F. No. M-11011/4/2010 NRHM- III Government of India ...

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F. No. M-11011/4/2010 NRHM- III

Government of India Ministry of Health & Family Welfare

Department of Health & Family Welfare Nirman Bhawan, New Delhi

Dated: 30th April’2010

To, The Mission Director, (NRHM) Government of Manipur

Subject: Approval of State Programme Implementation Plan of NRHM for the year 2010-11

Madam/Sir,

Please refer to your letter submitting draft Programme Implementation Plan (PIP) for

the year 2010-11 and the discussions of the same in the meeting of NPCC held on 10/03/2010 at

New Delhi and subsequent deliberations1.

2. The administrative approval of the PIP for your State is conveyed for an amount of Rs

97.13 Crore (Rupees Ninety Seven Crore and thirteen lakhs only). (Detail at Table C below)

against the resource envelope available comprising of the following:-

Table A

Likely Uncommitted Unspent Balance Available

under NRHM as on 1.4.2010

Rs. 2.00 Crore

GOI Resource Envelope for 2010-11 under NRHM (on

a 15% higher than current year’s Budget Estimate for

over planning purpose)2

Rs. 98.27 Crore

15% State share Rs. 15.08 Crore

Total Rs. 115.35 Crore

1.Budgets may be realigned within 3 months of the issue of the Order, to achieve Monitorable Targets indicated in Attachment F, in case there has been inadequate provision in the PIP, to meet national goals. 2. The actual resource allocation shall be in accordance with the budgetary allocation of 2010-11 and may be lower than the resource envelope being approved

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The Resource Pool wise break up of total NRHM resources is as follows:

(Rs. in Crore)

Table B

Sl No. Likely Uncommitted Unspent balance available as on 1.4.2010

GoI Resource Envelope under NRHM

Total

1 RCH Flexible Pool Nil Rs. 27.66 Cr. Rs. 27.66 Cr.

2 NRHM Flexible Pool Nil Rs. 29.36 Cr. Rs. 29.36 Cr.

3 Immunization ( from RCH Flexible Pool)

4 NVBDCP Nil Rs. 3.51 Cr. Rs. 3.51 Cr.

5 RNTCP Nil Rs. 2.56 Cr. Rs. 2.56 Cr.

6 NPCB Nil Rs. 2.30 Cr. Rs. 2.30 Cr.

7 NLEP Nil Rs. 0.50 Cr Rs. 0.50 Cr

8 IDSP Nil Rs. 0.37 Cr. Rs. 0.37 Cr.

9 NIDDCP Nil Rs. 0.36 Cr Rs. 0.36 Cr

10 Director & Admn. (Treasury route)

Nil Rs. 17.65 Cr. Rs. 17.65 Cr.

11 PPI Oper. Cost Nil Rs. 1.18 Cr Rs. 1.18 Cr

12 15% State share Rs. 2.00 Cr. Rs. 15.08 Cr Rs. 17.08 Cr

13 15% over and above GoI resource envelope for purpose of PIP approval

Nil Rs. 12.82 Cr Rs. 12.82 Cr

Total Rs. 2.00 Cr. Rs. 113.35 Cr. Rs. 115.35 Cr.

Committed Unspent Balance up to 2009-10 to be Revalidated in 2010-11

Rs. 14.50 Crore

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SUMMARY OF APPROVAL

(Details provided in respective Annexes)

Table C

Scheme/Programme Approved Amount ( In Rs. Crore)

1. RCH Flexible Pool (Details at Attachment A)

25.20

2. NRHM Mission Flexible Pool (Details at Attachment B)

42.69

3. Immunization ( from the RCH Flexible Pool) (Details at Attachment C)

1.19

4. NVBDCP (Details at Attachment D)

3.97

5. RNTCP (Details at Attachment D)

2.91

6. NPCB (Details at Attachment D)

0.72

7. NIDDCP (Details at Attachment D)

0.36

8. IDSP (Details at Attachment D)

0.81

9. NLEP (Details at Attachment D)

0.45

10 PPI Operation Cost 1.18 11 Infrastructure Maintenance 17.65 TOTAL 97.13

In addition to above following activities under NPPCD for provisioning of funding from

National Programme for Prevention and Control of Deafness.

Scheme/Programme Approved Amount ( In Rs. Crores)

12 NPPCD/Mental Health/ Tobacco/etc

(Details at Attachment E)

0.51

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3. The above approval is subject to the following mandatory requirements. Non

compliance to any of the following requirement may entail in suspension of grant to the

State.

A. Monitoring Requirements

1. State/UT shall ensure submission of quarterly report on the Measurable

Target/indicators at the end of every quarter as per Attachment F and expected outputs

stated in the Record of Proceeding in Annexures of Attachment G. Budgets may be

realigned within 3 months of the issue of the Order to achieve Monitorable Targets

indicated in Attachment F in case there has been inadequate provision in the PIP, to

meet national goals,

2. All approvals are subject to the observations made in the RoP of NPCC for NRHM

(Attachment G) which is inclusive of commodity grants under Disease Control

Programme in the respective Annexures.

B. Human Resource

3. All Posts under NRHM shall be on contract and for the Plan period. All such

appointments would be for a particular facility and non transferable in nature. Priority

in contractual recruitments and placements would be for backward districts, difficult,

most difficult and inaccessible health facilities.

4. All States would ensure that appropriate skill mix of human resource is made available

to ensure provision of minimum service guarantee to health facilities. All professionals

multi skilled under NRHM shall be placed in facilities where the skills can be utilized.

5. State shall submit action plan for recruitment, deployment and training of human

resources within six months from the issue of the Order.

C. Infrastructure

6. All civil works undertaken to achieve IPHS standards, would be based on expected

patient load and priority would be accorded to inaccessible and remote areas as per

prescribed criteria.

7. In all new constructions, care should be taken to ensure that the location of these

facilities are such that beneficiary households can access them easily. They should

preferably be located in the midst of habitation and definitely not in agriculture fields,

and outskirts of villages, under any circumstances. Any deviation from the above would

be treated as ineligible expenditure under NRHM.

8. All new constructions would require prior approval of GoI if names of facilities have not

been mentioned in the NRHM-PIP, and also if any shift is proposed. No shift from

backward and inaccessible areas would be allowed.

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9. The State shall set up implementation arrangement to monitor all civil works being

undertaken, on a monthly basis, to ensure quality of works and completion as per

schedule.

D. Communitization

10. The State shall ensure that all operational guidelines relating to VH&NDs are complied

with.

11. The State shall ensure timely performance based payments to ASHAs/Community Link

Workers. State to ensure that supportive supervision mechanism is put in place within

six months.

12. The State shall ensure that RKS meets as frequently as possible and mandatorily at least

once in every quarter to review proper utilisation of allocated funds for achievement of

goals. The proceedings of such meetings should be maintained for scrutiny.

E. Financial

13. The State shall not make any change in allocation among different components/

activities without approval of GoI. Any proposal for re-appropriation between activities

within activities should be informed to GoI in advance. However, such re-appropriation

should reflect realignment of activities in accordance with priority to high focus

districts/involvement of NGOs etc.

14. The State shall ensure that 15% of the State share, based on release of funds by

Government of India, is credited on the account of the State Health Society, within one

month of issue of the release order. The over-all expenditure on health by the State

Government should also go up by a minimum of 10 percent each year.

15. The State shall ensure the completion of delegation of administrative and financial

powers during the current financial year. Funding of NRHM to the State in 2010-2011

will be based on clear delegation as per earlier directions.

16. The State shall follow all the financial management systems under operation under

NRHM and shall submit Audit Reports, Quarterly Summary Concurrent Audit Report,

FMRs, Statement of Fund Position, as and when they are due. State also agrees to

undertake Monthly District Audit and periodic assessment of the financial system.

17. The accounts of the State/ grantee institution/ organization shall be open to inspection

by the sanctioning authority and audit by the Comptroller and Auditor General of India

under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts

Office of the Ministry of Health & Family Welfare.

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18. State shall ensure submission of details of unspent balance indicating, inter alia, funds

released in advance and funds available under State Health Societies. The State shall

also intimate the interest amount earned on unspent balance. This amount can be spent

against activities already approved and will also count towards the central share.

F. Miscellaneous

19. The State shall ensure establishment of supportive supervisory structures for RCH and

other national programmes in lagging districts and for ensuring quality services, within

six months of the issue of the Order.

20. The State shall maintain essential drug list /develop Standard Protocols , and enforce its

implementation through State machinery.

21. Component for the salary of staff and mobility support which is being approved in IDSP

Annexure would be subject to approval of EPC/MSG under NRHM. The support for

expenditure to be incurred by Central Surveillance Unit (CSU) and the State is subject to

approval of World Bank for restructuring and Extension.

22. State shall ensure taking appropriate action to monitor the performance of the cold chain

/ILR Points and implementation details of ProMIS.

Yours faithfully

(G.R Khetarpal)

Under Secretary to the Govt. of India

011-2306 1203

Copy to:

1. All JSs in the Ministry of Health and Family Welfare 1. All Programme Division Heads of NRHM/ RCH/ Disease Control Programmes 2. DS/Director Finance (NRHM) 3. All Under Secretaries concerned 4. IFD 5. PPS to Secretary(H&FW)/PS to AS&MD, NRHM 6. Sanction Folder

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ATTACHMENT A

Approval of RCH II PIP 2010-11

S. No. Activity Proposed Approved Amount (Rs.

In Lakh)

Major Expected Output in the PIP

1 Maternal Health (excluding JSY) 40.27 4 workshops; 108 camps 2 JSY 131.89 8089 Home Deliveries, Institutional 8141 Deliveries 3 Child Health 31.50 Printing of 4 lakh school health cards, Observation of

ORS Week, Observation of New Born Care Week in collaboration with IAP etc

4 Family Planning 9.80 Motivator’s incentive 5 Sterilisation & IUD

compensation & NSV camps 38.00 3000 beneficiaries for Compensation for

male/female sterilisation 1500 beneficiaries for IUD services at health facilities / compensation

6 Urban RCH 80.12 8 MOs,8 PHNs,32 ANMs,8 lab tech and Support to state and district technical support units 10

7 Tribal RCH 12.86 Support staff, outsourcing of vehicles for field visits, and monitoring progress

8 Innovations/ PPP/ NGO 152.36 6 meetings, 2 field visits, 10 awareness camps and 50 wall paintings. Outsourcing of 3 PHCs and sub-centres under them in most difficult areas; PPP for EmOC services for one facility. One boat clinic.

9 Infrastructure & HR 1132.50 420 ANMs, 38 Laboratory technicians, 54 MOs,14 PHNs, 9 pharmacists , 7 District Hospitals, Construction of Incinerator Room at all Hill District Hospitals (15)

10 Institutional Strengthening 17.82 4 HR trainees for 3 months, Printing of 3000 registers, 70 HSC

11 Training 263.44 3 Batches EmOC Training, 180 paramedics IMEP Training, 15MOs Minilap Training, 24 MOs NSV Training, 310 SN & 350 ANMs IUD Insertion Training, 60 officials and MOs ARSH Training

12 BCC / IEC 133.34 13 Procurement of Drugs and

supplies 353.00

14 Program Management 123.45

GRAND TOTAL RCH II 2520.35

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ATTACHMENT B

Approval of Mission Flexi pool Manipur

Sl. No. Activity Approved amount (in Lakh)

Major expected output in the PIP

1. ASHA 387.8 3878 (100%) ASHA will be trained upto Module 6 and will have ASHA Drug kit. ASHA Support System to be made fully operational including positioning of ASHA Facilitators, holding of regular AMG meeting.

2. Untied fund 388.8 Untied fund to be provided to 1 SDH, 16 CHCs, 80 PHCs, 420 Sub Centers, 3203 VHSC to strengthen the quality of facilities.

3. Hospital Strengthening 340.75 Strengthening of facilities (Construction of BTQ & Patient Toilet at CHC-Yairipok & Land Development & Construction of IPD & Fencing at CHC Sekmai & Water supply & Sanitary installation, Internal Electrification & Barbwire fencing in 50 SCs) to be done.

4. Annual Maintenance Grant 84 Annual maintenance grant to be provided to 1 SDH (at Moreh) and in 16 CHCs, 80 PHCs, 350 Sub Centres to strengthen quality of services.

5. New Constructions/ Renovation and Setting up

656.67 Construction work (PHC building or quarter) to be initiated in 10 PHCs, Construction of 11 relocated PHSCs collocated with PHCs and CHCs. Mini-Training Centres for 7 Districts to be set up.

6. Corpus Grants to HMS/RKS 129.0 Corpus grants to be provided to 7 DHs and J.N Hospital, 1 SDH Moreh and 16 CHCs, 80 PHCs for facility improvement.

7. District Health Action Plans (Including Block, Village Health Plans)

72 All 9 districts will prepare DHAPs based on the VHAPs & BHAPs and to be submitted.

8. Mainstreaming of AYUSH 3 Salary of AYUSH Consultant to be given, Four health camps, State Level Workshop on Medicinal Plants & Bio Resources to be conducted.

9. IEC- NRHM 45 01 Health Mela to be conducted in all districts. 10. Mobile Medical Units (MMU) 222.02 MMU staffs are to be given performances based

incentive. Procurement of 4 Wheel Drive MMU for hilly areas.

11. Referral Transport 45 Procurement of 5 ambulances to be done. 12. Additional Contractual Staff

(Selection, Training, Remuneration)

297.81 Additional Staff/ Supervisory Nurses PHC, CHC (Including Ayush Stream) to be recruited. Continuation of 34 AYUSH Pharmacists and engagement of new 67 AYUSH Pharmacists is to be done. Salary and incentives are to be provided to Specialists and paramedics, who are to be recruited.

13. Planning, Implementation and Monitoring

359.41 State / district / block level meeting, workshop to be conducted, Monitoring & Supervision visits are to be made. Quality Assurances is to be made operational. Name Based Individual Case Tracking to be started.

14. Procurements 596.73 Equipment & Furniture to be procured for DH (Churachandpur & Thoubal), CHC (Sugnu and CHC

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Jiribam), Procurement of Solar Lighting System for 5 DHs (BPR, CDL, UKL, SPT and TML). Other facility wise procurement is to be done to improve the service quality.

15. New Initiatives/ Innovation as per need (Block/ District Action Plans)

335.99 Incentive for the staffs working at difficult, most difficult and inaccessible areas to ensure service guarantee. Solar Power Plant to be bought for DH (Churachandpur, Thoubal, SDH – Moreh & Chandel).

