION
BUDGET FOR THE YEAR: 2008-09
(RS IN LAKHS)
SR.
NO.
ACTIVITY
BUDGET
1
ALTERNATIVE VACCINE DELIVERY
90.05
2
MOBILIZATION OF CHILDREN BY
AWW/TBA/ASHA
55.30
3
STRENGTHENING OF MONITORING
AND SUPERVISION
4
COMPUTER ASSISTANT TO DIOS,
ADDITIONAL SUPPORT FOR SLUMS &
UNDERSERVED AREA AND REVIEW
MEETINGS
TOTAL
9.18
97.40
251.93
47
PART D- NDCP
RNTCP
•
•
•
•
•
PUNJAB IS MAINTAINING CURE RATE MORE THAN 85%
CASE DETECTION RATE IS 60%, TARGET TO INCREASE IT TO 70% DURING 08/09.
TRAINING FOR HEALTH FUNCTIONARIES ON T.B/HIV
INVOLVEMENT OF NGOS AND PPP
RS. 606.67 PROPOSED / BUDGET RECEIVED TO 739.68 AS PER APPRAISAL BY THE
SUB GROUP.
NLEP
•
•
•
•
•
PUNJAB IS THE LOW ENDEMIC STATE BECAUSE OF PR 0.32 PER 10,000 POPULATION
WHICH IS MUCH BELOW THE NATIONAL PR OF 0.7
ACTIVITIES FOR IEC, TRAININGS ARE TO BE UNDERTAKEN
INCENTIVE FOR DETECTION OF LEPROSY CASE @ RS. 100/- PER CASE.
SUPPORTIVE MEDICINES AND SUPPLIES
PROGRAMME STRATEGY AS PER GOI GUIDELINES.
NPCB
•
•
•
•
•
•
PR IN STATE IS 0.7% (NATIONAL PR IS 0.8%)
PURCHASE AND INSTALATION OF PHACO MACHINES
STRENGTHENING AND SUUPLIES TO NEW VISION CENTRES IN ALL 20 DISTRICTS.
SUPPLY OF SPECTACLES AND OTHER SUPPLIES UNDER SCHOOL EYE CARE
PROGRAMME
EYE DONATION CAMPS.
TRAINING OF OPHTHALMOLOGICAL SURGERY (TO BE ORGANIZED BY GOI)
48
PART D- NDCP
IDDCP
• PUNJAB IS THE LOW ENDEMIC STATE FOR IODINE DEFICIENCY
DISEASE
• STATE HAS ESTABLISHED AN IDD MONITORING LAB IN
CHANDIGARH FOR IODINE ESTIMATION OF SALT SAMPLES
• STATE HAS CONDUCTED SURVEY FOR DETECTION OF IODINE
DEFICIENCY DISORDERS IN 2007 IN FOUR DISTRICT NAMELY
ROPAR, FG SAHIB, N.SHAHAR AND BATHINDA: IDD : 5.33% IN
ROPAR, 0.02% IN NAWANSHAHAR, 0.2% IN F.G. SAHIB AND 2.33% IN
BATHINDA.
• IEC ACTIVITIES FOR THE PROGRAMME
NVBDCP
•
•
•
•
•
•
•
•
ACTIVE & PASSIVE SURVEILLANCE …
RAPID RESPONSE TEAMS AND CONTROL ROOMS.
MALARIA CLINICS – 673 AS PER NATIONAL NORMS COMPLETE
MAINTENANCE OF HATCHERIES AT DISTRICT LEVEL
TRAINING OF MOS AND PARA MEDICS
100% COVERAGE OF MALARIA +VE CASES
STRATEGY – AS PER GOI GUIDELINES
AUGMENTATION OF MANPOWER, TRAINING AND INTRODUCTION OF
PPP & PROVISION OF LOGISTICS
49
PART D- NDCP
IDSP
• SYNDROMIC SURVEILLANCE FOR COMMUNICABLE
DISEASES LAUNCHED
• REPORTING OF EARLY WARNING SIGNALS
OUTBREAKS ON WEEKLY BASIS STARTED
• IDENTIFICATION
LABORATORY DONE
OF
DISTRICT
OF
HEALTH
• ELISA READER MACHINE AT 20 SITES
• INFRASTRUCTURE UPGRADATION ALL DSUS
• TRAINING OF AYUSH MOS
• TRAINING AND CAPACITY BUILDING OF MEDICAL
OFFICERS AND PARA MEDICALS
50
PART D- NDCP
BUDGET FOR THE YEAR: 2008-09
(RS IN LAKHS)
S.NO
ACTIVITY
BUDGET
1
NATIONAL TB CONTROL PROGRAMME (RNTCP)
739.68
2
NATIONAL LEPROSY ERADICATION PROGRAMME
(NLEP)
210.58
3
INTEGRATED DISEASE SURVEILLANCE
PROGRAMME (IDSP)
222.46
4
NATIONAL IODINE DEFICIENCY DISORDER
CONTROL PROGRAMME (NIDDCP)
5
NATIONAL VECTOR BORNE DISEASE CONTROL
PROGRAMME (NVBDCP)
513.56
6
NATIONAL BLINDNESS CONTROL PROGRAMME
(NBCP)
670.00
TOTAL
20.00
2376.28
51
51
PART E- INTERSECTORAL CONVERGENCE
RS. 1412.67 LAKH HAS BEEN PROPOSED FOR THE FY
08/09
AYUSH
–
TO MEET THE HEALTH NEEDS AND HARNESS
THE POTENTIAL OF INDIGENOUS HEALTH
KNOWLEDGE CONVERGENCE WITH AYUSH
–
CONTRACTUAL
APPOINTMENT
OF
AYUSH DOCTOR (IN PHASED MANNER)
ONE
–
CONTRACTUAL
APPOINTMENT
AYUSH DOCTORS (HOMEOPATHY)
ONE
OF
52
INNOVATIONS FOR VUNERABLE POPULATION
• OUTREACH CAMPS TO BE HELD 20 IN EVERY MONTH @
RS 10000 PER CAMP FOR PROVIDING FAMILY WELFARE
SERVICES AND DISSEMINATION OF INFORMATION ON
RCH COMPONENTS AND ALSO COUNSELLING ON
VARIOUS ISSUES LIKE FP, ADOLESCENT HEALTH AND
EARLY REGISTRATIONS OF PREGNANCIES
• AUDIENCE SPECIFIC COMMUNICATION MATERIAL IN
URDU, PUNJABI PERTAINING TO THEMES LIKE AGE AT
MARRIAGE, IMMUNIZATION, STERILIZATION, CC USE,
IUD, OCP, MALE INVOLVEMENT, CHILD HEALTH ISSUES
(PAMPHELETS, HOARDINGS, WALL PAINTINGS)
• MEETINGS/WORKSHOPS
OPINION LEADERS
WITH
STAKEHOLDERS
AND
• PEER EDUCATOR
• SPECIAL PROGRAMME FOR CONTROL OF CANCER IN
THE MALWA REGION
• STRENGTHENING OF TB CENTER AT PATIALA
53
OVERALL BUDGET
PART
PARTICULARS
AMOUNT
(RS. IN LAKH)
A)
RCH – II
B)
NEW INITIATIVES UNDER NRHM.
C)
STRENGTHENING OF
IMMUNIZATION
D)
NATIONAL
DISEASE
PROGRAMME
E)
INTERSECTORAL CONVERGENCE
1412.67
F)
CENTRALLY SPONSORED SCHEMES
7164.00
TOTAL =
8153.21
13506.45
251.93
CONTROL
2376.28
32864.54
54
THANK YOU