& FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail:...

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  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Letter No. OSH & FWS/9836 Date: 30/08/2017 From Shalini Pandit, IAS

    Mission Director, NHM Odisha

    To The CDMO-cum-District Mission Director Sonepur

    Sub: Approved budget of NHM PIP 2017-18. Madam/Sir,

    The approved resource allocation of Sonepur district for the year 2017-18 is Rs. 1918.56 Lakhs. The Details of component wise break up are as follows.

    Sl. No. Name of Programme Total Allocation to the District (Rs. In Lakhs) 1 RCH Flexible Pool 422.14

    2 Mission Flexible Pool(including NOHP,NPPCD, NPPCF, Palliative Care and Assistance to State for Capacity building for Burns & Injury)

    1245.90

    3 Immunization including PPI Operational cost 37.70 4 NIDDCP 0.00 5 NUHM Flexible Pool 0.00 6 IDSP 3.09 7 NVBDCP 38.18 8 NLEP 23.72 9 RNTCP 68.42 10 NPCB 40.31 11 NPHCE 30.80 12 NPCDCS 8.31 13 NTCP 0.00 14 NMHP 0.00

    Grand Total 1918.56

    The above approval is subject to the certain mandatory requirements as detailed in Terms & Conditions mentioned at subsequent pages. Please note that non-compliance of any of the clause mentioned in Terms & Conditions may entail audit objections & may result in withholding of grants to the district.

    It is therefore requested to utilise the funds as per the guidelines issued by the State & ensure effectiveness & efficiency in programme implementation for desired result.

    I look forward to meeting you to review the progress against these approvals. Let us work together to achieve the goals.

    Yours Faithfully

    Mission Director NHM, Odisha

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  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Terms & Conditions

    The approval (Financial envelop) is subject to the following mandatory requirements. Please note that non-compliance to any of the following requirement may entail audit objections & may result in withholding of fund release to the district.

    The implementation of District PIP shall be the responsibility of the Zilla Swasthya Samittee. Therefore, the ZSS executive committee should hold its meeting within a fortnight for necessary ratification of the approved PIP. However, the ongoing activities may continue till the ZSS meeting is held. The district may propose additional proposal/s if any for necessary approval in the supplementary PIP.

    The districts shall finalize the Block financial envelop in line with the District plan for undertaking approved activities & disseminate the same within fifteen days from receipt of respective PIP.

    Strengthening Financial Management System: The following conditionalities must be adhered to strictly for ensuring sound Financial Management. Fund Release to sub-district level facilities:

    Funds to be released quarterly in Flexible-pool mechanism after adjusting the unspent balances.

    Funds must be released within 7 days of receipt of the same from State. Fund release has to be ensured through PFMS only.

    Financial Management Report (FMR) & Statement of Fund Position (SFP):

    CHC/SDH to Districts: To be furnished by 05th of the following month. PIP based FMR & SFP should be furnished. BRS is mandatory along with FMR & SFP.

    District to State: To be furnished by 10th of the following month. PIP based FMR & SFP to be furnished separately. BRS is mandatory along with FMR & SFP.

    The district shall ensure submission of compliance report to the observation of the State on the FMR. NB: The financial data in the FMR must be as per the books of accounts and the physical data as per HMIS/MCTS.

    Record Keeping: Cash books, ledgers, advance registers, asset registers etc. along with relevant

    documents must be maintained as prescribed in the Financial Management guideline.

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    The records must be authenticated by the DDO on real time basis. All the financial transactions must be through FAMS. All the important and confidential documents like MoUs, contracts, audit reports etc.

    must be kept under lock & key with designated custodian.

    Concurrent audit: Concurrent audit must be taken up in time as per the terms & conditions in the contract. The observations of the auditor must be complied in action before taking up the audit of

    next month. The executive summary must be submitted to State on quarterly basis, i.e. within 45 days

    of completion of the quarter.