16. Support Services 20 Through capacity building trained manpower to be made available. Anti malaria campaign to be carried out.

17. NRHM Management Costs/ Contingencies

284.59 Salary for all the BPMSU and other support staffs are to be given to strengthen program management structure at Block, District and at State level.

NRHM Flexi Pool (Total) 4268.57

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ATTACHMENT-C

APPROVAL OF IMMUNIZATION STRENGTHENING PROGRAMME

S. No. Activities

Approved Amount (Rs.

In Lakhs)


1 Mobility support for Supervision and Monitoring at districts and state level.

6.00 Improved supervision for programme

2 Cold Chain Maintenance 1.47 Strengthening of cold chain 3 Alternate Vaccine Delivery to Session sites 14.55 Timely supply of vaccine to 14555

session sites 4 Focus on urban slum & underserved areas 6.82 Conduction of 1950 session to urban

area/urban slums 5 Social Mobilization by ASHA /Link

workers 21.83 Ensure universal access

6 Computer Assistants support at State/District Level

11.04 Strengthen Monitoring

7 Printing and dissemination of immunization cards, tally sheets, charts, registers, receipt book, monitoring formats etc

5.38 Strengthen Monitoring

8 Quarterly review meeting at state/district/block level

26.03 Regular meeting for Programme Review

9 Training & Orientation at District/Block Level

13.70 Capacity building of Medical Officers, Health Workers and other Immunization related staffs

10 Micro plan at Block/Sub-centre level 1.59 Conduction of 348 session regularly 11 POL for vaccine delivery from state to

District and PHC/CHCs 9.00

12 Consumables for computer including provision for internet access 0.48

13 Injection safety 1.28 Injection waste disposal as per CPCB guidelines

Total 119.17

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ATTACHMENT-D

APPROVAL OF NVBDCP

Sl.No. Activity Approved Amount (Rs.

In Lakhs)


1.1 Malaria DBS (Domestic Budgetary Support GOI) 204.00 Adequate manpower available at sub-

centers, 2 round quality spray 1.1.1 Malaria-GFATM 180.00 The project monitoring unit at state as

well as district level strengthened, Increase no. of supervisory visits by different level of programme officials at districts, PHCs , Sub-centres and villages

1.2 Prevention and Control of JE 5.00 Laboratories equipped with diagnostic kits, Manpower trained in monitoring and supervision

1.3 Prevention and Control of Dengue 5.00 Laboratories equipped with diagnostic kits, Regular surveillance for increase in incidence of Dengue

Total Cash assistance 394.00 3 Assistance for decentralized

commodities which include Chloroquine, Primaquine, Quinine tab, inj Quinine and larvicides

2.63

Total cash assistance including cost of decentralised commodities.

396.63

4 Centrally procured commodity support by GoI

154.15

Grand Total cash + commodity support from NVBDCP

550.78

Sub Total (NRHM additionality) 20.00

NVBDCP + NRHM additionality 570.78

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APPROVAL OF RNTCP

Sr. No. Activity Approved

Amount (Rs. In Lakhs)


1 Civil works 3.4 Civil work Up gradation and maintenance. 2 Laboratory materials 6.0 1) Sputum of TB Suspects Examined per lac

population per quarter; 2) All districts subjected to IRL OSE and Panel Testing in the year; 3) IRLs accredited and functioning optimally.

3 Honorarium 7.0 All eligible Community DOT Providers are paid honorarium in all districts in the FY.

4 IEC/ Publicity 11.00 1) IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding.

5 Equipment maintenance 5.47 Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; All BMs are in functional condition.

6 Training 3.10 Induction training, Update and Re-training of all cadre of staff completed as planned.

7 Vehicle maintenance 26.98 All 4 wheelers and 2 wheelers in the state are in running condition and maintained.

8 Vehicle hiring 10.60 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding.

9 NGO/PP support 10.50 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.

10 Miscellaneous 15.00 All activities proposed under miscellaneous head in PIP completed.

11 Contractual services 140.05 All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount

12 Printing 5.00 All printing activities at state and district level completed as planned.

13 Medical Colleges 2.70 All activities proposed under Medical Colleges head in PIP completed.

14 Procurement –vehicles 40.70 Procurement of vehicles completed as planned.

15 Procurement – equipment 3.60 Procurement of equipments completed as planned.

Total 291.10

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APPROVAL OF NPCB

Sl. No. Activities Approved Amount (Rs. In

Lakhs)


A District Hospital 39.59 Infrastructure Strengthening

B Training of MOs 1.27 Training

C Correction of Children with

refractive

25.00

D Motivation for ASHAs for

Catops

3.00

E Eye Health camps in 9 district witht he help of DMMU

2.70

Total 71.56

APPROVAL OF NIDDCP

Sl No. Activity Proposed

Approved Amount (Rs. In

lakhs)


1 Establishment of IDD Control Cell

7.00 Better implementation and monitoring of programme activities.

2 Establishment of IDD Monitoring Lab

4.00 Monitoring of iodine content of salt and urine samples in districts.

3 Health Education and Publicity Salt Testing Kits supplies by GOI (30,000 No)

24.50

Increased awareness about IDD and iodated salt. Creating iodated salt demand and monitoring of the same at community level.

4 IDD surveys 0.50 Prevalence of IDD in 1 district of state

Total 36.00

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APPROVAL OF IDSP

Activity Proposed Approved Amount (Rs. In Lakhs)


1. Surveillance

preparedness, training &

staff salary

2. Outbreak investigation

3. Analysis & use of data

81.75 1.Training of professionals (DSO, Pharmacist

/ Nurses, Data Managers & DEO

Out Break Reporting

IDSP reports including alerts

APPROVAL OF NLEP

S. No. Activity proposed

Approved Amount (Rs.

In Lakhs) Major Expected Output in the PIP

1) Contractual Services 10.00 Functional leprosy cell at state/district level

2) Services through ASHA/USHA

1.00 Increase in percentage of cases reported by ASHA

3) Office expenses & Consumables

3.50 Functional leprosy cell at state/district level

4) Capacity building 5.00 Improvement in skills in diagnosis & treatment of leprosy

5) Behavioural Change Communication

9.00 Better self reporting as a result of increased awareness

6) POL/Vehicle operation & hiring

7.00 Improvement in mobility of SLOs & DLOs

7) DPMR 3.50 Decrease in recurrence of foot ulcers and reduction in grade II disability through RCS

8) Material & Supplies 2.50 Management of reaction cases

9) Urban Leprosy Control 0.50 Better diagnosis & treatment of leprosy in urban areas

10) Supervision, Monitoring & Review

1.00 Better, supervision & monitoring of programme

11) Cash assistance 2.00 Better, supervision & monitoring of programme

TOTAL 45.00

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ATTACHMENT-E

APPROVAL OF NPPCD

Sl.No Activities Proposed Approved

Amount (Rs. In Lakhs)


1. Manpower at district level 10.80 Strengthened ear care service delivery system

2 Screening Camps 7.20 Early identification of Hearing impaired 3 Hearing Aids 29.20 Medical rehabilitation of Hearing impaired

children 4 Central Cell at state level 4.22 Coordinate, liaison with central and district

level for better and speedy implementation of the programme

Total 51.42

The state of Manipur has proposed the budget of Rs 119.00 lakh for the year 2010-11 but Rs 51.42 lakh (Rs 47.20 lakh may be given from the programme budget and Rs 4.22 lakh from NRHM Flexipool budget) may be considered for approval.

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ATTACHMENT-F

The State agrees to the following targets to be achieved during/up to 2010-2011.

Sl No. Activity / Measurable indicator Achievement

in/up to 2009-10 Target in/up to

2010-2011 Addition During

the Year

I. Monitoring Progress Against

Standards

A. Maternal Health

1. Institutional Deliveries 62% 70% 8%

2. 24X7 Primary Health Centres 11 38 27

3. Functional First Referral Units 1 11 10 (6 DH & 4 CHC)

4. Functional Sub Centres 397 420

(100%)

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B. Child Health

5. Sick New Born Care Units Nil 7 7

New Born Care Corner in PHCs 14 38 24

6. Stabilization Units in CHCs - 4 4

7. Full Immunisation 69.5% 90% 20.5%

C. Population Stabilisation

8. Male Sterilization 9 2000 2000

9. Female Sterilization 590 1000 1000

10. No. of IUD insertions 3003 1500 1500

D. Disease Control

11. Annualized New Smear Positive Detection Rate Case Detection Rate of TB among new sputum positive patients

15.07% 29% 13.93%

12. Success rate of new smear positive

Treatment success rate among new

sputum positive patiens initiated on

DOT

15%

29% 14%

13. ABER for malaria 4.1% 8% NA

14. API for malaria 0.4 There is chance of NA

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the Year

increase due to

improvement in

surveillance ce.

15. No. of Reconstructive surgeries

performed under NLEP

NA NA NA

16. Annual New Case Detection Rate for

Leprosy

49 52 3

17. Cataract Surgeries performed 551 2000 2000

II Human Resources including

Training

18. Appointment of ANMs 247

327 80

19 Appointment of Staff Nurse 139 139 To continue with

the existing

20 Percent of ANMs trained as Skilled

Birth Attendant

247 (59%) 327 (78%) 80 (19%)

21 Doctors trained on EMoC 4 6 2

22 Doctors trained on LSAS 6 8 2

23. Doctors trained in NSV/

Conventional vasectomy

0

23 23

24. Doctors trained in Minilap Tubectomy 0 15 15

25. Doctors trained in laproscopic

Tubectomy

Nil Nil -

26. Personnel trained in IMNCI - 150 150

III. Communitisation Process

27. Functional VHSCs 3203 3203 (100%) Continue the

existing

28. ASHAs completed four modules of

training

3000 ASHAs

completed up to 5th

Module & 878

ASHAs 1st Module

completed

3878 878 newly selected ASHAs for 2nd to 5th module training and 6th module for 3878. (100%)

29. ASHAs with Drug kits 3000 3878

3878

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the Year

30. Percent expenditure of NRHM funds

through Non Governmental

organizations.

2 MNGOs & 1

NGO (Vulnerable

group BPR)(100%)

3 NGOs

(100%)

100%

31 Percentage Districts having

community monitoring system in

place

Nil 9 districts.

(100%)

9 districts.

(100%)

IV Flexible Financing

32. Percent utilization of untied grants 73.78% 17 CHCs/ SDH,

80 PHCs & 420

SCs

(100%)

100%

V Improved Management

33 Percent districts uploading timely

HMIS Data and confirming

100% 100% 100%

34 Tracking of pregnant mothers and

children

Nil All districts

All districts

35. Computerisation of HMIS( level of

Data Entry and the end of data entry) District level Facility level Facility Level

36. Cold chain Management (No. of

functional ILR points)

80 95 15

37. Procurement system (implementation

of ProMIS/ TMNSC like structure)

NA NA

VI Backward district Focus

38. Functional Mobile Medical Units 9 Units (100%) Continue with 9

units

Continue with 9

units

39. Poor Performing districts sub plan

made with targets and quarterly

review shows progress

Nil 4 High focus district (CDL, CCPR, TML & UKL)

4 High focus district (CDL, CCPR, TML & UKL)

40. Difficult, Most Difficult, inaccessible

area thrust in provision of

infrastructure and human resources.

Nil 3 CHCs, 30 PHCs, 162 SCs

3 CHCs, 30 PHCs, 162 SCs

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Attachment G

NATIONAL RURAL HEALTH MISSION

RECORD OF PROCEEDINGS 2010-11

Record of Proceedings of the National Programme Coordination Committee (NPCC) for

Manipur held under the Chairmanship of Shri P.K. Pradhan, Additional Secretary and

Mission Director, NRHM for approval of NRHM Programme Implementation Plan (PIP) of

State and UTs for the year 2010-11.

I. A meeting of the NPCC of NRHM was held under the Chairmanship of AS & MD,

NRHM, to approve the PIP of Manipur on 10/03/2010. The list of members who attended the

meeting is placed at Annex. VI. The NPCC meeting was convened after the pre-appraisal

meeting for the State, with written and oral comments provided to the State to modify the

proposal before the NPCC.

II. State Government apprised about the likely uncommitted unspent balance available

under NRHM as on 1.4.2010, and were apprised of the GOI Resource Envelope for 2010-11

under NRHM which is 15% higher than current year’s Budget Estimate for over planning

purpose and 15% State share. It was also clarified that the actual resource allocation shall be in

accordance with the budgetary allocation of 2010-11 and may be lower than the resource

envelope indicated. The Monitorable Targets for the State was also indicated. It was stated that

the budgets may be realigned to achieve Monitorable Targets in case there has been inadequate

provision in the PIP, to meet national goals. After detailed discussions and subsequent

deliberations, the PIP was finalised for amounts indicated under different components as

detailed in the Annexure I to V.

III. The attention of the State was drawn to the following areas for further action :

A. Planning

1. The State Government shall, within 45 days of the issue of Record of Proceedings by the

Ministry of Health and Family Welfare, issue detailed Record of Proceedings for each district.

B. Human Resource

2. All posts under NRHM on contract and based on local criteria shall be done by the Rogi

Kalyan Samiti /District Health Society. Residence at place of posting must be ensured.

3. Blended payments comprising of a base salary and a performance based component, should

be encouraged.

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4. Transparent transfer and career progression systems should be implemented in the State.

5. The State shall put in place a transparent and effective human resource policy so that

difficult, most difficult and inaccessible areas attract and retain human resources for health.

C. Infrastructure

6. The State shall furnish list of facilities to be upgraded with identification of inaccessible

and remote facilities and finalization of district action plans for the identified backward districts

within three months.

7. The State shall furnish information relating to physical and financial status of

infrastructure and building works already taken up every quarter to Infrastructure Division.

8. The State shall under take all construction activities in meeting health infrastructure

gaps with particular focus in backward districts and inaccessible facilities.

D. Communitisation

9. The State shall take up capacity building exercise of Village Health and Sanitation

Committees, Rogi Kalyan Samitis and other community /PRI institutions at all levels, involving

Non Governmental organizations after a selection process.

10. The State shall ensure regular meetings of all community Organizations /District /State

Mission with public display of financial resources received by all health facilities.

11. The State shall also make contributions to Rogi Kalyan Samitis besides introducing user

charges wherever feasible protecting the interest of the poor.

12. All performance based payments/incentives should be under the supervision of

Community Organizations (PRI)/RKS.

13. The State shall focus on the health entitlements of vulnerable social groups like SCs, STs,

OBCs, minorities, women, disabled friendly, migrants etc.

