PIP 2017...SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80,...

408

Transcript of PIP 2017...SIH & FW, Annex Building, Nayapalli, Bhubaneswar- 751012 Phone/Fax: 0674- 2392479/80,...

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

    MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    Letter No. OSH&FWS/12959 Date: 27/10/2017

    From

    Shalini Pandit, I.A.S. Mission Director, NHM Odisha

    To

    All Directors/ Lead Agencies

    Sub: Consolidated approved Budget (Main+ 1st Supplementary PIP) under NHM, 2017-18.

    Ref: Letter No. OSH &FWS/ 9835, dated: 30/08/2017 & Letter No. OSH &FWS/ 11607, dated: 12/10/2017

    Madam/Sir,

    The Consolidated approved budget for the State of Odisha for the year 2017-18 is Rs. 1457.482 Crs. The Details of component wise break up are as follows.

    Sl. No. Name of Programme

    Allocation in Main PIP

    Allocation of NTCP

    Allocation in 1st

    Supplementary PIP

    Total Allocation to

    the State/ District

    (Rs. In Crs.) 1 RCH Flexible Pool 311.216 0.00 5.167 316.383

    2

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

    795.149 2.092 17.984 815.225

    3 Immunization including PPI Operational cost 48.206 0.00 0.00 48.206

    4 NIDDCP 0.000 0.00 0.00 0.00 5 NUHM Flexible Pool 39.577 0.00 1.3053 40.883 6 IDSP 1.491 0.00 0.00 1.491 7 NVBDCP 33.619 0.00 0.00 33.619 8 NLEP 9.248 0.00 0.00 9.248 9 RNTCP 38.113 0.00 0.160 38.274

    10 NPCB 18.408 0.00 0.00 18.408 11 NPHCE 6.941 0.00 0.00 6.941 12 NPCDCS 3.545 0.00 0.1226 3.668 13 NTCP 0.000 3.414 0.00 3.414 14 NMHP 4.925 0.00 0.00 4.925

    15 Infrastructure & Maintenance 116.800 0.00 0.00 116.800

    Grand Total 1427.238 5.506 24.738 1457.482

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

    MMii ssss ii oonn DD ii rr ee cc tt oo rraa tt ee National Health Mission, Odisha

    Department of Health & Family Welfare, Government of Odisha.

    The above approval is subject to the certain mandatory requirements as detailed in Terms & Conditions at subsequent pages. Please note that non-compliance to any of the Terms & Conditions prescribed in PIP may entail audit objections & may result in withholding of grant to the implementing agency.

    Further, we must take a system approach to health and take a holistic view and work towards putting in place policies & systems in all strategic areas so that there are optimal returns on investments made under NHM. I would request you to propose mid-course corrections if any through supplementary PIP, if you come up with evidence based & context specific interventions based on your field experiences which you think will result better health outcomes.

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

    Yours faithfully

    Mission Director, NHM, Odisha.

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

    MM ii ssss ii oonn DD iirr ee cc tt oorr aa ttee Natio na l Hea lt h Missio n, Odisha

    Department of Health & Family Welfar e, Governm ent of Odish a.

    Terms & Conditions

    The approval is subject to the following mandatory requirements. Please note that non-compliance to any of the following requirement may entail audit objections & result in with-holding / curtailment of grant to the implementing agency.

    1. All expenditure under this sanction should be incurred with reference to the financial &programme guidelines prescribed by the Govt, of India/Govt. of Odisha/Mission Directorate. A certificate to this effect should accompany the UC in due course.

    2. The transactions of all the programmes under NHM, including payment to beneficiaries, must be through PFMS at all levels. However, the beneficiaries, as designated by Govt. of India, must be paid their dues through Aadhaar seeded bank account only.

    3. The Implementing Agency shall not make any change in allocation amongst different components/ activities without prior approval of Mission Director, NRHM.

    4. All approvals are subject to the observations made in this document.

    5. The implementing agency shall follow all the financial management guidelines in operation under NHM and submit Audit Reports, Quarterly Summary report, Concurrent Audit Report, FMRs, Statement of Fund Position, as and when they are due.

    6. Implementing agency shall ensure submission of details of unspent balance indicating, inter alia, funds released in advance and funds available. The implementing agency shall also intimate the interest amount earned on unspent balance. The interest money accrued under a programme is treated as GIA and can be spent against the approved activities of that particular programme only.

    7. The implementing agency shall ensure submission of quarterly report on progress against targets & expenditure including an analysis of adverse variances & corrective action proposed to be taken.

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

    9. Release of funds: Action on the following issues would be looked at while considering the release of funds:

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

    b) Physical and financial progress.

    c) Timely submission of Statutory Audit Report for the year 2016-17.

    d) Utilization Certificates against the grant released to the State up to 2016-17 for releasing funds beyond 75% of BE.