    Age of advance: Age of advance under any scheme under NHM has to be less than 12 months at the end

    of the year for getting further grants of current year. Ageing of advance analysis must be prepared on quarterly basis for all facilities to identify

    long pending advances. All long pending advances must be followed-up rigorously for liquidation with proper

    documentation. Further advances should be discouraged if 80% of the previous advance is not liquidated

    / adjusted.

    Aadhaar based DBT: The district and sub-district level facilities must ensure payment of dues to the following

    beneficiaries through Aadhaar based DBT under PFMS only. a. JSY beneficiaries b. Beneficiaries under Family Planning :

    Enhanced Compensation Scheme for Sterilization for both beneficiaries and service providers. Post-Partum IUCD (PPIUCD) Incentive Scheme to both beneficiaries and service providers. Post-Abortion IUCD (PAIUCD) Incentive Scheme to both beneficiaries and service providers. Ensuring Spacing of Births (ESB) Scheme. Family Planning Indemnity Scheme (FPIS).

    c. ASHAs (Incentives under all eligible schemes) d. Contractual staff under NHM

    In order to ensure the same, the districts and sub-district facilities must take following actions:

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    As per Aadhaar Act, the Organization, who is paying the benefits, should ensure

    seeding of Aadhaar numbers to the respective bank accounts. Further, in obedience to the Act, the payer organization has to also enroll the beneficiaries under Aadhaar in case they do not have the numbers.

    Regular orientation of ASHAs regarding Aadhaar based payment is not being done. The ASHAs must be briefed on their roles and responsibilities in this regard on a continuous basis in the Sector level meetings.

    Awareness of mothers relating to Aadhaar based payment is to be done on continuous basis. The ANMs should orient the pregnant mothers in the VHND on a regular basis regarding their roles. Instruction in this regard must flow to each ANM from the CHCs.

    ANMs must ensure opening of bank accounts of pregnant mothers and seeding with the Aadhaar no., if it is already available. In case the Aadhaar no. is not available, the concerned CHC must ensure her enrollment under Aadhaar.

    Other Conditionalities:

    The District must ensure due diligence in expenditure and observe, in letter and spirit, all rules, regulations, and procedures to maintain financial discipline and integrity.

    The unit cost/ rate approved for all activities including procurement, printing etc. are indicative for purpose of estimation. However, actuals are subject to transparent and open bidding process as per the relevant and extant purchase rules.

    District to ensure regular meetings of State and district health missions/ societies/DISHA. The performance of SHS/ DHS along with financials and audit report must be tabled in such meetings.

    All services under National Health Programme/ Schemes should be provided free of cost. District shall ensure submission of quarterly report on physical progress against targets and

    expenditure including an analysis of adverse variances and corrective action proposed to be taken.

    The district shall not make any change in allocation among different budget heads without approval of state.

    All approvals are subject to the framework for Implementation of NHM & guidelines issued from time to time & the observations made in this document.

    The district must ensure proper internal control as regard to Receipts, Expenditure, Advances, Procurement, Inventory, Assets and other Administrative controls.

    The accounts of district/ grantee institution/ organisation shall be open to inspection by the sanctioning authority and audit by the Comptroller & Auditor General of India under the provisions of CAG (DPC) Act 1971 and internal audit by Principal Accounts Officer of the Ministry of Health & Family Welfare.

    District shall submit details of unspent balance indicating inter alia, funds released in advance & funds available under District Health Societies. The district shall also intimate the interest amount earned on unspent balance. This amount can be spent against approved activities.

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Items like engagement of new manpower, operationalization of MHTs, NRCs, NBCs, NBSUs, SNCUs, Maternity Waiting Homes, VGP& PHC(N) management initiatives, all procurement (Kind & services) & civil works, even if proposed in later part of the year in the PIP, may be taken up from 1st qr.