E. HMIS

14. State shall set up a transparent and credible procurement and logistics system. State agrees

to periodic procurement audit by third party to ascertain progress in this regard.

15. The State shall undertake institution specific monitoring of performance of Sub Centre,

PHCs, CHCs, DHs, etc. in the prescribed format which is to be regularly uploaded as Monthly,

Quarterly and Annual Data on the HMIS.

21

F. Specific Programme Related

16. The State shall operationalise fixed day services in family planning in addition to periodic

camps.

17. The states shall henceforth provide only F-IMNCI training to doctors and staff nurses

whilst IMNCI is to be provided only to ANMs/AWW and other field functionaries.

18. The State Govt. would co-locate AYUSH in PHCs/CHCs, wherever feasible.

19. Expedite operational of 24X7 PHC, CHC in the state.

20. Sanctioned sub-centres during 2006-07 to be completed and operational

21. Specialist Rationalisation in the state to operational district Hospitals 22. Procurement and supply of drugs to be streamlined

23. Audit of accounts and concurrent audit to be timely

24. Integration of NRHM with mainstream to be focused

25. Addressing the Frequent change of leadership at NRHM HQ

IV. Based on the State’s PIP and deliberations thereon the Plan for the State is finalised as

per the detail of Annexure I (RCH Flexible Pool), Annexure II (NRHM Flexible Pool), Annexure-

III (Immunization) & Annexure –IV (National Disease Control Programmes) with summary of

Infrastructure , Human Resource and Training at Annexure V.

22

ANNEX-I

APPROVAL OF RCH II PIP 2010-11: MANIPUR (Rs. Lakhs)

S. No. BUDGET HEAD PROPOSED APPROVED 1 Maternal Health 40.27 40.27 2 Child Health 31.50 31.50 3 Family Planning 9.80 9.80 4 ARSH 0.00 0.00 5 Urban RCH 80.12 80.12 6 Tribal RCH 12.86 12.86 7 Vulnerable Groups 0.00 0.00 8 Innovations/ PPP/ NGO 152.36 152.36 9 Infrastructure & HR 1132.50 1132.50

10 Institutional Strengthening 17.82 17.82 11 Training 263.44 263.44 12 BCC / IEC 133.34 133.34 13 Procurement 353.00 353.00 14 Programme Management 123.45 123.45

Total RCH II Base Flexi Pool 2350.47 2350.46 15 JSY 150.54 131.89 16 Sterilisation & IUD Compensation, and NSV

Camps 33.00 38.00

Total RCH II Demand Side 183.54 169.89 GRAND TOTAL RCH II 2534.01 2520.35 NOTE:

1. Activities have been re-classified as per FMR/ Operating Manual heads; details are provided in attachment “A” below.

2. Details of activities approved/ not approved, and specific comments, are provided in attachment “A” below.

3. Expenses are to be booked as approved in attachment “A” below.

4. The above includes Rs. 353.00 lakhs for drugs, proposed by the State under Mission flexible pool, shifted to RCH II (see details in attachment “A”, under A.13 – Procurement).

5. The supplies of the RCH drugs from the Ministry of Health and family Welfare are likely to reach the States by September 2010. Therefore, the State may assess its RCH drugs requirement against the present supplies made/ being made by MOHFW through UNOPS as well as the State’s own procurement, and use the approved budget for procurement of RCH drugs only if required for meeting the need for the period up to September 2010.

23

ATTACHMENT “A” MANIPUR

(Rs. Lakhs) FMR Code ACTIVITY PROPOSED

(Rs. Lakhs) APPROVED (Rs. Lakhs)

EXPECTED OUTPUT REMARKS

A.1 MATERNAL HEALTH A.1.1 Operationalise facilities A.1.1.1 Operationalise FRUs 0.80 0.80 4 workshops A.1.3.1 RCH Outreach Camps 34.20 34.20 108 camps A.1.4 Janani Suraksha Yojana / JSY A.1.4.1 Home Deliveries

40.45 40.45 8089 deliveries Payments to be made as per JSY guidelines

A.1.4.2 Institutional Deliveries 52.55 52.55 8141 deliveries A.1.4.2.3 Caesarean Deliveries

2.63 2.55 170 CS deliveries

for projected 170 CS deliveries the amount comes to Rs 2.55 lakhs

A.1.4.3 Other activities (JSY)

54.91 36.34

ASHA Incentive Rs 30.06 ASHA incentive and 5% administrative expenses (5% of 125.61 lakhs) or Rs. 6.28 lakhs approved. Referral transport Rs.16.28 not approved as this cost is built in to ASHA incentive

A.1.5.1. Maternal Death Audit 5.27 5.27

4 valley districts and one hill district

To follow GOI guidelines

Sub-total Maternal Health (excluding JSY)

40.27 40.27

Sub-total JSY 150.54 131.89 A.2 CHILD HEALTH A.2.4 School Health Programme 18.00 18.00 Travel

allowance and Contingencies for Training of 270 primary school teachers, monitoring progress and quality of service and printing of 4 lakh school health cards

24

FMR Code ACTIVITY PROPOSED



A.2.8 Other strategies/activities 13.50 13.50 State and District level Healthy Baby and Best Mother Competition, Observation of State and District level Breast-feeding week Observation of ORS Week, Observation of New Born Care Week in collaboration with IAP etc

Sub-total Child Health 31.50 31.50 A.3 FAMILY PLANNING A.3.1.4 Compensation for female

sterilisation 20.00 20.00 2000 beneficiaries

A.3.1.5 Compensation for male sterilisation

10.00 15.00

1000 beneficiaries

The amount for the proposed NSV cases @ Rs.1,500/ comes to 15 lakhs and not 10 lakhs.

A.3.2 Spacing Methods A.3.2.2 IUD services at health facilities

/ compensation 3.00 3.00 1500 beneficiaries

A.3.5. Other strategies/activities 9.80 9.80 Motivator’s

incentive

Sub-total Family Planning (excluding compensation)

9.80 9.80

Sub-total Sterilisation & IUD compensation & NSV camps

33.00 38.00

A.4 ARSH Sub-total ARSH 0.00 0.00 A.5 URBAN RCH A.5.2 Other strategies/activities

80.12 80.12

8 MOs,8 PHNs,32 ANMs,8 lab tech and Support to state and district technical support units 10

25




assistants Sub-total Urban RCH 80.12 80.12 A.6 TRIBAL RCH A.6.1. Tribal RCH services A.6.2 Other strategies/activities 12.86 12.86 Support staff,

outsourcing of vehicles for field visits, and monitoring progress

Human resource support of Rs.5.46 lakhs approved in principle. Calculations details to be furnished by the state.

Sub-total Tribal RCH 12.86 12.86 A.7 VULNERABLE GROUPS Sub-total Vulnerable Groups 0.00 0.00 A.8 INNOVATIONS/ PPP/ NGO A.8.1 PNDT and Sex Ratio

8.79 8.79

6 meetings, 2 field visits, 10 awareness camps and 50 wall paintings

A.8.2 Public Private Partnerships 105.07 105.07 Outsourcing of 3 PHCs and sub-centres under them in most difficult areas; PPP for EmOC services for one facility.

A.8.4 Other innovations (if any) 38.50 38.50 One boat clinic Sub-total

Innovations/PPP/NGO 152.36 152.36

A.9 INFRASTRUCTURE & HR A.9.1 Contractual Staff & Services A.9.1.1 ANMs 327.00 327.00 420 ANMs A.9.1.2 Laboratory Technicians

28.50 28.50 38 Laboratory technicians

A.9.1.3 Staff Nurses 126.00 126.00 140 SNs A.9.1.4 Doctors and Specialists

(Anaesthetists, Paediatricians, Ob/Gyn, Surgeons, Physicians) 47.25

47.25 9 specialists

A.9.1.5 Other contractual staff 218.25 218.25

54 MOs,14 PHNs, 9 pharmacists ,

A.9.2 Major civil works (new

26




construction /extension/ addition)

A.9.2.1 Major civil works for operationalisation of FRUS

70.00 70.00 7 District Hospitals

A.9.2.2 Major civil works for operationalisation of 24 hour services at PHCs

209.50 209.50 27 PHCs

A.9.3 Minor civil works A.9.3.1 Minor civil works for

operationalisation of FRUs 15.00 15.00 6 DH and 4

CHCs

A.9.3.2 Minor civil works for operationalisation of 24 hour services at PHCs

11.00 11.00 4 24x7 PHCs

A.9.4 Operationalise IMEP at health facilities

80.00 80.00

Construction of Incinerator Room at all Hill District Hospitals (15)

A.9.5 Other Activities Sub-total Infrastructure & HR 1132.50 1132.50 A.10 INSTITUTIONAL

STRENGTHENING

A.10.1 Human Resources Development

0.72 0.72 4 HR trainees for 3 months

A.10.3 Monitoring & Evaluation / HMIS

15.00 15.00 Printing of 3000 registers

A.10.4 Sub Centre Rent and Contingencies 2.10 2.10 70 HSC

Sub-total Institutional Strengthening

17.82 17.82

A.11 TRAINING A.11.1 Strengthening of Training

Institutions 34.80 34.80 3 institutes

A.11.3 Maternal Health Training A.11.3.1 Skilled Birth Attendance /

SBA

28.42 28.42 80 ANMs, 24 SNs

As per revised SBA Guidelines, training duration for all cadres for SBA Training ( ANMs/ SNs/ LHVs) is for 3 weeks

A.11.3.2 EmOC Training

8.51 8.51 3 batches

Budget proposed for trainings does not match the per unit cost and no. of

27




batches given. The State to clarify and furnish details.

A.11.3.3 Life saving Anaesthesia skills training 6.39 6.39 2 batches

A.11.3.4 MTP training 8.38 8.38 10 batches A.11.3.7 Other MH Training

3.65 3.65

BEmOC - 24 MOs; Blood storage training – 12 MOs and 10 LTs

A.11.4 IMEP Training 1.68 1.68 180 paramedics A.11.5 Child Health Training A.11.5.1 IMNCI

13.37 13.37

Pre- service IMNCI for UG students 17 batches

F-IMNCI is meant for MOs/SNs. IMNCI approved for ANMs & Health Workers.

A.11.5.5 Other CH Training 4.77 4.77 270 Primary

school teachers

A.11.6 Family Planning Training A.11.6.2 Minilap Training 3.14 3.14 15MOs A.11.6.3 NSV Training 1.96 1.96 24 MOs A.11.6.4 IUD Insertion Training

61.17 61.17 310 SN and 350 ANMs

A.11.7 ARSH Training 2.44 2.44 60 officials and

MOs

A.11.8 Programme Management Training

A.11.9 Other training

84.76 84.76

Management training 2 batches, PGDPHM 9 MOs, PRI- VHSC members 3203, PRI training 1020, Fin training of MOs 4 batches, audit training-1 batch

Sub-total Training 263.44 263.44 A.12 BCC / IEC A.12.1 Strengthening of BCC/IEC

Bureaus 9.00 9.00

28




A.12.2 Development of State BCC/IEC strategy

10.78 10.78

A.12.3 Implementation of BCC/IEC strategy

A.12.3.1 BCC/IEC activities for MH 0.40 0.40 A.12.4 Other activities 113.16 113.16 Sub-total BCC/ IEC 133.34 133.34 A.13.2 Procurement of Drugs and

supplies

A.13.2.5 General drugs & supplies 353.00 353.00

Shifted from Mission Flexi pool - for Kit A and Kit B.

Sub-total Procurement 353.00 353.00

Please see additional comments in Annex 2, below summary of RCH II approvals.

A.14 PROGRAM MANAGEMENT A.14.1 Strengthening of State

society/ SPMU 22.58 22.58

A.14.2 Strengthening of District society/ DPMU 63.94 63.94

A.14.3 Strengthening of Financial Management systems

A.14.4 Other activities (Program mgmt. expenses, mobility support)

36.93 36.93

Sub-total Program Management

123.45 123.45

Total RCH II Base Flexi Pool 2350.47 2350.46 Total RCH II Demand Side 183.54 169.89 GRAND TOTAL RCH II 2534.01 2520.35

RECLASSIFICATION OF ACTIVITIES Activities from the revised PIP sent by the state (post NPCC) have been reclassified as per the FMR/ operating manual heads. State needs to comply with this while booking the expenses and reporting in FMR:

1. 1.1.1.3 Continuation and Additional Engagement of Specialist Doctors Rs 47.25 lakhs budgeted under Infrastructure and HR A.9.1.4

2. IEC for outreach RCH camps budgeted under IEC/BCC for MH

3. Other activities under JSY include 1.4.2.3ASHA incentives, 1.4.2.6. JSY register and 1.4.3. Monitor quality and utilisation of services and referral transport

29

4. Other activities under FP include 3.2.2.2. M&E activities 3.2.2.3. Printing of Eligible

Couple Register and Family Planning register

5. In Urban Health, other strategies include • 5.1.1. Support for State and District Technical Support Units: The services of 10

Office Assistants engaged on contractual basis (02 at State Hdq. And 01 in each of the 08 UHCs

• 5.1.2. Program Administrative Support to State Technical Support Unit • 5.1.3. Support for MOs and Paramedics: The services of the 08 MOs, 08 PHNs,

32 ANMs, 08 Lab. Techs and 08 Grade IVs which were utilized in previous year, will be re-utilized in 2010-11

• 5.1.4. Monitor progress, quality and utilisation of services

6. Tribal Health includes • 6.1.3.1. Human Resource Support • 6.1.3.2. Outsourcing Vehicle for the Field visits • 6.1.4. Monitor progress, quality and utilisation of services

7. PNDT and Sex ratio includes activities mentioned under 8.1.1 -8.1.7

8. Public Private Partnership includes 8.2.1. pilot project for running PHCs in PPP model

and 8.2.2. PPP Model for EmOC in Ukhrul District

9. Other Innovations includes 8.4.1. Mobile Motor Boat RCH Clinic for Loktak

10. 9.2.1.1. Construction of Incinerator Room at all Hill District Hospitals has been budgeted under IMEP A.9.4

11. Strengthening of Training Institutions (SIHFW, ANMTCs, etc.) includes • Procurement of furniture and other training materials for RHFW, Porompat • Strengthening of Female Health Worker Training School, Lamphel • Strengthening of School of GNM and ANM/FHW Medical Directorate, Imphal • Monetary/Non-Monetary reward • Accredited of 2 Private Hospitals • Monitoring Training • NSS • Training Software for trained & logistics tracking

12. IMNCI includes F-IMNCI – Paramedics and Pre-Service-IMNCI-UG Medical Student

13. Other CH training includes School Health – PS Teachers

14. Other MH trainings include SBA/BEmOC for MOs and Blood storage training for MOs

and LTs

15. Other training includes

30

• Management Training • PGDPHM • SOHS • GNM Training • Mainstreaming AYUSH – MO • Mainstreaming AYUSH – Paramedic • PRI – VHSC members • PRI • Audit Training-DFM, CA • Finance Training-MO • Finance & Accounting Training – DFM, BFM & PHCs Accountant • Tally Training- PHCs accountant • Follow up Tally Training- DFM, BFM & PHCs accountant • QAC Training

16. Institutional strengthening A.10.4 Sub centre rent and contingencies includes 1.1.5.3.

Rent for hiring Sub-Centre building

17. Development of BCC/IEC strategy includes developing a strategic media mix as per the target population and issues- Group discussions at village/ block/Panchayat level and Half yearly Community meetings at 16 CHCs and 73 PHCs.