    10. The implementing agency has to ensure that the personal advances given for different activities at their level are 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

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

    MM ii ssss ii oonn DD iirr ee cc tt oorr aa ttee Natio na l Hea lt h Missio n, Odisha

    Department of Health & Family Welfar e, Governm ent of Odish a.

    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, NRHM & DHS, Odisha must be strictly followed.

    11. The accounts of the grantee institution/ organization shall be open to inspection by the sanctioning authority, internal as well as statutory auditors & by the Comptroller & Audit General of India under the provision of CAG (DPC) Act, 1971.

    12. The concurrent audit must be undertaken as per the guideline. The action on the observations of the auditor must be in time and Action Taken Report (ATR) on the observations must be furnished to the under signed on monthly basis along with the quarterly summary report.

    13. Compliance to the observations of auditor of any audit (con-current / statutory / C&AG) must be furnished within 10 days with a copy to the Mission Directorate.

    14. The expenditure on the following items are disallowed

    a) Creation of departmental posts& resultant payment of remuneration.

    b) Purchase of new vehicle.

    c) Expenditure on accounts of activities not sanctioned under the PIP.

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

    MM ii ssss ii oonn DD iirr ee cc tt oorr aa ttee Natio na l Hea lt h Missio n, Odisha

    Department of Health & Family Welfar e, Governm ent of Odish a.

    Mandatory Disclosure

    The following conditionalities shall be adhered to by the States and are to be treated as nonnegotiable:

    Mandatory disclosures:

    1. The State 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 kilometer 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 'No.Z.28015/162/2011-H' dated 28th November 2011.) in specified format.

    Buildings under construction/renovation total number, name of the facility/hospital along with costs, executing agency and execution charges (if any), date of start & expected date of completion 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

    2. State/UT to ensure that JSY payments are made through Direct Benefit Transfer (DBT) mechanism through AADHAAR enabled payment system, through NEFT under Core Banking Solution or through A/C payee check (Cash payment or bearer cheque payment is categorically disallowed across the States unless specifically agreed in case of certain areas in hilly States and NE States where presence of bank network is inadequate).

    3. Timely updation of MCTS and HMIS data including facility wise reporting

    4. Line listing of high risk pregnant women, including extremely anaemic pregnant women and Low Birth Weight (LBW) babies.

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

    MM ii ssss ii oonn DD iirr ee cc tt oorr aa ttee Natio na l Hea lt h Missio n, Odisha

    Department of Health & Family Welfar e, Governm ent of Odish a.

    Key Conditionalities

    The following key conditionalities would be enforced during the year 2017-18

    Sl. No. 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, no incentive

    If less than 1% SCs upgraded and

    State report NHSRC report RHS

    +10 to -10

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

    MM ii ssss ii oonn DD iirr ee cc tt oorr aa ttee Natio na l Hea lt h Missio n, Odisha

    Department of Health & Family Welfar e, Governm ent of Odish a.

    Sl. No. Conditionality Incentive/penalty

    Source of verification

    % Incentive/

    Penalty 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 : 6points incentive

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

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

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

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

    HMIS +5 to -5

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

    MM ii ssss ii oonn DD iirr ee cc tt oorr aa ttee Natio na l Hea lt h Missio n, Odisha

    Department of Health & Family Welfar e, Governm ent of Odish a.

    Sl. No. Conditionality Incentive/penalty

    Source of verification

    % Incentive/

    Penalty 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 iooooooooooooooooooooooooooooooooooooooon DiDDDDDiDDDDDDDDDDDDDDDDDDDDDDDD rerrrrrrrrrrrrrrrrrrrrrrr cto

  • CONTENTS

    Sl. No Component Page

    PART- I (NRHM & RMNCH+A Flexi pool)

    1. RCH Flexi pool 1-91

    2. Mission Flexi pool (including NPPCD, NOHP, NPPCF, Palliative Care and Assistance to State for Burns & Injury)

    92-216

    3. Immunisation 217-223

    PART- II (NUHM Flexipool)

    4. NUHM Flexipool 224-262

    PART- III (Flexipool for Disease Control Programme)

    5. IDSP 263-267

    6. NVBDCP 268-317

    7. NLEP 318-322

    8. RNTCP 323-341

    PART- IV (Flexipool for Non-Communicable Disease)

    9. NPCB 342-348

    10. NPHCE 349-350

    11. NPCDCS 351-363

    12. NTCP -

    13. NMHP 364-371

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    ivity

    Page

    8 o

    f 376

  • ANN

    EX 3

    e

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    Page

    9 o

    f 376

  • ANN

    EX 3

    e

    Qtr

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    Page

    10

    of 3

    76

  • ANN

    EX 3

    e

    Qtr

    -1Q

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    Page

    11

    of 3

    76

  • ANN

    EX 3

    e

    Qtr

    -1Q

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    Qtr

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    76

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