    The district has to ensure that no personal advance is given for taking any programmatic activities such as trainings, printings, organizing camps etc. All expenditure should be incurred by way of direct payment to concerned agencies. However, if any advance is given in case of emergencies (to be justified in file), the same at district / sub-district level must be settled within 45 days of completion of the activity. In case of non-settlement, the advance should be issued a notice for settlement of the advance in next seven days. However, if the same is not settled within the stipulated time, the advance should be recovered from his/her salary. The guideline provided in this regard under the signature of MD, NHM & DHS, Odisha must be followed strictly.

    No due certificate / clearance from concerned programme management units must be insisted at the time of handing over the charges / relieve from the post held by Govt. officers on account of retirement / transfer as directed by Govt. vide resolution No. 14434, dt, 11.06.12.

    District should ensure expenditure up to 15% by June 2017 and another 30% by September 2017 of their approved budget under each pool in the FY 2017-18.

    Action on the following issues would be looked at while considering the release of second tranche of funds.

    Compliance with conditionalities as prescribed by Department of Expenditure (DoE) under the Ministry of Finance.

    Physical and financial progress made by the district Before the release of funds beyond 75% of BE for the year 2017-18, district needs to

    provide Utilisation Certificates against the grant released to the district up to 2016-17 duly signed by CDMOs.

    Funds will be released to district Pool wise instead of scheme wise. State to open accounts of all agencies in PFMS and ensure expenditure capturing, other

    aspects.

    Delegation of financial Powers under OSH&FW Society in absence of regular DDOs at District & Sub-district level to avoid any interruption in taking up the approved activities under NHM shall be adopted as per following norms:

    Collector & DM shall accord financial powers at district level CDMO concerned will accord financial powers for officers at Sub-district level It would be a temporary arrangement till regular position is filled up by the Govt. or

    financial powers are formally issued by Govt. in favour of the person in-charge. It shall only be delegated to the person in charge of that position In absence of regular CDMO-cum-District Mission Director, the Collector & District

    Magistrate may accord approval for sub-district level DDO positions.

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    For making payment/incurring expenditure/release of funds, the delegation of administrative & financial powers applicable for different levels must be followed strictly.

    Guideline for utilization against demand driven & Non-demand driven activities: Funds required for demand driven activities like JSY, Sterilization, JSSK, VHND, Sector

    level meeting of ASHAs, remuneration of staff etc. has to be released as per the actual requirement irrespective of the allotment in PIP. However, the unit cost of each activity has to be as per approved budget.

    Additional expenditure on demand driven activities, if any, does not deprive a district from taking up other approved activities due to want of funds.

    In case the expenditure against the demand driven activities exceeds the approved budget, the MD, NHM should be requested to release more funds for the same.

    Non-demand driven activities must be taken up as per approved PIP.

    Monitoring & Supportive supervision: Monitoring of the financial management processes must be done as per the

    comprehensive monitoring plan. If required, handholding support must be provided on the spot. Financial records & documents of all facilities must be examined as per the checklist in

    the fixed day review meeting of BPMU staff at district level and corrective measures be ensured accordingly. The detailed guidelines provided in this regard must be followed strictly.

    Corrective actions must be ensured based on the recommendations of the monitoring team.

    Infrastructure

    The approval for new infrastructure is subject to the condition that District will use energy efficient lighting and appliances. District will submit non Duplication Certificate as per prescribed format.

    In all new constructions of SCs, care should be taken to ensure that the locations of these facilities are such that beneficiaries can access them easily. They should preferably be located in the habitation as decided by GKS and definitely not in outskirts of villages or in unhygienic environment under any circumstances.

    Any shift in the approved new proposals for DPs is not permissible. However, in case of NRC, location may be changed with the approval of CDMO. Further, the place of NBSU & BSU may be changed within the DPs of L3 facilities taking prior approval from MD, NHM following proposals with adequate justification.

    Reallocation of funds for new proposals within DPs is permissible provided the CDMO has to certify that all the gaps in the said DP has been fulfilled in all respects and no further funds are required for new construction.

    All buildings, vehicles & other assets supported /created under NHM should prominently carry NHM logo and adhere to the prototypes communicated by MD, NHM.