31

ANNEX-II

SUMMARY OF MISSION FLEXIBLE POOL (MFP) PIP 2010-11

FMR Code Activities

Proposed (Rs. In Lakhs)

Approved

(Rs. In Lakhs)


Remarks

B1 ASHA B1.1 Selection & Training of 3878

ASHA (Budget for monthly periodic training of 3878 ASHAs in 2010 -11+ Budget for State level TOTs and 3878 ASHAs on 6th Module training (4 Days)

133.08 387.8 All ASHAs to complete monthly periodic training.

Approved. All expenditure regarding ASHA including purchase of weighing machine & thermometer under B.19.2.12 need to be within the total eligible amount of Rs. 387.80 Lakhs (3878 ASHAs x Rs. 0.10 Lakhs = Rs. 387.80 Lakhs)

B1.2 Procurement of ASHA Drug Kit @ Rs. 900/- X 2 times X 3878 ASHAs

69.8 All ASHA will get Drug kits.

B1.3 Performance related incentives to ASHAs (1st Best ASHA @ Rs. 0.05 L, 2nd Best ASHA @ Rs.0.03 L and 3rd Best ASHA @ Rs. 0.02 L

0.1

B1.4.1 AMG Meeting (including TA/DA) @ Rs.25,000 X 4 days

1

B1.4.2 Field Visit of AMG members @ Rs.3000 X 10 X 4 days

1.2

B1.4.3 ASHA Resource Centre at State level

4.62

B1.4.4 ASHA Resource Centre at District/Block level

107.58

B1.4.5 Newly selected ASHA Resource Centre staffs (District Community Mobaliser) for 3 Days State ToT

1.12

B1.4.6 Newly selected ASHA Resource centre staffs (ASHAs Facilitators - 1 Days orientation)

0.78

B1.4.7 4000 ASHA Diaries @ Rs. 100/- 4.00 B1.4.8 Printing & Translation of 6th

ASHA module . 4.15 100% ASHA will

received module after 6 sector training in the year

B1.4.9 Support Mechanism (transport package) for the 5 Hill Districts will be for ASHA @ Rs.200 X 2518 ASHAs X 12

60.43

SUB TOTAL 387.86 387.8

32

B2 Untied Funds B2.1 Untied Fund for 1 SDH Moreh,

16 CHCs @ Rs. 0.50 Lakhs

8.5 8.5 100% received Annual Untied Fund and utilized for cleanliness and facility improvement

Fund to be released by State through districts to facilities during 1st quarter

B2.2 Untied Fund for 80 PHCs @ Rs. 0.25 L

20 18 There are 72 PHCs in RHS 2008. Approved Rs.18.00 L for 72 PHCs.

B2.3 Untied Fund for 420 Sub Centers @ Rs. 0.10 L

42 42

B2.4 Untied fund for 3203 VHSC @ Rs.0.10 L

320.3 320.3

SUB TOTAL 390.8 388.8 B3 Hospital Strengthening B3.1 Upgradation of CHCs, PHCs,

Dist. Hospitals to IPHS)

B3.1.2 CHCs - Construction of BTQ (1), Patient Toilet (1), Land Development, Construction of IPD Building & Construction of Fencing. Total for Rs. 381.50 L, proposed for 50% during 2010 - 11.

190.75 190.75 Upgradation of infrastructure of public health facilities

Approved . However, amount for fencing for Sekmai CHC amounting Rs. 30.00 lakh is in higher side, details to be checked and furnished.

B3.1.4 Sub Centres - Additional fund requirement for Water supply & Sanitary installation, Internal Electrification & installation - & Barbwire fencing in 50 Sub Centres out of 100 numbers of S/Cs construction, approved in 2006 - 07. Total budget is Rs. 391.50 Lakhs & proposed for 50% during 2010-11.


The proposal for cost of water supply and Electric connection in one SC seems higher side. It should be around 15-20% of total civil cost. To be verified and furnished. Barbwire fencing @ Rs. 5.0 Lakhs and 4.50 L in Hill and Valley districts respectively not approved in view of high proposed budget.

SUB TOTAL 388.5 340.75 B4 Annual Maintenance Grants B4.1 CHCs - Annual Maintenance

Grant for 1 SDH at Moreh and in 16 CHCs @ Rs. 1.0 L.

17 17 100% received Maintenance grant and utilized up keeping of facility.

As per RHS 2008 data, there are 1 SDH at Moreh and in 16 CHCs functioning from govt. building.

33

B4.2 PHCs - Annual Maintenance Grant for 80 PHCs @ Rs. 0.50 L.

40 35 As per RHS 2008 data, there are 70 PHCs, functioning from govt. building and 2 PHCs are in non govt. buildings.

B4.3 Sub Centers - Annual Maintenance Grant for 350 Sub Centres @ Rs. 0.10 L

35 32 As per RHS 2008 data, there are 320 SCs, functioning from govt. building and 37 were under construction. During the 1st year, there is no need of AMG.

SUB TOTAL 92 84 B5 New Constructions/

Renovation and Settingup

B5.2 PHCs - 7 PHC up-gradation from PHSC at Bandramei, Yangkhullen, Khongdei Khuman under Senapati district, Rilram Centre under CDL, Sivapurikhal and Zezaw under CCP and Jessami & Tolloi in UKL districts.

522.83 0 As per RHS 2008 data, there is no need of additional PHCs as per 2001 population.

B.5.2.1 PHCs - Construction of either PHC buildings or quarters in 10 PHCs during 2010-11 at Phayeng (IW), Andro & Keirou Makting in IE, N. Sekmai,


Approved. As per RHS 2008 data, there are 70 PHCs, functioning from govt. building and 2 PHCs are in nongovt. buildings. Needs to be done as per Manipur SOR.

Lilong, Hiyanglem in TBL, Lambui in UKL, Thanlon in CCP, Maphaou Kuki & Lai in STP districts.

B5.3.1 Construction of 53 Sub Centre buildings budget needed as per MSR-2008 including construction of Barbwire Fencing in Valley Districts and in Hilly Districts.

539.88 0.0 As per RHS 2008, out of 420 Sub Centres, 320 Sub centres are functioning from govt. buildings and 100 are in rented buildings. Construction of 165 S/C buildings has already been approved (100 in 2007 - 08 and 65 in 2008 - 09).

B5.3.2 Construction of 11 relocated PHSCs collocated with PHCs and CHCs for Rs. 233.72 L. Proposed for 50% only during 2010-11.


34

B5.5 Govt. Dispensaries/ others renovations Renovation/Repairing of Ward and Repairing of Sanitation/Drainage systems of only functioning Leprosy Hospital (Temporary Hospitalization ward), Leihingol, Imphal East


Needs to be done as per Manipur SOR.

B.5.7.1 Fencing of 3 Health Institutions @ Rs. 20.0 L

30.0 0 Not approved

B.5.7.2 Setting up of Mini-Training Centres for 7 District (5 Hill and 2 Valley) @ Rs. 20.0 L, total requirement being Rs. 140.0 L. Proposed for 50% only during 2010-11.

70.0 70.0 Trainings of health staff will be held.

SUB TOTAL 1749.38 656.67 B6 Corpus Grants to HMS/RKS B6.1 District Hospitals @ Rs. 5.0 L for

7 DHs and J.N Hospital 40.0 40.0 100% received RKS

fund and utilized as per GOI guidelines

As per RHS 2008 data, there are 72 PHCs in position. B6.2 CHCs @ Rs.1.0 L for 1 SDH

Moreh and 16 CHCs 17.0 17.0

B6.3 PHCs @ Rs. 1.0 L for 80 PHCs 80.0 72.0 B6.4 Other or if not bifurcated as

above

SUB TOTAL 137.0 129.0 B7 District Action Plans

(Including Block, Village)

Preparation of 9 DHAP 2011-12 72.0 72.0 100% DHAPs preparation and submission within the time frame.

DHAPs need to be evidence based Health Action Plans. Findings of 30 cluster survey, FGDs need to be incorporated in Health action Plans.

SUB TOTAL 72 72 B9 Mainstreaming of AYUSH B.9.1 Salary of 1 AYUSH Consultant

@ Rs.0.25 L per month x 12 m 3.0 3.0

B.9.2 Creating public awareness of AYUSH

2.0 0.0 The cost of Manpower and training is from NRHM. Other may be from Ayush B udget.

B.9.3 Four health camps for each four systems costing @ Rs. 0.30 Lakhs per camp. Rs.1.20 L x 4

4.8 0.0 The cost of Manpower and training is from NRHM. Other may be from Ayush B udget.

35

B.9.4 Half yearly State Level Workshop on Medicinal Plants and Bio Resources @ Rs. 1.00 Lakhs per workshop

2.0 0.0 The cost of Manpower and training is from NRHM. Other may be from Ayush Budget.

SUB TOTAL 11.8 3.0 B10 IEC- NRHM B10.1 Health Mela - Health Melas are

proposed in all the existing 09 districts of the State @ Rs. 5.00 lakh per mela

45.0 45.0 Awareness generation

SUB TOTAL 45.0 45.0 B11 Mobile Medical Units Mobile Medical Units (Including

recurring expenditures) Mobile Medical Units comprising of 02 vehicles equipped with basic gadgets and equipments are provided in all the existing 09 districts and are functional. Services of 18 drivers, 9 Lab. Techs and 9 X-Ray Techs have been used on contractual basis by giving a monthly honorarium of Rs. 5,000/-, Rs. 7,000/- and Rs. 7,000/- respectively. The services of these contractual staffs will be continued. Also, a Performance-based incentive may be given to the MOs and paramedics

138.02 138.02 Expected 2,91,600 peoples will be benefited

Rs. 23.71 L per district per annum is the ceiling for total recurring cost of MMUs, the break up is Rs. 14.56 L for manpower, Rs. 5.0 L for Drugs, Rs. 0.15 L for training of manpower, Rs. 4.0 L for maintenance & POL.

B.11.1 Procurement of 4 Wheel Drive Mobile Medical Units @ Rs. 9.0 L and repairing & maintenance cost @ Rs. 5.0 L per annum for 5 difficult/hill districts + Jiribam Block in IE.

84.0 84.0 The proposed vehicles shall be utilized in Hilly districts. Existing vehicles to be optimally used at valley districts ..

SUB TOTAL 222.02 222.02 B12 Referral Transport B12.1 Ambulance - procurement of 5

ambulances @ Rs. 9 (nine) Lakh each and Salary for driver @ Rs. 5000/- per month

48.0 45.0 Improvement of referral services

Salary of driver may be borne by the State.

SUB TOTAL 48.0 45.0 B14 Additional Contractual Staff

(Selection, Training, Remuneration)

36

B14.1 Additional Staff/ Supervisory Nurses PHC,CHC (Including Ayush Stream) Continuation of 34 AYUSH Pharmacists and engagement of new 67 AYUSH Pharmacists @ Rs. 4500.00 pm + Rs. 3000.00 pm as Performance Based Incentives.

75.84 75.84 Availability of healthcare services of Indian system of medicines in collocated facilities.

B14.4 Medical Officers at PHCs (Including AYUSH stream) - Continuation of 88 AYUSH doctors, engagement of new 1 State Nodal Officer (AYUSH) and 8 AYUSH doctors

213.19 213.19 Approved

B14.6 Lab technicians, Gynaecologists, Anaesthetists, Paediatrician, Specialist CHC, Radiologist, Sonologist, Pathologist, Dental Surgeons. - Continuation of Specialist AYUSH doctor and engagement of new 3 Specialist

8.78 8.78 Approved

SUB TOTAL 297.81 297.81 B15 PPP/ NGOs B15.1 Non-governmental providers of

health care RMPs/TBAs EMERGENCY MANAGEMENT AND RESEARCH INSTITUTE UNDER PPP WITH GVK HYDERABAD, INDIA

1036.4 0.0 Fully functional facilities offering the minimum assured services should be the priority during this phase. In principle approved. Detail may be worked out and submitted.

SUB TOTAL 1036.4 0 B18 Planning, Implementation and

Monitoring

B18.1 Community Monitoring (Visioning workshops at state, Dist, Block level)

B18.1.1 State level - 2 Meetings at State level for the constitution of Community Monitoring @ Rs. 0.20 L and 1 Workshop at State level @ Rs. 0.50 L

0.9 0.9 1 Monitoring Committee Will be formed. 18 NGOs will be identified 45 Monitoring Committees will be formed

Approved

B18.1.2 District level - Workshops/Seminars at 9 Districts @ Rs. 0.50 L

4.5 4.5 Approved

B18.1.3 Block level - Workshops/Seminars at 36 blocks @ Rs. 0.30 L

10.8 10.8 Approved

37

B18.1.4 Other - Support for 368 Monitoring and supervision visits for state, Districts and Blocks

11.04 11.04 Approved

B18.2 Quality Assurance B18.2.1 4 Meetings at State level for

strengthening QAC 0.8 0.8 4 meeting at State Approved

B18.2.2 18 Meetings at State level for strengthening QAC

3.6 3.6 18 at District Approved

B18.2.3 Outsourcing two vehicles for QAC activities

1.8 1.8 Monthly field visits by state to Districts

Approved

B18.2.4 TA for Jiribam and remote facilities

1.5 1.5 For providing supportive supervision in implementation by identifying the bottlenecks and solutions thereof

Approved

B18.2.6 1. 1 (one) day per visit for each of the 4 valley districts @Rs. 500/day=1x8x500X4X4

0.64 0.64 Approved

B18.2.7 2. 2 (two) days per visit for each of 5 hill districts and Jiribam Sub-Division @Rs 1000/- per day= 8x1000/- x 6 x 2 x 4

3.84 3.84 Approved

B18.3 Monitoring and Evaluation B.18.3.2 Mobility for M & E Officers 53.28 53.28 Approved B.18.3.3 Workshops/ Training on M & E 60.6 60.6 Approved B.18.3.4 M&E quality review meeting 26.28 26.28 Approved B.18.3.5 Hardware/Software

Procurement 64.93 64.93 In SPMSU & in

DPMSUs, desktops and laptops are already available. V-sets are available in the district HQs under IDSP.