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Works must be completed within a definite time frame. For new constructions upto CHC level, a maximum of two years and for a District Hospital a maximum period of 3 years is envisaged. Renovation/ repair should be completed within a year. Requirement of funds should be reflected accordingly. Funds would not be permissible for constructions/ works that spill over beyond the stipulated timeframe.

    The district shall strengthen implementation arrangement to monitor all civil works being undertaken, on a monthly basis, to ensure quality of work and completion as per schedule. The district should also ensure up-dation of data in CMS on monthly basis.

    Any deviation from the above conditionality would be treated as ineligible expenditure under NHM.

    Procurement:

    Strict compliance of procurement procedures for purchase of medicines, equipment etc. as per state guidelines to be maintained. All the equipments are to be procured through competitive bidding as per the

    specification provided by the State. Any additional funds required following the said process may be met out of the concerned line item.

    Only need based procurement to be done strictly on indent/requisition by the concerned facility.

    Procurement to be made well in time & not to be pushed to the end of the year. Audit of equipment procured in the past to be carried out to ensure rational

    deployment and wage. Annual Maintenance Contract (AMC/CMC) to be built into equipment procurement

    contracts. District to submit Non Duplication Certificate as per prescribed format

    Programme Management and Human Resource

    Recruitment-Quality of HR shall be engaged through merit and appropriate and skill based competency test, through transparent recruitment process. Preference to be given to local candidates to ensure presence of services providers in the community. Comprehensive Baseline Skills Assessment must be part of the selection/ confirmation test for all frontline workers especially ANMs, SNs and LTs.

    Clinical manpower sanctioned under RCH-II would be engaged exclusively at Delivery Points. Irrational deployment would render the expenditure ineligible under NHM.

    For SCs with 2 ANMs, population to be covered will be divided between them. Further, one ANM to be available at the sub-centre throughout the day while the other ANM undertakes field visits; timings for ANMs availability in the SHC to be notified & displayed.

    It is noted that sanctioned position of ANM is less in most of the districts than ANM in-position. In such case/s, surplus ANM in position can be continued. But, if vacancies

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    arise anytime during this financial year, the said position/s should not be filled up till manpower in position is less than sanctioned nos. However, the expenditure incurred on the same head shall be booked under the same line item.

    In case the appointment of manpower has been done in ahead of the targeted quarter, then the additional funds required for the same can be met from the concerned line item.

    OPD in AYUSH clinics have to be monitored & validated on sample cases on quarterly basis. Every effort should be made to increase OPD cases at each AYUSH unit.

    AYUSH medical officers should increasingly be involved in the implementation of National Health Programmes and for the purpose of supportive supervision and monitoring in the field. They should be encouraged to oversee VHND, FID and other outreach activities and in addition, programmes like school health, weekly supplementation of iron and folic acid for adolescents, distribution of contraceptives through ASHA, menstrual hygiene scheme for rural adolescent girls etc.

    Performance Incentive to Clinical & management manpower must be provided as per existing guidelines on core performance indicators.

    EPF-The EPF under NHM is only for the Employers contribution part calculated @ 13.36% for staff drawing salary

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    The next year allocation under M&E will depend on percentage of expenditure in the same head in the current financial year.

    Remote/ hard to reach/ high focus areas to be intensively monitored and supervised All supervisors under NHM, both Technical & Management Consultant, have specific &

    well defined TORs with definite no. of days for visit as detailed below, which need be strictly adhered to for strengthening programme implementation.

    Sl No

    Designation No of Tour

    days(min)/PM Remarks

    1 Districts level

    2.1 Programme Management Unit

    At district level, for regular monitoring, cross domain composite teams with minimum five members led by Programme Officer visit at least once a week/ four days per month as team to any selected block/s. Rest of the month monitoring is done on individual basis as per PIP conditionality. Field visit reports are mandatory for the team members. The reports and findings are reviewed by CDMO in district monthly review meeting. Sharing is done with Collector cum DM. Blocks are to submit action taken report based on the observations of FMT. Finally, Prog Associate at DPMU is assigned for tour report compilation and for following up with the blocks for action taken report.