B.18.3.6 Operationalising HMIS at Sub District level

31.4 31.4 Approved

B.18.3.7 Name Based Individual Case Tracking Syatem

83.5 83.5 Approved

SUB TOTAL 359.41 359.41 B19 Procurements B19.1 Drugs - procurement of

essential dugs as per the State Essential Drug List with assistance from State level @ Rs. 2.00 lakh for each DH/CHC, Rs. 1.00 lakh per PHC/UHC and Rs. 0.20 per Sub-Centre. The amount needed for 7 DHs, 16 CHCs, 79 PHCs, 8 UHC and 397 SCs will be Rs. 353.00 Lakh

353 0 Approved in RCH.

38

B19.2.1 Equipment & Furniture gaps in DH Churachandpur which is in the process of ISO certification:

191.01 191.01 One ISO certified Hospital to render quality services to the people

The necessity to have a Colour Doppler USG with uterine probe @ Rs. 25.0 L , Dental Chair with drill & accessories @ Rs. 21.84 L and Incinerator @ Rs. 33.06 L need to be evaluated. The priority is to provide minimum assured quality services at first and then to improve upon. Details to be provide for considering the proposal.

B19.2.2 Equipment gaps in DH Thoubal which is to be up-graded from 50-bedded capacity to 100 bedded capacity. A total amount of Rs. 756.44 Lakhs will be needed to fill-in the identified gaps in the newly up-graded 100-bedded DH in Thoubal. Proposed for 50% during 2010-11.

378.22 179.72 Improved health care provision in public health facilities

Colour Doppler USG with uterine probe, 500 ma X-ray machine, Dialysis machine, Fully automated biochemical analyser and Incinerators not approved as these equipment needs specialist for running the equipment and they are not available at present.

B19.2.3 Equipment and Furniture gaps @ CHC Sugnu in Thoubal District and CHC Jiribam

36.74 36.74 do

B19.2.4 Procurement and Installation of Incubators for RNTCP

65.15 0 Numbers required not mentioned. Text @ P/238 and the budget sheet @ P/241 mismatch.

B19.2.5 Procurement of Sharps Disposal System from SHARPS BLASTER for all the 7 District Hospitals, 1 SDHs and 16 CHC @ Rs. 5.00 Lakhs per system

120 0 The priority is to provide minimum assured quality services at first and then to improve upon.

B19.2.6 Procurement of Solar Lighting System for all the 5 District Hospitals (BPR, CDL, UKL, SPT and TML) @ Rs. 4.00 Lakhs per system and installation & Logistic charge of Rs. 15,000 per system.

20.75 20.75 Alternate power supply ensured

39

B19.2.7 Procurement of 30 pieces W 45043 Zoe Gynaecologic Simulator for the IUCD 380- A training at district level

16.5 16.5 Improved quality of FP services

B19.2.8 Procurement of Sodium Hypochlorite (1% or 5%) Solutions, Trolley, Rubber- Hand Gloves up-to Elbow Joint, Rubber Shoes, Apron, Mask and Needle Destroyer

4.0 4.0

B19.2.10 Equipment of Electric Insuction 82 pieces @ Rs. 5000/- per pieces

4.1 4.1 Approved

B19.2.11 Procurement of IUCD kits for all the 523 health institutions (420 PHSCs, 80 PHCs, 16 CHCs and 7 DHs) @ Rs. 1500/- per kit

7.85 0

B19.2.12 Procurement of weighing machine and thermometer @ Rs. 600 per set for the 3878 ASHAs

23.27 0 Need to be within the total eligible amount of Rs. 387.80 Lakhs for 3878 ASHAs @ Rs. 10000/- per ASHA.

B19.2.13 Procurement Colour coded bins (Red, Yellow, White and Black bins). For all the District Hospitals, CHCs and 38 (Thirty eight) 24x7 targeted PHCs

94.81 94.81 Waste Management system will be in place

B19.3 Others Replenishment/ topping of

items 46.1 46.1 Approved

B19.3.1 Logistic Support for collection and distribution of equipment, furniture and drugs: A sum of Rs. 3.00 lakh will be needed for hiring a DI TATA at State level for timely collection and distribution of the items to the various destinations in the districts

3.0 3.0 Approved

SUB TOTAL 1365.69 596.73 B23 New Initiatives/ Innovation as

per need (Block/ District Action Plans)

40

B23.1 Proposed Incentives Structure: Staffs who are posted in the difficult to be accessed areas will be given incentives in the form of increased monthly honorarium according to the degree of difficulty as given below. Inaccessible areas - 150 % of Basic Pay Very difficult areas - 100% of Basic Pay Difficult areas - 75 % of Basic Pay The incentives will be applicable to those contractual staffs placed outside their home districts. The total budget for 2010-11 will be Rs. 230.988 Lakhs

230.99 230.99 Approved in principle. State should work out detail of payment to individual institution against posted workers. Amount of incentives are in higher side.

Approved

B23.2 SOLAR POWER PLANTS (Capacity - 25KWP) FOR DISTRICT HOSPITALS CHURACHANDPUR, THOUBAL AND SUB-DISTRICT HOSPITAL MOREH, CHANDEL. The unit cost of plant is @ Rs. 100.00 Lakh of which Rs. 65.50 Lakh shall be funded through Menistry of Renewable Energy, GOI and Rs. 32.50 Lakh is proposed to be provided by the State Health Society, Manipur under NRHM.

97.5 97.5 Alternate power provision for ensuring uninterrupted power supply in the facilities.

Approved

B23.3 GERIATRIC POPULATION/ELDERLY CITIZEN CARE

B23.3.1 Awareness program on various issue of geriatric population – 3 program for each district (27 Nos)

6.75 -

B23.3.2 Health camps for 60+ elderly one for each district – 9 Nos

7.11 0 Can be organised as an integrated one.

B23.3.3 Travelling allowance for hill districts and Jiribam for above activities

1.2 0

B23.3.4 Physical and Topographical Mapping

7.5 7.5 For better planning

SUB TOTAL 351.05 335.99 B26 State level health resources

center(SHSRC)

41

State level health resources center(SHSRC) Major Infrastructure for this resource centre is proposed costing 150.00 Lakhs. The Infrastructure activity will be completed in two years and during the financial year 2010-11 only 50% of the total budget will be required for initial implemtation as first phase

75 0 SPMU and DPMU are well staffed.

Lumpsum budgetting

SUB TOTAL 75 0 B27 Support Services Capacity Building (Training) 45.95 5.00 Trained manpower

available up to community level

Out of Rs.45.95 lakhs proposed by the state Rs. 5.0 lacs have been provisioned. Around 15 lakh worth training will be conducted by Civil society partners under Round 9.

IEC Anti Malaria Campaign 42.65 15.00 Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community

Out of Rs. 42.65 proposed by the state Rs 15 lacs is provisioned by National Vector Borne Disease Control Programme.

SUB TOTAL 88.6 20 B28 NRHM Management Costs/

Contingencies

B28.1 Block Level PMU Approved. It should be limited to

6% of the management cost.

36 BDMs are already there with minimal

workload.

B28.1.1 Continuation of 36 BPMs @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)

40.5 40.5 Proactive BPMSUs are in place

B28.1.2 Continuation of 36 BFMs @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)

40.5 40.5

B28.1.3 Continuation of 36 BDMs @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)

40.5 40.5

B28.1.4 Continuation of 46 PHC Account Officers @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH)

51.75 51.75

B28.1.5 Engagement of new 36 HMIS assistant for PW tracking in 36 blocks @Rs.8000/-

25.92 25.92

B28.2 District level Engagement of 9 new Office

Assistant for 9 Districts @ Rs. 5.67 5.67 Approved

42

7000/-

B28.3 State level Approved B.28.3.1 Continuation of 1 State Engineer

Consultant @ Rs. 10000/- Basic Pay + Rs.18750/- (PBH)

3.45 3.45 Strengthening of SPMSU

Approved

B.28.3.2 Continuation of 1 HRD/Training Consultant @ Rs. 10000/- Basic Pay + Rs.12500/- (PBH)

2.7 2.7 Approved

B.28.3.3 Continuation of 1 BCC/IEC Consultant @ Rs. 10000/- Basic Pay + Rs.12500/- (PBH)

2.7 2.7 Approved

B.28.3.4 Continuation of 2 Computer Operator (Training Centre) @ Rs. 4500/- Basic Pay + Rs.4250/- (PBH)

2.1 2.1 Approved

B.28.3.5 Engagement of 1 new Assistant Engineer Consultant @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)

0.9 0.9 Approved

B.28.3.6 Engagement of 1 new Assistant HMIS Officer @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)

0.9 0.9 Approved

B.28.3.7 Engagement of 2 Accountant @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)

1.8 1.8 Approved

B.28.3.8 Engagement of 1 new Assistant Training Consultant @ Rs. 5500/- Basic Pay + Rs.4500/- (PBH)

0.9 0.9 Approved

B28.4 Audit Fees 2.5 2.5 No write up is available in the PIP B28.5 Concurrent Audit system 6 6

B28.6 Printing Exp. 4 4 B28.7 Telephone and Mobile phone

expenses 4 4

B28.8 Other Management Cost 40 40 B.29 Other expenses 7.8 7.8 SUB TOTAL 284.59 284.59 GRAND TOTAL (PART B) 7314.31 4268.57

43

ANNEX-III

Immunization Strengthening Programme Manipur (2010-11)

S. No.

Activities

Amount Proposed

(Rs. In Lakhs)

Amount Approved

(Rs. in Lakhs)

Outcome

1. Mobility support for Supervision and Monitoring at districts and state level.

6.00 6.00 Improved supervision for programme

2 Cold Chain Maintenance 1.47 1.47 Strengthening of cold chain

3 Alternate Vaccine Delivery to Session sites

14.55 14.55 Timely supply of vaccine to 14555 session sites

4 Focus on urban slum & underserved areas

6.82 6.82 Conduction of 1950 session to urban area/urban slums

5 Social Mobilization by ASHA /Link workers

21.83 21.83 Ensure universal access

6 Computer Assistants support at State Level

1.44 1.44

7 Computer Assistants support at District Level

9.60 9.60

8 Printing and dissemination of immunization cards, tally sheets, charts, registers, receipt book, monitoring formats etc. 5.38 5.38

Strengthen Monitoring

9 Quarterly review meeting at state level 2.92 2.92 Regular meeting for Programme Review 10 Quarterly review meeting at District

level 14.00 14.00 11 Quarterly review meeting at block level 9.11 9.11 12 District level Orientation for 2 days

ANMs, MPHW,LHV 5.80 5.80 Capacity building of Medical Officers, Health Workers and other Immunization related staffs

13 Three days training of Mos on RI 5.20 5.20 14 One day refresher training of District

Computer Assistant .50 0.50 15 One day Cold Chain Handlers Training 1.10 1.10 16 One day training of Block Level Data

Handlers 1.10 1.10 17 To develop micro plan at sub-centre

level 0.42 0.42 Conduction of 420 session regularly

18 For consolidation of micro plan at block level 1.17 1.17

19 POL for vaccine delivery from state to District and PHC/CHCs

10.00 9.00

20 Consumables for computer including provision for internet access

0.67 0.48

21 Red/Black/Zipper bags 0.42 0.42 Injection waste disposal as per CPCB guidelines 22 Bleach/Hypochlorite solution 2.54 0.48

23 Twin Bucket 2.03 0.38 Total 124.07 119.17

44

Strengths

Ø The State is showing an improving trend in immunization coverage.

Areas for improvement

Ø The State continues to have dual problem of poor accessibility to immunization coverage as well as high dropout from BCG to DPT 3. There is an urgent need to address these issues through measures like revision of microplans, beneficiary tracking, improved monitoring and supervision etc. for improvement in full immunization coverage.

Ø The disparity between reported and evaluated coverage is huge, this need to be rectified for better assessment of the issues and progress in the programme implementation

Ø The coverage has not been apparently commensurate with fiscal progress, reflecting status of operationalization of the PIP. There is need to optimally utilize the strategies under NRHM like ASHA scheme, VHND, IEC(RCH) to generate demand for immunization as well besides addressing the supply side issues through better supply chain management

Ø The AEFI Surveillance and VPD Surveillance systems need to be strengthened in the state.

45

ANNEX-IV

Approval under the National Disease Control Programmes

NVBDCP

ROP, National Vector Borne Disease Control Programme –Manipur

Component Wise Details

(Figures in lacs)

Sl. No. Budget Head Proposed

Amount Approved by NVBDCP

Expected output Remarks

1 DBS ( Domestic Budgetary Support)

1.1 Malaria-DBS a Humar Resource a Salary of 100 MPWs

a Salary of 100 MPWs 72.00 72.00

Adequate manpower available at sub-centers

100 MPW have already been allocated additional 65 MPW have been allocated for 2010-11 The budget will be enhanced as per the progress of expenditure at RE stage

ASHAs 0.00 6.00

Involvement of ASHA is very important for ensuring availability of diagnosis and treatment facility at community level and improving survillance

Sub Total 72.00 78.00

b) IRS

46

(a) Spray wages for 100 spray men of selected IRS districts @ Rs. 81.40 p. vide Govt. order No. 21/3/2003-PIC 16th December 2007

9.77

100.00 • 2 round

quality spray

This includes operational cost of other activities in addition to spray wages The budget will be enhanced at the RE stage according to progress of expenditure and submission of SOE

(b) Training spray squad supervisors, MO at District lelvel

1.00

(c) DDT transportation & dumping to spray sites etc 2.35

(d) Advance notification & other contingency 2.25

Supervision & monitoring 2.05 Other Operational Cost

Maintenance of vehicle, POL, procurement of Lab. item, office expenses, auditing and accounting, annual report publication, bazaar articles, entomological tools, hiring of ware house and spray equipments etc.

100.00

These expenditure can be met under 100 % central assistance as well GFATM Planning and Administration. Bazzar article and hiring of Warehouses may be provisioned under state fund / NRHM additional ties

Sub Total IRS 117.42 100.00

c Capacity Building (Training)

Health Supervisors M&F 0.20

5.00

Trained manpower available upto community level

• Large no. of training from MO level to ASHA have been assigned to civil society partners during the period of implementation of Round -9 proposal, expected to commence from July 2010 • If required, some of the

2 Day composite Training : RR Team of District 1.00

One Training on Quality Assurance 1.00

3 Days Training of NAMMIS of District Level Officer & staff(Reorientation)

1.00

Training of new FTD holders/Community volunteer

20.00

Reorientation training of ASHA 20.00

Training of contract MPWs 0.65 Training of New MTS 0.30 Training of Medical Officer 1.00

47

Training of Lab. Technician 0.80

training can be integrated with the NRHM

Sub Total 45.95 5.00

d Urban Malaria Scheme

Operational Cost including equipments 12.00

is included in 100% central assistance

Sub Total 12.00

e IEC / BCC

IEC Anti Malaria Campaign

Meeting expenses of Task Force for Observation of Anti Malaria Month

0.10

15.00

Increase compliance for Diagnosis and treatment and Increase acceptance of IRS other Vector control measures by the community

The provision has also been made under GFATM and

also with civil society

partners.

Observation State Level Anti Malaria Month 0.50

Observation of District Level Anti Malaria Month 1.50

Panel discussion of Prevention & Control of Vector Borne Diseases

0.15

State Level student Quiz Competition 0.50

Health camps/Mela 0.10 Street play 4.00 Teleplay/Documentary Film 3.00

Advocacy Meeting

State Head Office 0.30 District 1.00

Coordination with

other sector

developed

Sensitization meeting of Media Person 0.50

Inter Sectoral Sensitization

State Head Office 0.30

District 0.50 School awareness session Student 0.60

Awareness Session of members of Indian Red Cross Society/NCC/NSS/PRI/Religious Leaders etc.

1.00

Awareness Session of leaders of SHG 12.00

48

Printing of IEC materials in different local dialect 10.00

Impact Study on IEC campaign in 2 (two) districts

4.00

Advertisement in Newspaper 2.00

Insertion of advertisement on Vector Borne Diseases Control Programme in Souvenir and other publications

0.60

Sub Total 42.65 15.00

f M&E including Data reporting 0.00 6.00

• Number of supervisory visits increased at ditrict PHC and village level • Timely reporting by PHCs, Districts and States

This activity is also reflected and explained in GFATM.

Total Malaria -DBS 290.02 204.00

1.1.1 Malaria-GFATM

a Human Resource

Salary PMU

Project Coordinator @ Rs. 25000/- per month 0.75

70.00

• The project monitoring unit at state as well as district level strengthened • The Planning , Monitoring, and Supervision capacity built up • Microscop

• The projected by the state for round-4 (upto june 10) and round-9 has been clubbed • Human resource has been kept as per GFATM project allocation keeping in view commencement of Round-9 from July 2010 • There is additional provision for

IEC Consultant @ Rs. 25000/- per month 0.75

Finance & Accounts Officer @ Rs. 15000/- per month

0.45

Data Entry Operator or Staticical Asst. @ Rs. 6000/- per month

0.18

Secretarial Asstt. @ Rs. 6000/- per month 0.18

VBD Project Manager @ Rs. 50000/- per month 4.50

M7E/MIS Project Manager @ Rs. 50000/- per month 4.50

BCC/PPP Manager @ Rs. 50000/- per month 0.00

PSCM Manager @ Rs. 0.00

49

25000/- per month y services functional in PHC labs • Recording and reporting capacity built up

engaging District Vector Borne Disease Consultant (DVBDC) at district level & Data Entry Operator and increase no. of MTS at sub district level during Round -9 project, expected to commence from July 2010 • The actual release will be based on the recruitments and progress of expenditure

Finance & Accounts Officer @ Rs. 25000/- per month

2.25

Data Entry Operator or Staticical Asst. @ Rs. 15000/- per month

1.35

Secretarial Asstt. @ Rs. 10000/- per month 0.90

Sub Total 15.81

District 0.00 District VBD pro. Officer MTS 21.63 Lab. Technician 12.96

Honorarium to District Accountant 0.30

Sub Total ( 34.89

Total HR Sate and District PMU 50.70 70.00

b Monitoring & Evaluation 0.00

Hiring of vehicles for field visit and supervision at state level each year

0.60

2.50

• Increase no. of supervisory visits by different level of programme officials at districts, PHCs , Sub-centres and villages • Quarterly review meeting conducted

• M&E has also been budgeted in DBS for the same purposes. • In case more funds are required, funds will be enhanced at RE stage.

Hiring of vehicles for field visit and supervision at District level each year

2.10

Travel related expenses for State Level Officers 0.06

Travel related expenses for District Level Officers 0.60

DA expenses for Consultant M&E 0.06

TA/DA for State Level Consultant i.e. PC, IEC, FC 0.18

DA for MTS 0.21

Review meeting of State of Centre 0.75

Review meeting of District twice in a year 0.25

Monthly Review meeting of DMOs at State Head Office

0.09

POL for MTS 1.05

Monthly Review meeting of MTS at State Head Office

0.09

Travel (State ) 3.90 22.50

50

Review Meeting (State with District) 4.00

Quarterly Meeting (At Distt. Level) 9.00

Travel (Dist) 10.80 Sub Total 33.74 25.00

c Planning & Administration

Office infrastructure – Laptop with all necessary software & Data card

1.50

45.00

Functional Project Monitoring Units at state and district level established

The budget approved by National Vector Borne Disease Control Programme for Planning and administration which includes office automation of State and District project units etc. Actual release will be based on the progress of expenditure

Office Infrastructure and equipment – Desktop with all with all necessary software & broad band connection

0.90

Office infrastructure and equipment – Office automation (1) Printer(1), Copier (1), Fax (1), Scanner (1), telephone with Intercom facility (5)

1.50

Office expenses – Documentation and Printing

0.90

Office Infrastructure and equipment (furniture etc.) 4.00

Office expenses – Space, Water, Electricity, Consumables and Rent etc.

3.60

Rent (Storage State) 1.08

Logistic arrangement state to distt (two round trips in a year)

2.70

District

Office infrastructure – Laptop with all necessary software & Data card

45.00

Office Infrastructure and equipment – Desktop with all with all necessary software & broad bank connection

27.00

Office infrastructure and equipment – Office automation (1) Printer(1), Copier (1), Fax (1), Scanner (1), telephone with Intercom facility (1)

45.00

Office expenses – Documentation and Printing

4.50

Office Infrastructure and 108.00

51

equipment (furniture etc.)

Office expenses – Space, Water, Electricity, Consumables and Rent etc.

13.50

Rent (Storage District) 3.60 Sub Total 262.78 45.00

d

BCC/IEC Activities (Miking Infortainment, Printing, Wall Writing, Dubing IPC Session, Group Meeting etc.

405.00 40.00


The budget projection by states is very high. The provision has also been made under Domestic component also. Futher civil society partners have been allocated funds for this component in Round-9 project. Some activities can be included with the intergrated IEC of State / NRHM

Sub Total 405.00 40.00

TOTAL Malaria-GFATM 752.22 180.00

TOTAL Malaria 1042.24 384.00

1.20 Prevention and Control of JE

Fogging Machine 9.60

5.00

• Laboratories equipped with diagnostic kits • Manpower trained in monitoring and supervision • Regular surveillance for increase in incidence of JE

The budget would be enhanced at RE stage according to prevailing JE situation and progress of activities Foggiong machine may be purhased through State budget. Traning may be intrgated with IDSP / NRHM Supervision and monitoring may funded from 100%

Elisa Kits - 4 test kits (NVBDCP,GOI)

IEC materials / IEC 2.00

Strengthening of surveillance, Monitoring & Evaluation

a) Field contingency for collection and transportation of samples

1.00

b) Printing of forms and formats 0.50

c) Supervision and monitoring of surveillance by NVBDCP staff

2.00

d) Training (MO and health staff) 4.00

e) Data entry operator, lab technician (pay @ Rs. 1.44

52

6000/- per month X 2 staff X 12 month on contract basis)

central assistance Technical malathion will be procured centrally and supplied

f) Entomological studies on vector surveillance and susceptibility

3.00

Technical Malathion 2.00

Strengthening of surveillance SSSL JN Hospital, Imphal

a) Lab equipments & supplies: (Details in Annexure -1)

9.30

Total JE 34.84 5.00

1.30 Prevention and Control of Dengue

Recurring grant to Sentinel surveillance Hospital@ Rs. 0.50 lakhs (As per GOI approval)

0.50

5.00

• Laboratories equipped with diagnostic kits • Manpower trained in monitoring and supervision • Regular surveillance for increase in incidence of Dengue

The budget would be enhanced at RE stage according to prevailing Dengue situation and progress of activities Supervision and monitoring may funded from 100% central assistance Training and epidemic prepared may be integrated with IDSP

Strengthening of surveillance and SSSL JNH :

a) Field contingency for collection and transportation of samples

1.00

b) Printing of forms and formats 0.50

c) Supervision and monitoring of surveillance by NVBDCP staff

2.00

d) Training (MO and health staff) 4.00

e) Data entry operator, lab technician 1.44

f) Entomological studies on vector surveillance and susceptibility

3.00

g) Lab equipments & supplies: (Details in Annexure -I)

9.30

Epidemic Preparedness/social mobilization: (logistics + operational cost : monthly fogging operation + breeding source elimination , Publicity & IEC etc)

3.00

IEC /BCC materials 5.00 Training / Workshop 2.00

Total Dengue 31.74 5.00

53

TOTAL DBS cash 1108.82 394.00 SUMMARY

1.Assistance for decentralized commodities which include Chloroquine, Primaquine, Quinine tab, inj Quinine and larvicides

24.27 2.63

1+2+3 TOTAL CASH including decentralized commodities

1133.09 396.63

` Commodities support by GoI for VBD 154.15

Grand Total 1133.09 550.78

Proposed Budget Under NRHM Additionality

Capacity Building (Training) 45.95 5.00

Trained manpower available upto community level

Out of Rs.45.95 lakhs proposed by the state Rs. 5 lacs have been provisioned. Around 15 lakh worth training will be conducted by Civil society partners under Round 9.Remaining Rs. 25.95 may be met from the NRHM additionality

IEC Anti Malaria Campaign 42.65 15.00


Out of Rs. 42.65 proposed by the state Rs 15 lacs is provisioned by National Vector Borne Disease Control Programme.Remaining Rs. 27.65 may be met from the NRHM additionality

54

PHYSICAL TARGETS

1. API

2008 2009* (P)

Average for 2008-09

Target for 2010

0.25 0.38 0.32

There is a chance of Increase in API due to improvement in

surveillance (ABER)

2. ABER

2008 2009* (P)

Average of five years

Target for 2010

4.8 4.09 4.45 8

3. LLIN

Total LLINs required for 80% coverage of

Households in Sub Centers with API >2

LLIN Supplied till 2009-

10

% coverage with LLINs till 2009-10

LLIN to be supplied in

2010-11

Targeted coverage for

2010

232331 0 0 55000 23.67

4. IRS

Population Rooms

Targeted

80% coverage

of the target

Targeted 80% coverage

of the target

507051 405641 240477 192381

55

5. HUMAN RESOURCES

A. Key Staff in Position

Particulars

Targeted to be in position

by end of 2010

VBD Consultants 9

MTS 27

Contractual LTs 12

Contractual MPW 165

B. Training

Particulars

Nos to be trained in

2010

DMOs 10

Contractual MPW 65

LTs 12

ASHA 492*

* 20 participants per batch

1.Senapati, Tamangleng, Chandel, Kangpokir, Imphal(E), Giribham, Thoubal, Bisnupur, Ukhrul, Imphal(U) Churachandpura are the distrits showing poor surveillance (ABER <10). Priority should be given to them for deployment of MPWs allocated under NVBDCP to improve the surveillance in these areas. 2. Jiribam S/D is the only area having API > 2. Efforts should be made to train all the ASHAs and community volunteers in these areas to enable early diagnosis and complete treatment of all cases. 3. Jiribam S/D and Churachandpur districts reported deaths. The refral mechanism should be strengthened in these districts and critcial care services should be ensured at the referal centers to prevent the deaths due to malaria.

56

RNTCP

Sr. No.

Activity Proposed

Approved (INR in lacs)

Expected Output (by 31st March 2011)

Remarks

1 Civil works 3.4 1) Civil work Up gradation and maintenance.

As per norms; Civil works for DTC is a one-time payment

2 Laboratory materials

6.0 1) Sputum of TB Suspects Examined per lac population per quarter; 2) All districts subjected to IRL OSE and Panel Testing in the year; 3) IRLs accredited and functioning optimally.

Please provide the justification for the excess amount requested

3 Honorarium 7.0 1) All eligible Community DOT Providers are paid honorarium in all districts in the FY.

the amount spent in past 4 qurters is only 5.7 lakhs

4 IEC/ Publicity 11.00 1) IEC/ACSM activities proposed in PIP completed; 2) Increase in case detection and improved case holding.

As per norms and previous expenditure

5 Equipment maintenance

5.47 1) Maintenance of Office Equipments at State/Districts and IRL equipments completed as planned; 2) All BMs are in functional condition.

As per norms

6 Training 3.10 1) Induction training, Update and Re-training of all cadre of staff completed as planned.

Training of DTOs is a national level activity and cannot be budgeted by the state;TB/HIV trainings are funded by SACS; Calculation not as per norms

7 Vehicle maintenance

26.98 1) All 4 wheelers and 2 wheelers in the state are in running condition and maintained.

8 Vehicle hiring 10.60 1) Increase in supervisory visit of DTOs and MOTCs; 2) Increase in case detection and improved case holding.

57

9 NGO/PP support 10.50 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.

Previous expenditure too low; More amount can be allocated based on expenditure in the first 2 quarters

10 Miscellaneous 15.00 1) All activities proposed under miscellaneous head in PIP completed.

11 Contractual services

140.05 1) All contractual staff appointed and paid regularly as planned; 2) Funds in the head utilized against approved amount

12 Printing 5.00 1) All printing activities at state and district level completed as planned.

Based on previous expenditure

13 Research and studies

0 No justification provided; please provide more details

14 Medical Colleges 2.70 1) All activities proposed under Medical Colleges head in PIP completed.

As per norms

15 Procurement –vehicles

40.70 1) Procurement of vehicles completed as planned.