    2.1.1 District Programme Manager

    10 man days

    2.1.2 District Accounts Manager 7 man days 2.1.3 District Data Manager 7 man days 2.1.4 Dy. Manager RCH 10 man days 2.1.5 District ASHA Coordinator 10 man days 2.1.6 District GKS Coordinator 10 man days

    2.1.7 Engineer Average (1 JE /3 Blocks)

    30 man days

    2.1.8 DPHCO 6 man days Total 90 man days 1.2 Technical 1.2.1 CDMO 4 man days 1.2.2 ADMO(FW) 6 man days

    1.2.3

    DPHN/ Sister tutor

    10 man days Total 20 man days 2 Block level

    2.1 Programme Management Unit

    At block level, for regular monitoring, cross domain composite teams visit at least one Sub-centre per week. Rest of the month monitoring is

    2.1.1 Block Programme Manager 10 man days 2.1.2 Block Accounts Manager 7 man days 2.1.3 Block Data Manager 7 man days

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Sl No

    Designation No of Tour

    days(min)/PM Remarks

    2.1.4 BPHCO 6 man days done on individual basis as per PIP conditionality. Total 30 man days

    2.2 Technical 2.2.1 MO I/c 10 man days

    2.2.2 BPHN/ LHV (Hqr) Not in position

    10 man days

    Total 20 man days

    3 Sector Level 3.1 Technical 3.1.1 AYUSH 8 man days 3.1.2 LHV/ Male Supervisor 16 man days Total 24 man days

    Vehicle provided up to block level for facilitating field visits whereas allowances

    provisioned in the PIP for supervisors (MPHS-M & MPHSF at sector level) for independent mobility.

    Supervisors are to be supported by PMUs at various levels, to provide operational support related to cross cutting functions and are enabled for data analysis and use. JSSK

    JSSK is an entitlement scheme, which means every pregnant women and sick infants (up to 1 year) has to be provided drugs, diagnostics, and diet and referral transport services free of cost mandatorily. The amount mentioned in the budget columns are calculated based on an average estimated cost. The individual amount spent on each beneficiary would vary. No beneficiary should be denied any entitlement on the basis of these cost estimates. If the variations in cost is examined, it should be got ratified by the RKS.

    Equity

    Ensure differential financial investments and technical support to blocks, and cities, with higher proportions of vulnerable population groups, including urban poor and destitute, and with difficult geographical terrain that face special challenges to meeting health goals.

    Address shortages of skilled workers in remote, rural areas, urban slums, and other under-served pockets through appropriate monetary and non-monetary incentives.

    Reduce out of pocket expenditure on health care, eliminate catastrophic health expenditures and provide social protection to the poor against the rising costs of health care, through cashless services delivered by public health care facilities, supplemented by contracted-in private sector facilities where-ever necessary.

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Mandatory Disclosures

    The District must ensure mandatory disclosures on the state NHM website of the following and act on the information:

    Facility wise deployment of all HR including contractual staff engaged under NHM with name and designation. This information should also be uploaded on HMIS.

    Facility wise service delivery data particularly on OPD, IPD, Institutional Delivery, C-section, Major and Minor surgeries etc. on HMIS.

    MMUs- total number of MMUs, monthly schedule format and service delivery data on a monthly basis capturing information on all fields mentioned in the specified format.

    Patient Transport ambulances and emergency response ambulances-total number of vehicles, types of vehicle, registration number of vehicles, service delivery data including clients served and kilometre logged on a monthly basis.

    All procurements- including details of equipment procured (as per directions of CIC which have been communicated to the States by this Ministry vide letter No. Z.28015/162/2011-H, dated 28th November 2011) in specified format.