Clarify with DDG and consultant

16 Procurement – equipment

3.60 1) Procurement of equipments completed as planned.

No provision for laptop or photocopier; computers to be condemned as per state govt rules before procuring the new ones

17 Total 291.10

In addition to this, a commodity grant of Rs. 12.77 lacs has been approved for central level procurement of Anti TB Drugs and Laboratory Equipments for sputum culture & drug sensitivity.

(i) Targets to be achieved during 2010-11: • Detection rate of at least 70% and maintain treatment success rate above 84%. • All RNTCP districts have supervisory structure for disease control programme.

(ii) Information under 27-B:

PERFORMANCE:

58

State Annualized NSP case detection rate Success rate of NSP Manipur 54% 84%

The State need to strengthen the services in the following districts: District ANSPCDR Success rate

Thoubal 30.1% 74.1% Ukhrul 40.8% 60.0%

HUMAN RESOURCE: Vacancy position of various categories of staff and the training status of existing staff is placed below:

DTO MOTC STS STLS DMC LT/Microscopist

Sanctioned

Vacanc

y

Total in

place &

trained

Sanctioned

Vacanc

y

Total in

place &

trained

Sanctioned

Vacanc

y

Total in

place &

trained

Sanctioned

Vacanc

y

Total in

place &

trained

Sanctioned

Vacanc

y

Total in

place &

trained

9 0 7 10 3 7 13 0 13 17 0 17 41 0 38

Medical Officer (at BPHC /PHC /CHC /district

hospital /other) Paramedical staff including

health workers

Vacancy In place and

yet to be trained

Vacancy In place and

yet to be trained

38 105 140 278 New Contractual Position: The following new contractual positions have been sanctioned under the revised financial norm of RNTCP for building capacity of districts and states to implement new initiatives like TB HIV Collaborative services and programmatic management of MDR TB: State Level Positions: • Asst. Programme Officer/Epidemiologist – 1 per state • DOTS Plus Site Sr. Medical Officer – 1 per DOTS Plus site • DOTS Plus Site Statistical Assistant – 1 per DOTS Plus site • Sr. LT at IRL – 1 per IRL • Store Assistant (SDS) – 1 per SDS • DEO (IRL) – I per IRL District Level Positions: • Sr. DOTS Plus and TB HIV Supervisor - 1 per district (as per phased expansion of DOTS Plus and intensified TB-HIV activities) State is requested to fill up all existing vacancies as well as new contractual postions and arrange for the training of the staff.

59

NPCB

Sl. No

Strategy Activity Time line

Total amount in lakhs

Approved(Rs in lakhs)

Remarks

A Screening Screening of 5000 children fir hill

1-4Q 1.50 Not approved .

Screening of 10000 children for valley

1-4Q 1.50 Not approved .

B 2000 Catops 1-4Q C Infrastruct

ure Strengthening

District Hospital 39.59 39.59 Approved

Vision Centres at PHC/CHC

1Q

Eye Bank 1Q

Eye Donation Centre 1Q

Eye Wings & OTs 1Q

Acc. Off. At State

1-4Q

Data Entry operator at state

D Training Training of MOs 1Q 1.27 1.27 Approved Training of

PMOAs 1Q Training of

Ophthalmic Nurse

1Q

School Teacher 1Q SN/ANMs 1Q ASHAs 1Q E DBCS for

all District Meeting per months at Dc level

1-4Q 1.08

Not approved .

F

Others Correction of Children with refractive

1-4Q 25.00 25.00 Approved

Motivation for ASHAs for Catops 1-4Q 3.00 3.00

Incentive @175/- per case of Operated cataract

Opening of tele hel line in 9 district hospital

1Q 2.70

Eye Health camps in 9 district witht he 1-4Q 2.70 2.70 Approved

60

help of DMMU

Total Budget

78.34 71.56

All the expenditures from the NPCB budget allocations and from the funds obtained from NRHM flexi-pool should be done strictly according to the Physical norms and Financial Norms approved in the 11th Plan five year plan of NPCB as communicated earlier.

The above said allocations are as per the requirements proposed by the state and in case the funds in a specific allocation are exhausted the funds from other unspent allocations for NPCB activities can be utilized ; with due intimation to GOI. Grant-in-aid for cataract operations and various other schemes includes free cataract operation, other eye diseases, School Eye Screening Programme, training, IEC, Private Practitioners, management of State Health Society and District Health Society, recurring GIA to Eye Donation Centres and Eye Banks, maintenance of Ophthalmic Equipments, SBCS, Remuneration, other activities & Contingency etc. How many of the targets projected in the PIP 2009-10 have been achieved.

NIDDCP

Activity Proposed

Approved Rs. in lakhs

Expected output Remarks

1 Establishment of IDD Control Cell

7.00 Better implementation and monitoring of programme activities.

Filling up of all sanctioned vacant posts of IDD Cell and IDD Lab by the state government on regular or contractual basis. Survey should be conducted as per GOI guidelines of NIDDCP @ Rs. 50,000/- per district.

2 Establishment of IDD Monitoring Lab

4.00 Monitoring of iodine content of salt and urine samples in districts.

3 a)Health Education and Publicity b) b) Salt Testing Kits supplies by GOI (30,000 No)

24.50

Increased awareness about IDD and iodated salt. Creating iodated salt demand and monitoring of the same at community level.

4 IDD surveys 0.50 Prevalence of IDD in 1 district of state

Total 36.00

61

IDSP

Budget-sheet - Manipur ( Districts - 9 )

Activity Sub-activity Tasks 2010 - 11

Remarks

Surveillance Preparedness

1. Training 1.1 Training of Hospital Doctors

1.39 20 per district, 10 per batch, 2 batch per district Per head training cost = Rs.1100/-.

Unit cost per participant: training material Rs.100; travel: Rs.300; Food: 250 (10

1.2 Training of Hospital Pharmacist / Nurses

1.89 40 per district, 20 per batch, 2 batch per district per head training cost = Rs.750/-.

Unit cost per participant: training material Rs.50; travel: Rs.100; Food: 150 (20 x 300) + Other exp

1.3 Training of Data Managers & DEO

0.24 Per head training cost= Rs.1600 /-, 2 days training

Unit cost per participant: {[training material Rs.50 + Food 150 x 2] + travel: Rs.500} x 20 + Other expenses (computer hiring) Rs.10000; Trainer charges: Rs.4000 = Total Rs.31,000/- per batch

Sub total 3.51

2. Staff Salary

2.1 Epidemiologists (10) 25.20 Rs 30000 per month

2.2 Microbiologists (2) 4.80 Rs 20000 per month

2.3 Entomologists (1) 2.40 Rs 20000 per month

62

2.4 Consultants (Finance) (1)

1.68 Rs 14000 per month

2.5 Consultants (Training) (1)


2.6 Data Managers (10) 16.26 Rs 13500 per month

2.7 Data Entry Operators (11)


Sub Total 64.92

3. Operational

Cost

3.1 Mobility Support 4.32 (Rs 1000 per visit x 4 visits)/ per month per district

3.2 Office Expenses @ Rs.2000 P.M.

2.76 Rs 2000 at districts and Rs 5000 at SSU per month

Sub total 7.08

Sub Total (Surv. Preparedness)

75.51

Outbreak investigation and response

4 4.1 ASHA incentives for Outbreak reporting

1.08 Estimated to get 10 informations per month from volunteers a total of 120 such information in a year per district. Each informant to be given an incentive of Rs.100/-

4.2 Consumables for District Labs

2.00 Rs 200 000 per lab

63

4.3 Collection & transportation of samples

0.54 Rs 6000 per district per year

Sub Total (OB Investiga & Resp)

3.62

Analysis and use of data

5 5.1 IDSP reports including alerts

0.30 Rs 30 000 per SSU per year

5.2 Printing of Reporting Forms

1.00 Rs 10000 per district and Medical College per year

5.3 Broadband Expenses 1.32 Rs 1000 per district+SSU+Medical Colleges

Sub Total 2.62

TOTAL 81.75

64

NLEP

The approved amount for Manipur State under National Leprosy Eradication Programme

for 2010-11 is 0.45 crores. Targets to be achieved during 2010-11 are as follows –

1. Annual New Case Detection Rate – 1.20 per 1,00,000 population

(Rs. in lakhs)

S. No.

Activity proposed Amount proposed

Amount approved

Expected Output

Remarks

1) Contractual Services

9.87 10.00

Functional leprosy cell at state/district level

State - SMO, BFO cum AO, DEO,Administrative Assistant, Driver

District - Drivers (6)

2) Services through ASHA/USHA

0.10 1.00

Increase in percentage of cases reported by ASHA

ASHA involvement to be strengthened

Honararium to ASHA, sensitization of ASHA

3) Office expenses & Consumables 7.20 3.50

Functional leprosy cell at state/district level

4) Capacity building

7.35 5.00

Improvement in skills in diagnosis & treatment of leprosy

4 days training of newly appointed MO (rural & urban)

3 days training of newly appointed health worker & health supervisor

2 days refresher training of MO

5 days training of newly appointed Lab. Technician

5) Behavioral Change Communication

9.78 9.00

Better self reporting as a result of increased awareness

Quiz,folk show,IPC workshop,Meeting of opinion leaders,Health melas

Wall painting,Rallies,Hoardings etc

65

6) POL/Vehicle operation & hiring

7.00 7.00 Improvement in mobility of SLOs & DLOs

2 vehicles at state level & 1 vehicle at district level

7) DPMR

3.40 3.50

Decrease in recurrence of foot ulcers and reduction in grade II disability through RCS

MCR footwear, Aids and appliances, Welfare allowance to BPL patients for RCS, Support to govt. institutions for RCS

8) Material & Supplies

2.30 2.50 Management of reaction cases

Supportive drugs, lab. reagents & equipments and printing forms

9) Urban Leprosy Control 0.80 0.50

Better diagnosis & treatment of leprosy in urban areas

10) Supervision, Monitoring & Review

1.00 1.00

Better, supervision & monitoring of programme

Review meetings and travel expenses

11) Cash assistance 1.00 2.00

Better, supervision & monitoring of programme

Anti Leprosy day

TOTAL 49.80 45.00

66

Deafness Programme

The Manipur State PIP has been examined by the programme division of Directorate General of Health Services Following observations are made: The proposal of NPPCD does not included details of the proposed activity except the budget in the submitted NRHM State PIP. The status of programme in the existing 4 districts has not been mentioned. Existing districts under the programme has not been mentioned in the state PIP. SNo State/UT Existing districts Proposed districts

under NPPCD (2010-11)

1 Manipur 1. Imphal 2. Senapati 3. Churachandpur 4. Ukhrul 5. Tamenglong 6. Chandel

Nil

6 districts Nil The state has requested for Rs. 119.00 lakh for the implementation of the programme during 2010-11. The component wise detail for projected budget is as under:

S. No.

Component Total amount

proposed in Rs lakh

Total amount

approved

Expected outcome

Remark

1. Training of Manpower

8.12 Nil Trained manpower

Funds were released in the year 2009-10

2 Capacity building of DLOs, DPMU, BPMU, CDPOs

60.00 Nil Details about the activity is not mentioned

3 Manpower at district level

10.80 10.80 Strengthened ear care service delivery system

4 Screening Camps 4.80 7.20 Early identification of Hearing impaired

5 Hearing Aids 29.20 29.20 Medical rehabilitation of Hearing impaired children

6 Central Cell at state 5.72 4.22 Coordinate, Recommended

67

level liaison with central and district level for better and speedy implementation of the programme

from Mission Flexible pool Consultant @ Rs 25000/-PM DEO @ Rs 6000/- PM and Office expenses of Rs 50000/- per year

7 Contingency 0.10 nil Total 119.00 51.42

The state of Manipur has proposed the budget of Rs 119.00 lakh for the year 2010-11 but Rs 51.42 lakh (Rs 47.20 lakh may be given from the programme budget and Rs 4.22 lakh from NRHM Flexipool budget) may be considered for approval.

68

ANNEX-V

SUMMARY of MAIN APPROVED ACTIVITIES (INFRASTRUCTURE, HUMAN RESOURCES, TRAINING)

FMR Code Activity

Proposed Amount (Rs. In Lakhs)

Approved Amount (Rs. In Lakhs)


Budgeted under

INFRASTRUCTURE B1.2 Procurement of ASHA Drug

Kit @ Rs. 900/- X 2 times X 3878 ASHAs

69.8

100% ASHA will get Drug kits.

MFP

B3.1.2 CHCs - Construction of BTQ (1), Patient Toilet (1), Land Development, Construction of IPD Building & Construction of Fencing. Total for Rs. 381.50 L, proposed for 50% during 2010 - 11.


MFP

B3.1.4 Sub Centres - Additional fund requirement for Water supply & Sanitary installation, Internal Electrification & installation - & Barbwire fencing in 50 Sub Centres out of 100 numbers of S/Cs construction, approved in 2006 - 07. Total budget is Rs. 391.50 Lakhs & proposed for 50% during 2010-11.

197.75 150 Upgradation of infrastructure of public health facilities

MFP

MFP

B4.1 CHCs - Annual Maintenance Grant for 1 SDH at Moreh and in 16 CHCs @ Rs. 1.0 L.

17 17 100% received Maintenance grant and utilized up keeping of facility.

MFP

B4.2 PHCs - Annual Maintenance Grant for 80 PHCs @ Rs. 0.50 L.

40 35 MFP

B4.3 Sub Centers - Annual Maintenance Grant for 350 Sub Centres @ Rs. 0.10 L

35 32 MFP

B.5.2.1 PHCs - Construction of either PHC buildings or quarters in 10 PHCs during 2010-11 at Phayeng (IW), Andro & Keirou Makting in IE, N. Sekmai,


MFP

69

Lilong, Hiyanglem in TBL, Lambui in UKL, Thanlon in CCP, Maphaou Kuki & Lai in STP districts.

B5.3.2 Construction of 11 relocated PHSCs collocated with PHCs and CHCs for Rs. 233.72 L. Proposed for 50% only during 2010-11.


MFP

B5.5 Govt. Dispensaries/ others renovations Renovation/Repairing of Ward and Repairing of Sanitation/Drainage systems of only functioning Leprosy Hospital (Temporary Hospitalization ward), Leihingol, Imphal East

35 35 Upgradation of infrastructure of public health facilities

MFP

B.5.7.2 Setting up of Mini-Training Centres for 7 District (5 Hill and 2 Valley) @ Rs. 20.0 L, total requirement being Rs. 140.0 L. Proposed for 50% only during 2010-11.