    Supportive supervision plan and reports shall be part of mandatory disclosures. Block-wise supervisory plan and reports should be uploaded on the website.

    NGOs/ PPP funded under NHM would be treated as public authority and will fall under the ambit of the RTI Act 2005 under Section 2 (h). Further, details of funds allotted/ released to NGOs/ PPP to be uploaded on website.

    Facility wise list of package of services being provided through the U-PHCs & U-CHCs.

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Key Conditionalities & Incentives 2017-18

    SN Conditionality Incentive/penalty Source of

    verification

    % Incentive/

    Penalty 1 Incentive or penalty

    based on NITI Aayog ranking of states/Districts on 'Performance on Health Outcomes'

    Based on the ranking which will measure incremental changes: 1. The states showing overall

    improvement to be incentivized

    2. States showing no overall increment get no penalty and no incentive

    3. States showing decline in overall performance to be penalized

    % of incentive/penalty to be in proportion to overall improvement shown by the best performing state and the worst performing state: +50 to -50 points

    NITI Aayog report.

    +-50 to -50

    2 Rating of District Hospitals (DHH) in terms of input and service delivery

    At least 75% (in Non EAG) and 60% (in EAG and NE states) of all District Hospitals to have at least 8 fully functional specialties as per IPHS : 10 points incentive

    Less than 40% in Non EAG and 30% in EAG to be penalized up to 10 points

    HMIS and NlTI Aayog DH ranking report

    +10 to -10

    3 Operationalization of Health and Wellness Centers (HWC)

    More than 2% of SCs upgraded and functioning as HCWs: incentive from 4-10 points based on proportion of SCs made functional as HCWs

    If 1-2% of SCs upgraded and operational as HCWs: No penalty,

    State report NHSRC report RHS

    +10 to -10

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    SN Conditionality Incentive/penalty Source of

    verification

    % Incentive/

    Penalty no incentive

    If less than 1% SCs upgraded and operational as HCWs: penalty up to 10 points

    4 % districts covered under Mental health program and providing services as per framework

    If 75% of the districts covered:10 points

    If 50% districts in Non-EAG and 40% districts in EAG states: incentive 6 points. Less than 40% EAG and less than 50% Non EAG to be penalized 6 points. Less than 30% in EAG and 40% in Non EAG to be penalized 10 points

    Report from Mental Health Division MoHFW

    +10 to -10

    5 % of 30 plus population screened for NCDs in targeted Districts/ MCs

    15% of 30 plus population screened for NCDs: 10 points incentive

    7% of 30 plus population screened for NCDs : 6 points incentive

    Less than 3% of 30 plus population screened for NCDs : 6 points penalty

    Less than 2% of 30 plus population screened for NCDs : 10 points penalty

    Report from NCD division MoHFW and State reports Any Survey data available

    +10 to -10

    6 HMIS and HRIS : HR data to be in sync and to be used in performance monitoring

    State/District where data matches : 5 points incentive States where data doesn't match: 5 points penalty

    HRIS (State) and HMIS report

    +5 to -5

    7 Star rating of PHCs (both Urban and

    75% (in Non EAG) and (60% in EAG and NE) of the PHCs having 3

    HMIS +5 to -5

  • SIH & FW, AnnexBuilding, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80, E-mail: [email protected]. web: www.nrhmodisha.gov.in

    Mission Directorate National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    SN Conditionality Incentive/penalty Source of

    verification

    % Incentive/

    Penalty rural) based on inputs and provision of the service package agreed

    or more star rating : 5 points incentive

    50% (in Non EAG) and 40% (in EAG and NE) PHCs having 3 or more star rating: 2 points incentive

    Less than 40% (in Non EAG) and 30% (in EAG and NE) of PHCs having 3 or more star rating to be penalized: 5 points

    Mission Director, NHM, Odisha

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    82

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    Page

    114

    of 2

    82

  • Sone

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    65

    Page

    115

    of 2

    82

  • Sone

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    Page

    116

    of 2

    82

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