70 70 Trainings of health staff will be held.

MFP

Mobile Medical Units (Including recurring expenditures) Mobile Medical Units comprising of 02 vehicles equipped with basic gadgets and equipments are provided in all the existing 09 districts and are functional. Services of 18 drivers, 9 Lab. Techs and 9 X-Ray Techs have been used on contractual basis by giving a monthly honorarium of Rs. 5,000/-, Rs. 7,000/- and Rs. 7,000/- respectively. The services of these contractual staffs will be continued. Also, a Performance-based incentive may be given to the MOs and paramedics

138.02 138.02 Expected 2,91,600 peoples will be benefited

MFP

B.11.1 Procurement of 4 Wheel Drive Mobile Medical Units @ Rs. 9.0 L and repairing & maintenance cost @ Rs. 5.0 L per annum for 5 difficult/hill districts + Jiribam Block in IE.

84 84 MFP

B12.1 Ambulance - procurement of 5 ambulances @ Rs. 9 (nine) Lakh each and Salary for driver @ Rs. 5000/- per month

48 45 Improvement of referral services

MFP

70

B.18.3.5 Hardware/Software Procurement

64.93 64.93 MFP

B19.2.1 Equipment & Furniture gaps in DH Churachandpur which is in the process of ISO certification:

191.01 191.01 One ISO certified Hospital to render quality services to the people

MFP

B19.2.2 Equipment gaps in DH Thoubal which is to be up-graded from 50-bedded capacity to 100 bedded capacity. A total amount of Rs. 756.44 Lakhs will be needed to fill-in the identified gaps in the newly up-graded 100-bedded DH in Thoubal. Proposed for 50% during 2010-11.

378.22 179.72 Improved health care provision in public health facilities

MFP

B19.2.3 Equipment and Furniture gaps @ CHC Sugnu in Thoubal District and CHC Jiribam

36.74 36.74 do MFP

B19.2.6 Procurement of Solar Lighting System for all the 5 District Hospitals (BPR, CDL, UKL, SPT and TML) @ Rs. 4.00 Lakhs per system and installation & Logistic charge of Rs. 15,000 per system.

20.75 20.75 Alternate power supply ensured

MFP

B19.2.7 Procurement of 30 pieces W 45043 Zoe Gynaecologic Simulator for the IUCD 380- A training at district level

16.5 16.5 MFP

B19.2.8 Procurement of Sodium Hypochlorite (1% or 5%) Solutions, Trolley, Rubber- Hand Gloves up-to Elbow Joint, Rubber Shoes, Apron, Mask and Needle Destroyer

4 4 Improved quality of FP services

MFP

B19.2.10

Equipment of Electric Insuction 82 pieces @ Rs. 5000/- per pieces

4.1 4.1 MFP

B19.2.13

Procurement Colour coded bins (Red, Yellow, White and Black bins). For all the District Hospitals, CHCs and 38 (Thirty eight) 24x7 targeted PHCs

94.81 94.81 MFP

71

B23.2 SOLAR POWER PLANTS (Capacity - 25KWP) FOR DISTRICT HOSPITALS CHURACHANDPUR, THOUBAL AND SUB-DISTRICT HOSPITAL MOREH, CHANDEL. The unit cost of plant is @ Rs. 100.00 Lakh of which Rs. 65.50 Lakh shall be funded through Menistry of Renewable Energy, GOI and Rs. 32.50 Lakh is proposed to be provided by the State Health Society, Manipur under NRHM.

97.5 97.5 Alternate power provision for ensuring uninterrupted power supply in the facilities.

MFP

A.9.2.1 Major civil works for operationalisation of FRUS

70 70 7 District Hospitals RCH-II

A.9.2.2 Major civil works for operationalisation of 24 hour services at PHCs

209.5 209.5

27 PHCs RCH-II A.9.3.1 Minor civil works for

operationalisation of FRUs 15 15 6 DH and 4 CHCs

RCH-II A.9.3.2 Minor civil works for

operationalisation of 24 hour services at PHCs

11 11

4 24x7 PHCs RCH-II A.13.2.5 General drugs & supplies 353 353

RCH-II

SUB- TOTAL

(INFRASTRUCTURE) 3044.05 2717 HUMAN RESOURCES

B14.1

Additional Staff/ Supervisory Nurses PHC,CHC (Including Ayush Stream) Continuation

of 34 AYUSH Pharmacists and engagement of new 67 AYUSH Pharmacists @ Rs. 4500.00 pm

+ Rs. 3000.00 pm as Performance Based Incentives. 75.84 75.84

Availability of healthcare services of Indian system of

medicines in co-located facilities.

MFP

B14.4

Medical Officers at PHCs (Including AYUSH stream) - Continuation of 88 AYUSH

doctors, engagement of new 1 State Nodal Officer (AYUSH) and 8 AYUSH doctors @ Rs.

8000.00 pm + Rs. 10750.00 pm as Performance Based

Incentives. 213.19 213.19 MFP

72

B14.6

Lab technicians, Gynecologists, Anesthetists, Pediatrician, Specialist CHC,

Radiologist, Sonologist, Pathologist, Dental Surgeons. -

Continuation of Specialist AYUSH doctor and

engagement of new 3 Specialist AYUSH doctors @

Rs. 8000.00 pm + Rs. 14500.00 pm as Performance Based

Incentives. 8.78 8.78 MFP

B23.1

Proposed Incentives Structure: Staffs who are posted in the difficult to be accessed areas

will be given incentives in the form of increased monthly

honorarium according to the degree of difficulty as given

below. Inaccessible areas - 150 % of

Basic Pay Very difficult areas - 100% of Basic

Pay Difficult areas - 75 % of Basic Pay

The incentives will be applicable to those contractual

staffs placed outside their home districts. The total

budget for 2010-11 will be Rs. 230.988 Lakhs 230.99 230.99

Approved in principle. State

should work out detail of payment to

individual institution against posted workers.

Amount of incentives are in

higher side. MFP

B28.1.1

Continuation of 36 BPMs @ Rs. 5500/- Basic Pay + Rs. 3875/-

(PBH) 40.5 40.5

Proactive BPMSUs are in place

MFP

B28.1.2

Continuation of 36 BFMs @ Rs. 5500/- Basic Pay + Rs. 3875/-

(PBH) 40.5 40.5 MFP

B28.1.3

Continuation of 36 BDMs @ Rs. 5500/- Basic Pay + Rs.

3875/- (PBH) 40.5 40.5 MFP

B28.1.4

Continuation of 46 PHC Account Officers @ Rs. 5500/- Basic Pay + Rs. 3875/- (PBH) 51.75 51.75 MFP

B28.1.5

Engagement of new 36 HMIS assistant for PW tracking in 36

blocks @Rs.8000/- 25.92 25.92 MFP

Engagement of 9 new Office Assistant for 9 Districts @ Rs.

7000/- 5.67 5.67 MFP

B.28.3.1

Continuation of 1 State Engineer Consultant @ Rs.

10000/- Basic Pay + Rs.18750/- (PBH) 3.45 3.45 MFP

73

B.28.3.2

Continuation of 1 HRD/Training Consultant @

Rs. 10000/- Basic Pay + Rs.12500/- (PBH) 2.7 2.7 MFP

B.28.3.3

Continuation of 1 BCC/IEC Consultant @ Rs. 10000/- Basic

Pay + Rs.12500/- (PBH) 2.7 2.7 Strengthening of

SPMSU MFP

B.28.3.4

Continuation of 2 Computer Operator (Training Centre) @

Rs. 4500/- Basic Pay + Rs.4250/- (PBH) 2.1 2.1 MFP

B.28.3.5

Engagement of 1 new Assistant Engineer Consultant

@ Rs. 5500/- Basic Pay + Rs.4500/- (PBH) 0.9 0.9 MFP

B.28.3.6

Engagement of 1 new Assistant HMIS Officer @ Rs. 5500/- Basic Pay + Rs.4500/-

(PBH) 0.9 0.9 MFP

B.28.3.7

Engagement of 2 Accountant @ Rs. 5500/- Basic Pay +

Rs.4500/- (PBH) 1.8 1.8 MFP

B.28.3.8

Engagement of 1 new Assistant Training Consultant

@ Rs. 5500/- Basic Pay + Rs.4500/- (PBH) 0.9 0.9 MFP

A.9.1.1 ANMs 327 327 420 ANMs RCH-II

A.9.1.2 Laboratory Technicians 28.5 28.5 38 Laboratory

technicians RCH-II A.9.1.3 Staff Nurses 126 126 140 SNs RCH-II

A.9.1.4

Doctors and Specialists (Anaesthetists, Paediatricians,

Ob/Gyn, Surgeons, Physicians) 47.25 47.25 9 specialists RCH-II

A.9.1.5 Other contractual staff 218.25 218.25 54 MOs,14 PHNs, 9

pharmacists , RCH-II

A.10.1 Human Resources

Development 0.72 0.72 4 HR trainees for 3

months RCH-II SUB-TOTAL (HUMAN RESOURCES) 1496.81 1496.81

TRAINING

B18.1.2

District level - Workshops/Seminars at 9 Districts @ Rs.

0.50 L 4.5 4.5

1 Monitoring Committee Will be

formed. 18 NGOs will be

identified 45 Monitoring

Committees will be formed

MFP

B18.1.3

Block level - Workshops/Seminars at 36 blocks @ Rs.

0.30 L 10.8 10.8 MFP

B.18.3.3 Workshops/

Training on M & E 60.6 60.6 MFP

74

Capacity Building

(Training) 45.95 5

Trained manpower available upto

community level MFP

A.11.1 Strengthening of

Training Institutions 34.8 34.8 3 institutes RCH-II

A.11.3.1 Skilled Birth

Attendance / SBA 28.42 28.42 80 ANMs, 24 SNs RCH-II

A.11.3.2 EmOC Training 8.51 8.51 3 batches RCH-II

A.11.3.3

Life saving Anaesthesia skills

training 6.39 6.39 2 batches RCH-II A.11.3.4 MTP training 8.38 8.38 10 batches RCH-II

A.11.3.7 Other MH Training 3.65 3.65

BEmOC - 24 MOs; Blood storage

training – 12 MOs and 10 LTs RCH-II

A.11.4 IMEP Training 1.68 1.68 180 paramedics RCH-II

A.11.5.1 IMNCI 13.37 13.37

Pre- service IMNCI for UG students 17

batches RCH-II

A.11.5.5 Other CH Training 4.77 4.77 270 Primary school

teachers RCH-II A.11.6.2 Minilap Training 3.14 3.14 15MOs RCH-II A.11.6.3 NSV Training 1.96 1.96 24 MOs RCH-II

A.11.6.4 IUD Insertion

Training 61.17 61.17 310 SN and 350

ANMs RCH-II A.11.7 ARSH Training 2.44 2.44 60 officials and MOs RCH-II

A.11.9 Other training 84.76 84.76

Management training 2 batches, PGDPHM 9 MOs,

PRI- VHSC members 3203, PRI training

1020, Fin training of MOs 4 batches, audit

training-1 batch RCH-II

SUB-TOTAL (TRAINING) 385.29 344.34

GRAND TOTAL 3410.27 3321.57

75

ANNEX –VI

List of participants for the meeting of the National Programme Coordination Committee

Sl. No.

Name & Designation Tel. No./E-Mail Address

Participants from MoHFW

1 Shri P.K. Pradhan, AS&MD [email protected]

2 Shri Amarjeet Sinha, JS(P) [email protected]

3 Shri Amit Mohan Prasad, JS(RCH) [email protected]

4 Shri Puneet Kansal, DS(NRHM III) [email protected]

5 Dr. M. Malhotra, AC(MH-I) 23063479

6 Dr. B. Kishore, AC(CH-I) [email protected]

7 Dr. P.K. Prabhakar, AC(ID) [email protected]

8 Dr. A. Raghu, Asst. Adv(Ayush) [email protected]

9 Dr. G.S. Sonal, JD, NVBDCP 23967780/116

10 Dr. V.K. Tewari, HEO(O), NPCB 23061429

11 Dr. Niraj Klushrestha, CMO, RNTCP 23061107

12 Shri G.R. Khetarpal, US(NE) 23061203

13 Shri S.K. Bose, Investigator, NE Div. [email protected]

14 Shri S.K. Singh, Investigator, NE Div. [email protected]

15 Dr. Abhishek Gupta, Consultant, NE Div. [email protected]

16 Dr. Vinay Viswawadia, Consultant, FP Div. 23062427

17 Dr. Prema Sundararajan, Consultant, SHP [email protected]

18 Ms. Sukhvinder Kaur, Consultant, Stat. Div. [email protected]

19 Ms.Geetanjli Agrawal, Consultant, ARSH [email protected]

20 Ms. Asmita Jyoti Singh, Consultant, ID Div. 9654765096

mailto:[email protected]













76

21 Ms. Shraddha Masih, Consultant, NRHM IV

22 Shri Vipin Garg, Consultant, DC Div. 9212786892

23 Shri Sanjeev Gupta, Fin. Controller 9871924655

24 Shri Aman Kumar Ram, Fin. Asstt(FMG) 23062121

25 Ms. Mona Gupta , Consultant, TMSA 9818038688

26 Ms. Renuka Patnaik, Consultant, NIHFW [email protected]

27 Dr. M. H. Meitei, Sr. Lecturer, NIHFW 9873317434

28 Dr. L.L. Khan Piang, Lecturer, NIHFW 9711135357

Participants from NE_RRC

29 Dr. A.C. Baishya, Director, NE-RRC [email protected]

30 Dr. Ashoke Roy, Adv(PH), NE-RRC [email protected]

31 Dr. Dilip Singh, Adv(PH), NE-RRC [email protected]

Participants from State

32 Shri Pradeep K. Jha, MD(NRHM), Manipur [email protected]

33 Dr. W. Gulapi Singh, Addl. Dir(P), Manipur [email protected]

34 Dr. N.P. Singh, Addl. Dir(P&F), Manipur [email protected]

35 Dr. H. Nimaichand Singh, SPO, Manipur [email protected]

36 Ms. R.N. Sandhya, DD(Fin), Manipur [email protected]

37 Shri Khaliq Milan, Addl. SPM, Manipur 9862583275

38 Shri W. Tejendra, SFC, Manipur [email protected]

39 L. Romeo Singh, State Data Mgr. Manipur 985025468

40 Ms. Risabai Salam, HRD Consultant, Manipur

9856968597











F. No. M-11011/4/2010 NRHM- III Government of India ...

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